Permit CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT *. ISSUED: 01/26/99 S B -04469 .
13125 SW Hall Blvd., Tigard, (503)639
PARCEL.: 1 S 12 SCD- 0791Z"Z1
SITE ADDRESS...: 9909 SW LANDAU PL
SUBDIVISION....:TIGARD WOODS ZONING: R -4.5
BLOCK. 4 . . LOT...... s ......:1ZIIZ15 JURISDICTION: TIG
Remarks: Single faoilydetached, Path 1.
GEOTECH REVIEW OF FOUNDATION EXCAVATION REQUIRED.
------------------------ -------------- - - - - -- BUILDING -----
REISSUE: STORIES 2 FLOOR AREAS --- -_-- -- BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED - - --
CLASS OF WORK.:NEW HEIGHT • 23 FIRST • 1953.sf GARAGE • 506 sf LEFT : 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 700 sf FRONT.........: 20 PARKING SPACES: 2
' TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP. ;R3 BORN: 3 BATH: 3 TOTAL- - : 2653 sf VALUE..$: 196690 REAR...,......: 76
--_— _--------------------- __- -_ —_ —_ PLUMBING -- __
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS....,....: 0
LAVATORIES...,: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 4 GARBAGE D1SP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
---- -- ------ --- ---- -- MECHANICAL ________________________________ _________________ —
FUEL TYPES- - - - - -- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS..,..: 4 CLOTHES DRYERS: 1
GAS FURN )= 1'.'aK ..: 1 UNIT HEATERS..: 0 HOODS ° 1 OTHER UNITS...: 1
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
- -___ ELECTRICAL ---- ---- -- -- ______
-- RESIDENTIAL UNIT - -- - -- SERVICE /FEEDER - - -- —TEMP SRVC /FEEDERS -- --- BRANCH CIRCUITS - -- ---- MISCELLANEOUS ---- --AWL INSPECTIONS- -
1000 SF OR LESS: 1 0 - 2 asp..: 0 0 - 200 app..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 app..: 0 201 - 400 app..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR...,...: 0
LIMITED ENERGY.: 0 401 - 600 app..: 0 401 - 600 app..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT......: 0
MANF HM /SVC /FDR: 0 601 - 1000 app.: 0 601 +apps -1000 v: 0 MINOR LABEL -10: 0
1000+ asp /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. CONNRCIAL---- ---- -- ----------------- _— _- - -____ —_
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
Owner: - - ---- Contractor: ------ •-- - - - --- TOTAL FEES:$ 5331.71
BEACON HOMES INC BEACON HOMES, INC This perpit is subject to the regulations contained in the,
9500 SW 125TH AVENUE 9500 SW 125TH AVE Tigard Municipal Code,•State of Ore. Specialty Codes and all
BEAVERTON OR 97008 BEAVERTON OR 97008 other applicable laws. All work will be done in accordance
with approved plans. This pernit will expire if work is
Phone #: 524 -1999 Phone #: 524 -1999 not started within 180 days of issuance, or if the work is
Reg #..: 000707 suspended for Gore 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 -i010 through OAR 952- 001- 00' You Gay obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
----------------------------------- - - - - -- REQUIRED INSPECTIONS ---- - - - ---- ------- - - - -
Erosion 844 -8444 Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor Fraaing Insp Rain drain Insp Plush Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service in Building Final
Post /Bean Struct Plumb Top Gut Low Voltage Appr /Sdwlk Insp
Post /Beam Meehan Electri . jarvi Gas''. ne Insp Electrical -Final
I ssued Sy Permittee Signature:__
...{... 1- ..1- .f- +-1 -1 -1. 1- .4-1- 1- -l- i-..f.4.+4..' -f 1.1-.. -1 - :--'r.+... 4- 4..:•_t..- 1- -S.- 1-1 -1'.4. ; -4- i, .iGy .t ..� .,r. i. 1 1 •f .� ., i °h 9
Call 639- -4175 -Y 7:00 p.m. for an inspection needed the next business day
1.1 T VII 117 H R U I N. ..1 1 ILI'4 v u11 u 11 I. cl ltltI I .J1J••�+u l,�v11 -
1:1125 HALL BLVD. New Construction Additions or Alterations ec'd By
l � . . IG N .D Single Family OR 97223 Sin (Duplex) p� �Date Recd fi / �
9 Y Detached or Attached p lex ) I `� `' Date to P.E. // - 1,g, - �
V 503 - 639-4171 Date to DST e, I - -) 3 -')4
F 503- 684 -7297 Permit # r�'( dT90 -07�P /
9
Print or Type Called g) // T3s r
Incomplete or illegible applications will not be accepted 5i0R- 9g =0 ,
s ,'J '--}..)
Name of Project Name /
Job TIGARD WOODS Peter Magaro Architecture
Address Site Address Architect MVling 'MresW Citation Dr.
9909 SW Landau P1 . (Lot 5) city /State P
Name Beav erton 97688 9V -2421
BEACON HOMES, INC. Name
Owner Mailing Address Jeff Dove Engineering
9500 SW 125th Avenue
City/State Zip Phone En Mailing Address
97008 524 -1999 4914 Oakridge Rd.
Beaverton, City/state i Phone
General Name Lake Oswego 97035 697 -5926
Contractor BEACON HOMES, INC. Describe work New )6X Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit 9500 SW 125th Avenue Additional Description of Work:
issuance, a copy City/State Phone
of all licenses Beaverton, Zi 7008 524 - 1999
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# 70782 12/98 VALUATION $ al 0
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- MUEHE Q UALITY HEATING Sq. Ft. House:O1, I Sq. Ft. Garage
Contractor Mailing Address D
Prior to permit PO Box 9 Indicate the restricted energy installation by the electrical
issuance, a copy - City /State Zi 791-0966 subcontractor in the following areas
of all licenses West Linn 9 1 0 6 8 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System X Alarms
expired in COT Lic.# 50096 3 / 5 / 9 9 Installations Vacuum X Irrigation
database System System
Plumbing Name (check all that Other:
Sub- CUSHMAN FAMILY PLUMBING apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
4535 SE 35th Place (check one) X (check one) X
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone X
issuance, a copy Portland 97202 775 - 4472 Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.# 106842 6/7/99 I hearby acknowledge that I have read this application, that the
expired in COT y g pp
database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent
26 — 5 6 4 P B 6/30/99 of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name Signatur Ao�Owner/ gent Date
Electrical BEAR ELECTRIC, INC. 1 /
Sub- Mailing Address Contact son Name Phone e # aG61
FOR FFICE US ONLY:
Contractor PO Box 38 (t J i J IL— 5 - 1 - 1 l OLY:
City/State Zip Phone Plat Map/TL #:
Prior to permit Donald, 97020 678 - 1355
issuance, a copy 1 S l `a �e L� ��5
of all licenses are Oregon Const. Cont. Board Exp. Date Setb�Cks: ( 1 l,� Zone: n �� Solar:
, Yft�UC /1 19 1� 1.
required if Lic.#
expired in COT 20919 2 / 2 0 / 0 0 E Ineerag Approv I: Planning Approval: TIF:
database Electrical Lic. # Exp. Date 40 11
24 - 107C 10/2/99
I:SFREM2:DOC (DST) 8/11/98
•
4/21/00 Activities for Case #: MST98 -00469
3:45:22 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 11/17/98 JSD RECD DRA 11/18/98
MSTA008 Permit Created 11/18/98 DEB DONE DRA 11/18/98
MSTA010 Check for prcl. restrict. 11/18/98 DEB DONE DRA . 11/18/98 Checked against unrecorded
plat.
MSTA012 Plans routed to Plans Examiner 11/18/98 DEB DONE DRA 11/18/98
MSTA026 Plans approved by Pln Examiner 11/19/98 RT PASS BT2 11/19/98
MSTA030 Reviewed plans routed to DSTS 1/13/99 RT PASS BT2 1/13/99
• MSTA032 DST Post - Review Completed 1/15/99 JSD PASS JSD 1/15/99
MSTA700 Erosion 844 -8444 DRA 11/18/98
MSTA705 Footing Insp 1/27/99 KS FAIL KBS . 1/27/99 #-1- need compaction report
gravel placed in ftg area.
MSTA706 Foundation Insp DRA 11/18/98
MSTA710 Post/Beam Structural 2/3/99 RC PASS ROC 2/4/99
MSTA711 Post/Beam Mechanical DRA 11/18/98
MSTA713 Crawl Drain /Backwater valve 1/1/99 MS PASS MRS 2/1/99
MSTA717 PLM /Underfloor 3/22/99 RB FAIL AKJ 3/22/99 Sump plumbing drain line -
disconnected and broken Clear
passages through 3 iiliterior
footings to allow for p oper
drainage to low point
MSTA720 Mechanical Insp 4/8/99 WDJ PASS AKJ 4/8/99
MSTA722 Plumb Top Out 3/22/99 RB FAIL AKJ 3/22/99 1) Provide adequate access for
jet tub motor to be viewed at
. final. 12 "x24" req'd as per
listing. 2) Where vents extend
through roof -make water tight.
3) Nail plate waterlines at stair
landing 4) No test on DWV 5)
Secure water lines to
tub /shower at upstairs
bathroom 6) Secure shower
and shower /tub enclosures 8"
oc.
MSTA723 Electrical Service 4/5/99 AKJ . DONE AKJ 4/5/99 Passed CD •
MSTA724 Electrical Rough In 4/5/99 AKJ DONE AKJ 4/5/99 Passed CD
•
Page 1 of 3
4/21/00 Activities for Case #: MST98 -00469
3:45:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp 4/5/99 KS FAIL AKJ 4/5/99 1) Provide attic access at garage .
2) Pos Conn trimmers to header
at garage
3) Firestop above fireplace
• 4) Provide-detail Iv! beam .
. _ adjacent to stairs
. 5) Gas piping pt test 20 psi for
15 min i
MSTA726 Shear Wall Insp 3/3/99 KS FAIL KBS 3/4/99 #-1- incomplete @ this time
MSTA728 Low Voltage DRA 11/18/98 •
MSTA735 Gas Line Insp 4/5/99 AKJ DONE AKJ 4/5/99 Passed KS
J
MSTA740 Insulation Insp 4/8/99 WDJ PASS AKJ 4/8/99 Provide access to attic space
above liv rm i
• Fireblock top of chase at utility
rm
MSTA752 Rain drain Insp 1/1/99 MS PASS MRS 2/1/99
1
MSTA761 Water Service Insp 3/3/99 MS PASS MRS 3/3/99
MSTA765 Appr /Sdwlk Insp 5/27/99 MH PASS AKJ 5/27/99 Install weep hole pipe at lowest
points on property
2 per lot and one on each side
. of dw
check at final
•
MSTA790 Electrical Final 6/18/99 CD 'FAIL AKJ 6/20/99 add receptacle to serve counter
top right side of range
GFCI protect crawl space
recept
MSTA795 Mechanical Final 7/28/99 GS FAIL AKJ 7/28/99 .house locked
MSTA797 Plumb Final 7/28/99 MS FAIL AKJ 7/29/99 house locked
i
MSTA799 Building Final • 7/28/99 GS FAIL AKJ 7/28/99 house locked
MSTA080. (F) Ready to issue 1/15/99 JSD PASS JSD 1/15/99
MSTA092 (F) Issue combination permit • 1/26/99 JSD PASS JSD 1/26/99
MSTA095 Issue plumbing signature form 2/1/99 JMT RECD JT 2/1/99 .
MSTA097 Issue electric signature form 2/1/99 JMT RECD JT 2/1/99
MSTA705 Footing Insp 1/28/99 KS PASS KBS 1/28/99 #-1- see fdn inspection
MSTA706 Foundation Insp 1/28/99 KS , PASS KBS 1/28/99 #-1- initial erosion control app .
#-2- monolithic ftg /fdn #-3-
install anchor bolts as shown.
4- 4- ufer rod tag # -6- see
attached compaction report
from carlson test inc.
MSTA726 Shear Wall Insp 3/9/99 KS PASS KBS 3/10/99 .
Page2of3
. 4/21/00 Activities for Case #: MST98 -00469
3:45:22 PM
Assigned Hold Updated
Activity Description . Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA722 Plumb Top Out 3/30/99 TLP FAIL AKJ 3/30/99 No test
MSTA722 Plumb Top Out . 3/31/99 TLP PASS AKJ 3/31/99
MSTA725 Framing Insp 4/8/99 4/8/99 4/8/99 WDJ PASS No Hold AKJ 4/8/99 See insulation notes
MSTA790 Electrical Final 6/23/99 6/23/99 6/23/99 CD FAIL No Hold AKJ 6/23/99 no access
MSTA790 Electrical Final 6/24/99 6/24/99 6/24/99 CD PASS No Hold AKJ 6/24/99
MSTA795 Mechanical Final 7/29/99 7/29/99 7/29/99 KS FAIL No Hold AKJ 7/29/99 see bldg final 7/29/99
MSTA799 Building Final 7/29/99 7/29/99 7/29/99 KS FAIL No Hold AKJ 7/29/99 1) need final erosion control app
2) post insul cert
3) supp sst gas pipe
4) remove wood debris from
crawl recover vapor as needed
5) provide drainage to crawl
drain at interior strip figs
. 6) provide landing at ext stairs
MSTA797 Plumb Final 7/29/99 7/29/99 7/29/99 MS PASS No Hold AKJ 7/29/99
MSTA795 Mechanical Final 8/5/99 8/5/99 8/4/99 TLP PASS No Hold AKJ 8/5/99
MSTA799 Building Final 8/5/99 8/5/99 8/4/99 TLP PASS No Hold AKJ 8/5/99
MSTA960 (F) Issue Cert. of Occupancy 8/4/99 TIG TLP DONE No Hold PLL 8/24/99 Mailed to owner 8/24/99 •
•
•
Page 3 of 3
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9Q--/6) 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
l,� p BUP
g Daate Requested S'"'1 / AM x PM BLD
Location / l O7 (p)1Z,(. Suite MEC
Contact Person ce/u///) Ph 512'8,S 7 PLM
Contractor Ph SWR
±UILD'= 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 , . e® 7 €( ( ' /U GG r�/
Firewall 0 •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
!1Ir-
PART FAIL
#r.s` BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Pos m_
Rough In
Gas Line
Sol • e Dampers
•
r PART FAIL
CTRICAL
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 9/4
Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.