13307 SW ESSEX DRIVE ;W
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13.107 SW ESSEX DR.
WC� _ Wast Coast Geotech., Inc.
GE'OTE 7INICAL, CONSUL7ANTS
^,u�ust. 15, 2000 W-1493
Allen Dcvelopmert PLE C
1925 SW Pendleton Street
Portland, Oregon 97201
Alin: Mr. Ray Allen
Superindentent
f EOTECHNiCAL SERVICES-FINAL LETTER PYPIPFA
. -oar HIGH RETAINING WALL �./
13307 SW ESSEX DRIVE.
TIGARD,OREGON
Gentlemen:
As per your request, we are pleased to provide you with our final letter concerning the geotechnical
engineering aspects of the above-referenced project. Daily memorandums have been previously mailed out
to you and the City in a timely manner during our part-time site inspections in March, 2000.
In summary, based on our part-time site visits, we observed the following:
• Tine foundation base of the back-yard retaining wall was excavated down to firm, native soil as
required. At the highest portion of the wall, the over-excavation to native soil was carried down
about 2 to 3 feet below existing ground slrrface.
• Geogrids (about '7 to 8 feet long) were placed at lengths and intervals required by specifications
prevideO by the manufacturer which were presented to us by Ray Allen prior to the start of the
wall construction.
• ADS C.,tinage Pipes were installed behind the wall during backfilling. Two lines were installed
behind the wall at the highest wall area. A crushed roof drain from the residence appears to have
also been repaired and re-routed.
• Backfilling was primarily accomplished by bucket-tamping of the backhoe, which we believe is
sufficient for this project.
Basel or, these services (as outlined) conducted during our site visit::, it is our professional opinion that the
project is in substanital cotrpliancr with design and recommendations.
I trust that this letter is sufficient to meet your current needs. Should you hive any questions, please do not
hesitate to call.
`:'cry truly yours, '
WFST'COAST GEOTECH, INC. 40
Michael F Schrieber, P.E.
.(jeotechniqal Engineer _
H:w1493c11.ddrO. Box 38R West l,nn, Oreton 97068 5031655.2347R . 655-0642
�f v
Page ! of 1
Subject: Slide on Essex 05/03/2000 2:30 PM
We received notice VIA Engineering that a house at 13307 SW Essex appeared to be undermined and sliding. I
attended the property at 2:30 PM, and observed that the garage slap has been undermined by the excavation
currently underway at 13285 SW Essex. While the house itself is not fully impacted, the driveway to the garage
has an area approximately 10 feet in diameter by approximately 5 feet deep void of fill, thereby causing the slab
to be suspended in air. The corner of the house and its foundation !'a:: minor damage. The contractor was on
site, and it's my understanding the owner of 1 307 is fully aware of the situation, and both parties are joined in
the repair and solL'tion to the dilemma. I will be receiving an Enol:reered design for the repairs to the driveway
and a retaining wall/buttrice system, that will effectively take care of the problem. I was able to take pictures and
will include same in the file when I recpive them.
I will keep all p,,rties abreast of the fix and conclusion of this situation.
Bob Poskir,
t C,6-'
r
ONE
about:blank 05/03/2000
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT dl. . . . . . . : M S T 9 7 0/1(hr.
DATE. I73SUE'D: 04/;-.,1/98
PARCEL: 2S 104CA--001300
SITE ADDRESS. . . 1 13307 SW ESSEX DR
SUBDIVISION. . . . : HILLSHIRE�. ZONING:R-..7 Pl
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . n00Q JURISDICTIONoTIG
CLASS OF WORK. -NEW
TYPE OF USE. . . :SF
TYPE OF CONST R a:3N
OCCUPANCY GRP. :R:3
OCCUPANCY LOAD:a
Remark - PATH l: PHI SINGLE FAMILY MLLING MiATTK40 GARW,
Own ora - - - -........_..._.._ ......_.. _..
RALPH j DEL.ORTO, JR.
F`O BOX 2304,34
T 1 GARD OR 972111
Phone #p 880-7550
Contractor -
R,1 DFLORTO CONSTRUCTION
P 0 BOX i:,30434
T I OARD OR 972J31
Phone Na 636-3804
(7pr, i4.. . , 001909
Certificate Wre.nts occupancy of the above r,eferpnced bktildinp or portion
ther;suf and confirms that the building has been inspected for complian%-* with
the Sia.te of C)regnn Specialty Codes for the groin,, orCI.ipancy, mnd '.Ise under
which the refer ent=yd permit was irsued.
1x11 I L'n. I NG I NSF-C:,.TOR TIAL/I NSPEC PERV 1'3OR
POST IN CONSPICCLIJUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspectio�tne: 6394175 Business Phone: 6394171
Date Requested: �— �. —98 A.M. �/ P.M. MST: 97-O 5/O
Location: BUR
Tenant: S�ulite:_ Bldg: MEC:
Contractor: t....21 _ Phone: p�O '-1r5 S� PLM:
Owner: Phone:
_ ELC:
ELR:
_
BUILDING BLDG(con't) PLUMBING MECHANICAL _ ELECTRICAL SIT: SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof tJndFI/Slab Rough-In Ceiling Water I.ine
Slab Framing Top Out Gas Linc Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/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 Heat Ptunp Low Volt
c-^ � Approved rov Approved Approved
Appr/Sdw1kWoved Not Approved of pproved Not Approved Not Approved
TF'4 XA FINAL -MC6 FIN FINAL FINAL
17 Call for reinspecti D Reinspection fee of S required before next inspection O linable to inspect
Inspector:_ Date: , Page-- of
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES FERMI r . . . . . . . ' MST98-0121
DAFE ISSUED: 04/20/98
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL: 2S 1 G 4CA-00800
SITE ADDRESS. . . : 13307 SW ESSEX DR
SUPDIVISION. . . . :HIL.LSHIRE ZONING: R- 7 F'D
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :008 JURISDICTION: TIG
Rviarks: PATH 1: adding storaye area 462 sq ft
-------------------------------------------------------------- ------ BUILDING --------------------- —-----------
F(EISSUE: STORIES.......: 0 FLOOR AREAS----------- BASEMENT...: 462 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WOf" ,:ADD HEIGHT........: 0 FIRST....: 0 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF USE_-.'T FLOOR LOAD....: 50. SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCiJU'rANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL-------: 0 sf VALUE..$: 2000 P 1..........: 0
----_ ----- -- --- -- ----------------------------------- PLUMBING ---- ------ --------- --
SINKS...... 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: T RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 0 D194 AWRS...: 0 FLOOR DRAINS..: 8 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
---------------------------------- -------- --- --- ---- - MECHANICAL ------------------
FUEL 1YPE5-- --_---- FORN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN >=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 CCAS OUTLETS...: 0
------------------------------------------------------- ---- ELECTRICAL -----------------
---RESIDENTIAL UNIT--- ---SERVICE/FEEDER------ --TEMP SRVC/F.:DERS--- --RRANCH CIRCUITS--- ----MISCELLAM OUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 8 0 - 200 amp..: 0 0 200 amp..: 8 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5009F.: 0 201 - 400 amp..: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/0117 LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDA: N 601 - 10@0 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ------------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVG/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
- ------
—---------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------—----------------------
A.
---- ---
A. 3FRESiDENT1Al- ------------------------- B. COMMERCIAL------------- ------------------------------------------------------------__----
AUD10 4 STEREO.: VACUUM SYE"cM..: P010 I STEREO.: riRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOG(..........: INSTRUMENTATION: MEDICAL........: OTHR-
HVAC...........: DATA/TELE COMM.: MIJRSE CALLS...... TOTAL I SYSTEMS: 0
Owner: _-.--------- ----------------------Contractor: ------------------------------- TOTAL FEES:$ 110.42
RALPH J DELORTO, JR. RJ DELORTO CONSTRUCTION This permit is subject to the regdlatians contained in the
PO BOX 230434 P 0 BOX 230434 Tigard Municipal Code, State of Ore. Specialty Codes and ail
TIGARD OR 97281 TIGARD OR 97281 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone is 880-7550 Phone 0: 63P,-3804 not started within 180 days of issuance, or if the work is
Reg C.: 000909 suspended for more than 186 days. ATTENTION: Oregon law
--------------------------M._--__---_------------------------ requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in DAR 952 A01 0010 through OAR 95P-001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
-------------------- -...------------------------------- REQUIRED INSPECTIONS ------ ---------------------------------------------------------
Foundation
---- --------------------
Foundation Insp
Post/Beam Struct
Framing Insr
Building Final 7
Issued By : - — Permittee Signature :
++++++++++++++++++++ ++ +++++++++++++++++++++++++++++++++++++ +++++ +++++++++
Call 639-4175 by 7.0ky p. m. for an inspection needed the next business day
CITY OF TIGARD
DEVELOPMENT S.EFIVIDES
13125 SW Hal!Blvd., Tigard,OR 97223 (503)639.4171
r:r:«hi�g off (,•awl Space.
STORIES........ 0 FLOrA AREA.'';-.____. --- BASEMENT. .. SK sf FEGi1IFF.11 SETBALXS--__.
�l.aSS CF '�OR�'.:aDC t1F11031T........ . fi e!RST...,. P .f GRRAuF... . . @ f LEFT....... 0
-';VE Or ;!SE... :SF 7110OR LOAD.... . 40 SECOND.... N sf FRONT.......... 0 _.
'Y'E f C.?ft;T.:S', DWELL!% UMTS: 0 FINDSMENT: @ sf RIGHT.......... 8
ICCWANCY 11%, -R3 BL'RM: 0 BATH: 0 TC+Tpi,- - 0 sf VALUE..I; 210W REV,.........: 0
_..---------- ------------------------------------------------ PLUMBING
TR�kS.........: 0 W47P CLCSE'S.: ? WAbHING MACS..: 0 LAIJrli•RY TRAM'S. : P pp'!, DRplk ft: C TRAWL'.........: 2
0 DIGHWAK.RS... . P ri.rJOA DRAitds..: B SEWER LINE ft, 0 SF RAIN DRAINS: @ CATCH BASING..
B'SHr'WEA , P GARBAGE AISp,. : P WWTFF MATERS.: ? W^TEF 1'lF `t: P BC1?F W CRFVV'A; 0 GREASE TRAPS,
OTHER FIXTURE':.
MECHANICAL -
•-'r_ -y�c------------ FURh ! IMY, .. : P BOIL/CV ! ?HW: 0 VENT TANS.....: 0 CLOTHES DRYERS, @
'S FURN )=,KI( it ; IIT Hrp,rpro ., ft +OGrS.. ..., . 0 nTI R SlNI1s.., . a
P 911,11 "f-rJOP FUAYcJC,:J: JC';'S, ....... . WOODSTOV+S.... . P GAS Oti''LETS,
riRCUITS--- -- -)!ISCE '..ANF ItIS- �40'L tiSvE(
'0Q,! 7 7P LESS: 0 0 ?@0 alp.,: P 0 200 alp..: @ W/SVC OR FDR..: P �1 W,/IF.RIGCI10N: @ PER INSPECTION:
ra ADD', 5005F.: 0 201 - 400 app..; 0 201 - 6QIQ1 alp.. @ Ist W/O SVC/FDR: 1 f;IGNIOU? LIN LT; 0 PER HOUR......
IMITFD F ERGY.: P 4@1 torp avp..: ? 41 E,OP alp..: @ cp rIDDL SR CTR: AL,Ca#taEt....:
1W Hm/SVC/SDR: 0 681 - Ilep aRp, : 0 EE1rasps-1 W, 0 M1NGR LASE. --10: 0
Im+ 6op;,-, . . ? ----- -- __ . .__... . ._.._.._ ;`LAN nFV1FW 5EC'ION .._. ..
Reconnect or'.y.: 0 =4 PES U-N1IS..: SVC/FD9)=25 W : ) 6K V "VAL, CLS ARr,
ClE'TFTrP R'STAiC'C'I ENFRCII -. .. . -- .
3FRE""aIDENTIRL--- __- --.._- -------___-•. B. COIF!F•RCIpt.------------------.----_._ ___. . ___---------------..__---___-----_ _....--
t1AC0:M "7'Vq,r'm .. F�''DI^ d STEREC,. r'RE ALARw, ..., . TN7FACI`M;PpGINt ; !)L'Tff
PVAC........... : LRNU"aCNPE!TRRIiS; rq-.TrC
„.,".... ... . I'll"R11M_'N%TIC N: MEDI^At.... ... . CrHR:
DVA;71', "rMM, : NUPSE CALL!.... , 77A1 t SY.STEN5:
rens„� ,,-•; .._.. TCTAI. FEES:1 307.11
rr T!• rt aho f
is perait is sub.;e. to regalat:ors er.ained it t
7m SW PACIFIC 4NV t 'P 'tt�a,-e x"ur:r3pal "Mde Fate eF Ore. Specialty `:odes and a:,
ethe- applicable laws. X11 wo;, will be Fiore in acc
w r App ovp' plats. T', � pp-mit will expire I wey
t;5o;Rnce, r- tr 'hp h
CC``MM pFy '-.. P@0P100 sl;spvded For more t!a•. 180 days, P'TENT'ON; Urer,n �a,
_.-. ,
`Kation Cente=. aa` nor,, in CWP 9',::-0@1-?;I; the+tgh OAR 952-014080. You say obtain cop”
RE7JRFD- 1NSPECTTONS
-A La
CITY OF TIGARD Residential Building Permit Application Recd By Z
13b?5 SW HALT: ILVD. Alteration - Interior Remodel Only Date Rec'd CACL
TIGARD, OP. 97223 Single Family Detached or Attached (Duplex) Date to P.E.P(017j�,V 503-639-4171 Date to DSTF 503-684-7297 �' �� Perm.,# if-0.?��
Print or Type Called
Incomplete or illegible applications will not be accepted
—� Name of Project Name
,Job
Address s to Andress Architect Mailing Address---
�c� JrlU x City/State Zip Phone
Na7e�__CC
✓lp s _— --
Namle
Owner Mail�ng Addresg Z"� < ()..J( (/ 5A16 (rA •^OR-
CVStale Zi I Phone Engineer Mailing Address
/ 76 '90
General Name G � � City/State Zip Phone
Contractor i� 150 V[.!� Describe�ork New O — Addition O Alteration O Repair O
Mailing Address to be done. —
Prior to oe:m;t Additionaldescription of Work:
issuance,a copy City/State Zip Phone \\ 1�"
of all licenses
are required d Oregon Const Cont. Board Exp.Date PROJECT
expired "'CUT I L.ic.# VALUATION $ 2o, 0 o G
database
Mechanical Name / NE_W CONSTRUCTION ONLY: _
1
Sub- -) �. .�' Sq. Ft. House: Sq. Fr. Garage--
Contractor Maillna d rgas _
Prior to permit �1 S �.�Q✓Q Corner Lot YES NO Flag Lot YES �NO
issuance,a copy City/Slate Zip Phone (Check one) (check one) �,�
of all licenses I f,`" ` 1 ( _ Restricted Audio/Stereo — Burglar
are required if Oregon Const.Cont. Board Exp. Date Energy System — Alarm
expired in COT Lic# --
_ database or) �j 2-ir1gr Installation Garacle Door HVAC
Plumbing Name v Opener Systems
Sub_ (check all that Other:
Contractor Mailing Address apply
Will the electrical subco-itractor wire for all YES NO
restricted energy installations?
Prior to permit City/State zip Phone —
issuance, a copy Has the Subdivision Pkat recorded?— N/A YES NO
of all licenses are Oregon Const Cont. Foard Exp Date
required if Lic# Solar Compliance
expired in COT _ (Calculation Attached)
database Plumbinq Lic.# Exp. Date I hearby acknowledge that 1 have read this application, that the
information given is correct, that I the owner or auttsorized
Name agent of the owner, anO-that plans submitted are in co,nptiance
/ / with Oregon State 0143.
Electrical /'1. 1 -�rJ � '`' r '''-� Sig t edAgent Dat
Sub- Mailing Addrels S , ,
'? -
Contractor /' >V� J 9 Contact P rson Name WO9/C f�xc/�< Phone#
City/State Zip Phone � ,+ ,I` ( 7 � S/ -3
Prior to permit 7 FOR OFFICE USE ONLY:
3i
issuance a copy /1 L�' h % �d 7j j V(oL Plat#. — -- Map/TL#i
of all licenses are Oregon Const. Cont. Board Exp Date
required if Lic# C Sa
expired in COT 0U U /L 2' Setbacks: Zone: Olaf*
!���
database Electrical Lic.N Exp Date -- ----
G Engineering Approval: Planning Approval: TIF:
I:SFREM DOC(DST)51,198
-3 isw
Permit#:
Address:
r
Issued by: eCJ2
� Date:
I�g9
Statement: Information Notice to Property Owners
About Construction Resnonsibilities
Note: Oregon Law, URS 701.055(4), requires residential consituction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This stat2nient is required
for residential building, electrical, mechanical, and plumbing perntits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
rFill in the appropriate blanks and initial boxes I and 2, and either box 3A or 313:
1. I own, reside in, or will reside in the completed structure.
NNN 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
U 3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, l will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Pr( r4 Owners abomMonstruction Responsibilities on the reverse side of this form.
(Signature of hermit applicant) (Date)
(White copy to issuing agenc.v pennit file,
pink copy to applicant)
lntor nation Notice to Property Owners
About Construction Responsibilities
- 1�','il irN.1 tll 1,'11'i1 it U11 •� ,�l�l S', J /, +!`,' (1}:7Ir'.ti N/N � If'?li+i/l,1f+'S
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EMPLOYER FESPONSIBiLITIES:
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,f!1/17!1 36 1 ! Iln' I3(.I;ul! I- I1lciltod ill 7({0 Summer St. NV Suite W, in `;:riven
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CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Nall Blvd„ Tigard,OR 97223 (503)639.4171
K- ��� J
CITY OF TIGARD Plumbing Permit Application Plan Ch •r _
13125 SW HALL BLVD. Commercial and Residential Rec'd B
TIGARD, OR 97223 Date Recd
(503) 639-4171 Date to P.E.
Print ^r Type Date to DST
Incomplete or illegible applications will not ed Permit
/ Related SWR x
—'_� � , ��•r� � Called
Name of Development/Pro)ect On back Indicate Wor T ( rn*d-bTf}xture.
Job ,� 1 1 FIXTURES (Individual) QTY PRICE AMT
Address Street Address I Suite Sink 9.00
G E-7!5 v. __ Lavatory 9.00
Bldg 0 City/State ZI} Tub or Tub/Shower Comb
_._ y �' 9.00
Name Shower Only 9.00
< Q1 'l'7 4 t r A i �[�� Water Closet
Owner /53L"7
Mailing Address State Dishwasher R 900
( \7— ✓ti"J Garbage Disposal '- 9,00
City/State Zip Phone
Washing Machine --- 9.00
Hartle Floor Drain 2"
9.00
9.00
Occupant MailingAddress Suite 4' _ 9.00
CltyfState
ZIP Phone- Water Heater O conversion O like kind 9.00
Laundry Room Tray 900
Name Unnal �^ 9.00
L-e. %(� y Other Fixtures(Specify) 900
Contractor Mailing Addresr Suite _
9.00
Prior to permit i IStale t • Zip phone 9.00
issuance,a copy } �� ld,� 30.00
of
all licenses are Oregon Cans Cant.board Lias! Exp. Date Sewer-ea,;h additional 100' Y5,00
required if �. _. _
Water"ervice-1st 100' 3000
expired in COT Plumb ng Lic.0 Exp.Date
o ntabase +ater Service-each additional 200' 25.00
~� Name _ I Storm&Rain Drain-1st 100' 30 00
Architect Storm&Rain Drain-each additional 100' 25 00
M�lin Address Mobile Home Space
Or 9 Suite 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Engineer City/State Zip Phone Pollution Device
Residentia'Backflow Prevention Device' 15 00
Descnbe work New O Addition O Alteration O Repair O Any Trap or Waste Not Connected to a Fixture 9.00
to be done: Residential O Nor residential O Catch Basin 9.00
Additional deacnplion of work: Insp of Existing Plumbing 4000
er/hr
Specially Requested In3pections 40.00
errtir
Rain Drain,single family dwelling 30.00
Existing use of _
building or property______ Grease Traps 9 rL,
Proposed use of QUANTITY TOTAL
building r)r property _ Isometric or riser diagram is required d Ouanrty Total is >9
_ 'SUBTOTAL
I hereby acknowledge that I have read this application,that the information /�•:"
given is correct that I iptAiierOWher o'-r au h lized agent of the owner,and ^5%SURCHARGE
that ns i edl ..insomplience w tMf !p on State Laws
ri w rfAgent � � Date "PLAN REVIEW 2501, OF SUBTOTAL
R utred only d nxiure qty total.s>9_
6 TOTAL
ntact Berson Name Phone `
1 'Minimum permit fee is$25+ 5%surcharge,except Residential Backflow
Prevention Device,which is$15+5%surcharge
"All NAw Commercial Buildings require plans with isometric or riser diagram
and phn review
I Watatptumbanp anc X5/98
PLEASE COMPLETE: '
Fixture Type Quantity by Work Performed
New Moved Replaced Removed,Capped
Sink
Lavatory _
Tub or Tub/Shower Combination _
Shower Only
Nater Closet
Dishwasr-er
Garbage Disposal
Washing Machine y_
Floor Drain 2"
Water Heater —
Laundr, Room Tray
Urinal
Other Fixtures (�'pecify)
.OMMENTS REGARDING ABOVE:
sokrr+beoo aoc 55iva
CITY O F TIGARD MAITER PEPM17
DEVELOPMENT SERVICES r,rRMTT #, . . . . . . McST97 r,1,`:Mn
ALM 13125 SW Hall Blvd., Tigard,OR 97223 (03)639-4171 IIATE ISSUED.
r: n D I)R F r3 .
1 1)1 r3 I CP'l. i 7 )NIN1r-,: P 7 ry
I . . . . . . . . . L.-OT. .. . . .. . . 00n JURISDICTT.O!�; TIC
PATH 1: NEW SINGLE FAMILY DWELLING WIAT'.PC!-1ED GARAGE.
--------------- -----------
RE I SSUT, STORIES... 2r
_00 AREAS--_.. BASWIT. if REDUIRED SETBACKS- REOUIRED -
CLASS 3r WON.INEW HEIGHT.....,..: 27 rIRST.... 1618 ;f GARAGE.....: 462 if LEFT.,...,...,: 8 SMOKE DFECTPS Y
USE...AF FLOOR LOAD....: 40 SECOND,..: 1577 if FRONT.,.,.,.,.. 24 PARKING SPACFF-
CYST. SN DWELLNG UNITS: I FINBSMENT. a sf RIGHT...,..,..: 5
NCY GRP. R3 BDRM-. 5 PATH: � TOTAL------- 3195 if VALUE..$; 221914 REAR..........: 89
---------"------------------------------------------------- PLUMBING ---------------------——------ -----------------
1 WATER CLOSETS,: 3 WAS11ING Piro:_; 1 LOARY TRAYS.; ►I RAIN DRAIN ftz 100 TRAPS.......... 0
FLOOR DRAINS..: P
'IES....: 5 DISHWASHERS...; I SEWER LINE ft: 109, 9F RAIN DRAINS: I CATCH WINS— : 0
'WERS...: 3 rA%Ar;F L",V. I WATT-;R HEATERS.: I WATER LINE ft., 100 ICKFLW PREYNTP; I CREASE TRAPS,.: e
OTHER FIXTURES: 0
TYPES----------- FURN ' I W 0 BOX/CMP ( 3HP: P VEN' F*� 4 CLOTHES DRYERS: I
FURN ;=100K ', 1041T HEATERS-- 0 HOODS.......... MR UNITS...
INP.'. 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES.... 0 GAS OUTLETS...
ELECTRICAL
UNI'--- -----SERVICE/tTEDU---- ---TW SRVC/7EEDERG-.-. ---BRANCH CIRCUITS— LWVS- -nP7" !NSPECTIN__
,-� .' .-
I e EM alp.. : el e Nif alp.,: 0 WISVC OF FDR.. : W/IRRIGATIONt 0 ',ON: P
swsr.: 6 20. 400 amp., ; 0 c1@1 4N amp..; f
Ist WID SVC/FDR: 0 SIGN/OUT LIN LTi I ',V HOUR......: 0
-
D EN1ERGY.: 0 4, 60e. amp.,: e, 401' 500 amp..; @ SIGNAL/PANEL,..: 0 IN PLANT......
E EP ADDL PR CIR: 0
HM/SVC/FDR: 6 601 1060 alp, 0 6114aeps-I008 V: a MINOR LABEL -10i 0
I800+ amp/volt,: e PILAN, REVIEW SECTION - ----------------
Reconnect only,,, 0 )=4 RES UNITS..i SVC/FDR)t225 A.; 680 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY D. MMME r,I AL-------------------------------------------------- ----- -----
I 91M. VACUUM SYSTFY... Ad"LITO I STEREO, FIRE ALARM„,,.: 1N`tERCOM/'1AGIYC; OUTDOOR J ' L,.
.Z4 At orN-. y BOILCR......... HVAC.,...,...... LA10SCAK/11RIG: 'rR7TCTIVF SISK:
"I INSTRIMI 'TPTION:
.GE Opr, CLOCV.......... MEDICAL......... OTHR;
I EIL TOTAL I SYSTEMS: 0
DATQ1' E COMM., NURSE CALLS....:
-Contractor; TOTAL FEES:1 'S389.53
-LOVA, JR. R3 DELORTO CONSTU71TON ''�is is subject to the regulations contained in the
' ) 236434 P 0 0 234434 Tigard Mi:nicipal Code, State of Ire. Specialty Codes and al
"D OR 97281 TIGARD OR 7281 other applicable laws. A'L Park will be done in accordance
with approved plans. This permit will expire if work is
,it 1: 638-394 Pfiolf 0: 635-1294 not started within IN days of issuance, or if the work
'
Reg 1'': WWI suspended for more than IN days. 417NTION: Oregon lav
-------------------- requires you to follow rules adopted by the Oregar, Util
.-ation Center. Thos? rules are act Firth it 3AR 7,-PO: MIP through MR 952-00I-WO. You may obtain copies of these 'I'
:,-t questions to OUNC by calling (583)246-11987,
--- ------------------- REWIRE) INSPECTIONS -----------------------
:in,-, Control PDOIBM MfChal, Electrical Seri Fireplace Insp Rain drain Insp mechanical Fina;
!A Inspecti Crawl Drain [Iftctrical Roigh Gas Line Insp Water Line Insp Plumb Final
,ng Insp PLMIUndfrfloor Fraxiii Insp Gas rlrep'ace Water Servici In r r:--
dation I Mechanical Insp Shear Wall Insp Insulation Insp Appr/9614 Insp
! Teas 9 uct isb Top CIA I tl, Voltage Gyp Board Tnsp Electeica,
Pet-m i t t v P r3 i gnat t.tt-e
4 4 1 1 1 1 f I I I f 1r , 4 1 4 t A i I + +-4 1 1 4 4 1 +-f 4 1 1 1 1
I 1 639 -417 Li 7:00 F). im f i)r an inspection neer!,- f the next r
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd,Tigard,OR 97223 (503)6394171 PERMIT
PERMIT #F. . . . . . . C')WR97-017h
DATE ISSUED: 10/711/17
PORCr-'L: PS1014C11-.00303
Tr ODDRESS. t 7.7,107 SW DR
-1 MIDIV I S I ON. . H A3HT RE ZONING: R-7 PD
r1L.001.. . . . . . . . . . LOT. . . . . . . . . . . . . 1008 JURISDICTION: TTG
Tr-",((INT NAME. . .
. jA NO. . . . . . . . . . . rIXTURr UNITS. . . : 0
71.. "",):; OF" WORK. . . NEW DWI-LL I NG UN I T,:,.
"T"F. 0 .
4. F USE. SF* NO OF BUILDINGS: I
'111F�Tnt_L TYP71 nU11WP TM�ICPV SIMMM; 0 qr
_vlk,5 . r'nTH 1 : NEW SINGI.-F MMTLY I)Wrl'.LLING W/OTTACH1.1) G RnGE.
r r F"I
DCLORTAI P. typo amol.trit by date cecpt
P.OX 23047/4 r,RMT $ ;`'L'00. 00 D R A 10/;51 '97 17 30.05P _,-
-5. 02, DRn 10/31/77 r.)7-300
T".1,ARD OR 972M TNSP $
L) ;Flo 00 TOTAL
REDUI RED I NSPF-"CT TON 5
"pplicant agre,s to comply with all the riles and regulations S e W E-r Inspect i 0r
Jrified Sewage Agency. The permit expires 18e days from
., issued. 111,i total amount paid will be forfeited if the
expires. The A6vty does not guarantee the accuracy of the
'M' laterals, '.f t4 sewer is not located at the measurement
the installer shall prospect 3 feet in all directions frim
falce riven. If not so located, the installer shall purchase
;,nd Side Sewer' Permit and the Agency will install a lateral,
IN: Dregar Iasi reqiires you to f3liDw rules adopted by the
Aility Notification Center. These rules a;e set forth in W
0011 through DAR 952-000I-0090. You may obtain copies of
les or tions to OLNE by calling 150246-I9E7.
'.?ci
C Pevi mi ttee Si qy) At' I,
I f 4-4 f 44 f4 + +-f-+++ F-+-F44-++-4.+4-+++4-++4-++++++4,.+4...........4.+++++4.+......4........
11 needpri the t)@)4t bi.tsine-,,ii
63)--417'_1 by 7:00 p. m, for an jTispec.Ltj()jj
Plan Chaclt 0 c 1
TY OF -nrAARD Residential Building Permit Application Reid t;y
25 SW HALL BLVD. New Construction Additions or Alterations oats Recd �" `Z
:ARD, OR 97223 Single Family Detached or Attached (Duplex) Dau to v.E
503-639-4171 I t-;.- Date to DST .'. /
)03-684-7297 ;.%" Pertnrt t �fI9 r93-�"�✓�'
Print or Type Called_„
Incomplete or illegible applications will r.it be accepted if
Name of Prolecl Nar" p /
Job "Ii; r `,
Site Address,-
Architect M v—
ddAddnse
Address J.� c��, t h
-_ v �.��FX Dk Cityistate Zip Phone
N mr'
Owner Mailing Address Name i t
v.
-,-7, ( 1 l r i '1� R
En ineer Mailing Address
C�tyrSltaa Ppoge �-, g
Cita stste � TP—hone
Name , -,411 r / LI d
General /,�� 1 / Describe worts New Addition O Alteration O Repair O
Contractor Mailing Address to be done:_
Additional Description of Work:
Cityrstate Zip -
is-Oregon Confit.Cont.Board Lint 11(7
Attach Copy or . C PROJECT `}
'-Current COT Business T"or Metro t E. .Datte�
Licenses �. 7 VALUATION _
Name y NEW CONSTRUCTION ONLY:
'Mechanical P-4 �I r irk l� Sq. FL 11cu3_e: Sq. Ft. Garage
Sub- Mailing Address
Contractor f"��X Comer Lot YES Np Flag Lot YES NO
Cityrsta Zip phone (check one) l (check one)
. I� r l ,c 4 Restricted Audio/Stereo Burglar
Oregon Const,Cant.Board Lic.t .Date
trach copy of "� Energy System Alarm
Current COrusin ss T or Metro t Exp.0�t Installabon Garage Door HVAC
Licenses Opener , Systems
Nampi (check all that Other.
Olumbing /i - ) / l .Lt/,%i 'Cr apply)
Sub- Mauing Address Will the electrical subcontractor wire for all YJES NO
..��,; restricted energy installations?
Contractor 'PC)' Has the Subdivision Plat recorded? N/i1 YES NO
Ci /State Zip Phan
0 on const.Cant.Board Lie t /Exp.Date Reissue of MST#: Solar Compliance
4ttach copy�r f (Calculation Attached)
Current Plumoin9 C 0 Exp.Date -`
I hearby acknowledge that I have read this application,that the
Licenses information given is correct.that I am the owner or authorized
COT Busiri7s Tax or Metro t Exp.Date agent of the owner, and that plans submitted are in compliance
r
Name with Oregon Plate laws.
Sig of OerlAgent Qat
Electrical �, �. /(c /� �� C_C ' t -� r
Sub- 1 Co ]ame PbQ0a 0.-7
Contractor / tl C d
CitylState Zip Ph7- FOR g OFFICE USE ONLY:
lat Map[TLX:
Oregon Cons Cant. oars trc.t Exp.Date !Lt i k,10 t�G'a c�'` Call ~OC ^ed
Attach Copy of Setbaw:6 Solar.
Current E!ectncal, t: Exp.Date
Licenses - Engi ee�nng Approval: Planning Approval T';F
Cor Susiness Tax or Metro* Exp. Date d em.,
ice' rl f�
1 SFAPP DOC (DST) 4/97
Permit 0 Acct. Desciitpion COT WACO Amount
Amt.Pd. Sal. Ow
MST. Permit (BUILD) (UBUILD) 738.
Plumb. Permit (PLUMB) (UPLUMB) 1 a 17 w J
/ r y
Mech. Permit (MECH) (UMECH)
yam/
'
ELC/ELR Permit (ELPRMT) (UELPMT) 30% y •
3 or ✓"
State Tax (TAX) UTAX C5 "-f
BLDG: v ( )
PLUMB:
M!-CH:
ELC/ELR: 1 y �►^
Plan Check
Plumb: (BUPPLN) (UBUPLN) �-
(PLUMB) (UPLUMB) --------_
Mech:
(MECPLN) (UMEPLN)
CDC Review(BUILD) (CDCBLD) (UCDC)
CDC Review(PLN) (CDCPLN) N/A ` v
Sewer Connon
(SWUSA) (USWUSA) 2-2 w,
Reimbur. District ( ) ( )
Sewer Inspection (Sk'dINSP) (USWINS) 3
Parks Dew Charge (PKSDC) N/A /05U, " Ly
/�S o
Residential TIF (TIF-R) (UTIF-R) /GG
Mass Transit TIF (TIF-MT) (UTIF-M) _ /3 01 U,
Water Quality (WQUHL) (UWQUAL.) a!u, `{ ev
Water Quantity (WQUANT) (UWQANT) `lu
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN) 3 6J `-s`
Erosion Planrk/rr "r (ERpJty) (UEROSN) 2 G 66.Z
Fire Life Safety (FLS) (UFLS)
TOTALS' %(01�i , ,� 511 -7 3 7V. J..._
I SFAPP DOC (DST) 4/97
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BUP
__Date Requesteed,- AM PrJI BLD
l.ocaticn L� J� Suite MEC _
Contact Person w� Ph – 7/ -y PLM
Contractor _ . 'F ' L- _ Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access
Foundation 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
LUMBING
P-0117&S66rn
Under Slab
Top Out + -i
Water Service
Sanitary Sewer
Rain Drains
r Inal
1S PART FAIL
MECHANICAL
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$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: _ ( I Unable to inspect-no access
ADA
Approach/Sidewalk
Other _ flats _inspector , Ext _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION sT �-
24-Hour Inspection Line: 639-4175 Business Line: 639-4171io
nL 193Z BUP
�A _Date Requested �� - - `70 AM" PM BLD _
Location __L3307 7 , t. ) Suite MEC _
Contact Person l 0� ru Ph � �0() PLM
Contra;,tor 0do Ph 381-5515 SWR
WILD IN Tenant/OwnerELC
Retaining Wall - -' - ELR _
Footing CCeS
Foundation Q FPS
Fig brain - SON
Crawl Drain Inspection Notes: -
Slab SIT
Post Ext Sheath/Shear r
Int SheathlShearr�
Framing
Insulation
Drywall Nailing `� ,�- -___ ���,{�•-- -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Cr :ling
Roof
ASS PART FAIL
4MMOBING
Post& Beam - --
Under Slab
Top Out - --- -------- -- - --
i Water Service _
Sanitary Sewer -� --��---' --
Rain Drains
f-final �_. ----- ------ -- __ -
PASS PART F,",!!
Post& Beam ------.__— -_-- -- - - ---- ----
Rough In
Gas Line --
Smoke Dampers
PART FAIL
CTRICAL ------ ___-- -----._------______—
Service
RoughIn - —__-_------- ---------- ------ -.
UG/Slab
Law Voltage -- -____- - - ----------- - ------ ----- —.—__
Fire Alarm
Final ---- -----__-.----- - --- ------------------------------
PASS PART FAILSITE
Backfill/Grading - - - �-- -- - - -- --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Bivd
Catch Basin i
call f
Please eaor reinspection RE:
Fire Supply Line [ ] P _ ( ] Unable to inspect no access
ADA
Approach/Sidewalk ' � (� �1 /%'� I• � _
Other Date _ y Inspector. 1' t/__(� v f--_Ext�__�
Final
PASS PART -FAIL DO NOT REMOVE this inspection record from the job site.