Permit 1
1 -- CITY OF TIGARD MASTER PERMIT
/r +� DEVELOPMENT SERVICES
( ) ard, OR 97223 503 RIGINA T E ISSUED: 8/2/99
'�� II 13125 SW Hall Blvd., Ti 639 1 PERMIT #: MST1999 -00250
SITE ADDRESS: 13593 SW WHITEHALL LN PARCEL: 2S104DB -00500
SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5
BLOCK: LOT: 005 JURISDICTION: TIG
REMARKS: adding window and door in garage
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: if BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: if FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: $ 1,750.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < SHP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: - VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADM 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 ADOL 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/FDW =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: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 86.00
T
DALTON CONSTRUCTION, INC DALTON CONSTRUCTION INC Tigard d Municipal is subject t regulations f OR. Specialty C o in the
Codes and
8465 A SW HEMLOCK ST 8465 SW HEMLOCK ST a l h Munici pal Code, , State work will l be done Co
all other
PORTLAND, OR 97223 SUITE A all oer applicable laws. All woo rk will be in
TIGARD, A OR 97223 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: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg 0: LIC 00067798 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
Framing Insp
Final inspection
Issued By : /� 1. /_� Permittee Signature : ( _t&fr._ ± i 5t fg
Call (503) • - • -4175 by 7:00 p.m. for an inspection needed the next business day
CITY TIGARD Residential Building Permit Application Plan Check —S[
13125 SW HALL BLVD. Alteration - Interior Remodel' Only Rec'd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Rec'd 1 — �tb
g y p Date to P.E. 7- a,/ _9 9
V 503 -639 -4171 Date to DST 7- z / - f 9
F 503 - 684 -7297 Permit # /NS f/f f -U O 257'
Print or Type Called 7 -30 ' Q
Incomplete or illegible applications wi ll not be accepted id: i3AI
171 6uv7 //.i' t/ L�fr ✓Ayl , ps
Name of Project Name
Job Garage WIndow /Door Dalton Construction, Inc.
Site Address Architect Mailing Address
Address 13593 SW Whitehall 8465 -A SW Hemlock St.
Name City/State Zip • Phone
Tigard OR 9722' 452 -0969
Dalton COnstruction, Inc. Name
Owner Mailin Address .
846 SW Hemlock St. I
City/State Zip Phone Engineer MaitiQMdress
Tigard OR 97223 452 -0969 il City /State Zip Phone
General Name
Contractor Dalton Construction, Inc . Describe work New O Addition 0 Alteration ¢I; Repair 0
Mailing Address to be done:
Prior to permit 8465-A SW Hemlock St. Additional Description of Work: •
issuance, a copy City /State Zip Phone Add Window and dorr into Garage
of all licenses , Ti and OR 97223 452-0969
are required if Oreg Const. Cont. Board Exp. Date PROJECT 1750.00
expired in COT Lic.# V ALUATION $ 67798 7- /05/01 _
Mechanical Name yy NEW CONSTRUCTION ONLY:
Sub- None Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address i'
Prior to permit Indicate the; restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas -
of all licenses Restricted , Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy !' System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System - System
Plumbing Name (check all that Other:
Sub- NnnP apply) 1 1
Contractor 9
Corner Lot YES NO Flag Lot YES NO
Mailin Address
(check on e) (check one)
- Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone 11
il
issuance, a copy Solar Compliance ..
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.# I hearty acknowledge that I have read this application, that the
expired in COT
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
Oregon St laws.
Name Si nature r eeg(CL------ Da l �� ElectrlCal None C ntact Perso I - • Ph
(...E14 Sub- Mailing Address Z IU EtJ 1) 4'�- 46 Z—O 4(0
Contractor FOR OFFICE USE ONLY:
City /State Zip Phone Plat #: Map/TL #:
Prior to permit 25/ Uu5 v
issuance, a copy Setbacks: • - Zon Sol�(( ff
ar:
of all licenses are Oregon Const. Cont. Board Exp. Date I
required if Lic. # / q, `
expired in COT Engineering Approval: Planning Approval: TIP:/
database Electrical Lic. # Exp. Date
II
&)r ?IA J : ,32-.0 I.SFREM2.DOC (DST) 8/11/98
TAX 5 .S 17
CITY OF TIGARD BUILDING INSPECTION DIVISION MST �jq�j
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Qp BUP
Date Requested �I,� , I D,_ ` / AM PM BLD
Location 1 3Sq 3 W Suite MEC
Contact Person Lan Ph 7 - 29 (o I PLM
Contractor Ph SWR
UIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation 3 S FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
{i�{u{i'►
nsu a ion
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm n
Susp'd Ceiling
Roof
Misc: �r
Final if
PASS PART ir
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final mow r
PASS PART FAIL
MECHANICAL
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 inspect - no access
ADA
Approach /Sidewalk Date 3 -c ??
Inspect t
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection ecord f m the job site.