Permit CITY OF TIGARD MASTER PERMIT
ovi DEVELOPMENT SERVICES PERMIT # - MST98 -0424
� 144- DATE ISSUED: 11/04/9B
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S-110AB -05600
SITE ADDRESS...:11450 SW JACKIE CT
SUBDIVISION....:HAWK MEADOWS ZONING: R -4.5
BLOCK. LOT... ........ ..:009 JURISDICTION: TIG
Remarks: PATH I: New single family dwelling w /attached garage.
- - -- - ---- -- BUILDING --------- ---- -- ------ - - -------------- --
REISSUE: STORIES : 2 FLOOR AREAS--- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS -- -- REQUIRED------- - --
CLASS OF WORK.:NEW HEIGHT • 24 FIRST 1288 sf GARAGE • 768 sf LEFT • 7 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD.....: 40 SECOND...: 1225 sf FRONT • 21 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 7
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL - - - -: 2513 sf VALUE..$: 189098 REAR : 40
----- ---- -- — PLUMBING - -- ----- -- -.----- ---
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS : 0
LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 - SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL -- - - -- - - - -- --- --- - --
FUEL TYPES— — FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS : 4 CLOTHES DRYERS: 1
GAS FURN } =100( ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
- - ----------------------------- -- -- ELECTRICAL ------------ -------------------------- --
- - RESIDENTIAL UNIT - -- --- SERVICE /FEEDER ---- —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS— --- MISCELLANEOUS --- - -ADD'L INSPECTIONS- -
1m SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC DR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 500 amp..: 0 EA ADDL BR CIR: 0 SIGNAL. /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0
1 ,au+ amp /volt.: 0 --------------- - - - - -- PLAN REVIEW SECTION ---------------------------
Reconnect only.: 0 }=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..: 0TH: :: X BOILER HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: ::
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: -- ------ --- . ------- --- - ----- ----- -- Contractor : - '-------------- - - - - -- TOTAL FEES:$ 5328.20
ALAN R WILLIANSON A WILLIAMSON CONSTRUCTION This permit is subject to the regulations contained in the
10895 SW AVOCET COURT 10895 SW AVOCET CT Tigard Municipal Code, State of Ore. Specialty Codes and all
BEAVERTON OR 97007 BEAVERTON OR 97Y-7 -8391 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: Phone #: not started within 1:v days of issuance, or if the work is
Reg #..: '460337 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 -v1 -0010 through OAR 952401-v80. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- --.— ----------- - - ---- REQUIRED INSPECTIONS ---- --- ---- -- --
Erosion 844 -8444 Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Ins! Mechanical Insp Shear Wall Insp . Water Service In Building Final
Post /Beam S uct 'lumb Top Out Low Voltage Appr /Sdwlk Insp
Post /Beam M Chan E.ectri - S- i Gas Line Insp Electrical Final �/ /
Issued -: ► . !✓ _ _ Per Signature: `i' i , - • -/.
+++++++++++++++++++++++++++++++++++++•+++++++++ + + + + + ++ + + + ++ + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1Pkf �v �� �� X27' `
OF TIGARD Reside Building Permit Application Flan cne��q
3125 SW HAL BLVD. New Construction Additions or Alterations % Rtc'd B
Dab Rec'd 0! 0 ' -C
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E,li'3•7 - 406-'q"'
V 503 - 639 -4171 Date to DST r,' biz/ =is '`
F 503 - 684 -7297 � Permit* �P3 ,-9$- O''1,? T
,/ Print or Type � Called /l•�l — er'"
,ii b Y Incomplete or illegible applications will not be accepted L6Fr V. '11i°- ".010,'
\.) ' 5 d • e - V " ° 6 ' 7 5 - -
Name of Project J 1 '( e` q Name
Job #444x ✓�i'��f>U// �'" /Are, e0
Architect Mailing ress Cd Address Site Addres Add /�
'
Q Ci tate �} 7 Zip Phone ,
Name ,�( zI/1� /��/ �,1�15 �1�✓ Na 'm� 7 % ?, 2z - 114 ,.
Owner Mailing { A ess
I U L am' ! {5 � q
Engineer Mailing Addr s
Ci Stat�� L. Phone g )ink-
/�Lll ;P l
�� City/ to ( 724 Zip
Phone
General Nam 72 .� 7D ----- fie i
Contractor A,e / '/ I Describe work New ( Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit P 95 s 4 } � Additional Description of Work: � �
issuance, a copy 'ty/State Zip Phone
of all licenses 4414,-‘____ � -7 ` .,5- y ---Iy %
are required if Oregon Const. Cont. Boar Exp. Date / PROJECT - _ _ ___, _ -
expired in COT Lic.# } to
database 33 7 3 7 X31 VALUATION _ _ _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 1448 b4441/Att Ft. House: 51 Sq. Ft. G a e
Contractor Mailin dress / _
Prior to permit ! <s ) � . t Indicate the restricted energy installation by the electrical
issuance, a copy City/Sta �, , Zip Phone
of all licenses subcontractor in the following areas
v1,1, 4 j), hp -iqf( Restricted ✓ Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System t- Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database I iryt- - 2614 System ` ✓System
Plumbing Nam (check all that ' Other:
Sub- M,uti" ��� 121�'!7 apply)
Contractor Maili Address Corner Lot YES NO Flag Lot YES NO
, g Q , / (check one) ✓ (check one)
0p( c__ ili Has the Subdivision Plat recorded? N/A YES NO
t...----- Prior to permit City/ Lat pP,,,x, t...----- issuance, a copy `L / d
Phone
T � �4 v /�a,� Sl ar Compliace
of all licenses are Oreg Const. Con rd Exp. Date (Calculation Attached)
required if Lic.#
expired in COT SP-37 g g � �7 ® I hearby acknowledge that I have read this application, that the
�
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
� of the owner, and that plans submitted are in compliance with
3
q- ) ;) ■/) 174 _ ii OregoA tate laws.
Name Sign -.. / ° of O i - Date
Electrical d21 ✓ lD i
Sub- Maili 4+-azr_z Co nt ct P tson N�mg Phone #
Contractor ,sAi ,44/44"/„.„, F OR OFFICE USE ONLY:
City /S te Zip Phone Plat #: Ma /TL #:
Prior to permit � �•� f /' / ` Set
issuance, a copy fI �, U T7 41 ,02-J Setbacks: � - s: �l < 7 5 � &S O-
Zone: 2- 5--- Solar:
of all licenses are Oreg n Cons . Co t. Board Exp. Date ` ,
required if Lic.# Q�
expired in COT to ,� 3 / d P d Engi eerie Approval: Planning Approval: TIF:
database Electrical Lic. # Exp. Date f (! l J ar
3134 -- -5 `a - re/ /0"9
I:SFREM2.DOC (DST) 8/11/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST gc<
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
9 BUP
Date Requested �r� ` AM PM BLD
Location I I LI 5 Suite MEC
Contact Person r(d Ph / 9 -3I '7S PLM
Contractor - Ph SWR
:BUIL �. Tenant/Owner ELC
Retaining Wall ELR
Footing Access: Q
Foundation r l r , FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing 4L s �Sin C •P
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
'ASS PART FAIL
:
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
FAIL
� (MECHANI,CA
Post & Beam
Rough In
Gas Line
Smoke Dampers
'ASS PART FAIL
ELECTRIC_ AL a _ eaxrt . a ,
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 Inspector , Ext •
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.