Permit i
IT � ®F T ► 'R® MASTER PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MST2008 -00154
DATE ISSUED: 11/12/2008
T IG ` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BC - 02900
SITE ADDRESS: 12180 SW ALBERTA ST ZONING: R -4.5
SUBDIVISION: CANOGA PARK LOT: 003 JURISDICTION: TIG
PROJECT: WILLSTATTER
Project Description: Construction of 528 sq ft accessory building.
BUILDING
REISSUE: CUSTOM STORIES: 0 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ACS HEIGHT: 14 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: N
TYPE OF USE SF FLOOR LOAD: SECOND: sf GARAGE: 528 st FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sr RIGHT. 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 19,916.16 REAR: 5
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 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: BOIUCMP < 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 �..y
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FOR: 2 PUMP /IRRIGATION: PER INSPECTION: V? EA ADD'L 500SF . 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION O
Reconnect only:
> =d RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL • • B. COMMERCIAL
0
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
0
BURGLAR ALARM: 0TH: - BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: til
HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL 0 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
STEVE WILLSTATTER OWNER laws. All work will be done in accordance with approved plans. This
12180 SW ALBERTA permit will expire 1 work is not started within 180 days of issuance, or
TIGARD, OR 97223 1 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: 503 -590 -4948 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 736.60
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
e
Issued By • i /`._ •ermt•ee Signature : __/i - r
mL
Call 503. • AOST 'a y 7:00 a.m. for an inspection that business 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.
:. _N c ITy ®F T v 1 A® _ MASTER PERMIT
• PERMIT #: MST2008 -00154
COMMUNITY DEVELOPMENT DATE ISSUED: 11/12/2008
;TIGAttD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S103BC - 02900
SITE ADDRESS: 12180 SW ALBERTA ST • ZONING: R - 4.5
SUBDIVISION: CANOGA PARK LOT: 003 JURISDICTION: TIG •
PROJECT: WILLSTATTER
Project Description: Construction of 528 sq ft accessory building.
BUILDING
REISSUE: CUSTOM STORIES: 0 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ACS HEIGHT: 14 FIRST: sr BASEMENT: sf LEFT: 5 SMOKE DETECTORS: N
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 528 sf FRONT:
20 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf • RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 19,916.16 REAR: 5
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: • DISHWASHERS. FLOOR DRAINS: SEWER LINES: 5F RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 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 ADO'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 2 PUMP /IRRIGATION: PER INSPECTION: ��r�' ////^'''')����
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 SIGNAL/PANEL: IN PLANT: LL
MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
•
1000+ amplvolt :
PLAN REVIEW SECTION O
Reconnect only: .
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY 1
A. SF RESIDENTIAL • B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
0
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL 11 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and at other applicable
STEVE WILLSTATTER OWNER laws. All work will be done in accordance with approved plans. This
12180 SW ALBERTA permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 1 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: 503 -590 -4948 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 736.60
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
Issued By /t. ± 'erml"ee Signature
Call 503.. Tr 7:00 a.m. for an inspection that business 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 ., •
BUILDING DIVISION .
PERMIT #: MST2008-00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/12/2008
Phone: (503) 639-4171 A
.4010
Inspection Requests (24 Hrs.): (503) 639-4175 ,—... .._-_,
INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7•00Am PAGE: 14
SITE ADDRESS: 12180 S1A1 ALBERTA ST CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: WILLSTATTER
DESCRIPTION: Construction of 528 sq ft accessory building.
OWNER: \MLLSTATTER, STEVE PHONE #: 1 ,303:i. - :.,90-4948
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
206 Footing 078622-01 503-590-4948 Y •
Corrections/Comments/Instructions:
,-- '
i'' .------'--.---
1 --- PASS El PARTIAL APPROVAL
El CANCEL - [11 NO ACCESS
111 FAIL D CALL FOR INSPECTION L1 ADDITIONAL FEES ASSESSED
Inspector: 7P\ Date: /—/—c7 D Phone #: (503) 718- -r---q--4'C-V
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Mw;T20O8- 0()1 +;4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1:00( 8
Phone: (503) 639 -4171 ' l
Inspection Requests (24 Hrs.): (503) 639 -4175 F'- I-
INSPECTION WORKSHEET FOR DATE: 1211/2008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 12180 SW ALBERTA ST CLASS OF WORK:
SUBDIVISION: CANOGA PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: W1LLSTAT ER
DESCRIPTION: Construction of 528 sq ft accessory building.
OWNER: WLLSTATI - ER, STEVE PHONE #: 603. 69(8
CONTRACTOR: OWNER }.494 PHONE #:
Inspection Request Scheduled For: Date: 12/1/2008 Pour Time: 9:00
Code # Inspection Description Confirm # Contact # Message
220 Slab 07862.2 -02 503.590 -4948 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / 5- -/-- Phone #: (503) 718- Z
r ' , ; 1 C ITY ®F �► � AR® _ MASTER PERMIT
� I ' COMMUNITY DEVELOPMENT PERMIT #: MST2008 - 00154
DATE ISSUED: 11/12/2008
s TIGAt D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103BC - 02900
SITE ADDRESS: 12180 SW ALBERTA ST ZONING: R -4.5
SUBDIVISION: CANOGA PARK LOT: 003 JURISDICTION: TIG
PROJECT: WILLSTATTER
Project Description: Construction of 528 sq ft accessory building.
BUILDING
REISSUE: CUSTOM STORIES: 0 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ACS HEIGHT: 14 FIRST: 5f BASEMENT: sf LEFT:
5 SMOKE DETECTORS: N
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 526 sf FRONT'. 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 7HIRD: sr RIGHT'. 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 19,916.16 REAR: 5
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: 100 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: BOIUCMP < 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 ..y
1000 SF OR LESS: " 0 - 200 amp: 1 0 • 200 amp: W /SVC OR FDR: 2 PUMP /IRRIGATION: PER INSPECTION: ��r�'S////^�J6
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/0 SVC /FDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: 0 SIGNAUPANEL: IN PLANT: Y
MANU HM /SVC /FDR: 601 - 1000 amp: 601•amps- 1000v: • MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION O
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY e
A. SF RESIDENTIAL - 8. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM; INTERCOM /PAGING: OUTDOOR LNDSC LT:
0
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: - �►
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: trit
HVAC: DATA /TELE COMM: NURSE CALLS: TOTAL 6 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
STEVE WILLSTATTER OWNER laws. All work will be done in accordance with approved plans. This
12180 SW ALBERTA permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 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: 503 -590 -4948 Contact #: . questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 736.60
REQUIRED ITEMS AND REPORTS
Ersn Cntrl 681 -4444
•
•
Issued By __,,,_-_, . ■' • ermi • ee Signature : ,440— - • / " •
.01-
Call 503. • fT t . y 7:00 a.m. for an inspection that business 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.
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121E10 SW ALBERTA ST
Property Summary
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Property Owner Info
Tax ID Number: 2S103BCO2900
Tax Account Number: R473286
Site Address: 12180 SW ALBERTA AVE
Site City:
Site ZIP: 97223
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iith , ic . _ , /3 City of Tigard, Orego... Igij , Address `... c ..,,,-_-:, 1 P 4 Av.) 7-2AM
• .. • ,.•
CITY OFTIGARD
BUILDING DIVISION PERMIT #: fvfST2008- 001614
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/12/7008
Phone: (503) 639 -4171 mow I0
Inspection Requests (24 Hrs.): (503) 639 -4175 ,-4 °__.. -.�..,
INSPECTION WORKSHEET FOR DATE: 12/1/2008 TIME: 7:00AM PAGE: 'f5
i
i
SITE ADDRESS: 12180 SW ALBERTA ST CLASS OF / WORK:
SUBDIVISION: CANOGA PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: WLLSTAI'TER
DESCRIPTION: Construction of 528 sq ft accessory building.
OWNER: WMLLSTA7TER, STEVE PHONE #: 50'::t-590.4948
CONTRACTOR: owNER PHONE #:
Inspection Request Scheduled For: Date: 12/112008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 �0 Electrical rough -in 078621 -01 503- 590 -4948 N
Corrections/Comments/Instructions:
N 07l fi kJ L-t TV . JS ,PeZ...-7 Mt/ S 77 /1L
Pqo( :
%G ( n/ lvG i 5 TM0Al 2
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❑ PASS ❑ P: e ' ' ' rl. • ' CAN ❑ NO ACCESS
n FAIL 1 4 ALL FOR INSPECTI • ❑ ADDITIONAL FEES ASSESSED
Inspector: — Date: 1Z- f 4)8 Phone #: (503) 718 -
go CITY OF TIGARD 6/29/2010
N... 13125 SW Hall Blvd., Tigard OR 97223 1:44:13PM
503.639.4171
TIGARD Activity Listing
Case #: MST2008 -00154
Project Name: WILLSTATTER
Site Address: 12180 SW ALBERTA ST
CODE DESCRIPTION DATE DONE
(Descending Order) DISP DONE BY NOTES
120 Electrical rough -in 12/01/2008 CNCL Chip Barnett 078621 -01 - 503 - 590 -4948 - VM - N -150
205 Footing 12/01/2008 PASS KBS 078622 -01 - 503 - 590 -4948 - VM - Y
220 Slab 12/01/2008 PASS KBS 078622 -02 - 503 - 590 -4948 - VM - N
215 Footing drain 10/21/2009 PASS Chip Barnett
105 Underground /slab cover 06/29/2010 PASS Gary Noble Empty conduit only. Two grounds in ditch. #6
bare out both ends of ditch.
120 Electrical rough -in Cancelled Gary Noble
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1 0 Case # Number Street Name Suffix Jnit 4 Case Status Active Task Opened Description
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. E ms ,1 12180 ALBERTA ST Issued Inspections 10/24/2008 Ccnstruction of 528 q...
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Record ID: MST2008-00154 :: 1
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V Case Specific Permits \ ' Row.
Building Permit . 5:1 i i (
.: 0)40 ••., I K, ? 0- / . 1)5 - '
Certificate of Occupancy
Commercial Manufactured Structure Permit
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Electrical Restricted Energy Permit - Res
Fire Protection System Permit
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Home Occupation Permit L . 2 _,;
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rill,. q CITY OF TIGARD 6/29/2010
13125 SW Hall Blvd.. Tigard OR 97223
503.639.4171 6:34:45Av
TIGARD Activity Listing
Case #: MST2008 -00154
Project Name: WILLSTATTER
Site Address: 12180 SW ALBERTA ST
CODE DESCRIPTION DATE DONE DISP DONE BY NOTES
(Descending Order)
120 Electrical rough -in 12/01/2008 CNCL Chip Barnett 078621 -01 - 503 - 590 -4948 - VM - N - 150
205 Footing 12/01/2008 PASS KBS 078622 -01 - 503 - 590 -4948 - VM - Y
220 Slab 12/01/2008 PASS KBS 078622 -02 - 503 - 590 -4948 - VM - N
215 Footing drain 10/21/2009 PASS Chip Barnett
C:aspAntivitvShnrtFnrm rnt Pana 1 of 1