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Case File l• 00 00 o Co♦C�✓� m � � , 7A.�oN I N 88.28'.52" W 61 .20' W 4/ A da 3 i N N 88'28'52" '77.51' 417,�•�/ - Ali cn co I � g W NOTE: CENTEAUNE CONCEPTS, ~ 5� ALL,WILL PIN EXTERIOR FOUNDATM CORNERS AND PROVM � ��Q $ $ I, 3Uq=UEwd'jA)RTGAGE SURVEY. co p� 'j .0. 7 Sat r p �Q . E4 EROSION CONTROL S• Js.o° o' Zo 25 1. PROVIDE &MAINTAIN g"(min)THICK •��• (jRAVEL PAD& DRIVE UNT.L 7 ER41,%EN CONCRETE DRIVE IS IN Pl-ACE. rvo, SEDIMENT N ? PROVIDE& MAJNTAMI SOIL ,H ,� �R ��.,✓,���� �r �� r m F-ENCE AS wDicATED. �7 tK - �� VE _ SCALE DRAWING LOT 35 EAGLE POINTE . N.W. 1 /4 SEC. 10,T.2S,'R.1 W, W-M- _.amara �.• rITY OF TIGARD WASHINGTON r COUNTY. OREown"MmV.,"14 ..� APRIL 14t t 997 _.�. C �enterlincl C;Onc �:pts Inc . DRAWN �Y. MSG CHECKED BY: INGDIII ---AN EIGHT FOOT PUBLIC UTILITY EASEMENT SCALE 1M,RzU' ,p�CGOI.IINT �.. 116 640 82nd Drive 18 Gladstone, 5G3 fi50�0169 2 SHALL EXIST ALONG ALL STREET FRONTAGE. 503 650— M; M!LI�L15EP—A, -- - - - ., ..-_>' .. .. �1Lsaf't°�ID,Sd[�o+��...:.,., .. ,...._z..:., .., ,. . .. . .. dMt. .acr�t,�[�._at+,� xmac�n lam ,a�:�w� si'..t�+•,,`�'N> :�� a, ,r.....n� a,� '+'vas— • - r r n t.;;, NOTICE: IF TI-•E PRINT OR TYPE ON ANY � r � _.. 11 1 1 1 1 l i l 1 , � I , ( III III I � I r jI �Trllll �� rrr�T�T Ir1r ili .Irl� � ili_.,.�,I � .ril , llf ` , � � � I ( I � ► ( I � 111 � �..L �1.r. �1_r _III- -r r rr ��j__�� r1111 III Ill � � lrl � llllll III III � III IMAGE ISTHIS ( I E NOT AS CLEAR A i L � r Z i S NOTICE, I IT IS DUE TO THE QUALITY OF THE _ No-36 �..,��..... ORIGINAL DOCUMENT E 6Z Nlti — LZ 8Z SZ 1p EZ Z TZ 4Z 6T 9I LT 9I! 5T � T � T ZT TT T vow -T--.-- _ 0� 6 8 L 9 Q 7i T I I I I � � � flllILIIIIIIIliiIif 11,11IIIIIlil�llil IIIIIIIII11 111 X1.1Ith..11l11111 VIII. I,Ii 111111111111I!II IIIIIIIIIIIII1�11�11�11111 :1111111111111111IIIIIIIII1I1 Illi11i� ll[1Id 111III ulllul .0 .�� ll �!ILll�f �� l �k s� J W �1 J �S . G D m Fn' a M n �I t' i 1 �i i i 13531 SW AEPIP DRIVE -- _ CITY CSF TIGARD DEVELOPMENT SERVICES 15125 SW Hall Blvd., Tigard,OR 97223 j503)6309.4171 CFRTIFICATE OF OCCUPANCY PERMIT #. . . . . . . 3 M5T97- DATE ISSUED 02/20/98 PARCELs 2ln'104DD-0,4400 ITE ADDRESS— : 13531, SW AERIE DR ZONING- R-4. 5 PD jbj)I V 16 1 Upl. FACILE PO I N I F JOR I SDI C T I 31,4:'T I G LUI.. . . . . . . . . . . . . :035 I_AcjS nF WORK. NEW YPE OF USE. . . :6F iype OF CON13TR;3N ,LCLIPANCY f- ,pp,. F43 (:CUPANCY LOAD s 2 ;iENAISSANCE SW W1LLAM1--.'T1E FPLI-6 DR. WEST LINN OR 1)7068 ,)hone # - 557-P-000 Cowitratctov-: R.ENAISSANCC DEVELOPMENT CURP 1.6-12 SW WILI-AmurTc r-ALLS DR t-IFI.;T I-INN UP 1)71003 1 'horlq #' S5-1-8000 Reg f1. . : 300049 This Cet_f' jfjc&tw yr,arlts oLc-i..tpmncy of the above w-t*fsT-.enc-pd bt.tildirig or PC"ti " the t)iAildirig has be0n iTispectod for- ccmplianci, with �jpr-eof and confir-mil that, 11 arid ose n udev- the Ur-01.1p, OCrkipatiC.'y State ()f 01-egOTI Specialty COC"S for' ich the v-eFei-enced per-mit was jssited. qp"4".QL/INaF�ECT a SUPER V T I"I F" DQE CTO P ms'r IN CONSPICUOUS PLACE t I CITV OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4.171 Date Requested: _ ;2 'e;L� �� A.M. - P.M---.^_ MST '?7raL9 Location: BUR Tenant:. Suite: Bldg:M NEC: Contractor: A^4LL —_—Phone L� 7- V_-_ PLM: Owner:�z Phone: - ELC: - ELR: BUIMING ~�8 Init) PLUMBING _ MECHANICAL -ZLECTRI�,L---- SITE Site Post/Jetim Post/Ileam Post/Beam Cover/Service Sewer/Stern Footing Roof UndFI/Slab Rough-In Ceiling Water"ine Slab Framing Top(hit Gas Line Er'•Igh-In IK}Sprinkler Foundation Insulation sewer flood/Duct Reconnect Vault Iismt Damp Ihywalt Ston" Furnace Temp Service MISC. Masonry Ceiling Rain Ikain A/C UG. ; Shea/Sheath Fire Spkir/Atm Crawl/Found Or I lent Ptunp Low Volt pmve Approved Apptoved rwp 1mve P Approc:d Appr/Sdwlk Ns) rovedo Not Approved Not Approved pproved Not Approved rfif�Vh FINAL FINAL c FINAL I I D Call for reinspection f D Rei,ispectim fee of 5:--_required before next L,spection C3 Unable to inspect Inspector: ✓ _ Date: Z - Z-Y ` 5 Page _of CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phonc. 6394171 Date Requested: 'T - -1 T A.M. _ P.M. _ MST: Location: .gi tl C 1 •1�e_ �. _ BUP: Tenant: Suite: Bldg: MEC: �' 27 / Contractor:- 1�'t�2 L t1 tiJ�� Phone: ) 5 1V_ PLM: L,^ Phone: (honer: _ Phone: ELC: _ ELR: SIT: BUILDING BLDG(con't) � UMBING _ MECHANICAL ELECTRICAL SITE Site Post/Beam Poem _ Post/Beam Cover/Service Sewer/Storm Footing Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UO Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bgmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alin Crawl/Found Ih I teat Pump Low Volt Approved prov Approved Approved Appro Appr/Sdwlk Not Approved o improved Not Approved Not Appnaved Not Approved FINAL /$lii'iAI.' ; FINAL FINAL FINAL CI Call for reinspection tl Reinspection fec of S ,required before next in:;pection Q linable to inspect Inspector:_�"/ _ __ Date:_ 1 Z'a—�g' — Page- ---of CITY OF TIGARD MATTER PERMIT DEVELOPMENT SERVICES PE12M1T #. . . . . . . : MST97--Vi.1rr� 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 06/05/97 PARCEL: 48104DD-04400 SITE ADDRESS. . . : 13531 SW AERIE DR SUBDIVISION. . . . :EAGLE POINTE ZONING: R-4. 5 PD BLOCK. . . . . . . . LOT.. . . .. . . . . . . . . . ..033,5 JURISDICTION: Remarks: New SFD -------- BUILDING --------------------- ----------------------------------- REISSUE- -------- _----------_----------------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACHS----- REQUIRED-----•-------- CLASS Of WORM.:NEW HEIGHT........: 22 FIRST....: 1364 sf GARAGE...... b45 sf LEFT..........: 10 SMOKE DETECTRS: Y TYPE (1F I1SC...:SF FLOOR LND....: 40 SECOND...: 1166 sf FRONT.........: 26 PARKING SPACES: 2 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPAKY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2530 sf VALUE.,1: 180661 REAR..........: 30 ----...---- -- --- ---- ------ —-------------------------------- PLUMBING ------------------------------- SINKS......... - - ----------- --- __- -_----------------------------SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 5 DISHWASHERS...: i FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRPINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: 3 GARDAGE D1SP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------•------------------------------------- ----- MECWW4IItgL ------------------•--------------------------------------------- FLEL TYPES---------- FURN ( 100K ..: 0 BOIL/GMP ( 3HP: 0 VLNT FANS.....: 4 CLOTHES DRYERS: 1 GAS FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: i MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOOIATOVES....: 0 GAS OUTLETS...: I ----------------------------------------------------------------- ELECTRICAL __ ----__ --------------------------------------------- --RESIDENTIAL- UNIT--- ---SERVICE/FEEDER---•- --TEMP ERVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 -- 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 5 201 400 amp..: a 201 400 amp..: 0 1st W/0 SVC/FAR: 0 SIGN/OUT LIN LT: 0 PER HOUR....... 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MWF HM/SVC/FDR: 0 601 1000 amp.: 0 6P1timps-1080 v: 0 MIWJR LABEL -ie: 0 100)4 amp/volt.: 0 _- - -------- ---- --- - - - PLA14 REVIEW SECTION ------------------------------------- Reconnect only.: 0 >=4 RES UNITS..: SVC4DR)=225 A.: ) 60Tr V NOMINOL: CLS AREA/SPC, OCC: --------- --------------- ------ ---- -- ---- - ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------ A. SF RESIDENTIAL----------------------------- B. COMIE RCIAI_----------------------•--- ------------ -------------- ------------------------ -- AUDIO I STEREO. : VACUUM SYSTEM..: AUDIO I STEREO.: FIRE Y ARM..... : INTERCOM/PAGING: OUTDOOR LNDS' LT: BURGLAR PLARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE 11PENER..: CLOD..........; INSTRUMENTATON: MEDICAL........: O1HR: HVAC...........: DATA/TELE COMM.; NURSE CALLS..... TOTAL- M SYSTEMS: 0 'timer : --------- -- --- ------ - -Contractor: ----- ------- ---------- TOTAL FEES:f 3135.46 ISAANCE RENAISSANCE DEVELOPMENT CORP ? 5W WILLAMETTE FALLS DR. 1672 SW WILLAMEITE FALLS DR 141-111 NN OR 9706P WEST I IM OR 97068 Phone 1: 557-BM Phone t: 55-800) Reg C.: 000849 This permit is i,sued subject to the regulations contained :n the Tigard Municipa' Cade, State of Ore. Specialty Codes and all other applicable laws. All work will be done in ac nrdance wifn approved plans. This permit wi11 expire if work is not started within 180 days of issuance, or if work is Suspended for more than 180 days. ------------------._—-------_—___-------------- REQUIRED INSPECTIONS ---- ---- --- - - -- --------- --- --- - Erosiun Contol Post!Beao Mechan Eleriricp'. Servi Gas Line Insp Water Service In Building Final Grading Inspeeti crawl Drain Electrical Rough Gas Fireplace Appr/Sdwlk Insp footing Insp PLM/Underfloor- Fr,►ipg Insp Insu',ation Insp Electrical Final Foundation Insp Mechanical Insp - ar Wall Insp Gyp Board Insp Mechanical Final Post/Beam Struct Plumb Top Out ow 'loltagf Rain drain Irsp P1,11h Final Per•m i t t e e S i g n at 1_r r•e : I s s u e d LAY Cali for- inspection - 63'9-•4175 -- CITY CSF TIGARD DEVELOPMENT SERVICES SEWER PERMIT CONNECTION A 13125 SIN Hall Blvd., Tigard,OR 97223 (593)639.4171 PFRMIT #. . . . . . . . SWRQ?--tb±513 DOTE TGSUED: 06/05/9'- PARCEL: ES1041)L`--04400 SITE ADDRESS. . . : 13531 SW AERIE DR BUBD I V I S I ON. . . . :EAGLE POINTE ZONING: R-4. 5 PID I BLOCK_w._-_----�--_------LOT`_- _-_ _______ __ _.--____- - 1035 JUR I- I CT T ON t-------------- TENANT NAME. . . . . : RENAISSANCE LISA NO. . . . . . . . . . : FIXTURE UNITS. . . : Q CLASS OF WORK. . . :NEW DWELLING UNITS. . : i T YPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :DUSWR IMPF_RV SURFACE: 0 sf Remarks: New SFD Ovgner: --__.... ._.__.....___.._....---.__ _.. .__.__..---.....-___._..---_..___.____.__----._.___-___..-..- ______.- FEES --___._____-_-_. RENAISSAN(_;E type amof.rnt by date recpt 1672 SW WTLLAMETTE FALLS DR PRMT $ 2200. 00 B 06/05/97 97--C95525 (JEST L I NN OP 97066 I N SP $ 35. 00 B 06/05/97 97-295525 Phone #: Contractor: --___________________,______-..._ OWNER $ 2235. 00 TOTAL --- --- - REQUIRED INSPECTIONS - -- -- lhrs Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unifi;d Sewage Agency. The permit expires 19@ days from the date issued. The total amount paid will be forf0ted if '41e perm)t expires. The Agency does not guarantee the accurary of the side sewer laterals. If the sewer is not In-ated at the measurement _ given, the installer shall prospect .l feet in all directions from the distance given. If not so Iccated. the installer shall Eurch?se a "Tap and Side Sewer" Permit and the Agency will install a lateral. l-ermittee Signat ire : IsSlled By . Call for inspection 639--4175 Plan Ch elS - /AL )F TIGARD Residential Building Permit Application Recd By 5 SW HA LL BLVD. New Construc ion Additions or Hlteratlons Cale Recd RD, OR 67223 Single Fan;ilV Detached or Attached (Duplex) oats to P E. 1-639-4171 Date to DSTS t t 3.684-7297 Permit M Print or Type called Incompiete or illegible applications will not be acceptedu'` Name of Project r Name Job Ic PCA►_I e Is�iT 3 Ic 1(U L )r`»yrV_.y' Mailing Address FArchitect r+dress Site adrosa _ t I 540 Fl r 15 v3 Otie-&i e. fid►-_ Cdy/Stare Zip Phone Name 9�.1.t 3 LIQ i i_ & ,25 J Owner Mailing AddressName /M �e;r-Ile I. l2 St..) �1 tt� ll {1c tes /,/ cityistate Zip Phone Engineer Maltrlg Addreog - Na77 - C 1,4j� mid d Ph•�l -general f� >�� s�a *•—e—� Describe worx New Adetboltitratwn O Repair O nntractor Maung Addressto be done: _ i r =i ) (l sjo Wo Additional Description of Work: c4X/state Zip Phone kik U --ti al7o tr.k STS4 -8aoo �J jt �QnGc l� �' : }.r ,���A-P Oregon Const.Cont.Board ue.0 Exp. Date tach Copy of tt Cj Ct Q Current COT Busrneu Tax or Metro N Exp.Da PROJECT Licenses I?.p l.c $ / q _" VALUATION $ Nanw r ,lechanical /. (�Wk /-e NEW CONSTRUCTION ONLY: .'pub- Mailing Address Sq Ft. House_: Sq. Ft. Garage r,ntractor / 3<a�l SE .�M-h1c _a ot YENO ES g LS dyrstaro Comer Lot YIJO FlZip Phone (Check one) check one Oregon Const.CConL§oars L,cM Exp Date � Restricted Audio/Stereo Burglar ctach copy or G 2 G " j 2 Energy _ System_ Alarm _ Current COT Business Tax or Metro is Ex Date Installation Garage Door HVA t- tenses 112 4 L. / Q ,? Name _ � ' UDener �I, (check all that Other iumbing 6 )d r c,� i� �k�r1�/ aopt�) _ Sub- Mailing Addrostf' / Will the electncal Subcontractor wire fur apt YES NO )ntractor r (} I-ca l'4 l!4 Y� r_estncted enemy installations?__ G StateCZ' Ptione - Has the Subdivision Plat recordPd7 N/A YES NO Orego ,7[st.C L e rd Lie.111 Exp Date Reissue pf IytST#- a _Solar Compliance QI3tach Copy of V. .� (Calculation _ Attached)/f �_c r% Plumping L.c.>a O �� Exp. Pare , �^ I hear; acknowledge that I have read this application,that the COT 9usmess Tax or Metro>r Ex / ate �F- information given is correct. 'hat I am the owner or authonied O D O J a / a 9 argent of the owner. and that olens submitted are m mpAi nce Name with Cregon State laws Sigctatur.+ f Owners. ant Date ectrical o e �'.lt.bA AjS•f c, tof 11 Sub- Mam g A dress on arson Nam - Phone B antractor © D gdX l�z 9 l t a. tt [- -�,nr- qy Stat Zip P�T none FOR OFFICE USE 0 LY: l'[2GLml.L? 970/s P!at z MeplTlx: Cregon ConsL Cont. Board Lie rf Exp Dae _ 11( I c'`,!cit 17� pyvi,c. ach Copy of 3 SH 9 S T�tuacks Zone. Solar. .urrent Eiectneat Lie a Exp ate �, vz. .tenses 3 / Z�t �L' / If EngrnPenng Approval i Planning Approval: TIF: COj 0 t�s�Ta��rJMotro a E%/ �e — - pQj -'s'aop doc ,dst) 1197 0 Permit t# Account Descn t� ion Amount int. Pd, Bal, Due S�DI5RMST. Permit (BUILD) l _ �,► �S�'= Plumb. Permit (PLUMB) Mech. Permit (MECH) c1 tl ►' ELC/ELR Permit (ELPRMT1 6' State Tax (TAX) J, i Bldg: ' , 7°' 1� Plumb: /✓ Mech: 7 ; y ELC/ELR: Plan Check Y p MST; (BUPPLN) 1 P'lurl'iV PLMPI.N M ech: (ME(,PLN) � C', CDC Review (LA`s ws) -Ile Sg Sewe. Connection (SWUSA) Reimbursement Dist;ict ( ) Sewer Inspection (SWImsp) Parks Dev Charge (PKSDC) /O5-y) Residential TIF (TIF-R) v ��! (✓ ` .. Mass Tran-,it TIF (7,'!F-MT) Water Quality (WQUAL) Water Quantit•/ (WQUANT) Erosion Control Permit (ERPRMT) G Erosion Planck/USA (ERPLAN) r< Erosion Planck/COT (EPOSN) ?t w Fire Life Safety (FLS) TOTALS: c%favp d04 (031) 1i9T_ y r Solar Balance Point Standard Worksheet 7 _7 Address /y � s ' ✓ lei %i. �= Box A calculations: North-south dimension for the lot. Box A.: This dimension is determined by finding the midpoint r+f th._ North lot line and drawing an intersecting line perpendicular to that pci,it- First, determine wh;ch property line is the North lot line. The !'forth lot line is the lire with the smallest angii f,-am a line drawn east-west and intersecting fie northern most pont of the lot. ` ��..� 4s° L 4�d t \7/ Nor h-South Dimension for Lot; Measure the distance from the midpoint of the Nord, lot line to the South lot line along the described line. 70 feet N . Rox B calculations: Shade Faint height for your residence- 1. esidence_1. Determine whether measurements v ill be based on the peak or eave of your. structure. The, orientation of the ridge is also important. Which describes your residence? a: If the roof line runs North-South, measurements wilt ,1 (circle om!) be basad ondie peak of the roof. oM, 6 ILUE �"'♦' 1.k 1 B 1 1 b: If th.e roof I�ne erns Ea_sc-We,-�t and the r;af pitch is less z'ian 5112, measurements will ' a base- r_n the ear.a. 1 c: If the roof line runs East-'.Vest and the roof pitch is 3/12 cr steeper, measurements will be b:csed on the ,. pe=ck. ❑ ---e cuntinued ------ Bax B: ,Measure change in elevation from front property line to finished (lour elevation, If thr- lot slopes up from the front lot line to the foundation, the figure positive. If a the iot slopes down from the front lot line to the foundation, the (+glue is negative, ft 3. Measure distance from finished floor elevation to the afdecied peaklew__ —3' 1 ft a. If the rr>of line runs North-South, deduct three feet, if d i roof line runs East-`Nest, _ deduct nothing. I. Subtract one foot for each foot of difference it elevation from the front property line to the rear property line, if the lot slopes up from the front to dle rear. If th,e lot has 00 slope or slopes up froi,-v the rear to the front, deduct nothing. _ ft 6. Total Figure for box La: • 7 , It tlox G Distance to the shade reduction line. Box C, 1. Measune the distance, from the North pooperty line to the foundation near the affected peak/eave. 2. Measure the distance from the foundation to t'1e afi-aed peak or eave. + _ ft 3. rota! figure for box C: .6- ft ;t K most useful 110 draw a vertirat tine to reprr•ent the appoptUM Spre fvtrxi;n bo='A' a a txxirwtcs al Gne to repent the ppac+ 1D* hcoul (Decd in bo>,, "('•. The intrtsrc:xxr of the v�etital and horim"tin'"det?mrines the value found in boot'O''. The,+slue ;^bcroc 'O'should be comparrd to the value in boat '8'; if une value in bax '9'is Im than or equal to the-.-:due found in txxx 't7', 0,ell the<1;uilding is in Compliance:v,th tFa solo balance cede. If you have"que!tions, Ptel-se cont»�s at 639-4 i 7 s. x304 cx jt the ComititmitT 0evt pr►entCaunw. MAXIMUM PERMMED SHADE POINT HEIGHT (In Feet) Oistance to North-south tot ditnenSiOrs an feeo ! shade 10()+ 95 90 85 80 75 (-d 65 60 55 SO 45 10 reduction line horn norther,. lex Rne rtn frYt1 __ f--- 70 40 ;0 40 41 4243 -tet ; 60 36 ?6 3C 37 38 39 40 41 42 .13 is 34 34 35 36 37 38 39 •10 4t '0 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 -0 -13 29 28 29 30 21 32 33 34 25 36 37 38 35 26 26 26 27 28 29 10 31 32 33 34 35 36 :0 24 24 24 25 27 28 29 30 31 32 33 34 23 21 'S 26 27 28 29 30 3 i 32 =3 20 0 20 21 22 2_33 24 25 2!3 27 28 :.9 30 13 18 18 18 19 20 21 2-1 23 24 2-5 26 27 '_6 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 22 221 24 Sox D. NtaYirnum allowed shade pciir.t heih�flC` reef .`irxshn�ncvMrmira\�dar.d�p e"v,d 2.12&D6 SEE 35MM ROLL# 22 FOR LARGE DOCU MENT (;ITY Uh T iGAP.D Plumbing Applica'Jon —�\ Recd By, 'L 1 Date Recd 13125 S1iV•HALL BLVD. Commercial cial and Residentialt�L ',r l Date to P TIGAR!D, OR 97223 l r Date to DST 1 (503) 639-4171 - Permit N/'rtfl'� > n- li Print or Type �' Related ISWR - Int.omplete or illegible applications will not be accepted callee___ f Name of Deve'DpmenUProlect On back Indicates Work Performed by fixture. Job u v FIXTURES (Individual) OTY PRICE AMT ��_� ��— — Address Straet ddress Sud= Sink 9.J0 WG I� Lavatory 9.00 Bldgy__; I City/State - Zip - Tub or Tub/Shuwer Comb. 9.00 Shower Only 9.00 �— Name — • Water Closet 9.00 Owner Mauing Address • Suite Dishwasher 9.00 f, Ai I Garbage Disposal 900 Lity/State lip Phnne Washing Machine 9•%, _ Names Fleor Drain 2" - +-_ 9.U0 J 1 I J" 9.GC Occupant Mailing Address - Suite I - 14. 9.00 Water Healer O conversion O like kind 9.00 Cityl,tate Zip -- - Phone I - _ Laundry Poom Tray _- 9.00 Name_ II Urinal 9,00 Other Fixtures(Specify) 9.00 Cr,ntrartc r M ,la�in9 Adaia.; Suite -_ --_ _ 9.00 L/_1/11_L 7 a 110 Prior to p11_y ermil !S ate 9.00 /n�up Phone _ issuance,a rnpY • Zs / of all licenses are Oregon Conal.Cont.Bo d L_0 Exp.Date V _ 9101 regwr9d d 7 - 1-Sl 1 Sewer• 1 st 1 nC' 30 00 expired in COT Plumbing Uc.0 Exp.Date - database Sewer-each additional 100' 25.00 Name - - Yater Service-'I st 100' 3060 Water Service-each additional 200' 25.00 - Architect Mailing Address site Storm&Rain Drain-1st 100' I 3000 j — torm 9 Raw,Drain-reach additional 100' 25 00 or Engineer Cdv/Slat - Ti p___ Phone Mobile r;ome Spare — 25 UO 1 Commercial Back Flow P-e,_,ention Device or Anti- 25.J0 D'scribe world vew Ad on C7 Alteratior O Repair O Pollution Cevice to be done 'esidential Non-residential O Residential Backflow Prevention Devic,.' 1500 Additional de e n of 'work. - Any Trap or Waste Not Connected to a Fixture 9.00 'k I Gatch opsin 9.00 =- Insp.of Existing Plumbing 40.00 per/hr Existing use of — Spectate.-Requested Inspections 4000 budding or pro ler/ _-_ _ -� perfhr Pain Drain,single family dwelling 30V) Proposed use of Grease Traps - 9 0n building or property _ _ V QUANTITY TOTAL hereby acknowlee'I e?hat I have read this application,that the information Isometm or riser diagram is regu red,l Quanrty 7atal is >9 given is correct,that I ari the owner or authorized agent of the owner,and -- 'SUBTOTAL i that plans submitted are In compliance with Oregon State Laws. �S• Sign ore of 0. er g nt Date - 6%SURCHARGE 95- �- - ;. __- �� ' �- PLAN REVIEW 25%OF SUBTOTAL Contact Person N. ,ie� Ph ne Rwluxm:only if fixture qty total s>9- �4��1y3a - N TOTAL 'Minimum permit foe is$25*591.surcharge.except Residential Backflow Prevention Device,which is S15 • 5%surcharge i'dstsbirr,app dot 5/97 i I (:Si�(IPLETE: Fixture Type -- Quantity by Work Performed Now Moved Replaced Removed/Capped Tub or Tub/Sriowe, Combination _ i - Shower Only — — Water Closet -- - --_�— -- Dishwasher _ Garbage Disposal _ Washing Machine --- Ploor Drain 2" 311 Water Heater Laundry Room-Tray _ --- - — --� Urinal Ctiler Fixtures (Specify) -- -- COMMENTS REGARDING ABOVE: