Permit .. CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00383
4ii DEVELOPMENT SERVIC.ES DATE ISSUED: 11/17/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14955 SW 79TH AVE PARCEL: 2S112BD -02200
SUBDIVISION: DURHAM ACRES ZONING: R -4.5
BLOCK: LOT: 044 JURISDICTION: TIG
REMARKS: Add bathroom and storage within an existing garage. •
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 12,000.00
OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: sf REAR:
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER:
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 1 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
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: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
' 1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 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:
Owner: Contractor: TOTAL FEES: $ 429.70
This permit is subject to the regulations contained in the
ROBERT PRESTON VEENKER BROTHERS Tigard Municipal Code, State of OR. Specialty Codes and
14955 SW 79TH AVE 7020 SW NYBERG ROAD all other applicable laws. All work will be done in-
TIGARD, OR 97224 TUALATIN, OR 97062 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
•
Phone: Phone: 885-0809 Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 134422 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
PLM /Underfloor Framing lnsp Final inspection
Mechanical lnsp Insulation lnsp
Plumb Top Out Electrical Final " ORIG1 !\I A L.
Electrical Service Mechanical Final
Electrical Rough In Plumb Final
l
Issued By • 4 i %�- � �' Permittee Signature : �� // ` �,,„ - ,ir_ :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
•
Y OF TIGARD Residential Building Permit Application Plan Check# // 9
Recd By
3125 SW HALL BLVD. Alteration - Interior Only Date Recd >/--' -4
TIGARD, -OR' 97223 Single Family Detached or Attached (Duplex) Date to P.E. // -14-
V 503 - 639 -4171 Date to DST / -/ -
F 503 - 684 -7297 lr i Permit #/1tr/!f9
•
Print or Type Called / / /J7t9a) y+
Incomplete or illegible applications will not be accepted
Name of Project Name 'WA
Job Re 1,viidL,cc.e A.
Address Site Address Architect Mailing Address
14' s 9 J 114-k A ve rT7rwl 91-22A City /State Zip Phone
Nam I _ 1 I n. n
14 -4 * (ST P{eshm Name /
•
Owner Mailing Address NI a
tH9 SS S(nf ,t{n Ave. Engineer Mailing Address
I_,
• city/State Zip Phone g
t t r D R' 2 q 00-;1610 City /State Zip Phone
General Nam/
Contractor V P.:0(4 6x04- 4.e r-s Describe work New 0 Addition 0 Alteration Repair O
Mailing Address to be done:
Prior to permit - 4 - 6a0 SW c t\bn nea _ P(, al De
Addifo scri xion of Work: (�,� ekrs
issuance, a copy CLtate Zip hone c\t. 1i r F - 1 _._ __ Till �MQ�O .
w
of all licenses I �, DR 'l�(02 $5 -08(9 V
are required if Oregon Const. Cont. Board Exp. Date
expired in COT Lic.# database l - I ' ISt I , I 1 Z , Z 9 _ ( - 0 1 D VALUATION $ I 1 000 .00
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- \-2 4 Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address '
Prior to permit (i-( 4..t SE t-(`
Ol - e a Indicate the restricted energy installation by the electrical
• issuance, a copy ty /State Zip Phone subcontractor in the following areas
of all licenses - j,, 0 , q�202 Zz - ?3;1 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date /' Energy System Alarms
expired in COT Lic.# t r Installations Vacuum Irrigation
database 1 y I l I l (9 / 00 • System System
Plumbing Name {� r DI ' .. I (check all that Other:
Sub - (1 4-} 1 LLukdo ylQ apply)
Contractor Mailing Address (J Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
1 SIC
SA YI " 6tvct • Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Ci /State Zip Phone
issuance, a copy o0d, OrZ 91114 0 (6S--1O12 Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date dN (Calculation Attached)
required if Lic.#
expired in COT X0893 \I a /ov 1 hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp Dat -- information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
34 - 22l - P.) t 3 t 0 O Oregon State laws.
Name n ture of Owner /Agent �/ _ Date
Electrical f�o�a y E.-te Yi C. @ ��` ��' -��° itv!!-c��r.,�t 1I sl9
Sub- Mailing Address
Contractor Q o t Person Name Phone #
r-� Pi Le- (&11 �5 • 78S -o8o 9
�
D . VOX -2 JB9 FOR OFFICE USE ONLY:
C /Stated ( g Zip n Phone
q 2 SS Plat #: M J
Puance,a opy t,)�akel,Q� 6 �V� lY'�O -(J /���� � 6 6
issuance, a co V/i
of all licenses are Oregon Const. Cont. Board Exp. Date { Setb ks: Zon y_ Solar:
required if Lic.# �� - /
expired in COT 2_01 l 9 2(20(00 Engineering Approval: Planning Approval: TIF:
database Electrical Lic. # Exp. ate tf
_t• G I V( op k
Electrical Supervisor Lic. # Exp. ate cY
3 lC¢g -S l Dl 01 4�.
•
i:formslsfintalt.doc (DST) 10/23/98
,( •
CITY OF TIGARD RP ILDING INSPECTION DIVISIO ". so 3 Ff3
Z4 -H Inspection Line: 9 Business Line: 639-.
MST l /!7
BUP •
Date Requested 1 7 1 - / AM PM BLD
Location /c/ �j Ss ,i w 7f I -( Suite MEC
Contact Person 7 Ph 7B'9' 3a50 PLM
Contractor ��f -�- / Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing • Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 0-cc- . 1 - / /f 6 ,, 't'1 -' / 199 SIT
Post & Beam
Ext Sheath /Shear .
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P Ss.gART FAIL
LECTRI
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
/OM,
4 • • SS) PART FAIL
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 rein pection RE: Unable to inspect - no access
Fire Supply Line
A
DA
Approach /Sidewalk Date / ® Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY AF TIGARD B 'Il INSPECTION DIVISI MST , /," �G�3�
24 -Hour Inspection Line: 679 -4175 Business Line: 63
Date Requested . Z� AM PI BLD
Location , /
�i 7 % 5 5 Sc✓ ,9 G � Suite MEC
Contact Person Ph 7 ;9- 3 Z_ 3U PLM
Contractor 1. Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drairi Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final •
PASS PA'T FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
- i rains
PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers /
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab .
Low Voltage
Fire Alarm
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA ,,
Approach /Sidewalk Date ' f / 2-S1 6 \ Inspector EXt?
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
/G• z(/i
CITY OF TIGARD BUILDING INSPECTION DIVISION MST /9f,--G1 j P3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1/ BUP
Date Requested 1 9 - f 6 AM PM BLD
Location /40,f" 54A 77 4--t Suite MEC
Contact Person !1 Ph 7ff " 2-3e) PLM
Contractor Ph SWR
BUILDI
Ten- t/Owner ELC
arcing Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: , SGN
Slab �� /�� /445,1-666271-4 SIT
Post & Beam e/�
Ext Sheath /Shear d'4411,- ��� /f/l�l�� �.d'?�✓�� 1�
�� �/Yl�
Int Sheath /Shear / / f �
Framing d �7G2$lr� riI/4 J / r�l� e 2��i '� d�ZI�'e'litst -c9/"
Insulation 6 �
Drywall Nailing c
Firewall
Fire Sprinkler . ..0 1 ' i.' Lt S' = C ' A _
Fire Alarm
Susp'd Ceiling •
Roof
Misc:
4
•ASS PART FAIL
PLUMBI
Post & Beam �
Under Slab / v 4J C,
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS_PART FAIL
C M NIC'
• Post & Beam -
Rough In
Gas Line •
uOke Dampers
PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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
Approach /Sidewalk
Other Date V ' e9 ( Inspector Ext
Final
PASS PART FAIL DO. NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION 1
�
to 1cj,�t� , 0033
24 -Hour Inspection Line: 639 -4175 Business Line: 639-417 q.- va ccs2 1
Date Requested / _r —j Ct AM'/ `•S PM BLD 4 'r 1
Location -= l".'/ Suite Co i —
Contact Person C1'/5 7 '� Ph , 5 37f -P1 7 7 PLM SQ_ rr. -,4- -e
Contractor M47 fit c y a v� , 0�'� g (Z, - 6 U SWR
UILDIN .6 Tenant/Owner
Retaining Wall i ELR
Footing y � wk t d �.a -4
Foundation Access: °�— FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes:
Slab
Post & Beam T 1!
Ext Sheath /Shear
Int Sheath /Shear
Framing
In=Oaiiing n 'MI t f�
No I r
G aAA 1 9 /M, L 'Tr ( �7 S ta
Firewall j( /��
Fire Sprinkler Lc, /4,0 1'Dv L v i O Grlr�'Yl� iP hU45
Fire Alarm `` //
Susp'd Ceiling ��
Roof C �, 0 -1 .. ` c 4, .: --
Jam IC _eitf,
. r-- NI: ,q k/'\C lc-- 0 ° cif) C ( r --crt.N Lt.) — Exe,' e-e..9 4 #4 6 ki
Post &
Under Slabm j w∎c .j VOk - b 0 3 3 ( . f' e ^ -- 9?v•ra` sp_) 4
Top Out Act _
Water Service 7 V v ^ \ - - \" /� \ "/� 1 C - 0 o 4c C C2 ctS 54 1 - Vg s , --
s I , ,
Sanitary Sewer '� `� J
Rain Drains ..- . , T t 7 ‘ / 0
Final � /�
PASS PART FAIL i lC—
MECHANICA
Post
Rough In l e ' —, 0 4l f�✓l -"ac inP _ _5
Smoke Dampers �t 4 1 ! - -��
Fina�_ f � / i
PART FAIL Yr i y/1 C-12_ V /.1- L
. . %4 , /,
CTRICAL :,.1-) �`
Service 1 4- �t '—_ -
Rough In
UG /S ab j s ILA / (--Ae
Low Voltage ® s '
Fire Alarm /�Th Z® •
Final 4 - e � -e ` - 7 G- -1. -,( Q
PASS PART FAIL /� S '
SITE �/lS It �C /4_,,,1 a 1/ V 5
Sanitary Sewer 5 CA d� r ; t...e_<,4 mss`
Sanitary Sewer ( i� ) 6c_-de o
Storm Drain [ ] Reinspection fee o $ 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
Approach /Sidewalk
Other Date i jl Inspector Exti !/
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .
CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 9 - 3
24 -Hour Inspection Line: 639 -4175 // p Business Li ne: 639 -4171
` 6 P►'" t /� PO4lp (q ( AM PM
l ° q S
Date Requested BUP
BLD
Location ('t l t) 7 (/ L— Suite MEC
Contact Person :36 f �Q �r 1� 665 - Ph q ( `f (c74 / PLM
Contractor. l Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR •
Footing Access:
Foundation FPS
Ftg Drain SGN •
Crawl Drain Inspection Notes: l S-}- . '`
� ,
Slab ' `t t�� SIT
!
Post & Beam Cta
Ext Sheath /Shear. f/
Int Sheath /Shear
Framing 1- O ec/ ///AVr D ywal on
Drywall Nailing
Firewall t
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 1/17MFAMINIWIMMTA.MINILIPPY,
Misc:
Final
PASS PART FAIL ^ � _
PLUMBING
Post & Beam -
Under Slab
lop Ou0
a -r Service
Sanitary Sewer
Rain Drains
F
PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date E I nspector ��✓� Ext
Other �✓
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST (`r'q? db3k3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
f BUP
Date Requested (a- 1 119 % AM PM BLD
Location. r' -- 7T Ave_ e_ �_ Suite MEC
Contact Person Par4 4/ / �e � ' Ph 69 ( PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall Aq9,4 l Fire Sprinkler ' 1
Fire Alarm
Susp'd Ceiling < P V� <
Roof
Misc: _
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam -
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
ough II
TG /Sal b
Low Voltage ' I
Fire Alarm \c �, /�
I
CICATS> 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
Approach /Sidewalk Date ( L ? Ins G�' �� Ext
Other
Final
.PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST / _ .C13 ' k3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested f / Z - z - AM (PM) BLD
Location / (4' ) -S 4 7 / /94'-f Suite MEC IMF
Contact Person j6-G y / Phj� f —1 PLM Nw Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain (JUC / / /liti /� ^� SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall k �! O /, y
Fire Sprinkler /� I C�
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam •
Under Slab
Out •
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART C F/:- I
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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
Approach /Sidewalk 2 1 " 1 2
Other
Date `7 Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT /1 ,.x,13 3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / AM PM BLD
Location / I/q 9 2t,{) 'WM 7( Suite MEC
Contact Person , r J,ze..,,4 Ph gb 3 a-7g 5 y, PLM
Contractor Ph SWR
iUILDINa Tenant/Owner ELC
e tainin Wall
9 ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
final
Y SS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out ------
Water Service
Sanitary Sewer
p-9-1
Rain Drains
Final d
o
PASS PART FAIL
MECHANICAL 0
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
• • ELECTRICAL
Service
Rough In
UG /Slab .
Low Voltage
Fire Alarm
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
Fire Supply Line [ ] Please call for reinspection RE: [ ) Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 5 ,' O/ Ins - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site • •