Permit |
CITY OF TIGARD \////
MASTER PERMIT
0� ����
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #.... ^ MST95-0049
-- 13125 SW Hall Blvd. Tigard, n
� �� 6�94lT1 DATE ISSUED: 02/02/95
PARCEL: 15134DB-TE007
. SITE ADDRESS...: 11102 SW TORLAND ST
SUBDIVISION ^ TORLAND ESTATES ZONING: R-4.5
BLOCK ^ LOT ^007
------ - BUILDING ---------- - ----
REISSUE:MST94+0397 DWELLING UNITS:1 BASEMENT ~N sf
CLASS OF WORK.:NEW BEDRMS:3 BATHS:3 GARAGE ^708 sf
TYPE OF USE...:SF FLOOR AREAS --- REQUIRED SETBACKS -----
TYPE OF CONST.:5N FIRST :1095 sf LEFT..:5 ft RIGHT. :5 ft
OCCUPANCY GRP.:R3 SECOND...:1352 sf FRONT.:20 ft REAR..:68 ft
STORIES ...... .:2 FINBSMENT:0 sf REQUIRED -
HEIGHT.... .... :32 ft TOTAL :2447 sf SMOKE DETECTORS.:Y
FLOOR LOAD :40 psf VALUE.....$: 169742 PARKING SPACES..:1
Remarks: PATH-I
- ----- ---- PLUMBING - ------
SINKS ^1 FLOOR DRAINS ^0 BACKFLOW PREVNTRS..:1
LAVATORIES.....:4 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 $ 1550.00 JF 02/02/95 -
MAX INPUT:0 BTU, VENT FANS..:4 SWM $ 180.00 JF 02/02/95 -
FURN < 100K ..:0 HOODS ^1 SWM $ 100.00 JF 02/02/95 -
FURN >=100K ..:1 WOODSTOVES.:0 BPRT $ 608.00 JF 02/02/95 -
FLOOR FURN :0 CLO DRYERS.: 1 BPLC $ 50.00 JF 02/02/95 -
BOIL/CMP < 3HP:0 OTHER UNITS:1 B5PC $ 30.40 JF 02/02/95 -
, GAS OUTLETS:1 PARK $ 500.00 JF 02/02/95 -
Owner: ---- --- -----------MPRT $ 45.00 JF 02/02/95 -
RENAISSANCE DEVELOPMENT MPLC $ 11.25 JF 02/02/95 -
1672 SW WILLATTE FALLS DR M5PC $ 2.25 JF 02/02/95 -
3BTH $ 225.00 JF 02/02/95 -
WEST LINN OR P5PC $ 11.25 JF 02/02/95 -
Phone #: 557-8000 EROS $ 64.00 JF 02/02/95 -
Contractor: --------- - ----ERPC $ 20.80 JF 02/02/95 -
RENAISSANCE DEVELOPMENT ERPC $ 20.80 JF 02/02/95 -
1672 SW WILLAMETTE FALLS DR
.
WEST LINN OR 97068 '
Phone #: 557-8000 . '
Reg #..: 49955 -_ --,----- ----
. $ 3418.75 TOTAL '
This peroit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top Out
applicable laws. Al} work will be done in accordance with approved Foundat ion Insp Framing Insp
plans. This poroit will expire if work is not started within 180 Post/Beam Struct Fireplace Insp .
days of issuance, or if work is suspended for ooro han 180 days. Post/Beam Meehan Gas Line Insp
~- / ' Crawl Drain Insulation Insp
Permittee Signature: _ ~°' ^ _L Plm/undslab Insp Gyp Board Insp
x PLM/Underfloor Rain drain Insp
Issued By: Mechanical Insp Water Line Insp
)12- inspection - 639-4175
'
f iT9 -00,0 y9
"a . 'R DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, INSPECTION REQUESTS: 503/640- 3561/693 -4415
OREGON XXXXXXXXX - -> 640 -3470
Page : 1 of 1
Date : 05/15/95
Time : 09:39
Permit Type : Residential Electrical Permit Permit # : 05067687
Permit Status : APPROVED Applied : 05/12/95
Situs Address : 11102 SW '1'ORLANF) ST '1'I issued : 05/12/95
Permit Title : SFR - BURGLAR AARM L.V. Completed :
Permit Descr. To Expire : 11/08/95
Project Title : SFR - BURGLAR AARM L.V. Project # : P0049959
Project Descr. : * EROSION *
Parcel Number : 2S1'1'l - Land Use District :
Valuation 0
•
Legal Descr. •
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name : ADT Classification : 900
Applicant Addr.: 703 NE HANCOCK Occupancy : R3
PORTLAND, OR 97212 Validated by : LG
Applicant Ptiorie: 284 -3265 X35 Inspector Area :
Fee description Units Fee /Unit Ext fee Data
Limited Energy /Alter. /Extension 1 40.00 40.00
Subtotal Electrical Fees: 40.00
State Surcharge of 50 2.00
Total Electrical Fees:• 42.00
* ** Fees Required * ** * ** Fees Collected & Credits * **
Method Check # Receipt No. Date Payment
CK 020000 05/12/95 42.00
Fees: 42.00
Adjustments: .00 Total Credits: .00
Total Fees: 42.00 Total Payments: 42.00
Balance Due: .00
•
NOTICE: This permit becomes null and void If the work or construction for which it is Issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction is interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all inspection requirements.
APPUCANT'S SIGNATURE
r,
. 41111k WASHINGTON COUNTY * RESTRICTED
Department of Land Use & Transportation
Electrical
55 North First Avenue, #350
#350_,2 ELECTRICAL ENERGY
Hillsboro, 503)64 Oregon 97124 APPLICATION .
Information: (503) 640 -343470 0 Fax: (503) 693-4412
PLEASE PRINT
Please complete all sections, 1 through 5. Permit No. 1(
1. Location of installation
Date SI 113,
Address / /02 /f o) �./
City ` h.f Zip Code , 4. Type of work
p YP
Map No. X Q ( (t Tax Lot
-7, RESIDENTIAL Restricted Energy Fee $40.00
ook: ' Page C (tor all systems)
Thomas Map : g (o�`S Section ,..1 - 1—
/ Check type of work involved:
Directions l..4".1..' r _'J . �[ . i / 1 _L.«
.1444 do // 2 - LO " l ' . 4.7t, , • . Aud' • and Stereo Systems*
Com cial El Residential m = urglar Alarm
. Telephone Systems*
Tenant Name II Garage Door Opener*
(if commercial) I Fire Alarm
. Heating, Ventilation and Air Conditioning Systems*
2. Contractor application: I Vacuum Systems*
Other
Electrical Contractor
Address 703 -U' �A4/(Pac./� COMMERCIAL Fee for each system $40.00
Cit 0./) X State CM.. Zip 9'77., (see OAR 918- 260.280)
Date — - 5 Job N ber Check type of work Involved:
Property Owner o r.Q� dx�/I/Invx rfrl �
Contractor's License No. v .22 9
Contractor's Board Reg. No. . — B oiler Controls
Phone No. c 4 Z' 0,2€ s X3,3 r Clock Systems
Data Telecommunications Installations .
— F ire Alarm Installation
3. Owner application: - HVAC
63 a t i 7.2--■ — Instrumentation
Print Owner's Name Phone No. = Intercom and Paging System
— Landscape Irrigation Control*
Address — Medical
— Nurse Calls
City State ZIP — Outdoor Landscape Lighting*
—
This permit is issued under OAR 918 -320 -370. The applicant agrees Protective Signaling
to make only restricted energy installations (100 volt amps or less) — O ther
under this permit and to do the following: —
1. Only use electrical licensed persons to do installations where
required. (Certain residential and other transactions are exempt Number of Systems
from licensing. These have asterisks ("). All others need licens-
ing.)
2. Call for an inspection when all the installations under this permit "No licenses are required. Licenses are required for all other installations.
are ready for inspection.
3. Purchase separate permits for all installations that are not ready 5. Fees
for inspection when the inspector is out to inspect under this 170
permit. Enter fees $
4. Assume responsibility for assuming that all corrections required
by the inspector are done, and
5. Assume responsibility for calling for a final inspection when all of 5% Surcharge (.05 X total - • ove) $ °'�-,
the corrections are • • leted. !1/4, (tg
The person signing 41 p = mit must be the applicant or a person Trust A �O $
authorized to b' • d • • licant. .. / /
Signature 4,� Total $ L7
Authority if other than Applicant This permit becomes null and void if the work authorized by the
permit is not commenced within 180 days from date of issuance
For inspections call of such permit or If the work authorized Is suspended or abandoned
640 -3561 or 693 -4415 at any time after work is commenced for a period of 180 days.
Electrical Permits are non - refundable and non - transferable.
24-hour recorder, one working day In advance of need BL24 - 114
l / °`y`` '`
Residential Building Permit Application
- City • bf Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639 -4171
Te_
Jobslte Address: / 1 ` 5 w L7 __?:-• S
00M0414,: "., i§kotti
Subdivision: D
r
Lot #
7
Valuation: , - y 7r( ::«:$<:: {::.$::;'.:
:.
Renaissance u t e
Custom om Hom s Inc.
1672 Wi l l amette Falls Drive }. } :; >:�'::
w.
Address: . � ���' �" ia?:� >� >...�. >::
p als::Reaulred< : ::: :: :: >:: > :: •'<:' ::: :: •':
West Linn, OR 97068 :::k::::::.::>:::::„:0::::.:*:;::::::::::.
'k,S'i \n:'F.. \ny :.: v }4 'x}.}F{S} . }:�ti: :.: : :: -: :'.. :: ?iti '
.. C'F:Fr }yfi: ?: w $ }:.`ii$$.; {:::: : 4: ::.;i f { {::: ::{ ;;!: ::} ; }
�'- ' }'`::::' \'..2.:4 }' } {r .. }; { } {.Y }i: ?:: fir'• : vr
557 - 8000 >'.::x:,;::; }..: s ::4 ., . . .
Phone: >: {;; { {r: ::,:.$:::::" �
Y.::.} \ ` k �J �':F . }i$$:?$$: :: :' .: v. r: v..}: j: }j } }::.x 4:.::'r:'i: .
• Reni a .::'.....:.
ass nce Custom Homes, In
s om om s Inc c . : : ><.
Contractor. ..::.... ..:. :.. .:....::::'..
a;
Address: 1672 Willamette Falls Drive :..,:.;..; :}
.., - Hired : : ;' ::` .
lt
<etrlS.. .,.
F .S r;: }y: {:viii : :• } "y {% : }tip } $h (
West Linn OR 97068
+ {: kr }:: }...: iii }
:
: �. ...}:: :y "�y�� y I,.Sii /. ' �: : ;v ?'.:' {v }: {. }:: } i }
} '. $ r:Sbbcol3 �o.4 " ? }jrii::;• ;C $ ' ii: .i4:9C4£} ir.�.`'}:•.:' {•' } }
Phone: 557 - 8000 { { }': ?. >F >< `: {F: : :ti j}... y{ }: } ?< }; .'':RF 4' {:Y .: :. ,- :'r
� > �:} ,. } };::. .::.5.:. { „�.; } }::n.:$:` r:r�.: < »;:::<,: ?:;'::; }: :�
:' :',. + ':.'+ i ` :::e i . �..5:%$S{ at ' ils i }' . } • {F n:.:: ; .' :.-{. + }• r : ' :' .;
Contractor's License # 97599
< :.. = :5 } :r:> ': < ;: .
x' 2 4, 2 : ''S •r f�."£iySSk < {� $Y$:CR"fr :? .:< '3 ?:��,t ' ' ? <: ^;ir' }.i.:'C:. }:: ;: i::::
(attach copy of current Oregon license) < $ :/�� ; 44; t . , t: :; ;':> : x . :. ;< < : 5:;:: >:.;$ ? : : ' >:
fyy �..X$.cVltll� . $)h: .a.a.'F :', »:: YSi.: :• .} , c$ :.:•.r }
.; : : }. }: ? } {.F}: 5;:
.$,• ' :?.�n'YA�'+:Jh. +.• "//.C:iv. f. r...... ..n ... ..':f !..... .... ,' ?• }} • fi. ^ .. ?.� ti4:. . . .
...
Subcontractors:
Plumbing: Eagle Plumbing
Mechanical: Tr County
(attach copy of Temp current OR Contractor's License)
Architect/Engineer: /7-,5 G� P-ze
Address:
•
Phone:
. c.,k __ ._ (-=,2T -
COMMENTS:
Applicant Signature 8� Phone number /
�J-� 1 c
Received by:-�'" Date Received: I � � ( 5
Permit # Account Description Amount Amt. Pd. Bal. Due
`5 /S.dd ` e ( Bldg. Permit (BUILD) l0 do 6 UY
Plumb. Permit (PLUMB) .2 Z ) 2,S —
Mech. Permit (MECH) Q J U —
Staie•Tax (TAX) C o
Bldg: 30.44
Plumb: // • Z
Mech: 7 • L
Plan Check (PLANCK) <40/.Z i )/ L 3
Bldg: SO
Plumb:
• Mech: 1/ ' t
5 0 5 Z- Sewer Connection (SWUSA) o v 01 2.4.0
Sewer Inspection (SWINSP) 3 ) 3 3"
Parks Dev Charge (PKSDC) .�� - 5 -
Storm Drainage Chg (SDSDC)
Residential TIF (TIF -R) / e/ 3 J /9 30
Mass Transit TIF (TIF -MT) / 7ti / 2-v
; r �/
C #F (TIF -C) G / 6 '!
ervst. -- /w. C1 j
tndessfiat (TIF -I) .30 •I` r�
E st .. - /r.I�
�flstitationol TW (TIF -IS) 'rf
Office TIF (TIF -0)
Water Quality (WQUAL) L8 /
Water Quantity (WQUANT) / U ti
Fire District (FIRE)
TOTALS: (0 5 s 7 i 3 ®5
•
= CI TY OF TIGARD
• COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING FEE RM a T
F'ERMTT # • MST95-0049
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 1212 /02 / 9
PARCEL: 1S134DB -TE007
SITE ADDRESS...: 11102 SW TORLAND ST
SUBDIVISION....° TORLAND ESTATES ZONING: R -4.5
BLOCK ..... ° ° ° ° °. LOT °007
. CLASS OF WORK..:NEW GARBAGE DISPOSALS..o1
TYPE OF USE °SF WASHING MACH.......:1 BACKFLOW PREVNTRS..:1
OCCUPANCY GRP..:R3 FLOOR DRAINS.......:0 TRAPS... ..... ......:0
STORIES........02 WATER HEATERS °1 CATCH BASINS.......:0
FIXTURES -- - - -- LAUNDRY TRAYS °1 SF RAIN DRAINS.....:1
SINKS °1 GREASE TRAPS.... °..:0
LAVATORIES.....:4 OTHER FIXTURES e0
TUB /SHOWERS....: SEWER LINE (ft) :0
WATER CLOSETS. , :3 . . WATERLINE - - • .
DISHWASHERS....:1 RAIN DRAIN (ft) °0
Remarks: PATH I
OWNER: FEES
RENAISSANCE DEVELOPMENT TIF $ 1550.00 JF 02/02/95 -
1672 SW WILLATTE FALLS DR SWM $ 180.00 JF 02/02/95 -
SWM $ 100.00 JF 02/02/95 -
WEST LINN OR BPRT $ 608.00 JF 02/02/95 -
Phone #: 557 - 8000 BPLC $ 50.00 JF 02/02/95 -
( B5PC $ 30.40 JF 02/02/95 -
. Plumbing Contractor:----------- --- -- PARK $ 500.00 JF 02/02/95 -
MPRT $ 45.00 JF 02/02/95 -
Name c -, r,.i MPLC $ 11.25 JF 02/02/95
Address: L M5PC $ 2.25 JF 02/02/95 -
City: "OA State: 6 3BTH $ 225.00 JF 02/02/95 -
Zip: P1_ P ne #o - 1(4:3411 1 - ■ PSPC 11.25 JF 02/02/95 -
•
Reg 14 Additional fees not shown here
REQUIRED INSPECTIONS
ThispePnit is issued subject to the reg-
ulations contained in the Tigard Muni.ccpal Footing Insp 'Insulation Insp
Code, Sta of bre.' Specialty Codes a'nd' all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post /Beam Struct Rain drain Insp
in accordance with approved plans. This Post /Beam Meehan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of issuance, or if work is Plm /undslab Insp Appr /Sdwlk Insp
suspended for more than 180 days. PLM /Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
1 • .
Framing Insp Erosion Control
Fireplace Insp
Gas Line Insp -
Authorized Plumbing Contractor Signature
Call for inspection - 639 -4175
Contractor Notes:
CITY OF TIGARD BUILDING JNSPECTION 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. San. Sewer Gas Line -:Idg.
Plbg. Underfloor Rain Drain Framing 1;gK
Alarm - : Insulation CDI .+•
Underflr. Insul. Shear Wall Gyp. Bd. - ect
Date Requested: (Fio Time: AM ____P lt1 -
Address: / / / 0 2.-- Sr
Builder: b 3� �-� a— Permit : OO
THE FOLLOWING CORRECTIONS ARE REQUIRED( p e-cert
Inspe�c or: „�
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.