Permit r I
t�
CITY OF TIGARD PERMIT * PERMIT MST95- 0:,38
'COMMUNITY DEVELOPMENT &PIM liENT DATE ISSUED: 10/06/95
x 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL • ES 104DC- @8700
SITE ADDRESS...: 13285 SW WOODSHIRE LN
SUBDIVISION • MORNINGSTAR ZONING: R -4.5 PD
BLOCK • LOT •024
-• ----- BUILDING
REISSUE: DWELLING UNITS:1 BASEMENT :0 sf
CLASS OF WORK.:NEW BEDRMS:3 BATHS:3 GARAGE •609 sf
TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS •
TYPE OF CONST.: 5N FIRST • 1440 sf LEFT..: 16 ft RIGHT. : 5 ft
OCCUPANCY GRP.:R3 SECOND...:0 sf FRONT.:21 ft REAR..:80 ft
STORIES •2 FINBSMENT:1290 sf REQUIRED -•
HEIGHT •19 ft TOTAL :2730 sf SMOKE DETECTORS.:Y
FLOOR LOAD •40 psf VALUE $• 186430 PARKING SPACES..:1
Remarks: PATH I
-• PLUMBING
SINKS •1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:1
LAVATORIES •5 WATER HEATERS...:1 TRAPS - .0
TUB /SHOWERS •3 LAUNDRY TRAYS...:1 CATCH BASINS :0
WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS •0
DISHWASHERS •1 WATER LINE (ft).:100 OTHER FIXTURES •0
GARBAGE DISP...:1 RAIN DRAIN (ft).:0
WASHING MACH...:1 SF RAIN DRAINS..:1
-• MECHANICAL FEES
FUEL TYPES UNIT HTRS..:0 type amount by date recpt
/GAS/ / / VENTS •0 TIF $ 1590.00 JDA 10/06/95 95- 271397
MAX INPUT:0 BTU VENT FANS..:4 SWM $ 180.00 JDA 10/06/95 95- 271397
FURN ( 100K ..:0 HOODS •1 SWM $ 100.00 JDA 10/06/95 95- 271397
FURN > =100K ..:1 WOODSTOVES.:0 BPRT $ 650.50 JDA 10/06/95 95- 271397
FLOOR FURN .0 CLO,DRYERS.: 1 BPLC $ 422.83 JA 09/08/95 95- 270316
BOIL /CMG < 3HP:0 OTHER UNITS:1 BSPC $ 32.53 JDA 10/06/95 95-271397
GAS OUTLETS:1 PARK $ 500.00 JDA 10/06/95 95- 271397
Owner: •- MPRT $ 45.00 JDA 10/06/95 95- 271397
BARRY MANSOUR MPLC $ 11.25 JDA 10/06/95 95- 271397
11681 SW TEAL BLVD # B M5PC $ 2.25 JDA 10/06/95 95- 271397
3BTH $ 225.00 JDA 10/06/95 95- 271397
BEAVERTON OR 97007 P5PC $ 11.25 JDA 10/06/95 95- 271397
Phone #: 579 -0911 EROS $ 64.00 JDA 10/06/95 95- 271397
Contractor: ERPC $ 20.80 JDA 10/06/95 95- 271397
SEQUOIA BUILDERS INC ERPC $ 20.80 JDA 10/06/95 95 -271397
10540 SW LAUREL ST
BEAVERTON OR 97005
Phone #: 646 -4606
Reg #.. : 68158 - - - -
-
$ 3876.21 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp PLM /Underfloor
applicable laws. All work will be done in accordance with approved Foundation Insp Ft n g Drain Bsm' t
plans. This permit will expire if work is not started within 180 Wtr Proofing Bsm Mechanical Insp
days of issuance, or if work is suspended for more than 180 days. Post /Beam Struct Plumb Top Out
At — Post /Beam Meehan Framing Insp
Permittee Si g nature:�1A 44 � Underfloor insul Fireplace Ins p
/] Crawl Dr in Gas Line Insp
Issued By: - ..7. Plm /�_�ndslab Insp Insulation Insp
Call for inspection - 639 -4175
Pit
•
Residential Building Permit Application
•
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
r (503) 639 -4171
Jobsite Address: / 3 2 8 £ S . i, J , L )' ,J. s Are � e
Office Use Only
Subdivision: , UYV\i v sSVcA1/4( JZ Lot # 'f
Valuation: 18 41A Contact Date / / Initials
Result
New Construction Only: (Square Footage) Planck/Rec # 9 / 7 I
,(� Permit # i15 f -0.3y :�'
House: Z 3 ® Garage: Reissue of
Corner Lot? Y O Flag Lot? Y N Map & TL #
Zone
Owner: cA < X ' 1 -TAv1 MatASV (A Plat #
Address: l,, V S \ "1 /) f (cJ ¢ Approvals Required
Planning Setbacks Solar
4/t)4- C ��111 ! � ` l �p 7 Engineering
9 g
Phone: ( U 3) s - -7q - €i 14 Other
Contractor: �c° LA..C�l a c1.4 a F ��J — Items Required
Address: / 0 - L ' 0 C , L 1. LoL tA ve ( S-t- Subcontractors
Truss Details
� U� G� (") fa ' 7OO Other
e
Phone: ( S -413 L7 J�) 6 - S ?e a tlaciAJ Notes
Contractor's License # I I cg 61
(attach copy of current Oregon license)
Contact Name: Lee RIci LA 3(--\ \ /3tlek ..)46,v- /
Contact Phone: ( U 3) it ,6 f, C P<l � I / j -i -
Subcontractors: Architect/Engineer: a J r /i' i N4
Plumbing: O Address: 1 r?- j S
Mechanical: 't OP Il �s � �ti Z � /�
(attach copy of current OR Contractor's License) � � l
Phone: (5') ) ; ') :C
JOB DESCRIPTION: CcAn.S'ir LAC d\-A 0 S . •‘ e ) 4-'v"k ��� \ , - r'S 1\deA- C
App Signature Applicant Phone number
Received by: Date Received: e l/ e/
H• Io{pnrtsuVesapp p c
Permit # Account Description Amount Amt. Pd.
��yy,, ` Bal. Due
///5/ 033 / Bldg. Permit (BUILD) �o.50,f0 6i j • .
Plumb. Permit (PLUMB) r 2 2 i 4)0 ? � c"; w
Mech. Permit (MECH) 91c- a J
A
State Tax (TAX)
Bldg: 3.2. S 3
Plumb: //- Lr
Mech: 2 Z
Plan Check (PLANCK) c(3(1• /V, e Y
Bldg: q 2
Plumb:
Mech: //‘ 2 r
ScuizcC:-3irq Sewer Connection (SWUSA) )
Sewer Inspection (SWINSP) .� ) 3)'
Parks Dev Charge (PKSDC) S Ut) S era
Residential TIF (T1F -R) / 7 7 U it/ 70
Mass Transit TIF (TIF -MT) / r id
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -1S)
Office TIF (TIF -0)
Water Quality (WQUAL) (t '
Water Quantity (WQUANT) a e
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) 6g•
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) • ;10
TOTALS: / // • Z f ( ,? 5 a 58 W 21
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone. 639 -4171
Footing Rain Drain Cover /Service FINAL
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough-in .
Gyp. Bd. WO
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: f/2-N?( A.M. `` P. Entry _
Address: ._ Z. t L.CJ i • - !�i _AIL _: _ • ji
Tenant Ste MST: 5 S 633 o1 ��
� BUP:
Con/Own .� , — CJ 0 I MEC
69_ � CORRECTIONS O PLM ��
THE FOLLOWING A REQUIRED: ELR. `q --
ELC y
__, C. ,) Vt,
. 1:1"-- c
‘F"--A''' it l C eZ ( - r (
O v� c-0 �e L
Inspector: 2 / c Ic r 4.. el ..< Date: •
x APPROVED DISAPPROVED /CALL FOR REINSP. CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. ca'- - s Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect. 0
Date Requested: / 37' S Time: AM PM
Address: /. Fs
Builder: Permit #: 9 5 033?
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector/ f Date: - e• 5
ROVED _DISAPPROVED APPROVED SUBJEC TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling
Post/Beam Mech. Shear /Sheath Framing'►
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bld
San. Sewer Gas Line Appr /Sdwlk
Other: 2 /
Date: / /.7L C f 6 A.M. _ P.M. Entry:: ,Q
Address: / 7 7 Z w r l2 ` �w
Tenant: Ste. MST: '5'5 33
BUP
Con/Own MEC:
PLM:
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspec r: / Date: 13 ,C
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF