Permit CITY OF TIGARD
��� „�H�fe�, DEVELOPMENT SERVICES MASTER PERMIT
'� 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 PERMIT # .......: h1ST96 -457
DATE ISSUED: 11/12/96
PARCEL: E5109BA -H5256
SITE ADDRESS..,.: 13846. SW LEAH TERR.
SIJBD L,V' ;I °S'I Ot�I. ^ ti _ : H I L LSH I.RE :SUMMIT #2 ZONING: R -7 PD
BLCICR'........... - LOT.. ..... .. . ...:56
Remarks: Path 1
- BUILDING ------------------------- --- - -- --- - - - - -- .
REISSUE: STORIES' : 2• FLOOR AREAS BASEMENT,..: ' 0 sf REQUIRED SETBACKS ---- REQUIRED---- -
CLASS OF WORK.:NEW HEIGHT......:.,: 25 FIRST '1200 " "sf GARAGE.. :, 830 sf LEFT. :' 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 40 SECOND...: 1339 sf FRONT • 20 PARKING SPACES: 1
TYPE OF CONST.:5N • DWELLING UNITS: '.1 ,• FINBSMENT: 0 sf. . RIGHT : 10
OCCUPANCY GRP.:R3 BDRN: 5 BATH: 3 TOTAL --- -: 2539 sf VALUE..$: 211026 REAR • 64
SINKS • 1 WATER CLOSETS.: 3 WASHING. MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS : 0
LAVATORIES...', : ' 5's ' ' DISHWASHERS:;:'. :• 1 FLOOR DRAINS:. :T: 0 SEWERxUNE..ftv .. 0. , °, 'SF. RAIN DRAINS ::. 1 • CATCH BASINS..: 0
TUB /SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
,..,9, i. OTI€R FIXTURES: 0
- - - - - - -- -- - MECHANICAL ------------------------------------
. •• 'FUEL TYPES--- '--- - -. FORA 100P :it 0, BOIL/CMP -(.• 3HP :i : 0 • VENT:, FANS :::t ; „44 ' CLOTHES. DRYERS : ::
/GAS/ / / FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS 1 OTHER UNITS...: 1
MAX INP.: '- • • 0 , FLOOR FURNACES:- ,0 , .'" VENTS: , • 0 WOODSTOVES:,:..' : 0,t , GAS OUTLETS. :.:' ,lti..
- -------- ------------------------- ELECTRICAL ----- - -- --
— RESIDENTIAL UNIT -- --- SERV.ICE /FEEDER —TEMP SRVC /FEEDERS -- BRANCH CIRCUITS -- -- -- MISCELLANEOUS ---- - -ADD'L INSPECTIONS- -
1 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 6 • 201 - 4'Y' amp..: 0 •.. 201 - 400-amp. :: 0'• '1st W/0 SVC /FDR: 0 SIGN /OUT LIN LT: 0 • PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 , .601 - 1'''' amp.: 0. 601+ amps =l , 0:rv: 0 : , MINOR LABEL -10; 0,
1000+ amp /volt.: 0 ---- PLAN REVIEW SECTION ------ _ —_
Reconnect only.: 0 , ) =4 RES UNITS..:• SVC /FDR) =225 A.r: ), 6v 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:. A- . tr IT BOILER • LANDSCAPE /IRRIG : PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE;COMM.;. .NURSE CALLS.,....: TOTAL # SYSTEMS: 0
Owner: -- _— _— ____ - - - -- _______Contractor: --------------- - --- -- TOTAL FEES:$ 4847.05
LHL CONSTRUCTION LHL CONSTRUCTION INC ,.
7110 SW FIR LOOP 7110 SW FIR LOOP
STE 160
TIGARD OR 97223 • • • - k ' TIGARD OR 97223
Phone #: 624 -7714 Phone #: 624 -7714
- • Reg #:, : 53769•..
This 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 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
- --------------- - --- _-- - -____ REQUIRED INSPECTIONS - - -- -------- --- - -_
Footing Insp PLM /Underfloor. Framing Insp Gas• Fireplace • Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr /Sdwlk Insp Erosion Control
Post/Beam _ Struct Plumb Top Out _ Low Voltage'. - Gyp Board Insp Final
Post /Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Crawl Drain ... 'Electrical Rough. . % - In Water Line Insp PI Final
Fier °mittee Signature: / # /r I' : %� � — ..._..,, — .. Issued By:
Call for inspection -• 639 -4175
Plan Check # t ' l 3 E
CITY or TIGARD Residential Building Permit Application Rec'd By A, NAA fiViiNd.,.,
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec'd 0'23
TIGARD. OR 97223 Single Family Detached or Attached Date to P.E. ' - 11.,
(503) 639 -4171 Date to DST /0 -3 - 9 (e
Print or Type
Permit* V 'Sgb -b� 01 Called 10 - lilt,
Incomplete or illegible applications will not be accepted
Name of Subdivision Lot # Name
Job Nk1 �SkI( -t CLouwti►.t'� !IF 6-4) Architect Mailing , �� ,, �� / Add es As .
Address Site Address
N ( 3 Cy6 SW L.c ..\z1Rw ct City /State Zip Phone ,�
1 —H - 1-. (c AST . U.c_'1(■"‘ 21.5--9/11
Owner Mailing Address
Na
l lld SW � - tve i 60 A ..- 1" I
Engineer Mailing�Address
City /Stttate Zip Phone
g
' '� -" cr - 0.?-27/9 City /State Zip Phone
Name
25 - 6 X91.
General W)<- Describe work newt addition 0 alteration 0 repair 0
Contractor Mailing Address to be done:
Additional Description of Work:
City /State Zip Phone
Oregon Cont. Cont. Board Lic.# Exp. Date
Attach Copy of .C3 Project
$
Current . /COT B9AnQss Tax or Metro # Exp. Date Valuation
Licenses I'D
Name NEW CONSTRUCTION ONLY
Mechanical 0h (c�nti' Sq.Ft. House: Sq.Ft.Garage:
Sub- Mailing Ass
Contractor Re. fox 3s--:\ Corner Lot Yes No Flag Lot Yes No
Qiy /State Zipq, °LI P one (check one) (check one)
-cty 1.. Cc/40A , O -012 I Restricted Audio /Stereo Burglar
regbn Const. Cont. Board Lic.# Ex Pate Energy System Alarm
Attach copy o. OM ISt9 ) /917
Current COT Business Tax or Metro # Ex .Date Installation Garage Door HVAC
Licenses � i citao 14 13 13 30-) Opener Systems
Name 0 $ P , l uwa Iwo (check all that Other:
Plumbing ` apply)
Sub Mailing Address Will the electrical subcontractor wire for all Yes No
� «j � ��� G vc� , restricted energy installations?
Contractor l t v ' Has the Subdivision Plat recorded? N/A Yes No
ity /State Zip Phone
t2ks�. �4:, VO A0
Oregon Const. Cont. Board Lic.# Exp. ate Reissue of MST# Solar Compliance
Attach Copy of"', 7 i t / 9 9? (Calculation Attached)
Current i Plum ing Lic. # Exp. Dane I hereby acknowledge that I have read this application, that the
Licenses 1 . - 11-(i1-4,W 1.�I - 10 information given is correct, that I am the owner or authorized agent of
S COT 4usiness Tax or Metro # Exp. ate the owner, and that plans submitted are in compliance with Oregon
i /12 w 0 20 V 2.57 State laws.
Name Signature of Owner/Agent Date
Electrical : Contact Person Name Phone
Sub- I Mailing Address `
Contractor f 61 Ern S U v ii ,, \ I, lk L FOR OFFICE USE ONLY:
City /State Zip Phone Plat # Map/T1_#: 1 •
I NuO U R. 97O't2. $29 -s 7
regoAConst. Cont..Board_Lic. #__Exp. ate . 0 ��
- 5 1 51-4,64- - -1- - -629 0 -- - - _
Attach Copy o W9S �„ 3�/) Setbacks Zone: Solar
Current Elects aJ Lic.# Exp. D 0 ( 4 - , p _,1 1 r 4 to
Licenses c/ * 3 l / � - Nolf - 1 ,--
GOT Business Tax or Metro # Exp. to Engineering Approval: Planning Approval: TIF:
I ../../". /t
' /-c 343 $ i/9 lt f ietw-b 6
i:\dsts\mstapp.doc a - - . •
Permit # .Account_Description__ __ _ _ - - - Amount -- - Amts -Pd. - - -Bal.- Due -
insJ 6 oL/Sy MST. Permit • (BUILD) 7 /3,00 `713 � '
Plumb. Permit . (PLUMB) 2• • ''') a Z5' `°
Mech. Permit (MECH) .4• 4--• 46"
,
' ELC /ELR Permit (ELPRMT) 30 U 3ocl . '
. State Tax (TAX) 6;cf 6c/ ./,)
.Bldg: 35,45
Plumb: //, Z �-/
•/
Mech: ? • z 7
ELC /ELR: /5 • ov /
Plan Check
MST: (BUPPLN) A/63, co ' 2)Di") .2/3, v
Plumb: (PLMPLN) .
Mech: (MECPLN) it z. // ;s-/
CDC Review (LANDUS) ,,40, GV YU — /
Swp16-u(/6o Sewer Connection (SWUSA) 02200 . 0 0 od
Sewer Inspection (SWINSP) . ' 3.5 357
Parks Dev Charge (PKSDC) • /Ord ' /050
Residential TIF (TIF -R) /.5 70 /57o. i
Mass Transit TIF (TIF -MT) / 24' / 2 -
Water Quality (WQUAL)
Water Quantity (WQUANT) , / U - /o0 — .■
Erosion Control Permit (ERPRMT) er 0 F .4 %ac)
Erosion Planck/USA (ERPLAN) ol • 60 . , k-6o '
Erosion Planck/COT (EROSN) fi(o - 0
Fire Life Safety (FLS) '
TOTALS: . ' , -
70 k2 v)5r7 (o�y3Z C ��
i:ldstslmstapp.doc ,
Rev. 7/96
re `-
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: `r' —, _ — %P' A.M. P.M. MST: 5 J -6' /3 7
•
Location: 4 I !L . jai-/.." 4 \ - ..� /.■ 4 _ __../ BUP:
Tenant: Suite: Bldg: MEC:
Contractor: MWZIO 11 Or
,� j Phone: 62eq ' PLM:
Owner: Phone: ' yes 36O ` (.77-7/44) ELC:
c .ti,) - 7 i r e- : KA e 27y- ,3 3 9 ELR:
SIT:
BUILDING BLDG on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site earn Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
•
pproved. Approved Approved Approved Approved
Appr /Sdwlk roved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
- -- O- Call-for- reinspe 'o - - - - - O- Reinspection -fee of $ - required-before next-inspection CI inspect
Inspector: s. Date: 5/- 2 .2_,-'- 4g Page of