9975 SW GARRETT STREET i
En
I
i
1
1
I
T 3?3,T S Mg2MVJ MS P,66
CITY OF TIGARD MASTER FERMI T
COMMUNITY DEVELOPMENT DEPARTMENT DnTLtII1EF31JEI): � 07/0'9/996-0y i
13125 SW Hall Blvd Tigard,Oregon 97223.8199 (503)639.4171
PARCEL:: c_' 102?CP- 0'-_--3fL�l!_I
,I TE" At)[?RCSB. . . : �h'j'3"!a aW GARRL.TT ST
1.18IJIVIG3IC)t`l. . . . : F'REwINGS Dgr ,'1[41Rf1 TRACTS ZONI1\1G: R-..4,
1:rLOC:I-<. . . . . . . . . . : LOT„ . . . . . . , . . . : 1 .I.
Remarks: 544 sq ft addition PATH I
-------------------------------------- ------------------------ BUILDING
REISSUE: STORIES.,..,.,: 2 FLOOR AREAS---------- BASEMENT.,,: 0 sf REQUIRED SETBACKS---- REQUIRED---•---------
CLASS OF WORK.:ADD HEIGHT,.......: 23 FIRST....: 0 sf GARAGE.....: 0 sf LEFT,,,,,,,,•,; 0 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD..,,: 40 SECOND.,,: 544 sf FRONT,,,,,,.... 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf
RIGHT.........; 0
OCCUPANCY GRP,:R3 B9RM: 0 BATH: I TOTAL--.----: 544 sf VALUE,A: 335175 REAR..........: 0
--------------------------------------------- ----•------------- PLUMBING ---------------------------------------------
0 WATER CLOSETS.: 1 WASHING MACH..: 0 LAUN RY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.. ..... --0
SINKS.........: �
LAVATORIES....; 1 DISHWASHERS...: 0 FLOOR DRAINS—il 0 SEWER LINE ft: 0 FF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: i GARBAGE DISP..: 0 WATER HEATERS.,- 0 WATEP LINE ft: 0 BCKFLW PPEVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
FUEL TYPES----------- FURN ( 100K ..; 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 1 CLOTHES DRYERS: 0
/GAS/ / / FURN =I 00K ..: 0 UNIT HEATERS,.: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.. ......: 1 WOODSTOVF.S.... : 0 GAS OUTLETS...; 0
----------------------------------------------------•------....._ ELECTRICAL -----------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TE►IP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-
1000 SF OR LESS: 0 0 - 2100 amp..: 0 0 200 amp..: 0 W/SVC OR, FDA..: 1 PUMP/IRRIGATION: 0 PER INSPECTION, 0
EA ADD'L 500SF.: 0 201 - 400 asp..: 0 c01 - 400 amp..: 0 1st W/0 SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 71GNAL/PANEL...: 0 IN PLANT......: 0 '
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amp51000 vs 0 MINOR LABEL -i0: 0
1000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION
Reconnoct only.: 0 )=4 R'S UNITS..: SVC/FDR)=225 A.: ) 60 V NOMINAL: CLS AREA/SPC OCC:
----------------------'-- ----------- - ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL--------------__ -_--_
AUDIO I1 STEREO.: VACUUM SYSTEM.,: AUDIO & STEREO.: FIRE ALARM..... : INTERCOM/PAGING: OUTDOVP LNDSC LT:
BURGLAR ALARM..: OTH: :, BOILER......,..: HVAC...........; LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK.........,: INSTRUMENTATION: MEDICAL.....,.,; OTHP:
HYAC..•..••••.•: DATA/TELE COMM.: NURSE CALLS...,: TOTAL 4 SYSTEMS: a
Owner; ------------------------------------Contractv: ---- TOTAL FEES:$ 470.60
LORI 1ENSEN EMERALD HOMES
0997; SW GARRETT 17555 SW DEEMAR WAY
TIGAR,D OR 97223 LAKE OSWEGO OR 97035
Phone M: 639-8626 Phone M: 697-9508
Reg N..: 105407
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 days.
.._----•------------------------------------------------- REQUIRED INSPECTION5
Mechanical Insp Insulation Insp Plumb Final -
Plumb Top Out Gyp Board Insp Building Final y
Electrical Servi Rain drain Insp -
Framing Insp Electrical Final _ -
Low Voltage Mechanical Finalwe.,r m,ttee Gigna�t1_ir p : �Y�c�( /Nc�_ Isv_ieti Rye
C--11I for inspection -- 639--4175
1Tj fob 057A
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 9722 '
(503) 639-4171
Jobsite Address: JV\5 <W GAR4E77'
Subdivision: rvw� 4 GC ,/ e Usk Ori
ValuationContact Date 5 V;6, Initials-1_•-J
P.esult �,,.y
New Construction only: (Square Footage) ~
'5111.1___ ` Garage: __ Permit#� - ►
Reissue of NIA
Corner Lot? Y Flag Lot? Y Map&TL# 2.510:1-C L3 L--SEOU
Zone
Owner: LOU TI-=NS.-Et-4 Plat# ��u%► ix5 Ol�c I-IARU
Address. "q1� GV4 q--AeP.E`M- Approvals Required
NVIP-'rt-4 SlfOtalJ
9-77_2 T AccuKAft
�� Planning Setbacks.Q.L�Solar
Engineering
Phone e)62L, — Other_ —
Contractor: EKECLD Items Required
�-
c
Address 1r165.5 7-W Subcontractors_
Truss Details
LA►C>✓ USVJ 1�C�J C'e 17C,� � Other_
Phone (`]U.31 69'7-gSoB Notes
Contractor's License# X130-- (.06-107 Vt�la-SI FMX
{ trach cop Of cu rt Oregon license)
„ontact Name.
Contact Phone ,031 GC S0
Subcontractors: Architect/Engineer:
Plumbina. f_�J {7LUMg Address:!. &A 2300L Oji
Mechanical* BLS ha-AT tJ 155..50 SE' 11`0222
(attach copy of current OR Ccntractor's License
Electrical C m h Phone: A70) 835 -Z 181
AM 1► ,?Nn
JOB DES RIPTION (603 ) ,9 1_ 0
A Si
Applicant Signature � Applicant Phone number
i
Rece!ved by `_ _. Date Received. Cn2 1c?f--,
Permit Account Description Amount
Amt Pd. Bal. Due
Bldg. Permit (BUILD) '
Plumb. Permit (PLUMB) t
Mech. Permit (MECN)
Bidg:
Plumb �. 3
Mech: ,
Plan Check (PLANCK) � � 143, c �
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF•R) _
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) y
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS �' U. C 3. tt r,
22 � P z��� PLOT PLAN
N
WLGGAL. DEFQ I`.1 r-M0
99'75 SW GAe-eETT-
e I-cn- C I�V al-J) FzcwI rJ
01X1 I f'N r:.C)`TEA CTC
D
sl
C')
Iter
FF
231 e 2N D SIZE f1CX7fZ- 2g D
lo"
FIQIGH FLOOD Z , F
LUd
� Obi O
1, a
23 �� 23I
N
I;ctl 12
NrniEs
NO EArMEWM ExV7 oN PEOh .
NO Et4-Moor LCkJ
MECHANICAL
CITY O F T'CARD PERMI T
COMMUNITY DEVELOPMENT DEPARTMr,',JT PERMIT #. . . . . . . : MEC96-0300,
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)63P-41171 DATE ISSUED: 09/06/96
PARCEL: 2SI02CB--03800
I TE ADDRESS. 099'/55 SW UARRE T f 5l
�:,UBDIVISION. . . . : FREWINGS ORCHr)RD TRACTS ZONING: R--4. 5
1:3LOCK. . . . . . . . . . . LO1.. . . . . . . I . . . . . . 11
CLASS OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS- 0
TYPE OF USE. . . . :S F UNIT HEATERS. . ' 0 VENT FANS. . . : 0
OCCUVDANCY GRP. . :R3 VENTS W/O AIDPL; 0 VENT SYSTEMS: C
�')TO R I E S. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 121
f 'UEL TYPES.-__ -- 0-3 Hf-% . . . : 0 DOMES. INCIN: 0
/OIL/ 3-15 HP. . . . : 0 COMML. INCIN: 0
YlAX INPUT: 0 BTU 15-30 HP. . . . 0 REPAIR UNITS: 0
IRE DAMtIERS?. . : 30-50 HP. 0 WOODSTOVES. . - 0
1_,`,:3 PRESSURE. . .. 30+ HP. 0 CLO DRYERS. . : 0
,1U. OF' AIR HANDLING UN ITS OTHER UNITS. : 0
I-URN ( 100K B-ru: 1 0: 10000 cf M : 0 GAS OUTLETS. : 0
lJRN ) =100K BTU: 0 > 10000 cfm : 0.
ieL,inav-1.4s : Install fl-tt-nAce to 100. 000 BTU, incll.tdes dl.lcts ti vents.
IJwnpv-: FEES
LORI JENSON type anioltnt by (date r,erpt
')9'75 .)W GARRETT PRM' * 16. 00 D*A 09/06/96 96-283691
r-',R lyl I s 9. 00 D*A 09/06/96 96-283691
lIGARD OR 97223 5PCT $ 1. 25 D*A 09/06/96 96-283691
' 'flone #:
olitreactor:
i+ELL HEA TINU
i55Fjo SE PIAZZA AVE
.'LAC1KPMAE; OR '-,7015
I 11-ion e #: 5111:x—•656--1184 8 26. 25 TOTAL
Reg #. . . 000447
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mec:tianical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
;applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more
than 180 days.
I e I-M I L
sst-ted _1v
I for inspection 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13'.25 "W Hall Blvd. APPLICATION Permit # �( C�9&-0
Tigard, OR 97223
(503) 639-4171
Table 3A Mechanical Code QTY PRICE AMT
7�—
Job I ,J ����. 1) Permit Fee -0- -0 10.00
Address
2) Supplemental Permit 3.00
Furnace to 100,000 BILI
1) incl.ducts a vents 6.00 ��
Furnace +
Owner 1 J ���LI Q �_TT
L
) incl. ducts&vents 7.50
-T
t-icior urnance
—�
1 j '1 '> 3) Incl. vent 6.00
.. «^«^ sper sealer,wa heater
4) or floor mounted heater 6.00
ampo —`Veil ry o7 inc.In
Occupant 5) appliance permit 3.00
Repair o�a ting,rem-'
6) cooling,absorption unit 6.00
— 7" Boiler or comp, a pump,air con -.
' -rc, /�� 7) to 3 HP;absorp unit to 100K BTU 6.00
t- of or or comp,beat pump,air con
Contractor t `-Sc 1 � { 8) 3-15 HP, absorp unit to 500K BTU 11.00
- i er`or comp,hear pump,air con .
9) 15-30 HP;absorp unit .5-1 mil BTU 15.00
My ow •• er or comp, atpump, air con .
10) 30.50 HP;absorp unit 1-1,75 mil BTU 2250
-Thereby acknowledge thatThave road this app kation, aTBie— i er or comp,heat pump, air con .
information given is correct, that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State it an ing unit to
laws,that 1 am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given Is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM+ 7.50
`-- on porta e
14) evaporate cooler 4.50
Vent an connected
15) to a single duct 3.00
Ventilation system not
16) included in applianr*permit 4.50
v� Dor— Hood sorv6a By
17) mechanical exhaust 450
Doscribe work new U addition'addition'15 alteration U repairCommercial or In ustna W
to be done residential Q non-residential Q 18) type incinerator 30.00
Existing use of ter i.e.,wcodstove,wa el r -- -�-
building or property I 19) heater,solar, clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or properly _
y 21) Moro than r' per outlet
Type of fuel . oil& natural gas LPG electric Q
NOTICE
Minimum Fee$25,00 SUBTOTAL S'
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR 5%SURCHARGE �
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PER;OD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED —
Spec+al Conditions -
Date issued by
yY(CM'►rr
CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMITPERMIT #-. ELC96-0717
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/19/96
SITE ADDRESS. . . ;: 09975 SW GARRETT S.-T PARCEL: 2SIOE'CB-03800
SUBDIVISION, . . . : FREWINGS ORCHARD TRACTS ZONING- R-4. 5
BLOCK. . . . . . . . . . : LOI.. . . . . . . . . . . . .
ProJect Description.- ADDING BRANCH CIRCUITS
-----RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS.---- ------MISCELLANEOI.JS-------
1000 SF OR LESS. . . . : 0 0 200 amp. . , . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L. 500SF. . . -. 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : o SIGNAL/PANEL.......: 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : o MINOR LABEL ( 10) . . . : 0
.-...,.----SERV I CE/!:EEDER- ----BRANCH CIRCUITS----- -•---RDD' l_ INSPECTIONS-
0 - 2'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . :
i.201 - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . :
40'L - 600 amp. . . , ,. , : o
EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . :
601 - 1.000 amp. . . . , : i?i ---------------------PL.A61 REVIEW SECTION-____...___._____.
1000+ amp/val.t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------ FEES --------------
LORI ..TENSION type amol.tnt by date recpt
09975 SW BARRETT PRMT $ 35. 00 TAT 11 /19/96 96-286,105
11GARD OR 97223 5PCT $ L. 75 'TAT 11/ 19/96 9 6-- 8('17 0
Phone #: 639-8626
Contractor:
BECK ELECTRIC INC $ 36. 75 TOTAL
9318 SE CHURCH ST
REQUIRED INSPECTIONS ------
CLACKAMAS OR 97015 Ceiling Cover, Undergroo-ind Cove
Phone #: Wall Cover Elect' l Service
Reg 000026
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Uri. Specialty Codes and all other Ferm iMe Si gna e
applicable laws. All work will be done in accordance with
%
approved plans. This permit will expire if work is not started
within 10 days of issuance, or if work is suspended for more
_ A6v
than 10 days. lofl.led By
INSTALLATION ONLY---
The installation is being made an property I own which is not intended for
salp, lease, at, rent.
OWNER' S SIGNATURE-. DATE.
_._.._..__.__________._-CONTRACTOR INSTALLATION
SIGNATURE OF SUPR. ELECIN: DATE:
i-ICENSE NO:
Call for inspertion - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Nall Blvd.
Tigard, OR 97223 Planck/Rec. # _
Permit # �1��-
Phone (503) 639-4171 Date Issued
CITY OF TIGARD FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772 — -- -- ----
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed –
Address-01 i`1 `D �lJ 1 S/1,0 u Service included Items Cost(ea) Sum
City/Stat@21 }�R "1 r��..� 4a. Residential• per unit 4
J \n 1000 art 11 or leas $11000
Name (or name of business �g �f Vf.a Each additional tthereof
f eq II or
pportionnheol $25 00 1
Commercial❑ Residential Limited Energy i2500
Each Manurd Home or Modular 2
Dwelling Service or Feeder te66 00
2a. Contractor installation only: 4b.services or Feeders
Installation,alteration,or rela-aticn 2
Electrical Contractor Q,JGk 0 Q �� (W- 200 amps or lase $60 00 2
Address (4- I��7 ,vn�.' 201 amps to 400 amps fa0 00 2
city-f, ' "CU 1„�Z State Zi 401 amps to 600 amps $12000 _ 2
—�- p 601 amps 10 1000 amps $18000 2
Phone No.
cob(() 1 3`1 Over 1000 amps or volts $34000 2
Contractor's License No. 215-b C Reconnect only $5000
Contractor's Board Reg No. C31 4 .
_ 4c. Temporary Services or Feeders
Signature of Supr. Elec'n
Inslallation alteration or relocation
200 amps or leas $5000
License No. hq N0. (DB(D 1134 201 amps to 400 amps -_ $75 00
401 amps to 800 amps _ _ $10000
Over 600 amps to 1000 volts —
2b. For owner Installations: ase•b•above
4d. Branch Circuits
Print Owner's Name _ __ Na,* alteratwn or extenstan per panel
Address a)The Ise for branch circuits with
City State Zip____ purchase or eervke or la.der lire.
Phone No. !^— Each branch circuit _-- $S 00 _
b)The lee for branch circuse mthnuf
The installation is being made on property I own which is Pnrr:hap of"arks or Hader Me ?
not intended for sale, lease or rent. First branch circuit �_ $3500 2
Each additional branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000
Each sign or outline lighting $4000
Signal cimud(s)or a limited energy 2
Please check appropriate item and enter Ise in section 5H. panel,alteration or exleneton $40 00
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 411. Fach additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E C Chapter 5 per inspection __ $35 00 _^
Par hour $5500
Submit 7 seta In Plam $51,00 of plans with application where any of the above — -
,4pply. Not required for temporary construction services. 5, Fees:
NOTICE 5a. Enter total of above fees $ 3J
5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR flan Review if required(Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account M $
Balance Due $ '
. >pm■o