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Permit • CITY O F TIGARD MASTER PERMIT PERMIT #: MST2000 -00230 DEVELOPMENT SERVICES DATE ISSUED: 7/18/00 AlI I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12115 SW 123RD CT PARCEL: 2S103BB -11100 SUBDIVISION: YE OLDE WINDMILL ONING: R -4.5 BLOCK: LOT: 030 JURISDICTION: TIG REMARKS: Enclose deck and add roof BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: � /) COO OCCUPANCY GRP: BDRM: BATH: TOTAL: 0.00 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: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 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: 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/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: $ 309.02 This permit is subject to the regulations contaned in the PITSINGER, D AND MARLEEN RP HAMMER LLC PITSINGER, GE ROGER ROG CT RP HAMMER ER LL RD Tigard Municipal Code, State of OR. Specialty Codes and TIGARD, OR 97223 PORTLAND, OR 97206 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 d issuance, or if the work is suspended for mare than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth Reg#: LIC 140029 in OAR 952 - 001- 0010 through 952 -001 -0080. You may obtain copies of these rules a direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Footing lnsp Framing Insp Foundation lnsp Electrical Final Underfloor insulation Mechanical Final Mechanical lnsp Building Final Electrical Rough In Issued By : G 1 "" Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD , Residential Building Permit Application Plan Chek# 7 —g{2 IS • Rec'd By ,..A 13125 SW HALL BLVD. Alteration - Interior Onl y ' Date Rec' 7 — / R - 00 TIGARD, OR 97223 Single mily Detail or Attaohfed (Duplex) Date to P.E. V 503 - 639 -4171 6/ Date to DST F 503 - 684 -7297 1 1 / Permit# MAS1"2 — 0v2.50 Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Name Job f/ 7:5-1/6/ e Architect Mailing Address Address Site Address City /State Zip Phone Name Name Owner Mailing Address g-2 4/ 5 is /,2- 3 C 7-- Engineer Mailing Address City/ ate Zip Phone 7/6 / '(D ©A City /State Zip Phone General Name j� J Contractor R P p / 4,4 /i1/�? `/e (i Describe work New 0 Addition Alteration 0 Repair 0 Mailing ddress ,� d to be done: Prior to permit ,-/ 53 & SF l o.ST /' /' A Additional Description of Work p p / / -- n�� issuance, a copy City/State i Phone / / � ��,. of all licenses f p)( C2fc ? 2Q` /9.74 :- .,�' are required if Oregon Const. Cont. Board Exp. Date PROJECT n expired in COT Lic.# �/ Qv database / O2 ,- y //0 5- p 2- VALUATION $ r/ � Mechanical Name NEW CONSTRUCTION ONLY: Sub - U' l NA /`'1/4r'/( 1 << Sq. Ft. House: Sq. Ft. Garage Contractor Mailin ddress Prior to permit 7 3 E� � 4 . 7 .,`= ' / dicate the restricted energy installation by the electri _ contractor in the following areas ." issuance, a copy City/ ate Zip Phgg of all licenses 'JX OK 97206 - 7 - 7a Rests d Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy \ N,.. System Alarms expired in COT Lic.# L/ Installations Irrigation database 7 � b Z �/ S/ � ' �, Syste System umbing Name (check all that • • : - apply) Contractor Mailing Address Corner Lot YE NO e4 t YES NO (check one) (check o Has the Sub . ikon Plat recorded? N/A ES NO Prior to permit City/Stat- Phone issuance, a copy So ar Compliance of all licenses are Oregon : . Cont. = : -rd Exp. Date (Calculation Attached) required if Lic • I hearby acknowledge that I have read this application, that the expired in COT datab. - Plumbing Lic. # Exp. Nate information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name ,� Signature of Owner /A Date Electrical L Cok /. 16 e - Contact Person me Phone # Sub- Mailing Address 0 A TA �lp� 7 5'9 - 7 Contractor - FOR OFFICE USE ONLY: J City /State Zip Phone Plat #: Map/TL #: nD Prior to permit CiD 3 rb -'11 i o0 � issuance, a copy P Setbacks: Zone: Solar: of all licenses are Oregon Const. Cont. Board Exp. Date L�7 7j required if Lic.# (� expired in COT �z ?7 Engineering Approval: Planning App oval: TIF: database Elects ell I #,, Z ( Exp. Date Electrical Lic. # Exp. Date 6 ,6 // A) /.3 . /r,5,,-1? i:forms\sfintalt.doc (DST) 10/23/98 4 eq,o <15et ) 0?)‘ O4' CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ABC ELECTRIC CORPORATION 135 NE 9TH PORTLAND, OR 97232 Electrical Signature Form Permit #: MST2000 -00230 Date Issued: 7/18/00 Parcel: 2S103BB -11100 Site Address: 12115 SW 123RD CT Subdivision: YE OLDE WINDMILL Block: Lot: 030 Jurisdiction: TIG Zoning: R-4.5 Remarks: Enclose deck and add roof Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: PITSINGER, ROGER D AND MARLEEN ABC ELECTRIC CORPORATION 12115 SW 123RD CT 135 NE 9TH TIGARD, OR 97223 PORTLAND, OR 97232 Phone #: Phone #: 233 -7551 Reg #: L'c 0 02 SUP 12 PLM * *SEE ** ELE 26 -2C AN INK SIGNATURE IS REQUIR- P • S FORM Sign - .re of S. • . - i g - = rician If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION , . ®pp ppa3o 24 -Hour Inspection Line: 639 -4175 Business Line: 371 :UP c7 Date Requested g-- 2 Z d AZ PM BLD Location /o2 / / S 3) l )d Suite MEC Contact Person p6t'3'1 Ph '717( g PLM Co ctor Ph SWR BU Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: 444A_ �"�� ? FPS Ftg Drain SGN Crawl Drain Inspection Notes: �61i1/�CI� ( �f Slab SIT Post & Beam n2. 0 C, Ext Sheath /Shear Ina Sheath /Shear (3 � Framing a io I 05 Drywall Nailing � Firewall Fire Sprinkler Fire Alarm / _ Susp'd Ceiling dARA Roof Misc: Fin . 11\ . � PART FAIL } BING 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 G (� a Other Date 0 Inspecto W_./\ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION del - 24 -Hour Inspection Line 639 -4175 Business Line: 639-41 1 BUP Date Requested f 1 1 AM /057 PM BLD Location / Z-1 /) i 3 /2 3 e e1` Suite MEC Contact Person DON" Ph 7a! 96z 5 " PLM Contractor Ph SWR 4 1ILD Tenant/Ow er (b c.I./ ,.- - -evyci ," i ELC etaining Wall 7.30 015 ; 3 0 ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: et,(A0 4t -0P d 4-"t `J SIT ost & Bea Ext heath/ hear ,1' /� 1l w` f rb ,c . Int S h /Shear ; : (.0 C _ `. 1 C. ZJI. . ' ,� — � I O. � � �"� T su a io) r" urywal Nailin '7L/� �-+-� 1 Firewall D Fire Sprinkler Fire Alarm V -(V ' ---,� W (CO Susp'd Ceiling Roof Misc: , ^ / Q {�- • A. Final V v V \£ CJ��`% 4.--4---.( ' ` L ��S 49 PASS PART PLUMBING .� ) G : S N Post & Beam Under Slab _--. N `, L3 Lam ) -- L • ^ Top Out Water Service r Sanitary Sewer Rain Drains _ Final 1 PASS FAIL 4. - I LA-v.._ S r^-^' ( • k B : mpers 0 ( 1 (AA s G—X x'1/ A- 7.) L� al PA S , PART 6HD. \ f " 'f2._--C.1OL S eL.J`A. `'�(� Cxr Z. S "-' ELECTRICAL S; rvice u/ v � (3 t.e —�V v • F ear Final 1->1. v\( )2-"Ni `^/\ p „"� . _ P ASS PART FAIL Ai' i �-�c� � � _ �^ SITE (-- G� 4A C N - 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 ��` j)---__ � Z Other Date Inspector Ex Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 0 0 o 2 31t 24 -Hour Inspection'Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM in 1. /P PM BLD Location / (9./ /) SA/ / 23 ' 1 el Suite MEC Contact Person Ph . 70/— l GZ 5 PLM Contractor C- Ph SWR BUILDING Tenant /Owner Cali .- . e - 6444,64. 730 / fL,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 A, Drywall Nailing /I 1. _ /. f Ti? Vii. _ /.- Firewall Fire Sprinkler � 1406: 7 Fire Alarm Susp'd Ceiling Roof Misc: Final 1 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 ECTRI service Rough1 /Slab Low Voltage Fire Alarm Fi,- PART FAIL 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 rein pection RE: ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 2 Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0,24(7-) , oU�3v 24 -Hour Inspection 'Line : - 639 -4175 Business Line: 639 -4171 '.BUP Date Requested AM PM BLD Location / L/ /23e <I ci Suite / MEC Contact Person Ay\-- Ph 7o/ 96 Z 5 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Foundati Access: FPS FfgDrain 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 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 Date - Z -a' °. Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ::MST &GYJU'GU 3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Requested i AM PM BLD Location /2/45' -SL✓ Suite MEC Contact Person Ph 7J'( - 5 1(7 PLM Contractor Ph SWR T UIL91N_ Tenant/Owner ELC e ELR J Access: ruundati FPS - Ffg rain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing /lase Insulation Drywall Nailing \l��sto 77a S Firewall Fire Sprinkler 4,0 /A./S Q L / - Fire Alarm Susp'd Ceiling Roof Misc: at PASS . PART FAIL ' r BING 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 Date 0 c — � — Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 tub PO% 040;30 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received 1 2 / x ' / o ff Date Requested AM PM BUP / g / 1 S / '� cf Location a'3 Suite MEC Contact Person Ph ( ) PLM Contractor / P 1 ( ) SWR 1@UILDIN) Tenant/Owner P S ELC Footing Foundation ELC Access: Fta_Drain ELR Crawl Drain 7 Sla Inspection Notes: U� S�'�, SIT Post & Beam Shear Anchors - , / 6 S j � ' Q n / � �� e ek l - • Ext Sheath/Shear (�/l/(iL C/G �`� � LXJ — Int Sheath/Shear Framing Insulation _ NV � S eWek -• / ( / 6\f. Drywall Nailing Firewall aY-� ! �� C ��� Fire Sprinkler �-1�- \ Fire Alarm ( cp 3) Z 3 3 — 7,S / • Susp'd Ceiling / Roof Other: _ 1/\/ anal !!11 /� o ,{ 1 PA ING E LCZdo OU`T� C/��c7' - 77do 3 ") Post & Beam / Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL EXPIRED ECHA Post & Beam 31 ‘/e � Rough In - S Gas me C • ;Dampers • ECTB Service Rough -In UG/Slab Low Voltage Fir- - - rm 411 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P S' P fat_ SIT ❑ Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA / `�� _ Fire Supply Date r (� 6 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL