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10130 SW BROOKSIDE PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 �jBusiness Line: 639-417 �- -� -- —
/ (VAM PM \ / BUP
1'��Date Requested BLD _
Location Z000 auZt �-� G f /� Suite �I' — _-
NiEC
Contact Person KLY1" c_ �.7'U Ph PLM _
Contractor G�'Yt 4 / _ Ph� ;��� SWR _
BUILDIN Tenant/Owner4 /�-(:Xx �jELC -
Retaining Wall
ELR
Footing Access: �_ --
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes. SGN
Slab
Post&Beam ---------- — — -- SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing 5Ze 4y, F-77�1,c 4 Gig
Insulation --"----------
Drywall Nailing 'r`, 'I'%%Cyii r �itiis /FL �.d��_ r- CLS•
Firewall _
Fire Sprinklers !c
Fire Alarm
Susp'd Ceiling _
Roof
A PIPART FAIL --
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 —ii44._ - — -------- - -
Backfill/Grading -- -- ------- ----
Sanitary Sewer
Storm Drain ( I Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I j Please call for reinspection RE: — [ j Unable to inspect - no access
ADA
Approach/Sidewalk Date .�0- j'y/
n:her _ L Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY QF TIGARD
iW DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(,503)639-4171 PERMIT #. . . . . . . : SUP98-•0346
LATE ISSUED: 09/14/98
PARCEL: 'S 10E'I�P -O�rh8P�8
SITE ADDRESS. . . : 101-0 SW B ROOKS I DE F='I_.
S31JBD I V I S I01\1. . . . : BROOKS I DE PARK ZONING- R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . .. . . . . . . V1022 TU R I' DICTION:T I G
RE ISSUE: FLOOR AREAS- - ------_- EXTERIOR WAI.t_ CONSTRUCTION
CLASS OF WORI/,. :OTR FT RST. . . . : 240 s f N: 1.3. E: W:
'TYPE OF USE. . . :SF SECOND. . . : Q1 5 FIROTFCT OPENINrSI__.--._.._—.__..
TYPE OF CONST. :5N . . . : 0 n f N- r: E- W.
OCCUPANCY GRP. :R3 TOTAL..----------: 240 s f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 2 BASEMENT. : 0 s f AREA SEP. RATED:
^TOR. : 1 H*T: E3 f I GARAGE'. . . : 0 S OCCU SEP. RATED:
BSMT" : ME77?: REDD SETBACKS—._----- -- RFDUIRED
___._._..___.__.__.__.__.___
FLOOR LOAD. . . . : 0 pr,f LEFT: 0 ft RGHT: 0 f t; F f R SFIKL: SMOK DET. .
DWELLING UNITS: 0 FRNT: 0 ft RF•AR: 0 ft FIR AI_..RM: HNDICP ACC:
BFJ)RMS: 0 BATHS: V! IMF, :)URFACF`: 0 PIRO r.nRR: PARKING: 0
VALUE. $ : x'445
R e m ar-k s : Construction of 235 square foot covered deck, attached to existing
residence.
Owner,. -___._-_----._._-_.__..____.___.....__.__..________.__..___._-_--.--.__.___.________ FEES
I..PRRY CUNNINGHAM type amo+_rnt by date recpt
10130 SW BROOKSIDE PL PL.CK $ 25. 03 CEO 09/01 /98 98-308768
_f I GPRD OR 97223 ['+RMT !6 38. 50 C-if_0 09/11/98
98-,_.091 01
5PCT $ 1 . 93 GE'O 09/14/98 98-309101
Phone #:
Con t raet or:
'<ELEGA RENO-..VAT IONS
t1020 SW W I L_SONV I l_E RD #115
W I I_SONV I L.L_E OR 97070
Phone ff : `=,70-•`12166 f 65. 46 'TOTAL_
Reg #. „ . 1.30660
--REOU I RED ACTIONS o r INSPECT I ONS-----
This
-..This permit is issued subject to the r•eg,ilations contained in the Framing Insr)
Tigard Municipal Code, State of Ore. Specialty Codes and all other,
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for, more
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-Oe1P1987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
Per-mittee Si.gnat+_rr"e : Isss+.red By :
4•+F++++++++++++++++++4+ + + .+++++•F++++++4+++++++++++++-F+•++++++ +-+ +
Call 639-4177 by 7:00 M. fol- an inspe(-tion needed the next; 6+.rsiness day
++•4--1-+++++4++4++++++ +++ + + +-++++++-++++++++•++-++++++++++++-F+++++++++++++•+++++++i
CITY OP TIGARD Residential Building Permit Application Plan Check#c7/-
-L)/
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd 'e7/- _
Date to P.E _f-.2-F9
V 503-639-4171 �p Date to DST `
F 503-684-7297 IkW �,���� - Permit#
6-3 a Print or Type Cailel 'Lf yL'g' -,
Incomplet or illegible applications will not be accepted
`�'"'`4D '�
P
ame of Project Name
Job
Address Si &dqre 40,,w i_ �rk 17;e. Architect -Mailing Address — --
-- - U ,ez 9 City/State tip Phone
N fine
k//i2i
,�•mac' -Y �,' AA,Nh-ivy 1 =— -
Owner Mailing Address ,4., Name
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30 .,/C Aye-b 0 „-1�7y 2Z AAaIIIn
City/State zip'p/ Pone Engineer
General Namen --"
f -r City/State Zip Phone
4-4647AContractor 4-4647A��A /C_ �. -�7i S Describe work New O Addition Of Alteration d Repair O
MailingAddress to be done:
Prior to permit U -C/ I,Ll,,WPIL4-4? All., Addition5l Description ol�Work:
issuance, atopy City/State Zip Phone 7
of all licenses 97(-. )b (-.,
are required if Oregon Const.Cont.Board Exp.Date PROJECT ��'
expired baseOT Lic.# 1„3U(a G' DV/ixt/CV VALUATION •$_ `'� S
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 1lsdeF, 5q. Ft. Garage
Mailing — '--A el
Contractor 9 Address -��
NIndicate the restricted energyinstallation h the electrical
issuance, a copy City/State Zip a to permit �� subcontractor in the follow 9 g areas y
Phone J _
of all licenses Restl icted Audio/Stereo
are required it OConst Cont,Board Exp. Date Ene
Oregon rgy System Alerm5 _
expired in COTe Lic# Installations Vacuum Irrigation
database System [System
Plumbing Name - (check all that Other
Sub- apply)
Contractor Mailing Address Corner Lot YE No, Flag Lot YES NO
check one - X (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuenrc,a copy Solar Compliance
of 0 licenses are Oregon Const'Corn. Board Exp Date d(Calculation Attache
required if Lic.# d)
expired in COT I hearby acknowledge that I have read this application,that the_
database 4 lumbing 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
_ _ OState laws.
Name regon Signature,b Owner/ nt Date
Electrical G L> �4. 3�• `t
Sub Mailing Address Contactr n me Phone#
�'Ny . ('. Icy
Contractor FOR OFFICE USE ONLY:
Prior to
City/State ,,Zip Phone PI Plat — Ma RL#.
permit P pp
�
ssuance,a copy = __ C-R F
of all licenses are Oregon ebnst.Cont. Board Exp Dale Setbacks: — Zon Solar: /
required if Lic.# fj` N
expired in COT Eng'nepr n A r Planning Appyo I TIF:
database Electrical Lic # Exp. Uate 0 {%,1, g
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