13975 SW BENCHVIEW TERRACE I
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139 SW RENCVVIFM TFRR
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)63.9.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . : MST96-0335
DATE ISSUED: 06/10/97
PARCEL s 8S104('1)--@5400
i I TE ADDRESS . . : 13975 SW RENCHV IEW TE.RR
3UFIUIVISION. . . . : HII.LSHIRE ESTATE'S ZOI\IINr:F,--7 PrP
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 1054 JURISI?ICTION:TIG
;.,I._AS G OF WORK. a NEW _.....__.. ._._ _..
IYf,E OF USE.. . . a 8F
TYPE OFF CONGTR s nN
0CLUPANCY GRP. :F43
OCCOF"'ANCY 1_OOD:2
Remark PATH I
�{AMI AND M I RA K R I SWAND I
STONE: CNSTL_E BUILDERS
00 BOX 230594
r I CARD OR 9 7cH 1
0h o n e #c 415r'-2554
teq #. . : 001026
This C.ertific_ate grants c?c,cupancy of the above referenced buildir,q or pori. :
t;htareof awl c:onfir•ms that the building hos Fween inspected fbr- compliance with
I ht_n State of Oregon Specialty Codes fnr the procip, c_cupacncy and use under
rii .c:h Ihr�+ vefcarenceti Iyermit way issi�ed.
WILDING IN3FECTOP PUI._�i�IVt3 �_ ... AL .. .
- r - ' OF I IAL
POST IN CONSP I CUOI._Ic PLACE
I
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: r% / C _ A.M. — P.M. MST:
Location:
BUR
Tenant: Suite:—__-___Bldg: _ MEC:
Contractor: Phone:
_ -- PLM:
Owner: Phone: _ ELC:
-- L--0(K- 56Y, - BUIL ELR:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITSITE
Site Post/Beam Posf/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Coling Water Line
Slab Framing Top Out Gas Line Rough-hi UO Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire S Ir/Alm Crawl/Found Dr I lent Pum Low Volt
Approv Approved pprov Approved Approved
Appr/Sdwlk roved Not Approved roved Not Approved Not Approved
INAL FINAL FINAL FINAL FINAL
0 Call for reinspectior. C3 Reinspection fee of S required before next inspection O Unable to inspect
Inspector:^ — �, __ bate:_ /) Page_ of.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: `i rI A.M. P.M. MST:
oration: I ' I Li ^_Z-�- ; 1�p_�_( C C-L iI c 'l BUR
Tenant: Suite: Bldg: NEC:
Contractor: Phone:
PLM:
owner:�,V �Z L�\_.1. L L a_c Phone: ELC:
oY - R _ 0/ 3 3
C2 i yL LL
_ stT:
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top M( Gas Lire Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm FurnAce Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Punip Low Volt
Approved Approved Approved Approved ) Approved
EAppr/SdwIk Not Approved Not Approved Not Apr+roved ved Not Approved
FINAL FINAL FINAL
Call for reinspection Reinspection fee of S_ required before next inspection O Unable to inspect
Inspector: Datr.
--- _ Page of
r.rr..,
pill,
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 639-4171
Date Requested: Z2 A M. MST:q(0
Location: —a eAM\, 1 e r��'�YOIC�L_ --- BUR
Tenant: Suite: —Bldg: MEC: –7
Con�racto,: I Phone: PLM;C / `_6 )
Owner:_41112,1- iii(3WPrN D —Phone. SA -3(e33 CIfJII ELC:
ELR:
STT: _
BUILDING BLDG(con's) PLUMBING _ MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing )of UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Git Gas Line Rough-Ln UO Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Irwin A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved AMAVW Approved Approved Approved
Appr/Sdwtk Not App.oved ved Not Approved Not Approved Not Approved
FINAL FIN FINAL FINAL FINAL
g0b(f � o� r-vlL hxP�oy,�9�
O Call for reinspection O Reinspection fee of S required before next inspection CI Unable to inspect
Inspector: Dare __ _ Page_ L of_7�
i
Page No. 1 CASE HISTORY FUR CASE NO.: MST96-0335
HAMI AND MIRA KRISWANDI
13975 SN BSNCHVTrW TERR
12/05/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Dane Date By
MSTAOCS Application received / / / / 06/26/96 PASS BON 07/01/96 BT2
MSTA008 Permit Created / / / / 07/01/96 PASS RT 07/01/96 BT2
MSTA010 Check for prcl. restrict. / / / / 06/26/96 PASS JD 07/01/96 BT2
MSTA012 Plans routed to Plans Examiner / / / / 06/26/96 PASS JD 07/01/96 BT2
MSTA026 Plans approved by Plans Exmr / / / / 07/01/56 PASS RT 07/01/96 BT2
MSTA030 P.eviewed plans routed to DSTS / / / / 07/01/96 PASS RT 07/01/96 ST2
MSTA080 (P) Ready to issue / / / / 07/02/96 PASS CJ8 07/02/96 CJS
MSTA092 (F) Issue combination permit / / / / 07/12/96 PASS JSD 07/12/96 JD
MSTA097 Issue plumbing signature form / / / / 07/12/96 PASS JSD 07/12/96 JD
MBTA099 Issue electric signature form / / / / 0'1/12/96 PASS JSD 07/12/96 JD
MSTA705 Footing Inep / / / / 07/22/96 k-1- not ready; NEED INITIAL EROSION DIS KS 07/22/96 KBS
CONTROLA PP
MSTA705 Footing Insp 07/23/96 / / 07/21/96 N-1- monolithic ftg/fdn A/N KS 07/24/96 KBS
MSTA706 Foundation Insp / / / / 07/23/96 k-1- monolithic; ftg/fdn A/N KS 07/24/96 KBS
8-2-install anchor bolts size and
spacing as shown
M-3- install anchor bolts at base plate
for i beam ( shear)
MSTA710 Post/Beam Structural / / / / 08/05/96 no plans) FAIL RB 06/05/96 RB
MSTA710 Post/Beam Structtral 08/06/96 / / 08/06/96 field treat cut ends of plate; short FAIL RS 08/06/96 RB
cripple wall- ply both sides; add beam
at front; 3-stud corners needed; missed
piers/posting; add anchor bolts where
missed; lap vapor barrier; remove wood
debris; plenum box needs at least 1"
clearance from earth contact; add 4X6
bridge at furnace knock-omit w/ stud;
re-positicam asphalt shingle under
posting- marked.
MSTA710 Post/Beam Structural 09/07/96 / / 08!07/96 PASS RB 08/07/96 RB
MSTA711 post/Beam Mechanical / / / / 08/05/96 no plansl FAIL RB 08/05/96 RB
MBTA711 Post/Beam Mechanical 08/06/96 / ! 08/06/96 was structural this date FAIL RS 08/06/96 RB
MSTA711 Poet/Seam Mechanical 08/07/96 / / 08/07/96 PASS RB 08/07/96 RB
MSTA713 Crawl Drain 06/01/96 / / 07/31/96 ms PASS MS 08/01/96 MRS
page
4 crawl drains
MSTA717 PLM/Underfloor / / / / 06/01/96 PASS MS 08/01/96 MRS
MSTA720 Mechanical Inep / 1 / / 11/08/96 moo framing this date FAIL RB 11/12/96 RB
Page No. 2 CASE HISTORY FOR CASE No,: MST96-0375
HAMI AND MIRA KRISWANDI
13975 SW BENCHVIEW TERP
12/05/97
Action Description Req/ Schd/ End/ Action Notes Diap By Update Upd
Code Sent Dome Dome Date By
MSTA720 Mechanical Inap / / / / 11/18/96 see framing thio date FAIL RB 11/18/96 RB
MSTA720 Mechanical Insp / / / / 11/26/96 pending- listing req'mt for unvented PASS RB 11/27/96 RB
heater
MSTA720 Mechanical Insp / / / / 12/03/96 PASS RB 12/03/96 RB
MSTA720 Mechanical Insp / / / / 12/03/96 pending- enclosure of fireplace lid for PASS RB 12/03/96 RB
unvented;
MSTA722 Plumb Top Out / / / / 10/22/96 PASS MS 10/22/96 MRS
MSTA723 Electrical Service / / / / / / 07/01/96 BT2
MSTA724 Electrical Rough In / / / / 10/30/96 1.NMM THERMOSTAT FOR FIRE PLACE PASS MR 10/31/96 BT2
2. NO GRADE LEVEL FRONT OUTSIDE PLUG
AFTER CORRECTIONS ELECTRICAL AND W-VOLT
ROUGH-IN APPROVED
3. COMPLETE INFORMATION ON PERMIT LABEL
MSTA725 Framing Insp / / / / 11/08/96 6-page report- too much to enter FAIL RB 11/18/96 TLP
M°TA725 Framing Insp / / / / 11/18/96 fireblock fireplace vent w/in floor FAIL RB 12/03/96 TLP
cavity at FamRm; submit letter for
approval of un-vented fireplace; vent
baffles misoid at master water closet;
enclose lid of unusable space fwd bedrm
south; block master bedru fireplace
sidewalk w/in attic; enclose chase of
master fireplace at roof line; support
6z in master bedrm.
Shear failed!
MSTA'725 Framing Insp / / / / 11/26/96 pending- meth issue PASS RB 11/27/96 RB
MSTA725 Framing Insp / / / / ll,'bl/96 see file for framing inspection FAIL TLP 12/03/96 TLP
MSTA725 Framing Insp / / / / 12/03/96 PAP` RP 12/03/96 RB
MSTA725 Framing Inep / / / / 12/03/96 pending- each issue PASS PS 12/03/96 RB
MSTA726 Shear wall Insp / ,� / / 10/22/99 1. NAIL THE (3) TYPE ICI SHEARWALLS DIS G1, 10/29/96 KAS
BETWEEN HOUSE AND GARAGE AT 4" o
ALL. IMBS.
2. INSTALL HTT22-S AT THESE WRLLS SO
THEY TIE TO THB FOUNDATION.
3. INSTALL CMST 1218 AT 'B' WALLS TO TIE
TO LOWER FLOOR.
4STA726 Shear Wall Insp / / / / 12/03/96 PASS RB 12/03/96 RB
MSTA726 Shear wall Insp / / / / 12/03/96 PASS RB 12/03/96 RB
Page No. 3 CASE HISTORY FOR CASE NO.: MST96-0335
HAMI AND MIRA KRISWANDI
13975 SW BENCHVIEW TERR
12/05/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ----------I------- -------- -------- -------- --------------------------------------- ---- --- -------- ---
MSTA727 Low Voltage / / / / / / 07/01/96 BT2
MSTA%35 Gas Line Insp / / / j 11/08/96 #173981 PASS F'.B 11/12/96 RB
MSTA740 Insulation Insp / / / / 12/03/96 pending- mesh issue; firestop all thru PASS RB 12/03/96 RB
penetrations; chink window/doors.
MSTA745 Gyp Board Insp / / / / 12/17/96 PASS TLP 12/26/96 BT2
MSTA755 Rain drain Insp / / / / 07/3(,/96 NR MS 07/31/96 MRS
MSTA755 Rain drain Insp 08/01/96 / / 07/31/96 ms PASS MS 08/01/96 MRS
MSTA760 Water Line Insp / / / / 07/31/96 PASS MS Oe/01/96 MRS
MSTA765 Appr/Sdwlk Insp / / / / 04/10/97 Was not galled for form inspection PASS PI 04/15/97 KAB
befor, pour. Finish appears OK.
MSTA790 Electrical Final / / / / 04/10/97 PASS TLP 04/11/97 TLP
MSTA790 Electrical Final / / / / 09/19/97 PASS BRP 09/22/97 J*H
MOTA795 Mechanical Final / / / / 04/10/97 see building final this data FAIL RB 04/10/97 RB
MSTA795 Mechanical Final / / / / 05/01/97 livingroom fireplace non-operational FAIL RB 05/c:/97 RB
MSTA795 Mechanical Final / / / / 06/12/97 corrections completed PASS RB 06/12/97 J*H
MSTA797 Plumb Final / / / / 03/18/97 rd need caWped off FAIL MS 03/19/97 MRS
need to teat fixtures
MSTA797 Plumb Final / / / / 04/04/97 PAS MS 04/04/97 MRS
MSTA799 Building Final / / / 04/10/97 use erosion; electrical final; FAIL RB 04/10/97 RB
slope/grade; repair vent at front; front
entry walk-thru too narrow at
31-1/2^-main entry; weatherstrip doors;
vehicle barrier needed at appliances in
garage; garage stairs- handrail req'd;
fireplace(e) (3) non-operational;
exhaust fan-upstairs bathrm
ncn-operational; seal behind furnace-
thru penetration; support flex duct
under-floor; remove debris from crawl;
insulation sign-off card not posted;
MSTA799 Building Final ! / / / 01/01/97 meth issue; handrail at garage stairs; FAIL RB 05/01/97 PF-
received
Freceived into record main entry Is NOT
to be used fox main egress- see
inspection card hard copy.
Page No. 4 CASE HISTORY FOR CASE NO.: MST96-0335
HAMI AND MIRA RRISWANDI
13975 SW BENCHVIEW TE"
12/05/12/05/97
Action Dencription Req/ Schd/ End/ Actiui Notes Dinp By Update Upd
Code Sent Done Dome Date By
MSTA799 Building Final 05/31/y7 j / 05/30/97 NO MECHANICAL FINAL (FP - LIVING RM) FAIL RC 05/31/97 J•H
NOT READY FOR BUILDING FINAL, CALL FOR
REINSPECTION:
1. Ground must be eloped away from
building at 44 for min. 6 tt.
1. Fill used on site must be approved by
City Engineering Dept.
3. Garage door closer not operational.
MSTA799 Building Final / / / / 06/10/97 PASS RB 06/12/97 J•H
MSTA960 (F) Issue Cert. of Occupancy / / / / 06/10/97 C/O was held up until pIM97-0160 was JT 12/05/97 S•W
issued/inspected
MAILED 12-5-97
MSTB708 E•oe:.on Control. / / / / 04/21/97 PASS USA 05/01%97 RB
CITY OF TIGARU
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
J & R PLUMBING
18886 SW SHAW ST
ALOHA OR 91007
Plumbing Signature Fort"
Permit # . . . . : MST96-0335
Date Issued. : 07/12/96
Parcel . . . . . . : 2S104CD-05400
Site Address : 13975 SW BENCHVIEW TERR
Subdivision . : HILLSHIR.E ESTATES
Block . . . . . . . : 1,,_>1 : 054
Zoning . . . . . . . R-7 PD
Remarks :
PATH I
Your coropany 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 REO(J.,,ED ON THIS FORM
OWNER : PLUMBING CONTRACTOR :
HAMI AND MIRA RRISWANDI J & R PLUMBING
188-86 _-qW-_-gHAW-ST
<:�?Y3-;) Sc c7 ci-oT a�
ALOHA OR 97007
Phone # : Phone # :
Reg # . . : 72680
X
Signature of Autl rized Plumber
Please return :his 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
NORTH VALLEY ELECTRIC INC
PO BOX 222
WOODBURN OF 97071
Electrical Signature Form
Permit # . . • • : MST96-0335
Date Issued. : 07/12/96
Parcel . . . . . . : 2S104CD-05400
Site Address : 13975 SW BENCHVIEW TERR
Subdivision. : HILLSHIRE ESTATES
P:.ock. . . . . . . . Lot. : 054
Zoning. . . . . . . R-7 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
�')WNER : ELECTRICAL CONTRACTOR :
HAMI AND MIRA RRISWANDI NORTH VALLEY ELECTRIC INC
PO BOX 222
WOODBURN OR 97071
Phone I' : Phone # :
Reg # . . : 88302
Sign$ture -oT-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
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PL_1197—i2 1 F,+?.
DATE ISSUED: 05/06/97
SITE ADDRESS. . . : 13975 SW BENCHVIEW TERR PARCEL: 2S104CD--05400
SUBDIVISION. . . . : HILLSIATRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..054 JURISDICTION: TIG
-----------------------------------------------------------------------. .
iCLASS OF WORK. . :NFW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . .-HP FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . ; 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN 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
Remar�(s : instl 1 r-e5identi.al backf?ow device // cic located at meter,
Owner: -------_—__--__--- ______ __. ._.. _- ------ --- —_--- FEES ----- ------
STONE CASTLE BUILDERS type amount by date recpt
LEN DALTONPRMT $ 15. 00 TAT 05/06/97 97-294208
PO BOX 230594 9P(-T 4 0. 75 TAT 05/R6/97 97--294218 i
T10C.71) OR 97281
Phone #:
Contractor------_,________________________
OREGON CASCADE LANDSCAPING INC
14075 SW TODD S7
ALOHA OR 97006 —._.—.__-----_-.--._--__------------.---._--
Phone #: $ 15. 75 TOTAL_
Reg #. . : 000067
------ - REQUIRED INSPECTIONS
- --- -
This pewit is issued subject to the regulations contained in the Water Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection _
applicable laws. All Mork will be done in accordance with RP/Backflow Prev _ r�
approved plans. This posit will expire if work is not started Final Inspection
within 10 days of issuance, or if work ii suspended for more
than lAP Haus.
ermi.ttee Signatllre:
T s s ued Bye
Call. for inspection - 639--4175
T`.' OF TIGARD Plumbing Application Recd By
X125 SW HALL BLVD. Commercial and Residential Data Recd
(`,ARD, OR 9`22.3 Tile o P E
=0a) SA-4171 Cate to DST
Permit a
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted called
Name or CQVQIO.r.entiProject FIXTURES (individual) QTY PRICE AMT i
—ob I
Sink 9.00
.` t "rresS Streel Aidress Suite Lavatory 9.00
ruo or ruoiShower Como
900
it Ig s �tyiSljite n Zip shower Only 9.00
Water Closer
V., a 9.00
LIQ Dishwasher
��_� , , I r��;1 Ir ' ��L( I '��..�• 9.00
)darling address . � Garbage Disposal 7 00
'I) ^ rWashing Machine
900
�,ryi5tate Zvi hone Floor Crain
I a ' - —�- �- 1 •'� 3• 9.00 �
Cama
900
Occupant %tailing address Suite Nater Heater
900
Laundry Room Tray 9.00
Z:-tyiState Zip I Phone Unnat 9.00
I
Name Other Fixtures(Soeciy) 9.00
')i i i 9.00
Contractor Mailing address Suit 9 00
i Ij ,1 .
Prior t,issu-nce Ci iStale Zip Phone d.00
3opiic3nt must -/ - I 9.00
orovide ad Oregon Const.Cont.Board LiC a 4Exo Date 9.00
contractor +"7 .1
license Plumom Lic.a
9 Erp.Date Sewer-tst 100'
information 30.0
Sewer-each additional 100' 25.00
for COT COT Business Tax or latrb � exp.Date
oatabasel. d Water Servide-Ist 100'
30.00 I
Name I��� 7iater Service-each additional 200' 25.00
Architect Storm 6 Rain Crain- tst 100' 30.00
or Mailing Address Suite Slorm A Rain Crain-each additional 100' 25.00
Moble Home Space 25.00
Engineer Citylstate Zip Phone Commeraal Baca F;ow Prevention Device or Anu- 25.00
Pollution Device
^be.vont New addition Alteration C Repan C Pesdential 9ack"cw"'eventlon Device' i -.500
e Sone. Residertial O Nan-residential any Trap or Waste Nct Connected to a Foxtt I 900
c.aonal gescriotion o1 ycrx Catati Glair -
910
msp of rusting ;-umoing I 40.00
oenhr
lis•rg use if Soeciaily Requested Inspections 40.00
'ding or prooerry oeehr
Rain Crain,single'amily awaiting I 30]9 I _
cosed use 3f Grease Tracs I I 9 010
ding or prooerty
I I i
e .ou clop nq moving or rebiac,rg any fixtures 7 Yes NQUANTITY TOTAL
o l *eM x user e:agram s e vraa t Ouamny-cul s ±e i
,f/as see back of form) _ _ 'SUBTOTAL �+
-ereoy acknowiedge that,have read this aopucation,that the informal on
ren,s correct that i am're owrer or authorized agent of the owner and 5%SURCHARGE
"at Dlars sucmittea are , :omnance with Oregon State Laws.
gnature of Owner/Agentpate PLAN REVIEW 25;•:OF SUBTOTAL '
J4aaurae cnty f lxtura ctv .Tial f>_9
TOTAL
ntact Person Name I Phone J
'Minimum permit fee s 525 -5%surcharge.except Residential Backflow
Prevention Device.«^iri is Sts- 516 surcharge
i''dSts DIma00 doc gigs
'hEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped, moved or replaced I Qty i
Sink
Lavatory _
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
i Garbage Disposal
Washing Machine_
Floor Drain — 2"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
'OMMENTS REGARDING ABOVE:
r
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd. Tigard, 5 ELECTRICAL PERMIT —
g OR 97223 ( 03,639.9171 RESTRICTED ENERGY
PERMIT #: EL_R97-01...3
DATE ISSUED: 05/06/97
PARCEL: 2S104CD-05400
SITE ADDRESS. . . : 13975 SW BENCHVIEW TERR
SUBDIVISION. . . . :HTL_I_.SHTRE ESTATES ZONING: R-7 PD
81_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..094 JURISDICTN: TIO
Pro j act Desr..ri pt ion: instl 1 landscape irrigation control
A. RESIDENTIAL—— B. COMMERCIAL.__________
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING_ :
BURGLAR At._ARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIriAT. . : X
GAP.AGE OPENER. . . . . CLOCK. . . . . . . . . . . . MFDTCAI.. . . . . . . . . . . . ..
HVAC. . . . . . . . . . . . . . DATA/TEL..E COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : F T RE At-ARM. . . . . . . OUTDOOR L.ANDSC I_T TF-
OTHF...R: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. .
INSTRUMENTATION. : OTHER. . .-
TOTAL,
THER. . :TOTAL # OF SYSTEMS: 1
Owner. ____----•----._--__-----_.__._.____._._____-----__.__._______.__ FEES -------- _______-
STONE CASTLE SHII...DERS type amolAnt by date recpt
LEN DAL.TON PRMT $ 40. 00 TAT 05/06/97 97-294208
-'fl BOX 230594 SPCT $ 2. 00 TAT 05/06/97 97-294='08
TIGARD OR 97281.
Phone #: 492-0969
Of+F_GON CASCADE 1_ANDSCAP T NG T Nr: ! 4?. 011 TOTAL
14075 SW TODD ST
— -- ---- REQUIRED INSPECTIONS
AI-OHA OR 97006 Ceiling Cover Elect' 1 Service
Phone #: Wall. Cover Elect' l Final
Reg #. . : 000067
This perait is issued subject to the regulations contained in the
T,aard Municipal Code, State of Ore. Specialty Codes and all other perm i t e- . ' gnat ..ire
lnr,h rahle laws. All Mork will be done in accordance with /
inrrived plans. This perait will expire if work 's not started '
within 188 days of issuance, or if work is suspended for yore
than 189 days. I s s o. d Sy
INSTAI_.LA'TION ONLY---- ----------_____—_._.___._-.___
The installation is being made on property I own which is not intended for
sale, lease, ar rent.
OWNER' S SIGNATURE- DATE:
INSTALLATION ONLY_—_--.—_—__--.-------------
SIGNATURE OF S1.1PR. ELEC' N: N� DATE-.
1_.T CENSE NO:
Call for inspection — 639-4175
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
13125 SW HALL BLVD Date Recd:
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 Permit#:
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
JOB Street Address Ste#
Check Type of Work Involved.
ADDRESS - ,. r i ('
City/State , 1 Zip Phone S ❑ Audio and Stereo Systems
_._ Na -i jl P Burglar Alarm
I-0 f i U,'1 I ❑
OWNER Mailing ddreas Garage Door Opener-
OWNER
r, ❑
ity/State! Zip` Phone* Heating, m
ng,Ventilation and Air Conditioning Syste '
- - — )�� ❑
Name_ Vacuum Systems'
` ^ ' 1 i ❑ Other —_— ----- - -
CONTRACTOR IvIsit Address
,) TYPE OF WORK INVOLVED -COMMERCIAL
(Prior to issuance a City State p Phone# Fee for each system.............................................. $40.00
ropy of all licenses (SEE OAR 918-260,260)
are required if Oregon Contr.Brd Lic N Exp.Date
expired in C O T - „�-_ Check Type of Work Involved
data base) Electrical "intr. Lic 0 Exp Date
❑ Audio and Stereo Systems
COT or Rro c Exp Date
�r� �� / ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone N f� Fire Alarm Installation
this permit is issued under OAF.918-320-370 This applicant agrees to L❑J
make only restricted energy installations(100 volt amps or less)under th-s HVAC
permit and to do the following
❑ instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other transactions are exempt from licensing Intercom and Paging Systems
These have asterisks(') All others need licensing,
❑
2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control*
inspection at 503-6394175; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspe;:tor are done,and. ❑
Prolective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days _Number of Systems
The person signing for tl'is permit must be the applicant or a person N,i tenses are required Licenses are required for all other installations
authorized to bind the applicant
II t n FEES:
Signature -- ENTER FEES $
5%SURCHARGE(.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ C )
i Vesele doc 12196 __
-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPELTI(*.--
�
r-,CITYCSF
R M
TIGARD PERMI T #. . . . . . . ..
'
c6mMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: L717/1 /q&
13125 SW Hall Bfvd.Tigard,Oregon 97223*8199 (503)639.4171 I-'"RCEL: 2511214CD-05400
J.1i, . -.,v4 A
JEADIVISIUN. . . . : HILLSHIRE ESTATES ZONING: R-7 V-,D
AACK, . . . . . . . . .* LOT. . . . . . . . . . . . . .0tw,4
)A 1\10. . . . . . . . . . : F'IX7URE UNITS. . . 0
14--JS OF WORK. . . :NE14 DWELL I NO UN I TS. . 1.
OF' USE. . . . . :SF NO. OF BUILDINGS: I
IALL TYl-E. . . . :BUSWR IMP'EF?V SURFACE 1 0 sF
PIATH I
11�1: FEES
(-)ND MIFRA KRISWANDI type amol-trit by dat e 1,ecpt
V'RMI 6 2r`-,00- 00 JSD 07/12/9,1, 916-281594
1 N 1,;ID I. 35j. 00 JGD 0111e*vc)b 916-281594
,orae #:
LONTRACTUR NOT ON FILE
EIR35. 00 TO 1'(4L
REGUIRED INSP,E.CTIONS
iris Applicant agrees to comply with all the rules and regulations f:)ewer lnEipecticln
of the Unified Sewage Agency. The permit expires J8@ days from
the date issued. The total atourt 02id will be forfeited if the
Permit expires. The Agency does not guarantee the acc-p-acy of the
side sewer laterals. If the sewer- is not located at the measurement
given, the installer shall prospect .i feet in all direction: from
the distinct given. If not so located, the installer shall purchase
a 'Tap and Side Sewer' Permit and the As!ni;Y will install a lateral.
(j D
(—RI I for I rlt:r)tic t I On 62.9-4175
i
Residential Building Perm;t plication
City of Tigard
13125 SW Hall Blvd.
Tigard, CR 97223
(503) 639-4171
Jobsite Address: 139_15 !�-Vj '5r__W NVIEw
Subdivision: IILl.5HleE Ems• Lot# `J- O_ffipe Use_Qn�y
Valuation: 23 (���� Contact Date 7 /a EX Initials-r7_
Result V-
New Construction Only: (Square Footage)
P)anck/Rec tr`
House: . 0 Z Garage _ L'� 4 _ Permit# ,1) J 01
Reissue of `, '
Corner Lot? Y N Flag Lot? Y Map&TL
Zone
Owner: Am kK i S w Oktj �., I Plat# ` ^'
Address: _ _ Approvals Required
Planning Setbacks _' Solar
Engineering G
Phone: (_ Other
Contractcr: Strar41ECa 5TLC_ ")�>u kbn2S liermts RequIred
Address: _IC) pio)( Z3059q _ Subcontrat;tors
Truss Details
-f I�-V t•M-p_ _ - - -
Other
Phone: ( JL 3 ) ��S�-'0�(a`'1 Notes _
Contractor's License# U2to09
(attach copy of current Oregon license)
Contact Name. I)NU-1-0rIJ
-ntact Phone: (5C'3 11
Subcontractors: ArchitectJEngineer: r� 5' _ L��ari�lt'� x5tc. tJ
Plumbing: ,14(2- Y WM it-J C-, Address: _- __ X351 �.1E (os WE.
Mechanical: RetJ TE-c- F(Eftnt�6, VjVgj o' q7 ylg _
(attach copy of current OR Contractcrs License)
Electrical:--h1091[I VAU L14 E LocMic Phone: ( 5 0� ) Z$ ` (0-5
JCB DESCRIPTION: LVA_ f llp (503 ) Z -01 Lj ---- -
Applicant Signature Applicant Phone number
Received by �, 1� U Date Received
-.��awnaoo
Permit ;$ Account Description Amount Amt Pd. Bal. Due
Bldg. Permit (BUILD) o, E0
Plumb. Permit (PLUMB)
Mach. Permit (MECH) i
int (T*X) _ 4
Bldg:
Plumb: i
Mach: 2
Plan Check (PLANCK) S�v,�r 3 57� .25 U•d�3
Bldg: av•
Plumb:
Mech:
Sewer Connection (SWUSA) Q1y
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSOC) USy
Residential TIF (TIF-R) L�JU 2p
Mass Transit TIF (TIF-MT) �? D
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Cffice TIF (TIF-C)
Water duality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Eresion Cntrl Permit (ERPRM T)
Erosion PlancklUSA (ERPLAN) �� Gu ��•�Y
Erosicn Planck1CCT (ERCSN) ��•GU :1 �,
OK
TOTALS: 1 �jf G
Box B. continued Box B:
?. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from -he front lot line to the foundation, the figure is positive. If
the lot slopes down frf;m the front lot line to the foundation, the figure is negative. ft
3. Measure distance from finished floor elevation to the affected peak/eave. + ft
-t. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, - -- ft
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. ft
6. Total figure for box B: I ft
Box C. Distance to the shade reduction line. Box C:
I. Measure the distance from the North property line to the foundation near the ft
affected peakleave.
2. Measure the distance from the foundation to the affected peak or eave. + _ ft
3. Total figure for box C: It
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 '8'is less than or equal to the value found in hox"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
Communitv Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to Ngrth-south lot dimension(in feet)
shade 100+ 95 901, 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
Int tine(in feet) ,
70 40 40 40 41 42 43 44
65 38 38 38 39 .10 41 42 43
60 36 36 36 37 18 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 L 33 34 35 36 37 38 39 40
-15 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 3.1 35 36
30 24 24 24 13 16 27 29 29 30 31 32 33 34
25 22 2' 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 13 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: _feet
f
h:d ocsi n a n cove n t u ra w l a c ch p
Revised 1:6,96
Solar Balance Point Standard Worksheet
Add;ess _1 � {
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 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.
45°-<►
t � * I 'N
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.
1 rc 4'r
i N
iNCR013 LMENSIONrt:;O \
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
structure. The orientation of the ridge is also important. Which describes
your residence?
1a: If the roof line runs North-South, measurements will (circle one;
be based on the peak of the roof,
TF-5-c-o c
rrnM� I iB IC
I
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
ea%e. a..,
SNACE niN!Ev.j
1c: If the roof line runs East-West and the roof pitch is
5, :' or steeper, measurements will be based on the
peak. �•�--,