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CITY OF TIGARD BU11, DING INSPECTION NOTICE
Inspection Line (Rec-O-Phone,: 6,"9-4175 Busineas Phone: 639-4171
Inspection:_ Lt-Srr
Footing Susp. CfIing Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation -Mech.
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�' Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: 1 Time: AM PM, �-� �.� � �P
Add.s k r J 1 L ess: �
Builder:, Permit
T!it: FOLLOWING COnRECTIONS ARE REQUIRED: •
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+ ' Inspector.� �_ Date:
�OVED _DISAPPROVED _APPROVED SUBJE T T ABOVE
Call For Reinsp.
August 26, 1994
Bryan Thompson
9355 SW Martha
Tigard, OR 97224
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9355 SW MARTHA ST., PLUMBING PERMIT #PLM93-0065
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On 5-14-93 we issued a permit for this project, however, we have no record
of any inspection being completed.
Permits become void if there has not been an inspection performed for over C
180 days. In that case the Buildin,- Division may ay require a new application !,
and fees to commence or continue v�ork. A notice of non-compliance against
the property may also be recorded by the City.
Please advise the Building Division within 15 days from the date of this letter
as to the status of this project.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.9109 (603)839-4171
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NOW
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Permit No:
Address: �,��✓ ���{1 �itl�
uhf ' t Issued by: _ Date:
�`: `,''•''��' — .FOR OFFICE USE ONLY-----
STATEMENT:
NLY __STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are 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 applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill ;n the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B.
I own, reside in, or will reside in the completed structure.
2. I 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A.L _— -1 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.f 1 ] I will be my own general contractor.
If ! hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I chang6 my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building 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 Property Owners about Construction Responsibilities on the
reverse side of this form.
S'+ n ore o Permit Date —
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBI;.ITIES
NOTE This Information Notice to Property Owners About Construction Responsib tips
was developed by the Construction Contractors Board in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature.
It you are acting as your own contractor to construct a new home or make a substantial improvement to an r:
existing structure, you can prevent many problerns by being aware of the following responsibilities and areas
of concern.
EMPLOYER RESPONSIBILITIES: f
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an
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"employer'' and the people you hire will be "employees". As the employer, you must comply with the following:
Ore on's Withholding Tax Law^ .As an employer, you must withhold income taxes from employee wages at
j the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the - ;
tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390.
Unem to went Insurance Tax: As an employer, ou are required to pay a tax for unemployment insurance
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purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224. t
Workers' Compensation Insurance: As an employer, you are . _eject to the Oregon Workers' Compensation
Law, and-must obtain workers' compensation insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages.
You will be liable for the tax payment even if you didn't actually withhold the tak. For more information, call
the Internal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF C ONGFRN:
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Code Compliance: As the perrrrit halder for this project, you are responsible for resolving any failure to meet i
code requirements that may be brought to your attention through Inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc-
tures, fire, or work that must be re-done.
Time to Supervise Employees: Make sure you have sufficient time to supervise your employees'
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Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform
the required inspections. r
If you have additional questions, write to: Construction Contractors Board `
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244,1 10/24/89 '
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("W T I CARD RECEIPT OF PAYMENT RE:C:L•'::I IT NO. t 93--r-`400 ISs
CHW.C'.K AMOUNT
NAME- y THOMPSON, BRYAN CASH AMOUNT t 0. 660
(ADDRESS 9355 SW MARTHA PAYMFI+IT DATE 915)!14/93' �
I3UBDIVISION t
T I OARC), OR 7�?c'w_.
PURPOBF OF' f'AYMf=NT AMOUNT P,A I U PURPOSE Of- PAYMENT AMOUNT VA I D
c?I_UMBING f✓FRM 15. 00 ST. BUILD PER 121, 75
:3PRINK.r_ER F' :raMI7
TOTAL AMOUN U PAID ; 15. 75
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