Loading...
Permit ' CITY OF TI MASTER PERMIT P ERMIT #:4IST2000 -0024 . i A 1 DEVELOPMENT SERVICES DATE ISSUED: 8/10/00 "L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11325 SW 90TH AVE PARCEL: 1S135DB -00300 SUBDIVISION: TIGARDVILLE PARK ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: ADDITION AND REMODELING • • BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 729 sf BASEMENT: sf LEFT: 29 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 32 VALUE: $ 60,000.00 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 729.00 sf REAR: 30 PLUMBING • SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 4 WOODSTOVES: 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 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=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: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,369.80 LE & DOMNICA GHITA OWNER This permit is subject to the regulations contained in the VASILE Tigard Municipal Code, State of OR. Specialty Codes and 11310 S S W 9 9 0TH H AVE 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 the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rea #: forth in OAR 952 - 001 -0010 through 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. �g ct — g1 f Lf REQUIRED INSPECTIONS rosin Underfloor insulation Plumb Top Out Exterior Sheathing Ins[ Electrical Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Mechanical Final Foundation Insp Footing /Foundation Dry Electrical Rough In Gas Line Insp Plumb Final Post/Beam Structural PLM /Underfloor Framing lnsp Insulation Insp Final inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Rain drain lnsp Building Final �"� n L7/ Issued By : Permittee Signature : - �'/ �� I� Call (50 639 -4175 by 7:00 p.m)for an inspection needed the next business day F: 3o - 3, `3c) 2- $i' 2 s '�r Plan Check # CI " T` ' . Or` �1GARD Residential Building Permit Application 131' SW HALL BLVD. Additions or Alterations Recd By ZE Date Rec'd -- ` O 7/3% TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503 - 639 -4171 Date to DST , - y F 503 - 684 -7297 Permit # frKi,9 -u o 4 Print or Type Called Incomplete or illegible applications will not be accepted 71 yarI ui //z p/G --6✓ ame of Project Name Job m odel c - � ► 41.�v�, � � �- '1:20 ,du 1-eS(z ! Address Site Address � ,� %� , 0 cd 9 I Q. Architect Mailing Address t ay Ii32S iiiVVV �D- q U City/State Zip hone c i Rame A- SiL a OMN►CA- �rH1 "7' 1 rou d t� �� /7(96 n:� -( i - 75" Name Owner Mailing Address .fk 9e3 /Cs S'1lJ 9D Ue, Engineer Mailing Address Cit /Slate Zip Ph ne g ri b -RQ q7 U - J-_, — City /State Zip Phone General Name VA - S(LE 6- Hl / t1 �� — Contractor (�.{� Descr work New 0 Addition 0 Alteration 0 Repair 0 Mailing Address 4� _ e done: A-d o1/ 4-r en. Cyr 0e ( 10 19(IP f,U►4 7 Prior to permit / / 3 1 0 Sul ` 71— Additional Description of Work: issuance, a copy City /State x,11 Zip ,-Phone eta f of licenses t 6 - Al2.2 , q7 ? j �5fl3) - �0vZ&r are required if Oregon Const. Cont. Board Exp. Date PROJECT - - 4 00 06 expired in COT Lic.# VALUATION $\ . - - database Mechanical Name -� -NEW CONSTRUCTION ONLY: Sub- MC() CH I 1 EA /f 0 Sq�Ft. House: 11.3 684 Sq. Ft. Garage Contractor Mailing Address �/ Prior to permit 53 N V' J ,a (--. ,, .r e;"" Indicate the restricted energy installation by the electrical . issuance, a copy City /State Zip Phone subcontractor in the following areas of all licenses 7 rY' 7 /O ( 1 7,2.21 531- 7 gg?, Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# cip, 8 q,a q,0 Installations Vacuum Irrigation database "„--- - System System Plumbing Name ' 1 ) (check all that Other: Sub- OW ry . i apply) Contractor Mailing Add— Corner Lot YES NO Flag Lot YES NO (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy . of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# I hearby acknowledge that I have read this application, that the expired in COT database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent - -of the owner, and that plans submitted are in compliance with ' Oregon State laws.,, Name j C� • na Siture o f O /Agent ► ' / / Date Electrical \/L tek, fl c z/ i 1 1 i tro Sub- Mailing Address V - ,q �a '�,/ Contact Person Name� �/� Ph ne # Contractor I3 10 WE 'tic? t-t. ( R� Q- ' �Oa�O City /State CA-AM-5 Zip'qn p Vhone 3 ( 0 — 33 - .20e9 1 Prior to permit D V - 1 x'1 1 9 7 c, 3 0 issuance, a copy I ` d 3 3- FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/T required if Lic.# DH JEL'�v1A - / - 6030 C expired in COT fit'c, a) ((80 7 3 i0 ffri / 35 ' !/ database Electrical Lic. #1 d80 7 3 Exp. Date Setbacks: Zone 7 Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF: ` jr t.PPL , aq , 3g j ( i:\dsts\forms\sfaddalt.doc 11/20/98 \I 7 Permit #: RSrAD - d 006, A/ . Q� q w � . �_F�'.,. Address: / /3v� � Sc) l 0 ..49-1/--- F •: Irv. o ' Issued by: Date: I 59 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: 1. I own, reside in, or will reside in the completed structure. ICI 2. I understand that I must register anstruction contractor if the structure is sold or offered for sale before or upon completion. 3A. My general contractor is I (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 N . 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 Owners about onstr ction Responsibilities on the reverse side of this form. — i I/ ' - 8 111 pO (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) linfoRmeAorn Hefts to Pvoperty Ownevs • About ConstrucUon ResponslibMas Note: This information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acing 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. EEPLOY ER RESPON3PBCUT5ES: 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 structute, you will, in most instances, be ruled to he an employer and the people you hire will be employees. As the employer, you rniist comply with the following: Oirepn's cy;'.;ils'Llok.:Ing 'sax llav As an employer, you must withhold income taxes from employee wages at the time employees are paij. 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. of Revenue at 945-8091. Unempktyment in.surarce lax; As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources at 378-3524. DirkeIrs° czciper.S01151E if2a2Tance: As an employer, you are subject o the Oregon Workers' Compensation Law, and must obtain workers' compensat:on insurance for you employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties aid will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensa,lon Division at the Department of Consumer and Business Services at 945-7888. lInternaii Revenue Sr: Ar 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. 017, ClEspomelaiduTHES /AND ARE/, OF CONCERN: Cee'!e 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 proc,erty 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 punctures, 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 or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop-own.pm4 1 /94 CITY OF TIGARD BUILDING INSPECTION DIVISION &MST „2 000. UCH 51( 24 -Hour Inspection Line: 6Z 175 Business Line: 639-1 1 BUP Date Requested % D — ' 9 T AM PM BLD Location / J 3 1-," ?o ' ` Suite MEC Contact Person J rc 4 c -h U'f C� Ph , 2_c 9 q PLM Contractor � ' , 44, Vea e_,LJ Ph SWR BUILDING Tenant/Owner r1. ELC Retaining Wall ELR Footing Foundation / `'�1 FPS Ftg Drain \�( Crawl Drain Inspection es: / . n SGN Slab ot I �J �� �� /Ch's' ► SIT Post & Beam 7 Ext Sheath /Shear Int Sheath /Shear . Framing Insulation Drywall Nailing -AIL 1 .— - - ` .. , . . V` G c, r Firewall __ /r� Fire Sprinkler %�•f Ind - 1 APP, ,-s) A (4 C / .•,,� ;4-) - /.1 7e9,('s t;14, Fire Alarm Susp'd Ceiling `�-�-1L 5 i , V t ° s'7 0 cP.P r;6- , G /- C. /)O,/ Roof / f C pv y� C , it % te, Misc: L ( f ' I � �-C� � �G a Final PASS PART FAIL (6`))- I 7Ee7 r 1 ,, r) / • �2 /C &CFp P'E PLUMBING Post &Beam _ , t Under Slab 0�n r rdow Sa �- 11'Sc9_ e- A 6 ( C? Top Out L./ e Water Service ,( tr1,1 e l f0 r% rV-e �ir Sanitary Sewer Rain Drains cs9 _ A, Air e_ r1 ^ -7 I ,-,,= 1rr_ Final - • PASS PART FAIL - ,N Jur ile - , - d .4."''' rT9 MECHANICAL Post & Beam ra 7 '/' 4 1 =7Y r `,, S ; kl. I.. r5 (' Rough In cv Gas Line _ -LA C - L= [_. Smoke Dampers I ) C .? 7y :A 4 r � Final 1/4.--- r s PASS PART FAIL n ( ^ . c ( �t C-�,,, .G C - - cr� -�-,,� ELECTRICAL J ' J Service 7-(-- t n/- .,, Rough In UG /Slab '0" /]/ ,1 � 7 - ) r/7 L , ' •� e-iP JS . S /r /p r",� �74- Low Voltage Fire Alarm IF c'' jO 4 d2 L C / F `/ L cD c�7 7 in c"_ (Fin. P. j ? S > ► PART FAIL //'I SIrlE ,/ �"f�7 S/c_<<°- 2 rwz /' ZR.2(:/' R Backfill /Grading - — C. �� ., fr-. Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date ()r6. , / 0/ Inspector 4,N c e p a Ext Final V ,/ t� PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUP DING INSPECTION DIVISION , MST ; • 24 -Hour Inspection Line: 64, ,75 Business Line: 639 -41 • BUP Date Requested AM PM BLD Location 7/ 3 j-5 ?(- 01_ A-0-e.- Suite MEC Contact Person Ph f ZQ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain 6 w r 9 'RP v >� SGN Crawl Drain Inspection Notes. Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear .. Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING .. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains ART FAIL MECHANICAL Post & Beam Rough In Gas Line • Smoke Dampers Final • PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: _ [ ] Unable to inspect - no access ADA Approach /Sidewalk / J //0 / �)1 / J Ze -fv-L. Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ■ CITY OF TIGARD BUILDINGANSPECTION DIVISION c T �/ D 24 - Hour Inspection Line: 639 - 4175 Business Line: 639 - 4171 MST g BUP Date Requested AM PM BLD Location f 1 3 Z � 12 Suite MEC Contact Person Ph w 1-0 86 9 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: • Foundation b � FPS • Ftg Drain 1m VV SGN Slab Crawl Drain Inspection Notes: /1 3/ 0 Fo SIT Post & Beam c.��11[/1Lf Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm I Susp'd Ceiling � Roof /f Misc: iii PAS PART FAIL PLUMBING Post & Beam - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS —PART FAIL IffECHANJ At - Post & Beam Rough In Gas Line Smoke Dampers CFin� BASS' PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 12---5 i Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.