Permit CITY OF TIGAR MASTER PERMIT
iG n DEVELOPMENT SERVICES PERMIT # • MST97 -0382
��� DATE ISSUED: 09/25/97
� •: 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 1S135AA -00900
SITE ADDRESS...:08950 SW LOCUST ST
SUBDIVISION -TOWN OF METZGER ZONING: R -4.5
BLOCK LOT -004 JURISDICTION: TIG
Remarks: Install manufactured home. SDC credits for BUP97 -0372 demo permit.
BUILDING
REISSUE: STORIES • 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED
CLASS OF WORK. *W HEIGHT • 0 FIRST • 1: sf GARAGE • 8 sf LEFT : 50 SMOKE DETECTRS:
TYPE OF USE... :SFM' FLOOR LOAD • 0 SECOND...: 0 sf FRONT : 93 PARKIN SPACES: 8
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 55
OCCUPANCY 6RP.: R3 BDRM: 0 BATH: 0 TOTAL : 1: ' ', sf TVLIE..1: 4, 0 6 , - REAR • 22
PL UMB
SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 1'' TRAPS • 0
LAVATORIES • 8 DISHWASHERS...: 0 FLOOR DRAIN..: 8 SEWER LINE ft: 1Y SF RAIN DRAINS: 1 CATCH BASINS..: 8
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 1Y, BCKFLW PREVNTR: 8 GREASE TRAPS..: 0
OTHER FIXTURES: 8
MECHANICAL
FUEL TYPES FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 8 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 8
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 8 WOODSTOVES....: 0 GAS OUTLETS...: 0
ELECTRICAL
-- RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — — MISCELLANEOUS— - -ADD'L INSPECTIONS -
1''.' SF OR LESS: 8 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 580SF.: 0 201 - 408 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 8
LIMITED ENERGY.: 0 481 - 680 amp..: 0 401 - 608 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 8 IN PLANT • 0
NANF HM /SVC/FDR: 1 601 - 1'- amp.: 0 601 +amps- 1'' v: 8 MINOR LABEL -10: 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..: 0TH: .. BOILER HVAC. • L /IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: ::
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 328.91
BRETT WEINEL SCHAFFER NORTHWEST This permit is subject to the regulations contained in the
9988 SW NORTH DAKOTA #4 JOHN SCHAFFER Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 18495 SE 86TH AVE other applicable laws. All work will be done in accordance
PORTLAND OR 97266 with approved plans. This permit will expire if work is
Phone #: Phone #: 788-0710 not started within 180 days of issuance, or if the work is
Reg #..: 100601 suspended for more than 188 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 -8010 through OAR 952 - 001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTION
Grading Inspecti MFG Home Electri MFG Home Set-Up
Footing Insp MFG Home Set -up
Foundation Insp Rain drain Insp
MFG Home Footing Water Line Insp
MFG Home Plumbin Appr /Sdwlk Insp _
Issued By: ,gemmiod: ' Permittee Signature: JO o\ \Q.L
+ + + + + + + + + + + + + + + +- + + '!' +++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + ++
Call 639 -4175 by 6:00 . /m . for an inspection needed the next business day
• aqC97 9 ,(
Manufactured Dwelling Permit Application �/, -s
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 1
(503) 639 -4171
nn 11 /U �� 617/69
I_
Jobsite Address: IJD S.l,l�. L.00 .l t N
Office Use Onlv
Subdivision: Lot #
Valuation: Pfanck/Rec: # _ 9.."K
Corner Lot? Y
Permit' # ALS / ( — : 0 71 : ;.;
Flag Lot? Y Reissue of
Map &. TL # l 5 1 . 3 - 4r6 ""-°
Owner: )vi P
Address: �- Approvals Required
Planning
r�r�r
A r q `7
Engineering.
Phone: CPS zl ' G19 c� g
Other:
Insta
Iler: ' �
er-
�1C-e nu)
Address: 10 05 �-. :Items> Required ::...;<
L
Or ci 7 co to S bca t actors:.
Phone: 7 �(9 - i p Trus '
Details : `
Other d L :..,. C / :.� � - 3 � ,. " : �,
Contractor's License # / 06 too / 7/I /oo •
MDI License # r}"1 OA-- 59 a
(attach copies of current Oregon licenses)
Subcontractors: Mfg. Dwelling Dealer: • Belrl) -rcrt
Plumbing: '"` C r 1 .J�V ir/ Address: I3y3 5 v I- c Uic V\ \
Mechanical: tt (-
(attach copy of current OR Contractor's License) � �� ` i
Phone:
JOB DESCRIPTION e �1 !�l' t v� r °e..,X ( AA Lc ■.- C1r\ Qru C(.1t c \ \ON
Applic %nature & Phone nu er
Received by: • 0 Date Received: ' 7// - .. •
H: \IOGINUERREE\MFGAP P
Permit # Account Description Amount V Amt. Pd. Bal. Due
in 9/ 7 -9 .3 t f 42°.' Bldg. Permit (BUILD) /� / 7 v /6 Z o f
Plumb. Permit (PLUMB) .3 4, , 7) 17 .3 • ?)'
Mech. Permit (MECH)
E6rcf % ''7/. 0l t) " State Tax (TAX) �/ - /.— ;'�
Bldg: . 3.
Plumb: / 1 VI
Mech: '
!i /e 3 S 7 V
• Plan Check (PLANCK) ., •
Bldg: o -
Plumb: •
Mech:
SwR41— 6 3( 4 Sewer Connection (SWUSA) Cr=e 47 � c
, / .
Sewer Inspection (SWINSP) -3 3
Parks Dev Charge (PKSDC) Ct ed i t Cr-' d i' r
Residential TIF (TIF -R) e d-t C- --eJ ` t
Mass Transit TIF (TIF -MT) C. , 1 4 1 - C f —e tti r
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL) 9 1 ` �'V'
Water Quantity (WQUAN r/ 11 �7
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) ‘V.• -be 17 G
Erosion Planck/USA (ERPLAN) 4 Mk' V A ; f
Erosion Planck/COT (EROSN) ✓ ! V A r
(. ‘, /-4 1 -0 -- - - - - fi
TOTALS: .
,(.9I c 49
/!
ft) 7
CITY OF TIGARD BUILDING INSPECTION DIVISION ai 97- 0.3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q BUP
SLC fCL-Wate Requested 2 /1/ \ AM PM BLD
Location / 0 > v ) Lo C.a,k_ 4-- Suite MEC
Contact Person Ph PLM
Contra Ph SWR
BUIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: k SGN
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath/Shear �S ( 4
Framing
9 I /
Drywall Al■-\ C I lS c Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
r
�� S PART FAIL
• • BING
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
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
Date Z 4 1 In spector -
Other / Ext --1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.