Permit t'"
} CITY OF T MASTER PERMIT
IP ,lit , DEVELOPMENT SERVICES PERMIT # ° MST97 -0384
j, _' 0, _!. • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 10 / 03 / 97
„.$6410 PARCEL: 2S103CD -04401
SITE ADDRESS...:11675 SW TERRACE TRAILS DR
SUBDIVISION ® •kING: R -4.5
BLOCK ,
LOT ° -� , SDICTION: TIG
Remarks: Construction of 528 sq ft detached garage.
------------------ BUILDING — —
REISSUE: STORIES • 1 FLOOR AREAS -- BASEMENT...: 0 sf REQUIRED SETBAC (S--- REQUIRED
CLASS OF WORK.:ADD HEIGHT • 12 FIRST • 0 sf GARAGE • 528 sf LEFT • 5 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 50 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:U1 BDRM: 0 BATH: 0 TOTAL 0 sf VALUE..$: 9335 REAR • 20
PLUMBING -
SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES : 0 DISHWFRS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 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 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SILL /PANEL...: 0 IN PLANT • 0
MANF HN /SVC /FDR: 0 601 - 1WA amp.: 0 601 +amps- 1' v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 - - -- ---- PLAN REVIEW SECTION --- - ----- ---
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 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..: 0TH: .. BOILER HVAC LANDSCAPE /IRRI6: PROTECTIVE 5IGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: .•
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL it SYSTEMS: 0
Owner: -------------- Contractor: --- ---- -- - -- TOTAL FEES:t 211.26
GARY D SIE6 OWNER This permit is subject to the regulations contained in the
11675 SW TERRACE TRAILS Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone (): Phone 0: not started within 1 : days of issuance, or if the work is
Reg 0..: 0v • suspended for more than 1:' days. ATTENTION: Oregon law
- -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- Y4-0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTIONS ----- --- _—
Erosion Control Shear Wall Insp
Grading Inspecti Rain drain Insp
Footing Insp Building Final
Foundation Insp
Framing Insp /
Issued By: ,�� Per Signature: ...-4' 1 ? �f
+ + + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6. 0 p.m. for an inspection needed the next business day
•
Plan Check #
m!•rY i)F TIGARD Residential Building Permit Application Rec'd By
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd ;rata!
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ,--/ 7
V 503 - 639 -4171 Date to DST 23 - S
F 503 - 684 -7297 Permit # T° 7'
Print or Type
Called - "�6 )- J/2
Incomplete or illegible applications will not be accepted 6...4 - 7 1 °(
1 Name of Project Name J
- Job V e • / k 61, ry �� e c' ' 06..HP,-'
1 Architect Mailing Address
I Address Site Address
/f , 7s s' ' '-'' rrn ,/./ , 'r a .. City /State Zip Phone
Name
Gav E" : "e S'EY Name
Owner Mailing Add
//6' 7.S . j' w Te. -.-. of 9'. -a -f f Engineer Mailing Address
City/State Zip Phone
77:2 q Y.y4 O/2 9' 7- 5. o - 76 6 City/State • Zip Phone
Nat15e
General 04..)49.^ Describe work New 0 Addition* Alteration 0 Repair 0
Contractor Mailing Address to be done:
Additional Description of Work:
City/State Zip Phone Jr�� 0 A.Ac4eof u.00a( 'Fr* -,c' p 4-9e.
fie,
Oregon Const. Cont. Board Lic.# Exp. Date
Attach Copy of
I Current COT Business Tax or Metro # Exp. Date PROJECT
Licenses VALUATION $ 9'3 3 5=
Name NEW CONSTRUCTION ONLY:
Mechanical G>i..i•rev Sq. Ft. House: Sq. Ft. Garage c /
S Mailing Address .) -.- d
Contractor Corner Lot YES NO Flag Lot YES NO
City/State Zip Phone (check one) , (check one)
Oregon Const. Cont. Board Lic.# Exp. Date Restricted Audio /Stereo I Burglar
Attach Copy of Energy System Alarm
Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC
Licenses Opener , Systems
Name (check all that Other.
Plumbing n en/ 2 apply) -
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 Lic.# Exp. Date Reissue of MST #: Solar Compliance
Attach Copy of (Calculation Attached)
Current Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
Licenses information given is correct, that I am the owner or authorized
COT Business Tax or Metro # Exp. Date agent of the owner, and that plans submitted are in compliance
Name with Oregon State laws.
Signature of Owner /Agent Date
Electrical oci.pre ,4 9 -rs -9 7
Sub- Mailing Address Contact Orson N e Phone #
Contractor
City/State Zip Phone FOR OFFICE USE ONLY:
Plat #:�/ o3cb Map/TL#: 0 ,90 ) /
Oregon Const. Cont. Board Lic.# Exp. Date yJ •
Attach Copy of Setbacks: Zone: 4/� Solar:
Current , Electrical Lic. # Exp. Date , -' ir— r
Licenses Engineering Approval: Planning_Approval' TIF:
COT Business Tax or Metro # Exp. Date -- curl Sq ? -con -
I:SFAPP.DOC (DST) 4/97
Permit # Acct. Descritpion COT WACO Amount / Amt. Pd. Bal. Due
MST. Permit (BUILD) (UBUILD) KO, ' --7) 1 Cl.
23 014" Plumb. Permit (PLUMB) (UPLUMB) St) I/ 30.`
0
Kilr Mech. Permit (MECH) (UMECH)
ELC /ELR Permit (ELPRMT) (UELPMT)
State Tax /(TAX) (UTAX) 5 ; .S3 �a s. 3
BLDG: 1./, 03 ` .
PLUMB: / 5 --) 1/
MECH: .
ELC /ELR: /
Plan Check
V
MST: �2. 3 3 V 751 _
ST. (BUPPLN) (UB UPLN) c
Plumb: (PLUMB) (UPLUMB)
Mech:
(MECPLN) (UMEPLN)
CDC Review (BUILD) (CDCBLD) (UCDC)
CDC Review (PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA)
Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
Residential TIF (TIF -R) (UTIF -R)
Mass Transit TIF (TIF -MT) (UTIF -M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) ( UWQANT)
Erosion Control Prmt (ERPRMT) (UERPMT) ,26 , a 0 "/ (,, w
r
Erosion Planck/USA (ERPLN) (UERPLN) Q, U ?.' q ' '-
Erosion Planck/COT (EROSN) (UEROSN) g'• It ? \ f u '
Fire Life Safety (FLS) (UFLS) w
TOTALS: / I ale 5 33 fne
I:SFAPP-DOC (DST) 4/97
- v"
Solar Balance Point Standard Worksheet
Address /1675 S 7' - qee 9ra,' 7; • °l S 72Z3
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 smallest angle from a line drawn east -west and intersecting the northern most
point of the lot.
45°
1.01 lad tali LIM
N North -South
Dimension for Lot -
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. ,//3 feet
t
I N
C �cQa•JOUS� tam++
- Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important your residence?
1 a: If the roof line runs North - South, measurements will /1111. (circle one)
be based on the peak of the roof. o o o a
uusluu1
"°" 1A •, 1C
1 b: If the roof line runs East -West and the roof pitch is
less ;:pan 5/12, measurements will be based on the
...:__�
eave.
swce Peva Ex.(
1 c If the roof line runs East - -Vest and the roof pitch is
5/12 or steeper, measurements will be based on the .. •
.r °0
peak.
51.01 J.. arai
Box B. continued Box B:
2. measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If o�2
ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + 9 ft
4. If the roof line runs North - South, deduct three feet. If the roof line runs East-West, - ft
deduct nothing.
5. 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. - k ft
6. Total figure for box B: . -g ft
Box C. Distance to the shade reduction line. Box C
1. Measure the distance from the North property line to the foundation near the /0 R ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + 9 ft
3. Total figure for box C: / / ft
It is mast useful to draw a vertical fine to represent the appropriate figure found in box 'A' and a horizontal One to represent the
appropriate figure found in box C. The intersection of the vertical and horizontal Ones determines the value found in box D. The value
in box '0' should be compared to the value in box '8'; if the value in box '8' is less than or equal to the value found in box 'O °, then
the building is in compliance with the solar balance code. If you have any questions, please contaa us at 639 -4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE PAINT HEIGHT (In Feet) E
Distance to North -south lot dimension (in feet'
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from norther
Jrx line (in fert1
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
30 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
40 28 28 25 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
23 22 11 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: 5 feet
h:'docs\nanMvertamralsoiar.d,o
Revised 226r96
f n
Permit #: 5 T % - 6 3 W
oF �`
Address: //t° � S la-iizce / r / < � ' {
,v ;trawl, z �
Issued by: ,- ---41111 /= Date: / t
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:
M 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
ri 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
F . — ,/ 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 Construction Responsibilities on the reverse side of this form.
(ature of pe applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
• Z
!-nfor ttion Notice to Property owners
About Construction 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 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 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 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' 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 pro;: rty damage insurance: Contact ypur 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
6/6/00 Activities for Case #: MST97 -00384
2:00:23 PM trAPAPINA
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 9/15/97 JSD RECD DRA 9/19/97
MSTA008 Permit Created 9/18/97 DRA PASS DRA 9/19/97
MSTA010 Check for prcl. restrict. 9/19/97 DRA MEMO DRA 9/19/97 Also applied for accessory
structure approval at the same
time, MIS97 -0017.
MSTA012 Plans routed to Plans Examiner 9/19/97 DRA PASS DRA 9/19/97
MSTA026 Plans approved by Pln Examiner 9/23/97 RT PASS BT2 9/23/97
MSTA030 Reviewed plans routed to DSTS 9/23/97 RT PASS BT2 9/23/97
MSTA032 DST Post - Review Completed 9/26/97 JSD PASS JD 9/26/97
MSTA700 Erosion Control Insp 844 -8444 DRA 9/18/97
MSTA703 Grading Inspection BT2 9/23/97 11% GRADE
MSTA705 Footing Insp 11/10/97 RB PASS J'H 11/12/97 1. Provide bearing pad rebar
mesh as on approved plans at
corner of dwelling. 2. Rerouting
rain drain, foundation drain and
water line, maintain proper
inspections for each. 3.
Electrical panel being moved,
UFER tagged.
MSTA706 Foundation Insp 11/18/97 RB PASS J *H 11/18/97 Subject to approval: Maintain
anchor bolt requirements.
MSTA725 Framing Insp
DRA 9/18/97
MSTA726 Shear Wall Insp
DRA 9/18/97
MSTA755 Rain drain Insp 12/30(97 MS PASS MRS 12/30/97 perf pipe needs to be tied into a
back -water valve
MSTA799 Building Final ST 2/18/00 2/18/00- inspection request to
Hap
MSTA080 (F) Ready to issue 9/26/97 JSD PASS JD 9/26/97
MSTA092 (F) Issue combination permit 10/3/97 JSD PASS JD 10/3/97
MSTA770 Misc. Inspection 9/9/98 WDJ NOTE WDJ 9/9/98 Call Gary Sieg, He is still
working on this project. He
indicated he would write a letter
asking for an extension for the
permit.
MSTA770 Misc. Inspection 10/13198 HAP PEND DGW 10/13/98 Owner will RENEW permit prior
to 12/25/98 for 1/2 original bldg
permit fee plus OR tax 5 %.
MSTAl25 PERMIT EXTENSION REQUEST 10/28/98 HAP DENY DGW 10/28/98 Extension denied. Progress
insufficient. May be
RENEWED for 1/2 building
permit fee if done prior to DEC
25, 1998
MSTA055 Hold Release to Issued 12/28/98 HAP RELS DGW 12/28/98 Fees paid to fe renew permit
MSTA945 Request inspection research 3/24/00 JMT DONE No Hold JMT 3/24/00
MSTA153 Expired by limitation card sent to contractor
6/5/00 HAP DONE No Hold AKJ 6/5/00
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