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Permit c CITY OF TIGARD MASTER PERMIT " " . A . IA DEVELOPMENT SERVICES PERMIT # : MST9B -0364 LJ - . 131 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09 / 02 / 9B PARCEL: 25111DC -04900 SITE ADDRESS...: 15657 SW SUMMF_RFIELD LN SUBDIVISION -SUMMERFIELD NO.7 ZONING: R -7 BLOCK LOT •349 JURISDICTION: TIG Remarks: Add an addition to an existing single family dwelling. — BUILDING - ----- REISSUE: STORIES : 1 FLOOR AREAS - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED--- - CLASS OF WORK. :ALT HEIGHT • 8 FIRST • 77 sf GARAGE • 0 sf LEFT : 0 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0 TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 0 OCCUPANCY 6RP. :R3 BDRM: 0 BATH: 0 TOTAL 77 sf VALUE..$: 2950 REAR • 0 PLUMBING 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...: 1 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 — lm 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 - 4 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1000 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 BCC: - ---- - - - - -- — - -- ELECTRICAL - RESTRICTED ENERGY - -- - -- __ — ____ _ ____ A. SF RESIDENTIAL -- B. COMMERCIAL -- AUDIO & STEREO.: VACUUM SYSTEM..: 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 # SYSTEMS: 0 Owner: ----- - - - - -- ---- Contractor: - -- -- - - - - -- TOTAL FEES:f 139.96 DUNLAP, WILLIAM & MARIAN MARIAN DUNLAP This permit is subject to the regulations contained in the 15657 SW SUMNERFIELD LANE 15657 SW SUMMERFIELD LN Tigard Municipal Code, State of Ore. Specialty Codes and all TIGARD OR 97223 TIGARD OR 97223 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone #: Phone #: 691 -6802 not started within 180 days of issuance, or if the work is Reg B..: 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 --- -- -- Footing Insp Framing Insp Foundation Insp Insulation Insp *che► c-& 4 p U Mr ci Mechanical-Final- 4 e P ' Elearicai Rough , Buil4i Fin rj -z -Q Issued B .� //% A . y: li , i��st Fer•mittee Signature: _,,,,, /i ,_ i _.. . 1, ,� 4 2_.. ++ + + + ++ - + + ++ ++++++ . + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + ++ + ++ + + + + + + + + + + + + + ++ ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the ne t business day Plan Check # - -75 CITY GF TIGARD Residential Building Permit Application Recd By 1 1-- 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd 95 - a5' - - 0 . TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. ce 5 - -C rd' V 503 - 639-4171 Date to DST .J'� /a O 1 ,4. d F 503 -684 -7297 /b klk t i Permit # 41,o'7A I t Print or Type 7 Called g' /3 �, Incomplete or illegible applications will not be accepted 0! Name of Project Name /�f Job) nI L A p �( `� Architect Mailing AGdre(ss Address i sAsA s r. ir' l L A City/State Zip Phone Pirtk N Name Owner Mai ing Address N A 0'0.1z_ Mailing Addre s City/State , Poe Engineer Na lam » Ce /� -d i3 1 - O ' City/State Zip Phone General A. ,' Contractor lv �n `� t 1t n^ rk)Th j t.. .Ap Describe work New 0 Addition Alteration 0 Repair 0 Mailing Address to be done: Prior to permit Additional Description of Work: I /. I ®fOJ14-A- 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 $ Q l ,c__,„ . 00 database Mechanical Name NEW CONSTRUCTION ONLY: Sub- ,N AU Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Addre s 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- A (check all that Other: Contractor Mailing Add s 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 /� � : ature of Own: Agent / , � A e q� Sub- Mailing A dres Contractor Co / � . Person Name no/ to City/State Zip Phone Prior to permit FO • o FFICE USE ONLY: 54 /g•Goe /1) 4 F issuance, a copy Plat #: Map/T #: �,s/ of all licenses are Oregon Const. Cont. Board Exp. Date AZ — Q VO 0 LO7 required if Lic.# " f expired in COT Setbacks: Zone: Solar: database Electrical Lic. # Exp. Date �- Engineering Approval: Planning Approval: TIF: I:SFREM.DOC (DST) 4/97 I' Permit #: ``\ L� p 5 O - C 38'l OF O � ��� , , Address: 15 5 7 3L� �U H 1 R. FI L LD . 7: m „ 1 . Issued by: _ Date: '- - 8 5� R 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: 1. I own, reside in, or will reside in the completed structure. j p,/fZI 0 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 0 3A. My general contractor is (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 9 3B. 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 Property Owners about Construction Responsibilities on the reverse side of this form. /1 �� . -11% 1& _ _ (Signature of permit .pplicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 9e-03g 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 C BUP /2'S Date Requested /O — /y - 7 / AM PM /' BLD Location � �(tiJ S,in, 'it z Vr/ Suite MEC Contact Person iAi/L Ph S3 9-C 79 PLM Contractor Ph SWR (I ILDING) Tenant/Owner ELC • Wall ELR Fa (57741" Access: FPS • i datio • �' - C /'c,� AGM". , . 7 A r7& 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 ILTSP 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 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 /0/ J " (99 Inspector r Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.