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Permit
CITY OFTIGARD ate„ *11 , DEVELOPMENT SERVICES BUILDING PERMIT l� PERMIT # • BUP97 -0569 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 01/02/98 PARCEL: 2S1O4DD -02500 SITE ADDRESS...: 12879 SW RIDGEFIELD LN SUBDIVISION : MOUNTAIN HIGHLANDS #2 ZONING:R -4.5 PD BLOCK • LOT -022 JURISDICTION:TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION - CLASS OF WORK.:OTR FIRST - 630 sf N: S: E: W: TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CONST.: POOL .... 0 sf N: S: E: W: OCCUPANCY GRP.:R3 TOTAL : 630 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 10 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: - 0 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REDD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 18500 Remarks : Installation of new swim pool and spa for an existing single family dwelling. (electrical permit to be taken out by owner) Owner: FEES GARY LONG type amount by date recpt 8290 SW LANDAU ST PLCK $ 87.43 GEO 12/29/97 97- 302085 TIGARD OR 97223 FIRE $ 53.80 GEO 12/29/97 97- 302085 EROS $ 40.00 B 01/02/98 98- 302214 Phone #: 293 -7890 - ERPC $ 13.00 B 01/02/98 98- 302214 ERPC $ 13.00 B 01/02/98 98- 302214 Contractor: PRMT $ 134.50 B 01/02/98 98- 302214 BLUE MOUNTAIN POOLS 5PCT $ 6.73 B 01/02/98 98- 302214 14235 SE STEELE PORTLAND OR 97236 Phone #: 760 -4554 $ 348.4E TOTAL Reg #..: 000239 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those __ rules are set forth in OAR 952- 001 -0010 through OAR 952 - 00101987.• You many obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: / ' 1 ! r 0 . 4 4 9 7 / Issued B y . �-- - +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + +- i- + + + + + + + + + + + + + ++ CITY OF TIGARD -Gen IrriefMt Building Permit Rec'd By 60 1'31'25 SW SW •4LL BLVD. Tenant Improvement °ate Recd --, Date to P.E. 7;z ,3 C 7 TIGARD OR 97223 Date to DST /2j 1 (503) 639 -4171 Permit # ItF? ?q_ 65° Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called ii *A? . Name. of Development/Project Existing Building 0 New Building ❑ Job • ., / . Address street Address Oleo Suite Building � ' �/nm, la SI 9 S W Data S' Bldg # City/State Zip Existing Use of ,Building or Property: 4,,,,, 4 , Name Propose ��� Property Proposed Use of Building or Property: Owner Mailin AddAre .l / Suite ( No. Of Stories: . City/State Zip Phone ' • Sq. Ft. Of Project: 62/�¢ Occupant Name �? Occupancy-Class(es) N e � Contra u (`-N Poo ( 5 • - ctor � Type('s) of,Construction Prier to permit Mailing Address Suite issuance, a copy . .I = Will this project:have:a Fire Suppression System? of all licenses I `C . OV4) Yes NO are required if Ci State Zip - Phone expired in C.O.r, Q f Americans with Disabilities Act(ADA) . database (J" !/ . �23 / -V5CY Valuation X 25% - $ Participation Oregon Const. Cont . Board Li .# Exp. Date Complete A ccessibility Form 3 q -) ?- $ -q $ Project $ q c Q, �4 0! - N e Valuation Architect UL �8 � P Required: See Matrix for number of sets to submit ohc Mailing Address • v Suite / - on back City/State Zip •Phone .; - Thereby acknowledge, that I have read this application, that the•inforrnation ), given. is correct, that I am the owner or authorized agent of the owner, and , , -9 _ that plans submitted are in compliance Oregon State Laws, Engineer Name e with • �W I, 04 ignatur of O /Agent Date , Mailing Address Suite 0�..� Conta•i• -rsonNam - Phone • City/ ate � r Zip Phone / tl i � ° 7 `f ' c91 22( 78 1 _ 1 FOR OFFICE USE ONLY j' Indicate type of work: NewX Addition 0 Demolition 0 Map/rL# / Land Use -�. • - -- • Accessory Structure 1,0 Foundation Only 0 Alteration 0 ! (SL `S . Repair-0 L Other O , Notes: Description of;work:' `/gyp : = 1 `i2. -... y S l �7 1 � .: � ; - 1 � �q - - - - 1 r � - OU l rh IV) � V. q 400' ( , e ir � r - iKt z /�:d� /' 1 "407%{ Y ` !" r /t '�%�°� ' .. 1 o ` z I Parks: Estimated # of Employees' , Note: 'Site Work Permit Application must precede or accompany Building - . . , Permit Applic , "' IAC (DST) 8/97 . 6 • COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1- -- -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -= 3 (j,o,w). -- -- F (New or Add or Alt.) 3 3 -- . -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- - -- P (New, Add. or Alt) 2 -- 2 -- -- 2(j,o) -- B & M & P (New or Add.) • 2 1 1 -- 3 (j,o,w) '20,o) -- E (New, Add, or Alt) 2 -- -- 2 -- -- 2(j,o) • B &..M P& E (New, Add) 3 1 1 . 1 3 (j,o,w) 2(j,o)- . 2 (j,o) t " :. B':: (:.':;:::.:: .t:...'.:.. <.RB:::: i2 : j: : : : i' { :::Iaz.•��:' :::::::::: ::::::ii:: {o..�..:.'::ii::i si�:::::::::::`is� .•:: ?!• ': { 'NOTES: KEY: - a. Before returning to DST, Plans examiner gets appropriate , j = Job B = BUP number of revised plans from applicant, stamps and completes, ' o = Office . M MEC updates and 'acids actions. - f =Fire P = PLM u =USA E =ELC w Wash. County F = FPS .......... ........ c. FPS is a new permit category set aside for fire sprinklers and fire alarms: d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of . approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h:lmaVic. Doc i 01/12/2000 Activities for Case #: BUP97 -00569 3:03:08 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes BUPA005 Application received 12/29/1997 GEO RECD GEO 12/30/1997 BUPA010 Permit created 12/30/1997 GEO PASS GEO 12/30/1997 BUPA020 Check for prcl. restrict. 12/30/1997 GEO PASS GEO 12/30/1997 BUPA030 Plans routed to Plans Examiner 12/30/1997 GEO PASS GEO 12/30/1997 BUPA050 Approved plans routed to DSTs 12/31/1997 RDP APPR RDP 12/31/1997 BUPA055 DST Post- Review Completed 12/31/1997 B DONE BON 12/31/1997 BUPC792 Misc. Inspection 12/31/1997 02/19/1998 KS PASS J *H 02/23/1998 Reinforcing steel at pool approved as electrical bonding (grounding) approved by BRP. • BUPC792 Misc. Inspection 12/31/1997 J *H 01/15/1998 Electrical Bonding - BY SEPARATE ELC PERMIT. BUPC792 Misc. Inspection 12/31/1997 RDP 12/31/1997 Barriers BUPC802 Final Inspection 12/31/1997 01/10/2000 RB PASS AKJ 01/10/2000 BUPC090 (F) Ready to issue 12/31/1997 B PASS BON 12/31/1997 BUPC100 (F) Issue permit 01/02/1998 B PASS DST 01/02/1998 BUPA950 Case Finaled 01/10/2000 AKJ DONE No Hold AKJ 01/10/2000 • Page 1 of 1 ;. ` 4 't.. _ OF TIGARD BUILDING INSPECTION DIVISION 4201r -103 nspection Line: 639 -4175 Business Line: 639 -4171 x) 97- d0C6FP Date Requested 0 0 /Go AM PM BLD Location 12 7'1 vc..� �� -c--+' .2..A.A.--- Suite ,(!f_9 Do K7® Contact Person Ph PLM Contra � ,--- Ph SWR , , , ' '.<'' 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 V � Framing �" 1 L / Cl �% �j ��' " ��) Insulation � c a S ^ --c )� --� , t Drywall Nailing �Jil ; Fire wall ` i� Z 1 / 1N\ �_�— Fire Sprinkler Fire Alarm Susp'd Ceiling ■-. j - ` imp 0 Roof \' , r": ,, final I f ,__ 7 �, 4 /9y `AS', PART FAIL �' ©� `� 7 . INC ;(� X a, &S L e Post r Slab `v C . (� /'�, 1 � C--e_ - e- , S Under Slab C� Top Out n ` � Water Service )_R-Nr 't-- ^ ' LAA-CL__' LA- ---• C sz..,e_ Sanitary Sewer mss__ ��T 0 Rain Drains � 7t-"k/ 1 Final PASS P T FAIL V\'l---/ ■_ CA `- V v CHaN `'' • it: Beam Gas •• • e Dampers 1 i0. ` . PA V v \ PART FAIL 1 ∎ k;..� (''S V1- s v, S f ` A 1 1L RICAL /1 /�.5 Service `-.rte v) v 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: N [ ] Unable to inspect - no access ADA C� Other Approach /Sidewalk )/2 ��Date L Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.