Permit ~�
CI1YOFTIGARD MASTER PERMIT
PERMIT # : MST94 0018
COMMUNITY DEVELOPMENT �� ^ ^ ^ ^ ^ ^ ^ -
1o1oamw Hall Blvd. Tigard, Oregon 972230819i 71 DATE ISSUED: 01/19/94
PARCEL: 1S136DB-01700
SITE ADDRESS ^ 10850 SW 74TH AVE
SUBDIVISION....: - q ZONING: R-4.5
BLOCK. . . . . . . . . . : LOT. . . . . ........ : - ���m�
-- - BUILDING - --
REISSUE: DWELLING UNITS:1 BASEMENT ..... ...:0 sf
CLASS OF WORK.:ADD BEDRMS:1 BATHS:1 GARAGE ^0 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST. :5N FIRST.... :430 sf LEFT.. :6 ft RIGHT. :0 ft
OCCUPANCY GRP.:R3 SECOND...:539 sf FRONT.:20 ft REAR..:90 ft
STORIES... .... :2 THIRD....:0 sf REQUIRED
HEIGHT ^20 ft TOTAL :969 sf SMOKE DETECTORS.:Y
FLOOR LOAD ^40 psf VALUE.....$: 44574 PARKING SPACES..:0
Remarks: 969 SO FT ADDITION TO HOUSE PATH I
PLUMBING
SINKS ^1 FLOOR DRAINS ^0 BACKFLOW PREVNTRS..:0
LAVATORIES.....:2 WATER HEATERS...:0 TRAPS :0
TUB/SHOWERS....:1 LAUNDRY TRAYS...:0 CATCH BASINS.......:0
WATER CLOSETS..:1 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...:0 SF RAIN DRAINS..:1
MECHANICAL FEES - -
FUEL TYPES UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS ^6 BPRT $ 260.50 JF 01/19/94 -
MAX INPUT:0 BTU VENT FANS..:1 BPLC $ 169.33 JLH 01/06/94 94-247389
FURN < 100K ..:0 HOODS ..... .:1 B5PC $ 13.03 JF 01/19/94 -
FURN >=100K ..:0 WOODSTOVES.:0 MPRT $ 44.50 JF 01/19/94 -
FLOOR FURN....:0 CLO DRYERS.: 0 MPLC $ 11.13 JF 01/19/94 -
BOIL/CMP < 3HP:0 OTHER UNITS:0 M5PC $ 2.23 JF 01/19/94 -
GAS OUTLETS:0 PPRT $ 67.50 JF 01/19/94 -
Owner: ---- - - P5PC $ 3.38 JF 01/19/94 -
BRUCE ABBOTT
10850 SW 74TH AVENUE
TIGARD OR 97223
Phone #: 244-244'
Contractor: —
SM TH QUA|` Y CONST 1 -e^&-~- 1
105 ' Nis REGON
PORTLA s mR 97220
Phone -: 2u--0045
Reg ... .: 54350 --
$ 571.60 TOTAL
. This permit is issued subject t the regulations contained in the REQUIRED INSPECTIONS -------
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 Struct Rain drain Insp
plans. This permit will expire if work started within 180 Post/Beam Mechan Mechanical Final
days of issuance, or if work PLM/Underfloor Plumb Final
~ anical Insp Building Final
Permittee Signature: Plumb Top Out Erosion Control
' ' Framing Insp Crawl Drain
Issued By Insulation Insp
~ for inspection - 639-4175
Residential Building Permit Application YI
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
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Subcontractors:
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License)
Architect/Engineer: • / /.A e .' / //: - G / -,S :.
Address: \ ?(-), /C.//i✓ ye • -
Phone: & c-)- A - c RSJ
- COMMENTS: - .0Z) - 711 - i;• - vl 4f
Applicant Signature & Phone number
Received by: Date Received: / / ( 9 V
Permit # Account Description Amount Amt. Pd. Bal. Due -.
/
07,7(94..00/V Bldg. Permit (BUILD) o. f 02GD•S
Plumb. Permit (PLUMB) 6 7 i - P 7 G 7 S v
Mech. Permit (MECH) tit/ )1) V yit- S7i
State Tax (TAX) /e.GV . / ?.44/
• Bldg: /3,o3
Plumb: 3,3f /
Mech: .' 11.3 f
'- Plan Check (PLANCK) /( a: � L 1 i ) "3• Ili
Bldg: W. 1 3 f •
Plumb:
Mech: /1 0 /
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 IF-0
Water Quality (WQUAL) ...._.,__._. ..
Water Quantity • (WQUANT) ` - °4 '- ---- ::.: :
Fire District (FIRE) i • - -
TOTALS: ‘5-7/'64.::?.
5-7! ' 64.: ILL-al ' l - -3
o F Permit No:
A A41 a Address:
4 't�:': z • Issued b Date:
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/ FOR OFFICE USE ONLY
STATEMENT:
..INFORMATION .NOTICE-TO PROPERTY OWNERS • • ,r
• -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 building permit can be issued. This state-
. is- required for residential _building,•electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer'applicants, exempt from registration
under 701.010(7), need not submit this statement. This statement will be
filed with the permit.
• FiII• in the applicable blanks, and .initial boxes 1 and 2, and either box. 3A or 3B: •
1. 11 I: own:, reside in, or will reside in the completed .structure.
• • 2 . 11 I. I understand that [must registeras a construction contractor if the structure is sold
. or offered for sale before or 'upon completion.
•
3. A.1 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. EZI 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 .1 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.
/d4 _
gnature of Permi "a pplicant Date
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.
EMPLOYER RESPONSIBILITIES:
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 mot 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 uneri•mployment 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 m.ust 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.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:. •
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. -
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