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N.w. 4 SEC. 10,1.2SgR.1 W, W.M.
CITY OF 11GARD
WASHINGTON COUNTY, OREGON
APRIL 14 1997 Ceri terl in e, Concepts Inc.
[DRAWN BY: MSG CHECKED BY: WGDIII
--AN EIGHT FOOT PUBLIC UTIUTY EASEMENT $LAS 1":20' ACCOUNT 115 640 82nd Drive Gladstone, Oregon 97027
SHALL EXIST ALONG ALL STREET FRONTAGE. 503 650-0188 fax 503 650-0189
M• MU L54EP—A
T 1 I I I I I I i l lI r []-[r] i I I I T 11NOTICE: IF THE PRINT OR TYPE ON ANY III IIJillII � II • lIlIlI I ! I1 � I ( 1 I � III 111 flf � l � f � ( � II � IIII III III 111 � � � II ► IIII11lIII , ,
IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 G 4 6 I �I 8 9 10 11 12 ��Z- a� OCA
IT IS DUE TO THE O! JALITY OF THE _ _ __ No.38 � �; �•
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13931 SW AERIE DRIVE
Page No. 1 CASE HISTORY FOR CASE NO.: MEC90-0.109
NAOMI WILLIAMS
13931 SW AERIE DR
06/18/10
Act.i.on Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Gate By
MECA007 Application received / / / / 03/24/98 RECD GEO 03/24/98 GEO
MRCA008 Create Permit / / / / 0304/98 waiting for additional fees, check was DONE GEO 03/21/98 DST
for insufficient amount.
MECA090 (F) Ready to issue / / % / 07/27/98 Ready to issue, permit printer not MEMO DEB 03/27/98 ARA
working, contractor called with permit #
and told we wc,.ld mail permit as soon as
issued.
MECA060 (F) Issue permit / / / / 03/27/98 DONS DEB 03/27/98 LRA
MECA799 Final Inspection 03/24/98 / / 04/01/98 PASS OS 04/01/98 J•H
MECC800 Cane Finaled / / / / 04/01/98 PASS GS 04/01/98 J•H
Page No. 2 CASE HISTORY FOR 3F, NO.: MSTg7-0160
RENAL, LANCE
13931 SW AERIE DR
06/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date Py
MSTA799 Building Fina? 02/02/98 J. Label bathroom circuits in panel. FAIL. GS 02/02/98 J•H
2. No power, freezer plug in garage.
3. GFCT in upper hall bath not working.
MSTA799 Building Final / / / / 02/04/98 PASS GS 02/05/98 J*H
MSTA960 (F) Issue cert. of Occupancy / / / / 04/01/98 MAILED 6/12/98 MAIL VN 06;12/98 VLN
Page No. 1 CASE. HISTORY Fop CASE NO.: MST97-0160
RENAISSANCE
13931 SW AERIE DR
06/18/98
Req/ schd/ End/ Action Notee Disp By Update Upd
Action Description Date By
code Sent Done Done
------- ------------------------------ -------- ------
05/09/97 PASS DEB 05/10/97 BT2
M9TA005 Application received / / / / pps9 DEB 05/20/97 BT2
MSTA008 Permit Created / / / / 05/13/97
PASS DEB 05/20/97 BT2
MSTA010 'hack for prcl. restrict. / / / / 05/13/97 PASS DEB 05/03/97 BON
MBTA012 Plans routed to plana Examiner / / / / 05/13/97
05/20/9'1 PASS RT 05/20/97 BT2
MSTA026 Plans approved by Pln Examiner / / / / PASS RT 05/20/97 BT2
MSTA030 Reviewed plan05/20/97 a routed to DSTS / / / / PASS H 06/03/97 BON
MSTA032 DST Post-Review Completed / / / / 06/03/97
05/03/97 PASS H 06/03/97 BON
M9TA080 (F) Ready to issue / / / /
PASS 8 06/05/97 DST
MSTA092 (F) Issue combinAtion permit / / / / 06/05/97
06/18/97 RECD SW 06/18/97 MRS
M9TA095 issue plumbing signature form / / / / RECD SW 06/18/97 MRs
MSTA097 Ieaue electric signature form / / / / 06/18/97
05/20/97 BT2
MSTA700 Erosion ContOl / / / / / / PASS TLP 06/12/97 TLP
MSTA705 Footing Insp / 06/06/97
06/06/97 PASS TLP 06/11/97 TLP
Foundation Ins / / / / c
MSTA706 P PASS G.. 07/18/97 J+H
MSTA710 post/Beam Structural / / 07/08/97
07/08/97 PASS G8 07/18/97 J•H
MSTA711 POet/Beam Mechanical / / / / PASS TLP 06/21197 TLP
MsTA713 Crawl Drain / 06/17/97
/ 07/18/S� PASS G8 07/18/97 J•H
MSTA717 pt.M/Underfloor PASS GS 10/07/97 J+H
MSTA720 Mechanical Insp 10/06/97
10/06/97 PASS G8 10/07/97 J+H
MSTA722 Plumb Top Out PASS GS 10/07/97 J+H
MOTA723 Electrir.l Service 10/06/97
10/06/97 PASS G9 10/07/97 J•H
MSTA724 Electrical Rough In / / / / PASS GS 10/07/97 J+H
MSTA725 Framing Inep 10/06/97 Approved pending corrections:
1. Strap garage/hnuse platen cut for fan
vents.
2. Ransil sheathing, second floor, NE
corner.
3. Test plumping waste through roof.
4. Double up hung post in high front
gable roof.
MSTA726 Shear wall Inep / / 10/06/97 See framing this date.
PASS G8 10/07/97 J•H
10/06/97 PASS GS 10/13/97 GES
MSTA727 Low Voltage PASS GS 10/13/97 GES
MSTA735 Gan Line Insp / / / / 10/06/97
PA99 G9 LO/13/97 GES
MSTA'36 Gas Fireplace / / / / 10/06/97 PASS GS 10/14/97 J•H
MSTA740 Insulation Inep / / / / 10/13/97 PASS GS 02/05/98 J•H
MSTA745 Gyp Board Insp / / / / 02/04/98
/ / / / 06/17/97 PASS TLP 06/13/97 TLP
MSTA755 Rain drain Inep PASS GS 10/13/97 099
MSTA761 Mater service Inep / / / / 10/06/97 PASS MW 12/04/97 J+H
MSTA765 Appr/Sdwlk Inep / / / / 12/02/97
14STA79U Electrical Final
/ / / / 02/03/98 see bldg final FAIL GS 02/02/99 J•H
/ / / / 02/02/98 PASS G3 02/02/98 J+h
META'/95 Mechanical Final PA99 GS 02/05/96 .7•H
MSTA795 Mechanical Final / / / / 02/05/98
/ / / / 02/0; '98 PASS GS 02/02/98 J•:1
M9TA797 P1'..mb Final
CITY OF TIGARD BUILDING INSPECTION DISI ON MST
24-Hour Inspection Line: 639-4175 Business Line 639-4171 --�-
'0-110BUP _
__Date Requested ?' AMPM BLD
Location 'i 3� •��� � ?� _ Suite MEC
Contact Person -re"k%ol ` U� — PLM —
' �*
Contractor � —_� �__ Ph SWR
BLDING Tenant/Owner 7� r� _ ELC1iG
UIri UUJ �r'�
Retaining Wall amu'( 9 At ELR
Footing Ac,-ess:
Founcation / 5,� /^ NF1 r� _� i� FPS
Ftg Drain Z SGN
Crawl Drain Inspection Notes: - ---
Slab ----- - -- — ------------- SIT
Post&Beam
Ext Sheath/Sheat ------ --- —
Int Sheath/Shear
Framing --__ - ---- ---- - ---- -----
Insulation
Drywall Nailing --- --- --;— -- — - --- --------
Firewall
Fire Sp-inkler
Fire Alarm
Susp'd Ceiling --------- -- --- -
Roof
Mise: __ - --- -- -- — --
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains —
Final
PASS PART FAIL
MECHANICAL
Post&Beam --------
Rough In _-
Gas Line -- --- - - - --
Smoke Dampers _—
Final --
PASS PART FAIL -
CP_ ------
Rough In —
UG/Slab -�. ---_. . - - - ------- --- -
Low Voltage
F 'arm - . ---- - ---- —�-.__
f real
S PART FAIL —
Backfill/Grading -
Sanitary Sewer
Storm Drain [ j Reinsoection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ j Please callfor einspection RE: nable to inspect-no access
Fire Supply Line /�
ADA / /
Approach/Sidewalk Date nspector Ext
I ----
7'
Other '`f' -- --
r incl �
PASS PART FAIL 00 4�' T REMOVE this inspection record from the job site.
_ ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT#: ELC2000-00541
DEVELOPMENT SERVICES DATE ISSUED: 9/12/00
13125 SW Hall Blvd.,'i ipard, OR 97223 (503) 639.4171 PARCEL: 2S103CC-04800
SITE ADDRESS: 13931 SW AERIE DR
SUBDIVISION: EAGLE POINTE ZONING: R-4.5
BLOCK: LOT : 054JURISDICTION: TIG
Project Description: One branch circuit and four additional circuits
RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS _ MISCELLANEOUS
1090 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER_ BRANCH CIRCUITS ADD'L INSPECTIONS__
0 - 200 amp: W/SERVICE OR FEEDER: PER INoPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION— _
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
_ Reconne(.only: — SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor:
WILLIAMS, ROGER M + NAOMI F KELSO ELECTRIC INC
13931 SW AERIE DR 16670 SW WRIGHT
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: Phone: 591-9665
Reg#: LIC 001162
SUP 4270s
ELE 34-433c
FEES _ Required Inspections
Type By _ Date _Amount Receipt Elect'I Final
PRMT CTR 9/12/00 $73.45 2720000000(
5PCT CTR 9/12/00 $5.87 2720000000(
Total — $79.32
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Sped alty Coaes and all other applicable laws
X!work will be done in accordance with approved plar� This permit will expire if work is not started within 180 days of issuance,or it work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952.-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMIT TEE'S SIGNATURE ISSUED BY:
t7x4:.c1
OWNER INSTALLATION ONLY
I he installation is being made on property I own which is not intended fcr sale, lease, or rent.
OWNER'S SIGNATURE: — DATE: —
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N: — —_ _— DATE: –
LICENSE NO: —
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SV(. HALL BLVD. Recd By .
TIGARD OR 97223 ( Cr Date Recd q-/ -Gi
Phone(503)639-4171, x304 Print Of Type Date to P.E. `
Inspection (503)639-4175 Incomplete or illegible will not be accepted Date to DSTPermit#
Fax (503) 598-1960 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development
Number of Inspections per permit allowed
_ -
Name(or came of business)_ /L!„/_q f c Service included: Items Cost Total
Address cf ,4rjQ 4a. Residential-per unit
/� 1000 sq.ft.or less _ $147.15 4
City/State/Zip Z26, A?p GK Each additional 500 sq ft.or �-
portion thereof $33.40 1
Commercial 0 Residential Limited Energy $75.00
Each Manufd Home or Modular
Dwelling Service or Feeder $90.90
2a. Contractorinstalfstion only: 2---- - -
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data base. Installation,alteration,or relocation
200 amps or less $80.30 2
Electrical Contractor C-7- 201 amps to 400 amps $106.85 2
Address zo T 401 amps to 600 amus $160.60 2
City State Q le Zip_ !�i 7 601 amps to 1000 amps $24060 2
phone O. S'y/ _ q('6 C` Over 1000 amps or volts $454.65 2
Job No. Reconnect only $66.85 2
Elec.Cont. Lice. No. ! 4�-J: Exp.D r ^ 01 -' 4c.Temporary Services or Feeders
OR State CCB Reg. No. :✓ra 1;s Y Exp.Vate_': i Installation,alteration,or relocation
200 amps or less $88.85 2
COT Business Tax or Metro No. E)•p.Date 201 amps to 400 amps - $100.30 2
/ 401 strips to 600 amps $133.75 2
Signature of Supr. Elec'n ,/ �� r,�j''/_.. over 600 amps to 1000 volts, -
[� � -7� see"b"above.
License NO 7 G L' _Exp.Date 10-D 1 01 4d.Branch Circuits
Phone No 691 • {1 - New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder lee.
Each branch cirrus. $6.65 2
I tint Owner's Name_ b)The fee for branch a cults
Address without purchase of service
laity __ State 7ip or feeder fee.
Phone No. First branch circuit $46.85
-- -- - Each additional branch circuit _ $6 65
Tire installation is being made on property I own which is not 4e•Miscellaneous
intended for sale, lease of rent. (Service or fr:eder not included)
Each pump or irugation circle _ $5340 _
Each sign or outline lighting _ $53.40
Owner's Signature _ Signal circuits)or a limited energy -
panel,alteration or extension $75.00
3. Plan Review section (if required):" Minor Labels(10) $125.00
Please check appropriate item and enter fee in section 5B. Q.Each additional inspection over
the allowable In any of the above
`^.4 or more residential units in one structure Per Inspectien _ $62.50 _
Service and feeder 225 amps or more Per hour ___ $6250
System over 600 volts nominal In Plant $73.76
Classified area or structure containing special occupancy as S. Fees:
In N.E.C.Chapter 5
68.Enter total of above fees $
Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ 17
Not required for temperary construction services. Subtotal $ `
6b.Enter 25%of line 6a for
NOTICE Plan Review if required(Sec.3) $
-
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ -- -
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR Trust Arrpunl#
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $
i\dsWformskfectric rev.doc-5/00
CITY OF TIGARD
IT
DEVELOPMENT SERVICES PLUMBING#...(c, ..: PL
PERMIT #. . . . . . . : PLM97-0470
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 11/20/97
PARCEL: ES1O3CC-04800
SITE ADDRESS. . . : 13931 SW AERIE DR
SUBDIVISION. . . . : EAGLE POINTE ZONING: R-4. 5 FID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O54 JURISDICTION: TIG
CLASS OF WORK. . :ALTGARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TY'E OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY ( RP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. — . : 0 CATCH BASINS. . . . . . . : 0
F I XTURES-- - --- ---- - - LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
1...AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOIJERS. . . : 0 SEWER LINE_ f ft ) . . . : 0
WATER CLOSETS. : 0 WATER f._ INE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installing residential back" ow prevention device
(.)wn e r: _ -- -- FEES
RENAISSANCE-._._.______..__.•--_--..___----._--_..___-__ type amaUnt by date rer_pt
1672 WILLAMETT FALL DR PRMT $ 15. 00 JD 11 /18/97 97--3010:"0
WEST LINN OR 97O68 5P'CT $ 0. 75 JD 11 /18/97 97-3O103O
Phone #:
MOODY ENTERPRISE INC
l'O BOX 98
FSTACADA OR 97O23 ___-------•--._.______---_--_ _ .
FIhnne #: $ 15. 7`_, TOTAL
-- - -- - REOU I RED INSPECTIONS
-- -- -
This permit is is,ued subject to the regulations contained in thr RP'/Backflow Pr-ev
Tigard Muniripal Code, State of Ore. Specialty Codes and all other Final Inspectiort
applicable laws. All work will op done in accordance with -
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 168 days. ATTENTION: Oregon law requires you to follow rules --
adopted by the 9-w,on Utility Notification Center. Those rules ar-e
set fortis in OAA 2-MI-0016 through OAR 952-8881-8898. You Bay _--•-----
obtain copies of these rules or direct questions to OUNC by calling
(583)246-1987.
Tssl_red Bv • _ _1' t,'�lX _ _.._A_ Permittee Signati_rre :
+++++++. -1-+ F++++++++++++-}+4•+++++++t+++++•t++++++. ++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p. r;. for an inspection needed the next b�_rsiness day
4+++•-t+++++++++++++++++-r•++•4.+++++++i ++++++4-++++++++++++++++++++++-f ++++++. +++F+++
;ITY OF TIGARD Plumbing Application �J4 =� �•`:ec'dBy
/� Date Recd / !
3125 SW HALL '3LVD. Commercial and Residential Date to P.E.
/
. IGARD, OR 97223 �"'��
Date to D
503) 639.4171 C--'�'" J Permit 0 �!1l�1%C�
;print or Typq Related SWR
Incomplete or illegible applications will not be accepted Called__ _
Name of Developrient/Project On back Indicate Work Peiorrned by fixture.
Job FIXTURES (Individual) 01Y PRICE AMT
Address Street Address Suite Sink 9.00
/.3 yy/ LJ l _ Lavatory 9.00
Bldg aYCity/State LIP T,uh or Tuh/Shower Comb. 9.00
Nam -Thowe9.00
r Or.y _ _
Water Closet 9.00
Owner Mailing Address Suite Dishwasher 9.00
"'*'&;) Garbage Disposal 9.00
City/State Zip Phone -
y ,f7_ J0� Washing Machine _- 9.00
1,1,46-111 QiieName Floor Drain 9.00
3" 9.00
Occupant Mailing Address Suite 4" _- 9.00
Water Heater O conversion O like kind 9.00
City/Slate Zip Phone -
Laundry Room Tray 9.00
-� N?me ---- /J Unnat � 9.00
t.l�ia� r Other Fixtures(Specify) 9.00
Contractor MalinAddres p Suite 9.00
(� �rQ�r `>'4 9.00
Prior to permit City/S to Zip Phone _
issuanre,i copy GXkb dR y /- y/ rY _-Y 9.00
of all licenses are Oregon Const.Cont.Board Lic.• Exp.Date 9.00
required if j/j - Sewer-1st 100" -� 30 00
expired in COT Plumbing Lie. Exp.Date
database Sewer-each additional 100' 25.00 I
I -{I
Name Water Service-1 st 100' 30.00
j Architect Water Service-each addition;1200' 25.00
or Mailing Address Suite Storm&Rain Drain-1st 100' 30.00
Storm %Rain Drain-each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Srace 15.00
Commerdal ack Flow Prevention Device or Anti- 25.00
Describe work e-w Adfftion O Alteration O Pspair O Pollution De, x_ _
to be done: Pestdewlal er Non-residential O Residential BaCKflow Prevention Device' 15.00
Additional description of woik, Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 900
isp.of Existing Plumbing 40 00
_
par/hr
i,,,sting use of - Specially Requested Inspections 4C.00
building or property---_.- per/hr
Rain Drain,single family dwelling 30.00
Proposed use of Grease Traps 900 j
budding or property _��� _
QUANTITY TOTAL
I hereby acknowledge that I have read this aoplication,that the information :sometnc or ns,?, m,diagra .s required A Quandt'Total is >9
given is,orrect,that I am the owner cr duthonzed agent of the owner,and *SUBTOTAL -�
that plans submitted are in compliance with Oregon Slate Laws.
Sig 4, re o OwnerlAgent Date - 5%6 SURCHARGE
� -
LL '-k /////
/'r� PLAN REVIEW 25°e OF SU8T01AL
Contact erso ' ame Phone Required onty d f azure qty total is>9
TOTAL
'Minimum permit fee i• $25• 594 surcharge,except Residential Backflow
Prevention Device,which is S15*.5%surcharge
PLEASE COMPLETE ,
Fixture Type Quantity by Work Performed
Capped/ Romoved Moved Replaced
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Gi ply
_Water Closet
Dishwasher
Garbage Disposal
Washing Machine _ _—
Floor Drain 2"
4„
Water Heater
Laundry Room Tray _
Urinal _
Other Fixtures (Specify)
COMMENTS F:EGARDING ABOVE:
i Aslyplmacp Ox 5lg?
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspc0ion Line: 6394175 Business Phone: 6394171
Date Requested: r — ^__ AM. Y.M._ _ MST:
LBURocation:
Tenant: Suite: Bldg: , NIC:
Contractor.,. f�� '�--J Phone: _ PLM:
Owner: Phone: ELC:_—_.
ELR:
— — ,ice �;`j v(`
BIIILhING LD cont) PLUMBING MECHANICAL 1kLI1 SITE
Site Post/Beam Post,Beam Post[Beam Cover,erv.ce Seweil Itorm
Footing Roof 11ndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/buct Reconnect Vault
Bsmt Damp Storm Furnace Temp Service MISC.
Masonry Ceiling Rain thein A/C UG Slat
Shear/Sheath Fire Spklr/Ahn Crawl/Found Dr I leat Pump l.ow Volt
Approved Approved CAmrove Approved
Appr/Sdwlk Not Approved Not Aprrovexl Not Approved Not Approved Not Approved
r� FINAL FINAL cgl FINAL
O Call for reinspection d Reinspection fee of S _required twfore next inspection CI 1 Inahle to inspect
Inspectori p of --
r_ �� — _---- Date.�— Y�/ Page--- -
CITY OF TIGARD ELECTRICAL. F'EPIhIT c
DEVELOPMENT SERVICES ERMIT #: 014
DATE ISSUEDD:: 03/25i96
13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171
FIARCEL: S1O3CC-04800
`._;ITE ADDRESS. . . : 13931 SW AERIE DR
SURD I V I S I CN. . . . :EAGLE FIO I NT E ZONING: R-4. 5 PD
hl_.00V.. . . . . . . . . . . LOT. . . . . . . . . . . . . :054 JUR I S.D I CT I GN: T I G
Pro ;Pet De scr i pt i on : Installing first branch circuit.
--RES!DENT IAL.. IJNIT.---- ---TEMP SRVC/FEEDERS---- .------MISCELLANEOUS-._-_--.
1000 Sf OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 F'UMF'/IRRIGAT ION. . . . : 0
EACH ADD' I_ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OI'T LINE= I_ i*G. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 S I GNAL../PANEL. . . . . . . : 0
MANF. NM/ SVC/'FDR..: 0 601+.amps-1000 volts. : I, MINOR LABEL ( 10> . . . : o
--SERVICE/FEEDER----- ----BRPNLH CIRCUITS----- ----ADD' L INSF,EC . IONS----
0 - 2OO amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
x_01 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . . 0
401 - 600 amp.. . . . . . : 0 EA ADD" L BRNCH CIRC: 0 IN F,LANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 --____..__-_-----_-_F'�I_AN REVIEW SEC'TION----- - -______-..____._
10,00+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL— :
Reconnect only. . . . . : 0 SVC/FDR > w 22-5 AMPS. . : CLASS AREA/SF,EC OCC. :
Owner: ___.____________.____._______________---------..-----______ FEES
NAOMI WILL..IAMG type amotint by date rcpt
13931 SW AERIE PRMT $ 35. 00 S 03/5/139 A,-)-304415
TIuARD OR 97=-3 SFICT $ 1. 75 H 03/25/98 98-304415
I-1-lone #:
Contractor: ---_______------.-.---•---___ ------_____-------___________________----__-•-.
NW ELECTRICAL SPECIALTIES $ 36. 75 TOTAL
ROYAL EDWARD STEARNS II
616 SE 691H CT -_----- REOU i RED I NSPECT I ONS ------
HILLSBORO OR 97123 Rol_igh--in Elect' ' Final
F'hene #: 848-8678 Elect' 1 Service
Reg #. . : OO1213
This permit is issued subject to the regulations contained in the ligard Municipal Code, State rf Ortyon Specialty Codes and al; other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopter by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8810 thrnugh OAR 952-881-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (583)2�6-1987. / ,
f'e�r-mittee igrnat ire : �l'� Q , 't Pct (o,-, Iss�_ied By : l.'l rk4J F��.._�` _ - ---
---------------OWNER INSTALLATION ONl_.Y-- _._- ---__.-------------_______--
Ihe installation is being made on property 'I own which is nc� in-.ended For
sale, lease, or rent. 7 �(
CIWNFR' S SIGNATURE: r1'1 ` t C(T I, - DATE: ---_-
_-.-__--CONTRACTOR INSTALLATION ONLY -- ---- ------------______.___
5 I GNATURE OF SUFIR. ELEC' N: —__ DATE: -------..-_----___
I. I CENSE NO:
1-++++++++h+++++++++++++++++++++++ 1-4+++++++++++++f+++4++++++++++++++4-+++++++++++
Call E_39-417` by 7:00 p. m. for- an inspection needed the next tills lnes s day
4.4++++++•+++++4-++++++++i-+++++++++++++++++4++++++++++++F+++++++++4+++++++. ...4-44 4
i
r Y (7'•r TIGARD Electrical Permit Application Plan Check#
Recd BY--
. i SM HALL BLVD. Date R c 1' -
',1' OR 9722.3 Date rt�ot1,P,I.JE._
.3)639-4171, x304 DateT'
Print or Type Perna# '�g�- t7t�lS
act i,n (503) 639-4175 Incomplete or illegible will not be accE., edr,,
Fax (503) 684-7297 _ --
1. Job Address: Y 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development
Name(or name of business)n�/1 C .r 1 l l I,I,)1) �Q��� Service included: Items Cast Sum
Lx - -------
Addross -st1 t-1 v L &." 14a. Residential-per unit
i000 ay.ft.or IOC6 Rt t0 nn a
City/State/ZipvEach additional 500 sq.ft.or -
portion theleul $25.00 1
Commercial Residential Limited Energy $:J.00
Each Manuf'd Home or Modular
Dwelling`service or Feeder $68.00
2a. Contractor installation only: 4b.services or Feeders
(Attach copy of all currant licenses) � t Installation,alteration,or relocation
Electrical Contractoll tt 'L _L 1 200 amps or less $6000 2
Address I 'Ip f -:fi4 h C L- 201 amps to 400 amps $80.00 2
State r9� Z )� 401 amps to 600 amps $120.00 2
City 601 amps to 1000 amps $180.00 2
Phone N0. Over 1000 amps or volts $340.00 _- 2
Job No-- Reconnect only $50.00 - 2
-�'' Ex .Date.
Elec.Cont Lice. No. � � .� p ��
OR State C,CB Reg. No.�_,j 13��_Exp.Date 2` 4c.Temporary Services l Feeders
Installation,alteration,or relocation
COT Business Tax or Metro No.,_ -_Exp.Date 200 amps or less $50.00 --
�✓ 201 amps to 400 amps $75.00
Signature of Supr. Elec'n--„�`� i /r� - 401 amps to 600 amps $100.00 -
Over 600 amps 10 1000 volts,
License No_
/�'' + - Fxp.Date r _ see"b"above.
Phone No. '! s ' - - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for blanch circuits with
purchase of service or
feeder lee.
Print Owner's Name____-.-- - Each branch circuit - $5.00
Address -.-- ---- -- b)The fee fol branch circuits
State-_ Zip_______-- without purchase of
torvice or feeder lee. ( $35.00
Phone No. -- - -- -- first branch circuit
The installation is being made on property I own which Is not
Each additional branch circuit $5.00
intended for sale, lease or rent. 4e.Miscellaneous
(3ervice or feeder not included) $4000
Owner's Signature Each pump or Irrigation circle -- $4000
Each sign or outline lighting
Signal circult(s)or a limited energy
3. Plan Rewt:i section (if required): $40 00� panel,alteration or extension $10000 -_ -
Minor Labels(10) --
Please check appropriate item and enter fee In section:51B. 4f.Each additional inspection over
4 or more residential units in one structure the alto vablP In any of the abo%
Service and feeder 225 amps or more Per inspection $35.00
_System over 600 volts nominal Pel hour $55.00 -
Classified area or structure containing special occupancy In Plant $55.00 -
as described in N.E.C.Chapter 5
*Subm't 2 sets of plans with application where any of the above apply. es- r160
5a E�eeta of above tees $
Not required for temporary constv
� ction services. 5%Surcharge(.05 X total fees) $
N01" Subtotal $
5b.Enter 25%of line 5a for $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviaw if reuuired(Sec 3) $ -
NOT COMMENCED WITHIN 180 DAYS,OR IF CONS'rRUCTIOK OR WORK I Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account# '
rIME AFTER WORK IS COMMENCED 3
total balance Due
1.1aSTMLCN APP Rev 11/96
CITY O F T I G A R ® MECHAM I CAL
DEVELOPMEW SERVICES PERMIT
PERMIT #. . . . . . . : MEC98-0109
13125 SW Hall Blvd., Tigard,017.971" (503)639-4171 DATE ISSIUED: 03/2-t'/98
PARCEL: 25I03CC--04800
SITE ADDRESS. . . : 13931. SW AERIE DR
SURD I V I S I(IN. . . . : EAGI. E POINTE ZONING: R--4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :054 JURISDICTION: TIG
---------------------------------------------------------------------------------------
CLASS (IF WORK. . :ADD FLOOR FURN. . . . 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF' UNIT HEATE=RS. . : 0 VFNT FANS. . . : 0
OCCUPONCY GRP. . :R3 VENTS W/O APPS-: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-1-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : Q, C011111— INGIN: 0
MAX INPUT: 0 BTU .15--30 HP. — : 0 REPAIR UNITS: o
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WPIC) 'STOVES. . : 0
GAS PRESSURE. . . 504- HP. . . . : 0 CI.0 DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : 0
TURN < 100K BTU: 0 10000 cfm: I GAS OUTLETS. : 0
FURN ) =100K BTU: 0 10000 cfm : 0
Remarks : Add air handling unit to l@,@WFM to an existing single family
dwelling. Air cond. units can not lie placed within the required setback area.
Owner-.- FEES
NAOMI W10- 1AMS type amriLtnt by &%t e r-eept
13931 SW AERIE PRMT $ 15-2,3 DEB 03/27/98 98-304446
TIGARD OR 97223 PRMT $ 9. 77 DEB 03/1217/98 98-304447
5PCT $ 1. 25 DEB 03/27/98 98--304447
Phone #: 590--5776
Contract;or: -- ----- _________._.__._______.__.--_-.--
SUN
antr-ari'orSUN GLOW INC
2428 SE 105TH AVF ---.---------------.-----------.-_
$ 25 TOTAL
PORTLAND OR 97216
FlhoTie #: 2'-3-7789
Reg #. . : 000481
REQUIRED INSPECTIONS
This permit it issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. 'Inspection
applicable laws. All work will be done in accordance with Final Inspection
app-oved plans. This permit will expire if mr,rk is not started
within 18@ days of issuance, or if work is simended for more
than 180 days. ATTENTION: Oregon law req-;Jres you to follow rules
adopted by the Oregon Utility Notification Center. TfioqP rules are
set forth in OAR 952-001A*10 through OAR 952- I-0080. You may
obtait, copies of these rules or dir t questions to 0JNC by rallin,l
(,43)246-9187..
——
T �
-------------
Permittee Si gnat Lir,e
llk -
F+++4++++++++4-+++4++a++++t F........ +y•+++++++++++++4 .......f-++++i-+4.........4
Call 639--4175 by 7 :00 p. m. fav- inspections needed the r.e>(t bi-tsiness day
.......4++-++4.................4-44 ++4....#-+++4+4 1.......... ........4-4+++-1 .....4.+++
-1
Ci', of Tigard MECHANICAL PERMIT Planck/Rec. # /'rL"
13125 sw Hail Blvd. APPLICATION Permit ;._ 1.
Tigard, OR 97223
(503) 639-4174 MAR 2, 11998
to -53�*
ription
(-� Table 3A Mechanical Ccde QTY PRICE AMT
I
7(� �. 1) Permit Fee -0- I i 0.00
Jib 1 � �� � EKY r
Ar:IdfrCS `O 3.00
t �' 2) Supplemental Permit
urnace s100.000--DG.00
• S vents 4-
,1/ 1)
incl. ducts
•�. urnace i
I r f) P 2) incl. ducts &vents _v 7.50
Y,i
� Vwner '-' ,,. oor urnan:e
3) incl. vent - 6.00
- Q uspen eater, wall tFe-We'
- 4) or floor mounted heater 6.00
... ant not inc. in
uccupant �• 5) appliance permit 3 00
Repair of Fiea ing, re ig
_ l 6) cooling, absorption unit 6.00
r oiler or comp, eat pump, air cond.
_ 1 - 7) to 3 HP; absorp unit to 100K BTU 6.00
of e, or comp, eat pump, air cond.
.M.
ti jl, E,�r r 8) 3-15 HP; absorp unit to 500K BTU 11.00
(.O lifaCtOf .. tn�—"i'w of er or comp, eat pump, air cond.
y� y j 9) 15-30 HP; absorp unit .5-1 mil BTU 1500
rr / �r�
•,, ..
Boiler or comp, eat pump, air cond.
10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
1 r;ere y ac now edye tnat' ave eea tis al p icabon, that a
Boiler or comp, eat pump, air cond
rJTrrmahon given is correct, that I am the cwner or authorized 11) � 50 HP; absorp unit 1 75 ml BTU 37.50_ _
agent of the owner, that plans submitted are in compliance with Air handiing unit to - 1
Slate laws, that I am registered with the Construction Contractor's 12) 10,000 CFM
4.50 � l
Bcard, that the number given is correct, (If exempt from Statc it an Fin—gun-It unit 7.50
registration, please give reason below.) 13) 10,000 CTM +
on Portable
14) evaporate cooler 4 50
ent an connected
15) to a single duct 3 c0
'Ventilation system not—
L d _ -3/ 16) included in appliance permit 4 EO
serve y
17) mechanical exhaust 4 50 Describe work new a tion a teranon repair l ommercia or industrial
18) type incinerator 1 C0
I be done residential Q non-residential Q _ -
eting use o ter i e„ woo stove, water
19) heater, solar, clothes dryers, etc. .150
bui Hing or property -
Proposed use of 20) Gas piping one to four outlets 2 00
building or property 2 00
21) More than 4-per outlet (each) _
Type of fuel •oil Q natural gas Q LPG Q electric Q
NMCE Minimum Fee e25 00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRI ICTION 7
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR 5". SURCHARGE •
IF CONSTRUCTION OR WORK IS SUSPENDED OR --' —
ASANDONEC FOI.A PERIOD OF 130 DAYS AT ANY TIME PLAN REVIEW 25'So OF SUBTOTAL
AFTER WOF,K IS COMMENCED. - -
TOTAL r
Speciil Conditions —
a'e by -
"%L0G11AO2T!WECNi'A-
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
CERTIFICATE of
OCCUPANCY
PERMIT #. . . . . . . t MST97 -0160
DOTE 19SUEU: 1714 /1,31 /98
PARCEiLc .'.cii✓71sCC�04fSQ1P1
L L. ADDRESS. . . t 13931 UW PER T E: DR
,ijur)V)19 1 ON. . . . t EAGLE POINTE I.UN I NG i P -4. 5 PD
�LUi li. . . . . . . . . . t L01.. . . . . . . . . . . . . I1AT,4 J'J ISVICTION: TIf+
'LOSS OF WORK. s NF:'W
I YPE OF USE... . . c SV
YPE OF CONSTR 3�N
I(.;l'UPANCY GRP. t R3
C tJF,ANC"y' L LAV:L
,.em;arkse PATH I
)wr;ort —�_ ___....___._..____.. _...... ...._... _____._. ..._..._._
-tNA I SSANCE
67a SW WILLAMETTE. FALLS DR
JEST LINN OR 9 068
r'horle #c 557--80(7.1(21
tFIdAIS APdCE DEVELOPMENT COPP'
I6"12 ,W WILLAMET'TE' F'AI.L.S 14-
AE:ST L CNN OR 17061)
'hanV k: 57--6';..00
Ijell #. . • 0011104f)
phi s C`er t ►f hart a yi-ant a, cc:cuponcy of thr-. �bt)ve 1,pfp► Pnced bui Iding or, pant tor,
thereofi avid c.nnfirrns t,hAL the buiIdi.ng hal% barn invper_!-ed Por CO NPIiAylt�0 with
the Stoto of Oregon Specialty CadP% fc�:` the yra�lp, cccupanc.y, mnd use m) er-
Nt,i.Ch tI•je► ref'QV�gnceri parMit was issued.
9'
BIJT LDIIV(; ] F''EC'l'Ui't -I AL/ INSF'EC I�1 S1!1
i''O'3'T
IN C ONC:IP t C UOUS PLACE
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES F,ERMIT #. . . . . . . : MST97-0160
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/05/97
FIARCEL: 29103CC-04800
SITE ADDRESS. . . : 1,3931 S4J AERIE I)P
SUBDIVISION. . . . :E"AGL_E_ P0It4T ZONINC;: R--4. 5 F,D
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :054 JURISDICTION:
Remarks: PATH I
----------------------------------—------------------------------- BUILDING -----------------------------------------------------
-----------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED---------
CLASS OF WORK.:NEW HEIGHT........: 22 FIRST....: 1364 sf GARAGE.....: 645 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1166 sf '7RONT......... 20 PARKING SPACES: 2
TYPE OF COWST.:5N DWELLING UNITS: I F I NB9'&NT: 0 sf RIGHT......... 5
OCCUPANCY GRP..-R3 BDRM: 3 BATH: 3 TOTAL- 2530 sf VALUE-1: IWI REAR..... .... 40
------------------------------------------------------------------- PLUMBING -----------------------------------------------------------------
9INKS......... I WATER CLOSETS.- 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TRAPS.........: 0
[AVATORIES.... 5 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE D19P..: I WATER HEATERS.: I WATER LINE ft: 190 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
---------------------------——-------------- MECHANICAL —----------------—--------------------------------------------
FI)F[ TYPES------------ FURN ( 1 @9( 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
GAA, FURN )=!00K I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...- I
MY INP. BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLETS...: I
- ----------------------------- ELECTRICAL —-------—----------——------
--RI-SIDENTIAL UNIT--- ----SERVICE/FEEDER----- --TEMP 9RVC/FFEDERS —BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - M amp..: 0 0 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
[A ADD'L 5009.: 5 201 - 400 amp..: 0 201 400 amp.-: 9 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 alp..- @ 401 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
W)W- HM/SVC/FDR: 0 601 - low amp.: 0 601+alps-1000 v: 0 MINOR LABEL -10: 9
1004 amp/volt.: 0 --------------------.____._____.___ PLAN REVIEW SECTION ---------------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC-
------------—----------------------------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------------
A. SF RESIDENTIAL---------------------_ B. COMMERCIAL--------------------------------------------------------------------------------
AUDIO & ETEREO.: VACUUM SYSTEM..- AUDIO i STEREO.- FIRE ALARM.....: INTERCOM/PAGING- OUTDOOR LNDSC LT:
BURGLAR ALARM.. 0TH: X BOILER.........: HVAC...........: 'wDSCAPE/IRRIG: PROTECTIVE SIGNL:
GAPAR OPENER.. CLOCK........... INSTRUMENTATION: 10, )ICA[......... OTHR- :11
HVAL........... DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0
------------------------------ TOTAL FEES:$ 3139.46
RF'W41 RENAISSANCE DEVELOPMENT CORP
167e cAl WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS OR
WVST i 144 OR 07068 WEST LINN OR 97068
Hnn, #: 557-80W, Phone #: 557-8000
Reg C.: 000049
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 dor- in accordance with approved plans. This permit will expire if work not started within 180
days of issuance, or if work is suspended for more than 180 days,
- -------------------------------------------------- ------- REQUIRED INSPECTIONS --------------------------------------------------
Erosion Contol Post/Bean Meehan Electrical Servi Gas Line Insp Watei Service In Building Final
Grading Inspecti Crawl Drain Electrical Rough tins Fireplace Appr/Sdwlk Insp
Footing Insp PLM/Underfloor Framing Insp insulation Insp Elect-ical Final
Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Mechanical Final
Post/Beam Struct Plumb Top Out Low Voltage Rain drain Insp Plu Final
Permittee S i q T,at,, I s s i.i e d By :
Call for- inspection -- 639--4175
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 F'F_P.M I T'
PERM I * #. . . . . . . : SWR97--0160
DATE ISSUED: 06/05/97
PARCEL: 2S103CC--04800
SITE ADDRESS. . . : 13931 SW AERIE DR
SUBDIVISION. . . . :EAGLE POINT Z014ING: R-4. 5 PD
BLOCK. . . . . . . . . . LOT. . . . .. . . . . . . . ;054 .JURISDICTION:
--------------------
TF_NANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWIR T IhPERV SURFACE: 0 s f
Remarks : PATH I
Owner: ---________________.__________.______.__.__.-___.-----------._._._ FEES
RENAISSANCF_ type amount by date recpt
1672 WILLAMETT FALL DR PRMT $ 2200. 00 B 06/05/97 97---295524
WEST LINN OR 97068 INSP 3 35. 00 B 06/05/97 97-295524
Phone #:
L"ontrartor :
OWNER
Phone #: 2235. 00 TOTAL
Rey #. .
---- --- REQUIRED INSPECTIONE ---This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires IAA 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
gi—n, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall pur0ase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
f'F ..mitt Fe 8i nature :
Issued B y a _....----.--.-_--
Call for inspection 639--4175
Pian ChecLta�l�-�
OF TIGARD Residential Building Permit Application Rece By
125 W! HALL BLVD. New Construction Additions or Alterations Cate Rec d -� 1 -V7
GARD. OR 97223 Single Family Detached or Attached I,Duplex) Cite toPE
503-639.4171 Oate to DST
503-684-7'497 Permit T` I jfJl�`�7
Print or Type Called/
Incomplete or illegible applications will not, be accepted
--I Name of Project Name
job I
Andress I Architect Matltn Address
Site Address I to
�� ��
Name C tyrState Zip Phone
�� fA�✓t.�E
Owner Mailing Address Name
Gtyr$tate Zip Phone Engineer Marling Address
- tw5rate Zoo Phone
Name
General oescnbe a orX New O Addition O Alteration O Repan O
Mailtn Address to be done
Contractor 9
Al 1.2
- "'Aa- Additional Oescription of'Nork:
c,tyistate Zip Phone
1
ore,�f `/1!n Const. C nt. Bo•ro Lac x Oxo. to
Attach Copy of ( z" `/J , , ,
Current COT Bu} »ss Tax or Metro v Eip. 096 PROJECT
Licenses (? Lc'T / VALUATION $ Al_
Name
NEW CONSTRUCTION ONLY:
Mechanical �—X/Sub- Mailing Acdress Sq t House Sq. Ft. Garage
. s'C
Lontractor --
Corner Lot YES NQS Flag Lot YES W�3'
Cdyistate Zi Phone >]/
� -;�• (check one) (check one) t'
Ore�on const.Cont. Board Lc.a Exp Dote Qestricted ' Audic/Stereo Burglar
Attach copy of 'C,• s _3 Enernv I _System _ Alarm
—Current COT Bu&mess Tax or Mevo a Installation I Garage Door HVAC
Licenses e� 22:22_�_Z_ _ Opener Systems
Name .7 (check ail that I Other
Plumbing ;iii O, ek apply)
Sub- HauirI Address Wil the electrical subcontractor wire `or all ( YE NO
Contractor restricted energy Installations?
,,tt!S;ate ZipPhone Has the Sucdivis on Flat recorded' �NIA I YNO
attach Copy of
Oregon Ccnst. Cont Board Lc A Exp. ate (eissue of.M I Solar Compliance
c r ? -, _ i (Calculation Attactied)
current Plumbing L,c.a _ p e hearb ackno ed a that I hpve read this a r licaticn, that the
Licenses 7 ( j/ L y 9 p�
COT Bus r ess Tax or Me,ro f1 xp a infcrmation ;even s correct that I am 'he owner .or authorized
_ I f agent of'he owrer and that plans submitted are in compliance
with �w�cn Slate 'aws _
Name — —
lectrical "/ / �► / Signature ofR nee,^gent Date/
Sub- lading Address Contact erso Name - one fY
Contractor 'Ll• /y>>!�
C•ty,S:a•e, Z.l� ���� P!tpne FOR OFFICE USE ONLY:
1 i 7/ l VW5 -/w Plat a: L1apfTLst:
Oregon 4cnst. Cent. Board Lit x ; SCC"
.ich Copy of �' ' ! i Eap cto Setgack Z e: 1 .4olarl
-urrent E'ectncal Lie.0 NO. ( - C 1,S Y /CQ� -10 -1
tenses > , `' % ;ngtneenng Appro 1. ^I P!a ning Apprnval- TIF
COT Business Tax t etro k Ex 0 1 ii, I f I Y• �1I
r 5 �� i:lsfa .doc,,dst) 1i97
�' % r 7
Parmit I Account Descn n Amount Amt. Pd. EaLQILe
MST Permit (BUILD)
Plumb. Permit (PLUMB) ';
Mech Permit (MECH)
ELC/ELR Permit (ELPRMT) 5'
State Tax (TAX)
Bldg:.
Plumb. --
Mech.
ELC/ELR:
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech. (MECPLN)
CDC Review (LANDUS)
0(41 Sewer Connection (SWUSA) o
Sewer Inspection (SWINSP) -
Parks Dev Charge (PKSDC) Q,
Residential TIF (Tit--R)
Mass Transit TIF (TIF-MT) V
Water Quality (WQUAL) w '
Water Quantity (WQUANT)
c,)
Erosion Control Permit (ERPRti1T) e
Erosion PlancklUSA (ERPLAN) ell
E-osion Planck/COT (ER(DSN) d;lp# _
Fre Life Safety FLS)
TOTALS: Y
----- r� --�'
Sraro loc ast; li$i
Solar Balance Point Standard Worksheet
Address Z2227Z
Sox ,% c:iIculations: North-South dimension for the lot. Sox A.
I J
i11is dimension s determined by finding the midpoint of rhe North lot line and drawing
in intersec'nng line perpendicular to that point.
F',rsL determrre which P-reperty line is the North lot line. The worth lot line is the line
With the smarlest angle from a line drawn east-west and intersecting the northern most
point of the lot_
w..'... www.
wLIX
\ r. North-South
Cimension for Lot:
'vteasure the distance from the midpoint of the Ncnh lot line to the South lot line along
Jie destined !ine. feet
1
N
f
Sex 8 calculations: Shade point height for your residence.
Boot B:
' Determine whe&.er measurements will be based on the or eave of your
struc=re_ The orientation of the ridge is also important, P� .0 Which describes
Your residence?
j 1a: If the Rei line runs North-Scuth, measurements will � ((jrrde one)
be bas+d on the peak of the roof. lcaacl
�t
t b: tf the roor line runs East-West and J-e rcoi pitch s
'ess .an _,12, rr,eas u r e m e n zs -a_c :•n .^e
1c: If fe :—co ;irQ curs East-.vest ar.d the roti pinch rs
Si 1? or s:ee,:er, measurement wiil be baste on :he
teak-
Box B. continued Box B:
pie-uure ,_`+arge n rtevatien from front 'prooerre !ine to linisned tlocr eievation. If
:.'1e 'cc sicoes uo 'ram he rrant 'ot line to the 'Jundacon, the figure ,s positive. If
the 'ot slopO5 down from :he front !ct line to the foundation, the tigure is negative.
demure discuxe from timshed Iloor eievaticn to the affected ak/eav'. ;- rc
� 3_ pe
t I the roof , ne runs Ncnh-South, deduct three feet If the roof line runs East-West, �
deduct nod intg-
Subtrac are 'oat --or each root of difference in elevation from the front property
!ine to the rear property line, If the lot slopes up from the front to the rear. If the
of has no slope or slopes up from the rear m the front, deduct nothing. ft
Total figure for box 3: ft
3Ox G Dismnce to the shade reduction line_ Box C:
t . Measure the distance from the North property line to the foundation near the ft
affected peakleave.
Measure the distance from the foundation to the affected peak or eave- + ft
3. Total ipre for box C: ft
�t a most weiW to draw a resod rave w nrtxeseru dw aPFwoA^aw 6"bund in box'A'and a horizontal ine to reprhhmt dw
xrgroomate Ci rre round'In box 'C'. The wwmn ehSxnh of the vertical and h;.mumnol kwn demmawn dw value found in box'O'. The value
n box 'O' shmid be mmoared to tthe value in box'9'; d'the vahm in b='9'is teas dun or equal to the value found in box'O",then
:.ne btu;Wn;tj A compfaaom rridh tlu solar.lata.-wm code. If fou have arty quesnaft please con=us at 639-+171,004 or at the
C_ommurmy Ceve400m nt Corner.
")(MUM PERMITTED SHADE POINT HEIGHT (le Fest)
CiSZUX2 to Nortf7-soudi 6t dimension an feeO
shade 100+ 95 90 SS 60 7S 70 63 60 53 50 45 •til
n dtom n Gne
I'mm northern
7Q
40 40 ata 41 42 43 44
53 33 3S 38 39 40 Al 42 43
;0 36 36 36 37 3S 39 40 41 42
34 3; 35 36 37 38 39 40 +1
.J 32 32 32 33 34 35 26 37 :S 1 »0
:0 :0 :0 31 32 A ;4 25 :6 37 .,8 39
.0 :S :3 .S :9 30 31 32 33 34 3r 36 37 35
7 S :9 30 31 :'_ 33 24 35 36
:J 24 :» :s :5 :5 27 :S :9 :0 31 22 33 2-1
:2 _3 :4 :5 :5 :7 :3 :9 ; 31 3'-
:0 :J :0 :0 :1 '? 2.3 :1 :5 :5 27 :8 :9 30
g 3 -.8 '8 ;9 :0 21 _ _3 :» :5 :.S :7 :8
J 1b ?6 15 17 13 '9 :3 :1 :2 :3 .74 :5 '-5
3 is 14 14 15 1f, 17 18 19 :0 21 '_'_ 23 24
Sox D. Maxirturn allowed sl`'ade Point height_ L Xf,"T1 i'/ _ 'eet
J
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT