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Permit k MASTER PERMIT CITY OF TIGARD PERMIT #: MST2000 -00137 .4 I- A ID,' DEVELOPMENT SERVICES DATE ISSUED: 05/30/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13724 SW JENNA CT PARCEL: 2S104CA - 10600 SUBDIVISION: HILLSHIRE ZONING: R - BLOCK: LOT: 106 JURISDICTION: TIG REMARKS: ADDING 494 SQ FT TO FAMILY ROOM AND A 240 SQ FT DECK PATH I BUILDING . REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 13 FIRST: 494 sf BASEMENT: sf LEFT: 45 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 37,516.78 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 494.00 sf REAR: 21 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: 1 GREASE TRAPS: • OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 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 FOR: 1 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: $ 820.79 • • This permit is subject to the regulations contained in the JEFF HEINZE SHELBURNE DEVELOPMENT Tigard Municipal Code, State of OR. Specialty Codes and 13724 SW JANNA CT 7008 SW NYBERG RD all other applicable laws. All work will be done in TIGARD, OR 97223 TUALATIN, OR 97062 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 #: DC 00042388 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 Underfloor insulation Electrical Rough In Gas Fireplace Plumb Final Footing Insp Crawl Drain /Backwater Framing Insp Insulation Insp Final inspection , ^ n R 1 • A Foundation Insp Footing /Foundation Do Shear Wall Insp Rain drain Insp Building Final ppp��� Iv-- Post/Beam Structural Mechanical Insp Low Voltage Electrical Final Post/Beam Mechanical Electrical Service Gas Line Insp Mechanical Final • Issued By : � . ' ermittee Signature : i /` L . Call (503) 639 -4175 by 7:00 p.m. for an inspection needed t e ne t bu iness day ir t OF TIGARD Residential Building Permit Application Plan Ch 6 ; ! 7 5 SW HALL. BLVD. Additions or Alterations Recd B R�- Date Recd 6 - 5 ---00 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 5 -I I - U0 V 503 - 639 -4171 Date to DST S - I I -G ti F 503 -684 -7297 / / y ` Permit# rn5 to6 0 0 - 0 0 1 37 Print or Type Called /9- o d Incomplete or illegible applications will not be accepted g: top r IIA1 00,9,4 Name of Project Name Job He () 2e /WO /y -1oAl s - iim Sc- P-u7 Address Site Address Architect Mailing Address ' 1372 Sit Sn AJA- c.--n- 70I 0 -W N Y6�2G r2-0 g City /State Zip Phone Name e M /fie /�j a l �/t 02 of 7069_ �`l / I 2SS 1-- / ' Name _ Owner Mailing Address C K Cn161 n1e (Z I st/ 6 l 37 9-` S-W SeAfA/A CT. ity /State Zip Phone Engineer Mailing Address /6 -W o2 9.7:),x3 579' - 6/:�0 7O I S(A) ^'NBerz6 RD City /State Zip Phone N ame General 1-u*- -ft / O!2 97062 692 44'07 Contractor 5 Ile Ll3u E 0 CU. Describe work New 0 Addition 6 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit 76Ua ,tJy6 eft , k, Additional Description of Work: issuance, a copy City /State Zip Phone s: 04N 0 F4MI1 -Y Roc nvt / move_ Kt - SI& niSA.#4 of all licenses TLtALA -j 0 97062. 6 72 -6383 r are required if Oregon Const. Cont. Board Exp. Date ) PROJECT - - J s/ expired in COT Lic.# 2-3 c a )1 /6 . . - database DD �i o I , VALUATION ; ; _ :_ .: , Mechanical Name NEW CONSTRUCTI ONLY: D,c,k o7,0 r Sub- :TA co 65 Hel - TIAl 6 Sq. Ft. Ho se: r r ° " ` Sq. Ft. Garage Contractor Mailing Address T L \ ,_, .. 1__ / Prior to permit 'I•-t7 LI 5. L Mil.. '/.�vt Indicate the restricted ergy installation by the electrical . issuance, a copy City /State Zip Phone subcontractor in the following areas of all licenses '1 - ?P '- 239-733) Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic. #• 1 4 [1 I / Installations Vacuum Irrigation database 1 J. I /q (6 p System System Plumbing Name (check all that Other: Sub- C 4. K COAJI`e..#cr N 6 Are apply) • Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO 0 6 3 N -E• (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zi Phone .503 issuance, a copy - LeM b'I. 9 3 ( , 3 7/ - 3539 of all:licen ds are Oregon Const. Cont. Board Exp. Dat requi d if Lic. # - ,, ._ 3 45/ g, expired in COT 6 c C - . 6 I hearby acknowledge that I have read this application, that the database I N Plumbing ic. # Exp. Date 9 rte/ information given is correct, that I am the owner or authorized agent l g n of the owner, and that plans submitted are in compliance with .— 1 7 c7 7 /,' ��� 1 / Orego = e law . Name INF O • - Date Electrical 042\1 e(Z d-- SO tJ 5 e Lectel C-- / � - A Phone # 00 Sub- Mailing Address OP . t P 5! 7 76.24 Contractor 5536 S L wooOs•ro ■'� __ City /State Zip Phone • 640 69Y23 • Prior to permit F s2r(-h (vo oe. 9/7 77 1606 issuance, a copy , FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Plat ' Map/TL #: r� �, required if Lic.# 00 1 I I 1 I' `0 / / /� //r}, Sl U 4 I Cif - / 0 6 4) expired in COT / / / / /v � / l l ( 61 ✓ database Electrical Lic. # Exp. Date etbacks: / Zone: Solar: 3 /l S /0 - o/ K -- 2 Electri Lic. # E�. ©te Engineering Approval: Planning Approval: TIF: PL) 1b i l /, • 4%1 is \dsts \forms\sfaddalt.doc 11/20/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED JUN 052000 IMPORTANT PERMIT NOTICE LAY: DRYER + SONS 5536 SE WOODSTOCK BLVD PORTLAND, OR 97206 Electrical Signature Form Permit #: MST2000 -00137 Date Issued: 05/30/2000 Parcel: 2S104CA -10600 Site Address: 13724 SW JENNA CT Subdivision: HILLSHIRE Block: Lot: 106 Jurisdiction: TIG Zoning: R - Remarks: ADDING 494 SQ FT TO FAMILY ROOM AND A 240 SQ FT DECK PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: JEFF HEINZE DRYER + SONS 13724 SW JANNA CT 5536 SE WOODSTOCK BLVD TiGARD, OR 97223 PORTLAND, OR 9720€ Phone #: 503 - 579 -6120 Phone #: 774 -1606 Reg #: LI 00001114 S 23 11S ELE 26-43C AN INK SIGNATURE IS REQUIRED 0 THIS FORM X , A(_,Z Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 • CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECF TEL) JUN 0 8 2000 IMPORTANT PERMIT NOTICE BY: __._! C + K CONTRACTING INC 536 63RD NE SALEM, OR 97301 Plumbing Signature Form Permit #: MST2000 -00137 Date Issued: 05/30/2000 Parcel: 2S104CA -10600 Site Address: 13724 SW JENNA CT Subdivision: HILLSHIRE Block: Lot: 106 Jurisdiction: TIG Zoning: R - Remarks: ADDING 494 SQ FT TO FAMILY ROOM AND A 240 SQ FT DECK PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: JEFF HEINZE C + K CONTRACTING INC 13724 SW JANNA CT 536 63RD NE TiGARD, OR 97223 SALE"+ ", O€. 97301 Phone #: 503 - 579 -6120 Phone #: 503- 371 -3539 Reg #: LIC 00065015 PLM 24 -197PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST - - /57 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 4f (� BUP Date Requested /' / AM P BLD Location (3 7 1 1( w J Suite MEC Contact Person J -€7 Ph 51, e (00 PLM Contractor Ph ,5 9- 7z- SWR ILDI Tenant/Owner Ls /11 G n l ivy.ti t tt, Jm 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 Insulation Drywall Nailing wall oc,-1/T Fire Sprinkler • -■er1 14 -- !t Fire Alarm Susp'd Ceiling Roof . isc: �r�r�iey • ' SS PART FAIL ° UMBIN - ' Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains P • SS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CT RRI L. Service Rough In UG /Slab Low Voltage Fire Alarm • 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: r ] Unable to inspect - no. access ADA Approach /Sidewalk. Date /1-4 Inspector 1 Ext Other Final — ��- PASS PART FAIL 0 NOT REMOVE this inspection record from the job site