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- 13659 SW ESSEX UR '�'
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCC'UP IANC,'Y
PERMIT #. . . . . . . : hI�T9'l _P�04^
GATE: IS)uE' : 14/30/37
;ITE ADDRESS. . . : 13553 SW ESSEX UR
F'ARCE1_
iUSDIVISION. . . . : �'.S1Qr4CC-050Q�0
t HILLSHIRF F"STATES NO. a
kLOCK. . . . . . . . . . o ZONING;t R- 7 PD
LpT. . ., . . . . . . , . , : 1'�S .IURISMUT ION: TIG
:LASS OF WORK. t NEW
1 YF'F: OF USE. . . :BF
YF,L OF CONSTR a 5N
CLUPANCY GRF'. :R.3
CCUPANCY LOAD:2
I
emarka : Perth I
<YI._ IGFIT HOMEBU11....l7ER9
'0 E{OX 231
;4KE 013WEGO OR 9*7055
gens+ #s 6362994
,YLICiHT HOMES BUILDERS LO
7 BOX 231S
'W(E: OGWE:CIO OR 970:35
tune #t 636- x::9'94
n M. . t 000003
,is Certificate grants ooc:,upanc,y, of the above refer errr., ed building
or poi t i
ereof and ronflr'ms that the building has br+en inspected for compliance wit
-e State of Oregon Specialty Codes for the gror.r�r, oe61panc^v, and use '•ruder
the roVerenced permit, was isar.ied.
f�
Wlfi PING IN8PECTt7R EiUIt.U1NG 07 C"TAL
K'OS'T IN COW,'V,I Ct IOt IS F-,L..ACF
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
Date Requested: _ AM. �— I.M.--�_-- MS'f:
Location: I -'l:� `� / �C t� -- -- -- BUR
'Ienani:_ Suite: __Bldg: _ MFC:
Contractor: G - �C t /71, Phone ) c I —' j.4- PLM:
Owner: i Phone: ELC:
r`fi l k ELR•
BUILDING T G teon't) PLUMBING �^ EC ELECTRICAL SITE -----
Site PostAlleam PostAleam Post/Beam Cover/Service Sewer/Storm
Fooling Roof I IndFl/Slah Rough-In Ceiling Water Line
Slab Fratrmg Top Oul Gns Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilcxxmtict Reconnect Vault
Bsmt Damp Drvwall Storm Furnace Temp Service MISC.
Masonry Ceilinl; Rain Thain A/C I IG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr heat Pump Low Volt
Approve Approved *NdAf
roved Approved Approved
"Appr/-Sdwlk oved Not Approved Not Not Approved Not Approved
1 AL FINAL FINAL FINAL
0 Call f'or rein. tion O Reinspection fee of S_ required before next inspection 0 IInable to inspect
Inspector:_ -- Tate: l - 3 Page —.of.---
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-41/1 —
B
Date Requested r L 7�/AM BLD_PM _
Location _ � �C U/� Suite MEC
Contact Person �3 >�_ Ph 22S 7 ��'� ` PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall — ELR
Footing Access:
Foundation FPS
Fig 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: __ _ ---
/17
Final
PASS PART FAIL
PLUMBING
Post & Beam --.- --- -
Under Slab
Top Out —
Water Service
----------------- -
Sanitary Sewer - --- ---- -
Rain Drains
Final
P
_a5_ PFAIL
HANTCAl,
Post& Been - - - - ------ ----- -- --
Rough In
Gas Line - -SAMIse Dampers
F'
E PART FAIT_
ELECTRICAL --
Service
Rough In
UG/Slab
Low Voltage -
Fire Alarm
Final
PASS PART FAIL -
81TE
Backfill/Grading -- - - -
Sanitary Sewer
Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ j Please call for reinspection RE' ( ]Uncble to inspect no access
ADA
ApproachtSidewalk
Other Data In' ecto
Final
PASS PART FAIL j DO NOT REMOVE this inspection re rd from the jots site.
CITYOF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999 00340
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PATE ISSUED: 8/12/99
SITE ADDRESS: 13659 SV1t ESSEX DR PARCEL: 2S104CC-05000
`(��
SUBDIVISION: HILLSHIRE ESTATES NO. 3 V ZONING: R-7
BLOCK: LOT: 158 � JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <_ •10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas stove and gas piping.
Owner: _ __ _ -- FEES —
JAMES STRAUS Type By Date Amount Receipt
13659 ESSEX DR PRMT DEB 8/12/99 $50.00 99-317626
TIGARD, OR 972235PCT DEB 8/12/99 $3.50 99-317626
Phone:590-0471 _ Total $53.50
Contractor:
T + K MECHANICAL
TIMOTHY S WYNNE
1 1525 SW CANYON _ REQUIRED INSPECTIONS
BEAVER-TON, OR 97005 Gas Line Insp
Phone:626-4652 Mechanical Insp
Reg #:LIC 00121165 Final Inspection
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 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You tray obtain co ies of these rules or direct questions to OUNC by all;,ig (503)246-91 9.
Issue By: V 4— ,� (�;�11 j Permittee Signature: F� / j �•�
Call (503) 639, 175 by 7:00 P.M. for inspections needed the neyt business day
Planeek�'
CITY OF TIGARD Mechanical Permit Application Recd , —
13125 SW HALL BLVD. RECEIVED Commercial and Residential Date Recd F1' t(-22_
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 1999q Date to DST
Print oryp T e �yPermit#�K_f_�l t1-�3yo
��MUNIIY Ifvrl0PMII4, Called
omplete or illegible applications will not be accepted
Name of DevelopmenWroied Description
Table 1A Mechanical Code _ at Price Amt
A) Permit Fee 16.00
Job Street Address Su"O41) Furnaca to 100,000 BTU
Address r c't Z r J including ducts&vents see footnote 1,2 9.65
Bldgfl C"ylStale zip 2) Furnace 100,000 BTU+
including duds&vents see footnote 1,2 1200.
Name(or name of business) 3) Floor Furnace
including vent see footnote 1,2 9.65
Owner r uC JO w C , 4) Suspended heater,wall heater
Mailing Address or floor mounted heater see footnote 1,2 9.65 _
a
5u)C �ic'K_ ��r _ 5) Vent not included in a liance permit 4.75
City/State zip Phone Check all that apply 'Boiler Heat Air
c CFor Items 6-10,see or Pump Cond Oty Price Amt
71;?'d /L Ck footnotes 1,2 Comp
Nam lur name of business) 6)<3HP;ebSo unit to
_ 100K BTU 9.65
Occupant Meiling Address — 7)3-15 HP;absorb unit
L_ l Y Y1 (� 100k to 500k BTU 1765
C"y/Stafe zip Phone 8)15-30 HP;absoib _ 24 15
unit.5.1 mil BTU _ _ _
9)30-50 HP,absorb
_
ContraCtor Name unit 1-1.75 mil BTU _ 36.00
10)>50HP,absorb unit
Prior to permit Mailing Address r `` >1.75 mil BTU _ G0.15
issuanrA,a copy �0 ` X c i C c —_,_ 11 Air handling unit to 10,000 CFM
of all licenses r Ute / Ip hone 7.00
are required if � �(c.1 Ci fl rl�X ' �" ' 1/6'=
CITY OF T SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : SWR97-00'1 !
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 03/18/97
PARCEL : 2S104CC–H3158
c-TTE ADDRESS. . . : 13659 SW ESSEX DR
SUBDIVISION. . . . : HILLSHT.RE ESTATES NO. 3 ZONING: R-7 Pi''
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. 198
_ ___---_...........__
TENNNT NAME.. . , . „ :SKYI. TC314T HOMEBUILDERS
USA NO. . . . . . . . . . . FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWF'1_L.ING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks, : Path 1.
Owner: - - - –___________.____.__________..__.___._.___. ____–__.__.._._ FEES
SKYI._T( HT HOMEBUILDERS +,ype -4moont by date recpt
PO BOX 2315 PRMT $ .-'2100. 00 DRA 03/18/97 97-2:91899
T NSP $ 35. 00 ORA 03/IA/97 97–P9 t 89m
LAKE JSWEGO OR 97039)
Phone! #: 636-2994
....ONTRACTOR NOT ON FILE
Phone #: TOTAL
Peq #. . .
_._..__._._.— RF_OUIRED INSPECTIONS –
This Applicant agrees to comply with all the roles and regulations Sewer Insr)er_tion
of the Unified Sewa4e Aoenrr. Tho permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not to ated at the measuremerl ���
given, the installer shall prospect 3 feet n all directions from
the distance given. If not so located, th installer shall purchase
a "Tap and Side Beller" Permit and the A cy will insta lateral,
F'a r m i t t e Sign t i_i r e :
Call for i.nsperti.on - 639-4175
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-0049
13125 SW Hall Blvd., Tigard, CR 97223 (503)639.4171 DATE ISSUED: 05/15/97
PARCELr 2SI04CC—H3158
5I1 E ADDRES+ 3. . . : 1.:365'1 S--.;W ESSEX DR
SUBDIVISION. . . . :NIl_LSHIRE ESTATES NO. .�, ZONING: R-7 ND
BLnCK. . . . . . . . . . LOT. . . . . . . . . . . . . : I "`,(3 JURISDICTION:
Remarks: Path 1
---------------------------------------------------•------------ BUILDING ------•------------------------------------- -----------_-------
REISSUE: STORIES.......: 2 FLOOR AREAS----------- BASEMENT...: 600 sf REQUIRED SETBACKS---- REWIRED--------------
CLASS OF WORK.:NEW HEIGHT........: 26 FIRST....: 1186 sf GARAGE.....; 616 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1675 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONS7.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2861 sf VALUE..: 245304 REAR..........: 99
------------------------------------------- ---- -- ---------- PLUMBING --------------------------
SIWS......... 1 WATER CLOSETS.: 3 WASHING MACH..: l LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........; 0
LAVATORIES....: 5 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS. : 1 WATER LINE ft: 100 BCKFLW PREVNTR; 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
----- -------- ----------- -- ----------------- MECHANICAL -----------------------------____--------------
FUEL TYPES--------- FURN ( ION ..: 0 BOIL/CMG ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GA FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: l
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WIIODSTOVES....: 0 GAS OUTLETS...: I
ELECTRICAL ------------- --------------------
n g7WNTT.', UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- ---ADD'[. INSPECTIONS--
1J00 SF OR LESS: 1 0 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: N PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 6 201 400 amp..: 0 201 - 400 amp..: 0 lst W/0 SVC/FDR; 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADGL BR LIR: 0 SIGNAL/PANEL...: 0 IN PLANT....... 0
MANE HM/SVC/FUR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
10004 amp/volt.: 0 ---- --------- --- -------- -- -- PLAN REVIEW SECTION ---___..____.__-___--.___-__--_------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/5PC OCC:
-----------.---------------------------- ------ ELECTRICAL - RESTRICTED ENERGY ------------------------------------------------------
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL--------------------------- ----------------------------------------------
AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL m SYSTEMS: 0
Owner: ----------------- ---------- --------Contractor: ---------------------------- TOTAL FEES:f 4932.85
SKYLIGHT HONEBUILDERS SKYLIGHT HOME BUILDERS CO
PO BOX 2315 PO BOX 2315
LWE OSWEGO OR 97035 LAKE OSWEGO OR 97035
Phone N: 636-2994 phone N: 636-2994
Reg A..: 000340
This permit is issued subject to the oegulations 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 180
days of issuance, or if work :s suspended for more than 180 days.
-------------------------------------------------------- REQUIRED INSPECTIONS .----------- --------------------------------------- --
Erosion Contol Post/Beam Meehan Electrical Serv: Fireplace Insp Rain drain Insp Plumb Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Service In Building Final
Footing Insp PLM/Underfloo Framing Insp Gas Fireplace Appr/Sdwlk Insp
Foundation Insp Mechanical I Shear Wall Insp Insulation Insp Electrical Final
Post/Beam Struct Plumb Top Low Vjliaga- -- Gyp Board Insp �le�fi cal FinAl
P,p r m i t t e e S i gnat'At' I s s i-i e d 13
Call for inspection — 639-4175
Plan Check.#�
'TY 0F TK.4RD + Residential Building Permit Application RecJPy -
_
.115 SW HALL BLVD. New Construction .Additions or Alterations Date RecJ�_[� 'SZ_
iGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. '2 -
;503-639-4171 Date to DST 2-�2L-
303-684-7297 Permit#11g7
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Project t-T, Name
Job 14 ILL S14lfZe. fs')011 <
� Address Site Address
-- Architect Mad ng Address
_ - 136q. s w Fs f City/State Zip 1 Phone^—-
Name 1
:S6V0tRT 1 I l t)t'Z Name - --- --- —
Owner Mailing Address
inc Z ".',/r p Phone Z FnainEer Mailing Address
- - -
ayiSlate
�at� f
------ City/State Zip Pnrne
Names gUSV
General 7 I Desc
-
ribe work Ne Addd,on O Alteration O Repair 0
Contractor Nlmling Address
--' to be done
Additional Descnpticn of Work:
city/state Zip Phone
Oregon Const.Cont Board L c# Exp Date
Attach Cooy of 1 1�7
Current r- C,-Bur ness Tax or Metro# Exp Oate PROJECT
Licenses LVALUATION $
Name
NEW CONSTRUCTION ONLY:
Mechanical %ir= !k._ Fit 4 --
Sub rVladirq Andress Sq� Ft H Jse. gKPA44 600 Sq. Ft. Garage
Contractor Corner Lot YES NO Flag Lot YES NO�j
State Zip Phone (check one) L/� (check one) l L-----
�Qreoon Cons4�Cont Board L c# Exp�a - Restricted Audio/Stereo E3urglar
attach Copy of �[ �Sf_ �^�' TEnergy System Alarm
Current �T Business Tax or Metro# ExpDaM,1Installation Garage Door HVAC ,
Licenses s I _ Opener Systems
Nam -
(check all That Other
Plumbing
Name (check
it-4 apply)
Sub- Mailing Address - Will the electri_al subcontractor wire for all YES I NO
i;ontractor restricted energy installations? _ _-i l
;,ty�state Zip Phone —iI Has the Subdivision Plat recorded? N A YES NO-
ONO
Const Cont Board Lic7E.xp Date Reissue c` T# Solar Compliance
attach Copy of ' -' t i (Calculation Attached)
Current Plum it Erp Date I hearby ack wledge that I nave read this application. that the
Licenses \4 f
-r L---- inforrnati n even is correct. that I am the owner or authorized
COT Business lax or etro x Exp Date
agent of owner, and that plans submitted are in compliance
Name with Or n State jaws
Signal of Cw NAgent Cate
Electrical �/, \1r�nyE� y Li ��iZ►L _ !%�-'
Suh- Mailing Address Cah c rson Name Phone#
Contractor �,2�` �N Sf1ll IT)+ n ��
C tyrState Zip Phone -`- 0_R OFFICE USE ONLY:
1 Plat # MaprTL#
Oregon Const Cont Board t.lc# Exp Date L
Attach Dopy of r " ( �•J Setbacks: Z e Solar
Current Electrical Li� $ , Exp Date
Lie°"SPS ' 1 -nglneertng A�orova: Plan Ing Approval TIF
CO 8 soiess Tax or Metro# Exp cjii 'r, .f lu
i:\sfapp aoC tdst) 1/97
�ILU
Permit_# Account De,5cri_ption Am4Unt Amt• Pte: aaI_Oue
hLi32-Qo49 MST Permit
(BUILD)
I9 b. �9�,
Plumb. Permit (PLUMES) 2 Z5,
Mech. Permit (MECH)
ELC/ELR Permit ✓y
(ELPRMT) 3",
State Tax (TAX)
yo
Blag 39. -,
Plumb z
Mech
ELC/ELR: /5 -
Plan Check
(BUPPLN) rt; JI� 29£� d.w..
c-�
MST �;� 5. '° ;' ` '
.
Plumb (PLMPLN)
Mech (ME=CPLN) /_1' _ _'-
_z n
CDC Review 1 LANDUS' U'Ft�T
�w X97 uo51 Sewer Connection
Sewer Inspection
Parks Dev Charge (PKSD(-:)
Residential TIF (TIF-R) /570. Ste,
Mass Transit TIF (TIF-MT)
�J
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: ���.�5S ���
sfap , o
SEE 35MM
ROLL #20
FOR
OVERSIZED
DOCUMENT