Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST98 -00508
� i DEVELOPMENT SERVICES DATE ISSUED: 1/5/1999
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S134DC -03900
SITE ADDRESS: 11845 SW 113TH PL ZONING: R -4.5
SUBDIVISION: MUTTLEYS ADDITION LOT: 010 JURISDICTION: TIG
Project Description: Residential addition and alteration.Enlarge master bedroom and bath. 5/17/06:THIS PERMIT IS
REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR 30 DAYS.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 14 FIRST: 175 sf BASEMENT: 0 sf LEFT: 0 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 sf GARAGE: 0 sf FRONT: 0 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 0 sf RIGHT: 0
VALUE:
OCCUPANCY GRP: R3 BDRM: 1 BATH: 1 TOTAL: 175 sf 19,000.00 REAR: 15
PLUMBING
SINKS: 0 WATER CLOSETS: 1 WASHING MACH: 0 LAUNDRY TRAYS: 0 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES: 2 DISHWASHERS: 0 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 0 CATCH BASINS: 0
TUB /SHOWERS: 1 GARBAGE DISP: 0 WATER HEATERS: 0 WATER LINES: 100 BCKFLW PREVNTR: 0 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN < 100K: 0 BOIL/CMP < 3HP: 0 VENT FANS: 1 CLOTHES DRYER: 0
GAS FURN > =100K: 0 UNIT HEATERS: 0 HOODS: 0 OTHER UNITS: 1
MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: 0
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 0 - 200 amp: 0 0 - 200 amp: 0 W /SVC OR FDR: 1 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF: 0 201 • 400 amp: 0 201 • 400 amp: 0 1st W/O SVC /FDR: 6 SIGN /OUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 • 600 amp: 0 401 - 600 amp: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL: 0 IN PLANT: 0
MANU HM /SVC /FDR: 0 601 - 1000 amp: 0 601 +amps- 1000v: 0 MINOR LABEL: 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: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: 0
This permit is subject to the regulations contained in the Tigard
Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other
HOFFARD HOME IMPROVEMENT CO applicable laws. All work will be done in accordance with approved
5708 SE 136TH AVE plans. This permit will expire if work is not started within 180 days
PORTLAND, OR 97236 of issuance, or if the work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies
Phone: Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-800-332-2344.
Reg #:
TOTAL FEES: $ 786.16
REQUIRED ITEMS AND REPORTS
Issued By : D. x4 Permittee Signature : - _L.QQ. V)K
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 1
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD MST
BUI DIVISION PERMIT *Air C 7e-60 5Qg
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 '� "
Inspection Requests (24 Hrs.): (503) 639 -4175 „Ai-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: J / FL/S // 3 PL CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: s -0 4 Pour Time:
Code # Inspection Description Confirm # Contact # Message
... j efirt...c c z
ain . . - Me-0 e Z - C irMiCh g-
Corrections /Comments/ Instructions:
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=D �-�- -‘,4..4 . .co-ed - - .x21 „
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it i * - OM S w ee r ----7 1 IZt%�--
1- ,c .4 ... P6/' ileig5 c-06,______
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: erni
Date: v° 22` Phone #: (503) 718- 7 '-
Case Activity Listing 5/19/2006
g 2:06:32PM
TIDEMARK Case #: MST98 -00508
COMPUTER SYSTEMS. INC.
Assigned Done Updated :?'
Activih� Description Date 1 Date 2 Date 3 Hold � Disp To By By Notes � ��;��� ��" � ,,,
MSTA005 Application received 12/17/1998 None RECD DRA 12/17/1998
GEO
MSTA008 Permit Created 12/17/1998 None DONE GEO 12/17/1998
GEO
MSTA010 Check for prcl. 12/17/1998 None DONE GEO 12/17/1998
restrict. GEO
MSTA012 Plans routed to Plans 12/17/1998 None SENT GEO 12/17/1998
Examiner GEO
MSTA026 Plans approved by Pln 12/29/1998 None APPR RDP 12/29/1998
Examiner RDP
MSTA030 Reviewed plans 12/29/1998 None APPR RDP 12/29/1998
routed to DSTS RDP
MSTA032 DST Post-Review 12/30/1998 None PASS JSD 12/30/1998
Completed JSD
MSTA705 Footing Insp 1/7/1999 None PASS TLP 1/7/1999
TLP
MSTA706 Foundation Insp 1/7/1999 None PASS TLP 1/7/1999
TLP
MSTA710 Post /Beam Structural 2/24/1999 None PASS RB 2/25/1999
RB
MSTA711 Post/Beam 2/24/1999 None PASS RB 2/25/1999
Mechanical RB
Page 1 of 4 CaseActivity..rpt
5/19/2006
Case Activity Listing 2:06:33PM 33PM
TIDEMARK Case #: MST98- 00508
COMPUTER SYSTEMS, INC.
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By 0y Notes
MSTA717 PLM/Underfloor 2/17/1999 None FAIL RB 2/17/1999 Water lines serving 13 fixture units
RB w! 1/2 -inch. No test on DWV-
top-out. Insualte water lines in crawl
space.
MSTA720 Mechanical Insp 2/24/1999 None PART RB 2/25/1999 Unable to view bathroom exhaust
RB venting- ceiling already covered.
MSTA722 Plumb Top Out 2/17/1999 None FAIL RB 2/17/1999 No DWV test. Vents not connected
RB or thru roof.
MSTA724 Electrical Rough In 2/24/1999 None FAIL CD 2/24/1999 WIRE FOR SMOKE- DETECTORS
CD
MSTA740 Insulation Insp 3/4/1999 None PASS TLP 3/5/1999
TLP
MSTA752 Rain drain Insp None 12/17/1998
GEO
MSTA790 Electrical Final None 12/17/1998
GEO
MSTA795 Mechanical Final None 12/17/1998
GEO
MSTA797 Plumb Final None 12/17/1998
GEO
MSTA799 Building Final None 12/17/1998
GEO
MSTA080 (F) Ready to issue 12/30/1998 None PASS JSD 1/5/1999 Need PLM, ELE, and MEC
DST contractors identified and copies of
licenses. jsd All contractor
information listed on 1/5/98. Geo
Page 2 of 4 CaseActivity..rpt
Case Activity Listing 5/6:33PM
g 2:06:3300
TIDEMARK Case #: MST98 -00508
COMPUTER SYSTEMS. INC
Assigned "' Done Updated
Activity Description Date I Date 2 Date 3 Hold Disp To By By Notes
MSTA092 (F) Issue combination 1/5/1999 None PASS GEO 1/5/1999
permit DST
MSTA724 Electrical Rough In 3/3/1999 None PASS BRP 3/3/1999
B *P
MSTA745 Gyp Board Insp 3/11/1999 None PASS WDJ 3/12/1999
WDJ
MSTA725 Framing Insp 2/24/1999 None FAIL RB 2/25/1999 Electrical failed. Drywall nailer at
RB bathroom entry door. Tie plates w/
strap. Tempered glazing req'd
adjacent to door- Door not on Plans.
Smoke detector req'd in bedrm. Roof
vent req'd at new. Plumbing top -out
passed by TLP 2- 23 -99.
(Under- floor).
MSTA720 Mechanical Insp 3/3/1999 None PART RB 3/3/1999 Check exhaust fan at final.
RB
MSTA722 Plumb Top Out 2/23/1999 None PASS TLP 2/24/1999
TLP
MSTA725 Framing Insp 3/3/1999 None PART RB 3/3/1999 Exhaust fan, and Tempered glazing to
RB be resolved by fmal. Strap plate at If
of closet. OK t o insulate ! ! ! !
MSTA770 Misc. Inspection 2/23/2000 2/23/2000 2/23/2000 None DONE JMT 2/23/2000 research inspection request
JMT
MSTA153 Expired by limitation 6/7/2000 None DONE HAP 6/7/2000
AKJ
•
Page 3 of 4 CaseActivity..rpt
Case Activity Listing 5/19/2006
2:06:33PM
TIDEMARK Case #: MST98 -00508
COMPUTER SYSTEMS, INC
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
MST1730 Case update (see note) 5/17/2006 None DONE HAP 5/17/2006 Per request of current owner Sandie
ppp Russo, this permit may be reinstated
for purpose of fmal inspection for a
period of thierty days. The fees are
$62.50 each for bldg, plmb, mech,
elec...hap
MST1470 Return to "I" status 5/17/2006 None DONE DER 5/17/2006
DER
MST1290 Reprint permit 5/17/2006 None DONE DER 5/17/2006
DER
e
• Page 4 of 4 CaseActivity..rpt