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CITY OF TIGARD BUiLDING INSPECTION DIVISION MST
.,2A-Harur Inspection Line: 639-4175 rr-� ,1Business Line: 139-4171
Date Requested_ ANI PM BLb
,�y r-
Location ��� %�� 51cv � C 7 Suite MEC
Contact Pcrson Ph
Contractor Ph SWR
UILDI Tenant,Jwner ELC
Retai ing Wall ELR _
Footing Access:
Foundation Fr
Ftg Drain SGy
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 -
Misc: -
PART FAIL
BIN
Pom - -- - -------- - ----
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
ART FAIL
Rough In
Gas Line -------- - --- ---- - ..--
ke Dampers
SS PART FAIL
a
RIC
Sernre
� Rough In -- --------�._ _
UG/Slab
Low Voltage -
F're Alarm _
J
ASV PART FAILco
LLJ SITE
J
Backfill/Grading - - --
S3nitary Sewer
Storm Drain [ j Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j Please call for reinspection RE: _ [ ] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date J L I►+spector
Ext
Other "
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the jamb site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour 'nspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested V �AMPM y BLD
Location `1 S 7-� CT– Suite MEC
Contact Person Ph _ � Z /PLM
Contractor Ph SWR
(BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access: i
Foundation FPS
Fto Drain ------ SGN
Crawl Drain Inspection Notes: — —
Slab — _ __. _ SIT
Post& Beam --
Ext Sheath/Shear
Int, ttI Shear
r
ailing ------ —.��--- --- — - - - —._
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- ----- -- --- - — — — -- -
Roof
Misc:
PAS,§V PART FAIL ---- - — — - — -- —,_
'ILUWBING
Post& Beam - —--------- --
Under Slab
TopOut ----- -------------__— -_—_.. —
Water Service
Sanitary Sewer -
Rain Drains
Final —
PAS T FAIL _
ECHANICAL
os nT - - --
Rough In
Gas Line - - -
Smoke Dampers
ART FAIL
ELECTRIC __ ---____ ---_.-_--
o. ICC'
UG/Slab
- Low Voltage
- Fire Alarm
PART FAIL -_
S
Backfill/Grading -
Janitary Sewer
Storm Drain J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin i Please call for reinspection RE _ J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date //Z �.d_1.��Inspector U ��jExt
Other _ --
Final
PASS PART FAIL 00 NOT REMOVE•. tLis inspection record from the job site,
A�' CITY OF TIGARD MASTER PERMIT
PERMIT#: I IST1999-00402
DEVELOPMENT SERVICES DATE ISSUED: 12/28/1999
13125 SW Hali Blvd.,Tigard, OR 97223 (503) 639-4171
:SITE AL)DRESS: 14895 SW 89TH CT PARCEL.: 2S111AD-07700
f SUBD,VISION: SCHECKLA PARK ESTATES ZONING: R-4.5
BLOCK: LOT: 015 JURISDICTION: TIG
REMARKS: Add 'bedroom to and existing single family r,welling.
BUILDING
REISSUE: STORIES: I FLOOR AREAS _ _REQUIRED SETBACKS REQUIRED
CLASS Or WORK: ADD HEIGHT: I I FIRST: 286 sr 81.3EMENT: st LEFT: 5 SMOKE DETECTORS: ,
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sl GARAGE: sr FRONT: ?7 PARKING SPACES:
TYPE OF C014ST: 5N DWELLING UNITS: I FINBSMENT: $/ RIGHT: 8
VALUE: $20,297 42
OCCUPANCI GRP: H3 BORM: 1 BATH: 1 TOTAL: 0 REAR: 32
PLUMBING
SINKS: WATER Cl GSETS* I WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS. FLOOR DRAINS: rEWER LINES: SF RAIN DRAI'IS: CATCH BASINS:
TUB1;7HOWL'RS: 1 GARRAGE DISP: WATER HEAT'-RS: WATER LINES. BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURE':
MECHANICAL
FUEL TYPES FURN.100K BOIL/CMP c 3HP: VENT FANS: 1 CLOTHES DRYER
GAS FORN—100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INPbtu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OI ITLETS:
_— ELECTRICAL
RESIDENTIAL UNIT SERVI.:E FEEDER TEMP 3RVCIFEEDERS BRANCH CIRUhiS_ MISCELLANEOUS ADD'L INSPECTIO14S
1000 CF OR LESS: 0 - 200 amp: 0 - 200 amp: W/SVC OR FCR. PUMP IRRIGATION: PER INSPEc TION:
EA ADO'L 500SF: 201 400 amp: 201 400 amp: 1-0 W/O SVC/FOR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA AUDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HM,SV"IFDR: 601 - 1000 amp: 601+amps-1000v: MINOR LABEL
1000.amotvolt
PLAN REVIEW SECTION
Reconnect only: •—
>-4 RES UNITS: SVC/FDR-225 A.: >600 V NOMINAL: CLS AREA/SPr OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL �— B.COMMERCIAL
Al'DIO 8 STEREO: '4ACUUM SYSTEM AUDIO 8 STEREO. FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
9URGLAR ALARM: OTH, BOILER HVAC: LAIIUSCAPFIIRR,G: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION- MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL M SYSTEMS:
Owner: Contrac!or:
TOTAL FEES: $ 652.75
BLEDSC E,JOHN C+RAYNETTE K CRAIG'S HOME F EPAIR This permit is subject to the regulations contained in the
14895 5W 89TH CT 19296 S LELAND RD Tigard Municipal Code,State of OR. Specialty Codes and
TIGARO OR 7224 OREGON CITY, OR 97045 all other applicable laws Ail work will be done i
cro
acrdance with approved plans This permit will e.cpire if
work is not started within 180 days of issuance,or if the
worK is suspended for more than 180 days ATTENTION
i Phone. Phone: Omgon law requires you to follow rules adopted by the
Oregon Utility Notifit.9tion Center. Those rules are set
+- Rep N: LIC 74176 forth in OAR 952-001-0010 through 952.001-0080 You
~ may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
C-1 REQUIRED INSPECTIONS
r ----
Erosion 844-8444 Underfloor insulation Plumb Top Out Insulation Insp Firal inspection
J For!:,Iy I-isp Crawl Drain/Backwater Flectrical Service Rain drain Insp Building Final
Fcundalion Iris? Fooling/Foundation Dr; ElPrtrical Rough In Electrical Final ORIGINAL
Fost/Beam Structural PLM/Underfloor Framing Insp Mechanical Final
Post/Beam Mechanical Me.l o l a Insp Sherr Wall Insp Plumb Final
Issued R; : I 2 � � �— Permittee Signature r<�
Call (503; 39-4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residantial Building Permit ,Appli, ation Plan Check# rbU
13.125 SW HALL BLVD. Additions or Alterations Recd By
Date Recd-- --,I �
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. p
V 503-639-4171 Date to DST'))-
F 503-684-7297 Permit# 4X,11-oo�a,
Print or Type Called VZbdiz ( .�
Incomplete or `Ilegible applications will not be accepted Lj,u�y
Name of Project Name J
Job ?C C-J750 �{�f Architect Mailing A ress j
Address Site Address
1-! / 8'`i 's W `6 S City/State Zip Phone
Name
,h h a . pp
Name —
Owner Mailing Address
Engineer M ddress
City/State Zip Phone
c Q )f 9'7;?;)-9 r:,A 3I z City/Slate Z,� Phone
Ger eras Na e
1 Describe work New O Addition Alteration O Repair O
Contractor HoMailing Address to be done:
Prior to permit ' � 5_� Add' ' I U ori tion of Work:
issuance, a copy City/Slate Zip Phone ! Y,1
of all licenses rr ` G (} U6-
are required if Cre on Const.Gont.Board Exp. Date PROJECT
expired in COT Li,;.#
database rt
�1`� / ; (,, ,,-�,�y �'� - VALUATION
---
Mer,nanic.al N�'"�e `- NEW CONSTRUCTION ONLY: _
Sub- Sq. Ft. House: — Sq. Ft. Garage
Contractor Mailing Andress -- —
Prior to permitIndicate the restricted energy in:tallalion by the electrical
issuance,a copy City/State Zip 'Pkoona — subcontractor in the followinq areas
of all licenses Resti icted Audio/Stereo
are required if Oregon fedfist.Cont.Board Exp, Dat Energy system Alarms
expired in COT Liinstallations Vacuum Irrigation
database _ S stem S stem
Plumbing Name (check all that r Other,
Sub- (, r< a.pjl ?
Contractor Mailing A dress Corner Lot YES NO Flag Lot YES NO
(check one) (check_cne
l 7 �` 1 � Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy % ,, t"", c- , t 7616 6> 5L tkS51
of all licenses are Oregbn Const.Cont. Board Exp Date
required If Lic.#
expired in COT 2 1 .3 _? // - /5 o I hearby acknowledge that I have read this application, that the
database Plumbing Lic # �O rt Exp Date 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 laws.
Name i nure of Owner/Age y�
Electrical 191 r 1." o, f /� C fr, --
Sub- Mailing Address Co ct Per Name t Phone#
vn r�� Kr ..s & 3 .1 lTyyO
Contractor y s' `,C„I l3� ����;� �D
City/State Zip Phone
Prior to permit
i:•suance acopy Or `j 7_71 y 394S I?`/ 1
FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont.Board Exp Date Plat#: Map/TL#:
required if Lic#4
expired In COT
database Electrical Lic.# Exp Date Setbacks: Zone, // Solar
l
y61—c— C DU _ `r. `� /U
Electrical Supervisor Lic # Exp. Date Engineering Approval: Planning Approval: TIF:
310r��
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