Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00238
p DEVELOPMENT SERVICES DATE ISSUED: 6/28/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 409465W WALNUT ST /615 Lt/ PARCEL: 2S103AA -01002
SUBDIVISION: ECHO HEIGHTS ZONING: R -4.5
BLOCK: LOT: 005 JURISDICTION: URB
REMARKS: Residential - complete roof -over framing and installation of roof cover.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SFM FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: S 2,800.00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: sf REAR:
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 & STEREO: VACUUM SYSTEM: AUDIO 8 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: $ 96.10
ER OWNER This permit is subject to the regulations contained in the
DAVID AU
ER AU WALNUT Tigard Municipal Code, State of OR. Specialty Codes and
TIGARD, OR WALNUT 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 the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
tt Oregon Utility Notification Center. Those rules are set
t Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
vvv OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Framing Insp
Final inspection
./ Issued By : / ` / Permittee Signature : - K.-.0---
Call (503) 639 ' 75 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Check #
13125 SW HALL BLVD. Alteration - Interior Remodel Only Rec'd By
Date Rec'd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 6 . II' \T
V 503 - 639 -4171 p 1 r✓ Date to DST
F 503 -684 -7297 Permit #fif'r-f9Ver4rA 3.
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project Name
/ Job Mai • Address
Address Site Address Architect
/05 Sc✓aaina i S'1 City/State Zip Phone
Name
®dvic1 Name
Owner Mailing Address
losYo 56J L./d S�• Engineer Maili Address
City/State /f Zip ip Phone J
7, } C / z rd , 0/ y'?ii3 _3/3 333 ! - - City /State Zip Phone
General Na e
Contractor Describe work New O Addition 0 Alteration 0 Repair 0
Mailing Address to be done: C/I�?y►9 / ~ , nG i7nof
Prior to permit Additional Description o f Work:
% issuance, a copy City/State Zip Phone
of all licenses
are required if Oregon Const. Cont. Board Exp. Date
r PROJECT
expired in COT Lic.# VALUATIO $ 03
database ' . 'NEW NSTRUCTION ONLY:
Mechanical Name
Sub- ------ Sq: FcHouse: II?. .. Ft. Garage
Contractor Mailing : •dress
Prior to permit Indicate the restricted energy installation by the electrical -
issuance, a copy City/State Phone subcontractor in the following areas
of all licenses Restn t-d ( Audio /Stereo
are required if Oregon Co . Cont. Boa • Exp. Date Energy I System • s
expired in COT Lic.# Installations Vacuum rrigation
database System System
Plumbing ?Name (check all that Other.
Sub- apply)
Contractor Maili • Address Corner Lot YES NO Flag Lot YES NO
---°-1 (check one) ( - ck one)
Has the Subdivision Plat reco c -d? �N(A, YES , NO
Prior to permit City/State Zip • hone \
issuance, a copy Solar Compliance
of all licenses are Oregon Const. C. t •ard Exp. Date (Calculation Atta : - -d)
required if Lic.#
expired in COT I hearty ack • . ledge that I have read this application, that the
database Plumb 6Lic. # Exp. Date informatio• given is correct, that I am the owner or authorized agent
of the : ner, and that plans submitted are in compliance with
• -gon tate s.
Name Signa r e nt Date
Electrical & - /1 7/9?
Sub Mailing • •dress \c Contact Perso ame Phone #
Contractor ( DA v, J /-!c•E? ji.P 333 !
FOR OFFICE USE ONLY:
City/State Zip P e • Plat #: Mgp/�L#oaee _ ORcO
Prior to permit 0-77/
issuance, a copy : l
of all licenses are Oregon Const. Cont. :. - d Exp. Date Setback ' Zone: X , / S ol a / r, V )
required if Lic.# � ' 7
expired in COT Engineering Approval: Planning Approval: TIE_______
database Electrical Lic. # E • . Date _
I:SFREM2.DOC (DST) 8/11/98
•
Z
OVER - THE - COUNTER (OTC) PERMIT
/ '►
eemmt-RttAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
C / G(f ) l l L 74 } Q v o -
DESCRIPTION OF PROJECT: CV TV ,`
I Y - 01-7,) • 4 I tn1-2 /4L) O +- a 1 L�
_• a— _ —_ : �•s �
CLASS OF fiG r i FLOOR AREAS: I Zd i EXTERIOR WALL CONSTRUCTION
I I
TYPE OF USE: p' PI FIRST FT. N: S: E: W:
TYPE OF
CONSTR: SECOND SQ. FT. i PROTECT OPENINGS ?:
OCCUPANCY GRP: THIRD SQ. FT. I N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. ' ROOF CONSTR: FIRE RET:
STOR: HT: FT: i BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT ?: MEZZ ?: i GARAGE: SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM: DETECTOR: ACCESS:
I COMMERCIAL INSRECTION ACTIONS FEE"MENU
Foot/Found Post/Beam $ '? Permit Fee
oS '
Masonry '
Framing $ 3 7 Plan Review
Insulation Shear Wall $ 2 ' State Surcharge
Firewall Gyp Board $ FLS Plan Review
i Suspended Ceiling Sprinkler Rough -in $ Add'I Permit Fee
•
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Final $ MIS Fee
s �
F.OR USE:ONLY:
TYPE OSUSE OPTIONS (COMVI =commercial; . CMS commercial manufactured structure)
CLASS OF WORK FOR ALL PERMITS (NEW =new; Add= addition; ALT =alteration; ACS accessory FND- foundation;
OTR other, DENT :demolition; REP- repair; FPS fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WAI:LS DETACHED D SIGNS; : AWNINGS, CANOPIES)
I: \ovrcntr2.doc (DST) 4/97
CITY OF TIGARD Date Rec'd:
SINGLE FAMILY ALTERATION (INTERIOR/REMODEL) Rec'd By:
APPLICATION /PLANS SUBMITTAL REQUIREMENTS Plan Check #:
Applicants: Please complete /�
1. APPLICANT NAME: -- a9,,, - c/ /- e� PHONE #: 2/J
2. SITE ADDRESS: /054/0 sal /„ Jz/M v / $/ FAX #
1. MAPS io . o . - �- a e) labeled with:
o °■ row `■ - ° ames, • .:: -: o oame°�Subdivisi t #, 0 Sit= address,
❑ Fic. "n name o°Phone umber` — _
Size requirements: 8 1/2" x ' to be a maximum of 11" x 17" and NOT atta • ed to building plans.
2. THRE (3) FULL SETS OF BUILDING PLANS (No red line revision • • tape -ons).
Size req ' ements: 24" x 36 ", folded into eighths (9" x 12 ") with t. - plans inside.
(No rolled, r- ersed or mirrored plans will be accepted).
ALL DETAILS L TED BELOW SHALL BE INCORPO ED INTO THE PLC
_ -e)(2"//jii ie,tahl
ROOF FRAMING PLA - -sting new habitable space in the attic).
D. CROSS SECTIONS. Every of plans shall contain two -cross sections at mid point of
each direction.
E. BEAM ENGINEERIN e CALCULA • N (submit one copy of engineering calculations for
beam exceeding 1 I feet in length or a• beam that supports a point load).
F. IDENTIFY TH. ENERGY CODE PATH. (. a BO, Appendix E, Table 401.1a)
G. WALL B CING (indicate the braced and alte ate braced panels of the foundation and
floor pl- s. Bracing shall meet design standards .f CABO, Section 602.9 the alternate
meth, d 97 -1, or an alternate engineered).
ANY CORRECTIONS MADE IN RED INK WILL ONLY • a USE DELAYS.
I:SFREM2.DOC (DST) 10/5/98
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