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Permit CITY OF TIGARD • na:� ,,, ;� DEVELOPMENT SERVICES MASTER PERMIT . PERMIT # • MST97 -0127 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 05/02/97 PARCEL: 2S103DA -04000 SITE ADDRESS... :10860 SW PARK ST SUBDIVISION ZONING: R -3.5 BLOCK LOT • JURISDICTION: TIG Remarks: Garage /shop addition BUILDING REISSUE: STORIES : 1 FLOOR AREAS BAIT...: 0 sf REQUIRED SETBACKS --- REQUIRED CLASS OF WORK. :ADD HEIGHT • 14 FIRST • 0 sf GARAGE • 960 sf LEFT • 0 SMOKE DETECTRS: TYPE OF USE... :SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0 TYPE OF MIST. :5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : 30 OCCUPANCY 6RP. :R3 BORM: 0 BATH: 0 TOTAL 0 sf VALUE..f: 16973 REAR : 15 PLUMBING — SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS : 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES : 0 GAS OUTLETS...: 0 — ELECTRICAL — RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — -- MISCELLANEOUS— - -ADD'L INSPECTIONS - 1'.' SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 alp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 2 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1' amp.: 0 601 +amps- 1Y v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 PLAN REVIEW SECTION Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR)=225 A.: ) 600 V NOMINAL: CLS AREA /SPC 0CC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: .. BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: .. HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL IN SYSTEMS: 0 Owner: - Contractor: TOTAL FEES:f 338.41 F J EPENETER OWNER 10860 SW PARK ST TIGARD OR 97223 Phone 0: 639 -6468 Phone 0: Reg I..: 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 --- Erosion Contol Framing Insp Building Final Footing Insp Shear Wall Insp Foundation Insp Low Voltage Electrical Servi Rain drain Insp Electrical Rough Electrical Final -- Ii2)._114LILdikgjL) Permittee Signature: - . ."!f Issued B : Call for inspection - 639 -4175 Plan Check o U - 1 - Y OF TIGARD Residential Building Permit Application Recd B v 125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 0 -/ 7 r 7 4-- - 11.;ARb, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. - 2, J3- 639 -4171 Date to DST 4- 2 3 - 17 :O3- 6847297 Permit *1 q 7- 0111 Print or Type Called S - 2--q? Incomplete or illegible applications will not be accepted Name of Project Name Job rasa Architect Mailing Address Address � � � City /State Zip Phone J ,,` E.A. rieR_ Owner Mailing Address Name /ll t r) Sr o PI) at; 5 Engineer Mailing Address City /State Zip Phone g 1C1/ 9,ac23,_ ( ?lo (& City /Sate Zip Phone Name General OW ►7 ?- Descnbe work New 0 Addition 0 Alteration 0 Repair 0 Contractor Mailing Address to be done: Additional Descrip on of Work: City/Sate Zip Phone G 6//0P Aab/To� Oregon Const. Cont. Board tic.* Exp. Date attach Copy of Current COT Business Tax or Metro it Exp. Date PROJECT Licenses VALUATION r Name . _ - i, _ Mechanical NEW CONSTRUCTION ONLY: Sub Mailing Address Sq Ft. House: Sq. F G r ge Contractor Corner Lot YES NO Flag Lot . YES NO City /Sate Zip Phone (check one) - (check one) • Oregon Const Cont. Board Lie.* Exp. Date Restricted Audio/Stereo Burglar }ttach Copy of Energy System Alarm Current ' COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC Licenses Opener Systems • Name Plumbing app all that Other. . Sub Mailing Address Will the electrical subcontractor wire for all YES NO Contractor - - restricted energy installations? City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO Oregon Const. Cont. Board Lac.* Exp. Date Reissue of MST*: Solar Compliance ach Copy of (Calculation Attached) Current Plumbing tic. a Exp. Date I hearby acknowledge that I have read this application, that the '_:tenses COT Business Tax or Metro * I Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance Name with Oregon State laws. Sigjture of Owner /Agent Date Sub- Mailing Address Contact Person Na e Phone # N ontractor 6 3` 64 /61? City/State Zip I Phone FOR OFFICE USE ONLY: �� - VW s�� Plat #: Map/TL#: —V/T Oregon Coast Cont. Board Lic.a Exp. Date ..---- 1 q - :.tach Copy of Setb cks I Zone) , � i S olar: a Current Electncal Lk. * Exp. Date D N l r Licenses Engi g Approval: Plan fnit Approval: TIF: tu COT Business Tax or Metro * Exp. Date Nit 'v -- i:\sfapp.doc (dst) 1/97 Permit tt Account Description Amount Amt. Pd, - Bal. Due n/151e11- O ( 27 MST. Permit (BUILD) / 22, sr/ • ) 22- ,��✓ Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC /ELR Permit (ELPRMT) . ‘ 1-. 4 ' w State Tax (TAX) 3s .3r Bldg: Plumb: Mech: ELC /ELR: 2. • Plan Check MST: (BUPPLN) 7 4.3 Plumb: (PLMPLN) - • Mech: (MECPLN) CDC Review cbc LD (LANDUS) -✓D Cl �pc —� Zv Sewer Connection (SWUSA) Reimbursement District ( ) Sewer Inspection - (SWINSP) - Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit ( ERPRMT) a(o, " 0? 4 r/ Erosion Planck/USA (ERPLAN) / C Erosion Planck/COT (EROSN) �• u � / `�� 4 ✓ Fire Life Safety (FLS) • TOTALS: �� Y. i:�S pp.doc (dSI 1197 1 • s . • Solar Balance Point Standard Worksheet kddress 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 smailest angle from a line drawn east -west and intersecting the northern most point of the lot. 45° I oar w N North -South Dimension for lot: Aeasure the distance from the midpoint of the North tot line to the South lot rine along : the descibed line. 57--D feet � a.oia. tat 3 calculations: Shade point height for your residence Box B: . Determine whether measurements wiil be based on the peak or eave of your Whici describes structure The orientation or the ridge is also important your residence? 1a: If the roof line runs North - South, measurements will (circle one) ■ be based on the peak or the roof. 000C IILIS LAW �• ■► 1A TB/ 1C 15: If the roof line runs East -West and the roof pitch is less than 5/1 2. measurements will be based on the ___ I.. . ear e. l ! I 1c: If the rcof line runs East-"Nest and the roof pitch is 5/1 or steeper, measurements wiil be based on the z.. _.. peak. Box B. continued , Box 8: :. .Measure change in elevation from front property line to finished floor elevation. If the lot slopes up frcm, front lot lineto the foundation, the figure is positive. if the lot slopes down from the front lot line to the foundation, the figure is negative. ft 3. Measure distance from finished floor elevation to the affected peak/eave. + / � 4. If the root line runs North - South, deduct three feet. If the roof line runs East-West, ^ ft deduct nothing. • 3. Subtract one foot for each foot of difference in elevation from the front property 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: ox Box C. Distance to the shade reduction line. Box C 1. Measure the distance from the North 'property line to the foundation near the / (/ ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + / C it 3. Total figure for box C: ( 0 1 ... I It It is most userid to draw a vertical See to represent the approprin a fly found in bon 'A' and a horizontal Sine to represent the appropriate a found in bac 'C. The intersection of the vertid and horizons ring desenaines the wlue found in box 'O'. The value in bmc 'O' should be compared 33 the value in boss '8'; i[ the value in box '8' is ka than or equal to the value found in bag 'O . then the building is in compaance with the sour balance code. It you have any quemiont please canoe us at 639 -4171. x304 or at the Community Developmerht Counter. . MAXIMUM PERMITTED SHADE POINT HEIGHT no Feet) fl Distance to North- south lot dimension an feed shade 100+ 95 90 85 80 75 70 65 60 53 50 45 40 reduction Gne from northern fat •r+•• r rp - 70 40 40 40 41 42 43 44 63 38 38 38 39 40 41 42 43 • 60 36 _ 36 36 37 38 39 40 41 42 53 34 34 34 35 36 37 38 39 s0 41 30 32 32 32 33 34 35 36 37 33 39 40 = 3 30 30 30 31 32 33 34 35 36 37 38 39 s0 23 23 25 29 30 31 32 33 34 35 36 37 33 35 26 26 26 27 23 29 30 31 32 33 34 35 36 =0 24 24 24 2.5 26 27 23 29 ;0 31 32 33 34 :5 22 22 23 24 25 :5 :7 23 29 30 31 32 :3 :0 -'0 20 21 22 23 24 25 26 27 28 29 30 1 3 18 18 18 19 20 21 22 23 24 25 26 27 23 10 16 16 16 17 18 19 20 21 22 23 24 25 26 14 14 14 15 16 17 13 19 20 21 22 23 24 Box D. Maximum allowed shade point height: /(0 feet hmocuasiretwrwraksofacdto Revised =26.96 l Permit #: P -a- r 47 -- 01X7 0 F C � . -- •�' -�- Address: P&P() .s N `1 .-.---1--: `` . Issued b �ma/ Date: 5-g - 7 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: F9 1. I own, reside in, or will reside in the completed structure. M 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 Ir � . 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 Construction Responsibilities on the reverse side of this form. (Signatur of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities Note: This Injortnation 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 o 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, he ruled to he an employer and the people you hire will be employees. As the employer, you iiiusi wuiply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time emplove. are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For ;n+ r: information, call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes u the wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Re'au' 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 tail to obtain workers' compensation insurance, y ou 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. 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: 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 accident.> and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must he 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 Page No. 1 CASE HISTORY FOR CASE NO.: MST97 -0127 F J EPENETER 10860 SW PARK ST 12/29/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA005 Application received / / / / 04/17/97 RECD JD 04/23/97 BON MSTA008 Permit Created / / / / 04/23/97 PASS B 04/23/97 BON MSTA010 Check for prcl. restrict. / / / / 04/23/97 PASS B 04/23/97 BON MSTA012 Plans routed to Plans Examiner / / / / 04/23/97 PASS B 04/23/97 BON MSTA026 Plans approved 'by RPE / / / / 04/23/97 PASS RT 04/23/97 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 04/28/97 PASS RT 05/02/97 BON MSTA032 DST Post- Review Completed / / / / 05/02/97 PASS B 05/02/97 BON MSTA080 (F) Ready to issue / / / / 05/02/97 PASS B 05/02/97 BON MSTA092 (F) Issue combination permit / / / / 05/02/97 PASS DRA 05/02/97 DRA MSTA700 Erosion Contol / / / / / / 04/23/97 BON MSTA705 Footing Insp / / / / 06/17/97 PASS TLP 06/19/97 J *H MSTA706 Foundation Insp / / / / 06/17/97 PASS TLP 06/19/97 J *H MSTA723 Electrical Service / / / / 01/27/98 Approved as noted: Change grounding. PASS BRP 01/27/98 J *H MSTA724 Electrical Rough In / / / / / / 04/23/97 BON MSTA725 Framing Insp / / / / 05/01/98 see insulation note this date PASS RB 05/01/98 RB pending- shear corrections MSTA726 Shear Wall Insp / / / / 05/01/98 pending- Shear HD -5A's at garage wing PASS RB 05/01/98 RB walls for side mount- used 1 /2 "x 5" lag screws: needed to confirm if ok (NDS). TIGHTEN HD'S AT GARAGE WING WALLS BLOCK JOINTS IN SHEAR PANEL SPLICES E- MAILED Jim F. for calc's to help this person out- can't afford an engineer: just a cross reference issue- if, it works out ok.... If not, engineering anyhow I , " MSTA727 Low Voltage / / / / / / 04/23/97 BON MSTA740 Insulation Insp / / / / 05/01/98 Electrical card on site is approved- but PASS RB 05/01/98 RB was this the intent of BRP- reference was only for service panel. R -19 in walls R -38 (batt) to go into the attic space... ok at final. MSTA745 Gyp Board Insp / / / / 11/10/98 PASS WDJ 11/10/98 WDJ MSTA755 Rain drain Insp / / / / 05/01/98 Approved for drywell; french drain PASS RB 05/01/98 RB installed to 60'- Already covered up to the connection tie -in to the sleeved drain line in trench. • Page No. 2 CASE HISTORY FOR CASE NO.: MST97 -0127 F J EPENETER 10860 SW PARK ST 12/29/98 • Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • MSTA790 Electrical Final / / / / 12/18/98 g.f.c.i. protect 120 -volt receptacles - FAIL CD 12/18/98 CD install bond screw MSTA790 Electrical Final / / / / 12/23/98 PASS CD 12/23/98 CD MSTA799 Building Final / / / / 12/23/98 PASS WDJ 12/23/98 WDJ MSTA970 Case Finaled / / / / 12/28/98 12/28/98 JT • • • CITY OF TIGARD BUILDING INSPECTION DIVISION 97 0/7 7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 1 BUP Date Requested /2/Z-2/71 AM PM BLD Location / �� Suite MEC Contact Person �Df(p © a„..) ,�� sf Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes 'Co y . Slab , �; 'Co rec-� C v S SIT Post & Beam �' // Ext Sheath /Shear 5%t // J1oA/ i Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: � `1 Final PASS 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 FAIL ELECTRICAL ervice Roug UG /Slab Low Voltage Fire Alarm Fi ASS ART 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 4 t D 3 .F Inspector Other I t Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST q7 -02 24 -Hour Inspection Line: 639 -4175 usiness Line: 639 -4171 BUP Date Requested / �-/2 � A M PM BLD Location / 0 O t O (2,,,k Suite MEC Contact Person Ph PLM i i Contractor Ph SWR MI UILDING Tenant/Owner ELC `T Retaininlf ( Footing Access: W Foundation FPS Ftg Drain 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: ( ,,PASS 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 Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk Date C� � ("/ ' \I /1) Inspector ` Ext ! Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.