8960 SW NORTH DAKOTA STREET 1S d14)ib4 H LNOIY MS 0968
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8960 SW NORTH DAKOTA ST
CITY OF T I G,A R D -- MASTER PERMIT
PERMIT#: MST2000-00142
DEVELOPMENT SERVICES DATE ISSUED: 06/06/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08960 SW NORTH DAKOTA ST ORIGINALANING: R-435DA-04900
SUBDIVISION: STARLING MI-1:11999-00010
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: SF PATH I
BUILDING
kEISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS _ REQUIRED
CLASS OF WORK. NEW HEIGHT: 24 FIRST: 916 of BASEMENT:- ofy LEFT: 20 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND 912 of GARAGE: 420 of FRONT: 36 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. of RIGHT: 0
VALUE: $136.468 10
OCCUPANCYGRP: R3 BORW 3 BATH: 3 TOTAL: 1,63000 of REAR: 46
_-_PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAT'.: 100 TRAF S:
LAVATORIES: 4 DISHWASHERS: 1 FLOCK DRAINS. SEWER LINES. 100 SF RAIN DRAINS•. 1 CATCH BASINS:
TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRFVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: 1 Y BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>.100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: blu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL -
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION:
EA ADD'L SOOSF: 1 231 400 amn: 201 . 400 amp: lot W/O SVCIFDR: 00 SIGNIOUT LIN 1_T: PER HOUR:
LIMITED ENERGY, 401 - 600 amp: 401 - 600 amp: FA ADDL OR CIR. SIGNAL/PANEL: IN PLANT.
MANU HMISVC/FDR: 601 1000 amp: 601•ampe-1000v: MINOR LABEL:
1000•amplvoll
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 d STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFfIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: OATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,708.81
DAVID STARLING,8 MARINA LANDRISE DEVELOPMENT LTD This permit is sublert to the requiations c,I tained in the
Tigard Municipal Code,State of OR. Specialty Codes and
2993 N CANYON RD P O BOX 1212
PROVO, UT 84604 LAKE OS�VEGO,OR 97305 all other applicable laws. All work will be done it
accordancr,with e,proved plans. This permit will expire d
CL work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
i2Phone: Phone: Omgon law requires you to follow rules adopted by the
NOregon Utility Notification Center Those rules are sot
Req 6• 1 IC 116797 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
J OUNC by calling(503)246-1987
m REQUIRED INSPECTIONS
II -
W I Erosion 844-8444 Underfloor insulation Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Building Final
+ Footing Insp Crawl Drain/Backwater Electrical Service Gas Fironlace Electrical Final
Foundation Insp Footing/Foundation V,r Electrical Rough In Ins.lation It.gp Mechanical Final
Post/Beam Structural PLM/Underfloor Framing Insp '<ain drain Ins,1 Plumb Final
Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Final Ins, tion !
issued By : Permittee Signatu ,
L
Call(503) 39-4175 by 7:00 p.m.for an Inspection neede Alnesa �'L
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES
PERMITS: SWR2000-00100
13125 SW Hall Blvd.,Tigard,OR 97223 (563) 639-4171 GATE ISSUED: 06/06/2000
SITE ADDRESS; 08960 SW NORTH DAKOTA ST PARCEL: 1S135DA-04900
SUBDIVISION: STARLING MLP1999-00010 ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME: DAVID & MARINA STARLING
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILnINGS: 1
i!VSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for a new single family dwelling.)
Owner: - --
FEES
DAVID STARLING, MARINA —
2993 N CANYON RQ Type _ By _ Date Amount Receipt
PROVO, UT 84604 PRMT GEO 06/06/2OOC $2,300.00 0002745
INSP GEO 06/05/2COC $35.00 0002745
Phone: 801-375-8713 Total $2,335.00
Contractor:
Phone: ORIGINALReg#:
Required Inspections
Sewer Inspection
CL
OC
F-
m This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
W180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
-� guaiantee the accurac/ of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect ?feet in all directions from the distance given. If not so located, the installer shall Durchase a"Tap and
Side Sewer' Penoit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of theserules or • ect questions to OUNC by calling(503) 246-1987.
Issued b , -lz�r Permittee Signature: Lam.
Call (503) 639-4175 by 7:00 P.M.for an inspection needed the tilsiness day" ,�
CITY OF TIGARD Residential Building Permit Application Plan Check 0Rec'
13125 Bv
SW HALL BLVD. New Construction D,tedRa--- -o
TIGARD, OR 97223 Single Family Detached `�
V 503-6394171 a Date to P.E.
Dste to DST -S 7 ' -c'u
F 503-684-7297 Permit or.?o�✓ v l'/�/2
Print or Type �1 Called_s�Q�o
Incomplete or Illegible applications will not be accepted
5r /r'-o2uL/u - OU00
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Name of"roject pyece- Name
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Site Add; Maill AddressJob Afchit@Ct., . I
Address _
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Li F.r # 10
Phone
Name } i Opt g7zY;Q565
. � car Imp , Dov����lat'i nog
Owner M j ling Address N
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�-'i =375111
ne -- Engineer Mailing Address
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CRY/State Zip ne g
r _S?t 4'64'4 CRY/State — Zip Phone
Gen@rel Name 11 (�_
Contractor UT1(h��Se_ UQye MtnT W. Describe work New 411. Addition O Alteration O Repair O
Malting Address- to be done:
Prior to permit ch� - Additional Deacdption of Work:
Issuance,a copy City/State Phone -.--
of all licenses L� �Sr,lpr� Zlp 7035&A)2, -VA2
aro required N Oregon Cunat. ont.Board Exp.Date PROJECT
expired in uc.rr
database ! 7 9- .0a VALUATION is 13 6a 40. (M _
a
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- fc) k y[aMej jqje,r `- Sq. Ft. House:/ Ft sta
w Sq. ge
Contractor Meiling Address lel,
Prior to permit Indicate the restricted energy Installation by the electrical
subcontractor in the foil areas
lat
Issuance,a copy City/Se Zip Phone _
of all lloenses Restricted Audio/Stereo
are regrrlred N Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT LIc.0 Installations vagi'.+um Irrigation
database _ _ Syalem -Syrstem
Plumbing Name (check all that Other:
Sub- T c�e�4fm;ne�.� a i
Contractor Mailing Address Nlrmber of Uniis in Building Unit Number Designation
Prior to permit City/State Zip Phone Ilas the Subdivision Plat recorded? NIA YE NO
Issuance,a copy ---- `
of all licenses ere �n sgon Const.Cont Board Exp.Date
required N Lic-4
expired in COT
database Plumbing Lic,N Exp.Date I hearty acknowledge that I have read chis application,that the
IL Information given Is oonvd.that I am the owner or euthortted t"nt
of th owner,and that plans submitted are in compliance with
N Name Or o _ ws. _
rt Electrical Tc AQ-t e f Y►,,Aa _ ner/Agent Date
�J Sub_ Mailing Address `@ v
erson Name Phone 0
m Contractor __Lj& �( ,�� �[,� �NAVAL , _ Z
WCity/State Zip Phone
Prior top rmit
cop s T�,e e IA14°
Issuance,a copy FOR OFFICE USE ONA.-
of ON licenses aro Oregon Const.Cont.Board xp aterequired h' Lic M --�-"expired in COTdatabase Electrical Lic.a Exp.Date $e'beck.. ZElectrical Supervisor Lica xp.Date Engineering Approval ^fning Approvnl:��`
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PARCEL 2 OF PARTITION PLAT 2000--014 ENTRANCECT GRAVEL
AVEL
CITY OF TIGARD � EROSION CONTROL
r ZONING 4.5
C� LANDRISE DEVELOPMENT 246-5662
m (q 13S DAA -o9gco _
C7 �(' -5L, DA�o�q 15. O' LG.210.00
W E.G.:210.00' k, F.G:2)0.00
-� SUNTEL HOME DESIGN.NC.IS NOT F.G.:210.00'
LIABLE FOP THE ACCURACY OF THE W---W . m.
TOPOGRAPHY IhFOPW i Kai! IT IS 1
THE SOLE RESPONSSUlY OF T�f S
BUILDER TO VERFY ALL S[TE +_—
CONDITIONS.INCLUDING ANY FILL TRACT "A" 9L fjorm
PLACED ON THE SITE AND WORM 4c GAS TQ PA_ R -EL, 2
OWNERS OF ANY POTENTIAL FELD 'n�t,/`ry�ih`' ll
MODFCATIONS.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
BUP _
Date Requested_ AM —PM BLD
Location 5 cy `, Suite MEC
Contact Person Ph q 2. 3 .3 PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall — ELR
Footing Access:
Foundation FPS
Ftg Drain 490
Crawl Drain Inspection Notes: �� sGN —
Slab dQ SIT
Post 8 Beam
Ext Sheath/Shear
Int Sheath/Shear r-
Framing ,(z --
Insulation
Drywall Nailing V
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling '�/ ..� f �••
Roof
misc
Final
PASI PART FAIL -- --
LUMeI _
o S Beam — --
Under Slab
Top Out
i..
bv,ctpr S@NIC@
Sanitary Sewer --- - ��—
Rain Drains _
Final
S3 PART FAIL
WIECRANICAL —
Post R Beam~ —
Rough In
Gas Line — — —---- --
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICAL _._.----- -------- -------- - -- .�.._ _--
IL Service
F Rough In
N UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL --- _-- ------_-�_-- ---___-- --.--
J SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of S— _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE [ ]Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalkf
Date V Inspector � '�`"''"rte Ext
� 'q
Other - ---
Final
PASS PART FAIL DO NOT REMOVE Ws Inspection record from Vie job site
CITY OF•TIGARD BUILDING INSPECTION DIVISION MST
24-Hoot Inspection Line: 639-4175 Business Line: 639-4171
Date Requested –/ �7 _AM _PM ®LD
Location�PU -S ��&LY /-� Suite MEC
Contact Person _ Ph �Q 7 r�Sw� PLM _
Contractor ILI Ph �— 3WR
BUILDING renant/Owner ELC -----
Retaining Wail ELR _
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ---- -
Slab _ _ _� _ SIT _
Post a Beam _M— --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Final
PASS PART FAIL ------- ---- —.- —___—�___._—_
PLUMBING
Post 8 Beam —_—___.—� — —_---------.®--_�—_
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL ---- -- -- --- --_ _�— _.—� -- _ —
MECHANICAL
Po3t&Beam
Rough In
Gas Line
Smoke Dampers
Final
RT FAIL
ELECTRICAL -----------1-- _.---� - -- _..__ __ _
Rough In
M UG/Slab
N Low Voltage
Fire Alarm
mFS0 PART F 4.Il
t9
J Backfill/Grading - — —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ,
Fire Supply Line [ ]Please call for reinspection RE: [ ] Jnable to inspect-no access
ADA
Approach/Sidewalk nate _��9 Inspector Ext
Other _-----
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY Of TIGARD BUILDING INSPECTION DIVISION
-G�/
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST 1,1k4/ Z ..
BUP
Date Requested /ZU- / —AM PM BLD
Location �D��c,� �v �' ^ Suite _ MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: _ ~
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab I SIT
Post&Beam -- — -
Ext Sheath/Shear
Int Sheath/Shear
Framing z
Insulation
Drywall Nailing - __-
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling —
Roof
Misc.
Final
T FAIL
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer -- --- -�--------- -- - —
Rai Drains
F1
PART FAIL
HANICAL - --_ --�— - --
Post& Beam -- - -- ------- — -- --- ---
Rough In
Gas Line - -- -------- - - ---
Smoke Dampers
Final - -- — ------- — -
PASS PART FAIL.
ELECTRICAL --
4. Service ---- --- --- — --
a Rough In
�- UG/Slab _
to Low Voltage —
Fire Alarm --- ----- ----- ---,_—.-. —�
J Final
W PASS PART FAIL
W SITE
J Backfill/Grading ---- -- --- -- "—
Sanitary Sewer
Storm Drain )Reinspection fee of$____ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I )Please Gill for reinspection RE: _ i ]Unable to inspect-no access
ADA �YApproach/Sidewalk Date /� I Inspector
Other Ext
Final
SS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION '
MST 2-e L I -el
24-Hour Inspection Line: 639-4175 Business Line: 639-3171
OUP
Date Requested. Z _ AM —PM _ — BLD ��—
Location. ���U ,Sw , DA Suite MEC
Contact Person Ph 9 q Z 3��� — PL.M _--_— --
Contractor Ph SWR
BUI Tenant/Ownei ELC --_
Retaining Wall ELR
Footing Access:
Foundation FPS _
Fig Drain SGN
Crawl Drain Inspection Notes: — --
Slab _ — SIT
Post&Beam --- - --
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Fin ---- �--�
PART FAIL
LUMBING
Post&Beam --' —
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final ---
PAS FAIL -
CHANICa
Post&Beam ---- ---— — -- —
Rough In
Gas Line -- — -- ---
Smoke Dampers
PART FAIL
ELECTRICAL
d. Service
Rough In —
UG/Slab —
r Low Voltage
Fire Alarm _-
Final
PASS PART FAIL
W SITE
J Backfill/Grading --- _— __--
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required uefore next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Ling [ ]Please call for reinspection RE:__________�^__ _ _____ [ ]Unable to inspect no access
ADA
Approach/Sidewalk Date
Other ���'� —___ Inspector —Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 `T�`-WED
IMPORTANT PERMIT NOTICE JUN 13 ?000
MITCHELLS PLUMBING INC BY:_
PO BOX 501
TROUTDALE, OR 97060
Plumbing Signaf ire Form
Permit #: MST2000-00142
Date Issued: 06/06/2000
Parcel: 1 S135DA-04900
Site Address: 08960 SW NORTH DAKOTA ST
Subdivision: STARLING MLP1999-00010
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SF PATH 1
Your company has been indicated as the plumb;ng contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your c.)mpany sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
DAVID STARLING, & MARINA MITCHELLS PLUMBING INC
2993 N. CANYON RD PO BOX 501
PROVO, UT 84604 TROUTDALE, OR 97060
Phone #: 801-375-8713 Phone #: 503669-2171
Reg #: P1 M 220146
6 614PB
ca
AN INK SIGNATURE IS REQUIRED ON THIS FORM
m
W x h,qf,
Si ature of Authorized Plumber
If you have any questions, please call (503) 6394171, ext. # 310
}
FROM : ROSS ELECTRIC PHONE NO. Jul. 20 2000 05:06PM P1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ROSS ELECTRIC
STEPHEN LLOYD ROSS
23810 SW DRAKE LN
HILLSBORO, OR 97123
Electrical Signature Form
Permit 9: MST2000-00142
Date Issued: 06/0612000
Parcel: 13135DA-04900
Site Address: 08960 SMI NORTH DAKOTA ST
Subdivision: STARLING MLP19Q",9010
Block: Lot: 002
,Jurisdiction: TIG
Zoning: R-4.5
Remarks. SF 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
appropriate individual from your company sign below and return this Electroal 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:
DAVID STARLING, & MARINA ROSS ELECTRIC
2993 N. CANYON RD STEPHEN LLOYD ROSS
PROVO, UT 64604 23810 SW DRAKE LN
Phone ft: 801-375.8713 P °.; 97123
Rep#: e� U4sec
LIC0011"
*UP 42326
a
oc
N AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
O Signature of Supervising Electrician
W
If you have any questions, please call (503)639-4171, ext. M 310