9380 SW LAKE STREET ii
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-tion r Inspection Line: (,39-4176 Bu.niness Line: 639-4171
BUP
---.—Date Requested_ ( C% AM PM BLP
Location _S Suite F1EC _
Contact Person (��C� PhLTCdT LM
' SWR
Corn actor —__ —_ Ph _ --
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Tenant/Owner ELC- -lir--te;nning"311 E=LR --- - --
I' u""ng Access: FPS
I oundation ------If tg Drain SGN
Crawl Drain Inspection Notes: -- -
Sab _ _�__— SIS
Post& Beam --
Ext Sheath/Shear
Int Shaath/Shear
Framing
Insulation _-- - ----------- ---�..
Drywall Nailing ---- ----- - --- -- ------
(Firewall
Fire Sprinkler -.--
Fire Alarm
Susp'd Ceiling - --- - -- ----- - -
Roof
Misc: - -- - _ ----- ---_..._. ---- - --- ------- ---
A PART FAI' -- -. - - ---- - ------ - - -- --- ----- --
Po:' Deam
Under Slab
'rop out
VVlater Service
Sanitary S.:wer
Rai rains
i
PART !-AIL
NICA L____
Post&Beam - ---- _ - ---
Rough In
GasLine - _ _ .. - - _------------ - ---._- ----- .__ ----- - -_._-
Smokelamper� -_ -
Final- - -- -- ------- -— -
PASQ -ART FAIL
E%-:r%, RICAL _ -- - ---- __--- ---- --
Service
Rough In
UGI`lab _— -• --- -
Ljw Voltage
Fire At rill - ------ - ---
FinaV
PASS PART FAIL — -- ---------- -- --- -- ----
SI E
backfill/Grading - --- - - --------- __-._.___
Sanitary Sewer
Storrs Drain [ J Reinspection fee of$ required before next inspection. Pay at City Mall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Linel 1 Please call for reinspection RE _ _ ( J Unable to Ir;spect-no access
PDA
,Approach/Sidewalk Date � (/ Inspector 1�)"� _ Ext
Other -- - --
Final -~
PASS PARI' FAIL N9T REMOVE this inspection record from the job site.
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MAST
ERMIT
CITY OF TIdGARD PERMIT
: MST2
PERMIT#: MST2000-00048
DEVELOPMENT SERVICES DATE ISSUED: 02/25/2000
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
S11 E ADDRESS: 09380 SW LAKE ST PARCEL: 2S102CA-009' 1
SUBDIVISION: VILI 4GE GLENN ZONING: R-4.5
BLOCK: LO'I- 031 JURISDICTION: TIG
REMARKS: 536 sq. ft. third story addition
13U.1 DING _
REISSUE. STORIES: 3 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 27 FIRST: at BASEML.. sl LEFT: '9 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 35 sl GARAGE: sl FRONT: 37 PARKING SPACES:
TYPE:OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: boo sl RIGHT:
VALUE: $51J10000
OCI.UPANCY GRP: R3 BDRM: I BATH: I rOTAL'. of REAR _u�
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH. LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVAL ORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS'. i GARBAGE DISP WATER HEATERS, WATER LINES: DCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXIURES:
MECHANICAL.
FUEL TYPES rURN<100K. BOILICMP<3HP: VENT FAKS: 1 CLOTHES DRYER:
GAS FURN—I DOW UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR rI IRNANCES: VENTS: £ WOODSTOVES: GAS OUTLETS
ELECTRICAL. _
_ RESIDENTIAL UNIT SERV10 '- `SER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 200 amp: WISVC OR FOR: I PUMPIIRRIGATION PER INSPECTION.
EA ADD'L 500SF: 201 40n amp: 201 400 amp: Est WIO SVCIFDR: SIGNIOIIT LIN l T: PER HOUR:
LIMITED ENERGY: 401 Goo amp. 401 6CO amp: EA ADDL BR CIR. SIGNAL-/PANEL: IN PLANT.
MANU HM/SVCIFDR: 601 - 1000 amp. 001-amns-1900v: MINOR LABEL:
1000+amp/volt:
PLAN REVIEW SECTION
Recnnuect Only:
>=A RFS UNITS: SVC/FCR>=225 A. >800 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICT=D ENEPGY
A.SF RESIDENTIAL _ B.COMMERCIAL _
AUDIO&STEREO VACUUM SYS1 EM. AUDIO A STEREO: FIRE AL ARM: INTERCOMIPAGING OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPEARRIG: PROTECIIVE SIGNL:
GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL.0 SYSTEMS:
Owner: Contractor:
TOTAL FETES: $ 940.68
This permit is subject to the regulations contained in the
STEURY,DONALD P WOOD CONSTRUCTION CO Tigard 611uniclpal Code,State of OR Specialty Codes and
PHYLLIS A 17855 NE LEANDER DR all other applicable laws. All work will be done in
9380 SW LAKE ST SHERWOOD,OR 97140-8509 accordance with approved plans This permit will expire N
TIGARD,OR 97223 work is not started within 180 days of issuance,or If the
work is suspended for more than 180 days ATTEN-i ION
Phone- Phone: Oregon law requires you to follow rules adopted Ly the
Oregon Utility Notification Center Those rulell are set
Reg N: LIC 00047336 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)2.46-1987
REQUIRED INSPECTIONS
Footing Insp Electrical Service Rain drain Insp '
Foundation Insp Electrical Rough In Electrical Final
PLM/Underfloor Framing Insp Mechanical Final ORIGINAL
Mechanical Insp Shear Wall Insp Plumb Final
Plumb Top Out Insulation Insp Final Inspection
Issued By : ., _ �"' - Pertrtittee ':,ignature : - � � / �44'���
Call (503) 639-4175 by 7:00 p m. for an inspection needed the next business day
J C
CITY OF TIGARD Residential Building Permit Application Plan Chi e r
13125 SW HALL BLVD. Alteration - Interior Only Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd
Date to P E.
V 503-639-4171 nate to DST z Y'd'o
F 503-684-7297 (n) Permit#[1^J77-rr--n)y- t!
Print or Type ��� Called
Incomplete or illegible apF lications will not be accepted
Name of Project �- Name
Job "J-,A WJr+-/ck- ---
--- - - Architect Mailing Address
Address Site Address
�
---- -- — r_ 'U S City/State — — — Zip Phone
Name R �I
Name --
Owner Mailinq Address
Cif /State Zip Phone —� Engineer Mailinn,',ddress
General Nor
�' 1 .ity _late -- Zip Phone
Contractor V - (16115ty1A01 -TAC• Describe workf Ne r O A.ddiUon�tt Alteration O Repair O
Mailing Address to be done _ -
Prior to permit l] 0 3 5 N[ '_A_, Adolih'owl Dgscriptir o f�11�gk:
issuance,a copy City/State Zip Phone y' Y `S�L��' t �l f I
of all licenses _5_ o, 4)/io 62_S (.404
are required if Oregon Const Cont Board Exp Date PROJECT
expired in COT uo# 9 1,-14/ VALUATION $ S/, ' c
database- -- - ----- ---- - ---4 -
Mechanical Nome 1' NEW CONSTRUCTION ONLY:
Sub- �JQ��'1�► I��,+�..g Sq. Ft. House �.,; ,l � Sq, Ft. Garage
Mellln Address ^- �`— (�
Contractor g Indicate the restricted energy instanalion by the electrical
Prior to permit _
subcontractor in the followin areas
Issuance,a copy City/State Zip Phone _ -- �----of all license.; T"( 4,,x,1 Restricted Audio/Stereo
�st��rd ate Ener System Alarms
are required if Oregon Const Cont Board Exp Date Energy — _
expired in COT Lic# Installations Vacuum Irrigation
database_ _ System _ System
Plumbing Name (check all that Other.
Sub.. ft111, tie-til `� to �la ���g apply)
Mailing Address Corner Lot YES NO Flag Lot YES NO
Contractor g (check one) (check one)
_ Has the Subdivision Plat record 3d? N/A� YE-S NO
Prior to permit City/State Zip Phone
issuance,a copy Z 4_4 3 of I Solar Compliance —of all licenses are Oregon Const.Cont. Board Exp.Date T'alculatior Attached) _
required if Lic.#
expired In COT I hearby acknowledge that I have read this application,that the
database Plumbing r_ic.# Exp.Date information given is correct,that I am the owner or authorized agent
of the owner, and that pi ins submitted are in compliance with
Oregon State laws.
Name Si MUM of Owner/ ent -- Dat
Electrical
-n I Fi-c.1y►c - _4
Sub- Mailing Address Contac Person Name Phone#
Contractor - zg—�LJQ ------ __S 6b E99_
FOR OFFICE USE ONLY:
City/State Zip Phone Plat#. Ma ITL P ,
Prior to pennit �, `(,8 S of b1,,�i tf�
issuance.a copy Set lacks: Zone: �/ a Solar:
of all licenses are Oregon C nst.Cont.Board Exp.Date r /\ _ 'f . > 0A
required if Lic# __N A
expired in COT Enginee ing Approval Planning lA-pproval TIF: NA
database Electrical Lic.# Exp Date �.��' r
Electrical Supervisor Lic.# Er.p Date
i forms\sfintalt doc(DST) 10/23/98
E ST. 9380
_�— 80 00 13.53
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