Permit I MASTER PERMIT
CITY T I G A R D PERMIT #: MST1999 -00405
�
1, DEVELOPMENT SERVICES DATE t ISSUED: 02/15/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4� 7 G IN A SITE ADDRESS: 12208 SW SWEENEY PL 'PARCEL: 2S103AB -05300
SUBDIVISION: WALNUT GLEN ZONING: R -4.5
BLOCK: LOT: 011 JURISDICTION: TIG
REMARKS: New SF - Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,603 sf BASEMENT: 126.00 sf LEFT: 27 SMOKE DETECTORS: Y •
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 0 sf GARAGE: 769 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 208,881.73
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: of REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 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 - 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=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/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: . INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,053.10
This permit is subjed to the regulations contained in the
RIVERSIDE HOMES RIVERSIDE HOMES
15455 NW GREENBRIER PKWY #140 15455 NW GREENBRIER PKWY all other Municipal Code, State work k will Specialty Codes and
all other applicable laws. All work will be done in
BEAVERTON, OR 97006 SUITE 140
BEAVERTON, OR 97006 -2115 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 70065 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 Mechanical Electrical Service Gas Line Insp Appr /Sdwlk lnsp
Footing Insp Underfloor insulation Electrical Rough In Gas Fireplace Electrical Final
Foundation Insp PLM /Underfloor Framing lnsp Insulation Insp Mechanical Final
Slab Insp Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Post/Beam Structural Plumb Top Out Exterior Sheathing Insr Water Line lnsp Final inspection
Issued By : f /. .. .Z." //� Permittee Signature : l / 70 7
Call (503) �9 -4175 by 7:00 p.m. for an inspection needed the next busine s day
L TY OF TIGARD Residential Building Permit Application Plan Check # /1" 3!r YL
13125,SW,HALL BLVD. New Construction - Recd By 4
Date Recd I /
TIGAFID, OA 97223 Single Family Detached Date to P.E. - (5 1 1 l V 503 - 639 -4171 Date to DST 2 00 ."
F 503-684-7297 Permit # M51(1 -
Print or Type calle w(L(e°l -Q02(/f
Incomplete or illegible applications will not be accepted
Name of Project Name
l �
Job C� l � J1 L( 1- (� ! 01
Mailing Address
Address-, site Address l t p ( /� Architect
1 Name- � � ` / - � tp ` e_ ' � "`�_`_ City /State Zip Phone
1 ;1 (ie _-) {l,1.�� l9) Name
Owner Mailing Address
n7-495 Y1 u) C1rccr7bi - Pktd911-7 qt
Engineer Mailing Address
City /State
Zip
/ Ph / on / e � g
P 4 71l C)P C)7(N 6 y a E1 1 � City /State Zip Phone
General Name
1
Contractor ,_CU 7 LL CU) el 1)1 c-
x'11 Describe work New Addition 0 Alteration 0 Repair 0
r Mailing Address to be done:
I 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 � p v J 13 exd'atabaseOT Lic.# N ame lJ V�
/,� �� /�� r `, / i /7 /CV VALUATION $ p` • cO j g 0 t
Mechanical NEW CONSTRUCTION ONLY: �L PGpc 4
Sub- . ,Ak . � f it la Sq. Ft. H osii , I Sq. Ft. ieo Contractor d U i, dr ess el / i; Por to permit a,L (9 _.--. _.. Indicate the restricted energy installation by the electrical
issuance, a copy +v/State ro 4 Phone subcontractor in the following areas
of all licenses rkvivi . b , crigiv • .111 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms •
expired in COT Lic.;" 1 /� v Installations Vacuum • Irrigation
database - 3 ,� �� System System
Plumbing Name (check all that Other:
Sub- I YW �'P/�'�LQIr'I1�7'h //'Z ' apply)
Contractor Ma iling Address Number of Units in Building Unit Number Designation
/( ) (p Sia) ( Oi th c.ou,rt Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State / Zip Phone
y
issuance, a copy , QG ret.. Or q7 9 - 3071
of all licenses are Oreg Const. Cont. Board Exp. Date
required if Lic.# / 3 H l 01
expired in COT r
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 agent
of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical N p, r t U +r ( c Signatu of Ownerr nn,,�� Datf
Sub- Mailing Address � ( ? (JC l �� �ii:(� �� /'�� /
v�3 7 �E ' 7y d..) Contac erson Name Phone #
Contractor S r. , 104/5-ow,
City /State Zip Phone
Prior to permit ` �, Q„ �t'f
issuance, a copy 1? ?rtl nand O q7 a33 666 032:7 `-' 9. .› - ' 1 '
of all licenses are Oregon Const. Cont. Board Exp. Date FOR OFFICE USE ONLY: �� / '
required if Lic.# p Plat #: Map/TL #:
expired in COT / c r9 Lo O? 3 /ia /oI i'zS 4 i l ik I tq -5 )P - t
database ElectrlLi. #95( /lr Exp. Date Setbacks: I Zr f
Electrical Supervisor Lic. # Exp. Date r n'
gi ering Approval: Planng Approval: TIF:
* 9.. )); 44) ci") il - 2, - 3 '
40 o is \dsts \forms\sfd- new.doc 11/20/98
1
5/31/00 Activities for Case #: MST1999 -00405
1:15:20 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 11/9/99 BON RECD No Hold BON 12/15/99
' - MSTA008 Permit Created 12/15/99 BON DONE No Hold BON 12/15/99 Through many weeks of faxing
and conversations back and
forth with the applicant, this
permit is now ready to process.
MSTA010 Check for prcl. restrict. 12/15/99 BON DONE No Hold BON 12/15/99
MSTA012 Plans routed to Plans Examiner 12/15/99 BON DONE No Hold BON 12/15/99
MSTA026 Plans approved by Pin Examiner 1/31/00 BOB DONE No Hold BT2 1/31/00
MSTA030 Reviewed plans routed to DSTS 1/31/00 BOB DONE No Hold BT2 1/31/00
MSTA700 Erosion 844 -8444 12/17/99 12/17/99 - No Hold RDP 12/17/99
MSTA705 Footing lnsp 12/17/99 12/17/99 2/23/00 KS PASS No Hold AKJ 2/23/00
MSTA706 Foundation Insp - 12/17/99 12/17/99 2/23/00 KS PASS No Hold AKJ 2/23/00 1) initial erosion control app
2) contractor will install under
floor vent at pony wall roc room
3) install anchor bolts
4) ufer rod
5) provide drainage at int side
of gar
MSTA707 Slab Insp No Hold RDP 12/17/99
MSTA710 Post/Beam Structural 12/17/99 12/17/99 No Hold RDP 12/17/99
MSTA711 Post/Beam Mechanical 12/17/99. 12/17/99 4/4/00 RB PASS No Hold AKJ 4/4/00
MSTA712 Underfloor insulation 12/17/99 12/17/99 No Hold RDP 12/17/99
MSTA717 PLM /Underfloor 12/17/99 12/17/99 4/4/00 RB FAIL No Hold AKJ 4/4/00 2) soffit ductwork in gar
3) enclose b vent/ductwork in
fwd bedroom closet
5) nail plate waterline in closet
of master bath behind shower
6) dwv incomplete, all lines not
on test
7) insul duct boots where ext
above ceiling insul level
8) insul duct in basement
9) unknown if slab was app,
underslab plm failed 3/30,
unknown if plm was protected,
already covered with concrete
MSTA720 Mechanical Insp 12/17/99 12/17/99 No Hold RDP 12/17/99
MSTA722 Plumb Top Out 12/17/99 12/17/99 4/4/00 RB FAIL No Hold MRS 4/7/00 see plm underfloor 4/4
I mike sheehan witnessed a ten
foot head on plumbing
underfloor
MSTA723 Electrical Service 12/17/99 12/17/99 4/5/00 CD PASS No Hold AKJ 4/5/00
Page 1 of 3
5/31/00 Activities for Case #: MST1999 -00405
1:15:20 PM •
Assigned • Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA724 Electrical Rough In 12/17/99 12/17/99 4/5/00 CD PASS No Hold AKJ 4/5/00
MSTA725 Framing Insp 12/17/99 12/17/99 4/7/00 TLP PASS No Hold AKJ 4/9/00
MSTA726 Shear Wall Insp 12/17/99 12/17/99 3/22/00 KBS FAIL No Hold AKJ 3/22/00 incomplete
MSTA727 Exterior Sheathing Insp No Hold RDP 12/17/99
MSTA736 Gas Fireplace No Hold RDP 12/17/99
MSTA740 Insulation lnsp 12/17/99 12/17/99 4/10/00 KBS FAIL No Hold AKJ 4/10/00 incomplete
MSTA760 Water Line lnsp 12/17/99 12/17/99 3/1/00 RB PASS No Hold AKJ 3/2/00
MSTA765 Appr /Sdwlk lnsp 12/17/99 12/17/99 No Hold AKJ 5/22/00 private drive
MSTA790 Electrical Final 12/17/99 12/17/99 5/15/00 CD FAIL No Hold AKJ 5/15/00 1) wire for and install gfci
receptacle in basement
2) j box nm cable in crawl space
off basement
MSTA795 Mechanical Final 12/17/99 12/17/99 5/22/00 KBS FAIL No Hold AKJ 5/22/00 see bldg final 5/22
MSTA797 Plumb Final 12/17/99 12/17/99 5/18/00 MRS PASS No Hold AKJ 5/18/00
MSTA798 Final inspection 12/17/99 12/17/99 5/22/00 KBS FAIL No Hold AKJ 5/22/00 1) final erosion control app
2) provide clearance at b vent
both horizontal and at ceiling
• 3) seal all penetrations at gar
4) supp gas /flex at water heater
5) faulty smoke detectors
6) insul heat ducts at lower level
7) riser height exceed limits at
lower stairs
8) seal over driven nails at ext
9) cap off unused rain drain
MSTA012 Plans routed to Plans Examiner 1/25/00 DEB DONE No Hold DEB 1/25/00 New plans brought in by Robert
Harp, Riverside Homes. Plans
routed back to Bob P.
MSTA735 Gas Line Insp 1/31/00 1/31/00 4/4/00 • RB PASS No Hold AKJ 4/4/00
MSTA755 Rain drain Insp 1/31/00 1/31/00 2/25/00 RB PASS No Hold AKJ 2/27/00
MSTA032 DST Post - Review Completed 2/7/00 BON DONE No Hold BON 2/7/00
MSTA080 (F) Ready to issue 2/7/00 BON DONE No Hold BON 2/7/00
MSTA092 (F) Issue combination permit 2/15/00 GEO DONE No Hold GEO 2/15/00
MSTA095 Issue plumbing signature form 2/15/00 GEO DONE No Hold GEO 2/15/00
MSTA097 Issue electric signature form 2/18/00 SLT RECD No Hold ST 2/18/00
MSTA770 Misc. Inspection 3/3/00 RB FAIL No Hold AKJ 3/5/00 footing drain not noted, already
backfilled
MSTA770 Misc. Inspection 3/3/00. RB PASS No Hold AKJ 3/5/00 water /dampproofing insp
Page 2 of 3
5/31/00 Activities for Case #: MST1999 -00405
1:15:20 PM
Assigned Hold Updated
Activity. Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA715 Plm/undslab Insp 3/3/00 RB FAIL No Hold AKJ 3/5/00 10' head test req for plm
underslab, do not pour
MSTA095 Issue plumbing signature form 3/22/00 SLT RECD No Hold ST 3/22/00 Change of contractor
MSTA726 Shear Wall lnsp 4/4/00 KBS PASS No Hold AKJ 4/4/00
MSTA715 Plm/undslab lnsp 4/4/00 RB FAIL No Hold AKJ 4/4/00 see plm underfloor 4/4
MSTA720 Mechanical lnsp 4/4/00 RB FAIL No Hold AKJ 4/4/00 see plm underfloor 4/4
MSTA722 Plumb Top Out 4/7/00 MRS PASS No Hold AKJ 4/9/00 water underslab was tested at
earlier date
MSTA740 Insulation Insp 4/11/00 KBS PASS No Hold AKJ 4/11/00
MSTA790 Electrical Final 5/17/00 CD PASS No Hold AKJ 5/17/00
MSTA799 Building Final 5/24/00 RB PASS No Hold AKJ 5/24/00
MSTA795 Mechanical Final 5/24/00 RB PASS No Hold AKJ 5/24/00
MSTA960 (F) Issue Cert. of Occupancy . 5/24/00 RB DONE No Hold ST 5/31/00 5 /31 /00- mailed to owner /file
Page 3 of 3
CITY OF TIGARD BUILDING INSPECTION DIVISION s / `l 1q- .' 1 1L
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
X11 BUP
Date Requested S ZL /C AM PM BLD
Location I .2.20g S Suite MEC
Contact Person JP Ph t4 t/ 3 -3.3 / PLM
Contractor Ph SWR
ILDIII Tenant/Owner ELC
Wall . ELR
Footing. Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing Zteev- 4- S /ZZ /U U (_ \c_S) t SS --C
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ii
N
,u1r4 .
r - AS - PART fAIL -
• ' :ING DVj
Post & Beam
Under Slab
Top Out Z7X
Water Service
Sanitary Sewer /r/
Rain Drains
Finales
PASS PART FAIL
IVI
P m /././
Rough In
Gas Line
Smoke Dampers\ p_
��J
PART IL
EL RICAL
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final ✓
P _ SS PART FAIL
ITE
thh/Gnitary Sewer orm Drain ✓ \\ tch Basin ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
ne e Supply Line A
I ]Please call for reinspection RE: [ ] Unable to inspect - no access
/ � •roachlSidewalk Date ' /l.-4 t7 d Inspector Y C1. J -- Ext 5‘ V-)PC 41. r-- / - he -
PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Iq% -QQVOS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested r7/0 AM PM BLD
Location S Suite MEC
Contact Person (.(.0 /1P/�- Ph - 7(0 Z' . 21V42 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
2g...ffiee.
Fire Alarm
Susp'd Ceiling ‘:(sr/r
Roof
Misc:
Final
PASS 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 P T FAIL
RIC
Service .
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
• 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 S /7 ;0 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST L q9-CA yOS
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S/ I ( A Op AM PM BLD
Location S Suite MEC
Contact Person Rt ' Ph L "l 3 -3q 3C? PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
N
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
■� PART FAIL
7 ThHANICAL
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 do Other Date {� Inspector t d Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.