8950 SW NORTH DAKOTA STREET 1S a1031d(3 H18ON MS 0568
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8950 SIAL NORTH DAKOTA ST
CITY OF TIGARD 24-Hour
BUILDING Inspection LI : (503)631D-4175
INSPECTION DWISION Business LI (5503)639-4171 MST
BUP
Received —Date R quested. — AM__�._PM___—_. BUP
ffLb
Location b. iL,;F-
Suite_— ____ MEC
Contact Person Ph( ) _ PLM
Contractor .__ Ph(_ ) - SWR _
BUILDING __ Tenant/Owner LL , _ ELC
Footing — �nd ELC --.----
Foundation Access: Nt z,'
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT --
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheati„Shear
Framing
Insulation
Drywall Nailing
FirewallA f Law L_ft%%�
Fire Sprint `-
Fire Alarm
Susp d Ceiling
Roof _
Other: - - -`
PA PART FAIL
PLUMBING - ----
Post&Beam
Under Slab - ----- --
Rough-In
Water Service -- -- -
Sanitary Sewer
Rain Drains -------- -- _. _
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: _
Final
PASS PART FAIL —
MECHANICAL -
Post& Beam
Rough-In - -----
Gas Line
a Smoke Dampers
CK Final
W PASS PART FAIL
ELECTRICAL
Service
fn Rough-In
L7 UG/Slab
W Low Voltage
Fire Alarmrru,, -__�..
ASS PART FAIL Roinspection fee of$_. required before n inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection R _ ] Unable to inspect-ro access
Fire Supply Line ('�`
ADA Dtt�b '� �
Appro...ch/Sidewalk Ext' -
Othei:_
Final -— DO NOT RBMOV'IE this INSPOCtION ll'O"L"b She.
PASS PART FAIL
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2003-00247
DEVELOPMENT SERVICES DATE ISSUED: 6/27/03
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
SITE ADDRESS: 08950 SW NORTH DAKOTA ST ARCEL: 1S135DA-05000
SUBDIVISION: STARLING A41-P1999-00010 ZONING: R-4.5
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: 182 square foot second .tory addition to living roorn.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED _
CLASS OF WORK ADD HEIGHT: FIRST: at BASEMENT: al LEFT SMOKE DETECTORS: '
TYPE OF USE: SF FLOOR LOAD: SECOND: at GARAGES at FRONT: PARKING SPACrS
TYPE OF CONST: DWELLING UNITS rralo at RIGHT:
OCCUPANCY GRP: BpRM: OArH: TOTAL: 0 at VALUE: 19.018 00 REAR.
_ P'UMBING _
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR GREASE TRAPS
OTHER FIXTURES:
_ MECHANICAL
FUEL TYPES FURN<TOOK: BOIIJCMP<2HP: VENT FANS: CLOTHES ORYI:R-
FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLErs:
_
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUIT'S MISCELLANEOUS a_'AD("L INSPECTIONS
1000 SF OR LESS: 0 200 arM: 0 •200 arp: WASVC OR FDR: PUMPARRIGATtON: PER INSPECTAON:
EA ADD'L 500SF: 201 - 400 amp: 201 400 amp: tat WPO SVCIF DR: W, SIGNIOUT LIN LT- PER HOUR:
L IMITED ENERGY: 401 600 amp. 401 600 amp: EAADDL OR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVCIFOR: 601 - 10008"m: 601+amps-1000V MINOR LABEL:
1000.ampNolt:
PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS: SVC/FDR,-?25 A.: >600 V NOMINAL: CLS AREAASPC OCC:
ELECTRICAL.RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO IL STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGINGOUTDOOR LNDSC LT__
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL-
GARAGE OPLNER• CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAATELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 497.67
This permit Is subject to the regulations contained in the
AGYEMANG,SIMON 8 MARLA DALTES ENTERPRISES 1'igsrd Municipal Code,State of OR. Specialty Codes and
8950 SW NORTH DAKOTA ST 21300 SE FIRWOOD RD all other applic9hie laws. All work will be done in
TI('ARD,OR 97233 SANDY,OR 97055 accordance wrt'+anproved plans. This permit will expire if
work Is not sty;yr i within 180 day-,of lss. ance,or if the
d work is suspen led for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
16- Phone: Phone: 503-668-3880 Oregon Utility Notification Center. Those rules are set
forth In OAR 952-001-0010 through 952-001-0080. You
N
Ron 0: LIC 86589 may obtain of these rules or direct questions to
OUNC by cailing ailfng((503)248-1987.
ID REQUIRED INSPECTIONS
WFooting Insp Shear Wall Insp Electrical Final
_j Foundation Inst' Exterior Sheathing Inst Final Inspection
Underfloor Insulation Insulation Insp
Electrica Rough In Rain drain Insp
Framing Insp Roof Nailing
IS!.tle(l By : L_c�i1 , �. _ Permittee Signsturer;►i7 '
Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the nlaxt 'usiness da Y
Y
Electrical,Permit Application Received Elect-ieal _
Date/By: ��/ C� Permit No.pAf,/-
Planning Approval Sign
City of Tigard Date/By: _ Permit No.:
13125 SW Hall 131vd. �ur� 1. L ?.003 Plan Rr.view Other
Tig.rd,Oregon 97223 r f ) 'IUAi LUar.B • Permit
No.:
Phone: 503-639-4171 Fax: 56-5473-1960 t DateB y: land Use
DateCase No.: _
Internet: www.ci.tigartl.or.us Contact Juris.: N Seepage 2 for
24-hour inspection Request: 503-639-4175 Name/Method. Supplemental Informa+lon.
TV E_OF WORK _1.'7►N REVIEW(PI so check all Oat apply)
New construction Demolition Service over 225 amps- Healthcare facility
commercial ❑Flarardous location
Addition/alteration/replacemcnt Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet,
CATEIGIORY 0 rVO VSTRUCTiON 1&2 family dwellings four or more residential units in
I &2-Farm dwellin Commercial/Industrial ❑System over 600 volts nominal one structure
E]Building over three stories ❑Feeders,400 amps or more
Accesso Buildi� Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV park
_ Diaster Builder Other: (J ED
[„J Other:_______
JOA SITE INFORMATIO �Ild LOCATION Submit.—sets of plana with any of the above.
—__ — The above are not spirlicaWe to tem orar construction service.
Job site address: O Si _ " - r; �„ ;_.�` _
Suite#: r— Bld ./A t.#_ 14 _ Number of ins ectlons per Mill allowel
Project Name: Descrlptlon _ Qtr Fee(ea.) Tatal
-- New residential-single or mulll-family per
Cross street/Directions to job sites n�/r dT 5� dwelling unit.includes attached garage.
,S� / 101j-1 4 ye Nut jQ s W /� � Servlre Included:
'K IUOO sq,ft.or less 145.15 4
Each additional 500 .ft.or portion thereof 33.40 1
-— Limited energy,residential _ 75.00 2
Subdivislo_n: Lot#: a Limited energy,non residential 75.00 2
Tax map/parcel #: F.ach manufactured home or modular dwelling
DESCRIPTION OF WORK service and/or feeder �•� 2
--�--- Services or feeders-Installation,
� d t��p�l ,_��� r�,y�L�•g alteration or relocation:
200 amps or less 80.30 2
__. --- 201 amps to 400 amps 106.85 2
401 am to 600 amps 160.60 2
PROPERTY O ANT 601.m to 1000 amps__,_ �^ 240.60 2
Over 1000 amps or volts 454.65 _ 2
Name: K -4 Q O Reconnect only - 66.85 2
Address: 8 w d SL Temporary services or feeders-Installation,
alteration,or relocation:
City/State/Zip: d q7 � 200 am or less 66.85 1
Phone: Fax: 201 amps to 400 amps 100.30 2
401:o 600 amps 133.75 2
APPLICANT CONTA _P1900 4 Branch circuits-new,alteration,or
Name: G L e extension per panel:
U rl
A.Feefor Manch cirruiw with purchase of
Address: a (� � Q _ service or feeder fee each Manch circuit 6.F5 2
7V
Clt /rt lte/Zl :S AY 7 B.Fee f°r Manch circuits without purchau of`� ` service or feeder fee,first branch circuit / 46.65 2
Phone: `1 9 _S h 3 kt jA(s k 7 0 eJ Each additiow.:branch circuit 6.65 2
E-mail: Misc.(Servi a or feeder not included):
dEach ump or irrigation circle 53.40 2
COIF A Each si n(.r outline lighting 53.40 2
N
Job NO: Signal circuits)or a limited energy panel, —
--- alteration or extension P 2 2
Business Name: - -___ Description:
Address: d
J - Fach additional Inspection over the allowable In any of the above:
m City/State/Zi -_- -- Per inspection per hour(min. i hour _ 62.50
t9 Phone: Fax: _ Investig_stion fee:
W CCB Lie.#: Lie. #: Other:
.:
Supervising electrician i a _ Subtotal S _
signature required: Plan Review(25%of Permit Fee) $
Print Name: Lic. #: state Surcnar a 8%of Permit Fee S
TOTAL PERMIT FEE I S
Authorized Notice: This permit application expires If a permit Is not obtained within
Signature: bate:— -I�._O3 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
Jv (Please print name)
i\Dsts\Permit Forms\FlePermitApp.doc 01103
Electrical Permit Application - City of Tigard
Page 2 - Supplementni Information .
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor all systems............................................................ $75.00
Cheek Type of Work Involved:
i__.f Audio and Stereo Systems*
Ej Burglar Alarm
E] Garage Door er*
n
Heating.Ventilati it Conditioning System*
�J
Vacuum Systems*
E] Other
COMMERCIAL WORK ONLY:
Feefor Ink system...................................................... $75.00
(SF.F.OAR 918-260-260)
Check Type of Work Involved:
Audio and F:emo Systems
Boiler COutrOIS
Clock Systems �-
Data Telecommunication Installation
Fire Alarm Installation
HVAC
0 Instrumentation
nIntercom and Paging Svstems
L I landscape Irrigation Control*
❑ Medical
Nurse Calls
a
FOutdoor Landicape Lighting*
N
Protective Signaling
SF-1 Other— —--- ----- ------
---_-Number of Systems
W
"j * No licenses are required. Licenses are required for all
other installations
iADstslPermit Forms\F1cPerrm1tAppPg2 doc 01103
Building'Permit Application Received / Building N �7
Permit No.:/
Cit of Tigard Planning Approval Other
Y g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Datc/By: NJ- Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 , Post-Review I ind Use
Internet: www.ci.tigatd.or.us Daa;/I3 : Case No.
g Contact See Page 1 for
24-hour Inspection Request: 503-639-4175 ;i Y OF 1 IUANU Na—/Method Su lemental Information
801LDING DIVIS101"
TYPE OF WORK REQUIRED DATA:
El New construction _ Demolitizin 1&2 FAMILY QWELLING
LJ Addition/alteration/replacement. Other: -`
CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
Accessory Building Multi-Falniioverhead and profit for(he work indicated on this application.
�
Master Builder Other:/N'x1 , iia Valuation......................................................... $-/,k _
JOB,'UTE WFORNEiXION and LOCATION No.of bedrooms: No.of baths: 'lt, --
- — Total number of floors_.. ........................:.......
Job site address: 13,5p S W (�_ $
New dwelling arca(sq.R.i..1..�.v�............... '
Suite#: Bld ./A t.#: --
I§�_ �.___- Garage/carport area(sq.ft.).....1�..A...........
Project Name: Covered porch area(sq.ft.)..... 4............
Cross street/Directions to job site: Deck arca(sq.ft.)...................l�1..ft..............
W O
11 N CA'I� p Te 5 u? qkO r'� St Other structure area(sq.R.)...../N.D
REQUIRED DATA:
_-- COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: ? - —
Tax ma / arCel #:' Note: Permit fees*are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
Valuation.................................................... ... S
— --- Existing building area(sq.fl.).........................
New building area(sq.ft.)...............................
Number of stories............................................
------- ---
I'RO 'Type of construction....................I..................
Name:� _ Occupancy group(s): Existing:
New:
Address: _ --
Cii /State/Zi Y !!77
Phone: Fax: NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
-- provisions of ORS 701 and may be required to be licensed in the
Business Name: /Jp y r O jurisdiction where work is being performed. If the applicant is exempt
Contact Name: TLg<v SM N to from licensing,the following reason applies:
a. Address: -- _ —
Cit /State/Zi il:! Y cZ, 70 5757 ------ ---- -—
tn Phone,6',o3 L F :BaG 7D
BUILDING PERMIT FEES*
E-mail: Ple>iale refer to tee schedt1k.
-I CONTRACTOR - ----._..-----------
Business Name: 1t el / r Fees due upon application.............................. $_
[Address: / :5Z-
_J
City/State/Zip: O " ` Amount received.............................................
kC
,Dhone:, ' [cG� �Y 0FaX: �'pl G 7 a 5 Date receiv.-d:CB Lic. #: $G ' rt o
Authorized � Notice: This permit application expires If a permit Is not obtained within
Signature: _ Date: 17-r03 190 days-Iter It has h-en accepted as complete.
YA'C ';�y `Fee methodology set b Tri-Casa Building Indust Service Hoard.
-. ola r �r a �r
(Please prin name) �1
0Dsts\Permit Forms\BldgPermitApp.doc 01/03
One-and Two-Family Dwelling
Building Permit Application Checklist Referenceno.:
CirynjTigard CityOf Tigard
Associated permits:
g U Electrical U Plumbing U Mechanical
Address: 13125 SW hall Blvd,Tigard,OR 97223 UOther:
Phone: (503) 639-4171
Fax: (503) 599-1960
I land use actions completed.lice jurisdiction criteria for concurrent reviews.
2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plotilot.
4 Fire district _ approval required. _
5 Septic system permit.or authorization for remodel. Existing system capacity _
6 Sewer permit.
7 Water district■pprov..'
9 Soils report.Must carry origin applicable stamp and signature on file or with application.
9 Erosion control U plan U permit quired. Include drainage-way protection,silt fence design and location of
catch-basin pi-otection,etc. _
10 3 Complete sets of legible plans.Mu drawn to scale,showing conformance to applicah Ic,cal and state
building codes. Lateral design details and co etions must be incorporated into the plans or on separate full-size
sheet attached to the plans with cross references ween plan location and details.Plan review c not be completed
if copyright violations exist.
1 I Site/plot plan drawn to scale.The plan must show lot an ilding setback dimensions;property coller elevations(if
there is more Ulan a 4-fl.clevadon differential,plan must show tow;lines at 2-ft.intervals);locati of easements and
driveway;footprint of structure(including decks);location of well. , tic systems;utility locations; ireetion indicator;k*
yam►; ting structures on site;
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs andforcing pads,con ection details,vent
size and location.
13 Floor plans.Show all dimensions,room identification,window size,location of s ke de ctors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above gra , c.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor eaders,joists,sub-floor,
wall construction,roof construction.More than one cross section may be required to cle ly portr onstruction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding materi ,footings and ndation,stairs,
fireplace construction, thermal insulation,etc. _
15 Elevation views.Provide elevations for new construction;minimum of two elev ions for additions and reoriels.
Exterior elevations must reflect the actual grade if the change in grade is grealpf than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross refereripts are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must i cate details and locations;for
I non-prescriptive path analysis provide specifications and calculations t •ngineering 51andards.
17 Floor/roof framing.Provide plans for all floors/roof assemblies,in ' ating member sizing,spacing,and bearing
I locations.Show attic ventilation.
19 Basement and retaining walls. Provide cross sections and det ' s showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations usm urrent code design values for all beams and multiple joists
4 over 10 feet long and/or any heam/joist carrying a no niform load.
20 Manufactured floor/roof truss design details.
F 21 Energy Code compliance.Identify the presc ' rve path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations.When red or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or
J a ct licensed in Oreo shall be shown to he applicable to the project under review.
m
J23 Fi site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Twp sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criterir outlined in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department use only. 440-4614(~70M)
an PRG1j arr LWt~ f, AAc 71ff SY#ufllNamm r R16Wr � a►.m Rrcaws
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I
IL CITY OF TIGARD-SITF PLAN REVIEW
p� BUILDIN6 PLRR11 t
PLANNING DIVISION
Required Set racks: I Approved ❑ Not Approved
J Side. Street Side:
ED From. ..'2�_ 6araµe: .2A-2— Rear: -
a Visual C learanee: �' Approved ❑ Not Approved
J Rlarimum Building IlcIght. Al_.7tteet
CWS Service Pruvider letter Required- Cl Yes *No
❑ Rgccived
I:NGINI =.RINDiff It I'Mf:N-(':
Actual Sl o e: °p Approved D Not Approved
Site Plan M�Approve(l (] of Af proved
B Dale: E=�
Notes:
S
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
TRI-CITY ELECTRIC
8395 S. GRIBBLE
CANBY, OR 97013
Electrical Signature Form
Permit #: MST2003-00247
Date Issued: 6127103
Parcel: 1 S135DA-05000
Site Address: 08950 SW NORTH DAKOTA ST
Subdivision: STARLING MLP1999-00010
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-4.5
Remarks: 182 square foot second story addition to living room.
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
appropriate 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 Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
AGYF_MANG, SIMON & MARLA TRI-CITY ELECTRIC
8950 SW NORTH DAKOTA ST 8395 S. GRIBBLE
TIGARD, OR 97233 CANBY, OR 97013
Phone #: Phone #: 503-266-9995
Reg #: LIC 50888
CL SUP 24055
p� ELE 3-214C
F-
r�
AN INK SIGNATURE IS REQUIRED ON THIS FORM
to
W X /
Signature of Supervising Ele trician
If you have any questions, please call 503.718.2433.
CITY OF TMASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-020.
13125 SW Nall Blvd., Tigard.OR 97223(503)639.4171 DATE ISSUED: 08/24/98
PARCEL: 15135DA--0700
SITE ADDRESS. . . :06950 SW NORTH DAKOTA ST
SUBD I V I S I ON. . . . : ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
Remarks: PATH I: New single family dwelling w/attached garage
-- — --- ------------------------- ---- BUILDING ------ ---- - - ------ -------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 8 if REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 18 FIRST....: 1.220 if GARAGE.....: 528 sf LEFT..........: 10 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1140 if FRONT.........: 20 PARKING SPACES: c"
TYPE OF CONST.:5N DWELLING UNITS: 1 FINDS?WE : 0 if RIGHT......... 10
OCCUPANCY 6RP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2360 if VALUE-1: 167219 REAR..........: 15
------- ------------------------------------•-- - PLUMBING -----------------------_--- __—__ _------------ -
SINKS.........: 1 WATER CLOSETS.: 3 HASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 3 DI%VASHERS...: I FLOOR D?AINS..: 0 SEWER LINE ft: 100 3F RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHMRS.... 3 GAREAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BMW PREVNTR: 1 GREASE TRAPS..: 0
OTTER FIXTURES: 0
----------------
--------------------------------------------- MECHANICAL ---------------------- - ------ -- ---------------------
FUEL TYPES----------- FURN ( INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 C'TTHES DRYERS: 1
GAS FURN )-100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 UNITS...: 1
MAX INP.: 8 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: r, 6RB (k'TLETS...: 1
---------------- --------------------------------------------- ELECTRICAL ----------- - -------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TFMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- --- !SlSCELLpEOl15--- --MIL INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PIMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5W.: 4 281 - 400 amp..: 0 °81 - 400 amp..: 9 1st W/O SVC/FDR: 8 SIGN/OUT LIN LT: 0 PER HOAR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAi-/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1008 v: 0 MINOR LABEL -10: 0
10N0+ amp/volt.: 0 ------- ----------------------- PLAN REVIEW SECTION --------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-^25 A.: ) 601 V NOMIWaL: CLS AREA/SPC OCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------- -- —_ -------
A. SF RESIDENTIAL----- ------ ------- B. COMMERCIAL-------- - ------- --"--'---
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO It STEREO.: FIRE ALARM.....: INTE11COMMAGIN8: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER.........: HVAC.... .......: LANDSCAPE/IRR1G: PROTECTIVE GIRL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CAL.LS....: TOTAL I SYSTEMS: 0
Owner: ---------------—-------------------Contractor-: ----------------------------- TOTAL FEES:$ 5082.28
DAVID STARLING OWNER This permit is subject to the regulations contained in the
32 INDEPENDENCE AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
LAKE OSWEGO OR 97035 other applicable laws. All work will bf done in accordant
a with approved plans. This permit will expire if work is
11C Phone A: 359-8131EX270 Phone is not started within IN days of issuance, or if the work is
N Reg C.- 000000 suspended for more than 180 days. ATTFNTION: Oregon law
------------------------------------------------------------- requires you to follow rules adopted by the Oregon Utility
J Notification Center. Those rules are set forth in OAR 952-101- 010 through OAR 952-NI-1M. You say obtain copies of these rules or
m direct questions to OUiNC by calling (503)246-1987.
__�_--_-- _—._------------------- - REQUIRED INSPECTIONS P•-_—_— ��—____-- ----
W Erosion 844-8444 Crawl Drain/Back Electrical Rough Insulation Ins Plumb Final
_J Footing Insp PLM/Underfloor Framing Insp Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Appr/Sdwlk Insp
Post/Beam St r Plumb Top 01.:�. Low VoltAge Electrical Final
Post/Beam chan ertr .;` iia° i ' Insp Mechanical Final
Issued Permittee Signatures w
+-+++++++... ++++++ ++++-+++++++++++-++.+++++++++++++++++++++++++++++ ++++++++
Call 639--4175 by 7:00 p. m. fnr an inspection needed the next business da
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
PERMIT
13125 SW Hell Blvd.,T19e1d,OR 97223(503)6394171 PERMIT #. . . . . . . : SWR98-01 17
DATE ISSUED: 08/24/98
PAP.CEL: 1S135DA-02700
SITE ADDRESS. . . :089a0 SW NORTH DAKOTA ST
SUBDIVISION. . . . : ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
-----------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL.. TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : PATH I : New single family dwelling w/attached garage
Owner: ----------------------------------------------------- FEES ---- -_-_-- ___
DAVID STARLING type amount by date recpt
32 INDEPCNDENCE AVE PRMT f 2200. 00 DEB 08/24/98 98-308550
LAKE OSWEGO PR 97035 INSP $ 35. 00 DEB 08/24/98 98-308550
Phone #: 636--5748
Contractor: -------------------------------
OWNER
---------------- -----_OWNER
-------------------------------------------------
Phone A t 2235. 00 TOTAL
Reg #. . .
- ------ REQUIRED INSPECTIONS _-- -- -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from �—
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the Agency will install a lateral. _
ATTENTION: Oregon law requires you to follow rules adopted by the
a Oregon Utility Notification Center. Those rules are set forth in OAR _
952-001-Mil through OAR 952-MI--8088. You may obtain copietz of
F- these rul or dire uestions to Ol1NC by calling (503)246-1987.
iISIle by . _ � — Permittee Signatur r _
W
++++++++++++++++++4.+++4•+++++++++++-r++++++4-+++++++++++++++++•1-++++++- i+++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++•i-+++++++-►-+++++++++++++++++++++++++i++-F++++++
Pian Check*_, -y'Ak
t CITY OF TIGARD Residential Building Permit Application Recd By _
13125 SW FALL BLVD. New Construction Additions or Alterations Date Recd
TIGARD,OR 97223 Single Family Detached or Attached (Duplex) Date W P.E.
V 503-639-4171 Date Na DST
F 503-684-7297 / J Permit `� -U go
Print or Type Called�7`��
Incomplete or illegible applications will not be accepted
Nems of Protect V6
Job �arliY� �t'�f't�Q►-r(,Q. 1 s AAA. Al 14.1C
Address Site Address Architect MaiNng add
------- _ �l � ptLet r1 V
. 6ay-
3a6
C
NaTS CAV I ra nilp
¢ IJ Phone
Owner Mailing Address �,, Na
9j"Y 3 g
En ineer Mem^Q, res,
Ph CCA► Q.1 L-o Kj 2..
,General Name � b•�b 0 i�/ �a_ 71i
C — SPZ
ontractor ?1.7v��1� Describes work Addition O Alteratbn O rtepair O
Mailing Address to be done.
Prior to permit _ Additional Description of Work:
issuance,a copy City/State � Phone
of all licenses
aro required If Oregon Const.Cont.Board Exp.Date PROJECT /� ')/
expired in COT Lic.A VALUATION e' r�
database
Mechanical Name -- — NEW CONSTRUCTION ONLY:
' Sub- t7 (A) (,)7 ,- _ Sq. Ft. House- Sq. Ft. Garage
Contractor Mailing Address — _ J ,ja 8
Prior to permit Comer Lot YES NO Flag Lot YES NO
issuance,a copy City/State Zip Phone check one �� check one) _
±I
of r licenses Restricted - Audio/Stereo Burglar
are required If Oregon Const.Cont.Board Exp.Date Energy �
expired in GOT LiaAr r9Y System Alarm
detatose_ Installation Garage Door �- HVAC
Plumbing Name -` Opener S stems
Sub- C r"��;,,,� �It�rwbl (check all that Other. — -
Contractor Mailing Address apply) _
will the electrical subcontractor wire for all YEAS NO
restricted energy installations? v
Prior to permit CRY/State Phone Has the Subdivision Plat recorded? N/A YES NO
Issuance,a coPY r r.�t �71Lia
of all licenses are Oregon Const.Cont.Board Exp.Date
required if LIc.* Reissue of MST#: Solar Compliance _,
expired in COT _ _ i;alc_ulation Attached)_
database Plumbing Lic # xp.Date I nearby acknowledge that I have read this application,that the
a. 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!aws.
Electrical I;.���. r— --_-��11
r �__ —_-- Si of r/Age- r pateSub- Mailing Address
"J Contractor CRntactP raonNhmt ptone
m City/State Zip Phone /�rVl `_� dO-
W Prior to permit FOR OFFICE USE ONLY. 3 f 1 t?%A
W
J issuance,a copy LSfback
0: `� Maprrl_#t:
of all licenses are Oregon Const.Cont.Board Exp.Date _
required if Lic.* .Zone. Solexpired In COTi (database Electrical Lic.* Exp.Date ►(-ring proval: Planning Ap)roval: TlF:
••� Yt �. l �X/ �' % I:SFREM.DOC (091) 1197
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CITY OF T I G A R D CERTIFICATE OF OCCUPANCY i
PERMIT#. MST98-00201
DEVELOPMENT SERVICES DATE ISSUED: 08/2411998
13125 SW Hall Blvd.,Tigard,OR 97223 (503)839-41 " PARCEL: 1 S135DA-02700
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 08950 SW NORTH DAKOTA ST FILE C
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage
Final Building Inspection and Certificate of Occupancy Approved
10/8/99 by George Steele, Building Inspector
Owner:
DAVID STARLING
32 INDEPENDENCE AVE
LAKE OSWEGO, OR 97035
Phone: 359-8131 EX270
Contractor:
JIM NICOLI
11734 SW FAIRVIEW LN
TIGARD, OR 97223
Phone:
Reg#:
4.
OC
N
W
This Certificate grants occupancy of the above referm iced building or portion thereof and
confirms that the building has been Inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use der which the referenced permit was
Issued.
BUILDING IN ECTOR BUIL OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _QO 0
24-Hour Inspection Line: 639-4175 Business Line: 639-417
q ; 3�, V BUP
Date Requested "" ' ! AM�PM _ BLD
Location LL' 0 �) Suite MEC
Contact Person l Ph —S 72-75 PLM
Contractor Ph SWR
BUlL ! Tenant/Owner ELC
Retaining Wall ELR
Footing
Fom nidation Access:
FPS
Ftg Drain SON _-
Crawl Drain Inspection Notes: w --
Slab _ SIT
Post&Beam —
Ext Sheath/Shear
Int Sheath/Shear —
Frarning _
Inst elation
Drywall Nailing _
Firewall - - -
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
- --- — --
PLUMBING
Post&Beam —
Under Slab
Top Out --
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post 8 ea -
Rough In
Gas Line -- —_�
Smoke Dampers
TA-67t> PART FAIL
a ELECTRICAL -` -- -
p� Service -
Rough In "---'--
UG/Slab
Law Voltage
-j F ire Alarm
F incl
(g PASS PART FAIL
uJI SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ renuirad before next inspection. Pay at City Hall, 13125 SW Hall Bbd
Cadch Basin
Fire Supply Line [ ]Please call for reinspection RE: _ [ J linable to inspect-no access
ADA
Other
C�
Approach/Sidewalk
other Date / - $r-�-7 Inspector_ —��Ext
Final
PASS PART FAIL. I DO NOY RI MOVE this Inspection record from the fob site.