Permit i Ili
1 y
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00140
i>II� DEVELOPMENT SERVICES DATE ISSUED: 4/16/99
,.� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11147 SW TORLAND ST PARCEL: 1S134DB -07000
SUBDIVISION: TORLAND ESTATES ZONING: R -4.5
BLOCK: LOT: 008 JURISDICTION: TIG
REMARKS: Adding 415 sq. ft. to existing house
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 12 FIRST: 309 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 10
VALUE: $ 21.798 76
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: 45
PLUMBING
SINKS: WATER CLOSETS. WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES. DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP. WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K. BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS. HOODS: OTHER UNITS:
MAX INP- btu FLOOR FURNANCES: VENTS WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: 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 8 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: $ 352.96
- This permit Is subject to the regulations contained in the
CHIKAKO DOANE SCANDINAVIAN GENERAL Tigard Municipal Code, State of OR Specialty Codes and
11147 SW TORLAND ST CONTRACTING(OVE PETERSEN) all other applicable laws. All work will be done in
TIGARD, OR 97223 7521 SW OAK ST accordance with approved plans. This permit will expire if
PORTLAND, OR 97223 work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days ATTENTION:
Phone 684 -6221 Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 00037046 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
Footing Insp Electrical Service Gyp Board Insp
Foundation Insp Electrical Rough In Rain drain Insp
Post/Beam Structural Framing Insp Electrical Final -
Underfloor insulation Framing Insp Final inspection
Crawl Drain /Backwater Insulatio Insp
//
Issued By : .�� 6i " to-- � ,�J Permittee Signature :' . .. l ./ A ' � 11
Call (503) 6 9-4175 by 7:00 p.m. for an inspection needed the next business day
A CITY O F TIGARD MASTER PERMIT
PERMIT #: MST1999 -00140
' I >��Ilj DEVE H BMEN9 Tigard, ICES 171 DATE ISSUED: 4/16/99
SITE ADDRESS: 11147 SW TORLAND ST PARCEL: 1S134DB-07000
SUBDIVISION: TORLAND ESTATES G/ PARCEL:
ZONING: R -4.5
BLOCK:
LOT: 008 4 I JURISDICTION: TIG
REMARKS: Adding 415 sq. ft. to existing house
BUILDING
REISSUE: STORIES 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 12 FIRST: 309 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 10
VALUE: $ 21.798 76
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR: 45
PLUMBING
SINKS: WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: CLOTHES DRYER:
FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: 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: $ 390.91
CHIKAKO DOANE SCANDINAVIAN GENERAL This permit is subject to the regulations contained in the
11147 SW TORLAND ST CONTRACTING(OVE PETERSEN) Tigard Municipal Code, State of OR Specialty Codes and
TIGARD, OR 97223 7521 SW OAK ST all other applicable laws. All work will be done in
PORTLAND, OR 97223 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: 684 -6221 Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 00037046 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
Footing Insp PLM /Underfloor Framing Insp Electrical Final
Foundation Insp Mechanical Insp Framing Insp Plumb Final
Post/Beam Structural Plumb Top Out Insulation Insp Final inspection
Underfloor insulation Electrical Service Gyp Board Insp
Crawl D -' - Electrical Rough In Rain drain Insp
Iss ed By : L 1 I /(It , ,4 Permittee Signature : . Alt, . . llt
,CaII (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
w Plan Check # 4/ -2 g R
r CITY. OF TIGARD Residential Building Permit Application
• 13125 SW HALL BLVD. Additions or Alterations Recd By a-
AR 97223 Single Family Detached or Attached (Duplex) Date Recd 5� 3 -rte
TIGARD,
9 Y � P ) Date to P.E. 1- 1 - - - 13-1 ° ?
V 503- 639 -4171 Date to DST 4 - /0 -q d
F 503 - 684 -7297 T Permit #MST --CO1LI6
Print or Type Called y - /G -sti 950
Incomplete or illegible applications will not be accepted
//19, S3 ,PeKf 96 Ot
Name of Project Name
Job 0111 kex.JCo Doadri e- a'I 'ri p.rx �flt9m f',5t1'Fitm I'1'PTIdh�TING
Address Architect M g ress. ;.. S - c
Site Address i:"..,:. f C
UN sta Torlane.( s4-
City /State :1, Urew c: 71;423
Name
Cli,kcico boA41 e_
Name
Owner Mailing Address /
)1 f to so - roe but el Sr'
City/State Zip Mailing Address
Engineer Phone Z Z� g
TlgkrL� OR 87223 City/State Zip Phone
General Name
Contractor S ea0u/r r+r i', a h Gout Go ri ` Cow/1404.
ow/14 Describe work New 0 AdditionA Alteration 0 Repair 0
Mailing Address to be done:
Pnor to permit -- 7G71 S t,J 0 Q.t d . A D cri tion of tlo J ric:. ` Q f D
issuance, a copy City/State Zip Phone �J
of all licenses Tho cwd O/2 .971 7.4 Lf S3 -9c(S 7
are required if Oregon Const. Cont. Board . Date . ) PROJECT .„-i,
expired in COT Lic.# 0370 , 4( 0 6//till / VALUATION $ __,- „ = --�'� I,13g
database �
Mechanical Name ( / NEW CONSTRUCTION ONLY: -r ro -
Sub- f one riled eel Sq. Ft. House: 4% Sq. Ft. Garage
Contractor Mailing A one
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 Vacuum Irrigation
database System - System
Plumbing Name QQ (check all that Other:
i
. Sub- o n n 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 e
Name Signat ►.y It Dale.
Electrical r 0171-1 CCE.t 1 L 'ay . / � �9 9
Sub- Mailing Address Contgpt Person Name phone #
Contractor t�0 60X 2.04 Urs `'/ sc - 9ys}
City/State Zip Phone
Prior to permit } Oh^1 30 -7 �4 _13p
-
issuance, a copy r- / � S ✓ � D FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date
Plat #: '�//
required if Lic.# t- - �I j 's Map/T 0 ' Tve- 67000
expired in COT
database Electrical Lic. # 3 57e� Exp. Date �etgackgr i3 Zone I
A_ Solar:,/
Electrical Supervisor Lic. # Exp. Date Engi ring App ovI: Pla ing Approval: TIF' pc
3S -76 /0`/ 0/ Q�
is \dsts \forms\sfaddalt.doc 11/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST I gg91 4 /0
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ( 0 ( J J q AM 4 PM 1C BLD
Location It l — li ` '1 6C. Suite MEC
Contact Person 0\I'e, Ph .51 S iq 2) PLM
Contractor Ph SWR
for o) Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: p fJ /I „ /� G Slab �lX SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing 1i 1
o (mot of” , I 3 „, NO,
Drywall on RO v J IDrywall Nailing O Q� triti`tri 1/L4
Firewall
Fire Sprinkler
Fire Alarm G 1 eG „ �1 (E� r
Susp'd Ceiling V` �c �� ���' e rr 7 .v " I
Roof
Misc:
a C� �Y .' ,. .... . lei.
PART FAIL /� ,
ING 2i��� M- MU___ 1
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer ( V
Rain Drains
Final v ' �( �� 1 ^ E
PASS PART FAIL l a` l�
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 [ I 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 ^ * `�
Inspec Date / L — J ' S I ec or Xt
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.