13721 SW TRACY PLACE ADDRESS:
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1 i:\records\microflm\targets\builcting.doc
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CITY OF TIGARD BU!OWD INSP CTION NOTICE
Inspection Line (Rbc-O-Phone).63.0 :175 Business Phone: 639-4171
/r
Inspection:
Footing SU4. Ceiling Sp k. Rough-in /bppr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
P,st/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Po,-,t/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insu ation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ' Time: AM PM
Address: 1! 75 C4
I �'t P-7Builder: Q �L Y ct „� Permit ! 41
THE FOLLOWING CORRECTIONS ARE REOUIRED: "7 `2"1
Inser,pr:----J� � — Date:
'APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call i-or Reinsp.
crrk-rIFICATF:- OV'
CITY OF TIGARD F'EkhfI T #arc, . . . .I.�r . . : ,
a 0161'94--044:
COMMUNITY DEVELOPMENT DEPARTMENT DATE I S SUED e 11/06/15
13125 SW Hall Blvd.Tigard,Oregon 47223.5199 (503)039.4171 PARCEL- S 104CC-the 200
SI1C ADDRESS. . . I 13721 SW TRACY PI_
SUBD1JISION. . . . I HIL.LSHIRE: E;.S.TATES NO. 2 T.ONING1R--7 Rid
BI...00K. . . . . . . . . . I LOT. . . . . . . . . . . . . a 107
CLASS OF: WORK. a NE:W
TYPE OF USE. . . I SF
OCCUPANCY GRP. :5N
OCCUPANCY LOAL1 a P
t temav4'r4 . PATH I
W I NDWOUD CONST. INC
�.�933 SW TRENf3A DELMAR
BEAVE:PTON OR 97007
Phone #e 644•-3657
W l'NOW(;t_lU CONSTRUCTION, 'NC.
o9s3 S►^t TIE'.RFM,, CiEL MAR
P.EAVk RTON OR 97007
I:'hofle #1 '780 -4375 M
Heg #. . I 51196
,his, Certificate gvrAnt:s occupancy of the above v,efer,encomd Guilc:lanU or- p:►vtion
hereof and confir-ms that the building has been insspec_ted for, 'Compliance with
he State of Ov'upon yF,ecialty Codes for the yv-0Up, occupanC..y, Ai;:l ussw under
ihic.h the r-ofer"ent-aci per-mit was issued.
1
__._...�_...-. ..�._.. ___._.. BUILDING OF >EcxAL
it.1 I L.L7 l N(a I N,�f�C
TOR
p'Dri E IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE /� 1
Inspection Line (Rec-O-Phone): 639-4175 Busine-.a Phone: 639.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation P16g. Underslab Mech, Rough-in Fireplace
ost/Beam S t� Plbg. Top Out Elec. Rough-in FINALL-
mos Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation /
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: �— �,4 '-C� ��_ Time: AM PM
Address: ~�Z I `T��'ctLQ_
Builder: Permit q4 — 6111--"71' z3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ate: _
A RAOVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
`� _,Call For Remsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc-O-Phono): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Susp. Ceiling Sprink Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. 'Jndariloor Rain Drain Framing -plumb.
Alarm Water Line Insulation -Mech.
Uneertlr. Insul. Shear Wall Gyp Bd.
I
Dnte Requested:_ t l'2- 5 � _Time. AM PM
Address:��-1
L' r CJ
Builder Q 1�` �77.,�t� Permit
������
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/`-- - -All
H
�� ► —�
Date'
Inspector. =�.�
A 'PROVFD _DISAPPROVED _APF ROVED SUBJECT TO ABOVE
Call For Reinsp. �
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT
13125 SW Hall Blvd.Tigard,Dragon 97223.8199 (503)839-4171
PERMIT #. . . . . . . : PI_M95--0=:79
639-4171 DATE ISSUED: 09/29/90
PARCEL: 2S 1 O4CC---OOw'O17.1
I-rE ADDRESS. . . : 1372-1 SW TRACY PL
ZONING: R-7 PD
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2
. 1O7
BLQCN.. . . . . . . . . . .. LOT. . . . . . . . . _ .� _-.---_-_---_----.-----------------_-•_._--__
CLASS-OF�WORK. . :NEW _ GARBAGE DISPOSALS. . MOBILE HOME SPACES. :
BACKFLOW PREVNTR S. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : TRAP,r,. . . . . . . . . . . . . . :
OCCtj[:,ANCY C=RP'. . :R3 FLOOR DRAINS. . . . . . .
WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
STORIES. . . . . . . . :c LAUNDRY
URITRAYS. . . . . .
NAALLS. . . . . . . . . . . . . SF RAIN DRAINS. . . . . :
FIX'1URES--__..___.______._ URI : GREASE TRAP'S. . . . . . . :
SINKS. . . . . . . . . . :
LAVATOPIES. . . . . : OTHER FIXTURES. . . . . ,
T'UB/SHOWERS. . . . : WATER LINE (ft ) . . . . :
WATER CLOSETS. . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarl« : Install residential backflow prevention device
FEES -•__ ..___._ ______
Owner: type CONST. INC type- -amol-rnt by date recpt
PRMT 15. 0'10 JSD 09/29/95 95--271118
6933 SW TRERRA DELMAR
=,p(,T 4 0. 7J •TJD 09/'.9/95 95-X71118
BF_!aVERTON OR 9.7007
Phone # : 644-3657
Contractor:
CEDAR LANDSCAPE, INC
14375 SW P'ATRICIA AVE
HILLSBnRO OR 97123 $+_--15, 75-TOTAL
Phone # 628--3411
Rey #. . : 5643 REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the RP/Backf 1 aw Prev _----- •--- —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection =_ —
applirabl? laws. All work will be done in accordance with -- - —
approved plans. This perait will expire if work if not started `'-
within 160 days of issuance, or if work is suspended for sore
than 180 days. -
not,�_rr•e : _�J�'��;..` ___.._______.__.._ ---•.—=.�� -'-
e r m i t t e e Sig
Call for inspection - 639-4175
Community Development RESTRICTED ENERGY E CTMCAL APPLICATION
13125 SW Hall Blvd. �� C
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_ _ _
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
_ ! 37,� 1 5� S_ F'( &,z-
address RESIDENTIAL—Restricted Enemy Fee. . . . . . . . 140.00
_rt 972-0-5 (FOR At I SYSTEMS)
City Slate zipheck Tyne of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NOP.RFFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems'
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ garage Door Opener''
❑ Heating,Ventilation and Air Conditioning System'
Contracto _ _ Type_ ❑ Vacuum Systems'
�_.1
Address 1+325, P(/L1C11. �s Ll 5 Ovete-3 11 Other - -- -
Date zg'CV, __ COMMERCIAL—Fee for each system . . . . . . . . . 140,00
- - --� (SEE OAR 918-260.260)
Property Owner_VJ I tAf?V 1W 0 -1 —t S 1 r-�C_. _ Lheck Type of Work Involved:
Contractor's Board Reg. No. _� ❑ Audio and Stereo Systems"
.�q► ❑ Boiler Controls
Phone# �K�-3 �_--------------- ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ fire Alarm Installation
❑ IIVAC
Print Owner's Name Phone No
❑ Instrumentation
Address i ❑ Intercom and Paging Systems
I andscape Irrigation Control'
City State 7ip ❑ Medical
This permit is issued under OAR 918.320-370.llik applicant agrees in make only ❑ Nurse Calls
restricted energy installations 1100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
Inllowing:
❑ Prolective Signaling
1. Only use electrical licensed persons to do installations where re(juired.(Certain
residential and other transactions are exempt from licensing.These have ❑ Other
asterisksM.All others need licensing). -^ ,--
2. Call for an inspection when all of the installations under this permitare ready
for inspection at 503-639.4175. ❑ '
Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection — ---—
when the inspector is out to inspect under this permit. No h<enaes are required 1 it enses are required for all other Installations
4. Assume responsihillty for assuring that all corrections required by the inspector
are done,and
1. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signinh for Ihis liermil must he the applicant or a person a. Enter Fees $
authodzcd to ind t app I.
h. 5% Surcharge(.OS x rota)above) $ z�
SignatATe — — -
TOTAL $ Tel
Authors y i'other than applir ant
ENERGAP.CHP
■
City of Tigard PLUMBING PERMIT APPLna riON Planck/Rec. #
13125 SW Hall Blvd. Permit # Fe---I's D�7�
Tigard, 1,1R 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
_ — "•m•°'°i°•'°o"•^' New Single Family Residences Only
pa_Lo,Iia 03 tt�s L,t 7
"dd'••• ❑ 1 BATH HOUSE $140.00 0 2 BATH HOUSE$195.00
Job 137Z I 5.0 ❑ 3 BATH HOUSE$225.00
Address cwrrsr.r. zip Fee includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
wm. ° "•".°f%-...I FIXTURES QTY PRICE AMT
,ICilNf7�/J�c.•J (�ciY+U S Sink _9 w –
M.i.q A"••• °A'"" Lavatory 9.00
owner i140 ?r, 5,LJ Tub or Tub/Shower Comb. 9.00
CMr9Un �h' —Shower Only 9.00 .�
(-:D L��_ �)7' Water Cl;,aet 9.00
Dist. 9.00 ----
Garb: -sal 9.00
Occupant M..",a,",•• m«. Washing r.,dchine 9.00
Floor Drain 9.00 (�
'•'• "• Water Heater 9.00
i-aundry Room Tray 9.00
Urinal 900
0)n:)o - p,y_0:5,_i (moi/ Other Fixtures (Specify) 900
M.&q Ad&... Ph .
e . —
Contractor � 9.00
�4 3 T� �� psi�ctc,n► �,ZB"•-3v�1 t 900
Zib - �� - 900
Nrl.A �tfiY�. C1r-_ 7(2'j Sewer 1st 100' —_ 30.00
$hr.n.pntl.mn N. CdV R.. T•."° Sewer -ea. Addit. 100' 25.00
Water Service 1st 100' 3000
I hereby acknowledge that I have read thi., application, that the Water Service ea. Addit. 200' – 2500
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 3000
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit, 100' 25.00
number given is correct. (If exempt from State registration, please --
give reason below) Mobile Home Spare 25.00
Back Flow Prevention
Device or Anti-Pollutie•r Device 9.00
.yswe.. °•^««•Q•^') r� tie•'• Any Trap or Waste Not
1 l),(Acex �t 01� L�ri3OSi�/LJZ_ 9,3?_—!' Connected to a Fixture 900
Describe work new.0 addition alteration U repair 0 Catch Basin goo
to be done residential Q non-residential Q Insp. of Exist. Plumbing 40 f S,nr
Specially Requested Inspections 40 00/hr
Existing use of
building or property __ Ram Drain, single family dwelling _ 30.00
Residential backflow prevention
devices J— 15 00
Proposed use of
build„ig or property '^ – —
'(Ezcept rasJdentlal backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL UU
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 7
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, --'I IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -- --- —
FOR A PERIOD OF 180 DA(S AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
117
TOTAL /)
Special Conditions
Date issued —_+ by ,
• WASHINGTON COUNTY INSPECTION CARD PROJECT NO. C `!/
DEPARTMENT OF LAND USE AND TRANSPORTATION PERWT NO.
FOR INSPECTIONS CALL: 640.3561, 24 HOURS
FOR INFORMATION CALL: 640-3470
/ T DATE
ADDRESS PERMITE17
DIRECTIONS _ �"— PHONE NO.
BUILDING _ — MISCELLANEOUS PLUMBING _ EL5TL-_
ftq post/beam nail mobile home ground rain drain temp service
fdn frame apron/ wood stove post/beam storm sewer <r ser
sidewalk
slab insul FINAL HVAC top-out FIP",L 1'TAAL--
qas test sewer USA No.
EITHER
APPROVED �NOREPAIR APPROVED
RRROE-ViE'DECT EJAPPROVEDDOINSPE NOTE: El
STOP WORK UNTIL:
-00(
--- --�` 1 X14 4)e �`�---
ly
INSpECTC0 8Y �! 4^*t � v' � f - DATE� 1 �--
1
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640-3561/69)-4415
OREGON xxxxxxxx,-.- - > 64J-34'/U
Page 1 of 1
Date 03/U1/9b
'Time 15 : 35
Permit 'Type Hesi(ji:, tial Electrical Permit. Permit # UbUb45Ub
Permit Status APPROVED Applied U3/U1/y5
;Titus Addres. 13'/L1 �jW 'TRACY PL '1'I - ssued U3/01/95
Permit 'Title 5r'K -- NEW HUU�,E /LOW VOLTAGE Completed
Permit Uescr . HILLSHIKt ES'1'A'VES LUT 107 '1'o Expire 08/28/91)
P1:oject '1'i.tle Sr'k - NEW HUUSL; /LOW VUL'1'A(;E Project # P0047932
Project Uescr .. : HILLSHIRE ES'1'XPL'N LUT 1U7 * EROSION
Parcel- Number ZbI'TI - Land Use District
valuation r:
Legal Uescr .
Uwner INSPECTION - 'TIGARD Construction U'1'H
Applicant. Name CASCADE ELEC:'PRIC: Classification 900
Applicant Adds . : '/'.2b SW CIRRUS Ort Occupancy
8EAVEH'1'UN OR 9'/UU8 Validated by E13
Applicant Phone : 641-9208 Inspector Area
Nee description Units Nee/Unit Ext fee Data
---------------------------------------------------------------------------
5yuare Footage [ranter 5q . Ft . ) 3000 21U . UU
Limited Energy 1 25 . 00 25 . UU
Subtotal Llectiical Nees : 23b . 00
State Surcharge of b'* 11 . 75
'1'utal Electrical Nees : Z4b . '/5
*** r'ees: Requited *** *** ses Collected & Credits ***
Method Check # Receipt No . Cate Payment
CK 3bui 03/01/95 246 . 75
'1'01'A1, '1'HJ.S DATE ********* 246 . 75
t•'ees : 246 . '/5
Adjustments : . 0U 'Total Credits : . 00
'I'otal r'ees : 246 . 75 'Total Payments : 146 . 7b
Balance Due : UU
NOTICE: This permlt becomes null and void If the work or constriction v^or wl ,h It In Issued Is not commenced within 100 days Once constriclion has started,
the permit becomes null and void If constriction Is Interrupted for a period of 100 days. I certiq that the Information presented by the appllrant and
hie agent or agents In support of this permit Is true and correct to etre best of our knowledge. I acknow'adge that the Building Department's reliance
upon false and m'sleading Information may Invalidate this permit All provisions of spr stile Is,.:.and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plant noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements 1 further acknowledge that the use or occupancy of
l.'te structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building
Inapecticn staff verifying compliance with the various codes. Use or occupancy.r1 the building or structure permitted prior to approval by the
Building Departments solely at the risk of the applicant and such use or occupancy Is revorabie unhl all Inspection requirements are satisfied and
approve a given by the Building Official I further acknowledge that a lien may be placed on the title of the property upon which the permit In Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the sel.afaction of all Inspection requirements
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportation
it h Inspection Section
155N , First 350-12
Hillsboro, Oregcn 97124 APPLICATION
Information: (503) 640-3470 Fax: (503) 693-4412
Permit 7 �-
Number __ �� �. Date' Please complete all sections, 1 through
4. Complete Fee Schedule below
1. Location of instaf;at/on Number of Inspections per permit allowed
Address 1i.0 1 C(1.( �.; ��__- ServY included: Items Cost(ea) Sum
Buildin ---
City C A — Suite 0. A. Residential-per unit
Tenant Nair 1000 sq.ft.or lest; 1 $110.00 11 Q r _ 4
(if commercial) i Each additional 500 sq.h �� ► f:
or portion thereof ..� $25.00
/ Limited Energy �__.- $25.00 1
Map No._�� _Tax l_ot —1��_.�__- Each Manurd Home or Modular
Thomas Map Book: Page: Section: Dwelling service or Feeder __ $68.00
Directions`- B. Service.,; or Feeders
Installation,alterations,,, relocation
Commercial 200 amps or lead $60.00
Nesidential j 201 amps to 400 amps $80.00 _ p
401 amps to 600 amps $120.00 2
2a. Contractor installation only: 601 amps to 1000 amps $180.00 2
Electrical ContractorOver 1000 amps or volts $340.00 _ 2
CASCADE i T.RCTiZTC & MAINANCE, I N*;onnect only $50,00 2
Address _ OR TEN97008
Date 10_2Q_q,�k Job Number _ ,_ C. Temporary Services or Feeders
Property Owner 1411 r1fjj.AQQf installation,alteration or relocation
Contractor's License No. _ 34-3190 200 amps or less $50.00 __ 2
Contractor's Board Reg. No. 77797_ 201 amps to 400 amps �._ $75.00 2
401 amps to 600 amps $100.00 __
Signature of Supr. Elec'n Over 600 amps to 1000 volts see•B•above
License No. 38LU
Phone No. 6A1_y?n8 D. Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or/seder fee.
isrint Owner's amsh� one No�. Each branch circuit $5,00 2
re — - _ -_ _ .
b) The fee for branch circuits without
ATd ss
purchase of service or/seder fee.
—' First branch circuit $35.00 _ 2
ity Stale gip - Each add nil branch circuit $5,00 2
The installation is beingmade on property l own E. Miscellaneous (Service or Feeder not included
P P 't Each pump or irrigation circle $40.00 _ _ 2
which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 _ 2
Signal circuits)or a limited
Owner's Signature energy panel,alteration
or extension $40.00 2
F. Each additional Inspection over the allowable
3. Plan Review section (if required) in any above
Per Insppee (hection $35.00
Please chreck appropriate item and enter fee In section 58 Per hour __-__ $5500 ----
_,4 or more residential units In one structure In Plant _ $55.00
_Service and feeder, 800 amps or more 5. Fees
System over 600 volts nominal
_____Classified area or structure containing special A. Enter total of above fees $ alLxCG
occupancy as described in N.E.C. Chapter 5 5% Surcharge (.05 X total fees) $ _�C I S ._j
Subtotal $
.,ubmlt 2 sets of plans with application where arty of lila
B. Enter 25% o1 line A for
above apply. Not required for temporary construction Plan Review if required (Section 3) $ _
services. Subtotal $ _
_..�. Less Bulk Label Fee $ _
For inspect,.ms ca,l balance Due $
6403561 or 693-4415 This permh becomes null and void IF the work suthorlrad by the permit is not commenced
within 180 days from dale of Issuance of such permit or It the work sulhorired Is
da spondedorabandonedofanytimeafterworkIscommencedfnraperiodofleodaye.
24-hour recorder, one working y Elin advance of need suectr icr'^ r are non-r.rfundable,and nontransferable,
4/94
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DrIELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLOBORO,OR 97124
%a 0;—;;^Ls, — COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415
OREGON
Pwrrnit V. 05064605 Prca ject. it P0047932 Status APPROVED PRGL- 1 c)f i
Applied . 03/U1/91.-, 1s's'uea 03/01 /95 Ex,ilres 08/26/9x) 03/28/95 05 02
RUELEC
Permit Title U14 - NEW HOUSE /LOW VOLTAGE 0TH
Uescriptir�n HILLSHIPE ESTATES LOT 107
,laky Address 1 3 111 SW TRACY PI TI
Owner Name I NbPh(.,Tu - I I rJAW.j.) Region U
Applicant. Name ('A£,CADE FLECTRIC
Phc)ne r►urnber 641-9208 Valuation : 0 Approved_._
GA c CM is
Inspector Corriment.,= RejecteEt�._ .
-_-S IL�,;?!. G4►./ c _ _....5�_��L L�' L.Cx1
f,
L o.._. _ (1Z(3 Ulrw c t�! . � , . r1� _ REc�uE 4,T r rlrlt;rl ,
ADD .__... _. � !._.- �- � -.._or- KJdsf_.. . .. . C,ev✓ cue .
P1 unib.i n _....._
M.?r.h at-,i c a 1.
F.7.ectrlc�xl
;tructruitI
f;pne.raI CJ = V/Vt plQtljol j9Wt=L r/u; &JAIL UP
NOTICE: This permit and void If the work or construction for which It In Issued Is not commenced within 180 days. Once const'uction has started,
the permit becomes null and void It construction is Interrupted for a period of 180 day . I certify that the Information presented by the applicant and
I ll Sp ee ! hie agent or agents In support of this permit In true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
--e�- nd misleading information may invalidate this permit All provisions of applicable laws and ordinances governing the construction and use
of this hulidingg-' -Witcture will be compiled with whether or not specified on the pians or noted on the plans correction sheets, I acknowledge that
the granting of a permit?tses not grant authority to scress private property or to use easements, i further acknowledge that the use or occupancy of
the structure or bulldln rmltted depends upon my calling for Inspections at various times during the process of construction and the building
compliance with the various codes. Use or occupancy of the building or structure permitted p,lor to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and
approval Is given ny the Building Official. I further acknowledge that a lien may be placed on the title of the property upon wh ch the permit is issued
specifying that the use or occupancy of the buNding or structure Is provisional and revocable until the satisfaction of all Inspection requkements.
APPLICANT'S SIGNATURE _^^—
Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0443
WINDWOOD CONST, INC
13721 SW TRACY PL
09/09/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date B/
MSTA007 Application received / / / / 11/17/94 PASS OF 12/06/94 BLT
MSTA010 Plan check deposit paid / / / / 11/17/94 PASS OF 12/06/94 BLT
MSTA020 Plan check by 12/06/94 / / 12/06/94 PASS RT 12/06/94 BLT
MSTA030 Check for prcl. restrict. / / 12/06/94 11/06/94 PASS JLG 12/06/94 BLT
MRTAn92 (F) Issue combination permit / / / / 1i/09/94 JF 12/09/94 OF
MSTA092 (F) Issue combination permit / / / / 12/09/94 OF 12/09/94 OF
MSTA097 Issue plumbing signature form / / / / 12/09/94 OF 17/09/94 OF
MSTA097 Issue plumbing signature form / / / / 12/09/94 OF 12/09/94 OF
MSTA705 Foot/found Inep / / / / 12/14/94 usa inspection; not r-ady FAII, RB 12/14/94 RB
MSTA705 Foot/found Inep / / / / 12/15/91 SEISMIC RESTRAINT; LOW POINT DRAIN; PASS RS 12/15/94 RB
GROUNI` ROD-Ov.
MSTA705 Foot/found Ir.sp / / / / 12/22/94 PENDING SEISMIC RESTRAINT PASS RB 12/23/94 RB
MSTA710 Post/Beam Structural / / / / 10/12/95 SEE BUILDING FINAI, THIS DATE FAIL RB 10/12/95 RB
MSTA710 Post/Beam Structural 11/06/95 / / 11/06/95 PASS RB 11/06/95 RB
MSTA711 Post/Beam Mechanical / / / / 10/12/95 PASS RS 10/12/95 RB
M51TA"1'1 PLM/Underfloor / / / / 03/14/95 PASS MS 03/15/95 MRS
MSTA720 Mechanical Inep / / / / 03/23/95 0 1- maintain clearance at B vent at DIS KS 03/24/95 KBS
lower level
M-2- support B vent at horizontal
section at attic
# 3- exhaust fans not connected at this
time
MSTA720 Mechanical Inep / / / / 04/10/95 PASS KS 04/21/95 RB
NSTA'/22 Plumb Top Out / / / 03/14/95 PASS MS 03/15/95 MRS
MSTA725 Framing Inep / / / / 03/29/95 N-1- need electrical cover DIS KS 03/30/95 KBS
MSTA725 Framing Irsp / / / 03/31/95 8-1- electrical not approved( cover) DIS KS 04/03/95 KBS
MSTA725 Framing Inep / / / / 04/03/95 4-1- see inspections notes DIS KS 04/04/95 KBS
MSTA726 Framing �RETNSP> / / / / 04/05/95 0-1- list of framing corrections not DIS Kb 04/06/95 KBS
co•npleted at this time ; ok to
ine::late, call for reinspect
MSTA726 Framing �RF3NSP> / / / / 04/10/95 M-1- support under hip jacks at. ridge A/N KS 04/30/95 KBS
and mid point
as indicatQd on approved plans
4 2- screen rave vents at liv/ rm
MSTA727 Low Voltage / / ; / 10/03/95 IRR MJP 10/03/95 MJR
i
Page No. 2 CASE HISTORY FOR :ASR NO : MST94 0443
W:NDWOOD CONST. INC
13721 SW TRACY PL
09/09/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA730 Fireplace Inep / / / / 04/06/95 SECURE TOP STRAPS PEND GS 04/06/95 GES
STRAIGLTSN LOWER STRAPS AND RE 4TTACH
MSTA735 Gas Line Insp / / / / 0:/10/95 4 1- twenty psi for twenty minutes APP KS 04/10/95 KBS
N.STA740 InBi.lation Inep / / i j 04/10/95 0-1-extend wall insulation at lower A/N KS 04/10/95 KBS
level to under aide of subfloor,
between condition space and
uncondition space
MSTA745 Gyp Board Inep / / / / 04/11/95 TOO MANY MISSED LOCATIONS FAIL RB 04/181/9: KB
MSTA745 Gyp Board Lisp / / / / 04/21/95 SHEAR NAILING REQ'D; COVER RECT, HEATING FAIL RB 12/11./95 RB
DUCT; SEVERAL LOCATIONS COVERED PRIOR TO
RE INSPECTION- UNABLE TO VERIFY
CORRECTIONS.
MSTA745 Gyp Board Inep / / / / / / PASS RB 01/08/96 RB
MSTA755 Rain drain Insp / / / / 01/05/04 call back oin sewer PART MS 01/06/95 MRS
and rd
MSTA755 Rain drain Insp / / / / 01/12/95 no storm line aviable PART MS 01/12/95 MRS
MSTA75S Rain drain Insp / / / / 10/16/95 rd to street PASS MS 10/16/95 MRS
MSTA760 Water Line Inep / / J 07/26/95 PASS MR 07/27/95 MRS
MSTA765 Appr/Sdwlk Insp / / / 05/16/95 1. Compact rock in sidewalk. POND LT 05/22/95 NL
2. Expansion joints required every 40'
and at cold joints.
3. Be prepared to protect finish.
MSTA770 Misc. Inspection / / / / 03/07/95 see report FAIL R.3 03/14/95 RB
MSTA770 Misc. Inspection / / / / 03/14/95 shear PASS RB 03/14/95 RB
MSTA770 Misc. Inspection / / / / 07/13/95 door locked NR MS 07/13/95 MRS
MSTA770 Misc. Inspection J / / / 07/28/95; shower pan PASS TLP 07/31/95 TLP
MSTA770 Misc. Inspection / / / / 09/2(/45 NAP MJR 09/26/95 MJR
MSTA770 Misc. Inspection / / / / 09/28/95 install light fixture in stoi,,-j^ oft RFD OS 09/28/95 GES
bdrm above garage, no pump installed for
whirlpool tub, no outdoor recepticles
MSTA790 Electrical Final / / / / 10/23/95 need rear grade plug,repair panel and PASS MJR 10,.. . 95 MJR
low voltage
i
Page NO. 3 CASE HISTORY FOR CASE NO.: MST94-0443
WINDWOOD CONST. INC
13721 SW TRACY PL
09/09/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---------------
MSTA790 Electrical Final / / / / 10/25/95 smoke alarms FAII, MJR 10/25/95 MJR
MSTA790 Electrical Final 11/03/95 / / / / PASS MJR 11/03/95 MJR
MSTA195 Mechanical Final / / / / 10/12/95 SEE BUILDING FINAL FAIL RB I0/12/95 RB
MSTA79S Mechanical Final 11/06/95 / / 11/06/95 PASS RB 11/06/95 RB
MSTA797 Plumb Final / / / / 09/26/95 main valve not accessable FAIL MS 09/27/95 MRS
require clear path to valve
MSTA79" Plumb Final 11/06/95 / / 11/06/95 all corrections completed PASS RB 11/06/95 RB
MSTA799 Building Final / / / / 10/12/95 DRYWALL FP.II,URE; ELECTRICAL FINAL/RAIN FAII, RB 10/12/95 RH
DRAIN; USA FINAL; WEATHERSTRIP DOORS;
FIREPLACE INOPERATIVE; RE INSTALL
INSULATION ATTIC OVER GARAGE; LIGHT
FIXTURE WIRING OPEN IN ATTIC ACCESS OVER
GARAGE; INSUALTE DOOR JAM-BASEMENT
CRAWL; RE-INSUALTE STAIRS & APPLY 112"
DRYWALL AT LOCATION OF FURNACE; INSUALTE
FLOOR JOISTS WHERE NEEDED; HANDRAIL
EXTENSION RF.Q'D AT FAMILY ROOM; INSUALTE
PLATFORM CRAWL AREA TO VOID ABOVE WALL
NW LOCATION; POST/BEAM- 1. ADDITIONAL
.SUPPORT REQ'D FOR POST BEARING ON EDGE
OF PIER 2. SINOLF 'TE STRAP NEEDED AT
INIJER SEARING WAL u 3. ANCHOR DOWN
INNER WALL MUD SIL 4. PROVIDE KING
STUDS AT BOTH ENDS GLU-L.AM/SAWED
BEAM A-35 EA. ENI) THEREAFTER S. WIRING
NOT TERMINATED UNDER FLOOR; FINISH GRADE
6" TO WOOD; DECK LANDING FLAT/LEVEL.
MSTA799 Building Final 11/06/95 / / 11/06/95 PASS RB 11/06/95 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 11/06/95 JF 12/11/95 JF
MSTB706 Erosion Control / 7 / / 11/02/95 PASS USA 11/06/95 RS
Emu
CITY OF TIGARDPEt'MMASTER PERMI-f. . . . . . . : M9T94--044_-.
COMMUNITY DEVELOPMENT DEPARTMENT DA7E ISSUED: 12/09/94
13125 SW Hall Blvd.Tigard,Oregon 972234109 (503)839-4171
PARCEL: 2SI04CC00..':00
ITE- ADDRLS5. 13721 SW TRACY PL
UBD I V.1 S ION. . . . HILLSHIRE ESTATES NO. 2 ZONING: R-7 PI)
3:LOCK. . . . . . . . . 6 : LOT. . . . . 107
..'----------------------------------- BUILDING -------------------------------------------
iiEISSUE: DWELLING UNITS-. 1 BASEMENT. . . . . . . . :0 sf
"LASS OF WORK. :NEW BEDRMS:4 BATH5x4 GARAGE. . . . . . . . . . 4718 Sf
1 YIJE OF USE. . . SF FLOOR REQUIRED SETBACKS—-
iYPIE OF CONST. :5N FIRST. . . . . 1773 sif LEFT. . :6 ft RIGHT. :6 fl.
11CCUPANCY GRP. :R3 SECOND. . . : 1087 s FRONT. i2O ft REAR. . :FSO f
JORIES. . . . . . . s2 FINBSMENT:672 s REQUIRED--------------------
IE IGHT. . . . . . . . .30 ft TOTAL.—---:3532 S f SMOKE DETECTORS. :Y
LOUR LOAD. . . . :40 psf VALUE:. . . . . $ : 240061 PARKING SPACES. . : 1
+�em4r,ks : PATH I
------------------------------------- VILUMBING -----_._--___----__..._-----_—__----_--_-_-
;INKS. . . . . . . . . . :
---------------------------------------
iINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . :0 BACKFLOW PREVN7RS. . : l
AVATORIES. . . . . :5 WATER HEATERS. . . -. I TRAP'S. . . . . . . . . . . . . . .0
;-UB/SHOWER S. . . . :4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
RATER CLOSETS. . :4 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
,)ISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :W,
.iARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
AASH ING MACH. . . - I SF RAIN DRAINS. . : 1
----------- MECHANICAL FEES
UEL TYPES-------------- UNIT HTRS. . 90 type amoltnt by date recpt
UPS/ VENTS . . . . . :0 TIF $ 1550. 00 JF 12/09/94
1AX INPUTcO LTU VENT FANG. . %5 SWM $ 100. 00 JF 12/09/14
1 —
URN ( 100K . . -.0 HOODS. . . . . . : 1 SWM $ 180. 00 JF 12/09/94
URN ) -100K . . : I WOODSTOVES. :O BF-"R T $ 785. 50 J1= I I/17/94 P'1.'
LUOR FURN. . . . :0 CLO DRYERG. g I BPLC $ 51O. 58 JF 12/09/94
—
'{OIL/CMF' ( 3HP:0 OTHER UNI FS: 1 B5i-,,c $ 39. 28 JF 12/09/94
GAS OUTLETS. 1 PARK t 500. 1210 JF 12/09/94
$ 48. 00 JF 12/09/94
,41NI)WOOD CONST. INC MPLC s 1.::. 00 JF 12/09/94
_RERRA DELMAR -C 4, -. 40 JF 12/09/94
-3 SW I M5�'
PPRT $ 240. 00 JF 12/09/94
%EAV LRI ON OR 97007 P5F'(_ t i,'. 00 JF 12/09/94
hone #: 644--3657 EROS $ 88. 00 JF 12/09/94
cintv-actori 13. 60 JF 12/09/94
4INDWOOD CONST INC ERPC $ -"8. 60 JF 12/09/94
1933 SW TIERRA DLL MAR
r1EAVEC RI'ON OR 97007
hone #. 780--4375 M
gra0. . - b0196 -----------------------------------------
$ 4124. 96 TOTAL
7)is permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
igard Municipal Code, State of Ore. Specialty Codes anti all other Foot/fol.tnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Neem Str,L%ct Gas Line Insp
flans. This permit will expire if work is not started within 180 Post/Ream Mechan Inst.tlation Insp
:;Vs 6f issuAnce, or if work is suspen0d fo cre than 180 days. Plm/tindslab Insp Gyp Board Insp
PL.M/Und ev-f 1 o ov- Rain drain Insp
ermittee SignatlAr,e , InWater Line Insp
Itm 11
9 p 0 Ll tsp v-Appy,/Sdwlk Insp
I s s,1.t e d By : Fi,,a in i n g Insp Mec.hanit�al Final
L
Lail for- inspects on -- 639--4175
-01111ir iii
CITY OF TIGARD ILWIk CONNELTION
COMMUNITY DEVELOPMENT DEPARTMENT --) - FIE Rlyl I T
13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)639.4171 VIERMIT #. . . . . " ' - SWR94--0396
63') -41*iJ DATE IGSUED: 12/013/94
FARCE:L: 2SI04CC-0, 200
:.ATE (IDDRI':*9S. 13721 sw 'TRACY PIL
3UF3DIVISION. . . . : HILLSHIRE ESTA,l-ES NO. 2 ZONING: R--7 PD
3LOCK. . . . . . . . . . : i.-ar. . . . . . . . . . . . . 10 7
——---————————---—————--
FEINIANT NAME.. . . . . :
USA NO. . . . . . . . . . : FIXI*URE UNITS. . . :
(]LASS OF: WORK. . . :NE W DWELL-I NG UN 1-15. . : I
VYPIE OF USE. . . . . :SF NO. OF BUILDING S- 1
NS TAIL I-YF-,E. . . :BUSW R IMPERV SURFACE. . .- f
CIR11p.rIks : rIAT+1 I
,Jwnev-,: FEES.
WINDWOOD CONS1-. INC type aiooj..tnt by date t-eapt
;,9,53 SM TRERRA DE LMAR PIRMI � 2200. 00 JF 12/09/94 —
IN yP
INSP, $ 35. 00 JF 12/09/94 —
0E(-)VEPT'ON OR 97007
'hone #: 644-3657
Contractor:
COMIRACTOR N01 ON FILE
hone ##c S 2c-1135. 00 TOTAL
teq #. . .-
REQUIRED INSPEuriONS
his Applicant PI-ees to comply with all the rules and reg,latiens Gewe•- ITISPeCtiOn
f the Unitied Se,qaqe Agency. The permit expires 180 days $roe
the date issued, The total aeo.;nt paid will be forfeited if the
Dermit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
:riven, the installer shall prospect 3 feet in all directions from
'he distance given. If not so located, the installer shall purchase
"Tap and Side Sewer" Permit and the Agency will install a lateral,
'ermittee Signato-o e
Ca11 for inspection 6'.39-4175
ou
Residential Buildin4 Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 (A) !J
(503) 639-4171 I 1 J
Jobsite Address/: OfFlce Use Only
Subdivision: ,I !/�!t �' �� �T"�'� -_ Lot # Ci
Planck/Rec #
Valuation: —
Permit# V 1
Corner Lot? Y N
Reissue of
Flag Lot? Y N
Map & TL
Owner: �' ��' .{l h--� "-P_r is Required
Address
ni
-W Engineering
Phone: z �L S 7 - L/3 , Other
Contractor: _�� Items Required
Address: Subcontractors
Truss Details
PhoneOther
. ______.--..---- —
Contractor's License #
(attach copy oOEM
f current Oregon license) I ( � �f�t,, , -� /���ZJti/
Contact Name & Phone
Architect/Engineer: _
Subcontractors: JI ro p
Address ---
Plumbing.
Mechanical:
(attachcopy Phone s
of current OR Contra or's License) 2 -
_ .VC)
C)�._ / 5 .---
JOB DESCRIPTION. __ — ----
A{� ca Signature ti, Phone number
rDate Received:
Received by. 1,
N\WORD\COMDF V'RESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due
&, - y 3 Bldg. Permit (BUILD) 785.5 0
Plumb. Permit (PLUMB) ;2 q o•u u 2 v
Mech. Permit (MECH) Al f. `" "V
State Tax (TAX)
Bldg: `/. Z-Y
Plumb: /Z of
Mech:
Plan Check (PLANCK) 7z ,S r
Bldg: 0•
Plumb:
Mech:
'5�- V-03YG Sewer Connection (SWUSA)
Sewer inspection (SWINSP) } 3
Parks Dev Charge (PKSDC) ,S v c.) S v
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT) �
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) e-r
Erosion Planck/USA (ERPLAN) %d
Erosion Planck/COT (EROSN) b (,u _ %u
TOTALS: �n3S • qG `
LITY (11- Ill 114YOWH I f"l.I+ I I
10'). 9b
NOME
pum-usE OF ll.q4ymI:..Nf 1IM1 tON'T PAX D Ill I it i 1i4V't1I-.N I
1A.-IJIMBINh
48. 00
7;?. 58
35. 00 PPRKb 1.100. VIO
It
tAO r imi I! it I I I ii 1,.1 lei.. 00
It 14.30
0001 1 1 1,40, 1 Ilt It If,! I I I I I 'l . 11 I ! Y I i t 141 I, k"ll"i
IALA I I it IN 1 14111 ill ON Ck ..,H.
ION CTIN I fit'I
I tit 4 A+.
1 1-44 1 tit
H 1.141.0 f.) 1.04. 1)
; it Iyll H I
IAO
I I IIA, I 104 1 1 IMI 11 IIA I
llilflqt N1 ''fill
1 ,111111 It 1011 it Ill) I 1 11 it4'1 it Well It 11
IN
,1 / 1 atiir 4ft -.44 i- n 340
fi
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C:TY REaj '.EWENTS
own
�� • I 1 '' 'y, 4 J �,/' 7- 'CAL. ..R - N 3500 FM. C4N<: WTW I
9,,. B .:IT�'•,1 BRC0"" P'N'S" C'/ER 4' "I a/.4• %1
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+ \ 1
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9E 24" "IN. BE_0:1 F!N!S- GRADE CONSE3C r
'�-E a.. ER -.'NE 'G 'ME EXIST'VCa S' E wArER
• f` // ` ` /• { 'E'ER .::. ;C\ F-ER C '" 5'-VsZARDS ANO REG.
.. „'' '+mss �; \ �� /•!� �_,�_ ��,}}
.n N i :L FINI$w FLOO*? r r.r-
r c:-E VATION 643JOO'
A BUILG'H�it3 PERI!"fETER r-101 CAL_ .._ _ / �" r.� i' , r•- J I \ l
sDJtIS'EC, NEW GRADE LiSES .45 S!•'+C7111N -
,. �1:�MAX.bGRADL SLOPS 'AT ANY,FDINT -
�' ON SITE _.�__�_�. - - - `,�` /,1 +► I /// i
EXIS",';NG GRACE .-INES ON SIT)r
5XNB't'I"rG PROPERTY /»)NE'-----'.=~--- •- ...__—___.__� 1/ i
j��' '• tt I r?t a MINIMUM PL-!LDINGi SETOACK J.IN$8'
7• � L' ., r • - � � ,\ ,,�, �✓�' •GON'►4.:G'OR 18 TO VF!RlF�'
�./ •CON*R,.�C-OR iS _C ,OERIF�' 4,.L FIN-4. STOW .IND ^
9AN1T-:SRF 'NV*,Q'' E_EVAT'ON STUr" =OR PQO+�Q
UQ�`7N '4E CQloq TC �rJ•'-�1-�Ss"�lNG �ItiAr_ L1JIrrr1.7r6
-., ♦.t �., ,.. N'}* w.' WV EI�Cs}�O 'N I J'''! I I `*• a T OF AL.
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D L E5 C O EXCAvr, IQN
Ilk
- ,,%. •� � ' - y a - �" `Pte„ � ', -r •.. •,
pr.Y'zwR•r,estate.-J■raer�trs_aa�x.r..•mca
�C E^'s" S I D>c�IGNED . re
D .4U/N lSY:
LOT "IQ�1
SITE FLAN R► A
$ 9W6 1,94KCrgl6"q if, dowr
51TE ELjAN
/
o F I PC.ao>f 1�[
-AKM 0&.030.00WGd% '!'.%!,
13721 SW Tracy Place
1of1
OWN
IF THIS DOCUMENT IS LESS ili 711 III III III III I I III III III I I III III 111 1�1 111 III III I 1111 111 II III III III III I I III III IIl III III T11 111 1 1 11T 111 111 i 1 III IIl IIIA II III III III I I
LEGIBLE THAN THIS NOTATION, 1_- � _
�_
IT IS DUE TO THE QUALITY OF No,38
THE ORIGINAL DOCUMENT. --- — -- — - ---- - - __- _ _ �. M
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