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Permit A:. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00110 I, DEVELOPMENT SERVICES DATE ISSUED: 05/15/2000 " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13969 SW LEAH TERR PARCEL: 2S109BA -01900 SUBDIVISION: HILLSHIRE SUMMIT ZONING: R -7 BLOCK: LOT: 004 JURISDICTION: TIG REMARKS: Add bonus room and two decks to an existing single family dwelling. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 760 sf BASEMENT: 0.00 sf LEFT: 15 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 sf GARAGE: 0 sf FRONT: 24 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: 0 sf RIGHT: 8 • VALUE: $ 56,108.08 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 760.00 sf REAR: 38 PLUMBING SINKS: WATER CLOSETS: . WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP <3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: • btu FLOOR FURNANCES: VENTS: 3 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: SIGNAUPANEL: 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 LNOSC 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: $ 1,002.86 This permit is subject to the regulations contained in the WIEBE, THOMAS ALLEN + CYNTHIA BROOKFIELD DEVELOPMENT INC Tigard Municipal Code, State of OR. Specialty Codes and 13969 SW LEAH TERR 5335 SW MEADOW ROAD all other applicable laws. All work will be done in TIGARD, OR 97224 SUITE 365 accordance with approved plans. This permit will expire if LAKE OSWEGO, OR 97035 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 0 R t. G I N A L Oregon Utility Notification Center. Those rules are set Reg #: LIC 132229 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 Electrical Rough In Rain drain Insp Building Final Footing Insp Crawl Drain /Backwater Framing lnsp Electrical Final Foundation' lnsp Footing /Foundation Dr Shear Wall Insp , Mechanical Final Post/Beam Structural Mechanical Insp Insulation Insp Plumb Final Post/Beam Mechanical Electric. - ervice Gyp Board Insp Final inspection Issued By . � % Permittee Signatu -- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • CITY OF TIGARD Residential Building Permit Application Plan Check 4- 13125 SW HALL BLVD. New Construction Rec'd By Date Rec'd /1---5 TIGARD, OR 97223 Single Family Detached Date to P.E. 'VW-00 ' R V 503 - 639 -4171 Date to DST i:/ --/r- F 503 - 684 -7297 'k (0 Permit # /i/SPo24 - CO !WO Print or Type Called y - o 0 - ei Incomplete or illegible applications will not be accepted sPo `7 e 9:..7o.9-t Name of Project f e �� Name b ) 7 ` '' Y " p Job G /f�4 e e Architect Mailing Address Address Site Address �i��'we' /0_5 f' ...: a City /State d2 Zip Phone Name 77o�tar al ey/r �s1/4 � aheler feenaPrr -mot 9*' 5 Owner Mailing Address , Na e /59 j) Itlo�rer c--..c / iyr /�L T /�r�Q City /State Zip Phone Engineer Mailing Address 7 7j i �? 9'7.e.!y - -.r -5� 4% Ace' 7 ®�,� City /State Zip Phone General Na p me " �j,��_ f Wet �� 9��7 ,.5 Contractor !��'� ' � ��D {vC �D� �' - r��/ Describe work New 0 Addition 4S—Alteration 0 Repair 0 Mailing Address to be done: Prior to permit ,5 �.c Jai / dar,4 - 4 C - r - Additional Description of Work: issuance, a copy City /State t ',f Zip Phone of all licenses e.,,e P,reov® t ff ear- /,ZP>9' are required if Oregon Const. Cont. Board Exp. Date PROJECT — expired in COT Lic.# J3, zt 7 �/' �e �� / VALUATION '� ©� database Mechanical Name NEW CONSTRUCTION ONLY: Sub 1 6t> 57-g/971)5 Sq. Ft. House: _le f '5 O q. Ft. Garag Contractor Mailing Address _ 7 O ot�i+LJrwn?Q fouhinP - — 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 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database e 0 / lb System System Plumbing Name /)Lz (chec k all that Other: Sub T 4 apply) Contractor Mailing Address Number of Units in Building Unit Number Designation Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# expired in COT 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 agent of the owner, and that plans submitted are in compliance with Name Oregon State laws. Electrical T67 F- Si nature of Owa nt gate S _Ct, Sub Mailing Address ContactPrson Name Phone # Contractor V . --e-0 ->' /-( - 6.e'3 /,?r City /State Zip Phone Prior to permit c issuance, a copy FOR OFFICE USE ONLY: / HI f 54#0fIr /4r of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: ' Map(f t + " L#: required if Lic.# q6- iti 1 ,16 2-S �0 0 l 0 expired in COT ! - ^,. database Electrical Lic. # Exp. Date r.f backs: Zorn Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: p 6 11e d -- �� &/ ,1 1 ( Z is \dsts \forms\sfd- new.doc 11/20/98 1 A CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ELECTRICAL INNOVATIONS 22300 S LEWELLEN RD DEC 13 ; It BEAVERCREEK, OR 97004 -8733 coFUFI9TY pEd ELOPM E�I Electrical Signature Form Permit #: MST2000 -00110 Date Issued: 5/15/00 Parcel: 2S109BA -01900 Site Address: 13969 SW LEAH TERR Subdivision: HILLSHIRE SUMMIT Block: Lot: 004 Jurisdiction: TIG Zoning: R - Remarks: Add bonus room and two decks to an existing single family dwelling. 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: WIEBE, THOMAS ALLEN + CYNTHIA' ELECTRICAL INNOVATIONS 13969 SW LEAH TERR 22300 S LEWELLEN RD TIGARD, OR 97224 BEAVERCREEK, OR 97004 -8733 Phone #: Phone #: No business phone Reg #: ELE 26-699C LIC 00066412 SUP 3621S AN INK SIGNATURE IS REQUIRED ON THIS FORM � G Signatur f Supervising Electrician If you have- any- questions, - please -call- (503) -639- 41-7-1,- ext- # -31 -0 CITY OF TIGARD bigLDING INSPECTION DIVISION �� / C re „,„,,.,..00,0 -.- =dour Inspection Line: -4175 Business Line:. 639 -4171 t{ S13UP Date Requested / z - / A PM BLD . Location /39 6 0 S 2 eo `'L- Suite MEC Contact Person Du ve Ph 941 r/o! ' PLIVI Contractor Ph SWR UIL I�1 , Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: '� � � D'k' `> IM� S Slab SIT Post& Beam \Q 4- . '! � - C� . Ext Sheath /Shear l Int Sheath /Shear �^ //11 a Framing `l Q[.. ro 0 A G�1�"�'e Insulation �( 1 Drywall Nailing . ��� .9 C l..-4...i' % Firewall Y �r &r - C. -,•.ti � Fire Sprinkler Fire Alarm Susp'd Ceiling 0 u r j l I .�_ R-- u = 'i-N Roof l S (1 5.1j2. _ 1 MM i� "---6-;(•/ ,2,_J � i1 --k -� 1 • - .SS PART PLUMB ■ ,,: ,-_g..:. 77 Al a L A. P vvs _ 1 C U 6 G Post & Beam Under Slab . ' I �V -,. C ri ' CD - 11 Top Out Q \ASA L, V 0 3 t-�� "∎--�� ` c4,- Water Service Sanitary Sewer C�� C R Drains PART FAIL +' \ ,e c^---GNr✓A —43 - -Q---P. - Post & -eam Rough In Gas Line • Smoke Dampers AS PART FAIL ELECTR_f,CAL` s :° : „ Service . Rough In . UG /Slab Low Voltage Fire Alarm. Final ' PASS PART FAIL Backfill /Grading ! _ Sanitary Sewer-7 6,0 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 _ A• •roach /Sidewalk % ` Othe S,d wall( '► Date ) 7,7 6 Inspector �` Ext T t i PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ■ 1.6 (J/ CITY" TIGARD BUILDING INSPECTION DIVIS N MsT // 24 -Flour Inspection Line: 9 -4175 Business Line: 639 -4171 BUP Date'Requested / � A M PM BLD Location /3 7 G p .5t4.• L PGL Suite MEC Contact Person , v� Ph 96744 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 PLUMBING' °°.: 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 A • ASS ART FAIL SITEar e . 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 2 Date / - - /7" 62 Other Inspecto E x t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.