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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Linn: 639-4175 Business Line: 639-4171 -----
q BUP
—..�
Date Requested
Regque�stted/��, /(�/� I /9 / AM PM -- BLD
Location Q L' v .Scy (.*V rK.tj6„ --1 Suite MEC
Contact Person C� �gpi1C� Ph (p(44-(OlyI PLM
Contractor Ph SWR
BUILDING Tenant/Owner _ 5C'� i� /I� ELC i
Retaining Wall IELIR
Footing Access
Foundation FPS
Ftg Drain -
Crawl Drain I ect* (`I tes: SGN
Slab -� _ cr P SIT
- _ -----
Post&Beam / -
Ext Sheath/Shear
Int Sheath/Shear — --
Framing ;/ _::iZ- Q 6
Insulation
Drywall Nailing �cl?tri -f2m- di�Z.3rd
Firewall j j;j4t,`4 ' -- ----- - -----
Fire Sprinkles
Fire Alarm
Susp'd Ceiling _—
Roof
i n R—7
ka
PART FAILPLITM- BING -
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
Backfill/Grading - ---
Sanitary Sewer
Storm Drain ( j Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f 1 Please call for reinspection RF — -_ ( J Unable to inspect no access
ADA
Approach/Sidewalk
Other _ Date rid— 2/—� - Inspect,�r Ext _—
Final
PASS PART FAIL J DO NO-1 REMOVE this inspection record from the job site.
MASTER PERMIT
CITY OF
TIGARD
PERMIT#: MST1999-00345
DEVELOPMENT SERVICES DATE ISSUED: 10/12/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11800 SW CARMEN ST PARCEL: 2S10313D-02400
SUBDIVISION: CARMEN PARK ZONING: P.4.5
BLOCK: LOT: 007 JURISDICTION: URB
REMARKS: Slab for handicap lift. Inspec'. n accordance with approved plans.
BUILDING
REISSUE: STORIES: FLOOR AREAS R:QUIRED SETBACKS_ REQUIRED
CLASS OF WORK: OTR HEIGHT: FIRST: r" at BASEMENT: of LEFT: SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOADSECOND: at GARAGE: at FRONT PARKING SPACES
TYPE.OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT.
VALUE:
OCCUPANCY GRP: R3 BDRM: BATH. TOTAL: of REAR,
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
-
.n:CHANICAL
FUEL TYPES FURN<105K: BOILICMP<3HP: VENT FANS. CLOTHES DRYER.
FURN—100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP. btu FLOOR FURNANCES, VENTS: wVODSTOVES. GAS OUTLETS
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS_ ADD'L INSPECTIONS _
1000 SF OR LESS. 0 - 200 amp. 4 200 amp. WISVC OR FOR PUMPIIRRIGATIOW PER INSPECTION:
EA ADD'L 500SF: 201 400 amp: 201 - 400 amp. let WIO SVCIFDR. I SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY 401 600 amp. 401 600 amp'. EA ADDL SR CIR: SIGNALIPANEL: IN PLANT:
MANU HM/SVC/FDR. 601 • 1000 amp: 601-ampe•1000v: MINOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only:
—4 RES UNI T3: SVCIFDR>=225 A 600 V NOMINAL: CLS AREA/SPC OCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO R STEREO: VACUUM SYSTEM AUDIO&STEI FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM. OTH: BOILER. HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK. INSTRUMENTATION MEDICAL OTHR:
HVAC DATAITELE COM NURSE CALLS TOTAL 4 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 124.30
This permit is subject to the regulations contained in the
CLARK,OSCAR.H AND DELORIS K ACCESSIBILITY &ELEVATOR Tigard Municipal Code. State of OR Specialty Codes and
11800 SW CARMEN ST 8150 SW NIMBUS AVE#31D all other applicable laws All work will be dome in
TIGARD,OR 97223 BEAVERTON,OR 97008 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
INA L
Phot e Oregon law requires you to fallow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg 4, 1 I 11119Eo forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copiF—of these ruler or direct ques!ions to
OUNC by catling(503)246-1987
REQUIRED INSPECTIONS
Footing In.sp
Foundation hlsp
Final inspection
Issued By 61Mt`" _._ Permittee Signature
Call (503) 639-4175 by 7.00 p m. for an inspection needed the next bus,'ess day
Ci T Y OF TIGARD Residential Building Permit Application Plan Check# J� --!
13125 SW HALL BLVD. Alteration - Interior Only Recd By_-EAADate Recd�t7�-�•
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
V 503-639-4171 —
Datet: DST
F 563-684-7297 to-,-r— Permit#
Print or Type Called—
Incomplete or illegible applications will not be accepted
Name of Project Name
Job 0—:J4�t- C...t, MV, --
- — –
Address Site Address J - Architect Mailing Address
I r? UG' Sl l)(,t12y►�'l�' �T'
----• -- City/State Zig Phone
Name
Owner Mailing Address Name
City/State Zip Phone ',) Engineer Mailing Address
T%C. ew.4 U. 2 ``` L I 2 City/State Zip Phone
General Name
Contractor ��M �.t��SSt(31�tt'� �f�� Describe work New Addition Alteration Repair
Mailing Address to be done
Prior to permit �,(jc_ � N I rwii3U S A V FL Additional Description of Work:
issuance, a copy City/State ZIP Phone
of all I:censes r*Auhg-(CAJ r;t2 rI Z L^ U 1q1
are required if Oregon Const.Cont Board Exp.Date PROJECT
expired in COT Lic# 1 / VALUATION $ ��'
_ database
Mechanical Name – _ NEW CONSTRUCTION_ ONLY:
Sub- Sq. Ft, House: Sq Ft. Garage
Contractor Mailing Address _ �__�_____�_ -�
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy City/State 7_Ip Phone subcontractor ir,the followin areas
-� - � -.--
of all licenses Restricted Audio/Stereo
are required if Oregon Const.Cont Board Exp.Date Energy S stem Alarms
expired in COT Lic# Installations Vacuum Irrigation
database _ S stem_ System
Plumbing Name I (check all 'hat Other:
Sub- apples_ -----
Contractor Mailing Address -- - Corner Lot YE5 NO Flag Lot v YES NO
(check one) (check one)
- Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy — Solar Compliance - -
of all licenses are Oregon Const.Cont. doard Exp. Date (Calculation Attached)
required if Lic# I hearb acknowledge that I have read this application,that the
expired in COT Y 9 PP•
datat,ase 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 comp's-,rice with
O e on State taws
Name to _ to laws /Agent �- Date
Electrical C:+w-tst'�i11',tr
SUI)- Mailing Address C e Na P Phone#
Contractor `—fir , t L C, AiI I
I i � �L� �'t-� r'"I1)%')' -T(L '41=''n FOR OFFICE USE '.)NLY:
City/State Zip Phcne(�C•3) (Plat# _- Map/TL#:
Prior to permit
issuance,a copy �i�?,l'( 1 7 1� i 2'If I - ell L --
of all licenses are Oregon Const.Cont Board Exp.flats Setbacks Zone: Solar
required if Lic# _
expired in COT Engineering Approval: Planning Approval TIF
database Electrical Lic # Exp.Date
Electrical Supervisor Lic # x D to
i forms�sfintalt doc(DST) 10/23/95
OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJEOT: LAn� �`C �• -�" ___ ___ _.-
---- _ Z-►- f) Pz r�P� E-.,W 17-4 X0y t=f>
CLASS OF WORK: FLOOR AREAS: t EXTERIOR WALL CONSTRUCTION
TYPE OF USE: FIRST _ 3Q. FT N: S:____ E:_._ W..._
TZE 5
TYPE OF
CONSTR: SECOND SQ. FT PROTECT OPENINGS
OCCUPANCY GRI': 3 THIRD _— SQ. FT. N: _ S: E W
OCCUPANCY LOAD: — TOTAL SQ FT ROOF CONSTR: FIRE RET:
STOR:_ HT: _ FT: _,. BSMNT: SQ FT. AREA SEP. RATED.
BSMNT?: MEZZ? _ GARAGE: SQ. FT OCCU.SEP RATED:
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM DETECTOR ACCESS:
COMMERCIAL INSPECTION ACTIONS -_ FEE MENU
Post/Beam $ 6x)—Permit Fee
Masonry Framing $ 7;,2'p.Plan Review
Insulation Shear Wall $_ -�_ _8% State Surcharge
Firewall _ Gyp Board $_ FLS Plan Review
Suspended Ceiling Sprinkler Rough-in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS P'n
Smoke Detector _ Approach/Sidewalk $ Inspection
Miscellaneous 'F�in� $ MIS Fee
FOR OFFICE,USE ONLY:
TYPE OS USE OPTIONS(COM=commercial; CMS=commercial manufactur•-4 structure)
C. ASS OF WORK OPTIONS FOR ALL,PERMITS(NEW=new; Add=addit. ALT=alteration;ACS=accessory;FND-foundation;
OTR=other;DEM=demolition;REP=repair;FPS=fire protection system,NOTE: tJSE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS,CANOPIES)
I\ovrcntr2 doc (DST) 9'99
2. Fireplace chimneys may project into a required front, side or rear yard not more than three feet
provided the width or such yard is not reduced to less than three feet;
3. Open porches, decks or balconies not more than 36 inches in height and not covered by a roof or
canopy, may extend or project into a required rear or side yard provided such natural yard area is
not reduced to less than three feet and the deck is screened from abutting properties. Porches may
extend into a required front yard not more than 36 inches;
4. Unroofed landings and stairs may project into required front or rear yards only.
G. Lot area for flag lots.
I. The lot area for a flag lot shall comply with the lot area requirements of the applicable zoning
district;
2 3'he lot area shall be provided entirely within the building site area exclusive of any accessway
(sec figure following).
AREA NOT INCLUDED
IN LOT AREA
ISO A.R�E
F. Front yard determination. 'ihe owner or developer of a flag lot may determine the location of the
front yard, provided no side yard setback area is less than 10 feet and provided the requirements of
Section 18.730.010(:, Building Heights and Flag Lots, are satisfied.■
t ,,,;r.'t�T tfta� N6144- FOL oo✓�lstt +
Dec•laration: 1_ ,reside at _ !! SOD ecu CaaP ts,J
Tigard, Oregon 972z�,do by lrerebJ cer►ifp the work permitted under Tigard permit number
consists of an r►rr ofed landing, and n►at•under the provisions of Tigard
A!u►rCode,, ec tlo►r !8.730.050 prof t into requirrd fro►rt or rearyards.
ards.
S/_k V ruZ.ri tt- I S/ _fit.`
Printed Name Written Si n to c
Exceptions to Development Standards 18.730-7 11/26/98
Ii vwv� vn�rrurii., .v .� �� , i �„ Vlrvl nVLJ 1\/11vi1
I" x 2" x 11 GAUGE STEEL TUBE GUARD RAILS WITH 18 GA. GAL. PANELS
STANDARD EQUIPMENT:
AUTOMATIC ACCESS RAMP PLATFORM CONTROL SWITCH. (KEY ACTIVATED)
EMERGENCY STOP ON PLATFORM MANUAL LOWERING DEVICE
PLATFORM SAFETY PAN 42" HIGH PLATFORM GUARD RAILS
36" x 48" PLATFORM WITH NON-SLIP SURFACE LOW VOLTAGE CONTROLS (24 V)
ELECTRO-MECHANICAL BRAKE BALL SCREW DRIVE
INSTANT REVERSING MOTOR TAUPE COLOR POWDER COAT FINISH
3 V-BELT DRIVE SYSTEM WITH MONITORING DEVICE
OPTIONAL EQUIPMENT:
PADDLES CONTROLS AT LOWER LANDING
39" WIDE TOP LANDING GATE WITH VDR INTERLOCK
38" WIDE PLATFORM GATE WITH VUR INTERLOCK
3G"X60" PLATFORM WITH NON-SKID SURFACE
STRAIGHT THROUGH
TOWER BRACES
PIT SWITCH
ATTENDANT OPERATED PACKAGE (INCLUDES PLATFORM & TOP LANDING GATE, FASCIA
PANEL., GRAB RAIL, EMERGENCY STOP PLATFORM CONTROLS, & LOWER LANDING
CALL/SEND CONTROL)
PIT MOUNT
nL I tA.,
000
CITY OF TIGAPD
Approved....................
......................
Conditionally Approve -i I
For only thew rk ar ,
PERMIT NO._K� k?1J4
See letter 1u: Folie.
Attzcl,
Job Address- IlSoo Sri Lo,o¢ms„J
rfv. _ 9T -
T_1
PRODUCT:
PLS- 120 LH
P!ALER.
-�� iNDus`TRlES,INC. KLAU—MED
4001 East 138th Street CUSTOMER:
Grandview, MO 64030-2837 OSCAR CLARK
This drawing is the property of ACCESS JOB or P.O.#.
INDUSTRIES, INC, It is furnished only for 10208
informational purposes on o confidential
basis, and neither the drawing or iterns SCALE: DATE: ORDER NUMBER:
thereon are to be reproduced or used
in any manner not authorized in writing 1 "=16" 08/06/99 2S357815
by a corporate officer.
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