13705 SW 118TH COURT-1 fy
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION Ms �G�_
24-Hour Inspection Line- 639-4175 Business Line: 639-4171
/ , / / BUP
Date RPquested ( - 7 " AM �( / PM --- BLD
Loca ion -1 1 > �� �() �`i ' Suite MEC
Contact Person i Ph �Z 1- 2�� 7 PLM _
Contractor Ph SWR k`::.
ILDING _~ Tenant/Owner E L C
Retaining Wall ELR
Footing Access:
Foundation / FPS
Ftg Drain ` GL
Crawl Drain In ection Notes: SGN _
Slab SIT
Post&Beam A —
Ext Sheath/Shear
Int Sheath/Shear
Framing — —i---_-- -- -�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Fina .
AS T FAIL - -- --- -- -- __.-- _
ABING ?
Post&Beam --
Under Slab
TopOut --------- -�._..�_-_�__------ -
Water Service
Sanio-rY Sewer -
<Rain Drain
Fin -----------____-�.-._---------- --- __��e � ---------
ASS PART FAIL
ICAL
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
SITE
Barkrill/Grading --
w Sanitary Sewer
Storm Drain I J Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I I Please call for reinspection RE _ --�— [ ]Unable to inspect- no access
Fire Supply Line
ADA ,� t
Approach/Sidewalk
Other Date U Inspector �l� Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER P,ERMI,r
DEVELOPMENT SERVICES PERMIT #. . . . . . . . IIST98-0454
13125 SW Hall BIP d., Tigard,OR 97223(50)639.4171 DATE ISSUED: 11/05,198
F,ARCEL: 2SI03CD—OBVIOO
STTF_ ADDRESS. . . : 1''7705 SW 118TH CT
SI-IBD IVISIOtA. . . . .CREEKSIDE F,ARK ZONII\1(3: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :010 JURISDICTION: TIG
Remarks: Add storage space to existing garage.
BUILDING -----------—------------------------------------------
REISSUE:
---------------------------------------
REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT...: 0 sf REWIRED SETBACKS----- REQUIRED-------------
CLASS OF WORK.:ADD HEIGHT........: 10 FIRST....: 0 sf GARAGE.....: 64 sf LEFT..........: 10 ME DETECTRS:
TYPE OF USE...:SF FLOUR LOAD....: 0 SECOND...: 0 sf FRONT.........: 35 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMFNT: 0 5f RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 5f VALUE..(: IN@ REAR..........: 0
-------------------------------------------------------------- PLUMBING -------------------
SINKS.........:
--SINKS......... 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCHFLW PREUNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------------------------------------------------------- MFCHANICAL ----------------------------------------------------------------
FUEL TYPES------------ FURN i 1009 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=100K 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS.,.- 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES...., 0 GAS OUTLETS...: 0
------------------------------------------ ----_____--_ ELECTRICAL --------------------------
--RESIDENTIAL.
--—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVCIFEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- --ADDIL INSPECTIONS--
1000
NSPECTIONS—ION SF OR LESS: 0 @ - 200 alp..- 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5nSF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp...- 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+alps-1000 V: 0 MINOR LABEL -10: 0
I0004 alp/Volt.: 0 ------------------------------------ PLAN REVIEW SECTION ----------------------------------
Reconnect oy,ij.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: 600 V NOMINAL: CLS A.11A/SPf OCC-
----- ------------------------- --------------------- ELECTRICAL - RESTRICTED ENERGY - ---------------------------__----------------
A.
---------------------------------
A. SF RESI"cNTIAL----—--------------------- B. COMMERCIAL--------------------------------------—----------------------—----------------
AUDIO I STEREO.: VACUUM SYSTEM.. AUDIO A STEREO. FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM.. 0TH: BOILER,.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER.. CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: ------------------------------------Contractor: -----------•----------------- TOTAL FEE,-.! 82.50
043 SCHIEBOLD, & SHARON OWNER This permit is subject to the regulations contained in the
1,3709 SW 118TH COURT Tigard Municipal Code, State of Ore. Specialty Codes acid all
TIGARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone If: phone 0: not started within 180 days of issuance, or if the work is
Rpg #..- suspended for more than 180 days. ATTENTION: Oregon law
------------------------------------------------------------------ requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in DAR 952-00I-0010 through DAR 952-001-0060. You may obtain copies of these rules or
V1 direct questions to OUNC by calling (993)1046-1987.
>_ ------—--——------------------------------— REQUIRED INSPECTIONS --------------------------------------------------------
Erosion 844-8444
Footing Insp
Framing Insp
Rain drain Insp
_j Building Final
ISSI-ley�.
Permittee Signati-11-
+4...4-+++-++*4d Ei4 .........�(+++++++4-+++4++++ -+++++++++- - 4--4 .++
Call 639--4 5 7:00 p. m. for an inspection needed the next boisiness day
CITY OP TIGARD Residential Building Permit Application Plan Che 9C
13125 SW HALL BLVD. New Construction Additions or Alterations Recd By
r. le Family Detached Date Recd_ 0-30-
TIGARD, OR 97223 Si9 y `�L/ Sate to P.E.
V 503-639-4171 !/-,.?•44s��(.
"` Date to DST s
F 503-684-7297 Permit# Eg8`6ys'`/
Print or Type Called
Incomplete or illegible applications will not be accepted
Sl1Y�E Roy-�-'
Name of Project
Job 40 'ILf f>P-Al _
Architect MailingAddress
Address Site Address
13110sS•W.II$�G�. -
- City/State Zip Phone
Name
Owner Mailing Address ✓L
" acyr, Engineer
M 'mg Address
Qt /St Zip pgneZS Z 7 g
I1 9�ZZ3 6 y City/State Zip Phone
General NariTe
Lontractor Awrer ot�Se Describe work New OAddiAddi 0 Alteration O Repair O
Mailing Addre s to be done:
Prior to permit UX "We Additional Description of Work:
issuance,a copy City/Stale Zip Phoneof all licenses _
are required if Oregon Const Cont Board Exp. Date PROJECT
expired in COT Lic.# VALUATION /GQ�
dpf-base
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 7441 Sq. Ft. House: ]Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
subcontractor in the following areas —
issuance,a copy City/State Zip Phone Restricted Audio/Stereo`_
of all licenses
are required if Oregon Const.Cont.Board Exp. Date Energy S stem Alarms
expired in COT Lic# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that �v Other:
Sub- apply)
Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO
(check one) I _deck one _
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy Solar Compliance
of all licenses are Oregon Const.Cont.Board Exp. Date (Calculation Attached)
required if Lic# 1 hearby acknowledge that I have read this application,that the
expired in COT
database Plumbing Lir, # 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.
_ Nam Signature of Owner/Agent Date
�= Electrical
} Sub Mailifig Address C ,@�s e / hon
~ Contractor FOR OFFICE USE ONLY:
Ci /State Zi Phone
N p Plat# MapfrL#:
r Prior to permit14
issuance,a copy
U-1 — Setbacks: e_N S lar:
_J of all licenses are Oregon Const Cont. Board Exp.Date
required if Lic.#
expired in COT Engineering Approval Planning Approval: TIF:
database Electrical Lic # Exp.Date _
L')�11� I SFREMI PJC(DST)8/11/98
Permit
Address: ! 3�D ;�' SL✓ //�` ^ �'V
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., _
Issued by: _ ' Date:
8g§ n S
Staternent: 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. 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 I and 2, and either box 3A or 313:
® 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor it the structure is sold or offered for sale
before or upon completion.
ElI A. 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.
LLJJ
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.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners aljout Co struction Responsibilities on the reverse side of this form.
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(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
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