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Permit • - CITY OF. TIGARD • MASTER PERMIT mpyi , DEVELOPMENT SERVICES PERMIT ° ° ° ° ° ° ° : MS T9770516 !•1�� I - I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 01 / 04 f S9 PARCEL: 2S 1 O 1 BC -00400 SITE ADDRESS...:12330 SW KNOLL DR SUBDIVISION... °:KNOLL ACRES ZONING: R -4.5 BLOCK LOT .............:010 JURISDICTION: TIG Remarks: COVER DECK AND CARPORT WILL NEED SPECIAL INSPECTOR TO INSPECT THE WELDS ON THE PIPE - --------------------------------------- _ BUILDING - --- _ _-- _— ________ — REISSUE: STORIES • 2 FLOOR AREAS- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED CLASS OF WORK.:OTR HEIGHT • 20 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.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT : 0 OCCUPANCY GRP.:R3 •BDRM: 0 BATH: 0 TOTAL - - - - -: 0 sf VALUE..$: 6006 REAR : 0 _--- - -_ —_— _____---- _---------- _ —__ - -- ---------------- - - - - -- SINKS • 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------------------- - - ---- — - -- MECHANICAL ----------------- -- - - -- FUEL TYPES--- - - - - -- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS 0 WOODSTOVES • 0 GAS OUTLETS...: 0 - - - -- - - -- ELECTRICAL -------------------- - - - - -- - --RESIDENTIAL UNIT -- - -- SERVICE /FEEDER - -- - -TEMP SRVC /FEEDERS -- -- BRANCH CIRCUITS - -- - - -- MISCELLANEOUS ---- - -ADD'L INSPECTIONS - 1m SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600' amp..: 0 EA ADDL BR CIR: 0, SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 ------------------- - - - - -- PLAN REVIEW SECTION -- -- Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC.: ---------- _ __ _— ___ _ - ELECTRICAL - RESTRICTED ENERGY - - ----- A. SF RESIDENTIAL = - - -- ------ _— _____�------------ �_ - -_ -- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: .. BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: .• HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS:' 0 Owner: -Contractor: ----------- - - - - -- - -- TOTAL FEES:$ 168.76 DMITRIY SAVENKOV JOHN MURPHY This permit is subject to the regulations contained in the 12330 SW KNOLL DR 10175 SW 155TH Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 BEAVERTON OR 97007 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone #: 624 -5097 Phone #: not started within 180 days of issuance, or if the work is Reg 8..: 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 OAR 952- 001 -0080. You,may obtain copies of these rules or direct questions to OUNC by calling (503)246 -1987. ------------- REQUIRED INSPECTIONS --- - - - - -- ---- --- - -- -- -- - - -- Erosion Control Building Final Footing Insp Framing Insp Shear Wall Insp Rain drain Insp Issued - Ny: . -- AO '.E`i% _-Permi S °I °•i•••i-- 1- d-^F••+•- F•i--h "- 1-- 1- •i- °I- •9^•�°- Fi-- h•i-- 1- -h••t• �• i-- F-1 •- �•- F•+•- i-• �-• 4-• 4• i•- 1-- h- I-• i-• �-- 1°• i-- i- �-- F- 1-^ 1- i•- F- 1-- h- 1°- i°• i-- W- M- h• 9-•• iV+.+ Y- 1-• 9- •i- "-- F-h- f••-1- -h F- t•- h - 1 - Call 639 -4175 by 7:0 p.m° for an inspection needed the next business day — y� Plan Check# / CITY Of TIGARD Residential Building P /U � Permit Application Recd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd /// TIGARD, OR 97223 • Single Family Detached or Attached (Duplex) Date to P.E. H 1' 1 V 503 - 639 -4171 Date to DST 9 0 4 , -7 I1 11 " F 503 - 684 -7297 Permit # - d t ro Print or Type Called 1« A ,`�\��Jt Incomplete or illegible applications will not be accepted * " C f rog/ Name of Project Name Job , ec,r, t0,e Daz c.o Jer Architect Mailing Address Address Site Address gwe /' �� off d r City /State Zip Phone Name ., /) £ r r;i 9 C/11 Name Owner Mailing Address d.23 30 �S a,I J? Q11 dr, it p� y� , Phone Engineer Mailing Address 1 +c 0 y /State G 02 Zip q72 5 G.21-/-507 City /State • Zip ' Phone General Name Contractor t,t)jh €9r . _ Describe work New 0 Addition cif Alteration 0 Repair i Mailing Address to be done:Q repo .Addition ma.,C)l e; J1 �LLraj�e../ -- Prior to permit Additional Description' of Work: issuance, a copy City /State Zip Phone of all licenses 6 a w are required if Oregon Const. Cont. Board Exp. Date PROJECT U expired in COT Lic.# VALUATION $ =.1.,■i database Mechanical Name NEW CONSTR CTION ONLY: De ,'s-'.' Sub Sq. Ft. House: Sq. Ft. Garage CGw per" Contractor Mailing Address 333 Prior to permit Corner Lot YES NO Flag Lot YES NO issuance, a copy City/State Zip Phone (check one) (check one) • of all licenses Restricted . Audio /Stereo Burglar are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm expired in COT Lic.# database Installation Garage Door HVAC Plumbing Name Opener Systems • Sub (check all that Other: Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Reissue of MST #: Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized . Name agent of the owner, and that plans submitted are in compliance with Oregon State laws. Electrical Si nature of Owner /Agent Date Sub- i Mailing Address €Z. Cf U. i l if -- if -q7 Contractor Contact P Name /� Phone # /� City /State Zip Phone I /lac ! ! 1 r Pa, en t 7 77/- /o % / Prior to permit FOR OFFICE USE ONLY: issuance, a copy Plat #: _ Map/TL #: of all licenses are Oregon Const. Cont. Board Exp. Date 1 X11) ( I � ftS 3), I -, required if Lic.# ck \ Zo Solar expired in COT S /t (6 (_ 141 database Electrical Lic. # Exp. Date � - Eng Planning - Approval: : inneering- Approval: -- Plann TIF - th_ I:SFREM.DOC (DST) 4/97 c G CITY OF TIGARD BUILDING INSPECTION DIVISION Msr - G.7 © cc go 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP i , / - / Date Requested / (DA5 AM PM BLD l4l/ Location / )7 O /rug-CC ( J Suite MEC Contact Person Ph • PLM Contr- • r Ph SWR : , Tenant/ •�0 C ."--(-1 l O 9 7 ` - ELC -, ... Wall J ' ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab r■t SIT Post & Beam Ext Sheath /Shear P Shear 4 4 In • o Drywall Nailing Fire wall \ Fire Sprinkler Fire Alarm / N., Susp'd Ceiling Roof Misc: / C "---- ..,/ ''''''' cr PART FAIL U MBING % Post & Beam • ( \----\ Under Slab Top Out I 7 ) Water Service Sanitary Sewer I I Rain Drains l � Final PASS PART FAIL \ - MECHANICAL Pos M:pers Rou Gas Final - -- PASS PART FAIL 1 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 Date 0/ / I actor Ext Other ! p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.