11060 SW NORTH DAKOTA STREET IS VIO)lVG HIHON MS C90 L 6
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11060 SW NORTH DAKOTA ST
MASTER PERMIT
, CITY OF TIGARD DATE PERMIT ISSUED: .
02/12/9r:� 1�� i
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL.: 1 S 134D1303300
12124$W HOA Stv Tigard,9, 0722398199 (W3)8394171 ;
SUHLIVISI(JN. . . . : �S�(o��w �� rt'h% S/ ZONINC): R--4. 5
E3LC)CK. . . . . . . . . . s L-01 . . . . . . . . . . . . . .
Remarks: making garage into a bedroom and laundry room
--------------------------------------------------------------- BUILDIN6 ---------------------------------_---------- --------------
REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT.... @ sf REQUIRED SETBACKS---- REQUIRED--------------
CLASS OF WORK.:ALT HEIGHT........: I FIRST....: A sf GARAGL.....: 0 sf LEFT..........( I SMOKE DETECTRS: �
TYPE OF USE...:5F FLOOR LOAD....: 441 SECOND..... 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.6N DWELLING UNITS: 0 FINBSM i 0 sf RIGHT.........: 0
OCCUPANCY GRP.03 BDRM: 1 BATH: I TOTAL- -•---i 0 sf VALUE..1: 1000 REAR..........t
-----------------------—------------------------------------- PLUMBING ------------------------------------------------ ----
SlICS.........: 0 WATER CLOSETS.: 1 WASHING MACH..: ; LAUNDRY TRAYS.: 0 RAIN DRAIN ftt I TRAPS.........1 0
LAVATORIES....: 1 DI9401S8ERS...: @ FLOOR DRAINS..: @ SEWER LINE ft: @ SF RAIN DRAINS: I CATCH BASINS..: @
TUB/SHOWERS.... I GARBAGE DISP..: 0 WATER HEATERS.: I WATER LINE ft: 0 BCKFLW PREVNTRs I GREASE TRAPS..: 0
OTHER FIXTURES: @
----------------------------------------------------------- MECHANICAL --------------------------------------------------------- _---
FUEL TYPES---------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....( 2 CLOTHES DRYERS: l
/GAS/ / / FURN )=IM ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.; 0 BTU FLOOR FURNACES: @ VENTS.........( 3 WOODSTOVES....: 0 GAS OUTLETS...: 0
------------------------ ---------------------- ---------------- ELECTRICAL --------•-------------------- _ ----- --- ----
--RESIDENTIAL UNIT--- ----SERVICE/FEEDER---- --TEMP ERVC/FEEDERS-- ---BRANCH CIRCUITS--- -----MISCELLANEOUS-.--- - ADD'L INSPECTIONS---
108@ SF OR LESS: 6 0 200 amp..: P 0 - xN amp..: 0 W1 SVC OR FDR..: 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 506SF.: / 291 - 400 alp..- @ 201 400 alp... 0 ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: I PFR HOUR......: 0
LIMITED ENERGY.: 0 401 - 60@ asp..: 0 4@1 600 amp..: 0 EA ADDL BR CIR. 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1@@0 asp.: @ 661+asps-100@ V: 6 MINOR LABEL -10: 0
1000* am /volt. 0 --------- PLAN REVIEW SECTION --_---------------
Reconnect on)y.: 0 )-4 RES UNITS..: SVC/FDR)-225 A.: ) b@I V NOMINAL: CLS AREA/SCC OCC:
--------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ---------------------------------- -
A. SF RESIDENT;AL---_------------------ B. COMERCIAL-------------------------------- ---------------------------•-----------
AUDIO It STEREO.: VACUUM SYSTEM..: AUDIO L STEREO.. FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDLC LT:
BURGLAR ALARM..( OTH: :: BOILER.........: HVAC............ LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARASE OPENER.. : CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: @
Owner. -------------------- ------Contractors ------------- ------ ------ TOTAL FEES:f 148.03
BRENT,ESPY OWNER (WAttIM SIS#
11050 Sir NORTH DAKOTA ST
TIGARD OR 97223
d Phone 0: 639-9590 Phone #s
Reg C.: /I/00I
tI?
is permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Dre. Specialty Lodes and all other
J 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 sore than 190 days.
---------------------- ---_--_-___. .------------- REQUIRED INSPECTIONS ------------------------------- --------- —___--_---_
J Mechanical Insp Gyp Board Insp ^_
Plumb Top Out Electrical Final A_
Electrical Servi Mechanical Final
Framino Insp Plumb Final
Insulation Insp Buildirl- a- l ( (
ci m i t t e n >ion
Iss1.:ed By :Ca11 for- insp 639-4175
Residential 6uildin .
_�___PA►RRIica i�
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 11(4 J CIO�� OlIffee
Subdivision- Lot# s-i-O--
Contact Date 1 I Initials
Valuation: ._.._ Result
New Construction Only: (Square Footage)
Planck/Rec S
Permit
House: Garage: _ Reissue of r-
O Corner Lot? Y (0 Flag Lot? Y Map & TL
Zone R 4•S
C,/
Owner: Plat#
� S / ------
Address: 11.L�(:� (/(� AL IA 12 R MV-W—$ R1WIM
-L/�`a ,� b �\ Planning Setbacks _ Solar
l_L�11` 5 Y_ qS::
si3
Engineering
Phone: ( ) U 2K Othor
141-
Contractor: �Z,L ���'
horn Reauind
Subcontractors Aum, 4 M/r, L
Address _ Truss Details
Other
Phone: L ) _ Not"
Contractors License #
(attach copy of current Oregon license)
Contact Name: - ------
Contact Phone: I )
Subcontractors: Architect/Engineer:
F Plumbing: Address:
CO) Mechanical:
(attach copy of current OR Contractor's Lic)jnse)
® t Phone:
i_u JOB bESCR TION: a-
Applicant ZtqnvtVSe Applicant P ane num er
Received by: Date Received:
N'Ygn1YbYNglp
V
Permit B Account Description Amount Ae L ft Dus 1
G 3 3 Bldg. Permit (BUILD)
Phimb. Permit (PLUMB)
mech. Permit (NECK) ; 5-V
£t-C
Bldg: ,1 _
Plumb: /
Mech:fee-
Plan
Lc_Pian Cheek (PLANCKr
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection { MSP)
Paries Dov Charge (PKS j
Residential TIF MF-R)
Mass Transit TIF (TIFF ,�.�..�.
Commercial TIF MF-C)
indtmWai TIF (TIF-I)
Institutional TIF (TIF-I
Office TIF . -0)
Q, Water Quality i (WQVAL)
a
H Water Qua ty (WCUAiVT)
Fi fe Safety (FLS)
Erosion Cntri Permit (ERPRMTJ -_____„
Uj
Erosion PiancklUSA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: / , O
EX TF.,?l•R DOOR L OCA VEK r,J PO MM
iT U7 - A.
CLOSET
cr-
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SLIDING MIRRORED DOORS ? -2
2
•
LIABILITY: The City of Tigard, Oregon, or
its employees, shall not be re3ponsible tot
I FIRE discrepancies which may appear hereon.
I PLACE
L BEDROOM
12' X 1316I1 ( ;
LIVING
ROOM n
APPROVED FOR CONS,rRUCTION
U o CITY OF TIGARD
r 1 PERIN.I-f N0.rn_016•o%33 SITE ADDRESS Ivbo Sw oV!A T76K
U L�_ -
AU BY---2T----.._— DATES
JANJ-11fes`
(TANK
TER .S�l I'Il1 �ItIF��f/I
$/n ul4 c1�*d" -��/n u BATHROOM�yli� 6'6,'x to- �
vl 11
At- p c
5Mow WT.
j-
UM81 L
LINEN
C----- C. 30DOOR CCESS SINK
CLOSET
L 11�
-- LOUVERED
000R ?
~ P ANr
3 0 � -" SELVES
� K 1 >-CHEN
LAUNDRY a I STEP
30" DOS a -FFF -1-T FTL
loo p"! T U B
k, x 4
�i n�. �,�•��� s t a TYLED LEDGES
EXTERIOR DOOR
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• EX TERI• DOOR
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I FIRE
I PLACE
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LIVING „
ROOM
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WATER t v 1
TANK ►�
C 30 CMR
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LAUNDRY RC1 f1/'1
30!' coo Io►lin
EXTERIOR DOOR
�NAT�n Zzo
BRENT ESPY
11060 SW NORTH DAKOTA ST
TIGARD, OREGON
PH. 639-9598
RE: ADDITION
HERE IS A LIST OF THING THAT NEED TO BE COMPLETED BEFORE WE CAN
ISSUE A BUILDING PERMIT.
1 PROVIDE COMBUSTIBLE AIR FOR FURNACE AND WATER HEATER.
2 BATH ROOM MECHANICAL VENTILATIOP? SYSTEM TO BE CAPABLE OF
PRODUCING A CHANGE OF AIR EVERY 12 MIN. BATH ROOM EXHAUST SHALL
BE VENTED DIRECTLY TO THE OUTSIDE.
3 DRYER VENT MUST TERMINATE OUTSIDE. MAXIMUM LENGTH 25FT FROM
DRYER TO EXHAUST WITH A REDUCTION OF 2 . 5FT FOR EACH 45 DEGREE
BEND AND 5FT REDUCTION FOR EACH 90 DEGREE BEND.
4 SMOKE DETECTOR INSTALLED IN BEDROOM AC/LC REQUIRED.
5 7 FT 6 INCHES MIN CEILING HEIGHT REQ.
6 VENTILATION FAN REQUIRE IN LAUNDRY AND BATH ROOM
7 USE R 49 IN CEILING AND R 21 IN WALLS WILL SATISFY ENERGY
CALCULATION.
8 FILL OUT A PERMIT APPLICATION
Permit#:
Address:
Issued by: Date:
Statement: information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residentia!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. Th:.s statrment will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2; and either box 3A or 313:
i
1. 1 own, reside in, or will reside ir the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
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 Consiruction Contractors Board.
OR
3B. I will be my own general contractor.
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 wi.h the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the a ye information is correct and that I have read and do understand the Information
7 __4son
ponslhllltles on the reverse side of thlR form.Notice to Property�ners about Constru
fSJYnafurc o .rmit app icant / ( ate)
(White copy to issuing agency permit file,
pink copy to applicant)
Information Notice to Property Owners
About Construction Respo sibilities
Note: This leo rahon Notice to Property Lwners about onstruetion Responsibilitir
was developed by a Construction Contractors Board in 1cordance with ORS 701.055(5).
if you are acting as your own contract to construct anew home or mak a substantial improvement to an existing structure,
you can prevent many problerm by beim aware of the following respon bilities a,4 areas of concern.
E PLOYER RESPONS BILITIES: -a
If you hire persons not registered with the C struction Contractor Board to do labor in constructing or assisting in the
construction or improvement pf a residential stn ture,you will,in m st instances,be ruled to be an employer and the people
you hire will be employees. As the employer,yo ust comply wit the following:
Oregon's withholding tax law: As an employer,yo must withhol income taxes from employee wages at the time employees
me paid. You will be liable for the tax payments eve if you don't ctually withhold the tax from your employees. For more
information,call the Oregon Dept.of Revenue at 945- 091.
Unemployment insurance tax: As an employer,you a equi d to pay a tax for unemployment insurance purposes on the
wages of all employees. For more information,call the Ore on mployment Division at the Department of Human Resources
at 378-3524.
Workers'compensation insurance: As an employer,you Subject to the Oregon Workers'Compensation Law,and must
obtain workers'compensation insurance for your employe s. I ou fail to obtain workers'compensation insurance,you may
be subject to penalties and will be liable for all claim costs f one o your employees is injured on the job. For more information,
call the Workers Compensation Division at the Depart ent of C nsumer and Business Services at 945-1$88.
U.S.Internal Revenue Service: Asan employer,yo must withho federal income tax from employees'wages. You will be
liable for the tax payment even if you didn't actually ithhold the tax For more information,call the Internal Rzvenue Service
at 1-800-629-1040.
OTHER RESPO SIBILITIES AND REAS OF CONCERN:
Code compliance: As the permit holder this project,you are respons le for resolving any failure to m. et code requirements
that may be brought to your attention rough inspections.
a Liability and property dame surance: Contact your insurance age t to see if you have adequate insurance coverage for
accidents and omissions suc s falling tools,paint overspray,water dar age from pipe punctures,fire,or w%rk ghat must he
rn re-done.
-J Time to supervise employees: Make sure you have su`'+iciew!itnc to.i .rvise your employr.
m �
wExpertise- ake sure you have the expertise to act as your own general cont ctor,to coordinate the work of rough-in and finish
trades,and to notify building officials at the appropriate times§o they can rform the required inspections.
If you have additional questions,write or call the Construction Contractors Board(PO Boo 14140,Salem,OR 97309-5052,
503/378-4621). The Board is located at 700 Summer St. NE Suite 300,in Salem.'
prop-own.pM
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