10395 SW HIGHLAND DRIVE-1 MM r
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CITYOFTIGARD BUILDING INSPECTION NOTICE
' Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL: •
s Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. '
Post/beam Struct. Mech. Rough-in Gyp. Bd. �d
San. Sewer Gas Line Appr/Sclvrlk Reins.
Other: -
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Date: � � A.Mt Entry: _� r
Address: -
Tenant: _. Ste:
- BLIP:
Con/Own: �-E�� _'�ci- $/`-� —- MEC:
I PLM:
j ELC
THE FOLLOWING CORRIFOTIONS ARE REQUIRED ELR
------
Inspector:
_ _ _ __ ft� — Date: ---
APPROVED _i•ISADPROVED/CALL FOR REINSP. CF CO
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June 18, 1996 U `--�—U CITY OF TIGARD
■
NIELSEN,NIELS Ar1ELEN F OREGON
10395 SW MGHLA 4D DR -
TIGARD OR 97224
RE: MST95-0430 AT 10395 SW HIGHLAND DR
Our records indicate that you are the current property owner of the above project. As such, we are notifying you
j that either no inspections have bet ,conductLJ on the project authorized by the above noted permit OR f
inspection(s)have been conducted bill we have no record of any subsequent of final inspections within the past 180
days.
j
4 Please note that permits become void if there has not been an inspection performed for over 180 days, in that c ise..
the Building Division may require a new application raid fees to continue work;however, you may request
additional time to complete the project without paying w'ditional fees,
Permits w inspections required by the Tigard Municipal Code are an important part of your project. Perr,,its help
to ensure that work is done in compliance with minimum code requirements. inspections are intended to protect
the occupants of buildings and building owners,
As the current property owner of the above project, you arc responsible for obtaining the required inspections, The
responsibility is yours even if you were not the owner at the time of the original permit.
The City would like to work with you to close out this project with steps taken to assure:that at least minimum code
compliance has been achieved. This documentation will he helpful to you and future owners of the property.
If you are ready to schedule your next Inspection please call ou. 24-hour Inspection Recorder at 639-4171
within 15 clays. Be prepared to provide the following infonttation: Pennit number,address of property, your
name, your phone number,and the date you are requesting the inspection (inspection times cannot be guaranteed, r
hill you may request a.m.or p.m.).
If you are requesting additional time to complete your project please respond, IN WRITING ,within 15
days. You may request up to 180 days. Please provide the following information: Permit number,address of
property, your name,a day time phone number and the length of additienal time you.hie requesting, including an
explanation for the iequest.
i
IF YOU ARE UNSURE ABOUT WHAT PROJECT THIS !,i;FIFER IS REGARDING,OR HAVE ANY
a QUESTIONS, please contact the Building Division at 6344171 ext.610(voice mall). To better serve you,
please have the following information: Permit number,address of property,your mune and a day time phone
number.
Thank you for your co!)peration in this mattes. Pie, .note that the City may pursue civil enfor--ement if work has
y proceeded without inspections or if an unfinished project is outstanding. Your prompt auentio:i will resolve this
matter and cn•• le us to provide you with the required inspections.
David Scott,P.E.
Building Official I
13125 SW Hall Wd„ Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectic n Line (Roc-O-Phone): 639-4175 31,siness Phone: 639-4 71
Inspection: ) c _�} G VIk t /Fooling Susp. Ceiling Sprink. Roug4n A
Foundation Plbg. Undrrslab Mech. Rough-in Fireplace
PoGtiBeam Struct. Plbg. Top O it Elec. Ruugh-in FINAL:
PostlBeam Mech. San. Sawer Bldg. ';
Plbg. Underfloor Rain Drain Framin -Plumb.
Alarm Water Line nsulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. X16jl-E—lect.
Daae Requested: Time` _AM PM
Address:
PG.Mit #:�]J
T14E FOLLOWING CORRECTIONS ARE REQUIRED:
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IZ;IPPRO\lf-f)
ct Dater Imo_��
DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For .'Aelnsp.
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CITY OF TIGARD BUILDING INSPUCTION NOTICE
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_�„ ,� �4��� �--�+ —
Footing Susp. Ceiling Spni,k. Rough-in Appr/Sdwlk
Foundation F'Ibg. Unders! b Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in rINAL.:
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: )rl �j Time: AM PM
Address:—
Builder: Permit #:LTJ S( "�y3c�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,i
Inspector: Date:
,LAPPF.OVED DISAPPROVED _APPROVED SU JECT TO ABOVE
—Call For Reinsp. YL)
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:•EER c-ERM.1T. . .
P;__RM I T #. . MST95- lt743Q.i
' CITY OF TIGARD DATE ISSUED- 12/1. 1/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL.: ;?q 1 1 1 CC—•12?3kl171 �
13126 8W Hall Blvd.'rlpud,Ore
gon 97223.6199 (603)639-4171
I
SW iilC�lil_III�ID DR
a SL.IBD I V 15 1 ON. , . . F3UIrIMERF I E'LD NO. 4ZONING: R-7 ;
' DLOCK . . . . LOT. . . . . . . . . . . . . . 1.74
Remarks: PATH I. . . --------------------- --------- --- - ;
----------------------------------------------_------ --------- BUILDING -------------- -----
REISSUE: STORIEC,.,....; 1 FLOOR AREAS-__ _-- -- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED- -----------
.,: 10 r19ST....: 16 sf GARAGE.....: 0 sf LEFT........... 0 SMOKE DETECTRS:
CLASS OF WORK.:ADD HEIGHT...,. •
TYPE OF USE...:SF FLOOR IOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0 �}
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT..,......: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL -----' 0 sf VAL.UE.A: 1100 REAR--- ______________`-.......: 15 ---_-_---
---------•-----•----------------------------•_--------------_____ PLUMBING ------------------
--
SINKS......... 0 WATER CLOSETS.: 0 WASHING MACH,.: 0 LAUNDRY TRAYS.: 0 RAIN TRAIN ft: 0 TRAPS.........: 0
LAVATORIES...,: 0 DISHWASHERS...: N FLOOR DRAINS..: 0 SEWER LINE ft: @ SF Pi IN DRAINS: 0 CATCH BASINS..: 0
TUB/SHLIWERS...: 0 GARBAGE DTSP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 RCKFLW PREVNTR: 0 GREASE TRAPS.,: 0
OTHER FIXTURES: 0
-- - ---------- MECHANICAL ---------------------------------------------------------------
FUEL TYPES---------- FURN ( IW,, ..: 0 BOIL/CMP f 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
1 MAX INP.: 0 BTU FLOOR FURNACES: @ VENTS.........: 0 NOODSTOVES....: 0 GAS OUTLETS...: 0 }
------------------ -----•--------------------------- ------ ELECTRICAL ---------------------------------------------------------------
UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----'r1SCELLANEOLIS---- --ADD'L INSPECTIONS-•-
1000 SF OR 1195: 0 0 - 200 amp..: 0 0 - 200 amp,.: 0 W/SVC OR FDR..: 0 p1P/IP.RIGATION: 0 PER INSPECTIDId: 0 '
EA ADU'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 6@0 amp..: 0 401 - 600 amp..: 0 EA ADDL BR LIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1N00 amp.. 0 601+a1ps-1000 V: 0 MINOR LABEL -10: 0
1000+ am./Volt.: 0 ------------------------------ -- PLAN REVIEW SECTION -- - -----------..._..------ -------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)--225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
--------------------------------- ------------------ ELECTRICAL - RESTRICTED ENERGY ---------•----------------------,____---------•--•-------- p
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL------------------------------------------------------------------------------ {
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AUDIO t. STEREO.: VACUUM SYSTEM..: AUDIO b STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH• BO?LER.........: HVAC...........: .oibbCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK........... INSrRLM1ENTATION: EDICAL......... OTHR: :.
HVAC...........: DATA/TELE COMM. : BURSE CALLS....: TOTAL k SYSTEMS: 0
Owner:
-----------------------------------Conti-actor: ------•----------------------- TOTAL FEES:f 42.5@
NEILS NEILSON MAR DON ENTERPRISES
10395 SW HIGHLAND DR DONALD HERSHEY HERR r
10405 SSW HIGHLAND DR
TIGARD OR 97224 TIGARD OR 97224
Phone A: 639-SI45 Phone i{: 620•-2711'
Reg A..: 102718
This oer■it is issued Subject to the raoulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable ,aws. All work will be done in accordance with approved plan;. This permit will expire if work is not started within 180
days of issuence, or if work is sus,,anded for 4ore than 180 days.
-----..------------------------- REQUIRED INSPECTIONS ----- ----------------- _-----_------------------------
Post/Beam Ftruct Building Final -
�;`_ Framino Incp Erosion Control
Insulation Insp -
�" Gyp Board Insp --
iA•, Rain drain Insp
III t:e e S i t7 n a t(r : ,�z` _�.. .. ....m.__.. I s S It aC1 D y
Call for inspection - 639•-4175
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Residential Building Permit Application
City of Tigard
i 13125 SIN Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision: y �,��
��w Lot# Office Use Oally
s� Contact Date / / Initials _
Valuation. // Result
New Construction Only: (Square Footage) Planck/Rec #
Permit #
House: Garage: _ Reissue of —_N
Map & TL#
Corner Lot? N Flag Lot? Y N Zone _
.✓/
Owner: y J
//�� .�iL".e�-d�
Plat #
^/ �l Approvals Required
Address:
Planning Setbacks Solar
Engineering
Phone: _ Other
Contractgr.„/"__. ,� Items Required
l ' (�2-
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/ Subcontractors
6 96
Address: _/ S S 4: ” .� Z �� Truss Details
Other_
C� Notes
Phone: j .! rj ) G . C
Contractor's License # J1) -7
(attach copy of current Ore on license)
Contact Name-.(- ��,�!✓��i. % lJ 147
Contact Phone: &—X-S
i
Subcontractors: ArchitecUEngineer:
Plumbing. Address:
i
Mechanical- _
(attach copy of current OR Contractor's License) i
! Phone:
JOB I—SCRIPTION:
Applicant Signature / Applicant Phone nimber
Received by: `~ Date Received:
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. zwY2"MIAI��ti7i;^t�'d°YC'.ka. wWr;we�..:..
Permit# Account Description Amount Amt. Pd. Bal. Due.
� ' Bldg. Permit BUILD
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mach:
Pian Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (1..=-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS) i
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN) i
Erosion Planck/COT (EROSN) _
TOTALS:
Page :'o. 1 CASE HISTORY FOR CASE NO.: MST95-0430
'EILS NEILSON
10395 SW HIGHLAND DR
12/11/95
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- ----------------- ---------------------- -- -------- ---
i
MSTA005 Application received / / / / 12/06/95 PASS RT 11./07/95 BT2
MSTAOOR Permit Created / / / / 12/01/95 PASS RT 12/07/95 BT2
MSTA010 Check for prcl. restr'.ct. / / / / 1.2/06/95 PASS RT 12/07/95 BT2 .
MSTA012 Plans routed to Plans Examiner / / / / 12/06/95 PASS RT 12/01/95 BT2
MSTA026 Plans approved by Plans Exmr / / / / 12/07/95 PASS RT 12/07/95 BT2
MSTA030 Reviewed plans routed to DST5 / / / / 12/07/95 PASS RT 12/07/95 BT2
MSTA080 (F) Ready to issue / / / / 12/11/95 Notified contractor of ready. Check PASS JMH 12/11/95 J•H
exp. date, advise of possible elc permit
for electrical in wall (if in wall).
1
MSTA110 Post/Beam Structural / / / / / / 12/07/95 BT2
MSTA725 Framing Insp / / / / / / 12/07/95 BT2
MSTA140 Insu.ation Insp / / / / / / 12/07/95 BT2
M,STA745 Gyp Board Inap / / / / / / 12/07/95 BT2
MSTA755 Rain drain Insp / / / / / / 12/07/95 BT2
MSTA799 Building Final / / / / / / 12/07/95 BT2
MSTB738 Erosion Control / / / / / / 12/07/95 BT2
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PLAN CUMCK FEES LIST
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f� ' EK#
l LOT DATE /Z-
PLAN CH17kl3
ADDRESS /03 ' ti/f,—jTAX/MApTT oE2 s;
tl z
# / 7el LAND Q
4uSUBDVSION '94
3o U
'
VAI,UALATION //ov, SETBP.Cy, FRONT REAR LEFT RIGHT
WORT, CLASS - d HEIGHT � y TOTAL AREA �
USE TYPE S_ FLOOR LOAD_,' ° 1st FLOOR
CONST TYPE St,HEAT TYPE ' s 2nd FLOOR
OCCUP GROUP 2 3 DWELL/UNITS / _3rd FLOOR
OCCUP LOAD—BED ROOM BASEMENT
STORIES / BATHS GARAGE
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DUE
`jIJI 1%v yj�BUILING PERMIT FEES S �� 'Z ".0
PLUMB PERMIT FEES _.
MECH PERMIT FEES .�–
ELC PERMIT FEES
ELR PERMIT FEES —
i
STATES BUILD TAX
BUILDING_ L _
PLUMBING
MECHIANICAL
ELC
rELR
PLAN CHECK FEESy,
BUILDING J,�-' Lf
PLUMBING_ _
MECIIIANCAL _
_SEWER CONNECTION FE*':. _
SEWER INSPECTION FFE _
PARRS
RESIDENTIAL TIF
MASS TRANSIT
WATER QUALITY
WA'T'ER QUANTITY _
q EROSION CNTRL PERMIT
1 EROSION PLAN CK USA
EROSION PLAN CK COT
TOTALS:
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fXCif�Ftl:) C1R '-AI kit)kVI`i1.ON s
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kal; iI t JNH PP 14M Mf I i,, yl�.l, 49 �,y;� I , til tI (' III•. 9 .
BUILDING PL ON
DP
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