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13555 SW BRIM PLACE
CITi' OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BUCKAROO ELECTRIC
16780 S UNION MILLS RD
MULINO OR 97042
Electrical Signature Form
Permit # . . . . : MST97-0455
Date Issued. : 10/29/97
Parcel . . . . . . : 2S104CD-07100
Site Address : 13555 SW BRIM PL
Subdivision. : HILLSHIRE ESTATES
Flock. . . . . . . . 1,()t . 071
Jurisdiction: TIG
Zoning. . . . . . . R -7 PD
Remarks :
New SF - Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
t)WN P1,1 : ELECTR T r_AI.j rONTRACTOR:
LHL CONSTRUCTION BUCKAROO E12ECTRIC
7110 SW FIR LOOP 16780 S UNION MILLS RD
STE 160
TIGARD OR 97223 MULINO OR 97042
Phone # : Phone # : F-829- 3853
Reg # . . : 000008
X
Sign t'� i Supervising Electrician
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
D & D PLUMBING
16419 NF 189TH
BRUSH PRAIRIE WA 98606
Plumbing Signature Form
Permit # . . . . : MST97-0455
Date Issued . : 11/17/97
Parcel . . . . . . : 2S1.04CD-07100
Site Address : 13555 SW BRIM PL
Subdivision. : HILLSHIRE ESTATES
Block. . . . . . . : Lot : 071.
Zoning . . . . . . : R-7 PD
Remarks :
New SF - Path 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : PLUMBING CONTRACTOR:
LHL CONSTRUCTION D & D PLUMBING
7110 SW FIR LOOP 1.6419 NE 189TH
STE 160
TIGARD OR 97223 BRUSH PRAIRIE WA 98606
Phone # : 624 -7714 Phone 4 :
Reg #. . : 00785
�L
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-417 1 , ext. #310
CITY OF TIGARD MASTER PERMIT
DEVELOPMEN 1 SERVICES PERMIT It. . . . . . .. : M T 0 7
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 MTE I jSUED: 10/29/97
PPRCE'L.: '2,1"10)4M)-07100
TTr f1DD"tJ.::;:_ . iw ;;.-,C `:;W 111U,M
1J13I)I'�'ISI!lhJ. . . , o_,ILLOFATRE ESTr)TE0 ZONIN(3: R--7 rll)
?L.C)rK. . . . . . . . . . LOT. . . . . . . . . . . . . .071 ,JIJRTOPI.CTTOhJ: TTC
'emarks: New SF - Path 1
-------------------------------------------------------------- BUILDING ---------------
"ETME.. STORIES....,..: 1 FLOOR. APEAS----. .__- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----------
'LASS OF WORK,:NEW HEIGHT........: 20 FIRST..,.: 2837 sf GARAGE.....: 744 sf LEFT.....,.... : 15 SMOKE DETECTRS:
'YPE OF L'SE..::SF rL00A LOAD,... : 40 SECOND... : 0 if FRONT.........: 24 PARKING SPACES:
'YPE OF CONST. ;SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.......,. : 8
,CCUPANCY CRP.:R3 BDRM: 4 BATH: 3 TOTAL-------: 2837 sf VALUE-1; 102949 REAR..........: 57
-------------------------------- PLUMBING --------------------------------------------------------.-------
INKS......,.. : 1 WATER CLOSETS,: 3 WASHING MACH..: t LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.......... P
AVATCRIES....: 5 DISHWASHERS.,.: 1 FLOOR DRAINS..: 0 SEWER LINE f►: '12 SF RAIN DRAINS: 1 CATCH BASINS.,;
"JB/SHOWERS... : : GARBAGE LISP..: 1 WATER HEATERS, : 1 WATER LINE ft: 100 8CKFLW PREVNTR: I GREASE (RAPS.,:
OTHER FlITURES:
-------------------------------------- MECHANICAL ---- _.._..___.
TURN t 1001( ..s 0 BOIL/CMP ( 3HP: 0 VENT FAW'J.....; 4 CLOTHES DRYERS: 1
"AS FURN )=100K ..: 1 UNIT MATERS..: 0 HOODS.........: 1 OTHER UNITS_, 1
'A% INP.: 0 BTU FLOOR FURNACES: 0 VENTS.,.......: 0 WOODSTOVES..,.: 0 = OUTLETS... : 1
ELECTRICAL ---------------------_-..--------------------.----___--..__----.
-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS--- ---BRiMiH CIRCUITS--- ----MISCELLANEOUS --- --ADD'L INSPECTIOw
W SF OP LESS: 1 2 - 1,00 aop..: 0 t 200 amp..: 0 W/SVC OR FDR..: 0 PUMPIIRRISATION: P PER INSPECTION: 0
-n ADM 5005'f. : 6 201 - 400 amp..: 0 201 - 400 amp., : 0 1st W10 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......; 0
'M'ATED ENERGY. : r "t" 600 amp..: 0 401 600 amp., : 0 EA ADDL BR MR: 0 SIGNAL.IPANEL...: 0 IN PLANT......: 2
1ANF HM/SVC/rDR: 0 601 - 1008 amp.: 0 601+amps-100P J: 0 MINOR LABEL -10: 0
1000+ amplvol`. : 0 _ _----..------------- rl qN REVIEW SECTION ----- --- _..---...-
Reconnect only. : 0 )=4 RES UNITS..: SVC/FDR)c2T5 A.: ) 600 V NOMINAL: CLS AREAISPC OC'.
__ .._. ___. . ._ ___,_.........__.__.._._. ELECTRICAL - RESTRICTED ENERGY -
------------------------------ B. C( RCiAI-------_-------------_------------------.----_..-_.__---------------..----
Sr RESIDENTIAL
----
�UDIO a STEREC,: VACUUPt SYSTEM..: AUDIO I STEREO.: FIRE ALARM,....: INTERCOM/PAGING: OUTDOOR LNDSC LT.
aUR[,1.4 ALARM..: DTH: :: y BOILER.........; HVAC,.......,..: MSCAPE'IRRIG: PROTECTIVE SIX:
'ARAGE MR..: CLOCK..........; I'\!STPIIMENTATION: MEDICAL........: OTHR: ::
"VAC..,....,.., . DATA/TELE COMM, : N!IRSE CALLS.... : TOTAL A SYSTPEMS: E
owner: -_...._-.._ -. ._ ._-__.-..--------...-._.._--Contra tor: ___....- ---- TOTAL FEES-.t 5098.81
HL CONSTRUCTTON LHL CONSTRUCTMCN I':" This permit is sabject to the regulations cnntalned in the
-112 SW FIR L09P 7110 SW FIR LP Tigard Municipal Code, State of Ore. Specialty .odea end al,
TE I(A TIGARD OR 97203 other applicable laws, All work will be done in accor,'-ii,e
"BARD OR 97223 with approved plans. This permit will expire if work is
624-7714 Shone R: 524-7714 not started within 180 days of issaance, or if the work is
Reg e..; OM37 suspended for more than 186 day-. AT'ENT11ON: Oregon law
_... . ... ....
------- ..__. requires you to follow rules adopted by the Oregon Ut,'
)tification Center. Those rules are set forth in Mp ' " r?' t+010 thvaugh OQR 95E t101 0090. You may obtain copies of these rule
irect questions to ^t1piC by calling (503)246-1987.
,,4ED ?NSpECTIOItS -------------------------------------------------------
•-osion Control Post/Beam Meehan Elect :a1i Fireplace Insp Rain drain Insp Mechanical rival
'rading Inspecti Crawl Drain Elect=i-A' g', Bas Line Insp linter Line Insp. Rlumb Final
toting Insp PLM/Und!rfloor Framing '-j Gas Fireplace Water Service 1^ Building Fina'.
-.undat;on Ins; MechdricAl Insp Shear Wall ;nsp Insulation Insp ApprlSdwlk Insp
;5t/Beat Struct Plumb Top Out !.ak Voltage Gyp Board Insp rlect al r al
?
4 4-}..(_.}_.E-.4.4 .1 1 1.4 I t I ! I I 11 ! ! ! a 1 1 1 i t 1..4 .4 r , .1 1 1 1 ! . I ! 1
y 1 .,3'x- 417`, by 7 q w. ns. f01 An inSPOC.t inn needed I Xe next Ilu,s i }e s d a j
M
CITY OF TIGARD
DEVELOPMENT SERVICES S;E14ER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PF RM I T
PERMIT t;. . .. . . . . : SWR97 -0,-
DATE ISSUED: 10/2'9097
F`' )RCEL: 21S1O4G1J._071OO
,ITE' ADDRESS. . . : 13S'5 SW B117M PL
:USDIVTO)ION„ . . . : IIL.L.SIAIRE ESTATES3 ZONING: R 7 P7
�OrmK . . . . . . . . . LOT. . . . . . . . . . . . . :O71 JURISDTC'TTCN: TIG
' F`NANT NAME",. . , . , 0_11I.. CONSTRUCTION
!Sn NCI. . . . . . . . . . . rTXTIJRE UNITS. . . , 0
,LASS Or WORK. . , :NEW DWELLING' UNITS. . : i.
"YPE OF USE. , . . . :SF Nn, Or 1111 T.1._D I NGS. 1.
"'STALL TYPE. . . . :DUSWR T MPERV SURFACE: 0 n f
-1wner,a _ _....._..._.. _.._._..__ -....___..._...._...._....._ ..._._._...u_._.._____._....._.._......... ........ ......_-- -_._. FEES
FII.. C:17P:rITF2UCTIflhd t ype eamo crit by date rec. pt
1. 10 SW FIR LOOT' PRMT I 'L7200. 00 JSD 10/1-9/97 97-30045-'
.TC IGO INCAJSI797 97 -300487
"TGARD OR 9722*3
'h0T1F' #
at-itT'act Or' : _ _ _ .._......_......._.._.._____.._.....__.._
hole #: ? 17't235. 00 TOTAL
e W #. . .
_ RrDUIRED I1\17PECTIONS ____._........_
"As Applicant agrees to cosply with all the rules and regulations `.:,ewer- Irispect< ion
J the Unified Sewage Agency, The pewit expires 186 days frog
'Se date issued. The total asount paid will be forfeited if the
ere it expires. The Agency does not guarantee the accuracy of the
ide sewer laterals. If the sewer is not located at the seasureaent
riven, the installer shall prospect 3 feet it all directions fror
'1-te distanca given. If not so located, the installer shall put-chase
"Tap and Side Sewer" Pereit and the Agency will install a lateral.
7TENT1014 Oregon law requires you to follow rules adopted by the
`�•egor Utility Notification Center, Those -,les are set forth in CAA
-'7401-0010 through OAA 952-0001-fty. Y vy obtain copies of
tiese rules or direct questions ` ;: ling (503)246-1987.
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F'p r m�.t t L(? .
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r 1 G,n a t r.c r
+++F++ 1. 11 1 I I +4 4 4•++++++++++•+ N+ +-4 +}++++++-►++4•++++++++++1-+-r-+4-+++++++-1 1.4.1 4- F_}r p
Cal.l E,119 4175 by 7:170 p. m. for ATT i.rt, i I ', nec>>lecd the 0,-Ay
++++++-++•l++ +++++++++1•+•4-++4•+++1+4+++++4 1 +.1 4 -++-F+++++++++f•++++++++++++•1.4.1 1- I F•1 .I.
Plan Check#
:ITY OF TIGARD Residential Building Permit Application Recd By
131::5 SW HALL BLVD. New Construction Additions or Alterations Date Recd If ..
TIGARD, OR 97223 Single Family Detached or Attached Date to P E. 4 t 11 III
1503) 639-4171 Date to DST i • L11
Print or Type Permit#
Calledj0
Incomplete or illegible applications will not be accepted
Name of Subdivision t_otri— _ J Name
Job ALM
Address Site Address (t I Architect Marling Address
1.
City/State z:p Phone
-- -
Nam
q -? c --- - --`
Owner Mailing Address — Name
City/State Zip Phone C Engineer Mailing Address
_ 7 � rb 61)-Y-721 Y_ City/State Zip Phone
name j=/�5i 6 39- S_sl� 7/
General Describe work ne.,A, addition O alteration o repair O
Contractor Mailing Address to be done —
Additional Description of Work
City/state Zip Phone
S FYI t13\L) 6C,iv,c<
Oregon Const. Cont.Board Lic.# Exn ate
Attach Copy of J 76 61-r? Project
Current COT Ousiness Tax cr Metro# Exid Da a Valuation $1?k
Licenses - -
--"T" Name NEW CONSTRUCTION ONLY:
Mechanical - n�. Sq.Ft. House. T Sq.Ft Garage 4
Sub Mailing Address /
Contractor Ru ,X '. Corner Let Yes No Flag Lot Yes No
Istto zip Phone -- (Check one) 7`' (check one)
1< c 0701-L 6'S�L Restricted Audio/Stereo Burglar
Oreg Const. Cont. Board Lic.# Exp. at Energy �� System Alarm
Attach Copy of 7 —
Current COT Business Tax or etro Exp. C e Installation Garage Door HVAC
Licenses L3 3 -- 9 Opener Systems
Name _ check all that Other
Plumbing Vill r\ apps ) _- -
Sub- Marling Address - Will the electrical subcontractor wire for all Yes N,9
Contractor c / restiicted_energy installatl ms?
tyiS at / Zip ` tPhone 4C -411 40 Has the Suodlvlsion Flat I �corded? TN/A Ye No
Or on Const Cont Board Lic# Exp ate Reissue of N1ST# — Sclar Compliance
Attach Copy of _y _ �Fr'V (Calculation 4ttached)
Current Plumbrn Lic # Ex p !: to-- I hereby acknowledge that I have read this application that the
LicensesQ( information given is correct. that I am the owner or authorized agent of
COT Business Tax or Melro.0 Exp D te, the owner, and that plans submitted are n compliance with Oregon
3� State Ia —_
Nam -0Signat�rr �wj�er g nt Dat
Electrical k(cC Q�. 61c_ co ct Pei*on Nae Phdra /
Sub- 'Aading Address
Contractor ( ,j �.�: FOR_ OFFICE USE ONLY: _
CitylState Zi Phone 5a3 Plat# �— Map/TL#:
2- 5,AQ - 1 J
Oregon Conat.Cont. Board Lic# Exp ate
Attach Copy of alh Setbacks Zone. Solar
Current Electncal Lic # Exp ate
Licenses �1t1 1 f1)
COT Business Tax o Metro Exp to Engineering Approval: Planning Approval: TIF
dsts`mstapp doc I�—
i
P r i # AL(
Qu $criat 2n AmQunt Amt• Pic, Baf. Dui
MST Permit (BUILD) e p�
Plumb. Permit (PLUMB) 225,
Mech. Permit (MECH)
ELC/ELP Permit (ELPRMT) ,CDU
State Tax (TAX) 63,
Bldg: 3
Plumb:
Mech: 2,
ELC/ELR:
Plan Check
MST (BUi'PLN) 3LQ�!—..1
Plumb: (PLMPLN)
Mech (MECPLN) //, 2
CDC Review (LANDUS) .4U, w
'Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) ,?s"
Parks Dev Charge (PKSDC) /US o
Residential TIF (TIF-R) (_60._ _ GG
Mass Transit TIF (TIF-MT)
Water Quality (WOUAL.)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
G u
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: �, . - ) -,• U��� ��
dsts�mstnp doc
Rev "96
Solar Balance Puq*nt 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 lot fine. 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-
I
1
I�OTIWE NC�TTMIRN
NF /
N ,/ North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line alone;
the described line. /
NORhISOU111 DMENICN� \\
Box B calculations: Shade point height for your residence. Box B•
1. Determine whether measurements will be based on the peak or eave of your Which describe,
structure. The orientation of the ridge is also important. vour residence?
1 a: If the roof line runs North-South, measurements will (circle one)�
be based on the peak of the roof. ,u o TT
IMLand
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
eave. '" '
SHA";KENT Mf
1c: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the
peak.
Box B. continued Box 111-
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
the lot slopes down from the front lot line to the foundation, the figure is negative. tt
3. Measure distance from finished Floor elevation to the affec'ed peak/eave. + ft
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, � ft
deduct nothing.
Subtract one foot for each foot of difference in elevation from tha front property
line to the rear property line, if the lot slopes up from the front to `he rear. If the
lot has no slope or slopes up from the rear to the front, deduct notf.ing. - _D _ ft
i
G. Total figure for box B _ 31 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 ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. D
3. Total figure for box C: E ft
It is most useful to draw a vertical line to represent the appropriate figure found in box ',v',.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 Nnrth-south lot dimension un feet)
shade 100•x- 95 90 8: 80 75 70 65 60 55 50 1 �n
reduction line
from northern
lot line tin feetl
70 40 40 40 41 42 43 44
65 68 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
i0 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
35 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 to 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: fMet
h:docs\nancy\ventura\solar.chp
Revised 2/26/96
,7 Oct 14 16.43:07 P:\pr\l223A\l223•SITE EUROPA AEM
GtIL laTsr,4ucnw\
loT 417/
ti�P Six 1�9/o
/ 1223A
�cOrz<sS 3 SSS R'�n2�IQK
BY
tlj,/ 2�\„� L Hl. CONSTRUCTION
� 'I�yL” 6'.z�/• 71/-I
_ CITY of TIGARD
HILLSHIRE ESTATES
LOT 71
I ! —
S_75'42-19" E Aron -/s 110
16,072 S0. FT.)
I 9 63' Nr
I I
I
I I
I
I I I
, I �
I
I I
2-
� I
r �j 1 e z.. 3
I
GARAGE to IN j
I E En I 6C 7
OZ� I MAIN FLOOR �+y �
r \ I
EL : 9rzw 60-7 21,
�I � /[�c• c� I I,
I
21 I 4' CONIC I ro
13500 GSI I
i I
9a
----- ———-
aAN LL48LFoOESION ACCURACY5. 'T-Fl S W. B R M P A C E
6 NOT 11A61F FOR rNE ACCURACY Or r
RESPOIOPNLIPHY WOWAT RU It A 1tE SOIf
ALL Siff C01r OF trE B LIM ANIt)vFILL
All SITF Cdi)rgNS IVCIIA/13 ANY FILL U
PLACED ON ENE $!T1 .r0 WORM OWNERS
OF 1l fElTKm
ANY POTENIUO Y(IOiIC1CA1r0115
A L A n 11AIC0RD Df ian A f f 0 C I A T 1 In
1305 N.W. 18TH AVENUE. PORTLAND, OREGON 97209 (503) 225-9161 S C A L E i ' 2 0 n
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP 11Y4,kDate Requested LlAf AM --PM _^ BLD _
Location /-5'; / 21-IM Alee_C.e✓ Suite MEC
Contact Person /> �� 14^ Ph PLM
Contractor— L_l��_ Ph `� i'J/5� SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR
Footing Access' --___---
Foundation . / FPS -- ---- -----
Ftg Drain
Crawl Drain Inspection Notes SGN _ -
Slab --- - --- ----- - --- SIT
Post&Beam ----- --- --
Ext Sheath/Shear
Int Sheath/Shear -- --------
Framing -
.nsu ation
Drywall Nailing _ S' � Y 6_ 1Jc -- -- -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab S' s'
Top Out /
Water Service hU LL-Y
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL _
MECHANICAL
Post& Beam _—
Rough In
Gas Line
Smoke Dampers
Final
PAS PART FAIL.
LECTRICAL_ — — —
Service
Rough In
U.QLWab
Low Voltage
ASS PART FAIL
Backfill/Grading —
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( I Please call for reinspection RE:
Fire Supply Line _ ( ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other
Date '!_ / - Inspector / �yt � Ext
Final
PASS_ PART FAIL JO NOT REMOVE this inspection record from the job site.
C.TY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Ills ection Line: 639-41 5
p 7.. Business Line: 639-4171
E3UP
Date Requested `� _AM ✓ PM + BLD
I-ocation .S. Suite MEC
Contact Person `�.•�YY� Ph L�-7 —7 'f PLM
Contractor _ — Ph SWR
BUILDING Tenant/Owner _ ELC
Retaining Wall ELR
Footing ACS�s&: --
Foundation �r � � , y , FPS _ ^
Ftg Drain � �
Crawl Drain Inspection Notes-
Slab f SGN ---------- - ----
�' SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing —
Insulation - -
Drywall Nailing ---
Firewall
Fire Sprinkler J -
Fire Alarm
Susp'd Ceiling
Roof
Misc. _ _ _—
Final
PASS PART FAIL - -- _
PLUMBING
Post& Beam - - - -— --- --
Under Slab
Top Out - - - -
Water Service
Sanitary Sewer - - - --
Rain Drains
L
PPART FAIL
- - - - - --
CHANICAL -
Post& Beam - - ---- ----- ----
Rough In
Gas Line - - --
Smoke Dampers
Final - - - - ---- _ `--
PASS PART FAIL
ELECTRICAL - -
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 RE: [ ]Unable to inspect - no access
ADA
Approach/Sidewalk /1
Other Date Inspector_ A", Ext _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
1
r
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
PERMIT#: MST97-00455
01.2-VELOPNENT SERVICES DATE ISSUED: 10/29/97
131 2r 3W Hall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 2S104CD-07100
ZONING: R-7
JURISDICT;ON: TIG
SITE AL'1RESS: 13555 SVV BRIM PL
SUDD.AI)iON: HILLS.-19RE ESTATES
LOT:071
L 1 J OF WORK: NEW
TYPE OF USE: F
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SF - Path 1
Owner:
LHL CONSTRUCTION
71 10 SW FIR LOOP
STE 160
TIGARD, OR 97223
Phone: 624-7714
Contractor:
LHL CONS(RUCTION INC
7110 SW FIR LP
TIGARD, OR 97223
Phone: 624-7714
Reg#:
This Certificate issued 8/20/98 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 permit
was issued.
ADIU)IIVG 1 SPECTO BUILDING OFFICIAL.
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM__ PM BLD
Location_ 13 S S .VIA— Suite — _ MEC _
Contact Person _ Ph , e PLM _ —
Contractor L ':-y"��f Ph SWR --------
IL- Tenant/Owner — ELC
Retatning Wall ELR
Footing Access;, � FPS
Foundation (L e ��L41
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 I - -- -- --- --- -
Roof
PASS PART FAIL - --- -- -- _—
PLUMBING
Post& Beam
Under Slab
1 op Out
Water Service
Sanitary Sewer
Rain Drains -------------- -... -- - - — — -- --
Final
PASS PART FAIL --
MECHANICAL
Post& Beam ----- --- --- --- --
Rough In _
Gas Line ----------
Smoke Dampers
PASS PAIL r FAIL
ELECTRICAL - —
Service - - -
Rough In
UG/Slab -- - — --_T- ------ - --—
Low Voltage
Fire Alarm - - --
Final
PASS PART FAIL —___-- — - - -- —
SITE -
Backfill/Grading --- -`-- -
Sanitary Sewer
Storm Drain J J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Gatch Basin Unable to inspect no access
Fire Supply Line l ] Please call for reinspection RE - [ 1 P
ADA
Approach/Sidewalk Date Inspector _Ext
Other
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST '7 7� �l c,lJj
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested 1 "�� AM PM BLD _
Location— 7� CCJ , ) ��.� Irl-!/�'Yl_ - Suite MEG
Contact Person fOA'r".-- Ph i. - —7 T I PLM
Contractor L /—- Ph SWR
BUILDI Tenant/Owner ELC _
Retaining Wall ELR
Footing -- -
Foundation Access: / // I/ n FPS
Ftg DrainL- K ' ��_.
Crawl Drain Inspection Notes: SGN
Slab - --_— SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear --
Framing
Insulation _
��
Drywall Nailing _) _,,,�� `�_ Z.`" �=-T-LA
Firewall - 1
Fire Sprinkler NT_�1_�
Fire Alarm /
Susp'd Ceiling !r Am
Roof
Misc
incl�.
AS PART FAIL ----..------ -___-- __—_ --_--
PL GING
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
ELECTRICAL - — - -- - - - ------__ -__ -----
selvlce,
RoughIn - — .�----- ---------- -__. .__ --------- ------------
UG/Slab
Low Voltage _�.---.----- ---- — -- - --- --
1 ire Alarm
Final ------------ ------------_— ---- - --- -- -
PASS PART FAIL - - -- — - ---— ----_—,_— —� -- ---
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain J J Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE: _ [ j Unable to inspect-no access
ADP.
Approach/Sidewalkp
Other Date �J�C _Inspector Ext
Final
PASS PART FAIL- DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BLIP
Date Requested �,2n ( AM !%�___PM _ BLD
Location �7�5 _� �1 r-�-'�'�'� ��uite r— MEC
Contact Person Ph PLM
Contractor _— Ph SWR
B Lh L6NG Tenant/Owner ELC
Retaining Wall ELR
Footing IR VAcce
Foundation ' FPS
Fig Drain \ F r
Crawl Drain Inspection Notes: SGN
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
PLUMBING
Post& Beam
Under Slab
I op Out - ._ ------- --- ------
Water Service
Sanitary Sewer - — -- - --- - --
Rain Drains
Final -
PASS PART FAIL
MECHANICAL _T _ -
Post& beam
Rough In
Gas Line - -- - - -
Smoke Dampers u
Final - - ---- -
PASS PART FAIL
ELECTRICAL ----- - -
Service
RoughIn ------------ ---- --- ----------- --------- --
UG/Slab
Low Voltage
Alarm
PASS PART FAIL
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 [ ] Please call for reinspection RE:__— _' _ [ ]Unable to inspect no access
ADA
Approach/Sidewalk
Other Date �7 Inspector � _Ext
Final —
PASS PART FAIL 00 NOT REMOVE this inspection record ftorn the job site.