Permit CITY OF TIGARD MASTER PERMIT
i„�, ,d\ DEVELOPMENT SERVICES PERMIT # - MST98 -0008
N�'�I ll DATE ISSUED: 01/15/96
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S104AA -90191
SITE ADDRESS...:12654 SW KAREN ST #LT #1
SUBDIVISION °BELLWOOD TERRACE CONDOMINIUMS ZONING: R -12
BLOCK LOT -019 JURISDICTION: TIG
Remarks: Repairing an existing
BUILDING
REISSUE: —� STORIES --------- • 0 FLOOR AREAS---- - - - --- BASEMENT...: 0 sf REQUIRED SETBACKS -- -- REQUIRED--- - - ----
CLASS OF WORK. : HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS:
TYPE OF USE...:SFA FLOOR LOAD • 60 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0
OCCUPANCY GRP.:R3 BORN: 0 BATH: 0 TOTAL - - -: 0 sf VALUE..$: 850 REAR • 0
- --------------------------- _ ---------- - -- PLUMBING --------------------------- __ - -_
SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-- - — - ---- -- MECHANICAL --- -
FUEL TYPES FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
- - ------------ ELECTRICAL ----- - -- - - --
- RESIDENTIAL UNIT --- — SERVICE /FEEDER - - -- - -TEMP SRVC /FEEDERS — --- BRANCH CIRCUITS— -- -MISCELLANEOUS — - -ADD'L INSPECTIONS- -
1'," SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 40 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 6 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FDR: 0 601 - 1' amp.: 0 601 +amps- 1'.4. v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 . - -- ----- - --- ---- PLAN REVIEW SECTION - --- - -- ---- --- ---- --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR} =225 A.: ) V NOMINAL: CLS AREA /SPC OCC:
- - - -- -- - ELECTRICAL - RESTRICTED ENERGY — —__ ------ ------- w---_- ___
A. SF RESIDENTIAL B. CONMERCIAL- ---- -- - -- -- ------ --- - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER • HVAC • LMIDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ••
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL B SYSTEMS: 0
Owner: -----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 42.50
JOHN BASTIN RELIABLE HEATING This permit' is subject to the regulations contained in the
433 TELFORD RD RELIABLE HOME INPROVEMENT INC Tigard Municipal Code, State of Ore. Specialty Codes and all
OREGON CITY OR PO BOX 13692 other applicable laws. All work will be done in accordance
PORTLAND OR 97213 with approved plans'. This permit will expire if work is
Phone 8: Phone Y: not started within 180 days of issuance, or if the work is
Reg B..: 48637 suspended for sore than 180 days. ATTENTION: Oregon law
- -------------------- _— _w ---------- _— — 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 --------- ------ _ -----
Framing .Insp
Building Final
Ade
i
Issued B 6- tV ft/ Permittee Signature: ���
+++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++ +rte + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed e flex.- .usiness day
/G f Plan Check # / —//
-CITY OF TIGARD Residential Building Permit Application Recd By 0
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd _ ( — t
TIGdRD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. �I
V 503 - 639 -4171 Date to DST (mot' 4ZY
F 503 - 684 -7297 Permit # b l I'5 7
Print or Type Called )/ /Y�i O o C3,'�
• Incomplete or illegible applications will not be accepted '—
Name of Project Name •
Job /cl.e5 &.� # ,2 ci
Address Site Ad dress
�'� Architect Mailing Address
v A 0e.
Na City /State Zip Phone
To //III R AS! i 4) Name
Owner Mailing Address
132
7/121€/ gd " Engineer Mailing Address
City State / 4ip Phone g
0 K t4� 0 e l City /State Zip Phone
General Name O
Contractor i Lcz AV, , *,{t ,flaify; . Describe work New 0 Addition 0 Alteration 0 Repair4b-
Mailing Address to be done:
Prior to permit ? r a, ,spy /.Z ,i2-. Additional Description of Work:
issuance, a copy City /State Zip Phone A�� G✓ e� . N� ,d to Gr .--,-..." ,17 Off 4 _ - - ,
of all licenses n„� c , l7, 6 2 f b7 ,
are required if `Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# Li/S63 7 8,r - .241-c r VALUATION $ 0 .
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Corner Lot YES NO Flag Lot YES NO
issuance, a copy City/State Zip Phone (check one) (check one)
of all licenses Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm
expired database Lic.#
ataba Installation Garage Door HVAC
Plumbing Name Opener Systems
Sub- (check all that Other:
Contractor Mailing Address apply)
Will the electrical subcontractor wire for all YES t
restricted energy installations?
Prior to permit City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# Reissue of MST #: Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized .
Name agent of the owner, and that plans submitted are in compliance
with Ore n State laws.
Electrical Signa yG - of ner /Agent Date �+,
S Mailing Address / h - G " / -S C V'
Contractor Contact Perso me Phone #
City/State Zip Phone 6. P 7 %2 19-, b alt -7/b
Prior to permit FOR OFFICE USE ONLY.
issuance, a copy Rlat #:--* v"vk l■ vklek Map/TL #:
of all licenses are Oregon Const. Cont. Board Exp. Date bat Iu.Yx4 t Os 2-" y 4/61 /� q - - !O ( l I
required if Lic.# Setbacks: nef Solar /
expired in COT NJ database Electrical Lic. # Exp. Date
Engineering Approval: Planning Approval: TIF: /
I:SFREM.DOC (DST) 4/97
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: �, - �l J ~ / '' A.M. P.M. MST: / ( — CJ Q U
Location: / 2_(p / � ke.. „ ., 6 44' 2-0 BUP:
Tenant: Suite: Bldg: MEC:
2
Contractor: _ a ' - Phone: 515 4 -1,3 - 4 ) PLM:
Owner: p ,� Phone: ` �� ELC:
C -' - Z `"`�- C I 'L (,� a / 7"/ x 2 7'71) ELR:
d ___ _ Y V � Q '7
5 SIT:
BUILDING BLDG on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site •ost/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approve Approved Approved Approved Approved
Appr /Sdwlk . • . oved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
/
•
O Call for reinspecti O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: -, Date: M� Page of