Permit CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT # BUP98 -0270
I A I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07 / 20 / 98
PARCEL: 15133DD -04400
SITE ADDRESS...: 11577 SW SHOREVIEW PL
SUBDIVISION • VILLAGE AT SUMMER LAKE PARK 3 ZONING:R -4.5
BLOCK • LOT -083 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 540 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N ..•. 0 sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL 540 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 11 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. $ : 19000
Remarks: Installation of a fully self contained swilling pool. - 18' X 30'
Owner: FEES
MASSOUD MOLLAGHAFFARI type amount by date recpt
11577 SW SHOREVIEW PL PLCK $ 87.43 DEB 07/13/98 98- 307302
TIGARD OR 97223 PRMT $ 134.50 JSD 07 /20/98 98- 307496
SPCT $ 6.73 JSD 07/20/98 98- 307496
Phone #: EROS $ 40.00 JSD 07/20/98 98- 307496
ERPC $ 13.00 JSD 07/20/98 98- 307496
Contractor: ERPC $ 13.00 JSD 07/20/98 98- 307496
SNYBECK NORTHWEST
11745 SE PINE
PORTLAND OR 97216
Phone #: 771 -5857 $ 294.66 TOTAL
Reg #..: 001280
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Struc Steel Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
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 OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: Issued B ���
++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Commercial Building Permit Application,-- -- R e � By -6,6t
1 SW HALL BLVD. New Construction and Additions �J i �� ' to Redd ? / 3 f�
TIGARD, OR 97223 / Date to P.E. -
(503) 639 -4171 y
Date to DST 7
.41 #° * /// Permit* U ■ - G
Print or Type ' j 1 �- i �% i� Related SWR #
Incomplete or illegible applications will not be a — d Called -
Name of Development/Project
�� LL n
Job \fit \kq C., ( Su m rn r (..-14. . Existing Building ❑ New Building ❑
Address street Address Suite
1 15')? 51,0,Sllo re o a Building
Bldg # City/State Zip Data
'.i 9 7 a..a. L I Existing Use of Building or . roperty:
Name
Property mgSScu � r
d Illn\1gcc. ?ci 1
Owner Mailing Address Suite Proposed Use of Bu ding or Property:
115' SO • c ∎
» -
City/State Zip Phone No. Of Stolle .
\gars c(1 alt.& -
Occupant Name Sq. Ft. Of - roject:
Name Occu • = ncy Class(es)
Contractor Shy1cec l� ioo r.4 t 5 (-
Prior to permit MailineAddress Suite T • e(s) of Construction
issuance, a copy
of all licenses , I 'j !.j dc 5 p1 n e •
are required if City/State Zip Phone Will this project have a Fire Suppression System?
expired in C.O.T. Yes ❑ No ❑
database i& 4 LrNd q q - al co '`T7 ► —5451 Americans with Disabilities Act (ADA)
Oregon Const Cont. Board Lic.# Exp. Date
Valuation X 25% = $ Participation
ID C) lk..\ )1- 9 Complete Accessibility Form
Name Project $ °
A rchitect Valuation (� �
Mailing Address Suite
Plans Required: See Matrix for number of set to submit
City/State Zip Phone on back 1
Engineer Name I hereby acknowledge that I have read this application, that the information
given is correct, that I am the owner or authorized agent of the owner, and
Mailing Addre Suite that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Date
City/ ate Zip Phone \\I C2-)\(-- . 1 - \ S. K
Contact Person Name Phone
Indicate type of work: New 0 Addition 0 Demolition 0 V e ")\M e j ) - 2 7 - 53S 7
Accessory Structure 0 Foundation Only 0 Alteration O
Repair 0 Other sz g , ,,,-,, , n y $90) FOR OFFICE USE ONLY /42 °te — IS7"5/
Description of work:
MapfTL# /3/ 3 ' -'Wv Land Use:
Not tw+ 0-4-......." (
Parks: Estimated # of Employees
5� ,.„�.,_.•
If the above figure is not supplied at the time of application, the city will t 1 Q.t r , C r- n /3 • '
calculate the fee based upon the number of parking spaces. //� /" ( � pielt.._,
Note: Site Work Permit Application must precede or accompany Building r V u Pik
Permit Application
I:\COMNEW.DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
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DISTRIBUTION TO PLANS OUT TO D
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 — — 3 (j,o,u) — —
B (New or Add) 1 1 — — 3 (j,o,w) — —
F (New or Add or Alt.) 3 3 — — 3 (j,o,f)
M (New or Add. or Alt) 1 1 — — 2 (j,o) — —
B & M (New or Add) 1 1 — — 3 (j,o,w) — —
P (Nevi, Add. or Alt) 2 — 2 — — 2(j,o) —
B & M & P (New or Add.) 2 1 1 — 3 (j,o,w) 2(j,o) —
E (New, Add, or Alt) 2 — — 2 — — 2(j,o)
B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 2(j,o) 2 (j,o)
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NOTES: I KEY:
a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and o = Office M = MEC '
completes, updates and adds actions. f = Fire P = PLM
u =USA E =ELC
:b::<:: <::Shaded:::areas:>desrg fe:::.. }: w = W =
...��»T:s� �.. r<: >: > : >: >; >>:<: > <��: >: >::«:«:: ash. County F FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with •
calculations.
1 :matrix. Doc
fj Y
I51331 - cAlloo
APPLI ,Jr: te1 N\OR r t+LOE
M MoLl,kG1}RF U745 P/N1f.-
1 1577 �cJ �Eb���� Pc, P012,TL NbOR q7
1 16A (Lo o0 c_ki aa3 77 /-58S
L i. 5
120'
st
65'
tS' X . 30' POOL.
l
Nde
s r
4. RESIDENCE
r _
j O)
VILLAGE AT SUMMER LAKE \
PARK #3 LOT S3 -
33.1' J
S.W. SHOREWOOD PLACE
• SITE PLAN.
N.T.S.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP b
q� - ����
(� z(,�
7 -3� (k5 I Date Requested 3'3- * AM PM BLD
Location / I -1 <U) S '1 1 -GU I / Suite p MEC
Contact Person Ph 01"0 (O(p PLM
Contractor Ph pa SWR
($UILDING ) Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation a FPS
Ftg Drain vv SGN
Cr -.wl Drain Inspection Notes: <;� ��'
ab • e-0-e-'
SIT
Post &Beam �� '"„ � Ay a/f�
Ext Sheath /Shear -(/►'(,(.�
Int Sheath /Shear
Framing
Insulation I � .
Drywall Nailing __ ca.4AeJ .
Firewall 1 ,��, I )
Fire Sprinkler g ; Vv .,. , r , /1.1— Ie {'
Fire Alarm
Susp'd Ceiling 457 e. C'6%-Q GTtt4
Roof
Misc:
F'
ASS
P 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 4/ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES PERMIT # BUP98 -0270
I A I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07 / 20 / 98
PARCEL: 15133DD -04400
SITE ADDRESS...: 11577 SW SHOREVIEW PL
SUBDIVISION • VILLAGE AT SUMMER LAKE PARK 3 ZONING:R -4.5
BLOCK • LOT -083 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST • 540 sf N: S: E: W:
TYPE OF USE...:SF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N ..•. 0 sf N: S: E: W:
OCCUPANCY GRP. :R3 TOTAL 540 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 11 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. $ : 19000
Remarks: Installation of a fully self contained swilling pool. - 18' X 30'
Owner: FEES
MASSOUD MOLLAGHAFFARI type amount by date recpt
11577 SW SHOREVIEW PL PLCK $ 87.43 DEB 07/13/98 98- 307302
TIGARD OR 97223 PRMT $ 134.50 JSD 07 /20/98 98- 307496
SPCT $ 6.73 JSD 07/20/98 98- 307496
Phone #: EROS $ 40.00 JSD 07/20/98 98- 307496
ERPC $ 13.00 JSD 07/20/98 98- 307496
Contractor: ERPC $ 13.00 JSD 07/20/98 98- 307496
SNYBECK NORTHWEST
11745 SE PINE
PORTLAND OR 97216
Phone #: 771 -5857 $ 294.66 TOTAL
Reg #..: 001280
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Struc Steel Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
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 OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: Issued B ���
++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++