14425 SW 94TH AVENUE 14425 SW 94TH COURT
CITY OF TIGARD MASTE=R PERMIT
DEVELOPMENT SERVICES ..'FRMT T Tt, . . . I . . : MST97- 010 3..,
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE T SSLIED. 01 /07/97
r,APCE.1, j'S111A1•1--i :a(-,V!
`.)ITE ADDRESS. . . : 1.441-5 SW :14T); CT
SURD I l)I S I ON. . . . P-'ENROSE TERRACE ZONING: R--4. 5
FAL..00f". , L_OT. . . . . . . . . .. . . , .31
Remarks: ROOF/STORM REX*R INCLUDING SHEATHING, BARGE RAFTER AND ROOFING
MATERIAL REPLACEMENT,
---.----------------------------------------------------------- BUILDING -----------------•----- -------------
REISSUE: STORIES.......: 0 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
"LASS OF WORK—REP HEIGHT....,...: 0 FIRST...,: 0 sf GARAGE,....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LnAD,.,.: 0 SECOND...; 0 sf FROM.,,...,..: 0 PARKING, SPACES: 0
YYPE OF CONST.:3N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..f: 0 REAP...........: 0
-------—_------------------------------------------------------- PLUMBING ---------------------------------------------------
SINKS......... ; 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDPY 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/SHOWERS...: 0 GARBAGE DISP.,: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFI_W PREVNTR: 0 GREASE TRAPS,.: 0
OTHER FIXTURES: 0
------------..------------------------------------------------- MECHANICfL -•-----------------------------------------------------------
FUEL TYPES----------- FURN ( INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS,....: 0 CLOTHES DRYERS: 0
FUPN )=100)' .. : 0 UNIT HEATERS- : 0 HOODS........... 0 OTHEP UNITS...: 0
MRK INP,: 0 BTU FLOOR FUPNACES: 0 VENTS..,,.....: 0 WOODSTOVES...... 0 GAS OUTLETS...: 0
--------------------------------------------------------------- ELECTRICAL --•---------..__----------
—RESIDENTIAL UNIT--- ---SERVI''E/FFr,7R---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS- ----MISCELLANEOUS---- --ADD'L INSPECTION'
1000 SF OR LESS: 0 0 - 200 asp..: 0 0 200 alp..: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION; 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 480 asp..: 0 201 - 490 asp.. : 0 1st 0/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
-IMITED ENERGY,: P 401 500 asp..: 0 401 - 600 asp..: 0 EA ADDL BR CIA: 0 SIGNAL./PANEL...: 0 IN PLANT....., : P
MANF HM/SVC/FDR: 0 601 - 1000 asp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0
1000+ asp/volt.: 0 -__..______.______--------.--__.._.. ._ PLAN REVIEW SECTION -- ----------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A : ? 600 V NOMINAL: CLS AREA/SPC OCC:
----•------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY __- _------------------------------------------------
n. SF RESIDENTIAL---------------------------- B. COhMERCIAL-------------------------------------------------------------------I----------
AUE,10 d STEREO.: VAC" SYSTEM..: AUDIO B STEREO.: FIRE ALARM.....: INTEPCOM,'PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM-: 0TH: :: BOILER.•,,.....: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENEP..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: ••
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL M SYSTEMS: 0
Owner: --------------------------------------Contractor: --------------- ----- TOTAL FEEE:t 0.00
DONALD FERGUSON OWNER
14425 SW 94TH CT
'IGARD OR 97224
Rhone M: 628•-6746 Phone M:
Reg C.: rUNP1L'
This permit is issued subject to the regulations contained in till Tigard Municipal Code, Ste,!, a° Ore. Specialty Codes and all other
applicahlf laws. All work will be done :n accordance with approved plans. Thi, pers±t wil! oYpire if work is not started within 160
days of issuance, or if work is susperdea Cur more than 18, days.
------------.--._.__-----__. y___.-._____.. _..---__._____ PEQUIRED INSPECTIONS - --------
Framing Insp
Building Final
N Irl i t i,p
- - _.-• ---_ - _-__ ._ .... . _ _ __.. 5.:1,01 ._ L�
- - f*�.+i��K.•i +iiii Gid:i G Il 7 C3 it 1 7 r -- - -- -
Permit#: t'� iE q7—crCII]5
'�✓ e � � Address:
1 ��,5� �)J
-�L---
: Z Issued by: Li &a e: l-7/ 7
1859
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 chis statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
1. 1 own, reside in, or will reside in the completed structure.
f� 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
r r 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 Construction Contractors Board.
OR
313. 1 will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. if 1 change my mind and hire a general contractor, I will contract «ith a contractor who is
registered with the C'C'13 and will immediately notify the office issuing this building permit of the
name oaf the contractor
i hereby certify that the above information is correct unci that I have rand and do understand the Inrorn►ation
Notice to Prope wners nho 'onstruction Responsibilities on the reverse side or his form.
(Signature o1' ermit applicant) (bate)
IV/1ite cv►p►- to issuing agencY permit file,
pink copy to applicant)
OF TIGAriO Residential Building Permit Application Plan C1e"te
'S SW HALL BLVD. New Construction Additions or Aiteraticrs ^eta 9Y .�,�
.ARD. OR 97223 are 00 � /^-17"�
Single Family Detached/Attached (1 or 2 units) mare o
:)
629
-4171
Zane!o X57
Print or Type
Incomplete or illegible applications will not be accepted called "I re'(
ame )f?• Nacre
oi�rc;
:rib I ` —
L !J f �� . '(1 ? iJ Architect i .+amnq Acoress
dress S1Acaresa
.':P I Phone
",,\J Name —
%weer titawng +Caress
Engineer viag.>Caress
"one i C.ry�State
?neral Name fI :,p I Phor.e
tractor ' DescnD�wore New O Adotion O Aiteranon O
:o.e 10M.? Reca�r
Kant must uarcalMalting Aaoreaa
III of Use I
tv.oe ad
Clip tale
r�eetors �D P'ons rYpe of.:onaWCron
Oregon Const.Cont. 902nd UI ESD. oat@
cu
:3T panty Crass
'tet COT Sus nese Fax or Metros gip,pateYQ3
Ndt't Ce fCnnMlerlG�
If Yeyes(: wOZ
separate F(,$plans and
'�ntC�l Nart>• aCollC'a;tpn to be subnutted
:b- Number of stones
jntractor Marling Address
.1.3 Issuance 17— Proposed Use ..
..:ant must CayrState
-vvae ae zo Phone Prevrcus Use
�ntratmrs Oregon Const Cont. Board Lc ill
-env.yr« p. 0ate VALUATION $
its nus) COT Business Tax or Metrorr t
Exp. oat° NEW CONSTRUCTION ONLY:
:robing Name BUILDING ID
Sub- Unit T pes
rl tractor Marling Address A.) Square Ft All of Units
I
x to Issuance
-v-mrte Must C tyrState —9.)
:+ov.oe as Lp I Phone C
`nQ7G'� Cion C.nst Cant. card l.c.a I _�0 Care D.) I
:eases r Will;nee
eGncal succantraCor wuc or all -esItI
_ars=+sal Plumbing ..c ; one mstallahons' Yes I No
_x0. Date Has the SUDCnnS10n Plat recort;ec�
ICOT 9uslnesa Tax 3f Metro t+ i N/A I Yes 1 No Exp 0i1e I hereby acxnowledge chat I have reaa this appliGsuon, that the
ctrical war.,° rferrancn;ri4n s ccrr_c.. ;hat I ar.. .he awrer:r suthcrzed agent v
ub- the owner ano that:lans sut.mlred are In ccntcliance with CreI
State 'aws.
tractor btawng �ccress
r b u►swnce Signature of CwrtenAgent Date----•
Icart-rustI p.ryrSta!r. �b Phone Contact Person Nay
:v ce ar
'nPhone
" o='s Oregon Ccns: ZCnt. 3Card Lcs c
I
Kr•se� I I �0. Date FOR OFFCE USE ONLY:
rt.:a:on Plat/
'^r 7 Eec-real
:am Z&ml ^to Dare
:DT Business 'ax ar.Metro s I EX: Date �9 APDroval Pah - TIF+
s;:esacp
AP
ccc f>'�al
�--
NIST. Permit (BUILD)
P!umo. Permit PLUMB)
Mech. Permit (MECH)
El C/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
tilech:
ELC/ELR:
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review - planning (CDCPL.N)
CDC Review - bldg (COCBLD) _
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) _
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRM7 _
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) .�
Fire Life Safety (FLS)
TOTALS: _
.'dssvesaoD.�x rev, tG56 /