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7325 SW VARNS STREET
ADDRESS: i:\records\microfilm\targets\bi p;Iding.doc CITY OF TIGARD BUILDING INSPECTCON DIVISION MST 24-Hour Inspection Line: 639-4175 Eusiness Line: 639-4171 — -"---- -"" I Ll�-59-Date Requested < _ AM _�Pti1 —___ BLD ---_--- -- Location �3 Z 5 Suiie MEC Contact Person Ph L PLM Contractor_ _ Ph _ SWR BUILEANG 1'enant/Owner _- _ ELC Retaining Wall ELR Footing Access: Foundation FPS __-- Ftg Drain — SGN Crawl Drain Inspe;tion Notes. Slab SIT - ---_-- - - Post& Beam Ext Sheath/Shear I ----- -- Int Sheath/Shear p /� Framing Insulation Drywz.,l Nailing ....... ___--- Firewall Fire Sprinkler �.- -- - -- --- Fire Alarm Susp'd Ceiling - - - — - -- -- --- -- Roof Misc._ - -- — ----- --- -- Final "----- - PASS 'ART FAIL ------ PLt1M81 Post& Beam Under Slab - Top Out Water;service Sanitary 41 -- Rain Drainsins Finai SS ART FAIL. - MECHANICAL Past& Beam — ----- - - _ -- - -- - -- Rough In — Gas Line - --•------.._.__.- -- ---- Smoke Dampers Final - PASS PART FAIL ELECTRICAL Service ---- -- ------ Rouah In UG/Slab - --- - . -- ---- ---- ------ ----- -- Low Voltage Fire Alarm _ - . - -- - - - --- -- -- -- Final 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 Catch Basin Unable to inspect- no access Fire Supply Line ( ]Please call for reinspection RE: -_.____�_ I 1 P ADA J '�PProsch/Sidewalk Date <F- Z��' S Inspector Ext _ Other I ------ -_- - Final -PASS PART -FAIL_J DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLIh96-02'-7 DATE ISSUED: 07/31/98 PARCEL: 2S1.01DB-0070; SITE ADDRESS. . . : 07325 SW VARNS ST SUBDIVISION. . . . : ROLLING HILLS ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO2 JURISDICTION: TIG ---- -- ------------------------------------------------------------------- CLASSOFWORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OFUSE. . . . :SF WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 F•LOGR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES-- ------------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE ( "t ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Carney Owner-,: FEES PATRICK-G CARNEY type amus-int by date rer-pt 7325 SW VARNS ST PRMT $ 15. 00 JSD 07/31 /98 S18-3078E,: TIGARD OR 9722.3 5F'CT $ 0. 75 JSD 07/.31 /98 98-3O78F., �• F'h o n e # 684-20155 C.;ont Tact or___----____--•••--_____.____.____.____._ PATRICK C:ARNEY '7325 SW VARNS ST TIGARD OR 97223 _.._____.__._..•_____-------------•--------___ Phone #: 624-9204 $ 15. 75 TOTAL Reg #. . - -- - - REQUIRED INSPECTIONS --This permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Insper--tion applicable lzws. All work will be done in accordance pith approved plans. This permit will expire if work is not started _- within 188 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in MR 952-W.1-0010 through OAR 9`y-0001-@A80. You may ��— obtain copies of these rules or direct questions to OIINC by calling _— (5@3)246-1981. _ _ ---- lssi_ied By c---- Pe;,mittee Signat!!re :. _,L,� _1 . +i+-h+++•+++a-++i•+++++++++++++i+++.++++++++++++++++++++++.4-+ ;-+++•++++++++++++f 1-++++ Call 639-4175 by 7!00 p. m. for an insper_tion needed tfip next bi_isiness day i ++-1•+•i-+++++4+++++++++++++ r++++++++i.++++++++++++++++++++++++++++++++++++++++.++ CITY OF TIGARD Plumbing Permit Application Plan Checktk_ 13125 SW HALL BLVD. Commercial and Residential Recd By TiGARU, OR 97223 Dale Date to P.E. _ (503) 639-4171 Dote to 0 Print or Type permit# C(+� F O7 Incompletc or illegible applications will riot be accepted Related SWR#___� Called Narne of Development/Projeci J v FIXTURES (individual) �QTY PRICE. AMT 9.00 Job Sir3 Street Address Suite Lavatory 9.00 Address - -T- j J r Tub or Tub/Shower Gomb. 900 Bldg# City/State Zip Shower Only 9.00 9 Water Closet 9.00 — e Dishwasher 9.00 t N' Owner Melling Address Std Garbage Disposal 9.00 Washing Machine 9.00 City/State Zip 3Phone� t��19A D� Floor DralNFloo•Sink 2" 9.00 3" 9.00 No 4' flA0 OCCupont Mailing Address Suite Water Heater O conversion O like kind 9.00 Gas piping re ulres a separate mechanical permit. City/State Zip Phone Laundry Room Tray 9A0 Urinal F�OO Name Other Fixtures(Specify) In eA,nn�? K Contractor Malting Address Suite Prior to permit City/State Zlp Phone Sewer-1 at 100' issuance,a copy Sewer-each additional 100' of all licenses are Oregon Const.Cont Board Lic.# Exp.Date Water Service-1st 100V v required 11 expired In COT Plumbing Lic.# Exp.Data Water Service-each additional 200'database Storm&Rain Drain-1at 100'Name Storm&Rain Drain-each addrtiona!100' Architect _____ Mobile ISpace 25.00 _1 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anil- ?5.00 Pollution Device Engineer City/State Zip Phone ReaAential Backflow Prevention Device- 15.00 / (Irrigation timing devices require a separate l Describe work to be done: restricted energy ermlt. New.)< Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9 00 Resldontial k Commercial O Catch Basin 9.00 A1ddlvt,lonb�I dae j�r1ption of work: Insp.of Existing Plumbing 10.00 per/hr Specially Requested Inspec40.00 1 S bY��� t,r C'' ��Q �.�� )` y Inspections40.00 per/hr Rain Drain,single family dvrelling 30.00 Are you capping,moving or repla Ing any fixtures? Grease Trees 9.00 Yes O No,>! If yes,see back of form to Indicate work performed by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required it Quantity Total is ',9 WORK COULD RESULT IN INCREASED SEWER FEES. � � 'SUBTOTAL I hereby acknowledge that I have read this application,that the Information — -- given is correct,that I am the owner or authorized agent Y the owner,and 6%SURCHARGE that I ns submitted are in compliance with Oregon State La,�b. Slgnat roof Owner/Agent i Date "FLAN REVIEW 26%OF SUBTOTAL t 7/3 01? ?-7 Require 1 ons N nxturegty to',*le>a TnTAL ,+ 1cl.7 . ContactPertetNam Phone -_. � PI &11,41<7/`+ --minimum permit fee is$25 5°4 surcharge,except Residential Backflow �-ti� Prevention Device,wl tch is 315+ 5%surcharge -All New Commercial Buildings rcquiie ptnns with Isometric or riser diagram and plan review I ldststplum pp da 70198 PLEASE_COMPLETE: Fixture Type ! Quantity by Work Performed New Moved Replaced RemovedlCapped Sink- --- --- -- ---- - -- --___— ---- Lavatory __ ___ _--_ -- ------ Tub or Tub/Shower Combination_l -- Shower Only _ - Water Closet --- Dishwasher Garbage__Disposal - Washing Machine _ --- - - --- -- Floor Drain/Floor Sink 2" - - 311 - --- ----- 411 --- - --- -- ---- _Water Heater _- Laundry Room Tray �_- - ----Urinal Other -- --- Other Fixtures (Specify) - -- COMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.41 i Inspection: -- Footing Susp. Ceiling Sprink. Rough-in App dwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace F oEt/Beam Struct. Plbg. Top Out Elec. Rough-in �< Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing .:Plumb Alarm Water Line Insulation -Mach. Underflr Insul. Shear Wall / Gyp. Bd. -Elect. Date Requested: 6 l t� / 7 Time: AM PM Address: Builder:_,22 cf Z G --Permit THE FOLLOWING CORRECTIONS ARE REOUIRI_D: _ ___ 1_T Data: APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Gall For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 71 Inspection: Footing Susp. Ceiling Sprink. Rough-in Ve /Sdwlk Foundation Plbg. Underslab Mech, Rouqh-in lace PosVBe3m Struct. Plbg. Top Out Elec. Rough-in FINA Post/beam Mech. San. Sewer Gas Line C �1 Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation A.Mech Underilr. Insul. Shear Wall Gyp, Bd, -Flect i Date Requested: t!p �`, Time:xav� __PM Address: -7 Z.S CLAjN4� Builder--,e Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Ins ector: Date: 7 f PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE —Call For Reinsp. PATRICK G. CARNEY CERTIFIED PUBLIC ACCOUNTANT `Cl 8 NORTH STA,*E STREET,SUITE 200 - LAKE OSWE.GO.OK 97034-3956 (503)635.7252 • FAX!(503)G35-7351 �o91 City of Tigard Building Division 13125 SW Hall Blvd. Tigard, OR 97223 June 14, 1995 Re: MST 93-0407 7325 SW Varna Street, Tigard Patrick G. Carney 635-7252. Dear Sir: This letter is in response to your letter dated June 1, 1995 regarding no inspections being performed over the past 180 days. I am acting as my own gereral contractor on the above residential addition. I am also a sole proprietor CPA. My accounting practice has contributed to the delay in completing this project. I would like to request additional time to complete the project. I anticipate being ready for a mechanical final inspection in the next week cr two. I would 'like to reassure the City that work is progressing, altho.+gh at a slow rate, since I am doing much of the work myself. If you have questions, please call. Sincerely, Patrick G. Carney I Page No. 1 CASE HISTORY FOR CASE NO.: MST93-0407 PATRICK G CARNEY 07325 SW YARNS ST 11/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 07/16/93 PASS JLH 07/23/93 BLT MSTA010 Plan check deposit paid / / / / 07/16/93 PASS 2LH 07/23/93 BLT MSTA020 Plan cheCK by 07/23/93 / / 07/23/93 PASS RT 07/23/93 BLT M:STA030 Check .or prcl. restrict. / / 07/23/93 07/23/93 PASS VG 07/23/93 BLT MSTA092 (.=) Issue combination permit / / / / 07/28/93 JF 07/28/93 JF MSTA705 Foot/found Insp / / / / 11/19/93 PASS TLP 11/22/93 TLP MSTA710 Poet/Beam Structural / / / / 01/19/94 PAI-S TLP 01/20/94 TLP MSTA712 Underfloor insulation / / / / 01/31/94 PASS RT 01/31/94 BLT MSTA717 PLM/Underfloor / / / / 01/19/94 not done to code FAIL MS 01/2.0/94 MRS MSTA717 PLM/Underfloor / / / / 01/24/94 NO TRAP ON BATH/SHOWER FIXTURE FAIL TLP O1/24/y4 TLP MSTA717 PLM/Underfloor / / / / 07/15/94 'trap in place at tub. PASS WEW 07/15/94 RB MSTA720 Mechanical Insp / / / / 01/19/94 ALL DUCTWORK LAYING DIRECTLY ON GROUND PASS TLP 01/20/94 TLP ALL SUPPORT WIRES NOT ALLOWED FOR THIS PRODUCT 14STA720 Mechanical Insp / / / / 07/2'7/94 PASS WEW 07/27%94 RS MSTA722 Plumb Top Out / / / / 07/11/94 PASS MS 07/12/94 MRS MSTA725 Framing Insp / / / / 07/15/94 Electrical Inspection approval required. FAIL WEW 07/15/94 RB Provide straps at breaks in top plates as shown. MSTA726 Framing <REINSV, / / / / 07/26/94 PASS WEW 07/26/94 BLT MSTA740 Insulation Insp / / / / 08/15/94 Provide firestopping to all. penetrations FAIL. WEW 08/16/94 WW to top and/or bottom plates. Provide Insulation and vapor barrier at headers. MSTA740 Insulation Insp / / / / 08/17/94 PASS TLP 08/17/94 TLP MSTA745 Gyp Board Insp / / / / 08/22/94 PASS TLP 08/22/94 TLP M.9TA770 Misc. Inspection / ! / / 07/26/94 MECHANICAL INSPECTION PEND RS 07/27/94 JG -Attach floor registers at least 2 sides pending framing MSTA795 Mechanical Final / / / / 06/28/95 PASS TLP 06/28/95 TLP MSTA797 Plumb Final / / / / 06/28/95 change p trap under bathroom sink FAIL TLP 01/09/96 TLP illegal fittings and connection MSTA799 Building Final / / / / 06/28/95 not ready NR TLP 06/26/95 TLP MSTA970 Case F'inaled / / / / 01/08/96 PASS TLP 01/09/96 TLP CITY QF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 I I eI i % f`iy j� ��,eawdPLNCK/RECT #CITY OF 1IG!'1 �3�zssw D PERMIT N z713fl3 -e-)Uu1 COMMUNITY DEVELOPMENT DEPARTMENT Tp(A Oregon 97223 (503)63941" DATE ISSUED JOB ADDRESS: -1� TAX MAP/LOT �3 `— SUB: C�.,,, ;�.�!-l` =�--___ LOT: _.1., LAND USE: _ 2S 01 b43 ©02d VALUATION: OWNER SPECIAL NOTES NAME: ��c-.��C �, �- ,t. p� REISSUE OF: ADDRESS: LAST REISSUE: L; G2-7 FLOOD PLAIN/ PHONE: _ �>� � �I �. LS SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: _ _ _- ADDRES'z: ENGINEERING: -- -- FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: -- _ARCH/ENGINEER CALCULATIONS: NAME: /tial k,�- � iL � ".1 TRUSS DETAILS: ---- ADDRESS: I 1 I5[ �-, 1 -7-.5 L OTHER: PHONE: 4-.),- 3 4 PROPOSED BLDG. USE: iS ( C +d.aleCOMMENTS: APPLICANT SIGNATURE 0o Received By: _ L� _� `_ Date Received: / � �' PERMIT # AC':T # DESCRIPTION AMOUNT AMOUNT PO. BAL. DUE M5 '3-U 10-432. 00 Building Permit Fees ��c U _V o2,2 10-431 00 Plumbing Permit Fees ✓ g? SD' 10-431 01 Mechanical Permit Fees j ? SU 35, �� 10--230 01 State Building Tax (5%) lS I ltd, IL Building Plumbing / r�J, ✓' Mechanical J 10-433 00 Plans Check Fee ` �� / �kv_ Building b�>_✓ Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 2.5-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SSUC) 24-445-01 Water Quality (Fee in lieu of) 2.4-445-02 Water Quantity (Fee in lieu of) TOTAL nm/3587P.WI'F Permit No: _ ----__--- ��: Address: i' I Issued by: _ _ Date: _ FOR OFFICE USE ONLY__ STATEMENT: INFORMATION NOTICE 10 PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board 'to sign the following statement before the building permit can be Issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed F rchitect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: 1 . L I own, reside in, or will reside in the completed structure. 2. L -1 1 understand that ' must register as a construction contractor if the structure is sold or offered for sale Cefore or upon completion. 3. A. My general contractor Contractor registration number___.��__ I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B.FT-�--1 will be m; own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is regist3red 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. Signature of Permit Applicarft Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT INFORMATION NOTICE TO PROPERTY OWNERS ` ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you dre 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 riot registered with the Construction Contractors Board to do labor in constructing or assisting in the construction c r improvement of a residential structure, you will, in most instances, be ruled to be an "employer- and the people you hire will be "Pmployee,,". As the employer, you must comply with the following. Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. i(ou will bE liable for the tax payments even if you don't actually withhold the tax from your ernployeos For more information, call the Oregon Department of Revenue at 378-3390 Unempioyment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR at 378-3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and iTrrrst obtain workers' compensation insurance for ynccr employees If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all clair,i costs if one of your employees is injured on the job For more information, call the Workers' Compensation Division D;F at 373-7434 U S. Internal Revenue S— As an employer, you must withhold federal incorne tax from e17cployees' wages. You will tie liaile for the to?* r,jayment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 221.3960 OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Cotte Compliance- As the permit holdar for this project, you are respoirsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Inswanre Contact your insurance agent to see if you have adequate insurance coverage foi ,ic:cidetits and ornission-z such as falling tools, paint oversptay, water damage f,,,.n pipe punc- tures, fire, or work that must be redone. Time to >urcerviso Employees: Make sure you have sufficient time to supervise: your employrres. Expertise: Make sure you have the Pxpertise to act as your own general contractor, to coordinate tt,e work of rough-in and finish trades, and to notify building officials at the appropriate tim— so they can perform the required i;-rspections. If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310-0151 Phone 503-378-4621 0244,1 10/24/89