Loading...
Permit ` CITY OF TIGARD MASTER PERMIT PERMIT #: MST1999 -00189 w D 13125 EVELOPMENT / I Tigard, SERVICES ) 639 -4171 DATE ISSUED: 5/26/99 SITE ADDRESS: 12905 SW WILMINGTON LN PARCEL: 2S109AA -02700 SUBDIVISION: WILMINGTON HEIGHTS ZONING: R -7 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: 184 sq. ft. sun room addition BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 9 FIRST: 184 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 60 SECOND: sf GARAGE: sf FRONT: 30 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 14 VALUE: $ 12,813 76 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: 25 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 < 3HP: 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 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+ ampNolt : PLAN REVIEW SECTION Reconnect only: RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 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 8 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 252.01 JOHN TEA NORTHWEST FINISH This permit is subject to the regulations contained in the J 76TH Tigard Municipal Code, State of OR. Specialty Codes and J OHN SW WILMINGTON DR NORTHWEST H SH TIGARD, OR WILMINGTON SUITE F all other applicable laws. All work will be done in VANCOUVER, WA 98665 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: ORIGINAL Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg 0: LIC 120616 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 Foundation Insp Final inspection Electrical Service Building Final Electrical Rough In Framing Insp Electrical Final Issued B I By : �-i Permittee Signature : i Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • 'ITY OF TIGARD Residential Building Permit Application Plan check# S -/� R. 13125 S1il HALL BLVD. Additions or Alterations Recd By -2: Date Rec'd 7 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ' V 503 - 639 -4171 Date to DST 3 `I t /' f/ F 503 - 684 -7297 Permit # MSTI . (ft Print or Type 17 Called 6'I7 19 Incomplete or illegible applications will not be ac eE pted . Name of Project SOT f��rn Name Job SI.eR.o.2c7/7 •fe 9 /77' ©- 6 ` 7 `�' @cl Address Site Address Architect Mailing Address a re,-, l.J /C/-",..-iCOGT�a, City/State Zip Phone Name j7y� TI=g Name Owner Mailing Address (2 ilor re-c, wlc/?c,,e..-etae,, City/State Zip Phone Engineer Mailing Address • c1 776 em 97ZG9# 5 / — City/State Zip Phone General Name g / Contractor A('® 4,- /=eierl/d/ e,7 Describe work New O Addition < Alteration 0 Repair 0 Mailing Address to be done: Prior to permit / c / /, /rF 7e #/c Additional Description of Work: • issuance, a copy City/State Zip Phone 76 C' • • of all licenses eo,i. Aar 6.0.491 parr-6577-c5-6 z 42.f/ g,� are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# o VALUATION _ database / � __ ____ _ _ G� /� /� Mechanical Name ( NEW - CONSTRUCTION - ONLY: Sub - euse:---Isy i h Sq. Ft. Garage Contractor Mailing Address Prior to permit Indicate the restricted energy installation by the electrical j issuance, a copy City/State ip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if Oregon Co . Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# Installations Vacuum - Irrigation database System - System Plumbing Name (check all that Other: Sub- a pp l y ) • Comer Lot YES NO Flag Lot YES NO Contractor Mailing Address (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to-permit City/State • Phone issuance, a copy • of all licenses are Oregon Const. ont. Board Exp. Date required if Lic.# I hearby acknowledge that I have read this application, that the expired in COT • database Plu ng 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 State laws. Name Sig ur her gent Dat Electrical dt,t/ 77 7 l( �� / ontact Person Name hone # Sub- ailing Address X o/?"--/ 3‘0 017'5 f Contractor a 9 ,, - T - /'2e� c.'(c6? - 0A-, /' • City/State Zip Phone ' Prior to permit -- issuance, a copy r((,,g d 9 e2A 7i "f 5` 7°f 7f ,P) FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #: required if Lic.# ex pire d in COT OG�/�(� V 10p - L�( I.f I s /o9,9-� - Oa 7Ov expired in 11 _ database Electrical Lic. # Exp. Date Setb : E tjk I Zone: 7 Solar: J Electrical Supervisor Lic. # Exp. Date Engin�r Approval: Planning Approval: TIF N �� - 1 3( , PP4A) 7A 7,? i:\dsts \forms\sfaddalt.doc 4/20/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST l'T9 QDI 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 qq BUP Date Requested �fri2 ! ( AM PM BLD Location I (di rh r ' 1r `f 'O) Suite MEC � Contact Person vl� ✓) lS� Ph 2-/:5 � PLM Contractor Ph SVVR ta Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam 11 61-6 o _ Ro ^ vla p d 17 Ext Sheath /Shear ' l Int Sheath/Shear t� // ' - Si Jam% /Cc OCCu 6',4:7. /VO Oi✓e 4v.4.1 Insulation / Drywall Nailing �c6 �dLcS i"1 S' 'PEC�d�✓ w�/c��J .� b h Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART 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 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 Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Other Date / � i d Ins pec t or E Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.