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Permit
_-- ^� . . --_-_ '_-_ . ---- - ' '�_� _ . . . � ,, . ' . MASTER PERMIT. ~, PERMIT #.......: MST95-02 S . CSMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0511,9/95 , . 13125 mw*° r�m�'p�m*n'm7o23°w1mm (503) oo 539-4171 n � PARCEL: 1S135AD-01801 . SITE ADDRESS...: 08840 SW SPRUCE ST ' S U B D I V I S I O N : GRAHAM ACRES . ZONING: R-4. 5 • _ ` BLOCK., . . . . . . . ` . : ' LOT. . . . ~. . . . . . . . :3' • ' � '--� ----------- BUILDlNG - -------�---�--�--------� . ' REISSUE: DWELLING UMITSit' �� BASEMENT. . . . . . . ,::0'• ; sf ` CLASS OF WQRK. . BEDRMS:0 BOTHS:N GARAGE . . . . . :N s - sf _TYPE OF USE...:SF . FLOOR AREAS REQUIRED SETBACKS-- TYPE OF CONST :5m ~ FIRST.. . ,, . ..:560 sf LEFT. . :24 ft RIENT. : 34 ft ._ OCCUPANCY GRP; :R3 ' SECOND... x0 sf FRONT T.. :49 ft REAR— :35 ft ' STORIES....„..:1 . FINBSMENT:0 �sf REQU IRED---- -------- . , HEIGHT�.. ... ...: • ft TOTAL------:56Q sf SMOKE DETECT[]R�.:Y ' FLOOR LOAD 0 f � ....: �s VALUE.....$: 36210 PARKJN6 SPACES, . Renarks : ADD ITION PATH I- ` • ' � ' ` � � � � . --- — — � ------��-------- PLUMBING — S lN|<S. . . . . . . . . ._:0 - FLOOR DAAINS. . . . :0. 'BACKFiOW PREVNTRS .10 . LAVATORIES.....:0 WATER HEATERS... :0 TRAP9 , ^0 „ TUB/SHOWERS....:0 LAUNDRY TRAY5...:Q CATCH BASI NS. ...�..:0 . WATER 'CLOSETS..:0 ' SEWER LINE (ft).a0 GREASE TRAPS . ^0 DIGHWASHERS...„:Q WATER LINE (ft).:0 OTHER FIXTUREC.....;.0 GARBAGE DISP...:0 ' RAIN DRAIN (ft).:0 r ' ' WASHING MACH. . . :0 ' SF RAIN DRAIWS. . :0 � � --- ------- ME��A�I�AL --c--------�� ---------� FEES �------------�� ^ FUEL TYPES---------- UNIT HTRS�.:0 type amount ' by date , rcpt ' ' /GAS/ / / ' ` . VENTS .....:2 BPRT $ 224.50 SD 05/19/95 95-265689 MAX INPUT:0 BTU VENT FMS.;:0 ' BPLC $ 145.93 SW 05/18/95 95-265625 FURN < 100K . :0 HOODS. . . . . . ': 0 . B5PC $ 1 1 . 23 SD 05/19/95 95-265689 ' FURN >=100K...:0 WOODSTOVES^:0 MPRT $ 25.00 SD 05/19/95 95-265689. FLOOR FURN— .:0' CLO DRYERS.:' 0 MPLC $ 6.25 JD 05/19/95 95-265689 BOIL/CMP < 3HP:0 OTHER T3: M5PC - $ 1. 25 SD 05/19/95 95 -265'689 . . ' GAS OUTLETS :(9 . � - .----�---� - � � -----------�--------- . TOD �KINSLEY � ' � ' � ` ' ' • 8840 SW SPRUCE . ' . � � ^ . . . . TIGARD OR 97223 • � Phone #:' 51213-9.77-0327 � Contract ----- - ----�---��---�----- � ' ' :OWNER ' . . � � ` �� . , � . s- -. • .. � . � . . . . Phone #: ,, . : ` .. ' # 00000 ` � Re � ..� , .. . . . $ 414.l6 TOT This neoit is issued subject to the ,egubtions contained in the -7----� REQUI RED INSPECTIONS 7-------- Tigard � | Code, Ore. mici l ��, State of Ore. Specialty ty Codes and all other ' Foot ing Insp Gyp Board Insp z laus. All work Will be done in accordance with approvod Foundat ion lnsp Rain drain Insp plans. This m��it'*�D oxpire i[�wa� � nut started within �8% � Post/Beam Struct Mechanicai FinaI days of issuance, or if oorli is ospande0 or core than 1r /:,s7, Post/Beam Mechan ' Bui Iding Final , ` ' CrawI l}rain 'Erosion Control Perm it�� ^/ ~� ' Meohanl0al Insp __ Framing Insp ' _ _�___ � Issued ��_' w, Insulation�Insp �� _�_`�__ ______�_ � . . . .. � . � Call for inspection - 639-��75 . � . � . ` � � ` � . � , `� � � .. � � � ' • ~ � `. . �' � �. � ' ' — - ul -� Q cQ 1� CI S Residential Building Permit Application C City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 // Jobsite Address: gel 0 5 (Ai EP IfUCR 11 Office Use Only Subdivision: Q1/1 G ika.A4A tG rec) Lot # o Contact Date l I Initials Valuation: ' " Result PlancklRec# Li R. New. Construction Only: (Square Footage) Permit # hi 5tH p<2 o House: s60 Garage: Reissue of. Map &TL # l35 /} p-- f l �C7l Zone Q - 4 Plat # Corner Lot? Y N Flag Lot? Y N Owner: TO d A - K ns1 ey Approvals. Required Planning Setbacks O Solar l4 Address: S gye) S •cuCe S *• Engineering .. . Ti o 51 .2,13 Other Items Required Phone: (50 3) 9 7 7- 6 3 a - 1 Contractor• Subcontractors S`P Truss Details Other Address: Notes Phone: ( ) Contractor's License # (attach copy of current Oregon license) Contact Name: Contact Phone: ( Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: (attach copy of current OR Contractor's License) ,,JI Phone: ( JOB DE' PTION: CC.l / K? • e All i GCJ d (§ 7 - 63'27 Applica , Signatur� Applicant Phone number -ceived by: 'a . ( Date Received: 5— g' - ' 5 N1bpn \dsp4aaapp p ith # Account Description Amount Amt. Pd. Bal. pile Bldg. Permit (BUILD) a 2. (1,37) u. Plumb. Permit (PLUMB) Mech. Permit (MECH) , Gv j , o J 4 State Tax (TAX) /2,0 /2 Bldg: //,i3 . Plumb: Mech: (- Z '/ S y: Plan Check (PLANCK) /S Z. (8 i• $ S� Bldg: / i- , C3 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 (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) 3 TOTALS: � G' 5 ✓-s o S ST r Permit #: S ^C O 7 o F • p________ \� Address: - s Y/ -' Issued b • _/° Date: / S /: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: 1. I own, reside in, or will reside in the completed structure. is 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale 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 Er 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 c • that the above inform . • 1 1 is correct an . at I have read and do understand the Information Noti • to Prope i ty Owners ab . 1 Constr . ction Rest I ' A i s ilities 1 the reverse side of this f rm. S ' � �// A_....• �■ / .,_....,,,,1 �J . '/_ - ature o .e rmit appl• ant) / (Date), (White copy to issuing agency permit file, pink copy to applicant) • lIl ii ©Emation 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 RESPONSOOLOTOGS: 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' 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 -1 040. OTHER RESPONSIBILOTIES AND AREAS OF CtNCEF - 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 D$6q • T 4 P call- aeli/W 0 Ilizi), . l CITY OF TIGARD BUILDING INSPECTION DIVISIO I (# 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 11 7 A.M. P.M. MST: '75 0,,R 07 Location: 836 BUP: Tenant: Suite: Bldg: MEC: Contractor: .. 111, _O. .l JL 4 //_ , Phone: PLM: Owner: .7 7 7 -Q3.2 � ��/ Phone: � � ELC: f t . A L 4 _ OW , 0 4 / _� I. s r i ELR: / - 1 '� t f/ % iii /�` I BUILDING BID ' con't) lui: .• c MEC • 0 - _ SITE Site ' ost/Beam Post/Beam Post/Beam over ervice Sewer /Storm Footing Roof UndFl/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 S i kir /Alm C . J • d Dr Hea Low Volt Approved 1 11R.,, proved 111 • !). � Approved Appr /Sdwlk - u s oved "o - • pproved . r.g.• - ed `o :is. •ed Not Approved `fir` FINAL ( FINAL i AL FINAL 1 Call for r- • = ; ' D Reinspection fee of $ required before next inspection O Unable to inspect � // / 7 Inspector: 0- Date: it i r•� q / Page of