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Permit CITY OFTIGARD „,. .. DEVELOPMENT SERVICES MASTER P ERMIT �1�db PERMIT #.... ° ; .: MST96 -0559 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417 DATE ISSUED: 01/08/97 /4® PARCEL: '2S 111 BD -0151 SITE ADDRESS°. ° ° : 1 4980 SW .1 00TH AVE SUBDIVISION..s.. ° : ALDERBROGR FARM. k i • ZONING: R-3.5 • .BLOCK °° ° ° °°° °°°°° LOT. ° ° ° °:G Remarks: Constructing an approx. 224 sq. ft. addition for storage . --------------------------------- :REISSUE: STORIES., :...:.: l• -FLOOR AREAS - - - - - BASEMENT...:• . 0 sf REQUIRED SETBACKS --- REQUIRED------- - -- CLASS OF WORK. :ADD HEIGHT • 12 FIRST • 0 sf GARAGE • 229 sf LEFT • 15 SMOKE DETECTRS: TYPE OF USE...:SF FLOOR LOAD..... :.50. SECOND.,.,. M' 0 sf ;• . . . FRO..,,...,;. 0. • PARKING SPACES: 0 TYPE OF CONST. :5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT • 0 OCCUPANCY GRP.:R3•4 •4..Y- BORN. 0r,- BATH:.•. _, TOTAL- ---- -; : xss 0, s.f# VALUE:..: ; t 6200 .ti REAR.... : 63 , ------- - - - - -- PLUMBING - - - -- - - - -- ----------------=--- ---- -- SINKS • 0 WATER CLOSETS.,:. 0:'. ,.WASHING „MACH.,.; 0:: • LAUNDRY,TRAYS: 0...•, RAIN DRAIN ft: 0 • TRAPS • 0 LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..; 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS .WATER HEATERS:,:.-. 4• WATER_ LINE ;„ 0, - BGKFLW,;PREVNTR :; 0, GREASE. TRAPS.,: 0 OTHER FIXTURES: 0 MECHANICAL -- ----- ______— TUEL .TYPES- - - - - -- FURN: t 100K . :'.: 0, : ,,. ,BOIL /CMP (:311P:, 0 VENT FANS 0 .... CLOTHES. DRYERS: , . 0 . FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0 ' • . 0 BTU- FLOOR.:FURNACES :° 0 VENTS.....;.: 04•: WCODSTOVES,.....: �O . 0,� GAS-i1TLETS., :i.:.E 0 - - - -- ELECTRICAL ---- ---- -- --- --- -- -- RESIDENTIAL UNIT -- - -- SERVICE /FEEDER - -- TEMP SRVC /FEEDERS 7.. -- BRANCH CIRCUITS - -. -- MISCELLANEOUS - -- -ADD'L INSPECTIONS - 1000 SF OR LESS: 0 0. - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 . 201 - 400 amp..: 0 - ' - 4,, amp...: 0 . .1st W/O SVC /FDR: 1 SIGN /OUT LIN LT: 0 • PER HOUR , • 0 LIMITED ENERGY.: 0 401 - 6,%, amp..:-0 401 - 600 amp.,: 0 EA ADDL BR CIR: 1 SIGNAL /PANEL...: 0 IN PLANT • 0 MANF HM /SVC /FDR: 0 •• 601.- 1000 amp.: 0• -- 601 +apps- 10%. v: 0- . . • MINOR LABEL -10: 0, 1000+ amp /volt.: 0 ----- --- - -- - - - - -- PLAN REVIEW SECTION ---- -- Reconnect only.: only.:. 0 1=4 ORES. UN TS.. : . ., SVC /FDR > =2 -41 . .f, 600 :,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: OTH:. ',. BOILER.,,:..,. .; r ;: HVAC,;. :..,,.,.c: :,n „'; LANDSCAPE/,bRRIG: ,, PROTECTIVE, SIGN,: GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL • OTHR: .. HVAC DATA /TELE COMM..a ;. • ,. NURSE- CALLS...::::. TOTAL # SYSTEMS: 0 Owner: ---------------------- - - - - -- Contractor: - -- --------- - - - - -- TOTAL FEES:$ 188.26 JOtid KNEZ .. .,.,. RUSSELLCONSTRUCTION- 14980 SW 100TH 2211 N.W. FRONT AVENUE TIGARD OR 97224.- , PORTLAND OR 97209 , - Phone #: 620 -6142 Phone #: 503- 228 -3413 • . • Reg ; #.,,. This permit. is• issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and a'll.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 INSPECTIONS ---- _— ___�_____ —__— Footing Insp ,, ' : Framing'Insp,. Building •Final - Foundation Insp Low Voltage Post /Beam Struct , . Gyp :Board - I.nsp:: ,, . , .. • , Crawl Drain Rain drain Insp Electrical Rough- Electrical Final r, ,,,,. . . - .. , Per Signature: .. � � • I ssued By: I '�' 639 -4/7 To mtcpet_ppnlS I , ,,„. , : . , , , . ,.. _ CITY OF TIGARD is* pt►\iT % 0 ,,� ti ,1 . 1i , DEVELOPMENT SERVI MASTER PERMIT .: MST98 -055 DATE ISSUED: +1/10/97 PARCEL: 2S111BD- 01513 SITE ADDRESS...: 14980 SW 100TH AWE SUBDIVISION-....: ALDERBROOH-FARM • . ZONING: R-3.5 •LQCK.. e . 4 ...... LOT... n .........: V Remarks,: Constructing an approx. 224 sq. ft. addition for storage eermit updated 011097 to include plumbing & gas pipe /appliance work. `' REISSUE: ' ' STORIES........: 1 FLOOR AREAS - --- ----- ,, BRSEMEENT...: 0 sf REQUIRED SETBACKS - - -- REWIRED------ - CLASS OF WORK: :ADD , HEIGHT::.......: 12 . FIRST, ....: 0 sf GARAGE 221 sf. LEFT............ a 15 SMOKE DETECTRS: - TYPE OF USE... :SF FLOOR LORD • 50 SECOND...: 0 sf FRONT • 0 PARKING SPACES: 0 TYPE OF CONST.:5N DWELLING UNITSi; A., ;; FINBSNENT:.. 0rsf, • RIGHT...........: 0 OCCUPANCY GRP.:R3 BORN: 0 BATH: 0 TOTRL------: 0 sf VALUE-$: 6200 REAR • 63 - _--- __---- _— _____— , PLUMBING .--_____--____-__-----_----_—___----_—___— SINKS • 0 WATER CLOSETS.: 0 WASHING MACH,.: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0 LAVATORIES • DISHWASHERS....:- 0 - FLOOR - DRAINS,.., :. ,,. SEWER LINE ft.: 0'• SF RAIN DRAINS: 0 -, ' , CATCH BASINS..: 0 TUB /SHOWERS...: ® GARBAGE DISP..: 0 WATER HEATERS.•© WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 . r, OTHER FIXTURES: • 0 ------------ - - - - -- -- --- - -- -- - - - - -- MECHANICAL ------- - - - - -- - - - -- -- - ----- FUEL TYPES------------FURN ( 100K: ::- 0.c,, BOIL /CMP' ( 3HP 0 ,,. VENT FANS.:, 0 , , CLOTHES DRYERS:, --- /GAS/ / / FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS.. MAX INP. 01TU FLOOR FURNACES: 0 . VENTS..,.. ... :.: 0 WOODSTOVES.....: 0 GAS OUTLETS.... , ----------------------------- ELECTRICAL ------------------------------ ---------------- -- RESIDENTIAL UNIT— -- SERVICE /FEEDER ---- —TEMP SRVC /FEEDERS— -- BRANCH CIRCUITS - -- - -- MISCELLANEOUS ---- - -ADD'L INSPECTIONS- - 1000 SF OR LESS: 0 . 0 - 200 amp..: 0, 0 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp-: 0 , 201,- 400 amp...: 0 1st W/O 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: 1 SIGNAL /PANEL...: 0 IN PLANT : 0 MANF HM /SVC /FDR: 0s .- 601 - 1000 amp,,: 0 : 601 +asps- 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/S OCC: ---- --- - -- -- ------ - - - - -- ELECTRICAL - RESTRICTED ENERGY • ---- -- - - -- - - -- A: SF RESIDENTIAL--------------------------.— B. COMMERCIAL---- ---- -- --- ------ ----------- --- - - -- — ---- AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR. ALARM..: • OTH: •. BOILER........:....: HVAC LANDSCAPE /IRRIG:• PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK INSTRUMENTATION : MEDICAL OTHR: .. HVAC..... ...... : DATA /TELE COMM. , . NURSE CALLS..;..:.• . TOTAL 4 SYSTEMS: 0 Owner: — ------------------ Contractor: --- - -- TOTAL FEES:$ 242.86 JOHN KNEZ , - RUSSELL CONSTRUCTION,) . 14980 SW 100TH 2211 N.H. FRONT AVENUE TIGARD OR 97224 - .. • PORTLAND. OR 97209. , Phone 4: 620 -6142 Phone 4: 503 -228 -3413 . , ., ,_ .. Reg.-#. ..:.58918 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 INSPECTIONS ---- -- - - -- ---- ------ --- - ---- ------- Footing .Insp • Mechanical.'Insv.- Fireplace Insp Water Line Insp. . Building Final Foundation Insp Plumb Top Out Gas Line Insp Electrical Final . Building Final Post /Beam Struct „ ,Electrical Rough,, .,,.. Gas. Fireplace _ , Mechanical Final, . Crawl Drain Framing Insp Gyp Board Insp Plumb Final PLM /Underfloor . ' Low Voltage: ,,r ... :. Rain, drain Insp ,. Final inspection,, 1 P e~ r m i t t Sign t �_�r e: '� 1• �C I -vim I s s �_i e rj B y: � � (�t, -���� . Call for inspection..- ,,839- 41.75, _, Plan Checx /A-1 , OF TIGARD Residential Building Permit Application Reca By h t "` . :; r ` , ' '5 SW HALL BLVD. New Construction Additions or Alterations Date Reca ts. -9( _ - ;RD.'OR 97223 Single Family Detached /Attached (1 or 2 units) Cate to P E. I2"3hq(9 31639 Date to OST / -G Print or Type Permit it n1 96- 6651 Incomplete or illegible applications will not be accepted Call © / ©� c Name Name or Protect /.. to, ..40-: . b Architect Mailing Address job ���� 5. , o E,...0c . fdress Site Aaaress --(rh I City/State - Zip 1 Phone /4craoSc.J /00 Nam Name 0.11.1 et...)E� KkA) Owner %tails Aaaress Engineer Malting caress 1 4630 Zk- loo' C.tyrState Zip i Phone City/State Zip Phone ;eneral Name Descnbe wont New 0 Addition* Alteration 0 Repair O :ntraetor I gt.�s C 7J(77(>) ._ to be cone: type of Use � or to issuance Matting Address l -- � 2C®Gr. 'oilcant must 2- I I IJ R ol £fir t k Oa Type of Construction :rov.oa ail Cam, 'o2Za ,State Zip P Phone (��00 �i A w rttrac� ,, 1.. 9 72-cR 22B se �MOrmaeon Ortg � nt. Board tic.* I Exp., � � Date � x ""�J O Occupancy Class COT 2 ua asset COT Business Tax or Metro * Exp /pat Will t t e S p scan? YesG Nom I 2'� 73 I // // If Yes. separate FLS plans and application to be submitted chanical Name Number of Stories Sub- 4NC I 2 .ntraetor Mailing Address Proposed Use C —_ =r to issuance � ,..�7 l2 Ci� L .:u .ty cant must C,State Zip Phone Previous Use xaviae alt =ntraccces Oregon Const Cont. Board Lc.* Exp. Date VALUATION $ ctns z — .Tcata base) COT Business Tax or Metro * I Exp. Date NEW CONSTRUCTION ONLY: lumbing Name BUILDING ID Sub- - INIo 0 d- Unit Types ( Square Ft a of Units ritractor Mailing Address B. •-... to issuance ) . :acartt must C:ty /State Zip I Phone C.) ravice art D.) - r Cregon Const Cont. °oand L:c.a I Exo. Date j Will the eleancai succontraaor wire for all 'estnaea Yes I No energy instailatrcns? :am easel Plumping _lc. a I Exp. Date Has me Suodivrsicn Plat recorded? J N/A I Yes I No COT Business Tax or Metro * I Exp. Date I hereby acknowledge that I have read this application, that the ;nformation given is correct. that I am the owner or authorized agent of :rtrical Name the owner. are that olans submitted are in compliance with Oregon U b- 'a1.1 t.) r.1 F State laws. �frzCtOr ltauin Aaaress Signature of r e I Date 1 g 8 o S t.,...) I oo r :a issuance , Conte ion Na ph : =ft :rust C:ryr5 Z :o Phone : :cv:ce all 1 1 i cr�24 r o297LZ r 'e7� - G�i4Z ir) pi.' 2.745- S-14.5 :n_ kc =rs Oregon Cons:. ..ant Board L* c. Date FOR ►I OFFICE SE ONLY. T EieGrcai i_ic. = Exp. Date Fr YVV L51_ I V�1- Val �i`� r - :a:a rase) Engg Approval _ Planning 7 COT Business Tax or Metro T I Exp. Date .K! 1 - - - , . - . - - . : Approval -- -- .:: • •. . ;esacp.acc 11196 ,st%G.osc9NiST. Permit (BUILD) /2•90 I" t 2 Plum °. Permit (PLUMB) Mech. Permit (MECH) ELC /ELR Permit ELC/ELR (ELPRMT) g00 v /// 40 State Tax (TAX) 13 '� / 3 , g: �°i 3 Plumb: Mech: ELC /ELR: I Plan Check MST: (BUPPLN) . 40 '°lo4 Plumb: (PLMPLN) Mech: (MECPLN) CDC Review - planning (CDCPLN) !au. 01. u CDC Review - bldg (CDCBLD) GIO • u.® _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF -R) Mass Transit TIF (TIF -MT) Water Quality (WQUAL) • Water Quantity (WQUANT) Erosion Control Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion P!anck/COT (EFtOSN) Fire Life Safety (FLS) TOTALS: / ' yU��� /417, 43 i:'dstskresaoo•doc rev. ICiC.-6 i� / Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 � (1 Date to P.E. (503) 639 - 4171, x304 2 -`Jl 1 / �� � ' 9 Date to DST Print or Type Permit # Called Incomplete or illegible applications will not be accepted Name of Development/Project Description Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suite# A) Permit Fee -0- -0- 10.00 Address \ LjC O Sv,) \p0'r Bldg# City/State Zip B) Supplemental Permit 3.00 1 t C,,t rzc.t (it.- e l - 1Z2 - Name or name of business) 1.) Furnace to 100,000 BTU /) 6.00 Owner �V \� ,� liVa7 incl. ducts & vents r 1 Mailing Address 2.) Furnace 100,000 BTU + 7.50 1 r✓( C1 b S W t ( �+-- incl. ducts 8 vents City /State - Zip Phone 3.) Floor Furnace 6.00 1 ~\ c-0-\v--a , (`' L C I - al- L1 (nZG' ln((4L incl. vent Name (Or name of business) 4.) Suspended heater, wall heater 6.00 �fa- vvim+ -- or floor mounted heater to -la Occupant Mailing Address 5.) Vent not incl. in 3.00 appliance permit �; City /State zip Phone 6.) Boiler or comp, heat pump, air cond. ■' 6.00 - to 3 HP: absorp unit to 100K BTU Name 7.) Boiler or comp, heat pump, air cond. I 11.00 �'L,h(k tic- 1 L- in ? - inn �t v>C C.53 3 HP; absorb unit to 500K BTU / Contractor Maiting.Address 8.) Boiler or comp, heat pump, air cond. / 15.00 \ 1, \ ` S (k, V� (-4 %..,:.S k rz-t ,- 1, - 1, 1 ,;(..,.(c 15-30 HP; absorb unit .5 -1 mil BTU (Prior to City /State Zip Phone 9.) Boiler or comp, heat pump, air cond. 22.50 - 1 - (,:(4 issuance a copy (A. V ve 04_ C1 1 tq '1 (ell, - (, I I. (p 30-50 HP; absorp unit 1 -1.75 mil BTU of an licenses are Oregon Const. Cont. Board Lic.# Exp. Date 10.) Boiler or comp, heat pump, air cond. 37.50 ' required if - 23'V9 0(4 12-kc,- c t' > 50 HP; absorp unit 1.75 mil BTU expired in C.O.T COT Business Tax or Metro # Exp. Date 11.) Air handling unit 4.50 data base) ` 0''t ZSLp l - 1 --9 1 10,000 CFM Architect Name 12.) Air handling unit 7.50 10,000 CTM + - - or Mailing Address 13.) Non portable 4.50 evaporate cooler Engineer City/State Zip Phone ' 14.) Vent fan connected 3.00 to a single duct Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50 to be done Residential 0 Non - residential 0 included in appliance permit Additional Description of wo 16.) Hood served by mechanical exhaust 4.50 1 a ,�• ((10 L „ 'PA I _ • '0 i f J 17) Domestic incinerators 7.50 Existing use of/ 18.) Commercial or industriattype 30.00 building or property incinerator 19.) Repair units 4.50 Proposed use of 20) Woodstove 4.50 building or property 21) Clothes dryer, etc. krrz (Gc} ' se' 4.50 - - Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 22) Other units 4.50 I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 2.00 information given is correct, that I am the owner or authorized agent of Y 9 np ) P P 9 3 e (p• the owner, that plans submitted are in compliance with Oregon State 24) More than 4 -per outlet (each) .50 laws v‘6 -c- ` S`11)..G0\c \ -A ( � -ct --) _ Signature of Owner /Agent Date QTY.SUBTOTAL 'SUBTOTAL . C CI -( LO l - c.e l c.f C Contact Person Name Phone 5% SURCHARGE e ---c vCJ , ,p PLAN REVIEW 25% OF SUBTOTAL I TOTAL i:\dsttrnechpmt.doc (rev 7/96) 'Minimum permit fee is $25 + 5% surcharge CITY OF TIGARD Plumbing Application Recd By 13125 SW HALL BLVD Commercial and Residential Date Recd ' TIGARD, OR 9722.3 Date to P.E. (503) 6394171 Pe re it DST Permit # • Print or Type Related SWR # Incomplete or illegible applications will not be accepted Called Name of Development/Project FIXTURES (Individual) QTY PRICE AMT ' Job Sink 0, 9.00 Address Street Address Suite Lavatory 9.00 IN- INA q Z, Std 1 f }rb Tub or Tub /Shower Comb. 9.00 Bldg # City /State Zip Shower Only / 9.00 T'Ci A t2-A O L 7 ZZ`f Water Closet 9.00 Name Dishwasher 9.00 --S. `s h w1 ,` n TP, 7 Garbage Disposal 9.00 Owner Mailing Address Suite C cj 5M C S iz 1a ) i. Washing Machine 9.00 (_,l ity/State. Zip Phone Floor Drain 2" 9.00 "T rA > CSD?_ CI t/ (O ZO 4c Ic-1 Z.. 3" 9.00 Naitle 4" 9.00 Occupant Mailing Address Suite Water Heater / 9.00 Laundry Room Tray 9.00 CitylState Zip Phone Urinal 9.00 Name Other Fixtures (Specify) 9.00 e`•\,bA P_Cv1 kt vn(O r\9 9.00 Contractor Mailing Address ,, Suite 9.00 111 Z,U Sth. -- TY1 G� k tCey' V..C.vr.l 9.00 City/State Zip r� Phone .1 IQ \ A 1- tSn , ti.- On 06 L CA t AL i 1. (p 9.00 Oregon Const. Cont. Board Lic.# Exp. Date 9.00 Attach Copy of , --1 a) l) Lp 1 Z - Si _Y 9.00 Current Plumbing Lic. # Exp. Date Sewer- 1st 100" 30.00 " Licenses ‘1 -?_ f 1 ?,-3 1.. - ' t (, Sewer - each additional 100' 25.00 COT Business Tax or Metro # Exp. Date Water Service - 1st 100' 30.00 Name �� j---l.---7 Water Service - each additional 200' 25.00 Architect Storm & Rain Drain - 1st 100' 30.00 Or Mailing Address Suite Storm & Rain Drain - each additional 100' 25.00 Mobile Home Space 25.00 Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00 Pollution Device Describe work New 0 Addition 0 Alteration Repair O Residential Backflow Prevention Device' 15.00 to be done: Residential 0 Non - residential 0 \\ Any Trap or Waste Not Connected to a Fixture 9.00 Additional description of work ', A / Catch Basin 9.00 fi l'1- I v /,�2 1-41' / / /� Insp. of Existing Plumbing x0.00 J U_" / j G per /hr Existing use of S pec i ally Requeste Inspections 40.00 building or property g per/hr � Rain Drain, single family dwelling 30.00 P roposed use of (� c Grease Traps 9.00 building or property 'r QUANTITY TOTAL Are you capping , moving or replacing any fixtures? Yes ❑ No ❑ Isometric or riser diagram is required if Quanity Total is > 9 ;27 (If yes see back of form) *SUBTOTAL /. 2 $' I hereby acknowledge that I have read this application, that the information J given is correct, that I am the owner or authorized agent of the owner, and 5% SURCHARGE tg 7 that plans submitted are in compliance with Oregon State Laws. 3. Signature of Owner /Agent 1 Date PLAN REVIEW 25% OF SUBTOTAL 44.--N Required onty f fixture qty. total is > 9 `e J14 .An ri-C_ AU lAYi /?-,36-91, TOTAL Contact Person Name Phone 0-/-6/64 *Minimum permit fee is 525 + 5% surcharge, except Residential Backflow 5 e Prevention Device, which is 515 + 5% surcharge is \dsts \plmapp.doc 8/96 • PLEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory Tub or Tub /Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: G -- /' U ' —' VI 3/5. S ` ---- i N f Ex DA V t i �� 1 N /- - -- - .1 G4az AGk L 1 {=-P _ 3i -7 , 0 31C. . ,t ... 4 1 \ 11\1 4 ! - - CX• - - - - � �O i f � } 3 1 7.S ( - • i W tt i N • f "i _ ., C K ..T 1 O � { I V) 1 z 9 o I f ,.- , 1 r:, ILLS 2Z g -X4/3 i \ \ _ -- _ -- - - - - -_ __ _ 1 3/3.5 7 -> Lxr 2, S 212 a/2 c 1 3 L DT 2_4, n/ 149 8 o S c,J / o CD A uE ,4 i E,e • 6.eo oA(.. F,44.1 -4 7.2,o 2 9 7z, z5 Zot.JED 2 3.S 7� /G. = /' c,• Box B. continued Box B: 2. measure change in elevation from front property line to finished floor elevation. If the at slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negative. ft 3. Measure distance from finished floor elevation to the affected peak/eave. + 8 ft 4. If the roof line runs North - South, deduct three feet. If the roof line runs East - West, O ft deduct nothing. 3. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. if the lot has no slope or slopes up from therear to the front, deduct nothing. - / ft 6. Total figure for box B: 8 ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the /5 ft affeced peak/eave. 2. Measure the distance from the foundation to the affected peak or eave. + 8 ft 3. Total figure for box C: 2 3 ft It is most useful to draw a venial line to represent the appropriate figure found in box 'A' and a horizontal Gne to represent the appropriate figure found in box 'C ". The intersection of the vertical and horizontal lines determines the value found in box 'D'. The value in box 'D' should be compared to the value in box '8'; if the value in box 18' is lea than or equal to the value found in box 'O', then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639 -4171, x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Oisancce to North -south lot dimension Gn feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern Jett fine an ft*1 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 30 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 2 23 23 23 29 30 31 32 33 34 35 36 37 33 33 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 25 27 23 29 30 31 32 33 34 2.5 11 22 22 23 24 25 25 27 28 29 30 31 32 20 20 20 20 21 2 2 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 2 2 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 14 14 15 16 17 18 19 20 21 2 2 23 24 Box D. maximum allowed shade point height 2o - r - feet h: vclar"cho Revised 2.17.6.i% i ------ , -:,,,, _ _ _ . . . „ 1 1 r CITY OF 1 IGARD -- RECEIPT OF PAYMEN1 RECEIP1 NO. :97 773 CHECK AMOUNT : 54.0 NAME 1 MODERN PLUMBING CASH AMOUNT . 0.00 ADDRESS : 11120 S'W INDUSTRIAL WAY PAYMENT DAlE: : 01 /10 /9/ SUBOIVISIUN . TUALATIN, OR 97062 - PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMEN'i AMOUN1 PAID MECHANICAL PE 2!).00 Si. BUILD PER 1.25 PLUMBING PERM 27000 sr. BUILD PER 1.35 i I PLUMBING & MECHANICAL WORK ON MST96-0559 14980 SW 100TH TOTAL AMOUNT PAID - - -- --) 54.60 1 • CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: &I I l (1 7 A.M. l/ P.M. MST: W7 ` (55,3 7 Location: / 7 / .J l / SW /CO T --A. BUP: Tenant: ' Suite: Bldg: MEC: Contractor: a, 7920(1...e.4.-/ TX� Phone: 6 V V (a /46p PLM: Owner: Phone: ELC: h n.e. dr,, (1 ELR: SIT: B U I L D I N G BLDG (con't) • WIJ I:i Gr4 " MECHANICAL ELECTRICAL SITE Site Post/Beam 'ostBeam 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 /Alin Crawl/Found Dr Heat Pump Low Volt Approved \ _ ved .. Approved Approved Approved Appr /Sdwlk Not Approved ■ . :.. • - I Not Approved Not Approved Not Approved FINAL INAL FINAL FINAL FINAL • O Call for re cti. • • Reinspecti V fee of $ required before next inspection 0 Unable to inspect Inspector: iflft, ' _ _ _ i f bate: " --- Page of • 6/6/00 Activities for Case #: MST96 -00559 • 3:25:07 PM eoth Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA005 Application received 12/30/96 DRA RECD PHN 12/31/96 MSTA008 Permit Created 12/31/96 B PEND PHN 12/31/96 MSTA010 Check for prcl. restrict. 12/30/96 PHN 12/31/96 MSTA012 Plans routed to Plans Examiner 12/31/96 B PEND PHN 12/31/96 MSTA026 Plans approved by RPE 1/6/97 RT PASS BT2 1/6/97 MSTA030 Reviewed plans routed to DSTS 1/6/97 RT PASS BT2 1/6/97 MSTA032 DST Post- Review Completed 1/8/97 JSD PASS JD 1/8/97 MSTA705 Footing Insp 1/10/97 TLP . PASS . TLP 1/16/97 MSTA706 Foundation Insp . PHN 12/31/96 MSTA710 Post/Beam Structural PHN 12/31/96 MSTA713 Crawl Drain PHN 12/31/96 MSTA724 Electrical Rough In 1/29/97 TLP PASS TLP 2/3/97 MSTA725 Framing Insp 1/29/97 TLP PASS TLP 2/3/97 MSTA727 Low Voltage PHN 12/31/96 MSTA745 Gyp Board Insp . PHN 12/31/96 MSTA755 Rain drain Insp PHN 12/31/96 MSTA790 Electrical Final PHN 12/31/96 MSTA799 Building Final PHN 12/31/96 MSTA080 (F) Ready to issue . 1/8/97 JSD PASS JD 1/8/97 Need current Metro info MSTA092 (F) Issue combination permit 1/8/97 JMH DST 1/8/97 MSTA095 Issue plumbing signature form 1/27/97 JMT RECD JT 1/27/97 • MSTA720 Mechanical Insp 1/10/97 J*H 1/10/97 MSTA722 Plumb Top Out 1/10/97 1/14/97 TLP PASS TLP 1/28/97 MSTA730 Fireplace Insp 1/10/97 J*H 1/10/97 MSTA735 Gas Line Insp 1/10/97 1/14/97 TLP PART TLP 1/28/97 all copper gas line to be labeled check at framing MSTA736 Gas Fireplace 1/10/97 J "H 1/10/97 MSTA760 Water Line Insp 1/10/97 J "H 1/10/97 MSTA795 Mechanical Final 1/10/97 J "H 1/10/97 MSTA797 Plumb Final 1/10/97 6/18/97 RAB PASS J*H 6/20/97 also final gas line plumbing 061997 MSTA798 Final inspection 1/10/97 J*H 1/10/97 Page 1 of 2 6/6/00 Activities for Case #: MST96 -00559 3:25:07 PM Assigned Hold Updated' . Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA799 Building Final 1/10/97 J "H 1/10/97 MSTA093 (F) Reprint Permit 1/10/97 JMH PASS J *H 1/10/97 ADDED 3 MECH FIXTURES, GAS PIPE & PLUMB TO THIS PERMIT MSTA735 Gas Line Insp 6/20/97 RAB PASS J *H 6/22/97 MSTA735 Gas Line lnsp 6/22/97 MS FAIL J "H 6/22/97 1. Requires 3/4" pipe to gas range. 2. Silver solder content not right -floss not acceptable MSTA735 Gas Line lnsp 7/1/97 MS PASS J *H 7/6/97 MSTA770 Misc. Inspection 2/18/00 2/18/00 2/18/00 JMT DONE No Hold JMT 2/18/00 research inspection request MSTA153 Expired by limitation 6/5/00 HAP DONE No Hold AKJ 6/5/00 • Page 2 of 2