Permit P
MASTER PERMIT
1 CITY OF TIGARD DATE PERMIT ISUED: 02/28/96 IZI2151
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: ES 104CD- 1030121
SITE ADDRESS— .: 13633 SW TRACY FL
SUBDIVISION ° HILLSHIRE ESTATES NO. 2 ZONING: R -7 PD .
BLOCK ° LOT °102
Reoarks: PATH I
-- BUILDING --- - - - - -- - ---- ---- -- —
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED — -- --
CLASS OF WORK.:NEW HEIGHT : 29 FIRST • 1618 sf GARAGE • 975 sf LEFT • 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 1404 sf FRONT • 20 PARKING SPACES: 1
TYPE OF CCNST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 10
OCCUPANCY GRP.:R3 BDRN: 3 BATH: 3 TOTAL - - - - -: 3022 sf VALUE..$: 212076 REAR • 48
-------- - - - - -- - - ---- - PLUMBING --------------- - - ----
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS : 0
LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LIKE ft: @ SF RAIN DRAINS: 1 CATCH BASINS..: @
TUB /SHOWERS...: 4 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1vi BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--- — - ---- --- - - - - -- MECHANICAL -- - - - -- -
FUEL TYPES-- - - - - -- FURN ( 100K ..: 0 BOIL /CMG ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
/GAS/ / / FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES : 0 GAS OUTLETS...: 1
-------------------------------------- - - - - -- ELECTRICAL -------- - - - - --
-- RESIDENTIAL UNIT -- -- SERVICE /FEEDER ---- —TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS - -- --- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- -
100'0 SF OR LESS: 1 0 - 200 aop..: 0 0 - 200 asp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 502'SF.: 5 201 - 400 app..: 0 201 - 400 aop..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 app..: 0 401 - 600 app..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT 0
MANF KI /SVC /FDR: 0 601 - 1009 aop.: @ 601 +apps -1009 v: 0 MINOR LABEL -10: 0
10'•x'•+ app/volt.: 0 PLAN REVIEW SECTION
Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- -- --- ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL - B. COMMERCIAL -- - -- —
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC DATA /TELE COM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: ---- -- ---- - - - -- -- Contractor: - -- TOTAL FEES:$ 4315.06
WINDWOOD HOMES WIND'r:COD HOMES
14076 SW BENCHVIEW TERRACE 14076 SW BENCHVIEW TERRACE
TIGARD OR 97224 TIGARD OR 97224
Phone #: 590 -4700 Phone #: 590 -4700
Reg #..: 050196
This pernit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This per ®it will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 180 days.
- -- REQUIRED INSPECTIONS --------------- - --
Footing Insp PLM /Underfloor Low Voltage Gyp Board Insp Electrical Final
Foundation Insp Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final
Past /Beap Struct Plumb Top Out Gas Line Insp Water Line Insp Plumb Final
Post /Beap Nechan Electrical Servi Gas Fireplace Water Service In Building Final
Crawl Drain Framing Insp Insulation Insp Appr /Sdwlk Insp Erosion Control
^ ,(
Permittee Signature: ( / - 2-1( - 77,0 ( / - 2-1( - 77,0 � n A Issued /` )
Call for inspection — 639 -4175 L
I
> !�
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
. Tigard, OR 97223
(503) 639 -4171
TkGc y
Jobsite Address: /34 33 5" r JO/
� //6� Office Use :OnIY
Subdivision: r�'+ /,,�4g R Lot # /UZ
Contact Date / / Initials
Valuation: e5 /aa7s Result
New Construction Only: (Square Footage) Planck/Rec # Z-11 K
Permit. #: /r/.5/ - 00 S /
House: - 30A:2 Garage: 9 76- Reissue of tit /A .
Corner Lot? Y Flag Lot? Y N Map 8i:TL #` 'FS I bqC D — %03�
9 Zone: g-
Owner: IA) /t n/ 10 �Oc) 40 /kyft S
Plat: #. 4/- / 5 Oh -�
Address: /'/. U ?G S W �/ic. / =w (Cr mi Approvals:Required
Planning Setbacks 1'" pa....:( Solar _`-_'
t C r d -) �� y Engineering' Cv
lb oz t
Phone: (S`U3 ) Sqo - 5`1 UU
Other::.:.. .
Items Required .
Contractor: Sc. in C .
Subcontractors
Address: Truss Details
Other .
Notes IU / 0E-2-9'6972")
Phone: ( ) .c rn-r
Contractor's license # ' 96
;attach copy of current Oregon license)
Contact Name: ,DC,�f ,PA.Actrz
Contact Phone: f S?J3 ) X44 c °000
Subcontractors: Architect/Engineer: (a/6 I i' ..4
Plumbing: sAinI9 IP /4i Address: A 0 4 6V A /S
Mechanical: / eA :;e: G' g 2._ „ 0 L) r 2d
(attach cop, of curr: t OR Co t - to s License)
4 C(C( ttol' . / # r M I Phone: ( C 5 an ) S " ``/.P-5
JOB DESCRIPTION: ,C,,-
/10‘1/4/ - ( )3) s " — YO " Y1 dcl
Applicant Signa�ure Applicant Phone number
1J V
Received by: i AND OA( !r--- Date Received: 2 --7f)--n, , 4
M:Vog.kdsb4neDp
d ,
, W, Vkiy ': (51 4 4
o
Permit # Account Description Amount Amt. Pd. Bal. Due
56‘ � Bldg. Permit (BUILD) 7/15 J 7/' , s�
-
Plumb. Permit (PLUMB) vv aL.1 ; '
Mech. Permit (MECH) / w J ' " v
St> ax (M*, -€7e U r i ✓
Bldg: 33 7 r / `
Plumb: / /. L i
Mech: . 2'
E<< / S✓
_ (_ ou
Plan Check (PLANCK)
Bldg: z-// 0 �✓ J-7) _ Q 2/5 - .0 1
Plumb:
Mech: //, % g _fi. Z s , Z ✓
oSw/W -0 Sewer Connection (SWUSA) vv c.,W,
i
Sewer Inspection (SWINSP) -3 J 7 ;j
Parks Dev Charge (PKSDC) SG O .Se--o
Residential TIF (TIF -R) /c/7 0 / Y76
Mass Transit TIF (TIF -MT) /2-0 /0r)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL) /d' /
Water Quantity (WQUANT) / G0 / Gd ✓
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) o ?r,- c- /
Erosion Planck/USA (ERPLAN) v0 `‘ D o r-- o
Erosion Planck/COT (EROSN) st- li o p1-6F-Ld •
TOTALS: 6550. O ZSp°= / _j O G �v
7/26/99 Activities for Case #: MST96 -00051
3:15:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 2/20/96 BON PASS BT2 2/26/96
MSTA008 Permit Created 2/26/96 RT PASS BT2 2/26/96
MSTA010 Check for prd. restrict. 2/22/96 BON PASS BT2 2/26/96
MSTA012 Plans routed to Plans Examiner 2/22/96 BON PASS BT2 2/26/96
MSTA026 Plans approved by Plans Exmr 2/26/96 RT PASS BT2 2/26/96
MSTA030 Reviewed plans routed to DSTS 2/26/96 RT PASS BT2 2/26/96
MSTA705 Footing Insp 3/11/96 KS APP KBS 3/11/96
MSTA706 Foundation Insp 3/19/96 KS - APP KBS 3/19/96
MSTA710 Post/Beam Structural 3/29/96 KS DIS KBS 4/1/96 #-1- provide felt under post
incontact with concrete #-2-
lateral brace any post that is
four ft high #-3— positive
connection at beam splices
bearing over interior bearing
beam #-4- add post under
notched beam for plumbing
waste line #-5- apply plywood
both sides of pony wall 14
inches or less high #-6- provide
min; of three studs at all
exteriors comers
MSTA711 Post/Beam Mechanical 4/1/96 KS APP KBS 4/2/96
MSTA713 Crawl Drain 3/22/96 MS PASS MRS 3/25/96
MSTA717 PLM /Underfloor 3/26/96 MS PASS MRS 3/26/96
MSTA720 Mechanical Insp 6/11/96 GS DIS GES 6/11/96 connect fan vents; see gas
firepl insp
MSTA722 Plumb Top Out 5/31/96 MS FAIL MRS 6/3/96 no test on system
MSTA723 Electrical Service 6/5/96 MJR DIS MJR 6/5/96 no ground
MSTA725 Framing Insp 6/14/96 RB FAIL RB 6/14/96 exhaust venting incompleted;
secure fireplace L.R.; provide
firespacer w/iin chase L.R.
fireplace; flame spread fireplace
' cavity; F.S. family room
fireplace; close off heat duct to
floor space at kitchen ceiling;
seal holes in plenum floor RA.
shower blocking; support ridge
posting on single plate; support
ridge in master bedrm/bath;
strap plates; cut hole w /in TJI
too large- center span- family
room- same for study; vent
' baffles missed
Page 1 of 4
7/26/99 Activities for Case #: MST96 -00051
3:15:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA727 Low Voltage 9/30/96 HW APP MJR 11/5/96
MSTA735 Gas Line lnsp 6/11/96 GS APP GES 6/11/96
MSTA736 Gas Fireplace 6/11/96 GS DIS GES 6/11/96 secure fireplaces to framing 1°
min dear req for Ir firepl vent
MSTA740 Insulation lnsp 6/21/96 RB $ 15 RB 6/24/96 insulate heat duct wfin soffit;
remove vapor barrier at shower,
etc; insulation missed at ext
soffit; INSULATE/FLAME
SPREAD FIREPLACE CAVITY -
INSPECTION
TERMINATEDII $15.00
CHARGED FOR MECH.
FAILURE. fee paid this date
6 -24 -96
MSTA745 Gyp Board Insp 6/28/96 KS DIS KBS 6/28/96 #-1- not complete no plans on
site to verify if shear nailing is
applicable
MSTA755 Rain drain Insp 3/22/96 MS PASS MRS 3/25/96 around house ok
MSTA760 Water Line Insp 3/28/96 MS PASS MRS 4/1/96
MSTA790 Electrical Final 10/1/96 HRW FAIL JF 10/3/96 Both kitchen small appliance
circuits must be available for
counter use. Jacuzzi GFCI unit
and pump are not accessable.
MSTA795 Mechanical Final 10/2/96 RB FAIL RB 10/3/96 see building final this date
MSTA797 Plumb Final 10/1/96 MS FAIL MRS 10/2/96 rd must be capped off hose bib
• not installed shower valve not
working properly
MSTA799 Building Final 10/2/96 RB FAIL RB 10/3/96 14 -issue report
MSTB708 Erosion Control 9/27/96 USA PASS RB 10/3/96
MSTA080 (F) Ready to issue 2/27/96 B PEND BON 2/27/96 Need electrical contractor info.
MSTA092 (F) Issue combination permit 2/28/96 JMH PAID J•H 2/28/96
MSTA097 Issue plumbing signature form 2/28/96 JMH PAID J'H 2/28/96
MSTA098 Issue electric signature form 2/28/96 JMH SENT J'H 2/28/96
MSTA098 Issue electric signature form 2/28/96 JMH SENT J'H 2/28/96
MSTA710 Post/Beam Structural 4/1/96 KS APP KBS 4/2/96
MSTA726 Shear Wail Insp 5/3/96 5/3/96 KS DIS KBS 5/20/96 #-1- holdowns not installed
panels not nailed'
MSTA726 Shear Wall Insp 5/6/96 5/6/96 RB FAIL RB 5/6/96 not reday!
Page 2 of 4
7/26/99 Activities for Case #: MST96 -00051
3:15:45 PM
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA726 Shear Wall Insp 5/13/96 5/13/96 KS DIS BT2 7/25/96 #-1- additional nailiong needed
at (all shear panels as shown
• #-2- block all joints at panels
#-3- symbol #-4- indicate that
mpand #/42 holdowns are
required inlieu hpand #-22-
straps
MSTA726 Shear Wall Insp 5/20/96 5/20/96 KS APP BT2 7/25/96
MSTA724 Electrical Rough In 6/5/96 6/5/96 MJR PASS MJR 6/5/96
MSTA727 Low Voltage BT2 7/25/96
MSTA723 Electrical Service 6/10/96 6/10/96 MJR DIS MJR 6/10/96 corrections not complete
MSTA723 Electrical Service 6/10/96 6/13/96 MJR PASS MJR 6/13/96
MSTA722 Plumb Top Out 6/10/96 6/10/96 MS PASS BT2 - 7/25/96
MSTA720 Mechanical Insp 6/14/96 6/14/96 RB . FAIL RB 6/14/96 see framing this date
MSTA720 Mechanical Insp 6/18/96 6/18/96 RB $ 15 RB 6/24/96 pending- flame spread fireplace
cavities/ insulate same.
Re- inspect fee charged- paid
6-24
MSTA725 Framing Insp 6/18/96 6/18/96 RB PEND RB 6/24/96 pending- mech issues
MSTA740 Insulation Insp 6/24/96 6/24/96 RB PEND RB 6/24/96 insulate gaps at main entry;
flame spread rim where
needed; firestop thru
penetrations.
MSTA740 Insulation Insp 6/25/96 6/25/96 RB PASS RB 6/25/96 •
MSTA745 Gyp Board Insp 7/1/96 7/1/96 KS APP KBS 7/1/96
MSTA765 Appr /Sdwlk Insp 8/12/96 7/26/96 PI PASS C'H 8/12/96 1. Be prepared to protect
finish.
MSTA797 Plumb Final 9/30/96 TLP PASS TLP 10/3/96
MSTA795 Mechanical Final 10/3/96 RB FAIL RB 10/3/96 see building final this date
MSTA799 Building Final 10/3/96 RB FAIL RB 10/3/96 plumbing final; rain drain cover;
repair dryer vent at ext.; deck
incomplete; slope /grade & 6"
max fm earth - to-wood; noted
leaking under -floor
MSTA797 Plumb Final 10/3/96 MS FAIL MRS 10/4/96 shower valve still not fixed shut
off valve? 25dollar reinspection
fee accessed
MSTA790 Electrical Final 10/4/96 10/3/96 HRW PASS KAS 10/4/96
MSTA724 Electrical Rough In 9/30/96 HW DIS MJR 11/5/96 furnace requires a disconnect
panel not made up, HOT and
not covered
MSTA795 Mechanical Final 11/7/96 RB PASS RB 11/8/96
Page 3 of 4
7/26/99 Activities for Case #: MST96 -00051
3:15:45 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA799 Building Final 11/7/96 RB FAIL RB 11/8/96 PLUMBING FINAL REQ'D.
MSTA798 Final inspection 11/15/96 MS PASS MRS 11/15/96
MSTA797 Plumb Final 7/17/97 MS PASS J'H 7/20/97 Approved pending: Waterline
underfloor needs to be
insulated.
MSTA797 Plumb Final 9/15/98 RB PASS RB 9/15/98 PASSED BY REVIEW- Cards
are in hard file. Already
approved.
MSTA795 Mechanical Final 9/15/98 RB PASS RB 9/16/98 Passed by review- See Building
Final this date.
MSTA799 Building Final 9/15/98 RB PASS RB 9/16/98 Passed by review of
appearance and that all
construction practices have
been satisfied.
MSTA960 (F) Issue Cert. of Occupancy 9/15/98 MAIL VLN 1/6/99 Mailed 1/6/99
MSTA720 Mechanical Insp 6/24/98 RB PASS RB 1/4/99
MSTA725 Framing Insp 6/24/98 RB PASS RB 1/4/99
Page 4 of 4
CITY OF TIGARD BUILDING INSPECTION DIVISION T 96
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
R /'
Date Requested ' r /'7 V �/ AM PM BLD
Locatio : / 3 (o.3 S /,1 / ��c� P/C["./ Suite MEC
Contact Person Ph PLM
//
CC ritl actor 611 /n �tu�� /44/k is 5 Ph SAD - 4 / 700 SWR
UILDIN Tenan w ne , 1- trhp.n ,)
g ELC
Re airnng Wall ELR
Footing -- o l�
Foundation 6 ( 1j r h FPS
Ftg Drain REQUESTED
Crawl Drain Q ' / ! C 9 o 6 70 SGN
Slab _ FOUND IIRTNCT RF SIT
Post & Beam — Q k— FWD INSPECTION(s) IN FILE__
Ext Sheath /Shear Ok
Int Sheath /Shear \i/ Framing ._.. p LC.. ✓Y
Drywall on (�
Drywall Nailing
Fire wall • �� � �- a / I CJ /
Fire Sprinkler C/� � v� �--''�✓ v
Fire Alarm CA-5 1 ^ / `
Susp'd Ceiling G� �- � -S v �'� -)'-�
Roof r a 5 -P •
Misc: "7
ART FAIL
=NG Q.
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS T FAIL
ECHANI
os Beam p
Rough In _ O
Gas Line 6
S u oke D • pers
S •ART FAIL
TRICAL 6 e_
Service p l�
Rough In — 6 it_
UG /Slab
Low Voltage
Fire Alarm
Final — 0 " 1---
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 c )/i C/ Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.