Permit L.--"
~~,
CI1YOFTIGARD
PERMIT # : MST93-0568
COMMUNITY DEVELOPMENT DEPARTIVENT DATE ISSUED: 11/05/93
13125 SW Hall Blvd. Ti9ard, Oregon 97223°8199 (503) 839-4171
^�4�c� PARCEL: 2S101BC 69
. / . . �: 013�
_
SITE ADDRESS...: .1a4a6 SW KNOLL DR
SUBDIVISION ^ KNOLL ACRES ZONING: R-4.5
BLOCK ^ LOT '
---- BUILDING
REISSUE: DWELLING UNITS:0 BASEMENT ^0 sf
CLASS OF WORK.:MOV BEDRMS:0 BATHS:0 GARAGE :0 sf
TYPE OF USE...:SF FLOOR AREAS ---- REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST ^0 sf LEFT..:5 ft RIGHT.:5 ft
OCCUPANCY GRP.:R3 SECOND...:0 sf FRONT.:20 ft REAR..:15 ft
STORIES ^1 THIRD ^0 sf REQUIRED
HEIGHT ^12 ft TOTAL :0 sf SMOKE DETECTORS.:Y
FLOOR LOAD ^40 psf VALUE $^ 3500 PARKING SPACES..:1
Remarks: FOUNDATION ONLY
PLUMBING
SINKS ^0 FLOOR DRAINS ^0 BACKFLOW PREVNTRS..:0
LAVATORIES ~0 WATER HEATERS...:0 TRAPS ^0
TUB/SHOWERS ^0 LAUNDRY TRAYS...:0 CATCH BASINS ^0
WATER CLOSETS..:0 SEWER LINE (ft).:0 GREASE TRAPS ^0
DISHWASHERS -0 WATER LINE (ft).:1069 OTHER FIXTURES ^0
GARBAGE DISP...:0 RAIN DRAIN (ft).:0
WASHING MACH...:0 SF RAIN DRAINS..:1
----- MECHANICAL FEES
FUEL TYPES UNIT HTRS..:0 type amount by date recpt
VENTS ^0 BPRT $ 44.50 JH 11/05/93 —
MAX INPUT:0 BTU VENT FANS..:0 B5PC $ 2.23 JH 11/05/93 —
FURN < 100K ..:@ HOODS ^0
FURN >=100K ..:0 WOODSTOVES.:0
FLOOR FURN ^0 CLO DRYERS.: 0
BOIL/CMP < 3HP:0 OTHER UNITS:0
GAS OUTLETS:0
Owner:
FRED PASSMORE
12665 SW 27TH STREET
BEAVERTON OR 97005
Phone #:
Contractor:
EMMERT INTERNATIONAL
11811 SE HWY 212
CLACKAMAS OR 97015
Phone #: 655-7191
Reg #..: 00805 —
$ 46.73 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp
applicable laws. All work will be done in accordance with approved Building Final
plans. This permit will expire if work is not started within 180 Erosion Control
days of issuance, or if work is suspended f than 180 days.
Permittee Sig t re:' .
Issued By ^ .
// Call for inspection — 639-4175
'
5/9/00 Activities for Case #: MST93 -00568
3:59:48 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA010 Plan check deposit paid 11/5/93 JH 11/5/93
MSTA705 Foot/found lnsp 11/19/93 TLP PASS TLP 11/22/93
MSTA092 (F) Issue combination permit 11/5/93 JH 11/5/93
MSTA970 Case Fineled 8/2/94 GES 8/2/94
•
Page 1 of 1
CITY OF TIGARD 24 -Hour
BUILDIN Inspection Line: (503) - . 4175
G - � � v��, _ � r �
INSPECTION DIVISION Business Line: (50 :! 1 , ( ��
i
BUP fin..
Received Date Re uested I - a AM PM BUP (04(4° --` L
Location / a. I I 6 1 l Suite ;_}+`
- II ,�
Contact Person B 0--b' / -�- _) Ph ( c! .I Q ) 6 I - 57a0 PLM
Contractor Ph ( ) SWR
V
Tenant/Owner ELC ?. 1
Footing ELC .L -
Foundation Access: ��
Ftg Drain ‘W ELR
Crawl Drain Y
Slab Inspection Notes: SIT ,
Post & Beam
Shear Anchors
Ext Sheath/Shear a \
Int Sheath/Shear � a .. 3 — 00 la p 1 9
L I V 1 (, ' ' ® 6 l i
Framing 4) i
Insulation et - ( L 9 t z /f - 5 Z Si) ' d�
Drywall Nailing `
Firewall I) S lj-5 W" ,e'`—
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 1 i ,]
Roof'\ 1 - x� S� , t.�, LA-. Q C�-� c
ir. 0 PART FAIL `1 A� ' � '
� 1 1 0 •
Post & Beam ,
Under Slab
Rough -In GeLs,e_ -C-L-;,,e-Jat„.0
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL /
WI X200 3_ 0 0 (0�► � '� --(-- C 4 5--k—ive
Post & Beam ' i l - / l
Rough -In v �'v ( J � J �� J •
Gas Line
S l nj Dampers /' S 1—/t -^-� (-A �_� � "..\ W \ j„.... PART FAIL
CTRICAL aL C A a
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: n Unable to inspect - no access
Fire Supply Line \ / ' ,
ADA Approach/Sidewalk Date I /2 Z /(:= 4 Inspector ` "'� Est
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL