13724 SW JENNA COURT 13724 SW JENNA C-T
CITY (.)F TIGARD
13125 S.W. HALL BLVD.
TIGARD OR 97223
IMPORTANT PERMIT NOTICE JuN o 8 zoon
C + K CONTRACTING INC f3Y:
536 63RD NE
SALEM, OR 97301
Plumbing Signature Form
Permit #: MST2000-00137
Date Issued: 0513012000
Parcel: 2S104CA-10600
Site Address: 13724 SW JENNA CT
Subdivision: HILLSHIRE
Block: Lot: 106
Jurisdiction: TIG
Zoning: R-7
Remarks: /`DDING 494 SQ FT TC FAMILY ROOM AND A 240 SQ FT DECK PATH I
Your company has been indicated as the plumbing contractor for tie permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate ir,dividual fr--)m your company sign below and return
this Plumbing Signature Form prior to the start of the work to the adJress above, ATTN. Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER—. PLUMBING CONTRACTOR:
,JEFF HEINZE C + K CONTRACTING INC
13724 :iW JANN,A CT 536 63RD NE
TIGARD, OR 31223 SALEM, OR 971.01
Phone #. 503-579-6120 Phone #: 503-371-3539
Reg #: I Ir 00055015
PI M 24-197PB
AN INK SIGNA'TURE IS REQUIRED ON THIS FORM
signature of Auth�ed Plumber
If you have any questions, please call (503) 639-1711, ext. # 310
CITY OF TIGARD
13125 S.W. HALL PLVD. _---
TIGARD, OR 97223
JUN 0 5 2�JU
IMPORTANT PERMIT NOTICE J
DRYER + SONS
5536 SE WOODSTOCK BLVD
PORTLAND, OR 97206
Electrical Signature Form
Permit #: MST2000-00'137
Date Is sued: 0513012000
Parcel: 2ISIS 04CA-10600
Site Address: 13724 SW JENNA CT
Subdivisicn: HILLSHIRE
Block: Lot: 106
.Jurisdiction: TIG
Zoning: R-7
Remarks: ADDING 494 SQ FT TO FAMILY ROOM AND A 240 SQ FT DECK PATH I
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
appy opriate 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:
JEFF HEINZ_E DRYEER + SONS
13724 SW JANNA CT 5536 SE WOODSTOCK BLVD
fiGAl<u, OR ?x2s PORTL.,,i4D. OR 97206
Phone #: 503-579-6120 Phone #: 774-1606
Req #: LIC 00001114
SLIP 2311S
ELF 26-43C
AN INK SIGNATURE IS REQUIRED O1 THIS FORM
X --
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. 11310
CITY OF TIGARD BUILDING INSPECTION EA'VISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
p C
_..- BLIP
Requested /' f qM �.i�,�n - —
- -- BLD
Location Z_�Jc,, JPh��i �( Suite MEC-_ -�----
-
Contac' Person —_ Ph ,$/ ' J,G2. � ►�'►I FILM
Contrac'or - - Ph J2,0
--.--- -
L%/2,0 ) SWR
QILDI —�� Tenant/Owner G 4% N ELC —
Retaining Wa!I -- --� - - ---
Footing EL R
r-oundatior Access: ------ ---
Ftg Drain FRG
Crawl Drain Inspection Notes SGN
Slab - ----
,Post&Beam -- --- ---- -- -- - SIT _
,:xt Sheath/Shear --
Int Sheath/Shear
Framing
Insulation ------- ---__--- -- ----- ---------
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm --------- ---
Susp'd Ceiling
Roof - -. ._------------ -- ---- _
isc: tv 1(0
Ss PART FAIL
UMBIN , -_----_
Post& Beam -
Under Slab
Top Out - - -
Water Service - ---------------- __. _----------
Sanitary Sewer - -- -- -
URai Drains
Final
S PART FAIL --------- ---_-_-----------
- - - - -
MECHANICAL - --- ---- --- - --- ---- ._.
Post& Beam -
Rough In ---
Gas Line
Smoke Dampers ----
Final ---
PASF PART FAIL -- --
CTRI - -- ---
Service — _- - ---- -- ----
Rough In
UU/Slab
Low Voltage - - --- -- -- -__
Fire Alarm
PASS PART FAIL
SITE -- -_-------- ------ ._ - -
Backfill/Grading
Sanitary Sewer ------`�
oiurr"nrain I ]Reinspection fee of$ required before next insp action. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspectio^RE: )Unable to inspect•-no access
ADA
Approach/Sidewalk
Other Date Inspector - ,`� Ext
Final _
PAss PART FAIL I la NOT REMOVE this inspection record fromthe job site.
CITY OF TIGARD u MASTER PERMIT _
PERMIT#: MST2000-00137
DEVELOPMENT SERVICES DATE ISSUED: 05/30/2000
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13724 SW JENNA CT PARCEL: 2S104CA-10600
SUBDIVISION: HILLSHIRE ZONING: R-7
BLOCK: LOT: 106 JURISDICTION: TIG
REMARKS: ADDING 494 SQ FT TO FAMILY ROOM AND A 240 SQ FT DECK PATH 1
BUILDING
REISSUE r• STORIES: I FLOOR AREAS REQUIREDSETP-.�.KS_ REQUIRED
CLASS OF WORK: ADD HEIGHT: 13 FIRST: 494 st BASEMENT: at LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: st GARAGE: 5f FRONT: PARKING SPACES
TYPE OF CONST: EN OWFLi ING UNITS: FINBSMEN). at VALUE: S 37,515 78 RIGHT
OCCUPANCY GRP: R3 BORM BATH: TOTAL: 49400 at REAR: 21
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LALI•'9RY TRAYS, RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF PAIN DRAINS: CATCH BASINS:
TU&SHOWERS: GARBAnE DISP: WATER HEATERS: WATER LP ES' BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL. _
FUEL TYPES FURN<100K: BOIUCMP c 3HP: TENT FANS: CLOTHES DRYER
FURN—100K UNIT HEATERS: HOODS OTHER UNITS, I
MAX INP: btu FLC` i FURNANCES. VENTS: I WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L WSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 •200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INS'ECTION:
EA ADD'L 5P0SF: 201 400 amp: 201 •400 amp: tat W/O SVC/FOR: SIGNIOUT LIN LT: PER HOUR:
LIMI1 ED ENERGY: 01 800 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 801 1000 amp: 801+3mpa•1000v: MINOR LABEL:
1000+amp/volt: PLAN REVIEW SECTION
Reconnect only
>R4 RES UNITS: SVCIFOR>•225 A.: 800 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•r ESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDI)&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC! DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
TOTAL FEES: $ 820.79
Owner: Contractor: This permit is subject to the regulations contained in the
JEFF HEINZE SHELBURNE DEVELOPMENT Tigard Municipal Code,State of OR. Specialty Codes and
13724 SW JANNA CT 7008 SW NYBERG RD all other applicable laws. All work will be done in
TIGARD,OR 97223 TUALATIN,OR 97062 accordL'nce with approved plans. This permit will expire if
work is not started within 180 days of issuance,or if the
work is sLlspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notif',;ation Center. Those rules are set
Reg a: LIC 00042188 forth in OAR 952-001-0010 through 952.001-0080 YOU
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Underfloor insulation Electrical Rough In Gas Fireplace Plumb Final
Footing Insp Crawl Drain/Backwater Framing Insp Insulation Insp F!nal Inspection ORIGINAL
Foundatlon Insp Footing/Foundation Drl Shear Wall Insp Rain drain Insp Building Final
Post/Beam Structural Mechanical Insp Low Voltage Electrical Final
Post/Beam Mechanical Eloctrical Service Gas Line Insp Mechanical Final
Issued By
is�, Permittee Signature
: ._ _
Call (503) 639-4175 by 7:00 p.m. for an inspection needed te ne bu in ss day
Y OF TIGARD Residential Building Permit Application Plan Cheak�
Rer,'d
13'25 SW HALL BLVD. Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 5 `I I 'Uu
V 503-639-4171 Date to DST - ` I I'O v
F 503-684-7297 7 Permit# n1.'1;i";0()0 -6,0 13 7
Print or Type Called^_. /1111111-od
Incomplete or illegible applications will not be accepted Y
r tlrt / 0"A4s-
Name of Project Name
Job FJel02L AOOITIOA) St/N Sc-PLUTro^/ ---
Architect Mailing Address
Address 1372ddress �PN�/A �� -- 70 1 C) 1-1,A). NYQe`26 ►2O
Nam 11 S City/State Zip Phone
( e r A.)z t° --— t(A,41 t r r�l o n_ w7v6 z-
_— -__ (Jame
Owner Mailing Address C IK �61,J, R 14J
137.)L11 5W Fe�NA (_T Engineer balling Address
City/State Zip Phtne -20 r SCJ N Y13ePIC. 1219
TC0 02- q7.)-).3 SMi- 600
General Name City/State Zip Phone
1 ,4LgtI 97n6i- Grit ';�YO7
Contractor <S((If L 0A"F U Describe work New O Addition r Alteration O Repair O
Mailinrq Address to be done
Pi for to permit ]C C n t�l l� �; PQ(, k'l', Additional Description of Work:
issuance,a copy City/State Zip Phone 5'3 G-xPhN 1,4 (1 y j,"t M /vi vVe Ktt spvK1- 0tSNV
of all licenses TOA L A 1 l„/ -,R. Cl 206 69?-65�
are requires if Oregon Const.Cont.Board Exp.Date PROJECT
expired in COT uc.# / VALUATION
database 1 O ( �bs,%�0 I _ _1_,_
Mechanical Name NEW CONSTRU_C I ION ONLY.
ski-_ �/���13S t(e�t I�G Sq. Ft. House: -'— So Ft.Garage
Contractor Mailing Address ' -- - ---
Prior to permit :JlJ7q 5 L MiLWIUIndicate tta rr4tricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontrp.ror in the following area
� s
— as
of all licenses 1 d 01 )34-13"!11 Rcstri,ped Audio/Stereo
nre required if Oregon Const.Cont.Board Exp, Date Energy _SLstem — _ Alarms
expired in COT Lic# '1 / Installations Vacuum Irrigation
_ _database _ _l I c !�'C, ___System_ 5y stem
Plumbing Name I� (check all that Other
Sub- C 4 I� CU/ii "c vt^j ���r e Lot YES NO Flag Lot YJS
NO
Contractor Mailing Address
�� 32A r4l h _(check cne) T (check one) _
_ _ Has the Subdivision Plat recorded? N/A YNO
Priu,to permit City/State qZ�I TPhore 50J
issuar,,.e,a copy A1,f nA 0 L._sI 1 7/ --:?53q
— ^— - ---� —
of all lirenes are Oregon Const. Font.Board Exp Deiq
requirZ if Lic C/, - -- -- - -- —
expired in COT »_ 71 '- I hearby acknowledge that I have read this application,that the
database l 'Plumbing t c-#I)7� I Exp.D9 T:/ i information given is correct,that I am the ownr:r or authorized agent
q - of the owner, and that plans submitted are in compliance with
r, �/C Or_ego i e law .
Name igniture O � Date�
Electrical rJa2'\1P1< Phi/onle#
SUb- Melling Address f i ”'
SI9- X616
Contractor 536 5 LJ wcxj os me I< -- —�-------�
Citylstate Zip Phnne
Prior to permit arLAIJ0 ��O ?
issuanc3,a copy 4 �� ` (60� FOR OFFICE USE ONLY: ___
of all licenses are Oregon Const.Cont. Board Exp
p Date Plat Map/TL#:
required If LlcI r
expired in COT 1 1 ��1 / — )C C (�U
rri-,
database Electrical Llc.# Exp.Date
etbacks: ✓ Zone: Solar:
- Electrical Su erviso`Lic.# Exp.Yate / Engineering Approval. Planning Approva!: TIF.
66
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May 17 00 02: 52p Heidi Johnson 691 -0425 p. }
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BU11VI'ON ENGIMERIN(: & SR
WIMNG
.1n7 'liGARn rI.A7A 'rIGA11D, OREGON 977.23
PTI: 1—(503)-639-0110 OR FAX 1(b0.3)--6.S9--8117
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LOCATION IS 11A,S,CD ON MONUMENTS rOVN0.
IIOIMr:VC'R IJO WARRANTY IS MAW- AS '10 TIIF
C011f1CCTNERS or SAIn MONl1MrI•ITS. TI 11r,
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Cs".V OF 714ARD
Residential Certificate of Occupancy
Permit No.: l� _�QIT-y 7 Address:
Owner/Contractor:
Date of Final Inspection:
'Phis structure has been found to he in substantial comphunce with the provisions of'the S•tafe uf'Uregon Onc& Two Family Dwelling
.Specialty Code and is hereby approved for occupancy—_ — -- -