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GRADES PER CITY OF TIGARD
AS 5UILT SEWER DATUr..
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SCALE
I-OT 439 SUMMEW,ELD 6
T IGARD, WA. CO., OREGON 912 2 3
0 Row, - 15400 -5.W. ALDER5ROOK. CIRCLE
NOTICE: IF THE PRINT OR TYPE ON ANY ( I ( � I I i j I ` 1 ( J
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15400 SW ALDERBROOK DRIVE
6
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST ?-
24-Hour Inspection Line: 639-4175 .usiness Line: 639-4171 -
BUP
Date Requested I AMje— PM BLD
Location` Suite _ MEC
Contact Person ,Cp_ _ Ph S � IU -( PLM _
Contractor _ Ph SWR _
Tenant/Owner ELC —
Retaining Wall ELR _
Footing Access.
FaLindation FPS _--
Ftg Drain SGN
Crawl Drain Inspection Notes: ------
Slab - -. SIT
Post 4. earn
Ext Sheath/Shear
Int Sheath/Shear
Frarr,;,ig
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- -- -------- - - - -- --- - ----- -- --
Roof
Misc
PARTFAIL - ------- - -_- - - --- --- - --- _ _ --- -- _..._
BING
Post 8 Beam -----
Under Slab
Top Out __ _- --- - -- -- ------_- -___
Water Service
Sanitary Sewer
Rain Drains
Final
PAS PART FAIL
C;HANIC L
I Ost &Beam ---- --- - --- ---- --
Rough In
Gas Line ---
Smoke Dampers
kfmLPART FAIL
_ RICJIM
r uwgh In
I,GISlab _
Low Voltage
Fire Alarm r_— -- —
PAS PART FAIL
511 t:
Backfill/Grading
Sanitary Sewer
Stcrm Drain ( ] Reinspection fee of$-- required before next inspection Pay at City I call, 13125 SW Hall Sivri
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE _ _ [ ] Unable to inspect no access
ADA
Approach/Sidewalk
Other Date ? L Inspector �„�_ _ Ext
--- -- -
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site..
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST1999-00372
DEVELOPMENT SERVICES DATE ISSUED: 11/10/99
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171
SITE DDENBCIR R-7
11 DB 01100
SUBDIVISION: SUMMERIEO8 OR'IGINAL
ONG:
BLOCK: LOT: 439
JURISDICTION: TIG
REMARKS: 351 sq ft addition
BUILDING
REISSUE: STORIES: i FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT. Iii FIRST: 351 of BASEMENT at LEFT: U SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD. a0 SECOND: of GARAGE: sr FRONT. PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT:
VALUE. 5,A'W,a/
OCCUPANCY GRP: R3 BDRM BATH: TOTAL: of REAR: 17
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS.
LAVATORIES: DISHWASHERS. FLOOR DRAINS: SEWER LINES: sr RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HFATE"i. WATER LINES: BCKFLW PREVNTR. GREASE TRAPS.
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN�10OK: BOWCMP!3HP. VENT FANS. CLOTHES DRYER
r. 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 ampW/SVC OR FOR I PUMP/IRRIGATION. PER INSPECTION
EA ADD'L 500SF 201 400 amp: 201 400 amp-. 1st WIO SVC/FOR- SIGNIOUT LIN LT. PER HOUR,
L IMITED ENERGY 401 600 amp: 401 600 amp. EA ADDL BR CIR SIGNAL/PANEL: IN PLANT
MANU HM/SVCIFDR 601 1000 amp: 6014amps-1000v. MINOR LABEL.
1000-amp/volt
_ PLAN REVIEW SECTION _
Reconnect only:
»4 RES UNITS- SVCIFDR>=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. LANDSCAPEIIRRIG: PROTECTIVE SIGNL
GARAGE OPENER CLOCK INSTRUMENTATION. MErICAL: OTHR.
HVAC. DATAITELF COMM NURSE CALLS: TOTAL M SYSTEMS.
Owner: Contractor: TOTAL FEES: 603.06
RFX WtLLIAMS BRUCE ABAHAMSON This permit is subject to the regulations contained in the
15400 SW ALDERBROOK CIR 12735 SW MARIE CT Tigard Mun cal Code State OR Specialty Codes and
TIGARD OR 97223 TIGARD OR 97223 all other applicable laws All woo rk will be done m
accordance with approved plans his permit will exp re d
work is not started within 180 days of issuance,or if'he
work is suspended for more than 180 days ATTENTION
Phone: Phone: Oregon law req,nres you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Regi/: LIC 00102637 forth in OAR 952-001-0010 through 952-001-0080 You
may Obtain copies of these rules or direct questions to
UUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Fooling Insp Crawl Drain/Backwater Framing Insp Final inspection
Foundation Insp Footing/Foundation Dr; Insulation Insp
Post/Beam Structural Mechanical Insp Rain drain Insp
Pos -Meohanica Electrical Service Electrical Final
nderfloor insulation Electrical ROUq In Mechanical Final
��ssuedBy : Permittee Signature : , t, �i _
Call (503) f38-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD Residential Building Permit Application Plan Check# •
13125 SW HALL BLVD. Additions or Alterations Recd By J<_Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. I/ -?-
V 503-639-4171 Date to DSTL
F 503-684-7297 Permit37)
Print or Type Called
Incomplete or illegible applications will not be accepted
---�------� Name of Project — --- _^ .-.-- me— — —
Job "Q"i auris
.'�"" -- - - Architect Marlin A >s��_ 1/ —
Address Site Address — C
—__- /�7q 10E��L1c1� Lr City/St/ato s' zip/
Phone -
Name 7112
_-� (L'�•`� --- � Name
Owner Mailing Address
r5W "Lt ONLY Engineer Mailing Address
City/Stale Zip Phone g
—_ ,c � q1Z2-3 ty City/State Lp Phone
General N me '
Contractorj� '-SLE q b9-4 inn ►"w AJ _ Describe worts New O AddiborX-Alteration O Repair O
Mailing Address to be done - —_
Prior to permit L}35_ Sk,_yq_4fa,`f_LT Additional Description of Work.
issuance,a copy ity/Stale Zip Phone
of all licenses (i e tr) _r_q7•Z l 3
are required if Odnst Cont Board Exp Date ' PROJECT 7
expired in COT Lic
� -- VALUA—TI—ON database-----10 ;Z_� _� -
— ----
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- t /a` Sq Ft House Garage
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Prior to permit
issuanr.e,a copy City/State Zip Phone subcontractor in the followin areas
of all h-enses Restricted Audio/Stereo
a•e regt ired if Oregon Const Cont.Board Exp Date Energy System _ Alarms
Expired.n COT Lic# /� I Installations Vacuum Irrigation
dats,base r J 1 System System
Plumbing NameL (che;k all that Other:
Sub- 'nI l ( F ..- apply)Contractor Mailing Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one)_ _ (check one)
_ Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Citv_/Slate Zip Phone
ssuance a copy — -
of all licenses are Oregon Const Cont Board Exp Date
required if Lic#
expired in COT I hearby acknowledge that I have read this application, that the
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 State laws. _
Name Si lure of O e A e, ate
g
Electrical ENi L LEcIQ i C xsr Lti - 'i�' -
-r --- C�tact Person Na Phone#
Sub.. Mailing Address I Ji.
Contractor i90_f_ K -
City/State Zip Phone
Prior to permit
issuance a copy ,4tc
pwva A ��� �� 03 L� FOR OFFICE USE ONLY.
of all licenses are Oregon Const 1Cnnt Board Exp Date I " Plat#. Y� Map/TL#
required if Lic# /, /r " _ �•���T
expired in COT jj --W 1 _ 2 �J /y
Solar-
database Electrical Li # Exp Date I Setbacks: 7_ona: i), l SolBt:, f✓
Electric-il Supervisor Lic # Exp Date} Engineering Approval: _ Approval TIF.
rr,,iEI o X,.r i\dsls\formslsfaddalt doc 11/20/98
s�sy
SEE 35MM
ROL L# 22
FOR
LARGE
DOCUMENT