14040 SW 98TH AVENUE M,
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ADDRESS:
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CITY OF TICARD BUILDING INSPECTION DIVISION MST
24-Hour Inspe0lon Line: 639-41715 Busi-.,dss Line: 639-4171 l
� BUP
_Date Requested _ --- AM�_ PM BLD
Location 1�"1 r� Ae Suite MEC
Contact Person _ ��� Ph �Lt'��' S�if/ / PLM — —
Contractor Ph _ SWR _
UIL_L'_1 .-5__ Tenant/Owner _ ELC
Retaining all ELR
Footing Access: , q-0-707"
FoundationFPS
Ftg DrainCrawl Drain Inspection Notes: SGN
Slab – SIT
Post& Beam
Ext ShealhlShear �Int Sheath/Shear
Framing S
—
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling -- ----- --- - — — -
Roof
'ASS PART FAIL --- -- -- — _
GING
Post& Beam �---- ----- - -- -
Under Slab
Top Out
Water Service _ ---_-�---- ---.._ ----
Sanitary Sewer
Rain Drains
Final
PASS PA'?l' FAIL
ME,HANI_CA
Post& Beim - --- - - - - - - -- -- — -
Rough In
Smok,3 r)ampers
Finer
PA3S PART FAIL
ELECTRICAL
a
SeNICP.
Rough In
Lon UG/Slab __-_—_ -- ------ --
r' Low Voltage
Fire Alarm ---- - —
�� Final
`7 PAS!3 PART FAIL --
'J' SITE
Backfill/Grating
Sbnitnry SewF!r
Stora- Drain [ Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin _ Unable t
Fire Supply Line [ J Please call for reinspec�ion RE: inspect- no arcess
P- - f 1 P-
ADA
Approach/Sidewalk
_ Date Inspect _ xt
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspects record ram the job site.
BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BIJP1999-00280
DEVELOPMENT SERVICES DATE ISSUED: 7,16/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111BA-04200
SITE ADDRESS: 14040 SW 98TH AVE
SUBDIVISION: MCDONALD ACRES ZONING: R-4.5
BLOCK: LOT- 017 JURISDICTION: TIG
I REISSUE: jOR AREAS _ _ EX'T'ERIOR WALL CONSTRUCTION____
CLASS OF WORK: OTR FIRST. sf� N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 9 ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 60 psf LEFT: 0 ft RGHT: 10 ft FIR SPKL: SMOK PET:
DWELLING UNITS: F'2NT: ft REAR: 18 ft FIR ALR1U : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,800.00
Remarks: Re)lacement of existing deck.
Owner: Contractor:
MCMILLAN, ROBERT LAND OWNER
MARGARET R
14040 SW 98TH AVE
TI ARD OR 97223
f;tRD Phone:
Reg M
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PLCK DEB 7!7/99 $32.50 99-316439 Framing Insp
CD CB BON 7/16/99 $2.0.00 99-316945 Final Inspection
CDCP BON 7/16/99 $20.00 99-316945
PRMT BON 7/16/99 $50.00 95 316945
(additional fees not listed here)
Total $125.00
H This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oragon Utility Notification Center. Those rules are set forth in OAR
w
952-001-00 10 through OAR 952-001--1987. You may obtain a copy of th^se rules or direct questions to OUNC by
,LO calling (503) 246-1987.
J
Pe rm itee /
Slanature:
Issued By: � L— -- — — --
Call 639-4175 by 7 p.m. for an inspection the next business day
Permit #: 't►1���< -! cow SSC
OF O
Address: �`�`►6��� SGJ �� 7r/ h't/�
Issued by: Date:
_—
►egy
Statement: Information Nefte to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction Hermit appli-
cant: who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is rsquired
for residential Building, electrical, mechanicai, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the perinit.
Fill the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
1. I own, reside in, or will reside in the completed ctrttcture.
2. 1 understand that 1 must register as a construction contractor if she structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
LL_JJ (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
B. I will he my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
+– name of the contractor.
1 hereby certify that the above information is correct and dull 1 have read and do understand the Information
Notice to Proper v Owners about Vonstruction ResponsibiliAes on the reverse side of this form.
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
(CITY OF TIGARD Residential Building Permit Application Plan Check#
13125 SW BALL BLVD. Additions or Alterations Recd By_
Dale Rec.'d_
TIGARD, OR 97223 S-ingle Fami!y Detached or Attached (Duplex) Date to P E. 7-7-
V 503-639-4171 Date to D,ST �� �2= 2
/ r
F 503-684-7297 / � Permit#�—EtA�—p�— -t r)11 i9'
Print or Type Called
incomplete or illegible applications will not be accepted �'' 3
L Ef T I/� /ft$-S 4�
Name of Project -� F— Name �—
Job /t3-),j 1)eelL —
Address Site Address Architect Mailing Address
_ 6 > City/Sta!e _ Zip Phone
NamA
Owner Mailing Address Name
/q qo ,�j � —
ity/State Zip Phone Engineer Mailing Address
General Name
City,State Zip�Phone
Contractor o GV McN Descri�-e work New O Addition O Alterationlp Repair O
Mailing Address - to be dune:
Prior to permit _ Addi nal Description of Work:
issuance,a copy City/State Zip Phone M- i 11 ,'.,C.(L—
of all licenses
are required if Oregon Const.Cont.Board Exp. Date PROJECT
I expired In i Lir.#
database vALUATION $ /9-t) /06�r
Mechanical Name -- NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Indic-it( the restricted enerr.,y ir.staiistion by the electrical
Issuance,a copy Citv/State Zip Phona subcontractor in the followirq areas �— —
of all licenses Restricted Auhiu/S�ereo
sre required if Oregon Const Con;. Board Exp.Date Energy Sustem Alarms
expired in COT Lic.# Installation; Vacuum Irrigation
_database _ System System
Plumbing Name (cheek all that Other:
Sub- apply)
Contractor Mailing Address --- Corner Lot YES NO Flag Lot YES NO
(check one _ check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy —
of a+I licenses are Oregon Const.Cont.Board Exp. Date
iequ,red if Lic*
expired
--
expired in COT I hearby acknowledge that I have read this application,that the
database Plumbing Lic # Exp. Date — information given is correct.that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
_ — Gregor+State laws.
Name -Sign- re f gr/Agent t . 1` Date `5 '
�( t
"' Electrical ___ 0� l
Sub- Mailing Address Cony P +so^Na a Phone#
r
(contractor 1 a 1. ,v k,14,kan - ("zo zS,
City/State Zip Phone
co Prior to permit
r` issuance,a copy
—� FOR OFFICE USE ONLY: _
of all licenses are Oregon Cons Cor!. Board Exp.Date plat#: Ma !ft.#
required if Lic# :
p �f ,l�O�
expired in COT _ _ �f'/ l/ 'OY _
database Electrical Lia# Exp Date Settlacks. Zone: "TIF-
?
Solar;, /
Electriral Supervisur Lic.0 Exp Date II Engineering Approval: Planning Appro
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LIA[?IL TY:The City of Tigard,Oregon, or =-
Its P111ployees,shall not be respons+ble for
discrepancies which may appear hereon.
APPROVED FOR CONSTRUCTION -
CITY OF TIGARD
PERMIT NO.B.rjuf-vc 1s-v ADDRESS /(/o UG 3w yYu /f�4
BY i DATE -/t-
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