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12154 SW MILLVIEW COURT-1 13 M31A111W MS VSM Y H V a � oc _a co i5 _ � N uu e- 12154 SW MILLVIEW CT �ttttttttttt��t / CITY OF T'G A R D PLUMBING PERMIT DEVELOPMEN i SERVICES PERMIT#: Pi "12004-00?A, 13125 SW Hall Blvd.,Tigard,Ok 97223 (503)639-4171 DATE ISSUED: 6/21/2004 SITE ADDRESS: 12154 SW M11.1-VIEW CT PARCEL: 1S134Cb-1,1.200 SUBDIVISION: MILLVIEW ZONING: R-4.5 BLOCK: LOT: 022 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE I'DME SPACES: TYPE CF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; . .:APS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRA`.'S: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURt'S: TUB/SN')WERS: SEWER LINE: ft WATER CLOSETS WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remari .: Installation of residential backflow prevention device for irrigation. Ownet --- FEES__ —"� HOFFMAN, CLAYTON C + MONIREH + Description Date Amount HOFFMAN, CARL R [I'LUM131 Permit Fee 6/21/2004 $36.25 12154 SW MILLVIEW CT IT'AX] %State Su-(J a� 6/21/2004 $2.90 TIGARD, OR 97223 Total $39.15 ' Phone: Contractor: OWNER OWNER REQUIRED INSPECTIONS Phone: RP/Backflow Preventer Final Inspection Reg M a F J This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stat3 of OR. ®, Spc--.alt� Codes and all other applicable laws. All work will be done in accordance with approved W plans. This permit will expire if work is not started within 180 days of issuance, or if work 4z suspend _J for snore than 180 days. ATTENTION- Oregon law requires you to follow rules ado^';;u by the Oregon Utility Notification Center. Those rules are sat forth in OAR 95?-0001-0r""'IG cnrough OAR 952—,WOVO N. You may obtain copies of these rules or direct questions to OUNC by calling (503) 6-6699. sued By: Permittee Signature: Call(503)§!6-4175 by 7:00 P.M.for an Inspection needed the next businislAW itt�taaas�� Building Fixtures Plumbing Permit Application City of Tigard "Re:ZivedDPermit No.13125 SW Hall Blvd.,Tigard,OR 97223 - GR6C1 _YG% Phone: 503.639.4171 Fax: 503.598.1460 Pian Review Other Permit No Date/B-L ww Inspe [nt^mat: w. 2n-Hour wwwtion Line 503 639.4175 Due Ready�y. t ® see Paae 3(or -- ri tigard.or.us Notified Method: Supplemental Inrornatlon a ❑New construction ❑Demolition _ For special information seat checklist. -- Description _Qtyj- La �Total ❑Addition/alteratioNreplacemeit ❑Other: New I-2-family dwellings(includes 100 ft for each utility connection) 01 , ' " H= SFR(1)bath - 249.20 ro Other:1 and2-familyd•.w.(ling [�(7ornmerciallindusmial SFR(2)bath 350.00 Accessory building C]Multi-family SFR(3)bath 399.00 Master builder Each additional bath/kitchen _ - 45.00 ❑ Fire sprinkler(_sq.R.)i page 2. Site utilities Job site address: 2 w t l I v J Catch basin or free drain 1560 - City/slate ZIP: 4 Drywell;leach line,or trench drain 16.60 Suite/bldg./apt.no.: Proiect name: �- Focfing drain(no.linear fl.:,) Page 2 anufactured home utilities 10.00 Cross street/directions to job site: - - AManholes 16.60 ,!LJ si u µ� U �'/ (' fE' 1 Rain drain connect,-r 16.60 L _,�� s•t ! L i r r�J Sanitary sewer(no.linear R.:_� Page 2 Storm sewer(nolinear ft.:_� Page 2 -- Water service(no.linear ft. ) Page 2 Subdivision: _ � � l If _T Lot no.: : Tax map/parcel tlo. Fls•_ure or Item t , P.bsorption valve 16.60 Th"11 Backflow preventer Page 2 Q p t a_jre's tj _ 1-- Backwater valve 16.60 Clothes washer 16.60 Dishwasher I6.to, Drinking fountain MAO Ejectors/sump 16.60 Name: Q J Expansion tank 16.60 Address: 2 s' S 1J, Ile L_/ Fixture/sewer cap 16.60 City/Stste/ZIP: r ►�, Floor drain/Ooor sink/hub 16.60 Ocrbage disposal 16.60 Phone:( - �� Fax:( ) - Hose bib 16.60 fee maker 16.60 Business name: i Interceptor/grease trap 16.60 Contact name: Medical gas(value.S^ ) Pae 2 n' Address: Primer 16.60 (rain commercial co City/State/ZIP: Roof d _ _ )_ 16.60 Sink/basin/lavatory 16.60 Phone: Fax::( ) Tub/shower/shower pan 16.60 J E-mail: Urinal i 16.60 _" Water closet- 16.66 �^ W Business name: Water heater 16.60 Address: Other: Subtotal City/State/ZfP: --- -.- - Minimum permit fee $72.50 Phone:( ) Fax:( ) Residential backflow minimum perr-it fee: $3625 CCrI Lir.: - °lu b' g Lic.no.: Plan review (25°/n of permit fee) "State surcharge(8%of permit fee) (� Authorized signature: -�r.��- -- TOTAL PERMIT FEE Prim[name: 11.1�, s _ Date: 2� This permit application expires If a permit is not obtained within 180 days after ft has been accepted as complete. / •Fie methodology set by Tri-County Building Industry Service Board i\auildinp\PcnTiu\PI-MF-PerntitAppd°c 12/0] 440.46I6T(10/0VC0ti WPP) Plumbire Permit Agplication _ City of Tigard Page 2 - Supplemental Information Fee Schedule: Resideutim.• rtre Su )m-ession Systems: Footing drain-1 100' 55.00 0 to 2,000 1 $115.00 Footing drain-each additional 1Gd' 46.40 2,001 to 3,u00 _ S160.00 —_ Sewer-I st 100' 55.00 3,601 to 7,200 $220.007 201 and greata J_ 1309.00 — Sewer-each additional 100' 46.40 1 Water Service-Is 100' -- 55.00 M dical Gas S stems: Water Service-each additional 100' 46.40 Y, Storm&Rain Chain-1st 100' 55.00SI. to S5 000.00 Minimum fee 572.50 Storm&Rain Drain-each additional 100' 46.40 S5,W 1.00 to S 10,000.00 $72.50 for the first$5,000.00 and S1.52 for each additional$100 09 or fraction thereof,to and including 510,000.00. Cornmercial Back Flow Prevention Device 45.40 510,001.00 to$25,000.00 S14g.50 for the first SIC,000.00 and 51 54 for Re'. ntial Backflow Prevention Device each additional$100.00 or fraction thereof,to minim im permit fee$36.25) 1 27.55 and including$25,000.00. Rain Driin,single family dwelling 6525 f 5,001(10 to 530,000.00 $379 50 for the first$25,000.00 and SI 45 for m of existing plumbing or each addnionai$100.00 or fraction thereof,to Inspecti end including$ 0,000.00. _ s eciall r requested inspections-Per hour _ 72.50 $50,00?.00 and up 5742.00 for the fii st$50,000.00 and$1.20 for Subtotal: � I ea:h additional$100.00 or fraction thereof Fixture Work: Are volt capping,moving or replacing existing fixtures'? If "yes",please indicate work perforated by fixture. Failure to accurately re ort fixtures could result Iu increased sewer fees*. n �p na Flic t,we ork er+orm R$plba i i, o4d ts>t,eu¢ !CikV i Comments regard: T fixture work-, y Ba tis /Font Bath -Tub/Shower - - —�-- — ---- - -Jecurzi/Whirl ool Car Wash -Each Stall _ -Drive Abru — —- Cu idor/Watei Aspirator Dishwasher -Commercial { -Domestic 1-Drinking Fountain _ v F e Wash_ _ Floor Drain/sink -2" _.Y --.��- -4.. -- e Car Wash Drain Garbage -Domestic �. Disposai -Com nercial *Note: If the fixture work under this permit resuits in an In -Indus rial r lee Mach./Refri .Dt tins increase of sewer EDUs,a sewer permit will be issues and C� oil Separator Gas Station fees assessed for the sewer increa4e must he paid'eefore the Rec.Vehicle Dun-p Station plumbing permit can be igsueu, Shrwer -Gang W -Stall Sink -Bar/Lavatory uantityTotal -Bradley — -Commercial Isometric or riser diagram is required if fixture quantity Service _ -- - total Is>9. Swimming Pool Filter Washer-Clothes Water Extractor _ Plan Ri!view Water Closet-Toilet Plan review is required if fixture quantity total is>9. Urinal _ - o'her Fix.urea: iinuitding\Pamir\PLM PearmApp&c 3103 CITY OF TIGARD BUILDING DIVISION PERMIT #: PLMM.00281 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED. 6/21/M Phone: (503) 639-4171 InspAction Requusts (24 Hrs.): (503) 639.4175 INSPECTION WORKSHFET FOH DATE: fs/8/2:105 TIME: 7.12AM PAGE: 10 SITE '013REISS. 121". SVr W,'LLVIEW CT CLASS OF WORK: SUBDIVISION: MILL.VIEIk LOT#: 022 TYPE OF USE: PROJECT NAME: HOFFMAN DESCRIPTION: Installation of residoniiat barOrm prevention device for irrigation. OWNER: HOFFMAN, CLAYTON C +.MONIREH +, PHONE #: CONTRACTOR: WMER PHONE #: Inspection Request Scheduled For: Date: 6/B/2OG5 '-'our Time: Code # Inspection Description Confirm # C-,intact # Message 3:25 RP/bacWow prevwdor 008741-01 503.2,4 6261 N Corrections/Comments/Instructions: u NSS y4ff RTIAL APPROVAL _ ❑ CANCEL — !� NO ACCESS FAIL ❑ CALL FOR INSPECT,ON ❑ ADDITIONAL FEES ASSESSED Inspector: _A —._ Date: .__ Phone #: (503) 718- _—_ +3u Q I ^"V o y oc � / w � tl J O vy co ri o ) v IL � N o � O v � G CITY OF TIGARD 24-dour BUILDING inspection Line: (503)631"l75 MST ��`f ei- W 35-6 INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _._.._.._.. .—.__.__-._ Rate Requested-_ �� ( � AM____—_--PM---_._—_.. BUP Location �U44--) e --Suite ?AEC _ Contact Person __ _ _ Ph PLM Contractor Ph SWR _ BUILDINGTenant/Ownr+r _- -__----_. — ELC -- --- Footing - ELC Foundatio i Ftg Drain ELR _ Crawl Drain Mab Inspection Notes: � SIT — /iZ/s ' Post SBeam - � - •�•J�M,��'r:rxs}.'=-� Shear Anchors -_- - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --- -- --- - -- - Firewall Fire Sprinkler , QN -`— -- Fire Alarm ��^7� -- ��•�f Susp'd Ceiling Root C -- Roof Other: --- ------ ------------___. _._. Final PASS PART FAILPLUMBING _- Post&Beam ----- ---- Under Slab Rough-In Water Service ---- -- - --- -- Sanitary Sewer Rain Drains ----------- ---- Catch Basin/Manhole Storm Drain -— --- Shower Pan Other: �- Final PASS PART FAIL -- MECHANICAL _ — Post&Beam Rough-In -- - ---- --- --- -- Gas Line d I Smoke Dampers --- ----- - OC Final PASS PART FAIL - -- ELECTRICAL J Service m Rough-In _-_-_—.--- (9 UG/Slab W Low Voltage _-___..- -- -._--- -_-- -•------ - Fire Alarm PART FAIL Reinspection fee _______-_ _.__._required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please cell for reinspection RE _ �_ _- Unable to inspect-no access Fire Supply Line ADA J� Approach/Sidewalk Do**-L" '�Y)Jl ...- Other: Final DO NOT REMOVE We inspectlon record from the job site. PASS PART FAIL aw��w CITY OF TIGARD 24-Hour BUILDING Inspection Line:'(503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 FsUP _ Received _Date Requested lO AM— _PM Location _ � .S ��–e�. __Suite----- - -.-------.. MEC Contact Person __ _ Ph( _) a—._ -- PLM – Contractor — Ph(—) . SWR ---.--- -- BUILDING TenanUt�W2ey _ S r' "- �r'8� -- _ ELC ----_..-------_._-- Footing ELS, - Foundation Ftg Drain ELR Crawl Drain -- Slab Inspection Notes: SIT -- Post&Beam - -_�----------.-_�_ _--- Shear Anchors - - Ext Sheath/Shear - Int Sheath/Shear Framing ------- -------- ------- ----_ -- -__ -- ------ Insulation Drywall Nailing - ------- --- - ------- ---.--__-__---__ Firewall Fire Sprinkler - --- --- ---- ------ -® __-_._-`___.-_-------- Fire Alarm ;'usp'd Ceiling -- - -------_-___.—_--------.__ - -___-.- ___ R sof - ASS PART FAIL ----` - _---------_._-_....-_----------.-..___.__._-._-__-- PILDWING Post&Beam - Under Slab ---�_ ---- -------- ---- --- Rough-In Water Service --- Sanitary Sewer O Pein Drains Catch Basin/Manhole Storm Drain - - - -- - Shower Pan 00 Other- Final ther Final - �- PASS PART _FAIL - - -----�- --------------- MECHANICAL —_ _-- ------___. Post&Beam Rough-In - - - - Gas Line Smoke Dampers -- --- ------- Final j PASto PART FAIL -- - - -t- • ELEC:TRICAL Service - -- - ---_ Rough-In -- UG/Slab L Low Voltage � -__�� -------.- -_ Fire Alarm Final � Reincoection fee of$ __-_ required before next inspection. Pay at C141 Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: ____ _.._.r__-_-________-_ Unable to inspect- no access Fire Supply Line 7 ADA Approach/Sidewalk Dse-- ------ ----- l►nsp*ctar e_ ,,_�___ _ -_---_--__Ext__ __ Other: Final DO NOT REMOVE this Inspeci:,on record from the Job site. PASS PART FAIL 64TY OF TIGARD B! %NG INSPECTION DI`i/ISIO MST 24-Maur Inspection Line: 6 Business Line: 539 ' BUP 77 _ _ _Date Requested �J AM _PM BLD ~ Location 1Z/ S -s:� CC,/— Suite MEC Contact Person _ Ph - PLM Contractor Ph SWR BUILDING Tenant/Owrar EL.0 Retaining Wall _ ELR Footing Access: Foundation , L r f S'wK,� FPS —.-_ Fig Drain �_ C71^ SGN Crawl Drain Inspection Notes: / — --- Slab 14,,,j � SIT _ Post&Beam I Ext Sheath/Shear I _ Int Sheath/Shear Framing Insulation Drywall Nailing _�—i�_ 00tif t.�� cey: 41 1' A6ef 'Zfr, /fes Firewall Fire Sprinkler i — Fire Alarm i Susp'd Ceiling —�— — — LFinoof /yf al s PASS PART FAILQAJ PLUMBING Post&Beam - Under Slab Top Out Wafer Service Sanitary Sewer T Rain Drains 14) Q J i�l K C G I'� t 1� -d Final PASS PART FAIL S e evw _� � o_u' MECHANICAL— Post& Beam --- Rough In Gas Line Smoke Dampers Final —— P ART FAIL ELEC ------------ r 4. Service N U a Low Voltage Fire Alarm Final ^r m PASS PART A!L —.— W SITE Backfill/Grading -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next Inspection. PPy at City Hall. 13125 SW Hall Blvd Catcol Basin [ ]Please call for rehispection RE: [ ]Unable to inspect-no access Fire Supply Line — ADA Approach/Sidewalk Other Date _ // =/ �' Z:.) Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection recor•f from the job site. CITY OF TIGARD B1� k G INSPECTION DIVISIO MST 24-Hour Inspection Line: Business Line: 639 BUP _ Date Requested _AM ,PM _ BLD Location��z �/ s�. /yi;//�/ Suite MEC Contact Person C Ir Ph 521 Ple l PLM — Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR _ Footing Access' Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation n -` Drywall Nailing Firewall --- - Fire Sprinkler Fire Alarm - Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam - - -- Under Slab Top Out -- Water Service Sanitary Sewer V" Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam --- --- Rough In Gas Line -- - Smoke Dampers Final -- PAg3 ART FAIL L CTR ----- Q Service HUG—/Slab _ N Low Voltage Fire Alarm J Fi m PAS PART FAIL _—�_- f9 Backfili/Grading -- -- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( t Plea Fire Supply Line se call for rtainspection RE _ V_ [ Unable to inspect-no access ADA Approach/Sidewalk Other Date ,LZ /S( 0 ) _Inspector__ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24-Hour BUILDINGspection Line: (503)639-4175 MgT �qq��3 SZl INSPECTION DIVISION Business Line: (503)539-4171 � LLJ SUP Received - Date Reques d._ �' AM—.------ PM BUP a ~_ Location _ J� � G _ Suite_ MEC _ Contact Person _ Ph(��) _ PLM Contractor_ e Ph SWR BUILDING Tenant/Owner _ `i'►'1_a-yt, _ ELC Footing ELC Foundation Access: _ Ftg Drain ELR Crawl Drain -- Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath'Shear -- -- Framing --- -- - — - Insulation Drywall Nailing Firelvall Fire Sprinkler Fire Alarm /CV/" Susp'd Ceiling Roof Other: Final PASS PART FAIL ----- PLUMBIND Post&Beam Under Slab _ Rough-ki Water Service �_- �_ } ?(LkL_�f _._------- Sanitary Sewer - Rain brains Catch Basin/Manhole Storm Drain Shower Pan Final CAFRIKLU - PASS PART FAIL ---�- - ---_-�_ MECHA_NK.AL---- Post&Beam -- Rough-In Gas Line -- — `--'--- Smoke Dampers Final PASS PART FAIL — — -- ELECTR_lCAL Service u UG/Slab -� Low Voltage _ Fire Alarm Final Reinspection fee of$_____ required before next inspection. AISW PART ,PAIL — 4 I Pay at City fall, 13t2 i SW Hall Blvd. _ ITE LJ Please call for reinspection RE:.___ Unable to Inspect-no acom Fire Supply Line ADA Approach/Sidewalk � � f � Inspoelnrant _ Other: _ V C ✓J -- Final �— DO NOT REMOVE this Inspection recorei from the job site. PASS PART FAIL CITY OF TIGARD 24-dour BUILDING Inspection Line: (503)6394175 to MST _0 e3Q INSPECTION DIVISION Business Line: (503)6394171 BUP Received Date Requested. __ 92 AM__ —PM _.___._.__ BLIP _ Location --__-_- a r s� --._ _Or-_fer� Suite _-----._______.._ MEC Contact Person — __ _ Ph(---) —_ _ PLM Contractor Ph( __) Swill - _`-_— BUILDING Tenant/01 W __ _ a! '- ELC _- Footing ELC — Foundation Access: ^" — Ftg Drain _L ELR _ Crawl Drain _ '----- �— Slab Inspection es: SIT Post&Beam Shear Anchors - --- ----- -- Ext Sheath/Shear Int Sheath/Shecr Framing -_— Insulation Drywall Nailing _ Firowall Fire Sprinkler --- ---- -- Fire Alarm Susp d Ceiling - - - -- - --- Roof Chher: -- --- — Final ------ --_.__. PASS PART FAIL -- uIMBING — seam Under Slab Rough-In Water Service ---- - �- __ Sanitary Sewer Rain Drains - �----- --- - Catch Basin/Manhole Storm Drain Shower Pan Other: ---- PAS _i r FAIL _� HANICAL Post&Beam Rough-In Gas Line - _----__ ---_--- T --- a. Smoke Dampers IK Final t) PASS PART FAIT. ELECTRICAL Service m Rough-In UG/Slab Low Voltage Fire Alarm Final Reins tion fee of. r uirE i bAfo a next inspection.FAIL Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE:_- n Unable to inspect-no access Fire Supply Line / ADA r Approach/Sidewalk Dab ___-_ Inspeoer_._ __.ext_.. Other: Final DO NOT REMOVE this Inspection record from V*Joh site. PASS PART FAIL rrrrrw - _ MASTER CITY OF TIGARD PF.—RMIT#:_MST1999-00350 DEVELOPMENT SERVICES C6ATE ISSUED: 10/19/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 ----- SITE ADDRESS: 12154 SW MILLVIEW CT PARCEL: 1S134CB-12200 SUBDIVISION: MILLVIEW ZONING: R-4.5 BLOCK: LOT:022 JURISDICTION: TIG REMARKS: Add family room and garage to an exist?ng single family dwelling. also adding a deck 336 sq ft r:4ILOING REISSUE: STORIES: 1 FL%`OR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 ,AST: 398 of BASEMENT: of LEFT: 8 SMOKE DETFCTORS- TYPF OF USE: SF FLOOR Load 40 SECOND: 0 at GARAGE: 537 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS. 0 FINBSMENT: 0 a1 '-� -�-' RIGHT: 5 VALUE: T 41,717.68 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 398.00 sl �_ � REAR: 15 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: GARBAGE DISP: WATEP HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL. iY FUEL TYPES FURN c 10011: BOIL/CMP c 3HP: VENT FANS: CLOTHES DRYER: FURN)-100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: bhI FLOOR FURNANCES: VENTS: WOODSTOVES: G NS OUTLETS: ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANE:IUB AOD'L INSPECTIONS 1000 SF On LESS: 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: 1 PUMPARRIGATIOW PER INSPECTION: EA ADD'L 500SF: 201 -400 amp: 201 - 400 amp• tat W/O SVC/FOR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 -000 AMD: 401 - 600 amp: EA ADDL BR ClR- SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601•am01•1000v. MINOR LABEL: 1000•amplvolt: PLAN REVIEW SECTION _ Reconnect only: - >-4 RES UNITS: SVCMDR>-223 A.: >600 V NOMINAL: CLS AREAISPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIn L STEnEO: FIRE ALARM: INTERCOMIPAGING: OUTnoon LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA.1 FLE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 666.47 This permit Is subject to the regulations contained in the CLAY HOFFMAN OWNER OF BUSINESS Tigard Municipal Code,State of OR Specialty Codes and 12154 SW MILLVIEW CT all other applicable laws. All work will be done in TIGARD,OR 97223 accordance with approved plans. This permit will expire If 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 Oregon Utility Notification Center. Those rules are set Reg/: forth in OAR 952.001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to I OUNC by calling(503)248-1987. REQUIRED INSPECTIONS Erosion 844-8444 PLM/Underfloor Insulation Insp Final inspection i Footing Insp Electrical Service Rain drain Insp Building Final Foundation Insp Electrical Rough In Rain drain Insp ORIGINAL Underfloor Insulation Framing Insp Electrical Final Plm/u�r dstatTin9p Shear W311 Insp Plumb Final �T i Issu By : L Permittes Signature : Cali(503)639 4175 by 7:00 p.m.for an Inspection needed the next busin as day Dear City Inspectors, These new prints have two design changes from my original prints, permit# mst 1999-00350. The first is that we would like to put a rubberized deck surface over the family room instead of a shed roof. We had the support beam recalculated to support the weight differences and I have included that sheet with my updated prints. In an effort to plan ahead for the future we thought that it would be wise to install a 125 amp subpanel in the new garage, as opposed to bringing the homerun circuits in off the main panel from the old garage. Everything else stays the same and we are looking forward to a nice dry summer to finish up our construction. Thank you for your help and patience with us and our project. Sincerely, �4 1 X y �' e Cla Hoflfman 521-8181 J l+ CITY OF TIGARD _ MASTER PERMIT PERMIT 8: MST1999-00350 DEVELOPMENT SERVICES DATE ISSUED: 10/19/1999 13125 SW Haul Blvd.,Tigard,OR 97223 (503) 639-4171 SITE ADDRESS: 12154 SW MILLVIEW CT PARCEL: 1S134C13-12200 SUBDIVISION: MILLVIEW ZONING: R-4.5 BLOCK: LOT:022 JURISDICTION: TIG REMARKS: Add family room dnd garage to an existinq single family dwelling. etnLLrNc REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SEI BACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 12 FIRST: 390 of BASEMENT: of LEFT: 6 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: 537 of FRONT: 20 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 rINBSMENT: of RIGHT: 5 VALUE: f 36,27722 OCCUPANCY GRP: R3 SDRM: BATH: TOTAL: of REAR: 15 PLUMBING •_ SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS* RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS- SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: +� TURISHOWE.RS: GARBAGE DISP: WATER HEATERS: WATER i INES: aCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: eOIUCMP<]HP: VENT FANS: CLOTHES DRYER: FURN>000K: UNIT NEA ERS: HOODS: OTHER UNITS: MAX INP: htu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER9 BRANCH CIRCUITS MIUCELLANEOUS ADU'L INSPECTIONS 1009 SF OR LESS: 0 - 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5009F: 201 - 400.,1mp: 201 - 400 amp: tat Wl0 SVCIFOR: SIGNIOLIT LIN LI: rER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL./PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601'ampt-1000V: MINOR LABEL: 1000.amplvott: _ PLAN REVIEW SECTION_ _ I Reconnect only: �!�I >-4 RES UNITS: SVCIFDR>-226 A.: >600 V NOMINAL- CLS ARFAISPC OCC: ELECTRICAL•RESTRICTED E' cR' A.SF RESIDENTIAL d_COMMEACIAL _ AUDIO A STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SPgNI GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: 1 HVAC; DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owrar: Contractor. TOTAL FEES: $ 758.32 This permit is subject to the regulations contained in the CLAY HOFFMAN OWNER Tigard Municipal Code,State of OR. Specialty Codes and 12154 SW MILLVIEW CT OWNER RES PONS FORM SIGNED all other applicable laws. All work will be done in TIGARD,OR 97223 ecalydrince with approved plans. This permit will expire it work is not started within 180 days of issuancs,or if the (L work is suspended for more than 180 days. ATTENTION a Phor4: Phone: Oregnn i3w requires you to follow rules adopted by the ~ Oregon Utility Notification Center. Those rules are set } Rag 0 forth In OAR 952-001-06 M through 952-001-0080. You `• may obtain copies of these rules or direct questions to OUNC by ca!!ing(503)248-1987. REQUIRED INSPECTIONS LU Erosion 844-8444 Electrical Rough In Electrical Final 1 Froting Insp Framing Insp Plumb Final Fourdation Insp Shear Wall Insp Final inspection ORIGINAL Underfloor insulation Insulation Insp Building Final Electrical Service Rain drain Insp Issued By : I• Permittee Signature : `~ Call(503) 6394175 by 7:00 p.m.for an Inspection needed the next WSIness day Permit#: —�07jSC� r Address: V/t ew lJ' issued by: Date: I n Statement: 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 stulement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt farm ,egistration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. rill in the appropriate blanks and initia' boxes 1 and 2, and either box 3A or 3B: 0 1. 1 own, reside in, or will reside in the completed structure. 2. i understand that i must register as a construction contractor if the structure is sold or offered for sale before or upon completion. LJ 3A. My general contractor is (Name) Contractor regis. # 1 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. o. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If 1 change my mind and hire a general contractor, I will contract with a contractorwho is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. J_ m I hereby certify that the d,hove information is correct and that I have read and do understand tic_ ' rmation Notice to Property wners shout Constructs R p nsihilities nn the reverse side of this form. (Si attire of,ermit appli a Uate (White copy to issuing agency permitf ,,le, pink copy tc ,,pplicant) Information Notice to Property Owners Abotit Construction Responsibilities Note: Vii,% ln(nrtno6on Notice to!'r t,crt y Owners about Constrm titer Responsibilities teas developer/by the Constrrartion Contractors Bnard lit accordance ►vitt:ORS 701.055(5). If you art-acting its your own contractor to construct a new home or make a substantial imp vement to an existing structure, you can prr,vent many pmhicrrts by being aware of the following responsibilities and areas f conc4rn, EMPLOYER RESPONSIBILITIES: If you hire persons not jeoOrred with rhe Construction Contractors Board to do I or in constructingor assisting in the construction or improvement or it re-�idcntcai structure,you will,in most instances, ruled to he an employer and the people you hire will he employees A•, the employer,you must comply with the following• Ofegon's withholding tax lase: Ars an errtploycr,vott mtr..rt withhold income taxe mm employee wages at the time employees are paid. You will be liable for tho tit payments even if you don't actually wit told the tax thorn your employees. For more information,call the Oregon Rept.dkevenue at 945-8091. UnemploYment insurtance tax: As an e.moloyer,you are required to pay ax for unemployment insurance purposes on the wages of all employed. For iv.�re informatioNa call the Oregon Employ t Division at the Department of Human Resources at 378-3524. Workers'compensation insurance: As an employer you are subj, to the Oregon Workers'Compensation Law,and must uhtain workers'coutpensirtiott insurtnce fur your empl�kees. if yo fail to obtain workers'compensation insurance,you may he:snhject it)penalties and will he liable for all claim costs'!one of our employees is injured on the job. For more information, call the Workers'Compensation Di%ision rtt the DepartmeAtyof c nsu mer and Business Services at 945-7888. �Y U.S. Internal Revenue Service: Asan employer,you must wit bold federal income tax from employees'wages. You will be liahle for the tax payment even if yrni didn't actually withholO the th. For more information,call the Internal Revenue Service at 1-8M-829-1040. OTHER RESPONSIBILIFS AND AREAS OF CONCERN: •T 0)(Ir compliance: As the permit holder for this pry,jcct,you are respumible for re. lving any failuret^meet code,requirements that may he brought to your attention through irt, ections. IL Liability and property damage insurance:; ontact your insurance agent to see if you ave adequate insurance coverage for cc accidents and omissions st ch as falling too#,paint overspray,water damage from pipe inctures,fire,or work that r rust be re-done. —t Time to supervise employee/Masure you have sufficient time to supervise your emplo s. wL:xpertise: Make cure you haertise toact bsytntrown general contractor,tocoordinatetli work oftough-in and finish trredes,and to notify buildin at the appropriate times so they can perform the:required in. ctions. .f. If you have additiond questioos, write or call the Construction Contractors Board(Pf)B6V 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St. NE Suite 3m, in Salem. prop-own.pm4 1/94 v q$ '1 A F TIGARD Residential Building Permit ,Application Plan Check ,e 13125 SW HALL BLVD. Additions or Alterations Recd By Date Recd '/ TiGARd, OR 97223 Single Family Detached or Attached (DLIPIGXl' Date to P.E.Zn Q- V 503-639-4171 Date to DST )m- F 603-684-7297 Permit f r~Ilff-ed Print or Type called Incomplete or illegible applications will not be accepted Name of Pro �J Name c�C Vly�2 Job U h �'1C �/T� Maili Address Architect na Addross Site Address /2/ S f- S.W. M I I V 1 t L') City/State Zip Phone Name (Ay /-�V'I �yV�/i, Name Mailing s Owner ng Addre e4 ,�v►' s A�t�e✓" Z/ S�✓ I I i e w Of .- Engineer Mailing Address Cyy/State 'Zip Phone 9 � hom General Nem z z rtitl.wN OC- 10 z 8- 62'41 Contractor Describe work New o Addition K. Alteration o Repair o Mailing Address to be done: Prior to permit Additional Description of Work: �r-�� 1 Issuance,acopy City/StatZip Phone ' -.hr/ roots City/State of all licenses _ ens required if Oregon Const.Cont.Board Exp.Date PROJECT '� r� I expired in COT Lic..'* VALUATION s ` ` �• database _ --- +Mechanical Name - — NEW CONSTRUCTION ONLY. Sub- AIIA Sq.Ft.House: Sq.Ft.Garage .j Contractor Mailing Address ms Indicate the restricted energy Installation by the electrical Prior to per Issuance,a mitcopCltylState Zip Phone subcontractor in the followingareas _ of all licenses Restricted Audio/Stereo are required if Oregon Const.Cont.Board Exp.Date Energy S tem Alarms expired in C01 Llc.N Installations Vacuum Irrigation database S stem 51rstem Plumbing Name (check all that Other: Sub- �� -2- apply) Contractor Mailing Address Comer Lot YES NO Flag Lot YES NO check one d*&one Has the Subdivision Plat recorded? N/A YES NO Prior to permitG�ty/State Zip rnor�a issuance,a copy of all lcensei are Oregon Const.Cont.Board Exp.Date required if Lic.* I heathy acknowledge that i have read this appliea"on,th&i the expired in COT database Plumbing Lic.* Exp.Date information given Is correct,that I am the owner or authorized agent a of the owner,and that plans submitted are in compliance with Ir Oregon State laws. N Name AIA `\< Sign of Le gain Date Electrical _�-�N �-k �~ / J k-- Sub- Mailing Address ontact Pe n Nam �Zrr m_ Contractor (� City/State Zip Phone W Prior to permit J issuance,a copy FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont.Board Exp.Date Plat �,/ Map/TLO: required If Lic.B r —�3 f /,� .�/1 _ /-q expired in COT database Electrical Lic.A Exp, Date Setbacks: Zone: Solar: Electrical Supervisor Lic.NExp.Date Engineering Approval: Planning Approval: TIF: t I i:Wahtilbnrtsl�f�ddalt.doa„ —a V sc 0 oa L 1 N-t O f zv I \ , \ 1f \ I \ ki \ AE O T € O Y D/ O d Q 4. d S Cl CdN O # ` iV S F- \ O) J \ x Z U OD \ I L 1 O vi OD \ 1 W Dt N �I NIN \\ J i ' rm cu cn � u.?� N33ClvIL- W U > CD NU i \ J 3 yyy � H I I I I J � u � oi, ,gydastl � Up rnao_3