Permit _
„
��
� ^-
CITY � TIG ST PERMIT #.......: MST95-0113
COMMUNITY DEVELOPMENT ISE8kmitIVI^Nl[ DATE ISSUED: 06/14/95
13125 SW Hall Blvd. Tigard, Oregon 972230e199 (503) 639-4171
PARCEL: 2S1048D-03400
SITE ADDRESS...: 12700 SW 135TH AVE .
SUBDIVISION....: HANDY ACRES ZONING: R-6
BLOCK.'........ : LOT ^32
-- — — BUILDING — ---- ---- --
REISSUE: DWELLING UNITS:1 BASEMENT :1984 sf
CLASS OF WORK.:NEW BEDRMS:5 BATHS:6 GARAGE ~612 sf
TYPE OF USE...:SF FLOOR AREAS— ---- REQUIRED SETBACKS —
TYPE OF CONST.:5N FIRST....:2069 sf LEFT..:19 ft RIGHT.:15 ft
OCCUPANCY GRP.:R3 SECOND...:1591 sf FRONT.:30 ft REAR..:75 ft
STORIES....... :2 FINBSMENT:0 sf REQUIRED ---
HEIGHT... ..... :24 ft TOTAL------:3660 sf SMOKE DETECTORS. :Y
FLOOR LOAD....:40 psf VALUE.....$: 277960 PARKING SPACES..:1
Remarks: PATH I WILL NEED SPECIAL INSPECTOR FOR PILES AND GRADE BEAMS WILL NE
— — PLUMBING ---- ------
SINKS..........:1 FLOOR DRAINS ^1 BACKFLOW PREVNTRS..:1
LAVATORIES.....:8 WATER HEATERS...:2 TRAPS......... ..... :0
TUB/SHOWERS....:5 LAUNDRY TRAYS...:1 CATCH BASINS ^0 .
.
WATER CLOSETS..:6 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 $ 1550.00 JD 06/14/95 95-266724
MAX INPUT:0 BTU VENT FANS..:8 SWM $ 180.00 JD 06/14/95 95-266724
FURN < 100K ..:0 HOODS ^1 SWM $ 100.00 JD 06/14/95 95-266724
FURN >=100K ..:1 WOODSTOVES.:0 BPRT $ 878.00 JD 06/14/95 95-266724
FLOOR FURN....:0 CLO DRYERS.: 1 BPLC $ 570.70 KS 03/03/95 —
BOIL/CMP < 3HP:0 OTHER UNITS:1 B5PC $ 43.90 JD 06/14/95 95-266724
GAS OUTLETS:1 PARK $ 500.00 JD 06/14/95 95-266724
Owner: — MPRT $ 57.00 JD 06/14/95 95-266724
JACK BATALIA MPLC $ 14.25 JD 06/14/95 95-266724
5626 SW TARA CT M5PC $ 2.85 JD 06/14/95 95-266724
PPRT $ 312.00 JD 06/14/95 95-266724
PORTLAND OR 97221 P5PC $ 15.60 JD 06/14/95 95-266724
Phone #: 245-4270 EROS $ 88.00 JD 06/14/95 95-266724
Contractor: ---- — ERPC $ 28.60 JD 06/14/95 95-266724
DESIGNERS NORTH WEST INC ERPC $ 28.60 JD 06/14/95 95-266724
125 SW HEMLOCK ST
DUNDEE OR 97115
Phone #: 538-2045
Reg #..: 87576 ---
$ 4369.50 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 ." '' 'rted within 180 P" ~tiBeam Struct Fireplace Insp
days of issuance, or if work is s .'ended for more t',' 80 days. Post/Beam Mechan Gas Line Insp
AO Crawl Drain Insulation Insp
Permittee Si ���������—`�- Ar ___ Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Issued - -w� Mechanical Insp Water Line Insp
'
Call for inspection — 639-4175
Residential Building Permit Application 3y
Re g pp
C ity of Tigard
13125 SW Hall Blvd. � � ' - � o. �
Tigard, OR 97223 , sN
(503) 639 -4171 4
�Jobs Address: /712(f° w /35 A--( Z
` f 1 f ce .Use Only .:<:::::::. :. ::. ; ...:. :
v i
i i on. L ot #
ubd s
S �� 3
Ac
w
7
r
7
Valuation.
Co rn r L ?
e of Y a
>'Re s < >
FI Y Lot?
Flag d
n
er.
Ow �
G
Q,
� CL� •
A : >: A q >> rova f s Re ` aired : >.: < > >:< >.::: >±
ES
r
dde
A ss
5 6 S�
6
2
T�� G
0
a
z
2
n nn :..
e
� . �
C)
*hon
e �/
2 S
Y
1)
�n actor:
co
S rs
>,If tired >.« <<` >```' .' >` : >
L� I
-c
Address: � , c
.. . . . . . . . . . . .. . . . ... .
.......... ......... ....... ... ..........
: >Sutcantractars::: >: �..., .:. .......... .......
0
u
r
r uss: : Details ............. ........... ......
O
Phone:
2
Pho e g
3
Y
License _
L c S
Contractor's e se#
7 7
(attach cop of current Oregon license)
Contact Name & Phone: "'IM.ik.�.. 3$- 2� PaSrtL `� — 6`3 5
Subc ntractors: �U- . \
4
' Architect /Engineer: t� cvtvi i ll -c�u ,Lk- �I
� / r
Plumbing: er j -^ Q ddress:
Mechanical: % ' (e ,4 , ) //e,;,7 "`� 0t� l ir
( copy of curre t OR Contractor's Licen
hone:
JOB DES 10�. v \� c_4,...._ - L
/off — t C-4..... c•
Applica -'• . r & Phone number / /6lb J
Received by: t Date Received: L!
N: \WORD \CO MDEV\RESAPP
Permit # Account Description Amount Amt. Pd. Bal. Due
//) Bldg. Permit (BUILD) 77 ,
Plumb. Permit (PLUMB) 3/2,60 31z
Mech. Permit (MECH) S J.4 . S 7 ="� �✓
State Tax (TAX) 2, 3i Ca 2. 3�
Bldg: '03. ;o
Plumb: /S.eo
Mech:
�
Plan Check (PLANCK) 3gq, q) s !�5 v (f"'5)
Bldg: .S0. 7
Plumb:
Mech: /y i 2�
J J M M) 01 / Sewer Connection (SWUSA) .U.2 o u 2 Zt/a
Sewer Inspection (SWINSP) 3- 3 i
Parks Dev Charge (PKSDC) ,5 � S� /
Residential TIF (TIF -R) ) c.) 3 / /3d
Mass Transit TIF (TIF -MT) ) -1) /9 -
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -O)
Water Quality (WQUAL) / /
Water Quantity (WQUANT) / (4) / 6-11
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) ?.$', ?c(', 6 /
Erosion Planck/COT (EROSN)
TOTALS: (o `1- 5 d
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling -Plum .
Post/Beam Mech. Shear /Sheath Framing 40111
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk a>
•
Other:
Date: g/ 1 l
//
A.M.
P.M. Entry
Address: �
Tenant: Ste: MST: 9s / t 3
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
X2
Inspector: � i , Date: -! " �
11''7
1' APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
05/30/2000 Activities for Case #: MST95 -00113
10:53:06 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA007 Application received 03/03/1995 KAR PASS BLT 03/20/1995
MSTA010 Plan check deposit paid 03/03/1995 KAR PASS BLT 03/20/1995
MSTA020 Plan check by 03/20/1995 03/20/1995 RT PASS BLT 03/20/1995
MSTA030 Check for prcl. restrict. 03/20/1995 03/20/1995 SW PASS BLT 03/20/1995
MSTA705 Footing Insp 06/19/1995 RB PASS RB 06/19/1995 pending- 18" verts; usa
inspection
MSTA706 Foundation Insp 06/23/1995 RB PASS RB 06/23/1995 pending- report submittal for
special inspection of grade
beams and piling; seismic
restraint; rebar req'mts; 18"
footing at bay req'd.
MSTA715 Plm /undslab Insp 07/17/1995 MS PASS RB 10/20/1995
MSTA717 PLM /Underfloor 07/17/1995 MS PASS MRS 07/18/1995
MSTA720 Mechanical Insp 10/26/1995 RB FAIL RB 10/30/1995 incomplete
MSTA722 Plumb Top Out 10/25/1995 MS PART MRS 10/25/1995 need water test
MSTA725 Framing Insp 08/11/1995 RB PEND RB 08/14/1995 icbo evaluation acceptance for
panels being used.
MSTA735 Gas Line Insp 10/26/1995 RB FAIL RB 10/30/1995 0#
MSTA745 Gyp Board Insp 11/21/1995 KS APP KBS 11/22/1995
MSTA755 Rain drain Insp 07/06/1995 GS PART GES 07/06/1995 AROUND HOUSE
MSTA795 Mechanical Final 03/20/1996 GS DIS GES 03/20/1996 SEE BLD THIS DATE
MSTA797 Plumb Final 03/20/1996 GS DIS GES 03/20/1996 SEE BLD THIS DATE
MSTA799 Building Final 03/20/1996 GS DIS GES 03/20/1996 DECK BALLISTER SPACING
4" MAX; CAULK WC IN MAIN
LEVEL BTH; NO WTR TO
MSTR TUB; NO GRND ON
MSTR LAV LITES; EXTEND
DECK STEPS HANDRAIL TO
END OF STEPS; SEAL
AROUND GAS PIPES IN
FIREPLACES; CO FOR KIT
SINK; SEAL AROUND MICRO
PLUG; FAN FOR RANGE
HOOD RUBBING; WNDW BY
BSMT FRENCH DOORS TO
BE TEMPERED; TERMINATE
WTR HTR VENTS
DOWNWARD; PROTECT
DUCTS IN UNFINISHED RM
UPSTAIRS; ATTIC ACCESS ?;
FNL EROSION CONT; ELR
SIGNOFF CRD.
Page 1 of 3
05/30/2000 Activities for Case #: MST95 -00113
10:53:06 AM
Assigned • Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated ' Notes
MSTA080 (F) Ready to issue 05/12/1995 JDA KS 05/12/1995
MSTA097 Issue plumbing signature form 06/14/1995 JSD JD 06/14/1995 1
MSTA092 (F) Issue combination permit 06/14/1995 JSD JD 06/14/1995
MSTA706 Foundation lnsp 06/29/1995 RB PASS RB 06/29/1995 pending- detail for bridges;
water- proofing; foundation drain
req'd
MSTA709 Wtr Proofing Bsm't Walls 07/06/1995 RB PASS RB 07/06/1995
MSTA770 Misc. Inspection 07/06/1995 GS PART GES 07/06/1995 AROUND HOUSE, CONN TO
RD NOT COMPLETE
MSTB•15 Slab Insp 07/19/1995 RB PEND RB 07/19/1995 UNDER -SLAB INSPECTION
MSTA755 Rain drain Insp 07/24/1995 MS PASS RB 11/06/1995
MSTA770 Misc. Inspection 07/31/1995 MJR EFA MJR 07/31/1995
MSTB750 Shear Wall Insp 09/15/1995 RB N/R RB 09/15/1995
MSTB750 Shear Wall Insp 09/20/1995 RB PASS RB 09/20/1995 PENDING- STRAP UPPER
FLOOR AT SE CORNER;
SECURE HOLD -DOWN AT
BASEMENT LEVEL SW
CORNER.
MSTA•23 Electrical Service 07/19/1995 MJR PASS MJR 10/04/1995
MSTA770 Misc. Inspection 10/20/1995 RB FAIL RB 10/20/1995 NER REPORT SUBMITTAL
ON USE OF PRODUCT REQ'D
MSTA722 Plumb Top Out . 10/30/1995 MS PASS MRS 10/30/1995
MSTA723 Electrical Service 11/03/1995 11/03/1995 MJR FAIL BT2 07/25/1996
MSTA724 Electrical Rough In 11/03/1995 11/03/1996 MJR PASS BT2 07/25/1996 need information on tranfer sw.
MSTA720 Mechanical lnsp 11/03/1995 11/03/1995 RB FAIL RB 11/06/1995 see report
MSTA726 Framing <REINSP> 11/03/1995 11/03/1995 RB FAIL RB 11/06/1995 see report
MSTA735 Gas Line Insp 11/03/1995 11/03/1995 RB PASS RB 11/06/1995
MSTA720 Mechanical Insp 11/06/1995 11/06/1995 RB FAIL RB 11/06/1995 see report
MSTA726 Framing <REINSP> 11/06/1995 11/06/1995 RB FAIL RB 11/06/1995 see report
MSTA720 Mechanical lnsp 11/09/1995 11/09/1995 RB FAIL RB 11/13/1995 see framing this date .
MSTA726 Framing <REINSP> 11/09/1995 11/09/1995 RB $ 15 JF 11/28/1995 incompleted issues reinspect
fee of $15 paid on 11/14/95
receipt 95- 272811
MSTA740 Insulation Insp 11/09/1995 11/09/1995 RB FAIL RB 11/13/1995 mech /framing issues
un- resolved
MSTA720 Mechanical Insp 11/13/1995 11/13/1995 RB FAIL RB 11/13/1995 RE- INSPECT FEE NOT PAID
MSTA726 Framing <REINSP> 11/13/1995 11/13/1995 RB FAIL RB 11/13/1995 RE- INSPECT FEE NOT PAID
Page 2 of 3
05/30/2000 Activities for Case #: MST95 -00113
10:53:06 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA723 Electrical Service 11/14/1995 11/14/1995 MJR FAIL MJR 11/14/1995
MSTA720 Mechanical Insp 11/14/1995 11/14/1995 RB PASS RB 11/15/1995 VENT BAFFLES; FILL VOID
AT PLUMBING AT KITCHEN;
INSULATE /FIRESTOP THRU
HOLE PENETRATION BELOW
SHOWER/TUBS
MSTA726 Framing <REINSP> 11/14/1995 11/14/1995 RB PASS RB 11/15/1995 SEE MECH THIS DATE
MSTA740 Insulation lnsp 11/14/1995 . 11/14/1995 RB PASS RB 11/15/1995 SEE MECH THIS DATE
MSTA755 Rain drain lnsp 01/02/1996 12/27/1995 MS PASS MRS 01/02/1996 to distribution box
MSTA765 Appr /Sdwlk Insp 03/12/1996 03/11/1996 PI PEND C *H 03/12/1996 1. 1 1/2" exposure at gutter. 2.
Be prepared to protect finish.
MSTA712 Underfloor insulation 03/20/1996 03/20/1996 GS APP BT2 07/25/1996
MSTA795 Mechanical Final 04/12/1996 04/11/1996 GS APP GES 04/12/1996
MSTA797 Plumb Final 04/12/1996 04/11/1996 GS APP GES 04/12/1996
MSTA799 Building Final 04/12/1996 04/11/1996 GS APP GES 04/12/1996 call when temp wndw is
installed elc & elr finaled by mr
MSTA765 Appr /Sdwlk Insp 04/15/1996 04/09/1996 PI PASS C *H 04/15/1996
MSTA960 (F) Issue Cert. of Occupancy 04/11/1996 JF JF 04/17/1996
Page 3 of 3