Permit .
CITY OF TIGARD IGINAI, MASTER PERMIT
O PERMIT #: MST1999 -00236
� I
A � ii DEVELOPMENT SERVICES AT E ISSUED: 7/16/99
°: 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12185 SW JAMES ST PARCEL: 2S103CB -00500
SUBDIVISION: WILLAMETTE ZONING: R -4.5
BLOCK: LOT: 007 JURISDICTION: URB
REMARKS: Attached garage addition
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: 400 sf FRONT: 21 PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 11
VALUE: $ 7,340.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 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: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
•
FURN > =10OK: 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: 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 # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 220.53
GENE GROSSE CROUCH This permit is subject to the regulations contained in the
GEN CUSTOM CONSTRUCTION Tigard Municipal Code, State of OR. Specialty Codes and
12185 E GROSSE
JAMES ST CROUCH CH JAMES ST
TIGARD, OR 97223 TIGARD, OR 97223 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 of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 104297 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 -1987.
REQUIRED INSPECTIONS .
Erosion 844 -8444 Framing Insp Final inspection
Footing Insp Shear Wall Insp
Foundation Insp Firewall Insp
Electrical Service Rain drain Insp
Electrical Rough In Electrical Final
e / _.,,
,�
Issued By : AR _, /' - Signature`�ll��� , r /,r
Call (503) 639 75 by 7:00 p.m. for an inspection needed the next business day
•
PITY OF TIGARD r :z Residential Building Permit Application Recd B ec ��1
Recd By
'3125 SW HALL BLVD. Additions or Alterations Date Recd ('n -2 �II
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.(a 7
V 503 - 639 -4171 Date to DST 7-/—f
F 503- 684 -7297 UV Permit # (\A I `� "01 Lag
Print or Type Called 7
Incomplete or illegible applications will not be accepted
Name of Project Name •
Job 6-4-,96-e 4Jd Add"-fl Mailing Address
Address Si a Addr _ Architect g
City /State - Zip Phone
Na
n' 6 - rv SSe., -
Owner Mailing Address Name
/? /8S - (A). J ' fr 5 S�
. Engineer Mailing Address
City /State Zip Phone g
77 a o.6, a 9 % 01; 3 � 90-70)I? City /State Zip Phone
General Na Me /�
Contractor ere, Uc,4 Qtz,s 7r) Ai C., 0A s - T.. Describe work New O Addition $ Alteration 0 Repair O
Mailing Address to be done:
Prior to permit /2 27-47 ,SG,/ Jf 4 5'7' Additional Description of /7 Work: 'J
issuance, a copy Mate i c� Zip Phon � 1 1 - /X4 e 07 9E J
of all licenses / L et et - 77G2,..5 _�7 - ' t /6.
are required if Orn Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# /
/Z 0 VALUATION $ - t.,10, 06
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage tjoa
Mailing Address
Contractor g Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT 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
Oregon Stat- laws.
Name Si!. ;r: o Ow. / ntat
Electrical 6e he 60 sse_ „Own e2 Co n Nape) M � Pho ?
Sub- Mailing Address A D `C / 57? -776 i
Contractor
C
s�
City /State Zip Phone
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date PI t #: Map/TL #:
required if Lic.# ,+ � 1 , 1 ly -3
expired in COT � d �1 l A Z51 _ 560
database Electrical Lic. # Exp. Date Set ack j Zon / Solar:
Electrical Supervisor Lic. # Exp. Date En inuring Approval: Planril pproval: TIF^ IA
"41\ "
is \dsts \forms\sfaddalt.doc 11/20/98
04)01‘
CITY OF TIGARD BUILDING INSPECTION DIVISION MST / of)
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested -99 AM PM BLD
Location 2ifS JfY' ;�Sf Suite MEC
Contact Person f C Ph .S? 1-7'2(03 PLM
Contractor Ph SWR
•
BUILDING ; ' Tenant/Owner 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
Drywall on e'.6(41-e Drywall Nailing
Firewall
Fire Sprinkler.
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
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
P PART FAIL
TRT)
Service
Rough In
UG /Slab
Low Voltage
0
Fire Alarm
m
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 D ate 09 Other q Inspectors' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 199- Q93
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 9-7*-gel AM PM BLD
Location 2I T S afYk.kW St' Suite C, MEC
Contact Person. f 1' e- -- Ph S / - 7 76,3 PLM
Contractor Ph SWR
UILD Tenant/Owner 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 *% �o3T ST �4i%i ✓ " 3 r'�SS , .-- ' r dr S G ✓
Insulation
Drywall Nailing 43 l v6GG., 5' /-/4S 4->d/
Firewall
Fire Sprinkler (7. a2 3, t r ., h
Fire Alarm
Susp'd Ceiling GA OL-= � -�%�' `` 5
Roof
Misc:.
M
AS PART FAIL
P ;
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
Date 9 — 29 — '2 7 F or F Inspect r Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.