6911 SW OAK STREET IS WO MS W9
i
a
r
ao �
6911 SW OAK ST
CITY OF TIGARD MASTER PERMIT
PERM 11 #. . . . . . . : lV*1 9303so
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/al/93
13125 SW Hall Blvd.Tigard,Ch*gon 97223*6199 (503)639-4171
IRC,-L' I U13GAA -Wi4V.11?l
POOR QUALITY ORIGIN
' -ABLE
U'13'.)I V 1 S I ON. ZONING: R-4. 5SESr REPHODUCTION AVA11
.. . . . . . . . . . . LUi . . . . . . . . . . . . . .
'UILDING
63ur..' DWEI-LING 1 -3: BA5EMENI s
'Lf4Sf8tj OF- WCjRt-1,. r ADD SEDRMSsl BATHS I I UARAUL. . . . . . . . . . 16,013
,YpE: rjr FLUOR AREAS------ RL-QUIRED GE" SOCK
_'(PL OF CUNI,:';,r. .5N FIRS1. . . . :(,be Sf LEFT. . 10 ft 4 1 GHT. u 5 1't
Sf FRUNI . VA f t i�L'A R. . -.20 f t
UZLU,'�ANCY L+,,P. t R2 .;-CDND. . . :542
STORIES. . . . . . . .2 THIRD. . . :0 Sf REQUIRED-------...
: tEIGHT. . . . . . . . :x'0 ft TurAL- f SMOKE DE'TLCTORC. :Y
r'LOU4 LO(-1,1). . . . .40 psf VALUE. . . _ $: 66000 PARKING SPACES— :0
Realarks: ADDYT ION 1200 90 rl- H012111A)LALL SPACE iND 600 bbl FT Gf4RAGE Pi401
PLUMBING
.31NKS. . . . . . . . . . :VI FLUOR DRAINU. . . . :0 BACKFLOW PP[LVNTR':;. . -0
..PVATURIES. . . . :2 WATLR HEATERS. . . :0 TRAPS. . . . . . . ! . . . . . . 10'
TUB/SHOWERS. . . . :2 LAUNDRY TRAV'_j. . . ... 1. cn'rcii Bw31 \js. . . . . . . so
4ATER CLOSETS— : 1 SEWER LINE (ft) . :O ORLASE TP.APS. . . . . . . ..0
UI:AIIWAIGHERS. . . . .0 WATER LINL (ft ) . :0 OTI IE P [- I X TIJRE3. 0
GhRBAGE DISP. . . till RAIN DRAIN (ft ) . 0
APE9411rfo MP('11. . . : 1 3F RAIN DRAINS— : 1
•
W. MLLHANICAL FT"Es
ULk.- UNIT :0 type &muunt by date recIat
VENTS :7 SPRT $ 331. 00 JF 07/4;Z1 /93 —
MI A
MIA !NPIDTtO I.ATU VENT FANS. . :4 BPLL $ 229. 65 J1_1 1 07/0"7/93 13,31-8481b(: i
100K .0 HOODS. . . . . . :0 B 15)V I r: $ 16. 55 JV 07/8.1 /93
) =100K ,V, WOODSTOVI-S. :0 MPRT $ !'-111. 00 JF: 07/":il'i 9 3
LUOR f-"URN. 10 CL.0 DRYEks. : I MPLL $ A4. 50 JF 07/C'1/'J:3
31*':Vl OTHER UNIIS:0 M5PL $ c?. 90 11, 07/i:1 9 8
GAS OUrLLTStO PPRT $ 67. 50 JF 07/LI /93
3. 38 J F 0 7/2 1 3
J ' M lir CARMEN SARVAY
'11AARL) OR 97223
-,I-mrim its, e4459iB
723. 413 TOTAL.
-sit is issupc tuDjec,, to t4 I-equlaticrs contained in the REQUIRED INSPE. TIONS
-ga-d M,.,nicipll Code, State of Ore. Specialty Codes and all other Font/found Insp Gyp Board Insp
W Pplirab:e Avis. All work will be done in accordance with approved Post/B*am Sttuct Rain drain I r,s p
_j
',Ms'perct will expii,@ if work is not started within 181 PoSt,"BeaM MP(Jiattl Mechanical IF j nj I
ays cf issuaftt, or if work is suspended for sore than lff days. PI_M/Undprfloor Pl (tmb Final
mectlatlivAl Insp Building Final
Plum'I lop Out U.t'losion Conti-ri I
Fram.iny Insp Grakol Drain
;�
Call for inspection 6219-4175
Permit No:
Address:
Issued by: _ Date:
1
--- —FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NLTICE T() PROPr4RTY OWNERS
ABOUT CONSTRUCTION 3ESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following staternent before the building permit can be Issued.This state-
ment 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 applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B:
1. E�� coweside in, or will reside in the completed structure.
2. 6_� I understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3.^A1.CA— _ I My general contractor
Contractor registration number____.°________
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B.L.W-A I will be my own general contractor.
If I hire subcontractors, I will hire on!y subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
a contract with a contractor who is registered with the Construction Contractors Board
and I •r!ill immediately notify the office issuing this building permit of the name of
U) the contractor.
ED'E' 1 hereby certify that the above Information Is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
Lu
w reverse sl of this form.
J
ature c P m Ap cant
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
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),
passed by the 1989 Oregon Legislature.
If you are act! g as your own contractor to construct a new home or make a substantial improvement to an
existing struct e, you can prevent many problems by being aware of the following responsibilities and areas
7f (,,ncern.
EMPLO R RES ONSIBILiTIES:
If you hire persons n registered with the Construction Contractors Hoard to do labor in constructing or assisting
in the construction o improvement of a residential structure. you will, in most instances, be ruled to be an
"employer" and the pe pie you hire will be "employees". As the employer, you must comply with the following:
Oregon's Withholding x_Law: As an employer, you must withhold income taxes from employee wages at
the time employees are aid. 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 Department of Revenue at 378-3390.
Unempl�rment Insurance Ta - A,; an employer, you are required to pay a tax for unemployment insurance
purposes on the wages of ali e)Vployees. For more information, 11 the Oregon Employment Division DHR
at 378-3224.
Workers' Compensation Insurance_ an employer, you are bject to the Oregon Workers' Compensation
Law, and must obtain workers' compo sation insurance for our employees. If you fail to obtain workers'
compensation insurance, you may be suect to penalties a d will be liable for all („aim costs if one of your
employees is injured on the job. For more in oration, call to Workers' Compensation Division DiF at 373-7434.
U.S. Internal Revenue Service: As an employer�u must 'thhold federal income tax from employees' wages.
You will be liable for the tax payment even if you Nn't a tually withhold the tax. For more information, call
the internal Revenue Service at 221-3960. \
OTHER RESPONSIBILITIES AND AREAS OF CON RN:
Code Compliance: As the permit holder for thi�roject, v6V are responsible r res ing any failure to meet
o. code requirements that may be brought to Our attention throbgh inspections.
Liability and Property Damage IiisuranciV Contact your insurance agent to sec if you have adequate insurance
coverage for accidents and omissiorA such as falling tools, paint overspray, water damage from pipe punc-
tares, fire, or work that must be redone.
J
Time to Supervise Employees' Make sure you have sufficient time to supervise your employees.
W
.J 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 to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503.379-4821
0244) 10/24189
ClrrY OF 1. 1�I�� ui25 sw 11,n 1e►ya PLNClC,/RECT >I
COMMUNITY DEWEE.OPMENT DEPARTMENT
rpcaO ,9ra3 PERMIT 0
(503)43"171 DATE ISSUED
JOB ADDRESS: 6 q(yS-ei/ DAK sr- TAX MAP/LOT _/SS/ 3�o,4,4 6-1100
SUB: LOT: may►—___
LAND USE: �C'�•
VALVAT I ON: c r ! l
OWNER SSG NO �S
NAME: Lm ' C ,Y\r-rjZA `ymwk\l i —_ REISSUE OF: —
ADDRESS: OAK LAST REISSUE: —
fnk 9`l a 9. — --- FLOOD PLAIN/
PHONE: 4 A - Sq 1 S _ SENSITIVE LAND: _
CONTRACTOR APPROVALS REOUIR
NAME: ��_w N E(L PLANNING: - i+a�" y
1 ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: —__ --------
CONTR. BOARD #: EXP DATE:
I FEMS_AHW RED
SUBCONTRACTORS: j PLUMB: E.2 LIST/SUBCONTRACTORS:
A MECH: _� ( BUS TAX: -- —
ARCH ENGINEER CALCULATIONS:
NAME: _ _ _ TRUSS DETAILS:
ADDRESS: OTHER:
CL
U) PHONE: ---- _ --- -
C
DO PROPOSED BLDG. USE: —F rC7 49e6Wy) - 7%mr,p�---
w COMMENTS: !SDC l Srl�
7
A P CANT SIG TU�',E ,-
--7 A
Rece i ved By: A _ Oa Le Received:
PERMIT N ACCT # DESCRIPTION AMOUNT / AMOUNT PD. BAL. OUE
I�1sf'13 0.3�y 10-432 00 Building Permit Fees J= ou 33-1,&v
10-431 00 Plu ing Perron. Fees
10-431 01 Mecha ical Perm;t Fees .
10-230 01 State uilding Tax (5%
Buildin Z_ 5-5z
Plumbing .3,;,y
Mechanical .2, 0
10-433 00 Plans Check Fe � y �oZ� 7`��10q,t d
Building /r i
Plumbing _
Mechanica'i
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-09 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2 48-03 Office TIF Fees
25-448- Residential Traffic
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Dev Chrg t
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL D ' �PIN
nmf3587P.WPF
-- ------ ------- --------------_.--_--- MECHANICAL v
C17YOFTIGARDPEP.M I T
CITY PL RM I T M. . . . . . . : MEC91-0236
GDMMUNMY DEVELOPMENT DIEPARTMEW� ineroe:
13125S;WHAI Mod. P.o.Gm23::Y7.71Wd.OmwnQ, tA' 0 R41iin DATE ISSUED: 10/09/91
SIZE ADDRESS. . . : 06911 SW OAK ST PARCEL: 1S136AA-01400
SUBDIVISION. . . . : ZON I NG s R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s
CLASS OF WORK. . :A!T FLOOR FURN. . . . It EVAP COOLERS s
TYPE OF USE. . . . :%= UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . iR3 VENTS W/0 APPL: VENT SYSTEMS:
STORIES. . . . . . . . s BOILERS/COMPRESSORS HOODS. . . . . . .
FUEL TYPES------------- 0-3 HP. . . . s DOMES. INCINs
./GAS / / :3-15 HP. . . . s COMML. INCIN:
MAX INPUT: BTU 15-30 HF'. . . . - REPAIR UNITS]
FIRE DAMPERSI. . : 30-50 HP. . . . : WOODSTOVES. . s
GAS PRESSURE. . . s 50+ HP. . . . : CLO DRYERS. . s
NO. OF UNIT'----------- AIR HANDLING UNITS OTHER UNITS. :
FURN < le0K BTU: 1 <= 10000 ( fm s GAS OUTLETS. s 1
FURN ) =1e®K BTU: ) 1O000 cfm:
Remarks : OIL TO GAS CONVERSION
Owners ----------------------------- ------------------ FEES -----.---------
,JIM SARVAY type amount by date recpt
6911 SW OAK PRMT $ 25. 00 JLH 10/09/91 -
7)P(-,T $ 1. 25 ,:JLH 10/09/91 -
T IGARD OR 97223
Phone N: 244•-5915
Gantt-actor:
ENERGY MASTERS INC
3590 SW TROY
PORTLAND OR 97219 --------.---------------------_--_---_-_
Phone #: $ 26. 25 TOTAL
Reg #. . : 58556
-------- REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Mork will be done in accordance with
approved plans. This perrit will expiro if work is not started _..
within 198 days of issuance, or if work is suspended for sore �_ -
;
than 168 days..
j Permittee Siqnatures
1 Issued By:
I
Call for Inspection - 639--4175
aW � 0
Co rA �u U
W Z
LL)
d A p
UUUO � � C7un
rl C-1
E�
v n vNi vni vv�i
a � c c ti c c c c a a o
u �
ro � T T ^ ^
kn
c oho
h
4 c
��= 5
y y L
LUu.
U
,n o o c
1-2
.. o
F� Q d
o < U U 4 U U U V U