Permit CITY OF TIGARD MASTER PERMIT
Av ;� DEVELOPMENT SERVICES PERMIT # • MST9B -0463
elk 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1 1 / 13 / 98
PARCEL: 15134AB -03100
SITE ADDRESS...:11460 SW SPRINGWOOD DR
SUBDIVISION •ENGLEWOOD ZONING: R -4.5
BLOCK LOT :088 JURISDICTION: TIG
Remarks: REPAIR to single family dwelling.
- - - --
--------- -- - - - - -- BUILDING --- - - - - -- -------- - --- - - - - --
REISSUE: STORIES • 1 FLOOR AREAS - - -- -- BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED---- -
CLASS OF WORK.:REP HEIGHT • 0 FIRST • 0 sf GARAGE • 0 sf LEFT • 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 0 SECOND...: 0 sf FRONT • 0 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..S: 1m"." 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: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------- - - - - -- - - - - - --
------------MECHANICAL----------------
FUEL TYPES - - - - -- FURN (100K ..: 0 BOIL /CMP ( 318 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
--------- - --- -- — - ELECTRICAL -- - --- -- — _--- - - ____
— RESIDENTIAL UNIT— — SERVICE /FEEDER --- —TEMP SRVC /FEEDERS -- — BRANCH CIRCUITS - -- -- MISCELLANEOUS -- —ADD'L INSPECTIONS -
1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - 200 alp..: 0 W /SVC OR FOR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 4m amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT : 0
MANF HM /SVC /FDR: 0 601 - 1'.' amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0
1'iY + amp /volt.: 0 ------------- - - - - -- PLAN REVIEW SECTION ----- - - - -
Reconnect only.: 0 )=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 /PARING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: DTH: .• BOILER HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: --------------------- Contractor: - - -- - - - - - -- - TOTAL FEES:f 218.86
GREG DE GUZMAN LORENTZ BRUUN CO INC This permit is subject to the regulations contained in the
11460 SW SPRIN6W00D DR 3636 SE 20TH AVE Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 PORTLAND OR 97242 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone D: Phone D: 232 -7106 not started within 180 days of issuance, or if the work is
Reg D..: mom0 suspended for more than 180 days. ATTENTION: Oregon law
---- ----- - - - - -- - - -- - -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001- m10 through OAR 952 -001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
--------------------- REQUIRED INSPECTIONS -- ------ --------- -
Electrical Servi Electrical Final
Electrical Rough Building Final
Framing Insp
Shear Wall Insp
Insulation Insp 1M1 We Issued By: Permittee Signature: :
+ + + + + + + + + + + + + ++ ++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
-. e.--
CITY OF TIARD Residential Buil ' Permit Ap I tion Plan Check # //- 23
13125 SW HALL BLVD. Alteration Interior Remodel Onl Recd By ...Q
Date Recd y/ 2- e
TIGARD, OR 97223 Single Family Detached or�ached (Duplex) Date to P.E. /r
V 503 - 639 -4171 / c u s + _ �� / � S Date to DST / /-, z g f 2
F 503 - 684 -7297 1 r , Permit # 17S TV .- y63
pi..9 s . 5 , --. 4 6 /44/ //a-7 , e-- j or Type CalledentaLiF it-NA/t--- /00i
Incomplete or illegible applications will not be accepted &V
Name of Project Name
Job &¢E& DE 6 u znn A.-)
Address Site Address
Architect Mailing Address
I t 1 -1 (.o Sr,J SPfLtr.►(.,t,JOOD City /State Zip Phone
Name
L LrzC' r) 6, u7..M.,...4 Name
Owner Mailing Address r,., Q.
City/State Zip Phone • Engineer Mailing Address
T I 662A, set 41=3 5 ?9 - 5420
N ame City/State Zip Phone
General /
Contractor Lo�R•iT _ d�v N �., Describe work New 0 Addition 0 Alteration 0 Repair la
Mailing Address to be done:
Prior to permit 363 c,. $ Additional Description of Work:
issuance, a copy City/State Zip Phone
of all licenses PorCruwD, 62 6 I120 - 232--714:? to
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.# -33 CI ` Zo ch. VALUATION $ D��
database
Mechanical Name CONSTRUCTION ONLY:
Sub - / A Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance, a copy City/State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms •
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name / _ (check all that Other:
Sub - *' (pc apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attach-.)
required if Lic.#
expired in COT I h y acnow have this application, - that I h read thi lication, that the
database Plumbing Lic. # Exp. Date informa giv= is , .rrect, that I am the owner or authorized agent
of the •wn-r, . d t -t plans submitted are in compliance with
Ore. an St-t= law /
Name Sig : ture 0 0 , .r/Agent Dat
Electrical R ()SE C ►>', Et-i-c�21C, �� �— 1 I /Ii i 8
e Contact Pe -
�t712 N e C � w ( CAA - 0- L-A • E
Sub- Mailing Address I A2. s 797-1M----)
Contractor 4 r( FOR OFFICE USE ONLY:
City/State Zip Phone Plat #: Map/TL #:
Prior to permit I1, /5/3,//) -03/0
issuance, a copy Pe 13° E 461 " 0 0 �. 2E3 (� 't /S
of all licenses are Oregon Const. Cont. Board Exp. Date /�;a / Setbacks; Zone _� 5 Solar; /
required if Lic. # /cc! a � N -
expired in COT 3 5 61 1 i I z Eng Approval: Planning Approval: TIF�
database Electrical Lic. # Exp. Date /
16 - I 13 -C lob ivi & 079 A Lo TO c p ,tp
21 2 1 S - /0/610/ ✓ f` -C , 3_3
,/J � I:SFREM2.DOC (DST) 8/11/98
/�dLT L �rd 74a�
CITY OF TIGARD BUILDING INSPECTION DIVISION p �/ 22
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST �O �Q l � J
BUP
10 /1510 10 Date Requested (Z.— /� )( — I'( — "l f AM PM BLD
Location / / 0 I ! . Ailart _ Suite MEC
Contact Person 916 0 )-0 I i4 Ph - 7'9'7- 43 24- PLM
Contractor Ph SWR
ILDINQ) 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
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
? e16: Misc:
PAS 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 reins ction RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D Inspector /�_ `� ! v Ext
Other P
Final
. PASS PART FAIL DO NOT REMOVE this inspection record from the job site.