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Case File EL '73.51f t 6 14,4 r, EL, $2 .0 _. fir' �'V� 4 ev to 1 ` i l r � I ► oma a� I., of ,f 1 ' Pr-o P v y v i<, d t o f Lo t 2-'l G e r1 es ll ? �... W Al SCALE %/8// t /. Al- APPROVED BY vv 1 PWN er DATE 7 ) ' 1 f ED DRAWING NUMBER .j. .. . .. .� .,-.' '.. 'X�ti1p.A�lif{IL191�.�� rnrw :n-. .. z�.. s -.e...' nti � •4 -� ., i l�'�i rcpt., .. - . NOTICE: IF THE PRINT OR TYPE ON ANY -1-I �-II � r II � IIII � � � � � � � � IIII I IIIII Jill JIIII11IIIIIII IIII1 �1 1111111 VIII 11111111 I � ill � l IIIIiII I � III 11111111 I � If ill I � IIIII 1111111 I � IIIII IJIIIII I � iil � l � l � f � III 1111111 I � III I / NOTICEI II i C41 IMAGE IS NOT AS CLEAR A THIS 1 3 4 I I 1 1 IT IS DUE TO THE QUALITY OF THE No.38 ORIGINAL DOCUMENTE 6 Z g Z L Z 9 Z 9z �' Z E Z311.11111111 0 Z 1 6 T 81 L111 8 [ 9 I 1 1 E T Z 1 I T T 6 8 L 8 4 E Z ►�� ) �� 1111 ILII Illi �� IlliJill �� li �� IIIIJiIililt �� 11C1111111; 111111 � �� (lll �� Iilll1�k11 F!,-7 3.s* _ �'- RA►N GRAIN TERMINATIQN (SrREAM.) M N t E�. 9'ily� I El. 82.G� �� r ''� (jg0.�Vic\ �Ir Fay "'3 f- + I 7 1 0 C3 ; o r r ( I o,cc a + f_ 1 ,\ eke �. -,' :.--•' = •,,1 X11 \�,,� 1 I e t Do. o'E L, .Spofi ` SEL.• �� Pro�ost� RV-10jel OF 1_�t 2y Genesis 1I 1/335' Sw Ahn614,,ce Pi., F,A0(� SC At /.,�,�_� — � � $/i •►MOVED Ir 1 1 3 id .. .._ ..,.._.. .__� -.... ......:.::.....: T l l i l l l l l l l l i l l l l <— . r t ► r r t l l I t l i l t ► t l l ► I I t I f t 1 1 1 r O r 1 > r r 7 1 .�_ ___�__.._._.__. _ NOTICE: IF THE PRINT OR TYPE ON ANY 1 � I I ( 1 III ( I I I � l ( h I I ( ( I I I l I I I I I I I ! I � � r I� � � 1 ►� o r i i� � rT r I � r r- _ r �� rl � 1 � � i i � i � � i IM i AGE S NOT AS CLEAR AS THIS NOTICE 34 5 6 S DUE TO THE QUALITY OF THE Vi e,72 ORIGINAL DOCUMENT - --- ------ --- No.36 -- -- � _ -- E 6Z 8Z LZ 9Z 5Z � Z EZ ZZ � Z 11 � 611 8I Il!1 1!11 IIII !!!! Ilii Illi i! l Illl IIII IIII ILII _ll_I1 -1111 111 .1111 11� L1.1111�111 Illi IIII IIII Iilllllli ' '�� !I �! ��1 ► � � � I � 1 IIII IIII IIII IIl1 IIII .III! ILII IIIIlII►��,Ilillllllllf�,Illl�llll , ,� Lllll,ll I��l II(�Illlil111 LIII 1 .11 ll 11 1 �� IIIIIIII M o+,w,M:....+.1Ww.�.wil�.wsy11YNMMM�Y�yM .�l�. .. _. , w..Prri.e-nwtiww«w.�.«w�ww+uwwa� i 11335 SW A14BIANCE PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST �G�-�-� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP —Date Requested AM PM --- BLD Location_ aGcA Suite Contact Person �� ' Ph L.44—5 3 S(a PLM Contractor_ _ _ Ph SWR BUILDING Tenant/OwnerI-C Retaining Wall ELR Footing ---- — Foundation Access: FPS Ftg Drain SGN Crawl Drain Inspection n 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: Final PASS PART FAIL -- -------- -- ------ -- — ---- - --- UMBI Post&Beam Under Slab . �- Top Out f. _ Water Service Sanitary Sewer - - -- - - Rain Drains Final - - -- PASS PART FAIL !'ost 8 errm Rough I I ias Linee -- -- smoke Dampers AS PART FAIL ELECTRICAL - - -- - ",ervice I?uugh In l 1(;/Slab _ Low Voltage ire Alarm ! Inal PASS PART FAIL _ SITE �- - Backfill/Grading -- --- -- ----- -- — Sanitary Sewer Stone Dia,n ( Reinspection fF•e nf g required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for rernspertir r !.! _ [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date ' ,�1 X Inspector AK�2 --Ext y Final PASS PART FAIL DO NbT REMOVE this Inspection record from the job site. 3 BUILDING PERMIT APPLICATION TICARo DATE hebr►,ar __ ,9 � 4745 THE UNDERSIGNED IIEREBY APPLIES FOR A r'ERNiII FOR THE WORK HEREIN INDICATED BUILDER PHONE f),3j—i 7'a i' OR AS SHOINN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNS I PHONE OWN�'ER Ghuck Taylor JOB ADDRESS IIJ35 6d l�►t:1bimice LOT NG I ._. ARCHITECT BI�LDER --_HE Yl�_Li�.1�L ADDRESS ENGINEER Lai,e_Q_&wjAp _ _DESIGNER STRUCTURE F-1 NEW — C� REMODEL ADDITION CJ REPAIR _❑ RENEWAL ❑ FIRE DAMAGE O.DEMOU PION RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T O RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY —K-3_ _ l.ANO USE ZONE_ x-7 PALDG.TYPE_ 5h _FIRE ZONE_ PLAN CHECK BY I61W HEAT 1Sasewegt area-to aiwoelyaunily dwelling all per approved plalrn S (,,Ode SRe permit 04686 1 13 �i4 �—. --- i (tcathroa, I liidrocnv SEWER PERMIT M OCC.LOAD FLOOR LOAD _HEIGHT NO.STORIES 1 AREA 7 >t} NO.BEDROOMSVALUE BUIL_DIN3 DEPARTMENT SETBACKS FRONT SFE _REAR s ; LEFTSIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Pian Check 44.rr3 REGULATIONS AND ALL APPLICABLE MODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE Subtotal 1 13.113 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE RESTRICTIVE COVENANTS. CONTRACTO11 AND SUB CONTRACTORS TO HAVE CURRENT CITY Bl',iESS LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. StateTaxE 2.J4 total 115.77 BY (MsDc— 4-lig PDC# #-PLICAO G' iEN -1_Approved rW Receipt No. ADDRESS PHONE I BUILDING PERMIT APPLICATION TIG/1.RD DATE-_-_�- � �-✓_,Is_ . � 4688 THE 1'NDtRSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE _�35-77J7 OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICA'T IONS. OWNER PHONE _ LOT NO._ 24 OWNER _;4k_x_�s�1ur JOBADDRESS 11335 Srl Ambi 1'14ce -- _ _ t;eaePis 11 ARCHITECT Lake Oswr go 97!134 ENGINEER B ILDER flerb h i I Ialr ADDRESS - 17414 5W An . Fy, Rd. DESIGNER— _ — -- STRUCTURE U NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION ❑xhESIDENCE F1 COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB I.1 FENCE OCCUPANCY k --LAND USE ZONE I(-7PU BLDG.TYPE 5H FIRE ZONE PLAN CHECK BY __—;a HEAT—Si1g-- Construct sinvle famil dve►lli— ag w/attachea -"r r_. 3 �edrowrj 3 Bathrou• SEWER PERMIT 0 26482 410 OCC. — OCC.LOAD FLOOR LOAD 40 HEIGHT 31.1+ NO.STORIES 2 AREA 1990 NO.BEDROOMS 1 VALUE ,t) BUILDING DEPARTMENT SET BACKS FRONT ZIJ REAR I t LEFT SIDE RIGHT SIDE Permit 373.00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, 7.0NING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check 242.43 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE. ISSUANCE OF THIS PERMIT DOES t40'r WAIVE Sub-total 615.45 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HA'JE CURRENT CITY BUSINFSS __._-- -- — LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEA TING State Tex 14.92 Total 63l►.37 " ---- _ PDC# i 100•uo PILICANT OR AGENT App rGWd Receipt No. AIXIIIIIIIIIIIIIIIIIIII PH `� �' �1 �u� Y' ra��yy��J��./ n�ls[�f�`�^y •' �" ��'f'C�� ;�t�,4�'M'"Ny J,�I�!e��' '�i 4 'y r� - '`� 1 a'� 1 rNp,' ��t�P fpu'�(Ih4 ;II�, '7f�114, '�R�,��, '�•r'1!FI f!�'",f�'�IN1 � '• y��. s, r �� ' RV.tc�7a�J7J�__._�_ _ •. ,n,�_ 4^fi'��ESs;T .,--ncr--. .rr. ;-t. + -.�f ��,: Vr Lr oc (�}• s � a .�, � #x"14 �;@ � I� +' tic O tyj GL w u rn w u +t� \ 1 KW i m O U e ?, rS,IM�. � �P � fJ7 t� V I•. r' H I^ 1 bf) to U1 4"1 Q J, � ,r• �. � .» r ,d to 8. r �, E7G Zh I!1( ........... b1 O , 0 �► \ L0)0 551 p9 ,09 9 ` o. ,0 Q; CU QI Q i LU o N I x / j I k I /, Tigard, Oregon, or +t's 1iAbltlIY: the t;ity of ns- .or lmpioyor), shall not discrepancys which fray ippear hereon. f O 4 44r fl-oajy !� ��s S.✓/¢..,6�6�c� RP i. s. INSP;CTION,NOTl(.'E City of Tigard Building Departaent 13125 RV Ball. 81wd_ Tigard, Oregon 972.27 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underelab Mech. Rough-in Appr./Sdwlk Found. Plbg. Top Out Cas Line FINAL. Peet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line (1 --� yp. Bd. -Meeh. Date Requeste0 i /'5- ___Time: AN Address s ? <� /��ifi�!� �C _/Pecmit #: : Builders THE FOLLOWING CORRECTIONS ARE REQUIRM Inspector: y APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE __Call For Reinep. , CITEOFTIFARD i� I-*- CrFYOF TIMRD MECHANICAL COMMUNITY DEVELOPMENT DEPARTMENT PE RM I I 13125 SW HWI Btvd P.C.Ow NW,TigaW,Oregon 97223(5W)630-4175 rERMI'l #. . . . , . . : MEC92-011- +171 !-)ATE ISSUED.- 06/0,4/1 c.. SITE ADDRESS. . . : 11.335 SW AMBIANCE. CT PARCEL: 2S103DB-1?.16L-"0L SUBDIVISION. . . . .. GENESIS NO. 2 ZONING: N-4. '-- BLOCK. . . . . . . . . . 9 LOT. . . . . . . . . . . . . :24 CLASS OF WORK. . :ADD FLOOR TURN. . . . : EVAP COOLERS T YPF OF USE. . . . :SF UNI'T HEATERS. . : VENT FANS. . . : UCCUPANCY GRP. . :R3 VENTS W/O APDL_ VENT SYSTEMS: STORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . FUEL TYPE.S-- 0-3 HP. . . . 31 DOMES. INCIN: : /ELE/ 3-1.5 HP. . . . : COMML. INCIN: MAX INPUTa BTU 1' •-30 HP. . . . : REPAIR UNITS: P IRE DAMPERS?. . 1 30-50 0-5)0 HP. . . . : WOODIG-TnVEG. . - GAS PRESSURE. . . a 50+ HP. . . . : CLO DRYERS. . NO. OF AIR HANDLING UN I TS OTHER UNITS. FURN ( LOOK BTUe 10000 cfm : GAS OUTLETS. FURN ) =100K BTU: > 11/1000 c f m : Remarks : Owner: PEES MART. BALMER tv'le amo;-tnt by date 1-335 SW AMS I ANCE F-t... PPMT $ ;-'5. 00 jLH 06/04/92, "WLT f 1. (-5 JL.H 0E,/O4/` - TIG)ARD OR ()7c--,G:4 Phone 0: 696-4077 JHE HEATING SPEC IAL. ST 93QZ0 NE HALSEY POR'LAND OR 97220 Phone #: b. 2 tj 101 PL Reg #. . : 36628 -------- REQUIRED INSPECTIONS; This aervit is issued subject to the regulations contained in the Final lnsipeutioyi Tiqa,d Municipal Code. State of Ore. Specialty Codes and all other aDblicable laws. All work will be done in accordance with anproyed plars. This ot,vit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than IN days. F erfilittee Sianat,-tre : Ts,ueh 13u : ca,Il for inspection 639-4 1 It, CITY OF TYoMn MECHANICAL PERMIT Receipt� -- 13125 SW BALL BLVD. Permit a P. #U. BOX 23397 �C)3 D6 DRscrlptimt TIGARD, OR 97223 / 266 TnbIa3AMechanical cod@ r- QTY PrIICE AMT (503)639-4175 39_ </i -�i U 1) Perr_ilFee 0 0 10.00 Name W _~ 2) Supplomontal Permit 3.00 Job Addrose "" ? Furnace lu 100,000 BTU 6.00 . Address /1 33 j O_(J +nCl,duct3 8 vents _ r"Lot KW No. 2) Furnace 100,00013TU + 7.50 incl.ducts d vent3 AM �• t1u1n1Msion ._ .... Name(or norm or b"nese) 3) Floor Furnace 6.00 _incl,vent _ Owner MalAngAddresa Mane 4) Suspended heate(,wall heater 6.00 �Q v t j„�, o e•�C. or floor mounted heater CItytatate Zip 1 5) Vent not Intl.In r yQL u oC y 7.z Z?� appliance permit 3.00 Narne(or name of buslnona) 8) Hepair of heating,mtrig•, _ curling,ebsorplion unit 6,00 00cupont Maliling _ Pone 7) Aoiler or satrap 10 3 HP 6.00 absorp.unit to 100,000 BTU / Cltyftpate zip 9) Boller or comp to 3 HP-15 HP absorp,unit to_500,00013TU 11.00 Name Boller or comp 15-30 H P� 3) obsorp.unit 1h-1 million 15.00 MoNlnpAddress. -� Phone t 0 Boller or comp to 30.50 HF' a ) ebsorp.unit 1 1.75 million 22,50 Contractor -�-•_�L• -.- ofyfeli Zip 1 1) 9otler or comp to SO HP absorp.unit 1,750,000 BTU 31.50 mate Registration No. ON nus,Tow No. 12) Air handling unit to �^ k5 6e G .a Fi' / 3 7c) 10,000CFM 4,50 ►mraay Rakn A@dr,)a abut I hoe road this appnu tim that the Informatton elven is 13) Air handling unit W 7.5Q eorrad,thin I am tlm owner a auVwx red apart of the owner,that prang Mmltted aro In 10,000 CFM + complil with State lawa,that 1 am registered with the slots Sunders*board,mat the Non portable + nrmlmr gtvon M rowed.(If ettempl from State registration 0saw glva reason below). 14) evaporate cooler 4.50 Vent fan connected to a single duct 3.00 --- to) Ventilation system not r included In appliance permit 4.50 17) Hood nerved by - s l �ewn.r er4 c� - mechanical exhaust 4.50 Date Domestic type DetlCrlbe work U addition18) Incinerator 7.50 to be done residential � alteration ❑ repair ❑ �] non-residential Q 1 g) Commercial or industrial Existing use of t e incinerator 30.00 building nr properly 20) Oilier i.e.,woodstove,water Proposed use of heater,Soler,clothes dryers,etc. 4.50 building or property _ 21) Gas piping one to four outlets 2.00 Type of fuel- all ❑ natural gas ❑ LPG\❑ eieo(ric P — 22) More than 4-per outlet TH1a PERMIT BECOMES NULL AND VOID IF WORK OR CON- --- SUB-TOTAL STRUCTION AUT14ORIZED IS NOT COMMENCED WITHIN 180 5%SURCHARGE y ; DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER — WOAK IS COMMENCED. TOTAL Special WndRions -- Date Issuedr �_.. ._. —by—.. CITY OF T1 ARD April 6, 1992 OREGON Mark Balmer 11335 SW Ambiance Court Tigard, OR 97223 Res 11335 SW Ambiance Court Permit #BUP 91--0234 Dear Sirs The last inspection conducted on the above project was a footing inspection on September 5, 1991, The next required inspection will be a framing inspection. Please advise the Building Division of the status of this project as soon as possible so the file may be kept current. Please note thd„ ar)v permit without activity for over 180 days becomes void. If you need additional time to complete the project, Please contact this department so that an extension can be discussed. Since ly, Brad Roast Building official I Notice.A 13125 SW Hall Blvd,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 CIT OF TIGARD BLT DING INSPECTION DIVISION 24-Hour Inspection Line: 63:. .175 business Line: 639-4 i. , LIST Date Requested– –AM PM BUP Location 113.3.S BLD _.,r� Suite _ Contact Person MEC "—YY1/1 n �� '� Ph �, 7 – -- _� PLM _ Contractor ph � � S y f SWR BUILDING Tenant/Owner �_ ELC Retaining Wall -- ---- Footing F-1 . ELRFoundation [vo v-Ftg Drain �ice! i - l/`� - `jam► E'S.': FPSCrawl Drain tion Notes: . SGN — Slab Post&Beam -- SIT Ext Sheath/Shear �. - --— Int Sheath/Shear - Framing -- Insulation - Drywall Nailing - - -- --- Firewall ---------._--_ _ _—._-_ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ---- -- Misc: Final - - PASS PART FAIL PLUMBING Post& Beam - - ------ — — --- _ Under Slah ---` Top Out - ---- --- _ Water Service - Sanitery Sewer --- --- ---- - *ou,g, s ART FAIL _--- - ---- — ICAL - -_ m -- - Gas Line - -- - ---- Smoke Dampers ---- -- Final _ PASS FART FAIL ELECTRICAL - ---- -- - -- -- _ . Service - - - Rough In - --- - UG/Slab -w - ----- ---- Low Voltage -- - --- — - - Fire Alarm Final - - - - - - - - iL:►SS PART FAIL SITE - _- 13acKfi!I/Grading Sanitary Sewer - - -- Storm Drain I i Reinspoclim.fee of$ required before next Inspection. Pa Hall. 13125 SW Hall Blvd Catch Basin p Y at City Fire Supply Line I 1 rlease call for reinspection RE: ADA — --- J Unable to inspect-no access Approach/Sidewalk Other pate —Inspector Final _.. /_ Ext PA98 PART FAIL- 00 NOT REMOVE this inspection record from the joky site. CITY OF TIGARD 24-Hour _ WILDING Inspe- tion tine: (503)639-4175 :NSPEc,riON DIVISION Business Line: (503)639-4171 MST `1`��J CCS 74Z Rpceived --_-_ AM PM Date Requested- �7�` ' <— - L BLIP _ - Location BLIP� _—('-�_ ��r��. v �L Suite MEC PLM Contact Person .—.— _-- Ph( ) -- - -_ on rc motor _�- Ph(-- ) SWR -- BUILDING Tenant/Owner _ Z - Footing °�' _ ELC - -_ Foundation ice) Ftq Drain -- Crawl Drain ELR Slab Insp cti In Notes: - Post& Beam .1-�/ r ; - SIT Shear Anchors - Ext Sheath/Shear -_ - - - Int Sheath./Shear Framing --- Insulation Drywall Nailing - Firewall - __ -- - -- --- Firo Sprinkler - - Fire Alarm Susp'd Ceiling Roof Other: - ------ - Ar' SS ..,PART FAIL BING Post Beam Under Slab ----- Rough.-In Water Service - Sanitary Sewer --- �. -— ----------- --- Rain Drains Catch Basin/Manhole Storm Drain _ Shower Pan _ Other- Final therFinal - - PASS PART _FAIL - `---� - ------ MECHANICAL— -- Rough-In _-- -- Gas Line ---------------- —__ Smoke Dampers f mal ------- ----- PASS PART FAIL ------ ELECTRICAL — —�-- — Service Rough-In — UG/Slab ---- Low Voltage -- - Fire Alarm Final - _PASS PART FAIL 0 Reinspection tee Of$ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: Fire Supply Line --- Unable to inspect-no access ADA Approach/Sidewalk dam'- InsR actor --r Other: --1� '"_� - - lkxt Final DD NOT REMOVE this inspection record from the Job site, PASS PART FAIL Mark Balmer 11335 SW Ambiance Place Tigard, OR 97223 USA Phone 264-4077 Horne Phone 684-5356 April 07, 1997 City of Tigard Jeanne Temple, Building Division 13125 SW Hall Blvd. Tigard, OR 9722.3 639-4171 RE ELC95-0299, 11335 SW Ambiance Jearne, The above permit is for work that I am doing myself The exterior of the addition was completed within 3 months of the permit being issued, while I was on sabbatical I had planned on going to part-time employment at that time in order to finish the addition but became involver ti,tin intense project at work that delayed this for 18 months During this time changes were made to the plan to allow vaulting of one of tt'e new ceilings This required some structural engineering which was recently completed. The changes have been filed with,p and approved by, the building department With n the last nionth I have resumed work on the addition and we are making progress on the interior flooring and framing The 'ast electrical inspection gave [Ir the go ahead to cover floor foists We will riot be able to do any funhar wiring until the interior framing is complete I expect to be ready for an electrical and framing inspection in the next 30 to 60 days I undNrstand that you require an inspection within the next 15 days, but want you to know that there isn't much to see at tn,s point Sincerely, }� 0 11W, Mark Balmer \ e IT441 ., March 24, 1997 TO: Owner/Contractor RE: ELC95d1299, 11335 SW Ambiance Our records indicate that either no inspections have been conducted on the project authorized by the above noted permit OR inspection(s) have been conducted but we have no record ol'any subsequent or final inspections within the past 15 days. Oregon Administrative Rule(OAR)918-260-270 requires initial irspoctions be requested within 24 hours of completion of insallation and inspections for corrections to be made within 15 days. Permits and inspections required by the Tigard Municipal Code are an important part of your project Permits heip to ensure that work is done in compliance with minimum code requirements. Inspections are intended to protect the occupants of buildings and building owners. As the electrical contractor,you are responsible for obtaining the required inspections. The City would like to work with you h close out this project w� a steps taken to assure that at least minimum code compliance;has been achi--ved. If you are ready to schedule the next inspection please call our 14-hour Inspection Recorder at 6394175 within 15 days. Be prepared to provide the following inrorrnatiow Permit number, address of property, your name,your phone number, and file date you are rec im-ling the inspection (inspection times cannot be guaranteed,but you may request a in. or p.m.). I If you need additional time to complete your project please respond, IN WRITING,within 15 days, You may request an adt';tional 15 days. Please provide the following information: Permit number. address of property, your name,h day time phone number. and an explanation for the request. IIr';OU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER IS REGARDING,OR HAVE ANY QUESTIONS, please contact the Building Division at 6394171 ext, 610(voice mail). To better serve you,plc ►se have the following infonnatice► Permit number, address of property,your nano,md a day time phone munber. Thank you f i your cooperation in this matter. Please note that the City may pursue civil enforcen►ent. locally and at the stale icvcl, if work has proceeded witnout inspections or if an unfinished p►oject is outstanding. Your prompt attention will resolve this matter and erable us to prop ide.ou with the required inspections. Jeanne Temple Building Division iAiinnetiveclec innpe.A c January 6. 1997 CITY OF TIGARD OREGON ski /4,, 4 1,4,V CF Our records indicate that either no inspections have been conducted on the project authorized by the above noted permit OR inspection(s)have been conducted but we have no record of any subsequent or final inspections within the past 15 days. Oregon Administrative Rile(OAR)918-260-270 rogtrires initial inspections be requested within 24 hours of completion of installation and inspections for corrections to be made within 15 days. Permits and inspections regtur-d by the Tigard Municipal Code are an important pan of your project. Permits help to ensure that work is done in compliance with nummum code requirements. Inspections are intended to protect the occupants of buildings and building owners. As the electrical contractor,you are responsible for obtaining the required inspections. The City would like to noon-with you to close out this ,roject with steps taken to assure that at least rmaimurn curie compliance has been actueved. If you are ready •o schedule the next inspection please call our 24-hour]Inspection Recor-Jer at 639-4175 within 15 dpys. Be prepared to provide the following 9'nformation: Permit ntunber,addr,.ss of property,your name,your phone ntmiber,and the date;roti are regt:vmng the inspection(inspemon tines cwtnot bt guaranteed,but you may request a.m. or p.m.). If you need additional time to complete your project please respond.TPN WRITING,within 15 days, You may request in additieral 15 days. Please provide the follow,.-,information: Pt rtut number, address;of property,your name, , day time phone number,and an explanation for the request- IF equestIF YOU ARE UNSURE ABOUT WHAT PROJECT Tf1IS LETTER IS REGARDLNG.OR HAVE ANY QUFS110NS, please contact the Ruilding Division at 639-4171 en 610 (voice maill. To better serve you, please have the following information: Permit vurrxr,address of property,your name and a day time phone nwriber. Thank you for vote cooperation in this matter. Please, note that the Citv may pursue civil enforcement localh•arid at the state level. if work has proceeded without inspections or if an unfinished project is outstanding. Your prompt attention will resolve this matter and enable us to provide you with the rzquired in,1.xuons. Jeanne Temple Building Division i'unactr vr.KIS:rrrgHr.doc 13125 SW Ball Blvd., Tigard, OR 972..23 (503) 639-4171 TED (503) 684-2772 -- -- June 30, 1996 David Scott, P.E. Building Official City of Tigard, Oregon 9' 13125 SW Hall Blvd. cJ Tigard, OR 9223 RE: MST95-0285 AT 11335 SW AMBIANCE PL. GNU David, / Thank-you for the reminder about our permit and the opportunity d/ to request additional time to complete our addition. We would like to request the full 180 day extension. The information you requested is below: Permit #: MST95-0285 Address: 11335 SW Ambiance P1 . Name: Mark Balme.� (owner) Phone: 264-4077(w) , 684-5356(h) Length: 180 days Reason: Doing the work myself. Completed `50% last fall during my sabbatical . Will be completing she second half this fall ( ' 96) . Please note that we also have an electrical permit, ELC 95-0290 which is for the same project. We have held off obtaining a plumbing permit until we reach that phase of the project. The project ( -400 ft-2 second floor addition) is about half complete as stated above. The exterior is complete and weather-tight except for some windows which have been left out tn allow delivery of sheet rock, Rhower, etc. We have had a couple of .ourtesy inspections and have gotten the go-ahead for covering up the floor and starting the interior framing from both the building and eiectrical inspectors. This was the state of the project at the end of my sabbatical last fall. Things haven' t changed much since their. I have schedueled gime this fall to complete the interior work ( Framing/electrical/ plumbing/sheetrock) . Carpet, paint, trim and cabinets may not get done this year, but should be done within the first half of next year. We've been exploring the idea of modifying some exsisting roof trusses to allow a vaulted ceiling in the bath that will eventually be remodeled as a part of this project. A structural engineer is working urs this, but has beers having a hard time fitting us in among his bigger projects. In addition to the lack of time to work on =he project, we also have been delaying further work until this change is submitted as it could affect some of the interior framing details. If the change does not pan-out, then we will proceed with the original design. No work has been done that assumes the change will happen. Please contact me if you have any concerns about the project schedule, plan modification, or just need additional information. M �%Y�� 1r,IG•.. ark Balmer —`� MASTER PERMIT PERMIT #. . . . . . . . CITY OF T I GARD DATE ISSUED. 08/0*7/9`-', COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigaid,Oregon 97223*6199 (503)839.4171 PARCEL: 251ID31-13- 0(—' ,- ADDRESS. 1 133 5 SW AMBIANCE PL ZONING: R-il- 5 'j I GENESIS NO. 2 24 . . . . . . . .. . . . . . . . . . LOT . . BUILDING EISSUE: DWELLING UNTTS: J- BASEMENT. . . . . . . • ,LASS OF WORK. :ADD SEURMS: l SATHE,:O GARAGE. . . . . . . . . .. FLOOR ARFIAS - ---....AS --- REQUIRED SETBACKS" YPE OF USE. . . :5F FT. . -.0 ft RIf-:)HT. :0 YPE OF CONST. :5N FIRST. 450 sf LE - f FRONT. :0 ft PEOP, , :0 CCJ,Jr,ANCY GRP. :R3 .0 TORIES. . . . . . . 2 F1 NDGMENT :0 REQUIRED-- f SMOKE' DETECTORS. "Y A. iE GHT. . . . . . .24 ft TOTAL. 29097 PARKING SPACES. - :0 �LOOR LOAD. . . . 140 pSf VAL.UE. - - - - $ : ema -kS1 ADDING 1�50 50 FT TO SECOND FL.00P USING ENERGY CAL. r4TTACH TO F"I 1 , PLUMBING .KS. . . . . . . . . . FLOOR DPAT-N�i. . . . :-0 DACKFLOW PR1-VNTR3. . ivATORI ES. . . . . WATER HEATERS. . . :0 T R A PS. . . . . . . . .1) UD/SHOWER'33. . . . :0 LAUNDRY TRAYS. . . :0 CATCH BASING. . . . . . . . -JA ! E R CLOSETS. - -.0 SEWER LINE (ft ) - :0 GREASE TRAPS. . . . . . . : 010HWASHERS. . . . :0 WATER LINE (ft ) . :0 OTHER FIXTURES. . . . . : .3ARBAGE DISE'. RA11`4 DRAIN (ft ) . :0 C��i: 4AS111NO MACIA. -0 ., RAIN DRnIN' — • FEL f'YPES----- UNIT HTRS- - :0 type a f7l o,-k ri t; by c ,ate VENTS . . . . . :0 LAPRT 193. 0141 JD 1716 9 :0 BPLC C:':;. 4' EACIN 0 7 .j MAX I NPUT a 0 BT L' VENT FANS- 9. 65 JD 08/07/95 -URN ( 100K 0 HOODS. . . . . . ..0 P5PC WOOD9TOVEG. :0 MPRT s 00 JD : IIRN ) =1001,1, . . :0 . )� --LOOR TURN. . . . :0 CLO DRYERS. : 12) M5PC c?5 JD 08/0,� Bolt-'CMP ( 3HP-.0 OTHER UN1T5.0 GAS OUTLETS:0 NIORK AND ROXANN BAk-MER 11335 SW AMBIANCE PL D TIGARD OR 9722-4 ptjo-je #-. 6136-4077 6-1 L o T1 t r aC t 0 t- OWNER ! .3ne g 0. . . 000000 354. 35 TGI AL -ard i permit it issued subject to the -egulations contained in the REOUIRED IWGrECTiON Codes and ail other B Irlsp ,-�i I d 111 V 1 11�y-�' ; Municipal Cede, State of Ore, SP9081ty Ft-amilig InsP Fr,osionLt contC applicable laws. All work will or done in accordance with approved plans. This petait will expire if work is no', started within 180 Fii-ePlat-e 1"SP dAys cf issuance, or if work is suspended fov tore than 189 days. Gas Line ITISP P �r-mitte lulLia e, edrain In!-,p -Al 'A 114 1 , t e cl Call for irlspec-A i E)T) E,314-01 75 Community Development ment ELECTnICAL. PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # _ Permit # SLC C,-/el--- 1 Ph,,:,- (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 -- Inspection (503) 639-4175 t. Job Address: _ F4. Complete Fee Schedu!a Below: Name of Development G ctNumber of Inspections per permit allowed e Address ( S S t../ r' r—,Q!/qPit,1 it , Service Included Ilems Cost(ea) Sum Gity/State/Zip T CI7 ' 4a. Residential-per unt ( II 4_LLL/ 2 nn nn 1000 so II or lone _— $110 00 y Name (or name of business)_ M 11 2k 1'17 r!r1 E� Each additionalhereof 0U eq Ir or ""�� portion thereof 625.00 t Commerciaf,lE.t Residential Limited Energy $2500 Fach Msnurd glome or Modular 2 ill(1 Dwelling Service or Feoowr we 00 23. Contractor Installation only: 4h. Services or Feedrrs Irutrtllahon,alteration,or rcloceuon 2 Electrical Contractnr_ 200 amps or less SBO 00 2 Address — 201 amps to 400 amps $80 00 2 401 amps to 600 amps $12000 City _ State Zip 601 amps to 1000 amps $1 so 00 2 Phone No. Over 1000 amps or volts $34000 2 Contractor's License No. — Reconnect only $5000 Contractor's Board Reg. No. _ 4c. Temporary Services or Feeders Installation alloralion,or relocation 2 Sig,iature of Supr. E_lec'n 200 amps or lase $5000 2 .icense No Phone No. 201 amps to 400 amps $7500 2 - 401 amps to 600 amps $10000 Over 600 amps to 1000 volts 2b. For owner Installations: n sea W above Print � wner's Name r��2 F[ ��✓7 LII EfZ 4d.Branch Cfrcuft� Nmw,altarauon or extension per panel Address w { C= n)`he lee for branch circuits with (.I State fJ Zip pweheee of aarvice or Mader A"r 2 ry— — P Etch branch circuit $500 Phone No. L 9 Lf _ (-z b)The fee for branch circuits without The installaiion is being made on property I own which is Purchase of servke or Moder fee 2 Erre'branch not intended for sale, lease or rent. additional circuit _— Ess o0 2 3 S Each additionall branch circuit I $5 On r wrlor's Signature (o' `s- v'�" – 4e. Miscallonaous (Service or feeder not included) 2 3. Plan ReV,'ew section (I/ regvirv: Q r h pump or irrigation circle $4000 2 ch sign or outline Lghling $4000 final cirrus(s)or a limned energy 2 Please check appropriate item ani•onto, fee In section SB. panel,alteration or extension $40 00 4 or moto residential units in one structure Minor Labels(10) $10000 _ Service and feeaer 225 amps or more Svstem over 600 volts nominal 41. ERch additional inspection over Classified area or structure containing special o.cupancy the allowable in any of the above as described in N E.C Chapter 5 Per Irtspeclion Per hour E5 nn in Plant Ess no Submit 2 sets of plans with application where any of the above —� apply. Not required for temporary construction services. 5. Fees: 7' ` NOTICE Ss. Enter total of above feesS �/�C z 5%Surcharge(05 X total tees) $ -- -� PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OP WORK IS SUSPENDED OR ABANDONED FOR Flan Review if required(Sec.3) _ A PERIOD OF 180 DAYS AT mNY TIME AFTER WORK IS Subtotal $ =6 COMMENCED 0 Trust Account x $ Pa!atice Clue $ .��T.� CJS— Sig S e- -'v r� esidelntia�� ilding Permit App—lig—all—ion Cit} of Tigard 13125 SW Hall Blvdl � Tigard, OR 97223 � (P (503) 639-4171 Jobsite Address: 1 13 3 > S`� �►"`��a� c e P (e.� P 2 V Office use Only 7 Subdivision: �' et.e S_,__ g Lot# �_ _ Pianck/Rec# �7— iii-dFUGyL Valuation: `fSnfi�� „ j` � '- Permit # - Corner Lot? Y N ,Reissue of— Flag Lot? Y N ) i U 3 Map & TL# Owner. M ark 15 e.,I vti e(' — Approvals Required Address: } 3 S S A"�`' `e I Planning Engineering Phone: (o b 93 L Other _ A)L-4— contractor: - - Items Re.,;;;!!td Ii 'Y y ddress: -- — Subcontractors .-------- 'rniss Cetaiis Phone: Other —- — --- — Contractor's License (attach copy of current Oregon license) Contact Name & Phone1_ - ----- Subcontractors: Architect/Engineer: — --- — Plumbingir' ► _ Address: Mechanical — — - — (attach copy of current OR Contractor':; license) phone: JOB DESCRIPTION: �(SD r i� Se cam,. Floor ;A4 V(___ Applicant Signature S Phone number Received by: ►.� Date Received: Permit# Account Description Amount Amt. Pd. 331, n1. �I 5 r -Uva Bldg. Permit (BUILD) Plumb. Permit (PLUMB) _ Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: / L- Plan Check (PLANCK) ---"- Bldg: Plumb: Mech: Sower Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TiF (TIF-0) Water Quality (WQUAL) Water quantity (WQUANT) Fire Life Safety (FL.S) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) _ Erosion Plarick/COT (EROSN) i TOTALS: L- / � Address: l `3 �5 1 C^ ZII � isqtrd 1w: Date:- � Statement: Information Notice to Property Owners About Construction Responsibilities (Vote: Oregon Law, ORS 701.055(4), requires residen:ial construction permit app:i- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential build;ng, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This.statement wili be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: completed 1. I own, reside m,or will reside in the p leted structure. VO j 2. I understand that I must register as a construction contractor if the structure is Sold or offered for sale before or upon completion. L� 3A. My general contractor is ————— LJ (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work.on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construt-tion Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the abo•Je information is correct and that I have read and do understand the Information flotice to Property Owners about Construction Responsibiiities on the reverse side of this form. ' (Signature of permit applicant) (Date) (White copy to issuing agency petmitfilr. pink copy to applicant) - i i SEE 35MM, ROLL #20 FOR. OVERSIZED DOCUMENT CITY O TIGARD MEC:HANICAL DEVELOPMENT SERVICESPERMIT PERMIT #. . . . . . . : MEC98-0111.4 13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.417' DATE I SSU:D: 01/ 12/98 PARCEL.: 2S 103DB- 06200' SITE ADDRESS. . . : 11335 SW AMBTANCE PL SUBDIVISION. . . . : GENESIS NO. 2 ZONING: R--4. 5 BI...00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :024 JURISDICTION: TIG CLASS OF-WORN. . :ALT'- _ __-_-- FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-- - ----------- 0- HP. . . . : 0 DOMES. I NC I N: 0 :GAS 3-1=1 HP. . . . : 0 COMML. 1 NC I N: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPEFS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS--------------•- AIR HANDLING UNITS OTHER UNITS. : 1 FURN ( 1 Q1OK BTH: 0 (= 1.0000 cf m: 0 GAS OUTLETS. - 2 FURN )='.001', BTFI- 0 > 10000.1 cfm : 0 Remarks : Baloe- -• add gas fireplace and gas line. FEES MAR", AND RoXANN BALMER - type amol.tnt by date recpt J I ?,5 SW AMBIANCE F'L F'RMT $ �,F. 00 .JSD 01 /12/98 98--302435 I ',.CARD OR 97224 5PCT Y 1. 25 JSD 01/ 12/98 98-302435 . 19hnne #: 684-53:"6 Contractor: --- --__.____________..---------•----..-- T & K MECHANICAL TIMOTHY S WYNNE ----------•--.----------------------__.___. . 15555 SW 76TH AVE f c6. c:5 TOTAL SEOVERTON OR 97005 Phone #- 626-465 Req #. . : 001211 --------- REfJUIREU TNSF'ECTIONS -------- If is perait is issued subject tc the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will he done vi accordance with Final Inspection approved plans. This perait will expire if work is not started _- within 180 days of issua•ice, or if work is suspended for oore -- than t9@ days. ATTFNTI'JN: Oregon law requires you to follow rules ------- adopted by the Oregon utility Notification Center. Those rules are - set forth in OAR 952-801-0010 through LIAR 952-001-0080. you lay -- obtain copies of these rules or direct questions to UK by calling -- _�— +'iA.T1?46-9187. _.-- -- - - i Tsslle By: __. _ / `. _ Permittee SignatUre:__- +++++++++++4•++++++++-�-•t-++++++++++++++++++++++++++++++++++++++ r++++++++++++++++++ Call 639-417E by 7: 00 p. m. for inspections needed the next business day ++++++++++++++++++++-1-+f.+++++++++++++++++++4+++++•r+++++++++++++++++++++++++4 4++-+ 12'OA-A6 ].1:01 F- V-5,13 684 7297 CITY OF TIGARD Q UO2/002 Plan cnft►cx x CITY OF TIGARD Mechanical Permit Application Rec'ty By 13135 SW HALL BLVD. Commercial and Residential Date Reed TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Due to DST__________ Print or Type Permit* cued Incomplete or illegible applic_a ons will not be accepted I(� Ni a OOvelOpmOnUPrp�eq �' bescripi^n Table 1A Mechanlcsl Code v QTY PRICE ANT Job Street Amiesa Sunty A) Permit Fee t0.00 Address 131a 5 P Imbi c _t'� _ 81 ,unplemar:rl oem,n tail 3.00 1 Name(or name 1.) Furnace to 100.000 FITU Owner incl duct,b vents 6.00 M611ny AOdrQ;i - _- - -- 2) Fumare 100.000 BTU 7"50 _ 7-,L5 S LO_sic A-m6 t Ot f1CS, p l incl.ducts 6 vents istaa i i 3) Floor Furnace 6.00 Inc) vent Nsny%u me of buninew 1 A.) Suspended heaterwait neater --- 8,00 or floor mounted heater Occupant Madr,p Adores6 - _-`- _ 5.) Vent mot incl.in __. 3.00 apptianc_a permit L Crtyrstwe- T- -ZIP 'onona 8.) Bahr fir comp,heat pumo.air cwtd, 6.00 to 3 1iP,absorp unit to t00K Name �. BTU or come, heat pump,air oon0, 11.00 3.15 HP:absorp unit to 500K 9TU GontMetor Maung Address 8) Bailer or Comp,heat pump,air Coed. 15.00 15-30 HP;absorp unit.5-1 mil STU (Prior t0 LX.V1510e =,p Pndne n) Bolter or remp.heat pump,air Coad. 22.50 wv,arce a copy tJ 14011 (o�lo-�/Gs 30.50 HP:absorp unit 1-1.75 mil BTU of all boansea an, rsgan Com It(.mi ane"UC a 171p (Dune t n,) Builyr or cetT+A heat u "'�""'� " -/7-9 rp P mp,air Cond. 37.50 __ ,0�,:•, ,y� unit 1.,5 t-nil BTU expred in C.0 T `OT Fl%p "Tax re Metra A Axa este 1',) i it hdner•tq unit to 4 50 data burse ArCI11tRC1� IaEima - --- 12.) Air handling unit --" - 7,50 10.000 CTM* or Mauing AeeMIS - - - 13.) Non portable - - --- 4.50 evaporate cooler Ert,gino�er Cityfsoata - -iiv rnone ' -- 14 Vent fan conneaed - 3.00 - _ -- -_ - -_ - to a single duct Desuibs w,,r New O Addition 0 Altetaao Repair 6 15.) V enblatlon system not 4.50 to be duce Residential U Nor)-nilisidentiAt C _ included in appllsrb;e permit Addl al motion of worts 16.) Hood served by mschanicml exhaust 4,50 A cid New F;e*pisco. xvud am- t-i4e , & I Ir_ t(.x�utr!_ pi 7) _Dorneatic incinerators _ 7.90 istin i us!of 18) Commenyal or Industrialtype - 30.00 tudding or prvpertY.-_--S _ - _-- incinerator 10.) Repair units 4,50 Proposed use of 5>r 20) Weodstave -- 4,50 building or property - _ __ .,T . fryer,etc. -- - - 4.50 Type of feet-out O naturst gas lPG O eletYrtc O _ 22. Other ur itt - (. r(P - 4,50 , Sea I hereby acknowledge that I have read this applicati,-1,that the 23) Gas piping one to four outlets 2.00 information given IS correLt that I am the owner or autt,nrized agent of a OI•� the nwner,t n ubmttted are Compliance with Ot.3un State 24) More than 4-per outlet (each) .50 laws. ` 9 Signature of Ow+ (Agent rate -'� - a -,SU- TOTAL. -I �- /�/ •�� 'SUBTOTAL Cnntact Pease arae Phone 5%SURCHARGE WEAN RFVIEIAf 25%OF SU TOTAL rift stlrrtnchprnt dos (rev 7x96) •M?nimurrt perm-04W-is$25+A surcharge CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- --- BLIP 4/ 153(? ._Date Fequested '51"C� 0 AM PIV _h BLD _ Location dnr[ Q/)'l _ �� Suite _ (ME c = _ Contact Person Ph - `J 3 PLM Contractor Ph SWIR — BUILDING Tenant/Owner ELC (Retainingning Wall ELIR Footing Access: iroundation �.Q �� FPS -- ---- - Fig Drain -- SGN s: Crawl Drain Inspection ote — — — Slab --- - - - _ SIT -_ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - ---- ----------- ------ Firewall -- Fire Sprinkler Fire Alarm C Susp'd Ceiling - -- - --- -- ----- - --— — - - Rcof Misc: --- -_ - -- - - Final — ---- PASS PART FAIL -. ----- ----___. -._-- - -- PLUMBING Post&Beam -- --- ------ - - Under Slab TopOut --_-___-----_---- - ---- ------------ ----------_ Water Service _ Sanitary Sewer Rain Drains Final - - --- PASS P FAIL Post&Beam - - -- - -- ---- - - - —--— Rough In Gas Line cko- --- Damper' 1 Final -- -_..._._.._-- -----_---------- -- - ---------- -----_-- SS PART FAIL ELECTRICAL ------ - — ------------- - - ---_ Service ----- ----..- ---__-__- --- - ----- ---------------- Rough In -! UG/Slab - --- ----- -- ------- ---- --- __._ -.-_ Low Voltage Fire Alarm ---- ---- ------- - - -- ------.-_`- Final PASS PART FAIL - - ----- --- -- --- ------ -- -SITE Backfill/Crading -.- ___ -_--- - --------- ------ -.----- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -- -.required before next inspection, Pay at City Hall, 13125 SW Hall Blvd %atch Basin Fire Supply Line [ ]Please caul for reinspection RE' -- [ ]Unable to inspect no access AOA Aparoach/Sidewalk Other Date ��_'__�-_---- Inspectnr Ext -� Final ~+ PASS PART FAIL 00 NOT REMOVE this inspection record from the job safe. CITY OF TIGARD MASTER PERMIT 14 DEVELOPMENT SERVICES DATES UIED: 11S 0/99999-00374 AWAMM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) ' lI� /4C SITE ADDRESS: 11335 SW AMBIANCE PL PARCEL: 2S103DB-06200 SUBDIVISION: GENESIS NO. 2 'ZONING: R-4.5 BLOB :: LOT:(124 JURISDICTION: TIG REMARKS: Add master bedroom/closet and bath remodel. 450 sq ft BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALD HEIGHT: FIRST- at BASEMENT: of LEFT: SMOKE DETECTORS: y TYPE OF USE: SF BOOR LOAD: 40 SECOND: 450 of GARAGE: of FRONT: PARKING SPACES: TYPE OF CONBT: 5N DWELLING UNIT&: t FINSSMENT: of RIGHT: OCCUPANCY ORP: R3 BORM: 1 BATH: t TOTAL: if VALUE: S 31,938.50 REAR: PLUMBING SINKS: WATER CLOSETS: + WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: y LAVA I DRIES: 2 DISHWASHERS: FLOOR DRAIVS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERB: 1 GARBAGE DISP: WATER HEATERS: WATER LINES: BUKFLW P"VHTR: GREASE TRAPS: MECHANIC AL OTHER FIXTURES: FUEL TYPES FURN c 100K: BOILICMP<3HP: VENT FANS: CLOTHES DRYER: FURN>000K: I INET HEATERS: HUODS: OTHER L -S. MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FFonER TEMP IRVCIFEEDERS DRANCH CIRCUITS MISCE!LANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 9o0 amp: WISVC OR FDR: 1 PUMPORRIGATION: PE't INSPECTION EA AUD'L 800SF: 201 400.Imp: 201 400 amp: tat WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 4111 -b00 amp: 431 -800 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HIAISVCfFDR: 801 1000 amp: 801+rmpo-1000v: MINOR LABEL: 1000+amp/volt: Reconnect only: PLAN REVIEW SECTION >H RES UNITS: SVC/FDR>-225 A.: +*(.0 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIA AUDIO S STEREO: VACUUM SYSTEM: A DIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: MVAC: JATAITEI.E COMM: NURSE CALLS: TOTAL 0 SYSTEMj: owner: Contractor: TOTAL FEES: $ 689.86 MARK HAI MEP. OWNER This permit is subject to the regulations contained in the 11335 SW AMBIANCE PLACE OWNER RESPONS FORM SIGNED Tigard Municipal Code,State of OR. Specialty Codes and TIGARD,OR 97223 all other applicable laws. All wcrk will be done in accordance with approved plans. This permit will expire if wnrk is not started within 180 days of issl-lance,or if the work is suspended for more than 180 c+iyg. ATTENTION. Phore: •hr me: Oregon law requires you to folk,w rule' adopted by the Onsgon Util.ty Notification Csnter. Those rules are set Reg 0: forth in OAR 952-001-nolo through 952-001.0080 You may ebtair copies of these rules or direct gjestions to OUNC by calling(503)246-1987 REQUIRED INSPEc(IONS PLM/Underfloor Insulation Insp Final Ingpecticn Plumb Top Out Rain drain Insp Electrical Service Water Line irlsp Electric F(Qugb-In Electrical Final Ff Ing Insp `� Plums Final sued B � �— =�- �/- y Perr,;;ttee SlgnAture \'�___ Call (503) 639-4115 by 7:00 p.m. for an I:Ispection needed the next business day Permit#: r1?�T� g94_QO3�y _ Address: ✓3S SW �,ir/,Q/AAIL'�E 409CF Issued by: Date. Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, URS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required frr residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. TH.-. statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B: 1. I own, reside in, )r will reside in the completed structure. 2. I understand that I must register as a construc'Lion contractor if the structure is sold or offered for sale before or upon completion. 1 A. My general contractor is LJ (Jame) Contractor regis. # I will instruct my general contractor that fill subcontractors who work on the, structure must be registered with the Construction Contractors Board. OR 3E. 1 will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Constru,tion Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above info:mation is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse st,de of this form. (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) �.. Plan Check# �r (IGAKD Residential Building Fermit Application Recd By��_ 125 SW HALL BLVD. Additions or Aiierations Date Recd TIGARD, OR 97223 Single Fancily Detached or Attached (Duplex) Date tn P E V 503-639-4171 Date to DST , F 503-684-7297 °�� Permit#/K`�/ -0 Print t or'i YpP Called_�� Incomplete or illegible applications will not be accepted Name of Project Name .lob hlAS( "P e('kadi%A Ai4i ., —� — - — Site Address Architect Mailing Address Address 5+.i /I�,L ' P1. "� "��' City/State Zip Phone Name 0%r �, . Ei I e r __` Name rr i Owner MallingAddroas L Te-r- A1! e" F• v G ) 1 7 � 5t../ �6Lt�iQwiC► f 11. ? Engineer Mailing Address city/State ZIP hone 1 y, A J e Ti_ � � - 2. GAN' � < f . City/State Zip Phone General Name 1"p (. ow r-uS c . `„�7p Z'_�- 79� Contractor W F _ DescriL,!work New O Addition* Alteration O Repair O Mailing Address - tc be done Prior to permit Additional Desrription of Work: issuance,a copy City/StateY Zip PhonelG of all licenser are required it Oregon Const Cont. Board Exp.Date r• / expired in CCT Lic# [rROJECT JALUATION 7�V database ---- - --- Mechanical Name -------� ---_-- IVEW CONSTRUCTION ONLY: SUb- Sq.Vt.-4;-Us—e: , Sq. Ft. Garage Mallin Address ContractAr 9 Prior to permit Indicate the restricted energy installation by the electrical _ -- -- -- subcontractur in the followin areas issuance a copy CityiState Zip Phone of all I;censes Restricted Audio/Ste!:::] are required if Oregon Crnist Cont.Board Exp Date Energy stem _ Alarms -_ expired in COT Lic.# Inslallaiions Vacuum Irrigation _database �- _ _ _ System -_� System PlurnbingName (check all that Other: Sub- ��y,.i .f � ;,. -aPpIY) - - -- Contractor Mailing Address - — Corner Lot Yi NO Flag Lot YES NO (check one) (check one, __ Has the Subdivision Plat recorded? lJ/A YES NO Prior to permit City/State — Zip Phone issuance,a copy of all licenses are Oregon Const.Cont Heard Fxp Date - - - - required if Lic# expired in COTI hearhy acknowledge that I have read this application,that the database Plumbing Lir # Exp Date — information given is correct,that I am the owner or authorized agent I of the owner,and that plans submitted are in compliance with Oregon State laws. _-_- tlarne �— W -�^ -- Signator f er/in Dat�- q Electrical -j•'� ----- Sub- Mailing Address - --- Contact Person Narne Phone# Contractor —M -_- City/State Zip Phcne J-- 6 13 -)17 1 Prior M per Tilt issuance,a copy _ FOR OFFICE USE ONLY: _ of all licenses are Orego-i Const. Cc.it Board Exp Date - - required If Lic# PI y'} c� V a�?v G, expired in COT _ _ -1- - --- S/U database Electrical Lic # Exp. Date Setbacks: Zon Sorer 919 Electrical SSupervib-i t is#�- Exp Date Engineering Approval; Planning Approvnl: TIF: 3 I\dsts\forms\sfaddalt.doc t 1/20/98 4 _1_ I SEE 35MM ROLL 2 0 r FOR OVERSIZE..D DOCUMENT 7 � 4 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00123 13125 SW Hall Blvd., Tigard, OR 91223 (503) 639-4171 DATE ISSUED: 04/11/2000 SITE ADDRESS: 11335 SW AMBIANCE- PL PARCEL: 2S 03DB-06200 SUBDIVISION: GENESIS NO. 2 ZONING: R-4.5 BLOCK_ i LOT: 024 .JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ _FUEL TYPES 0 - 3 HP: — DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: --AIR HANDLING UNITS CLO DRYERS: FURN >-100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install gas stove to existing gas piping n single family dwelling. Owner: — —._—.--- -- -- FEES_ _ MARK BHLMER Type By Date Amount Receipt 11335 SW AMBIANCE PLACE TIGARD, OR 97223 PRMT KJP 04/11/20( $50.00 0001342 5PCT KJP i 04/11/20C $4.00 0001342 Phone:503-6R4-5356 Total $54.00 Contractor: LUDEMANSINC 12675 S1N CANYON RD BEAVE RTON, OR 97006 REQUIRED INSPECTIONS Gas Line Insp Phone:503.646-6409 Mechanical Insp Reg #:LIC 51469 Final Inspection ORIGIONAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and 211 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through R 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 91� . Issue By: � -�Q/l�,.r �-,�� I-ermittee Signature, Call (503) 639-4115 by 7:00 P M. for inspections needed the next business day 10 (11'99 IRI 15 YL' 1:.11 ',03 5911 19GO C1'PY OF TIGARI) CITY OF TIGARD Mechanical Permit AF lication Plan Check 171d"16 SWI HALL BLVD. cd Hy _ Commercial and PPsi Recd ---- TIGARD, OR 97223 cote Rccd (503) 639-41'11, x3041 ►� Date to P E 0� i 3-1z. Date to DST Print or Type Permit a Incomplete or ille ible a plications will no: bo accented halted -- Descrgrkion �" ^P`, - -_ Table 1A Mechanical Code ----- at Prince Aml Job $belt�►ddna PI• A Permit Fee 1-Fi 00 Addrr�E 1 3 ''j �,w �� ra�CP 1) Furnace 10 160,000 BTU aides CAy/91ate zip including duds d,vents sea 00thfite 1,2 9.65 7 T) Fumace 100,000 BTU+ r1 c. Z 2 irv�ud' duds R vents see footnote 1.22 _ 17 nr) NAM(a regime a a,rarn s! 13) Floor Furnace' Owner ��cl< ft t�� 't"'► inGudin.vent _ see footnote 1,2 965 M6111mo Address �) Suspends,-1 heater,wall healer C, or floor mounted heater see footnote 1,2 _9.65 r?k 5 Vent not mduded m a trance rmd Gsy/StNe Ip Pt:one —' ��5 Check alt that apply. •Boller Heat Air For:;.ems 6.10,sus or Pump Cond Clly Price Amt -_ -__. ._ Noma Ic rranre d twraEnlesl-- footnotes 1,2 _ or .. l 814'HP;ebsorb unit to - Occupant 100K BTU 9.65 4/aurg Aedrlss 7)3-1lS Hf;absorb unit 100k to 500k BTU 17 65 C hamar" LP Piwnr• 8)15-30 HP.absorb _ — __ unit.5-1 mil BTU 24 15 �OrIGaCtbr Name — 9)3460 HP;absorb ., unit 1-1.75 mil BTU - - -1 10)>5OHP;absorb and Prior to 36 permit Maikil;Address >1,75 mil BTU hsuance,a copy r— ^ 11 Air handbn unit to 10,000 CFM i t 5 K k �, of aA licenses Csy/S1Ma Pitons are rwqukrxl if 700 expired in COT a 12)Aar h•r,ating urnt 10,OM CFM. — egan Sonst.om 1 Board a p�dl database C 13)Ia/tZ 11.85 rc Ahitect Mame G U Non-ponable evaporate cooler - __ 7.00 14)Vent Pan corxreded M a—single d•�d � -- k)r AAasuep AdMue —'— -- 475 15)VentitaGon ssystem not tndti cif 1-n — Engineer — appliance peen nil 18)Hood seared by mechanical axhauat --- 7.00— -_—__- _ i Describe work to be done ---- -- 7.0u 171 Domestic irrcineralors New& Repair O Replace with We kind Yet O No O le)mpe inciner U-ommerdul%)r industrial -- 12.00 Residential Y Commercial 0 tyator 48 25 19)R!pair unite � �— -- Alditiorul hkfcrmatron or desaiptior,o!wrxk---- __ B.40 20)Wood stove/gas FP/nther unNs/ctothe dryer%etc — / 7.00 NLgr--, Fur Commercial"tds ony,Unds ewer 400 R,s require 21)Gas plping one to four outlets stneclural gas calcs _ See footnote 1 3 75 aL type of fuer oil C natural gas&I-e- LPG O } p -— -- 22)Moro than 4ter outlet(et:h)- — 75 --- MltMmum Ps__ ernil FeaFer 150.09 SUBTGTAL 1 hereby' r that I have read Nits application,that the Irnformatan _ 691 SURCFVIRGE gntn is ane ,1#1 I a or aulhor¢ed agent e1 PLAN REVt11W 25—OF SUBTOTAL , the ow�ier, at ans s ?�mpNarce with n ate laws Required for ALL coni_mert:Ial permits on TOTAL Signa of OwnerlA t pis _ Other Inspechons and - LLci eAy7cs r? ' 1/0 1. Inspuctions outside of normal business hours(mininuni rhamr_-two Contact Person Name Rhona hours? $60.00 per hour 2. Inspections for which no fee Is specifically indicated (minimum _ charge-'calf hour) $50.00 per hour Foonotee for commercial projects only: - 3. Additional plan review required by changes,additions or revisions to 1 ProvAe full"-mah-of existing and proposed gas cine sod pressure plans(minlmum charge-one-half hou•)$50.00 per hour 7 PmAde drawings to scalb thawing existing and proposed mechanical _._r_'^it8- 'Stale Contractor Boifcr Certification required ---- "Residential A/C requires site plan thawing plzcr.menl of ver I Vnect?perm doc rev 7/19199 CITY OF TIGARD BUII DING INSPECTION DIVISION MST /V I_ eO- 2141 24-Hot.ir In.,pection Line: 63, 75 Business Line: 639-4 BUP Date Requested_z "�� AM PM gLD Location / ! 3:35- ( yn -�- Suite L-- MEC Contact Person -�yYl/ Ph !a --5-3 55 - PLM Contractor I• 3p��j S'3 Lj SWR —_— - BUILDING Tenant/Owner -% ELC — Retaining Wall Footing ELR - Foundation 111��cess) FPS Ftg Drain �---'` Crawl Drain Ins, ection Notes: - Slab SIT Post&learn - Ext Shea,h!Shear ,, ed l �•� Int Sheat'i/Shear / — Framing Insulation — —_----._.._._-----_-.- Lrywall Nailing Firewall Fire Sprinkler Fire Alarm ----- - - - - Sugp'd Ceiling Roof - ---- - - - MIsC: Final --------- PASS PART FAIL -------- -- -- -- --- - --- - -- PLUMBING Post&Beam -- -- ---�-- Under Slab Top Out --- -- ---- - - Water Service Sanitary Sewer ----- ---Rain Grains Fina! --------. � � --- -- - PASS PART FAIL MECHANICAL --- --- —— - Post& Beam -- - - --- - — —.-- - Rough In Gas line - - _.- Srnoke Dampers — Fhol _._..- -- - PASS PART FAIL ELECTRICAL Service ------------ Rough In - ---- UG/Slab Low Voltage, Fire Aiarm --- - --- Irlei ------- - _ rPART !-All Backfill/Gradiny --- ---- - -- ---- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspec+lon RE:- -_ i j Unable to inspect-no 3Ccess ADA Approach/Sidewalk Date Other - ------- .-�/�--�1 -Irlsper.tor ,CcC.��G7 1 _Ext _- Final 1� PASS—PART FAIL J 00 NOT REMOVE this inspection record from the job site.