14170 SW 93RD AVENUE 14170 SW 93RC' AVE.
CITY OF TIGARD BUILDING INSPECTION DIVISION CnT� % 17- co`l/0
24-Flour Inspection Line: 639-4175 Business Line: 639-4.171
BUD
Date Requested �`' .�� ��-� ArJI__ PM BLD
Location ��1 -70 "" _— Suite MEC
Contact Person Ph �_ PLM _
Contractor Ph SWR
ILDI _ Tenant/Owner _ _ _ ELC
Retaining Wall ELR
Footing Access: - ------_ -- —
Foundation FPS
Fig Drain - --
Crawl Drain Inspection Notes: X ��� � , SGN
Slab a'_
Post&Beam SIT
Ext Sheath/Shear
I h/Shear -
r
Drywall Nailing
Firewall
FireSprinkler
Fire Alarm
Susp'd Ceiling
Roof
PART FAIL — ---- __ _ _ -- ---- - ------ -- —
PLUMBING
Post& Beam
Under
-
Under Slab
TopOut �.—�-------�._.-_���--------
Water Service
Sanitary Sewer
Rain Drains
Final —
PASS PART FAIL.
MECHANICAL
Post& Beam
Rough In
Gas Line ---- ---- --
Smc4e Dampers
Final ---- --- ---. - --- — —
PASS PART FAIL
ELECTRICAL —
Service
Rough In --
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading ---- — - - - --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ -_required before next inspec Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for inspection I E: ( ]Unable to inspect no access
ADA
Approach/Sidewalk / �-' C,� ---t/ '
Other nate �' _ inspector 4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
MASTER PERMIT
CITYOF TIGARD PERMIT #: MST1999-00410
DEVELOPMENT SERVICES
DATE ISSUED: 1/21100
13125 SW Hall Blvd.,Tigard, OR 97223 (503) b39-4171 PARCEL: 2S111AB-01800
SITE ADDRESS: 14170 SW 93RD AVE ZONING: R-4.5
SUBDIVISION: ELROSE TERRACE LOT:014 JURISDICTION: TIG
BLOCK:
REMARKS: Construction of a 20 ft X 24 it detached Dworkshop. — EQ�IRED
FLOOR AREAS ING
REQUIRED SETBACKS
STORIES: at LEFT: SMOKE DETECTORS:
REISSUE: HEIGHT: FIRST. at BASEMENT:
PARKING SPACES:
CLASS OF WORK: ACS at GARAGE: n80 at FRONT.
FLOOR LOAD: 50 SECOND: RIGHT:
TYPE OF USE: SF INSSMENT: a1
DWELLING UNITS: FVALUE: 5 11.965 aG REAR:
TYPE OF CONST: 5N BDRM: BATH: TOTAL: at
OCCUPANCY GRP: R3
PLUMBING TRAPS:
RAIN DRAIN:
WASHING MACH: LAUNDRY TRAYS: CATCH BASINS:
SINKS: WATER CLOSETS: SEWER LINES: SF RAIN DRAINS:
DISHWASHERS: FLOOR DRAINS: GREASE TRAPS:
LAVATORIES: WATER LINES: BCKFLW PRE\'NTR:
GARBAGE DISPI WATER HEATERS: OTHER FIXTURES:
TIIBBHOWER5:
MECHANICAL
VENT FANS: CLOTHES DRYER:
FURN<100K: BOILICMP<3HP: OTHER UNITS:
FUEL TYPES _ HOODS:
FURN>•t00K: UNIT HEATERS: GAS OUTLETS:
VENTS: WOODS COVES:
MAX INP: blu FLOOR FURNANCES: ELECTRICAL
MISCELLANEOUS r ADD'L INSPECTIONS
SERVICE FEEDER TEMP BRVCIFEEDERS BRANCH CIRCUITS PER INSPECTION.
RESIDE WISVC OR FDR: PUMPIIR UT LIN LT
-- p . 200 amp: PER HOUR:
p 200 imp: SIG LIN LT:
1000 5F OR LESS: Y01 . 400 amp: Ul WIO SVCIFDR: IN PLANT:
EA ADD'L 5009F:
201 . 400 amp: EA ADDL OR CIR: SIGNAL/PANEL.
401 . 800 atnp.
401 800&RIP: MINOR LABEL:
LIMITED ENERGY: 801+ampa•10DOv:
MANU HMISVCIFDR.
Sol 1000 amp:
1000+amplvoll: PLAN REVIEW SECTION
' r 800 V NOMINAL: CLS AREAISPC OCC:
Reconnect onlV: ;.4 RES UNITS: SVCIFDR>-225 A.: _
ELECTRICAL•RESTRICTED ENERGY
B.COMMERCIAL
A.SF RESIDENTIAL FIRE ALARM: INTER COMIPAGING: OUTDOOR LNUSC LT:
AUDIO 6 STEREO: PROTECTIVE SIGNL:
AUDIO 8 STEREO; VACUUM SYSTEM: HVAC: LANDSCAPEIIRRIG:
BOILER:OTH: OTHR:
MEDICAL:
BURGLAR ALARM: CLOCK: INSTRUMENTATION:
NURSE CALLS: TOTAL N SYSTEMS:
uARAGE OPENER: DATA11ELE COMM:
HVAC: TOTAL FEES: $ 238.52
Contractor: This permit is subject to the regulations contained in the
Owner: OWNER Tigard Municipa!Code,State of OR. Specialty Codes and
GARY FRIAR OWNER RESPONS FORM SIGNED all other applicable laws All work will be done i
will expire H
14170 SW 93RE AVE accordance with approved plans This permit wi
TIGARD,OR 97224 work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Oregon law requires you to follow rules adopted by the
Phone: Oregon Utility Notification Center Those rules ore set
Phone:
I ' Ran N forth in OAR 952-001-0010 through 952.001-0080 you
�nI G I I YA may obtain copies of these rules or direct questions to
ItlJ OUNC by calling(503)246-1967
REQUIRED INSPECTIONS
Footing Insp
Foundation Insp
Slab Insp
Framing Insp
Building Final j
Permittee Signature
Issued By : �__���A�`'V�---�-'_-_- --_..______...--
Call (503) 639-4175 by 7:00 p.m. for an inspection needed t next business day
Permit#:
Address: I '1 l t d Vi e ] ?JJ
!,sued by: � Date: _
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be i,vsued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. licensed
architect and engineer applicants, exempt from registration: under DRS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Pill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
Q44
1. I own, reside in, or will reside in the completed structure.
LYCA
2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
Q 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
C n� OR
313, 1 will be my own general contractor,
If 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, 1 will contract with a contractor who is
registered with the CC13 and will immediately notify the office issuing this building permit of the
nano of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this farm.
(Signature of permit applicant) (Date)
(White copY to issuing agency pernrif ile,
pink cop►• to applir(rr►t)
Plan Check#
CI'Pf OF TIGARD Residential Building Permit Application Rec'o By
13125 SW HALL BLVD. Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E i� TL
slv
V 503-639-4171 Date to UsT
F 503-684-7297 , ! 1 Permit
Print or Type I Called —
Incomplete or illegible applications will not be accepted
Name of Project rf - _-- Name
JOB �l lr7 j L`-� j�}� Ayc -- Architect Mailing Address
Address Site Address k __�__, ---
r
it Zip — �ffne
Name.
3r3ri• _'-f''1 1.'1rt'`•' - -- — Name
elfing Addres
�
Owner ,a 1 ?L, J �✓ � Mailing Address
City/State ZIP
Phone Engineer
t ,, ,4 K c/ City/State Zip Phone
General Name ___
Contractor (�?l�J A;L Descnbe work New O Addition Alteration O Repair O
to be done. AR A
Melling Address Additional Description o Wor j
Prior to permit — 'L; Z �-.tn
issuance,a copy city/State Zip Phone
of all licenses PROJECT
are required if Oregon Const.Cont.Board Exp.Date
expired in COI Lic.# VALUATION
database NEW CONSTRUCTION ONLY:
Mechanical Name —
Sub _ Sq. Ft. House: Sq
Contractor Meiling Addres Indicate the restricted energy installati electrical
Prior to permit subcontractor In the following areas
issuance,a copy City/State Zip Phone Restricted Audio/Stereo
of all licenses Energy System Alarms
are required if Oregon Const.Cunt.Board Exp.Date Installations Vacuum Irrigation
expired in COT Lic.# System database S stem
Plumbing Name Other.
(check all that
apply)
Sub- Corner Lot YES NO Flag Lot YES NO
Contractor Mailing Address check one check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Clty/w ate p Phone _
Issuance,a copy
of all licenses are Oregon Con .Cont. Board Exp Date
required if Lic.# I hearby acknowledge that I have read this application,that the
expired in COT — -- Information given is correct,that I am the owner or authorized agent
database Plumbing Lic.# Exp Date of the owner,and that plans submitted are in compliance with
Oregon State Jews.
-- -- Signpture of wner/ genyy ol /Duey
Name
Electrical ----- nta Person . aPhone#
Sub- Mailing Addres� Z , rilnrs 4 SS7'SSrf J
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 plat#_ n MapZ<L �t
required if LiC# A y l A`J i so
expired in COT ---- Setbacks Zone: 7 Solar /
database Electrical Lia# Exp.Date
ElectricalSupervisor Lic # Exp.Date Engines fit pproval: Planning Approval:
TIF: 4-1
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