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No.36ORIGINAL. DOCUMENT cc— ,
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�_ 13695 SW ESSEX UR
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - --
BlUP
U 70 Dapte Reque�s�tleu �l �~�`q _�AM PM _ BLD J
I ovation- f31� ( � SSV Suite � MEC
p
Contact Person _A 17x-"" _ Ph �c�3� '43 1 3 PLM
C-AContractor _ ^ Ph _ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR _
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection No s:
Slab � l.�s_ f�L..�—_-- -- SI.
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing __--
Insulation `
Drywall Nailing t' _ __ �� 2- _ ------
Firewall _--_Firewall - -
Fire Sprinkler --__._______
Fire Alarm
Susp'd Ceiling
Roof -------
Misc: - -- ---
Final
PASS PART FAIL ---- -- ----------------------
PLUMBING
Post&Beam -
Under Slab
Top Out --------
Water Service
Sanitary Sewer .. __...._.--------------._--------------.—______—
Rain Drains
Final -- - - - -
PASS PART FAIL
MECHANICAL --- -- -
Post& Beam - - - - -
Rough In
Gas Line
Smoke Dampers
Final - - - - - - -- -- -- -- ---- --- - -- -- -- --
T FAIL
4 LEECT�L - - -
Service
Rough In IG/Slab
I-ow Voltage
Fite.Alarm J —_.-.-
Fi
$S PART FA'L
Backfill/Grading -- �—
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_-. -_-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE17 ` [ J Unable to inspect-no access
Fire Supply Line
ADA //
Approach/Sidewalk
Other Date 7X;/54;-/
_ 5-- - _ � �= -c�
(% Insr.ector lEi 'L��-t/ Ext
Final
PASS PART FAILJ DO NOT REMOVE this Inspection record from the job site.
CITY GF TIGARD MECHANICAL
DEVELOPMENT SERV!rES PE RMI T
PERMIT #. . . . . . . : MEC9B-0165
20 ik 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6�.r•417, DATE ISSUEDt 05/013/95
PARC=L_: 2S 104CC-04800
SITE ADDRESS. . . : 13695 SW ESSEX DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 3 ZON NG: R,-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 156 JURISDICTION: T I G
---------------------------------------
CLASS (IF WORK. . :ADD FLOOR F URN. . . . : 0 EVAP COOLERS: 0
'TYPE OF USE. SFUNI T HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/0 APP1._: 0 VENT SYSTEMS- 0
wTORIFS. . . . . . . . : 0 BC *.I_ER5/GOMF'RkSSOFS HOODS. . . . . . . : 0
FUEL_ T Y 'ES---- _- - - 0-- Hf'. . . . : 0 DOMES. 1 NC I N: 0
3-15 HP. . . . . 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS!. . : :10-50 HP. . . . : 0 WOODSTOVES. . : 0
005 PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNIT'S-______.____.._ AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 0 (= 10000 cfm: 1. GAS OUTLETS. : 0
FURN > -1oAe)A BTU: 0 > 10000 rfm: 0
Remarks : Add a air handling unit to 10,000 CFM to an existing residence. A/C
units cannot be place within the required setback areas.
FEES
KAREN CAPEN type amount by date recpt
13695 SW ESSEX DRIVE: E'P,MT $ 25. 00 GED 05/08/98 98-305603
TIGARD OR 97223 F)(PoRF: " 5PCT $ 1. 25 BED 05/08/98 98--305603
Phone #: 590-4420 tc D 1
Contract or•
CLIMATE CONTROL INC
3315 NW 26TH
$ 26. 25 TOTAL
PORTLAND OR 97210
Phones #: 523-4393
Merl #. . 0006 .1.
_.-.....-._.._-_ REOU1 RED INSPECTIONS
--
This per@at is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Special`y Codes and all other Mi sc. Inspection __W
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This per@it will expire if work is not started
within 188 days of issuance, or if work is suspended for @ore
than 180 days. ATTENTION: Oregon law requires ynu to follow rules
adr,pted by the Oregon Utility Notification Center. Those rules are _
W forth in DAR 952-001-0810 through OAR 952-881-8888. You Bay
nbt,,rn copies of these rules or direct questions to OUNC by calling
��% 1
1ssr.re BY: � .�� / � — Permittee Signatr_�ret
+++++++++++++++++++++++4•++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 6139-4175 by 7:00 p. m. for inspections needed the next business day
++++++++•+-+++++4++++++++++++++++++..4-+++++++++++++++++++++++++++++++++++++++++++
Plan Check 0
CITY OF TIGARD Mechanical Permit Application Recd By _
13125 SW HALL BLVD. Commercial and Resid6mflal Date Recd
TIGARD, bR 97223 Date to P E
(503) 639-4171, x304l " Date to DST
ermit 0 rt�
Print or Type P '
Incomplete or illegible applications will not be accepted caned_
I=M P'O�°L Desa ition
L l Table 1A Mechan"I Code OTY PRICE AMr
.lob W*M Ad"M SU"o A) Permit Fee _
Address 'D C' / --- o 0 10.00
B) Supplemental Permit 3 DU
tpr n�rr d ous�»ssl 1 ) Furnace to 100,000 BTU 600
Owner / ( �. 'Ji `�� ind.ducts S vents
Addrii6 C , 2.) Furnace 100,000 BTU+ 7.50
- cVV. t il- I ind.ducts S vents
3.) Floor Furnace
trtd.vent
Nam tar nom if touitineuI �.) Suspended heater,wag heater 6.00
—�-- or floor mounted heater
MAP"AP"AO0V" 5.) Vent not md.in - 3,00
appliance permit
cewsu ' Zlo phots. 6. Baler or -
) comp,heat pump,air cond. 6.00
to 3 HP;absorp unit to I OCK BTU _
II7mo 7) Boiler a camp,heat pump,au Gond. 1100
l 1 t 5 HR.absorp unit to 5"BTU
Contractor llok�"Ai'lWrili. 8) Borer or comp,heat pump,ar cond. - 15.00
1 15-30 HP,absorp unit.5-1 nit BTU
A acopyC N; 11 - 2 9.) Boiler or comp,hent pump,air bond. 22.50
Current Licenses 30.50 HP absorp unit 1-1.75 and BTU
Oregon Can tloxrp t a Ea rt+ r/ 10) Boder or comp,heat pump,au Gond -- 37.50
1 _?50 HP;absorp unit 1 75 mit_BTU
COT Bus�rML Tax 1 l Wp 1 I 11,) Air handling unit to 450
�- �- 10.000 CFM r
Architect "1ef1 12.) Air handbW unit ------ 7,50
10.000 CTM
or M°'"9 AOe eis 13) Non portable 450
evaporate cooler
Engineercsv'srai: �A+«+� 14) Vent fan connected 300
-I _ _� to-2 single dud
Describe wAic w u Addition-6 Alteration O Repair O 15.) Ventilation system not 450
to be done _Residential.0 Non-re3idenhal O inchided in appliance permit
Additional Descnphon of wdm �— 16) Hood served by mechanical exhaust 450
1 T) Dome-stir incu orators 7 ,0
Existingof -_..---.-�-.�_.'---- ----- —
use 18) Commercial or WusMW 30 00
burkfag or property ---- type incinerator
19) Clothes dryers,etc 4 50
Propesect use of 20) Other units -� ------ - 4 EO
building or property
1 ype of fuel-oil O natural gas O LPG O ele,dnc O 21) Gas piping one to four outlets 200
I hereby acknmvtedge that I have tad this applc3tton,that the 22) More than".r outlet (each) 50
mfrxrnabon given is correct,that I am the owner or authorized agent of
!"e r•wner,that plans submitted are in compliance with Oregon State CITY.SUBTOTAL
lw.
Sigriature of OwnerrAgent Date -SUBTOTAL �-
J )
Ll
5%SURCHARGE
,:ontact Pe .,on Name Phone --- PLAN REVIEW 25°4 OF SUBTOTAL �—
_ TOTAL
'dstVnedtpmt_dor. Minimum permit fee is 525•5°.6 surcharge -
?ev 71%
.. � ...... .n,ria...W w�•a �r�+r. ,,,r r�`._i 1;y .. ^ � u.t:., .:.-...t?3».
Home Layout
.. .. .. ........0. .. ....
i(. .. .. .. . 1... .. .. .. ..
U _.«
.........................
0
: :. : :� f. _ f....... . ....t
_ ..............
.. « .: . _ ...
............... »
....... .«.... .. .
•
...........I........................
. i
.«.............W....................... ... .. .............. ...... ... . .. :.
Windows Windows Doors Wallis Root Floors
CITY OF TIGARD ELECTRICAL. PERMIT
DEVELOPMENT SERVICES PERMIT #: FLC98-0241
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 05/08/98
PARCEL: 2S104CC-04800
S 1 TE ADDRESS. . . : 13695 SW ESSEX DIR
SUBDIVISTON. . . . :HTLLSHIRE ESTATES NO. 3 ZONING:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 156 JURISDICTION: TIG
Pr cij e c t De s c r i pt i on: Add a first branch circuit to an existing residence.
-------------------------------------
UNIT------ -----TEMP SRVC/FEEDERS---- - ------M I SICE L L.A NE OUS---- -
1000 GF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
17_:ACH ADD' L. 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
I. TMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 5JGNAL/F1ANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
------SERVTCE/FEEDER------ ------,-,FRANC H CIRCUITS.-__.-.__.- -- --ADDII- INSPECT IONS----
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 1 N PLANT. . . . . . . . . . . . 0
601 - 1000 Amp. . . . . : 0 ------------------PLAN REVIEW SECT I 01\1-----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 225 AMPS— : CLASS AREA/SPEC OCC. :
Owner: FEES
KAREN CAPEN type amol-int by date reept
13695 SW ESSEX DRIVE PRMT $ 35. 00 GEO 05/08/98 98-30560`
TIGARD OR 97223 5PCT $ 1. 75 GEO 05/08/98 98-305603
Phone #. 590-4420
Contractor-
CLIMATE CONTROL- $ 36. 75 TOTAL_
::3.3,15NW 26TH AVE
REQUIRED TNSPECTIONS
PORTLAND OR 97210 Elert' l Service
Phone #: 22.3-4393 Elect' ] Final
Reg #. 00062I
This permit is issued subject to the regulations contained in th, Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if "erk is not started wit.in 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set fn-th in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OM by calling l 3)246-1967.
Permittee Si gnat Ure Issi.ted By : 14L0(04`ee_
--—————————--————---———----—————OWNER INSTALLATION
___--
The installation is being made on property I own which is n o t intpndpd for
sa
nt-
sa1.e, I v ase, o r rent.
(I W N E R' 5 5 1 G N()7 U R F DATE:
INSTALLATION ONLY———————————---—--——————- -
!;IGNATURE OF SUPR. ELECI N- DATE:
I-ICEN13F NO: -3// _5T
4............. .................4-++.4-++4++4.................4...................4-++++4
Call 639-4175 by 7:00 p. in. for air inspection needed the next bi-Isiness (Jay
........................*............4 ..........................................
V., „r- 7o tr r. iu.ou rAA au,) atfo 111UU 1.1 l l I1P ill \KU 19002
CITY OF TIGARD Electrical Permit Application Plan Check>r
13125 SW HALL BLVD. C/h� Recd By
TIGARD OR 97223 y�U Date Hec'd.
U Date to P.E.
Phone(503)639.4171.x304 Date to DST
Print or Type r---
Inspection (503) 639-4175 Incomplete or illagible will not be accepted Pen"lt
Fax(503)684-7297 Called
1. Job Address: 4. Complete Fee Schedule Below-
Name of Development_ Number of Inspections per permit allowed
Name(or ante of bUrsinesoll Service included: Items Cost Sum
FyAddress )� 4a. Residential-per unit
Srx10 sq.IL or Irr;r _ $110.00 q
�.ityistate�zlp - FoO riddltiori al',ie,sq 't of
pnrlGOmmP,rC18I❑ Realdential Llmttemiteron norf $25.00 ,_. - _ i
d Fnorgvgy $25.00
Each Manuf'd Hnme or th"111lar
2a. Contractor Installation only: Dwelling Servlce ur Feeder - $68,00 _ 2
(Attach copy of ell lent license ) \ 4b.Services or Feederm
Electricalontractor 1 Installation,alteration,or relocation
Ad , 3 C_ L v 200 amps or less $60.00 2
201 amps to 400 amps $00.00 _ 2
City St to Zip_ "f I_JI(�__ 401 amps to 900 amps $120.00 _ 2
Phone No. eo1 amps to 1000 amps $160.00 _ 2
Job No. Over 1000 amps or volts $340 00 2
$50.00
Elec.Cont.Lice,No. Exp.Date�"4' Reconnect only 2
Ora State CCB Reg.No._( r I I 1 U Exp.Date In 4c.Temporary Service„or Feeders
C07 L�_Exp.Date I 1 Installation,alteration,or relocation
200 amps or less $50 00 _
Signature of Supr. Elec'nAjLk__ 201 amps to 400 amps $75.00 _ 2
401 amps to 600 strips $100.00
Over 900 amps to 1000',olts,
License Nr Exp.Dete�' ase"b"above.
4d.Branch Circuits
New,alleretlon or extension per panel
2b. For owner Installations: a)The tae for branch circuits with
purchase of service or
Print Owner's NamR_ feeder fee.
Address Each branch circuit $5.00
b)The fee(or branch circuits
City_- _ Stat(.,----- Zip without purchase of
Phone No. service or feeder lee.
First branch circuit A__ $38.00 �_l' 2
The installation is being made an property I own which is not Each additional branch circuit, $6.00 _ 2
intended for sate,lease or rent. 4a.Miscellaneous
(Service or feeder not Included)
Owner's Signature Each pump or Irrigation circle $40.00 2
Each sign or outline lighting $40.00 __ 2
3. Plan Review section(if required):' Signal clrcult(s)or a limited energy-
$40.00
panel,alteration or extension _ 2
Mlnorlabels(10) � $100.00
Please check appropriate Item and enter fee In section 58.
4 or more residential units in one structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per Inspocllon $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C.Chapter 5 In Plant $55.00
"Submit 2 sets of pinns with application where any of the above apply. S. Fees: CL
Not required for temporary conshurtlnn sarvices. Se.Enter total of above fees $
5%Surcharge(.05 X total fees) $ `
NOTICE Subtotal $ --
ab.Enter 25%of tine Se for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Rovlew If reaulred(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal _
IS SUSPENDED CR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. El Trust Account N _
7
Total balance Due
_1 -
t�ostsc�cse�nv eevwae
50, od1 O'+Sa L-4FL�ON TE'iT:Nb O-
constructlort lnspecdon di,Related Tests
Carlson Testing, Inc. Geotechntmt Consulting
P.O.Box 23814
December 8, 1995 11gerd, Oregon 97281
495-4390 Phone(503)68'•3460
FAX(509)684.09S4
skylight HomebuiIder s
P.O. Rox 2315
Take Oswego, Oregon 91035
GEOTECHNICAL REVIEW OF SLOPING LOT
LOTS 156 - HILLSHIRE ESTATES 3
CITY OF TIGARD, OREGON
AS requested. CT'I Engineer. Jim Imbrie has reviewed the existing slope
conditions at the northwest corner of the foundation formwork for the
proposed single-family residence at Lot 156, Hillshire Estates 3 .
The till slope has been temporarily cut for access for equipment for
regrading of the rear yard. From the nearest footing, the existing
grade is ].eve]. for abour 6 feet horizontal, slopes at 1H: 1V for about 5
feet, vertical for about 8 feet, level for 10 feet, 31i: 1V for about 10
Feer, and a level 30- foot wide fi.11 area with a 10-foot high slope
below. In its present condition, the footing-to-slope setback from the
8- foot vertical is unacceptable for long-term stability. Once the
proposed regrading is completed, however, then the setback should be
more than adequate ai_ tpns of '.aet beyond the footing.
CTI recommends that conditional foundation approval be given, provided
that the rear yard grading is completed prior to occupancy. The builder
can then proceed ar his own risk. It is our opinion that the present
condition is not imminently dangerous to the proposed structure.
We trust that this inf:tmation meets your needs.
Respectfully submitted .
CARLSON TESTING, INC.
//'.lames D. Imbrie, P. E.
Gectechnical Engineer
a
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CERTIFICATE OF
CITY OF TIGARD OCCUPANCY
PLRMI T #. . . . . . . : MST9504 I!,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISUED e 07/02/96
13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639-4171
PARCEL. : ;_2S104CC-H3156
1TE ADDRESfj. 1-36135 SW ESSEx 1)i,
IJBDIVISION. . . . .- HIL(-SHIRE ESTATEF; NCI. 3 ZONING; R- 7 FIE)
I-.00V. . . . . . . . . . e LOT. . . . . . . . . . . . . .. 156
'—ASS OF WORk. oNEW
YPE OF USE. . . :SF pp
CCUPANCY GRP. 70N
iXUPONCY i_OAD.-,�?,
omarks : PPTH I
KYL.IGHT HOML BUILDERS
(.a LAOX 2315
OKE 13SWEGO OR 910,35
')one #s
i,,YL.I(AHT HOME BUILDERS CO
(3 SOX 2315
,4kE OSWEGO OR 97035
IM11" #: 503-6362994
#. . : 34086
Cert If icate grants ac,(::upancy of the above ref ei-enced bu t Iding or portion
4eroof and confirms that the building has been inspected f ar compliance with
I)e 5tate of Oregon Specialty Codes for the group, verupan y , and use under
ilith the reforenced permit was issued.
x/1
'7�3'r E 1'0 P BU11-DING OFFICIAL.
P(.19'r IN CONSPICUCIUS V"L.ACE
CITY OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT P-LUMBING PERMIT
' -0
13125 SW Hall Blvd.Tlgard,Oregon 97223*8'109 (503)639.4171 MjT)5 417.-
DATE ISSUED: 12/06/95
--11'E ADDREG3S,, �j PAPCEj..-: RS104CC-1-17313(.�
SW r-GGEX 1:,R
SUBDIVISION— . : HILLSHIRE ESTATES N0. ,3
LOCl/. . . . . . . . . . .. . . . . . . . . . . . . . 1'316
70NING: R--7 r.)r)
B
CLASS) 017 WORK. :MST)5--0031 GARBAGE DISPOSALS— s
I-YPE OF USE. . . . :NEW WASHING MACH. . . . . . . : I BACKFLOW F'REVNTRS. . : 1
OCCUPANCY GRP- . :GF 1"LOOR DRAINS. . . . . . . . rPAr"
-D. . . . . . . . . . . . . . . 0
TORIES. . . . . . • . :2 WATER 14EATERS. . . . . . .. CATCH BASINIS. . . . . . .
!-IXTUR- ES-.---.-- I.AL-11\IDPY TRAYS. . . . . . : 1
`3 1 NKS. . . . . . . . . . : 1 731' PAIN nPnIN5. . . . . : t
'...AVn'TOPIr--G 7 01"l-ir:P r I GREASE TRAPS. . . :0
1-US/SHOWE=R'S. . . . : 4 SEWER LINE (ft) . . : 0
4PI CR CI-O(--)E'T*'S. . 4 WAI-ER 1-11`417 ( ft ) . 100
0 1 SHWASHERS. . . . 1 PAIN DRAIN (ft 0
1k?maV-kf; : PATH
IWNER:
"K L GHT HOME 8UIl-Dpp(; !SWIYI $
0 BOX 2315 C,3WM I BO- 00 JDA 12/06/15 95--,`'7,=,6
100- 00 JDA 112/06/95 95---273611
B P,13 T 1, 790. 50 JDn t2/06/95 955-27-117,I
.AKE' OFS)WEGO OR 97035 BPUC E"lla. 00 JD 11/02/95 9 -46,
hons 'j--272
L3`-`PC t, 31). 53 JDA 112/1"!16/915' r,5---,2 73 6 1
Contr-auto�,:
PARI; 500- 00 JDA 12/06/95 95-2736 1 .;
MPRI 1, 413. 00 JDA 12/06/05 95 C.1 ::
MPL C 00 IDA 1 :/06 1'95 I 95--273612
40 inn ti 77 C,
"Ilddro ?06-1 PPRT 21 5 -,.73,61 .1
Ci t y : 8- 00 JD(l 12/06/97) r)s-
�-,V J -iLF P15-PIC JDfl 1111/06/95 03- 2/3611
Zip., u11-1 u 1! cou EROS
88- Q10 JDA 12/06/95 95-2736J
Peg I
J Additi(inAl fees riot '31-lown here. . .
REQUIRED INSPECTIONS
iiir3ev-,mit to the i,eq--
lations contained in the Tigard Municipal Footing Insp Low Voltage
!de, State of Ore. GPeCialty+ Codes and all l"oundatinn Insp Fll-pplace "11,
then applicable laws. All work will be donc.-.- Rest/Beam Str-uct Gas Line Insp
:1 avcur,dAnce with :APPt'oved plan:. This Post/Seem Mpc-ljar-, I 11B 1-t 1 A t i 0 11 1 T)s r,
Pr-mit will exPit-'e if work is not started Cr-awl m-ai,-) Gyp Soat-d sv
, thin 180 days of issj_lan(..-p. (), if is
u
Plm/ ndslah Insp Pain di-ainInTw��
ASPIRTIded fOt- mm-e than 180 days.
PLM/Und e r-f I o 0 t, Water Linp Insp
Mechanic-:kj Insp Water 5prVif--e In
Plumb Top Out Appr-/CSdwlk Insp
ElqC-tr-ic':.k1 S:')Pr'Vi Elerti-ir-al Final
Electrical Rourih Mechanical Fi -- -- 1
f-)'0"lill'4 Insp Pl ,.tmb r-ilial.
�V—fot- inspection 639 4 1715
Signature
Notes :
I
CITY OF TIGARD MASTER G'ERMIT
COMMUNITY DEVELOPMENT DEPARTMENT FARMI I SUED: 1 : 6/95
DATE ISSUED: 1�/0E/9�
13135 SW Hall Blvd.Tlyard,Oregon 97223.8199 (503)839.4171
I-'ARCEL.: 2S104C1:-- 13I5&
aI i l= f1GUtiL--:JJ• • . 1 117 jJ JW L;�LLA Lf-.
'.SUBDIVISION. . . . : HILLSHIRE E:STA'FES IVO. 3 ZONING: R- 7 P,D
t_OT. . . . . „ . .. . - . . . . 156
Resarks: PATH I�
--------------------------------------------------------------- BUILDING ----------------------------------------------------------
REISSIJE:MST95-0031 STORIES.......: 2 FLOOR AREAS----------- BASEMENT...; 0 sf REQUIRED SETBACKS---- REQUIIFD-------------
CLASS OF WORK.:NEW HEIGHT........: 33 FIRST....: 21330 sf GARAGE.....: 760 sf LEFT............ 5 POE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1433 sf FRONT,........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 5 BATH: 4 TOTAI--------: 3%3 sf VALUE,A: 24270 REk..........: 90
------------------------
---------------------------------------- PLUMBING ---------------------------------------------------
SINKS...........
---•--------------------------------------------SINKS.........: 1 WATER CLOSET;•: 4 WASHING MACH..: I LUDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 7 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft 0 37 RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 4 5ARBAGC DISP..: 1 WATER HEATERS.: 4 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES:
---------------------------------------------------- MECHANICAL ----------------------------_-----------------------------..
FUEL TYPES----------- FURN ( 100M ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 5 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT 14EATERS..: 0 HOODS.........: 1 OTHER UNITS...: I
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
----------------------------------------------- ELECTRICAL -----------------------------------------------_--------- -
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 ;F OF LESS: 1 0 200 aaP,.: 0 0 - 200 ago..: 0 W/SVC OR FGR.. : 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L SOW. ; 6 201 400 amc..: 0 201 - 400 asp.. : 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LTi 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 =.go..: 0 401 - 600 Am. : 0 EA ADDL BR CIA: 0 SIGNAL./PANEL.•.1 0 IN PLANT.,....: 0
MANF HM/SVC/FDR: 0 601 - 1000 awP. : 0 601+81ps-1000 �: 0 MINOR LABEL -10: 0
1000+ asaivolt. : 0 -- --- - ------------ - PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDA)=i 5 A.: > 600 V NOMINAL: CLS AREA/SPC OCC;
------------ --------------------------•------------ ELECTRICAL •- RESTRICTED ENT 3Y - ---------- ---------- ___ ------ ----..
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------- --------•--------------------------•---------- --------.._.
'fO 8 STCREO.: VACUUM SYSTEM..: AUDIO a STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
�RGLAR ALARM..: 0tH: :: X BOILER.........: HVAC............ LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK............ INSTRUMENTATION': MEDICAL........: OTHR:
HVAC......,,,,,; DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Jwner: -------- - -- -
-----.-Contractor: -------------------—_-.------ TOTAL FEE5:1 4643. 3
SKYLIGHT HOME BUILDERS SKYLIGHT HOME BUILDERS CO
P 0 BOX 23!5 P 0 BOY. 2315
,AKE OSWEGO OR 97?ro LAKE OSWEGO OR 9703
Phone is 636-2994 Phone K: 501-636-2994
Reg N..: 34086
"•iis 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 18
days of issuance. or if work is suspended for gore than 180 days.
---- _ ------ ---- REQUIRED INSPECTIONS -------. ...-------- -
Footing Insp Plo/undslabAfo
ical Rough Insulation Insp Apor/Sdwlk Insp Erosion Control
�cundation inso PLM/UnderflInsp Gvp Board Insp Electrical Final
it/Beam Struct Mechanical ltage Rain drain Inso Mechanical Final _.
,t/Peas Mechan Plumb Top Oi; ace Insp Water Line Insp Plr+mb Final
awl Drain Electrical nWater Service In Buildi I Final
a r m i t-t e e ..'.i s ri,_A t l-1 l c, ;tir-�spc+ct ion ��•l �c
SEWER CONNECTION
CITY OF TIGARD PERMIT
PERMI'T #. . . . . . . : SWR95-0474
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/06/95
13125 SW Hall Blvd.Tigard,Oregon 97223*digg (503)539.4171 PARCEL: 2.'S104CG-+43156
P'E ADDRES335. . . - 13695 SW ESSEX DR
SUBDIVISION— . : HILLSHIRE ESTATES N(J. 3 70NING: R--7 FIT
BLOCK. . . . . . . . . . . l-.OT. . . . . . . . . . . . . : 156
TENANT NAME. . . . . :
USA NO. FIXTURE UNI'T'S. . . 0
CLASS n�* NEW DWELL.I NG UN I TS. . : I
TYPL OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYPE. . . . :BUSWR TMPERV 7AJRrACE- 0 S f
Remarks : PATH I
Owner-: FEES33
'SKYLIGHT HOME GUILDERS type AM 0 UTIt by date V"ecpt
17, 0 BOX 2315 r.!,FZM'r $ 2200. 0121 JDA 12/06/95 95-27--;,,�ii
I NSP $ :315. 00 JDA 12-v06/95 95-27-36 1
LAKE OSWEGO OR (.)7035
-'hone #: 636-k2'994
L,unti-actot-:
SKYLIGHT HOME BUILDERS CO
V, 0 BOX 21:315
1-PKE 0c31WEGO OR 97035
PI-) one #: 7503 636-1::194 .0 TOTAL
Reg #. . c 34086 REQUIRED INSPECTIONS
This Applicant agrees to coovly with all the rules and regulations Sewer Ins t:)ec-tion
of the Unified Sewage Agency. The nermit ticires 180 days from
the date issued. The total a.vunt paid will be forfeited if the ------ ---- --
oeroit expires. The Agency does not 4 ar tee the accuracy of the
side sewer lateral,,. If the sewer is not located at the veasurtient
aiven, the installer shall Drospect,3 Pt in all directions from
the distance given. If not so loci ed the installer shall purchase
'�a the
r
t I
f et
7the
a "Tap and Side Sewer" Pewit and Agency will install a lateral.
e I m j.t t,L3 LA [7)1 Ll ti A t I..k I
s u P d By
C C a 1 1
all for inspection 639---4175
i
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 3 is 9 r St✓ ��lf'
# Office Use Only
Subdivision: _ II )rlke� Lot # —
Contact Date . / ! _Initials
Valuation: _ — _ Result
New Construction Only: (Square Footage) Planck/Rec # 11-6 7ZIe
Permit # (0 s- y q I
House ' 1 Garage' Reissue of _ j
Map & TL # 2JIOq c c - 14.3 s-e _
Corner Lot? Y Flag Lot? Y 6. Zone O'- 7
Plat #
Owner: SK!C1 l.�k' k 01 VT-_ 9U I! U k"� C,�_ - —�
Approvals Rerfuired
Address. �Do Z S� S
u(Pve 011- Planning Setbacks Solar _
Engineering
Phone: ( S�3 ) — Other ,_ ---
1\ Items Required
Contractor:
Subcontractors
Address — t� a��( , _ Truss Details
Other
Notes
Phone
Contractor's License # y
(attach copy of current Oregon license)
Contact Name: � � .�l>✓ Sri 1'� H- - - ---�-�- — —
Contact Phone
Subcontractors: Architect/Engineer: ��✓ilyr�t
Plumbing: (AJ%:ILG I T m6 Address
Mechanical: fn V e iJ E -5k,
(attati copy of current OR Contractor's License)
Ir�y1�( Phcne t---�- --
JOl3 D IPTION: T� ►� S f�Z __
i
Appl' t ti n t re Applicant Phone number
Received by Date Received:
1 I�Wftt.....pp
Permit 0 Account Description Anjount Amt. Pd. Bal. Due
t Bldg. Pennit (BUILD)
Plumb. Permit (PLUMB) 25,y,
Mach. Permit (MECH)
tate Tax (TAX) (/J,) r;u
Bldg: ,31,;3
Plumb: / Z' d
Mech: 2'`r
Plan Check (PLANCK)
Bldg: Z�
Plumb:
Mech:
Sewer Connection (SWUSA a U 2 2-e 0
Sewer Inspection (SWINSP) 3
Parks Day Charge (PKSDC) S vy 5 �v
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) L/ Z-V
Commercial VF (TIF-C) - -
Industrial TIF (TIF-1)
Institutional TIF (TIF,IS)
Office TIF (TIF-0)
Water Quality (WQUAL) / oy
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntl l Permit (EP.PRMT)
Erosion Planck/USA (ERPLAN) 2-
Erosion Planck/COT (EROSNI a�'(,U ��4
rOTALS: �Z , (,�12 Ji/j-
j
TRAFFIC IMPIXT FEE
Installment Payment Application and Discinsure Statement
In the 1412tter of the Trek Impact Fee for Skylight Homebuilders Company
Tax Map 2S 4CC _ _ Lot Number(s) H3156 Building Permit # MST 95-0415
Site Addre,.s 13695 SW Essex Drive Subdivision Hillshire Estates III
Case file # N/A __ TIF Land Use District R-7 (PD)
To Be Billed To: Brian Smith c/o Sh,light Homebuildors Company —
Address: PO Box 231 F, Lake Oswego OR 970: , _ Phone #: 636-2994
To the City of Tigard:
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance
No. 379 which relates to the imposition of a traffic impact fee for the fir3ncing of major collector roads and
arterials of Washington County, I/we HEREBY MAKE APPLICA PION AND AGREE, JOINTLY AND
SEVERALLY, to pay my/our traffic impact fee, as has been determined by Washington County Ordinance
No. 379 in 10 semi-annual installments of the amount financed together with one-half of one year's
interest thereon at a rate of 7.46 .__annual percentage rate on the unpaid amount owed. The lien date
is the first day of the month following the date the application is signed. The first payment Is due six
months thereafter and at six (6) month intervals thereafter for a period of 5_ years Each installment
payment will include principal and interest.
If I\we neglect or refuse to pay any part of the installments provided herein, including interest, within one
(1) year after the same shall have become due and payable, then the whole amount of the unpaid
assessment shall become due and payable at once and shall be collected in the manner provided by law
including foreclosure on the above-described real property.
The traffic impact fee, annual percentage rate of interest ( 7.46%) and finance charges which I/we agree
to pay are as follows
HIGHWAY TRANSIT
1) Amount of Traffic Impact Fee $_ 1,490.00__ 120.00
2) Amount Financed $. 1,490.00 120.00 �-
3) Equal Semi-Annual Principal Payments $_149.00 __12.00
4) Interest on Balance at Rate of 7.46 _ %
I\We understand that the amount owed, as stated above, shall be a lien on the above-described subject
property ursuant to Washington County Ordinance No 379 Section 6 (D) and ORS 223.230.
DAT�.D his 6th __— day of December, 1995.
Sit7�a of Property Owner(s) Sign:titre of Property Owner(s)
STATE OF OREGON ) Name (Please Print):
Address:
County of Washington )
]r
SUBSCRIBED AND SWORN TO BEFORE me this � � day of ) p 19 �/J
OFFICIAL SEAL Notary Public for Oregon
*x�
CONNIE MARTINNOTARY PUBLIC OREGON My Commission Expires w COMMISSION No 01587;'
MY COMMISSION EXPIRES JUNE 4,1996
SEE 35MM
ROLL #20
FOR-
. RSIZED
DOCUMENT
i
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jr (IGARD BUILDING INSPECTION NOTICE
Inspection Line (Hec-O flhone).639-4175 Business Phone: 639-4171
Inspection:�'�GL
(FootinSusp. Ceiling Sprink. Rough-in Appr/Sdwlk
oundatio ) Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elea Rough-in FINAL:
Post/Beam Mech. San. Sewe, Gas Line -Bldg.
Pibg. Underfloor Rain Drain Framing -Plun,b.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear all ( Gyp. Bd. JAL, -Eiect.
Date Requested: (� 1 C Timei�`r PM
Address: 131e; m;?
Builder: Permit #: C! ILI
THE FOLLOWING CORRECTIONS ARE REQUIRED:
11 to 772-,4,c10 rt- . T z c Com= 14 i,.s CSL.— ^4. c.
-T0 l
51,:;
%7ykr
!;Zz" '� -�r1'�v� ! 2 / ► /x.14 t,S /1 1 L
S /1 S � Ow c.0 w: T7f7"c�I.•/i�ili`r. S
'// Ji�r;.�l � �...� .�ir�l7r,��.�:-t GST:•Ta-iii / V.< �ri`p=�,-�� 'C.'/�Y,�'r'7�i.9
�1�L' l�L7fleCYJ L �yce]U..Ri.� '-1tt14 s/d-,/-f� ��f�•�" V"i`� //Y�
- r
Inspector: /:L, ?• �� Date:�2//�r1's
''
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
l 5 7c /.Hav /}l c 'So. i` h4 a,t�t�A L� (.'T'fe jute= -T-r
�a•-f :sa� cf� !�'.r�C�t%�."'fes
l_ I _ J-.:J_ `.J 4 JJ ,.Nr LI,fi r, 'e�Tilry J�
Inc. onstruction Inspection&Related Tests
Carlson Testing, nc. Geotechntcml Consulting
P.O. Box 23814
December 8, 1995 114ard,Oregon 97281
495-4390 Phone(503)684.3460
FAX(503)684-09S4
Skylight Homebuilders
P. O. Rex 2315
Vake Oswego, Oregon 9'1035
GEOTECHNICAL REVIEW OF SLOPING LOT
LOTS 156 - HILLSHIRE ESTATES 3
CITY OF TIGARD, OREGON
As requested, CTI Engineer, Jim Imbrie has reviewed the existing slope
conditions at the northwest corner of the foundation formwork for the
proposed single-family residence at Lot 156, Hillshire Estates 3 .
The fill slope has been temporarily cut for access for equipment for
regrading of the rear yard. From the nearest footing, the existing
grade is level for about 6 Leet horizontal, slopes at 1H: 1V for about 5
feet, vertical for about 8 feet, level for 10 feet, 3Ii: 1V t;r abaut 10
feet, and a level 30- toot wide fill area with a 10-foot high slope
below. In its present condition, the footing-to-slope setback from the
8- fcot vertical is uiacceptable for long-term stability. Once the
proposed regrading is completed, however, then the setback should be
more than adequate ac tens of feet beyond the footing.
C.I recommends that conditional found aLion approval be given, provided
that the rear yard g-ading is completed prior to occupancy. The builder
can then proceed at his own risk. It is our opinion that the present
condition is not imminently dangerous to the proposed structure.
We trust that this information meets your needs.
Respectfully submitted.
CARLSON TESTING, INC.
James D. Imbrie, P. E.
Geotechnical Engineer
C OV,a���Ov�o��
1 d Go
0�� clad
�_� / Con_�truction Inspection&Related Tests
Carlson Vesting, Inc. i Geotechnical Consulting
�- P.O. Box 23814
�� Tigard,Oregon 97281
July 3 , 1996 Phono(503)684-3460
FAX (503)684-0954
City of Tigard Dl;ilding Permit No. 95-0415
CTI Job 495-4390
Skylight Homebuilders
p.0. Box 2315
Lake Oswego, Oregon 97035
GEOTECHNICAL REVIEW OF AS BUILT SLOPE AND SETBACK
LOT 156 - HILLSHIRE ESTATES 3
CITY OF TIGARD, OREGON
As requested, CTI Engineer, Jim, ir.brie has reviewed the final as-built
slope conditions atingle family re idence atof h13695sEssexnDrive , located
dation for the
newly constructed s g
in Tigard, Oregon.
Our previous letter. dated December 8 , 1995 concluded that in its
previous condition, the footing-to-slope setback from an 8-foot vertical
was unacceptFble for long-term stability, however, once the proposed
regrading is completed, the srtback should be more than adequate at tens
of meet beyond the footing.
The rear yard finish grading and slope reconstruction has since been
completed and is considered adequate for long-term house foundation
stability.
We trust that this information meets your needs .
Respectfully submitted,
CARLSON ESMTNG, INC.
�V 'ROFfS
t�`°�y� ENGINEER so?
14743
OREGON
James D. m rie, F.E.
Geotechnical Engineer
RECEIVED
FEB 0 f 1997
COMMUNIII OEVELOPMENI
T001A 9NIIS31 NOS'INV3 1980 t99 Cog IVA Zf:7T AH1 L8"90:Zo
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 57223
IMPORTANT PERMIT NOTICE
WILLAMETTE ELECTRIC INC
PO BOX 230547
TIGARD OR 97281
Electrical Signature Form
Permit # . . . . : MST95-0415
Date Issued. : 12/06/95
Parcel . . . . . . : 2S104CC-H3156
Site Address : 13695 SW ESSEX DR
Subdiv.ision . : HILLSHIRE ESTATES NO. 3
Block. . . . . . . . 1,<,t : 156
Zoning. . . . . . . R-7 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will i:e authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNI�,R : ELECTRICAL CONTRACTOR:
SKYLIGHT HOME BUILDERS WILLAMETTE ELECTRIC INC
P O BOX 7.315 PO BOX 230547
LAKE OSWEGO OR 97035 TIGARD OR 97281
Phone # : 636-2994 Phone # : i-zu s6ir
Reg # . . : 75059
X /
Signature o uper,k mgectrtcian
Please return this completed form to the address above.
ATTN: Building Dept.
It you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service F
Foundation Water Line Ceiling Plu
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation ,<M] �q
Post/Beam Stn-^t. Mech. Rough-in Gyp. Bd. .
San. Sewer Gas Line Appr/Sdwlk eine
Other:
Date: =y11-4 A.M. P.M._' Entry:
Address:
Tenant: _ ---------.. —__---- Ste:—_ MST: G ��
Con/Own: DUP:
_ MEC:
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Ztor: 0 Date:ROVED `DISAPPROVED/CALL FOR REINSP. CF 0
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation Flee
Post/Beam Struct. Mech. Rough-In Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: ArM. P.M. .^1�1.�
Address:
Tenant: —_____ ___ _ Ste: s MST:
BLIP:
Con/Own: � �J-PD �--' MEC:
PLM:
ELC: �—
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: �s--
__T_lf
Inspector�--e h.w �� t� -- Date:
-APPROVED _ DISAPPROVED/CALL FOR REINSP C CO