Loading...
Permit /\ CITY OF TIGARD ERMIT #P MST97 -00532 " DEVELOPMENT SERVICES DATE ISSUED: 09/16/1999 II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 11420 SW 92ND AVE PARCEL: 1 S135DB -03800 SUBDIVISION: DOGWOOD RIDGE ZONING: R -4.5 • BLOCK: LOT: 011 JURISDICTION: TIG REMARKS: 392 sq. ft. accessory structure BUILDING REISSUE: STORIES: 0 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ACS HEIGHT: 0 FIRST: 0 sf BASEMENT: 0.00 sf LEFT: 0 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 0 SECOND: 0 sf GARAGE: 0 sf FRONT: 0 PARKING SPACES : 0 TYPE OF CONST: 5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT: 0 VALUE: $ 2,530.00 OCCUPANCY GRP: R3 BORM: 0 BATH: 0 TOTAL: 0.00 sf REAR: 0 PLUMBING • SINKS: 0 WATER CLOSETS: 0 WASHING MACH: 0 LAUNDRY TRAYS: 0 RAIN DRAIN: 0 TRAPS: 0 LAVATORIES: 0 DISHWASHERS: 0 FLOOR DRAINS: 0 SEWER LINES: 0 SF RAIN DRAINS: 0 CATCH BASINS: 0 TUB /SHOWERS: 0 GARBAGE DISP: 0 WATER HEATERS: 0 WATER LINES: 0 BCKFLW PREVNTR: 0 GREASE TRAPS: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN < 100K: 0 BOIL/CMP < 3HP: 0 VENT FANS: 0 CLOTHES DRYER: 0 FURN > =100K: 0 UNIT HEATERS: 0 • HOODS: 0 OTHER UNITS: 0 MAX INP: 0 btu FLOOR FURNANCES: 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 - 200 amp: 0 W /SVC OR FDR: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF: 0 201 - 400 amp: 0 201 - 400 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 MANU HM /SVC /FDR: 0 601 - 1000 amp: 0 601 +amps- 1000v: 0 MINOR LABEL: 0 1000+ amp /volt : 0 PLAN REVIEW SECTION Reconnect only: 0 > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC 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: ' DATAITELE COMM: NURSE CALLS: TOTAL # SYSTEMS: 0 Owner: Contractor: TOTAL FEES: $ 65.46 OWNER This permit is subject to the regulations contained in the SIGNED RESPONSIBILITY FORM Tigard Municipal Code, State of OR. Specialty Codes and IN FILE all other applicable laws. All work will be done in accordance with approved plans. Th is 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 #: 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 Final inspection Framing Insp Building Final Misc. Inspection Misc. Inspection Misc. Inspection Issued By : , rif..,r,., Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day c ,. Plan Check .# i2 �� CITY OF TIGARD Residential Building Permit Application Rec'd By(� 13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd i 'Pi-4 7 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 1Z - 3 •W V 503 - 639 -4171 Date to DST F 503 - 684 -7297 Permit #W1S'- q'? -053Z Print or Type Called Incomplete or illegible applications will not be accepted Name of Project f� Name Job D0 1� f Address Site Add ress Archite Mailing Address are , / City /State Zip Phone bl E.PI4An►It✓£ Kevin! Yi,4t.,vE. Owner Mailing Address Name ,,, 11420 $L4J 92 ^ ' D ' ` City/State Zip Phone Engineer Mailing "Address / 4AtQA /O . 97Z _67O --O(d City /State Zip Phone ■ General Name ' l e / f � Contractor m1 Wt0EL Describe work New ® Addition 0 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: issuance, a copy City /State Zip Phone A ct .e ssokw . 6 .7- C - Pt C ATriaC ea t' of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# VALUATION $ 25 30.00 database Mechanical Name NEW CONSTRUCTION ONLY: Sub Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Add ss Prior to permit Corner Lot YES NO Flag Lot YES NO 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. C ont. Board Exp. D ate Energy System Alarm expired in COT Li database Installation Garage Door HVAC Plumbing Name Opener Systems Sub- (check all that Other: Contractor Mailing Addy ss apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance, a copy of all licenses are Oregon Const1Cont. 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 agent of the owner, and that plans submitted are in compliance with Oregon State laws. Electrical Si at Oaaner /Ag`ett Date Sub- Mailing Address � � ►Z - 1 9'7 Contractor C tact Person Nam Phone # City /State ip Phone _ Prior to permit OR OFFICE USE ONLY: issuance, a copy Plat #: Map/TL #: of all licenses are Oregon Co sf. Conti Exp. Date Nt h, (4, \ 1 i S I � JClL required if Lic.# �� ��1��« I expired in COT \,.. Setbacks") Zone:/ _/ J Solar: database Electrical Lic. # Exp. Date ll/��/' l y( Engineering Approval: PI nnin Approval: TIF: leis i oo?-z- 4 , re.. 4:M) , e; '' — 6w L1) �° ----6a-me. 0 425. 4'3 ( , , .' I:SFREM.DOC (DST) 4/97 . 1 1.9 • 09/16/1999 Activities for Case #: MST97 -00532 2:46:44 PM Assigned Hold Updated • Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 12/01/1997 DRA RECD BON 12/03/1997 MSTA008 Permit Created 12/03/1997 B DONE BON 12/03/1997 MSTA010 Check for prcl. restrict. 12/03/1997 B PASS BON 12/03/1997 MSTA012 Plans routed to Plans Examiner 12/03/1997 B SENT BON 12/03/1997 MSTA026 Plans approved by Pln Examiner RB BT2 .09/16/1999 MSTA030 Reviewed plans routed to DSTS 09/16/1999 BT2 DONE BT2 09/16/1999 MSTA032 DST Post - Review Completed BON 12/03/1997 MSTA155 Development conditions met BON 12/03/1997 MSTA705 Footing Insp BON 12/03/1997 MSTA799 Building Final 11/06/1998 RB PEND DGW 09/16/1999 Steel tubing & canvas cover structure/ property line set -back , ok/ No further inspections • needed....May be passed by ' review upon issuance of permit. MSTA770 Misc. Inspection 11/05/1998 RB RESH RB 11/05/1998 RESEARCH- Made site visit to notify owners re: MST97 -0532 . & MIS97 -0022 taken out for an accessory structure 392 ftsq and 14 -feet high. Asked for contact regarding these permits. If structure is already • constructed, owners need to pick up plans {after being approved) and make arrangements for inspection. MSTA770 Misc. Inspection 11/05/1998 RB NOTE J *H 11/05/1998 Research inspection and • contact only. MSTA725 Framing Insp 11/06/1998 J *H 11/06/1998 MSTA798 Final inspection 01/11/1999 RB PASS RB 01/11/1999 No special instructions given to owner for construction. Owner complied with approved plans and manuf. installation standards. MSTA770 Misc. Inspection 01/21/1999 JT 01/21/1999 note to Hap that we finaled but . permit not issued. bob t. holding application because of . engineering. Jeanne MSTA970 Case Finaled . 01/29/1999 VLN 02/25/1999 Per Rick B. 11/6/98. MSTA053 Hold Release to Pending Status 09/16/1999 HAP PEND No Hold DGW 09/16/1999 Review of case indicates final inspection performed and may be passed by review upon issuance of permit. (See Final Bldg Insp by RB) • Page 1 of 2 09/16/1999 Activities for Case #: MST97 -00532 2:46:44 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA092 (F) Issue combination permit 09/16/1999 - SHER DONE No Hold GEO 09/16/1999 • Page 2 of 2 CITY OF TIGARD BUILDING INSPECTION DIVISION &P MST 53 24 -Hour Inspection Line: 639 -4175 Business Line: 6394171 BUP Date Requested ' I c `n AM PM BLD Location i I "'1 a---0 04 Suite MEC Contact Person Ph PLM Co A l l r Ph SWR 'BM G Tenant/Owner ELC Re . ining Wall ELR Footing Foundation ( FPS Ftg Drain I NOT REQUESTED I SGN Crawl Drain f\--C FOUND D URING RESEARCH / SIT Slab Post & Beam I NO INSPECTION(S) IN FILE t T-7 a �,� Ext Sheath /Shear l 1 s Ina mingth /Shear s ( C i -- Framing Insulation I I. / I Drywall Nailing Firewall p �' Fire Sprinkler �� �_ 1_.s ,a !,/ -4 rt / G Fire Alarm / 4 Susp'd Ceiling �-.� ..- . _ ` — Q Roof � � / yf Misc: ._ A / 2 . / / / - jXJ (. 2 /LCi Y-1 Qj Final '" ' ` � PASS PART : ` - - 5 .. k PLUMBING (* / 11 /;, �� . Post & Bea Under Slab 5 1 s i /� 0 , L1/'\D . S (.,e-T1 *Z.1.-* Top Out Water Service l/N" '�� \ \ 1 Sanitary Drains Sewer ( I O Rain Drains � Final 1 • PASS PART FAIL S+ . / w-- \- V\. • MECHANICAL Post & Beam J c ((�� Rough In "� \' �/1/�, 1/V l�'\/�( 0...E-Z...S.g Gas Line Smoke Dampers 1/\/Q, _ �.b `c ? S . Final � PASS PART FAIL f C9......-42... ELECTRICAL �� 4 �� Service 't� �� l.l s,( Q,21 3 ' Rough In UG /Slab Low Voltage .�7( � .-- /fit 7 I 3 / ( I Fire Alarm \11 f c `� 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 t /� Other Date \ " I Inspector / E) 1, Final PASS PART FAIL DO OT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Q 7 oc3 �. 41, 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1 /Qin AM PM BLD Location \ \, 4- ' i Z t Suite MEC Contact Person Ph PLM Co.ntrac or Ph SWR ILDI Tenant/Owner ELC Re aining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: \1 .-rc� SIT Post & Beam n^ -- Ext Sheath /Shear - 1 v 97 - ®e 2. 2- Int Sheath /Shear Framing • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • Miser 8 44 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 • 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 V(9.1K Other Date � I nspector Ext J Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •