Permit CITY OF TIGARD MASTER PERMIT
:71.. : . , PERMIT #: MST2001 -00535
COMMUNITY DEVELOPMENT DATE ISSUED: 11/1/2001
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135DB-09500
SITE ADDRESS: 11175 SW 93RD AVE ZONING: R - 4.5
SUBDIVISION: REEL ACRES LOT: 001 JURISDICTION: TIG
Project Description: Convert 754 square feet of space above garage to habitable space. Path 1. ** This permit
expired, work was continued under MST2005- 00138, MST2005 -181, PLM2006- 00301, &
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT:
VALUE: 8 00000
OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 0 at . REAR:
PLUMBING
SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN a 100K: BOIUCMP < 3HP: VENT FANS: 2 CLOTHES DRYER:
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 3
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: 5 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:
a=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 0 SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable
IRMA JUAREZ OWNER laws. All work will be done in accordance with approved plans. This
11175 SW 93RD SIGNED RESPONSIBILITY permit will expire if work is not started within 180 days of issuance, or
TIGARD, OR 97223 FORM IN FILE if the work is 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 952 -001 -0080. You may obtain copies of these rules or direct
Phone: 503 624 - 7436 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Reg #:
TOTAL FEES: $ 431.63
REQUIRED ITEMS AND REPORTS
Issued By : Permittee Signature :
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
lit p . CITY OF TIGARD 1/2/2007
•
13125 SW Hall Blvd. 4:02:13PM ';
Tigard, OR 97223 503.639.4171 Activity Listing
TIGARD g
Case #: MST2001 -00535
Primary Name: JUAREZ
Project Name: JUAREZ .
Site Address: 11175 SW 93RD AVE
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730 Case update (see note) 6/12/2006 DONE HAP Case final to reflect other than X status. See MST2005 -00138 and MST2005 -00181 for
reinstatements hap
110 Override parcel holds 6/12/2006 HAP
740 Case fmaled 6/12/2006 DONE HAP See case update note and MST2005 -00138 and MST2005 -00181
730 Case update (see note) 6/14/2005 DONE AMS This work originally begun without permit or inspection, brought under permit with
MST2001 -00535 which expired; under permit again with MST2005- 00138, property then sold,
new permit MST2005 -00181 issued, 00138 marked Case Finalled; all inspection reports
153 Expired by limitation 12/30/2003 DONE HAP $62.50 investigation fee each for BLD, MEC, PLM, ELC to reinstate.
722 Plumb Top Out 8/22/2002 PASS TLP
797 Plumb Final 3/15/2002 FAIL BL Code Violations too numberouse too list
093 (F) Reprint Permit 3/14/2002 DONE BB
092 (F) Issue combination permit 11/1/2001 DONE DEB
032 Post - review completed 10/26/2001 DONE JMT
080 (F) Ready to issue 10/26/2001 DONE JMT give them their copy of owners resp.form. it's already signed. No answer at owners home.
005 Application received 10/23/2001 DONE DEB
008 Permit Created 10/23/2001 DONE DEB
010 Check for prcl. restrict. 10/23/2001 DONE DEB None required as interior remodel only
012 Plans routed to Plans Examiner 10/23/2001 DONE DEB
720 Mechanical Insp
724 Electrical Rough In
740 Insulation Insp
790 Electrical Final
795 Mechanical Final
725 Framing Insp
798 Final inspection
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