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Permit CITY OF TIGARD MASTER PERMIT ABM DEVELOPMENT SERVICES PERMIT #.......: MST98 -0457 jib; DATE ISSUED: 11 / 30/ 98 '- . - �'1+L °= 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S104DB -02900 SITE ADDRESS... :13037 SW ROCKINGHAM DR SUBDIVISION - AMESBURY HEIGHTS ZONING: R -4.5 BLOCK LOT •029 JURISDICTION: TIG Remarks: PATH I: New single family dwelling w /attached garage 8 covered porch. -- BUILDING -- -- — REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED --- . CLASS'OF WORK. :NEW HEIGHT • 25 FIRST : 1158 sf GARAGE • 504 sf LEFT • 11 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LORD : 40 SECOND...: 1044 sf FRONT : 28 'PARKING SPACES: 2 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 11 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2202 sf VALUE..$: 164435 REAR • : 49 - PLUMBING - ---- -- - SINKS , • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft:- 1m TRAPS : 0 LAVATORIES • 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1m SF RAIN DRAINS: 1 CATCH BASINS..: 0 •TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1m BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 . OTHER FIXTURES: 0 - -- - MECHANICAL - — FUEL TYPES— FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1 GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1 ' MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOYES....: 0 GAS OUTLETS...: 1 - --7-------------------------- -- — ELECTRICAL - ---- - RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — — MISCELLANEOUS— —ADD'L INSPECTIONS - 1M SF OR LESS: 1 0 - 200 aip..: 0 0 _ 200 amp..: 0 W/SYC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 4 201 - 4m amp..: 0 201 - 4m amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1' amp.: 0 601 +amps -lw v: 0 MINOR LABEL-10: 0 1000+ amp /volt.: 0 -- - -- PLAN REVIEW SECTION - -- -- - --- - . Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC EEC: - -- -- ELECTRICAL - RESTRICTED ENERGY ----- - -- -- - -- A. SF RESIDENTIAL B. COMMERCIAL -- - AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: .• BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: :: HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0 Owner: — Contractor: ----- --- - -- TOTAL FEES:$ 5169.46 KEITH BAKER KEITH BAKER • This permit is subject to the regulations contained in the 4422 SW APPLETREE PLACE 4422 SW APPLETREE PLACE Tigard Municipal Code, State of Ore. Specialty Codes and all ALOHA OR 97' ALOHA OR 97' other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone #: Phone #: 591 -9504 not started within 180 days of issuance, or if the work is Reg #..: 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- 0'.:s. You may obtain copies of these rules or direct questions to OUNC by calling (5031246 -1987. - — - -- REQUIRED INSPECTIONS -- ----- - ------ 7 --- ' Erosion 844 = 8444 Post /Bea® Mechan Electrical Servi bas Line Insp Electrical Final Grading Inspecti Crawl Drain /Back Electrical' Rough Insulation Insp Mechanical Final Footing Insp PLN /Underfloor Framing Insp Rain drain Insp Plumb Final Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final Post /Beam Struct P ob Top' Voltage Appr /Sdwlk Insp Issued By :.,, /' 7,. /� / ermittee Si e-r f 1 + + ++ + ++ -�• + +-+- +- - + + + + + + + ++ ++ + + + + + + + + + + + + + + + + + + ± + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7 :00 p.m, for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Check# Cf 5 03125 SW HALL BLVD. New Construction Additions or Alterations Rec'd By - Date Rec'd //- o? -q8" TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. /`' 3-V6 V 503 - 639 -4171 -9 Date to DST n q -9V F 503 -684 -7297 r rmit # /$'9F'1�3 — �5 Print or Type Called //- -S Incomplete or illegible applications will not be accepted "Pr ,c.. r . Name of Project 1--ei-- Name Job 4H1,5.0,ey #_Gi4 -#4 Rf �ri.5f, ®v - Address Site Address ((�� oci4t Architect Mailing Address + 1 � " ? 5VV r R L.Hn I SSOS N •V`/ • l �S" ` e�pP . 1303 e� j � KP t � 9ty /State Zip Phone Nam 1 k •ReA '� Nam . R 9 2Z. " -9I 6. I Owner Mailing Address - X44 ZZ Sal, A- p1. e�� tkli eP,r, City/State Zip Phone Engineer Mailing Address .A-14,..0._ OR 9100 511-950,1 HS 5E I CO— Q , A- i e . N ame :irState Zip Phone General ;� Or*. f g7�via -624a Contractor - J`V f Describe work New Addition 0 Alteration 0 Repair O Mailing Address to be done: Prior to permit •� -jj,, 4 45_ Additional Description of Work: f issuance, a copy City/State Zip Phone IJ e») i'{V A.Lc 9..., of all licenses � 1 / 36' . are required if Oregon Const. Cont. Board Exp. Date PROJECT t -~ " expired in COT Lic.# V ALUATION $ �' database C I C I , — b 1 �/. /o o ```_'~ l Mechanical Name NEW CONSTRUCTION ONLY: ) / Por Sub- (' uo In-e Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address v...2_00. 5o1 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 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database System System Plumbing Name 0 (check all that Other: 0 Sub - VJ IN -e.. ( apply) Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO (check one) K (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zip Phone issuance, a copy Solar Compliance v of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) / -c s required if Lic.# expired in COT I hearby acknowledge that I have read this application, that the database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Sig ' - ur if Ow r/A ent Date /Y� Electrical � in/ 7 70/1 Sub Mailing Address Contac � erson Nam P ne # Contracto ��`� '� 61I — 1 FOR OFFICE USE ONLY: 1 City/State Zip Phone Plat #: Map/TL #: Prior to permit 1/6 .. Jo 0 2 5 /oi/Di - 6 - '00 issuance, a copy Setbacks: � /G Zone: !� Sollar of all licenses are Oregon Const. Cont. Board Exp. Date ( ( f I/ - required if Lic.# / expired in COT Engineering Approval: Pldnning Approval: TIF: database Electrical Lic. # Exp. Date ro $ 7r //• 3-913 I:SFREM2.DOC (DST) 8/11/98 • Permit #: /00 O`i , OF ,.,es,‘ #. ' ` Address: / 303 7 5 A RAC /4 /1A v F:mtM4;3 • o °'.:: Issued by: Date: � 5g 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: \ 4 2 1. I own, reside in, or will reside in the completed structure. Ti 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 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 Pro , • er t Owners about Construction Responsibilities on the reverse side of this form. 12. •,/k.- e..._I, - of permit applicant) D ate (Signature P PP ) ( ) (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 Di vision 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. Tor 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 meetcode 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 inspeotions., - • 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 .pin4 1/94 • • 8/12/99 Activities for Case #: MST98 -00457 - 2:02:43 PM Assigned Hold . Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 11/2/98 GEO RECD GEO • 11/3/98 MSTA008 Permit Created • 11/3/98 GEO DONE GEO 11/3/98 • MSTA010 Check for prcl. restrict. 11/3/98 GEO DONE GEO 11/3/98 MSTA012 Plans routed to Plans Examiner 11/3/98 GEO SENT GEO 11/3/98 MSTA026 Plans approved by Pln Examiner 11/4/98 RT PASS BT2 11/4/98 MSTA030 Reviewed plans routed to DSTS 11/4/98 RT PASS BT2 11/4/98 MSTA032 DST Post- Review Completed 11/5/98 GEO DONE GEO 11/5/98 Will need Owner Responsibitilty form signed prior to issuance, or contractor information. Geo MSTA155 Development conditions met GEO 11/3/98 MSTA700 Erosion 844 -8444 12/3/98 USA PASS J *H 12/8/98 CPB inspected MSTA703 Grading Inspection BT2 11/4/98 17% slope MSTA705 Footing Insp 12/2/98 KS FAIL J *H 12/2/98 NEED INITIAL EROSION CONTROL APPROVED PRIOR TO FOOTING INSPECTION. MSTA706 Foundation Insp 12/8/98 RB PASS - J *H 12/8/98 - MSTA710 Post/Beam Structural 12/17/98 TLP PASS TLP 12/17/98 MSTA711 Post/Beam Mechanical 12/17/98 TLP PASS TLP 12/17/98 MSTA713 Crawl Drain /Backwater valve 12/17/98 TLP PART TLP 12/17/98 stubout for sump pump MSTA717 PLM /Underfloor 12/17/98 TLP PASS TLP• 12/17/98 MSTA720 Mechanical Insp 3/11/99 KS FAIL KBS 3/12/99 #-1- flex ducts not allowed to . penetrate garage separation wall need to construct soffits #-2- need clearance @ B vent @ roof sheathing #-3- provide min; of 3/4 inch clearance @ sides of fireplace @ liv /rm MSTA722 Plumb Top Out 3/3/99 MS PASS MRS 3/3/99 MSTA723 Electrical Service 3/2/99 BRP PASS B *P 3/3/99 MSTA724 Electrical Rough In 3/2/99 BRP PASS B *P 3/3/99 Fan box in master bedroom. Page 1 of 5 8/12/99 Activities for Case #: MST98 -00457 2:02:43 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 3/19/99 KS FAIL AKJ 3/21/99 1) Strap plates to glu /lam at garage 2) Block under joist above garage header 3) Complete nailing at floor joist at garage hangers 4) Positive connection glu /lam to post at both locations at kitchen 5) • Truss clips missed at kitchen 6) Provide min. of 3 inch of bearing at post supporting beams adjacent to parlor and transfer load to grade 7) Truss Gips missed at girder truss 8) • Ventilate blocking at bonus • room to provide through ventilation and furr rafters to allow for R30 ins. of one inch clearance between ins and roof sheathing 9) Extend eave • baffles min. of 18 inches vertical above bottom of truss chord 10) Diagonal brace gable end truss 11) Fireblock at stairs 12) Provide attic access and • curd MSTA726 Shear Wall lnsp 3/25/99 KS FAIL AKJ 3/25/99 1) Provide 2.5" x 30" attic access with curb. 2) No app plans on site MSTA728 Low Voltage 3/2/99 BRP PASS B'P 3/3/99 MSTA735 Gas Line lnsp 3/3/99 WDJ PASS WDJ 3/3/99 tag #342941 MSTA740 Insulation Insp 3/25/99 KS PASS AKJ 3/25/99 MSTA752 Rain drain lnsp 12/11/98 • MS FAIL TLP 12/17/98 not ready • MSTA761 Water Service Insp 2/17/99 TLP FAIL TLP 2/18/99 not ready MSTA765 Appr /Sdwlk Insp 6/22/99 MW FAIL AKJ 6/22/99 1) install ABS pipe west end instead of ADS 2) excavate driveway approach to a full 6" depth w/ clean compacted crushed rock base OK to pour driveway and path but no sidewalk or approach Page2of5 8/12/99 . Activities for Case #: MST98 -00457 2:02:43 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA790 Electrical Final 6/29/99 BRP FAIL AKJ 6/29/99 all receptacle and lighting outlets to comply with art 370 -2( receptacle inaccessible for possible replacement jacuzzi, turn it 90 degrees or 180 degrees • panel schedule to be written in perm ink or type line wood wainscoating area boxes with arlington extenders repair recept sticking out of wall and is loose secure box rididly MSTA795 Mechanical Final JMT NOTE JT 12/3/98 see post & beam mechanical note MSTA797 Plumb Final 6/29/99 MS PASS AKJ 6/29/99 1) sewer co needs to be brought down to grade • 2) main shut off valve? MSTA799 Building Final GEO 11/3/98 MSTA080 (F) Ready to issue 11/5/98 GEO PASS GEO 11/5/98 Need Owner Responsibility form signed or contractor information prior to issuance. MSTA092 (F) Issue combination permit 11/30/98 GEO • PASS DST 11/30/98 MSTA095 Issue plumbing signature form 11/30/98 GEO PASS DST 11/30/98 MSTA097 Issue electric signature form 11/30/98 JMT VOID - . JT 3/1/99 • MSTA095 Issue plumbing signature form 12/7/98 JMT RECD JT 12/7/98 owner called, he's not doing the work, changed to Bailey Mechanical MSTA752 Rain drain Insp 12/17/98 TLP PASS TLP 12/17/98 MSTA710 Post/Beam Structural 12/21/98 12/21/98 JMT NOTE JT 12/21/98 Keith Baker called wanting to know if this inspection had been approved last week "no sign off /no card on site, so I called in for another inspection today ". I informed Keith that Tom had already approved and I paged Ken Schreindl in the field and told him to cancel • post/beam structural /mechanical. Jeanne MSTA711 Post/Beam Mechanical 12/21/98 JMT NOTE JT 12/21/98 see post/beam structural 12/21/98 MSTA717 PLM /Underfloor 12/21/98 12/21/98 MST PASS MRS 12/22/98 see 12/21/98 post beam • structural MSTA097 Issue electric signature form 3/1/99 JMT RECD JT 3/1/99 per Keith Baker, changed from owner /contractor to Garner Electric owner did not do any of the work prior to changing to Gamer. Page 3 of 5 • 8/12/99 Activities for Case #: MST98 -00457 2:02:43 PM - . , - Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. . Level By Updated Notes MSTA720 Mechanical Insp _ 3/12/99 KS PART KBS 3/12/99 #-1- mechanical soffits not built ' @ garage protect flex exhaust ducting penetrating garage wall MSTA725 Framing Insp 3/23/99 KS FAIL AKJ 3/23/99 1) Strap plates to glulam at • garage each side 2) Provide • attic access with curb 3) Additional ventilation needed at rafter blocks at bonus rm located high as possible to roof . sheathing so not to restrict air flow 4) Provide hangers at over notched rafters at bonus rm at short walls OK to insulate MSTA725 Framing Insp 3/25/99 KS PASS AKJ 3/25/99 MSTA745 Gyp Board Insp 3/26/99 ` KS FAIL AKJ 3/28/99 Not ready MSTA727 Exterior Sheathing Insp 3/31/99 KS PASS AKJ 3/31/99 See attatched revisions from . structural engineer MSTA765 Appr /Sdwlk Insp 6/24/99 6/24/99 6/24/99 MW PASS No Hold AKJ 6/24/99 MSTA795 Mechanical Final 6/29/99 6/29/99 6/29/99 KS FAIL No Hold AKJ 6/29/99 see bldg final MSTA799 Building Final 6/29/99 6/29/99 6/29/99 KS FAIL No Hold DGW 8/9/99 1) need final erosion control app 2) post st address at front of . struc 3) seal voids above furnace etc 4) fireplace not functional, • provide instal manual 5) weather strip door between storage and habitable space . also insulate voids and jambs • at threshold 6) provide handrail at front entry stairs • • 7) provide area well at range • vent ext 8) remove debris from crawl recover vapor 9) slope finish grade away front • struc at sides and rear • 10) obtain permit for rock • retaining wall 11) extend guardrail 36" above floor MSTA795 Mechanical Final 6/30/99 6/30/99 6/30/99 KS FAIL No Hold AKJ 6/30/99 corr not complete MSTA799 Building Final 6/30/99 6/30/99 6/30/99 KS FAIL No Hold AKJ 6/30/99 corr not complete MSTA790 Electrical Final 7/1/99 7/1/99 7/1/99 BRP FAIL No Hold AKJ 7/1/99 no access MSTA795 Mechanical Final 7/1/99 7/1/99 7/1/99 KS FAIL No Hold AKJ 7/1/99 see bldg final notes • • ' Page 4 of 5 • • 8/12/99 Activities for Case #: MST98 -00457 2:02:43 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To • Done By Disp. Level By Updated Notes MSTA799 Building Final 7/1/99. • 7/1/99 7/1/99 KS FAIL No Hold AKJ 7/1/99 need elec final app • • previous corrections not made MSTA975 (F) Issue Temp Cert. of Occ 7/2/99 7/2/99 7/2/99 JMT DONE No Hold JMT 7/2/99 Per Hap's instructions, check for $90.00 received. unable to • print temp do. Mr. Baker was given a copy of the voluntary • compliance agreement. copy to file, original to Hap. handwritten cash receipt #000580 MSTA790 Electrical Final 7/5/99 7/5/99 7/2/99 CD PASS No Hold AKJ 7/5/99 a/c unit not installed at this time MSTA795 Mechanical Final 7/5/99 7/5/99 7/2/99 KS - PASS No Hold AKJ 7/5/99 • MSTA799 Building Final 7/5/99 7/5/99 7/2/99 KS PASS No Hold AKJ 7/5/99 guardrail at upper level adj to stairs have elevated 36" above • carpet MSTA960 (F) Issue Cert. of Occupancy 7/5/99 TIG KS PASS No Hold JMT 8/12/99 • • • • • • • • • • Page 5 of 5