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10920 SW NORTH DAKOTA STREET-1 iS ViO)IVD HIHON MS OZ606 a Y Q a � N O z m co i7 0 W N J r 10920 SW NORTH DAKOTA ST CITY OF T I G A R D _.� MASTER PERMIT PERMIT M MS12004-00091 DEVELOPMENT SERVICES DATE ISSUED: 3/22/04 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 SITE ADDRESS: 1092.0 SW NORTH DAKOTA ST PARCEL: 1S134DB-03800 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: Addition of 336 sq ft to existing shop/garage. Construction of breezeway to comply with zoning regulations. BUILDING _ REISSUE: CUSTOM STORIES: I _ FLOUR AREAS ,_— REQUIRED SETBACKS __ REQUIRED _ CLASS OF WORK: ACS HEIGHT: 12 FIRST: of BASEMENT: of LEFT: 10 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: 136 if FRONr: PARKING SPACES. TYPE OF CONST: 5N DWELLING UNITS: I TNIO of RIGHT 10 OCCUPANCY GRP: RJ DORM BATH: TOTAL: 0 of VALUE: 15.000 00 REAR: PLUMBING _ SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN GRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISP. WATER HEATERS WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHFR FIXTURES: ME!HANICAL FUEL TYPES FURN<LOOK. BOIL/CMP<)HP: VENT FANS: CLo'rHEs DRYER: FURN>-100K: UNIT HEATERS: HOODS: OTHFF.UNITS. MAX INP: htu FLOOR FURNANCFS: VENTS: WOODSTOVES: GAS OUTLETS: -_ ELECTRICAL RESIDENTIAL UNI,_ SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUIrS KNSCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 -200 amp: WIS VC OR FOR PUMPORRIGATION: PER INSPECTION: EA ADD".500SF: 201 - 400 rnp: 201 - WO amp1st W10 8VCIFDRrn SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 500 amp: 401 - 000 amp: FAADDL BR CIRSIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601.amps•1000,-: MINOR LABEL: 1000 amprv0lt PLAN REVIEW SECTION Reronnact only: >.4 RES UNITS: SVC/FOR-225 A.: >600 V NOMINAL: CLS AREAISPC OCC: _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM:i AUDIO R STEREO: FIRE.ALARM: INTERCOMIFAGING: OUTDOOn LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: nATA/TFLE COMM: NURSE CALLS: T OTAL 0 SYSTEMS- Owner: Contractor: TOTAL FEES: $ 367.78 This permit is subject to the regulations contained in the BRAUN,WILLIAM H JR+ ANNE M OWNER Tigard Municipal Code,State of OR. Specialty Codes and 10920 SW NORTH DAKOTA ST all other applicable laws All York will be done in TIGARD,OR 97223 accordance with approved plans. This permit will exphe If work is not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the I— Phone: Penne: Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Rep,, may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. m Ia REQUIRED INSPECTIONS W -- - -j Slab Insp Electrical Final Electrical Rough In Final Inspection Framing Insp Shear Wall Insp Insulation Insp Ax>Z Permittee Signature Issued By . _ -� 9 Call(503) 639-4175 by 7:00 p.m. for an Inspection needed the ne t business day 1 Building Permit Application "911 City of Tigard ..':7d .e/Bed r Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DaWBy: Other Permit Inspection Linc: 503.639.4175 Dau Ready/By: lu IV fiil See Atlachnl Checkflst for Internet: www.ci.tigard.or.us Notifted/Method: Supplemenullnr.trmatfon TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition ^— Permit fees*are based on the value of the work performed. ------ Indicate the value(rounded to the nearest dollar)of all Adclition/alterationhepla�ement ❑Other: equipment,materials,labor,overhead,and the profit for file CATEGORY OF CONSTRUCTION work indicated on this application. -- ,— Valuation: - S /C.� [] 1-and 2-family dwelling ElCommercial/industrial — _— •f Accessory building 0 Multi-family � Number of bedrooms_ ❑Master builder ❑Other: Number of bathrooms: ry y JOB SITE INFORMATION AND LOCATION Total number of floors1 3117 7,11 Job site address: New dwelling area: square feel#_3�0 City/State/ZIP: � � �l 3 Garage/carport area: square feet Suite/bidg./apt.no.: �T Project name: Covered porch area: square feet Cross slt-et/directions to job site: — Deck area: square feet Other structure area: square feet REQtIIRRU k1k COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees'are based on the valne of the work performed. Indicate the value(rounded to the nearest dollar)of all 7 e,,map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIP i RON OF WORK work indicated on this application. Valuation: S d� —r4--�✓ Existing building area: square feet New ouilding area: square feet �[PROPERTY OWNER ❑ TENANT Number of stories: Name: &I _—_ Type of construction: Address: zeq2,42 Occupancy groups: City/State/ZIP:� �r�� Existing: Phone:(45b3) Mpg f_ �- Fax:(50 40f/— Sj New: APPLICANT CONTAI T PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: 7Y licensed with the Oregon Construction Contractors Board a — under ORS 701 and may be required to he licensed in the Address: _�� —�j jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons N U) City/Statc/ZIP:4/59' 49�0_a f—,e— 9A2SC _ apply: Phone. ) : : m E-mail: U" CONTRACTOR w W _ J Business name: -- J�f�yL �,�� _ BUILDING PERMIT FEES" Address: ,ce". ,�l ___ Please refer to fee schedule City/StatelZlP- &�_�_�i� L Z—�� — Fees due upon application Phone:( �y ` `s � Fax:( _ ) Amount received CCG lic.: — Date received: Authorized signature: This permit application expires If a permit Is not obtained within IAO days after It has been accepted as complete. Print name. Date: ^1�_ ' Ser methodology set by Tri-County Building Industry Service Board. i\Building\Permits\BnP-PermitAlfid- nmi 440-4e13T(n1071COMnvea) One- and Two-Family Dwelling Building Permit Application Checklist Citi'of TigardD;; B`d Pemtit No. 13125 SW Hall 131vd.,Tigard,OR 97223 Associated tram Phone: 503.639.4171 Fax: 503 598.1960 24-Flour Inspection Line: 503 639 4175 Ll Electrical ❑ Plumbing 7 Mechanical O Internet: www.ei.tigard.or.us R Other: I Lan.,use actions,completed. See jurisdiction criteria for concurrent reviews. 2 Zonin Flood lain solar balance points,seismic soils designation,historic district,etc. T- 3 Verlftcat of a roved 4 Fire district novel required. Name of district: 5 Se tics stem mit or authorization for remodel. Existing system capacity 6 Sewer permit. — 7 Water district a prikal. ❑ 8 Soils report. Must ca ori incl a plicable stamp and si ature on file or with application. _ _ ❑ 9 Eroslon control ❑plan permit required. Include drainage-way protection,silt fence design and location of catch- ❑ b rotection,etc. 10 omplete sets of legible p s. Must be drawn to scale,showing conformance o applicable local and state ❑ ing codes. Lateral design de 'Is and connections must be incorporated into the lens or on a separate full-size sheet attached to the plans with eros eferences between plan location and details. P n review ca+rnot he completed if c2 right violations exist. I I S1te/pl,)t plan drawn to scale. The plan ust show lot and building setback dimens ons;property comer elevations(if there is more than a 4-ft.elevation difTerentr plan must show contour lines at 2-ft. ntervals);location of easements and driveway;footprint of structure(including cks);location of wells/septic cyst s;utility locations;direction indicator;lot area;building coverage area;percen a of coverage;impervious It ;Isting structures on site;and surface drainage. _ 12 Foundation plan. Show dimensions,anchor bolts,any old-downs and reinfor ing pads,connection details,vent sizeEl El and location. _ — — 13 Floor plans. Show all dimensions,room identification, N- inches e,locati of smoke detectors,water heater, furnace,ventilation fans,plumbingfixtures,balconies aninches ova ade,etc. 14 Cross section(s)and details. Show all framing-member ci such as floor beams,headers,joists,sub- floor,wall construction,roof construction. More than ontio ay be required to clearly portray construction. Show details of all wall and roof sheathingoo I ,ceiling height,siding material,footings and foundation,stairs,fire Ip ace construction,thermal irs . _ 15 Elevation views. Provide elevations for new construction;minimu of two ale tions for additions and remodels. ❑ Exterior elevations must reflect the actual grade if tie change in de is greater th four If, at building envelope Full-size sheet addendutms showing foundation elevations with oss references are a e table. 16 Wall bracing(prescriptive path)and/or lateral analysis pl s. Must indicate details d locations;for non- prescri live eth anal sy is provide specifications and calcula ons to engineering standards. _ 17 Fluor/roof framing. Provide plans for all floors/roof ass blies,indicating member sizing, acing,and bearing El locations. Show_attic.venti ation. _ 18 Basement and retaining walls. Provide cross sectio and details showing placement of rebar. r engineered El 1:1 El systems,see item 22,"Engineer's calculations." ____ 19 Beam calculations. Provide two sets of calcul ' ns using current code design values for all beams an multiple joists D El El over 10 feet long and/or an beam./Joist carr . a non-uniform load. 20 Manufactured floor/roof truss design d ils. 21 Energy Code compliance. [dent tfy t rescriptive path or provide calculations. A gas-piping sch^uratic is squired for 0. four or more appliances. F— 22 Engineer's calculations. Wh equired or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or El El U) architect licensed in Oreo d shall be shown to be a licable to the protect under review. 24 Five 5 site 1 required for Item I I above. Site plans must be 8-1/2"x I I"or I I"x 17". iv 24 Two 2 sets each are required for Items 16, 19,70 and 22 above. _ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. W 26 "Reversed"buildin Tans must meet criteria outlined in the Permit&System Development Fees document. J 27 "Drawn to scale"indicates standard architect or en ing eer scale.` 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. _ 30 A Clean Water Services',Sensitive Area Pre-Screening Site Assessment form is required for all building sciditions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. i:\Building\Permits\One-Two-FamilyChecklist.doc 12/03 Electrical Permit Application City of Tigard Received �t p Perna:No.: 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review - Phone: 503.639.4171 Fax: 501.599 1960 Date/By- Other Pemut. Inspection Line: 503.639.4175 Date Ready/By: �I B See Pace a tar Internet: www.ci.tigwd.or us Notified/Mcthod _ _— �sappkewatal larnrmaNmi ❑New construction ❑Add it i on/alteration/replacement Please check all that apply. ❑ Demolition Other: ❑Service over 225 amps,con m'1 ❑Hazardous location FJService over 320 amps ra ng []Buildng over 10,000 sq.R., of I-and 2-family dwelling 4 or more new residential ❑ I-and 24mily dwelling ❑Commercial/industrial ❑Accessory building ❑System over 600 volts nominal units in one stnrcture Mr,lti-fimil []Building over three stories ❑Feeders,400 amps or more El ❑ ❑Master builder (tea []Occupant load over 99 persons ❑Manufactured structures or ,•. []Ggress/lighhRV F �+ ❑Health-care facility []Ocher: - Job no.: Job site address Submit_j-sets of plans with any of the above. City/State/ZIP: The above are not applicable to temporary con5lrnC110o ScrvlCc - ., ,..,,. .,:reg :. I�Iti► Suite/bldg./apt.no.: Project name: ! _- ,_ DeeerlPtlea Qry. Fn. teal •• Cross street/directions to job site: New residential single-or multi-family dwelling unit. -- Includes attached prage. _ 1,000 sq.ft.or less -- - 145.15 4 Subdivision: Lot no.: Ea.add'1 500 sq ft.or portion _33.40 1 Tax areal no.: Limited energy,residential - _75.00 2 P Limited energy,non-residential 75.00 2 Each manufactured or modular dwelling,service and/or feed-or A 90.90 12 Services or feeders installation,alteration,and/or relocation J200 amps or less 80-30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 161 Ii✓ 601 snips to 1,000 amps _ 240.60 2 Address: © `Q MT ft Over 1,000 amps or volts 454.65 --- 2- Reconnect only 1 66.85 2 City/State/ZIP. Q n a� Temporary services or feeders Installation,alteration,and/or Phone:(5, Fax:( ) �� relocation — _ 200 amps or less 66.85 1 Owner Installation:This i istallation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 _ 2 intended for sale,lease,runt,o exchan e, cc ng to ORS 47,449,670, td 701. 401 amps to 600 amps -1171 2 Owner signature: Date: _ Branch circuits-new,alteration,or extension,per panel IIIM. A,Fee for branch circuits with " s service or feeder fee,each 665 2 Business name: branch circuit _ -- --- ---�� -_ B.Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 -- - - each branch circuit _ Address: Each add'I hranch circuit 6.65 1 2 City/State/ZIP: _ Miscellaneous(service or feeder not Included) -- Phone: Pump or irrigation circle 53.40 2 fL ( ) -.- Fax: :t ) -- — - Sign or outline lighting — 53.40 _ 2 RE-mail: Signal circuit(s)or limited- 16— � RPM ' erergy panel,alteration,or extension.Describe: Page 2 2 Business name: Address: Each additional inspection over allowable In any of the above_ - Per inspection _ 62.50 (' City/State/ZIP: Investigation per hour(t 62.50 JW Phone:( ) Fax:( ) Industrial Wt. hour"-±4 73.75 CCB Lic.: Electrical Lic.: Suprv.Lic.: Sublotal Suprv.Electrician signature,required: Plan review(25%of permit fee) Print name: Date: State surcharge(8%of permit fee) TOTAL PERMIT 11FEE Authorized signature: Tills permit applicatlnn expires If a permit h mot obtained within 180 days after It has been ateepted a co *kit Plant name: —T—Date- Fee methodology set by Tri-Coumy Building Industry Service Board ••Number of inspections per permit allowed i\Building\Permitr\PLC-PmnitA�dnc 12�Ot 410-461 S1Y1(1Ia7K:nMlVVPB Electrical Permit Application - City of Tigard Page 2 -Supplemental Information LIMITED ENERGY PERMIT FEES: i ff Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Syste ❑ Burglar Alarm ❑ GarLge Door Opener* E] Heating, Ventilation and Air C:onXdt ing System* ❑ Vacuum Systems* ❑ Other: r Fee for each commercial system....................... $7.5.00 (SFE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation F] Fire Alarm Installation ❑ HVAC ❑ Instrumentation a ❑ Intercom and Paging Systems rY N ❑ Landscape Irrigation Control* \ ❑ Medical m ❑ Nurse Calls t7 -w� ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other Installations i\Flui1dinr\Pem*,\FI.0-Pemuh App dm 04M)7 CI-F; OF TIGARD-SITE PLAN REVIEW HUILDING PERMIT NO.: n � — _ PLANNING DIVISION: 1�1-, Li Required Setbacks: ❑ Approved (] Not Approved (� L' Side: JUL Street Side: _ 0tkof%� Front. Garage: - Rear: Visual ('lcarance: qt'� ❑ Approved ❑ Not Approved Maximum Building Height- 2—o— feet I_ — ' '` r CWC Service Provider Letter Required: (] Yes P6 NoI n ❑ Received lig l C�vi-e. Dale: '3 FNCINEL ING UEPARI IXF: Actual Mope:% �pproved ❑ Not Approved PVl u CISY O� TIG Site Plan: Approved ❑ Nut Approved IVISlO BY: M. Uatc: 3- Z L• BUILDING D + � Nous: T r ZI fen1 '66T L ' _ 19 t14• r ( � w Y IDH`-F. I a DRYV. MY./T04 4 I-T-rP- FIAN �'N� 1`- d�5.., G•1.i1�/ver S i ..4�., Permit#: Addr Iss ed by: _ Date:Ag�_�__ 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 he issued. This statement is required ./br 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 he filed with the permit. Fill in the appropriate blanks and initial boxes i and 2,and either box 3A or 313: 1. i awn, reside i.1, 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. U 3A. My general contractor is U (Name) Contractor regis. # 1 will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. r if 1 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 s- registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. n U I hereby certify that the above information is correct and that V have read and do understand the Information a Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Sig ature of permit applicant) (Date) (White copy to issuing agency permitfile, pink copy to applicant) y Information Notice to Property Owners About Construction Responsibilities Note: This Information Notice to Property Uwners about Construction Responsibilities was developed by the Constracrion Contractors Bnard in accordance with URS 701.055/51. 1 f 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 abor in constructing or assisting in the construction or improvement of a residential structure,you will,inmost instances a ruled to bean employer and the people hire will be employees. As the employer,you must comply with the followi : Oregon's ' hholdingtaxlaw: As an employer,you must withhold' a esfrom employee wages atthe time employees are paid. You I be liable for the tax payments even if don't actu y thhold the tax from your employees. For more information,call t regon Dept.of Revenue at 945-8091. Unemployment insurance : As an employer,you are requir to y a tax for unemployment insurance purposes on the wages of all employees. For mo ' formation,call the Orego m oyment Department at 378-3524. Workers'compensation insurance: Asa iployer,yo re bject to the Oregon Workers'Compensation Law,and must obtain workers'compensation insurance for yot nplo es fyou fail to obtain workers'compensation insurance.you may be subject to penalties and will be liable for all claim s i ne ofyour employees is injured on the job. For more information, call the Workers'Compensation Division at the Ile rtt t of Consuli er and Business Services at 945-7888. U.S.Internal Revenue Service: Asan emplo r ou must with d federal income tax from employees'wages. You will be liable for the tax payment even ifyou didn't tual ly withhold the tax. - r more information,call the Internal Revenue Service at 1-800-829-1040. OTHE ESPONSIBILITIES AND AREAS O NCERN: Codecompliance: Asthe mit holder for this project,you are responsible for resolving an% fa retomeetcode requirements that may be brought to ur attention through inspections. Liability and perty damage insuranee: Contact your insurance agent to see if you have adequate in ranee coverage for L accidents a omissions such as falling tools,paint overspray,water damage from pipe punctures, fins,or rk that must be r re-done. n ~ "Time to supervise employees: Make sure you have sufficient time to supervise your employees. _J Expertise: Make sure you have the expertise to act as your own general contractor.tocoordinatethe work ofrough-in and finish trades,and to notify building officials at the appropriate times so they can perform the required inspections. J 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 1 •Z T i9.h... CITY OF TIGARD BUILDING DIVISION PERMIT#: MST2004 0t I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3122/ 004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 4 SITE ADDRESS: 10920 SIN NORTH DAKOTA ST CLASS OF WORK. SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAIVE: BRAUN DESCRIPTION: Addition of 336 sq ft to existing shop/garage. Construction o! breezeway to comply with zoning regulations. OWNER: BRAUN,WILLIAM H JR + ANNE M, PHONE C CONTRACTOR: OMNIFR PHONE #: i Inspection Request Scheduled For: Date: l(M26/2005 Pour Time; Code # Inspection Description Confirm # Contact # Message 199 Electrical final 019692-01 603326&2329 N � Corrections/Comments/Instructions: ig w ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7, --jo[f' Phone #: (503) 718- — CITY O F T'G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00027 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1/27/03 PARCEL: 1 S134DB-03800 SITE ADDRESS: 1092.0 SW NORTH DAKOTA ST SUBDIVISION: ZONING: R4.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORSHOODS: FUEL TYPES 0 - 3 HP: _ DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: FIRE DAMPERS?: 30- 50 HP: REPAIR UNITS: GAS PRESSURE: 50+ HP: CLO DRYERS:OD S: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: -cm 10000 cfm: > 10000 cfm: GAS OUTLETS: Remarks: Install gas fireplace insert. Owner: _ _ � FEES BRAUN, WILLIAM H JR+ ANNE M Description Date _ Amount 10920 SW NORTH DAKOTA ST MECII I Permit Fee 1/27/03 $72.50 TIGARD, OR 97223 i f AX) 8%StateTex 1/27/03 $5.80 Phone: __ Tota! $78.30 Contractor: T + K MECHANICAL 11525 SW CANYON ROAD BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone: 503-626-4052 Gas Line Insp Mechanical Insp Reg#: LIC 121165 Final Inspection IL r r N J 00 WThis permit is isrued 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. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: -(,G Permittee Signature: Call(503)639-4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit A lieafio► Received Mechanical Date/By: L�7 ��— Permit MW Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Date/By: _ Permit No.: Tigard,Oregon 97223 Post-Review I-and Use Phone: 503-639-4171 Fax: 503-598-1960 uate/B : Case No.: Internet: www.ci.tigard.or.us Contact June.' See Pate 2 for 24-hour inspection Request: 503-639-4175 Name/Method: _ S�plemeotal Information. TYPE OF WORKCOMMERCIAL FEE*SCHEDULE-USE CHECKLIS New Cons Demolition Mechanical permit fees'are based on the total value of the work performed. Indicate the value(rounded to the nearest dollar)of all AdditiUn/ lteiat a lacement Other: mechanical materials,equipment,labor,overhead and profit. CATEGORY OF CONSTRUCTION Value: S See Page 2 for Fee Schedule 1 &2-Family dwcllin Commercial/Industrial RESIDENTFALE U[PMENTISYSTEMSFEE• REDUCE Accessory Building Multi-Family _ Description t Fee ea. Total Master Builder _ _Other: — Heads Coaun _ 14.00 JOB SITE INFORMATION and LOCATION Furnace-add-on air co_nditionin '• 14 W S � h_J .— Gas heat um — _ Job site address: � Duct work 14.00 Suite#: Bldg./Apt.#: — 14.00 Jjydronic hot water system Pro'cct Name: _ -- Residential boiler Cross street/Directions to job site: for radiator or hydronic system 14.00 4An71gbre vew�y oLe"SS Unit heaters(fuel,not electric) — 'in wall,in-duct,suspended,etc. 14.00 ,,e4,., �� ' Flue/vent(for any of above 10.00 _— Repair units 12.15 Subdivision: Lot#:— Other Fuel A Iliacs 'Fax irla / areal#: Water heater _ 10.00 DESCRIPTION OF WORK s _ Gas fireplace 10.00 _ Flue vent(water heater/gas fire lace 10.00 X— - �t--'- �¢�Q"-._.—.r!L�_�a Log lighter(gas) 10.00 Wood/Pellet stove 10.00 _ Wood fireplace/insert 10.00 Chimne /liner/flue/vent 10.00 TENANT Other: 10.00 ROPER W1pNER ,1.�.- nvlronmental Exhaust 6t Veatllotion _ Name: /� .C7r-at�A/ Range hood other kitchen equipment 10.00 Address: /p92& S,1 ice/ .�,,-� �--- Clothes dryer exhaust 10.00 City/State/Zip:-r— D�0--9 Single duct exhaust Phonel-00 . 63�U_ Fax: Sk-o" (bathrooms,toilet compartments, 6.80 APPLICANT CONTACT PERSON_ utilitytoor� Attic/crawl_ space fans __ 10.00 Name: Other. 10.00 Address: Fuel PI lait — *'($5.40 for tint 4, 1.00 each additlonal City/State/Zip: t 1 Uv Q U q1v-� Furnace,ate. — a � .� Fax: IL Phone: 1 to Gas heat pump Wall/suspended/unit heater N E-mail: _ Water heater N -- ('OTRACTOR — .. '[�.+ K fY1 riclnQn i c c Fireplace Business Name J Ran e pp Address: - BB " ---- Clothes dr r rsL_ " C7 City/State/Zip: Q,��r _ .. UJIPhone: 1 (�� Fax: qCJ - $ 15 Other: - Total: CCB Lic. #: I _ Mechanical Permlt Fees• _ Authorized Subtotal: S _ Signature: Date: a� 0 3 Minimum Permit Fee$72.50 S , _ Plan Review Fee(25%of Permit Fee S � State Surchar a 8%of Permit Fee $� - (Please print name) — --- TOTAI,PERMIT FEE S Notice: This permit application expires If a permit Is not obtained within *Fee metho;oloty set by Trl-County Building Industry Service ord. —Site required for exterior A/C units. 1811 days ager It him been accepted as complete. _ i\Dsts\Permit tiorm,wecPermitApp.doc 01/03 Mechanical,Permit A fi anon - City of Tigard Page 2-Supplemental Information Commercial Fee Scheoule: Total Valuations Permit Feer $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 572.50 for the first$5,000.00 and$152 for each additional$100.00 or fraction thereof,to and including$10,000 00, 510,001.00 to 525,000.00 S149.50 for the first 510,000.00 and $1.34 for each additional 5100.00 or fraction thereof,to and including $23,000,00. $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and S1 45 for each additional$100.00 or fraction thereof,to and including $S0,000.00- $50,001.00 50 000.00.$50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional Si00.00 or fraction thereof. Assumed Valuations Per A Iiance: Value 'Total Description: Qty (Ea) Amount Furnace to 100,(00 BTU,including 955 ducts&vents _ Furnace>100,000 BTIJ includ.ng ducts 1,170 &vents _ y Floor furnace including vent 955 Suspended heater,wall heater or floor 953 mounted heater Vent not included in appliancepermit q"5 _ Repair units <3 hp;absorb unit, 955 to 100k BTU 3-15 hp;absorb.unit, 1,700 101 k to 500k BTI; 15-30 hp;absorb.unit,501k to 1 mil. 2,310 BTU _ 30-50 hp;absorb.unit, 3AM 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air handling unit to 10(100 cfm 656 Air handling unit>I 0000 cfm 1,170 Non- rtable evaporate cooler 656 Vent fan connected to a single duct _ 446 Vent system not included in appliance 656 flood served by mechanical exhaust 656 Domestic incinerator 1,170 Commerciai or industrial incinerator 4,590 Q, Other unit,including wood stoves, 656 inserts,etc. F— (las piping 14 outlets 360 U) Each additional outlet 63 TOTAL CO1N'NL'RCIAL S _m VALUATION: �7 W i:If)stslPermit FrnrrelMecPermitAppPgl.doc 01103 CITY OF TIGARD " 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639.4171 MST BUP Received __ _—__ Date Requsted__"2 _ AM__ PM - v BUP —_ Location —-—�f- �_— � uite— i �� 7, Contact Person ----- -- -- Ph(-zo��_)_. i2�. PLM - Contractor Ph(__--) --.---- SWR BUILDING Tenant/Owner ____ __ —_ _ ELC Footing --- ELC - - ---- ---- Foundation Acce � — Ftg Drain 0, /�f�.., .. LR Crawl Drainer" Slab Inspectioh otos- SIT Post&Beam -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear YL.:1 ' S -s��tc -- TL= Z�- p5►lr fns l�—- Framing - - Insulation Drywall Nailing — jell 1 uL Firewall Fire Sprinkler - --- - Fire Alarm Susp'd Ceiling - -- - Roof Other: Final PASS PART FAIL -- Pi:_UMBING - — -- Post&Beam Under Slab -- — Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain - - Shower Pan Other: -- _ Final --- ----- PASS PART FAIL , &Beam Rough-In - — a asine Smoke Dampers — — � anal W PART FAIL ---- ---- —� ELECTRICAL _ __^-- .i Service _m Rough-ho ---- -----— ------ 129 UG/Slab W Low Voltage _— Fire Alarm _ Final Reinspection fee of S__. ___-__ required next Innectlon. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [j Please call for reinspection RE:_ __---__-____.__ —_ Unable to inspect-no access Fire Supply Line ADA Dab 2,s`=O 3 Inspwetar Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGAAD 24-Hour BUILDING Inspection Line: (503)639-4176 t MST INSPECTION DIVISION Business Line: (503)639-4171 OUP Received Date Requeste _. __ AM--PM— OUP I-ocation _ b� y 'v SuiteMEC 3 Contact Person -- _ Ph(---) PLM _ Contractor —__ Ph(--) —_ ____-___ SWR BUILDING _ Tenant/Owner _— ELC Footing Foundation ELC _ Mlnstpectio�n�Notes: Ftg Drain �^- /� ELR — Crawl Drain Slab n SIT — Post 8 Beam01 —..� ! Shear Anchors Ext Sheath/Shear Int Sheath/Shear — Framing --_--- — — - -- ------ Insulation Drywall Nailing �l�G�J TZ' Y�r�-r�_-T�l'4T ��`�s�- '�iP•, $ Firewall Aub "ee_ Fire Sprin:.,er !S .t9'0rla -- Fire Alarm Suspd Coiling -- Roof Ot:im: '-- Final 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 I-Beam .T ough In_'.)t*" ---- -------- ----__-_- __ __ IL Smoke Dampers ----- - -- --- Final PASS PART - ----- - ---- — - �� -- -- - --- J ELECTRICAL --- - ----_--- ---------- m Service 0 Rough-In W UG/Slab -a Low Voltage —_..-- Fire Alarm Final Reinspection fee of$�_ __-required before next inspection. Pay at City Hall, 13125 SW Hnil Blvd. _PASS PART FAIL __SITE __ E] Please call for reinspertinn RF:----- _- -_ _-.__ _ r] Unable to inspect-no access Fire Supply Line ADA Deft '--� '�� IIEX1t Approach/Sidewalk - Other: Final -- DO NOT REMOVE this Insspoctlon roeeW flife i Me fob oft. PASS PART FAIL e ° I V ' O Q C O V � o � o w u .� OL u do s o y w o o i a H CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 10 � BUP �� Date Requested__ l /� ©1 AM PM BLD Location 1 c(71'7�U •-71• ��X.�T19 Suite MEC Contact Person RL,G-- Ph UZ'- Z4?:n PLA Contractor Contractor Ph SWR BUILDING Tenant/Owner ELC rz� erni;ring Wall ELR _ I oohng Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab _ SIT Post 11,Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---- Roof M' i al PART FAIL - PTU MBING Post&Beam -- (lnder Slab f op Out — Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam -- Rough In Gas Line — Smoke Dai-opers Final - PASS PART FAIL ELECTRICAL ----� _ U. Service — tY Rough In U) LIG/Slab Low Voltage - J Fire Alarm Final f'.ASS PART FAIL -- W SITE — Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required before next inspacflon. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:—� [ J Unable to Inspect no access ADA Approach/SidOWRIK Date I rn Inspector Ext Other _�— -- -------- --- Final PASS PART FAIL DO NOT REMOVE this Inspectloil record from the job is No. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4176 Business Line: 639-4171 d 10'r— BUP Date Requested AMZ _PM BLD Location 10lA0 `i cv /�/ Der Suite MEC Contact Person Ph ��f� PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS --- Ftg Drain SON Crawl Drain Inspection Notes: Slab SIT Post 8 Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof is PART FAIL LU IN _ Pos earn Under Slab Top Out Water Service Sanitary Sewer I OO Rain Drains A�.PART ( FAIL NIC Nos m -- Rough In Gas Line - oke Dampers IaMnj PART FAIL CL R L Service f" Rough In N UG/Slab Low Voltage Fire alarm OD 5PART FAIL — LU SIT - --- Rackfill/Grading — -" Sanitary Sewer Storm Drain [ ]'ieins-lection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] Fire Supply LinePlease :all for reinspection RF [ j Unable to inspect-no access ------------- ADA ---_ Approach/Sidewalk Date �_ tj —Inspector �� Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD MASTER PERMIT PERMIT 0: MST98-00378 DEVELOPMENT SERVICES DATE ISSUED: 09/04/1998 13125 SW Hall Blvd.,Tigard,OR 97223 (503)63900 I !�•/;^I •N, `A L SITE ADDRESS: 10920 SW NORTH DAKOTA ST u PARCEL: 1 S134DB-03800 SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: 2026 sq. ft. garage attached to house by a permanent breezeway. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIREU CLASS OF WORK: ACS HEIGHT: 13 —_ FIRST: 024 of BASEMENT: 0 DO of LEFT: 29 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 0 of GARAGE: 1,402 of FRONT- 0 PARKING SPACES: 0 TYPE OF CONST: 5N DWELLING UNITS: 0 FINSSMENT: 0 of RIGHT: 0 VALUE: S 71,502 00 OCCUPANCY ORP: R3 SDRM: 0 BATH: 1 TOTAL: 024.00 of REAR: 74 PLUMBING SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 0 LAUNDRY TRAYS: 0 RAIN DRAIN: 0 TRAPS: 0 LAVATORIES: 1 DISHWASHERS: 0 FLOOR DRAINS: 0 SEWER LIVES: 0 SF RAIN DRAINS: 1 CATCH BASINS: 0 TUBISHOWERS: 0 GARBAGE DISP: 0 WATER HEATERS: 0 WATER LINES: 0 BCKFLW PP,EVNTR: 0 GREASE TRAPS: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN<100K: 0 BOILICMP<SHP: 0 VENT FANS: 1 CLOTHES DRYER: 0 FI c FURN>-100K: 0 UNIT HEATERS: 0 HOODS: 0 OTHER UNITS: 0 MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 OAS OUTLETS: 0 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS_ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 0 200 arm: 0 WISVC OR FOR: 1 PUMPIIRRIOATION: 0 PER INSPECTION- 0 FA AOD'L b00SF: 3 201 . 400 amp: 0 201 400 amp: 0 1st WIO SVC/FDR: 0 SIGNIpUT LIN LT: C PER HOUR: 0 LIMITED ENERGY: 0 401 - 900 amp: 0 401 000 amp: 0 EA ADDL BR CIR. 0 SIGNALIPANEL: 0 IN PLANT: 0 MANU HWSVCIFDR: 0 601 1000 amp: 0 901+2mpe•100ov: 0 MINOR LABEL: 0 Iona♦ampNolt: 0 PLAN REVIEW SECTION Reconnect only: 0 >d RES UNITS: SVCIFDR>-229 A.: >WO V NOMINAL: CLS ARF"PC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ S.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INIERCOMFPAGINO: OUTDOOR LNDSC LT: BURGLAR ALARM: 01"H: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL R SYSTEMS. 0 Owner: Contractor: TOTAL FEES: $ 1,308.15 ^II L BRAUN JOHN MURPHY This permit Is subject to the regulations contained In the Tigard Municipal Code,State of OR. Specialty Codes and )920 SW NORTH DAKOTA 10175 SW 155TH TIGARD,OR .97223 BEAVERTON,OR 97007 all corer ce with a laws. All work will be done it accordance wkh approved plana. This perm it'Hillexpire ff CL work is not started within 180 days of issuance,or if the & work is suspended for more than 180 days. ATTENTION f~/- Phone: Phone: 524-5032 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set RW 0: forth in OAR 952-001-0010 through 952-001-0080 You J may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. m REQUIRED INSPECTIONS t7 — — W Erosion 844-8444 Slab Insp Plumb Top Out Electrical Service Shear Wall Insp Water Service Insp ..JI Footing Insp Post/Beam Structural Plumb lop Out Electrical Rough Ir. Shear Wall Insp Misc.Inspection Footing Insp PLM/Underfloor Plumb Top Out Electrical Rough In Exterior Sheathing Inst Electrical Final Foundatlun Insp Mechanical Insp Electrical Service Framing Insp Insulation Insp Mechanical Final Slab Insp Plumb Top Out Electrical Service Framing Insp Rain drain InsP Plumb Fina! Issued By : 41( _ Permittee Signature Call(50 639�757:00 p.m.for an inspection needed the next business day �7n Permit#: Address: C Issued by: '''"' Date: _44 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 .tor 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. ® 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. L� 3A. My general contractor is — L_1 (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 3B. I will be my own general contractor. a. OC If I hire subcontractors, 1 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. m 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. c —/ (Signature of permit applicant) ( te) (White copy to issuing agency permit file, pink copy to applicant) information Notice to Property Owners About Construction Responsibilities Note: This lnfiirntutiun Notice fu Prsiperly Owner: about construction RecponsiNllties' was developed by the Construction r'ontraetors Hoard 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 Yesponsibilities and areas of Foncern. EMPLOYER RESPONSiBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constntcting.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 he employees. As the employer,you mast comply with the following: Orekon's withho ing tax law: As an employer,you mast w uuhold income taxes from employee wages at the time employees are. paid. You will liable for the tax payments even if yots dotik atusAlly withhold the lax from your employees. For more information,call the govt Dept.of Revenue at 945-8091. Unemployment insuran tax: As an employer,you are required to pay a tax for unemployment insurance purpmes on the wages of all employees. F re inftmation,call the Oregon Employment Division at the Department of Human Resources at 378-3524. Workers'eompetwation Insuran As an employer,you are subject to the Oregon Workers' mpensation law,and must obtain workers'compensation insuran for your employees. If you fail to obtain workers'c pensation insurance,you may he subject to penalties and will be liable all claim costs if one of your employees' on the job. For more information, call the Workers'Compensation Division, he Department of Consumer usiness Services at 945-7888. U.S.internal Revenue Service: As an employe col mu,,t w- old federal income tax from employees'wages. You will be liable for the tak payment even if you didn't actually it cl the tax. For more information,call the Internal Revenue Service at 1-8(X)-929-1040. OTHER RE ONSiBILITIE ND AREAS OF CONCERN: Code compliance: As the permi older for this project,you are respo . ' le for resolving any failure to meet code requirements that may be brought to your ention through inspections. a Liability and pro damage insurance: Contact your insurance agent to see i ave adequate insurance coverage for DC N accidents an v..,iotts such as falling tools,paint overspray,water damage from pipe punctum fire,or work that must be re-done. r. =t Time to supervise employees: Make sure you have sufficient time to supervise your employees. m W Expertise: Make sure you have the expertise to act as your owrl general contractor,to coordinate. the work of rough-in and finish trades. and M hotify building officials,at the appropriate times so they can perform the required inspe.tions. if you have Qdiort t1kons, write or call the Construction Contracrars Br9rd411()Roe 141411,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 300, in Sal—, prop-own.pm4 /94 r:a 1 CITY OF TIGARD Residential Building Permit Application Plan Ctwk*p 13125 SW HALL BLVD. New Construction Additions or Alterations Recd By� Data Rec'd_ �� TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503-639-4171 �. 2_!�► Date to DST F 503-604-7297 Of_f__ /�� PS R - � Print or Type ! called Incomplete or illegible applications will not be accepted Name of Project Name�� Job SR , rose _� Mail' Addr ss Address ZO W 4`�� ko p -- — Na p1l'A �Qt�, ate Zip P hone nt,l V V GuuL, Norr* (o - Owner Mallin Address 51-1 Pot c ,staff Zip Engineer Mailing A(lctress '`"— City/State Zip TPhone General N Contractor (,)!•i v- Describe worts New O Addition O Alteration O Repair O Meiling ddress to be done: - Prior to permit _ Additional Description of Work: issuance,a copy City/State Zip hone of all licenses are required If Oregon Const.Cont."rd Exp.Date _ PROJECT �� expired in COT uc.N VALUATION database _ Mechanical Name NEW CONSTRUCTION ONLY: Sub- _ G�(�.►k�'' Sq. Ft.wwae: � gq ft-�9E Contractor Mailing Address _ (O Prior to permit Indicate the restricted anergy installation by the eh lectrical issuance,a copy City/State zip,--- Phone subcontractor in the foilareas _ of all licenses Restricted Audio/Stereo are required if Oregon Const.Cofit.Board Exp.Date Energy System Alenns expired in COT LIc.N Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub- (1'L''IA'eAl"' a.�P1/L� Contractor Mailing Address Comer Lot YES NO Flag Lot AYE NO �� check one check one Has the Subdivision Plat recorded? Nf YES NO Prior to permit City/State Zip Phone issuance,a copy ' Solar Compliance of all licenses are Oregon Const.Cont Iffosrd Exp.Date Calculation Attached _ required H Lic# I hearby acknowledge that I have read this expired in COT _ dg application,that the database Plumbing Lit 0 Exp.Date information given Is correct,that I am the owner or authorized agent IL of the owner,and that plans submitted are in compliance with R `— -- Oregon tate F- Name Sig ure of D Electrical - �vto B Sub- Mailing Address j' — CoM @ o Name P ne m Contractor FOR OTPICE USE ONLY: _ 6Prior to City/State Zip Phone Plat#: 1 M Lai: permit ` Jt /.S /1 y -o3flr� issuance, a copy of all licenses are Oregon Const.Co .Board Exp.Date Setpasks: Zone: �` Polar required if Lic.# t2t '-I r7,"' _ expired in COT _ IE�reerinq Approval: Planni ApprovalIFS: database Electric Exp.Data --- --' --_ "t— --- -— -- - ---- -- - - -- -- L. 14 Y' 3 S 1:8EEtM.00C(t)ST)RH if* Solar Balance Point Standard_Mrksheet Address OZO S�✓ LY� Box A calculations: North-South dimension for the lot. Box A: I his 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. 170 fr -�► 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. / 0 feet t NORU40M oaBsoN 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 MeNdaM am (circle one) be. based on the peak of the roof. onno I� —► 1 1B 1C 1 b: If the roof line runs East-West and the roof pitch is i less than 5/12, measurements will be based on the eave. *V=P("cM 1 1 c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements will be based on the U-1'-MT1 peak. .«w,a„ Bora B. continued Box B: r 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 — R the lot slopes down from the front lot line to the foundation,the figure is negative. 10. 3. Measure distance from finished floor elevation to the affected peak/eave. + �. � It -3 fc 4. If the roof line runs North-South,deduct three feet. If the roof line runs East-West, —' 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. _ It 6. Total figure for box B: It Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the Z1V ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + _ U It 3. Total figure for box C: — ft It is most useful to draw a vertical line to represent the appropriate figure found in box'A"and a horizontal line to represent the appropriate figure found in box"C".The intersection of the vertical and horizontal lines determines the value found in box"D".The value in box'D"should be compared to the value in box'B'; if the value in box'B'Is less than or equal to the value found in box'D",then the building is in compliance with the solar balance code. If you have any questions,please contact us at 6394171,x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE PAINT HEIGHT In Feet) Distance to North-south lot dimension(in feet) shade 1 + 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lQLW1 fin feed 70 4 40 40 41 42 43 44 65 3 38 38 39 40 41 42 43 60 3 36 36 37 36 39 40 41 42 55 3 34 34 35 36 37 38 39 40 41 50 3 32 32 33 34 35 36 37 38 39 40 45 3 30 30 31 32 33 34 35 36 37 38 39 40 2 28 28 29 30 31 32 33 34 A 36 17 38 35 2 26 26 27 26 29 30 31 32 33 34 35 36 30 2 24 24 25 26 27 28 29 30 31 32 33 34 25 2 22 22 7.3 24 25 26 27 28 29 30 31 32 20 2 20 20 21 22 23 24 25 26 27 28 29 30 15 1 18 18 19 20 21 22 23 24 25 26 27 28 10 1 16 16 17 18 19 20 21 22 23 24 25 26 5 1 14 14 15 16 17 18 - 19 W20 21 22 23 24 [Box D. Maximum allowed shade Po t height: feet h:ldoc*wncy\ventur*W&r.r_hp - Revised 2126/96 5EZ4� 1H IS IS A FI-AL i7r 74 'Vi �.1� �a►ko�el 'jT1' MHT A110N Ma' Wcjj(vA bN 13c,o� tosi 74TM ASI -T�t- F?N'� `-FT- ?ick `'IAY E'- FrE N. -tc' I6� o",4►1 D 1N>< S�b� �Xc1 'A :�s�Duch T c q'-o", i 1 I I aPnON K Z. T, WE (,ALL lir. FFAs? (IF 'Rl<, Vr AS IYE FPAT. 1�E Gl}(FR, "!T1KGf LIGE MAST RAW A SET-ISACK_ NoI ' -)kV--zt_ 14 Aq t A Fr ICalf Dy r,trm -},,A7 "to,;r T%: � FILL -IN AHD A TTF- fl} d .(ITTMQAFotC( Zv44 NOTE : I -TALI'-p 'NIT -Tt>r Km4 �y''�'.,1 ANb }1t- -,. v yrt. I `THAI We sHou t� No? 44.t- AN�' r 'F^.�`.r ."r �►'�-�� ' �go* r W" 16S iib STMJA4RR DIA 4f 0 o I WA Faclsfl� Md�ns>r=. c� set R4 OL 41 Ll zza:30, � �s'-�° I s lg4 ta6-03W ITS PLAR L, 664 77 I zowe - 4,S-_ r/ AL11 4D'-o'' d L —y— /�nKiS % IORZ() Sig IJoY#14 �Fv�q CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hell Blvd.,Tigard,OR 97223 (503)094171 PERMIT #. . . . . . . : BUP98-1002 DATE ISSUED: 08/19/98 PARCELs IS134DB-03800 SITE ADDRESS. . . : 10920 SW NORTH DAKOTA ST SUBDIVISION. . . . : ZONING:R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTIONsTIG -----------------•--------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR MALL CONSTRUCTION— CLASS OF WORK. sDEM FIRST. . . . : 0 sf N: Ss Ea W: TYPE OF USE. . . :SF SECOND. . . : 0 sf PROTECT OPENINGS?----------- TYPE OF CONST. :SN . . . : 0 sf N: Ss Es W: OCCUPANCY GRP. :R3 TOTAL------s 0 sf ROOF CONST: FIRE RET?a OCCUPANCY LOAD: 0l BASEMENT. : 0 sf AREA SEP. RATEDs STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?a READ SETBACKS-------- REQUIRED------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: 9MOK DET. . a DWELLING UNITS: 0 FRNT: (I ft REAR: 0 ft FIR ALRMa HNDICP ACCs BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VAL_HE. f: 0 Remarks : Desolition of out building. Must cap any utilities and resove all debris. Owner: ----------------------------------------------------- FEES -------------- BILL BRAUN type amount by date recpt 1O9PO SW NORTH DAKOTA PRMT $ 25. 00 DRA 08/17/98 98-308310 TIGARD OR 97223 5PCT f 1. 25 DRA 08/17/98 98-308310 EROS $ 26. 00 DRA 08/17/98 98-308310 Phone #: 684-5380 ERPC $ 8. 45 DRA 08/17/98 98-308310 ERPC $ 8. 45 DRA 08/17/98 98-308310 Contractor: --------------------------.- OWNER ------------------------------------ Phone #: $ 69. 15 TOTAL Reg #. . : 000000 --REQUIRED ACTIONS or INSPECTIONS----- This NSPECTIONS----- This perait is issued subject to the regulations contained in the �.� Tigard Municipal Code, State of Ore. Specialty Codes and all other �� a applicable laws. All work W)l be done in accordance with lY approved plans. This perait will expire if work is not started H m within 188 days of issuance, or if work is suspended for sore W than 188 days. ATTENTION: Oregon law requires you to follow the _ J rales adopted by the Oregon Utility Notification Center. Those m rules are set forth in OAR 952-01-Ml through OAR 952-A8181907. j5 You sany obtain a ropy of these rules or direct questions to OUNC LU by calling 15031246-1987. Permittee Signature a �: "�" Issued Bv�_#r_ L +++++++-F+++.++++++++++++i--f-+++++4-1-4 4 4 f 1 4 i+4++++++•t++.++it++++++++. +++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++.*+++++++++++++++++++++++++++++++++++++++++++++++++++++ CITY F TIGARD Commercial Building Permit Application R& d 131�JV BALL BLVD. New Construction and Additions DW*Recd S—/1 --- TIGARD, OR 97223 ta DNe to P.E. Mato DST P.E. (503) 639-4171 per"t ►r _ �.- Print or Type RNated SVVR s�i Incomplete or illegible applications will not be accepted caged Name of Development/Prolecl /) Job �+ Old ,�l tdd,41 _-7Existing Building Of New Building[� Address Street Address I Suite /0921 N.NkA Building Bays city/state zip Data &-e 7123 Existing Use of Building or Property: Name Propertyt/1 Owner Mailing Address suite` Proposed Use of Building or Property: / 20 s•w.N .�� City/State zip Phone No. Of Stories: Inv 4-5-38D / r Occupant Na'ne Sq. Ft. Of Project:" Name — Occupancy Class(es) Contractor B(V 1, Prior to permit Mailing Address Stine Type(S)Of Construction Issuance,a copy of all licenses X F1^o wt G are required If Cny�State zip Phone Will this project have a Fire Suppression System? expired In C O.T. Yes M NO IN database Oregon Const.Cont Board Lic.s Exp.Date Americans with Disabilities Act(ADA) Valuation X 25% =$ Participation �__. __.___ Complete Accessibili Form _ N0"1° Project $ Architect Valuation Mailing Address Suite Plans Required: See Matrix for number of sets to submit city tate zip - Phone on back Engineer Name y I hereby acknowledge that I have read this application,that the Information given Is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted aro in compliance with Oregon State Laws. IZ Signature of Owner/Agent W� Date City/State zip Phone JW & N _ Contact tP r�son�Namo Phones A Indicate type of work: New O Addition O'Demolition Accessory Structure O Foundation Only O Anerallorr O65 ' Repair O Other O FOR OFFICE US ONLY-,, ;r lu Dascriptlon of work: Map n# I ''7 Und UM: Park• FsthMM.1/bf Employees 7'IF: It the above figure Is not supplied at the time of application,the city will calculrte tM fes based u n the number of parking spam. Note: Site Work Permit Appllcatlon must precede or accompany building Permit Application r,•, "� yid I:%COMNEW DOC (DST) 5/98 �IQ05� Ws" fx AL nl � Alf COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX P i e awl ' 6j i°idem-updrra'submi Erat of` C i�i`ptans r4 16': CC?NJIf�.YE0 .application. For an electrical submittal, the application must contaln ft signature of the supervising electrician before plan review will be conduted. Aftr plan review approval, Plans Examiner will 0ontact the applicant to:''re u0st, alydditional plan sats for distribution purposes, (Copy for Contractor, City, Washington 0ounty,;Tu liatin Va�ll ►y# it t � Total of TYPE OF SUBMITTAL Plans KEY: Submitted i. S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *8 or B & M (Alt) 1 *B & M & P (Alt) 3 :r. *S & M & P & E(Alt)' 3 *13& M & P E & F(Alt) 3 NOTES: *8i tided areas':`design:w> LT aurm. WsWmaxtW.doc 07108/98 4 � foie" CITY OF TIGARD A�provPri ........................................................ j Conditionally Approved.................................. y For only the vMo k described in: PERMIT NO• u p% - See latter to: Follow......................................... ( Attach......... .............. ,o dress _e�-- - 13 Dater-t�' • � �� .�:.Ii�uMKh k - 164 txT Pio k r liuE , I }�04 r m ' Ctik `. ~• I Al spa .410 �-p - 0 l _-e r I i I J ,_U 1 i PLAR SGA L.� • �„�♦�,_�,,�,._._.._.__.._ ._.�.. .. Bill Braun 10920 Sly/N. Dakota St. Tigard, OR 97223 Tn 'd £0T6TLL d3Nt Olt w" ers40 se-St-nnv Page No. 1 CASE HISTORY FOR CASE NO-: RUP98 3002 BILI BRAUN 10920 SM NORTH DAKOTA ST 09/24/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Bent Done Done Date By BUPA005 Application received / / / / 08/17/98 PASS DRA 08/19/98 JSD PUPA010 Permit created / / / / 08/19/98 Delay in creation due to permit system PASS JSD 08/19/98 JSD being down. Plan■ and permit number provided to applicant on 08/17/98. Jed BUPA085 (F) Issue building permit / / / / 08/19/98 PASS JSD 08/19/98 JSD SUPA800 Misc. Inspection 08/19/98 / / / / 08/19/98 JSD SUPA870 Final Inspection 08/19/98 / / / / 08/19/98 JSD IL ac M m t� w CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Flour Inspection Line: 639-4175 Business Line: 639-4171 MST _ X /' � DDDate Requested 9- AM vPM ---. — BLD Location LLQ Suite MEC Contact Person l Ph PLM _ Contractor` Ph 3�� SWR ulLioIIN�I. Tenant/Owner ELC Retaining Wall �+ Footing Access: FoundationP/ ` „ - �� G G� FP8 Ftg Drain �7(,�/�, >�CiN ie Crawl Drain Inspectlo Note Slab SIT Post Beam Ext Sheath/Shear I. Int Sheath/Shear Framing Insulation ^1 Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling _ V �• Roof _ Misc: _ SS PART FAIL$WM INO Post&Beam Under Slab Top Out — - Water Service Sanitary Sewer — c Rain Drains Final PASS PART FAIL MECHANICAL ( — Post&Beam Z — Rough In Gas Line Smoke Dampers Final — PASS PART FAIL ELECTRICAL p, Service — Rough In N UG!Slab Low Voltage _ Fire Alarm .J Final M PASS PART FAIL W $ .-� Backfill/Grading — --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ _required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please calf for rein!rpectian RE: __,• [ ]Unable to inspect-no access ADA Approach/Sidewalk Date �kL'L—Inspector Ext i Other Final PASS PART FAIL DO NOT REMOVE this Inspection record ftam the job site. FROM PKIE NO. : OCT. 02 19% 03:58PM P1 Bill Braun 10610 G SW N. Dakota St. 77gand, OR 97223 5 Dow AMWO Orn,LLC r-- count' FMM9=rax ne. f�d4,g9AJ t T '"""E 04 wAM�►a. -5 3B c Sa r» IL M SPA/0Sw1)Lm Rat ----- �.�._ _ :�/6' Q'WELL O SPRING O SURFACE No coMorm ba�cbeda NATE TEST Fm auE$TED? ,YES O NO MMM OR L Wt�sMWLE oal6crEo found. Sample I °w ;APASSES W Is _MMWWMM.. -- t,^,olHOM badeda_ 9.pmw , D MILS a found. 88OV n FAILS f M-0 l E.Doli To: L7 PRESENT E) ABSENT 1 LL U.,MUN 020 -0! NiM-11 UAKUrA S11". TNi rash as spade on ttM� (qAI'1V, Oil 97223 docummt reprowd 1 GDhL m MAW"M .and may not be tnclicsM d the Mwft of L J ww *M 4wmq*w e WATFR RAmoR OLOOICAL EXAM OATK)N Imm of"wow am*- -R • 1�� i�C ►C�'1 A+Jcvw: 0&eU-14 �"3 G W