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13520 SW LAUREN LANE 1 ILL S. W. LAUREN LANE le �t!I q6A85 5L4)U?- 1 f n l m STORM cuRe LINE 4t.Er r ---_ L TER I . C cv TER 8 'S 1 " f 64.8J' tot, I � GTE • CAP/ 4 RISER RISER ' FIPGER Q MSER HYDRANT f.�RivE�MAY RISS ' � INKIER �- TROL BOX V108 - h qoz T�o� ,- Az q06 LANDSCAPED \ L} 8 id LT AREA S' HIGH I r'Iry 1 ' loop, ' 1 ROCK WALL 4 WITH 2• PILLARS � a QQ 114 AT EACH END 1 `'" foa �- �`"k _ GAS vALVE Box aO 118 CL�17.25 -.._.., VI/PVC PIPE ADJ. 420 tl 422 i ' IO 1 LOT 30 424 _ 01 LSM - R--7 Ioff 44 t,< 426 i _ :f:- Z LOT I 29 H I LL.�1 RE a W Stiv /4 SF�G�} T.Zs, R.I W q 1> C 2,283 SQ. Fr 5 a rl'�F TiGiAh.v 11u4T'v� 428 inI , EL 0, 5 m IC-) � , O F .- \ O I 1 I ti {= 3 130 1E� Q � 1 vi a— I /6 I 1� N LIGHT POLE N 89'52'1 J W • I I �� RAH 84.94 Y 3 I I , N IS' PUBLIC SAN, SEWER EASEMENT +� 1 ; � / 1 13 2w(0 S0) LA 0R - f ,a ' , _iI1 II 11717n1T ] Ii i 1 I 1 IIII IIII 1I1 I ff1I 1 II_I II fI1 Iii1 iI1III1 II1 I 1I1 1I1I1I1SII II ( IIII IIIIIII11111hO1 ICE- IF THE PRINT OR TYPE OP �N � II 111161 I1 6 8 0 iIMAGE IS NOT AS CLEAR AS THIS NOTICE ' 12 IT IS DUE TO THE QUALITY OF THE _ _ No.36 ORIGINAL DOCUMEN 89 L Z 9 Z Z ( fi Z E Z M Z T Z 0 Z 6 l 8 I L T 8 T 4 T T E T Z T i T i T6 L 9 IIII IIII IIII IIII It�tl1,!I IIII IIII IIII L111 .Illlllllllllll ll 111 II 111111111 IIII IIII IIIc IIII IIII IIII IIII :IIII IIII Ilii IIII IIII IIII IIII IIII IIII ►! I IIII lllUllll IIII ll! l ll 1LI l l I i l k11, W Ln N O i i C 13520 SW LAUREN LN CITY OF TIGARL, 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE SUNSET PLUMBING CO G LONG ENTERPRISES INC 8920 SW LANDAU TIGARD OR 97223 Plumbing Signature Form Permit # . • • MST96-0481 Date Issued. : 07/21/97 Parcel . . . . . . : 2S104CA-02900 Site Address : 13520 SW LAUREN LN Subdivision. : HILLSHIRE Block . . . . . . . . Lot : 029 Zoning. . . . . . . R-7 PD Remarks : Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER : PLUMBING CONTRACTOR: DEVAN BOTEL SUNSET PLUMBING CO 15444 SE GRANT ST G LONG ENTERPRISES INC 8920 SW LANDAU PORTLAND OR 97233 TIGARD OR 97223 Phone # : 761-2040 Phone # : Reg # . . : 012089 1 Signature of Authorized Plumber PIE ase return this completed form to the address above. ATTNI. Building Dept. If �(ou have any questions, please call 639-4171 , ext. #310 CITY OF TIGARD 13125 S.W. BALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE AFFORDABLE ELECTRIC INC 617 NE 192ND PORTLAND OR 97230 Electrical Sig.nature Form Permit # . . . . : MST96-0481 Date Issued. : 07/21/97 Parcel . . . . . . : 2S104.CA-02900 Site Address : 13520 SW LAUREN LN Subdivision. : HILLSHIRE B1_ock. . . . . . . . Lot : 029 Jurisdiction: TIG Zoning. . . . . . . R-7 PD Rer,,3rks Path 1 Your company has been indicated as the electrical 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 work. No electrical inspections will be authorized until this completed form is received. .AN INK SIGNATURE IS REQUIRED ON THIS FORM WiVER : ELECTRICAL CONTRACTOR: DEVAN HOTEL AFFORDABLE ELECTRIC INC 15444 SE GRANT ST 617 NE 192ND PORTLAND OR 97233 PORTLAND OR 97230 Phone # : Phone # : Reg # . • : 003.041 X--I— Signature -I- 9Yc'v ��z} Si nature o pervising Electrician Please return this completed form to the address above. Al TN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 CITY QF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 ELECTRICAL PERMIT RESTRICTED ENFRRY PERMIT #: ELR97-0307 'SATE ISSUED: 10/29/77 PARCEL. ES104CA -0x'900 S I Tr ADDRESS. . . : 13520 7W LAUREN LN SUDDIVTSION. . . . ;HILLSHIRE ZONING:R-7 PD SLOCK. . . . . . . . . . . LOT. . .. . . . . . . . . . . :029 JURT.SDICTN: TIG r1voject Description: Add burglar alarm to an existing Single family dwelling. '1.. RESIDENTIAL--__._..__._._ B COMMERCIAL_.___.__—._...—__..._.__-___-----_,__..._____----. nUD I O & STEREO. . . : numo o & Sl'EREO. . : I NTERCOh1 & PAGING. . : BURGLAR ALARM. . . . : X TIO ILER. . . . . . . . . . : LANDSCArE/IRRIGAT. . : GARAGE OPENER. . . . . CL.00t!.. . . . , . . . . . . : MEDICAL. . . . . . . „ . „ . . . HVAC. . . . . . . . . . . . . : DE V-)/TF-LE COMM. . : NURSE CALLS. . . . . . . . VACUIJM SYSTEM. . . . s rTRE'. ALARM. . . . . . : OUTDOOR LANDSC LITE": ; ZITHER: : s HVAC. . . . . . . . . . . . : nRGTE:CT I VE SIGNAL. . : INSTRUMENTATION. OTHER. . : . . TOTAL. # OE SYSTEMS: 0 rEES JULIE ZIMMERMAN type amount by nate rec:pt 1 ?`; 0 rW 1..01.JRFN LANE PRMT $ 40,. 001 CLO I0/c'9/07 97- 300491. TTGARD OR 97223 SPCT $ S1. 00 ?EO 1.0/2-9/97 97-300491 Phone #: PDT IECUR I TY ALARMS f 42. 00 TOTAL 703 NC HANCOCK ----_-._. REDU I RF D I Nrr,FCT T ONS - - - r1nPTL.A1%ID OR 97,7-11c7, Low Volt•aye Task Phone #: L-*,S4--32GS Eler. t' l Final Rey #. . . 0410'599 'his permit is issued subject 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 accordance with apprcved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 190 days. ATTENTION: O-egon law requires you to follow rule adopted by the 7regon Utility Notification Conter, Those rules are set forth i" OAR 952-W-001e through OAR W-001-8080. Yo!; may r`tai- cep;e -s j these rules or dire-t estia^s a at j° 24b-139', f d r'er^mittep Sirgnatr.er^e -- _..-......._._.......___.__._.._._______._.__..OWNER INSTALLATION The in,,tal-lation is being made on pr-aper^ty T own whlrh is not intended for^ -sale, lease, or^ t-ont. '1WNE±R' S SIGNATURE: DATE: .-CONTRACTOR INSTALLATION ONLY _.__. ___♦l _. ...... r-NATI.JRE or SUP,R. ELEC' N: DATE: v A. f+4.+++4.+4 I•-I-++++•F++++++-4-+++++-++-I-++i-++++++++-E+++.+-F 4.+++-F•++++++44+++H++f+ h+++++++++ f7i-. . l r3'3--4172 by 7:00 P. M. f'cv- an inspection needed is Fie next bmsiness dozy a , .+.I++.F f.{.+4.+++4+-1-++++4 4 -+++++++++44-h++++-F•+++++++++++++++4+++ +++-1-++++++4 ++++ r•-H++ CITY OF-TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD y/tI Date Rec'd: TIGARD OR 97223 o �/ PRINT OR TYPE V- 503-639-4171 X304 1 U/ 7 Permit#: 61_,sr� -7 F' 503-684-7297 / INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED —� Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee........................................ $40.00 (FOR ALL SYSTEMS) JOB Street Address St # ADDRESS -4 Check Type of Work Involved � t Phone#_ 041 ❑ Audio and Stereo Systems Name rt/� X Burglar Alarm OWNER Mailing Address E] Garage Door Opener' Soho City/ tate Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems" AWKWIM ❑ Other CONTRACTOR Mailing AM VAN" TYPE OF WORK INVOLVED-COMMERCIAL (Prior to issuance a City/State Phone# Fee for each system............................................. $40.00 copy of all licenses !SEE OAR 918-260-260) are required if Orego Con r rd Lic # F t expired in C O T Check Type of Work Involved data base) Electrics C ntr r, # E7Date ❑ Audio and Stereo Systems C.O T or Metro Lic # r.4 bate ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER- Mailing Address APPLICANT ❑ Data Telecor iriwnication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued ur,ier OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC: permit and to do the following ❑ Instrumentation 1 Orly use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 303-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to i,lspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' ins,)ector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non- fundable and expire if work is not started within 180 days of issuance it ork is suspend>.d for 180 oays Number of Systems The person signing for th ermit st be the applicant 4r a person No licenses are required Licenses are required for all other installations authorized to bind the a ica,it 1,99 FEES ENTER FEES f_'�j�d • Ulu Sig ure 5%SURCHARGE(15 X TOTAL.ABOVE) $ Authority if other than Applicant TOTAL i lreseie doc 12/96 _—_ yF���,;.J�'"'I� '.�i• ;.���, -1^syn.„"I"fk'�w�.P°R,�, �,,�ylk,+,r✓ef`IIY' •.;�'M`,'�+a;fll,rtw•'r.;...a„ ..•.�. , ....werr,.,..;.. .. ..,r.r.c:,.::; ,Mr ftow I M>o' r!'i+v xI RECEIVED OCT 2 9 1997 COMMUNITY DEVELOPMENT RECEIVED OCT 2 9 1997 COMMUNITY OEVFLOPMEN] 1_1 T_ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: _ 5" 5_' 9(_� _—__ A.M. P.M.__<5- I MST:I a,cation:— 1352,0 ) ?� --_ —_ BIJP: Tenant:---- Suite: Hldg: MEC: — Contractor_ A_ Phone: L,�� Z�-- FLM: Owner: Phone: ELC:_ 40 SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/licarn Post/Beam c Sewer/Stone Footing Roof I JndFUSlab Rough-hi Ceiling Water Linc Slab Framing 1-op Out Gas I.ine Rough-In UG Sprinkler I•oundation Insulation SewLr Ilood/Duct Reconnect Vault Bsmt Damp Drywall Stone Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C U�Vlt Shear/Sheath Fire Spklr/Alm Crawl/I Dred Ir I teat 1'runp Approved Approved Approvedo e pproved Appr/Sdwlk Not Approved Not Approved Not Approvedoved Not Approved FINAL FINAL FINAL FIN � FINAL l ❑Call for reinspectio , ❑Reinslxeti fat of S required before next inspection C7 I Mable to ins;cct Inspector-- A _--- Date:. _.__ r' page_. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-417 alr, Date Requested: .S _- _- A.M. M. MST: (p �QL01U I I,ocation: _�'�J Z�S- ---- — BIIP: Tenant. — Suite: Bldg: MEC: _ Contractor. Phone: 62___L7_ � 4;Z�j/:77'LM: - Owner: — -- -- — - Phone: - - ELC:- ___ ELR: Sri,: _ BUILDING D on't) PLUMBING--_ CHANICAL ELECTRICAL SITE Fite Post/Beam Post/Betun -os l7cam ­ Cover/Service Sewer/Stone I'ooting Roof IlndFI/Slab Rough-In ('citing Water bine Slab Framing Top Out Gas Line Rough-In TJO Sprinkler I oundalion Insulation Sewer Il(xxm)tict Reconnect Vault fisntt Datnp Drywall Stonn Furnace Temp Service MISC. Masonry (-'citing Rai,t Drain A/C I1G Slab Shear/Sheath I`ircSpUL1Aln1 Crawl/Found Dr I leat Pump I.ow Volt _ rovec'I Approved l�ppmvcd Approved Approved Appr/Sdwlk roved Not Approved rued Not Approved Not Approved AL Oe FINAL A1., ,� FINAL FINAL C7 Call for reinspection O Reinspection fee of'Srequired before next inspxxtion O Unable to inspect Inspector — Date S!' Page._ __-- of CITYOF T I GA R D CERTIFICATE OF OCCUPANCY PERMIT#: MST96-00481 �,... DEVELOPMENT SERVICES DATE ISSUED: 7/21/97 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S104CA-02900 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 13520 SW LAUREN LN SUBDIVISION: HILLSHIRE BLOCK: LOT:029 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Path 1 Owner: DEVAN BOTEL 15444 SE GRANT ST PORTLAND, OR 97233 Phone: 761.2040 Contractor: CREATIVE HOMES + DEVELOPMENT DEVAN R BOTEL 15444 SE GRANT ST PORTLAND, OR 97233 Phone: 761-2994 Reg#: This Certificate issued 5/6/98 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use underw ich the referenced permit was issued. i 4 BUILDING INSPECTOR BUILDI OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST <9�(� �00 1 24-Hour Inspection Line: 639-41 Y5 Business Line: 639-4171 BUP Date Requested AM. PM BLD _ Location �S LL{,r i ��� Suite MEC Contact Person Ph PLM — Contractor �_1•�-�",'��v�. F t-`ov) Ph —1(.1•- 7 16 L SWR t BUILDING' Tenant/Owner ELC etatntrTo Wall ELR Footing Access: n f Foundation Y�(� Q14 �� I� � ?ev FPS _ Ftg Drain f SGN Crawl Drain Inspection Notes: - Slab -_ -- _- —_ SIT _ Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing --_- �^--- - -- ----- Insulation Drywall Nailing Firewall Fire Sprinkler -_--� ---- ------..v------ - --------------- Fire Alarm Susp'd Ceiling ----- Roof Ivtisc: ---------- - ------------------- - PASS PART FAIL ---- -_-_ ------- - _._....._ --- ---------.._.-- --- ------- PLUMBING Post8 Beam ----- -- ----- ------__._----- ----------------__..-_.. -__ _. - Under Slab ---- - - ---_-- Top Out Water Service Sanitary Sewer -- -- - -- -- -- -_-_. _ Rain Drains - Final PASS PART FAIL MECHANICAL - Post&Beam - - - -- - - - - -- Rough In Gas -me ----- Smoke Dampers Final ----- - --- - -- --------- --- PASS PART FAIL ELECTRICAL -- - ----._. __ -- -- _---- Service - --- -- - -- - - Rough In UG/Slab Low Voltage Fire Alarm _.- Final PASS PART FAIL - ------------ -- --SITE Backfill/Graomg -- _- -- -------- --- - - Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next insoertion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line i 1 Please call for reinspection RE:_- _ [ J Unable to inspect no access ADA Approach/Sidewalk Date _ Inspector Ext _ Other -- -- — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD MASTER F,ERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . . MST96--0481 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/21/97 P,ARCEL: 2S104CA--02900 [T17. ADDRESS. . . : 13520 St-1 i-nuRn,! ;6D T V I S I ON. . . . :HILLSFIIRF ZONING: R-7 PD 1-4-OCK. . . . . . . . . . I OT. . .. . . . . . . . . . . :2:; JURISDICTION: TIO Remarks: Path I -----—----—---—-------—------------------------------------- BUILDING ------------- —---------——--------------- REISSUE: STORIES......,: 2 FLOOR AREAS---------- BASEMENT,,,: 0 sf REQUIRED SETBACKS---- REQUIRED------------ CLASS OF WORK.:NEW HEIGHT........: 33 FIRST....: 1228 sf GARAGE.....: 906 sf LEFT,,........ ; 29 ^JMOKF DETECTRc; Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1055 sf FRONT.........: 31 PARKING SPACE: TYPE OF CONST..-5N DWELLING UNITS: I FINISMENT: 93 sf RIGHT.........: 28 OCCUPANCY GRP.:H3 BDRM: 3 BATH: 3 TOTAL--------: 2376 sf VALUE..$: 167566 REAR.,........: 29 ------I------------------------------------------------------- P_UMBING --———-—---------------------—------------------------------- SINKS.......... I WATER CLOSETS.: 3 WASHING MACH..: I L"DRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS......... : LAVATORIES....: 3 DISHWASHERS... I FLOOR DRAINS,, : 0 SEWER LINE It- 0 SF RAIN DRAINS: I CATCH BASINS.. TUB/SHOWERS...: 3 GARBAGE DISP., I WATER SEATERS. : A WATER LINE ft.- 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------------------------------------------------------------- MECHANICAL ----------------------- FUEL ---------------------FUEL TYPES----------- FURN ( 119K 0 BOIL/CMP ( 3HP: 0 VENT FANS...,.: 4 CLOTHES DRYERS: I /GA FURN )=INK I UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS,.,: I MAX INP.- 0 BTU FLOOR FURNACES: 0 VENTS...,,....: I WOODSTOVES....: 0 GAS OUTLETS...: I ---------- -------------------------------------- ELECTRICAL ------------------------------------------------------------ UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS.- IM SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 - -- EA ADDIL 508SF,: 4 201 - 400 amp..: 0 201 - 400 amp.. : 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT! 0 PER HOUR...,..: LIMITED ENERCY.: 0 401 - 600 amp..: 0 401 - 60e amp..: 0 EA ADDL OR CIR: 0 0 IN PLANT......: 0 MANE HM/SVC/FDR: 0 601 - 1000 amp.. 0 601+alps-1080 v: 0 MINOR I.ABEL -10: 0 10004 amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ---------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ---------- --------------------------------------- ELECTRICAL - RESTRICTED ENERGY -_------------------------------------------��__._... A. SF RESIDENTIAL-------------------------- B. COM1MERCIAL------------------------------------------------------------------- AUDIO I STEREO.: YAM SYS 77.4..: AUDIO I STEREO. FIRE ALARM.,...: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM.,- OTH: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER_ CLOCK.........,; INSTRIJOTATION: MEDICAL........: OTHR: HUAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0 Owner: --------------------- ----------------------------- TOTAL rEESA 4616.50 BEVAN BOTEL CREATIVE HOMES I DEVELOP1 Nf This permit is subject to the regulations contained in the 15444 BE GRANT ST BEVAN R BOTIL Tigard Municipal Code, State of Ore. Specialty Codes and all PORTLAND OR 97233 15444 BE GRANT ST other applicable laws. All work will be done in accordance PORTLAND OR 37233 with approved plans. This permit will expire if work is Phone #: 761-2040 Phone #: 761-2994 not started within 180 days of issuance, or if the work is Reg C.: 000759 slispended for more than 160 days. ATTENTION: Oregon law ------------------------------------------------------------ requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 0010 through OAR 952-001-0080. you may obtain copies of these rules ur direct questions to OLK by calling 30246-1987, --------------------------------------------------- REDUIPED INSPECTIONS --------------------------------------- rooting Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/gdwlk Insp Erosion CoAral rourdation Insp Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Post/Beat Struct Plumb Top Out Low Voltage Gyp Board lisp Mechanical Final lost/Beam Mechan Flectrical Servi Fireplace Insp Rain drain Insp Plumb Final Crawl Draii, Electrical Rough Gas Line Insp Water Line Insp Building Final - -L(ff- nAL r-lerm i tt ev 9 i gnat i.tre• LIU T � 5,i.. d 1--1 .4.41+..+..4..++ 4 -1 4 1,4 t I-A 4--4L'+4-4-f-4+++++++++++++++ + 4-1 4-+4- 4 t-+++++++ 4- Ca 11 E,39-4 175 by 6:00 p. m. for an inspection needed the next bi.tsiress day i CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 . .PERMIT PERMIT #k.. .. . . . . . : SWR96-0491 DATE ISSUED: 07/21/97 PARCEL: 2SI04CA--02900 SITE ADDRESS. . . : 1350 SW LAUREN LN SUBDIVISION. . . . :HILL.SHIRE ZONING: R--•7 PD BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :029 JURISDICTION: TIG TENANT NAME_. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELL-ING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : Path 1 nwner: —___.______.____ -_—_--._.--- --._____________._______ FEES DEVAN BOTEL type amoi.tnt by date recpt 15444 SE GRANT ST RRMT $ =200. 00 DRA 07/21/97 97-297387 PORTLAND OR 97223 INSP E 35. 00 DRO 07/21/97 97-••2973187 Phone #: Contractor: ______-----•_-__---._-----____..______ OWNER Phone #: $ 2235. 00 TOTAL Reg -- ---- - REQUIRED INSPECTIONS .-__. .._..._ This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ of the Unified Sewage Agency. The permit expires 188 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the _ side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so 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 DAR 952-001-0018 through OAR 952-0801-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. )% 1 _.f _______ Permittee Si gnat i_i r e :LL.i(,1 A—I L L _ --- f4.........1- ; ++++i++4-4--I-+++-+i-F+++.++++-►4-+++-F+++++++t+++++-F+++++4++++++++++.++•F+.4-+ Call 639-4175 by G:00 p. m. for an inspection needed the next bi-tsiness day ++++++++++++y+++4•++++4-++•i+++++++++++++++++++++•Ft+++++•F++.+++++4++-F-h+++-1-++++++..4 Plan Check K rip rr OF TIGARD Residential Building Permit Application Recd By f- <�{ 3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd ]GARD, OR 97223 Single Family Detached or Attached Date toPE. c c; 503) 639-4171 Date to DST iQ Print or Type Permit M ,-) (I b V Caned 1O- Incomplete or illegible applications will not be accepted Al Name of Project Name Job Address Site Address Architect MamngA d` – Address 1. r' ' r. ' Crty/Swa Zip Phone Name 11 Name Owner 'Aading Address C,tyrStaie zip Phone Engineer Mailing Address Name � City/State Zip Phone General (" I��a�:v r 1 f0k" S 9 ]7Y(/ Describe work New Addition O Alterrtton O Repair O Contractor Mailing Address S to be done: Type of Use5 / [ �ra C,tylstat Zip Phoria �C/ rype of Construction Oregon Const.Cont. Board Lic.I Exp. Date Attach Copy of 7.SC-i 7 ) c; - 7 -tk Occupancy Class Current COT Businass Tax or Metro 4 Exp.Date LtdnsM WIN it be spnnklered) Yes(a Noo Nanta If Yes.separate FLS plans and 1.()to E application to be submitted Mechanical Numter of Stories Sub- Maung Address Contractor Proposed Use City/State ;-zir Phone Previous Use +ttach Co of Oregon Const.Cont.Board Uc.ar Exp.Date Valuation $ ��`� / RY _ li current C Business Tax or Metro a Exp. Date NEW CONSTRUCTION ONLY: Licensor Name Building ID --� Iumbing "64 t-t Sr 1 l�(�,►.�j,�; s square rt. N or units Sub- Marling Address - Unit Types ntractor �1'�� 5 Lc� ��:�,�-a/ A.) 7Al.� I B.) is ss24, C,tv,State Zio Phone ,.� _ t c J6 C.) Cr ,ort Co t. Cunt. Board Lic.ar Exp Date D.) Attach Copy of ryCJ,J� (� r`_l '7`rr —L Will the e1eClnCar lurcontractor wire`or all restnC.ed I Yes NO Current Plurrot gLc : Exp Date C energy installahans Licenses , ��! T` '(-�� Has the Subdivision Plat recorded) N/A YeS NO COT Bustress Tax or Metro 4 Exo Date _ � t cl[ ` �->�-� f7 hereby acxnowleege that I nave read this application, that the r e — infonnaticn given is correct.:7at I am:he owrer or authorized agent of Electrical the owner. and that plans submitted are in compliance with Oregon SUb� Marring Aadress State laws. Signature of Owner/Agent Date .ontractor Cir/,State ZipPhone Contact Person Name Phone Qr_,•.n Cznst Cont Bcard L c x Exp Date FOR OFFICE USE ONLY: ',ta(h Copy of — Current E ecncal Lcs I Exp Date Plat f btap/TLr Zone t:censer _OT Business Tax or Metro# I Exp Date Engineering ARDrogan Planning nr s'afaco coc LSI )Ya Permit # Account Description 6MQ= 6MLF-dL Bal. Dup. �n;fyG•�y(r( MST. Permit (BUILD) ✓ D3 o j Plumb. Permit (PLUMB) i,/ -.`-2 Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) b15 U 5�, State Tax (TAX) Bldg: Plumb: Mech: ELC/ELR: Plan Check MST: (BUPPLN) _j q1 , g 7' Plumb: (PLMPLN) Mech: (MECPLN) .% L CDC Review (LANDUS) SwR -e V Sewer Connection (SWUSA) i v Sewer Inspection (SWINSP) 3 ;- Parks Dev Charge (PKSDC) -,50 Residential TIFTIF-R ( ) �' 1 S•7u Mass Transit TIF (TIF-MT) / 1 _ '2v Water Quality (WQUAL) ✓ /,f-O Water Qu,ntity (WQUANT) ✓ Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) „ -tv �V Erosion Planck/COT (EROSN) / •J12� v ,,�l Fire Life Safety (FLS) TOTALS: _�rt z y s" vt app doc Ree7/96 Rev T196 n 1