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9367 SW Coral Street
Cl35' �D�� MASTER PERMIT
CI"TY OF T I GA R D ��`�` �"'J� PERMIT#: MST2000-00429
DEVELOPMENT SERVICES DATE ISSUED: 5110101
42 JIM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 09367 SW CORAL ST PARCEL: 1S126DC-03 00
SUBDIVISION: LEHMANN ACRE TRACT ZONING: R-12
BLOCK: LOT: 002 JURISDICTION. TIC,
REMARKS: Construct new single family detached residence
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS P.F.OUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 16 FIRST: 900 at BASEMENT at LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD 40 SECOND: at GARAGE: at FRONT: PARK NG SPACES
TYPE OP CONST: 5N DWELLING UNITS: 1 FINBSMENT. s/ RIGHT:
VALUE: S 53.813 n0
OCCUPANCY GRP: R3 DORM: 2 BATH: TOTAL: 90a('0 of REAR.
_ PLUMBING
SINKb. 1 WATER CLOSETS: I WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: Ino 'rRAPR:
LAVATORIES: OISHWASI'RS: 1 FLOOR DRAINS: SEWER LINES: IO': SF RAIN DRAINS: I CATCh BASINS
-
TUBISHOWEA,,: GARBAGE DISP: I WATER HEATERS: I WATER LINES: I'.lti RCKFLW PREVNTR. GREASE TRANS
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<10OK: 1 BOIL/CMP a OHP: VENT FANS: el CLOThES DRYER: I
GAS FURN>-100K: UNIT HEATERS: HOODS: I O"HER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES. GAS OUTLETS: 1
ELECTRICAL.
RESIDFNrIAL UNIT_ SEPVICE FEEDER _ TEMP SRVCIFEE_DERS BRANCH CIRCUITS _MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FUR: I PUMP/IRRIC^.TION PFR INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 4)0 amp: 1st W/O SVCWDR: On SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp. 40, 600 amp: EA ADDL BR CIR: 91GNALIPANEL: IN PLANT'
MANU HMISVCIFOR: 601 1000 amp: 6.11-amps 1000ar MINOR LABEL-
J00-
ABELJ00♦amp/volt:
PLAN REVIEW SECTION
Reconnect only:
=4 RES UNITS. 3VC+FDR>=225 A.: >Oro I;NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERUAI. _
AUDIO R STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING. OUTDOOR LNDSC LT.
BURGLAR ALARM, LITH' BOILER: HVAC LANDSCAPEIRRIG: FSOTECTIVE SIGNL:
GARAGE OPF.NEW LIUCK. INSTRUMENTATION: MEDICAL: OTHW
HVAC: DATAITELE CQMM. NURSE CALLS. TOTAL A SYSTEMS,.
Owner: Contractor: TOTAL FEES: $ 5,846.93
This permit is subject to the regulations contained in the
KEN RASMUSSEN MODERN BUILDING SYSTEMS INC Tiyard Municipal Code.State of OR Specialty Codes and
603 SW LARKSPUR CT FO BOX 110 all other applicable laws All work will be done in
SUBLIMITY,OR 97385 9493 PORTER RD accorciance with approved plans This prrn3 will expired
AUMSVILLE,OR 973?5 work is not started within 180 days of issuance,or If the
work is suspended for more than .80 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules ado,-)ted by the
Oregon Utility Notification Center Those nlles are set
Rage HC 0000463' forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by nailing(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Ins- 8, PIndundslab Insp Electrical Roogh In Gas Fireplace Water Service Insp
Sewer Inspection PLM/Underfloor Framing Insp Insulation Insp Electrical Final
Footing Insp Mechanical Insp Shear Wall rasp Rain drain Insp f lechanical Final
Foundation Insp Plumb Fop Out Exterior Sheathing Ins; Roof Nailing Plumb Final
Slab Insp Electrical Service Gas Line Insp Water Line Insp Final inspection
I>39ued By : Permittee Signature
Call (50,) 639-4175 bl. 7:00 p.m. for an inspection needed then xt business day
CITYOF TIGARD — SEWER CONNECTION PERMIT —
DEVELOPMENT SERVICES PERMIT#: SWR2000-00295
13125 SW Hall Blvd.,'Tiga~d, OR 97223 (503) 639-4171 DATE ISSUED: 5/10/01
SITE ADDRESS; 09367 SW CORAL ST PARCEL: 1 S126DC-03700
SUBDIVISION: LEHMANN ACPE TRACT ZONING: R-12
BLOCK: LOT: 002 JURISDICTION: TIG _
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new single family residence.
Owner: -- - ---- ----
---- FEES_
KEN RASMUSSEN
603 SW LARKSPUR CT Type By Date Amount Receipt
— -
SUBLIMITY, OR 97385 PF'.MT CTR b110/01 $2,300 00 27200100000
INSP CTR 5/10/01 $35.00 27200100000
Phone: 749-494 --- v— Total $2,335.00 --
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the ruses and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total ar count paid will be forfeited if the permit expires. The Agency does not
g1lo,-dntee the accuracy of the side sevier laterals If the sewer is not located at the measurement given,the installer
sh42 prospect 3 feet in all directions from the distance given. If riot sr, located, the installer shall purchase a"'Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-00'.0 (hrough OAR 952-001-0080.
You may obtain a)pies of these rules or c irect questions to,-)UNC by calling i 503) 246-1987.
Issued by: yl Permittee Signature:_ -
Call (503 639-4:75 by 7:0 P.M. for an Inspection r+eeded the ne t business day
u1'a�"an!F.i9 .
JF TIGARD Residential Building Permit Application Plan Ccck#-,
L5 SW HALL SLVD. New Gonstruction Recd y.-L0
CARD. OR 97223 Single FamilyDetached Date P
) Date tto o P.E.
✓ 503-639 4171 Date to DST !d oe.4b'�
F 503,-684-7297 �� (�� 4m Permit#1_
Print or Type '' Called_
Incomplete or illegible applications will not be accepted
— Name of Project Name
Job b
--Y --- Architect Mailing Addrqss,_
Address sitea.d rcec
l , — Qty/State Zip Phone
Name. K --Y y-U�1, 11J>�iL ([ 1 `
Nam �.
Owner Mailing Address
LL 3 Engineer Ala ing'Address
City/State Zi C{13(. PhoQ� g
_41144 City State
- �e
Name , Ph�f1 ] T
A941f
Describe work New Addition O Alteration O Repair OContractor 'ey �'
Mailin Address to bi done'
Prior to permit Addrional Description of Work:
i"3uance,a copy City/State Zip 'hone
of all licenses c. 1l.l t l;f ��1L li 3`) ' �Ll C�'�(y ) r'
are required if Oregon Const.Cont Board �zp at PROJECT 1
expired in COT Lic# i Q W VALU ATION
databaseT"—
Mechanical Name--—fit—� �NE_W CONSTRUCTIONONLY: —
Sub- I.1 Il)�rw I)Ull fy'? Ciy�RH- Sq. Ft. (louse q ( -- Sq Ft. Garage
Contr actor Mailing Address --L -—�-- —
Prior to permit Indicala the restricted energy installation by the Plectrical
Issuance,a copy Oil y/State Zip Phone subco.itractor in the followin
of all licenses M';lL1k '65t", Dq-4+ja Rest,icted Audio/Stereo
are required if Oregon Const Cont Board Exp. ate Erargy System Alarms
expired in COT Lic* lr;stallations Vacuum Irrigation
database_ Z System System
Plumbing Name (check all that Other
Sub- �q1txlpi;'�4Sapply)
Contractor 9 Nurnber of Units in C3u:''inr� q Unit Nu ib r, esrgna4ion
Mallin Address n�
L1- 1
A----
`•4N W-X \�i _ Has the Subd,vision Plat recorded? 1N/A YES NO
Prior to permit Cit y!StatetIir Pho e f 11
Issuance,a copy 4�11 u5 tl' 1t1'ttj
of all licenses arp Oregon Cons(Cont.Board Exp ate
required if Lic# ` S-�
expired in COT —
database Plumbing Lic.# Exp.Date I heai*by acknowledge that I have react this application,that the
information given is correct,that ,am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
- Narne Oregon State laws _ _
Electrical ' c Sigr attire of wger/Agent Da
Sub- Mar ing Address C art Per;on Name Phn #
Contractor )kms il�� _ �I`''�C1-� i j 1�i
City/State Zip Phune
Prior to permit11416 744449
issuance,a copyl _ _ FOR OFFICE USE ONLY:
of all licenses are lDregon Const Cont.Board Exp. ate Plryt#:Y Ma RL#:
required if Lic#
expired in COC 7
database > ectrical Lic # Exp ate 5etb�cks: Zone:
I Electrical Supervisor Lic # Exp C a e Engineering Approval: Planning Approval TIF:
h2t.. 1 r i\dsts\forms\sfd-new doc 11/20t'98
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Dour Inspection Line: 639-4175 Business Eine: 639-417'd MST BUP
MST
Date Requested PM BLD
Suite MEC
Location —--- -- -
Contact Person Ph FLM _
Contractor _ - Ph SWR
BUILDING _ TenanVOwner ELC _
Retaining Wall E-LR
Focting Access, FPS
Foundation 6 --
Ftg Drain SCS!
Crawl Drain Inspection Notes
Slab SIT _
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailin! --
Firewall
Fire Sprinkler
Fire Alarm
ISusp'd Ceiling --- —_- -- _- - _-
Roof
Mise ------ - ----- -------
SS'` PART FAIL -- - - -- -�
'G
Post 8 Beam
Under Slab - -----
Top Out
Water Service --_ -----
Sanitary Sewer _
Rain Drains
L�
fl SS , PART FAIL -�-�
RMCHMICAL
Rough In
Gas Line
Smoke Dampers -
AS PART FAIL
ICAIL -_--
.ServiceRoughin
UG/Slat -- -
Low Voltage
Fire Alarm
rPART FAIL Grading Sewerwired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Stcrm Drain [ ] Reinspection fee of$ __.--_-_- --required
Catch Basin [ ]Please call for reinspection RF _.-___—_ _ [ J Unable to inspect-no access
Fire Supply bine �•-�
ADA
Approach/Sidewalk ~, . -Z� Inspector
ExtDate
Other _ -_.
�.�_- P
Final
LPASS PART—FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD R111
L r F,, p [ rl
13125 S.W. HALL BLVD. V
MAY 1. 1 2001
TIGARD, OR 97223
Modern Building Systems
IMPORTANT PERMIT NOTICE
MODERN BUILDING SYSTEMS RECElvr
PO BOX 110
AUMSVILLE, OR 97325 IVIY ;
COMMUNITY OFVELU 'ni—
Pl!jmbing Signature Form
Permit #: MST2000-00429
Date Issued: 5110101
Parcel: 1 y^26DC-03700
Site Address: 09367 SW CORAL ST
Subdivision: LEHMANN ACRE TRACT
Block: Lot: C32
Jurisdiction: TIG
Zoning: 4-12
Remarks: Construct new single family detached residence
Your company has been indicated as the plumbing contractor for the permit indicated above. lig order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and retur-,
this P;umbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed torm is received
OWNER: PLUMBING CONTRACTOR:
KEN RASMUSSEN MODERN BUILDING SYSTEMS
603 SW LARKSPUR CT PO BOX 110
SUBLIMITY, OR 97385 AUMSVILLE, OR 97325
Phone #: 749-494 Phone #: 1-503-749-4949
Reg #: I Ir 4637
PI M 24-213PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X '
Sig ature of Authorized Plumber
If you have any questions, please call (503) 639-4171, exit. # 310
,Y T {
CITY OF TICARD
13125 S.W. HALL BLVD.
�
TIGARD OR 97223 U MAY 1 Uj
IMPORTANT PERMIT NOTICE Modern Buildinn Systems
MODERN BUILDING SYSTEMS r r
PO BOX 110 RkCEiN
AUMSVILLE, OR 97325-0110
Electrical Signature Form OOMMPt�trt �fuFtoF
Permit #: MST2000-00429
Date Issued: 5/10/01
Parcel: 1 S126DC-03700
Site Address: 0936T aW CORAL ST
Subdivision: LEHMANN ACRE TRACT
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-12
Remarks: Construct new single family detached residence
Your company has been inc- ated as the nlg�ctrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATT-N. Building Dept.
No electrical inspections will be aut`;orized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
KEN RASMUSSEN MODERN BUILDING SYSTEMS
603 SW LARKSPUR CT PC` BOX 110
SUBLIMITY, OR 97385 AUMSVILLE, OR 97325-0110
Pl-•:ne #: 749-4941 Phone #: 503-749-4949
Req #: LIC 4637
ELE 14-356C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
-
Signature of Supervising Eiectrician
If you have any questions, please call (503) 639-4171, ext. # 310