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- 3888 SW ESSEX DRIVE
CERTIFICATE OF OCCUPANCY
CITY OF T I C A R D
PERMIT#: MST96-00542-
DEVELOPMENT SERVICES DANE ISSUED: 12/20/1996
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CC-01300
ZONING: R-7
JURISDICTION: TIG
SITE ADDREFS: 13888 SW ESSEX DR
SUBDIVISION: HILI_SPIRE ESTATES NO. 2
BLOCK: LOT: 118
CLASS OF WORK NEW
TYPE OF USE: S
TYPE OF CONSTR: 5N
OCCUPANCY GRP. R3
TENANT NAME:
REMARKS: New SFD PATH I
Final Building Inspeution and Certificate of Occupancy Al,; -oved
10/2/97 by Ken Schriendl, Building Inspectoi
Owner:
WINDWOOD HOMES
140715 1AI DENCHVIEV^l TEPP.
TIGARD. OR 97224
Phone: 590-4700
Contractor:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
(FAX # 590-7606)
TIGARD, OR 97223
Phone: 590-4700
Reg n
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use tinder which the reference . :rmit was
issued.
BUILDING INSPECTOR BUILDI OFFICIAL'
POST IN CONSPICUOUS PLACE
'ATY OF TIGARD BUILDING INSPECTION DIVISION MS1
..,)ur Inspection Line: 639-4175 Business Line: 639-4171 — —
BUP
Requested _ AM_ _PM — BLD
' Suite
l.r�cation_ � � � �' .�'d'a,,,,✓ _ -._. MEC ---
Contact Person � _ Ph PLM 7-ciC> Z L 7
Contractor _ Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall EI..R ,CL c>,n
Footing Access.
Foundation F P S
Ftg Drain SGN
Crawl Dain Inspection Notes
Slab ------ ---- -_.`_--- - --- - SIT
Post&Beam
Ext Sheath/Shear
Int SheathlShear
Framing
Insulation
Drywall Nailing ---------
Firewall
Fire Sprinkler - - -- --- ----- --- -- --- --_
Fire Alarm
Susp'd Ceiling - --- -- - - -- --- - —�� _------ - -- -- - - --
Roof
Misc: —
Final
PT FAIL - - e — ------------- - - _ _
V,
P UMB
Post&Beam -- -- _ ----- --------------- --- - _ __
Under Slab
Top Out
Water Service
Sanitary Sewer
Drains
ASS'' PART FAIL _
ME(. ANICAL
Post&Beam --
Roligh In
Gas Line -�
Smoke Dampers
Fina'
1P PART FAIL
151.ECTRSK
Service. --
Rough In
UG/Slab -- -Low Voltage
Voltage
F ft Alarm -
ineD
P-4LS-0 PART FAIL. -SITE
Hackt+ll/Grading -- - - -
Sanitary Sewer
Storm Drain ( ]Reir spection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line f 1 Please call for reinspection RE: _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk Date / " ,p _ Inspector _ Ext
Other � �-- _ _-._--
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY CSF TIGARD
DEVELC?MENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : PLM97-0267
DATE ISSUED: 07/17/97
P(IRCEL: t':-:*S104CC 01 3-10 0
SITE ADDRESS. . . : 13888 SW ESSEX DR
SUBDIVISION. . . . a HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1113 JURISDICTION: TIG
--------------------------------------------------------------------------------------- -
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. ; 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . 1 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAfNS. . . . . : 0
SINKS. . . . . . . . 1 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 17,
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 : Installing residential baclkflow prevention device
OWner". FEES -------------
WINDWOOD HOMES type amol.tnt by date recpt
14076 SW BENCHVIEW TERR PRMT $ 15. 00 B 07/09/97 97-296910
TIGARD OR 97224 5PCT $ 0. 75 B 07/09/97 97--296910
CEDAR LANDSCAPE
14375 SW PATRICIA AVE
HILLSBORO OR 97123
Phone #.- 503-628-3411 $ 1- `5 TOTAL
Reg #. . : 000058
REGUTP-71) INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Back f I ow Prev
Tigard Municipal Code, State of Ore. Specialty CoJes and all ott,,r Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will eypire if work is not started
within IN days of issuance, or if work is suspended for sere
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 9352AWAI-0010 through OAP 952-000I-8080. You may
obtain copies of these rules or direct questions to OLW, by calling
(503)246-1967.
It I LA Ir
Issi.ted By : Permittee Signati.tre :ff,
++++++++++++++++++.++++++++++++++++++++--++++++++++++-+++++++•1-+++++•++-}.+++++++++•+++
Call 639-4175 by 6:00 p. m. for an inspection needed the next bi.isiness day
...................4-4........................................4-+4++4-+4•.......4+4-+4
City of Tigard PLUMBING PERMIT APPLICATION Planc JRec. #
13125 SW Hall Blvd. Permit # ? Uli'i
'Tigard, OR 97223
(503) 639-4-i71
MINIMUM $25.00 PERWIIT FEE -( ST. SURCHARGE
"•^•°'D•••'•�""" New Single Family Residences Only
�••• / 71 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job /j, Sl�t� Z_-0,-' PR, ❑ 3 BATH HOUSE$225.00
Address c.rltaN. z, Fee Includes all plumbing fixtures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer See fees below.
N•'^• °'0—•^•' FIXTURES QTY PRICE AMT
Sink 9.00
"•+'o Aft••• P°°^• Lavatory 9.00
Owner Tub or Tub/Shower Comb. 900
•'• L^ Shower Only 900
Water Closet 9.00
"•m• «^•m•^'1x ^«•' Dishwasher 9.00
Garbage Disposal 9.00
Occupant •,�,�,�•,• Mfi Washing Machine 9.00
Floor Drain — 9.00
a► Water Heater 5 00
Laundry Room Tray 9 00
"•^• _ Urinal 9.00
Other Fixtures (Specify) 9.00
'AM"Aft— Ph- 9.00
Contractor _
/-(31/5 S w !7i4rX .w- .91# 900
x'31•1• no 900
i /1IMS6,we oe, 97/13 Sewer 1st 100' 30.00
31.1.n.P.ft~W Im a...Ta No Sewer -ea. Addit. 100' 25.00
') �'9 y Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
inforn ion given is correct, that I am the owner or authorized agent of
the owrer, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm & Rain Drain Addit. 100' 2500
number (oven is correct. (If exempt from Slate registration, please –
give reason below.) Mobile Home Spare 2500
C \ 7 r Back Flow Prevention
1 is-cam 7- y-9`f• Device or Anti-Pollution Device 9.00 /1 `
Di. Any Trap or Waste Not
Connected to a Fixture 900
Describe work new 2 addition 0 alteration L repair 0 Catch Basin 9.00
to be done residential O non-residential 0 Insp of Exist. Plumbing 40 00/hr
Specially Requested Inspections 40.00/hr
Existing use of
building or property _ Rain Drain. single family dwelling 30.0
Residential back Flow prevention
devices 15.00
Proposed use of _
building or property
'(Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL !�
PERMITS BECCME VOID IF WORK OR CONSTRUCTION 7;
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 50/n SURCHARGE -
CONSTRUCTION OR WOOK IS SUSPENDED OR ABANDONED —
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED -AN REVIEW 25% OF SUBTOTAL
'TOTAL /S..7Y
Snerial Conditions
�__ Date issued by
CITY CSF TICARD
DEVELOPMENT SERVICES
A9Z.2§9M 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR97-0188
DATE ISSUED: 07/17/97
PARCEL: 2S104CC-01300
SITE ADDRESS. . . : 13888 SW ESSEX DR
SLIBI)I V I S 1 ON. . . . :HILLSHIRE ESTATES NO. 2 ZONING: R--7 VID
BLOCV. . . . . . . . . . : I_0 T. . . . . . . . . . . . . : 118 TIJRISDIC*TN: TIG
r7lt-oJect Descr-ipt "Lon . Installing residential backflow prevention dcuce
A. iiES I DENT I AL— B. COMMERCIAL------ — __...____.__----.___._ _________._..________...
AUDIO
OMMERCIAL------
AUDIO 8. STEREO. . . A(JDIO & STEREO. . : INTEPCOM & PAGING. . :
BURGLAR ALARM. . . . BOILER,. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . .
HVAC. . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . .
VACUUM SYSTEM. . . . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: IRRIGATION: : X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . .
TOTAL # OF SYSTEMS: 0
Owner: FEES
WINDWOOD HOMES type amoUnt by date r-ecpt
14076 SW BENCHVTFW TERR PRMT 140. 00 B 07/09/97 97—.296910
IIGARD OR 97224 5r,c r
.:!,. 00 B 07/09/97 97-29691O
' s
Phone #: 590--4700
Contractor-:
CEDAR LANDSCAPE It 42. 00 TOTAL
14375 SW PATRICIA
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Elect' l Set-vice
Phone #: 6r:.'8-3411 Electll Final
Reg #_ 000058
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Soecialty Codes and all other
app:icable laws. All work will be done in accordance with approved plans. This permit will expire if o.ork 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 DAR 952-@@l @@,I@ through OAR You may obtain copies of
these rules or dict questions o OLIC at 150246-19e7. I I
I s s i.t e d b Per-mittee Sirnatl_tt-e _y 1.. (01N
--OWNER INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or- rent.
OWNER' S SIGNnTURE: DATE-
INSTALLATION
SIGNATURE OF SUPR. ELECIN: DATE:
LICENSE NO:
+++++++4-++++-4-++4...........4-++-1-++4......4-++++-f....................................4.4
Call 639-4175 by 6:00 P. M. for an inspection needed the next bi,tsiness day
.....................4-+++4.............f.........4...4............ ...............
CITY OF TIGARD Electrical N -mit Application Plan Check N
13125 SIM HALL BLVD. Recd By
7'
TIGARD OR 97223 Date F,ec'd_Date to P.E. _
Phone (503)639-4171, x304 Date to DST_
Print or Type
Inspection (503)639-4175 Incomplete or illegible will not be accepted Permit
Fax (503) 684-7297 Called____,
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development�i�(S "qv- Number of Inspections pei permit allowed
Name(or name of business) Service included: Items Cost Sum
Address /J'�� Sty E3S EX [7,E'. 4a. Residential-pc-!!nit
^i:y/State/Zip 7 iywQD _ OW. 1000 sq.It r 1 loss $110.00
Each additional 500 sq.ft.or
Commercial E] Residential Limited
thereof $25.00
Energy � $25.00
Each Msnuf'd Home or Modular
2a. Conitractor installation only: Dwelling Service or Feeder $88.00 p
(Attach copy of all current licenses) 41b.Services or Feeders
Electrical Contractor CE�)AR LAHVScInstallation,alteration,or relocation
_ .9
Address /9 37s Scc1 dr,QicrA /1✓ 200 amps o1 less $60.00 2
201 amps to 400 amps $80.00 2
City Ni//s 6,.,Xc State OR, Zip !91/.1.3 401 amps to 600 amps - $120.00 1
Phone No. 61 39 I 601 amps to 1000 amps $180.00 _
,lob N0. Over 1000 amps or volts $340.00 7
Elec. Cont. Lice. No. E�;p.Date Reconnect only _ $50.00 2
OR State CCB Reg. No., Exp.Date__ __ 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date .__ Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr, Elec' `�1/u✓� ��~ 201 amps to 400 amps $75.00
n
401 amps to 600 amps $100.00
Over 600 amps to 1000 volts,
License No. __Exp.Date see"b"above.
Phone No._____,
_ - - Ad.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
purchase of service or
Print Owner's Name feeder lee
Address Each branch circuit $5.00
--- -- h)The fee for branch circuits
City State Zip_ without purchase of
Phone No. service or feeder lee.
First branch circuit $35.00 _
The installation is being made on property I own which is not Each additional branch circuit_ $5.00
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included) �lc�G+O
Owripr's Signature__ _ Each pump or Irrigation circle $40.00 7 - 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):' Signal circult(s)or a limited energy
panel,alteration or extension $40.00 2
Minor Labels(10) $100.00 -
Please check appropriate item and enter fee in section 5B.
_ 4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $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. 5. Fees: c*'
Not required for temporary cor•struction services. 5a.Enter total of above fees $ 10~
5%Surcharge(05 X total fees) $ -
NOTICE Subtotal $ -
5b.Enter 25%of line Ss for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review a required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYcc
TIME AFTER WORK IS COMMENCED. ❑ Trust Account p s 4Z
Total balance Due
I%DSTSIELC96 APP Rev 9196
CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
PERM TT #. . . . . . . : M S1 0 t�4
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/20/96
PARCEL: 2S104CC--01300
�.Jrr[_. ADDRESS. . . : t3868 ,-)W Li.SbF.A DR
SUBDIVISION. . . . : HILL.SIAIRE ESTATES NO. 2 ZONING: R-7 PD
131 OCK. . . . . . . . . . : L f.)I . . . . . . . . . . . . . : 118
Remarks: New SFD PATH I
--—----- BUILDING -------------------------_—____------------------------
REISSUE:
--- ---------- ----------------------
REISSUE, STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----------
CLASS OF WORK..-NEW HEIGHT........: 23 FIRST....: 1479 sf GARAGE.....: 795 sf LEFT..........: 58 SMOKE DETECTRSt Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1506 sf FRONT.......... 20 PARKING SPACES, I
TY'f OF CON5T.:5N DWELLING UNITS: I FiNBSMENT: @ sf RIGHT.........: 16
OCCUPANCY GRP.:R3 BDRM: 5 BATH: 3 TOT",-------: 2976 sf VALUE..$: 213150 REAR..........: 22
------------------------------—--------—------------—— PLUMB I NB
---
SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: I TRAPS.........: 0
LAVATORIES....., 5 DISHWASHERS...: I FLOOR DRAINS..., I SEWER LINE ft: I SF RAIN DRAINS., I CATCH BASINS...- 0
TUB/SHOWERS...: 3 UARBABE DISP..: I WATER HEATERS.: I WATEP LINE ft: 100 BMW PREVNTR: I GREASE TRAPS..- 0
OTHER FIXTURES: 0
------------------------------_--__ ---------------------- MECHANICAL
FUEL TYPES---- FURN ( 180 0 BOIL/CMP ( 3HPi I VENT FANS.....: 4 CLOTHES DPYERS: I
/BAS/ I FURN )=108K I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP.., 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....s I GAS OUTLETS...: I
------------------------•----------------------------------- ELECTRICAL —-----———-----------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERB— --BRANCH CIRCUITS--- --ADDIL INSPECTIONS--
10* SF OR LESS; I @ - 200 alp.. 0 0 200 asp..: I W/SYC OR FDA..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADDIL 568SF.: 6 291 - 400 amp.. 0 281 490 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: I PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: @ 401 680 amp..: 0 EA ADDL BR CIA: 0 SIGNAL—/PANEL...: 0 IN PLANT..... e
MANF HM/SYC/FDR-. 4 681 - IM amp.: 0 601+a1ps-1008 v: I MINOR LABEL -16: 1
low amp/volt.: I --------•---------------------------- PLAN REVIEW' SECTION --------------------------------
Reconnect only.: I >=4 RES UNITS..: SVC/FDR)r225 A.: 680 V NOMINAL., CLS AREA/SPC OCC:
----------—----- ELECTRICAL - RESTRICTED ENERGY —---------—-------------—------A. SF RESIDENTIAL---- B. COMHERCIAL---
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0THt X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIK:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: 1:
HVAC...........: DATA/TELE COMM.; NURSE CALLS....: TOTAL # SYSTEMS: q,
Owner: ----------------- -Contractor: ---------- --------------- TOTAL FEESO 4855.55
WINDWOOD HOMES WINDWOOD HOMES
14076 SW BENCHVIEW TERR 14076 SW BENCHVIEW TERRACE
TIGARD OR 97224 TIGARD OR 97224
Phonp 0: 590-47* Phone #: 590-4700
Reg C.: 858196
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 sore than 189 days.
------------- REQUIRED INSPECTIONS ----------------------.-------------------------
Erosion
---------------------------------------------
Erosion Contal Crawl Drain Electi,ical Rough Bat Line Insp Water Line Insp Plumb Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk_LW
Post/Beim Struct Plumb Top Out Low Voltagp Gyp Board Insp Electr� Final
Past/Beam Meehan Electrical Sery Fireplace Insp Rain drain Into Mechaftcal F*f
Permittee S i gnat We ISS11PEJ
Call. for inspection 639-4175
CITY OF TSEWER CONNECTION
DEVELOPMENT SERVICES r-'F_RMIT
PERMIT #. . . . . . . : SWR96-055
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE. ISSUED: 12/;P0/96
PARCEL: 2S 1 O4C,C-0130Qi
SITE ADDRESS. „ . : 138F- 3W KScSEX UR
SUBD I V I.S I ON. . . . : H I1_1-SH I RF ESTATES NG. e ZONING: H--/ PO
BLOT:".K. . . . . . . . . . .. LU T. . . . . . . . . . . . . . 118
TENANT NAME:. . . . . :W I NDWOOD HOME=S
USA NCI. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS Of=" WORK. . . :NEW DWELLING UNITS. . : 1
TYPE= OF USE. . . . . 'SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR I MPERI SURFACE: 0 s f
Remarks : New SFD
Owner,. ___._____.__._..._.._.___.______.__.____.____...._..--.--___________________ _ FEES - --- ---- --_____..
WIN1)WOOD i-mmF!-3 tyf>e amor_int by (irate recpt
14076 SW HENC:HVIEW TERR PRMT $ 2200. 00 JSD 12/20/96 96-188021"
INSP $ 35. 00 JSD 1.2/20/96 96 8H0�'
IT GARD OR 972;:-,4
Phone #: 590-4700
C nNTRAC TOR NOT ON FILE
$ 223L. 0O T(JTAL_
-------- REQUIRED INSPECTIONS -- -
This Applicant agrees to cosply with all the rules and regulations Fewer Inspection
of the Unified Sewage Agency. The permit expires 188 days frog _,._•_•_- __ __. _
the date issued. The total amount paid will be forfeited if the
permit erp-res, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the eeasurevent
yiven, the installer shall prospect 3 feet in all directions free _ .
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Pereit and,-the Ag will instal: a lateral.
F'e r m i.t t e e 61 ,.i r�
Call for inspection - 639--4175
Pian Check 4 r
,ITY ,OF TIGARD Residential Building Permit Application Rec,Bv (-r,
X125 5°W HALL BLVD. New Construction Additions or Alterations Date h+cd I( T
� _
•IGARr}, OR 97223 Single Family Detached/Attached (1 or 2 units) Dara to P E -12
X03) Ps39-4171 Date to DST
Print or Type Permit# ST 9(v c 5 r!�
Caned
in,. omplete or illegible applications will not b—• accepted
- Name of Project Name
Job N 1 L L.6H IlLC C'S7W-1 S Afits .'lam/!J t i,:^ !� _
Architect Mailing Address
Address Site Address ) 3 W r '� N
Name CityiStale Zip Phone
LLv 09—tL 60 C,a. " 2 u 5 `'rl b
Owner Mailing Address Name
/4 1- ?--�- � �-� �_,�-..Ic r V tc'w Engineer Marling Address
Gty/State Zip Phone g
>rv> io.UL 9 i,4z U S `f c -It ?-J, I
Name CitylStateZip Phone
General � ��_ /� S c5`�, ^1Y1 Describe work New Addition Alteration O Repair O
Contractor Mailing Address — to be done
Type of Use
City,Slate Zip Phone
Type of Construction
Oregon Conat.Cont. Board L;c x E_xp Date
Attach Copy of 571-)i It k� � ' a Occupancy Class
Current CCT Business Tax or Metro a ExpDate
Licenses__ , / '; / Will it be spnnklered? Yes❑ NOQ
Name If Yes. separate r-LS plans and
application to be submitted
Mechanical /kn -0 rf-T�, �� Number of Stones
Sub- Marling Address
Contractor ( t5e t 'r i 1 1NC Proposed Use
C-ty,State Zip Phone
--Ln `D,9 ?�y (-1 1 Previous use
Oregon Const.Cont. Board Lic.lt E p Date
Attach Copy of t., , " , i , Valuation $
Current COT Business Tax or Metro• Exp. Date I
Licenses h -d ii, 2 q, s- T i NEW CONSTRUCTION ONLY
Name Building ID �—
Unit Types square ft sl of units
Sob- Mailing Address yp I
Contractor too. ( Liz, _A ) I
C-cy,State Z:o Phone
B.) I
Oregon Const Cent Board L.c a Exp 10,
ae D )
Attach Copy of t F I 7,
, I �, will the electrical subcont•acto, wire for au restricted v
Current Plumbing Lic, A Ex D to ."s I No
P finery mstailations
Licenses _s i r ax r ( I ?tae Has the Sucdivision Plat recorded? N/A Yes- No !
COT Business tax or Metro+i E p pate i
- -- i,-
I I hereby acknowledge that ! nave read this application that the
Name information greens correct. that I am:he owner or authonted agent of
_lectrica) n, 14-.3 pp L-1.C r jYt 1 ( the owner and that plans submit,ed are m comblianee with Oregon
Sub- Maung Address State!aws
Contractoru-1( /� Signatur ent I Date-A
l S U�-4-IL N + i••� /
C ty,State zipPhone Cont eison Narne phone
_T)i`.,A,I o, o 1 ",)i7 2 ( ., - - 1 { 1,. , , c i 1 '� l 1 `• 1 f t
Oregon Cons: Ccnt Board Lc s Ex Date FOR FICE USE-ONLY:
Attach Copy of I , 7 \
Current E.Pr:ncal Lic.0 Exp a e Plata Map/TLt Zane - �I
Licenses L �Lt _ -f Z 5 I IC I I f
COT Business Tax or Metro s I E p ate Enginee�Approval l � Planning Tillf
I 3�1Approval
stsvesaro roc
rmi » Ac uni0esr� tion Ammons ATI—El Bal. Dine
'fii1ST Permit (BUILD) 7�6, -� 7/8
Plumb Permit (PLUMB) 2z5 7_Z5.
Mech Permit (MECH)
ELC/ELR Permit (ELPRMT) 3<,a- 3au.
State Tax (TAX)
Bldg. 2 5.�.
Plumb -
(Meeh: 2 2"
ELC/ELR,
Plan Check
MST (BUPPLN) 6G.7o �� -2A,. 2=
Plumb: (PLMPLN)
Mech (MECPLN) �/•z �i z
CDC Review - planning (CDCPLN)
CDC Review - bldg (CDCBLD)
Sewer Connection
(SWUSA) 22rr� `s 22ov Nl
Sewer Inspection (SWINSP) 3S, 3S. �y
Parks Dev Ch_ rge (PKSDC) /oSo, iD-50
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT) X00
Erosion Control Permit (ERPF;fv1T) R6'
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: 7040
1 vists'Jesapp doc rev t0iP6
Solar Balance Point Standard Worksheet.
Address
Box A calculations: North-South dimension for the lot. Box A:
This dimension is dam'.=rmined by finding the midpoint of the North lot line and drawi.ig
an i,itersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intei5ecting the northern most
point of the logy
s s..�.. 4,50--e-
MOM
50—" \
1 f
wiw 1 �w
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
t feet
UIT
w-VI44O«.4
Box B calculations: Shades point height for your residence. Box B:
1. Determine whether measurements will be based on :he peak or eave of your Which dr-scribesstructure. The orientation of the ridge is also important. your residence?
1 a: If the roof line runs North-South, measurements will low (circle one)
be based on the peak of the . -if. TO o 0 0
—+ 1A_) 1B 1C
0
1 b: If the roof line runs East-West and the roof pitch is
less than 51'"12, measurements will be based oto the
eave.
1c: If-he roof line nins East-West and the roof pitch is
5/12 or steeper, measurements will be based on the o=
peak.
Box B. continued Box B:
2. 10easure change in elevation from front propery line to finished floor elevation. If
the lot 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 dee foundation, the figure is negative. S'' ft
3. Measure distance from finished floor elevation to the effected peak/eave.. + ft
.s. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, 3 It
deduct nothing.
S. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if Lhe 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. U ft
6. Total Figure for Fox B: v'. ` ft
Box C Distance to the shade reduction line. Box C:
1. Measure the distance from the North propetc), line to the foundabon near the �y _ ft
affected peak/eave.
7.. Measure the distance from the foundation to the affected peak or eave. + 3 J ft
3. Tort figure for box C: GLS ft
It is most useful to drawl a vertical line to represent the appropin ee figure found in box'A'and a horizontal Gne to represent the
appropriate figure found in box 'C'. The intersection of the vertical and horizontal rives determines the value found in box'D'. The value
in box 'D'should be compared to the value in box 'B'; if the value in box'9'is less than or equal to the value found in boot 'D', then
the building is in compliance with the solar balance code. If you have any questions, please conta(l us at 6394171, x304 or at the
Community Devebpment Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distime to Nath-south lot dimension(in feet)
shale 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
(t�finr G forte _�,
70 40 40 40 41 42 43 44 �-
63) 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
53 34 34 34 35 36 37 3.9 39 40 41
30 32 32 32 33 34 35 36 37 38 39 40
43 30 30 30 31 32 33 34 35 36 37 38 39
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 2-1 22 23 24 25 26 27 28 29 30 :1 32
20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 27 23 24
Box D. Maximum allowed shaU'e point height. feet
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