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Permit - . ..., MASTER PERMIT .. A CITY oF TI G A R D PERMIT #: MST98 -00400 i �1 DEVELOPMENT SERVICES Q RINA1PATE ISSUED: r R 7223 503 13125 SW Hall Blvd., Ttga d, O 9 ( ) 9 -4171 SITE ADDRESS: 12790 SW RIDGEFIELD LN PARCEL: 2S104DD -07100 SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 ZONING: R -4.5 BLOCK: LOT: 029 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w /attached garage and patio. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,412 sf BASEMENT: 0.00 sf LEFT: 9 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2,049 sf GARAGE: 1,217 sf FRONT: 30 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 5 VALUE: $ 269,664.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,461.00 sf REAR: 53 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: 0 LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: 0 TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0 OTHER FIXTURES: 0 MECHANICAL FUEL TYPES FURN < 100K: 0 BOIUCMP < 3HP: 0 VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1 MAX INP: 0 btu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 0 • 200 amp: 0 W /SVC OR FDR: 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF: 6 201 • 400 amp: 0 201 • 400 amp: 0 1st W/O SVC /FDR: 00 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 MANU HM/SVC /FDR: 0 601 - 1000 amp: 0 601 +amps- 1000v: 0 MINOR LABEL: 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 B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: . HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL If SYSTEMS: 0 Owner Contractor TOTAL FEES: $ 6,060.49 This permit is subject to the regulations contained in the JOHN MURPHY OWNER 13456 SW HAWKS BEARD SIGNED RESPONSIBILITY FORM all other r applicable Code, State work k w l b e d o n e in #1022 IN FILE and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if TIGARDN, OR 97223 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: 524-5832 Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion 844 -8444 Post/Beam Structural Mechanical lnsp Framing Insp Insulation lnsp Mechanical Final Grading Inspection Post/Beam Mechanical Plumb Top Out Framing Insp Rain drain Insp Plumb Final Footing lnsp Crawl Drain /Backwater Electrical Service • Shear Wall Insp Water Service lnsp Building Final Footing Insp PLM /Underfloor Electrical Service Low Voltage Appr /Sdwlk lnsp Foundation Insp Mechanical Insp Electrical Rough In Gas Line lnsp Electrical Final Issued By : I/. _ Permittee Signature : :;, /I /L.a /�/,� Call (503) 6 ° -4175 by 7:00 p.m. for an inspection needed the ne • usiness day / / Plan Check # CI_TYOFFTIGARD Residential Building Permit Application Rec'd By 43f25 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 1 5 7 - 14 - fl V 503- 639 -4171 V Date to DST O 7- /(/- 9 F 503 -684 -7297 <) Permit # 1)1.09r-000 Print or Type ` Called Incomplete or illegible applications will not be accepted Name of Project Name Job Address Site Address Architect Mailing Address Name 7fU -5 RJ a L City /State Zip Phone J ✓1 y k Ph y Name Owner Mailing Address // / k 7 13 Z/ s (, Ala a �/(S Oea -d 0 .Z7. City /State Zip Phone Engineer Mailing Address 77,4r 8.- 97 Z L3 524 -5Y3L General Name City /State Zip Phone Contractor 060A1 -w Describe work New 0 Addition 0 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: / 1 / issuance, a copy City /State Zip Phone C- -e /", gam of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT t i v w expired in COT Lic.# VALUATION $ r � database Mechanical Name NEW CONSTRUCTION ONLY: Sub - <.t / f // ; . Sq. Ft. House: � Sq. Ft. Garage Contractor Mailing Address 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 (check all that Sub - G c,7j , g. 4r. 6 .1 .. E ' ( 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.# 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 CA Z4 , c Signature of Owner /Agent Date Sub Mailing Addfess Contractor Contact Person Name Phone # City/State Zip Phone • Prior to permit FOR OFFICE USE ONLY: issuance, a copy Plat #: MapTrL#: of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# ' Setbacks: Zone: Solar: . expired in COT database Electrical Lic. # Exp. Date Engineering Approval: Planning Approval: TIF: I:SFREM.DOC (DST) 4/97 CITY OF T MASTER PERMIT 40 DEVELOPMENT SERVICES PERMIT S UED: 04/ 01 MST/9 9 6 -0400 �n'I� DATE ISSUED: �!,L " "'I � .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 26104DD -07100 SITE ADDRESS...: 12790 SW RIDGEFIELD LN SUBDIVISION •MOUNTAIN HIGHLANDS NO.3 ZONING: R -4.5 BLOCK LOT :029 JURISDICTION: TIG Remarks: PATH I: New single family dwelling w /attached garage and patio. - BUILDING ------ - REISSUE: STORIES : 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED------ - CLASS OF WORK.:NEW HEIGHT : 27 FIRST • 1412 sf GARAGE • 1217 sf LEFT • 9 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1389 sf FRONT : 30 PARKING SPACES: 2 TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 5 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL ---- -: 2801 sf VALUE..S: 222824 REAR • 53 PLUMING — SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS • 0 LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 — — - - -- - -- - - - - -- MECHANICAL - - -- FUEL TYPES FURN l 1024( ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1 GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES : 0 GAS OUTLETS...: 1 - ---- - - - - -- — ELECTRICAL — -------------------- - RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS— — MISCELLANEOUS— - -ADD'L INSPECTIONS - 1'" SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 6 201 - 400 alp..: 0 201 - 400 alp..: 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 MAW HM /SVC /FDR: 0 601 - 1m amp.: 0 601 +amps -1 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 B. COMMERCIAL AUDIO & STEREO.: VACUUM SYSTEM..: X AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER • HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: .. HVAC DATA /TELE COMM.: NURSE CALLS TOTAL it SYSTEMS: 0 Owner: -------- - ----- -- Contractor: --- TOTAL FEES:f 5268.06 JOHN MURPHY OWNER This permit is subject to the regulations contained in the 13456 SW HAWK'S BEARD SIGNED RESPONSIBILITY FORM Tigard Municipal Code, State of Ore. Specialty Codes and all #1022 IN FILE other applicable laws. All work will be done in accordance TIGARDN OR 97223 with approved plans. This permit will expire if work is Phone U: 636 -5666 Phone I: not started within 180 days of issuance, or if the work is Reg U..: 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 844 -8444 Post /Beam Mechan Electrical Servi Gas Line Insp Electrical Final Grading Inspecti Crawl Drain /Back Electrical Rough Insulation Insp Mechanical Final Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final Post /Beam Struct P b Top '.. 11 Voltage Appr /Sdwlk Insp I I / �/i / Issued By: 40;',.°.---...--/"..4111L. Permittee Signature: /��'� % � � I + + + + + + + ++ ' + + + + ++ -='++++++++++++++++++++++++++++ + '1 + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed t e next busiye day I Permit #: ) 1/4- 4 ----- q ( - Ovo O F . .�,,, / �� � , � O��r� �'� '`` ` ` �' Address: C� is ' "' "l'I. Issued by _ Date: , -5 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required ' for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: M I M own, reside in, or will reside in the completed structure. I Fie understand that I must register as a construction contractor if the structure is sold or offered for sale I �` I lye:- before or upon completion. n 3A. My general contractor is I I (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR E . I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Proper w , a b4 Const ction Responsibilities on the reverse side of this form. ,2< Lf— i -- 77 (Signature of : , ' ' : pplicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) • Information Notice to Property Owners About Construction Responsibilities Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in Most instances, he ruled to he an employer and the people you hire will be employees. As the employer, you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will he liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Division at the Department of Human Resources at 378 -3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and afttst obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will he liable for the tax payment even if you didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accident; and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must he re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work of rough -in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140, Salem, OR 97309 -5052, 503/378- 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop- own.pm4 1/94 TIGARD Residential Building Permit Application Plan Check # ©7- 3 13125 SW HALL BLVD. New Construction Additions or Alterations Recd By TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd n 5' " Date to P.E. 1 b` V 503 -639 -4171 w\, 9 I — D `) 11d .� Date to DST D-11! - F 503 - 684 -7297 Permit # /f ?V456 -G Print or Type ....... Called .'- - 59 , . (v 1ti� Incomplete or illegible applications will not be accepted 5'cd --0 3,7 %f( z r / 5 . 5t ps 3 Name Job Garr- Cook 9F Aiv15u7orIk 71 Archite Mailing Address n Address Site Address /� 1 59II 5 , Rec,(L.ctv�Gt IRA , 1 I7 90 St tJ R i .4 ANeL of CV /State Zip Phone Name SaiN►■ M�r � DKr5v, Cly of? 97 (03)-8 Owner Mailing Address MN Name Jor7S 5& 155 City /State Zip Phone Engineer Mailing Address &At)F✓ /rM 0K 17 g2 - General Name City /State Zip Phone Contractor 540ke ccS OW KE r Describe work Newg, Addition 0 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: issuance, a copy City /State Zip Phone of all licenses _ are required if Oregon Const. Cont. Board Exp. Date PROJECT ' expired in COT Lic.# VALUATION $ 2. �' 2. L ti 7 database Mechanical Name NEW CONSTRUCTION OdLY: Oec% 5 4 3 Sub- Sq. Ft. House:_,_ Sq. Ft. Garage Contractor Mailing Address ! if / 2 17 Prior to permit Indicate the restricted energy installation by the electrical 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 X Vacuum Irrigation database System System Plumbing Name (check all that Other: Sub- apply) Contractor Mailing Address Corner Lot_ YES X 10, Flag Lot YES k (check one) �x (check one) Has the Subdivision Plat recorded? N/A YE 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 Signa r of Owl 1 .nt / Date Electrical Con ct Person Name .6-8 e # Sub- Mailing Address J I Phone Contractor J okv. M µ( Pii 5 y -5832 FOR OFFICE USE ONLY: wk- 634 - 5466 City/State Zip Phone Plat #: Map/TL #: Prior to permit ,O 7 G - a� OZ S yv . 7// issuance, a copy I of all licenses are Oregon Const. Cont. Board Exp. Date Setbacks: Zone: Solar; /� required if Lic. # /e. - y !/ expired in COT F,{igineering Approval: Planning Approval: TIF: database Electrical Lic. # Exp. Date *We- /WT <T 7 46i I:SFREM2.DOC (DST) 8/11/98 ' Plan Check # CITY OF TIGARD Residential Building Permit Application Rec'd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503 - 639 -4171 Date to DST F 503 -684 -7297 Permit # Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Name Job AA M ailin Address "`rP � y Architect Mailing Address Site Address 11 1 17/0 sw R; at e �& FL4 L"NF City /State Zip Phone Name ��11 .raLiN AAu,f1o1FY Name Owner Mailing Address 13 SG 5 w Amts I E 4 f4 /0/07.1 City/State Zip Phone Engineer Mailing Address T 4 r � OR 97323 5,24/ -S 232 City/State Zip ` Phone General Na r Contractor O (A) f `J e 1 Describe work New 0 Addition 0 Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: issuance, a copy City/State Zip Phone of all licenses are required if Oregon Const. Cont. Board Exp. Date PROJECT expired in COT Lic.# VALUATION $ 336,000 database Mechanical Name NEW CONSTRUCTION ONLY: Sub- A Reek if y eti— i. * Coou.4q Sq. Ft. House: p � Sq. Ft. Garage Contractor Mailing Address J V v 119 Q Prior to permit 2 721 N g% .40 A VF • Corner Lot YES NO Flag Lot YES 1N�O, issuance, a copy city/State Zip Phone (check one) b( (check one) l( of all licenses VamAC0K�Or 14/4 5 8 360 -'737'a8l I Restricted Ij Audio /Stereo i ,j Burglar are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm expired in COT Lic.# database to y 3 - $ -Aopociii Installation Garage Door HVAC Plumbing Name Y Opener Y Systems Sub Other: ZQ C I�tw► b , Kt (check all that apply) Contractor Mailing Address Will the electrical subcontractor wire for all YES NO 6) 007 be P4 Iflt0 restricted energy installations? Oc Prior to permit Zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance, a copy PorTl w,�, 02 97203 .2.23-)567 of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Reissue of MST #: Solar Compliance expired in COT HT T 77 7 / 1-22-2000 (Calculation Attached) database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the 31 393 S P. d i - I -1 q 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 C ci ti b 1 ELF eTR. i C_ Signatur. of / ,I• - G' / Date S Mailing Address 4/-1-11 Contractor X90 S. _TOY S , Conte.'' erson Name / �l Phone # City/State Zip Phone Xak A Al H t 1� Y 32.41-s832 Prior to permit by oR, y7cr13 1 FOR OFFICE USE ONLY: issuance, a copy c" Plat #: Map/11#: of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Setbacks: Zone: Solar: expired in COT 3— /12 C /0-1-97 database Electrical Lic. # Exp. Date Engineering Approval: Planning Approval: TIF: 2 1 23 5 /0 -/ - 2001 I:SFREM.DOC (DST) 4/97 3 CITY OF 11GARD OREG INTENT TO HAUL EXCAVATION (LOTS STEEPER THAN 20 %) I, — o kt.■ «r tf (print name), hereby certify that ALL excavation material on the subject property will be removed from the site and not be placed as fill, except for that amount necessary to back -fill the foundation ONLY. I understand that failure to remove the excavation material will result in the requirement to remove the material or obtain a grading permit by submitting grading plans prepared by a licensed engineer accompanied by a geo- technical report regarding the placement of the excavation material as fill. I further understand that my footing inspection will be denied if that inspection reveals that excavated material has not been hauled, and that work will be stopped and no further inspections conducted until the City has received and approved a plan and report from a geo - technical engineer regarding placement of the fill material. • Si • ature ( / Date Permit #: Job Address: 12. WO 3c R ;e4e Subdivision: Mou, 14',' � ( , \14'6(5 . * 3. Lot: # 2.9 I:haul.doc (DST) 7/98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: , �� /�i^ � G ( de", a ) , ) tt - 6./0 p j. / 7, (.cl?— file el- /u`^ 26/ CLASS OF WORK: fr ( kJ FLOOR AREAS: EXTERIOR WALL CONSTRUCTION TYPE O FU FIRST SQ. FT. N: S: E: W: TYPE OF f"" CONSTR: SECOND SQ. FT. PROTECT OPENINGS ?: OCCUPANCY GRP: THIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT ?: MEZZ ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE FIRE SMOKE 'HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ A3 Permit Fee Masonry Framing $ / , - Review Insulation Shear Wall $ t' ?�� 7% State Surcharge Firewall Gyp Board $ FLS Plan Review Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pln Smoke Detector Approach /Sidewalk $ Inspection Miscellaneous $ MIS Fee CI 3 FOR OFFICE USE ONLY: TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT= alteration; ACS= accessory;FND- foundation; OTR= other; DEM= demolition; REP = repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I:kovrcntr2.doc (DST) 4/97 • 11/23/1999 Activities for Case #: MST98 -00400 10:08:07 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 09/14/1998 GEO RECD GEO 09/15/1998 MSTA008 Permit Created • 09/15/1998 GEO DONE GEO 09/15/1998 No contractor information provided at this time. Owner is • listed as general contractor. MSTA010 Check for prd. restrict. 09/15/1998 GEO DONE GEO 09/15/1998 MSTA012 Plans routed to Plans Examiner 09/15/1998 GEO SENT GEO 09/15/1998 MSTA026 Plans approved by PIn Examiner 10/22/1998 RT PASS . BT2 10/22/1998 MSTA030 Reviewed plans routed to DSTS 10/22/1998 RT PASS BT2 10/22/1998 MSTA032 DST Post - Review Completed 10/30/1998 DEB DONE DRA 10/30/1998 MSTA700 Erosion 844 -8444 • GEO 09/15/1998 MSTA703 Grading Inspection 10/29/1999 MW PASS VT 10/29/1999 16% SLOPE HAS SIGN . INTENT TO HAUL FORM MSTA705 Footing Insp 04/07/1999 KS • FAIL AKJ 04/07/1999 1) submit detail for six ft high retaining wall section to bldg dept • 2) Interior footing located adj to ' • edge of cut needs to be excavated to lower level or pour larger to lower level MSTA706 Foundation Insp 04/16/1999 KS PASS AKJ 04/19/1999 MSTA710 Post/Beam Structural 10/26/1999 GS PASS GES 10/26/1999 by final complete gmd cover 2. remove debris MSTA711 Post/Beam Mechanical 10/26/1999 GS PASS GES 10/26/1999 MSTA713 Crawl Drain /Backwater valve 04/27/1999 GS PASS AKJ 04/27/1999 Seal cone foundation wall around water service sleeve MSTA717 PLM /Underfloor 10/26/1999 GS PASS •GES 10/26/1999 unknown if this insp was done at topout MSTA720 Mechanical Insp 06/14/1999 LN FAIL AKJ 06/14/1999 Air duct in attic or return not hooked up 1) Install return air ducts 2) install and vent to exterior all bath fans 3) install gas lines verify underfloor lines at next insp 4) add 2' to B vent to get above any roof within 10'. Note: if garage ceiling is to be insul, . install sleeve to maintain clearance from insul MSTA722 Plumb Top Out 06/16/1999 MS PASS AKJ 06/16/1999 MSTA723 Electrical Service 06/22/1999 BRP FAIL AKJ 06/22/1999 need research and info on generator conn and operation MSTA724 Electrical Rough In 06/22/1999 BRP PASS AKJ 06/22/1999 Page 1 of 5 • 11/23/1999 Activities for Case #: MST98 -00400 10:08:07 AM • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA725 Framing Insp 06/24/1999 KS FAIL DGW 06/25/1999 1) provide TJI detail layout also all beam size and glulam 2) provide complete detail for stick cut roof MSTA726 Shear Wall lnsp 06/07/1999 LN FAIL AKJ 06/07/1999 1) finish nailing top of first floor interior shear per plan 2) incomplete insp no upstairs • interior shear done MSTA728 Low Voltage 06/22/1999 BRP PASS AKJ 06/22/1999 MSTA735 Gas Line Insp 07/22/1999 KS PASS AKJ 07/22/1999 MSTA740 Insulation Insp 07/29/1999 KS FAIL AKJ 07/29/1999 see framing 7/29/99 MSTA752 Rain drain Insp 04/27/1999 GS PASS AKJ 04/27/1999 Around house 85% complete, riprap RD termination MSTA761 Water Service lnsp 04/27/1999 GS PASS AKJ 04/27/1999 MSTA765 APpr /Sdwlk lnsp 10/12/1999 MW PASS ST 10/14/1999 Looks good MSTA790 Electrical Final GEO 09/15/1998 MSTA795 Mechanical Final 11/02/1999 RB FAIL RB 11/02/1999 NC disconnect condensate drain. NC not installed yet. Fireplace gas connector disconnected- inoperative. • MSTA797 Plumb Final 11/03/1999 MRS PASS VT 11/03/1999 also requested mechanical final. 2. water crossed on island sink. MSTA799 Building Final 11/04/1999 KBS FAIL VT 11/04/1999 Check for positive drainage on the west side of the structure • where the retaining wall is placed for next door. Must have flow or drains approved...hap 1. need electrical final appproved, prior to buildings and mechanical final 2. contact Matt Harrell, engineering dept. require retainings wall @ right side of structure MSTA080 (F) Ready to issue 03/22/1999 DEB DONE DRA 03/30/1999 Needs to identify all subcontractors & verify licensing prior to issuance. If owner, needs to sign Owner • Responsibility Form. 3- 30 -99, new site plan brought in moving the footprint of the house closer to the front property line. Reviewed and placement still • meets all setback requirements. dra MSTA092 (F) Issue combination permit 04/01/1999 GEO PASS DST 04/01/1999 • • Page2of5 • • 11/23/1999 Activities for Case #: MST98 -00400 10:08:07 AM • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA095 Issue plumbing signature form 07/08/1999 JMT RECD JMT 07/08/1999 • MSTA705 Footing Insp 04/12/1999 04/12/1999 04/12/1999 KS PASS No Hold AKJ 04/12/1999 1) Initial erosion control app 2) Corners of structure surveyed 3) Ufer rod tag MSTA720 Mechanical Insp 06/18/1999 06/18/1999 06/18/1999 MS PASS No Hold MRS 06/18/1999 Gas not installed yet MSTA093 (F) Reprint Permit 06/28/1999 GEO DONE No Hold GEO 06/28/1999 • MSTA097 Issue electric signature form 07/09/1999 JMT RECD No Hold JMT 07/09/1999 MSTA095 Issue plumbing. signature form 06/29/1999 JMT RECD No Hold JMT 10/25/1999 MSTA723 Electrical Service 06/30/1999 06/30/1999 06/30/1999 BRP PASS No Hold AKJ 06/30/1999 MSTA725 Framing Insp 07/01/1999 07/01/1999 07/01/1999 KS FAIL No Hold AKJ 07/01/1999 1) resubmit plan to bldg dept re: • bonusrm above garage 2) provide complete set of plans need to indicate all glulam and beam MSTA093 (F) Reprint Permit 07/15/1999 - GEO DONE No Hold GEO 07/15/1999 MSTA726 Shear Wall lnsp 07/18/1999 07/18/1999 07/16/1999 KS • FAIL No Hold AKJ 07/18/1999 1) htt #22 holdowns missed at int shear panel main fl • 2) holdowns missed adj to front entry door also at left side of struc • 3) nail all shear panels • schedule MSTA725 Framing lnsp 07/20/1999 07/20/1999 07/20/1999 KS FAIL No Hold AKJ 07/20/1999 1) provide attic access at gar 2) pos conn at interior glb beams at gar 3) framing at fireplace at gar not done 4) provide ledger at over - notched rafters at gar 5) nail double ridge at bonus mi • also attic access • • 6) strap plates at bays 7) nail double ceiling joists at upper front bay • 8) provide full bearing under • glulam beam at upper level and transfer load to lower level • 9) support under hips valleys and ridge as shown and pos conn 10) provide attic access at upper level with curb 11) glulam beam adj to comm wall at gar does not appear to have adequate bearing MSTA725 Framing Insp 07/21/1999 07/21/1999 07/21/1999 AKJ NOTE No Hold AKJ 07/21/1999 crawl 0/6 ft: do the pb struc insp at framing insp • Page3of5 • • 11/23/1999 Activities for Case #: MST98 -00400 10:08:07 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA726 Shear Wall lnsp 07/22/1999 07/22/1999 07/22/1999 KS PASS No Hold AKJ 07/22/1999 MSTA725 Framing lnsp 07/22/1999 07/22/1999 07/22/1999 KS PART No Hold AKJ 07/22/1999 1) gas piping pt test 28 psi for 15 min • 2) provide collar ties at comm • rafters at bonus rm 3) provide ledger at over • notched rafters at bonus rm MSTA725 Framing Insp 07/29/1999 07/29/1999 07/29/1999 KS FAIL No Hold AKJ 07/29/1999 1) meth corr not done fireplace venting not done 2) add ledger at over notched • rafters at bonus rm • 3) provide pf paper behind jacuzzi • 4) if ? water proof gyp is used • for backer board at stall shower • remove vapor MSTA740 Insulation Insp 08/02/1999 08/02/1999 .08/02/1999 LN PASS No Hold AKJ 08/02/1999 • MSTA745 Gyp Board Insp 08/08/1999 08/08/1999 08/06/1999 PG FAIL No Hold AKJ 08/08/1999 1) install fasteners to GWBI walls as shear schedule indicates min 7" oc edte and 7" oc in the field MSTA745 Gyp Board lnsp • 08/09/1999 08/09/1999 08/09/1999 KS PASS No Hold • AKJ 08/09/1999 • MSTA770 Misc. Inspection 09/13/1999 09/13/1999 09/13/1999 MS PASS No Hold AKJ 09/13/1999 shower pan MSTA790 Electrical Final • 10/18/1999 10/18/1999 10/18/1999 BP PASS No Hold JS 10/18/1999 final pass. MSTA720 Mechanical Insp 10/26/1999 10/26/1999 10/26/1999 GS FAIL No Hold GES 10/26/1999 p rovide venting inst for fireplace • • • venting [in now but need to verify intallation] "note underfloor insul in at this time [difficult to do inspection] MSTA725 Framing Insp 10/26/1999 10/26/1999 10/26/1999 GS PASS No Hold GES 10/26/1999 previous corrections pass except for mechanical re: fireplace venting • MSTA720 Mechanical Insp 10/29/1999 10/29/1999 10/29/1999 GS PASS No Hold GES 10/29/1999 venting inst provided per prey insp ok MSTA703 Grading Inspection 10/29/1999 MW PASS No Hold . VT 10/29/1999 MSTA795 Mechanical Final 11/03/1999 11/03/1999 11/03/1999 MRS PART No Hold VT 11/03/1999 1. fireplace gas not hooked up 2. register not installed • • also requested plumbing final at 4 p.m. MSTA795 Mechanical Final 11/04/1999 11/04/1999 11/04/1999 KBS FAIL No Hold . VT 11/04/1999 pls see building final notes. • • Page 4 of 5 11/23/1999 Activities for Case #: MST98 -00400 10:08:07 AM • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA795 Mechanical Final 11/05/1999 11/05/1999 11/05/1999 KBS FAIL No Hold VT 11/05/1999 1. final erosion control (approved) 2. support st address @ front of structure 3. support gas pipings @ • furnace & water heater 4. provide clearance above B -vent @ water heater 5. seal all penetrations @ garag. 6. post insulation cert. 7. extend guardrail 36" above stairs @ garage. Also provide handrail • 8. provide step @ main door garage exceed limits.) • • 9. support flex gas pipe @ • • range cabinet 10. provide handrail @ ext stairs 11. sway brace post @ ext stair; 12. provide drainage @ side of structure MSTA799 Building Final 11/05/1999 11/05/1999 11/0571999 KBS FAIL No Hold VT 11/05/1999 see mechanical final notes • MSTA799 Building Final 11/15/1999 11/15/1999 11/12/1999 KBS FAIL No Hold KBS 11/16/1999 1. all buildings and mechanical corrections completed. SIT • work needs approval. MSTA795 Mechanical Final 11/15/1999 11/15/1999 11/12/1999 KBS FAIL No Hold VT 11/15/1999 1. all buildings and mechanical corrections completed. SIT work needs approval. MSTA798 Final inspection 11/22/1999 11/22/1999 11/22/1999 JMT DONE No Hold JMT 11/22/1999 owner John Murphy called for the second time inquiring about C /O. Ken inspected on 11/9/99, • inspection slip is not data entered and slip is not circled pass /fail. returned inspection • slip to Ken and complete history print out. Owner feels all he was needing was Matt H. to sign off on neighbors retaining wall.• MSTA799 Building Final 11/23/1999 11/23/1999 11/23/1999 JMT DONE No Hold JMT 11/23/1999 Per Matt Harrell, Eng., wall placement & construction /retaining wall okay will process C /O, Jeanne T. MSTA960 (F) Issue Cert. of Occupancy . 11/15/1999 TIG KS DONE No Hold JMT 11/23/1999 Page 5 of 5