Permit CITYOFTIGJARD
(
WARD
COMMUNITY DEVELOPMENT DEPARTMENT oow I MASTER PERMIT
13125 SW Mall Blvd. P.O. Bat 23397, Turd, Oregon 97223 (603) 639 -4176 PERMIT # • MST 9 2 — 0 312
639 -4171 DATE ISSUED: 01/26/93
SITE ADDRESS...: 07130 SW PINE ST PARCEL: 15136AC -0400
SUBDIVISION ° PARTITION PLAT 1991 -002 ZONING: R -4 °5
BLOCK LOT •2
BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT °0 sf
CLASS OF WORK.:NEW BEDRMS:3 BATHS:2 GARAGE :400 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST :1351 sf LEFT.. : 10 ft RIGHT.: 10 ft
OCCUPANCY GRP.: R3 SECOND sf FRONT.:20 ft REAR. .:45 ft
STORIES •1 THIRD :0 sf REQUIRED
HEIGHT •20 ft TOTAL :1351 sf SMOKE DETECTORS °:Y
FLOOR LOAD •40 psf VALUE $• 69346 PARKING SPACES..:1
Remarks: PATH I NEED STREET OPENING PERMIT
PLUMBING
SINKS •1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:O
LAVATORIES •2 WATER HEATERS °..:1 TRAPS :0
TUB /SHOWERS •2 LAUNDRY TRAYS • ° °:0 CATCH BASINS •0
WATER CLOSETS. .:2 SEWER LINE (ft).:0 GREASE TRAPS 0 •
DISHWASHERS •1 WATER LINE (ft).•1O0 OTHER FIXTURES :0
GARBAGE DI SP. ..:1 RAIN DRAIN (ft ).:0
WASHING MACH. .• :1 SF RAIN DRAINS.• :1
MECHANICAL FEES
FUEL TYPES UNIT HTRS..:O type amount by date recpt
/GAS/ / / VENTS °0 TIF $ 1460.00 JF 01/26/93 —
MAX INPUT:0 BTU VENT FANS.. :3 BPRT $ 343.00 JF 01/26/93 —
FURN < 1O0K •.:1 HOODS :1 BPLC $ 222.95 JLH 12/15/92 92- 234667
FURN > =1O0K ..:0 WOODSTOVES : 0 BSPC $ 17.15 JF 01/26/93 —
FLOOR FURN •0 CLO DRYERS.: 1 SSDC $ 280.00 JF 01/26/93 —
BOIL /CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 JF 01/26/93 —
GAS OUTLETS:1 MP.RT $ 40.50 JF 01/26/93 —
Owner: MPLC $ 10.13 JF 01/26/93 —
A & J QUALITY CONST MSPC $ 2.03 JF 01/26/93 —
10505 NE OREGON PPRT $ 117.50 JF 01/26/93 —
P5PC $ 5.88 JF 01/26/93 —
PORTLAND OR 97220
Phone #: 503 -254 -0045
Contractor:
A & J QUALITY CONST
10505 NE OREGON
PORTLAND OR 97220
Phone #: 254 -0045
Reg #..: 54350
$ 2999.14 TOTAL
This per.it is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot /found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post /Beam Struct Gas Line Insp
plans. This per.it will expire if work is not starte. %ithin 180 . , Post /Beam Mechan Insulation Insp
days of issuance, or if work is suspended f.. ore • 1: =• s. Plm /undslab Insp Gyp Board Insp
'LM /Underfloor Rain drain Insp
Permittee Signature: A' _,' �40,Ai. echanical Insp Water Line Insp
P Plumb Top Out Appr /Sdwlk Insp
Issued By: J Framing Insp Mechanical Final
/ Pir
Call for inspection — 639 -4175
13usswrlauawd PLNCK/RECT # D J ►„
—--LJ--__ CITY OF TIGARD Tigard. O�egon97123 PERMIT # / t 0 3t Z
COMMUNITY DEVELOPMENT DEPARTMENT
(503 ) 63' -4171 DATE ISSUED
7
JOB ADDRESS: AX MAP /LOT /3/.3 4c -0 g ZUU . .
SUB: L _l.. 1_ / LOT: 1-- LAND USE:
1 4 VALUATION: 69 31 �
OWNER A _ / SPECIAL NOTES NAME: Y �/ / _. i ' _ — REISSUE OF:
ADDRESS: 5/ Wi/ LAST REISSUE:
i' _ '�� ' Z- / FLOOD PLAIN/
PHONE: O_ ,1 '& ;r ],SENSITIVE LAND:
CONTRACTOR ��� / APPROVALS REQUIRED
NAME: r �7` Y��/ 0 / - ' PLANNING: (W-lee-
ADDRESS: O.5 il ' ../' ENGINEERING:
/ ' ` FIRE DEPT:
PHONE: 2, OTHER: - ref=
CONTR. BOARD #: :' S 6) EXP DATE: 9 73
�_ 0 )) lv5 0 a ITEMS REQUIRED I M
O RS: PLUMB: / � L�. 0 SUBCONTRACTORS: s I ST 'I C'«A' :- h'
SUBCONTRACT � /
MECH: `\i‘/,& J S / BUS TAX: -
ARCH /ENGINEER 4 y fro `. CALCULATIONS:
NAME: 0 . /2 /4'77 TRUSS DETAILS:
ADDRESS: 1O /lj . !_! IT ER:
PHONE: C, 1 / S v0 2 O 7�
CC /jam 4� ,��LL; -
PROPOSED BLDG. USE: ,J / /3
COMMENTS:
•
/
''PLICANT SIGNATURE
Received By: 9 -9....-
Date Received: 7. / 5 79Z.---
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
i t9Z -o3' 10 -432 00 Building Permit Fees 350 "< 3q3; 4)
10 -431 00 Plumbing Permit Fees % /I.) 117•)
• 10 -431 01 Mechanical Permit Fees yu,57' / 1 /G , )7)
10 -230 01 State Building Tax (5 %) -23 o ' .25;4
Building /7/5
Plumbing ...54 -y /
Mechanical 2.t3 ./ .
10 -433 00 Plans Check Fee _33 d _ Z2)— 1 &,1 i
Building ZZL.cf� 7
Plumbing /
Mechanical /d- /3
10 -230 06 Fire
,jcAGZ -o 393 30 -202 00 Sewer Connection ,/0 O / .2)6 d
30 -444 00 Sewer Inspection 3s / _3i
25-448-02 Commercial TIF Fees
25- 448 -04 Industrial TIF Fees
25- 448 -06 Institutional 11F Fees
25- 448 -03 Office TIF Fees
/
25- 448 -01 Residential Traffic Fees ,1,6 / /3So
25- 448 -05 Mass Transit TIF Fees /10 // d
52 -449 00 • Parks System Dev Charge (PDC) / SOU
31 -450 00 Storm Drainage Syst Dev Chrg
i
(SSDC) 9-0 l H
24- 445 -01 Water Quality (Fee in lieu of)
24- 445 -02 Water Quantity (Fee in lieu of)
TOTAL ` 2S-D- _` I
nm /3587P.WPF
w
CITY OF TII RD ,
Cnycs neap PLUMBING PERM
COMMUNITY DEVELOPMENT DEPARTMENT oREoow/ PERMIT # • MST92-0312
13125 SW Hell Blvd. P.O. Box 23397, Tlgaid, Oregon 97223 (603) 639 -4176
Df1TE ISSUED: 01/26/93
SITE ADDRESS...: 07130 SW PINE ST PARCEL: 1S136PC -04200
SUBDIVISION • PARTITION PLAT 1991 -002 ZONING: R -4.5
BLOCK LOT °2
CLASS OF WORK..: NEW GARBAGE DISPOSALS..: 1
TYPE OF USE -SF WASHING MACH :1 BACKFLOW PREVNTRS.. :0
OCCUPANCY GRP.. :R3 FLOOR DRAINS •0 TRAPS :0
STORIES °1 WATER HEATERS •1 CATCH BASINS •0
FIXTURES LAUNDRY TRAYS :0 SF RAIN DRAINS :1
SINKS •1 GREASE TRAPS -0
LAVATORIES OTHER FIXTURES •0
TUB /SHOWERS ° SEWER LINE (ft) •0
WATER CLOSETS..:2 WATER LINE (ft) •100
DISHWASHERS •1 RAIN DRAIN (ft) -0
Remarks: PATH I NEED STREET OPENING PERMIT
OWNER: FEES
A & J QUALITY CONST TIF $ 1460.00 JF 01/26/93 -
10505 NE OREGON BPRT $ 343.00 JF 01/26/93 -
BPLC $ 222.95 JLH 12/15/92 92- 234667
PORTLAND OR 97220 BSPC $ 17.15 JF 01/26/93 -
Phone #: 503 -254 -0045 SSDC $ 280.00 JF 01/26/93 -
PARK $ 500.00 JF 01/26/93 -
Plumbing Contractor: MPRT $ 40.50 JF 01/26/93 -
� MPLC $ 10.13 JF 01/26/93 -
Name: A r�. / ` Z�2.r s /��2. 1 $ 2.03 JF 01/26/93 -
Address: P �
h �bX Z3 PRT $ 117.50 JF 01/26/93 -
City: L1ra>-Vfliw►A5 State: 6a, P5PC $ 5.88 JF 01/26/93 -
Zip: ci Phone #: ii
Reg #: S002„
REQUIRED INSPECTIONS
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot /found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post /Beam Struct Water Line Insp
other applicable laws. All work will be done Post /Beam Mechan Appr /Sdwlk Insp
in accordance with approved plans. This Plm /undslab Insp Mechanical Final
permit will expire if work is not started PLM /Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
•
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
N-AQ:11 Insulation Insp
Gyp Board Insp
Au prized Plumbing Contractor Signature
Call for inspection - 639 -4175
Contractor.Notes:
•
•
APPLICATION - STREET IMPROVEMENT /EXCAVATION - - COPY TO:
ORDINANCE NO. 74 -14 !j, t ® (WHITE) - FILE
j �� � " + o ® ( YELLOW)-INSP.
- ( PINK) -OTHER A. (BLUE) - APPLICANT Yb�, GENC
(INSTRUCTIONS ON SEPARATE SHEET) . YT dg•
-` j-
APPROVED 5 (� APPLICATION NO.:
NOT APPROVED ❑ CITY OF TIGARD, OREGON FEE AMT.: $ 40'00
PENDING FEE. PMT. ❑ CITY HALL RECEIPT 93- Z397 OI
PENDING SECURITY ❑ PUBLIC WOR KS DEPARTMENT BY DATE S / 4 / 93
PENDING AGENCY "OK" ❑ Application and Progress Record MAINTENANCE BOND #
PENDING INFORMATION ❑ FOR STREET IMPROVEMENT /EXCAVATION AS REQUIRED C
ANNUAL ❑
PENDING VARIANCE ❑ EXPIRATION DATE: .-
PERMIT NO.: 54S"--9m , DATE ISSUED: S /4 / 93 , BY: _
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL SANIT' - SEWER Sri CE AND
MAINLINE TAP AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS.
APPLICANT Decal Plumbing 10206 N. Midway Portland, OR 97203 285 -2146
NAME ADDRESS CITY PHONE
CONTRACTOR (same)
NAME ADDRESS CITY PHONE
PLANS BY - per City Standards & Specifications -
NAME ADDRESS CITY PHONE
•
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 1,000.00
DOLLARS
FOR ,F (2) EXCAVATION DATA: 0.04 X $ IC EI .0 _ $ 40.00 CMIN.
STREET DESCRIPTION • PROGRESS & INSPECTION STATUS
, NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE REMARKS /TYPE BY
TYPE LENGTH WIDTH DEPTH ITEM & QUANTITY
• ., STREET
OPENED
INSPEC -
Pine St.
(see attached) R T I ON
. 1 E
I , U .
ESTIMATED STREET OPENING DATE: / / E S
T
ESTIMATED STREET CLOSING DATE: / / E
D
(3) SECURITY NO. SECURITY AMT.: $ 1,000•00 C LOSED
_ CLOSED
SURETY CO.: _ FINAL
CHECK CASH ❑ BOND C INSPEC. ,
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL SPECIAL PROVISIONS / CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
See attached
I 1 I I
I • 1 1 I
I I I I
I I I I
cuRB -' •� — - - - - - -.r \ - - -
..- -.,.,. _
-GARB - r ._ - • _ _ __ - - _ -
7 1 I I
I
I ., rk area i I N
I 1 SITE: 7130 SW Pine St 1 I _ _
4
(5 NOTE: THE CITY OF TIGARD DOES NOT, HEREBY, GRANT PERMISSION TO APPLICANTS TO CONDUCT WORK WHERE
RIGHT -OF -WAY JURISDICTION IS THAT OF WASHINGTON COUNTY OR THE STATE OF OREGON.
THE APPLICANT AGREES TO DEPOSIT THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERTINENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK, AND TO SAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANTS SIGNATURE: (_-6
J / l r7 DATE C ; I
1 7 / 9
1
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3/9/00 Activities for Case #: MST92 -00312
2:44:31 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA007 Application received 12/15/92 JLH PASS BLT 12/28/92
MSTA010 Plan check deposit paid 12/15/92 JLH PASS BLT 12/28/92
MSTA020 Plan check by 12/28/92 12/28/92 RT PASS BLT 12/28/92
MSTA030 Check for prcl. restrict. 12/28/92 12/28/92 RT PASS BLT 12/28/92
MSTA705 Foot/found Insp 2/5/93 TLP PASS TLP 2/16/93
MSTA710 Post/Beam Structural 2/12/93 TLP PASS TLP 2/18/93
MSTA711 Post/Beam Mechanical • BLT 12/28/92
MSTA717 PLM /Underfloor 2/12/93 MS PASS MRS 2/16/93
MSTA720 Mechanical Insp 3/10/93 GS APP GES 3/10/93
MSTA722 Plumb Top Out 3/3/93 MS FAIL MRS 3/4/93
MSTA725 Framing Insp 3/10/93 GS DIS GES 3/10/93
MSTA730 Fireplace Insp 3/22/93 GS APP GES 3/22/93
MSTA735 Gas Line Insp 3/10/93 GS APP GES 3/11/93
MSTA740 Insulation Insp • 3/17/93 GS APP GES 3/17/93
MSTA745 Gyp Board Insp 3/23/93 GS APP GES 3/23/93
MSTA755 Rain drain Insp 2/12/93 MS PART MRS 2/16/93
MSTA795 Mechanical Final 6/28/93 GS , APP GES 6/28/93
MSTA797 Plumb Final 2/16/96 RB FAIL RB 2/19/96 see building final this date
MSTA799 Building Final 6/28/93 GS DIS GES 6/28/93
MSTB706 Erosion Control Insp 844 -8444 PASS RB 2/19/96
MSTB713 Crawl Drain BLT 12/28/92
MSTA097 Issue plumbing signature form 1/26/93 JF 1/26/93
MSTA092 (F) Issue combination permit 1/26/93 JLH PASS JF 1/26/93
MSTA722 Plumb Top Out 3/4/93 MS PASS MRS 3/4/93
MSTA712 Underfloor insulation 3/17/93 GS APP GES 3/17/93
MSTA725 Framing Insp 3/17/93 GS APP GES 3/17/93
MSTA765 APPr /Sdwlk Insp 7/7/93 LT NL 7/7/93 STREET OPENING PERMIT
#93 -0017 FINALED ON
5/28/93.
MSTA795 Mechanical Final 2/16/96 2/16/96 RB PASS RB 2/19/96
Page 1 of 2
3/9/00 Activities for Case #: MST92 -00312
2:44:31 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA799 Building Final 2/16/96 2/16/96 RB FAIL RB 2/19/96 firestop thru penetrations at
garage; temp glazing req'mts;
• dean -outs req'd at sinks thru
out; unable to view attic and
under -floor this date
MSTA790 Electrical Final 5/18/99 5/18/99 5/10/93 BRP PASS No Hold AKJ 5/18/99
MSTA•99 Building Final 5/18/99 5/18/99 5/18/99 TLP PASS No Hold AKJ 5/18/99
MSTA797 Plumb Final 5/18/99 5/18/99 5/18/99 TLP PASS No Hold AKJ 5/18/99
MSTA970 Case Finaled 5/18/99 AKJ DONE No Hold AKJ 5/18/99
Page 2 of 2 •
aae - ude •
CITY OF TIGARD BUILDING INSPECTION NOTICE 4'S»9 - 7``f e
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL
Foundation Water Line Ceiling
apt
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. = ••
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 4 - 0 9 A.M. P.Iv Entry:
Address: 7 116 I � ��_ 03 /
Tenant: Ste: MST:
/ _
Co Own: � ..A_. _��t -2 3-00 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
ec.1(
Inspector: Date:
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: CXGw
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. 7 San. Gas Line S I
Plbg. Underfloor Rain Drain k C
Framing �Rtumb� /
Alarm Water Line ? Insulation ec.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect. 5' // 4 /
Date Requested: cr:=. J c, /96 Time: AM PM
Address: C 2/ , a f— St
Builder: Permit #: 1 1 l S 1 7,D_ O 3( Z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
0-6 3 - 03 s SDD✓_,c)--e ; t
0
r ,^ } -fir- W,•. s
� � 4- -
& e
6 )) To--v.,..c . 1 a... s t
. -e-, Q-
S, .. S z9 eta' 10...A3--R (-""
Inspector: l Date: 2/1 (0l/ ` 4
_APPROVED _IZZSAPPROVED APPROVED SUBJECT TO ABOVE
RV -c---utr,t--r .
Gall For Reinsp.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 92--0312-
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
oq BUP
Date Requested 5 i g' ! / AM PM BLD
Location — 2 1 p l ✓\ -31 �L . Suite MEC
Contact Person Ph PLM
Contractor Ph n SWR
Tenant/Owner atiU i cl.'c �f J(Azet 2 3- (40325 ELC
lI 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 I
Fire Sprinkler
Fire Alarm G
Susp'd Ceiling
Roof -
Misc
1• ��I1►
- 11 ' RT FAIL
MBING
P• Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
R ains
PART FAIL
ANICAL
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 Approach /Sidewalk Other Dat 40(70/ Inspector E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 42 -03/2_
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171
BUP
Date Requested 5-1 .-71 AM PM BLD
Location 1130 PI AIL S Suite MEC
Contact Person O&U) L h Z93 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation � / -Ri l, G(�/ n n PwL
FPS
�J
Ftg Drain � iL,
Crawl Drain Inspection Not . SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab n G Y C4 1 ^ D , � / -- 9
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
Rough In
UG /Slab
Low Voltage
Fire Alarm
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 6 9 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.