9095 SW 66TH AVENUE 9095 W 66"' Avenue
1
���� �� ������ � MASTER PERMIT
PERMIT#: MST2000-00231
DEVELOPMENT SERVICES DATE ISSUED 7121/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09095 SW 66TH AVE PARCEL: 1S125DA-01001
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: JURISDICTION: TIG
REMARKS: repair dry rot under floor, remove tree from under foundation and placing a new roof and sheeting,
repairing all dry rot
BUILDING _
REISSUE. STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: REP HEIGHT: FIRST: sf BASEMENT. sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: al GARAGE. sf FRGN'r: PARKING SPP.CES:
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT sf RIGHT.
VALUE: 5 S.our1 a!
OCCUPANCY GRP: R3 BDRM: OATH: TOTAL.: sf REAR.
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES' DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS. CATCH BASINS:
TUB/SHOWERS. GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS.
OTHEI4 FIXTURES.
MECHANICAL
FUEL TYPES FURN�100K. BOIIJCMP<3HP: VENT FANS: CLOTHES DRYER.
FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS.
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER, TEMP SRVCIFEEDERS- BRANCH CIRCUITS MISCELLANEOUS ,ADD'L IPISPEC11ONS
1000 SF OR LESS: J 200 amp: 1 0 200 smpWISVC OR FDR: PUMPARRIGATION: PER INSPECTION:
EA ADD'I.500SF: 201 - 400 amp 201 400 amp: 1st WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITSU ENERGY: 401 600 amp: 401 600 amp: EA AODL OR CIR: SIONAIJPANEL: IN PLANT:
MANJ HMISVCIFDR: 601 • 1000 amp. 601-amps•1000v: MINOR LABEL:
1000�amUW011
PLAN REVIEW SECT ION _
Reconnect only
>..1 RES UNITS: SVCIFDR>•226 A.: >600 V NOMINAL: CLS AREAISPC OCC.
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL R.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURRLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK. INSTRUMENTATION MEDICAL: OTHR
HVAC DATArTELE COMM- NURSE CALLS: TOTAL A SYSTEMS:
TOTAL FEES: $ 303.32
Owner: Contractor: This permit is subject to the regulations contained in the
JOAN JOHNSON OWNER Tigard Municipal Code,Slate of OR Specialty Codes and
09095 SW 66T H AVE all other applicable laws. All work will be done in
TIGARD,OR 97223 accordance with approved plans. This permit will expired
work is not started within 180 days of issuance or if the
work is suspended for more than 180 days AT TENTION
Phone. Phone: Oregon law requires you to follow rules adopted by the
OR;gon Utility Notification Center Those rules are set
Rep 9 forth in OAR 952.001-0010 through 952-001.0080 You
may obtain copies of these rules or direct questions to
OUNC by caNng(503)246-1987.
REQUIRED INSPEC110NS
Foundation Insp Electrical Final
Electrical Service Building Final
Framing Insp
Insulation Insp
Rain drain Ins4—•-
i
Issued y Permittee Signature :
Call (503) 639-4175 by 7:00 p.m. for an inupection needed the npi t business A9y
CITY OF TIGARD Residential Building Permit Application Plan Check#
13125 SW HALL BLVD. Alteration - Interior Only Recd By c._77" --
Date Recd__
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 7- ►0 • 4u
V 503-639-4171 Date to DST 7•-!0' 1
F 503-CS4-1297 Permit#M1�apr�-pOZ.3,
Print or Type Called
Incomplete or illegible applications will not be azcepted
F*4�)'140-31 Y0
-------- -- Name of fT780
'� ,n�— ----------- Name
Jot) ah -'r v //�� Mnilin Address
Address Site dres Architect 9
v ; .� VP City/State Zip Phone
`J 04akj -
Owner Mailing
dre s
S S a1 Engineer Mailing Address —
Citylstate Zip Phone
Z 31
y ----
City/State Zip Phone
General Name f I __
Contractor 0 n r Describe work New O Addition U Alteration O Repair O
Mailing Address to be done -
Prior to permit Adq#io al Description of Work:
issuance,a copy City/State - Zip Phone 3G d -(1 v✓i �•! /��w �r r S'l''-fl h)
of all licenses /7 f tTe 1 v Gt seen
are required if Oregon Const Cont.Board Exp.Date PROJECTD�
expired in COT Lic.# VALUATIONS��
database - -- - -
Mechanical Name — - NEW CONSTRUCTION ONLY:
Sub- — _— Sq. Ft. House: — I
q. Ft.Garage
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Pnot to permit - subcontractor in the following areas
issuance,a copy City/Stale Zip _ Phone
of all licenses Restricted Audio/Stereo
are required if Oregon Const. Cont.Board Exp Date Energy System Alarms
expired In COT Lic.# Instnilations V80ULIM Irrigation
database __ System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address -- Corner I_ot YES NO Flag Lot YES NO
_(check or check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy Solar Compliance
of all licenses aie Oregon Const.Cont.Board Exp.Date C81CUIation Attached
required if Lic.# i—��--�--
expired in COT v I hearby acknowledge that I have read this application,that the
database Plumbing Lic.# Exp.Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
_ Oateaws i
Narpe — rion StSignahire of Owner/Agent Date
Electrical °- ( r -F'C - --
Sub- Mailing Addross Contact Person Name Phone#
Contractor L,L) FOR OFFICE USE ONLY:
Cltyl tete Zip/ Phol�e Plat#: TMap/TL#
Prior to permit X-0
1`^ (��G1� /, / P �� I LS �� •o �(r� I
Issuance,a copy l / w Setbacks. Zone:: Solar:
of all linenses are Oregon Const.Cont.Board Exp Date 4 q, *-
required if Lic# / ? / /•�'
expired in COT -_ — Engineering Approval: Planning Approval TIF:
dstaba3e Electrical Lic.# Exp Date — —
Electrical Supervisor Llc.# Exp.Datc
I forms\sfintalt doc(DST) 10/23/98
Permit#: H7;10-00—"QQ 02 z-/
6f
�.� Add►• a`-
\:, ;. Issu by: Date:
►ygg
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 7ermit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
1. I own, reside in, or will re aide in the completed structure.
2. I understand that I must register as a construction contractor if the structure is �old or offered for sale
before or upon completion.
LJ 3A. My general contractor is
t—J (Name) Contractor aegis. #
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.
1 hereby certify that the above information is correct and that I have read and do understand the Information
Notice t7Pr7erty Owner out Construction Responsibilities on the reverse side of this form.
2(Sign c Of.)ermit applicant) (Dat
(White copy to issuing agency permrs,Ole,
pink copy to applicant)
Information Notice to Property fawners
About C;onstructior`! Responsibilities
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F,MPLOYER HCSPClNS151 iTfES;
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, C:r< 97223
IMPORTANT PERMIT NOTICE JUL 2 ? t
2000
GARNER ELECTRIC gl,.
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 9?306-1248
Electrical Signature Form
Permit #: MST2000-00231
Date Issued: 7121/00
Parcel: 1 S125DA-0;001
Site Address: 09095 SW 66TH AVE
Subdivision:
Block: Lot:
Jurisdiction: TIG
Zoning: R-4.5
Remarks repair dry rot under floor, remove trey from under foundation and placing a new
roof and sheeting, repairing all dry rot
Your company has been indicated as the electrical contractor for the permit indi-,ated above. In cider for the
electrical permit to be valid, the signature of the supervising electrician is required. Pleaie have the
appropriate individual from your company sign below and return this Electrical :signature Form prior to the
start of the work to the address above, ATTN. Building Dept.
No electrical inspections will be authorized until this completed forrvi is received
OWNER: ELECTRICAL CONTRACTOR:
JOAN .JOHNSON GARNER ELECTRIC
09095 SW 66TH AVE_ 21785 SW TUALAT�N VALLEY HWY S
TIGARD, OR 97223 ALOHA, OR 97006-1248
Phone #: 246-3146 Phone #: 591-1320
Req #: LIC 1211 sq
Slip 3707S
ELF 34-305C
AN IVK SIGNATURE IS REQUIRED 64WTHIS RM
r
Signature of Supervising Electrician
If ,ou have any questions, please call (503) 639-41'x. ext. # 310
CITY OF TIG,A►RD 24-Hour
BUILDING Inspection i-Ine: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171
BUP —---- -
Received ��**,, _ Date Requested _ _-___ — AM_ --PM SUP
V ___..
Location /Q -� �.Q _
.6 _�'"L`Q MEC
Contac:Person __ — — Ph('513__) 7 1PLM
Contractor P'h(—_ } _ SV11 --_
IL I
Tenant e __ 1_d�r'j — 111 ! h S: ---- EFooting E
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Notes:Inspection SIT _---
Post&Beam p /
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear _ /I
Framing C - —
Insulation
D ywell Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof _—
O r:
i
P M _ 19
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer '
Rain Drains ��~ --
Catch Basin/Manhole
Storm Drain —ShowerPan
Other-
Final
therFinal
PASS PART FAIL
MECHANICAL -- -
Post&Beam
Rough-In ---- -- —
Gas line
Smoke Dampers — - —
Final
PAS PART FAIL -- ---
Rough In —-- -- ----- ---- — — - ----�—
UG/Slab
Low Voltage --�_. ---- —--- - - ------- -- ----- - — �------
Fire Alarm
Reinspection fee of$ required before next inspection. Pay at City Pall, 131 k5 SW Hall Blvd
P - Unable to inspect no accesr:
�T �� Please call for reinspection RE:_--_.._ ___�—_ _ P
Fire Supply Line
Approach/Sidewalk Qab—��---` -a — Inspector
Other:
Final — DO NOT REMOVE this Inspection record from this job site.
PASS PART FAIL
SUBJECT PHOTOGRAPH A.DPENDUM 20014_
MxTower!Clirnt JOHNSON --
Prop-Y/Ah— 90.95 SW 96TH AVE---
City TIGARD__ C—y WASHWITON sww OR_Zip Code 97223
r.ardor SUNSEI'MTG MIDAIR WESTERN Sl1NRISE —--_�
i
7
--1 ,
FROM'OF
1 SUBJECT PROPERTY
1
(�. *1 Y� � x♦G,II_.FIs 1
O'ILS u moi'' ^"ei?Or
, UMILI i Y.The City of Tigan+, Orogon, or
its employees, shall not be responsible fur
Cscrepancies which may appear hereon.
STREET SCENE
U
APPROvi-YD FOR CONS-FRUCTION
CITY OF- TIGARD
PERMIT NO.�►.s1J e'iz "za 1 . ADDRESS..&JL-sa �,
. nY_It_Z _
PSI
IZS
QL
41,
--66
ccur,tv a,= State_ OR Zip
20
16.5
22.5
GARAGE
4.5
RA rH
DI N Nc,
AREA
K
I
T
C
H BFDPCX)M
E
N
IIVING
ROOM
DWELLING*
LINE"
5 x 16.5 = 272.25
x 21 = 567
Stt-.tOtat* 839.29 SF
GE.
5 x 20 330
x 15.5 = 93
Subtotal 423 sr
839.�5 SF
tst G.L.A. 839.25 SF
v
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r i
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_vim ,
{ j•, Ski nrl Vfc —_-_ - - -
1 �1 `w
601
of o+r y rof ore.,
or --
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