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IMAGE IS NOT AS CLEAR AS THIS NC►TICE, _-_ 1 2 __-3 6 71 $ 9 �01 12D-er,
IT IS DUE TO THE QUALITY OF THE No.36
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4ATMO TITH 'IgZVH Ms 90KIT` ,,
CITY OF TICARD BUILDING INSPECTION D=639-4171C_�
24-Hour Im�pcetion Line: 639-4175 Business Phone
Date Requested: " �-`l " j�M.�t P.M. _ MST:
I,ocaticu: 5Q i1 _�C�"��,, T BUR
T.-rant: Suite: Bldg: MEC:
Contractor: -- Phot 7 ?-'4-4,—'PLM:
Owner: Phone: _ J�" ELC:
ELR:
BUILDING (_BLD"on't) PLUMBING _ MECHANICAL ELECTRICAL STI. SITE
Site PS`st/ficam Post/Beam Posf/Beam Cover/Service Sewer/Storm
Footing Roof I IndFl/Slap Rough-In Ceiling Weter Line
Slab Framing Top Out Gas line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Diunp Drywall Stonn Furnace Temp Service MISC.
Masonry Ceiling Rain Iran A/C UG Slab
Shear/Sheath 1`115, ' Im Crawl/Found Dr I feat Pump Low Volt
�(';F
prov• Approved Approved Approved �— Approved
At,pr/Sdwlk proved Not Approved Not Approved No!Approved Not Approved
INA FINAL FINAI FINAL FINAL
rY� 03
- --
� L)i
all for reinspection I Reinspe.:tion fee of Sreycired before next inspection O Unable to in.mt
In. tor:— _ — Date: --
CITY OFTIGARD MA'-,.TE2 PERMIT
PERMDEVELOPMENT SERVICES DATE IT SUED: . . : MST�7 ¢�.,¢
MATE ISS;LJELI: ¢r7i24i97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL_ : 25)1101313-01500
'31 TE ADDRESS. . . : 14405 ;W 1-iA7EI._HIL_t_ DR
3!AI3D I V I S I ON. . . . :AMES ORCHARD 70N I N(3: 1� I
BI-OCK. . . . . . . L_OT. . . . . : 10 JL1R I SD I CT I ON: T I G
lemarks: Reconstruct existing deck using all aressure treated wood.
----------------------------------------- ---------------------- BUILDING -------------------------------------------------------
REISSUE: STORIES.......: 0 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------- -
CLASS OF WORK.:OTR HEIGHT........: 0 FIRST....: 600 sf GARAGE.....; 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD.... r 0 SECOND... : 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........; 0
OCCUPANCY GRP.:R3 BDRM: 0 BA1H: 0 TOTAL------: 600 sf VALUE..f: 0 REAR..........: 0
--------------------------- ------------------------------ PLUMBING
SINKS.........: 0 WATEk OLCSLrS. : 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVAT9RIES....: 0 DISHWASHERS...: 0 FLOOR DRAY'S..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..; 0
THP ISHOWERS...: 0 GARBAGE D1SP..; 0 Wr,TER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------------------------------------------------ MECHANICAL ---------------------------------------------------------------
FLIEL TYPES----------- FURN l 100K ..: 0 BOIL/CMP ( 'ND: 0 VE`;' FANS.....: 0 CLOTHES DRYERS: 0 "
FURN )=188K ..: 0 1AJJT HEATERS..: 0 iOODS.........: 0 OTHER UNITS...: 0
MAK INP.: 0 BTU FLOOR FURNAC[S: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: d
ELECTRICAL --------------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-
1060 SF OR LESS: 0 0 - 200 amp..: 0 0 _ 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0. PER INSPECTION: 0
,-A ADD'L 508SF.: 0 201 - 400 amp..: 0 281 - 400 amp..: 0 1st WIG SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
IMITED ENERGY.: 0 401 - 600 amp.. : 0 401 500 amp..: 0 EA ADDL BR CIR: 0 51GNAL/PANEL...: 0 IN PLANT...... : 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1088 v: 0 MINOR LABEL -10: 8
1880+ amp/volt.: 0 -------------------------------------- PLAN REVIEW SECTION - - ---------------•------------.-.
Reconnect only.; 8 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 10 V NOMINAL: CLS AREA/SPC OCC;
---- ELECTRICAL - RESTRICTED ENERGY --------------
A.
------------A. SF RESIDENTIAL-------------------------- B. COMMERCIAL---------------------------------------------------------------------------—
AUDIO I STEREO.: VACLAPI SYSTEM..I AUDIO 4 STEREO. : FIRE ALARM.....: INTERf.Oh'/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTHI is BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER.. . CLOCK........... INSTRUMENTATION: MEOILAL........ . OTHR:
HVAI ...........; DATI/TELE COMM.: NURSE CALLS.... : TOTAL N SYSTEMS: 0
Owrer: --------------------------------- -Contractor: -.--------------------_______ TOTAL rEES:i 136.86
ISHIDA, CONNIE HOMEWORK CONSTRUCTION This permit is subject to ttie regulations contained in the
14405 SW HAZELHILL DR THOMAS FITZPATRICK Tigard Municipal Code, State of Ore. Specialty Codes and all
'TSARD OR 97223 22914 NE ATN other applicable laws. All work will be done in accordance
PORTLAND OR 97212 with approved plans. This permit will expire if work is
-'hone tI Phone A: not started within 180 days of issuance, or if the work is
Reg C.: 092180 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 OAR 9511401-0010 through OAR 952-001-0080. You may nbtain copies of these rules or
direct questiocs to OUNC by calling (503)246-1987.
------•-----------------------------------•--------•--------- REQUIRED INSPECTIONS ---------------------------------------------------------
rrasing Insp — --- -
Misr. Inspection
-final inspection
wilding Final
15 s r-r e d r, : � � , _ '� � Pl a r-mit t e e Si gnat�-r r-e • �9; x
++++-I + + I 1 L-4 + i l 1 4 4 1 3-++ 1 1 a l .r 4 1 1 f ��-� 1 +1 +•F t r + 1 + + } � {� { 4 +�+-i +++•i•+ + +•1 + 4 tCall 639-4175 by 6:00 p. m. for- an inspecf - on needed t6- bi..rsiness day
Pian Ch
Y OF TIGARD Residential Building Permit Application Recd By
25 SW HALL BLVD. New Construction Additions or Alterations Date Reed
GARD. OR 97223 Single Family Detached or Attached (Duplex) Sr Date to P E.
501-639-4171 1� I Date to DST_
iO3-684-7297 4 12`k Permit>v l ')7`77-0
Print or Type called
Incomplete or illegible applications will not be accepted _
Name of Project Name
Job T Sokoo., l -c
Address site Addre
- -- Architect Mailing Address
144A C tylstate Zip Phone
Name
CONING SSH p Name
Owner Maitin A�dd�reess�,
� y�( ,U I�Y En ineer Mailing Address
City/State- Zip 1L� Phone g
116 Wo 0M. Z ciytstate Zip Phone
Name �1,��
General U)MA (VA8fVJ A,-- Describe wont New O Addition O Alteration 4e Repair-5'
ontractor vlailing to be done: _
'1111i & tK AV Additional Dphon of Work:
C.yrState Lip Phone "Nrx14 rlp�h/htt *gAVT Dt.Gfoit-
CLAIL-T a til L 'Lr
Dreg n Const. ont.9oard Lice Ex Date
tach Copy of jp.'
Currant COT Business Tax or Metro a Exp. Date PROJECT
Licenses VALUA11t N $ „
Name
Mechanical NEW CONSTRUCTION ONLY:
Sub- Mailing Address Sq. FL House: Sq. FL Garage
Contractor Comer Lot YES NO Flag Lot YES NO
C.y/Srate Tfp Phone (check one
(check one)
Oregon Const.Cont. Board Lice Exp. Drts Restricted Audio/Stereo Burglar
trach Copy of Energy System I Alarm
Corrent COT Business Tax or Metro a Exp Date InsMilation Garage Door HVAC
icenses _ Opener Systems
Name (check all that Other:
Plumbing app ) --L---
Sub-
___Sub- Mailing Address — Will the electrical subcontractor wire for all YES NO
:ontractor restricted energy installations? _
ayrState Z.pPhone - Has the Subdivision Plat recorded? N/A YES NO
Cregon Const. Cont. Board L,c e I Exp. Date Reissue of MST#: Solar Compliance
tacn Copy of
(Calculation Attached)
Current Prumoing L c s Exp. Date I heartly acknowledge that I have read this application, that the
Licenses informanen given is correct, that I am the owner or authorized
COT Business Ta.c or Metro* Exo Dace agent of the owner, and that plans submitted are in compliance
--- -. ---
Nameith Ore on a laws.
` —
igraturffi rl gent Date
lertrical _ i
Sub_ .tailing Address W Contacr
erson hame Phone# -
ontractor - -
r - FOR OFFICE USE ONLY:V tyrState 'ip Phone Plat i#: MapfrL#
Cregon Const Cont Board Lc a Exp Date _� _
lath Copy of Setbacks: I Zane: I Solar.
Current ectncai L.c e I Exp. Date -
Licenses �iI Engrieenng approval: Ptanrnng pproval: TT IF.
COT3usiness Tax or Metro# Exp. Date
?EMDL DCC (DST) 3/97
Permit 0 Acct. Descntpion COT WACO Amount Amt. Pd. Bal. Due
MST. Permit (BUILD) (UBWLDl s-%
Plumb. Permit (PLUMB) (UPLUMB)
Mech. Permit (MECH) (UMECH)
ELC/ELR Permit (ELPRMT) (UELPMT)
State Tax (TAX) (UTAX
g )
BLDG °1-
MECH: ,
ELClELR: r k �. ,V
"tfM
Plan Check
MST: (BUPPLN) (UBUPLN)
Plumb: (PLUMB) (UPLUMB)
Mecht
(MECPLN)',, �(UMEPLN)
CDC Review(BUILD) (CDCBLD) (UCDC)
CDC Review(PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA)
Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
Residenti21 TIF (TIF-R) (UTIF-R)
Mass Transit TIF (TIF-MT) (UTIF-M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UWQANT)
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion P+anck/USA (ERPLN) (UERPL.N)
Erosion PlancklCOT (EROSN) (UEROSN)
Fire life Safety (FLS) (UFLS)
TOTALS:
I SFREMDL DCC (OST) 6&37
SEE :35MM
ROLI..i# 23
FOR
LARGE
DOCUMENT