Loading...
Permit CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) 639 -4171 MASTER PE RM I T PERMIT t #.......: MST94 -0313 639 -4171 DATE ISSUED: 08/09/94 PARCEL: 1 S 125DB— 'Z'3000 SITE ADDRESS...: 09300 SW 74TH AVE SUBDIVISION....: BOULEVARD HEIGHTS ZONING: R -4.5 BLOCK............ LOT .............:5 BUILDING _. REISSUE: DWELLING UNITS:1 BASEMENT........:0 sf CLASS OF WORK.:ADD BEDRMS:1 BATHS:1 GARAGE..........:410 sf TYPE OF USE... : SF FLOOR AREAS REQUIRED SETBACKS----- - TYPE OF CONST.: 5N FIRST.... : 575 sf LEFT..: 5 ft RIGHT. : 5 ft OCCUPANCY GRP.: R3 SECOND...: 0 sf FRONT.:20 ft REAR.. :40 ft STORIES.......:1 FINBSMENT:0 sf REQUIRED --------- HEIGHT........:16 ft TOTAL :575 sf SMOKE DETECTORS.:Y FLOOR LOAD....:40 psf VALUE.....$: 43851 PARKING SPACES..:1 • Remarks: ADDITION OF 575 SO FT TO HOUSE AND 410 SO FT TO GARAGE PATH I PLUMBING -- SINKS..........:1 FLOOR DRAINS....:0 BACKFLOW PREVNTRS..:0 LAVATORIES.....:2 WATER HEATERS...:1 TRAPS ..............:0 TUB /SHOWERS....:3 LAUNDRY TRAYS...:0 CATCH BASINS.......:0 WATER CLOSETS..:2 SEWER LINE (ft).:0 GREASE TRAPS.......:0 DISHWASHERS....:1 WATER LINE (ft).:0 OTHER FIXTURES.....:0 GARBAGE DISP...:1 RAIN DRAIN (ft).:0 WASHING MACH...:1 SF RAIN DRAINS..:1 MECHANICAL FEES FUEL TYPES UNIT HTRS..:0 type amount by date recpt /GAS/ / / VENTS .....:2 BPRT $ 256.00 JF 08/04/94 94- 255287 MAX INPUT:0 BTU VENT FANS..:3 BPLC $ 166.40 JF 08/04/94 94- 255287 FURN < 100K ..:0 HOODS......:0 B5PC $ 12.80 JG 08/09/94 -- FURN ) =100K ..:0 WOODSTOVES.:0 MPRT $ 37.00 JG 08/09/94 — FLOOR FURN....:0 CLO DRYERS.: 1 MPLC $ 9.25 JG 08/09/94 — BOIL/CMP < 3HP:0 OTHER UNITS:1 MSPC $ 1.85 JG 08/09/94 — GAS OUTLETS:0 PPRT $ 108.00 JG 08/09/94 — Owner: P5PC $ 5.40 JG 08/09/94 — KEITH LEETE EROS $ 26.00 36 08/09/94 — 9300 SW 74TH AVE ERPC $ 8.45 JG 08/09/94 — ERPC $ 8.45 36 08/09/94 — TIGARD OR 97223 Phone #: 293 -0097 Contractor: -. OWNER Phone #: Reg #.. $ 639.60 TOTAL This permit is issued subject to the regulations contained in the REQUIRED I NSPECT I ONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Gyp Board Insp applicable laws. All work will be done in accordance with approved Post /Beam St r uct Rain drain Insp plans. This permit will expire if work is not started within 180 Post /Beam Meehan Mechanical Final ' days of issuance, or if work is suspended for more than 180 days. PLM /Underfloor Plumb Final Mec In sp Building Final Permittee Signature: 1= '1� T op O Erosion Control �� Framing Insp Crawl Drain Issued By:.,�f�"'v Insulation Insp Call for inspection - 639 -4175 Residential Building Permit Application \ 4 City of Tigard 13125 SW Hall Blvd. c!! Tigard, OR 97223 (503) 639 -4171 L-1, S ---.- Jobsite Address: 9; su, ?N P. Subdivision: ��OI.LLEuv Ct €tGF} 'l5Lot # Office Use Only A. -� r .. Planc # °—" / Valuation: —� `'' 1 + �� ��-7J 2_47 2_47 Permit # S? Corner Lot? Y Q / . Flag Lot? Y q Rei of Map &TL# " - t " 4 7 ,e � Owner: 1. EifN Ni- kisHpA LP4, 4--e Approvals Required Address: 9co SUJ ">N •T' puf Plannin r.::...r ° y . - n G A R t, i Q JZz, 972.5.3 Engine Phone: - 0 ne : 293 d91 Contractor: ( "Lc & ../ Item Requ red Address: Subcontractors- ' Truss Details .:::: >::: Phone: : : ; > Other Contractor's License # (attach copy of current Oregon license) Contact Name & Phone: Subcontractors: Architect/Engineer: I._G KLEFC ii-) Plumbing: Address: .2.,)-1....,S OE S IRvc_. Mechanical: GktESJ-1 AYV1 QRYE, q (attach copy of current OR Contractor's License) Phone: .. __..__.. JOB DESCRIPTION: RESi nE0Ct R MoQEL 'f" � 1 h_/ 56 v- — � a,*-7� i -/ Appli ature & Phone number Received by: Date Received: U // 9V Y �i N:\WORD\COMDEV\RESAPP Permit # Account Description Amount Amt. Pd. Bal. Due 1715 /4 Bldg. Permit (BUILD) 0 2.3 - 6,01, e3 0 / 72. '/O Plumb. Permit (PLUMB) /0rYoo /0e - " Mech. Permit (MECH) 37. 3 7 , - ° J State Tax (TA)9 ' a ) ✓ Bldg: /2 , S - I) Plumb: S,c( 0 / Mech: / - (r 5 Plan Check PLANCK / 73. , U 7, Bldg: 4t u Plumb: Mech: z ,� ✓ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) 0 6. vu Erosion Planck/USA (ERPLAN) 7.4 r--h"/ Erosion Planck/COT (EROSN) Y1/41 � 8"'� -/ ' ✓ TOTALS: lG✓? �' `I. �tS�/ .� d o F o . - 'Permit No: � ; ,11 4 ) , ' A : • -. w a ;l� • z Issued by: Date: is59 • FOR 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 are not registered with the Construction Contractors Board to • • sign the following statement before the building permit can be issued. This state - •- mentt 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: . 1.. MIMI I.own, •reside in, or will reside in .completed structure. - • . _ 2 . E 1 •. I under.stand.that I must register as contractor if the structure is sold - - - - or offered for sale before or upon completion. 3. A.. I 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. KaZ I I will be my own general contractor. . If I hire subcontractors, I will hire only subcontractors registered withthe 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. . . • 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. N. Signature of Permit Applicant • Dat� - . PP • CONSTRUCTION CONTRACTORS BOARD • 0244J 8/91 • • • . WHITE COPY TO ISSUING AGENCY PERMIT. FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: , This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), , passed by the 1989 Oregon Legislature. 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. E PLOVER RESPONSBcBLBTBES: - • - 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 "employer" and the people you hire will be "employees' As the employer, you must comply with the following: Oregon's Withholding 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 Department of Revenue at 378 -3390. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unem insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR 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 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 tax. For more information, call the Internal Revenue Service at 221 -3960. • OTC-9E RESPONSBBtLUTBES AND AREAS OF CONCERN: • Code Compliance: A's 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. 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 Board 700 Summer St. NE, Suite 300 Salem, OR 97310 -0151 • Phone 503 - 378 -4621 0244) 10/24/89 • Q 3 � CITY OF TIGARD BUILDING INSPECTION DIVISION t U 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: a 3 - 9, P.M. MST: ?'— 6 3 / 3 Location: 3 ©t J 1L1��1/ ` `� / j / Li BUP: Tenant: Suite: Bldg: MEC: Contractor: Phone: cp_c:i 3 7-00 l 7 PLM: t Owner: Phone: !�-lLI -LC: ELR: SIT: BUILDING BLDG (con't) /CL MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved 4r Troy-. Approved Approved Approved Appr /Sdwlk Not Approved Not A..roved Not Approved Not Approved Not Approved FINAL FINS FINAL FINAL FINAL • O Call for rein !. . i O Reinspection fee of $ r quired before n xt inspection O Unable to inspect Inspector: _ `sL / Date: 7. r Page of CITY OF TIGARD BUILDING INSPECTION DIVISION • 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 - 417)5/ Date Requested: - cz3 — /; A.M. P.M. X- MST: " � v 313 Location: . 30 -- h ) 7LL+ c2J ' BUP: Tenant: Suite: Bldg: MEC: ' Contractor: Phone: PLM: • er: i` ! ! . %' Phone: ? 3 —60? 7 ELC: A ELR: SIT: BUILDING _ _ - if).. ) PLUMBING A,NIC ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinlder Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm j p Furnace Temp Service MISC. Masonry Ceiling Rain Drain / A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Faund Dr ✓ Heat Pura Low Volt A • 'roved Approved 4 Approv Approved Approved Appr /Sdwlk of A prove• Not Approv L' 1 ! Not A . .roved Not Approved / Not Approved e.,,,,, 1 i n - ®' ' FINAL f 4 I : EIIlN' ' FLNAL FINAL ...,..b i fL.c14--)- � -- .-,,- • 6alLfor reinspe ' n O Reinspection fee of $ equired before next inspection El Unable to inspect Inspector: t Date: �i J " Page of