Permit R CITY OF TIGARD MASTER PERMIT
PERMIT #: MST1999 -00366
'^ t DEVELOPMENT SERVICES DATE ISSUED: 11/17/1999
F �' - � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12923 SW WALNUT ST PARCEL: 2S104AD -04800
SUBDIVISION: PP1997 -070 ZONING: R -4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: Add breezeway and garage to existing single family dwelling.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: 16 FIRST: 2,560 sf BASEMENT. sf LEFT: 5 SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: sf GARAGE: sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: 28
VALUE: $ 49,078 10
OCCUPANCY GRP: R3 BDRM: BATH. TOTAL: sf REAR: 11
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 & 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: $ 746.50
EASLEY M + W BUILDING SUPPLY CO This permit is subject to the regulations contained in the
JOHN
JOHN WALNUT M BOX 220 Tigard Municipal Code, State of OR. Specialty Codes and
12923 E S , OR W WALNUT PANSY, 2 97013 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
Oregon Utility Notification Center Those rules are set
ORIGINAL Reg #: LIC 079450 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
Erosion 844 -8444 Rain drain Insp
Footing Insp Final inspection
Foundation Insp Building Final
Slab Insp
Framing Insp
ri
dr
Issued By :
".
' �� Permittee Signet /`Li : �' /�
Call (503) 639 -4175 by 7:00 p.m. for an inspection eeded • - next business day
1 . . O TIGARD Residential Building P ermit Application Plan Che # D le •
i 13125 SW HALL BLVD. Additions or Alterations Recd By
1 Family or � p � TIGARD, OR 97223 Single Fil Detached Attached (Duplex) Date Recd �f7— ZPv �i �l il�
g Date to P.E y'
V 503 - 639 -4171 Date to DST / • i S- f f
. F 503 - 684 -7297 _ Permit # / da 344
Print or Type Called I t 1e6('t 4 4;356.
Incomplete or illegible applications will not be accepted IeE4- ►i4 S9 rea.or
• Name of Project Name_
Job • 2� .3 Architect Mailing Abdress
. Address Si e Address
go, (.. JA -c-eu C'7 Sr City /State Zip Phone
CJ6 JJ,v ei4SCCi'y Name
Owner Mailing Address __
1 a 3 S' (JAG u r Engineer Mailing Address
City /State Zip Phone
Y 9V1120/ on. 5' 7122 ..03-3 1207 City /State _ ...... Zip Phone
General Ne e
Contractor ti t Cu 30, « rn7 Syp t4 Describe work New 0 Addition Alteration 0 Repair 0
- MaiNg Address 'r / to be done:
Prior to permit r 804 v �/ 7,s' - S i • diti � Description � pD/
of WO • �
•- issuance, a copy City /State - Zip hone tf
of all licenses c4Aj id D2 97043 263 • ?6,1
are required if Oregon Const. Cont. Board Exp. Date PROJECT Or-- Q� Q tg
expired in COT Lic.# r7gi So 1- 2 �_ r oco V ALUATION l diCJ
Mechanical Name NEW CONSTRUCTI6N ONLY: -
Sub- �/ Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address Z514'0
Prior to permit Indicate the restricted energy installation by the electrical
subcontractor in the following areas
issuance, a copy City/State Zip Phone
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 (check all that Other:
Sub- tiv apply)
•
Contractor Mail' Address Corner Lot YES NO Flag Lot YES -• • NO
(check one) (check one)
• Has the Subdivision Plat recorded? N/A YES NO
Priorto•+ t , Gitla/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 S ate laws.
Name Signat ,/•f Owner,. ent' Date- -
Electrical I -_
Sub- Ma ing Address ' •n k � C ct Person Name Phone U a
o —v/ ,65)
Contractor - � )
City/State Zip Phone V� /L� #d-!/. /C /' v// ,
Prior to permit _ —7/
issuance, a copy FOR OFFICE USE ONLY: �/
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: God Map/TL #:
required if Lic.# 9 M�l -- G�� A c25/0 Vi9P —ocigO d
expired in COT /
' database Electrical Lic. # Exp. Date Setbacks:SlfkfP�- CCDL;r�Zo e: Solar:
` Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: j TIF:
hfA VFtg:!o t't` � ff.\
is \dsts \forms\sfaddalt.doc 4/20/99
• 6oPPig (9.49.76
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 199 ( 7 - 4O?(o
24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171
BUP
Date Requested /13/on AM PM BLD
Z Z
Location I / ( ) Q��rl� Suite MEC
Contact Person • SbkI l'i Ph ILO - PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Insu� * ation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART loar
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
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 Date .- Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION v q9 9_ co 3c,c
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / MS
ala -a( 1 BUP
Date Requested AM PM BLD
Location /?-9 ? Su.) Cc) -Q vu c Suite ___�\ U MEC
Contact Person /� ' - 01.E bud ¢ C9L7 Ph co 3 9 _d PLM
Contrac r Ph SWR
UILDI Tenant/Owner 'a 1'\ C0-S112-41 ELC
Re ing Wall ELR
oot.+ �'/ Access:
oundation P FPS
Drain
Crawl Drain Inspection Notes: SGN
Cr Dr Dr
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear ?4-D ^ ` - Framing V + (��.. � 4 "" `�J S
Insulation n
Drywall Nailing �` S\ Ca-y_
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ' IA S `---Q ` d_
Roof
Misc: -e
Final
PASS PART AIL
PLUM
Post & Beam •
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
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
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 i
for call or rens ection RE:
Fire Supply Line [ ] p [ ]Unable to inspect - no access
ADA ^� , _ , (�
Approach /Sidewalk Date 1 L /1v /'S v� c ) __� ]
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
0036G:7
CITY CITY OF BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: ..639-4175 Business Line: 639 -4171
BUP
Date Requested 3- AM PM BLD
Location / 2-9 L 3 5, 4/444 Suites\ MEC
Contact Person Ph Z7-' Z u Z ✓ PLM
Contract r Ph SWR
BUD Tenant/Owner ELC
�ftetaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing , . A ID f) -wsi' A JdtC.�� - �T — ref kid4� -i —2 " ,
Insulation
Drywall Nailing /
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof tttt�
Misc: ivrl� (4) wj "=-
Fin
ASS) PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains •
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
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 �j
Approach/Sidewalk
Other D J 2 .;7— C / Inspector , Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the. job site.