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13969 SW LEAH TE:RR
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CITY OF TIGARD BUILDING INSPECTION DIVISION fir( /C _6`,
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--'our Inspection Line: 9-417! Business Line: 639-4171 –
BUP
_—Lute Requested_/ _AM_ PM �"�- BLD
Location-. 6� S k. FG `1 Suite — MEC
Contact Person __— _ Dove _ Ph -9����f���l PLIV,
Contractor Ph SWR
UILD Tenant/Owner ELC _-
Relaining Wall ELR
Footing AGC@SS��— ----_--
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab Y— L _1�(.v'� – ��GY1 SIT
Posi.&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing V l � � r
Insulation --^�f] Y 1 4
n iwal!Nailing ��l^r Z� —^ ��. �� �'— J L--C'r
Firewall ��,� r �, ��� —��
Fire Sprinkler yl' �•� —�� fi _lj .
Fire Alarm � _
Susp'd Ceiling �. ��~' '� r1
k,
Roof 1
inai� � J
SSS FART FAI -- — _
Post& Beam �-
tinder Slab f {—�? �7 0 v CC ID
Top Out \ , -- ----
Wafer Service lJ��
Sanitary Sewer - ] --�C---- ----
RIaW_Drains .��---U`�1'`_��/�–,i�� C`1i-✓�Q, --� �'�-- — —
A PART FAIL -
ECHAI
os earn _�_—_ --___---- - ------ ----_--_--
Rough In
Gas Line --- --- — — ---- — —----— — --- --
Sm ke dampers
A PART FAIL
ELECTRICAL ----- --- ------ -------
Service
Rough !!, -- -------------------
LIG/Slab
Low Voltage ----------. ---- --------- ------- -_
Fire Alarm
Final — —
P SS PART FAIL
�1
Backfill/Grading - - - ------- ------ -------�-- —
Sanitary Sevier-7 6 0
Storm Drain [ J Reinspection fee of$__---required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line [ J p ____ ___ — [ ;Unable to inspect no access
ADA /11
fA roach/Sidewalk �/ y ^t
gjtA ��(���. Date 0 _Ingpercor _ ��—'" —Ext
Fina
PASS PART FAIL 00 NOT REMOVE this iospection record from the job site.
CITY OF TIGARD RUILDING INSPECTION DMS N MST -41-0
24-Hour Inspection Ling: J9-4175 Business Line: 639-4171
BLIP
Date Requested-L': AM__- PM BID
Location_ Gw �- PG,�_ Suite _ MEC
Contact Person — _ N� �--� Ph - {� A PL.M __--
Contractor Ph SWR
BUILDING � Tenant/Owner ELC
Retaining Wall V ELR
Footirg Access:
Foundation FPS
Fty Drain -�-�-
Crawl Drain Inspection Notes: 5GN
Slab
-- ---------�_ SIT
Post 8 Beam - ___..�..,------ ----__.--- --- --.
Ext Sheath/Shear
Int Sheeth/Shear -
Framing ------- -..--- - ------ — --------------- —
Insulation
Drywall Nailing ------ - - -- --- - - --- ---
Firewall
Fire Sprinkler ---- -c�1 ��-------- --—---- ---.-.
Fire Alarm
Susp'd Ceiling
Roof
Misr. - - -- --- - —_.
Final --------____— _.
PASS, PART FAIL -- -- - --- -- -- - --- ---------- -----
PLUnABING
Post& Beam --
Under Slab
Top Out --..---- -------.._
Water Service _
Sanitary Sewer -
Rain Drains
Final ------------------ - - -----—
PASS PART -1/111-
MECHANICAL
!'ILMECHANICAL
[lost RBeam
Rough In
Gas Line ----- -- - - - - ----- -
Smoke Dampers
Final -- ---- ----,--,. --
PASS PART FAIL
CYLECTRI
Service
Rough In - -
UG/Slab
Low Voltage
FireAS - PART FAIL
SITE
Backfill/Grading ------ - --- - -- -.--.--------- -----
Sanitary Sewer
Storm Drain I ; Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ] Please call for reinspection RE:— _ [ )Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date ,/� - // �y F Inspector _ ', _Ext
Final —
PASS_ PART FAIL DO NOT REMOVE this inspection record Iron: th c- job site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 3722.3
IMPORTANT PERMIT NOTICE
RC t;E1Vf..G
ELECTRICAL INNOVATIONS
22300 S LEWELLEN RD DEQ
REAVERCREEK, OR 97004-8733 WMMUKtTV HULLO W"I
Electrical Signatura Form
Permit #. MST2000-00110
Date Issued: 5115100
Parcel: 2S109BA-01900
Site Address: 13969 SW LEAH TERR
Subdivision: HILLSHIRE SUMMIT
Bloch: Lot: 004
Jurisdiction: TIG
Zoning: R-7
Remarks: Add bonus room and two decks to an existing single family dwelling.
Your company has been indicated as the electrical contractor for the permit indicated above In order for the
electrical peril it to be valid, the signature of the supervisinc, elec',rician is required. Please have the
appr i^:'iividual from your company sign below and return this Ele,trical Signature Form prior to the
start of the work to the address above, ATT N: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL C'ONTRACTOR-
WIEBE, THOMAS ALLEN + CYNTHIA ELECTRICAL INWIVATIONS
13969 SW LEAH TERR 22300 S LEWELL.EN KD
TIGARD, OR 97224 BEAVERCRUE-K, OR 97004-8733
Phone #: Phone #: No business phone
Req #: ELE 26-6990
LIC 00066412
SUP 3621S
AN INK SIGNATURE IS REQUIRED ON T14IS FORM Signatur f Su ervising Electrician
If you gave .iny ques+.ions, please call (503; 639-4171, ext. # 310
CITY OF
T I G A RD - MASTER PERMIT
PERMIT'';: tviST2000-00110
DEVELOPMENT SERVICES DATE 1:3ZLIED: 05/15/2000
13125 SW Hall Blvd., Tigard, OR 97'223 (503) 639-4171
SITF ADDRESS. 13969 SW LEAH TERR PARCEL: 2S109BA-01900
SUBDIVISION: HILL.SHIRE SUMMIT ZONING: R-7
BLOCK: LOT: 004 .;URISDICTION: TIG
REMARKS: Add bonus room and two decks to an existing single family dwelling.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT: FIRS r: 7rr1 5f BASEMENT: -0.00 of LEFT: 15 SMOKE DETECTORS,
TYPE OF USE: SF FLOOR LOAD: a'1 SECONDof GARAuE: 0 of FRONT: 24 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT: a
VALUE: $56,108.08
OCCUPANCY ORP: R3 BDRW BATH: TOTAL: lrp 00 sl REAR: 38
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRA'S: RAIN DRAIN: TRAPS:
LAVATORIES: )ISHWASHERS: FLOOR DRAINS: SEWER LINE is SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: RCKI LW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c 100K: BOILICMP c]HP: VENT FANS: CLOTHFS DRYER:
FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 3 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SFRVICE FEEDER TEMP SRVCIFEEDERS _ RIIANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS
1000 SF OR LESS: u - 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 50uSF: 201 400.rnp: 101 400 amp: let W/O SVCIFOR: SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA AL OL BR CIR: SIGNAL/PANEL IN PLANT:
MANU HMISVCIFDR: 601 1000 amp: 601.amps-1000w MINOR LABEL:
1000+amplvolt:
PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS: SVCIFDR>425 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL.•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: v:,CUUM SYSTEM: AUC'O&STEREO FIRE ALARM: INTERCOAIIPAGING: OUTDOOR LNUSC LT.
BURGLAR ALARM: OTH: w.11".. HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TELE COMM: NURSI:CALLS: TOTAL M SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 1,12 2.86
WIEBE,THOMAS ALLEN+CYNTHIA BROOKFIELD DEVELOPMENT INC This permit is subject to the regulations contained in the
Tigard Municipal Code,State of OR. Specialty Codes and
13969 SW LEAH TERR 5335 SW MEADOW ROAD all other applicable laws. All work will be done in
TIGARD,OR 97224 SUITE 365 accordance with approved plans. This permit will expire if
LAKE OSWEGO,OR 97035 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
o e A Oregon Utility Notification Center Those rules are set
'' Rea a: I I •1: 2- forth ir.OAR 952-001-0010 through 952-001-0080 You
may r.stain copies of these rules or direct questions to
OUNC by nailing(503)246.1987.
REQUIRED INSPECTICNS
Erosion 844.8444 Undefioor Insulation Electrical Rough In Rain draln Insp Building Final
Footing Insp Crawl Drain/Backwater Framing Insp Electrical Final
Foundation Insp Footing/Foundation Dr; Shear Wall Insp Mechanical Final
Post/Beam Structural Mechanical Insp Insulation Insp Plumb Final
Post/Beam Mechanica Electriervice Gyp Board Insp Final Inspection
Issued By :. _ Permittee 5ignaturlr -- �——
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 Check
13125 SW HALL BLVD. New Construction Recd[3y `
TIGARD, OR 97223 Single Family Detached Date Recd�i r'
9 Y Date to P.E. y l�bG ' �-
V 503-639-4171 Date to DST it /\
F 503-684-7297 / ( � Permit#L SFRDAU -00//6
Print or Type called-
Incomplete or illegible applications will not be accepted
9Po,M
Name of Project fume
Job
Address Site Address Architect Mailing Address
Name Citi/State ZIP Phone
Owner Mailing Address �. N ne
City/State Zip Phone Engineer Mailing Address
Ti sem/ ' 97t't''f/ I Sjlb--S'S" e, Aw 7CK,6
General
Name City/State Zip Phone
/ _ ��
�
Contractor ���'r' ' ���Dwe/�������y� Describe work New O Addition 0-Alteration O Repair 0
Mailing Addreus to be done
Prior to pjrmit 47.7-f-✓ars,�' a ��•�✓f"� �6r Additional Description of Work:
issuanco,a copy Clty/Stale e . Zip Phone _ _ _
of all fluenses 6 a&,0 W* j'j0?f /&?-/tC�
are required If Om)')n Gonst.Cont.Board Exp.Date PROJECT
expired In COT Lic s /11;1V y VALUATION
database
Mechanical Name — — NEW CONSTRUCTIO►-0 ONLY: _
Sub- 7 �'j�� Sq. Ft. House: 7y) �'>;�� Sq. Ft.Garag
Contractor Mailing Address � ' i G" 'A'
Prior to permit Indicate the restricted energy Installation by the electrical
Issuance,a ceoy City/State Zip - Phone subcontractor in the following areas
of all licenses Restricted Audio/Stereo
are required if Oregon Const,Cont. Board Exp.Date Energy System _ Alarms
expired In COT Lic# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- l L, apply)
Contractor Mailing Address Number of Units in Building Unit Number Designation
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
required if Llc.#
expired in COT
database Plumbing Lic.# Exp.Date I hearby acknowledge that I have read this application,that the
information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical nG ' I Signature of R t Date
Sub- Mailing Address — -
Conlac,I-P rson Name Phone#
Contractor v J�
City/State Zip Phone
Pnc,to permit �[+�
issuance,a copy FOR OFFICE USE ONLY: fttl efer ✓4sotf)r Zor
of all license%ari Oregon Const.Cont.Board Exp.Date Plat#. Map/TL#:
required If Lic*
expired in COT _ I`; �l L_ la l �UI` '
database Electrical Lic # Exp Date backs: Zo
Electrical Supervisor Lic # - Exp.Date Engineering Approval— Planning Approval
Z� o i\dsts\forrns\sfd-new dor. 11/20/98
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S. W. LEAH TERRACE
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LEGAL ADPL€
LOT AREA 11,11150 13969 S.W. LEAH TERRACE
NO�TN LOT COVERAGE•2181.0.24B% TIGARD, OR. 91224
LAX-Lo LEGAL DES-CRpTION
TALC LOT IWO LOT4, BOOK W. PAGE 14
X_QN�p�gIGNATLcN.- HILLSHIRE SUMMIT
R-1 WASHINGTON COUNTY, OREGON