13148 SW BROADMOOR PLACE c LOT 17 AMESBURY HEIGHTS
►' ►� o o CITY LOCATED E MERIDIAN
OF T GARD, WASHINGTON COUNTY, OREGON
N 32'4'r w 13148 SW BROADMOOR PLACE
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►'9 APPLICANT':
�� `, ;r ►� `� DALTON CONSTRUCTION,INC.
+� ►+ /� 0 8465A S.W. HEMLOCK ST.
TIGARD, OR 97223
(503)452-0969
A0 (503)293-6165 FAX
�0
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13148 SW BROAD"".00R PLACE
CERTIFICATE OF OCCUPANCY
CITY O F T I G A R D
PERMIT #: MST98-00109
DEVELOPMENT SERVICES DATE ISSUED: 6/10/98
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2SiO4DB-01700
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 13148 SW BROADMOOR PL
SUBDIVISION: AMESBURY HEIGHTS
BLOCK: L.OT:017
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SFD PATH I
Final Inspection Approved 6/10/99 by Tom Plescher, Building Inspector
Owner: —
DAVID C;OVERDALE
13355 SW HENRY ST
BEAVERTON, OR 97005
Phone: 452-0969
Contractor: _
DALTON CONSTRUCTION INC
8465 SW HEMLOCK ST
SUITE A
TIGARD, OR 97223
Phone: 452-0969
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
yKccupancy, and use under which the referenced permit was
Specialt '✓odes for the grow
issued i
BUILDI G INSPECTOR BUILDI G OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST (D
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
G� !� BUP _
Date Requested (0–/0r l I AM PMS BLD
Location ( ��I '-� � bra i a Suite
MEC
Contact Person — �Z.Y1 Ph Z)q— ?,g(e I PLM J_qq�/-0�
Contractor _ Ph SWR ACL)
IC�TNTenant/Owner ELC _
Retaining Wall ELR
Footing Access: -- --
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab _ _
Post&Beam - —� �-----"- --- SIT
Ext Sheath/Shear
Int Sheath/Shear -- -
Framing --
Insulation -- --
Drywall Nailing
Firewall
FireSprinkler
Fire Alarm
Susp'd Ceiling
Roof ---
Misc: ---- - - - -- — --
i
RT FAIL -- -- -- -- -- --- - -
156-6313-earn ---- -...------ — -- -- ------
Under Slab
Top Out
Water Service
Sanitary Sewer -- -�
Raip-l)rains - --
fiS�
PASS PART FAIL
GHA i aAl — — - --- -----..---
Post& Beam
Rough
-- ----- — -- --- = -----------
Rough In
Gas Line
Smoke Dampers
PART FAIL
PEWRICAL
--- - ----- --
Service _
Rough In
UG/Slab
Low Voltage -
Fire Alarm
Final - --- ---- _------ --
PASS PART FAIL __--
SITE
Backfill/Grading -------------- ---- -
Sanitary Sewer
Storm Drain Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I ( ] Please call for reinspection RF - _ ( )Unable to inspect-no access
ADA
Approach/Sidewalk -- — --- —
Other � _ bate ho Inspector_ Ext
Final
PASS PART- FAIL- 00 NOT REMOVE this inspecthon record from the job site.
CITYOF T I G A R D PLUMBING PERMIT —
DEVELOPMENT SERVICES PERMIT#: PLM19L69-00176
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/9!99
SITE ADDRESS: 13148 SW BROADMOOR PL PARCEL: 2S104DB-01700
SUBDIVISION: AMESBURY HEIGHTS ORIGINA� ZONING: R-4.5
BLOCK: LOT: 017 RISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB;SHCWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of backflow prevention device for irrigation system.
FEES
Owner: — —
Type By Date Amount Receipt
DAVID C:OVERDALE
13148 SW BROADMUOR Pl_ PRM1 DEB 6/9/99 $25.00 99-316011
TIGARD, OR 97224 MISC DEB _ 6/9/99 _ $1.25 99-316011
Total $26.25
Phone 1:
Contractor:
AALBERG & WHITTEN LANQSCA, ES 1
4328 SE 44TH
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone 1: 771-7746 RP/Backflow Preventer !
Reg M Final Inspection
T his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
`specialty Codes and all other applicable laws. All work will be crone in accordance with approved plans.
I his 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 952-0001-0010 Through OAR 952-0001-0080.
`(ou may obtain copies of these rules or direct questions to OUNC b calling (503) i46-1987.
tssue� By: r C . '? 7 _ Permittee Signatu'
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b ess day
CITY OF TIGARD Plumbing Permit Application Plan Chj6ck#
13125 Sall HALL BLVD. Commercial and Residential Recd By �
TIGARD, OR 97223 Date Rec'd �
(503) 639-4171 Date to P.E. �-
Print or Type Date to DST
_----
Incomplete or illegible applications will not be accepted Permit# PLM r 7(O
Related SWR# _
Mr(7/ V(f/t�G Called
Name of Development/Project FIXTURES (individual) / QTY PRICE AMT
Job Sink 11.50
Address Street Address ---Suite �i Lavatory 11.50
131 SW. 'atro4�rvto�v^ r - Tub or Tub/Shower Comb, 11.50
Bldg# City/Stale Zip Shower Only - 11.50
Name Water Closet 11,50
�• C�-vey �r�'�� Dishwasher 11.50
Owner Mailing Address Suite Garbage Disposal Y 11.50
o
Washing Machine 11.50
City/State Zip Phone Floor Drain/Floor Sink 2"
11.50
-_�— Name —Y— J- - 3" 11.50
r I<. fJC V CA✓`e
�..tUCU ant Mailing Address Suite
Water Healer O conversion O like kind 11.50
'Sa a _— Gas piping requires a separate mechanical permit.
City/State Zip Phone Laundry Room Tray i 1150
----- -- Na a —_ Urinal -- -11.50
The Y ,
I ` K Other Fixtures(Specify) 1500
Contractor Mailing AddressS e y Suite
_ _
Priur to permit Cit /Stat Zip Phone — -
38.00
issuance,a copy _P,.t' Sewer-1st 100'q�,� -7 714 Sewer--each additional 100' 32.00
of all licenses are Oregon Const.Cont.Board Lic,# Exp Dat — —
required it Q S q Water Service-1st 100' 38,00
expired in COT Plumbing Llc.# Exp D to Water Service-each additional 200' 3200.
database 5XVvLG m 'e-- Storm B Rain Drain- 1st 100' 38.00
Name Storm&Rain Drain-each additional 100' 32 00
Architect Mobile Home Space v 3200.
Or Malling Address dude Commercial Back Flow Prevention Device or Anti- 32.00
_ I Pollution Device
Engineer City/State Zip Phone Residential Backflow Prevention Device' 19.00
_ __ (Irrigation timing devices require a separate /
Describe work to be done restricted energy permit.) _
New O Repair n Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 11 50
Residential O Commercial O — Catch Baein
— - 11.50
Additional description ofr�work Insp of Existing Plumbing 50.00
Br e��. A• �J1t J error
Are you capping, moving or replacing any fixtures? Specially Requested Inspections 50.00
Yes O No O — _ _ error
If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45 00— ---
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50
-WORK COULD RESULT IN INCREASED SEWER FEES.
QUANTITY TOTAL
1 hereby acknowledge that 1 have read this application,that Ih2 in"ormation Isometric or user diagram Is required d Quantity Total is >9
given is correct,that I am the owner or authorized agent of the owner,and — "SUBTOTAL
that submitted are In compliance with Oregon State Laws
Sign t O ant Date _ — 6% SURCHARGE
C ,ame P 9na **PLAN REVIEW 25% OF SUBTOTAL
Rguved only donly d fixture qty total is is,9 _
_ — rl
1 BATH HOUSE$178.00 TOTAL i
2 BATH HOUSE$250.00
BATH HOUSE$285.00 'Minimum permit fee is E50+5%surcharge,except Residential Backflow
(T his fee Includes all plumbing fixtures In the dwelling and the first Prevention Device.which Is$25+5%surcharge
100 feet of sanitary sewer storm sewer and waier cervine) "All New Commercial Buildings require plans with isometric or riser diagram
and plan review
�osrsuc,m,vi„+,avo d,6.gin.
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory _
Tub or Tub/Shower Comb;nation _
_Shower Only _ — _—
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink 2" _
3"
411
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CITY OF TIGARD MAS-TFR I-,ERMIT
DEVELOPMENT SERVICES i=`E�Rh1I.1 it.. . . . . . ., : MST98- 01 9
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 1)()TE I S SLIER: 06/10/9,9
r,APCEL : 291041)[3-01700
"ITE (-)llDRF moi. . . : 1..3146 I3W i312i..)0D1y100lR 1-'L.
F;LJT3D I V I S I nN. . . . :nMES[3URY HEIGHTS 7-ON I IyG: R--4. 5
11L.0CN. . • I (1"I . . . . . . . . . . . . . :r�1 7 Jl.1F?I aD[CTi0h1: TIG
Remarks: New SFD PATH I
--------------------------
BUILDING --------------------------------------------------------------
REISSUE: STORIES......... 2 CLOOR AREAS----- - BASEMENT...: 962 sf REQUIRED SFTBACKS---- REQUIRED------------
CLA9S OF WORK.:NEW HEIGHT..,..... : 30 FIRST....: 1550 sf GARAGE.....; 816 sf LEFT..........: 10 SMOKE DETECTRS: Y
TYPE OF USE...-SF FLOOR LOAD....: 40 SECOND...: 1440 sf FRONT.........: 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........; 17
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 4 TOTAL------: 2990 sf VALUE-1: 284016 REAR..........: 59
-------------------------------------------------------- PLUMBING
SINKS.........: 2 WATER CLOSETS.: 4 WASHING MACH... 1 LAUNDRY TRAYS.: 1 RPIN DRAIN ft: 100 TRAPS.........:
LAVATORIES.... : 6 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS.. : ?
TUB/SHOWERS...: 4 GARBAGE DISP..: 1 WATFR HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..:
OTHER FIXTURES: 0
-------------------------------------__----------------- MECHANICAL ------- ---------------_--_—_----------------------------
FUEI_ TYPES-----.----- FURN ( 10011 .,t 0 BOIL/CMP 13HP: 0 VENT TANS.....: 5 CLOTHES DRYERS: 1
GAS FURN )rJ%K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS,..: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
--------------- ELECTRICAL ---------------------------------------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- —TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANE0f5---- --ADD'L INSPECTIONS-
1000 SF OR LFSS: 1 0 - 2" alp..: 0 0 200 alp..: 0 ti'SVC OR FDR..: 0 PUMP/IRRIGATION; 0 PER INSPECTION: 0
EA ADD'L 500SF.: 8 201 - 400 asp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 600 asp..; 0 401 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 9 601 - 1000 amp.: 0 601+81ps-1000 v: 0 MINOR LABEL -10: 0
1000+ alp/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 RESTDFNTIAI.--------------------------- B. COMMERCIAL------------------------------—--------------------------------------------
AUZT0 d STEREO.: VACUUM SYSTEM..: AUDIO t STEREO.: FIRE ALARM.....: INTERCOM/WAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LAND SCAPE/IRRIG: PROTECTIVE SIENL:
GARPGE OPENEP..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/7LE COMM.: NURSE CALLS..... TOTAL 1 SYSTEMS: P
Owner: -------------------------------------Contractor: ----------------------------- TOTAL FEES:f `817.66
DALTON CONSTRUCTION INC DALTON CONSTRUCTION INC This permit is subject to the regulations contained in the
1465A SW HEMLOCK, ST 8465-A SW HEMLOCK ST Tigard Municipal Code, State of Ore, Specialty Codes and all
TIGARD OR 97223 TIGARD OR 97223 other applicable laws. All work will be done in accordance
will- approved plans. Tars permit will expire :f work is
�,rcne 0; 452-0969 Phone M: 452-0969 not started within 180 days of issuance, nr if the work is
Reg 0..: 00067; susaended for sore than 180 days. ATTENTION: Oregon law
---------.------------------------------------------------..__- requires 'foil to follow rules adopted by tt,e Oregor Utility
':otification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or
l;rect questions to OUNC by calling (503)246-1987.
- REQUIRED INSPECTIONS ------------------------------------------
rosion 844-8444 Post/Bels Meehan Electrical Se-vi Fireplace Insp Rain drain Insp Mechanical Final
.oading Inspecti Crawl Drain/Back Electrical Rough Gas Line Insp Water Line Insp Plumb F.nal
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp ear Wail Insp Insulation Insp Appr/Sdolk Insp
Post/Beam Struct Plumb Top Out,—' Voltage Gyp Board Insp Electrical Final _
T - �:rred 13PIP r-•mittee Si g flat r.(r'•e :
++++++++4.4 +., +...14- ., r H , + rr + ► r + + +.., r , rr + + + + + .+ i-+.+ r44+ f -+ + + + + + + r + ++..,. + , . :
ra11 639--4 175 by 7:00 Frr. for an i rrspect ion needed the next business da
Plan Check# r � C
CITY OF TIdARD Residential Building Permit Application Recd By - -
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd —/0-
1
TIGARD, OR 97223 Single Family Detached or Attached (DuplexDate to P E.)� Date to DST r-/3
V 503-639-4171
F 503-684-7297 Permit#
Print or Type // qty. Called 5 / :� -<< a [►'--
Incomplete or illegible applications will not be accepted
t^--` Name of Project Name
Job Amesbury Heights Lot 17 M_s- WIeirich
Address Site Address Architect Mailing Address
13148 SW Broadmoor Place 4351 NF 65th
Name City/State Zip Phone
Dalton COnstruction, Inc Portland OR 97218 284-6570
Owner Mailing Address Name Sherman,
Don P. P. E.
846r,A SW Hc--mlock St.CityfState Zip Phone Engineer Marlin Address
374 / SE Morrison St .
T i a n d OR 97223 452-0969 City/State Zi Phone
General Name Portland OR 9714 230-8876
Contractor Dalton Construction, Inc. Describe work NewXOA Addition Alteration Repair
Mailing Address to be done:
Prior to permit SW Hemlock St. Additional Description of Work:
issuance, a copy City/State Zio Phone
cf all licenses rpigard OR 97223 452-0969
are required if Oregon Const.Cont. Board Exp. Date PROJECT 278, 815. 68
expired in COT "c.# 67798 7- 5-9 8 VALUATION $
database
Mechanical Name NEW CONSTRUCTION ONLY: _
Sub- KenTec Heating Contractor Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Addre+ts 3952 _ _ 8 1 6
Prior to permit PO Box 233 110 Hazel Nut Corner Lot YES NO Flag Lot YES NO
tssuanc4.a copy City/State zip Phone (check one) _ X (check one) _LL
—
of all licenses Woodburn OR 9707 982-6082 Restricted Audio/Stereo Burglar
are required if Oregon Const.Cont.Board Exp.Date Energy System X Alarm
expired in COT Lic# 63621
database 7-9-98 Installation Garage Door HVAC
Plumbing Name Opener �` Systems
Sub- J&R Plumbing (check all that Other
Mailing Address
Contractor a apply)
Will the electrical subcontractor wire for all YES- NO
3430B SW 209th Ave. —
_ _
Prior co permit City/State zip Phone restricted energy installations?
Has e Subdivision arecorded? NIA YES NO
issuance, a copy Aloha OR 97007 642-7776 HthSbdiPlat d
X
of all licenses are Oregon Const. Cont. Board Exp. Date I —L—
required if Lic# 72680 3-28-99 Reissue of MST#: Solar Compliance
expired in COT __ _ (Calculation Attached) _
database Plumbing Lic.# Exp. Date I hearby acknowledge that I have read this anolication, that the
information given is correct, that I am the owner or authorize:'
Name
34-214 PB 4-30-98 agent of the owner, and that plans submitted are in compli_ince
with Oregon State laws.
Electrical Evans ElectricInc. Signat eof wrier/ , ent /' Date
Sub- MailingAddr-ssl c —Q— p8''
Contractor 11867 SW Wilton Ave. Con ct_Per Name —i Phone#
City/State Zip Phone 7—TY T t3 C 1--�
Prior to permit FOR OFFIC USE- NLY:
issuance. aCOPY Tigard OR 97223 968--3157 MaITL#
of all licenses are Oregon Const Cont. Board Exp Date ( P�j
required if I_ic#
expired in COT 0104896 etbacks: Z Solar:`
� _ y. /
database Eloctrical LIC # Exp hate 0�
Enginee ing Aoproval:� Planning Approval: TIF
34-4050 '10-1 -98 eta fir;;
I SFREM DOC (DST) 4/97
Box B. continued Box B:
'_. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If _1
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 peak/eave. + 28 ft
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, 3 ft
deduct nothing.
S. Subtract one foot for each foot of differenr:e 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. 0 ft
6. Total figure for box B: 24 ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the 20 ft
affected peak/eave.
2. Measure the distance from the foundation to die affected peak or eave. + 24 ft
3. Total figure for box C. 44 ft
t
It is mast useful to draw a vertical fine to represent the appropriate figure ford in bolt Wand a horizontal line to represent the
appropriate Cipre found in box-C'.The interseaion of the vertical and horimital lines determines the value found in box'D'. The value
in boor 'O"should be crxnpared to the value in box'B': if the value in box'8'is less than or equal to the value found in boot'O then
the building is in compliance with the solar balance code. if you have any questions. please contxt us at 639-4171,x.304 or at the
Community DevewVment Counter.
MAXIMUM PERMITTED SHADE P01KT HEIGHT (In Feet
oistamm to Nath-south lot dimension On feet)
*&ade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction fine
hrxn northern
lot rine fin ferl)
70 40 40 40 41 42 43 44
65 38 38 3 39 40 41 42 43
60 36 36 3 37 38 39 40 41 42
i
55 3.4 34 34 35 36 37 38 39 40 41
50 32 32�4_ QL3S�L 33 34 35 36 37 38 39 40
43 ?
_ 31 32 33 34 35 36 37 38 39
s0 28 28 26 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
10 24 24 24 25 26 27 28 29 30 31 32 33 34
15 22 2-1 22 2.3 24 25 26 27 28 29 30 31 32
10 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 221 23 24 2.5 26 27 28
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 12 23 24
Box D. Maximum allowed shade point height 7j L feet
h:1doctlry.rcylverm.-alaolar.ch p
Rev+rrd
Solar Balance Point Standard Worksheet
Lot 17, Amesbury Heights
Address 13148 SW Broadmoor Place
Box A calculations: North-South dimension for the lot. Box A.-
This
: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 smailest angle from a line drawn east-west and intersecting the northern most
point of the lot.
450—
t
5'-+1 UX w
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.
_ 92 feet
1
N
F-7
dCR944C uM o�ot}t
Box B talc 'ations: Shade point height for your residence.
Box B:
1. (determine whether measurements will be based on the peak or eave of your
structure. The orientation of the ridge is also important. Which describe
your residence?
1a: If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof, a o 0 0
"0 1B 1C
1 b: If the roof line runs East-West and the roof pitch is
less ;nan Si 12, measurements will 'cased cn th,e
62ave. ,.
spa+o.a trt
1c: If the roof line runs East-,Ve4t and the roof pitch is
5/12 cr steeper, measurements will be based on the
peak. u-----c:�
6.W. 13ROADMOOR PLACE
L
cxu
R 71!00
N 11•!1'13' E \
• ' -
•n 6 .11'
tb
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4
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el�J
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CITY CSF TIGARD
DEVELOPMENT SERVICES SEWER f'ONNFCTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)839.4171 PERMIT
PERMIT #......., . . . . : WR98-O06r
DATE ISSLIE.D: O6/1O/9s
PARCEL_.: 2 S 1 O4DS--iZr 1 700
SITE ADDRESS. . . : 13148 SW TAROnmvinOR PI....
S(-JPD I V I S I ON. . . . :AMF_SBI.J RY HEIGHTS ZONING: R -4. 5
BL_OCK. . . . . . . . . . L_C)T. . . . . . . . . . . . . :017 JtJRlc-;DICTTON: TIG
TF:.NANT NAME. . . . . :1)AL_TON (-',CiN)TRtJCTION INC
USA NO. . . . . . . . . . . FTXTLIRF I.)NI1"5. . . : r�
CLASS OF WORK. . . :NEW DWELL. NG LIN I TS. . : 1
TYPE Of (J 5E. . . . . :SF NO. OF PLI I L..D I NGS: i.
T NSTAL L. TYPE. . . . :13LI SWR I MVIE".RV SLJRFACF: 0 s f
Remarks: New FD
Owner; __.____.______.__________._._______________-__..___._._-- ---- -_-- FFES
DALTON CON!3TRIJCTIOI\l INC tyle ant o,_rnt by date r•ecpt
r_1465A SW HEM1._.00K ST PRM"f c:E'OO. 00 J D 06/10/98 98-306431
TIGARD OR 97223 T115P 5. 00 JSD 0611O1018 98-306431.
Phone #:
OWIVFR
Phone #: `& F2235. 00 TOTAL.
RPrl V. .
---- --- REUt.)I RFD INSPECTION!--,
---
`hrs Applicant agrees to comply with all the rules and regulations Sewvr- Inspection _
of the Unified Sewage Agency. The permit expires 189 days 'rota
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
sidF sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions fror
`he distance given. If not so located, the installer shall purchase �!—
a "Tap and Side Sewer" Permit and `he Agency will install a lateral. _ - �-
ATTENTION: Oregor law rcouir•es you to follnw rules adapted by the
Oregnn Utility Notification Center. Those rules are set forth in OAR
952-001-001P through OAR 9152-MI-WO, You may obtain ropier of - v~
fhe5e rules or direct questions to OUNC by 503)246-1987.
r , ,lied by : ''---Z _:w _ Permittee S= ynatr.rre :
++ .++++++++++++++++++++++4-4--4-+++4........+•++•+•++-4-+++++++•1-+++++++++++++++•+++++++++++
CAI 639--4.175 by 7:00 p. m. for an insper_tion needed the next br_rsiness day
4-4+++4.............4•++++r-+ ++++++++ +•++4•++++++++i +++-I-++4-++++++++++++++-+-++.+-++++4•....