Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 00155 h i ll DEVELOPMENT SERVICES DATE ISSUED: 4/27/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S134AD -01000 SITE ADDRESS: 11386 SW IRONWOOD LP SUBDIVISION: ENGLEWOOD ZONING: R -4.5 BLOCK: LOT: 029 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3 -1 HR sf N: S: E: W: OCCUPANCY GRP: U2 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Radio tower Owner: Contractor: HERR, CURTIS OMER OWNER 11386 SW IRONWOOD LP SIGNED RESPONSIBILITY FORM TIGARD, OR 97223 IN FILE Phone: �-j 6 /0 - ( 1 '70 Phone: Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt e PLCK BON 4/27/99 $16.25 99- 314704 �roo' i au v, S,v FIRE BON 4/27/99 $10.00 99- 314887 VV. ,(Q - edvt5 a 61,1k Or t1n ) 5PCT BON 4/27/99 $1.25 99- 314887 >� Tdn 1 PRMT BON 4/27/99 $25.00 99- 314887 Total $52.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Permitee Z 7 ,., Signature: , Issued By: - fp , ! Call /1/z,„ 639 -4175 by 7 p.m. for an inspection the next business day CIT OF TIGARD Commercial Building Permit Application Recd By 1. SW HALL BLVD. New Construction and Additions Date Reed 4 —( 1( Date to P.E. L I' R ^1 TIGARD;, OR 97223 Date to DST i —U --' A P (503) 639 -4171 Permit # 3o e t vicl i —OD ( SS Print or Type Related WR# Incomplete or illegible applications will not be accepted Called Related 2 - 1 n :`Z0 Name of Development/Project Job RA010 T o W t j{ . Existing Building ❑ New Building.-❑ Address Street Address Suite I 1 36 (o s w IM2oP \ ooO �P Building ' ing- ; J B ldg # City /State Zip Data ' fi T(GA fj oR 5'7223 Existing Use of Building or Property: Name Property C C.t/2 T 1 S o. A Ei2Y< N. / Owner Mailing s w Suite Proposed Use' of Building or Property: 1R Lii �;' . City/State Zip Phone ,� T14.6. ) O R 57�23 55o -l77a No� Occupant Name Sq. Ft. Of Project• T Name / 1 / Occupancy Class(es) Contractor 5 c i` R Prior to permit Mailing Address Suite Type(s) of Construction issuance, a copy of all licenses are required if City /State Zip Phone VVIII this project have Fire Suppression - System? expired in C.O.T. Yes 1:1 � _,,--- 0 database Oregon Const. Cont. Board Lic.# Exp. Date Americans with Disabili i ct C D4) Valuation X 25% = $- Par icif�ation Complete Accegaility Form • Name Project $ Architect Valuation c t 00. Mailing Address Suite Plans Required: See Matrix for number of sets to submit City /State Zip Phone ' 3 on back Engineer Name I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and • Mailing Address Suite that plans submitted are in compliance with Oregon State Laws. Sign re of Owner /Agen� Date City /State Zip Phone , O j 1 O 40177 Contact Person Name ]] // Phone Indicate type of work: New V Addition O Demolition 0 k U . 1 1 S 0, g c RR 5 0.3. 5 0. 1 f 7 0 Accessory Structure Cl3 Foundation Only 0 Alteration 0 Repair 0 Other 0 FOR OFFICE USE ONLY D cri tion of work: 11 ,� s� /O C?G%V 40 TL# ,' ;° , La s .0 . r . 3 IM i3 � r - Notes: i ,, � � �" I � � � - 1 ;'',Ti7,!' ,:;;,..::,:,i4; �� Parks: Estimated # of Employees PM— '::,T,IF 3 ni 0 If the above figure is not supplied at the time of application, the city ` �3'3 ' * a 3" „ . 'f a ;'i �y 1 ty will U } y N3a 3� a a^ Y � I � 3 calculate the fee based upon the number of parking spaces. w• ' , n, _.,:.a - ; - a . - 1IN' : -, Note: Site Work Permit Application must precede or accompany Building / L ., I! Permit Application I: \COMNEW.DOC (DST) 5/98 � ,-() 6 - -- - - GOMME - RCIAL -PL-AN SUBMITTAL - REQUIREMENT MATRIX I i .: :::.. ::..:.::.,<;;:.>:: >:tle} end i ©n su.r al #` BOTH a s,A D a OMP ,ETEDI :: a li t iara: «` <F : ; :;:.:; :::: ::: <;<:::: >:: ::. , itt : ;::::: >;: : > .:; ;<;«:<> ' ; <`> > >' <» ::> t?0::::::: :' >, „...::: :1.1.1 r a ele tt cal suhra�fita , the a0"pIic �o r �$t pn # arty #lie ::::: s:I .. na#ur :bf < tle :s:u < :raisin >:e &ec #r : ...................... ............................... ....ic; :befCtire i r�Vl . >v�itl: € :be :tc�r�duc#ed » > > > Aft± r la t e ti a ;:;: ro al > PI ris> :::> yan, ; :: ; : ;;; : , <; ;: ;» ;;;<: > >;:: , :: ; >:<::>,;; .;< >a 7 : <.:::r ?' .::.::: ;:: >:: >.:. »:: >::;:i. p >:: R rrymo on the ap.pticant egii st 4010)..... :::.: i.4........ a #s f r i0f fi.4 to . p urposes !fdr eiSiit ar tdr ! i :: "' ". ::::: .::t.. 1011.11.1111.101:12:::::::::::::iiiii::::::.0:::::::::::: ,.................. tal. #off T'o f?l* F.::.:: :::.:.:.::: I . „ .;:.::.;.. ,..;::... „...::: ? KEY: ? :Sa :: >::: >.: d ;<;�: h:, e. . t# S (Private) 1 / S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) / F = Fire Protection System M (New or Add or Alt) / 1 M = Mechanical B & M (New or Add) / 1 P = Plumbing P (New, Add, or Alt) / 2 E = Electrical B & M & P (New or Add)/ 2 New = New Building E (New, Add, or Alt) / 2' Aid = Addition B & F & M & P & E / 3 Alt = Alternation to Existing (New , Add) / Building » 13orfi.&: ; f0.: alt :. > V "1:: tr3 ::::&':::M::::&:.::P:::.:AII~ :::::::::.::.:.: ::::::<::::::::<:: >:: ::::;:::,> <: >:::;:: ><» ::> :: »: a M 1 y:: :' e. y ..:. :. :.i::A1t .:::.:::::.: i .:: :::::::.:.:>::C :: : : : :.'' : :;i:i : :: :: : :: 7 ----- ----------- NOTES — t LI.s ub.rl�itt Is.;an�:: ;:::::::::: . :::: ::: >;:: >::::: >:.«:::::::::>::::<:::::::::::::.<:: :. :: : :: ::::::: >::::<: >::::;:: I: \dsts \forms \matrxcom.doc 10/30/98 Permit #: f )°1 5 ( 3 • F O , f �' ` ~'` �� l 72`6 (e 4l t L® �'''� = �' Address: I �Jl/t t,cX�(� ''` Issued by: Date: /859 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: 0A pf 1. I own, reside in, or will reside in the completed structure. cod' 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 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. co ll-R 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 Prop ty Owners abou Construction Responsibilities on the reverse side of this form. .All, O . 1 sA...1 ° if )- 1 7 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) Rniovmeidon MoUce fre Pmpsay Owneve Abe la Canotucqon Resp3nzbffrjas Note: This hiformation Notice to Property Owners about Construction Responsibilities was developed by t;te Construction Contractors Board in accordance with 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 FAESPONStIBilLailES: 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 in v:/: 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 Dept. cf Revenue at 945-8091. Unemployment insurance taTe: 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. Workers compensation Lrarareince2 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 at the Department of Consumer and Business Services at 945-7888. U.S. Intenmil 1 .2evelae St'LMA,'::: As an employer, yon 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. ITh RESPOMSBWTOES AD AREAS OF COMCERN: 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 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 additional 'questions, write or call the Construction Contractors Board (P0-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 Mgr 75.00 I RONWOO D L 00 P i.� 'IT T1GAR'� [� '' . .. ......„v.ODOi"a•� N I Co , as described in: 28 2" - ipEi- ' — ... ..........t ,: 1-:00-,,,, . Job Address: 1 Cge ....' c 1 - 13'II i I v _ A c —> l4 . i 01 HOUSE ` I 1 T OWER BASE, 3 0" X 30" . Y. I ) PA j COV PLOT PLAN FOR W -51 TOWER ► SCALE : 3 /16" = 1 FT c -STS_ -- . - - - - GREENBELT / 04 -08 -99 COH CURTIS O. HERR MAP: 1 S134AD —01000 1 1386 SW IRONWOOD L F CODE AREA : 051.85 L NGLEWOOD, LO I 4-2:7 ZONING : _R- 9;5 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line:. 639 -4175 Business Line: 639 -4171 Date Requested / �� AM PM BLD Location /1 3 S _ /L1il LC Doc Suite MEC Contact Person Ph PLM Contractor Ph SWR ,= UILDIN Tenant/S &LA NZ/11U.5 % 7 ._ / c/ 76 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: _ Slab SIT Post & Beam .601// l C�_.�_� Ext Sheath /Shear f� Int Sheath /Shear � n ,� Framing bU Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof s (Mis r ASS)PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART 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 [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ' ` � Cv " Inspector • 0 Ext� Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.