Permit CITY OF TIGARD MASTER PERMIT
'inn - t . DEVELOPMENT SERVICES PERMIT # • MST7 -0558
MU VI) DATE ISSUED: 01/05198 8
to■ °__.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S104DB -03200
SITE ADDRESS...0.3000_ - SWROCKI,NGHAM HDR
SUBDIVISION - AMESBURY HEIGHTS ZONING: R -4.5
BLOCK LOT °032 JURISDICTION: TIG
Remarks: SF - Path 1
- - -- - ------ - - ---- BUILDING - — ---- -- -- - - - - --
REISSUE: STORIES • 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED------- -
: W _
CLASS OF WORK. ) HEIGHT • 14 FIRST • 2140 sf GARAGE • S08 sf LEFT • 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf . FRONT • 20 PARKING SPACES: 2
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 5
OCCUPANCY 6RE.:R3 BORN: 4 BATH: 2 TOTAL- ---- -: 2140 sf VALUE..$: 153915 REAR • 15
- ----------- ----- ---- -- -- PLUMBING -- - - - - -- - -- - - - --
SINKS : 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS • 0
LAVATORIES • 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1 SF RAIN DRAINS: 2 CATCH BASINS..: 0
TUB /SHOWERS...: 4 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1,.4 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- -------- --------- ------------------------------ MECHANICAL -- -- - - --
FUEL TYPES- --- - -- FURN (100K,. -: 0 BOIL /CMP ( 3HP: 0 VENT FANS -• 2 CLOTHES DRYERS: 1
GAS FURN )=1 ..: 1 UNIT HEATERS..: 0 HOODS : 0 OTHER UNITS...: 1
MAX INP.: 250000 BTU FLOOR FURNACES: 0 VENTS • 1 WOODSTOVES : 1 GAS. OUTLETS...: 1
- ------------------------------------------- - - -- ELECTRICAL --------------- --
- -RESIDENTIAL UNIT — -- SERVICE /FEEDER— —TEMP SRVC /FEEDERS— -- BRANCH CIRCUITS— - --- MISCELLANEOUS— — ADD'L INSPECTIONS- -
liirr, SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 4 201 - 4, amp..: 0 201 --4 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 6 „ alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PALL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1' , amp.: 0 ' 601 +amps- 1mY 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 OCC:
- - -- ----- ELECTRICAL - RESTRICTED ENERGY — --- ---- -- ----
A. SF RESIDENTIAL— - - - ---------------- B. COMMERCIAL -- ------------------------ --- -- - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM..: OTH:X .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION MEDICAL OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS TOTAL 0 SYSTEMS: 0
Owner: -----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 5008.00
DALTON CONSTRUCTION INC DALTON CONSTRUCTION INC This permit is subject to the regulations contained in the
8465 -A SW HEMLOCK ST 8465 -A SW HEMLOCK ST Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223' TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 0: 452 -0969 Phone 0: 452 -0969 not started within 180 days of issuance, or if the work is
Reg 0..: 000677 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 -,x,10 through OAR-952- 001 - You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
- _— _— ____ -- - - ---- -- REQUIRED INSPECTIONS -- - - - - -- - - -- - -- --- -
Erosion Control Crawl Drain /Back Electrical Rough Gas Line Insp Water Service In Building Final
Footing Insp PLM /Underfloor Framing Insp • Insulation Insp Appr /Sdwlk Insp
Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final
Post /Beam Struct Plumb Top Out Low Voltage Rain drain Insp Mechanical Final
Post /Beam Meehan Ele ,r ,? Serv' Fireplace Insp Water Line Insp Plumb Final
f,; It
Issued By: /�,, ���/ .Z Permitte,e Signatur -et ^ � , MI 1_�.[ ,,_.
+ + + + + + + - -- ++ + + + + + + ++ +++++++++--±+++++++++++++++++++ -!7 + + + + + + + + + ++
Call 639 -4175 by 7:0, p.m. for an inspection needed the next business day
Plan Chec /c2 564 •
. CITY OF TIGARD Residential Building Permit Application . Rec'd By .4h.
13125 SW 1"IALL BLVD. New Construction Additions or Alterations Date Reed ,/4 -th -9 7
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. L 7'71
V 503 - 639 -4171 Date to DST m! ®z J 0
F 503- 684 -7297 Permit # M ?T 17 "O
Print or Type Called I'Z'RX •. 7-.
Incomplete or illegible applications will not be accepted 00
Name of Project Name
Job Amesbury Heights Lot 32 MS W i rir-h
Architect Mailing Address
Address S ite Address
4351 NE 65th Ave.
13000 SW Rockingham Dr. City /State Zip Phone
Name Portland OR 97218 284 -6570
Dalton Construction, Inc. Name
Owner Mailing Address
8465 -A SW Hemlock St. C:nnlee Engineers
City /State Zip Phone Engineer M Blvd.
Tigard OR 97223 452 -0969 City /State Zip Phone
General Name
D alton Construction Inc. Pnri OR 97219 244 -0579
Contractor D escribe work New R Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit 8465 — SW Hemlock St. Additional Description of Work:
issuance, a copy City /State Zip Phone
of all licenses Tigard OR 97223 452 - 0969
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# 67798 7- 5- 9 8 VALUATION $
153,915.44
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- KenTec Heating Contractor Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address 2140 608
Prior to permit P • O.. ' .Box 233 Corner Lot YES NO Flag Lot YES NO
issuance, a copy City /State Zip Phone (check one) X (check one) X
of all licenses Wondht t rn OR 97071982 Restricted Audio /Stereo X Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm
expired ataba
database Lic.# 63621 2 - 9 - 9 8 Installation Garage Door X HVAC
Plumbing Name X Opener Systems
Sub- J &R Plumbing (check all that Other:
Contractor Mailing Address apply
3430 SW 209th Ave . Will the electrical subcontractor wire for all YES NO
restricted energy installations?
Prior to permit City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy Aloha OR 970 642 -7776
of all licenses are Oregon Const. Cont. Board Exp. Date X
required if Lic.# Reissue of MST #: Solar Compliance
expired in COT 72680 3- 2 8- 9 8 (Calculation Attached)
database Plumbing Lic. # . Exp. Date I hearby acknowledge that I have read this application, that the
3421 4 P B 4 information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Electrical Evans Electric, Inc. Sig atureo. er /Ag -. t - Date
Sub- Mailing Address )( �(� A= ,..J6'. , _ 12-16-97
Contractor 11867 S.W. Wilton Ave. C•ntactPgrsonName Phone #
City /State Zip Phone
L e t � � 452 -0969
Prior to permit FOR OFFICE USE ONLY:
issuance, a copy Ti OR 97223 968-3157
Py Plat #: Map/TL #:
of all licenses are Oregon Const. Cont. Board Exp. Date 110 - )(2 I I 2 I I ✓2o
required if Lic.# ' J
expired in COT 01 0 4 8 9 6 3-6-98 Setback / Zone: �Syoylpa�r
database Electrical Lic. # Exp. Date �� _ "' "
y E � n e e i / ring Plannkn Approval: TIF:
34 -405C 10-1-98 P eering . a jU
qiilq7
I:SFREM.DOC (DST) 4/97
Page No. 1 CASE HISTORY FOR CASE NO.: MST97 -0558
DALTON CONSTRUCTION INC
13000 SW ROCKINGHAM DR
'09/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA005 Application received / / / / 12/16/97 RECD PRA 12/17/97 BON
MSTA008 Permit Created / / / / 12/17/97 DONE B 12/17/97 BON
MSTA010 Check for prcl. restrict. / / / / 12/17/97 PASS B 12/17/97 BON
MSTA012 Plans routed to Plans Examiner / / / / 12/17/97 SENT B 12/17/97 BON
MSTA030 Reviewed plans routed to DSTS / / / / 01/02/98 APPR RDP 01/02/98 RDP
MSTA032 DST Post - Review Completed / / / / 01/02/98 DONE B 01/02/98 BON
MSTA080 (F) Ready to issue / / / / 01/02/98 PASS B 01/02/98 BON
MSTA092 (F) Issue combination permit / / / / 01/05/98 PASS GEO 01/05/98 DST
MSTA095 Issue plumbing signature form / / / / 02/11/98 RECD JMT 02/11/98 JT
MSTA097 Issue electric signature form / / / / 02/04/98 RECD JMT 02/04/98 JT
MSTA155 Development conditions met / / / / / / 12/17/97 BON
MSTA700 Erosion Control Insp 844 -8444 / / / / / / 12/17/97 BON
MSTA705 Footing Insp / / / / 01/06/98 PASS RC 01/06/98 J *H
MSTA706 Foundation Insp / / / / 01/06/98 PASS RC 01/06/98 J *H
MSTA710 Post /Beam Structural / / / / 01/20/98 PASS GS 01/21/98 J *H
MSTA711 Post /Beam Mechanical / / / / 01/20/98 Insulate underfloor portion of supply PASS GS 01/21/98 J *H
plenum.
MSTA713 Crawl Drain /Backwater valve / / / / 01/20/98 Used PB underfloor date for approval of PASS MS 05/26/98 J *H
crawl, per Hap.
MSTA717 PLM /Underfloor / / / / 01/20/98 PASS MS 01/21/98 MRS
MSTA720 Mechanical Insp / / / / 03/09/98 Okay to insulate, call for reinspection: FAIL KS 03/10/98 J *H
1. Dryer venting exceeds allowable
limits.
2. Secure FS paper behind fireplace,
also attach fireplace. See framing
inspection report this date.
MSTA720 Mechanical Insp / / / / 03/13/98 PASS RB 03/13/98 RB
MSTA722 Plumb Top Out / / / / 02/23/98 Wilmer A. /LP2A approved. PASS LPA 02/25/98 J *H
MSTA723 Electrical Service / / / / 03/06/98 PASS BRP 03/09/98 J *H
MSTA724 Electrical Rough In / / / / 03/05/98 No signature label at panel. PASS BRP 03/05/98 J *H
MSTA724 Electrical Rough In / / / / 03/06/98 low voltage also OK PASS BRP 03/09/98 J *H
MSTA725 Framing Insp / / / / 03/12/98 Corrections not done, third inspection FAIL KS 03/12/98 J *H
request. No further inspections until
reinspection fee paid. $15.00 assessed.
Page No. 2 CASE HISTORY FOR CASE NO.: MST97 -0558
DALTON CONSTRUCTION INC
13000 SW ROCKINGHAM DR
09/02/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA725 Framing Insp / / / / 03/09/98 1. Provide attic access at garage. FAIL KS 03/10/98 J *H
2. Eave baffles not installed.
3. Secure fs paper behind fireplace also
attach fireplace.
4. Dryer vent exceeds allowable limits.
5. Provide engineering at over -angle cut
at triple microlams at garage. OK to
attached engineer (detail).
6. Gas piping pt test 20 psi, tage
59038.
MSTA725 Framing Insp / / / / 03/11/98 Provide prior framing card on site. FAIL KS 03/11/98 J *H
Cardboard eave baffles need to be
approved type (weather resistant).
MSTA725 Framing Insp / / / / 03/13/98 PASS RB 03/13/98 RB
MSTA726 Shear Wall Insp / / / / 02/18/98 Approved as noted: PASS KS 02/18/98 J *H
1. Install MST #36 - Strap rafter to
double plates at master bath. Check at
framing.
MSTA728 Low Voltage / / / / / / 12/17/97 BON
MSTA735 Gas Line Insp / / / / 03/09/98 20 psi for 15 mins., tag 59038 PASS KS 03/10/98 J *H
MSTA740 Insulation Insp / / / / 03/13/98 glazing units at master tub & kivingroom PEND RB 03/13/98 RB
bay- U -value .51
MSTA745 Gyp Board Insp / / / / 03/17/98 Approved as noted: Finish nailing PASS RC 03/17/98 J *H
ceiling in main entry.
MSTA755 Rain drain Insp / / / / 01/14/98 PASS MS 01/14/98 MRS
MSTA760 Water Line Insp / / / / 01/14/98 PASS MS 01/14/98 MRS
MSTA765 Appr /Sdwlk Insp / / / / 04/21/98 PASS MH 04/22/98 J *H
MSTA780 «REINSPECTION» / / / / 03/12/98 Per Jean H, Ken requested reinspection PAID DEB 03/12/98 J *H
fee to be paid for framing. Paid
$15.00, receipt #98- 304063, by Dalton
Construction on 3- 12 -98.
MSTA790 Electrical Final / / / / 05/19/98 WP cover plate at front for vertical PASS BRP 05/20/98 J *H
mount recept. same for rear.
Recept and cords under cook top subject
to physical damage.
Approved with the above fro record.
MSTA795 Mechanical Final / / / / 06/12/98 See bldg final this date FAIL KS 06/24/98 J *H
Page No. 3 CASE HISTORY FOR CASE NO.: MST97 -0558
DALTON CONSTRUCTION INC
13000 SW ROCKINGHAM DR
'09/02/98
t
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA795 Mechanical Final / / / / 08/05/98 bldg final list 6 -23 -98 not complete FAIL KS 08/06/98 J *H
MSTA795 Mechanical Final / / / / 08/28/98 PASS KS 08/28/98 J *H
MSTA797 Plumb Final / / / / 05/19/98 PASS MS 05/22/98 J *H
MSTA799 Building Final / / / / 06/23/98 Mech /Bldg: FAIL KS 06/24/98 J *H
1. USA
2. Insulation Cert.
3. Gas Piping support
4. Strap Gas Piping
5. Fireplace not functional
6. Range exhaust area well.
7. Stepping variance (garage).
8. Insul. plenum
9. Heat duct not connected in crawl.
10. Drain standing water.
11. Remove wood debris from crawl.
12. Recover vapor barrier as needed.
13. Repair fndn screen
14. Seal around penetrations at
exterior.
15. Slope finish grade away from
structure at sides and rear.
MSTA799 Building Final / / / / 08/05/98 bldg final correction list 6 -23 -98 not FAIL KS 08/06/98 J *H
complete
MSTA799 Building Final / / / / 08/28/98 PASS KS 08/28/98 J *H
MSTA960 (F) Issue Cert. of Occupancy / / / / 08/28/98 09/02/98 JT
CITY OF TIGARD BUILDING INSPECTION DIVISION ' q7 --0558
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
MST
/qZq BUD
Date Requested O ' p � — l � AM PM gLp
Location 13000 � 3CO I Q nn_, _ Suite p MEC
Contact Person het ttAt ri_. /e) Ph 5Jq 253 S PLM
Contractor Ph SWR
-, ,•,:. Tenant/Owner ELC
Retaining Wall ELR
Footing Access: �
Foundation L�80 x : ! A V E W FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam 5 _Imo.
Im01 - 4 3 /13
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
r F nal
PART FAIL
PLUMBING ` (!')¢ ; : e
Post &'Beam
Under Slab
Top Out I., ' ��
Water Service ' ' {
Sanitary Sewe f / 1 N" y
Rain Drains O f,A.
Final I
PASS ART FAIL
ECHANICA , :! ,3 7
Post - Beam —
Rough In
Gas Line
Smoke Dampers
- Final
S 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 p
Date 8'27 In ector , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .