12454 SW 116TH AVENUE i
ADDRESS:
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` CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: A.M. �-- P.M. MST:
Location: BUR
Tenrrtt: Suite: _—Bldg:
Contractor. �/ f ' _ Phone: _ _ PL.M:
Owner:_ K,[A
(Al J 0Y -- ---- Phone. �, 1— ELC:
N — --
_—�— C_titrr-'�5 _ _�_ co ---- ELR: —
_ SIT:
BUILDING BLDG(con't) PLUMBING — _-::t�HANICAL ELECTRICAL SITE �—
Site Post/Beam Post/Beam Posbrieatn Cover/Service Sewer/Storm
Footin;. Roof [Jndl'I/Slab Rough-In Ceiling Water Linc
Slab Framing Top OutGas Linc Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
lismt Damp Drymall Storm F ace Temp Service MISC.
Masonry Ceiling Rain Thain C UG Slab
Shear/Sheath Fire Spkh/Alm Crewl/Found Ih ea ump I ow Volt
Approved Approved �O1,Approv Approved Approved
Appr/Sdwlk Not Approved Not Ap moved Not Approved Not Approved Not Approved
FINAL FINAL Fl, FINAL FINAL
rt
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CI Call for reinspects ❑Reinspection fee OfS required before next inspection D Unable to inspect
Inspector: �� Date: _.`._ 1__Q___- - __ Page_—r___of
CITY OF TIGARD BUILDING INSPECTION DIVISION MST '
24-flour Inspection Line: 639-4175 Business Line: 639-4,17,1 — -
BUIR
—Date Requested__ 7 - iS �T AM _PM BLD
(_ocation 12— 5 — _ 11�i ice-- Suite — MEC — ' —
:ontact Person �,�/ Ph PLM _
Contractor_ -+�-t r- _ �� _ _( � Ph SWR
_
BUILDING �tnant/OELCwner _ �--
Retaining Nall E'-R
Footing Access: ...�
Foundation FPS
Ftg Drain _ _ SGV — —'
Crawl Drain Inspection Notes: --
Slab
Post& Beam ----� -` J
SIT
Ext Sheath/Shear
Int Sneath/Shear —
Framing
Insulation
Drywall Nailing .—
Firewall
Fire Sprink°er __ �✓�_�-'��__ 1 ��' �1 -...r —_ __ __
Fire Alarm
Susp'd Ceiling —
Roof
Misc:
Final
PASS PART FAIL
PLUMBING �-
Post.3,Beam ---_-- i— `—� — —
Undei Slab
Top Out
Water Service
Sanitary Sewer -
Rain Drains
Final
PASS PART FAIL
MECF,ANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
FAIL
%LECTRIPA --- --- _-__ —�
Se
Rough to
n UG/Slab
5o ;Votan it_ m - ------ -- -—— —
r F
~ PASS PART FAIL
J
r,
- Backfill/Grading — — — —
LU Ganitary Sewer
-' Storm Drain ( J Reinspection fee of$, required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ [ please call for reinspec'ion RE: [ J Unable to Inspect-no access
ADA
Approach/Sidewalk4 y
Other Date — 115 Inspector^_ -cc --Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T!GARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
jd 't '.Date Requested 7` �`t " �� (AM PM BLD
Location 2 �� f _(� .t� J*J _ its MEC
Contact Person d r�1.(J,�Q,f'L ph &.33-5 PLM
Contractor -{T`Yll.i u' CUD`��t ph SWR _
BUILDING Tenant/Owner s,` (,����(T"" -7&3� ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Slab Crawl Drain Inspection Notes: �r��'�( .��L.� 1 SIGN _
SIT
Post&Beam / W U ►, -
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation � `� � �n , i ^
Drywall Nailing n
Firewall IV
Fire Sprinkler ~-
Fire Alarm
Susp'd Ceiling
Roof ��
Mise './ 7-7—
Final (� ,� „ ,�(� ^ �- L
PASS PART FAIL - W lJ�'�'Q -�f�-1 .4 VF, S�
PLUMBING
Post& Beam — -
Under Slab Mee--
Top
e Top Out
Water Service
Sanitary Sewer - —
Rain Drains
Final /
PASS PART FAIL 4 �
,MECHANICAL
Post ami- Gc� C1 ,,-Its
Rclinh In
Gas Line — -- —--- - --
Smoke Dampers
PA! PA T FAIL
ELECTRICAL -- --- _
Service
Rough In ���---- -- __--
UG/Slab —_ -
Low Voltage - _ -�---- -
�- Fire Alarm
Final
F PASS PARTAI l -_
SITE -------- ---
Eackfill/Grading --
CD Sanitary Sewer
LU
Storm Drain ( ]Reinspection fee of$ — required before next inspection. Pay at City Hall, 1315 SW Hall Blvd
Catch Basin please call for reinspection RE.
Fire Supply Line I i p _� _._ [ ] Unable to inspect-no access
ADA
Approach/Sidewal �-
Other _ Date _ /51 Inspector Ext
Final
PASS PART FAIL DO NOT REMCVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 b W Hall Blvd., Pgard,OR 97223 (503.)639-4171 ELECTRICAL. PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR98-0174
DATE ISSUED: 07/08/98
PARCEL: 25103BD-07000
SITE ADDRESS. . . : 12454 SW 116TH ciVE
SU'J:"D I V 151 ON. . . . :HUNTER' 6 GLEN ZONING:R--4. 5 1:11)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :026 JURiSDICTN: TIS
Pro Ject Description : Addition of electrical to residence.
-----------------------------------------
A. RESIDENTIAL----------- B. COMMERCIAL--------------------------------------------
AUDIO e STEREO. . . : AUDIO K STEREO. . : INTERCOM & PAGIN6. . :
BURGLAR ALARM. . . . - BOILER. . . . . . . . . . : LANDSCAPE/I RR 1 BAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . ..
HVAC. . . . . . . . . . . . . : X DA*T*A/TEL E COMM. . . NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . • FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE :
OTHER: Hl,.- C. . . . . . . . . . . . . PROTECTIVE SIGNAL... . :
INS i-RUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
Owner: FEES
KHOY LING type amot.int by date recpt
12454 SW 116TH PRMT $ 40. 00 DLH 0'7/08/98 98-3071 -78
TIGARD OR 97223 5FICT $ 2. 00 DL.H 07/08/9P 98-307178
Phone #:
Contractor: ----------------------------------------------- ----------------------------
HOME HEATING & COOLING $ 42. 00 TOTAL
38:x;J PACIFIC AVE A23
------ REQUIRED INSPECTIONS ---------
FOREST GROVE OR 97116 Low Voltage Insp
Phone #: 351-0242 Elect' l Final
Reg #. . : 12*7033
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 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in DAR 952-0014016 thrnugh OAR 952-001-0080, You may ebtain copies of
these rules or direct questions to OX at (503)246-1987.
Isst.ipd by 1 _ Permittee Sig-lat
---------------------------OWNER INSTALLATION
CC The installation is being made on property I own which is not intended for
sale, lease, or, rent.
un
OWNERIS SIGNnTURE: DATE:
t
-----------._--_--__.--_---CONTRACTOR INSTALLATION
�-o c DATE:
SIGNATURE OF SUER. ELECIN:
LICENSE NO:
+++++.+.t-+4......4........................4........4.............4............4......4.++
Call 639--4175 by 7:00 P. M. for an inspection needed the next business day
4........... ....4-++++4........................................4..............
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: .L Z--'
1' 125 SW HALL BLVD Date Recd: 7
TIGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 �� Permit#:
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCENTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee.......................... ............ $40.00
K N c\1 0 f\ – (FUR ALL SYSTEMS)
JOB Street Addiless Ste#
1 Check Type of Work Involved-
ADDRESS
nvolved
ADDRESS Jam? 514
City/Stat ip Phone# ❑ Audio and Stereo Systems
c.r f _ l 9#--37&3
e ❑ Burglar Alarm
`Y Owl`"' — ❑ Garage Door Opener'
OWNER Mailing Addres
City/State Zip r`one# Heating,Ventilation and Air Conditioning System'
Name ❑ Vacuum systems-
lA r t– li�,1' 4 L� r1q _ E] Other _
CONTRACTOR Mailing Address �– `7—
' CAt L c,vc _N a} TYPE OF WORK INVOLVED -COMMERCIAL ONLY
(Prior to issuance a City/Stale Zip Phone# Fee for each system....... .................................... $40.00
copy of all licenses 5–. " r, ;-t. QQ, Q-,–)I I(u 3559•lhl4 (SEE OAR 918-26G-260)
are required if Oregon un1r.B. Lic.# Ex D e
expired in C O.T. J 9:Zf 3.3 !TX ,
IV D Check Type of Work Involved:
data base). Electrical Gonlr.Lic.# Exp. Date ❑
Audio and Stereo Systems
C.O.T or etro Lic.# Ex . ate
y83D 4i�1 g 9 ❑ Boile Controls
Owner's Name
e0q .Inc) ❑ Clock Systems
OWNER - Mailing Address
❑ Data Telecommunication Installatior,
APPLICANT /;ys V -C-,-
City/Sta lip Phone#
cit c�r UO�t ail/�13 S�0-76�� ❑ Fire Alarm Installation
This permit is issued undef OAE 918-320-370.This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this HVAC
permit and to do the following: ❑
Instrumentation
1. Only USE electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
LI Landscape Irrigation Control'
_
2. Call for inspections when installation under this permit are ready for
Inspection at 503-639-4,76; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
Inspection when the inspector Is out to Inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting"
Inspector are done,end; ❑ Protective Signaling
rY
�– 5. Assume responsibility for calling for a final inspection when all of the
n corrections are completed. ❑ Other
Permits are non-transferable and non-refundable and expire If work is not
J started within 180 days of Issuance or if work is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations
'J authorized to bind the applica
J
------ r FEES:
Si a— ENTER FEES $
5%SURCHARGE(.05 X TOTAL ABOVE) : 2
Authority if other than Applicant TOTAL
i ldstsvesele dor 7/97 —
r
CITY OF TIOARD MECHANICAL
TSERVICES PERMIT
PERMIT' #. . . . . . . : MEC98-0180
1L 13125 SW Hall Blvd., flga,-d,OR 97223 (503)639-4171 DATE ISSUED: 05/20/98
PARCEL-: 251.03BD-07000
5 1 FE ADDRE131S. . . 12454 SW 11(,:TH AVE
SUBDIVISION. . . . : HUNTER' S GLEN ZONING: R-4. 5 FID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :02 , JURISDICTION: TIG
--------------------------- -----------------------------------------------------------------
CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
..fYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
' OCCUPANCY GRP. . : R3 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STOPIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--------_-_-- 0-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . . 0. COMML. INCIN: 0
MAX INPUT: 0 BTU 157-30 HP. . . . : 0 REPAIR UNITS: 0
' FIRE DAMPERS?. . -. 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU- 0 101000 cfm : 1, GAS OUTLETS. : 0
FURN ) =100K BTU: 0 10000 cfm : 0
Remarks : Installation of exterior air conditioning unit to r-sidence. Unit
cannot be placed within the required setbacks.
Oviner-: FEES
KHOY UNG type a M o'..I n.t by date r-ecpt
12454 SW 116TH FIRMT $ 2:5. 00 DLH 05/20/98 98-305900
TIGARD OR 972PE-3 5P C T $ 1. 25 DLH 05/20/98 98--305900
Phone #: 590-4217
Contractor:— -------------------------------
:iOME HEATING A. COOLING
3831 PACIFIC AVE ------- --------------------------------
A23 $ 26. 25 TOTAL
FOREST GROVE OR 971. 16
Phone 639--8169
Reg 127033
REQUIRED INSPECTIJNS -------
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. Ali work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than IRO days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 9524*1-9010 through OAR 9524*1-0080. You may
obtain copies of these rules or direct questions to OUNIC by calling
Permittee Signa't.Ur,e
s i-i e B,. - Per
++4 .....4.................................... ..................*++++++++++++++++
Call 639-.4175 by 7:00 p. m. for inspections needed the next bi.tsiness day
+++++++++++++++++++++++-r-+++++++++++++++++++++++++++ ................
Plan Check
CITY OF TIGARD Mechanical Permit Application Rec'dByL/;�
13125 t- W HALL BLVD. Commercial and Residential Date r.E- , -S" f-
TIGARD, OR 97223 Date to P E._ _
(503) 639-4171, x304 Date to DST
Print or Type I �� Permit+a _
Called
Incomplete or illegible applications will not be accepted
Name of DevelopmenUProiect DBScrlp'ion
_
Table 1A Mechanical Code OTS' "RICE AMT
Job Street Address Surfeit A) Permit Fee -0- -0- 10.000
Address /a y 5 �tt-! //6�
Bldg# Citylstate Zip 1.) Furnace to 100.000 9TU 6.00
_ including ducts&vents
_ Name(or name of businessi 2.) Furnace 100,000 BT U+ 7.50
Owner �n - k A-( including ducts&vants
Mailing Address i 3.) Floor Furnace 6.00
/Z y S-e! 5. ,- - //6 including vent
City/Stale - Zip I Phone 4) Suspended heater,wall neater 6.00
T'•t!!�r•j , 3 s�JO-Y 7 or floor mounted heater _
Na a(or dame of business) 5.) Vent not included in appliance permit 3.00
Occup"nt Madinq Address 5.) Boder or comp,heat pump,air cond. I 6.00
to 3 HP;absorb unit to 100K BUT" ,
CitytState Zip Phone 7.) Boiler or comp,heat pump,air cond. 11 00
3-15 HP;absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp,heat pump,air cond. 15.00
Nprn,L Nll •nS � C�� •.��
15-30 HP;absorb unit 5-1 mil BTU"
Prior to permit Mailing Address 9.) Boder or comp,heat pump,air cond. 22.50
issuance,a copy y/ t: It r- L -j✓ a Z 30-50 HP;absorb unit 1-1.75mil BTU"
of all licenses CRY/State Zip Pnone 10.) Boiler or comp,heat pump,air cond. 37.50
are required if �c pr•C(-8 ti e✓W "i l l I lc 1a5�'s/b"l >50 HP;absorb unit 1.75 n^I BTU" _
expired in COT or..gon Const Cont.Board Lir,p Exp Dale 11.) Air handling unit to 10.000 CFM 4 50
database 12 7 0.33 O i I S o
Architect Name _ -�-- 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non-portable evaporate cooler 4 50
i
Engineer :nytState zip I Phone I 14) Vent fan connected to a single duct 3.00
Describe work New O Addition O Alteration O Repair O 15.) Ventilation system not included 4.50
to be done Residential X Non-residential O in appliance permit _
Additional description of work 16) Hood served by mechanical exhaust 4.50
r L,.,.O .v L �r .,`i'u,-
17) Domestic incinerators 7.50 -I
Existing use of 18) Commercial or industrial 3000
building or property type incinerator
19) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property.
21.) Clothes dryer,etc 4 50
Type of fuel-oil O natural g&s O LPG O electric O _ 22.) Other units 4 50
rl hereby acknowledge that I have read this application,that the infermalion 23.) Gas piping one to four outlets 2)0
given is correct,that I am the owner or authorized agent of _
the owner,that plans submitted are in compliance with Oregon State laws 24) More than 4-per outlet(each) .50
Signature of Owner/Agent Date *SUBTOTAL t �y 't'y-
5%SURCHARGE
.s 125
Contact Person Name ` Phone PIAN REVIEW 5%OF SUBTOTAL `�
Required for all commeicial permits only. TAX!-
TOTAL t
'Minimum permit fee is$25+5",16 surcharge
-Residential A/C requires site plan showing placement of unit
I Unechprmt.duc rev 4/15198
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CITY OF TtGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAV,_�%
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. Id
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: I I —
Date: '31 _ A.M./�P.M._✓t
Address:
Tnnant: _ Ste:��. MST q(,Oe
Con/Own: 01 � _ MEC:—
PI.M:
ELC:
THE FOLLOWING CORRECTIONS ARE
Z _ REQUIRED:
ELR:
nt- 7U
L/1C rOt
'�Z r 7C G':✓ �f'fI�/le.: �.� �IIZZ' —
CL
ct
Y
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Spector. _ C _ _ Date: .
CO
_APPROVED _DISAPPROVED/CALL FOR REINSP. _` CF
CITY OF TIGARD BfALDING INSPECTIOV NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
-mc
Foundation Water Line telling -Plumb
Post/Beam Mech. Shear/Sheatl Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mach, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Ocher:
G
Date: A.M. P.M.��--� Entry:
Address: 44 5-W-
o, y
Tenant: _ Ste: MST: O
BUP:
Con/Own:_.� MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE 1EQUIRED: ELR:
ol
-- ,''�—'�^�. rhe-r.--tom. a►-�.,�+
n.LnCC
H-
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Ca
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Inspect9r. Date:J� 7
_''APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspoction Line: 639-4175 Business Phone:639-4171
Footing Rain Drain Cover/Se vice FINAL:
Foundation Waver Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top 0-., Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk ein
Other:
Date: A.M._//--P.M. Entry
Address:
Tenant: Ste: MST:
SUP:
Con/Own:v MEC
PLM:
LC:
THE FOLLOWING CORRECTIONS AFS REQUIREC ELR
cgo
I
.0--
Inspector: Date: 17
` ^�
XAPPROVED __DISAPPROVED/CALL FOR REINSP. ^ CO
CITY OF"IGARD BUILDING INSPECTION NO'i ICE
Inspectior,Line: 639-4175 Cusiness Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
Post/Be im Mach. Shear/Sheath Framing ec
Plbg.Undn=lr/Slab Pibg.Top Out Insulation -Elect.
Post/Beam Srruct. Mach, Rough-in Gyp. Bd.
dzlip
San. Sewvr Gas Line Appr/Sdwlk
Other: — —
Date: '- ' �_�f �1 A.M. M. Entry:
Address: — T-�-
Tenant: Ste:_ MST: .
BUP:
Con/Own: ��14 ' S( �� -- MEC:
PLM:
ELC: _ ---
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —
��"" �" yv i►s2o YDS,c.- � r,r2_��i�.--�—
?nytr— ---
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Inspector _— - -- — Date: ViIIY
APPROVED __rf5'R'F'P MEWED/CALL FO CF CO
CITY OF TIGARD
DEVELOPMENT SERVICES
1312f SW Hall Blvd.,Tigard;OR 97223 (603)639.4171
CERTIFICATE OF"
OCCUPANCY `
PERMIT #4. . . . . . . : MSTr3C� -O, Cyt
DATA: Tr„UED: 03/04/97
5 PARCEL 2810, r)-i�c¢�;e,
,ITE:. ADDRESS. . . : SW 11t�'rti AVE
ZONING- R-4. 5 PD
SUBDIVISION. . . . : HUNT E:R' S GLEN . ..
BI....t1C:K. . L.OT. . . . . . . . . . . . . ..027
CLASS OF WORK. :NEW
TYPE OF' USE. . . :SF
TYPE. OF CON'ST13:11V
OCCUPANCY GRP- : R3
OUCUPAN[:,Y LOAD
em.`ark a : Path 1
Ownerl
LEGEND HOMES
x,900 SW HAINEx"S ST
T IGARD GR c7223
Phone #: 620--8080
Contractors
LEGEND HOMES COP.PORAT I ON
7160 SW HA7.ELFERN RD.
SUITE 100
T 16ARD OR 97224
41hone #: 620-8080
RPL #. . : 60'>363
this Certific.�te ar-�nts occ�I_iE.raAncy of the e.bnve refer^eticecl b�,iiliinta or, portion
I
then~Qr�f and contirmss that the t)uilding has been inspected for CpmPliance Witt'
► he State of Ore; Spec: i�alty Codes for th«� gr o�.�p, rcc�as, ncy a i use unclpr^
iihicti 'the referenced permit waR issued.
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NUIL_DING Or'FICIAL
c1f 9 ILUTNG INSPECTOR
v,
~ POST IN CONSPICUOUS PLACF
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CITY OF TIGARD
DEVELOPMENT SERVICES DIASTER F'ERDIIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMi,"rc#. . . . . . . : 11ST96--046
DATE ISSL)ED: 10/14/'9E,
F'r;pCEl_; 2S 1 03E1D—HGOc_E:,
SITE ADDRESS. . . : .42-lftrS SW 116TH AVE
SLIBD I V I S I ON. . . . : tAUNTE R' S GLEN ZONING: R-4. 5 PD
BLOCK. . .. . . . . . . . . LOT. . . . . . . . . . . . .. :02'Ej
Remarks: Path 1
-----------..--------------------------------------------------- BL DING ----------------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS-------- BASEMENT...: 0 sf REQUIRED SETBACKS---- RF�U!RFT)-------------
LLASS OF WORK.:NEW HEIGHT........: 23 FIRST....: 1198 sf GARAGE.....: 651 sf LEFT..........: 19 SMOKE CETE"TRS: Y
TvF" 9F USE.., :SF FLUOR LOAD....: 40 SECOND...: 961 sf FRONT.........: 20 PARKING SPR.ES: 1
TYPE LF CONET.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 21511 sf VALUE..:: 155947 P.EAR..........: 15
------------------------------- ------------------------------ PLUMBING ---------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 PAIN DRAIN ft: C TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAIr 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
----------------------------------------------------------------- MECHANICAL -----------------------------•--------------------------------
FUEL TYPES--------- FURN l 100K ..: 0 BUIL/CMP ( 3HP: 0 VENT FANS...... 4 CLOTHES DRYERS: 1
/GA5i / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX [NP.: 0 B1U FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
----------------------------------------------------------------- ELECTRICAL ---------------------------.------------------------------------
—RESIDENTIAL UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS— ---MiSCELLANEOUS---- --AUO'L INSPECT[ONS--
1600 SF OR LESS: 1 0 - 200 asap..: 0 0 - 200 alp..: 8 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA AOD'L 500SF.: 4 281 - 400 amp..: 0 201 - 400 amp... 0 1st a/O SVC/FDR: 0 SIW GUT LIN LT: 3 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - IN@ amp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0
:000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECT160 -----------------------------------
Recornect only.: 0 )=4 NES UNITS..: SVC/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------ --- ELECTRICAL - RESTRILTED ENERGY ------------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTER",OM/PACING: OUTDOOR LNGSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC... LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARA5E OPENER..: CLO14..........: INSTRUMENIATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
3wner: -------------------------------------Contractor: ---------------------------- TOTAI_ FEES:$ 4516.95
LEGEND HOMES LEGEND HOMES CORPORPTION
6900 SW HAINES ST 7160 SW HAZELFERN RD.
SUITE 100
7IGARD OR 97223 TIGARD 9R 97224
2 Phone li: 620-8000 Phone M: 620-8060
Reg N..: 60563
V)
> This permit is issued subject to the regulations c-ontain�d in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
------------- -------_------------------------- REQUIRED INSPECTIONS -------------------------------------------------- -----
�; Footing Insp PLMiUnderflnor Framing Insp Gas Fi!eplace Water Service In Building Final
Foundation Insp Mechanical Incp Shear Wall Insp Insulation Insp Appr/Sdwlk lisp Erosior Control
Post/Beam Struct Plumb Top Out Low Voltage Gyp Boa,•d Insp Electrical Final
Post/Beam Mechan Electrical Servi Fireplace insp Rain drain Insp '_-f"ehanicdl Final
Crawl Drain Electrical Rough,) Gas 'ne In p ter Zine Insp Plumb Final
F'e v-m it C e e Si gnat r.A,•e : / '
Ca 11 ` c, s Pect i on - 639- 4175
CITY O F T I G A R D SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : 5W R96-0468
DATE ISSUED: 10/14/96
PARCEL.: 25103BD—HG0C'-:,.6
SITIE ADDRESS. . . : 12453 SW 116TH AVE
SUBDIVISION. . . . : HUNTER' S GLEN ZONING: R-4. 5 PD
BL0(1V. . . . . . . . . . : LOT. . . . . . . . . . . . . :026
------------------------------ -----------------------------------
TENANT NAME_. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I
I NSTA'-L TYPE. . . . .BUSWR IMPERV SURFACE': 0 S f
RemiAr-ks : P-.�'Lii i
Owner: -------------------------------------------------------- FEES
LEGEND HOMES type amoi-int by date r,ecpt
6900 SW HAINES ST PRMT $ 2200. 00 DRA 10/14/96 96-285147
INSP $ 35. 00 DRA 10/14/96 96-2185147
'TIGARD OR 97223
Phone #: 620-8080
CoTltt-actal-:
(CONTRACTOR NOT ON FILE
-----------------------------------------
PhoTie #: $ 2235. 00 TOTAL
Reg #. . :
......... REOUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and re-,ilations Sewer Inspect ioii
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not 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
4 "Tap and Side Sewer" Permit and the gency wi I install a lat ral.
P e t-in i t t e e a.
g 1A t,
T,;s-led B
Cal. 1 for" inspection 639-4175
Plan Check#-1- ?'-7(
--ITY OF TIGARD Residential Building Permit Application Recd By C VJV#n%�
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd z` '
TIGARD, OR 97223 Single Family Detached or Attached Date to P E.
(503) 639-4171 Date to DST
Print or Type Permit#
Called_ 1 1 11P
Incomplete or illegible applications will not be accepted
0( L C�� S -
t/OCA71DOt" 61[��I"r;
Name of Subdivision Lot# Name
Job IIUNTLR S GLEN 26 1 1 GLND1 1S
Architect Mailing Address
Address SiteAddres /;,2y� x,900 5W Ilai.nes St .
' 5W 116th Avenue
Name City/State Zip wh e
LEGEND HOPICS I i dared , OR 97223 � 0
Owner Mailing Address Nl;i )I I_ I L'I I
6900 'W Haines St .
Cit /State i Ph Engineer Mallin. /odd ess
� TitJrtrrl , 0!', `�p/223 :,���--[30E1(l 69L7 �W IlamOtnn 5t .
City/State Zip
Name Phone
L CGLND II0ML5 T i (In ryl 01, J72'L 6 t-711(15
General Describe work new,yk, addition O .;aration O repair O
Contractor Malting Address to be done: _
6 9 0 l) 5 W Haines S t . Additional Description of Work:
City/State Zip Phone
T}garci , UR `)722 5 62(1-[l(IEiO
01"gon Const.Cont.Board Lic.# Exp. Date
Attach Copy off.' 06 Q 6 3 6/19/97
j Current COT Business Tax or Metro# E ValuatioProject n I s �� f �,
Licenses } 4 3 71 �9 7t$7
Name NEW CONSTRUCTION'ONLY:
SUNGLOW INC . Sq.Ft. Hp use: Sq.Ft.Garage:
Mechanical -1
Sub- Mailing Address
Contractor 2428 5 L 10 5th Corner Lot Yefi No Flag Eat Yes
pity/State zip Phone (check one) `� (check one)
I Port 1 a n d i__ 01? 97216 25.3-77WI Restricted Audio/Stc,reo Burglar
Oregon Const. Cot. Board Lic.# Exp.Date Energy System Alarm
r� Attach Copy o4 H 1 3 1 5��o `17 Installation Garage Door HVAC
Current COT Business Tax or Metro# Exp. Date �/
Licenses 12 7 6 i Upener e1,w �` ystems
Name (check all that Ott+er: IV
Plumbing WOLCOTT Plurnbin0 apt,y) ,tofi;+r� �(a��hkr (:rtq Dnp=
Sub- .!ailing Address - +ill "le electrical subcontractor wire for air Yes Nc
Contractor PIT O o x 2007 restricted energy installations?
C tyBtate zip Phone Has the Subdivision Plat recorded? N/A Yes No
Gresham , OR 97n3n 667-9H91
Oregon Const.Cont. Board Lic.# Expate Reissue of MST# Compliance
Attach Copy of1 0 1 `1/9 7 0 i! ' (CE, ulation attached)
A Current e221'U6
bing Lic.# Ext Date I ,ereby ackncwiedge that I have read this application, that the
V Licenses -2 0 H F B H/31/9 7 information given is correct, that I am the owner or authorized agent of
I (;OT Business Tax c:Metro# Exp. Date the owner and that plans submitted are in compliance with Oregon
�. 96-4281 12/96 State laws
— � Name Signaturef Ow r/Agent Date
c I Electrical Garner Llectric ��-'
Cont Ppon7
v5 Sub- Mailing Address �G�
Centractor 21.78`) SW TV Highway FOR -_ ''F CE USE O LY:
City/State Zip Phoner Plat# Map/TL#:
Aloha OR 97006 591-1 :520
rc Oregon Const.Cont. Board Lic# Exp. Date �(� ' I ' (V, 2-`� V �bD (�
w Attach copy of 74896 71 I tO- C Setbacks Zone: Solar: �.
-t Current Elecincai Lic # Exp. Date �/
Licenses 1
-34- 50')C - 1 r? '1
COT Business Tax or Metro# Exp. Date Engineering A Groya1: Planning Approval: TIF:
37075
�—
.asWnistapp.doc
34-y J�
��.o /lo-n Ck
Pt2rmit # Account D 25crjptign Amount Amt. Pd. ¢a1. Due
MST. Permit (BUILD) S�_? ,1d .573,
Plumb. Permit (PLUMB) :P d
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX) •G�� G a�
Bldg: �E6,
Plumb: f/ Z
Mech: t ,
ELC/ELR: 1.2, )-?)
Plan Check
MST: (BUPPLN) ?• ZSD /,?,2• -� ,
Plumb: (PLMPLN)
Mech: (MECPLN) %. 1
CDC Review (LANDUS) </0
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) � 3 -)
Parks Dev Charge (PKSDC)
Residential TIF (1 IF-R)
Mass Transit TIF (TIF-MT) f ?tel J�
Water Quality (WQUAL)
a
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion PlancklUSA (ERPLAN) ;Jy �v,
° Erosion Planck/COT (EROSN)
w
Fire Life Safety (FLS)
TOTALS: �r22q )_
Astslmstapp doc % 5
Rev ?/96
Solar Balance Point Standard Worksheet
Address (4Q� Ay L_ �L;rw .s Lor
Box A calculations: North-South dimension for the lot. Flux A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the Noah lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
4 45°—►
T�T�RN tN
`OSNot th-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. /
�LO feet
-_ 1
� N
-+NORh45pUM pME11SION
Box B calculations: Shade point height for your residence. Box B.
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
1 a. If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof. ❑0 a o A,
r1A 1 B 1 C
1 b: If the roof line runs East-West and the roof pitch is
CL less than 5/12, measurements will be based on the
q...a
Cr cave.
SFUIJE PONT EAIf
T
h
c: If the roof line runs East-Wtst and the roof pitch is
—' 5/12 or steeper, measurement- will be based on the
peak.
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ft
the lot slopes down from the front lot line to the foundation, the figure is negat'./e.
3. Measure distance from finished floor elevation to the affet cd peak/eave. + - ft
4. If the roof line runs North-South, deduct thre, `set. If the roof line runs East-West, - ft
deduct nothing.
S. 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. - ft
6. Total figure for box B: _21_6�_�— ft
Box C. Distance to the shade reduction line. Box C:
1. Measure `.he distance from the North property line to the foundation near the �— ft
affected peak/eave.
?. Measure the distance from the foundation to the affected peak or eave. + 27 ft
3. Total figure for box C: _ ft
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 horizental 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 i^box"D", then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171,x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT In Feet
Distance to North-south lot dimension(in feet)
shade 100+ 95 90 85 80 70 65 60 55 50 45 40
reduction line
from northern
lot line tin f P. t��i_
70 40 40 40 41 42 43 44
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 3 7 38 39 40 41
50 32 32 32 33 34 3 i 36 37 38 39 40
--30 30 30--. 31 34-- 35 36 37 39--39- -
40 28 28 28 29 30 31 37. 33 34 35 36 37 38
Of 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 3t
F 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 2.9 30
2 15 .8 18 18 19 20 2� 22 23 24 25 26 28
w
10 16 16 16 17 18 1i9 20 21 22 23 24 25 .'6
J 5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box G. Maximum allowed shade point height: �?�_ feet
h:`,docslnancy\ventura\solar.chp
Revised 2/26/96
PLOT PLAN
LOT *�2 6 , i...4uN"rE R,5 GLEN
12453 SW 1froth AVENUE I° • 2m'-m°
MAP " 2ro1035D, TAX LOT * 1000
N.E. 1/4 OF SECTION 3, T.25, R.1 W, W.M.
CITY OF T IGARD WATER METER
WAS�41NG TUN COUNTY, OREGON W------- WATER LINE
85——--— SANITARY SEWER
SD— — — — STORM DRAIN
LEGEND HOMES i-�-- a OF STREET
MANHOLE
6900 S.W. HAIM EAR><t'f nGARD, ORIGION � CATCH BASIN
PIAU 8, BUM 800 07283-2614
0MC1 (503) 680-8080 FAX (6037) 698-6000 L`'IYT PROPOSED
STREET TREES
STREET LIGHT
FIRE HYDRANT
n X6 �r
T' 2-1
SETBACK LI
------ 5@' L07' 25
PQ I e01 t /
LOT 26
5,3'10
_ �u�rNr sc�R r r
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R�
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2140 ' UTAIOUITYSoMmomoom
— —
1
SIDEWALK
CURB
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