13785 SW FAIRVIEW COURT 59'-0"
FRAME OPENINra CENTERED IN THE
LIVING FROOM WITH 31/8'X9" CONTINUOUS
GLU-LAM HE ADE R ABOVE FOR SUPPORT
OF THE EXISTING TRUSSES FROM ABOVE
FILL IN EXISTING CORNER WINDOWS -
INSULATE, PLYWOOD SHT'G AND SIDING
FINISH TO MATCH THE EXISTING HOUSE – —
• NO EXISTING HOME PERIMETER CHANGE
INTO EXISTING. SETBACKS PER COUNTY
STANDARDS UNDER THIS PERMIT APPLICATION a �
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NEW S' FELLA
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U PROVIDE NEW 6' CEDAR SIDING FINISH >r only the w rk as described in:� i
OVER EXISTING T-111 PLYWOCD SHT'G - 9MlT NO.
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13785 3W FAIRVIEW COURT �—
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��Guu
24-Hour inspection Line: 639-4175 Business Line: 639-4171
BUP
_Date Requested_ AM_ PM BLD
s
Location 1 '� �, ?' -5 t-✓ ,;�ir N L/ Suite MEC
Contact Person Ph G c / - .5)y PLM
Contractor - Ph S fl Z `- SWR —
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain C-GN —
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
Roof
Misc: --- - _------- — ---
Final
PASS PART FAIL -------___._-_ .._----- -------_------------___....
PLUMBING
Post& Beam -----------. ._-------- - __..._--- ---------------.._.
Under Slab
Top Out
Water Service
Sanitary Sewer -- _-- _—_-- __--
Rain Drains _
Final
PASS PART FAIL.
MECHANICAL
Post& Beam ---- - - --— --- ---
Rough In
Gas Line --- .. -------
Smoke
-----Smoke Dampers
Final
PASS_ PART FAIL.
LECTRICA
RoughIn --- ---- ---_ ----_--- ------_..�
UG/Slab
Low Voltage S�
Fire Alarm
Fin
S PART FAIL
Backfill/Grading —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW I1all Blvd
Catch Basin [ Please call for r spection RIF _- Unable to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Date 71 �_#�_ Inspector-_ Ext — —
Final
LPASS PART FAIL 00 NOT REMOVE this inspection record frorn the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION f;
MST �-
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 I
J BUP
_ _Date Requested y AM PM BUP 4
BLD
Location- /-5 ' Gl Ir G/1�— (;'-� Suite
MEC
Contact Person Ph G 4I f 7 U PLM _
Contractor Ph 7�( -- 5 ,�''� Z. SWR
k kd G 7' Tenant/Owner ELC
;efaining Wall ELR _
Footing Access:
Foundation FPS _
Ftg Drain SGN
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 --
Roof
WVS
�-
ART FAIL
- ---- _-_..,_ --- -- . - ------�� -- ---- ---
PEMING
Post 8 Beam -
Under Slab
Top Out - -
Water Service
Sanitary Sewer - _ - -- - - - -
Rain Drains
Final --- -__- --
PASS PART FAIL.
MECHANICAL
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
Backfill/Grading __----._--
Sanitary Sewer
Storm Drain ( j Reinspection fee or$ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ] ]Please call for reinspection RE: _-_ _-_ ( j Unable to inspect-no access
Fire Supply Line
ADA t
Approach/Sidewalk "r
Other _ Date Inspector_�/ _Ext j
Final 1
PASS PART FAIL— DO NOT REMOVE this Inspection record from the job site. ¢
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00397
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/5/03
SITE ADDRESS: 13785 SW FAIRVIEW Cl'
PARCEL: 2 S 103C D-0 1800
SUBDIVISION: HOLLYTREE ZONING: R-4.5
BLOCK: 01 LOT: 014 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS. TRAPS:
STORIL'S: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 1
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: 150 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: 40' new exterior water service, replace 110' interior water lines, replace shower valves
FEES
Owner:
Description Date Amount
GREEN, DENNIS L AND
13785 SW FAIRVIEW CT IIT"ihTIiI I'L•rmit Pcr 8/5/03 $118.00
�
TIGARD, OR 97223 I I, XI x"i,State"fax 8/5/03 $9.44
Total $127.44
Phone : 503-694-2619
Contractor:
t.ROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone : 503-771-9449 Water Line Insp
Water Service Insp
Reg #: I.I(' 42671 Misc. Inspection
I'I,M 34-701611
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other 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, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: -yam Perrnittee Signature:
Call (503439-4175 by 7:00 P.M. for an inspection needed the next business/ day
ri
-n, -Pn03 01 : 46 PM CROM PLUMBING 503 771 9454 P. 01
'ding Fixtures
tubing Permit application Reuel Plurrtbin,
- oats ; i I l I 0 3 �- Permit No• m a0; 3 •oT 34
1+Iatmltl=11t+P>nval sewer
City of Tigard Dak/BY__ Permit No.: --
13125 SW Mall Blvd. Plan Rmew other
Tigard,Oregon 97223 DatdA -_ - Permit No.:
Post-Review Ltnd Use
Phone: 503-639-4171 Fax: 503-598 1960 pate_ Case No.:AM _
Internet: www.ci.tigard onus Canuct Julia.: Ser Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: 5u ,lemrntal Information.
' { NMI
i
_N_ew construction Demolition Deacrt cion Qw. Fee(ea.) Total
Addition/alteration/re lacement other. 1 `�� �y r ,r
SFR�bnth _ _ 2A9.2U ___-
1 &2-Familydwelling Commercial/industrial SPR(2)bath 350.00
AccessotI Building_ Multi-Family SFR(3)bath _� 399.00der
Master BuilOthcr- Each additional bathikitchcn 45.00
1 Fire sprinkler-s .R-: Page t
Job site address_ 8,5- ,sem► °v 1,0 V/ 16.60
Suitt
�_Bld /A t/1; Catch basin/arca drain -
#: pr ell/leach line/trench drain 16.60
Project Name. _ Footitidrain(no.linear R.) Page 2•
Crogs steCt/Directions to job Bite: Manufactured home utilities I I0 00
Manholes 16.60
Rain drain connector 16.60_
Sani sewer no.linear fl.) P e Z _�_
Subdivision; - - Lot#: storm sewer(no.lincat ft..1 _ P .2
- Water tleWo no.linear ft. O P e 2 00
Tax ma / arcel#:
Abhor tion valve 16.60
w+,v R/,A,,tJ 6 W 4XO.,t 5 e_✓.A C•-L, nachflow preyenter _ - _. P_ e 2 -
�i 1jarkwatct valve 16.60
Clothes washer 16.60
-- Disliwasliet 16.60 -_
Drinking fougitin 6.6u
Hjectors/aum 16.60
:'� Name; __ Hx artsio.t tank 16.60
Address: Fixture/aewer c 16.60
city/state/z,/$18tC/Zl Floor drain/Ooor sink/hub 16-60
Garbage disposal - 16.60
Phone: (o 9 i Fax: Hose bib _ 16.60
Ice maker 16.60
Name: Intl se trap 16.60
Address Medical as-value! S aE 28
Prima' 16.60
Cit /state/ziRoaf drain commercial) -- 16.60
Phone: Fax: Sink/basu✓lavatory _ 16.60
E-mail: T1tb/shu-er/eho-pan 16.60
U •nal 16.60
Water closet 16.60
Business Name: DAN evG,../►j Wata heater 16.60
Address: ti .�-4 3 (/citi-cam s r Other- '51,".j"4 J�J-9~ .1�
r� t _ N i"6AK
OW/State/Zi U� �t GY4. e�7s 0 �o X10. Other:
Phone: ]7/-9 V y 9 Fux-77,- subtotal 8
CCB Lie. #: Plumb. Lic-#: -'7d l(3 Minimum Pertnit Fee$72.50 s `��,p v
Authotired Residential Backflow Minimum Fee 536.25
Signature: l,�L _ Date: Q d3 Plan Review 255E of Permit pee S J
I State Surchairge, 8%of Permit Feed S
TOTAL PERMIT FRS S
(P1npr print nartr)
Notice: Thle permit application expirq If a permit Is not ebtalned within All rt w comegrat"conplan anvings lew.�tre 2 sets orplaPo wltY Isometric or
IRO days atter It Au been arrepteA as complete. •Fee methedo
roti•set by review.
Building Industry Service Board.
t\rastsU'ermut l:nmv\PW1ermitApr d� 01A); -6-1 dl-
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST _
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _— Rate Requested—_ 13 AM PM — E)UP —
I_ocation _—__j 3Z_�s _ V`t-�``, _Suite-- _—__ MEC
Contact Person _. Ph( ) _ PLM `d0
Contractor_ _ -- Ph SWR —
0
BUILDING Tenant/Owner _ _ __ ELC — ---_
Footing--- - ELC
Foundation Access:
Fig Drain ELR _---
C:rawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors — _ -
Ext Sheath/Shear - - -- -
Int Sheath/Shear
Framing --- --- ---- — - - — -- -- ----
Insulation
Drywall Nailing -- -- ---- ---------- -- _.�
Firewall
Fire Sprinkler V ---
Fire Alarm f (.
Susp'd Ceiling ----
Roof -— - ------
Other: --
Final
_ PASS PART FAIL
PLUMBING ___ — -- -- -- ------ _
Post&Beam
Under Slab
Rough-In
Water Service __ __ - _ -_- �----- ---- --
- --- -
Sanitary Sewer 1
Rain Drains ----
Catch Basin/Manhole _
Storm Drain — --- ---
Shower Pan
Other: --___ _ -- --- ---- — --------- ------- -- �-
VI
PAPT FAILANICAL --- - - - - -- ---- -- -
Post& Beam
Rough-In -- - - -- - - - ------ _----- - - _— -..-
Gas Line
Smoke Dampers -- -- - - -- -- ---------- - — --- --
Final
PASS PART FAIL -- -- - ---
ELECTRICAL ___-------- -------------- ----- ---
Service
Rough-In
UG/Slab
Low Voltage ---__-- _--- --
Fire Alarm
Final Ll Reinspection fee of$ ___________- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ] Please call for reinspection RF: - - - Unable to inspect- no access
Fire Supply Line f
ADA
Approach/Sidewalk Date -- Inspector ___--- Ext -------
Oiher:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY O F TIGARD BUILDING PERMIT
PERMIT #: BUP2004-00168
DEVELOPMENT SERVICES DATE ISSUED: 4/15/04
13125 SW Hall Blvd., Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S103CD-01800
SITE ADDRESS: 13785 SW FAIRVIEW CT
SUBDIVISION: HOLLYTREE ZONING: R-4.5
BLOCK: 01 LOT: 014 JURISDICTION: TIG ^_
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
YPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BS MT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: ^SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 500.00
Remarks: Add bay window
Owner: Contractor
GREEN, DENNIS I_ AND WHITEHOUSE COLLECTION INC
KASHMIR, CHRIS 13999 SW HILLSHIRE
13785 SW FAIRVIEW CT TIGARD, OR 97223
TIGARD, OR 97223
Phone: 503-539-1600
Phone: 590-0209
Rea #: LIC 129105
FEE_S REQUIRED INSPECTIONS
Description Date Amount Framing Insp
I ILD] I'ernur Fee 4/15/04 $62.50 Final Inspection
11`i K Sratr Surrharl 4i 15/04 $5.00
Total $67.50
This permit i^ issued subject to the regulations con'tained in the Tigard Municipal Code, State of OR. Specialty Codes
and all othe applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
Issued By:
i
Permittee
Signature: Tti-
i
Call 639-4175 by 7 p.m, for an inspection the next business day
BuildinL, rermit Application FOR OFFICE USE ONVY
City Of Tigard IDate/By. Ail/7 O7 Pernut No.
13125 SW Hall Hh d, I igard,OR 97223 Plan Review Other Permit
Phone: 503.639.4171 Fax: 503.598.1960 DawBy _J. _
Inspection Line: 503.639.4175 Date Ready/By: luru ® See Attached Checklist for
Internet: www.ci.tigard.or.us NotifledRdethod: - - Supplements Inrormadon
OF WORKS o " ='.LQUIRED DATA:I-AND 2-FAMILY DWELLING
- —
Permit fees'are based on the value of the work performed.
❑New construction ❑ Uclnolltlotl
Indicate the value(rounded to the nearest dollar)of all
❑ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
M- work indicated on this application.
CATEGORY OF CONS'TR>MC'I'ION .�..,,ti, i�; ��.,.
=---' Valuation: $
❑ 1-and 2-family dwelling ❑Commercial/industrial
- ----- --- Number of bedrooms:
❑Accessory building ❑Multi-family - - �- -- —
Number of bathrooms:
El blaster builder ❑Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Jou site address: /�s Sem � 167
_."S.�p(� -- - New dwelling area: square feet
City/State/ZEP: _ _ Garage/carport area: square feet
Suite/bidg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: - Deck area: square feet
Other structure area- square feet
_ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: _- I.ut tit) Permit fees"are based on the value of the work performed.
-` - - Indicate the value(rounded to the nearest dollar)of all j
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S
- Existing building area: square feet
^-- - - --^ New building area: square feet
- --[] PROPERTY OWNER ! :,14 Q-TEN ANTNumber of stories:
Name1 S — _ Type of construction:
Address S�� atJ� - _ Occupancy groups:
City/Stale/ZIP: Existing:
Phone:( _ p S.39 16,OD Fax:( ) New:
�]'APPLICANT CI CONTACT PERSON
Business
name: All contractors and subcontractors are required to be
--
licensed with the Oregon Construction Contractors Board
Contact name: - _ under ORS 701 and may be required to be licensed in the
- ----------
Address: jurisdiction in which work is being performed. If the
-- - applicant is exempt from licensing the following reasons
City/Slate/ZIP: --- - _- apply:
Phone:( ) 1 i ax t 1
E-mail:
CONTRACTOR --
Business name: $Ui#,Ifiivrr'>ERMtT"AtO
Address: LV v�a� ee# _ °lease refer to fee schedule.
City/State/ZIP: - Fees due upon application
Phone:(503) 7LJ 2 S Fax:( ) Amount received
CCB Iia: p,
-r----- Date received:
Authorized signature: This permit application expires if a permit Is not obtained
_ within 180 days after It has been accepted as com^tete.
f Print name: Date: " Fee methodology set by Tri-County Building Ind ;try
Service Board.
I\BwldmitTermnrBUP ItermnApp dm 1203 410•4613TO 1102/COWIVEE)
One- and Two-Family Dwelling
Building Permit Application Checklist FOR OFFICE USF ONLY
Cit of'Fi and Received
y � Pate/By: i }'emus No.
'
13125 SW Hell Blvd.,Tigard,OR 97223 Aapermits
Phone: 503.639.4171 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
internet: www.ci.tigard.or.us ❑ Ocher
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc []
3 Verification of approved plat/lot. []
4 Fire district approval required. Name of district:
5 Septic system permit or authorization for remodel. Existing system capacity ❑
6 Sewer permit. _ ❑
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state [�
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
I I Site/plot pian drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and dnveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area,percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location.
I13_Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
I4 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fire lace construction thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
prescriptive path analysis provide specifications and calculations to engineering standards. _
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non-uniform load
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
22 Engineer's calculations. When required or provided,N e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed to Oregon and shall be shown to be a Ile to the project under review.
23 Five 5 site plans are required for Item I I above. Sne pl urs must be 8-1 "x 11"or I I"x 17".
24 Two 2 sets each are required for Items 16, 19,20 and 22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted, 11 110
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or ineer scale. 11
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City Lf Tigard
Street Tree List.
29 Site plan to include tree protecition measures as re uired by conditions of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions,
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
i:\Building\Perrnits\One-Two-FamilyChecklist.doc 12/03
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
MASTER
CITY OF TIGARD PERMIT
MSTT
PERMIT#: MST2000-OOU?.i
3 DEVELOPMENT SERVICES DATE ISSUED: 02/1512000
13125 SW Hall Blvd.,Tigard, OR 97223 (50MIGI NA L
SITE ADDRESS: 13785 SW FAIRVIEW CT PARCEL: 2S103CD 01800
SUBDIVISION: HOLLYTREE ZONING: R-4.5
BLOCK: 01 LOT: 014 JURISDICTION: TIG
REMARKS: 250 sq. ft. addition
BUILDING
REISSUF, STORIES I FLO:R AREAS REQUIRED SETBACKS __ REQUIRED
CLASS OF WORK: ADD HEIGHT, ii FIRST' :53 st BASEMENT'. sr LEFT: 7 SMO(E DETECTORS.
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: III GARAGE: sl FRONT: P ARMING SPACES
TYPE OF CONST: 5N DWELLING UI41TS: I FINBSMENT. al RIGHT:
VALUE: $17.955•I I
OCCUPANCY GRP: R3 BDRM: BD.TH TOTAL: sl REAR: 25
PLUMBING
SINKS I WATER CLOSETS- 18HING MAr' LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: :I-- I-- " S SEWER LINES: SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS. GARBAGE DISP I WATER HEATERS. WATER LINES: BCKFI W PREVNTR: GREASE TRAPS.
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN<100W BOIUCMp<OHP: VENT FANS: CLOTF ES DRYER
SAS FURN—100K. UNIT HEATERS: HOODS: I OT 9ER UNITS'.
MAX INP, btu FLOOR FURNANCES: VENTS: I WOODSTOVES. GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT_ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS _ ADO'L INSPECTIONS
1000 SF OR LESS, 0 - 200 amp. 0 700 amp. WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION.
EA ADD'L 500SF: 201 400 amp. 1 201 400 amp: 1st WIO SVcIFUR: SIGNOUT LIN LT,. PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNAL/PANEL, IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 6011-amps-1000w MINOR LABEL
1000+amolvolt PLAN REVIEW SECTION _
Reconnect only
>•4 RIES UNI IS SVC/FDR>r.775 A.: >800 V NOMINAL CLS F REAISPC OCC
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B COMMERCIAL
AUDIO&STEREO Vt CUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM INTERCOMIPAGING: OUTD)OR LNDSC L T
BURGLAR ALARM. OTW BOILER: HVAC LANDSCAPFARRIG: PRO rECTIVE SIGNL:
GARAGE OPENER: CLOCK: 14STRUMENTATION: MEDICAL: OTHR:
HVAC. DATAITELE COMM: NURSE CALLS: TOTAL M SYSTEMS
TOTAL FEES: $ 809.18
Owner: Contractor: This permit is subject to the regulations contained in the
GREEN,DENNIS LAND ROBERT J FOUTTS. SR Tigard Municipal Code, State of OR Specialty Cedes and
KASI IMIR.CHRIS 6601 SW 155TH AVE all other applicable laws All work will be done in
13785 SW FAIRVIEW CT BEAVERTON,OR 97007-5016 accordan—e with approved plans This permit will expire if
TIGARD,OR 97223 work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Phone. Phone Oregon law requires you to follow rules adopted by the
Oregnn Utility Notification Center Those rules are set
Rena 0 I u niaq forth in 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
Erosion 844-8444 Underfloor insulation Plumb Top Out Rain drain Insp
Footing Insp Crawl Drain/Backwater Electrical Service Electrical Final
Foundation Insp Footing/Foundation Dr Electrical Rough In Mechanical Final
Post/Beam Structural PLM,I)nderfloor Framing Insp Plumb Final
POSUBeam Mechanica Mechanical,Insp Insulation Insp Final inspection
Issued BYJ i`— _ Permittee Signature
• ;
Call (503) 61'90-4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Check# - S�
13125 SW'HALL BLVD. Additions or Alterations Recd S _.
Ds'e Ree cd ILL
TIGARD, OR 97223 Single Family Detached OI Attache 1 (Duplex) Date to P.E.I ex?
V 503-639-4171 Daic in DST - C1
F 503-684-7297 Permit#K 5" -
Print or Type Calledt
Incomplete or illegible applications will not be accepted
Name of Project TName
Job tel_ Architect Mailing Address
Address Site Address _ �E p( j k_�
I -7 J�t F�9(j2////� uJ wily/State Zip Phone
Name ,6 //� 1'Vojy& f 129(-,-,0-,7_ r/�-570
kQ15 Df�lnit5 6IREe_N Name
Owner Mailing Address _
5' SJ L J F4 i QV 4 F—kJ Mai ng Address
City/State Zip Phone Engi peer
_ - A I) CR `r City/;'tate v Zip Phone
GeneralName
Contractor �lQ C' �� ( l�f S Describe work New O Addition Alteration O Repair O
Mailing Addressto be done
Prior to permit (�O/_ 5!ti /5,57-' >Ad✓'E- Additional Description of Wo-k:`�5 U �� ��/ r
issuance,a copy City/State Zip Phone _ C) 4
of all licenses WWa70M OV- 970(7`7
are required if Oregon Const.Cont.Board Exp Date A PROJECT
expired in COT Lic#
database �-f /7 g,/, /q /�_ z`_e,C' VALUATION $
_ --- -
Mechanical Name - NEW CONSTRUCT ON ONLY:
Sub- �� LQ W Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address (, T — S _
Prior to permit Wu ( '5 t Q( �" Indicate the restricted ergy i istallatton by the electrical
issuance,a copy C /State Zip Phone subcontractor in the following treas
of all licenses L�/ 6 Restricted A/dio/Stereo
are required if Oregon Const.Cont.Board Exp Date Energy SL�tetn Alarms
expired in COT Lic R �.� y .� f� �� I ����� Installations fst
acuum Irrigation
database r y em
Plumbing Name (check all that )they:
Sub- _ apply) --
Contractor Mailing Address — — Corner Lot YES tJ0 Flag Lot YES NO
check or _ (check one)
_ Has the Subdivision Plat r:corded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy
of all licenses are Oregon Const.Cont Board Exp Date
required if Lic# 1 hearby acknowledge tat I have read this application, that the
expired in COT _
database Plumbing Lic # Exp. Date � information given is cr rrect,that I am the owner or authorized agent
of the owner,and the f plans submitted are in compliance with
_ _
Oregon S to laws.
Name Signa tare f Ownr r Date
Electrical 3—�4c°i-l2 I 1 C?' - _ ti � � S� Phone#
Con ct Per�so,i Na _ Phone#
Sub_ Mailing Address 7��-�z t?1 F'ct r
Contractor CktL �7& � �-
City/State Zip Phone
Prior to permit
issuarce.a copy ���' ► '� UJo - AOR OFFICE USE ONLY: _
of all licenses are Oregon Const Cont Board Exp Date rr lat#; Map/TL#.
required if Lic# f ra C WOU 1 >> - [,?-
expired in COT
database Electrical Lic # Exp at Setbac S: Zone: Solar:
_ Electrical Supervisor Lic # Exp F1 f Enginee ing Approval Planning Approval— TIF:
c n jF.
i ldsts',forms�sfaddalt doc 11!?0!98
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITY OF TIGARD
13125 S.W. HALL. BLVD.
TIGARD, OR 97223
RECEIVED
IMPORTANT PERMIT NOTICE FEB 2 3 20I1Q
HANDLINS PLUMBING �M �11Y UEVEL vil
5640 SW 2WND
ALOHA, OR 97005
Plumbing Signature Form
Permit #: MST2000-00035
Date Issued: 2115100
Parcel: 2S103CD-01800
Site Address: 13785 SW FAIRVIEW CT
Subdivision: HOLLYTREE
Flock: 01 Lot: 014
Jurisdiction: TIG
Zoning: R-4.5
Remarks: 250 sq. ft. addition
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTW Building Dept.
No plumbing inspections will be authorized until i1iis completed form is received
OWNER: PLUMBING CONTRACTOR:
GREEN, DENNIS L AND HANDLINS PLUMBING
KASHMIR, CHRIS 5640 SW 202ND
13785 SW FAIRVIEW CT ALOHA, OR 97005
TIGARD, OR 97223
Phone #: Phone #: 641-5208
Reg #: I IC 00049052
PI M 34-333PB
AN INK SIGNATURE IS REQUIRED O%THIS FORM ,
X
Signature o Auth rized Plumber
If you have any questions, please call (503) 639-4171, ext. 9 310
CITY OF TIGARD
13125 S.W. HALL BLVD. FC^'F'T'\7F,I
TIGARD, OR 97223 l
MAR 0 7 2000
IMPORTANT PERMIT NOTICE BY:
A B ELECTRIC
PO BOX 805
BANKS, OR 97106-0805
Electrical Signature Form
Permit #: MST2000-00035
Date issued: 02/1512000
Parcel: 2S103CD-01800
Site Address: 13785 SW FAIRVIEW CT
Subdivision: HOLLYTREE
Block: 01 Lot: 014
Jurisdiction: TIG
Zoning: R-4.5
Remarks: 250 sq. ft. addition
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
GREEN, DENNIS L AND A B ELECTRIC
KASHMIR, CHRIS PO BOX 805
13705 SW FAIRVIEW CT BANKS, OR 97106 0805
gGARP, OR 97223
one Phone #: 324-0408
Req #: LIC 00000955
ELE 34-35C
SUP 2B03S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
r, (�
5icinature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST � L�Cr2�iJ3S�
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM AM PM BLD
Location j -2) ) FQ t Suite MEC
Contact Person 6c ! > �nl,� — Ph -.Lr `l 7��`l PLM _
Contractor Ph SWR _
BUILDING Tenant/Owner ELC
Retaining Wall ELR _
Footing Access: FPS
Foundation
f tg Drain SGN
Crawl Drain Inspection Notes: ------
Slab _ —_ —._ _ SIT
Post&Beam
Fxt Sheath/Sheaf
Int Sheath/Shear
Framing - - --- —------ ----
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- ----- --- -- ------------
Roof
Misc. _ --�_.. ----- ---- -—- --- ----_
Final
PASSPART FAIL - - - --- -.._ -- ....--- .._�_ - ---- ---- ----- — -- --
PLUMBING
Post& Beam ---.--_-
Under aidb
Top Out
Water Service
Sanitary Sewer - --- - - - - -- -- --
Rain Drains
Final
PASS PART FAIL
MECHANICAL _
Post&Beam --
Rough In
Gas Line - - - -- - ---- ---
@ Dampers
(Tina(Tinal I -- . . -- -
- —��
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading -�-- -~ _---
Sanitary Sewer
Storm Drain ]Reinspection fee of$ required before next inspection. Pay at City Hall, 134"9 SW Hall Blvd
c itch Basin
Fire Supply Line ( J Please call for reinspection RE: )Unable to;r,spect-no access
ADA
Approach/Sidewalk Date Inspector � � Ext 'A/
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��� _✓���� j � '
24 Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BLIP
_Date Requested '7- AM PM BLD
Location S c. I V I Pw C' f Suite MEC
Contact Person Ph _ - / �� / PLM _
Contractor Ph ? ( 5��Y i-- SWR
BUILDING Tenant/Owner E L C
Retaining Wall ELR
Footing Access: —
Foundation FPS
Ftg Dra,1 SGN
Crawl rll.ain Inspection Notes ---
Slab
SIT
Post&Beam -` —
Ext Sheath/Shear
Int Sheath/Shear
Framing --- -_
Insulation � —^-- --�--- �-
Drywall Nailing
Firewall - �^-- ----------
Fire Sprinkler
Fire Alarm �—
Susp'd Ceiling --
Roof I --- ---- --------...___ _
Misc: - — -----._.- .- -
Final
PASS PART FAIL ---- -----.__-- -----_... -- --___._.__.-..__-----_-
RIN
s
earn _—
Under Slab
Top Out .l�Tr,
-- -- --- -------
Water
-- ---Water Service
Sanitary Sewer --— --
Rain Drains
PA:] PART FAIL
MECHANICAL — —
I'osl&Beam
Rough In
Gas Line — -
Smoke Dampers
--
PASS PART FAIL
ELECTRICAL - - __.---- --_...__ _
Service
Rough In - - -
UG/Slab
Low Voltage
Fi,e Alarm
Final -- ------ — __ __-_-----------_-�-.--_. _ --------
PASS PART FAIL
SITE
Backfill/Grading - -------- --- ------- —
Sanitary Sewer
Storm Drain I 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 1 P [ Unable to inspect no access
ADA
Approach/Sidewalk Dat � InspectOtheror,� � Ext
Final
PASS PART FAIL_j DO NOT REMOVE this inspection record from the job site.