8755 SW PINEBROOK STREET ADDRESS:
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i Arecords\microtlm\targets\bi,ilding.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meeh,
Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Id
San. Sewer Gas Line Appr/Sdwlkerns
Other: - – ---- ---- -----
Date: _L Gf _ A.M. P.M. Entry-
Address: _ 7 S �" t)2. D✓!1
Tenant: _ Stkl:—_._ MP)T:
btjP: _
---- ----._� _ MEC:
FILM.
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: _ -- _ Date:..;
4PPROVED DISAPPROVED/CALL FOR REIN13P. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINA
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meeh.
Plbg.Und/Fir/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in yp -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date:
e/Sf'ZA.M. —P.M. Entry:___
Address:
Tenant: Ste:___ MST:
;on/Own: BUP:MEC:._ _
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: Date-
'ROVED _ DISAPPROVED/CALL FOR REINSP, CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/ServiceFINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
PIbg.Und/Flr/Slab Plbg.Top Out Insu ation -Elect.
Post/Beam Struct. Mach. Rough in �`yp. 8d. J JB� .
San. Sewer Cas Line Appr/Sdwlk Reins.
Other: 111.w ''?f. 59�—� Z,4e
QLD - y�
Date: A.M. M. Entry:
Address: _97 SS Sw C_n-p �, S
Tenant: _ Ste:_ MS -060eT:qL/
BLIP: _
on/Own• � '-.T_ t1 C�� MEC:
PLM:
zl�-
91;? L/7 ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Al�i41717J, '. ceT� ZV ljg4 e _
Inspector: _ Date:
___APPP1)VED _ 7Vs—APPROVED/CALL FOR R_l qTP., CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation W tar Lir, Ceiling -Plumb,
Post/Beam Mach. Shear/Sheath Fray ing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rcugh-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: -—
Date: -�'�-' -a—++— A.M. PtA.`.._ Ent
Address:
Tenant: Ste:_
4'7 ------- MEC:—- --
PLM: _ - --
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR: oe
Inspector: _ _ __ Date: Z
PPROVED _ DISAPPROVED/CALL FOR REINSP. CF CO
CITY CF TIGARD
DEVELOPMENT SERVICES MASITrR I�FE:... .l.
FRhITT #. , . . . . - itl:..il `1 r' -+h+l++l+H
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 T)(ATE T.SSUEI): 01/0`3/97
1=1FNR(]EL_. 2S 1 1 1 AD--01500
',3 T TE ADDRESS. . . ; 5W P I NEBRi;JUK ST
SiJBDIVISI0N. . . . F'TNEBROOK TL:RRA(SE. Z(3NII\I(3:
Remarks: removing garage door instaliing req. door
------------.-------------------------------------- BUILDING ------•------------------------------------------------ ------------
REISSUE: STORIES.......: 1 FLOOR AREAS-- ------ BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:ALT HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD....: 0 SECOND,..: 0 sF FRONT......... : 0 PARKING SPACES: 0
TYPE OF CONST.:SN DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL-------: 0 sf VALUE..f: :000 REAR..........: !�
------------------------------------—-
--------—------------- PLUMBING ----------------- --------------------------------------
SINKS......... ; 0 WATER CLOSETS.: P WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS..,......: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
----------------------------------------.....---------------------- MECHANICAL ------•--------------------•---------------------------------------
FUEL TYPES---------- FURN ( 100K ,.. 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=ION ..: 0 UNIT HEATERS..: 0 HOODS......... ; 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: e
-------------------- ---------------------------------------------- ELECTRICAL -------------------------------------------------------------..
--RESIDENTIAL UNIT--- - -SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 200 eop.,: 0 0 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPFCTION: 0
EA ADD'L 5005F.: 0 201 - 400 alp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: d PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL'PANEI_,..: 0 IN PLANT...... . 0
MANF HM/SVC/FDR: 0 601 time amp.: 0 601+a►,Ps-1000 v: 0 MINOR LABEL -10: 0
1000+ asp/volt.: 0 ---- ------------------------------- PLAN REVIEW SECTION -------------------------- ------
Reconnect only.: 0 )r-A RLS UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
--_.-------------------------------------------- -- ELECTCICAL - RESTRICTED ENERGY ----------------------------------------------------
A. SF RESIDENTIAL--------------------------- E. COMMERCIAL-------------------------------------------------------------------------
AUDIO 9 STEREO.: 'VACUUM SvSTEM..: AUDIO F STEREO.: FIRE PLA@M.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..! 07H- :: BOILER.........: HVAC............ LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMEP:-kTION: MEDICAL........: OTHR:
HVAC...........: DA(A/TELE COMM.; NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner.: ---------------___________ ---Contractor: ----------------------— TOTAL FEFS:s 4c'.50
STEVE POWER OWNER
8755 SW PINEBROCI(
TIGARD OR 97224
?hone (1: Phone (I:
Reg N..: GUNDIc'
This permit is issued subject to the regulations contained in the Tigard Municipal Coder State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
- ---------------.------------------------------------ REQUIRED INSPECTIONS ----------------------------------------------------
Framing Insp
Insu:ation Inip _-- _-- —. --- — —
Gyp Board Insp ---
Building Final
I ermi+4ee 13i.gnAti.rr•e : / �__ s+-reci —
Cral. 1 fcrr inspect i on (=..7'`)- 41 �`5
Plan Checx f
OF 1i"SAR0 Residential Building Permit Application aecaBy
5 SW HALL BLVD. New Construction Additions or Alterations Date pec:j
R0. OR 972-23 Single Family Detactted!Attached (1 or 1 units) `-
5"9-4171 "Dile to OST=L0-
Print or Type Permit a _NST Cr l 0 .,
called
Incomplete or illegible applications will not be accepted
�- Narre
Name�r P•olect --- - —
Architect Manmq acdress
,ddressI SiteAddrasa L_ C•tyrSt to »:o I Phone
4 !_1 �J:.1 P I r�b M C
I Namg .
(Dwner I -mailing Address Engi•ieer uamnq.�c°ress
—�C,ty S:ate ,i zq C,yrSlate �.p —' Pho
�2 p no
.7
'iteral I Naris Descnt:e vcrx New O Acc,thon O Alteranort`1k, Repalt C
,tractor (,� `} N �` 'o =" tone
Typ: of Use I
Or to tssume Marunq Address
�rlcant must
.rvvwm ad (apstate Z:p P"one Type of CanstruCtpn i `
acrQ>< g Occupancy Class .�
sa.�n++n+c+•+ Cre on Confit. Cont. 9oard L�c.4 Ecp. Oats
x COT
Will i to snnnklereo" Yesp NoC
Ira easelI CCT Business ax ar Metro 4 I c.cp. Date If V.:s,separate FLS plans and
aooncauon to be submitted
ochan;cal NafT1e Numoer of Stones
Sub-
ontractor Ma limy ess Proposed Urso � S
ar co issuance .—
_r�mt /State ZIo I Phone PrevtrnrsU�e r��"
must C,
h � -
�vvp>/
-nnuacbn Oregon Const(:anL Bcard Lc.s E-xp. Date VALUATION $ ��'
moans"for
•Tcara Dass) COT Busness Tax or.Metro s Exp. Date NL..',I'! CONSTRUCTION ONLY: _
BUILDING ID I -�
dumbing lame
Sub- Unit Types I Square Ft T_ +r of Urnts
'ontraetor ti'adiNAddress A.)
Of to 4411.1ance T
8 }
,L-4aCantmust C.tyrs!ate 2io Phone C•) L I
crsvice all I L. I-,) —
nt:_3c-s I Cregon C.:nst. C.:nt. 3aard L:c* i EAp.Date l �ene
'he e'ecncai suet:ntracar mire'or Iii estnaea I Yes I NO
c�ses eta ass) Plumpmq _,c- IOate s:ne Suourws cn Plat recorcec� I N/A I Yes I No
COT 3us.ness Tax.r metro 4 I F cte I I hereoy arAncwieege:hat I have read this application, that the
rict-mancn ,ven s c_-n,ec:, that I am :he :wrer cr;uthunzed agent of
:trical I .varve I the owner. aw'hat plans submitted are in camctiance wrath Oreqcn
lV3Ct0f mailing Actress 3rgq� Own" frtt Date
el (4 .7
tO`a "es Contact mon Name Phone
Carl.s+ust c.tylstate Z:o ;hone >T� J '` f �' Ist4c, y'Ay l
ZnV1=:vice a I - FOR OFFICE USE ONLY:
:.ntnc:rs Oregon Cans;. Cont Board Lc.a E�to.Oats _•
iu^ses r!at a " --- maZane
r.'Cra.rn _ I I 'r � r I d I' � � - � •. 1
Y.Cr Electncai'-jc,a ccs.Oate L 'r
An.:asai I I FNw-eecng Approval P'!annu g TIF
COT 3usrr.ess Tax or Metro 4 I : ._xo.Cate I r I Approval. /(
sr:esaca.acc 11/59
-i,;[;i: ..:. '►. : �aa..,L':. n Amount gym[_ r0_ 6jil-j ue
4
5�9� NIST. Permit (BUILD) `" <
P!L,-10. Permit �PwklB)
Mech. Permit (MECH)
ELC/ELR ?ermit (ELPRMT) _
State Tax (TAX)
Bldg: 2 S
Plumb:
IWech:
ELC/EL.R:
Plan Check
MST: (BUPPLN) Z Z
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review - p.inning (CDCPLN)
CDC Review - bldg (CDCBLD)
Sewer Connection (SWUSA)
Sewer Inspection (SWII iSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Water Q,jality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRNIT)
Erosion Planck/USA (ERPLAN) _
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: qlol
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i:`dstsUess00.dx rev. tG96 ��.
Permit#: ..17tc �—
Address•:sb ' '5 bw TAq'wwV
_
' Issued by: - _ Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electriccl, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit,
fill in t1 ppropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
1. wn, reside ' , or will reside in the completed structure.
understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
(� 3A. My general contractor is
U (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
efl
3B. I will be my own general contractor.
�6 1
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. if I change my mind and hire a general con. :tor. I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that th Aho '►rmation Is correct and that I have read and do understand the Information
Notice to Pro ► s tesponsihiiities on the reverse side of this form.
7-
(SIV tore of perm applicant) (Date)
(White copy to issuing agency permit file, p
pink copy to applicant)
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RE&)Esr 1 Diagram Sheet
�..'IlI1ST�iM ,"
ram�La se
Narnt � �V --- ---- Home Phona—(---�--J -_ 1
Address CS,� l�:S.� rcWork Phone
City �r�p"�—_- Stete��Zip Code_(�Z-7—A� Work Phone_( ._�__..•.�
EXACT PLACEMENT OF COMPONENTS SUBJECT TO SURVEY BY INSTALLER.
` � l.0 t NDvw. ADO �►�"? �y
ROOF ,
d�++ i I f 120 _ g ' :t KI,
r • AGoa
y S Flf�r>'7 S 1J Q y�pc L
sao ,Nr'r' C'EDLrftS' vrC,
PA T S EsT
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It ocn ti 0O 0.
l�AB�L� ;The CitY of Tigard,Oregon,or
r . . . L f onslUe for
its emp;oyoes,shall not be re ear hereon•
discrepancies which may aPP
APPROVED FOR CONSTRUCTION
�- CITY OF TIGARD
PERMIT IJO.►rL1f7 oun�( SE f E ADDRESS-5 55 Sw "*G`OV�� i
i
�-g-----DATE I 1 i
:isgram Identlllcelion Codes Other Information(i.e.,special zone Infor•netion,etc.)
+ Control....... ........ . C Smoke Detector......SM
i OwOff Station.,.......AC Heat Detector..........HD
Door Sensor.......... D Siren...................... S
Window Sensor.......W Exterior Siren
Motion Detector.......MD wlStrobe Light......SL
___-r
0 Cullom House,Im.(1u,MCMXCII)F 6