Permit CITY OF -T I G A R D MASTER PERMIT
PERMIT #: MST1999 -00240
Y�r DEVELOPMENT SERVICES RI G L DATE ISSUED: 7/19/99
`�'�" I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10990 SW PATHFINDER WY PARCEL: 2S103AD -00807
SUBDIVISION: PATHFINDER NO. 2 ZONING: R -4.5
BLOCK: LOT: 044 JURISDICTION: TIG
REMARKS: Second story addition to an existing single family dwelling.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: ' 20 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 850 sf GARAGE: • sf FRONT: . PARKING SPACES : .
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT:
VALUE: $ 59,194.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 1 TOTAL: at REAR:
. PLUMBING •
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 2 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 9HP: VENT FANS: 1 CLOTHES DRYER:
GAS FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 4 WOODSTOVES: GAS OUTLETS:
r ELECTRICAL
c
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: 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/HMG: PROTECTIVE SIGNL:
•
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
•
Owner: Contractor: TOTAL FEES: $ 1,147.30 _
OWEN, WILLIAM K + PORTLAND'S CHOICE REMODELINGThis permit is subject to the regulations contained in the
• STEPHANIE J BUGAS PO BOX 2541 igard Municipal Code, State of OR. Specialty Codes and
10990 SW PATHFINDER WAY CLACKAMAS, OR 97015 all other applicable laws. All work will be done in
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 6: LIC 108827 . 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
PLM /Underfloor Framing Insp Rain drain Insp Final inspection
Mechanical Insp Shear Wall Insp Water Line Insp Building Final
Plumb Top Out Low Voltage Electrical Final .
•
Electrical Service Gas Fireplace Mechanical Final •
Electrical Rough In Insulation Insp Plumb Final
Issued By � �I Permittee Signatur,�■ ,
/
/ / �
Call (503) 63 by 7:00 p.m.for an inspection needed the next business day
CIYY OF TIGARD Residential Building Permit Application Plan Check# 6 R
,13125 SW HALL BLVD. Additions or Alterations Recd By a
Date Rec'd - /Z -- T
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. . .- 99
V 503 - 639 -4171 Date to DST 7 - 6 .-- '
F 503-684-7297 # 1 3� /!�! - 6o.Z
Print or Type Called 7
Incomplete or illegible applications will not be accepted
Name of Project Mame
Job Q t i( SuiLDeieS DeS; G ' IN c.
Address S ite Address (� Architect Mailing Address
I 0gt9[2 5 L' PA- t/41^iripe/2 a//4/ II125 Abe. we;i)LPVt
Name • / City /State _ Zip Phone
ST,�PhltiE- caw a N Poi aY1-C 97.2.20 252-3'/53
Owner Mailing Address r Name
141:1 9 S . W • f 9Y'h F i N 142 'AY
Engineer Mailing Address
City /State Zip Phone g
7` GAnr), 0 a 7)-33
�a
r3 me City /State Zip Phone
General 0L D• C i 0 r ce
Contractor Re.,-.-, o 0et- i /NI C9 Describe work New 0 Additioy Alteration 0 Repair O
Mailing Address P . d • /3 o X 2- S Y/ to be done:
Prior to permit C IA c_ le 4. ' 4- S be ? 7 o 15 Additional Description of Work:
issuance, a copy City/State Zip Phone S o3 Sec °NO S 2 OP)/ 19 DO ; 2 i o nl
of all licenses r' /-ac r►1 d / 9 70/S 775 a95P •
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# 10 3 O Z7 9// o a 9 �'
database r VA LUATION 59 , ��,i
Mechanical Name NEW CONSTRUCTION 'ONLY:
Sub- Ot,e)0 EIC Sq. Ft. Houle: 3 - 0 Sq. Ft. Garage
Contractor Mailing Address O
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas
of al licenses 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 .. p,,-�"�� c)11v4tAbvi (check all that Other:
Sub- 1 \ 1 1`�L 1 6IMS�Y �Jr apply)
Ccntractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) - (check one)
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 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 Tature . of caner/ nt Date
Electrical G 1 1 , _ - LAN!.. Q A 6-.25-77
Mailing ntact Pe son Name Phone #
Sub- g Add ress
.4;z .C. Pi.5_,2,c /•..,s' 775 2 969'
Contractor
City/State Zip Phone •
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
required if Lic.#
expired in COT 0R S /o3 9P L. �6�
database Electrical Lic. # Exp. Date Setba Zone: (/' 5 Solar, f / _
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF: ii
- opsts \forms\sfaddalt.doc 11/20/98
9 9t
CITY OF TIGARD BUILDING INSPECTION DIVISION ?dr s� yb
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested D 9' AM PM BLD `..21I111 •
Location /a 990 5tci f J 1/yOFGc Suite MEC .IM""
Contact Person ffloAf Ph q6 7- 91638 PLM
Contractor Ph SWR
I LDI G 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:
/i
- PART FAIL
Pos :earn
Under Slab CP S
Top Out
Water Service
Sanitary Sewer
Rain Drains
FAIL (i,cee?
t f l im iANI r C r A
Rough In
Gas Line
Smoke Dampers
--PA QT FAIL
TRICAL
- ice
Rough In
UG /Slab
Low Voltage
Fire 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
Other oach /Sidewalk Date // /3 / 79 Inspector 7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site..
'