Permit CITY OF TIGARD
,,,,,,. , 1 DEVELOPMENT SERVICES MASTER PERMIT
� �I` PERMIT # • MST98 -0114
�' � .- � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/22/98
PARCEL: 1S135CD -09600
SITE ADDRESS...:09955 SW PIHAS CT
SUBDIVISION -JACOB COURT ZONING: R -12
BLOCK LOT •004 JURISDICTION: TIG
Remarks: PATH 1: New single family dwelling w /attached garage.
BUILDING
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED
CLASS OF WORK.:NEW HEIGHT • 23 FIRST : 553 sf GARAGE • 395 sf LEFT : 14 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 885 sf FRONT : 20 PARKING SPACES: 2
TYPE OF CUNST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 7
OCCUPANCY 6RP.:R3 BORN: 4 BATH: 2 TOTAL : 1438 sf VALUE..$: 103186 REAR : 15
PLUMBING
SINKS : 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 1Y TRAPS • 0
LAVATORIES • 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1' SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1% BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN ( 1'.v.' ..: 1 BOIL /CMP ( 3HP: 0 VENT FANS • 3 CLOTHES DRYERS: 1
6AS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1
ELECTRICAL
— RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — — MISCELLANEA— — ADD'L INSPECTIONS -
1' SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5005F.: 2 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC /FOR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 8
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SITS /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FOR: 0 601 - 1m amp.: 0 601 +amps- 1w v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 — PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC /FOR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: Contractor: TOTAL FEES:$ 4706.11
CHAD E DAVIS CHAD DAVIS This permit is subject to the regulations contained in the
PO BOX 794 PO BOX 794 Tigard Municipal Code, State of Ore. Specialty Codes and all
FOREST GROVE OR 97116 FOREST GROVE OR 97116 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: 693-6580 Phone #: 693-66580 not started within 180 days of issuance, or if the work is
Reg #..: 000825 suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001-0010 through OAR 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 Crawl Drain /Back Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Post /Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Fi -1
Post /Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical - nal
i / Issued By Permittee Signature /,,.,% a %'
+ + + + + + + + + + + + + + ++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
QTY OP TIGARD Residential Building Permit Application R Plan Check eed By #0e(2rie
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503 -639 -4171 Date to DST y "f 7--Q s/
F 503 - 684 -7297 . Permit # /nSi q. =6 l g
Print or Type Called gill
Incomplete or illegible applications will not be accepted 5 vs-- 0 o 4
Name of Project Name
Job �U C{-, Ln-1- . y /dark. S ba4-
Address site,{►ddress /� Architect Mailing Address
N 955 Sw /' cLO - I St..) Os,pr' DQ. i- Z40
Na ty/State Zip P hone
rl c.. v l5 w.c�.lov+ 012- 9900 5 r 19 — Zo 7L
Owner Maki 'ng Address Nam
1.0. 9q 7r1 Co�c.r�
City/State Zip Phone Engineer Mailing g Address /0 n _
- Gored Gro� g I GA3 -458•0
General Name City/State Zip
Contractor LL v t 9� ao ! I Phone
aa6- os<�6
C\\ At E. � a■AS Describe work NewAt Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit W 0 , c r y Additional Description of Work:
issuance, a copy City/State Zip Phone
of all licenses ro,, t 4 C rout, CQ 011 (043 - 4586
are required if Oregon Const. Cont. Board Exp. Date PROJECT ,
expired in COT Lic.# 25 12 5 / / / /9� VALUATIO $ 5 � ? 5ta0
database t
Mechanical Name NEW CONSTRUCTION ONLY:
Sub RkrSOy1 IA t.a°Nof\ cr, Sq. Ft. House: Sq. Ft. Garage
Contractor ?Ailing Address J y 38 39 5
Prior to permit 1', O SO )(., 517 Corner Lot YES N Flag Lot YES
I
issuance, a copy City/State Zip Phone (check one) (check one)
of all licenses .For.S4 G foot .91 tI 357 -1/V95 Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board ("AST INC . ( check all that
Exp. Date
expired in COT Lic.# Energy System Alarm
database g Ou 2 vi„ 24/9? Installation x Garage Door HVAC
Plumbing Name Sub - YEN WATTS Other:
Opener Systems
Contractor 'Mailing Address ' apply)
P.
0 adX 2309 25 Will the electrical subcontractor wire for all `5 NO
Prior to permit City/State Zip Phone restricted energy installations?
issuance, a copy -� j�,ar� rjQ. cfp2gl (o�y_ Ws/ Has the Subdivision Plat recorded? I N/A A YES NO
of all licenses are Oregon Const. Cont. Board Exp. Date l x
required if Lic.# /0033 Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
3i/- 232 P3 information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
with Oregon to laws.
Rap t d
Electrical ty A -, V t Signa Own Ca t
Sub- cling Address J J �� 4
Contractor V .0 g, A 52 V Con ct PerlsName , 1 pf
City/State Zip Phon E • ��V �S 358 "Vag
Prior to permit FOR OFFICE USE ONLY:
issuance, a copy Cox ‘-oh 9'7111 9 E5 rill-13 Plat #:
of all licenses are Oregon Const. Cont. Board Exp. Date p/ Map/11#:
if Lic.# n �y v -� 7 �/ S/ 3SC� j7 TG°60y
expired in COT / U LI 3 Setbacks: Zone: Solar
database Electrical Lic. # Exp. Date l� `/ a
�/ S Engineering Approval: Planning Approval: TIF:
gliia /2•7l 9p' 0/9
I:SFREM.DOC (DST) 4/97
•
kililsklpi
CITY OF TIGARD
OREGON
•
INTENT TO HAUL EXCAVATION
1, CIA AZ1 E . v AS (print name), hereby certify that all excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back -fill the foundation ONLY. I understand that
failure to remove the excavation material will result in the requirement to remove the
material or obtain a grading permit by submitting grading plans prepared by a licensed
engineer accompanied by a geo- technical report regarding the placement of the
excavation material as fill.
3h 9?
Signature Date
Job Address: q 5S v ( A ) () is e --4 —
Subdivision: jot Lo Lot:
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
I:haul.doc (DST) 6/97
Page No. 1 CASE HISTORY FOR CASE NO.: MST98 -0114
CHAD E DAVIS
09955 SW PIHAS CT
11/19/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- - - -- -- ---
MSTA005 Application received / / / / 04/09/98 RECD JSD 09/16/98 CD
MSTA008 Permit Created / / / / 04/14/98 DONE GEO 04/14/98 GEO
MSTA010 Check for prcl. restrict. / / / / 04/14/98 There is a 10' temp. easment for fire DONE GEO 04/14/98 GEO
turn -a -round on left (west) side
property.
MSTA012 Plans routed to Plans Examiner / / / / 04/14/98 PASS GEO 04/14/98 GEO
MSTA026 Plans approved by Pln Examiner / / / / 04/17/98 PASS RT 04/17/98 BT2
MSTA030 Reviewed plans routed to DSTS / / / / 04/17/98 PASS RT 04/17/98 BT2
MSTA032 DST Post- Review Completed / / / / 04/21/98 DONE DEB 04/21/98 DRA
MSTA080 (F) Ready to issue / / / / 04/21/98 Needs to have updated contractor info. DONE DEB 04/22/98 DLH
4/22/98 Received updated contractor
•
info.
MSTA092 (F) Issue combination permit / / / / 04/22/98 DONE DLH 04/22/98 DLH
MSTA095 Issue plumbing signature form / / / / 05/01/98 RECD JMT 05/01/98 JT
MSTA097 Issue electric signature form / / / / 05/07/98 RECD JMT 05/07/98 JT
MSTA700 Erosion 844 -8444 / / / / 09/23/98 see bldg final. PASS WAC 09/23/98 J *H
MSTA705 Footing Insp / / / / 05/07/98 not ready FAIL WDJ 05/07/98 WDJ
MSTA705 Footing Insp / / / / 05/12/98 #1 Monolithic f.t.g. /f.dn. PASS KS 05/13/98 J *H
#2 Ufer rod tag
#3 Locate f.d.n. vent within three feet
of corner of structure
#4 Install low point (sleeve)
MSTA706 Foundation Insp / / / / 05/12/98 See footing. PART KS 05/18/98 J *H
MSTA710 Post /Beam Structural / / / / 05/15/98 1. Pass plumbing inspection FAIL WDJ 05/15/98 WDJ
2. Provide min. 1/2" air gap at all
beam pockets.
3. Install anchor bolts where mudsill
in notched over 50% for plumbing.
MSTA710 Post /Beam Structural 05/22/98 / / 05/20/98 Approved as noted: Grout or dry pack PASS KS 05/22/98 J *H
around low point drain at footing.
MSTA711 Post /Beam Mechanical / / / / 05/15/98 Furnace can to be insulated to R -8 at a PASS WDJ 05/15/98 WDJ
later date.
Page No. 2 CASE HISTORY FOR CASE NO.: MST98 -0114
CHAD E DAVIS
09955 SW PIHAS CT
11/19/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA713 Crawl Drain /Backwater valve / / / / 05/15/98 low point drain not installed FAIL RB 05/15/98 RB
back -water valve req'd
seal footing thru hole
protect sanitary and vent in contact w/
concrete
protect water and ABS lines at plates
no water test
sewer- ok
rain drain- ok (perimeter only)
MSTA717 PLM /Underfloor / / / / 05/15/98 see crawl drain this date FAIL RB 05/15/98 RB
MSTA717 PLM /Underfloor / / / / 05/18/98 corrections complete PASS TLP 05/18/98 J *H
MSTA720 Mechanical Insp / / / / 06/18/98 1. Maintain minimum of 1" between FAIL WDJ 06/18/98 WDJ
b -vent and combustible material.
2. Connect ducts to bathroom and
utility fand and extend to roof jacks or
outdoors.
MSTA720 Mechanical Insp / / / / 06/19/98 1. Maintain min. 1" clearance between FAIL WDJ 06/19/98 WDJ
b -vent and combustible material (nailer
in garage.)
2. Extend bathroom fan duct to roof
jack.
MSTA720 Mechanical Insp / / / / 06/22/98 PASS WDJ 06/22/98 WDJ
MSTA722 Plumb Top Out / / / / 06/18/98 PASS MS 06/23/98 J *H
MSTA723 Electrical Service / / / / 06/18/98 PASS BRP 06/18/98 B *P
MSTA724 Electrical Rough In / / / / 06/18/98 PASS BRP 06/18/98 B *P
MSTA725 Framing Insp / / / / 06/19/98 1. provide strap where plates are FAIL WDJ 06/19/98 WDJ
notched over 50% for plumbing.
2. Strap top plates that do not overlap
upstairs.
3. Provide lateral bracing on trusses
as shown on truss details.
4. Provide full width bearing under
glulam at wall between house and garage.
MSTA725 Framing Insp / / / / 06/22/98 1. Provide full width support under FAIL WDJ 06/22/98 WDJ
glulam- -noted previously.
2. Strap top plates that do not overlap
upstairs. - -noted previously.
-at beam in hall closet.
- wall'between east bedrooms.
MSTA725 Framing Insp / / / / 06/23/98 PASS WDJ 06/23/98 WDJ
•
Page No. 3 CASE HISTORY FOR CASE NO.: MST98 -0114
CHAD E DAVIS
09955 SW PIHAS CT
11/19/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA726 Shear Wall Insp / / / / / / OK 09/23/98 RB
MSTA727 Exterior Sheathing Insp / / / / 06/08/98 1. Provide shear deatail hold -down FAIL KS 06/10/98 J *H
location & panels.
MSTA727 Exterior Sheathing Insp / / / / 06/10/98 PASS KS 06/17/98 J *H
MSTA728 Low Voltage / / / / 06/18/98 Rough in only. PASS BRP 06/18/98 B *P .
MSTA730 Fireplace Insp / / / / / / N/A 09/23/98 RB
MSTA735 Gas Line Insp / / / / 06/18/98 323335 PASS WDJ 06/18/98 WDJ
MSTA736 Gas Fireplace / / / / / / N/A 09/23/98 RB
MSTA740,Insulation Insp / / / / • 06/23/98 Approved as noted: 1. Reinstal fire PASS WDJ 06/23/98 WDJ
blocking above fireplace chase.
2. Fireblock around plumbing under
tubs.
MSTA745 Gyp Board Insp / / / / / / OK 09/23/98 RB
MSTA755 Rain drain Insp / / /- / 05/18/98 Rain drain connected to street per PASS TLP 05/18/98 J *H
• previous correction.
MSTA761 Water Service Insp / / / / 05/15/98 no test ! FAIL RB 05/15/98 RB
•
MSTA761 Water Service Insp / / / / 05/18/98 PASS TLP 05/18/98 J *H
MSTA765 Appr /Sdwlk Insp / / / / 07/17/98 PASS MW 07/22/98 J *H •
MSTA790 Electrical Final / / / / 09/16/98 PASS CD 09/16/98 CD
MSTA795 Mechanical Final / / / / 09/23/98 'See final notes this date FAIL KS 09/28/98 KBS
MSTA795 Mechanical Final / / / / 09/25/98 PASS WDJ 10/07/98 J *H
MSTA797 Plumb Final / / / / 09/16/98 Leak at master bath underfloor. Reset FAIL DD 09/17/98 J *H
WC in master bath, flooring cut.
MSTA797 Plumb Final / / / / 09/21/98 PASS DD 09/21/98 J *H
MSTA799 Building Final / / / / 09/23/98 1. Provide one -inch clearance at b -vent. FAIL KS 09/24/98 J *H
2. Support gas piping at horizontal.
3. Secure insulation at furnace and
maintain clearance at b -vent.
4. Insulate exposed ducts and wye's at
heat duct (crawl) and support as needed.
5. Insulate crawl access door.
6. Remove wood and debris at crawl also
recover vapor barrier as needed.
7. Provide protection (door) at common
wall garage /storage area.
Page No. 4 CASE HISTORY FOR CASE NO.: MST98 -0114
CHAD E DAVIS
09955 SW PIHAS CT
11/19/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent . Done Done Date By
MSTA799 Building Final / / / / 09/24/98 1. Insulate crawl access door and FAIL KS 09/24/98 J *H
adjacent underfloor conditioned space
above.
2. Provide gypsum cover on unrated door
at storage area at garage or install
rated door.
MSTA799 Building Final / / / / 09/25/98 PASS WDJ 10/07/98 J *H
MSTA960 (F) Issue Cert. of Occupancy / / / / 09/25/98 11/19/98 JT
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q/
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
A �l� / i 5Z Date Requested �' a5 - ff AM BUP
PM BLD
Location gl55 L5U) ? t Ct Suite �T MEC
Contact Person 4 Ph c 3a -e1 r3 35 PLM
Contractor i Rf2. �auiz r_dELAt__ Ph SWR
•
BUILDING! Tenant/Owner ELC
Retaining Wall ELR
Footing Access: � �
Foundation p� FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:M6 6,u . IO0
Slab SIT
Post h Beam & 7 P 0 ; 1 C kW 1 1 00 U D& S �^ _(��
Ext Sheath /Shear kJ (J �j
Int Sheath /Shear , p�1)C , J g/� COP/ED S0 16 , l /�Q Fa
Framing W G� Z [ C. 1 / ! /�/ C�J -(�VC�
Insulation j- - P
� 1 / f- / ' y -G - ^ ,� /&• ZLZfi
Drywall Nailing `' / (// I Cam/ �, C`
Firewall
Fire Sprinkler CO r L
C$ rt Comp fel-Leg
Fire Alarm
Susp'd Ceiling
Roof e
Misc: i L
`Final _
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
Dampers
?AZ 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 �-- /; (JJ14l?J7jV_.._ /l Appr Date oach /Sidewalk 27 7 Inspector Ext `
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.