Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00248
ar# DEVELOPMENT SERVICES DATE ISSUED: 8/11/00
`�'�'' � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 .
SITE ADDRESS: 09281 SW LOCUST ST PARCEL: 1S126DC -06700
SUBDIVISION: MLP96 -0014 PP1997 -124 ZONING: R -12
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: New SF - Path 1. Duplex for 9281 and 9283 SW Locust.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,408 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: MF FLOOR LOAD: 40 SECOND: 1.564 sf GARAGE: 816 sf FRONT: 20 PARKING SPACES : 4
TYPE OF CONST: 5N ' DWELLING UNITS: 2 FINBSMENT: sf RIGHT: 5
VALUE: $ 226,165.72
OCCUPANCY GRP: R3 BDRM: 6 BATH: 6 TOTAL: 2,972.00 of REAR: 15
PLUMBING
SINKS: 2 WATER CLOSETS: 6 WASHING MACH: 2 LAUNDRY TRAYS: RAIN DRAIN: 200 TRAPS:
LAVATORIES: 6 DISHWASHERS: 2 FLOOR DRAINS: SEWER LINES: 200 SF RAIN DRAINS: 2 CATCH BASINS:
TUB/SHOWERS: 4 GARBAGE DISP: 2 WATER HEATERS: 2 WATER LINES: 200 BCKFLW PREVNTR: 2 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 8 CLOTHES DRYER: 2
GAS FURN > =100K: 2 UNIT HEATERS: HOODS: 2 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 2
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: 2 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps•1000v: MINOR LABEL:
1000+ amp/volt :
PLAN REVIEW SECTION
Reconnect only:
>=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: OTH: BOILER: HVAC: LANDSCAPEI1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,493.80
This permit is subject to the regulations contained in the
LUNDMARK HOMES LLC LUNDMARK HOMES LLC Tigard Municipal Code, State of OR. Specialty Codes and
3381 COEUR D'ALENE DR ALBERT C LUNDMARK all other applicable laws. All work will be done in
WEST LINN, OR 97038 3381 COEUR D'ALENE DR accordance with approved plans. This perm it will expire if
WEST LINN, OR 97068 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
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 122499 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Water Line Insp
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins Gyp Board Insp Electrical Final
Foundation Insp Footing /Foundation On Electrical Service Low Voltage Firewall Insp Mechanical Final
Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Rain drain Insp Plumb Final
Issued By : (`a le__ Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
. Y OF TIGARD ) Res - -- ' - ' 7- ' 0 1 i $ b ication
Plan Check # 7
3125 SW HALL BL D. (€?_6) Recd B y Date Recd 7 2 /
TIGARD, OR 97223 i� -' 0 Date to P.E. 1....7
- 2 - 01 & v
V 503 - 639 -4171 l W Date to DST 7 - . 5 / -">
F 503 -684 -7297 /f B Permit # (VI1Z0 Od - c9Q 2 ve
Print or Type Called 3- 2 -.$) a
Incomplete or illegible applications will not be accepted Swg20(4 - 00f11
Name of Project me pAd �f d s 4 & •
Job Lunv&n a i'AAZ ili
Architect Man s
Address S ite Address q �g 3 1 5 Address N w �, ell'
� lctItST c`1" 66 ' / to ( �l7 201 ZLS -q 16, N me ll
V N C�YY�,gQ_1C_ ame
Owner Mailing Address
3a'SI `'s tit Engineer Mailing Address
City /State Zip Phon , p� g
W ` ' 1 1 N� q,b �` &� bS D T City/State Zip Phone
General Name
Contractor Lux.) t' ffS ' Describe work New Addition 0 Alteration 0 Repair 0
Mailing Add
ss to be done:
Prior to permit 33 k k tA.tt Alk3p1� Additional Description of Work: M wl - ►ma - t& t L-y
issuance, a copy City/ tate - Zip Phon
of all licenses \&j - 1 ( AMJ i 6 S W
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# '° 1 ��
database 0/22447 .7 � Si't tv VALUATION g :
Mechanical Name _ . .g - es /vs, NEW CONSTRUCTION ONLY:
Sub - 3i� � i r4."� Sq.� 2. ( House: (, S AS X Z Garage e /(g
Contractor Mailing Address \ 7 x.
Prior to permit /655 5 r..._ � ll,14 Indicate the restricted ene Y� gy installation by the electrical
issuance, a copy , Zip Phong_ subcontractor in the following areas
of all licenses ro l � q j 7 26 Z 23S "LD 1 3 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# 0 Z K O Z 0 In sta llations Vacuum Irrigation
database S q '� v7 ' System System
Plumbing Name ( (check all that Other:
Sub- _ \4, - 4 flA4A. K. �J apply)
Contractor Mailing Address Number of Units in Building Unit Number Designation
3( !.(/! H as the Subdivision Plat recorded? N/A YES NO
Prior to permit Ci /State Zip Phone
issuance, a copy 97Q7 „W. Tr) C:.
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT / �7
2430 3 " 21f -bl
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
3 4 - 2.1 f O B 4---30-0/ of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical _ QW4i'L \3.c. ' 16(_ S ' • ow '. ��t Date
Sub- Mailing Address ,� - �� ���
2/7 eS 5W I v , t l C Con act Person Name Phone #
Contractor 1w vt.� l_v .� � w` t�� Cg - r
City/State Zip one
Prior to permit 46 7� / �fI
issuance, a copy vi ° - 4/652 FOR OFFICE USE ONLY:
of all licenses are Oregon Const. ContjBoard Exp. Date Plat #: y Map/TL#:
?
required if Lic.# 12i t ff� /q ( p
expired in COT J (4 t1 3 -0 l / / I Z if / 5/,35 , 93 -D (, 700
database Electrical Lic. # Exp. Date Setbacks: Zone:
Electrical Supervisor Lic. # Exp. Date Engineering Appr val: Planning Approval: TIF:
�o-� rh Pam g
IY a5o . 0
is \dsts \forms\sfd - new.doc 11/20/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GARNER ELECTRIC
21785 SW TUALATIN VALLEY HWY S
ALOHA, OR 97006 -1248
Electrical Signature Form
Permit #: MST2000 -00248
Date Issued: 8/11/00
Parcel: 1 S126DC -06700
Site Address: 09281 _SW LOCUST ST
Subdivision: MLP96 -0014 PP1997 -124
Block: Lot: 003
Jurisdiction: TIG
Zoning: R -12
Remarks: New SF - Path 1. Duplex for 9281 and 9283 SW Locust.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
LUNDMARK HOMES LLC GARNER ELECTRIC
3381 COEUR D'ALENE DR 21785 SW TUALATIN VALLEY HWY S
WEST LINN, OR 97038 ALOHA, OR 97006-1248
Phone #: Phone #: 591 -1320
Reg #: LIc 121159
SUP 3707S
ELE 34 -305C
AN INK SIGNATURE IS REQUIRED 0 TH F RM
X
•
Signature of S pMising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE T ED
J + R PLUMBING(SEE 72680) AUG ? 2000
3430 SW 209TH AVE • ALOHA, OR 97007 -
Plumbing Signature Form
Permit #: MST2000 -00248
Date Issued: 8/11/00
Parcel: 1 S126DC -06700
Site Address: 09281 SW LOCUST ST
Subdivision: MLP96 -0014 PP1997 -124
Block: Lot: 003
Jurisdiction: TIG
Zoning: R -12
Remarks: New SF - Path 1. Duplex for 9281 and 9283 SW Locust.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
LUNDMARK HOMES LLC J + R PLUMBING(SEE 72680)
3381 COEUR D'ALENE DR 3430 SW 209TH AVE
WEST LINN, OR 97038 ALOHA, OR 97007
Phone #: Phone #: 642 -7776
Reg #: LIC 72680
PLM 34 -214PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X � A 4-11:62,210L Sig ature of Auumber
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OETIGARD BUILDING INSPECTION DIVISION MST e 60z fe
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
.. t
BUP
Date Requested AM PM BLD
Location 9Zf Se., _
G'C 4.5 I " Suite MEC Iv
• Contact Person Ph or $U G 1( PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation t &&)Z C o � FPS
Ftg Drain ✓ SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
aPNB
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
: Drains
�
PA PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Other oach/Sidewalk Date / Inspector (7 �v \ Ext
Final
PASS PART FAIL DO OT REMOVE this inspection record from the job site.
r
CITY OF TIGARD BUILDING INSPECTION DIVISION MST Zliva ewa
24 Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location Suite MEC
Contact Person Ph 5S .S = ,/ PLM
Contractor ey'A-(_NrE4. Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation LG �L � X SOS FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall ' 2 C /
Fire Sprinkler 11 0 ` O G
Fire Alarm /
Susp'd Ceiling 7 i/� — —
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
�� PART FAIL
TE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Other oach /Sidewalk Date / d/ Inspector � EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST o U Z ' 1-'
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested `'1 '- AM PM BLD
Location C f Z 9 54. Ge, C S S r Suite MEC
Contact Person Ph 6,-5-e00 c( PLM
Contractor Ph SWR
UIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access: c-vc /C 9"-
Foundation c • rim �/ (� /! 6 FPS
Ftg Drain SP,--5 / SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc•
41 � PART FAIL
UMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
peSS PART FAIL
MECHAN
Post' eam
Rough In
Gas Line
Smoke Dampers
cr:
SS 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 9-1 Z O Inspector
/
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ° - 06 Z (16) 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested '7 - / U AM PM BLD
Location 92 (5"I 5c'} C6,5 I s7 Suite MEC
Contact Person Ph G S"S - VDU zf PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall `,2 /` r / / � , mo d � _ / � _ � / — e /]
Fire Sprinkler
Fire Alarm �y'�, �3 h mac' /� / _ 7 — 9 _ O /
Susp'd Ceiling GG C 1 i
Roof
Misc:
Final
PASS PART FAIL �Q 14 vh s )7 4 w /
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
F' e larm
WO PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date < — 7z - 40 /
Other Inspector l eayt Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2Gd ° 2 Y�
24 -Ho . .ection Line: 639 -4175 Business Line: 639 -4171
BUP
ate Requested 7 / v AM PM BLD
Location 9 A sw ( -- (1 C 1 4 S /- Suite MEC
Contact Person D C _- p ! Ph GS� - s -- -g6 - 6(i PLM
Contractor 11J1 Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: ,
Foundation SvS t_ vU` / FPS
Ftg Drain U SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
D rho
Dryywalwall Nailing I �' ,•7 f I '4 " i O11
Firewall g(tit
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 0°
Roof .�.
Fina 1
U'
Final '
PASS PART FAIL
C - C 1B#N � a
Post & Beam
Under Slab
Top Out
Water Service --, �Gi(rc,f e Sanitary Sewer /
Drains L lZ— Zv O I
� JP PART FAIL
ANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
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 "7— /0 — / Inspector 7 /I er r v -e . Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.