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13527 SSV ASHBURY LANE
CITY OF TIOARD BUILDING INSPECTION DIVISION � p
ST q0.-Q�
24-Hour Inspection Line: 639-4175 Business Line: 639-4111
BLIP
Date Requested_ AM ) —PM _ _ _ BLD _
Locat onl 7� �� _ �_i j_ Suite MEC __-
1 � Ph /� Z�- PLM
Contact Person --
Contractor -__ _ _- �dCr � Ph �� SWR ---- _ -.-
ELC
g1�TLply-G�� Tenant/Own r - -_
Retaining Wall ELR
Footing r i'xcess. ) / 1 FPS
Foundation // i _=�� �
Fog Drain G SGN
Crawl Drain Inspection. Notes:
Slab --- - --- ---- SIT ---
Post&Beam 4 r; �T
Ext Sheath/Shear Q �j--/y --
L
She Shear
ltmron l
Drywall Nailing ----- - —--- "-- - -
Firewall
Fire Sprinkler - —
Fire Alarm
Susp'd Ceiling - - --- ---- ----- -- -- --. -- -._ _- ——.—
Roof
Misc: ----- - ---- -- - .—_-----.. --_ -- -- -
irk�a-
S PART FAIL - —
P BING
Post& Beam
Under Slab —---- -- --
Top Out
Water Service -- ._— --- ---- - --- �.
Sanitary Sewer
Rain Drains — ,--
Final
PASS PART FAIL ------ -- �-
MECHANICAL
Post$ Dearn --
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 — -----
EackfilllGrading -- ---------- - ------ -- -
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk 7 '� IrrspecIor _--Ext Other —
Final
PASS PART FAIL DO NOT REMOVE this inspection rrecore, from the job site.
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT 11. . . . . . . MST98-0171
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE I SSLJE�D: 0`�/1'►
/1 /98
PARCEL: 1.71.33CD-03700
SITE ADDRESS. . . : 13527 SW ASIABURY LN
SLIBD I V I S I ON. . . . :COTSWPI-D MEADOWS ZONING: R-25
ET1-.00K. . . . . . . . . . 1_01•. . . . . . . . . . . . . :O,35 .TIJRISDICTION: TIG
Remarks: Replace damaged exterior siding, end replace existing window for a single family dwelling.
---------------------------------------------------------------- BUILDING ---------------------------------—---------------------------------
RE I SSUE:
-------------------------------------------------------------
REISSIUE: STORIES.......: 0 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------- --- --
CLASS OF WOW.:ALT HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE ..:SF FLOOR LOAD....: 0 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:SN DWELLING UNITS: 1 FINP.SMENT: 0 Sf RIGHT.........: 8
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL-----••: 0 sf VALUE..f: 1225 REAR..........: 0
- --------- ----------- _ ------------- PLUMBING --------------
SINKS.........:
-------------SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES...... 0 DIS4A5IERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH B(1SIN5..: 0
TUB/SHOWERS...: 0 FiARBAGE DISP.. : 0 WATER, HEATERS.: 0 WATER LINE ft: 0 KKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--..-------------------------------------------------------- MECHANICAL ------------------------------------ •-------------- ------
FUEL TYPES----------- FURN ( INK ..: @ BOIL!CMP ( 3HP: 0 VEN1 FANS.....: 8 CLOTHES DRYERS: 0
FURN )=188K ..: 0 UNIT HEATERS..: @ HO(IDS. 8 OTHER UNITS...: @
W4 INP.: 0 BTU FLOOR FURNACES: @ VENTS.........: 0 WOODSTOVES....s 8 GAS OUTLETS...: 0
-- ELECTRICAL ----------------------------------- -..-------------------
- RESIDENTIAL- UNIT--- ---SERVICE/FEEDER----- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -- -MISCELLANEOUS-- --ADD'L INSPECIIUNS--
1000 9F OR LESS: 0 0 - 200 asp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5@@SF, : 0 201 - 408 asp..: 0 201 400 amp..: 0 1st W/O SVS/FDR: @ SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 4@1 - 600 amp..: 0 401 608 asp..: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL...: 0 1N PLANT....... 0
MW HM/SVC/FDR: 0 60) - 1@00 amp.: 0 6@1+asps-1888 v: @ MINOR LABEL -1@: @
10@0+ amp/vo)t.. 0 ------------------------------------ PLAN REVIEW SECTION --- --- --------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) b9@ V NOMINAL.: CLS AREA/SPC OCC:.
_----------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------•-----
A. SF RE'31DENTIAL--------_.-_------------- B. COMMERCIAL---------------•---------------•------------------------ --_ -----------------
ALIDIO b STEREO.: VACUUM SYSTEM..: AUDIO L STEREO.: FIRE ALARM.....: INTERCL"/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE E�IW
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS.... : TOTAL A SYSTEMS: 0
Owner: •---------------------------------Contractor: ----------------------------- TOTAL FEES:$ 42.5@
JEIVJ R MTDD OWNER This permit is subject to the regulations contained in the
13521 A ASHBURY LANE Tioard Municipal Code, State of Ore. Specialty Codes and all
TIri'RD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phene 11: 59I�-9400 Phone @: not started within 180 days of issuance, nr if the work is
Reg 1 .: 888888 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--8814818 through OAR 952-@81-8880, You may obtain copies of these rules or
direct questions to OUN: by calling (503)246-1987.
-------------------------------- REQUIRED INSPEC)IOMS ------------------------------------------------- ----- -
Framing Insp -
Insulation Insp
Gyp Board Insp
Building Final
Issued By Permittee Signat i-ire :i��/L.
++•l -++++++J-+ +++++++++++++++++.4•• ....++t+4i+t++t+tt++•Fi++4.... .....-F.....4.+
Call 639-4175 by 7:00 Fi. m. for an inspection needed the next bl.tsiness day
L
Plan Check
CITY OF TIGARD Residential Building Permit application Recd By
'3125 '1M HALL BLVD. New Construction Additions or Alterations Date Recd - Z-'1 -
TIGARD; OR 97223 Single Family Detached or Pttached (Duplex) Date to P E. ;Z t'S
V 503••639-4171 Cate to DST
F 503-684-7297 _ �l;_ Permit# _!j
Print or Type Called-
Incomplete or illegible applications will not be accepted
-� Name of Project — Nama
Job �Vrw' LOV" .4 r
Architect Mailing Address
Address Si etd ress
/_A� Cihj tate ---- Phone
Name --
Owner Mailing Address
g
CryiSta�te
Engineer Mailing Add ss
Zi Phone
Genera! Name
City/state Zip Phone
Contractor New O ition Alteration O Rep
Describe work
air O
Mailing Address to be done: _
Prior to permit A�Igitional Description of ork: /
issuance,a copy City/State Zip Phone
of all licenses
are required if Oregon Const.Cont.Board Exp.Date PROJECT
expired in COT Lic.# 4_ _ —__ VALUATION
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Scl Ft. House. – Sq. Ft. Garage
Contractor Mailing Address _
Prior to permit Corner L.otC YES NO Flag of YES NO
' issuance,a copy City/State Phone (Check one) \ (cher one)
of all licenses _ Restricted Audio/Stereo Burglar
are required if Oregon Gdfist.Cont. Board Ex to ,.
expired in COT Lic.# Energy System Alarm_
database Installation r Garage Dor HVAC
Plumbing Name - — _ Opener Systems _
Sub- (check all that Other:
apply)
Contractor dAailing Address Will the electricals bcontractor ire for all YES NO
restricted energy in tailations _ _,
Prior to permit City/state Zi Phone Has the Subdivision lat rec rded7 N/A YES NO
issuance,a copy ��
of all licenses are Oregon Const.C Board Exp. Date �.
required if Lic.# Reissue of MST# Solar Compliance
expired in COT Ahat
(Calculation Attached)database Plumbing ic.# Exp.Date I hearby acknowledgee read this application,that the
information given is cI am the owner or authorized
Name ayent of the owner, ans submitted are in compliance
with Oregon State law
Electrical _ i iyn lure of Owne Wt,/ Dot
Sub- Mailing Address _�*�;' �'�� "
Contractor ntact Person Na ie e
city/state ;ip Phone iI _
Prior to permit FOR OFFICE/USE ONLY:
issuance, a copy f Plat#! - Map Ltl; -
of all licenses are Oregon Const.Co .Board ` Exp.Date — I j ?,3 -L'-?.;z,-C,
required ifLic# Setbacks: I Zone -, Solar:
expired in COT e J� _
database Electrical L c # E .Date �_��_
Engineering Approval: Planning Approval-.\ TIF
I SFREM DOC (DST) 4197
J
Permit#: A5h4—u/71
b_E_
Address: 13 2 7 Sw,454 `v L
m . Issued b r Date: —
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 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
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under DRS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313:
1. 1 own, reside in, or will reside in the completed structure.
F] 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
F1 -A. My general contractor is
(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
4U38. I will be my own general contractor.
If I hire subcontractors, 1 will hire only subcontractors registered with the Construction 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 information is correct and that 1 have read and do understand the Information
Notice to Property Owners about�Construction Responsibilities on the reverse side of this form.
Ae/17
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
information Notice to Property Owners
About Construction Responsibilities
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EMPLOYER i IE'SPONSIBILITIES.,
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OV 1EH RESPONSIBILITIES AND AREAS OF CONCERN:
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ill' 'Wi I , Plo—il�!I SUL 11 1- I'Lli L(i�j Wid. iMrlt •1VL1',I)l \N iW-t t\111) jAiV I)IML tl.!l VS, fire, or ot-L ill,ii mt l-,i be
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r the expertise to act w,Your own gel leral contractor,to morditiate the work,of m-nigh-in iltil finish
";t�! fW160i; At the atiptorti site firti"v)then iii-all ro?1fonilthe tvjlllr�-d itilroecliolls.
ated at 700 Stimint-i tit "yl. Sill1r, M), ill Safeco.16'.1 1 The B oard i t ic,