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NOTICE: IF THE PRINT OR TYPE ON ANYi i � ( ri i
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IT IS DUE TO THE QUALITY OF THE No.36
ORIGINAL DOCUMENTT- - - -
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15085 SW HALL BLVD
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- —
—,Date Requested / C� AM PM BLD
I ovation ->t-,, � .`e� L��f�_ Suite MEC
Contact Person � r>L>4' �'�., Ph G•^ -2 S PLM
Contractor Ph SWR _
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: -
Foundation - FPS --_
Fig Drain SGN
Crawl Drain Inspection Notes
Slab
Post 8 Beam __—
Ext Sheath/Shear
Int Sheath/Shear
Framing _---- ----— ---- -�.—_
Insulation
Drywall Nailing _--.- -__—_-- -_-_--- --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - ----
Roof
Misc: --- --- - ---
Final —
�ASS PART FAIL. _-
ING
Post 8. Beam - -----—___._. - ------ --------------
Under Slab
Top Out ---
Water ce
anitary Se_n'1111
Rain T_ra M.
P a ART FAIL
ICAL
Post&Beam - -- -- -- ---
Rough In
Gas Line ---- - _
Smoke Dampers
Final - -- - ---- -- ---- ----- -
PASS PART FAiL
ELECTRICAL -- -T�- --- ---
Service _
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE _ [ I Unable to Inspect-no access
ADA G
_7
Approach/Sidewalk Date ' V Inspector Ext
Other - — ------
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I� BUILDING PERMIT
CITY OF TIGAR
PERMIT#: BUP2000-00120
DEVELOPMENT SERVICES DATE ISSUED: 04/12/2000
13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PAP,EL: 2S111AD-09600
SITE ADDRESS: 15085 SW HALL- BLVD
SUBDIVISION: SCHECKLA PARK ESTATES ZONING: R-4.5
BLOCK: LOT: 063 JURISDICTION: TIG
REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM 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: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: READ SETBACKS REQUIRED _
FLOOR LOAD: psf LEFT: It RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Demolition of a 1,285 sq. ft. single family dwelling. Sanitary sewer, must be capped and inspected. All debris to be
removed.
Owner: Contractor:
WINTERS, MARVIN F + OWNER
WINTERS, JOHN W
19000 SW��M�CCRORMIICK HILL RD
"AU BCS .Y,9419W Phone:
Reg#:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Cap Sewer Line Insp
PRMT BON 04/12/2000 $50.00 0001353 Final Inspection
5PCT BGN 04/12/200C $4.00 0001353
EROS BON 0A1I2/200C $26.00 0001353
ERP( BON 04112/200( $8.45 0001353 ORIGINAL
(additional fees not listed here)
Total $96.90 -��—
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 Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952--001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
P,;rmltee )
Signature:
i
Issued By: �� (Ulxv�—
Call 639-4175 by 7 p.m.for an inspection the next business day
CITYOF TIGARD Commercial Building Permit Application Plan Chec •�----
Rec'd By
1312',..:JiA! 'r-CALL BLVD. ,{detro-(7eR�trueticim tsTtd-Additie" Date Recd r 4 12 LC'40 _
TIGARD, OR 97223 � n� j Date to P.E
(503) 639-4171 ./ ` Date to DST
Print or Type Permit* -l'
Incomplete or illegible applications will not be accepted Related SWR#
Called___
Name of Development/Project
Job /y D Existing Building @ New Building []
Address Street Address Sulte
15"0 ?5S ' l'L rV Building
ID
Bldg# City/State Zip Data _
Existing Use of Building or Property: j
Name
4
Property J-H AI W 1 Wr9PS __.
Owner Mailing Address Suite Proposed Use of Building it Prooerty
//7jo S, LV y5
Clly/State Zip Phone 503 No Of Stories-
7—i6,+
tories
rl
_ 6,+gD 017L F 7 z -z _5 _
Occupant Name _ Sq. rt. Of Project:
-- — - �!/f C ,4 A// Ocalpancy Class(es) ��
Name
Contractor l ooj W/A/76)?s
Prior to permit Mailing Address Suite Type(s)of Construction
issuance,a copy 5ANb 4'_1 A&V r= _ �'_I _
of all licenses - ---- — -- -- ----
are required If City/State Zip Phone Will this project have a Fire Suppression System?
expired In C O.T. Yes ❑ No 0 _
database Americans with Disabilities Act(ADA)
Oregon Const.Cont.Board Lic# Exp.Date
Valuation X 25% = $_ Participation
—_ Complete Accessibility Form
Naha_ Project $ ---- ---- ----
Architect Valuation
Meiling Address Suite
PIF-tis Required: See Matrix for number of sets to submit
CI1y/,RkTre Zip Phone on back
Engineer Name — I hereby acknowledge that 1 have read this application,that the information
given is corrert,that I am the owner or authorized agent of the owner, and
Malling ress Suite that plans submitted are in compliance with Oregon State Laws
QA_nn lure of Owner/Agent Da')
City/Stela Zip .Phone
ntact Person Name Phone —
Indicate type of work New O Addition O Demolitlon �`1�
Accessory Structure O Foundation Only O Alteration O
Repair O Other o _ FOR OFFICE USE ONLY
Description of work: Map/TL# Land Use
VE VACAA7T l�ousE _ - II P .
Notes.
Parks: Estimated#of Employees TIF
If the above figure Is not supplied at the time of application.the city will
calculate the fee based upon the number of parkin$spaces. t — -- -- ---
Note: Site Work Permit Application must precede or accompany Building L-k> /
Permit Application
[; C( IAT 7 Ca.t't)
I ldstsftrms\comnew doc 5/10/99 p�� r6.k �
Permit #: I 20V `L�K%I Z
OF O _
Address: (56" SttJ VGA
I1�:ued byKDate: `7'C Z- 7,06y
�8.g9
Statement; Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
runts who are not registered wilit the Construction Contractors Board to sign file
fallowing statentent before a building permit can he issued. Tltis statement i:r required
for residential building, electrical, mechanical, and plumbing perm,ts. Licensed
architect and engineer applicants, exempt.from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with lite permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
LJ
1. 1 own, reside in, or will reside in the completed structure.
2. i understand that 1 must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
l J 3A. My general contractor is_ L/
l J (Name) Contractor regis. #
I will instruct my general cdntractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
Ll3B. I will be my own general contractor.
If I hire subcontractors. I will hire only subcontractors registered with the Construction Contractors
Board. If I charge my mind and hire a general contractor, i will contract with a contractor who is
registered with tho. CCB and will immediately notify the office issuing this building permit of the
name of the contrac'or.
hereby certifv that the above information is correct mid that i hay c read and du understand the lnfurmatio►n
Notice to Property Owners about Omstrnction Responsibilities on the reverse side orf this firm.
(Signature of permit applicant; (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
Information Notice to Property Owners
About Construction Responsibilities
r. V1 h )7 1 P;.,J,j W, (lila I I",.,w.tvtwtion Rcsptm,sil
1: ( "'., wt!z;,1'( ,.qt,,I ,, .,t 1r, I,, : d(1111 e ovith ORS 70/.(,,.'5,5).
H k,OW I Ot IW 10 rm,t ;i I iew lim i it.,1K make I mitislam ial improvelffient to . .
an existing sti-LICIUrc,
lot- are;t, {4'
EMPLUYER RESPONSIBILITIES:
m kk-?-,' cot Pitt jiv ifin 011ljlklyi."r, vim art suhjeo:t t(l the Oregon Wc)rker,,,'Comp'MiltiL.Pill and i, �i
1'y,rPiur vm[.4ii vcc,�,. Ifyc)u i'ail to twin workers'compensation ijfj%UraIjc*e
.,, ,.re,,,,1, � , ,
mid 1!1 tv hahl".ff�rOff Jilitil ( .
irk-It' .1 1 ;rplr� '! 7''l) T.
le I ;if it' I I f art- I,
q 1 4, `S8Q
I oiternalk Rvveilav St F ,4,L: "V,ali k�11ijAmee", ti. YOU W01 he
P;1VI-rient uv; 11 it v,,,;illd'I't molly r,ahluild the trh IrjI(,rn)atj()n,call t
he Internal Rt I.title'Rervice
OMER REEPONSIBILITIES AND AREAS OF C0NC0*EHW
v,ow I,, --1,11 101!!1i.1,1'1-10 t, i:)!l lV!
I WNW
and property daimigeiiisitrajim CtintaLt)(nir.11"Alralli-C 0g4;ill U,)be�it will haveadeqtiaic imsmance t-t•%oray Im
mid (mllktiiw"S lallill)"tU171, , juint (,wrspray, water(lamagi. trill!pipe puvottirQ,, life, of �Wd' iflat UILVA IV
1'init t(1 milwirvim.CIIIPII)tev,: NlAc �Ilry }flu Ili,% it-ill filyle w kiperk,ke yimrcmplw,.,•t',
Pvp0H,;e- k1Jk(4mry(,n fvj-.-the cxporilkeft),,idits N mirm,01 peneril contrict(ir,loco,irdinatethe ,Intl finkli
I I;IdL` ill'(' '(-'"WiN hvlildinl+MTItilclk M the-irprorriitt flme� qn thcv:can rt-r-fomh iho tt:-qt,itv_A itl,;rectioll<.
It y k,,u have additwnal queitikm , kvilte ilr cudl (fit,("I'llsIrlit.(it'll ( ftliflactol" hi-ard(110 bkyx 14141). S,Ilt,.In, ()IZ 91,lo,)
'it)V 17S 4().?.1 The lJoart I i I iwaf(d it 7M)Simim,-F St. IN I; `rune i1)(), in Sale I w
him
moi= i
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ROLL# 23
FOR
LARGE
DOCUMENT