Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2002-00161
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2002
Parcel: 1 S 136CA04201
Jurisdiction: TIG
Site address: 11110 SW 79TH AVE
Subdivision: Lot:
Project: TERRELL
Project Description: 1536 square foot addition plus 80 sq ft deck. 1/25/16, REINSTATED FOR FINAL INSPECTIONS
ON ALL DISCIPLINES.
BUILDING
Floor Areas Required Setbacks Required
Stories: 2 Bedrooms: 2 First: 768 sf Basement: sf Left: 35 Parking Spaces:
Height: 20 Bathrooms: 2 Second: 768 sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: 6
Detectors: Yes
Total: sf Value: $140,465.60 Rear: 53
PLUMBING
Sinks: Water Closets: 2 Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: 3 Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer:
1:
Tubs/Showers: 2 Garbage Disp: Water Heaters: Water Lines: DrainsCatch Basins:
Footing DrainIce Maker: Hose Bib: Backwater Value: Bckflw Prevntr:
Other Fixtures:
Drywell-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers:
GAS Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: 6 Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0-200 amp: W/Svc or For:
Ea add'I 500 sf: 1 201-400 amp: 201-400 amp: W/O Svc/Fdr:
Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp:
601-1000 amp: 601+amp-11000v:
1000+amp/volt:
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
: Nasin
Other: N Other Description: Ecom P 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ADD SF 5N R3
Owner: Contractor:
JASON TERRELL Required Items and Reports(Conditions)
11110 SW 79TH AVE
TIGARD,OR 97223
PHONE 503-603-0806 PHONE:
FAX:
Total Fees: $2,510.89
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
one in acc ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: 0 on I equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR -001- 0 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4Permittee Signature: `�-
Call 503.639.4175 by 7:00 a.m.for the next available inspectiok Zlite.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11110 SW 79TH AVE, US
Building/Res/Master Permit/NA
299 Final inspection
PASS - No C of O
MST2002-00161
Chip Barnett
Visual inspection only to final out permit.
Violation Summary:
Inspector Contractor