11764 SW TALLWOOD DRIVE ADDRESS:
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iArecords\microf ImVa rgets\builaing.doc
CITY OF TIGARD PERMICERTIFICATE 01-
OCCUPANCY
T #. . . . . . . s MST95-0,:�70
COMMUNITY DEVELOPMENT DEPARTMENT DAIF-,' ISWEI)i 021/29/96
13125 SW Hall Blvd.T19ard,Orogon 97223*81H (503)039-4171
PARCEL IS133CD--12700
"')ITE ADDREG5. . . a 11764 3)W TALLWOOD DR
IUBDIVISION. . . . s PEBBLECREEk ZONING:R-25
o'LOCK. . . . . . . . . Is LOT. . . . . . . . . .. . . . 100:0
CLASS OF !-.10,',V sNEW
rYPE '.)F USE— sSF
0CCV-JANZ:Y GRP. :7"t-LA3
OCCUPANCY LOADs2
Remarkme PAYH I
CUSS s.4"'rIFIC HOMES
6625 SW CASCADE BLVD
SUITE # 606
BEAYERTON OR 97006
Phone #1 646-030.38
Contractors
COSTA-PACIFIC HOMES
8625 SW CASCADE AVE STE. C:06
BEAVE.kTON OR 97005
Phone #i 503-646-BFIBB
keg 65157
ertificate grantt, occupancy of the aL,j.,Ve referenr.ecJ bttildinq or portion
thereof and confirmij that the building has been inspected for compliance with
the StAtO Of Ov-P90t, Specialty Codes. for the group, occupancy., and use .'nUer
whi(.-.,h the rpfer@nced permit was isss.ted.
....... ......
*
�
1N*,'-- wCTOR S U I L-',ri ., OF - ICTAL
F109'r IN CON53`11CUOUS PLACE
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 Mech. Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg. Top Outnsula' Elec
Post/Beam Struct, Mech. Rough-in Gyp. Bd. (991
San. Sewer Gas Line Appr/Sdwlk
Other: -_
Date: A.M.T—P.M. Entry:
Address
Tenant: —_ —�_ Ste:_ MST: %
BUP.
Con/Own: - - -- MEC -—
PLN: ._ --
ELC —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspect : _ _ __. Date: Z
PPROVED __-DISAPPROVED/CALL FOR REINSP. OF (cam
CFP-01-1995 15:01 GARY'S VACUFLO, INC.
`7 HESTRICTE®
ELECTRICAL L ENERGY
ll ,A.PPLiCATION
PLEASE . .
INT
a pjete all e Permit No. FC,Q J1 Oivy'
1. Location of Installation date
Address
�����w SII� � -
city l Zip Code _ 4. Type of work:
Map No. Tax Lot _ RESIDENTIAL Restricted Energy Fee $40.00
(ior all systems)
Thomas Map Book; Page Section Check type of work Involved:
Directions �.--- - --
Audin and Sterno Systems
Burglar Alarm
Commercial ❑ Residential ❑ Telephone Systems'
Garage Door Opener'
Tenant Name Fre Alarm
(If commercial) .__ .___ ------- --- — Healing,Ventilation avid Aii conditioning Systems"
2. Contractor application; vacuum Systems'
nttt
Elpcirical Contractor
COMMERCIAL Fee fcr each nyalem $40.00
l.' . 1.Nl_ . l lit-21112 (nee OAR91111-260-28n)
OIt 977611, Check type of work Involved:
61$111 Rolle, Controls
Clock Systems
rhon@ No Data Tolommrnunicabon5lnstallations
Fre Alarm Installation
3, Owner application: HVAC
Instrumentation
Intercom and Paging System
Pont Owners Nrimn hone No.
l,alxlsr_ape Irripstk+n Goofed'
-- Medical
Arldre55
Nurse Ce"s
State ZIP _-- Outdoor Landscape L',,nting•
Prolective Signaling
This perrhlt Is issued under nAR 018-120-370, The applicant agrees other
h,make only restricted energy installations(100 volt amps or less)
under this permit and to do the following:
Y, only use electrical licensed per ons to do inslallaGons wirers Number of Systems
required. (certain residential and other transactlons are exempt _ y
from licensing. ihese have asterisks M. All others need livens-
ing) �,, •Na iicen.+es are requi.eA Licenses are repuired fbr ail other installstiona
7 cell for or.in•yc�-tlrn when all the rrrsrslla i'one u' this permit
ar►ready fir Inspection, Fees
I Purcha;e separate parmirs for all Insrallarlor,s that are tint reac'v
for Irspecflon when the Inspector is out to inspeef under this En'er fees $ ------1�---
pe mor
d As iurne responsibillty for assuming that all corrertlons raqulred
by the inspector or*dere, and 51, Surcharge (05 X total above) $
5 Assr me responslhillty for.:ailing for a final inspection when sit of
,he eorrectinn!are completed. Gc
Tree person signing this permit must be the applicant or s person
'rust Account � y?�i�__
autr,oriied to hind thea r _�-
Total
--_ This permit beromey null end vold Ii the work authorized by the
Aulhmity it other it's"appllrant
-- permit is not commenced within Ino days from date of Issuance
of such perma
it or If the work authorize-.l Is suepenr' d or sb■ndnned
F'or Inspections call /� G at any tine after work Is comm•nrre for a period of 190 days
640-3561 for 633-4415 Electrical Petmlls ere non refundable and non-banalerable.
24-hour recorder, one working day In advance of I;ead BL 24 114
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # ,f/,-*9s-- D"3 o9
` Phone (503) 639-4171 Date Issued
FAX (503) 684-72.97 Issued by
CITY nF TIGARD TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Developmentjiffl&E C""k 5yjq, ✓f sly Number of Inspections per permit a!:owed --
Address 1 / 7[Y 5W TALL-lit/oor7 D/L. S44rvice Includod Items Gost(eal Sum
City/State/Zip_�j�it���/�, y7 L 4a. Residential- per unit
1000 Sq II Of less $11000
Gor1%1 ��-lfrc M1ES Fars'addsiorwl 500 sry n or
Name (or name of business)_
portion lhereol — $2500 5, Vol 1
Commercial 171ta
Residential 1W ch i,
fd $2500
ach Manu'd Home o•Modular
Dwelling Service or Feuds, W3 00
2a. Contractor i 7stallation only: 4b.Services or Feeders
Installalion alleralion or rela.ation `
Electrical Contractor , - k Cr/L l 4, /NCL . 200 amPe or less s.�o 00 2
Address 0, 6uX ;Leg 201 amps to 400 amps s0 00 2
-� 401 amps to 600 wnps $12 0 00
City p�/VAC p�_ State_0/r- Zip 97 o2y sol amps to 1000 amps s 80 00 2
Phone No. (W 7y-1 3:� _ Over 1000 amps or volts $34000 2
Contractor's License No. c2.7 Raconnectonly _— 55000
Contractor's Board Reg, N0. 2U 9(� 4c.Temporary Services or Feeders
7 Installation,alteration,or relocation
1 i
Signature of Supr. Elec'n SC r�Cc-�, C���.z-� 200 amps or 1 $5000 ;
License No. 3162-1 PhNo. 79- ?SS 201 amps to 400 amps $7500
—.-- one L.[ 401 amps to 600 amps $10000 _
Over 600 amps to 1000 volts
2b. For owner installations: ties,'b'above
4d. Branch Circuits
Print Owner's Name, — New attarahon or extension per panel
Addressa)The lee to branch circuits with
Cih� State_.__ Zip Each
of"rvko or Medw For.
�7 -.— Each branch circuit $500
Phone N0. _ b)The tea for brarrh cacudt without
The installation is being made on propr rty I own which is purchase of servke or Madan Me.
not intended for sale, lease or rent. I c branchh eddadditionalonalcircuit _—
br
52500
Eachanch circuit $5 00
Owner's Signature___ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or irrigation rrcle --- $4000 —._--
Earn sign or outline lighting $4000
Signal cimu4(s)or a limited anergy
Please check appropriate item and enter tee in section 5B. panel anarction or extension $4000
4 or more rasidential units in one structure Mmm Labels(10) $10000 _
_Service and faedar 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
_ the allowable in any of the abcve
Classified area or structure containing special occupancy
as described in N E C Chnpter 5 Par hour o0
Inspection - — 5+
Par hour ES5 00
In Plant 555 00 _
Submit 2 seta of plans with application where any of the above --
apply. Not required for temporary construction services. 5. Fees:
5a, Enter total r:above fees $ �1�5• 'go
NOTICE 5%Surcherge(05 X total fees) $
PERMITS BECOME VMD IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 31 $ X
A PERIOD OF 19C DAYS A'ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED ❑ Trust Account X g
Balance Due s
wnr.varr,lMWcpm qr
Page No. 1 CASE HISTORY FOR CASE NO.! MST95-0270
COSTA PACIFIC HOMES
11764 SW TALLWOOD DR
08/21/98
Action Description Req/ Schd/ End/ Action Notes cusp By Update Upd
Code Sent Done Done Date By
MSTA007 Application received / / / / 0';/10/95 PASS BON 07/12/95 ALT
MSTA010 Plan check deposit paid / / / / 07/10/95 PASS BON 07/1.2/95 BLT
MSTA020 Plan check by 07/12/95 / / 07/12/95 PASS RT 07/12/95 BLT
MSTA030 Check for prcl. restrict. / / 07/12/95 07/12/95 PASS BON 07/12/95 BLT
MSTA080 (F) Ready to issue / / / / 07/13/95 BON 07/13/95 B
MSTA092 (F) Issue combination permit / / / / 07/17/95 BON 07/17/95 B
MSTA09: Issue plumbing signature form / / / / 07/17/95 BON 07/17/95 B
MSTA705 Footing Insp / / / / 07/18/95 PENDING- SEE REPORT PASS RB 07/18/95 RD
MS'rA706 Foundation Insp / / / / 07/18/95 PENDING- SEE REPORT PASS RB 07/18/95 RD
tiS'TA710 Post/Beam Structural / / / / 07/27/95 #-1- strap rim beam to pony wall at A/N KS 07/2B/95 KBS
front of structure
0-2- add post under beam at pockets to
provide min; of thien inches
of bearing
MSTA711 Post/Beam Mechanical / / / / 07/27/95 APP KS 07/28/95 KBS
MSTA712 Underfloor insulation 02/29/96 / / / / APP OS 02/29/96 GES
MSTA713 Crawl Drain / / / / 08/21/95 APP GS 06/19/95 GES
MSTA7+7 PLM/Underfloor / / / / 07/27/95 PASS MS 07/31/95 MRS
MSTA720 Mechanical Insp / / / / 09/0./95 see report FAIL RB 09/01/95 RB
MSTA720 Mechanical Insp / / / / 09/07/95 SEE INSULATION FAIL RB 09/07/95 RB
MSTA720 Mechanical Insp / / / / 09/08/95 APP KS J9/08/95 KDS
MSTA722 Plumb Top Out / / / / 08/25/95 WASTE DIS, TEST THRU ROOF DIS GS 08/25/95 GES
WATER OK
MSTA722 Plumb Top Out / / / / OR/28/95 APP GS OB/28/95 GES
MSTA'25 Framing Insp / / / / 09/01/95 see report FAIL RB 09/01/95 RB
MSTA725 Framing Insp / / / / 09/08%95 APP KS 09/08/95 KBS
MSTA726 Framing <REINSP> / / / / 09/07/95 SEE INSULATION FAIL RB 09/07/95 RB
MSTA735 Gas Line Insp / / / / 09/01/95 PASS RD 09/nl/95 RB
MSTA740 Insulation Insp / / / / 09/07/95 FRAMING MECH ISSUES STILL UNRESOLVED; FAIT, P.6 09/07/9° RB
ADDITIONAL NAILERS NEEDED AT SOFFIT;
EXHAUST 'VENTING INCOMPLETE; FIRESTOP
WALL. DUCT AT LANDING; FIRESTOP THRU
PENETRATIONS; NAIL PLATE FOR PROTECTION
nEQ'D; REMOVE INSULF-TION AWAY FROM
B-VENT IN WALL-KAIN'rAIN FLEA' .NCES;
DRAFTSTOP SOFFIT AT FAMILY ROOM.
MSTA740 Insulation Insp / / / / 09/08/9, APP KS 09/18/95 KBS
image No. 2 CASE HISTORY FOR CASE NO.: MST95 0270
COSTA PACIFIC HOMES
11764 SW TALLWOOD DR
00/21/98
Action, Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA'145 Gyp Board Insp / / / / 09/11/95 1" CLEARANCE FOR B VENT; NAILING MISSED; FAIL RB 09,'11/95 RB
DRYER VENT TO BF EXTENDED INWARD;
PROVIDE NAILERS FOR ATTACHMENT.
MSTA745 Gyp Board Insp / / / / 09/12/95 #-1- seal joint behind furnace, will A/N KS 09/12/95 KBS
recheck at final
MSTA755 Rain drain Inep / / / / 07/21/95 PASS MS 07/24/95 MRS
META760 Water Line Inep / / / ^9/28/95 AFP GS 08/28/95 GES
MSTA761 Water Service Inep / / / / ?8/95 APP GS 08/26/95 GES
MSTA765 Appr/Sdwlk Insp / / / / /19/95 I) Install pipes to existing curb PEND LT 10/24/95 NL
weepholes-2 required.
2) Place form for wing on approach.
3) Be prepared to protect finish.
MSTA765 Appr/Sdwlk Inep 03/04/96 / / 02/23/96 PASS PI 03/04/96 C•H
MSTA770 Misc. Inspection / / / / 08/19/95 HDs AT GARAGE NOT IN SHEA GS 08/19/95 GES
TIGHTEN NUTS ON HDs AT REAR
STRAPS AND NAILING OK
OK TO SIDE
MSTA"770 Misc. Inspection / / / / 09/05/95 ELECTRICAL. SERVICE APPROVED ECA MJR 09/05/95 MJR
MSTA770 Misc. Inspectirn / / / / 09/08/95 LVA MJR 09/08/95 MJR
MSTA790 Electrical Final 12/07/95 / / 12/07/95 opening around micro plug, no hallway FAIL MJR 12/07/95 MJR
plug, and romex in plenium airway
MSTA790 Electrical Final 02/23/96 / 02/23/96 see bid fnl DIS GS 02/23/96 GES
MSTA790 Electrical Final 02/29/96 / / 02/29/96 APP GS 07/26/96 BT2
MSTA795 Mechanical Final / / / / 02/23/96 see bid DIS GS 02/23/96 GES
MSTA795 Mechanical Final ^2/29/96 / / 02/29/96 APP GS 07/26/96 BT2
MSTA797 Plumb Final / / / / 02/23/96 APP GS 02/23/96 GES
MSTA797 Plumb Final 02/29/96 / / 02/29/96 APP GS 07/26/96 BT2
MSTA799 Building Final / / / / 02/23/96 street address; deal soffet behind Turn DIS GS 02/23/96 GES
plenum; plug in hall to mstr bdrm;
cuverplt for lav plug upper hall bth;
litefxtr for Ir/din cm; no hot wtr can't
test h/r, reversal; seal around micro
plug; romex in ra plenum, erosion
control
MSTA799 Building Final 02/29/96 / / 02/29/96 APP OS 07/26/96 BT2
MSTA960 fF) Issje Cert. of Occupancy / / / / 02/29/96 JF 03/06/96 JF
Page No. 3 CASE HISTORY FOR CASE. NO.: MST950270
COSTA PACIFIC HOMES
11764 SW TALLWOOD DR
08/21/98
Action Description Req/ Scl,d/ End/ Ar`ion Nntes Disp By Update Upd
Code Sent Done Done Date By
MSCA970 Case Finaled / / / / 02/29/96 AIO GS 02/29/96 CES
CITY OF TIGARD BUILDING INSPECTION NOTICE r�
Inspection Line (Rec-O-Phone): 639.4175 Business Phone. 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
114115st/[beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
`P t ea�_01 San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested- —7 7 j Time: AM PM f
Address: ' ( �--� /
—���{--mss_L L10`
Builder: Permit #: / G.} —7
/THE FOLLOWING CORRECTIONS ARE REQUIRED:
1 ✓f i��4✓ �T�X(x :7kz 11 t-r 'T0
Inspector: Date.
—APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
____Call For Reinsp.
ASTER PERMIT
CITY OF TIGARD 1:1 E R M IMT #. . . . . . . .. MST950E,7iji
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/17/95
13126 SW Hall Blvd.Tigard,Orogon 97223*8199 (503)639.4171
F.'ARCFI- ,-. 1S133CD--1.,:_:1700
5ITE ADDRESS. . . : 1176,4 SW TALLWOOD DR
SUBDIVISION. . . . : PEBBLECREEK 7nil TNG: R-25
131-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .02e
------------------------------------ BUILDING
RE ISSUE:MST900.:-,35 DWELL ING LIN I TS: I BASEMENT. . . . . . . . :0 s
CLASS OF WORK. :NEW SEDRMS:3 SATHS:3 GARAGE. . . . . . . . . . :469 sf
TYPE OF USE. . . :SF FLOOR AREAS—------ REOUIRED GETBACKS-
TYPE OF C0NST. :5N FIRST. . . . : 1145 sf LEFT. . :9 ft RIGHT. :5 ft
OCCUPANCY GPP.,. :R3 SE.COND. . . :430 5f FRONI. :20 ft REAR. . : 17 ft
,;TORIES. . . . . . . : rINSCMENT:0 sf
HEIGI-AiT. . . . . . . . .X14 ft TOTAL 1575 G f SMOKE DETECTORS. :Y
F'LCOR LOAD. . . . -40 psf VALUE. . . . . 109471 PARKING SPACES. . : I
PPmarks : PATH I
PLUMBING
5 1 NKS. . . . . . . . . . : 1. F-I.-OOR DRAINS. . . . .0 SACKFLOW PIREVNTRS. I
LAVATORIES. . . . . -.4 WATER HEATERS. . . - 1 TRAP'S. . . . . . . . . . . . . . :0
TUB/SHOWE-RS. . . . :2 LAUNDRY 'TRAYS. . . -.0 C(),TCH BASINS. . . . . . . :lb
WATER CLOSETS. . :3 SEWER LINE (ft ) , :O GREPSE TRAPS. . . . . . . :0
DISHWASHER5. . . . , I Wr4TT,-R LINE Ift ) . - 1.00 OTHER FIXTURES. . . . . .0
GARBAGE DI P. . . : 1 RAIN DRAIN ( ft ) . :0
WASHING MACH. . . t 1. SF RAIN DRAINS. . : 1
----- MECHANICAL. PEES -------
FUEL TYPES--------- UNIT HTRS. . :0 type amol-tnt by date r-ecpt
/GAS/ VENTS . . . . . :o TIF $ 1.590. 00 8 07/17/95 95-268093
MAX 1NPUT:0 BTU V[_--NT FANS. . -. 4 ^wm $ 180. 00 13 07/1.7/95 95--EE 8013
FAJ R N ( 10 0 K . . : I HOODS. . . . . . : 1 IS W M $ 100. 00 B 07/17/95 95--2613093
BURN ) =11410K .12� WOODS:)TOVES). :0 BPRT $ 451.1. 00 S 07/ 1.7/9S 9 5--Z.6 6 719 3
FLUOR FURN. :0 CLO DRYERS. : I FPLC S 5171. 00 BON 0-7/10/95 95-267789
MOIL/CMP < 3HP:0 01"f.1ER UNITS: 1 135PC $ 1 ':::. 90 0 07/1.7/95 95.-,2680r53
GAS OUTLETSil PARK $ 500. 00 S 07/17/95 95--268093
11PRT $ 43. S0 Ft 07/17/95 95-266093
COSTA PACIFIC: HOMES h!PLC $ 10. (-48 B 07/17/95 95-268093
8625 SW CASCODE BLVD M75PC t 2. 18 D 07/17/95 15-268013
SUITE # 606 313TH $ 2P5. 1710 B 07/17/95 95-268093
SEP.VrRTON OR 97006 1-Srfl, $ 1 1. %'25 D 07/ 3 7/95 95--. 6B0",-'
Pnone #, 646--6868 EROS $ 64. 00 LA 07/17/95 95-2680`:,,
Contt,actov-: --EPPC $ --* Vj. 80 B 07/ 17/9` 95-268013,s
C097A.-PIACIFIC HOMES ERPC $ 20. 80 P 07/17/95 95-268093
1.4780 5W OSPREY DR SPLC S 30. 00 B 07/17/95 95--;?'6P11)')-
# 27 5
BEAVERTON OR 9701217
Phone #- S0_2-646 -8886
Reg #. . - 65137
3349. _3 I TOTAL
This perait is issued subject to the regulations contained in the REOUIRE-1) INSPECTIONS
- ----
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp PlLtmb Top Ottt
applicable laws. All work will be lone in ac.-erdance with approved F-citindation Insp Framing Insp
plans. This pernit will expire if work is not started within 18? Post/Seam Sty-tiut Fit-eplacp Insp
days of issuance, or if work i- utpended for acre than 160 da Post /Seam Mectian Gas tine Insp
Crawl Drain lns�.tlation TnK ,
r i tt op -6L 141(/UndSlab Insp Gyp Baar-d ln--3p
GLM/Underfloor Rain drain Insp
_,41jed L'y . 61 11pchanical. Tnsp Watf.Arl Line Illqp
Call for- inspp,.-tinn .59 '417J
CITY OF TIGARD SEWER CONNEPERMITCTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR95-11275
13126 SW Hall Blvd.Tigard.Oregon 97223.8169 (503)63914171 DATE IS')UI7-D: 07/17/ )5
PARCEL: 15133CD-12700
TL Al
DURESS. I I /L-i SW 'I ALLWOOD DR
JUBDIVISION. . . . PPBBL.ECREEK ZONING: R-25
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .0 221A-
TENANT NAME. . . . . :
-ISA NO. . . . . . . . . . : FIXTURE UNITS. . .
OF HORK. . . :N 17 W DWELLING UNITS. . : 1
TYPE OF' USE. . . . . :SF NO. OF BUILDlNG5; 1
INSTALL TYPE. . . . :BU5WR IMPERV GURFPC[.*— s S f
Remarks - PATH I
Owner. FEES
c:OE,TA PACIFIC HOMES type amo,.Ant by date i-e(zpt
8625 SW CASCADE PLVD PRMT $ 2200. 00 S 07/17/95 95-268093
SUITE # 1506 1 1\115F, $ 35. 00 .13 07/17/95 93-26�8003
BEAVERTON CCR 97008
Phone 0- 646 -8868
Contractov:
CONTRACTOR NOT ON FILE
F-'hone #: TOTAL
Reg c
REQUIRED INSP"ECTIONS
This Applicant agrees to comply with all the rules ana regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IS@ days from
the date issued. The total apount pazd will bt forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permi and the Pgppcy will install lateral.
Pei-in i L t e t Ltr-"P/
4L
Issued By ,
Call for inspection 639-4175
c)
solar tial nce worxsneec
Address
Box A calculations : North-South dimension for the lot . Box A:
This dimension is determined by find.,.ng the midpoint of the
North lot line and drawing an inter.y�cting line perpendicular
to that po:..nt . Measure the distance: from the midpoint of the
North lot line to the South lot line along the- described line .
ft
Box B calculations : Sh-idpo. nt height from your structure .
L3ox B
1 . Determine whether measure�mEnts will be based on the peak
or eave of your structure: . Th? orientation of the ridge
is also important . Which
la : It the roof 'Line runs North-South, measurements will be describes
based on the peak of the .roof . your lot?
lb: If the roof line runs East:-West and the roof pitch is less (Circle one)
than 5/12 , measurements will be based on the eave .
Ilc : If the roof line runs East-West and the roof pitch is 5/12 la lb lc
or steeper, measurements will be based on the peak.
2 . Measure change in elevation from froritproperty line to
finished floor elevation. -- f~
3 . Measure distance from finished floor elevation to the
affected peak/eave . +
4 . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West , deduct nothing.
Subtract one foot for each foot of difference in elevation
from the front property line to the rear property line, if -
the lot slopes up from the front to the rear . If the lot
has no slope or slopes up from the rear to the front ,
deduct nothing.
6 . Total figure for box B : -
Hox C . Distance to the shade reduction line . Box r:
1 . Measure the distance from the North property line to the
foundation. 1-='— f r"
2 . Measure the distance from the f-undation to the affected ,, , 1 S fr
peak or eave .
3 . Total figure for box C :
f r_
wo
co SCALE DRAWING
mn
C14 C"
N ! I UT 20 PEBBLECREEK
1 t
D N
O
N
I
I I
1
208 I I I
91.91' .�
I
• "3E tv 84 01 5 ,1
ELEv. 206,7
STOR DRAIN
SIN STORM
AMON-.. 17.6' to
---- -- __ �`--__ PORCH i
un _ 00
2G 0
r n
SILT BARRIER
r_ 6.0' o
1 1
a _ --�-
1TAR7 LATERAL � v '
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