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f L +, f �6 -SW AvowMx • i. A* I n . I 'v I:Voc V I • • • • • • •• I CITY OF TIGARD BUILDING INSPECTION DIVISION MST �� / 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 q B4 Date Requested 7 '" � - e AM PM BLD Location ` �� -5 LJ Z0 rd Su� -- MEC Contact Person Ph PLM Contractor Y Ph SWR BUILDING 7-enant/Owner — ELC Retaining Wall - ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab __. _ —_ _—� SIT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear „ - Framing �1t� r,/-e_ Insulation 17 Drywall Nailing Fu ;wall Fire Sprinkler Fire Alarm Susp'u Ceiling Roof Mi PASS PART FAIL PL BING Post&Beam --- Under Slab Top Out - Water Service Sanitary Sewer ---- ---- —_.�__ _ Rain Drains Final ��-_ _----------------------- ------ ---- PASS PAR f FAIL MECHANICAL Post P. Ream ��__.__------------�— Rough In GasLine --- --- - -- - -- - ---- ------— --- _ �-�__— _ _ Smoke Dampers — tEEMRICAL HART FAIL -. -- --- -------- ___.. Servicr' Rougl, in --' UG/Slab Low Voltage ------ __� Fire Alarm - - Final — PASS PART FAIL SITE — _--_ __--------- - .—., _..,-_------- Backfill/Grading Sanitary Sewer Storm C.a;n ( J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line I J p [ J Unable to inspect-no access ADA Approach/Sidewalk Date other h [k_ Inspector — Ext Final PASS PART FAIL j 0 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD MASTER PERMIT Do=VELOPMENT SERVICES PERMIT #. . . . . . . : MST97- 141 13125 SW Half Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/c:3/97 PARCE=L. 2S 1 1 1 CH-00500 SITE ADDRESS. . . : 14t30S E;W 103RD AVE SUBDIVISIGN. . . . :DEL MONTE SUED1VISION ZONING: R-3. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :4 JURISDICTION: TTG Remarks: SF ,:ddi'.ion --------------- ------------------------------------------------ BUILDING ---------------------------------------------------------------- REISSUE: STORIES.......: 1 FLOOR AREAS---- ----- BASEMENT...: 2220 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS Or WORK-ADD HFIGHI........: 16 FIRST....: 226 sf GARAGE.....: 0 sf LEFT..........: 14 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: @ sf FRONT.........: 0 PARKING SPACES: 0 TYPE OF CONST.:SN DWELLINF UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BURM: b BATH: 1 TOTAL------: 226 sf VALUE..$: 18808 REAR..........: 0 -------------------------------------------------------------- PLUMBING -------------------------------------------------------------------- SINKS......... - -- SINKS.........: 0 WATER CLFETS.: 1 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: d LAVATORIES....: 1 DISHWASHERS...- 0 FLOOR DRAINS..: 0 SEWER LINE ft. 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 2 GARBAGE DISP..; 0 WATER HEATEpS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ---------------------------------------------------------------... MECHANICAL --------------------------------------------------------------- FUEL TYPES----------- FURN l 1Qi0K ..: 0 BOIL/CAP ( 2AP: 0 VENT FANS.....: I CLOTHES DRYERS: 0 GAS FURN )=1001( ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 2 WOODSTOVES....: 0 GAS OUTLETS...: 0 ------------------------------------------------------------------ ELECTRICAL --- --------------------------------------------------------------- --RE.'DENTIAL UNIT--- ---r,ERVI(,E/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 amn .. 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INQPECTION: a EA ADD'L 500SF.: 0 '01 -. 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 1 ST6;J/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: R 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 100@ asp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ---------------------------------- PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )=4 RFS UNITS..; %%.'FDR)=225 A.: ) 600 V NOMINAL-: CLS AREA/SPC OCC: ---------------------------------------------------- ELECTRICAL. - RESTRICTED ENtRGY ---------------------------------------------------- A. SF RESIDENTIAL ---------------------------- B. rnMMERCIAL------------------------------------------------------------------------------ AUDIO 9 STEREO. : VACUUM SYSTEM..: AUDIO e STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR r.'AR.. OTO: :: BOILER.........: HVAC...........; LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVW..........: DATA!'ELE COMM.: NURSE CPLLS....: TOTAL U SYS(EMS: 0 Owner: -----------------------------------Contractor: ------------------------------ TOTAL FEES:$ 374.71 WALT MUNHALL TENANT PER APPROVAL FROM OWNER 14805 SW 103RD 11GARD OR 97223 Phone N: 620-6830 Phone U: Reg C., 13125 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other J applicable laws All work wall be done in accordance with approved plans. this permit will expire if word, is not started within 18@ days of issuance, or if work is suspended for more than !88 days. ��: -------- ----w_.___.------------------------------ REQUIRED INSPECTIONS --------------------------------------------------------- Erosion Contol Crawl Dr.�n Framing Insp Electrical Final — Footing Insp Mechanical i.,-n Low Voltage Mechanical Final Foundation Insp Plumb Top Out Insulation Insp Plumb Final Post/Beam Struct Electrical Servi Gyp Board Insp Building Final Post/R as Mechan Electrical Rough RRDainn� rain Insp Per-mi tee Si'.1Trat�_rr e : ryt,GWt.QV�A _ Issued y : Call for, inspection -- 639-4175 'rf OF TICARDPlan Residential Building Permit Application Rid 9y ':S SW HALL.-BLVD, New Construction Addition, ;.)r Alterations Gate R,,c'd _a- ,i;ARD, OR 97223 Single Far.lily Detached or Attach d (Duplex) Date to N E. 13-639-4171 Date co DST 13-684-7297 Permit 0 (11' 47 rP nt or Type called C - Incomplete or illegible applications wil . of be accepted nnA4`�� � (7 5/. T7i I J!��!1 , / /►v IOAane � /1r-vv;X d' Name of Protect Name I �`0C)MCF4 T4 ' �I�lt�pJG� Q -' �� '�t,PH �LaM4t►1 Job ,,,�E6k!s.w66 LT'E1Z Mtxa4e.L.L.. Malin >ddress Site Address ArCflt@Ct 9 Address S.W, loSJ ' -aA-;z 71© 17lc<�oS.W,SWE 1�ERo1.]len• Name —'' City/State Zip Phone .,?,r iti_ ti: /;F�..d s, 1.A#V-C�.+,nJEa 4 OR 97034 0%.30-9 Owner Mailirg Addrasa - Name City/State Zip Phone Engineer Mailing Address Name City/State Zip FFone 3eneral L Describe worts Now O Addition• Alteration O Repair O �ntraetor Mailing Address to bi done: _ Additional Description of','York: City/State Zip Phone UA-016AMD CruA(2 Vi!e&-)f.•(4--CL44fztr.+ ONE.f2, Oregon Const. Cont. Board Lich Exp. Date ich Copy of Current COT Business Tax or Metro 0 Exp.Date PROJECT -ic'""' VALUATION $ 47,19� Nano •i.echanical It/T3rE /', rte:, , f ` NEW CONSTRUCTION ONLY: Sub- Mailing Addnm Sq. Ft House: Sq. Ft_ Garage ontractor =' G N ` '� �� asc _ Comer Lot YES NO Flag Lot YES 1 NU City/State Zip Phone (check one) _I _ (check one) L Oregon Const.Cont. Board Lic.M Exp.Date Restncted Atidio/S'ereo Burglar Rach copy of Energy System Alarm Current COT Business Taut or Metro t Exp.Date lostallation Garage Door HVAC licenses Name Opener Systems - (check all that Other. —� Plumbing Tako to 5v�� v�lk app ) Sud- Mading Address Will the electrical subcortrac!or wire for all YES NO r'ontractor cj S A r 5`;_t 1L .� restricted energy installations? C.ty/Sl,r, Zip Pho a Has the Subdivision Plat recorded? N/A YES NO Tv r.� �T1a l r `i'�t G C �( 1- ZQ 3L' Ori 4on Const Cont- Board Lic.M I Exp.Date Reissue of MST* Solar Compliance ash Copy of Current N umomg Lic.4 Exp Date (Calculation Attached) _ Licenses ( I hearty acknowledge that I have read this application,that the F- :OT 9usiness fax or Metro 0 Exp Date information given is correct,that I am the owner or authorized agent of the owner, and thai plans submitted are in compliance ra Name with Oregon State lows. _ PS,/ attire o�Own r(Agen Date ? Eioctrical �oit t► Z ,r r 4 1Sub- Mailing.'w►ess tactPerson Name Phone o Cont;,actor < f City/State Zip —Phone`^ FOR OFFICE USE ONLY: Plat MaprTlJt: Oregon Const Cont Board Lica Exp.Cate -42 - 1 SQ _ _ - �J ttach Copy of SetbaA I Zone: Solar Current E!eancal L/c, a Exp. Date (��� W r`J 'f Licenses Eng nng Approvai. Planning approval: TIF: COT Business Tax or Metro a Exp.Date I Ii - iasfapp.doc(dst) 1197 '� Remilit.# Qunt Descrip,tjon 6MgAm, t. Pd. DaJ, Due L k4.L u M T. Permit (BUILD) L%1 '� �13 Plumb. Permit (PLUMB) Mech. Permit (MECH) �� ELC/ELR Permit (EI.PRMT) _ �' ►� _ ---- — State Tax (TAI X) 1 B,dg: :. Plumb: Mech: z ' ✓ ELC/ELR: Plan Check MST: (BUPPLN) Plumb: (PLMPLN) ` Mech: (MECP '�1) CDC Review Sewer Connection (SWUSA) . Reimbursement District ( ) Sewer Inspection (SWINSP)- Paries Dev Charge (PKSJC) _ Residential TIF (TIF R) _ Mass Transit TIF (TIF-MT) Water Quality (WQUAL) Water Quantity (VVQUANT) w - Erosion Control Permit (ERPRMT) Erosion Planck/LISA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) Y TOTALS: .lstapp.doc (dst) ILP I CITY OF TIGARD May 8, 1997 OREGON Walter Munhall 14805 SW 103rd Tigard OR 97223 Dear Walter, Please be advised your building permit for an addition to 14805 SV`.' 103rd is ready for issuance. The following into mation is required prior to the release of the permit: Copy of David Smith's Construction Contractor's Board 4cense Copy of David Smith's Plumber's Board i�cegse Identify the mech2inical contractor. If we do not have license information on file for the mechanical contractor, we will also need: Copy of the mechanical contractor's Construction Contractor's Board license Copy of the mechanical contractor's Metro license or City of Tigard Business Tax Fees owing: $283.38. This notification would have been made via the telephone, but you did not include your telephone number on the application in either of the appropriate boxes. If you have any questions, please feel free ,o contact any Development Services Technician at 639-4171 Ext. 304. i-- `� Sincerely, J James S. Duckett Development Services Technicia i 13125 SW Hall Blvd., Tlgard, OR 97223 (503) 639-4171 (503) 684-2772 Permit #: A. � sT�� Address: l z ` Issued hy: Datc: _. 20 7 X899 Statement: Informat in Notice to Property Owners About ConstrUCtion Respor13ibilities 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 buiidinglw~mit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt.rrom registration under ON" 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and ii,:tial boxes 1 ano 2, and either box 3A or 313: r l. I own, reside in, or will reside in the completed structure. WT I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. E-1 3A. My general contractor isII (Name) Contractor regis. # I will instruct my general contracto-that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contracto►:, Board. If I change my mind and hire a general contractor, 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 I hereby cet tify that the above information is correct and that I have read and do understand the Informal ion ' Notice to Property Ownet- about Construction Responsibilities on the reverse side of this form. 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