11695 SW GREENBURG ROAD t
DESCRIPTION OF THE PROJECT:
The existing 14'6" x 30' one car garage will be divided, and make 2 rooms (studio).
with kichenette and -bathrooms with shower.
One addittion room will be added to' the main family house.
An upstairs full bathroom will be added above the basement stairs' .
A sunnyroom will be attached to the house.
CONTAINT:
Sheet I ., Site Plan
_ 2. Addition Foundation Plan
3. Floor Plan- Addition,Studios and Sunnyraom
4. 3D - Bads Elevation �S. 3D - Front Elevation
6. 3D - Southest Elevation
I 7. Room addittion and Bath 3cross-section
8. Front Wall Cross-section details & Bathroom 1 Floor Construction -
9. New Floor Construction on the varaj Floor
10. Moors Elevations
11 . Bath3 Floor Plan and Floor Construction =
'• 12. Foundation Details and Sections
13. DWV - Layout South View
14. DVW System - Studies Top View
15. Roof - Top View
16. Closet 4 Construction and Flat Roof Details -
17. Roof Rafters & Ceiling Joists Plan -
18. 3D - EST Elevation -
19. 3D - WEST Elevation
I20. windows / Doors Schedule Property Address: tee:
11695 S.W. Greenburg Rd., Tigard, OR 97223 Front ,ag.
T-ifie: HOUSE REMODELING. Rev: ,
f
Date: 4-9-9 CONTENT SHEET
'"mum..
NOTiCE: IFTHEPRINTORTYPEONANY i � r iii iii iii int ISI ISI iii ISI Iii i �T ISTTf�1 I �T1 �t" ISI I (1 ISI �� � r1i iii iii iii � �i ISI I ( I I I ISI fiT lel ISI ISI f� I 111 11 111 1T IJIIIII ISI I�T1 !1l ISIISI I1I1I1I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 11 12 I 4 SI I � I $ I�� YOt-qi
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IT IS DUE TO THE QUALITY OF THE Na.36 CC.". C-
ORIGINAL DOCUMENT 0E 6TZ 8Z LZ 81S 9Z VZ £Z zz TZ OZ 6T 81[ LT 8l 9T t T £T ZT Ti 0T 8 8L 9 9 6 £ Z 1ongs '
ui� Ulm 111411, � ;
Property Address:
•...• ,♦ ,` 11695•9.W. Oreenblurg Rd., Tigard, OR 97223 Rile, SITE.FP3 f
Title: Rev:
SITE PLAN
' ,♦ Date:
4-"f Sheet 1 of 20 Scale:
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Orade Level aprox. +6, \ \ 9
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' Mitirker '
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L*vel eprox +316"
1 I Orade Level +S' I
! Oda Lev 1 +3'8"
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Lot ares: .34 ac '
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1. Orads Level Is measured from the basement floor, level W.
2. The grade elevation at the corners of the house and lot are stated on the drawing.
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0 3. The room addition sunny room and the aw concrete slabs an prey areas. ,C:
4. The existing dweliing, house and garage are white areas.
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100'
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i Orsde lo vel approx. +2'6"
I Orade level approx. +2'6" j
Property Line
L — . _ ._ - - _ _ - - ... ... - - - - - - - - - =I
NOTICE: IF THE PRINT OR TYPE ON ANYt_I_i� ili { 1 { 1 { 11 { 1 { 1 { 11 iilliil 1lilil � { illi T rTr�r�� r1�rlr r�rrl � ii lit lllit lJillll 111111 ! 11111 ! i1l1l1l I-111-1p rIrlrI -� t-I.r. t 1J� r1t �� 11111 {o
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IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 4 6 12
_ � __l_ _ _ g _ __ l _ 11 IT IS DUE TO THE QU,'1ITY OF THENo.36
ORIGINAL DOCUMENT -_ _— ---- -- -- ----- ------ ------- ----- -- --_ _ .__-__ ----- --- --- ---- -- - -- — — -=�' ` -- -- i
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Existing Driveway
20
New walkway ever Driveway
94
t!0Lig 711
770.*
�;_ !_ 7 ?j •A 7{{ ;�•i .;{lttl a --- 4274"
2 11"
Notes: -
�p — 1) The new addition , new porch and slabs have gray P° 9 Y background dolor.
• Bath a a 2) The existing house, garaM and basement entrance porch
i )•--� have white hack Hound color.
W/A 3) The ung 1 cara e is divided in 2 room
9 �9 (studios)., as shown.,
4) Floors Elevations details am shown on sheet 10
5) The Old floundation around bathroom 2 may be removed' and
J 41111b
14 s r - replaced with a new one to match with the addition foundation.
STUDIO 1 6) The Sunnyreom crawl s
� pace will have a side mess, and vents,
s l Living area -
132 sq.ft ;
� Oram P • Itlo• _
EXISUng DWelling
Closet 2 Meet 1 iW Duallorthe addition r+oon►oonn9cbd to the house funw-e
s'7" 4T" It nuns above the besernnt wan and then#wotgh the aaW spew
nuns undedi ig�'stack ox utifrty smk -
w basement floor and rrisets E rg house main drain
..� the main drain )r
Imick d. /ekwe 3'3"from,the besemerd floor
s EW0ft VVAdw m fmr=wt w d d
STUDIO 2 '°"'' -,%� I _
Livia area . :i}ii}: :; '; Rema
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IVr of Ste 4
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9
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aw d�taili afwt �� Propo ll- Addr as
See note 5. be am ,,.rte�"� I IM&W. oma" Rd.,T%pwd, at W= Fft
t+iw Hou•.Drain stscdc �''��
d"` Scale: Title: FLOOR PLAN - N & S7UD1Os FSE
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0 3' 10' Dee: 4-9- Sheet 3 of 20
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IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 Z
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IT IS DUE TO THE QUALITY OF THE, - - - �
No.38 01-Mill""—
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Page No. 1 CASE HISTORY FOP CASE NO.: PLM92-0156
PADV GHIOTNEA
11695 SW GPEMURC RD
05/05/98
Action Description Req/ Schd/ Enid/ Action Notes Disp By Update Upd
'ode Sent Done Done Date By
PLMA050 (F) Issue permit / / / / 10/13/92 PASS JLH 10/17/92 JH
11[MA705 Sewer Jnepection / / / / 06/12/95 PASS TLP 06/13/95 TLP
PfMA725 Trp out Insp / / / / 12/04/92 PASS KS 12/07/92 MRS
PIMA799 Final Inspection / / / / 12/24/92 APP MS 05/08/93 JH
1'I14A800 Case Finaled / / / / 12/24/92 PASS MS 02/06/96 MRS
Vag* No. 1 CASE HISTORY FOR CARE NO.' ELC96-0055
RADU GHIONSA
11695 SW GREFOMURG PD
05/05/98
to tiwi Deocripticn Reg/ Schd/ hnd/ Action Notee Diep By Update Upd
code Sent Done Done Date By
ELCA00l. Application received 01/30/96 / / 01/30/96 PASS JSD 01/30/96 JD
ELCA003 Permit created 01/30/96 / / 01/30/96 PASS JSD 01/30/96 JD
M.CA500 (F) Issue permit / / / / 01/30/96 PASS JSD 01/30/96 JD
ELCA700 Ceiling Cover 01/30/96 / / / / 01/30/96 JD
ELCA720 Wall Covet 01/30/96 / / 06/14/96 PASS TLP 06/14/9E TLP
ELCA730 Elect'l Service 01/30/96 / / 06/14/96 PASS TLP 06/14/96 TLP
ELCAA749 E]ect'1 Final 04/10/98 / / 04/10/98 PASS TLP 05/05/98 JT
ELCA600 Caoe Einaled / / / / 05/05/99 05/05/98 JT
Page No. 2 CASE HISTORY FOR CASE NO.. MST95-0179
RADU GHIONF.A
11695 SW GPnENBURG RD I
05/05/98
Action Description Req/ Schd/ End/ Action Not-as Dimp By Update Upd
Code Be.-.'- bane Done Date By
------------------—---------- ..------- -------- -. ..----- ---------- -...------------------------- ---- --- -------- -—
MBTA722 Plumb Top Out 06/14/96 / / 06/14/96 tlp PASS TLP 06/14/96 TLP
page
MSTA'123 Electrical Service 06/14/96 / / 06/14/96 PASS TLP 06/14/96 TLP
MSTA724 Electrical Rough In 01/26/96 / / 01/26/96 NIR GS 07/26/96 BT2
MSTA724 Electrical Rough In 06/14/96 / / 06/14/96 PASS TLP 06/14/96 TLP
MSTA725 Framing Inap / / / / 01/26/96 NIR GS 01/26/96 GES
MSTA725 Framing Inap 06/14/96 / / 06/14/96 PASS TLP 06/14/96 TLP
MSTA725 Framinq Inap / / / / 03/04/97 b-1- framing inspection app by tlp A/N KS 03/04/97 KBS
MSTA735 Gas Line Inap / / / / 06/17./97 Gas line approved, tags #176316, 12 1/5 PASS RB 06/12/97 J+H
" at 1044-1059
MSTA740 Insulation Inap / / / / 06/05/97 1. Pont and beam structural failed PART RB 06/06/97 J-H
082895, owner/builder claims that this
part was approved.
2. Before cover get gas line inspection
(insulation appr'd lean gas line
inapection).
M.4TA745 Gyp Board Inap / / / / 08/28/97 1. Green board not allowed in ceiling in FAIL RB 08/29/97 J"H
wet areae, unlean atructural framing is
spaced no greater than 12-inches o.c,
2, Hot water heated b-vent clearance >
okay. FUTURF. TNSTALLATIONI
MSTA755 Rain drain Inap / / ,' / 09/01/95 NIR GS 09/01/95 GES
MSTA755 Fain drain Insp / / / / 09/11/95 APP GS 09/12/95 GES
MSTA790 Electrical Final 02/06/98 / / 04/10/98 PkBS TLP 04/12/98 J•H
MSTA795 Mechanical Final / / i / 04/10/98 PASS TLP 04/12/98 J'H
MSTA797 Plumb Final / ,/ / / 04/10/98 PASS TLP 04/12/98 J*H
MSTA799 Building Final / / / / 04/10/98 PASS TLP 04/12/98 J•H
MSTA970 Came Finaled / / ! ! 05/05/98 05/05/98 JT
Page No. 1 CASE HISTORY FOR CASE NO.: MST95-0179
RADU GHIONEA
11695 SW GREEN9URG RD
05/05/96
Artist Description Req/ Schd/ End/ Action Notos Diap By Update Upd
Code Bent Done Done Date By
MSTA007 Applicatim received / / / / 04/11/95 PASS SW 05/01/95 BLT
M9TA010 Plan check deposit paid / / / / 04/11/95 PASS SW 05/01/95 ELT
MSTA020 Plan check by 05/01/95 / / 05/01/95 PASS RT 05/01/95 BLT
M9TA092 (F) Issue combination permit / / / / 05/02/95 BON 05/02/95 B
MSTA705 Footing Insp / / / / 07/27/95 PASS TLP 07/28/95 TLP
MSTA706 Foundation Insp / / / / 07/27/95 PASS TLP )7/28/95 TLP
MSTA710 Post/Beam Structural / / / / 08/29/95 BOLT LEDGER 12" FROM STPD OF BD, JOISTS DIS GS 08/28/95 GES
IN CONTACT W/ CONC TO BE PT, VAPOR
BARRIER AS NEEDED, VENTILATE UNDERFL,
SEE PLM UNDERFL
MSTA"111 Pont/Beam Mechanical / / / / 08/28/95 NONE. IN DIS GS 08/28/95 GES
MSTA711 Post/Beam Mechanical 01/26/96 / / 01/26/96 N/A GS 07/26/96 BT2
MSTA712 Underfloor insulation / / / / 09/14/95 R-21 APP GS 09/15/95 GES
MSTA713 Crawl Drain / / / / 09/11/95 DRAIN IN NEEDS BACKWATER VALVE PART GS 09/12/95 GES
MSTA713 Crawl Drain / / / / 08/28/95 NONE IN UIS GS 08/2B/95 GES
MSTA713 Crawl Drain / / / / 09/14/95 APP GS 09/15/95 GES
MSTA717 PLM/Underfloor / / / / 07/27/95 1 3 foot peice under slab only PART TLP 07/28/95 TLP
MSTA717 PLM/Underfloor / / / / 08/28/95 SHOWER VENT 710 DRAIN IN DIRECTION OF DIS GS 08/28/95 GES
FLAW, WATER NGT IN (MOST WILL BE
OVERHEAD WATCH FOR WECVENTING A'r TOPOUT
MSTA717 PLM/Underfloor / / / i 09/11/95 DIE GS 09/12/95 GES
MSTA717 PLM/Underfloor / / / / 09/08/95 ms FAIL MS 09/14/9S MRS
fail
wet vents-line vented-
MSTA717 PLM/Underfloor / / / / 09/14/95 APP GS 09%15/95 GES
MSTA717 PLM/Underfloor / / / % 09/19/95 UNDER FLR WATER PIPING; INUSLATR ALL APP GS 09/19/95 GES
PIPES BELOW FLOOR INSULATION
MSTA720 Mechanical Insp / / / / 01/26/96 NIP G8 01/26i96 GES
MSTA720 Mechanical Insp / / / / 04/16/97 M-1- provide prote<.tive collar at B vent AiN KS 04/17/97 RBS
for water heater
residence na: existing water heater,
hone owner
han installed vent for later
inrtallation.
MSTA720 Mechanical Insp / / / / 09/28/97 PASS RB 09/29/97 J-H
MSTA722 Plumb Top Out / / / / 01/26/96 NIP OS 01/26/96 GES
rTY
CITY OFTIIFARD Cff im R�D
)MMUNITY DEVELOPMENT DEPARTMENT
126 SW Hidl Blvd. P.O.Box 23397,TigiW,Oregon 97223(6031634.4176
PLUMBING PERMIT
FERMI T' #. . . . . . . : PLIV192-0156
639-4171 DATE ISSUED:
SITE ADDRESS. . . : 11695 SW GREENBURG PARCEL: 0S000X)(---00V100
SUBDIVISION. . . . s ZONING:
BLOCK. . . . . . . . . . L01. . . . . . . . . . . . .
CLASS OF WORK. . eADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. :
J,YPE OF USE. . . . jSF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . I
UL,CUPANCY GRP. . s R3 FLOOR DRA114B. . . . . . . a TRAPSP . . . . . . . . . . . . .
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . .
171 LAUNDRY TRAYS. . . . . . . SF RAIN DRAINS. . . . .
SINKS. . . . . . . . . . ..3 URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : ! SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : 1 -WATER LINE (ft ) . . . .
DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . :
Remarks :
Owners ------------------ FEES
RADV GHIOINEA t ype amcil.int by date
11695 SW GREENBURG RD PRM! $ 37. 50 JH 10/13/92 —
SPCT $ 1. 88 JH 10/13/92 —
TIGARD OR 972E3-0000
Phone #v 503-620-6202
Contractor: _..__._..__._..._.____._.._.._.._—_—__._.._._—_--_
OWNER
---------------------------------------------
I Iloilo $ 39. 38 TOTAL
llt-L4 #. 00000
REQUIRED INSPECTIONS
fhis permit is issued subject
iect to the regulations Contained in the TOP—OUt Insp
I igard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws, All work will be done in accordance with
approved plans. This permit will e4pire if work is not started
within M days of issuance, or if work is suspended for more
than IN days.
I-ermittee Signatuvei �Ld Q�o
I. SSLIed By :
Lal !. for inspection 639-4175
Permit No: /2-ZZ
Address: t) '
Issued by: _ Date /3 el
-FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the building permit can be issued. This state-
ment 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 applicable blanks, and initial boxes 1 and 2, and either box 3A or 313:
C�
1 . 1 own, reside in, or will reside in the completed structure.
2 , __1 I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A .! i My general contractor is
Contractor registration number _
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR /
--. l_ Y 1
3. B. ! I I will be my own general contractor.
If i hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will imrnediately 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 understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of hls form.
Signature of Permit Applicant Date
%ONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
INFORMATION NOTICE TO PROPERTY OWNERS ti
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Nonce to Property Owners About Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701.055(5).
passed by the 1989 Oregon Legislature.
If you arra 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:
It you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting
in the s:onstruiption 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 T4x-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 Department of Revenue at 378-3390
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 DI-IR
at 378-3224.
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 he 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 DIF at 373-7434.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages.
You will be liable for the iax payment even if you didn't actually ,withhold the tax. For more information, call
the Internal Revenue Service at 221-3960 {
i
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
t
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 punc-
tures, 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 to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OP.,, 97310-0151
Phone 503-378-4621
0244J 10/24/89
I ELEC CRICAL LCRMIT
CITY OF TGARD PERMIT # : ELGr+f�--I�1n5�
DATE ISSUED: 01/20/9&
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8109 (503)639.4171 PARCEL : 15 1 35DC-01500
...)1 TL . . . . lit ', ;�W t 1 L.1wiV1:.Jl t. itiu
SUBDIVISION. . . . : T I GARDV I I_LE PARK "ZONING: R--4. 5
14LOLK. . . . . . . . . . . LOT. . . . . . . . . . . . . :9
1=1r,0.ject Description» ADDITION AND GARAGE CONVERSION
_RESIDFIVTIAL UNIT - - ...---TEMP' SRVC/FEEDF4C•---__ - -
1000 F OR LESS. . . . : 1. 0 - �010 amp. . . . . . . . 0 PUMP/IRRIGATION. . . . : N
EACH ADD' L 5005F. . . 0 `01 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0
LIMITED ENERGY. . .. . . : 0 401 600 .amp. . . . . . . : 0 IC.)NAL/PANEL_. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps--l.000 volts. : 0 MINOR LABEL.. ( 10) . . . : 0
�CRVICt /rEGDE R-._ ___... _.--_- BRANCH CIRCUIT°; __._..__. -ADD' L INSPECTIONG_..___
0 -- 200 amp. . . . . . ; 0 W/SE'RVICE OR FEEDER; 0 PER INSPECTION. . . . . : 0
201. 41710 ainp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . .. 0
401 - F)00 aryl p. . . . . . . 0 EA ADD' L DRNC:.'H CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 111100 -Amp. . . . . . 0 - __- __.__._,__.__._--{`'LAN E:EV.TrW aE^CYTON- - - _____.._.__. ._.....
11100+ amp/volt. . . . . : 0 i =4 RES UNITS. . . . . . . . : ? 600 VOLT NOMINAL. . :
Recunnecb only. . . . . : 0 SVC/f DR ? _ 225 AMPS— : CLASS ARErA/SPIEC OCC.
Uwner-. -- ---____,_______._._..._------_...____.__._______.______..___.____.___ FEES
RODU GIATONEA type amount by date recpt
l i695 SW GRFENSURC fir^. PRMT $ 110. 00 J51) 01/30/96 96--275471
5PCT $ ",. `.SQA _151) 01/.:0/96 9 6-2,7c 471.
TIGARD OR 97`23-0000
!:'hone # : 503--0.0--7276
OWNER f 115. 50 TOTAL
- -- REQUIRED INSPECTIONS -
Ceiling ('over- Elect' 1 Get-vice
F'hoTie #: Wall. Cover- Elect' 1 Final
Reg #. . : 000000
This permit is issued subject to the regulations cortaired in the
Tigard Municipal Cade, 5t ate of D e. Specialty Codes and all other Permittee �siynat .ir-e
applicable laws, All work will be done in accordance with
approved pians. This permit will expire if work is not started �1
.it`iin 168 days of issuarce, or if wo'• is suspended for more
-n 160 days, I shad ....By"
-OWNER INSTALL.ATIOEV
e installation is being made on property I own which is not intended for-
Ie, lease, or rent .
d^+FR' S SIGNATURE: : DATE,.
INSTALLATION ONLY _..-__._. .
C�NA'f URE OF SUF'R. LLf_C;' N: DATE:
I CEN'.-3L NO:
Call for inspection -- 639--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit # _
Date Issued 7 -,
Phone (503) 639-4171
CITY OF TIOARD FAX (503) 684-72.97
TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address �la-I S �V ',pGfRr �L���" ^"� Service lnclud^d Items Cost(ea) Sum
City/State/zip�IlQ_�i'�t�, lC. Z7.� 4a. Residential -per unit r
1000 sq ft or less $11000
Name (or name of husiness)__ Each additional 500 aq it or
r portion thereof $2500
Commercial DResidential I_ Limited Energy $2500 __ 1
Each Manurd Home or Modular
Dwelling Service or Feeder _- $6800 2
2a. Contractor installation only:
4b. Services or Feeders
Installation,alteration,or relocation
Electrical Contractor _ __ _ 200 amps or teas $60002
2
Address _ _ 201 amps to 400 amps _^ $8000 2
City_ State Zip__ 401 amps to 600 amps $12000 2
- - --- 601 amps to 1000 amps S18000 2
Phone No. _ - -_, Over 1000 amps or volts $34000 2
Job NO Reconnect only T $5000 _ 2
contractors license NO. 4c. Temporary Services or Feeders
Contractor's Board Reg. No. ...... Installation,alteration,or relocation
Signature of Supr. Elec'n _ 200 amps or less �_ _ 2
License No. Phone No. 201 ampa+0 40o amps E50 00 2
-�- - -- 401 amps to 600 amps
$1500
Over 600 amps to 1000 volts $10000
2b. For owner installations: see"b"above
".amu C-��-Ilr^`ti"��f} 4d. Branch Circuits
Print Owner' Name �(t7_� New eltemlion nr extension per pane
Address �� S c WeI�Tlft)` ICP -^' nI The fee for branch circuits with
City_ f State(y}{ Z �L Z purchase of service or feeder fee
Each branch circuit $500
Phone N ��(1� �__ bl The fee for branch circuits without —�'-
The installation is being made on property I own which is purchase of service or feeder fee i
not intended for Sal ase r rent. First branch circuit __` $3500
` Each additional branch circuit $500
Owner's Signature
4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (it required): Each pump or Irrigation circle $40o0
Each sign or outline lighting $4000
Signal circult(s)or a limited energy
Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $40 00
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection the
over
Classified area or structure containing special occupancy the allinspowable a in any of the above
as described in N E C Chapter 5 Per hour tion __ E35 00
Per hour $5500
In Plan; _ $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. i$. Fees:
5a. Enter total of above fees
NOTICE 5% Surcharge (05 X total fees) $ r).
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subfofal $
COMMENCED „,.o, �_ Trust Account 0
"7
Balance Due $
CITY OF TIGARD ��
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223a8199 (503)639-4171
14'1 T
DA7C If
1
TlGnRDVLLr
ZEIN I NL
0 . . . . . .
...........
DWE'Ll lNti UNTTS:0) DA GEMENT. . . . f
:pDn SEDRMSi.� PATHS 13 GARAGE. . . . . . . . . . :
prQUIRED
!jr rLOOr, nPEll-1 - -
'11- ','r LON' T. SN F I RST. . . . :20" rf LEFT. . :0 ft RIGHT.
r
n" f rRONT. .0 Ft R ('4q.
R 1 FINBGMENT ;0 s REQUIRED-
T.C 1-7
. . . .. . . . . . 17 f11 TOTAL . :CG2_ 1:f c.7MOKE DETECTORC. 'i
o 23,4 PARKING SPACEC,. . .0
n, 82
? �,onr). . . , � 40 f VALUE. . . . . $j 1
0111!a,_I, ,; , I)IMITTON
PLUMBING
1p FLOOR DRAINS. . . . :0 DOCKF; 014 r'-PF'1NT90. .
4VATOR ICS. . . . WATER HEnTURS. . . :i2 TRAPS. . . . . . . . . . . . . . :0
1_-6)LJf.IDRY TROY0. . . :0 Cr4T(.1-i PA7,11-473. . . . . . . '0
.3 SEWER LINE (ft ) . iO GREASE TRAPS. . . . . . . ..k�
-in'",i ir .dAT!' r. L I I'-I[' (ft ', . :0 OTE-lr*P FIXTURES.
RAIN DRAIN (ft ) . sO
'Y' RAIN DRAINS. . :0
F'LE
e amol.pi't b y (I-,r,
i-,(%
Kl
�' T -. 7 SPRT t 134. 50 B 05/0
Ri q) 11,0(111;._ 0 B5Pc 6. 73 D 05/0L'..
E7 kj W001, T(7l7�. ;i 67� 00 P - 1 0
MPP1 05, .'L ..
LOOR FURN. -0 CLO DRYER"". M P L C f 16. 75 B 17,S/0:'/05
till'I I c P, li N xr-rc t.
c-un.-r, -r-RT t 108. 00 14 05/0F,/1:
0 F3
j 41 1 r 1-t'l
L
7 f,r. r,C r.
4c . 1C. TIL TAL
alt ii issued subject to the regulations ccntii .ed A". the REQUIRED I NSPEL
)ard M:.r)jcipal Ccde, State of D% Specialty Codes and 'ill otl- Footing Intsp F Y,a m i n ip
C" work will be dome in accordance with appi —I:? Poundat ion Ins;p Insulat i on Tn
-
xpire if work is not started �,nthin IN Post"Beam IS'tr-�(ct Gyp boarcj Ins,
,ork is suspen 0 E I'm- ""? -,-,c
Pr#Ft 1ream Mect)An Rain cJt-c'in In
rt ftlr3chi,an ical r'i
t u V-1+ 1/4 N/I I P I li in 1, 1, i n- 1,
PlectleAlt II P Building f-i,
HAk0V1t41_1'1__ 1 1. 1 _j
C�Al . tae iriapecltiun 6.39 -,+175
V�el
Residential Building Permit Application ,V
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �6� r CrrPPx �
Subdivision: _L��G CLi. %,5��p . Lot # Office Use Oniv
Valuation: / Contact Date / / Initials
Result
Planck/Rec # 14 - Z Z (,
New Construction Only: (Square Footage) Permit #J1I st'_fj- U / y
House: Garage: Reissue of
Map & TL # 15 135.V.)C - O 1500
Zone
---'
Corner Lot? Y.� Plat #N Flag Lot? Y N
Owner: --
yjex" -a¢ E�'rGt Approvals Required
� i /t�'Ni0 G�� 1
Address: b'6G1S Planning Setbacks Oµ" Solar ^Q�-
—� Engineering
Other
3 Items Required
Phone. I $03 ) ro.2C7 •- ZZ76 C-'
Subcontractors v'
Contractor. E,�ti� k 101�-- Truss Details
Address Other
Notes
Phone _—
Contractors License # —
(attach copy of current Oregon license)
Contact Name:
Contact Phone j )
Subcontractors: Architect/Engineer:
Plumbing: Address:
Mechanical _
(attach copy of current OR Contractor's License)
Phone:
JOB D E S C R I P I O N �' c" r W crr/w/ ety Q(7, 9,e c41 Jul A4e oN.
e 1-1 IV
2 72 w_�Ln 72 A C,/
Applicant Signature Applicant Phone number /
Received by Date Received:
!1 Vealnd!vhMO \ _ -
I
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) /3�,S
Plumb. Permit (PLUMB) 1 110
Mach. Permit (MECH)
State Tax (TAX) /S•U r 1^
Bldg: " ? 3
Plumb: .5 '
Mech:
� 1
� / . 3.>
Plan Check (PLANCK) r�� �_
Bldg: 7, q 3
Piumb:
Mech:
Sewer Connection (SWI ISA)
Sewer inspection (SihINSP)
Parks Dev Charge (PKSDC) r
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
I
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) _.
TOTALS: 3 3573 3.:
Permit
bF p
"AA. w, .9�1 Address: I (p .5 L "
:�,.. issued by: k _ Date: _�5^
►gy4
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 carr 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 hla"nks and initial boxes I acid 2, and either box 3A or 313:
l� I own, reside in, or will reside ir, the completed structure.
2. 1 understand that i must register as a construction contractor if the structure is sold or offered for sale
►' before or upon completion.
❑ 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must he
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 Constructiou 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 Propert Owne s about Construction Responsibilities on the reverse side if this form.
(Signature of permit applicant) c!)atr 1
(White copy to issuing agcwc y permit,/ilc.
pink copy to applicant)
information Notice to Property Owners
About Construction Responsibilities
Note: This Information Nobs.(,to Prfti,ertp O4wrer.s uhottt Cor'astructkm Responsihilitr' .�
wa.s developed by the Construction Contractors Rotord in accordance ii0h ORS 701.05-7(5�.
ll you are acting ac vour own contractor to construct a new home or maks:a,nh�tantlal improvement to an em.
You can ptrvent many problems by being aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES.
If you hire persue , not registered with the ( unstrucnon Contractors Buaid to do I Thor in constructing or assisting in the
urnstruction or improvement of a residential structure, you will,in most instances,he ruled to be an employer and,he 1vopl,
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 taxa from employee wages at the time employees
are paid. You will he liable lirr the tax payments even if you don't actually withhold the tax from your employees. For moi.
informaJon,call the Oregon Dept. of Revenue at 945-8091.
Unempioyment insurance tax: Aan employer, you are required to pay n tax for unemployment insurance. purposes on th
wages of all employees. For more information,call the Oregon Employ nient Division at the Deportment of Human Resoum,-
at 378-351-4.
Workers'compensation insurance: As an employer,you are subject to the Oregon Workers'Compensation Law,and tuust
obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation ur,urance, yoti i.,
he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. 1~or more informau
call the Workers'Compensation Division at the Department of Consumer and Business Services at 04-1-7998.
U.S.Internal Revenue Service: As an employer,you must with1 id federal income tax fmm employees'wages. You will h,
liable for the tax payment even it �ou didn't actually withhold the i,o I or more information,call the internal Revenue Servic
at I-SM-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this prgject,you are responsible for resolving any failure to meet code requirement
that may he brought to your attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate ins Trance coverage fol
accidents and omissions such as falling tools,paint overspray,water damage from pipe pun.:tures, fire, or work that must hr
re-clone.
Time to supervise employees: Make sure you have sufficient time to cupervisc your employees,
Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and finial
trades. and to notify huildirig officials at the appropriate times so they can perform the required inspections.
M�``.1.
If you have additional quesftons, "rite or call the Construction Contractors Board(PO Box 14141 Salem,OR 97309-5057
5113/378-4621). The Board is located at 7(x)Summer St. NE Suite 3(X), in Salem.
prop-own.pm4
1194
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date RNuested: A.M. P.M. MST: C 0 7 i
A.M.
lenant: Suite: Bldg: MFC:
-- - —
l'ontrecktt: Phone:�l'r��� � � 2 7� �
PI.M:
Owner, Phone: Z�'; - ZJ(� EI,C:
-_�- in EI.R:_
Ju
I I 1' L' Sri, -
ECTBULDINC DG RCA SITE
Site >iCAI-catn Post%learn os cum c` SewerStotm
Footing Roof IJnd!-'I/Slah Roujh-In Ceiling Water I.ine
Slab Framing Top Out Gas Line kough-In Wir Sprinkler
FoundationSewer Ilood/Duo RLtonnect Vault
lstnt Damp In atiun Stonn Fumacc Temp Service MISC.
Masonry Ceiling Rain Dram AX iJG V,ab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih I lent P t I,ow Volt
pproved 3 rov rove 1 Approved
Appr/Sdwlk roved No vc I dv�•1 Not Approved
FINAL' F'INAI, > FINAL FINAL FINAL
❑Call for rc xtct i 17 Reinspection fee of S rebet' re next inslxxtiom ❑l enable to i qwo
Inspector:
Dare e �� �� Inge_
April 17, 1995 CITY OF TIGARD
OREGON
Mr. and Mrs . Radu Ghionea
} 11695 SW Greenburg Road
Tigard, OR 97223
Re : Two studio unit addition related to Plan Check 4-22R
Dear Mr. and Mrs . Ghionea;
This letter is in response to the proposed remodel of the existing
garage for use as two studio dwelling units . The property is
residential and zoned R-4 . 5 . (which allows up to 4 . 5 dwelling units
per acre) . The primary intended land use within this zoning
district is a single family detached dwelling unit . As proposed
the remodel proposes to create a total of three dwelling units
which is defined in the Development Code as a multiple family
(apartment type) dwellings .
This type of change will require modifications to the floor plan
and under most of the scenarios I've outlined below, review and
approval of a Conditional Use Permit at a Public Hearing. This
will be necessary in order for the site improvements to remain
consistent with the property' s zoning and to obtain Building
Permits . For these reasons the Plan Check is presently on hold
pending submittal_ of a Conditional Use Permit and revisions to the
Building Permit Plans to address these issues .
The Development Code defines a living unit as a structure which
contains areas for living, sleeping, sanitation and a kitchen.
Below are several options which may be used to comply with the
Community Development Code :
1) One element of the .living areas for each unit could be
deleted. With this change the floor plan changes would be
considered a residential remodel (room addition) and would be
permissible with Building Permit approval .
2) An application can be made for a Conditional Use Permit to
add an accessory unit . Accessory units are required to be a
minimum of 250 square feet . Presently both of the proposed
units appear to be slightly less than 250 square feet . The
Development Code restricts the use of an accessory dwelling
unit to family members only.
3) An application could be made for a Conditional Use Permit
to add a unit to create a duplex. The Code requires a 10, 000
13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 —
square foot lot for a duplex (two units) with a 90 foot lot
average width. The lot appears to exceed these standards .
This type of dwelling unit is not restricted in terms of
minimum size or who could rent the unit .
4 ) An application for a second Conditional Use Permit could
be made to add to either an accessory unit or a duplex. In
the R-4 . 5 zone a total of one additional accessory unit or one
additional duplex type unit can be permitted. The second
Conditional Use Permit would allow a total three dwelling
units which is the maximum number of units permitted on a
single lot in this zone .
The site plan will also need to be revised to show areas for off-
street parking. off-street parking areas are required to be
improved with asphalt or concrete .
After remodeling the garage, the principal residence will still be
required to have a minimum of two uncovered or two covered off-
street parking spaces . A minimum of two uncovered or two covered
spaces are also required for each unit- within a duplex. A minimum
of one covered or one uncovered off-street parking space will need
to be provided for each studio unit . By adding a total of two
units, one as a duplex unit and one as a accessory unit , a total of
five off-street parking spaces will be needed, including those
needed for the principal residence .
A Conditional Use Permit is an involved Public Hearing process for
which you may wish to retain assistance . Please feel free to
contact me concerning this information and to schedule a
Preapplication Conference concerning a Conditional Use Permit .
Sincerely,
l �
Mark Roberts
Assistant Planner, AICP
Attachments
C: Dick Bewersdorrf
Bob Thompscn
Develop ,_�►`�!� Te Gj�n,icians
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
i