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Permit
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00048 fit" DEVELOPMENT SERVICES DATE ISSUED: 02/25/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09380 SW LAKE ST PARCEL: 2S102CA -00931 SUBDIVISION: VILLAGE GLENN ZONING: R -4.5 BLOCK: LOT: 031 JURISDICTION: TIG REMARKS: 536 sq. ft. third story addition BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 27 FIRST: sf BASEMENT: sf LEFT: 19 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 36 sf GARAGE: sf FRONT: 37 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 500 sf RIGHT: VALUE: $ 51,000.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: sf REAR: 30 PLUMBING SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 1 CLOTHES DRYER: GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 2 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 FDR: 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: 0TH: BOILER: HVAC: LANDSCAPEJIRRIG: PROTECTIVESIGNL: GARAGE OPENER: . CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: • • TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 940.68 STEURY, DONALD P WOOD CONSTRUCTION CO This permit is subject to the regulations contained in the PHYLLIS A 17855 NE LEANDER DR Tigard Municipal Code, State of OR. Specialty Codes and SW LAKE ST • SHERWOOD, OR 97140 -8509 all other applicable laws. All work will be done in 9380 9380 S TIGARD, OR 97223 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 00047338 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 Footing lnsp Electrical Service Rain drain Insp Foundation lnsp Electrical Rough In Electrical Final PLM/Underfloor Framing lnsp Mechanical Final A � • N Mechanical lnsp Shear Wall Insp Plumb Final OR I(G Plumb Top Out Insulation lnsp Final inspection Issued By : 7/,.- Permittee Signature : „....:�,� _ _ ,,,,..g all (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD • Residential Buildin Permit Application Plan Ch n _ g P R ec'd Byrd.,) 13125 SW HALL BLVD. Pfteratian - Interior Only Date Rec'd - d -i ` TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 2.- " 24'00 V 503 - 639 -4171 Date to DST .9---- Y -- 0 -1) F 503 - 684 -7297 Q2 Permit #11'151 -(2,9 b Print or Type �� Called Z i-ZeatS Incomplete or illegible applications will not be accepted Name of Project Name Job 3A54zwy Pok.04 Address Site A ddress • Architect Mailing Address 1' a S u 1..N,fe, s+ City /State Zip Phone Name ®Qv S,u'sy Name Owner Mailing Address 1 • q 3 g0 5 in) t-A.kL S Mailing Address city /State Zip ',t Phone Engineer T(g A�-c: 1( ` 7224 City /State Zip Phone General Name 11 Contractor W / 3l'Vu ±c%v ..1- kC . Describe work New 0 Addition, Alteration 0 Repair 0 Mailing Address to be done: Prior to permit �'7 j5 /l) t e ,-.. t - ..�/µ,-, Additional Dgscr ipiion f k k r � issuance, a copy City /State Zip Phone of all licenses 51Naviain,A - 47/ 4 62-S 4 Of are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# 0 2,1 4 j & ZC VALUATION $ - / ©an database �(] . Mechanical Name NEW CONSTRUCTION ONLY: Sub- 5 peel 1-1 Sq. Ft. House: 5 34 Sq. Ft. Garage Contractor Mailing Address Prior to permit Indicate.the restricted energy installation by the electrical issuance, a copy City/State Zip Phone subcontractor in the following areas of all licenses TI el d,✓d 97 2-2,4- 36 ¢3 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database • System System ' Plumbing Name (check all that Other: Sub- th IGhe.. 1 4 Co Pl`l ' -S apply) M ailing Address Corner Lot YES NO Flag Lot YES _ NO Contractor • (check one) L (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy TT, 4,-4 47.2.)-1- 63T 3/9c Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) required if Lic.# expired in COT • I hearby acknowledge that I have read this application, that the - database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Si ature of ent Date /��� Electrical 6 chat Sub- Mailing Address Cont Name Phone # 7`Jv4.9Q.r - or (.4- - ca gza 66 69' Contractor FOR OFFICE USE ONLY: City /State Zip Phone Plat #: .^ Prior to permit I ��,i� �dl �"1 - l� Map/TL# ;„ 0.., � AS g "V0 C ,5 issuance, a copy ter -ate/ r� � of all licenses are Oregon C6nst. Cont. Board Exp. Date Se tbacks: Zone: /2 ` / 5 Solar: t1 required if Lic.# N /� expired in COT Engineering Approval: Planning p roval: TIF: database _ Electrical Lic_ # _ Exp. Date _ _ I " P ng Electrical Supervisor Lic. # Exp. Date i:forms \sfintalt.doc (DST) 10/23/98 05/15/2000 Activities for Case #: MST20O0 -00048 2:28:42 PM ' Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 02/17/2000 DRA RECD No Hold BON 02/18/2000 MSTA008 Permit Created 02/18/2000 BON DONE No Hold BON 02/18/2000 MSTA010 Check for prcl. restrict. 02/18/2000 BON DONE No Hold BON 02/18/2000 MSTA012 Plans routed to Plans Examiner 02/18/2000 BON DONE No Hold BON 02/18/2000 MSTA026 Plans approved by Pln Examiner 02/24/2000 BT2 DONE No Hold BT2 02/24/2000 MSTA030 Reviewed plans routed to DSTS 02/24/2000 BT2 DONE No Hold BT2 02/24/2000 MSTA705 Footing Insp 02/22/2000 02/22/2000 03/14/2000 KBS FAIL No Hold AKJ 03/14/2000 excavate isolated piers full depth and width MSTA706 Foundation Insp 02/22/2000 02/22/2000 No Hold BT2 02/22/2000 MSTA717 PLM /Underfloor 02/22/2000 02/22/2000 03/29/2000 MRS PASS No Hold AKJ 03/29/2000 MSTA720 Mechanical Insp 02/22/2000 02/22/2000 03/03/2000 RB PART No Hold AKJ 03/05/2000 floor only MSTA722 Plumb Top Out 02/22/2000 02/22/2000 03/29/2000 MRS PASS No Hold AKJ 03/29/2000 MSTA723 Electrical Service 02/22/2000 02/22/2000 No Hold BT2 02/22/2000 MSTA724 Electrical Rough In 02/22/2000 02/22/2000 03/31/2000 TLP PASS No Hold AKJ 04/02/2000 MSTA725 Framing Insp 02/22/2000 02/22/2000 03/03/2000 RB PART No Hold AKJ 03/05/2000 floor only MSTA726 Shear Wall Insp 02/22/2000 02/22/2000 03/14/2000 KBS PASS No Hold AKJ 03/14/2000 MSTA740 Insulation lnsp 02/22/2000 02/22/2000 04/05/2000 KBS PASS No Hold AKJ 04/05/2000 MSTA752 Rain drain Insp 02/22/2000 02/22/2000 No Hold BT2 02/22/2000 MSTA790 Electrical Final 02/22/2000 02/22/2000 05/04/2000 CD PASS No Hold AKJ 05/04/2000 MSTA795 Mechanical Final 02/22/2000 02/22/2000 05/04/2000 RDP PASS No Hold AKJ 05/04/2000 MSTA797 Plumb Final 02/22/2000 02/22/2000 05/11/2000 TLP PASS No Hold AKJ 05/11/2000 MSTA798 Final inspection 02/22/2000 02/22/2000 05/11/2000 TLP PASS No Hold AKJ 05/11/2000 • MSTA032 DST Post - Review Completed 02/25/2000 BON DONE No Hold BON 02/25/2000 MSTA080 (F) Ready to issue 02/25/2000 BON DONE No Hold BON 02/25/2000 MSTA092 (F) Issue combination permit 02/25/2000 GEO DONE No Hold GEO 02/25/2000 MSTA097 Issue electric signature form 02/29/2000 SLT RECD No Hold ST 02/29/2000 MSTA095 Issue plumbing signature form 03/01/2000 JMT RECD No Hold • JMT 03/01/2000 MSTA720 Mechanical Insp 03/30/2000 TLP PASS No Hold AKJ 03/30/2000 MSTA705 Footing lnsp 03/31/2000 TLP PASS No Hold AKJ 04/02/2000 MSTA725 Framing Insp 03/31/2000 TLP PASS No Hold AKJ 04/02/2000 MSTA720 Mechanical lnsp 03/31/2000 TLP PASS No Hold AKJ 04/02/2000 Page 1 of 2 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2OOD -000 24- Hoiir Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ff//nn3//V00 AM PM BLD Location q 3' D ( ��' .. S • Suite MEC Contact Person 0004 Ph & as-((A.04 . LM • Contractor Ph 5 (t — S 3 8 a SWR BUI , . .' - Tenant/Owner ELC - Rue aining 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: ti•AS PART FAIL ° MBING) Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rai Drains ina `L1 PART FAIL LAICAL Post & Beam Rough In Gas Line Smoke pampers Fina PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire AI rm Fina4/ 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 0 Approach /Sidewalk Other Date Inspector /O Ext Final PASS PART FAIL N �✓ NOT REMOVE this inspection record from the job site.