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Permit 1 _______ _ ___ ___ CITY OFTIGARD ... A E D EVLOPMENT SERVICES MASTER PERMIT - ' � � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 �� PERMIT # • MST96 -0453 � 4 0� cc pATE ISSUED: 10/08/96 4 1 RCEL: i S 135AA -9000 i SITE ADDRESS...: 10301 SW 87; F SUBDIVISION • THE DEODAR CQNDOMINIUMRS ZONING: R -12 BLOCK • LOT •i Remarks: Expand storage area to other half of attic DO NOT CUT ANY MANUFACTURE TRUSS WITH OUT GETTING AND ENGINEERS APPROVAL --- - ----- -- ---- BUILDING ----------------- - -- REISSUE: STORIES • 0 FLOOR AREAS BASEMENT...: 0 sf RE(H)IRED SETBACKS ---- REQUIRED -- CLASS OF WORK.:ALT HEIGHT • 0 FIRST • 0 sf GARAGE • 8 sf LEFT : 8 SMOKE DETECTRS: TYPE OF UUSE...:SFk FLOOR LOAD • 48 SECOND...: 8 sf FRONT : 0 PARKING SPACES: 0 TYPE OF COVST.:5N DWELLING UNITS: 0 FINBSNENT: 0 sf RIGHT • 8 OCCUPANCY GRP.:R3 BDRN: 0 BATH: 0 TOTAL ---: 0 sf VALUE..$: 488 REAR : 8 -- -- PLUMBING -- ------ -- ____ SINKS • 8 WATER CLOSETS.: 0 WASHING MACH..: 8 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES • 0 DISHWATERS...: 8 FLOOR DRAINS..: 8 SEWER LINE ft: 8 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 8 GARBAGE DISP..: 0 WATER HEATERS.: 8 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 — MECHANICAL -- -- FUEL TYPES- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 8 CLOTHES DRYERS: 0 /GAS/ / / FURN ) =100( ..: 8 UNIT HEATERS..: 8 HOODS • 8 OTHER UNITS...: 0 MAX IMP.: 8 BTU FLOOR FURNACES: 8 VENTS • 1 WOODSTOVES....: 8 GAS OUTLETS...: 0 — - ELECTRICAL --- -- -- -- --- -- RESIDENTIAL UNIT -- — SERVICE /FEEDER -- —TEiP SRVC /FEEDERS — --- BRANCH CIRCUITS— -- MISCELLANEOUS— — ADD'L INFECTIONS- - 1000 SF OR LESS: 0 8 - 208 alp..: 8 0 - 280 alp..: 0 W /SVC OR FDR..: 1 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 alp..: 8 201 - 488 alp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 8 PER HOUR • 0 LIMITED ENERGY.: 0 481 - 600 alp..: 0 481 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 8 MAW HM /SVC /FDR: 0 681 - 1088 amp.: 0 601 +asps -1000 v: 0 MINOR LABEL -10: 8 1080+ amp /volt.: 0 -- --- ---- -- PLAN REVIEW SECTION --------------- -- Reconnect only.: 8 )=4 RES UNITS..: SVC /FDRU =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OSC: ELECTRICAL - RESTRICTED ENERGY ------------ ---- - ----------- A. SF RESIDENTIAL— - ----- B. COIRCIAL ---- ---- -- — -- --- AUDIO X STEREO.: VACUUM SYSTEM..: AUDIO X STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: DTH: •• BOILER HVAC E /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: .. HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL RU SYSTEMS: 8 Owner: — ---- -- ----- Contractor: - --- -- TOTAL FEES :$ 84.50 JOHN PETTY OWNER 18301 SW 87TH AVENUE TIGARD OR 97223 Phone 0: 452 -8116 Phone W1: Reg 0..: OWNER This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. --------------------- - - -- REQUIRED INFECTIONS -- - ----- - - - --- Mechanical Insp Gyp Board Insp Electrical Servi Electrical Final Electrical Rough Mechanical Final Framing Insp Final inspection Insulation Insp Building Final Ali / ,y& Permittee Signature: Alf II 4 Issued By: vim-- _. Gail tor inspection - trSi -x+175 Off, .. 2, $ 35 ylv Permit #: // ti1 0 5 / w ,. Address: 0 4. • 4 ssuey: ; Issued b I IP t , ■ / , . , , ate: / � 111 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed i architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: , 1. I own, reside in, e -;:i _ the completed structure. I I 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale I I before or upon completion. n 3A. My general contractor is I I (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Pr , , .. ty Owners about . n Responsibiliti • s on the reverse side of this form. A / r eJI G lt.0 v (Signature of permit .1 ant) (Date) (W • copy to issuing agency permit file, pink copy to applicant) NORTH ! 85.0 0' 0 , tj . i 22.00%6 ••1 ` � ; ' 711 I:r. rs ' ' 1 4 \ , °` e6 !b' Q. _2s AO BO.tr. L.C.E. 9 1 ' :' 0 J S ` + p V. a L.C.E.9 . ' I 22 .o0• In 1 ,i m ti ` 1 Z 2 o.oc' O : 5 . 00 ' L.0 E. 8 ` ° ° O. b O N 1 n L.C.E. 8 ' \ \ , • : m 1 _. , t..14. Ii. Le3oo" , \ \ , • 0 t_.07 0 .. 25O I C -E7 1 \ co n 1 z :`2 \ o � D ° ' t: 4.:11 , \ \ • \ ,..,•I _ °• L. C. E. 7 1 . - - .. ,1 + G") G — • r u t. JF7n 7700 1 22.00' V. • . I . I , rn 1 u ; I e. L .C. E. 6 I N) o r • - ,_ ,,; is oo' u . ° y . 1 T • 6805' U. F r, - 2 J i 1 it ( 1 � ou LCE . ' 0 V t \ /y J � M. N 111 1 ' J N • w Z . I / ' LCE5 9 1 "' 7 4 .. i - - - - - -' 1 6.8 ' • O / •. 1^ N L.C.E. 4 1 I ° - -• - . A 11.0 O 1 1 O r ! L1C E.4 I �� 2 a m • ..16.00'_ ; ._. -_/a.l -_ • NC!'h 96.00' T 1 , + – 4. (, • +• N p / i' L.C.E. 3 1 " a \� V y a _ - . -rry 16.83 / /?' / t..:.E.3 g of O o � q, ti 41 1 • ': L.C.E. 2 v e • .,- A•*- - y m 16.83' %t4? • LC.E. 1 ' `! w N OFrTn 83 55' r^ a / / © N ,. • •, / / ' [t a ,- /.` 1 • / !J i 40 OC - P .- .--- - -- L I 2 < • �m I C I V. s II ' , r. I l/ 1 / O ,I L.. t i 52.0' SOU T H 1 85.00 r 980.30' S. w 8 7t h AV Enri/F r\ 5/18/00 Activities for Case #: MST96 -00453 4:50:05 PM EXPIRED Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 9/3/96 JMH RECD JDA 9/19/96 MSTA008 Permit Created 9/19/96 JDA PASS JDA 9/19/96 MSTA012 Plans routed to Plans Examiner 9/19/96 JDA PASS JDA 9/19/96 MSTA026 Plans approved by Plans Exmr 9/23/96 RT PASS BT2 9/23/96 MSTA030 Reviewed plans routed to DSTS 9/23/96 RT PASS BT2 9/23/96 MSTA720 Mechanical lnsp 9/23/96 BT2 9/23/96 MSTA723 Electrical Service 9/23/96 BT2 9/23/96 MSTA724 Electrical Rough In 9/23/96 BT2 9/23/96 MSTA725 Framing Insp 9/23/96 BT2 9/23/96 MSTA740 Insulation lnsp 9/23/96 BT2 9/23/96 MSTA745 Gyp Board Insp 9/23/96 BT2 9/23/96 MSTA790 Electrical Final 9/23/96 BT2 9/23/96 MSTA795 Mechanical Final 9/23/96 BT2 9/23/96 MSTA798 Final inspection 9/23/96 BT2 9/23/96 MSTA799 Building Final 9/23/96 BT2 9/23/96 MSTA080 (F) Ready to issue 9/30/96 CJS PASS CJS 9/30/96 MSTA092 (F) Issue combination permit 10/8/96 JDA PASS JDA 10/8/96 MSTA770 Misc. Inspection 2/15/00 2/15/00 2 /15/00 JMT DONE No Hold JMT 2/15/00 research inspection request MSTA153 Expired by limitation 5/8/00 HAP DONE No Hold AKJ 5/8/00 Page 1 of 1 1 , y a' Plan Check # 6'�! / I/ l e CITY OF TIGARD Residential Building Permit Application Recd By a • a7.- • fA, A., 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd If — C MARC , OR 97223 Single Family Detached or Attached Date to P.E. 0 ' ,503) 639 -4171 Date to DST *-2 - I Print or Type Permit # lfti `l nt4S.3 Called to H - Incomplete or illegible applications will not be accepted Na a of Subdivision Lot # Name Jobs C3 Architect Mailing Address Address S ite Addres Cit ate Zip Phone Name f A- Pe • Owner Mailing Address Name 10 3a 1 VGJ 77 # AN'� e +"t,,4 c. .s ee, _ e Engineer Mailing Address City /St a Z i n g Name ex ?z Pho 115 4- 2" CglSta 541) N: rk6 Z ip Phone 3 6± T3 Ci /State Zip Phone 9 General 1�✓�' v V f Describe work new O addition 0 alteration repay 0 Contractor Mailing Addres / to be done: Additional Description of Work: { City/State Zip Phone �kp-d sf� G'°"`''4"` 41' ® ' "�"'` .1:2-- Ore Const. Cont. Board Lic.# Exp. Date 0 /1' IC- (•F Attach Copy of Project f _ „up � q Current COT Business Tax or Metro # Exp. Date Valuation $ �' 'S 1 e I Licenses Name NEW CONSTRUCTION ONLY: (1 '` • Mechanical Sq.Ft. House: Sq.Ft.Garage: Sub- Mailing Addres Contractor Corner Lot Yes No Flag Lot Yes No City/State Zip Phone (check one) (check one) Restricted Audio /Stereo Burglar Ore n Const. Cont. Board Lic.# Exp. Date Energy System Alarm i Attach Copy of Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC Licenses Opener Systems j Name (check all that Other: Plumbing apply) Sub Mailing Addre Will the electrical subcontractor wire for all Yes No Contractor restricted energy installations? City /State p Phone Has the Subdivision Plat recorded? N/A Yes No I Oregon Coast: Cont. Board Lic.# Exp. Date Reissue of MST# Solar Compliance Attach Copy of (Calculation Attached) Current Plumbing Lic. # Exp. Date I hereby acknowledge that I have read this application, that the I Licenses information given is correct, that I am the owner or authorized agent of COT Business Tax or Metro # Exp. Date the owner, and that plans submitted are in compliance with Oregon S _e laws. _ ■ Name �� l V S • . er/ • .: � �7 Date to 9 L Electrical C•nta t Person Name 4 Phone • Sub- Mailing Address lOwn t q - 1 Ti 1 Af5Z - *//6 I Contractor FOR OFFICE USE ONLY: City/State...'' Zip ' Phone Plat# Map/TL #: Or9n Const. Cont. Board Lic.# Exp. Date I Attach Copy of Setbacks Zone: Solar: Current Electrical Lic. # Exp. Date Licenses COT Business Tax or Metro # . Exp. Date Engineering Approval: Planning Approval: TIF: :sts\ mstapp.doc Permit # Account Description Amount Amt. Pd. Bal. Due PM 174 , MST. Permit (BUILD) c0._5; Plumb. Permit (PLUMB) -- Mech. Permit (MECH) ELC /ELR Permit (ELPRMT) y v y4, o,► State Tax (TAX) 3,t1 3.Z1 Bldg: 1. t 25• + Plumb: 40• + 3•25 + Mech: 68.25 ELC /ELR: Plan Check MST: (BUPPLN) / &I 2 ) /". --� ; 1� Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: eti,50 ak �— i:\dsts\mstapp.doc Rev. 7/96