8960 SW HAMLET STREET fr..:...,. 'r "moi-..._.,�. , ..... ... «. ._., ... ,,_.. ...,.,.... � r...,,.. ..>�. ,.r ..i... ,
,
, t�f
! 9
MAr AND TAX LOT# 25111 1)V- 02300 '95
5U 1301VI'S10W. 5T"ANTFOKP
LOT # ; ;' . ,
ZONING : K-4.5
mvc.
60
- t .. �K, -r...- .'moi .. M"•,,,u,,,i,,,,.,.F. � � "�'�''�
(Ai:30VE
r , w
1 I,kj t til +{
wm go
��•ra/w/�/
�A J
W A
I w
5EW'KK TIED 141.4 TO THE EX(5TING :TORM DFAINAc 7E 5`•( c
ANY DI ECT'ION EKCE E CEJ 15"1..
Ise NO P I Y N EC) FOK TI-415 K �C I- w
i NEW AG�C�13'!O�J t �
i
N7E
S��
i
Lw
Awe* ...0 PROPERTY 04E
fi .Iwo
.".,.�... .....f... 5E -BACK LINE
IZdOM
� .es 0_
1
SITE PLAN' �
• � 1 " 20' ~0'
i 'aw
.r..• r. .. .. . .. .. n .. ....0 • I.,yMf,..•.,.rq•r',.'.. �ti,., .. . .. .. . ♦;1 li. • , 1• ♦ • ... ... ..., r,Y } � .Y .. pWr. .0 ... r.,• . r w . ....f... .-,.. d . r ♦.� .w. _n . f ♦ ...i ,. I • r - i f.1 a , .. • . ,` 1
5Y 11
,. i' ,'• i:. .-•.t.�i .,':,rt ,. ,a., ♦yf wf Y•)11,'#.iS Pf. .#f .W' v. Y- 4w . ,^'al'.r-i'i.' '"id- .. ' r►k. 7gi ,tI
.w
NOTICE: IF THE PRINT OR TYPE ONANY ---__.__._.- --___-- -------_.__ - ----.__-__ II_I--I _IJill - ---- I I -! - III II ! III III III I1
! II I I I I I I I ! i I I I I I 1 I iI lI l I I ► 1 I I I I II II I I I I I I I 1 1'II II II /�IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 186 ma,c-
�,�
.�
ITIS DUE TO THE QUALITY OF THE —
-- No.36 ��.iMY,�'.�,a"GpY..iii
Now mmwm�
ORIGINAL DOCUMENT 01; 61; 8Z LZ 9Z 5Z 'bZ EZ ZZ 1Z UZ 6T �3t LT 9T 5t 6i ET Z [ ti O
1 'Nil
� t I
III! III III! Ill! I II IIII I. I IIII ILII IIII IIII II ! IIII IIIIIIII III! III. lilllllll IILI IIII IIII IIII IIII IIII IIII IIII IIII IIII IIII III! II►I IIII ILII !III IIII !III II!I !III lll� 111 IIII III! IIII III! 1111 11111i 1111. 1111 _LI1JILL1111 11111 Ill 1111L; 1 Ilf�jl,
i
CD
�U
CT
O
Ln
E
W
H�
m
rr
Ln
fi
.— S�S2�,LS 7WttH MS 0969
CITY OF TIGARD
MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97--01 ''4
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE I SSLJED: 04/25/97
r,ARCF_1-: 2S 1 1 1 DD-0rR300
S T TE ADDRES . . . :08960 SW HAMI_ET ST
S1JRT)T'J T S T ON. . . . :STRATF'ORD 70N T Nr: R-4. 5
R1 r1ry , ., „ . . . , . . . I_0'T. . . . . . . . . . . . . .3c JLJRTSDJCTTnN: TTO
Remarks: Residential addition PATH I
---------- ---------------_------------- ---- -- BUILDING ---------------------------------------_------------
REISSUE: STORIES.......: 1 FLOOR AREAS--------- BASEW...: 0 sf REOUIRED SETMS---- REOUIRED-------------
CLASS OF WORK.:ADD HEIGHT...,....: 12 FIRST'....: 536 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 if FRONT.........: @ PARKING SPACES: 0
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY ORP.:R3 BDRM: 1 BATH: 2 TOTAL------: 536 sf VALUE.-1 35858 REAR..........: 0
--------------------------------------------------- PLUMBING - -----------------------------------------------------
STNY,S..I.....I: 0 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: @
LAVATORIES....: 2 DISHWASHERS...: 0 FLOOR DRAINS..: A SEWER LINE ft: @ SF PAIN DRAINS: 0 CATCH BASINS_: 0
TUB/SHOWERS...: 1 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS.. : @
OTHER FIXTURES- 0
--------------------------------------------------------------------------------------------------- MECHANICAL -----------------------------------------------------------
FUEL TYPES------------ FURN 1101! ..: 0 BOIL/CMP ( 3HP: 8 VENT FANS...... 3 CLOTHES DRYERS: 1
FURN )=1@0K ..: 0 UNIT HEATERS..: @ HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 9 BTU FLOOR FURNACES: 0 VENTS.......... 4 WOODSTOVES....: @ GAS OUTLETS...: @
--------------------------------------------------------- --- ELECTRICAL ----------------------------------------------. -----
—RESTDEINTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- --ADD'L IN9PECTIONS_-
100@ SF OR LESS: I 0 - 2@0 alp..: / 0 - 200 alp—. @ W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5@18F.: 0 201 -- 4@0 asp..: 0 201 - 400 asp..: / 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: / PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 asp..: 0 EA ADDL BR CIR: @ SIGNAL../PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: / 601 - 10@0 amp.: 0 601+81ps-100@ v: @ MINOR LABEL -1/: 0
100@' asp!volt.: @ ----------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 608 V NOMINAL: CLS AREA/SPC ►JCC:
--- ELECTRICAL - RESTRICTED ENERGY --------------------------•-------------------"-----
A, SF RESIDENTIAL--------------------------- B. COMMERCIAL-------------------------------------------------_ _._----- -----------
AUDIO t STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRF ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH. :; BOILER.......... HVAC............ LANDSCAPE!IRRIG; PROTECTIVE ST9NL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL.........; OTHR:
HVAC...........:
DATA/TELE COMM.: NURSE CALLS....: TOTAL 1 SYSTEMS: @
Owner. -------------------------- Contractor: --------------------------- TOTAL FEES:f 620.78
LAIIRIAN DOBROTA OWNER
Bp60 SFS HAMLET ST
TIGARD OR 97124
603-0343 Phone B:
Reg 11...
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Or., Specialty Codes and all other
applicable laws. All worts will be done in accordance with 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.
---------------------------
-- REQUIRED INSPECTIONS
coating Insp PLM/Underfloor r,•aminQ Insp Rain drain Insp
Foundation Insp Mechanical Insp Shear Wall Insp Electrical Final
Post!Beae Sh.uct Plush Top Out Low Voltage Mechanical Final
post/Beal Meehan Electrical Servi Insulation Insp Plumb Final
Crawl Drain F.ler-trical Rough Gyp Pair n Building Final
Permittpsa 5i.gnstt.:re: _ T v - ,
r`_� T f' T` l.flrrpCtiQn r?^-
�i1 -7r
f (7)F Tlc;r,nC't Residential Building Permit APPlication Plan
afhe"
25 SW HALL BLVD. New Construction additions cr Alterations
.anU, CR ';��� rations Datenecd I
Single Family Detached/Attached (1 or 2 units) cate'a
Date'o OS7
Print or Type Permit/ ) 9 Z r
�I rI complete or
illegible applications will not be accepted CalledL
f�. D - r i lame
vame it Diet; ,U nor::, tirJf�
Job /QI c.�5/,�E7��)�'t(� 1 I Architect Mailing Acores,
Address I ��e aaoros. �T/�60 S LE-T 5�
./ I- tW.lyfW l 5/" �,/c�i'1�
va ,e �� ^�;/L�ZpZ�__I ((�� --� /¢ ate Phone 6. ,p
tJ oS//�.C5 19-" I I Name
caner •lauln a,;r.ress�SL�W
X1,*MLE7• ,-,,7— Engineer Ma,ttng Aaaross '
..ty,5tate
Tr �tc ,tai o one
0S.ry,Statn -0 PTO—,- ,'� 6c'3"�3�33 ----11—
3eneral I �j''Q-- Describe +vara New 0 Aaajt Alteration (D Rrpair C�
ntractor �:7(�//yam--, !o=e none _
M to iesusncs Matting Aadresa Type of use
kart moat
�,oCA177
""O°t :P.,Sl�te Lp P^one Type of Construction ,
A0D1l7bAJ
Oregon Ca t. Cont Boartt l iG M I Eto, pate Occtrptutcy Ctaa- a
-.�T I
i
,ca 'deal I CC 7 3usiness Tax or Metro 0 tp, pi1e' 'Ndl t"e scnnML-lema' YesNo
If yes. separa l'PLS plans and
chanleal Nal. aoalKabr b be submitted
I rl�X i
Sub �umnner of stone,
ntractor Matting Address Pmtsosed Use
..r co iaauanca
�a.G.rrtmu3t_rrNq"6 am C„ty,$taltr ' - 7'evtous Use
�'p _ Pune
:oneacWrS Oregon Const. Cont. Board acs Exp, oa;e— _ VALUATION $
-or"s for
_,ata°pS41 CTax or.Metro tt Etp. Date — NEW CONST, UCTION ONLY.
-:umbing Name —`� -- — LUnites
ILDING ID
Sub- I Scuare Ft I t of Units
antractor ' �'aautq Aadresa `— —J------------
,Nto a�wnca co.carK'+ua C.ty,State Zip Phone —���------_--__
YAv,av All
sir s
;an L-rSt :ant. :,cam I _ciJ. Cate I -----r— I
tenses =r I i Ni11!Pie r�ecnca� sucCantraCor Mve•cr ill estr.Ger;
Yes i No
aU est I Plumbing _,c a I 9x0. pate erergY:nstallaticrs'
Has;tie Sutx]ry sicn Pyt ec raec' i NrA Yes N
—i
I o
JT Sus re, "ax or,.Metro A Exp. pate - —
1 hereby aticnowteoge that I nave reaa tits aebttcauon, that the
:irical Noma
rrcrnaticn arve0 .s :zrets. ;,fat ! am !^,e :wre• r ;cit rr.�?K agent--f
u
the r�wnRr. an0;hat clans sut:mtt'ed are!n ;cmctiance vnth Oregcn
�' State 11-
ontr3Ctor Mawng Accress Si P�Cvi'n 9 t —
'cc to issuance p Tr
c._vre Jill
„ .State Z'o __Phone
Contact ersoA N e t II __hone
':^” =� Oren,_n Cortst Cont Sea ro Lcx I Exo. Date FOR OFFIC�:US ONLY:
c^xs �Plat e
r^r^a^on t_ 7 Zana
E'erscatLI °to. Cate i3l j� 41
:ate ase► ! -
Enguteering ApprovalPlantun9 TIF
COT 3ustness Tax or Metro# 1310. pate I l� Apprpvai
scresscp.ace IIISS —
?G'I zAIMST Permit (BUILD)
P!urnc Permit tPLUtiIB) S
Mech. Permit (MECH)
r.
cLu,EL� Permit tEL PR%iT) J, ' u-
State Tar. (TAX)
Bldg: __
�u
Plumb: V
tilech. • ` Y,
ELC/ELR: •S.Sc
Plan Check
r '
MST: (BUPPLN) `' 3,22,
Plumb: (PLMPLN) _
Mech: (MECPLN)
CDC Review - planning (CDCPLN)
LCC Review - bldg (CDCBLD)
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) _
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL) _
V`later Quantity (WQUAWi
Erosion Control Permit (ERPRNIT)
Erosion Planck/USA (ERPWN)
E'csicn P!anckJCOT (ERCSN)
N
Fire Life Safety (FLS) u
TOTALS:
Cs;s resacD 'OC +v ''k
Permit #: H5T 7— d/a�
OF
S960 &W aM�f.r'
Address: i4
H.
all
;.:.r —
a z Q—_ /� ��9
Issued by. ��.��fJlr/ Datc oll 1, �-- 7
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.0.55(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 he 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.
Fill in the appropriate blanks and boxes l and ?, and either box 3A or 313:
G.�
I. I own, reside in, or will reside in the completed structure.
I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
❑ :IA. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
tZ �B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If 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 carred and that I have read and do understand the Information
Notice to Pru t� Owners out Construction Responsibilities rnt the reverse side of this term.
(S'-nature of permit applicant) (Date
(White coin to issuing a,prn(r permit file,
pink cope- to applicant)
I f 0,rn-i a,t 16n, h4be to Property Owners
Oclut. Con.
,�rvcfion Responsibilities
kr
i .oljjdifl !;1,, 1 JW ol ll)
FIVIPIL.OYER FIESPOWSIDIL11 MS,.
(.,t ;lt
,kwq�nt insac"MCC
Ire trl ;1!1
.,S. lilies nal Ito ultic Sel it.c. Ij)I
'011.h Ir thil,(A P,I vf-Fic 0 i
10-829-1 1(M 1
OTHER RESPONSIBILITIF.S AND AREAS ('dF CONGEAN:
Cod( holdclr h,rdl!" i, 1 011;11t1 Fll"poln,,Illc i 11p.,1W,
I I I mi "Iti 11 11111 k t rilmi 111'41" ilk I Limpet 11olt Jauvjk.I'mv, v, Ith IIII
FXpet1kc: MAw voll 11,1vo Off:, t,W..t 1:1, v(,tfrwv!j riflord tor, it f
lo
l 1 111 dlij-11,-11 (11 Al Hic Ill'it 1, wiltrac-,nrq itiix I Tt 1-4c
he Bol tfd !I I; 3M, 111
CITY OF TIGARD BUILDING INSPECTION DIVISION
C� 24-Flour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested://-- ! '11.67 !n -- ^� I'.M. -- MST: /7'Q f� _
Location: - �(�� li�
---- — BUR
Tenmt:` _ Suite: Bldg: NEC:
Contractor, / Phone:� 'CP�3�� PLM: _
Phone: ELC:
--- -- -- ELR:
SIT:
BUILDING BLDG(can't) PLUMPING MECHANICAL LECTRICA SITE
Site Post/Beam Post/Isom Post/licam over,eerrvice Sewer/Stonn
Footing Roof tlndFl/Slap Rough-In Ceiling Water Line
Slab Framing Top out Cas Line Rough-In Ur Sprinkler
Foundation Insulation Sewer llocxl/Ihnct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG [�
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr heat Pump �' I.ow t
Approved Approved Approved Approvsv Approved
Appr/Sdwlk Not Approved Not Approved Not Approved '-- N pproved Not Approved
FINAI FINAI. FINAI, iFTNAT, FINAL
(7 Call for reinspection G Reinspection 111 of S reyiired before next inspection D Unable to inspect
inspector /' / / C cp P / Pt1 __ Date: /t, q/� Page._of
SEE M M
ROLL #20
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business phone: 6394171 C�
Date Requestedp_ '�� /z A.M. P.M. MST:
Location: !00 •51 � �✓f BUR --
Tenant Suite:--Bldg: MEC: _
Contractor: /� _Phonc: /�, ,.q PLM:
Owner: L_h,n 1 0116k07X ? -- Phone: ( 623 Ci.� 4-3 ELC:— ----
ELR:
— _ SIT: _
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam cam Postflicam Cover/Service Sewer/Stonn
Footing Roof UndFl/Slab Dough-In Ceiling Writer line
Slab Framing Top Out (ias Line Rough-In 11(;Sprinkler
Foundation Insulation Sewer Ilood/)uct Reconnect vault
Bsmt Damp Drywall Storm Furnace 'Temp Servicc MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shcar/Sheath Fire Spklr/Alm Crawl/I'ound Dr I feat Pump Low Volt
Approvedpprov Approved Approved Approved
Appr/Sdwlk Not Approved uoved Not Approved Not Approved Not Approved
FINAL FINAL-. FINAL, FINAL. FINAL
D Call for reinspection O Reinspection 1*#--of Srequired before next inspection O I enable to inspect
Inspector: Uate: _ Page_ or_�_