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Permit CITY OF TIGARD MASTER PERMIT OR I I PERMIT #: MST1999 -00163 I DEVELOPMENT SERVICES NrE ISSUED: 7/19/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14207 SW 116TH TERR PARCEL: 2S110BA 08900 SUBDIVISION: EVERGREEN SPRINGS ZONING: R -4.5 BLOCK: LOT: 014 JURISDICTION: TIG REMARKS: New SF - Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,026 sf BASEMENT: sf LEFT: 9 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,368 sf GARAGE: 512 sf FRONT: 27 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 176,113.36 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: sf REAR: 37 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 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: 4 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 SRVCIFEEDERS 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: 4 201 - 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: $ 4,958.45 This permit is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR. Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in WEST LINN, OR 97062 WEST LINN, OR 97068 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 049955 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 Post/Beam Mechanical Plumb Top Out Insulation Insp Mechanical Final Grading Inspection Underfloor insulation Electrical Service Rain drain Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Rough In Water Service Insp Final inspection Foundation Insp PLM /Underfloor Framing Insp Appr /Sdwlk Insp Building Final Post/Beam Structural M chani -Insp Gas Line Insp Electrical Final By :�l Perm ittee Si nat : ,,------- Issued B g /`� ,7-----, _ Call (503) 6 :-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Check -7-7 13125 SW HALL BLVD. Additions or Alterations Rec'd By Date Rec'd 2 �./ TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 1 -1 - 27- 6 7 q V 503 - 639 -4171 Date to DST i 'o94'9 F 503 - 684 -7297 1 1 Permit # M5�1 I - (Z ((r Print or Type l le7-99,QW' Incomplete or illegible applications will not be accepted ` O' dA, � = '„, b Name of Project Name / '/ / f 4 / v/hP / PS 1 )0.1 Job �+.r. n en Sao,.'$ s LO/ �,7 M ailin / Address Site PCddress Architect g Address (/ m7 X/../ T( ^ 7 race 7/ ‘,S SIV C #/uy / City /State Zip f Phone Name 7 - 2 y 0,4 97Z Z 3 6z y- c�/ss RP,nnIS.rA.lce 6.1171/4 Ai 1ivMPl Narfie Owner Mailing Address �1 Sa..ie /4 1G✓ L Phone / ;/ /s 4. Engineer Mailing Address City /State Zip On' 1 I IW 97 168' SS7 So ®0, City /State Zip Phone General Name Contractor S 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 of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT / /' expired in COT Lic.# database ©mLf 995 54099 VALUATION $ P ?//3 Mechanical Name NEW CONSTRUCTION ONL : Sub- 7 �' o u. , f C f Sq. Ft. House: Sq. Ft. Garage Mailing / Address , P o� iv 239 S/Z Contractor g Indicate the restricted energy installation by the electrical Prior to permit /3C.57 SE /�,. e��P/ subcontractor in the following areas issuance, a copy City/State Zip Phone of all licenses 6 /,,, G, 7 70/5 C - y- 3 1/5 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# / Installations Vacuum Irrigation database 0 72 C23 3 /Z5 / Vii:' System System Plumbing Name )) (check all that Other: Sub- h u ��/ i• , 9 apply) Contractor Mailing Addres Corner Lot YES NO Flag Lot YES NO (check one) (check one) 7 736 .(i✓ 4/ 6 Has the Subdivision Plat recorded? N/A yES_ NO Prior to permit City/State Zip Phone issuance, a copy /3ea,.t, 97003 S y - of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# expired in COT 79 CCC 'ZI /m /al I hearby acknowledge that I have read this application, that the database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Zm -71/if P6 2/tea,/ Oregon State laws. Name Signature of Owner /Agent Date Electrical C f . 72 - �f 710,2---N/ �Q e ��eG r:C Contact Person Name Phone # Sub- Mailing Address r Contractor Po /S,K /(/ z9 7 /o bt f- %f $;7 - warm City /State Zip Phone Prior to permit issuance, a copy C /ac,a,'ia; 9 74/5" 657- m/ L/ FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/T #: 2 i JT� required if Lic.# /� OM -41/0° Q Q expired in COT 0 3 Si/y 9 / 2-/ Z' I A �� database Electrical Lic. # Exp. Date Set ck Zone: Solar: y� 3 1Z$"c 1& /1 /99 0 - y . � � Electrical Supervisor Lic. # Exp. Date Ervin ring Appr val• Planning Approval: TIF: 6 /ies /n/ / /o/ \ o 1'amS/ LI /ci3 7 o q 5 , c ‘• is \dsts \forms\sfaddalt.doc 11/20/98 / CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 499 -oD10 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM X PM BLD Location 2O P■KY Suite MEC Contact Person - 17ZUU / S Ph 5 7 Z -aSC PLM Contractor Ph SWR ILDIIyl 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: 411 0- FAIL • :INC 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 Finakl 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'✓ r t I Date y_�/ �( Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1(n3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 1 1/7/6,0 AM d PM BLD Location ) ( 0 T 4 Y Suite / MEC Contact Person VA)) I S Ph S 7 2'2 -S(' '7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation t),Pr FPS Ftg Drain Crawl Drain Inspection Notes: SGN 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 rib MBIN PoX1�eam Under Slab Top Out Water Service Sanitary Sewer Rain Drains •ART FAIL CHANI, Posh'& $eam Rough In Gas Line Smoke Dampers S PART FAIL CTRICAL 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 Other Date ( i57 Inspector 2 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION r9 ?g,O0/ 403 24 -Hour Inspection Line: 6394175 Business Line: 6394171 BUP Date 2 e Requested I C0��7Q AMPM BLD Location 1 Lt 6) � 1 Co ( Suite / MEC Contact Person 1 ?tA L$ Y Ph 572, ,ga [ '1 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 ei �AJ� 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 tELECTRICAt) Service Rough In UG /Slab Low Voltage Fire Alarm • PART FAIL Bac /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 rei spection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other D Inspector pi's _ _ _ Ext Other Final PASS PART FAIL B O N • T REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION M�999_001 Co3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 IcV BUP Date Requested J ,�, 00 AM PM BLD Location I — �O1 / / 11J' ) e_AIY Suite MEC Contact Person '11(a k) IS S Ph .57 7. "l _ Contractor Ph SWR _i S ilk BUILDING Tenant/Owner ELC 4 mi Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Note • Slab Post & Beam Ext Sheath /Shear '�1 Ina Sheath /Shear -* O n Q 0 ) t L , ttiziAZ U �' - b / at, Framing JF I� 'l ) Vffl'' �f ttJ I ,, ,, ,, In Drywall tion g 5 • �1 i.oJS Y 1 }2 U ` �� �/ Nailing / l J/ / /L!�_ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: • Final PASS PART FAIL FUMBIN ��,� U 4 jti2f4 Post & Beam • Under Slab Top Out , Water Service 1 Sanitary Sewer Rain Drains mad PASS PART FAI ECHANIG4) Posf&Beam Rough In Gas Line Smoke Dampers in PASS PART CO ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final SS PART FAIL IT Backfill /Grading d Sanitary Sewer 40 \ Storm Drain Al n [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin V ` Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA A ch /Side l ak _ (� \ C of ro t t%��c.lvN Date Inspector s Ext3 Fi PART FAIL DO NOT REMOVE this inspection record from the job site. 4/26/00 Activities for Case #: MST1999 -00163 2:21:07 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 4/23/99 BON RECD No Hold BON 4/27/99 MSTA008 Permit Created 4/27/99 BON DONE No Hold BON 4/27/99 MSTA010 Check for prcl. restrict. 4/27/99 BON DONE No Hold BON 4/27/99 MSTA012 Plans routed to Plans Examiner 4/27/99 BON DONE No Hold BON 4/27/99 MSTA026 Plans approved by Pln Examiner 4/28/99 BT2 DONE No Hold BT2 4/28/99 MSTA030 Reviewed plans routed to DSTS 4/30/99 BT2 DONE No Hold BT2 4/30/99 MSTA700 Erosion 844 -8444 4/28/99 4/28/99 No Hold BT2 4/28/99 MSTA703 Grading Inspection 11/12/99 MW PASS No Hold VT 11/12/99 18 % slope. Looks good. MSTA705 Footing Insp 4/28/99 4/28/99 8/24/99 GS PASS No Hold AKJ 8/24/99 MSTA706 Foundation Insp 4/28/99 4/28/99 8/26/99 GS PASS No Hold AKJ 8/26/99 MSTA71 Post/Beam Structural 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA711 Post/Beam Mechanical 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA712 Underfloor insulation 4/28/99 4/28/99 No Hold BT2 4/28/99 MSTA713 Crawl Drain /Backwater valve 4/28/99 4/28/99 8/30/99 GS PASS No Hold AKJ 8/30/99 MSTA717 PLM /Underfloor 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA720 Mechanical Insp 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA722 Plumb Top Out 4/28/99 4/28/99 11/12/99 GS FAIL No Hold VT 11/15/99 1. no test on waste waste, call for re- inspection, water okay MSTA723 Electrical Service 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 label panel in ink MSTA724 Electrical Rough In 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA725 Framing Insp 4/28/99 4/28/99 11/12/99 GS FAIL No Hold VT 11/15/99 1. strap top plate to glulam (over small garage door) 2. fireblock garage soffit. MSTA735 Gas Line Insp 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA740 Insulation Insp 4/28/99 4/28/99 11/19/99 KS PART No Hold VT 11/19/99 1. insulate under stairs @ garage 2. provide baffles (between vault & flat ceiling line) 3. maintain minimum of one clearance between batts & roof sheathing 4. OK to cover areas not listed above. Call for reinspection MSTA752 Rain drain Insp 4/28/99 4/28/99 8/30/99 GS PASS No Hold AKJ 8/30/99 MSTA761 Water Service Insp 4/28/99 4/28/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA765 Appr /Sdwlk Insp 4/28/99 4/28/99 1/11/00 MW PASS No Hold AKJ 1/11/00 Page 1 of 2 • 4/26/00 Activities for Case #: MST1999 -00163 2:21:07 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA790 Electrical Final 4/28/99 4/28/99 4/4/00 CD FAIL No Hold AKJ 4/4/00 locked MSTA795 Mechanical Final 4/28/99 4/28/99 4/4/00 RB FAIL No Hold AKJ 4/4/00 locked MSTA797 Plumb Final 4/28/99 4/28/99 4/4/00 RB FAIL No Hold AKJ 4/4/00 locked MSTA799 Building Final 4/28/99 4/28/99 4/11/00 KBS PASS No Hold AKJ 4/11/00 MSTA080 (F) Ready to issue 5/7/99 DRA DONE No Hold DRA 5/7/99 MSTA032 DST Post - Review Completed 5/7/99 DRA DONE No Hold DRA 5/7/99 MSTA092 (F) Issue combination permit 7/19/99 GEO PASS No Hold DST 7/19/99 MSTA095 Issue plumbing signature form 7/28/99 JMT RECD No Hold JMT 7/28/99 MSTA097 Issue electric signature form 7/29/99 JMT RECD No Hold JMT 7/29/99 MSTA726 Shear Wall Insp 11/15/99 11/15/99 11/12/99 GS PASS No Hold VT 11/15/99 MSTA727 Exterior Sheathing Insp 11/12/99 GS PASS No Hold VT 11/15/99 MSTA722 Plumb Top Out 11/16/99 11/16/99 11/16/99 GS PASS No Hold VT 11/16/99 MSTA725 Framing Insp 11/16/99 11/16/99 11/16/99 GS PASS No Hold VT 11/16/99 MSTA740 Insulation Insp 11/22/99 11/22/99 11/22/99 GS PASS No Hold DGW 11/22/99 MSTA790 Electrical Final 4/6/00 CD PASS No Hold AKJ 4/6/00 MSTA795 Mechanical Final 4/6/00 MRS FAIL No Hold AKJ 4/6/00 see plm final 4/6 MSTA797 Plumb Final 4/6/00 MRS FAIL No Hold AKJ 4/6/00 1) req permit on BFD 2) sewer clean out? 3) no address door combo not right MSTA795 Mechanical Final 4/7/00 KBS FAIL No Hold AKJ 4/9/00 see bldg final 4/7 MSTA799 Building Final 4/7/00 KBS FAIL No Hold AKJ 4/9/00 1) final erosion app 2) elec final app 3) supp horiz gas pipe at water heater 4) post insul cert 5) seal all pen at gar 6) protect post at gar 7) remove unconnected plm and patch hole 8) supp range vent at crawl 9) complete ext deck 10) plm final app MSTA797 Plumb Final 4/7/00 MRS PASS No Hold AKJ 4/9/00 MSTA795 Mechanical Final 4/7/00 MRS PASS No Hold AKJ 4/9/00 MSTA960 (F) Issue Cert. of Occupancy 4/11/00 KS DONE No Hold ST 4/26/00 4/26/00- mailed to owner /BT /file • Page 2 of 2