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Permit i � �� MASTER PERMIT PERMIT #: MST1999 -00322 �1� DEVELOPMENT SERVICES DATE ISSUED: 5/26/00 '`` --'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07104 SW LOCUST ST PARCEL: 1S136AB -01600 SUBDIVISION: METZGER ACRE TRACTS ZONING: R -4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: Add breezeway, garage and craft room to an existing single family dwelling. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: 18 FIRST: 0 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 780 sf GARAGE: 1,404 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: - FINBSMENT: 0 sf RIGHT: VALUE: $ 70,450.00 OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 780.00 sf REAR: PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: ' 1 CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL . RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 1 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,359.97 This permit is subject to the regulations contained in the WORF, ROGER WILLIAM + OWNER Tigard Municipal Code, State of OR. Specialty Codes and SUSAN OERTEL all other applicable laws. All work will be done in 11935 SW BURNETT LN accordance with approved plans. This permit will expire if BEAVERTON, OR 97008 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. • REQUIRED INSPECTIONS Erosion 844 -8444 Underfloor insulation Framing Insp Water Line Insp Sewer Inspection Plm /undslab Insp Shear Wall Insp Electrical Final Footing Insp Plumb Top Out Exterior Sheathing Insl Mechanical Final Foundation Insp Electrical Service Insulation Insp Plumb Final ORIGINAL Slab Insp - - - Electrical Rough In Gyp Board Insp Final inspection Iss ed By : �i!d /� �� � ���/ Pe rmitte e Signature :... //- IP Call (503) • 9 -4175 by 7:00 p.m. for an inspection needed the next • usiness day / y Permit #: 14 49 - r 6ggq'QO 3 °A'2 1 6 F .,: � , Addre &' Sgt Z Issukby: /�.! (9 rte — Date: /al - -9 s 85/ 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: 0 1. I own, reside in, or will reside in the completed structure. osj 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 3A. My general contractor is I I (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 S 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 Pro . • .y Owners about Construction Responsibilities on the reverse side of this form. , f 7 . zz (2,, / (Signature of p applicant) 9/7,7g D (White copy to issuing agency permit file, pink copy to applicant) , • - • InfO . a Notice to Property Owners ` ~ ���«m'� Construction ��es%�K�D���'��^Q�^es • � � �' ' ~ No/e: This Information Notice /o Property Owners about Construction Responsibilities • was develop bv/6eCo/rtnuction:Conoac/nrs8mxu////occunancowi/h0R370/.055(5). Ef 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 respon.sibilities and areas of concern. EMPLOYER RESPO�����������: ' ` If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction m ionroycneniof structure, will, w in mmt ios|uncu� be ruled to be the employer ood the people you hire wU|hecn�phzvcox. As the empl you mum` }yv,kh�eCnUowio�: ' ' - Oregon's withholding tax law: &1ohomnloym| you Must withhold incohnctaxes from employee wages at the tirne eraployees are paid. You will he habe for the Oix pyments even rC ou don't actually )A the tax' from your employees. For more information, call the Oregon Dept. o[ Revenue a/g45'Q09l.: • Unemployment innmrmuurtaz: As an employer you are rcquired 10 pay arax for unernpioyment irisurance purposes on the wages of al ernployecs. For more information, cd1theOrrgmoEmp\oymcm Division n/ the Depart neo<of Human Resources at 378-3524. , . .. Workers' compensation insurance: As an employer, von are suhjet to the Oregon Workers' Compensation Lxw, and must obtain workers' compensation insurance for your employees. K you fail roubuuin workers' compensation iosornnon you may be subject W pc oakieuond"/0ho|iub|e, for al! claim cosis if one ofyouremployees is injurcd on thej�h. For more inforuiation, call the Workers' Compensation Division at the Department of Consumer and Business Scrviee; at 945'7888. 0.S,Imtummal Rcvenue.Serviee� As anernployer. you musi withhold federal iflCOrne tax tioni employees wages. You Will be liabjc for the. tax pavrneflt even Jyoud\do'tuuuuUywiihho|dthctax.Formoreinfornmrioo,caUthcLnterna|RevrnooSuo'ioc at 1'800'829'1040. OTHER RESPONSUBILITiES 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 property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage. for uccidoo\x and omissions such as falling tools, paint overspruy. 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 employee . • Expertise: Make sure von havethecxper act as youro\vn general contractor, 1ocoordinatethe work of rough-in and fiiiish trades, and \o notify building officials u| the appropriate times so /e� can perform • y }[ you have i the C�nxkncionConkmck�rsD .1` . ,[j&973U9'5O52 ` ( c 503/378~4621). The. Board is located at 700 Summer St. NE Suite 300 in Sj|con. prop-own.pm4 . ' i/94 ' - CITY OF TIGARD Residential Building Permit Application Plan Check# - V7 '13125 SW HALL BLVD. New Construction Recd By Date Rec'd 9 "I to - 1 TIGARD, OR 97223 Single Family Detached ,,./ Date to P.E. - - 1 V . 503 - 6394171 j j Date to DST !O ° -c- r4 AO F 503 -684 -7297 Permit # As ram- o63 .R,Z Print or Type . Caned lb a - 4r- Incomplete or illegible applications will not be accepted << 2sd Gacr V/ Mo Name of Project Name Job �(,`�G�F , 1 - »j �i - s 16A1 Address Site Address lrc '>C.tS .� Architect Mailing Address 7/(> y Sifht=a4TfOr /t & izeP City /State Zip Phone N Name Owner Mailing Address , 17'9s S td .5t`Riv City/State Engineer Mailing Address I PPho g 1cA /E . (A) q n " 24 91 City /State Zip Phone General Name Contractor 69(A) A Describe work New 0 Additioa) Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description,of Work: issuance, a copy City/State Zip Phone c t' 4 " 4) /( 2 ,/et ic7 ke->J///' — Ne. i4 of all licenses --- are required if Oregon Const. Cont. Board Exp. Date PROJECT . /►� /h / expired in COT Lic.# VALUATION .$ ' nJ(�'.'?' database _ Mechanical Name "1, �,- p NEW CONSTRUCTION ONLY: Sub- 0 -64) 1-:/L- Sq. Ft. House: � 7 � D Sq. Ft. Garage 1-414.34- LZIa ) Contractor Mailing Address Prior to permit Indicate the restricted energy installation by the electrical issuance, a copy City /State Zip Phone - _subcontractor in the following areas of all licenses --- - Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date j Alarms expired in COT Lic.# Irrigation - S- 65( database System Plumbing Name Sub - Contractor Mailing Address , Designation w / AL / YES NO Prior to permit City/State Zip Phone ' ei 1 issuance, a copy / of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# / 0 . a 4 i < A ' expired in COT i database Plumbing Lic. # Exp. Date Iication, that the t424 o or Hance authorized agent Cd��- Al-� :ompliance with Name Electrical 06,0)06e-- • „� �� a �9 Sub- Mailing Address /a -2-S -1 S ho # Contractor 5Z4-G/ air30 City/State Zip Phone Prior to permit ��� S�� issuance, a copy FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp Date plat #: Map/TL #: required if Lic.# expired in COT /5/36/96 database Electrical Lic. # Exp. Date Se,(cks: ne: ,� i � Electrical Supervisor Lic. # Exp. Date Engineering Approval: P ing Approval: TIF: b % . 1 C �� i : \dsts \forms\sfd- new.doc 11/20/98 • 4 A `Tiderna -rk d AYianata i e Aiber-t h. eld js :. h � Ais E : ~ t --- - .---:,,y'- . 2_,:_-...., , , fib. P x' a� <a`. , �.: f� a k t ,. i�F File Edit Options Window Help 'i �i r� l d4 ti I i -- ' — l Exit New Open Task List QBE GIS i i © pi X A6 a a J Close View Add Delete Sign Off Print Documents ' _ , - f j 'i; _ f- i n s Name:WORF, ROGER WILLIAM + Updated: 316I2000 BT2 General Address:07104 SW LOCUST ST Jur: CTIG 1 Description: Master #. JMST1999 -00322 Project: IWORF Building IA dd breezeway, garage and craft room to an existing single family dwelling. _.__ . _ _ Mechanical Activi it for MST 1999- - 003 22 _ i J ... f � a".-2 ,..... v„4 . s ^�.`.S w ., f.+N4; f,„.7,: " ` ,1AaCw . "'.0 s..._ .tea -" , , : n. s ? ..i„,,',`9 . „3'.....a.".. # "+: -' ` , - „_ . ..ai _ .„.„ _T n . .. ; a� +:..z ,...,. : x. , _ . _ ,. y .. a Description 1 Dis Date3 bDone i P By llotes ■ �` . Erosiorn844 -8444 {_ Plumb Final '.i Gyp Board Insp NOTE Garage separation comes under OSSC - 518X - Soplid COre Self CLosing gasketed door Mechanical Final , Electrical Final Insulation lnsp ' ' ' `� Final inspection Case update (see note) DONE 7/10/2006 AMS Site visit, no sign of occupancy of new structure or recent work. Photos in file. Permit expired ato 4/10/06, previously expired 1 /4101 , r Permit expired by limitation DONE 4/102006 AMS Expired by limitation effective 4/10106, 6 mo without activity. . Insulation PASS 10/102005 KBS 017879 -01 - 503- 784 -8497 - VM - N [ ' Mechanical rough -in PASS 4/142005 RB 004537 -01 - 503- 784 -8497 - VM - N k, Exterior Sheathing Insp PASS 4/142005 RB Framing PASS 4/142005 RB 004538 -01 - 503- 784 -8497 - VM - N Shear Wall Insp PASS 4/14/2005 RB Framing FAIL 4/122005 KBS 004318 -01 - 503 -784 -8497 - VM - N -180 Framing Insp FAIL 10212004 RB Exterior Sheathing lnsp PART 10212004 RB Mechanical lnsp FAIL 10212004 RB ' Shear Wall Insp PART 10212004 RB Hold Release to Issued DONE 5/26/2004 HAP Last activity was 5111104 - Revised plans approved - Permit expired in error...hap ■ i i View /Add Activities :, Start ! / ?' [ — . Id # _ - : " _ _ Tidem�rE:. Ad v... � . � .. 1