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IT IS DUE TO THE QUALITY OF THE ---- ---_ No.36
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12040 SW BUL:, MOUNTAIN ROAD .�
CITY OF TIGARD 294-Hour
BUILDING Inspection Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
0 L0 B'JP --
Received ----Date eque n ted AM 9 PM _ BLIP
1�
Location - ' —_Suite MEC
Contact Person Lo��f�C Ph ( 5d � ) 9 iz PLM --
Contractor_ �— Ph(----) . — SWR --
yL,t-� Tenant/Owner — —� — ELC —
Footing
Foundation Access: ELC
Fig Drain ELR
Crawl Drain
SlabInspection Notes: 7SIT
Post& Beam
Ghear Anchors -
Exi Sheath/Shear
Int;heath/Shear
Framing
Insulation
Drywall Nailing -- -- ---------
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - - - - - - - -
Roof -
Other:_ - -- -- -- -- ��/-- --
PART FAIL --� -- -- —
PostBBearn - -- -- -_--- ��'— _ ..---
Under Slab -------. __--- --- - - -- --
Rough-In — l
Water Service
Sanitary Sewer
Rain Drains -- --- - -- --
Catch Basin!Manhole
Storm Drain --- ---- -----.._..-- --- -- - — -
Shower Pan
Other: —- --- ----- - - ---- ---- -- -
PART FAIL_ -
CHAAMAL
Post& Beam -
Rough-in
Gas Line
S ke Darnpers - - ---- - - ------ - -- ----
tin
A S , PART FAIL -- ----_ __-- -- --_--_-____- -
enlrce
Rough-In
UG/Slab _--
Low Voltage -- --- - ----- - - ---
Fire A_larm ---------- _...-------------------
Pin n Reinspection fee of$ _-_required before next inspection. Pay at City Hall, 1319, CW Hall Blvd.
A S- PART FAIL
SI - _ Please call for reinspection RE. - �� Unable to inspect-no access
Fire ;apply Line
ADA G1'a�� (�� /
Approach/Sidewalk. Data__- - `- - Inspector_ l--- - Ext__--
Other:
Final DO NOT REMOVE this Inspection record front the fob site.
PASS PART FAIL
MASTER ERMIT
CIN OF TIGARD PERMIT #. . . . . . . . MST96-0 :93
COMMUNITY DEVELOPMENT DERARTMENT
DATE ISSUED: 06/19/96
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)530-4171
PARCEL: 2S110BC-01400
SITE ADDRE(3''_:). . . : 1.=:0140 SW i'[Jl_.I_ 11101JNTA I N RD
SUBDIVISION. . . . : ZONING: R•-4. 5
BLOCK. . . . . . . .. . . . LOT. . . . . . . . . . . . . .
Remarks: REMODEL AND ADDING 234 SQ FT TO EXISTING HOUSE REPAIRING FLOOD DAMAIiE IN BASEMENT
------------------------------------------------ ------------•--- BLIILDIN( --- ---------------------------------------------------------------
REISSM: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:ALT HEIGHT........: 16 FIRST....: 64 sf GARAGE.....: 0 sf LEFT.,........: 15 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: @ PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 Sf RIGHT..... ...: 0
OCCUPANCY GRP.;R3 BDRM: 2 BATH: 1 TOTAL------: 234 sf VALDE..$: 35000 REAR.......... 15
-------------------------------------------------------------- PI.LIMB IO:�
SINKS.........: 2 WATER CLOSETS.: 1 WASHING MACH..: 1 LAUNDRY TRAYS. : 1 RAIN DRAIN ft: 0 TRPPS......... : 0
LAVATORIES....; 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE. ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 1 W..RBAGE DISP..: 1 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 1 GREASE Tni1PS.. : 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL ------------------------------------—--------------
FUE1 TYPES---------- FURN ! 1017K ., ; 0 BOIL/CMG ( 3HP: @ VENT FANS.....; I CLOTHES DRYERS: 1
/GAS/ / / FURN )=:00K ..: 0 UNIT HEATERS..: 0 HOODS......... : 1 OTHER UNIT;...: 0
MAX INP.; 0 BTU FLOOR FURNACES: 0 VENTS.........: 4 WOODSTOVES....: 0 GAS OUTLETS... : 0
--------•------------------------------------------------------ ELECTRICAL ----------
--RESILrENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRV%/FEEDERS--- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS—
IM SF OR LESS: 1 @ - :'@@ amp..: 1 0 - 200 asp.. : 0 W/SVC OR FDR,. : 0 PUMP!IRRiGAIION: 0 PER INSPECTION: 0
EA ADD'L 5005F.: P 201 - 400 amp..: d 2@1 - 40@ aop..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR....,.: 0
LIMITED ENERGY.: 0 4@1 - 600 amp.. : 0 4@1 - 600 amp..: 0 Ek ADUL 9R CIR: 0 SIGNAL/PANEL... : 0 IN PLANT..,,,.; N
} MANF HM/SVL/FDh: 0 601 - 100121 amp.: @ 601+aeps-1000 Y: 0 MINOR LABEL -1@: @
1000+ amp/volt.: @ --- ------------------------------ PLAN REVIEW SECTION - -
Reconnect only.: 0 ;=4 RES UNITS..: 5Vi'/FDR)=c25 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------•--------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------—
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-------------------------------------------------------------------•-------
AUDIO 6 STEREO.: VACUUM SYSTEM..s AUDIO 4 STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT;
BURGLAR ALARM..: 0TH: ;s X BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROIECi1VE S16NL:
GARAGE OPENER.. : ,LOLK.......... : INSTRUMENTATION: MEDICAL....,.,.: OTHR:
HVAC........... . DATA/TELE COMM.: NURSE CALLS.,... TOTAL N SYSTEMS: @
Owner: -------- -----Contractor: - --------------- ------- TOTAL FEES:$ 711.31
NICHOLAS GARRETT ASHER TRADITIONAL HOMES
12.040 SW BULL MTN RD 1579`. 5W SERENA Ef
TIGARD OR 97224 TIGARD OR 97224
Phone 1s 62@-4118 Phone N: 503-620 b16 :
Reg e..: 89386
This permit is issued subject U the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lams. All worw will be done in accordance with approved plans. This permit will expire :f work is nct started within 160
days of issuance, or if work is suspended for sore than 180 days.
- -- - REQUIRED INSPECTIONS - ------------------------------------------------..-...
Footiny Insp Plumb Top Out Low Voitaae Mechanical Final
Foundation Insp Electrical Servi Insulation Insp Plumb Final ^`
Crawl Drain Electrical Rou h Gyp Board Insp Building Final _
PLMrUnderfloor Framing In &,n
Erosion Ccntrol
Mechanical Insp Shear Wall : �Permittee Signatr-r0 By
Cp11 for• inspect ion - 639--4175
2idential Building Permit Application
City of Tigard
1312.5 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 j a o 4 o
Jobsite 'ddress: -t&2z _S�J ��� KTA
Subdivision: _ Lot# — Officuum-4ialY
Valuation: Contact Date !- ClInitials- CIS _
- ------- Result c,,",�. • .�.�.
New Construction Only: (Square Footage) �
House `� � _ Garage. __ Permit# /"✓�5 1
— Reissue of _
Corner Lot? Y N Flag Lot? Y I'l Map&TL#
Z ne
Owner: N �Ct,G L-, '� Cr7 aP.< VN- Plat#
t2V, , c,1
` Q 1 N k X 'R��-- Ayala RQauJmd
Address — r
Planning Setbacks.+ Solar__„
Engineering— __ i LL/
Phone 55���1, L,2 l)-moi 13 _ Other
Cohthactoek" �t � ty- �►'''� '�* UOl"q
Address.
( ;'Z 1 vj C t k(b 0� SubcontractorsC
�---T- Truss Details
Other— _-
Phone -
Sv �n�`'1 ��Z � Notes
- ( � - - —
Ccntractor's License# S 09 4 V _
�(a ch copy of current Oregon "cense)
Contact Narne �) 1 ` TSU, - 'N - -- --- - - - ---
Contact Phone L___L
1
Subcontractors: �ryy by Architect/Engineer:
mbin9 _M�(Z X r.�p ` 1�� Address: __ ----- ----- -- —
t h --
4? ach of cure f OR Contractor's � N"�^'icex))
n*c'al- �)l�+l EL � �� Phone:
JOB DESCRIPTION 1�`.�' VVx%(1`'k 1 1 &e
—--
Aouhcant S gnature y'�_ Applicant Phone number
Received by Date Received
-• +qa•s reface ��� - �� �-
Permit* Account Oescription Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) ZJ )�
Plumb. Permit (PLUMB)
Mech. Permit (MECH) �� �v t
E< <
O
Stats Tax (TAX)
Bldg: /U
Plumb:
Mech: .-.CU
EILILI"1 .•1 7, )-
I
Plan Check (PLANCK) o,u.Y
Bldg: S'
Plumb:
Mech: %o /0
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Oev Charge (PKSOC)
Residential TIF MF-R)
Mass Transit TiF (TIF-MT)
Commercial TIF MF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
',Nater Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Pianck/C JT (EROSN)
TOTALS: , 571,
SEE 35MM
ROLL# 22
FOR
LARGE-;;;:'
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