13604 SW 130TH PLACE n
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Page No. 4 CASE HISTORY FOR CASE NO.- MST97-0091
BR ,�E TILLEY
1.3601 SW 130TH PL
06/18/98
Action Description Req/ Schd/ End/ Actiorr Notes Disp By Update Upd
Code Sent Done Done I Dare By
------- ------------------------------ -------- -------- - ------------------------------- ---- --- -------- ---
MSTA790 Electrical Final 04/09/97 r / 10/16/97 Matt: Good job. Liners at wainac-)sting PASS BRP 10/16/97 J`H
noted. Paiel schedule real
profession-1. Outlets are strairht.
Flat on wall, no problems • final
pace, low voltage ass.
MSTA755 Mechanical Final x./09/97 / / 11/26/97 PASS KS 1.2/01/97 J-H
MSTA795 MechanicKl Final :2/19/97 / / 12/09/97 PASS ZI 12/19/97 J7.'
MSTA797 Plumb Final 04/19/97 / / 10/28/97 '. Hot water heater is leaking. FAIL MS 02/1.8/98 TTP
2. Main shut off valvc-?
3. One double check okay.
MSTA797 Plumb Final / / / / 11/13/97 SASS MS 11/13/97 MRS
M.9TA799 Building Final 04/09/97 / / X2/18/98 Needs to pay reinspection fee of 5`5.00 PASS HAP 02/18/98 J*H
before approval of building final . See
reinspection/plumbing.
See Lognote re: plumbing reinspect fee.
File reviewed and plumbing reinnpection
fee waived. Data entry additions for
crawl drain and underfloor plumbing.
MiTA799 Building Final 12/19/97 / / 12/09/97 final'eronion control app., electrica. PASS KS 02/19/98 TLP
final app 10/16/97 by brp, plumbinn
final approved 11/13/97 by MS
this information was entered by Jeanne.
in the process of looking at incoming
inspections to file, I saw ti.at the bldg
& mech final inspections had not been
data entered
MSTA9t:0 (F) Ise•te Cext, of Occupancy / / / / 12/09/97 MAILh4) 6/11/99 MAIL VN 06/,i/98 VLN
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Page No. 3 CASE HIE .uRY FOR CASE NC.: MST97-OOS'l
BRUCE TILLEY
13604 SW 130TH PL
06/19/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
code Sent none Dome Date By
MSTA726 Shear Wall Insp / / / / 07/08/97 NO APPROVED PLANS ON SITE. FAIT ' i 07/08/97 J•H
M.STA727 Low Voltage 04/09/97 / / 10/16/97 PASS ARP 10/16/97 J-H
MSTA735 Gan Line Insp 04/09/97 / / 07/17/97 25 psi, approved CRSS KS 08/20/97 J+H
MSTA740 Insulation Insp 04/09/97 / / 07/22/97 1. Adjust batt insulation at ceiling no PAS^ KS 07/27./97 .7•H
not to restruct air flow. Provide
one-inch air space between inr -ion
ai.a roof nheathing.
MSrA745 Gyp Board Insp 04/09/97 / / 07/28/97 Drywall nailing &proved, provide accesn PASS KS 08/20/97 J*H
at jacuzzi.
Shear wall nailing not applicable al
gypsum.
MSTA7'55 Rain drain Insp 041'09/S7 / / 05/19/97 req, underfloor crawl drain PASS MS 05/20/97 MRS
MSTA7S Pain drain Insp / / / / 09/03/97 Need additional crawl drain an we FAIL RAB 02/18/98 TLP
discussed the last time I wan ouL here.
MSTA760 Water Line Insp 04/09/97 / / 07/28/97 not ready NAIL RAA 02/18/98 TLP
'r::,TA761 Water Service Insp 04/09/9 ' / / 07/30/97 PASS MS Oe/20/97 J•H
MSTA7(5 Appr/Sdwlk Insp 04/09/97 / / 06/06/97 1. Finish forming on lower sid9walk; PASS MH 08/07/97 S*W
provide drain holes.
2 Upper sidewalk; provide drain holes.
1. Bury white 1 1/2^ pipe sleeve.
2. Lower black ABS rain drain pipe.
3. Form up lower sidewalk.
okay to pour after completing i and 2.
MST^765 Appr/Sdwlk Insp 08/15/97 / / 08/il/97 PASS MH 08/15/97 S•W
MSTA770 Misc. Inspection / / / / 12/09/98 Note: BYttered by review of filo: PASS HAP 02/18/99 J•H
n Crawl drain inspection approved with
cc: Building Final. See file for Ken's
H
N noter.
r
MSTA780 —REINSPECTION— / / / / 09/07/97 (Noed additional crawl drain an we WVD HAP 02/19/99 J•H
J
�-. liscussed the last time t was here.
L
$25.00 to nspection fee annenned --
R4M.) Reinspection fee waived y Hai) by
.1
review of file. see final approval
dated 120997 for crawl drain approval.
Page No. 2 CASE HISTORY FOR CASE NO.: MST97-0091
BRUCE 'TT LLF.Y
13604 SW 130TH PL
06/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update upd
C,de Sent Done Done Date Hy
MSTA720 Mechanical Inep 04/09/97 / / 07/22/97 rough in meth approved PASS RS 07/22/97 J•H
MSTA720 Mechanical Inep / / / / 07/17/97 1. B-vent at furnace to, ching FAIL KS 08/20/97 J+H
insulation.
2. Frame around vent. at furnace collars
and secure.
3. Secure insulation at fireplace.
4. Provide installation manual
(fireplaces).
5. Secure fireplaces.
MSTA722 Plumb Top Out 04/09/97 / / 07/07/97 1. Requires lateral brazing on yrnir FAIL MS 0'1/15/97 J*H
clothes washer vent.
2. No test upstairs.
MSTA722 Plumb Top Out 17/20/97 / / 07/17/97 ^A! "B 0'/20/97 J*H
MSTA723 Electrical Service 04/09/97 / / 07/15/97 P 07/lb;97 J+H
MSTA724 Electrical Rough In 04/09/97 / / 07/15/97 Service 6 rough in okay, correct the " 07/15/97 .'H
following prior to final:
1. Flex to furnace meut be secured to
structure hot to luct work.
2. Panel schedule to be complete, •easy
to understand, finish wore.
I IS A GOOD JOB. NO FAN BCXFS.
MSTA727 Framinc; Inep 04/09/97 / / 07/22/97 PASS KS 07/22/97 J•H
MrTA725 Framing Inep / / I 07/17/9' 1. Complete framing at fireplaces. PASS RS 118/20/97 J•H
2. Nail hip jackn.
3. Wall aromid duct at upper level and
h-vent at u21er storage room.
4. Double 2x6 poet supporting hipn,
valleys and ridge; support at mid-point
as shown.
5. Add save vents at botu�• room.
1 6. Fireblock at tub.
Y 7. Positive connection ceiling joint to
•n rafter/left side of garage.
a
J MSTA725 Shear Mall Inap 04/09/97 / / 06/26/97 wet cum_rete, garage, couldn't inspect FAIL :CS 06/27/97 J`H
r.hoal panels or size and lo7ation of
1 r,I owiln.
aJ
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MSTA726 Shear Mall Inep / % i 06/30/97 1. Extericr shear panels; app call for PA9? Fr 07/0:/97 J-11
interior panels after electrical,
insulation are approved.
APPROVED AS NOTED
MENNEEMENE
Page No. 1 CASE HISTORY FOR CASE NO.: MSI-97-0091
BRUCE TILLEY
13604 SW 130TH PL
06/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA005 Application received 03/28/97 / / 03/:5/97 RECD JD 03/28/97 BON
MSTA008 Permit Creatod 03/28/97 / / 03/;A/97 PASS B 03/28/97 BON
MSTA010 Check for prcl. restrict. 03/28/97 / / 03/7.1/97 PASS B 03/28/97 BON
MSTA012 Plans routed to Pla._s Examiner 03/20/97 / / 03/28/97 PASS B 03/28/97 BON
MSTA01.5 Plan Review Ltr. to Ofc. Svcs 04/09/97 / / 04/09/97 SENT RDP 04/09/97 RDF
MSTA026 Plans approved by RPE G4/09/S° / / G4/(j9/97 APPR RDP ')4/11/97 RDP
MSTA030 Reviewed plans routed to DSTS 04/09/97 / / 04111/97 RDP 04/11/97 RDP
MSTA032 DST Post-Review Completed / / / / 04/16/97 PASS B 04/16/9"i nHN
MSTA080 (F) Ready to insue / / / / 04/16/97 General contractor CCB expired. MEi!O B 04/16/97 PHN
Electrical contractor CCB and Metro
expired. Do not issue until thin info
in current.
MSTA092 (F) Issue combination permit / / / / 04/28/97 PASS B 04/28/97 DST
MSTA095 Inoue plumbing signature form / / / / 04/28/97 RECD JMT 02/17/98 JT
MSTA09'7 Inoue electric signature form / / / / 05/28/97 RECD SW 02/18/98 JT
MSTA097 Isnue electric signature form / / / / 01/09/97 Change of electrical --ntractor per RECD JMT 02/18/98 JT
Weber Electrical. Had letter signed at
counter and issued neva label to H m.
MSTA700 Erosion Canto?. 04/09/97 / / / / 04/09/97 RDP
MSTA703 Footing Insp 04/09/97 / / 04/29/97 #-1- need initial eronion cart ro app DIS KS 04/30/97 KBS
#-2- excavate left rear f.tg to lwer
level
MSTA705 Footing Inen / / / / 04/30/97 APP KS 05/06/97 KBS
MSTA706 Founds'-ical Inap 04/09/97 / / 05/05/97 APP KS 05/06/97 KBS
MSTA710 Poet/Beam Structural 04/09/97 / / 12/02/97 Provide king stud each nide of beams at FAIL KS 12/16/97 J•H
re r bay.
Gunnet each side of beam nplicen.
Replace broken lateral nupport.
See bldg. finalfor mechani,.al
corrections.
[L MSTA710 Poet/Beam Structural 02/18/98 / / 02/18/98 Review of file, work inspected and PASS HAP 02/18/98 J-H
H
t/1 approved by KS on 112697
HH
MSTA711 Post/Beam Mechanical U4/09/97 / / 05/20/97 APP FC 05/21/97 rOC
MSTA712 Underfloor insulation 04/09/97 / / / / 04,09/97 RDP
CD MSTA713 Crawl Orai../Backwater ••slue / / / / 05/05/97 HAP NOTED: ENTERED BY REVIEW OF FILE: NOTE JMT 0!405/98 JT
W CRAW,, DRAIN INSPECTION APPROVED WITH
—1
BUILDING F-NAI,, SEE FII,E FOR KENS NOTES.
MSTA717 PLM/Underfloor 04/09/97 / / 1:./13/97 Entered at review of file. Inspected by PASS HAP 02/18/98 J•H
M8 on 111397 but not entered.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: / q,11i. P.M. _ MST:
�(
Location: I ''� �' S1 I,3C' / !y - ELI BUP:
Tenant: ,4 _ Suite: Bldg: MEC:
Contractor: , �� Phone: ;�- t 4 _�, PLM:
Owner: L Phone: ELC:
L L).
7r; p- f�J—SIT
BUILDING cont) LUM ING C AN[ Et-1 SITE
Site osuneam PostlBeam os eam �/�y Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-Fn A�p Ceiling Water Line
Slab Framing Top Out Gas bine Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Va'It
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain DrainIVC UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found 1 heat Pump Low Volt
E///;27
Approved -) Approved A i ro approved Approved
wl of pproved Not Approved t�otApproyed Not Approved Not Approved
%"PT1�fAT ' t FINAL /FINAL FINAL FINAL
(6.,1 A=04,5Yo/V AP—e 140-16-41 Z!r;%,,;;�
r11.��.fcs 1!52A4,� A0P_I/_/3__VZ V -5-
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O Call for reinspectio O Reinspection fee of S required before next inspection 0 unable to inspect
inspector:__ _ - Date: _P `�/'� Page of
CITY Oh'TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business ?hone: 6394171 n /
Date Requested: V r24- 6 A.M. P.M. MST: 7 7 C�0 y�/
Location: � ']�� f„L,07" 3 BUR _
Tenant:` N Suite: Bldg: ?, MEC:
Contractor: Phone:
Owner: Phone: _ _ ELC:
,�1A ELR:
_ L14, C fSC Rff: 91-7
BUILD;NG BLDG(con't) LUMBING MECHANICAL ELECTRICAL SITE -7/,L
Site Post/Beam N(LUBeam Post/Bedm Cover/Service Sewer/Storm
Footing Roof UndFI/Slah Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-Ir QLGS u
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alyn Crawl/Found Dr I leat Pump Low Volt
Approved Approved Approved Approved rov
Appr/Sdwlk Not Approved rove ) Nol Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
--- --
41—
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6elFfor reinspection M Reinspection fee of$ _req iiect-b�e{fore next inspection O linable to inspect
Inspector�/ �� Date: `- V 1 Page_ of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-417 Businnnes''s Phon 639-4171
C 1, .---�G
Date Requested: , r -7C p�-7 7 A.M. P.M. MST:
Location: (30 P a c_� __ BUR —
Tenant:_ /Su-itte:� Bldg: MEC:
Contractor: 1J� " -- _Phone:L;, PLM:
Owner:^ Phone: ELC:
�ELR:
_ �_
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Bearn Post/Bewn Post/l3cam Cover/Service Sewer/Storm
Footing Roof 11ndFl/Slah Rough-In Ceiling Water Line
Slab Framing I'o Ord Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer 11ax1/Duct Reconnect Vault
13:;mt damp Ihywall Furnace "Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath 'ire Sp'dr/Alm Craw 'ound Ih I lent Pump Low Volt
Approved �� Qy Approved Ap)roved Approved ---
Appr/Sdv+lk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
CC
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C7 Call for rei nspection,___7 Rein tior 'ee of s_ required before next inspection C7 Unable to inspect
Inspector: Ihrte j- — Page of
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Olvd., Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . : MST97-0091
DATE IS)SUED. 12/09/97
PARCEL: 2S104DD-07600
SITE ADDRESS. . . z 13604 SW 1301"H PL
SIM I V I S I ON. . . . v MOUNTA I N 1.1I GIALANDS NO. 3 ZONING:R-4. 5
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . s034 JUR13DICTION:TIG
--------------
CLASS OF WORK. cNEW
TYPE OF USE. . . sSF
TYPE OF CONGTR:5N
OCCUPANCY GRP. :R3
OCCUPANCY LC)ri[)s;F-'
Remarks e Path I
Owner-
BRUCE TII-LEY
14210 SW 121ST AVE
TIGARD OR 97224
Phone #s 620-4196
Lontractore
TILLEY HOME5) INC
14210 SW 121ST AVE
TIGARD OR 97824-2BI9
Phone #i (�2.21-4196
Req #. . 1 000819
1111s Gertificatp grants oc-cupency of the abrive reference-d building or pertion
thereof' acid confirms that the building has been inspp(7tpcj for raippl .iance with
the State of Oregon Specialty Codes for the group, oc:�upancy, and USP I.MdeV
which the referenced permit was issued.
eUILD p IN E'liO 4*40 f3popp? LiINSPEC SUPERVISOR
POST IN CONSPICUOUS PLACE
4 CITY EDF TIGARD
PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . , : PL
M97-043 1
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE T SSUED: 10/27/97
PARCEL: 2G t O4DD 076OO
`TTE ADDRESS. . . : 1 -,604 SW 130-11-1 PL-
` . . . . : MOUNTAIN HIGHLANDS NO ZONING: R_Lr. t,
iAl_OCK. . . . . , . , , , . LOT. . . . . . . . . . . . . :034 JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE: D_ POSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . .SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
f.3CCUPANCY GRI='. . :R3 FLOOR DRAINS. . . . . . , 0 TRAPS. . . . . . . . . . . . . .. . 0
SITORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
I-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . . 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWER. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. ; 0 WATER LINE (ft ) . . . : 0
DI S;HWASHERS. . . . : 0 RAIN LRATN (ft ) . . . : 0
Remarks : Install.aa, ion of r( siciE1ntic,l bacl-(flow device for~ 1randscape.
nwner^: _.._..__.__._____..__.________.__..._._.__._....__w____._.______.___.__._._____.._ FEES
BRUCE TILL-EY type amoi.rni; by date rer_pt
14210 SW 1218T AVE PRMT 'b 1.5. 00 DST 10/27/97 97--300415
TIGARD OR 97224 5 P C T s O. 715 DST 10/27/97 97--30041. 5'
('hone #:
('ontr,actC)r^
c) 8 D P!_UMBING
PO BOX 1469
1-1TLLSRORO OR 071 --1 12C,
Phone #-. E4O--5770 $ 15. 75- TOTAL
Reg 0. . . 00019.9
-- -- -- REQUIRE.) INSPECTIONS _.__.-------
This
- -_..This pertit is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I n s p ec_t i o n
applicable laws. All work will be done in accordance with
approved plans. This pertit will expire if work is not started
within 180 days of issuance, or if work is suspended for tore
CL than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
V; set forth in OAR 952-0001-0010 through CAR 952'-0001-0080. You P,
_ obtain copies of these "ules or direct questions tc CIAC by calling
J
CJ
W
J
SS .r d By ,_._ _ Per»m i.t is e e Signa
t>' _
+++f+++++++ Fl .r+++++++++++++++++-F++•E-++-h+-l-++++++F+++•F++ l 1 +++ +•F+� +++++F++1 ++++ F+
Call 63`3-417 5 by 7:00 p. m. for +n inspec_t ion needed the next bi.tsiness day
-&4-+++++++++++++++++++++++++++++++++++++-F-h+++++++++++++-F++++-F+++++++++++++++++
CITY OF TIGARD Plumbing Application Rec'u$y
13125,SW HALL BLVD. Commercial and Residential Date Rodd rc �
Date to P.E.
YIGARD OR 97223 _
Date to Ds
(503) 639-4171 --" "
Permit#
Print or Type Related SWR#`_
Incomplete or illegible applications will not be accepted Called
Name of Developntenl/Pro)ect On back Indicate Work Performed by fixture.
.lob 'I ILt y I �,b' vtc FIXTURES (Individual) Q TY PRICE AMT
Address Street Address t Suite Sink 9.00
W � U /� Lavatory 9.00
Bldg# City/State Zip Tub or Tub/Shower Comb. 9.00
/ `Z Shower Only 9.00
Name / T
1 r��_ �( i F7 �S !-11C, Water Closet 9.00
Owner Mailing Address S f• Suite Dishwasher 9.00
r fL ,5— /,Z-/ iL Garbage Disposal 9,00
City/State ZI Phone
-F_
1 Washing Machine 9.00
Name C/ Floor Drain 2' 9.00
_ 5" 9.00
Occupant Mailing Address Suite 4' 9.00
City/State Zip Phone
Water Heater O conversion O like kind 9.00
_
Laundry Room"ray 9.00
Name 4 i-/ V l d;; t ••, N Urinal 9.00
-T /lir C1?` t"� - r Other Fixtures(Specify) 9.00
Contractor Mailing Address r_ Suite 9,00
Prior to permit City/State Zip Phone
9.00
issuance,a copy 7 7{ ,f/- 9.00
of at;licenses are Oregon Const.Cont.Board LicA Exp.Date 9.00 _
required it Sewer-1st 100" 30.00
expired in COT Plumbing Lic.# Exp.Dale Sewer•each Tdditional 100' 25.00
database
Name Water ServI- •1M i"^' 30,00
Architect Walr 5Prvice.each additional 200' 25.00
Of
Mailing Address Suite Storm&Rain Drain-1st 100' 30.00
Stone&Rain Drain-each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New O Addition O Alteration O Repair O Pollution Device
to be done: Residential O Non-residential O Residential Backflow Prevention D,)vice' 15.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp.of Existing Plumbing 40.00
per/hr
Existing use of Specially Requested Inspections 40.00
budding or property_ _V per/hr
Rain Drain,single family dwelling 3000
Proposed use of --
budding or property Grease Traps 9 00
QUANTITY TOTAL
j I hereby acknowledge that I have read this application,that the i iformatlon Isometric x mer diagram is required d Ouanny Total is �9
givens correct,that I am the owner or authorized agent of the ov,ner,and
y I
that plans submitted are in compliance with Oregon State Laws 'SUBTOTAL 6 i
�- Signature of(h►mer/A9ent onto
5,
J I �'" /e SURCHARGE
PLAN REVIEW-.5%OF SUBTOTAL r
-� Contact Person Name / Phone Required only I fixture qty total is>9
LU
TOTAL �C 7
*Minimum permit fee is$25•5%surcharge,except Residential Bac flow
Prevention Device,which is 915+5%surcharge
—.3w"app doc 5197
P_I..,_EASE COMPLETE•
V
Fixture Type Quantity by Work Performed
Capped I Removed Moved Replaced
Sink
Lavatory
Tub or 'rub/Shower Combination
Shower Only _.
Water Closet _
Dishwasher
Garbage Disposal
Washing Machine_
Floor Drain 2"
Water Heater _
Laundry Room Tray _
Urinal _Other Fixtures Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I 1 IMPIma0C doe SW
CITY OF TIGARD
DEVELOPMENT SERVICES MASTfTR PERMIT
131255WHall BIvd. Thard OR 97223 (503)639PERMIT #. . . . . .. . : MST9'-00`31
- DATE ISSUED: 04/28/97
PA RCE[._: 2S 104DD-07600
I 1 E ADDRESS.. . . : 13 604 SW 1.30TH PL
SUBD M S I UN. . . . :MCILINTA I N H T GHI_ArIDS ZON I N(a: H--4. 5
PI OCK. . . . . . . . . . 1-0T.. . . . . . „ .. . „ . . . X034 .JI.JRISI)ICTI0] ,I:
Remarks: Path 1
-----------------------------------------•----------------- - BUILDING --------------------------------------------------------
REISSUE: ?TORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REDUIRED SETBACKS--.-- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT......... 24 FIRST....: 1389 sf GARAGE.....: 864 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD..... 40 SECOND...: 1230 sf FRONT.........: 20 PARKING, SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 F!NASMENT: 0 sf RIGHT.........: 5
9CCUPANCY GRP.:R3 BDRM: 3 BATH; 3 TOTAL------: 2619 sf VALUE..1: 190487 REAP..........: 15
--------------- - ------ PLUMBING ---—-------------—------------------.----------------------—
SINKS.........: 2 WATER CLOSETS.: 3 WASHING MACH..: 1 LA.INORY TRAYS.: 1 PAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOIR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARbACk DISP..: 1 WATER BEATERS.: 0 WATER LINE ft: 100 BCKFLW PREVNfR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
----------------------------------------------- -------------- MECHANICAL -------------------------------------
FUEL TYPES---------- FURN f 1001( .,: 0 BOLI-/CMP ( 3HP: 0 VENT FANS.. ..: 3 CLOTHES DRYERS: 1
GAS FURN )=I(*, ..: 1 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS,..: 0
MAX INP.: 125000 BTU FLOOR FURRNACES: 0 VENTS.........: 1 JDODSTOVES....: 2 GAS OUTLETS...: 1
---------•------------------------------------------------- ELECTRICAL ------------------------------------------ _-------_ -- --
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCIIITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRPIGATION: 0 PER INSPECTION: 0
FA ADD'L 'ASF.: 5 201 - 400 amp..: 0 201, - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: q
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/FDP,: 0 601 - 1'00 amp.: 0 601+34ps-1000 v: 0 MINOP LABEL. -10: 0
1000+ amp/volt.: 0 ---------------------------------- PLAN REVIEW SECTION -----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-22.5 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ----------------------------—---—--------------
0. SF RESIDENTIAL--------------------- B. COMMERCIAL-------------------------------------------------•-------------------------
AIJL;O I STEREO.: VACUUM SYSTEM..: AUDIO G STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER.. : X CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: ••
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
Owner: ------------------------------------Contractor: ------------------------------ TOTAL FEES:$ 4871.51
RRWT TILLEY TILLEY HOMES INC
14x10 N 121£1 AVE 14210 SW 121ST AVE
TIGARD OR 97224 TIGARD OR 97224•-2819
Phony a: 620-4196 Phone ((: 620 41%
s
Reg #..: 81924
This permit is issued subjert to the regulations contained in the Tigard Municipal Cade, State of Ore. Specialty Codes and all mt' ar
applicable law.. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issdance, or if work is slisoended for more than 180 days.
c
--
—-----------------I -------------------------------- REOUIRED INSPECTIONS -------------------------------------------------------
rro0 on Contol Post/Beam Meehan Electrical Servi Gas Line Insp Water Service In Plumb Final
F,rading Inspecti Underfloor insul Electrical Rough Insulation Insp Appr/Sdwlk Insp Final inspection
rooting Insp PLM/Underfloor Framing Insp Gyp Board Insp Misc. Inspection Building Final
Foundation Insp Merhanical Insp Shear Wall Insu Rain drain Insp Electrical Final
Post/Beam Struct Plumb Top Out Low Voltage Water Line Insp Me tic"I'VOLl F
i- I
f=,ar•mittee Signat -�r•e ; _ ._ _ .____
Isso-led Sy: _-. '.
Call for inspect i on -- F,39--41 77)
IMP
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 5W Hall Blvd., Tigard,OR 97223 (503)639.4171 PE i:M I T
PERMIT #. . . . . . . . SWR97-009c:'
DATE ISSUED: 04/;8/97
PARCEL-. �S104DD-07�a00
SITE ADDRESS. . . : 13604 SW 130111 ,-
;UBD I V T S I ON, . . . :MOUNTA I N H I OHI.-.ANDS ZONING: R-4. 5
BI_OCI'.. . . . . . . . . . LOT. . . . . . . . . . . . . :034 Tl_IRISDICTION:
TF_t.ANT NAME. . . . . :I3RUCE TILLEY HOMES INC
IDSA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORN.. . . :NEW DWEI._r._I NG UNI TS.. . : t
TYPE CiF l'SE. . . . . :SF NO. OF BUILDINGS: 0
INSTALL_. TYPE. . . . :I_.TP IMPERV SURFACE: 0 sf
Remarks : Fath 1
Owner: __-.____._.__.__.---------------------_.__---___-----__--•- FEES
BRUCE TILLEY type, amc1_rnt by date reept
14210 SW 121ST AVE PRMT $ 21200. 00 A 04/28/97 97-293810
T I GARD OR 9722 4 T N P $ 00 P 04/28, 97 97-293810
G'hone
Contractor^ -�'-----___�__ -------
-r
OWNE R
f--'hone,. #: $ =235. 00 TOTAL.
P,eg #. . .
REDU I RED INSPECTIONS
- - -
This Ppplir--ant agrees to comply with all the rules and regulations Sewer Inspection _
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 riot ql.!arantee 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 purch;,sa _
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
P e r m i t tee S i . a t 1_1 r e
Tssi.red Ry :
a
cc ca I. For i n5pect i cn - 639-4175
v,
r
J
r
C7
W
1 Plan Checui e
Y OF TIGARD
Reside,-,dal Building Permit Application Rer•C By 7� -�
-125 SW HALL BLVD. New Construction Additions or Alterations Date Rec d 03 4-
'',ARO. OR 97223 Single Family Detached or Attached (Duplex) Date to P E Z Z`b-77
703-539.4171 Date to DST
;03-684-7297 Permit e 'I' T
Print or Type Called Ll I'l,- 11 roil
Incomplete or illegible applications will not bu accepted
Vag a or Protect L ! J Name
Job ti r t(i H' 1t_) I C I LlJ l�' f>1 FT--
Address
nAddress Site Address Architect Mailing Aedress
DC7 5r�
Name C:ryiSlate Zip Phone
Owner Marl;ny Address _ 17t
J i I ,-
CrryrState 210 Phone Engineer Matting Address
Name C,ty)Stale Zip Phone
Geners.I /(,� Fi/ / ,owr—J ZK1 C. Describe work New AdditionCl Alteration O Repair O
Contrae1or I Mailing Address ,I•, to be donil:
Il J /' i 1.� ��J C�/ 171. E Additional Description of Work:
�r �, Fy ►r• crt�llstate
1 P
GregoConst.Cont. Board L,c A Ex9.0 t
rich Copy of r;5' , // I ; /�
Current CUT Blrsiness Taxer Metro N Exp. Date PROJECT
Licenses L.;,, ;-" VALUATION ,.
Name
vie.hanictal NEWCONSTRUCTION ONLY:
Sub- Matl ng ACdress Sq. Ft House: Sq. Ft. Garage
Contractor I C,ryrstate SOc �l /off � ) Corner Lot YES NO Flag Lot YES RtO�
ellIp Phone (check one) !i (check one) l�
_ a Z4 Restricted Audio/Stereo Burlar
Oregon const. Cunt. Boars Lrc is Exp.Dat4 g
Attach Cop,,of - 1, 1 Energy System Alarm
Current CUT Business Tax or Metro 0 Exp.Dat Installation Garage Door HVAC
Licenses r I
Name Opener 5 stems
lumbin ' (check all that Other.
9 r''�/ 'f/l apply)
Sub- Marling Adaress Will the electrical subcontractor wire for all ' YESNO
:ontraztor ;$ l j!- s ; '!',-`r-�- restricted energy installations! l
L tyrState Z,p Phcnq I Has the Subdivision Plat recordeo? I N/�. YES f" NO
Oregon Const. Cant Board L c a Exp. Date rletssue of MS-,;*- I So-tar Ccmpliance
attach Copy of _ I :' O 1 (Calculation Attached) /
Current PtumSing Lrc.tae Exp Date I hearby acknowledge that I have read this application, that the
Licenses q/7
C01 Business Tax or Metro x I Exp. Date -nformal;nn given is correct, that I am the owner or authon--,ed
d
H �,. agent of the owrer, and that plans submitted are in comp;i.,nce
to Name with Oregon State laws.
Srgnatu ct of Ovt ner i Date
Mailing?caress i Contact Person Name Phone#
2-2
W C� -9 G^r stare tip Phone FOR OFFICE USE ONU
—r ` Ir Plat/ #: MaorTLr#/:^Cr, or ;�st Ccnt Board Lice Exo. Date � 2& ��J l �1 (�� Mf J 3
,
I 1 Setback : 17 e�r Solarla
.0
an E ectrCal Lc. e _ Exp.Date
its l [ !. 'J 1( I ' f xt
Engineering�poro is Isi ing Aoproval: ( TIF
C'0 81s rtes Tax or je'tl t Exp. gate J.
pp.doc(dstl 1/97
s�
Pcrrni Account D _serition Amount LM—t.—P--d. Bal. Du
MST. Permit (BUILD) (r(r0
Plumb. Permit (PLUMB)
,Meeh. Permit (MECH) �
—moo -
ELC/ELR Permit (ELPRMT) c'3S—
State Tax (TAX)
B'dc: �Z�03✓
Plumb: /b dO
Mech:
i
ELC/ELR:
Plan Check / I
MST: (BUPPLN)
Plumb: (PLMPLN) ��'�-
Mech: (MECPLN)
CDC Review P ,.110 (LANDUS) c Bib
Sewer Connection (SWUSA) 2Z6 e '71
Sewer Inspection (SWINSP) 5
Parks Dev Charge (PKEDC) I OSS I d S�
R-sidential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
!Nater Qu,.,iity (WQUAL) / So
Water Quantity (WQUANT) /Q i<' /rc /
Erosion Control Permit (ERPRiv1T)
Ln
Erosion Planck/USA (ERPLAN)
&o
:.� Erosion P13nck/C0T (ERO2SN) 0
r
Fire Life Safety (FLS) —�
TOTALS: -lam r
.,sfaVp.d c !ds1) 1197
Solar Balance Point Standard Worksheet
Address
Sax A calculations: North-South dimension for the lot. Sox A.
This dimension is determined by finding r!ie midpoint of the North lot line and drawing
an intersecting line perpendicular to that )oinL
First, determine which property line is the North lot line. The North lot line is the line
with the smailest angle from a line dawn east-west and intersectir;the northern most
paint of the IOL
45" 40
t �
a"
t UX w
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South ioi line along
the described line. �� feet
1
N
�ious�o�wr�.
Box B calculations: Shade pont h%sight for your residence. Box g_
1. Determine w:,ether me 3urement5 will be based on the peak or eave of your Which describes
structure. The nr,entation of the .:,age is also importanL your residence?
1 a: If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof. TE-0-0—OT ,=
7B 1C:
1 b: If the roof line runs East-West and the roof pitch is
less ;ran 302, measuremerts will �_-e bases cn the
h eave. ,.
_J
1r. If the -ccf lire runs East-.Vest and the roof pito is
5112 cr steeper, measurements will be based on the
pe3k.
Brix B. continued Box B:
2. ,Measure change n e?enation 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
the lot slopes down from the front lot line to the foundation, the figure is negative. ft
3. Measure distance from finished floor elevation to the affected peak/eave. + ft
4. If the roof line runs North-South, deduct three feet. 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: ft
2�
Box G Distance to the shade reduction line. Box Q
1. Measure the distance from the North property line to the foundation near the ft
affected peak/eaw.,.
2. Measure the d'tsunco from the foundation to the affected peak or L-M. +
3. Toad figure for box F ft
it is mcs`useful to draw a vertkW rine to represent the apwopriaoe figure bund in bolt'A'and a horizontal 6ne to represent the
af�prapriate fipre found in bcx'C'.The intefsemon of the vertid and horwonol rates detemurms the value found in boot'O'.The value
in box'O'should be compared to the value in box '13'; if the value in boot'8'is km than or equal to the value found in boot'O',then
the building is in comprtance with the solar balance code. if you have any questions,pkase contact us at 639-4171,x304 or at the
Community Oevefopment Counaer.
MAXIMUM PERJMITTED SHADE POINT HEIGHT (In feet)
Distance to lot dimension lin feted
shade 100+ 95 90 85 80 75 70 65 60 S5 50 45 40
.�
reduction line
from northern
lot 4n.-tin feet"
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
Q 53 341 34 34 35.- 36 37 38 39 AU 41
So 32 32 32 33 34 35 36 37 38 39 40
=3 30 30 30 31 32 33 34 35 36 37 38 39
40 23 23 2? 29 s0 31 32 33 ?4 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
d
=0 24 24 24 25 26 27 28 :9 30 31 32 33 34
ct
=5 '.' " 22 23 24 25 :6 27 23 29 30 3'1 32
>- :3 20 20 20 21 22 23 24 25 26 27 28 29 30
r✓
J
13 18 18 18 19 10 21 2-1 23 24 25 26 27 29
10 16 16 16 17 13 19 20 21 22 23 24 25 26
w
5 14 14 14 15 16 17 18 19 20 21 22 23 24
J
x D. N-taximum allowed shade point height feet
(h:`docNurxY rerwramolar.ch o
R e"Sed
wATER mLETER]TEXTURE UNIT WORKSHEET
Contractor Name r 14,,) -r Ax
Billing Address e/() ,.SCJ
Site Address of New Meter J .! > !O
Lot# Subdivision APon7
Please fill in the number of each fixture as detailed on the plans,then multiply quantity by the point value given to arrive at
the point total. Add all point totals together for total fixture unit points.
Fixture Unit Quantity Point Value Point Total
Hose Bibs _ X 3 = 4,
Toilets X 3 =
Bath Tubs X 2 = _
Shower Stalls l X 2 =
Lavatories '% X 1 =
Kitchen Sink / X 2 — L
Laundry Sink �_ X 2 — 2
Bar Sink X 2 =
Clothes Washer X 2 =
Sprinkler Heads X 1 =
TOTAL FIXTURE UNIT POINTS
ivieter S ize: - -1' J Meter Cost:
Total Fixture Unit Pouts _<32 = 5/8" x 3/4" meter Bull Mountain Are $1,325 $2,435
Total Fixture Unit Points>_33 = I" meter Lower Elevation $1,170 $2,125
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n.
0: FOR OFFICE USE ONLY
H
V)
Fixture Cou,1t Verified with Plumbing Permit
fti
"' 'Meter#
:c
W Receipt#
J
Emp.Name
or.m.as
'M
26
f z' _-
Jim.CPU
21201
`38145
� DRi V F wAY
'Il
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370
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~ 13664 f.�aA4ATI00
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50; 6 rC)4IT yip-Tla"-' t r TILLEY HOMES, INC.
5,5 %y OF SrC 100 ti 7. 25. 14210 SW 121ST AVE.
(_'tTY 0*>r' -T-I APO TIGARD, OREGON 97224
1��/15►� i�,q tpu Owrl`r'Y oQEUou 620 - 4 /1709