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11690 SW TALLWOOD DRIVE ADDRESS: i:\records\microfilm\targets\building.doc NNk7YM�u'r:.W.�Mtiwr+klN�yr.rwi,�.+wwwh.Www..,.,u.._,.iw+.au..,.wr.Wwrve•r.wa:rwwYrw..uew arHw,W.WNw.W.dWerwuutrw..wr.lYK/W.rw1IWYYw.ruala.iWra9w:utNM•�MR11�I.YtN� CITE OF TIGARD CE'ROICUPAN OCCUPANCY PERMIT HERMIT #. . . . . . . s MST9 r•-2x23°`., COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUEDs 10/03/95 13126 SW Hall Blvd,Ttpard,Onpor, 07223.9199 (603)632-4171 PARCEL: 1 S 13 3CD-12400 I I '. ADl:iRE"J5. . . : 11W-)0 iiW TNLLWUUU UR ,USD I V I S I ON. . . . : PE BBLEC RE-E:l', ZONING 1 R--25 oLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . 1017 CLAS,i OF' WORT'- s NEW TYPE: OF' UGF. . . s GF OCCUPANCY GRA. %R3 ;1CC'1.)PAWCY L-OAD r c'c'4 /r N ENANT NAME. . . : emark91 PATH I Owners COSTA PAC;IF'IC IAGMES 4625 SW CASCADE': BL.VD "W I TL # 606 BEAVE RTON ON 97008 Phone #1 646-8888 fcontractors ___...__.......__.___..._...._._._._..._..._..___..__...._...._._.. C 05TA--PACIFIC HOMEE.., 86dS 9W CASCADE AVE: STE. 606 8k."(WL 1TON OR 9700 PtIolle #1 503-646--E3888 Per] #. . a 6515,7 Chis C.ert. ific:;.atp certifies that the above referenced building or portion thereof has been inspected for- rwompl ianCe with the Tigard Building Code fur, the group and division of oc rupanc^y and use for which the a boyar 2ferpncvd permit was issued, And or.-cupancy is hereby graan eci. BUILD IN.+F�ECTC!R BUILD C)FrICIAL POSTIN C:ONSP I C,UOUC PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Businass Phone: 639-4171 Inspection: Footing Susp. Coiling Sprink. Rough-in Appr/Sdwik Foundation Plbg. Unders!ab Mach. Rough-in Fireplace Past/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: r'ost/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation ec Underiir. Insirl. Shear Wal Gyp, Bd. Date Requested: j L �1 5 �i Time: AM PM C-1 Builder: Permit #: CL `� �<�,}3 5 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinsp. Page No. 1 CASE HISTORY FOR CASE NO.: MST95 0235 COSTA PACIFIC HOMES 11690 SW TALLWOOD DR 08/21/98 Action Description Req/ Schd/ End/ A,:tion Notes Disp By Update Upd Code Bent Done Done Date fly MSTA007 Application received / / / / 06/02/95 PASS JD 06/06/95 BLT MSTA010 Plan check deposit paid / / / / 06/02/95 PASS JD 06/06/95 ALT MSTA020 Plan check by 06/06/95 / / 05/06/95 PASS RT 06/06/95 BLT MSTA030 Check for prcl. restrict. / / 06/06/95 06/02/95 PASS JD 06/06/95 BLT MSTA080 (F) Ready to issue / / / / 06/01/95 SKW 06/07/95 SW MST'A092 (F) Issue combination permit / / / / 06/08/95 JDA 06/08/95 JDA MSTA097 Issue plumbing signature form / / / / 06/08/95 JDA 06/08/95 JDA MSTA705 Footing Insp / / / / 06/09/95 N-1 install anchor bolts size and A/N KS 06/09/95 KBS spacing as shown k 2- monolithic/ ftg/fdn MSTA706 Foundation Insp / / / / 06/09/95 N-1- monolithic pour N/A KE 06/09/95 KBS MSIA710 Post/Beam Structural / / / / 06/16/95 INSTALL HD 6a DIS OS 06/16/95 (IES BRACE. ALL POSTS 4'. MSTA711 Poet/Beam Mechanical / / / / 06/16/9. REMOVE NON PRESS TREATED WOOD FROM UNDER DIS OS 06/16/95 CES PLENUN AND SUPPORT AS NECESSARY MSTA7'3 Crawl Drain / / / / 06/16/95 APP OS 06/16/95 CIES MSTA717 PLM/Underfloor / / / / 06/16/95 APP GS 06/16/95 GES MSTA720 Mechanical Insp / / / / 07/21/95 flu too close tr) combustibled FAIL, MS 07/24/95 MRS need fire stnpping exhaust ducts need to be hooked up MSTA720 Mechanical Insp / / / / 07/27/95 #-1 see inspection notes DIS KS 07/2B/o5 BAS MSTA720 Mechanical Insp / / / / 07/31/95 N l water heater III B vent not A/N KS 07/11/95 KHG installed at this time maintain clearance to combusithle's when adjusting tee to accept B vent MSTA722 Plumb Top Out / / / / 07/12/95 waste ok FAIL MS 07/13/95 MRS check water for leaks MSTA722 Plumb Tnp Out / / / / 01/20/95 PASS MS 07/20/95 MRS MSTA123 Electrical Service / / / / D7/26/95 SERV MJR 10/03/95 MJR MSTA124 Electrical Rough In / / / / 01/26/95 ECA MJR 1003/95 MJR MS'TA725 Framing Inap / / / / 07/27/95 R1 see inspection notes DIS KS 07/28/95 KPS MSTA726 Framing .PEINSP> / / / / 07/31/95 AFP KS 07/31/95 KBS MS7A735 Cas Line Insp / i / / 07/21/95 PASS MS 07/24/95 MRS MSTA740 Insulation Insp / / / / 08/02/95 p 1- secure insulation behind B vent at. A/N KS 09/02/)5 KBS upper level also At gas fireplace at lower level Page No. 2 CASE HISTORY FOR CASE NO.: MST's 0235 COSTA PACIFIC HOMib 11690 SW TALLWOOD OR 08/21/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA745 Gyp Boavd Insp / / / / 08/14/95 #-1- provide clearance beto:--en 8 vent DID KS 08;1419', KBS and insulation 1111 garage #-2- provide app plans on sit%! to verify if shear nailing is applicatle MSTA745 Gyp Board Insp / / / / 08/15/95 0 1 shear nailing not applicable AFP KS 08/16/95 KBS MSTA755 Rain drain Insp / / / / 06/13/95 PASS MS 06/14/95 MRS MSTA760 Water Line 'nap / / / / 06/13/95 PASS MS 06/14/95 MRS MSTA761 Water Service Insp - / / 06/13/95 PASS MS 06/1.4/95 MRL,' MSTA765 Appr/Sdwlk !nap / / j / 08/24/95 1) Place 1 drain line to curb weep hole PEND LT 08/24/95 C•H to north of approach. 2) Place felt at both ends of, sidewalk. 3) Be prepared to protect finish. 4) A.C. Pallement replacement required before final inspection. MSTA770 Misc. Inspection / / / / 08/14/95 LVD MJR O8/14/9-, MJR MSTA770 Misc. Inspection / / / / 10/03/95 dining rm light 6 fireplace EFA MJR 10/03/5° MJR MSTA790 Electrical Final / / / / 10/03/95 APP GS 10/03/95 OES MSrA795 Mechanical Final / / / / 10/02/95 SEE FINAL 10.02-g5 DIS GS 10/02/95 GES MSTA795 Mechanical Final / / / / 10/03/95 APP GS 10/03/95 GES MSTA797 Plumb Final / / / / 10/02/95 SEE FINAL THIS DATE DIS GS 10/02/95 GES MSTA797 Plumb Final / ; / / 10/03/95 APP GS 10/03/95 OES MSTA799 Building Fin37. / / ! / 10/02/95 CONNECT DOWNSPOUT AT CORNER OF PORCH; DIS GS 10/02/95 GES RAISE. WH TO 18" OFF' GAR FL; AC 70 BE ON SLAB I" ABOVE GRADE; WEATHERSTRI? DOOR To DECK; UNDERFL,REMOVE WOOD AND DEBRIS AND REMOVE WOOD UNDER PLENUM AND RESUPPOrT, AT LEAST 1 FLEX DUCT CONNECTION NEEDS INSULATINO, STRAP AC PIPING; HANDRAIL oN DECK STEPS MSTA799 Building Final / / / / 10/03/95 APP GS 10/03/95 GEci MSTA960 (F) Issue Cert. of Occupancy / / / j 10/0,'95 printed 10/19/95 JF 10/19/95 JF MSTP750 Shear Wall Invp / / / / 07/11,'95 pending interior shear; tighten down PASS RH 07/11/95 RB nuts; tighten up e�iear panel nailing at back wall. Page No. 3 CASE HISTORY FOR CASE NO,: MST95 0235 COS1A PACIFIC HOMES 11690 SW TALLWOOD DR 08/21/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent DoneDone Date By CITY {OF TsGARD p f"�.P m I T 4. . . M'ST)'15 0 N- COMMUNITY DEVELOPMENT DEPARTMENT DATE ISCUEDi 06/08/95 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 PPRCCL 7 7CP -A C'40,C A D D R E I:7'. G -W T A 11,1-14 0 0 rj DR r`7BBLE CREEK ZONING. R--R", . . . . . . . . . t017 SUTLL)TNG OWEZULING LJNIT�rl D A�F M C N'T.. . . . . . — :01 r ,Lrl'13 OF WORK. :NEW DEDRms:21, BATHS:3 GARAGE.. . . . . '469 lef-f- OF %Gr r.-OMP SE01j,,rFD YPIC" OF' CONST. SN F I R'ST. 114`5 s f .6 ft RIGH7. .1.j f ICCUPANCY OOP. -7, Sj C CO3 N 1), 42'0 0 f :L`0 I—, rCi'.`iQ. . . IG f' TORIES. . . . . . FTNSSMENTiO f REPUI RED­ M31 IT. . . . . . , Z{ rt: TOTA11". 4 77t'-, f _1101(C DETECI-OR11 -,_OOR LOAD. 4 4,0 o f VAI.Alr. . . . . 1 - 109471 PAR1.4ING SPACECS. . . ar'k PATH I Lc -4 WPM; rw.)ps. . . . . . . . . . . . . . CA'.''I . . . . . . . .C ATCR CLOSETS. SEWP TNF ( ft ) . 5R(r.Asr.' TRAPS1. . . . . . . :0 ISHIwAfIll-IrIRS. . . I NE. (ft ) . , 10 QRBAGE DISP. : 1 RAIN DRAIN ( Ft ) . tO I SF R f)T N AIM IArlj. 1. MCCIIANTLCAL ruCCC 'INIT 1J- . . 'i r)&5 VEN—r, r I F" t 1550. 0,Q! JDA Of, 0 8 IX T tl"I J T 0 ;Tr!,I .'',,NT FAN", 4 '10. 017, T t, or, RN100K `�wm t 1;T>111. 00 JDA, Ir V3. 121 PPRT 4t� .41 JDn Uf,r- r'J1, N. C r, DRYERS. 1 07. 70 JD '_O-df; 0-r' f­T',­_ F','IRK $ 5100. D fA 06 M V,RT 4:1. !!1 Q" TDA 06 ii M; C 10, 8A JDA @A, 11-4-Ir 11, J'- 1 1 JIM', 06/013/" 3STH ,;:'.C. 00 TnORAE,/00/',4 r.5r(7 1 0 3 171 R 08 4. 00 J.D fl 06 03 S r-R PC t _1,0. 8_0 71)n m/or PEOUIPCI) TN PEC' Tc1N s p ;-'I i.t m h T,;,p cl.irvjAt i on .1 n s p F-raminu T Pcst p Post /beam Mc.-han 'Sas Line SEWER CONNECTION CITY OF TIGARD rERMTT PERMIT #. . . . . . . COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 13125 SW Hell Blvd.Tlgard,Oregon 97223*6199 (503)639.4171 P(IRCUL11133,CZ- 12.400 ' Tr - !""N.-I-Woon DR ATE ADDRI-,"� :3UBLIVISION. PESBI-ECREEI-1, ZONING. R-42.3 ILr-CX. L,0 T. . . . . . . . . . . . .01 7 rrNANT NAME. . . . . Usp NO. . . . . . . . . . . F'IXTURE UNITS— : N 7t .3 - 1 OF WOR);. . . NEW DWr -L I NG, 1JN I T' . . . TY;".,F' OP USE. . . . . .SF NO. Or BUILLINGS il .1 I'YPE. . 11 U 5'L i;7 I m rp E r v !~1-1 In F A C,C. . f PATH 74 FEES 1STP -,r"Tr'1C' !17'11 1. m 0 .��,J CLI- s-ecpt rr r,�S t I,)y SW CASCADE B1 VI) r-,Rm,r s E200. 00 JDA 06/08/95 31LITT17- it FAq, TNIP $ ?17.1 IDA 06.111,18 9 5 8,A V r-*R.TO N OR 97008 ' -DSTA---!71 Lor: !71A�IrT.c -7!�o " .,rpry nii� , -,w o r OR 97007 �146 880r, I Ji-77. 00 TOTPL 117 1 r-,.7 !�[701-1113r7t) TN5;r11.r.TTnm57, Almlivant agrees to C0001v kith all tho 1-1119S and regulations 6(�Wer (ti-,nection jf the Lk,ifid Agency. ?he ;,emit pushes 130 dii5 frog !,,u data issued, The t0til &ROUDt Rid mil* be forfeited -if the )PI'vit moires, Tho 1a4pcy s.;,et not, y:ivantee the accuracy of the ide sewer laterals. If the sewer v, not l3cated at the vwk,,°ement tis:vpn, installer !;!-.all prospect 3 feet in all directions frci 'lot �j . .-P.d. the intt-"r, 0,01 (wi-rha44 "Ta: and Sde ',twor" Piervit 4voncy 'al) a latpra). y�lZ-C _ 0 qo ✓ ;106 C ,0 Residential Building Permit Application Cite of Tigard 13125 SIN Hall Blvd. Tigard, OR 97223 (503) 639-4171 JobsiteAddress: 1. 1690 SW Tallwood Drive Office Use_ Only Subdivision: Pebble Creek 1 Lot# 17 Valuation: f�qz/A). G :rmit # Corner Lot? Y �'� Reissue of rel Flag Lot? Y r N ` Map & TL# Owner: Costa Pacific Homes Approvals Re ug ired /A 5625 SW Cascade Pl.vd . #606 Address: Planning ! Beaverton , OR 9700P Engineering ' Phone: ( 503 ) 646 -8888 Other ' Contractor: Same ---. - Items., Required Address: Subcontractors -- Truss Details Phone: ---------__--- Other Contractor's Licenso # _ 65157 (attach copy of current Oregon license) if. L Contact Name & Phone: Marcs Webe r ( 646-8888 ) Subcontractors: Architect/Engineer: Ivi?r son_ Assnc i a t-.P-, Plumbing: J & F Plumbing Address' _ 151 Kallull,5 fir ve _C', _1 40 Mechanical: Arco Installations Cost Mesa, CA 92626 — (attach copy of current OR Contractor's License) Phone: JOB DESCRIPTION. ' Applicant Signature & Phone number /* � C—,CSI('' Received by: _ Date Received. _ N...... COMOEORESAPP Solar Balance Point Standard Box A. North-South dimension for the lot Box B. Shade point height from your structure: measured perpendicular to the midpoint of the Change in elevation from front property line to north lot line the finished floor elevation added to the height of the building from finished floor elevation to the affected peak/eave. If the roof line rune feet NIS, subtract 3 feet from the figure. Suatract one foot for each foot of difference in elevation from the front property line to the rear propel -)' line. feet Box C. Distance to the shade reduction line Distance from North property line to foundation added to the distance from the foundation to the affected roof peak/eave. Feet The following helps explain the graph below: The horizontal axis (rows) represents box "C" figures. The vertical axis (columns) represents box "A" figures. it is most useful to draw a vertical line to represent the appropriate figure found in box "A" and a horizontal line to represent the 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 "D" should be compared to the value in box "B" ; if the value in box "B" is less than or equal to the value found in box "D" , the building is in compliance with the solar balance code. Distance to I shade 100+ 95 90 85 80 75 70 65 60 5 5C 45 40 rejuction line fro,.i northern ' lo,- line in feet ._ t 70 f 40 40 40 41 42 43 44 _1 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 i 50 32 32 32 33 34 35 35 3'' 38 39 40 41 42 45 30 30 30 31 32 33 34 35 36 37 38 39 40 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 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 15 i9 18 18 19 20 21 22 23 24 2 26 27 28 10 16 16 16 17 18 19 20 21 22 2 24 25 26 5 14 14 14 15 16 17 18 19 20 21 22 23 24 Box "D" Maximum allowed shade point height — � � _ s feet / l 1 , Solar Balance Worksheet Address 1/���� `�'l.-J j j/[✓nom Rox 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 intersecting line perpendicular to that point. Measure the distance from the midpoint of the (� North lot line to the South lot line along the described line. It Box B calculations: Shade point height from your structure. _ Box B: w 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 Ic.:? 1a: If the roof line runs North-South, measurements will be based on the peak of the (Circle one) roof. /� 1a lb( 1 11�: If the roof line runs East-West and the roof pitch is less than 5/1?., measurements ` /� will be based on the eave. 1 c If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurement!,, will be based on the peak. '. Mea:-,ure change in elevation from front property line to finished floor elevation. T �. ft A. Measure distance from finished floor elevation to the affected peak/eave. it 4. if the roof line runs North-South, deduct three feet. If the roof line runs East-West, deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property it ' 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. G Total figure for box B: ft Rex C. Distance to the shade reduction Fne• Box C: --1 1. Measure the distance from the North property line to the foundation. _ ti 2. Measure the distance from :hi foundation to the affected peak or eave. + tr -, r 3. Total figure for box C: _ ft e Community Development ELECTRICAL PERP. lT APPLICATION 1'125 SW Hall Blvd Tigard, OR 97223 Planck/Rec. # Permit # `TIL Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by �LoT ct k.LA„ CITY OF TIGARD TIED No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: _ [4.' Complete Fee Schedule Below: f'Cd Qt,E'uZ tEK Name of Developr/nent--�/zES_rv£nif,9L- SuBPI✓lSienl Number of Inspections per permit allowed Address � /�90 5�'� ^��-%(�1iQ°0 V/Z• Service included (tams Cost(ea) `' rn 4 City/State/Zip `7 /Gi12 D/ZEW N 7 L3 4a. Residential-per unit $1 ID DD 1000 aq It crises -F/L 14ome j Each additional 500 aq It or 1 7r d t Name (or name of business) U portion thereof �_ $2500 Limited Energy $2500 Commercial❑ Residential 10 Fact)Manufd Home or Modular Dwelling Service or Feeder ^_ $6H 00 2a. Contractor installation only: 4b.Services or Feeders Installation,allegation,or relocation Electrical Contractor It LL.. �( —L '.) 200 amps or lase $6000 _-- 201 amps to 400 amps $8000 Address Pr d. u)( 401 amps 10 600 amps S1201`15 ? city_ Do A/ Stater ZIp jlu'l u _ 601 amps 10 1000 amps $18000 Phone' N0. (P/o ��S _ over 1000 amps or volts $34000 Reconnect only $50 00 Contractor's License No. y- le'7 Contractor'sBoard Reg No. �� 11 4c.Temporary Services or Feeders Installation,alteration,or relocation Signature of Supr. Elec /ham ii 201 amps or lase $5000 _. - C- 201 amps l0 400 amps $7500 - License No._ zPhcr No. (ojd-i3 jL 401 amps to Hoo amps $10010 / Over 600 ampe to 1000 volts 2b. For owner installation.: see above 4d. Branch Circuits Print Owner's Name _-_ Now alteration of extension per panel Address _ n)The lap,for branch circuits with —m- purchase or service or Mader W. City State zip Each branch uraga $5 00 Phone No. b)The lea for branch circwls without The installation is Using made on property I own which is purchase of ewvks or leerier Me.First branch archil $7500 not intended for sale, lease or rent. Each additional branch wcwt $500 _ Owner's Signature` 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation arise $40 00 Eer3i sign or ou'hr»lighting —_ $1000 Signal cimwt(s)or a limited energy PleFee check appropriate item and enter fee in section 5B. I panel alieration or exlens,on $4100 4 or more residential units In one structurH Minor I abals(10) $10000 Service and feeder 225 amps or more 41. Each additional inspection over System over 600 volts nominal the allowable in any of the above _ Classified area or structure containing special occupancy Per inspodio,, $:15 00 as described in N EC Chapter 5Per hour $5510 _ In Plant $55 D0 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services $. Fees: 5a. Enter tote i ,!aonve iees $ NOTICE 5'%Surcharge(05 X total fees) $ 9,23 Subtotal PERMITS BECOME VOID IF WORK OR CONSTRUCTION ZS 5b. Enter 2255 $%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ . A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I n— 1rnr.l Account Balance Due s r 9 g,2 5 WaSHINWONCOU TY ____ TRICTED Department of land U Ion E Electrical Inspection Section- `�' 155 Hilsbo�c FirstAvenue,#.35W2 ELECTRICAL ENERGIE Information: (90-3)-ff0-3470 x:—gO3)-M-44-U APPLICATION PRINTPLEASE Permit No, C1 J l8 1. Location of installation Date ��� Address-AL Cf & (--)LJ 7 G����,,,�C��r{ U�►t�'. City Zip Code -Z74. Type of work: Map No. Tax Lot RESIDENTIAL Rertricted Encrgy Fee $40.00 (for all systems) Thomas Map Book: Page Section Check type/of work involved: Directions Audio and Stereo Systems /1 Commercial Residential Burglar Alarm 'relephone Systems* Tenant Name Garage Door Opener* (if commercial) ,._ Fire Alarm Heating,Ventilation and Air Conditioning Systems' 2. Contractor application: Vacuum Systems' Other Electrical Contractor _ -- COMMERCIAL Fee for each system $40.00 GAI% ti A� L ! 1.0. l •-2O42 (see OAR 918-264D-260) 9015 S1. 1.1 AV1 I 1911). 014 97266 1)ATE ; /_1//� ,TO1i# Check type of work involved: OWNF,It:7Z _��� - CI.1: 28728 , ('C13: 00,47 Boiler Controls Clock System-, Phone No. _ Data Telecommunications Installations Fire Alarm Installation 3. Owner application: HVAC Instrumentation Print Owner's Name Phone No. Intercom and Paging System Landscape Irrigation Control' Address Medical Nurse Calls City State Zip Outdoor Landscape Lighting* This permit is Issued under OAR 918-320-370. The applicant agrees Protective Signaling to make only restricted energy Installations(ion volt amps or less) Other under this permit and to do the following: 1. Only use electrical licensed persons to do Installations where required. (Certain residential and other transactions are exempt Number of Systems from ilcensing. These have asterisks(q. All others need licens• ung.) 'Nn lurenses arc re uire f Licenses are required for all other installations 2. Calf for an inspection when all the installations under this permit Q Q are ready for inspection. 3. Purchase separate permits for all installations that are not ready $, Fees for Inspection when the Inspector Is out to inspect under this permit. Enter fees $ 4. Assume resoonsibilify for assuming that all corrections required eA)_ by the inspector are done.and .5. Assume responsibility for calling for a final inspection when all of S% Surcharge (.05 X total above) y the corrections are completed. The person signing this permit must be the applicant or a person Trust Account $ authorized to bind the appllFaAr1 Total $ Signature Authority if other than app:icant ._ — _ This permit becomes null and void It the work authorized by the Pe rmit Is not commenced within 1 eo days from date of issua9ce For Inspections call of such permit or if the work authorized is suspended or abandoned 640-3561 o r 693-4415 El any time after work Is commenced for a period of 1 so days. Electrical Permits are non-refundable and non-transferable, 24-hour recorder, one working day In advance of need BL24.114 I SCALE DRAWING LOT 17 PEBBLE CREEK / 202 202 N 3 F�fV �o rn 110~ f h 20,0• 204 � tpw _ a0 0' LA AL v -.,�_ I 16.3' - tiA BIER SCALE 1"-10. Id � � I • ' 4 . �v i � ( i NOTES: --HORIZONTAL CONTROL FROM PLAT OF PEBBLECREEK, d l h ��V� WASHINGTON COUNTY SURVEY RECORDS. / �X"1'riJ --VERTICAL CONTROL FROM INFORMATION PROVIDED BY OTAK ON DISKETTE. CON TRACTOR SHALL VERIFY EXISTING CONDITIONS. GRADES, AND ELEVATIONS. A --_�_1 �I - --SIX FOOT PUPLIC UTILITY EASEMENT ALONG THE FULL LENGTH OF I RA N EACH LOT OR TIL CT FRONTAGE ALONG ANY PUBIJC STREET. 1N ---EROSION CON?RGi. f 1 f f v _ ' PRM TO I)< PLACEMENT OF ANY FILL OR COMMENCEMENT 0} 1 Lr GRADING WORD(, ALL REQUIRED EROSION CONTROL MEASURES ?05.8 r I SHALL BE IN PLACE, INCLUDING. 208 a -INSTALLATION OF A GRAVEL DRIVEWAY, CLEANED AND S 791 � REPLACE© AS NEEDED TO KEEP CLEAR OF DIRT; 26 Z -INSTALLATION OF SILT BApIIRIM WHICH SHALL REMAIN hV PLACE UNTIL THE GRAD© AREA HAS BEEN PROVIDED I WITH A PERMANENT GROUND COVER (I.E. BARK DUST, GRASS, OR OTHER LANDSCAPING); THE SILT BARRIER �� ro 92.25 MUST BE 0"TERSUNK INTO THE GROUND. EI_fy, ig8,5 l ov N ` N N ` a N I 8 N OI SIGNED ON: PRO SSIONAL VW� "YO SCALE DRAWING LOT 17 PEBBL.ECREEK S.W 1 /4 .33 T.1 1,R, W. W.M., ------- CITY OF 71GARD WASt11NGTON COUNTY OREGON WADE G. UC7PJCIVAP� UL Z27� 1 of 1 MAY 1€i 5 Ce+enterline CantS Inc. 11691}SW Tallwood Drive RAWN 8Y: §§P CHECKED Y; W VIII 640 82nd Drive Gladstone, Oregon 9702' RENEWAL_ ON bECEMHFR .31, 1485 SCALE 1"=10' ACCOUNT 587 503 650-0188 fax 503 650-0189 _ n T f I Ilti�il III III I I Ill Ill III III Ill Ili 11.T I�1 III III III III III 111 111 III 1 ! 11111 IIIA I III III ill III ill 111 111 1 f Tll 111 111 111 111 IIl 1111111 III III V III I �' I I 1 l �j I 1 I I 1 1 I I I 1 1 I I 1F 'fH1q DOC;UMI?N'I' Is --I � V � I I � I S � � � �� I 11� LEGIBLE THAN THIS NOTATION, �`__1_��_�_�`_`--_�`_ �'_ —_. 1'i' IS DUE TO THE QUALITY OF 36 THE ORIGINAL DOCUMENT. — --- -. --- - - --,___ __ — _ -- —_- _ C I 0£ 8�L 8 Z G1Z S F, 9�Z L C 6 T� 0 Z 8 i 8II i G��t 9 t 9 t^ ib�11B i I ZTT I T1 I T 8 T L f� I S1 I f I S I L i a��rn� VIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIII l IIIIIIIIIIIIIIIIIIIiIII IIIIIIIII IIII�IIII WWII Illi ���� 1111 1111 1111 ►��� 111111111111► IIIIIIII 11111111►�1111�1111 VIII VIII 1 11 1111 1111 1111 1111 VIII 111111111 111 ' !1111 1 !lulu