Permit CITY OF TIGARD MASTER PERMIT
PERMIT # • MST9B -0271
' 4;„ ,'n DEVELOPMENT SERVICES DATE ISSUED: 11 /30/98
! � '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 25102AB -00902
SITE ADDRESS...:12030 SW LINCOLN AVE
SUBDIVISION •KIMBERLY ADDITION ZONING: R -7
BLOCK LOT •002 JURISDICTION: TIG
Remarks: Annand addition to SFD
BUILDING
REISSUE: STORIES • 1 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS -- REQUIRED
CLASS OF WORK.:ADD HEIGHT : 16 FIRST • 1092 sf GARAGE • 0 sf LEFT • 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LORD • 40 SECOND...: 0 sf FRONT : 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 0
OCCUPANCY 6RP.:R3 BDRM: 1 BATH: 2 TOTAL------: 1092 sf VALUE..$: 76047 REAR : 15
PLUMBING
SINKS • 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS : 0
LAVATORIES • 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 0 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
MECHANICAL ---
FUEL TYPES FURN (100K ..: 1 BOIL /CMP ( 3HP: 0 VENT FANS • 1 CLOTHES DRYERS: 1
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS : 1 OTHER UNITS...: 1
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
ELECTRICAL
— RESIDENTIAL UNIT— — SERVICE /FEEDER— —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS — ----MISCELLANEOUS---- - ADD'L INSPECTIONS -
1- SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W /SVC OR FDR..: 0 PUAP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 1 201 - 4i, alp..: 0 201 - 400 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 6' alp..: 0 401 - 6OO alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT : 0
MAW HM /SVC /FDR: 0 601 - 1'w, amp.: 0 601 +asps- 1m v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 PLAN REVIEW SECTION - ---- --
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS RRER /5PC QCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .. BOILER HVAC LANDSCAPE /IRRI6: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK • INSTRUMENTATION: MEDICAL OTHR: ::
HVAC • DATA /TELE bu• NURSE CALLS • TOTAL B SYSTEMS: 0
Owner: -- ---- Contractor: TOTAL FEES:$ 1339.47
EDNA ANNAND BERG ENTERPRISES This permit is subject to the regulations contained in the
21640 SW LEBEAU RAY LEE BERG Tigard Municipal Code, State of Ore. Specialty Codes and all
SHERWOOD OR 22895 SE VAN CUREN other applicable laws. All work will be done in accordance
EAGLE CREEK OR 97022 with approved plans. This permit will expire if work is
Phone B: Phone 0: 637 -3572 not started within 180 days of issuance, or if the work is
Reg 0..: 19586 suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 00180. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
REQUIRED INSPECTIONS — —
Erosion 844 -8444 Crawl Drain /Back Electrical Rough Insulation Insp Building Final
Footing Insp PLM /Underfloor Framing Insp Rain drain Insp
Foundation Insp Mechanical Insp Shear Wall Insp Electrical Final
Post /Beam Struct Plumb Top Out Low Voltage Mechanical Final
Post /Beam Mechan Electrical Serv / Gas Line Insp Plumb Final
Issued By:��� / y' / /fir( P.ermittee Signature:
+ + + + + + +, -+ + + ++ + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i -1, -q 6, 6-9?-,'
A 1- Plan Check #
CITY OFy.IGARD Residential Building Permit Application Recd By ��"
13125 SWHALL BLVD. New Construction Additions or Alterations Date Recd '0f
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 0 '','
V 503 - 639 -4171 Date to DST 9/ f y 14Y V4/"
F 503- 684 -7297 Permit # in S r t� e -Of
Print or Type Called �' /Sj
14,,,„---6/ /v -,--,-,_ ,... _..,
Incomplete or illegible applications will not be accepted
/ Name of Project Name
• TZt=St Q Ems - e_ J01-11...1 A. A l•--21•4 / p.0 it> 1
Job /ate t -r 1 c:. r-t
Address S ite Address Architec Mailing Address
120 S.w. L. t1...t 8a GC) S•k/, KUr•lz1 be >Z
Name A V L L .
City/State Zip Phone
..3�t..sA /'. t�11�t/\,� -I Q 7 r i y.�1tfl 4 - 1 223 la2o -�(0�8
Owner Mailing Address
Name
a l C o - o �. . L_ � 3 U
Engineer Mailing Address
City /State Zip Phone g
SHe_rLwoot> ICna -8c, City /State Zip Phone
General Name C ""( I4C:2
Contractor 6t E.-Or-EP-Pat , Describe work New 0 Addition 0 Alteration 0 Repair O
Mailing Address to be done:
Prior to permit 2 Z S q -' S t✓ 1/A-ni Gina �j additional Description of Work: ; .
issuance, a copy City/State Zip iOZZ. Phone I o q 2 dt. -r. � pc� t , T -te,1
of all licenses f✓_/II/ C2ct�, O (P37- 3j -7Z,. t' .:, - 1 ty_ are required if Oregon Const. Cont. E(oard Exp. Date PROJECT
expired in COT Lic.# 7
/ ,, $ G , / z / VALUATION 4 � +-
database / `f _
Mechanical Name /// NEW CONSTRUCTION ONL L
z
Sub 4,446-__ a_A -770_111 Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address IG??Z
Prior to permit c t7 Aia_ CL,SVr_ ,` . Corner Lot YES NO / Flag Lot YES NO
issuance, a copy City/State Zip Phone (check one) ✓ (check one)
of all licenses c' , . Dit /70 - 37z. r Restricted Audio /Stereo Burglar
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarm
expired in COT Lic.#
database 7G Z Installation Garage Door HVAC
'Plumbing Name Opener Systems
Sub - /LL... W Ic7 �pM (check all that Other:
Contractor Mailing Address apply) Will the electrical subcontractor wire for all YES NO
Laos / A i-3t47-- STS A restricted energy installations?
Prior to permit City/State Zip Phone Has the Subdivision Plat recorded? N/A YES NO
issuance, a copy Tjezt.iii, .b?- q72, 7 2 66 - NI z,
of all licenses are Oregon Const. Cont. Board Exp. -
required if Lic.# Solar Compliance
expired in COT / -2 g lloC9 s Z c (Calculation Attached)
database Plumbing Lic. # Ex Da I hearby acknowledge that I have read this application, that the
2(e -- /#24. R5 513/99 information given is correct, that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
w h Oregon State laws.
Electrical �A-Gi'oo E.e d , S'., nature of Owner /Agent I Da at te , p
Sub- Mailing Address 1,-4)._2.- ( �� / � (�/7�
Contractor /67E30 S. U N. } eI,l 7Z 41 0`n act P-rson ame Phone #
City /State Zip Phone __ 61-4 c-..) �.N N v p c2O - 8 /c 4.6
Prior to permit �/ 4 Z Z FOR OFFICE Y:
issuance, a copy / / /1)l -4did 012-. F3 2.4-.07 Plat #: _ ^ ' ` MaplrL# �D �
of all licenses are Oregon Const. Cont. Board Exp. Date ( l' � e S e - A -�J -
required if Lic.# Setbacks: Zone� Solar:
expired in COT r 1
database Electrical Lic. # Exp. Date CJ •
gln nng ppro a • Planning Approval: TI
I:SFREM.DOC (DST) 4/97
•
Solar Balance Point Standard Worksheet
Address
Box A calculations: North -South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east -west and intersecting the northern most
point of the lot.
45° •
101 uNE N North -South f,
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. I 5 feet
N
i M DIMENSION
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North - South, measurements will ce (circle one)
be based on the peak of the roof. a o 0 0
111111,11111
NORM ■11. 1A 1B
1 b: If the roof line runs East -West and the roof pitch is
less than 5/12, measurements will be based on the
S gaea1 wen
eave.
41P0E PONT EASE
•
O
AP If the roof line runs East -West and the roof pitch is
5/12 or steeper, measurements will be based on the 5 o ;Itch
o
peak. 54440E POP RDGE
Box B. continued Box B: ,
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ft
0 the lot slopes down from the front lot line to the foundation, the figure is negative. _
3. Measure distance from finished floor elevation to the affected peak/eave. + 13 ft PAS
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - 0 ft
deduct nothing.
5. 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 the rear to the front, deduct nothing. - O ft
6. Total figure for box B: 1 3 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 33 ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + 5 ft
3. Total figure for box C: 38 ft
It is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line 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 "B" is less than or equal to the value found in box "D ", 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)
Distance to North -south lot dimension (in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line (in feet)
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
50 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
40 28 28 28 29 30 31 32 33 34 35 36 37 38 2
35 2• 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 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 22 23 24
I Box D. Maximum allowed shade point height: 21 feet
h: \dots \nancy\ventu ra\solar.chp
Revised 2/26/96
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST Y cg . '7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 r iN
6� , U v BUP
Date Requested / AM PM BLD
Location 1 ZO TZO C} V V/ iSult ` t \ EC
Contact Person Ph I ��P� � PLM
Contractor h SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation / FPS
Ftg Drain i / 1 1. ,J� SGN
Crawl Drain Inspection t l.
otes:
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
TsLECTRI
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
'lr PART FAIL
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
7.
ADA /
Approach /Sidewalk
Other D CG Z3 / Inspector In
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST G lRQZ7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
_ ���,�, BUP
Date Requested l(�' frq AM 1 4 F - tCJ PM BLD
Location 1 - 2-UaD [AA Ld At) Suite MEC
Contact Person Ph q -Co/ e)6 PLM
Contractor Ph SWR
BOIL Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notesp p e �I � �
Post & Beam ��tt J�.� SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing ✓ 6;43 tai �T.'trs i 61..P f- by .
Insulation //��,
Drywall Nailing !1' A �— 20 -79 . c.F� c7z �- �t�' P��r� r�.� /� ( X4 W4.2 r6z/L1"
Firewall
Fire Sprinkler e- XC 57 — e /%-S , Crt) ( Z Gc.0 ItL t cu. S
Fire Alarm
Susp'd Ceiling S/14014,.: . TG — CTa/A ,' Z 'GGbno t,45
Roof
Mis_c:
Aik :i •• • RT FAIL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
411P ° • RT FAIL
CTRICAL
Service
Rough In
UG /Slab
14I
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 L — 2 Y % Inspector Ext Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.