Permit ,. CITY OF TIGARD MASTER PERMIT
i� DEVELOPMENT SERVICES PERMIT ##.......: MST97 -0444
'�II DATE ISSUED: 10/16/97
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S 135DB -03800
SITE ADDRESS... :11420 SW 92ND AVE
SUBDIVISION.... :DOGWOOD RIDGE ZONING: R -4.5
BLOCK.......:.. LOT......... .... :011 JURISDICTION: TIG
Remarks: Garage addition
------ - - - - -- - - -- BUILDING - - -- --- ---- - - - - --
REISSUE: STORIES • 1 FLOOR AREAS-- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- --
CLASS OF WORK.:ADD HEIGHT • 12 FIRST : 0 sf GARAGE • 504 sf LEFT..........: 10 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 50 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CUNST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL ---- -: 0 sf VALUE..$: 8911 REAR • 99
- - - - - -- ------------------------- _---- - - - - -- 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 ( PO( ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES : 0 GAS OUTLETS...: 0
- ------------------ --- - -- ELECTRICAL ------- - - - --- - _-- - -_ -
- - RESIDENTIAL UNIT -- - -- SERVICE /FEEDER -- - -TEMP SRVC /FEEDERS -- ---BRANCH CIRCUITS - -- - --- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- -
1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 2% amp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 4vi amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FDR: 0 601 - IA amp.: 0 601 +asps -1000 v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ---- -- -- PLAN REVIEW SECTION — -
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 6!v V NOMINAL: CLS AREA /SPC UCC:
--- ~-------------------- -- ---- -- 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 0 SYSTEMS: 0
Owner: - -------------- -- - - -- Contractor: ----------- - - - - -- TOTAL FEES:$ 126.66
VIAENE, KEVIN & STEPHANIE WOOD CONSTRUCTION INC This permit is subject to the regulations contained in the
11420 SW 92ND 14775 SW SUNSET BLVD Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 SHERWOOD OR 97140. other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone #: 244 -9088 not started within 180 days of issuance, or if the work is
Reg 0..: 000829 suspended for more 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 -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- - -- - - -- REQUIRED INSPECTIONS -- --- — --- — --- ------ - - ---_ _ - - - - --
Erosion Control Building Final
Footing Insp
Foundation Insp
Framing Insp
Rain drain I p
Issued By: • ! 0 Permittee Signature: diUKAa_242t
+ + + + + ++ + + ++ ++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
t f Plan Check # ` t o lc-
_sin t F TIGARD Residential Building Permit Application Recd By ! .
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd I I It PO q 7
z TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. -' - 1,
V 503- 639171 Date to DS_T /;
F 503 -684 -7297 Permit # (1
Print or Type Called Ill -i `1
Incomplete or illegible applications will not be accepted
Name of Project _ Name
Job ( 'Q''k `9
f<- salcw‘S'ip t, Architect Mailing Address
Address Site Address
1 2_a 5 Lo q 2 tub City /State Zip Phone
Name
I�Vty.. zc. J 4n1e..- U i40,
Owner Mailing -2., ddress Name
1i 4- 5 &.'1 iv-0
City /State Zip Phone
Engineer Mailing Address
- 1 - 1 , 1,--J q 2 22 3
City /State Zip Phone
General Name
03 0.06A. Cam- STv-+.1/4.01" �,c.
Contractor Describe work New 0 Addition( Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit i 7 €355 AJ ` LeaY.d .j3,.. Additional Description of Work: Q e Q i 'n r_ O• Jex I d n
issuance, a copy City/State Zip Phone • a LS L 68�
of all licenses 5 ke.,r I..c)z t 6, • 4714--
are required if Oregon Const. Cont. Board Exp. Date a 7lr PROJECT Q� / /
expired in COT Lic.# B. 4, r G / 2 /' VALUATION $ B q(c) , 7 J U
database ( /
Mechanical Name , — NEW CONSTRUCTION ONLY:
Sub It< y A Sq. Ft. House: Sq. Ft. Garage
of
Contractor Mailing Address ,
Prior to permit Corner Lot YES NO Flag Lot YES N¢
issuance, a copy City/State Zip Phone (check one) x (check one) X
of all licenses Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm
expired in COT Lic.#
database Installation l /Garage Door HVAC
Plumbing Name A E �U✓ Opener Systems
Sub - IV (check all that Other:
Contractor Mailing Address apply)
Will the electrical subcontractor wire for all YES NO
restricted energy installations? /JP
Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy
—
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# Reissue of MST #: Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
Name A p- agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Electrical Signa re of Owner /A ent Date,
Sub- Mailing Address /o /3 I ff 7
Contractor Contact Person Name Phone #
City/State Zip Phone L.25 (24; 9
Prior to permit FOR OFFICE USE ONLY:
issuance, a copy Plat #: ������� : ,,
of all licenses are Oregon Const. Cont. Board Exp. Date I y - t DJ � R / i ! M ap/TL # ( S 1 3,5-0 t`jn - 3 p '0
required if Lic.# Setbacks: Zo e: Solar:
expired in COT Q r ` I , q OA
database Electrical Lic. # Exp. Date Engine r g Approval: Planning {_ TIF;� iU
I:SFREM.DOC (DST) 4/97
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 6 4
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
d / BUP
Date Requested ; AM PM BLD
Location L e-- 1 Suite ff�p MEC
Contact Person Ph 6 7 °-166 CO 7 PLM
Contractor Ph SWR
N�� (/ ) ELC
BUILDING :� Tenan wn ,a V
Retaining Wail ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: / / -
Slab i ! 1_ SIT
Post & Beam ' 1
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
AS S PART FAIL
• MBINPb
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date 2- cCr Inspector E;s1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.