Permit /
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MASTER PERMIT
CITY OF T PERMIT #...~...: MST94-9065
COMMUNITY DEVELOPMENT Den DATE ISSUED: 04/06/94
1u1unmw Hall Blvd. Tigard, Oregon 97223°81e9 (503) e39-4171
PARCEL: 2S104CA-02600
SITE ADDRESS...: 13571 SW LAUREN LN
SUBDIVISION ^ HILLSHIRE ZONING: R-7 PD
BLOCK..........: LOT..... ..... ...:026
---- BUILDING –
REISSUE: DWELLING UNITS:1 BASEMENT ^864 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE......... . :735 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS
TYPE OF CONST.:5N FIRST....:1238 sf LEFT..:20 ft RIGHT.:8 ft
OCCUPANCY GRP.:R3 SECOND...:998 sf FRONT.:20 ft REAR..:49 ft
STORIES ^ 2 THIRD ^0 sf REQUIRED
HEIGHT -27 ft TOTAL :2236 sf SMOKE DETECTORS.:Y
FLOOR LOAD ^40 psf VALUE $^ 129737 PARKING SPACES..:1
Remarks: PATH I
PLUMBING – –
SINKS ^1 FLOOR DRAINS....:0 BACKFLOW PREVNTRS..:0
LAVATORIES ^5 WATER HEATERS... :1 TRAPS ......... ..... :0 '
TUB/SHOWERS ^3 LAUNDRY TRAYS— .:1 CATCH BAS I NS. ......:
WATER CLOSETS.. :3 SEWER LINE (ft).:0 GREASE TRAPS ^0
DISHWASHERS.... :1 WATER LINE (ft). :100 OTHER FIXTURES.....:0
GARBAGE DISP...:1 RAIN DRAIN (ft).:0
WASHING MACH... :1 SF RAIN DRAINS.. :1 •
MECHANICAL --- FEES
FUEL TYPES– UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS .....:0 TIF $ 1520.00 JG 04/06/94 –
MAX INPUT:0 BTU VENT FANS.. :4 BPRT $ 508.00 JG 04/06/94 –
FURN < 100H ..:0 HOODS ^1 BPLC $ 330.20 JLH 02/16/94 94-2489952
FURN >=100K ..:1 WOODSTOVES. :0 B5PC $ 25.40 JG 04/06/94 –
FLOOR FURN....:0 CLO DRYERS.: 1 SSDC $ 280.00 JG 04/06/94 –
BOIL/CMP < 3HP:0 OTHER UNITS:1 PARK $ 500.00 JG 04/06/94 –
GAS OUTLETS:1 MPRT $ 45.00 JG 04/06/94 –
Owner: – MPLC $ 11.25 JO 04/06/94 –
J ROTH M5PC $ 2.25 JG 04/06/94 –
12780 SW 68TH AVE PPRT $ 162.50 JG 04/06/94 –
P5PC $ 8.13 JG 04/06/94 –
TIGARD OR 97224
Phone #: 639-2639
Contractor: –
J. T. ROTH CONSTRUCTION INC
12540 SW 68TH PARKWAY, SUITE B
•
TIGARD OR 97223
Phone #: 639-2639
Reg #..: 31700
$ 3392.73 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Gas Line Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Insulation Insp
plans. This permit will expiro if work is not started within 180 Post/Beam Meehan Gyp Board Insp
days of issuance, or if work is suspenied for more than 180 da PLM/Underfloor Rain drain Insp
Mechanical I W t Li Insp Water Line Insp
Permittee Signature: Plumb Top Out A r/Sdwlk Insp
Issued By: Fireplace Insp Plumb Final
Call for inspection – 639 •
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Residential Building Permit Application ‘ \∎'\
City of Tigard ti !
13125 SW Hall Blvd.
Tigard, OR 97223 ,
(503) 639 -4171
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Address: �l � -
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Subdivision: /��1�'54'.1 Lot # 21
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Owner: 'd./ - .:.: -
Address: /&>7 fi > > # 04,3 7 >: �� :> :.:::
Phone:
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Contractor: v ' ✓ )O ii tit YV5,.' /eY
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~`\ Address: Other.
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Phone:
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Subcontractors: tractors• _
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Mechanical: / -7 - 'C /4 1 e � — 7 -
()� (attach copy of current OR Contractor's License) /
Archite 1/1/ /`/ 3( .
Address: /PI /i/Z-/ dA)
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Phone: Vi/
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COMMENTS: -- • • . -_
Applicant Signature & Phone number
. Received by: Date Received: .---• J I -gV-
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Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) j ; z S
Mech. Permit (MECH) 4s
State Tax (TAX) _ � ' 7
Bldg: 2
Plumb:
Mech: 2 Z3
y
Plan Check (PLANCK)
Bldg: 3 2) I, 2 -D
Plumb:
)j rf_
Mech: /
Sewer Connection (SWUSA) 2-2-0b
Sewer Inspection (SWINSP) 5
Parks Dev Charge (PKSOC) o b b
Storm Drainage Chg (SDSDC) S
1 /
Residential TIF (TIF -R) / L ,/
Mass Transit TIF (TIF -MT) I
Commercial TIF (TIF -C)
Industrial TIF (TIF -I) - -- -
Institutional TIF (TIF -IS) -. ----- _ -
Office TIF
Water Quality ,:.
Water Quantity (WQUANT)
Fire District (FIRE) _ - -
•o
TOTALS: - 2k-S ►- i
0,,,„,c,6,0-1-- Par,,---Y
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CITY OF TIGARD BUILDING INSPECTION NOTICE 4171 Phone:
Inspection Line (Rec -O- Phone): 6
Inspection: gppr /Sdwlk
Susp. Ceiling Sprink. Rough -in
Footing Mech. Rough -in Fireplace
Foundation Plbg. Underslab
Elec. Rough -in
Post/Beam Struct. Plbg. Top Out -Bldg.
I Post/Beam Mech. San. Sewer
Gas Line
Rain Drain Framing
Plbg. Underfloor -Mech.
Insulation
Alarm Water Line Wall Gyp. Bd. - Elect.
Shear
Underilr.lnsul. AM PM
Time:
Date Requested:
Address: 3 s I icy O(o
Permit #:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
a 1 -/ • Date: �� Insp ., or:
,7 • • • • OVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in
Post /Beam Mech. San. Sewer Gas Line -B d.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation
Underfir. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 3i/D19:_5 Time: AM PM
Address: / � j , rj 7 / v 4. 1J piy Pl Y1
Builder: Permit #: — 5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: 3 `7d"'7(
< APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.