Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00236
DEVELOPMENT SERVICES DATE ISSUED: 7/8/2003
AI 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S133DD-13400
SITE ADDRESS: 11866 SW 127TH PL ZONING: R -4.5
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK 4 LOT: 171 JURISDICTION: TIG
Project Description: 2 story addition 754sf. 3/3/05, PERMIT REINSTATED FOR 30 DAYS. 9/21/05: PERMIT IS
REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR 30 DAYS.
BUILDING
REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 21 FIRST: 177 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 686 sf GARAGE: sf FRONT: 20 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 863 sf 79,741.20 REAR: 15
. PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 1
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 AMYL 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: 7 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: ALL ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL# SYSTEMS:
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
HODGKINSON, SUSAN G DENALI CONSTRUCTION applicable laws. All work will be done in accordance with approved
11866 SW 127TH PL JOHN D RUPPERT plans. This permit will expire if work is not started within 180 days
PORTLAND, OR 97223 4844 SW SCHOLLS FERRY RD of issuance, or if the work is suspended for more than 180 days.
PORTLAND, OR 97225 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: Phone: 503- 291 -1905 or 1- 800 - 332 -2344.
Reg #: LIC 57047
TOTAL FEES: $ 1,756.12
REQUIRED ITEMS AND REPORTS
Issued By : , Permittee Signature : ' 11) " - kt.462-09,--;
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business 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.
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
MST2003-00236
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
7/8/2003
Phone: (503) 639-4171 Azpi
Inspection Requests (24 Hrs.): (503) 639-4175 A- AIL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/22/2005 7:12AM 2
SITE ADDRESS: CLASS OF WORK:
11866 SW 127TH PL
SUBDIVISION: LOT #: TYPE OF USE:
VILLAGE AT SUMMER LAKE PARK 4 171
PROJECT NAME:
HODGKINSON
DESCRIPTION: 2 story addition 7540.. 3/3/05, PERMIT REINSTATED FOR 30 DAYS. 9(21/05: PERMIT IS
REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR 30 DAYS.
OWNER: PHONE #:
HODGKINSON, SUSAN G,
CONTRACTOR: PHONE #:
DENALI CONSTRUCTION 503-291-1905
Inspection Request Scheduled For: Date: Pour Time:
9/22/2005
• Code # Inspection Description Confirm # Contact # Message
299 OLFinal inspection P 016391-01 503-997-9817 Y
Corrections/Comments/Instructions:
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•
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4 ziass 0 PARTIAL APPROVAL El CANCEL 0 NO ACCESS
n FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: A .,- Date: 9 / 2 a - A /c('-- Phone #: (503) 718-
- isac'S Fireplaces •
& Stoves Over 50 Years of Service
April 27, 2005
Lisac's Fireplaces and Stoves
9035 SE 32 Ave.
Milwaukie, OR 97222
Pat Williams and Susan Hodgekinson
11860 SW 127 Pl.
Tigard, OR 97223 -4705
Dear Pat. and Susan;
After inspecting the Fireplace Extraordinar 35CB fireplace at 11860 SW 127` Pl., Tigard, Oregon and
talking to the factory, it was determined that the access hole that was put in the unit due to the beam that
obstructed the factory access hole is perfectly suitable. The flex pipe was installed correctly and sleeved as
per code. The factory installed access hole is for the convenience of the installing contractors and in the
event it cannot be used, adding a new access hole is acceptable as long as it follows local cones as this one
does..
The new access hole does not void any written warranty for the unit. We will be glad to be there for any
service needs in the future.
Please thank the building inspector for his diligence in this matter. We appreciate•his watching for our
customers.
Best Regards.,
•
Paul Lisac
Lisac's Fireplaces and Stoves
•
Portland (503) 659 -1759 • Vancouver (206) 695 -7795 • Fax (503) 659-9092
9035 SE 32nd Avenue, Milwaukie, Oregon 97222
I
4 •
CITY,OF TIGARD
BUILDING DIVISION PERMIT #:
MST200300236
13125 SW Hall Blvd., Tigard, OR 97223 7/8/2003
DATE ISSUED:
Phone: (503) 639-4171
. hfvpti,jl
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/22/2005 7:12AM 1
SITE ADDRESS: CLASS OF WORK:
11866 SW 127TH PL
SUBDIVISION: LOT #: TYPE OF USE:
VILLAGE AT SUMMER LAKE PARK 4 171
PROJECT NAME:
HODGKINSON
DESCRIPTION:
2 story addition 754sf. 3/3/05, PERMIT REINSTATED FOR 30 DAYS. 9/21/05: PERMIT IS
REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR 30 DAY_S,
OWNER:
F'HONE #:
HODGKINSON, SUSAN G,
CONTRACTOR: PHONE #:
DENALI CONSTRUCTION 503-291-1905
Inspection Request Scheduled For: Date: Pour Time:
9/22/2005
Code # Inspection Description ' Confirm # Contact # Mess e q ,
, s a
/
399 ' Plumbing final
il
016391-02 503-997-9817 Y
Corrections/Comments/Instructions:
In PASS I I PARTIAL APPROVAL n CANCEL 0 NO ACCESS
I I FAIL fl CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: V t . (
Date: 9/ I A Phone #: (503) 718-