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Permit
1 CITY OF T MASTER PERMIT ` k A\ DEVELOPMENT SERVICES PERMIT #.......: MST98 -0030 �14Al DATE ISSUED: 02/20/98 -II. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S 1 `5DB -08900 SITE ADDRESS... :07107 SW LOLA LN SUBDIVISION.... :THE RAZBERRY PATCH ZONING: R -4.5 BLOCK........... LOT ............. :009 JURISDICTION: TIG Remarks: Construction of garage addition ---------------------------- — --- BUILDING REISSUE: STORIES • 1 FLOOR AREAS--- -- - - -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED------- - CLASS OF WORK.:ADD HEIGHT • 12 FIRST • 0 sf GARAGE • 240 sf LEFT : 5 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD : 50 SECOND...: 0 sf FRONT • 20 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL - - - - -: 0 sf VALUE..$: 4243 REAR : 0 - --------------- - - ---- - - - - - -- -- - - - - -- PLUMBING — ------- -- - - -- ---------------- --- - -- SINKS : 0 WATER CLOSETS.: 0 WASHING 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.: 0 WATER LINE ft: % BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --- - ---- - - --- ---- MECHANICAL - ----- - - -- ---- - - - - -- FUEL TYPES-- ---- -- FURN ( 100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0 FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS..........: 0 WOODSTOVES : 0 GAS OUTLETS...: 0 — w - -- ------ - - - - -- ELECTRICAL ---- - - - - -- --- --- - - RESIDENTIAL UNIT - -- -- SERVICE /FEEDER - -- —TEMP SRVC /FEEDERS— -- BRANCH CIRCUITS - -- - -- MISCELLANEOUS - -- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 0 0 - 200 amp..: 1 0 - 200 amp..: 0 W /SVC OR FDR..: 2 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 4u', amp..: 0 201 - 4Y; amp..: 0 1st W/D SVC /FDR: 0 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 - 1000 amp.: 0 601 +amps -1000 v: 0. MINOR LABEL -10: 0 1000+ amp /volt.: 0 --------------------- -- - - -- PLAN REVIEW SECTION -- Reconnect only.: 0 ) =4 RES UNITS..: •SVC /FDR) =225 A.: ) 6v, V NOMINAL: CLS AREA /SPC DCC: - --- - -- 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 LANDSCAPE /IRRI6: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: •• HVAC • DATA /TELE COMM.: NURSE CALLS • TOTAL # SYSTEMS: 0 Owner: -- - - --- -------------- -- __Contractor: --------- - - - - -- --- --- TOTAL FEES:f 159.36 KIM DORSING DORSIN6 CONSTRUCTION This permit is subject to the regulations contained in the 7107 SW LOLA LN 7135 SW SHADY CT Tigard Municipal Code, State of Ore. Specialty Codes and all BEAVERTON OR 97005 TIGARD OR 97223 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone #: Phone #: 805 -1954 not started within 180 days of issuance, or if the work is Reg #..: 057349 suspended for more than 180 days. ATTENTION: Oregon law - — -------------------- requires you to follow rules adopted the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 - through OAR 952 - 9 11%1 -% :a. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 - 1987. --------------------------------------------------------- REQUIRED INSPECTIONS --- - --- -- Erosion Control Low Voltage Footing Insp Rain drain Insp Electrical Servi Electrical Final Electrical Rough Building Final Framing Insp Il Issued By: ' Permittee Signature :4 — _� + + + + + + ++ �. +++ op +++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + ++ + + +1- Call 639 -4175 by /' p.m. for an inspection needed the next business ay Plan Check # na CITY`O Residential Building Permit Application Rec'dBy04. 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd A -9-9? TIGARD, 97223 Single Family Detached or Attached (Duplex) Date to P.E. G / — 'f 0 V 503 - 639 -4171 Date to DST -/ ? —0 � F 503- 684 -7297 Permit # /q %4 6;0 0 Print or Type Called 7 v 5 1 iG' Incomplete or illegible applications will not be accepted c ---I K Name of Project ame Job DrIZSIA) c a$ettGe. p Do i ) lbi+t� (ob t L r-"Ey j7 c' c� hc'�2S Address Site Address n Architect . Mailing Address f Name City/ tat Z p Phone i K; vM s t� a t 9 d 7 a9 - 097 Name Owner Mailing Address ��-� Stat Zip Phone c I ty Engineer Mailing Address t't"" ,Q� ' n2ZS 4 �3- -3-414(5.7 City /State Zip Phone General Name/ �� Contractor be g..S /A) G a��,, r) V (� d' ) Describe work New 0 Addition Alteration 0 Repair 0 Mailing Address to be done: Prior to permit . 713S S chivfly (mot Additional Description of Wo rk a_ issuance, a copy C /Stat Zi Phone �/ J 2. �4 V'' of all licenses C c q` 2Z -/ T • are required if Oregon Const. Cont. Board Exp. Date PROJECT '•.Q 3 • expired in COT Lic.# 5.. a VALUATION $ r', database _ Mechanical Name NEW CONSTRUCTIO ONLY: Sub- Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address 2- U @ / 7 • ‘ Y Prior to permit Corner Lot YES NO Flag Lot YES NO issuance, a copy City /State Zip Phone (check one) (check one) of all licenses Restricted Audio /Stereo Burglar are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm expired in COT Lic.# database Installation Garage Door HVAC Plumbing Name Opener - Systems T Sub (check all that Other: Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO restricted energy installations? Prior to permit City /State Zip Phone Has the Subdivision Plat recorded? N/A YES NO issuance, a copy of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# Solar Compliance _ expired in COT (Calculation Attached) 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 Name agent of the owner, and that plans submitted are in compliance : with Oregon State s. Electrical � (,) ignat r f,Ow ■ent Dat Sub- Mailing Address ,c l )7 -9 g Contractor Contactn Na P �&57 ( ` DOV5 ,q one # City/State Zip Phone tD� Prior to permit FOR OFFICE USE ONLY: issuance, a copy tat #: /� Map/TL #: of all licenses are Oregon Const. Cont. Board Exp. Date /64' 161 As DP ) OPOO required if Lic.# expired in COT Se e' S Solar: database Electrical Lic. # Exp. Date � Eng Approval: P Approval: TIF: • . f ( y. os I:SFREM.DOC (DST) 4/97 CITYIOF TIGARD Electrical Permit Application Plan Check # '13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Print or Type Inspection (503) 639 = 4175 Incomplete or illegible will not be accepted Permit # Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ' Dal S i h\ PAW - ON Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum I Address • 4a. Residential - per unit l000 sq. ft. or less $110.00 4 City/State /Zip Each additional 500 sq. ft. or Commercial ❑ Residential ❑ Li portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Installation, alteration, or relocation 200 amps or less $60.00 2 Address 201 amps to 400 amps $80.00 2 City State Zip 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date see "b" above. Phone No. 4d. Branch Circuits . New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with ;� purchase of service or Each branch circuit $5.00 2 Print Owner's Namcce��_ t V1/1 �1irii 1'l e feeder fee. Address �[�7 r t ok L.jrKe �7 State C9 YL, Zip 7 b) T he fee for branch circuits cit q hp 4 t p / 3 without purchase of Phone M0 53 A[tp.. C? /1 F s ir ervice or an h circuit fee. $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. _ 4e. Miscellaneous ~� (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3, Plan Review se lion if require '* Signal circuit(s) or a limited energy � q panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. S. Fees: Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE OWNER Electrical Signature Form Permit # • MST98 -0030 Date Issued. : 02/20/98 Parcel 1S125DB -08900 Site Address : r/107 SW LOLA LN _ ) Subdivision.: THE RAZBERRY PATCH Block Lot: 009 Jurisdiction: TIG Zoning • R -4.5 .Remarks: Construction of garage addition 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 work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: RIM DORSING OWNER 7107 SW LOLA LN BEAVERTON OR 97005 Phone #: Phone #: Reg #..: 999999 PA' r 6 Sig , ature o upervising 'Tectrician If you have any questions, please call 639 -4171, ext. #310 . 3 /may CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 3-1 - q' o ft) K P .M. MST: 6.781*-- �3Q Location: 7107 y�2'L C J BUP: Tenant: Suite: Bldg: MEC: Contractor: J / 1 /y'� ��� Phone: gOS i9� PLM: Owner: 1A `. _ Al /. �! 'hone: * ELC: r ,_......4zet ! a jt........„." ELR: 11 , SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFUSlab Rough -In 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 /Alm Crawl/Found Dr Heat Pump Low Volt _`-.. J Approved Approved Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved ciwir . •roved Not Approved FINAL FINAL FINAL FINAL , FINAL L (�e_ ��a' tai i/ I:a.'- t J • O Call for reinspection ' spection fee of $ required before next inspection D Unable to inspect Inspector: Date: 3 — 1 2....-- 91 Page of I" -- -++ - r--• , , .- CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: J' -9 Q P.M. MST: R '—'C3Q • Location: — 2 I © 7 ,s(,( / e BUP: Tenant: Suite: Bldg: MEC: Contractor: g ( Z Phone: eo s- 1 ci PLM: Owner: Phone: ELC: r i l— afk. ,i ELR: �, SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL 2 SITE Site Post/Beam Post/Beam Post/Beam C over /Servi Sewer /Storm Footing Roof UndFUSlab Rough -In 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 /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved • Approved p ved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL -- INAL FINAL .-rte 6 !/ pry r 4 ' r ( �-cQ" le GL- . . • O Call for reinspection einspection fee of $ required before next inspection O Unable to inspect Inspector: Date: •3 -31- 9? Page of • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 'n 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location � ('7 LO� t-!�) Suite MEC Contact Person Ph PLM /) Contractor d/br -r ldt fin- St Ph gO$ -/ 5 ‘S SWR (LOIN' = Tenant/Owner ELC Re aining Wall ELR Footing Access: Foundation Ce Se _ � OL t W FPS Ftg Drain `�-( U � ( r( SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation /7 / aj�,4€ Drywall Nailing (/� � Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc; SS 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 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 Other Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.