Permit CITY OF TIGARD t BUILDING PERMIT
PERMIT #: BUP2000 -00170
� I�'� DEVELOPMENT SERVICES DATE ISSUED: 5/22/00
13125 SW Hall Blvd., Tigard, OR 97223 (5031 639 -4171 PARCEL: 25111 DC -04900
SITE ADDRESS: 15657 SW SUMMERFIELD LN
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R -7
BLOCK: LOT: 349 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,500.00
Remarks: installing bay window
Owner: Contractor:
DUNLAP, MARIAN & WILLIAM OWNER
15657 SW SUMMERFIELD LN
TIGARD, OR 97224 '
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Underfloor Insulation Insp
PLCK BT2 5/9/00 $32.50 0002030 Framing Insp
Insulation Insp
PRMT DEB 5/22/00 $50.00 0002344 Final Inspection
5PCT DEB 5/22/00 $4.00 0002344 P\1_
CDCB DEB 5/22/00 $20.00 0002344 GN (a dditional fees not listed here) flR
Total $126.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemtitee
Signature: /'/ , ► , ./
Issued
—L-=-4‘); 1 " • ( LOC AAI
Call 639 -4175 by 7 p.m. for an inspection the next business day
CIT -c7 T IGARD Residential Building Permit Application Plan Check #S -A e2,
13125 SW HALL BLVD. Additions or Alterations Recd By 5
Date Recd / — CS I i
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. —
V 503 - 639 -4171 Date to DST 5 — /2
F 503 - 684 -7297 �� 1- Permit # &'P,.1uoo /7O
Print or Type Called , - A-
Incomplete or illegible applications will not be accepted
veK* cid fAei,P0 e.-7,3 76
Name of Project Name
Job /'-'/,A) ))UNL-I -to
S ite dress Architect Mailing Address
Address J.,,
i S7 /J r City /State Zip Phone
/1 2 /4 N . y{ P lll«<"'TT� Name
Owner IS Mailjpg S746 aZ1m Iuer�1b /d"LJ4 .
Engineer Mailing Address
Ci ��ate Z� lj�c/ P one
t "� � ....9,x 3 City/State Zip Phone
General NanC
Contractor Describe work New 0 Additionr9V Repair 0
Mailing Address to be done:
Prior to permit Additional Description or (J��� J ,
issuance, a copy City/State Zip Phone r ' ( �
of all licenses
are required if Oregon Const. Cont. Board Exp. Date PROJECT 0
/
expired in COT Lic.# VALUATION $ /�QD•
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) _ (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT I 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
of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name - •1 I: re of Owner, • gent Date
Electrical tI l i ..0 9-c
Sub- Mailing Address
Cord- • Person N e Phone #
4 ,e14 01" p 631'170.3
Contractor
City /State Zip Phone
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
required if Lic.# (
expired in COT
7 /
��
database Electrical Lic. # Exp. Date Setbacks: Zone: Solar:
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
is \dsts \forms\sfaddalt.dec 11/20/98
�-ce.A- Ov\Iti
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
P 20C90 l70
// Date Requested 6 /0e) AM PM BLD
Location / 7 ,Su�/J��� Fi � r7' 4 A4 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
— _~
= .UILDIN Tenant/Owner ELC
R- hi! all ELR
F ooting) Access:
oun • ation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: emu/ �� ��+
Slab
Post & Beam 41'0016W jCl2G rIj/ -- 7 / /6-4y 14 P4 Ext Sheath /Shear
I , /Shear
Drywa Nailing 4 T e/e-a2 / ?�U -JP .
Firewall
Fire Sprinkler
Fire Alarm /teb
Susp'd Ceiling �
Roof
Misc: 7-0,,e€v
, / / t' , e 6Vec kiLC
, c) PART FAIL
PLUMBING 4 L
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 [ ] 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 /' _ /� /
Opheoach /Sidewalk Date p �S / [/�/ I nspec t o r � ($j 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 Line: 639 -4171 ` 670
` - BUP A4111 Date Requested ? AM PM BLD
Location /5 S14 T 4 h Suite MEC / /�i
Contact Person Pr C..Q Ph .c3, Cif U PLM
Contractor Ph SWR
UILDING Tenant/Owner 0 /4//0 -C' 9
Re all 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
Roof
° i gel PART FAIL 64-5
PL U BING
Post & Beam
Under Slab (As( Cj L /
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
T FAIL
ELECTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
luktlx PART FAIL
SI
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 / v / Approach /Sidewalk Date 7/0 Ins Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.