Permit CITY OF TIGARD MASTER PERMIT
, DEVELOPMENT SERVICES PERMIT #.......: MST96 -+481
��'' i DATE ISSUED: 07/21/97
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S104CA -0290
SITE ADDRESS...:13521 SW LAUREN LN
SUBDIVISI0N....:HILLSHIRE ZONING: R-7 PD
BLOCK.......... LOT... : 12+29 JURISDICTION: T I G
Remarks: Path 1
— - - -- --- - ----- - - - - -- BUILDING --- — ----- ---- — ------- - - - - --
REISSUE: STORIES • 2 FLOOR AREAS--- ----- -- BASEMENT...: 0 sf REQUIRED SETBACKS - - -- REQUIRED - ---- --
CLASS OF WORK.:NEW HEIGHT • 33 FIRST • 1228 sf GARAGE • 506 sf LEFT • 20 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD : 40 SECOND...: 1055 sf FRONT : 31 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 93 sf RIGHT • 20
OCCUPANCY GRP.:R3 BORN: 3 BATH: 3 TOTAL- -- - - -: 2376 sf VALUE..$: 167566 REAR : 29
- -------- - - ---- -- - - - - -- PLUMBING ---- ---- -- _- __— _ ---- - --- --- ---- — - -----
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 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 (100K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 4 CLOTHES DRYERS: 1
/GA FURN ) =100K ..: 1 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 1
MAX IMP.: 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 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 4 201 - 4v. amp..: 0 201 - 4'"l amp..: 0 1st W/O 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 - 1000 amp.: 0 601 +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 NOMINAL: CLS AREA /SPC QCC:
- ---- ---- -- --- -- -- - - - - -- ELECTRICAL - RESTRICTED ENERGY ----- - -----
A. SF RESIDENTIAL---------- - - - - -- B. COMMERCIAL--- - - - - -- -- ----- - - - - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: 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:$ 4616.50
DEVAN BOTEL CREATIVE HOMES & DEVELOPMENT This permit is subject to the regulations contained in the
15444 SE GRANT ST DEVAN R BOTEL Tigard Municipal Code, State of Ore. Specialty Codes and all
PORTLAND OR 97233 15444 SE GRANT ST other applicable laws. All work will be done in accordance
PORTLAND OR 97233 with approved plans. This permit will expire if work is
Phone #: 761 -2040 Phone #: 761 -2994 not started within 180 days of issuance, or if the work is
Reg #..: !.x?759 suspended for more than 180 days. ATTENTION: Oregon law
- - - ---- ------ - - ---- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -Y.10 through OAR 952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
----------- ---- - - - - -- REQUIRED INSPECTIONS - -- _—
Footing Insp PLM /Underfloor Framing Insp Gas Fireplace Appr /Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Post /Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Mechanical Final
Post /Beam Mechan Electrical Servi Fireplace Insp Rain drain Insp Plumb Final
Crawl Drain '' Electrical Rou.h Gas Line Insp Water Line Insp Building Final
I ssued nn ��j��"
�X ,lJ�a -Ei
y: � 1 � �I lL.:�I�� Permittee Siynat�_ir ^e:
+ ++ + +i- 1- +-F• - z-*• - 1-4-1-44-1-4-4-4-4-4- 4-1- 1- + + + ++ + + +++++++++++++±+++++++++++++++-F±+±+±++±i-i--1-
Call 639 -4175 by 6:120 p.m. for an inspection needed the next business day
2ITY OF TIGARD Residential Building Permit Application Recd y �
3125 S W H ALL BLVD. New Construction Additions or Alterations Date Recd 117 - 1 &,
: IGi RD, OR 97223 Single Family Detached or Attached Date to P.E. ID' IS - 1to
. 503) 639 -4171 Date to DST o -/ 7 -9
Print or Type Permit # ST1 b ` I
Called /a-- -96 OS I4I
Incomplete or illegible applications will not be accepted 5,,,,, ,,,, t< ;
„/, � - f1
I Name of Protect gg Name F
Job ill - d ill ._ t4' 2_9 �`;� � � ��. ilJ1 i'�1
Address Site Address Architect Mailing Address
13 5 at) si) wirer 1 ?.�3_� -- �
Name °° .Ci Zip Phone
next am la�el n - zt �t die 1121t, e- 1 7S6,?..
Owner Mailing Address Name
,C -ity/State Zip, Phone Engineer Mailing Address
z1 City/State Zip )Phone
Name " -
General c t ea Y U e f t c2 e S pro .. Describe work New Cry Addition 0 Alteration 0 Repair O
Contractor Mailing Address r to be done:
/ S %f L ( 5 6 Van r c ' Type of Use a fl City/State Zip Phone K e s( e/ 1 ^ 1 4
l r '7233 77 ( Cj / Type of Construction
Oregon Coast. Cont. Board Lic.# Exp. Date
Attach Copy of 75972-- C( -, -� - Occupancy Class
Current - COT Business Tax or Metro if ' Exp. Date
Licenses - - Will it be sprinklered? . Yesgr Nop
Name If Yes. separate FLS plans and
Mechanical ' • l 1 ' >0/; application to be submitted
Number of Stones
Sub- Mailing Address
i Contractor Proposed Use
City/State Zip Phone
Previous Use
•
Oregon Co . Cont. Board Lic.# Exp. Date _ i�
Attach Copy of • Valuation a
Current C Business Tax or Metro * Exp. Date ` a
Licenses NEW CONSTRUCTION ONLY: -- ~'
Name Building ID j
plumbing S - 5.- 1 -- I�tG�b(1, I
Sub- Mailing Address Unit Types square ft *of units
: ;ontractor e,2 < ?C1 5W G��r4c • A) 12_26- i , , _
C ity iState Zip P h o ne
B•) 0` / U SS , 3 74
•
•
Creyon Cont. Cont. Board Lc.* Exp. Date D.) 6 /
Attach Copy of • qe -2' S`( 7- Will the electrical suCcontractor wire `or all restn ted Yes No
Exp. Date
Licenses 3 -0.2 f _ y _ energy installations''
_ I 7 3( -? 7' Has the Subdivision Plat recoroed?
COT Business Taxxor Metros Exo. Date N/A I Y NO
v
•
e Q'). y2 r / I I- 01- 7 7 I hereby acknowleoge that I have read this application, that the
Name informaticn given is correct, that I am the owner or authorized agent of
Electrical the owner. and that plans submitted are in compliance with Oregon
Sub- Mailing Andress State laws.
Signature of Owner /Agent i Date
Contractor -,, . ..• /4'9.
City/State Zip Phone Contact Person Name i 1 Phone
Oregon Const. Cont. Board Lic.# Exp. Date FOR OFFICE USE ONLY:
Attach Copy of
Current Electrical Lc. s _. Plat #4y,�(p.tc�'�, ppaP✓rL# Zone
Licenses I Exp. Date
4 35 - 14 Z<SIk1C/' t -1 .
COT Business Tax or Metro # I Exp. Date Engineering Apr at „tar Planning _ TlF
_tsWapp.coc
gc-1e kat 4o k
Permit # Account Description Amount Amt. Pd. Bal. D'ue
m - 5 7 146 o c- , MST: Permit - - - _ - - - - (BUILD) 03 - o
Plumb. Permit (PLUMB) 1 /.2 i . a. S
Mech. Permit (MECH) I/ 4 /) - q j
ELC /ELR Permit (ELPRMT) 1 / 1 ,1,5 0 �S v
State Tax (TAX) /56,/ j 5
Bldg: /36,/.)
Plumb: ,/ //. Z , '
Mech: / „l, 2 r -
ELC /ELR: / 12, 5
Plan Check
MST: - (BUPPLN) /3q/, q 5 7,56 J e/1 9 }
Plumb: (PLMPLN)
Mech: (MECPLN) /f /. 1) /f. Z;
CDC Review (LANDUS) ✓ 2/ o, - zi b
,
5c,a4G -o g9 /Sewer Connection (SWUSA) ./aa u acAoo
!
' Sewer Inspection (SWINSP) / 3 c 3 3
/
Parks Dev Charge (PKSDC) / / o cP / c 5 o
Residential TIF (TIF -R) l 1570
Mass Transit TIF (TIF -MT) / / 2 /
Water Quality (WQUAL) / / /Sj
Water Quantity (WQUANT) t / /o v 1'(
Erosion Control Permit (ERPRMT) ,i' Si 6((..e..?
Erosion Planck/USA (ERPLAN) ✓ c2 (
Erosion Planck/COT (EROSN) VP V , 9v .S7)
Fire Life Safety (FLS)
TOTALS: 602, c . 6732,Q,
i:\dsts\mstapp.doc
Rev. 7156 / O fti
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
SUNSET PLUMBING CO
G LONG ENTERPRISES INC
8920 SW LANDAU
TIGARD OR 97223
Plumbing Signature Form
Permit # • MST96 - 0481
Date Issued.: 07/21/97
Parcel • 2S104CA -02900
Site Address: 13520 SW LAUREN LN
Subdivision.: HILLSHIRE
Block Lot: 029
Zoning R - PD
Remarks:
Path 1
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:
DEVAN BOTEL SUNSET PLUMBING CO
15444 SE GRANT ST G LONG ENTERPRISES INC
8920 SW LANDAU
PORTLAND OR 97233 TIGARD OR 97223
Phone #: 761 - 2040 Phone #:
Reg #..: 012089
X LtI 4
Signature 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
t '
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
AFFORDABLE ELECTRIC INC
617 NE 192ND
PORTLAND OR 97230
Electrical Signature Form
Permit # MST96 -0481
Date Issued.: 07/21/97
Parcel • 2S104CA -02900
Site Address: 13520 SW LAUREN LN
Subdivision.: HILLSHIRE
•
Block Lot: 029
Jurisdiction: TIG
Zoning R -7 PD
Remarks:
Path 1
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:
DEVAN BOTEL AFFORDABLE ELECTRIC INC
15444 SE GRANT ST 617 NE 192ND
PORTLAND OR 97233
PORTLAND OR 97230
Phone #: Phone #:
Reg #..: 001041
X re /' ---
Signature of pervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
/ 27 � � Lor 2-
C ITY OF TIGARD BUILDING INSPECTION DIVISION /
/ # iZt 24 -Hour Inspection Line: 639 -4175 Business Phone -41.7 , '
Date Requested: - --'9& 1 9'(p -oz/ 81
— ,� n ,,�, 11, l� . MST:
Location: /3 5 Z () RA) , G /Z/� �/) , 7,6-1 BUP:
Tenant: Suite: Bldg: MEC:
Contractor: �� Phone: b 2 4-/--- oz. 7 1 L 14 � LM:
Owner: Phone: ELC:
• ELR:
,� SIT:
BUILDING ,/ �Eon't) PLUMBING ��CHANICA ELECTRICAL SITE
Site Post/Beam Post/Beam Posos a 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 S I • Crawl/Found Dr Heat Pump Low Volt
• ■prove Approved • pproved Approved Approved
Appr /Sdwlk • : • 4. •roved Not Approved , • • • Droved Not Approved Not Approved
:112, JZ FINAL ,. . u" + E.., FINAL FINAL
i
•
O Call for reinspection n , O -Reinspection fee of $ — required- before next in ` tion O Unable to inspect '..--- Inspector: \ I - _ _ Date: 4 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q(t) -i ei
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested I,� AM PM BLD
Location � CLO ( W v Suite MEC
Contact Person Ph PLM
Contractor (ireAl)Ve, t4 Ph 1 (0/r-7 ,767Y SWR
Tenant/Owner ELC
Fee g all ELR
Footing Access: FPS •
Foundation ;� Q <f ,/1� . J �^
Ftg Drain r� ' � - � J J SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation l�_
Drywall Nailing e440? � '��lal CV /4
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
• 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.
1
i i 1---67 Z 9 c /
f
• CITY OF TIGARD BUILDING INSPECTION DIVISION �� _ (� ,r� / C /
24 Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 /'Q
Date Requested: 5 - 5 / 8 A.M. P.M. A ar
Location: /3 510 C3 (/lJ �A.A.e.."L BUP:
Tenant: Suite: Bldg: MEC:
Contractor: (2J2L ` Phone: l — � 2,5" PLM:
Owner: Phone: ELC:
? � / I 7 I
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRIC SITE
Site Post/Beam * Post/Beam Post/Beam ce Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -hi UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG S : • n ,',
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump • w V i L nq
Approved Approved Approved ■ .ro e • Approved
Appr /Sdwlk Not Approved Not Approved Not Approved of A roved Not Approved
FINAL FINAL FINAL FIIII V.V FINAL
ft�Vii.4 .
Lam_ P A_ " s , . _ —40 ... �,� _. / /,
•
D Call for reinspectio' A D Reinspecti u• fee of $ required before next inspection D Unable to inspect
4 Inspector: �4�1 Date: 5/01 Page of