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Permit
CITY OF TIGAR B MASTER PERMIT A ...., '�,+ r PERMIT #: MST1999 -00423 .f l l . DEVELOPMENT SERVICE -' .-.„.44 A r !ATE ISSUED: 12/28/99 w - -�" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -41 1 01 � � SITE ADDRESS: 15630 SW 79TH AVE 1 PARCEL: 2S112CD -02000 • SUBDBLOON: Af DURHAM ACRES LOT: 014 R /G/ ZOTIG R 12 REMARKS: Interior remodel of single family residence. Note: Adding oneTrew URISDIC bathroom and one barsink.' Adding upgrade of panel /service BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: VALUE: $ 75,000.00 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: • DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: . . 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: . 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,276.06 This permit is subject to the regulations contained in the MALLINSON /NEIHART BRADLEY MISELL Tigard Municipal Code, State of OR. Specialty Codes and 15630 SW 79TH 5944 SW WASHINGTON CT all other applicable laws. All work will be done in TIGARD, OR 97223 LAKE OSWEGO, OR 97035 accordance with approved plans. This perm it 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 #: LIC 114040 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) 246 -1987. REQUIRED INSPECTIONS Mechanical Insp Gas Line Insp Final inspection Plumb Top Out Insulation Insp Electrical Service Electrical Final Electr c l Rough In Mechanical Final FIming Insp R Final Is ed By : k ' 1 / � / Permittee Signature Call (503) 63' -4175 by 7 :00 p.m. for an inspection needed the next business day CI I OF TIGARD • Residential Building Permit Application Plan Ch (2_.-41f---- 14125 SW HALL BLVD. Alteration - Interior Only Recd, TIGARD, OR 97223 . Single Family Detached or Attached (Duplex) Date Recd /•P - 99 g y p V 503 - 6394171 � Date to P.E. Date to DST / L 7 —� 9 F 503 -684 -7297 Permit # pif1.`l - FR74-Z.5 Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Na Job ms4u iri�n fred /�E� /2v.,�,tei Nn , j � (9 I) F/ Site A ddress 7 Architect Mail ng Address • Address .gyp 4 ��1 /6 61,_). . !-' gl' � � /� ? ft- /State Zip Pho a �y � r` , � Name Q TLt1A 1> -5 D �J • Owner Mailing Address , e /� ityl �C,IiJ f� / Engineer - En ineer Mailing Address 'City/State '71:11 Z ip Phone IMP ag City /State Zip Phone General Na a Con � ` � tractor p ' 4p3/aA/ 7/6 Describe work New 0 Addition 0 Alteration 0 Repair 0 B p Mailing Addresj J to be done: Prior to permit 0,Wv9r /•G /0 /L) er 7 Additional Description of Work: issuance, a copy City/State Zip Phone of all licenses 77036 4,4 are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# / y0 6.,9.)- pi VALUATION $ - 7 5we) database Mechanical Name NEW CONSTRUCTI6N ONLY: dosfSub- Weeef (/ ie Sq. Ft. House: Sq. Ft. Garage Contractor ailin Address Prior to permit Q yC 3, 7 , Indicate the restricted energy installation by the electrical issuance, a copy ity /State Zi Phone subcontractor in the following areas of all licenses / fr .if Co95 - 3�3 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic.# / // g `1,94/ l/ — Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: ,�r'n 'dub- , { �! ,, e i , _ apply) G � Contractor Mailing •dress Corner Lot YES NO Flag Lot YES NO / 7 56 el6'2 n • (check one) (check one) �t Has the Subdivision Plat recorded? N/A YES NO Prior to permit Cit /State Zip , issuance, a copy Lf12 . ?c ' 4 S -235 - t) Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) required if Lic. # expired in COT r� .9.5 �• � D / 11 hearby acknowledge that I have read this application, that the •database Plumbing Lic. # Exp. Date information given is correct • -t am the owner or authorized agent -3,0a of the owner, a • - plans submitted a . in compliance with { L /30 Co Orea onS. - .- aws. Name . -- S.ignatu • . • • • - Ag DatT Electrical tails A6e14/6 z z? ` Sub- Mailing Address ��� 3Q Contact Person Name --- Phone # �� (o Contractor 5, M/ #ii5u, Avg g_ FOR OFFICE USE ONLY: City /State Zip Phone Plat #: Ma #: Prior to permit 4 - 557 - d J/1 db „ O issuance, a copy ee Setbacks: '/� Zone: A Solar:, /, of all licenses are regon Const. Cont: Board Exp. Date 1' J /L `! L G� required if Lic. #( 3_ � a / expired in COT Engineering % oval: Plannirj�pproval: TIF: , / -- database Electrical Li # Exp. Date ,vf // R / 19- / y 34 5' � / / - / - , Electrical Supervisor Lic. # Exp. Date y aas 5 /o-N-0 ( . e — 6uOpt✓10 4 35-& , i:forms\sfintalt.doc (DST) 10/23/98 OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW cw f a„ T 1 S�, ll L) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: ""d1 i i a - L _ I -! r ?'ti AiiJJj &1-1.c A* 64h)1 v-- / L?4 -c fJ -F . 4 1 ) 1 0 ) 7 ^ t 2.1p , r A Ill 77.,," ..l /-1,e v i c 71 CLASS OF WORK: ,4 L I-' FLOOR AREAS: / p 70 EXTERIOR WALL CONSTRUCTION TYPE OF USE: FIRST SQ. FT. N: S: E: W: 'c -r. Re TYPE OF CONSTR: it -- A/ SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: S / THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: i COMME R CIALrI,NSP E CTION A CTIONS "it_, ;., 1 . ... . ` R , _EE MENU__ _-,o:a gA Foot/Found Post/Beam $_mit Fee iogiMaillzin a� 1/ ----- Framing $ 6 I Review 1.--- Insulation Shear Wall $ L( 7 8% State Surcharge !V . I e�- -f Gyp Board $ FLS Plan Review !� / e/�c i-y, t , !n' ng Sprinkler Rough -in $ Add'I Permit Fee aS L1�; `C I Fire Alarm $ Add'I FLS Pin Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous ' Final $ MIS Fee 9 97 'i FORaOFFICE U ._ TYPE OS USE OPTIONS(COM commercial, CMS commercial manufa ctured structure) CLASS OF WORK°OPTIONS FOR ALL PERMITS (NEW - new Add addition „A LT alteration, ACS, =accessory FND foundation; OTR= other, DEM demolitionRE , P - repair; FPS-fire protectionffsystem, NOTE US ; OTR FOR FENC WALLS, DETACH DECKS, SIGN ; .;AWNINGS, CANOPIES)” ,, z , , I: \ovrcntr2.doc (DST) 9/99 CITY OF TIGARD 13125 S.W. HALL BLVD. • TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE FEB 1 7 2000 common DEVELOPMENT HARRY MCTIGHE PLUMBING 1756 SW CLARA AVE TROUTDALE, OR 97060 Plumbing Signature Form Permit #: MST1999 -00423 Date Issued: 12/28/99 Parcel: 2S112CD -02000 Site Address: 15630 SW 79TH AVE Subdivision: DURHAM ACRES Block: Lot: 014 Jurisdiction: TIG Zoning: R - 12 Remarks: Interior remodel of single family residence. Note: Adding one new bathroom and one barsink. Adding upgrade of panel /service Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: MALLINSON /NEIHART HARRY MCTIGHE PLUMBING , 15630 SW 79TH 1756 SW CLARA AVE TIGARD, OR 97223 TROUTDALE, .OR 97060 • Phone #: Phone #: 665 -2353 • Reg #: LIC 00039252 PLM 34 -300PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o YX7a--7r- thorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BL• VD. TIGARD, OR 97223 • IMPORTANT PERMIT NOTICE ; "; EVANS ELECTRIC INC -10150 SW NIMBUS AVE E'=6 • TIGARD, OR 97223 Electrical Signature Form Permit #: MST1999 -00423 Date Issued: 12/28/99 Parcel: 2S112CD -02000 Site Address: 15630 SW 79TH AVE Subdivision: DURHAM ACRES Block: Lot: 014 1�n Jurisdiction: TIG • Zoning: R - 12 ,Remarks:• Interior remodel of single family residence. Note : Adding one new bathroom and one barsink. Adding upgrade of panel /service You,rrc- Qmpany has been indicated as the electrigoI contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company si ' n below and return this- Electrical Signature Form prior to the start of the work to the address ATT •`(:.Building Dept. • ti. 3 , i No electrical inspections will be authorized until this completed form is received • OWNER: ELECTRICAL CONTRACTOR: , • ' . MALLINSON /NEIHART ' EVANS ELECTRIC INC . . • 15630 SW 79TH • . ' 10150 SW NIMBUS•AVE TIGARD, OR 97223'. E -6 TIGARb OR 97223 • . Phone #: Phone #: $39 -5572 LIC 001048 Reg #: SUP 4225S ELE 34 -405C AN INK SIGNATURE IS REQUIRED ON .THIS FORM • X 2� Sig a u e of upervising Electrician . 90tats-5 If you haye any questions, please call (503) 639 -4171, ext. # 310 - Li J .. .. " $ ' r' CITY OF TIGARD BUILDING INSPECTION DIVISION 666- o v w2 .3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 > BUP Date Requested ? [ ( � AM_PM BLD Location l S ( 3O —7 Suite © MEC Contact Person Ph b 3-9C, .2- PLM Contractor Ph SWR BUILDING. Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation /` FPS Ftg Drain SGN Crawl Drain Inspection tes: Slab SIT Post & Beam =Ci t ,� Q Q` 10 v Ext Sheath /Shear « Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Anal PASS PART FAIL APMEIMIIKAI■ L// # / L1 � pr Post & Beam Under Slab Top Out Sanitary ewer Rain Drains Fi ( 0). . PART FAIL ANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm 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 7 Approach /Sidewalk Date is 1 A ) t11 Inspector C 1/ Ext x`11 Other Final • PASS PART FAIL DO NO REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ST 1 0 ' M D° l i t a3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP Date Requested �� AM 1 . - " PM BLD Location ,C 3 D 7 ' ' Suite MEC 404 3/0O/ - Contact Person i Ph 6 go 8 7 PLM Contractor Ph SWR ILDIN Tenant/Owner ELC — Re ain Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: t 1 /jn ` 4 , `, a Q " Slab C Y 'T�� SIT Post & Beam Ext Sheath /Shear . Int Sheath /Shear ° Framing Insulation . Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof c: PART FAIL t _p L � BING Post: &. t3rn c G L ,Uiider'Slab - - J 1"t7 Out cp.20.A.4‘otty.vW ' r .. ' Water Service Sanitary Sewer Drains s FAIL il;EC' , NICAL �_ ____ Post Main Rough In A �,4 �/ . Gas Line �" Su . ke Dampers ,11► l= RT FAIL S Rough In /11 J UG /Slab C� J Low Voltage '2I F'_ 'larm , � /— t- a PART FAIL SI Backfill /Grading Sanitary Sewer Storm 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 /) 7 Approach /Sidewalk Date (�J 3 0 f Other (! Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION /q-006/23 24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1/ BUP Date Requested 000 AM x PM BLD Location 1 S19 `;C) 7 Suite MEC Contact Person (e(, Ph (OW - 8 96, PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation 4 y r i�, `A �% .g," FPS Ftg Drain SGN • Crawl Drain Inspection Notes: Slab >)14v +'= - SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final C/ E P ASS PART FAIL ( Pt°M NG Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm 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 �✓ Other oach /Sidewalk Date ( Inspector 927 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 1 %q9'09 24 -Hour Inspection Line: 639 -4175. Business Line: 639 -4171 / BUP Date Requested �/2 S/ Or) AM_PM BLD Location (s(p 3 /// Suite / i q q 0/ Q(`) Contact Person I ✓ i2( aL Ph 8 Coo - ��11�7 1, PLM - Contractor Ph SWR cBUILDI1 ' Tenant/Owner ELC Retaining Wall ELR • Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT. Post & Beam Ext Sheath /Shear Int Sheath /Shear F, 4 . 10 1 '. Insu ation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Misc: Final PART FAIL MBIN Post & Beam Un r Slab op •- Water Service 0 (2 . y cer(P /,,c e e_ J! te P Sanitary Sewer Rain Drains F• / � " "" ,, `?� PART FAIL ��/ - 7 V A-, ! I �� A Post &�3eam , as i mo c�e Dampers F• RT FAIL LECTRICAL S nrp ough In� Low Voltage Fire Alarm j PART FAIL Backfill /Grading Sanitary Sewer Storm 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 1 --� Approach /Sidewalk Other ( / Date Inspector D ` Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MsT� <<t 2 -.3 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested / I/ O O AM PM BLD Location S (93D ' !!! .54,u` e., Suite MEC Contact Person t2 ( GC . .0( Ph 7 g0 'D f 7 ( PLM Contractor Ph SWR B ILDlt Tenant/a7" ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: j PART FAIL o <;. Post & Beam Under Slab Top Out _ Water Service Sanitary Sewer • Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm 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 / , //� Other Approach /Sidewalk Date �.,1 U V Inspector Y ` /�^ " \ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST / 9q1 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 2 ' 0 0 AM PM BLD Location 1 SO4) - 2 - 1 -11 -d ,. Suite MEC Contact Person d Ph ( gO "'g / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN 9 � 1 Slab Crawl Drain Inspection Notes: , r ` 4 41 CI , � r � SIT Post & Beam F Ext Sheath /Shear d" ` • Ina Sheath /Shear L `� 4 . _ - - .1 e, i Framing Insulation Drywall Nailing 6) Firewall Fire Sprinkler J 1 JJ /L "P.Gf) C/17 �''.r C /fc cI /t • Fire Alarm Susp'd Ceiling L Roof �� / / Misc: fi TY� / �/'Li�/ �ri-� e r /'/`) Anal PASS PART FAIL - C �� e Ce...)1 La 4.0 PLUMBING Post & Beam Under Slab Q L,� W Top Out Water Service Sanitary Sewer /' Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PERT FAIL LCLECTRICAL tServic� Rough In UG /Slab Low Voltage Fire Alarm Final PASS 411421110 FAIL SITE Backfill /Grading Sanitary Sewer Storm 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 Date L t9 0 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.