9180 SW 66TH AVENUE ADDRESS:
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i:\records\microflm\targets\building.doc
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CITY OF TIGARD Fill-DING INSPECTION DIVISION A�!__
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
lLL� ��B U P — A- �r
/ ) Date Requested _ � j AM PIUI � BLD l/ / AA,
Location c. 6) ` Lk% Suite MEC4�+---
Contact Person t<'- �'OL c 12 - Ph PLM
Contractor Ph SWR
111LDIN Tenart/Owner ELC
e aiding Wall ELR _
Footing Access: FPS
—
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes: � �� j -----
Slab -- --- 1-�rJ(� 21�;j , -1-7� Gt SIT
Post&Beam -
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation _ J
Drywall Nailing -- -- — — -
Firewall
Fire Sprinkler
Fire Alarm —� -'�,
Susp'd Ceiling
Roof
Misc:
A PART FAIL
PLUMBING
Post&Beam —"
Under Slab
Top Out
Water Service _ ZZ
Sanitary Sewer
Rain Drains
Final
PASS PART FA!I_ —_
MECHANICAL
Post&Beam - - - --
Rough In
Gas Line -
Smoke Dampers
Final — - - - - —
PASS PART FAIL
ELECTRICAL - --- _-
Service
Rough In
a. UG/Slab
Low Voltage
Fire Alarm
Final
F- PASS PART FAIL —
SITE
67 Backfill/Grading —
LO Sanitary Sewer
.-J Storm Drain [ ]Reinspection fee of$ required before next Inspz ctfon. Pay at City Hall, 13125 S'.N Hall Blvd
Catch Basin
Fire Supply Line ( ]Pleas s c9II for Veinspection RE: — ( Un to to inspect-no access
ADA
Approach/Sidewalk
Other Date ` Inspector r Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
---- -----------
MAc;'-r*FR F,ERMTT
CITY OF TIGARD PIERMI-1- #. . . . . . . : 11ST96--0333
COMMUNITY DEVELOPMENT DEPARTMENT DAME ISSUED: 07/02/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
151125DA-006012
09180 SW 6611-1 14l1-
SUB17I V I S31 ON. . . . :
ZONING: R-4. 5
. . . . . . . . . LOT— — . . . . . . . .
Remarks: ADDITION PATH 1
--------------------------------------------------------------- BUILDING -------------------------------------------------------------- -
REISSUE: STORIES.......: C' FLOOR AREAS---------- BASEMENT...: 0 3f REQUIRED SETBACKS---- kiFQUIRED-------------
CLASS OF WORK.:ADD HEIGHT........: 31 FIRST....: 0 5f uARAGE.....t 408 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 408 sf FRONT.........: 0 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: I FINB;MENT: 0 5f RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: I BATH: I TOTAL------: 408 sf VALUE..1: 33398 REAR..........: 0
--------------------------------------------------------------- PLUMBING -----------------------------------------------------------------
SINKS......... 0 WATER CLOSETS.: i WASHING MACH..: 0 LqUNDRY TRAYS.- 0 RAIN DRAIN ft: 0 TRAPS........... 0
LAVATORIES....: I DISHWASHERS-- 0 FLOOR DRAINS... 0 SEWER L:NL ft: @ SF RAIN DRAINS: 0 CATCH BASINS.. : 0
TUB/SHOWERS...: I GARBAGE DISP..: 0 WATER HEATERS,: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS—: 0
OTHER FIXTURES: 0
------------------------------------------------------------ MECHANICAL ---------------------------------------------------------------
JEL TYPES---- FURN ( I 00K 0 BOIL/CMP ( 3HPi 0 VENT FANS-- : I CLOTHES DRYERS: 0
/GAS/ / / FURN )=l@@K 0 UNIT HEATERS...- 0 HOODS.........: 0 OTHER UNITS...: I
MAX INP.: @ BTU FLOOR FURNACES: @ VENTS.........: 3 WOODSTOVFLS....: 0 GAS OUTLETS—: I
---------------------------------___..-----------------•---•- ELEUIRICAL --•----------------------------- -----•-----•---- ------
--RESIDENTIAL
--------------------------------------------------------------
—RESIDENTIAL UNIT--- ----SERV ICE)FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCEI.LAKCUS---- --ADDIL INSPECTIONS--
1000
NSPECTIONS—1000 SF OR LESS: 1 0 - 00 amp.. 0 0 - r00 amp..: 0 W/S';L OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADDIL 500SF.: 0 201 - 40 amp.. 0 201 - 40 asp..: 0 1st 1410 SVC/FDR: @ SIGN/OUT LIN LT: 0 PER AGUR...... 0
LIMITED ENERGY.: 0 401 - 601 amp.,: 0 401 - 600 amp..: 0 EA r4DDL BR LIR: 0 SIGNAL/PANEL...: @ IN PLANT......: 0
MANF HM/SVC/FDR: @ 601 - IVJ@ amp.: 0 601;aeps-1000 V: 0 MINOR LABEL -10: 0
PLAN REVIEW SECTION ---------------------------------
1000f hap/Volt': 0 -------------------------- 1:
-----------
Recomnect only.: @ )=4 RES UNITS..: FVC/FDR)=225 A.: 600 V NOMINAL: CLS AREA/SPC (KC:
----------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------------
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL---------------------------------------------------------------------------------
AUDIO & STEREO.: VACUUM SYSTEM..: AUCIlJ d STEREO. FIRE ALARM.....: INTERCOM/DRGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :1. BOILER.........: HVAC...........: LP CSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: UTHR
HVAC...........I DATA/TELE COMM.: NURSE CALLS....: TOTPL # SYSTEMS: 0
Owner: -----------------------_-______--Contractor: --------------------------- TOTAL FEES:$ 542.85
JOE COSENZA OWNER
4180 SW 66TH AVE
TIGARD OR ?7223
Phone #: 452-0482 Phone III:
Reg #..: 1312"
This permit is issued subject to the regulations contained in the, Tigard Municipal Lode, State of Ore. Specialty Codes and all ot)v
applicable laws. All work will be done in accordance with approved plars. This permit will expire if wL,rk is not itartec within 160
days of issuance, or if work is suspended for more than 180 days.
------------------------------------------------------ --- REQUIRED INSPECTIONS ------------------- -----------
Footing Insp Elpci-ical Servi Gyp Board Insp Building Final
CID Foundation Insp Framing Insp Rain drain Insp Erosion Control
PLM/Underfloor Shear Wal; Insp Electrical Final
Mechanical Insp Low Voltage chanical
Plumb Too Out :Isulation Insp P usb I
gr
(I T1 EAt'-0-P
P e v-m i t t e c? 1-t F-d D klxf 0
El I I t 0 in I c01 639-41 15
Residentiai Building Permit Application
,ty of Tigard
13125 SW Hall Bled.
Tigard, OR 977.23
(503) 629-4171
Jobsite Address: _I i5u,' lob /lug
Subdivision: Lot#_ � Office Use Only
2 Contact Date / / Initials C _S
T
Valuation:
New Construction Only: (Square Footage) e
�. Permit # i'` U
House: Garage: Reissue of ; /
Corner Lot? Y Flag Lot? (Y7) N Zoe
Plat #
Owner-. _1 G e
7 �
Approvals Reg�,iivu.;
11 Planning SPtdacks'__ _ Sc'ar
r c/ 73 Engineering
C Ther
Phone. 2
Contractor:
Items Required
Uw.t �/�
Subcontractors
A�
ddress: >4r"Ipu > C, �� N Truss Details
Other —
Notes 1, _ L
Phone: L_�— _ — l
Contractor's License #
(attach copy of current Oregon license)
Contact Name: ---
Contact Phone: L 1
1
Subcontractors: / (°�r^ Architect/Engineer:
Plumbing: to\Q �'Q f \ __ Address:
Mechanical: yv-)
(attach copy of current OR Contractor's License)
1p �-. C 7 r. car; c5 w 6tQ f Phone:
JOB Dr_SCRIPTION:
r
Applics nt ture ( Applicant Phone number
C7
Received by: / Date Received- L�
wa,w.ay...oe
Permit # Account Description Amount Amt. Pd. Bal. Du
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECI-I)
—
Bldg: _ U S
Plumb:
Mech: >
Plan Check (PLANCK)
Bldg: /
P;umb:
Mech:
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 (Tl�-IS)
Office TIF (TIF-0) _
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) _
TOTALS:
m�
I�
I
� I
INDICATES PROP. LINE. — —
I COSTIVOL rENe INDICATES NEW BLDG. � ■
INDICATES EXI.ST'G. BLDG. `
INDICATES TOPO. LINE.
+ INDICATES EASMENT LINE. — -- -- —
f INDICATES SETBACK LINE. ——————---
ADD-iav $ I INDICATES EROSION FRNCE
,r I NOTE: ACTUAL ELEVATIONS FROM CITY / COUNTY TOPO. MA-.
I
II
— I v
L 448'
N. 89' 48 W. — —i�EL. A40' 1l( Q
200.2'
54------ -------- - __ _____ _ __ ----- - , 111 -
�Qyk I m cv GRAVEL DRIVE
�
-
Q`�. �-, N"k? / I Q� PRIVATEL` DEEDED , j
ew i SELLER EAST TENT
I +��Z N�� I EL. 445' —+EL.442'ui
I
I a f
I _
I
:0 GONSENZA
0 ADDITION CU �M ADDITION
i
i
I I u!
Li, PROJECT - — PROPOSED ADDITION E,Q%
CUNER — JOE CcN5ENLA
ADDRESS 9180 Sell. ro(otrL A,,E
TIGAF;?tD, OR. 972c"3
I Ito PROD. ADDRESS — 6AME
CONST. TYPE. V - N
OCCUPANCY Q-3
I
N L-- - v - - --- -=J`-- -- -J - LOT NUMBER 60i
ZONING ----- R-4S
EL 457' 0 N. 89' 48' W. TAX LOT _—_ B pen
Lu BLOCK NUMBERLO
PAGE 152
x MAP NUMBER 19 125DA
~ LOT SIZE _ 14000 50� FT. 1.32 AC) 1
FOOTPRINT — APROX. 1360 SQ, FT.
6 I T E FLAN LOT COVERAGE APROX l0%
— SOLAR ®ALANCE POINT . 38'
(SEE WORKS-4EET)
I
- - _ INDICATES PROP. LINE.
I �� INDICATES NEW BLDG. \1
w-w-.-.- »- - INDICATES EXIST'G. BLDG. `
INDICATES TOPO. LINE.
INDICATE5 EA51"IENT LINE. — — — —
INDICATES SETBACK LINE, --------
�ppinaN INDICATES ERtJ510N FRNCE �
I I ( NOTE: ACTUAL ELEVATIONS FROM CITY / COUNTY TOPO. MAP.
I
EL. 448 N. 69' 48' W. — _#EL. A40' q
200.0' Lu
to
GRAVEL DR!'/E
k I I
r 0 , I -n
EC
pRIvATELY DE )ED ,
Co
SEWEREASMENI' / ! ---- ----------------- - - `�
—+EL.442
t^� AllI EL. 445'
project
;
54'-0' I 1 CONSENZA
_0., ADDITION
� Q I �aoPo� exuTo
Q ADDITION
KF EL 1114"i, F
I
7_ mow
NOTEv:, rlwn et•
i
__
PROJECT PROPOSED ADDITION E•5• � ` `�'
i I OWNER JOE CONSENZA
i 0 ADDRESS 9180 Sill. 66th AvE
TIGARD, OR. 9-1223
w I I I B PROD. ADDRESS SAME
I
CONST. T 'E. -
I I I 20'-0' I z Y'Ph
OCCUPANCY R-3
--_---- =J------- --� CJ LOT NUMBER 602
ZONING R-45
N. 55' 48' W. (� TAX LOT H 1e�
K I Al`.� 1 , EL 450E BLOCK NUMBER — I 6 TF
IPAGE -- 152
MAP NUM15ER 19 125DA
LOT SIZE 14000 94.FT. (.32 AC.)ly
1
O FOOTPRINT APRCX. 1360 60.FT.
5 I T E L AN C z LOT COVERAGE APROX 10111,
SOLAR BALANCE POINT a 88'
(SEE WORKS-4EET)
Joseph Cosenza
9180 V GGth Ave
Tigard OR 97223
Permit#: M '579.
Address: / d /,r/ 4
" Issued b Date: G�751
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 in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
1. I own, reside in, or will reside in the completed structure.
I understand that I must register as a construction contractor if[lie structure is sold or offered for sale
before or upon completion.
LJ 3A. My general contractor is ———--—
L-1 (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.
i
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
1 / Board. If I change my mind and hire 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
f name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Pro erty Ownersut Construction Responsibilities on the reverse side of this form.
('ignature of permit- licant) (Date)
(White copy to issuing agency permit file. zr
pink copy to applicant) _