Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2002 -00391
I ■ DEVELOPMENT SERVICES DATE ISSUED: 9/30/2002
��' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14111 SW WAGONER PL PARCEL: 2S1096A -04800
SUBDIVISION: HILLSHIRE SUMMIT NO. 2 ZONING: R -7
BLOCK: LOT: 030 JURISDICTION: TIG
•
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 7,500.00
Remarks: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTION FOR A PERIOD OF 30 DAYS. Pool
equipment enclosure
Owner: Contractor:
HANSEN, LEIF C + OWNER
CAROL M
14111 SW WAGONER PL
TI ARDOR 50340 -3047
Phone: 503 - 475 -3180
Reg #: LIC 129661 ,
FEES REQUIRED INSPECTIONS
Description Date Amount Footing Insp
[BUPPLN] Pin Rv 9/9/2002 $78.07 Foundation Insp
[BUILD] Permit Fee 9/27/2002 $120.10 Framing Insp
TAX 8% State Tax 9/27/2002 $ 9.61 Misc. Inspection
Insp
[TAX] Misc.lns pection
[CDCBLD] CDC Bid Re 9/27/2002 $20.00 Final Inspection
(additional fees not listed here)
Total $372.78
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. 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. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility otification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You ma, obta• 1. copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: 411 11ta!`J%
it a
Sign
Signatuu re: Ad
Cal 9-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) MST
INSPECTION DIVISION Business Line: (50 ? - QO3q
Received Date Requested / � AM PM BUP
+/ Location (� t ?� <e/`�- ��- Suite MEC
Contact Person Ph ( f 1 " Z PLM
Contractor Ph ( ) SWR
•
11LD Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
R oof Ceiling p , �-
Roof
Other: _
tip / • SS PART FAIL
'' BING l
Post & Beam I
U
•
nder Slab
Rough -In a I
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: 4"
Final
PASS PART FAIL
MECHANICAL •
Post & Beam
Rough -In
Gas Line f ;
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: • Unable to inspect — no access
Fire Supply Line �f
ADA I 7/0 •" (./1
Approach/Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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1111111H1111111111111 111111111111111111111111111111111 11111111111111111111111111M LIABILITY
*IIUUIUU I I IN II 1111111111111111 T he Cit of Tigard and its
City
employees shall not be
1 lir responsible for discrepancies
� 1. which may appear herein.
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CITY OF TIGARD
Approved ( )•
/ Conditionally Approved . ( ): .
\\ — / For only the work as described in:
, ✓ FERMITNO.RaD2-(1v 39/
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a � 4 ' . / ._ _ See Letter to: Follow ( ):
Attach. ( ):
� ti \ '� / . . ; / Job Address:. / d // / �w tJa�w�.�.� �° �
' \l . ` 111 i g (� y' Date: 9 -!r, - o L
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