Loading...
Permit .CITY OF TIGARD MASTER PERMIT MST96 -0349 COMMUNITY DEVELOPMENT DEPARTMENT DAT ISSUED: 08/19/96 13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 839 -4171 ��4a ®� PARCEL: 1S134DB -06600 SITE ADDRESS...: 11170 SW TORLAND ST SUBDIVISION TORLAND ESTATES U ZONING: R -4.5 BLOCK LOT °004 Remarks: Two -car garage addition with electric ---- --- — ---------- - - ---- BUILDING ------------ - - - - -- - - -- REISSUE: STORIES • 1 FLOOR AREAS — BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED - - CLASS OF WORK.:ALT HEIGHT • 18 FIRST 0 sf GARAGE • 520 sf LEFT • 10 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.:R3 BORN: 0 BATH: 0 TOTAL - - - -: 0 sf VALUE..$: 9194 REAR • 65 -- — — ----------- - - - - -- PLUMBING SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES • @ DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: @ 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 IMP.: 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- - PA0 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 aap..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR : 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - amp..: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1'm amp.: 0 6 @1 +amps- 1m v: 0 MINOR LABEL -10: 0 1005+ amp /volt.: 0 — ----------- -- -- -- PLAN REVIEW SECTION - - -- - - -- Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 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 /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: .• HVAC DATA /TELE COMM.: NURSE CALLS TOTAL @ SYSTEMS: 0 Owner: ------ - ----- Contractor: ------------ -- - - -- TOTAL FEES:$ 218.76 JUD SCHAEFER OWNER 11170 SW TORLAND ST TIGARD OR 97223 Phone 0: Phone 0: Reg 0..: 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 - - -- Footing Insp Shear Wall Insp Electrical Final Foundation Insp Insulation Insp Building Final Electrical Servi Gyp Board Insp Erosion Control Electrical Rough Rain drain Insp Framing Insp Appr /Sdwlk Insp Permittee Signature: , ; ssued By: . A r an for inspection - 639 -4175 Plan Check # 8 . 3q g T TIGARD Residential Building Permit Application Rec'd By aujLU 13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec' 8' . 3' TIGARD, OR 97223 Single Family Detached or Attached Date to P.E. s(- / — 1 (503) 639 -4171 Date to DST • / f: 9 Print or Type Permit # n'IST�{(Q QQ Called V" Molt/ f' Incomplete or illegible applications will not be accepted 8 _i5.96 Name of Subdivision Lot # Name Job T,r 6_4 ES-- 0.�e5. 0 W YIe}c Address Site Address Architect M ailing Address 11170 S.t) . 7o40...q.di, Or; ve. City /State Zip Phone Name , _ "Tt,t D . Sc Vo.e_fe-r . Owner Mailing Address Name / I 7O 5�, Tor t) 1� �eAr , la r� ho . Engineer Mailing Address State Zip ho g 15a\ oR. `t ? 29.3 6,-8Y-576, . Name City/State Zip Phone • General b Wy\Q(, Describe work new 0 addition ® alteration 0 repair 0 Contractor Mailing Address to be done: Additional Description of Work: City /State Zip Phone / �� /� Oregon Const. Cont. Board Lic.# Exp. Date t C ',� "v 6 jC t r a ' A % 'k by Attach Copy of Project Current COT Business Tax or Metro # Exp. Date C " (--MiW2`9 Licenses Valuation /�� Name NEW CONSTRUCTION ONLY: Mechanical Sq.Ft. House: Sq.Ft.Garage: 50 Sub- Mailing Address Contractor Corner Lot Yes No Flag Lot Yes No City/State Zip - Phone (check one) ✓ (check one) Restricted Audio /Stereo Burglar Oregon Const. Cont. Board Lic.# Exp. Date Energy System Alarm , Attach Copy of Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC Licenses Opener Systems Name (check all that Other: Plumbing apply) Sub Mailing Address Will the electrical subcontractor wire for all Yes N_o/ Contractor restricted energy installations? V City /State Zip Phone Has the Subdivision Plat recorded? N/A YeS, No Oregon Const. Cont. Board Lic.# Exp. Date Reissue of MST# ( /L Solar Compliance Attach Copy of Y" (Calculation Attached) ' , C rn ris y,.' Current Plumbing Lic. # Exp. Date I hereby acknowledge that I have read this application, that the Licenses information given is correct, that I am the owner or authorized agent of COT Business Tax or Metro # Exp. Date the owner, and that plans submitted are in compliance with Oregon State I- • s. Name S': at e of •owner g ent Date Electrical Owner • - -��� __/-L-e:____-/: _ 3- 6. nfact Pe on a Phone Sub- Mailing Address S'ez.n e • / OU x74,9 Contractor FOR OFFICE USE ONL Y: C ( i���� -- City/State Zip Phone Plat # n Map/T . Oregon Const. Cont. Board Lic.# Exp. Date ft i ` 0 )5/ 1 S 1 3 L I P 6- Qbba Attach Copy of Setbacks Zone: Solar: Current Electrical Lic. # Exp. Date � ., tx f - Licenses � t i / a ` " qt �M COT Business Tax or Metro # Exp. Date Engineering Approval: Planning Approval: TIF: .. ,dsts\mstapp. doc . 7 Permit # Account Description Amount Bal. Due s _ �� MST. Permit (BUILD) g'U• -0 ('kiir °S /8 �3 Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC /ELR Permit (ELPRMT) 1 I-/ 0 State Tax (TAX) i, 03 ‘• 03 Bldg: 4x3 Plumb: Mech: ELC /ELR: �.. Plan Check MST: (BUPPLN) • Z 3 `t $ » `I3 a ry Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) 0 Sewer Connection (SWUSA) 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) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: x1 8.76 _b _ 16g. 7A is \dsts\mstapp.doc 50,00 Rev. 7/96 Permit #: ffr1T % - 0 3 Yr o O �, 1 1 7 0 5 NO LOLL U Dr Issued by: , �..>��z 1,-,; '°.r J d�t�C ate: 19% 5 � Address: 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 if1 . oxes 1 and 2, and either box 3A I r 3B: r _ 1. I own, reside in, or will reside in the completed structure. . I understand that I must register as a construction contractor if the structure is sold or offered for sale 2 e before or upon completion. 0 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 2( 7- 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 abou Constr ction Responsibilities on the reverse side of this form. ILA\ AL,,,A...,..._. . g'--. is-76 .. / ....„,, ( i nature o e rmit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) • • Hrsfif.cors'fzi,E!Jac C('','6'driTzTa in Lop © rin *43 Note: This Information Notice to taroperty Owners abort ConsfrnetiQn tva.v developed by the C.:onsiti,!.cior:. Co,c(actory :?rd i; otro7don.'_:: f_ 701.055(5) If you ate acting as you: o a contract:it ce.ist7vc :. borne or kra „.„. is to a.- yoi: ceo prevent i:rtany pi by 'being aware of tl:e r careen. f yo;.- hire pezter:s reListeret i_o co..sil%._Cti0:1 0: .:1 of a you 0 1■.”, 14 t:M11(12. t: you hire vi!' he employees. As tic ernpioyer, yot must comp!y tOC ;A) 011 mg: '.2IVI; As an emp!oyir, you :1-;..i.st %/apes at the 2 a:c You w 'e '..iEb■e. for the L17: payr_lcilts ev s, if you don't information, Lail the C.)regoy'. Dept. of Revern.e !it 915-8091. As en tt' s. or wages cfa tp ees. mere info' 7,tior., Cu:Grego: 7. of : Reseiti. at 37g-3524. -s' c:arIot 7 ,11:11:7E:17.(7.2,7 As art ern:pier:cr. you are sbjec obiain workers' corr fel you,: cr, yea Fi» he subject to peeleities and wH be liabe :or claim costs are o.7you: Le, 0._ - Jar ca h the Workers' Compersation Div:sic:1 at the 7.7:epa:t7....:-.t of :ens._ 7;n45-70I1`?. L7cez As ari emp:oyer, yoli must i7coir.e , Y01.1 ne liabie for the - tax payment even if you ciidn't actually withhold The :%1A. 7 . - "or infernlati cEll the ..nternal 'Revenue Sc ll: ice, at 1-800-829-1040. Ccie campII.E.Inc?.: As tie per ho;der for this p you are respoosible vrcy . ro iatc meet codeleqi_:1 that may be brought to your attention frrough inspections. airad pnager'Lty do.mage L:s=1 Contact your insurance agent to see if you have adequate insurance coverage for accident.; and omissions such as failing tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done. Tliffne '113 supervfise ereplloyees: Make sure you have sufficient time to supervise your employees. 1xperlise: 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 (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