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Permit CITY OF TIGARD MASTER PERMIT PERMIT # MST97 -0380 , DEVELOPMENT SERVICES DATE ISSUED: 09/24/97 PARCEL: ES103DC -00813 SITE ADDRESS...:11205 SW GAARDE ST SUBDIVISION • ZONING: R -3.5 BLOCK LOT • JURISDICTION: TIG Remarks: 2,550 sq ft addition for use as a storage building. To be attached to existing house by a 51' breezeway. no electrical at this time — BUILDING - ---- REISSUE: STORIES • 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED - CLASS OF WORK.:ADD HEIGHT • 12 FIRST 0 sf GARAGE • 2 sf LEFT : 5 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : 19 OCCUPANCY GRP.:R3 BORN: 0 BATH: 0 TOTAL 0 sf VALIE..$: 45084 REAR • 20 PLUMBING SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL — ---- -- FUEL TYPES --- FURN (1' ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 LNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 'GAS OUTLETS...: 0 ELECTRICAL - - - -- - - RESIDENTIAL MIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— --- BRANCH CIRCUITS — --- MISCELLAMEOUS— --ADD'L INSPECTIONS-- l SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 4'.' amp...: 0 201 - 400 amp..: 0 1st W/O SVC /FOR: 0 — SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 608 amp..: 0' 401 - 600 amp..: 0 .EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1% amp.: 0 601 +amps- 1:v, v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 - -- PLAN REVIEW SECTION — -- Reconnect only.: 0 )=4 RES UNdITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC: • ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMprERCIAL AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALA'r • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: .. BOILER HVAC LANDSCAPE /IRRI6: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK...........: INSTRUMENTATION: MEDICAL OTHR: HVAC • DATA /TELE COMM.: NURSE CALLS TOTAL D SYSTEMS: 0 Owner: — Contractor: TOTAL FEES:$ 533.40 BRUCE ANDERSON OWNER This permit is subject to the regulations contained in the 11205 SW GAARDE ST 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 D: 639 -0013 Phone B: not started within 1: days of issuance, or if the work is Reg 4..: 'JIYA 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 Control Building Final Footing Insp Framing Insp Shear Wall Insp Rain drain Insp _. Issued By:AN f+++++++++++++++++++++++++++++++'+++++++++++++++++++++. / Per Signature , <._ .Y A t_.�1..._., + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6 :00 p.m. for an inspection needed the next business day J L Plan Check # 9 IT OF Tic ARD R esidential Building Permit 4pplioation Recd By OFo 3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 9- /a /7 'CARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 9 - AA - P 7 503439 -4171 Date to OST /51- 91 7 503- 684 -7297 Pem rt • /46777- n 3 8) Print or Type Called III . - ` -30F, Incomplete or illegible applications will not be accepted . w , c.{ Name of Project • Name Job k..)0 F-) _ Address S ite Address ' / Architect Mailing Address (t2 W • e 5 S. . A hec:1a City/State Zip Phone Name ' II rm..c e A 1J O Q.,P $00 Name Owner Mailing Address II Zn5 5.u9. GA Arcl e otre / r' City/State Engineer Mailing Address 7 — Ci-1' 1 � 1 Zip Phone � g 1 F c L t . /722 I City/State Zip Phone Name General 0 u. , f'' Describe work New 0 AcIditionX Alteration 0 Repair 0 Contractor Mailing Address to be done: Additional Description of Work: City /State Zip Phone ■ Oregon Const. Cont. Board tic.* Exp. Date �� r l I • Attach Copy of Current COT Business Tax or Metro # Exp. Date PROJECT �� �� _ • Licenses VALUATION $ 4450S7_4i _ _ Name , T ,— Mechanical o f7- CONSTRUCTION ONLY: Sub Mailing Address Sq. Ft. House: Sq. Ft 51- Contractor Z 0 C; td i City/State zip Phone Corner Lot YES NO Flag Lot YES NO �/ (check one) L'' (check one) Oregon Const. Cont. Board Lic.# Exp. Date Restricted Audio /Stereo Burglar _teach Copy of Energy System Alarm Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC Licenses Opener Systems Name Plumbing � o u e (check that Other: Sub- Mailing Address Will the electrical subcontractor wire for all YES NO ,contractor restricted energy installations? City/State. Zip Phone Has the Subdivision Plat recorded? N /A YES NO Oregon Const. Cont. Board Lic# Exp. Date Reissue of MST* Solar Compliance Attach Copy of (Calculation Attached) Current Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the Licenses COT Business Tax or Metro # Exp_ Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance Name with Oregon State la , . Electrical t � Sig ,, .�. fe of Own= /Agee Date La 1.3 e /.L —/ 1: � ✓.Ar Sub- Mailing Address Ontv Person Nam r( Phone # : ontractor r /� ,UCte., -5C 4-.) 739- City/State Zip I Phone FOR OFFICE USE ONLY: Oregon Const. Cont. Board Lic.# Exp. Date P t` .. r. jo 3 C -60W.2 '.ttach Copy of Setbacks: n Z • Solar: Current Electrical Lic. # Exp. Date L ( L` — 3,i Licenses Engineering A p .oval: I Planning Approval: - TIF: COT Business Tax or Metro # ` Exp. Date / y X • f i:lsfapp.doc (dst) 1/97 Permit # Account Description , . Amount Amt. Pd. / Bal. Due` nist4Zv3 MST. Permit (BUILD) - 6, '° �'� v /8110 21'' Plumb. Permit (PLUMB) Mech. Permit - (MECH) • ELC /ELR Permit (ELPRMT) J State Tax (TAX) 11. S V /J. L° Bldg: Plumb: Mech: ELC /ELR: Plan Check MST: (BUPPLN) / n. ' / 3/ -? a //PJ Plumb: (PLMPLN) Mech: (MECPLN) CDC Review t% � US Sewer Connection (SWUSA) Reimbursement District ( ) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF Yt • (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) 26/ e� 24. Erosion Planck/USA (ERPLAN) $'o y°" s; df' Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: X +�� �i•a�� 3�I° i:lsfapp.doc ( t) ga ri F ' f . . Solar Balance Point Standard Worksheet Address 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 smailest angle from a line drawn east -west and intersecting the northern most - point of the lot. 45o — f us w 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. 2.0 Q - feet - t - * ja dorms:um . N cauences • Box a calculations: Shade point height for your residence. Box 3: 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? la: If the roof line runs North- South, measurements will i.�-. (circle one) be based on the peak of the roof. Good walnut "°" 1A (9 . 1 C 1 b: If the roof line runs East -West and the roof pitch is • less than 5/12, measuremer.ts will be based on the _ eave. ` ` 94.01 'Ora E.c 1 r. If the roof line runs East —Vest and the roof pitch is 5/12 cr steeper, measurements will be based on the G - �C peak. JC•. alXi SWIM 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 fine 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 it ft 3. Measure distance from finished floor elevation to the affected pea&/eave. " + i a 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. - � ft 7 , 6. Total figure for box 6: g � ft Box C. Distance to the shade reduction line. Box G 1. Measure the distance from the North property line to the foundation near the .26 ft affected peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + p ft 3. Total figure for box C: 2C • ft It is most useful to draw a venial fine to represent the appropriate figwe found in box 'A' and a horizontal Line to represent the appropriate Figure found in box 'C - . The intersection of the vertical and horizontal fines 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 °8' is less than or equal to the value found in box 'D', then the building is in cnmplance with the solar balance code. If you have any questions, please contact ass at 639 - 41 x304 or at the Community Oevelopment Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) E Oisance to North -south lot dimension (in feet! shade 100+ 95 90 85 80 75 70 63 60 53 5O 45 40 redtxrion Line from northern Jet time fen fr•tt 70 ' 40 40 40 41 42 43 44 6 3 38 38 38 39 40 41 42 43 60 36 _36 36 37 38 39 40 41 42 • 33 34 34 34 35 36 37 38 39 40 41 30 32 32 32 33 34 35 36 37 33 39 40 45 30 30 30 31 32 33 34 3S 36 37 38 39 s0 23 23 23 29 30 31 32 33 34 35 36 37 33 33 26 26 26 27 28 29 30 31 32 33 34 35 36 .0 24 24 24 25 26 27 23 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 2 2 23 24 25 26 27 28 29 30, 15 18 18 18 19 20 21 2 2 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 o<© 47 i5'4 - [)e__ feet r l h: dccsknancykventuraisciar.cip Revised 2126i96 Permit #: MGT 6 " sr 0 6 , Address: = Issued by: Date: 1 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: F 1. I own, reside in, or will reside in the completed structure. n 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. ri 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 R 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 infor ion is correct and that I have read and do understand the Information Notice to Pro s • - , Owners ab Con truction Responsibilities on the reverse side of this form. ilie ,,e.." AAA - 7- 24 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) InformsUorn NoUce to Property Owners Abu ConstrucHon nesponsjbbliKtles 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 RESPONSOLMES: 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 e.mpIoyer and the people you hire will be employees. As the employer, you must comply with the following: • Oregon's T.T.Ethinotkling 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 Compensatiou Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may he 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. lInternal Nevenute 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 RESPOMSGBOLFGES AMO AREAS OF CONCELIM: 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 haye adequate insurance coverage for accident3 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 r EROSION CONTROL I don't believe erosion will be a problem on this project, because disturbed soil will either be covered by the new building or covered with gravel as driveway area. The lowest elevation involved with this project occurs in the northeast corner of our property. The eastside of our property has a wood fence including treated 2x12's extending below surface level. This will stop any runoff to the east and should excess moisture occur, would direct the runoff to the north. The area to the north will be covered with crushed rock for driveway and parking area. If excess moisture occurs and causes runoff it would occur here. I will provide a silt fence around the disturbed soil area to the north. CITY OF TIGARD BUILDING INSPECTION DIVISION MST q°-) -d$o 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / Requested A' -�.� -'q7 AM PM BLD• Location ((W J ( Suite MEC Contact Person (2)11A C Ph (.03 - f-70) 3 PLM Contractor Ph SWR ILD I Tenant/Owner ELC e aining Wall ELR Footing ' ,/ Foundation ll/t�1 l ' tif TS &44:44 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab • s( �' a SIT . Post & Beam V Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing - 7 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Ot Misc: •AS- PART FAIL PMBING Post & Beam Under Slab Top Out 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other D F� � Inspector - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.