Permit •
C OF TIGIARD MASTER PERMIT
CO DEVELOPMENT DEPARTMENT
PERMIT #h" ° ° ° ' ° ° NST` 4 - � 4111
13125 SW Hall Blvd. Tigard, Oregon 97223•8199 'W03).639-4171 DATE ISSUED: f l , /c 1 ; 9
PARCEL: 2 a 1'Z 3CD-- iO4lZl0
S. fE P,DDRESS° ° ° ° 13615 SW 115TH AVE
SUBDIVISION....: f1 ZONING: R-4.5
BUILDING —.
R ISSUES DWELLING UNITS:0 BASEMENT ° ° °r ° ° ° °s►ZI sf
CLASS OF WORE: ° s ALT BEDRMS s O BATHS s Q GARAGE° ° ° ° , ° ° ° ° ° s iZl sf
TYPE OF USE° ° ° o SF FLOOR AREAS— __._____- -. - -_. REQUIRED SETBACKS----------
TYPE OF CONST. o5N FIRST ° ° ° ° :0 sf LEFT° ° eA ft RIGHT. :0 ft
OCCUPANCY GRP° o R3 SECOND,, ° s 0 sf FRONT, s O ft REAR° < ,: t0 ft
STORIES ° ., ° ° ° sO THIRD° ° ° " ° :- sf REQUIRED
0 ft TOTAL— 07, sf SMOKE DETECTORS,:
FLOOR LO) , . - sO psf VALUE° ° ° ° ° $s BOO PARKING SPACES° " sO
Remarks: installing 2 skylight between rafters
--------------- ---- PLUMBING ------- ___._ -----
SIPti KS... ° ° ° ° ° ° .:0 FLOOR DRAINS° ° ° ° s0 BACKFLOW PREVNTRS° ° s0
LAVATORIES° . ° ° ., rte WATER HEATERS° ° ° O TRAPS° ° ° ° z ° ° . ° ° ° ° ° ° sO
Ti!a igynt" -nr; .. so LAUNDRY TRAYS° ° ° sO CATCH BASINS° ° ° , ° ° ° slZl
WATER CLOSETS r O SEWER LINE (ft) ° ° O+ GREASE "RAPS° .:... ° 1 s CZ
DISHWRSHERS° ° ° ° s0 WATER SINE <ft)„ s0+ OTHER FIXTURER° , !
GARBAGE DISP° ° ° s0 RAIN DRAIN (ft) ° :0l
WASHING MACH° ° ° slZl SF RAIN DRAINS° ° slZl
--------------- MECHANICAL ------- - - -_._ -- _.__.
FUEL TYPES--- •--- -- • - -. - -- UNIT H T RS° ° sO type amount by date recpt
VENTS ° ° ° ° ° s 0 BPRT $ 25.m0 JF 06/21/94 -..
Mo.X BTU VENT FANS° ° sick BPLC $ 16.25 JF 06/21/94 —
FUR ! < 1.00K . . : 0 MOODS° „ ° a . : ° s t?l B5PC $ 1.25 JF 06/21/94 —
FURN >=100-K ° ° s 0 WOODSTOU _ ;irk
FLOOR TURN ° ° ° °:0 CLO DRYERS.: 0
BOIL /CMP < 3HP:0 OTHER UNITS:0
CAS OUTLETS:0
CARL MORGENSTERN
13615 SW 115TH
TIGARD OR 97223
Phone #: 96B-1511
Contractor: —• . —_. --------------
ETCHEBERRY CONST
•
15107 SW 91ST AVE
T ORD OR 97224
Ph.-7_7. , * 6 -05B2
Reg if rc ., z 911M9 —.
$ 42.50 TOTAL
This peroit is issued subject to the regulations contained in the ------ REQUIRED INSPECTIONS --
Ti a»d Municipal Code, State of Ore, Specialty Codes and all other Framing I n s p _ -
app :icah'_e laws: All work will be done in accordance with approved I n s u l a t i o n I n s o
:'a -7s= This pernit w i l l expire if work is not started within 18S Gyp Board I n s o
days sf issuance, or if ;pork is suspended for core than IN days, B u i l d i n g Final
L Perm "_ t t e e Si gnat i_l r e d _...._ _
Issued By:
•
C7.1) fnr inspection — 639-4175
',Ill
op. ,. Residential Building Permit Application
ity of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 .
(503) 639 -4171
Jobsite Address: 1 3(0 I S .s If S
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Subdivision: Lot # y . . .:..:..::.:...;:.:>;:;;<::; >;;.:>::; > -
Valuation: �'r .
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Sub,diii._tr_a >t : : :_ ::' ing.:`:<: g.: : : ::-< i : :.:.;:.: : :- = „,:„:
Contractor's License # I bcori t�acfors .::.:::::.::.:::.::::::.::::::.;;:;.: :::.:<. >; ::.: : -:;;;
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Subcontractors:
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Plumbing: P " A
Mechanical: r" / A
(attach copy of current OR Contractor's License) J
Architect/Engineer: iv /A " / e
Address: —
Phone: • / - _� pp--, Ze ,//'� '� '� 6
JOB DESCRIPTION: .?P& l y x Y�" steyLi yell' y. boa? 3 •. 71*--6 Cow
Applicant Signature & Phone numb
Received b_57/iy - Date Received: - 2-6 —14-/.
is
Permit # Account Description Amount Amt. Pd. Bal. Due
yY( 5y- 0 2 k,1 0 Bldg. Permit (BUILD) 2_ >
[1
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) �
Bldg: /. 2 r
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: /b . Z'
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -I)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA -- (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
INSPECTION NOTICE
'
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone)): 639 -4175 Business Phone: 639 -4171
Inspection: k G /
/^ �` ' 7L-• LA46 / /
Footing Plbg. Underalab Mech. Rough -in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F /�
�
Post /Beam Struct. San. Sewer Framing -Bldg. iC�
Post /Beam Mech. Rain Drain Insulation - Plumb. `�
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: (p - 0 C / C I q Time: K j►M PM
tJ
Address: /3 ' 15 I l r P ermit #:
Builder: EY-c.1). J e-e-r7 �S I' , (n o_t-/— 05 )_
THE FOLLOWING CORRECTIONS ARE REQUIRED: P1 7-9 y- (a%0
Inapecto Date: ' 'I t----
/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
5/30/00 Activities for Case #: MST94 -00240
2:48:24 PM
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To Done By Disp. Level BY Updated Notes
MSTA007 Application received 6/20/94 JLG PASS BLT 6/21/94
MSTA010 Plan check deposit paid 6/20/94 JLG PASS BLT 6/21/94
MSTA020 Plan check by 6/21/94 6/21/94 RT PASS BLT 6/21/94
MSTA030 Check for prcl. restrict. 6/21/94 6/21/94 JLG PASS BLT 6/21/94
MSTA725 Framing Insp 6/21/94 WEW PASS RB 6/23/94
MSTA740 Insulation Insp 6/21/94 WEW PASS RB 6/24/94
MSTA745 Gyp Board Insp 6/22/94 WEW PASS RB 6/23/94
m sTA799 Building Final 6/22/94 WEW FAIL RB 6/23/94 Provide mastic or sealant at
cracked shingles and replace
shingles with parts missing.
MSTA092 (F) Issue combination permit 6/21/94 JF JF 6/21/94
MSTA799 Building Final 6/24/94 WEW PASS RB 6/24/94
MSTA970 Case Finaled 6/24/94 WEW 0624 SW 6/24/94
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