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•- 13609 SW ESSEX DR
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 91223 (503)639.4111
Cl�
Plan Check#
CITY Or- TIGARD Residential Building Permit Application Recd By _Ck-Lb
13125-SW HALL BLVD. New ConstrLi0on Additions or Alterations -'bate Recd_ _
TIGARD,OR 9•'223 Single Family Detached or Attached (Duplex) J1 t r Dace to P.E.
V 503-639-4171 (V/�'rr;r ? Date to DST v2�
F 503-68'4-7297 � ; Perm!t is )71 - of Pref 1�
Print or Type Called 2
Incomplete or illegible applications will not be accepted �( 7
Name of Project Name
Job HIU-501u Fs;
P�rmiL# Account Deer gra A.mQunj 4m B _QUle
n f 7.uu�ly MS i Permit (BUILD)
Plumb. Permit (PLUMB) ZzS,
Mech. Permit (MECH) AS
ELC/ELR Permit (ELPRMT) .350.
State Tax (TAX) s
Bldg: 95, ;E-3
Plumb: //' Z,)
Mech
z'
a.,
ELC/ELRf s
Plan Check
MST ,�y/ 3o (BUPPLN) ( e' 2-_50, `y_ 37/, y 3�
Plumb: (PLMPL.N)
Mech (MECPLN)
CDC Review
ti�l ,p c, (LA N D U S)
Sewer Connection _
Sewer Inspection
cn�
.
SWINSP --
Parks Dev Charge (PKSDC) $u.
Residential TIF (TIF-R) _/6i �D, /576.
Mass Transit TIF (TIF-MT)
Water duality (WQUAL) /06'
Water Quantity (WQUANT) loo.
Erosion Control Permit (ERPRMT) u
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Sa`ety (FL.S)
TOTALS: (✓'U31. Zsv. J r'
1951
Solar Balance Point Standard Worksheet
,address
Sox .k cilculations: ,North-South dimension for the lot. Box A.
This dimension is determined by finding the midpoint of the North lot line and drawing
.in intersecting line perpendicular to that point.
F rSt, determire whict, prcoerty line is !he North lot line. The North lot line is the line
with the smailest u,gte from a line drawn east-west and intersecting the northern most
pont of the Int-
t
w tom`~
N North-South
Dimension for Lot.
Measure die distance from the midooint of the North tat lire to the South lot line along
�he descibed !ire. feet
1
MOM= ODAVOCk
N
Box B calculations: Shade pont height for yv it residence. Box B:
1. cetermine whet`.er measurements will be based on the peak or eave of your Which describes
structure The orientation of the ridge is also impoctant.
your ne;idence?
1 a: If the roof line runs North-South, measurements will (circle one)
be based on the peals of the roof. n 0-5-07
a
—+' 1A 16 (1_�
1 b: If :-e roof line runs East-West and the rcof pitch is
I !ess 'ran 5,1" measurements -gill cn '!-e
ea%e.
1 c- If the rcof lire runs East-•Vest and the rcx;f pitch is
5i 1? cr Beeper, measurements will be based on the G= C
peak.
Box B. continued Box B:
'leisure `nange n eievatiun from front property line to finished door elevation. If
,helot 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. — n
3. Measure distance from finished floor elevation to the affected peaWeave. + ft
•1. If the rooi line runs worth-South, deduct three feet. If the root line runs East-West, �- ft
deduct nothing.
3. Subtract one foot for each root of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the fronir. to the rear. If the
lot has no stone or slopes up from the rear to the front, deduct nothing, y ft
6. Tota! Figure for box 9: -- 7 _ It
Box C Oistance to the shade reduction line. Box C.
'. Measure the distance from the North property line to the foundation near the ( 7-0 ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + 7 C' h
3. Total figure for box C: ft
It is m04 useful to draw a vertid One w represent the appropriate*M found in box'A'and a horizontal Gne to represent the
appy ;rr;we found in box'C'. The intersection of the vertical and horizond rues determines de value found in boor'O'. The value
n boot 'O'should be compared to the value in boor'8'; if the value in bmf'9'is fess dun or equal to the value found in boot 'O', then
die bu,tding is in comorunce with the solar haling code. If you have arty questions. pkase contact us at 639.4171,x304 or at the
Gxnmunity C*vekXxr ent Counter.
MAXIMUM PERMTED SHADE POINT HEIGHT (in Feet
Distance to ___ North-south lot dimension(In feet!
shade ( 100+ 95 90 85 60 75 70 6" 60 55 50 45 40
red xtion One
fmm northern
hX Fi"(in atel _
40 40 40 41 42 43 44
38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 Al 42
53 3-4 34 34 35 36 37 38 39 40 Al
=j 32 32 32 33 34 35 36 37 38 39 40
30 30 30 31 32 13 34 35 36 37 38 39
;0 -3 23 23 29 30 31 32 33 34 35 36 37 38
33 26 26 26 27 28 29 30 31 32 33 34 35 36
:0 24 24 24 1-5 7< 27 23 29 30 31 22 33 34
a 2_' 2-1 22 23 24 25 26 27 23 =9 30 31 32
:0 :0 20 21 22 23 24 25 26 27 23 29 30
15 18 18 18 19 20 21 22 23 24 S 26 27 28
lit 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 2-7 23 24
I
Box D. .Maximum allowed shade point height_ t C "� feet
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CITY OF TIGARD BUILDING INSPECTION DIVISION
2441our Inspection Line: 6394175 Business Phone: 6394171
, .. < 1
Date Requested: _ _ (` _� A.M. _/� P.M. MS'r: C! 7
I.ocallon: 1 Y 2� .:■ 'fit • J _ BUP: -
Tenant: Suite: Bldg: MEC:
Contractor: Phone:Phone: _F)2 — 2 Z I PLM: —
Oymcr V —�— Phone: ELC:
ELR:
BUILDING BL (Gi(con't) (FILUMBING - MEC ANICAL LECTRFCAL SITE
Site PosgBeam Postmeam PostMearn Cover/Service Sewer/Storm
F(X)ting Roof IlndFl/Slab Rough-In Ceiling Water fine
Sll,b Framing Top Out Oas bine Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
lismt Damp Drywall Storm Furnace Temp Service misc.
MasonrN Ceiling Rain Iain A/C 1J(i Slab
Shear/Sheath Fire Spklr/Alyn Crawl/Found Dr I lent Pump Low Volt _
Approved pp ov Approved Approved Approved
Appr/Sllwlk Not Approved o roved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
O Call for reinspection /) Cl Reinspection fee of S required before next inspection O Unable to inspect
Inspector —�`� /�L _ Dater �— Page-- —of�_
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: ,.�_ 7. A M. P.M._ MST:
Location: _� (C Q ,Q.uQ tiL, t Btjp:___
Tenant: / Suite: _flldg: _ MEC:
Contractor_ �_(.!(��CZ�n1.Q1 p C. Phone: '
PLM: _ –,-
Owner: Phone: ELC:
------ EI.R:
SIT:
BUILDING BLDG(coni) PLUMBING 'MECHANICAL � .1.9CTR:J A— SITE
Sike Post/Beam Post/Beam PosUl3earn Cover/Service Sewer/Storm
Footing Roof llrtdFUSlah Rough-fn Ceiling Water Line
Slab I rarning Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer I kxxVD uc1 Reconnect Vault
13sm1 Damp Drywall Storm futYtace Temp Service MISC.
Maunin' Ceiling Rain Thain /C UG Slab
Shear/Sheath fire Spkb/Alm Cr11WIX01ind Dt I leaf 1'unip Arw o
Approved Approved Approved Approved Approved --
Appr/Sdw'Ik Not Approved Not Approved Not Approved ved _ Not Approved
FINAL FINAL FINAL FINAL,
Cl Call for reinspection Reinspection fee of Srequired before next inspection 0 IJnable to inspect
Inspector_ _ -- Date "; _� Page - - of
I CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: . _ — A.M. _ P.M. -- MST: ()o
Location � - —
BUR
I enant_ Suite: ,Bldg: I — WC:
Contractor: J- Phone: vZ ' S ! PLM:
i
c tti�uer: ,q Phone: ELC:
ELR:
f2ZQ Sri:
BUILDING DLDG(a►n't) PLUMBING(/ ANICA� ELECTRICAL SITE
Site Post/Bearn Po iTioam Cover/Service Sewer/Stone
Footing Roof IJndl'I/Slab Rough-In Ceiling Water Line
Slab framing Top Out Gas Line Rough-In lJG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsm►Damp 1)r wall Stoml Furnace "temp Service MISC.
Masonry Ceiling Rain Drain A/C IJU Slab --'� /, 7
7
Shear/Sheath fire Spklr/Alm Crawl/Found Dr H ,eat Pum Low Volt ( � ��
»roved Approved A d Approved Approved
Appr/Sdwlk ac roved Not Approved _ ved Not Approved Not Approved
7C;
NAL) FINAL() l �l�' FINA FINAL FINAL
_r-
5 �
NO AOS G 0 SS -
0 Call for rein. tion D Reinspection fee of$__required before next inspection 17 Unable to inspect
Inspector, ''r'1�y�� _ _ Datr _� ~� / Page of -
1' Constniction Inspection &Related Tests
Carlson Testir. ~ nc. Geotechnical Consulting
P.O. Box 23814
April 2 , 1997 Tigard, Oregon 97281
Phone(503)684-3460
CTT Job #95 -4390 FAX(503)684-0954
Skylight Homebuilders
P . O. Box 2315
Lake Oswego, Oregon 97035
GEOTECHNICAL REVIEW OF SLOPED LOT CONDITIONS
LOT 161 - HILLSHIRE ESTATES 3
CITY OF TIGARD, OREGON
As requested, CTI Engineer, Jim Imbrie has reviewed the foundation
excavation on Lot 161 located at 13609 Essex Drive, located in Tigard,
Oregon. The foundation is for a wood- framed, single-family home which
is lightly loaded from the geotechnical perspective .
Based on our observations , the excavation has been carried to suitably
firm native , silty loess soils capable of supporting spread foundations
to a maximum of 2 , 000 lb/ft2. The rear footing-to-exterior slope setback
is currently at about 20 feet horizontal. from an estimated 100-foot deep
1 . 5H: 1V natural canyon slope . At this setback, it is our opinion that
the potential for detrimental foundation settlement/slope creep is very
low. The silty soils are moderately susceptible to erosion. The slopes
should remain vegetated and collected storm water not be allowed to
channel. down the surface of the slope .
Interior footings snould be located beyond a 1H: 1V plane to the bottom
of the terraced cutbank. This is a separate issue from the footing-to-
exterior slope setback requirement in the UBC . If this interior
requirement cannoc be achieved due to an extended vertical cut, then the
bank should be partially supported by a four .ation wall backfilled to a
height such that this can be met .
We trust that this information meets your needs .
Respectfully submitted,
CARLSON NG, INC .
ED PRO
147143���, �NGIN�fR goy
14743 qr
OREGON111,44, 23
i Mfs � � � �/-
James D. Imbrie, P. E.
Geotechnical Engineer
,
SEE 35MM
ROLL# 22
FOR
LA. RGE
DOCUMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION LMy c.���'�;y�
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — 45 �
_ BUP
Date Requested "'LI AM PM BLD
I..ocation_ / 3 �C) 1? �.-�1 —X ��-'t_ _ Suite MEC
Contact Person Ph _ Cp M' - Gni
Con'. actor Ph SWR
BUILDING T e n a n wne �.� �Y /JFK—' ELC i
Retaining Wall
Footing
Foundation LC � � � FPS
Ftg Drain SGN
Craw!Drain Inspection Notes.-
Slab
SIT
Post&Beane - ---
Ext Sheath/`,hear
Int Sheath/Shear
Framing --
Insulation J
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
Final
RT FAILPL(JM61W
Post Beam ,_ _ —.-----` - -- ---
Under Slab \ i
TopOut ------ -_ ___ _-.�---- ------- -- - -
Water Service
Sanitary Sewer - - - --- ----..-_ --__
rR ' grains
i
SS PART FAIL a
MEMANICAL
Post& Beam - - -- -
Rough In
Gas Line
Smoke Dampers
Final -- - - - - - - ---
P RT FAIL
_ECTRIC -- - - - ------ - - - -
cA --
Rough In
UG/Slab — _--- ----- --_- -_ ------__
Low Voltage
Fire Alam
PART FAIL
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain I Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin reinspection Please call for reins RE:
Fire Supply Line ( p _ _ __ I ]Unable to inspect no access
ADA -
Approach/Sidewalk
Date Inspector ` Ext
Other
Final
PASS PART- FAIL DO NOT 14EMOVE this inspection record from the job site.
CITY OF T I G A R D _CERTIFICATE OF OCCUPANCY
PERMIT#: MST97-00048
DEVELOPMENT SERVICES DATE ISSUED: 04/04/1397
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S'04CC-06300
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 13609 SW ESSEX DR FILE
SUBDIVISION: HILLSHIRE ESTATES NO. 3 C5? Y
BLOCK: LOT: 161
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Path 1 - Final Building Inspection and Certificate of Occupancy
Approved 12/15/97 by the City of Tigard Building Division
Owner:
SKYLIGHT HOMEBUILDERS
PO BOX 23,15
LAKE OSWEGO, OR 97035
Phone- 636.2994
Contractor:
SKYLIGHT HOME BUILDERS CO
PO BOX 2315
LAKE OSWEGO, OR 97035
Phone: 636-2994
Reg#:
This Certificate grants occupancy of the above referet Codi building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for e�grOup, occupancy, c-nd use u er which he referenced permit was
issueA, j ! /"
BUI DING INSPEC BUILDING FFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
RECEIVED
IMPORTANT PERMIT NOTICE
APR 4 70nri
ROYAL PLUMBING
12145 SW STEAMBOAT DR ,pMMUNI{! uEVE�u►'MENi
BEAVERTON, OR 9700P
Plumbing Signature Form
Permit #: MST2000-00079
Date Issued: 3/27/00
Parcel: 2S104CC-05300
Site Address: 13609 SW ESSEX DR
Subdivision: HILLSHIRE ESTATES NO. 3
Block: Lot: 161
Jurisdiction: TIG
Zoning: R-7
Remarks: Rem.)del basement and add lower deck.
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 the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
ANTHONY DOLAN, MARLYS ROYAL PLUMBING
13609 SW ESSEX DRIVE 12145 SWI STEAMBOAT DR
TIGARD, OR 97223 BEAVERTON, OR 97008
Phone #: 503-590-5430 Phone #: 646-9824
Reg #: 1 Ir 121274
PI M 34-311 ab
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
St"gna ur ofi r1IP*+-Plum er
It you have any que,tions, please call (503) 6?9-4171 , ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PREMIER ELECTRICAL CONTRACTORS
115 NICHOLAS WAY
PO BOX 7010, BEAVERTON, OR 97
NEWBERG, OR 97132
Electrical Signature Form
Permit #: MST2000-00079
Date Issued: 03/27/2000
Parcel: 2S104CC-05300
Site Address: 13609 SW ESSEX DR
Subdivision: HILLSHIRE ESTATES NO. 3
Block: Lot: 161
Jurisdiction: TIG
Zoning: R-7
Remarks: Remodel basement and add lower deck.
Your company has been indicated as the electrical contractor for the permit indicated above. In order ,or the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual frorn your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
ANTHONY DOLAN, MARLYS PREMIER ELECTRICAL CONTRACTOR!
13609 SW ESSEX DRIVE 115 NICHOLAS WAY
TIGARD, OR 97223 PO BOX 7010, BEAVERTON, OR 97
NEWER? ?� 97132
Phone #: 503-590-5430 Phone 2 $-.3 5
Req #: LIC 001264
SUP 44275
ELE 36-79C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X JAt _
Signafure of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF T I G A R D MASTER PERMIT
PERMIT#: MST2000-00079
DEVELOPMENT SERVICES DATE ISSUED: 3/27/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13609 SW ESSEX DR PARCEL: 2S104CC-05300
SUBDIVISION: HILLS HIRE ESTATES NO 3 ONING: R-7
BLOCK: LOT: 161 JURISDICTION: TIG
REMARKS: Remodel basement and add lower deck.
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST. of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: at FRONT, PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT:
VALUE: $38,000.00
OCCUPANCY GRP: R3 BDRM: BATH: I TOTAL: n pn at REAR:
PLUMBING
SINKS: i WATER CLOSETS: I WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS.
LAVATORIES: i DISHWASHERS: FLOOR DRAINS: SEWER LINES SF RAIN DRAINS: CATCH BASINS:
TUSB SHOWERS. I GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: UREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: I CLOTHES DRYER:
FURN>-tOUK: UNIT HEATERS. HOODS: OTHER UNITS! I
MAX INP. blu FLOOR FURNANCES: VENTS. 8 WOODSTOVES GAS OUTLETS, I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRV:IFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION. PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp tat W/0 SVC/FDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp. EA ADOL BR CIR: SIGNALIPANEL: IN PLANT
MANU HMISVCIFDR: 601 - 1000 amp: 601+amps-1000x. MINOR LABEL.
1000 amplvoll:
PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS, SVC/FDR>=225 A. >600 V NOMINAL: CLS AREAISPC OCC.
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO R STEREO. VACUUM SYSTEM. AUDIO 6 STEREO FIRE ALARM. INTERCOM/PAGING. OUTDOOR LNDSC LT.
HURGLAR ALARM: OTH-. BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
c:;ARAGF OPENER: CLOCK. INSTRUMENTATION: MEDICAL: OTHR.
HVAC. DATAITF.LE COMM-. NURSE CALLS TOTAL 0 SYSTEMS
Owner: Contractor TOTAL FEES: $ 802.97
This permit is subject to the regulations contained in the
ANTHONY DOLAN, MARLYS T IMOTHY RAYMOND SKINNER Tigard Municipal Code, State of OR Specialty Codes
13609 SW ESSEX DRIVE 8509 SW 133RE AVE and all other applicable laws All work will be done in
TIGARD,OR 97223 BEAVERTON,OR 97008 accordance with approved pians This permit will expire
if work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days
ATTENTION, Oregon law requires you to follow rules
Phone: Phone: adopted by the Oregon Utility NotiPcatinn Center TI, .c,
Rog M- I I!
rules are set forth in OAR 952-001-0010 through
952-001-0080 You may obtain copies of these rules or
direct questions to OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Footing Insp Cra.Yl Drain/Backwate Electrical Service Insulation Insp
Foundation Insp I'LM/Underfloor Electrical Rough In Electrical Final
Post/Beam Structural Mechanical Insp Framing Insp Mechanical Final
Post/Beam Mechanica Plumb Top Out Lcw Voltage Plumb Final
Underfloor insulation Plumb Top Out Gas Fireplace Final inspection
:3Cuod B /d l_< g t- 4.c 1� 4ir of
By :: � �L.( 7 Permittee Signature
1 Call (503) 639-4175 by 7.00 p.m for an inspection needed the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION MS's 1oC)0-C)oo -7'J"
24-Hour Inspection I_)ne: 639-4175 Business Line: 639-4171
BUP ,
y
Date Requested ^? (-) _AM PM BLD
/ C^
Location 'l,a /s1ns��� �� Suite MEC
Contact Person lL,c 1 Lt S Ph �i L 5� 3)0 PLM
Contractor 7 Ph SWR
BUILDINGTenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _ SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear _ --
F raming ---- ------ -- --- -----------_ - - -- ..
Insulation
Drywall Nailing _--
Firewall
Fire Sprinkler
Fire Alarm
SL ;p'd Ceiling _--- ----___----- _�_.
Roof
Misc: - -- --- - - -------- --------- - ---
Final -- -—_- -
PASS PART FAIL_ - --- -- -- - -- --- ..T - -- -WING
PosRe-am -
Under Slab - -
Top Out
Water Service
Sanitary Sewer
Rain Drains _
ASS PART FAIL
ANICAL
Post&seam --- --
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
Rickfill/Gradinq - `-
Sanitary Sewer
Storm Drain I [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reins ection RE: ( ]Unable to inspect -no access
Fire Supply Line
ADA / �
Approach/Sidewalk _ pate _ Inspector_ / Ext
Other -_ - -!-_'.� - --�
Final
PASS PARI FAIL DO NOT REMOVE this inspection record from the joh site.
CITY OF TIGARD BUILDING INSPECTION DIVISIONQ
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST ZCiCX ' ��}C 7-!
BUP _
_ Date Requested 4'/���(,' Am PM BLD
Location_ f�7� r, L �.�,,QSuite MEr
Contact Person _ �� I t,Ul �L1 a Ph S4 PLM
Contractor Ph _ SWR
UILDIN Tenant/Owner - ELC
Retaining Wall ELR _
Footing Access-
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:— �� / �Slab SIT
SIT
Post R Beam
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation -
Drywall Nailing --
Firewall
Fire Sprinkler
Fire Alarm ---v -------------- -�
Susp'd Ceiling
Roof
^i n
SS PART FAIL - - - - ---------PMMWING
Post& Beam -- - - ---- - -------- _ — --------—
Under Slab
Topout -- --- --- -- -- ------ -------------------------
Water Service
Sanitary Sewer ---__._ -_- -- --- -- -.-_ -------------- -----
Rain Drains
Final,---
A
inal A PART FAIT_
AN L
Rough In
J8S _II1P. - - -- -
Smoke Dampers
S PART FAIL
RIC - - - - --- - -- -- - ----- --
Service---^-
Rough In __ -. ----------- -
UG/Slab
Low Voltage ------ --------
Fire Alarm
ASS PART FAIL --------------__�..___.__.___------------------ ------.--___---
R�ir;kfill/Grading - --- - ---------- - — -_ -
Sanitary Sewer
Storm Drain I ] Reinspertion fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RF _ ( I Unable to inspect no access
ADA
Approach/Sidewalk ) �/
Other Gate _— __ -�� ,lslnspector-- fI Ext
Final
PASS PART— FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
AZIAM 13125 SW Hall Blvd,, Tigard,OR 97223 (503)639.4171 ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR97-0245
DATE ISSUED: 08/2:2/97
PARCEL: 2CI04CC-05300
SITE ADDRESS. . . : 13609 SW ESSEX DR
SUBDIVISION. . . . :HILLSHIRE ESTATES ZONING:R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 161 JURISDICTN:
Pro.j ect De scr i pt i on : Installation of landscape timing device.
A. RES I DENT I Al---------- B. COMMERCIAL---------_-------------------------.----_-
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & WAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: IRRIGATION: : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 0
Owner: --_______________._____.__.__ __.__..______-..--------•_-__-- FEES ----------------
SKYLIGHT HOMEBUILDERS type amop.;nt by date reept
PO BOX 2315 PRMT t 40. 00 DRA 08/2/97 97-296580
LAKE OSWEGO OR 97035 5PCT $ 2'. 00 DRA 08/22/97 97-298'380
Phone #: 636-2994
Contractor: --_-_----------------------------------------
CEDAR LANDSCAPE f ':2. 00 TOTAL
14375 SW PATRICIA
------- REQUIRED INSPECTIONS
----- --
HILLSBORO OR 9712.3 Low Voltage Insp
Phone #r 628--3411 Elect' 1 Final
Reg #. . : 000058
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAA 952-01-011 through OAR 952-M-M81. You may obtain copies of
these rules or Greet questions OUNC at 1513)246-1987.
I ,stied y Permittee Signati.ireC��.y�i
-------------------------OWNER INSTALLATION ONLY--- -------------- -----------
The installation is being made on property I own which is not intended for
sale, lease, or rent.
[OWNER' S SIGNATURE: DATE:
-------- - -- --------CONTRACTOIR NSTP i_oT
1.,_ . . . . . ION 1 '-,IGNATURE OF SUPR. ELEC' N: DATE:
IICENSE NO:
+++++++++++++++++++++++++++-h+++•f+++++++++++++++++++++++++++++i-++F++++•F++++++++++
Call 639-4175 by 6:00 P. M. for an inspection needed the next bi_rsiness day
++++++++++.++++++++++++++++++++i-f+++++++ +++++++++++}++++++i++++++++++++++++++++++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
13125 SV1 HALL BLVD Date Rec'd: a
TIGARD OR 97223 PRINT OR TYPE
V - 503-639-4171 X304 PermitJZ 9
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: _
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIA' _
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
JOB Street Address St,#
ADDRESS /,fib 09 S W FSS,' ZX,
Check Type of Work Involved:
City/Stato Zip Phone# Audio and Stereo Systems
77
Na(ne ❑ Burglar Alarm
`sk 1)C AT .5 ❑ Garage Door Opener-
OWNER Mailing Address
City/State Tip Phone# ❑ Heating,Ventilation and Air Conditioning System'
-- ❑
Name
Vacuum Sys'ems'
other JRR r cj�T�cYtJ ��.,C'rRC/L�
CONTRACTOR Mailing Address
-/5 s W ?,grx/ci,4 TYPE OF WORK INVOLVED-COMMERCIAL
(Prior to issuance a Ci)y Stat Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses %j-I' 42icwc, > /2_� f1// (SEE OAR 918-260-260)
are required if Oregon Contr.Brd Lic.# Exp Date
expired in C O 7 64 3 6 8 Check Type of Work Involved
data base) Electrical Contr. Lic # Exp Date
❑ Audio and Stereo Systems
C O T or Metro Lic # Exp Date
^_ ❑ Boiler Controls
Owner's Name
Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City/State Zip Phone# ❑ Fire Alarm Installation
This permit is issued under OAE 918-320-370 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following
❑ Instrumentation
1 Orly 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,
Landscape Irrigation Control'
2 Call or inspections when installation under this permit are ready rnr
,pection 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'
inspector are done,and. ❑ Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed Eli Other
Permits are non-transferable and non-refu ridable and expire if work is not
,tarted within 180 days of issuance or if work is suspended for 180 days Number of Sy-tems
The person signing for this permit must be the applicant or a person No lirenses are required Licenses are required for all other installations
authorized to bind the applicant
FEES'
Signature — ENTER FEES $�^4 LT
00
5%SURCHARGE(.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ 9;2
i Vesele doc 12/96
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMPING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : PLM97--0349
DATE ISSUED: 08/22/97
PARCEL: 2S104CC-05300
SITE ADDRESS. . . : 13609 SW ESSE=X DR
SUBDIVISION. . . . : HILI_SHIRE ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 161 JURISDICTION:
—
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SP'AC'ES. : 0
TYPE OF USE. . . . .-SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . . 0 WATE9 HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
L_AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 .
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 n�4 I N 1JkH i N (ft ) . . . : 0
Remarks : Installation of landscaping kiackflow prevention device.
Owner: --------------------------------- ------------------ FEES ------------------
SKYLIGHT HOMEBUILDERS type amol_int by date rec-pt
PO BOX 2315 PRMT f 15. 00 DRA 08/22/97 97-298580
LAKE OSWEGO OR 97035 5PCT f 0. 75 DRA 08/22/97 97-298580
Phone #:
Cofit ractor_.__._.____.-----CEDAR LANDSCAPE
LANDSCAPE
14375 SW PATRICIA AVE
HI I....LSBORO OR 97123 _._------------.---------- ------------
I'h r.ry e #: 503-6�'8-341 1 f 15. 75 TOTAL
000058
-------- REQUIRED INSPECTIONS ---- ---
This permit is issued subject to the regulations contained in the RP/Backflow Pr-ev _
Tigard Municipal Code, State of Eyre. Specialty Codes and all other Final Inspection
applicable laws. All Mork will be done in accordance with
approved plans. This permit will expire if work is not started -�
within 189 days of issuance, or if work is suspended for more _
than 188 days. ATTENTION: Oregon low requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAF 952-1981-019 through OAR 952-48A1-t>888. You may �-
obtain copies of these rules or direct questions to 11W, by rilling
(513)246-1987.
/
Issued By: tv& , Permittee Si gnaturm!
+4+++++++++++++++1 +++++4++++++++4++++++++++++++++++++++++++++++++++++++++++4-++
Call 639-4175 by 6:00 p. m. for- an inspection needed the next bi.isiness day
H+++i-++++++ii-+++++i.++++++++++++++++++++++++++++++}++++*++++++++++++++++++++++•t
'TY OF TIGARD Plumbing Application Recd
125 SW MALL BLVD. Commercial and Residential ate Reed
CARD, OR 97223 Date to P E.
:03) 639-4971 Date to DST ---
Permit rl
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted caned
Name of Dawkii menwrotect FIXTU"E ,.Qndividuaq VAwwwalse kawE4
Job ,/�s - E s r�r�s Sk* 9.00
Address Street Address Suds L&"Wy 9.00
'5c" ESSEC Tub or TublShoww Comb. 9.00
Bldg s City/Stats Zip Shower Onty p�o
%/G /44) L?�. Water Closet 9
Name .00
'5 k A(--,4 r !>✓c:19E 3 Olaftwialter 0.00
Owner Marling Addrssa Sudo Garbage Disposal 9.00
Wam"Machine 9.00
city/Stals Zip Ph" Fkw Dram r 9.00
Nam. 3' 9.00
4- 9.00
Occupant 1"M'llir'g Awrssa Suite water Heater - 9.00
t.wary Room Tray 9.00
CRY/State Zip Phone Urinal 9.00
Nanta OMsr FuMxw(Speafyl 9.00
4A tip " ..7;Vc, 9.00
Contractor madin9 Addnsa Scats �~ 9.00
/q 2'J j ` i Tif��C/A lwe 9.00
Prior to Issuance City/State zip Phone
aPPlicant must ,//i/%s�, Y 611 �?17/.23 9.00
pmvde all Oregon Const.Cont.Board Uc! Exp.oats 9.00
contractors I f 13 6 ji � 9.00
kerne Pkrrnbing l.ic.! Exp.Date Sewer-1st 10(r
23.00
addinonsl 10
-e 30.00
each
0'
iinformationinformation /;,1 j1,f � - 5'd' 30.00
ach
for COT COT Business Tax or Metro a Exp.Date Water Se •lot 100'
database). 30.00
Name Weter Serv"-each addlf ul 200' 25.00
Architect Storm S Ran Oran•1st 100' - J0.00
or Mang Address Suite Slam 6 Rain Oran-each addniortal 100' _ 25.00
Mob"mans Space 25.00
Engineer Qtyrstate Zip Ptwna Canrtwrc.r Bad Flow Pmvwmon Device or ArMf- 25.00
Pokidon DMcs
:esrnbe work New Addition O Altentlon O Raper O r.•srdsntral Backflow Prevernion Device' / 15.0rJ iS v
r M done: Residential a Non-reaidentlal O Any Trap or Waste Not Connected to a Fixture 9.00
dddional(lesalption of work
Catch Baan 9.00 '-
Insp.of Existing Phrnbaq 40.00
per/hr
,,stlnv use of Specialty Requested Inspections � 40.00
kflrrt of Prey_ pefft
Rain Drain,single fanvly dwelling 10.00
,nosed use of Grease Traps _ --- 9.00
.rklinq or property -
QUANITTY TOTAL
gnu Capp", moving or replacing any fixtures? Yes d m No❑ Isornwr or neer alegrais rwuffw r Quarry Tara >9 ,..�w:• ...it
r yea see beck of form) 'SUBTOTAL
ti�•Pry acknowledge that I have read this application.that the mforrnation
yen,s correct-that I am the owner or authorized agent of the owner.and 5%SURCHARGE ;
at olans submitted are,n compliance with O on State Laws.
gnatue�..Qf OwnedAgsn► Dab PIAN REVIEW Vl% OF SUBTOTAL
7 vsaweo arN r R.nre Qty tont u y _
-F7 YOTAL 77
attest Pstum Name Phone __ 3
'Minimum penntt foo rs 525 • N surcharge,except Residential Badflow
PrevenbM. NN,",wtvch is S15-5*4 uxTharge
Pplmapp.doc 12:96 (dst)
'LEASE COMP;_ETE AS APPROPRIATE TO PROjECI:
Fixtures to be capped, moved or replaced :- Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
3"
_ 4" _
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
:OMMENTS REGARDING ABOVE:
l:�plmapp.doc 12296 (dst)
CITY OF T SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 V.'F R M I T #. . . . . . . .. SWR 9 7-0050
DATE ISSUFD: 03/18/97
PARCEL: :S 1 ir4CC--H31 61
SITE ADDRESS. . . : 13609 SW ESSEX DR
SUBDIVISION. . . . : HILLSHIRE ESTATES 70NTNG: R-7 FAD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 161
---------------------------------------------------------------------------
TENANT NAME. . . . . :SKYLIGHT HOMEBUILDERS
USA NO. . . . . . . . . . : FT X TORE. UN I TS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : t
'TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1
INSTALL- TYPE. . . ,: :Rt19WR IhiVIFRV SIIRFACF: 0 sf
Remar-ks : Path I.
Owner-: ______________..______._.___._.-______ . __._.__._.___.______.____- FEES
SKYLIGHT HOMEBUILDERS type �amoi.int by -date recpt
Pn AOX 2315 PRMT $ '200. 00 DRA 03/18/97 97-29189A
TNSP $ 35. 00 DRA 03/18/97 97-c`}..91898
1 ()KE OSWEi7pn OR `?70.5
rlione #s 63F.-1,994
Cont ranter-:
CONTRACTOR NOT ON FILE
-----------------------------------
Phone #: $ 2235. 00 TOTAL_
Reg #. . .
- --- RE(?UIRED INSPECTIONS ------
This Aoolicant agrees to comply with all the vales and regulations Sewer Inspection
of the Unified Sewaoe Agency. The permit expires 18@ days from
the date issued. The total amount oaid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall pr&4he
rections for
the distance given. If not sshall purchasea 'Tap andSide Seller' permistall a lateral.Pf-rmitte iiq at1.
T =,s,lied v
Ca.I I for- inspect i on - 639-41.75