Permit CITY OF TIGARD MASTER PERMIT . M .cC
& DEVELOPMENT SERVICES PERMIT # 08/27/97 ��JJ
1 DATE ISSUED: 08/27/97
AL. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
I PARCEL: 2S103CB -02000
SITE ADDRESS...: 12220 SW JAMES ST
SUBDIVISION ZONING: R -4.5
BLOCK LOT ° JURISDICTIO „1 .
Remarks: Converting an existing garage to livable space and the addition of an attached garage.
-- — - - - -- BUILDING - - ---- -- — --- ---
REISSUE: STORIES : 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED -
CLASS OF WORK.:ADD HEIGHT • 12 FIRST : 480 sf GARAGE 400 sf LEFT • 24 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf ' FRONT • 0 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BURN: 0 BATH: 1 TOTAL------: 480 sf VALUE..$: 30698 REAR : 99
— PLUMBING ---- - -- - ------------
SINKS • 0 WATER CLOSETS.: 1 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS : 0
LAVATORIES • 2 DISFRS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 1 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN ( 100K ..: 1 BOIL /CAP ( 3HP: 0 VENT FANS : 2 CLOTHES DRYERS: 1
GAS FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS : 0 WOODSTOVES • 0 GAS OUTLETS...: 1
-- ELECTRICAL -
- RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS -- ---- MISCELLANEOUS ---- - -ADD'L INSPECTIONS -
1m SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL /PALL...: 0 IN PLANT : 0
1 MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 601+amps- 1m v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 ------ ------ PLAN REVIEW SECTION —
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR1 =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- ELECTRICAL - RESTRICTED ENERGY —
A. SF RESIDENTIAL B. CRCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL 0 SYSTEMS: 0
Owner: --------- Contractor: --- - TOTAL FEES:$ 486.81
CROUCH, FRED & KAREN OWNER This permit is subject to the regulations contained in the
12228 SW JAMES ST Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 other applicable laws. All work will be done. in accordance
with approved plans. This permit will expire if work is
Phone A: 579 -7763 Phone 0: not started within 180 days of issuance, or if the work is
Reg 0..: , 's1s 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- 001 -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
— REQUIRED INSPECTIONS
Erosion Control Crawl Drain Electrical Rough . , Insulation Insp Plumb Final
Footing Insp PLM /Underfloor Framing Insp Gyp Board Insp Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp Erosion Control
Post /Beau Struct Plumb Top Out Low Voltage Electrical Final
Post /Beam Meehan Electric 1 5ervi Gas Line Insp Mechanical Final
y
Issued By: VI Permittee Signature: _..`
+++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ 7 + + + + + + + +:1- + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the v next business day
P= Plan Check # 00 ( 7/ e
CITY OF TIGARD Residential Building Permit Application Rec'd By
13125 SW HALL BLVD. _ New Construction Additions or Alterations Date Recd - 1,?
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ' - 2/ 11
V 503 =63- -9 -4171 Date to DST S . - / 7
F 503- 684 -7297 Permit # 01 r 5 j7--
Print or Type Called b -z7-
Incomplete or illegible applications will not be accepted
Name of Project Name
Job AddW - I M r
Address Site Address Architect Mailing Address ,,,,,, ,,,-- r
/2_2_10 Sew .e - a-te-5 51-.
Name City /State / Zip Phone
Owner Mailing Address Name
I.9,;3-0 -() 5.l,v . .j 4/1-A6 .--1-- -
City /State Zip Phone Engineer Mailing Address
! r�l t oe, q 7J a3 579 -7 % Zip City /State / Zip Phone
Na
General 2L4J4.e,/-- , Describe work New 0 Addition' Alteration Repair 0
Contractor Mailing Address to be done:
Additional Description of Work: C`,ySfi'q 6-4-r o- e Colorer
1-c) City /State Zip Phone ` ,1 �- ` t/t n. J p �c� . a-4/4A' .
o n
W
Oregon Const. Cont. Board Lic.# Exp. Date ` 8 e-
. Attach Copy of 30 r 0 9
Current COT Business Tax or Metro # Exp. Date PROJECT - 30 Gtr
Licenses VALUATION
j Nam
��r NEW CONSTRUCTION ONLY:
Mechanical 6
Sub- Mailing Address Sq. Ft House: /, 5 -r Sq. Ft. Garage
*
Contractor � HMV 1 9°t)
Corner Lot YES NO Flag Lot YES NO
City /State Zip Phone (check one) (check one)
I Oregon Const. Cont. Board Lic.# Exp. Date Restricted Audio /Stereo Burglar
Attach Copy of Energy System Alarm
Current COT Business Tax or Metro # Exp. Date Installation • . Garage Door HVAC
Licenses Opener Systems
Name (check all that Other:
i Plumbing Z9w te∎ -e- apply) _
Sub Mailing Address Will the electrical subcontractor wire for all YES NO
Contractor restricted energy installations?
City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
• Oregon Const. Cont. Board Lic.# Exp. Date Reissue of MST #: Solar Compliance
Attach Copy of (Calculation Attached)
Current Plumbing Lic. # Exp. Date I hereby acknowledge that I have read this application, that the
Licenses information given is correct, that I am the owner or authorized
COT Business Tax or Metro # Exp. Date agent of owner, and that plans submitted are in compliance
Name
with Oregon State laws.
• Electrical 0 � --.f .,--- Si na e of Owner/ Dat
Sub- Mailing Address Con ct Person a Phone #
Contractor Fr- ed r ° ci' ` j 7
City /State Zip Phone FOR OFFICE USE ONLY: To3. -aco i) r e
Plat :I d Map/TL #L:
Oregon Const. Cont. Board Lic.# Exp. Date /� t 7/J l - 2.D00
Attach Copy of Setb ks: ` \ Zone: Solar: i
Current Electrical Lic. # Exp. Date - IV R��� Y�I RAI
I Licenses Enginggring Approval: Planni g Approval: TIF:
! COT Business Tax or Metro # Exp. Date A ti
I:SFAPP.DOC (DST) 4/97
•
..-
A
Permit # Acct. Descritpion COT / ' WACO Amount Amt. Pd. Bal. Que
in f U3Sf MST. Permit (BUILD) ` (UBUILD) 1 4 / �7 5 .- 1 = - ) 97 "° `.v"
I iti
Plumb. Permit (PLUMB) (UPLUMB) ' 6 . j
43 `t'° u acv
Mech. Permit (MECH) 3 (UMECH) 33 3j,
ti
ELC /ELR Permit (ELPRMT) N (UELPMT) ? —4 0 yo.-
0.
State Tax (TAX) i �' / ' G'
( ) (UTAX) 0/. ,
BLDG: FY e
PLUMB: 3 / r / !t R
MECH: - “S r
li
ELC /ELR: w V
Plan Check ,,
MST: (BUPPLN) (UBUPLN) Ii / , Ztl, Y ( /4i � z >'
Plumb: (PLUMB) ' (UPLUMB) ? •
Mech: I
(MECPLN) (UMEPLN) .) ?, i i i.2 ,'
CDC Review (BUILD) (CDCBLD) ' (UCDC) ;'
CDC Review (PLN) (CDCPLN)) N/A ,
Sewer Connon (SWUSA) (USWUSA)
I Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)j
li
Parks Dev Charge (PKSDC) ,i N/A I
i
Residential TIF (TIF —R) i' (UTIF —R) a
ti
Mass Transit TIF (TIF -MT) + (UTIF —M)!
Water Quality (WQUAL) (UWQUAL) �
l
Water Quantity (WQUANT) (UWQANT)
Erosion Control Prmt (ERPRM1) (UERPMT) f., `
Erosion Planck/USA (ERPLN) (UERPLN) 1 .
r
Erosion Planck/COT (EROSN) (UEROSW
Fire Life Safety (FLS) (UFLS) "
TOTALS: i 4 ( „
I:SFAPP.DOC (DST) 4/97
.,j T9 7- 0725
.AFTER RECORDING
RETURN TO:
M & T MORTGAGE CORPORATION
5285 SW MEADOWS RD., STE. 290
LAKE OSWEGO, OR 97035
DEED OF TRUST
THIS DEED OF TRUST ( "Security Instrument ") is made on July 14 ,1997 . The grantor is
•
FRED L CROUCH and KARIN M CROUCH
( "Borrower "). The trustee is CHICAGO TITLE
9900 SW GREENBURO. RD. , PORTLAND, OR 97223
( "Trustee "). The beneficiary is M & T MORTGAGE CORPORATION
which is organized and existing under the laws of THE STATE OF NEW YORK , and whose
address is ONE M & T PLAZA, BUFFALO, NY 14203
( "Lender "). Borrower owes Lender the principal sum of
One Hundred Eleven Thousand Five Hundred and no /100
Dollars (U.S. $ 111,500.00 ).
This debt is evidenced by Borrower's note dated the same date as this Security Instrument ( "Note "), which provides for
monthly payments, with the full debt, if not paid earlier, due and payable on August 1 , 2027
This Security Instrument secures to Lender: (a) the repayment of the debt evidenced by the Note, with interest, and all renewals,
extensions and modifications of the Note; (b) the payment of all other sums, with interest, advanced under paragraph 7 to
protect the security of this Security Instrument; and (c) the performance of Borrower's covenants and agreements under this
Security Instrument and the Note. For this purpose, Borrower irrevocably grants and conveys to Trustee, in trust, with power of
sale, the following described property located in WASHINGTON County, Oregon:
SEE EXHIBIT 'A' ATTACHED HERETO AND BY REFERENCE
MADE A PART HEREOF. .
TIGARD
which has the address of 12220 SW JAMES STREET [Street, City],
' Oregon 97223 [Zip Code] ( "Property Address "); LN 4235958
OREGON - Single Family-FNMA/FHLMC UNIFORM
INSTRUMENT Form .3038 9/90
-6R(OR) 1ot Amended 5/91
III II II I II II
VMP MORTGAGE MORTGAGE FORMS - (800)521 -7291
Page 1 of 6 Initials:
. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 97- OacS
24 -Hour Inspection .Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ' "&' ` AM PM BLD
Location I ZZ2t 1GI,YVI D , ��� Suite MEC
Contact Person Ph .S - T260-3 PLM
Contractor Ph SWR
9 F s 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
• - 7 7 PART FAIL
PL J MBING.. w
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL r;' ` u r ; , -
Post & Beam
Rough In
Gas Line (00
Smoke Dampers
Final
PASS PART FAIL
. Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Fxa�
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 cal for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk G
Other
Date i Ins /- 1k Ext
Final
. PASS • PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION 423, 971355
4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/ 17 Date Requested 7� 'o� - f0 D AM PM BLD
/
Location ; Z O Std I Suite MEC
Contact Person a Ph 5 79-7 7 6 PLM
Contractor Ph fr 7 63,204 SWR
:WILDING i ' -;',:j 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
Insulation
Drywall Nailing
Firewall
Sp rinkler
Fire 1--erz:t /l Sp � G� -�f/ C
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING.' ` < ": : :':: i
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 FAIL
ELECTRICAL , _ "":,.
Service O
Rough In 1 i
UG /Slab I j
Low Voltage /
• Alarm i
Fi.
/ ASS PART FAIL
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 / 7, Ins Ext
Other Final
PASS PART FAIL DO NOT REMOVE thisinspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST X 7 --03SC
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �' "� AM X PM BLD
Location ) 2 2 - 2 D Z O- S• Suite MEC
Contact Person • rV\e_a_ Ph S'2/ - 77(0 3 PLM
Contractor Ph SWR'=
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUM.BING`a ., ,;
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
�"IGf€CHAN,IG ,QL''j
- Post & Beam
Rough In
Gas Line
• ke Dam ers
f!"!
PART FAIL
RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
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 3 "
Other Date J Ins 4 C t Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST G J '
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
vvS 1 BUP
Date Requested ( AM X PM BLD
Location 1 ?� ZOO � 7iC) - - '� gfi Suite MEC
Contact Person /1.Q -il Ph 71 776 PLM
Contractor Ph SWR
B,UILDING u` °� ` Tenant/Owner ELC
Retaining Wall ELR
Footing Access: '
Foundation / FPS
FtgDrain �"��
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int'Sheath /Shear •
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
BO.
" Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
SS 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
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
. 7/F 4009.
Other Date Inspector 0,6,„. Ext
Final
PASS PART FAIL, ' 0 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST g7-03SS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
c BUP
Date Requested y 2J / AM PM BLD
Location C� (TA S • Suite MEC
Contact Person f r LeL- Ph 579 ' 77 (03 PLM
Contractor Ph SWR
BUILDING a° Tenant/Owner ELC gq-dn
9
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
Firewall
Fire Sprinkler 'r 7 91 - �35�
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final PART FAIL ELd - 4 /9 •
PLUMBING;
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHAN,I,CAL : '°
Post & Beam
Rough In
Gas Line
. Smoke Dampers
Final
PASS PART FAIL
rvic
Roug In
UG /Slab
Low Voltage
Fire Alarm
iga PART FAIL
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
Other ° 9' Ins xt
E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.