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Permit MASTER PERMIT PER CI lY OF TIGARD DA I ISSUED: . 06/14/S96 6— Iz1381 DOM1 IuNITY DEVELOPMENT DEPARTMENT '13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 1 S 1 36CB-- 09400Zl SITE ADDRESS...: 11242 SW 81ST AVE SUBDIVISION....: HERB & PEGGY'S PLACE ZONING: R-4.5 BLOCK • LOT -20 Remarks: Remove patio cover and extend roof line of house to create new patio cover. - - -- --- --------- - - - - -- BUILDING REISSUE: STORIES • 1 FLOOR AREAS-- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - --- REQUIRED - CLASS OF WORK.:ALT HEIGHT : 16 FIRST • 0 sf GARAGE 0 sf LEFT • 0 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD • 60 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0 TYPE OF CONST.:5W DWELLING UNITS: 0 FINBSNENT: 0 sf RIGHT : 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL - - - - -: 0 sf VALUE-8: 6500 REAR • 0 _ — --- ____------- - -- PLUMBING ------------ SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ____ --- -------------- - - - - -- MECHANICAL --------------- -- FUEL TYPES -- FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 0 - - - - - - -- ----------------------- - - - - -- ELECTRICAL ---------- - - - - -- - - - ---- - - RESIDENTIAL UNIT -- - -- SERVICE /FEEDER -- - -TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS --- - -- MISCELLANEOUS - - -- - -ADD'L INSPECTIONS- - 1w0 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR : 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: @ EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0 MANE HM /SVC /FDR: 0 601 - 1000 amp.: 0. 601 +amps -1000 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 & STEREO.: VACUUM SYSTEM...:. AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: •• BOILER HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: .. HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0 Owner: ---------------- _-- _ - - - - - --- _Contractor: TOTAL FEES:8 146.26 FRANK CHONGWAY DAVID CROOKS 11242 SW 81ST AVE 2765 SE 5TH AVE TIGARD OR 97223 WEST LINN OR 97068 Phone 4: 503- 968 -2427 Phone #: 503 -557 -1943 Reg 4..: 010684 This permit is issued 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. ------------- - - - --- --- - -°- -- REQUIRED INSPECTIONS _— — — Footing Insp Foundation Insp Framing Insp Rain drain Insp Building Final - Permittee Signature: .. u ' I ssued Call for inspection - 639 -4175 `,ITY OF, TIGARD Residential Building Permit Application Plan Check # / q , ` Rec'd By j_ 13125 HALL BLVD. New Construction Additions or Alterations Date Recd ( 1 7 A' 7 TIGARD, OR 97223 Single Family Detached or Attached Date to P.E. 07, 503) 639 -4171 Date to DST Print or Type Permit # M % % -C3� f Called riciffi .P- 000_4, Incomplete or illegible applications will not be accepted W Su. d • 1 Name of Subdivision Lot # Name Job herb 159 e" R6 Address Site Address ` Architect Mailing Address 11 9a Pl / k City /State Zip Phone I d(..) Name ki k 0 . CJ 1,, y Owner Mailing Address Name t f?-'-la S te, 8 l yf'_ - C ity /State Zip Phone Engineer Mailing Address ' I l o Arci � og ?'? ?3 ? Phone 4 8 - ?� 7 City /State Zip Phone r� I Cr General , L, b o j Describe work new 0 addition 0 alteration repair 0 _Mailing Address to be done: j Contractor `� / [ (,� -t� Additional Descri lion of Work: '`- ., ? 6.5 ✓ � P �19'JOY'4 LjiY ryrr�' YXc � yb r Cc4WQl C C i l l y /Stta Z i � j f P (y� 7 � Fa, 5 ( SS g , , j 1,<:.0 F I me- � 'F LUes 1 Lire, O ! 70 ©8 - i-{ 3 `�r' � R d¢ 1,„,,s, /z fc CrG'a'k ae-' lOndia Oregon Const. Cont. Board Lic.# Ex D to C"`°�r' �Jc'sfcn� deck r�,.,� Attach Copy of (o gy3 4/7/9? Project $ ‘ 5 Current COT Business �Tax or Metro # Exp atte Valuation `� ` Licenses NEW CONSTRUCTION ONLY: Name Mechanical Sq.Ft. House: Sq.Ft.Garage: Sub- Mailing Address , Contractor Corner Lot Yes No Flag Lot Yes No City /State Zip Phone (check one) (check one) Restricted Audio /Stereo Burglar I Oregon Const. Cont. Board Lic.# Exp. Date Energy System Alarm Attach Copy of Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC Licenses Opener Systems Name (check all that Other: Plumbing apply) Sub- Mailing Address Will the electrical subcontractor wire for all Yes No restricted energy installations? Contractor Has the Subdivision Plat recorded? N/A Yes No City /State Zip Phone Oregon Const. Cont. Board Lic.# Exp. Date Reissue of MST# Solar Compliance Attach Copy of (Calculation Attached) Current Plumbing Lic. # Exp. Date I hereby acknowledge that I have read this application, that the Licenses information given is correct, that I am th a owner orauthorized agent of COT Business Tax or Metro # Exp. Date the owner, and that plans submitted are in compliance with Oregon State laws. Name Si le wrY�r/Ag Dag��/ 6' N Electrical uro 1' r L� o Person Name U Q me Phone Sub- Mailing Address I �/ � Contractor \ _F-OR OFPICT US ONL — Y - : City /State Zip Phone Plat # Map/TL #: Oregon Const. Cont. Board Lic.# Exp. Date /" at ru`U 5--r S I 3G c--8 —694r- Attach Copy of Setbacks Zone: So r: I Current Electrical Lic. # Exp. Date /v l// �/ Licenses ��r (((��� COT Business Tax or Metro # Exp. Date Engineering Approval: Planning Approval: TIF: .dsts \mstapp.doc ST \` t ` Permit # Account Description • Amount Amt. Pd. Bal. Due 1 `' % -O35/ MST. Permit (BUILD) CZ 5V 1 Plumb. Permit (PLUMB) . Mech. Permit (MECH) ELC /ELR Permit (ELPRMT) State Tax (TAX) 3.1_3 3 r( 3 Bldg: 3 / 3 Plumb: Mech: ELC /ELR: • Plan Check MST: (BUPPLN) l/0, 6 3 'fO, 63 Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) VVC) L/ U Sewer Connection (SWUSA) Sewer Inspection (SWINSP) . Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF-MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: /v6, 2 i x,63 /6 is \dsts \mstapp.doc Rev. 7/96 1 ' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: oundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: . /t ( G, Date: I� l l �( A.M Entry: Address: / p Tenant: Ste: MST: 5, 6.30 3 -� 9') P: Con /Own: d `i �a L-� C. PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: `L _ Date: G /� • PROVED DISAPPROVED /CALL FOR REINSP. CF CO' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. ar /Sheath 41100 -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: gl A.M. P.M. 4" Address: 1 / �,+ Tenant: Ste: MST: 74 6. 3d 1 BUP: Con /Own: .2--3 - 7 - 76 447 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: • : Ins ector / Date: p Mr.," _ C! AP' =OVED DISAPPROVED /CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service 41M. Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. r Other: - / A !di _40 /. /ter /ter / / ■t Date: Mr A.M. P.M. Entry Address: Tenant: Ste:_ MST: 74 6 7 d /Own:�.�) 7 — 70 7 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: �J Date: 9—Z!?"p4 APPROVED _ DISAPPROVED/CALL .— • REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE a J Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. Plbg.Und/FIr/Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. c .. San. Sewer Gas Line Appr /Sdwlk Reins. Other: i/i _� - Date: /0 /2/ / /(P A.M. P.M. Entry: Address: Tenant: Ste: MST: BUP: hwn: 3 - 7 d 7 J MEC: ELM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: !LAC-, ; r /' • MEW I b Agi Insp or: Date: APPROVED DISAPPROVED /CALL FOR REINSP. CF CO