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Permit CITY OF TIGARDr � , PERMERMIT y� .. o e .. > .: i'45T -8 ._2 • —NIP- , � w i�i DEVELOPMENT. SERVICES DATE •ISSUED: 03f 9/98 ' PARCEL:: . 28104€ - •gIB10 SITE ADDRESS.. -: 13266 SW 1 36TH PL ' SUBDIVISION. ...:HILLSHIRE' • ZONING: R -7 PD BLOCK... „ee ,. ,.. LOT • . ° 0 81. :JURISDICTION: TIC Remarks: Attached deck 603 SO FT • - -- ----------- ---------------- - - - - -- BUILDING ---------------------------------=--- REISSUE: STORIES • 0 FLOOR AREAS--- -= - - -- BASEMENT...: 0 sf REQUI.RED SETBACKS - - -- REQUIRED------- -- ' CLASS OF WORK. :OTR . HEIGHT • 0 FIRST.,:,...: . 0 sf 'GARAGE ' • 0 sf LEFT 15 WOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD • 60 "SECOND...”: 0 sf FRONT 0 PASK?{SG SPACES: 0 TYPE CONST.:SN DWELLING UNITS: 0 . FINBSMENT: 0 sf , RIGHT.,,.;,...; 15 ,. . OCCUPANCY GP.P.:R3' ` BORM 0. BATH: 0 TOTAL. , . : 0 sf VALUE .3: 4824 REAR ' : 21 . --- -------- = - - - -L - - -- ' PLUNGING SINKS..... • 0 MATER CLOSETS.: 0 WASHING MACH..: .0 . 'LAUNDRY TRAYS.: 0 RAIN DRAIN ft: B 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 ;.lOOK ..: 0 BOIL /CIP (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 VATS • 0 WOODSTOVES 0 . GAS OUTLETS...: O --- - - - - -- — ----------- - - - - -- ELECTRICAL - - --- ' - - - -- . , -- RESIDENTIAL UNIT -- ---SERVICE/FEEDER---- -TEMP SRVC /FEEDERS- - -- BRANCH CIRCUITS -- - -- MISCELLANEOUS -- - -ADD'L INSPECTIONS -- -- iB - SF OR LESS; 0' 0 - : - 20D app:.: 0 - B - 2+ adp..: e - . W /SVO OR FD .: =r0 PUi P /IRRRIGATiiiNr 0 _ PER INSPEECTION: is' -- - EA ADD'L =SF.; 0 201 - 400 app..: 0 201 - 420.an2..: 0 1st W/0 SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0 LIMITED ENERGY.: 0 401 - 600 app..: 0 . 401 - 600 app..: 0.. EA ADDL BR CIR 0 SIGNAL /PANEL...: 0 IN PLANT : 0 EANF HN /SVC /FDR: 0 601 - 1000 app.: 0 601tapps- 1020"v; 0, MINOR LABEL -10: 0 ' ' 40004 amp/volt.: 0 ----=- = - - = -- PLAN REVIEW SECTION ------------------------ . Reconnect only.:-0 ' )=4 RES UNITS.,.: . ' SVC /FDR) =225 A.; ) 620 VNOIIINAL: CLS AREA /SPC OCC :, ' --- ---- ------- --- - -° V " 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 SIENL: GARAGE OPENER..:' CLOCK • INSTRUMENTATION: MEDICAL .: OTHR :. .. HVAC. . DATA/TELE oaxm.: NURSE CALLS TOTAL B SYSTEMS: 0 " Owner: — Contractor: ---- - - - - -- - - - -- TOTAL FEES:$ 85.86 ' DALY, JOE & DENISE OWNER This permit is subject ,to the retaiations contained in the 13266 SW 136TH PL 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;expir "e if work is Phone 8: 524 -0311 . Phone 8: " not started within 180 days.of issuance, or if the work'is . Reg B..: 000020 . . - suspended for pore 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 ORR"952- 001 -0080. You pay obtain copies of these rules or direct questions to OUNC by Calling (503)246 -1987. . - V - - - -- - - -- ---------- - - -- -- REQUIRED INSPECTIONS -=-------------------_------------------- 'Footing Insp. . Framing Insp; . , . ' Building Final ' 4 �� Issued By: i Per-mitt Signat�-Ir�e . t+++++.14-1-+++++++++++4.4 + -1- ++ 1- 1- 1- -1- -1 - -1' —f I--. - -1- 4-- 1--I•- ; -4• -i - -I - I-- I --I-'- .--F-F + .4 -1- a -+ +-f I- -4- -1-- 1.-+++ Call 639 - 4175 by 7:00 p.m. for an inspection needed the next business daY ' "I • .- ' \ Plan Che at, _ 04- CITY OF TIGARD Residential Building Permit Application Recd By Ws 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd - IF TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 3 � V 503 - 6394171 Date to DST 3 - -- F 503 - 684 -7297 Permit # i S 1 4 — Z Print or Type Called 1 1 -0 I Incomplete or illegible applications will not be accepted Name of Project ' �r Name Job + 5 w c t�l" Address Site Address Architect Mailing Address J324,f. 341 (3C. Pc ric,,ikeD City/State Zip Phone Name J 6e pAc y Owner Mailing Address Name '326,4 Sw /34 PC City/State Zip Phone En Mailing Address T/6.47i o,S ?722 52y -03 // General Name City/State Zip Phone Contractor 5 €Lr Describe work New 0 Addition 0 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: ' Ki_c_ issuance, a copy City/State Zip Phone of all licenses , / • are required if Oregon Const. Cont. Board Exp. Date PROJECT `t I 2 expired in COT Lic.# VALUATION $ , - - - -- - database - -- - . —__ Mechanical Name NEW CONSTRUCTION ONLY: LPc /( — a Sub * N/rt Sq. Ft. House: Sq. Ft. Garage 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- N/A (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.# Reissue of MST #: 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 •wner, and that plans submitted are in compliance with Or . • ta9ws. Electrical Nk ture '10 4gent Date Sub- Mailing Address oT 3- 3 - 99 Contractor Conta• Person ame Phone # City/State Zip Phone J06 'J ' S24-03// Prior to permit FOR OFFICE USE ONLY: issuance, a copy Pip,* f'}1i1A/uu .- Map/TL#: of all licenses are Oregon Const. Cont. Board Exp. Date tj 1 r 11 11 I% 1110 zs I `4 (t O required if Lic.# Setba s: , .Zone. Solar. expired in COT 6 i - V • f� _ 1 P � database Electncal Lic. # Exp. Date ' 1 Engin�ertn r(�� g Approval: Plann pproval: TIF: , t rD ICJ 7Z• 3 2 ' 1" 3 I:SFREM.DOC (DST) 4/97 • Permit #: t Y e >\ - l — 00 • F . • . ��� \i ce. / �` = ' • �, - Address: 1 2 �.t , . `�� �� . 5A 0 Issued by: Date: C6 6757 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 'n the appropriate - blanks:and initial- boxes --1 and 2, and either box 3A or 3B: - -. - - - /0 .. , iiii 1. I own, reside in, or will reside in the completed structure. IMA 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 � 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 haveread and do understand the Information Notice to Prope ' wn s about Construction Responsibilities on the reverse side of this form. vt (Sig ature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) l[nflormallon hIcitice © Proper Owners • • . Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Cclnstructiori 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 RESPONSO5OUTIES: 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 tobe an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax lava 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 to penalties and will be liable for all ciaini 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. 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 G ESPOIiSOL➢l1LS AND "RiEAS OF OOiICERN: 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 quiesrions, 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 MST .7f4 5 - 24 -Hour Inspection Line: 639 -4175 - Business -Line: 639 -4171 1` � ` =UP Date Requested 0 '� — AM PM r BLD Location I2-66 Six) /36 fit ea� Suite " it, MEC • • Contact Person " Ph ane ye PLM Contractor • Ph SWR . .: Tenant/Owner' J6G Dna. 5L(-03// ELC ' • Retaining Wall ELR Footing Foundation ACCeSS:, A , [ G ►�/VUJ •i / ] 1 0 �, (� FPS . Ftg Drain - �,(,/ / $GN Crawl Drain Inspection Notes: i /, +•, O Slab lv� SIT • Post & Beam V - - Ext Sheath /Shear . Int eath /Shear, - . Framing 1 .0 / u c /24 . /inn 7i.-1--S ( 2C - ST1g - 1 >ZS; • nsu a ion l Drywall. Nailing d!/L/� , /v -e-4-, -,i � . Q'v4 --c 2� -S� 2 G-f2Gi ' •- • - . . Firewall . Fire Sprinkler = • Fire Alarm Susp'd Ceiling Roof Misc: Final, PASS PART FAIL . PLUMBING:: ,. - 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 V - - Rough In UG /Slab - V . Low Voltage • . • Fire Alarm ' ' • Final PASS . PART FAIL - . . Backfill/Grading • Sanitary Sewer Storm Drain [ ] Reinspection fee of $ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin V Fire Supply Line .[ ] Please call for reinspection RE: ' [ ] Unable to inspect - no access ADA Approach/Sidewalk • d - 1. 7 -- / 4 % Ext Other Date, inspector - • Final V . PASS PART - FAIL - DO NOT REMOVE this-inspection record from the job site. • • : . . .: • . . . . ' Voi ? I . • • • , _ . • --, CITY OF TIGARD BUILDING INSPECTION DIVISION - 24-Hour Inspection Line: 639-4175 'Butiness Phone 639-4171 93 _ ate Requested 3 --/ 1 — ?8 '- ., A.M. P.M. ' MST: ge Location: / 3A 66.4.1A) /3 6 tit, 7 49 ,e_ . . BUP: V, Tenant: Suite: Bldg: MEC: • A t ... Contractor. IF, / ■ / / Phone: • • PLM: . - . / . - Owner: Phone: ELC: V . ELR: . , . SIT: BUILDING BLDG (con't) . PLUMBING MECHANICAL ' ELECTRICAL SITE. . , Site Post/Beam Post/Beam - " " - Post/Beam - - ' - Cover/Service ' Sewer/Storm 4tp, oleAt Roof UndFl/Slab Rough-In ` Ceiling .Water Line • Framing Top Out Gas Line Rough-In UG Sprinkler . • . Foundation Insulation, - • Sewer , Hood/Duct Reconnect . Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling • Rain Drain V A/C • • V UG Slab •, • Shear/Sheath Fire Spklr/Alm V Crawl/Found Dr Heat.Pump Low Volt Approved Approved . Approved Approved Appr/Sdwlk - ft:Ifoved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL . . • .- • . ' . . . . • . • ' . - • • . . _ . . " . , • . . , - . ' . . . . . . . . • • . • - . . . , . . , . , • • , . . . • . . . . . . . . aCall for reinspection .„. , 0 Reinspection fee of $ " ". required before next,inspection V V 0 Unable to inspect ' - In.spector: 1, bate: 3/1 1 /4 Page of V - . • ' . . . . • " • . . . . . . , - , • . . . . . , . • .. . . - . . . . ,