Permit CITY OF TIGARD
� � DEVELOPMENT SERVICE BUILDING PERMIT
. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639°4171 PE RM i T • # BUP97 -0200
DATE ISSUED: 05/08/97
PARCEL: 1S136AA -07100
SITE_ ADDRESS...: 07081 SW LOCUST ST
SUBDIVISION ° AUM DOWNS ZONING:R -4.5
BLOCK LOT °5 JURISDICTION:TIG
REISSUE: FLOOR AREAS • EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST 0 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R3 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 500
Remarks : INSTALLING A NEW FENCE between 6ft and 7 1/2 ft
Owner: FEES
GUY TANZ type amount by date recpt
7081 SW LOCUST ST PLCK $ 16.25 B 04/21/97 97- 293502
TIGARD OR 97223 PRMT $ 25.00 B 05/08/97 97- 294343
SPCT $ 1.25 B 05/08/97 97- 294343
Phone #: 452 -8307
Contractor:
OWNER
Phone #: $ 42.50 TOTAL
Reg #..:
REQUIRED INSPECTIONS
This pereit is issued subject to the regulations contained in the Framing Insp
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.
Permittee Si.� -ture: ./..., nl�- a
Iss_ed By: 'P
Call for inspection — 639 -4175
1' 1 oc i(sz D rA(..
1 atBuilding Permit Application
Lifr-gfrti City of Tigaro 131 :5 SW Mall 9tva. Nano. OR 97:23 -'' I/
(503) 639 -41T1 L .UJ,\ 5, 7 � 1,
Jobsite Address: 1O!1 se.) Loci,s. S-ffeel OFFICE USE ONLY
Tenant: Suite * Planck/Rec. it t - %D ` . •
Valuation: 4 S 00 Perm " t ' f ' :,AA 1 : .c..
11Aap TL* . .::. wry: ' .
Owner: fir' N f' . : : ' ' ;:
/Ccd
Approvals Required. :': ^' >. ` < .. `: . `':: , .. ` • . - : : :: •
Address: 7081 Ski L. oust" Si . :; :::: •
Planning `` \
- r gcrfel oR ? -722 . >,. ,.: ••,..
En <- •.. : .... s ' : t : >:::.<',: `''';
alephone: (SOS) 4SL - $'30 ? ( &
(so 3) r,6 -o #47 64/) . Ott,e� :....... A .::: w . : :. �: <.,,
Contractor. tr,c9 r Sett) S
Address:
Type of constr: _
°elephone: AS • A Ipo e. Occupancy Class:
Contractor's License # A'// h • Sprinkler? Yes No
(attach copy of current Oregon license)
Sq. Ft. Of Project
'ontact name & telephone:
chitect & Engineer: Story (1st, 2nd, etc.):
Proposed Use:
i dd ress: -
Previous use:
Note: Plumbing & mechanical plans must
Telephone: be submitted at time of building permit
application.
OB DESCRIPTION: . 1/1 A GL resat /A/4 0 1 -vim ,
It � 3) 716 Of 3 5 , wza f s
pplicant SiGgttat'ure & Telephone Number)
)
'eceived by: '
1 1 V Date Received: t(' (-e5/7
rC61T1.CCC tCS'1 :Qi9a •
'ERM1Tx Account Description Amount Amt Pd. Balance Oue
5 „ 1 2 4 7 , 0 . 2 . 0 Building Permit (BUILD) s
Plumbing Permit (PLUMB)
Mechanical Permit . (MECH) . - - -
State Tax (TAX) /, 2 ' _ /` 2-
Bldg. f, . 7-- r ,.; •
Plumb.
Mech. .s •• t.
Plan Check PLANCK /t 2 , r •_.r • • . Al •
Bldg. _ t •
Plumb.
Mech.
Sewer Connection (SWUSA) -
Sewer Inspection (SWINSP) •
Parks Dev Charge (PKSDC)
Residential T1F (TIF -R)
Mass Transit TIE (T1F -MT) -
Commercial T1F (T1F -C)
Industrial TIF (h F-i)
Institutional T1F (TiF -IS)
Office TIF (T1F -0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS) •
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) i
Erosion Planck/COT (EROSN)
TOTALS: 2142,
:',CCMTI.CCC (CST) ) 10 S �/
0
• Permit #: fVe q7 0 2-0 d
O F O
G 7 5w c c.cs 6 +)
� ��,, • c , -- Address: �
`E '� "' "r_` Issued by: ( - - --'Date:
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:
iyi 1 . I own, reside in, or will reside in the completed structure.
/ 1 - 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 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
3B. I will be my own general contractor.
W r
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 i • 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 Construction Responsibilities on the reverse side of this form.
' 6\-1 c.5 9 f
/ -_ (8 ( e7hiit PP
g P Si nature of applicant) (ate)
(White copy to issuing agency permit file,
pink copy to applicant)
•
Information Notibe to Property Owners
•
About Constriction 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).
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 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 Dept. of Revenue at 945 -8091.
Unemployment insurance tax: As an employee, you are required to pay a tax for unemployment insurance purposes on the
wages of all employees. For _mere information, call the Oregon Employment Division at the Department of Human Resources
at 378 -3524.
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 he liable for all claim costs if one of your employees is injured on the job. For more informat pn,
call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888.
U.S. Internal Revenue Seevicc: 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: 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 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
5/13/99 Activities for Case #: BUP97 -00200
7:45:01 PM
. Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
•
BUPA005 Application received 4/21/97 B RECD BON 4/24/97
BUPA010 Permit created 4/24/97 B PASS BON 4/24/97
BUPA020 Check for prcl. restrict. 4/28/97 B PASS BON 4/28/97
BUPA030 Plans routed to Plans Examiner 4/28/97 B PASS BON 4/28/97
BUPA045 Plans approved by CPE 5/5/97 RT PASS BT2 5/5/97
BUPA050 Approved plans routed to DSTs 5/5/97 RT PASS BT2 5/5/97
BUPA055 DST Post - Review Completed 5/7/97 B PASS BON 5/7/97
BUPA870 Final Inspection 6/12/97 TLP PASS J'H 6/16/97
BUPA075 (F) Ready to issue 5/7/97 B PASS BON 5/7/97
BUPA085 (F) Issue building permit 5/8/97 B PASS DST 5/8/97
BUPA950 Case Finaled 6/12/97 TLP PASS J'H 6/16/97
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ` �,, 6//0 /17 A.M. P.M. MST: �I
Location: ( 7 �� (/(./ q BUP: / 7- vo
Tenant: Suite: Bldg: MEC:
Contractor: Phone: o--•
Owner. i 141.._ Yj Phone: 7y6 `Q 7 ELC:
L(l c�C ELR:
SIT:
BUILDING BLDG (con's) PLUMBING 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 Crawl/Found Dr Heat Pump Low Volt
cg Approved Approved Approved Approved .
Appr /Sdwlk oved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
CI Call for reins • Cl Reinspection fee of $ required before next ins • - Lion CI Unable to inspect
Inspector: Date: Al, Page of