9520 SW FREWING COURT ADDRESS:
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islrecord slmicrcrlmltargetslbuilding,doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business PI ne: 639-4
Inspection:� �
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fire lace
Post/Ream Struct, Plbg. Top Out Elec. Hough-in FINAL
Post/Beam Mech. San. Sewer Gas Lire -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulaticn -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. Elec
Date Requested: �c: �/� Time: AM
Address:-7-5-
Buildm: ',c`t.v 3 `'1'Zoq Pe nWit #: 11�——GpU-;L-
THE F LLOWING CORRECTIONS ARE REQUIRED-
17
Ins _tor: Dater �
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
4
1
CITU OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone:V-41717Inspection:Footing cusp. Ceiling Sprink. Rough-in
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation 44ech.
Underflr, Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ----71A- ��'� Time: AM PM
Address:
�' CC12/1 /
Builder. _ �.' Pe it #: c2c) O z ,,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ir.s ector: Date: r
_APPROVED _DISAPPROVED _ APPROVED SUBJECT TO ABOVE
__Call Fo, Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)830-4171 BUILDING PERMIT
FERMI T #. . B 1=5 v_00
DAl E ISSUED: 01/03/9b
639-4171.
PARCEL: 26 102C:A-002.34
SITE ADDRESS. . . : 09520 SW F=PEW I NG CT
SUBDIVISION. . . . : VIEWCREST TERRACE ZONING: R--4. 5
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . 11
REISSUE: F"LOOFR AREAS- ----- --- EXTERIOR WALL CONSTRUCTION--
CLASS OF WORK. :ADD FIRST. . . . :360 s f N: S: E: W:
TY1='E OF USI:.. . . :SF '517 OND. . ,. c sf PRO TrCT OPENINGS?—
TYPE
PENINGS?__.___._.____TYPE OF CONST. :5N THIRD. . , . :360 sf N.- S: E. W:
OCCUPANCY GRA'. :R.3 TOTAL—_-___._: 720 sl` ROOF CONST .-, F=IRE RE [? :
OCCUPANCY LOAD: BASEMENT'. : sf AREA SEP. RATED:
STOR. : 1 HT. : 1.0 f t GARAGE. , . : sf OCCU SEP. RATED:
BSM`F? : 11LLZ?: REOD SETBACKS--------- REQUIRED—
FLOOR LOAD. . . . :40 psf LEFT.24 ft RGHT:38 ft 1=IR SPKL: SMOK. DET. .
DWELLING UNITS: RNT : ft RFARE12 ft FIR ALRM: HNDICP ACC:
SEDRCMS: BATHS: IMP SURFACE: PRO CORFU- PARE!.I NG:
VALUE. $ : 13156
Fie mark s: ADDING A SHELL FOR SUN ROOM NO FINISH WALL ONLY
Owner. ___...__..__.__.__._.___._____.__________.___._..._._____________.___ 1=ELS
F itFINL:�:a F_rUTL.ER type amoLtnt by date recpt
09520 SW FREWING CT PRMT $ 25. 00 JF"T 11/08/94 94-258518
PLCK $ 16. 25 JFT 11 /08/94 94-258518
TIGARD OR 91L23 5PCT $ 1. 25 JFT 11/06/94 94--25851A
Phone #: 639-9704
C:;ontractor :
OWNER
42. 50 TOTAL
— - ---- REQUIRED INSPECTIONS --- ---
This perelt is issued subject to the regulations contained in the Foot/fok.rnd Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Framing Insp
applicable laws. All work w:ll be acne in accordance with teras Line Insp
apprr,ved plans. This pereit will expire if work is not started Pain drain Insp
within 188 days of issuance, or if work is suspended for mor? Filial Inspect i an
than :80 days.
I e r m i t t e e `a i q n a t u r e
i ssi-red By :
Call for inspec=tion — 639-4175
PLAN CMEM FESS LIST
PLAN CEM !I ►y PERMIT # �li�'�lS dvo Z DATE
JO ADDRESS D Y S D sic, , r _ TAX/MAP/LUT %'.5 1 D LCA
SBDIVISICri�T►//owi r�s f Tiler TAT / / LAND USE L
VALUM ATION %.3 S�O, SE __ Pd?AR /Z LEFT z RIGErr
NORK CLASS' d BRIGHT i�' TOTAL AREA
TSB TYPE .S F _ FMOR L3ADy0 IST -36,()
�[S'Y
TYPE_f/� _ BRAT TYPE 2ND
Occup COUP j< 3 Df m.L/DNITS 3RD
OOLUP/LflAU�- # BED ROOKS BASEMENT
# STORIES # BATHS GARAGE
P lRMIT # DESCRIPTION -l4l LXJNT }AANDMIT PD BAL DUB
u F' 5 vd L BUILD PERMIT FEMS _�� �.5v
PLUMB PF.RKIT FEES
NECK PERMIT FESS
STATE BUILD_ TAX(5t) _-
BUILDIPG
PLUMBING
MEC HIANICAL
PLAN CHMX FEES
BUILDI24G ;61. ,
PLUMBING
MEC EIMCAL _
SEWER CONNSC."rION
SEWER INSPECTION -
STU ST SYSTEM r)XV _
STORM DRAINAGE SYS
PARKS SYSTEM DEV
EROSION PERMIT _
EROSION PLAN USA,
ERSOION PLAN COT _
TOTAL 2 .,Z� �f Z. I-V
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Permit 9:
Address: S Z C S
Issued by: Date: —w
Statemen*: 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 state nen(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 313:
1. I own, reside in, or will reside in the completed structure.
2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
t�J before or upon completion.
❑ 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contract that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
F913B. 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.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this fo M.
c7
Lj
(3ignature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
Information Notice to Property Owrers
About Construction Responsibilities
Note: This Information Notice to Property Owners about Construction Responsibilities
was developed by the Construction Contractors Bourd in accordance with ORS 701.055(5).
If y ou are acting as your own .*ontractor to construct a new home or make a substantial improvement to an existing structure,
you can prevent many problems by being aware of the following responsibilities and areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the
zonstruction or improvement of a residential structure,you will, in most instances,be ruled to be an employer and the people
you hire will be employees. As the employer,you must comply with the following:
Oregon's withholding tax law: As an employer,you must withhold income taxes from employee wages at the time employees
are paid. You will be liable for the tax payments even if you don't Actually withhold the tax from your employees. For more
information, :aV the Oregon Dept.of Revenue at 945-8091.
Unemployment insurance tax: As an employer,you are to pay a tax for unemployment insurance purposes on the
wages of all employees. For more inforridtion,call the O- inployment Division at the Department of Human Resources
at 378-3524.
Workers'compensation insurance: As an employer,you are subject to the Oregon Workers'Comperisaticn Law,and must
obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may
be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information,
call the Workets'Corr-> ,ation Division at the Department of Consumer and Business Services at 945-7888.
U.S.Internal Revenue bervice: As an emplo;-,.r,you must withhold federal int ome tax from employees'wages. You will be
liable for the tax payment even if you didn't actually withhold the tax. For more information,call the Internal Revenue Service
at 1-800-829-1040.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance; As the permit holder for this project,you are responsible for resolving any failure to meet code requ,rements
that may be brought to your attention through inspections.
Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools,paint overspray,wat,x damage from pipe punctures,fire,or work that must be
re-done.
Time to supervise employees: Make sure you have sufficient time to supervise your employees.
i?xpertise: 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 or call the Cor:,.:uction Contractors Board(PO Box 14140,Salem,OR 97309-5052,
503/378-4621). The Board is located at 700 Summer St. 14E Suite 3W, in Salem.
prop-own.pm4
1/94
Rt
Residential Building Permit Application
Chy of Tigard
13125 SW Hall Blvd.
Tigard, OR 972231 %
(503) 639-4171 a
l
Jobe is Address: ` _5"„10 s, I')
Subdivision: ' ��*�_— Office Use Only
PlancWRecValuation
Corner Lot? Permit Y # u 1J�'��- Cj b 6
�•'
Reissue of
Flag Lot? Y
Map &xl#
Owner: < '�� ���Dil X l C��(�4rC ADDrovais Raouln i
Address: r
Planning
Engineering --�-
Phone: 21� IL= Other
Contractor: -
� ' hams Reaulred
Address: = _-� —. Subcontractors
-- '� Truss Details
Phone: — n U Other_
Contractor's License #_ INNER
(attach copy of current Oregon license)
Contact Name & Phone: a /,, .yj A
Subcontractors: ArchitecVEnginser:
9
Plumbing: Address: ,^ —
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION:
Applicant Signature & Phone number
Received 1�6uml LDate Received: T� Q
a:wroRacoMOEw�e�� ,CLCD' �i-C*--�
Permit d Account Descrlptlon Amount Ann. Pd. Bal. Due
•
Bldg. Permit (BUILD) C2-5.C!z%'
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) 1(o. Z
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) —
Sewer Inspectior. (SWINSP) _
Parks Dev Charge (PKSDC) _
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Trana+" TSF (TIF-MT)
Commer:- .TIF-C)
Industrial Tyr (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire District (FIRE)
Erosion Cntrl Permit (ERPP.MT) _
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: �•S_ .2" ` �' ��
CITY OF TIGARD
BUILDING DIVISION
RESIDENTIAL PLANS SUBMITTAL
APPLICANT NAI�1-�z �� PLAN CHECK # .�
ADDRESS: PHONE
DATE RECEIVED: 2 RECEIVED BY:
CHECKLIST (Ali items must be in packet before plan will be re,Jewed)
YES NO N/A
r ] 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tap ons).
2. [ ] 5 SITE PLANS(including tax lot and tax map number,easements,
erosion control provisions, floor elevation of garage and main
floor, set backs, drive-way location, north arrow, scale, location
and termination of rain drains, corner elevations, and contours
if over 159 grade).
3. [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4. REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
potions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5. [ ] [ j FLOOR PLAN(S)
6. [ ] [ ] FLOOR FRAMING
7• [ ] [ ] D4 TRUSS JOISTS (engineering, details and layouts)
8. [ ] [ ] ROOF FRAMING PLAN (all hips and valley supports indicated
and dela-'ed).
— OVER --
YES NO N/A
9. ( ] [ ] N ROOF TRUSSES (engineering, details and layouts)
10. [ ] [ ] N COMPLETE CROSS SECTION(S)
11. [ ] [ ] [XJ ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are 8 h. high or
higher)
13. ( ] [ ] ( WALL BRAKING (structure must meet table R-401.10, revised
alternate method 93.7, or a lateral design shall be provided)
14. ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PLANS. (Attachments must be
clearly legible and fully referenced in the plans).
15. [ ) D9 N BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a poini load).
16. ( ] bd [ ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTION; IN RED
RED WILL ONLY CAUSE DEt.AYS
bk.waw
(It, ISAYMV til} NI-C:f.l P I NO, s x:1+4- i't`44511 A
t_;HN:C;K 14MOUNT t 4;?. `50
r,li)iMC a Fel.TLF-R, 1-kI 11Vt:t.!; CASH NMOUN T' n (I.olzi
t1illlflFi!siw`i a P(i BOX PAYNKN1 ATE' v 1 1 1061-04
I itiARI), oR !.;UADiVIStUN
!It t-14YMt-.1\1 I OMO IN I I 'l-0 0 III I 'ra r lVII IJ 1 t1Mt.Il1Ni FEW 1 U
III Il,tt"ll 14:PM
—,,`0 SW F=REWtN6 (CUNT 1`
III !Irl 1 Ihil U II'd 1 t"t-11 1,
TreDR[`T10M NOTICE
ti
City of Slgard Building De1►ar�t y
923
13125 59 gall Blued. ?igard, Dragon 97
Inspection Line (Rec-O-Phons�= 639-4175 gueineoe Phone: 639-4171
Inspection=
Plbq. Underelab Meeh. Rough-Ln Appr/Sdwlk
Tooting
Top Out Gas trine
pound. P1bA• _ -�
Post/Beam Struct. San. Sewer
Framing -Bldg.
post/Beam Mech. Rain Drain
Insulation
'ply'
Gyp. Ed. ^7Mac:
pl . Underfloor. Water Line -
�_ PM
Date Requested:, C_� r"t' IL
`� n G Permit
Builder:-
7-LL-THE FOLLOWING CORRECTIONS ARE REQUIRED: -- —
�� Y7_
--------------------------------
Date:- 3_-9—4—
inspectV or,
v —
APPROVEb DISAPPROVED APPROVED SUBJECT TO ABOVE
_ Call For ReineP.
CITY' OF T MFCHAN I
PERMITT
COMMUNITY DEVELOPMENT DR �TAVT o C RM 17 �i. . . . . . . MEC94-x095
13125 SW Mail Blvd.Tigard,Orrgan 97223.01 3) 171 DATE= ISSUED: 04/04/94
PARCEL: RS102CA-00234
SITE ADDRESS. . . : 09520 5W FREW I NG CT
SUBDIVISION. . . . : VIEWCREST TERRACE ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11
CLASS OF WORK. . .-AI-T FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPL.: VENT SYSTEI'S:
STORIES. . . . . . . . s2 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES---- --------- L►-3 HP. . . . : DOMES. 1NCIN:
/GAS/ / / 3-15 HP. . . . s C014ML. INCIN:
MAX INPUT: RTU 15-30 HP. . . . . REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
(445 PRESSURE. . . : 50+ HP. . . . : CLQ DRYERS. . :
NO. OF UN?TS----------- AIR HANDLING UNITS OTHER UNITS. :
F URN ( 100K BTU: 1 10000 r_fm: GAS OUTLETS. : l
FURN ) - 100K BTU: > 10000 cfm:
Remarks: GAS FURNACE
Owner^. -----•- ---------------------------------------------- FEES ---------------
FRANCES BUTLER type amni_int by date rec pt
PO BOX 23996 PRMT $ 25. 00 JG 04/04/94 -
5PCT $ 1. 25 JG 04/04/94 -
T-IGARD OR 97281
Phone #-
Contractor:
rRI-COUNTY TEMP CONTROL
13651 SE AMBLER RD
f -ACKAMAS OR 97015 _.--______-__-...______________-.__._____
Ph on a #: 777---3874 OR $ 26. 25 TOTAL
+ R-�q #. . : 72623 ----- REQUIRED - -----
1 - -
This permit is issued subject to the regulations contained in the Gas Line I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be dent in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days.
Permittee Signati_tres G')"I
I s s u e d B y :
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT PlancK/Rec. # _
13125 SW Fall Blvd. APPLICATION Permit #
PO Box 23397
Tigard, OR 97223
(503) 639-4171
Table 3A Mnchanical Code OTY PRICE AMT
Job dZ. 1) Permit Fee -0- -0- 10.00
Address �■M Cr ap --- ---
/ .cy-1 q 2) Supplemental Pet nu 3.00
Furnace to
XUi 7L (,cT _E 1) Incl.ducts d vents 6.00
,77«• �/
Ph—
Furnace 100, +
Owner (.)l K �1✓�LI.._ 3q--1V 2) Incl.ducts&vents 7.50
FloorckvAtoaoap umance
/feA-zQ 1 7 1,3q2L, 3) incl, vent 6.00
uspe.nded heater,w eater
rj 4) or floor mounted heater 6.00
Occupant
Vent not int.in
5) appliance permit 3,00
3pair of heating,reng.
_.. 6) cooling,absorption unit 6.00
""/ „ Boiler or comp,heat pump,air
Tr .11 7) to 3 HP absorp unit to IOOK BTU 6.00 ,
"C' 1 _ Boiler or comp, eat pump,aTon .
Contractor -765/uff�msw —97 ti, 3 " �1S 8) 3-15 HP absorp unit to 500K BTU 11.00
DP i er or co-rip,heat pump,a r co
KR�t.q 3 Q0 7o/_S— 9) 15 30 HP absorp unit.5.1 mil BTU 15.00
°» » Vool,er or comp,heat pump,air cond.
W"37 /a G 10) 3J-50 HP absorp unit 1-1.75 mil BTU 22.50
hereby acknoMw 0 tha7lavieWads app icatan, t the Boilei or comp, at pump,air coM.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given Is correct. (If exempt from State registration, A-ir handling unit
P10390 give reason below.) 13) t0,000 CTM 4 _ 7.50
Non portable -
_ 14) evaporate cooler 4.50
Vent an rornected
_ 15) to a single duct 3.00
anti-ilaeon system not
16) included in appliancd permit 4.50
Hood To—FvWS-y
17) mechanical exhaust 4.50
eaMbe wa k n j—lo—on— alteration 0 repairCommercial or industrial
to be done res ntial O non-residential Q 18; type incinerator 10,00
XlSting USe�—� Other i.e.,woodslova,water
building or property_ 19) heater,solar,clothes dryers,etc. 4.50 U
Proposed use ofC 20) Gas piping one to four outlets 2.00
5
building or property V _ .
T of fuel-oil 21) More than 4-per outlet
Type v natural gas LPG�"� electric�
NOTICE —
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTNUCT!ON — 2
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WCRK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
AFTER WORK IS COMMENCED. PLAN REVIEW 25%OF SUBTOTAL
--
TOTAL 7
Special Conditions
Date issued by
YY(dlMl'
4
GITY OF' TWORD RECEIPT CW PAYMFNT RFCFJPl NO. 194 P 5,0 a 7
CHECK AMOUNT' a P6.25
AME: a IRT, COUNTY TLAP CONIRUL (.,(.ISH AIIUWNI a 0.F40
DDRESS a 13 6 b I S'F*. A M If L F.R RD F:IAYMF:Nl' DATE' a 04/04/94
SUBD IVIS)ION
CLAC%AMAS, OR 97 0 1 r)
:1U1tPOSE OF PAYMFNT AMOUNT F,ATD PURPOSF (W PAYMENT APICIUNT PAID
U.CWINICAL GIF. 215.0P) ST. RUILD PFR J . (P 5
J5RW SW F-REWING C'I*
1010t.. AMOUNT PAIP P(b.25