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jP5nj(:TION NOTICE
City 3t .1gard Building Depar�tmont �/1 /
33125 aw dell Blvd. Tigard, Oregon 97223
Inspection Line (Roc.-O-Phones 639-4175 Business Phone: 639-4171
Inspections__
Footing Plbq. Underslab Mecc. Rough-in Appr/Sdwl.k
Pound. Plbq. Top out Gas Lloe FINAL.
Post/Beam Struct. Ban. Sewer Framing -Bldg. )
Post/Beam Mach. (`min Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Oyp. Bd. -Mach.
Data Request�edt _Tiaet _pM PN
Address:
Builders
TNM FOLLOWING OORR=CTIONB ARs MXQUIREDt
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Inspectors�
AP,MWID DISAPPROVED APPRCIFED SUBJECT TO ABOVE
Call For, Reinap.
INSPECTION NOTICE
Citv . . Tigard Building Department
13125 Sw, Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Flbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing 1 -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
P11->g. Underfloor Z Water Line Gyp. 8d. -Mech.
Date Requested::] �Q(J /�� L,/TTiim/e s (((���/// }AM _PM
Address: / 93y /�% y� 'YeC 1�t #1
Builder:__ �U4-^ / 13
THE FOLLOWING CORRECTION ARE REQUIRED:
InapeCtor r �J Date:-3- 73 '
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call for Reinap.
INSPECTION NOTICE
t
CI y of Tigard Building Department �.
13125 SN Ball Blvd. Tigard, or-igon 97223
Inspection Line (Rec-O-Phone): 634-4175 Business Phone: 639-4171
Footing Plbg. Underslnb Mech. Rough-in Appr/Sdwlk
' FOut Gas Line FINAL:
'
("..Found. / Plbg. Top
Poet/Beam Struct. San. Sewer Framing -Bldg.
' Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requested-_ C, —TIms; AM PH
Address- � ��� /� Permit #s
Bs:ilder: _—
"HE FOLLOWING CORRECTIONS ARE REQUIRED-
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Inspectors _�
APPROVED DISAPPROVED -- APPROVED SURJEr_T TO ABOI►E
Call For Reinep.
CITYOF TIGAItD
�CrFYGFTWARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENTPERMIT #. . . . . . . ; Bijp2
q i)262
13125 SW HWI Blvd. P.O.Box 23397,TjgsM,Omgon 97223 (603)839- 175 \\,
639-4171 ISSUED: 09/02/92,
SITE ADDRESS. . . : 13830 SW 1141H AV PARCEL: 2S,103DC-02:,;_,00
SUBDIVISION. . . . : VIEW1Y10UNT' ZONING: R- 4. 5
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . . 10
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION—
CL(-'iSS OF WORK. :ADD F*I RST. . . . : sf 1\1 S: E: W:
TYPE OF USE. . . :SF SECOND. . . : IS i,
PROTECT OPENINGS?.--------.---
T YPIE OF: CONST. :5N THIK s 1\1 S: E: W.
OCCUPANCY GRPI. : R3 TOTAL-.------: 0 s f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD. BASEIIENT. : s AREA SEP. RAYED:
STOR. : 1 HT. : 14 ft GARAGE. . . -432 sf OCCU SEP. RATED:
B51IT7- MEZZ".- REOD SETBACKS----------- REQUIRED----------------------
FLOOR LOAG . . . : psf LEFT: 10 ft RGHT: ft FIR GPIKL: 511OK DET. . :
DWELLING UiJITS: FRNT: ft REAR:32 ft FIR ALRII: FINDICV, ACC:
BEDRIYIS: BATHS: 1MP SURFACE: PIRG CORR: PARKING:
VALUE. $: 7776
Remarks: ADDITION OF ATTACH SHOP OF 432 SU FT NONHABITIBLF SPACE SHOP ONLY
Owner: FEES
RICHARD PEARSON type amol-tTit by date reept
13830 SW 144TH AVE PIRN I' $ 6B. 50 JLH 08/26, 92 230999
F,LCK $ 44. 53 JLH 08/26/92 230999
TIGARD OR 97223-3772, 5P,C r s ;3. 4:3 JLH 08/26/92 230999
Phone C: 620--8913
Contractor-:
OWNER
— -----------------------------------------
PI-10fle #: $ 116. 46 TOTAL
Reg #. . - 00000
REQUIRED INSPIECTimis
This permit is issued siibject to the regulations contained in the Foot/found InFp
figard Municipal Code, 'Tate of Ore. Specialty Codes and all other Framing Insp
applicable laws. All work will by done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Rain drain Insp
within 180 days of issuance, or if work is suspended for more F-i n a I Inspection
than 180 days.
Permittee S)j.qnat i-tre
titi
Issi-ted By
-
Call for inspection 639-4175
CITY OF' T I f.1i1RD RF-Cf"]PT OF PAYMENT RECEIPT N0. 1192-213-0999
CHECK OMOUNT a t 1.6. 46
NAMF: : CREATIVE CONSULTING CASH AMOUNT 0. 00
(ADDRESS SW 1141-H PAYMENT DATE
5UBD I V I G I ON a
T'T."30111), OR 9
LJkPU 1= OF PAYMENT AMOLIN'F PAIL) PURPOSEOF PAYMENT HMQUNT PAM
'LI I L-U T NG PERM E,8. 5,121 PL nN C1,411.X FF:. 44. n3
1-. BUILD PER 3. 43
TOTAL_ nMOI IN1 PAID - --> 116. 46
OF
(� A13125 SW HallBlvd. PLNCK%RECT #CITY T 1\>`ARD PO11ox73397 PERMIT #
COMMUM71 DEVE'LOPME'NT DEPARTMENT Tiigard,Oregon 97223 1—�
(503)639-4171 DATE ISSUED
JOB ADDRESS: �SS3�) /Lift, �'�'/► y� TAX MAP/LOT Ij/-03 DC - 0 ZZGy
SUB: VIEw►t1uuT LOT: — /0 LAND USE:
VALUATION: 7_ � '�l„ , 610
OWNER NOTES
SPECIAL N
�-, -�
NAME: �� ��car�,�_I 5 '!Lv►�l f X25 ,,�v REISSUE OF:
j ADDRESS: 11�3 U S w //441..► Ave . LAST REISSUE:
_ 7—(6d7tOld '1 /223 - 3-22Z FLOOD PLAIN/
PHONE: _ (e Zy - *9 / 3 SENSITIVE LAND:
CONTI2ACTOR APPROVALS REQUIRED
NAME: PLANNING: [
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED r
SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: ✓ c' ('�ti• ,,'!� - 1"aY"`
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRLSS: _ OTHER: '
PHONE:
y
PROPOSED BLDG. USE:
LL COMMENTS: _
J
APPLICANT SIGNATURE
Received By: 1 � Date Received: �L
PERMIT P # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
Z-uZ42 J-43 00 Building Permit Fees
10-431 00 Plumbing Permi `. Fees —
10-431 01 Mechanical Permit Fees
10-2.30 01 State Building Tax (5%)
Buildings
PlumbinC
Mechanical
i
10-433 00 Plans Check Fee -3 ��y
Building
Plumbing
Mechanical
10-230 06 Fire
30-202. 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercie.l TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) —
TOTAL Ilk,1
nm/3587P.WPF
I
F Permit No:
Address: )
Issued by:_ _ a:Cf 2-
OFFICE USE ONLY___
'STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who ar3 not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer ap.,licants, exempt from registration
under ORS 701.010(7), need not submit '.his statement. This staternent will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313:
1 . rI own, reside in, or will reside in the completed structure.
2. C-_]I 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before 3. upon completion.
3. A.l My general contractor is ____ _ ,
Contractor registration number
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B. I will be my own general contractor.
j If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a co itractor who is registered with the Construction Contractors Board
;Y and I will immediately notify the office issuing this ouilding permit of the name of
"' the contractor.
I hereby certify that the above information is correct and that I have read and understand
`' the Information Notice to Propel y Owners about Construction Responsibilities on the
,LO reverse side of this form.
Signature of Permit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT