Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF T I G A R CU MASTER PERMIT PERMIT #: MST2000 00020 �5111 DEVELOPMENT SERVICES DATE ISSUED: 2/10/00 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 -� y SITE ADDRESS: 14270 SW 97TH AVE PARCEL: 2S111 BA -01200 1 % SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: Enclosing patio and remodeling kitchen. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: 94 sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: VALUE: $ 3,290.00 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: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 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: 1 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/SRC 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 # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 215.98 ANSDELL OWNER This permit is subject to the regulations contained in the DAVID RANS R 97TH AVE OWNER RES PONS FORM SIGNED Tigard Municipal Code, State of OR. Specialty Codes and 14270 S , OR 97224 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 #: 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 Footing /Foundation Dr Electrical Rough In Plumb Final Foundation Insp PLM /Underfloor Framing Insp Final inspection Post/Beam Structural Mechanical Insp Insulation Insp Building Final Post/Beam Mechanical Plumb Top Out Electrical Final Underfloor insulation Electrical Service Mechanical Final Issued y : 1 / � '' i �_a.. // itii—d ,L.li Permittee Signature : ,P _,...1 Call (503) 9 -4175 by 7:00 p.m. for an inspection needed the next busin ss day Y OF TIGARD Residential Building Permit Application Plan Check #/- 3 � /` 3125 SWHALL BLVD. Alteration - Interior Only Recd By �'- Single Family Detached or Attached (Duplex) Date Recd /-� ®© TIGARD, OR 97223 Sin 9 Y � P � Date to P.E. I�ZI 2C00 V 503 - 639 -4171 Date to DST .2 - b- - 0 c/ F 503 - 684 -7297 '- I Permit # M $12c1 - fr Zd Print or Type Called - — PAP o Incomplete or illegible applications will not be accepted Name of Project Name Job " 1 Aclti6, i..: e..t+t A Architect Mailing Address Address site Address v 7Q sti) 41/111- r City /State Zip Phone Name D ID -USDeu Name Owner Mailing Address I 1 7D co 1 A Engineer Mailing Address City/State 44., Q Zi Phone U �(p (� City /State Zip Phone General Name Contractor 01,01)-6-- Describe work New 0 Addition Alteration Repair 0 Mailing Address to be done: Prior to permit A itional De5crip ' n of Wor issuance, a copy City /State p Phon �/� TiL� r ��>�G ' ' �"� of all licenses are required if Oregon C t. Cont. Board Exp. Date PROJECT � expired in COT Lic.# VALUATION $ _ • 10 database _ Mechanical Name NEW CONSTRUCTION ONLY: Sub- e)(0,,t A `r Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit Indicate the restricted energy installation by the electrical 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- OGOAf ! apply) Contractor Mailing Address Corner Lot YES NO Flag Lot YES _ NO (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) required if Lic.# I hearby acknowledge that I have read this application, that the expired in COT database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the o , er, and that plans submitted _ - in compliance with Oregon,•tate la _ 4 Name S' ' �" a of • • 7 Electrical Gci j� i1 / �. 77 47 0► • , , 4, / Date/ lg 00 Sub- Mailing Address nt erson N Work Phone # Contractor A' D - ?SD-.o o3 5? -3/310 � FOR OFFICE USE ONLY: City /State Zip Phone Plat #: Maap/71) Prior to permit ./ _O/,., 0 issuance, a copy S tb ks Zone' /� Solar: of all licenses are Oregon Const. Cont. Board Exp. Date : /' 5 required if Lic.# ) . expired in COT En ,, gi ` neering pproval: Planni Approval: TIF: database Electrical Lic. # Exp. Date P N Electrical Supervisor Lic. # Exp. Date , _� ,� / i:forms\sfintalt.doc (DST) 10/23/98 Permit #: MST 200o - coo 'LC' • F *- Address: l'f' 1 O S 4` 1 Q &. ytprv� Z Issued by Date: 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 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: IA , 1. I own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. n 3A. My general contractor is 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 Property wners about Construction Responsibilities on the reverse side of this form. (Sig re of 't applicant) (Da i "7 (White copy to issuing agency permit file, pink copy to applicant) CITY OF TIGARD RI 1ILDING INSPECTION DIVISInN - MST ‘q/Z-6 -GUO Z D 24 -Hour Inspection Line: 3-4175 Business Line: 63 171 //-- BUP Date Requested 7 Z Y AM PM BLD Location / 7, 7 0 S w Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab / / / -- y j) p cl 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 C Service Rough In UG /Slab Low Voltage F'- • fp PART FAIL r 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 17 Approach /Sidewalk Date v - / Inspector Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. X3 - 7 ' CITY OF TIGARD RUILDING INSPECTION DIVISION - MST BOG Z-U 24 -Hour Inspection Line: 19 -4175 Business Line: 6. 1171 BUP Date Requested Z G AM PM BLD Location / t/ Z-- 5 `'' 7 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation �, %� 7 FPS Ftg Drain rJ C4 l , ' 7 SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath/Shear Int Sheath /Shear \ ' / �/ Framing f' i � l�Ci 7r (/ V qc IA HI,.,� �rv.l - el-. l/o -a- , /6 A • Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUM ost & Beam Under Slab Top Out Water Service O f 4 Sanitary Sewer i -'n Drains PART FAIL `+0 NICAL 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 Approach/Sidewalk / Inspector ') / `-"� �G "e Et - x Other D a t e t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. _ \ 7 361 CITY OF TIGARD INALDING INSPECTION DIVISInN MST rya - v62.o 24 -Hour Inspection Line: -4175 Business Line: 6i )71 BUP Date Requested 3' Z" AM PM BLD Location / 20 0 S 4 4 .. e Suite MEC Contact Person At ntDdd Ph 5f' - 3 z6 PLM Contractor Ph SWR <IJIL Tenant/Owner ,'/e4)-( G �-d 16 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab IT Post & Beam Ext Sheath /Shear Ina Sheath /Shear �J /�� G , _ �� r `r ` / G Framing J ��w► � (y! Insulation 6 ,� Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling C.'A - , ,'mac r=f;,-e a Roof Misc: ina SS PART FAI 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat 3 - _ ( J/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MT��JO ZO 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ? / Ob AM PM BLD Location l 4.4 2_ 7 D 9 79 AS uite MEC Contact Person 9G{.(/ 1 Ph 5 g (-1 74, PLM Contractor Ph 7 g0'0 39 g,, SWR LiagSP Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int /Shear Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PART FAIL BIN Post & Beam diet Under Slab $FeU 1130 k a er Service Sanitary Sewer Rain Drains Final ri PART FAIL NIMCIANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL L aCTRIC71 S-• •ugh In 4,4-A4 UG/ a• SPC Low Voltage Fire Alarm 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 Other Date 2 L /ku Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.