Permit Ao-- CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00070
�
.���, DEVELOPMENT SERVICES DATE ISSUED: 03/20/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15323 SW 81ST AVE PARCEL: 2S112CB -07400
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R -7
BLOCK: LOT: 088 JURISDICTION: TIG
REMARKS:. Adding a second story to an exisiting dwelling for use as a bonus room.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 240 sf GARAGE: sf • FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 17,032.80
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 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: 0 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 1 201. 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: SIGNAUPANEL: 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: $ 494.89
This permit is subject to the regulations contained in the
WALKER, MICHAEL D + JANEE STEA DERALD R. SCHOCKLEY Tigard Municipal Code, State of OR. Specialty Codes and
15323 SW 81ST AVE 6965 MONTICELLO CT all other applicable laws. All work will be done in
TIGARD, OR 97224 GLADSTONE, OR 97027 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: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 55891 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
Footing Insp Framing Insp Mechanical Final
Post/Beam Structural Shear Wall Insp Final inspection
Mechanical Insp Insulation Insp Building Final
Electrical Service Rain drain Insp
Electrical Rough In Electrical Final
Issued By : 1 /ftga L---- Permittee Signature : c ..Q 4 t,„/
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
•
CITY OF TIGARD - Residential Building Permit Application Plan Check# - 5 1 Z
13125 SW - HALL BLVD. Alteration - Interior Only Recd By
Date Recd 3 '� d
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. -zc/<,0
V 503 - 639 -4171 Date to DST .3 -/3 0 a '
F 503 - 684 -7297 Permit # M`51 -tom �O'X'7U
Print or Type Called 3 -7 - 0 0
Incomplete or illegible applications will not be accepted
'We'll 0)/141
Name of Project Name
Job WA/ .LC .2 ( couS -rL1 Lwiv e
Architect M a ili ng Address
Address Site Address 168'oo SE . A1- - iz.A-
15323 'SW 'VT 4 1 r-Ard City /State Zip Phone
/1 id Qa-L (1.0,4- s' � q'7 of 63 -
Name
Owner Mailing Address
/5-32_ 3 54J r/ ,44.- • — Engineer M ailing Address
City /State - , Zip Phone
l'i . 9 A- p OkC q 7 ZZY_ /6,39 "7 i 8'O City /State Zip Phone
General Name r^ n (!1_
Contractor .DG-reA- SR.00:�`ett X4.74-"- Describe work New 0 Addition.' Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit 0 6 t5• M obi 'c 0/a ef. Additional Description of Work:
issuance, a copy City /State Zip Phone ' u S "at
of all licenses 61 ,9„ ,9„ ()e ( G� ?OZ 65 v67v
are required if Oregon Const. Cont. Board Exp. Date PROJECT / 1 o 33,,,,,
expired in COT Lic. # SSFl °1 ! VALUATION $
_ database 2 • t ` oz. .
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: 2 / 0 Sq. Ft. Garage
Contractor Mailing Address Y
Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing (Name (check all that Other:
Sub- ( 110 1;s5� apply)
M ailing Address Corner Lot YES NO Flag Lot YES _ NO
Contractor _ (check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.#
expired in COT I hearby acknowledge that I have read this application, that the
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name Si ature of Owner/ ent Date
Electrical 3 ck .-L- c-f - rt'C 41 d .6" � �' 3 7.
Sub- Mailing Address I + ntact ers me FG/Z 60J� Z O -1../67 y
Contractor ci 318 CL it S-r . FOR OFFICE USE NLY:
City /State Zip Phone Plat #: Map/TL #:
Prior to permit 7 1 4. (A, –79t , 3I 2 t / / a? e-e - c9. t/o b
issuance, a copy e ws 00e - u2,-- G S� acks: Z e:
of all licenses are Oregon Const. Cont. Board Exp. Date , rep)
required if Lic.# ` .-
expired in COT Engineering Approval: Planning A roval: TIF:
database • Electrical Lic. # Exp. Date Pc N Ni
Electrical Supervisor Lic. # Exp. Date I/ / 3 G/ 7/ i'‘i' e , j
i:forms\sfintalt.doc (DST) 10/23/98
CITY OF TIGARD BUILDING. INSPECTION DIVISION MST e ?d
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 BUP
Date Requested � AM PM BUD
Location 1 530/- 3 ADL-C— Suite MEC
Contact Person ika5k,0 - Sh0C,b24_'j Ph 4 Srg Spa-- PLM
Contractor Ph SWR
UILDING Tenant/Owner ELC
Retairnng- 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
i
FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough l
Gas s 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 d Inspector / 411 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,- - O 70
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 5 l f c AM PM BLD
Location /5 Z( Ap-e.— Suite MEC
Contact Person Dorofa Shoaaci Ph 5D-C 25 S 7 t)— PLM
Contractor 75c cJ / -_ 1 r _ Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:/. , � / FPS
Ftg Drain ��— �4 — ,P SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Misc
• S 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
• - . FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fir- ' larm
ma
• Cr i O 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA •
Approach/Sidewalk
Date l Ins Ext
Other f
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.