12843 SW VILLAGE PARK LANE-1 VIL�P.(n � PF (Z� lookJL
ADDRESS:
Aarl<
_- lag,
iArecords\microflm\targets\building.doc
I
1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-1171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation (Me-cid
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: I
Date: _ —p—] A.M. P'M, Entry: f
Address: Il
Tenant: !te.. MST: Q1��
BUP:
Cryown c Z" 31 �EC:----
PLM:
Lf - — 5'7a-I (P) ELc -- -
THE FOLLOW G CORRECTIONS ARE REQUIRED: ELR:
. _ _. ---
10
Inspector � �_ ��_� .. Date:. 23__
APPROVED —DISAPPROVED/CALL FOR REINSP. CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171 i
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing Cec
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd. - t g•
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: --
Date: —7Of A.M .M. —
I 1
Address:
Tenant: _._ _ ____. Ste MST: 244
. .��
BLIP:
Con/Own L _ MEC:
JZCjC PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspe r: _ Date.
PPROVED DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD PII MASTER PERMIT
P'I RM J.1• #. . . . . . . MfSi9C+-�19F3
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/06/96
13125 SW Hall Blvd,Tigard,Oregon 97223.8190 (503)839-4171
1='ARCE:L: 1913,31)D-15300
S I`I..L 1.41)1)hL.3':j. - - : I.--'u,43 SW V I LI_AGE PARK LN
SUBDIVISION. . . . : V 1 LL.AGE AT SUMMER LANE PARK 4 ZONING: R--4. 5
HI-OCK. . . . . . . . . . . LUT. . . . . . . . . . . . . .. 190
Remarks: 329 SO FT ADDITION TO EXISTING HOUSE PATH I
---- BUILDING --------------------------------------------------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED--------
CLASS OF WORK.:ADD HEIGHT........: 14 FIRST....: 329 sf GARAGE.....: 0 sf LEFT..........: 10 SMOKE DETECTRS: V
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.....,...: 0
OCCUPANCY 6RP.:R3 BDRM: 1 BATH: 0 TOTAL -----: 329 sf VALUE..$: 21273 REAR..........: 15
--------- --- ---------------- PLUMBING --------------------------------------------------------- -----
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 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
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- ----------------
MECHANICAL -----------------------------------------
FUEL TYPES---------- FURN ( ION ..: 0 BOIL/CLIP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
TURN )=1001( ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 2 WOODSTOVES....: 0 GAS OUTLETS...: 0
ELECTRICAL ---------------------•-------•------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - '00 amp..: 8 0 - 200 amp..: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
-A ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 100 amp..: 0 ' 1 W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR......s 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA )DDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0
MANE HM/SVC/FDR: 0 (301 - 1000 amp.: 0 601�amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 -------------------------------------------------- PLAN REVIEW SECTION -----------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINALt CLS AREA/SPC OCC:
-----------
--•--- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------------------------------
_
i;UD10 & STEREO.: VACUUM SYSTEM..: AUDIO A STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT;
BURSLAR ALARM..: 0TH: :: BOILER.........: HVAC...........= LANDSCAPE/I RR IG: PROTECTIVE SIGNL:
i;ARAGE OPENER,.: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :.
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0
Owner: ----------------------------------Contractor: ---------------------------- TOTAL FEES:$ 322.26
WILLIAM L1 CAFFALL CONSTRUCTION CO INC
1c843 SW VILLAGE PARK LN 941c SW AKIKARA DR
TIGARD OR 97223 TUALATIN OR 97062
Phone M: 524-4912 Phone #: 692-3797
Reg 0..: 110770
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 1B0 days.
_ _ REQUIRED INSPECTIONS -------------------------'-------------------"-----
Footing Insp Mechanical Insp Gyp Board In.p Erosion Control
Foundation Insp Electrical Servs Rain drain Ins
Post/Beam Strutt Framing ectrica final _ -
F,ostiBeam Meehan Shear all Insp Mer_ al Final
Crawl Drain lnsul ion Insp Finai� _
a i q n rA t 1_i l•'L _ ..... _.-_ al`_ -I S s 1-1 a i3 Et y
lr•�r-m i t t e e 4' ' ' ' �----
G 11 for ir/ ection 639--417`:,
r � ■ s
_Qm
Residential Building Permit ADrilieation
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
i
Jobsite Address: _j2`L` L tJ
� � � �I�, r' Office Use Only
Subdivision: L SuTrt rnp i2 L�LUt # `l f7
r �+ Contact Date f f46 Initials CS
Valuation: % _ _ 7i , e Result !�
i
New Construction Only: (Square Footage) Planck/Rer #
7 Permit #Al
House: f Garage �cr r� �- _. Reissue of
Map & "rL# I a 1 -3 3 C��'.- i S .7M
Cornet- Lot? � M Flag Lot? Y N Zone '-'
Owner:
Plat #�
�,) t 1( t� - t
Address: I ? c li ctcj o g 4 Lr Approvals Req!tred
Planning Setbacks Sola�`,rv �'�'
1 Cl fl Q C�YL `i 7 LZ Engineering7, ,s (� r
r41/
Phone: ( ) 5 ,'��( y 9 1 -1:11 Other _� R
Items Required
Contractor: CCA t +0.L L �G �'�S� Q uc �e•r1
Subcontractors
Address' �1 �� l `_, ► A q -L iaa. DUOS Truss Details ----` _
5) 2 9 70 LL Other
Notes
Phone: ( 1 �o 3 7`1 -7 --
Contractor's License # 1 )O 2-70 r—
(attach cagy of current Oregon license)
Contact Name: —2,r --JVQLL
Contact Phone I ) Ce q1 3 19 -1
Subcontractors: Arch itect/Fngineer.
Plumbing. t-4 0 'N C. �'/f _ Address
t,Eeee4 1-1? ,
Mechanical: LJCAL :7 9.71."1
(attach copy of current OR Contractors License)..,., , ; ,
() i- > Dn — sets Phone: ( 1
t. JOB DESN: 3 � � -) ► r- • r r ! •...� O
Appli n i na r Applicant Phone number
Receive _ �` t 6- M V- Date Received: ��fl
w lopY+tAgiefetq
Permit ;$ Account Description Amount Amt. Pd.
IS2
Bldg. Permit (BUILD) - --
Plumb. Permit (PLUMB) -
FMgch. Permit (MECN)
Bldg: _ "�•( _L..=—
Plumb:
Mech: fAl I0
Plan Check (PLANCK)
Bldg:
Plumb:
Mesh:
Sewer Connection (SWUSA) —
Sewer Inspection (SWiNSP) _--_
Parks Dev Charge (PKSDC)
Residential TIF (T1F•R)
Mass Transit TIF (TIF-MT) - ---
Commercial TIF (TIF-C) — – ---
Industrial TIF (TIF-1) -- ---
Institutional TIF (TIF-15)
Office TIF (71F-0)
Water Quality (WQUAL) _ _ �—
Water Quantity (WQUANT) —
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) –_-- -
Erosion Planck!COT (EROSN) –
l!l r
TOTALS (D �' (
: •' �Z'� ��
1 �p.r , •i 1�-i�1�'+f�!'�f•�-p� *.=.. i:.,F�• .,.y - _r. i '�ti�, •1� i"j �1 �
' ���� ,�•�•�•�-"� `� a .. •t 'r �.• • .`tai
int d �v. ;f.•
K7v, 'r �•r
IT
NW
Al
AH We",1*i 4,ot.. k���p�M.4t forth an IM&*w we d-or1o+na1 ww t pr�lMl
�f•r►N pw�Nt1 of MM{f�Mfr MG.-M ompa 1orM/wtlNw vrl w a#At� ort wo"I A tpltrr�: ., +,•
M+i.n for ownm"W"horMp.mod Ir Au—0-0M 10 0"wM/M.A".,#**,fit,*M;Iwl"W"�
D E G N IY01"S w pw*".1&w1.d Big wtt!/w i"&qo o+ysw ww*,MANwr 0";"Mwt�s�rktti. M4a�
INC * w.?nM Mrwtiwf"of idiMb%rMMa Mdtwtf/� Nw�fftt otos•4f,-,& a shaft M"
d awl raAallin fe' OW� 1 ,ww�NMt'Ms� M .
YEId
r e Q o n 97220 252-3453 — 252-3454 w badws ar"Wela � .t1�a.wf.ata �,�.a.+ts«:H+r+ •,: .Mt '- ._
• - _.a.'. •is, ..i i. � -�
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. ''-
Tigard, CR 97223
(503) 639-4171
Jobsite Address: ren�r . 1_A
Subdivision: �, �)acae� r Office Use Only
Contact Date /j�' / A Inil,als
Valuation: . L+ �� Z , Result
New Construction Only: (Square Footage) Planck/Rec
CPermit # i'1 r �_
House: _ � _ Garage' t�u �� �' Reissue of
r- Map & TL # /1,
Corner Lot? LY .i N Flag Lot? Y N Zone _
Owner: Lw' I I � rA Plat #16L _
Address:
c Approvals Required
12 `� 1 3 `� ���� L ��
Planning Setbacks Solar v s%r1,
G fIV,i) L^ 2 `i "1ZZ Engineering re- r CV/rr
Phone: j ) 5 2 4 H 9 I _ Other
(' (� Items Required
Contractor: �Ol t'�0. L� � � �'1'-AQ��s ►r�•r1 ` �%
Subcontractors
Address: �1 �l l 2 `_� ��� / c2lc� .1Js7k Truss Details
2 Ito Other
n
Phone: Notes
Contractor's License # f� O
(attach c9W of current Oregon license)
Contact Name _ L cc `ick LL_
Contact Phone i _ _ CeC1 Z 3 -19 -7
_
Subcontractors: Arch itect/Erig ineer:
Plumbing: fI4p -N e t Address
Mechanical: LjaLl
(attach copy of current OR Contractors Licnnse),a.,
f�, -iChr�—fasc't�.-+ Phone: ( )
JOB DESCRI IJN: L I �cr r� cj t7 �t E'er 'Y, Gc
Appli n i�na r I, Applicant Phone number
Receiveby.. A Q V\�'rk Date Received:
r loynein,nape
Permit* Account Description Amount Amt. Pd. Sal. Due
I r!� 0l9 Bldg. Permit (BUILD)
! iL�
Plumb. Permit (PLUMB)
Mh. Permit (MECH)
7
Bldg: �•�^ > _1.....4-L-
Plumb:
Mech:
r :
Plan Check (PLANCK) I` f ?
Bldg:
P!,jmb:
Mec:h: _
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) _._..
Resid .tial TIF (TIF-R) ---
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) --
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) — --
OfficE TIF (TIF-0) --
`Nater Quality (WQUAL) _
Water Quantity (WQUANT) M_ -
Fire Life Safety (FLS)
Erosio^ Cntrl Permit (ERPRMT) ---
Erosion Planck/USA (ERPL.AN) ---
Erosion Planck]COT -ROSN)
Lit.
.f
TOTALS: ,?Z,G �U,,,,.� rZIA.'ii
'i Z� �-\ fir,'_ � �, 1, •' ., `,; -i
• J� !ter. �' ,' •�.� ',- .,+.' r'► t A'f�!
ic
Tj
Its
14
It
oil 4,
.. _.Y• '4'is
_ fN i OM,�f'M4 fA�11�Mi dr*Mrh wW Ow%Mt fW* M this I MI Rf qw will-0 w"ow
«t Na r.�wh.'r W" Mi�wwird. t..,.„�o qw �I�IIWM�'I IIM►*'IM , kr
�t }�.4
wvi /ee6pow"Ne" of MAt sod
r *q Mrt� t Me"A•tutOpW!K M mmfw4o !► .�",#W.1"" '13 flm k41we'"I -048+ �*;4m*,W/owof%ff " "I"Mw, *tw►f-1 M &%%Aft CrIt �
se"$0" *6 AN "Oily,"fA-I* Fill MP
regon 97220 252.3453 252-3454 . „
��•
WK .r��K«