The URL can be used to link to this page

13571 SW LAUREN LANE r I I I N W lJ� J H (I1 C x� C9 2 �r m i I rn I � L357 L 3.; 1,AIJ;l ,.a LN — 10 l lY September 25, 1996 To: City of 'Tigard Building Dept. From: J. T. Roth Construction, Inc. 13125 SW Hall Blvd. 1254.0 SW 68th Ave. Suite B Tigard , OR 97223 Tigard, OR 97223 Rc: better of Compliance MST 94 9065 13571 SW Lauren Lane, Tigard OR Dear Sirs : This letter is to inform you that all corrections not formally reinspected have been made. These corrections include; code worthiness of underfloor plumbing, and proper application of green board sheetrock at the master shower area. Sincerly yours, Davi .ensen Project Superintendent 12540 S.W. 68th Pkwy, Ste. B, Tigard, Oregon 97223-8588 5031639-2639 FAX 5031624-02.39 TER CITY OF TIGARD PERMIMAST' #. . . . . . . :PERMIT MST91;--9065 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/06/94 13125 SW Hall Blvd. Tigard,Oregon 97223.81 99 (503)839-4171 PARCEL: i"RIS104CA02600 SITE ADDRESS. . . : 13571 SW LAUREN LN SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . ..026 ----------------------------------- BUILDING REISSUE: DWELLING UNIT5: 1 BASEMENT. . . . . . . . :864 sf CLASS OF WORK. sNEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :735 sf TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS------------ TYPE OF CONST. :5N FIRST. . . . : 1238 sf LEFT. . :20 ft RIGHT. s8 ft OCCUPANCY GRP. :R3 SECOND. . . :998 sf FRONT. :20 ft REAR. . :149 ft STORIES. . . . . . . s2 THIRD. . . . -eq, sf REQUIRED-------------------- HEIGHT. . . . . . . . .27 ft TOTAL- s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 P%f VALUE. . . . . $s 129737 PARKING SPALES. . Cl Remarks : PATH 1 ------------------------------------ PLUMBING ------------------------------------------- SINKS. . . . . . . FLOOR DRAINS. . . . :0 4ACKFLOW PREVNTRS. . :@ LAVATORIES. . . . . :L WATER HEATERS. . . : 1 1APS. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . . .-3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . ..0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER F'IXTUREr:j. . . . . ..0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : J SF RAIN DRAINS. . : l MECHANICAL FEES FUEL TYPES---------------- UNIT HTRS. . :0 type amol.!nt by date 1,P c p t /GAS/ VENTS . . . . . :0 TIF $ 1520. 00 JG 04/06/94 MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 508. 00 JG 04/06/94 FURN ( 100K . . :0 HOODS. . . . . . : i HPLC $ 330, 20 JLH 02/16/94 94-2481.)1)5.: TURA ) =100K . . *. I WOODSTOVES. :O B5PC $ 2T. 40 JG 04/06/94 -- F-LOUR FURN. . . . 10 CLO DRYERS. : I SSDC $ 280. 00 JG 04/06/94 BOIL/CMP ( 3HP,0 OTHER UNIIS: 1 PvIRK $ 500. 00 JG 04/06/94 GAS OUTLETS: 1 MPRT $ 45. 00 JG 04/06/94 Owner: $ 11. 25 JG 04/06/9.1 J ROTH M5PC $ 2. 25 JG 04/06/94 12780 SW 68TH AVE PP;PT $ 162. 50 JG 04/06/914 P5PC $ 8. 13 JG 04/06/94 1IGARD OR 97224 1=11one #.- 639--2639 Contractors --------- J. T. ROTH CONSTRUC'110N INL I.2540 SW 6PTH PARKWAY, SUITE B IJGnR1) OR 97223 Phone #: 639-2639 31700 --------------------------- $ 3392. 73 TOTAL This permit i-; issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol-Ind Insp Gas Line Insp applicable laws. All work will be done in accordance with approved Post/Beam StrLkCt InsiLtlation Insp plans, This permit will expire if work is not started within 181 V-*Iost/Eleam Meehan Gyp Board Insp days of issuance, or if work is smspin ed for sort that 180 da PLM/Underf I oat, Rain drain Insp - Mechanical Insp Water Line Insp I If,I-M I I;t ee Si gni jre : P11_(Mb Top OLIt Appr/Sdwlk Insp r- Framing Insp Mechanical Final lsso_ted By Fireplace Insp Pli-tiob Final Call for inspection 639-4173) SEWER CONNECTION PERM I CITY OAF T I GARD PERM17 #f . : SWR94 00/c, COMMUNITY DEVELOPMENT DtPARtMItNT DATE ISSUED: 04/06/94 13125 S V Hall Blvd,Tigard,Oregon 97223*8199 (503)639-AI71 PARCEL: 2b104CA-0260121 SI1L k4briRLSS. . . : bW LAUREN 1_11 SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 V'11) BLOCK. . . . . . . . . . . LOT. . . . . . . . . . ,. . . :026 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NE W DWELLING LiNITS. . : l TYPE OF USE. . . . . :SF NO. OF' BUILDINUS: 1 INSTALL TYPE. . . . :BUSWR TMPERV SURFACE. . : : Sf Remarks : PATH I Owner-.- FEES) J ROTH type amai-tilt by date t-ecpt 12_'780 SW 68TH AVE PRMT $ 22'00- 00 JG 04/06/94 JG 04/06/94 T*IGARD OR 97224 1 NGP $ 35. OL71 Phone #.- 639-2639 Cont 1--act 01-: ------ CONTRACTOR NOT ON FILE ------------- Phone 223 7j. 00 T 0 T 0 L Reg REUUIRED INSPECTIONS This Applicant agrees to comply with all the rules and reg4lations Sewer-, Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. 'rhe 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 se located, the installer small purchase a "Tap and Side SeNer' Permit and the Agency will install a lateral. Pv,i,in i t t F,e S i n a t I.(I P 1 5�i 1-k e d P V Call f C)t- inspect: i o n 639-4175 Residential Building Permit Application City of Tigard 13125 SW h'jll Blvd. Tigard, OR 97223 (503) 639-417.1 Jobsite Address:��`/ J��/ 1 !//2�.✓ l-/,�1 Subdivision: , y'r! Lot# 1 ter Office Use Only Valuation: S _ Planch/Rec# Owner: J 7 /1(27)lW,,,f - Reissue of Address: Map& 'TL # + ) *M",,++�� Phone: C I J __ A Approvals Reguuired �f /► � Planning Contractor: ✓' / 07YI C�I�'�� 1✓ "r Engineering Address: _ Other Phone: Items Required Contractor's License # Subcontractors (attach copy of cr frrent Oregon license) Trusr, Details Subcontractors: Other Plumbing: Mechanical: (attach copy of current OR Contractor's License) Architect/tngineer: At"Al x/NY3r;� _ Address: Phone: .. COMMS"'TS: Arplicant £irmature 11& Phone number Received by: _ _ Date Received 1.. Permit # Account Description Amount Amt. Pd. Bal. Due -- Blog. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) - State Tax (TAX) Bldg: _ 2,:5, 1-11) Plumb: 9—. 13 Mech: 1 1 > Plan Check (PLANCK) Bldg: y► Z �� Plumb: Mech: _ Sewer Connection (SWUSA) — ` U Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) b U Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial rIF (TIF-C) Industrial TIF (TIF-1) Institutional11F (TIF-IS) Office TIF (TIF-O) Watcr Quality (WQUAL) Water Quantity (WOUANT) Fire District (FIRE.) r- / TOTALS: 7 � CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 CERTIFICATE OF" OCCUPANCY PERMIT 0. . . . .. . . I PIST94-906' DATE ISSUEDs 09/25/96 PARCEL 2S104CA-02600 STTE ADDRESS. . . i 13571 SW LAUREN LN SUBDIVI51ON. . . . a HILLSHIRE ZDNING:R-7 PD W-OCK. . . . . . . . . . ! i-OT. . . . . .. . . . . . . . t 412 CLASS OF WORK. vNEW TYPE OF USE. . . sSiT TYPL OF CONSTRc5N OCCUPANCY GRD. iR3 Of-CUPANCY LOAD:2 Rymarkst PATH I Owners I ROTH 12780 SW 6871-4 AVE TIUARD OR 97224 Phone *: 639-2639 Contractor: J. 7. ROTH CONSTRUCTION INC 1..-I,"540 sw 66TH PARKWAY TIGORD OR 972813 PI)one 0: 639-2639 Peg #. . : 080970 Vhi4l Certificate grants occup*ncy of the Above referenctd bmilding or, portion thet-tilf AT%d confirms that the building has been inspected for- (:ompiianve with thq State of Oreprin Specimilty Codes for t-he groupjroCC Upan"N, V, and Lite under which t1- P referenced pet-mit was istued. JILDriNG, INS PL TUR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE 1 MASTER PERMIT PILRCITY OF TIGARD TJATF=I ISSUE[): , 05/16/966r02A{ 1 COMMUNITY DEVELOPMENT DEPARTMENT IDARC:E.L; 2S 1 V14CA—rZIc.60ii 13125 SW Fall 61vd. Tigard,Qrgp.n 07223.8109 (503)830-4171 S I T F_ I--11.11.ml_._:, . . 1 �D/1 .iW 1_I.1014.l'l L.-I'I iUHI)I V 1 S I ON. . . . ; H I L-LSH I RE Z ON I NU: R-7 P'D Remarks: PATH I redoing basement installing floor- and new walls in basement gaining 371 sq ft ------------------------------------------------------------------ BUILDING --------------------------------------------------------- RE I S51 E: ----•-------•---------------------------------------- -REIS511E: STORIES......... 0 FLOOR AREAS----------- BASEMENT...: 371 sf REQUIRED SET8XK5---- REQUIRED------------ CLASS OF WORK.:ALT HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT........... 0 SMOKE DETEC'>S: TYPE OF USE... :SF F_OOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SP 15: 0 TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT......,..: 0 OCCUPANCY GRP.:R3 BDRM: 1 BATH: I TOTAL-------: 0 sf VALUE..$: 23989 REAR..........: 0 ---------------- --- __._. ------------------------------- PLUMBING --"----- --------------------------------------------------------- 'ANKS......... 0 WATER CLOSETS.: I WASHING MACH..: 0 LAUNDRY TRAVS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 2 DISHWASHERS...: 0 FLOOR DRAINS..: 0 EWER LINE ft. 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 Tl1B/SHOWEkS...: 1 GARBAGE DISP..: 0 WATER HEATERS• : 0 NATER LINE ft: 0 8CKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------- ------------------------•---------- MECHANICAL ------------------------------_-----•------------------------- " FUEL TYPES----------- FURN I I W ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 1 CLOTHES DRYERS: 0 /GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 4 WOODSTOVES....: 0 GAS OUTLETS...: 0 --------------------------------------------------------------- EL.ECTRICAL- ---------------____---------------------------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS- 1000 %. OR LESS: 1 0 - 200 amp..: 0 0 20e amp..: 0 W/SVC OR FDR..: 0 PUMP/IrTRIGATION: 0 PER INSPECTION: 0 (_A ADD'L 506F.: 0 201 - 400 amp..: 0 201 40e amp..: 0 lst WiO SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0 ; IMITED ENLRGY.: 0 401 - 600 amp..: 0 401 600 amp..: 0 EA ADDL BR LIR: 0 SI(AAL/PANEL...: 0 IN PLANT,,,.,.: N MiAF HM/9VC/FDR: 0 601 - 1000 amp.: 0 bol+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION -------------------------------- Reconnect only.: 0 )-4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINALs CLS AREA/SP^- DCC: ------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL.-------------------------- B. COMMERCIAL------------------------------------------------------------------------------.. AUDIO 6 STEREO.: VAC" SYSTEM..t AUDIO b STEREO.: FIRE ALARM.....: INTERCOM!PAOING: OUTDOOR LND6C LT: BUTfGLAR ALARM..: 0TH: it BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHP, :. HVAC......,....: DATA/TELE COMM.: NURSE LALLS....: TOTAL M SYSTEMS: 0 Uwner: -----------------------------------Contractor: ------------------------------ TOTAL FEES:$ 473.26 WILLIAM J BOHRINSER OWNER 13571 SW LAUREN LN T IGARD OR 97223 Phone L): 590--6395 Phone #: Reg i... This permit is issued sub)ect to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Lodes and all tether applicable laws. All work will be done in accnrdancp with approved plans. This permit will empire if work is not started within 180 days of issuance, or if work is suspended for @ore than 180 days. --- REQUIRED INSPECTIONS -----------------------------------------------------•----- Post/Beam Struct Plumb Top Out Gyp Board Insp Post/Beam Meehan Electrical Servi Electrical Final — Crawl Drain Framing Insp Mechanical Final — PLM/Underfloor Low Voltagr Plumb Final Mechanical Insp Insulation Insp Building Final Iss;r.led B I er^mittee 5ignat r.ir^ia : li`� _.__.. ..i_.___. � -= - � Cail for inspection -- 639-4175 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 'J (503) 639-4171 Jobsite Address: 1 �'�71 5,Aj LAuaen Ln WOW Subdivision: �� ('e, Lot Office Use OnIY 'J ,��, ,� /� Contact Date / / Initials Valuation: `7 At`I�.Y — Result — New Construction Only: (Square Footagu) PlancklRec # 0 "�T �--- Permit # House Garage: -�� Reissue of , Corner Lot? Y N Flag Lot? Y N Map & TL# 13-laq��c0Zone Owner: \hl 1 LL_ It)(,4 P�Cj�_I " n c, C 2 Plat #Y -- �- Approvals Required Address: l 7 I LCL,) ('y, L �) _ 7I6AIZ b ( }Z 9 7 z2-•Z Planning Setbacks Solar t C, -- Engineering Phone: ( 503 ) L59 Q - 63 I�c-j Other Contractor: Ow f/a I. Items Required Subcontractors _ Address _ - Truss Details Other Notes Phone. Contractor's License # _ -------- '(attach copy of cun"ent Oregon license) Contact Name — ----- - - Contact Phone Subcontractors: Atchitect/Engineer: N1 r IAF R A IIyI">.S� PF ReAbF oZ t,, ,Lcyv RA D Plumbing m Address: O V +J�W 3 'TIC ARD Mechanical r " �' -f�� >��'y.',"� _ OR rt 72 23- J- �l 30r, _ (attach copy of current OR Contractor's License) Phone: (SC`3 ) 639 -66G F,N i Si NG t3ASEM F.AJ T- JOB DESCRIPTION: Aht)j8j(,_FLWP-I N,IC, �. Ncxv - LQ�� ,REAR/n/C u ti's DQcPPED (�EILINC lKi ( 503 ) 59u Applicant Signature Applicant Phone number Received by: 'G(.Gt Date Received: ' Permit # Account Description Amount Amt. Pd. Bal. Due ' Rini& 0.)41_ Bldg. Permit (BUILD) 'Z, w • Plumb. Permit (PLUMB) Mech. Permit (MECH) Bldg: Plumb: Mach: Plan Check (PLANCK) /�� ' c7-� -6' �.U Bldg: -&(--13 Plumb: Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit ;ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Plana :OT (EROSN) TOTALS: Permit#. A:idress: __—_— Issued by: Date. 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 fallowing statement before a building permit can he issued. This•statement is required firr residential building, electrical, mechanical, and plumbing permits, Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need lot submit this•statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial hoxc:. i and 2,and either box 3A or 3H: 1. 1 own,reside in,or will reside in the completed structure. F-12. i understand that 1 must register as a constructie•i contractor if the structure is sold or offered for sale before or upon completion. a 3A. My general contractor is�_ ------.._-- _-- —---- — -- (Name) Contractor regi-.. # i will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Hoard. 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 contractor. 1 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. hereby certify that the above information is correct and that 111.1%c read and do understand the Information Notice to Property (hs rs about Construction Iteslmnsibilitics on the rcN arse side of this form. -- - —(Signature of it applicant) (White copy to issuing agene'v permit file, pink copy to applicant) Information (Notice to Property Owners About Construction Responsibilities ;Volt' ihlA hijorM(llll,il %(,ti e to hr!)flcrt' /imi-'!'.\ about ( rl/!,':ll Ui /t In �' '•/r nl l/'!i!I!C'.1' N-u•c tit,ve/o/wd ht'/he( ',)mtructioil C.oli(rm tors Bmtr(l in tit cor(ki ct' it if 0R.' (11.055t5). If you are acting as your own contractor it,a-w,truct;1 new home of,make a substantial improv cnleni to an existing structure, you can prevent slim pr,,hlcnl�by heing m%alr ofthc ti,llow ing resp,ul',i1;ilitic,,mid areas ofconcern. EMPLOYER RESPONSIBILITIES: It'you hire persons not registered \\It It Ihr ('IIfI'M Actin ('ontrUttIt', Iiovd Iu \la Iahor in constructing or assisting! in the c,.rnstruction or iinprovement of- ;t:,sidential zIru:turn.von wilt. in most inL;mnccs.he ruled to lie an enlpIover and the people \uu hire will bee in p I ovvc,.. \s.the empIoxer,y"u wti,A comply\\itII the follw,I,itiv Oregon's withholding tar law- As an employ,,,\ou nulst withhold im ante tttxev 1 rt?m emf�Iavee waxes at the tinge employees a-c paid. You will he liable forlhe tax payment::even if you titm't -Actually withhold the tax frons yotjr cmployces. For more inli,rntatiiut.call the Orc p trn L)ept.ut (revenue tit 945-8001. Unemployment insurance tax: A\ an cniplo\er.ytnl are required to pa\ a tax for unenlpl„\nlent InsurnIILV purposes an the \\ages of .111 elrlplo\ecs. 1-or more inftlrmation,call rile(:Oregon [,n1plo}mcnt Department at 378-3524, 1Lt►rkcr�'ct►mper►cation insurance: ,\�.an enlplt,\,.:r,\ou are subject to the;.)regon 1\,u I,crs't.'imlpt:nsaUan L a\v,and must „Main%vorker';'c„nipensation insurance I'q,r vour ctnplovec�� f f•you fail to obtaih'workers'coatpensatioii instrrttnce.\(iu may he suhjrrt to pcnaltic'�and will he liable thrall claim cr,;ls it title,-f\ouremplovees is injured on the.joh. l ormore information, call the \Yorkers'Compensation Division,11 the Deparlrricni of(.'otistnner and kwsiness,';ervices nt 0 45-7888. I',ti.Internal Revenue ticrvicr. \,,;lu rn1[llo\cr,t„111T111-,1\%ithhold federal iiicorne tax from emplo\ees'wage':. You 1\ill he liahlet��rthctnxpn\,ncnle\en tiv,ul(htlrt'lactn;lll', \,ithholdthmiiv fornnreInformation,call lite Internal Revenue Seri,ice al 1-X00-829-11)41). OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Codevoinpliance- A,,lhcpernlitI"trc,olvitig;m\ laIhit etomectcode requiiements tflat rtl, he brought to +our attrntinn thrmigh inspections. I,iahilit.• and property damage insurance: Contact\our insnr ince a fent Io,cr it ;ou ha\c.uJetlnnte insur;ulce coverage ti►f ;t,:cidvt acid i,nit,"Wil;:41I.11 ax falling took.paint o\U1 v;Der Jr+uratic holo) ptpe parlcrilres, fire.or\\ork that must he re-done (itne to tiupr'rvise empinvrt'c: )lake ',mc ,.nu have�nl'f i(:icnt tirnc to super\isc soar ctnpinyees. {' \pet"fI5P1 Rl%'IkC'{Ire\"(rig l;'I\C IIIC('\il!'rl I',c lt, lel;1.,.1`Ill I)\%11"111,•1;11 Ct,1111"A tor.I,l I. 1111"A lilt.-v,OIk,if 1011211-ill;slid 11111511 Irddec. 'Ind to notify hmiIII in.t officials,,if rhe appropriate times cn thcv can peitonn the req tlred 1rlsrmImns. it it It;l,r: m.ltIItionaI ytic stio ts. .rite(,r 1;111 the t onslr(1ct,)11 t 111)tt;trt;,l . It,'irrt(I'( I It1r,x I I I•Irl. ~„lens,(iK !►'t11,3 '`ll" i`'K.,Ih_'1 1 1lie Board is foC11101 A '001�Ummct Sr NI'I ',if fit. 1)00. 111 ',;ilt'lli. ht,r,,_,,u 11 Itr;t.I IA CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phonc: 6394171 Date Requested/— C� — � , `— A.M. — Y.M. " MS1': _ � � location:-v�-J S Z1� /}y] �-J (-�^ —_ — - BUP:------- Tenant: Suite:--_ 131dg: --___ MFC: —_-- — Contractor:T"� l..L.," ' _�,`l`�, nc �t Phone: __— PLM: Owner: --_ Phone: _——_--_-- _ ELC: — ELR: SIT: BITILDING -=..�$I 2�iT S _ PLUMBING t= D HANICAL ELECTRICAL SIT.. Site Post/13cam Post/l3cam Post/I3etun Cover/Service Sewer/Storni Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gm Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C I It;Slab Shear/Sheath Fire Spklr/Alyn Crawl/Found Or Ileat Pomp Low Volt _ uved _ ' Approved -..-ADD, J Approved Approved Aper/Sdwlk o_ 'uvrd Not App�ovcd t-oT A caved Not Approved Not Approved INAU FINAL NA FINAL FINAL 0 Call for reinspecti 0 Reinspection fee of S required before next inspection 0 Unable to inspect Date: ---- 1_— � Pege—��of CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2000-00033 At DEVELOPMENT SERVICES DATE ISSUED: 01/21/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CA-02600 SITE ADDRESS: 13571 SW LAUREN LN SUBDIVISION: HILLSHIRE ZONING: R-7 E ICK: LOT : 026 JURISDICTION: TIG Proiect Description: Installation of a first branch circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR- 601+amps -1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER BRANCH CIRCUI _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: R econnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BOHRINGER, WILLIAM JOSEPH + BA OWNER 13571 SW LAUREN LN TIGARD, OR 97223 Phone: Phone: Reg#: FEES — _ _ Required Inspections Type By Date Amount Receipt _ — Elect'I Service NRMT GEO 01/21/200C $37.50 00-321324 Elecl'I Final ` PCT GEU 01/21/200C $3.00 00-321324 ORIGINA L Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to Sollow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 C01-0010 through OAR 951-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 245-1987 'l PERMITTEE'S SIGNATURE / ISSUED HYD ' OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent i OWNER'S SIGNATURE: DATE: a� •��"G�C? NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ DATE:-- LICENSE NO: Call 639-4175 by 7:00pm for an in3pection the next business day CITY OF TIGARD flan Check# 13125 SW HALL BLVD. Electrical Permit ApplicationPlan By Date Recd TIGARD OR 97223 Date h P F --__— Phone (503)639-4171, x304 a!'I"C Date to DST _ Inspection (503)639-4175 Print of Type Permit#b:e e iZOoo-06033 Fax (503) 598-1960 Incomplete or illegible will not be accepted Called i 1. Job Address: 4. Complete Fee Schedule Below: Name of Development— Number of Inspections per permit allowed Name(or name of business) W I LI./$M Qt MH L4 _R Service Included: Items Cost Slim Address 13571 5 W LA UR li�_t�J L/� 4s. Residential-per unit — City/State/Zip TIS R fl O R �cl_ a 3 1000 aq,ft.or leas $ 117 75 4 � Each additional 500 sq.ft.or portion thereof _ __ $ 26 75 1 Commercial ❑ Residential Limited En ergy $ 6000 Each Mani 'd Home or Modular Za. Contractor installation only: Dwelling `ervlce or Feeder _ $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Service•t or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor 200 amps or less $ 64.25 2 Address 201 amps to 400 amps _ $ 85.50 2 401 amps to 600 snips _ $ ti8.50 2 City __—State Zip—_ 601 amps to 1000 amps _ _ $ 192.50 2 Phone No. _ —�_ Over 1000 amps or volts $ 363.75 2 ,lob No. _ _ _ Reconnect only � $ 53.50 _ 2 Elec.Cncf.Lice. No. Exp.Date _ 4c.Temporary Son-leas or Feeders OR State CCB Reg No,___�____Exp.Date _ Incraliction,alit rayon or relocation COT Busine::s Tax or Metro No.____ Exp Date___ 200 BmDs or!-ss _ $ 53 60 2 201 amos t i 40J amps $ 8025 2 Signature of SU r. Elec'n — 401 amps'o 600 amps $ 10000 2 9 P - - Over 600 amps to 1000 volts. see"b"above. License No. _Exp.Date - - 4d.Branch Circuits Phone No. _ — New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or p feeder fee. Print Owner's Name CJI"!Am T. BGA RI MGLP1Each branch circuit $ 5 95 Address I .Sw LAQR F Al b)The fee for branch circuits _��.�-_ without purchase of service C" QState zip 7 u� or feeder fee. C Pr...re No. l 59O ��95 — First branch circuit _� $ 37.50 37 X50 "" Each additional branch circuit $ 5.35 The installation is being made on oroperty I own which is not 4e.Miscellaneous intended for sale,lease or rent. IService or feeder not included) Each pump or irrigation circle $ 42.75 Owners Signature Each sign or outline lighting _ E 4275 Signal circult(s)or a limited energy * panel,alteration or extension $ 60.00 3. Plan Review section (if required): Mino, r Abels(10) � $ 100.00 Please check appropriate item and enter fee in section 5R. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable in any of the above ' inspection $ 50.00 Service a,id feeder 225 amps or more I'm brut $ 50.00 _ _ —System over 600 volts nominal In 14a111 $ 59.00 Classified area or structure containing special occupancy as described in N E.C.Chapter 5 5. Fees: 5a.Lnter total of above fees $ 31 r 5 U Suhmit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ _ A 100 Not required for temporary construction services. Subtotal $ A Qi5Q__ Sb,Enter 25%of line 6a for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMM:NCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPE?!DED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#__ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i`,d�t�Ulmnslnicclric.Jnc n V J 4E g a N Uj n AUD L q N h W j T 1�{OV GOP t O Q Z - _ _ C-GFGi SREP`FER 0 Q cv � STAPLE E m y FeeT kD 7 M/N I A4 F T EA N �.;d AN� � '`rye '` �6bVE VRUVN'D i Oc. ? Cr- LJO > f^ (Y) j cr. r� v 3 -2LL cv "� > 2 V) Q m rf) w ¢ A CITY OF T I G A R D _ BUILDING PERMIT PERMIT#: BUP2000-00012 DEVELOPMENT SERVICES DATE ISSUED: 01/24/2000 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-41.71 PARCEL: 2S104CA-02600 SITE ADDRESS: 13571 SW LAUREN LN SUBDIVISION: HILLSHIRE ZONING: R-7 BLOCK: LOT: 026 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: Ol R FIRST: 160 sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,500.00 Remarks: 160 sq. ft. deck. Deck must not encroach into any part of the rear yard easement. Owner: Contractor: BOHRINGER, WILLIAM JOSEPH + BA RICK'S CUSTOM FENCING 13571 SW LAUREN LN' 4543 SW TV HIGHWAY TIGARD, OR 97223 'IILLSBORO, OR 97123 ORIGINAL Phone: 503-625-6526 Phone: 640.5434 Reg #: LIC 510088 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp PLCK BON 01/05/200[ $38.51 — Framing Insp Final Inspection PNMT KJP 01/24/200( $59.25 00-321339 5PCT KJP 01/24/200C $4.74 00-321339 Total $102.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All wor„ 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 �jspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon, I ki!ily Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Pe nnitee � � 7 Signature: L, ` —�-- i Issued By: t Call 639-4175 by 7 p.m. for an inspection the next busi,tess day CIW'Cjr'TIGARD Residential Building Permit Application Plan Check# -0.3 13125 SW HALL BLVD. Additions or Alterations Recd By. Date Recd TIGARD, OR 97223 Single Family Detacr=j ^r Attached (Duplex) Date to P.E. V 503-639-4171 Date to DST iI oo q2/-iy'b P 503-684-7297 Permit# f�tj(Zaty- 7_ Print or Type Called / 1 Incomplete or illegibla applications will not be accepted NamE of Project Name i Job 6. " '2 o 1,t r --<,IK Architect Mailing Addre s Address Site Address I ? 7 1 1/ it City/State Zip Phone ►game Ir I � 11-1" ; V)V• Name Owner Mailing Address st City/State Zip Phone Engineer Mailing Addre I` '\' `1 It ) 5 'r' City/State Zip TPhone General Namel Contractor iiij r ( /u `� C�. t. r > Describe work New _ Addition O Alteration O Repair O Mailing Address to be done _ T f Prior to permit `/ 't ; C -TAdditional Description of Work: issuance,a copy Cit /Slate Zip Phone -- r r I C of all licenses '' I I;nor- C/. C 7,Z 3 -' C are required if Oregon Ccnst.Cont.Board Exp. Date PROJECT expired in COT Lic.#S O V� database __ III ,i �JALIiaTiON Z C. c--" Mechanical Name — NEW CONSTRUCTION ONLY: Sub- /y A Sq. Ft House: — Sq. Ft. Garage Contractor Moiling Address — — Indicate the restricted energy installation by the electrical Prior to permit subcontractor in the followi issuance,a copy City/State Zip Phone _ areas of all licenses Restricted Audio/Stereo are required if Oregon Const Cont. Board Exp. Dst� Energy System Alarms _ expired in COT Lic# Installations Vacuum Irrigation database _ System System Plumbing Name ,? (check all that Other: Sub- I S� a I _ _ Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO (check one (check one) _ Has the Subdivision Peet recorded? N/A YES NO Prior to permit City/State Zip Phone issuance,a copy ---- of all licenses are Oregon Const Cont Board _ Exp Date required if Lic# expired in COT I hearby acknowledge that I have read this application,that the _ —__ — databasc, Plumbing Lic 0— Exp Date information given is correct,that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. j J Name i Signature of Owner/Agent Date Electrical 'A_' / /� C /r. , _ i�zt%t!�t //;. �,r� Contact Person Name Phone Sub- Mailing Address _ I !�r ) �Y�_ /j.,/' fr)r c?e YC j Contracto'' _ rClf City/StatA Zip — Phone Prior tri permit -;suarice,a copy _ FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont Board Exp Date Plat k Map/TL#: required if Lic# r Z +ft expired in COT database Electrical Lic # Exp Date Setbac'rs: I Zone. Solar:` Electrical Supervisor Lic 0 — Exp IEngineeri g Approval: Plan ing Approval: TIF: i\dstslforms\sfaddalt doc 12/10199 )an- 11 -00 01 . 14P RicksCustomFencingDecking P • 02 „ tz IN �. 'L a O In Ne1J E>•'s4 � eck DtaK �--- --- -__ r , n � cn � u ry 7 a T h m n CP ,, m ucci a = Nin i, E �. � o t oV N IV d �O � n O }r 1�J • � obi vi fa �. b Flo n op — J + N _f O jK f• T w J O � t \I" T �i ski nx qj�.T T'o�T ^ n CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ — Date Requested r AM _PM - BLD Location Suite MEC Contact Person �� /ti1 Ph SqD '(�7 5 S PLM Contractor Ph SW _ BUILDING Tenant/Owner ELC ZDQL3 Retaining Wall ELR Footing Access: g Foundation -'0— Hg / �{�� FPS Hg Drain G SGN Crawl nrain Inspection Notes: Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - ---------- -- ----------- -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---- -- --- Roof Misc: —-- - -- -_ _- ------- --- ---- -..— Final PASS PART FAIL _.....-- ---- ---- - --- ------- - --__ PLUMBING Post& Beam I - ---------- -------_ - -_----- ------------_...___.-_- ---- --------------- Under Slab TopOut __.._ __ _ -- - ---- __. ---- --------..------ - - -- ----._.----------------- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam .-------------_--_-- Rough In Gas Line --------- ----------- Smoke Dempers Final --- ---- - ----- - - _ _ -- PASS PART FAIL ECTF21 _ ... Service. _ _.— ---- - Rough In UG/Slab Low Voltage _ — UA Alarm - h P PART FAIL -- SI _ Backfill/Grading -- ---- --- - ------ Sanitary Sewer Storm Drain [ J Reinspection fee of$_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RF --__ [ J Unable to Inspect-no access ADA Approach/Sidewalk Date —__c=.-. / _ Other - . - Inspector ----' ( ------Ext _--- Final PASS PART FAIL j 00 NOT REMOVE this inspection record from the job site. CITy OF TIGARD BUILDING S BEs IOsN NOTI :E639-4M Inspection Line (pec•O-Phone). 75 — — Inspection._--- Sprink. Rough-in ApprtSdwlk Footing Susp, Ceiling Mech. Rough-in Fireplace FINS Plbg. Underslab t-) Foundation Out Elec. Rough-in g. Post/Beam Struct. Plbg Top -Bldg. San. Sewer Gas Line Post/Beam Mech. Framing Plbg Underfloor Rain Drain Insulation -Mech. Alarm Water Line -Elect. Underflr. lnsul. AM _ Shear Miall Gyp.Bd. PM c;' Date Requested: _Time'. __ I Address: Permit #. Buildar:______-- TNE FOLLOWING CORRECTIONS ARE REQUIRED. _ J _�_ -.---• --.------�- �-_-�-----rte-'-� _ / Dater Insp or:_ __ DISAPPFiOVkD _APPROVED SUBJECT TO ABOVE PROVED _Call For Reinsp. _,____----- CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-41p75 Business Phone: 639-4171 Inspection: Cir-�( Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in cFINQ Post/Beam Mech. San, Sewer Gas Line -B d Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Lane Insulation ec . Underflr. Insul. Shear Wall Gyp. Bd -Elect. Date Requested:_ —3 V. % Time: AM _XPM Address: 7 G<'Z h '7'n Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ Date: ,LAPPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. ,i