Permit C MASTER PERMIT
CITY OF TIGARD
PERMIT #: MST99 -00134
�y� DEVELOPMENT SERVICES DATE ISSUED: 4/20/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11909 SW TREEHILL CT PARCEL: 2S110BA -RED11
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 011 JURISDICTION: TIG
REMARKS: New SF - Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,352 sf BASEMENT: 758 00 sf LEFT: 6 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 830 sf GARAGE: 430 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST• 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 6
VALUE: S 212,632 10
OCCUPANCYGRP. R3 BDRM: 4 BATH: 4 TOTAL: 2,18200 sf REAR: 35
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES' 100 SF RAIN DRAINS: 1 CATCH BASINS: 0
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES. 100 BCKFLW PREVNTR: 1 GREASE TRAPS. 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN < 100K: 0 BOIL/CMP < 3HP: 0 VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1
MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES• 0 GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 0 • 200 amp: 0 W /SVC OR FDR: 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF: 5 201 • 400 amp: 0 201 • 400 amp: 0 1st WIO SVC /FDR: 00 SIGN /OUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 • 600 amp: 0 401 - 600 amp: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL: 0 IN PLANT: 0
MANU HM/SVC /FDR: 0 601 - 1000 amp: 0 601 +amps- 1000v: 0 MINOR LABEL: 0
1000+ amp/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 E. STEREO: VACUUM SYSTEM: X AUDIO 8 STEREO: FIRE ALARM. INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM' X OTH: IRRIGATION BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL.
GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: 0
Owner: Contractor: TOTAL FEES: $ 5,288.26
CONSTRUCTION FOUR D CONSTRUCTION This permit is subject to the regulations contained In the
FOUR D C
FO BOX ON FO BOX ON Tigard Municipal Code, State of OR Specialty Codes and
BEAVERTON, OR 97075 BEAVERTON, OR 97075 all other applicable laws. All work will be done i
accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION
Phone: Phone: 720 -7445 MOBL Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rea s: 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
Erosion 844 -8444 Post/Beam Mechanical Electrical Service Gas Line Insp Electrical Final
Grading Inspection Crawl Drain /Backwater Electrical Rough In Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service Insp Building Final
Post/Beam Structural Plumb Top Out Low Voltage Appr /Sdwlk Insp ' /
/ ;
Issued By : 6,1 Permittee Signature : � � �/_
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne business i ay
AP O TIGARD Residential Building Permit Application Plan Check# ,y_...54.
13125 SW HALL BLVD. Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd ///9',° g y � p � Date to P.E. t-- -
V 503 - 639 -4171 Date to DST - 9
F 503 - 684 -7297 Permit #Mst' Ot3 K �� �
Print or Type � j Called - 9 -9Q WA,
Incomplete or illegible applications will not be accepted $ Q- 64'/ v
ca!!. 4 )006 f/is7 * to 7 //
Name of Project Name
Job 1/90 SGt> 7�2.24'i Or `7 ate 5 Architect Mailing Address
Address site Address / J 995 ..C,GU. LU /LS /./i,2� Sc.�,. ?6'
- T/fr lam/ �� °'� /State Zip e
Pho
Name /� , / � /v i y7 _ 2T'2 3 A/3
/ -€ m � �h � � Name
Owner ng Address
O, 2cr - 9 FtA L_L�K S
CA/State Zip Phone Engineer Mailing Address
J +- 9707.5 --C70 -Ort'os 2S (,o OJ . W • (,/� t. LS - DR_
/State Zip Phone
General Name
Rt�-At• Olt q7z S33 -S77S
Contractor Ste_,, /9 ,2o c)-c_.- Describe work New)St Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit Additional Description of Work:
issuance, a copy City/State Zip Phone _
of all licenses
are required if Oregon Const. Cont. Board Exp Date PROJECT
expired in COT Lic # 7/03 � _ CCD VALUATION 2 0 00 database /
Mechanical Name NEW CONSTRUCTION ONLY:
Sub - c i, / �frT� /`y Sq. Ft. House: Sq. Ft. Garage
Contractor Ma il g� Address 27‘LO 1,1/2-
Prior to permit 9-S2? S', LU, '771/}, ST Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas
of all licenses 7/9 j.�g , eve_ 972 6,20 ..S I2 Restricted Audio /Stereo
are required if Oreg n Const. Cont. Board Exp. Date Energy System j/ Alarms
expired in COT Lic.# / / Installations Vacuum - / Irrigation
database (o / V System System
Plumbing Name (check all that Other:
•
Sub - 9L-g CP1 .4!/ri a pp l y )
Contractor Mailing Address Corner Lot YES CVO, Flag Lot YES
1592 S' S/� (check one) � (check one)
/� u-� Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy ///LL,S,3o,Go 97123 64/6-23//
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic # q I hearby acknowledge that I have read this application, that the
expired in COT /9 / 0 ] y g pp
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
.2«444 ? Z' Oregon Sta laws
Name Sig A• t Date
Electrical ?o .e�c'7 $ Lec7 i'c_ � i. 5/ /- 9 9
Sub- Mailing Address onta erson Nae� Phone #
Contractor -.5 .5,a.), 11,�//a.� / - 17DdzQPc�tZT S9U -o ft O S
City /State Zip Phone
Prior to permit
issuance, a copy ? Z7Z4/4 97 22/ ,24 -77-S4z FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp Date Plat #: Map/TL #:
required if Lic.# 92�� ,�— Z � 3 a S/ /o e 9 - ,20,
expired in COT
database Electrical Lic. # Exp. Date Set acks: Zone: Solar:
35/230 O y - I' C M /Z — y, S A✓ /
Electrical � pe Q
isor Lic # Exp Date ,Eogineer� g A Planning Approval: TIF:
ul.�sL c.r is \dsts \forms\sfaddalt.doc 11/20/98
3/8/00 Activities for Case #: MST99 -00134
9:52:56 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA707 Slab Insp 6/10/99 LN PASS No Hold AKJ 6/10/99 note: changed from floor joists
to slab on grade. Isolated ftgs
for pt loads are in and at least
15x7 ftg for entire wall is formed
OK to pour
MSTA005 Application received 4/1/99 DLH RECD BON 4/1/99
MSTA008 Permit Created 4/1/99 B DONE • BON 4/1/99 _
MSTA010 Check for prcl. restrict. 4/1/99 B PASS BON 4/1/99 -
MSTA012 Plans routed to Plans Examiner 4/1/99 B SENT BON 4/1/99
MSTA026 Plans approved by Pln Examiner 4/8/99 BT2 DONE BT2 4/8/99
MSTA030 Reviewed plans routed to DSTS 4/8/99 BT2 DONE BT2 4/8/99
• MSTA032 DST Post- Review Completed BON 4/1/99
MSTA155 Development conditions met BON 4/1/99
MSTA700 Erosion 844 -8444 BON 4/1/99
MSTA703 Grading Inspection BT2 4/8/99 10% GRADE
MSTA705 Footing Insp 4/26/99 KS PASS AKJ 4/26/99 1) Initial erosion control
2) Ufer rod tag
3) This insp does not include
•
• interior load piers will pour with
walls -
MSTA706 Foundation Insp 5/6/99 KS PASS AKJ 5/6/99 1) Provide 24 "x24" dowels at
rear garage wall
• 2) Partial crawl space, slab on
grade at rear
3) If isolate piers are located adj
to cut excavate to lower level
4) Install anchor bolts size and
spacing as shown
MSTA710 Post/Beam Structural 8/25/99 TLP PASS AKJ 8/25/99
MSTA711 Post/Beam Mechanical - BON 4/1/99
MSTA713 Crawl Drain /Backwater valve BON 4/1/99 .
MSTA717 PLM /Underfloor 6/7/99 MS PASS • MRS 6/7/99
. MSTA720 Mechanical Insp 9/10/99 KS FAIL AKJ 9/12/99 see framing 9/10/99
MSTA722 Plumb Top Out 9/3/99 TLP PASS AKJ 9/6/99
MSTA723 Electrical Service 9/10/99 BRP PASS AKJ 9/12/99
MSTA724 Electrical Rough In 9/10/99 BRP PASS AKJ 9/12/99 .
•
Page 1 of 4
3 /8 /00 Activities for Case #: MST99 -00134
9:52:56 AM
Assigned Hold Updated .
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp HOLD BT2 6/11/99 NO FRAMING INSPECTION
. BEFORE SPRINKLER
SYSTEM HAS BEEN .
APPROVED
MSTA726 Shear Wall Insp 8/25/99 TLP PASS AKJ 8/25/99
MSTA728 Low Voltage 9/10/99 BRP PASS AKJ 9/12/99
MSTA735 Gas Line Insp 9/10/99 KS FAIL AKJ 9/12/99 see framing 9/10/99
MSTA740 Insulation Insp - 9/23/99 RB PASS AKJ 9/23/99 vent baffles req at top end of
vaulted ceiling and at vault in
master bed /bath
MSTA752 Rain drain Insp 6/1/99 TLP PASS AKJ 6/1/99
MSTA761 Water Service Insp 6/1/99 TLP PASS - AKJ 6/1/99
MSTA765 APPr /Sdwlk Insp BON 4/1/99
MSTA790 Electrical Final 1/13/00 BRP FAIL AKJ 1/13/00 cords and attachment plugs
under cooktop subject to
' physical damage
MSTA795 Mechanical Final 2/9/00 KS FAIL AKJ 2/9/00 see bldg final 2/9
MSTA797 Plumb Final 1/13/00 MRS FAIL AKJ 1/13/00 can't locate main shut off valve
for house •
MSTA799 Building Final 8/5/99 GS NOTE AKJ 8/5/99 sprinkler sys backflow
prevention device requires
testing prior to bf
MSTA080 (F) Ready to issue 4/14/99 DRA DONE No Hold DRA 4/14/99
MSTA098 Issue electric signature form 4/20/99 BON DONE No Hold BON 4/20/99
MSTA097 Issue electric signature form 4/28/99 JMT RECD No Hold JT 4/28/99
MSTA095 Issue plumbing signature form 4/27/99 VLN RECD No Hold VLN 4/27/99
MSTA092 (F) Issue combination permit 4/20/99 BON DONE No Hold BON . 4/20/99
MSTA707 Slab Insp 6/9/99 LN FAIL No Hold AKJ 6/9/99 1) provide documentation from
designer to ok revision from
. post and beam to slab on grade
2) provide continuous 15 "x7" ftg
for interior bearing walls
Do not pour
■
Page 2 of 4
3/8/00 Activities for Case #: MST99 -00134
9:52:56 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp 9/12/99 9/12/99 9/10/99 KS FAIL No Hold AKJ 9/12/99 1) pressure not adequate at gas
piping
2) elec cover app
3) strap plate'at bay
4) pos Conn glulam to post at
kitchen both ends
5) nail double joist at fam rm
6) fireblock stud space at 10'
vertical
7) provide full bearing under
double joist adj to entry
8) nail doubler at Ir also triple
rafter
9) provide hangers at jack
rafters at Ir
10) provide 6' -8" head height at
stairs
11) provide gussets at post at
crawl also lateral supp
12) nail double hip rafters
13) need attic access
14) wall around mech at upper
level
15) remove flex heat touching b
• vent at attic
16) secure fs paper behind
fireplace main fl also at lower
level
MSTA725 Framing Insp 9/19/99 9/19/99 9/17/99 KS PASS No Hold AKJ 9/19/99
MSTA735 Gas Line Insp 9/19/99 9/19/99 9/17/99 KS PASS No Hold AKJ 9/19/99
MSTA720 Mechanical Insp 9/19/99 9/19/99 9/17/99 KS FAIL No Hold AKJ 9/19/99 1) secure flex heat duct above b
vent to attic
2) head height at lower stairs
6'8" at finish
ok to insul
MSTA790 Electrical Final 1/24/00 1/24/00 1/24/00 BRP FAIL No Hold AKJ 1/24/00 corr not made
MSTA780 «REINSPECTION» 1/24/00 1/24/00 2/9/00 DEB PAID No Hold DST 2/9/00 2nd failed elec final, Reinspect
fee of $50.00, paid on 2/9/00,
receipt #00- 321650
MSTA050 Hold for 1/24/00 BRP HOLD No Hold AKJ 1/24/00 reinspect fee due
MSTA790 Electrical Final 2/8/00 2/8/00 2/8/00 BRP PASS No Hold AKJ 2/8/00
MSTA055 Hold Release to Issued 2/9/00 - DEB DONE No Hold DST 2/9/00 Electrical reinspect fee paid on
2/9/00, receipt #00- 321650.
Page3of4
3/8/00 Activities for Case #: MST99 -00134
9:52:56 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA799 Building Final 2/9/00 2/9/00 2/9/00 KS FAIL No Hold AKJ 2/9/00 1) final erosion control app
2) need plm finaled
•
3) provide cert at fire sprinkler
sys for backflow test
4) ac unit not installed at this
time
5) handrail not installed at lower
level
6) fireplace at lower level not
functional
MSTA797 Plumb Final 2/17/00 2/17/00 2/17/00 MRS PASS No Hold AKJ 2/17/00 req permit for all double checks
MSTA795 Mechanical Final 2/21/00 2/21/00 2/18/00 TLP PASS No Hold AKJ 2/21/00
MSTA799 Building Final 2/21/00 2/21/00 2/18/00 TLP PASS No Hold AKJ - 2/21/00 need double check permit
before do issued
MSTA960 (F) Issue Cert. of Occupancy 2/18/00 TLP DONE No Hold ST 3/8/00 3/8/00- mailed to owner /BT /file
•
•
•
•
Page4of4
CRY OF TIGARD BUILDING INSPECTION DIVISION MST ,r1 g-00/ Sq
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / 7/c AM PM BLD
Location I ('9 (39 — 17/.o 171A /4 Suite MEC
Contact Person Ph 7 20- ys PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
J� Foundation F� `/_ FPS
Ftg Drain Y- 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
cf1iMBINt) / / 4
Post & Beam %/"
Under Slab e #" /
Top Out —
Water Service
Sanitary Sewer
Rain P rains
. -40 e PART FAIL
CHANICAL
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
Approach /Sidewalk
Other Date 2 7/ V 0 Ins r/
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION OsT 0n-601E
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �nl� Z �� AM PM BLD
Location / 1 I l f ' q ) r r // i, 1 4 Suite //JJ MEC
Contact Person 19a Ph 72 - 7 Li � PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation ,C K 1 , FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab _ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Insulation • ( • hkitge0- �7 � - Drywall Nailing _
Firewall ,(
Fire Sprinkler /�
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING CZ) . V - ` 1 O Y] ,S l__rJ YY] 1„ e
Post & Beam
Under Slab
Top Out
Water Service AI > a SP ,e - / _ 1
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
f{CECTRIC $
Service
Rough In
UG /Slab
Low Voltage
Fire A . ►
• ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date o ' 6 Inspector Ext
Other p
Final
PASS PART FAIL DO NOT (REMOVE this inspection record from the job site
J CITY OF TIGARD BUILDING INSPECTION DIVISION c
� � � Ms � t / -001 39
q / 24 -Hour I Line: 639 -4175 Business Line: 639 -4171
6 BUP
Date Requested 2- // D E AM PM BLD
/ Location 11 l O l 1J.7 /1 A Suite MEC
Contact Person L7cc e, Ph 3 - 7215'T-1 y LOS PLM
Contractor Ph qq.' 7 f
u tt if Tenant/Owner ELC
Retaining Wall ELR
Footing Access: )/
Foundation � C, )/ /� FPS
Ftg Drain J -tom r SGN
Crawl Drain Inspection Notes:
Slab _ SIT
Post & Beam � — '- _
�
Ext Sheath /Shear AL: 44 - • � / A,
Ina Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm j�/(f /s/ /' /'/ vO✓/f /P /-A c/ /"
Susp'd Ceiling
Roof d/ •
Misc:
de :iv PART FAIL
MBING ���� //"e
Post & Beam
Under Slab
Top Out
C at"elGe
Rain >lra f . '
S PART FAIL Pea. 14' l 7 5 ,F4 /IZ
ost&Be (s6l v po qi/ (.t/eJi e
,C /A-e �'r
Post & Beam
Rough In
Gas Line
• • ke Dampers
tSS PA RT FAIL
E ICAL
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 Date / U v(� Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.