Permit CITY OF T D MASTER PERMIT
,A+ r�i,R, DEVELOPMENT SERVICES PERMIT • MST97 -0347
y- ... I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08 / 15 / 97
PARCEL: 1S125CD -06500
SITE ADDRESS... :09781 SW LANDAU PL
SUBDIVISION °LANDAU WOODS ZONING: R -4.5
BLOCK LOT •002 JURISDICTION: TIG
Remarks: Fire restoration from garage fire. Replacing sheet rock, water heater, furnace, & 1 branch circuit.
- - BUILDING - - --
REISSUE: STORIES • 0 FLOOR AREAS ----- BASEMENT...: 0 sf REQUIRED SETBACKS ---- REQUIRED -
CLASS OF WORK.:REP HEIGHT • 0 FIRST....: 0 sf GARAGE • 500 sf LEFT : 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT • 0 PARKIN SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSI'ENT: 0 sf RIGHT : 0
OCCUPANCY 6RP.:R3 BURN: 0 BATH: 0 TOTAL 0 sf VALUE..$: 0 REAR : 0
-- PLUMBIN - ----- - ---- --
SINKS : 0 WATER CLOSETS.: 0 WASHIN MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 1 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHAVICAL --
FUEL TYPES --- FURN (1' ..: 1 BOIL /CMP ( 3HP: 0 VENT FANS : 0 CLOTHES DRYERS: 0
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES : 0 GAS OUTLETS...: 0
ELECTRICAL - - ---- --
-- RESIDENTIAL UNIT -- --- SERVICE /FEEDER --- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS --- ---- MISCELLANEOUS --- - -ADD'L INSPECTIONS -
1 ', SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER. INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 4c, amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 1 SIGN /OUT LIN.LT: 0 PER HOUR : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - 1' amp.: 0 681+amps -1' v: 0 MINOR LABEL -10: 0
. 1000+ amp /volt.: 0 — . PLAN REVIEW SECTION — -
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
ELECTRICAL - RESTRICTED ENERGY ---- --- -- A. SF RESIDENTIAL ---- B. COMMERCIAL ----------------- ---- --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC • LNDSCAPE /IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL • OTHR:
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: — --- ---- -- Contractor: ----- -- TOTAL FEES:$ 123.50
BRANDYWINE HOMES INC TEGRIT INC This permit is subject to the regulations contained in the
P D.BOX 2295 5716 SE 92ND AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
LAKE OSWEGO OR 97035 PORTLAND OR 97266 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 0: 697 -3277 Phone 0: not started within 180 days of issuance, or if the work is
Reg 0..: 008642 suspended for more than 180 days. 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 these rules or
direct questions to OUNC by calling (503)246 -1987.
— - — -- REQUIRED INSPECTIONS — ---------------
Mechanical Insp Gyp Board Insp Building Final
Plumb Top Out Misc. Inspection
Electrical Servi Electrical Final
Framing Insp Mechanical Final
Insulatio sp plumb Final /
aft_ d B �� '� Permittee Si nat�_ire:
Issu-d g
+ + + + ++ + + + ++ +++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + +. -- + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
it ' Plan Chec �#-.,
•
73iTY OF TIGARD Residential Building Permit Application Recd By(, �2 "U).
'3125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd R -) s
iGARD OIL 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503- 639 -4171 . Date to DST
503- 684 -7297 Permit # /-'Tq 7 49V/7
7
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project Name •
Job 1- /O /La o4,J (//2-E" / 'i4 l,
Address Site Address Architect Mailing Address
49 72) / 50 LAA DAV °--
Name City /State Zip Phone
�() A J I .' 'TOO Name
Owner Mailing Address /�
g 1 % / L $4/ DA M
ailin ddress
City /State Zip Phone Engineer *._
r/ tv A /L ii (1111 ' ,,City /State Zip Phone
Name
General 1 / 6"(, /L,1 °f I / i (_ Describe work' New 0 Addition 0 Alteration 0 Repair 0
Contractor Mailing Address / be done:
"� p q A iJ C °3' Additional Description of Work: •
j Cty /State i Phone l
po&.-Ir 3 to X7 7 - ,,( / - '
Oregon Const. Cont. Board Lic.# Exp. Date f
Attach Copy of 60 64 -7 q O 7- q '7 V /, V c, c :
. Current COT Business Tax or Metro # Exp. Date PROJECT g Licenses VALUATION $ / 000
Name NEW CONSTRUCTION ONLY:
I Mechanical 8"/1) e.---n c y P i.).5 Sq. Ft. House: Sq. Ft. Garage
` Sub- Mailing Address
I Contractor Corner Lot YES NO Flag Lot" YES NO
City/State Zip Phone ./
(check one) (cheek one)
or on Con Cont. Board Lic.# Exp. Date Restricted Audio /Ster o Burglar
Attach Copy of �j� rr'j Energy Systertj Alarm
j Current OOT Tax or Metro # Exp. Date Installation Gar `de Door HVAC
j Licenses Opener Systems
Name ® (ch ,
all that /Other:
l Plumbing / / , P d.t el b Al p
Sub- Mailing Address Will the electrical j s6bcontractor wire for all N YES NO
Contractor restricted energy iinstallations?
City /State Zip Phone Has the Sub 'vision Plat recorded? N/A YES NO
Oregon Const. Cont. Board Lic.# Exp. Date Reissu of MST #: Solar Compliance
Attach Copy of (Calculation Attached)
Current Plumbing Lic. # Exp. Date I hereby acknowledge that I have read this application, that the
Licenses information given is correct, that I am the owner or authorized
COT Business Tax or Metro # Exp. Date agent of the owner, and that plans submitted are in compliance
Na e with Oregon State law
Electrical 671- Signature o caner /A nt ' Date
Sub- Mailing Address Contact n Name Phone #
Contractor J e G f a `J c-`— 771 - 778
City /State Zip Phone
FOR OFFICE USE ONLY:
Plat #: Map/TL #:: �- /
Oregon Const. Cont. Board Lic.# Exp. Date /,S / r "6
Attach Copy of Setbacks: / Solar:
Current Electrical Lic. # Exp. Date ^ui � - L / , / f
Licenses Engineering Approval: Planning A /
g roval: TIf=; ,
COT Business Tax or Metro # Exp. Date / �/
I:SFAPP.DOC (DST) 4/97
Ir
Permit # Acct. Descritpion COT WACO Amount Amt. Pd. Bal. Due
MST. Permit (BUILD) (UBUILD)
SCJ ,
Plumb. Permit (PLUMB) (UPLUMB) A5.4" 0 '
Mech. Permit (MECH) (UMECH) 095' o °
ELC /ELR Permit (ELPRMT) (UELPMT)5'
State Tax (TAX) (UTAX)
BLDG: 2i,
PLUMB: , . L5
MECH: f ,
ELC /ELR: 5C
Plan Check
MST: (BUPPLN) (UBUPLN)
Plumb: (PLUMB) (UPLUMB)
Mech:
(MECPLN) (UMEPLN)
CDC Review (BUILD) (CDCBLD) (UCDC)
CDC Review (PLN) (CDCPLN) N/A
Sewer Connon (SWUSA) (USWUSA)
Reimbur. District ( ) ( )
Sewer Inspection (SWINSP) (USWINS)
Parks Dev Charge (PKSDC) N/A
Residential TIF (TIF -R) (UTIF -R)
Mass Transit TIF (TIF -MT) (UTIF -M)
Water Quality (WQUAL) (UWQUAL)
Water Quantity (WQUANT) (UWQANT)
Erosion Control Prmt ( ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN)
Erosion Planck/COT (EROSN) (UEROSN)
Fire Life Safety (FLS) (UFLS) •
TOTALS: '4 ? /
1:SFAPP.DOC (DST) 4/97
T
1 31
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: Re q--.2-6 - 7 7 q 0_4: P.M. MST: 7 0 7
Location: 7 781 aartzdax.e.-, t .� BUP:
Tenant: Suite: Bldg: MEC:
Contractor: �A Phone: t 70 - 765" PLM:
Owner: Phone: ELC:
ELR:
• t -. SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL < LECTRIC SITE
Site Post/Beam Post/Beam Post/Beam �� - Cover Service Sewer /Storm
Footing Roof UndFl/Slab Rough -hi Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved) Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Norvpproved Not Approved
FINAL FINAL FINAL <4177 FINAL
A -L '9 - ,o,1? D v�� •
/ /f0'. /)--/1-/-5 ir� /
C1(
•
® Call for reinspection einppection fee of.$ required befor next ins ction 0 Unable to inspect
Inspector: Date: J -7 Page of
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Requested:
5//3
Date R
eq A.M. 46 P.M. MST: ci 70 37
Location: A BUP:
. i (� 144 t'
Tenant: Suite: Bldg: MEC:
Contractor: 19 fJ b , Phone: 6-5- /C/ 2 l PLM:
Owner: Phone: ELC:
•
" ---- E 1 ( ELR:
SIT:
BUILDING BLDG (con't) .PLUMBIN MECHANICAL ELECTRICAL SITE
Site Post/Beam f\m eam � �PPost/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab a ' ough -In Ceiling Water Line
Slab Framing Top Out'' Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer „ ,,, � _ `1 Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm C O Y " � �"�`-' Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved A •'roved Approved Approved Approved
Appr /Sdwlk Not Approved : • oved Not Approved Not Approved Not Approved
FINAL - FIN • FINAL FINAL FINAL
•
O Call for r -' • -cti • 0 Reins'-ctio. fee of $ required before next inspection O Unable to inspect
Inspector:
rr� VArti> - • f.. Js , Date: f...___fa---
Page of
41111 NMI/ wow/
•
CITY OF TIGARD BUILDING INSPECTION DIVISION j �
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST 17 °O0 'Y-1?
BUP
Date Requested �/ /r'( AM PM BLD
OO
Location Q p j Lax) PL Suite C
Contact Person Ph PLM /9q X)/ (1, 7
Contractor - re3 k R f .- v 2 Ph y,r? li S R
s<<, Tenant/Owner ELC
Retaining Wall ELR
Footing A cess:
Foundation � / f Neale/ FPS
Ftg Drain �( ((
Crawl Drain Inspection Notes: SGN
Slab ') Ul� SIT
Post & Beam
Ext Sheath /Shear , /` / w"�` , t ' � `{ " `
Int Sheath /Shear
Framing
Drywall USG T. �i�S
Drywall Nailing y /�/
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ,I d
Misc: _ _ - ZOIRIf
;B ART FAIL
LUMBti 7 �d Ale #1r_
Post & Beam
Under Slab
Top Out
Water Service , ifl �L
Sanitary Sewer
Rain Drains
PAS PART a
CHANICA
Pos eam
Rough In
Gas Line
Smoke Dampers
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 inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date , Inspector Ext
Final
PASS PART FAIL DO NO REMOVE this inspection record from the job site