Permit "CITY OF TIGARD MASTER PERMIT
` n DEVELOPMENT SERVICES PERMIT #.......: MST96 -232
- ! � + L � I � � - 13125 SW Ha1181vd., Tigard, OR 97223 (503) 171 DATE ISSUED: 06/10/98 01
At
PARCEL: 1 S1 34BD--0 7017
SITE ADDRESS... : 10900 SW 115TH AVE ®�
SUBDIVISION....:ENGLEWOOD NO.3 ZONING: R-4.5
BLOCK.......... LOT•.. ........ .•:206 ® JURISDICTION: TIG
Remarks: Add new decking to an existing single family dwelling. 9 Total area 450 Square Feet
-------- - - - - -- ------ - - - - -- - BUILDING -- - - - - -- --- - ----_ ---------------
REISSUE: STORIES • 0 FLOOR AREAS — BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- - --
CLASS OF WORK.:OTR HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD : 0 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL- - - - - -: 0 sf VALUE..$: 12598 REAR : 0
- -- ---- --- --- -------- - - - - -- 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 (100K ..: 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 -
1<< t!l, 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 5'Y SF.: 0 201 - 400 amp..: 0 201 - 4v, 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 - 1000 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.: ) 600 V NOMINAL: CLS AREA /SPC DEC:
- ------- - - - - -- ELECTRICAL - RESTRICTED ENERGY --- - - - - -- --- --- - - - - --
A. SF RESIDENTIAL---------- - - - - -- B. COMMERCIAL---- - - - - -- -- - - - - -- - - - - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .. BOILER HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: — Contractor: -- - ----- - - - -- TOTAL FEES:$ 207.46
THOMAS, WAYNE & DONNA DPW REMODELING This permit is subject to the regulations contained in the.
10900 SW 115TH AVE 14270 SW ALIBHAI STREET Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 BEAVERTON OR 97005 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone #: 641 -7046 not started within 180 days of issuance, or if the work is
Reg #..: 119445 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 -v'10 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 844 -8444
Footing Insp
Framing Insp
Building Final
Issued By: j� P ermittee Signature: ) ` ---
+ + + + + + + + + + + + + + + ++ ++ +++++++++++++++++++• d-++++ ± +± + + + +± + ± + + + + + + + + + + + ++ + + + -I -±+ t•
Call 639 -41`75 by r..00 p. m. for an inspection needed the next business day
# C�
cry ARD Plan Check Residential Building Permit Application Recd By f Sv� 1 L6 � ,
1125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd_ -
_
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ' _ _
V 503 - 639 -4171 Date to DST (91 die
.F 503 - 684 -7297 //6' Permit # Aor' °6:'O R3.Z
Print or Type ll / Called (� -°�-
Incomplete or illegible applications will not be accepted
Name of Project 0lpdpy„r 3 Name
Job 7 o,Y?a.s �ee&
Address Site Address Architect Mailing Address
/O9oD S'•L<J. / /.r - .)ve.- C!rA
Name City /State Zip Phone
r VV ' arc.A.4 ri P ,l .. ` On n r,.- 771 0 hr) GAS
Owner Mailing`address Name
/0/Db J. ?. 1/S A
c U t-.
g
City/State Zip Phone
Engineer Mailing Address
// 1 rX- , )k T7 °?3 - 5 - 9o - ?So 7..,
City /State Zip • Phone
General Name
Contractor .2) u r, &d i> ° « - )/9/4.) a t''o f, / "nj Describe work New Addition (. Alteration 0 Repair O
Mailing Address to be done:
Prior to permit / ya 7 0 s• r,) • a / / 6 h A- / S t . Additional Description o Work:
issuance, a copy City /State ok Zip Phone 41 f�b�J /T/0/J Q� e f
of all licenses ' e.-Of--V er � a-,,, 9� v° S 6 y - y 6.
are required if Oregon Const. Cont. Board Exp. Date p � PROJECT ,
expired in COT Lic.# t/ VALUATION $ / )'' Y' 0
lt
database a /i f ' `/ S D ,2000
Mechanical Name / NEW CONSTRUCTION ONLY:
•
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address h1 /�
Prior to permit Co er Lot YES NO Flag Lot YES NO
issuance, a copy City/State Zip Phone (check one) (check one)
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 Garage Door HVAC
Plumbing Name Opener Systems
Sub (check all that Other:
Contractor Mailing Address apply)
Will the electrical subcontractor wire 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 Const. Cont. Board Exp. Date
required if Lic.# 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 Signature of Owner /Agent Date
Sub- Mailing Address f '_, � ,t,, 6 /.7.-- /9 S
Contractor Contact Person Name 6Y #
City/State Zip Phone 6r3-65//4
Prior to permit FOR OFFICE USE ONLY: - 490 —,PS0a 4)
issuance, a copy Plat #: W M p/TL #: of all licenses are Oregon Const. Cont. Board Exp. Date /P-3 V6.0 O2 2/7
required if Lic.#
expired in COT Setbacks: Zo ne t� Solar:
database Electrical Lic. # Exp. Date ° '
En.,, eering Approval: Planning Approval: TIF:
L
43 EA) c, ELC) 00 A N0 .3 - L-07 ad 6,
t,"). I:SFREM.DOC (DST) 4/97
5/30/00 Activities for Case #: MST98 -00232 - EXPIRED
1:47:17 PM
Assigned • Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 6/8/98 BON RECD GEO 6/8/98
MSTA008 Permit Created 6/8/98 GEO DONE GEO 6/8/98
MSTA010 Check for prcl. restrict. 6/8/98 GEO DONE GEO 6/8/98
MSTA012 Plans routed to Plans Examiner 6/8/98 GEO PASS GEO 6/8/98
MSTA030 Reviewed plans routed to DSTS 6/8/98 RDP APPR t RDP 6/8/98
MSTA032 DST Post - Review Completed 6/9/98 B DONE BON 6/9/98
MSTA700 Erosion 844 -8444 GEO 6/8/98
MSTA705 Footing Insp 6/18/98 WDJ PASS WDJ 6/18/98 Note for final: Check lag bolts in
ledger at final.
MSTA725 Framing Insp 6/18/98 WDJ PASS WDJ 6/18/98 NOte for Final: Check lag bolts
in ledger.
MSTA799 Building Final GEO 6/8/98
MSTA080 (F) Ready to issue 6 /9/98 B PASS BON 6/9/98
MSTA092 (F) Issue combination permit 6/10/98 JSD PASS JSD 6/10/98
MSTA945 Request inspection research 3/27/00 JMT DONE No Hold JMT 3/27/00
MSTA153 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/18/00
•
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