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March 29, 1996
Mr. David Carstairs CITY OF TiGARD
Carstairs Construction
i 18645 S.W. Farminglon Road, Suite 112 OREGON
Aloha, OR 97007
Re: 11163 S.W. 106th Avenue
Dear Mr. Carstairs:
Thank you for responding to orar recent correspondence and inspection. This
letter will serve to finalize specifically Arhat is required for us to final this project.
Ceiling joists/attic insulation:
The 2" x 6' ceiling joists will be approved once the subject attic area is provided
with R-38 insulation, which is required by the Oregon One and Two Family
Dwelling Code at Table 53-P (attached). When this required insulation is
provided, a state code interpretation indicates that limited attic storage loading
need not apply since the insulation is deeper than the ceiling foists. As an
alternative to providing R-38 insulation, you may submit energy calculations
justifying the level of insulation you have provided. Under this alternative, you
will need to double your joists or provide additional members to ^,.-ovide 12"
spacing, per the span tables in the code and the same interpretation referenced
above, which indicates your attic scenario, without thick insulation, would require
joists for limited storage.
Smoke Detectors:
The code requires a smoke detector outside of each sleeping area. For the 2
new bedrooms, one is required outside of each because the access to the rooms
is not adjacent. These 2 detectors must be hard-wired, have battery back-up,
and be interconnected. Further, the existing sleeping areas in the house must
be provided with hard-wired smoke detectors. These need not be
R interconnected, but must oe hard-wired [Sections R-215.1 and R-215.2. of Code,
see attached).
*Note: An electrical permit will be required for the wiring.
m Sill Height:
�D
`' A maximum 44" sill 'ieight is required in sleeping rooms. Rick indicated that his
app,oval for cover was not for these exterior wails. Even if he had so approved
for cover, the he;ght is excessive and mijst be corrected (this is a safety issue)
(Section R-210.2 of Code, see attached).
13125 SW Hall Blvd., Tigard, OR 97223 (.503) 639-4171 TDD (503) 684-2772 -
i
Mr. David Carstairs
March 29, 1996
pg. 2
Exterior Wall Insulation:
We will not require that you expose the insulation. You may provide +is with
notice in writing that you installed the required R-21 insulation in all walls
requiring insu!ation.
The City cannot become involved in the private matter of which party is
responsible for any costs associated with complying with the Code. The City is
currently holding Carstairs Construction responsible for compliance on this job.
Your quick attention to these items will ensure that we final this job and that the
Athenours are provided with a Code complying alteration to their home.
Please make the necossary corrections and call for a reinspection within 21 days
of ror.,:!ipt of this letter to avoid further action by the City. Thank you for your
ccs-)p ration.
I
icerely,
U-ivid Scott, P.E.
building Official
Enclosure
c: The Athenours
11163 S.W. 106th Avenue
Tigard, OR 97223
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March 4, 1996 �.
CITY OF TIGARD
Mr. David Carstairs
F resident, Carstairs Construction, Inc. OR
18645 SW Farmir,gton Road, Suite 112
Aloha, OR 97007
Re: MST 95-0361
11163 SW 106th Avenue
NOTICE OF CLASS 1 C'!` iL INFRACTION
Dear Mr. Carstairs:
have not received a response to the ('ity's letter, dated January 10, 1996, in
which you were. requested to con}.act Rick Bolen, inspector, to arrange for an
inspection to resolve any outstanding issues at this ;ob.
This notice is sent pursuant to Tigard Municipal Code (TMC) Section 1.16.
Alleged Infraction:
Pursuant to TMC Section 14.04.090(a);
1) Working wit;-tout required building permits (Section R-1 '10.1 of the State of
O,-egon One and Two Family Dwelling Specialty Code)
2) Working in violation of a Stop Work Order (Section R-117 of the State of
Oregon One and Two Family Dwelling Specia;ty Code)
3) Col.eriig work without required inspections (Section R-112.1 of the State
c, Oregon One and Two Family Dwelling Specialty Code)
I have determi,ied that the above activities constitute a Class 1 Civil Infraction.
To remedy the alleged infraction, please call Rick Bolen, inspector, at 639-4171,
x319, to arrange for an inspection to resolve this iss}ie.
You may call me at 639-4171, x311, if you would like to discuss this matter or
arrange for a voluntary compliance agreement.
1.
Please be advised that failure to respond to this Notice within 15 days will result
in the City issuing a Civil Infraction Summons and Complaint pursuant to TMC
Section 1.16. Further, the City may forward this matter to the State Construction
Contractor's Board and Building Codes Division for their consideration.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 --
Mr. David Coarstairs
March 4, 1996
Page 2
1 believe that with your cooperation we can avoid further action by the City. I look
forward to your timely response to arrange for an inspection with Flick Bolen.
:Si;n?cerel ,
� A
David Scott, P.E.
Building Official
c: The Athenars
Bill Monahan
Jim Hendryx
permit file
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CITY OF TIGARD BUILDING; INSPECTION NOTICE �-
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rair+ Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg,Und/Flr/Slab F ibg,Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp, Bd. Idj,.
San. Sewer Gas Line Appr/Sdwlk efn
Other: n /
Date: A. I u E/n�try:
Address: �
Tenant: Ste: MST: So��
BI1P:
Con/Own:! MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIOfN ARE REQUIRED: ELR: _
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N°-
Inspector: 3 4 r
_"��--�• Date:
__APPROVED (40
DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Senlice FINAL:
Foundation Water Line Ceiling -Plumb
Post/Beam Mech. Shear/Sheath Framing Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins,
Other:
Date: M. P.M.�_ Entry:
Address: �—
Tenant: . _ _ Ste: MST- '436
BLIP:
Con/Own: MEC:
PLNr
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bld
San, Sewer Gas Line Appr/Sdwlk Reins.
O'.,ger:
Date: A.M.—P.M. Entry:
Address:
Tenant: _ Ste: _ MST: 7 0-3(e
BUP:
Con/Own: _ MEC:
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ELC:
THE�FOLLOWING CORRECTIONS ARE REQUIRED: E
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Inspector: J_ - Dater
_APPROVED i DISAPPROVED/CALL FOR REINSP. CF CO ((((
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CITY OF TIGARD BUILDING INSPECTION NOTICE �-
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FMA'
Foundation Water Line Ceiling -Plumb.
PosUPjeam Merh, Shear/Sheath Framing •Mech.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line ppr/Sdwlk a p �
Other:
Date: _ a A.M. RMMEntry: _
Address:_ Q _aF L-
Tenant: Ste:_____ MST: —y'�
Con/ow S.�a'_ � — � MEC:
PLM:
ELC:
THIE FOLLOWING CORRECTIONS ARE REQUIRED: EL
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Inspector: _ a�. Date:
___APPROVED KDISAPPROVEDICALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPCCTION NOTICE
Inspection Line. 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam StrUCt. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: 6 _ A.M._P M._-_ Entry:
Address: Il i�_o 3 q
Tenant: Ste:_ MST: /r— Q 3 6_
BLIP:
Con/Own:`-_ -_ - MEC:
PLM:
ELC: —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: i �-- --''� Date: f✓
_APPROVED X DISAPPROVED/CALL FOR REINSP. CF CO
CITE OF TIuAHD BUILDING INSPECTION N01 ICE
Inspection Line: 639-4175 Business Phono:639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
PIbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect.
Post/Beam 5truct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sawer Gas Line Appr/Sdwlk Reins.
Other: _
Date: _ A.M. ,P.M. Entry:
(aAddress: 3 �_4 (
Tenant:
_ Ste: MST:
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Con/Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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inspector: _ Date: �r Z
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I APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phoge: 633-4'71
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. - dg.�/
San. Sewer Gas Line Appr/Sdwlk R-ins
Other:
Date: � A.M. P.M. Entry:
Address:
Tenant: a lip
BUP:
Con/Own: _ MEC:
PLM:
ELC:
TI LLOWING COR ECTI NS ARE OUIR O: ELR:
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Inspector: -- -. Date
_-APPROVED DI SAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out InsulaJon -Elect.
Post/Beam Struct. Mech. Rough-In Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ` 1�` 1 -- A.M. —P.M. _ Entry:
Address:
Tenant: — _ Ste:a MST:
'y BUP:
Con/Own: MEC:
PLM: _
ELC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: ._ Date.q - le-
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_APPROVED -04ZA 'PROVED/CALL FOR REINSP. CF CO
0. CITY OF TIGARQ BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shesl/31,Path Framing -Mech.
Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct. Mech Rough-in Gyp. Bd. Idg.
San. Sewer Gas Line Appr/Sdwlk Reins
Other: M.
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Date: Z� _- 4.M P.Y.,-- Entry: _
Address:
Tenant: Ste: MST: _ n �-
BUP:
Con/Own: MEC:
PLM:
ELC: .
THE FO'.LGWING CORRECTIONS ARE REQUIRED: ELR:
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Inspe - _ — Date:
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PPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
LJ T7 ' CIF I It-jARV - Rl--CLIP'l 01 PAYMEN) kE..LL 11,1 140.
CHtECK AMOUN 1
NAME r ATHENOUR, LRNEST CASH AMUUNr D '71, Orel
ADDRESS IIA63 EM 1061H AVk PAYMI N I UH I L t 014,
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CITY OF TIGA RD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water e Insulation -Mech.
Underflr. Insul. Shear ?all Gyp. Bd. -Elect.
Date Rrquested:_2�� 112� ' Time: AM PM
Address: ( y 3 l q
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector
—APPROVED XISAPPROVED __APPROVED SUEJECT TO ABOVE
/� Call For 4490 mp, n
CITE' OF TIGARD
STOP WORK ORDER
BUILDING DIVISION
13125 SW IIALI, BLVD- TIGARD, OR 97223
639-4171
Et J013 ADDRESS: ,7 PERMIT#: 'Q0 c-
OWNER: _ CONTRACTOR:
YOU ARF, IN VIOLATION OF 7'IIE FOLLOWING:
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AND HEREBY NOTIFIED THIS %, DAY OF r _ 19 i AT I AA,
THAT NO MORE WORK SHALL BE DONE ON THESE PREMISES UNTIL THE ABOVE VIOLATION HAS
BEEN CORRECTED AND VERIFIED BY THE CITY CORRECTIONS SHALL BE MADE WITHIN %,C,
QAYS OF THE ABOVE DATE, FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE
e ISSUANCE OF A CIVIL INFRACTIONS-SUMMONS. — --
=d0 NOT REMOVE 'I*HIS NOTICE-
BUILDING INSPE('TOR
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IN13PECTION NOTICE
City at Tigard Building Department
13135 M Hall Blvd. Tigard, Oregon 97223
Inspection Lino (Roc-g..�hons)t 639-4175 Business Phonst 639-4171
Inspections PS
Tooting Plbg. Undorolab Hoch. Rough-in Appr/Sdwlk
round. Plbq. Top Out nes Lino 1I1D1Lt
Foot/Beam 8truct. Ban. Sewer Framing
\ -Eld /.
Post/Beam Hoch. Rain Drain Insulation 1
P1,7. Underfloor "star Lina Gyp. ad. -Hoch.
Date Requestodt Z �i l Times AM eJ PH
Address j�r�. J�✓ �U('O �� Permit #A-5 i -UUs-cc
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TRE. FOLLOWING CORRECTIONS ARE PJWIREDt
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_,V AAPP-ROVED D19APPR3VED APPROVED SUBJECT TO KNOW
`� call For Rainap.
INSPECTION NOTICE IA}
City of Tigard Building Department
13125 BM Ball Blvd. Tigard, Oregon 97123
Inspection Line (Rec--o-Phone)t 639-4175 Business Phones 639-4171
Inspectiont
Footing Plbg. Undcrelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line rLINALt
Poet/Boom Struct. San. Sewer Framing (,-Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb i
Plug. Underfloor (fWater Line/L Gyp. Rd. -Meeh.
Date Requeste)d�t ! 1 r%' Timet � ![
A AM P
Addresss1 (lY �{ Permit ftt,15T q?_ -wl
Builders
THE FY':.I. wrm CORRECTIONS ARE REQUIRED:
`^'�,'Ca till tc.�"`-1 �o_`">;�..�..✓'rP_ „U ,U�y�c_Jt,,� .�"
Ineyector:„_ L 1..��--- _ Data:
_APPROVEDr DISAPP APPROVXD SUBJECT TO ABOVE
" Ca11�For Reinep.
INSPECTION NOTICE
City of Tigard Building Departsoent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Ltne (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inepection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framinq -Bldg.
Poet/Beam Mach. Rain Drain InOulatio -Plumb.
Plbg. Underfloor water Line
+ Gyp. Bd. -Nech.
Date Requested: 2---12 - �I Times AN PH
Address:_ I „�L'_ t v6 Permit f: Z-
Builder:&��41 1.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phono): 639-4175 Bueineso Phone: 639-4171
Inspection: —_
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Pound. Plbq Top Outer Gas Line FINAL:
Poet/9eam Str •t. San. Sewer Framinq -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: I /— j7,
�C~ Times _AH PM
Address: it f:--('�-v �
Builder:
- Perm
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date: _
APPROVED —` DISAPPROVRD APPROVED SUBJECT TO ABOVE
T�' Call For Reinap.
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INSPECTION NOTICE
City of Tigard ftilding Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 BusineRs Phone: 639-4171
Inspection:___
Footing Plbg. Underelab - Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mech.
Date Requested: -AM
Time-
P.M.,
iros: PR
Per/m.,
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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Inspector: /� �- Date:
PPROVED DISAPPROVED "PROVED SUBJECT TO ABOVE
52*
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. ;t"gn-iso Appr/Sdwlk
Found, Plbg. Top Out Gas Line FINALS
Poet/[3eam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Qlbq. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: (� CJ // TimePM
Address:.//Z ��CG Permit #s
Builder:` Z_
THE FOLLOWING CORRECTIONS ARF. REQUIRED:
?nsvecFAPPAZ��7_
Date:DISAPPROVED APPROVED SUBJECT TO ABW_
_Call For Reinep.
CITYOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT �a�� MASTER PERMI
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13125 SW FWD Blvd. P.O.B 23397,TIURM,0►9pon 97223(5W)639.4176 E:R M I T #. . . . . . . : MST 9 2-1Z1►Zi 9,.
C,39-4171 i' (r.' ISSUE=D: 05/20/92
5I1-E ADDRESS. . . : 11163 SW 106TH i ;I • FIARCEL . 1S1.3 ',DA-01600
SUBDIVISION. . . . : ZONING: R-7
BLOC!-e- . „ . . . . . . . LOT. . . . . . . . . . . . . .
BUIL.DING
REISSUE: DWF_-LL_I NCS UNITS: 1 BASEMENT. . . . . . . . ..0 Sf
CLFaSS OF' WORK. :ALT BEDRMS:0 BATHS:2 GARAGE. . . . . . . . . . .0 Sf
TYPE OF USE. . . :SF FLOOR ARE:AS)•- ._._.__—__._ REQUIRED SF_.TBACKS.----_____.__
TYPL OF CONST. :5N FIRST. . . . :0 Sf LEFT. . .-0 ft RIGHT. :0 ft
OCCUPANCY GRP. :R3 SECOND. . . :0 Sf FRONT. :0 ft REAR. . :O F
STORIES. . . . . . . : 1 T'HIRD. . . . :0 Sf REQUIRED -------____..___._____..
HEIGHT.. . . . . . . . : 0 Ft TOTAL.----------:lb s f SMOKE DETf.:CTORS. :Y
FLUOR LOAD. . . . :40 ps f VALUE:. . . . . $: 5000 PARK I NG SPACES. . :0
Ramatr'ks : ADDING -:� BATH ROOM 1 RV DUMP wNCLOSING ARL4a FOR HAND BALL_ COURT AND V
--•----.___.__—__.___________.____- ___-- PLUMBING
S I hIKS. . . . . . . . . . :0 FLUOR DRAINS. . . . :0 BACKFL(5W PIrC:VN 1 R i. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . a0
TUD/SHOWERS. . . . :2 LAU1JDRY TRAYS. . . :0 cATCI-•I BASINS. . . . . . . :0
Wf-1TE:R CLOSETS. . .2 SEWER LINE (ft ) . :0 GREASE= TRAPS. . . . . . . :0
DISHWASHERS. . . ., :0 WATER LINE ( ft ) . :0 01-HER FIXTURES. . . . . : 1
GARBAuE D I SP. . Q1 RAIN DRAIN (ft ) . :0
WASH I NG MACH. . . : I SF RAIN DPA I IVVi. . :0
----------------- MECHANICAL -------------- ___ _..___.._.______ __ FEES)
FUC::L. TYPES---_.____._.___ UNIT HTRS. . .0 type amot.tn1: by date r^e(:pt
/ELE/ / VENTS . . . . . .0 SPRT $ 50. 50 JLH 05/20/92 --
MAX INPIJ'i:0 DTU VENT FANS. . : BPl_C $ ,3,_. 83 JLH 0 /12/92 J-27086
FF'URN ( 100K . . :0 HOODS. . . . . . ai21 B5PC $ :. 53 JLH 05/20/92 —
FURN ) -1@0N . . :0 WOODSTOVE5. :0 MPRT $ ;215. 00 JI._!-t 0 5/r 0/92 -
F'LOOR F7URN. . . . :0 CLO DRYERS. : 1 M5PC $ 1. 25 JLH 05/20/92 —
DOIL/CMP t 3HP:0 OTHE--R 1. NITS:IZA IDPRT $ 75'. 00 JLH V15/20/02 -
GAS OUTLETS:O P5PC 4: 3. Y'5 JLH 05/20/42
Owner,.
:BRAD WEIS/JODI KN16HT
11163 SW 106TH AVE
TIGARD OR 972&1&_
Phone #: 664--65bE
Contractor. —.__---_---____._________________
OJr c, PLUMBING
C'0 A -AME-DA 13T
rL
N 11YRTI-E CREE F OR 974'',?
Dhone #:
Rey #. . .- 57917
$ 191?1. H6 TOTAL
This perait is Issued suhiect to the regulations cont.ined in the -- -- --- REC)UIRC:D INSPECTIONS ----
,i' 'igard Municipal Code, State :f Owe. Specialty Codes and all other Pl.m/Llnuslatb Insp Plirmb Final
applicable laws. Ali work will be done in Pccordance with approved PLM/Lind e r-f loot- Bl_i i 1 d i.ncl Final
iians. This persit will mire if work 's .ot started within 180 Mechanir_al Insp Erasion Control
lays of issuance, or if work is amend r ao e,than 18Q divs. P11-imb Tor) 01-it
F v a m i n rl I n s n
Ins 1,lot iart Insp
r pyo Board Insp
1+1t? an i Ca 1 r-- i nt1
.-all far inspection — 639-4175 _�
CITY OF T T GiARD - FgF-,c I F''F OF PAYMENT RECE I 1'T NO. :92--c';�='74 i 6
U IECK AMOUN T : 15 13. W3
NOME. : WEIS, BRAD CASH AMOUNT . 0. 00
ODDRF~S S . . 1163, t3W 106TH F'AYMF--'N-f DF1TE 05/lc,'0;9c'
SUBDIVISION
1 TGORD, OR 9'74_,2'.3-
a
I"'U RF'OSF'- OF F lIlYME::NT nM0UNT PAID PURPOSE OF PAYMENT AMOUNT PAID
N BI)I ED-'i Nd F'F RM 50. 50 PLUMBING PERM 75. 00
11PCMANIC'AL PE 23. 00 FT. SUI1_D PER '7. 53
J
m
w
J
TOTAL AMOUNT PA T V - -> 158. 03
i
13125 SW 11,n BW. PLNCK/RECT # A�- -�
CITY OF TIGARD PO Ron 2.3397 PERMIT #
COMMUNHY DEVELOPMI?N'T DEPARTMENT Tprd,Orc6on97223 --
(503)639-4171 DATE ISSUED
JOB ADDRESS: !�l �" " I yl TAX MAP/LOT /5 l 3 pA — d l boo
SUB: LOT: LAND USE:
VALUATION: Je—'UcJ
OWNER ,,OO � SPECIAL NOTES
NAME: opi[ f �!I�P�sj, J�l /Ii7 !" � REISSUE OF: _
ADDRESS: / > SC L� � LAST REISSUE_
FA-,"P � r
Jk� 47U3 FLOOD PLAIN/
PHONE: wok% SENSITIVE LAND:
CONTRACTOR APPROVALS RE UQ IRED
r
r l7
NAME: �f / PLANNING: 1-411 411
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: 44
"nNTR. BOARD #: EX(' DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: � ,�� Yl "/�1�11)�1 �� LIST/SUBCONTRACTORS:
MECH: _ BUS TAX:
AR_C_H ENGINEER � / ' /�C��cj �1� CALCULATIONi:
NAME: J / �t(/G TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. usE:? Z b97hjeg1,o� Z4wosc 1)1-e4 /—,;4. Com
COMMENTS: LYCrc� �-V HAIDIA) t,,
IC NT SIGNATURE
Received By: Date Received:
g PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE .
10-432 00 Building Permit Fees t;U 1-50
-0 —
` 10-431 01 Plumbing Permit Fees
10-431 01 Mechanicai Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing ? (%
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer IrsFer^tiun _
25-448-02 Commercial TIF Fees
2.5-448-04 Industrial TIF Fees
25-448-06 Institutional T(F Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees _
t
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) —— -
24-445-01 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)co
TOTAL
nm/3587P.WPF
(_'. ['1Y CII..' T I CiARD - RECEIPT Cit. FlfjYMF"RIT ftrf F I P 1 NO. :9P-227086
M if-.CK AMOUNT a :3:'. k3
NAMV KN T GH'r, AID I M.. (741131.1 MOON V 0. 00
P)b1)R5_9, a 1 : i F?,'• �jW :,0f TH AVENUE PAYMF'NI DATE s 05 L? 9P
sUSPIVISTON x
TI{: ARD, OR 97;",;�.3-
PLIRPOSE OF PAYMENT flIvIOUNT P-441 U PUFtPOS;E. OF PAYME NI AMOUNT PA T h
v~i 11N CHETP• FE.
J
r-r
r.
C,7
LL1
J
, , 16 3 SW 106 T'H �avE-r,I1c
PMOLINT PAID .� .. > 193
F Permit No:
_ Address:
F
w = z Issued by:- _ Oate:
FOR OFFICE USE ONLY_
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires rusidentiai 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 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 applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B:
1 . C S1 I own, reside in, or will reside in the completed structure.
2. I 1 understand that l must register as a construction contractor if the structure is sold
or offered for sale befcre or upon completion.
3. A. My general contractor is-- - -- ---- -- -- - - - — -----
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.FTU I will be my own general contrartor.
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
a contract wirh 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
v~i 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 'of th.s form.
//, 0
S na -of-Permit Applicant D e
CONSTRUCTION CONTRACTORS BOARD
0244J 8(91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
i
CITYOFTIIFARD ja PLAN CHECK APPLICATION
(7 TWARID
COMMUNITY DEVELOPMENT DEPARTMENT PLAN CHECK f
i3vssw"dawa r.o.aaxzx47•Tlpud ojvvm s m(sw)e3*417s PERMIT
DATE ISSUED
JOB AD
nQRSS:1/ 3. .5G✓/aL L`�� � TAX HAPAOT 'S� _����4
SUB:_ LOT: LAND USE. -
VALUATION: S�,p, _ SETBACKS: FRONT: _ MR: LEFT: RIGHT: __ _
WORK CLASS: HEIGHT: TOTAL AREA*
USE TYPE: S f FLOOR TOAD: _ y,&; _ LST:
CONSTR TYPE:` MEAT TYP " { %, 2ND:
OOCUP GROUP: /,'-} DWELI✓UNITS: _ 3RD: _
OCCUP LOAD: NO BEDROOMS: _ BASEHENT:
NO STORIES: NO BATHS: C,ARAGE:
IM SURFACE-
APPROVALS
URFACE-APPROVALS REQ'D SPECIAL NOTES ITEMS REQUIRED
PLANNING: REISSUE OF: LIST SUBCONTRACTORS:
ENGINEERING: LAST-REISSUE: BUS TAX:
FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS:
OTRER: SEN IND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
11" CIEU C BY: OTHER:
PERMIT X WXT N DESCRIPTION AMODUT W10!?!tT PD. BAL. DUE
10-432. 00 Building Permit Fees ^�ip�U_ 5�,. 3u
_ 10-431 00 Plumbing Permit Fees _jS:L� _ ?J •
10--431 01 Mechanical Permit Fees _ �S
10-2.30 01 State Building, Tax (5X)
Building
Plumbing :____
Moch / - ZI
10-433 00 Plans Check Fee
Building y yS
Plumbing -
Mech
30-202 00 Sewer Connection
30-444 00 Sewer- Inspection
51-448 00 Street System Oeu Charge ('OC)
52-449 00 Parks System Dev Charge (PD(_)
31-450 00 `:t-orm Drainage Syst Dev Chrg (`"DC)
10-230 09 TRI-D -
10-230 OG Washington County Iire H1 (95X)
10-2.20 00 llmAvt/Wrd(lewo od
i OTAt f f V.4&AL
REC N
APP1_ICANT SIGNATURI
Received Ry : - —_ Date Received: —_—
cn/3587P/18P
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 son► Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Coda OTY PRICE AMT
Job •^ 1) Permit Fee -0- 0- 10.00
Address -r
2) Supplemental Permit 3.00
r.�-. d.••.•r - uace toto 100,000 BTU
1) ind.duds S vents 6.00
�«+ Furnace 100�U
Ownef 2) ind.duds 6 vents 7.50
.. umance
3) ind.vent 6.00
�» spe ater,waw Qui Eater
4) or Moor mounted heater 6.00
�.. ent not ind.in
Occupant 5) appliance permit 3.00
.•� -Repair of heating.reing.
G) cooling,absorption unit 6.00
er or comp,heat pump,air ca
7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or camp,heat pump,as oond.
8) 3.15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp, eat pump,air cond.
9) 15-30 HP absorp unit 5-1 mil BTU 15.00
«. +•�w ------- ••"^ —Poi er or comp,heat pump,air Gond.
10) 30-50 HP absorp unit 1-t.7P.:and BTU 22.50
ve read this cup rc...,xh.that the Boiler or comp, at pump,air .
inkxmation given is cored.that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handing unit to
laws,that 1 am registered with the Construction ContracWs Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handling unit
please give mason below.) 13) 10,000 CTM . 7.50
Non porta e
14) evaporate cooler 4.50
Vent fan connected
15) to a single dud - 3.00 (r
Ventilation system not
16) included in appliance permit 4.50
«.0.4 Hood served by
1"7) mechanical exhaust 4.50
Describe new addition alteration 0 repair 0 Commercial or inclustnal
to be done resirientiA Q non-residential Q 18) type incinerator 30.00
Existing use 61 Other i e,woodstove.water
building or property 19) heater,solar,d then dryers,etc. 4.50 +�"
Proposed use of 20) Gas piping one to fou outlets 2.00
r! —
building or properly -
211 More than 4 per outlet
- rype of fuel -od Q natural gas Q LH.. electric Q
c, - - - -
� u c
fvm ium Fee$25 00 SUBTOTAL
- PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.On 5%SURCHARGE 7- 7
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED
TOTAL
Special Condition
Date i: ur d by
r4 urrNc+r
•wem+w•
City of Tigard PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
`M %-- Description
ORS 814-21.610 OTY PRICE AMT
Job •� FIXTURES
Address "W Sin 7 50
Lavatory 7.50
Tub or TUb/Showor Comb. —
Shower Only 7.50
n°' Water Closet -
7.50
Owner Dishwasher 7.50
Garbage Disposal
Washing Machine j 7.50
`"' " .'.1 b-1rain 7.5o
ater Heater 7.50
Occupant .o Pt— Eurvdry Room Tray
Urinal 7.50
C*YA`" Z.P Other Fixtures (Specify) �;�{ 1 I 7.50 S
7.50
_SFW Aai �_ 7.50
Contractor w, 71
MISCELLANEOUS
Sewer 1st 100' 30.00
w PWV.Voon N.. ..TN°. wer-ea Addit. too, 15.00
aler Servico 1st 100' 20.00
serey acknowledge Nat I have read is application,that the Water Service ea.Addit. 200' 15.00
information given is correct,that I am the owner or authorized agent of _
the owner,that plans submitted are in compliance with State laws, that I Storm d Rain Drain 1st 100' 30.00
-tin registered with the Construction Contractor's Board,that the number Storm d Rain Drain Addit. 100' 15.00
given is correct. (If exempt from State registration, please give reason
bolow.) Mobile Home Space 25.00
Back revention
Device or AntiPollution Device 7.50
""""'° "'"'B" •` Any Trap or Waste Not
Connected to a Fixture 7.50
Describe work new 0 addition 0 a terabon repair atch Basin 7.50
to be done residential Q nun-residential 40.00
Insp.of Exist. Plumbing per hr
41.00
Specially Requested Inspections per hr
Existing use of Ram Drain, singe family
building or property -- — dwelling 15,00
Residential backflow prevention
R devices 15.00
N Proposed use of —• —
building or property
i— p
'(Exce t resr cnfral a kllow
prevention devices)
NOTICE *Minimum Frac$25.00 SUBTOTAL
5
�r -
-' PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF '� 1
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL.
COMMENCED. —
TOTAL �' l
Special Conditions — ----- --— — —-- — --- r --
Date issued— by
�.-vuwnout
p2 -197
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pa
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VIPO�aJ STOP Qk1-,or, c ��• A-L�
14)
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/Dred G1kr6,-h --
5� , 3 44
toC^f L1
,�,,i« r� 3- lGr
(ABILITY: The on, or it's
C"�ty of Tigard, Oregon,
.mployees, Shan) not be responsible for
iscrepancys whirl may appear hereon.
LL,
C3) gp,p dN APPROVEC FOR CONSTRUCTION
C rY OF TIGARD
Pr—
`-��- --- — PERMIT NO•_ 1-" SITE ADDRESS-
All
!/G3
DATE s ,iq-yZ
-N