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Permit
v ORIGINAL MASTER PERMIT CITY F TIGARD PERMIT #: MST2000 -00149 i l --14 A I ' DEVELOPMENT SERVICES DATE ISSUED: 6/28/00 • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10276 SW PICK'S WAY PARCEL: 2S114BB -18100 SUBDIVISION: RIVERVIEW ESTATES ZONING: R -7 BLOCK: LOT: 027 JURISDICTION: TIG REMARKS: adding 2nd floor above garage 528 sq ft BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 23 FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: • TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 528 sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 61,500.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 528.00 sf REAR: PLUMBING ' SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: • 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: 2 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: 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: 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: tANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 977.53 This permit is subject to the regulations contained in the MILLION, ROBERT C + SUSAN M • ARTISAN RENOVATIONS INC Tigard Municipal Code, State of OR. Specialty Codes and 10276 SW PICKS WAY 16205 NW BETHANY CT #112' all other applicable laws. All work will be done in TIGARD, OR 97224 BEAVERTON, OR 97006 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 #: LIC 102568 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 Underfloor insulation Shear Wall lnsp Mechanical Final Mechanical Insp Low Voltage Final inspection Electrical Service Insulation Insp Electrical Rough In Rain drain Insp 7 / . Framing lnsp Electrical Final / / Issued By : Permittee Signature : • Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • OF TIGARD • Residential Building Permit Application Plan Che 5"(p3 P WITY 13125 SW HALL BLVD. Alteration - Interior Only Rec'd By � Date Recd 5-A TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. -A 4 -ov V 503 - 639 -4171 Date to DST 5 -Z vv F 503 - 684 -7297 C t - Permit #0150-0 9 Print or Type Called 'a7 -0d Incomplete or illegible applications will not be accepted 5 = O `1kiv vi .o Cst- s.7 eFfr 1)m MIMsM Name of Project Nacrie �.go,.�..ner y Job ILL1011) Architect Mailing Address �,/` Address Site Address X33 O NE -h nto cl C 1 0 27 b S 1 4ck S ti-)A- 7 qty/State Zip Phone N ame (1 �� / roan/ .� 0e y'7Z13 20 - pBE.2T , Jus4nl / 7/GLion/ N A Pe Owner Mailing Address cL¢,Q a-0/73u1-7, .�r� ,�ny/n.,4,e$ / 02 7 b S Al C,kS 0 Engineer Mailing Address • Ci /State Zip Phone 7160-71 O/- 9 7Zzi 6 9 - 5 9 Y, City /State Zip Phone General 41‘1 e D/� Contractor 7 hAra iq- T7o)vs //`C.. Describe work New 0 Addition 0 Alteration 0 Repair 0 M iling Address to be done: . Prior to permit 402.0c /1//,/ ,66, /"Z Additional Description of Work: issuance, a copy gIty/State �R.._ Zip I Phone of all licenses geAvY$27D*,n/ 9 7oeb 6/41 -0 /O I are required if Oregon Const. Cont. Board Exp. Date PROJECT • expired in COT Lic.# VALUATION $ 6 4 sov . 0-0 database /02- SO g' /0/310 Mechanical Name NEW CONSTRUCTION ONLY: Sub- SL. A./ G1o/../ 7r.Q6-i VC.- Sq. Ft. House: S.2 1' Sq. Ft. Garage Contractor Mailing Address Prior to permit 2 2-8 S /OS Indicate the restricted energy installation by the electrical issuance, a copy city/State Zip Phone subcontractor in the following areas of all licenses M9,47z4n/7 Q Q 7249 ZS3 - 77 ft 9 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energ System Alarms � � 3 expired in COT Lic.# Installations Vacuum Irrigation database ' System System Plumbing Name (check all that Other: Sub- apply) 'I Contractor 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 Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) 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 o er, and that plans sub fitted are in compliance with Orego ' State la Name 4 - ure of • r/ nt re 3 • Electrical �ic i L-' > -v_r � i . �uo /� O # Sub- Mailing Addre §s - �o�tact Person Nam. / e HoW 4-20 /? • . 6-0/ "I (o,, - i7/4` Contractor I/I Sal 7 SW. kh- ,i YQ7.r►8e Eb ' FOR OFFICE USE ONLY: City/State Zip p g Phone Plat #: Map/TL#: Q Parpy 6 I ,J OR 97/// /85 7Stto 07.5//1/64g- 7� n7°' issuuance, , a a copy Setbacks: Zone: 7 Solar: of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# . expired in COT CC 8 4 µ y fo 7 el - 7 -6) Engineering Approval: Planning Approval: TIF: database Electrical Lic. # Exp. Date -p� c)G /o-/ -CO Electrical Supervisor Lic. # Exp. D�eg i:forms\sfintalt.doc (DST) 10/23/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE BENTLEY ELECTRIC JUL 1 1 41547 SW WITHYCOMBE RD 2000 GASTON, OR 97119 Electrical Signature Form Permit #: MST2000 -00149 Date Issued: 6/28/00 Parcel: 2S114BB -18100 Site Address: 10276 SW PICK'S WAY Subdivision: RIVERVIEW ESTATES Block: Lot: 027 Jurisdiction: TIG Zoning: R -7 Remarks: adding 2nd floor above garage 528 sq ft 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: MILLION, ROBERT C + SUSAN M BENTLEY ELECTRIC 10276 SW PICK'S WAY 41547 SW WITHYCOMBE RD TIGARD, OR 97224 GASTON, OR 97119 Phone #: Phone #: 503 - 985 -9500 F4)( qj 5 q q s Reg #: SU i 82s ELE 2 -20C AN INK SIGNATURE IS REQUIRED ON THIS FORM X e Signature of Supervisin ect 'clan If you have any questions, please call (503) 639 -4171, ext. # 310 8/16/00 Activities for Case #: MST2000 -00149 2:41:01 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By DIsp. Level By Updated Notes MSTA005 Application received 5/23/00 No Hold BT2 .5/25/00 • MSTA008 Permit Created 5/25/00 RT No Hold BT2 • 5/25/00 ti MSTA012 Plans routed to Plans Examiner 5/25/00 BT2 DONE No Hold BT2 5/25/00 MSTA026 Plans approved by Pln Examiner 5/25/00 BT2 DONE No Hold BT2 5/25/00 i MSTA030 Reviewed plans routed to DSTS 5/25/00 BT2 DONE No Hold BT2 5/25/00 MSTA712 Underfloor insulation No Hold BT2 5/25/00 MSTA720 Mechanical Insp No Hold BT2 5/25/00 MSTA723 Electrical Service No Hold BT2 5/25/00 MSTA724 Electrical Rough In No Hold BT2 5/25/00 MSTA725 Framing Insp No Hold BT2 5/25/00 MSTA726 Shear Wall Insp 8/10/00 TLP PASS No Hold TLP 8/14/00 7-24 -00 received CTI report u approving epoxy anchors (X4), 2 each side of garage door.all OK... hap /// MSTA728 Low Voltage No Hold BT2 5/25/00 MSTA740 Insulation Insp No Hold BT2 5/25/00 MSTA752 Rain drain Insp No Hold BT2 5/25/00 . MSTA790 Electrical Final No Hold BT2 5/25/00 MSTA795 Mechanical Final • No Hold BT2 5/25/00 MSTA798 Final inspection No Hold BT2 5/25/00 MSTA032 DST Post - Review Completed 5/27/00 GEO DONE No Hold GEO 5/27/00 MSTA080 (F) Ready to issue 5/27/00 GEO DONE No Hold GEO 5/27/00 MSTA092 (F) Issue combination permit 6/28/00 DLH DONE No Hold DST 6/28/00 • MSTA097 Issue electric signature form 7/11/00 JMT RECD No Hold JMT 7/11/00 MSTA093 (F) Reprint Permit 8/9/00 ZZZ DONE No Hold ZZZ 8/9/00 r Page 1 of 1 CITY CO TIGARD BUILDING INSPECTION DIVISION 73). _ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • MST 7.0f/e/ U� BUP Date Requested /U —, F) AM PM BLD Location I OZ 7(e S 41 /2 / kr it Suite MEC Contact Person Ph ('f c/ /)/G/ PLM Contractor Ph SWR 1LD 1#443> 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 • Fi j PART FAIL • i :ING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL (ECHANICAt---, Post & Beam Rough In Gas Line S ike Dampers - � PART FAIL • Service Rough In UG /Slab Low Voltage Farm • �1$ 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date /t2 /?'v ?u! J Inspector/ C l Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0 .2je-4 _GU / 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested �� 7 AM PM BLD Location /A 2-7 Co S(.-© C/e Suite MEC Contact Person Ph (t/ G /U/ PLM Contractor Ph 967 S/ SWR BUILDING Tenant/Owner /1065./ ELC Retaining Wall ELR Footing Access: Foundation / (2 FPS Ftg Drain t t - / SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear NO - G(/ S Int Sheath /Shear Framin sulat Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: l i1481A RT 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 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 i / Inspector on RE: [ ] Unable to inspect - no access ADA — Other h /Sidewalk Date 7 ` ) Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0.G& -G0/6E 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested r-- S4 AM PM BLD Location / 2- 7 S , ` CA> w Suite MEC Contact Person Ph - G /o / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC etaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing I rywall Nailing / ",14 ! " Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: i .I`!• 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 or reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date t Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2& O -U a i y �' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested f' 3 AM PM BLD Location / 0 Z • 51-a PI GJ Suite MEC Contact Person Ph 6 / v--0/0/ PLM Contractor Ph SWR UILDING Tenant/Owner ELC e aining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Fra m `L t I9PPG/L hum G - o•ccL A/vl .4G%/ Drywall Nailing Firewall • Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PAR FAIL PLUMB! 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 /J Approach /Sidewalk Date S cPv Inspector Ext Other • Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0V-&' _ - e 'fcf 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 11 . BUP _ _ Date Requested l' ' 1 AM PM BLD . _ Location / 0 2- ?6 3/1,4, ' G Suite MEC Contact Person / Ph 4O7_(o (1vv PLM Contractor B'e_r%fi/& E/ Ph 4 0 / 0 / SWR ILDING Tenant/Owner pi"6-1-e ELC Retaining Wall ELR Footing Access: v Foundation rte` /��/ FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear I I • - -th /Shear raming Insu a ion Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling • • Roof Misc: F'• : 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 ART FAIL EL Servic ough In G /Slab Low Voltage Fire Alarm Fi ,.;f 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 C.2 /� Other Date 0 C Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION . MST 2 -0° 14 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location / G 2 71/ Sk) c ✓ Suite MEC Contact Person Ph 705 8/i) PLM Contractor Ph SWR IILDIN� Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS — /O / / Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath ans Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Fi �1 PART FAIL P T 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA G Approach /Sidewalk Date C9//e 00 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 23 MST � - /�/ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Requested e--/ 3 AM PM T6 BLD Location (02 7 G Std Cwt v Suite S MEC • Contact Person Ph Cry ,�, PLM Contractor Ph 4 e o7 it -v SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing AcceS Foundation �/ FPS Ftg Drain . (1/u1 �y SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm O v ‘ �91 //C/ y � Susp'd Ceiling /„ C Roof 0eI/ TGL Misc: eyt Tel Final PASS PART FAIL In.- fab Top Out Water Service Sanitary Sewer Rain Drains Final #0001 ;e4- - ,,,. FAIL ..r _'ou n e Smoke Dampers q � PART FAIL E ._ RICAL 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 \ (4 5 / / OD Inspector ) Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.