Loading...
Permit ,,. BUILDING; PERMIT CITY OF TIGARD PERMIT #.......: BUP97 —O241. „ DEVELOPMENT SERVICES DATE ISSUED: 05/14/97 "_ -., 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S 133D D -02100 SITE ADDRESS...: 12890 SW VILLAGE PARK LN SUBDIVISION ° VILLAGE AT SUMMER LAKE PARK 2 ZONING :R -4.5 BLOCK LOT :60 JURISDICTION :TIG REISSUE: FLOOR AREAS -- EXTERIOR WALL CONSTRUCTION- - CLASS OF WORK. :OTR FIRST - 0 sf N: S: E: W: TYPE OF USE... :SF SECOND...: 0 sf PROTECT OPENINGS?--- - TYPE OF CONST.:2N - 0 sf N: S: E: W: OCCUPANCY GRP. :R3 TOTAL : 0 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: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 5 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 19000 Remarks : Installing an in- ground pool - 16' x 32' - No C of 0 required • Owner: FEES CATHERINE PAUL type amount by date recpt 12890 SW VILLAGE PARK LN PRMT $ 134.50 B 05/14/97 97- 294552 TIGARD OR 97223 PLCK $ 87.43 B 05/14/97 97- 294552 FIRE $ 53.80 B 05/14/97 97-294552 Phone #: ;PCT $ 6.73 B 05/14/97 97- 294552 • Contractor: --- AMERICAN PACIFIC SPAS LTD 13521 NE WHITAKER WY • PORTLAND OR 97230 Phone #: 253 -4164 $ 282.46 TOTAL Reg #..: 001201 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the e rO$1 ©r) - Tigard Municipal Code, State of Ore. Specialty Codes and all other . it Kr, applicable laws. All work will be done in accordance with r i . na 1 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. -- .— Permittee :•.nature: - -i `� _.; i Issued B • • Call for inspection — 639 -4175 Plan Check # C/ i l/ .Inr QF TIGARO Residential Building Permit Application Recd By ..L 3125 SW HAI;_I.. BL /O. New Construction Additions or Alterations Date Recd -- Z% :GARD OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. -- I ! ' ' 503439 -4171 Date to DST L dc-(cti $V 5034847297 Permit Si P q7 -- bZL A . Print or Type Called 6 - I y - 1 - 7 . Incomplete or illegible applications will not be accepted • r Name of Protect . Name A Job Si Address / Architect Mailing Address // Address / . [J/i . fiO/Z A/ji City/State Zip Phone C� A N Owner Marlin o Add 1 6g , CoA1 9 _7de /2 t (/////50 /mss CC�i ►►/state � Phone ` En gineer Ma l t g dress 7i,40 ©, .. T 2.74077 gs e Ci State , Zi Phone �� ,�fc C61//j6 ei6 Q55'1� 3i General � Describe work New O Ad ition Alteration O Repair O Contractor to be done: / A/b laNiffri � Additional Description of Work: ity /S to f Zip Pho / a C�4x , ®AL 9'7)30. ZS3- /61/ �'� e�uv. food . / regon Const cpnt Board tic.* Exp . a attach Co of Current CO 9�s / � Tc ,or Metro* �� PROJECT Licenses tnc 9 / /� VALUATION $ /9 ®0 Name Mechanical - NEW CONSTRUCTION ONLY: Sub- Mailing Address Sq. Ft. House: Sq. Ft. Garage Contractor • Corner Lot YES NO Flag Lot YES NO City /State - Zip - Phone (check one) (check one) Oregon Const Cont Board Licit Exp. Date Restricted Audio/Stereo Burglar Attach Copy of Energy System Alarm Current COT Business Tax or Metro # Exp. Date Installation Garage Door HVAC Licenses Opener Systems Name (check all that - Other aIumbing apply) Sub- Mailing Address Will the electrical subcontractor wire for all YES NO ::ontractor restricted energy installations? city/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO Oregon Const Cont. Board Licit Exp. Date Reissue of MST#: Solar Compliance ', 4ach Copy of (Calculation Attached) Current Plumbing Lic # Exp. Date I hearby acknowledge that I have read this application, that the Licenses COT Business Tax or Metro Exp. Dace 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 la . / ? /kidd /C, Si • • - re of Owner/ geX3 'Date 10 Electrical 4.00.- 2)c)3 Sub- Mai "• ss / - ta•r erson Name Phone # z Contras or _ > 1 c # I - r �,53�'/6/ CV State , •hone FOR OFFICE USE ONLY: 6fQ mil l � 1 i 1 1 2.22 Rat #: Map/TL# Or- • on Const. • . ` c.* Exp Date +ttach Copy of v /T \ � 30 . Setbacks: Zone: Solar. Current El - • . Imo# '` Date Licenses ♦','• 1 `■ / -4 Engineering Approval: Planning Approval: - TIF: COT = lsiness Tax or Metro* ' Exp. - Da :. - arid.a /P72.- i/ - / -fr 7 iasfapp.doc(dst) 1/97 . Permit # Account Descriotiort Amount Amt. Pd, Bal. Due MST. Permit (BUILD) / &(s-(' /3¢� -Plumb. Permit (PLUMB) Mech. Permit - (MECH) • ELC /ELR Permit (ELPRMT) State Tax (TAX) �0 /3 Bldg: ‘./ Plumb: _ . Mech: ELC /ELR: • Plan Check _ -- MST: ( BUPPLN) e se/ 074° Plumb: (PLMPLN) Mech: • (MECPLN) • CDC Review (LANDUS) Sewer Connection (SWUSA) Reimbursement District ( ) Sewer Inspection (SWINSP) • Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) 638P 5 TOTALS: - i:lsfapp.doc (dst) 1197 • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 • Date Requested: 6/2 9 7 A.M. P.M. MST: q Location: /,--- 8" / O 7 /Ge iqk X BUP: ?7- G 2, 91 Tenant: Suite: Bldg: MEC: 77-0.207 Contractor: (2i ,5t a.� ( l S /� �(, Phone: „2 5 � PLM: Owner: - 711A • p Phone: cr.L_ /IAA' ELC: • ELR: • SIT: BUILDING BLDG (con't) PLUMBING CH ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Ro -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 ov Approved Approved • Appr /Sdwlk Not Approved Not Approved No .. oved Not Approved Not Approved . FINAL FINAL - 'i / l-- FINAL FINAL • _ 02_,Aeo. ,,et.zeizz___..z.att.el e • • O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect Inspector: / be~ / ne J in Date: L� ` Z / Page of