8970 SW NORTH DAKOTA STREET is diO)iba H121ON MS 0169
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8970 SW NORTH DAKOTA ST
MEN
MASTER PERMIT
CITY OF TiGARD -
PERMIT #: MST`/_000-00141
DEVELOPMENT SERVICES TE ISSUED: 06/06/2-000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6URIGINAr
SITEADDRESS: 08970 SW NORTH DAKOTA ST PARCEL: 1S135DA-04800
SUBDIVISION: STARLING MLP1999-00010 ZONING: R-4.5
BLOCK: LOT:001 JURISDICTION: TIG
REMARKS: SF PATH 1
BUILDING
REISSUE: STORIES: 1 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 833 of BASEMENT: of LEFT: 7 SPAOKE DETECTORS. Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 827 of GARAGE: 444 of FRONT: 30 PARKING SPACES: 7
TYPE OF CONST: SN DWELLING UNITS: I FINBSMENT: of RIGHT' 15
VALUE: S 126.841.40
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,660 00 of REAR. 29
PLUMBING —
SINKS: 1 WATER CLOSETS. 3 WASHING MACH: 1 LAUNDRY 1RAYS: 0 RAIN DRAIN: ICO TRAPS:
LAVATURIES: 3 DISHWASHERS: t FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 2 GARBAGF OISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRPS:
OTHER FIXTURES:
MECHANICAL
S� FUEL TYPES FURN c 10011: 1 BOIUCMP<SHP: VENT FANS::4 CLOTHES DRYER: 1
GAS FURN—100K: UNIT HEATERS: HOODS: 1 OTHER UNITS. 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS O!"'ETS: 1
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS.— - MISCELLANEOUS_ ALO'L INSPECTIONS _
1000 SF OR LESS: 1 0 200 amp: 0 - 200 amc: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA AOD'L SOOSF: 3 201 400 amp' 201 400 amn: lot W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 000 amp: FA A.DDL BR'-'IR: SIGNAL/PANEL, IN PLANT:
MANU HM/SVCIFDR: 601 - 1000 amp: 60l•ampr1000v: MINOR LABEL:
1000+amp/volt
PLAN REVIEW SECTION
Reconnect on!,:
>-4 RES UNITS: SVCIFUR>s22S A.: >600 V NOMINAL: f,L3 AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOM/PAdING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEnPRIG: Pk^T_^TWE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATIOI' MEDICAL: OTHR.
HVAC DATA7TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,631.20
This permit is subject to the regulations contained in the
DAVID 8 MARINA STARLING LANDRISE DEVELOPMENT LTD Tigard Municipal Code,State of OR Specialty Codes Find
2993 N CANYON RD P O BOX 1212 all other applicable laws. All work will be done In
PROVO,UT 84604 LAKE OSWEGO,C.R 97305 accordance with approved plans. This permit will expire H
IL work is not started within 180 days of issuance,or if the
Ir work is suspended for more than 180 days. ATTENTION:
f,. Phone: Phone: Oregon law requires you to foCow rules adopted by the
W Oregon Utility Notification Center. Those rules are set
Reg 0: LIC 116797 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Post/8eam Mechanical PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Footing Insp Underfloor Insul;,:iOr, Mechanical Insp Shear Wali Insp Water Line Insp Final Inspection
Foundation Insp Crawl Drain/rackwater Plumb Top Out Gas Line Insp Appr/Sdwik Insp Building Final
Slab Insp Footing/F,undation Dr; Electrical Service Gas Fireplace Electrical Final
POst/Bea n Structural Plm/und:Ilab Insp Electrical Rough In Insulation Insp Meehan JaaL
Issued BY Permittee Signature
Call 504,3941175 by 7:00 p.m.for an inspection needed t no ess day L. '
SEWER CONNECTION PERMIT
CITY OF TIGARD
-� DEVEL.OPMENT SERVICES PERMITSWR2000 00099
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUEDD:: 06/06/2000
SITE ADDRESS; 08570 SW NORTH DAKOTA ST PARCEL: 1S135DA-04800
SUBDIVISION: STARLING MLP1999-00010 ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
TENANT NAME: DAVID & MARINA STARLING.
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for a new single family dwelling.
Owner: ---
�—
DAVID STARLING, MARINA FEES —=
2993 N CANYON RD Type By Date Amount Receipt
PROVO, UT 84604 PRMT GEO 06/06!200[ $2,300.00 0002744
INSP GEO 06/06/2001 $35.00 0002744
Phone: 801-375-8713 — Total $2,335.00
Contractor:
Phone: r n ! r1 i N A L
Reg M
Required Inspections
Severer Inspection
IL
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m This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
0 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
_j guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080
You may obtain copies of thes rules irect questions to OUNC by calling(503) 246-1987.
Issued by: Permittee Signatur .—
Call (503) 6394175 by 7:00 P.M.for an inspection needed next bustsa
CWY OF TIGARD Residential Building Permit Application Plan Cheat0
•1312.5 SW HAIL BLVD. New Construction Recd By—
TIGARD, OR 57223 Sinole Family DetachedDate Rsdd �0 _
V 503-639-4171 y Am=�" Date to P.E.
Date to DST _I --too
F 503-684-7297 O,Z�gq C'� 7 Permit. m s toy�� _o a�q I
fX�a Print or Type CalledF�i-o o _
Incomplete or illegible applications will not be accepted
/ 'Ess
Name of Protect e+.KQ- ��— — Name ..j,j
Job in� „ PL I 2=-OIH b1 V .0
Address She Address Architect Mall ng Address
6
q,970 .! ebo� 6W. 4
ma — y/SI to Zip Phone
9trin
Owner Mallin A sg
' Name
=2- CIJ._�Ah
N(Wstate Zip g roes Engineer Mailing Add —
Phone
General
Name City/State _ Zip Phorte
Contractor + La Describe work _kw Addition O Alteration O� Repair O
AIIJpg Ad(Mss to be done:
Prior to permit ,(�, CA I L lZ Additional Inscription of Work: `—
Issuance,a copy IC /slate Zip Phone
of all licenses jay, 'i 7.Pj 2 - 7�are required If Oregon Const Tdht.Board Exp.Date nPROJECT I
expired In COT Lies«
database �L�Z `b VALUATION $ , . 00
Mechanical Name NEW CONSTRUCTION ONLY: _ 72,0
Sub- TC, Sq. Ft.House: Sq. Ft.Gara e
Contractor Mailing Address _
Prior to permit Indicate the restricted energy Installation by the electrical
areas _
hsauance,a copy City/Stele Zip Phone subcontractor In the follow_ —
of all IicAnRes Restricted Audio/Stereo
are required If Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired In COT Llc.N Installations Vacuum Irrigation
database _ __System stem
Plumbing Name - (check all that Other:
sub- _�_&f PPIYL__ — --
Contractor Mailing Address Number of Units In Building Unit Number Designation
Has N/A YES I NO
the Subdivision Plat recorded
Prior to permit City/State Zip Phone
Issuance,a copy
of all licenses are Oregon Const.Cont.Board Exp.Date
required If LIc.A
expired In COT _
database Plumbing Lic # Exp.Drae I hearby arknowledge that I have read this application,that the
IL Information given is wiTect,that I am the owner or authorized agent
W of the owner,and that plans submitted are In compliance withNameOrWwSW4jaws
Electrical !k�'wis4�_ gnatu• Owner/A e��t Date
Sub- Mailing Address — - ' _
.� tach arson Nabi N P1 lone
m Contractor 11; 1D *c
City/State Zip Phone
W Prior to permit
J Issuance,a copy FOR OFFICE USE ONLY: Ic
of all 8censes are Oregon Const.Cont.Board Exp.Date
required if Uc.0 Plat Map/TL#:
exptrod In CUT jA2c� / iD/ -6l10/0 / 351
database Eledrbal Uo,N IM, I na: r•-
Electrical Supervisor Lic.S Exp.Date Engineering Approval: P arming Approval: TIF:
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CI1Y OF TIGARD 7JU6N
T TN rF_ ,
13125 S.W. HALL BLVD. j
TIGARD, OR 97223 1 3 70(1p
IMPORTANT PERMIT NOTICE 13y:
--
MITCHELLS PLUMBING INC
PO BOX 501
TROUTDALE, OR 97060
Plumbing Signature Form
Permit #: MST2000-00141
Date Issued: 06/0612000
Parcel: 1 S135DA-04800
Site Address: 08970 SW NORTH DAKOTA ST
Subdivision: STARLING MLP1999-00010
Block: Lot: 001
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SF PATH
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN-. Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
DAVID & MARINA STARLING MITCHEL.LS PLUMBING INC
2993 N CANYON RD PO BOX 501
PROVO, UT 84604 TROUTDALE, OR 97060
Phone #: Phone #: 503-669-2171
Reg #: 1 1c 120146
a PI M 26-614PB
OC
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AN INK SIGNATURE IS REQUIRED ON THIS FORM
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Signature of Authorized umber
If you have any questions, please call (503) 639-4171, ext. # 310
:CITY-OF TIGARD BUILDING INSPECTION DIVISION MST ,�uiy
24-Hour Inspection Line: 639-4176 Bubinesti Line: 639-4171 _
BUP
__— Date Requested 1,7 Argil_ _PM BLD
Location_ _ ,���✓ All v Suite _ _ MEC _ —
Contact Person _ _ Ph �07 .SOS? PLM �_—
Contractor S5 Ph SWR --------—_
BUILDING _ Tenant/Owner _ _ ELC —
Retaining Wall ELR _
Footing Access:
Foundation FPS _
Ftg Drain SGN
Crawl Drain In3pection (dotes:
Slab SIT
Post$Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _ -- -- -
Firewall ,/
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling -.---- ----- - -- ---- -- - -
Roof
Misc: -
Final
PASS PART FAIL ---- -- -�
PLUMBING
Post&Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains -•-
Final ----..--.` -------------
PASS PART FAIL. --- ------- ----- --- - —
MECHANICAL
Post& Beam -_.- ------- -- -- -- --- ---
Rough In
Gas Line --- ----_-_— �__— — - -
Smoke Dampers
Final - - ------------- -- ----- —� --
PART FAIL --- -- _
IL
ELECTRI -- -
� Rough In -
0 UG/Slab — _ _ - ---- — —
Low Voltage
.J Fire Alarm __-_--- -- ----
m
WS
ART FAIL
Backfill/Grading --� -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ -required before next inspection. Pay at City Hall. 13 X2.5 SW Hall Blvd
Catch Basin inspect-no access
Unable to ins
Fire Supply Line [ J Please call fir reinspection RE:_—_ [ J P
ADA
Approach/Sidewalk Date ip1-7 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
� J
CITY OF TIGARD BUILDING INSPECTIQN DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
�J
SUP
Date Requested �` /L AM_ PM _ _ BLD
Locationt? 7-0 Sc.✓ �V�,.f��,' SCG Suite _ MEC
Contact Person Ph C107- 'co -'-7 PLM
Contractor __ Ph SWR
BUILDING Tenant/Owner ELC ---
Retaining Wall ELR
Fooling Access:
Foundation FPS -
Ftg Drain SCN
Crawl Drain Inspection Notes: - --- -
Slab -_ —�� - _ SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing -
FirEawall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Final
P RT FAIL ----- -- - ---- ---- -------
Post eam - --------- -_—_ -_-. � _ _-
Under Slab ---- -- --- .-.._.-.-- —�. ---- -
Top Out
Water Service
Sanitary Sewei -------------- ------ --.-_. - —_
Rain Drains
Fin _--_---- ----------- — —-----_ -
S PART FAIL — �_-,----- ----- - _ -- -
CHANICAL
Post&Beam --------_---.___ --------- -- __— -. _
Rouqh In
GasLine ----- ---- -- --___-.-...� -_--_.
Smoke Dampers
Final - ---- - ---- ---- -- -
PASS PART FAIL
ELECTRICAL - —--------------------- — — — — —
d Service �!
� Rough In I -----__-------------- ---------- ------- -..—
N UG/Slab
Low Voltage ! -
J Fire Alarm _--_-__-- ------ -
Final
V, PASS PART FAIL
W SITE
Backfill/Gradi,.g - ------- -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ --_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE— _ [ ]Unable to inspectno access
ADA
Approach/Sidewalk
Other Date Inspector—
Ext
Final
PASS PART FAIL fD0 fNO ' REPROVE tIds Inspection record from the Job site.
�v if
CITY OF TIGARD BUILDING INSPECTION DIVISION �y
7.4-113ur Inspection Line: 639-4175 Business Line: 6,39-417
�SUP �_--
Date Reque�st��d �� ZZ"'� AM (/ PM BLD _
Locations S /YUP �i�r K T'� Suite _ MEC
Contact Person — _ _ Ph _ PLM —
Contractor Ph SWR
UILDt ^— Tenant/Owner EILC
Retaining Wall ELR
Footing A
ccess:
Foundation FPS _
Ftg Drain ._ -�—
Crawl Drain ection Notes: 8GN - ----
Slab 1\ 1 U O V- SIT
Post&Beam
Ext Sheath/Shear 3
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling — - --- — — — —----- -_ ------
Roof
Mi --- - -- -L-
in ��
S PART FAIL'PM --
MBING
Post&SeamUnder Slab
Slab
Top Out
Water Service
Sanitary Sewer ~�—
Rain Drains
FinalPASS PART PART FAIL _—
Post&Beam ---- ----- —• --. _, _—
Rough In
Gas Line —
Smoke Dampers
P PART FAIL
ELECTRICAL
IL Service _
F2 Rough In � ---• _----- _�.�_..
F" UG/Slab
N ------ . __ - -
Low Voltage
FireAlarm
_ Final
PASS PART FAIL _.—
O SITE
Lu
-a Backfill/Grading -' - - -'-- -----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection PE: _ [ ]Unable to Inspect no access
Fire Supply Line
ADA
chlSidewalk
Other Date Inspector (JtyC�.�---�`" Ext 1
Other -.—
Final
PASS PART FAIL DO NOT REMOVE this Inspection record troM the fob site.
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FROM : ROSS ELECTRIC PHONE NO. Jul. k0l 200 05:07PM P2
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223 F��JUL
7T't
IMPORTANT PERMIT NOTICE pp
ROSS ELECTRIC =---
STEPHEN LLOYD ROSS
23810 SW DRAKE LN
HILLL,'ORO. OR 97123
Electrical Signature Form
Permit#: MS-.2000-00141
Date Issued. 06/06/2000
Parcel: 1 S135DA-04800
Site Address: 08970 SW NORTH DAKOTA ST
Subdivision: STARLING MLP1999-00010
Block: Lot: 001
Jurisdiction: TiG
Zoning: R-4.5
Remarks. 9F PATH
Your company has been indicated as the electriml contractor for the permit indicated above_ in order for the
electrics! permit to be valid,the signature of the supervising electrician Is required. Please have the
appropriate individual from your company sign below and rehim this Electrical Signature Form prior to the
start of the work to the address above,A TTN: BuIlding Dept
No electrical Insf►ections will be authorized until this completed form Is received
OWNER: ELECTRICAL CONTRACTOR-.
DAVV0 &MARINA STARLING ROSS ELECTRIC
2993 N CANYON RLQ STEPHEN LLOYD ROSS
PROVO, UT 84604 73610 SW DRAKE LN
Phone#: oneg1O,2 97123
Reg #: ELE 34-43K
UC 00110
SUP 42321
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°C AN INFO SIGNATURE IS REQUIRED ON THIS FORM
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m Signature of Supervising Electrician
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If you have any questions, please call (503)639-4171, ext. #310