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11195 SW TIGARD STREET 11195 SW Tigard SL. _ I ;.i U) rn �H to Ln .-I s 1 .MS—PE qr1PN NPYI'ICE City or Tigare nuilding Department 13125 SII Rod] Rlv- Tigard, Oregon 97223 � Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Iaapections —_-- -- - — _ r Footing Plbg. I;nderalab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out C Line `n. FINAL:-) Dost deam Struct. San. Sewer Framinq -Bldg. Poet/Beam Mech. Viln Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bid. �-►Nch. Date Requested: _— Times SAM PH Address s /// Z / G1 � _ �T Permit to Builder: THE FOLLOWING CORRECfInNS ARE REQUIREDs I i - ' Inspectors_ :. � �---------. _— Data: C:--APPROVED _— DISAPPROVED `— APPROVED SUSJe:cT 'Co A LOVE —_Call For Reinnp. se_s� INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigaid, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested Time_ A.M. P.M. Address WrMit -:f/ Owner Lot Bkjilder The following Building Code deficiencies are required to be corrected: z2e;—:- elAz C-'A1 7r 1A c VC:;L/7— Presented to Approved Inspector D Disapproved Date CALL FOR REINSPECTION ❑ YFs 0 No -1 - CITYOFT167ARD I E R ITI J, T, �CnYOFTWARDIERMUT 44. .. Lqc-, COMMUNITY DEVELOPMENT DEPARTMENT 'RIM. PLA1111' It.. . 111EC')0 t61':)6 13125 SW Hall Blvd. P.O.Box 23397,Tigani,OroWn 97Z?3(503)6W41 75 JSSLJF:-'D- JAA'Jb ',:)W 116f)RI) 31 PARCEL: 1S1%34DC--00,(1v)0 E'UL JV* SION. . . . ZONING: R 4. 5 � -4 D' .1 PLOCK. . . . . . . . . . ................ .................— ('L ASS C)F:' W 0 R K. ., -A L 7* FLOOR F-URN. FVAF," ('001_E RS .1'YP1'::_' OF:' USE:'. . . . .SF:' ONIT HEATERS. Vr--.N*I' FANS. . . . OCCUPANCY GRI---'. -,R3 VL..111,S) W/O YIEN'T' S Y31*E M S (:1)1'C)R I E,S. . . . . El 0 1 L ER S/C,'O M PR ES3 0 R fi; HOODS. FUEL 0-•;3 1-1 P DUVIC."S. J*.NCI1q- -/6AS/ 3-15 HF'. .. .. .. COMML. INCIN.- ITI n X IN P'Ul' 1.5-30 HP., UNI'T'S,. F:*I R 1::. DAMPERS?— a 30-50 WOOD S'T*OVF-':S. GAS 1-,RE SSURF:.. (J-0 DRYERS. NO- OF:' OIR HANDLING U N JJ S ()T H E R 1.)N 1'r s. r.. t F 1.)R N < 1.00K DI U n 1 10000 C�fnl- GA S 0U71..FTSP F:URN ):n:J.V10K E4'1'U:: :1.0000 (:Jni: R(,a nia-r s i: C)W I-)r--r C,H()RJA:.'3 SCHNLADER type An) t.(11 t by date -r e p 1; 1:1. 195 SW 7`1(.17 P R 1) 131, VIRMT $ f?2. `0 5I!C 1, $ 1. 13 TT6 A F�1) 0R 9722,3 POYM 1; 23. 63 JL.H 09/25/90 1::1hc)rie Ira W 11 E R C 0 N'T'R A(1 71)R ............. 1-11.1t3ne 213. 63 TOML Req 0 W N L+I REQUIRED INSPEC,"T IONS This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of pre. Specialty Codes and all other applicable laws. All work will be done in accordance with �ivroved plans. This permit will expire if work is not started !n J8e days of issuance, or if work is stispended for *oro 1 180 days, ......................................---....... ................... Fpy,nji.tteq ............... . ............. .............................. Tosi.ted By* .......... ................... .......................... -------- Call f(:)-r j.vis1:)ectio1-i 639...41.'75 I Nor MTY OF JIGARD RECEIPT Or PAYMENT PECEIF-'T NO. -.90-2t.41,51.29 CHECK, AMOUNT 273.63 NAME SCHNEIDER. CHARI-ES CASH AMOUNT . 0.00 ADDRESS c 11.195 S14 TX-4ARD ST PAYMENT DATE 09/20.5/90 SUBDIVISION TIGARD, OR 972217-- ['15MUSE (IF' F'AYMENT AMOUNT PAID i:oFzpc)cjF or PAYMENT AMOUNT F`01D ri J-1ANICAL. PE MU7'710- 619e.) 9'r.—BUILD PER 704AL AMOUNT PATE) 2 3.6 i Permit No: Address: 01 issued Date: • FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPER'FY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. 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 pe'-mit. Fill in the applicable blanks, and initial box 1 and either box 2A or 2B: 1. I own, reside in, or will reside in the completed structure. 2. A. My general contractor is Contractor registration number I will instruct my general co. tractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. it I change my mind and do hire a iReneral contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above Information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. 9 gnature of Perrmlt Applicant Date CONSTRUCTION CONTRACTORS BOARD 0244J 1/90 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPEhTY OWNERS ABOL)i CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to c: nstruct a new home or make a substantial improvement to an existing structure, you can provent 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 labor in constructing or assisting in the const action or improvement of a residential structure, you will, in most instances, be ruled to be an "employer" and the people you hire will be "employees". As the employer, you must comply with the following: Oregon's WithholdIp Tax Law: As an employer, you must withheld income taxes from employee wages al tie t employees are a cf. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378-3390. Unemployment Insurance Tax_: As an employer, you are required to Fray a tax for unemployment insurance purposes on tie wages employees. For more information, call the(Oregon Employment Division C)HR at 378-3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensa• tion Law, an and ust obtain wo ii s' compensation Insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all clairn costs if one of Your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373.7434. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be 1 a leo the tax payment even if you didn't actually withhold the tax. For more informa- tion, call the Internal Revenue Service at 221-3960- OTHER RESPONSIEILITIES AND AREAS OF CONCERN: Code Compliance As the permit holder for this project, you are responsible for resoivinC any failure to meet code requirements that may be brought to your attention through inspection'$, Liabllity and Pfopertt Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage Tor acr,Idents and missions such as failing tools, paint overspray, water damage from pipe punctures, fire, or work that must be re-done Time to Supervise Employees: Make sure you have sufficient time to supervise your employees. EEx ertisw Make sure you have the expertise to art as your own general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections If you have additional questions, write to: Construction Contractors Board 700 Summer St, NE, Suite 300 Salem, OR 97310-0151 Phone 503.378.4621 02"J 10/24189 (OREGON F THARD January 8, 1990 Mr. Charles Schneider 11195 SW Tigard Street Tigard, OR. 97223 Re: 111.9.5 SW Tigard Street Permit #MEC90-0196 Dear Mr. Schneider, The last inspection conducted on the above project was a diapproved final on October 22, 1990. The next required inspection will be a final. Please advise the Building Division of the status of this project as soon as possible so the file may be kept current. Please note that any permit without activity for over. 180 days becomes void. If you need additional time to complete the project, please contact this department so that an extension can be discussed. Sincerely, Brad Roast Building Official Notice. ]. 13125 SW Holl Blvd.,P.O.Box 23397,11gord,Oregon 97223 (503)639-4171 -- CITY OF TIGARD MECHANICAL PERMIT Permipt # __ ---_--_-�-__--- 13125 SW HALL BLVD. Permit # ----- ----___--_ P. O. BOX 23397S/ _ tkscription TIGARD, OR 97223 ,�� L JQU Teble�A Mechanical code *2 PRICE AMT (503)639-417.5 [ 1) Permit Fee -0- -0- 10.00 �- Na11°, 2) Supplemental Permit 3.00 ^� nedres 1 Furnace to 100,000 BTUJob ` 6.U0 Address ) incl.ducts 8 vents / ^ Tax tntMOP .NO 2) Furnace 100,000 BTU f 7.50 t-of Mick 8tbtlMsion incl.ducts dvents - Name lot name of business) 3) Floor Furnace 600 J incl.ventMaiiiing Adickon p," 4 Suspended heater,wail heater Owner - ) or floor mounted heater 6.00 CayrSute -- A) 5) Vent not incl.in 300 appliance permit -- Name(or name of buslneas) "-_ 6) Repair of heating,refr ig., 6.00 cooling,absorption unit Melling Address - -- Ptwr 7) Boiler or comp to 3 HP 6 Ocxupant _ absorp.unit to 100,000 BTU ciryastale typ 8) .00 Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU _ Name - 9) Boiler or comp 15-30 HP 15.00 absorp.unit 1/2-1 million Mailing Address Phone 10) Boiler or comp to 30-50 HP 22.50 absorp.unit 1-1.75 million _ _ Contractor CNytstate Y� zip 11) Boiler or comp to 50 HP 31.50 absrxp.unit 1,750,000 BTU _ State negistralon Nn--- city&n.Tax N" 12) Air handling unit to 4.50 10,000 CFM Air handling unit 7 50 I hereby eckrnowlo'tge that I I+ave n� ppl ad this aicalicxr that tlne xnl<x+nation given is 13) l(),()00 CFM t con"a,that 1 am the owner or autborized agent M tle owner,trial plans st bmMb d are in -- -- —' -- oompliance wittn state laws.that I am registered with the state nuildersnoard,that the 14) Non portable 4.50 nurnbar given is eonw.t It exempt Mon state registration please give reason below) evaporate cooler -- -- -- - - - 15) Vent fan connected 900 to a single duct - - -- ------ Ventilation system not 16) 4.50 included in appliance permit 17) Hood served by 4.50 mechanical exhaust Slpr„w,a(owr►er ax arm) -- -.� Onte 18) Domestic type 7.50 Describe work ❑ addition O alteration ❑ repair I I incinerator _ to be done residential ❑ non-residential ❑ 19) Commercial or industrial 30.00 type incinerator Existing use of - building or properly 20) Other i.e.,woodstove,water 4.50heater,solar,clothes dryers,etc. �1 Proposed use of building or property __- 21) Gas piping one to four outlets 2.00 Type of fuel- oil p natural gas ❑ LPG ❑ electric ❑ 22) More than 4-per outlet N�-E' SUB-TOTAL THIS PERMIT BECOMES NULL ANC. VOID IF WORK OR CON -- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 5'l.SURCHARGE DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25'X.OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - TOTAL WORK IS COMMENCED. - Special Conditions_ - Date issued __ _by -