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Permit
I , . CITY OFTIGARD ,a, DEVELOPMENT SERVICES BUILDING PERMIT j PERMIT # ° BUP97 -0339 -'� 13125 SW HaII Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 07/16/97 PARCEL: 2S1O4BA -16100 SITE ADDRESS...: 13696 SW LIDEN DR SUBDIVISION ° CASTLE HILL NO.3 ZONING:R -12 PD BLOCK • LOT •191 JURISDICTION:TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION - CLASS OF WORK.:OTR FIRST • 400 sf N: S: E: W: TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS? TYPE OF CONST.:5N ...• 0 sf N: S: E: W: OCCUPANCY GRP. :R3 TOTAL 400 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 14000 Remarks: Installing one piece fiberglass mould swimming pool and spa. Owner: FEES - - -- BOB LIBBY type amount by date recpt 13696 SW LIDEN DR PRMT $ 104.50 B 07/16/97 97- 297171 TIGARD OR 97223 PLCK $ 67.93 B 07/16/97 97- 297171 5PCT $ 5.23 B 07/16/97 97- 297171 Phone #: 649 -7471 FIRE $ 41.80 B 07/16/97 97- 297171 Contract or: CLASSIC POOL & SPA 17875 SE 82ND DR MILWAUKIE OR 97220 Phone #: 653 -8010 $ 219.46 TOTAL Reg #..: 000606 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through ORR 952- 00101987. You many obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: Issued By: 661/kAAA Q KIALI/W10- + + + + + + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan Check $ ITY OF TIGARD Residential Building Permit Application Recd By 3125 SW HALL'BLVD. New Construction Additions or Alterations Oate Recd IGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. 503 -639 -4171 / t fr Date to DST 503. 684 l (. Pemtd 4 60 Pi_] b . '� Print or Type / J Called Incomplete or illegible applications will not be accepted Name of Protect Name Job L-. Wo U Address Site Address n Architect Mailing Address I log (° S td L t ( 0 e" City /State Zip Phone i ce } - L - ihhi j Owner Mailing Address Name C„ Pn n "R z Q ;p Engineer Mailing Address Nam r J ` -) �` P /non 4t) I City/State Zip Phone General C. �5 I c U I � , Describe work New 0 Addition 0 Alteration 0 Repair 0 Contractor Mailing Address r to be done: I - g 71' S. _ ; r9•-•• ( Additional Description of Work: O I o nrr�� s B oard Lie# Exp. Date attach Copy of �7 a3 98 P R J a_ Current t CO T B Tax or Metro 0 Exp. Date O ECT v Licenses i? (La, R VALUATION $ / /J Mechanical ci AS NEW CONSTRUCTION ONLY: Sub- Mailing Add � � S '0 Sq. Ft. House: Sq. Ft. Garage Contractor Al•N Corner Lot YES NO Flag Lot YES NO City/ Ur Zip Phone (check one) (check one) Oregon Const. Cont. Board Lt.* Exp. Date Restricted Audio /Stereo Burglar 'tack Copy of Energy System Alarm Current COT Business Tax or Metro 4 Exp. Date Installation Garage Door ' HVAC _icenses Opener _ Systems Name (check all that Other. Plumbing apply) • Sub- • Mailing Address Will the electrical subcontractor wire for all YES NO Contractor restricted energy installations? . City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO Oregon ConsL Cont. Board L:c.4 Exp. Date Reissue of MST# Solar Compliance Attach Copy of I (Calculation Attached) Current Plumoing Lie 4 Exp. Date I hearby acknowledge that I have read this application, that the Licenses COT Business Tax or Metro 4 Exp. Date information given is correct. that I am the owner or authorized agent of the owner, and that plans submitted are in compliance Name with Oregon State laws. Electrical Signature of Owner/Agent Date Sub- Mailing Address Contact Person Name Phone # Contractor City /State Zip Phone FOR OFFICE USE ONLY: Plat # Map/TL#: Oregon Const Cont. Board Lic.4 Exp. Date Attach Copy of Setbacks: I Zone: Solar. Current Eiecncai Lc. 4 I Exp. Date Licenses Engineering Approval: I Planning .= ..pproval: TIF: COT Business Tax or Metro 4 I Exp. Date rREMDL.DOC (DST) 5/97 • Permit # Acct. Descritpion COT WACO Amount Amt. Pd. Bal. Due MST. Permit (BUILD) (UBUILD) /0 (-/ • Plumb. Permit (PLUMB) (UPLUMB) Mech. Permit (MECH) (UMECH) ELC/ELR Permit_ (ELPRMT) - (UELPMT) State Tax (TAX) (UTAX) BLDG: PLUMB: MECH: • ELC/ELR: Plan Check MST: (BUPPL ( UBUPLN) 6 2 'U 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) 1 TOTALS: - j " I:SFREMOL.DOC (DST) 6/97 1 • Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0339 BOB LIBBY 13696 SW LIDEN DR 12/29/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code- Sent Done. Done Date By - - -- --- -- - -- --- - -- BUPA005 Application received / / / / 07/16/97 OTC 07/16/97 CTR BUPA010 Permit created / / / / 07/16/97 PASS B 07/16/97 CTR BUPA030 Plans routed to Plans Examiner / / / / 07/16/97 • OTC 07/16/97 CTR BUPA050 Approved plans routed to DSTS / / / / 07/16/97 APPR JHF 07/16/97 CTR BUPA085 (F) Issue building permit / / . / / 07/16/97 PASS B 07/16/97 BON BUPA800 Misc. Inspection 07/16/97 / / / / Check setback, fence, and rock wall. 09/19/97 JT JHF also be sure to inspect mech and elc on the pool before approving a final BUPA870 Final Inspection 07/16/97 / / 01/26/98 Approved as noted: PASS KS 01/26/98 J *H 1. Pending electrical approval. 2. Gate at pool barrier is equipped with self closing and latching device. 3. Patio door, that services as part of •protective barrier aroud pool is equipped with alarm device which is activated when door is opened and is • audible per plan review. 4. Pool heater (not covered at this . time). BUPA950 Case Finaled / / / / 01/28/98 Final approval okay per Hap. PASS KS 01/28/98 J *H • • • / ,1 -1Vk P t . • M) I l Cii1/4K- \© , • 1 ,,,k.k..) 2 0 c :c i i 1 i 1 I .___ b L diatiti01111-4fr Ad* A k 6 k \\ c 1 Itpkb ) bq INN& A iiiiiiiiiiii Iv Il IIIII% cDri- NP4 twk — _ ----- • r : -_, • aa9,5a . IA/A 15%i.ecgPit 1 1050) cis(\ Au bAtem ------- k'Qc �o L tGM A \P ,� _ S Qo (c auk( ,......,,,,..„,,... , -vemy., hottia _ cetc__ /1,06. &AEI. um aimeiL, _ ‘xl,_ / ,$) . ow: ....... .:,. ,. . - jii ,,,,...:.,:.: , ,,..,. J �. , I lt—Nigth —/ C 0 3 H-r is V�sstc v.. 'TW.ba\z CC/ :4 . . - _ t, s f,+.r'+9� 0 ' / io �� 4 RCS f &$ a A0.. ci )/ 1 ,0 d z l+ f� `^( SWIMMING POOLS j 4" ` t i Etc CE*4 1 5 FOOT MIN. FROM PROPERTY LINE ' •~ —z— • 2 48' MIN FENCE AROUND POOL OR YARD �� Qn°Qd,�h Vm "[� 1 3 ACCESS GATE BE EQUIPPED WITH A SELF LOCKING DEVICE. 0# l C14)A Ikk r ,i �_ 4 GATE SHALL OPEN AWAY FROM POOL Cr. ITY ° - 6011600 1 ° k AMu 5 GATE LOCK RELEASE MECHANISM SHALL BE LOCATED AT LEAST 3' BELOW THE TOP • Approved OF GATE. Conditional) Approved_ ...........:..:.......... 6 WHERE THE WALL F THE Y PSG [ i O DWELLING SERVICE AS PART OF THE BARRIER ONE OF THE i :of Only the work as des ibod irtz FOLLOWING SHALL BE MET. PERMIT N. ij I P 77.-- 00 ._ 1 POOL SHALL BE EQUIPPED WITH A POWER SAFETY COVER „ See L 1 r to: Follow.................... ( I OR t Atta Yt ..... ........._...... ( 1 2 HAVE AN ALARM SYSTEM CONNECTED ON DOORS AND GATES 1 Jdb • ddress: 13' �f 4 I ( .-k. p 'By: 1;7, , f- date: tU � rr , - &I I 4_-it � 1 - t ,1 Iw I r i y_Ari,77.21 - 1 ?7 1-etr14:9/ , 111. LO A . JJ . " ' ih. � r r ( t 7 b V i-1 t• r rid ,./ .o r l `I r / e.