Permit MASTER PERMIT
CITY TIGARD PERMIT #: MST2000 -00098
,4111 DEVEL O
SERVICES
639 -4171 DATE ISSUED: 04/13/2000
SW
SITE ADDRESS: 13267 SW WOODSHIRE LN PARCEL: 2S104DC -08600
SUBDIVISION: MORNINGSTAR ZONING: R -4.5
BLOCK: LOT: 023 JURISDICTION: TIG
REMARKS: Remove a non bearing inside wall for larger bed room closing off one door
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES .
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 100 00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR:
PLUMBING
SINKS: WATER CLOSETS. WASHING MACH' LAUNDRY TRAYS: RAIN DRAIN. TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS. SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS. WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS. OTHER UNITS.
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES. GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION.
EA ADD'L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only.
> =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: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 127.00
VORWALLER, DOUGLAS F + OWNER This permit is subject to the regulations contained in the
VO
VO Tigard Municipal Code, State of OR Specialty Codes and
KARYN A A WOODS HIRE LN WOODSHIRE all other applicable laws. All work will be done in
13267 SW
OR accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: forth in OAR 952 -001 -0010 through 952- 001 -0080 You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Electrical Service Building Final
Electrical Rough In
Framing Insp
Electrical Final
Final inspection
ORIGINAL / / „A _ ,
Issued By • � � �-...-- ` Permittee Signature' r -
Call (503) 63' 175 by 7:00 p.m. for an inspection needed the next b i siness day
CAW OF TIGARD Residential Building' Pe niit Application Plan Check a -$5 z
13125 SW HALL BLVD. .Alteration - Interior Only Recd By Q / /5973:7
Date Recd 3 i_9 - oe
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. `O
V 503 - 639 -4171 A - H-/V,' B. 7ti" "p' °" Date to DST 4 -f u -w
- F 503- 684 -7297 Permit # /vty r O
Print or Type 11 er Called 9- /3-(2,0 -
Incomplete or illegible applications will not be accepted 07: iC
S A "if_ t.t.)/ .Peeide
Name of Project Name
Job
S ite Address
Address Architect Mailing Address
13267 SW Woodshire Ln City /State Zip Phone
Name
Doug Vorwaller
Name
Owner Mailing Address
13267 SW Woodshire Ln Mailing Address
City /State Zip Phone Engineer
Tigard OR 97223 524.8154 City /State Zip Phone
General Name
Contractor Owner 1=-- Describe work New 0 Addition 0 AlterationX Repair 0
Mailing Address to be done: Remove non— weight — bearing inside wall
Prior to permit Additional Description of Work:
issuance, a copy City /State Zip Phone
of all licenses
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# _ _ ___ VA $ 100+
database -- - _� _ - — -
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp Date Energy System Alarms
expired in COT Lic # Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES _ NO
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy !— Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attac •
required if Lic # I hearby acknowledge that I have read this application, that the
expired in COT
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name �Sisp`e cy_te
Electrical W h.er. , . - - - son Name Phone #
Sub- Mailing Address - ' -' /1,er- < 5 2 4- -815 5 2
Contractor FOR OFFICE USE ONLY:
City /State Zip Phone Plat #: Map/T1._#,_
Prior to permit a/oy C -0•34
issuance, a copy Setbacks: Zon
of all licenses are Oregon Const. Cont. Board Exp. Date ��
required if Lic #
expired in COT Engineering Approval: Planning Approval: TIF:
database Electrical Lic. # Exp. Date
Electrical Supervisor Lic. # Exp. Date
rforms\sfintalt.doc (DST) 10/23/98
Permit #:
OF
F ^ t �
��, Address: j 3 . Z c 7 s w woods -him 1- " i i 7,� wt�0
Il .. 3:c
Z .:1 h.ing.;:.0.:,i Issued by: Date:
859
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:
O r 1. I own, reside in, or will reside in the completed structure.
Og-- . I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
r i 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
j ,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.
11:19,*___ nV i'/ )5 / zooms
/
__.(Signature ofperrnit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
•
ffiforrma2U®n Nolloe 2® Property Oenwi8rrs
About Co nsl 6PuCUOl1 R° espons'th es
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 f 1E SP011Sll8lLlTOES:
If you hire persons not registered with the Construction Contractors Boaid 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 incairance: 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' wages. You will be
liable for the tax payment even if you didn't actually withhold the lax. For more information, call the Internal Revenue Service
at 1- 800 -829 -1040. •
•
OTHER RESPOOJSOBMTIES 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
. .
eLr t ci -mac - a - US-(-
Ptact cacti"_ _ Puttu( g3A,2v0a -0oa yer Oatc 5/ (/o f UU `
Addccss sw wovds�,,; , L� Tax M
.. Sut� - � �-s.l o �/ - on, c) - -
��a % Ov Lot Laud Usc
uit kuac back - kg:
s a -
Wad( GasUsc Inc t( . - - - Tc -li Area • . .. _
Yix � 5 = Ftaoc Load (sc Ctooc _ •
- Coa i s /4 flax Typc aid Ftooc.
Oc rpY- iP /� pwctUUuits - 3cd Root - .
- Stoats - - - .
Qtr Bcd Raoazs Qas
P� � II a.Ltt CZaoaxs . � g c .
ccaa - - Auzouuc - Aarzocnaz Pd
__ - IIcu�d Paiuit ,- II�t- Dec
- P Pcauit 5.v
M�ixanical Pcan t - —
Qcctxicat Pa-ma .3 7 0 - - 3 7, ›ti
Statc Butlai Tax .
BuiadiiHig q- Ja
.Pfcrcubi tg -
befccfianic
Qcctxical 3. � .
- Fuca( 7 7
-Pfau Cf tcck cccs
Building 3 a . ,,J 3 2 , ,-)
Plcuubiag
Mcc1J2_aical
CS).C-
Paa
CZcs Tiff - -
Mass To c .
��a�ct QvaJicy
Wa Ccr Q(taizCZCy -
L Plans
r= cvsioa Coaczot USA
Erorioa Coo[ COT
Sc vrci CoonCCj 0 -
Scwcr (' C1UJ 1 (
root
CITY OF TIGARD 24 -Hour
,: BUILDING 0 Inspection Line: (503) 639 -4175 „s 0009e
INSACTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested OW AM PM BUP
Location / 3 2(O7 W o-a a- S L -.Q Suite MEC
Contact Person / Ph ( ) PLM
Contractor liOrt* -' Ph SWR
BUILDING Tenant/Owner ELC
Footing ELC
Ftg Drain e S
Foundation Access: JO.nt „ -
Drain
( k� $ ,.% ELR
Crawl
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear _ ¶ J ,, d
TA Framing �(7
Insulation
Drywall Nailing /
Firewall -J �,, I
Fire Sprinkler
Fire Alarm
Susp'd Ceiling r,
Roof o
Other:
Final A.)
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
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
r jk Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line \
ADA 1
Approach/Sidewalk Date l 1 /2(1 /y Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1-45C — 000 F
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
'76 BUP
Date Requested SP 0/DO AM k PM BLD
Location ' 2 ZCm? W OC)d 1/ Y Suite MEC
Contact Person OCUl Ph S 2 t -') S'1 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
��
Ftg Drain / 3 au /( i1 A/5
Crawl Drain Inspection Notes: f SGN
Slab </ �Y V `w
o /ASP SIT
Post & Beam 1
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 44%/ ed.C�j,Ot
Firewall
Fire Sprinkler / - is .
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Posh edam
Rough In
Gas Line
Smoke Dampers
Final
pocs P RT FAIL
ELECTRICAL
Rough In
UG /Slab
Low Voltage
Fire Alarm
F'
PASS' RT FAIL
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
Other Date - C") Inspector Ext _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.