The URL can be used to link to this page

12099 SW LINCOLN AVENUE-1 r. J C +�I E 2 PAp r y P� 1 --�u�r.l Q C��v j PRC-01 :�PERTy �1h.lE ✓ - IF'fZ'1PEP,' TRUSSES ^T gyp" vEluT I all I' fZoo , I � E.t1�T H014-1E i _ R BE''`M lT�/R, -N4- gE'�-t i �.XI.ST F-OuW1^Tl0�L - - - - - - Rl.FTEF, L • GELLING SOIST -�.'7lJ BLE TOP (JLA�-E E'01-5-r- Ho-us� i��- zJ'- .�•1 ITE sCFZHEJTElVEO t-^VE �•..G VPSQ"K1 F (DUMD"� T- 10M �LAN PLAN -ZlxV STUDS .oT SI of &j ovER • 1 c•' o,G. �u1L.01 tv4 P�PE.R This plan does not to shod X11 cede teglliremeuts or ronzt•ruction details_ It is intended to provide an example of the type platerecluIred _ ns or additions to a Bingle family residence.nit is not intended to be used as a IIOt ZM Syl_^TI J�J const p�.:tn_ The City does not assume �Y ro8pc�nsibility far ;yL:r�ore or omissions oh this drawing. 1 --•-- PR E SS v Q E T R E E T-E o Flu�!v _ S�.16 FL.UO� --2 --'E: 10 AuGNOQ �" uUt�. •v t.1� EY 1ST H O D S r� _ G O�C^ U C D L L RY DOUG �OOT � N3TORy -7 - -�' ------------ F. ONT ELE- VATIOKI � I ELEVATIom ''t I_ TXP I CAL � ECTIO m V B�:fz'T NOTICE: iFTHE PRINT ORTYPE ONANY � �.1 � 1 � � lilili � I � I � i � � i � l � � � � i � I � li , I , I ;-�-� -�-�T�r� � , �-r.1-�.1 ,�_, il�i_ �r:�i 1 � i iIi iIi _r� r� iI � ili � i � i iIi i � I ► I � iIi iI-r _t.�_i iii � I � ili r� �1r ��-�, i � i � i��- -�-�-� iI � 1��-hili Ali Ali Ali i i IMAGEIS I I I +— NOT AS CLEAR AS THIS NOTICE 1 I ------- ----- -------- 3 4 - ._-5 - - 6 _ _. 7 8 9 - 10 11 12 /y �DO- IT IS DUE TO THE QUALITY OF THE — — _ —No•36 ORIGINAL DOCUMENTE 6Z 8Z LZ 9Z 5Z fiZ EZ Z iZ OZ -FT 8T LT� 9i SI fiT ET ZT TT i � � � 6 8 f L 9 fi E Z T ��bi1w IIII IIII IIII IIII (III illl IIII IIII IIII IIII Ilii 1111 lllf IIII 111 Illl 1«I IIII. IIl1 II« IIII IIII IIII IIII IIII IIII IIII IIII IIII Ilii IIII Illi IIII IIII IIII IIII lill ILII lll< < lllllill�llll. 1111 IIII 1111111.1.1 �� I l. •11ll llllll�ll FRAMING DETAILS _ IF PLATC 11 CUT FOR PIPC OR HEATING STACK, TI[ WITH METAL STRAP I%- • FLOOR CONSTRUCTION 11 GAUD[ 4.110 NAILO EACH [NO, Gel EXTERIOP WALLS AND GEARING PARTII;ONI1 STAOCI[R JOINTS 1' . Sub flour InOr W told elrelghl, PUT! ShaOlhing may be uaad on 111 floor$In oo401`4140114/with Tables Nos,R•SOd,1 a, �-—'- � R-iW.tb and R407,1.2. DOUBLE r x 1'PLATE fSTUDS 2' x 4'bill FIRE STOP HEADER z z I r AROUND OPTIONAL ttoild block# I�IVr II HH S" S"llon r x 1'STUDS = 1'LO�A I A-102,1, I$,O'C• ?' x a' x 06 w o111 � TnIMMER 01 O L W *0 a 0 WITH EXCEPTIONS Noe, 1•A • 1.1 In AS TI FORTH IN . 10 / �App♦ndl; 0 1[CTION R-ap? � � 960 �... S ?'CI0lrenaa 4 rdlr•- Io a 1 IN ACC C VENTS O Nos, R•102.2.11 S �. ° sM Ss}ollon A•�,7, IN ACCOROANCC �� WITH t►EC, R•J01 IOU JOIST! , ?• x IwSlll HEADER—OpUBLC IF MORE - - - - - I / THAN 1'-0' PAN . . . _ • _ _ 14,MIN, FIREPLAC! — US!MANOBR IP HEADER Ih *t4'1'O.C.EMDEDDED I $PANS MOR!THAN 1'•0' IN FOOTING 7" , ' ..•.vw •• �• • • �...,.� .. . . . . PICA 1' x 1'ORACC FOUNDATION STUDS LET INTO STUDS LAP JolaTa� )'01044 bridging or solid 2- blocking for lolel spans of mor• than 10 '0',axoepl that bridging end blocking not loosled 11 supporle mar b*eliminated'ahere Itw Iolsl depth•lo-Ihlcknese OOuble 101811 under bearing 10119 do01 not excood S. CORNEn STUDS P0r1111ons,If)olsto are of It I 14P8fCod for PIP-00,block 1' A t1►Ird stud and/or 0.0.max, Of wood eWurO or backup oleetsro L11 j�CMjhin elude may b.e omlllod Through the use 1pproved devlces which will serve 0o on 0d P Ywood, 1.,I'Kh-lhlck lumber w o1Mr m01•r1018, eyuel• beoking for the •110ohmenl of login I� CLCARANC!FOR OAS VtNT1 I TYPICAL WALL,' FLOOR ANp ROOF FRAMINr3 MINIMUM FOUNDATION REO. UIREMENTS a'�Eta C[ILINO JOISTS ! •- -- 2"SILL OR APPROVED q�i� I'7'b00LTS 41 1 O.C. � TRUSSED RAFTER DOUBLC 1'MIN, 314" MIN, PLATC DOUBLE / 1...'.' PLATE N UNOISTUROCD 4 d „ �; NATURAL ORAD! • p o � SECOND STORY 'y l; 12 • 1 STORY J m IS"- 2 STORY _ 11'. 0 STORY EXTERIOR INTERIOR JOIST MAY 9E CUT OR NOTCHED BCONCRET! SLAB►LOOTING BETWEEN 1,7 SPAN THESE LIMITS / I /'SEA uf,C .R 002.61 PLATE -- 41. UNTAlATlD TILL 2"THICK,WIDTH 1 _ w 0 iNAILED TO NOT LlSS THAN STUDS •••r -1 1 STUD '1'' ti IW*BOLTS A 1'O.C., r INTO CONCF19Tl, UNO[A•FLOOR SPACE 1'MIS+ i? NOT MOR! THAN 12'FROM CORNlA 1;!' t'!', PLATS ` FINISHEO PLATC SPDC! 1' x 1'RIOOON `FIR! �-•• 1'i CUT INTO STOP UNDISTURBED true 1' d� ti':'i''• NATURAL ' !; 12'ANO BELOWPF408T WINS ''' d•I '' ORAo! 12"• 1 STORY ' ' ''�:•''; ' 1 s'• 2 STORY m = S'MAX 11"• 7 STORY INTERIOR OR EXTCAIOR EXTEWOR 9FARINO BEARING WALL FOOTINGS WALL FOOTING PIPE STOPS AND PLATES � OF 2 MATERIAL Irl"*DOLTS W 1'O,C., 15'IN MASONRY NOT MORE THAN SPLICE PLATE 9UBFLOOR I:-FROM CORNEA BLOCKINGJ01ST MASONRY �. ,.�r • ,.•, . UNDERFLOOR SPACE 1" 2 x / 2 x 8 SILL SILL �•'.';. UNDERFLOOR SPACE ;;•,. „ L • BELOW FROST CONTINUOUS FOUNDATIONLINE, . •, i''• UNDER TWo•sroRr MIN12- e;•,, r •'' BEARING PARTITION '�' V. 1 ,, 8• 12"• 1 STORY "'. • SEE TABLE Is* SEC FOOTNOTE !STORY i NO. I NO.R•802.2.2 11'. 3 STORY , PLATFORM FRAME INTERIOR PIER FOOTING 1'MAX. BALLOON FRAME INTERIOR OR[XTCRIOR NO rESr BLARING WALL FOOTINGS Foundations shall extend not less then 1:inches WOW the 104/8hed nitu,a/grsde or onp/neered fill and in no Case less than the/sat llna depth. Fooling low r all ort 01110 OA 10/I with IA I11owlble 10/1 pr01s41r1014000 pounds perlQuare/got.Footings On soil with a lower allowa0/e soil pressure shah be def/gned In aCcordance with Iooepta0lnpinaering prsctica, FRAMING DETAILS , 0 W RAFTER SPAN �a 11.fj � 1'RIDGE BOARD Pm w S SEE TABLE NOS. �xrn.L 7-E THRUG14 7•3 ZI w W+ p (Appendix B) a:uj �` I (L �" NAIL TO /. ?" ■ 1"9RACE RAFTER 15• MIN. ® /'O.C, PUrpo8eS only and the Written oouDLE PLATE This figure IS for IIIUStratlon text shall BPPIy, CEILING JOIST tl SEE TABLE NOS. STUD ; 7-A THRU 7•0 , (Appendix B) I / x N SOLID ULOCKING / 2" x 1•PLATE SUBI:LOOR 1 FOUNDATI0;1 JOISTS GIRDER FOUNDATION PLATE. 'NOTICE: IF THE PRINTOR TYPE ON ANY -� ! r11 ! � I ! ! � 1 ! 11111 � � II � � � � ! IJill i ! I -,T _f [II I LAI- ! i � rlr� i � i � i II I - , �' /ADO IMAGE. IS NOT AS CLEAR AS THIS NOTICE, ---- - ---1 _ -- ___ -- 2 - -- ---- ---- ---- - ---- -4 ----I_ _ - _ _ 6 - --- 7L -- - --- _ - - - ---9 ---- - --1 Q ------ -----11 -- 1 /�- = f ITIS DUE TO THE QUALITY OF THE No.38 �` �" .:"°"'•" ORIGINAL DOCUMENT 6 Z 9 Z L Z - 9 Z 5 Z ��Z E Z I Z i ?, 0 Z 6 t H L T 91 '� T 1 s l 7. t t 1 �[101 6 8 L 9 �Id�3w11111! 1111111, 11 1 II!I 1111ll Illl .11ll illi ill! IIII ISI-I llllll� lfllilll�ll_I ill !1l ��J.1,l�� ilillll 3AV NIOONII MS 6602 L N 0 m c4 N � r z n O r Z D m } 'i a f 12099 SW LINCOLN AVE _ )zt C17YOF TIFARD A CITY OF TW OAR RD BUILDING PERIIII 4 COMMUNITY DEVELOPMENT DEPARTMENT 011100N PERMIT #. . . . . . . : BUP92-0280 13125 SW 1 S11 Blvd. P.O.Box 23397,T%pmd,Onigon 97223(603)639-4176 6.69-4 1 11 DAIE ISSUED: 09715792 SITE ADDRESS. . . : 12099 SW L114COLN AVE PARCEL: 2SI02AB-00603 bUBDIViSION. . . . : NU. TIGARDVlLLE ADDITION AMEND. ZONING: R-4. 5 BLOCK. . . . . . . . . . v LOT. . . . . . . . . . . . . ..63 ------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLkSS OF WORK. :NEW FIRST. . . . z Sf N.. Ss Es W& TYPE OF USE. . . :SF SECOND. . . : s PHUTECT OPEN INGS?.----.--------- TYPE OF CONST. i5N THIRD. . . . : Sif N: S1 E: W: OCCUPANCY GRP. vM1 TOTAL------: 'It sf ROOF CONST: FIRE REJ ':" Ui,CUPANCY LOAD: BASEIYIENT. i f AREA SEP. RATED: STOR. : 1 HT. i14 ft GARAGE. . . 1320 "f OCCU SEP. RATED: BSMT?% MEZZ?e READ SETBACKS----------- FLOOR LOAD. . . . i psf LEFT:20 ft RGHT: ft FIR SPKL: SMOK DET. . : DWELLING UNITSi FRNTi20 ft REAR: ft FIR ALRMs kNDlCP ACC: DEDRMS: BATHS: IMP SURFACE: PRO CORRm PARKING: VHL.UL. $s 5760 fie marks 1 320 SU FT* UETATCH GARAGE Owner: FEES RUNDA WRIUHT type amount by date recpt 12099 SW LINCOLN AVE PRMT $ 56. 50 JH 09/15/92 PLCK $ 36. 73 JH 09/15/92 TIGARD OR 97223 5PCT $ 2. 83 JH 09/ 15/92 Phone #a 503-624-0127 Lontractorg UWI\ILR Phone #: $ 96. 06 TOTAL key #. . : 00000 REQUIRED INSPECTIONS ]his pereit is isstied subject to the regulations contained in the Foot/found Insp Tigard Municipal Lode, State of Ore. Specialty Codes and all other Framing Insp applicable laws. All work will be done in accordance with Rain drain Insp approved plans. This pet-sit will expire if work is not started Final Inspection within ILQ days of issuance, or if work is suspended for acre than 180 days. PermLttee 5 i gnat ore Issued Byc r. Lail for inspection 639-4175 Permit No: ',1,:� Address: (, = Issued by: "_�'___ Date: .FOR OFFICE USE ONLY----- STATEMENT: NLY-_ _STATEMENT: INFORMATION NOTICE TO 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 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 ; � I own, reside in, or will reside in the completed structure. 2. C 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before 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. _i I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the ConstrLlc- tion 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. _- S ignature f Permit Applica Date CONSTRUCTION CONTRACTORS BOARD 0244) 8/91 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. _ _ -A If you arc, acting as your own contractor to construct a new home or snake a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and area; of concern. EMPLOYER RESPONSIBIL(TIES: If you hire persons riot 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, 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 Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. 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 pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division DNR at 378-3224. Workers' Cor npensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' 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 claim 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 liable for the tax payment 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: Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punt tures. fire, or work that must be re-done. Time to Supervise Employees: Make sure you have sufficient time to supervise your employees. Expertise. Make sure you have the expertise to act 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 503-378-462.1 0244,1 10/24%89 OF �� 13iuswllauuwd. PLNCK/RECT # �CITYY1 1 PO Ilox 23397 CONI N1IJNITY 1)EVELOI'M F.NT 1)EE'ARTNIENT "IiPERMIT #gard,Oregon97M f -- (503)639-1171 DATE ISSUED JOB ADDRESS: ?1 _aJI9 C Ck,) I i K ,�iv f�VC _ TAX MAP/LOT 0 46 --vobo 3 SUB: WoryA-[1ux4 yc <<,e Z&Q- rpt ,/LOT: r!c 3 LAND USE: VALUATION: S 76 co. d U OWNER SPECIAL NOTES NAME: `i�- �l�-��-, uJ \tc G�r.`t _ REISSUE OF: _ ADDRESS: 1 1 U S w. L O ' 1-)V LAST REISSUE: -72 FLOOD PLAIN/ PHONE: 6'o3- 6zy- o12V] SENSITIVE. LAND: CONTRACTOR APPROVALS REQUIRED NAME: C7 L1J k �e- PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: ire ZINC N el (,- [a'IL1 ,Q . COMMENTS: zz APPLICANT SIGNATURE Received By: _ � __ Date Received: PERMIT # ACC1 # DESCRIPTION AMOUNT AMOUNT PD. BAL . DUF 50 .02Yd 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10- 431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building _ Plumbing Mechanical 3 10-433 00 Plans Check Fee ' Building Plumbing Mechanical 10-230 06 Fire 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional 1IF Fees 25-448-03 Office TIF Fees 2.5-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 2.4-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) � TOTAL- to )6 ' D� nm/3587P.WPF or•ta n1• -D ID .•rte ~ :` (�� ^ � O I, rn • yti� y •� ,7l z cri o n .y ,�• c f= � Z. WOOD F'Excr ire to 41 cr 0,00 rIr OP It s10 y ` `•� '��,� 00 • V m •uo;jaq aeadde �(ew u�nlM s�(aueda»sip pll�1 jr" S�3J1�UlC1ll13 v io} algisuodsai aq -- ' 2 s,�l 10 'uo? p. - --------- .C? 00 i i 61 I X a i �- r V,Y F s � I I f � I Q f • fA I �_L 1 - 1 7 CA I 9 � ' r ! 47 i c � 1 LP 1 I ' ,P. 1 i -t- --- - �_- i -._ . Ile - i -�1-.{-.4-_J-._. �.. -.�-- - • 1. _ _-_ __. _ .. .- -. __ � � .. : - I � j 1. P _ 34 9 EE ac _.,_. - � j ' — - - - Co Li.1. 1'. 1 o , z y I I _` Washington County Electrical Permit Call 640-3561 for inspection Date Permit No, _ Project Address Permitted work —.— Homeowner wiring own residence Homeowner's Signature-,)jb Contracting firm Phone - - Supervising Elec.Signature License No. Inspection Inspector Date Underground Service Wall Cover - Ce'ling Cover f I i Signature of Inspector indicates approval Not transferable DEPARTMENT OF LAND USE & TRANSPORTATION LAND DEVELOPMENT SERVICES DIVISION 0350-12 WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-441! reit I' ! 06 — . Proj !.!;45'lr!, :?ta`ua '� 1U/3'1/` 4 tsxpirs� . 1!)/311!''4 Ips -a�l Ri:.,;ELEc'. :. "- _ u:It — £LE :/ 8-gun jo/ 31 /• C'nzcri-tic:r: 12U99 SWLINc_GLN AV TI R,a�icn U '.�wr.er Name INSPECT Ic�N - `P i�sARD Appl icaAt Namri vlP IGHT, RONT'A M'RR:C q p u•. : , %'.._ Re:;= i,t:�c:ect�r Canun�nts : /95 I:i PN �7 191-'i ti�;9 LC, c i CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 6394175 Business Phone: 6394171 Date Requestmi: ( � A.M. P.M. _ MST: Location:_ - l �. tJ �� 1�. 9�'M ZJ�-E.._ BUP: j LZ Tenant: _ suite: Bldg: NEC: Contractor:cc\\� Phone: PLM: Owner: f t�Q �_ iN 1► X' Phone: _(p�7 t.{ - 9 3�a "� — ELC: ELR: _ a-lclt LC. T eL y �– _ _ SIT: BUILDING BLDG(can't) PLUMBING MEECCHANWAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-in Ceiling Water Line Slab Framing lop Out Gas line Rough-In UCi Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C IKi Slab Shear/Sheath Fire 3pklr/Alm Crawl/Found Ih heat Primp Low Volt _ Approved Approved Approved Approved Approved Appr/Sdwll ovcd Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL 0 Call for rein 1401011 ? SCJ inspection fee of Srequired Wore next inspection O Unable to inspect Inspector:_ ��`�- ----- Date: __ r -CT_ Page of r CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 BUILDING PERMIT PERMIT #. . . . . . . : BUP94---qY' 2- 1. DATE ISSUED: 10/26/94 639-4171 PARCEL: 2S1O2AB-00603 ,1 I ADDRESS. . . a 12099 5W LINCOLN AVE SUBDIVISION. . . . i NO. "FIGARDVILLE ADDITION AMEND. ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :t=, _5 REISSUE: FLOOR AREA.ri--------- -- EXTERIOR WALL CONSTRUCTION CLASS OF WORK. :ADD FIRST. . . . : s f N: S: E: W: I-YPE OF USE:. . . :SF ;SECOND. . . : y F PROTECT OPENINGS?—_---._—._._-.. i YI-'E OF CONST. :5N THIRD. . . . : sf N: S: E: W; OtrC:UE='ANCY GRP. :M1 TOTAL-------- : 0 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: BASEMENT. : sf AREA SEP. RATED: STUR. : 1 HT. :B ft GARAGE. . . : 160 sf OCCU SEP. RATED: L-iSMI'T :' : MEZZ? : REOD SETBACKS----.------ F-LUOR LUAU. . . . : ps f LEF1 :20 ft RGHT: ft FIR SFIKL: SMOK DET. . : DWI::.LL I NCS UNITS: FRNT :00 ft REAR: ft FIR ALRM: HND I CP ACC: BEURMS: BATHS: IMF, SURFACE: PRO CORR: PARKING: VALUE. 1, : 2603 Remarks : 16,0 SO FT ADDITION TD DE1yTCH GARAGE Owner: ..__.._-----._-------------------- _— FEES RUNDA WRIGHT type amoi-int by date rer_pt 1,_4199 SW LINCOLN AVE F,RMT f 38. 50 JF 10/26/94 — PLCK f 25. 03 KAR 10/20/94 94 1 IGARD OR 97223 5PCT f 1. 9:3 JF 10/26/9 + — Phone #: 50.3-624•-0127 contractor—. OWNER Phone it: 65. 46 TOTAL Req ---- -- REQUIRED INSPECTIONS — — — This permit is issued subject to the regulations contained in the Fout/fuLtnd Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other F r-am i n g Insp applicable laws. All work will be done in accordance with Rain drain Insp approved pians. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for more than 180 days. F,er•mi.ttee 5ignatl_tr•e : ,C. Call for inspec-,tion 639-41.75 City of Tigard Residential Building Permit Armlication ►i — �• \ 13125 SW Hall Blvd. Tigard, OR 97223 \ (503) 639-4171 Jobsite Address: _1:k.c ,4 9 Subdivision: r,,a,,, I f F /,��f �, „ 4•„,.,�,ot# 0ficoUse Only U Planck/Rec # ' Valuation: � CG (� 0 C1. !� Corner Lot? y N Permit # i Flag Lot? y N Reissue of Map & TL# -151 CN-2 AI9 Owner: c2 Approvals Required Address: I k DQq Planning Engineering Phone: I C� t: �� . o t D " Other Contractor: i(letL„ -- Items Required Address: I. Subcontractors ` � Truss Details PJe: Other _ Contractor's License # �— (attach c:or.V of current Oregon license) Contact Name & Phone' Subcontractors: Architect/Engineer: Plumbing _ Address: Mechanical (attach copy of current OR Contractor's License) -- Phone: JOB DESCRIPTION: �� Applicant Signature & Phone nu ber --` --� Received by: Date Received: i N MORD\COMOMRFSAPP Permit# Account Description Amount Amt. Pd. Sal. Due _rte; Bldg. Permit (BUILD) �7ti , i �> )_V Plumb. Pennit (PLUMB) _ _ Mech. Permit (MECH) State Tax (TAX) i Y 3 / 4 3 Bldg: i Plumb: Mech: Plan Check (PLANCK) 3 Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) _ Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) _ _+ Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: - _ Permit#: Address: M '• j1 issued b Date: �(/ Statement: Information 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 hexes I and 2, and either box 3A or 313: 1. i 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. 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 N3B. i will be my own general contractor. If I hire subcontractors, i will hire only subcontractors registered with the Construction Contractors Board. 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 office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that 1 have read and do understand the Information Notice to Prop e Owners about Construction Responsibilities on the reverse side of this form. (Signature of permit applica (Date) (White copy to issuing agency permit file, pink copy to applicant) information Notice to Property Owners WMUt Construction Responsibilities This ItI/tornuttion Noti,r to Prr+perty Owners about Construction Responsibilities was developed by the Construction Contractory Board in accordance with ORS 701.055(5). 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 prt,blems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire person;, not registered with the Construction Contractor Board to do labor in constructing or assisting in the construction 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 withholding tax law: As an employer,you must withhold income taxes from employee wages at the time employees are paid. You will he liable for the tax payments even if you don't actually_ withhold the tax from your employees. For more information,call the Oregon Dept.of Revenue at 944-9091. Unemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purpose~on the wages of all employees. For snore information,call the Oregon EraployrrientDivision at the Department of Human Resources at 379-3524. Workers'compensation insurance: As an employer,you are subject to the Oregon Workers'Compensation Law,and must obtain workers'compensation insurance for your employees. If you fail to obtain workers'corr►pensation insurance,you may be subject to penalties and will be liable forall claim costs if one of youremployees is injured on the job. For more information, call the Workers'Compensation Division at the Department of Consumer and Business Service, at 945-7899. U.S,Internal Revenue Service: As an employer,yew must withhold federal income tax from employees'wages. You will he liahle for the tax payment even ifyi m didn't actually withhold the tat I it more information,calf the Internal Revenue Service at 1-8(K)-929-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project,you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray,water damage from pipe punctures, fire.or work that nn►st be re-done. Time to supervise employees: Make sure you have sr►fficient time to supervise your employees. 1LX�i1 f Noy: Make sure you have the expertise m act as your own general contractor,to coordinate the work of rough-in and finish trades,and to notityVit ilding officials at the appropriate times so they can perform the required inspections. r: If you hLe additional questions, write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/379-4621). The Board is located at 7(X)Summer St. NE Strite 300,in Salem. prop-own.pm4 1194 �2 i o U_C) �o 110 ►- ,� y a c, o W h LW z ° oV)xLij o � U. 7 a. W 2: �, A �. � _ .t •p ��q� 4zom �.1 .r h� k m 4;4A gn ? r n �p ►- o ti • { i J �� —_ JJ p ►— f' o 4 ULd cz, � � p oCi40 FAJ Wz� � z: • cz Up r.JJo y I r ` m 0 0 } Q- 0 g r � 0 Elm cm G� N n 1 i 1 i 1(17 (IN z � 1 Qii i � F s • I r I I . co• � x cx n G� (lo "_ r<• r -1 ti -- J f i•, c, r I _; , � r I i i