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IT IS DUE TO THE UUALITY OF THE No.38X1-2. ll7
ORIGINAL DOCUMENT
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— 12880 SW 107TH COURT
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1L �� ' ►' FEE ) �L DATE(,-
LOCATION
ATE(: r!
BUILDER C�,-.� ( L�-,�. -_r�-� �,.�+-s VALUE �'�-rt
LOCATION )_ 3-8,qC) 1 0-7 '. OUr•iER i
JOB-A MAP1i LOT-,, TYPE
PLUMBER PERMIT # FEE f'
SEWER PERh1IT TFEE MECHANICAL PFRmIIT
–777
DATE by DATE b o
Excavation Fill Air conditioning '♦
Footings/Foundation Ventilation
Forms Sprinkler system 0
Slabs Masonry/Flues - m
Reinforcin Steel Fire doors exits
° Structural Steel Gara a Floor
Plumbing R. I. Driveway
7'%oof/Flashing Sealer
Frame Storm Drain
Lath liallbcard Parkino
Heating Fence screen
Dater Heater 1Fin21
�G�/�✓d,97,.0v
AWL'
:� `::ate.• ",`. '-
MASTER
ERMIT
CITY OF TIGARD PERMIT #. . . . . . . : MJCT(.)6-0196
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/25/96
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PARCEL: 2S 103AD-04600
SITE ADDRESS. . . : 12660 SW 1071'1-1 CT
SUBDIVISION. . . . . PATHFINDERS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :.::�t3
Remarks: REMODEL FRONT ENTRY ADDING GAS LOG IN 2 FIREPLACES
---------------------------------—--------------------------- BUILDING
---------------------------------------------—----------------
REISSUE: STORIES.......: 1 FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:ALT HEIGHT........: 20 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECIRS:
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: @ sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT......,..: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..S: 3799 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: @ 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
-------—-----—------------------------------------ - MECHANICAL OTHER FIXTURES: 0
-
FUEL TYPES----------- FURN ( 1001( ..; 0 BOIL/CMP ( 3HP: 0 VEN1 FANS.....: 0 CLOTHES DRYERS: 0 - ---------------
/GAS/ / / FURN )=100K ..; 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 2
MAX INP.: 0 BTU `LOOR FURNACES: 0 VENTS.........: @ WOODSTOVES....; 0 GAS OUTLETS...: 1
--------------------------- ---------- ---- - --------- ELECTRICAL -----------------------------------------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- BRANCH CIRCUITS--- MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - 200 amp..: 6 0 - 200 amp..: @ %6VC OR FDR..: 0 PUMP/IRRIGATION; 0 PER INSPECTION: d
EA ADD'L 5005F.: 0 261 - 400 amp..: @ 2@1 - 400 asir..: 0 ls'. W/O SVC/FDR: 1 SIGN/OUT LIN LTi 0 PER HOUR......: 0
LIMITED ENERGY a 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CiR: 3 SIGNAL/PANEL...: 0 IN PLANT......:
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+61ps-1000 vi 0 MINOR LABEL -1@1 0
1000+ amp/volt.: 0 -----------------------—----.---- PLAN REVIEW SECTION
Reconnect only.: 8 )-4 RES UNITS..: SVC 14R)-225 A. ) 600 V NOM1NALi CLS AREA/SPC OCCs
.____.,----______________- ___ ELECTRICAL - RESTRI TED ENERGY
A. SF RESIDENTIAL— --------—------------- B. COMMERCIAL— ------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..t AUDIO I STEREO.; FIRE ALARM...,.; INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: is BOILER.........; HVAC...........: LANDSCAPE/IRRIGi PROTECTIVE SIR L:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........i DATA/TELE COMM.: NURSE CALLS....i TOTAL 0 SYSTEMS: 0
Owner: -------------Contractori -----------------------------
TOTAL FEES:$ 154.41
LARRY VDGELTANZ MIR
128PO SW 107TH CT
i1GARD OR 97223
Phone t: b39-7741 Phone 1:
Reg N.,: JILL
This permit is issued su�ject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in acco;�dance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended frr more than 180 days.
----------------------------------------------------------- REQUIRED INSPECTIONS
Footing Insp Framing Insp Rain drain Insp
Foundation Insp Gas Line Insp Electrical Final
Post/Beam Struct Gas Fireplace Mechanical Final
Mechanical Insp Insulation Insp Building Final
Electrical Servi Gyp Board Insp Erosion Control
Permittee Siynatr.ir-el: /La-.c 7/ - - ISSLIPd Bys
Call for- inspection - 639--4175
R_ esidentiai Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Calle d
(503) 639-4171
c1S
' 4 ILl
Jobsite Address: _11L � j0'7"' ( •�
Subdivision: F4*4 ,t tI C r- _ Lot # <y Office Use Onjy
Valuation: 5E '15- f�, x G5� �� Contact Date / /
Initials
� Result
New w Copstruction Only: (Square Footage) —
Uu�nit Planck/Rec #
House: _6y, Garage —_ Permit # �7
Reissue of
Corner Lot? y Flag Lot? Y 7N Map & TL # -
Zone
Owner: LQ►'r� t'Y h Ct �)c=C' �tl!1 z Plat
Address: /3 G_ (v /G, tk f Approvals Re wired
Planning Setbacks Solar f ,`
Engineering -
Phone: ( '3_�_63 y- 7 7q Other -~-
Contractor: (26L)o __ 11�____ Items Required _
J
Address: /.��'�,� �� �J 1k �. Subcontractors
Truss Details
,-64 C/ -� sz Other
Phone: 1._ �'�_ 7 e Notes
Contractor's License # ( rl ear t• 5 (Uri A01
Contact Name: (attach copy of current Oregon license)
Contact Phone:
Subcontractqrs: PC If 0,, �- Cc
Oec+IV%'C', 1 r"Ns�+ T_33E,71r >�" C rchitect/Engineer:
-aw+nbing. - 3�! -05 1
Address: - X4
Mechanical: C u tr�u 11 t5 I$r'` j4-
(attach copy of current OR Contractors License)
Phone: Sc /a , 34$
06 DES RIP.TION P i7s Xr s�rrtg
q i
Applicant igna ure 3 4' -771
/ Applicant Phone number
Received by: -
�,k„,,,,,.,„n„ Date Received �t
i —
r
YES NO N/A
9. ROOF TRUSSES (engineering, details and layouts)
10. [�] [ ] [ ] COMPLETE CROSE SECTION(S)
11. [� [ ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. - [ ] [X BASEMENT WALL, FOUNDATION AND RETAINING WALL
SECTIONS (will need engineering if walls are B ft. high or
higher).
13. [ ] [ ] [ WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design shall be provided).
14. [ ] [ ] [ ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
/ INCORPORATED INTO THE PLANS. (Attachments must be
clearly legible and fully referenced in the plans).
15. BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTIONS IN RED
RED WILL ONLY CAUSE DELAYS
Permit #:
Address: 11%0 60J IDI't L^
Issued by: 1`�W��L0 Date: �--2 (e
X899 --
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note. Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Dill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
own, reside in, or will reside in the completed structure.
Z I understand that I must register as a construction contractor if the structure is sold or offered for sale
hefore or upon completion.
L1 3A. Poly general contractor is — ——— —--
(Name) Contractor regis. P
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
alM. 1 will he my own general contractor.
11 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. II'I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have mad and do understand thv Information
Notice to Pro erty Owners about Construction Responsibilities on the reverse side of this form.
( gnaiture�f permit a lir 0 (Date)
(White copy to issuing agenc'v permit.ile,
pink ropy to applicant)
SEE 35MM
ROLL # 21
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD
13125 S.W. HALT_ BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
SUNSET ELECTRIC
1635 SE ENTERPRISE CIRCLE
HILLSBORO OR 97123
Electrical Signature Fora
Permit # • . . . : MST96-0196
Date Issued . : 04/25/96
Par:el . . . . . . : 2S103AD-04800
Si .e Address : 12880 SW 107TH CT
Subdivision. : PATHFINDERS
Block. . . . . . . . Lot : 38
Zoning. . . . . . . R- 4 . 5
Remarks :
REMODEL FRONT ENTRY ADDING GAS LOG IN 2 FIREPLACES
Your cornpany has been indicated as the electrical contractor for the permit indicated above. In
nyder 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 thi,. Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
LARRY VOGF,LTANZ SUNSET BLECTRTC
12880 SW 107TH CT 1635 SE ENTERPRISE CIRCLE
TIGARD OR 97223 HILLSBORO OR 97123
Phone # : 639 - 7741 Phone # : FAX-640-6464
Reg # • . : 203
X n r �`� " S
Signature of Supervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-417 1 , ext. #310
d--
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 Mach. Shear/Sheath Framing A
Plbg.Und/Flr/Slab Plhg. Top Out Insulation Cflett
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: - 9 A.M. P.M. Entry
Address:
Tenant: Ste: MST:
BLIP:
Con/19- �� —� �f' — MEC: _
PLM:
�. ELC:
THE FOLL WING COR CTIO tiMED: ELR:
Inspector: Det
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO