Permit . CITY OF TIGARD MASTER PERMIT
iad i DEVELOPMENT SERVICES PERMIT # • MST97 -0519
ro��ll DATE ISSUED: 12/05/97
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S104DB -04100
SITE ADDRESS...:13139 SW WELLINGTON PL
SUBDIVISION •AMESBURY HEIGHTS ZONING: R -4.5
BLOCK LOT :041 JURISDICTION: TIG
Remarks: PATH 1: New single family dwelling w /attached garage.
- - BUILDING —
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED-------
' CLASS OF WORK.:NEW HEIGHT • 19 FIRST • 1230 sf GARAGE • 460 sf LEFT • 5 SMOKE DETECTRS: Y
TYPE OF USE... :SF FLOOR LOAD • 40 SECOND...: 1089 sf FRONT • 34 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 8 sf RIGHT : 6
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2319 sf VALUE..$: 163274 REAR : 23
-- — PLUMBING --- --
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 1% TRAPS • 0
LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1% SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1•A BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— MECHANICAL
FUEL TYPES FURN ( 100K ..: 0 BOIL /CNP ( 3HP: 0 VENT FANS : 4 CLOTHES DRYERS: 1
GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOCDSTOVES : 0 GAS OUTLETS...: 1
- - - ---- ELECTRICAL - -- ----- -
- RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — — MISCELLANEOUS— - -ADD'L INSPECTIONS— -
1m SF OR LESS: 1 0 - 208 amp..: 0 0 - 208 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 4 201 - 4% amp..: 0 201 - 4.• amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 608 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1.•• amp.: 0 601+amps -1•. v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 - ----- - -- PLAN REVIEW SECTION - ---- - --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) V NOMINAL: CLS AREA /SPC OCC:
— — -- -- ELECTRICAL - RESTRICTED ENERGY -
A. SF RESIDENTIAL - — B. COMMERCIAL - -
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER • HVAC • LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL 0 SYSTEMS: 0
Owner: — - ---- Contractor: — - -- - TOTAL FEES:$ 5050.95
OAK KNOLL CONSTRUCTION INC OAK KNOLL CONSTRUCTION INC This permit is subject to the regulations contained in the
4035 SW DOUGLAS WAY 4035 5W DOUGLAS WAY Tigard Municipal Code, State of Ore. Specialty Codes and all
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97835 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone is 635 -2660 Phone 0: 635 -2660 not started within 180 days of issuance, or if the work, is
Reg L..: 011240 suspended for more than 180 days. ATTENTION: Oregon law
— - - -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
- REQUIRED INSPECTION - -- ------------
\, Erosion Control Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
i Post /Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
1 Post /Beam Mechan Electr/ .1 Servi Fireplace Insp Rain drain Insp Mechanical Final
Issued By: 1 A 1.41L .. t-- Permittee Signature: ��Dir < �
++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + ++ % + +— + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
@
.
), r , �' Plan Check # ft- � l p
�-
CITY OF TIGARD Residential Building Permit Application Rec'd By qJAan
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd z (- 1 4 -4 7
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. //:/ $
V 503- 639 -4171 Date to DST / / -.2 4 - 9 7
F 503 - 684 -7297 Permit #A 9 —0, /?
Print or Type Called Sw 29 7 -0 q 1,S--
Incomplete or illegible applications will not be accepted
Name of Project Nam
Job AMe�1bU �Qi h LQr y 1 c�rl 1�1 Qssoc,L9nc .
Address Site Address 9 ' Architect Mailing al
lam` Ave.
1 3139 Sw LAX( l Placa_ Ci /State Zip Phone
Name J
COc ICnni I CEY►slxt:h01 /Six- . o� - NaM� I C q 1(909 aa5- 91 (01
Owner Mailing Address N e
L-f435,3tAi Dooll o� w 1 Engineer Vats , 4e,,
City/State Zip Phone Mailin§ Address
LA-k o O a oe c7 (.035 - ac�Loo y /S ,ter t(:) "°I
N ame C' /State Zip Phone
General P - N Md 1 612 q a I (0 _ a - C ?., "
Contractor Oak 02,11 egyistvuehdri , , Qyt Describe work New Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit 3 5 Jo...) t o o l Additional Description of Work:
issuance, a copy City/State Zip Phone � f
of all licenses (nu (> / ae C OO - 3S - (055--�co(oO L 1
are required if Oregon Con Cont. Board Exp. Date PROJECT f
expired in COT Lic.# f' I a UU�j 31a11 VALUATION
__ database
Mechanical Name NEW-CONSTRUCTION-ONLY:
Sub- yy i .a - AK_ Sq. Ft. House: / 3 / Sq. Ft. Garage
Contractor Mailing Addreds
Prior to permit I Co 31 5E Id.Q.YIQQ.e-wt- Corner Lot YES NO Flag Lot YES NO
issuance, a copy City/State " " " Zip Phone (check one) (check one) X of all licenses c ff'(CU'Id1 . 9 7Dca 235-90'3 Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy System 7 Alarm
expired in COT Lic.# I a /q7
database 5oaL1y Installation Garage Door HVAC
Plumbing Name x Opener Systems
Sub- Crab- Fu,tsrk Pr►htl (check all that Other:
Contractor Mailing Address J apply)
Will the electrical subcontractor wire for all YE$ NO
- 11 (.0 Su) N I WI6/S AVE_ 45 energy installations? x
Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy 8(a verksrl re 9 -eo8' (tIc.I- fs(ol2 �/
of all licenses are Oregon Const. Cont. Board Exp. Date /1
required if Lic.# Reissue of MST #: Solar Compliance
expired in COT i q C4(.12 C0 °R /`i$ (Calculation Attached)
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
0 20 - I <-i P6 aVgE information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
wi Orego - - laws.
Electrical Ef ic - Signatu f Ow : ' , - nt Date
S Mailing Address - - S) / / - /5l- 9
Contractor 020°185 6ci kvi k. e d , N E - Contact Person Name Phone #
City/State Zip Phone al./E- *./a3 g 7p /_ ESL
Prior to permit FOR OFFICE USE ONLY:
issuance, a copy 'Donald t (54 q-7(00 (0- 7$-/35.- Plat #rno -sI t Map/TL #:
of all licenses are Oregon Const. Cont. Board Exp. Date / . ip ��-r Q 7 / 6 ,2,S /ogDi3. ¶YO 0
required if Lic.# c90,1 l q a, /� / Setbac s: f • ��� e: Solar:
v
expired in COT S- S .k R - t X - 1 / 7
database Electrical Lic. # Exp. Date /
E n in ring Approval: Planning Approval: TIF:
ay - /CM C_ 1611 114 Ye Me ,Tap7v
I:SFREM.DOC (DST) 4/97
CITY OF TIGARD BUILDING INSPECTI DI q 7 - -
24 -Hour Inspection Line: 639 -4175 Bus in ess L ine: 6 39 -4 .r`
Date Requested ` — 9 AM PM BLD
Location / -3 1 39 5 ail, tWI Suite MEC
Contact Person d l 4 4‘ f Ph - 70 / ge®es y PLM
Contractor 24 (� ,��ri Ph SWR
ILDINJ) 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
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
al
PASS PART FAIL
PLUMBING
Post & Beam f�
Under
op Out
Top Out
Water Service
Sanitary Sewer 1
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 / — fI' inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.