Permit � -`
I
1 .
CITY OF TIGARD
MASTER PERMIT
DEVELOPMENT SERVICES 4
, �- - -�-~^ ~~^~~^~ ^ ~~�^ ~~ ^��~~ PERMIT # ^ MST97-0018
1 -Jaw �J- 13125 SW Hall Blv�Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/16/97
RCEL: 1S135AA-00901
SITE ADDRESS,....: 10230 SW, 90TH AVE -m
fQJBDIVISI .. ;..`: 7OWN OF METZGER• '.,' '' .^7' `.' ,. ' ` ' NIN8: • R-4. 5
�BLOCK..... ..... : LOT.............:4 '�
.. Remarks:- December 1995 Storm .damaoerepair to garage lean-to.'' ^ ��
^ 7.7-.--------7--7777-7-7----7-1-7-77 BU{LDlNG +
REISSUE: STDRl8S... .... : 0 FLOOR AREAS- ------- DASB48NT...: 0 sf REQUIRED SETBACKS---- REQUlR[D----'
[LASS OF WORK,JREP `~'0HElGRT.,.�..�:���'N"c 'FlKS� /0'sf iGARAGE����'~ r�����:N'sf LEB[.`� �
�...:. ,N f.. SMOKE DETECTRS:. .-: .
TYPE OF USE..:SF FLOOR LOAD : 0 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0
TYPE OF C8NST :5N ' DWELLING UNITS:, N '_ FIN8SMENT: . " 0 sf : . RIGHT. ..... ~.,:' 0:
OCCUPANCY GHP :R3 8URM: 0 BATH: 0 TOTAL------: N sf VALUE .$: 600 REAR : N
pumBGNG --
SINKS : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: N TRAPS • 0
LAVATORIES..:.: N. DISHWASHERS...: 0 . . FLOOR URA[NS..': @`' SEWER LINE 1t:` .N. SF RAIN DRAINS:. 0 CATCH BASINS-1 0
TUB/SHOWERS...: 0 GARBAGE DISP..: N WATER HEATERS.: 0 WATER LINE ft: 0 DCKFLW P8EVNTR: 0 GREASE TRAPS..: N
' ' . `� � ^ ` , OTHER 0
MECHANlCAL-------------------------- --------------------
FUEL TyPES7--------,- FUKNO 140...4, N,, I. BOIL/CM): <3HP: k .'VBNTFANS....r.�: 0 • � �'D�
CLOTHESERS, 0 ,'
FURN >=1mK ..: N UNIT HEATERS.,: 0 HOODS • 0 OTHER UNITS...: 0
• MAX"lNP.: '0 41TU-FLOUR'FURNAC[S:. N,.' � VENTS ...........4,, k�. . WOODSTOVE&, `/ OAS ..:` Wp/` ,' '
----------------------------------------------------- [LECTRlCAL ----�------ --------- '�
-
'
--RESIDENTIAL UNIT--- --SERVlC[/FBD[K-- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---Ml --ADD'L INSPECTIONS--
1m SF OR LESS: N 0 - 200 amp..: 0 0 - 2w amp..: 0 W/SVC OR F8R..: 0 PUVP/lRRlGATlON: 0 PER INSPECTION: 0
EA ADD'L 500SF,: 0 201.- 400 amp..: 0 201'- 400 amp...: . 0 - 1st W/USVC/FDR: N • SIGN/OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: N [A AUDL 88ClR: N SIGNAL/PANEL...: N IN PLANT • 0
MANF HM/SVC/FDR: 0 601 - nu amp.:, 0 ., 601+amps-1000.v: 0 ' _ .' , MINOR LABEL -10: 0
1000+ amp/volt.: 0 -- ------ PLAN REVIEW SECTION ------------------
Reconnect only.: 0 . >=4 KE3'UNlTS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC/
--- ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL- BL COMMERCIAL------------ ______________
'
AUDIO & STEREO.: VACUUM SYSTEM-: AUDIO & STEREO.: FIRE ALARM ' INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..;' '^ OT8: ~ ' ':: . ' BOILER . ' :r ' HVAC .`. � ', LANDSCAPE/l8RlG: ,,,PROTECTIVE SlGN�;. ' �`�
GARAGE OPENER-: CLOCK : INSTRUMENTATION: MEDICAL ` OTHR: ::
HVAC . . DATA/TELE COMM: ' • - - ' ' NURSE CALLS`' : _TOTAL # SYSTEMS: N
Owner: ractor: - TOTAL FEES:$ 0.00
JEFFREY KROO '` -' ' .-4' `' ^ ' OWNER' .
10230 SW 90TH
TIGARD OR 97223
Phone #: 237-8556(PGR>. , . Phone #: .
Reg 0..: FUND12 ' •
This .permit is issued• mbject. ' ' - � �in � ��mS� of Or?,,,,., Specialty Codes, and other
� �
applicable laws. All work will be in accordance with � - appro v ed ~ plans. Th it will expire if work is . not started within 00 ''
days of issuaoce - or if workAs .sospehded.for )gore than, 180 -•
REQUIRED INSPECTIONS . .
Footing Insp . ^ ^' ' ` d:,,.,_:', - • `^ ' ,. .- '-. '' ' ` �
Framing Insp
Building Final. , _' . . ./ „ ' . •
� ^- �`~� � . ^ �
� ' , ' ^ > . ` . � '
_
Permittee Signature: pa-- � / /� `�^ �/ �� Issued By: id~- --' _
. ., ^ . ,,.' .. :. . , „..,~_ ^: ^ _ �. Call f .inspection,, 6 [/
. . . . _ _ _ _
Plan Cheat ri
' OF TIGARD Residential Building Permit Application Recd By
— 3 SW HALL BLVD. New Construction Additions or Alterations Date Recd
RD, OR 97 223 Single Family Detached /Attached (1 or 2 units) Date to P E.
1 029 -4171 Date to CST
Print or Type Permit s n/6 ' 1q 7 -- OO /8
Incomplete or illegible applications will not be accepted called
1 I Name
• Name ur Protect
,job (�,x}.� -rob , - PRA z- , Architect Mailing Address
,:dress ( a 3� S 1 Coy /State Zip ( Phone
.� 9C )
Name K D I Name i ��� �^ F- auCD
caner 11auing Acoress Engineer Mailing Address
sArn E • •
Z.ryiState Zio 1 Phone CityiState Zip I Phone
'neral N ame Describe work New 0 Addition 0 Alteration 0 Repair 0
.tractor l— i.5� i I J l.) cL. % to de done.
zo trsuance Matting Address Type of Use
I
s',cant must S - rt) Z ACo E
:raw% ail CityiState Zip I Phone Type of Construction
a trat:toea �.)00 :
ncy
- , nror*+tsocn Oregon Const. Cont. Board Li Exp. Date Gass
x COT
ti =asst I COT Business Tax or Metro i Exp. Date Will it ce sonnklered? Yes° NOD
If Yes, separate FLS plans and
_'C harilCal Marne Number to be submitted -
Number of Stories
Sub -
• tractor Mailing Address Proposed Use
• • r to Issuance Previous Use
•: :t.cut must Day /State Zio l Phone
Oregon Const. Cont. Board - c.x Exp. Date VALUATION $ Le 00 `O''
cars base) ' COT Business Tax or Metro x Exp. Date NEW CONSTRUCTION ONLY:
'robing Name
BUILDING ID .
Sub- Unit Types Square Ft *of Units
' ii tractor - Mailing Address A) ,,
:o issance 8 . )
u
• ;•t:.xant must C:ryiState • I Phone C.) I
-.rode ail (].)
i teach s I Cre on C.:nst. Cont. Board I ' Exp. Date I l I ( 1
Will ::�+ses :Will cn n the eteca; sueco t2Cnr wire for all t sa Cep I Yes I No
1 energy insta :taoons?
:. rata case) Plumbing _ic. a I Exp. Date Has the Subdivision Plat recardec? ` N/A ( Yes ! No
COT Business Tax or Metro # Exp. Date I I hereby acknowledge that I have read this application, that the
information given is correct. that I am the owner or authorized agent of
t �trical Name the owner, and that plans submitted are in compliance with Oregon
ub- State !awe.
Signatu . errAg Date
tie cCtOr I ldMailing Address
/ I Da I ` -9 ' issuance
J i Corib I on Name Phone
. -J' . : mus: I C :.y,State :p Phone �y �. Q • tee au n •G=" 7-tGtF- a 7- V
n i Oregon Cons Dons- 'oard Lc.* • Exp. Date FOR OFFICE USE ONLY:
-^see I Rat ? Map/ t I
i Lute
r •c.:.a_on
'or CCT i c
E :ertcat'Lic.a I Exp. Date
ram ering Approval ' Planning TIF
COT Business Tax or Me a I Exp. Date " . . - - • . - -- _ -.. . APProvaI • : -. :
'
•:esacp.cce :1196
■mQunt r ra dai. Uue
MST. Permit (BUILD)
Plump. Permit (PLUMB)
Mech. Permit (MECH)
ELC /ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
Mech:
ELC /ELR:
Plan Check .
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review - planning (CDCPLN)
CDC Review - bldg . (CDCBLD)
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:
i:'dst \resaco.doc rev. I C1 6
6/6/00 Activities for Case #: MST97 -00018
3:08:17 PM
e
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp.. Level By Updated Notes
MSTA005 Application received 1/8/97 JDA PASS JDA 1/16/97
MSTA008 Permit Created 1/15/97 JDA PASS JDA 1/16/97
•
MSTA705 Footing Insp JDA 1/16/97
MSTA725 Framing Insp • JDA 1/16/97
MSTA799 Building Final JDA 1/16/97
MSTA092 (F) Issue combination permit 1/16/97. JDA PASS JDA 1/16/97
MSTA093 (F) Reprint Permit 1/16/97 JDA PASS JDA 1/16/97
MSTA770 Misc. Inspection 2/15/00 2/15/00 2/15/00 JMT DONE No Hold JMT 2/15/00 research inspection request
MSTA153 Expired by limitation 6/5/00 HAP DONE . No Hold AKJ 6/5/00
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