Permit j I�, af�;,, C rry To gAR®
MASTER PERMIT
r II COMMUNITY DE Ic LOPMEI 1 PERMIT D : 6/ /200 - 00084
DATE ISSUED: 6/17/2008
T I G A R'D: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S133DD - 10300
SITE ADDRESS: 11830 SW 125TH CT ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 140 JURISDICTION: TIG
PROJECT: BROWN
Project Description: Installing exterior door, 3•X10' landing, and staircase to second level of home.
BUILDING
REISSUE: STORIES: 0 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: 0 FIRST: s1 BASEMENT: sl LEFT: SMOKE DETECTORS:
TYPE OF USE SF FLOOR LOAD: SECOND: sl GARAGE: 51 FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: T5R0.
sf RIGHT:
VALUE:
OCCUPANCY GRP: BORM: BATH: • TOTAL: 0 sl 0.00 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:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: • BOILJCMP < 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 SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS I
1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W6VC OR FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 5005F: 201 • 400 amp " 201 • 400 all p. 1st WO SVC+FOR
SIGN /OUT LIN LT: PER HOUR •
LIMITED ENERGY: 401 - 600 amp: 401 • 600 amp EA ADDL BR CR: SIGNALJPANEL: IN PLANT.
MANU HM /SVC /FDR: 601 - 1000 amp: 601•amps- 1000x. MINOR LABEL:
10005 amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY 1
A. SF RESIDENTIAL . 8. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: a BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA TELE COMM: NURSE CALLS: TOTAL a SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
MARY BROWN CORNERSTONE CONSTRUCTION I INC laws. All work will be done in accordance with approved plans. This
11830 SW 125TH CT 15002 SE ROB INETT permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 MILWAUKIE, OR 97267 if the work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 •
through 952 - 001 -0080. You may obtain copies of these rules or direct
Phone: Contact #: PRI 503 -522 -8830 questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
FAX 503- 794 -7270
Reg #: LIC 161367
TOTAL FEES: $ 220.13
REQUIRED ITEMS AND REPORTS
A, f —
9 � ''` e
Issue • : y : � ' � 1 — i Permittee Signature : ; 6
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CaII 503.639.4175 by 7:00 a.m. for an inspection that busin:. -s day.
This permit card shall be'kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY'. OF TIGARD
EtUILDINO DIVISION
A PERMIT #: MST2008-00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/171200E3
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Alhk: 11.
INSPECTION WORKSHEET FOR DATE: 6/27/2008 TIME: 7:01AM PAGE: 8
SITE ADDRESS: 11830 SW 126TH CT CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 140 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Installing exterior door, 3%10' landing, and staircase to second level of home.
OWNER: BROWN, MARY PHONE #:
CONTRACTOR: CORNERSTONE CONSTRUCTION I INC PHONE #: 503-522-8830
Inspection Request Scheduled For: Date: 612712008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 071956-01 603-522-8830 N
215 fr"-r2Xi.4.4,1 isa- C
Corrections/Comments/Instructions:
a 4 ali . - JA-c , — re ....A.c 4. • • - , rlit 1 /
(0 1 C Z - '
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PASS Li PARTIAL APPROVAL Li CANCEL 7 NO ACCESS
FAIL l CALL FOR INSPECTION F 1 ADDITIONAL FEES ASSESSED
Inspector: - Date: .--- Phone #: (503) 718- 2-51
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CITY OF ' - '
��mn n�'w— TIGARD
'���U���U���� DIVISION �
~~~,"°~~�""��� ~�"~°~°°=,"~ - PERMIT #: &4ST2008-00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6117/2008 •
Phone: (503) 639-4171 Az, nk
Inspection Requests �4Hnoj: (503) 639-4175
aJH�*/
INSPECTION WORKSHEET FOR DATE: $/2012008 TIME: 7:O2AM PAGE: 12
SITE ADDRESS: 11830 SW 12511 CT CLASS OF WORK:
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT #: 140 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Installing exterior door, 3)(10' landing, and staircase to ecoud levol of home.
OWNER: DR0VVN, MARY PHONE #:
CONTRACTOR: CORNERSTONE CONSTRUCTION | INC PHONE #: 503
Inspection Request Scheduled For: Date: 6B20V2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
296 Mixo.inopoc1iwn 071661-01 503-5]2-08]0 • Y
265 '
Corvectione/Connnnenta/|nodructiona:
-a <--- 4,__ - ' ,4:' ^~ • ~-;,_ w 5 Air ^�^� -~-; '- .",^ --
1 7/77-- in PARTIAL APPROVAL 1 CANCEL NO ACCESS
| | FAIL ri CALL INSPECTION 0 ADDITIONAL FEES ASSESSED
. �
|nInspector: �^} Date: ^-- � —it/2, Phone #: (503) 718-
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CITY ��N�~�� �����~H��������
OF mov��»^mn���
'BUILDING ��UN��� ��U��U��U����
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PERMIT #: K8ST2000-00084
13125 SW Hall 8lvd..Tigard, OR 97223 DATE ISSUED: G/17/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 0/19/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 11850 SVV125THC[ CLASS OF WORK:
SUBDIVISION: VI[..LAGE AT SUMMER LAKE PARK 4 LOT #: 140 TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Installing exterior door, 3%10' landing, and staircase tn second level of home.
OWNER: BROWN, MARY PHONE #:
CONTRACTOR: CORNERSTONE CONSTRUCTION |INC PHONE #: 503-522-0830
Inspection Request Scheduled For: Date: 6/19/2008 Pour Time: 1:00
Code # Inspection Description Confirm # Contact # Message
205 Footing 071598'01 503'532-8330 M
Corrections/Comments/Instructions:
^^~��
-TV �/Zz. ���'
rip s Ei PARTIAL APPROVAL 1 CANCEL | | NO ACCESS
FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: � Date: --/9—~ref Phone #: (503) 718- 74-4-5
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Cross 1orc.c.• Vs' 601 e ,e3S '
City of Tigard
Approved Plans
By5,s.
Date obs,v‘cv
SITE COPY