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Permit , .. CITY OF T MASTER PERMIT hoot � �> i , DEVELOPMENT SERVICES PERMIT # . MST99 -0092 ,'' 1 3125 SW Hall Blvd., Tigard, OR 97223(503) 639 -4171 DATE ISSUED: 03 / 19 / 99 PARCEL: 2S114BC -03200 SITE ADDRESS... : 1 0238 SW RIVERWOOD LN SUBDIVISION - RIVERVIEW ESTATES NO. 2 ZONING: R - PD BLOCK LOT... — . ...... :069 JURISDICTION: TIG Remarks: Add bedrm and bath to an existing single family dwelling. 3 X -- --------- --- - BUILDING ---- -- — REISSUE: STORIES : 1 FLOOR AREAS---- --- --- BASEMENT...: 0 4 QUIRED SETBACKS - -- REQUIRED------- - -- CLASS OF WORK.:ADD HEIGHT : 12 FIRST • +m sf GARAGE • 0 sf LEFT : 0 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 0 sf FRONT • 30 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 8 OCCUPANCY GRP.:R3 BDRM: 1 BATH: 1 TOTAL - -: 300 sf VALUE..$: 20892 REAR • 39 PLUMBING - — -- - - -- SINKS • 0 WATER CLOSETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES • 1 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 _______________ — _____-- _______— ___w____—__— MECHANICAL _____ — -------- — ----- --------------- _— FUEL TYPES- -- - - - - -- FURN (100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS • 1 CLOTHES DRYERS: 0 GAS FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 2 WOODSTOYES • 0 GAS OUTLETS...: 0 -------------------------- ----------------------------- ELECTRICAL -------------- ' --------- --------- -- --- ------ ---- ----- ---- --RESIDENTIAL UNIT— -- SERVICE /FEEDER -- —TEMP SRVC /FEEDERS— -- BRANCH CIRCUITS— --- MISCELLANEOUS ---- - -ADD'L INSPECTIONS - 1''. SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 4i'• amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 - EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT : 0 MANF HM /SVC /FDR: 0 601 - 1m amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0 1m0+ amp /volt.: 0 - - ----- - -------- --- PLAN REVIEW SECTION ' - - - - - -- Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: 1 606 V NOMINAL: CLS AREA /SPC OCC: ______--- --- ___-- ____ - -_ -- - -- ELECTRICAL - RESTRICTED ENERGY --- --- - -- ----- - - - - ----- - - - -- A. SF RESIDENTIAL ---- - B. COMMERCIAL ---- -- - - - - -- ----- & 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: 0 Owner: --- - -- - - - - -- Contractor: - - - - - -- ----------- TOTAL FEES:$ 417.16 TRACY TIETZ, LAURA ROYAL REMODELING RESOURCES INC This permit is subject to the regulations contained in the 10238 SW RIVEWOOD LANE PO BOX 230805 Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97224 TIGARD OR 97281 -0805 . , other applicable laws. All work will be done in accordance ' with approved plans. This permit will expire if work is Phone #: Phone #: 684 -7873 not started within 180 days of issuance, or if the work is Reg #..: 90746 suspended for more than 180 days. ATTENTION: Oregon law - ------------- _w____________-------------------- _ 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 -Y.:0. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. - - _ - ----- ---- _ ------------------- REQUIRED INSPECTIONS -- - - ---- --- _--- -- —__ -- Footing Insp PLM/Underfloor Framing Insp Mechanical Final Foundation Insp Mechanical Insp Low Voltage Plumb Final • Post /Beam Struct Plumb Top Out Insulation Insp Building Final Post /Beam Meehan Electrical Servi Rain drain Insp Crawl Drain /Back Electrical Rough Electrical Final .) A ' " Issued B _ g i Al 1 y: / �.i►i��L�� Fer Si gnat ` + + + + + + + + + + ++ ++ + + + + + + + + + ++ ++++++-++++++++++++++++++++++++++++++-I-++'+++++1- ' Call 639 -4175 by 7:00 p.m.. for an inspection needed the next business day /CITY OF TIGARD Residential Building Permit Application Plan Chec 13125 SW HALL BLVD. Additions or Alterations Recd By1 Date Recd 'J 1 q 1. q 1 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E,$- t 94- 4-- V 503 - 6394171 Date to DST • F 503 - 684 -7297 PQ-- Permit # Print or Type Called 3 Incomplete or illegible applications will not be accepted g•wf�4 Gc, - V/' /1~l,s9q Name of Project Name Job -n5-7'2- ..44719.471,-..ti ra Address Site Address �Q� test -' Mailing Address !OZ - Sl^! ei,/c.2��.fl LA. 5.041 �o ^fT �'f • Name City /State Zip Phone 1- 1,L)121 /� -y' 1 f'� - 1. 02. `�12 ZO . 246.-7(1 1 Owner Mailing Address - Name City /State Zip Phone Engineer Mailing Address T44.- 22A z 184°l ib.. General Name 4 City /State Zip Phone Contractor �ts.l_ 2E: Ac j! t-. . Describe work New 0 Addition`R` Alteration 0 Repair 0 Mailing.Address to be done: Prior to permit 2p ejl• 2• Additional Description of Work: issuance, a copy City /State Zip Phone /901> &A CM '4-77/ P5 E`NSi /fig- S F.D• of all licenses "1 g f Z.C( ,GS(1 are required if Oregon Const. Cont. Board Exp. Date PROJECT p expired database OT Lic.# O 9071 .46a 5 - 00 VALUATION $ 2 � D a z. Mechanical Name NEW CONSTRUCTION ONLY: Sub- Vol - 4 ikc-71 --Ft- / Sq. Ft. Garage Contractor Mailing Address ,�[ Prior to permit 'Pa 1 , 1 . 12-244- Indicate the restricted energy installation by the electrical . issuance, a copy City/State Zip Phone subcontractor in the following areas of all licenses GAw( g7D13 Z1.4-124°) Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation database ) 400 8 9 - o0 System _ System Plumbing Name (check all that Other: Sub- R&-yi er42-, apply) • Contractor Mailing Address Corner Lot YES - NO Flag Lot YES N� p C� (check one) t � (check one) I 7 O G I Has the Subdivision Plat recorded? .N /A YE$/ NO Prior to permit City /State Zip Phone // issuance, a copy -r„L+l1, - 06 647Z-459 of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# G expired in COT 87g 5z. 12. - 9 -1 I hearby acknowledge that I have read this application, that the database Plumbing Lic. # Exp. ate information given is correct, that I am the owner or authorized agent 3 , of the owner, and that plans submitted are in compliance with 34- 16 re I - O 0 Oregon State laws. Name Sign ire of at er/ ent 2.- te� 7 ��9 Electrical �-(E -•e .- L . Sub- Mailing Address Con act Person Name Phone # Contractor LASzil 6t-1 (s-t&e -,,.I,la --r 44/ O � L ?--, -/-' (G �Erv1 p L /� c / r [1( ✓ _ - City /State Zip Phone L viI° 773 F 'Plil- j Lt- Prior to permit issuance, a copy - 1;11p,RT FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Ma /TL #: required if Lic.# , ,r `� t., 0 0 5/�7 ©a expired in COT ��I(/ 5/NBC - 6 3a- database Electrical Lic. # Exp. Date Seta s: Zone: Solar: 3A - I 10 -99 ;O ,c, - h/ g- 7 �p.> ,0 Electrical Supervisor Lic. # Exp. Date pgin ring Approval: ring TIF: 4024 5 10 - 01 Vp • K 6Juc /g p e t;Z � , 5-i -q7 G is \dsts \forms\sfaddalt.doc 11/20%98 6/9/00 Activities for Case #: MST99 -00092 4:17:00 PM 4 0:40 :4 ,. . Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes 4 7: MSTA005 Application received 3/9/99 BON RECD GEO 3/9/99 MSTA008 Permit Created 3/9/09 GEO DONE GEO 3/9/99 MSTA010 Check for prcl. restrict. 3/9/99 GEO DONE GEO 3/9/99 Doris Michael in Planning, oked setbacks for the addition on this lot within a planned development. MSTA012 Plans routed to Plans Examiner 3/9/99 GEO SENT GEO 3/9/99 MSTA026 Plans approved by Pln Examiner 3/11/99 RT PASS BT2 3/11/99 MSTA030 Reviewed plans routed to DSTS 3/11/99 RT PASS BT2 3/11/99 MSTA032 DST Post - Review Completed 3/12/99 GEO DONE GEO 3/12/99 MSTA155 Development conditions met GEO 3/12/99 MSTA705 Footing lnsp 3/31/99 RC PASS AKJ 3/31/99 MSTA706 Foundation Insp 4/5/99 AKJ DONE AKJ 4/5/99 Passed WDJ MSTA710 Post/Beam Structural 4/12/99 TLP PASS AKJ 4/12/99 MSTA711 Post/Beam Mechanical 4/12/99 TLP PASS AKJ 4/12/99 MSTA713 Crawl Drain /Backwater valve GEO 3/9/99 MSTA717 PLM /Underfloor 4/12/99 TLP PASS AKJ 4/12/99 MSTA720 Mechanical lnsp GEO 3/9/99 MSTA722 Plumb Top Out 4/29/99 TLP • PASS AKJ 5/2/99 MSTA723 Electrical Service GEO 3/9/99 MSTA724 Electrical Rough In 4/29/99 BRP PASS AKJ 4/29/99 MSTA725 Framing lnsp 4/29/99 KS PASS AKJ 5/2/99 1) Need elec cover app 2) Support under hips 3) Block ceilings at susp ceiling 4) Connect exhaust fans MSTA728 Low Voltage GEO 3/9/99 MSTA740 Insulation lnsp 4/30/99 WDJ PASS AKJ 5/2/99 MSTA752 Rain drain lnsp GEO 3/9/99 MSTA790 Electrical Final GEO 3/9/99 MSTA795 Mechanical Final GEO 3/9/99 MSTA797 Plumb Final GEO 3/9/99 MSTA799 Building Final GEO 3/9/99 MSTA080 (F) Ready to issue 3/12/99 GEO PASS GEO 3/12/99 MSTA092 (F) Issue combination permit 3/19/99 DLH DONE DST 3/19/99 Page 1 of 2 6/9/00 Activities for Case #: MST99 -00092 4:17:00 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA095 Issue plumbing signature form 3/29/99 VLN RECD VLN 3/29/99 MSTA097 Issue electric signature form 4/1/99 JMT RECD JT 4/1/99 MSTA945 Request inspection research 5/19/00 ST DONE No Hold ST 5/19/00 MSTA1 53 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00 card sent to contractor Page 2 of 2