Permit CITY oil TIGARD Manufactured Dwelling Permit Application Plan Check 9- _ 94.
13125 SW HALL BLVD. Single Family with Carport or Garage Rec'd By ■ 11 • . IPW
TIGARD,.OR 97223 New Construction, Additions or Alterations Date Rec'd 9 /f' - S'"
V 503 -639 -4171 Date to P.E /O -/ 97
F 503 -684 -7297 Date to DST lD- ' - 79
/ `/ �n Permit # M5TP999 -4 c3 O
/I / 1 Called /�-V 4- '
Print or Type 1 yy G�sr ,f1� ,5. �� '� 3
Incomplete or illegible applications will not be accepted i ()/Q /9 99 -a:4),
Name of Project (Subdivision) Manufactured dwelling: -
JOb New,. Addition 0 Repair 0
Address 4ite Address
a7 9,r W A77('rr► r AVE °`41
Name Describe Carport/p arag ;
bi/1r1 i ,n4cd a a 1 I I - Work New tts Addition 0 Alteration 0 Repair 0
Owner Mailing Address
/a7 (s <ti1, (/q' t ,A /9V L Additional description of work:
City/ tate Zip
�
—1' ; Ore . 97aa3_ MR-669n ,/
Nettie [ ,_ a
G2e G.1eS?" A rrt e� PROJECT eri " fie Mailing Address / � VALUATION Carpo r /Garage:
Dwelling '��{//- 5.(„) /'qqc t -c au DO
Mfr. d Ci ' ty/State Zip Phone
rltL Ox. (mai
Dealer (ame: Dealer Phone:
Cpki limos 1:01- /q/
Installation Na a Sq. Ft. Carport: Sq. Ft. Garage //��
Contractor A nom e( TA( 7
� ailing dres Corner Lot YES NO Flag Lot NO
6 a �� (check one) (check one)
Prior to permit Restricted Audio /Stereo Burglar
issuance, a copy City/State Z Phone ur 9
of all licenses CA A/jc, ? 6SS' ... /y/� Energy System Alarm
are required if Oregon Const. Cont. Board Exp. Date Installation Other:
expired in COT Lic.# li a b 0 / /001 (check all that
database 7K/ apply)
Plumbing Name / �,,,/ Will the electrical subcontractor wire for all NO
Sub - $ 4 Mbi$l i'{c restricted energy installations?
Contractor Mailing Address Has the Subdivision Plat recorded? N/A NO
fin Se l�w�
Prior to permit :' j /State Z,ip y „�
issuance, a copy c,I,s oK. 1 C -- J�61 f
of all licenses are Oregon Const. Cont Board Exp. Date I hearby acknowledge that I have read this application, that the
required if Lic.# O 2� 9 .. --° 6 information given is correct, that I am the owner or authorized
expired in COT O pp7
database Plumbing Lic. # 3 Kor" P �7Exp. Date agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
N
q TH S --- 31- Sign , • - r e o O wn Agent D to
Electrical Na e Y `023� - `l,
Sub- / A /e � &t✓i [, /,¢4. �� Contact Person me Phone # �j
Contractor Mailing Address �� c"� G$ 6's`�
a ela. r0 S. 11 d /4 //S ,4 b r.
City/State Zip Phone t t Pq 7 - 0000?
Prior to permit C. ti. cry Q, - - £s FOR OFFICE USE ONLY:
issuance, a copy Or�€gon Con sf ere, 9bL;
. Cont. Board Exp. Date Plat #: 0 Map/TL #:_(¢ 1P_Q
of all licenses are Lic.# _ �` - /�-� 16 -la atG 7 iP '9c
,5' l0 �G C
required if Electrical Lic. # Exp. Date Setbacks: Zon Solar'
expired in COT 3y— yc l _ / -9-1 / _ C r ,
database Electrical Supervisor Lic # Exp. Date Engineering Approval: Planning Approval: TIF:
ya..yi —r /4r, -1 I
i:\forms\mfdwapp.doc 11/20/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PARKIN ELECTRIC INC
20250 S MOLLALA AVE
OREGON CITY, OR 97045 •
Electrical Signature Form
Permit #: MST1999 -00336
Date Issued:
Parcel: 2S102BC -THP03
Site Address: 12745 SW WATKINS AVE
Subdivision: THOMPSON PARTITION
Block: Lot: 003
Jurisdiction: TIG
Zoning: R
Remarks: Placement permit for new manufactured dwelling. Separate building permit for .
detached garage required. Will need to get a street opening permit from
engineering for driveway
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
•
No electrical inspections will be authorized until this completed form is received •
OWNER: ELECTRICAL CONTRACTOR:
DANNI MCDOWELL PARKIN ELECTRIC INC
12745 SW WATKINS AVE 20250 S MOLLALA AVE
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone #: 643 - 6090 Phone #: 246 - 1301
Reg #: SUP 4241s
LIC 35151
ELE 34-4C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
•
x /10eZ,
Signature of Supervising Electrician •
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD. RECEIVED
TIGARD, OR 97223
NOV 101999
IMPORTANT PERMIT NOTICE COMMUNITY UEVELONmEryI
BEST PLUMBING INC
7180 SW OLESON RD
PORTLAND, OR 97223 -7452
Plumbing Signature Form
Permit #: MST1999 -00336
Date Issued: 10/11/1999
•
Parcel: 2S102BC -THP03
Site Address: 12745 SW WATKINS AVE
Subdivision: THOMPSON PARTITION
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Placement permit for new manufactured dwelling. Separate building permit for
detached garage required. Will need to get a street opening permit from
engineering for driveway
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
DANNI MCDOWELL BEST PLUMBING INC
12745 SW WATKINS AVE 7180 SW OLESON RD
TIGARD, OR 97223 PORTLAND, OR 97223 -7452
Phone #: 643 -6090 Phone #: Unlisted
Reg #: LAC 88864
PLM 3 -405PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X• /1 Asr,
L
:nature of Authorized Plumber
•
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1y19 0730
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested y AM x PM BLD
Location l
(dadt:/a_S Suite MEC /99 — DCW6 - ,/
Contact Pers C 5 Ph 57 `F S6 33 PLM
Contractor / P Z ic_ Ph SWR
BUILDING Tenant/O ner ELC a -v - 0 7
Retaining Wall ELR
Footing Access: paase /1:3e)-4-
Foundation � �^ (1 ,,, FPS
Ftg Drain 1 — CIO Act �Yu- -t bdo,( `� 1/:36
3d SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Sprinkler /LS 1 3 - T/a'e. . c
Fire Alarm
Susp'd Ceiling
Roof /cp q - Misc: < 7
Final
PASS PART FAIL
ti -
PLUMBING gz - . so -19-0 - 0
Post & Beam
Under Slab
Top Out
Water Service / �f
Sanitary Sewer
Rain Drains
Final
P RT FAIL
E HANI
nct . Rearm
Rough In
Gas Line
Smoke Dampers
Fin
P FAIL
RICA
rvic�
Rough In
UG /Slab
Low Voltage
Fes. larm
dira PART FAIL
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 S. Z i Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.