Permit D 'GI-Tl� OF TI GA R D BUILDING PERMIT
PERMIT #: BUP2002 -26002
»� } DEVELOPMENT SERVICES A DATE ISSUED: 9/30/02
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 06617 SW WALNUT TERR • PARCEL: 1S125DA -02700
SUBDIVISION: KINGS VIEW ZONING: R -4.5
BLOCK: LOT: 012 - JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: DEM FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 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:
Remarks: Demo permit: demo existing SF residence. House was on sewer - 1 EDU credit.
Owner: Contractor:
S KEM DESIGN INC HOBIZAL CONSTRUCTION
18295 SW TV HWY STE B 33541 WATSON PL
BEAVERTON, OR 97006 SCAPPOOSE, OR 97056
Phone: 503 - 848 -6343 '
503- 805 -0107 Phone: 503 - 805 -0107 s„ , —
Reg #: LIC 54971
FEES REQUIRED INSPECTIONS EIC
Description Date Amount Cap Sewer Line Insp
•
[TAX] 8% State Tax 9/27/02 $5.00 Final Inspection
[TAX] 8% State Tax 9/30/02 $0.00
[ERPRMT] Erosion 9/27/02 $26.00
0
[ERPRMT] Erosion 9/30/02 $0.00 �,
(additional fees not listed here)
Total $110.40
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 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 0
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: ,5/1,,/,jyi1C__ . //LJ r
Permit tee
Signature: 4 _Of _ e,. Aag.e
Call 639 -4175 by 7 p.m. for an inspection the next business day ,, » �1
I
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503 ) 639 -4175
INSPECTION DIVISION • Business Line: (503) 639 -4171 MST .
BUP
Received Date Requeste D / 3 AM PM BUP'
Location (.0 6 /7 w Tim Suite MEC
Contact Person t" Ph ( ) ` � 7 / s& 3 PLM •
Contractor Ph ( ) 5�5 _7" SWR
•
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
:46gLIIIUMI"M
i
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
4a• PART FAIL
HANICAL
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: 111 Unable to inspect — no access
Fire Supply Line
ADA 0 1 d--
Approach/Sidewalk Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
BUP - Building Permit ELC - Electrical Permit
-4 Inspection Description Date Passed By ) Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls 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
4 Inspection Description Date Passed By
Drywall nailing
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils
Welding Lab Final Mechanical rough -in
Concrete Lab Final Fire damper
Duct work
Bolting Lab Final _Smoke detector
Structural observation Mechanical final
Fireproofing Lab Final
Final ins. ection _ 1Iff d i-
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
4 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 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
•
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Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04 /17/01