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IT IS DUE TO THE QUALITY OF THENo.3e
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13757 SW ALPINE VIEW
_ � r
MASTER P,ERMlr
CITY OF TIGARD P,ERMEITISSUED#. . . . . 0. .6/18/96 MST960268
DAT :
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard,Oregon 9722398199 (503)839-4171
- '_W AL.J.'11'4 L VIL-W
I T�- I�DDHESLi. . . 13751 1*3
i:iUbf)I V I S I ON. . . . HILLSHIRE. SUMMIT #C'-' ZONING: R-7 P,D
. . . . . . .. LOT. . . . . . . . . . . . . 0 24
Revarksi PATH I
------------------------------------------------------------------- BUILDING ----------------------------------------------------------------
RE I SSUE: STORIES.....,.: 1 FLOOR AREAS---------- bASEMENI... 0 sf REWIRED SETBACKS---- REQUIRED-
CLASS OF WOW.-NEW HEIGHT,.,,....: 24 FIRST....: 3124 sf GARAGE.....: 936 sf LEFT..........: 6 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.......... 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: i :f RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 7J BATH: 3 TOTAL-----: 3124 sf VALUE..$: 219004 RE.qR.......... 65
---------------------------------------------------------------- PLUMBIN6 --------------------------------------------------------------
SIN I RAIN DRAIN ft: 0 TRAPS.........:
.3 ....... I WATER CLOSETS.: 2 WASHING MACH..; I LAUNDRY TRAYS.:
LAYl,,AIES 3 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS.. 0
TUB/SHUWERS... GARBAGE DISP..: I WATER HEATERS.: I WATER LINE ft: IN KKFLW PREVNTR: I GREASE TRAPS,.: 0
OTHER FIXTURES: 0
- MECHANICAL -------------------------------------------------------- -- -
FUEL TYPES----------- FURN ( INK 0 BOIL/CMP ( 3HP: @ VENY FANS.....: 3 CLOTHES DRYERS: I
/GAS/ FURN )=INK-.. HEATERS.,: 0 oJODS......... 1 OTHER UNITS... I
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLETS...: I
----------------------------------------------------- -- ELECTRICAL -------------------------------------------------------------
--RE51DENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEED(RS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS--
IM
NSPECTIONS—IM SF OR LESS: 1 0 - 200 amp.. 0 0 - 200 alp..: 0 W/SYC OR FDR..: 0 PtPlPiIPRIGATION: @ PER INSPECTION: @
EA ADDIL 500SF.: 7 201 - 400 amp.. 0 1 - 400 amp.. : 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: @ PER HOUR......: 0
LIMITED ENERGY.: 0 401 bOO amp,.: 0 401 - 600 imp..: 0 EA ADDL BR CIR: 0 5 I GNAL)P*EL...: 0 IN PLANT.,....: 0
MAW HM/SVC/FDR: 0 601 ION alp. @ 601+alps-I800 V: @ MINOR LABEL -101: 0
1080 alp/volt. 0 ------------------ ------------------- PLAN REVIFW SECTION ----------------- ---- -
Reconnect only. 0 )=4 RES UNITS..: SVC/FJDR)=225 A.: ) 6N NOMINAL: CLS AREA/SPC OV
--------------------—-----------------—-------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------------
A. SF RESIDENIIAL--------------—---------- B. COMMERCIAL-------------------------------------------------------------------------------
AUDIO & STEREO.: VACUUM SYSTEM-: AUDIO I STEREO.: FIRE ALARM.....: INTEPCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: X BOILER.........: HVAC...........: LANDSCAPF./IRRIG: PROTECTIVE S16NL:
GARAGE OPENER,.: CLOCK........... INSTRUMENTATION: MEDICAL......... OTHR: *.:
HVAL...........11 DATA/TELE COMM.: NURSE CALLS—.: TOTAL # SYSTEMS: 0
Owner; ---------------- -- -------------------------- TOTfiL FEES:$ 4907-66
W I NDWOOD HODS WINDWOOD HOMES
14076 SW BENCHVIEWTEHM 14076 SW BENC.HVIEW TERRACE
TIGARD OR 97224 TIGARD OR 9',C-C'4
Phone 0: 598-4190 Phone 590-4700
Reg O-VI96
Thi; permit is issued subject to the regulations contained in the Tigard Municipal Coot, State of Ore. Specialty Codes and -ill other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 160
days of issuance, or if work is suspended for more than IN days,
-------------------------------------------------------- -- REQUIRED INSPECTIONS --------------------- --------------------------------
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace water Service In Building Final
Foundation Insp Mschanical Insp Shear Wall Insp Insulation Insp Appr"Sdwlk Inst Erosion Control
Post/Beam Struct Plumb Tao Out Low Voltage Gyp hard Insp Electrical Fina:
Post)Bpal Machan Electrical Sery, Fireplace insp Rain drain Insp Mechanical Final
Crawl Drain Electrical Rough Gas , I A
_nL Insp Water Line Insp b F nal
s.-t e d
By : L_-
V,e v-m i t t e e I q T1 El t 1.1 V'e ; , V,
Cal l for- inspection - 639-4175
SEWER CONNECTION
CITY OF TIGARD PERMIT
PERMIT #. . . . . . . : SWR96-0275
'COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/18/96
13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)&W-4171 PARCEL: 2S 109BA—HS224
`3ITE ADDRESS. . . : 13757 SW ALPINE VIEW
SUBDIVISION. . . . : HILLSHIRE SUMMIT #2 ZONING: R-7 IT)
BLOCK. . . . . . . . . . : L01.. . . . . . . . . . . . . :024
TENANT NAME. . . . . :
LISA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
1 YPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : PATH I
Owner: - ---------------- .._._________._____.___— ------__.______-- FEES
WINDWOOD 1-40MES type amor..int by date r•ecpt
14076 SW BENCHVIEW'TERRACE PRM7 $ 220Q . 00 B 06/18/96 96-280702
TIGARQ OR 97224 INr-P s 35. 00 B 06/18/96 96-28070c,
Phone #1 590-4700
Contractor: ----------.______._---__.--
CONTRACTOR NO-f ON FILE
Phone #t: $ x_35. 00 TOTAL
Reg #. . .
— --- -- REQUIRED INSPECTIONS
---
This Hpplicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the �—
permit expires. The Agency does not guarantee the accuracy of the
Eide sewer laterals. if the sewer is not located at the measurement - _ --- -- —`
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the .nstaller shall purchase
a lap and Siae Sewer" Permit and the Agency will install a lateral. —
Permittee 9ignat -ere•
IBy ..
s l-red Ca 11 for inspection 63;9 -4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 _
Jobsite Address:
/� {� Office, Use OnIV
Subdivision: �r 1 -Ls,�,Hi Lot# �
Valuation: _'^' '� "` Contact Date / ! r Initials c
" Result >�New Construction Only: (Square Footage) Planck/Rec # 09,�' ANCLZI
✓�
House: Garage: Permit #- (. _ Reissue of
/ � Map 8
( T # /
Corner Lot? Y N 6
Flag Lot? P N; Zone I 0
Plat #
Owner: l U1A/11A1ej d e� .�s,1
Address: z yU 76 5(y Approvals Required
ri Planning SetbacksoK, Solar�'�� En ineerin ,r- Plc.,
g g 1- +D PAS it
Phone: LT-03 —S VrJ y;,a--) Other_— --
Contractor: JC�1A�— _ Items Re uq ired
Address Subcontractors -01
------ Truss Details
Other
— — Notes
Phone 1',WMt,
f
Contractor's I .cense #
(atta h cop y of urrent Cregon license)
Contact Name r 1 �L7.I
Contact Phcne Lam'
i
Subcontractors: Architect/Engineer:
Plumbing. ��� _ �� Address Al O
Me=chanical:
(attach copy of current OR Contractor's License)
Phone: SG
JOB DESCRIPTION
Appli�:�ignare Applicant Phone number
Receiv-d by: _ Date Received
Permit x Account Description Amount Amt Pd. Bal. Due
lI1 G-C� 30!4. Permit (BUILD) ?jy. Sy
Plumb. Permit (PLUMB)
Mech. Permit (MECH) / Z - L
k11-Li
Lt4 tz
Z b
tom) i,
Bid
Plumb:
Meeh: ,-7 /C
Fac /G 1. f
Plan Check (PLANCK)
Bldg: J j
Plumb:
Mech:
Sewer Connection (SWUSA) C �Gc•
Sewer Inspection (SWINSP) S 3 j
Parks Dev Charge (PKSOC) 1 _ 05,)
Res:Uentiai TIF (TIF-R)
Mass Transit TIF (TIF-gym
Commercial TIF (TIF-C)
Industrial TIF MF-I) _
Institutional T1F (7.F-IS1 _
Office TIF (TIF-L')
`Nater Quality (WQUAL) 1 C
Water Quantity (WQUAN; Z Gc, c L+
Fire Life Safety (FLS)
F:osion Cntri Permit (ERPR:rAri�
f s,
_rasion PlancklUSA (ERP LAN)
=resion Planck.'CO i (ER 0SN) U 22b'•� U
, cc
TOTALS: �� \� � U
Solar Balance Point Standard Worksiioat
Address 1 1
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.
s.
;15° _►
t
L t UNE I t -LIOT ERN
--— N / North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
feet
t
<===NCRIV4SC"OMlFNSlCN
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. vour residence?
c � (circle one)
Ila: If the roof line runs North-South, measurements will
be based on the peak of the roof. E _7 M,
1A 1E 1C
1 b: If the roof line runs East-West and the roof pitch is
less than 5112, measurements will be based on the
ea, e w
1c: If the roof line runs East-West and the roof pitch is `
3,12 or steeper, measurements �v ill be based on the
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up front 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 peakleave. + tt
4. If the roof line runs North-South, deduct three feet. If the roof line runs Cast-West, __ 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. - ft
6. Total figure for box B: ft
Box C. Distance to the shade reduction line. Box C:
1. tMeasure the distance from the North property line to the foundation near the $� _ ft
affected peak,leave.
2. Measure the distance from the foundation to the affected peak or eave. ft
3. Total figure for box C: % 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 bo). "D". The value
in box "D"should be compared to the value in box"B"; if the value in boy "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 contac7 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 -1 a0
reduction line
from northern -
Ln-L!ine(in read —
70 40 40 41 .12 43 44
65 3 38 38 39 40 41 42 43
60 316 36 36 37 38 19 40 41 42
55 3I4 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40
.15 3b 30 30 31 32 33 34 35 36 37 38 39
40 28 23 28 29 30 31 32 33 34 35 36 37 38
35fi 26 26 2" 28 29 30 31 32 33 34 35 36
30 2,4 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 23 24 25 26 27 28 29 30 31 32
2U
1020 20 1-1 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 26 27 23
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 21
Box D. 10aximum allo%%ec: shade point height: I.J11 t _feet
CITY CSF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMI-1 #: ELC97-0350
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/09/97
PARCEL_: 2S1O9BA-04200
SITE (IDDRF_SS. . . : 13757 SW ALPINE VIEW .
SUBDIVISION. . . . :H I I_.L SH I RF_ SUMMIT #,- ZONING:R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O24 JURISDICTION:
Pr,o.ject Descr•ipt ion : instl 1 irrigation pump / job 1 7237
----,(ESI DENT IAL UNIT-- --- -- TEMr' SRVC/FEEDERS---- -.-- --------ihISCELLANEOUS--------
1000 SF OR LESS. . . . : 0 Vi - -00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 1
EACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
1--IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 STGNAL/PANEL. . . . . . . : 0
MANE. HM/ SVC/F7R. . : 0 601+amps-1000 volts. : 0 h,INOR LAPEL ( 10) . . . : 0
-----SERV;CE/FEEDER.---- -- ----- -BRANCH CIRCUIT5------- -..--ADD' L INSPECTIONS— -
0
NSPECTIONS— .0 - 200 amp. . . . . . : 0 W/SERVIC'E OR FEEDER: 0 PER INSPECTT.ON. . . . . : 0
2'01 - 400 amp. . . . . . : 0 ist W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
(-.,O1 -- 1000 amp. . . . . : 0 -__ --------- -----FLAN REVIEW SECT T Oh
[000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner ___._- - FEES -._--_--_--_------____--
DICK/JANE BADER type amol-int by date rerpt
13757 SW ALPINE VIEW DR DRMT f 40. 00 TAT OF�/O9/97 97-295667
TIGARD OR 9721:23 SPCT $ 2. 00 TAT 06/09/97 97--295667
I� Phone #:
i;["DAR LANDSCAPE $ 42. 00 TOTAL
1413,75 SW PATRICIA
_._........._.. REQUIRED INSPECTIONS
- -
M _L_SBORO OR 97123 Ceiling Cover Undergrop_Ind Cove
111inne #: 628-3411 Wall Cover Elect' l Service
Reis #. . : 000058
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'e r m it tee i gnat 1_tre l
applicable laws. All work will he done in accordance with
approved plans. This permit will expire if work is not started s
within '•A days of issuance, or if work is suspended for more _
than 186 days. I s s i_I#d By
INSTAI_L.ATION ONL.Y-..-..___��..----_.. .-_._...-.---------.----..--___--
T[1e installation is being made on property I own which is not iTit e11d(-d for
Sial e, lease, or, rent.
OWNER' S SIGNATURE: DATE:
INrTAL..L.AT I ON ONLY----- -- --- ------- -- - ___.__._._._--
1-.i.[GNATURE OF SUPR. ELEC' N: DATE:
I i CENSE NO:
Call for inspection - 639-4175
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By_
TIGARD OR 97223 Date Recd
Date to P.E.
Phone (503) 639-4171, x304 Date to DST
Inspection (503) 639-4175 Print or Type Permit j- i �.�C
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development t(r !/,�r,o-'c J u o i I I I i r r Number of Inspections per permit allowed
Name(or name of business)-- Service Included: Items Cost Sum
Address,_ a 7 S 7 S w N L c I NC 7/V-; 4a. Residential-per unit
1000 sq.ft.or less $110.00 _ 4
City/State/Zip_ 7 r-fiia��� '�'. Each additional 500 sq.It.or
Commercial ❑ Residential 0311- ` portion thereof _- $25.00 1
Limited Energy $25.00
Each Manul'd Home or Modular
Dwelling Service or Feeder -_ $66.00 _ 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor L C i)/�A ;i)/+'�SCl�TC1C 1 tit'. Installation,alteration,or relocation
S�` �'rRic%A 200 amps or less $60.00 2
Address /�1.3 7s
201 amps l0 400 amps $80.00 2
City / lI ,A?c State �''�' _Zip c J 3 401 amps to 600 amps _ $120.00 - 2
Phone No. (^.Z8 -i-1 i'1 601 amps to 1000 amps $160.00 2
Job No. 7-)j
- Over 1000 amps or volts $340.00 -_ 2
Elec.Cont. Lice. No. Exp Date_ Reconnect only eso.00 z
OR State CCI3 Reg. No. hLj 3 Exp.Date---' ' 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
/ - 200 amps or less $50.00 __ - 2
Signature of Supr. Elec'n �-4J,2.�e tJ"614) 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No..,------ _Fxp.Date _ see"b"above.
Phone No.
------ ------ 4d.Branch Circuits
New,alteration or extensicn per panel
2b. For owner installations: a1 the fee for branch circuits with
purchase of service or
Print Owner's Name_T feeder fee.
Address Each branch circuit $5,00 2
b)The fee for branch circuits
City_ State,____ Zip without purchase or
Phone No. _ service or feeder fee.
First branch circuit $35.00 2
The installati,n is being made on property I own which is not Earh additional branch circuit_ $5.00 7
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _ Each pump or Irrigation circle $40.00 40 _ 2
F,ach sign or outline lighting _- $40.00 2
3. Plan Review section (if required):' Signal circuit(s)or a limited energy
panel,alteration or extension _-_ $40.00 2
Minor Labels(10) $100.00
Please check appropriate item and enter fee In section 5B.
4 or more residential units in one stnrclure 4f.Each additional inspection over
_Service and feeder 225 amps or more the allowable in any of the above
_ System over 600 volts nominal Per inspection $35 oe
Classified area or structure containing special occupancy Per hour $5500
as described in N.E.C.Chapte-5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: rte;
Not required for temporary construction services. So.Enter total of above feesn,-
5°6 Surcharge LOS X total fees) -�-=-
NOTICE Subtotal $ -----
5b.Enter 25%of line Se for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec 3) $
NOT COMMENCED WITHIN 16O DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED UR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ Trust Account#, S <{ .---
Total balance Due -�
1 TSTSTLC16 APP ne.9,96
CITY MJF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : F71-M97-0217
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: OG/109/97
PARCEL: ESI09Bq---04;--'00
",-'ITE ADDRESS. . . : 13757 SW ALPINE VIEW
SUBDIVISION. . . . : HIL.L.SHIRE SUMMIT #,-' ZONING: R-7 PID
BLOCK. . . . . . . . . . : LOT.. . . . . . . . . . . . . :0 1-7!4 JURISDICTION:
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE Or-- USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :H2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES----- LAUNDRY TRAYS. . . . . : 0 5F RAIN DRAINS. . . . . : 0
INKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS— . : 0 SEWER LINE (ft ) . . . : 0
WATER C1-OSETS. : 0 WATER LTNE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : install residential backflow device
Owner: FEES
DICK/JANE LEADER type amol-int by date I-ecpt
13757 SW ALPINEVIEW DR PRMT $ 15. 00 TAT 06/09/97 97-295667
FIGARD OR 97223 5PCT $ 0. 75 TAT 06/09/97 97-295667
Phone #:
.A.--'DnR LANDSCAPE
14375 SW PATRICIA AVF
HILLSBORO OR 97123
Phone #: 15073-628-37411 15. 75 TOTAL,
Peg #. . : 000058
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Baci(f I ow Pr-ev
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
'than IN days,
u el
[Der-mittee Sig t)
Issi-ted By:
1�7
t-611 for- inspection 639-4175
Recd By
;ITY OF TIGARD Plumbing Application
13125 SW HALL BLVD. Commercial and Residential Dale Recd
TIG ARD, OR 97223 Date to P E.
(503) 639-4171 Date to DST
t0
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted Called
Name of Development/Project —� FIXTURES (individual) QTY PRICE AMT
Job /-////)/1, .5Cc.111/r —Sink 900
Address
Street Address Suite Lavatory 900
Tub or Tub/Shower Comb. 9 U0
Bldg a City/Stale Zip Shower Only g 0Q
T/ ,"`R0 Water Closet — 9.00
Name Dishwasher 900
Owner Mailing Address Suite Garbage Disposal 9.00
Washing Machine 9.00
City/Slate Zip Phone Floor Drain Y 900
Name 3* 9.00
9.00
Occupant Marling Address Suite Water Heater 900
Laundry Room Tray 9.00
CitylSlate Zip Fhone Urinal 9,00
Name
Other Fixtures(Specify) 00
_
Contractor Mailing Address Suile !100
l 9.3'/S S u.i c104 /�lit 900
City/Slate Zip Phone
Oregon Const.Cont.Board Lic 0 Exp.Dale _ 9.00
Attach Copy of S , C - J,, 1f 7 9.00
Current Plumbing Lia 0 Exp.Date Sewer- 1st 100' 30.00
Licenses Sewer•each additional 100' 25.00
COT Business Tax or Metro a Exp Date Water Service- 1st 100' 30.4.
Name Water Service-each additional 200' 25.00
Architect Storm&Rain Drain-1st 100' 30.00
or Marling Address Sw:e Storm&Rain Dram-each additional 100' _ 25 00
Mobile Home Space 2500
Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Ant,- 25 00
I - -- Pollution Device _
Describe work New 1 Addition 0 Alteration O Repa_Ir O Residential Backflow Prevention Device* 1500 c ��
to be done Residential O Non-residential O — Any Trap or Waste Not Connected to a Fixture 9 o0
Additional desaip!ion of work Catch Basin 900
Insp of Existing Plum,my _—_ 00
pe
per/hr
Existing use of Specially Requested Inspections 4000
per/hr
budding or property__ Rain Drain,single family dwelling 3000
Proposed use of Grease Traps 900
budding or property i_
QUANTITY TOTAL
Are you capping, moving or replacing any fixtu �s? Yes❑ No❑ Isometric or riser diagrams reouireo d Ouanity Tctai is >9
(If yes see back of form) 'SUBTOTAL �5 cX1
I hereby acknowledge that I have read this application that the infoanat-on
given is correct.that I am the owner or authorized agent of the ow er,and 6%SURCHARGE `
that plans submitted are in compliance with Oregon Slate Laws
Signature of Owner/Agent v Data PLAN REVIEW 25%OF SUBTOTAL
/-� Required only d Rxture qty totals�9
+— r. �.+�c•Q� (< <( �) '7 TOTAL ?i
Contact Person Name Phone 3^
' / ) 'Minimum permit tees S25• 5%surcharge except 4esidenhal Backflow
Prevention Device which is S15-5%surcharge
OdstMplmapp doc 9/96
"'OMPLETE AS APPROPRIME TO PR JECI-:
ares to be capped, moved or replaced Qty
k
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet _
Dishwasherhwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
411
Water Heater _
Laundry Room Tray —
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE.,
CITY OF TIGARD
DEVELOPMENT SERVICLS BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUP96-0628
DATE ISSUED: 12/19/96
PARCEL.: 2S109B()-HS224
SITE ADDRESS. . . : I37F7 SW ALPINE VIEW
SUBDIVISION. . . . : HILLSHIRE SUMMIT #2 ZONING:R--7 PD
BL.CCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..024
....--------------------------------------------------------------------- -----------------
REISSUE: FLOOR AREAS-•- ------ EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :OTR FIPST. . . . : 0 of N: S: E: W:
TYPE OF USE. . . .*SF SECOND. . . : 0 sf PROTECT OPENINGS?— -
TYPE OF CONST. *5N : 0 sf N: S: E: W:
ICCUPANCY GRP. :R3 TOTAL-------- : 0 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
-TOR. : 0 HT: 0 ft GARAGE. . . 0 sf OCCU SEP. RATED:
!3SMT?: MEZI": REOD SETBACKS---------- REOUIRED------------------
1-1-OOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . :
DWELLING UNITS: 12, FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
REDRMS: 0 BATHS-. 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
YALUE. S : 8800
!remarks : In-gv,oi.tnd swimming pool
'-)wneri FEES
I)ICK BADER type amount by date t-ecpt
13757 SW ALPINE VIEW DR PLCK $ 48. 43 JH 12/10/96 96-P`520
PRMT $ 74. 50 B 12/19/ 96 96-Lod011
1IGARD OR 97223 5PCT $ 3. 73 B 12/19/96 96-288011
"hone #.- 620-6174 CDCB $ 20. 00 B 12/19/96 96-288011
CDCP $ 20. 00 B 12/19/96 96-288011
ontr-actor-: $ 2F1. 00 B 12/19/9() 96--2138011
,'ASCADE SWIMMING POOL & SPA CO ERPC $ 8. 49 B 12/19/96 96-288011
1.iUNC RETE CEMENT CO ERPC $ 8. 45 B 12/19/96 96-288011
6775 SW MCEWAN RD
! AKE OSWEGO OR 97035-78134
Ohonp #.- 620-6174 209. 56 TOTAL
Reg #. . : 000049
REOUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Footing Ins
Tigard Municipal Code, State of Ore. Sp9cialty Codes and all other Mechanical I n s p
applicable laws. All work will be done in accordance with PIM top—out III S p
,1pproved plans, This persit will expire if work is not started Water, Line Ins
within IN days of issuance, or if *irk is suspended for tore Final Inspection
1hin IN days.
re
1 -i-mittee Siat Ut,e
s s 1.t e(I By: A14 AA q
Call for inspection 639--4175
Cornmerci ! Building Perrmit Aoolic3tion
City of Tigard 13125 SW Hall Blvd. Tigard.OR 97223
(503)6394171
Jot)site Address: 13 15 q RL-PL( Ir.,\J t 1 �Q�OFF(CE US_!=_ONLY
enant:'6.%'kc�-0 Suite # Planck/Rec. #
Valuation: — Pemiit
w' I
r Map &TL # -�:)Uf 5,4-
)wner: J;Df-4a- /
Acnrovals Rea 1i� red
Address: ����
_ Planning
elephone:
Engineering
� �<,i � I �-�-
Other )I`1y'[�r�'!'�K-( 1r��1 ►wV..
Contractor: _..��`��-rti>E� QC''.��--`� � � '��+C.���¢�".ti1�'.+' 1�1
>ddress: -i rl 1 D
l "C' ' C C �C -�� Type of constr:
eiephone: Occupancy Class: `n - �J
.ontractor s License Sprinkler? Yes N_°rJ
(attach copy of current Oregon license)
Sq. Ft. Of Project:
,.,ontact name & telephone: 11
Architect & Engineer: C1f �,��1p► Story (1st, 2nt±, etc.):_ - A,, / hr
c� fav Proposed Use:
Address: 3 1
r7 � Previous use: F4��
l
I' , Note: Plumbing & mechanical plans must
elephone: _ ':� be submitted at time of building pe rit,
application.
OB DESCRIFTI T N ro
T
ppli :ant Signature & Telephone Numoer)
Received b ^ ..
Y' __ ___ Date Received:
"ERMIT0 Account Description Amount Amt Pd. Balance Due
r �
e4lt wilding Permit (BUILD) ;7s! •)Z
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX) . .n 3 :5
Bldg.
Plumb.
Mech.
Plan Check (PLANCK) � �`
Bldg. �' 3
Plumb. _ '� li' 7&
�LN
Mech. C.i�C f3L i 3 _ 6•+'
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) ✓ �i
Erosion Planck/USA (ERPLAN) y
Erosion PlancklCOT (EROSN) 4 �"
TOTALS:
A 2;ST--)X
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.. Tigard,OR 97223(503)639.4171
CERTIFIC4TE OF
OCCUPANCY
PERMIT #. . . . . . . .. MST96-0288
DATE ISSUED: 01/28/99
PARCEL: 2S109BA-04200
':i 1 TE ADDRESS. . . t 13'757 SW ALPINE V I IOW
s3UHD M S I ON. . . . t H I LLSW I REE SUMMIT NO. 2 ZON I NG t R-7 PD
k3L.00:K. . . . . . . . . . : LOT. . . . . . . . . . . . . :024 JURISDICTION:TIG
_--_----------------------------_-_---—_—._
(.;LkSS OF WORK. t NEW
`YPE OF' USE. . . :SF"
i YV.'E OF C;ONSTR a 5N
UCLUPAN(r Y GRP. t R3
OCC UPANL i LOAD: 1
Remarks: PATH I
Owriert
W I NDWOOD FIOMES
1.-.655 NORTH DAKOTA
r IGARD OR 97223
�phone #:
Contractor:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
(FAX # 590-7606)
T I GARD OR 97223
I jh on e #- 5c)0-4700
Reg #. . : 000501
This Certificate grants occupancy of the above referenced build : ny ar portion
thereof and c =irms .hat the building has- been inspected for c:ompli.anc:e iai +:h
the State of ()r egon Specialty Csdes for the group, occupancy, and use under
wh i, h he e enced permit was issued.
BUILDING 11 , AL/ INSF'CC'TI SUp'ERV1t:;gi<
pUST IN CONSPICUOUS PLACE
CITY OF TIGARD
DEVELOPMENT SERVICES
13115 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
Ll- -7 1
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # _ ��� "t 7- --
Date Issued
Phone (503) 639-4171
FAX (503) 684 7297
CITY OF TIOARD TDD No (503) 684-2772
Inspection (503) 639-4175
t—' 4. Complete Fee Schedule Below:
1. Job Address:
Number of Inspections per permit allowed
Name Of Development__ __
Addressw
Service included Items Cost(ea) Sum
4a. Residential -per unit
1000 $q h of less $11000 4
tach add,:neat 500 sq ft or
Name (Or name Of bUSlneSs) portion thereof $2500 _. _
__ r---I/ $25 00 t
Residential LV
Limited Energy _ —
Commercial � � Each Manul'd Home or Modular ?
Dwelling Service or Feeder $6800
2a. Contractor installation only: 4b. Services or Feeders
/�0���/ t` Installation.alteration,or relocation —
Electrical Contractor _x Y ry —_ 200 amps or less $80 00 2
r Z 7 201 amps to 400 amps $80 DO
Address c� S to 401 amps to 500 amps —— $12000 2
City_ _ State. D Q Zip_��- 601 amps to 1000 amps $160 00
$340 00 2
Phone No. 3 cr— 5833 __ _ Over 1000 amps OF volts $5000
Reconnect only
Job NO_ --
-ontractor's license NU _ J. Z _ _---- 4c. Temporary Services or Feeders
Contractor's Board Reg. No. / la, 1—__ —_-_ Installation,alteration,or relocation 2
200 amps or less 2
Signature of Supr. Elec'n_ � �[G� 201 amps to 400 amps __ $5000
I-ICCnSP, NO -j �� S _ Phone NO —5 ! -JO � 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $10000
2b. For owner installations: see"h"above
4d. Branch Circuits
Print Owner's Name __ _ New,alteration or extension per pane
-�" a)The lee for branch circuits with
Address_ - _ ---- purchase of service or feeder tee.
State—._ Zip_ Each branch circuit —_ $500
b)The lee for branch circuits without 2
Phone NO
purchase of service or feeder tee Z
1 he installation is being made on property I own which is First branch circuit S3500 J _
not intended for sale, lease Or rent. Each additional branch circuit $500
Owner's Signature• 4e. Miscellaneous 7
(Service or feeder not included)
Each pump or irrigation circle $4000 _
3. Plan Review section (if required): Each sign or outline lighting —_ $4000
Signal circulus)ar a limited energy
Please check appropriate Item and enter foe in section 5B. M par pael
alteratiiobels ,or extension $son 00 4000
— _
4 or more residential units in one structure
—Service and feeder 225 amps or more 4f. Each additional Inspection over
System over 600 volts nominal the allowable in any of the above
_Classified area or structure containing special occupancy per inspection $3500
as described in N E C Chapter 5 ver hour $5500
In Plant $5500
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 ahove fees $
NOTICE 5%Surcharge (05 X total fees) $ _
Subfct--f $ ----
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 3) $ —_
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ --
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Trust Account p
COMMENCEn
$ _
Balance Due $ __
I_ 1 CITY OF TIGARD BUILDING INSPECTION DIVISION ' 3 MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
1_. Date RequestedBUP
_ �� ��C1 ANS �PM BLD
Location__ 1`�__ __ -_ �� l \Q. to i. MEC
Contact Person ` Ph C) �ci— C)C� (99,
\ ((II
Contractor 1,� vv� �X�,� , z1"`^ Iu, Ph \ SWR
BUILDING Tenant/Owner L�l�n� ��'1�� ?z�� Q-f - ELC
Retaining Wall ELR _-_-__-
Footing Access:
Foundation FPS
Ftc Drain - SGN
Crawl Drain Inspection Notes: �—
Slab _-.-- — —._-- --_______ _—_ SIT
Post&Beam
Ext`iheath/Shear
Int Sheath/Sheer /� M
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --_-__ -�-- ---- - --- -
Fire Alarm
Susp'd Ceiling - --- --- -
Roof
Final .-
PASS PART FAIL ---- _ --------- -- - -- -
PLUMBING
Post 8 Beam --. _—_.r.--- ------ -- ---- — --_ ...
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
Service _.__---------------_._.
Rough 17, qr
UG/Slab �/` �, _ _. ---------- --- - -- -------
Low Voltage n�
Fire Qlarm ---. -- -- -
PART FAIL ---- ---- - - ------------ _. -_- -- --
VIE
Backfill/Grading -------------------- ---------�---- --- ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$-,- __required before next inspection Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fira Supply Line I ]Please call for reinspection RF _ _--- -- [ ]Unable to inspect no access
ADA
(Approach/Sidewalk Date Ina ector —1! Ext
/�- - p
Other ---- -
Fir at
FASS PA":i FA L DO WIT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-dour Inspection Line: 639-4175 Business Line: 639-4171
f / BUFF G'
4Z 9Y/o Date Requested C AM PIA �` ` '
/ — BLD
Location� �� 7 _lJLI�a"e- Suite MEC
Contact Person Ph ,S�y`w��� 1,7
Contractor – zL"i A � Ph SWR
UITenant/Owner
Retaining Wall ELR ? Uy
Footing Access:
Foundation ,f�Qra�� - FPS
Ftg Drain `C_ SGN
Crawl Drain Inspection Notes: _
Slab — ---------- '..e_'� SIT
Post& Beam
Ext Sheath/Shear --___-
Int Sheath/Shear
Framing _ -----
Insulation
Drywall Na ling --___._--------- -_ _--
Firewall
Fire Sprinkler ----- ------- ---------- -
Fire Alarm
Susp'd Ceiling - ----- ---- -- ----
Roof
MiscC c` - - - - ------- ------- -- ----
P RT FAIL - -- ------______-___-- ----- -----
PL MBIN
Post 8 Beam ------_-----
Under Slab
Top Out \
Water Service -----
Sanitary Sewer
Rain Drains
PART FAIL
ANICAL
I ust & Beam ----_--- ---- - - -- - - ----------- ----
Rough In
Gas Line - ------ --- -- -- - -----
Smoke Dampers
Final - -- - --- ----- - -- - ---------
PASS PART FAIL
ELECTRICAL ------- ----------- -- ----- ----
Service --
Rough In
UG/Slab -------- _ - --
Low Voltage
Fire Alarm _--
Final
PASS PART FAIL - ----- ----- --- - - ---_..- --------
SITE
Backfill/Grading - -- `- --- �-
Sanitary Sewer
Storm Drain [ ) Reinspect ori fee of$ _- _required before next inspection Pay at City Hali, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RF' _---. - ( )Unable to inspect- no access
ADA
Approach/Sidewalk Date I CInspector �__�' Ext
Other - - -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
r
Paye No. 2 CASE HISTORY FOR CASE NO.: MST96-0288
WINDWOOD HOMES
13757 SW ALPINE VIEW .
OZ/01/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Sent Done Done Date By
MSTA725 Framing Insp / / / / 11/18/96 # 1- support and-r notched valleys A/N KS 11./23/96 KBS
rafters at garage (each side
horizontal)
#-2 double struts supporting hips,
valleys, ridge board
MSTA726 Shear Wall Insp / / / / 09/05/96 1p2a- add straps to tie cripple wall to DIS LP2 09/05/96 GES
braced panel at kit wndw; nail rt side
gar wall r,^ ac all edges; submit
revision for wndw change at wall c/7 at
den/bdrm #3
MSTA726 Shear Wall Insp / / / / 10/10/96 no plans on site FAIL RB 10/11/96 RB
MB14'7<. Ch—r Wall Insp / / / / 10/15/96 no plans , can't determine if corr dated DIS GS 10/15/96 CES
10-10 96 by ks have been done or not
MST1,726 Shear Wall Insp / / / / 10/16/96 APP KS 10/17/96 KBS
MSTA726 Shear Wall Insp / / / / 10/10/96 #-1- nail shear p•nel at side of AIS KS 10/23/96 KBS
structure at H.D.6.A.
holdown als,, nail met straps same
location
#-2- complete in-zerior shear wall garage
MSTA727 Low Voltage / / / / 03/14/97 PASS HW 03/20/97 "'JR
MSTA.735 Gas Line Insp / / / / 11/22/96 PASS RB 11/26/96 RB
M61 A740 Insulation Insp / / / / 11/18/96 APP KS 11/23/96 KBS
MSIA745 Gyp Board Insp / / / / 11/21/96 pending- b vent clearance; clo3e off the PASS RB 11/21/96 RB
rear of the furnace ceiling.
M:3':A755 Rain drain Insp / / / / 07/08/96 PASS MS 0.1/09/96 MRS
MSTA760 Water Line Insp / / / / 07/08/96 PASS MS 07/09/96 MRS
MSTA165 Appr/Sdwlk Insp / / / / / / 06/06/96 BT2
MSTA770 Misc. Inspection / / / / 02/04/97 SHOWER PAN APPR SPAN GS 02/04/97 GES
MSTA790 Electrical Final / / / / 03/14/97 PASS HW 03/17%97 JT
MSTA195 Mechanical Final / / / / 03/20/97 see building final this date FAIL. RB 03/21/97 RS
MSTA795 Mechanical Final / / / / 03/21/97 PASS PB 03/21/97 RB
MSTA797 Plumb Final / / / / 03/13/97 rd need to be brought up to grade FAIL MS 03/13/97 MRS
jucussui valve crossed
MSTA797 Plumb Final / / / / 03/20/97 rd poured in concrete FAIL MS 03/20/97 MRS
MSTA797 Plumb Final / / / / 03/21/97 PASS MS 03/21/97 KBS
MSTA798 Final inspection 01/07/99 / / / / 01/07/99 RB
Page No. 3 CASE HISTORY FOR CASE NO.: MST96-0288
WINDWOOD HOMES
13757 SW ALPINE VIEW .
02/04/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA799 Building Final / / / / 03/20/97 see report FAIL RB 03/21/97 RB
MSTA799 Building Final / / / / 03/21/9'7 SUP (swimming pool) permit active; FAIL RB 12/28/98 VLN
master bedrm glazinig unit needs to be
tempered; adjacent bedrm to master
glazing unit needs to be tempered; rain
drain cover; access door- under floor;
finish grade/slope req'mts.
Inspection request for research to Hap
P
W. 12/28/98. VLN
MSTA799 Building Final / / / / 01/07/99 Inactive file 1 Left notice to make FAIL RB 01/0'7/99 RB
arrangements to clear from file.
Outstanding permits- inactive file.
GROUP III
MSTA799 Building Final 01/07/99 / / 01/25/99 Left notice at residence- FAIL RD 01/25/99 RB
MSTA799 Building Final / / / / 01/28/99 PASS RB 01/28/99 RB
M5',TA960 (F) Issue Cert. of occupancy / / / / 01/7.0/99 02/04/99 JT
MSTH708 Erosion Control / / / / / / 06/06/96 BT2
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT