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Permit CITY OF TIGARD ._ „„, „„,„,,,, DEVELOPMENT SERVICES MASTER PERMIT AJL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # • MST96 -0531 DATE ISSUED: 12/06/96 PARCEL_: 1S125CA -06900 SITE ADDRESS.,.: 07440 SW TAYLORS FERRY RD SUBDIVISION....: MLP94 -0009 ZONING: R-4.5 BLOCK........... LOT ...... •...... :002 Remarks: Addition -------------------- - - - - -- ---------- -- - - -- BUILDING - - - -- ------ ---- -- REISSUE: STORIES • 2 FLOOR AREAS - - -- BASEMENT...: 0 sf REQUIRED SETBACKS ---- REQUIRED -- — CLASS OF WORK.:ADD HEIGHT • 20 FIRST • 420 sf GARAGE • 0 sf LEFT • 10 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 192 sf FRONT • 0 PARKING SPACES: 0 TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 10. OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL : 612 sf VALUE..S: 42863 REAR • 0 - PLUMBING ----- - - - - -- ----------------------------- SINKS • 0 WATER CLOSETS.: 1 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES : 2 DISHWASHERS...: 0 FLOOR DRAINS..:. 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 4 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 • 2 CLOTHES DRYERS: 1 /GAS/ / / FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 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: 0 0 - 200 amp..: 0 0 - 2r„r, amp..: 0 W /SVC OR FDA..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0.. 221 - 400 amp..: @ 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 MANE HM /SVC /FDR: 0 601 - 1000 amp.: 0 601+amps -1000 v: 0 „ MINOR LABEL -10: 0 1000+ amp /volt.: 0 - - ---- --- PLAN REVIEW SECTION - ----- - -- - - -__— Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =2E5 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:$ 681.71 ALLEN PERONT , OWN . ANN MARTIN 7440 SW TAYLORS FERRY RD TIGARD OR 97223 Phone #: 452 -8707 ... Phone, #: Reg #..: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is_suspended for more than 180 days.. - ----- -- - - -- -- -- REQUIRED INSPECTIONS ------------------ __ —_ ------- —_- Footing Insp PLM /Underfloor Framing Insp ,Gyp Board Insp, Building Final • Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp Erosion Control Post /Beam Struct Plumb Top Out . Low Voltage, Electrical, Final . . Post /Beam Mechan Electrical Servi Gas Line Insp Mechanical Final Crawl Drain Electrical Rough _ Insulation Insp Plumb Final Of l > Permittee Signature: �aI ” c✓�� Issued By: � A� �___ Call for inspection — 639 -4175 i Plan Check # CITY OF- TIGARD Residential Building Permit Application Recd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd / — a TIGARD, OR 97223 Single Family Detached or Attached Date to P.E. / /" J' 6 (503) 639 -4171 Date to DST 4 a l — f Print or Type Permit # r(1� 6 -05 Called /7-6' 6 Incomplete or illegible applications will not be accepted p(_P- IL -ppm Name of Project Name . 1 Job M =sill 4 Architect Mailing Address Ti Address Site Address 71'10 S 1 (ors Perry fe e) i St® NE l Zip J' � City/State Zip Phone Name -flei) Pe ii /belt -;rv' Gres cr,►� �O�e' (170.30 60- o i j Owner Mailing Address L4G_ 52) I tL Name 7V Y49SW rior - S cerry iL City/State Zip Phone Engineer Mailing Address 1 ^d la/2 et 7 _ `i s -c5' 2 07 City/State Zip Phone Name / General v Nle, Describe work New 0 Addition Alteration 0 Repair 0 Contractor Mailing Address to be done: / Type of Use City/State Zip Phone Type of Construction Oregon Const. Cont. Board Lic.# Exp. Date Attach Copy of Occupancy Class Current COT Business Tax or Metro # Exp. Date Licenses Will it be sprinklered? Yes❑ NOD Name If Yes, separate FLS plans and • /1 o /2 A application to be submitted Mechanical l / Number of Stories Sub- Mailing Address Contractor Proposed Us City/State Zip Phone Previous Use Oregon Const. Cont. Board Lic.# Exp. Date y. ` rGj Attach Copy of Valuation $ a Current COT Business Tax or Metro # Exp. Date Licenses NEW CONSTRUCTION ONLY: Name Building ID Plumbing 0 CV Al / Sub- Mailing Address Unit Types square ft. # of units A. ) ' Contractor B.) City/State Zip Phone C.) i Oregon Const. Cont. Board Lic.# Exp. Date D.) Attach Copy of Will the electrical subcontractor wire for all restricted Current Plumbing Lic. # Exp. Date energy installations? Yes No . Licenses Has the Subdivision Plat recorded? N/A Yes No COT Business Tax or Metro # Exp. Date I hereby acknowledge that I have read this application, that the Name information given is correct, that I am the owner or authorized agent of Electrical 0 c.-ti N the owner, and that plans submitted are in compliance with Oregon Sub- Mailing Address State laws. Signa( e ant Dade r/ /� Contractor Q . (/ �,p��� i ! C City/State Zip Phone Contact Person Name Phone Oregon Const. Cont. Board Lic.# Exp. Date FOR OFFICE USELr¢NEY Attach Copy of l Current Electrical Lic. # Exp. Date Plat n y Zon + = - Licenses " fief t " ' COT Business Tax or Metro # Exp. Date ngineenng Approval -, Planning , . TIF oval A stslsfapp.doc 50 GJ • Permit # Account Description Amount Amt. Pd. Bal. Due mciOn [ MST. Permit (BUILD) D2‘51. SO 3 � .3 e D ✓ Plumb. Permit (PLUMB) 8/ Mech. Permit (MECH) 34.0(1, 3 � vv ELC /ELR Permit (ELPRMT) ,yO 40 State Tax (TAX) p' 2C) .75 ? 31 Bldg: rr Plumb: 4 o ( ✓ Mech: 470 ELC /ELR: 0 2, �� ✓ II\`•UL7 Plan Check CO MST: (BUPPLN) /63, 4 /I #1 Plumb: (PLMPLN) Mech: (MECPLN) Q.SD • Ja '� CSC?L ) D CDC Review (LANDUS) 0 Clxe-. o-- 2L' '' Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit ( ERPRMT) 0 2 6. -0 o?G.w Erosion Planck/USA (ERPLAN) Y- cr, f. Erosion Planck/COT (EROSN) i, y .1 f. yr Fire Life Safety (FLS) TOTALS: 60/.7/ 0SD 6Cc) i:` Rev. 7/96 J • Permit #: (v 1STg le —056 OF [ gy p �� �p�� �, Address: — 1 1- NO A-( z � ' � " � ' • Issued by: 6 & tLll v-- Date: 12- _(a - 2� \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: Ce 1. I own, reside in, or will reside in the completed structure. M , 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 information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Cam-- r I f ���6 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) IInflnvrna4GCn . adcs �; f�� rN terr}} r {y moo` ,r1/�'�.�: S„ ";�,° Ir,1Lb)oi 1', ©moo Ulir� 4 (' an ,r za5� �ori_Jr ..r:tviTf 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 l:ome Or make a substantial 1.1proversSent to a:i existing strrctr.re, you can prevent many problems by being aware of the following responsibilities a:z*d areas of concern. If you hire persons not registered with the Construction Contractors BOoid to do labor constltcting or assisting 'n the construction or improvement of a residential structure, you will, in most ?r'.star ces, ''9e_ rued to' be an employe. " and the oeooie you hire will be employees. As the employer, you must comply with the following: aregen's wi :t e!no°s ng tan law: As an employer, you must withhold ieccrne taxes from employee wages at the ; ;-?e 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. • U Tee ploys e t :lnsir agree tar: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more inn+or cal! the Oregon Employment Division at the Depee -tment of Human Resources at 378 -3524. Wel ers° c©mpease on^ lance: As an employer, you are subject to the Oregon Workers' Com)ersatior Law, and most obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you nay be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For i ore call the Workers' Compensation Division at the Department of Consume. and 3usiness Services at 345 -7388. U.S. nate: nal Revenue S on se: As an employer, you must withhold federal income tax frcm employees' wages. You w it be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the 7nte_mai even-Jo �•ervice at 1 -80C -829 -1040. r o a r m 1?L i �� 'e Awn o ,ol f s U � ���r � ��,K� :����'��G� �3� p � �,�! �3i_,�. i��«��, laR�.� la.;,��__u \� C!`� �G1�Il,.�_,irr.��Za Cade 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 accident.; and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must he 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 Page No. 1 CASE HISTORY FOR CASE NO.: MST96 -0531 ALLEN PERONT 07440 SW TAYLORS FERRY RD 12/11/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA005 Application received / / / / 11/12/96 PASS DEB 12/04/96 BT2 MSTA008 Permit Created / / / / 11/12/96 PASS DEB 12/04/96 BT2 MSTA010 Check for prcl. restrict. / / / / 11/19/96 PASS DEB 12/04/96 BT2 MSTA012 Plans routed to Plans Examiner / / / / 11/19/96 PASS DEB 12/04/96 BT2 MSTA026 Plans approved by Plans Exmr / / _/ / 12/04/96 PASS RT 12/04/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 12/04/96 PASS RT 12/04/96 BT2 MSTA032 DST Post - Review Completed / / / / 12/06/96 PASS B 12/06/96 BON MSTA080 (F) Ready to issue / / / / 12/06/96 PASS B 12/06/96 BON MSTA092 (F) Issue combination permit / / / / 12/06/96 PASS B 12/06/96 DST MSTA705 Footing Insp / / / / 01/02/97 9 -1- need initial erosion control app DIS KS 01/02/97 KBS 9 -2- provide app plans on site 4-3- install seismic holdowns if applicable ? app plans not on site 4-4- install low point drain 4-5- remove any soft material from ftgs and isloated piers # -6- need clearance under beams ( over existing patio slab. MSTA705 Footing Insp / / / / 01/03/97 # -1- monolithic ftg /fdn A/N KS 01/03/97 KBS 4-2- remove any soft material prior to placement of concrete MSTA706 Foundation Insp / / / / 01/03/97 4-1- monolithic fgt /fdn A/N KS 01/03/97 KBS 4-2- remove any soft material at ftgs & isolated piers # -3- property owner will remove existing slab at patio for min; clearance under beams MSTA710 Post /Beam Structural / / / / 02/10/97 4-1- no under floor mechanical installed A/N KS 02/10/97 KBS this time 4-2- additional nailing needed at ledger to adjacent mud sill or support to ftg with pt material MSTA711 Post /Beam Mechanical / / / / / / N/A 09/18/98 RB MSTA713 Crawl Drain / / / / 09/18/98 EQUIPPED W/ BACK -WATER VALVE. PASS RB 09/18/98 RB MSTA717 PLM /Underfloor / / / / 02/10/97 PASS MS 02/11/97 MRS MSTA720 Mechanical Insp / / / / 08/25/97 SEE FRAMING THIS DATE NOTE RB 08/26/97 RB MSTA720 Mechanical Insp 09/16/97 / / 09/15/97 PASS RB 11/14/97 RB Page No. 2 CASE HISTORY FOR CASE NO.: MST96 -0531 ALLEN PERONT 07440 SW TAYLORS FERRY RD 12/11/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA722 Plumb Top Out / / / / 09/12/97 #1 Second story lays need to be repiped FAIL RAB 09/12/97 RAB on waste and vents. Tie in from jacuzzi needs to be 6" above overflow of lays. #2 Drain downstairs exceeds 90 degree change of direction in trap arm. Redo piping and recall for inspection. I discussed how to do it with home owner. MSTA722 Plumb Top Out / / / / 09/12/97 Called at work at 1:35 PM. Called at FAIL RAB 09/12/97 RAB work at 2:05 PM. Left message both times. Called home at 1:40 PM. No one home. MSTA722 Plumb Top Out / / / / 09/15/97 PASS RAB 09/15/97 RAB MSTA724 Electrical Rough In / / / / 07/07/97 Electrical rough -in for upstairs and PASS MJR 07/07/97 J *H downstairs in utility, shop and wood shop approved. MSTA724 Electrical Rough In / / / / 03/20/97 information only INFO MJR 03/31/97 MJR MSTA725 Framing Insp / / / / 08/25/97 courtesy inspection only! Framing & mech NOTE RB 08/26/97 RB issues noted. 1. seal joints connections of heat duct 2. add bearing for glu -lam 3. tempered glazing- upstairs jacuzzi- bay and upper long -gated unit 4. shower blocking 5. vent baffles 6. collar ties & perlin bracing for rafters needed 7. laminate TJI floor joists 8. NOT LIMITED TO THESE FINDINGS ABOVE MSTA725 Framing Insp 09/16/97 / / 09/15/97 1. Tempered glazing req'd at least by PASS RB 09/16/97 J *H final. 2. Insulate underneath jacuzzi side walls, block same. ok to insulate. 3. No vapor barrier at jacuzzi and shower exterior walls (req'd) allowed where green board will be applied. MSTA726 Shear Wall Insp / / / / 02/25/97 APP KS 02/25/97 KBS MSTA740 Insulation Insp / / / / 09/15/97 Okay to insulate, see report. PASS RB 09/16/97 J *H Page No. 3 CASE HISTORY FOR CASE NO.: MST96 -0531 • ALLEN PERONT 07440 SW TAYLORS FERRY RD 12/11/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA740 Insulation Insp 09/16/97 / / 11/03/97 1. Vaport barrier upstairs ceiling. PASS GS 11/06/97 J *H 2. Chink windows. MSTA745 Gyp Board Insp / / / / 11/13/97 PASS RB 11/14/97 RB MSTA755 Rain drain Insp / / / / 09/18/98 INTO EXISTING PASS RB 09/18/98 RB MSTA770 Misc. Inspection / / / / 08/25/97 Consultation inspection. Told owner how PASS RAH 08/26/97 RAB to correct problems. Glue up fittings and recall for inspection. MSTA790 Electrical Final / / / / 08/06/98 No one home. FAIL BRP 08/06/98 B *P MSTA790 Electrical Final / / / / 08/07/98 PASS BRP 08/26/98 J *H MSTA795 Mechanical Final / / / / 09/18/98 PASS RB 09/18/98 RB MSTA795 Mechanical Final / / / / 09/18/98 PASS RB 09/18/98 RB MSTA797 Plumb Final / / / / 07/08/98 Called at 1013, cancelled at 1713 by CANC 07/07/98 J *H Allen Peront. MSTA797 Plumb Final / / / / 07/13/98 reverse hot /cold for jacuzzi. PART RB 07/13/98 RB MSTA797 Plumb Final / / / / 09/18/98 PASS RB 09/18/98 RB MSTA799 Building Final / / / / 09/18/98 PASS RB 09/18/98 RB MSTA970 Case Finaled / / / / 12/07/98 12/07/98 JT MSTB708 Erosion Control / / / / / / PASS USA 09/18/98 RB CITY OF TIGARD BUILDING INSPECTION DIVISION 02/5 MST q6-053I 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 e cil r!0 o 1 Date Requested / e- 90 AM 1 . 40 i f- , - U Location ..an L 4 t I Suite M:1 : t i Contact Person 3't4J ( �,(i/�1 ' Ph S2 - 3 707 0�1 PL PL' Cont + Ph 1S SR BUILDING Tenant/Owner ,C C� Mt IYI PJ )jJ) j WELC all ELR Footing Access: _ Foundation ' CO�n (— ` -- l=-PS Ftg Drain v I ''gGN rawi Drain ' Inspection Notes: Sla: SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear 5� c S '� G �-�� i /S j Framing 7 / J Insulation Drywall Nailing 5 y,k-A----fr--r--- 4,.____.) c- , (R_, . Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: final ►, ;1 - - _: RT FAIL MBING Pos :: eam Under Slab Top Out Water Service Sanitary Sewer T FAIL ,, CH-IANICAL Post & Beams Rough In Gas Line - ., • ke Dampers ina► 1 PART FAIL RICAL d \t„.. 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: r' [ ] Unable to inspect - no access ADA Approach /Sidewalk ( ( /(4 - - - - -- q Other Date c� Inspector Ext� 1 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .