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Permit CITY OF TIGARD 1 A00 DEVELOPMENT SERVICES MASTER PERMIT I� PERMIT # • MST98 -0512 ! +L 1-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/30/98 'kp PARCEL: 1S134CA -00720 SITE ADDRESS...:11460 SW 115TH AVE '1? //ii, SUBDIVISION • BURLWOOD NO. 4 'r., ZONING: R-4.5 BLOCK LOT •018 JURISDICTION: TIG Remarks: Add new master bedrm and bath to an existing single family dwelling. BUILDING — — REISSUE: STORIES : 1 FLOOR AREAS BASEMENT...: 8 sf REQUIRED SETBACKS -- REQUIRED- — CLASS OF WORK. :ADD HEIGHT : 15 FIRST : 528 sf GARAGE • 0 sf LEFT • 10 SMOKE DETECTRS: Y TYPE OF USE... :SF FLOOR LOAD • 40 SECS...: 0 sf FRONT : 20 PARKING SPACES: 8 TYPE OF CONST. :5N DWELLING UNITS: 1 FINB5MENT: 0 sf RIGHT : 18 OCCUPANCY 6RP. :R3 BDRM: 1 BATH: 1 TOTAL—: 528 sf VALUE..1: 36598 REAR : 30 PLUMBING - SINKS • 0 WATER CLOSETS.: 1 WASHING M CH..: 8 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 1 %'. TRAPS • 8 LAVATORIES • 1 DISHWASHERS...: 8 FLOOR DRAINS..: 0 SEWER LINE ft: 188 SF RAIN DRAINS: I CATCH BASINS..: 0 TUB /SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 100 BCKFLW PREVNTR: 8 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL -- FUEL TYPES FURN K 180K ..: 8 BOIL /CMP ( 31P: 0 VENT FANS • 0 CLOTHES DRYERS: 8 FURN ) =1O8K ..: 8 UNIT HEATERS..: 0 HOODS • 8 OTHER UNITS...: 8 MAX IMP.: 8 BTU FLOOR FURNACES: 0 VENTS • 8 WOODSTOVES....: 0 GAS OUTLETS...: 0 ELECTRICAL ---- -- RESIDENTIAL UNIT— -- SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS— — MISCELLANEOUS— —ADD'L INSPECTIONS - 1080 SF OR LESS: 8 8 - 208 amp..: 8 8 - 280 amp..: 8 W /SVC OR FDR..: 8 PUMP /IRRIGATION: 0 PER INSPECTION: 8 EA ADD'L 50OSF.: 0 281 - 400 amp..: 8 201 - 480 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 481 - 680 amp..: 0 401 - 600 amp..: 8 EA ADDL BR CIR: 5 SIGtNlJ EL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 8 681 - 1088 amp.: 0 601 +amps -1000 v: 8 MINOR LABEL -10: 0 1800+ amp /volt.: 0 - - — PLAN REVIEW SECTION - ---- — Reconnect only.: 8 )=4 RES UNITS..: 5VC /FDR) =225 A.: ) 680 V NOMINAL: CS AREA /SPC DCC: -- ELECTRICAL - RESTRICTED ENERGY — — A. SF RESIDENTIAL B. COMMRCIAL AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: DTH: .. BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGMX.: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: .. HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL 8 SYSTEMS: 8 Owner: — Contractor: TOTAL FEES :$ 789.56 TOBY WHITE, KIMBERLEY BUILDING POINT This permit is subject to the regulations contained in the 11460 SW 115TH GARY WHITE Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 5215 SW 26 DRIVE other applicable laws. All work will be done in accordance PORTLAND OR 97281 with approved plans. This permit will expire if work is Phone I: Phone 8: 313 -1133 not started within 1:' days of issuance, or if the work is Reg 0..: 81489 suspended for more than 188 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 -8818 through OAR 952-081 -8080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. REQUIRED INSPECTIONS - Erosion 844 -8444 PLM /Underfloor Framing Insp Mechanical Final Foot ing Insp Mechanical Insp Gas Line Insp Plumb Final Foundation Insp Plumb Top Out Insulation Insp Building Final Post /Beam Struct Electrical Servi Rain drain Insp Post /Beam Mechan al o Electrica Rough Electrical Final �, / Issued By: ( Permittee Signature : �j!/ ++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++ + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD Residential Building Permit Application Plan Check# I2 1.4(10 13-1-W.--SW . HALL BLVD. New Construction Additions or Alterations RecdByelJ Date Rec'd 12'7L -4 1 TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. /R - Ri7- f$' -q—. V 503 - 639 -4171 t� �/ Date to DST _ /_� _9_ _ F 503- 684 -7297 / Permit # ' O'57,Z Print or Type Called 005 - gm-- Incomplete or illegible applications will not be accepted ` Name of Project Name Job 1/1/07f / 5 Air/77 0/t) Mailing i2L -/ (&) b� ( 1 Site Address Architect g Address Address f (46 () C1/4) I (51tr City /State Zip Phone Name / y u if( /7E Name Owner Mailing Address `' / /'/6� ,5(4,1 (/5-1,f Engineer Mailing Address City /State Zip Phone // g Gttgo / 7 223 5 - + � City /State Zip Phone General Name Contractor 67 (JIt1l T /,uifO/iii : / /Describe work New 0 Addition Alteration 0 Repair 0 Mailing Address to be done: Prior to permit 1 S ( C(cp 6 W ,SvN3 Se LK) Additional Description of Work: issuance, a copy City /State Zip Phone of all licenses 146/v2o `I 3/3-(13 GJ 44. ^, ��� are required if Oregon Const. Cont. Board Exp. Date PROJECT �`� / / i expired in COT Lic.# database '514 $9 '( foe) VALUATION $ ( . dat Mechanical Name NEW CONSTRUCTION ONLY: Sub- r H- -QW y�ee8 Sq. Ft. Sq. Ft. Garage Contractor Mailing Addr s ' Prior to permit Indicate the restricted energy installation by the electrical issuance, a cop City /Std Zip Phone subcontractor in the following areas of all licenses Restricted Audio /Stereo are required if `----,_(2re4on onst. - font. Board Exp. Date Energy System Alarms expired in COT pc: # � Installations Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub - Hopi - 6w1402 apply) Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO (check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy Solar Compliance of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached) required if Lic.# expired in COT I hearby acknowledge that I have read this application, that the database Plumbing Lic. # Exp. Date information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Name Si. " ture of Ow er • i , nt Date Electrical NC jg - O Air t e � . � � Sub- Mailing Address Contact ' erson Name P one # a?rt 1 / GOf - I ( TE _3)3 [ 133 Contractor FOR OFFICE USE ONLY: City /State Zip Phone Plat #: Ma /T Prior to permit 2 4 _ / / L7 ! � / ++ / ep _ ,-// -cc 7,70 issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date 'tacks: Zone: Solar: , )/� required if Lic.# P - 1. ' / � , y expired in COT Engineering Approval: Planning Approval: TIF: database Electrical Lic. # Exp. Date � — 1 Ckl ‘ k I.SFREM2.DOC (DST) 8/11/98 December 23, 1998 CITY OF 'TIGARE Gary White/Building Point 15180 SW Sunrise Lane O REGON Tigard, OR. 97223 RE: White Addition PC# 12 -66R 11460 SW 115` MST# 98 -0512 Dear Applicant: Your plans for the subject addition have been reviewed; the following items require you attention. 1. Provide a floor - framing plan, showing joist size, spans, o/c specifications. 2. The dowels between the two foundations shall be #5's anchored 12 inches in on both sides. 3. The door from the utility room shall be solid wood 1 3/8 inches thick, or 20 minute rated. One and Two Family Section 309.1 Provide 3 revised sets of drawings. Sincerely, Ro ert Poskin, C.B.O. Senior Plans Examiner 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 CITY OF TIGARD BUILDING INSPECTION DIVISION ea k Ty_ c57 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7- 3 / AM /.0--C PM BLD Location /14 G G S - if Suite MEC P =1 Contact Person Ph .47y— 9 3 2. PLM I t war Contractor / Ph SWR BUI� LDIN Tenant/Owner ELC Retaining all ELR Footing Access: Foundation FPS Ftg Drain � (�1,� �2 is T 1 SGN Crawl Drain Inspection Notes: Slab Post & Beam Ext Sheath /Shear Ina Sheath /Shear :�n� 00 v T7( L t5 ` - Framing I1►i�� C Insulation Drywall Nailing Firewall Fire Sprinkler / _ — S u l s Ceiling .�— ;� �_ (1 S ' Ce � � � � _ � � � - - ` Roof Final ' ART FAIL PL BING Ci I - • (51) • Post & Beam r Under Slab • Top Out Water Service Sanitary Sewer v Rain Drains -� V� Final PASS PART FAIL MECHANICAL .1/\4) ` �� ,� , • _ n k $ . Post & Beam V v�/�� `�� 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 /J f Approach /Sidewalk Date - 7/3 v Inspector EXi Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9 3 / Z- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /d AM PM BLD Location /1 q G U 5 i l() Suite MEC Contact Person t 6 Ph 5 - f 3 Z z PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ` ELR Footing Access: Foundation ` � `G" FPS Foundation Ftg Drain d (rte ! b0 , Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer R - in Drains PART FAIL CHANICAL 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 Approach /Sidewalk Other Date '7/ .2_6/ Inspector W/ . Ex Final I PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9*- -c) /5 L 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �1-rt BUP Date Requested 7/ Q/U U AM PM BLD Location I' 4%' S w //5 Suite MEC Contact Person Ph 5 7 f - 73 2 Z PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain $! d U6e1/ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final NsEART FAIL NCIESIJANICAJ., Post & Beam Rough In Gas Line Smoke Dampers t-ma PART FAIL -i' TRICAL 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 Ext Approach /Sidewalk Date ('j�( 6� Ins U"/ Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0s / €)-- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested I'd - l C (9 AM PM BLD Location /1'fop 0 `/5 Suite MEC Contact Person 1 06C1 Ph S7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: t-rr dyUl l$ Azy1A -4 — ��� aQa ✓ Foundation C FPS 01".. Ftg Drain 6 d OV LS ape"-- SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ��--// / Fire Sprinkler �7'`,Qd - YS Q m Q CCU k1/J L l ` f C- Fire Alarm Susp'd Ceiling Roof isc // fl q Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line 9 ' Smoke Dampers Final P SS —P *R . FAIL LECTR Service Rough In UG /Slab Low Voltage F' larm -SASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ I 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 Other /0Z D ate - '7 ? Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION Msr Tr- 057 2 -- 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested J — y AM PM BLD Location // / GO s c) / la ex Suite MEC Contact Person 7 6 `7 Ph .77 ? y 1- Z PLM Contractor / Ph SWR BUILDING 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 Framing tea viOc A < OA Z,i-SE Insulation Drywall Nailing _ �EL�c .�C. '‹ n v,� Fire wall Fire Sprinkler e.� ! '`�c ( 7 TO Lf.v� K. 5 E O i �� f S � .J'St Fire Alarm Susp'd Ceiling S �7 2 4 4 E P 4 ScS ��i4� A v /1J Roof M• : 104 &LA. 4 C ,, PART AlVa PLUMBING 1 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 Approach /Sidewalk Other Date 7 - 2 V— Inspector 4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 5/30/00 Activities for Case #: MST98 -00512 1:48:50 PM E XPIRED Assigned Hold Updated Activity Description Date 9 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 12/22/98 BON RECD GEO 12/22/98 MSTA008 Permit Created 12/22/98 GEO DONE GEO 12/22/98 MSTA010 Check for prcl. restrict. 12/22/98 GEO DONE GEO 12/22/98 MSTA012 Plans routed to Plans Examiner 12/22/98 GEO SENT GEO 12/22/98 MSTA026 Plans approved by Pln Examiner 12/29/08 RDP APPR RDP 12/29/98 MSTA030 Reviewed plans routed to DSTS 12/29/98 RDP APPR RDP 12/29/98 MSTA032 DST Post - Review Completed 12/29/98 JSD PASS DST 12/30/98 Owner must sign "Statement about Construction Responsibilities ", or name sub - contractors prior to issuance. MSTA155 Development conditions met GEO 12/22/98 MSTA700 Erosion 844 -8444 GEO 12/22/98 MSTA705 Footing Insp 1/6/99 RC PASS ROC 1/7/99 MONO MSTA706 Foundation Insp 1/6/99 RC PASS ROC 1/7/99 MONO MSTA710 Post/Beam Structural 1/12/99 TLP PASS TLP 1/12/99 plumbing not installed homeowner has future plans will call when installed no mechanical electric heat.. MSTA711 Post/Beam Mechanical GEO 12/22/98 MSTA717 PLM /Underfloor 3/23/99 RB PART AKJ 3/23/99 see framing notes MSTA720 Mechanical Insp 3/23/99 RB PART AKJ 3/23/99 see framing notes MSTA722 Plumb Top Out 2/25/99 RB FAIL RB 2/25/99 Plumbing under -floor- not inspected. Plumbing done incorrectly- Needs to be re -done by plumber. Mid guides support missed. Roof jacks missed- make water tight for venting. Mailers missed- nail plate protection needed after nailer (for gypsum). No test on DWV. No test on water. INSPECTION TERMINATED MSTA724 Electrical Rough In 2/25/99 BRP FAIL B *P 2/25/99 Bathroom receptacle circuit to be 20 amp. Splice all ground wires on rough. Make all circuit splicing complete at rough in.Connect ground wire to wall heater.Some box setback excessive. approved fan box in master bedroom. Page 1 of 3 5/30/00 Activities for Case #: MST98 -00512 1:48:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 3/10/99 RC FAIL ROC 3/10/99 1. EXTERIOR NOT NAILED FOR SHEAR 2. NEED POST AND BEAM AND UNDERFLOOR PLUMB. 3. STRAP WALLS WHERE PLATES DO NOT OVERLAP 4. MAKE POSITIVE CONNECTION BETWEEN EXISTING HOUSE AND ADDITION 5. PROVIDE SMOKE DETECTOR IN BEDROOM AND HALLS - HARD WIRED AND INTERCONNECTED 6. PROVIDE BAFFLES FOR INSUL IN CEILING MSTA740 Insulation Insp 5/6/99 RC PART AKJ 5/6/99 Wall at garage needs insul all the way to ceiling check at final OK to sheetrock MSTA752 Rain drain Insp GEO 12/22/98 MSTA790 Electrical Final 12/15/99 BP FAIL DGW 12/16/99 No one home MSTA795 Mechanical Final GEO 12/22/98 MSTA797 Plumb Final GEO 12/22/98 MSTA799 Building Final GEO 12/22/98 MSTA080 (F) Ready to issue 12/30/98 JSD PASS DST 12/30/98 MSTA097 Issue electric signature form 12/30/98 B DONE DST 12/30/98 MSTA095 Issue plumbing signature form 12/30/98 B DONE DST 12/30/98 MSTA092 (F) Issue combination permit 12/30/98 B PASS DST 12/30/98 MSTA724 Electrical Rough In 3/3/99 BRP PASS B *P 3/4/99 MSTA722 Plumb Top Out 3/4/99 TLP FAIL TLP 3/5/99 WASH MACHINE SRAND PIPE IN CORRECT MSTA722 Plumb Top Out 3/9/99 TLP PASS TLP 3/10/99 MSTA725 Framing Insp 3/15/99 RC FAIL ROC 3/15/99 1. MAKE POSITIVE CONNECTION WHERE PLATES DO NOT OVERLAP 2ND NOTICE 2. UNDERFLOOR PLUMBING NOT PERFORMED 2ND NOTICE 3. SMOKE DETECTORS NOT INSTALLED 2ND NOTICE 4. PROVIDE BAFFLES FOR VENTS 2ND NOTICE MSTA780 «REINSPECTION» 3/15/99 RC PAID DLH 3/22/99 2ND FAILED FRAMING INSP. Paid $15.00 reinspection fee on 03/22/99 - receipt #99- 313878. DLH Page 2 of 3 5/30/00 Activities for Case #: MST98 -00512 1:48:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 3/23/99 RB PART AKJ 3/23/99 1) Support ABS piping at 4' intervals 2) Insulate all waterlines below floor insulation level. 3) Exhaust venting disconnected a w/I and shower rooms. 4) Vent for washer at connection has a fitting facing the wrong direction - Directional venting req'd 5) What is the heat source for the new addition? No under floor heat duct noted. Is it to be electrical? If so, ok to insulate. MSTA724 Electrical Rough In 3/25/99 BRP PASS AKJ 3/25/99 Smoke detector rough in MSTA725 Framing Insp 3/26/99 RC FAIL AKJ 3/28/99 1) Make positive conn where plates do not overlap. 3rd notice (all walls) 2) Make positive conn between existing house and new addition 2nd notice OK to insulate MSTA790 Electrical Final 12/16/99 12/16/99 12/16/99 BP PASS No Hold DGW 12/16/99 Appears to meet compliance MSTA945 Request inspection research 3/27/00 JMT DONE No Hold JMT 3/27/00 MSTA153 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/26/00 card sent to contractor Page 3 of 3