Permit ,'E? /^/7Z / / /,/ a iii Z /c '7S/ At-S ..4
CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2000 -00449
4 . 1 ,„ DEVELOPMENT SERVICES DATE ISSUED: 11/21/00
!,j- A I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 06955 SW LOCUST ST PARCEL: 1S136AA -09300
SUBDIVISION: VENTURA ESTATES ZONING: R -4.5
BLOCK: LOT: 015 JURISDICTION: TIG
REMARKS: S/F Path 1 MODEL HOME
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,110 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,299 sf GARAGE: 600 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 15
VALUE: $ 186,856.73
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,409.00 sf REAR: 28
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
- FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: 1 HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 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+ ampNolt :
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 8 STEREO: X VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: IRRIGATION BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,020.42
ATE CORPORATION WINGATE CORPORATION This permit is subject to the regulations contained in the
WING
WING S POPE LANE Tigard Municipal Code, State of OR. Specialty Codes and
15840 S POPE LANE 15 WINGATE
OREGON CITY, OR 97045 OREGON CITY, OR 97045 all other applicable laws. All work will be done i
accordance with approved plans. This permit wilexpire 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 94680 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 Control Insp & Slab Insp PLM /Underfloor Electrical Service Exterior Sheathing Ins Rain drain Insp
Sewer Inspection Post/Beam Structural Mechanical Insp Electrical Rough In Low Voltage Water Line Insp
Footing Insp Post/Beam Mechanical Mechanical Insp Framing Insp Gas Line Insp Appr /Sdwlk Insp
Footing Insp Underfloor insulation Plumb Top Out Framing Insp Gas Fireplace Electrical Final •
Foundation Insp Crawl Drain /Backwater Electrical Service . Shear Wall Insp Insulation Insp Mechanical Final
Issued By : Permittee Signature : t_ ‘ • -
Call (503) 639 -4175 by 7:00 p.m. for an inspection neede • • . -• usiness day
F TIGARD Residential Building Permit Application Plan Check#
.5 SW HALL BLVD. New Construction Recd By
GARD, OR 97223 Single Family Detached Date Recd Z Z v v
g Date to P.E. - ZZ -ero
•V 503 - 639 -4171 .. \(' Date to DST 11 -0 d
F 503 - 684 -7297 Permit #01S`T'UD - V4'
Print or Type Called Starr ✓ -M fr L t: )4.
Incomplete or illegible applications will not be accepted
Name f o ct Name
Job - � r.h E5"rPt"i' S ASc-o(
Architect
Address �� Address Mailing Address ig r2f Av
CC% Sr- s) Loc-os ..sT City /State Zip Phone
. Naze w ,,.t 6; P - Pe l 1 q zo9 225 -9 16(
Name
Owner Mailing Address 1 E..
1 S8 Lp0 S . Ft. Pe_ - Engineer Mailing Address
City /State Zip Phone g 4 5 5 E i 02: -
O UoN GIT9 91"E G51 -3300
ply/State Zip Phone
General Name n V N giyi t, 254 - Z$ ?
Contractor SA-(ye, 1 Ngb"11E, Describe wo rk NevJ Addition 0 Alteration 0 Repair 0
M�ar�linp Ad re s / Iwo rt be done:
Prior to permit W r 6-A-` f ke nle5 Additional Description of Work:
issuance, a copy City /State Zip Phone
of all licenses
are required ai
are required if Oregon Const. Cont. Board Exp. Date PROJECT 3 .. ,,; _ / —
expired in COT Lic.# 9 �g /a � Z $ o l VALUATION $ 10,D ' . ' ' ' e,..4.,
database L
Mechanical Name NEW CONSTRUCTION ONLY: /aa chi ,13 - cL
Sub- A -- [ E y,Q Sq. Ft. House: 4-� -, Sq. Ft. Garage
Contractor Mailing Address `(�
Prior to permit I(o000 c$)=, E.q6 ' Indicate the restricted energy installation by the electrical
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Gt.Atucif/hfl S T 5 E,S6-z8$'-1 Restricted x Audio /Stereo K are required if Oregon Const. Cont. Board Exp. Date Energy System �\ Alarms
expired in COT Lic.# UO Installations Vacuum j Irrigation
database �� 8p System A System
Plumbing Name (check all that Other:
Sub- S, !YI . PL-L/ Afa i r4L apply)
Mailing Address 1 Number of Units in Building Unit Number Designation
Contractor 9
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy 3 13 - 4311-
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# 1 1 5 2! 2
expired in COT L-}o
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
PE information given is correct, that I am the owner or authorized agent
34- 3 S 9- Pp of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical Xl-kE I MEf.. EL. :T�1 L Signature of Owner /Ag t Dater
Sub- Mailing Address
ntact P so N e - -1- Phone #
g `�
Contractor V63 SE. -►t,E S Sc.orr E
" S BISiJS - 193 -U95
City /State Zip Phone
Prior to permit 72,12-- 1, _0 g$ � 4/7,2100
issuance, a copy �oQ.TL.f�nt��$ OR OFFICE USE ONLY: .
of all licenses are . Oregon Const. Cont. Board Exp. Date Plat #: Ma /TL #:
required if Lic.#
expired in COT rJ 22 I. /3/ P MI_ (rEc�C-
� S �
database Electrical Lic. # Exp. Date Setbacks: Zone: q ,-- e ,`
24, - 32 I c., /o �/' f ._�J
Electrical Supervisor Lic. # Exp. Date Eneerir A proval: Plaanraina Approval: 1 A TIF:
25i �� - (/�, o
1'1.419 A viv ` 1 ��" " " is \ dsts \forms\sfd- new.doc 11/20/98
;-) b 0001
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
DEXHEIMER ELECTRIC INC
10639 SE FULLER ROAD
MILWAUKIE, O R 97 222
Electrical Signature Form
Permit #: MST2000 -00449
Date Issued: 11/21/00
Parcel: 1 S136AA -VE015
Site Address: 06955 SW LOCUST ST MODEL HOME $30.00
Subdivision: VENTURA ESTATES
Block: Lot: 015
Jurisdiction: TIG
Zoning: R-4.5
Remarks: S/F Path 1 MODLE HOME
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:
WINGATE CORPORATION DEXHEIMER ELECTRIC INC
5000 SW MAEDOWS RD STE 151 10639 . SE FULLER ROAD
LAKE OSWEGO, OR 97035 MILWAUKIE, OR 97 222
Phone #: Phone #: 786 -0886
Reg #: SUP 2514-
LIC 000439
75
ELE 26 -321C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X,0 c95 /
Signature of Supervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
I M PLUMBING
411 HARNEY WAY
VANCOUVER, WA 98661
Plumbing Signature Form
Permit #: MST2000 -00449
Date Issued: 11/21/00
Parcel: 1 S1 36AA -VEC15
Site Address: 06955 SW LOCUST ST MODEL HOME $30.00
Subdivision: VENTURA ESTATES
Block: Lot: 015
Jurisdiction: TIG
Zoning: R-4.5
Remarks: S/F Path 1 MODLE HOME
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
WINGATE CORPORATION I M PLUMBING
5000 SW MAEDOWS RD STE 151 411 HARNEY WAY
LAKE OSWEGO, OR 97035 VANCOUVER, WA 98661
Phone #: Phone #: 310 -2083
Reg #: LIC 115262
PLM 37 -357ob
AN INK SIGNATURE IS REQUIRED ON THIS FO ,
X
Signature of Authorized Plumber
If you have any questions, please call (503) 639 -4171, ext. # 310
Z /A,_
CITY OF TIGARD BUILDING INSPECTION DIVISION � y b
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
47' BUP
Date Requested 1/1.0.4111P /
�-3 AM PM BLD
Location 6, f si- s 1' Suite MEC •
Contact Person $' c.eif Ph 7'—B Fs' PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: 13 '
Foundation �� 2) FPS
Ftg Drain
Crawl Drain Inspection Notes: 44 SGN
Slab ' '+Q V 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
U=
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
SS ' PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
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 D ate /1 )
Other 0' Apector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 'Z0vD:-
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t.
• // BUP • ' •
•
''
Date Requested `�' 2 3 AM PM BLD
Location f 5,3 Sc.. Ge Suite . MEC
•
Contact Person ik-' Ph 217 41 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
Nailing 7 S Arkn, P
Firewall �� /
Fire Sprinkler ` l S
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 /170 7 Q G n e
MECHANICAL
Post & Beam 1
Rough In P/e4S L F) 0 14 /`e[ cjYI c l /
Gas Line
Final
Smoke Dampers PuOr 1'Y) 1 V ,,( ' /r'U i9 / 7 leg / D
PASS PART FAIL Q / f.-,P 0/ c4/6.2 h e,
�6C-T L
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
t•ART 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date 4 -0/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST v - o u 4-45
BUR;
. .Date Requested V- 2,
, _ AM PM BLD
Location 69:5
: Sw Z( ce.` 5t Suite .MEC
Contact Person Ph 7y.3 - iJ PLM
Contractor Ph SWR
caUILa1N" S 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 / , G — ,ta . Gf2nse 4 t - A
Insulation
Drywall Nailing ) ,440
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling iA/Sci�.ar� st, r J,4.1.L,-4 S @
Roof
Misc 0 A/Een /47' Tc� l✓-
m
ASS PART EfP
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Fi
r
S5) PART FAIL
`ELECTRICAL
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
Other Date d/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ?raa Div �l �y
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested — Z AM PM BLD
Location 6. f SG✓ 6-0 C 3 Suite MEC
Contact Person Ph 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
(ELECTRI
Service
Rough In
UG /Slab
w
ire Alarm
!■ PART FAIL
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 LIAS Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION G ��
MST 2 elil (
o co GO f
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP • •
- Date R equested s— / AM PM BLD
Location G Cu s * .S y Suite MEC
Contact Person Sae. 7' �L Ph 771 B fs� PLM
Contractor Ph SWR
D Tenant/Owner pko4 s., Ccr.C/ 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 •-‹ r /4 ?1) r
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
usp'd Ceiling A
il k ! / i
Misc ��• - .I. L
. FAIL lJ �_FrArmamwmwormor
PLi:I• r ,.
Post & Beam 5 l /
Under Slab
•9-
Top Out
Water Service
Sanitary Sewer
R
fr5
ain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
RougI n
' UGItaigb
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 S - T — O InS actor EXt
Other Date p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.