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13543 SW LAUREN LANE woo/ N. �-- - dinaOwn_ woo am Ul Its I �. •i ON I r.RONT YARD SETBAC< /A" �►ani Mw�r" Dow RY $E I I C3INE 1 4- __t 400 1 ' I Ioleo ! I 1 1 I MINiMU'-1 VELU..-_--�....�..._____.._.._. _. � ._.._._---~�� � 1 I: RcAR YARD SETBACK ro 14 T a F ,i '"� •�• �--�Lr«_.wlrnlr� ,. ��.._..�ru„rr;_-+�� --rLrYri� � '� � 1 ! de ago dw -� v _ MW "NOTICE- IF THE PRINT OR TYPE Or ANY gllr IJillii 1111111 1II � I � � l � III Ili IIT Ili Ilt r� �fTT�rtlt 111 Ili III Ili III III III III III III I � I Ill III III I � 1 I � C TII III I � I Ili III Ill � ill III Ilt II ( llll SII III 1111111 _ I IMAGE IS NOT AS CLEAR AS THIS1 � � NOTICE, 5 6 7 8 9 14 11 12 IT I DUE TO THE QUALITY OF THE — _ �! _ No.36 IT ORIGINAL DOCUMENT IIII IIII IIII IIII Ilii�Z!!II IIII IIII IIII IIII Ilii Illl�lllll��l fill 111 llll IIII. IIII.IIIiI IIOII ZILII 6T— IIII IIII i I i l l l l l l I I I I I I I I I I I I I I I I I I I I I I I I I'I i l l l l 8 ll�.8lJ_Il lU i 9 _ E Z TL w Ln a, LA) r C 7a [17 z r z f 13543 SW LAUREN LN G 2 rn rn rn rn T � $m - U) w D a v =J r r N 0 N o o aaLLI . co a 0 c � Q' d a a LA � m y c o (1) 7 cn W C U U C7 U (9 � O Ln Lr) C R Q (0 V. d vi u5 t3 N V to 0 LO 0 a r mcl _ y> U q C m > € y a _ U d c CD U N LL N n _ C7 N D. a, N M N Q' a U 3 w w LL U rn 0 0 0 0 0) 0 0 N M r (V > 4 0 0 0 Q Q Q q d L W uj W W W W W { » )i ) u « a "'D k � pc\ _ \ \\ ) / a ) [ � 7c c z ) ffz ) ( 2 G $ G$ $ @ $ $ $ @ $ M & g I g g � )\ � � m a = m m u m _ } } V) } }L , LL / $ $ LO � m � J @ o o o c I X _ _ W A 5 § i & R k ] 2 5 § f � 72)0 \ U` \ CL\jj \ v 41 \ k \ \ (3) § I > ° § \ \ _ w e S B K 7 2i r « \ ƒ \ ! © $ $ / LL) { § Q) ) \ \ c 5 $ c $ 2\ J ƒ E R / / w ƒ 3 \ d \ e § 2 8 8 8@ 8 $ \ m w w k < « 4 k R@ 2 k « % t § ° g g U g 5 § 5 5 ° www m G u u m e 6 6 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 C- BLIP Date Requested "G- c 1 AM PM _ BLD Location ( Z) lq Suite MEC _ Contact Person On (�[�Uu 1 Ph �,p��'7zg 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: - — Slab --- C1. (o, Post& Beam yl SIT c? Ext Sheath/Shea Int Sheath/Shear Framing Insulation Dr,wall Nailing _� /���/[.tv {� •�ii� �•C /�-C C ,�✓ Firuwall Fire Sprinkler Fire Alarm 1✓ /� Susp'd Ceiling Roof Misr,: -- Final PASS PART FAIL ----- -- --- --- — PLUMSING Post$beam - -- — -- Under Slab Top Out --- -- -- ---- ---- Water Service _ Sanitary Sewer Rain Drains _ Final — PASS PART FAIL MECHANICAL Post R Beam ---- --- ------ -- -------- Rough In Gas Line —---------- — — Smoke Dampers Final — -- -- -------- — PASS PART FAIL 1 ELECTRICAL --- — -- - Service Rough In ------- — — UG/Slab Low Voltage — Fire Alarm Final PASS PART FAIL STT Rackfill/Grading --- —'— y---- Sanitary Sewer Storrs Drain [ J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:-- —_ — ( ] Unable to inspect-no access ADA Approach/Sidewalk Other Date / L - �� fir._ Inspector a_Ext _ -- ASs ART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DWISION MST 24-Hour Inspection Line: 639-4175 Busiiiiess Line: 639-4171 — aup Date Requested —''7 --� _AM PM BLD Location I �A Suite MEC _ Contact Person 0(� D►rc=(b�! Ph _ tQU�p'"7Zu�? PLM Contractor Ph q07-0M 7 SWR BUILDING Tenant/Owner EL.0 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slap ? ✓� �" SIT Post R Beam � � " � / Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _-�_-- Firawall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof I\AISC: Final PASS PART FAIL ---- - --- --- -- PLUMBING Post&Beam ----`- ---- - - Under Slab Fop Out -- ,,— __. .-- -- - ------ ------ Water Service Sanitary Sewer ----- ------�-�— ---- ------_.-. Rain Drains Final - PASS PART FAIL MECHANICAL Post& BeamRough In In Gas Line - ----_-.� ------- --- ---- Smoke Dampers Final ------ - -- - - ----- --- _ -_. PA ,$ AK FAIL Service Roughin _A--- --------- l i ----- - -__-.---- --.-.J-_-- UG/Slab I - --- - --��-- — - --------- Low V61140- t7re`Marm — -_ ---_- - ----- ---- ------- -- Fi EA:_SV PART FAIL S Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection fee of$_--�--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspecnon RE: - _— — [ ]Unable to inspect-no access ADA Approach/E idewalk Other —� Date — -._ �-- Inspector - Ext _— Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 c� BUP _ —_ Date Requested �C)/"1 Z� " �� / AM PM BLD _ Location—1 Suite MEC Contact Person A 1 C . ICt'Ad ') Ph &/ �7–(4) ?LM Contractor Ph �07�D` S7 SWR _ BUILDING Tenant/Owner ELC [Retaining Wall ELR — Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab = 'l SIT Post&Beam Ext Sheath/Shear c Int Sheath/Shear Framing _-- --_— InSUlation Drywall Nailing __ Firewall Fire Sprinkler ------ Fire Alarm SUsp'd Ceiling -- --- -- --- — -------- Roof Misc: __ _ - — --- -�--- -- -- ---- Final PASS PART FAIL - -- —--- ----- ---- I° Post& Beam --..--- Under Slab TopOut ---- --- --.__._.— --------- ____ ..----- Water Service __�_�— --- ----- -- -- SanitarySewer Rain Drains i Fin I� A PART FAIL _— 0ECHANICAL _ Post& Beam - —� ---"—— Rough In l �. Gas Line ---- — --- -- Smoke Dampers Final ` PASS PART FAIL _ ELECTRICAL Service Rol,gh In LIG/Slab — Low Voltage Fire Alarm -- Final PASS PART FAIL SITE Backfill/Grading ---`— - - -- Sanitary Sewer Storm Drain ( ] Reinspection fee of$—`—.—_required before next inspecticn. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] Please call for reinspection RE [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk !� Other _ Date ->Z��i.��,`�__� InspectUr _ Ext Final _ PASS PART FAIL 00 NOT REMOVE this inspection rc. --rd from the job site. PLUMBING PERMIT PERMIT 4. . . . . . . : MST')' 0197 CITY OF �����D DDATE ISSUED: 08/02/95" COMMUNITY DEVELOPMENT DEPARTMENT ,9125 SW Hall Blvd.Tigard,Oregon 97223s5i DO (503)$39-4111 PARCEL: 2S104CA-0;7:,700 SITE ADORE`., 13543 SW LAURE14 LN 5UBDIVISION. . . . c HILLSHIRE ZONING: R-7 PD 13LOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . ..027 CLASS OF WORK. . tNEW GArBAGE DISPOSALS— : 1 TYPE OF USE. . . . -SF WASHING MACH. . . . . . . Si BACKFLOW PREvi\rrm i OCCUPANCY 13P.P. R3 I-LOOP DRAING. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . :O - ,"rORIES. . . . . . . . 12 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . !0 " IXTURE'S . - LAUNDRY TRAYTj. . . . . . : 1 GF RAIN DRAINS. . . . . : 1 OINKS. . . . . . . . . sl GREASE TRAP'S. . . . . . . :0 LAVATURIES. . . . . :5 OTHER rIXTURr;.G. . . . . .0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 W(-'ITER CLOSETS. . :4 WATER LINES ( ft ) . . . . - 132 D I S[--IWi')SHE-Rq. . . . .' I RAIN DRAIN (ft ) . . . . :0 Remark,,, : F4;TH I UWNER ivl,.04SEN TORA81 TIF $ 1` 50. 00 JD fb G/0 j--/9 5 95---i2 61-3780, 270 SW FERNWSOON WAY SWM $ 180. 00 JI) 08/02/95 95-268786 SWM $ 100. 00 JD 08/02/9 5, 0- 5--263763 -- BEAVERTON OR 97005 BPRT $ 813. 00 JD 03/0E/95 95--268786 Phune It: 626 -7,287 BPI-C $ 52,8. 1+';-j BON 05/10/95 95 G5 .:.(3 B3PC 40. 65 JI) 08/02/95 95-268788, $ -00. 00 j D 06/02/95 95. 2,C,6761 Vlumbing Contrar.:tor— PAnK ll; �.j MF,RT $ 48. 00 JD 08/02/'95 95-266786 -1 m e MFLC $ 1 00 JD 08,102/95- 95-- '0•( 78C, e M5PC $ c4o 11) VjB/02/95 95-268766 3t at a . P P P T $ :-"40. 00 JT) vi a/06,2*/9 5 95-2'G078G E J ti 57 P C $ 1. . 00 JD 08/02/95 95-268786 ,0 a Od -Iitional Fee,, no I. shown here. . . . . . . . . -------- REDUIRED INSPECTIONS ?is permit is issued subject to the 0 g iations contained in the Tigard Municipal Footirg Insp Insulation Insp ,i;de, State of Or-e. Spec:ialty Coder.- and Foundatior Insp Gyp Board Insp ;.her- applicable laws. All work will bF. done Post/Beam Struct Rain drain Insp ) accordance with .app,-oved plans. Thi -I Post/beam Mechan W,-.;te-.- Line Insp �1,mit will expire j.f work is net started Crawl Drain Water Service In ithin 160 days of issi-tance, or if worli is P,lm/ijnd,�lah Insp Appi-/Gdwlk Insp JI-;pended for mere tqian 180 days . PLM/Underfloor Mechanical Final Mechanical Insp PlumU Vinal. Plumb Top Out Building Final rt-aming Insp Flrosio-- Control Fireplace Insp Gas Lim:, Insp OTI O.Ct 0 r S i gnat mr e Call for inspection 639-4175 tiL:rqac toi- NoteE, .- i ELECTRICAL. PERMIT' 573 CITY OF TIGARD DATEIISSUED:C95—11/28/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.Tigard,Oregon 97223•B/D9 (503)630.4171 PARCEL: 2S 104CA-0 '700 _ LTE ADDRLSS. . . : 13'.*5 3 .)W LAURL-_N LH SUBDIVISION. . . . : HILL.SHIRE ZONING: R-7 PD PLOC K. . . . . . . . . . : 1_01'. . . . . . . . . . . . . 1.027 -'ru.l ect Description : ------------------- UNIT------ - ---TEMF� SRV( /FEEDERS-------- 1000 SF SF OR LESS. . . . : 1 0 - 200 amp. . . . . . . 1 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 50057F. . . .' A 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : VI ----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS-__., 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 171 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD'L BRNCH C'wIRC: 0 IN PLANT. . . . . . . . . . . : V! 60.1 - 1000 amp. . . . . . 0 --------------.---PLAN REVIEW SECTION--_.---._---_-_- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDP `= 225 AMPS. . : _- _CLASS AREA/SPEC OCC. : Owner. ___.__.________________.____.__________ FEES ___-_-__.___-_.._. MAHSEN TORABI type amo�.lnt- -- by date recpt 270 SW FERNWSO0N WAY PRMT f (__3510. 00 1931) 11/28/95 95-x'73 290 5PCT : 15. 50 JSD 11/28/95 95-273290 BEAVERTON OR 97005 Phone #: 626-7287 H & R ELECTRIC INC_-__-- �- >l; 325. 50 TOTAL 41,30 SW 117TH STE 441 ------ REG)U 1 RED INSPECTIONS -.-.--_ BEAVFRTON CIP 97005 Ceiling Covet, E-lert' 1 Service Phone #: Wall Cover Elect' l Final Rea This permit is issued subject to the regulations contained in the Tioai-d Municipal Code, State of Ore. Specialty Codes and all other erm tee nat 1_kr e anolicable laws. All work will be done in accordance with approved pians. This permit will expire if wort; is not started r" within 180 days of issuance, or if work is susnende! for sore than 180 days. I . sued INSTALLATION The installation is being made on property I own which is not intended for t;<ale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION C; C("MATURE OF SUPR. ELEC' N: _ DATE: _._._....__.....__�_,..._.__._.__......__ LICENSE NO: Call for inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Phone (5031639-4171 Date Issued C9T`t OF TIOARD FAX (503) 684-7297 TDD No (503) 684-2772 Inspection (503) 639-4175 t. Job Address: 4. Complete Fee Schedule Below: Name of Development _ Ct.n, Numbeerr of Inspection* per permit allowed /address � —���,__ G �11 ( _ Service included V Items Cost(ea) Sum City/state/Zip , ___ 4a. Residential -per unit -- 1000 sq ft or less 3}10.00 11 Q r_Un 4 Name or name of business Each additional 500 sq if or <1� N TT — portion thereof 3� ♦[5 00 /;r'g"r'�— Gommercial Residential C Limited Energy $2500 1 Each Manurd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation and y: 4h. Services or Feeders �J t� {� (��C `t `_ installation.alteration,or reloration Electrical Contractor L 1 y " C c,(AL 200 amps or less $6000 2 Address L11 3 r' 0, // 1H 201 amps to 400 amps -- $8000 2 City_ PL&L,--Uz1rAState OR Zip�t71 [ 401 amps to 600 amps $12000 — 2 Z— 601 amps to 1000 amps $180.00 2 Phone NU.___-_�� SIL/ _ Over 1000 imps or volts $34000 2 Job NO. Reconnect c ily —_ $5000 2 contractor's license NO. ij" 4c. Temporary Services or Feeders Contractor's Board Reg. No. 1. A"7ij _ Installation alteration or relocation Signature of Supr Elec'n_, i,y r 2 200 amps or less — License No. �L 201 amps to 400 amps $50 00 2 $,��' Phone No. 6 L/2 i(I 401 amps to 600 amps $7500 — 2 Over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above Print Owner's Na1TlE14d. Branch Circuits New,alteration or extension per pane Address a)The fee for branch circuits with City _ State__ Zip_ purchase of service or feeder tee ' Earth branch circuit S500 Phone No. _ h)The fee for brarch circuits without —The installation is being made on property I own which Is purchase of service or Feeder tee. 2 __ not intended for sale, IeaSP. Or rent First branch circuit $3500 2Each 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 S4000 _ Signal circuM(a)or a limited energy 2 Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels Ito) $10:00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each 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 $3500 _-- Per hour $5500 In Plant $51,00 Submit 2 sets of plans with application where any of the above -�-� apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ NOTICE 5%Surcharge (05 X total fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g 5b. Enter AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevivieww if required (Sec)) line A for y A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK 13 Subtotal g COMMENCED ...... I Trust Account # Balance Due $ C. CITY OF TIGARD ` ELECTRICAL PERMIT - RL ELECTRICAL PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95--0211 13126 SW Hail Blvd.Tigard,Oregon 9722308/99 (503)639-4171 DnTE ISSUED: 11/13/95 PARCEL: 2S104CA--0 '700 CITE' IiDDRESS. . . : 13543 SW LAUREN I-.I i SUBDIVISION. . . . : HILLSHIRE 7.ONING: R-7 PD BI...00K. . . . . . . . . . . LOT. . . . . . . . . . . . . ..027 oject Description: RESIDENTIAL---•-.----.--- B. COMMERCIAL---__--------__._._.._______._._._._.________..__ AUDIO & STEREO. . . IX AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR AL_AHI•i. . . . - '" BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . : X, CLUCK. . . . . . . . ., . • . MEDICAL.. . . . . . . . . . . . : HVAC. . . . . . . . . . . .. . . X DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : X FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : X HVAC. . . . . . . . . . . . : PROTECTIVE aIGNAI_. . : INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 0 nl3licant : - — -_....____._._._.____._ .___________.___..._.-_______-____. FEE, iRY' S VACLIFLO INC type amount by date recpt 01.5 GE FI_AVFL PRMT $ 40. 00 GJS 11/15/95 95-27291.7 5P(-T $ 2. 00 CJS 11/15/95 95-•272917 PORTLAND OR 97266 Phone #s Contractor: -----.-._---____----.-_-_____-_-..-.------------------------.____-__---.__.--_ GARY' S VACUFLO $ 41?. 00 TOTAL 9015 SE FLAVEL RE:G)U 1 RED INSPECTIONS 1:,ORTI_AND OR 97226 Ceiling Cover Fler_t' l Service Phone #: 503-775-2042 Wall Cover Elect' 1 Final Req #. . : 126728 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other Permitee Signature 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. Issued By _.._....--OWNER INSTALLATION rhe installation is being made on property I awn which is not intended for ;�al.e, lease, or rent. f)WNER' S SIGNATURE: DATE: _.._--. INSTALLATION I S'NATURE OF SUPR. ELEC' N: G71 ...__.._.� ' _.. DATE:: .ICENSE NO: Call for inspection 639•-•417.5 7 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 5W Hall Blvd. Tigard, OR 97223 PERMIT# Phone(503) 639-4171 �- FAX(503) 684-7297 DATE ISSUED ------------ TDD No. (503)684-2772 CITY OF TIOARD Inspection (503) 639-4175) ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK f --- Ar1i lrrv.ti RESIDLNTIAI-—Restricted Energy Fee . . . . . . . . . �41E,SE4 0�— Q77� II()RAlI SYS IIMS) _ Cily / State lnZip (heck Type of Work involved. CLO_ umCr )ffzkLV1 PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems• Is NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 5I5-11burglar Alarm arage Door Opener* lb/2. CONTRACTOR APPLICATION ,_, leating,Ventilation and Air Conditioning System* Contractor I"; a pe [ Vacuum Systems' _ D/()Iher - - - - Address COMMERCIAL—Fee for each system . . . . . . . . . 49�Q4 GARY ' S VACUHLO, INC. 775-2042 (Sl fr)ARIll 8-265)-2601 9015 SE F LAVEI.— PTLD. OR 972ro 5;1.ju 1-pe of Work Involttd.: I?ATF.: // /f /-� JOB# _ — OWNER:�� 11U�► � . ❑ Audio and Stereo Systems` CLE 287?P , ,fl r flft71 . r r1t; 890117 ❑ Boiler Controls Phone# ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ 1IVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ landscape Irrigation Control* City State Zip ❑ Medical This permit is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amin or less)under this permit and to do the. ❑ ()utdoor Landscape Lighting* following: ❑ Prolective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.These have ❑ Other asterisks(•).All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503-639.4175. Number of Systems 3. Purchase separate permits for all installations that are not reedy for inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations 4 A,sume responsibility for assuring that all corrections required by the inspector are done,and S Assume respoasihility for tailing for a final Inspection when all of the corrections S. FEES are completed. ^ G1 The person signing for this permit must he the appli(ont or a person a. Enter Fees $ tJ. U _ authorized to bind the applicant. h. 5% Surcharge(.05 x total ahove) $ y�•� Signature TOTAL `6 D Authority if other than applicant ENERGAP.CHP ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00132 13125 SW Hall Blvd.,Tfoard, OR 97223 (503) 639-4171 DATE ISSUED: 5/25/99 SITE ADDRESS: 13543 SW LAUREN LN PARCEL: 2S104CA-02700 SUBDIVISION: HILLSHIRE ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: TIG Proiect Description: Landscape irrigation control A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO &STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: Owner: Contractor: MOHSEN TORABI OWNER 13543 SW LAUREN LN TIGARD, OR 9- '23 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt _ Elect'I Service PRMT BON 5/25/99 $40.00 99-315651 Elect'I Final 5PCT BON 5/25/99 $2.00 99-315651 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoptad by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by J�1 �U '-- _ Permittee Signaturet_. OWNER INSTALLATION ONLY The installatr)n is being made on property I own which is not intended for sale. lease, or rent. OWNEk'S SIGNATURE: __ c= _ DATE: CONTRACTOR INSTALLATION ON'LY SIGNATURE OF SUPR. ELEC'N _ _ DATE:_ LICENSE NO: _ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Re(-.'d by. 13125 SW HALL BLVD Date Recd: � — TIGARD OR 97223 PRINT OR TYPE V - 503-639-4171 X304 Permit#: C L���I�i�l ,a1 5 F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Develcpment Project _TYPE OF WORK INVOLVED-RESIDENTIAL ONLY _ Restricted Energy Fee........................................ $40.00 /' /-t) NS sV (FOR ALL SYSTEMS) JOB Street dress Ste# ADDRESS �r� t Check A Type of Work Involved 7 Cit /State Zip Phone# �� Audio and Stereo Systems T1 — ,:I�) Name � Burglar Alarm r f p I���'� �'���A1�1 Garage Door Opener- OWNER MailiN ddress z — �� Heating,Ventilation and Air Conditioning System' Cites tae Zip r—! P ne# l� I Vacuum Systems- Namilr t t� Other CONTRACTOR Mailing Address ' TYPE OF WORK INVOLVED-COMMERCIAL ONLY -- -- ---- --- - (Prior to issuance a CitylState Zip Phone# Fee for each system............................................. $40.00 copy of all licenses (SEE OAR 918-260-260) are required if Oregon Contr Brd Lic # Exp Date expired in C O T �— Check Type of Work Involved data base) Electrical Contr Lic # Exp Date ❑ Audio and Stereo Systems COT or Metro Lic # Exp Date �Ooiler Cuntro!s _ Owner's Name /,-/�3j--4aad——T- a,i n Clock Systems OWNER - Mailing Address APPLICANT / 3V/Z_ aJ Lam/ ❑ Data Telecommunication Installation City/State Zi') Phone# Fire Alarm Installation This permit is issued ander AE 18`-.322_0-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks(') All others need licensing, ixi Landscape Irrigation Controi' Call for inspections when installation under this permit are ready for inspection at 503-639-4175; u Medical Purchase separate permits for all installations that are not ready for an Cl Nurse Calls inspection when the inspector is out to inspect under this permit 4 Assume responsibility for assuring that all corrections required by the C� Outdoor Landscape Lighting" inspector are done.and, ❑ Protective Signaling !� Assume responsibility for calling for a final inspection when all of the corrections are completed Other Permits are n.m-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems rhe person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant --- FEES: 64fl -- —�- ENTER FEES S_ _ Signature � DU 5%SURCHARGE f 05 X TOTAL ABOVE) $ TOTAL5 ) Authoritv it other than Applicant — i idslslresele doc 3198 CITY OF TIGARD PLUMBING PERMIT \ PERMIT#: PLM1999-00168 DEVELOPMENT SERVICES DATE ISSUED: 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 104CA-02700 SITE ADDRESS: 13543 SW LAUPE-:N LN SUBDIVISION: HILLSHIRE ZONING: R-7 _ BLOCK: LOT: 027 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATEP CLOSETS: WATER LINE: ft DISHWASHERS: 'RAIN DRAIN: ft Remarks: Residential backflow prevention device FEES Owner: Type By Date Amount Receipt MOHSEN TORABI PRMT BON 5/25/99 $15.00 99-315650 13543 SW LAUREN LN MISC BON 5/25/99 $0.75 99-315650 TIGARD, OR 97223 — -- Total $15.75 Phone 1: 524-5698 Contractor: OWNER REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: Final Inspection Reg #: ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: 1 � �'' __ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application PlanChnc 13125 SW HALL BLVD. Commercial and Residential Recd ey . TIGARD, OR 97223 Date Recd 5_ _� (503) 639-4171 Dale to P.E. Print or Type Date tD Pem,eo# ��1 Incomplete or illegible applications will not be accepted Related SWR# Called Name of Devpment/Pro)ecl FIXTURES (individual) QTY PRICE AMT Job (i � FJ J4 l._0kA e(?0 �/I� Sink 9.00 Address Street AddressSuite Lavatory 9.00 Tub or Tub/Shower Comb. 9.00 Bldg# City/State Zip Shower Only 9.00 en Water Closet 9.00 Narita. 1 j k�-'J4 `'tq V- � Dishwasher 9.00 Owner Mailing dress, Suite / Garbage Disposal 9.00 \� 'SL e a Washing Machine 9.00 Cl /State Zip Don •T\ , zl Floor Drain/Floor Sink 2" 9.00 Name 3" 9.00 4" 9.00 Occupant Mailing Address Suite Water Heater O conversi..n O like kind 9.00 ' Gas piping requires a separate mechanical permit. City/Slate Zip Phonc Laundry Room Tray 9.00 Urinal 9.00 Name Other Fixtures(Specify) 9.00 Contractor Maili Ad ress Suite 9.00 �4 K 9.00 Prior to permit City/Stale Zip Phone Sewer-1 st 100' 30.00 Issuance,a copy Sewer-each additional 100' 25.60 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date - required if Water Service-1st 100' 36.00 expired In COT Plumbing Lic.# Fxp.Date Water Service-each additional 200' 25.00 database_ _ Storm&Rain Drain-1st 100' 30.00 Name Storm&Rain Drain-each additional 100' 25.00 Architect _ Mobile Home Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 _ Pollution Device Engineer City/State Zip Phone Residential Backflow Prevention Device' 15.00 (irrigation timing devices require a separate I Describe work to be done: restricted energy permit.) _ New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O Catch Basin 9.00 Additional description of work: - Insp.of Existing Plumbing 40.00 per(hr Specially Requested Inspections 40.00 erthr Rain Drain,single family dwelling 30.00 Are you capping,moving or rep,,la�cing any fixtures? Grease Traps 9.00 Yes O No)d If yes,see back of form to indicate work performed by fixture "AILi;,«TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL Isometric or riser diagram Is required H Quantity Total Is >9 WnRA COULD RESULT IN INCREASED SEWER FEES. *SUBTOTAL I hes by acknowledge that I have read this application,that the information given Is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE IL that fans submitted are in compliance with Oregon Slate Laws. SV-sture of Owner/Agen - - ] Dat **PLAN REVIEW 25%OF SUBTOTAL r Required only it fixture t .total Is>9 TOTAL. Contact Person Name Phone �• 'Minimum permit fee Is$25+5%sui charge,except Residential Backflow Prevention Device,which is$15+5%:surcharge **All New Commercial Buildings regt.ire plans with Isometric or riser diagram and plan review "7asV0rmMp11jmoPP dm 11floMp PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Cornbination Shower Only Water Closet Dishwasher_ Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" _ 3" 411 Water Heater _ Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: i trlcsvurmclprtnFlPP d,X i ino4n CITY OF TIGARD sITF.' WORK DEVELOPMENT SERVICES PE RM T T 13125 SW Hall Blvd., Tigard,OR 97223 (50-7)6394171 PERMIT #. . . . . . . . SIT96-0052 DATE ISSUED: 1,0/14/96 SITE ADDRESS. . 13'543 SW I AUREN LN PARCEL: riRS104CA-02700 SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PD SLnCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..or,7 TYPE OF WORK: J; PAVING? : N RESO. NO. : EXCV VOLUME: 0 Cy GRADING''). . . . . . . . : N VALUE. . . $ : 0 FILL VOLUME- BOO Cy LANDSCAPING?. . . . : y ENG FILL?. . . . . . N SITE PREP?. . . . . . : N SOTLS RPT REUD") . N STORIYI DRAINS?. . . N TMPERV SURFACE: 0 Sf Remarks : 800 ui-tbic yards of fill in backyard for- landscape pol-poses. No str-ljrtil re on site. Ownev— FEES MOHSEN TORABT type '.-AM01.111t by date recpt 13543 5W LAUREN L.N P R!1 T $ 25. 00 JDA 10/14/96 96-285138 5PCT $ 1. 25 JDA 10/14/96 96--285138 TIGARD OR 97224 EROS $ 26- 00 JDA 10/14/96 96-2"B51.38 Phi one #: 524-5694 E-'RPU $ 8. 45 JDA 10/14/96 96-285138 E RPIC $ 8. 45 JDA 10/14/96 96-285138 OWNER Phone ii : $ Fig. 15 TOTAL Rey ff, ()WNFR PEOUIRED INSPECTIONS This pewit is issued subject to the regulations contained in the Erosion Control. Tigard Municipal Code, State of Ore. Specialty Codes and all other Fill Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This perp t will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. PPI'mitt-PP Signatl-tt,e : .......... y - Cal I for. i n-,pest ion 639-4175 CITY OF TIGARD Site Permit Application Plan check# —' Recd By, AJ 13125 SW HALL BLVD. Private Grading. Paving, Site Accessibility Date Recd _ TIGARD, OR 97223 Retaining Structures, Utilities and Related Work Date to P.E. Date to DST (503) 639-4171 x304 Permit# Called Print or Type Incomplete or illegible applications will not be accepted Project Name 4 / 1 N h/ Utilities(Complete all that apply) Job t Address Address Storm Sewer Linear Ft. Name ' Sanitary Sewer Linear Ft. Owner Mailing Addr / _ / Fresh Water /_: 3 _: ' es -' G U '� (� Linear Ft. City/S a Zip Pit cn� Catch Basins Name Clean Outs Mailing Address Describe work to be done: General Newp Addition[] Alteration(] RepairCJ Contractor City/State Zip Phone Additional Description of Work: Attach State Const. Cont. Board Lic.# Exp. Date �j h f v r n P—b copy / �A` `J SQ ,rn of current COT Business Tax or Metro# Exp. Date licenses Name Project S -- Valuation Architect Mailing Address Plan Submittal: (3)sets containing each of the following,must accompany this application: City; tate Zip Phone Site plan with Vicinity Map Parking(including Showing PDA compliance ADA)8 Lighting Plan Name Grading Plan and details Landscaping Plan Engineer Flailing Address Erosion Control Plan and Retaining Structures _ details including calculations City/State Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) _ I approved system) Excavation Volume I hereby acknowledge that I have read this application,that the (Soils report required for>5,000 cu.Yards information given is correct.that I am the owner or authorized cu.yds. agent of the owrar,and that plans submitted are in compliance _ with OT2on State laws. Fill\,oiume Signature of tJwrier/Agent. Date (Soils report required for>5,000 cu. Yds.) cu. yds 'NII the fill support a structure Contact Persor. Name Phone (Engineer required if answer is yes) YES❑ N --` –�— 5 ��`I•-5\meq Retaining structure? (check one) ❑Rock FOR OFFICE USE ONLY ❑ CMU Notes: pConcrete pother Total new impervious area including all Land Uae Case# MaplTL# huildin9s, sidewalks, and paving 4 Sq. Ft. r'Asts%sdeapp.doc 9/96 Permit Account Description Amoun Amt. Pd. . Due Build. Permit (BU!LD) Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC/ELR F ermit (ELPRMT) State Tax (TAX) Bldg: Plumb: Mech: ELC/ELR: Plan Check Build: (BUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) _ CDC Review (LANDUS) Sewer Connection (SWUSA) _ Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) _ Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Mass Transit TIF (TIF-MT) _ Water Quality (WQUAL) Water Quantity (WQUANI) Erosion Control Permit (ERPRMT) 2 �U Erosion Planck/USA (ERPLAN) Erosion Planck/COT Fire Life Safety (FLS) TOTALS:;S Permit#: 7)-- - �-- . F Q Address: r � 3 C% issued by: � b�,uf; --Date: X854 Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the •following statement before a building permit can be.,csiced. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under DRS 701.010(7), need not submit this statement. This statement will be.filed with the permit. Fill in the appropriate blanks and Initial boxes I and ?, and either box 3A or 313: 1. 1 own, reside in, or will reside in the completed structure. Z. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale hefore or upon completion. iA. hely general contractor is (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contractor. If I hire subcontractors, i will hire only subcontractors registered with the Construction Contractors Board. if 1 change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. hereby vertify that the ahcn-e information is correct and that I ha%'e read and do understand the Information Notice to i'roperty Owners about Coristr•uction Responsibilities on the reverse side of this form. (Signature of permit applicant) Da c) (White copy to issuing agency permit file, pink copy to applicant) information Notice to Property Owners About Constrtic:tion Responsibilities !!'<.'': ;,:� �rit��:r,'n;'�trri!^� n, /'!!lj,rr �,l t11t,`.'r, ulrt�rr; ! r'" ,r'r1l�•'�: lir;l!uri_, !:r;ilit'a' r :ll: ,.t:yittivi[t.: 0; .i;'.- Itlill„llll`.' i.. +'og6l1ililltl: EMPLOYER RESPONSIBILITIES: lot t„ '1:+,1(1411'1 tfY� (:.'!t. 1,. ',. '.,1'j•.{' i r'. !r� ''� .111!{` 'lir,'t,;�'. .. � Irl;ll"t ..t r.� :l• .'t`, ,i r{1l�iUli, I ',,'il,', r il�+ I � n i',.,Y.r��t. rt it vn•t "-(I111�1 i, 1Y.1 , I : ottr' i h:'PI ;,I r•. 1`(IQ i /f: r.l!il-it:Li rel Ii,uxlJi! �, i - . :I,,.•;i !fl.'•IIfi117C.1 , '�! Ilrtt`• 1'lr! more 1111"t' i!1111 ii Ic vial R ,t, t i SM-X29-1040 oViER !IUSPONSIBIL,ITI S AND AREAS OF CONCERN: { r1t1!•Ce;lYl111lafl('l'. `�''X11 1+, Ill III !. 1r!!;itl'It'+lu rlt>j1.I..• i,y'!(tirt:l 111:11 ill.!+ Ilr' In'rtlwhj X11 V11U1 .!'r�'.Illi'. 1'. !1t1 -'jr11 !n"J'r( Yn1'1''., .ial)ikil 9118 Oktrilill� l !1'l.t imo.i.1lm- IUIinsuronce.agt'•Ill lCr2,tl I{ you I ave i degtJntG Iilwl.11'51111SC'C(1't(.fi1,,i, !!li `.\dli'l llilltitt44 troll,pipe' pinctures, fire, IOf VYI�ir Kilt 1111! ! I;f.I' valllr f+ j, a trl{tt"t�,. ' +V{,1{ ,!i- ii 11';l�• ' 11111; ti'I!i t!1'Ik• Ii) '�UIi:•It'I�l' 1:;;11 Ir111+1'tt'cC'�. lr"i' t;t nor own Pont-r:il rwitf;li'tn1,t(`vnrl-litlilte th!'V-1!t-k of riltivll•li!i!Iir)l lili-1 1a 1!,+tiiw lslLirin!n ,, tiI•'!.!tc ;t rhr. ntlttr'r1t i'i lt(�11111_^� Sh t11t•'d CRIT oert•M'lil the 1141111v"l itlC jvctiol 1 '1 1!,i ;1(t:11111tIt:t1 (.ir)r' !!,'r, t\ r+I ., ! iP' i. `;I lll!.'llrgl! nl11faC1UiS Eioald (1'() box 1.1140,safelll'00 1 c'.' ! , 1 h, Rt.,u 1 ;u, ; �, "i)1! '';!n!!!t:• ;I �i 5nite 3(H), In Sal(e"]. OF TIGARD MASTE=R PERMIT. . . : CITY F�'2F�MIT #. . . . . . . : MST9a -Q, DATE ISSUED: �i[3/0c/95 .COMMUNITY DEVELOPMENT DEPARTMENT 13125 BW Hall Blvd.Tigard,Oregon 972230199 (503)039.4171 PARCEL: Lrte 124 CA-0700 y I Tl i. .;_ ':_. . . :...:, ... SW LAUREN LN SUBDIVISION. . . . : HIL.LSHIRE ZONING: R- 7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :027 - - - _ BUILDING ►tEISEkJC : DWELLING UNITS: 1 .. . . . . . . . :0 sf CLFiSS OF' WORK. :NEW BEDRMS:4 BATHS 14 GARAGE. . . . . . . . . . s917 sf � TYPE 01' l.J15L. . . :SF f LOOM AREAS _._...._.._....._.. REQUIRED E'TDACKw•._-_._-.--..___..._.. TYPE Of- CONST. :5N F I RST. . . . : 1576 s f LEFT. . :7 ft R I GHT. s 5 f t C OCCUPANC',' IRF°^. :R3 SECCaVD. . . : 11':)5 sf FRONT. :2 ft RI AR. . :413 ft STliR1ES. . . . . . . :2 FINBSMEN'T :9�4 sf IGHT. . . . . . . . :34 ft TOTAL----------1,565!5) sf SMOVX DETECTORS. sY ._0OR LOAD. . . . .40 psf VALUE. . . . . 251252 PARKING SPACES- . : 1 cmat-ks : PATH I PLUMBING is Ni%S. .• . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PRr_VNTRS. . : 1 '�VATORIE<S. . . . . 35 WATER HEATEiRS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 JL/GHOWER S. . . . :4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 l'T'E�R CLOSETS. . 14 SEWER LI;<E. (ft ) . :0 GREASE TRAF°ra. . . . . . . :0 DI5!4WAS1AER1,',s. . . . 11 0ATCR LINE (.Ft ) . : 13,% OTHER FIXTURu;. . . . . :0 � GARBAGE: DISP. . . e1 RAIN DRAIN (ft ) . s0 WA514I NG MACH. . . : 1 SF RAIN DRi=INS. . : 1 MECHANICAL FEES FULL�TYPES-•-V,...___-___ I..JNIT HTR'S. ...yO_.__ type camaI!.nt t:,y ,.iat a r•er.pt �.,/9. 95-268786 /GAS/ / / VENTS . . . . . :0 TIF $ 1550. 00 JD 06/ice. ` MAX INPUT-0 BTU VENT C=ANS. . SWIM $ 180. 00 •Tl? 0a 1212/95 95 260786 r-URN ( 100K . . :0 FlOODS. . . . . . 11 SWM $ 100. 02 JD 08/02/95 95-268786 l"URN ) = 100R : 1 waoDGTC)VC'S. iit) BPRI $ 813. 00 JD 0P/,0 /`15 ri`1--2&a76C. FLOOR F'URN. . . . s 0 CLO DRYErRS. : 1 SPL.0 $ 528. 45 SON 05/10/95 95--265236 VOIL/(:11P < 31AP'.0 OTHER UNIT':): i 05F='t: $ 40. &3 JD 03/OL/95 r)5 .26(37GC GAS OUT'LETSi I PARK $ 500. 00 JD o8/02/95 95••-268786 Cwners _._ . _._ _.. ___._...._ ...._._........._._._.._ _.___...__-Mf'RT C 44. 00 JD 418/02/95 95•_2 60-'16 MFiHc3EN TC 2ABI MPLC 12. 00 JD 08/02/95 95-260786 :70 CSW F ERNWSOON WAY M5PC '1 2. 417, 11) 41a/0a/1)5 95-w�_( C376C PPRT fi 240. 00 JI) ,?+8/2:'/95 95-26 6766 OEAVERTON OR 97005 PSPE. $ 1i:. ,tl0 JD 0r:i't�c/95 7". � LFi78: chane #: 626- 7267 EROS $ 36. 00 JD 28/02/95 95. 26878. L�E:9T' INVESTMENT CC7PdSTRU�.Tiq__ _._.._ _ ... __E RPC $ 2(3. G2 J'.:.', (i�!?/�Z�,2/9�; °35,-�:F,t3 N ERPC $ 28. 60 JD 08/02:/95 95—,='68 r c"s.: 634 NW 81ST P`L OR'TLAND OR 972:_9 't• t3rle 0 : 292--&303 f 4171. 70 TOTAL. J g, REOU I RED INSPECTIONS his pet-lit is issued s;�b ect to the re alatinns contained in the -- —�� - """' -igard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top 0!.tt applicable laws. Ali work will be dare in accordance with approved Founciation InSP F►'aming Insp ;,tans. ?his perllit will expire if work is not starter wit 'n F'o st i Beam Ste^uc t F irepl ac e In e;F, gays of issuance, cr if work is susperoed or /uji0e tha -i post /'Bei.-Am Mechan Gas Line Insp Ci awl Drain ins,_,la,t ion Insp mitteeb ;Ji �r " e / F'l.ml 5I, Insp t';yp l�n�nrci pLM/Unc-et-floor Rain dra n Insp ;{n1ed kA Me(::hanical Insp Water Line insF c ,- 1. i for inispect /ort - 639--41.75 PERMIT PERMIT #. . . . . . . SWR95- 01b'_1 CITY OF TIGARD DATE ISSUED: 08/02/95 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: 2SI04CA-02700 11- _,; :,, . , , i W 1-#74UREN LN JBD I V IS I ON. LLGH I RE ZONING: R-7 PD -OCl/ L01 . . . . . . . I t—"NANT FLAME. . . . . t UGO NO. . . . . . . . . . i FIXTURE UNITE. . . : CLASS OF WORD.. . . 3 NEW DWELLING UNIT'.5.1 TYPE OF USE. . . . . sr SF NO. OF BUILDINGS.- . INSTALL TYPE. . . . :BUGWR I MPERV SURFACE. . : Isif Refni-4%i-ks . PATH I Dwnet,s FEES lIC41-45EN TORADI type amol.Allt by date vecpt - W FERNW80ON WAY PRMT $ -200. 00 JD 08/02/95 95--268781:, INSP * 35. 00 Jr) 06/0,:/95 `)5- ,.687n' BEAVERTON OR 97005 Phone 44 : 626-7287 CONTRACTOR NOT ON FILE PkJOT'ie EL35. 00 TOTAL Reg REQUIRED INSPECTIONS This Applicant agrees to comply with al; the rules and regulations Sewer- Irispec-,tiLM of the Unified Sewage Agency. The permit expires 180 days from the date issued, The total amount paid will be forfeited if the permit txpires. The Agency does not guarantee the acciracy of the side sewer laterals. If the sewer is rict loceted at the measurement given, the irstaller shall prospects feet in all directions from the distance given. If not so located, the installer shall, puq6hase a "Tap and Side Sewer" Permit and the Agency W4 iinitalYa itera". etmitt Fe T � IV_ _ k - 'i. AV,f7 Call for' inspection 639-4175 q5 r� Residential Building PermitApplication City of Tigard 13125 SW Hall Blvd. - Tigard, OR 97223 N (503) 639-4171 / 5 — 4J5, yLo, 14 L4 Jobsite Address: Office Use Only Subdivision: _1-�' S1�irgr Lot# ��, � Planck/Rec # � " G�� Valuation: 5 4 J-S Z Permit # /�5��1� �'��1 Corner Lot? Y r�N'. Reissue of Flag Lot? Y � Map & TL# Z S loo CA-OL700 2-00t- IZ ---� : PC) Owner: ��i q N `� (-�I i�11�a��_ Approvals Required Address Z -1' J e l — �a1'J.]0�5��� Planning ��rv� "' r�•1� . i k _. "�a,�g Engineering Phone r`jOther Z1 _ [I Contractor lel f� �`rl�V�� ' I� � Items Required Address: �� y �N w 1 ,T P C Subcontractors �r)ff �� f �� y-lova Truss Details Phone: y �j Y 30 3 � '�'1 ��ptber i Contractor's License # �' 3�. �1 p��`��G t-- ►�J �` (attach copy of current Oreybn license) Contact Name & Phone: tot '12 _ -3, VIVI Subcontractorsf ,Q C . A" ,Archltect]En sneer: -- Plumbing: Al(n Addd ess: �,. ,, Me Kcal: 4.tC�Mt�,1,, !N�� I�'�(/� � � K r� 1 ,I1.1 , (attach copy of current OR Contractor's License) z, k y one: ---- JOB DESCRIPTION: Applicant Signature & Phone number Received b;' V /��— � I ' � ____ Date Received: __- Permit # Account Description Amount Amt. Pd. Bal. Due. rnst�s vI47 Bldg. Permit (BUILD) Plumb. Permit (PLUMB) '2 VU .2=Q, Mech. Permit (MECH) 4- a Y. �y i State Tax ('AX) Bldg: Plumb: Mech: 2, f Plan Check (PLANCK) 5 U. !LO. y� Bldg: Plumb: Mech: / Z Sc►�K41-U/��Sewer Connection (SWUSA) 2 Z -2 Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) 4 Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) _ Water Quantity (WQUANT) z Ud Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) ly � _ - Erosion Planck/USA (ERPLAN) o Erosion Pla,nck/COT (EROSN) TOTALS: CERTIFICATE OF OCCUPANCY CITY OF T I G A R D PERMIT#: MST95-00197 DEVELOPMENT SERVICES DATE ISSUED: 3/5/97 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CA-02700 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 13543 SW LAUREN LN SUBDIVISION: HILLSHIRE BLOCK: LOT:027 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I Final Inspection Approved 3/18/96 by George Steele, Building Inspector Owner: MOHSEN TORABI 13543 SW LAUREN LANE Phone: Contractor: V WILFE=RT SHEETMETAL + HEATING 430 NVV 231ST AVE Hll_LSBORO, OR 97124 Phone: Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDING INSPECTOR � BUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp, Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Ream Struct, Plbg. Top Out Elec. Rough-in FI Post/Beam Mech. San. Sewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framing —' Alam Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Eject.. z• G;C Date Requested: 2 — �, Time: AM PM Address: I _-2) S Cc, Builder: e. �1 �t z� ���1/� l ! bI Permit1J TCj THE FOLLOWING CORRECTIONS ARE REQUIRED: V 5 7 v_ J _-�-_ L Inspector: Date: _APPROVED DISAPF HOVED APPROVED SUBJECT TO ABOVE �� Y Call For Pginsp. CITY OF TIGARD SUP-DING INSPECTION NOTICE 1 Inspection Line: 639-41,75 Business Phone: 639-4171 Footing Rain Drain Cover/Service CNAL: Foundation W.tar Line Ceiling �'F�f"umb. Post/Beam Mech. Shear/Sheath Framing -Meeh Plbg.Und/FIr'Slab Plbg. Top Out Insulation -Elect. Post/Beam Struct. Mech. Rough-in Gyp Bd -Bldg. San. Sewer Gas Line Appr/Sdwlk'L/i* Reins. az Oce Other: Date A.M. _I _P.M E try: Address 13 S y 3. '�Lv_t^a,",1e�r_� � iii Tenant - -- — ----- -- Ste:--- MST. BUP: Con/Own: 44"}-1 1 _ _ MEC:—_ 1 nc -77 's� ��))��� �i�S7 Esc: _ THE FOLLOWING CORRECTIONS ARE'REOUIRED ELR: i - - - — -------- Insp ct _- - - - —_.. Date:.Z LfL-- PPROVED ---DISAPPROVED/CALL FOR REINSP. CF