Permit CITY OF TIGARD MASTER p�ERMIT
PERMIT #.......: MST94 -9066
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/28/94
1 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 2S104CA -02500
SITE ADDRESS...: 13599 SW LAUREN LN
SUBDIVISION....: HILLSHIRE ZONING: R -7 PD
BLOCK...... ..... LOT......... .... :025
BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT. ....... sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE ...... ....:710 sf
TYPE OF USE...: SF FLOOR AREAS REQUIRED SETBACKS - - --
TYPE OF CONST. :5N FIRST -1268 sf LEFT..: 14 ft RIGHT.: 10 ft
OCCUPANCY GRP.:R3 SECOND... :1002 sf FRONT. :20 ft REAR.. :48 ft
STORIES.......:2 THIRD °0 sf REQUIRED -- - - --
HEIGHT -30 ft TOTAL :2270 sf SMOKE DETECTORS.:Y
FLOOR LOAD....:40 psf VALUE $. 130914 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 BASINS....... :0
WATER CLOSETS.. :3 SEWER LINE (ft ).:0 GREASE TRAPS— ..... :VI
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 SW 03/28/94 •-
MAX INPUJT:0 BTU VENT FANS.. :4 BPRT $ 510.50 SW 03/28/94 -
FURN < 100K .. :0 HOODS.. .... :1 BPLC $ 331.83 JLH 02/16/94 94- 248996
FURN > =100K ..:1 WOODSTOVES.:0 BSPC $ 25.53 SW 03/28/94 -
FLOOR FURN— .:0 CLO DRYERS.: 1 SSDC $ 280.00 SW 03/28/94 -
BOIL/CMP < 3HP:0 OTHER. UN I TS : 1 PARK $ 500.00 SW 03/28/94 -
GAS OUTLETS:1 MPRT $ 45.00 SW 03/28/94 -
Owner: -- -MPLC $ 11.25 SW 03/28/94 -
3 ROTH MSPC $ 2.25 SW 03/28/94 -
12480 SW 68TH PPRT $ 162.50 SW 03/28/94 -
PSPC $ 8.13 SW 03/28/94 -
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
$ 3396.99 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 Fireplace Insp
applicable laws. All work will be done in accordance with approved Post /Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post /Beam Meehan Insulation Insp
days of issuance, or if work is suspended for mo e th - 180 days. Plm /undslab Insp Gyp Board Insp
PLM /Underfloor Rain drain Insp
Permittee Signature :: ■.., Mechanical Insp Water Line Insp
Plumb Top Out Appr /Sdwlk Insp
Issued By: Framing Insp Mechanical Final
Call for inspection - 639 -4175
Residential Building SW Hall Permit Application
Cit o f Tiga
13125 ard Blvd.
Tigard, OR 23
(503) 639 -4171 972
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Address:
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Phone: l7 3 - 7
Apro Required
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Contractor: �T / o i i (97✓t:'� ' '('-
Engi neering
Address:
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(attach copy o f current OR Contractor License)
Architect/Engineer:
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Address: / , ��� ////,,/ ,2-3
Phone:
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COMMENTS:
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Applicant Signature & Phone number
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Received by: :�/1�� Date Received: .Z l r
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Permit # Account Description Amount Amt. Pd. Bal. Due
M5/94/-90‘ ‘ Bldg. Permit (BUILD) 57o, 5" 5/ 5
Plumb. Permit (PLUMB) /62 / 2 , ei
Mech. Permit (MECH) z/S,Gc (/)
State Tax (TAX) 35.11 3 - �1 /
Bldg: c2.37-1
Plumb: ?''/ 3
Mech: ( 2 , Z N
Plan Check (PLANCK) -3i3: d 5 ��5 / 93' U"
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Bld 331 • ,73
Plumb:
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Mech: //,18
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- ngtl -v o 1 y Sewer Connection (SWUSA) 0 Z!/U
Sewer Inspection (SWINSP) 35 33'
Parks Dev Charge (PKSDC) SliU SOU
Storm Drainage Chg (SDSDC) (P
Residential TIF (TIF -R) / ¥/ G.. ' .- 10 u
Mass Transit TIF (TIF -MT) - -1/ V . - i/ U
Commercial TIF (TIF -C)
Industrial TIF (TIF -1) - • - . - - -
Institutional TIF (TIF -IS) -- --- ---- - - - - -
Office TIF
Water Quality (WQUAL•) -- . =-- --; �--- -•--_.�__,_.. ,_,_.._.
Water Quantity (WQUANT) _= --- . , . .-
Fire District (FIRE) ' __
TOTALS: ,56O 3 I. 7 - S' $' , / 7
_ __ _. _ _ ,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 6a9 -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 F NA •
Post /Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing - 'lumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 3 /(6 Time: AM PM
Address: /72jr'j ! Y
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inspector: Date: — '/n --'93
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.