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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2000 -00204 A li , -DEVELOPMENT SERVICES DATE ISSUED: 7/10/00 I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09620 SW SHADY PL PARCEL: 1S125DB -10200 SUBDIVISION: THE RAZBERRY PATCH ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: changing entry way BUILDING REISSUE: STORIES: 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: $ 2,100.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0.00 sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 0 CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 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: 0 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SI GN /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: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: - DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 183.00 This permit is subject to the regulations contained in the DAVID MURCHE DANIEL L. OSMON Tigard Municipal Code, State of OR. Specialty Codes and 9620 SW SHADY PL 17801 SE HWY 224 all other applicable laws. All work will be done in TIGARD, OR 97223 CLACKAMAS, OR 97015 accordance with approved plans. This permit will expire if 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 108566 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 Footing lnsp Electrical Final Electrical Service Final inspection Electrical Rough In _ Framing lnsp . Insulation lnsp I" r \ Issued B Y Permittee Signature : �Y' �� Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . Plan Check # 7 -7/ /e CITY OF _TIGARD Residential Building Permit Application Recd By / T 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 6 -, 4, -cO' TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 6/23 a7) `/ V 503- 639 -4171 Date to DST -2 -6 a F 503- 684 -7297 /`7 Permit # MST„ 2D -rn Do Print or Type Called 7'7 -4o s. p Vrt-t Incomplete or illegible applications will not be accepted 52.-A .fr -rte Name of Project Name • Job Muzet /X Architect Mailing Address Site A ddress Address , 9 cm, 7 6 Ss w- ,S ii w" )/ P1 City/State Zip Phone Name 0)3„k.:3. , �1 tjv 1-0-- Name Owner Mailing Address 6 11, U S•Ltl Si11 f f 9 City/State Zip Phone Engineer Mailing Address 1 k ► „-- o(( `11,223_ "/5 -1 -11J General Name City/State Zip Phone DiG-L L . OSr Contractor �� 05 yvtp„� �pS: c ,iA d f��^o 94 Describe work New 0 Addition Alteration Repair 0 Mailing Address to be done: Prior to permit 1`7 Bo/ S 4ta y . D-D-(1 Additional Description of Work: issuance, a copy City/Stat acJ�,.44 - Zip 1 ” Phone .47/7 To f5FiA •R' E/D � e - ct of all licenses ryrv- 0 9`701 S -Sin (D SS are required if Oregon nst. Cont. Board Exp. jOate, PROJECT expired in COT Lic.# / go 1 -'' ' VALUATION $ � � U' < database 9 % of o I Mechanical Name NEW CONSTRUCTION ONLY: Sub- N R Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit Corner Lot YES NO Flag Lot YES NO issuance, a copy City/State Zip Phone (check one) (check one) of all licenses Restricted Audio /Stereo Burglar are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm expired in COT Lic.# database Installation Garage Door HVAC Plumbing Name Opener - Systems Sub- AI/ (check all that Other: Contractor Mailing Address apply) Wll 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 of all licenses are Oregon Const. Cont. Board Exp. Date - - - required if Lic.# Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the 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 Lt.) \/■-€11Z.. Signature of Owner /Agent Date S Mailing Address Contractor ktact Person Name Phone # City/State Zip Phone Prior to permit FOR OFFICE USE ONLY: issuance, a copy Plat #: Map/TL #: of all licenses are Oregon Const. Cont. Board Exp. Date / 5 /?5P6'- required if Lic.# Setbacks: Zone . expired in COT database Electrical Lic. # Exp. Date i 5 Engineering Approval: Planning Approval: $1/4)-10 ^-- I:SFREM.DOC (DST) 4/97 Permit #: H m " 0 000 - CO PO / o F �� , � 9(O?O � r -b y< Pc.. A. �, Address: =. : °. j ' Issued by: 497 Date: ��o I = 5 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: F - 4 / 1. I own, reside in, or will reside in the completed structure. I 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale I before or upon completion. Ei 3A. My general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 11 OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Propert I ners about Constru tion Responsibilities on the reverse side of this form. cti j fI ( 2 -lo —ad Signatur f permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWNER Electrical Signature Form Permit #: MST2000 -00204 Date Issued: 7/10/00 Parcel: 1 S125DB -10200 Site Address: 09620 SW SHADY PL Subdivision: THE RAZBERRY PATCH Block: Lot: 022 Jurisdiction: TIG Zoning: R-4.5 Remarks: changing entry way Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: DAVID MURCHE OWNER 9620 SW SHADY PL TIGARD, OR 97223 • Phone #: 452 -4193 Phone #: Reg #: AN INK SIGNATURE IS REQUIRED N THIS FORM X ,,. .� //j Signature of upervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 24 -Hour aUILDING Inspection Line: (503) 639 -4175 MST 2v 1)6 a ( (' IY'l F ECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re uested 3- - 7 AM PM BUP Location 7' 2- D PL— Suite MEC Contact Person Ph ( ) q 3 PLM Contractor Ph ( ) '°? t - $ '- 5 SWR �UILDIN Tenant/Owner ELC Footing Foundation � ELC Ftg Drain Access: V C.A ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear ' /�� O L J G �s T P Int Sheath/Shear / Framing (c) . C�°' Psi Ci"c f Insulation Drywall Nailing 2 ( G- Firewall / � - 7' /- Fire Sprinkler 1 ��,/ Fire Alarm Susp'd Ceiling Roof Ot Fin. _,_-�__�, PART FAIL • BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL RI 1 ervice Rough -In UG /Slab Low Voltage Fire Alarm X11 PART FAIL 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 7-0)1-•-•-• Approach/Sidewalk Dat 3 /1 ' 0 ) Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour '.4UILDING Inspection Line: (503) 639 -4175 r1 its 0,� O J? J c� IIt PECTION DIVISION Business Line: (503) 639 -4171 O BUP Received 12 / Date Requested AM PM BUP &' Location / Sz le L . Suite MEC Contact Person Ph ( ) #5 )- -1 q 3 PLM Contractor Ph ( ) -- // SWR UILDI ` Tenant/Owner m �� C Q ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: eilesb � — --- SIT Post & Beam (../446.41 Shear Anchors / � Ext Sheath/Shear ri��, / f - V `/ • Int Sheath/Shear Framing Insulation /34 /6 -> -5 ;) ��� jA - Drywall Nailing 7 '-f` CIAA, I , , ,� -- /� Firewall L�-Q YV Q S S 'L y2 ` ( r 4, 1 `7 3 Fire Sprinkler �7 Fire Alarm Susp'd Ceiling '../S--1°3 ('� A-(--- Roof , \ b Other• ny anal) L P ./)-k.SS, ASS PART FAIL PLUMBING Post & Beam L L 61 < elf Q q _� 2w— Under Slab '` f' Rough -In Me s Sa e ���t 194. o p Water Service 8 Sanitary Sewer / Rain Drains Catch Basin / Manhole ` /�"�O 3 R. : �� �� i ik./(J� Gl./ //'/ Storm Drain / �/ Q }-� (� • Q Shower Pan f e C / \ Ze '� `- cbiZ— Other: ) Final 6 ?if / L"ti✓0 , C PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL LECTRIC 1 'k. 6ervice Rough -In UG /Slab Low Voltage Fire larm in ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST aZCOO- oo2011 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 C BUP Date Requested 7 - / AM PM BLD Location f 2-6 ,5C' - Suite MEC Contact Person / Ph « 4/ 93 PLM Contractor Ph SWR BUILDING 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 / 1 �S g l l C4 /� C VI h r ui bOA e s — Roof / o h x Misc: r ��� Y � Y�!/#'LG`� ��J/ re 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 PA,sS ART FAIL tLECTRICA Service h In UG /Slab Low Voltage Fire Alarm F. ASS PART FAIL 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: 4 [ ] Unable to inspect - no access ADA Approach /Sidewalk sp /J Other D Inspector ! %� `� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION erP GU _G 6).2at 24 -Hour Inspection Line: 639 -4175 q (PD�1/O Business Line: 6399 - 441 BUP Date Requested / — / f BLD Location 962-V .5A ,5 4c:17 Suite MEC Contact Person Ph UfL- — g/ f .3 PLM Contractor Ph SWR L 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 ram' r o (Drywall Nailin 'Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ; Fin PART FAIL - . ' BING 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 ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I 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 /l Other Date v Inspector ` ExtS Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.