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13857 SW ASHBURY LANE --
i
CITY OF TIGARD
DEVELO; (WENT SERVICES
13125 SW Nall Blvd., Tigiord, OR 97223 (503)639-4171
CEPTIFICATE OF
OCCUPANCY
PERMIT #. . , . . . . . MST96 —�►
DATE ISGUEi s
ITE W)DRE9,,L3. . . a 13857 5W AC.'t_l"�URY l.N PARCEL: I S 133CD- 16600
i..IAU I V I S I ON. . . . a PEBBLEL REEK #:3
BLOCIA. . . . . . . . ZON 0,I61 a R- 25
-.ASS OF WOF.,<. a NEW
TYPE OF USE. . . c SF
TYPE' OF CONSTR 1 3N
OC;GUPA,XY ORFS, s R3
I li:l l_)rNhil:Y
LOAD., 1
idemarks f PATH I
owners
C05 TA PAC I F I L iiOMEc, _..._
14180 8W OSP'RE'Y DR
02705
I+L_kIVERTON OR 9700-1
hone #c 646•- 8f38Fl
,O9TA-•P0CIFI(; iIOME.5
3625 SW CAS;C:ADE riVE STE:_. 606
"F'AVE:RTON OR r3 700a
'hc;np #: 03-646-8888
:ew #. . .' 65157
1hi , Ce,'tificrate 14cantr• of-cupow-V of the above , eferencecd building or port inn
hereof and coilf lrms tLiat the building has been inspected for cu,apliance wit+
he State of Uregon Specialty Codes for the ciroup, p cy, at rt ii ad$e ander
Phic:h the r ?ferenced pfbt-mit was iss.).red.
1
'3PE 1'r1R .UII._DING OFFICIAL
POST IN CONSPICUUUs PLATE
L
CITY OF TIGARDMASTEFR p,ERMiT
COMMUNITY DEVELOPMENT DEPARTMENT 1-'E TE I SUED • • • 4/96MST9 -���43
DATE ISSUED: X6/`4/96
13125 SW Hall Blvd. Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 1 S 133CC--PB35C,
SII L FaUI)RE.`�!:�. . . 13657 SW (-TriFlBUF1Y LN
S1_IBDIVISION. . . . : VIEBBLECREEN, #3 ZONING: R--25
BL..00K. . . . . . . . . . .. . . . . . . . . . . . . :56
Remarks: PATH I
------------------------------------------------
REISSUE: STORIES.......: i FLOOR AREAS--- ------ BASEMENT... 0 sf REQUIRED SETBACKS---- -----
CLASS OF WORK.:NEW HEIGHT........: 19 FIRST....1 1702 sf GARAGE.....: 447 sf LEFT........,,; 5 SMOKE DETECTRS: Y
TYPE Or' USE...:SF FLOOR LOAD....: 40 SECONI...: 0 sf FRONT.........: 20 PAPPING SPACES: 1
TYPE. T CONST.:5N DWELLING UNITS: 1 FINBE;ENT: 0 sf RIGHT.........; 5
OCCU'P'ANCY GRP.:R3 BDRM: 3 BATH: 2 TOTAL------: 170c 5f VALUE-4: 117695 REAR..........: 15
------
.-----------------------------------------
------ PLUMBING ---------------------------------------------------------------
S?NKS.........: 1 WATER CLOSETS.: 1 WA%,ING MACK..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAIN;: 1 CATCH BASINS..: 0
TUB/9.OWERS...: 2 GARBAGE DISP..: i WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
- ----------------------------------------------------- MECHANICAL ---------------------------------------------------------
FUEL
--------------------------------FUEL TYPES---- ------ FURN ( 100K ..: 1 BOIL/CMP ( 3HP: 0 VENT FfNS.....: 3 CLOTHES DRYERS: 1
/GAS/ / / F;;RN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP.: 0 BTU FLC9R FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
---------------•-------------------------------------------------- ELECTRICAL --------------------------------------_--------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS—— --ADD'L INSPECT;ONS--
ION SF OR LESS: 1 0 - 200 amp.. : 0 0 - 200 amp..: 0 W/SVC OR FUR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA AUD'L 5006F.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PIER HOUR....... 0
LIMITED ENERGY,: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ------------------------------ PLAN REVIEW SECTICN -•-----•-------------•-----------
Reconnect only.: 0 )=4 RES UNITS..: SV;/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
---- -.-------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------—-------------------------------------
A. SF RESIDENTIAL------ B. COMMEKIAL--------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO b STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..; OTH: :: X BOILER.........: HVAC......,....; LANDSCAPE/IRRIG: PROTECTIVE SIGNI:
GARAGE OPENER-: LLU0..........: INSTRUMENTATION: MEDICAL........; OTHR:
HVAC...........; DP;A/TELE COMM.: NURSE CALLS....: TOTAL 4 SYSTEMS: 0
Owner: ----------_--_-------------------Con;ractor: ------------------------------ TOTAL FEES:$ 2741.86
COSTA PACIFIC HOMES COTTA-PACIFIC HOMES
14780 SW OSPREY DR 86K SW CASCADE AVE STE.606
4275
BEAVERTON OR 97007 BEAVERTON OR 97005
Phone 4: 646-8888 Phone 4: 503•-646-8888
Reg 4..: 65157
This permit is issued subject to the regulations contained in ine Tlgaro Muflicipal Code, State of Ore. Specialty Cedes and all other
applicable iaws. 811 work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
------------------------------------------------------ REGUIRE[, INSPECTIONS ---------------------------------------------------------
Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr!Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Law Voltage Gyp Board Insp Electrical Final
Post/Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final _
Post/Beal Mechan Electrical Servi Gas Line Insp Water Line Insp Plumb Final
Crawl Drain Framing Insp s Fireplac Water 5 rice in Building Final
i mit t:ee :i i.gnat�_I► e : Iss _1ad El
LalI far^ inspection -- 639-4175
SEWER CONNECTION
IT1( OF TIOARD PERMIT #IDERMIT SWR)6-02J
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/24/96
13125 SW Hall Blvd. Tigard,Oregon 97223981g9 (503)639-071
PARCEL: 1S133CC--P,8356
11 E (A D l)k
�iUBDIVISION. . . . : P'EBBLECREEK #3 ZONING: R-25
BLOCK. . . . . . . . . . : 1-0 T. . . . . . . . . . . . . :56
'ENANT NAME_.. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0
i-LASS OF WORK. . . :NEW DWELLING UNITS.
I YPIE OF: USE. . . . . :SF: NO. OF BUILDINGS: I
I N51 ALL I"YF-'E. . . -BUSWR IMP'LIRV SURFACE: 0 s
Ilpmarks . VIATH I
Uwner: FEES
(IOSIP PACIFIC HOME,'3 type arcil-trit by date recpt
14780 SW OSPREY DR PIRMT $ 200. 00 JMH 06/24/96 96-280890
#2 15 1 NSP' $ 35. 00 JMH 06/24/9t, 96-280890
BEAVERTON OR 97007
Phone #: 646-8O138
Contractor:— -------------------------------
CONIRACTOR NOT ON FILE
1'-Ihone 2235. 00 TOTAL
Req #. . : REUUIRED INSPIECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer IrisppctioTi
of the Unified Sewage Agency. The permit expires 18@ 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
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall p,uspect 3 feet in all 0—artions from
the distance given, If not so located, the in.taller shall purrhase
a "Tap and Side Sewer" Permit and the Pricy will install a lateral.
I-'e i-ji, j L t P e 13 i g n a t e /`"� /%% `% ,/t; _ _�_ _ _.�. __ __��..._
I s s 1-i ed 11 y
C,a
I I for insper-tion 639 4175
Residential_Quildi_�g Permit Ap lication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: — 13657 SW Ashbury Lane v�
Subdivision: Pebble. Creek #3 Lot # 56 Office Use Onjt
Valuation: L6 i; _ Contact Date / / Initials _
Result
New Construction Only: (Square Footage) PlanclJRec #
House 1Z _ -- Gara.le. --4/17
Permit # -���_9 cL3
— Reissue of _
Corner Lot? Y N Flag Lot? Y N Zone
Owner: Costa Pacific Homes Plat #
Address 8625 SW Cascade Blvd . #606
&pproi als Re uired
Beaverton, OR 97008
Planning Setbacks _ l _Solar
--
Engineering'A),' yrs tr P 5"iz,
Pho ie: ( 503 ) 646-8888 Other _—
Contractor: �nnrF i—_ Items Required
Address Subcontractors
-- ---- Truss Details
Other_
Phone:
Notes `r�
L_ ) —
J �
Contractor's License # 6515:'
(attach copy of current Oregon license)
Contact Name: Marci Weber ---
Contact Phone: ( 503) 646-8888
Subcontractors: Architect]Engineer: _� -nn Aacnri ales
Plumbing. Wolcott Plumbing Address �� ualums nrivP
Mechanical: ARco Installations i i r data Meas, rA 92(� 6
(attach copy of current OR Contractors License)
Hear Electric r Phone: ( 714 ) 549-3479
JpB DESCRIPTION:_
Applie3ri 1"g6ature ! Applicant Phone number
Received by: _ �_ �. `� Date Received:
Permit x Account Description Amount Amt. Pd. Bal. Dy
0'2ti -2 j Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECN) `/_T, ,s2�
Bldg:
Plumb:
Mech. 2 .cl
�GLc //. Z ) �
Plan Check (PLANCK)
Bldg: 31o, I
Plumb:
Mech. _e�_ �� ��3 1 U_1.3
Sewer Connection (SWUSA) u L) 2.0 u
Sewer Inspection (SWINSP) �� 3 )�
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass- Transit TIF (TIF-MT) azj,(-CQ c
Commercial TIF (-MF-C)
Industrial TIF MF-I)
Institutional T1F (711F-IS)
Office TIF (TIF-0)
'Nater Quality (WQUAL) L / t�
`vVater Quantity (WQUAN7) /00
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRI"
Erosion PlancklUSA (ERFLAN) - y
Erosion Planck!CCT (ER0SN) __dam 20
TOTALS: �'S L)
APR-25-1996 17:31 CES P,04
WATER
W METER 5' SIDE YARD
U WATER LATERAL V 17 N 88'22'08" WSETB CK ?OJ
89.86' •S
5ANIT4RY
^�J LAT
0' GARAGE / ��- 15' REAR
LL SETBACK YARD
SETBACK
3 UEr PLAN 1698 W/ F_XTTET 47 NDED I
it S �O I MASTER BEDROOM
U � " ry 4.
in
FF - 201.5
M n
Q Y In
3 ?RIIV 'ivgY r� i cn
CFF 201.0
Id 88'22'08'.W 99.89' n i
1pp� �pL 5' SIDE YARD
? SETBACK
GRAVEL
CONSTRUCTION /
}j ENTRANCE
do
TAX MAP 1S1 33CD
TAX LOT 13400
NOTE: CONTOURS AND UTILITY INFORMATION
TAKEN FROM CONSTRUCTION PLANS PREPARED
9ti, THE SUBDIVISION ENGINEER VERIFY INFORMATION
SHOWN BEFORE BEGINNING CONSRUCTION, CORNER
SCALE: 1' 20' ELEVATIONS 09TAINE0 FROM CONTOUR/GRADING PLAN
AND SHOULD ALSO BE VERIFED.
20 10 0 20
LOT 47 DATE
CONSULTING ENGINEERING SERVICES, iflC 2iz6/ee
15255 N.W. GREENBRIER PARKWA' ( PEBBLE CREEK NO. 2 rlr�_tRF
BF..AWATON. OR 91006 (503; 690-6500 TIGARD, OREGON I.OtV3 wG
-- TOTAL P.Ei4
Box B. continued
Box B:
Measure change in elevation from front property line tc finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If
the lot slopes down from the front lot line to the foundation, the figure is negative. It
3. Measure distance from finished floor elevation to the affected peak"eave.
'4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - fl
deduct nothing. ��----
�. 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. fj
6. Total figure for box B:
Box C. Distance to the shade reduction line. Box C:
I. Measure the distance from the North property line to the foundation near the
affected peakleave. ----- t
'teas_jr2 the distance from the foundation to the affected peak or eave. ( �,
3. Total figure for box C:
it
It is most u . jl 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 "0'should be compared to the value in box"B"; 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 ha,,e any questions, please contact us at 639-4171,x304 or at the
Communitv Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to worth-south lot dimension tin feet)
shade 100+ 95 90 85 80 75 70 65 60 55 30 45
reduction line
from northern
'or lin lin f pr)
0 40 40 40 41 42 43 44 ! —
65 38 38 38 39 40 41 42 43
u0 36 36 36 3: 38 39 40 41 42
55 34 31 34 35 36 37 38 39 40 t
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 23 :3 28 29 30 31 32 33 34 35 6 37 38
35 26 26 26 27 28 29 30 31 32 33 4 35 36
30 24 24 24 25 26 27 28 29 30 31 J2 33 34
25 22 22 22 23 24 25 26 27 28 29 J0 31 32
L0 20 20 20 21 22 23 24 25 26 27 J8 29 30
15 18 18 13 19 20 21 22 23 24 25 16 27 23
10 16 16 16 17 18 19 20 21 22 23 14 25 26
5 14 14 14 15 16 17 18 19 20 21 2_' 23 2a
Box D. Maxirlum a loved shade paint height: _ I� feet
I
a
Solar Balance Point Standard Worksheet
Address r, 0 1 ) �A)rr<< b,A�-Y F(
B )x 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.
ham. a`o
4
NrvIMEAN 1 N(;QMERN
'.UI 11IiE �� lUI UNF
_—. North-South
Dimension for Lot:
Measure the di,.cance from the midpoint of the North lot line to the South lot line along
the described line. �7 feet
�I�CRIFFSCUM.MENSICN.�-�>
Box B calculations: Shade point height for your residence. Box B:
I . 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?
la: If the roof line runs North-South, measurements will "°" (circle one)�
be based on the peak of the roof,
1 b: If the roof line runs East-Nest and the roof pitch is
less than 5/12, measurcment5 will be based on the
eave.
1 c: If the roof line runs East4est and the roof pitch is
Si 12 or steeper, measurements will be based on the
a�
peak.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC
PO BOX 389
28085 BUTTEVILLE RD NE
DONALD OR 97020
Electrical Signature Form
Permit # . . . . : MST96-0243
Date Issued. : 06/24/96
Parcel . . . . . . : 1S133CC-PB356
Site Address : 1:3857 SW ASHBURY LN
Subdivision. : PEBBLECREEK #3
Block. . . . . . . . I,'A : 56
Zoning. . . . . . . R-25
Rernarks :
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, the 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 farm is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : R i J-:('1'h I C'AL CONTRACTOR:
COSTA PACIFIC HOMES BEAR ELECTRIC
14780 SW OSPREY DR PO BOX 389
#275 28085 BUTTEVILLE RD NE
BEAVERTON OR 97007 DONALD OR 97020
Phone # : 646-8888 Phone # : FAX-687-1
Reg
__Si atu ofpervisingElectrician
Please return this completed form to the address above. / 2-7 3 4.5
ATTN: Building Dept.
If you have any questions, please call 639-417 1 , ext. #1310
CITY OF TIGARD
13125 S.W. HALL 6LVD.
TIGARD, OR 97223
IMPORTANT �-crsNIIT NOTICE
WOLCOTT PLUMBING CONT. INC
P O BOX 2007
GRESHAM OR. 97030
Plumbing Signature Form
Permit # . . . • : MST96-0243
Date Issued. : 06/24/96
Parcel . . . . . . : 1S133CC-PB356
Site Address : 13857 SW ASHBURY LN
Subdivision . : PEBBLECREEK #3
Block . . . . . . . . I,,)t . 56
Zoning. . . . . . : R-25
Remar.ks :
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:
COSTA PACIFIC HOMES WOLCOTT PLUMBING CONT. INC
14780 SW OSPREY DR P O BOX 2007
#275
BEAVERTON OR 97107 GRESHAM OR 97030
Phone 4 : G46-8888 Phone # :
Reg # . . : 23847
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