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Permit . ....., CITY OF TIGARD MASTER PERMIT ,4k 1 /N0� DEVELOPMENT SERVI PERMI ISSUED: ¢,4• MSTT98 -0116 /98 PARCEL: 1S135CD -09500 SITE ADDRESS...:09923 SW PIHAS CT SUBDIVISION -JACOB COURT ZONING: R -12 BLOCK LOT •003 JURISDICTION: TIG Remarks: New SF - Path 1 BUILDING REISSUE: STORIES : 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIIED- CLASS OF WORK.:NEW HEIGHT • 23 FIRST : 553 sf GARAGE • 395 sf LEFT • 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 885 sf FRONT : 20 PARKING SPACES: 2 TYPE OF CDNST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 10 OCCUPANCY 6RP.:R3 BDRM: 4 BATH: 2 TOTAL : 1438 sf VALUE..$: 103186 REAR : 15 PLUMBING — SINKS : 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 1v TRAPS • 0 LAVATORIES • 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1Y. SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1Y• BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN (100K ..: 1 BOIL /CMP ( 3HP: 0 VENT FANS • 3 CLOTHES DRYERS: 1 6AS FURN ) =10OK ..: 0 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES : 0 GAS OUTLETS...: 1 ELECTRICAL — RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — -- MISCELLANEA— — ADD'L INSPECTIONS - 1 SF DR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 2 201 - 400 alp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 alp:.: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HN /5VC /FDR: 0 601 - i'Ai' alp.: 0 601 +amps- 1 %1'."• v: 0 MINOR LABEL -10: 0 • 1000+ amp /volt.: 0 PLAN REVIEW SECTION Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC DCC: ELECTRICAL - RESTRICTED ENERGY A. SF RE=SIDENTIAL B. COMMERCIAL AUDIO 1 STEREO.: VACUUM SYSTEM..: AUDIO 8 STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE 5I6N1: GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: .. HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL 0 SYSTEMS: 0 Owner: Contractor: TOTAL FEES:$ 1366.11 CHAD E DAVIS CHAD DAVIS This permit is subject to the regulations contained in the PO BOX 794 PD 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 0: 693 -6580 Phone 0: 693 -6580 not started within 180 days of issuance, or if the work is Reg 0..: 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 -810 through OAR 952-001 -0088. 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 Final Post /Beam Mechan Electri . Servi Fireplace Insp Rain drain Insp Mechanical Fina lry Issued By: ,:= LAIC, `__. ��/ Permittee Signature: . + + + + + + ++ +++++++++++++, ! + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:0o p.m. for an inspection needed the next business day Plan Check # - 2 7�• -.CITY OF TIGARD Residential Building Permit Application Recd By -del A 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd AA 09 ` . TIGARD, OR 97223 Single Family Detached or Att (Duplex) Date to P.E. -( -- . V 503 - 639 -4171 Date to DST - F 503 -684 -7297 Permit # N ' - Coll Print or Type Called _ - , ^ 6 6 49 Incomplete or illegible applications will not be accepted -2 Name of Project Name Job Z. coh 6. Ln + 3 /i'la� k S �•t`1 Address it A ress Architect Mailing Address .� S� P a 002,0 s,..) Ospre be. i- 2.40 Na 1 ty /Sta c 1 N As 97(07 15'1 ao 7a ('1 c...... .. v,5 Nam +� Owner Maig Address in P0• rI9i/ i'1,1 Cov ct^A- City /State Zip Phone Engineer Mailing Address -Gored G roue— oR. 9 9116. (q3 - Sec) General Name City/State Zip I Phone Contractor CIA Ab E, .N .As • Describe work New* Addition 0 Alteration 0 Repair 0 Mailing Address to be done: W Prior to permit 0 , o rig LI Additional Description of Work: issuance, a copy City /State Zip Phone of all licenses .lro„.S+ G rout, et?. q 9 Ill. (043-658o are required if Oregon Const. Cont. Board Exp. Date PROJECT 1 , expired in COT Lic.# &25 12 5 hOir VALUATION Si 500 °--° database Mechanical Name NEW CONSTRUCTION ONLY: Sub- 2c∎ rSo 1r, e.s.. : ∎‘ G Sq. Ft. House: Sq. Ft. Garage Contractor ^f cling Address J I y 38 3 5 Prior to permit KO 3o Ac 5/ 7 Corner Lot YES N Flag Lot YES N issuance, a copy City /State Zip Phone ( checck one) (check one) of all licenses - For cS e G WC- gnu() 357 -4a 95 Restricted Audio /Stereo Burglar are required if Oregon Const. Cont. Board Exp. Date Ener expired in COT Lic.# I OU 2 c( � 24/99 9Y System Alarm database Installation \ Garage Door HVAC Plumbing Name n Opener Sub Yeti wA - Other. Systems. �-�- 'INC , (check all that Contractor 'Mailing Address ' apply) Will the electrical subcontractor wire for all YR NO P o 1 Y, 2305 25 restricted energy installations? Prior to permit City /State Zip Phone Has the Subdivision Plat recorded? N/A YE NO issuance, a copy Ttaaark oQ• Wr2e• (DSr /- 14 xs of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Solar Compliance expired in COT �v X33 L (Calculation Attached) database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the 3 232 9 3 information given is correct, that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance with Orego State laws. Electrical Rap tat I • , g� ,'.', 11 Si of Ow ent r te9„.. , Sub: cling Address J , s„ ' Contractor •0 A s25s Con ct Pers Name , City /State Zip Phone H A 13 E . 'NO kS 358 Prior to permit FOR OFFICE USE ONLY: issuance, a copy (Ark G 7 I 1 9E Plat Map/T1_#: all licenses are Oregon Const. Cont. Board Exp. Date 1 1 U — 14 l�l - 550) — 3 C 3 required if Lic.# 6 n 0 q Set ack t � Zone; Solar: expired in COT / IV database Electrical Lic. # Exp. Date �- r t�� Z Lr y S Engineering Approval: Plann;ng Approval: TIF 'lo ()twit 4— it-1 1\,0 avkly I:SFREM.DOC (DST) 4/97 /au v w !IIilit c i I I +� CITY OF TIGARD OREGON • INTENT TO HAUL EXCAVATION I, OA AZ E , 1S (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. s /3/ 9B"' ig ature Date • Job Address: go/13 c3 1 Aim° ed.- Subdivision: TaC,pb Lot: ,S 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 I:haul.doc (DST) 6/97 7/25/99 Activities for Case #: MST98 -00116 6:26:35 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 4/9/98 JD RECD BON 4/14/98 Addresses not in Tidemark until 4/14/98. MSTA008 Permit Created 4/14/98 . B DONE BON 4/14/98 MSTA010 Check for prd. restrict. 4/14/98 B PASS BON 4/14/98 MSTA012 Plans routed to Plans Examiner 4/14/98 B SENT BON 4/14/98 MSTA026 Plans approved by Pln Examiner 4/20/98 RT PASS BT2 4/20/98 MSTA030 Reviewed plans routed to DSTS 4/20/98 RT PASS BT2 4/20/98 MSTA032 DST Post - Review Completed 4/21/98 B DONE BON 4/21/98 MSTA700 Erosion 844 -8444 BON 4/14/98 MSTA705 Footing lnsp 5/6/98 WDJ FAIL WDJ 5/7/98 not ready MSTA706 Foundation lnsp 5/8/98 WDJ PASS WDJ 5/8/98 monopour MSTA710 Post/Beam Structural 5/14/98 KS FAIL DGW 5/14/98 Install low point drain (grout around sleeve at penetration). Fumace can not insulated at this time. MSTA711 Post/Beam Mechanical 5/14/98 KS FAIL WDJ 6/17/98 Approved as noted: Fumace can not insulated at this time. MSTA713 Crawl Drain /Backwater valve 5/15/98 RB PASS RB 5/15/98 MSTA717 PLM /Underfloor 5/14/98 WA PASS DGW 5/15/98 MSTA720 Mechanical Insp 6/15/98 WDJ FAIL J*H 6/16/98 Seal penetrations in retum air plenum. Fireblock top of gas fireplace chase. MSTA722 Plumb Top Out 6/11/98 TLP PASS J*H 6/18/98 MSTA725 Framing lnsp 6/15/98 WDJ FAIL J*H 6/16/98 1. Strap top plates in entry way at glulam. 2. Seal penetrations in return air plenum. 3. • Fireblock top of gas fireplace chase. 4. Strap top plates where notched over 50% for plumbing in great room and also near stairs. 5. Stairway • requires minimum of 80 -in. headroom. 6. Strap top plates that do not overlap in upstairs . bedrooms. . MSTA726 Shear Wall Insp 6/15/98 WDJ FAIL J*H 6/16/98 See report. MSTA735 Gas Line Insp 6/15/98 WDJ PASS J *H 6/16/98 Gas tag 323329 MSTA740 Insulation Insp 6/18/98 WDJ FAIL WDJ 6/18/98 Not Ready MSTA761 Water Service Insp 5/15/98 RB FAIL RB 5/15/98 no test! MSTA765 APPr /Sdwlk Insp 7/17/98 MW PASS J *H 7/22/98 . Page 1 of 2 7/25/99 Activities for Case #: MST98 -00116 6:26:35 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 . To Done By Disp. Level By Updated Notes MSTA790 Electrical Final 9/22/98 BRP PASS B *P 9/23/98 MSTA795 Mechanical Final 10/22/98 KS PASS KBS 10/23/98 MSTA797 Plumb Final 10/22/98 DD PASS JT 11/19/98 MSTA799 Building Final 10/22/98 KS PASS JT 11/19/98 MSTA080 (F) Ready to issue 4/21/98 B MEMO GEO 4/22/98 Various elements missing for licensing for all contractors. RECEIVED ALL CONTRACTOR INFO FOR LIC. 4/22/98 GEO MSTA092 (F) Issue combination permit 4/22/98 GEO PASS GEO 4/22/98 MSTA095 Issue plumbing signature form 4/28/98 JMT RECD JT 4/28/98 MSTA097 Issue electric signature form 4/27/98 JMH RECD J'H 4/27/98 Rapid Lighting MSTA705 Footing Insp 5/8/98 WDJ PASS WDJ 5/8/98 ufer tagged MSTA710 Post/Beam Structural 5/15/98 WDJ PASS WDJ 5/15/98 corrections have been completed. MSTA711 Post/Beam Mechanical 5/15/98 WDJ PASS WDJ 5/15/98 corrections have been completed. MSTA717 PLM /Underfloor 5/15/98 RB PASS RB 5/15/98 no test on water line MSTA761 Water Service lnsp 5/18/98 TLP PASS J*H 5/18/98 MSTA727 Exterior Sheathing Insp 6/8/98 KS FAIL J*H 6/10/98 1. Install nuts and washer at hold -downs garage wing walls. 2. Install MST 37 straps at wing walls. 3. Complete nailing at braced panels at lower and upper level. MSTA723 Electrical Service 6/15/98 CD PASS CD 6/15/98 MSTA724 Electrical Rough In 6/15/98 CD PASS CD 6/15/98 MSTA720 Mechanical lnsp 6/16/98 6/12/98 TLP PASS J*H 6/16/98 MSTA725 Framing Insp 6/16/98 6/17/98 WDJ PASS WDJ 6/17/98 NOTE: Be sure to maintain min 80' headroom in stairway at final. MSTA727 Exterior Sheathing lnsp 6/11/98 KS PASS J*H 6/17/98 Finish nailing gable end above . garage prior to siding. MSTA720 Mechanical lnsp 6/17/98 WDJ PASS WDJ 6/17/98 MSTA740 Insulation Insp 6/19/98 WDJ PASS - WDJ 6/19/98 as noted: fire block around plumbing penetration under bathtub. MSTA790 Electrical Final 9/16/98 CD FAIL CD 9/16/98 no power to outlets either side of range MSTA960 (F) Issue Cert. of Occupancy 10/22/98 JMT MAIL JT 11/23/98 mailed 11/23/98 Page 2 of 2 . CITY OF TIGARD BUILDING INSPECTION DIVISION ST c if — Q //P 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested /� �-��� AM PM BUP Location g g23 S a U Suite /-07 MEC Contact Person Ph PLM Contractor Ph SWR BUI LDIN 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 i4.4 L if-TAPS/ 64(6: Insulation Drywall Nailing '�z S> Z10 ClGs Firewall Fire Sprinkler f Fire Alarm Susp'd Ceiling Roof Misc: �Fina PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final ASR E RT FAIL MECHANICAjD Post & Beam Rough In Gas Line S�� • Dampers 47111116 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 Date ��'� � Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site..