Permit MASTER PERMIT 7�
II
OF T I GARD DATE 05/14596 -0`36
OMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S 1 14BB -14700
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 _(503 639 -4171
SITE ADDRESS...: 10477 SW RIVE LN
SUBDIVISION • SWANSONS GLEN NO.2 ZONING: R - -12 PD
BLOCK LOT °88
Remarks: Remodel garage
- - - - - -- BUILDING - — - - --
REISSUE: STORIES • 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - -- .REQUIRED------ - - --
CLASS OF WORK.:ALT HEIGHT 0 FIRST 0 sf GARAGE 0 sf LEFT : @ SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 0 sf FRONT 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BORN: 0 BATH: 0 TOTAL- -- - - -: 0 sf VALUE..$:, 32 REAR : 0
- - - - -- PLUMBING - - - -- --- -- - - - ----
SINKS • 1 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 ..: @ BOIL /CMP ( 3HP: 0 VENT FANS 1 CLOTHES DRYERS: 0
FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 1 WOODSTOVES • 0 GAS OUTLETS...: 0
- ------------ ----- - - - - --
- - RESIDENTIAL UNIT -- -- SERVICE /FEEDER - - -- - -TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS -- - -- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- -
1 uu 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 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FOR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 6'''i amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 2 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HN /SVC /FDR: 0 601 - 1''Yi amp.: 0 601 +amps -1' v: 0 MINOR LABEL -10: 0
1z + amp /volt.: 0 - -- ------------- --- - -- PLAN REVIEW SECTION - - - -- - - -- - --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR >=225 A.: > 600 V NOMINAL: CLS AREA /SPC BCC:
- ------------------------- - - - - -- 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 /IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
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Owner: ------------------ - - - --- Contractor: --------------------- __ TOTAL FEES:$ 175.41
STEPHEN THOMSON OWNER
10477 SW RIVERWOOD LN
.TIGARD OR 97224
Phone #: • Phone #:
Reg #..:
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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 -----------------
Mechanical Insp Gyp Board Insp
Plumb Top Out Electrical Final
Electrical Servi Mechanical Final
Framing Insp Plumb Final
Insulation Insp Building Final
Permittee Signature: ft_ _ 41 \�14 I By:
Call for inspection — 639 -4175
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To FA
lowor
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: /-0 4 51"-) 1/62,-) 0010 L/) 1-14N2-0 aa
Subdivision: - ‹✓A,. x)5 611 20t # Office Use Only
Z
Valuation: 7 - Contact Date / / Initials -
Result
New Construction Only: (Square Footage)
Planck/Rec # `1
House: Garage: Permit # hi 5 / l- G Z 3 Cy
Reissue of
Corner Lot? Y N Flag Lot? Y N Map & TL,f,� 2-bI 1�fi '(, -
I /�7bd
\ Zone \-1 PO aeg�,l4 -A � St�N Plat # 4A1 4,✓ASITo ' S Glyn
Address: J ') � 41 / 614 Approvals Required
/ G►�2f�, �- 0"1 1-4- Planning Setbacks N Solar Kik
Engineering
Phone: (‘ 5 - 11 6 3 Other -
Contractor: 1 h ' 1 � ti Items Required
Address: �d^� Subcontractors
Truss Details
Other
Phone: J ) >? Notes
Contractor's License # (.-S^_
(attach copy of current Oregon license)
Contact Name:
Contact Phone: ( )
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical:
(attach copy of current OR Contractor's License)
Electrical: / Phone: (
JOB DESCRIPTION: SD3 S qe - 3
Applicant Signature or Applicant Phone number
/� (�-
Received by: Date Received: I Z6
H: `login■dsuVesapp A `�
Cr ' 1 / C 115 Tlr _ 1 ��l � � 4k14-4c q g
- Wee kkicf \146-Aa- F'v 41.
Permit* Account Description Amount Amt. Pd. . . Bal.. Due
//l 5 1ft4l0 a3F'' Bldg. Permit (BUILD) 1 /V. ffe 14 (L.6
Plumb. Permit (PLUMB) �sr ' 2 3
Mech. Permit (MECH) S c'" - 2 )
State Tax (TAX) � c/
Bldg:' 2 3 .
Plumb: /. L
Mech:
Elect /`ical ,2 i c[
Plan Check (PLANCK) c 4 rq) 2v . °13
Bldg: a q 3
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R) •
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (T1F -I)
Institutional TIF (TIF -1S)
Office T1F (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: 1 4, 1 .3 b 8
Permit #: 1 -ty2
Address: 1 0 il 7 7 n t b-
Issued by: G , frukkkeUr►— Date: 5 - ILI - P
St 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 n the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ,
Ati
`►n, 1. I own, reside in, or will reside in the completed structure.
a � 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
d r
r before or upon completion.
ir 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
,, 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 withthe CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
1 hereby certify the above information is correct and that I have read and•do understand the Information
t‘, : Owners about Construction.Responsibilities on the reverse side of this form.
Notice to .
11 FA lk
0 1 I I r (Signature o . - --' - •. icant) 1/2
a te)
(White copy to issuing agency permit file, -
pink copy to applicant)
_ . mw°
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Information Notice to Property Owners
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� J�bm`K�t����8�structi������esU���A���'0�'U't'es •
/ � �. �
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' Note: This information �0ox�Conx n ���s
/ � ' ^' '~^ ' Owners ^~^^~ ^`^~/~^~''
' was de � bv/heCons�nc/ � 'i io'accorua/uw with ORS 70/.0jj(5).
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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 m anyprob lents by being aware o ['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 t of a residential gmcture,yOu will, in most instances, be ruled ����mp��a��c��|c
U �
youhinc*ihacm |o���s� Asthc�np|oycYoum�stcomphwidhthctoUOWing:
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Oregon's withholding tux law: Asun employer, you must vvirhholdincon tuxcS from employee wages ui the time employees
are paid. You will be liable for the tax payments even ifyou don't actually withhold the tax from your employees. For more
information, call the Oregon Dept. nf Revenue ut945'8O9l. • . `
Unemployment insurance tax: As an employer, you are required to pay atax for unemployment insurance purposes on the
wages of all employees. For more information, call the Oregon Employment. Department at 378-3524.
Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation and must
obtain workers' compensation insurance for your employces. /f you fail to obtain workers' CumpcoSuhohiomumnCe You may_
be subject to penalties and will be liable for all claim costs if one of your employees is injured und/c|oh.Formoroinformution,
call the Workers' Compensation Diviion at'the Department of Consumer and Business Sci'vicesat 945-788. . •
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 i[ypu didn't actually withhold the tax. For more information, ca lithe Internal Revenue Service
cu\'DO0'829-|04U. •
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OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: Au the perm ii holder for this project, }nuorcreuponaih\oforrc*o|vinguoy/aikurcoamectcod:roquiremonts
that may be brought to your attention through inspections.
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Liability and property damage insurance: Contact your insurance agentto see f you have adequate insurance coverage for
accidents and omisions suchas falling tools, paint overspray. water damage from pipe punctures, fire, or work that must be
re-done. '
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Time t� supervise em : Make sure you have sufficient time m supervise your emp|oyeec
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Expertise: Make sure you have the expertise to act as yourown general contractor to coordinate the work o[ rough-in und.fininh
trades, and to notify building officials at the appropriate times so they can perform the required inspcchonb.
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If you have additioiial questions, write or call the Construction Contractor Board (PO Box \4l40, Salem, OR97309'5052
503/378 The Board is located at 700 Summer St. NE Suite 300, in Salem.
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pmp*vunm
|/94
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I 1 i �� ��
G.g 1 � � CITY OF TIGARID BUILDING INSPECTION DIVISION /' /
7 1 !- ■ ' 1 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 . ,11/17-
,t%(G
. +
Date Requested: — / A.M. M. MST: -L/a36
Location: 16 L/ 7 7 ��J BUP:
Tenant: Suite: -Bldg: MEC:
Contractor: Phone: W- PLM:
Owner: Phone: t�� n 36 F LC:
` Mall:
BUILDING : LD . con' r, PLUMBING MECHANICAL CAWS SITE •
Site • o 1 :earn Post/Beam Post/Beam • - ce Sewer /Storm
Footing Roof UndFI/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 Spklr /Alm Crawl/Found Dr Heat Pump Low Volt •
f. pprov•:'• Approved Approved Approv- • Approved
Appr /Sdwlk . II --- -,-, • ved Not Approved Not Approved Nor -- ed Not Approved
' FIN - 1 FINAL FINAL INAL FINAL
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4.7.4a4 im.vdia en
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,,,, , ,e , / . - 60 4,, , er".., , ,„,,
1 1 /
kir 9-604,i& - P-fkl" 1 V-IJOW oe
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O Call for reinspection • O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: I / "Y Page of