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•� 13552 SW LAUREN LANE
CITY OF TIGARD
DEVELOPMENT SERVICES MASTER .T
F,ERM 1 T it#,.. . . . . . : M9)T97--0097
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE T S SLJED: 04/17/97
F,ARC..EI. : ,c 1.O4rA--O3000
q I TF ADD RF SS. . , : I .;592 Sw I-PIARE N1 L_rl
SLJPDIVISTnN. . . . :HI1-.I...SHIRE 7ONIING: R-7 FAD
PL_OC K. . . . . . . . . . L.nT. . . . . „ . .. . . . ., . :030 JtlRTSDTC;TICIN: TTr3
Reaarks: Path I
-------------------------------------------------------- BUILDING ------------------------------—-------------------------�.
REISSUE- STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 480 sf REQUIRED SETBACKS---- REDUIRED-------------
CLASS OF WORK.-NEW HEIGHT........: 25 FIRST....: 1774 sf GARAGE...... 810 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:Sr FLOOR LOAD....: 40 SECOND...: 1131 sf FRONT.........: 20 PARKING SPACES: 2
TYPE OF CCrST.:SN IIWELLING UNITS: 1 FINBSMENT: 0 of RIGHT.........: 5
OCCUPANCY GPP.:R3 BDRM: 3 BATH: 3 TOTAL-----: ?905 sf VALUE-$: 21 M. REAR..........: 15
------------------------------------------------------------ PLUMBING -------.-----------------------------------------•-------------
5INN5........... 2 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I PAIN DRAIN ft: 100 TRAPS......... : 0
LAVATORIES....: 3 DTSHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 0 CATCH BASINS.. : 0
TIJB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: P., GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL -----------------------------.------------------------------------
FUF1 TYPFS--------- FURN ( I00K ..: 0 BOIL/CMD ( 3HP: 0 VENT FANS.....; 3 CLOTHES DRYERS: I
GAS FURN >=I00K ..: 1 UNIT HEATERS.. : 0 HOODS.........: 0 OTHER UNITS...: 1
MAW TNP.r 150000 BT1J FLOOR FURNACES: 0 VENTS.........: 1 WOODSTOVFS,...: 0 GAS OUTLETS...: I
---------- ELECTRICAL --------------------------------------------------------------
--RESIDENTIAL
- ---------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---ARP CH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L. INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W/SVf OR FDR..: 0 PUMP/IRRIGATION: 0 PEP INSPECTION: 0
FA ADD'1. 51*OSF.: 4 201 - 400 aip..: 0 201 - 400 aso..: 0 1st W/7 SVC/FDP: 0 SIGN/OUT LIN LT: 0 PER HOUR....... 0
IMI1FD ENERGY.: 0 401 - 600 aeo..: 0 401 - 600 avo..: P ED ADDL BR CIR: 0 SIGNAL/PANEL...- 0 IN PLANT......: 0
MANE HM/SVC/FDR: Q 601 - 1000 alp,- 0 601+a1ps-1000 v: 0 MINOR LABEL -10: 0
1000+ alp/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 ---------------------------------—..--------------
0. SF RESIDENTIAL------- ----------------- R. CEMMFRCIAL---------------------------------- -----------—-----------------------
AUD19 I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC IT:
RUPP,tAR nIARM., . 0TH: BOILER.......... HVAC............ IANIS CADE)lRRIC: PROTECTIVE SIGNL:
GARAGE OPENER..: X CLOCK........... TNSTPUMENTATiON: MEDICAL. .... ..; OTHR: ::
HVAC...........: DATA/TELE COMM.: M1P9F CALI-5..... TOTAL. 4 SYSTEMS: 0
Ormer ------------------------Contractor: ----------------------------- TOTAL FEES:$ 4991.87
NICOLAE GHTTEA OWNER
5541 NW DEERFIELD WAY
DORTLAND OR 97P?9
Phone t: 715-6810 Phone 4:
Reg 0.. .
This pereit is issued subject to the requlation5 contained in the Tigard Municipal Code, State of Ore. Soecialty Codes and all other
applicable laws. All work will be done in accordance with aooroved plans, This pewit will expire if worts is not started within IAP
days of issuance, ar if wore is suspended for yore than 180 days.
------------------------ -------------------------------- REOUIREP IW TTIONS ---------------------------------------- -- ------- -
Frosion Contol Past/Bean Meehan Plueb Ton Out Low Voltage Rain drain Insp Electrical Final
Footing Insp Undorf'.00r instil Electrical Servi Gas Line Insp Water Line Insp Mechanical Final
Fo!mdation Tnso Ftg Crain 8Se't Electrical Rough Gas Fireplace Water Service In Pluab Final
Wt- Proofing Bse DLM/Underfloor Fraaing Insp Insulation Insp Appr/SdwIP It 'D Final inspection
Dost/Beal Strur_t Mechanical Insp Shear Wall Insp Gyn Board Tnso Misr: Insaec 'on 8'Idi .a Final
rmit+ e� Sign.Mtt_ire: (GO�+� T , >rl v �
C'A I I f n i n z nec,t ion -- F,?�rl-
CITY OF TSEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SW R97-01.00
DATE ISSUED: 04/17/97
PARCEL : 29104C',A--03000
SITE ADDRESS. . . : 13552 SW 1_.AUREN LN
Sl1RPTVTSICN. . . . :HILl._SHIRE ZONING: R--7 FAD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :030 JURISDICTION: TIG
TENANT NAME. . . . . :N I COL AE GH I TEA
!..1'3A h10. . . . . . . . . . : FIXTURE UNITS. . . : 0
C l.. ASS OF WORK. . . :NFW DWELLING UNITS. . - 1.
TYPE OF IJSE. „ . . . :SF N0. OF BU I L D T NGS: 171
T NSTAL_l._ TYPE. . . . -I_TP T MPE RV SURFACE: V s f
Remarks" : Path 1
Owner: ___._.___ __..----___.___.__------.---_______.__.___._______---.-- FEES
NTCOL_AE GHTTFA tyi:)e amoi_mt by date rerpt
9541 NW DEERFIELD WAY PRMT $ 2200. 00 DRA 04/1.7/97 97-293460
PORTLAND OR 97229 TNSP $ 39. 1710 DRA 04/17/97 97--1-93460
Phone #s
Contv"1r_tor:
OWNER
Phone
Reg #. .. :
- - ----- - REQUIRED INSPECTIONS
- -- - -This Applicant agrees to cosply with all the rules and regulations Sewer Tnspert i on
of the Urified Sewage Agency. The perait expires 190 days frot
the date issued. The total aaount paid will he forfeited if the
persit expires. The Agency does not guarantee • accuracy of the
side sewer laterals, If the sewer is not located at tie teasure.pnt
given, the installer shall prospect 3 feet in all directim frog
the distance Ovep. If not so located, the installer shall purchase
a "Tap and Side Sewer" Perait and the Agency will install a lateral.
Permitt Signati.lr-e :
T ';supd
Call for inspection — 639-4175
Plan Check#
'.OF TIGARD Residential Building Permit Application Recd By
S SW HALL BLVD. New Construction Additions or Alterations Date R,cd -�I
ARD. OR 97223 Single Family Detached or Attached (Duplex) oat°top E ' -
3-6394171 Date to DST
,3-604-7297 Pere 1' (1
inaM`�T 001
Print or Type Calledt17 /
Incomplete or illegible applications will not be accepted
Name of Project t7l Name
Job ii i C H IZt I T)t NC sjU WA,(_ I `�t�- $A NE T'i
Address Site Address Architect Mailing AddrasN
A W DA✓r 5
r' f.) L r
Cdyistite Zip Phone
Name N I N E (�4t1 j�a (7 t JA XJ0, 0� X17 aua -12 q
1
Owner Marling Address Name R6 C`�A l b ( I L_A ti'U
City/stat@ Zip hone Engineer Mailing Adenss
P c'•R� �r�ti� t!t C .I �r-t C �r' M (�tU�P�I k t c �
9• P,2_9 7 35- k,"�'3U C tyfSlats Zio TPhone _
Name . u 1 t'AAq, r)k_ '� �r 1
N (�'
General ( FI t T � ' W (1 t� Describe work New Pill. Addition O Alteration O Repair O
,)ntractor mailing Address to be done
I.k�. 'DELR F( t 1. 0 e'i,A T Additional Description of Work:
city!state Zip Phone
PC-j2iL('I>uD Ce, 97221? '''j -C' .i �(.11 _
Oregon Const. Cont. Board L,c.# Exp. Date 04 abQ�
tch Copy
of
�urrentCOT Business Tax or Metro# Exp.Oats PROJECT �'9 u 1•►-1
_icons@$ VALUATION ,b'
MechanicalNama �:O�"'�= G-H t -[EA - Ulti RC2 NEW CONSTRUCTION ONLY:
Sub- Mailing Address Sq. Ft. House: c Sq. Ft. Garage xb6'
ontractor Comer Lot YES NO Plag Lot YES NO
G f late Zip Phone (check one) check one)
Oregon Const Cont.Board Lrc.# Exp.Date Restricted Audio/Stereo Burglar
'tach copy of Energy System Alarm
Current COT Business Tax or Metro# Exp.Date Installation Garage Door HVAC
Licenses Opener S stems
Name (check all that Other.
Plumbing I . , i. itt_ G0,Cl,I:A - yWlklEQappl )
Sub- Mailing Address Will the electrical subcontractor wire for all YES NO
:ontractor
j Lr k R F t E`, cF �e restricted energy installations? X
C,ty,State ZIp Phone Has the Subdivision Plat recorded? N/A YES NO
Oregon Const Cant Board L c 0 Exo Date Reissue of MST* I Soiar Compliance � r-
at-ach Copy of I I !Calculation Attached)
:unrent P!umbrng Lc. x I Exo. Date I hearby acknowledge that I have read;his application, that the
Licenses I information given is correct, that I am the ov.-Tr or authorized
(COT Business Tax or Metro s I Exo Date agent of the owner• and that plan.- submitted are in compliance
Name with Oregon State laws.
I t GC;.�,�"t (;N l 1�f4 — (�h. 1 � '2_ Signature of Owner/Agent Date
I_lectrical 17
Sub- Marling Address Contac, Person Name Phone#
Contractor ' ' , ' NvJ �r��.��r✓1.D I�t,N;Y -!i> •�53��
C,ty,Swe Zi Phone FOR OFFICE USE ONLY:
t�� L�IL q'7)7 °1 ?3S- F;6'��- Plat W Map[TL#.
Oregon Const. Cont. Board L c x Exo Date /,.7-r V'.1 c4 l �'r 1.ti 1 ��al �-
Attach Copy of I S6tbA s: Zone. Soler
Current E!ectrcai Lic. a Exp. Date P�, ,�bk ! 7 i7i-1
Licenses Engineering Apprr�oval: Plannin Approval, _ TIF
COT 3usrness Tax or Metro# Exp Date , (� V3 v r;.n J
i:1s app.doc(dst) V97
����`I7
Fer Lm il Account Description Amount Amt. Pd. Sal. Due
r rMST Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) �+� 4�6
ELC/ELR Permit (ELPRMT) fc /Z5
State Tax (TAX) Z 12
Bldg:
Plumb:
Mech:
ELC/ELR: 2 U
Plan Check
MST: (BUPPLN) 414
Plumb: (PLMPLN) _
Mech: (MECPLN)
C .Ft AJ -n
CDC Review f W o`� 4(LANDUS) �Ha Cly; j7��.
_ Sewer Connection (SWUSA) r21 4:1
Sewer Inspection (SWINSP) ��S S
Parks Dev Charge (PKSDC) ��i� _ 10 I-L U
Residential TIF (TIF-R) 1 0 K, ?
Mass Transit TIF (TIF-MT) I ' 120 �.
Water Quality (WQUAL) Ifo
Water Quantity (WQUANT) / 4 y 1 r71� ✓
Erosion Co;,trol Permit (ERP-4;1T)
Erosion Planck/USA (ERPLAN) J �� ��•�
Erosion Planck/COT (ERCSN)
Fire Life Safety (FLS)
TOTALS: _1 �, ze �
stacp coc ,dst) U97
Box B. continued Box g:-�
'_. ,1leasure change ;n elevation from front property line to finished floor elevation. If
the ;ot slopes up from the front lot line to the foundation, the figure is positive. If I ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peakleave. + ft
4. If the roof line runs worth-South, deduct three feet. If the roof line runs East-West, ft
deduct nothing
3. Subtract one foot for ea::h foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. if the
lot has no slope or slopes up from the rear to the front, deduct nothing. { ft
6. Total figure for box B: ft
Box G Distance to the shade reduction line. Box C-
1. Measure the distance from the North property line to the foundation near the ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave.. + ' I ft
3. Total figure for box C: ' ft
It is most rseftd to draw a vzrtfal Pine to repn>sent the appropriate*m found in boat'A'and a horizontal ane to represent the
appropriate figure found in boot The intersection of the verbal and h izontal lines determines the value found in boot'O'.The value
in bat'O'should be compared to the value in boot'8'; it the value in box'ti'is les than or equal to the value found in boot'O',tt.en
:he building is in xmpaance with the solar balance code. If you have any question4 please on=us at 639-4171,x304 or at the
Community Oeve;aprment Counter.
MAXIMUM PERMJITTED SHADE POINT HEIGHT (In feet)
Distance to North-south lot dimension an feet
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northem
lot rine ern fess
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 ?7 38 39 40 41 42
35 34 34 34 )5 36 37 38 39 10 it
32 32 32 33 :4 35 36 37 23 39 40
;3 30 30 30 31 32 33 34 33 36 37 38 39
=0 --9 :3 =3 �9 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 0 31 32 33 34 35 36
:0 124 24 24 1-5 25 27 28 29 30 31 32 33 34
_5 - „ 22 13 24 25 _5 27 28 29 30 31 32
_3 _0 _0 20 21 21 23 24 25 _6 27 _8 29 30
13 18 18 18 19 _0 21 2-1 23 24 25 26 27 28
10 16 16 1S 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Mimum allowed shade ;point height: feet
h'cicx�nanevNve+taur717o1�r.�n
Remised ^_'v96
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for the IoL Box A.
This dimension is determined by finding tl,e midpoint of the North lot line and drawing
-in intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smailest angle from a line drawn east-west and intersecting the northern most
point of the let.
t
t
Uxw
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
tfie described line. feet
j--j 1
N
7"On�aan+
V
Bax B calculations: Shade point height for your residence. Box B:
1. Determine whet�er measurements will be based on the peak or eave of your Which describes
structure.. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North-South, measurements will (circe one)
/71nbe based on the peak of the roof. T-0-6-0-CT
1A 16 ',,lC
15: If d7e roof line -uns cast-West and the roof pitch is
less ;,,an :1 12, measurements will 'e 'ase- cn 'L,e
ease.
,-VW L-4
1 c: If+e rcof ling runs East--Vest and the roof pitch is
5l12 cr sieeper, measurements will be based on the + . •..•-
G---C
peak. ,.a
Permit #: M15I
(?F
IA� Address:
I� •- ��.'
issued v:
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.
Pill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
pG�
l. i own, reside in. or \Vdl reside in the completed structure.
NG ?. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is — —————
(Name) Contractor regis. #
1 will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. 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 c.; .ractor, 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 read and do understand the 1 nt'ormation
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
(Signature of permit ahplicarrtl (Date)
(White ropy to issuing agency permit file,
pink copy to applicant)
Intormati6n Notic�% to Property Owners
About Construction Responsibilities
,lime P7n,l t�1Jr�trltirw►�llUt►ldr r�tt�{'►'o���'tty ►tt rs ii�wut Currs►rr.uti�,ri Respr,rt.cihilftica'
i , y.� wrtt•
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:lW „4 Wf tlic fuliu1t'iar rC-,pt1nsibLLiCF and art Of LOOCern
EMPLOYEP VIESPONSIBILITIEIS:
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�C-SPONSIBiLITIES AND AREAE OF CONCERN'
oth,('I►mlllillrt(t.•: v it),,{I; Oct lilt'1111•.hrlll.'1, ` •.w al iC'.)—r:-11)1.' !,'1 r""111'111,',;ml, (nihil(,In Iit(.'CI I I`do rt:'tltitt"t1L'(li.
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i:rbiliil'anri I�►ull�rtay Ilatnia�;it s�t:li►ce: CutlLtr,t yuul 6.1%uraricc aplit to sec,if Y"ti huvr'Aquae inburinct,c(IveriiLw Im
g111l), watet (lama f: from I1;pi-, pmi,_turrts, fire. ui "tlrl, thlrt rntl.;t N.
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ti'• 1 11:•-, r;•,I'!1 ;It 1{V' ':f1h1nI11'I�I 1Itne,, Sn 1111'1' Cilll rerform the rvgiliI .-fI 111''reli:`'!"
li(laid fP0 Nt1'� 1.1140, Siilem,OR 97 1(05O.S
(l ;il "!H; �,11nnu r �I. NFS'titc 3M, III, Salem.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT M. . . . . . . : M8T97•-001)9
DATE ISSUEDt 01/28/98
PARCEL i 25104CA--03000
ITE ADDRESG. . . : 13552 SW LAUREN LN
SUBDIVISION. c HIL.L.allRE 7.ONINGtR-7 PI>
DL_OCK. . . . . . . . . . s LOT. . . . . . . . . . . . . :030 )IJRISDICTIONtTIG
CI_AS6 OF WORK. s NF_W
TYPE OF" USE. . . :OF
TYF)E OF CONSTR.aN
OCCUPANCY GRP. s R3
OCCUPANCY 1.-OAD r c'
Remarks . Path 1
Owners
N I COLAS 13H I TEA
5541 NW DEERFIELD WAY
V'ORTLAND OR 972129
Phone Me 733--6830
CUntr'ac:tor.
1-11 11EP
Phone ti r
Recd *. . a 000000
This Certificate grants occupancy of the above referenced building or portim,
thoreof and confirms that the building has been inspected for compliance with
tho 9tatte of Oregon, c;per. is ltv Cades for the grnup, occupancy, and use under
which the V feveyced permit was issued.
r n
r 1�
AJILDIN INSPECTOR AL/INSPECT 101 I.1PEF?VJ al)R
POST IN C'ONSP f CLJOUS PLACE
, I
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Cat —7
Date Requested: /A M. �' F.M. MST: ��t ,
Location: R1 TP: _
Tenant Suite: Bldg: MEC: _
Contractor:�1L�C _ r __ Phone: 75
(honer: Phone: ELC:
EI,R:
SIT. _
BUILDING ( BLDG(rAn't) PLUMBING MECHANICAL ELECTRICAL SITE
Site - Tlo-WReam PostAleam Post/13eatn Cover/Sctvice Sewer/Storm
Luting Roof IJndFI/Slnb Rough-la Ceiling Water Line
Slab Fram,ng Top Out Oas Line Rough-In l3C)Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
13smt Damp Drywall Storm Ftunace 'Kemp Service MISC.
Masonry Ceiling Rain(rain A/C Il(;Stab
Shear/Sheath F Ir/Aha Ciawl/Pound Or Ileat Ihtmp Low Volt
A tprovcd Approved Approved Approved Approved
Appr/Sdwlk ,, - ved Not Approved Not Approved Not Approved Not Approved
FINAL' , FINAL FINAL FINAL FINAL
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1 Call rim reinspedio rl Itcrosoection fee of S —_ required before nest inspection r7 1 Inable to inspect
Inspector:... , -- — Date: Z — g - Page -- of'