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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 b
tl �+ Rain Drain Cover/Service F .
Footing
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Foundation Water Line Ceiling Plumb.
Post/Beam Mech. Shear/Sheath ' laming ech.
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Post/Beam Struct. �,Aech. Rough-in Gyp. Bd.
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San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: z A•IA.—P.M. Entry:
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Address:
Tenant:— _ Ste: BUP:
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THE FOLLOW G. CORRECTIONS ARE REGUIR D: ELR:
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Inspection Line: 639-4175 Business Phone: 639-4171
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Date: 9 Z-p YK A.M._P.M Entry:
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Address•
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Tenant: Ste: MST: �� 0 2.�T
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Con/Own: 2. �� MEG:
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THE FOLLOWING CORRECTIONS AH
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Date:_ A.M. P.M. Entry:
Address:
Tenant: -..—r--- Ste:_— MST: �� Oa+-U (
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Con/Own:.� ��`�1,3/ MEC: ( f •I��"1
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date: A.M. —_P.M.
Entry:
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Con/Own: 4A"tw--, _ MEC:F LM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date: 7 3 b 4 G. A.M. _—P.M._— Entry:
Address: �_U��f Z__ s� - �� '' I ,,f .*�� ■
Tenant: -- -- Ste:--.- MST:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171
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Date: xl b A.M. P.M. Entry:
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Tenant: Ste:, MST:�6 ` �± ' ,r, ■
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I THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR:
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Inspection Line: 639-4175 Business Phone: 639-4171 ;'
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Date: A.M. P.IV�. Entry: iR,ry �a
Address:
Tenant:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR
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MASTER PERMIT o
I,E:RMI T #. . . . . . . : IYIST96--0289 4
CITY OF TIGARD liATE ISSUED: 06/ 7/96
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COMMUNITY DEVELOPMENT DEPARTMENT MENT 1='ARCO:!: c_S 1 14B1a.-1'Z:700 i
131 ��I blvd.Tlgtrd,
0 71 •81 Q�_ �3)rQ3P-:171
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SUBDIVISION. . . . : S'WANSONS GL..EN NO. ZONING. R--12 PD
I_OT. . . . . . . . . . . . . ..65
Remarks: PATH I ADDITION OF 238 SQ FT
-----------------------------------------
--------- ------ BUILuING ---------------------------------------•-----------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:ADD HEIGHT........: 12 F:RST....: 238 sf GARAGE.....: 0 sf LEFT..........: 5 SMOKE DETECTRS:
TYRE OF U3E...:SF FLOOR LOAD....: 40 SEi'D►i0 ..: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT..,......: 0
OCCUPANCY GRP.:E3 BDRM: 0 BATH: 0 TOTAL------: 236 5f VALUE..1: 15389 REAR..........: 15
-------------------•------ PLUMBING -..-------------------•------------------------------------------
SINKS.........: 0 WAIER 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/SHL'WERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------I---------------------------------—--------------------- MECHANICAL -----------------------------I---------------------------------
FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLCTHES DRYERS: 0
/GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: %l ITU FLOOR FURNACES: 0 VENTS.........: 2 WOODSTOVES....: 0 6AS OUTLETS...: 0
------------------------------------------------------------- ELECTRICAL ----------------- ----------------------- ---------------------
RESIAENTIAL UNIT---• ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -- -MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC 0), FDR..: I PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 -• 4kV 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: 0 5 1 GNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1 1000+ amp/volt.: 0 - ------------ --------- ----------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC DCC:
-- -------------------------------------------------- ELECTRICAL - RESTR'i,TED ENERGY ------- - -------- ,--------------------------
A.
---------------- -A. SF RESIDENTIAL--------------------------- B. COMMERCIAL--------------------------------------------------------------------------------
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM,....: INTERCOM/RAGING: OU11N)OR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER......... : HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR: :.
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL It SYSTEMS: 0
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uwllir -----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 266.31
LARRY LUNG OWNER
10427 SW KENT
TIGARD OR 97224
Phone 11: 620-6889 Phone N:
Reg IR..: 13125
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 pe^mit 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 Mechaniral Insp Gyp Board Insp Building Final
Foundation Insp Electrical Servi Ra:r drain Trsp Erosion Control
Post/Beam Struct Framing Insp Water Service In
Post/Beam Mec_han ,as i-ine Insp Electrical Final
Crawl Drain Insulation Insp Mechanical Final _
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L'Kl fdr^ ins ection — 639 4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Office Use Only �
Subdivision: Lot # _ -4.
ap Contact Date_r, 17/96' Initials COT
Valuation: Result Oil
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New Construction Only: (Square Footage) Planck/R.ec # 5 '3(c (c ? l9.2SZ
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^�( Permit # ,/1
House ��� Garage: — _ Reissue of_
Corner L� :t? Y (.N Flag ot? Y N
Mac)e& TL l�
# I L ' 6 f - j2
Plat # In/A fJSCd JET
Owner: G��TuI �JG; — i. r (V5
Approvals Required
Address: Z01-2 7 S") ,4'�,�I
`� 7z Planning Setbacks N7 ' Solar
�T/Cr/ / Engineering -M-1 PA(-(t_ c-Cao,2 C,
Other
Phone:
Items Required
Contractor: 542'!
Subcontr'r:tors
address _ s9n� ' '45 Truss Details v
Uther i
Notes
Phone: )
Contractor's License #
(attach copy of current Oregon license)
Contact Name:
Contact Phone: ( )
Subcontractors: Architect/Engineer:
Plumbing: /W,, nn�-AA Address:
Mechanical:fi
(attach copy o current OR Contractor's License)
Phone: ---.-
JOB DESCRIPTION:
Oiel'nt S' Applicant Phone number
Received by: Date Received: C 1
TZ) ire OC-OG.=9b
I Permit # Account Description Amount AML t. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
Stab-Tax (TAS )
Plumb:
Mech: L +�_ ■
CLG
Plan Check
(PLANCK)
Bldg: = �
Plumb:
Mech:
I
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-r.))
Water Quality (VY QUAL)
Water Quantity (WQUANT)
Fire Life S;Jety (FLS)
Erosion C,ntrl Permit (ERPRMT)
Erosior PlancklUSA (ERPLAN)
Fr�jsicn Planck/COT (EROSN)
TOTALS:
Permit#:
Address: o ._----- ����._....
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issued by: Date:
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Statement: Information Notice to Property Owners 1
Aboult Construction Responsibilities
Note: Oregon L.caw, ORS 701.0550), requires residential construction permil appli-
cants who are not registered with the C:'on.struction Contractors Board to sign the �
.followingstaler+rent beftr•e a biiildingpermit can be is.sried. T hi.s statentenl is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer apt;!icants, exempt from registration under ORS 701.010(7),
need no,.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 313:
1. 1 own,reside in, or will reside in the completed structure.
X� ?. I understand that I must register as a construction contractor if the structure is sold or offered for sale
IL-J before or upon completion.
3A. My general contractor is
(Name) Conti-actor regis. #
I will instruct my general contractor that all subcontractors who '•-,tlrk on the StRICIUIV Illrl:il be
registered with the Construction Contractors Board.
OR
® 313. I will be my own general contractor.
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If 1 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
i hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property 0ivners about Construction Responsibilities on the reverse side of this form.
at of p applicant) (Date)
(White col�v to is.ming agency permilfile,
pink cops' to applicant)
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Information Aotice to Property Owners
About Construction Responsibilities
Vote: This lgforrrrnion .%'uliocio PropertY Owners above Construction Resjrwrsihilities
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� 'rnsr (:�►[ r it . r r , a ORS .(_ 5 .
was cIe YPl re d h [ht• (. ► ! uevion rade rs l�nu el t uc rr rdu rc•c• t�ith[ R - 1 S(
I
If you are acting as your own contractor to construct a new home or snake a substantial improvement to an existing structure, I
you can prevent many problem,h\ hero., a�\d1IC o!"the ti,llow ing responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES: �
lf'you hire persons not registered with the t ren.Iructioal Contractors Board to do labor in ci w,micting or assisting in the
construction or improvement oi•a residential structure.you will. in tonst instances,be ru;,d to he an employer and tite people
you hire swill be employees: As the employer,you must comply with the following-:
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Oregon's with hold ingtax law: As an employer,youIII list withhold incometaxesfroc emploN,cewagLsattlletilneemployees
are paid. You will be liable for the tax payments even if you don't actually withhold the rtx from your employees. For more
informhtion.call the Oregon Dept.of Revenue at 945-5091.
Unemployment insurance tax: As an cmpim er. \ren,rte required for pat a tax for unemployment insurance purposes on the 1
wages of all employees. L:or snore information.o:al I the.t)regt)n L:mployment Department at 378-35?4.
Workers'compensation insurance: As an employ er. f ou are subject to the Oregon Workers'Compensation Law,and must
obtoin%win-kers'compensation insurance tier\our etnploN ees. Ifyou fail to obtain\voirkers'compensation insurance,you may—,
be suhjeo ti r enaltir and w ill he liable forall claim c+ I.ifone Of our employees is injured on theJob. For more information,
call the Worker;t"c:rmpensation Division at the I)epartnrent ofC"onsunier and Business Services at 045-7888.
U.S.Internal Revenue Service: As an employer,yon must w ithhold federal income tax from crnployees'wages. You Nvill be
liable for the tax payment even il'youdidn'tactuallp\\ithholdtheta\. hormoreinformati:�n,call tile Internal Revenue Set-vice
at 1-800-8.-1.9.1040.
OTHER RESPO" ':'3ILITIES AND AREAS OF CONCERN:
t Codecomplianee: As the pet-in itholder for thI,;project. +luareresponsihlefor resoh,Inganyfailur•etomeet code requirentents
that ntay he brought to your attention through inspection,
•
L Lability and property damafre insurance: t•orniact \our insurance agent tit see if you have adcyuate insurance coverage for
accidents and onwi cions such as falling tools.paint o vcispra\.water dania e from pipe punctures,fire.or work that must be
re-done. 4"
Timetnvupervise vntplovees: \Iakv ,urc voor hacr 1 ili,:i,nt tinteto supervise youremployec•'.
Expertise- NIakc:hire ytwulin vCiheL2vperi ISS`Ioacta5GtUiit, %v'i It'-ciwrNIcontractor,tocoOrdinatethe work+-fro:trgh-Illattdlinish
trades.and to notify huilding off iciaFat the appropriate tinu,:so they can periOrnI the required inspections.
Ifyou have additional questions. write ort�;lII the i_'vruut1clion t +whit,.loi,, Ii*+rant(11() 13ox I I 1-10. talent,(.)R 97309 `i052.
503/378-1621 ). 1 1-it, Board iw locatcd at IOf, tiutnnlcr St `vl'. wise 10(1 nt -'alc.u7.
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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 smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
45u�
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NOHME NOOa1HERN
LOT LINE N T LINE 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.
feet
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NCRIHSOUTH DIMENSION
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Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
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structure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North-South, measurements will Nom~ (circle one)
be based on the peak of the roof, o C3a r 17
"""—► 1A 1B 1C
1 b: If the roof line runs East.-West and the roof pitch is
P less than 5/12, measurements will be based on the
SHADE F�.Ni EA%[
1c: If the roof line runs East-West and the roof pitch is I
5 12 or steeper, measurements will be based on the
' peak.
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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 line to the foundation, the figure is positive. If
the lot slopes down from the front lot line to the foundation, the figure is negative. 0 ft •
3. Measure distance from finished Floor elevation to the affected peak/eave.
+ la• O ft �
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West,
3 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. D_ 0 ft
6. Total figure for box B: C�_ D ft
Box C. Distance to the shade reduction line. Box C:
j 1. Measure the distance from the North property line to the foundation near the ft
( affected peak/eave. --
2. Measure the distance from the foundation to the affected peak or eave. + �_ ft
i 3. Total figure for box C: ft
it is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the
appropriate figure found in box"C". The intersection of the vertical and horizontal lines determines the value found in box"D". The value
in box"D"should be compared to the value in box"B'; if the value in box"B"is less than or equal to the value found in box"D", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171,x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to North-south lot dimension(in feet)
shade 1 )0+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
i0 4 40 40 41 42 43 44
65 3 1 38 38 39 40 41 42 43
60 336 36 37 38 39 40 41 42
55 3 34 34 35 36 37 38 39 A 41
50 3 32 32 33 34 35 36 37 38 39 40
45 31 30 30 31 32 33 34 35 36 37 38 39
40 2 28 28 29 30 31 32 ?3 34 35 36 37 38
35 ? 26 26 27 28 29 30 31 32 33 34 35 36
30 2 1 24 24 25 26 27 28 29 30 31 32 .33 34
25 22 22 7.3 24 25 26 27 28 29 30 31 32
70 2 20 20 21 22 23 24 25 26 27 28 29 30
k .. 18 18 19 20 21 22 23 24 25 26 27 28
10 1 16 16 17 18 19 20 21 22 2.3 24 25 26
5 1 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: 1 _ feet
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