13621 SW ESSEX DRIVE e,..•LVY+e.il�W�.l.'n1.4,..w�.br r�tld,e-.:...W�a++ws«�. - .. _ _
M1
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_ 13621 SW ESSEX DR ,�.
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171PE RM I T
FERMI-f #. . . . . . . : SWR9- 01. "A
DATE: ISSUED: 05/01./97
PARCEL_: S104(7,C-1 3160
SITE ADDRFfaS. . . : i3621 SW 76SEX DR
SUBD I V I S I ON. . . . :H I1J_S:-'IRE ESTATES NO. 3 ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : t ,0 Jt.1R I SD 1 CT I ON:
TENANT' NAME. . . . . :SKYLIGHT HOMEBUILDE.RS
USP NO. . . . . . . . . . : FIXTURE UNITS. . . . 0
CI_..ASS OF WORK. . . -NEW DWELL I NG l_1N T TS. . I 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :L-TP I MPF RV SURFACE: 0 s f
Remarks : Sewer connection for- single family residence.
Owner: ---_____-_ ___ -------------------------------- ___ EE E'S --------
SKYLIGHT HOMEEJII_.DERo type amol.tnt by date rer_pt
F'Q PDX :?15 PRMT f c:c00. 00 DRA 05/01 /97 97-c94031
LAKE OSWEGO OR INSP $ 35. 00 DRA 05/01 /97 97-2940.71
Phone #:
Contr•ac.t or: -- -_-_-_------ ------------ -_-_
OWNER
Phone #: f 2235. 00 TOTAL
Req #. . :
REDUI RED INSPECTIONS ------- -
This
------- _This Applicant agrees to comply with all the rules and regulation, SptNPr- Inspection
of the Unified Sewage Amrncv. The permit expires 188 days from
i�• date issued. The total amount paid will be forfeited if the
perm+t expires. The Agenr•. does not guarantee the arcuracv of the �.__._....—
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect ,3 feet in all directions fru
the distance given. If not so locat d, the installer shall putchase
a 'Tap and gide Sewer" Permit and t e Agency will inst a later
f Arm i t t e i qna i.tr _
s s l.t e d B ----.----
Call for- inspection - 639--417'5
I
CITY OF TIGARD
DEVIELOPMENT SERVICES MASTER PERMIT
13175 SW Hall Blvd, Tigard, OR 97k,.3 (503)63q-4171 PERMIT #. . . . . . . : MST97_0 i-`j
DATE ISSUED: 05/1 -/97
PARC';E.E. : 2S 104CC—H3160
a i TE ADDRESS. . . : 13621 SW ESSE=X UH
SUBDIVISION. . . . :HIL..LSHIRE ESTATES NO. 3 ZONING: R•-7 F'D
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. 160 JURISDI(:T1ON:
RPiarks: New SFD residence, path i with engineering. (This plan previously submitted for lot 159.) Sea MST%-0046-voided.
------------------------------------------------- BUILDING -..-------------------•--------------------------------------------
REISSUE: STORIES.......: 3 FLOOR AREAS------- - BASEMENT...: 1676 sf REDUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 35 FIRST....: 2262 sf GARAGE.....: 660 sf LECT..........: 5 SMOKE DETECTRS: V
TYPE OF USE...:5F FLOOR LOAD....: 40 SECOND...: 2213 sf FRONT.........: 20 PARKING SPACES: i
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........; 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 5 TOTAL----- ; 4475 sf VALUE..$: 3&W31 REAR..........: %
------- -------- PLUMBING ----------------------------------------------------------------
A WS.......... 1 WIER CLOSETS.: 5 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TRAPS......... : 0
LAVATORIES....: 7 DISHWASHERS...: i FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS— 0
TUB/SHOWERS...: 6 GARBAGE DISP..: I WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------------------------------------------------------- MECHANICAL - ------------------------------------------ -----
FUEL TYPES--------- FARM l I*1 , 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: B CLOTHES DRYERS: 1
GA5 FURN )---IW ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
4AY INP.: 0 BTU FL(Olk - iRNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
-------- ELECTRICAL ---------------.----------------------------------------------
--RESIDENTIAL UNIT--- ---6T:RVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDrL INSPECTIONS---
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
FA ADO'L 500SF.:11 201 - 400 amp..: 0 201 400 amp..: 0 lst W/O SVC/FDR,: 0 SIGN/OUT LIN LT: 0 PER 4OUR......: 0
LIMITED ENERGY.: 0 481 - 600 amp..: 0 401 - 6d0 aap..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 6#11 - 140 amp.: 0 601+asps-1800 v: 0 MINOR LABEL -10: 0
1a00+ alp/volt.: 0 ----------------- -------------------- PLAN REVIEW SECTION ---- --- - --------- --
r(econnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 606 V NOMINAL: CLS AREA/SPC OCC:
------------------------------____--------------- ELECTRICAL - RESTRICTED ENERGY ----------------- -
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL---- -------------------------------------•-----------------------
AUDIO d STEREO.; VACUUM SYSTEM..: AUDIO # STEREO.: FIRE AL.ARM.....: INTERCOM/PAGING; OUTDOOR LNDSC LT:
RURGLAR RE`RM.. OTH: :: X BOILER.........; HVAC...........: LAWCAPE/IRRIG: PROTECTIVE S1GNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC..........., DATA/TELE COMM.- NURSE CALLS....: TOTAL N SYSTEMS: N
Owner: ------------------------------------Contractor: -------------------- ------ TOTAL FEES:f 6100.50
SKYLIGHT HCMEBUILOERS SKYLIGHT HOME BUILDERS CO
PO BOX 23,15 PO BOX 2315
;_WE OSWEGO OR LAKE OSWEGO OR 978:-`,
Phone #: 636-2994 Phone #: 636-2994
Reg #..: 000340
Ibis permit is issued sub))ect to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other-
applicable laws. All worlr will be done in accordance with approved plans. This pproit will expire if work is not started within 180
days of issuance, or if work is suspended for more than IBB days.
--------------------------------------- ------ REGUIRED INSPECTIONS
Erosion Conto) Post/Bear: Median Electrical Servi Gas Line Insp Water Service In Building Fir,!
Grading inspect: Crawl Drain Electrical Rough Gas Fireplace Aopr!Sdwlk Insp
Footing Insp PLM/Underfloor / Framing Insp Insulation Insp Electrical Final
Foundation Insp Mechanical In Shear Wall Insp Gyp Board Insp chanical -inal —
Post/Beam 5truct Plumb lap 0.1 Low Voltage Rain drain In Plue Final
—
--
F'vr•mittee Oignat -r' Iss e E3y :
Call f inspection - 639--4175
• .r rr
Ran Check# V
:;ITY OF TIGARD Resident'al Building Permit Application Rec'd By r
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Detached or Attached Date to P.Er 34-r 9
03) 639-4171 Date to DST _S/Z 7
Print or Type Permit
r
Incomplete or illegible applications will not be accepted Called_. QS7 r)l51Z
Name of Subdivision Lot* l( t Name
Job W; ii-u I-V ifi,�_ f3.I rJ.•+wrJi,_
Address
Site Address Architect MailingA=ress
------
E Z fJJ
Name C;ty/State Zip Phone
Owner Mailing Address Name
l rZip Phone 9 if S,:r c 1 v;c
City/Stat Engineer Marling Address
e
_ _ lK� t0 N• c+� h7,6 rc� _
Name l ity/State Zip P
Z� hone
General S,a,i.` _ Descnbe work newJk- addition O alteration O repair O
ontractor Mailing Address to be done:
Additional Oescript+on of Work
Cit,
+state Zip Phore
Oregon Const.Cont. Board t.ic.# Exp. Date _
Watch Copy of Project
Current COT Business Tax or Metro# Exp. Date L Valuation
Licenses a e NEW CONSTRUCTION ONLY: _
Name
Mechanical Iti\'� lift 14,4 Sq.Ft. House: c Sq,F.t.Garage: —
33rc ,.
Sub- Matting Address T-1 i-\ .r r -
Contractor Corner Lot Yes N�DtFlag Lot Yes No
City/State Zip Phone - (check one) eck one) _�
Restricted Audio/Stereo _ _ Burglar
Oregon Const.Cont.Board Lic.# Exp. Date Energy System Alprm x
Attach Copy of
Current COT Business Tax or Metro# Exp.Date Installation Garage Door HVAC
Licenses Opener System
Name icheck all that Other:
Plumbing V--,z It.o T.1 p l n.�. , apply)
Sub- Making Address -- Will tFe electrical subcontractor wire for all Yes No
FAL installations?
cted energy
Contractor
r _ _
City/state zip phone `- Has the Subdivision Plat recordeu l NIA - YesNo
�.
Orrigon Const.Cont.Board Lir,# Exp Date Reissue of MST#^ Solar Compliance
Attach Copy of _ _ (Calculation Attached)
Current Plurrhing Lic.# Exp. Date _ I hereby ack ,vledge that I have read this application, that the
Lir.enses informatio gi en is correct, that I am the owner or authorized agent of 1
COTS Business Tax or Metro# , Exp Date the owner a d that plans submitted are in compliance with Oregon
State la _
am+s Signal rtat/O�enL Dat?
Electrical del.\\w .eve'1-tE alt, , - r - Z T �}
Mail ng Address ---- Con t Pei-son Name Phone
1312 it-t-NH 1-}t1
Contractor i _ FOR OFFICE USE ONLY:
City/State Zip Phone Plat# Map/TL#:
Oregon Const.Cont. Board Lic.# Exp. Date 1
Attach Copy of — -- -- -
Current Electrical Lic.# Exp Date Setbacks Zone: Solar
Licenses
COT Business Tax cr Metro# Exp Date Engineering Approval: Planning Approval. TIF:
\dstslrnstapp doc
F'ermitl 8=.uiit esQ j i.on Amount Amt. Pd. Ba, umt
MST. Permit (BUILD) �' ---- ��•J ''
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX) ✓ y-. V
Bldg: S7./
Plumb: _ 22.
Mech: _ .21
r
Z
ELC/ELR: V'_
Plan Check ✓ /
MST: �� 7" �'�lD �0 (BUPPLN)
Plumb: (PLMPLN) r -7`—
Mech: (MECPLN) �� Z' ✓ / Z?
CDC Review (LANfXYS)
Sewer Connection IN-M ,�%!!,,.,.- (SWUSA)
Sewer Inspection !" r' (SWINSP) > 3
Parks Dev Charge (PKSDC) O Sy /D Sy
Residential1-IF (TIF-R) P
Mass Transit TIF j� (TIF-MT) _121—) /
Water Quality (WQUAL) /S-- f/ '/f
Water Quantity (WQUANT) v d V v
Erosion Control Permit (ERPRMT) 112,
u y
Erosion Planck/USA (ERPLAN) _ 3�� K
Erasion PlanckiCOT (EROSN) L' L
Fire Life Safety (FLS) _
TOTALS:
i\dst3Vnstapp doc
Rev 7/96 1
Solar Balance Point Standard Worksheet
Address 13 41A I S ►— r_ul?/ D
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 interse,rting line perpendicular to that point.
First, determine which property lirz 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°—o
1
rLUT uNe \ NOTr UFr4
-- N North-South
Dimension .or Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
feet
1
N
NORM-SOUM DIMENMN�
Box B calculations: Shade point height for your residence.
Box Q:
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 ..�.KU..a (circle one)
be based on the peak of the roof. ❑ ;a
I 1B 1C
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
eave.
"A"TINT rA�f
1 c: If the roof lire runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the ,: o
peak.
Box B. continued Box B:
_>. Measure charge in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the fuundation, the figure is positive. If 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. + = ` ft
4. If the roof line runs North-South, deduct three feet. If the root line runs East-West, - ft
der,uct nothing.
5. Subs:�t 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 8: -ft
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the ft
affected peak/eave.
2. Measure the di3tance 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 th.-
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"7"should be compared to the value in box'13% if the value in box"9"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 PERMITYED SHADE POINT HEIGHT In Pest
Distance to North-south lot dimension(in feeU
shade 100+ 93 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line(in feet)
70 0 40 40 41 42 43 44
65 8 38 38 39 40 41 42 43
60 6 36 36 37 38 39 40 41 42
55 4 34 34 35 36 37 38 39 40 41
50 2 32 32 33 34 35 36 37 38 39 40
45 0 30 30 31 32 33 34 35 36 37 38 39
40 8 28 28 29 30 31 32 33 34 35 36 37 38
35 6 26 26 27 28 29 30 31 32 34 35 36
30 4 24 24 25 26 27 28 29 30 32 33 34
25 2 22 -2 23 24 25 26 27 28 29 30 31 32
20 20 20 21 12 13 24 25 26 27 28 29 30
15 1 18 18 49 20 21 22 23 24 25 26 27 28
10 1 16 16 17 18 19 20 21 22 23 24 25 26
5 10 14 14 15 16 17 18 19 20 21 22 :3 24
Box D. Maximum allowed shade point height: _ - feet
h:Wocslnancylventura\solar.chp r.. , ( All.-
Revised 2126/96
vT 60
S',a, 1;�
SK><cibH'r y�m£fS��L�>F"21' e1 Jy� ? .
-7-Po -
I �
Sin
2�h�c�Al!S X44 r—U-S` p _
i--
LA" �-c
r ��-slt,o I
rea
1itFp�re2�c
X70 JCf S�v� f7-h,
Sir/srFwe�2 c F-C
2._ - vF
c,_ _--
i
CITY GF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . : PLM97-0185
13125 SW Hall Blvd.,Tigard,OR97223 (503)639-4171 DATE. ISSUED: 10/08/57
PARCEL: 251O4CC-05200
SITE ADDRESS. . . : 13621. SW ESSEX DR
SUBDIVISION. . . . : HILLSHIRE: ESTATES NO. 3 ZONING: R -7
BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . .. 160 JURISDICTTON:
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRF'. . :R3 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
Remarks : Install residential back flow prevention device.
Owner: - -.__.__.._______.__..-------_-_-_ -_--_-_-___._._-.------________.._.___ FEES
SKYLIGHT HOMEBUILDERS type amount by date recpt
PO BOX 2315 PRMT f 15. 00 JSD 10/08/97 97--295874
LAKE OSWEGO f_1R SPCT 0 0. 75 .TSD 10/08/97 97-:99874
Phone #:
Cont►,act or--.___-_________---_.._------------
CEDAR I_ANDSCAPL.
14375 SW PATRICIA A)F
HIL_ I..SBC7R0 OR 97123 _... .__...__.____.-.--.--____...._
----------------.___.
Phone #: 503-628-3411 15. 75 TOTAL_
Reg #. . : 000058
REQUIRED INSPECTIONS
- -- -- -
This pereit is issued subject to the regulations contained in the RP/Backflow Prev
T'gard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in arcord,nce with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for ocre
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 952-0001-4010 through OAR 952.0001080. You may
obtain copies of these rules or direct questions to ODIC by calling
15031216-1987.
1 sued By :— ` - _i Permittee Signatut-e : _
IIi
+ +•+++++++++++++++++++++�++++++4-+++++++++++++++++ +++++++++++++4"++++++++++++++++
Call 639-4175 b/ 7:00 p. m. for an inspection needed tFie next business day
+ ++++++ f++++++++++++++++++++++++++++"-++++++++++++++++•+++++t+++++++++++-F++++++
1TY OF TIGARD Plumbing Application Recd By ~,ty
3125 SW MALL BLVD. Commercial and Residential 04114 Recd / �
IGARD, OR 97223 Dal*to P E.
03) 639-4171 Date to OSTr
Print or Type Related SWR r
Incomplete or illegible application;; will not be accepted caned_
name of DewtopatenuPtoped .FUgVRg4T0 dividual) • a tl , E,
Jobff k/RE ESTATES' Sir11t 9.00
Address Street AddMU Butte iaV Wy 9.00
(';2/S[c)L. , Tub or TuD�Shower Coma. 900
Bktg• 1 CltylState Zlp Showw Only 9.00
T nwater Closet
Nath 9.00
e Dishwasher 0.00
Owner MAZI9 Address $uft Garbage Cv%Msel 9.00
' 1.kA 1�.3/ Wat"Meehlne
9.00
City/slate zip Ph" Floc Orin T 9.DO
____ ,,��,: �•S�, a DEQ, 70,x- - - �?9q1;
Name 9.00
_ 4' 9.00
Occupant mailing Address Suite Water Heater -� 9.00 -
(Spe
City/slate Zip ?hone Urinal 9.00
Laundry Room Troy - 9.00
-
_
�.e Other Pieria"_ cify)" 9.00
C` ' NSC/►' E �;t/( _ 9.00
Contractor Merwhp Afteac Suite
9.00
� Ph,on.
hires Ito ianoe Cltyta lSn9.00
applicant must /%/six eo OrQ " 6.26>--e4ll 9.00
provide all Oregon Const Cont.f'oard U&S Exp.Date 9.00
corwador 9.00
license Pkenbing Ur-a Exp.Date Sewer-tat 100' --
information , 30.00
for COT COr Business Tax or Metre a P•Dan $ems'each sddatonal 100 25.00
database), Water Service-1a 100' 55-00
Name Water Service-each additional 200' 25.00
Architect Sturm a Ran30.00
or Address Suite Storm&Rain Oran-eeact^add0o"100' -` 25.00
_ Molle Homs Spare 25.00
rigineer C+tYrState Zip I Phone Crxwnertml Bads Flow Prevent lin Device or Anti- 45.00
_ Pollution Devtoe _
Abe work New O Addition O Alteration O Repair O Residential Baddlow Prevention Dewce' 15.00
e done: Residential O Non-residential O
Irtronal description of wont Any Trap or`Neste No^.Connected to a Fixture 900
Catch Basin g
.00
insp_of Existing Phant>,ng 40.00 _.
per/h
acting use of
e Speday Requested Inspections ons 40,00
aiding or property _ perRnr
Rain Orain,single famdy dwering 30.00
oposed use of Gnsase Traps 9.00
aiding or property_
�A QUANTITY TOTAL '-
Are you capping. mcving or replacing any fixtures? Yes❑ No 0 Isrxnarrc fir,MW
dog am n re0red d
IliX�see back of Corm) W row o >9
'SUBTOTAL
I hereby adtnowkdge;hat I have read this application,that the rn(onnation0-0
amen is correct,that I am fie owner or authorized agent of the owner and 5%SURCHARGE
;hat plans submitted are m compliance with Oregon State Laws.
3ignatur►of OwnerlAgent Date PLAN REVIEW 25%OF SUBTOTAL �-
/
�,y Rrqurad Q+h t rtrRn ary Kx r a�9
c'�GY c--C �t�i• / /�J_ ��1 TOTAL
":ontact Person Name Phone f h
/ 'f+Alnlmum permit fee res S25 5'isurcriar>2e,except Residential Flackllow
03 -.2Y-e3' Prevention Devke,which is$15-5`�surM qe
1:\p1mapp.doc 1'196 (dst)
'LEASE COMPLETE AS APPROPRIATE TO PROJECT:
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 12.196 (dst)
CITY SOF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL. PERMIT -
RESTRICTED ENERGY
PERMIT #: ELR97-0284
DATE IGSUED: 10/08/97
PARCEL: 2S1O4CC-O52OO
91TE ADDRESS. . . : 13621 SW ESSEX DR
SUBDIVISION. . . . :HILLSHIRE ESTATES NO. 3 ZONING:R-7 PD
BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : 160 JURISDICTN: -;
Pv,o.ject Description: Install landscape irrigation control.
A. RESIDENTIAL------ B. COMMERCIAL---------------------------------------------
AUDIO d• S i EREn. . . : AUDIO R STEREO- : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : L_ANDSCAPL/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . :
HVAC. . . . . . . . . . . . . . LATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER:LANDSCPPE : : X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 0
Owner: --------------------------------------------------------- FEES ------------___.._
SKYLIGHT HOMEBUIL-DERS type amol_tnt by date r-ecpt
PO BOX 2315 PRMT $ 40. 00 JSD 10/O8/97 97-299874
LAKE OSWEGO OR SPCT $ 2. 00 JSD i2/OR/97 97-299874
Phone #: 636-2994
Contractor: ---.-_--------------_.------------------------------- --------•-_
CEDAR LANDSCAPE L 42. 00 TOTAL.,
14:. 75 SW PATRICIA
------ REOUIRED lNSPE.CTIONS
HILLSBORO OR 97123 Low Voltage InsP
Phone #: 628-3411 Elect' 1 Final
Reg #. . : O00058
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Gre. 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 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-01-ON. You may obtain copies of
these rules or direct questions to OW. at (5631246-1987,
Issi_ted by_ Permittee Signati_tre F
-------------------------------OWNER INSTALLATION ONLY----------------------------------
The installation is being made on l,roperty I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY----_---__-__.___-__-_--____ -_
S I GNA'-URE OF' SUPR. ELEC' N: DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++-I-++++++•it+++++++++++++++++++++++++++++
Call 639-4175 by 7:00 P. M. for an inspection neecied the ne>tt bUsiness day
+4++++++++++++++++++++++-h++++++++++++++++++++++ F++++f++++++++++++++++++++++++-+4
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 - 503 664 7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:,_
WILL NOT BE ACCEPTED _
NamQ of Development Project _TYPE OF WORK INVOLVED -RESIDENTIAL
Restricted Energy Fee.................................. .. $40.00
ALL 1rJrli'f �� TES (FOR ALL SYSTEMS)
JOB Street Address Ste#
AnDRESS 3o,L/ s SF 5EX Check Type of Work Involved.
City/$t ateZ / Phone# ❑ Audio and Stereo Systems
Name n Burglar Alarm
SKY41GHT 41o. es
OWNER M_ailing Address Garage Door Opener'
1.. �T0A "1/SJ ❑ Heating,Ventilation and Air Conditioning System'
City/State Zip Phone#
rCAKt" GSU't� O �'�• O3S Vacuum Systems-
Name
(f ia9le �.4nl13SCIVd' -ZAIC Other
CONTRACTOR Mailing Address
/ y 15- Su1 1�"YrQi TYPE OF WORK INVOLVED:COMMERCIAL
(Prior to issuance a Clt !State Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses tM_644 o y W-?-j w-'-ilf / (SEE OAR 918.260-260)
are required if Oregon Contr.Brd Lic.# Exp.Date
expired in C.O.T. 3 -/1- 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. 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; /
rLpJ1' Landscape Irrigation Control'
2 Call for inspections when installation under this permit are ready for
inspection at 503.839-4175; ❑ Medical
3. Purchase separate permits for all installations that arr+not ready for an ❑ Nurse Cnlls
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 cif the
corrections are completed ❑ Other _
Permits are non-transferable and non-refundable and exolre if work is not
started within 180 days of issuance or 0 work is suspended for ISO days _Number of Systeme
The person signing for this permit must be the applicant of a person No licenses are required Licenses are required for all other installations
authorized to bind the soplicant.
FEES:
(L �� �o
Signature ENTER FEES f----�-
5%SURCHARGE(.05 X TOTAL ABOVE) S
Authority if other than Applicant TOTAL 1•
I VesW a,.t alae
-------------------
CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT N. . . . . . . I MST97-01 39
DATE ISSUEDI 01/30/98
I,,'4RCE L s 2SiO4CC-05200
13621 5W E.SSEY DR ZONIN60-7 P
-JBDIVX51UN. . . . t HILLa►+IRE:. ESTATES NO. 3 JUR'ISDICTIONITIr�
1 I E_f)T. . . . . . . . . . . . . 1160
LtJrK' _ '..------_ _____.
iSS OF WORK. I NEW
wE OI' USE. . . 18F
r YPE OF LONSI R 15N
iLE.UPANCY CyRP. I RT
oC::UPANCY l_OAP:r 6
tem'arWs I Ihw WO residtsct, pith i with en4inssrin4
owner i
4iKYLIGHT HOMLBUILDERS
r)Li BOX 4':315
(EKE" DBWF-00 OR
Iahnne M/ 636-2994
Contract or I
OWNED
Phane MI
Reg #. . I
lttiis Ge rtiric4ste yl ,ants acc:l.ipAncy of the Above refero-%wed building or portion
thereof and confirms that the building has t�een1 i'nyaeCteancy, compliance
rt,e state f Oregon Sperialty Codes for. i.he g ' U , P' Y,
;',ir_h the referenced ;)ermit was issued.
I N9F'FCT SI.IPERV I SC1R
l)ILDINC� INSr.:. To
1
P-OST IN CONSPICUOUS PLACE.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line. 6394175 Business Phone: 639-0171
C
Date Requested: l ' RC1 — -__- _�— A.M.// () - P.M. MST:
(,oration. I��' ,�-I >Q L� .�.,�J.-i •� ___ ------ --- f3tIP:
Suite:_Bldg:
- - �;C
Contractor: tCPI,M ----
Owner: Thane
_ rr.c
El.fl._
BUILDIMc 't) PLUMBING ELECTRICAL SITE
Site b`SMIC0111 PosbB wn Post/Ream Cover/Senice Sewer/Storm
Fooling Roof UndFl/Slah Rough-jr) Ceiling Water bine
Slab Framing Top Out (m,bine Rough-In UG Sprinkler
Foundation Insulation Sewer H(XXV111 f Rex;onnect Vault
lismt Damp Drywall Sion)) Furnace 'I'M.p Service MISC.
Mas<mry Ceiling Rain(ham A/C 11(1 Slab
Shean'shealh Fire Spklr/Alm CraMA'ound Or I leaf hemp Low Volt _
��Approve Approved aro • Approved Approved
Apla/Sdwik oTP_roved Not Approved of )roved Not Approved Not Approved
FINAL k'f FINAL FfNA ' FINAL FINAL
0 Call fir reinspection CI Reinspection fee of S r aired before next inn tion 0 Unable to inspect
In 'ctor _ I Q
I �1_� —_ I age—_...-_ of