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Permit
i . , - -4 C t rit,. CITY OF TIGARD PERMIT PERMIT #: BUP2003-00216 � 4, DEVELOPMENT SERVICES DATE ISSUED: 5/5/03 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S103BD -00602 SITE ADDRESS: 11930 SW WALNUT ST SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: • JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD 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: 1 HT: 16 ft GARAGE: 600 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:Y DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 14,580.00 Remarks: New 600 sq. ft. garage, to be attached to existing dwelling. Owner: Contractor: NORMAN, JACK J JR AND TUFF SHED STORAGE MARY J 6500 NE HALSEY ST 11930 SW WALNUT A TIGARD, OR 97223 PORTLAND, OR 97213 Phone: Phone: 503 - 288 -8833 Reg #: LIC 105914 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846 -8 [TAX] 8% State Tax 5/5/03 $14.98 Footing Insp Foundation Insp [BUILD] Permit Fee 5/1/03 $77.02 Framing Insp CP [CDCBLD] CDC Bld Re 5/5/03 $20.00 Rain Drain Insp [CDCPLN] CDC Pln ReN 5/5/03 $20.00 %/ Roof Nailing Insp AC (additional fees not listed here) Final Inspection Total $406.93 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 O not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law k requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by ' calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: GOAL-Ct.A_ pl_._ lb ,( Pe nn ittee Signature: )C /` /� 6, Call 6 -4175 by 7 p.m. for an inspection the next business day AMP 15114 BUP - Building ELC - Electrical Perm Inspection Description Date Passed By ,f Inspection Description Date Passed By Footing /Setback - -o1 i�� Underground cover Foundation walls S 22 -03 K. Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Suspended ceiling Post/beam mechanical Engineered soils Gas line Welding Lab Final Mechanical rough -in Concrete Lab Final Fire damper Bolting Lab Final Duct work Structural observation _ Smoke detector Fireproofing Lab Final Mechanical final Final inspection 9/ V /03 7A7 PLM - Plumbing Permit BUP — Fire Protection System Permit Inspection Description Date Passed By Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer J Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits is \dsts \forms \InspRecordBUP.doc 04 /17/01 CITY OF TI(AR, 24 -Hour • 4,- 1N BUILa :� InspQtionrtine: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested S Q ��?' AM P `� BUP Location If 930 w Suite MEC Contact Person 9 . Ph ( ) / ' 533 PLM Contractor Ph ( ) SWR BU_ G Tenant/Owner ELC T' t oundation ELC Access: g ' rain ELR Crawl Drain Slab Inspection Notes: , P SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear • Framing • // 1144 11/01 /71,4 c. ic" n. • Insulation Drywall Nailing '" ' • I - - f T iS C.AJ t Firewall AND 'Sf>.a.Cr Fire Sprinkler Fire Alarm .5 /4cuA.-1 Susp'd Ceiling Roof Other: Fi PART FAIL - - LUMBING Post & Beam Under Slab Rough -In ""- Water Service - Sanitary Sewer - . Rain Drains Catch Basin / Manhole Storm Drain - Shower Pan Other: Final PASS PART FAIL • MECHANICAL • Post & Beam Rough -In Gas Line 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 ADA Approach /Sidewalk Date S � �� Inspector Ext Other: Final - DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGAR_ D 24 -Hour BUILD Nta } Inspection Line: (50 . 75 MS i -- 4 ' INSPECTION DIVISION Business Line: (5 �' ► ..�..- 171 3 - 0 e).- I Received Date Request d g I I AM Q/ PM BUP Location d 1,t/ .0 f . k Suite MEC Contact Person Ph ( ). PLM Contractor Ph ) SWR BUILDING Tenant/Owner VYN Clut`-a/ ELC Footing S, 4 — l0 33 Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: l h � — /� ,� 1 SIT Post & Beam e 4''S 'UT(f S . s a ion L1 — G GCJ Drywall Nailing Fire Sprinkler � Fire Sprinkler l .._- jI C 4-V-(4.11'6-410 Z Fire Alarm `,� - Susp'd Ceiling Roof Other: Final - A ` PASS PART AIL PLUMBING ir J Post Beam Roudgh r Slab l , e-e--rJ - Rough -In Water Service • Sanitary Sewer �� f4, Rain Drains - Catch Basin / Manhole l' f c . av Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line 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: El Unable to inspect - no access Fire Supply Line ADA f ' A (3 3 pproach/Sidewalk Date i ! :i Inspector A xt Other: - Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGAI D 24 -Hour BUILDINt Inspection -Line: (Zdt,' MST' INSPECTION DIVISION Business Line: (� -4171 BUP 3 - — /3 OK- Received Date equested A M / PM BUP Location " // q3 Suite Q_ - MEC Contact Person V Ph ( ) U o F3 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain , Slab Inspection Notes: ( SIT Post & Beam Shear Anchors Int Sheath/Shear Sheath/Shear • I V . Int mi nsulation / — ©O' 4') . Drywall Nailing - / Firewall Fire Sprinkler /// 2v r U 7(0' ( 1 66 / Fire Alarm Susp'd Ceiling Roof O S Other: Final PASS PART AIL PLUMBING Post & Beam t V 0 " Under Slab Rough -In Water Service - Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final . PASS PART FAIL " MECHANICAL Post & Beam Rough -In Gas Line 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 \� ADA ICIV Approach /Sidewalk Date / , $ 3 Inspector v l.� Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour • • BUILDING Inspection Line: (503) 639 -4175 fi 3 - 0 c-( INSPECTION DIVISION Business Line: (503) 639 -4171 �[ BUP Received Date Requested 7-4 4M PM BUP Location I ( q 3o Suite MEC Contact Person Ph ( ) PLM Contr Ph ( ) O' SWR UILDIN Tenant/Owner rY\ Lb- 5-9 - /g,9 39 3 ©U 4 l 7 Footing ELC" (1 (3 ' ' • Foundation Access: Ftg Drain Drain - 2,m ="` Slab Inspection Nod y � ' ) .7 Post & Beam �O � Shear Anchors k\ fr j], � �.� Ext Sheath/Shear ■ T Int Sheath/Shear Framing ' _ . Insulation Drywall Nailing Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: • i7 PART FAIL • P -1 BING ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole V Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final • PASS 1 FAIL e Rough -In UG /Slab Low Voltage � Fir r- - . rm 4 t D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line / Ext ADA Approach/Sidewalk Date Inspector Other: Final DO NOT REMOVE this inspection record from the job site. - PASS PART FAIL