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9459 SW BROOKLYN LANE
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., >igard,OR 97223(503)639-4171
C'ERTIFICATL OF
OCCUC-IANC:Y
PIERM I T #. . . . . . . . M G T 9 8 t ,8ft
I AIT V--j-SUED: 03/10/9")
i:I TC AfaUt2E:7�. . , s 09459 W SROOKL..YN LN
,A)LADIVI51ON. . . . s SHANNON MEADOWS Z[IN INGsH•-4. 5
OL OCK. . . . . . . . . s LOT. . . . . . . . . . . . . x0 ':1 .7URI ST)IC:TION: T 1
f'L.AS5 OF WORK. :NEW
I`YPF OF USE:. . . :r
I`Y'PE OF CON STR s 514
(3C;CUV'ANCY C RP'. .r..}
-NICUPIANCY LOAD s N
r?�n m a r•k s : ?4w 9F - Path I
rOM MILLER
SW KRUOER
_yIfy'fiWl]UI) OR 91140
62'5 /ts5b
TOM MILLER BUILDER, INC
:.13'7,''411 3W Kpl-i c-'k DR
,MF--WOOD uR 97144
Phone #: 625-4558
Reg #. . s :573-'!`,
Phis Certifir.zkte ut-arvts occupAjr'y of the above buildiny ot- pot-tion
1,hev-eof an,:+ confit-ms that ttie blvilding has been ins,por.ted for r-ompliancor with
:heCit ate of Ot-egon 'Specialty Codes for- the gvu,-tpf oc.,c upancy, and use ut;det-
whir_h the v-efet-enced pe -mit was i isued.
(�)2i ,
T-AUIL_DINC INSi;6EC OR Ea /IN �1"C1'I �3UPE i
POST IN CONSP11 CLIOU5 PL.ACT
CITY OF TIGARD BUILDING INSPECTION DIVISION MST1�C, �
24-Hour Inspection Line: 639-4175 Business Line: 6394171
BUP
Date Requested /U _AM PM BLD
Location �'�T_ �,,d�-�-- i Suite MEC
Contact Person ��-v►n Ph ZX4 — 1�, PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access / FPS
Foundation // �j
Ftg Drain ',C���J-l '`-"` SGN
Crawl Drain Inspection Notes: — --
Slab SIT
Post& Beam --
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ----
Fire
_—Fire Alarm
Susp'd Ceiling
Roof
Misc.
i
PASS ` PART FAIL - - _ -- --------- — -- ��
PLUMBING
Post& Beam
Under Slab
TopOut ------ __ -- ------- -------- ------ ---
Water Ser lice
Sanitary Sewer --- .- --- -
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough In
Gas Line - --- -- --
Smoke Dampers
/19S 1 PART FAIL
FL RICAL
'Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PAR r 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 Please call for reins ection RE:
Fire Supply Line [ ] P _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk /
Date ate Inspector __ Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVIZO"ES PERMIT #. . . . . . . : MST98-0388
13125 S V Hall Blvd,, Tigard,OR 97223(503)639.4171 DATE ISSUED: 10/30/98
PARCEL: 2SI11BA-SHM05
SITE ADDRESS. . . :09459 SW BROOKLYN LN
SUBDIVISION. . . . :SHANNON MEADOWS ZONTI\1(3: R-4. 5
BLOCK. . . , . . . . . I..OT. . . . . . . . . . . . . :0071 JURISDICTION- TIO
Remarks: New SF - Path I
----------------------- —---------- BUILDING -----------------—-——--—-—-------------------------
RE ISSUE- STORIES.......: 2 FLOOR AREAS---------- BASEMENT.,,: @ sf RFOUIRED SETBACKS---- REGUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 20 FIRST....: %@ sf GARAGE.....: 620 sf L' T..........: 10 SMOKE DETECTRS: Y
TYPE OF USF...:SF FLOOR LOAD....: 40 SECOND...: %B sf -'RONT......... 20 PAWING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 7
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL--- 1928 sf VALUE.A: 145647
REAR..........: 27
----------------------------------------------------- PLUMBING - --- ---- ---- ---------
SINKS.........:
SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES—.: 4 DISHWASHERS...: I FLOOR DRAINS..- 0 SEWER LINE ft: 100 SF RAIN DRAINS: I CATCH BASINS-: 0
TUB/SHOWERS...: 3 GARBAGE DMP..: I WATER HEATERS.: I WATER LIN[ ft: 100 BCFFLW PREVNTR: I GREASE TRAPS-: 0
OTHER FIXTURES: 0
------------------------------------------------------------ MECHANICAL -------- ----------------------------------------------------------
FUEL TYPES----------- FURW I IM I BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
GAS FURN )=100K 0 UNIT HEATERS.. 0 HOODS,........: I OTHER UNITS...: I
MAX INP. 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLET5... I
--------------------------------------------------------------- ELECTRICAL -------------------------------------- ---------------------------
UNIT--- ---SERVICE/FEEDER---- --TEMP SRVr/FEEDERS--- ---BRANCH CIRCUITS--- -- -MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000
NSPECTIONS—IN@ 9F OR LESS, 1 0 200 amp..: 0 0 - Poe Rep.., 0 W/SVC OR FDR.,: 0 PIMP/IRRIGATION: 0 PER INSPECTION- 0
EA ADDIL 508SF.: 4 201 400 asp..: 0 201 - 400 asp..: 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: A
LIMITED ENERGY.; 0 401 600 asp..: 0 401 - 600 asp..: 0 EA ADDL BP ClRi 0 SIGNAL/PANEL...: 0 IN PLANT,....,:
MPNF HM/SVC/FDR: 0 601 low amp.: 0 601+8@PS-1000 Y: 0 MINOR LABEL 10: 0
1000+ alp/volt.: 0 -------------- PLAN REVIEW SEN ION -------------------------------------
Reconne-t only.: 0 )74 RES UNITS..- SVC/FDR)--225 A.: 600 V NOMINAL: CLS AREA/SPC OCC:
----------------------------------------------- -- ELECIRICAL - RESTRICTED ENERGY -------------------------------------
A. SF RESIDENTIAL------------- B. —----—---—-------------—-—-—-------------------------- -
AUDID I STEREO.- VACUUM SYSTEM-: AUDIO I STEREO.: F I RE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALAR-. 0TH: BOILER.........: HVAC.........,.: LANI)SCAPE I I R R 16: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION- MEDICAL........: OTHR-
HYAC...........: DAIAiTCLE COMM.: NURSE CALLS—,- TOTAL # SYSTEMS- 0
Owner: ----------------- ------------------------------ TOTAL FEESO 5086.76
TOM MILLER TOM MILLER BUILDER, INC This permit is subject to the regulations contained in the
r"3720
. SW KROGER 2?720 SW KROGER DP Tigard Munir,pal Code, State of Ore. Specialty Codes and all
91ERWOOD OR 97149 SHERWOOD OR 97140 other applicable laws. All work will be done in accordance
with approved plans. This permit will -pare if work is
Phone 4: 6215-4558 Phone 1i 625-4558 not started within 180 days of issuance, or if the work is
Reg #..: 000373 suspended for sore 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-*1-0010 through OAR 95201-0080. You may obtain copies of these rules or
directquestions to MINC by calling (5@3)246-1987.
........................... REQUIRED INSPECTIONS ---------------------------------------------------------------
Erosion 844-8444 Crawl Drain/Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
Post/Beam Struct Plumb Top Out Low Voltage Apprlgdwlk Insp
Post/Beam Mechan Electr' I S Gas Linr Insp Electrical Final
Tssi.ied By: Per-mittee Signati.it-e
++++++++ ........ +++++++++++++t++++•4-+++++++++++++++ . --++ +++++++ �++++ ++4
Call 639-4175 by 7:00 p. m. fat- an inspection needed the next business day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT
PERMIT #. . . . . . . : SWR96--0217
r)ATE: ISSUED: 10/3'0/98
PAFICF:L: 251 1 1 HA__SHM05
';ITE ADDRESS. . . :01.3459 SW BROOKLYN LN
SUBDIVISION. . . . :SHANNON IrIE ADOWS ZON I N;; : R-4. 5,
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :005 JURISDICTION: TIG
-------------------------------
TENAN'E NfIMF. . . . . :TOM MILLER BUILDER INC'
USF) NO. . . . . . . . . , FIXTURE UNITS. . . . 0
[,LASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS- 1
INSTALL.. TYPE. . . . :LTPSWR IMPE:RV SURFACE: 0 sf
Remarks : New SF — Pia th i
Owner. _._.._____—.___.____._____.___._.__.____._._.___ __.__.__---------_--.__ FEES -------------_.
-rOM MILLER type am.31.1nt by date rer_pt
23720 SW K.RUGER PRMT $ 2300. 00 D1_.H 10/23/98 98-310259
SHE:RWOOD OR 971.40 INSP $ :35. 00 DI._11 10/2.3/98 98—:310259
Phone #:
Contractor:
OWNER
Ph(j n e #: E C2,325. 00 TOTAL_
— ----- RFOU I RE:D INSPECTIONS
This Applicant agrees to comply with all the rul— and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 da:5 from
the date iasued. T'ie total amount paid will be forfeited if the
permit ixprres. 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 proapect 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 are set forth in OAR _.
Tit-001 0A10 through 9R 952-0001 8008. You may obtain copies of
these rules or direct questions to OIINC b calling (583)246-1981.
t
Issi.►ed by `lel Permittee Si.tinatin e :�' .
+++++++•F+-+•+++•++++++•++++++++++++++•++++++-++++•F++++•+4-++•++++i-++++++++++++++ •+++++ ++—r`
Call 639-4475 by 7:00 p. m. for ,;n inspection needed the next bi_rsiness day
+++++++++++++++++++++++++++++++++++++-++•++++++++++++++h++•++++•4•++++++++++++-h+++F+++
CITY OF TIGARD Residential Building Permit Application Plan c
13125 SW HALL BLVD. New Construction Additions or Alterations Recd
T►GARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd -
Date to P.E. L_
V 503-639-4171 9,/0 -y Date to DS_d f J
F 503-684-7297Permit# �' �' W
Print or Type �j Called -
Incomplete or illegible applications will not be accepted
---
Name of Project Name
Job �0 h �-4)_L'J 0c Uo S 016 SGU 1�
- Architect Mailing Address r
Address Site Address i L -V_
,�1
- -" me -- - itylss, t, Lv Pot
Na
Owner Mailing Address
Cit /State � // phone _ Engineer ailinuoA dre _
1. S" Ccs' �O
General Name ty/S 1a;e Zi Phone
y� 2 Off-9 �,� art
Contractor 41 // ,116, 3,4,l/Jey_rj�C-, Describe work New 9( Addition O Alteration O Repair O
Mailing Address — to be done:
Prior to,)ermit G y w wile"( f- rt_,D Additional Description of Work:
issuance,a copy fii State Zi Phone
of all licenses e.✓l.txz0a �J�f/4Q1 .Lf - t/�
are required if Oregon Const.Cont. Board Exp. Date PROJECT / `T
expired in COT Lic.#3� l� aD VALUATION
database 2 _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- d $S Sq. Ft. House: -- Sq. Ft. Garage
Contractor Mailing Address _-
Prior to permit a? 561) Indicate the restricted energy installation by the electrical
issuance,a copy ity/State ZjD Phone subcontractor in the following areas
of all licenses 1,1 e OOq 6f Restricted Audio/Stereo
are required if Oregon Onst.Cont.Board a Energy System Alarms
expired in COT Lic#a / O 0 installations Vacuum Irrigation
___database (G — System _ System
Plumbing Name (check all that Other:
Sub- /3 1 e � apply)
Contractor Mailing Address Corner Lot YES N2,, Flag Lot YES NO
aT 5 E <'D /� f� �/ (check one _ (check one)
�1� Has the Subdivision Plat recorded? N/A YES NO
Prior to permit ity/Wto Zi Phone
assurance,a copy /Lt CP �� 7'�oZ lar Compliance
of al licenses are Oregon Const.Contt ard,,4f ai
Exp �j y/ ,, Iculation Attached 1f _
required if Lic.# �j //ii 77
expired in COT / I 10 a —" I hearby acknowledge that I ha read this application,that the
database Plumbing Lic # y� 3�_y Exp. DalIn rmation given is correct,that 1 am the owner or authorized agent
of Oe owner, and that plans submitted:,a in compliance with
OFe o tate laws. _
Name 4gnre of Owner Data
hh
Electrical !� _ Person Name hone#Sllb- Mail Address � m ,
Contractor (�7 S� j P FOR OFFICE USE ONLY:
City/State Zip Phone
Prior to permit O e PIM r MaDfr/ : ! ��
�"suance,a copy 9/2 Sr -- —
,r all licenses are Oregon Const Cunt Board Exp Date tba s: Zone: / Solar:
required If Lic.t1��..-�,, p..g" � , `ice
expired In COT -17-1-21F8 �7 q Eng eerin Approvall�: Planning Approval TIF
database Electrical Lic # r J Exp Dae'o pr A LI_� $-2& 1t r�
io/ai/ ) t
�) q�1
i/ I SFREM2.DOC(DSI)811 1/9P
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 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°—► �-
N°�AHUFrRN t N( T1E J
_. .....-_ ., 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. C! y feet
t
N
NORM-SOUTH DIMENSKNJ� >
i
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 describes
structure. The orientation of the ridge is also important. your residence?
la: If the roof line runs North-South, measurements will
(circle one)
Fff
be based on the peak of the roof.
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
cave.
9fN,f R.INt CAN
lc: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the
peak. uWx fil GIv
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 f 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. + a.�- 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 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
0. Total figure for box B: _�� 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 _ ,7
ft
affected peakleave.
2. Measure the distance from the foundation to the affected peak or eave. + ft ,
3. Total figure for box C: _ 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 he 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(in feet)
shade 100III�?95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
jot line lin fe ets
70 40 40 40 41 42 43 44
65 38 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
- — 2 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 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: w_ z feat
h..kiocs\nancy\ventura��nlar.chp
Revised 2126/96
CITY OF TIGARD Site Permit Application
13125 SW HALL BLVD. Soul ercial: Complete ENTIRE form
`tIGARD, OR 97223 Residence: Complete SHADED areas
(503) 639-4171 x304
Print or Type
Incomplete or illegible applications will not be accepted
Pro)eGt Name�� - Utilities(Complete all that apply)
.lob
AddreSS Address Storm Sewer _
Linear Ft.
N e Sanitary Sewer
4'� J Linear Ft.
Owner Mailing Address � , y - Fresh Water
�. Linear Ft.
City/state Z113 Phone Catch Basins -
Generai Na , Clean Outs
Contractor )"'Z ct.�r �" #
prior to permit ailing Address Describe work to be done:
issuance,a y+
,'opy of all .�i tree '-t , New❑ Addition❑ Alteration[] F2epairO
Iicenws are City}/state Z`ils P e �+ Additional oedcription of Work: "
required
expired in GOT State Const. Cont.Board Lic,# Exp.Date
Name �Proie4t
Valuation Is /.31� A o c
Architect Mailing Address _— Plans Required: Ses Matrix on back
_ The following,must aacom a y this application:
City/State Zip Phone Site plan with Vicinity Map Parking(including
�_ Showing ADA�comptionce ADA)&Ughtin Plan
Name Grading Plan and details landscaping Plan
Engineer Mailing Address Erosion Control P1 in and Retaining Structures
_ _^ details _ including ealc!rlatlons
CitylState Zip Phone Site Utility Plan and details Soils Report
(showing connectioc to (if required)
_ ___ ___ approved system)
Excavation Volume t hereby acknowledge that I have re'a'd this tipplicatior,,that the
(Soils report required for>5,000 cu.Yards information given is correct,that I am the owner or authorized
cu. yds. agent of the owner,and that plans submitted are in compliance
w h U on State laws
Fill volume - !ture o nen/
Signature of OwneNAgE nt i�tate
(Soils report required for>5,0on cu. Yds.) '4,11�,,�Y..�r,' � rl I 7A?e
Will the fill support a structure C ntact Verson Name /phone
(Engineer required if answer is yes)—` YES[] NO[] d�i�' '7.x�"
Retaining structure?(check one) ❑Rock FOR R OFFICE USE ONLY
CMU Notes:
UConcrele
❑Other
Total new impervious area including all Land Use Case# ] Ma, /TLA'
buildings, sidewalks, and paving Sq Ft_
sileaph.t.locr?'97
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
application. For electrical submittal, the application must contain thelb-
signature of the supervising electrician before plan review viii be conducted.
After plan review'approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, Ci.y,
Washington County, Tualatin Valley Fire& Rescue)
T- - Total# of
TYPE OF SUBM' TAL flans KEY:
Submitted
—S (Private) S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) _ 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) ^�2 E = Electrical
B
—& M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E J 3 Alt = Alternation to Existing
(New , Add)_ Building
*B or B & M (Alt) 1
*B & M & P (Alt) 3
*B & M & P & E(Alt)
*B & M & P & F &-F(Alt) 3
NOTES:
*Shaded areas designate ALT submittals only.
I ldsts\jnaxtrixt,doc 07/06.'98
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT