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Permit Ah: CITY OF T I G A R D MASTER PERMIT PERMIT #: MST1999 -00390 '.jli; DEVELOPMENT SERVICES DATE ISSUED: 12/13/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADD S: S 12393 SW 114TH TERR ORI l I N A R-4.5 PARCEL: 6 -06400 SUBDIVISION: "J �v ZONING: R -4.5 BLOCK: LOT: 022 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w /attached garage. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,060 sf BASEMENT: sf LEFT: 47 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,035 sf GARAGE: 440 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 156,901.35 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL; sf REAR: 21 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES. DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: 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: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,345.18 • This permit is subject to the regulations contained in the RIVERSIDE HOMES RIVERSIDE HOMES Ti 15455 NW GREENBRIER PKWY #140 15455 NW GREENBRIER PKWY all ble law Code, State s. All work will b b done Specialty BEAVERTON, OR 97006 SUITE 140 all l other Municipal appllica w and in B ITE 14 ON, OR 97006-2115 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 70065 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 Erosion 844 -8444 Under insulation Plumb Top Out Gas Line Insp Appr /Sdwlk Insp Building Final Footing lnsp Crawl Drain /Backwater Electrical Service Gas Fireplace Electrical Final Foundation lnsp Footing /Foundation Dr Electrical Rough In Insulation lnsp Mechanical Final Post/Bea.- ructural X 14 M /Underfloor Framing Insp Rain drain Insp Plumb Final Post/: -am Mechanical Mec nical lnsp Shear Wall Insp Water Line Insp Final inspection Issu d B : :�a //1J �� /-// /l Permittee Signatu : fi �/ ti y Call (503) 639— 175 by 7:00 p.m. for an inspection needed the next business day t,'TY Of TIGARD Residential Building Permit Application Plan Check# / / - mod 1 3125 SW HALL BLVD. New Construction Re d By d //- bZ TIGARD, OR 97223 Single Family Detached Date to P.E. /t' 0- 7' V 503 - 639 -4171 (Ne<r Date to DST 1/ -IS -79 F 503 - 684 -7297 Permit Of 'TM f-06.396 Print or Type Called //-073 -cr l Incomplete or illegible applications will not be accepted 9 k� ° w �L'Di' " ® � (_Ql tl , PP- sw21 999 - Comae Name of Project Name Job LCa lf_tfl (r '(,1' _ Architect Mailing Address Address Site Address 2 c (1 12 ` ,� ` it 1 I -I i rrocQ-- City /State Zip Phone Name -) , h1 ucr:oh Idc Owner Mailing Address Name 1 f j fn fit: (yr"ccnbr(er k(.(39 Tl 1 yb Engineer Mailing Address City /State Zip /n� (�,�,, Phone /, _ p/,, g t) c\'lie r 177 ()A 7 a?W 6? `7 ) - C98 G City /State Zip Phone General Name C:', Contractor ` (,t1 LQ �\, C'(,u f" iil Describe work New 0 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 of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT ,� g(j /,� t. expired in COT Lic.# c I " . iL r_ ) / -- AV VALUATION database �J 1 T Mechanical Name NEW CONSTRUCTION ONLY: Sub- S q. Ft. House: Sa. Ft. garage � / ,/ Contractor ' +� l.r[D —T / „/_' I ndicate "the restricted energy Y installation b the e lec t cal v Prior to permit _ _, issuance, a copy `� subcontractor in the following areas of all licenses � or-a ( pg.- 22 T 775 Restricted Audio /Stereo are required if - °...,.,� I Fyn. Uate Energy System Alarms expired in COT Installations Vacuum Irrigation database 4 + .,3 _ 7/9/c0 System System Plumbing Name (check all that Other: Sub - ����5�i Pro) i'CE � I If; l�1 apply) _ Contractor Mailing Address Number of Units in Building Unit Number Designation ici,36 Sti) I ()I tll __0'f Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy p y 4. , ' C < ,1 , t- - 7 - of all licenses are Ore.. Const. Cont. Board Exp. Date required if Lic.# 9 1 0 V 1 expired in COT l 330 � 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 agent of the owner, and that plans submitted are in compliance with Name Oregon State laws. Electrical /Joie I kcir iC Sign ...01 e of Owner /Agent J' Date Sub- Mailing Address '.Pi7d ( M Contractor ( 3 .-- 7s SE "7l I th ' Contact 'erson Na / �y1�(�� Phone # r(2rJ �� r "" ' ` � _'6RSto City /State Zip Phone Prior to permit / �y v issuance, a copy 1 1/, 311 K 1 d3 j IP66`V 1.4. FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Ma /TL : • # r fin if Lic. / t3� , A o � / F P 5 - 44 expired in COT WO �/l� �/ I �� � o 3 �� eciR database Electrical Lic. # �� Exp. Date Se Z R .C Electrical Supervisor Lic. # Exp. Date Engirpe�� Approval: Planning pproval: TIF: // is \dsts \forms\sfd - new.doc 11/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST M99 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested q Q0 AM PM BLD Location 2 q 3 1/ T !:/T 1 Suite MEC Contact Person 19,0 Ph "l y ? , .5 y, q ' / PLM Contractor Ph SWR UILDI 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 SEE A �rr !-L i o A272 Insulation Drywall Nailing A — A* < i , r . * 2 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mis : .ASS PART - �.. PL I BING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final's PAS T FAIL CHANICA Post & Beam Rough In Gas Line Smoke Dampers PART ( RICAL 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 Date 7- ,C7 Inspector C Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 4 - 05 - 2000 11 :55AM FROM FIRESIDE DIST 15036205699 P. 1 +� w 4vvov_ e. tvx i r v: Mle.A4 1 1 L. I L< 1 9j8bbeVAI P. 1 ea ff kbr The first na furplaces p HEATILATOR, A DIvssaon of Hearth Technologies Ino., 1915 W. Saunders Stract, Mt, Pleasant, Iowa, 52641 'Telephone .319/385 -9211 - FAX 800.259 -1549 Fireside Distributors of Oregon April 5. 2000 16389 SW Boons Petry Rd Portland. OR 97224 Fun 503.620 -5699 RE: Caliber B•Vent Desiguets/ Mantle Heights Mitch, This tatter :s tv cosrfitn the lrtaette height for the Caliber Designer 8- Vents. The correct mantic height is 4r from the base of the unit. for all mantic projections 0 -12 "- 'the origatal Installation Instruction* had the incorrect mantle height at 46" on the drawing, but had the correct a2" mantle height in the paragraph above the drawing. The current installation Instructions reflect the correct 42" mantle height on the drawing. hole 014 has cleared up any confusion. Please call if you need any further help Regards, Bet eras Heats ator Technical Services CITY OF TIGARD BUILDING INSPECTION DIVISION )%9 QQ 3 , 0 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �/ BUP Date Requested 'J' 2 -7/4064 AM PM BLD Location 2 .5 i 1 et Suite MEC n Contact Person Y Al t 1, Ph 44'3 - 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 P RT FAIL UM IN) Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains cFi AO 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 / Approach /Sidewalk Date .J 2 ?! (i Inspector / 7 � 7 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION j gq1 9-00 ?q 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 `/ BUP Date Requested 3/ Z 00 AM PM 1c BLD Location 231 3 1 ) t ` . Suite MEC Contact Person WifidWiar Ph T7(D 2t2c 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 Fire wall Fire Sprinkler /l Fire Alarm Susp'd Ceiling Roof Misc: Final PASS 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 EECTifIC Service Rough In UG /Slab _ Low Voltage Fire • rm PART FAIL ackfill /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 Inspector Ext Final PASS PART FAIL DO OT REMOVE this inspection record from the job site. 4/26/00 Activities for Case #: MST1999 -00390 2:11:01 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 11/12/99 GEO RECD No Hold GEO 11/17/99 MSTA008 Permit Created 11/17/99 GEO DONE No Hold GEO 11/17/99 MSTA010 Check for prcl. restrict. 11(17199 GEO DONE No Hold GEO 11/17/99 There is a 15' easment along the rear of the property, and an eight foot (8') PUE along the frontage of both 114th Place and Walnut Glen. MSTA012 Plans routed to Plans Examiner 11/17/99 GEO SENT No Hold GEO 11/17/99 MSTA026 Plans approved by Pln Examiner 11/18/99 BT2 DONE No Hold BT2 11118/99 MSTA030 Reviewed plans routed to DSTS 11/18/99 BT2 DONE No Hold BT2 11/18/99 MSTA700 Erosion 844 -8444 11/18/99 11/18/99 No Hold BT2 11/18/99 MSTA705 Footing lnsp 11/18/99 11/18/99 12/21/99 KBS PASS No Hold KBS 12/21/99 #-1- see foundation notes MSTA706 Foundation lnsp 11/18/99 11/18/99 12/21/99 KBS PASS No Hold KBS 12/21/99 #-1- initial erosion control app #2 -2- install anchoor bolts size & spacing as shown #-3- ufer rod tag MSTA710 Post/Beam Structural 11/18/99 11/18/99 1/6/00 KS PASS No Hold AKJ 1/6/00 MSTA711 Post/Beam Mechanical 11/18/99 11/18/99 1/6/00 KS PASS No Hold AKJ 1/6/00 1) underfloor pim app 2) supp furnace plenum at crawl space with metal straps to adj framing members 3) contractor will install additional crawl drain at front of struc MSTA713 Crawl Drain /Backwater valve 11/18/99 11/18/99 12/22/99 MS PASS No Hold RB 12/22/99 MSTA717 PLM /Underfloor 11/18/99 11/18/99 1/6/00 MRS PASS No Hold MRS 1/6/00 MSTA720 Mechanical Insp 11/18/99 11/18/99 2/9/00 KS FAIL No Hold AKJ 2/9/00 1) no pressure on gas piping 2) provide clearance at fireplace 3) firestop above both fireplaces 4) complete venting at fireplace 5) hard pipe heat duct at gar wall 6) conn exhaust vents 7) secure insul shield at attic MSTA722 Plumb Top Out 11/18/99 11/18/99 2/8/00 MRS PASS No Hold AKJ 2/8/00 MSTA723 Electrical Service 11/18/99 11/18/99 2/11/00 TLP PASS No Hold AKJ 2/13/00 MSTA724 Electrical Rough In 11/18/99 11/18/99 2/11/00 TLP PASS No Hold AKJ 2/13/00 MSTA725 Framing Insp 11/18/99 11/18/99 2/15/00 KS FAIL No Hold AKJ 2/15/00 provide app plans on site MSTA726 Shear Wall lnsp 11/18/99 11/18/99 2/10/00 KS FAIL No Hold AKJ 2/10/00 incomplete several hd's not installed MSTA735 Gas Line lnsp 11/18/99 11/18/99 2/9/00 KS FAIL No Hold AKJ 2/9/00 no pressure Page 1 of 3 4/26/00 Activities for Case #: MST1999 -00390 2:11:01 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA752 Rain drain lnsp 11/18/99 11/18/99 12/27/99 MRS PASS No Hold AKJ 12/27/99 MSTA760 Water Line Insp 11/18/99 11/18/99 12/27/99 MRS PASS No Hold AKJ 12/27/99 MSTA765 APPr /Sdwlk Insp 11/18/99 11/18/99 3/7/00 MW PASS No Hold AKJ 3/7/00 MSTA790 Electrical Final 11/18/99 11/18/99 3/21/00 CD PASS No Hold AKJ 3/21/00 MSTA797 Plumb Final 11/18/99 11/18/99 3/27/00 MRS PASS No Hold AKJ 3/27/00 need to locate house dean out MSTA799 Building Final 11/18/99 11/18/99 3/27/00 KBS FAIL No Hold AKJ 3/27/00 1) final erosion control app 2) need final plm app 3) post st address 4) seal void at furnace plenum at stem wall and spot nails 5) seal all pen. at gar also supp b vent at horiz and adjust collar 6) provide install manual for fireplace 7) provide access at crawl space 8) need area well at range exhaust duct at ext MSTA032 DST Post - Review Completed 11/23/99 GEO DONE No Hold GEO 11/23/99 MSTA080 (F) Ready to issue 11/23/99 GEO DONE No Hold GEO 11/23/99 Need TIF Voucher prior to issuance. MSTA092 (F) Issue combination permit 12/13/99 DEB DONE No Hold DEB 12/13/99 MSTA095 Issue plumbing signature form 12/16/99 SLT RECD No Hold ST 12/16/99 MSTA097 Issue electric signature form 12/16/99 SLT RECD No Hold ST 12/16/99 MSTA720 Mechanical Insp 2/13/00 2/13/00 2/11/00 MRS FAIL No Hold AKJ 2/13/00 not enough pressure on gas 10 lbs 15 min MSTA735 Gas Line Insp 2/13/00 2/13/00 2/11/00 MRS FAIL No Hold AKJ 2/13/00 see mech insp 2/11 MSTA780 «REINSPECTION» 2/13/00 2/13/00 2 /11/00 MRS PAID No Hold GEO 2/14/00 failed gasline 2/11 $50.00 Paid re- inspection fee on 2/14/00, receipt #00- 321691. MSTA050 Hold for 2/13/00 AKJ DONE No Hold AKJ 2/13/00 reinspect fee due 2/11 MSTA055 Hold Release to Issued 2/14/00 GEO PAID No Hold GEO 2/14/00 re- inspection fee paid on 2/14/00, receipt #00-321691, $50.00. Replease hold. MSTA726 Shear Wall lnsp 2/15/00 2/15/00 2 /15/00 KS FAIL No Hold AKJ 2/15/00 provide app plans on site MSTA720 Mechanical Insp 2/15/00 2/15/00 2 /15/00 KS FAIL No Hold AKJ 2/15/00 provide app plans on site MSTA735 Gas Line Insp 2/15/00 2/15/00 2/15/00 KS PASS No Hold AKJ 2/15/00 Page 2 of 3 4/26/00 Activities for Case #: MST1999 -00390 2:11:01 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing lnsp 2/16/00 2/16/00 2/16/00 KS FAIL No Hold AKJ 2/16/00 1) provide detail for glulam carrying partial floor load at gar . 2) nail ledger supp rafters at fam room 3) add stud at plate splice mstr bdrm 4) strap plates at upper bay 5) temp glazing above tub 6) provide clearance at comb air duct to vent at upper fireplace MSTA720 Mechanical Insp 2/16/00 2/16/00 2/16/00 KS FAIL No Hold AKJ 2/16/00 see framing 2/16/00 MSTA720 Mechanical Insp 2/21/00 2/21/00 2/18/00 KS PASS No Hold AKJ 2/21/00 MSTA725 Framing Insp 2/21/00 2/21/00 2/18/00 KS PART No Hold AKJ 2/21/00 1) need temp glazing above tub 2) hd's missed MSTA726 Shear Wall Insp 2/21/00 2/21/00 2/18/00 KS FAIL No Hold AKJ 2/21/00 see framing 2/18 MSTA725 Framing Insp 2/22/00 2/22/00 2/22/00 KS PART No Hold AKJ 2/22/00 glazing above tub needs to be temp on back order. Will check at final, window has been marked with masking tape MSTA726 Shear Wall lnsp 2/22/00 2/22/00 2/22/00 KS PART No Hold AKJ 2/22/00 see framing 2/22 MSTA740 Insulation Insp 2/22/00 2/22/00 2/22/00 KS PART No Hold AKJ 2/22/00 see framing 2/22 MSTA095 Issue plumbing signature form 3/22/00 SLT RECD No Hold ST 3/22/00 Change of contractor MSTA795 Mechanical Final 3/30/00 KBS FAIL No Hold AKJ 3/30/00 locked MSTA799 Building Final 3/30/00 KBS FAIL No Hold AKJ 3/30/00 locked MSTA795 Mechanical Final 3/31/00 KBS FAIL No Hold AKJ 4/2/00 see bldg final 3/31 MSTA799 Building Final 3/31/00 KBS FAIL No Hold AKJ 4/2/00 1) provide vertical distance to mantels 2) remove wood and debris at crawl 3) suppp sst gas tubing in crawl MSTA795 Mechanical Final 4/7/00 KBS PASS No Hold AKJ 4/9/00 see att letter re: fireplace mantel height MSTA799 Building Final 4/7/00 KBS PASS No Hold AKJ 4/9/00 MSTA960 (F) Issue Cert. of Occupancy 4/7/00 KS DONE No Hold ST 4/26/00 4 /26 /00- mailed to owner /BT /file Page 3 of 3