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D ---- -- - _ DRAWING IS LESS CLEAR THAN THIS NOT ICF;"Z f IS CLUE TO TNF QUALITY OF THE ORIGINAL DRAWING. 0E 62 6e 1Z 9Z Se Id2 Ce ZZ Iz 02 61 FSI LI 91 S1 t7 � 1 21 11 01 6 d 1 9 f ` �t�rlllll�lllllllll�llll�llrl�rllllrlll�lllllllll�lllllllll�lllll�rrl�rllllllrl�t�t��r!r1�r111�1111�1111111111111111111111�r1��iI�III11R111�111111111�111I�II11�ImIII III�i111111111111111►11l111�11111�11111i����l��I��ul�irr�1�r11111111�111111111I,�ll�illll�ul�u��,l�����lll.l�ll�lll�l�l�l�1���� 15 740 SW 79TH AVENUE L n 3 1n 0 t I i i i %I (OREGON F TIGARD November 26, 1990 W.E. Larson 15740 SW 79th Tigard, OR. 97223 Re: 15740 SW 79th Permit # MST90-0035 Dear Mr. Larson, The last inspection conducted on the above project was Plumbing on January 31., 1990. The next required inspection will be Framing. 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 eo that an extension can be discussed. Sincerely, r� Brad Roast Building official Aotice.l L FAA 13125 SW Nall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (5031639-4171 INSPECTION NOTICE City of Tigard Building DepartrK6nt P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 L Type of Inspection '�1- -/z/' Date Requested Time A.M. P.M. Address Permit Owner Lot Builder The fallowing Building Code deficiencies are required to be corrected: A 'J" Presented to (PC Approved Inspector Disapproved Date CALL FOR REINSPEC77ON YES [--1 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigaro. Oregon 97223 Phone 639-4175 nn Type of Ine;+ection Date Requested a 3 U Timed �, —�11) Address � '%L' �� �(.t,�.- Permit T #�(�,;<. Owner �, —_ � � Lot # Builder rhe following Building Code deficiencies are required to be corrected: Presented to erA roved Inspector Disapproved bate CALL FOR REINSPECTION ❑ YE8 ❑ NO W t IIS CIWOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT 1 TO 13125 SW Hall Blvd. P.O.Box 23397,Tigard.Oregon 97223 (503)M4175 RMIT #. . . : MST90-0035 --- _ -- --._._ xxxx ---. -s_ 639-4171 DATE ISSUED: Cl/22/90 SITE ADDRESS. . . : 15740 SW 79TH AVE PARCEL: 2S112CD-1500 SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . --------------------------------- BUILDING --------------------------•----------- ISSUEt DWELLING UNITS:O BASE14ENT. . . . . . ..:0 of SS OF WORK.:ADD BEDRMS:O BATHS:1 GARAGE. . . . . . . . . .:0 of TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS---------- T PE OF CONST. :5N FIRST. . . . :120 of LEFT.. :O ft RIGHT. :O ft OCCUPANCY GRP. :R3 SECOND. . . :0 of FRONT. :O ft REAR..:O ft S RIES. . . . . . . :0 THIRD. . . . :0 of REQUIRED--------------------- IGHT. . . . . . . .:10 ft TOTAL-------:120 of SMOKE DETECTORS. : F R LOAD. . . . :40 psf PARKING SPACES. . :O R arks: ------•---------- PLUMBING ------------------------------------ S NKS. . . . . . . . .. :0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O VATORIES. . . . . , ... WATER HEATERS. . . ;0 TRAPS. . . . . . . . . . . . . . :0 T B/SHOWERS. . . . :1 LAUNDRY TRAYS. . . :O CATCH BASINS. . . . . . . :0 TER CLOSETS- . :1 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 D SHWASHERS. . . . :0 WATER LINE (ft) . :0 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . :0 RAIN ERAIN (ft) . :O WASHING MACH. . . :0 SF RAIN DRAINS. . :O ---•----- MECHANICAL ------- ------- ----------------- FEES -------------- EL TYPES------------ UNIT HTRS. . :O type amount by date recpt. VENTS . . . . . :0 PRMT $ 50.50 X INPUT:O BTU VENT FANS. . :O PRMT $ O.OU RN < 100K . . :0 HOODS. . . . . . :0 PLCK $ 32.63 URN >-100K . . :0 WOODSTOVES. :O 5PCT $ 2.53 FLOOR FURN. . . . :0 CLO DRYERS. :O 5PCT $ 0.00 IL/CMP < 3HP:0 OTHER UNITS:O PRMT $ 22.50 GAS OUTLETS:O 5PCT $ 1.13 / / �'i '/ i /Z Owner: ---------------------------------- PAYM $ 109.49 JLH 01/22/90 CARSON 5740 SW 79Th AVE Fo BOX 230876 IGARD OR 97223 hone #: 503-639-2673 Contractor: -------------------•----•------•- ONTRACTOR NOT ON FILE hone #: lega1. . . ------------------------------------- $ 109.49 TOTAL ' his permit is issued subject to the regulations contained in the ------- REQUIRED INSPEC igard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gyp B pplicable laws. All work will be done in accordance with approved Poet/Beam Inep Rain lane. This permit will expire if work Is not started within 180 Plm/undelab Inep Water aye of issuance, or if work is suarsnded for more than 180 days. Mechanical Inep Appr/ Framing Insp Final Inspection Li mittee Signature: 'iU � � Fireplace InepGas Line Inepued By: — Insulati.on Inep Call for inspection - 639-4175 W rw W Mnuqffwkm F Permit No: Address: _-- '^ Z Issued by:_______-- Date: STATEMENT: INFORMATION NOTICE TO PROPERTY 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 registra" )n under ORS 701.010(7), need not submit this statement. This statement will je filed with the permit. Fill in the applicable blanks, and initial box 1 and either box 2A or 213: 1. r)CJ I own, reside in, or wil' reside in the completed structure. 2. A. My general contractor is _._----..._ __------_----_-----_---- ---__--, Contractor registration number I will instruct my general contractor that all subcontractors who work on th! Structure must be registered with the Construction Gootractors Board. OR B. [ I I will be m\/ own general contractor. If I hire subcontractors. I wi!! !sire only subcontractors registered with the Construction Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will 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. Si17nature of f rmit Applicant Date CONSTRUCTION CONTRACTORS HOARD 02 44J 1 f1✓24W, WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT T, WFAF N FINEW ti• I. INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice ;o 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 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 persuns nut registered with the Construction Contractors Board to do labor In constructing or assisting in the construction or improvement of a residential structure, you will, In most Instances, he ruled to be an "emplcyer" and the people you hire will be "employees". As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold Income taxes from employee. wages afWtime ernp oyees are p d. 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 3783390. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages o aTernployees. For more information, call the Oregon Employment Divi^'tin OHR at 3783224. Workeerrs'Compensaticin Insurance: As an ampluyer, you ate subject to the Oregon Workers' Ccxnpensa- Uv Law, an must obtain wo ers'compensation Insurance for your omi loye?s. If you fait to obtain workers' compensation Insurance, you may be subject to penalties and will by liable for all claim costs If one of your employees is injured on the job For more information, call the Workers' Compensation Division DIF at 3737434. U.S. Internal Revenue Service: As an employer, you roust withhold federal Income tax from employees' wages. You will be i a ear the tax payment even i!you didn't actually withhold the tax. For more informa- tion, call the Internal Revenue Service at 221aghO. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Cumpliance. As the permit holder for this pioject, you are responsible for resolving any failure to ineet code requirements that iney be brought to your atiention through inspections. Liability and PropeitXDamage Insurance: Contoct your Insurance agent to see If you have adequate ins rUi119 ance coverage oraocIderi s and omissions such as falling trims,paint overspray,waterda•nage from pipe punctures, fire, or work that must be re-done. Time to Suporvise Empiuyees: Make sure you have sufficient time to s.upervi.ge your employees. Ex ertise: Mak 9 sure you have the expertise to act as your own ganerall contractor, to coordinate t e 'war cif rough-in and finish trades, and to n,-,tify building offi( lals at the appropriate times so they can perform the required Inspections. if you have additional questions, write to: Coostruction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310.0151 Phone %3-378.4821 0244J 10124189 WIWI a' w IX IW II• Q � CITY OF T167A RD cmoFtWIRn PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK N 13125 S.W.HABAvd.P.O.SoK23397.Tk)arQOmV*n9TM,(SM)63"1:S PERMIT y S SATE ISSUED JOB ADDRESS �!C GJ. TAX MAP/LOT 7 / 41 SUB: LOT: / zc! 170 0 LAND USC: VALUATION: � r� OWNER SPECIAL NOTES NAME: �. QS p n, REISSUE OF: ADDRESS: LAST- REISSUE: FLOOD PLAIN/ SENSITIVE LAND: PHONE• r- APPROVALS REQUIRED CONTRACTOR PLANNING: _ NAMEENGINEERING: _ ADDRESS: FIRE DEPT _ OTHER- PHONE: IT"EMS REQUIRED BUILDERS BOARD N: _ EXP DATE: LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: _ NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: COMMENTS: `^ ✓ / ,�ait.c`7 _ :UbCONTRACI"ORS: PLUMB: r MECH: - i PIRMI1 N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE _ 10-432. 00 Building Permit Fees )b. )U [7 (r 10-431 00 Plumbing Permit Fees g2 _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) `. Building Plumbing - � — Mech 10-433 00 Plans Check Fee building Plumbing Mech _ 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge WC) 52--449 00 Parks System Dev Char3e (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ 10-230 06 Firr TOTAL -� REC N APPLICANT SIGNATURE Rrr r i vrd By: Date Received: n/35E111'/l AP INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested-/` 3 9L� Time Y A.M.--_P.M. Address �-S��D . S n' / / - ---.---- —_--- Permit Owner 1L�45 �Qsc�-- ----------- Lot # Builder i he following Building Code deficiencies are required to be corrected: Ue oc U p`Z - -- A16- /` Presented to _- _ _._-- Approved Inspector Z _.__ Disapproved Date CALL FOR REINSPECTION Cl YES ❑ NO INSPECTION NOTICE City of Tigard Building Department P O Box 23397 Tigard, Oregon 97223 Phone. 639-4175 iType of Inspection -- Date Requested__ S Time A.M. P.M. Address �� �� !_ 9 r Permit L_Z Owner Lot # Buit:ler The foibwing ding Code deficiencies are required to be corrected: i �&/ f ` i Presented to _ Approved Inspector Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO 1, UM GRADING/EROSION CQUIROL INFORMATION GENERAL CONTRACTOR NAME&ADDRESS: CASEFILE NO.: tc L ?4, PERMIT NO.: yl ;. y �0 - ? z ' APPLICANT NAME AND ADDRESS: EXCAVATION CONTRACTOR NAME&ADDRESS: d _ u f' 7G ro • ? C OWNER NAME AND ADDRESS: TELEPHONE NUMBERS: APPLICANT,;_ l� ' '1 �''�' PROPERTY DESCRIPTION: OWNER; -r STREET ADDRESS AND CROSS STREET/LOCATED GENERAL CONTRACTOR: EXCAVATION CONTRACTOR: - SITEWOB: LEGAL DESCRIPTION: _ 24 HR/AFTER HOURS EMERGENCY TAX LOT NO.: CONTACT PERSON,TITLE,T�LEPIJONE: 1/4 SECTION: GG 3` % _i' u . !/.�i� SITE SIZE,ACRES: 1 • IC DISTURBED/WORK AREA,ACRES_ LOCATION&ADDRESS WHERE SPOILS LEAVING SITE WILL BE TAKEN SITE RUNOFF DRAINS TO: (CIRCLE ONE) (NOTE:PERMITS MAY BE REQUIRED) CATCH-BASIk DITCH PIPE CREEK 12 (CIRCLE ONE)(MIVATE PR_QpEBTY% PUBLIC RIGHT OF WAY EROSION/SEDIMENTATION CONTROL (ESC) MEASURES MINIMUM ESC REQUIREMENTS MINIMUM ESC REQUIREMENTS DURING CONSTRUCTION: FOLLOWING CONSTRUCTION: SEDIMENTATION FACILITIES STABILIZE EXPOSED SURFACE STABILIZED CONSTRUCTION ENTRANCE REMOVE AND RESTORE TEMPORARY ESC PERIMETER RUNOFF-CONTROL FACILITIES CLEARING AND GRADING RESTRICTIONS CLEAN AND REMOVE ALL SILT AND DEBRIS COVER PRACTICES ENSURE OPERATION OF PERMANT FACILITIES CONSTRUCTION SEQUENCE OTHER OTHER PLAN FOR EROSION CONTROL PREPARED AND SUBMITTED IN ACCORDANCE WITH'TECHNICAL GUIDANCE HANDBOOK". EROSION CONTROL PLAN DRAWING,AS REQUIRED,HAS PLAN CONSTRUCTION NOTES C `NIPLETE.INCLUDING EMERGENCY PHONE NUMBER, SCIIEDULEJSTAGING FOR INSTALLATION AND REMOVAL OF EROSION CONTROL MEASURES,AND APPLICABLE STANDARD NOTES. I HAVE READ AND WILL COMPLY WITH THE ABOVE AND WILL CONSTRUCT AND MAINTAIN ESC MEASURES AS NECESSARY TO CONTAIN SEDIMENT ON THE CONSTRUCTION SITE. Y OWNER SIGNATURE APPLICANT SIGNATURE OFFICIAL USF.ONLY RECEIPT DATE ACCEPTED FEE NUMBER RECEIVED BY CITY OF TIGARD PLUMBING; PFIRMI`I' 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon RLI;ktralion to conduct a plumbing I business or must beTIGARD, OR 97223 propertyowner/operator not hiring outside hclp- rName of Development (5 03)639-4175 Plumbing Permit No. — Addroas Description - Job OR 314-21-610 QUAN. PRICE AMT. Tax Lar Map.No. Address 11 �, t� ?J (S 1 ZC 1� -- - ------- FIXTUREo 1�1 Block Subdivision Sink 7,50 erne or nerve srrtess Lavatory / 7.50 7 v Lt) E. L I i PSo PUJ—_Tub or Tub/Shower Comby 7.50 s a,rig ass — t — d. _ 3 U )6 Shower Only—- -— 7.50 _ Owner Cary/State zip Water Closet 7.50 7; 2 Z Z 3 Dishwasher ----- -- 7.50 �3Phone G Garbage Disposal -- - - 7.50 Name Washing Machine ---— — 7.50 Floor Drain _ _ _ 7.50 -- - ai ing Wress Phone Water Heater _ C1ty/State Occupant --� Zip- Laundry Room Tray - 7.50 ---- -- --�-- .- Urinal 7.50 arae o Other Fixtures(Specify) 7.50 1�1i g ress Ptane -v - --.— — 7.so --- -- 7.50 Contractor City/State - — - - ZIP ------ - --- 7 50 - - --____ MISCELLANEOUS City Bus Tex No Sewer 1st 100 30.00 Mate s err Ao ?;tnfe Pio s Bus o Sewer ea.Addrt.1 W' 15.00 (Residential) Water Service Ist tib - 20.00 - I Ixweby adrn svkxlge that I have read this application,(tial the inkxrnation Water Service sa.Addit.W - -- 15.00 given is onrre t.that I am registered with the State Ekrldees Board.and also Storm&Rain Drain 1 st.100' 30.00 have a State Pkxttbing Heanor that the numbers given are correr.-t,that all - lihrrnbwV work wil be done in erx ordance with applicable prov ions of Ore- Storm&Pyn Drain Addf1.100' 15.00 Next Revised Statutes Chapters 447 and 693 and appllcable aides and that -- _ Mobile Home Spam 25.00 no help will be employed ur4ess Ikvnsed under ORS 693 (11 exeno hom `:tate registration,please gyve reason below) Back Flow Preveotim I K)MFOWNERS--I hereby certify that I am the owner of the property de- Device or Anti-Pollution Device 7.50 acnbed above,N wfdch location I propose to make a p Lxrg*V Irxga4ailon for - - AnyTrap or Waste Not my own use erxl this property is nol bokV rxxistrrcted for sale.lease or rest C,eryemd to a Fixhxe 7.50 Catch Basks 7.50 ktap.of Exist PkxttWrtg_ 40.00 Per Hr - - Specially Requested Inspeeb" -- 10.00 Per Ht - ------------ --- - --- -- --- Rain Drain, 0' ( ' Single Fam. Dw1g. 15A0 AUTHORIZED SI TUFF Date Describe worst new( J addition�i]' alteration( ] re;-It I 1 be doneresictentiel l _ non•rwskirxrtial I xlstlrty use u1 MINTMIIM PERMIT FEE 25.00 - txrlklrrtp«turrt�orty SUB-TOTAL_ I�rs'�'0a"tt use r1 5% SURCHARGE , 5_t PLAN REVIEW L:"M1C1AL00H0ffXMq oorr.se null wrdvoidMwnrk monnotrunsonauth -edisnotcorn TOTAL _390.says M I rete Vn,�rrM1 by _