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Permit . MASTER REKNIT !/ c ir, " OF TIGARD 'ERMIT T P ..: MST95 -03 9 COMMUNITY DEVELOPMENT ISE EkF rIlliENT DATE ISSUED: 10/17/95 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 25110BB -05600 SITE ADDRESS...: 14252 SW 121ST AVE • SUBDIVISION - ARLINGTON RIDGE ' ZONING: R -3.5 BLOCK LOT -033 - - - -- BUILDING - -- REISSUE: DWELLING UNITS:1 BASEMENT........:0 sf GLASS OF WORK.:NEW BEDRMS:3 BATHS:3 GARAGE .793 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS- - TYPE OF CONST.: 5N FIRST • 3287 sf LEFT..: 5 ft RIGHT. : 20 ft OCCUPANCY GRP.:R3 SECOND...:0 sf FRONT.:20 ft REAR..:15 ft STORIES °1 FINBSMENT:340 sf REQUIRED HEIGHT .24 ft TOTAL- :3627 sf SMOKE DETECTORS.:Y FLOOR LOAD °40 psf VALUE $•' 247424 PARKING SPACES..:1 Remarks: PATH I .- PLUMBING - - - - -- SINKS ...... ....:1 FLOOR DRAINS....:0 BACKFLOW PREVNTRS..:1 LAVATORIES .3 WATER HEATERS...:1 TRAPS :0 TUB /SHOWERS....:3 LAUNDRY TRAYS...:1 CATCH BASINS.......:0 WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS -0 DISHWASHERS .1 WATER LINE (ft).:100 OTHER FIXTURES °0 GARBAGE DISP...: 1 RAIN DRAIN (ft) .:0 WASHING MACH...:1 SF RAIN DRAINS..:1 -------- MECHANICAL -• •- FEES - -- FUEL TYPES--- UNIT HTRS..:0 type amount by date recpt /GAS/ / / VENTS .....:0 TIF $ 1590.00 JDA 10/17/95 95- 271720 MAX INPUT : 0 BTU VENT FANS..: 4 SWM $ 180.00 JDA 10/17/95 95-- 2 FURN < 100K ..:0 HOODS .1 SWM $ 100.00 JDA 10/17/95 95- 271720 FURN ) =100K ..:1 WOODSTOVES.:0 BPRT $ 803.00 JDA 10/17/95 95- 271720 FLOOR FURN °0 CLO DRYERS.: 1 BPLC $ 521.95 JD 08/22/95 95- 269644 BOIL /CMP < 3HP:0 OTHER UNITS:1 BSPC $ 40.15 JDA 10/17/95 95- 271720 GAS OUTLETS:1 PARK $ 500.00 JDA 10/17/95 95- 271720 Owner: -- •--- - -MPRT $ 45.00 JDA 10/17/95 95- 271720 WILLIAM PARSONS MPLC $ 11.25 JDA 10/17/95 95- 271720 4050 SW BANCROFT MSPC $ 2.25 JDA 10/17/95 95- 271720 3BTH $ 225.00 JDA. 10/17/95 95- 271720 PORTLAND OR 97221 P5PC $ 11.25 JDA 10/17/95 95- 271720 Phone #: 222 -1241 EROS $ 88.00 JDA 10/17/95 95- 271720 Contractor: - ERPC $ 28.60 JDA 10/17/95 95- 271720 WILLIAM HUGHES CONSTRUCTION CO. INC. ERPC $ 28.60 JDA 10/17/95 95- 271720 10805 NW SKYLINE BLVD PORTLAND OR 97231 Phone #: 503-286 -4362 • Reg #.. : 51 1 15 - -- $ 4175.05 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS -- --- - -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top Out applicable laws. All work will be done in accordance with approved Foundation Insp Framing Insp plans. This permit will expire if work is not started within 180 Post /Beam Struct Fireplace Insp days of issuance, or if work is suspended for more than 180 days. Post /Beam Mechan Gas Line Insp �� Crawl Drain Insulation Insp Permittee Signature: Cir Plm /undslab Insp Gyp Board Insp PLM /Underfloor Rain drain Insp Issued By: _ _ � __ Mechanical Insp Water Line Insp Call for inspection - 639 -4175 r 1 16 4 ' Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 J (503) 639 - 4171'" Jobsite Address: / 42 2 5W /2/ 5 T ArvoNve AR LINf�Tow ' ' ' Office Use Only Subdivision: Lot # 3 v 2 y 7 el 2' Contact Date / / Initials Valuation: / Result New Construction Only: (Square Footage) O C aC - g Planck/Rec # House: ° Garage: N.? Permit# ins/ u 3 Z y Reissue of Map Zone Corner Lot? Y C) Flag Lot? Y 0 e TL # F. 5 , i 1 0 �� - o �b� Plat #Ar n . /Z "1- q / - '33,-3y Owner: tX. + MRS W I /WA rise i Gil Address: 41.00 S PtA1NG/24fT" Approvals Required r0f2 •(�4PitJ OR e3 -122 Planning Setbacks �� Solar I Engineering Phone: ( r T ) 0 222 -/ 241 Other 3 Contractor W. 0 MV 6/1 CO1</ STIeVGT7oly Items Required Address: /0 1305 N. W • SKYLINE Subcontractors / -/'-� ci - AT(( pititz Truss Details pct, 0/ 7 2 Other Notes $' Fur d &U lo(�C ft Phone: (�� 3 2 86 - 436,C-4)4p, -1/24)14, ��,,�� Contractor's License # Atm 1 t G rat Si 1 et G'� (attach copy of current Oregon license) Contact Name: Contact Phone: ( 6-03 ) _ 286 #3692 Subcontractors: �� • 2 A rc Arc V/ R. &tULl'77 ,#l� Plumbing: , GU • ' ■:a '_ co ' ---- Addres . 2ew N. • ? lIgNIAll Mechanical: ! Gv".' ,' ` 4-la 1 (4 c �J q(i) f Of2-TLs6 N1= i c 'n•7W e (attach copy of current OR Contractor' Li Phone: ( ) - ' - O �j?.�i JOB DESCRIPTION: I a .4 5iO4le �nf,hti re3 +c.fr/a& t ) &i4 e . / „ (. 3 ) 0 ?� 3 - 6 Applicant Signat 1 Applicant Phone number C -' 1 4---C- , -)--- P Received by: 1 Date Received: H:Voq i dsbYesapp Permit # Account Description Amount Amt. Pd. Bal. Due ' N . m Kr -d 3.2? Bldg. Permit (BUILD) 8O6 cc V'03 . o ---/A Plumb. Permit (PLUMB) , X25 vo tp Z 0 Mech. Permit (MECH) 4/j ., fro t/ j .W r State Tax (TAX) S3 • fay 53 .4s - Bldg: 1 / 0 1.ir ` Y Plumb: /1.2- / Mech: ra . Z) 57,1, qy 2, -`i c Plan Check (F64NGI4)- ..--3-3-: c a ri.) 'o , Bldg: S) / • � (b ---. - Plumb: Mech: • Z) �C�,G P A) . cC4r24f 6 377 Sewer Connection (SWUSA) v ,P-P-(4) Sewer Inspection (SWINSP) ,?-/ 3. Parks Dev Charge (PKSDC) 5 0 �� u Residential TIF (TIF -R) /(/ 7 0 / (/ 7 o Mass Transit TIF (TIF -MT) / ZU /21) . Commercial.TIF (TIF -C) Industrial TIF (TIF -1) Institutional TIF (TIF -1S) Office TIF (TIF -0) Water Quality (WQUAL) till Water Quantity (WQUANT) 1 o 0 J e-J Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Cfr F Erosion Planck/USA (ERPLAN) Fft; o c G a Erosion Planck/COT (EROSN) ?o .(, G o D TOTALS: ‘4/ D 1 O ji) U. G U6(15/95 14:47 i 5U;3 bb4 EZUr t.iil Ur ii......0 u Solar Balance Point Standard Box A. North -South dimension for your lot Box B. Shade point height from your structure ( feet 1 feet Box C_ bietance to the shade reduction line • V o, l ( 7 / Feet i 1 Distance tc (20 Shade ••D 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot line in feet 70 . 4 411D 40 40 41 42 43 44 65 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 3' 34 34 35 36 37 38 39 40 41 OR 50 32 32 32 33 34 35 36 37 38 39 40 41 42 45 30 30 30 31 32 33 34 35 36 37 38 39 40 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 30 30 -- © 24 24 25 26 27 28 29 30 31 32 33 34 25 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 6 16 16 17 18 19 20 21 22 23 24 25 26 5 1- 14 14 15 16 17 18 19 20 21 22 23 24 I 1 cK Box "D" Maximum all•wed shade point height 4b feet i. DEC , 4- a4 (vo(14T 1-1 1.0 12 l . lcgin‘vioia \solartal 1 t o i 1 i , • 06/15/95 14:47 $503 684 7297 CITY OF TIGARI> (j001 /002 -I Solar Balance Worksheet Addxe s s loT" 33 Afr2LlN6T-eiY f2lc26: 77EAte.r7 CW I .0,44rlt7 g4vL./ ea-777 r 04lrik- I-riT Box A calculations: North -South dimension for the lot. go.x A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. Measure the distance from the midpoint of the North lot line to the South lot line along the described line. • 4 ft Box B calculations: Shade point height from your structure. Box B: 1. Determine whether measurements will be based on the peak or eave Qt YQur structure. The (riAnt Lion of the ridge is also important. Which la: If the roof line runs North- South, measurements will be describes based on the peak of the roof. your lot? lb: It the roof line runs East -West and the roof pitch is less (Circle one) than 5/12, measurements will be based on the eave. lc: It the roof line runs East -West and the roof pitch is 5/12 la lb lc or steeper, measurements will be based on the peak. 2. Measure change in elevation from front property line to / finished floor elevation. _ 41 4' ft 3. Measure distance from finished floor elevation to the affected peak /eave . + ft i 4. If the roof line runs North - South, deduct three feet. It the root line runs East -West, deduct nothing. — 3 ft 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, — 1.2 ft c deduct nothing 6. Total figure for box B: ' (2 ft } D6M C. Di $ta1ii..v LL) the 6hade reduction_ line. Box C: 1. Measure the distance from the North property line to the ► 7 foundation. I ft I 2. Measure the distance from the foundation to the affected + 1. ftZ3 peak cr cave. : � STOR? 3. Total figure for C: 3 t B7 i _____________________, „ \:AGIN \ams\ solsLR`K CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling ac - Plumb. Post/Beam Mech. Shear /Sheath Framing PIbg.Und/Flr /Slab Plbg. Top Out Insulation A - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg San. Sewer -,,, Gas Line Appr /Sdwlk Reins. Other: % Date: j_a_LX / G 'O C.M. Entry: Address: AZ 2....5 60 4. &L c � _ Tenant: Ste: MST: *" iS 032' BUP: Con /Own:1 ■ 780 - 63 / 9 MEC: z,a4 -, 4-0, , -�' _ C .C.C. PLM: �'^ � ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I c `/ c't r\ (1J U p di 4- d r 6 r- i f t-rd oio 6,2 yv 2, / ek far / I, A i- / Pvr7. ir - 'E T/. 6 4 Ai-- t jet c e ,�r' 4 L .0 yo tam It Sv6 " ecf M o Bn�t vi rje / ii i. ee reec 7e-d■u Inspector: Date: APPRO 3 DISAPPROVED /CALL FOR REINSP. ,p C� CO 'C' • CITY OF TIGARD BUILDING INSPECTION NOTICE ' Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: ' Foundation Water Line Ceiling 421P Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und/FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: y / . Date: 1 Z' , A.M. P.M. Entry: Address: / 4 1 3—.6- a-- lc)—` K . :`' Tenant: Ste: MST: q s- —6.3c - 4 BUP: Con /Own: 41 . 0 0 " MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: f C a lltri/A XAPPROVED Inspector: Date: L 6, I DISAPPROVED /CALL FOR REINSP. CF • • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation <ESD Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: l Date: / / T A.M. P.M. Entry: y�/,� Address: / c5 _ 4 � f ,.4 t I 1 ��, Tenant: Ste: MST: �5'0 . Z :; - 7 .� 63 BUP: Con /Own: �� MEC: a)• PLC: ELC: RE THE FOLLOWING CORRECTIONS E REQUID: ELR: / ( St" t GC v 5 ° -� C : -e — . a-, ..„ — . — - -- IIIIIIIIIIAIIIMMFIII (e3-E> ✓t -e /- -- o r a' - Gee r, - / , - r r -e c. f i r=7 / m ( c C..)_ r r Inspector: �� ■ ∎ -- i Date --e 1 A PPROVED DISAPPROVED /CALL FOR REINSP. CF CO 04/26/2000 Activities for Case #: MST95 -00329 3:24:14 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA007 Application received 08/22/1995 JD PASS BLT 09/05/1995 MSTA010 Plan check deposit paid 08/22/1995 JD PASS BLT 09/05/1995 MSTA020 Plan check by 09/05/1995 09/05/1995 RT PASS BLT 09/05/1995 MSTA030 Check for prcl. restrict. 09/05/1995 09/05/1995 BON PASS BLT 09/05/1995 MSTA705 Footing Insp 11/20/1995 KS DIS KBS 11/21/1995 #-1- need to verify zero clearance side yard approval MSTA706 Foundation Insp 12/05/1995 RB PART RB 12/05/1995 RETAINING AT EASEMENT; THRUST BLOCK; & BASEMENT MSTA710 Post/Beam Structural 01/11/1996 RB PASS RB 01/11/1996 pending- Block TJI's over basement; additional support req'd at round breakfast nook; additional stud support- notched cripple studs; MSTA711 Post/Beam Mechanical 01/11/1996 RB PASS RB 01/11/1996 pending- seal plenum blocking and voids where butting up against foundation and studded wall MSTA717 PLM /Underfloor 01/11/1996 MS PASS MRS 01/12/1996 MSTA720 Mechanical lnsp 05/03/1996 KS DIS KBS 05/06/1996 #-1- provide protective barrier at B vent =attic and secure #-2- extend gas piping to furnace / water heater #-3- extend exhaust fans to ext above roof sheathing MSTA722 Plumb Top Out 05/01/1996 MS PASS MRS 05/01/1996 MSTA730 Fireplace Insp 05/08/1996 RB PASS RB 05/08/1996 pending- sleeve gas line MSTA735 Gas Line lnsp 05/08/1996 RB PASS RB 05/08/1996 test ok; sleeve gas line thru masonry MSTA740 Insulation lnsp 05/23/1996 KS PART KBS 05/24/1996 #-1- lower level not insuated atthis time #-2- insulate return air supplys at attic MSTA745 Gyp Board lnsp 06/19/1996 RB PASS RB 06/19/1996 pending- adequate nailing attachment; provide adequate support for green gyp. on ceiling - MSTA755 Rain drain Insp 03/22/1996 MS PASS MRS 03/22/1996 MSTA760 Water Line Insp 06/28/1996 MS PASS MRS 07/01/1996 MSTA795 Mechanical Final 10/30/1996 GL PASS JT 11/07/1996 1. Clean wood and debris from crawl. 2. Mortar log lighter penetration of fireplace firebox wall. final subject to the above and elect. corrections. . MSTA797 Plumb Final 10/29/1996 MS PASS MRS 10/30/1996 req. sprinkler permit. Page 1 of 4 04/26/2000 Activities for Case #: MST95 -00329 3:24:14 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA799 Building Final 10/30/1996 GL PASS JT 11/07/1996 1.CLEAN WOOD AND DEBRIS FROOM CRAWL. 2. MORTAR LOG LIGHTER PENETRATION OF FIREPLACE FIREBOX WALL SUBJECT TO THE ABOVE AND ELECT. CORRECTIONS. MSTA080 (F) Ready to issue 09/08/1995 BON PASS B 09/08/1995 MSTA092 (F) Issue combination permit 10/17/1995 JDA PASS JDA 10/17/1995 MSTA097 Issue plumbing signature form 10/17/1995 JDA PASS JDA 10/17/1995 MSTA705 Footing Insp 11/22/1995 11/22/1995 RB PEND RB 11/22/1995 maintain revised 11/21 engineering; maintain remaining rebar req'mts; shore up vault sub -grade walls prior to any7 back - filling; special inspector req'd on site at pour re: rear and access pour- 3000 psi; seismic restraint req'mts; low point drain req'mt; ground rod req'mt; stepping req'mt. MSTA706 Foundation Insp 12/11/1995 12/11/1995 RB PASS RB 12/11/1995 balance of dwelling - MSTA709 Wtr Proofing Bsm't Walls 12/27/1995 12/27/1995 RB PASS RB 12/27/1995 dampproofing satisfactory too cellar only MSTA718 Ftng Drain Bsm't Walls 12/27/1995 12/27/1995 RB PASS RB 12/27/1995 cellar and retaining wall MSTB715 Slab Insp 12/28/1995 12/28/1995 RB PASS RB 12/28/1995 MSTA770 Misc. Inspection 02/12/1996 02/12/1996 KS A/N BT2 07/26/1996 #-1- slab on grade= garage fl, add middle support pier at mid span garage header MSTA770 Misc. Inspection 04/03/1996 04/03/1996 GS SHWL BT2 07/26/1996 shear wall appr except add 1 hd at workrm wall; complete bolting of hd,s will check at frame MSTA725 Framing Insp 04/03/1996 04/03/1996 BT2 10/16/1996 see note under misc insp 4 -3 -96 MSTA726 Shear Wall Insp 05/08/1996 05/08/1996 RB PASS RB 05/08/1996 all issues corrected from previous list GS 4 -3 -96 MSTA720 Mechanical Insp 05/08/1996 05/08/1996 RB PEND RB 05/08/1996 Issues KS corrected; found other issues that need to be corrected- see framing. Page 2 of 4 04/26/2000 Activities for Case #: MST95 -00329 3:24:14 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 05/08/1996 05/08/1996 RB FAIL RB 05/08/1996 enclose lids as marked; nail plate protection for exhasut/air intake for furnace; strap haeder at main entry; insualte duct work above ceiling- not to be covered; seal duct joints; strap glu -lam in master closet; close off return air wings to cavity at basement. MSTA735 Gas Line Insp 05/03/1996 KS DIS KBS 05/15/1996 #-1- extend gas piping to furnace / water heater MSTA720 Mechanical lnsp 05/24/1996 05/24/1996 RB FAIL RB 05/27/1996 sleeve gas line at entry into fireplace; vapor barrier needed at master bedrm gable end; remove at least 6" of vapor barrier around jacuzzi /shower seat; seal b -vent hole in water closet adjacent to garage- base behind tolit; nail plate protection needed for furnace exhaust on shower side; unable to view basement issues- lamp burnt out of flashlight; make sure sleeve does not come un-done - duct tape joint of surround- use 3 screws. MSTA725 Framing Insp 05/24/1996 05/24/1996 RB FAIL RB 05/27/1996 see mech this date MSTA740 Insulation Insp 05/24/1996 05/24/1996 RB PEND RB 05/27/1996 framing and mech issues corrections MSTA720 Mechanical Insp 05/28/1996 05/28/1996 KS A/N BT2 10/16/1996 #-1- seal around gas piping penetrating masonry fireplace with hi heat caulk #-2- insulate heat duct located at mechanical rm / uncondition space #-3- provide combustion air supply for water heater, furnace air supply from ect MSTA740 Insulation lnsp 05/28/1996 05/28/1996 KS APP KBS 05/28/1996 MSTA725 Framing Insp 05/28/1996 05/28/1996 KS APP RB 06/19/1996 MSTA770 Misc. Inspection 08/19/1996 08/19/1996 MS PASS MRS 08/19/1996 shower pan MSTA765 Appr /Sdwlk Insp 08/20/1996 LT COND C *H 08/30/1996 1. Patch curb. 2. Deep knife cut across sidewalk and entry. 3. Be prepared to protect finish. MSTA765 Appr /Sdwlk lnsp 08/21/1996 PI PASS C *H 08/30/1996 1. Be prepared to protect finish. MSTA790 Electrical Final 10/29/1996 MJR PASS MJR 11/01/1996 sump pumps to be GFCI • protected need label for testing • Lab. Page 3 of 4 04/26/2000 Activities for Case #: MST95 -00329 3:24:14 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA970 Case Finaled 11/08/1996 GL PASS GES 11/08/1996 MSTA960 (F) Issue Cert. of Occupancy 10/08/1996 GS DONE No Hold JMT 04/26/2000 Page 4 of 4