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Permit
CITY OF T MASTER PERMIT .r f .> PERMIT #...... .: MST97 -0L69 %�nm�di�i1P11�M "�;`� DEVELOPMENT SERVICES DATE ISSUED: O t4 97 'U . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -41 , ' ®O° 1,11� PARCEL: 2S 1 O3DA -05400 SITE ADDRESS...:13395 SW 107TH AVE SUBDIVISION....: ZONING: R -3.5 BLOCK LOT • JURISDICTION: TIG Remarks: Single family addition _ ---- ----- _— REISSUE: STORIES • 1 FLOOR AREAS ---- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED--- - CLASS OF WORK. :ADD HEIGHT • 12 FIRST : 792 sf GARAGE • 0 sf LEFT • 26 SMOKE DETECTRS: Y TYPE OF USE..._:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0 TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 8 OCCUPANCY GRP.:R3 BDRM: 1 BATH: 1 TOTAL - -: 792 sf VALUE—$: 52985 REAR • 0 _-- ____ —_____ ____— — __— ______- _--_ -- PLUMBING - -_ — _______________ —_____ —_ — ________ SINKS • 1 WATER CLOSETS.: 1 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES • 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 1 GARBAGE DISP..: 1 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 - ---- - -- ---- ----- - - - - -- MECHANICAL -- -- _-- ______— _— -- ---- FUEL TYPES-- - ----- FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 2 CLOTHES DRYERS: 1 GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 0 MAX IMP.: 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 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 app..: 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 /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1v amp.: 0 601 +amps -lm v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 ----------------------------------- - PLAN REVIEW SECTION --- --- — ---- --- — ----- --- Reconnect only.: 0 ) =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..: 0TH: •• BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: .. HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0 Owner: - - - --- -- - ----- Contractor: --- ----- -- TOTAL FEES:$ 870.50 DEAN TABERT OWNER This permit is subject to the regulations contained in the 13395 S.W. 107TH AVE. Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone #: 684-6401 Phone #: 639 -4171 X370 not started within 180 days of issuance, or if the work is Reg #..: 000131 suspended for more than 180 days. ATTENTION: Oregon law __ ------ - ---- —_ —_ ________— ----------- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. - -------------------------------------------------------- REQUIRED INSPECTIONS - ------ ---- -- -- ----- --- - -- Erosion Canto' Crawl Drain Electrical Rough Gyp Board Insp Building Final Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Foundation Insp Mechanical Insp Shear Wall Insp Electrical Final Post /Beam Struct Plumb Tap Out Low Voltage Mechanical Final Post /Beam Mechan ectr er ' Insulation Insp Plumb Final P P Issued By: Permittee Signature: !'— + + + + + + + ++ + + + + + + + + ++ -+++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + +- ,:_ + +,! + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day • In . r it G / ;' Plan Check # 6- 63R III. of TIGARD - Residential Building Permit Application Reed By .1)/:5 3125 SW HAL L New Construction Additions or Alterations Data Redd A-,R 7 IGARD, OR 97223 Single Family Detached or Attached (Duplex) _ Date to P 7-7—'7 I 503- 639 -4171 Date to OST 7 -5 - 1 7 503- 684-7297 Permit # M.57 97- j1e{ . Print or Type Called i ir Incomplete or illegible applications will not be accepted r'` �l " a � e Name of.Proiect . . __ _ _ .. -__ Name '- Job 'TAQL'r (LC510eNC-E Address - -. Site Address .. _._ _. ._ _ __ __ _- —. - - Architect Mailing Address 13Y95 Sc 107' AVE; City/State Zip Phone Name D - S.A.IV OIAA 77 BET Own Mailing Address Name 133% St,. 40 AUr` Engineer Mailing Address City/State Zip ' Phone 9 - _ - , _._ 116AR1) OIZ_ 97223_ G 8 1 - - 640 l City/State Zip , - ' Phone Name General : 'DEAN TAMP—I— Describe work New 0 Addition t/ Alteration 0 Repair 0 Contractor . _Mailing Address to be done: 1339s St:. i© '7'� - AO E, _ _ - Additional Description of Work: • • _ , - ...._ - City /State •- • • - --- - Zip - - Phone -- • - -- TI6A2O oe_•c72-2.3 4 --4-61 Oregon Const. Cont. Board Licit Ex Date s 'r t,et Copy - of . _ . Current ' COT Business Tax or Metro # Exp. Date PROJECT _, VALUATION $ �a 1 5 Name i NEWW CONSTRUCTION ONLY:'i =. :.Py - °:-� t• ectranical :: -- .. ,. Sub- Mailing Address ' S q F t House: Sq. Ft. Garage l 'f -014 44. -.. :ontractor Corner Lot YES NO Flag Lot YES NO City/State V Zip Phone - (check one) (check one) . - Oregon Const. Cont. Board Lic.# Exp. Date Restricted Audio /Stereo Burglar _ reach Copy of - . :. Energy • (r2 .,It' - System - .. • -.-E• Alarm Current COT Business Tax or Metro It Exp. Date Installation Garage Door HVAC • _ -JefSes Opener Systems Name - (check all that Other. Plumbing A- 0 a_) (\)C apply) - . Sub - Making Address Will the electrical subcontractor wire for all YES NO 'ontractor restricted energy installations? _ City/State Zip Phone - Has the Subdivision Plat recorded? N/A . YES NO • Oregon Const. Cont. Board Lc.# Exp. Date Reissue of MST#: Solar Compliance :ch copy of _ - (Calculation Attached) Current - - Plumping tic. * Exp. Date I hearby acknowledge that I have read this application, that the Licenses -_ _ . _ _ -- _... __ information given is correct, that I am the owner or authorized COT Business Tax or # Exp. Date agent of the owner, and that plans submitted are in compliance Nam with Oregon e laws. ,ectrical 18 /r___ DLL A -Y. Signature f H Date 61�.i9 Sub- Mailing Address Contact Perso a m Phone # 3 ntractor - - . .. . - 684 - 4461 C4/State Zip Phone FOR OFFICE USE ONLY: we_ 4_19 -WS() u.wz_t� • Plat #: Map/TL#: Oregon Const. Cont. Board Uc.# Exp. Date \ Z-21 QT)/ — 5141) :each Copy of p Setba� O - Zo - � C1 �R pe , 2 / Solari J � Date � '� f016 � � i Current Electrical tic.* ( � Licenses Engineering Approval: I Pla TIF :, `AJYS J L COT Business Tax or Metro # Exp. Date \ ij VVdd'' �P �� EMDL_DOC (DST) 8/97 Permit ;$ Acct. Descritpion COT WACO Amount Amt. Pd. Bal. Due j . _ . 0 . 0 0 7- 'Z oq MST. Permit (BUILD) (UBUILDI 2 Plumb. Permit (PLUMB) (UPLUMB) /& 2 -- /1 0 2 -- Mech. Permit (MECH) (UMECH) 3 , . , ,. ELC/ELR Permit - '(ELPRMT) - (UELPMT) - // 0 -. -- --- - , , -- - • 7 )/0 ;'-' ....- ..'' State Tax ---- -- - . (TAX) - , (UTAX) - --2(;, /2- _ _ _ ..... .........._ _ BLDG:_ /..(i., 4_6._ _______ _ . .-.. PLUMB: MECH: 1 , 7.•;7 , . ._ _ _ . .._ - • -- --- - - - • - --- - •••.... ' - -- - ELC/ELR: S ,, ) -- - p 7 — -- - ' . __ .. _ ._ _ .-- . - . ..... .• •.. _ ___ ____ . ..___,_ _ Plan Check . -___ _ _ . 11 . . _. - ----.- - - . . ---._ _ -.-.- - -----------..--- , . . . • . . ", . / ' MST: (BUPPLN) (UBUPLN) //Sr ,, --fr 46 6 : : . _ _ i Plumb: • (PLUMB) - (UPLUMB) Mech: - ._,. CDC Review (BUILD) (CDCBLD) _..'. (UCDC) 42‘0 — • -- - - -; ..?'06$ , COC - Review (1 -- (CDtPLN) - ` - ,9 - /2 - 'o ).-.. -,- r '. _ . : -I..:-:" • ,_ ._ _. . ___ ...... . _. . - - - - -... Sewer Connon (SVVUSA) (USVVU SA) . .... ._. Reimbur._District .„. ( .. .)_.... ( _-______ _, ) - Sewer Inspection ,.. .:!! -, .*:"•(SWINSP) (USVVINS) - .,.. .. . , ... , . . Parks Dev Charge (PKSDC) N/A • . — - Residential TIF • : (T1F-R)---- --- • (UT1F-R) . __ ....___________ - --- - - -. • - ........ _ -..- . - Mass Transit TIF ,.., . (TIF-MT) --: -,., (UTIF - - ____ _ _ . _ . __ . .. . Water Quality (WQUAL) (UWQUAL) - ---- • - - - - - - Water Quantity - — - (WQUANT) -: (UWQANT) - • . , Erosion Control Prmt (ERPRMT) (UERPMT) 1 1 6 / q () - Erosion Planck/USA (ERPLN) (UERPLN) / 3 .., 1 3 __--- Erosion Planck/COT (EROSN) (UEROSN) i 3 . " /3 . _. ._ . . . . _ Fire Life Safety -- (FLS) - (UFLS) TOTALS: . • S70. 5 .-- 2 - . / /. 2- 7 "-' . . _ ... - - - ; b . . . - _ I:SFREMDLDOC (DST) 6197 1 . v , Solar Balance Point Standard Worksheet Address 4) 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. • d5° • t t . '1 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. ♦ feet l <=1=1 H Box 8 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? 1 a: If the roof line runs North - South, measurements will 11161•1'. (circle one) be based on the peak of the roof. - coo a inl♦uui '3101 ■Ipo. 1A 13 1C 1 b: If the roof line runs East-West and the roof pitch is ./� • less than 5/12, measurements will be based on the eave. 1c: If the roof line runs East—Vest and the roof pitch is S/1 or steeper, measurements will be based on the G 0 �n - teak. IlmaCt ACM =GI 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. 3. Measure distance from finished floor elevation to the affected peak/eave. + ft 4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, 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. - ft 6. Total figure for box 8: ft Box C. Distance to the shade reduction line. Box C. 1. Measure tie distance from the North property line to the foundation near the ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + ft 3. Total figure for box C: ft • ct is most useful to draw a vertical ruse to represent the appropriate figure found in box 'A' and a horizontal Gne to represent the appropriate figure found in box C. The intersection of the vertical and horizontal ruses determines the value found in box 'O'. The value i box 'D' should be compared to the value in box '8'; if the value in box 18' 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 Oe+eloome t Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) 1 ; Distance to North -south lot dimension (in fees) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction Gne from northern let fin an fe•t1 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 36 • 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 •0 41 50 32 32 32 33 34 35 36 37 33 39 40 43 30 30 30 31 32 33 34 35 36 37 38 39 43 23 23 23 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 20 24 24 24 25 25 27 23 29 30 31 32 33 34 25 22 2 2 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 2 2 23 24 25 26 27 28 29 30 13 18 18 13 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 feet h: lsoiar_olo Revised 2,r251% • Permit #: H q 7- ©a& 9 0 F O Address: 1 - 95 0 107 1! A-o- ' ' Issued by: Date: ' "V /859 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: M 1. I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale v I 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 Er 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 Proper I ners about Construction Responsibilities on the reverse side of this form. .0 ture fo permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) . ^. } . � `A -n-`'`^^~ '^esp~'~~o`~~~~^~as Note: This Information Notice to Property Ownrs 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. EMPLOYEP-1 RESPONTSiSJUTE.S: 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 top000\duoondvviObuliub]eforu||o)uinnonotxif000n[yonronmpinyeooiui jured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Bu.siness Services at 945-7888. KJ.O.Ihtemi | Revoll:oneServime: 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 RESPONSIIilLMES A- AREAS OF CONCERM: Code compliance: As the permit holder for this project, youarenouyonaih\oynrreoo|vixgaoy[uUurcoomeetnodorngoiremonto 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 accident,; and omissions such as falling tools, paint overspray, water damage from pipe punctures, ftre, 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. Lf you have additional questions, write or call the Construction Contractrs Board (P0 Box 14140, Salem, OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 3U0.ioSalem. P,oP'own.pm4 1/94 • 6/6/00" . Activities for Case #: MST97 -00269 2:02:39 PM Op,.... NeTo Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 6/26/97 DRA RECD DRA 7/7/97 MSTA008 Permit Created 7/7/97 DRA PASS DRA 7/7/97 Needs to identify subcontractors prior to • issuance. • MSTA010 Check for prcl. restrict. 7/7/97 DRA PASS DRA 7/7/97 Per Bob T solar and zoning setback box not needed on site plan. . MSTA012 Plans routed to Plans Examiner 7/7/97 DRA PASS DRA 7/7/97 MSTA026 Plans approved by Pln Examiner • 7/8/97 RT PASS BT2 7/8/97 MSTA030 Reviewed plans routed to DSTS 7/8/97 RT PASS BT2 7/8/97 MSTA032 DST Post - Review Completed 7/11/97 DRA PASS DRA 7/11/97 • MSTA700 Erosion Control Insp 844 -8444 DRA 7/7/97 MSTA705 Footing Insp 7/15/97 TLP PASS J *H 7/15/97 MSTA706 Foundation Insp 7/15/97 TLP PASS J *H 7/15/97 MSTA710 Post/Beam Structural 7/22/97 TLP PASS J *H 7/27/97 MSTA711 Post/Beam Mechanical 7/22/97 TLP PASS J *H 7/27/97 MSTA713 Crawl Drain DRA 7/7/97 MSTA717 PLM /Underfloor 7/22/97 MS PASS J *H 7/27/97 - MSTA720 Mechanical Insp 10/20/97 TLP PART J *H 10/29/97 MSTA722 Plumb Top Out DRA 7/7/97 MSTA723 Electrical Service 10/20/97 TLP PART J *H 10/29/97 MSTA724 Electrical Rough In 9/25/97 TLP • PASS J *H 9/26/97 MSTA725 Framing lnsp 9/25/97 TLP PASS J *H 9/26/97 MSTA726 Shear Wall Insp DRA 7/7/97 MSTA727 Low Voltage DRA 7/7/97 • MSTA740 Insulation Insp 10/8/97 TLP PASS J *H 10/13/97 MSTA745 Gyp Board lnsp 10/20/97 TLP PASS J *H 10/29/97 MSTA755 Rain drain Insp 9/25/97 TLP PASS J *H 9/26/97 • MSTA790 Electrical Final • . . DRA 7/7/97 • MSTA795 Mechanical Final DRA 7/7/97 MSTA797 Plumb Final DRA 7/7/97 MSTA799 Building Final � . DRA 7/7/97 MSTA080 (F) Ready to issue 5 7/11/97 - DRA PASS DRA 7/11/97 Have owner sign owner responsibility form. Page 1 of 2 • 6/6/00 Activities for Case #: MST97 -00269 2:02:39 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA092 (F) Issue combination permit 7/11/97 GEO PASS GEO 7/11/97 MSTA710 Post/Beam Structural 7/27/97 7/21/97 RB FAIL J'H 7/27/97 1. mg. M O required Plu p 2. to framing echanical , and / or cover. 3. Vent requirements. 4. Lap vapor barrier 12" at joint. 5. Provide access 18" x 24" 6. Support ledger at 4' centers. 7. Provide low point drain with • back -water valve.' 8. Secure mud sill where missed (within 12" of joint/splices). UNABLE TO INSPECT PORTIONS OF THIS STRUCTURE. • CORRECT & CALL FOR • RE INSPECTION. MSTA711 Post/Beam Mechanical 7/27/97 7/21/97 RB FAIL J *H 7/27/97 MSTA717 PLM /Underfloor • 7/21/97 MS FAIL J*H 8/19/97 not ready MSTA770 Misc. Inspection • 2/23/00 2/23/00 2/23/00 JMT DONE No Hold JMT 2/23/00 research inspection request MSTA153 Expired by limitation 6/5/00 HAP DONE No Hold AKJ 6/5/00 card sent to contractor • • • • • • Page 2 of 2