Permit ! ,' l
CITY TIGARD OR MASTER PERMIT ' a
A VELOPMENT SERVICES PERMIT #: MST1999 -00327 •
E ISSUED: 10/5/99 i
X1± 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 _ /GI* 41.71
SITE ADDRESS: 11420 SW 92ND AVE PARCEL: 1S135DB -03800
SUBDIVISION: DOGWOOD RIDGE ZONING: R -4.5
BLOCK: LOT:011 JURISDICTION: TIG
REMARKS: Add breezeway and carport to an existing SFD .
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 14 FIRST: 418 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 10,000.00
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: 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
1000 SF OR LESS: 0 • 200 amp: •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: 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: ' PROTECTIVESIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 213.28
CONSTRUCTION INC This permit is subject to the regulations contained in the
VIAENE, STEPHANIE L + KEVIN G WOOD CO
11420 SW 92ND AVE 17855 NE NSTRU R DR Tigard Municipal Code, State of OR. Specialty Codes and
TIGARD, OR 97223 SHERWOOD, OR 97140 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 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 00082941 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
Foundation Insp
Framing Insp
/ 1
Is - ed By : L _ � � i / �� ) ► 1.L1 . _ Permittee Signature : ! ..,-- J .,_ ;�� , / A.. 1►..,,
Call (503) 639 -' 175 by 7:00 p.m. for an inspection needed the next business day
q- 5 -7�
CITW OF TIGARD Residential Building Permit Application Plan Chec.
Rec'd By
13125 SW HALL BLVD. Additions or Alterations Date Recd !-1 -Zi -15 '
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 2,"7
V 503 - 639 -4171 Date to DST AP
F 503 - 684 -7297 • 7;4- Permit # MSr 11E 32 7
Print or Type Called -
Incomplete or illegible applications will not be accepted
Name of Project Name
Job Cat, T 0,:t Mailing Address
Address S i / RO ' 6 , Address 1 Gy ,,,p - Architect
!/ `J `----- y , City /State Zip Phone
Name Ke,0 `v, V/ JV
`� Name
Owner Mailin2 Address •
114 5 1,.) 6 i 2ND Mailing Address
City /State Zip Phone - Engineer
"TI , Q"� CV 2-23 City /State Zip Phone
General Name
Contractor 06 � C t" `t `�' ° 7-4A C • Describe work New 0 Addition f Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit I l 955 N E Q l ex_ D„- • Additional Description of Work: /
issuance, a copy City Zip Phone 4 C o „r P o r ge /
of all licenses SS o w oot On '11( (.."2
..Z 4449
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# 82_1¢( /° _ � VALUATION $ I OoC)
database e" !/` C
C)
Name NEW CONSTRUCTION ONLY: •
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
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- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
i (check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy _
of all licenses are Oregon Const. Cont. Board Exp. Date
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 Sign ture of Owner /Agent Dgte
Electrical Ar `!Q
Contact Person Name Phone #
Sub- Mailing Address
Contractor Pio /„ l 57.6 S3 9' 8
City /State Zip Phone
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: M p/TL #:
required if Lic.#
expired in COT if s / 35103 3 _ 6 3TC(5
database Electrical Lic. # Exp. Date Set cks: Zone: _ q Solaf,; /�
♦ gip/
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF ) / / 9
/ O , � i:\dsts\forms\sfaddalt.doc 11/20/98
•
z
A
CITrOF'TIGARD BUILDING INSPECTION DIVISION MST ,99.e.)0.32
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested .3- -7 - - / AM PM BLD
Location M/ ZU 5 w 92s ' Ad-' Suite MEC
Contact Person Ph 5 7 'G6 9 PLM
Contractor Ph SWR
BUILDIN
Tenant/0 ner e/.45-e. Cam% ELC
Retaining Wall ' ELR
Footing Access:
Foundation --- FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear _
th /Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
c fb
'ASS PART FAIL
aMBING: /
Post & Beam
Under Slab I «<
Top Out
Water Service
Sanitary Sewer 1
Rain Drains
Final
PASS 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 E.
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 forreinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 3/2A/0 ® I nspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOFyTIGARD BUILDING INSPECTION DIVISION. 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST %�'y�'�'�
/ BUP
Date Requested 3/A / b / AM PM BLD
Location / / 2. G f , ✓f?d /` ,Y -e . Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING. _ - Tenant/Owner ,eizzr,id -r. ► 47,,c, ELC
Retaining Wall Ca, A LR
Footing i1' N° ��'
Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab 6-4-6 c-► . 41 F SIT •
Post & Beam ^�
Ext Sheath /Shear 2 4/1/4
Int Sheath /Shear
_5"D3 - 6 70 - ?g-s7r X - 0 - eA - e--pL>
Insulation
Drywall Nailing / N2 [1 �e��°1 c '2: 3- 3b ft . 1
Firewall ✓
Fire Sprinkler
Fire Alarm
Susp'd Ceiling a !1 €,
Roof
Misc:
PASS PART 'Anti � �` -$ k"'"� "-e X . - ) 0 f
PLUMBING ( r ' T y � i_ . l C S ` ( L K)
Post & Beam v ; c /
Under Slab r Q �l � �� U f
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
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 f�
Approach /Sidewalk Date I Q i Inspector ! a s
a te
Other 3 EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST qq 9 - 00 3Z7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Dates (Requested 9214-4 I t) �� ° AM PM BLD
Location 1 (`� 2o /'°�1'( /�C, Suite MEC
Contact Person T o (,l x/ld tA) i O et, Ph 516- 53 F R PLM
Contractor Ph 60 ZS ° (PCDg 1 SWR
1rlILDIW�° Tenant/Owner ELC
Retaining Wall � ELR
oof Access:
oun a i FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: n r 00 ec) Slab i� SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F.
ASS ART FAIL
ING
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
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 J , S
Approach /Sidewalk Date / (/ Inspector Ext .
Other
Final
PASS PART FAIL DO NOT REM VE this inspection record from the job site.
1
f ro
MST — Master Permit
Inspection Description Date Passed By Notes
Grading
Footing /Setback
Foundation walls
Slab
Footing drain
Waterproof basement walls
Plumbing underslab
Crawl drain
Post/beam plumbing
Post/beam mechanical
Underfloor insulation
Post/beam structural
Shear walls /anchors
Exterior sheathing
Plumbing top -out
Gas line & test
Mechanical rough -in
Electrical rough -in
Electrical service
Low voltage
Sprinkler rough -in
Backflow preventer
Roof nailing
Firewall
Framing 3/ V \ o `
MFG -Home set -up
Insulation
Drywall nailing
Masonry/Reinforcement.
Rain drain
Sanitary sewer
Water service
Pump /fill septic tank
Approach /sidewalk
Grading final
Mechanical final
Plumbing final
Electrical final
Final inspection •Vf7
Special Reports
SWR - Sewer Permit
-I Inspection Description Date Passed By Notes
Sanitary sewer
Final inspection
INSPECTION RECORD — MST (MASTER) PERMITS
•
1; • '
1
'Ty OIL TIGARD
MASTER PERMIT
PERMIT #: MST1999 -00327
0,,, , DEVELOPMENT SERVICES DATE ISSUED: 3/15/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11420 SW 92ND AVE PARCEL: 1S135DB-03800
SUBDIVISION: DOGWOOD RIDGE ZONING: R -4.5
BLOCK: LOT: 011 JURISDICTION: TIG
REMARKS: Add breezeway and carport to an existing SFD •
BUILDING .
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CI ASS OF WORK: ADD HEIGHT: 14 FIRST: 0 sf BASEMENT: 418.00 sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT:, sf RIGHT:
VALUE: $ 10,000.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0.00 sf REAR:
PLUMBING -
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHEP. FIXTURES:
-
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP t 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 ADM. INSPECTIONS
1000 SF OR LESS: ^ 0 ° - 200 amp: 0 - 200 amp: - W /SVC OR'FDR: PUMP/IRRIGATION: PER INSPECTION:
_ • ''EA ADD'L 500SF: 201 - 400 amn: 201 - 400 amp: • . 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 60C amp: 401 = 600 amp: • EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
- MANN 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:
i glu]
' ELECTRICAL - RESTRICTED FNERGY
A. EF 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: $ 280.78
VIAENE, STEPHANIE L + KEVIN G WOOD CONSTRUCTION INC This permit is subjed to the regulations contained in the
Tigard Municipal Code, State of OR. Specialty Codes and
11420 SW 92ND AVE 17855 NE LEANDER DR all other applicable laws. All work will be done in
TIGARD, OR 97223 - SHERWOOD, OR 97140 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 00082941 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
I
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Footing lnsp
Foundation Insp
Framing lnsp
Building Final
l ilr
Building Final
Issued By : Permittee Signature : ---t4IP
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
31i