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13599 SW LAUR I,,'N LAS I,
TO: NEW PROPERTY OWNER
FROM: DAVID SCOTT, BUILDING OFFICIAL
Attached is a memo we received from our Engineering Department. Although no inspection was requested prior to
the placement of concrete in your sidewalk and driveway approach,or a reinspection was not requested after an
initial dissapproved inspection,the Engineering Department indicates that the construction appears satisfactory by
observation.
The Engineering Department recommended that we notify you of this. Please refer to the attached memo fir more
detail.
Please call Jeanne Flaig at 639-4171 ext. 310 if yoi,have any questions.
()�"CIJPANCY
40. . . . . . :
CITY OF TIGAPI) DATEPERMIT TSSUED:. 03/10/15
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223041 PARCEL: 2S104CA--0c-'5V,10
,IJBL)I V I b I U14. . . . : 11ILLSFIlf2f= ZONING:R--7 171D
I.-Oc K. .. . . . . . . . . 2 LOI.. . . . . . . . . . . . . :02-5
A-A5S OF WORK. iNEW
bl" USE. . . :SF
OCCUPANCY GPP. s55
OCCUPANCY LOAD sc'"..
Romay-k.s ., PATH 7
! w (so-m
rmAP,r) OR 91224
Phone #: 639-2639
C'unt ract or i
J. 1'. RnTH CONSTRUCT ION 1 INIC
1,2540 SW 68TH PARKWAY
HOARD OR 97223
Phone #.- 639-2639
Rog #. . : 31700
This ("wrtifivate gr-ants cfncupanry or the above refs:,vencPcI building or por4ion
herecit and confirms that the twildiny has been inipected fcv- compli,i>.nco with
he 0'ate of Oregon Specialty ('oces for the yr-oetp, oc:r%,4pmnc�y, arjC1 tpy.e �.jtjdev-
A 0) 4-h � I,w f It enced permit w A s Is med
JILDING 14 -ECTOR
P0,ST IN CONSPICUOUS PLACE
MASTER PERMIT'
CITY OF T I GARD PERMIT #. . . . . . . : M_3'1`04---(�-066
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/22/94
11125 SW Hal!Blvd Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: ES104CA-02500
.�ITE ".)EIRESS. . . - 13,599 SW LAUREN LN
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD
BLOCK. . . . . . . . . . .I I LOT. . . . . . . 1025
BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :868 sf
CLASS OF WORK. :NEW BEDRMSi3 BATHS:3 GARAGE. . . . . . . . . . ..710 sf
TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS-----------
TYPE OF CONST. :5N FIRST. . . . : 1268 s LEFT. . e14 ft RIGHT. : 10 ft
OCCUPANCY GRP. :R;3 SECOND. . . : 1002 sf FRONT. :20 ft REAR. . :48 fl,
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED---------------------
HEIGHT. . . . . . . . ..30 ft TOTAL--------:iR270 sf SMOKE DETECTORS. ilY
FLOOR LOAD. . . . C40 psf VALUE. . . . . sil 13121914 PARKING SPACES. . il
Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . . : 1 r'LOOR DRAINS. . . . s0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . ..5 WATER HEATERS. . . lil TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . tl CATCH BASINS. . . . . . . c
WRIER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . i0
DISHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
UARHAUL DISP. . . : 1 RAIN DRAIN (ft) . sO
WASHING MACH. . . : 1 SF 13AIN DRAINS. . : 1
I——--------------- MECHANICAL FEES
FUEL. UNIT HTRS. . :0 type amol.tnt by date recpt
/GAS/ VENTS . . . :0 TIF $ 1520- 00 SW 03/28/94 —
MAX INPUT.-0 BTU VENT FANS. . :4 BPRT $ 510. 50 SW 03/26/94 —
F URN
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 331. 83 JLH 02/16/94 94--iR48996
TURN ) =100K . . il WOODSTOVES. oW B5PC $ 25. 53 SW 03/28/94
FLOOR FURN. . . . :13 CLO DRYERS. ". I SSDC $ 280- 00 SW 03/28/94
BOIL/CMP ( 3HP:0 OTHER JNJTS: 1 PARK $ 500- 00 SW 03/28/94
GAS OUTLETS: 1 MPRT * 45. 00 SW 03/28/94
Owner— $ 11. 25 SW 03/28/94
J ROTH M5PC $ 2. 25 SW 03/28/94
1.2480 SW 68TH PPRT $ 162. 50 SW 03/28/94
P5PC $ 8. 13 SW 03/28/94
'TIGARD OR 97224
Phone #: 639-2639
Contractor:
.J. T. ROTH CONSTRUCTION INC
12540 SW 68TH PARKWAY, SUITE B
11GARD OR 97223
Phone #: 639-2639
Reg #. . : 31700
3396. 99 TOTAL.
This permit is issued subject to Lht regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.tnd Insn Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Seam StrIACt Ga.-, Line Tnsp
plane. This permit will expire if wore is not started within 180 Post/Beam Mechan InsiLtiatiori Insq)
days of issuance, or if work is suspended for No e thn 180 days. Plm/Ltndslab Insp Gyp Board Insp
PLM/Underfloor, Rain drain Insp
Mer-hanical Insp Water Line Insp
Plo.tmb Top Ol.tt Appr/Sdwlk Insp
By , Framing Insp Mechanical Final
r i-n s-p e c t i a n 639-4175
SEWER CONNEGIION
,L R M
CITY' OF T I GARD FERMI f #.. .
IT. . : SWR9A-0074
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/28/94
13125 SW Hall Blvd Tigard.Oregon 97223*819,9 (503)639-4171
P-ARCEL: 2SI04CA--02500
I TE ADDRESS. 13 01) SW LAUREN LN
"UBD I V I G I ON, 1-11 LLSH I RE
ZONING: R-7 V'D
BLOCK. . . . . . . . . .
L.07.. . . . . . . . . . . . . :025
T ENANT NAME:. . . . . :
USA NO. . . . ao . 00 . : FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . .- I
T'YP'E OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYFIE. . . . t BUSWR IMP,ERV SURFACE. : 5f
Remarks : PIATH I
Clwner: FEES
J ROTH type Amal-trit by date recpt
!.2480 SW 68TH V.,RMT $ 2200. 00 SW 03/28/94 —
INS ' $ 35. 00 SW 03/28/94 —
! IGARD OR 97224
Thune #: 639-2639
Contractor .-
CONTRACTOR NOT ON FILE
$ 2235. 00 TOTAL
REQUIRED INSPECT IONS
this Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does riot guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shali prospect 3 feet in 211 directions frim
the distance given. If not so located, the installer shall purchas-
a "Tap and Side Sewer" Permit and "iewf-wi I ins 11 a lateral.
is
iDe rm i t t e e S i gnat
lJ d T3 y
Call for inspection 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /✓�1f ✓/� �`�r�'�tt���9r_'1 ®""'
I �► ofilce Use grill
Subdlvlslorr. �1 i/l;,��j�r Lot# -
n
P+andkJRec#
Valuation
Owner: Reissue of
Address:— �; SG✓ /��� Map & TL# 4 41_d(Ie A o 0�0
Ap rrooyais Required
Phone: I 1 _
Planning
i
Contractor. ✓ � SPf�� .�iNy� ��� Engineering_
Address. Other
Items Required
Phone: _ _ _-
Subcontrac•tors
Contractor's License # , /✓
(attach copy of current Oregon license)' Truss Details
Subcontractors: ,J Other
Plumbing:
Mechanical:_ _
(attach copy of current OR Contractor's License)
Architect,'Engineer:— ,��L/y'ti/
Address.
Phone: 1-r l
COMMENTS: ------
Applicant Signature & Phone number
Received by:^� � . �_ Date Received:. 7
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) U , }--Z, _ ` 5"y
Plumo. Permit (PLUMB) z• ild
_ Mech. Permit (MECH) 5.�` _[_)
State Tar. (TAX)
Bldg:
Plumb.
Mech: Z
Plan Check (PLANCK) 3 3 r 0
Bldg: -j j
Plumb:
Mech:
`Z -pU7 Sewer Connection (SWUSA) ���U
Sewer Inspection (SWINSP) 3 )— , 3
Parks Dev Charge (PKSDC)
Storm Drainage Chg (.SDSDC) ;Lkv
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) // �I Lj
Commercial TIF (TIF-C) _
Industrial TIF (TIF.!) _
Institutional TIF (TIF-;S)
Office TIF (T!F-0) _
Water Ouality (WOUAL) — -
Water Ouantity (WOUANT)
Fire District (FIRE) __—_—
TOTALS: 5631. S. ki
MECHANICAL L/
CITY CSF T I GARS? PERMIT
PERMI,r #. . . . . . . .. MEC96-0274
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/08/96
13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)639-4171
P)ARCEL: 2S.101-CA-02500
SITE ADDRESS. . . : 13599 SW LAUREN L.N
SUBDIVISION. . . . : HILLSHIRE ZONING: P7 FD
81-.00K. . . . . . . . . . .. LOT. . . . . . . . . . . . . :17125
CLASS OFWORK. . :ADD FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . iSF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/o APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . 1 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FULL 0-3 HFA. . . . : CL) DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
lvl(-)X INPUT-. 0 BTU 15---.30 HP. . . . , 0 REPAIR UNITS: 0
FIRE DAMPERS?— : 30-50 HP. . . . - 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HI=S. . . . : 0 CLO DRYERS. . : 'A
NO. OF UNI Ts------------ AIR HANDLING UNITS OTHER UNITS. s 0
FUF'N ( 100K BTU: 0 10000 cf1r : I GAS OUTLETS. : 0
TURN ) =100K BTU: 0 > 10000 cfm: 0
1?emav-ks : Adding a A/C knit to 10K CFMs.
Ownet-. FEES -
STELLAJ RICO type amol.tnt by date 1--ecpt
13599 ,W LAUREN LN PRMT 25. 00 CJS 08/08/96 96--262700
5 P C T $ CJS 08/08/96 96-282700
TIGARD OR 97223
Phone #:
Contractor:
SKY HEATING & AIR CONDITIONING
1637 SE NEHALEM
PORTLAND OR 9*7202
Phone #, 235-9083) >b 26. 25 TOTAL
Reg #. . : 50244 REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if worit is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
1 'pt.mittee
!ssil.ted 13y-
..... .......
Call for inspection 639-4175
City of T"gard
,� MECHANICAL PERMIT Planck/Rec.
13125 SW Hall Blv&j \� APPLICATION Permit, # Mgc' ac:-,o a -i
Tigard, OR 97223
(503) 639-4171
T— encrtp i�on --
Table 3A Mechanical Code QTY PRICE AMT
Job 'j `t(1 LjaAr/1 -17 �/��J" 1) Permit Fee -0- -0- 1r,.00
Address -., •• '— --
ri 2) Supplemental Permit 3.00
r^•,a a^•mom"r^ ^� Furnace to 100,000 UTU
1) incl. ducts &vents 600
u ••■ Furnace Ioo,000 BTU +
Owner ) kaijyLi, Lo1 2) incl. ducts &vents 7.50
•� ^ Floor Furnance
0R 3) incl, vent 600
—� •m• •m•^ ■^••• uspen e-_ heater,wairreater
2. 4) or floor mounted heater 6.00
o ••• ^^• Vent not incl in —
Occupant P 9 .-silU 5) appliance permit - 3.00
■• Repair of heating, re ng.
G) cooling, absorption unit 6.00
Boiler or comp, heat pump, air con
,-•� 'ri _ 7) to il HP; absorp unit to 10UK BTi l 600
^^•
Boiler or comp, eat pump,airr cepa
/ 7.2'�?z 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor ■,• �,
_ ci er or comp, heat pump, air conn
9) 15-30 HP; absorp unit 5-1 nril BTU 1500
■ "•^^^
Boiler or comp, heat pump, air cond.
10) 30-50 HP, absorp unit 1-1.75 and BTU 22.50
hereby ac now edge that I have read tis application, that the of er or comp. .eat pump, air c'�—
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 and BTU 37 50
agent of the owner, that N)ans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 j(
Board, that the number given is correct. (If exempt from Slate Air handling unit
registration, please give reason below.) 13) 10.000 CTM + 7.50
— on portable
14) evaporate cooler 4.50
Vent fan connected —
15) to a single duct 300
enter lationsys ems not -
JG1 16) included n appliance permit _- 450
17) mechanical exhaust 4.50
Describe work new addition- , repair� Commercial or industrial
ria
to be done residential Q non-residential U 18) type incinerator 1000
xistinq use o ) � ter i.e, woo stove, water -
buiidinq or propertyll,.L. v-e-4 19) heater, solar, clothes dryers. etc 450
Proposed use of - , 20) Gas piping one to four outlets 2.00
building or propertyi
21) More than 4-per ouNet (each) 2.00 _-
Type of fuel -oil O natural gas LPG Q electric Q --
NOTICE
Minimum Fee 525.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION `— -"
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR 5716 SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR — — - —
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED --— --
___ TOTAL '1J
Special Conditions
Date ',Sued I by
M LJC•MC9TSMECM^M�
12
ELEC'(RIGAL VIEW111
PERMI1 #-. ELC116-0544
CITY OF T I GARD DATE 1,5SUED: 08/22/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orogon 9722396199 503)639.4171
1iL 1:
001VIE)WN. . . . - H.lLL.bHlHL ZONING:R--7 PD
OCF�. . . . . . . . . . . L0*1 . . . . . . . . . . . . . ..0E,5
0 'i flCt De 5C.-Ir-i Pt ion : InstaII ing )n e branch c i r,c 1.t i t-
-HESIDENHAL UNIT------ ----TEMP ERVC/FEEDERS---- -.--..--MISCL.'I-[-ANEDUS---
100 SF OR 0 12,00 tamp. . . . . . . : 14 PUMPY I RP I GAT ION. . . . : 14
iLH AW L 500SF. Q, c'01 400 amp. . . . . . . : 0 SIGN/OUT' LINE LTG. . : 0
1111TED ENERGY. . . . . . 0 401 060 amp. . . . . . . : 0 S16NPL./PlANE1.. . . . . . . : 16
,NF. HM/ SVC/FDR. 0 6014-hips -JOVIO Volts. ql MINOR LABEL ( 10) . . . 9 0
- 200 amp. . . . . . : Q, W/SERVIC",E OR FEEDER: 0 PER INSFIECTIUN. . . . . . 0
- 401!1 oAmp. . . . . . 0 1st W/O ERVC UIR FDP. 1. PER 14OUR. . . . . . . . .. . . : 0
401 600 amp. . . . . . 0 EA ADDIL EARNCH CIRC: 0 IN PLANT. . . . . .. . . : 0
!.'11 I"Alav, amp. . . . . : 0 RLVIEW
'11110.4 amp/volt.....: 0 ) =4 RES UNITS. . . . . . . . : � 600 VOLT NOMINAL. .
�C:QT)nect Only. . .. . . : 0 E3V('/FI)R 225 AJIP1 3. . CI-ASS ARFA/1;-:)P1EC OLC.
,ner,.- FEES
iLLLA RICO type am 0 I.An t by date I-erpt
,-b99 SW LAURLN LN F-,R rfl-1, 35. 1710 CTR 08/19/96 96-283011
1. 75 CTR 08/ 19/96 96-28301 1
iGORD OR 91�-,24
lone #:
36. *75 TOTAL
1460 GE PARADISL LN
REWIRED INSPECTIONS
JI-10,10 OR 97042 Wail (-Iol$el^ Elqc:t4 I Final
,)one 503-19c--'9-4146 Elect' l Service .......... ..........
10 15 41.3
,s permit is issued subject to the regulations contained in the
pard Municipal LL-, State of Ore. Specialty Codes ard all other rJer mittee Siqnatl.it'e
E,pplicable laws. Ail work will be done in accordance with
approved plans. This pirmit will expire if work is not started
within IN days of issuance, or if work is suspended for more
,fian IN days. I s s 1.i-*d by
(NSTALLATION
-le installation is being made on ir,oper-ty I own which is-, not intended for
aiv, lease, or rent.
iWNFA0S 1: 10NHILJHE- .......... DATE-
----CONTRACTOR INSTALLA'VION 01\1L
[Ulqf4fUl:?L OF SUPR. ELF-LIN: d DATE.
L -
)A.A*.-.Nt-�L NO.- . ...... --------- --_------ �..__... .
Lal l
-------
Lall for, inspection - 6,?9-417!S
Communi`:r Development ELECTRICAL PERMIT AP91-ICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit #
Date Issued Q-3?-'a5
Phone (503) 639-4171
CITY OF TIOARD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of- C' L(J� J U _ Number of Inspections per permit allowed
Addr@88 � �. l%L1�� 1 1 f Service included Items Cost(ea) Sur,t
City/State/Zip- __� �L 4a. Residential -per unit
1000 sq. ft. or less $11000
Name (or name of business) Each additional 500 sq ft or $2 of — -—
portion thereof i
Limited Energy $25 00
Commercial ❑ Residential C Each Manurd Hom9 or Modular
$ea o0 2
Dwelling Service or Feeder -- --
2a. Contractor installation only: 4b. Services or Feeders
—�) i ^- Installation.alteration.c. relocation $602
Electrical Contractor I` C zoo amps or less $80 0o
r: 7 201 amps to 400 amps SBO 00 _ 2
Address /./1 j' Gi '< <�'' 401 amps to 600 amps $120 00 _ 2
City State-__�i Zip r� 7G' 2. 601 amps to 1000 amps $18000 _� z
Phond NO lw Over 1000 amps or volts $340 00 2
`
.lob NO. Reconnect only _— $50 00
contractor's license NO. 4c, Tnmporary Serilces or Feeders
Contractor's Board Reg. No. v 5-1f–a- Installation alteration or relocation
Cn _ 200 nmps or less _—_
- 201 amps to 400 amps S50 00
Signature of Supr. EIe
License No. '/2�a -5 hone o. 401 amps to 600 amps 175 00 -
over 600 amps to 1000 volts s100 n0
see"b"above
2b. For owner installations:
4d. Branch Circuits
Print Owner's Name New alteration or extenrion per pane
Addressa) rhe fee for branch circuits with
- purchase of service or feeder fee.
City — State Zip - Each branch circuit $500
Phone No. b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. I S 2
First branch circuit $35 00 7
not intended for sale, lease or rent. Each additional branch circuit S500
Owner's Signature_ 4e. Miscellaneous
(Service or feeder not included)
Each pump or Irrigation circle $4000
3. Pla,,t Review section (if required): Each sign or outline lighting $4000 _
Signal circult(si or a limited energy
Please cheek appropriate Item and enter fee in section 5B panel,alteration or extension $40 00
$100 0010
l
bes( )
4 or more residential units in one structure Minor La ---
__Service and feeder 225 amps or more I 4f. Each additional Inspection over
System over 600 volts nominal the allowable in any of the above
_ Classified area or structure containing special occupancy Per inspection WOO
as described in NE C Chapter 5 per hour - S55 no
In Plant —_---
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services 5. Fees:
5a. Enter total of above fees # /
NOTICE 5%Surcharge (o5 X total fees) $ Nr
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
Trust Account #
COMMENCED. —
prm npp
F;alahce Due a
CITY OF TIGARD BUILDING INSPECTION NOTICE
InaPection Line (Rec-O-Phone): b39-4175 Business Phone: 839-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
I,,_st/Deam Struct. Plbg. Top Out Elec. Rough-in FINA
Post/Bei i Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framl-I
Alarm Water tine Insulation ec
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
J
Date Requested: J Time: AM 4-2m
Address: ZCC4- _
C clG
Builder. _ Permit #: 7"
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i/
Inspector: =� -- Date:. 1«"
APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.