Permit MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST2000 -00007
I�I�, DEVELOPMENT HO BMENg Tigard, ) 639 - 4171 DATE ISSUED: 01/18/2000
SITE ADDRESS: 09980 SW RIVERWOOD LN • PARCEL: 2S114BD -00800
SUBDIVISION: PICKS LANDING ZONING: R - 4.5
BLOCK: LOT: 069 JURISDICTION: TIG
REMARKS: Interior remodel - No increase in floor area
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 25,000.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR:
PLUMBING
SINKS: 0 WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: _
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 2 CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 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+ amp /volt :
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: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 853.73
This permit is subject to the regulations contained in the
PETRUZELLI, STEPHEN J AND ROBS HOME IMPROVEMENT CO Tigard Municipal 'Code, State of OR. Specialty Codes and
DOLORES A 12354 SW 131ST AVE all other applicable laws. All work will be done in
9980 SW RIVERWOOD LANE TIGARD, OR 97223 accordance with approved plans. This permit will expire if
TIGARD, OR 97223 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 79617 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
Mechanical Insp Gyp Board Insp
Plumb Top Out Building Final
Electrical Rough In ORIGINAL
Framing Insp
Insulation Insp .
Issued By : `� 41 / ' /,' " - Permittee Signature;/► 1 ' / � A i , .
Call (503) 639-4174 1 7:00 p.m. for an inspection needed the next busine day iii
CIT TIGARD Residential Building Permit Application PlanChesk � -)°1 e Recd By A )01").
1'3125 SW HALL BLVD. Alteration - Interior Only Date Rec'd /a't - 30 -1,9
TIGARD, OR 97223 Single Family Detached or, Attached (Duplex) Date to P.E. / -' -CV
V 503 -639 -4171 - �
Date to DST 'OS'
F 503 -6$4 -7297 Permit # M - 06e0 7
Print or Type Called / - /1 -- 2 el6 O
Incomplete or illegible applications will not be accepted
Name of Project Name
Job Pi1 CR t13e VErVoc , t (74iEc5i saMi
Address Site Address Architect Mailing Address
99`tb 5.k.0 •RlWV4 ut4 • .
Name City /State Zip Phone
• `.5\ 3 `k D��fi.? HAV-V�W..\ Name •
Owner Mailin Address
• `1(-\ 5 W .9-1VER42,00st 1.1 ,
• City /State Zip 1 Phone g E n ineer Mailing Address
22AAAA��
1 \rVA.3) 91223 ; 5W1 • ` City /State Zip Phone
General Name •
Contractor :3S- \O& miRgi c,tt• \E - c (`) Describe work New 0 Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit \29 ¶ . 1V,71 kw.. Additional Desq Dn of Work: /D 0 /
issuance, a copy City /State Zip Phone �f tt l` 7
of all licenses T, .4 74jt Op_ « 1Z2 ' 5nr 119
are required if Oregon Const. Cont. Board Exp. Date I �o .l PROJECT O D
expired in COT Lic.# VALUATION $ 5 )
database ,�o\� y.
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- - Ata ,5 11,Me 1 WV Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit 474 - Of.... H ( l.,k)Ffi(,t.l`,( AO c.. Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas
of all licenses pb 4 k_,97ap ? - �Z 35 / -7 D3
T'L f Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
• expired in COT Lic.# /4 i /_9)_� Installations Vacuum Irrigation
database . t System System
Plumbing Name _ (check all that Other:
Sub - Pac>JF 7.._ P1s:∎InVi - 1 ‘ OQ _ apply)
Contractor ailing Address Corner Lot YES NO Flag Lot YES NO
13 I 7 fl `C (check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State-rto, Zip Phone
issuance, a copy ‘ 4 4 3 4 4 , 0 4 : ) . M . 97,gt -/ 2M-- VI op Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.#
expired in COT 5a 37
/ 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
�,/ ��g. 50 -Gb of the owner, and that plans submitted are in compliance with
�j i' Ore • on Sate laws.
Name �► tt
Electrical k.Q. CV-VIP-AC.. , %IOC- > Ifi�► Per Sub- Mailing Address, �'m Contact Per o,Name Ph•ne # AA2�
Contractor f do 1:41'tf\VINfl �. 4- p OFFICE USE O N L Y , : • , — 0�`e`J
City /State Zip Phone r.+(p6 f M ap/TL #:
Prior to permit Plat #: rc f / r 5 a 5 J/ V � _ q°
issuance, a copy MC 1 C-Vi ) pp_ , 2.32 `bc5b I/ K f>G
of all licenses are Oregon Const. Cont. Board Exp. Date Setbacks one: Q _� Solar:: ', di
required if Lic.# A �l /` 1 v
. expired in COT r �S GO/ S ,P 6C) EngiAe ing Approval: Plannipp royal: TIF:0 ,r(
database Electrical Lic. #
e--- Exp. % to n A up 1\i
`� N f tiv
Electrical ,9upSrvisor Lic. # Exp. Date I / ?6 ' 77
q , 2i . , 2 / F04 , 74 C , - 6c( PPOO i:forms\sfintalt.doc (DST) 10/23/98
CITY OF TIGARD BUILDING INSPECTION DIVISION 7DM - 600G7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested . 2 XD AM PM BLD
Location ( 1 lo 011 v j k_)0 1 Suite MEC
- Contact Person te
1 Ph % -! V -62/t-i3 PLM
Contractor Ph SWR
UILDI Q 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
Mi
4(1' -ART FAIL
BING
Post : Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains -
a PART FAIL
* ,D
Post & Beam
Rough In
Gas Line
Smoke Dampers
•
PART FAIL
EL 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 Date a 516
Other Inspector , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION ' 2-000 —00007
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2 l 7/00 AM PM BLD
Location C �1 ,G f
h 0 a � �� ? / ( ,^ j)c� (-4A-Suite MEC
Contact Person A `z Ph 2 2'g &SG PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ✓ Y�
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
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
EtECMT
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
k in
SS ART FAIL
SI
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 l , ' 6 0 Inspector A Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.