Loading...
Permit �. CITY OF TIGARD MASTER PERMIT �. DEVELOPMENT SERVICES PERMIT # • MST98 -0397 ' !J,141111 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 10/06/96 PARCEL: 1S135CD -03601 SITE ADDRESS...:09625 SW LEWIS LN SUBDIVISION •RUTH ZONING: R -4.5 BLOCK LOT •001 JURISDICTION: TIG Remarks: Add new garage to an existing single family dwelling. BUILDING - - - -- REISSUE: STORIES • 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED— -- CLASS OF WORK.:ADD HEIGHT • 10 FIRST • 0 sf GARAGE • 412 sf LEFT : 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD • 50 SECOND...: 0 sf FRONT • 20 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 5 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL 0 sf VALUE..$: 7560 REAR : 0 PLUMBING SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 — MECHANICAL FUEL TYPES FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 0 ---- - -- ELECTRICAL - - - RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — — MISCELLAN:OUS— - -ADD'L INSPECTIONS - 1Y SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT : 0 MAW HM /SVC /FDR: 0 601 - 1.x' amp.: 0 601 +amps- 1m v: 0 . MINOR LABEL -10: 0 1000+ amp /volt.: 0 PLAN REVIEW SECTION Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC: --- ELECTRICAL - RESTRICTED ENERGY — -- A. SF RESIDENTIAL B. COMMERCIAL -- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: .. HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0 Owner: Contractor: -- TOTAL FEES:$ 229.96 RICHARD B EATON, LINDA L OWNER This permit is subject to the regulations contained in the 9625 SW LEWIS LANE 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 0: Phone D: not started within 180 days of issuance, or if the work is . Reg D..: 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 844 -8444 Rain drain Insp Footing Insp Building Final Foundation Insp Framing Insc-4-4-+ Shear Wall _ Issued AL Wirlfi #e„,/ Permittee Si gnature: + + + + + + +++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day /0- (a- C O Plan Check # 6 / — a _ CITY OF TIGARD Residential Building Permit Application Rec'd By 131 SW BLVD. New Construction Additions or Alterations Date Recd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. Y- q-- V 503 - 639 -4171 Date to DST / G -6‘-97 F 503 -684 -7297 Permit # /715r9 F - °347 \Ai Print or Type Called /0' 1.6-Pr" 0-92r— �— I ncomplete or illegible applications will not be accepted 1.6-Pr" lIF9 Q` b*/ /r!/Pcfle _ Name of Project Aef rA C C" / Name Job 2itM9 P Y 2/)pi9L Address to Address Architect Mailing Address City /State Zip Phone \ -44-\-\ \NV✓ C c, Name Owner Mailing Address \:. �-c S�e .N. 5 Ci /State Zip Phone Engineer Mailing Address ` 1 - N.c� 0,540 `k c(\'L'L N `1 City /State Zip Phone N ame General _ Contractor STh -, ` _ � p -4--- Describe work New 0 Addition 0 Alteration 0 Repair 0 Mailing Address ' to be done: Prior to permit \j■s Additional Description of Work: issuance, a copy City /State Zip Phone of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT � �� expired in COT Lic.# VALUATION 0;0 database • Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: l<7.1. Ft. ara e // Contractor Mailing Address Prior to permit Corner Lot YES NO Flag Lot YES NO issuance, a copy City /State Zip Phone (check one) (check one) of all licenses Restricted Audio /Stereo Burglar are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm expired in COT Lic.# database Installation Garage Door HVAC Plumbing Name Opener Systems Sub- (check all that Other. - Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date - required if Lic.# Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance with Oregon State laws. Electrical 6 v —� i n of Offer/ gent Date, Sub- Mailing Address �� -- � � 'A D Contractor on ct `Pers n Name - c:..,\-- Phone # _ City/State Zip Phone -\\� b - 4 -- -- 1 0a 0-- A \ \ - -: Prior to permit FOR OFFICE USE ONLY: issuance, a copy Plat #: Map/TL #: of all licenses are Oregon Const. Cont. Board Exp. Date , ro - 3 e'/ required if Lic.# s 13seD expired in COT Setbacks: Zone' Lf Solar:: database Electrical Lic. # Exp. Date r 5 _ Engineering Approval: _ Planning Approval: TIF: I:SFREM.DOC (DST) 4/97 r Permit #: AO r' -o3 % 7 A Address: 9 Ga s GJ , %.`,47.',.1.;1.: Issued by: Date: i 5 g , 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 2,1nd either box 3A or 3B: 11 1. I own, reside in, or will reside in the completed structure. -+El 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 n 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 PPro perty Owners about Construction Responsibilities on the reverse side of this form. -1( R...k „% , \ Z. —k) -- cl (Signature of permit applicant) _ _ (Date) (White copy to issuing agency permit file, pink copy to applicant) N Info Notice to Property Owners About Construction Responsibilities • Note: Thi., li rmc: Notice to Property Owners about Construction Responsibilities ,vas de:el'ir Jl y the Construction Contractors Board in accordance with ORS 701.055(5). If you are acJng as 3 oiir ow. , :nitre.{ 'or to construct u new home o: make a substantial improvement to an existing structure, you can pre: en_ many prohiLn_r by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If yon hire persons not re gis r!ed with the Construction Contractors Board to do labor in constructing or assisting in the constr iction or impro eoiew ci a re structur: you will, in most instances, be ruled to be an employer and the people you hire will he employees. A. the L;mployer, you must comply with the following: Oregon's withholding tax lay.: As un employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable fri 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 As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. Foy' ;,:,'re 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 ohtain workers' compensation insurance, you may be subject to penalties 4nd will he liable for all claim costs if one of your employees'is injured on the job. For more information, call the Workers' Cornpensa[ion 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. 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 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 CITY OF TIGARD BUILDING INSPECTION DIVISION Msr -0397 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q BUP Date Requested S 5-'79 AM PM BLD Location C iCP 25 (Iitio /� Cr)- Suite MEC Contact Person (___Hi , ) ?L' Ph (o21)'2-6 PLM Contractor Ph SWR $UILI Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation G� r C FPS Ftg Drain " l J SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing is •P L Insulation r 4 / Drywall Nailing i<_ I Ltd - - Ad . Firewall / / i Fire Sprinkler Fire Alarm Susp'd Ceiling Roof IffSt'w PART FAIL • ' BING 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 Date Inspector C t D Other P Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.