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Case File I r - w w Ln Ln � z H .4 4� m -- 13855 SW ALPINE VIEW —' CITY GF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigare,OR 97223 (503,1639-4171 CERTIFICATE OF OCCUPANCY PE:RMI'i #. . . . . . . s hIST9E,-ticv:. DATE IS�iUFD: 04/01/97 PARCEL s FFS109BA-05900 i1 TE Faf)DRESc. . . s 13855 yW At-PINE VIEW ;UBDIVISION. . . . : HILLSHIRE' SUMMIT #c T.ONING:R-- 7 PD 3LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s45 JUPISDICTION: 1A.ASS OF WORK. :NEW YPE OF MiE. . . :aF r YPE OF CON GT R e 5N Ii.)C;CUPANCY GRP. s R3 OCCUPRNCY LOAD: 1 Remcai•ks : PATH I Owners i I EFt KA PAC I F l I. DEVELOPMENT TAC V, 0 BOX 1754 t_.AI�E. W3WE GO OR 97035 Phone #s 684•-.3175 1_.un rar car i LEGACY PACIFIC 140MF_S INC 110 BOX .1754 LAKE USWEOCI Old 97035 QhLne #1 684 -3175 Pe."I #. . . 000902 it , , Cer-tific•ate gr-ants occupancy of the above r-eferenced building or, portion thereof and confirms that the building has been inspected for c_omplie.nce with the State of Or•egun Specialty Codes for- the group, c.l..cpancy,� and use under which the v t-fet-encred per-mit was ishUed- _ � J ill-DING, INSPECTOR BUILDING OFFICIAL. POST IN CONSPICUOUS PLACE Page No. 4 CASE HISTORY FOR CASE NO.: MST96-0056 SI:RRA PACIFIC DEVELOPMENT INC 13855 SW ALPINE VIEW . 07/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------_---------- -------- -------- -------- -------•-------------- -- MSTA765 Appr/Sdwlk Insp 09/18/96 / / )9/18/96 Partial sidewalk. PASS PI 09/25/96 C*H Part on Alpine, Part on Mistletoe. If continued to property line on Mistletoe...install drain pipe to weephole. MSTA765 Appr/Sdwlk Insp / / / / 10/04/96 Can't approve approach FAIL PI 10/14/96 C*H 1. Needs to be 30' from r/w property line Dee attached). Need to talk to Brian Roger, (C.O.T.) about approval or move approach. MSTA771 «REINSPECTION>> / / ! / 03/28/97 corrections not complete $35 MJR 04/01/9- DST PAID ELECTRICAL. REINSPECTION FEE SEE, 97-292541 MS1A'?Ir: Electrical Final / / / / 03/19/97 fill .n arol—I plug in area by furn; smk DIS GS 03/19/97 GES det needed in nal( outside bsmt bdrm MSTA7'90 Electrical Final / 1 / / 03/28/97 corrections not complete DIS HW 03/31/97 MJR $35.00 reinspection fee MJR MSTA790 Electrical Final / / / / 04/01/97 PASS MJR 04/03/97 MJR M.STA795 Mechanical Final / 1 / / 03/19/97 see bld fnl DIS GS 03/19/97 GES MSTA795 Mechanical Final / / / / 03/28/97 PASS RB 03/31/97 RB 11STA797 Plumb Final / / / / 03/19/97 main valve? FAIL MS 03/20/97 MRS clean-out? MSTA797 Plumb Final / / / / 03/28/97 PASS MS 03/28/97 MRS MSTA799 Build;ng Final / / / / 03/19/97 insul top and sides of door to fern DIS GS 03/19/97 GES area; seal found vent in crawl at dryer vent; see elec frit this date MSTA799 Building Final / / / / 03/28/97 smoke detector req'd to be installed '.n FAIL RB 03/31/97 RB arcorrdance w/manuf. install. instr. at basement level. MSTA799 Building Final / / / / 04/01/97 PASS RB 04/02/97 RB MSTA960 (F) Issue Cert. of Occupancy / ; / / 04/01/97 mailed 7-22-97 07/22/97 s*w MSTB708 Erosion Control / / / / 03/17/97 PASS USA 03/31/97 RB MST8715 Slab Insp 05/30/96 / / 05/28/96 PASS TLP 05/30/96 TLP MSTS715 Slab Insp / / / / 09/18/96 garage slab inspection- ok PASS RR 09/'9/96 RB CITY OF TIGARD PLUMDING PERMY, DEVELOPMENT SERVICES r-'�FPIIT T PL.M97­-0Q'-(_ 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE TSSL-IED: 03/11/97 P'APCE1__: ;-'-,3109DA- 1.19 45 1313F-59 9 W AL P"T NF V I EW JBDIVISION. . . . HILLSHIRE SUMMIT #2 ZONING: R-7 PID t-OCK. . . . . . . . . . . I-OT. . . . . . . 1,nSS OF WORK. . :NEW GARBAGE DT9POSALS. : 0 MOBILE HOME SPACES. : 0 0"E OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTPS. . : I )Cr.LJPANC'Y t7jpr,. .. :r--e FLOOR DRAINS. . . . . . : 0 'PArs. . . . . . . . . . . . . . o n R I Es,. . . . . . . . WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 ,.AU�.,T)Ry j*p(jyC. I XT1J?rFS--- URINALS. . . . . . . . . . . :INKS. . . . . . . . . . .. 0 0 GREASE TRAPS. . . . . . . . nVnTORIFS. . . . . .. 171 fi'rnirr? F-TXTURES. . . . . 0 3UB/SHOWERS. . . . SEWER LINE (ft) . . . ; 0 ATER C1 (!(;FTS. WAITP LINE (ft) . . . : 0 'ISHWASHERS. . . . '. 0 RAIN DRAIN (ft ) . . . : Amar ks : TN5T1_ RE ..')IDENTTAI BACr(Fl._OW DEVICE 1wner-- -------------------------------------------------------- FEES _­­'------------ TERPtl PArIrIC DEVELOPMV.'NT TN(- type anialint by date r-ecpt ,0 AUX 1754 PRMT $ 15, 00 TAT 03/11/97 97-29151r' 0. 75 TAT 03/ 11 /97 97 ('4Kr Ol-)Wron Ort 97035 `h.c.ae #- 684...3175 r'FDPR LANDSCAPPE 4375 SW PnTPT(.-TA PVF 1ILLSBORO OR 97123 -1-inn(- It: 503­6213­3411 4 1.5. 75 TOTAL- "leg #. . : 5843 REPUIRED INSPECTIONS -his pervit is ;ssa.ee s;jbject to the regulations captained in the Water- Line 1115P 'Aard Mlinicipal Code, State of Ore. Specialty Codes and all other Watt-t- Set-yic.e TT1 4pplicablu laws. All work will be done in accordance mitt, Misc. Inspection ,pproved plans, Th!s permit will expire if work is not started RP/Backflow Prey within in days o' isviancF, or if work is suspended for more Final Insper'lion ,han IN days. r',all for inspection 639-41,75 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hail Blvd. Permit # -U Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE 1w"'•otD'°•'°0"""' New Single ilamily Residences Only °''••• [3 1 BATH HOUSE 5140.00 0 2 BATH HOUSE 5195.00 )Ob )''� s /JG itis �!/E 0 3 BATH HDUSE$225.00 Address CAIS,.,. zo — Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer rnd storm sewer. See fees below N.T.ra n.T..1&U a.r FIXTURES QTY PRICE AMT Sink 1 9.00 M.r'u 1°'"••• '""^• Lavatory 900 Owner Tub or Tub;Shower Cor,;b. 9.00 ^�•'° ^ Shower Only 9.00 Water Closet 9.00 Dishwas'rer 9.00 Carbage Disposal 9.00 Occupant M.ra - ��. Washing Machine 9.00 Floor Drain— 9.00 ��'�•'• Water Heater 9.00 Laundry Room Tray 9.00 - "°"• Urinal -- 9.00 T cA e- (r,_,R 3`/// Other Fixtures (,Specify) 900 rn.�o Me.". Ph­ 9.00 Contractor 14-317T .S'", Al-E - 900 UY1.4.10 Zc 9.00 3 Sewer i st 1110' 30.00 Sim R.qs•."°"N. Cnv S., '„N� Sewer-ea. Addit. 100' 25.00 '9 3 Water Service 1st 100' 3000 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 2500 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws. that Storm &Rain Drain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 25.00 number given is correct. (If exempt f,om State registration, please -- _ give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 9 0o ^•"•' .••"' -- °•'• Any Trap or Waste Not Connected to a Fixture 9.00 Describe wrrk new Q addition v alteration U repair 75Catch Basin 9.00 to be done reoidential O non-residential U Insp. of Exist. Plumbing 40 001h Specially Requested Inspections 40 00/hr Existing use of building or property . Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 1500 /S Proposed use of building or property _ -- '(Except residential barktlow prevention devices) NOTICE •Minimum Fee $25.00 SUBTOTAL PERMIT3 BECOME VOID IF WORK OR CONSTRUCTION — _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5% SURCHARGE CCNSTRUCTION OR WORK IS SUSPENDED OF ABANDONED — ---FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 15% OF SUBTOTAL TOTAL Special Conditions Date issued by CITY OF TIGARD Rzif _ tFRMIT DEVELOPMENT SERVICES ELECTRICAL #: Et-C97-0143 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE. ISSUED: O:a111 %97 PARCEL: F.'S 1019PA--HSE'4 5 TTF ADDRESS. . . : 131355 SW ALPINE VILId jBD I V 191 ON. . . . : H I I._LSH T RF SUMMIT #2 ZON T NG-.. R--7 PD ''. OCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :45 roject Description : INSTL 1. TRRTGATION PUMP CIRCLE -_RESIDENTIAL UNIT—.---- -.-_...TEMP SRVC/FEEI)ERS--.--- --------MISCELLANEOUS-------- ' 000 SF OR LESS. . . - : 0 VA ;::.'Orb amp. . . . . . . 0 PUMP/T RR T.GAT I ON. . . . ; I ACH ADD' l_ 5OOSF. . . : Ir _01 400 am l-i. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 IMITEP, ENERGY. ,_ . :, . : 0 401 F,OO amp., . . . . . . ; 0 9,IGNAI._/PANEL. . . . . . . : 0 ,IANF. HM/ SVC/FDR. . : 01 601.+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 _.SERVICE/F�F"FDEQ _. ._... _ ._ W4.*INCH CIf-2CUTTS-____ . pl)^' L 'IP�Cr'C:r' I I - 200 amp. . . . . . : 0 W/SE:RVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 '01. 400 amp, , . . : 0 Ist- W/O SRVC: nF• FDR. : 0 PER HOUR. . . . . . . . . . . : P.' 01 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 1N PLANT. . . . . . . . . . . : Al _. 1000 -Amp. . . . . i;� _....-.__..._...... ... - PI.AN RFV TE:W qFCT Int\l_......_.__._ _.._._._ ._.. ' 000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . N(.-onnect nn 1 y. . . . . . 0 SVC/F-_DR > = '`, AMP9. , - CI.A` S AREA 5PF.'C OCC. . 'lwner: ------------------------------------------------------ FEES •-----•--____—___._ T.E:RRA PACIF=IC DE'VELnPMENT INC 1;ype a.mn,-Int t)y date recpt 0 BOX 1754 PRMT S 40. 00 TAT 03/11/97 97-29151E 5PU1' 00 TAT 171:?/ 1. 1 /97 97 (-Wr f39WF OO 0P 970 'hn,te #: 684-3t75 ontractor. FDAP LAND,CAPE $ 4'2. 00 TOTAL. J '75 SW PATRICIA __..____......_ RE[JUIFIFJ INSF'EC7ION3 . .._._.--- ILL.SDORC OR 97123 Cei 1. irig Cayes- Linden-yr-oi.tnd ­hone #a#: 50.13-•628-3411 Wall Covet- Elect' 1 Service +a.. . „ 5043 -his permit is issued subject to the regulations contained in the - 'igard Municipal Code, State of Ore. Specialty Codes and all other Perm +,t, c;i gnat!trP applicable laws. All work wil'. be done in accordance with approved plans. This permit will expire if work is not started jithin IN days of issuance, or if work is suspended for more •han IN days. 1 s. . c,d H y --nWNE R INSTALLATION UIJLY '-he installation is heing made on property I own which is not intended for '1WNE R' S S I GNA' LIRE: _ DATE: rnWrR(V !-r1R TN'?TnI_ I 07TON ONLY —_ _-._._..__....._.__._ rGNATURE OF SUPR. Et..EC' N: DATE _f­ENC,E NO; Call for inspection 639-4175 AV CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By Date Recd TIGARD OR 97223 Date to P.E. Phone (503) 639-417�, x304 Date to DST Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit 0 Fax (503)684-7297 Called 1. Job Address: m � 4. Complete Fee Schedule Below: // :&r►� Name of Development 11,1115 (-& � ____ Number of;nspections per permit allowed Name(or name of business) Service included: Items Cost Sum Address �r`j� 5 �t�'y�N` 1 Et✓ _ 4a. Residential-per unit 1000 sq.ft.or less $110.00 __ 4 City/State/zip. 'i��RD � -._ _ Each additional 500 sq.It.or Commercial ❑ Residential Portion thereof $25.00 Limited Energy $25.00 Each Manufd Home or Modular Dwelling Service or Feeder $6800 _ 2a. Contractor installation only: (Attach copy of all current licenses) s Services or Feeders in Electrical Contractor �'/����� l.a,+/c tc i 9i �.t%, installation,alteration,or relocation Address 14 .37" 5L11 P,4 rX/c l,q t 201 amps or less $60.00 2 201 amps to 400 amps ,_ $60.00 2 City 4?/ boX f, State </' Zip 9'7/-2--3 401 amps to 600 amps $120.00 _ 2 Phone No. ab' _7 / _ _ 601 amps to 1000 amps $180.00 2 Over 1000 amps nr volts $340.00 Job NO. Elec.Cont. Lice. No. Exp.Date _ Reconnect only $50.00 OR State CC3 Reg. No S'S "f-V _Exp.Date_ 4c.Temporary Services or Feeders COT Bw-oess Tax or Metro No.,-_ Exp.Date _ Installation,alteration,or relocation 200 amus or less $50.00 _ 2 Signature of Su r. Elec'n _ 201 amps to 400 amps $75.00 - 2 9 P 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date__ see"b"above. Phone No. _ - -- 4d.Branch Circuits Now,alteration or extension per panel ?b. For owner Installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _i feeder ree AddreS3 Each branch circuit $5.00 b)The fee for branch circuits City _ State____ Zip without purchase of Phone No. _. -__- __ service or feeder lee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature _ Each pump or Irrigation circle $40.00 9 G Each sign or outline lighting $40.00 2 3. Plain Review section (if required):` Signal circult(s)or a limited snergy $40.00 - panel,alteration or extension ? Minor Labels(10) $100.00 ----____-- Please check appropriate Item and enter fee in section 58. 4 or more residential units In one structure 41.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 00 -- Classified area or structure containing special occupancy Per hour $55 00 as described In N.E.C.Chapter 5 In Plant $5500 -- Submit 2 sets of plans with application where any of the above apply. Jr. Fees: r Not required for temporary construction se.vices. 5a.Enter total of above fees $ ! l �- 5%Surcharge(.05 X total fees) $ - -- NOTICE Subtotal $ ----- 5b.Enter 2500 of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If r2guir (Sec.3) $ --- NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 4�t,C TIME AFTER WORK IS COMMENCED. Trust Account ff-.�- S Total balance Due I MSMELC96.APP now 9196 MASTER P'E'RMIT CITY OF T I GARD PIERMIT'ISSUEI):#. . . . . . . MS9/966-0056 DA'IE 04/ 1 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)6394171 PIARCEI-- 2S10()BA--HS24t5 31 TL ADURESJ. . - W V 11:-IJ ZON[NIG: R-7 P'D ':iUBDIVISION. . . . . HILLSHIRE E')LJMMII #2 )'+'-()CV. . . . . . . . . . ... L01.. . . . . . . . . . . . . :4'--d Remarks: PATH I ------------------------------------------------------------------ BUILDING --------------••------------------------------------------ --- REISSUE: ------------------------------------------------- REISSUE: STORIES.......: I FLOOR AREAS---------- BASEMENT,..: 0 sf REQUIRED SETBACKS---- REQu1RFD-- -- ----- CLASS ETBACKS---- CLASS OF WORK.:NEW HEIGHT........: 16 FIRST....: 2385 sf GARAGE.....: 768 sf LEFT..........: 5 SMOKE DETLCTRS: Y I YPE OF USE...:SF FLOOR LOAD....: 40 SECOND..., 1248 sf FROM.........; 20 PARKING SPACES: I TYPE OF CONST.:5N DWELLING UNITS: I FINBGMENT: 0 6f RIGHT.........: 15 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL-------: 3633 sf VALUE.A: 248043 REAR..........: 15 ---I--------------------------------------------------------- ---- PLUMBING ------------------------------------------------------------------ 9INIKS......... I WATER CLOSETS.: 3 WASHIN5 MACH., I LAUNDRY TRAYS., I RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES.... : J ASHWASHERS... I FLOOR DRAINS.. 0 SEWER LINE ft: 0 5F RAIN DRAINS: I CATCH BASINS.. @ f Ui i 5i,'OWERS... 3 GARBAGE LISP..: I WATER HEATERS,: I WETTER LINE ft: I& BLKFLW PREVNTk: 1 GREASE TRGC'r-.. 0 OTHER FIXTURES: 0 MECHANICAL ------------------------------------------------------------- FUCL TYPES----------- FURN ( IW 0 BOIL/CMP ( 3HP: 0 VENT FANS.....; 4 CLOTHES DRYERS: I /GASI ! / FURN )=IW I UNIT HEATERS_ 0 HOODS.........: I OTHER UNITS...: I MAX IMP. : 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOOESTOVES.... 0 GAS OUTLETS...: I --------------------------------------------------------------- ELECTRICAL ---- ------------------_------------------------------------------ --RLSIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS— ION SF OR LESS, 1 0 - 200 amp..-. 0 0 200 amp.. : 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 FA ADV'1L 500SF.: 6 201 - 40q amp.. @ 201 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OU1 LIN LT: 0 PER HOUR......: ki I LIMITED ENEP,'.- 0 401 - 600 amp.. 0 401 600 amp.. : 0 EA ADDL BR CIR: 0 SIGNAL/RAVEL...: 0 IN PLANT.,,...: 0 MANE HM/SVCtV9R: 0 601 - 1000 alp. 0 60l+a2p5-I000 v: 0 MINOR LABEL -10: 0 I0004 allipiVolt. 0 ----------- -------- PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )=4 REG UNITS... SVC/FDR)-:225 A. : ) 600 Y NOMINAL: CLS ARCAiSPC OCC: -----------------••-----------------•----------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL----------------------------------------------------------------------- PAJDIU & STEREO.: VACUUM SYSTEM..: AUDIO 9 STEREO.: FIRE ALARM...,..: INTERCOM/PAGING: OUTDOOR LNDSC LTi BURGLAR ALARM.. : UTH; X BOILER......... : HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK.......... : INSTRUMENTATION; MEDICAL........; OTHR: HV4C...........: DATA/TELE COMM.: NURSE CALLS_.- TOTAL # SYSIEMb: 0 Owner: -------------------------------------Contractor: ------------------- ---------- TOTAL FEES,$ 2904.31 SIERRA PACIFIC DEVELOPMIENT INC LEGACY P4CIFIL HOMES INC P 0 BOX 1754 P 0 BOX 1754 LAKE OSWEGO OR 97031 LAKE OSWEGO OR 97035 Phone 111: 684-3175 Phone #- 684-3175 Reg #,.: 90223 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 e4pire if work is not started with 190 days of issuance, or if work is suspended for more than 180 days. -----------------------------------------I---------------------- RE(MIREZ, INSPECTIONS ----------------------------------------- ------------------- Footin; Insp PLM/Underfloor Low Voltage 6yo Board Inso Electrical Final Founcatior Insp Mechanical Insp Fireplace Insp Pain drain Insp Mechanical Final Posti8ean Struct Plumb Top Out Gas Line Insp Nater Line Insp Plumb Final Post/Ceam Meehan Electrical Sprvi Gas Fir�placv Water Service In Building Final Lrawl Drain Framing Insp sulation Insp Appr/Sdwlk Insp ErVRr, C gtrfli e I-m i t t e e Si gnat 1_(vp 1 r,s 1-t ed L�y 11 f Ot- T-1 S peC t I On 639-41 SEWER CONNELTION �iF='CEOMI r CITY OF IIGARD PLIRMl-f #.. . . . 96 . .. : SWR -012168 PLL T E COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 S 1TE ADDRESS. . . : 13855 SW ALP,I NE V I 1---W SUBDIVISION. . . . : HILLSHIRE SUMMIT #2 ZONING: R-- / 1,I) BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :45 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : I 'TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I INSTALL TYPE:. . . . :BUSWR IMPERV SURFACE: 0 9f Remarks : PATH I Uwner, FEES 53IEFRRA PACIFIC DEVELOPMENT INC t yr.)e amoi.int by date v,ecpt P 0 BOX -754 PRMT $ 2200. 00 J*H 0,3/04/96 DEM095-190 INSPI S 35. 00 LA 1114/19/96 96-278437 LAKE OSWEGO OR 97135 Phone #: 684-3175 Contractors CONTRACTOR NOT ON FILE 2235. 00 TOTAL REQUIRED INSPECTIONS !his Applicant agrees to comply with all the rules and regulations Sewer !,.cpest icjn of the Unified Sew;qz Agency. The permit expires lU days from the date issued. The total amount paid mili be forfeited if the ...... permit expires. The Agency does not guarantee the accuracy of the side sewer laterais. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. It not so located, the installer shall purchase a 'Tap and 5ide Sewer" Permit and the Agency will install a I& al Permittee b TiatiAlle : I s;s 1.i e d L,Y Call for insper--tion 639-4175 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 9722.3 Qc I;r►, z�i},�'+�rr. :rlt�v vurn ce+p pl��vtr� (503) 639-4171 -k.,i rat- tr,Yv!, im. r % 1 R Jobsite Address: IJJ 5 �,►� Al l'Nyc Vi�h/ //,� . / Office Use Only Subdivision:11l�i�sLWYU z Lot # '` 5 Valuation: 4H. 0 44 Permit # /ASF Corner Lot? "Y N Reissue at Flag Lot? Y (,.-g Map & TL # �J / k A Owner: !,t.--AA! i-A e i 'c LacApprovals R2guired Address: fe" /ar-x 195/ __ Planning Engineering_ -- Phone: l��( 3 Other 7. `' t y (I)+-. fit L ?I' � N • c � //// �?i'C'ir.0-�1 i /ItC.Q:t� cf C'-,1'AAA Contractor: Items Required Address: i � 5 y Subcontractors_ / t `l7r S� Truss Details Phone: Other r Contractor's License # (attach copy of current Oregon license) 1a"T Contact Name & Phon©:—✓f /Yf=(JcN - ry?V"3/1S 756- 1785 Subcontractors: Architect/Engineer:lC�c.�,�G/ Plumbing: 1t I'mL+„; Address: Me-hanical: 1.6ell ;7►, J •�rJi �� f ti� ;� //rc' 4'7033 ,- rr nt OR�or's License L (attach copy' /cue 1 7 Phone: JOB DESCRIPTION: ctetc) �4pp GAnt Si nature & Phone number _ Received by: ,,�, _ Date Received: rj�WORDCOMDEVIRESAPP , Permit # Account Description Amount Amt. Pd. Bal. Due /is l 4.-ve _ Bldg. Permit (BUILD) o 4,�p.5 Fy�"50 , i _ Plumb. Permit (PLUMB) xech. Permit (MECH) 'T ` Rei- Bldg: c' Z Y Plumb: // 1 Mech: L (i IZ Plan Checkr (PLANCK) 5 2 3•S!S S, C 3. S Bldg: .515,5 X Plumb: Mech: oc f,g' Sewer Connection ( )SWUSA --- ;;� Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Re sidential TIF (TIF-R) 6,/ --e P,- (01C- C)iJ L Mass Transit TIF (TIF-MT) I Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) + Office TIF (TIF-O) 00 C Water Quality (WOUAL) Water Quantity (WOUANT) o 25�n0 + u, •np + Fire Life Safety (FLS) 26' .nd + L + Erosion Cntrl Permit (ERPRMT) 41 6B*76 + Erosion Planck/USA (ERPLAN) 273.58 + 11.25 + Erosion Planck/COT (EROSN) 26.nn + 2(,.Fn + a. n + TOTALS: S/3 SIERRA PACIFIC DEVELOPMENT INC. .�// P.O. Brix 1754 LAKE OSWEGO, OR 97035 (503) 684-3175 FAX (503) 684-3176 TIF CREDIT VOUCHER PROJECT NAME: HILLSHIRE SUMNI[T #2, HILLSHIRE ESTATES, HILLSHIRE ESTATES #2 . THIS VOUCHER ENTITLES � lLfyaJ TO ONE ( ]. ) TIF CREDIT FOR LOT t.- ` IN THE' tVL- .-k$-t SUBDIVIS ON. THIS TIF CREDIT SHALL BE APPLIED BY T14E CITY OF TIGARD AGAINST THE APPROVED TOTAL TIF CREDITS FOR SIERRA PACIFIC DEVELOPMENT, INC . AUTHORIZED SIGNATURE, OREGON TITLE COMPANY i CITY OF TIGARD 13125 S.W. HALL BLVD. TIL.ARD, OR 97223 I ii FI-' RZA0T PF!'fdll T NOTICE FA) T? E?jECTRIC INC PO BON 20476 1 i KEIZER OR 976307 Electrical Signature Form Permit # . . . . : MST96-0056 Date Issued. : 04/19/96 Parcel . . . . . . : 2S109BA-HS245 Site Address : 13855 SW ALPINE VIEW . Siihdivision. : HILLSHIRE SUMMIT 02 Block . . . . . . . . Lot . 45 Zoning. . . . . . : R-7 PD Remark: : PATH I Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, ,he signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed firm is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM WNI;R : ELECTRICAL CONTRACTOR : SIERRA PACIFIC DEVELOPMENT INC FAITH ELECTRIC INC P O BOX 1754 PO BOX 20476 LAKE OSWEGO OR 97035 KEIZER OR 97307 Phorie # : 684-3175 1,, 1, 4 . . : 086309 S�a�–��u��n electrician —. g P 9 Please return this completed form to the audio- _ above. A T TN: Building Dept. If you have any questions, please call 639-4171 , ext. #310 i i I i CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND OR 97230 Plumbing Signature Form Permit # . . • : MST96-0056 nate Issued. : 04/19/96 Parcel . . . . . . : 2S109BA-HS245 Site Address : 13855 SW ALPINE VIEW . Subdivision . : HILLSHIRE SUMMIT #2 Block. . . . . . . . Lot : 45 Zoning . . . . . . . R-7 PD Remarks : PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER : PLUMBING CONTRACTOR : SIERRA PACIFIC DEVELOPMENT INC ASSOCIA'T'ED PLUMBINr, �n P O BOX 1754 P O BOX 301362 LAKE OSWEGO OR 97035 PORTLAND OR 9'1230 r 684-3175 Phone # : Reg # • • : 57890 x a " " Signature of Authorized Plumber Please return this completed form to the address above. ATTN Building Dept. If you have any questions, please call 639 4171 , ext. #310