9600 SW NORTH DAKOTA STREET 9600 SW NORTH DAKOTA AVENUE
jo 0 � 2002
June 5, 2002 (;jl.Y OF TMARO
City of Tigard
Building Official, Hap Watkin
13125 SW Hall Blvd
Tigard, OR 97223
Re: 9600 SW North Dakota, Tigard 97223
Building & Housing:
Please note, I have abandoned totally any conversion of the
residence at 9600 SW North Dako!a, Tigard 97223 into a 4-plex.
I have moved into the house and it is now my residence.
Diane Purkey
9600 SW North Dakota
Tigard, OR 97223
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 539-417:5 Business Line: 639-4171 -
_ / BUP
_Date Requested S ` 3 --AM ——PM _ BLD - -- -- ---
Location- Suite _. MEC lr -G D
Contact Person Ph �U ' 3PLM
Contractor _ _ Ph _ SWR
4U1- ING — , Tenant/OwnerELC
Retaining Wall — ELR
Footing Access.
Foundation FPS -
Ftg Drain SIGN
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
Misc ------ ---- -- -- ---- ------ - -----
Final
PASS PART FAIL
PLUMBING
Post 8 Beam -- - --- - -- -— - - - -- - --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Diains
Final
PASS PART FAIL
131�sr&Mean}
oiiq _
1,
7noke Da.:,.
A PART FAIL
�rvice
Rough In
UG/Slab -
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading4 _----- ------_ _ _ _- - ----- ------ ---- ------- - --
Sanitary Sewer
Storm Drain I 1 Reinspection fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ] Please call for reinspection RE: ( ] linable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk ,`
Other - Date �� �� Inspector Ext
— _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY Or TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business tine: 639-4171 //
/ Blip U�
Date Requested r ___AM_—__-_PM ESLD
Location_ �`U 5 ��' /V1, �- ���lt'k"k Suite MEC _
Contact Person Ph � � ���5 _ PLM
Contractor Ph _ SWR
�U LDIDITenant/Owner _ ELC -- -------------
Retaining Wall ELIR
Footing Access:
Foundation FPS Y
Fig Drain SGN
Crawl Drain Inspection Notes: - -- ---- ---
Slab _�---._--.-- —._-- S I T
Post&Beam
Ext Sheath/Shear I
Int Sheath/Shear
Framing 41 1) Sr i/c'S X7 Xf- 5;
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler _—
Fire Alarm
Susp'd Ceiling -
Roof
M' c: --
i
ASS PART FAIL ----- -- -
PLUMBING - — -
Post& Beam _O
Under Slab
Top Out ----T-
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough In
Gas Line -- ---
Smoke Dampers
Final -
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab _-_—
Low Voltage
Fire Alarm -- -------- --- .- .----
Fina
PASS PART FAIL -.------- -
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Caich Basin ( J Please call for reinspection RE: M _ ( J Unable to inspect-no access
Fire Supply Line
ADA / 4�9
Approach/Sidewalk Date ( LJ/� InSRert�r Ext
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site.
CITY OF TIGARD .-- ELECTRICAL PERMIT
PERMIT#: ELC2001-00301
DEVELOPMEN F SERVICES DATE ISSUED: 6/8/01
13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171 PARCEL: 1S135CA-01902
SITE ADDRESS: 09600 SW NORTH DAKOTA ST
SUBDIVISION: BOETCHERS ADDITION ZONING: R-12
BLOCK: LOT : 001 JURISDICTION: TIG
Proiect Description: Installation of(8)branch circuits. Add circuits for up unit kitchen, lower unit heater, change thermostats
in middle unit. Add switches and wall plugs.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL:
MANF HM/ SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10):
_ SERVICE/FEEDER _ _ BRANCH CIRCUITS _ ADD'I_ INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: _ PER INSPECTION:
201 - 400 amp: list W/O SRVC OR FOR: 1 PER HOUR.
401 - 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT:
601 - 1000 arnp: PLAN REVIEW SECTION _ �v
1000+ amp/volt: >=4 RES UNITS — > 600 VOLT NOMINAL:
_ Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PURKEY, DIANE E CHEROKEE ELECTRIC;CO
PO BOX 231021 PO BOX 230230
TIGARD, OR 97223 TIGARD, OR 97281
Ph(no: Phone: 638-1515
Reg#: LIC 00035681
SUP 2616-S
ELE 3-1270
FEES - Required Inspections_
Type By Date Arnount Receipt Wall Cover
PRMT CTR 6/8/01 $93.40 2720010000( Elect'I Final
5PCT CTR 6/8/01 $7.47 2720010000(
Total $100.87
i
_J
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. 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 4 work is
suspended for more than 180 days ATrENTICA: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth In OAR 052-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246.6699 or 1.800-332-2344.
�r
Permit Signature: �� i �1 ��`'-�� Issued By:
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:__
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _��L r"d K' J1� rk t r1)7� — DATE:
LICENSE NO: ----- _- - ------- -- ---
Call 6394175 by 7�00pm for an inspection the next business day
Electrical Permit Application
Date received: -01 Permit no.:kl,4 -
City of Tigard Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Bye '.l I Receipt no
Phone: (503) 639-4171
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval:
U I &2 family dwelling or accessory U Commercial/industrial d Multi-family U Tenant improvement
U New construction U A(ldition/alteration/replacement U Other: U Partial
Joh address: U 0(-tL Vhf. Itlelg. nu.: tiut1C nu.: 17ax map/tax lot/account no.:
l.at: Block: subdiuimm:
Pmject name: ---- bescriptitur •nut 1--iian in of work on premises:Aj,
Estimated date ofcorinj hnspectitnt 6 /) v / /,va r J4WF_ r°KJ
1
Job no: 1 er M11n�
Business name: ero �
, -- Description (ltv• (ea.) tidal no.insp
p Nen reddential-single or multi-family per
Address:Q,U Bom 2-30 doellingunit.loclu&4suachedgarage.
City:T-1 a �lalC:(),/Tip:
a�" %enivelocluded:
Phone: s- 3G Fax:f'i•0-6030 E-mail: — Innusq n en le%� _ — 4
/ / Each additional 51x)sq.ft.or onion thereof
CCB no:
Elec.bus.lic.no: Limited energy,residential 2
City/metro lie.no.: 3 Limited energy,non-residential 2
Each manufactured home or modular dwelling
Signature of au rvisin electrician(re uired) Da a Service and/or feeder 2
r � Rervlcesorfeeden-Installation,
Sup elect.name(print): ai,i r, `e r r L, r I License no:
alteration or relocation:
2(N)amps or less 2
Name(print): ' Y 201 amps to 41x)amps T 2
401 amps to 600 amps 2
Ma601 amps to IWO amps 2
City:—( ,e s s� _-_ Slate: Z11 71 [�/ Over 1000 amps or volts _ 2
Phone: W// Fax: E-mail: Rcconnecl only1
Owner installation:The instali•ttion is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation:
2
ORS 447,455,479,670,701. amps to 2
W --
21101 1 amps to 41NI amp, 2
Owner's signature:__ I)air: 401 to 61x)ams 2
Branch circuits-nen,alleration,
or extension per panel:
Ntime: k Fee for branch circuits with purchase of
- -
Address: service or feeder fee,each branch circuit 2
City: Stale: ZIP: B. Fee for branch circuits without purchase
-- - - -- of service or feeder fee,first branch circuit: 2
Phone' I lax: Tr-mail: I ach additional branch circuit.
Misc.(9erviee or feeder not Included):
U Service over 225 amps commercial U Health-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location Foch sign or outline lighting '-
familydwellings U Building over IO,II(NI squary feet four of Signal circuit(s)or a limited energy panel.
U System over 6(X)volts nominal more residential units in ons structure Alteration,or extension* 2
U Building over three morin_ U Feeders.400 amps or more *Description tion _ _
U(kcuptnt(load over 91)persons U Manufactured structures or RV par- FAch additional inspection over the allowable In any of the above:
U Egress/lightingplan U Other: Per inspection
Submit__sett of plane with nn of the above. Investigation fee
The above are not applicable to temporary construction ttervlce. Other
Not all iurisdirtioru accept credit cards please call lunv6 uan fa mere rnbnn,at on Notice:•Phis permit application
Permit fee.....................$
U Visa U MasterCard expires if a pennit is not obtained Plan review(el 9h) $ _
Credit card number,_. _ — - L._ within 180 days alter it has been State surcharge(8%)....$
Expires accepted as complete. TOTAL .......................$
Name of ca older ss show an credit e�---
__ f
Cardhnitler siputure AmwA 440-4615(6000000M)
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: Restricted
OF WORK INVOLVED -RESIDENTIAL ONLY
-- -----
Restricted Energy Fee......................................... . ......... $75.00
Number of Inspections r)er perms+.allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq ft or less _ $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq.fl or
portion thereof _ $_40 __-- i Burglar Alarm
t imited Energy _ $75.00
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $9090
Services or Feeders E] Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $8030 2 ❑ Vacuum Systems'
201 amps to 400 amps $106.85 2
401 amps to 600 amps _ $160.60 2 F_� Other
601 amps to 1000 amps — $240.60 _ 2 —-
Over 1000 amps or volts $45465 2
Reconnect only � $66.85 - 2
Temporary Services or Feeders TYPE OF WORK INVOLVED•COMMERCIAL ONLY
alteration,or relocation Fee for each system......................................................... $75 00
Installation,
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2 Check Type of Work Involved:
401 amps to 600 amps $133.75 2 yP
Over 600 amps to 1000 volts. � Audio and Stereo Systems
see"b"above.
Branch Circuits Boller Controls
New,alteration or extension per panel
a)The fee for branch circuits ❑
with purrhase of service or Clock Systems
feeder lee.
Each branch circuit _ $665 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Installation
or feeder No.
First branch circuit 1 $46.85 6' j HVAC
Each additional branch circuit ___ $6.65
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle _ $53.40 Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuits)or a limited energy El Landscape Irrigation Control'
panel,alteration ur extension $75.00
Minor Labels(10) $125.00
Medical
Each additional inspection over
the allowable In any of the above Nurse Calls
Per inspection $6250
Per hour _ $62.50
In Plant __ $73 75 Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above lees $ 3•Y o Other
8%State Surcharge $ - __Number of Systems
25%Plan Review Fee ' No licenses are required Licenses are requirad for all other Installations
See"Plan Review"section on 5
front of application —
Fees:
Total Balance Due 3 G�►
Enter total of above fees f
❑ Trust Account q— — 8%State Surcharge
Il Total Balance Due =
Odsts4ornukle-fees.doc 10/09/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- — --
Date Requested Cp--- _ __AM� PM __ BUP
BLD
Location BGG All,r o ��" >41 MEC
pe,14 Suite
- __.. _
Contact Person _ Ph 9.3Y f� PLM
Contractor C 4 cvv ke.E a/ - r I C Ph GWR
BUILDING Y Tenant/Owner ELCi ivy e-U-��'L_
Retaining Wall ELR
Footing Access
Foundation FPS
Fig Drain -
Crawl Drain inspecticn Notes: SGN
Slab -- — s %ate C' --�`;,_.._v- SIT
Post&Beam /
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -----�i--
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ft
Roof
Misc: - t / 01-'�2 Ji'^S' D Ul Y�
Final
PASS PART FAIL �
PLUMBINU
Post& Beam
Under Slab
Top Out -
Water Service
Sanitary Sewer - -
Rain Drains
Final --- -
PASS PART FAIL. _
MECHANICAL
Post&Beam -
Rough In
Gas Line - --- ----- --
Smoke Dampers
Final -
PASS PART_ FAIL
Service
Rough In -- -- - -- . ----- ---
UG/Slab
Low Voltage
Fire Alarm
Fi
ASS PART FAIL.
BackfililGrading 4-- -- - ----------
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next Inspectlon. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RE: _ ( ]Unable to inspect-no access
ADA
Approach/Sidewalk G_� L)
Other Date � Inspector _ Ext
Final
PASS PART FAIL 00 NOT' REMOVE this Inspection record from the job site.
CITYOF TOG /� R D �v MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: M 00174
13125 SW Hall Blvd.. Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: 5/223/013/01
PARCEL: 1 S135CA-01902
SITE ADDRESS: 09600 SW NORTH DAKOTA ST
SUBDIVISION: BOETCHERS ADDITION ZONING: R 12
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS. VENT FANS:
OCCUPANCYQP: R3 VENTS W/O APPL: VENT SYSTEMS:
ST( is BOILERSICOMPRESSORS_ HOODS:
FUEL._ ES 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT. BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN -. 100K BTU: ^_AIR HANDLING UNITSOTHER UNITS: 5
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 8
> 10000 cfm:
Remarks: New permit to obtain final inspections for previously issued permit that had expired. Work was for 2 dryers, 3
wail heaters and gas piping for 8 outlets.
Owner: FEES
DIANNE PURKEY Type By Date Amount Receipt
09600 SW NORTH DAKOTA PRMT CTR 5/23/01 $72.50 2720J1000C
TIGARD, OR 9722.3 5PCT CTR 5/23/01 $5.80 272001000C
Total $78.30
Phone:590-6115 _ —' ____
Contractor:
SHAMBURG HEATING 1-11�
23975 SV\( BOONF_S FERRY RD
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-692-5563 Mechanical Insp
Reg tt:LIC 126881 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All \nlork will be done in accordance with approved
plans. This permit w� 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 Oragon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0f1R 952.001-20au.
You may obtain copies of thgse rules or direct questions to OUNC b TpllingA5 3)24�6i 189
Issue 9y: Permittee Signature
Call (503)639-4175 by 7:00 P.M. for inspections needed a next business day
Mechanical Permit Application
—— —
"Datereceived: 0) 61 Permit no.: Mt e /-40/7
City of Tigard Projcct/appl.no.: Expiredate:
City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: — Building permit no.:
1
U I &2;familydwelling oraccessory U Commercial/industrial U Multi-family U Tenant improvement
U New cU Ad(lition/alteration/replacement30 10 1
Job addre �.gt0 T Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
profit.Value$
Tax map/tux lol/account no.: ,
l of Block: Subdivision T'('/�fiQs �`jir6list for important application information and
Project name: .jurisdiction's tee schedule for w,,idcmial permit fee.
City/county. ZIP: L2 r 1 l
'
Desc ption and location . work on premises: Ei
2 _. Lf S — Fectea.) Total
Est.date of completion/inspection:_ DescriptionVty. Res.only Res.only
_ C:
Tenant impnwement or change of use: Air handling unit CFM
Is existing space heated or conditioned?eryes U No rrcon tuoning(site plan required)
Is existin}'sp,tcl insulalyd?I�1 Ycs U No teration of ex sung C systcm
of er/compressors
State boiler permit no.:
Business name: - HP Tons BTU/H
Address: 'I ge%'/!, �,� Y,r 7 •irusm ke ampers/ uctsmo cetectorss
City:' (I INiue: LIP: ` 4_ Heat'pump p an requirelet ) _
nsta replacefurnac urncr l
Phone-.,,,t Fax: E-mail: Including ductwork/vent liner U Yes U No
CCB no.: 4 If GtJ Install/replace/relocate heaters-suspended,
City/metro lic.no.: _^ _ __ wall,or floor mounted _ —
cut for apeliance other than furnace
Name(please print) a gemt on:
1 Absorption units_ BTU/114 _
V k'G /y Al Chillers Hp
Name: 5 oVA1,*1� Com ressors_. __ lip
Address: 3,900 _S 'dsar 5�- - nv ronmenta ex ust a senti at on:
City: yW40040 Appliance vent -
Phone Fax: Email: )ryerex aust
o s, ylte res. itc en/ aamat
hood fire suppression system
Name: Exhaust fan with single duct(hath fans)
Mailing __- :x aust systcm a art tom catm or C
address
_ rte piping an distribution on(up to out ets)
City:
State: ZIP: — Type ^_1_116 __ NG __ oil
Phone: Fax: E-mail: Fuel pipingeach additional over 4 out cis
Process piping(schematic require )
Number of outlets
Name: _ t er IC+t app ance or IMu mp ent:
Address: Ikcorativefireplace ——
City: State: ?IP: -- nsert-type
E-mail; slov pc et stove
Phone: -ax: Other: ; tic - v
Applicant's signal �i11t t —
Name(print): --• .
Permit fee.....................$ —_
Not all juris liclion,accept credit cards,please cell jurisdiction fix inure information. Notice:This permit application Minimum fee................$
U visa U MasreWard expires if a permit is not obtained Plan review(at _ %) $
Credit card nomixc_ _-- --— --s— within ISO days afler it has been __7 —
Eapllns >• State surcharge(896)....$ —
`Nrune nr cardholder a i>Kn nn credit cud accepted as complete. TOTAL $ :11=12-Crdholdel sieltature _ 4444611(600/1 OMI
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 $ 2 FAMILY DWELLING FEE SCHEDULE:
OTAL VALUATION: FEE: Description: Price Total
T -VALUATION:
Minimum fee$72.50 Table 1A Mechanical Code _ Oty (Ea) Amt_
$1.00 to
1) Furnace t 100,000 BTU
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and
$1.52 for each additional$100.00 or including ducts
ucts 8 vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts&vents _ _ 17.40
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or including vent 14.00
fraction thereof,to and Including 4) Suspended heater,wall heater
$25,0 0,00. or floor mcunted heater _ _ -._ _ 14 00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance?ermit
$1.45 for each additional$100.00 or 6.80
fraction thereof,to and including 6) Repair units
12.15
$50,000.00.
$50,001.00 and up $742.00 for the first$50,000.00 and Check.all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond
fraction thereof. _ footnotes below. Comp*
7)<3HP;absorb unit
-- to 100K BTU 14.00
ASSUMED VALUAT_IONS PER APPLIANCE: 8)3-15 HP;absorb
Value Total unit 100k to 500k BTU 25.60
Description: _ 0 �Ea Amount 9)15-30 HP;absorb
Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35 00
ducts&vents 10)30-50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20
ducts 8 vents 11)>50HP:absorb
Floor fumace Including vent 955 unit>1.75 mil BTU 87.20
Suspended healer,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater 10.00
Vent not Included In appiicance 445 13)Air handling unit 10,000 CFM+
rntit 17.20
Repair units _ 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 1000 _
to 100k BTU 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 680
101k to 500k BTU 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00
mil.BTU _- 17)Hood served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 10.00
1-1.75 mil.BTU18)Domestic Incinerators
>50 hp;absorb.unit, - 5,725 17.40
>1.75 mil.BTU 19)Commercial or indstrial type incinerator
Air handling unit to 10,000 cfm 658 69.95
Alr handling unit>10,000 cfm _ 1,170 20)01her units including wood atov$ S/p o��
Non- ortable evaporate cooler _656 z�. kJoi- 11,1f Ir E.� 10.00
Vent fan connected to a single duct 446 _ 21)Gas piping one to four outlets 910
Vent system not Included In 656 5.40 '
Hood serve permit y meexhaust 656 an 22)More than 4-per outlet(each) 1.00 y'00
Hood sd bchl '�j�
Domestic incinerator 1,170 1 Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or Industrial incinerator 4,590
Other unit,Including wood stoves, 656 8%State Surcharge $
L'
Inserts,etc. __
Gas I in�1 4 outlets _ 360 '�- 257.Plan Review Fee(of subtotal) $
Eech additional outlet __ 63 Requ,'ee for ALL commercial permits only
TOTAL COMMERCIAL i : TOTAL RESIDENTIAL PERMIT FEE: 71
VALUATION_ ,1�-_
Other risgections and Fees:
1 Inspectiuns outside of normal business hours(minimum charge-Iwo hours)
$12 50 per hour
2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
$72.50 per hour
3 Additional pian review required by changes,additions or revisions to plans(minimum
charge-one-half hour)$72 50 per hour
*State Contractor Boller Certification required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit.
1:\dsts\formsbnech-fees.doc 10/11/00
CITY
�� �'���� __ BUILDING PERMIT
(v' PERMIT#: F3UP2001-00186
DEVELOPMENT SERVICES DATE ISSUED: 5/23/01
-- 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135CA 01902
SITE ADDRESS: 09600 SW NORTH DAKOTA ST
SUBDIVISION: BOETCHERS ADDITION ZONING: R-'12
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: _ FLOOR AREAS__ _ EXT_ERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRS-: sf _ N_ S: E. W
TYPE OF USE: SF SECOND: sf _ PROJECT OPENINGS? _
TYPE OF CONST: UNK sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 -f ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft
GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?. _ _REQD SETBACKS REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: It FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: / 70 . ( r
Remarks: New permit for repair arid replacement of existing deck that had been previously permitted but not inspected and is
now expired. No plans required per Hap W.
Owner: Contractor:
DIANE E. PURKEY OWNER
12.8'10 SW WALNUT
TIGARD, OR 97223
Phone: 503-590-6115 Phone:
Reg#:
FESS' REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT CTR 5/23/01 $62.50 27200100000 Final Inspection
5PCT CTR 5/23/01 $5.00 27200100000
Total $67.50 _
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with apprcved piano,. 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 the rules adoptA by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-0f'1-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-66L9r 1-800-3 .2-
Permittee
Signature:
Issuers By: ' --
e__
Call 639-4175 by 7 p.m. for an inspection the next business day
r
One-and Two-Family Dwelling
Building Permit Application Checklist �Zeterenceno..
-- -- — -� Associated permits:
i
CifvofTigard City of Tigard U Electrical U Plumbing U Mechanical
A,IdI'ess: 13125 SW Hall Blvd,Tigard,OR 97223 U(nher
Ph,)ne: (503) 639-4171 —`
Fax: (503) 598-1960
FOLLOWING ITEMS ARE RA i FOR PLAN REVIEW
I Land use actions completed. 'WC jurisdiction crib)i.i for concuncnt ru%a \s
2 Zoning.Flood plain,solar balance points,seismic mils designation,histooc district,etc,
3 Verification ol'approved plat/lot. _
4 Fire district -- approval required. _ —
5 Septic system permit or authorization for remodel.f:xkling system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Erosion control U plan U permit required.Include drainage-way protection.sill fence design and location of
catch-basin protection,etc. _
10 3 Complete sets of legible plans.Must le drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on it separate full-sue
sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed
if copyright violations exist. _ _
I I Mite/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(it
there is more than a 4-I1.elevation differential,plan must show contour lines at 241,intervals);location of casements and
driveway;footprint of samcture(including decks);location of welI%/septic systems;utility locations;direction indicator;lot
area;building coverage area;perv•entage of coverage;impervious area;existing structures on site;and surface drainage_
12 Foundation plan.Show dimensions,anchor halts,,.ny hold-clowns and reinforcing pods,connection details,vent
sine and-location. _ _---..---- —. —--
3 Floor plans.Show all dimensions,room identification,window size,location ol'smoke detectors, Nater heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,uoof construction.Mott than one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etv.
15 Elevation views. Provide elevations for new construction;minimum of ,-•!evations for additions and remodels.
Iixterior elevations must reflect the actual grade if the change in grade is., .ter than four foot at building envelope.
Full-sim sheet addendums showing foundation elevations with cross refL gees are accep!able.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floorlroof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
I8 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered
systems.see item 22,"UmSincer's calculations."
19 Beam calculations.Provide two sets of calculations using cwrent erode design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying it non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required
for four or n)on•appliances.
22 Engineer's calculations.When requires/or pnwidcd,0, iwar wall,ro,f truss)shall be stamped by an engineer or
architect licensed in t►regon and shall be shown 6o he all li it,lr hi Iho proiccl ander review.
1
23 Five(5)site plans are required for Item I I alxwe. Site plans must he 8-1/2"x I I"or 1 I"x 17". _
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will he accepted.
27 _
28 —
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black int.
Red ink is reserved for department use only. 4404614((AWOM)
' CITY OF TIGARDMASTER REKNIT
PERMIT #. . . . . . . .. MST99-0443
DEVELOPMENT SERVICES DATE: ISSUED: 10/30/96
13125 SW Hall BIL d., Tigard,OR 97223(503)639.4171
PARCEL: 1S135CA-01902
SITE: ACTRESS. . . :03600 SW NORTH DAKOTA ST
SUHDI V I ;ION. . . . :130ETCHERS ADDITION ZONING: R-12
BLOCK. . . . , . ,. . . . LOT. . . . . . . . . . . . . .001 JURISDICTION: TTt
Remarks: Replace and existing deck.
------------------------------------------------------------------ BUILDING -- -----------------------------
REISSUE: STORIES.......: 0 FLOOR AREAS---------- BASEMENT... : 0 sf RCOUIRED SETBACKS- -- REQUIRED----------..
CLASS OF WORN.:REP HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LDR)....: 60 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FiNBSMENT: 0 sf RIGHT.........: 0
OCCUPR CY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..$: 2080 REAR..........: 0
-------------------------------_ -------------------------------- PLUMBING --------------------------------------------------------------- ---
SINKS
---------------- ----
SINKS 0 WATER CIOSFTS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRI,IN ft: 0 TRAPS........, : 0
LAVATIM ES....: 0 DISHWASI-ERS...: 0 FLOOR DRAINS..: 0 °EWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: P
TUB/?HOWERS...: 0 GARBAGE LISP..: 0 WATER HEATERS.: 0 W,,TER LINE ft: 0 BCKFLW PREuNTR: 0 GREASE TRAPS..: ."
OTHER FIXTURE": 0
------------------- .... - --- -- - - ------- ----- -- - MFCHWJICAL --------------------------------------------•------------ ----
FUEL TYPES----------.- FURN c 100N ..: 0 BOIL/CMP i 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN 1-18011 ..: 0 UNIT HEATERS..: 0 HOODS.........: 8 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
--------------------------------------------- - --- ELECTRICAL -----------------------------
—RESIDENTIAL
------------- - --
--RESIDENTIAL UNIT--- ---SERVICE/FEEDF-R---- --TEMP SRVC/FEEDERS-- ---BRANCH r:'RCUI;S--- ----MISCELLANEOUS— --ADD'L 1NSPECTIONS--
1000 SF OR LESS: 0 0 - ?00 amp.. : 0 0 - 280 amp..: 0 W/SVC OR FGR..: 0 PUMP/IRRIGATION: b PER INSPECTION: 0
EA ADD'L 500SF.: 0 20' 400 amp.. : 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 '00 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PI-ANT...... . 0
MANF HM/SVC/FDR: 0 501 1000 amp.: 0 601+amps-1800 v: 0 MINOR LABEL_ --10: 0
1000+ amp/volt.: 0 ----------------.-----__-..----------- PLAN REVIEW SECTION -------.------__---
Reconnect only.: 0 1=4 RES UNITS..; SVC/FDR)-225 A.: ) 600 V NIN NAL: CLS AREA/SPC OCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -----------.------------------------------------------
A. SF Rr.:SIDFNTIAL---------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AUDIO Ij STEREO.: VACUUM SYSTEM..: AUND I STEREO.: FIRE ALARM——: INTERCOM/PAGING: 01-ITDOOR LNDSC LT:
BURGIPR At.ARM..: 0TH: :: BCILER.........s HVAC...........: LANDSCAPE/I PRIG: PROTECTIVE SIGNL:
GARAU OPENER..: CLOCK..........: INSTRUMENTATION: MFDICAL......... OTHR: ..
HVPC............ DATA/TELE COMM.s NURSE CALLS....: TOTAL JI SYSTEMS: 0
Owner: ----------------------------------- C'ontrartor- ----------------------------- TOTAL FEES:f 87,76
DIANE E PURKEY DIANE PURKEY This permit is subject to the regulations contained in the
IP810 SW WALNUT STREET 12810 SW WALNUT STREET Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD UR 97223 TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone t: Phone N: 590-6115 not started within 180 days of issuance, or if the work is
Reg C.: suspended for more than 180 days. ATTENTION: Oregoi law
_------------_ —__—..---------------- requires you to follow rules adnpted by the Oregon Utility
Notification Center. Those rules are set forth in DAR 952-001-0010 through OAR, 952001-0880. You may obtain copies of thtse rules or
direct questions to DUNG by calling 15031246-1987.
------•-------_____—____� —___--- RE91JiRED INSPECTIONS -- ----- ------------------------------------------
Footing 'hip
Framing Insp
Building Final
Issi-sed By: Permittee Si gnat+-ire:
+++++++++ +++++++++-++ ++ • +++++++++•+++f•+++++++++++++•F+ + � +++++++++�+++++++
Call 639--4175 by 7-00 p. m. for, an inspection needed the next b+..isiness day
CITY OF TIGARD Residential Building Permit Application Plan Check# ", -6az
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By =
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Rec'a
Date to P.E.
V 503.639-4171 Date to DST,
F 503-684-7297 & Permit# *h p 8 na"'V
Print or Type � Called_';-,,'
Incomplete or illegible applications will not be accepted
- —-- Naruaef Prole Name --- /
Job I -��U l L_0 1-.J jK- _ ----
Address s ddress Architect -Mailing Address
------ N �1 ,/� City/State Zip Phone
T� i P N s-. b P_k,G l --- -
Owner Mallirip/fid ress Name
i
to Z Phone
z� Engineer Mailing Address
// Q City/State —Zip Phone
General Name
Contractor (�l i.IJ IBJ L Describe work New O Addition O Alteration O Repair
Mailing Address to be done. _ ---��-
Prior to permit ! Additional Description of Work—:i L"r 4L l) G,
issuance,a copy City/State Zip Phone ' ' r
cf all licenses
we required if Oregon Const.Cont.Board Exn. Date PROJECT
expired in COT Lic# VALUATION
database _
Mechanical Name -- -- _NEW_CONSTRUCTION ONLY:
Sub- Sq. Ft. House: — Sq. Ft. Garage
Contractor M iling Address _
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in th_e following
of all licenses Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy -- S stem �- --T—Alar_ms _
expired in COT Lic.# Installations Vacuum 11'1
rrigation
database — —_`— — S stem r�stem
Plumbing Name (check all that Other:
Sub- ate).—_
Contractor Mailing Address —�— — Corner Lot YES NO Flag Lot YES NO
(check one (check one)
—_ Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/Stare 7-p Phone
issuance,a copy , Solar Compliance _T_
of all licenses are Oregon Const.Cont.Board Exp. Date (Calculation Attached)
required if I Ic# I hearb acknowledge that I have read this a lic ition,that the
expired in COT _ Y 9 pP
database Plumbing Llc # — Exp. Date — information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
Oregon State laws. _
Name Signature of Owner/Agent Date
Electrical
Suh- Mailing Addre -�---" Contact Person ty�ame Phone#
Contractor _- _ _ FOR OFFICE USE ONLY:
City/State . Zip Phone Plat#: —l- Map/TL. Q
Prior to permit
issuance,a copy
--�----- - Setbacks: e: Solar:
of all licenses are Oregon Const.Cont Board Exp Date
required if Lic.#
expired in COT _ _ Engineering Approval: Planning Approval TIF:
database E13CYtrical Lic # i - xp.Dale
/'�i517fv (r� e--' % /VoT Tp SC'*i e-E "
J c7 I SFREM2 DOC(DST)8/11/98
�/, G 3
Permit#:
Address: 1l�eo Sr%c) /VeR771 j��ie4TA
• •' -��- -
Issued by: Date:
Statement: Infopmation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
i t
[:V/] 1. 1 own, reside in, or will reside in 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.
C] 3A. My general contractor is (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
313. i will be my own general contractor.
If i hire subcontractors, i will hire only subcontractors registered with the Construction Contractors
Hoard. 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 officr i,,,,uing this building permit of the
name of the contractor.
hereby cerlif% that the above information is correct and that I have read.►nd clo understated the Information
Notice to I'ro erll' Owners about Construction ResponsibiliHes on the reverse side of this form.
9!R
(Signature of permit applican (Date)
(White cope to issuing agency permit file,
pink copy to applicant)
o
w y
AM
-Imp-
CN
i - O
-14
tit) r W�J E P- DI,►Ae e ce PUR k ;07-z R le) -50 k).4 e-
71 noe—
cl
('ITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phonc6394171
Date Requested: � "q 2 - A.M. MST:
Location: JF BTJP:
Tenant:-_— Suite:---- -illdg: MEC:
Contractor Phone: PLM:
Phone: ELC-
ELR:
SIT:
BUILDING BLDG(c—on't) -PLUMB__ING MECHANICAL ELECTRICAL- SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-hi I JG Sprinkler
Foundation Insulation Sewer I food./Duct Reconnect Vault
Bsmt Damp DrNwall Storm Furnace Temp Service NIISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm CrawWound Dr I leat 1111111P I 0W Wit
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approves, Not Approved
FINAL FINAL FINAL FINAL FINAL
r-
,h
1�1�- —Lo—c--CL �re r-1 i -Sc) ct Jaw,eix r 5
0"t o, C-Il 0,-V _J=)C C- L.1, 0-+1 4C Cla 5 ,y2e-ct4((nr\
A4A V n /sa c C LA -ex! !Xak
Vim_ LY I Lo e"' V� 71
le ki 5/to
J
13 Call for reinspection M Reinspcction fee of 3 required before next inspection C3 Unable to inspect
Inspector: Page—of
CITYOF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00320
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9
1513
PARCEL: 1 S135CA-01902
S;TE ADDRESS: 09600 SW NORTH DAKOTA ST
SUBDIVISION: BOETCHERS ADDITION ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP DOMES. INCIN:
PG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR OYEUNITS:
GAS PRESSURE: 50 + HP: V1CLO DRYERS:
FURN < 100K BTU: _ AIR HANDLING UNITS
CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 4
> 10000 cfm: GAS OUTLETS: 8
Remarks: Updating previously non-permitted work (]one by different contractor. Work to include: 2 dryers, 2 wall heaters,
and gas piping for 8 outlets.
Owner: FEES
DIANNE PURKEY Type By _ Date Amount Receipt
09600 SW NORTH DAKOTA PRMT DEB 7/27/99 $50.00 99-317180
rIGARD, OR 97223 5PCT DEB 7/27/99 $3.50 99-317180
Phone: 590-6115 Total $53.50—
Contractor:
SCOTT A. SIIAMBURG
380 SUNSET CT
SHERWOOD, OR 97140 REQUIRED INSPECTIONS
Gas Line Insp
Phone:625-3828 Mechanical Insp
Reg #:LIC 126881 Heating Unt Insp
Misc. Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work w0 be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-001-0080.
You may obtain copies of th se rules or direct questions to OUNC by calling (503)246-9189.
Issue By: ) ` C 1.1' Permittee Signature: J
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day,
CITY OF TIGARD Mechanical Permit Application Plan Ch"
Recd tly
13125 SW HALL BLVD. Commercial and Residential Date Recd -?-097.9,9
TIGARD, OR 97223 Date to P E.
(5031639-4171, x304 Date to DST '
Print or Type Pemilt# lial?? -eo
_ Incomplete or illegible applications will not be accepted Called _
Name of Development/Projed Description
Table 1A Mechanical Code _ Ot Price _Amt
Job Streirl Address - SURea - A) Permit Fee v 1600
Address 71,aet",1, 1) Furnace to 100,000 BTU
includin ducts 8 vents_ see footnote 1,2 9 65
Bldg$ CRY/Stele Zip 2) Furnace 1U0,000 BTU+
d/(j including ducts r3,vents see footnote 1,2 1200 _
Name(or name of business) 3) Floor Furnace
Owner n4including vent see footnote 1,2 9.65
Mailing Address - 4) Suspended heater,wall heater
O✓� or floor mounted heater see footnote 1,2 9.65 —_
�Cl/f1 f Q•S G� 5) Vent not includedin a liance ermit _ 4.75
Citylstate zIP Phone Check all that apply_V 'Boiler Heat Air
5 9a-ail For Items 6-10,see or Pump Cond my Price Amt
- --- -
Name(or name ofbusiness) footnotes 1,2 Comp
6)<3HP,absorb unit to
yloy u5 ez,60Ve- 100K BTU _ _ _ _ 965
Occupant Mailing Address 7)3-15 HP;absorb unit
100k to 500k Brij _ _ 1765
CRY/state Zip Phone 8) 15-30 HP.absorb
unit 5-1 mil BTU _ 24 15 _
9)3050 HP;absorb —
Contractor Name _unit 1-1 75 mil BTU 3600
Inhw avis L LC 10)>50HP,absorb unit
Prior to permit Mailing Address >1.75 mil BTU _ 60.15
issuance,a copy J U/l�l� C 11 Air handling unit to 10,000 CFM
of all licenses cd�/State Zip Phone _ _ 7.00
are required if /10/cJC)Od 0 `J J/VV G25--3F-A' 12)Air handling unit 10,000 CFM+
expired in COT Oregon Conn.Cant.Board Lie.$ Exp.Date -� 11 75
database 196 M 13)Non-portable evaporate cooler
Architect Name /,/ �^� _ _ _ 1 7.00
n 14)Vent fan connected to a single duct
or Mailing Ad'-ess — --
15)Ventilation system not included in 4.75
apliance permit _ — 700
Engineer cnY/state — zip Phone 16)Hood served by mechanical exhaust
700
Describe work to be done 17)Domestic incinerators
12.00
New O Repair,0 Replace with like kind. Yes O No O 18)Commercial or industrial type incinerator
Residential)S Commerual O 48.25
19)Repair unilt
Additional information or description of work — 8 4U —
[epd4Eiile,r PiPv i0(,S ly /1017. C/M, Ned �✓�%lr`C1e/ 20)Wood stove/gas FP/9lher units/clotft9 dryer/etc
hr! JJci�loWui C'cl;dti'I, ''r r " I rcli)rfis //tfi( _ 700
NOTE: For Commercial projects only;Units over 400 lbs require 21)Gas piping one to four outlets
structural gas talcs See footnote 1 � 3 75 y
Type of heel oil O natural gas 5 LPG O electric O 22)More than 4-per outlet(each) 75
Minlmum_Permlt Fee$50.00 SUBTOTAL
i hereby acknowledge that I have read this application,that the information — _ 7%SURCHARGE ;
given is coned,that I am the owner or authorized agent of - PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws. _ Required red for ALL commercial permits only
_ TOTAL
Slgnat a of Owner/Agent, Date _
ether Inspections and Fees:
1. Inspections outside of nonnal business hours(rnininum charge-two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
charge half hour) $50.00 per hour
Voonotes for commercial proleds only: 3. Additional plan revinw required by r.hanges,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
wets. _ "State Contractor Boder Certification required
"Residential A/C requires site plan showing placement of unit
1:lmechperm.doc rev 02/4/99
I
' s
CITE' OF TIG'ARD 4
"1"
n `�I ( u ( I? r l E i ',
BUILDING DIVISION
13125 SW IIALl, III VD., 11GARD, OR 9722.3
6.19-4171
J013 ADDRESS:
OWN FIR:__ CU�J'I'It�1C'T(ilt:
YOU ARE IN VIOLATION OFTHE FOLLOWING:
AND HEREBY NOTIFiED THIS _ r =M,
� DAY OF 19 AT
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECT ED AND VERIFIED BY THE CITY, CORRECTIONS SHALL BE MADE WITHIN
DAYS OF THE ABOVE DATE. FAILURE TO COMPLY WITH THIS NOTICE W;LL RESULT IN THE
ISSUANCE OF A CIVIL INFRACTIONS SUMMONS.
-DO NOT REMOVE THIS NOTICE-
BUILDING INSPECTOR
A . .
MEMORANDUM
TO: Bill Monahan , Jim Hendryx, Dick Bewersdorff,
Ron Goodpaster, Gary Lampella, Brian Rager
FROM: Albert Shields
RE: Diane Purkey, & her house at 9600 SW North Dakota St.
CC: Hap Watkins, Matt Scheidegger
DATE: Thursday, May 24, 2001
No immediate action required on your part.
This is a "head's-up" memo to alert you that we have an extremely disappointed
applicant frorn whom we will probably receive some complaints about being misdirected
or inadequately counseled by the City.
In RE Diane Purkey, her house at 9600 SW North Dakota St., "The Purkey-Plex,"
and permits ENG2001-00022, MMD2000-00024, SDR1999-00029, VAR2000-000-J4,
VAR2000-00005.
STATUS'
Hap and I me. with Diane and Denny Purkey this afternoon and revieweu with them the
modifications to the "house" at 9600 SW that would be required under the building
codes to change the use from single-family to 4-unit multifamily. 1 he changes are
substantial, including sprinklering the four units, providing handicapped adaptability,
docimentation of previous construction approval by Washington County, etc. The costs
will also be substantial and doubtless greatly exceed anything Mrs. Purkey anticipated.
She left, visibly upset, complaining that she would not have invested as much as she
already has in addressing requirements for her Planning and Engineering permits if she
had known that the costs of modifying the building itself would be so high.
She complained specifically that in none of her discussions with Planning had anyone
suggested that there might be any difficulty in meeting Building requirements nor had
anyone suggested that she might want to submit specific plans for review befoie
proceeding. We started to point out that Planning's focus would have been on land use
as opposed to building use and that their presumption would have to be that a
developer knew what they were proposing to get into, but she seemed to believe that
she should have been guided better towards anticipating eifficulties.
She also complained that Hap and I, who had met with her and Matt Scheidegger in
July, 1999, had at that time mentioned only relatively minor changes and corrections
that would be required, some of which she has already done, such as installing a larger
window in a bedroom to provide required egress. At that time she was insisting that
only her immediate family lived in the house and that no units were rented out -- so the
property continued to be a single-family residence and the corrections we commented
on were those required by the Housing and Building Codes for any occupancy as a
residence, not requirements for conversion to use as an apartment house.
BACKGROUND:
• 'The hcuse was Mrs. Purkey's former marital residence. Her farmer married name
was Kociemba. Mr. Kociemba (and one or more of their sons) apparently did the
construction work involved in converting an existing garage to a studin apartment for
one son, adding a two-story structure with garage below/apartment above, and
subsequently converting the new garage to another apartment, leaving four potential
dwelliny units. That work w,as reportedly done under permit Irom Washington
County, but the documr gots we have seen so far do not show a four-unit floor plan or
any added kitchen or bathroom facilities, only a garage with an undefined room
above to be attached to a single-family house.
• Recent work on the building has consistently been begun without a permit. In 1998
Mrs. Purkey rebuilt (and possibly enlarged) a deck and stairs to the second floor
without a permit. In 1999, at the time of our visit, the gas service had been
expanded to four meters and new gas furnaces and ranges installed in at least two
units, again without permits. And more recently, excavation for street widening and
parking was begun without a permit. It is obvious that electrical and plumbing work
that required permits has also been done, presumably by tier sons.
• The original permits for the deck (1998) and gas lines (1999) have expired and even
that work has never received final inspection approval. No inspections were ever
requested under the deck permit and required corrections were not completed under
the gas line permit.
• Hap and I visited the property again last Frid .y, when the police department
executed a search warrant and notified us of oorne Housing and Building Code
issues. We drew up a list of current violations that I reviewed with Mr. & Mrs. Purkey
in a meeting on Monday, 5/22, in Ron Goodpastei's oti;,,e. In that meeting I
explained to the Purkeys that a number of the noted vi Iations had to be addressed
immediately even if no one Were c i rertly living in the property and that others
would have to be co?rected if me: -S f her family were to live in it as a single-
family home. Specifically, I '-)Id the,, it new Mechanical and Structural permits,
for the gasline and deck wo would have to be taken out within 7 days and that the
work under those permits would have to be completed, including final inspection
approval, within 30 days. We plan to enforce that timetable while making every
effort to cooperate wi,.i the Purkeys.
• In our meeting today we did paint out that conversion from single-family to two-
family/duplex would require much less modification and would be far less expensive.
Please let me know if you have any questions.