Permit MASTER PERMIT
, CITY OF MA STER PER
PERMIT # • MST96 -0171
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: IZI5/ 14/96
13125 SW Hall Blvd. Tigard Ore on 97 3.8199 (103 B 1 -4171
,D 7S �, PARCEL: 1 S 136CA -IZ' 7
SITE ADDRESS...: - SW 78TH AVE
SUBDIVISION....: ZONING: R -4.5 •
•
BLOCK . LOT ..............
Remarks: PATH I STREET OPENING PERMIT IS REQUIRED FROM THE ENGINEERING DEPARTMENT BEFORE DOING ANY WORK IN RIGHT OF WAY
------ - - - - -- - - - - -- BUILDING - -- _----- - - - - --
REISSUE: STORIES • 1 FLOOR AREAS-- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED- -
CLASS OF WORK.:NEW HEIGHT : 20 FIRST : 1752 sf GARAGE • 567 sf LEFT • 7 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT : 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 11
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 2 TOTAL : 1752 sf VALUE..$: 122980 REAR : 51
- - - -- — - - - - - -- -- PLUMBING ---- ---- -- ---
SINKS • 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
----------------------------- - - - - -- NECHANICAL ------------- - - - - -- -- - - - - -- - - - --
FUEL TYPES FURN { 100K ..: 1 BOIL /CMP { 3HP: 0 VENT FANS • 3 CLOTHES DRYERS: 1
/GAS/ / / FURN 1 =100K ..: 0 UNIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 0 WOODSTOVES • 0 GAS OUTLETS...: 1
------ - - - - -- - - -- - -- ELECTRICAL ---------------- - - - --- - - --
- RESIDENTIAL UNIT - -- - -- SERVICE /FEEDER - - -- - -TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS -- - -- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- -
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: @ PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT . 0
MANF HM /SVC /FDR: 0 601 - 100@ amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ----------------- - ----- PLAN REVIEW SECTION --------- - - - - -- - - --
Reconnect only.: 0 3=4 RES UNITS..: SVC /FDR> =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- - -- ---------- - - - - -- ELECTRICAL - RESTRICTED ENERGY - - ----- -
A. SF RESIDENTIAL ----- - -- - -- B. COMMERCIAL — -
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS . • TOTAL @ SYSTEMS: 0
Owner: ------------------ - - - - -- Contractor: --------------- - - - - -- TOTAL FEES:$ 4353.12
ELIJAH & EGHBAL ROSTAMIAN OWNER
3830 SW CALDEW ST
PORTLAND OR 97219
Phone #: 246 -3516 Phone 0:
Reg 0..:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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.
------------------------------- - - - - -- REQUIRED INSPECTIONS - -- - - - - --
Footing Insp PLM /Underfloor Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final
Post /Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final
Post /Beam Meehan Electrical Servi Gas Line Insp Water Line Insp Plumb Final
Crawl Drain Framing Insp - !lace Water Service In Bui ding Final
Permittee Signature: ' ' i Issued By: w
for inspection - 639 -4175
r iiiik,
Residential Building Permit Application
•
City of Tigard _ �
1 3125 SW Ha Blvd. ,,.r•�� -� ._ � f Tigard, OR 97223 - >6 3. 7'- 7
(503) 639-4171
�i�. P qif do2 J
Jobsite Address: /,,., -
Subdivision: i� /G%� �- G u 2 Lot # O ffice U se Only • O k • Contact Date l I ' Initials
Valuation: /2 y
. : Result: :<: :..: . > :
New Construction Only: (Square Footage)
House: /�S Garage: sCr 7 :Permit / i j G /7/
Reis of ti ! / d _
Corner Lot? Y N Flag Lot? Y N Zo .Map 8 T L # i 5 t'3 ( o U „ Z 0
' - ne � ��
Owner: L i /a /1 /L4-- /9L � % l9 C)//)* :. Plat'# (l� r /a te lsS s D3 (D , �
fa�QS- j W . 777/1 3S L� 514/Approvals . Required
Address:
'I Planning S et b a cks ; "� Solar
l/ � l • � � /70 � �, �-- "� : Engine � mac. CU � � � °4
9 ... .-. 0 3 8
L 4�a 3P'' 7� /y Other.
Phone: =f t � ` T--
Items ;:Require ::::. ......:: .:
Contractor:
r:
ont
Y Subcontractors N _o ' j
Address: .:'
= De its : ::: : :::_1 .i!.. >::;> :« - :; ::> ;:: ;: >; :::.t :. : i :::::;:»:
Truss to
Other:> �...
. ':::::01.::;:filligiii1P.16-,1:5:7.0q.:1 ; <(7,: ?.:; , 4 - :::::;: : ; : iiiiiii . :g:',: i. •-
Notes: .
Phone: ( ) r
i
Contractor's License #
(attach copy of current Oregon license)
Contact Name:
Contact Phone: ( )
Subcontractors: / Architect/Engineer:
Plumbing: � �/ Address:
Mechanical: (/ f ✓( l am /
(attach copy of curr Contractor's License)
1'eAvICC�'' / Lx
/ Phon ( )
JOB DESCRIPTION:
Applicant SignattSre -- A pplicant Phone numb
Received by: V ,1t i t \ J . d"' L '''� Date R e ceived : �ZI - 16
H:Wgmldsts4euPP ��i� �!'O I (� vV `X.tA/ �"'
NU
Permit * Account Description Amount Amt. Pd. Bal. Due -
19?)/ 'i 7/ Bldg. Permit (BUILD) + 5° c1 pa 'OD -
Plumb. Permit (PLUMB) / ice (/ y / 9
Mech. Permit (MECH) 4 /00 -71 C,/ U , S
�� ii• i /8) —
StatoeTzax Ma) Bldg: 0 2 c/, 13 et7 S 7 2, i G
Pfumb: • 7>
Mech: 0 u3
G - r
Plan Check (PLANCK) .?/6 6'3 ZS° — 63, j
Bldg: 3/1.V 3
Plumb:
Mech: /v,/ 3 lv, /3 /o►f3
3 f G -0/G Sewer Connection (SWUSA) i,2/ v) 22 .)
Sewer Inspection (SWINSP) 3 . 2
Parks Dev Charge (PKSDC) CX- c 5411) So
Residential T1F (TIF -R) /4( 70 / 417 0
Mass Transit TIF (T1F -MT) / 7 /2-- o
Commercial TIF (T1F -C)
Industrial TIF (T1F -1)
Institutional TIF (TiF -IS)
Office TIF (TW-O)
Water Quality (WQUAL) (1 / f
Water Quantity (WQUANT) /o 0 /"D U
Fire Life Safety (FLS)
Erosion Cntrt Permit (ERPRMT) y C y i
Erosion Planck/USA (ERPLAN) oPDr 2/
Erosion Planck/CO T (EROSN) ,r1)
Dl�
TOTALS: 6 /2 ____
•
Permit #: (V1=7) q6' d(
Address:
w 1'6
Issued by: L— Date: 6 --- ( - 1 (
Statement: Information Notice to Property Owners -
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement 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 appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
4# 1. I own, reside in, or will reside in the completed structure.
if 2 . I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
:. I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
1(S
—Z 3B. I will be my own general contractor. •
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
- Board. If I change my mind and hire a general contractor, I will contract with a contractor who is .
- . . _ registered with the CCB and 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 do understand the Information •
Notice to Property Own r about Construction Responsibilities on the reverse side of this form.
�� 1 �� .c- /�- �6
(Signat e e permit ap licant) (Date)
(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 Re,sponsibilities
was developed by the Construction Contractors Board in accordance ivith ORS 701.055(5).
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 vith 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 ernployees. AS the ernployer, you rnust complv with the foliowing:
Oregon's withholding tux law: &ounemployer, you must withhold income taxes from ernployee wages atthetime 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 Dept. ofRoyenue.o1945-8O9i.
Unempioyment insurance tax: As an ernployer, you are required to pay a tax for unernployrnent insurance purposes on the
wages of all einployees. For more inforrnation, cal 1 the Oregon Em pioyment Department at 378-3524.
Workerst compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and Must
obtain workers' compensatiori insurance tr your ernployces. Ifyou fail to obtain workers' compensation insurance, you rnay
be subject to penalties and will be liable for alIclaim costs ifone of your employees is injured oothcjob. For more information,
caIl the Workers' Compensation Division at the 1)epartrnent ofConsumer and Business Services at 945-7888.
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 1-800'829'1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: Ao the permit holder for this project, you are responsible fo 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 ornissions such as failing tools, paint overspray. water damage from pipe punctures fire. or work that must be
re-done.
Time to supervise empoyees: Make sure you have sufficient tirne to supervise yoorcmp|oyeea.
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.
Ifyou have additional questions, write or cal! the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052,
503/378-4621).- The Board is |0catcd at 700 Summer St. NE Suite 300 in Salem.
pmp'm,n.pn
|/94
Solar Balance Point Standard .+• . rksheet
l� �,,, ,�oo,.►$ - S s' 1.4) 7 ?-z4
Address M1-4°s4 - "°1 am- A / 1 6 $ 7
Box A calculations: North -South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point. .
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east -west and intersecting the northern most
point of the lot.
t
t \
NORTHERN NORTHERN
LOT UNE LOT UNE
N North -South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. (41 feet
t
N
.4-- NORTH -SOU1H DIMENSION
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North - South, measurements will /11110 (circle one)
be based on the peak of the roof. 0000
mwlnuu
NORM 1 A 1 B 0
0
1 b: If the roof line runs East -West and the roof pitch is
less than 5/12, measurements will be based on the
LIM •,
5n 12 Roo Rtcn
eave.
SHADE POINT EAVE
0
1 c: If the roof line runs East -West and the roof pitch is
5/12 or steeper, measurements will be based on the 5 n 12 ROM ;Itch peak. 5 0 xp
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If 0 ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + / ft
4. If the roof line runs North- South, deduct three feet. If the roof line runs East -West, - ft
deduct nothing.
• 5. Subtract one foot for each foot of difference in elevation from the front property �CJ
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. - ft
6. Total figure for box B: /6 .O ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the �(. o ft
affected peak/eave. 9
2. Measure the distance from the foundation to the affected peak or eave. + ft
3. Total figure for box C: .�`
It is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line to represent the
appropriate figure found in box "C ". The intersection of the vertical and horizontal lines determines the value found in box "D ". The value
in box "D" should be compared to the value in box "B "; if the value in box "B" is less than or equal to the value found in box "0", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) T
Distance to North -south lot dimension (in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line (in feet)
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
• ju 24 24 24 25 - 26
25 22 22 22 23 24 25 26 27 23 29 30 31 32
20 20 20 20 21 22 23 24 25 23 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 2. 23 24 25 26
5 14 14 14 15 16 17 18 19 2) 21 22 23 24
1
Box D. Maximum allowed shade point height: / eet