12560 SW GLACIER LILY CIRCLE 0'
GLACIER LILY CIRCLE
GENERAL NOTES
I. ALL PLATES ON CONCRETE WALLS TO TREATED,
—�' AND TO HAVE SILL SEALER BETWEEN,
2. CRAWL SPACE 'VENTS TO BE WITHIN 3' OF EACH CORNER,
'—2' op
1 SQ FT VENT FOR EVERY 150 SQ FT FLOOR ,
3. APPROVED SIMPSON OR EQUIVALENT J❑IST HANGER AT
+ ALL CONNECTIONS OF JOIST OR RRFTERS TO RIM JOIST
OR MICR❑ LAM BEAM.
4, APPROVED SIMPS❑N OR EQUIVALENT RAFTER TIE AT ALL
QAFTER—TO—TOP PLATE C❑NNECTIONS
RAIN DRAM * I'-fir" 5F.F.
t
' rJ
FIRST FLOOD ADDITION: 1ek SQ. FT.
SECC aND FLOOR ,ADDITION: JOS SQ. FT.
TOTAL AREA: 305 SQ. FT.
210-00 AREA OF UJOW
aft r Io RANID"r ANED LESLIE COOPER RE5I1DENCE
12560 51U. GILACIER LILT CIRCLE
TIC ARD, OR '211223
- 5;
DESCRIPTION: 1513 7A--04300
d4id.41-r SUMMERL,AKE LOT 65 ZONE: R-1
SCALE: 111ro " ■ 1 ' -0" IDATE: 9-20-00
ARE PLAN
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I I I I I I r I I S � �' � i l ( I ( )
IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 .�
0 10 11 12
IT• IS DUE TO THE QUALITY OFT - - - ---- -- ------ -- ---_--- --- -- ------------- — �_ -- ----1- -------- - No.
THE _ _ _ 36
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ORIGINAL DOCUMENT E - 6Z 18Z LZ 8Z '�' Z I fiZ EZ ZZ '111111
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V
12560 SW Glacier Lily Circle
CITY OF TIGARD MASTER PERMIT
PERMIT#: NIST2000-00445
DEVELOPMENT SERVICES DATE ISSUED: 10/16/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12560 SW GLACIER LILY CIR PARCEL: 1S133DA-04300
SUBDIVISION: AMART SUMMERLAKE ZONING: R-7
BLOCK: LG T: 065 JURISDICTION: TIG
REMARKS: 305 sq. ft, addition of den and bedroom to SF residence.
BUILDING
REISSUE: STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS_ REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRST. 19G at BASEMENT: at LEFT: SMOKE DETECTORS.
TYPE OF USE: SF FLOOR LOAD: 49 SECOND: 109 at GARAGE. at FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: GINBSMENT: of RIGHT:
VALUE. 5:1 545 e',
OCCLIPANCYGRP: R3 BORM: BATH: FOTAL: 30500 of REAR:
_ PLUMBING
SINKS: WATER CLOSETS: WASHIN,MACH: 1 LAUNDRY TRAYS RAIN DRAIN: ?RAPS:
LAV. DORIES: DISHWASHERS. FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUSISHOWERS GARBAGE DISP: WATER HEATERS. WATER LINES. BCKFLW PREVNTR: GREASE TRAPS
OTHER FIXTURES:
MECHANICAL
_ FUEL TYPES FURN TOOK: BOIL!CMP<3HP: VENT FANS. i CLOTHES DRYER: I
.nS FURN>-TOOK: UNIT HEATERS. 40ODS: OTHER UNITS:
MAX INP: btu I-LOOR FURNANCES: VENTS: T WOODSTOVES: GAS OUTLETS-
ELECTRICAL _
RESIDENTIAL UNIT _SERVICE.FEEDER _ TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 Sr OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FOR I PUMPIIRRIGATION: PER INSPECTION:
FA ADD'L 5003F: 201 - 400 amp. 201 400 amp: tet WIO SVCIFDR. SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 000 amp: 401 - 000 arnp- EA AUDL BR LIR SIGNAL/PANEL. IN PLANT
MANU HMISVCIFDR: ALIT - 1C00 amp. 801+amns•1000v. MINOR LABEL.
1000•amplvolt
PIAN REVIEW SECTION _
Reconnect only
>=4 RES UNITS. SVCIFOR>=225 A >600 V NOMINAL CLS AREA/SPC OCC
_ ELECTRICAL•RESTRICTED ENERGY
A SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO ✓ACUUM SYSTEM. AUDIO&STEREOFIRF ALARM INTERCOMIPAGING OUTDOOR LNDSC LT.
BURGLAR ALARM: 011 BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL.
GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL. OTHR.
HVAC: DATA/TELE COMM. NURSE CALLS TOTAL N SYSTEMS
Owner: Contractor: TOTAL FEES: $ 873.73
COOPER,WILLIAM R/LESLIE OWNER Tigard
permit Is subject to the legulatlans contained in the
Tigard Municipal Code, State of OR Specialty Codes and
12560 SW GLACIER LILY CIRCLE all other applicable laws All work will be done in
TIUARD,OR 97223 accordance with approved plans ')Tis permit will expire rf
work is not started within 180 days of issuance.or If the
work Is suspended for more than 180 days ATTENTION
Pbone: Phone. Oregon law requires you tc follow rules adopted by the
Oregon Utility Notificaticn Center Those rules are set
Rego: forth in OAR 952.001-6010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Footing Insp Crawl Drain/Backwater Electrical Service Insulation Insp Final inspection
Foundation Insp Footing/Foundation On Electrical Rough In Rain drain Insp Building Final
POSUBealn Structural PLM/Underfloor Framing Insp Electrical Final
Post/Beam Mechanical Mechanical Insp Shear Wall Insp Mechanal Final
Underfloor insulation Plumb Top Out Low Voyage Plumb Final
Issued BY Permittee Signature : ��- -'�—
��C 1 !
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business Hay
l'cin1it #: �lsi�000 - ooy���s
o� a
�^
Address: _1v9 O Su) G GA-C/Z79G/L
v. z
Issued b . o �y�
... ed y --- Date: --r�
Igg9
Statement: Infurmation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
,for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
i i tileappropriateblanks and initial boxes I and 2, and either box 3A or 3B:
I )wn, reside in, or will reside in the completed structure.
understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
f 1 3A. My general contractor is
LJ (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certifN that the above information is correct and that I have read and do understand the Information
Notice to Properly Owners about Construction Responsibilitius on the reverse side of this form.
-V0
Siznalurr (�O .emit applicant) (Dae)
(White copy to issuing agenc*v permit file.
pink r-)py to applicant)
i Information Nonce to Properly Owners
I'
About Construction Respcnsibilities
e
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I/�14
CITY OF TIGARD Residential Building Permit Application Plan Ch9Ck ,
13125 SW HALL BLVD. Additions or Alterations Recd
Date Recd
TIGARD,OR 97223 Single Farrii!y Detached or Attached (Dupiex) Date to P.E. 9 abs
V 503-639-4171 Date to DST
F 503-684-7297 �I(; Permit# " .5-
P.-int
5-
P,int or Type / Called 4��VZ V /a//2/cum
Incomplete or illegible applications will not be accepted
r --- - Name of Project ---- _-- --^ Name -
JObLoaiOG�J �iA���L Architect Mailing Address
Address Srte ,'dress
City/State Lir Phone
Ne
4o.vex--
Owner MailingA ress ( Na;ne
� Er. sneer Mailing Address
Cit /State Zipf�Ifor, one
7�1 `�'j��.. Cit;/State Zip Phone
General NaMe
Contractorjti! L�- Describe work New O Addition F Alteration O Repair O
Mailing Address to be done
Prior to permit _ Additional Description of Work
issuance,a tory City/State Zip Phone `� �., `c
of all licenses
are required if Oregon Const Cont Board Exp.Date PROJECT ��,
exdatabaeed in oT Lia# VALUATION $_
Mechanical Na - NEW CONSTRUCTION ONLY:
Sub- 761j✓- t/ `� -_ Sq. Ft. House: Sq.
Sq. Ft. Garage
ress
Contractor Mailing Add _
areas
copy City/State Zip Phone Indicate the restricted energy installation by th::electrical
issuance.a
Prior top -- subcontractor in the following arof all licenses Restricted Audio/Stereo
are required if Oregon,Const Cont.Board Exp Date Energy _ System _ Alarms
expired in COT Lic.# Installations Vacuum Irrigatior
database System System
Plumbing Na (check all that Other:
Sub- G.�ER-- s�G apply)
Contractor Mailing Address - Corner Lot YES NO Flag Lot YES NO
(check or 1 (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy
of all licenses are Oregon Const.Cont. Board Exp.Date
required it Llc.# I hearb acknowledge that I have read this a �ication,that the
expired in CO1 y 9 PP�
database Plumbing Lic # Exp. Date information given is correct,that I am the oU,:lar or authorized agent
of the owner,and that plans submitter are in compliance with
--- Jre on Slate laws -�
NarT12 Si at yu�Agent Date
Eiec+,ical �iJ �� '�� �i/ _
Sl'b- Mailing Address ct Person p7ieA Phqne#
Contractor
City/State vZip Phone
Prior to permit
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont.Board Exp Date -;- , --
required if Llc# Flat# -5 � — o i S,-. /1-3JMap/TL#:
expired in COI _
database Electrical Lic.# Exp Date Setbacks. Zone: Solar:
Electrical supervisor Lic.0 Exp Date Ergineering Approval: Planning Approval: TIF:
4/415. 41 i:\dsts\forms\sfaddelt doc 11/20/98
SEE 35MM
ROLL #20
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION MST �Uvo U6 S�
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM PM _ BLD
Location 2 .5 (0c) 1 Suite _
.. MEC
Contact Person c x CA4� I- , Ph 4? F - a S f O�WJ� PLM
Contract Ph S,,a y - q y a. Z+t) SWR
BUILDING Tenant'Owner ELC
fining Wall ELR _
Footing Access: )
Foundation FPS
Fig Drain l
Crawl Drain Inspection Notes: SIGN
Slab SIT
Post& Beam —
Ext Sheath/Shear
Int Sheath/Shear f•'
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc.- _ ---- _
In
FAIL
MB i
Post&Beam —-- - - —
Under Slab i
Top Out
Water Service
Sanitary Sewer
Rai ins
n
PART FAIL
ANICAL
Post&Beam
Rough In
Gas Line --
Smcke Dampers
Final -
P ART FAIL
ECTIRICAD —�"— —
Service
Rough In -
UG/Slab
Low Voltage
XFlr Alarm ______ �� —_ _� •
in
PART FAIL
Backfill/Grading --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: _� [ ]Unable to Inspect-r,n access
ADA
Approach/Sidewalk Date �/� Inspector 1 Ext
Other — � P
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.