Permit A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00109
: DEVELOPMENT SERVICES DATE ISSUED: 04/19/2000
'�� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13267 SW WOODSHIRE LN PARCEL: 2S104DC -08600
SUBDIVISION: MORNINGSTAR ZONING: R -4.5
BLOCK: LOT: 023 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 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: $ 2,775.00
Remarks: Adding three windows
' Owner: Contractor:
VORWALLER, DOUGLAS F + KEMPS WINDOWS INC
KARYN A 16107 SE MCLOUGHLIN BLVD
13267 SW WOODSHIRE LN MILWAUKIE, OR 97222
TI Phone OR 97223 Phone: 503 - 659 -7587 ORIGINAL
Reg #: LIC 44936
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PLCK BON 03/29/200C $35.81 0001011 Insulation Insp
Final Inspection •
PRMT KJP 04/19/200C $59.25 0001540
5PCT KJP 04/19/200C $4.74 0001540
PLCK KJP 04/19/200C $2.70 0001540
Total $102.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee
Signature: X 13 )crielp
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
p
CITY OF TIGARD Residential Building Permit Application Plan Check# 3 - v 6 g
13125 S HALL BLVD. Alteration - Interior Only Rec'd By 4"
Date Rec'd 3 -y'
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. -7 U!D
V 503- 639 -4171 AIT flub TI, 0rd, p5 -\ Date to DST 4 -iv -
F 503 - 684 -7297 Permit # PAie ?.4a0 — MO/
Print or Type Called y /3
Incomplete or illegible applications will not be accepted 07=36
tf,r /Xf-55010/-
Name of Project Name
Job ,\aa,,,: 1 wM
S ite Addre Architect Mailing Address
Address
Z-6� S1r/ k/UUdS 4 1 City /State Zip Phone
Nuke
IJULA4g Vu , c i (,- " Name
Owner Mailing Address j
- II- (, SVJ Lawdsh„jre Lel
City /State Engineer Mailing Address
-'C ate Zip Phone OR °1 s -$)$tl City /State Zip Phone
General Nam
Contractor ict-mQS 1,./�(JV1Nny ►n(, Describe work New 0 Addition 0 Alterati Repair 0
Mailing Address to be done:
Prior to permit i ( p3) S , E. ki.LQ1410.n 136 A ' ional De scription of Work:
issuance, a copy City /State Zip Phone A� u�vvN 3 w
of all licenses ) 4 ()(, '11111 (.9S 1 fl
are required if Oregon Const. Cont. Board Exp. Date PROJECT
expired in COT Lic.#
— database 1I6)`1=3 A) 111_ )°U3— = VALUATION = _$ - -_ _ - - --
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. Garage
•
Contractor Mailing Address
Indicate the restricted energy installation by the electrical
Prior to permit
issuance, a copy City /State Zip Phone subcontractor in the following areas
of all licenses Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
database System System
Plumbing Name (check all that Other:
Sub- apply)
Contractor Mailing Address Corner Lot YES NO Flag Lot YES _ NO
(check one) (check one)
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City /State Zip Phone
issuance, a copy Solar Compliance
of all licenses are Oregon Const. Cont. Board Exp. Date (Calculation Attached)
required if Lic.#
expired in COT I hearby acknowledge that I have read this application, that the
database -- Plumbing Lic. # 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.
Name Siat of Owner /Agent Date
Electrical ' () $Y )�v'v'p 5 3-0c)
Sub- Mailing Address Contact Person Name Phone #
Contractor FOR O US E ONLY: �� +lan
City /State Zip Phone Plat #: 4-1101-11 Map/T #: q ��
Prior to permit � 2Gj( 'la-- (-V
issuance, a copy acks: I Zo 7 Solar: NA. ei. of all licenses are Oregon Const. Cont. Board Exp. Date Setb ��
required if Lic.#
expired in COT E Approval: Plannm proval: TIF: J
database Electrical Lic. # Exp. Date N 2�
Electrical Supervisor Lic. # Exp. Date ∎ ea //L N / -5 7
i:forms\sfintalt.doc (DST) 10/23/98
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q / - 3 BUP ZCCO - 0 01 09
Date Requested 5/ I AM PM K BLD
Location r ?)200 7 1000C IS f Suite MEC
Contact Person TI IY1 - Ph (pS - [ G — X587 PLM
Contractor Ph SWR
ILDIN Tenant/Owner ELC •
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain • SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam .
Ext Sheath /Shear 61 1) S
Jilt-Sheath/Shear
Framing
Ins n
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: - -
PA _PART FAIL
BING
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.