11970 SW LINCOLN AVENUE-1 G�
ADDRESS:
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Cr'Y OF'rIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O--Phhon-e): 639-4175 Business Phon9: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rougn•in Appr/Sdwlk fc'
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: r i
Post/Beam Mach. San. Sewer Gas Line g. s
Plbg. Underfloor Rain Diain Framing lum
Alarm Water Line Insulation 19fec7i� ��
Underflr. Insul. Shear Wall Gyp. Bd. � _lett.
Date Requested:^_� l�- I Time: AM PM
Address.-L`1_1(-,;1 � -�
Builder: Permit#: 3-
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: / Date l l "'
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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June 12; 1995
City of Tigard
13125 SW Hall Blvd, RECEIVED •
Tigard, Oregon 97223
AN 14 1995
_
RE: Building Permit # MSI-93-0525 COMMUNITY DEVELOPMENT
11970 SW Lincoln, Tigard 97223
Norma Barber
620-2095 •
Dear Sirs,
In regards to you letter dated June 1, 1995. We have not completed
the work i weded for the next inspections. Due to financial pr('!,'•,ms,
we have been unable to complete the outside work. i'he wea';h, r
has also rot been cooperating with vs. We have been slowly trying
to find time & money, but we do net feel that everything w'll be
done until around the first of'Se t% ,• .
busy this time of year. We would hope thevol'ha,uaiids job is very
y p ,oi: woul grant us an
extension until September.
Thank you,
Norma Barber
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CITY OF TIGARD
OREGON �
June 1, 1995
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RE: BUILDING PERMIT #
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Inspections) have been conducted on this project . however, we .
have no record of any subsequent or final inspections within the
past 180 days.
Please note that permits b -ome void if there has not been an
insrection performed for over 180 nays. In that case, the Building
Division may require a new application and fee" to continue work.
A notice of non-compliance against the prop(:!.Lty may also be
recorded by the City.
Please auvise the Building Division, IN WRITING, within 15 days of
this letter, the status of this project. You may request
additional time to complete the project .
Respond IN WRITING to: Building Division, 13125 SW Hell Blvd. ,
Tigard OR 97223 . Be sure to include the following information:
1 . Building Permit #.
2. . Address of property.
3 . Your name.
4 . Your phone nuwrber 8 : 00 a.m. - 4 : 00 p.m.
If you are ready to schedule your next inspection, please call our
24-hour Inspection Recorder at 639-4175 .
login\edd_ "pectione
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 -- -----
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, oregou 9722.3 �
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspectlon:__`
Pouting Plbg. Underslab Mech. Rough-in Appr/Sdwik
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Fuming --Bldg. .
Poet/Beam Mech. Rain Drain *^.eulation -plumb.
Plbg. UnderEl oor Water Line (Gyp. Bd. -troch.
Date Requested: Z - 2 ` r I Time: _�11l1 PH
Addrenn:_I lyuC�Il.� Permit r:r )3
Builder: ' ikC Iwti' C4 b_Cy L�ZD -
THE FOLLOWING OORUCTIONS 11RE REQUIRED:
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10 a, yfa,
Inape0tor: /3 --- --- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinsp.
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INSFECCION NCYTICF
City of Tigard Building Departse3nt
yft 13125 sw Ball Blvd. Tigard,
Oregon 97223
dry`' �7`"1sY Inspection Line jRec-O-Phone)s 639-4175 Business Phone: 635-4171
nopectlon:�
Footing Plbg. UndF[slab Mech. Rough-in llQpr./ed\r1k
t 1 Found. b�q. To�p Out �1 Gas Line IIN11S.t
Rat/'.loam Struct. Ban. Server Framing
Post/Ream Mech. Rain Drair, L_ Insulation I -11umb.
Plbq. Underfloor Neter Line Gyp. 8d. _Mach. far
11
Date nequeateds— 2— I � l/ Timet —Am
address: IC�1U 4_�l/�T 0`V� _� Permit ItN1SZ y3"U`� 25 r
Ru i lder tPlat rl -1( We)
THE
�7F�,OLI.ONING CORR/ECTI'ONS AM "WIRED1
Inspector:_ _-- ----lT Dates
APPROVED DISAPPROVED '' APPROVED SU&ML'T TO ABOVE
call For Reinsp.
Is
maECTIm NOTICE
City or Tigard Builc'ing Department
13125 SM Ball 91vd. Tig", Or-sgon 97223
Inspection Line (Ree-O-�Phono): 639_�-((4_175 Business Phone: 639-4171
Lupection: 01-k , m �L ►Y� u�LIJVILYY\
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Strutt. Ban. sewer Freeing -Bldg. .
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Post/Beam Hoch. Rain Drain I.•sulation -Plumb.
Plbg. Underfloor Water Line G� Gyp. Bd. _Hoch.
Date Aequasted:_ G. 1 Time: AH PM �
Addrass:ff L I-I n �Q[)I� Perwit #: J Z
Builder: f Y�V' l r �v LP 2 a J1 5
THE FOLLOWING GORR6CTIONS ARE REQUIRED:
Inspector: �—
-- Date:
APPROVED DISP01PROVED APPROVED SUBJZ,-T TO ABOVE
Call For. Reinsp.
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I NSPECT_LON-NOTICE �\y1
City of Tigard Ruildinq Department
13125 6M Hal1B11I-d. Tigard, Oregon 972231
Inspection Line (Rec-O-P )s 639-4175 Run Ip a Phone: 639-4171
z /" �✓
inspections__
Footing Plbg. Underslab Mach. Rough-in Appr/:dwlk
Pound. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer ` Framing -Bldg, j •
Past/Ream M,&ch. Rain Drain Insulation -Plumb.
P113g. Underfloor Mater Lille Gyp. Bd. -Hoch. �
Da•_e Requestod s! 12 4-9-3 _ ---Time: �—AM _ PM
Address: L �V�Cr /� Permit 1:
Bu lldar t 9`�l'.�•�-IIMC�n;. M C YXr-� L
TKS FOLLOWING CORRECTIONS ARS RSQUIREDs
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InspectorI \' Date:
._—APPRO%rtD DISAPPROM I' APPROVED SUBJECT To ASOVg
Call For Reinsp.
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CT N NOTICE
r city of ilgard Building Department
13125 811 BdI' Blvd. Tigard- Oregon 97223
Inspection Line (Rec-O-PIone): 639-4175 Business Phone: 639-4171
Insper tion: �{u(�
l looting Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lir;• FINAL$
Poet/Beam 5truct• San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insula-cion
-Plumb.
Plbg. Undorfloor water Lina Gyp. Rd. -Mach.
Date Requested$
Time: �AM pK
Address 1"?Jo L �wL l stn
"\cpl V., ivy J�CI 7j C'S1 S i't ` ti
11 � Permit
BuIIderswo"A_ �f '�lnCL'(
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THE FOLLOWING CORRECTIONS ARE
REQUIRED:
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Date -�
APPROVED DISAPPROVED
APPROVED SUBJECT TO ABOVE
-- ---
-,Call For Reinsp.
Ow"'WAL,
INSPECTlo NOTICE q
CirDefarta"tT of Tigard Building
13125 Be Ball Blvd. Tigard, OraQon 97223
Inspection Line (ROC-O-Phone)s 639-41"i5 Business Phone: 639-4171
4 In-pection:_
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rooting F1bg. Underelab Hoch. Rough-in Appr/Sdwlk � w
Found. PJL<j. Top Out Can Line FINALc ,N
at/Beam •t .) Sun. Sewer Framing -Bldg.
post/Beam Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -
/Mech.
Date Requested,__ II 2. �'�3 Times _CLAM pM
Permit A s
Builder: -- -- t !
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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inspector:,,
r APPROVED - DISAPPROVED —_— APPROVRD SUB.IECT TO ABOVE
Call For Reinan
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INSPECTION.NOTICE �r
City or Tigard Building D"rt-ssent
13125 fM Ball 91vd_ Tigard, Oregon 97223
Inspec.•tion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4111
Inspectio%s
Footing Plbq. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out was Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Nater. Line Gyp. Ed. -Meeh.
Date Requested/—_1 2�� ���� Time:
Xddresa: 11-0110 L-k VIVA, Permit #:
Builders_
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.-_. _ Dates .
APPROVED
DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION NCYTJCE
City or Tigard Building Department
13125 Be Ball Blvd. 'Tigard, Oregon 97223
Inspection in* (Rac A-Phone): 639-•4175 Business Phone: 639-.,.71
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbq, Top Out Gas Line FINALS
Post/Sam /trilpJl. ban.. Sewar Framing -Bldg.
�Be" Koch. Rain Drain Insulation _plumb.
Vlhq. Underfloor Nater Line Gyp. Bd. -Mach.
Dates Ra
queetedi F, T1met AM —,—PM
Address,, ( d - i Permit 4 -� J
Builder.:
THE FOLLOWING COR&ECTIONS ARE RSQUIREDt J
Inspectors Datet_
iAPPROVED DI'S"PROVED APPROVED BUBJRCT 7V ABOVE
v Call For Rainsp.
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LNSgECTFON NOTICE
City of Tigard Building Dep rLv mt
131-25 B* Hall Blvd. Tigard, Ox-agon 97223
Inspection L.ne (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
__--
1001t�B9� Plbg. Undaralab Mech. Rough-in Appr/sdwlk
round. Plbg Top Out Gas Line
FINAL:
Post/Beam Strum. San. sewer Framing -Bldg.
POet/BeAm Mach. 1
Rain Drain Insulation -Plumb. �
Plbg. Unierfloor Water Line Gyp. Bd.
q -Mach.
Date Recpseatsds__ ' ' 1�) !j j
p --Time: AM i_YM
Addroees ( I l 10 L(VA 06, '
Permit
Builders _ — -'x. e.� ,1 �3
TEEN FOLLOWING CORRClL'TIONS ARE RSQUIRED: 1
— --���
Inspector:
--- Dat-1 /O
_APPROVED DISAPPROVRD
- APPROVED SUBJECT TO ABOVE
For Reinsp.
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i INSPECTION NOTICE
Citp of Tigard Building Departteeat
!.3125 sw gall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectiont,—
Footing Plbg. Underelab Nech. Rough-in A
ppr/Sdwlk
Found. Plbg. Top out Gas Line
FINAI,t
1
lost/Beam Struct. San. Sewer Framing -Bldg.,
Poet/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor 1 Water Line Gyp. Bd. -Mech.
Date Requent/e�de r` ` (V'_l Tom: AM
PN
Address: 1- Ic1 V_�j V ��/�(. \ ��
Permit
Builder:—
THE FOLLOWING CORRECTIONS ARB REQUIRED: --
A-P
T 1�l p
ko
Inspector:— _1O
Date:
___APPROVED DISAPPR"VFD APPROVED SUBJECT TO Af30yg
�� Call For Reinsp.
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CITY OF TIGARD 4
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW H&H Blvd.Tigard,Oregon 97223.6199 (503)630.4171
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Residential Building Permit Applicz,.tion�
i City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(50.3) 639-4171
Jobslte Address: it
othea use ons; •
Subdivision: Lot art _
� Plandc/Rec# �>
Valuation: �� �+�
Permit#
Owner: Ma b"trbe r Reissue of
Address: -� �"l���L� �� ��i]) h _
App_TI 1�1�1.fU U� VaisRequ`lre�d
/ Planning
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Phone: ")r)
Engineering,
Contractor: se-
Address:
e Address:
Items Required
Subcontractors
Phone:
i Contractor's License #
(attach copy of current Oregon license)
Subcontractors:
Plurnbing:
Mechanical: j
(attach copy of curr OR Contractor's License)
Archltect/Englneer• �i (� 411(_( '
Address:
Phone: �`► 3
COMMENTS:
Aprlicant Signature & Phone numt:)er
Received by:_ (, _ _ Date Received: S
*W
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) /S,�'�)-v / �'SY'' L'
Plumb. Permit (PLUMB) rU
Mech. Permit (MECH) ) `•I/ -
State Tax (TAX)
Bldg: _J 5 3 / •
Plumb:
Mech: /� Z
Plan Check (PLANCK) /c
Bldg: /U -S, A 3
Plumb:
Mech:
Sewer Connection (SWUSA) _
4 Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) i
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
I
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WOUAL) r _
Water Quantity (WQUANT)
Fire Dishict (FIRE)
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TOTALS: S
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Permit No: —
•
Address:
N - x Issued Date:
_.__—FOR OFFICE USE ONLY—
STATEMENT:
INFO MATION NOTICE TO PROPERTY OWNERS •
ABOU'r CONSTRUCTION RESPONSIBILITIES
Note: O;egon Law, ORS 701.055(4) , requires residentiai construction permit •
apple;ants who are not registered with the Construction Contractors Board to
6rgn the following statement before the building permit can be issued. This state- V
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 in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: a.
1 . �C�l�` I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A. 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 I will be my own general contractor.
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 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.
.j
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 fonn.
Signature of Permit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
0244..1 8191
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About l.;onstrurtion Responsibilities -
was developed by the Construction Contractors Board in accordance with OFIS 701.055(5), I �
; passed by the 1989 Oregon Legislature.
J
If you are acting as your own contractor to construct a new home or make a substantial improvement to an
existing structure, you can prevent many problems by being aware of the following responsibilities and areas
of concern.
EMPLOYER RESPONSIBILITIES:
If you hire perso} 3 riot registered with the Construction Contractors Board to do labor in constructing or assisting
in the construct,in or improvement of a residential structure, you will, in most instances, be ruled to be an
"employer" and the people you hire will be ''employees''. As the employer, you must comply with the following:
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Ore on's Withholdin Tax Law. As an employer, you must withhold income taxes from employee wages at
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 Departme o I: nf Revenue at 378-3390.
4 UnemqLoyment Insurance Tax:_ As an employer, you are required to pay a tax for unemployment insurance A
purposes on the wages of all employees. For more information, call the Oregon Employment Division DI-IR
at 378-3224.
Workers' Compensation Insurance: As an employer; you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your omployees. If you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all c;aim 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 icr khe tax payment even if you didn't actually withhold the'tax. For more information, call
the Internal Revenue Service at 221-3960,
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
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Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements that may be brought to your attention through Inspections.
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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
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.
If you have additional questions, write to. Construction Contractors Boa A
700 Summer St. NE, Suit, 300
Salem, OR 97310-0151
Phone 503-37l;-4621 �
0244J 10/24/89
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CI'T'Y OF T'I(.'fs4 J,) - ftl.Cf 1{'I DF- PAYMENT Rf'.L:F.IP'r NO. :93-2145e19 '
C:HE:CK AML1l1NT a 824. 26
NAME a BARBER, NORMA
AMQUNI' a W. 00
ADI)RE_'SS e 11970 SW LINCOLN PAYMENT DATE a 10/1'5/93
TIGARD, OR SI.JBI)I V I S I ON a
97rT;3—
II
l L.JR[='C3f3E: OF PAYMF"NT AMOUNT PAID PURH'CI!`E OF PAYMi::NT' AMOUNT PAID
k1L1 I I..1)I NL, F'E F7M M�+TcI;' -fX�ir.'�:� 1.,i8. 5V� �'l.,11ME►I NG PERM ��7. 50
lalf�'r�:HANxr,AL 1=F
;, �. ON ST. BUILD PER11. �+6 �
J-`L aN CHECK f=F. `..7. 80 �I
I r.a J(4l., WMC1l.1N f P{-1.11.a ._ _.. ,._
- ; 4. 26
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CITY OF 11GARD Rl I.:E.IPl OF V'i-1YMf-N'l ftF:1:E IPP NO. '4`'10;��►
CHE.L:K I:-1MOLIN`f e 1 to. 133
II(aihE a pAFi1:3F.Ft, NORMA GASH AMOUNT a y)•
i•aIiJ�12f `:; a PAYMI-N'T T)AI F. JO/W/93
SI-113r)I V 113 I ON a
F-URPOISE~: OF f'AYMF:N'r AMOUNT' VIA I D Pl IRVICISE OF PAYMRNI AMOUNT PA 11)
PLAN CHL(:K F E— i 1 o� 133
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1 11 1 WL. AMOUNT PA I I) - - > 11 M. 133
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