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CITYO F T I GA R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-26012
02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/ 71
PARCEL: 2..1111
BD-00402
SITE ADDRESS: 09650 SW MURDOCK ST
SUBDIVISION: DARMEL. NO. 3 ZONING: R-3.5
BLOCK: LOT: 025 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORSHOODS:
_ FUE_LTYPES �^ 0 3 HP: — DOMES. INCIN:
I IG e 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
On
GAS PRC S'oURE: 50 + HP: CLO RS:
DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS C
— OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install gas furnace.
Owner: d _ FEES
FMMI. JOE & MONICA Description Date Amount
9650 SW MURDOCK ST —�
TIGARD, OR 97223 I�ti1l.t'IIJ ['ermit Fee 9/27/02 $72.50
MECH] Permit Fee 9i27/02 $0.00
ITAXJ 8%StateTax 9/27/02 $5.80
Phone: 503-684-8913 ITAXI 8"f StateTax 9/27!02 $0.00
Contractor: Total $78.30
SUNSET FUEL CO
PO BOX 42287
2944 SE POWE_LL BLVD REQUIRED INSPECTIONS_
PORTLAND, OR 97242 Mechanical Insp
Phone: 503-234-0611 Final Inspection
Reg #: 2374
This permit is issiied subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6619 .) . ;
Issued By:,,--I Permittee Signature: =- ���'- �'•� 7711A
Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day
09/25/2002 09:21 2340380 SUNSET FUEL CO PAGE Ili li
Wehanical'Permit.Application
Date received: D Z [sarmh no.• !"40 Z-2(o4/y
City of Tigard
b � Pn,ject/sppl.no.; -Expire date:
ClrynjTtgu.d Address: 13125 SW Hall Bl iT gug'mt- ;21 -
Phone: (503) 639-4171 rr nate issucrl: By: Receipt no.:
Fax: (503) 598-1960 � ,V /)L1- f Ulll Case file no.- Pt,yment type.
Land use approval / LHuading perrnrl nn.:
1 &Z farnily dwelling or accessory U Commercial/industrial O Multi-family U Tenant irnprvvement
U New construction Addition aeration1mplacr"tent
ILIIIWINIM a 111111 111
Job address: '11L !�L) SA `� S�_- Indicate equipment quantities in boxt4 below. indicate the&)liar
Bldg,no: Suite no.: value of all mechanical materials,equipment,labor,ov are;trl.
Tax ma tax lot/accoont no.: profit Value$
l.or. Block_ I Subdivision:-�- *See checklist fnr important application information and
Project name: jurisdiction's fee schedule for residential 1wrinit fee,
City/county: Z1P;
`I.�-rte--- r'1. I a3-'
Description and location,of work on premises: T W -c _x �Ca SI 11I Will!I 10
Fee(ea.) low
hat.date of cnmplr tinrt/inspeceion: hvspiptlrw Res.nol Rd.onl
'Tenant improvement or change of use: _ - 7-iandlinnuumil
CI7MIs existing space[tented or conditioned"U Yes ONu Air onding(site plan«quusr) --Is existing gpnce insulated?U Yes J No Alierallnn o ext-s g HVAvstem -
Will itaintil� ot cr curnprtasois
Business natne, state boiler permitno.:
HP Tons BTU/H
Address: A.-Ci LA k S C ., .� u smoke amper duct smo detectors -
statexr IZIP- 1 .1,4zfeai�um� etre plan
Phone: rax: Z - nstaevreplace urner � T1p �e
Including ductwot'k/vcnl liner Yea O .,-C No H.c71) -1,
CCB-10.: a 3 _ 5Aea rep sc relocate ealcrs-suspended. I
City/metro lic`Uri.: a.rA 5 1 wall,or floor mounivi
Name lease f1111t): enc ur x>>ianct0 ct r t tan uirtace
t !rA Aa:
Absorptionunits HTUfli
Name: r'htllers _ - HP
"Ir
Address: Gun reasons HI'
e♦rtromonta eTeud•• leap ,sl on:
City? tate: 17.11' ^ A liancevent
Phone: rax: Es nuul. rDryer xhaust --- —
NT=e r= khche_WA_trrat
h1 tirr vupprrgslnn System
Name: Lsyv�� �S r��a. `-• t 1r t'cha,i'I tan with single dart(hent farts)
Mailing iimle": roust astern a i,irr m caun r)r A�
p ng as et oe up m out ctq)
City: — - state: LIP: ®eJ Type: 1.110 _ NG _ fhl
Phone: 1 Fax: Ut mall: e t n enc t7diit,inttl over d out eta
rocess p ng(gr emauoreyuireI ) ----
Number of outlets
Name: ar gran;- - --
/,ddlmss: - ptcontivo fireplaee y
rMit _ State: zlpP 15 tram • "- -
Phone: rax; !— Ismail; Woodutov pc ustove0the _-- --
Applicant'. signature_ Date: - -o� r'
Name (p.inq:
vt Iw1offletkai-i q ereM.ted..rA..a; prt.aktkm ro,canna an,rler+ I'ermit fee.....................S 14 tJ 0-1 a►0y }
vis. u Mu Notloe 11t1s permit appliratirm Minimum fee................_ 7;4.
-
r-� anti�r exDtres if•ptamit a nrK ehtainal Plan review(at . %) $ f
St within I80 drys aper It been State stttchs A'[
r8e
�e .r a -; accepted complete
- AmoaY
t4 11
CITY OF TICARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 —
BLIP ---
Received ^ __ —__Date Requested _ v AM PM BUP -
Location Suit9 MEC 4' 0 /2—
Contact Person PLM -_ ___—_ _
Contractor —_ Ph(. ) _
SWR
BUILDING Tenant/Owner - ELC
Footing
ELC
l=our elation Access:
Ftg Drain ELR
Crawl Drair,
Slab Inspection Notes: SIT -- -
Post& Beam
Shear Anchors
Ext Sheath/Shear
-
Int Sheath/Shear
Framing - -- - -
Insulation
Drywall Nailing - - - -- - -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling -
Roof
Other:
Final
PASS PART FAIL
PLUMBING _
Post& Beam
Linder Slab - - — -----
Rough-In
Water Service - _-- — -- — ----
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- - — ---------
Shower Pan
Other: - —- - ---
Final ----
PA FAIL
!`moke Dampers
ina
PART FAIL - -- - - ---- -- -- -- -- -- ------- --- --- - -- -
EL TRICAL
--s- - -- - -_-- -- -_..._..-__— ---------------
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final C I Reinspection fee of$ ____...__—_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
SITE — Please call for reinspection RE Unable to inspect-no access
Fire Supply Line
ADA --.
Approach/Sidewalk Data ( � �� �'`�- Inep ector Ext_
Other:
Final - DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITU OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspectioo Linc: 6394175 Business Phone 6394171
Date Requested: �� `� y -7 A M C1�'!- P.M.�__ MST: '
Location: c BUR
Tenant: Suite:—____Bldg: MEC:
Contractor: —_ Phone PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILAINGBL n't) PLUMBING MECHANICAL ELECTRICAL SITE
Site ost/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndF1/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation htsulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm CrawUFound Dr Ifeat Pump Low Volt
pprove Approved Approved Approved Approved
Appr/Sdwlk roved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL. FINAL FINAL FINAL.
tt
It
ar-
i
O all for reinspection C7 Reinspection fee of S _ required before next inspection O I lnable to inspect
Inspector:— ! �� __ Dater . _-- Page-- of—
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: (;39-4171
Date Requested: A.M. 1'M. MST:
Location:
Tenant:-__—, _-- Suite: Bldg: _ MEC:
Contractor: Phone: PLM:
Owner: Phone: �. sT " ' — t ELC:
--- -- �/ ELR:
ser:
ECT -
BUILDING !— BLDG(con't) PLUMBING MECHANICAL � E-'Lam'RISITE
Site Post/Ream Post/Beam Post/Beam Covcr/Servicc Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/D uct Reconnect Vault
Bsmt Damp ')rywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alyn Crawl/Found Dr I lent Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved MrATIrroved Not Approved
FINAL FINAL, FINAL L"`, FINAL
Q R n O M RD D/ T IRs
Fo ✓ _,4 L-o/v
Q Call for reinspection I 111,4lxclion Ice of$ required before next inspection Q 1Jnable to inspect
Inspector: Page._of
Page No. 1 LOG NOTES FOR CASE NO. : MST94-0164
CLAYTON HUNT
09650 SW MURDOCK ST
06/26/97
By Date Text of loq note
--- -------- --------------------------•---------------------------------------
,7`i' 06/26/97 LOU MONTGOMERY, APPLICANT, FOR POLE BARN AT THIS SITE, ,,EE
MST97•-0234 , 246-4521, CALLED WANTING TO KNOW STATUS OF PERMIT.
INFORMED HER THAT POLE BARN PERMIT IS ON HOLD UNTIL WE DO A FINAL
BUILDING INSPECTION ON THE ADDITION. CLAYTON HUNT HAS INFORMED
BUILDING DIVISION HE WOULD BE CALLING FOR A FINAL BLDG INSPECTION
THE WEEK OF JULY 11, 1997
JT 06/26/97 there is a note in the file dated 6/25/97 by George "I have
informed Mr Hunt that no extension can be granted, however, he
seems to have very little to do to complete the building permit.
This won't affect the electrical permit. So we could final the
MST94-0164 with approval from Mike R"
MASTER PERMIT
► CITY OF T I GARD PERMIT #. . . . . . . : MST94-016-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/04,194
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL.-
;:')ITE ADDRESS—. : 09650 SW MURDOCK ST
'AJI3D I V I tj I ON. . . . VHRMLL NU. 3 ZONING- R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . _ . :25
BUILDING
REISSUE: DWELLING UNITs-. i SASEMENT. . . . . . . . :0 s
CLASS OF WnRK. :ADD BEDRMS: 1 BATHS.-O GARAGE. . . . . . . . . . :204 5f
I YPE OF USE. . . :SF FLOOR AREAS------- REQUIRED
TYPE OF CO.NST. :5N FIRST. . . . 162 Sf I.EFT*. . :0 ft RIGHT. : 12 ft
OCCUPANCY GRP. -R3 SECOND. 0 s FFONT. :cO f t REAR. . :0 f t
LGIU I
'.31 OR I ES. . . . . . . : I 'r H I lit). . . . :0 S f RE
HE I GH F. . . . . . . . : 15 1-'t 1 O PL--- -- -- t 6,:2 5 f SMOKE JJLTECTOR5. :Y
:-LUUR LOAD. . . . :=r0 psf VALUE. . . . . $: 11124 PARK ING SPACES. . : 1
Remarl<-, : ADDITION SEE PLANS FOR TYPE OF INSULATION'
PLUMSING
,.3 1 NKS. . . . . . . . . . :0 FLOOR DRATNS. -0 S(-)CKFL.OL-,l PREVNTRS. . :41
LOVAIURIES. . . . . :0 WATER HEf4fERS. . . :0 TRAPS. . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :#71 LAUNDRY TRAYS. . . -0 CATCH BASINS. . . . . . . .0
WAI LH CLOSET!�. . : Z! SEWER LINE (ft ) . :0 URE'"SL T RAPS. . . . . . . :0
DISHWASHERS. . . . :1T1 WADER LINE ( ft ) . :10 OTHER FIXTURE'S. . . . . :0
GORSAGE DISP. . . :0 RAIN DRAIN (ft ) . :0
WASHING MACH. . . :0 '.,F- RAIN DRAINS. . 1.
MECHANICAL FEES
FULL TYPES- LININ HTP5. . -0 t,/pe a m 0'..In t by date recpt
/GAS/ VE N f S . . . . . :e HPIR 4'r 44 92. 50 SW 05/04/94 —
MAX INPUT:0 LA T U VENT FANS. . :0 BPLL $ (4. 13 SW 04/E'8/94 94-2'5179'
TURN < 100R . . :0 HUOUS. . . . . . :0 85PL $ 4. 63 SW 05/04/94
rURh1 > =IOOK . .. :17, WOOD'31 OVEG. -.0 MPRT $ .:25. 00 SW 05/04/94
FLOOR FURN. . . . :0 CLO DRYERS. : 0 M51PC $ 1. 25 SW 05/04/94
BOIL/(-'MP ( 3111-101 OTHER UNITG:O
GAS OUTLETS;:0
Owner .
LLAYTUN HUNT
1650 SW MURDOCK s-r
11CARD UR 9-leE:40000
Phone #: 6 0-4361
OWNER
Phone #1
Reg #. . :
183. 51 TOTAL
This vervit is iSS--jed subiect to the regulations contailed in the REOUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fat-ind Insp Mechanical Finai
applicable lays. All work will be done in accordance with approved Post/Beam Strl.tct 1211-tilding Final
plans.
ans. This peroit will expire if work is net started within 181 post /Beam Mechan Erosion Control
days of issuance. or if work is suspended fcr a e than DN da Mechanical Insp Crawl Drain
raminq Insp
rq,r-mittee Sigl),It,-'re tion Insp
a"Cj Insr)
ISSLierdi By : Rain drain Insp
CA 1. 1 for i n r,pect i o ri 639-•4175
` -1 - LZ_
Residential Build ._erm_tAgyplciatn
City of Tigard
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
f
Jobsite Address: 570 5-61
Subdivision: �1�
y" o e-I Pl Lot # �� _ Office Use Ori
.� Plandc/Rec #
valuation: `
Permit # �� ��.
Owner: Reissue of
Address: 5�+- v`'� Map & TL 41_ .5/�/
76
Approvafs Required
Phone:
Planning,,_
4
Contractor: _ _ Engineering
Address: _moi,-� (i G7 _ other --- ---- ----- -_
Items Regulred_
Phone.
Subcontractors
Contractor's License #
(attach copy of current Oregon ficense) Truss Details
Subcontractors: Other
Plumbing:
Mechanical:
(attach copy of current OR Contractor's License) ,
ArchitectfEngineer:
Address:
Phone:
` il 1
COMMENTS: �• Z � 7� �� `Pi4.2�n.-�r� � �, S<
A{;plicar ignature & Phone number
Received by: _.— _,— Date Received:
Permit # Account Description Amount Amt. Fid. Bal. Due
Bldg. Permit (BUILD) _
IJ
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) S
Bldg: (r ✓
Plumb:
Mech: /, 7� V/
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Narks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential 1 IF (TIF-R) _-
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _ —___-
Office TIF (TIF-0)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
i v``.
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
CJOIJNTY, INSPECTION REQUESTS: 503/640-3561/693-4415
PHONE: 503/8488781iC--� U4u-s4'/u
OREGON P a q e 1 r>r 1
'
Date (1N/U4/-)4
'Dime 16 : 36
Permit 'Type i(esidential Electrical Permit Permit # ()I.., L)6 /1,U
Permit Status APPROVED Applied 08/04/94
Situs Address 9650 SW MUHDOCK 5'1' '1'1 1_;�:ued 08/04,/94
Permit 'Title SP'R - ELEC/SEPIVlf:E & 4 CK'TS Completed
Permit Uescr . 'Fo Expire 01/31/95
Project 'Title SP14 ELE(.'/SERV11_'E & 4 CK'PS Project # P0()41781
Proiect Uescr . * hRQS LUN +
Parcel N zmber 2S1'J'l Lana Use Di trice
valuation U
Legal Uescr .
Owner 1N:_.NEC"1'lc_1N - 'I'1GARD Construction
Applicant Name HUN'1', CLAY'PON Classification : `JOU
Applicant Addr .. : 9650 SW MURDOC;K :51' Occupancy H3
'1'1GARD, OH 9'/224 Validated by Y,E'
Applicant. Phone: 6'1.0-4:361 Jnopfartor Area
P'ee description Units Fee/Un it Ext tr? Dat 1
-------------
Service/P'eeder : 200 amps or les:. 1 60 . 00 60 . 00
Each Branch W/ Feeder [ Enter # 1 4 5 . 00 `LO . (10
Subtotal Electrical FeNs : 80 , 00
:;tate Surcharge tit 5% 4 . 00
'Total Electrical P'e'es : 84 . 1111
**A E'ees Required ** * *** P'et's C'tr.l.lertt.�d & t'rc'tiits * �*
Method Check # Receipt Noy , Date Payme-rlt
CK 4936 08/1;4/54 84 . :)0
'1'()'1'AL 'PH J.S UA'PE 84 . W)
1-'ees , 84 . 00
Ad-lu. tments : . UU 'Pot._11. :'Tedi is : 00
lot.al Fees : 84 . UU 'Pot a1. Poym.rnts : 84 . 00
Balan.~e Due: . On
NOTICE: Thea permit becomes null and void If the work or construction for Nhlch It Is Issued Is not commenced within 100 days. Once construction has started.
the pennit becomes null and void It construction Is Interrupted tot nerlod of 180 days t certlfy that the Information presentud by the applicant and
his agent or agents In support of this permit Is true and correct to the best of our knowledge. 1 acknowledge that the Building Department's reliance
upon false and misleading information may Invalldate This permit All provisions of applicable laws and ordinances governing the contructlon and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans cc rrection sheets. 1 acknowledge that
the granting of a permit doles not grant sulhority to access private property or to use easements. I furthe acknowledge that the use or occupancy of
the structure or building permitted depends upon my catling for Inspections of varlou+times during the process of construction and the building
Inspection staff verifying compliance with the various codes, Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or ocr.upancy Is revoc.ahis until all Inspection requirements are satisfied and
approval Is given by the Building Official I further acknowledge that s lien may be placed on the title of the property upon which the permit Is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of land Use & Transportation
Electrical Inspection Section
155 North First Avenue, #350-12 APPLICATION
Hillsboro, Oregon 57124 -7 LL tt
Information: (5041640-3470 Fax: 503 693-4412 5 -''j(p /•J�/ ;
� PRINT
Project/Permit
PLE
�c1 ''C7/6�� Date
Please
1 -
complete . through Number �)
1. Location_ of installation 4. Complete Fee Schedule below
�' `� (_ Number of Inspections per permit allowed
Address,)[-: ALL% I l l U_y L c — _
I Building Service included: Items Cost(ea.) Sum
city ---IV. Suite No.
TenanA. Residential- pet, unit
(if commercial) 1000 sq.ft.or less $110 00 4
Each additional 500 sq ft
Tax Lot 4 ,,,,���'� Map No --- — or portion thereof $25.00
Limited Energy $25.00 1
Thomas Map Book: P go: 1", pection: Each Manuf d Home or Modular
Djj ctlonS f2i. Dwelling Service or Feeder $66.00 2
wr rll:cv'
c�•� 1(,,� B. Services or Feeders
Commercial ❑ Residential Installation,alterations or relocati r `
200 amps or less - $6000 --k2!.— 2
2a. Contractor installation only: 201 amps to 400 amps 0.00 2
Y 401 amps to 600 amps $121?_0.00 2
Electrical Contractor 601 amps to 1000 amps $160.00 - 2
Address _ —_— -"—--�-- Over 1000 amps or volts $34000 2
Date Job Number vReconnect only $50 no —.—__— 2
Property Owner --- C. Temporary Services or Feeders
Contractor's License No. _
Contractor's Board Re No. _ Installation. 'ion or relocation
Reg. 2200 amps oor r less $5000 _— 2
201 amps to 400 amps $75,00 —. 2
Signature of Supr. Elec'n __ 401 amps to 600 amps $100.00 2
License NO. Phone No. _ _ Over 600 amps to 1000 volts see'B'above
2b. For owner ins illations: Branch Circuits
N
I/,/,ty �� �f L r � r V S 6 � Now,alteration or extension per panel
r t ner'a ams r tone o a) The tee for branch cirrulte with
f purchase of service or/seal lee.
i �" Each branch circuit $5.00 ' 2
Aacires
�r b)[' r.�j cj 7 2 The fee for branch circuits wl hout
city tate p purchase of service or/ceder lee.
First branch circuit $35.00 2
The installation is being made on property 1 own Each add nl branch circuit $5.00 2
which is not intended f6f-sale, lease oo�at. E. Miscellaneous (Service or Feeder not included)
c_ Each pump or irrigation circle $40.00 2
Owner's Signature / 21 e.t L' Each sign or outline lighting $40.00 r
Signal circulus)or a limited
3. Plan Review section (if required) energy panel,alteration
Please check appropriate Rem and enter fee In section 5B or extension $40.00 2
1 & 2 family dwellings over 320 amps s/c meter F- Fach additional inspection over the allowable
4 or more residential units in one structure in any of the above
Per inspection $3500
Service over 225 amps; feeder 400 amps or more Per hour $5500
— System over 600 volts nominal In Plnnt _ $5500 _
Building over 3 stories in height
J Building over 10,000 sq. ft. .5, Fees O cx�
_ Occupant load over 99 persons A. Enter total o`, above fees $ _SL F'
Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ !i.
Vehicle Park; new, addition or alteration Subtotal $
Classified area or structure containing special B. Enter 25% of line A for
occupancy as described in N.E,C. Chapter 5 Plan Review if required (Section 3) $
_
Submit 2 sets of plans with application where any of the Subtotal $Less Bulk Labe) Fee $
above apply. Not required for temporary construction Balance Due $
services.
For Inspections call This permit ha.amt•null end,old N the work authorized by five perm"is not commaeoed
640-3561 or 693-4415 within 190 days Irom date of Issuance of such permit o,N the work authorized ls
suspended or abandoned at anytime after work le oommencad for•period or 1.day.
24-hour recorder,one working day In advance of need Fisctrlcsl Permits ere nonrefundable and non-transferable.
5'93
i
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHCNE: 503/640-347C
1 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Y�i,
2Ctaa-
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHING I'ON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit #: 050567 Project # : P0042782 Status APPROVED Page 1 of 7
Applied : 08/04/94 Issued 08/04/94 Expires 01/31/95 09/13/94 05 : 49
RESELEC
Permit Title SFR - ELEC/SERVICE & 4 CKTS OTH
Description Begun: 08/04/94
Job Addrese 9650 SW MURDOCK ST TI
Owner Name INSPECTION - TIGARD Region D
Applicant Name HUNT, CLAYTON
Phone number 620-4361 Valuation: 0 Approved
Inspector mments : Rejected
71
— 194 C' 111& tc-^e [� „ r fj� �.�..; IVR-RESULTS
REQUEST ERROR!
ell" AN
Inspected by:— , QL 9.�_ Date:
Inspection Requested.
* Cover & Service 0403 E AP DN IVR
09/13/94 IRI TW AFTER 2
09/12/94 RI MAC
09/12/94 DN KP DNIVR LUT5 I BS
PROJECT NO.
WASHINGTON COUNTY INSPECTION CARD
DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO.
lOR INSPECTIONS CALL: 640-3561, 24 HOURS
FOR INFORMATION CALL: 640-3470 DATE _
ADDRESS -��! SC1 <l� _ PERMITEF-
Q
DIRECTIONS LZJ to h� PHONE NO.
r /I1s(o c K s fm / 7b 1 d�u.�u „��1—►� _ ___
BUILDING MISCELLANEOUS PLUMBING ELECTRICAL
ftq post/beam nail mobile home ground rain drain temp service
fdn frame apron/ wood stove post/beam storm sewer rover 6 service`l
sidewalk
slab insul FINAL HVAC top-out FINAL FINAL
gas test sewer USA �4o.
OTHER
NOT APPROVED REOUESTED INSPECTION
' APPRREPAIR ANn Rf -1 N PE CT APPROVED +!wVIP NOTE. nSTOP WORK UNTIL:
Ll
LTJ
DATE
,_,
June 12, 1995
CITY OF TIGARD
Building Division
13125 S.W. Hall Blvd.
Tigard, OR 97223
Re: Building Permit #MST94-0164
To Whom It May Concern:
am responding to your letter of June 1 , 1995 regarding Building Permit
#MST94-0164 for the property at 9650 S.W. Murdock Street, Tigard, OR 97223.
I am requesting that you extend the building permit to allow me additional time to
complete this project. If you have any further questions my pager number is
870-4630. Thank you.
Since,-ely,
Clayton Hunt
May 21, 1997
Clayton Hunt CITY OF TIGARD
9650 SW Murdock St OREGON
Tigard OR 97224
Dear Mr. Hunt:
On June 12, 1995 you requested, and were granted an extension on the Buildine Permit
MST94-0164, until December 12, 1995.
On ,August 14, 1996 Rick Bolen, City of Tigard Building Inspector was at your property
and noted an out building and left an inspection slip which stated"you are building an out
building without a permit and you have encroached into the rear setback. Please obtain a
permit and call for an inspection of said out building. Plans and engineering will be
required to be approved by City Plans Examiner".
An inspection for the addition is required no later than Friday, June 6, 1997. Inspections
are obtained by calling the 24-hour Inspection Recorder at 6394 175. Inspection requests
must be received no later than 6.00 p.m. if needed for the following day.
Any questions you have regarding inspections should be directed to the Building Division
at 639-4171 ext. 310.
Please submit application materials for the out building no later than Friday, June 6, 1997
to The City of Tigard, Development Services.
You may pick up application materials at Development Services Monday - Friday,
9:00 a.m. - 5:45 p.m. Any questions you have regarding the application process should be
directed to Development Services, 6394171 ext. 304.
Sincerely, -
Jeanne Temple 1
Building Division
c: Rick Bolen
Development Services
David Scott, Building Official
Lrihum
13125 SW Hall Blvd., Tigard, OR 97223 (503) 539-4171 TDD (503)684-2772 -- ----
MASTER PERMIT
CITY
OF TIGARD
PERMIT#: MST2000-00414
DEVELOPMENT SERVICES DATE ISSUED: 10/02/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09650 SW MURDOCK ST PARCEL: 2S11113D-00402
SUBDIVISION: DARMEL NO. 3 ZONING: R-3 5
BLOCK: LOT: 025 JURISDICTION: TIG
REMARKS: adding 12.7 sq ft batch room to hoUS2 Path 1
3UILDING
REISSUE: STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT. FIRST. of BASEMENT- of LEFT I SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND of GARAGE sf FRONT. PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: FINBSMEN t el r:IGHT
VALUE L'+l:�I'.I9
OCCUPANCY GRP: R3 BDRM BATH: 1 TOTAI 1,7 uo of REAR
PLUMBING
SINKSWATER CLOSETS. 1 WASHING MACH. LAUNDRY TRAYS. RAIN DRAIN TRAPS
LAVATORIES- I DISHWASHERS. FLOOR DRAINS'. SEWER LINES. SF RAIN DRAINS. CATCH BASINS
TUEISHOWERS: ! GARBAGE OISP. WATER HEATERS: WATER LINES BCKFLW PREVNTR: GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN,100K: BOILICMP<3HP: VENT-FANS: I CLOTHES DRYER.
FURN>=TOOK, UNIT HEATERS: HOODS: OTHER UNITS.
MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I
ELECTRICAL _
` RESIDENTIAL UNIT _SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FDR. PUMPIIRRIGATION' PER INSPECTION.
EA ADD'L 500SF: 201 400 amp: 201 400 amp: tat WIO SVCIFDR. SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY. 401 000 amp: 401 600 amp: EA ADDL BR CIR SIGNALIPANEL: IN PLANT:
MANU HM/SVCIFDR: 601 • 1000 amp. 601 romps-1000v: MINOR LABEL:
1000♦amplvall PLAN REVIEW SECTION _
Reconnect only.
>=4 RES UNITS: SVCIFDR>=225 A.' ?800 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
_ A.SF RESIDENTIAL 8.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM AUDIO&STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOP LNDSC LT:
BURGLAR ALARM. OTH, BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR:
HVAC: DATA/TELE.COMM: NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 414.38
This permit Is subject to the regulations contained in the
HUNT,CLAYTON R AND DEBRA L HUNT CONSTRUCTION&EXTERIORTgard Municipal Code,State of OR Specialty Codes and
9650 SW MURDOCK ST 9650 SW MURDOCK all other applicable laws All work will be done in
TIGARD,OR 97224 TIGARD,OR 97224 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
Rep N: LIC 104430 forth in OAR 952-001.0010 through 952-001-171080 You
may obtain copies of these rules or direct questions to
OI INC by calling(503)246-1987
REQUIRED INSPECTIONS
8—ill.--i ieisr4r Underfloor insulation Plumb Top Out Insulation Insp Final inspection
Footing Insp Crawl Drain/Backwater Electrical Service Rain drain Insp
Foundation Insp Footing/Foundation Dr; Electrical Rough In Electrical Final
Post/Beam Structural PLM/Underfloor Framing Insp Mechanical Final
Post/Beam Mechanica Mechanical Insp Gas Line Insp Plumb Final
Issued BY e--- Permittee Signature
Call (503) R39-4175 by 7:00 p.m. for an inspection needed the next bu Hess day
CITY OF TIGARD Residential Building Permit Application Plan Check
13125 SW HALL BLVD. Additions or Alterations Recd By
Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Date to DST 1 �>
F 503-684-7297 Permit 01,Cj�,0D•4
Print or Type Called Po?1"Y,7A"/E_LZ OD�
Incomplete or illev'ble applications will not be accepted
---_.._�----- - Name of Project Name — -- —
Job S)vvkk � Mailing Address
Address site=ddre s Architect g
Nam cAa 50 � City/State Zip Phone
Ori V t�� Name J
Owner Maili7A
Addr �/
I" 5 L,) Engineer Mailing Address —
Cit /State Zip � Pf�,Qne 9
~ City/State Zip Phone
General Name
Contractor - Describe work New O Addition Alteration O Repair O
Mailing Address to be done'
Prior to permit Additional Description of Work:
issuance,a copy City/State Zip Phone
of all licenses _
are required if Oregon Const.Cont.Board Exp Date PROJECT X70 j •
expired in COT Lic# `� VALUATION $ _ _
_database � — —
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Prior to permit
issuance,a copy City/State Zip Phone subcontractor in the followin areas
of all licenses Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy — System Alarms
expired in COT Lic# Installations Vacuum irrigation
database System System
Plumbing Name (check all that Other:
Sub- /, ; apply) _
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
Has the Subdivision Plat recorded? NIA 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 that I have read this application,that the
expired in COT �._
database Plumbing Lic # Exp.Date information given is correct,that ; am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Oreoconn State laws.
Name Si re of mer/ I� Date
Electrical
---- Cont ct ers n Nam / . Phone
Sub- Mailing Address �(jy� (- 3d 42A-14
City/State Zip Phone
Contractor 934 ��y 3
Prior to permit
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont.Board Exp Date Plat!f: M L
required if Lic# � 7�/ Q ,
expired in COT — — r C�.L�60database Electrical Lic.# Exp.Date Setbacks Zone: 71 �1+T10F1'---
Electrical
r:
'Supervisor LIc.# Exp Date Engineering Approval: Planning Approv
I�dsts\forrnsWaddalt doc 11/20/98
0 O
ti/S.__.�'_.rq•.t. ;�lllill'titi: � S�-_ ..SGc� � ( ��V C��
Ln {. ; Z
1�r Issued by: Date: 1-1-9 �-
Statement- Information Notice to Property owners
About Construction Responsibilities
Note, Oregon Law, URS 701.055(4), requires Pr Vitkniial construction permit appli-
cants who (ire not registered with the Construction Contractors Board to sign file
folloiving statement Before a building permit can be issued. This•statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration tinder URS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
1. I 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.
E] -1A. My general contractor is —
(Name) Contractor regis. #
I will instruct my general contractor that all sub,.ontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
313. 1 will be my own general contractor.
If I hire subcontractors, I will hi,•e only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with it contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above informa ion is correct and that I hay a read and do understand the Information
Notice to Proper v Owners about C instruction Responsibilities on the re%erse side of this form.
(Signature of permit applicant) (Dat6)
(White copy to issuing agenc.r perntit file,
pink copy to applicant)
Information Notice to Property Owners .
About (:{_instruction Respowtibitities
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kl(1tiiv H61(Vinp (06cillly it tht� ;Illrrinitri,lti' littler ,.r, 1h,-v ctm porform tho reotksrl d ;klcn:• Iwo,:
�� t,lll l'IAV'C :1!'l(litit{k1EI� :]UtS11Ull�+, �'•filt.`r''1 C.1Y� 11` ' ( �!'',II;1, 1!;,I1 l �!, t. I-..I, �t:�Ilrl a{1�) ��; � ? ;f 1 ��_!�C'T11,t e � t:'
16 11 1110 l omd +K t1 'I"`,ilttit,; 'I I +`.IIIc ^4 t(1, ill ".,111'111
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/�IT�/ /1C Tlh w nn
V11 1 VI 11I/�I'�V
•i3i25 a.V4. HALL SL VIJ.
TIGARD, OR 91223
iriilPOR T AN T FERMi T NC i 11 .;E
COLUMBIA PLUMMIMU
6626 SE HARNEY STREET
Or1f7TLA,AIh, nQ g7?��
Pluritin- ti7ng►urel Form
Pp,rmil # MST2000-00414
hath IssuPri 1012100
Parcel- 2S111 BD-00402
Site Address' 09650 SW MUKUU(:K 51
Subdivision DARMEL NU, 3
block: Lot' Wb
Jurisdiction* IIU
Zoning K-3.5
Kemarks; adding 11 r sq rt oath room to house Nath 'i
Your cornpanv has been indicated as the p umbinq contractor for the permit indicated above In order for the
nhlmhlnri perrr,it to hp valirl nlr qrP hnvr. the annrnnnate inriiv♦kliml from vour comoanv skin helow ani return
1., rlL L.... Si11IIr�. �......i nriMr !� t1... .•{...f,�f fh�. ::�ork :� 11^� .�.dr�I race. �Fl n��c� ATTK� M,;1Alnn r)n,,f
1111.7 1 ,ul I ;,g Signatu1�. 1 ....,. r,. v 4.z
No plumbing inspections Wlil be authorizea untrl tnis tompieteo torm is recelvea
OWNER' f'LUMbINli LUN I R"lu I UK'
HUNT, rl AYTON R ANN) nFF RA I COLUMBIA PLUMBING
O3v.O SM MURDOCK ST Etr2G SE HAfauc.Y STREET
SiGARD, OR 57224 �.
T
P0Rl ♦ ND
vnl /'� .ten o12<Jv
� IC ii?709
Op M 7F eciloR
AN' !t`I!� elf--k1A'r JRE Ic REQ TIRED ON Talc F-OROVI
• /• • VI Vt�r11 IV I��M�., Ir • 1 ./y 1.1
A
Signature of Authorized Wumoer
If�`11 hg�rA an�r �Llract�nnc nloaca r,all 1 rf 1't 1 Ij"eV.n 1 /1 clef t! Y 1 i
TO- d VOfJ ' Ei0 TQ- F;7_ -lief
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
SUP -- -
-___ Date Requested.����/�U �- -
Received _ _—.___.. —_ - _-_- PM OUP
Location ___. ---`Sh/
Contact Person Ph ( ) PLM
Contractor-- — — ----- Ph ( ) - - - - SWR - -
BUILDING Tenant/Owner __ ___- ___ ELC
Footing ELC
Foundation Access:
Ftg Drain ELF!
Crawl Drain _-- _—
Slab Inspection Nates. SIT
Post& Beam
Shear Anchor,
Ext Sheath/Shear
int Sheath/Shear
Framing - - - -
Insulation
Drywall Nailing -
R ewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final -----
T FAIL_
Pos`.beam
Rough-In
Gas Line
gmoke Dampers -
i
IPART FAIL ----------- --------______
E RICAL
Service
Rough-In
UG/Slab
Low Voltage __-.--.---
Fire Alarm
Final [� Reir;pection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ Please call for reinspection RE:----- Unable to inspect-no access
Fire Supply Line
ADA /�j I// �(� Z /
Approach/Sidewalk Date./ Inspector-- --Vic _-_ Ext
Other:
Fimnl - DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD BI IILDING INSPECTION DIVISIPN
MSTd•'Q?
14-11our Inspection Line: l-4175 Business Line: 631. 171
Date Requested AM PM BU PBLD _
Location (OS7,� �=�._^ --_--- Suite _ MEC
Contact Person �_— _ _ Ph '? — PLM
Contractor Ph SWR
BUILDING v� Tenant/OwnerELC
Retaining Wall Y — — ELR
Fooling ---------- --_____
ACress
Foundation . FPS
Ftg Drain c ,,,; /-P G` ------ ----_.__
Crawl Drain Inspection Notes: SGN
Slab SIT
Post& Beare
Ext Sheath/Shea
Int Sheath/Shear -
Framing
Insulation ----- -__ _-
Drywall Nailing —
Firewall
Fire SI ikler
Fire Alarm
Susp'd Ceiling —
Roof _
Nlisc: — _--- -----
Final -�
PASS ART FAIL ---- - - -- --------
L
Post& Beam —
Under Slab
Fop Out — - -
Water Service _
Sanitary Sewer
Rain Prains
$94) PART FAIL_
_NIFeRANICAL --- — �--
Post & Beam - -- -- -- -
Rough In
Gas Line
Smoke Dampers
Final -- - --
PASS PART FAIL
ELECTRICAL _ - ----- - ---
Service
-----------
Rough In
UG/Slap —_ —_— - -- --- - --------
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Stone Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE:�_ ( ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date _!- Inspector—6 �"p "�W Q _Ext _
Final _
PASS^PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD P' IILDING INSPECTION DIVISION
24-Hour Inspection Line: , .9-4175 Business Line: 63 171
MST
HUP
_Date Requested`-_ , _- AM�-`- LID
PM BUP ---4-- -
LocationirJyV- Suite MEC
Contact Person _ Ph 2-P G Z — PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall ----- -.____�..- ------ ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab - ---- -- - -- -- SIT
Post 8 Beam -------._._____,-----._.--__--- ------v-----------
Ext Sheath/Shear
Int Shcath/Shear - - - — --
Framing _— - -- ---- ..�. - --- -- - -- - - -
Insulation
Drywall Nailing
Firewall ------------
Fire Sprinkler
Fire Alarm ---_-_ ----- -
Susp'd Ceiling
Roof ---- ----- -----
Misc ----- -�--" --- -
Final �_ s
PASS PART FAIL ---- _ - --- ------_ - -
PLUMBING
Post& Beam --
Under Slab
Top out - �-
Water Service
Sanitary Sewer w - —��`--
Rain Drains
F inal �—
PASS PART FAIL -
MECHANICAL
,Post& Beam -- -- -- - -- - -- - --- ---
Rough In
Gas Line
Smoke Dampers
Final --- ----- --- -— - - -- -- --�.__.--�. --�.- - --
PASS PART FAIL
ELECT -
Service
Rough In � ---------- -- ----- ------__----
UG/Slab
Low Voltage
Fire Al m
AS ,)' PART FAIL
WM
BackfillAirading — ------ - --_-�- ---
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Nall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I )Please call for reinspection RE: — — ( I Unable to inspect no access
ADA
Approach/Sidewalk 77
Other Date C-� vC 'C%�� Inspector �' � Ext
Other
Final �~
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TMASTEFR . : McT97- 02':a,
DEVELOPMENT SERVICES DATE ISSUED: 07/18/97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
F,ARCEL: 2 0 1 1 1 BD--0040:'
TTE ADDRESS. . . :09E,50 5W MURDOCK 51
U13DIVISION. . . . :DARMEI._ 1\10. 3 ZONING: R--3. 3
DL-OCK. . . . . . . . . . I-OT. . . . . . . . . . . . . :25 JURISDICTION: TIG
Remarks: Pole barn
----------------------------------------------------------------- BUILDING
---------------------------------------------------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBACKS----- REQUIREP.-------------
CLASS OF WORK. :ADD HE.IGHT........ ; 8 FIRST....; 0 sf GARAGE.....: 528 sf LEFT..........: 5 SMOKE DETECTRS:
TYPE OF USE.- :SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT......... ; 0 PARKING SPRCES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........; 0
OCCUPANCY GRP.:? BDRM: 0 BATH: 0 TOTAL------: 0 sf 9ALUE..1: 9335 REAR..........: 15
PLUMBING --------------------------------------------------------------
SINKS.........: 0 WATER CLOSETS. : 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: P
LAVATORIES....: 0 DISHWASHERS...: P FLOOR DRAINS..: P SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DI5G'.. : 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 .REASE TRAPS..: 0
O) 'ER FIXTURES: P
--- MECHANICAL -------------------------------------------------..
FUEL TYPES---------- FURN ! 106K ..: 0 BOIL/CMP ( 3HP: 0 VENT FAW.....s 0 CLOTHES DRYERS: 0
FURN )=100K ..: 0 UNIT HEATERS..: 0 H6aD5.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: P
-------------------------------------------------------------- ELECTRICAL ------_--------------------------------------------•-------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- -TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- —ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 200 asp..: 0 0 - 200 alp..; 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5009F.: 0 201 - 400 asp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: P 401 600 alp..: 0 401 600 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......; 0
MAW HM/SVC/FDR: 0 601 - 1000 alp.: 0 601+asps-1090 V: 0 MINOR LABEL -10; 0
1000+ amp"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 -----------—_
A. SF RESIDENTIAL-____— B. COMMERCIAL------------------------------------ -----.------------------------------------
AUDIO I STEPEO.: VACUUM SYSTEM..: AUDIO I STEPEO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTHs :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGF ")ENEF.. : CLOCK.......... : INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS—.: TOTAL M SYSTEMS: c
Owner. --------__--_--------------------Contractor: --------------—------------ TOTAL FEES:$ 136.86
CLAYTON HUNT OWNER This permit is subject to the regulations contained in. the
%50 SW MURDCCK ST Tigard Municipal Code, State of Ore. Specialty Code, and a:
TIGARD OR 97224 other applicable laws. All work will he doge in accordance
with approved plans. This permit will expire if work is
Phone N: 620-4361 Phone M: 639-4171 X370 not started within 180 days of issuancf, or if the work is
Reg C.- 000131 suspended for tore than 180 days. ATTENTION: Oregon law
—---------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in DAP, 952-001-0010 through OAR 952401-MO. You may obtain copies of these rules or
direct questions to DUNG by calling (503)246-198 .
------------------------------------------------------------ REQUIRED INSPECTIONS ------------------------------------------------ -
Erosio:. Contol
Footing Insp
Fraoing Insp
Rain drain Insp _ -
Building Final
IssLied By l Per^mittee SiynatLIr-e�
4 +-1- 1 ++++++-++++++++ + r +A 4.4-f 1 ++++++++ 1-1-1-++ ++ + ++++f-4-++++-F+A.4.4 4-+4 ++++ i +•4.}1 1 + -r
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day �
J
Plan Ct�ecA e 12
OF TIGARD Residential Building Permit Application aeC,By
'S SW HALL BLVD. New Construction Additions or Alterations DateRec:2 L i
ARC. OR 97Z:3 Single c:amily Detached/Attached (1 or 2 units) Zaie'a a°
Oate'o OST -�G
Print or Type Psrmit M
Incomplete or illegible applications will not be accepted Caded _
� •aar^e — i
Vatnb �r P•o�ec; j Y1 '1�'c
Cb 4rchitect I Mamnq Aaaress
I �i ( 4 fltir I _ _
dress i Its Aadress I I I C-ty,5late .,o I Phone
Name) I Name
•Jaron, Aacress �
:caner I J Engineer I +na"'nq a�aress
--.ty,5tate ...o Phbne �,r/,State -0 I Phone
'neral I Name Delcnbe +vom New Q Addition ,Jr.`Alteration O Repair Q
I ractor �'; 1.
o ^e icne
b issuance MaihN Address rype of use I c'
„icarw must 1. � ]1 c k-t•r(�4
Type of Construction
-'vv'oo aY C,tyrStatil Z-P I;-J.one
1
M^ftrr-ow Oregon Const. Cont Board L,c.t1 i Eco. Date I Occ+Nancy Class
x 1:QT _
:e SL'rvtkRdd YesQ
� NUS
ca=asst i T Business rax or Metro a giWill t le
Ip. Oats It Yes. seoarate FLS plana an
aoolicauon'o be submitted
-chanical "arrie Number of Stones
Sub- r ,,` ' --
tractor Mailinq AdCress Pr000sed Uu I
o Issuance
P
cans masa C.ry,5tate 2,o P'tone
evrous use
nw[Ie as
rnac�on Oregon Const, Cont_ Board Lc Exp. Date VALUATIONS (-L3_3,S `
�•c^ses kv 1.�a<►
IT .am easel COT 9usutesa Tax �►Metro t+ I ego—Oats NEW ;.ONSTRUCTION ONLY:
�— BUILDING ID
]lambing "ams
Sub- i . t`t� Unit Types Scuare Ft s of Units
ont!'actor Alatimg address — A.1
45C to Isuance
XvuCarKmutt C.tyrStateZip I Phone C•)
(:Non C;Jnst. ;.int. ?cam c.t Eco. Date—_j Wit ee:;ncai succ�ntrarcr sere 'Cr 311 '7strCe7 —,
eensas � I Yes I No
Uta--asei i Plumo ng _.c. a —v I =AD. Date I Has!h m uDCttionyn 1 ' -
Has ire Suoairs�cn o at•ewrcec NSA I •res I No
i COT 3us,ness Tax ]r.Metrm x I Exp. Cate I i hereby acxrcwtecge that i have read ,h s acp icaucn. ;hat the
rfcrrraccr ;rr?r s ::r.c'. ;.'-at 13r, ' e :wre,:. acthcrzl�C 3(;e-J of
.meal 4arr.e — ( 'he owrer and;hat clans subm tteC are n wmciiance with Cregcn
Ub- J State aws.
�igri4turs of C•nnerrAgert Oats
actor I ,Mailing Access
issuance Cbritact Person Name Phc e
aCe.Jst C.yr�'--- tS:3:e..__ Z b I Phore a ��1 c
rac:n Cregcn Canst. Cant. Board Lr-;P Exp. Date — FOR OFFICE USE ONLY:
FPIatti M?W'Lt c;r+e
r t:eC.r t�l' ,c. a E:p Date
I7�in ""11^MY"al._. _k L'.;:- Plan--LN
CDT 3usiness "ax ]r,Metro a Ex-.). Owe TIF
Approval -F
I
�� G
M�,tq?,L)23q NIST Permit (BUILD) '%
P'urro. Permit iPLUMB)
tilec;i. Permit (MECH)
ELC,'ELR Permit �ELPRNIT)
State Tax (TAX)
Bldg.
Plumb.
Nlech:
ELCIELR:
Plan Check
/� �` �
MST: (BUPPLh) 52- r elf � --� �( o
Plumb: (PLMPLN)
Mech: (MECPLN)
CCC Review - planning (CDCPLN)
CDC Review - bldg (CDCBLD)
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Paries Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-M-T)
Water Quality (WQUAL) _
'Plater Quantity OPICUANT)
Erosion Control Permit (ErRPRM
`rasion Planck/USA (ERPLAN)
E�csicn P!anck/COT (ERCSN)
Fre Lire Safety (FLS)
TOTALS: I ICG
i^detaWsaco doc ry 'ice
of U
Permit
Address:
Issued by: ---1i' Date: �-
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requir--� rr�idential 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. 7'hi.s statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
1. 1 own, reside in, or will reside in the completed structure.
® 2. 1 understand that i must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
(� 3A. My general contractor is
LJ (Name) Ccn�ractor regis. #
i will instruct my general contractor that all subcontra tors who work on the structure must be
registered with the Construction Contractors Board.
OR
I13. I will be my own general contractor.
If I hire subcontractors, i will hire only subcontractors registered with the Construction Contractors
Board. If i change my mind and hire a general contractor, 1 will contract with a contractor who is
regisu red with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
i hereby certify that the above informatlgn is correct and that i have read and do understand the Information
Notice toProp`�y Ow s about. 'or.tructi Responsibilities on the reverse side of this form.
(Signature o permit applicant) (Date)
(White cop}v to issuing agenc.r permit file,
pink rnr•, to applicant)
Information Notice to. Property Owners
Ab*i,d Construction Responsibilities
i �i� �•. ,.. ..L r lrfrh � , 1. ..V ..s,r. ,.l�,4 .,1 ., �lYl.,.{{� .. �i QI'�,r. ti,t,_. ,lilCl ..41�f' ') W.i�..
..1 il.
EIUPLOYES HESPONILIMILATiE-G,
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300, ill SFlfetxl,
SEE 35MM
ROLL #b20
FOR.
OVEIZSIZED
DOCUMENT