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CITY OF TIGARD BUILDING INSPECTION NOTICE `,'
Inspection Line: 639-4175 Business Phone: 639-4171 w
i Footing Rain Drain Cover/Service FINAL:
j Foundation Water Line s v�'h
Ceiling Plumb.
Post/Beam Mach. Shear/Sheath
Framing -Mech. ;f X
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
-Elect,
J Post/Beam Struct. Mach. Rou h-ir
I 9 Gyp. Bd. -Bid ) :a ,x a
San. Seg er
Gas Line Appr/Sdwlk Reins.
Other:
Date: _ A.M. _ P.M. Entry: fiJ� � r
Address: _ �Z6 /6 .5 k4
Tenant: Ste: , p
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Con wn: BUP:
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ELC:
I THE FOLLOWING CORRECTIONS ARE REQUIRED- ELR: _ ,„ FFn �� ,•
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Inspector:
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./1APPROVED `DISAPPROVED/CALL FOR RE
INSP. CF Cp c
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M A l tr3� CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspecticn Line: 639-4175 Business Phone: 639-4171 � � .• ';'fir ,�,,��tt,:?
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Framing -Mach.
Post/Beam Mach. Shear/Sheath
Plbg.Und/Fir/Slab P!hn. Top Out Insulation Elect.
Post/Beam Struct. Mech. Rough-in � -Bldg.
I San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ? A. P.M. Entry:
Address:
Tenant: Ste:_—._
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Con/Own: _____ —_ MEC:_
�^ PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: _ Date: —
_APPROVED —DISAPPROVED/CA FOA REINSP. CF CO
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MASTER PERMIT
CITY CSF TIGARD L)F41EIISSU . . . . c :09/13/96
COMMUNITY
,
;I I'rfa"(Ev 1:->SUET�: �13/13/ yb
COMMUNITY DEVELC 13MENT DEPARTMENT
a 13125 SW Hall Blvd.Tigard,Oregon 97223.8100 (503; 839-4171 P'r,RcEL.: -110CA-01400 '
SITE AIIDFRE5S. . . 1164111 !aW K11\166DIS
ETUEIDI V 191 ON. „ . : ZON NC::
13LUf',1;. . . .. . . . . . , L fel . . . . . . . . . . . . . .
Rrmarks: Remove existing roof, resheath and reroof t
-------------------- - ----------------------------- BUILDING ----------------------------------------•-----------------------
REISSUE: STORIES........ 0 FLOOR AREAS---------- BASEMENT.,,: 0 sf REQUIRED SFTBACK5----- PEQUIRED------------- x,
a
CLASS OF WOF i'_T HEIGHT........: O FIRST....; 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR COAD...-: 0
SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY 67%:R3 BDRM: 0 BATH: 0 TOTAL----- 0 sf VALUE.. X996 REAR,.........: 0
-•-------------------------------•--
---------------------------------------------------
SINKS......... 0 WATER CLOSETS.: 0 WASH1N6 MACH..:------------:-- PLUMBING ------------------ c ,.1
: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS—: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 I T''.p,.
TUB/SHOWERS... : 0 GARBAGE DISP..: 0 WATER H:ATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GCEASE TRAPS..: 0 }:
OTHER FIXTURES: 0 y' _r
-------------------------------------------------------------- MECHaN1CAL -------------------------•--•-------------- -------------------
'
FUEL TYPES------------ FURN ( 100K ..: 0 BOIL/CMF ( 3HP: 0 VENT FA14S.....: 0 CLOTHES DRYERS: 0
FURN )=1001( ..: 0 UNIT HEATERS..., 0 HOODS.........: 0 OTHER UNITS...; 0
MAX INF.. 0 BTU FLOOR FURNACES: 0 VENiS.........• 0 WDOIISTOVES....: 0 GAS OUTLETS...:
-- -- -------------------------------------------------------- ELECTRICAL -----•------------------------•--------------------------------
? --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP ERVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS--
, i000 SF OR LESS: 0 a - E00 amp..: 0 0 - POO amo..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 51%F.: 0 201 - 400 amp..: 0 201 400 ar:p..: 0 1st W/O GVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY,: 0 401 60R amp..: 0 401 - 605 asp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - ION amp.: 0 601+amps-1000 v: 0 MINOR t_ABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SFCTION ---- - ------ ----_ --------- ---
Reconnect oniv.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------------------------------------- ------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-----------------------------------------------------------------------------
AUD10 & STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: 1NTERLJh/PAGING: OUTDOOR LND5C LT:
BURGLAR ALARM..: 0TH: ;: BOILER.......... HVAC...........; LANDSCAPE/IRR:a: PR9TECTIVE SIGNL:
GARAGE OPENER..: CLOCK........,.: INSTRUMENTA101N: MEDICAL........: OTE,?:
HVAC...........: DATA!TELE COMM.: NURSE CALLS....: TOTAL M SYSTEMS: N
pw!er: - ---___..____._-----.-__._ ----Cont tor: - - _------ --- -- TOTAL FEES:$ 40.43
ELENOR MILLER THDh GORINGE CONSTRUCTION
11640 SW KING GEORGE 19155 SW JAYLE ST
KING CITY OR 97224 ALOHA OR 91002
Phone M: 545.0597 Phone t: 642-7115
Reg T1..: 1101152
lh.s permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lal.s. All work will be done in :accordance with approved plans. This permit will expire if work is not started within 160
days of issua:rce, or if work is suspended for more than 160 days.
REQUIRED INSPELTIONS -------------._--------.---------
F'onding befor4 t
Dry-rot after to
Final r nect:on
Pe1^mittee 5ignati_rre : 1ss1-rerl 13y
Call fol, inspection — 639--4175
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—S P-09—'96 MON 18:59 I D: FAX NO: #287 P02 _. ,•
CITY OF tIGARD Residential Building Permit Application iWd yy
13125 SW HALL BLVD. New Construction Additions or Alterations Data Recd � >
TIrARD, OR 97223 Single Family Detached or Attached Date to P.E.
(603) 6394171 Du.to DST
PlintorType 'Permit itvy?, r
Inpomplete or illegible applications will not be accepted CaIIsC
Name of Subdivision Lot M Name
Job Arehltec! Mauling Address
Address s'(Qv�t;SrJX�� i ,
am
Gtylstate ZIp Phone
Ly�/��� r-1 I L L L t>`
Name
Ov,nor
Cityrsulte I7 Mailing Addres _
1 Jr o V,) 1(1,4 6� V � En sneer Mailing Address
no I 9 AddressI <.'GI/ 4 � 5,Rf0 y City/State Zip Phone
Name
! General Tl t)Ma" 6 p t/4 r ASC L: C�4,5 S� Describe work nirv,O addition O altera!Ln O repairo
i to be done:
Contractor Mailing— Add s
�j►�J Wit' 1 — S7 Additional Description of Work: p
i 1,'Itate Zip Poe R,, s,-.,o V� ",Cr,dahC c�
fl-so 612 ' "?0'7 ?Z A 7113 2 e-51 ,eI"71F I R 6�P-C-o r
Oregon Const.Cont.Board Lic.0 Exp.Date _
Attach Copy or I.f o S 5 2— Project
Current usiness Tax or Metro a exp.Data ! Valuation i
Licenses �V[- -�—L" O -`�� NEWCONSTRUCTION ONLY:
..�...w Narne
Mechanical Sq.Ft. House: Sq.F't.Garage:
Sub- Malting Address
Contractor Corner Lot Yes No Flag Lot Yes No
�Tty/ t�ao- Zip PI•one check one) — (check one)
Restricted Audio/stereo Burglar
Attach Copy of
Oregon Const.Cont.Board Llc.S I Earp,Daic Energy Syste h Alarm
.Current C:ol"Business Taw or metro f Pxp,bate Installation GarayR Qoor HVAC
Licensee Opener Systems
Name (check all that Other
Plumbing apply) _
Sub- Medinaa Addtss Will the electrical subcontractor wire for all Yes No
Contractor restricted enemy installations? _
CitylState Zip shone Has the Subdivision Plat recorded? N/A `;es No
Oregon Const.Cont- Board Lic.# Exp 02te Reissue of MSTO Solar Compliance
Attach Copy of _ (Calculatlon,Attached)
Current PlumbNg,Lic.At Earp.Date I hereby acknowledge that I have read this application, that the
Licenses information given is correct, that I am the owner or authorl"d agent of
COT Businiiss Tax or Metro N Exp. Date the owner, and that plans submitted are in compliance with Oregon M i
_ State laws.
Name Signature or Owner/1 ent _ Date
Electrical
Name one
i
Sub- Mailing Address oMact Person Na
Contractor _ FOR OFFICE USE ONLY: _
CltyfState Zip Phone Plat X Map/TLO,
Oregon Const.Cent.board Uc.M xp, ate _
Attach Copy of -- --
Z
1 Current E!ectncal LIC.A Earp.Date Setbacks one: Solar:
Licensee
COT 6usinees T2Y or Metro ti_. Itipatm_,. Engineering Approval: Planning Approval, TIF:
dsts,nst�pp doc •'
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i 151$11
$EP-09-196 MON 19:00D: FAX NO: #2B7 P03
Permit# Accnunt Descriofion
A_[n9111]i Amt• Pd" g�L
l _ MST. Permit (BUILD) ? $
i Plumb.Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
Statr, Tax (TAX)
Bldg:
Plumb:
Mech:
ELC/ELR:
Plan Check i
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review (LANDUS)
r-- -- Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Doer Charge (PKSDC)
Residential TIF (TIF-i q
Mass ►ransit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT) i
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
i:dsblrt+sespp.Cos
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