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12775 SW 113TH PLACE 14267 7M/Jaorytt9l, � - r ;i cri w c� it i:'recordsV"IcroflrtlVarge(sVwf Idinq.doc Page No. 1 C!,3E HISTORY FOR CASE NO.: MST98-0100 MARK DAHLEN 12775 SW 113TH PL 01/14/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA005 Application received / / / / 04/02/98 RECD GEO 04/06/98 DLH MS'rA000 Permit Created / / / / 04/06/98 DONE LSH 04/06/98 DLH MSTA010 Check for prcl. restrict. / / / / 04/06/98 DONE DLH 04/06/9) DLH MSTA012 Plans routed to Plans Examiner / / / / 04/06/98 SENT DLH 04/06/98 DLH MSTA026 Plans approved by Pln Examiner / / / / 04/06/98 PASS RT 04/06/90 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 04/06/98 PASS RT 04/06/98 BT2 MSTA032 DST Post-Review Completed / / / / 04/09/98 DONE F 04/09/98 BON MSTA080 (F) Ready to issue / / / ; 04/09/98 PASS B 04/09/98 BON MSTA092 (F) Issue combination permit / / / / 04/10/98 PASS B 04/10/98 BON MSTA700 Erosion 844-8444 / / / / / / 04/06/98 DLH MSTA705 Footing Insp / / / / 05/06/98 MONO FOOTING/SLAB PASS RB 05/07/98 RB CONNECT EXISTING SLAB TO NEW PIANS DO NOT IDENTIFY SEISMIC HOLD-DOWNS AT GARAGE WINGS- REVIEW WITH PLANS EXAMINER. PROVIDE DETAILING AS PER DESIGN CRITERIA. MSTA706 Foundation Insp / / / / 05/06/98 SEE FOOTING THIS DATE PASS RB 05/07/98 RB MSTA725 Framing Insp / / / / 09/29/QB #-1- residence occupied need owner on FAIL KS 10/01/98 KBS site or contractor MSTA725 Framin,7 In.,p / / / / 10/05/98 FAIL RC 10/08/98 J*H MSTA725 Framing Insp / / / / '.0/06/98 1. Complete nailing at truss clipe. PASS KS 10/23/98 J-H 2. Provide positive connection plates t, existing beams. 3. Complete nailin5 at subsiding. 4. No electrical at new extension of garage. MSTA726 Shear Wall Inep / / / 10/05/90 Needs hurricane clips on trusses, okay PASS RC 10/08/98 J•H 1— to insulate (ext. okay) . Le) 1�. MSTA727 Exterior Shea.hing Insp / / / / 10/05/98 PASS RC 10/08/98 J*H MSTA790 Electrical Final 12/11/98 / / 01/27/95 7/27/95 no grounding PASS MJR 12/11/98 JT 7/31/95 corrections complete, electLical service approved L%J WACO permit #05070336 for J relocate/circt, Dryer 6 Sone Electric Page No. 2 CASE HISTORY FOR CASE NO.: MST99-0100 MARK DAHLEN 12775 SW 113TH PL O1/14/g9 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA799 Building Final / / / / 10/18/98 1. Spot nails at garage provide gypsum FAIL KS 10/28/98 J•H cover at access. 2. Provide rated door between garage and dwelling. 3. Dewlling has working smoke detector. 4. Is driveway to hard surface? Check with Planning Dept. 5. Caulk around windows at exterior. NO mechanical this permit. MSTA799 Building Final / / / / 10/29/98 Per Mark Roberts (MJ) drivewaly will not FAIL WDJ 10/29/98 WDJ need to be paved at this time. -Complete item 02 from inspection on 10/28/98. M3'"4799 Building Final / / / / 11/03/98 PASS RC 11/04/98 J+H M:I'A970 Case Finaled / / / / 12/04/98 12/04/98 JT MSTA970 Case ^haled / / / / 12/11/98 12/11/98 JT rX H N h .J co U' LL.) J Page No. I CASE HISTORY FOR CASE NO.: MEC98-0476 MARK DAHLEN 127"75 SW 113TH PL 01/14/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done :)ate By MFCA007 Application received / / / / 10/28/90 PASS JSD 10/28/98 JSD MECA008 Create Permit / / / / 10/28/98 PASS JSD 10/28/98 JSD MECA060 (F) Issue permit / / / / 10/28,'98 PASS JSD 1 /28/98 jSD MECA715 Mechanical Insp 10/28/98 / / 11/x3/98 PASS RB 11/05/98 RB MECA799 Final Inspection / / / / 11/05/98 PASS RB 11/05/98 RB MECA800 Case Fznaled / / / / 11/05/96 PASS RB 11/05/98 J•H I r rt H w 0 LLi Page No. 1 CASE HISTORY FOR CASE NO- PLM98-0399 MARK DAHLEN 12775 SW 113TH PJ 01/14/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- -----------------•------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- PLMA003 Application received / / / / 10/28/98 PASS JSD 10/28/98 JSD PLMA005 Create Permit / / / / 10/28/98 PASS JSD 10/28/98 JSD PLMA050 M Issue permit / / / / 10/28/98 PASS JSD 10/28/98 JSD PLMA799 Final Inspection / / / / ll/U5/98 PASS RB 11/05/98 RB PLMA800 Case Finaled / / / / 11/05/98 PASS RB 11/05/98 J"H V F CITY OF TIGARD BUILDING INSPECTION DIVISION MST T,�4-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----- - / -�O? BLIP Date Requested � -` AM PM _ BLD Location / 2- 775 5 1 I " Suite MEC / Can+.�c! PFrson �� _ y ice' Ph PLM ;:ontractor Ph SWR — —_ BUILDING _ Tenant/Owner ELC Retaining Wall ELR _ "ooting ACC@SS: Foundation ,- Ftg Draint._> �l. L 7 �..� FPS _r Slab Crawl Drain Inspection Notes: SGN � � SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear _Framing Insulation Drywall Nailing Firewall Fire Sprinkler F ire Alarm Stisp'd Ceiling Roof Misc:_ ------- -- -— --- - ---------. Final PASS PART FAIL �= --- --- -- -- --------- - --._._-___ Post 8 Beam --�---------------- - -- --------------- Under Slab -7 ` Top Out Water Service Sanitary Sewer \� --- ----- ----- —_-_ --------- --------- ----- Rain Drains Final~ FAIL -- _ -- -- ---- ----._—___-.-_ _—__ -._ Post& Beam --- — - - Rough In r Gas Line Smoke Dampers ' ASS ) PART FAILEtEC TRICAL --- --- - - - ~~ Service - --- --- - Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL - --_---- __-------- —_ SITE Backfill/Gradirg -- --'— - -'-- ------ -- - Sanitary Sewer Storm L rain ( )Reinspection fee of$_ _-required before next inspection. Pay at City Hall 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE:_---_-_.__-- ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Gate �t v Inspector c%' xt-' L _� E �� Other - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24- our Inspection L;ne: 639-4175 Business Line: 639-4171 - Date Requested f�- ��7� T ✓� PM BLD _ Location �4:21 7 75 �-V U/ i3N OZ— Suite MEC Contact Person _ _. � Ph �1� ! PLM C�-onnttr or ^_ M Ph SWR r UILDIN 'renant/Owner ELC — Retaining Wall FIR Footing Access: , Foundation ,f S - -<- FPS Fty Drain �`t.. `- h'.'�->J! (--C.i SGN Crawl Drain Inspection f 6fF,, ^ E---- --_-_ Slabnn SIT Post Beam Ext S&a /�A heath/Shear - 41'•'► W J P f F_1 J Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I Roof 1Z;��S_,�PARI FAIL HIRING -------- � �—_ __�____ --- ------- — PL- Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Fina! PASS PART FAIL ---- ._—_---_----------------__ _Te`_-- -. MECHANICAL Post&Beam Rough In Gas Line __-- Smoke Dampers Final -_-- - --- — -- �_ - -_�----- PASS PART FAIL ELECTRICAL --- - --.. -- -- ------- ----- �" Service N Rough In - > UG/Slab �- Low Voltage Fire Alarm w Final PASS PART FAIL J SITE Backfill/Grading — - - — Sanitary Sewer Storm Drain I j Reinspection fee of$ required before next inspection. Pay at City ball, 13125 SW Hall Blvd Catch Basin i j Please call for reinspection RE: _ — ( j Unable to inspect• no access Fire Supply Linc ADA Approach/Sidewalk Date _Al" � _ Inspector '\�_ Ext Other -- -- Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the jots site. CITY OF TIGARD MECHANICAL DEVELOPMENT SERIIICES F,F,:. T #PERMERM . . . : MEC98-0476 13125 SW Hali Bivd„ Tigard,OR 97223(503)639.4171 DATE " -,SUF rJ: 10/28/98 PARCEL: 2S103AC-05100 SI I'E ADDRESS. . . : 12775 SW 113TH PL SIDE{DIVISION. . . . : HUMBOLT CREELS ESTATES ZONING: R-4. 5 LOT. . . . . . . . . . . . . :002 JURISDICTION: URB ---------------------------------------- CLASS OF WORK. . -.ALT FLOOR FURN. . . . : 0 EVAP CO01-ERS: 0 TYPE OF USE. . . . :SF UNIT H1==ATF.RS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . : R3 VENTS W/O APPL_: 0 VENT SYSTE-11S: 0 STORIES. . . . . . . . : 0 BOILERS/COMF'RFSSORS HOODS. . . . . . . : 0 FUEL_ TYPES_- ----- --- - 0 Hp'. . . . : 0 DOMES. I NC I N: 0 :GAS 3--15 HP. . . . : 0 COMML. I NC I N: 0 MAX 'NPUT: 0 I;T U 15-30 HP. . . . : 0 REPAIR UNITS- 0 F I RE DAMPS RS?. . : 30-50 HP. . . . : 0 WOOD5TOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . 0 CLO DRYERS. . : 0 NO. OF UNITS—----- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( i00K BTU- 0 (= 10004' a Fm : 0 OAS OUTLETS. : 1 FURN ) 1=100K BTU: 0 > 10000 crfm: 0 Remark Dahlen gas piping Owner: -------------------------------------------- _---------- FEES ------------..-_ MAR1; DAHLEN type +.1ino1_1 nk' by date recpt 12775 SW 113TH F'I-. PRMT $ 25. 00 iSD 10/28/98 98-310343 TIGP-.RD OR 97223 SPCT $ 1. 25 JSD 10/28/98 98-310343 Phune #: Conti-actor: OWNER $ 26. 25 TOTAL Phone #: Reg it. 000004 _-----_- REQUIRED INSPECTIONS -_.___.._..._. This pewit is issued subject to the regulations contained in the Mechanical Insp _ Tigard Muni-,pal Code, State of Ore. Specialty Codes and all other Final I n s p e r_ t i o n applicable laws. All work will be done in accordame with approved plans. This pewit will expire if work is not started withir 180 days of issuance, or if work is suspended for yore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon LRility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You eay obtain copies of these rules or direct questions to fR C by calling 15031215-9187. Issite 1 Permittee Signati.tre : 4.. F.-4-F....t.....4. F.......4••t+++++•4-+-•++-+++++4 +{ +-+-+4-++++-4 ......4 t...... ........ �t+ Call 639-4175 by 7:00 p. m. for inspections needed the next bi-tsiness day +++++++++++-+++++++++++++++++.+++++++++++++4•+++++++++++++++++.++++++++++4++++++++ CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Rec'd TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P E. _ Print or Type Date to D5 — Incomplete or illegible applications will not be accepted Permit0 > ! 7cJ Related SWR# Called Name of Development/Project ` FIXTURES (individual) QTY PRICE AMT 1 Job Sink 9.00 Address Street Address Suite Lavatory 9.00 Tub or Tub/Shower Comb 9.00 Bldg# City/State Zip7-7 Shower Only 9.00 Name Water Closet 9.00 Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 ( 17- F L _.-- Washino Machine T a 0n Ci ry/Slate Zip hone Floor Drain/Floor Sir c 2" ---- - I (�i41L(J :J 7 72 5 I l�`ti' / _ 9.00 Name 33" 900 -_ ._-_l— ----- 9.00 Occupant Mailing A s Suite Water Heater O conversion O like kind I 9.00 OG _ Gas fin requires ase ai mechanical permit. City/,tate Zip Phone Laundry Room Tra1 ' --6-0-0 -- -- Urinal --rt Name 9.00 Cther Fixtures(Specify) 9 p0 Contractor Mailing Address Suite Sewer-each additional 100' 25 00 9.G0 9.00 Prior to permit City/Stale Zip hone Sewer-1 st 100' 30.00 issuance,a copyof all licenses are Oregon Const.Cont.Board Lic.# Date required if Water Service -1 st 100' 30.00 expired in COT Plumbing Uc.# Exp.Date Water Service-each additional 200' a 25.00 database _ �i _ Storm&Rain Drain-1st 100' 30.00 -J Name Storm&Rain Drain-each additional 100' 25.00 Architect Mobile Home Space �5 00 or Mailing Address Suite Commercial Back Flow Prevention Device or Anli- 25.00 __ _Pollution Device Engineer City/Slate Zip Phone Residential Backflow Prevenlion Device' 15.00 tlnigation timing devir-,s require a separate Describe work to be done: reswicted energy permit.) New O Repair O Replace with tike kind Yes O No O lkm Trap or Waste Not Connected to a Fixture 9 00 Residential D Commercial O 9.00 Additional dps nc piton of work' —- Calc�Basin Insp.o:Existing Plumbing A0 00 _ _ error ^� Specla:y Requested Inspecticns 40 00 er/hr rc -- Fain Drain,single family dwelling i 30.00 N Are you capping, moving or replacing any fixtures? Yes O No O Grease Traps T 9.00 If yes, see back of form to indicate work perform(-J!by — QUANTITY TOTAL J fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric w riser diagram is required N Ouinidy to'al is >9 WORK COULD RESULT IN INCREASED SEWER FEES. - �� 'SUBTOTAL I hereby acknowledge that I have read this application,that the information tLD given is correct,that I am the owner or authorized agent of the owner,Sind 5% SURCHARGE that pians subrvitled are in compliance with Oregon State Laws. Signature of OwnerlAge,t Date **PLAN REVIEW 25%OF SUBTOTAL e` // ,/�� " I Required only N fixture qly toa �9_ —Y Co ac TOTAL Pers n Name Phone /� l ,r Mlnlmum permit fee is$25*5%surcharge,except Residential Backflow /iN k- I / Prevention Device.which Is$15 t 5%surcharge -All Nev,Commercial Buildings require plans with Isometric or r,ser diagram .tnd plan review I tdstslplumapp doc 7f2M r v PLEASE COMPLETE_: Fixture Type Quantity by Werk Performed Newer— Moved Replaced Removed/Capped Sink .— Lavatory --- --- ------ -- Tub or Tub/Shower Combinaticn Shower Only — Water Closet__ _ — Dishwasher Garbage Disposal Washing Machine .--- Floor achine_ __Floor Drain/Floor Sink 2" _Water H_eatc-r------_—___ -- -- _—� Laundry Room Tray Urinal _ Other Fixtures (Specify) COMMENTS RFCARDING ABOVE: I k1dsV,h,mapr dor Ili/9P. CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PI-1198-0399 13125 SW Hall Blvd., Tiprd,OR 97223(5,73)639-4171 DATE ISSUED: 10/28/98 PARCEL: 12',5103AC-05100 SITE ADDRESS. - : 12775 SW I 113TH PL ,:-')UBDIVISTON. . . . : HUMBCL.T CREEK ESTATES ZONING: R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION: URB CLI)SE; OF WORK. . :ALT GARBAGE DISPOSALS. 0 MOBILE HOME SPACES. : 0 TY1'6E OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . 0 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . . 0 WATER HEATERS. . . . ,, . 1. CATCH BASINS. . . . . . . . 0 FIXTLif'?ES------.-r-------- LAUNDRY TRAYS— . . . : 0 SF RAIN DRAINS. . . - . 0 SINKS. . .. . . . . . . : 0 URINALS. . . . . . . . . .. . : 0 GREASE TRAPS. . , . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SliOWERS. . . : 0 SEWER LINE (ft ) . . . 0 WPTER CLOSETS. : 0 WATER LINE (ft ) . . . 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0 Rpmai-F<s : Dahlen conve-t !1Pctv-ic: to ga.3 water heater, Owner-: FEES MARK PAHLEN type amoi.tnt by date recpt 12775 SW 113TH PL PRmT s 25. 00 JSD 10/28/98 98-310343 TIG(IRD OR 9722,-, 5PCT $ 1. 25 JSD 1.0/28/98 98--310343 Phone #: OWNER it: $ 26. 25 TOTAL Req REQUIRED INSPECTIONS This permit is issued subje& to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Lodes and all other Final Inspection 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, o- if work is suspended for more than 180 days. ATTEENTION: Oregon law requires you to fo!low rules adopted by the Oregor Utility Notification Center. Those rules are set forth in DAR 952-00@I-0M0 through OAR 95E-0i71P14080. You may obtain copies of thpsp rulr,,s or direct questions to (NINC by calling (503)246-1987. Iss1-1Pd SV I Per-mittee Signati.tre. 1-+++++++-F•++ +++4 4f-<+......................4...........4.+++4-++1................4-+ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl.tsinese, ;1-"-/ ++++++4-++-1 4-+++i+a...............4•+++++f+++-h......................4-4..........1-+++4 CITY OF TIGARD Mechanical Permit Application Plan Che`# Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec' _ t TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit#,nv _ Incomplete or illegible applications will not be accepted callod .rr Name of De,;elopmcUProjem Description r criptio -"� Table 1A Mechanical Code Qt Price Aml .lob StreetAddreea Suite# A) Pe'mit Fee 10.00 Address ►2.7,5 --\N t F 1) Furnace to 100,000 BTU— including ducts 3 vents __ 6.00 Bldgf{ City/State zip 2) Fumace 100,000 BTU-� 1�f-> ;)"7'Z includingducts&vents _ _ 7.50 Name(or nemo ofbusiness)business) 3) Floor Furnace Owner AY0 A t t— including vent 6.00 Mailing Add;rat. 4) Suspended heater,wall heater or floor mounted heater 6.00 Z ~L` �7tnZi I'� PC✓ 5) Vent not included in appliance perrnit ChylState Zip Phone 3.00 C is:CK ALL 'Boiler Heat Air Name,(or n.nne of business) THAT APPLY: or I Pump Cond Qty Price Amt Com .. Occupant Mailing Address 6100K BT Ubsorb unit to r 7)3-15 HP;absorb unit chyrState_ _ Zip Phone -- 109k to 500k BTU 11.00 8) 15-30 HP;absorb unit.5-1 mil BTU 15.00 Contractor Name 9)30-50 HP;absorb unit 1-1.75 mil BTU _ _ _ _ 2250 Prior to permitMelling Address 10)>50F1P;absorb unit issuance,a copy >1.75 mil BTU 37.50 of all licenses City/slats Zip Phone 11)Air handling unit to 10,000 CFM are required if 4.50 expired in COT Oregon Const.Cont.Board Lic.p Exp.Date 12)Air handling unit 10,000 CFM+ database ___ _ 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 _ or Mailing Address -- 14)Vent fan connected to a single duct 3.00 15)Ventilation system not included in Engineer Chy/State Zin Phone appliance permit 4.50 16)Hood served by mechanical exhaust Describe work to be done; 4.50 17)Domestic incinerators New n R pair O Replace with like kind Yes O No O 7.50 Residen;lal Commercial O 18)Commercial or industrial type incinerator 30.00 Additional information or description of work: 19)Repair units 4.50 20)Wood stove _ ___ 4.50 _ 21)Clothes dryer,etc. 4.50 Type of fuel: oil O tlatural gas LPG O electric O 22)Other units 4.50 I hereby acknowledge that I have read this application,that the infer+- T n 23)Gas piping one to four outlets given is correct that I am the owner or authorized agent of 2.00 Z.Oa F_jj the owner,that plans submitted are In compliance v1h Ori,,,an '•,1#te jaws 24)More ttan 4-per outlet(each) Signaturef Ow _!Agent Dato _ .50 Minimum Permit Fee$25.00 SUBTOTAL 'lam 5%SURCHARGE i Contac Person Name Phone PLAN REVIEW 25%OF SUBTOTAL , r� Required for ALL commercial rmits onl !-��'`'�1 Z7 � ! � � TOTAL .mss L" 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I Unechperm doc rev 07120/98 \ A,�` V_ T G•'Z�' z ZS S� 1,Z S- �.- _r-_ ___� r r E----� CIT` OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0100 1 13125 S Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 04/10/93 � SITE ADDR(rSS. . . : 1 X775 SW 113TH PLT.RCEL: :JS 103AC--05100 SURD 11,11 S I ON. . . . :HUMBOLT CREEK ESTATES ZON I NC,: R-4. 5 BLOCK. . . . . . . - . . LOT. . . . . . . . . . . . . :002 JURISDICTION: URB Remarks: Addition of 396 sq ft to garage of SF residewce. ------------------ ---- ------------- -- BUILQIWG REISSUE: STORIES.......: 0 FLOOR AREAS---- ----- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIP.EQ----------- CLASS OF WORK.:ADD HEIGHT........; 0 FIRST....: 0 sf GARAGE.....: 3% sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD.,..: 0 SECOND...: 0 sf FRONT.........: 62 PARKING SPACES: 1 TYPE OF CONSL:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY 64).:R3 BDRM: 0 BATH: 6 TOTAL----: 0 sf VALUE..$: 7001 REAR..........: 0 -----•--•---------- PLUMBING --------------- ---- SINKS........,; 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAINDRY TRAYS.: 0 RAIN DRAIN ft- 0 TRAPS.........: 0 LAVATORIES....: 0 DISHWPSHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 1 TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WHTER HEATERS,: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 - OTHER FIXTURES: 0 ---------------------------------- FUEL TYPES------------ FURN ( 108K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=109K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAY INP.: 0 BTU FLOOR FURNACES: 0 VENT4.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0 ---------------------- ---------------_____------__ ---- ELECTRICAL ---------------------------_ -------------------------------- --RESIDENTIAL UNIT— --SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRPIO CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS— 1000 SF OR LESS, 9 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMPi1RRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5MT.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/D SVC;FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp .: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PALL,..: 0 IN PLANT......: 0 MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 ION+ amp/volt.: 0 ---------------------- ---- ---- PLAN REVIEW SECTION • ---------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS ARL'•i, PC OCC: ---------•------------------------------------.----- ELECTRICAL - RESTRICTED ENERGY ---------------------------------—------------------ 11. ---------------- - - ------------ A. rf RESIDENTIAL------------------------- B. COMMERCIAL-----------—---------------------------------------------------------- AUD1;1 6 STEREO.: VACUUM SYSTEM..: AMID I STEREO.: FIRE ALARM....,: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLPR ALARM—: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRR1G: PROTECTIVE S1GNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: .. HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS:. 0 Owner: -----------------------------------Contractor: -----------------------•------ TOTAL FEESA 106.26 MARK DAHI-EN OWNER This permit is subject to the regulations contained in the 12775 SW 1131H PL Tigard Municipal Code, State of G-re. Specialty Codes and all TIGARD OR 97223 other applicable laws. All work will be done in accordance with apprnved plans. This permit will expire if work is Phone #: Phone #: not started within 180 days nf issuance, or if the work is r, Reg C.: 00N998 suspended for more than 180 days. ATTENTION: Oregon law N _--_-__-_—_-_-__---`_______.-------------------------- - ---- requirrs you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-901-0010 through OAR 952-801-0080. You may obtain copies of these rules or �- diract questions to OUNC by calling (503)246-1987. J -------------------- ------------------- -- REQUIRED INSPECTIONS ----------- ---- —_—_ Erosion 844-8444 Building Final Footing Insp - -+ Foundation Insp _ Framing Insp wear Wall Insp MOV14, IssLied By: V— _ F'ermittee Signature v ++++4.+++++++++++++++-a+++-+++++.+++++++++++++++++++++.�+++r+++ +++++++ +++++a ++ Call 639-4175 by 7:00 p. m. for an inspection needed the next bLisiness day Z-7 -7 w� 3" 57o,eM h4 l '� � 9 P Ay a l Nr P\\I�WAY EWe A�P roN �• t - � � Z3 • s - _ _ N 0E)(/s, N ?46 Z q. 51Z 77� V1�7 JI VI"1 PV L,;� lid � (,G- FPermit#: 1' ;TA - �, Address: Issued hy: _ — 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. TKstatement is required for residential building, electrical, mechanical, and plumaing permits. Licensed architect and engineer applicants, exempt from registration wider ORS 701.010(7), need not submit this statement. This.statement will be f''led with the permit. Fill in the appropriate blanks and initial bo:.es I and Z, and either box 3A or 38: (I own, reside in, or will reside in ti:e completed structure. `-1 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 — L� (Name) Contractor regis. # I will instruct my g^neral contractor that .111 subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. 1 will be my own general contractor. LJ If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors NBoard. 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 J name of the contractor. m �? I hereby certify that the above information is correct and that 1 have read and do understand the Information Notice to i'ropertonslruction Responsibilities on the reverse side of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permitfile, pink copy to applicant) Plan Cneck# CITY'OFTIISARD Residential BuVding Permit Appriication Redd By c 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd H-a TIGARD, OR 97223 Single Fancily Detached or Attached (Duplex) Date to P.E. V 503-639-4971 Date to D F 503-684-7297 Pemiit# /-/S%9 Print or Type Called Incomplete or illegible applications will not accepted Name of Project Name Job -i4c r' t-�.l 1f., ._ Architect Mailing Address Address Site Addre,ss 141-'-7 7S ��Lv 1 L City/State Zip Phone Name Name Owner 711n Address �� 7.7` r- w I�._z �'C City/State Zip Phone Engineer Mailing Address ` City/Stato Zip Phone General Name 11 - 1141 Contractor i i _ Describe work New O Addition Alteration O Repair O Mailing Addiess to be done: Prior to permit Ad itional Descri tion of Work: issuance,a copy City/State Zip Phone PPP c� ��tTiN l - ✓��' of all licenses are required if Oregon Const.Cont.Board Exp. Date PROJECT — expired in COT Lic.# VALUATION database Mechanical Name NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit Corner Lot YES NO Flag Lot YES NO issuance,a cony City/State Zia Phone (check one) (check one) of all licenses _ Restricted Audio/Stereo Burglar a:e reluirea if Oregon Const.Cc,:r. Board Exp.Date Energy System Alarm_ expiredOT Lic.# databaseInstallation Garage Door HVAC Plumbing Name M Opener Systems Sub- (check all that Other: Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit G'ylState zip Phone issuance,a copy Has the Subdivision Plat recorded? N/A YES NO of all licenses are Oregon Const.Cont. Board Exp. Data required if Lic.# Solar Compliance expired in COT (Calculat'on Attached) database Plumbing Lic.# Exp. Date I hearby a,:knowledge that I have read this application,that the information given is correct,that I am the owner or authorized Name agent of Vie owner,and that plans submitted are in compliance with Oregon State laws. ► Electrical Signatur � e nt Date Sub- Mailing Audress 4.- Z Contractor Contedt Pei son Name Phone# City/State Zip Phone Prior to permit FOR OFFICE USE ONLY: issuance,a copy _ Plat#: Map(TL#: 1 of all licenses are Oregon Const. Cont Board Exp. Date -? — 17 y y /C 3/� required if Lic# expired in COT Setbacks Tone Solar: database Electrical Lic # Fxp. Date Engineering Approval: Planning Approval: TIF: Al 1•SFREM.DOC (DST) 4/97 CITY OF TIGARD BVILI ING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 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. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall _ Gyp. Bd. -Elect. Date Requested:_ :�7��J Time: AMI PM Address: -,-7� '?�L� jPZ Builder: —Permit #� THE FOLLOWIN--�CORR Cj NS q$E K—OUIRFD: r t 'v Inspector �—f � Date: XAPPROVED ' -ADISAPPROVED— APPROVED SUBJECT TO ABOVE Ca I For Reinsp. UL-25-1995 08:25 WASH.CNTY.OR.LUT/BLDG 1 503 681 3993 P.01 WASHINGTON LAND DEVELOPMENT SERVICES DIVISION*330-12 155 NORTH FIRST.HILL:.SORO, OR 97124 COUNTY, PHONE:503/640.3470 OREGON !NSPECTION REQUESTS (24 hours): 503,/6«0.3561 or$934 Permit # : 0507U336 Project 4 : P0051706 Status : APPROVED Page 1 of l Applied : 07/17/95 Issued 07/17/95 Expires 01/13/46 07/25/95 05 : 02 RESELEC Permit Title !•FR - RELOCATE/CiPCT rTH Description 29103A000800 PARENT PARCEL begun : 07/17/95 Job A3drkss 12775 SW 113TH PL TT Owner Name Region Applicant Name DRYER & SONS ELECTRIC Phone number 774-1606 Valuation: 0 Approved, Approval# : APPR Inspector Comments : Rejected_ IVR--RESULTS REQUEST ERROR! I Plumbing Mechanical : rL t-- "' Electrical . Strmctrual - _ Grneral _ InspOcttd bY : Late : Inspection Requsrted • +� Final Electrical E AP DN IVR 07/25/95 Ri KAC