Permit i`-/ — / at_ 2 0-
CITY T I G A D MASTER PERMIT PERMIT #: MST93 -00546
4 _ DEVELOPMENT SERVICES DATE ISSUED: 4/5/94
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12419 SW KNOLL DR PARCEL: 2S101 BC -03300
SUBDIVISION: PP1994 -025 ZONING: R -4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: MOVING IN ONE HOUSE
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: MOV HEIGHT: 12 FIRST: 0 sf BASEMENT: 0 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 sf GARAGE: 0 sf FRONT: 20 PARKING SPACES : 1
TYPE OF CONST: 5N DWELLING UNITS: 0 THIRD: 0 sf RIGHT: 5
VALUE: 6,000.00
OCCUPANCY GRP: R3 BDRM: 0 BATH: 0 TOTAL: 0 sf REAR: 15
PLUMBING
SINKS: 0 WATER CLOSETS: 0 WASHING MACH: 0 LAUNDRY TRAYS: 0 RAIN DRAIN: 0 TRAPS: 0
LAVATORIES: 0 DISHWASHERS: 0 FLOOR DRAINS: 0 SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: 0
TUB /SHOWERS: 0 GARBAGE DISP: 0 WATER HEATERS: 0 WATER LINES: 100 BCKFLW PREVNTR: 0 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN < 100K: 0 BOIL /CMP < 3HP: 0 VENT FANS: 0 CLOTHES DRYER: 0
FURN > =100K: 0 UNIT HEATERS: 0 HOODS: 0 OTHER UNITS: 0
MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: 0
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 0 - 200 amp: 0 0 - 200 amp: 0 W /SVC OR FD R: 00 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EAADD'L 500SF: 0 201 - 400 amp: 0 201 - 400 amp: 0 1st W/O SVC/FDR: 00 SIGN /OUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 - 600 amp: 0 401 - 600 amp: 0 EAADDL BR CIR: 0.00 SIGNAL /PANEL: 0 IN PLANT: b
MANU HM /SVC /FDR: 0 601 - 1000 amp: 0 601 +amps- 1000v: 0 MINOR LABEL: 0
1000+ amp /volt : 0
PLAN REVIEW SECTION
Reconnect only: 0
> =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: 0
Ow Contractor: TOTAL FEES: $ 2,521.56
� This permit is subject to the regulations contained in the
`� x `c--a \, a.UThi\9it� Tigard Municipal Code, State of OR. Specialty Codes and
— p a-C- — ) 1 5 1 a-5 all other applicable laws. All work will be done in
S 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:
Oregon law requires you to follow rules adopted by the
Phone: Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Foot/found Insp Gas Line Insp Misc. Inspection 0 J- �
SI C c If? c. - ?`i — \,
PosUBeam Structural Rain drain Insp Mechanical Final F- I N Ac._
Post/Beam Structural Water Line Insp Final inspection
Crawl Drain Misc. Inspection Building Final
Mechanical Insp Misc. Inspection Erosion Control Insp 8
Issued By / at,: /, , c/ vt (�` Permittee Signature M ' / `a _
L
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busines s ay
5/9/00 Activities for Case #: MST93 -00546
3:59:28 PM IMIIMP ..
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA007 Application received 10/18/93 JLH PASS BLT 10/25/93
MSTA010 Plan check deposit paid 10/18/93 JLH PASS BLT 10/25/93 •
MSTA020 Plan check by 10/25/93 10/25/93 RT PASS BLT 10/25/93
MSTA030 Check for prcl. restrict. 10/25/93 10/25/93 VG PASS BLT 10/25/93
MSTA705 Foot/found Insp 1/4/95 GS . APP GES 1/4/95 CORR AGREEPED UPON AT
CONFERANCE APP
MSTA710 Post/Beam Structural BLT 10/25/93
MSTA711 Post/Beam Mechanical BLT 10/25/93
MSTA720 Mechanical Insp 3/25/97 TLP PASS TLP 3/26/97
MSTA722 Plumb Top Out BLT 10/25/93
MSTA725 Framing Insp • BLT 10/25/93
MSTA740 Insulation Insp BLT 10/25/93
MSTA755 Rain drain Insp 7/3/96 MS PART MRS 7/3/96 arond house Ok req. low point
drain? 2- houses tied into same
system
MSTA760 Water Line Insp BLT 10/25/93
MSTA795 Mechanical Final 3/25/97 TLP PASS TLP 4/1/97
MSTA797 Plumb Final - BLT 10/25/93
MSTA799 Building Final BLT 10/25/93
MSTB706 Erosion Control Insp 844 -8444 ' BLT 10/25/93
MSTB713 Crawl Drain BLT 10/25/93
MSTA080 (F) Ready to issue 11/5/93 JH 11/5/93
MSTA080 (F) Ready to issue 3/31/94 JG 3/31/94
MSTA092 (F) Issue combination permit 4/5/94 SKW PASS JG 4/5/94
MSTA770 Misc. Inspection 8/2/94 GS DIS GES 10/14/94 INSP CALLED; CONNECT
' HOUSE TO FOUNDATION 1-
SUBMIT REVISED DETAILS
OF MUD SILL ANCHORAGE 2-
SUBMIT STRUCTURAL
ENGINEERS ANALISIS OF
. EXTENSIVE FTG /FOUND
CRACKING 3- BROKEN
FOUNDATION AT RT
CORNER OF GARAGE SEE
ENGINEERS REPORT IN FILE
Page 1 of 2
5/9/00 Activities for Case #: MST93 -00546
3:59:28 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA770 Misc. Inspection 12/29/94 GS CONF GES 12/29/94 POUR 3'X12 "X3' FTGS UNDER
EA AREA OF CRACKED FTGS
[4 PLACES] AND EPDXY
CRACKS REMOVE FTC AT
CORNER OF GARAGE AND
DOWEL REMAINING FTGS
AND STEM WALLS
MSTA050 Hold for 6/6/95 6/6/95 JSD BT2 11/1/96 Hold per Dave Scott because
no finals have been obtained
yet...
MSTA713 Crawl Drain 7/8/96 7/8/96 MS PASS BT2 11/1/96
MSTA755 Rain drain lnsp 7/8/96 7/8/96 MS PASS BT2 11/1/96 house in front needs to go to
drainqage ditch
MSTA770 Misc. Inspection 8/30/96 KS APP KBS 9/3/96 #-1- slab on grade
MSTA735 Gas Line Insp 9/13/96 GS NOTE GES 9/13/96 this insp was for conduit and
tracer wire for the gas co to
install service under driveway
• MSTA153 Expired by limitation 4/11/00 HAP DONE No Hold AKJ 4/11/00
•
•
•
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