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Permit CIT OF TIGARD MASTER PERMIT 1 . Ahl li A�x i ;� DEVELOPMENT SERVICES PERMIT #.. • MST98 -0451 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 01/13/99 PARCEL: 1513-4-CB —00600 SITE ADDRESS...: 12` 1 5 SW SUMMER ST SUBDIVISION •SUMMER HILLS PARK ZONING: R -4.5 BLOCK. LOT.. ......... ..: 004 JURISDICTION: T I G Remarks: Addition of bed room and bath to an existing single family dwelling. — BUILDING REISSUE: STORIES • 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED------- - - -- CLASS OF WORK.:ADD HEIGHT • 12 FIRST • 392 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT • 38 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 26 OCCUPANCY GRP. :R3 BORN: 1 BATH: 1 TOTAL : 392 sf VALUE..$: 50000 REAR • 0 -- PLUMBING - ----- - - - - -- - SINKS • 0 WATER CLOSETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0 LAVATORIES 1 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 2 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 - -- MECHANICAL FUEL TYPES--- - - - - -- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 1 CLOTHES DRYERS: 0 GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 2 WOODSTOVES • 0 GAS OUTLETS...: 0 - - - -- - -- ELECTRICAL - - - - - -- - --- - -- -- RESIDENTIAL UNIT - -- - -- SERVICE /FEEDER - -- - -TEMP SRVC /FEEDERS -- -- BRANCH CIRCUITS -- -- MISCELLANEOUS - -- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 asp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 4s. amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR : 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HN /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 - - - -- PLAN REVIEW SECTION Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC BCC: - - -- ELECTRICAL - RESTRICTED ENERGY - - - -- A. SF RESIDENTIAL --- B. COMMERCIAL- - - - -- — AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK INSTRUMEENTATION: MEDICAL OTHR: .. HVAC DATA /TELE COMM.: NURSE CALLS . TOTAL # SYSTEMS: 0 Owner: Contractor: — TOTAL FEES:$ 693.10 CHRIS ANDERSON HORIZON RESTORATIONS This permit is subject to the regulations contained in the 12215 SW SUMMER STREET 7301 SW KABLE LANE Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 SUITE 100 other applicable laws. All work will be done in accordance TIGARD OR 97224 with approved plans. This permit will expire if work is Phone #: 590 -4121 Phone #: 620 -2215 not started within 180 days of issuance, or if the work is Reg #..: 46081 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 952-001-0010 through OAR 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. - - - -- --- - - - - -- REQUIRED INSPECTIONS ----- -------------------- - -- Erosion 844 -8444 Crawl Drain /Back Electrical Rough Mechanical Final Footing Insp PLM /Underfloor Framing Insp Plumb Final Foundation Insp Mechanical Insp Insulation Insp Building Final Post /Beam Struct Plumb Top Out Rain drain Insp Post /Beam Meehan Electrical Ser • Electrical Final Issi -red By: - ermittee Sig nat�-rr , e:��_ --g - 1-- 1--- +-- 1- + -1 -1- :•••1-- s- -r- -1- -:- + -1- +- -i - +• •+• ±a- I••+ :--:- a-- 1-- .;- _ :• + + +•f+-:- : - --• -: •a +a• -s ; -•I- ;.. ++ +- r + + +± ++a- - F.: -A- 1 - :-- i-- 4- a- A-A -•; : -± i- -:• : - Call 639 -4175 b 7 :120 p.m. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Check # / 0-Si 1' ' 13125 SW HALL BLVD. New Construction Additions or Alterations Recd B �:�� TIGARD, OR 97223 Single Family Detached Attached (Duplex) Date Recd . . 9 y or p Date to P.E. D - _9 8 • V 503 - 639 -4171 Date to DST 4,30 -9 la F 503 - 684 -7297 Permit # -65 Print or Type Called / /-• -1 - - Incomplete or illegible applications will not be accepted c,4GK'o TO Pa tztesou I rlefe< L S u /W J /l A P , - / ( -O / ,L7 Name of Project Name / Job a�VpeieSei.) A-DD/ tie .t/ /A- Address Site Address Architect Mailing Addres /2.--L /SSW t 4(,$14f9 g City/State Zip Phone Nape C l /S ANi Eso,J Owner Mailing Address Name %J, ■ / Z 2 S Slott 4A4�CIE72 City/State Zip Phone g En Ineer • Mailing Address � 176A, 7) OQ y722.3 sfa -412. l City/State Zip Phone General Name Contractor M0e/2pN Res 6t4-7741.) ,.C /s Describe work New 0 Addition Alteration 0 Repair 0 Mailing Address to be done: Prior to permit 1301 Si,J 1413GFGN, s>e /Op Additional pescription of Wo issuance, a copy City /State Zip ''l Phone ADDY i'76 � J oP f- �3i4 7/ IQQON s of all licenses T/S D aie Q7 Z 6 •c 2 Z/ S are required if Oregon Const. Cont. Board Exp, J/at 6� PROJECT exPdatabaseOT Lic.# 4 ! Oz- ' A ` // ° cl VALUATION 5' U0 i NEW CONSTRUCTION ONLY: N ame 10 ' Mechanical - Sub- T‘21 - Co j , T - rem p ( J ) Sq. Ft. House : 2 Sq. Ft. Garage Contractor Mailing Address 7 Prior to permit /3 /.SD S' /qrE ,e Ap,, Py • Indicate the restricted energy installation by the electrical issuance, a copy City/State /: Zip Phone subcontractor in the following areas of all licenses o ,j 0.1917 - al 7 fs' 517-2 Z20 Restricted Audio /Stereo • are required if Oreg n Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum Irrigation p ?6 Z 3 3/28/od g database S y s te m - System Plumbing Name � (check all that Other: Sub- t o f u Wt 6 r i'li(nrt�! b i /J:c. apply) Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO ‘04.Z C S , g �� (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zip Phone issuance, a copy 0fagr rivia 9 7246 77C-�1V Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) required if Lic.# /0 expired in COT / /770? 1 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 aZe- 603 P of the owner, and that plans submitted are in compliance with Ore tate law - Name �w ' na of Ow eeent Dati , /a Electrical -i2z -- 6G MA-N �:[,kjc.f,Or, 1 . ° b7 Sub- Mailing Address ill Contact Person Name__ Phone # Contractor 366 S' S Iri 5'.• FO E US �� �� � City /State Zip Pon K3 Plat #: Map/11#: to permit Na , / / CC‘e issuance, a copy 1144/..)90-- Da- �7 4//Z- ! 5/ � � r of all licenses are Oregon Const. Cont. Board Exp. Date Setbacks: Zone: Solar: required if expired in COT 62 3 ,/ Lic.# // / r9 5 `I 2/Z/ /�11T Engineering Approval: Planning Approval: TIF: database Electrical Lic. # Exp. Da e 7 • . - I:SFREM2.DOC (DST) 8/11/98 6/30/99 Activities for Case #: MST98 -00451 • 1:40:52 PM Assigned Hold Updated • Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes _ MSTA005 APPlication received 10/28/98 DRA RECD GEO 10/29/98 MSTA008 Permit Created 10/28/98 GEO DONE . GEO 10/29/98 MSTA010 Check for prd. restrict. 10/29/98 GEO DONE GEO 10/29/98 MSTA012 Plans routed to Plans Examiner 10/29/98 GEO SENT ' GEO 10/29/98 MSTA026 Plans approved by Pln Examiner 10/30/98 RT PASS BT2 10/30/98 MSTA030 Reviewed plans routed to DSTS 10/30/98 RT PASS BT2 10/30/98 MSTA032 DST Post - Review Completed 11/2/98 GEO DONE GEO 11/2/98 Need Plumb Lic update, Electric Lic & Elect Sup Lic information prior to issuance. MSTA1 55 Development conditions met . CTR 10/29/98 MSTA700 Erosion 844 -8444 • CTR 10/29/98 MSTA705 Footing Insp 3/18/99 RB PASS - RB 3/18/99 MSTA706 Foundation Insp 3/18/99 RB PASS RB 3/18/99 Add 2- more vents. Placement • of anchor bolts- 4 -foot ctrl. • MSTA710 Post/Beam Structural 3/26/99 RC FAIL AKJ 3/28/99 Underfloor mech must be installed and app before cover - MSTA711 Post/Beam Mechanical 4/7/99 RC PASS AKJ 4/7/99 MSTA713 Crawl Drain /Backwater valve CTR 10/29/98 • MSTA717 PLM /Underfloor 3/25/99 TLP PASS TLP 3/26/99 MSTA720 Mechanical Insp 4/19/99 WDJ FAIL AKJ 4/19/99 MSTA722 Plumb Top Out 4/16/99 TLP PASS AKJ 4/18/99 MSTA723 Electrical Service CTR , 10/29/98 MSTA724 Electrical Rough In 4/19/99 CD FAIL AKJ 4/19/99 No access MSTA725 Framing Insp 4/19/99 WDJ FAIL AKJ 4/19/99 1) Elec rough in needs to be approved prior to framing insp 2) Provide duct for fan box in bathroom • • 3) Strap top plates between . • existing structure and addition • 4) Rough -mech needs to be installed - MSTA740 Insulation Insp 4/23/99 TLP PASS AKJ 4/26/99 MSTA752 Rain drain.Insp CTR 10/29/98 MSTA790 Electrical Final 5/24/99 CD PASS AKJ 5/24/99 MSTA795 Mechanical Final 5/28/99 GS PASS AKJ 5/31/99 MSTA797 Plumb Final 5/24/99 GS PASS AKJ 5/24/99 • Page 1 of 2 6/30/99 • Activities for Case #: MST98- 00451 1:40:52 PM Assigned Hold Updated Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA799 Building Final 5/28/99 GS PASS AKJ 5/31/99 MSTA080 (F) Ready to issue 11/2/98 GEO PASS GEO 11/2/98 Need Plumb Lic update, Elect Lic & Sup Lic information prior to issuance. - MSTA092 (F) Issue combination permit 1/13/99 JSD PASS DST 1/13/99 • MSTA095 Issue plumbing signature form 1/25/99 • JMT RECD JT 1/25/99 MSTA097 Issue electric signature form 1/15/99 JMT RECD JT 1/15/99 MSTA710 Post/Beam Structural 4/7/99 4/7/99 4/7/99 RC PASS No Hold AKJ 4/7/99 MSTA724 Electrical Rough In 4/21/99 4/21/99 CD PASS No Hold CD 4/21/99 note: sign label - set front bedroom switch box & install nm cables MSTA725 Framing Insp 4/21/99 4/21/99 4/21/99 KS FAIL No Hold AKJ 4/21/99 1) Add stud and plate splice 2) Pos Conn between existing plates and additional strap plate: 3) Strap plates at bathroom less than 4 ft apart OK to insulate MSTA720 Mechanical Insp 4/21/99 4/21/99 4/21/99 KS • PASS No Hold AKJ 4/21/99 MSTA725 Framing Insp 4/26/99 4/26/99 .4/26/99 TLP PASS No Hold AKJ 4/26/99 MSTA970 Case Finaled 5/31/99 AKJ DONE No Hold AKJ 5/31/99 • • • Page 2 of 2 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 6 18 �Oys 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 5 Z ' AM M , BUD Location 1 c5 5VliY)i 0/1./21 St Suite MEC Contact Person - rovu Ph (02O'2 S PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes:pl 1 I J„ Slab 1 � J SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing � Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mis ASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS FAIL ANIC Post & Beam c\14 Rough In Gas Line ,fie Dampers __ PART FAIL EL - ICAL 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 Other oach /Sidewalk Date g ,! Inspector Ext � �'� Z Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.