Permit 4 CITY OF TIGARD MASTER PERMIT
bo DEVELOPMENT SERVICES PERMIT # : MST99 -0059
= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/5/99
PARCEL: 2S104CC -00100
SITE ADDRESS...:13713 SW TRACY PL
SUBDIVISION •HILLSHIRE ESTATES NO. 2 ZONING: R -7 PD
BLOCK LOT -106 JURISDICTION: TIG
Remarks: Finishing crawl space and basement.
BUILDING
REISSUE: STORIES : 0 FLOOR AREAS BASEMENT...: 941 sf REQUIRED SETBACKS -- REQUIRED -
CLASS OF WORK.:ALT HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT : 0 PARKINS SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : 0
OCCUPRNCY 6RP.:R3 BDRM: 2 BATH: 1 TOTAL 0 sf VALUE..$: 65566 REAR • 8
PLUMBING
SINKS : 0 WATER CLOSETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES : 2 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 8 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 1 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL ---
FUEL TYPES FURN GOOK ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 1 CLOTHES DRYERS: 0
6AS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 6 WOODSTOVES • 0 6AS OUTLETS...: 0
ELECTRICAL -
- RESIDENTIAL UNIT— -- SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS— -- MISCELLANEA— - ADD'L INSPECTIONS -
1m SF OR LESS: 1 0 - 208 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 480 alp..: 0 201 - 488 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - ji' amp.: 0 601 +asps- 1m v: 0 MINOR LABEL -18: 0
1000+ amp /volt.: 0 PLAN REVIEW SECTION --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NMIMAL: CLS AREA /SPC OCC:
-- — ELECTRICAL - RESTRICTED ENERGY —
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO i STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: DTH: .. BOILER • HVAC LANDSCAPE /IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0
Owner: --- - - -- Contractor: -------------------- TOTAL FEES:$ 860.45
THEODORE TESSIER FOUR WALLS HBUILDERS This permit is subject to the regulations contained in the
13713 SW TRACY PL RONALD J NARDOZZA Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 PO BOX 219148 other applicable laws. All work will be done in accordance
PORTLAND OR 97225 -9148 with approved plans. This permit will expire if work is
Phone #: Phone #: 671 -9991 not started within 180 days of issuance, or if the work is
Reg 0..: 1''78 suspended for lore 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-€01-0880. You lay obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTIONS
Footing Insp Electrical Rough Electrical Final
Post /Beam Struct Framing Insp Mechanical Final
Mechanical Insp Gas Line Insp Plumb Final
Plumb Top Out Insulation Insp Building Final
Electrical Servi A.'r /Sd / Insp
Issued By: ,, / ' , Permittee Signat
+ + + + + + + ++ + ++ P ',; ' + + + + + + + + + + + + + + + + + + + + + + + + + + ++ j - + + ++ + + + + + + + + + + ++
Call 639 -4175 by 7.'0 p.m. for an inspection needed the business day
. -..- JL-!.______-12-g-_
CITY OF TIGARD Residential Building Permit Application Pla '
13125 SW HALL BLVD. Alteration - Interior Remodel Only Recd By ,f/
Date Recd 7 '%
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. - Z - ''
V 503 - 639 -4171 Date to DST • 3 _ r�
F 503 - 684 -7297 Permit II e' ' " - if 1
Print or Type Called 3 - ,9 - q 9 _ - 6 y-
Incomplete or illegible applications will not be accepted /
G` - I// rje,s4
Name of Project Mme
Job t (lS
Address Site Address Architect Mailing- Address
13113 JO A AGY PLACE City/State Zip I Plrarre
Name
iE 0 4' gim '1 eR Name
Owner Mailin Address
13713 J0400 i -
P . Engineer Mailing Address
City /State Zip Phone
T1 t'vqR i0, of? 97441_ City/State Zip I Phone
General Name
Contractor Pea R Limas Nam .Ra bouj Describe work New 0 Addition 0 Alteration )3i Repair 0
Mailing Address to be done:
Prior to permd i li )0i Al 4G 611 Ce !Me at. Additional Description of Work:
issuance. a copy City /State Zip Phone
of all licenses POAf L1Ji110 jv 91Jai9 01-4911 SOS 566
are required if Oregon Const Can Board p. Date' . PROJECT
expired in COT uc.0 O VALUATION S- ,
. —"
database 10o 1 d - 11311Qq
Mechanical Name II 1) NEW CONSTRUCTION ONLY:
Sub - Sq. Ft. House- L� Sq. Ft. Garage
Contractor Mailing Address �! /
Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy CdylState Zip Phone. subcontractor in the following areas
of all licenses Restricted Audio/Stereo
are required if Oregon Const Cont. Boar, Exp. Date Energy System • Alarms •
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name I (check all that Other.
Sub- jNtt;bRi0 RiRJ P(.11.M8ial& lac. ap c y anerLot YES NO • Flag Lot • YES NO
Contractor Mailing Address
4117 { fH A v u (check one) _ (check one)
H as the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Pone
issuance. a copy FORJ.S16RoYe O iiige Phone Solar Compliance .
of all licenses are Oregon Const. C Board Exp. Date (Calculation Attached)
required if Lic.i3
expired in COT J/1�/1 I hearby acknowledge that I have read this application, that the
database Plumbing Lrc' # Exp. Date information given is correct, that f am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
.311- -14 P 8 , 1031( Ore « laws.
Name Sin. it r Agent Dat �
Electrical BR i6i t&rl E�1'R c � %
Sub- Mailing Address Con : t P NA4. Phone #
� 4 >G n !(/gr oz2S 07/-22 c I / .
Contractor Pp, BOX �9�T FOR OFFICE USE ONLY:
City /State Zip Phone ' Plat X: Ma ( L� - I O D
issuance, a copy Awilo, O 9 1007 ,351, - S4af Setbacks Zo r f _ , $p
of all licenses are Oregon Const. Cont. Board Exp. Data , I � 1 Fp N
required if Lie.* q 1 I" -
expired in COT 13 9 ,2,1.1 EfigiNering Approval: Planning Approval: 1`� T iFp:
database Electrical Lie- A .Exp. Date A O ►P't , , I" A ,
t 3q- - Lt83G
I:SFREM2.DOC (DST) 8/17198
zoo If RIVDLL .30 £LID 096T 96S £09 YVA fib :ST PO 66/SO/Z0
9i1i99 Activities for Case #: MST99 -00059
8:23:12 AM
. Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 2/9/99 B RECD BON 2/12/99
MSTA008 Permit Created - 2/9/99 B DONE BON 2/12/99
MSTA010 Check for prcl. restrict. 2/12/99 B MEMO BON 2/12/99 Interior remodel.
MSTA012 Plans routed to Plans Examiner 2/12/99 B SENT BON 2/12/99
MSTA026 Plans approved by Pln Examiner 3/17/99 RDP APPR RDP " 3/17/99
MSTA030 Reviewed plans routed to DSTS 3/17/99 RDP APPR RDP 3/17/99
MSTA032. DST Post - Review Completed 3/19/99 GEO DONE GEO 3/19/99
MSTA155 Development conditions met BON 2/12/99 .
MSTA705 Footing Insp BON 2/12/99
MSTA710 Post/Beam Structural 3/26/99 KS PASS AKJ 3/28/99
MSTA720 Mechanical Insp . 3/26/99 KS PASS AKJ 3/28/99 1) Extend ventilation from
existing fdm vents to crawl
space with chase
MSTA722 Plumb Top Out 3/26/99 TLP PASS TLP 3/26/99
MSTA723 Electrical Service BON 2/12/99
MSTA724 Electrical Rough In 5/6/99 BRP PASS AKJ 5/6/99
MSTA725 Framing Insp 5/6/99 KS FAIL AKJ 5/6/99 1) Firestop furred walls at ten ft
interval
2) Provide install manual for
furnace and fireplace
OK to insulate
MSTA735 Gas Line Insp BON 2/12/99
MSTA740 Insulation Insp 5/11/99 KS PASS AKJ 5/11/99
MSTA790 Electrical Final 8/11/99 BRP FAIL AKJ 8/11/99 subpanel not flush with finished .
- wall surface, panel cover is for
surface mounted panel.
- setback of junction box
excessive
MSTA795 Mechanical Final 8/27/99 TLP PASS AKJ 8/29/99
MSTA797 Plumb Final 8/27/99 TLP PASS AKJ 8/29/99
MSTA799 Building Final 8/30/99 GS PASS AKJ 8/30/99
MSTA080 (F) Ready to issue 3/19/99 GEO PASS GEO 3/19/99
MSTA092 (F) Issue combination permit 3/25/99 GEO PASS DST 3/25/99
MSTA714 Footing/Foundation Drain 3/26/99 KS PASS AKJ 3/28/99
MSTA050 Hold for 4/6/99 VLN HOLD No Hold DST 5/4/99 HOLD ALL INSPECTIONS.
Check for fees returned NSF
per Phyllis (x353).
Page 1 of 2 .
•
9/1/99 Activities for Case #: MST99 -00059
8:23:12 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA050 Hold for 4/15/99 JMT HOLD No Hold JT 4/15/99 per Phyllis ext. 353, NSF on
receipt 99- 313967.
NO INSPECTIONS until check
Gears, per Jeanne
Phyllis will inform Jeanne when
check clears. •
MSTA202 Hold Release to Issued Status 5/4/99 VLN DONE No Hold VLN 5/4/99 Cashier's Check for permit fee
• received 5/4/99 (receipt
#99- 315097). OK to inspect.
MSTA725 Framing Insp 5/11/99 5/11/99 5/11/99 KS PASS No Hold AKJ 5/11/99
• MSTA790 Electrical Final 8/29/99 8/29/99 8/27/99 CD PASS No Hold AKJ 8/29/99
MSTA970 Case Finaled 9/1/99 JMT DONE No Hold JMT 9/1/99 C/O issued to Mst97 -00055 on
8/30/99
•
•
•
Page 2 of 2 •
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9 - YS,
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
3-1,0-- BUP
Date Requested / AM PM BLD
Location / ?, 13 T I . Suite ME •� C I 'o)L 7
Contact Person PI DO / Ph �K)' 1ST/ m' PLM
Contractor ' 0l l5 Ph (0 Dim SWR
UIL I Te•ant1Ovyct LC
Retaining Wall •, -
Footing
Foundation Access: 1S 66 - TIC SS � — ,!, F,
Ft. Drain /L� /l���!') N
• - G' X Inspecti n Notes:
Slab qy dY , 6e)d -f SI
Post & Beam
Ext Sheath /Shear
•
Int Sheath /Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
rn
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
SS 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
Approach /Sidewalk D � Inspector / p f1�
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.