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CITYOF T I G A R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST98-00101
DEVELOPMENT SERVICES DATE ISSUED: 04/28/1998
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DB-00300
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 13159 SW BROADMOOR PL FILE
SUBDIVISION: AMESBURY HEIGHTS COPY
BLOCK: LOT:003
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: SF - Path 1
Owner:
BP HOMES LLC
10938 SE AZAR DR
PORTLAND, OR 97266
Phone:
Contractor:
BISACCIO + PETRARCA HOMES LLC
10938 SF_ AZOR DR
PORTLAND, OR 97266
Phone: 678-7135
Reg#:
This Certificate issued 115/115/2111111 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 Specialty Codes for the group. occupancy, and use under which the
referenced pe'mit was issued.
BUILDING INSPECTOR BUll:b OF: ICTAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 / L /
BUP
Date Requested AM PM
_ BLD
Location , ` �( uµ� V -rc Suite MEC
Contact Person "1_ C"'
�. IS � Ph - —0 3 , PLM -�+-✓�-a.�
Contractor � r
_ Ph c SWR,,�
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation _ / FPS
Ftg Drain _ —
Crawl Drain Inspection Notes: SGN
Slab
Post&Beam _ -- — --_— SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulationv—
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd CRiling
Roof
Misc,
ASS PART FAIL
PtUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer —
Rain Drains _
Final +—
PAQQ DADT FAIL _
ECHANI
Post Beam --- —
Rough In
Gas Lim; — ---- — —— _
Smoke Dampers
—
A PART FAIL
_'FR(CA L
Service _
Rough In —
UG/Slab
Low Voltage
Fire Alarm
Final
8 T L
I
Backfill/Grading
Sanitary Sewer
Storm Drain Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin al �j [ J Please call for reinspection RE:
Fire Supply Line [ ]Unable to inspect-no access
ADA CR -4
roach/Sidewalk \ ` G
AK
oth Date L Inspector "�` Ext l
PA.,. PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 9 - CC
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
/ BLIP
Date Requested_ f/ AM PM BLD
Location ^� ; �� �Q VYI��7�Suite MEC
Contact Person _ _ PhC S PLM _
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall — ELR _
Footing Access:
Foundation Cu-) �v r jcx, FPS
Ftg Drain ``- / SGN
Crawl Drain Inspection Notes: --
Slab ------ -- --- ----- -- -- SIT
Post&Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation — ----_�----------
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
------------------
Roof
Misc: --
Final
PASS PART FAIL — -- --- -- ---
MB
Post 8 Beam — — ------------.__
Under Slab
Top Out -- - ----- -- - -- - - _ .__ -
Water Service
Sanitary Sewer
Rain Drains
PASS PART FAIL
MISCHANICAL
Post& Beam -
Rough In
Gas Line --- --
Smoke Dampers
Final
PAS ART FAIL
ECTRICA �-
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm _
AS PART FAIL —
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: — [ j Unable to inspect-no access
ADP. T.�
Approach/Sidewalk
X�
Other Date ' Inspector, - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
FROM : GARNER ELECTRIC FAX NI-1. Jan. 21 2000 03:45PM P1
CITY or TIGARD Electrical Permit Application Plan Check#y -
13125 SW HALL BLVD. Recd By
41GARD OR 97223 Date Recd
Date to P E
Phone (503)639-4171, x304 Date to DS
Inspection (503) 639-4175 Print of Type Permit# ,T -- 07
Fax (503) 598-1960 Incomplete or illegible will not be accepted
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_ Number of Inspections per permit allowed
Name(or narne of business)_�j Service included- Items Cost Sum
Address ` "AN t 'SIMI ~i.��!�� 0 Ptd QL 4a. Residential•per unit - -
CitylState/Zip ��_ _ O 1000 sq.fl,or less $ 117,75 ! l-i- 5 4
-- ---- Each additional 500 sq.8 or
portion thereof $ 26.25 15`1.Sa1
Gornrnt>.rcial❑ Residenti Limited Energy _ _ S 60.00
Each Manurd Home or Modular _
2a. Contractor installation only: Dwelling Service ur Feeder $ 72.75 2
(Prior M permit issuance,applicants:must provide contractor liconse 4b.Services or Feeders
information for COT data Installation,alteration,or relocation
Electrical Contractor 2011 amps er less $ 9425
Address a-%7`1 c' 201 amps to 400 amps 5 85 50 -_--- _-- 1
C
� J,�� �_V_ � � _---_----
CI � _ State 0, 7-i Q 6 401 amps to R00 amps r- $ 128.50 2
city p nJt amps _r 1000 amps $ 19250
Phone No Over 1n',u amps or volts $ 183.75 2
Job No Reconn.cl only $ 53.50 2
Elec Cont Lice No AS+,30 eN C.Exp.Date - - 4c.Temporary Services or Feeders
OR State CCB Reg. No \ l Fxp.Llate Installation alteration,or relocation
COT Business:Tex or Metro No 1 _Ezp --_g _ 1a0 amps or less _$ 5350 -
201 amps to 400 amps $ 80.25 2
Signature of Supr. Flec'n 401 amps to 800 amps — S 107.00 - = 2
Over 600 amps to 1000 volts,
ran"b"above.
I Icensn No cl a� Exp.Dale
--�----�---�-..r— ---—- cid.Branch Circuits
Nhonn No �`h`� �t �' ' _ _-_ - -_ New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
Mader tae.
Print Owner's NameEarh branch circuit _ - $ 5 3, -
Address _ - b)The fee for branch circuits
without purrhaae of service
City —-- St®te, Lip _ – _ or feeder fee.
Phone No First branrh circuit S 37 50
Each additional branch circuit $ 5,35
Thp installation is being made on property I own which is not 40.Mlacollancous
intended for sale lease or rent (Service nr feeder not induded)
Each pump or irrigation circle $ 42.75 _
Owner's Signature, — T Eads sign or outline lighting S 42.79
-- Signal circult(s)or a limited energy
. * panel.alteration or extension $ 60.00
3. Flan Review section 1 2ff required): Minor Labels(10) _ -- S 107.00
Pleasvr.check appropriate item and enter fee in section 58. 4f.Each additional inspection over
4 or more,rrsldential units in one structure the allowable in arty of the above
Per inspection 5 50 00
,rir+NlG!And feedr'f 228 R1mr15 Or more. --- ----- - - ------
- -- – Per hOUf $ 1.i0 OU
System over 1500 volts nominal
In F'lanl b 5q rtin _--� ---- -
Classified area or structure containing special occupancy as
described in N E C Chapter 5 5. Fees:
Sa.Enter total of above fees
submit 2 sets of plans with application inhere any of the above apply. 5%Surcharge(.0.5 Y,total fees) b O �
Not required for temporary construction services. Subtotal S ,
5b,Enter 25111.M line 5a fnr
NOTICE Plan Review it teQUired(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCEt)vvl THIN 190 DAYS OR IF CONSTRUCTION OR ` - - -`
WORK IS SUSPENDED OR ABANDONFD FOR A PERIOD OF 180 DAYS jiusl A:count#
AT ANY TIME AFTER WORK IS COMMFNCED Total balance Due $X9 r-1 .'�k�
I'\dStS\lorin S\c ICCViC AOC
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97'1,23(503)639.4171 PERMIT #. . . . . . . : PLM98-041 I
DATE ISSUED: 11/02/98
PARCEL: 2SI04DB-00300
SITE ADDRESS. . . : 13159 SW BROADMOOR PL
SUBDIVISION. . . . : AMESBURY HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O03 JURISDICTION: TIG
----------------------------------------------------------------- -
CLASS OF WORK. . :OTR GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. - 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RATN DRAINS. . . . . : 0
SINKS. . . . . . . . : 0 URINALS. . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installation of residential backflow prevention device.
Owner: FEES --_------_—.--__
MICHAEL PETRARCA type anlOkAnt by date reept
10117 SE SUNNYSIDF RD PRMT $ 15. 00 DEB 11/02/98 98-310480
#F1165 5PCT f 0. 75 DEB 11/02/98 98-310480
CLACKAMAS OR
Phone #:
Cont ract
DEWAYNE DENNIS
25930 S MORGAN RD
ESTACADA OR 97023
Phone #: 519-7179(MOB) $ 19. 75 'TOTAL
Pr,q #. 12319
REQUIRED INSPECTIONS
this permit is issued subject to the regulations contained in the RP/Backflow Prey
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be dune in accordance with
approved plans. This permit will ex'3ire if work is not started
within 189 days of issuance, or if work is suspended for more
than 189 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-000I-9810 through OAR 952-00011*80. You may
obtain copies of these rules or direct questions to ULU., by calling
,503)246-1987.
I sstiedPermittee Signat'Are".
I re
-
.................................4-++,4--+-4.......4-+4-+4....... ... ++++ ........4-+
Call 639-4175 by 7:00 p. m. for an inspection needed the xt bLisiness day
...................4•......4-+++4.................4.........4-+4-++-+-+++4............. ..
CITY OF TIGARD Plumbing Permit Application Plan Che -#---
13125 SW HALL BLVD. Commercial and Residential Recd Byr_�_
TIGARD, OR 97223 Date Recd
(503) 639-4171 g —Ula Date to P.E.
Print or Type Date to Ds
Incomplete or illegible applications will not be accepted Permit#-DSL
//11 rte{ Related SWR
Called
Name of Development/Project FIXTURES (individual) QTY PRICE AMT
Job sink 900
Address Street Address Suite Lavatory 9.00
Tub or Tub/Shower Comb. 9.00
8 dg# filylState Zi Shower Only 9.00
Na a Water Closet 9.00
cc) Dishwasher Dishwasher 9.00
Owner Mailing`Address SSuii Garbage Disposal 9.00
WasMng Machine
Cit (Stat Ip Phone Floor Drain/Floor Sink 2" 9,00
Name 3" 9.00
4" –� 900
Occupant Mailin ddre; Suitc — Water Heater O conversion O like kind 9.00
Gas piping requires a sepa ate mechanical permit.
Ci /Stat Zip Phone Laundry Room Tray 9.00
Urinal 9.00
Name Other Fixtures(Specify) 900
Contractor Mailing Address _ uilq. — 900
fi
C I r" 9.00
Prior to permit Ci/State Zip Phone Sewer-1 sl 100' — 3000
issuance,a copy ,: t7 S Sewer-each additional 100' 2500
of all licenses are Or Const.Cont.Board Lic.# Exp.Date —
required if Water Service•1 st 100' _— 3000
expired In COT Plumbi g CIC r Exp Dae ` Water Service-each additional 200' 25.00
database _ Storm&Rain Drain-1st 100 30,00
Name Storm 6 Rain Drain-each additional 100' 25.00
Architect _ Mobile Home Space 2500
or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device _
Enginev City/State Zip Phone Residential Backflow Prevention Device' 15 00
(irrigation timing devices require a separate /
Describe work to be done rec!,-i:tod energy oermit.)
New O Repair O Replace with like kind Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00
Residential O Commercial O _ Catch Basin 9,00
Additional description of work —
Insp of Existing Plumbing 40.00
per/hr _
Specially Requested Inspections 4000
per/h,
----- Rain Drain,single family dwelling 3n 00
Are you capping, moving or replacing any fixtures? -------
Grease Traps 900
Yes O No O
If yes, see back of form to indicate work performed by -- QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isornetnc or riser diagram is required H QuAntdy Total is >9
WORK CO LU RESULT IN INCREASED SEWER FEES. *SUBTOTAL
hpteby44m"nmmdlhis application,that the information _ I`J
am t owner or auQtori agent of the owner,and ^� 5°fo SURCHARGE
0iat PiMpris submittpd are in compliance regyn Slate Laws —
Sig, ure of no M Date "PLAN REVIEW 25% OF SUBTOTAL
Re ulred onl A fixture ly total is>9 _
TOTAL
t Perso-raamme! Phone ~
'Minimum permit fee is$25+5%surcharge,except Residential Backflow
r'teventton Device,which is$15 4 5%surcharge
"All Now Commercial Buildings require plans with isometric or riser diagram
and plan review
I wslstpl�-mapp doc 7x".98
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed _
New Moved Replaced Removed/Capped
Sink —
Lavatory
Tub or Tub/Shower Combination
Shower Only _
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain/Floor Sink 2"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMEN"; REGARDING ABOVE:
I Wstmptumapp dot 70198
CITY CSF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0101
.. ,
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 04/ 8/98
PARCEL.: L":�,S1041)13-00300
SITE ADDRESS. . . : 13159 SW BROADMOOR P'L
SUBDIVISION. . . . :AME;3BURY HEIGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: T I G
Remarks: 9F - Path 1
------- -------------------------- BUILDING ----------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 162 sf REQUIRED SETBACKS---- REOUIRED--------------
CLPS5 OF WORK.:NEW HEIGHT........: 28 FIRST....: 1713 sf GARAGE.....: 817 sf LEFT..........: 12 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 9% sf FRONT.........: 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 12
OCCUPANCY GRP.:R3 BDRM: 3 BATh: 3 TOTAL------: 2711 sf VALUE..$: 2OM35 REAR..........: 65
---- PLUMBING - --------...---------- ----------- --------------- --------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.......... 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
----•--------••-------------------------------------------------- MECHANICAL -------------------------------------------------------------
FUEL TYPES----------- FURN ( 100K ..: 6 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
GAS FUkN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNALFS: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
--- ELECTRICAL ----------------------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- •--BRANCH CIRCUITS--- ----MISCELLANEOUS— ---ADD'I. INSPECTIONS--
1000 SF OR LESS: 1 8 - 200 amp..: 0 0 - 290 amp..: 0 WiSVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 580SF.: 6 201 - 400 vp..: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 Sled/OUT LIN IT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 alp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 1N PLANT...... . 0
MANE HM/91)C/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 V: 0 MINOR LABEL. -10: 0
1008+ alp/volt.: 0 - PLAN REVIEW SECTION --------------------------
Reconnect
------------------..-----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 I STEREO.: VACUUM SYSTEM.. : AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PA61NG: OUTDOOR LNDSC LT:
BUR(kAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER—: CLOCK............ INSTRUMENTATION: MEDICAL........: OTHR: :.
HVA(...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: - -- -- --------______--.-.-----___-- Contractor: ----------------------------- TOT9L FEES:$ 5300.81
BP HONES LI-C BISACCIO I PETRARCA HONES LLC This permit is subject to the regulations contained in the
10938 SE AZAR DR 109`38 SE AZOR DR Tigard Municipal Code, State of Ore. Specialty Codes and all
PORTLAND OR 97266 PORTLAND OR 97266 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
''Mone #: 698-713" Phone #: 678-7135 not started within 180 days of issuance, or if the work is
Reg C.: 119749 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 DAR 952-001-0010 through OAR 952-081-0080. You may obtain copies of these rules or
direct questions to OX by calling 1503)246-1987.
--__ --- _--�___--- ------ REQUIRED INSPECTIONS --------------------------------------------------------
Erosion 844-8444 Post/Beata Meehan Electrical Servi Fireplace Insp Water Line Insp Mechanical Final
Grading Inspecti Crawl Drain/Back Electrical Rough Gas Line Insp Water Service In Plumb Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Urban Street Tre
Past/Beam Struct Plumb Top u Low Voltage Rain drain Insp Electric 1 Final
6^- Permittee Si nature. fZti
Issued By: 9
+++++++++++++++++++++++++++++++++++++.++++++++++++++++ /L
++ ++++ +++++++++++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the nex business day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER PERMIT
ERMITCT?ON
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . : SWR98—0056
DATE TSb- UEP: 04/28/98
PARCEL.: 2SI04DB-00.300
SITE ADCiRESS. . . : 13159 SW BROADMOOR PL
SUBDIVISION. . . . :AMESBURY HEIGHTS ZONING: R--4. 5
BLOCK. . . . . . . . . . L0T. . . . . . . . . . . . . :003 JURISDICTION: TIG
TENANT NAME. . . . . :BP HOMES LLC
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . ::NEW DWELLING Ur1 I TS. . : 1
TYPE: OF USE. . . . . :SF NO. OF BUILDINGS: i
INSTALi TYPE. . . . :BUSWR IMPERV SURFACE: 0 s
Remarks : Cir Patti 1
Owner: ___-_._-___..___.... _.___.__.______.__._._____.___.___.__..------.__.._____.._..___.._..__ FEES
BP HOMES I_.L_C type alllo�_tnt by date recpt
10938 SE AZAR DR PRMT $ 2200. 00 B 04/28/98 98---305.324
PORTLAND OR 97266 INSP $ 35. 00 B 04/28/98 98--305324
Phone #:
Contractor: ---------_._----------_--_—_-----
OWNER
Phone #: f '2235. 00 TOTAL_
Req #. . .
- -----— RE[?U I RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Insprer_t ion
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase _
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules art set forth in OAR
952-881-8010 through DAR 9521001-8888. You may obtain copies of
these rules or direct questions to ODIC by calling (583)246-1987.
I s s i_t e d by- _ _ ` Permittee S i q n a t 1.t r e _�_�__�
++++++++++++++++++++++++++-F+.++++++++++++++++++++++++-F++++++++++++++^F++++++++++++
Call 639-4175 by 7:00 p. m. for- an inspection needed the ne)<t bl..lsirless day
++++++++++++++++++++-f++-. +++++++++++.4++++++++++++++++++•++++++++++++++4-+++++++++++
CITY OFTIG ARD Residential Building Permit Application RecdBycka.
13125 SW HALL BLVD. New Construction Additions or Alterations Date Rec,J o
TIGARD, OR 97223 Single Family Detached or Attached (Duple,-) Date to P E. -
V 503-639-4171 Date to DST - �
F 503-684-7297 Permit# ` ('
�? '`'M�
Print or Type Called_' I '
Incomplete or illegible applications will not be accepted
Name of Project Name n r�`/y l q 't
Job I r�I- uJ /�I?1Sf�C1' �/ _ / �'tMi As
Address Site Address Architect Mailing Address
Na r' /State Zip Phone
L� N O �5� Z�O q/6
Owner Mailing Addre s
MR z:R L) , u
tyi3ldlC LI one Engincel �Aadln�ArtV._..
GK 91A)i> 1698 7i3s' E 102AW ,-1 .
General N me -- C ty/State zip Phone
CJ ( .fir GK 9;Z/(e zS 6Z�
Contractor _
No mr--5 L(�1 Describe work New Or Addition O Alteration U Repair O
Mad' g Address to be done
Prior to permit � Additional Description of dVork:
issuance,a copy C (State Zip P/hoe
of all licenses ' n 26 Fa C7 T JS
are required If Oregon Const.Cont. Board Exp Date PROJECT "i ''� ^ 3 IL
expired in COT Lic# Q VALUATIONa
database ! ! /-/7-017 __
Mechanical Nae
mNtW CONST_R_UCTION ONLY:
Sub- f Z �, . Sq. Ft. House Sq Ft arage 46
Contractor Mailing Address �9�3 U-I ,i)
Prior to permit ) /(. /` ' Cerner Lot YES NO, Flag Lot YES NO..
issuance. a copy city/State Phone_ (Che.k one) 4/ (Check one)
of all licenses
Zip I / G779. Restricted Audio/Stereo . Burglar
are required if Oregon Const.Cont Board Exp Date
expired in COT Lic# . Energy System V Alarm_
database i Installation - Garage Door HVAC
Plumbing Name ,r OpenerI Systems
Sub- 1O m (check all that Other: Y
Contractor Mailing Address apply)
FAL Will the electrical subcontractor wire for all YES ;"NO
V [� restricted energy mstallationc V-
Prior to permit /state Zip Phone— — t
issuance.a copy ) Ole- ;)-t Has the Subdivision Plat recorded? N/A YE$, NO
of all licenses are Oregon Const.Cont.Board Exp Date 1'
required if Lic.# -� 7 y Reissue of MST# Solar Compliance
expired in COT 5-z-2" "��� 01 l (Calculation Attached)
database Plumbing Lic.N Exp Date I hearby acknowledge that I have read this application, that the
_`��-�, l • information given is correct, that I am the owner or authorized
Name --- agent of the owner. and that plans submitted are in compliance
with Oregon State laws
Electrical7 -- -
''Vl i)LL SECT Signature of Ovyner/A ent Date
Sub- Mailing Address `-1 ^✓ a�Q .,
Contractor � )�f s 7)1
tact Person Name � Phone# ( �
Ci, /State Zip Phone - I:i/�E / F. JfI?RCA
Prior to permit FOR OFFICE_ USE ONLY:
issuance,a copy 7Z�C Plat#: MapJTL#:
of all licenses are Oregon Const.Cont.Board Exp Datel ` L.�
required if Li c.# �`'II �'( iS tEa�'� Z_Zore
expired in COT � V � �� � I � t � Solar-
database
�
database Electrical Lic. Exp Date `
cngineertn Appto I: Plangigg Approval TIF:
I SFREM DOC iDST) 4/97
Box B. continued Box B:
2. 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 , ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + `J '�'/ ft
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - ft
deduct nothing.
5. Subtract one fust for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. ft
0 Total figure for box B: �� (�, � ft
Box C. Distance to the shade reduction line. Box C;
1. Measure the distance from the Norto property line to the foundation near the , 2 ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + �_ ft
3. Total figure for box C: S/ ft
It is most useful to draw a vertical line to represent the appropriate figure found in box "A"and a horizontal line to represent the
appropriate figure found in box"C". The intersection of the vertical and horizontal lines determines the value found in box"D". The value
in box "D"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 have any questions, please contact us at 639-4171,x304 or at the
Community Development Counter,
MAXIMUM PERMITTED SHADE POINT HEIGHT (In feet
Distance to North-south lot dimension lin feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduct:nn line
from northern
lot line till fee"
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 313 39 40 41 42
15 34 34 34 35 36 37 38 39 40 41
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 28 28 28 29 30 31 32 33 34 35 36 37 38
1, 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 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 22 23 24
Box D. Maximum allowed shade point height: — 3� , (') feet
h ,docs\nancv\ventura%solar chp
Revised 2126196
Solar Balance Point Standard Worksheet
Address
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North !ot 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.
450
IKWYHFPN NCxnNEaN
LOT ■
N \, tit N� North-South
-
Dimension for lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
_feet
1 �\
I --� N
NGPTH-SOUM DMINSIOt \
I \
Box d calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North-South, measurements will
(circle one)
be based on the peak of the roof. v o o
MM rM
•° —► 1Ai 1B iC
Ib: If the roof line runs East-West and the roof pitch is
ess than 5/12, measurements will be based on the
eave.
-NADE POINT EAS
1c: If the roof line runs East-West and the roof pitch is
5/12 or steeF er, measurements will be based on the
peak.
'IW7E�Hff 9Ol:F
R
CITY OF TIGARD
OREGON
INTENT TO HAUL EXCAVATION
I, _ l E R,4P, (print name), hereby certify that all excavation
material on the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back-fill the foundation ONLY. I understand that
failure to rer,love the excavation material will result in the requirement to remove the
material or obtain a grading permit by submittir,j grading plans prepared by a licensed
engineer accompanied by a geo-technical report regarding the placement of the
excavation material as fill.
Signature Date �—
Job Address:
Subdivision: IE�S�y�y—f1�ci` LiTS _ Lot:
11115 S au V,1I y y,,eJ 9arci, OR 97223 (503)639-4171 TDD (503)684-2772 — ---
i
SEE 35MM
ROLL# 22
FOR
L- ARG'*' E
DOCUMENT