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Permit
CITY OF T M, zTR� r �e ..: M6T�7__96 , 1 � „ DEVELOPMENT SERVICES DATE ISSUED: 07/3t21/97 Tigard, ( ) PARCEL: 2S1 11. CB- UL.W02 SITE ADDRESS.. o :11ZUZ142 SW LADY MARION DR SUBDIVISION— ..: ULWELL_ I ICI G MLP'96 -015 ZONING: R - -3. J BLOCK.. ....... LOT...... n ...... :IZIZI2 JURISDICTION: TIG Reoarks: New�SFD PATH 1 -------- __ - - -� _--- ---- -_ �_�_ BUILDING - - - - -_— - -��_ -- --- -- REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS - -- REQUIRED -_ —_ -------- CLASS OF WORK.:NEW HEIGHT • 26 FIRST • 1639 sf GARAGE • 864 sf LEFT • 5 SMOKE DETECTRS: V TYPE OF USE... :SF FLOOR LOAD....: 40 SECOND...: 1325 sf FRONT.........: 20 PARKING SPACES: 2 TYPE OF CONST. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT • 7 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL- ---- -: 2964 sf VALUE-$: 213568 REAR : 59 PLUMBING - --- --- - --- - - --- SINKS • 2 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 160 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 -------------------------- - - - - -_ —_ ---- MECHANICAL ---- - - - - -- FUEL TYPES ---- FURN ( 160K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 1 ELECTRICAL -- - - ---- ----- --- - -- -- RESIDENTIAL UNIT --- - -- SERVICE /FEEDER - -- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS - -- - - -- MISCELLANEOUS - -- — ADD'L INSPECTIONS - 1000 SF OR LESS: 1 0 - 200 aop..: 0 0 - 200 aap..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 6 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR - . 0 LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 app..: 0 EA ADDL BR CIR: 8 SIGNAL /PANEL...: 0 IN PLANT......: 0 MANF HM /SVC /FDR: 0 601 - 1000 aap.: 0 601 +a ®ps -1000 v: % MINOR LABEL -10: 0 1000+ app /volt.: 0 -------------- -------- - - - - - -- PLAN REVIEW SECTION — -- --------------- -- Reconnect only.: 0 ) =4 RES UNITS..: ' SVC /FDR) =225 A.: ) 6't1 V NOMINAL: CLS AREA /SPC OCC: - ------ - - - - -- ---- - - - --- ELECTRICAL - RESTRICTED ENERGY - - - -- — ----- - - - - -- A. SF RESIDENTIAL -- ---- -- B. COMMERCIAL AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: X BOILER HVAC • LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: .. HVAC • DATA /TELE COMM.. NURSE CALLS • TOTAL # SYSTEMS: 0 Owner: --- — Contractor: - - ---- ---- TOTAL FEES:$ 4710.35 RANDALL MYERS INC RANDALL C MYERS INC This permit is subject to the regulations contained in the 6655 SW HAMPTON 6655 SW HAMPTON ST Tigard Municipal Code, State of Ore. Specialty Codes and all PORTLAND OR 97223 #100 other applicable laws. All work will be done in accordance PORTLAND OR 97223 -8358 with approved plans. This permit will expire if work is Phone #: 598 -7565 Phone #: 639 -9054 not started within 180 days of issuance, or if the work is Reg #..: m489 suspended for pore than 180 days. ATTENTION: Oregon law requires you to follow rul adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -0080. You pay ain copies of these rules or direct questions to OUNC by calling (503)246 -1987. V . ---- - - - - -- --- --- -.REQUIRED INSPECTIONS - - - -- - - - ---- Erosion Contol Crawl Drain Electrical Rough Gas Line Insp Water Line 1.p P .y. Final Footing Insp PLM /Underfloor Fraying insp Gas Fireplace Water Servi, In Building Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk I p Post /Bean Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Post /Beae Meehan , Electrical ',ervi Fireplace Insp Rain drain Insp Mechanical F. i/ ss'a - ems - B-y e ° / - I G P, . . S i a e -: _ .-i-+++A--I- -++ +-hi••+A- 4- r-Fi--I- 1-i - hi--t- - 1-•d--h+A-+ -I- f -i- -F -FA - FA- -- l-•4. -F i-A- t-i- -l-••>'+ hi -•9-i-++A -++• I--1-- I-4- 1-- I-- I-- 1- -{--, ± ++..l -+± Call 639 -4175 by 6:00 p.m. for an inspection needed the ne :: business day Plan Check $ 0"7 - 5 - 8' G .ITY,OF TIGARD Residential Building Permit Application Recd By 1128 SW HALL. BLVD. New Construction Additions or Alterations Date Recd / IGARD. OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 07? (19' -- 503- 639 -4171 Date to DST 3) - 7 503 -684 -7297 Permit #Avir97° b r- ?6 Print or Type - Called 07 � C Incomplete or illegible applications will not be accepted �' "., .____ Name of Project Name Job Architect Mailing Address Address Site Address _ \ coo onktioN Ott Na City /State Zip Phone I Ak evsi &I C, Owner Maili9g dress Name (D (0 S-At) ' 1 E n :n ear Mailing Address Ci* rSta a Zip Phone g - 4 6 11Z- 7 -3 '4? 7ir4( City /State Zip Phone Name General Describe work New 0 Addition 0 Alteration 0 Repair 0 Contractor Mailing Aadrt?ss to be done: • Additional Description of Work: City /State - Zip Phone -, - J Jai _ - Oregon Const. Cont. Board Lic.rt Ex0 b tat ( I Attach Copy of l I Current COT y usiness Tax or Me rt Exp. Date PROJECT J -- � -- Licenses �f 1 tro ,, ,, VALUATION $ X2/3 � j c 7 „- , -.,, Nam t( • NEW CONSTRUCTION_ ONLY: Mechanical � i N � Sq. Ft. House: S Sq. Ft Gataae, Sub- dingAddre . Z f / q - ti :_ . Contractor I ^.1 Q P V` Ott Comer Lot YES O 9 Fla YES NO C. ,, A le Zip P_tione (check one) (check one) l PAP � 3 Restricted Audio /Stereo Oregon Const. Cont oard Lie.# Exp a te ` / `Burglar Attach Copy of ' - Energy System Alarm Current COT Business Tax or Metro # ExPl Date; Installation Garage Door HVAC _icenses %,/ I Ir h 1---- - Opener I Systems Name V I ' (check all that Other. Plumbing `t ( IA &(2 . V4 . apply) • . Sub- - Mailing Addres -- Will the electrical subcontractor wire for all YES __NO Contractor P f is s restricted energy installations? C+ ce r °° // zip Phon Has the Subdivision Plat recorded? N/A -YES NO 1361., CO 61 Cregon Const. C nt. Boa. Lic. Exp. Date ,- T.: Reissue of MS Solar Complian Attach Copy of � I / -? '. I ( Calculation Attached) . Current Plu i ng R Ex 1 'Q6 I h acknowledge that I have read this application, that the Licenses � � ( � Y 9 PP information given is correct, that I am the owner or authorized COT Business Tax or Metro 4 Exp. Date � ' �GT agent of the own r, and that plans submitted are in compliance uam _ � i� with Oregon S to laws. Electrical . a Q Q Signature of CD nel/ nt : .Iadin Add ss _ - Sub g _�_- Conte ' ii n Name- � r �� o e,;* - � � ^ 'fi�;.� i i ice - .• Contractor ) j;3s'w .r>- ,,�r 'Z— -) _ 1bl. 5. � _ m n - i ,. ; . -� C:ty Zip 1 Phone A FOR OFFICE USe ONLY: ' 4 -j V`il IL 2 : s .„ /r �� I Plat 6 ©i j l Map/TL Oregon Const. C Expiate 1, ��5 I // C L i.l i— A.ttach Copy of If Setbacks: In, IJ Zone: 1 Solar: Current EieCri �� $ t. Board Lic. Ex ExP D � tte_ - — � ”" u I � Licenses I (;f i � En ' ineerirp9 app, ?oval: PI nning .' PProvai: TIF: COT Business Tax or Metro 4 ` Exp. p_ of / 7 - /7 j (/t/1C/3 ( j D as FREMDL.DOC (DST) 3,97 • f loll r✓ Permit 0 Acct. Descritpion COT WACO Amount Amt. Pd. Bal. Due . \\ yvt.c71 -- MST. Permit (BUILD) (UBUILD) 7/6 / , 7 /Q, w � Plumb. Permit PLUMB V Mech. Permit (MECH) (UMECH) S, / ELC /ELR Permit (ELPRMT) (UELPMT) 30O, VVV - 000, State Tax . (UTAX) 1 / ��! s!!!..-- - BLDG: 0 5 , / , �� PLUMB: — L 7 'f MECH: a , L , ''J / ELC /ELR: ts', v v ✓ Plan Check - / - - / MST: ' u (BUPPLN) (UBUPLN) #6, � ,VC. - Plumb: (PLUMB) (UPLUMB) Mech: - /' _ (MECPLN) , ( UMEPLN) °// T / ate COC Review (BUILD) (CDCBLD) UCD r CDC Review (PLN) (CDCPLN) .N/A v ' v '-j i ". w ( V'`" 0 0 ( Sewer Connon (SWUSA) (USWUSA) 4 7%.76 0 V cZ?- 6 !.t q Reimbur. District ( ) ( ) / bi Sewer Inspection Y (SWINSP) (USWINS) 3) ---- 1/ ,3 j' ' Parks Dev Charge (PKSDC) N/A /OS o fix ioro Residential TIF (TIF -R) (UTIF -R) / 0 V 16 4 0 • - Mass Transit TIF (TIF -MT) - (UTIF -M) / 3 0 1 _ . . /3d Water Quality (WQUAL) (UWQUAL) 2./ 0 0 2/ 0 Water Quantity - ( WQUANT) (UWQANT) - a 90 c f U Erosion Control Prmt ( ERPRMT) ( UERPMT) gl ?r, G v Erosion Planck/USA (ERPLN) (UERPLN) .-t9, 6 ` �� ,---,, c7.--o G ! Erosion Planck/COT (EROSN) (UEROSN) c 2-6% / ti� _,(./--61 Fire Life Safety (FLS) (UFLS) � 6 TOTALS: S 0, s °� ® I elf 1 I:SFREMOLDOC (DST) 6/97 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE TIMBER VALLEY PLUMBING PO BOX 34 CANBY OR 97013 Plumbing Signature Form Permit # . MST97-0296 Date Issued.: 07/30/97 Parcel 2S111CB -ULWO2 Site Address: 10042 SW LADY MARION DR Subdivision.: ULWELLING MLP96 -0015 Block Lot: 002 Zoning • R -3.5 " Remarks: New SFD PATH I .. 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: RANDALL MYERS INC TIMBER VALLEY PLUMBING 6655 SW HAMPTON PO BOX 34 PORTLAND OR 97223 CANBY OR 97013 Phone #: 598 -7565 Phone #: Reg #..: 000420 X • • nature of Authorized Plumber Please return :this completed form to the address above. ATTN: Building Dept. • If you have any questions, please call 639 -4171, ext. #310 • CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DRYER & SONS 5536 SE WOODSTOCK BLVD PORTLAND OR 97206 gEiecal Signature Form Permit # • tMSTaT =0 916 Date Issued.: 07/30/97 Parcel • 2S111CB -ULWO2 Site Address: C T0104,2"SW=LA1 -- MARION :R. Subdivision.: ULWELLING MLP96 -0015 Block Lot: 002 Jurisdiction: TIG Zoning • R - 3.5 Remarks: New SFD PATH I 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 OWNER: ELECTRICAL CONTRACTOR: RANDALL MYERS INC DRYER & SONS 6655 SW HAMPTON 5536 SE WOODSTOCK BLVD PORTLAND OR 97223 PORTLAND OR 97206 Phone #: Phone #: Reg #..: 000011 X ./ cg3! /L Sig ature o upPr vising Electrician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639 -4171, ext. #310 A ECE V D DATE g q-7 CITY OF TIGARD BUILDING INSPECTION DIVISION • MST 97 CO2,9 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location 100 0,1A-3 ( 4 2— La 1 1✓) N-1 Suite MEC Contact Person Ph C� PLM Contractor 1< 4/ 1A1PA S Ph Co 3q r S a SWR • UILDIN �� Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation K�.�S, S FPS Ftg Drain J SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing (. (✓jL Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mi anal SS PART FAIL PLUMBING - Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In • UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST q 7 -i%L% 24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171 BUP 1 /i , 38 Date Requeste• . " -- .0 � -qd p AM PM BLD di,„!,., Location PO 2 ,./.L_.„ J / 1 J Suite / MEC Contact Person �iJ</g�:. / Ll � Ph 5 7565 PLM / / Contractor Ph SWR BUILDING ,s °: -' Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation iV / �� QOX / meo F r ZC J FPS Ftg Drain TLC. �'(J �-+UV C.�/ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation ' Drywall Nailing Firewall AA Fire Sprinkler = � 1 Fire Alarm wr Susp'd Ceiling ��- Roof - -�ri Misc: / Final 5 6,c>"' 4 _ l �� A PASS PART FAIL T /PLUMBING _ Post & Beam ����r _ Under Slab "�� . ; • _ ` it w__ Top Out Water Service Sanitary Sewer ' �� r cam, - --- + R"'. II rains a$ _ % *$ 7 /t9 UKair . + ,' - - �� -_ _ ' FAIL ANICAL .' Post & Beam Rough In p' Gas Line `.... Smoke Dampers SS PART FAIL Creel RICAL r Service . ' l" Rough In . 1 w' UG /Slab J ` a - _ "4 ,/ , l() Low Voltage --•■•/ Fire Alarm A Final ��� PASS PART FAIL _ S a SITEt;A,:� Backfill /Grading * ,r ` �' ,`j�� Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk . / Other Date C 7 C/ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. r.