Permit MASTER PERMIT
CITY TIGARD PERMIT #: MST1999 -00198
:4411161 DEVELOPMENT SERVICES DATE ISSUED: 6/7/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ..„, Ni..
SITE ADDRESS: 10140 SW TIGARD ST � PARCEL: 1S135CC -03600
SUBDIVISION: GREENBURG HEIGHTS ADDITION ' t ZONING: R -4.5
BLOCK: LOT: 010 JURISDICTION: TIG
REMARKS: Converting a detached garage attic space into livable space. Will need county approval before
connecting bathroom to septic tank
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 630 sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT.
VALUE: $ 20,000 00
OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: sf REAR:
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 1 CLOTHES DRYER:
ELE FURN > =100K: UNIT HEATERS: 3 HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: W0ODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /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: $ 530.86
WEBB, This permit is subject to the regulations contained in the
WS, ROBERT LEE WALTER W MACKA BEN
EB TIGARD B Tigard Municipal Code, State of OR Specialty Codes and
EDNA M 102 WALTER R SW TIGARD TIGARD, TI TI GARD all other applicable laws. All work will be done in
10140 accordance with approved plans. This permit will expire if
TIGARD, OR 97223 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 00033576 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
Sewer + s3spestiea - Electrical Service Electrical Final
Underfloor insulation Electrical Rough In Mechanical Final
PLM /Underfloor Framing lnsp Plumb Final
Mechanical Insp Insulation Insp Final inspection
PIum4- Top —... Water Line lnsp Building Final
,i
Iss d By :' • f . < 0 ' Permittee Signature : ,m....„42 , _ . N. `•may;
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nex busine - da
CITY OF TIGARD Residential Building Permit Application Plan Check �'�'�
13125 SW HALL BLVD. Alteration - Interior Remodel Only Rec'd By
Date Rec'd l — l
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. --- Iq -9 9
V 503 - 639 -4171 Date to DST S - - 2 v - /
F 503 - 684 -7297 Permit # ( I — On
Print or Type Called 1 j — ZI —G I9
Incomplete or illegible applications will not be accepted
Name of Project Name
Job /p0/1L.0 -- 5- W-1 8- Architect Mailing Address
Address s itddfess 2r` ^ �'�
N l City /State Zip Phone
• C 1 .__> e>i'v W'el(0 Name
Owner Mailing dre
r Engineer Mailing Address
City /State Zip Phone g
Name - City /State Zip Phone
General ,}�
Contractor Vie% %',e / Describe work New 0 Addition 0 Alteration Repair 0
'Mailing Address to be done: L
• Prior to permit ijj , !"? ,,,� Addition 1 escn iisn, of Work: - - ` ff4!` p -
issuance, a copy 'City/State Zip ° Phone ```.. ''' - e- . -'• �-/ - • % '∎ •
of all licenses r egon �1t '�^,, % 0,,rr�•� - -
are required if Const. Cont. Board ' Exp. Date • PROJECT
expired in COT Lic.# 33 57b q-2.1)-1 G►� VALUATION $ /,JQ„7 • e 767
database
_ Mechanical Name NEW CONSTRUCTION ONLY:
Sub- VV / /I/ NCLI406d Sq. Ft. House: Sq. Ft. Garage •
Contractor Mailing Address 1
Prior to permit n?pb I �q 6.4d\ ST • Indicate the restricted energy installation by the electrical
issuance, a copy J C,dy /State Z' Phone
subcontractor in the following areas
of all licenses (l/ (� tiy)- 2.41 -14I Restricted Audio /Stereo
are required if Ore, � on Corist. Cont. Board Exp. Date Energy System Alarms •
expired in COT Lic. 2 `�7 � j - Installations Vacuum Irrigation
2 j
database J (0 q ' l / System System
Plumbing Name / � ' (check all that Other: rettf, Sub- l� Ly
ir1i & apply)
C r Mailing Address Corner Lot YES • NO Flag Lot YES NO
OntraCtO h . - (check one) (check one)
!' + Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy 7 Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if (Lic.# / hearby that I have read this a
expired in CO U 12 q (ail A- I h D acknowledge h i
_ application, that the
database Plumbing Lic. � e Exp. Date information given is correct, that I am the owner or authorized agent
3g _ 53l rb ( , -30 -7 ? of the owner, and that plans submitted are in compliance with
Oregon State laws.
Name ce R 1 Si • nat re of O , ner /Agent , / Date
Electrical } a n EAtec tC- i,_.., w .
.�/ /iii %:.:�:����j -� -
o ontact • er a c Phone #
Sub- Mailing Address tI ^ 1 A o n v 1 2 , 1
Contractor FOR OFFICE CE USE ONLY: I V �7 I
City/State Zip Phone Plat #: Map/TL #: I ) . --- �
— �a�
Prior to permit n LO 4-F U Q - 9 7097 /J t3
issuance, a copy
of all licenses are Oregon Const. Cont. Board Exp. Date Se Zone: (�2 S Solar: ^ I n
required if 11Lic.# ! A-- Q ) ) ti
expired in CO a 1,0 II /Z7 ( D 0 Engineering Approval: Planning A / alp TIF: t p
database Electrical Lic. # /8 -I �9 Exp. Da e -, /`-' A .fp I' eW I�1C 1V tr7
o ff ► -2-1 - Z- a /ZC io /l / 10 52 o-il
) %cd cow ti» 13414 � eo�.�
--/41 .�3
I S II GTG71/( /a - / -°/ I:SFREM2.DOC (DST) 8/11/98
1/25/00 Activities for Case #: MST1999 -00198
3:33:17 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 5/18/99 BON RECD No Hold BON 5/19/99
MSTA008 Permit Created 5/19/99 BON DONE No Hold BON 5/19/99
MSTA010 Check for prcl. restrict. 5/19/99 BON DONE No Hold BON 5/19/99 Mark Roberts approved
5/18/99. .
MSTA012 Plans routed to Plans Examiner 5/19/99 BON DONE No Hold BON 5/19/99
MSTA026 Plans approved by Pln Examiner 5/20/99 BT2 DONE No Hold BT2 5/20/99
MSTA030 Reviewed plans routed to DSTS 5/20/99 BT2 DONE No Hold BT2 5/20/99
MSTA704 Sewer Inspection No Hold BT2 5/20/99 sewer will run into a septic tank
will need county approval
MSTA712 Underfloor insulation 5/20/99 5/20/99 No Hold BT2 5/20/99
MSTA717 PLM /Underfloor 5/20/99 5/20/99 8/3/99 MS PASS No Hold AKJ 8/3/99
MSTA720 Mechanical lnsp 5/20/99 5/20/99 8/31/99 RB PASS No Hold AKJ 9/1/99
MSTA722 Plumb Top Out 5/20/99 5/20/99 8/3/99 MS PASS No Hold AKJ 8/3/99
MSTA723 Electrical Service 5/20/99 5/20/99 8/9/99 BRP PASS No Hold AKJ 8/9/99
MSTA724 Electrical Rough In 5/20/99 5/20/99 8/9/99 BRP PASS No Hold AKJ 8/9/99
MSTA725 Framing lnsp 5/20/99 5/20/99 7/14/99 RB FAIL No Hold AKJ 7/14/99 1) elec cover req prior to framinc
2) plm not installed yet, no
mech installed yet
3) framing issues- lower
bedroom window to 44"
4) temp glazing req for window
adj to door w /in 24"
5) energy window req at bdrm
or storm window req
6) rafters req to have 1" air
space for insul re. path 8
vaulted ceiling
insp term
MSTA740 Insulation lnsp 5/20/99 5/20/99 NOTE No Hold RDP 8/26/99 An alternate has been approved
on the insulation values. This is
an existing attic space
converted into habitable space..
Under the provisions of
E101.2.3, footnote 3 of table
E401.1b can be used. The
existing 2X6 rafter will take
R -21, the attic space next to the
R -21 pony walls will have R -38
in addition to that called out on
the plans. Any ?s call Bob P
MSTA760 Water Line Insp 5/20/99 5/20/99 No Hold BT2 5/20/99
Page 1 of 2
1/25/00 Activities for Case #: MST1999 -00198
3:33:17 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA790 Electrical Final 5/20/99 5/20/99 10/29/99 BP FAIL No Hold VT 10/29/99 Receptaacles must cmply with
article 370 -20, 380 -10, 410 -56
Firmly mount receptacles to
face of wall or box.
MSTA795 Mechanical Final 5/20/99 5/20/99 10/13/99 RB PASS No Hold ST 10/14/99 1. Seal gas line through shield
2. Protect gas line at exterior -
. paint w /metal type paint
MSTA797 Plumb Final 5/20/99 5/20/99 1/19/00 TLP PASS No Hold_ AKJ 1/19/00
MSTA798 Final inspection 5/20/99 5/20/99 No Hold BT2 5/20/99
MSTA799 Building Final 5/20/99 5/20/99 1/19/00 TLP PASS No Hold AKJ 1/19/00
MSTA032 DST Post - Review Completed 5/21/99 BON DONE No Hold BON 5/21/99
MSTA080 (F) Ready to issue 5/21/99 BON DONE No Hold BON 5/21/99 Must submit letter of
authorization from Washington
County approving new
bathroom for existing septic
tank.
MSTA092 (F) Issue combination permit 6/7/99 DEB DONE No Hold DST 6/7/99
MSTA705 Footing lnsp 6/15/99 6/15/99 6/15/99 LN PASS No Hold AKJ 6/15/99
MSTA725 Framing Insp 8/26/99 8/26/99 8/26/99 LN PASS No Hold AKJ 8/26/99 ok to insulate pending ok from
city for R21 at existing ceiling
MSTA725 Framing Insp 9/1/99 9/1/99 8/31/99 RB PASS No Hold AKJ 9/1/99
MSTA740 Insulation lnsp 9/1/99 9/1/99 8/31/99 RB PART No Hold AKJ 9/1/99 1) insulate If side of upstairs
window
2) ins window and door jambs
when installed and /or provide
an ext vapor barrier and place
12 -21 valve insul as a temp
solution until windows and
doors are installed
3) insul soffit in gar where plm
installed
6) protect ext plm through
wall /sheathing at rear
do not drywall until #2
completed
MSTA790 Electrical Final 12/15/99 12/15/99 12/10/99 BP PASS No Hold DGW 12/15/99
MSTA970 Case Finaled 1/19/00 AKJ DONE No Hold AKJ 1/19/00
•
Page 2 of 2
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST / c
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ u /1 /9)11 BUP
Date Requested '' /? ( AM / PM BLD
Location / D f1 "10 I 5( l Bard S1 • Suite MEC
Contact Person L!)a Ph &3? ? " 9 PLM
Contractor Ph ti ' 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
Roof
Misc:
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
PASS FAIL l
(ELECTR1 V
Service
Rough In
UG /Slab
Low Voltage
- Alarm
al
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: ] Unable to inspect - no access
ADA i
Approach /Sidewalk / G
Other
Date I — / LO 7 Inspector .� /_ _ AA � ■ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the site.
CITY OF TIGARD BUILDING INSPECTION DIVISION sT j qq9 -col q g
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171
4:4_716b1 BUP
Date Requested I r X
/ AM PM Bf_D
Location 101 90 Ti A Suite (cri 9' ctpq Z .••
Contact Person bula k*- Ph (Q N q PLM
Contractor Ph SWR
c UILDIN) Tenant/Owner ELC
Retaining Wall ELR
Footing Access: i 1 e
Foundation V \ ,` }c FPS
Ftg Drain �� -��� SGN
Crawl Crawl Drain Inspection Notes:
Slab � � � -e.r f
SIT
Post & Beam
Ext Sheath /Shear
Ina Insulation
She /Shear (I _ y ,. (� (� r ," " \
Framing l./(Jy�,, f7n1 Z_� - �rf�( -Ai N" \ � U
D S •
Drywall Nailing 7J� 7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
i " Blip
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
—. PART FAIL F
Post & Beam
Rough In 7' 0�1 1
Gas Line 1� 4. -/
Smoke Damp
:J; ^= 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 l Approach /Sidewalk
Other D ■ -l�d0 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.