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10225 SW HILLVIEW ST.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ( rc_ 6)4 3C?/
24-Flour Inspection Line: 639-4175 Business Line: 6j3-4171
BLIP
Date Requested_ /- D AM--�_PM `_ BLD
Location S j I L L \/, 5-w rte" Suite MEC
Contact Person — Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EI R
Footing Access: � -------------------
Foundation FPS
Ftg Drain ---_____.�— --- -.--
Crawl Drain Inspection Notes: SGN -
Slab
.___..------------...--
—.-------- --------- SIT
Post&Beam -- -- —
Ext Sheath/Shear
Int Sheath/Shear
Framing '__ -
Insulation
Drywall Nailing
Firewall ----�--- ---'
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc.- --- -
(PASS PART FAIL - -- --. -
PLUMBING __--
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer - -------_._. _—_--
Rain Drains _
Final
PASS PART FAIL
M''CHANICAL
Post&Beam
Rough In
Gas Line
Smoke Dampers
Final --
PASS PART FAIL
ELECTRIC 4l
Service
Roug .In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Gradiing
Sanitar,Sewer
Storm Drain ( Reinspection fee of$ required before next Inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: _ ( j Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date /- l / _ Inspector /i _ Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the jots site.
CITY ®F T I G A R® — MASTER PERMIT _
PERMIT#: MST1999-00391
DEVELOPMENT SERVICES DATE ISSUED: 11/24/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503MIGINAL
171
SITE ADDRESS: 10225 SW Hll_LVIEW ST PARCEL: 2S102CC-0'900
SUBDIVISION: FRELEON HEIGHTS NO.2 ZONING: R-3.5
BLOCK: LOT: 022 JURISDICTION: TIG
REMARKS: Bay window addition
BUILDING _
REISSUESTORIES: I FLOOR AREAS - REQUIRED SETBACK; R QUIREII
CL4SS OF WORK: ADD HEIGHT FIRST. 15 of BASEMENT: sf LEST: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD. a) SECOND. of GARAGE: of FRONT: PARKING SPArcS:
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT sl RIGHT.
VALUE'. 5 1;',500 00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL. sf REAR.
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS. FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES'
MECHANICAL
FUEL TYPES FURN<1001,L BOIL/CMP<3HP' VENT FANS: CLOTHES DRYER:
FURN—100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR FURNANCES' VENTS: WOODSTOVEE- GAS OUTLETS;
ELECTRICAL �..._.
RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCI+Cir'CUITS _MISCELLANEOUS —ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp. 0 200 amp: WISV^-OR FDR: PUMPIIRRIGATIOW PER INSPECTION:
EA ADD'L 5069F: 201 - 400 amp: 201 - 400 amp: 1 t WIO SVC,'DR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENEPJY: 401 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCkDR: 601 - 1000 amp: 601-amps•1000v: MINOR LABEL:
1000•amplvoll
PLAN REVIEW SECTION
Reconnect only: >600 V NOMINAL: CLS AREA/SPC OCC:
>R4 RES UNITS: SVCIFOR>s225 A.:
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO. y VACUUM SYSTEM. AUDIO 11 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT'.
BURGLAR ALARM: :TH BOILER: HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGEOPEN6n. CLOCK: INSTRUMENTATIOr:. MEDICAL: OTHR:
HVAC DATA/TELE COMP' NURSE CALLS: TOTAL 0 SYSTEMS.
TOTAL FEES: $ 302.53
Owner: Contractor: This permit is subiei;t to the regulation:contained in the
UPHOFF. ELNOR ANN+ WOOD YOU BELIEVE Tigard Municipal Code, State of OR Specialty Codes and
RICHARD C. TRUSTEES 3912 SW 141ST all other applicable laws. All work will be done in
10225 SW HILL VIEW ST BEAVERTON,OR 97005 accordance with approved plans this permit will expired
TIGARD•OR 97223 work is not Started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTIENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep Y: LIC 00106686 forth in OAR 952-001-0010 through 952-001-0080 You
rnay obtain copies of these rules or direct questions to
GUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Footing Insp Rain drain Insp
Foundation Insp Final inspection
Slab Insp
Underfloor insulation
Framing Insp
Issued By : � L "� f Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
,
CI"f!' OF TIGARD Residential Building Permit Application Plan ch
13125 SW HALL BLVD. Additions or Alterations Recd By
Date Rec'd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. - ?
V 5d3-639-4171 Date to DST 'Z
F 503-684.7297 Permit �>1 1171 156 At
Print or Type CalledI�-
Incomplete or illegible applications will not be accepted
- ---- - —
Name of Project Name
Job P�'bk_4. EV;)'CJeA (MaflingAddresls
ayt
Address
Site Address Architect , .) Sw ILI I y,
`D 1 'T, ity/State Zip one
Nape
1<ock c#. H ��- -- Name
Owner Mailing Address _
Engineer Mailing Address
Cwt r/State Zip Phone
_ I i 35 City/State Zip Phone
General Nar0e
Contractor woob to �II� �K Describe work New O Addition(9C' Alteratior O Repair O
Mailing Address St to be done: _
Prior to permit y lAdditional Description of Work:
issuance,a copy city/State Zip Phone ___ •t 1. ' `
of all licenses L_ c- V 470 'Y 1-I I
are required if Oregon Const.Cont.Board Exp. Date _PROJECT
expired in COT uc.# . 1 VALUATION $ � G�
database -
Mechanical K :me NEW CONSTRUCTION ONLY:
Sub- i Sq. Ft. House: 17S_q_Fl.Garage
Contractor Ma ifigAd(lress-_ -
In 'tate the restricted energy installation by the electrical
Prior to permit !"
Issuance,a copy City/State Phone suh ontractor in the followin areas
of all licenses Restricted- Audio/Stereo
are required if Oregon j fist.Cant.Board ate Energy System Aiane
expired In COT Lic.#� Installations Vacuum Irrigation
database %tttem S stem
Plumbing Name (check all that Othe .
Sub- I apply)
_
Contractor Mailing Address Corner Lot YES N FI of YES NO
"N. _check one (check o
Has the Subdivision Pjot f ecorded? N/A YES NO
Prior to permit City/State Ip Phone
issuance,a copy w-
of all licenses are Oregon Const.Cont. and Exp.Date
required if Lia# ;'` 1 ~he9rhy acknov,;edge that I have read this application,that the
expired in COT'
Exp.
database Plumbing LIC• iniormation given is correct,that I am the owner or authorized agent
of the ow-ier,and that plans submitted are In compliance with
Oregon Slate laws.
—� Name Si ature of Own@t Agent natc
Electrical " 4tlt, I►/I j/y9
Sub- Mailinq Address Contact Person Name Phone#
Contractor r
City/Stater Zip ne� r-u?rrint.
Prior to permit
issuance,a copy FOR OFFICE USE ONLY: _
of all licenses are Oregon Const Cont B r Exp.Date plat IN: y/ Map/TL#:
required if Lic#
expired in COT
database Electrical Lic. Exp. a Setbac i Zone: /), Solar:Id
Electrical Supervisor Lic.# Exp Date Engineering Apt)rn lovel: Plannipproval: TIF: r
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