13740 SW FERNRIDGE TERRACE �5
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M. SITE UTILITY INFORMATION TO BE PROVIDED SY SSP tOA t0 !!10[RACTOR. CONTRACTOR IS
11NQ AND MO
RESPONSIBLE FOR NERIFMv UTILITY LOCATION
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NOTICE: IF THE PRINT OR TYPE ON ANY �� � � � � < < � Ill � i i � ili � l illllll � IIIIII 1111111 1111111 11f1f�1llltlll ( Iitll I I � Illfl I � III � I I � I � I � lit � tll 11111111 1111111 Il ( I ( ` 1 I � IIIII IIIII � I I � III � I � I � lll � l I � IIIII IIIII � I I � IIIII �
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IMAGE IS NOT AS CLEAR AS THIS NOTICE, � _ � _ �� __ 10 ,11 _ _ 1� 1 �
IT IS DUE TO THE QUALITY Or � Z
THE No.36
ORIGINAL DOCUMENT ------- -- -- - -T __. _—_ _ _ _.---- -------- - -_ __ - -- --- -- -- ---- - - - ----- -- ---- ---- - - - ----_-_- ---- -------- - �
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13'i4O SW FERNRIDGE TERR
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FIN L
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct Mech. Rough-in Gyp. Bd. -B;dg.
Sari. Sewer Gas&&Z,
ine /� Appr/Sdwlk Reins.
Other - -...- ---
Date ' v`C--T A.M. - P.M. — Entry ----
Address . . � --- -
TenGnt: -- --- - Ste:- MST: - -
BLIP.
Con/Own: -------_ --- MEC:
PLM: G�-
ELC: —
THE FOLLOWING CORRECTIONS ARE REOUIHED ELR
I
— i
— �- - -
Ins ector _— � Date--- -- /1 -
ROVED —DISAPPROVED/CALL FOR REINSP CF CO
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 -Meeh
PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Bd. �-Bldg
t
San. Sewer Gas Line Appr/Sdwlk Reins.
Other
Date: -- - A,M. ----P.M. Entry:
Address:
Tenant _ _ Sle MST: . 2 RL
Con/Own BLIP:
- -- -- MEC:
ELC
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR
Inspector: 7 /I — --- -Date 3 9,(
L/APPROVED "_+, DISAPPROVED/CALL I-OA RFINSP CF ('Cn
PLUMBING PERMIT
r #. . . . . . . :
CITY OF TIGARD DPATEERMIISSUED: 05/0F,/96 PLM96-0101
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S104DC-0t-,1-',00
13126 SW Hall Blvd.Tigard,Ore on 9722308199 130-4171
".iITE ADDRE*.l:';S. 1 -140 1,314 FEMME TERR
SURD I V 191 ON. . . . : NO Phil I NGSTAR ZONING: R-4. ED PL)
BLOCK. . . . . . . . . . . L.01.. . . . . .. . . . . . . . :004
---------- -----------------------
CLASS OF W0RK. . :AL1' 6ARBAGE DISPOSALS. : 0 1110BILE HOME SPACES. : 0
TYPE OF USE. SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . I
CJCCUPANCY ORP. V3 Fl...00R DRAINS. . . . . . : 0 1'RAPS. . . . . . . . . . . . . . 0
'-iTORIES. . . . . . . . 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
1-:'IXTURF-5--- - --- LAUNDRY TRAYS. - - - - - 0 '-'-F RAIN DRAINS. . . . . 1A
':I NKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . 0
I.-AVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
1 UB/SHOWERS'. . . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. . : 0 WATER I—INE (ft ) . . - - 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remai',ks - Install residential back-Flow prevey)fion device
Uwrler: FEES ----------------
IERRY CARTER type amount by date recpt
13740 SW FERNRIDGE 7ERR PRMT $ 15. 00 JSD 05/06/96 96--279035
5 F.,C,I io. 15 JSD 015/06/96 96-279035
11(iARD OR 97223
Phone #c
L,ontractoril
OWNER
Phone #: $ 15. 75 TOTAL_
REQUIRED I NSPEcT I oi\ls -------
This permit is issued subject to the regulations contained in the RP/Backflow Prev
Tigard Municipal Lode, 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 IQ days of issuance, or if work is suspended for more
than 180 days,
Permittee Signati-o'e :
I s S U e H"-B;4--�
Call for inspection 639---4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
13125 SW Hall Blvd. Permit #
Tl9ard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
No"of D-109m.n1 New Single Family Residences Only
AftM _ ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job j YU s(l �tr c� /K' ❑ 3 BATH HOUSE$225.00
Address C^181616ao Fee includes all plumbing fixtures in the dwelling and the first 100 feet
�7 1 of water service, sanitary sewer and storm sewer. See fees below.
No..to.-.4 of&--I FIXTURES QTY PRICE AMT
Sink 9.00
MMnq MOM r,fen. Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
CRIM.f. zb Shower Only 9.00
Water Closet 9.00
Hun.to,n.m.of eu.n...l Dishwasher 9.00
Garbage Disposal 9.00
Occupant M,dh,oAft- nn.ff. Washing Machine
9.00
Ftuo, Drain 9.00
C,,,,M.,, zb Water 'seater 9.00
Laundry Room Tray 9.00
No- Urinal 9.00
Other Fixtures (Specify) 9.00
9.00
Contractor 9.00
cMflt.f.
zip 9.00
Sewer 1st 100' 30.00
•.49-ton cnr e.. r..No Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 30.00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of Storm & Rain Drain 1st 100' 30.00
the owner, that plans submitted are in compliance with State Iavi3, that
,m registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
oer given is correct. (If exempt from State registration, please %lobile Home Space 25.00
reason below.)
r Back Fluw Prevention
Device or Anti-Pollution Device- 9.00
tl-- /�,�fa,• „ o•+ Any Trap or Waste Not
Connected to a Fixture 900
Describe work new Q addition Q alteration (J repair Q Catch Basin 9.00
to he dora residential non-residential ( ,, A�.� Insp. of Exist. Plumbing 40.00/hr
Soecially Reouested Inspections 40.00/hr
Existing use of �'� Rain Drain, single family dwelling 3000
building or property -_ �" S _
Residential backflow prevention �
devices 15.00
Proposed use of
budding or property %' (Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5°b SURCHARGE
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS JR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED -
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25% OF SUBTOTAL
COMMENCED
TOTAL
Soecial Conditions ---
Cate issued _by _
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Co!*v:•tinity Development EI.ECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # �-/C 9 - S'
Phone (503) 639-4171 Date Issued - -VS`
FAX (503) 684-7297 Issued by L h c-1e5
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development n()PINItj Number of Inspections per permit allowed
Address 13 0 SIN l �'l�Al1't���-1 7-P11Z Scrvicwincluded Items Cost(sa) Sum
^,ity/state/Zip r ii f1 0R) -4(1f1- 23 4s. Residential- per unit 4
1000 aq It or lege $11000 _
Each additional 500 W It or
Name (or name of business) _ portion I hereof A— $2500
Limited Energy S25 00
Commercial ❑ Residential
Each Manul'd Ha me or Modular 2
Dwelling Service or Feeder $66 00
2a. Contractor installation only: 4b.Services or Feeders
Inalallalion,allerebon,or relocation 2
Electrical ContractorL-I t F R t TL l-L( I 1 L _ 200 amps Or less $6000 2
s ')q L `1 S,� V_ _ 201 amps to 400 aps $d0 00 2
Addres
i`�� I(t -d A � 401 amps l0 600 amps 5120 00 2
City dlll-L4�(S 0R.6 State (OR Zip A 71 L 3 601 amps 10 1000 amps $18000 _ 2
Phone No. t4 3'l 7 7'i Over 1000 amps or volts $34000 2
Contractor's License No._ 3It 3 5'G Reconnect only $5000 _
Conti clor's Board Rea ND_ V"i ' 4c.Temporary Services or Feeders
— � xatal amp alteration,or relocahml 2
Signature of Supr. Elec'n 201 amps or Isla $5000 2
201 amps to 400 amps $7500 2
1 ire ise No._4C`9 i') Phone . o. (,�( <17Z$- 401 ampelo600amps $10000
Over 600 amps to 1000 Voss
2b. For owner installations: see W above
4d. Branch Circuits
Print Owner's Name--- _ __ New alleralion or extension per panel
Address n) the fee for branch clrnnts with
purchase of service or leader he. 2
City S�-uA Zlp- _ Each branch circuit E5 00
Phone No. b)The fee for branch circuits willi
The installation is being made on property I own which is purchase or service or seede
seeder 1 . z
not intended for sale, lease or rent. Fest branch wurd $35
oo _
Each additional branch circuit $5 00
Owner's Signature A 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (it required): Fitch pump or vngalron circle $4000 2
Fad+sign or outline lighting $4000
Signal cirrus(s)or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel alteration or extension $4000
4 or more residential units in one structure Mmor Labels(10) $100 oo
Service and leader 225 amps or more
System over 600 volts nominal4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described In N E C Chapter 5 Par Per horn hour inspection $ 5 00
$5500
In Plant 511500
Submit 2. sate of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ r.
NOTICE 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal 1 t)r h�'
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD Of: 180 DAYS AT ANY TIME AFTER WORK IS
Subtotal $
COMMENCED ❑ Trust Account# $
Balance Due $
ronirem[MvV Mcpm RP
t--
Community Development RESTRICTED ENERGYELECTRICALAPPLICATION
13125 SW Hall
Tigard, R 97223 PERMIT
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED lo 56 s
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY
PLEASE COMPLETE_ ALL SECTIONS
I. LOCATION OF INSTALLATION 4. TYPE OF WORK
SIO n _um-
Address RESIDENTIAL--, R ALLSYSRestricted En&Wfee... . . . . . . . 1gQ.QQ
t^ (Z— ZZ S
( FOTEMS)
Cil State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK [ Audio and Stereo Systems'
Is NOT STARTFO WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
ElHeating,Ventilation and Air Conditioning System'
Ct,ritractar C_ ()At Type ❑ Vacuum Systems*
Address I
1�Y�.� ❑ Other_
—
Date I D 6"D19 L5COMMERCIAL—Fee for each system . . . . . . . 540.00
(SEE OAR(118.260-260)
Property Owner_ _._ __. ._._ . - Check Type of Work Involyed*
Contractor's Board Reg. No. Qta -} 3 Z—_ _- ❑ Audio and Stereo 1, .,Wms•
'
El Boiler Controls
�LCa
Phone #
Ll -�-1_—_ _ ❑ Clock Systews
3. OWNFR APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm In tallation
- - -- - ❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit Is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted P.,Prsy installations(100 volt amps or less)under this Ix rmit and to(to the ❑ Outdoor Landscape Lighting'
following:
1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisksM,All others need licensing).
2. Cell for an inspection when all of the installations under this permit are ready
for inspection at 503.639-4175.
❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit •No licenses are required. Licenses are required for all other installations.
4, Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final insixation when all of the corrections rj• FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ y , CTO
authorized to bind.the applicant.
\J( _ b. S%Surcharge(.05 x total above)
Signature TOTAL $ L-I Z. L70
Authority if other than applicant
\ ENERGAP,CHP
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
MASTL'R PERMIT
PERMI1 #. . . . . . 5 0'
CITY OF T IGARD t - : 115TI. I—'-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED, 08/04/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)539-41711 IPAR(:EL. '7,51 0 4 1)C Ql,'A 3 0 0
L I'll 10 i_'RN;,i1)(j`._ TERR
JBDIVISION. . . . . MORN INGS TAR ZONING: R-4. 5 PD
"K. . . . . . . . . . .
L OT. . . . . . . . . . . . . .
BUILDING
SGUE. DWELLING UI-,IIT'Z: 1 BASEMENT, . . . . . . . .k4 s-F
_.ASG OF WORK. :NEW BEDRIVIS.4 BATHS:3 GARAGE:. . . . . . . . . . :81 1 -F
C,,r FLOOR AREAS REQUIRED
1. Of- CONST. :5N F I RE;T. 1599 sf L.Err. . s ft RIGH T. S f,
SECOND. . . : I't 14E A r,- - 0 f
1.1cUPANCY GRP. :113 sr FROIC . :c':0
r0RIESj. . . . . . . ..2 FINSSMENT:O sf REQUIRED-
..-:'I G 1 IT. . . . . . . . ft TQTCL f "r env DCTECTOPS. Y
_OOR LOAD. . . . :40 psf VALUE. . . . . 9 : 186872 PA R KING SPACES. I
mdr Fes: PATH I
PLUMBING -------
I Nl',,;. . . . . . . . . . : 1 FLOUR DRAINS. . . . :0 DACKFLOW C RI7_VNTP7j. 1
AVATORIES. . . . . :5 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0
J B/31 40WE RS. . . . : 3 LAUNDRY TRAYS. . . :0 C:AT(:Ii BASINS. . . . . . . ..10
CATER CLOSETS. . .-3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . ;0
11SHWA 5HERG. . . . 1. 1 WriT;'_'R LINE ( fL ) . . 100 OTHEJ? F I X TURES. . . . 0
ARBAGF DISP. . . -. 1 PAIN DRAIN (ft ) . :O
MncAi. . . 1. 5r' ROIN DRAIN'. . . 1
MECHANICAL -------
LEL 1,yPE..7, UNIT HTRS. . :0 type -11110�,trlt 1j y dat e e::P t.
6,As 11 i VENTS . . . . . :0 TIF 1590. 00 JDA 08/04/95 95- E'6893 .
1?4 X I P,;P 1.11'.: 0 ELI VEIAT FANS. . : 4 SWM 1, 11.30. 00 TDA 10G/04/9 5 ') - --.,,J
URN 100K H 0 C.)DED,. . . . . . ; I SWM $ 100. 00 JDA 00/04/95 95 -26893-
U R IN 10 Q)K . . : 1 WOOD STOVES. .0 BPRT $ 650. 50 JDA 03,'04, ')'-, ')5 -L`6 13
LUUR FURN. . . . :0 CLO DRYERS. I B;:,LC- $ 422. 83 BON 1217/25/9S, 95-26844
F U1141 I T 1 05r-C, J D A 015 -'V)4/9 r3C `6 00
GAS OUTLETS: 1 PARI, S00. 0121 JDA 1218/04/95 95-26.8,71-
..MPPT 1 45 00 JDA 08/04/ 34 '1526E
1-11yVir-W HOMES MPLC JDA 00044/9 3 95-260
T c.--i;r; Lr, JE,� 00 .4
3BTH it L12"5. 00 JDA 08/04/95 95 J-.'G
j'_(^tV1_r-,r(jN OR )70121*7 P151 -C_• I I I . L-_ JDA 08/04/9'5 ')7)'- c1C,I
hurie 4r. LL4 EROS 64. 00 JDA 08/04/95 9:; 2 6 F3 j.�
C.31"IL fIrt. 00 JL '; 0GIS
i-'Y'VicW i,iomc(-3, INC ERPc 4 20. Lo JDA 06/04/95 9 5!--26 E
1
...j-1VLRT0N OR 97007
4431'.
t 2,976. 21 TOTAL
is JsSUe3 SU'LJOCt to t"@ rfjUlAtignS LOntilnfd in the REQUIRED INISP[.CTIONS
Code, State of Cre. SpeCiii1ty CCM and all other Footing Inip Plumb Tc%p 0-.tt
will be dc-f in icccrlmv with approved --Am -j s p
laws. All not Foundat iun Insp Ft ,ming ing It
't v-uct Fi teplace Insp-
I'lls Permit 061 expire if Wol t S within 184 Pust/Beam
ay of if wl" 1i 4 186 dais. Post/Beam MeiJiari Gas Line Insp
F- ;awl Di-ain Insulaticil llvip
—A I .,11&& Lal_) I I Is p Gyp Doar-cl Insp
L_m/undet-f'1001- Rain drain Insp
4 M(aUjlatjj(:LAJ JL T)s P Wat e;, L i i�v J p
a I I f 0 1- i T)S pe c t i o i -- 639-4175
,SEWER CONNECTION
CITY OF TIGARD PERMIT
PERM1T ##. . . . . . . : SWR95029-
COMMUNITY DEVELOPMENT DEPARTMENT DATU ISSUED: 08/04./1)'j
13125 SW HLII Blvd.Tigard,Omqon 9722396199 (503)532-4171 PARCEL: .-.,S104DC--06300
ITE ADDR.LL-1. . - w 13740 SW ITERNIRIDGE TERR
JBD I V I S,ICON. . . . : MORNINGSTAR ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .004
--NANT NAML. . . . . :
�A NO. . . . . . . . . . : FIXTURE UNITS. . .
-ASG OF WORK. . . tNEW DWELLING UNITS— LI
I YPE OF USE. . . . . :SF NO. OF BUILDINGS: I
INSTALL TYPE. . . . :LUSWR IMI'_--r-RY SURFACE. .
?mar-ks : PATH I
.Ainei-: FEES
IMIEW HOMES type amal-Itit by date t-ecpt
1060 SW GOLDFINCH 'TORR pRMT b 2200. 00 JDA 08/1214/95 95-468934
INSP $ 33. 00 JDA 03/04/15 9589 3,'
-j .v;_RTON OR '3,712107
:-ione #: 224-0-200
-ONTRACTOR NOT ON FILE
horie $ 2,=35. 00 TOTAL
------ REQUIRED INSPECTIONS
,is Applicant agrees to comply with all the rules and regulations Sewel, Irls'pe(2tiarl
I' the Unified Sewage Agency, The piorsit expires IN days from
it date issued. The total amount paid will to forfeited if the
a@it expires. The Aqenc) does not guarantee the accuracy of the
Ae sewer laterals. If the sewer is not located at the measurement
.ven, the installer shall prospect 3 feet in all directions from
-!* distance given. If not so to Aed, the installer sh 11 purchase
7ap and Side Sewer' Permit and the lateral.
mil e E. c ......
L%y
Call Fclt- inspectieT, 6307 --4175
Residential Building Permit AV ication
City of Tigard 11
�W
13125 SW Hall Blvd.
W" -
Tigard, OR 97223
(503) 639-4171
Jobsite Address:_ I `1 y .7 �J Fc-p ip I ix C- rf R
Office Use Only
Subdivision: 00ktjiN4-Jj-PR Lot# _}
PlancWRec#
valuation: �_ �i' 7Z. , 0
Pcrrpit# _
Owner: Reissue of
Address: I ('(i' C SL'J 6:016-6 P--ZLJ(I tL-L Map& TL# 25l C)U 06 " OG/�,3�U
iAA (IIt- IyVB
I G Approvals Required
Phone: Z- �-y, 2- '
Planning
Contractor: y I I=of H C;M i6 Pi L Engineering
Address: I I U(c0 :� til G cL-v) rINI Other —
6,f 14(jIFrk,_T0Aj
Items Required
Phone: 111211 -2-7 ('70
Subcontractors _
Contractor's License #_/A 4 3 1
(attach copy of current Oregon license) Truss Details
Subcontractors: Other , Pyle et((,Vu IJV q�
, f --�� 1
Plumbing: `1 f> 9 c� . Ei1tQ, L `"t a`��rQV11
Mechanical: C'
(attach copy of curreni OR Contracfor's License) 11
Architect/Engineer: 7-L I-> /)r`:C
Address: 50- 16enwLLS LL6 tj kO
Phone:
COMMENTS:
Applicant Signature & Phone number
i _� IL�I�CA Date Received.
Received by: i-� __ � �--- -
it
I
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) �, v 3 �� c3
Bldg:
Plumb: /� z
Mech:
Plan Check TLANCK) 0 �
Bldg: 3
Plumb:
Mech: �• C Z_'
Sewer Connection (SWUSA) ,-�24
/ Sewer Inspection (SWINSP) 35 3��
Parks Dev Charge (PKSOC)
Storm Drainage Chg (SOSDC) _
Residential TIF (TIF-R) '�� _ ��U ✓
Mass Transit TIF (TIF-MT) -0 �
pe"",
Govamoru!*�F 6q,If
,
InstWltsuu-MF (1046) _ l!
Office TIF (TIF-0)
Water Ouality (WOUAL)
Water Ouantity (WOUANT)
Fire District (FIRE)
TOTALS:
polar balance wurxsneec
Address ���`�U �.'I.c� FAIT' 't;e
Box A calculations : North-South dimension for the lot . FBox A:
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that uoint . Measure the distance from the midpoint of the
North lot line to the South 'L-)t line along the dericribed line .
1 ') 'r'r ft
Box B calculations : Shade point height from your structure . Box B :
1. . Determine whether measurements will be based on the peak
or gave of ynur structure . The orientation of the ridge
is also important . Which
la : If the roof line runs North-South, ;Measurements will be describes
based on the peak of the roof . your lot?
!b: 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 .
1.c . If the roof line runs East-West and the roof pitch is 5/12 _1l lb 1c
or steeper, measurements will be based on the peak . l-
? . Measure change in elevation from front property line `.c
finished. floor elevation. ft
3 . Measure distance From finished floor elevation to the
i
affected peak/eave . -} <� f t
4 . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West , deduct nothing. -,
ft
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, - �� ft
deduct nothing.
6 . Total figure for box B :
�.� ft
Box C. Distance to the shade reduction line . Box C :
1 . Measure the distance from the North property line to the
foundation ._ ft
2 . Measure the distance from the foundation to the affected �. � ft
peak or eave .
3 . Total figure for box C: _-_
PL_UP1Uil\JU PLHM1
► PERMIT #. . . . . . . .. 111:;T,3 5
CITY OF TIGARD DATE ISSUED! 08/04/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S104DIZ-06300
�
311;61VV Hall Blvd.Tigard,OFOQO;NJ17;2�108190 (503)8310-4171.I-ERk
,UBDIVISILA4. ZONING. R--4. 5 PD
.:LACI:. . . . . . . . . . . LOT. . . . . . . . . . ..0121�f
LASE OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
YPE 0."' USE. . . . :GF WASHING MACH. . . . . . . . I BACKFLOW PREVNTRG. . : 1
]UPANCY GRP. R-7
r-LOOP DRAI"SIS. . . . . . . :0 TRArs. . . . . . . . . . . . . . :o
JRIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
-IXTURES- - - LAUNDRY YRAYS. . . . . . .0 5F RAIN DRAIN5. . . . . . I
)INKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . ..0
.AVATORIEO. . . . . .3 OT11LR FIXTURES). . . . . .41
UB/SHOWERS. . . . : SEWER LINE (ft ) . . . . tO
MATER CLOSETS. . . WATER LINE
I SHWASHE RS. . . I RAIN DRAIN (ft ) � . . . :0
nj ar I ATI i I
iWNER. -FEES--
.ryvicw Homr:s T I r-" 1590. 00) J D$74 03/04/95 05-268IM4
1060 SW GOLDFINCH TERR GWM $ 180. 00 JDA 08/04/95 95--1;_'68934
'Jwll s 1014. 0121 JDA X1(3/04/13~ '315--L C.8()34
..�EAVLRTON OR c)7007 BPRT $ 650. 50 JDA 08/04/95 95-268934
hone #. 224 -.ZVIO SPLC 1, 4 9 Z`L.2. G-7 DON 07/25/95 ')5--iR60443
D
i IIAML)iny Cunt)- autii� 5 P C $ 32'. 5;3 JD0 08/04/95 95- 268934
PAM' f 500. 00 JDA 08/04/95 95- 268'134
134
M P R T $ 45. 00 JDA OS/1214/955 95-268934
e5t_?e HPLC I I I. JDA 00/04/ri3 95-2689.34
.5uj--f _32c_ m5r-C s 2. 2:5 JDA 06/04/95 95-268934
3BTH $ 223- 00 JDA 08/04/95 95 x1,093,4
p5pr., $ 11- 25 JD;`l (48/04/95 95--268934
Odditiunal. fee,.i i,uL iihown [let L. . . . . . . . .
REQUIRLD 1NSP-"ECTIONS
; jLjiS [jel-IFlit issued. st-iU.ject to Lhe
dations coi,toined iu the Tigard Municipal Footing ITISP Insulation Insp
-ode, State of Ure. Spec: ictlty _odes and all. Fouridatiun Insp Gyp Board Insp
:)thvr apr,licable laws. All work will be done Post/Beam Struct Rain drain IDSP
; Ti ar.cordanL_e with approved plans. This 1-Dust/Seam Mecham Water Line Insp
0e)-mit will. expire if work is not started Crawl Drain Water Service I,
jithin 180 days of issuance, w- if worlt is Plm/l.Andsl ab Insp A- ppr,/Sdwlk Insp
usprended fc?> more than 100 days. PLM/Underfloor Mechanical Fir)Ln
Insp Plumb
Plumb Top Out Building Final
Framing Inip El-osion Control
Fireplace Insp
Gas LLne Insp
1 ,_iM signature&
I Tt 711—o'l L 4 P L-1 Uir,j Lunti ALLUt-
L�:.All f. '.' inspection rIF 1) r1;7,
0 n 11 A-act o 1\1 u L e
CCRTIFICATI: OF
CITY CSF T I GARD OCCUPANCY
PERMIT #. . . . . . . s MST95-0a'
DATE I SSUZ01 s 03/14/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,OnOon 07223.6100 (503)630.1171 PARCEL s 2S I04DC--06300
I 1 L "DDIlLafr. . . ; 1,3 i W ,�W I k-IOAR 1 DCL TERR
SUEDIVISION. . . . s MORNINGSTAR 7.ONING:R-•4. `i PD
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . t004
CLASS OF IJORK. s NEW
TYPE OF USE. . . s cF
OCCUPANCY GRP. s5N
OCCUPANCY LOADs2
Remarks ; DOTH I
Owner--.
SI!Y V I EW HOMES
110bO SW GOLDFINCH TERR
BEAVERT'ON OR 97007
Phone #s J:24--2200
Contractors
SKYVIEW HOMES, INC
11060 SW GOLDFINCH TERR.
BEAVERTON OR 97007
Phone #: 224--2200
44315
lis Certificate grants Occupancy of the above referenced bi.lilding or' portion
'rereof and confirms that the building has been inspected for compliance will,
Ire State of Ov-egon Specialty Codes for the group, occupency, and use under
7ich the r-eferenced permit was is%ued.
Illw'bI , INE�CT0R BUILDING OFFICIAL
POST IN 17ONSPIC:UOUZ PLACE