Permit CITY OF TIGARD 0 R I G I NA L MASTER PERMIT
r A o .
PERMIT #: MST2000 -00171
_Ar lil DEVELOPMENT SERVICES DATE ISSUED: 07/06/2000
t 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10859 SW KABLE ST PARCEL: 2S110DA -EH056
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 056 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,167 sf BASEMENT: sf LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,756 sf GARAGE: 674 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 241,326.63
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,923.00 sf REAR: 99
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS ' BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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: $ 6,308.77
RENAISSANCE DEVELOPMENT This permit is subject to the regulations contained in the
Tigard Municipal Code, State of OR. Specialty Codes and
1672 SW WILLAMETTE FALLS DR all other applicable laws. All work will be done in
WEST LINN, OR 97068 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 49955 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 Mechanical Insp Shear Wall Insp Insulation lnsp Mechanical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Low Voltage Rain drain lnsp Plumb Final
Foundation lnsp Footing /Foundation Dr Electrical Service Fireplace Insp Water Line Insp Final inspection
Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final
Post/Beam Mechanical Mechanical lnsp Framing lnsp Gas Fireplace Electrical Final
Issued By : Permittee Signature:
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
C).i"Y OF TIGARD Re p_ 3� l� � - �B Q� p ) IiCation Plan Check # , " ?%." 13125 SW HALL BLVD. ! ( Recd By
TIGARD, OR 97223 ° 1S) ( Date Recd 5=2.6
V 503 -639 -4171 Date to P.E. 4--- (3—&-E, l "``����(((( Date to DST ` — / ° Cid
F 503 - 684 -7297 Permit # /11.56.o00- 0 0 / 7 ) •l
Print or Type � / Called ARV /S i/ ��v(- / L7j
Incomplete or illegible applications will not be accepted S?wi ~ 0°,133
Name of Project / Nam
• Job t /`I (k a - // : 4t S� l �/�'/7 - !25.7 X7-2 —i ; v
Address site gd Architect M l ing Address
(0 �S /' IJGc� /7/0 S!'U fir I( .
Name City /State Zip Phone
Owner Mailing Address Nam�1 /4
/672 M il 7e4= , //.- //le i r/ V/5
. City /State Phone Engineer Mailin�Addressp- /;'7..1/'/I-15-/.12--e
J'L %' `t -t'�/ e i7C%a 5.5 ei J 5 �� G- _
General Name City /St te. Zip Phone
AV/7 4?72�l 23 01 y3
Contractor 7(f Describe work New ,i.:__ Addition 0 Alteration 0 Repair 0
Mailing Address to be done: ,i.:__
Prior to permit Additional Description of Work:
issuance, a copy City /State Zip - Phone •
•
of all licenses
are required if Oregon Const. Cont. Board Exp. Date PROJECT . /
expired in COT Lic. # /�'�jj� �lr�ji�C /�
database --L/-� // SS 3 VALUATION $ C 1
Mechanical Name, 1 , NEW CONSTRUCTION ONLY:
- S (-r�//9n -V ,1 ?// Z / i - 7 y Sq. Ft. House: 3 Z Z 2 J Sq. Ft. Garage
Contractor • Mailing Address 7,-(
Prior to permit 26.4/4 `/l/ //? ,t/ /�� G'C= Indicate the restricted energy installation by the electrical
• issuance, a copy City/State Zi Phone subcontractor in the following areas
of all licenses //77pj i - � r, 60 /2c 0 Restricted Audio /Stereo i
•
are requred if Oregon Const. Cont. Board Exp. Date • Energy System Alarms i
expired in COT Lic.;`,` 112 0 s.:8:-- I Installations Vacuum Irrigation
database J System
e y System
•
N am
Plumbing / /�, ? _ (check all that Other:
Sub - CM T /yam / � /t2 /7 r/ 0 7 apply)
Contractor Mailing Address Number of Units in Building Unit Number Designation •
7776 /i/p f 5 Has the Subdivision Plat recorded? . N/A E NO
issua permit kr/State i - Phone
issuance, a copy *'0 4 6 a
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic. # -- g/ /
expired in COT // c ; 6
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
(0 __/ ; / G�� information given is correct, that I am the owner or authorized agent
`T s of the owner, and :t plans submitted are in compliance with
Nam Oregon Stat-
Electrical �i sigp_ wr of fine Aggnt Date
• S Mailing Address Idnir 37,2i/CV Person Name
Phone #
Contractor "/, /i S 47/-60,e_5-- • Sf
iOty /S ta` e ��/ Zip Phone
Prior to permit 970(5 ('F� .7a - ',25 6
issuance, a copy ( k fre,45' FOR OFFICE USE ONLY:
of all licenses are . Oregon Const. Cont. Board Exp. Date
required if Lic. ,- /i Plat # : nr S n Map/TL #:
expired in COT (p/ T,s K /',�j • 0%5 / lo pt9._acC6'
database Electrical Lic. # Exp. Date Setbacks: Zone: g 7 5 � x /)
:5 -is6 J�
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
i:\dsts \forms\sfd - new.doc 11/20/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 C J VED
JUL M1-2000
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS, OR 97015 -1429
Electrical Signature Form
Permit #: MST2000 -00171
Date Issued: 07/06/2000
Parcel: 2S110DA -EH056
Site Address: 10859 SW KABLE ST
Subdivision: ERICKSON HEIGHTS
Block: Lot: 056
Jurisdiction: TIG
Zoning: R -3.5 - - -
Remarks: S/F 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:
GAGE ENTERPRISES INC
•
PO BOX 1429
CLACKAMAS, OR 97015 -1429
Phone #: Phone #: 503 - 657 - 0142
Reg #: SUP 618s
LIC 34544
ELE 3 -128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X c
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
IMPORTANT PERMIT NOTICE REC :T\TFT
JUL 2 4 2000
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2000 -00171
Date Issued: 07/06/2000
Parcel: 2S110DA -EH056
Site Address: 10859 SW KABLE ST
Subdivision: ERICKSON HEIGHTS
Block: Lot: 056
Jurisdiction: TIG
Zoning: R - 3.5
Remarks: S/F PATH
•
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:
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Phone #: Phone #: 644 - 8698
Reg #: LIC 79666
PLM 20 -148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
. x //6-
. Signature-of Authorized Plumber .,
If you have any questions, please call (503) 639 -4171, ext. # 310
■
/O 7,444 St
u
"-"'"'"--------------.—._______< ›:>1.
cc
w
A
M
O
O f
Y/
/ /
co to M j P M p£ � e O
Z
/ 0
129.3' v' —
/
.0,.
e/ 4, o
to
A l 17
i El I - 4 ti / < 4 < 4 q. 4■2 „,,.,,..___./->..--- sg ' li,
Z
sl $ ---6
r oe ---- -
$ $ � v J
3 490 i �. �o 4 s0 �' ' l r ' ' i 1 � /�
0� N . s° , -. er N ,y 4? P te. �
1
/ .
•
SCALE DRA NG LOT 56 ERICKSON HEIGHTS
S.E. 1/4 SEC. 10, T.2S., R.1 W., W.M.
CITY OF TIGARD
WASHINGTON COUNTY, OREGON 111
MAY 22, 2000 Centerline Concepts Inc.
1 DRAWN BY: MSG CHECKED BY: WGDIII
SCALE 1"=20' ACCOUNTi 115
640 82nd Drive Gladstone, Oregon 97027
M: \MLI \L56ERICK 503 650 -0188 fax 503 650 -0189
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ` - 64 1 7(
24- Hourinspection Liner 639 -4175 Business Line: 639 -4171
BUP '
•
Date Requested 12 - AM PM BLD '.
Location / 06 S '&64, Suite MEC 4
Contact Person Ph � ° 3) 2 1 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
Insulation
Drywall Nailing �>—
Firewall N
Fire Sprinkler
Fire Alarm 4
Susp'd Ceiling - 1< ti • A ;At �L
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab O / Z — o,
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
ECTRICAb
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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 /2" 6977 Inspector / Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY _,OF TIGARD BUILDING INSPECTION DIVISION
MST „,, Gv
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested f 2-. ) AM PM BLD
Location / gi S -S / Suite MEC ir r"---
Contact Person Ph 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
UM
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
ANICAL
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 / 2 S 0 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
l iZ
CITY OF TIGARD BUILDING INSPECTION SION M � e 017
4 -tour Inspection Line: 639 -4175 Business Line: 639 -4171 ST 6
BUP
Date Requested / i ° / — I / A PM BLD
Location / 0 9 S St-t//4 61.4e. 5 / Suite MEC
Contact Person �Jb �/ t\ Ph f 7 Z/ PLM
Contractor Ph SWR
<E 1 2 - Tenant/Owner R/74 '5- Cct/7 ELC
Retaining Wall ELR
Footing Access: Zeck_ M /) Foundation ' - ` r -/� J FPS
Cr l Drain /1" 44�v�
Crawl Drain Inspection Notes: � q'�s� r <� /� N
Slab � �G1:� `Y SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation Off/ Drywall Nailing ( -/ /� "v!
Firewall ,, ®� �
Fire.Sprinkler a!'vc.x.. ! 1 j�. 41
Fire Alarm �
Susp'd Ceiling e4;
Roof
Misc:
in ' PART FAIL
PL
•
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
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 Date /" I Inspector /e2-0 E
Other ns p �
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . •