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Permit ', f .CITY=OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT # • MST94-0376 639 -4171 DATE ISSUED: 10/04/94 PARCEL: 19134CB -00700 SITE ADDRESS...: 12245 SW SUMMER ST SUBDIVISION • SUMMER HILLS PARK ZONING: R -4.5 BLOCK • LOT -5 --- - - - - -- BUILDING REISSUE: DWELLING UNITS:1 BASEMENT •0 sf CLASS OF WORK.:ADD BEDRMS:0 BATHS:0 GARAGE :0 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST.: 5N FIRST • 288 sf LEFT..: 0 ft RIGHT. : 16 ft OCCUPANCY GRP.:R3 SECOND...:0 sf FRONT.:0 ft REAR..:44 ft STORIES -1 FINBSMENT:0 sf REQUIRED HEIGHT • 12 ft TOTAL------:288 sf SMOKE DETECTORS.: FLOOR LOAD •40 psf VALUE $: 18622 PARKING SPACES..:0 Remarks: 288 sq ft addition PATH I PLUMBING SINKS :0 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:0 LAVATORIES •0 WATER HEATERS...:0 TRAPS :0 TUB /SHOWERS •1 LAUNDRY TRAYS...:0 CATCH BASINS •0 WATER CLOSETS..:0 SEWER LINE (ft).:0 GREASE TRAPS •0 DISHWASHERS •0 WATER LINE (ft).:0 OTHER FIXTURES •0 GARBAGE DISP...:0 RAIN DRAIN (ft) .:0 WASHING MACH...: 0 SF RAIN DRAINS..: 1 MECHANICAL - FEES FUEL TYPES- - - -- UNIT HTRS.. :0 type amount by date - recpt /GAS/ / / VENTS •1 BPRT $ 134.50 JF 10/04/94 - MRX INPUT:0 BTU VENT FANS..:0 BPLC $ 87.43 JF 09/30/94 94- 257405 FURN < 100K ...:0 HOODS :0 B5PC $ 6.73 JF 10/04/94 - FURN > =100K ..:0 WOODSTOVES.:0 MPRT $ 25.00 JF 10/04/94 - FLOOR FURN •0 CLO DRYERS.: 0 MSPC $ 1.25 JF 10/04/94 - BOIL /CMP < 3HP:0 OTHER UNITS:0 PPRT $ 25.00 JF 10/04/94 - GAS OUTLETS:0 P5PC $ 1.25 JF 10/04/94 - Owner : -- - - - - - -- CRIS & VIKI DEFFERDING 12245 SW SUMMER ST TIGARD OR 97223 Phone #: 590 -3735 Contractor: OWNER Phone #: Reg #..: -- $ 281.16 TOTAL This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS - -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gyp Board Insp applicable laws. All work will be done in accordance with approved Post /Beam Struct Rain drain Insp plans. This permit will expire if work is not started within 180 Post /Beam Mechan Mechanical Final days of issuance, or if work is . for •or han PLM /Underfloor Plumb Final Mechanical Insp Building Final Permittee Signature: /fi Plumb Top Out Erosion Control :„...; Crawl Drain Framing Insp Issued By: Insulation Insp Call for inspection - 639 -4175 ,. Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 12245 S . W . Summer Office Use Only Subdivision: iieon I Lot # : Planck/Rec # Valuation: /5) ( ‘ )/2 • I Corner Lot? Y Pertrut-# Flag Lot? Y ON :"" • :::: • Owner: Chris & Viki Defferding Approvals Required Address: 12245 S.W. Summer Planning Tigard, OR 97223 Engineering Phone: 590-3735 Other • Contractor: Owner Items Required Address: :.:Subcontractors Truss Details Phone: Other Contractor's License # N/A (attach copy of current Oregon license) Contact Name & Phone: N/A Subcontractors: Architect/Engineer: Chris Defferding Plumbing: Address: Same Mechanical: (attach copy of current OR Contractor's License) Phone: 590-3735 JOB DESCRIPTION: Bedroom addition to existing 3 bedroom home. 2- Applicant Signature & Phone number Received by: Date Received: NAWORIMCOMDEV\RESAPP Permit # Account Description Amount Amt. Pd. Bal. Due MS/N-076 Bldg. Permit (BUILD) 134,50 /3((.52) Plumb. Permit (PLUMB) 2S, c- ✓ '' Z5-4,0 Mech. Permit (MECH) Z S, c J 2-5,0 u State Tax (TAX) 9 a 3-3 7- Z3 1✓ Bldg: 6, 7 3 v Plumb: I. 25 t/ Mech: ! . 2 ✓ Plan Check (PLANCK) e7. f 3 87 Bldg: 87.43 Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Commercial TIF (TIF -C) Industrial TIF (TIF -I) Institutional TIF (TIF -IS) Office TIF (TIF -O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: 211. /6 y7.(4 3 / X 13. 73 r (" F Permit No: a Address: z Issued by: Date: 5 9 9 FOR OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment 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 applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B: 1 . 11W1 I own, reside in, or will reside in the completed structure. 2 . I I I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A . I I My general contractor is • Contractor registration number I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3. B. I I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. If I change my mind and do.hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I 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 understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. AT 4 Signature • i ; :. scant D ate CONSTRUCTION CONTRACTORS BOARD 0244J 8/91 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT • INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners About Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an "employer" and the people you hire will be "employees ". As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Department of Revenue at 378 -3390. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR at 378 -3224. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373 -7434. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 221 -3960. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punc- tures, fire, or work that must be re -done. Time to Supervise Employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. . If you have additional questions, write to: Construction Contractors Board 700 Summer St. NE, Suite 300 Salem, OR 97310 -0151 Phone 503 - 378 -4621 0244J 10/24/89 Ol DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12 155 NORTH FIRST, HILLSBORO, OR 97124 . 1. COUNTY, PHONE: 503/640 -3470 O INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415 Permit #: 05064829 Project #: P0048 Status : APPROVED Page 1 of 1 Applied : 03/08/95 Iszued : 03/08/95 Expires : 09/04/95 04/28/95 05:01 RESELEC Permit Title SFR - 3 CIRCUITS OTH Description Begun:03 /08/95 Job Address 12245 SW SUMMER ST '1`I Owner Name INSPECTION - TIGARD Region D Applicant Name : DEFFERDING, CHRIS , Phone number : 590 -3735 Valuation: 0 Approved_ Inspector Comments: • Rejected v IVR- RESULTS — -- _— REQUEST ERROR! - , aD_____6. IL.L_Lar_., ____5(-E2_ (te________6 ' ; 4 .11,(-Q___12_SL- .E .. - (:(0L1) EL-0LP cf_a__ Cz, 4] ( 4 S --LAI . CP -4)1 ---(P v1/4 0 Plumbing Viii 110..9l4e 1 r n Cf G . , . t' tL Q..�.Q_ . Mechanical : .(J c A--(_ 1 PI_ c V ,Electrical: Structrual: General d n InS ecte_d b P - by: 1 / � _ S Date: �/� f V Inspection Requested: * Cover & Service 0403 E AP DN IVR 04/28/95 RI RIIVR H87 H 04/26/95 RI RIIVR H87 H 04/26/95 DN MJ DNIVR LUT12 I BS o r - DEPARTMENT OF LAND USE & TRANSPORTATION • WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12 155 NORTH FIRST, HILLSBOI'iO, OR 97124 COUNTY, PHONE: 503 /640 -3470 - IV0 OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415 Permit #: 05064829 Project #: P0048125 Status : APPROVED Page 1 of 1 Applied : 03/08/95 Issued : 0:3/08/95 Expires : 09/04/95 04/26/95 05:01 RESELEC. Permit Title SFR - :3 CIRCUITS OTH Description Begun:03 /08/95 Job Address 12245 SW SUMMER ST T I Owner Name INSPECTION - TIGARD Region 1i Applicant Name : DEFFERDING, CHRIS Phone number 590 -3735 Valuation: 0 Approved Inspector Comments: Re REQUEST ERROR! • M . . • Plumbing Mechanical: Electrical: • Structrual: General . Inspected by: / �� / Date: y6Y _ . Inspection Requested: * Cover & Service 040:3 E AP DN IVR • : '. RIIVR H87 H ` 'T DEPARTMENT OF LAND USE & TRANSPORTATION 4 WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, INSPECTION REQUESTS: 503 /640- 3561/693 -4415 OREGON XxxXxXXXX - -> 640 -3470 Page : 1 of 1 Date : 03/08/95 Time : 12:37 Permit Type : Residential Electrical Permit Permit # : 05064829 Permit Status : APPROVED Applied : 03/08/95 Situs Address : 12245 SW SUMMER ST Ti Issued : 03/08/95 Permit Title : SFR 3 CIRCUITS Completed : Permit Descr. To Expire : 09/04/95 Project Title : SFR - 3 CIRCUITS Project # : P0048125 Project Descr. : * EROSION * Parcel Number : 2S1TI - Land Use District : Valuation 0 • Legal Descr. • Owner : INSPECTION - TIGARD Construction : OTH Applicant Name : DEFEERDING, CHRIS Classification : 900 Applicant Addr.: 12245 SW SUMMER ST Occupancy TIGARD OR 97223 Validated by : EB Applicant Phone: 590 -3735 Inspector Area : Fee description Units Fee /Unit Ext fee Data • 1st Branch W /out Feeder [Enter #] 1 35.00 35.00 Addl. Branch W /out Feeder [Enter #] 2 5.00 10.00 Subtotal Electrical Fees: 45.00 State Surcharge of 5% 2.25 Total Electrical Fees: 47.25 * ** Fees Required * ** * ** Fees Collected & Credits * ** Method Check # Receipt No. Date Payment CK 1023 03/08/95 47.25 TOTAL THIS DATE * * * * * * * ** 47.25 Fees: 47.25 Adjustments: .00 Total Credits: .00 Total Fees: 47.25 Total Payments: 47.25 Balance Due: .00 NOTICE: This permit becomes null and void if the work or construction for which It is issued is not commenced within 180 days. Once construction has started, the permit becomes null and void if construction is interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all inspection requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued specifying that the use or occupancy of the building or structure Is provisional and revoca . : • • -faction of all inspection requiremen APP ANT'S S •E WASHINGTON COUNTY ELECTRICAL PERMIT Departm¢ht of Land Use & Transportation ■...•-• Electrical Inspection Section APPLICATION V 1Hi5llsbo5 North ro First Oregon 9712 Avenue, 4 #350 -12 , Information: 503 640 -3470 Fax: 503 693 -4412 Project/Permit' / PLEASE PRINT �/q$a Y - r 75 Please complete all sections, 1 through 5. Number Date , 1. Location of installation 4. Complete Fee Schedule below Address 1124-5 5 Su m mER- ST • Number of inspections per permit allowed Building Service included: Items Cost(ea.) Sum City -r I 4,4ap Suite No. n,... Tenant Name A. Residential - per unit (if commercial) 1000 sq. ft. or less $110.00 4 E ach additional 500 sq. ft Tax Lot �� Map No. i ' 1 or portion thereof $25.00 Limited Energy $25.00 1 Thomas Map Book: Page: Section: Each Manufd Home or Modular Directions opr 19 I Dwelling Service or Feeder $68.00 2 B. Services or Feeders Commercial n ResidentiaKspOIT1014 Installation, alterations or relocation 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 2a. Contractor installation only: 401 amps to 600 amps $120.00 2 Electrical Contractor 601 amps to 1000 amps - $180.00 2 Address Over 1000 amps or volts $340.00 2 Date Job Number Reconnect only $50.00 2 Property Owner • Contractor's License No. C. Temporary Services or Feeders Contractor's Board Reg. No. Installation, alteration or relocation 200 amps or less $50.00 2 - 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2 License No. Phone No. Over 600 amps to 1000 volts see 'B• above 2b. For o ner installati ns: D. Branch Circuits cSizl 3 INN i 59 o .3135 New, alteration or extension per panel Print Owner' Name Phone No. a) The fee for branch circuits with 122 4S S w u m m 5 fic4,. sr purchase of service or feeder fee. Address Each branch circuit $5.00 2 1c p CAL � deirla b) The fee for branch circuits without City `� State Zip purchase of service or feeder fee. First branch circuit f $35.00 3S, a a 2 The installation is being made on property) . ' n Each add'nl branch circuit 4 $5.00 F! , 0 - 2 which is • - - • --.• for s- lease • - E. Miscellaneous (Service or Feeder not included) / . Each pump or irrigation circle $40.00 2 Owner's Signature - .- Each sign or outline lighting $40.00 2 Signal circuit(s) or a limited 3. Plan Review section (if required) energy panel, alteration Please check appropriate Rem and enter fee In section 5B. or extension $40.00 2 1 & 2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable - 4 or more residential units in one structure in any of the above Per inspection $35.00 Service over 225 amps; feeder 400 amps or more Per hour System over 600 volts nominal In Plant $55.00 Building over 3 stories in height Building over 10,000 sq. ft. 5. Fees Occupant load over 99 persons A. Enter total of above fees $ 14 - 0 b Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ c 1 ' ,-,1-c Vehicle Park; new, addition or alteration Subtotal $ Classified area or structure containing special B. Enter 25% of line A for occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ Subtotal $ Submit 2 sets of plans with application where any of the Less Bulk Label Fee $ above apply. Not required for temporary construction services. Balance Due $ 1-1 7. r.- 5 For Inspections call This permit becomes null and void If the work authorized by the permit I. not commenced 640 -3561 or 693 -4415 within 180 days from date of Issuance of such permit or if the work authorized is suspended or abandoned at any time after work is commenced for a period of 180 days. 24-hour recorder, one working day In advance of need Electrical Permits are non - refundable and non - transferable. 5/93 DEPARTMENT OF LAND USE & TRANSPORTATION Al% WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640 -3470 OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415 Permit #: 05064829 Project #: P0048125 Status : APPROVED Page 1 _f I Applied : 03/08/95 Issued : 03/08/95 Expires : 09/04/95 04/28/9") ;:7 REST LE Permit Title SFR - 3 CIRCUITS OTH Description Begun: C3/ ;'x; Job Address 12245 SW SUMMER ST TI Owner Name INSPECTION - TIGARD Region D Applicant Name : DEFFERDING, CHRIS Phone number 590 -3735 Valuation: 0 Approved_ ___ Inspector Comments: Re ___ IVR- REhUL1 ' REQUEST ERRW: ------ EP_ ( s 149 6e 6" r` 4 ;` 0 N ' _sa2c/PieU Ciei /0 Gej t.si- - Q1AA- PIA .L_. _ Plumbing .__Up It s --- Mechanical : _,„ 1 T" , 11 _.� . .. Electrical: Structrual: General I nspac ed by: fa' I i -0-_ Date: ZL 47 _ � PY Insp- t i <.>n Requested: ( "1 1 4j9 6 * !,ov =r & .3rv1c .. E AP 111 I'JI. 04/28/95 R I RI 1VR H87 H 04/26/95 RI RIIVR H87 H 04 /26/y' DN ,J DNI`.i% LUT12 I BS DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640 -3470 OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415 Permit #: 05064829 Project #: P0048125 Status : APPROVED Page 1 :.f Applied : 03/08/95 Issued : 03/08/95 Expires : 09/04/95 04/26/9`. 05:n RESELEC Permit Title SFR - :3 CIRCUITS OTH Description Begun:03 /01/95 Job Address 12245 SW SUMMER ST TI Owner Name INSPECTION - TIGARD Region L' Applicant Name : DEFFERDING, CHRIS Phone number 590 -3735 Valuation: 0 Approved Inspector Comments: Re'ected -- -- _ -- — __ CIVR _ — REQUEST EkRO Plumbing Mechanical: Electrical: Structrual: General Inspected by: �.4 , Date: _ I - -� Inspection Requested: * Cover & Service 0403 E AP DN IVI. v4/i0/ x1 %IIVR H87 H 03/03/2000 Activities for Case #: MST94 -00376 8:19:48 AM Assigned Hold Updated . • Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA007 Application received 09/30/1994 JF PASS BLT 10/03/1994 MSTA010 Plan check deposit paid 09/30/1994 JF PASS BLT 10/03/1994 MSTA020 Plan check by 10/03/1994 10/03/1994 RT PASS BLT 10/03/1994 MSTA705 Foot/found lnsp 11/04/1994 RB PASS RB 11/04/1994 PENDING- CRAWL ACCESS; CRAWL DRAIN MSTA710 Post/Beam Structural 12/23/1994 RB PASS RB 12/23/1994 PENDING- CTR POST PROTECTION AT BASE MSTA711 Post/Beam Mechanical 12/23/1994 RB PASS RB 12/23/1994 INSULATE HEATING DUCT; . JOINT CONNECTIONS REQUIRE 3 SCREWS AT EA . JOINT. MSTA717 PLM /Underfloor 12/23/1994 MS PASS MRS 12/27/1994 MSTA720 •Mechanical Insp 08/11/1995 KS DIS KBS 08/14/1995 #-1- installation not complete at . this time MSTA722 Plumb Top Out 04/28/1995 MS FAIL MRS 05/01/1995 MSTA725 Framing Insp 10/06/1995 . KS A/N KBS 10/06/1995 #-1- fill all nail holes at truss clips #-2- provide positive • connection between existing • ' and addition at top plates . • strap across plates #-3- provide lateral bracing at bottom of - truss chord also at diagonal bracing at gable end • MSTA745 Gyp Board lnsp 09/25/1996 KS APP KBS 09/27/1996 MSTA755 Rain drain Insp 08/11/1995 GS APP GES 08/14/1995 • MSTA795 Mechanical Final 06/24/1998 KS FAIL J`H 06/25/1998 Not yet complete. • • • MSTA799 Building Final • 06/24/1998 . KS FAIL J'H 06/25/1998 Not yet complete. - MSTA092 (F) Issue combination permit 10/04/1994 JF JF 10/04/1994 MSTA705 Foot/found lnsp 11/16/1994 KS A/N KBS 11/16/1994 MSTA705 Foot/found Insp 11/16/1994 • KBS 11/16/1994 • MSTA705 Foot/found lnsp 11/15/1994 KS A/N KBS 11/16/1994 #-1- min; of four fdn vents #-2- • provide back flow diverter at • back low point drain #-3- access to new addition will be • • located in closet of new addition. MSTA722 Plumb Top Out 10/06/1995 GS APP GES 10/06/1995 MSTA760 Water Line Insp 10/06/1995 GS APP • GES 10/06/1995 MSTA720 Mechanical Insp 05/10/1996 . 05/10/1996 RB PASS RB . 05/10/1996 Page 1 of 2 03/03/2000 Activities for Case #: MST94-00376 • 8:19:48 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By . Disp. Level By Updated Notes MSTA740 Insulation lnsp 05/10/1996 05/10/1996 RB PASS RB 05/10/1996 chink window /door jams; • firestop all thru penetrations; insualte all headers MSTA713 Crawl Drain /Backwater valve 06/25/1998 J'H 06/25/1998 MSTA797 Plumb Final 06/25/1998 ST 02/07/2000 2/7/00- inspection request to Hap MSTA153 Expired by limitation 02/21/2000 RB DONE No Hold AKJ 02/21/2000 • • • • Page2of2 CITY OF TIGARD BUILDING INSPECTION DIVISION M S T 9 ' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 l BUP Date Requested Z! I o d AM PM BLD Location 1 ZZ q Suite MEC Contact Person Ph PLM Contractor Ph SWR ILDII5 Tenant/Owner ELC Retaining Wall ELR Footing Foundation NOT REQUESTED FPS Ftg Drain - FOUND DURING RESEARCH - — SGN Crawl Drain Slab MI NO INSPECTION(S) FOUND IN FILE t,e SIT Post & Beam 4,� _ ^ L) /1145 Ext Sheath/Shear � Int Sheath /Shear Framing ` (� Drywall l \„ ✓�✓� ■-WW1 Drywall Nailing C./ / Firewall Fire Sprinkler `• — __. Fire Alarm Susp'd Ceiling C Roof Misc: S S PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL • MECHANICAL EXPIRED 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 [ ] 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 2 a� Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: A.M. P.M. MST: C i e a3 / co 1 Location: 7 � e < 3n /wC.Q/1 --- J4-3)1Z D j BUP: Tenant: Suite: Bldg: MEC: Contractor: A. A/A . _ A___ ' 1 _ �f 0 " 3 73S PLM: � _� � Phone: Owner: / / / ne: ELC: ELR: SIT: • BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt A ,. oved Approved Approved Approved Approved Appr /Sdwlk A of Al . rov: I► Not Approved o ppro Not Approved Not Approved I 1 FINAL, FINAL FINAL /L .: 1 � A' - ` ,, L g `,` _ _ // � A.. ! L___, _ I / - i' i _ Qzaz,.1_ 1 1_ `' , (cr C A,, rz . .0,0 . t l 7/4.4— Call for rein I : do 1 4 O Reinspection fee of $ required before next inspection O Unable to inspect Jr " Inspector: , Date: -- --- OF "_ Page of