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Permit CITY OF TIGIARD MASTER PERMIT PERMIT t .......: M,iST96..._041 - COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09 / 2 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 19125MA- 06300 SITE ADDRESS...; 09 560 SW 69TH AVE • SUBDIVISION ° KINGS VIEW ZONING: R- -4.5 BLOCK..........: LOT... ..... ..... : 49 Remarks: 489 sq. ft. addition BUILDING - REISSUE: STORIES : 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED CLASS CF WORK.:ADD HEIGHT 12 FIRST • 489 sf GARAGE • 0 sf LEFT 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT : 20 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 1 FINES: 0 sf RIGHT • 5 OCCUPANCY GRP.:R3 BDRM: 1 BATH: 2 TOTAL : 489 sf VALUE..$: 32714 REAR • 15 -- PLUMBING SINKS • 0 WATER CLOSETS.: 2 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS 0 LAVATORIES • 2 DISHAASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 2 GARBAGE DISP..; 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL - - -- FUEL TYPES FURN ( 100K ..: 0 BOIL /CUP ( 3HP: 0 VENT FANS • 2 CLOTHES DRYERS: 0 /GAS/ / / FURN ) =100!( ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 3 WOODSTOVES....: 0 GAS OUTLETS...: 0 - - - - -- ELECTRICAL -- RESIDENTIAL UNIT - -- -- SERVICE /FEEDER - - -- - -TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS - -- - -- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 1 0 - 200 amp..; 0 0 - 200 app..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /Pf1NEL...: 0 IN PLANT • 0 MANF Hit /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -1080 v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 - - ---- • PLAN REVIEW SECTION Reconnect only.: 0 ) =4 RES UNITS..: S'VC /FUR) =225 A.: ) 680 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL - B. CORCIAL- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIUXL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL V SYSTEMS: 0 Owner: --- - - - - -- Contractor: TOTAL FEES :$ 699.11 NICK KROCHMAL OWNER 9560 SW 69THH TIGARD OR 97223 Phone D: 244 -0365 Phone D: Reg #..: OWNER This pernit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable lags. All work will be done in accordance with approved plans. This permit will expire if work is not =.tartsd within 180 days of issuance, or if work is suspended for more than 180 days. --- - - - - - -- REQUIRED INSPECTIONS --- Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Erosion Control Foundation Insp Mechanical Insp Shear Wall Insp Electrical Final Post /Beam Struct Plumb Top Out Low Voltage Mechanical Final Post /Beam Meehan. Electrical Servi Insulation Insp Plumb Final Crawl Drain Electrical Rough Gyp Board Insp Building Final Permittee Signature: �, Tssued 13 e' / Call for inspection — 639-4175 N ' PIan.Check #.." ..._* 5 7 &-'" *`ITY OF TIGARD Residential Building Permit Application R ecd By ►>Il /1 31 SW HALL BLVD. New Construction Additions or Alterations . Date Recd I PO 6 o IGARD, OR 97223 Single Family Detached or Attached Date to P.E. - Z to . 503) 639 -4171 - Date toDST -s ' / Print or Type Permit ft' '17/.5t -6 C I ( Called / /GL 5 77 Incomplete or illegible applications will not be accepted Name of Subdivision,. Lot # Name Job K n 15 01 .0 u)gs- Architect Mailing Address Address sit a me Address rr Na i 95 (00 S �u b I City/State Zip Phone rr � I M 1 GK. I cker t 1 KQ.t, kroctuNaI Name I r Owner Mailing Addr ss c.J qS°l'? S to Engineer Mailing Address Zip City/State Zip Phone g 1-j4ar X91223 244 n(05 City/State Zip Phone Na i General �j R C, Ce nstr u r.r, c-r In C , Describe work new O addition") alteration 0 repair O Contractor ailin Address ' to be done: — .l 10 N.,0 I ir,j J Y Additional Description of Work: Jy /State Zip Pho e l • A k 7 . of sq P{ Q ddiTIo • Oreg • Const. Cont. : oard Lic.# Exp. Date ' - r , , _ l „� _ Attach Copy of �. " pmt h, Project /�[ Current COT Business Tax • r Metro # Exp. Hate \ % $ ,5A. 7 / r' / O Licenses NEW CONSTRUCTION ONLY: Name lc Mechanical 1 '�,� l ��� � Sq.Ft. House: Sq.Ft.Garage: Sub- Mailing Address Lt 0 (Qc t;+i QV►) Ada Contractor VW Ma' k.. Corner Lot Yes Np, Flag Lot Yes f City/State Zip Phone (check one) X (check one) x Restricted Audio /Stereo Burglar • Oregon Const. Cont. Board Lic.# Exp. Date Energy System Alarm Attach Copy of n Current COT Business Tax or Metro # Exp. Date Installation N i\ Garage Door HVAC Licenses Opener Systems i Name (check all that Other: Plumbing ailing A ©ow t'lE Will the electrical subcontractor wire for all Yes No I Sub Mailing Addd ress Contractor restricted energy installations? City/State Zip Phone Has the Subdivision Plat recorded? N/A Yes No X Oregon Const. Cont. Board Lic.# Exp. Date Reissue of MST# ;14 a Solar Compliance Attach Copy of W /� (Calculation Attache.) e --- 1 Current Plumbing Lic. # Exp. Date 1 hereby a :knowledge that 1 have read this application, that •e Licenses information given is correct, that I am the owner or authorized agen of COT Business Tax or Metro # Exp. Date the owner, and that plans submitted are in compliance with Oregon l State laws. Name L Sig of Own I er /Agent D Electric i\Dify 1� G(.Q� oe d � ' (`i /O /� Phone �f" Sub- M�ilingAddress P lo<'• � l .24/4.0.365 Contractor FOR O USE ONLY: City/State Zip Phone Plat # r ' Map/TL #: • Oregon Const. Cont. Board Lic.# Exp. Date I C�� \ In(5 V r 7 _ J) Z5t /1 - ( 90 Attach Copy of 5etba ks Zone: Solar: Current Electrical Lic. # Exp. Date O 0 , , ` , 2 s/ o_ Licenses f�111�J r � COT Business Tax or Metro # Exp. Date Engineering Approval: Planning Approval: TIF: 1- \dstsk ri nstapp.doc 0 i" ' iV A t a Permit # Account Description Amount Amt. Pd. Bal. Due 96 -0(/// MST. Permit (BUILD) 006,,S7) r-,1v6,, v Plumb. Permit (PLUMB) Mech. Permit (MECH) c;-q. 51' 1, w ELC /ELR Permit (ELPRMT) / / U // 0 State Tax (TAX) r7 o7 /, J v Bldg: /0,33 Plumb: � 24) Mech: /(q1 ELC /ELR: .S. r1) Plan Check MST: (BUPPLN) /3 ,A3 ) 3(, 3 Plumb: (PLMPLN) Mech: (MECPLN) 7,3Y 2 3 ' CDC Review (LANDUS) -4/0 1 O Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) 4 U c L u Erosion Planck/USA (ERPLAN) /3 /3 Erosion Planck/COT (EROSN) / 3 / 3 Fire Life Safety (FLS) TOTALS: 6f/, /1 3q,073 s is \dsts\mstapp.doc Wt-Of ' Rev. 7/96 96- a8yya8 CITY OF TIGARD BUILDING INSPECTION DIVISION MsT c 7 6- Da W 24 -Hour Inspection Line: 639 -4175 Business Liner -- 639 -41-71 V0 -1 Q� r BUP Date Requested ?/0 U AM r PM BLD Location C I SCQO Suite /1 MEC Contact Person Ph oZ W'' 636 PLM Contractor Ph SWR ILDIN Tenant/Owner ELC Retaining Wall ELR Footing Foundation FPS Ftg Drain Crawl Drain Expired/Research /Request SGN J Slab --- ft (-"� SIT Post & Beam failtt Ext Sheath /Shear C4�i cfv) 3/U9(47 Int Sheath /Shear \ J , n _ cA , / ` ,� _ (.� / E t 1 ( , Framing 'c. �l.Jl �Ti�( ` � 1 ��� -0.A Drywall on © U'V� �, �t� 64-,1 On S 0 $ Drywall Nailing r ► �,l�i, Fire wall / < ")'" W C1/4( �, Fire Sprinkler G� Fire Alarm t n^ pA,0--ex c--e_ � Ca_ '` Susp'd Ceiling Y ►' r Roof ' . ` _ , l �C- _ 411ZIP .;Tw.A. f__,,,.., Misc: vV _ - ,.. Jr.- OP Uri PART AIL CPLUMI3 — — 17‘ 5 j �e,- U _I f �1 Post & Beam J c( Under Slab 4 �Qn/t�V \ S ' c 7.c. c l.�t.�,- Top Out k . Water Service CL S Sanitary Sewer Rain Drains f�G� � ,� �2i, - ‘....i.,;/.1 i n ART FAIL ECHA AL Post & Beam Rough In Gas Line - Smoke Dampers in -, PART FAIL CTRIC 'i - • ice Roug n UG /Slab Low Voltag - Fire Alan ' S PART FA L SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA l/ �� / Approach /Sidewalk Date / b b Inspector \' L) Ext ` Other Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9(0 004 24 -Hour Inspection Line: 639 -4175 . Business Li . 639 -4171 BUP Date Requested ' �4 6/ //// PM BLD Location / Sca(� LSD 54l/'-e) Suite MEC Contact Person Ph PLM Contractor Ph SWR (6OILDINi Tenant/Owner ELC Retaining Wall —_ —_ ELR Footing Ac NOT REQUESTED Foundation FOUND DURING RESEARCH Ftg Drain NO INSPECTION s SGN Crawl Drain 7 ( IN FILE Dil Slab SIT Post & Beam /To►" Ext Sheath /Shear ` v /� Int Sheath /Shear Framing 1L ! V. , - O A I ' —Co.— Insulation W ' Drywall Nailing .. • . i A .. k. v ` w v` Firewall I Fire Sprinkler f' ILL. A /I P�A J- L= Fire Alarm '' �� Susp'd Ceiling / v .. - ... 1 ^^ Roof , • �a� ■ 0 1 1 Miser �...._ I. _ , . . - Ina / 1 PART ' • 1- y - ,, • _ _ d ! - : i A _ i A ._` 4 LUMBING� �1 v e \ 1 1 . l V `k (.e_s _r Post & eam Under Slab A II A 2Ag - A,.- • ` 4 _ `! Top Out Water Service i� Sanitary Sewer . , Drains C%—✓\ Q.LS4 1 9 i \AkA-i . P : _ RT .C/Y` - S CHANICAII I ' Ali ■ _ - tg . - Post & Beam Rough In Gas Line lum■ 110. ■w ∎ ∎ _��� Smoke Dampers Final . PASS PART FAI ELECTRICAL V , N k l ii �) Service Rough In / UG /Slab Low Voltage Fire Alarm Final PASS PART 0 SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: /") [ ] Unable to inspect - no access ADA Approach /Sidewalk Date I v I n spector Y V' ` Ext3 19 1, Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 9 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested g l AM PM BLD Location 7:5 0 9 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: v z C•t a4&._ � FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation ® � P� Drywall Nailing atVA,P7e- c a— — r 1 Firewall Fire Sprinkler Fire Alarm /4/5/7,--/ �� `J , J /S J / Susp'd Ceiling Roof L - Misc: S 4 .ti t 6. e� f 2 > f ) t 741 r"- :; Final PASS PART FAIL ``� MB PAP Post & Beam Under Slab Top Out Water Service Sanitary Sewer Ram Drains final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL C L RIC/ t) Service Rough In UG /Slab Low Voltage Fire Alarm mal PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Other Date 3/97q, Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Q` _0 24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST ?(o // BUP Date Requested 43/� 9q AM / /ate " / BLD Location S (n 9 - Suite MEC /� Contact Person tt -- Ph PLM Contractor MI IiQJ _ ba-ck Ph 2 " b (0 SWR M" BUILDING Tenant/Owner J4 K rOc.h r / ELC Retaining Wall ELR Footing Acc / Foundation NOT REQUESTED FPS Ftg Drain Crawl Drain Ins' FOUND DURING RESEARCH SGN Cr Slab NO INSPECTION(s) IN FILE SIT Post & Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Sprinkler Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Anise: .4 11111111 PART FAIL /J PLUMBING i��� f2 - J E.�2G, , /2 .p p� Post & Beam � ? ( � Q� Under Slab n� Top Out I f ` Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Other Approach/Sidewalk / ( / Other Date �i� Inspector � Ex t / yy Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 6151'77 A.M. V P.M. MST: % - O"i f Location: / 5 &O .sid 691k 71k ( 4 ) BUP: Tenant: Suite: / Bldg: MEC: Contractor. /,L�l Phone: 0 2 `t►�`t' 0 34,5" PLM: Owner: / Phone: ELC: it-7 , - ELR: • SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site PostBBeam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Rio f UndFUSlab Rough -In Ceiling Water Line Slab Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved • ppr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL 6 ' 1 1 CCESS �/-6 j 6‹ v GT7C) �C/ ,,e ( O iA-/ pxe,J7 / Sc - s O Call for reinspec ' O Reinspection fee of $ required before next inspection ZIAArarbiginspect Inspector: Date: 4 l 5777 Page of fiP CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: /_ /..5 7 A.M. L P.M. MST: _q(-) F-�--� Location: / 5 (o() S 4 6 / (cro-o <� l� frt (5 ...la L BUP: Tenant: Suite: Bldg: MEC: ontractor. �7 ' Phone: PLM: Owner: 7 (�? !�/ . � / /� 2i Phone: . ,� � y) ( 4 - 0 3 � O� ELC: L d Z! 4i [ ii }.e.GL4 i n2.1 .1t O GC.L ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ( LECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service — Sewer /Storm Footing Roof UndFl/Slab Rough -In C _ Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct ` ".nnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approv Approved Appr /Sdwlk Not Approved Not Approved Not Approved of pproved Not Approved FINAL FINAL FINAL FINAL FINAL S E , } L , ? LE /N /`1C7 8h Sf — I N Paft 2v-0 V 45 -r -- l C / Q, f=v le , SA-r/ c art PEcEi9 T 1 rIA / =vA AI61hzrs PAUGS. Do tv T F'/ A/AL i M L E S S ME T,s' - /2 A/9-4"4" H S E E,-' /V SE /-CEO 14v'TW K s O Call for reinspection Reinspection fee of $ r ired before ext inspection O Unable to inspect y, Inspector: Date: £ C/L5 q Page of CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 //-- /0 , — /2 2 3 O Date Requested: / V 7 A.M. v P.M. MST: % — O /� / �j Location: / 5 7 Q 6 �] 7 (/afr S £i/) BUP: Tenant: Suite: U Bldg: MEC: Contractor: Phone: PLM: �� Owner: .( _ 1 / ,, // lfi/la Phone: 036-5 ELC: ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing ' 1.r. U . . .. Rough -In Ceiling Water Line Slab ° Top Out Gas Line Rough -In UG Sprinkler Foundation ulation -wer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt pproved oved Approved Approved Approved Appr /Sdwlk o pproved prov Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL • • 11 Call for reinspectio O Reinspection fee of $ required before next inspection O Unable to inspect Inspector: Date: lag / 77 Page of • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 1 1 Z s` C l 1 A.M. P.M. MST: 96 6 4 2 1 a Location: 5 5 O Cp L. A- -U-e-i BUP: Tenant: Suite: Bldg: MEC: Contractor: Phone: PLM: Owner 1 nQJ Phone: 6 X36 S ELC: _ _ _.J L1,— _ ELR: ) 1 I SIT: BUILDING ; LDG co. 't PLUMBING MECHANICAL ELECTRICAL SITE Site - • o I :earn Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof ' UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation . ation Sewer Hood/Duct Reconnect Vault Bsmt Damp 0 : 1 Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt r o ved Approved Approved Approved Approved Appr /Sdwlk ......m3 I�T8L7�pproved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL O Call for j Date: 7 z to O Reinspection fee of $ requ ed before inspection O Unable to inspect Inspector �. / P s 9 � Page of WIPP— CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: /0 'J ' 97 4 V P.M. MST: 96 ' 041 Location: 95V0 Et0 (q /7c lit 17 J x -c-e1 BUP: Tenant: ✓ ✓ Suite: Bldg: MEC: Contractor: /,, ' / / Phone: /� / PLM: Owner C/ ery / ' 1 hGk OVC� / Phone: 't A ' 03 (05 ELC: ELR: SIT: BUILDING C I d con't) PLUMBING MECHANICAL ELECTRICAL SITE Site • o : eam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation on Sewer Hood/Duct Reconnect Vault Bsmt Damp N Storm Furnace Temp Service MISC. Masonry a mg //1J Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt pproved_ Approved Approved Approved Approved Appr /Sdwlk roved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL !, _NGL.i L ' . -a,, ,..• • • cc) /Y - er 1^i • .. 40,1 h -: a ck 66_ s 3reen herarJ 1ns+all rauS hciA ' bettli r 4 y r/ tad, O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect Inspector: ( PaQ Crc l Date: 1 0 • 1 • q Page _l_± of J CITY Off' TIGARD BUILDING INSPECTION DIVISION MST q10 - -ov '/fl 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / AM PM BLD Location q ' 2 a 0 ' &) b4 /11 Suite ( I EC Contact Person / Le j p Cp l h 2 7 O 8- LM Contractor Ph Ph SWR f ILwoi� Tenant/Owner ELC Retaining Wall y��,� ELR Footing Access: C h' 12 ! �O G //� Foundation ` v� i� K/ < 1 FPS Ftg Drain Slab Crawl Drain Inspection Notes: A' a by _ SGT —i/1/N Post & Beam `V SIT Ext Sheath/Shear p()ilvi.71 P Int Sheath /Shear Framing Insulation Drywall Nailing / / 1L�Zia ?. Firewall 411/4"" Fire Sprinkler Fire Alarm Susp'd Ceiling 44111I■ Roof Mis • gr * __ -ART FAIL BING Pos & er S labm Un ab /� er dl � ° /v - Top Out p Water Service � P--€.- Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL • Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm illi" - rj PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date / 2 4'Z) 1 Inspector C Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • Permit #: 6-7-%-o61 of 109560 „W_9--(-19 Address: z r D! G� / Issued by •iI .. / /(, ////..4 Date: , 59 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 boxes 1 and 2, and either box 3A or 3B: IZ 1. I own, reside in, or will reside in the completed structure. F 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. El 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 3B. 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 I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. m Q/2 7/Q( (Signature of permit applicant) (Date) (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). 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 persons not 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 Dept. of Revenue at 945 -8091. 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 at the Department of Human Resources at 378 -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' 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 at the Department of Consumer and Business Services at 945 -7888. 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 1- 800 - 829 -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. Liabilit :/ 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 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 or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378- 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop- own.pm4 1/94 s • Solar Balance Point Standard Worksheet Address 'tS1) 0 510 6 go- Box A calculations: North -South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east -west and intersecting the northern most point of the lot. 45 ° --• NORTHERN NQRMERN . LOT UNE LOT UNE N North -South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. 5 Z_ feet t N F NORTH-SOUTH DIMENSION -111 Box B calculations: Shade point height for your residence. • Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1a: If the roof line runs North - South, measurements will ■iv. (circle one) be based on the peak of the roof. 0000 , 111111 11111i NORTH 1 A 1 B 1 C 1 b: If the roof line runs East -West and the roof pitch is Tess than 5/12, measurements will be based on the ,os nen eave. S . 12 toot Wen SHADE POINT EA■E 1 1 c: If the roof line runs East -West and the roof pitch is 5/12 or steeper, measurements will be based on the odzo peak. SINGE FOUNT RIDGE ei Box B. continued Box B: . 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negative. ft 3. Measure distance from finished floor elevation to the affected peak/eave. + 1I ft 4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - 0 ft deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. - W ft 6. Total figure for box B: / y ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the 133 ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + S ft 3. Total figure for box C: 11-4 I ft It is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line to represent the appropriate figure found in box "C ". The intersection of the vertical and horizontal lines determines the value found in box "D ". The value in box "D" should be compared to the value in box "8 "; if the value in box "B" is less than or equal to the value found in box "D ", then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) r Distance to North -south lot dimension (in feet) shade i 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line �,. from northern Jot line (in feet) 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 26 27 28 29 30 31 32 33 34 25 22 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 14 14 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: �/0 feet I h: \dots \nancy \ventu ra\solar.chp Revised 2/26/96 • • , ,t , • r , '; • i 'F ;,•.14.,:'!in..;ZI., 1.' I :- t • r 1 : , • I, ' . 1 '—; f t 1—"...1v l• 1 t 11, Ok'. 1 1N1 s , r I $ pl 1 I - • r-J) . , • .'•.." '■ ‘• ; ,• • 0 •■, • • "• ; k.•', • • ; ; ; .1 t• • .1 ;. !••,), • • • ; • '1 '1 ,•/ • 1 , ; „ ; -1 ' ..t• ' ' • . 0 t:H 1•• r ,`• ; •• 1. t . : • - • \A-e) 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. u - Shear /Sheath Framing -Mech. PIbg.Und /'r /Slab Plbg. Top Out Insulation - Elect. V Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. � A Re ei Other: /1. Date: / 1 — ; 2---" —' < A.M. P.M. Entry: / Address: �7 S (0 0 S i ( I CtL Tenant: II Ste: MST: 94 - 0 V 1/ Con /Ow 112.0 c..„11 01/9-e_ 2_4 ti b 3 b MEP: c a O [ °( ct ( THE FOLLOWING CORRECTIONS ARE REQUIRE ELR: 4 ,• ' _ x• +� M ./ 1 " -e-T' el' I er —tot. G. . -fir ,rr:, a3 s /s -- `e-r - ri. 9.-01./ Inspector: ./11 � � Date: ii 2 . 4 - 4 APPROVED �! DISAPPROVED /CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECT ON NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. •=os :: am Mech. Shear /Sheath Framing -Mech. �Ibg.Und/Flr lab Plbg. Top Out Insulation - Elect. ost/Beam Stru Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk ,t �f Reins. Other: C I 'D aey ; 4 Date: /,3-- 3 1% A.M. P.M. Entry: Address: /5(a O T f1. Tenant: '1 Ste: MST: 74, 6 / / Con/Gge 24 1 L- 1 - 03_62.S_ MEC: 2_ci 2.-0 l 9 9 PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: � /�� Date: / Z -3- 7 . APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO • / �/ ..e4.-I U CITY 0 TIGARD BUILDING INSPECTION NOTICE pection Line: 639 -4175 Business Phone: 639 -4171 `o� Ins Rain Drain Cover /Service FINAL: (Foundatior� Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other. ` ' , _ Date: /0 - 2—g 4f, A.M. P.M. Entry: Address: 7 rcev o 5 u.) b /-Z. � � x'`�'Q' -'�" " „� _ Tenant: Ste: MST: U -05/f/ Con /Ow A ,2 0. 4 ,e6 MEC: OM PLM: IXi M 2- 99 — ELC: ,� THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: WIFIIIINFALEZIARIMINI 1 1 crX 2t(' • c-u-a.‘AD \ 3 %= vc.1,,, -c).-;...," c,v-tx_.....,...) i Inspector: SZ.,,_ G Date: A b /2.451 D T APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO