13630 SW 114TH AVENUE V ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION Msr
24-Hour Inspection Line: 639-4175 Business Line: 639-417
BUP _
Date Requested ����(� / AM ' t'M _ BLD
Location Suite MEC --
Contact Person LGwlxAL` CQC� �-M Ph _ 3PLM
Contract,.)," Ph 3 �1 GAS `� SWR
UILDIN Tenant/Owner __
� ELC
Retaining Wall _~ ELR _
Footing Access:
Foundation FPS
Ftg Drain __ SCN
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 :N [ L t349
19.r
Roof
422
PART FAIL_ '�-� - ---- -- - — -
PLUMBING
st& Beam -- ---�— -- -` - --
Top':)ii _.—_- ------ -- ----
Water Semi
--- - - -
Sanitary e ►y Q
Rain ins
F• -p%Z-
PASS--_ T FA _
MECHAN A
Dust& Beam - ------ -- - ---------
Rough In
Gas Line I --_ ---- --- -- -
CSPART
Dampers
FAIL
R'
N
SN ice I -- --- -- - - --_- ---- --
R In
A-
LO
AIL
SITE
Backfill/Grading -- `--`-�— —^-----
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ -- -required before next inFpection. Pay,-it City Hail, 13125 SW Hall blvd
Catch Basin [ J Please call for reinspection RE' _ _ - [ J Unable to inspect-no access
Fire Supply Line
ADA f ,c
Approach/Sidewalk Date Z X16 /tj
Other _-�_ �_Inspector— �t -�- Ext3l
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISIONMBUPS �cc� S6
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Date Requested l��a� f y AM _PM BLD
Location 30 I L/4- Suite MEC _
Contact Person %L�l�� C.'l SSc e K/yiGGLf U `�h (o G' 3 7 PLM
Contractor_ /Ph 3 '1—6 SWR
BUILDING Tenant/Owner Ltd-- ELC _
Retaining Wall ELR
Footina Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: —
Slab SIT _
Post& Beam
Ext Sheath/Shear _
Int nath/Shear
F ami
9 —
Insulation
Drywall
Drywall Nailing
Firewall --r- 4 7
Fire Sprinkler I - ---
Fire Alarm
Susp'd Ceiling — - --- - -- - -- - -
Roof
Misc: - — -- - ----- ----
Final -- -
PAS PART FAIL ----- -- - -- ---
(PLUMBING `
Wnder-Slab
Top Out ---
Water Service- IJ��
S Sewer—N �'t --------_-�----------
'iDra UIQ
SS PART FAIL
ANICAL
Post & Beam - -- - --- ------ --
Rough In
Gas Line -- - -- -- --------------
Smoke Dampers
Final --- - -------- - _ _
PASS PART FAIL
ELECTRICAL —
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm -----. -- -- ----- -
Final
PASS PART FAIL ---
LL; SITE
Backfill/Grading --- - -.T--- — —
Sanitary Sewer
Storm DrainI [ t Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ [ Please call for reinspection R1 _- [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalkt 4�
Other
— Date d7 4 Inspector_ �� Ext /
Final
PASS PART FAIL DO INOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION l� Ms'r
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested l,?-/aa 1 � AM PM BLD
Location /%l Suite MEC
Contact Person (clN� e�2Nei�k� ��� Ph �"Yq-(�, �a�7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner
ELC
Retaining Wall ELR —
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab —_ SIT _
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing T _�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --.---------
Poof
i-inal
PASS PART FAIL --- - - ---- ----
PLUMBING
Post F,Beim _.- _ ----- -------------- -- -
Under Sh'j
Top Out -- ----- ---- -- --____..-- - —
Water Service
Sanitary Sewer --- --- ------.____-_�-- --.---�--._-_ _-- —
Rain Drains -- - - -- ----- -- -- _--� --- -- -
Final
PASS PART FAIL --- _--_-- -- -----------_- _-_-
MECHANICAL
Post& Beam ---._------ --
Rough In
Gas Line ----_—
Smoke Dampers
Final --- ------- --
PAS __ RT_ FAIL
ELECTRI AL —---------- ---- ---- - -----
Service
Ln Rough In
UG/Slab - - -- ---- - -- --- --_ _
- Low Voltage
Fj�11arm --
CIO
LO PASS PART FAIL —
w
J
Backfill/Grading --
Sanitr ry Sewer
Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ] Please call for reinspection RIF ( I Unable to inspect-no access
Fire Supply Lin( !/
ADA
Approach/Sidewalk Date l /� ' — C _ Inspector_— / Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF T I G A R MASTER PERMIT
DEVELOPMENT SERVICE RIGINALDATEPERMIT#: MST1999-00' 8U
ISSUED: 5/20/99
13125 SW Hall Blvd.,Tigard, OR 97233 (503) 639-4171
SITE ADDRESS: 13630 SW 114TH AVE PARCEL: 2S103DC-00809
SUBDIVISION: VIRGINIA ACRES ZONING: R-3.5
BLOCK: LOT: 007 JURISDICTION: TIG
REMARKS: Add a one Ftory addition to and existing single family dwelling. Plumbing relocation only.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: ADD HEIGHT: 16 FIRST: 40 of BASEMENT: at LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: at GARAGE: of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELUNG UNITS: I FINBSMENT: at RIGHT:
OCCUPANCY GRP: R3 BDRIA: TOTAL: at VALUE: E 12,000.00 REAR:
PLUMBING
SINKS: WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 4 DISHWASHERS: f-1:,OR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS• 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIUCMP c 3HP: VENT FANS: 2 CLOTHES DRYER: 1
GAS FURN—100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 5 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS 9RANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_
1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 400 amp: 201 - 400 amp: 1a1 WIO SVC/FDR: AGN/OUT LIN LT: PER HOUR,
LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALIPANEI.: IN PLANT:
MANU IIMISVCIFDR: 601 • 1000 amp: 601.ampa-1n00v: MolOR LABEL:
1000+amplvolt:
PLAN REVIEW SECTION
Reconnect only:
1<4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED_ENERGY
A.SF RESIDENTIAL _ B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE.ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH- BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAlTELE COMM: NURSE CALLS: 'TOTAL 0 SYSTEMS:
Owner: Contractor:
TOTAL FEES: $ 603.18
This permit is subjed to the regulations contained in the
WATANABE, FREDERIC H CLASSIC REMODELING Tigard Municipal Code,State of OR Specialty Codes and
KATHRYN W 13817 SW MISTLETOE DR all other applicable laws. All work will be done in
13630 SW 114TH AVE TIGARD,OR 97223
TIGARD,OR 97223 accordance with approved plans. This permit will expire H
work is not started within 180 days of issuance,or if the
rL work is suspended for more than 180 days. ATTENTION:
N Phone: Phone: 590-0184 Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rep M: LIC 49353 forth lit 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.
REQUIRED INSPECTIONS
c.�
�1 Footing Insp PLM/Underfloor Framing Insp Plumb Final
Foundation Insp Mechanical Insp Insulation Insp Final inspection
Post/Beam Structural Plumb Top Out Rain drain Insp Bui:ding Final
Post/Beam Mechanica Electrical Service Electrical Final
Underfloor insulation Electrical Rough In Mechanical Final
Issued By : Permittee Signature
Call (503Y169-4175 by 7:00 p.m, for an inspection needed the next business day
*ITY OF TIGARD Residential Building Permit Application Plan Check#
1312 SW HALL BLVD. Additions or Alterations Recd
'i �
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd Date to P.E. -JD-�
V 503-639-4171 Date to DST -II
F 503-684-7297 y--1q Permit#l05F-If`J`�-Q W
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project Nam
Job 2f.5 Z,- 'Vi i L t�qtilZ
Address Site Address 0"y Architect Mailing Address
Name City/St,-'.e Zip Phone
—T-4am Name
Owner Mailing Address -
Engineer Mailing Address
Cly/State Zlp Phone 9 ��J
_ �6,h -Y i A-. s iR
City/State Zip Phone
General Name C L.A5y t L K9AU, DGF1.1V _ G c ,
Contractor G c fL r '- Describe work •Milli Adaition Alteration! Repair O
Mailing Address to be done:
Prior to permit i 7 S�4' �'Lf5ar1 IC > ditional Desc(iption of Work:
issuance,a copy City/State C p- Zip Phone
of all licenses Z
are required if I Oregon Const.Cont.Board Ecv te PROJECT C'7 (`)
expired in COT uc.# yVALUATION
database 13
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- / ' - Sq. Ft. House: l ¢' Sq. Ft, Garage
Contractor Mailing Address `
Prior to permit <• :�' Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the followi ig areas
of all licenses kibtZ2rl _C' Restricted Audio/Stereo
are required if Oregon Const Cont.Board Exp.Date Energy _ System _ Alarms
expired in COT Lic.# Installations Vacuum Inigation
,
database — System System
Plumbing Name (check all that Other:
Sub- -r Pr!u i» iA ��' L a I )
Contractor Mailing Address Comer Lot YES rNO Flag Lot YES NO
check one check one
�' _ lC' 4 �� Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Gity/State Zip Phone
issuance,a copy 16ALA114, i ` [
of all licenses are Oregon Const.-Con(Board Exp.Date
required if Lic N
expired in COT 'f At r! 76 1 "% I hearby acknowledge that I have read this application,that the
database Plumbing Lic.# 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 Sta. laws. _
Name o n Date _
Electrical T ct^ v V' _ -�--3
Sub- Mailing Address Co act Person Nam Phone#
Contractor • C.�c ter t/ 4 , %�
F S'a., c Alit� �
CI y/State Zip Phone
Prior to permit
issuance,a copy l FOR OFFICE USE ONLY:
all licenses are Oregon Const.Cont.Board Exp. Date
-squired if Lic.# Plat#: M p�[L#:
expired i,rnT �' Ste- c c �J1U3l��' G08�
database Electrical Ic # Exp.Date Setbacks: Zone: Solar.
JOY 11J41 C- Ic —q
Electrical Supervisor Lic,# Exp.Date Engineering Approval: Planning Approval: TIF:
i.ldstsVormslsfaddaR.doc 11/20/98
L E(SAL OE5cRit=71 om
261, 3 O.C., TAX LOT We,
15/0 SETBACK LOT 1, iYIRGINIA ACRES
--------------- -------------------------------
- -------------------- ----------------------
---- ------------------------------
ZONING: R-3.5
C)Q�so'9
ONE SrORr
ADDrrIoN
f
I
EXIsrING (2)3roRT' NOUSE
Ex13tYs GARAGE
FRED & KATHY WATANABE
j (503) 620-8856
01
13630 S. W. 114th
Tigard, Oregon
97223
i
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20/0 SETBACK
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SITE FLAN
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