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Permit ` CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00344 , ^,, 1 i DEVELOPMENT SERVICES DATE ISSUED: 10/6/2005 A '' I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109AD -09600 SITE ADDRESS: 14631 SW 126TH AVE ZONING: R -7 SUBDIVISION: PARSONS MLP97 -0017 LOT: 001 JURISDICTION: TIG Project Description: Remodel. BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 4,900 REAR: . PLUMBING SINKS: WATER CLOSETS: 0 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 0 DISHWASHERS: 0 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 0 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 0 - 200 amp: W /SVC OR FDR: 0 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: 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 P SYSTEMS: This permit is subject to the regulations contained in the Tigard • Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other DEREK & EN RICHARDS TOP DRAWER DEVELOPMENT applicable laws. All work will be done in accordance with approved 14631 SW 126TH AVE 19360 SW 90TH CT plans. This permit will expire if work is not started within 180 days TIGARD, OR 97224 TUALATIN, OR 97062 of issuance, or if the work is 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 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 • Phone: 503- 646 -8411 Phone: 503- 885 -8686 or 1 -800- 332 -2344. • Reg #: LIC 133962 TOTAL FEES: $ 157.95 REQUIRED ITEMS AND REPORTS Special inspection (see plans) • Per mittee Si nat Issued By : �i_ P ® z g Call 503 - 639 -4175 by 7:00 a.m. for an inspection that : 1 - mess day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • r . . Building Permit Application i'014 OI OFFICE .USE ONLY , City of Tigard 4' b� t •t E Er Date /By / / (� • i.' Permit No..l .2 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 OCT 2O} »rJ / l q, : , 1 I'`� Date/B . r J t c Other Permit: Inspection Line: 503.639.4175 tN+ tl U. fI Date Ready/By: . See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information �C OF TIGARD • T 1 ptV G DMC1O1 . . REQUIRED DATA: I- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Iig Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION work indicated on this application. "� Valuation: S C[/y0�t 0 _� 1 - 1- and 2- family dwelling ❑ Commercial /industrial !t/ ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: - • . _ • JOB SITE I AND , LOCATION ' Total number of floors: Job site address: I LILA i j-(, j + Nt New dwelling area: square feet City /State /ZIP: .11111 (Q 6)...k. 1 c -ci Garage /carport area: square feet Suite/bldg. /apt. no.: " Project name: _ o aide Covered porch area: square feet Cross street /directions to job site: (� Deck area: square feet is 4' ¶ tA. Jj kt Q . Other structure area: square feet REQUIRED DATA: COMMERCIAL: USE CIEECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . , - DESCRIPTION , work indicated on this application. • WA, - J (� Valuation: $ • l l .. A V r6..1L_ -•l � U ` u , � , 1 Existing building area: square feet I New building area: square feet '�E PROPERTY 'OWNER El TENANT - Number of stories: • Name: , � * , _ v S Type of construction: Address: 14 •3 I ( � ,1� ( I a. , Occupancy groups: City /State /ZIP: �tC l I q -) a DL' Existing: Phone: (503) 6 • h > $ K 1 i Fax: ( ) New: .p APPLICANT ❑ CONTACT PERSON NOTICE Business name: � 1 1 n �� © ��ei4(�t� b L�1 "r All contractors and subcontractors are required to be Contact name:. k___, f� /f _ q - 0t/'' licensed with the Oregon Construction Contractors Board r under ORS 701 and may be required to be licensed in the Address: (1 6(,,, o ' t g ( -r-T jurisdiction in which work is being performed. If the City /State /ZIP: \i, 0 el 70 & a applicant is exempt from licensing, the following reasons apply: • Phone:( Q, ) )sgS_.s- I $&„ I Fax::( 61..5 KS'— 0 E-mail: ' „�.."^ ., f /aJJ S ` ��i( L/j, � y �`^" CONTRACTOR (J Business name: . J . _ aJ -4-- -- BUILDING PERMIT FEES* Address: • Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone:( ) Fax:( ) Amount received • / .5 CCB lie.: -5 ( - g 7 Date received: Authorized signThtre: - I ` � � - This permit application expires if a permit is not obtained o • ��f�Vl!► _ within 180 days after it has been accepted as complete. Print name: "iggi_: � rill E A 1 ,,A, Ia -: (0 1I i $ * Fee methodology set by Tri- County Building Industry Service Board. . i:\ Building \Permits\BUP- TI- PermitApp.doc 12/03 440- 4613T(1 l /02/COM/WEB) I « Building Division �i�i�JJ j Plan Submittal Requirement Matrix Commercial & Multi- Family - New, Additions or Alterations City of Tigard Typeof Submittal # of Plans : - (Includes new, additions 'and alterations.) Required at -Subuiittaly Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 • Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\ Building \Permits\BUP- TI- PermilApp.doc 12/03 440- 4613T(II /02/COM/WEB) CITY OF TIGARD q BUILDING DIVISION PERMIT #: MST2005.00344 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /016/2005 Phone: (503) 639 -4171 . , n u� i!' ,I# Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' °`'�L. INSPECTION WORKSHEET FOR DATE: 12/7/2005 TIME: 7:00AM PAGE: 44 SITE ADDRESS: 14631 SW 126TH AVE CLASS OF WORK: SUBDIVISION: PARSONS MLP97 - 0017 LOT #: 001 TYPE OF USE: PROJECT NAME: RICHARDS DESCRIPTION: Remodel. / OWNER: RICHARDS, DEREK & ENDRE PHONE #: 503-646-8411 CONTRACTOR: TOP DRAWER DEVELOPMENT PHONE #: 503 -885 -8586 Inspection Request Scheduled For: Date: 1217/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 . Final inspection 023089 -01 971 -404 -8799 N Corrections /Comments /Instructions: l?, l✓ U C., I C 44 L. 2UkVIn .9.kti 6- 'r ► _ . - — - _ - t., s — ArJ' (: 1 ‘ (4Q' I /Maa6 r" g PASS PARTIAL APPROVAL n CANCEL n NO ACCESS \ FAI CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / Date: ( ® ter Phone #: (503) 718- 2 106 v , CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: MST2005-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1016/2005 Phone: (503) 639-4171 a/A . lli, iti Inspection Requests (24 Hrs.): (503) 639-4175 .............. . ea w.JI INSPECTION WORKSHEET FOR DATE: 12 TIME: 7:02AM PAGE: 17 SITE ADDRESS: 14631 SW 126TH AVE CLASS OF WORK: SUBDIVISION: PARSONS MLP97 LOT #: 001 TYPE OF USE: PROJECT NAME: RICHARDS DESCRIPTION: Remodel. OWNER: RICHARDS, DEREK & ENDRE PHONE #: 503-646-8411 CONTRACTOR: TOP DRAWER DEVELOPMENT PHONE #: 503-885-8686 Inspection Request Scheduled For: Date: 1216/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 023009-01 971-404-8799 N Corrections/Comments/Instructions: ig tase-v2, (4- 'Vi v IA- 4 , .,-,-1 T ( e) G /t) 7 Ni-'>. M4-442 C411-0 c Net /26 0 AJ S i Z ( P ---. "--5" ri PASS — 71 PARTIAL APPROVAL El CANCEL fl NO ACCESS . AIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: /2— 6----C Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0 /612005 Phone: (503) 639 - 4171 "�4�n� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/17 /2005 TIME: 7:04AM PAGE: 7 SITE ADDRESS: 14631 SW 126TH AVE CLASS OF WORK: SUBDIVISION: PARSONS MLP97-0017 LOT #: 001 TYPE OF USE: PROJECT NAME: RICHARDS DESCRIPTION: Remodel. OWNER: RICHARDS, DEREK & ENDRE PHONE #: 503 - 646 -0411 CONTRACTOR: TOP DRAWER DEVELOPMENT PHONE #: 503 - 885 -8686 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Cod # Inspection Description Confirm # Contact # Message 215 ?ostfbeam structural 018520-02 . 503 -944 -3745 Y' Corrections /Comments /Instructions: *PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / Date: /6/715 Phone #: (503) 718- . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005-00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/&2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/17/2005 TIME: 7:04AM PAGE: 8 SITE ADDRESS: 14631 SW 126TH AVE CLASS OF WORK: SUBDIVISION: PARSONS MLP97 -0017 LOT #: 001 TYPE OF USE: PROJECT NAME: RICHARDS DESCRIPTION: Remodel. OWNER: RICHARDS, DEREK & ENDRE PHONE #: 503-646-8.411 CONTRACTOR: TOP DRAWER DEVELOPMENT PHONE #: 503 - 885 -8686 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message Framing 018520-01 503-944-9745 N Corrections /Comments /Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: A Aff/I Date: � Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2005 -00344 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2005 Phone: (503) 639 -4171 £ 1llq iig � l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 81 SITE ADDRESS: 14631 SW 126TH AVE CLASS OF WORK: SUBDIVISION: PARSONS MLP97 -0017 LOT #: 001 TYPE OF USE: PROJECT NAME: RICHARDS DESCRIPTION: Remodel. OWNER: RICHARDS, DEREK & ENDRE PHONE #: 503.646-8411 CONTRACTOR: TOP DRAWER DEVELOPMENT PHONE #: 503-885-8686 Inspection Request Scheduled For: Date: 10/7/2005 Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 017673 -01 971 -404 -8799 N Corrections /Comments /Instructions: ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED A Inspector: Date: ���� Phone #: (503) 718-