12185 SW JAMES COURT 1
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12165 .SW JAMES STREET �"'
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-':our Inspection Line: 639-4175 Business Line: 639-4171
BLIP
-_ Date Requested `?- 2 �; -C12% AM _PM BLD _
Location _Z (��� �;"�V}��/_� �r Suite MEC -
Contact Person f��C� PhPLM _
Contractor Ph SWR
BUILDING TenanT/OwnerELC -
Retaining Wall - ELR
Footing Access: A--
Foo nidation FPS
Ftg Drain Sl:u
Crawl Drair. 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
idlisc
Final
PASS PART FAIL -
PLUMBING
Post& Beam _--
Under Slab
Tor Out
Water Service
Sanitary Sewer -`--- - ---------------- ------------------
Rain Drains
-- -- ---.— --._-.-_.---------
Final - -
PASS PART FAIL _
MECHANICAL __-
Post& Beam --- - -_ -- —
Rough In
Gas Line - - - -.----
Smoke Dampers
Final -- — ----- --
EAIUL PART FAIL
ECTR ------ - - - -- ----
Service
Rough In —
UG/Slab
Low Voltage
Fire Alarm
rn
PART FAIL
SITE
Rackfi;l/Grading -- - ---
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ ___required before next inspection Pay at City Hail, 13125 SW Hali Blvd
Catch Basin
Fire Supply Line I J Please call for reinspection RF _ ( ]Unable to inspect no access
ADA
Approach/Sidewalk
Other _ _ Date - __ Inspector-- ___Ext —�
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Eusiness Line: 619.4171
J'
BUP
' PkA _
Date Requested L y AM BLD
Location_ C: 3Cf ' 2 St. Suite MEC _
Contact Person Ph )�� " 7 7(c�_ S PLM
Contractor Ph SWR
UILDrTA-
_ ienant/OwnerELC
Retaionll ELR
Footing Access.
lr-oundation FPS —
Fig Drain _
Crawl Drain Inspection Notes STI -------
Slab SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear 1 _
Framing " oS: �"s �v'v1 ��� �'� Gr>c-u dr_—S%9�✓�Tires= —
Insulation
Drywall Nailing 7 _ r�UJ�GU� •_ice' L�<iS ✓Oil/�/S T.t� lc__ =TL��ia�• --
Firewall
Fire Sprinkler a 3 1.,.�� —_—
Fire Alarm
Susp'd Ceiling ----
Roof
Mise ------- ---- �_-- -------- ---- -- - ---
in
A8 PART FAIL - ---- -- -- ------------------
P
Post&Beam --- --- -- - -- -- --
Under Slab
Top Out - - - - -
Water Service
Sanitary Sewer -
Rain Drains
Final
PASS_ PART FAIL _
MECHANICAL
Posi& Beam
'sough In
Gas Line —
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL --- -- --- -- - ---
Service
Rough In - --
UG/Slab
Low Voltage
Fire Alarm
final - ----- - —---
PASS PART FAIL
SITE
Hack-fill/Grading - -------- --------- ---
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin r J Please call for reinspection RE:_ _ i I Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk
Other Ext Date " _ , Inspector �— r —
Other - �— —_
Final
PASS PART FAIL F)O NOT RE,%Anvr this inspection record from the job site.
MASTER PERMIT
CITY OF TIGARD ORIGINAL-AT PERMIT#: MST199900236
DEVELOPMENT SERVICESE ISSUED: 7/16!99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12185 SW JAMES ST PARCEL: 2S103C6-00500
SUBDIVISION: WILLAMETTE ZONING: R-4.5
BLOCK: LOT: 007 JURISDICTION: URB
REMARKS: Attached garage addition
BUILDING
REISSUE: STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLA IS OF WORK: ADD HEIGHT: FIRST: at BASEMENT: of LEFT: SMOKE DETECTORS.
fYPE OF USE: SF FLOOR LOAD: 50 SECOND: of GAkAGE: 400 of FRONT. 21 PARKING SPACES:
TYPE OF CON3T: oN DWELLING UNITS: FINBSMENI st RIGHT: t t
VALUE: S 7.340.00
OCCUPANCY GRP: RJ BDRM: BATH: TOTAL: sl REAR:
PLUMBING _
SINKS: WATER rLUSETS: WASHING MACH: L.AU' 'RY IRAIS: RAIN DRAIN: TRAPS-
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH 1ASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PPEVNTP.: GKE:..iE TRAPS.
OTHER FIXTURES:
MECHANICAL
_ FUEL TYPES FURN TOOK: ROIL/CMP<3HP: VENT FANS CLOTHES DRYER:
FURN>=100W UNIT HEATERS HOOns: OTHER UNIT.-.:
MAX INP: "..a FLOORFURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS �MSCELLANEOUS ADD'L IVSPECTION^
1000 SF r'R LESS: 0 - 200 amp: O 200 amp: WISVC OR FDF: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amu: 201 400 amp: tat w10 SVCIFOR: SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 0110 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL IN PLANT.
MANU HMISVCIFDR: 601 • 1000 amo: 601+amp9-1000v: MINOR LABEL.
1000-amp/volt
PLAN REVIEW SECTION
Reconneclocry: —��—
�=T RES UNITS SVCIFDR-225 A_ >600 V NOMINAL: CLS AREAIcnr OCC.
ELECTRICAL•RESTRICTED ENERGY
A.SF RES_.DENTIAL 0.COMMERCIAL
AUDIO&STEREO: VACUUM SYS EM AUDIO 6 STEREO: FIRE ALARM: INTEPCOM/PAGING: OUTDOOR LNDSC L T:
BURGLAR ALARM: 07H. BOILER: HVAC: t ANOSCAPFIIRRiG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR
HVAC: DATAITELE COMM: NURSE.CALL: TOTAL N SYSTEMS:
Owftor: Contractor: TOTAL FEES: $ 220.53
This perrnit is subject to the regulations contained in the
GENE GROSSE CROUCH CUSTOM CONS TRUCTIONTigard Municipal Code,State of OR Specialty Codes and
12185 SW JAMES ST 12220 SW JAMES ST all other applicable laws All work will be done in
TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans This pen-nit will expire H
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules a!e set
Re6 a: LIC 104297 forth in OAR 952-001-0010 through 952-001-0090. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844-8444 Framing Insp Fina inspection
Footing Insp Shear Wall Insp
Foundation Insp Firewall Insp
Electrical Service Rain drain Insp
Electrical Rouyf in Electrical Final
issued By,: - ' -- Permittee Signature. f�� ,
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Chec
' 3125 SW HALL BLVD. Additions or Alterations Recd By ,
Date Recd I rL 2 1
TIGARD, OR 97223 Single Family Detach :d or Attached (Duplex) Date to P.E. �-
V 503-639-4171 Date to DST 7-/ -
F 503-684-7297 , Permit# (;5 IT17 ot,Z:to
Forint or Type called :Ic )
Incomplete or illegible applications will not be accepted
Name of Project / l� Name
Job �7'/1 f ASG�e) f/OA) I —
Address Si e d es,�
Architect Mailing Address
City/State _ Zip Phone
Na�A /' �—
Name
Owner Mailing Address �-
-
City/StateZi Phone Engineer Mailing Address
-r- v� UQ ?J '�3 r?-i-0 -- ----
NaMe City/State Zip Phone
General /
Contractor �o�,� !� �S�M l 0/I c 7 , Describe work New O Addition Alteration 0 Repair O
Mailing Address to be done
Prior to permit t�G e- L)6,1 !°^11-J St Additional Description of Work:
issuance,a copy X4yXtate Q Zi , i Phon -- - -•-, /` P �/ -r
of all licenses ��Z
are required if Or on Const.Cont.Board Exp.Date PROJECT
ex dire
td in COT Lie# 7 7 y, L
�c7 a i / VALUATION_
Mechanical Name - — NEW CONSTRUCfIION ONLY:
Sub- Sq Ft. House' _ Sq. Ft. Garage /�C1S
Contractor Mailing Address __
Prior to permit Indicate the restricted energy installation by the electrical
issuance:,a copy City/State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio/Stereo -
are required if Oregon Const.Con%.Board Exp.Date Energy S rsten, Alarms
expired in COT Lic.# 1,is!allations Vacuum Irrigation
database - System S stern
- -"�---'
Plumbing Name (check all that - Other:
Sub-
ContractorMailing Address A --- Corner Lot YES NO Flag Lot YES NO
_(check one) __ deck one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy
of all licenses are Oregon Const. Cont. Board Exp Date
reyulred if Lir,# I hearb acknowledge that I have read this application,that the
expired in COT Y 9 PP
database rylumbing Lic.# Exp. Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
Oregon Sta 13ws.
Name -�i-- Sigyo Ow . 1AA.nt t
-7
Electrical e5 lie !o 5Se 2C ��
� `=- Conta er Na ho #
Sub- R'aiflng Address �n
�r' t j1 e, o c,c W
Contractor - --
City/State Zip Phone
Prior to permit
issuance,a copy FOR OFFICE USE ONLY: _
of all licenses are Oregon Const Cont Board Exp Date
required if Lic* Plat#: MapITL#:
expired in COT %nI r
database Electrical Lic # Exp.Date Sett-ick Zoin - Solar:
Electrical Supervisor Lic # Exp Date Engineering Approval: Planpprovel: TIF:l�
Y
j�G, %tet LWatslformstsfsddalt.doc 11/20/98