Permit s
As. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00224
-;���; DEVELOPMENT SERVICES DATE ISSUED: 6/2/99
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12060 SW PAR 4 DR PARCEL: 2S110CB -02902
SUBDIVISION: KING CITY NO. 16 ZONING: ?
BLOCK: LOT: 017 JURISDICTION: KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: • W:
OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: 6 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 60 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,400.00
Remarks: Repair an existing 504 sq ft deck.
Owner: Contractor:
WILLIAM GRAHAM & SONS CONSTRUCTION
80891 N HILL RD
COTTAGE GROVE, OR 97424
Phone: Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Footing Insp
PRMT DST 6/2/99 $38.50 99- 315821 Framing Insp
Final Inspection n
5PCT DST 6/2/99 $1.93 99- 315821 v py
PLCK DST 6/2/99 $25.03 99- 315821
Total $65.46
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe rm itee
Signature: , / . `i
Issued By: - I /Z_, ,,/
Call 6 • -4175 by 7 p.m. for an inspection the next business day
r
Y CITY OF TIGARD Residential Building Permit Application Plan check# • 13125 SW HALL BLVD. Additions or Alterations Recd By 6 V
TIGARD, OR 97223 Single Family or p Detached Attached (Duplex) Date Recd 4 rf F ?
9 Date to P.E. P /'
V 503 - 639 -4171 Date to DST G- Z - `J 0
F 503 - 684 -7297 Permit # 4iff¢l oopR
Print or Type Called U - 2 - y - c----
Incomplete or illegible applications will not be accepted
L0% / 7
Name of Project • Name
Job ,.0,6 u err Architect Mailing Address
• Address Site Address Is
t— a ode s t4! Pfl-Q -g //1 k. h L — City /State Zip Phone
e n/� T
O/ -FFro V IT Name
. Owner Mailing Address A /�
/Z06 S(A) P te- 1 - ,t) Mailing Address
City /State Zip Phone Engineer
IT?1 C' % , Oh 17224 620 —1202 City /State Zip Phone
General Name
Contractor g / )J (/` /�
ro,L o f Describe work New 0 Addition 0 Alteration 0 Repair 0
Mailin Address to be done:
Prior to permit �C 5? 1 iv y/ _ AReF Additional Description of Work:
•
issuance, a copy f /Stat ( r Zj� Ph n {�4 if/ ^) � eLi(
•
• of all licenses Ctn �W� '�� 7 y
are required if Oregon Const. Cont. Board Exp. Date PROJECT o_
• expired in COT Li
database c. # / g 066 VALUATION $ 2.¢
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
. Sub- 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 •
of all licenses are Oregon Const. Cont. Board Exp. Date
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 Signature of Owner /Agent Date
Electrical
Sub- Mailing Address Contact Person Name Phone #
Contractor
City/State Zip Phone
Prior to permit
issuance, a copy FOR OFFICE USE ONLY:
. of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
required if Lic.# i ii I C H , - /G .. I io 66 - O 2 9° L
• expired in COT /� / 7
database Electrical Lic. # Exp. Date Setbacks: Zone: Solar:
Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF:
•
• is \dsts \forms\sfaddalt.doc 4/20/99
i
CITY OF TIGARD BUILDING INSPECTION DIVISION
MS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ® Ci 570 a 2,64
Date Requested k 0 <I 4 1 AM PM dp A* - 00
Location 1 Z-0 Cp O
/ �
S uite EC
Contact Person LON/ -/t/NJ k V✓ 0 v•. Ph (. w I 7A ?/ PLM
Contra, Ph SWR
I IL l> Tenant/Owner ELC
Retaining Wall ELR
Footing t Foundation 1 � ('(l K ,� 3(oy , FPS
Ftg Drain / �'� "`- V vU 1" �- SGN
Crawl Drain
Slab Not guested SIT
Post & Beam Found During Research
Ext Sheath /Shear
Int Sheath /Shear No Tnsnection(c) In File
Framing
Insulation
Drywall Nailing (� /
1 (M3 v
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling `.� u L) - v
Roof
Roof lie/ u/YIGC Q,
Fin•.�
PART FAIL
ING
Post & Beam
Under Slab t J C-- -e r •
Top Out ■,\
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL q J T `
MECHANICAL l/`/ fw l
Post & Beam �2 / 1 �� 1 L� Rough In ?(k_S9 , i/ 1 }lL v/ �J
Gas D
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL 4 6
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 l (� v 6 5 1
Inspector ector "� Ext L C I
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.