Permit CITY OF TIGARD MASTER PERMIT
- 'd„,e,,. , d ; DEVELOPMENT SERVICES PERMIT - MST97 -0456
uti,'� # 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 10/22/97
PARCEL: 1S136AA- 02100
SITE ADDRESS.. °:10310 SW 69TH AVE
SUBDIVISION.. ..:FUR VALLEY ZONING: R -4.5
BLOCK IT -0011 JURISDICTION: TIG
Reoarks: installing a n: ianufactured hou: it replacing an old duplex. Hill connect sewer to existing lateral and water to existing
water peter. Will
need to build carport before we can fina out perait use pressure treated wood or all weather wood for carport. placing a oanufacture hoo
e on lot where duplex
has been reooved
---- 5 - - - - -- BUILDING -------------------------------------------
REISSUE: STORIES • 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- - --
CLASS OF WO' e HEIGHT ' 0 FIRST....: 1060 sf GARAGE 0 sf LEFT • 30 SMOKE DETECTRS: Y
TYPE OF USE... 11 FLOOR LOAD • 0 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0
TYPE OF CONST.: DWELLING UNITS: 1 FINBSNTNT: 0 sf RIGHT • 15
OCCUPANCY GRP. :R3 BDRM: 0 BATH: 0 TOTAL - - - --: 1060 sf VALUE..$: 6883 REAR • 15
--- - - - - -- - - - -- --- - - - - -- PLUMBING ------------------------- - - - - -- - - - --
SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY 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 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------- ------------------ MECHANICAL -- ---- -- --------------------- - - - ---
FUEL TYPES- - - - - -- FURN ( BviK ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 'A 1
- -- - -- -- - - - - -- --- -- - - -- ELECTRICAL - -__- --
-- RESIDENTIAL UNIT - -- -- SERVICE /FEEDER - -- - -TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS -- - - -- MISCELLANEOUS -- - -ADD'L INSPECTIONS -
1000 SF OR LESS: 0 0 - 200 aop..: 0 0 - 24' app..: 0 W /SVC OR FDR..: 0 PUP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 aop..: 0 201 - 4/A app..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 aop..: 0 401 - 600 app..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HN /SVC /FDR: 1 601 - 10'i' aop.: 0 601 +apps -1000 v: 0 MINOR LABEL -10: 0
1000+ aop /volt.: 0 - - -- ------------ --- - -- PLAN REVIEW SECTION -
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR >=225 A.: > 6w, V NOMINAL: CLS AREA /SPC OCC:
- ELECTRICAL - RESTRICTED ENERGY ----- --- - - - ---
A. SF RESIDENTIAL------------- - - - - -- B. COMMERCIAL-------------- ---- -- —_ --- —
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM ° INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: ::
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL # SYSTEMS: 0
Owner: — ---- --- - -- Contractor: — -- TOTAL FEES:$ 308.26
LESTER C WEBER SANTIAM HOMES This perait is subject to the regulations contained in the
3434 ARBOR DR CARVER ENTERPRISES LLC Tigard Municipal Code, State of Ore. Specialty Codes and all
WEST LINN OR 97068 11373 MILL CREEK RD other applicable laws. All work will be done in accordance
AUMSVILLE OR 97325 with approved plans. This peroit will expire if work is
Phone #: 635 -9022 Phone #: 503 - 769 -1906 not started within 180 days of issuance, or if the work is
Reg D..: 000382 suspended for Dore 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 -0x10 through OAR 952 - 001 -0080. You Day obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- - -- --- -- - - ---- REQUIRED INSPECTIONS - — —
Erosion Control Rain drain Insp Building Final
Footing Insp Water Line Insp
Foundation Insp Electrical Final
Electrical Servi Mechanical Final
Gas Line Insp Plunb Fin / /
Issued By° 4��0�- Permittee Signature °` �" -e
+ + + + + + ++ -+++„� ++++++++ + + + + + + + + ++ + ++ + + + + + ++ + ++ + + + + ++ ++ ++ + + + + + + + + + ++ + + + + +++ ++
Call 639 -4175 by 7:00 o °m. for an inspection needed the next business day
Manufactured Dwelling Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: / U 3 10 S.w 6 5 A U:= ./LiL! 1 l , CittLA
r �
Subdivision: r'Lc.. V LL E `1 Lot # Office Use Only
Valuation: Pfanck/Rec #
:omer Lot? Y Permit # 5 y 7- Os�s`6
Tag Lot? y (DY Reissue of
Map &TL# 3 6 '94 _ o.Z toa
lwner: LEST C Lo f..- 43 L k
Address: 3Y 3`9 A 2 QUA bm. Approvals Required
4(44 - ifC /- /// Planning
Phone •" 5>) = `'i _ - •, , Engineering
Other
staffer. sA- N T 1 P ri - -(o ff
Address: - - -- raa r • ' GU Ai ) . Items Required • • • • (,c /° 0(f f2 u . DU, ; ::Subc o n t ract o rs . • •
Phone: /Ice S-149sralP Truss Details -
•
' °cntractor's License # . Other
4O1 License 4
(attach copies of current Oregon licenses) . . .
'ubcontractors: Mfg. Dwelling Dealer. D d Uc G 47 7
Plumbing: Address: 14 GG -fA' 4 4 r e:/ L4'3
Mechanical: W ° &faz_,v.
(attach copy of current CR Contractor's License)
Phcne: I- f0e- S6ri -5- SS
'3 DESCRIPTION:
:iicant Signature & Phone number
ceived by:. Date Received: / _ / 7 ' f7
1 ZGUw:ERREelAFGAPP
•
Permit 4 Account Description Amount Amt. Pd. Bal. Due
/'t 6/97 og0 Bldg. Permit (BUILD) /as
/_ r
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 2 v a , w
State Tax (TAX) 27. DO ,
Bldg: .257 Z
Plumb: . 75
Mech: /. o t)
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
•
pt nove-d)
Sewer Connection (SWUSA) Con' o di A ; e)(1.) t ); to daub /v s.
Sewer Inspection (SWINSP) 3.5• "' "'
Parks Dev Charge (PKSDC)
Residential TIF MF-R)
Mass Transit TIF
(nF•MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -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: V L U c2 D 2, `
Car Peu
30 r , z 4 ,_308*- z 4
CITY OF TIGARD BUILDING INSPECTION DIVISION sT q - onU SC,
24selour Inspection Line: 639 -4175 Business Line: 639 -4171
•/ BUP
Date Requested °Y " 6 v AM /$ ' PM BLD i
Location /0 310 (D Suite MEC _
Contact Person Ph PLM _
Contractor Ph SWR c
Ittlit&I) Tenant/Owner ELC f j
Retaining Wall ELR
Footing
Foundation Ac NOT REQUESTED Oyii2 tO Vi g FPS
F OUND DURING RESEARCH
Cr l Drain pv Q SGN
Crawl Drain Ins NO INSPECTION(s) IN FILE � ('
Slab SIT
Post & Beam r- 1k/rg
Ext Sheath /Shear WA IS -`?l- •
Int Framing Sheath /Shear r^ • N - _ v\ s _ • (v • Vj
Framing �/ �
Insulation n (,t
1
Drywall Nailing l�1 -c y/ vQJ` S M/1 \ 2 -A la b I • G s
Fire wall �, Q ��,•• �y \ _ �
Fire Sprinkler CLA--1". (--^"-
Fire Alarm l 5 S � Q. � ` „ p-_ � L� . c -
Susp'd Ceiling -�✓�� , 1
M
J o of V Q..S I 1v S
s S l.-
PART FAIL C
• A
BING /7
Post & Beam
Under Slab \N."-
Top Out
Water Service P-1Z `" 0
Sanitary Sewer C.x�.
Rain Drains .) � S -+ L¢.
Final
PASS PART FAIL \II • /3- \I
MECHANICAL
Post & Beam
Rough In s% \NA-P kjI \4-rVV-k
Gas Line
Smoke Dampers ( c)Nle-&) s C.dW\ S
Final
PASS PART FAIL y 4/ OLD,
ELECTRICAL \\
Service ek_c‘l.e..r.r.r.r..._Q
Rough In
\ 1
UG /Slab
Low Voltage - �// // G�Y v `
��
Fire Alarm ` • ` " ��✓L * -7\,A.-CL 4..,"..___.- inal F PASS PART FAIL ' "`Q. , )--• S ► l
SITEQ Ch Zu.:1 . l/
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA G
Approach /Sidewalk Date �� U Ins EXt 1 1
Other 11
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 9 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 478,000
/6 /6# Date Requested a - / ' - q AM PM BLD C �
Location 103/ (76LJ e 0 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
UILDING) Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation O!° j/ j / k,; .- 1.4. 111/ /• FPS
Ftg Drain � SGN
Crawl Drain Inspection Note-,
Slab SIT
Post & Beam
Ext Sheath/Shear
In ath/Shear
raming
Insulation V Drywall Nailing ) OCI
Firewall
Fire Sprinkler
Fire Alarm r /
Susp'd Ceiling �/ f 0 /11, Gr c4 (OA
Roof g .. c v
At _4_/ ( - - 0 ‘)) ._Ct 6 1 ea.'
/
PART FAIL :41 It, Far
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer 1n 'I . Rain Drains �`� V ` r VA V t `a ,
Final
PASS PART FAIL
MECHANICAL �yp t 11 0 �� n , --, I�°(�t
Post & Beam ` i f W � (J ` `" U
Rough In I 9 D
Gas Line
Smoke Dampers •
Final
PASS PART FAIL n a kr.) ( i a
ELECTRICAL
Service M Rough b V nn E E j �� cC
, a u f &
UG /Slab �� L� �n r (y C.t
Low Voltage 411 I
Fire Alarm 1 tate4
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ . required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA I .�/
Approach /Sidewalk Date 1, D -4C ` c Inspector xt -
Final �
PASS PART FAIL . DO NOT REMOVE this inspect on record
Other m the job site.
PLAN CHECK FEE LIST �
PLAN CHECK # FERHQT 0104' -a y 1 G DATE ID—/
" /
ADDRESS —/a sw � f ,4i TAX MAP # /s 4 f -421611
SUBDIVISION - '" r Va ���' LOT # / LAND USE 1- I f • s
VALUATION D b 3 SETBACK FRONT- YlREAR -LEPT 1 GHI L=
WORK CLASS —' ! `' HEIGHT TOTAL AREA
USE TYPE s FLOOR LOAD 1ST FLOOR
CONST TYPE 'S N HEAT TYPE 2ND FLOOR
OCCUP GROUP- �� 3 DWELL UNITS 3RD FLOOR
STORIES BED ROOMS BASEMENT
OCCUP LOAD BATH ROOMS GARAGE S7
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DUE
building permit fees L .3 !"v
plumbing permit fees
mechanical permit fees
electrical permit fees
STATE BU1LD3 JX 3.I
building
plumbing
• mechanical
electrical
PLAN CHECK FEES �' 3
building !�V G410'
mechanical
SEWER CONNECTION FEE
SEWER INSPECTION FEE
PARK FEES
RESIDENTIAL T I F
MASS TRANSIT
WATER QUALITY
WATER QUANTITY
EROSION CONTROL PERMIT
EROSION PLAN CHECK USA
EROSION PLAN CHECK COT
CDC
TOTAL
1vG. /o% Z 6
•--0L. .2 w
3 °$. - 3 G(
Di5q
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: k,? —3/_ q 7 A.M. P.M. MST: 7 7-0//-56
Location: /63/0 Scu 69%4 (,/ /) (/C/ L�D. BUP:
Tenant: /, , Suite: Bldg: MEC:
Contractor. 901/n (�(J Phone: 7 PLM:
Owner: Phone: _ ELC:
._.i /. _I • - /L, . _, Ii / gd_ / � _ _ .A,,,_ w ! LS ELR:
/mil ' (/21 - ∎I / / L r.. 1L/ 0 /C�(i • , t . SIT:
BUILDING BLDG (con't) PLUMBING MEC' CAL ELECTRIC • . ' SITE
Site Post/Beam Post/Beam Post/Beam o' - - T > Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab y�� . ‘-/IYA
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt ni,aL i
Approved Approved Approved Approved At ' ved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
a AI cil S A/t) /-e---. 0 <
P /11/4 -1_ / �- ' S
O Call for reinspection Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: /2---• 3 ..-- ` � 9 2 Page of