Permit CI1YOFTIGARD Ni
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839-4171
MASTER PERMIT
PERMIT # ~ MST94-0348
639-4171 DATE ISSUED: 11/04/94
PARCEL: 1S134DD-00700
SITE ADDRESS...: 10895 SW TIGARD ST
SUBDIVISION ^ ZONING: R-4.5
BLOCK ^ LOT ^ '
— .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....:664 sf LEFT..:7 ft RIGHT.:71 ft
OCCUPANCY GRP.:R3 SECOND...:0 sf FRONT.:73 ft REAR..:65 ft
STORIES ^1 FINBSMENT:0 sf REQUIRED ---------
HEIGHT ^16 ft TOTAL :664 sf SMOKE DETECTORS.:
FLOOR LOAD ^40 psf VALUE $^ 42934 PARKING SPACES..:0
Remarks: ADDING 664 ADDITION TO WEST SIDE OF HOUSE AND REMODELING BATH ROOM
— — PLUMBING -----
SINKS ^0 FLOOR DRAINS ^0 BACKFLOW PREVNTRS..:1
LAVATORIES ^1 WATER HEATERS. . . :0 TRAPS :0
TUB/SHOWERS ^1 LAUNDRY TRAYS...:0 CATCH BASINS ~0
.
WATER CLOSETS..:1 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 ^4 BPRT $ 193.00 PLL 09/08/94 94-256552
MAX INPUT:0 BTU VENT FANS— :1 BPLC $ 125.45 PLL 09/08/94 94-256552
FURN < 100K ..:0 HOODS :0 B5PC $ 9.65 PLL 09/08/94 94-256552
FURN >=100K ..:0 WOODSTOVES. :0 MPRT $ 25.00 PLL 11/04/94 —
FLOOR FURN....:0 CLO DRYERS.: 0 M5PC $ 1.25 PLL 11/04/94 —
BOIL/CMP < 3HP:0 OTHER UNlTS:0 PPRT $ 45.00 PLL 11/04/94 —
, GAS OUTLETS:0 � P5PC $ 2.25 PLL 11/04/94 —
Owner: — EROS $ 26.00 PLL 11/04/94 —
• MARILYN BERNHARD . ERPC -$ 8.45 PLL 11/04/94 —
10895 SW TIGARD ST ERPC i 8.45 PLL 11/04/94 —
TlGARD OR 97223
Phone #: 503-639-4733
Contractor:
OWNER
.
Phone #:
Reg #.. : -- _--
, $ 444.50 TOTAL
This permit is issued subject to the regulations contained in t e-_ REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty C'''s :nd al other "ot/found Insp Rain drain Insp
applicable laws. All work will be done in a ''rbl ew• a"romd Po t/Beam Struct Mechanical Final
plans. This perm l exoire if worki ot art Pest/Beam Meehan Plumb Final
days of issuance, or if work is s spm ' echanical Insp Building Final ... a ... . ore tip@ d,ys.
Plumb Top Out Erosion Control
Permittee Signature: � = Framing Insp Crawl Drain
��° so-
/ ,. Insulation Insp __
Issued By: A __ Gyp Board Insp
^ / : |
Call for inspection — 639-4175
.
' ' '' � /
I
Residential Building Permit Application q j
City of Tigard GI (,1- /_-'-
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Jobsite Address: ) 0 S 9.6" 5 i i /4 v _- , t,
Sub vision: Lot
: q ; ZIF L-i '
Office Use Only.
Valua : 'n v h • a wA a sy _ piancfdRec #
- : ::: Permit # M - 0:. ' ' -
:
Owner. a1� . -. - ;-
:
Address: / 0 q �Li 7:- r a.. .,. r , S'_ - ;; ` Map. & fl # If 3: x` 3 .- _: ,'`> j ' #
3 Approvats Required = _.''- ;
Phone: 5 : d 4-, .3 9 — q 3� -
plantluig - ::::::::
Contractor:' = 2 (' 1 - orX = - :
Address: :: ;
Items Required
Phone:
Contractor's License # : Subcontractors < ::.:::: • -: - -- >.::;::;
attach copy of current Oregon li n -_ *- : :: : .,
( PY eg ce se) :::- 'Truss I�etaits��
Contact name & P hone: t
Subcontractors:
Plumbing: I -n 7 £ t te.-M( 4
Mechanical:
•
(attach copy of current OR Contractor's License)
"7 I
Architect/Engineer: _ t► .e..,... .e..,... • ..
• •
Address:
Phone:
f r
JOB DESCRIPTION: 4 1�] ((11� /�
r►.l /-� � �o`i S'� -H- ttrc C1; - �•`'ai•( -Y0 tak � - ' C
P i•1c{ (Z () J el i , , .-` 7
6 0 P
c 9 4'i 5eLA --woo,
•i• • icant {ign- re & Phone nu • • r
1
Received by,: Date Received:
1
Permit # Account Description mount Amt. Pd. Bal. Due ;
J►') 5i- 4lc%0 Bldg. Permit (BUILD) 193 (
• �f; _�• •
Plumb. Permit (PLUMB) 4f. a t)
Mech. Permit (MECH) 02.5 • c- 2
State Tax (TAX) 3 ,
Bldg: C
Plumb: 2 .Zf
Mech: / • Z
s
Plan Check (PLANCK) 1
H
Bldg:
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 -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) �. � ° k ) �
Erosion Planck/COT (EROSN) it•``/ ) -
D
cr TOTALS: [ o l
1 � '
7/25/99 Activities for Case #: MST94 -00348
6:39:13 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA007 Application received 9/8/94 KS PASS BLT 9/13/94
MSTA010 Plan check deposit paid 9/8/94 KS PASS BLT 9/13/94
MSTA020 Plan check by 9/13/94 9/16/92 RT PASS BLT 9/13/94
MSTA030 Check for prd. restrict. 9/13194 9/8/94 JLH PQSS BLT 9/13/94
MSTA705 Foot/found Insp 1/9/95 RB PASS RB 1/9/95 pending- USA INSPECTION;
SEISMIC RESTRAINT.
MSTA710 Post/Beam Structural 2/7/95 KS DIS KBS 2/8/95 #-1- install low point drain #-2-
add piers adjacent to poured
inplace piers not poured to size
as shown onapproved plans
#-3- add post at ledger
supporting beams #-4- add
nailer to support subfloor #-6-
heat ducts not installed at this
time
MSTA711 Post/Beam Mechanical 2/23/95 RB PASS RB 2/24/95 PENDING- INSULATE WYES
OF FLEX DUCT; MAINTAIN 2"
CLEARANCE TO FIREPLACE
BRICK -WORK; 1/4" MESH
REQ'D FOR UNDER -FLOOR
VENTILATION; MAINTAIN 4"
CLEARANCE FOR FLEX
DUCT TO EARTH; CRAWL
DRAIN W/ FRENCH DRAIN
UNDER -FLOR LOCATION.
MSTA720 Mechanical Insp 5/26/95 RB FAIL RB 5/26/95 SEE FRAMING THIS DATE
MSTA722 Plumb Top Out 5/26/95 MS PART MRS 5/30/95 needt to test thru roof
MSTA725 Framing Insp 5/9/95 KS DIS KBS 5/10/95 #-1- electrical not installed
MSTA740 Insulation Insp 10/4/95 ,RB PASS RB 1/8/96
MSTA745 Gyp Board Insp . 10/4/95 RB PASS RB 10/4/95
MSTA795 Mechanical Final 7/25/96 RB PASS BT2 7/29/96
MSTA797 Plumb Final 7/25/96 MS PASS MRS 7/29/96 lay in toilet rm.
MSTA799 Building Final 7/25/96 RB DIS V BT2 7/29/96 NEED ELECTRICAL FINAL
PROVIDE ATTIC
ACCESSABLE DOORS REAR
WALL OF DWELLING NEEDS
TO BE SEALED
GUTTER/DOWN SPOUT
SYSTEM NOT INSTALL ON
REAR WALL
MSTA092 (F) Issue combination permit 11/4/94 PLL PASS JF 11/4/94
MSTA095 (F) Reprint Permit 11/4/94 PLL PRNT JF 11/4/94
Page 1 of 2
- 7/25/99 Activities for Case #: MST94 -00348
6:39:13 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA706 Foundation Insp 1/19/95 RB PASS RB 1/19/95 PENDING- SEISMIC
. RESTRAINT- HPAHD -22,
HORIZONTAL BARS REQ'D;
PLACE ADDITIONAL, VENTS -
VENT WELLS MAY BE REQ'D
NOTE: FOOTING (FROST)
DEPTH MUST BE
MAINTAINED AT FWD END.
MSTA710 Post/Beam Structural 2/23/95 RB PASS RB 2/24/95 SEE P/B MECHANICAL
MSTA735 Gas Line Insp 2/28/95 MS PASS MRS 2/28/95
MSTA726 Framing <REINSP> 5/26/95 RB FAIL RB 5/26/95 SEE REPORT
MSTA720 Mechanical Insp 8/4/95 RB FAIL RB 8/4/95 RETURN AIR REQ'D AT MAIN
FLOOR
MSTA726 Framing <REINSP> '8/4/95 RB FAIL RB 8/4/95 MECH. ISSUE; ADDITIONAL
STUDS NEEDED FOR
DRYWALL NAILING AT
GABLE UPSTAIRS; CLOSE
OFF GAP BETWEEN FLOORS
AT PERIMITER OF
FIREPLACE CHIMNEY.
MSTA740 Insulation Insp 8/4/95 RB PEND RB 1/8/96 INSULATE WINDOW /DOOR
JAMS; INSULATE GABLE IN
UPSTAIRS BEDRM;
FIRESTOP THRU
PENETRATIONS AT
TOP /BOTTOM PLATES AND
INNER WALL
CONNECTIONS.... ALSO,
MECH. & FRAMING ISSUES.
OK TO DRYWALL ONLY
THOSE AREAS NOT
AFFECTED BY
CORRECTIONS, IF DESIRED,
PROVIDE PHOTOS FOR
PROOF BEFORE COVER OF
THOSE AREAS.
MSTA720 Mechanical Insp 10/4/95 10/4/95 RB PASS RB 1/8/96
MSTA726 Framing <REINSP> 10/4/95 10/4/95 RB PASS RB 1/8/96
MSTAl27 PERMIT EXTENSION REQUEST 7/2/96 JF 7/2/96 UNTIL 9/30/1996
MSTA790 Electrical Final 8/1/96 8/1/96 MJR DIS MJR 8/1/96 cover approved by Wash. Co.
box openings to be dosed
MSTA790 Electrical Final 8/8/96 8/8/96 MJR PASS BT2 8/12/96
MSTA799 Building Final 1/17/97 RB PASS RB 1/17/97 phase I completed will attach
rain drain- down spout to phase
II
MSTA970 Case Finaled 1/17/97 RB PASS RB 1/17/97 phase I
Page 2 of 2
CITY OF TIGARD BUILDING INSPECTION NOTICE
(%
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL: \,..,/
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -:Id•.
San. Sewer Gas Line Appr /Sdwlk
Other: 1
Date: L . 1 1 \ ■ - 1 A.M. P.M. Entry:
Address: 1. d $ C '1 s 4 31
Tenant: Ste: MST ` Y ---- 43 g
BUP:
Con /Own: (Q- 4-1 33 MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
AL..
I
I'' 1
Amw
k . 0r ar^:
aril__ �`∎ 'v,
..
.._
. (
Ins ector: / Date: ,
APPROVED _DISAPPROVED /CALL FOR REINSP. CO
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk
Other:
Date: g D'9 (p A.M. P.M. Entry:
Address: d g Cl
Tenant: MST: ? / C 3�$'
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
UM. CU, 6 $0 3
r C l ' I
Inspector: �� C vC -e • _ . Dat — a - `7 ° �
) (APPROVED DISAPPROVED /CALL FOR REINSP. CF CO