Permit 4 A
CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST99 -00054
',4IP DEVELOPMENT SERVICES DATE ISSUED: 4/13/99
.7 ��� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11899 SW TREEHILL CT PARCEL: 2S110BA -RED12
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 012 JURISDICTION: CT_IGG
REMARKS: PATH I: New single family dwelling w /attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK' NE HEIGHT: 24 FIRST: 1,322 sf BASEMENT: 000 sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE. SF FLOOR LOAD. 40 SECOND: 1,000 sf GARAGE: 462 sf FRONT: 24 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 5
VALUE: S 170,182.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,322 00 sf REAR: 32
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 BOIL/CMP < 3HP: 0 VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1
MAX INP: Obtu 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: 4 201 - 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
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 8 STEREO: X VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: X PROTECTIVE SIGNL:
GARAGE OPENER' CLOCK: • INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: 1
Owner: Contractor: TOTAL FEES: $ 5,011.21
FOUR D CONSTRUCTION CO FOUR D CONSTRUCTION This permit is subject to the regulations contained in the
O BOX 1577 PO BOX 1577 Tigard Municipal Code, State of OR. Specialty Codes and
P all other applicable laws. All work will be done in
P BOX 1 7 7 OR 97075
BEAVERTON, OR 97075 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
Oregon law requires you to follow rules adopted by the
Phone: 590 -0805 Phone: 590 -0805 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Crawl Drain /Backe Electrical Rough Ir Insulation Insp Mechanical Final
Footing Insp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service Insr Building Final
Post/Beam Struck. Plumb Top Out Low Voltage Appr /Sdwlk Insp
Post/Beam Mecha Electrical Service Gas Line Insp Electrical Final
/554E0 evd: P0,407/77.c i
J2� _
CAe-c. 639 - / t 43Y ?-'O0 Pi' Fe )9 /NSfeelli ,0-0 1 / OE $(9-
mod'/
`C O F TIGARD Residential Building Permit Application Plan Ch 0'�9�
. 125 SW HALL BLVD.
Rec'd B # \'
3 Additions or Alterations Date Rec'd c'L 4-99
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. o f -cer 99
V 503 - 639 -4171 Date to DST
F 503 - 684 -7297 I ' Permit # M 9v
Print or Type �' ' ed o? "R3 -9C - F;4?4
Incomplete or illegible applications will not be accepted s 49
Name of Project F-( I / Name
Job R (itJo od /J /'S 779 Mailing Address
Address Site Address Architect 1 , . W //8Z /
1F? f ` i �' 72e /� 4 y' City ate � 9 Zip Phone p
Name c 27ZQ//J 97 &9 22s-9/6/
; az 1 ,c7 Na
Owner Mailing Address AI 2 Co L4J -LL
0 ,g5x AC-7 7 Engineer Mailing Address
Cjty /State A 1.4. �, L Zip Phone g 3 _5� 0. 02,02'141 ,
^ �' ` ci 7 D S City/State Z ip Phone
General Name re 97244 _/272-
Contractor � 09/-/-Le- 4-S (a Describe work New Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit Additional Description of Work: .` /V IE i lJ
1
issuance, a copy City /State Zip Phone
of all licenses .a 1 J at:POS
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# VALUATION $ / 6o 000
database 7/03 7 f a –00 /
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- gja c/x).Z7 1- a 79/t) C1 Sq. Ft. House: Sq. Ft. Garage
Contractor Mailin FAddress ∎ 3e22 42
Prior to permit S:9? s, 4.0 * Indicate the restricted energy installation by the electrical
issuance, a copy City/State , / Zip Phone subcontractor in the following areas
of all licenses "77mA:2A 9 2 r9.,,? e,„..30-37 Restricted / Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# / / �- 7cp Installations - — Vacuum irrigation
database (p ( p System System
Plumbing Name (check all that Other:
Sub - Cj VL 25 s).Z (4-4w), ///0 apply)
Contractor Mailing Address v Corner Lot YES NO Flag Lot YES NO
9 S (check one) " (check one)
/
�92 ' Sl 09 � Has the Subdivision Plat recorded? N/A yES NO
Prior to permit City/State Zip Phone x
issuance, a copy A //t,�SZojb Vj /2--Y ! - 2J)/
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT 1 9 90 7 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
z/4/ ?,.E of the owner and that plans submitted are in compliance with
Ore. • St. e I w' y s
Name Si - •f A Date 9 9
Electrical T ® b e �' 1ncT�/t
Sub- Mailing Address Conta erson Na , Phone #
Contractor '_ S', a), - A �.�
A (J2� Ifie .Selo -
City /State Zip Phone
Prior to permit / ///
issuance, a copy 9 97.22i -2W- FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Ma !rL #:
required if
expired in COT Lic.# ? e2cw /�g A 5 / 10 — Q� ��
_ _
database Electrical Lic 3 Exp. Date Setbacks: Zone: K_ 4 5 — Solar: fr
Elecl rrvi 3r Lic. # Exp. Date Engiwering A proval Planning Approval: TIF:
SS ss,, FY�Xtc -��
61 - ett i:ldsts\formstsfaddalt.doc 11/20/98
01/10/2000 • Activities for Case #: MST99 -00054
2:23:01 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 02/04/1999 DRA RECD GEO 02/08/1999
MSTA008 Permit Created 02/08/1999 GEO DONE GEO 02/08/1999 -
MSTA010 Check for prcl. restrict. 02/08/1999 GEO DONE GEO 02/23/1999 Plat map not recorded at time
of intake. Parcel restrictions to
be checked at post review.
There is a 20' public easement
along the north property line
and a 5' public easement along
the east property line.
MSTA012 Plans routed to Plans Examiner 02/08/1999 GEO SENT GEO 02/08/1999
MSTA026 Plans approved by Pln Examiner 02/22/1999 RT PASS BT2 02/22/1999
MSTA030 Reviewed plans routed to DSTS 02/22/1998 RT PASS BT2 02/22/1999
MSTA032 DST Post - Review Completed 02/23/1999 GEO DONE GEO 02/23/1999
MSTA155 Development conditions met GEO 02/08/1999
MSTA700 Erosion 844 -8444 GEO 02/08/1999
MSTA705 Footing Insp 04/21/1999 . KS PASS AKJ 04/21/1999
MSTA706 Foundation Insp 04/28/1999 KS PASS AKJ 04/28/1999 1) Provide dowels at rear
restraining wall section at rear
of garage as shown
MSTA710 Post/Beam Structural 05/13/1999 KS PASS AKJ 05/13/1999 Add stud at each side of beam
at each beam
Insulate voids at heat ducts
Under fl pim not app at this time
Protect SST gas tubing at
furnace passing through metal
MSTA711 Post/Beam Mechanical 05/13/1999 KS PASS AKJ 05/13/1999 See struc p &b notes
MSTA713 Crawl Drain /Backwater valve 05/28/1999 " TLP PASS AKJ 05/31/1999
MSTA717 PLM /Underfloor 05/12/1999 GS FAIL AKJ 05/12/1999 1) underfloor water piping not
complete
2) crawl drain /backwater valve
not in
tall crawl
MSTA720 Mechanical Insp 07/23/1999 TLP FAIL TLP 07/23/1999
MSTA722 Plumb Top Out 07/08/1999 TLP PART AKJ 07/08/1999 2nd floor shower /tub
sam T fitting leaking all other
work OK
MSTA723 Electrical Service 07/23/1999 BRP PASS AKJ 07/25/1999
MSTA724 Electrical Rough In 07/23/1999 BRP PASS AKJ 07/25/1999
MSTA725 Framing Insp HOLD BT2 06/11/1999 NO FRAMING INSPECTION
UNTIL SPRINKLER SYSTEM
HAS BEEN APPROVED
Page 1 of 3
01/10/2000 Activities for Case #: MST99 -00054
2:23:01 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA726 Shear Wall lnsp 06/30/1999 LN FAIL AKJ 06/30/1999 1) replace compromised 4x's at
garage front
2) nail rear D type walls per
schedule
3) extend stud nailing up
garage side wall and liv rm ext
wall
Do not cover
MSTA728 Low Voltage 07/23/1999 BRP PASS AKJ 07/25/1999
MSTA735 Gas Line Insp 07/27/1999 KS FAIL AKJ 07/27/1999 1) pressure not adequate for
test
MSTA740 Insulation Insp 08/11/1999 KS FAIL AKJ 08/11/1999 see framing 8/11/99
MSTA752 Rain drain Insp 06/01/1999 TLP PASS AKJ 06/01/1999
MSTA761 Water Service lnsp 06/01/1999 TLP PASS AKJ 06/01/1999
MSTA765 APPr /Sdwlk Insp GEO 02/08/1999
MSTA790 Electrical Final 11/08/1999 BP FAIL VT 11/08/1999 wires not connected to device
at rear of garage- safety and
blank off, or install device and
plate.
many loose receptacles - plates
not flat on wall - Art. 410 -56(e) •
MSTA795 Mechanical Final 12/14/1999 KBS FAIL KBS 12/15/1999 #-1- see bldg final this date
MSTA797 Plumb Final 11/09/1999 MS FAIL DGW 11/10/1999 No hot water. Sewer C.O.?
MSTA799 Building Final 08/05/1999 GS NOTE KBS 12/15/1999 sprinkler sys backflow
prevention device requires
testing prior to bf
MSTA080 (F) Ready to issue 02/23/1999 GEO PASS GEO 02/23/1999
MSTA095 Issue plumbing signature form 04/27/1999 VLN RECD No Hold VLN 04/27/1999
MSTA097 Issue electric signature form 04/27/1999 VLN RECD No Hold VLN 04/27/1999
MSTA727 Exterior Sheathing Insp 06/30/1999 LN FAIL No Hold AKJ 06/30/1999 see shear notes
MSTA726 Shear Wall Insp 07/07/1999 07/07/1999 07/07/1999 KS PASS No Hold AKJ 07/07/1999
MSTA727 Exterior Sheathing Insp 07/07/1999 KS PASS No Hold AKJ 07/07/1999
MSTA722 Plumb Top Out 07/11/1999 07/11/1999 07/09/1999 RB PASS No Hold AKJ 07/11/1999
MSTA735 Gas Line Insp 07/28/1999 07/28/1999 07/28/1999 RB PASS No Hold AKJ 07/28/1999
MSTA720 Mechanical Insp 08/09/1999 08/09/1999 08/09/1999 KS FAIL No Hold AKJ 08/09/1999 see framing 8/9/99
Page 2 of 3
01/10/2000 Activities for Case #: MST99 -00054
2:23:01 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA725 Framing Insp 08/09/1999 08/09/1999 08/09/1999 KS FAIL No Hold AKJ 08/09/1999 1) provide pos conn glulam to
plates at gar
2) provide revision re 6x12
beam at fam room to glulam
3) provide full bearing under
glulam at nook and pos conn
4) block fl joist at 3" waste at
kitchen
5) framing not done at fireplace
6) strap plates at nook
7) provide attic access at liv rm
8) comm rafters over span
9) nail each side of triple IA hips
and support as shown
10) provide insul shield at b
vent at attic and secure
MSTA725 Framing Insp 08/11/1999 08/11/1999 08/11/1999 KS FAIL No Hold AKJ 08/11/1999 1) provide install manual for
fireplace
2) corr not complete
MSTA720 Mechanical Insp 08/11/1999 08/11/1999 08/11/1999 KS FAIL No Hold AKJ 08/11/1999 see framing 8/11/99
MSTA725 Framing Insp 08/12/1999 08/12/1999 08/12/1999 KS PASS No Hold AKJ 08/12/1999
MSTA740 Insulation Insp 08/12/1999 08/12/1999 08/12/1999 KS PASS No Hold AKJ 08/12/1999
MSTA720 Mechanical Insp 08/12/1999 08/12/1999 08/12/1999 KS PASS No Hold AKJ 08/12/1999
MSTA790 Electrical Final 11/10/1999 11/10/1999 11/10/1999 BP PASS No Hold VT 11/10/1999 final - pass
MSTA797 Plumb Final 11/10/1999 11/10/1999 11/10/1999 MRS PASS No Hold VT 11/10/1999 1. sewer clean -out needs a cap.
MSTA000 SF Detached Menu -1 unit No Hold KBS 12/15/1999
MSTA799 Building Final 12/15/1999 12/15/1999 12/14/1999 KBS FAIL No Hold KBS 12/15/1999 #-1 -final erosion control app
#-2- post insulation cert
#-3- support gas piping @
furnace/water heater
#-4- under fl plumbing fail GS
5/12/99
#-5- sway post @ ext deck &
nail ledger supporting deck
#-6- a/c unit not installed @ this
time
#-7 provide access to crawl (tall)
#-8- light fixture not install @
crawl
MSTA795 Mechanical Final 01/02/2000 01/02/2000 12/30/1999 KS PASS No Hold AKJ 01/02/2000
•
MSTA799 Building Final 01/02/2000 01/02/2000 12/30/1999 KS PASS No Hold AKJ 01/02/2000
MSTA960 (F) Issue Cert. of Occupancy 12/30/1999 KS DONE No Hold JMT 01/10/2000
Page 3 of 3
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST -oGoSLI
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BU im-00 3 /
Date Requested /,, i2/30/q1011 1 X1 PM BLD
Location I I D q / ) ✓' ' 1 / U 1 Suite MEC
Contact Person O GAje- Ph — 72.0 — y qS PLM
Contractor Ph SWR
UILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation S K I FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear �
Framing P✓ - -- rES> - i i C.Q rt-vie.14,e171
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
�•' celb •ART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
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 D /2- 3 ° 59 Inspector , Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
auv IU 94 lj.. :o, :KUM: {�y�! r'Uaiva r io
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130901 _•
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P S -AWWA BACK LO'WASSEMBLYTESTREPORT o REMOVED ,
PROPERTY ❑ REPLACEMENT
..,Q - r . ; :/-.... ' • PHONE:
MAILING • : ADDRESS: �.r• = : • --
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:_ � , • . � � • � •a 3` . ( � * M. �; , - ' ASSEMBLY
,..t .:?4 u ,.. • :,e 's,:.: •..3.' - :.. ADDRESS:
i8sr: c;� � -. -- , : STREET �.�..
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s,.::. • : i '.. • ' ,.'.•.�
SIZE � 1 I• MAKE: • � - .• !. • i — MODEL: r
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SSEMBLY -'
• • • - .. A • LOCATION: .
�• REDUCED PRESSURE ASSEMBLY ' P.V.B A / 9.V.B A JN�AI, TEST
� �'` . ""�: , r1 CHP.GC DOUBLE CHECK MR g
. . - -I. • • . : . #:- ; ` .f" : ...... I C1isCK PASSED
• ._ '� •'" • ' ,' ~ + ti `f+ r- K ';�' ; PRESS DROP (A)) CHECK 59..
INLET FAILED 0
:, • �; ':.. : • ..; `1. 5.*, 'T ' "9 ; PRESS
RELIEF VALVE _ • • ••••• - r••; t �7 ; r ,- , : i• i -• T.. • �• O PENED A (B)ITIOHT I Z. OPENED Al' PRESS DROP
�.:?/ • 3'•�':4:,..i ' ; ., :4 ,` PEI' DATE:
'' RES LEAKED O
ly - '' •7 (� ,`"!. �, �: a • • . _ . .. .�.. �.: ' BUFFER � �....�� � • •� ': !,.
y.. j. rt `a , 17 :'�si -. : be t. A - B — N 3 PSI - I CHECK #2 PsID PS1D '
L .: 1 Y w * (. ' . /.. _ A:,, 1t� � t , . MIN
• ± °• M • 4 :'� a RELIEF VALVE ITGGHT.�� DID NOT FAILED SYSTEM
J+ .: ;a.� ^ ..;d `. c .. . .. . S ',• ∎. CI ❑ LEAKED P31D OPEN CI 13 PSI
-.,••••.,.1. s ry •. 'Ir.-7 .,. . ; • PASS _ -
• ,..;F • _ e F c r �1 , '1 .Oti v1 1 , ; ,/+ /F -' 4--' CH AIRS
• :-• •• 't _ 7. AND /OR
S. y rc" •• .-• d ,:o-, KCi, ' '`i:. i .• PARTS
;.� .. • "•�" •; •1; -;:.:, r TEST DI .IC EDPRPSSUR
II cis= D.C. :A P.V.B.A.1S.V.B.A. AFTER REPAIRS
PRESS DR (A)
•
R CHECK ql DATE:
:., ,...... : OPENED ( BI I TI GHT 0 OPENED AT PRESS DROP •
AFTER PsID
REPAIRS BUFFER warm A B- (CHECK N2
•
I TIGHT Q PSID PSID PSID PASSED CI
M COMPLETING AND SUBMITTING THIS TEST REPORT, THE TES/ER CERTIFIES THAT THE
1. •,;'. ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WRN ALL APPLICAALR
RULES AND REGULATIONS OF THE WATER SYSTEM. AND STATE REGULATIONS
GAUGE CA_BRATION" D
U ATE' _( 9 DETECTOR METER READING
' �.. __ _ ' r -.
TESTER ATI,Ag. CERT
' SIJ I , r . -
TESTEI NN t ; �•� ! CAWS 1 _
TSWITAIPAOORE88 r ' :1 .r •
4" I__. • -., r// PHONEr
C° f
2/ e." —..
REPORT RECEIVED BY: pRESBNTATIV6 OP OWNER) w SERVICE RESTORED
• WHITE - Woo System Copy PINK • Cwtrmrl Copy YELLOW. Triatq Cupr