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Permit CITY OF TIGARD MESTIR PERMIT MS "f96 -040 V C(' V1MUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/09/96 ' SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 639 -4171 PARCEL: 15125DA -00100 SITE ADDRESS...: 06512 SW TAYLORS FERRY RD SUBDIVISION ZONING: R -4.5 ��� RE 'D LOT 1 D Remarks: SF NEW - PATH 1 //F BUILDING ---- REISSUE: STORIES 2 FLOOR AREAS--- - - - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED CLASS OF WORK.:NEW HEIGHT • 21 FIRST 954 sf GARAGE • 480 sf LEFT • 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD 40 SECOND...: 1110 sf FRONT • 40 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 5 OCCUPANCY GRP.:R3 BORN: 3 BATH: 3 TOTAL : 2064 sf VALUE..$: 146568 REAR 20 PLUMBING - -- SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS • @ LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: @ TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----- - - - - -- ----- ---- -- MECHANICAL FUEL TYPES----------- FURN (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1 /GAS/ / / FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 W00DSTOVES • 0 GAS OUTLETS...: 1 --- ELECTRICAL -- RESIDENTIAL UNIT -- -- SERVICE /FEEDER - -- —TEMP SRVC /FEEDERS -- - -- BRANCH CIRCUITS - -- - -- MISCELLANEOUS - -- - -ADD'L INSPECTIONS- - 1''0 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 4 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 601 - 1000 amp.: 0 601 +amps -1000 v: 0 MINOR LABEL -10: 0 1000+ amp /volt.: 0 -- - - - - -- PLAN REVIEW SECTION Reconnect only.: 0 ) =4 RES UNITS..: SVC /FDR) =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: — — - - -- ELECTRICAL - RESTRICTED ENERGY - -- A. SF RESIDENTIAL - B. COMMERCIAL -------------- - ----- --- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: .. HVAC DATA /TELE COMM.: NURSE CALLS TOTAL 0 SYSTEMS: 0 Owner: — _—__-- ____ —___ -Contractor: -- TOTAL FEES:$ 4478.71 NDC LTD NDC LTD PO BOX 1985 PO BOX 1985 LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97035 Phone 0: 697 -3801 Phone 0: 697 -3801 Reg C..: 099813 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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. -------- - - - - -- — - -- REQUIRED INSPECTIONS Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Erosion Control Post /Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final Post /Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final Perm ittee Signature: xj/OCAL[z fI ssued By: �. _ - _ � � • cal for inspection — 639 -4175 iii *0b Please. re,Viea) bu- e- kb(ds oit Ql ink P( 'AIv g L ;ITY OF TIGARD Residential Building Permit Application Recd By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd / •:- 5 -- . TIGARD, OR 97223 Single Family Detached or Attached Date to P.E. Os- /5- 9( ;503) 639 -4171 Date to DST Print or Type EXPIRE Permit* 4 " ' i " �. R Redd 5 12- 0 f f ad — Incomplete or illegible applications will not be accepts Plan Check # Name of Subdivision Lot # Name Job MLP 1996 -005 3 Nancy Duck (NDC Ltd.) Architect Mailing Address Address Site Address P.O. Box 1985 6512 SW Taylors Ferry Rd. City/State Zip Phone N NDC Ltd. Lake Oswego 97035 697 3801 Name Owner Mailing Address Tim Covert P.O. Box 1985 g City/State Zip Phone Engineer Mailing Address Lake Oswego 9703 697 3801 312 NW 10th Ave City/State Zip Phone Name Eo tland 97209 X28 0428 General NDC Ltd Describe work new addition 0 alteration 0 repair O Contractor Mailing Address to be done: P.O. Box 1985 Additional Description of Work: City /State Zip Phone C �1 3 �O OT - D L 1 Lake Bsweg6' 697 3801 v L Oregon Const. Cont. Board Lic.# Exp. Date Attach Copy of 99813 6/13/98 Project / D Current COT , Business Tax or Metro # tl2. ; pp.. Date Valuation $ /4 �a.O 1 Licenses Name NEW CONSTRUCTION ONLY: Mechanical B &S Heating Sq.Ft. House: Sq.Ft.Garage: S Mailing Address e?GG V 480 Contractor 17104 S...Outlook, Corner Lot Yes No Flag Lot Yes No City /State Zip Phone (check one) x (check one) x Oregon City 97045 655 9286 Restricted Audio /Stereo Burglar Oregon Const. Cont. Board Lic.# Ex . Date Energy System Alarm Attach Copy of 45838 (2/4-7 Current COT Business Tax or Metro # p. Date Installatio Garage Door HVAC Licenses L � x Opener x Systems N e (check all that Other: A Plumbing Rayborn's Plumbing Inc. apply) Sub- Mailing Address Will the electrical subcontractor wire for all . I - No Contractor P.O. Box 69 restricted energy installations? City/State Zip Phone Has the Subdivision Plat recorded? N/A - es No Tualatin 97062 692 4139 ���, Oar-ALP 0 DT f}PPeOV� x Oregon Const. Cont. Board Lic.# Exp. Date Reissue of MST# r Solar Compliance �1 Attach Copy of On file / N (Calculation Attach V Current Plumbing 34- IC C: Exp. Date s 9 Lic. # p �l A J) 7 I hereby acknowledge that I have read this application, that the Licenses On file S 1 g5Z � / / information given is correct, that I am the owner or authorized agent of CO Business Tax or Metro # Exp. Dat / '' the owner, and that plans submitted are in compliance with Oregon State laws. Name Signature of Own r t Date Electrical Bear Electric NDC Ltd. b �; 0, . 8/15 I Contact Person • ... rD Phone S Mailing Address Charles Duck 697 3801 Contractor P.O. Box 389 FOR OFFICE USE ONLY: City/State Zip Phone Plat # ML.P95 -0005 Map/TL #: Donald 97020 678 1355 Oregon Const. Cont. Board Lic.# Exp. Date PP 111(:r cos IS 0 dJ r DA I I W M • Attach Copy of 20919 Setbacks Zone: Solar Current Electrical Lic. # Exp. Date np4 Licenses 24 -107 C ""u X(I.5 COT BLiness Tax r M ro # Exp. Date Engineering Approval: Planning Ap royal: TIF: l h � �\ lS t � /r5 stsUnstapp.doc 1U-12b • Permit # Account Description Amount Amt. Pd, Bal. Due hlsig_culoz MST. Permit (BUILD) SSo.S SSo.s o Plumb. Permit (PLUMB) c ?„.2.S./ ad Mech. Permit (MECH) yo / y; ELC /ELR Permit (ELPRMT) a,S d aS v – State Tax (TAX) 5.3 ,S3 .53. Bldg: a 7 si3 Plumb: Mech: 2, 1.) ELC /ELR: S Plan Check MST: (BUPPLN) 3S 7 ?3 Z /o 7• r3 Plumb: (PLMPLN) Mech: (MECPLN) / /• 2 C //, CDC Review (LANDUS) .f/o. 1/ . `v . ScIG.o I/ o2 Sewer Connection (SWUSA) a,.?ou ��vv Sewer Inspection (SWINSP) 3 C 3 Parks Dev Charge (PKSDC) / o S v /as() Residential TIF (TIF -R) / S 7u / 590 Mass Transit TIF (TIF -MT) / N) / 2d Water Quality (WQUAL) Water Quantity (WQUANT) / v /v v — Erosion Control Permit (ERPRMT) cr/ Erosion Planck/USA (ERPLAN) ?D.P.) Erosion Planck/COT (EROSN) etird'U -i4-v Fire Life Safety (FLS) TOTALS: 67/3.7 ) 6C g,3, '�/ i:ldststrnstapp.doc q 10Q Rev. 7/96 ( 0 �- T �� CJv 03/24/2000 Activities for Case #: MST96 -00402 EXPIRED 2:12:27 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA010 Check for prcl. restrict. 08/15/1996 - J'H 08/15/1996 MSTA026 Plans approved by Plans Exmr 08/20/1996 RT PASS BT2 08/20/1996 MSTA030 Reviewed plans routed to DSTS • BT2 08/20/1996 MSTA705 Footing Insp 09/17/1996 KS APP KBS 09/17/1996 MSTA706 Foundation Insp 09/17/1996 - KS APP KBS 09/17/1996 MSTA710 Post/Beam Structural 09/23/1996 KS A/N KBS 09/24/1996 #-1- under fl mechanical not installed , tall crawl #-2- lateral support post MSTA711 Post/Beam Mechanical 10/28/1996 KS DIS KBS 10/29/1996 #-1- see framing corrections MSTA713 Crawl Drain J'H 08/15/1996 MSTA717 PLM /Underfloor 09/24/1996 MS PASS MRS 09/25/1996 MSTA720 Mechanical Insp J'H 08/15/1996 MSTA722 Plumb Top Out' 10/16/1996 MS PASS MRS 10/17/1996 MSTA723 Electrical Service 10/24/1996 TLP PASS • TLP 10/30/1996 MSTA724 Electrical Rough In 10/24/1996 TLP PASS TLP 10/30/1996 MSTA725 Framing Insp 10/28/1996 KS DIS KBS 10/29/1996 #- 1- positive connection post to beam at front porch #-2 -strap • trimmers to header garage #-3- . strap across splice above • garage header #-4- positive • • connection plates to glu /lam garage #-5- add joist adjacent to wate #6 insulate exposed heat ducts at garage #-7- seal • voids at mechanical chase • upper level #-8- insulate exposed wye's at attic #-9- insulate fumace plenum crawl • also wye's MSTA726 Shear Wall Insp . J *H 08/15/1996 • MSTA727 Low Voltage J'H 08/15/1996 MSTA730 Fireplace Insp • J'H 08/15/1996 MSTA735 Gas Line Insp • J *H 08/15/1996 MSTA736 Gas Fireplace . J'H 08/15/1996 MSTA740 Insulation Insp 10/31/1996 KS APP KBS 11/01/1996 MSTA745 Gyp Board Insp 11/08/1996 KS APP KBS 11/13/1996 • MSTA755 Rain drain Insp 09/19/1996 MS PASS MRS 09/20/1996 Page 1 of 3 03/24/2000 Activities for Case #: MST96-00402 • . 2:12:27 PM EXPIRED Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA760 Water Line Insp J'H 08/15/1996 • MSTA761 Water Service lnsp J *H 08/15/1996 • MSTA765 Appr /Sdwlk Insp • J *H 08/15/1996 MSTA790 Electrical Final . 06/19/1997 BRP APP J *H 06/19/1997 pending smoke alarm circuit identification and proper schedule for circuit id at dist. box. MSTA795 Mechanical Final 06/19/1997 RC APP J *H 06/19/1997 • MSTA797 Plumb Final 06/19/1997 AP J'H 06/20/1997 WC not flushing properly, need C�ry�` plug at automatic clothes washer, need caulking around tub spout. MSTA799 Building Final 06/19/1997 ' RC FAIL J *H • 06/19/1997 1. Handrail max size is 2 5 /8 -in. . diam. outside front porch 2. Ground to slope away from building for 6 feet, 1/4" per foot. MSTB708 Erosion Control J *H 08/15/1996 MSTA005 Application received 08/15/1996 JMH BT2 08/20/1996 MSTA008 Permit Created 08/15/1996 08/15/1996 J *H 08/15/1996 MSTA081 Return to pending 09/09/1996 • JMH APPR . DST 09/09/1996 WDA FIXED. MSTA081 Return to pending 09/09/1996 JMH PAID DST 09/09/1996 MSTA092 (F) Issue combination permit 09/09/1996 JMH APPR J *H 09/09/1996 . MSTA097 Issue plumbing signature form 09/09/1996 JT RECD JT 09/09/1997 MSTA098 Issue electric signature form 09/09/1996 JT RECD JT 09/09/1997 MSTA726 Shear Wall lnsp 10/23/1996 KS " N/R KBS 10/23/1996 #-1- shear not complete this time MSTA726 Shear Wall Insp 10/24/1996 KS APP KBS 10/25/1996 MSTA711 Post/Beam Mechanical 10/29/1996 KS APP KBS 10/31/1996 MSTA720 Mechanical Insp 10/29/1996 KS APP KBS 10/31/1996 MSTA725 Framing Insp • 10/29/1996 KS APP KBS 10/31/1996 MSTA735 Gas Line Insp 10/29/1996 KS APP KBS 10/31/1996 ' MSTA790 Electrical Final 06/19/19= BRP PASS J *H 09/02/1997 n • ._..ty\ ,,,t4A, Clc2i) Page 2 of 3 03/24/2000 • Activities for Case #: MST96 -00402 " EXPIRED 2:12:27 PM • • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA799 Building Final 09/10/1998 RC ST 02/07/2000 Note left: "Our records do not • show a building final being approved. Please have your • builder furnish a copy or call for • final inspection (after sewer has • been approved)." 2/7/00- inspection request to Hap MSTA799 Building Final 02/24/2000 02/24/2000 02/24/2000 RB FAIL No Hold AKJ 02/24/2000 no one home MSTA153 Expired by limitation 03/24/2000 JMT DONE No Hold JMT 03/24/2000 per Rick Bolens note left at site on 2/24/00: If no response is • obtained in 5 working days, permit shall expire • • • • • • • • • • • • Page 3 of 3 • ilik CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: el e /,� 7 � A.M. P.M. MST: 96 — Q I M Location: / A7 2 7 / 2 ) , 4 v "---- ,C/ /gZ / BUP: . Tenant: / Suite: Bldg: MEC: Contractor: Phone: PLM: Owner: Phone: ELC: ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approv Approved Appr /Sdwlk Not Approved Not Approved Not Approved o • pproved Not Approved FINAL FINAL FINAL FINAL FINAL APPI rVgO JO E'NliNG Piq©i05A .5 c).1 g/DuL E e• - PAIliro F 4 c /AcO/T JDENi /F/ Cr}T /O(Y RE PET TI -) A T $"HO 14 E 144,00 c u 7 12a 1.bEAi PIEL • 1 O Call for reinspection O spection fee of $ requ ed befor next inspection O Unable to inspect Inspector: Date: 7 Page of . CITY OF TIGARD BUILDING INSPECTION DIVISION MST- ?0 06 C/0 2 24 -Hour Inspection Line: 639 -4175 Business Line: 63 -4171 �l— CO BUP FQt ieza 127i67O7 Date Requested � ' AM� PM BLD Location 605/2. T I . ' Suite MEC Contact Person Ph PLM Contractor Ph SWR • i a 1L DNG Tenant/Owner ELC T`64 %%/ 7 Retaining Wall ELR Footing Foundation FPS NOT REQUESTED Ftg Drain Crawl Drain - FOUND DURING RESEARCH SGN Slab - NO INSPECTION(S) FOUND IN FILE SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear a S � I l e Framing 5 I � '" �, Insulation •, Drywall Nailing ' _ I L� / \ `-& '� ∎ �''.�, \ l tv/■ Fire wall ^ �, n _ L , s � ` ( . CI Fire Sprinkler `_ -C.�C� . � � (j ��M \ C.`"✓` Fire Alarm h _ ! w 8 - s ' V -- c c rGv _ _ f Roof Susp'd Ceiling /� �.J� - C \ lv / 'ry v M sc. y L 7 (r.../1 J v✓\ C...--t_ ` / / final IL — C y1 4� 1L-e_. it/ K ► U V\ (.PLUMB ( ,L.1/LtJ L ✓�. ' Post & Beam ` � AA., �n � 1 Q / r,D Under Slab C`--CI )-∎ v` \ O / � �c) . \J I �, _ To Out Water Service `r. L.....---- anitary Sewer Rain Drains S i \ SC 7 � MECHANICAL � • " MECHAN - (K.' (-- * �, � \..,/,,S, " .S S 1 S r� (--5 Post & Beam �-y � � C ,� ' Rough In ∎/4/\ V A d l v`^' C�/� _ _ � \ -rA Gas Line �� Smoke Dampers \ "S S,S _ I - '\A `. Final ` , � PASS PART FA . I •1�\ 6- W ELECTRICAL w / �� S e A \� / Service ` �� -� '- `�J �. Rough In r UG /Slab / 1 ‘../r - / %.'L `� L--t7�' • Low Voltage Fire Alarm Final n l 01 " PASS PART FAIL J�J I ► --C . 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 97 0 Inspector ' Q \ CJ Ext 3 61 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.