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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
T 1 Date Requested,� ' G AM PM gLp _
Location L��i r('� � �J Suite MEC
Contact Person )Vt 'h Ph PLM --
Contractor Ph SWR
BUILDIN Tenant/Owner _ ELC
Reta;ning Wali _ ELR
Footing Access: —
Foundation FPS
Fig Drain ( SGN
Crawl Drain Inspection Notes: `
Slab — _ SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
mutation
Drywall Nailing
Firewall
Fire Sprinkler �4— �`�"" �''• q.. I — _.
Fire Alarm
Susp'd Ceilingr__Q� � p���tt
Roof
Miscue___ - -- --
PASS PART FAIL =—'�"- -�` --PORING
Post R Beam -
Under Slab _
Top Out —^
Water Service
Sanitary Sewer --_ �--• --- --- ----- ---- ___
Rair. Drains
Final
PASS PART FAIL -
MECHANICAL
Post& Beam -- - - - ---- - -- . — —
Rough In
Gas Line —
Smoke Dampers
Final - - - -- — --
PASS PART FAIL
ELECTRICAL --_—
Servire
Rough In ----_ _---- - -----
UG/Slab
Low Voltage
Fire Alarm
C.3 Final
PASS PART FAIL
SITE
J
Backfill/Grading -- -" —
Sanitary Sewer
Storm Crain [ ] Reinspection fee of$ _ required hefore next inspection. Fay at City Hall, 1:125 SW Hall Blvd
Catch Basin
Fire Supply Line I ]Please call for reinspection RE _-_ ( ]Unable to inspect no access
ADA
Approach/Sidewalk Date 61 - 23• q8 Inspector '
—
Q Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDINTDIVISION MST C� r
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
3 /;k') d
� Date Requeste _ "I^� - 7 —AM PM BLD
/
Location I Z n6 0 S6 - � / Suite MEC —
Contact Person _ r ��/IU'in' — Ph (U,� _ 3 � PLM
Contractor `J rh SWR
BUILDINS Tenan Owner ELC
Retaining Wall Zr14 4-1 LR
Faoting Access:
r'oundation FPS
Ftg Drain
.oGN
Crawl Drain Inspection Notes: -'---
Slab SIT
Past 8 Beam
Ext Sheath/Shear
Int Sheath/Shear �C �A
v�
Framing J,� _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling
Roof
Misc --
Final
PASS PART FAIL --
PLUMBING
Post& Beam —
Under Slab
Top Out -----^ -- — -
Water Service
Sanitary Sewer
Rain Drains
Final ------- --- T
PASS PART FAIL.
AGrCHANICAL - --------- ------------
Posl& Beam - ------ ---- -- ----_
'dough In
Gas Line -------- -- -- -- - - -
Smoke Dampers
Final ---- ------ ---- ---.. -_. —
PASS---P FAIL
�._ELECTRICAL - --- -- -- - --- -
►- oug i In
UG/Blah ----- ------ --- —- ------- -----
r Low Voltage
HFir larm ----
in
S� -FART FAIL ___ _- — --- ---- -
la'
Backfill/Grading - — --
Sanitary Sewer
Storm Drain I ] Reinspection fee of$_----_required before next inspection. Pay at City Flail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE _ [ ] Unable to inspect-no access
ADA
,approach/Sidewalk Date / �Inspector Ext
Other _ - -' -�
Final
PASS PART FAIL 60 NOT REMOVE this inspection record from the job site.
WY OF 11G�1itD
OREGON
May 11, 1998
C
Mr. Jeffrey Ament I -
12660 SW 111th Place
Tigard, OR 97223
Re: Accessory Structure/MIS 98-0011
Dear Mr. Ament:
This letter is in response to your request for approval to develop a 320 square foot shed
and workshop structure that would measure 12 feet one inch in height. The Director
has approved this request as proposed.
Please submit a copy of this letter with your Building Permit application.
Please feel free to contact me concerning this information if you have any questions.
Sincerely,
`%
Mark Roberts
Associate Planner, AICP
i\curpin\ma•k rVnis98-11 [Ir
c: MIS 980011 land use file
13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (.503)684-2772
CITY GF TIGARD MA'S'TER T'ERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST`3Y,-0190
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 GATE ISSUED: 0`,/14/98
PARCEL.: 2S 1,)3AD-0590@
SITE ADDRESS. . . : 12660 SW 111TH PL
SLJBDIVISION. . . . :WILDERNESS ZUIITNI3: R-4� 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDICTION: TIO
Remarks: Add an accessory shed/cork shop to an ov.sting single family dwelling.
This is an unheated shed/workshop, no plumbing, no mechanical
--------------------- ----------------------------------- BUILDING ---------------------- ------------_—_---------------------
REISSUE: STORIES.......: 1 FLOOR AREAE---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:ADD HEIGHT........: 10 FIRST....: 320 sf GAM, .....: 0 sf LEFT..........: 5 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD....: 50 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPF OF CONST.:SN DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 8 BATH: 0 TOTAL------: :320 sf VALUE..$: 5729 REAR..........: 5
-- PLUMBING -------------------------------
SINKS.......... 0 WATEI CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RPIN DRAIN ft: 0 TRAPS.........: P,
LAVATORIES....: 0 DISHWASHERS...: N FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF Ril. nRAINS; 0 r'TCH BASINS..: 0
TUB/SHIGWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.- 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 __A:iE TRAPS..: 0
OTHEP IXTURES: 0
-------------------------------------- ---------- - --- MECHANICAL ------------------------------------------ --- --------
FUEL TYPES------------ FURN ( U00K ..: 0 BOIL/CMP ( 3HP.- 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNIIS...: 0
MAX INP.: 0 BTU LOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
- - ------- --- -- --- ------..---_____---_----- ELECTRICAL ---------------- - -
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- —TEMP SRVC/FEEDERS.- ---BRANCH CIRCUITS -- ---ADVIL INSPECTIONS—
INS SF OR LESS: 1 P 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PCR INSPECTION: 0
Eli ADD'L 5005F.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 2
I-IMITED ENERCY.: 0 401 - 600 acp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIR AL/PANEL...: 0 IN PLANT...,..: 9
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LAPEL -10: 0
10083 amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION -•-----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS ARFA/SPC UCC:
-------------------------------------------------•- ELECTRICAL - RESTRICTED ENERGY --------
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL-------------------------------------------------------------------------------
AUDIO t STEREO.: VACUUM SYSTEM—: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR UIDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNS:
GARAGE. OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL......... OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: ----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 317.56
AMENT, JEFFREY I DOW OWNER This permit is subject to the regulations contained in the
12660 SW 111TH PLACE Tigard Municip?l Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This perrit will expire if work is
Phone M: Phone #: not started within 190 days of issuance, or if the work is
Reg C.: 080800 suspended for mare than IAB days. ATTENTION: Oregon law
--------------------------------------------------------------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in DAR 952-081-0010 through DAR 952-MI 0890. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
-------------------------------------------------------- REQUIRED INSPECTIONS --------------------------------------------------------
Frosicn 944-9444 Framing Insp
Footing Insp Electricai Final
Foundation Insp Building Final
IFlectriral Servi _
Electrical Rough
Issued By : 664 Per-mittee Signati_tre : CIV\ 6-1f4c A,
++++++A-+++++++++•++++++++++.-++++++++++++++++++.4-++++++++++•4+++ I++++•+•+++ F++++++
Call 539-4175 by 7:00 p. m. for an inspection needed the next btAsiness day
L. -
Plan Check#
CITY OF T,IGARD Residential Building Permit Application Recd By aE o
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd_��- -
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. S-
V 503-639-4171 Date to DS1G',� 57�Z
F 503-684-7297 (% � Permit# 4?`7 y `t 1�-
j r0�7d�j
Print or Type V /"� Called -�' '�"��� AL—
Incomplete or illegible applications will not be accepted
Nalene of Project �c''T". Name
Job
Nalene
ke j r Architect Mailing Address
Address Site Addre:,s i2 k4xa %10'— i--
i I GA;zJ� afZ ��7 LZ 3 City/State Zip Phore
Name ^
Name
Owner Mailing Address dress �� t* —� y N\, A
'O Sv:, I l1 Engineer Mailing Address
City�,,tate Zip Phone g ludoc7 SrtJ 111 -
TI(-N%W Orgy '('122-3 W-0 yl�)L
TI�AteZp� 3 4hzLi II�Z3ry W
General Name )
Contractor SA,Yw As A Describe work Nev..® Addition O Alteration O Repair O
Mailing Address to_bedone: ' 1) � VJ���ks��oP New �C�uctv'r4
Prior to permit Additional Description of ork:
issuance,a copy City/State Zip Phone _ —
of all licenses J0
y
are required if PROJECT Oregon Const.Cont. Board Exp. Date I
expired in COT Lic.# VALUATION $ 3�Soo
database --
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- t�.t I2-•"1`• u•� Sq Ft. House: Sq. Ft. Garage
Contrac.or Meiling Address
Prior to permit Corher Lot YES NO Flag Lot i-YES NO
issuance, a copy City/State ^ip Phone (Check OfT@) (check one)
of all licenses Restricted Audi)/Stereo Burglar
are required if Oregon Const.Cont. Board Exp.Date Energy System Alarm
expired in COT Lic.# Installation Garage Door —� HVAC
database
Name Opener Systems
Plumbing
N��,- 1 �cl�,r�,� — (check all that Other:
Sub-
apply)
Contractor Maiiing Address
Will the electrical subcontractor wire for 9111 YES NO
restricted energy installations?
Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy
of all licenses are Oregon Const Cont. Board Exp. Date -- --
required if Lic# Solar Compliance
expired in COT _ (Calculation Attached)
database Plumbing Lic.# Exp. Date I hearby acknowledge that I have read this application,that the
information given is correct, that I am the owner or authorized
"' Name agent of the owner, and that plans submitted are in compliance
with Oregon State laws.
Electrical f ��«c� rel' Sign�actr"Person
uof A t Cate
Sub- Mailing Address
� Co _Name Phone#
Contractor __
�� City/State Zip Phone � � N�' At�^�T t•D�'r�I�'�
-J Prior to permit FOR OFFICE USE ONLY:
issuance, a copy Plat#: Map/TL#: , C
of all licens.ss are Oregon Const. Cont Board Exp. Date
required if Lic# Setbacks: ZoneSola
expired in COT q. �_ TV
database Electrical Lic: # Exp. Date
Engineering Approval: Planning Approval: / TIF:
I:SFREM.DOC (DST) 4197
Permit #: _NA'-- T alY— 000
Address: j ft P�
N
,fie�.•�
Issued by: "X _ pate: — r
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.05501, requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sikn the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, 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 the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
9 t""F] 1. I own, reside in, or will reside in the completed structure.
I 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
(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
3B. I will be my own general contractor.
If i hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
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.
CJ
,i? I hereby certhy that I he above information Is correct and that I have read and do understand the Informalion
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
r
/P? C"* 5-1H -Vr
(Signature of permit applicant) r Hair i
(White copy to issuing agency permit file,
pink copy to applicant)
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