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-- 13788 SW FERNRIDGE TERR
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 -Mti61se!'
Plbg.Und/Flr/Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M. P.M. Entry:
Address �1 _ _ ti
Tenant: Ste: ST:
Cp z "��1 `�Z
BLIP:
Con/Own: � .�� MEC: _
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ,,. �
en
Inspector:& G ---�5, — Date:
APPROVED __DISAPPROVED/CALL FOR REINSP. f CO
r )
CITY F TIGARD BUIL NG INSPECTION NOTXE
Inspection Line 639-4175 Business Phone 6394171
Cover/Service FINAL.
Footing Rain Drain ��
Foundation
Water Line Ceiling lum
PosUBeam PAFraminech. Shear/Sheath 9 -Mech.
plbg.Und/FIrlSlab Plbg.Top Out
Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. g
San. Sewer Gas Line A PPrlSdwlk Reins.
Other
Date �--��� A.M.$P.M.--- Entry:--
7-Jy� /� d
Address: -
Ste T:
Tenant ---- BUP:
MEC:�,�- �
Con/Own: — — PLM:
ELC THE FOLLOWING CORRECTIONS ARE REQUIRED: F-LR _ -
- ------------
Date:
Inspector% ` — ---- - - -
�4�&pPROVED _—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 F
Foundation Water Line Ceiling j I
Post/Beam Mech, Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwik Reins.
Other:
Date: 31, G3A.M. —P.M. Entry:11
Address: _ 13:7
Tenant: _/ _ Ste:_ ST
M : - -�
C �;C�Q ,S yl� q --1 B U P: - ---
Con/Own: c
_ t L --_�_ MEC:
PLM' -- ---
ELC
THE FOL'-OWING CORRECTIONS ARE REQUIRED ELR
Inspector: ��G Dale:
----- --
APPROVED _DISAPPROVED/CALL FOR REINSP. CF O
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line: 639-4175 Business Phone: 639-4171
r
Footing Rain Drain Cover/Service FI J L
Foundation Water Line Ceiling 1.
r
Post/Beam Mech. Shear/Sharath Framing C
Plbg.Und/Fir/Slab Plbg. Top Out InsulationeEl ct.
Post/Bearn Struct. Mech. Rough-in Gyp, Bd. 1
San, Sewer Gas Line Appr/Sdwlk �Pf .
Other. �y
Data: A.M. .L._P.M. En 1\
Address:
Tenant: _ Ste: M : ~ D
BLIPu I
Con/Own: .!� c-}—_h 32 MEC
� _ P:4EC:
PLM: —
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: Date: I- ,
PROVED _DISAPPROVE D/CALL FOR REINSP CF CO
r
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
r
I
ELECTRICAL PER11IT
CITY OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0019
13125 SW Hall Blvd.Tigard,Onpon 87223.8199 (503)839.4171 DATE I S aUE_D: 01/12/9!,
PARCEL: 26104DC--06500
1 -fE ADDRESS. . . : 1,3786 GW FERNRIDGE TE=RR
)DD I V I E I ON. . . . : MORN I NGSTAR Z.ON I NG: R--4. 5 F'T_1
OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :006
•o iect Description:
RF 3IDENT'IAL—_-- —__.__ B. COMMFRC1AL-___..______
AUDIO h STEREO. . . :X AUDIO & STEREO. . . INTERCOM R PAGING. . :
13IJRGL-AR ALARM. . . . : X BOILER. . . . . . . . . . . I._ANDSCAPE/I RR IGAT. . :
GARAGE" OPENER. . . . : X CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
I-1YAr.. . . . . . . . . . . . . .X DATA/TFI—E COMM. . . NUR5E C;ALLS. . . . . . . . .
1ACUUM SYSTEM. . . . : X FIRE':ALARM. . . . . . : OUTDOOR LANDSC LITE.
t]THER: : : X HVA(.. . . . . . . . . . . . : PRnTFCTIVE SIGNAL. .
INSTRUMENTATION. ! OTHER. - : . .
TOTAL. # OF SYSTEMS: 0
------- FEES
FEEd
=CRY' c; VACUFLU type amol.tnt by date re .ot
15 5E F`LAVC=1_ PRMT 40. 00 C.JS lbl /12'/96 9 6--2 74894
00 CJS 01 /12/96 96-274891:
17RT1_AND OR 979-2.66-55583
I-io ri e #.- 503-775-2042.
,)nt t-act:or: _____.______.____.______-____ .____.___._.._.___.._________.___.-----•-- ------__-___.__._._
ONTRACTOR NOT ON FILE 4:. 00 TOTAL
_...... __ REQUIRED INSPECTIONS
-
Ceilinc, Cover` Fl Pr-1-+ I ,er^vic:e
liono it: Wall Cover" Fl ect' 1 Final
Nen #. . I
This oersit is issued subject to he regulations contained in the
Tigard Municipal Code. State of (h-e. Soecialty Codes and all other Perm it ee �)i onat ktr•e
:rol:cable laws. All work will be done in accordance with
+oproved plans, This oerait will exoire if work is not started
,.thin 182 days of assume, cr if woo is s,mended for tore
-an 182 days. Issued 13v
IN TAL.LATI(7N ON[-'Y----
'-ie installation is being made on proper-ty I own which is not intended for-
ale,
orale, lease, or rent.
WNER' S SIGNATURE: DATE:
_-__-.--._--CONTRACTOR INSTALLATION
IGNATURE OF �UPR. EIEC' N: p7Giled _ .._ .. DATFY
T CErN5E NO:
Call for inspection — 6,39-4175
TPN-12-1996 12:36 GHPY'S IJHCUF L-0, I NC. P.02
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # yt- 001Y
Phone(503) 639-4171
FAX (503) 684.7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUFD BY C"/k,
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/3'?Y$SVJ 15
Address kESIDENTIAL—Restricted Energy Fee . . . . . . . 599.44
--„ t,�)e, —tea (FC)IjsAlllL SYSTEMS)
City Slate Ip Ch§&K Type of Work Involved-
PF RM17i
nvolved:PFRM175 ARE NON-TRANSFERABLE AND NON.REFUNI)AHLF ANU t1WIRE IF WORK
IS NOT STARTED WITHIN 1 tut DAYS OF I.SSUAWF OR IF WOWK It SUSPENI)f0 FORr -+�^tltllu and Stereo Systems*
te
1141,DAYS LJ' Ru lar Alarm
2. CONTRACTOR APPLICATION t:aragc Door Opener*
[&�Icaring, Vcnrilation and Air Cunditiuning System,
i
r_ontrartor Type _ Q' Vacuum Systems*
C)thcr
address — — --i —
GARN' ' S VACU E•LO. INC . 775-2U42 COMMERCIAL--Fee for each system . . . . . . . . $40.00
91,15 SE FI_AVLL. . PTIA), OR 97266 (SEE OAR 918-260-2601
DATE : / / JOB* Check Type of Work Involved:
OWNERS �Q c t��
CIE 2672m a Ji h; 985 CCB: 69047 ❑ Audio and Stereo Systems*
❑ Buller Cunlrok
Phone#f _ ❑ Clock SYsLemv
3. OWNER APPLICATION ❑ Data Te lecommunicatiun Installations
❑ Fire Awns Installation
❑ HVAC
Print Owner's Name Phone Nn
❑ InstrurnenWtinn
Address — — ❑ Intercom and Paging Systems
❑ Landscape lrrikation Control'
City States Zip ❑ Niodical
This sermit is mu,d under OAR 918-320-370 This applicant agars to makr nnly ❑ Nurse Calk
re-kied energy invil6irMns(100 vnit amps or less)under this permit and to do the El Outdoor Landscape. Lighting'
L lkswlnfir Q
1 Only use electrical licensed prrsnm tIle)insollsh,nl,where rwitilred Wertain f rntertivt:Signaling
o
residential and other transactions are rrempt Inam licensing Thwo h.wi- Other
.1.lterisksM All others need licensing). -- -- --
Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639-4175
Q Nurntler of Systems
I Purchds(!w:parafr lxrmits for all installations that dr,:not n:tilts lur in5tn:01011
when the inspeclor is nut to inspect under this permit. •Ae licenses are repuueJ licenses a e regvned for,dl,ahor immllatinns
4 Assume rrspumibility for acsunng that all corrections required by the inspectnr
are done,:and
Assume responsibility for calling tnr a lin,tl ,m1wrI-m when all ,f tllp ro(rertinns 5. FEES
are c„mpleted
The person signing for tF46 permit must be the apphrant or a person a Enter Fees S
authorized to bind the applicant
b 79% Surcharge(05 x total above) $
Signature —�
TOTAL
Aulhority 1f nther than applicant
ENERGAP CHP
TnTCJI v n )
MASTER PERMIT CITY
OF TIGARD PERMIT SUED . . . . : MST95-0,.:,161
DATE ISSUED: 10/05/95
COMMUNITY DEVELOPMENT DEPARTMENT
1312E SW Hall Blvd.Tlgard,Oregon 97223.8109 (503)830-4171 PARCEL: 2 S 104DC--06500
51TE ADDRESS. . . : 13788 SW FERNRIDGE TERR
SUBDIVISION. . . . : MORNINGSTAR ZONINU: R-4. 5 PD
BLOCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . :006
BUILDING ------------------------------------- --- -
REISSUE:
--.------------------ -._ _REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :247 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:4 GARAGE. . . . . . . . . . : 1353 sf
TYRE OF USE. . . :SF FLOOR ARF_AS-__-_....___-.._ REQUIRED SETBACKS-----------
TYPE OF CONST. i 5N FIRST. . . . - 1680 s f LEFT. . :5 ft RIGHT. -.5 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1056 sf FRONT. :20 ft REAR. . :48 ft;
STORIES. . . . . . . : 1 FINSSMENT:O sf REQUIRED--_---_._______._ __.__.
HEIGHT. . . . . . . . : 16 ft TOTAL--------:2736 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $: 201838 PARKING SPACES. . : 1
Remarks: PATH I. . . MUST HAVE GARAGE FLOOR ENGINEF_RING IN BEFORE POST AND BEAM
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . 10 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :7 WATER HEATERS. . . : 1 TRAP'S. . . . . . . . . . . . . . 10
TUR/SHOWERG. . . . :4 LAUNDRY TRAYS. . . :2 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :4 SEWER LINE (ft ) . :O GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . % I WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : i RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRAINS. . : l
MECHANICAL ---------------------------------- FEES -_-_-______-_-..
FUEL_ TYPES------------ UNIT HTRS. . :O type amoltnt by date r•ecpt
/GAS/ / / VENTS . . . . . :0 TIF f 1590. 00 JSD 10/05/95 95--271316
MAX INPUT:O PTU VENT FANS. . :5 SWM $ 180. 00 JSD 10/05/95 95-271316
TURN ( 100K, . . :0 HOODS. . . . . . : 1 SWM $ 100. 00 JSD 10/05/95 95-2:71316
FURN ) =.100K . . : 1. WOODSTOVES. :0 PDRT $ 688. 00 JSD 10!115/95 95-271316:
FLOOR FURN. . . . :0 CLO DRYERS. : 2 RPLC $ 447. 20 JD 08/18/95 95-269527
BOIL/CMD ( 3HP:0 OTHER UNITS: 1 P5PC t 34. 40 JSD 10/05/95 95-271..316
GAS OUTLETS:5 PARK f 500. 00 JSD 10/05/95 95-271316
Owner-: ------------------------------------MPRT $ 54. 50 JSD 10/05/95 95-271316
MASTERPIECE CONST MPLC f 13. 63 JSD 10/05/95 95-271316
15435 SW ASHLEY DR M5PC $ 2. 73 JSD 10/05/95 95-271316
PPRT t 267. 00 JSD 10/05/95 95-271316
TIGARD OR 97::23 P5PC $ 13. 35 JSD 10/05/95 95-27131E
Phone #: 524-4371 ERGS f 88. 00 JSD 10/05/95 95-271316
Contractor: - -___________._____.________..__.____ ERPC $ 28. 60 JSD 10/05/95 95-27131E
MASTERPIECE CONST INC ERPC f 28. 60 JSD 10/05/95 95-271316
10145 SW SEDLAK CT
TUALATIN OR 97062
Phone #: 692--7099
Reg #. . - 069010 --------------------------------------- .
4 4036. 01 TOTAL
This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Cedes and all other Footing Insp Pll.tmb Top 0i-tt
applicable laws. All Mork will be done in accordance with approved FoLtndation Insp Framing Insp
plans, This permit will expire if work is not started within 188 Post/Beam Str•Ltct Fireplace Insp
days of issuance, or if work is suspended for more n 180 day . Post/Beam Mechan Gas Line Insp
Crawl Drain Insl.tl.ation Insp
F"er^mittee Si.gnatLtre: -------- __._ _ Plm/,.tndslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Tsgi.jeri Dv : �' " .._.. . �` `` Mechanical Insp Water- Line Insp
Call for inspection 639-4175
D '.`)EWER CONNECTION
CITY OF TIGAR F'ERIhIT #.FI-RMIT
. . . . . , SWR95--03."0
COMMUNITY DEVELOPMENT 09ji)k*f ANT DATE ISSUED: 10/05/9
13125 SW Hall Blvd,Tigard,Oregon 9722308199 (503)039.4171
PARCEL: 2q 1 Ir4Dr_--06 500
SITE: ADDRESS. . . : 13788 SW FERNRIDGE "fERR
SUBDIVISION. . . . : MORNINGSTAR ZONING: R- 4. 5 PD
51-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .006
TENANT NAME:, . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CI-ASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE: OF USE. . . . . :SF 1\10. OF BUILDINGS: 1
1:NSTALL TYPE. . . . :BUSWR I MPEPV SURFACE. . :
Remarks : PATH I
(Iw►1er: ___._.____..___.__._________—__-___._____._._.___.__....________ _—____—. FEES
MASTERPIECE CONT tvpta amol.rn•t by (late r^ecpt
15435 SW ASHLEY DR F'RM-f s 2200. 00 JSD 10/05/95 95--2713it
TNSP $ 35. 00 .JSD 10/05/9:- ci5 -271:31.G
TIGARD OR 97223
171hone #: 524--4371
t:;orntr-actorc
C"ONTRAC:TOR NOT ON FILE
$ 212Y.5. 00 TOT(al._.
Fey #.
-- ---- REQUIRED INSPECTIONS
----This Applicant agrees to comply with all the rules and regulations Sewer- In5pect .ion
of the Unified Sewage Agency. The permit expires 190 days froe
the date issued. The total amount paid will be forfeitcd if the
permit eypires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the inst,iler shall prospect "s feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will Inst&Il a la eral.
1 er-mittee Uign13 t 1_rre ^ 1 P"`^-
_ r
mac. �l
S s 1.1 a(l BY : -.�e
Cali for inspection - 639--4175
f
XI
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. L( �
Tigard, OR 97223
(503) 639-4171 Tc Ac /7 C k
Jobsite Address: . 7
Subdivision:itLot # W Office Use Only
• v Contact Date / I Initials
Valuation: c 0 �, _ Result _
New Construction Only: (Square Footage)) Planck/Rec #
11 ll Permit # nzj %2- C)` 17
House: ?� L v _ Garage �� �' Reissue of
Map & TL# c,
Corner Lot? Y (:N_ Flag Lot? Y Zone ^� ` •s ''�
Plat #
Owner: (1"� F'a 5T�r r-� = �� b S
l S—�, �\ I r, Approvals Required
Address'
Planning Setbacks `�' Solari
�t Engineering
Phone.
LS 111, ) �'� 4 y d.0 M 0� �� :2 Other_
�\,\ Items Required
Contractor:
Subcontractors _
Address. Truss Details
Other
Notes u 5 f A4✓ 14 rsr'-
Phone:
Contractor's License
(attach copy of current Oregon li�yense) 73
Contact Name: —� �'' r.-' or 7 1�� aL'�f ��dawn �Ir �'�✓`�-- �ec�W
Contact Phone:
Subcontractors: ArchitecVEn�gin(er: /hA
Plumbing: i `1 F� l V � "� Address: lU' u-'
n 5'
Mechanical: j
(attach copy of current OR Contractor's License) --rv�--
Phone:
JOB DESCRIPTION7�,'"
Applicant Signature �. Applicant Phone number
Received by Date Received:
Permit It Account Description Amount Amt. Pd. Bal. Due
/rlsf -U l� Bldg. Permit (BUILD) l�K-
Plumb. Permit (P'.UMB) az_�-z— vZ(v
Mech. Permit (MECH) .54 y -* )7)
State Tax (TAX) S 0,
Bldg:
Plumb:
Mech: 7
Plan Check (PLANCK) O•ti 3 U OT-3
Bldg:
Plumb:
Mach: / _�'. �! 3
r
►,.d�4�-U a Sewer Connection (SWUSA) 0 ov
Sewer Inspection (SWINSP) 3
Parks Dev Charge (PKSDC) 0 5 u
Residential TIF (TIF-R) 1 .1;7 v
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAI-)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) 81OV
Erosion PlancklUSA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
r '
Solar Balance Point Standard
Box A. North-South dimension for the lot Pox B. Shade point height from your structure.:
measured perpendicular to t e midpoint of the Change in elevation from front property line to
north lot line i the finished floor elevation added to the height
of the building from finished floor elevation to
the affected peak/eave. If the roof line runs
feet NIS, subtract 3 feet from the figure. Subtract
one foot for each foot of difference in elevation
from the front property line to the rear property
line.
feet
Box C. Distance to the shade reduction line
Distance from North property line to
foundation added to the distance from the
foundation to the aft� ted roof peak/eave.
c
I Feet
The following helps explain the graph below
the horizontal axis (rows) represents box "C" figures.
The vertical axis (columns) represents box "A" figures.
It is most useful to draw a vertical line to represent the appropriate figure
found in box "A" and a horizontal line ro represent the appropriate figure found
it box "C" . The intersection of the vertical and horizontal lines determines t:1e
value found in box "D" . The value in box "D" should be compared to the value in
box "B" ; if the value in box "B" is less than or equal to the value found in box
"D" , rhe building is in compliance with the solar balance code .
Distance to
shade 1.00+ 95 90 95 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line in feet
70 40 40 40 41 42 431 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 el0 41 42
55 34 34 34 35 36 37 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40 41 42
45 30 30 30 31 32 .33 34 35 36 37 38 39 40
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 ' 28 __._23._ . 931 32 33_ 3A _
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 29 29 30
15 19 1.8 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 , 18 19 20 21 22 23 24
Box "D" Maximum allowed shade point height.
C, ,
4
Solar Balance Worksheet
Address
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding tine midpoint of the North lot line and drawing an
intersecting line perpendicular to that point. Measure the distance from the midpoint of the
North lot line to the South lot line along the described lire. ft
Box B calculations: Shade point height from your structure. Box B:
1. Determine whether measurP:i-ents will bo based on the peak or save of you,
structure. The orientation of the ridge is also important. Which describes
your lot?
1 a: h the roof line runs North-South, measurements will 'as based on the peak of the (Circle one)
roof.
1a� 1b 1c
1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements
will be based on the save.
1 c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements
will be teased on the peak. I
ft
2. Measure change in elevation from front property line to finished floor elevation.
+ ft
3. Measure distance from finished floor elevation tc the affected peakNeave.
ft
4, if the roof line runs North-South, deduct three feet. If the roof Ime runs East-West,
deduct nothing.
5. Subtract one foot for each '.got of difference in elevation from the front property ft
iine to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes jp from the rear to the front, deduct nothing.
i
6. Total figure for box 8: _ 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 peak or eave. + ft
r
I
't
3. Total figure for box C:
i
i
PUJMBIN[, V,ERMIT
CITY OF TIGARD DPFM IT wrr v>#UFD: Y 10/05/9J'- ;l£)
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)039.4171 F'AF2(;F I_- : 104DC -065111V_�
SITE ADDRESS. . . : 13788 SW FERNRIDGE TERR
SUBDIVISION. . . . : MORNINGSTAR ZONING-;: R--4. 5 F'D
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :006
CLASS OF WORK. . :NEW GARBAGE DISPOSALS— : 1.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW F'REVNTRS. . : l
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAP'S. . . . . . . . . . . . . . :cZ1
STORIES. . . . . . . . ill WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :2 (-)F RAIN DRAINS. . . . . : i.
SINKS. . . . . . . . . . 1 GRFA5f TRAPS. . . . . . . :�r
LAVATORIES. . . . . :7 OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . :4 WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . ai RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I. . . MUST HAVE GARAGE FLOOR ENGINEERING IN BEFORE POST AND BEAM
OWNER: ---------------------------------- -----------_FEES____- __---
MASTERPIECE CONST TIF $ 1590. 00 JSD 10/05/95 95-271316
15435 SW ASHLEY DR 5WM $ 180. 0111 JSV 10/05/95 95-271316
SWM t 100. 00 JSD 10/05/95 95-27131E
TIGARD OR 97223 BPRT $ 688. 00 JSD 10/05/95 95-27131E
Phone #: 524-4371 BPLC $ 447.. 20 JD 08/18/95 95-269527
B5PC $ 34. 40 JSD 10/05/95 95-271316
Plumbing Contractor:--- ---- ----- -- - PARK $ 300. 00 JSD 10/05/95 95-271316
MPRT $ 54. 50 JSD 10/05/95 95-2713t6
Name: Pctm -�� f+� _�° IyIF'LC $ 13. 63 JSD 10/05/95 95-271316
Address : 773- .:iWl S 5f,� Ti/ _ M5PC 9. 2. 73 JSD 10/05/95 95-2713io
CitY:.. . _ PPIRT '67. 00 JSD 10/05/95 95-x71316Z _
Zip:�]1YQ _ ��Phone#i:���25__�0�� F15PC $ 1 3. 35 JSD 10/05/95 95-271316
R e!� #:� _�� ..L _� _ _..._..__�_ _ ...._--_--.......___ Additional fees n o t Shown here. . . . . . . . .
REQUIRED INSPECTIONS
This permit is issued subject to t,ie reg--
ulation% contained in the Tigard Municipal Footing Insp Insulation Insr-.
Code, State of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laves. All work will be done Post/Beam Street Rain drain Insp
in accordance wit -r approved plans. This Post/Beam Meehan Water- Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 180 days of issuance, or if work is Plm/undslab Insp Appr/Sdwlk Insp
sl..tspended fur more than 180 days. PLM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
Framing Insp Erosion Control
Fireplace Insp
Gas Line Insp
Authorized Plumbing ontrtactor-N Signature
Call for inspection - 639-4175
Contractor Notes:
77
CITY OF TIGARD PLUMBING PERMIT
PERMIT #. . . . . . . : PLM96-0104
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/07/96
1312.5 SW Hall Blvd,Tigard,Oregon 97223sS1gg (503)639-4171 PARCEL: 2S 104DC -06500
SITE ADDRESS. . . ; 13788 SW FLRNRIDGE I'L R R
SUBDIVISION. . . . : MORNINGSTAR ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :006
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. - 0 MOBILE HOME SPOCE5. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNT RS. . : I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . .... . . . . . . . . : W
STORIES. . . . . . . . 3 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES------------------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATO IES. . . . . a 0 OTHER FIXTURES. . . . : V)
TUB/SHOWERS. . . . 1 0 SEWER LYNE (ft ) . . . : 0
WATER CLOSETS. . : o WATER LJNE (ft ) . . . : (111
DISHWASHERS. . . . : 0 RAIN DR-JN (ft ) . . . ' 0
Remarks : Install residential backflcw prevention device
Owner: FEES ---
ALLEN DANFORTH type amolint by date recpt
13788 SW FERNRIDGE TERR PRMT $ 15. 00 JSD 05/07/96 96-279079
5PC r $ 0. 75 JSD 05/07/96 96-2790'/':)
11GARD OR 972123
FIhone #:
Contractor:
R & 6 LANDSCAPE SPECIALTIES
6455 SW 14YBERG LN
f*UALATIN OR 97062
Phone #: $ 15. 75 TOTAL
Reg #. . c 006159 REQUIRED INSPECTIONS
This pereit is issued subject to the regulations contained in the RP/Backf low Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other FiTial Inspection
_-
applicable laws. All work will be done in accordance with
approved plans. This pewit will expire if work is n3t started
within 18@ days of issuance, or if work is suspended for mbee
than IBO dais.
i ,erm.ittee Signature :
s Lked
Call for inspection 639--4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # le�{
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
""" New Single Family Residences Only
❑ 1 BATH HOUSE 5140.00 ❑ 2 BATH HOUSE$195.00
Job 7 _c rNr/ tI ❑ 3 BATH HOUSE$225.00
Addressa,+�r /� n. Fee includes all plumbing fixtures in the dwelling and the first 100 feet
l r c r of water service, sanitary sewer and stone sewer. See fees below.
Nw-(77wm"''""" FIXTURES QTY PRICE AMT
Sink 9.00
MW"Adt' ""'" Lavatory 9.00
Owner Tub or TutdShower Comb. 9,00
°'"'"" a' Shower Only 9.00
Water Closet 9.00
Dishwasher 9.00
Garbage Disposal 9.00
Occupant „a&q,,", Washing Machine 9.00
Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray 9.00
""' / Urinal 9.00
��r� � Other Fixtures (Specify) 9.00
wr"�s.r °�""' 9.00
Contractor /41
G� 5T d KJ 4 9.00
""«'" A' 9.00
r1t1t4� 0C Grylo Sewer 1st 100' 30.00
"'"R".V$ftM Me. c+r DAL To No. Sewer-ea. Addit 100' 25.00
_ (P/22 Water Service 1st 100' 30.00
I t,ereby acknowledge that I have read this application, that the Water Service ea. Addle. 200' 25.00
information given is correct, that i am the owner or authorized agent of
the owner, that pians submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given �s correct. (It exempt from State registration, please
give reason below.) Mobile Horne Space 25.00
/ Back Flow Prevention
x,fl� Device or Anti-Pollution Ccrice 9.00
Due Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new 0 addition 0 alteration C repair 0 Catch Basin 9.00
to be done residential 0 non-residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.001hv
Existing use of
building or property Rain Drain, single family dwelling 30.00
_
Residential backflow prevention
devices I/ 15.00
Proposed use of
budding or property
*(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 ;OTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 59: SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR.A PERIOD OF 80 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 251,: OF SUBTOTAL
TOTAL
Special Conditic ns
Date issued ay
ELECTRICAL_ PERMIT
CITY OF TIGARD DATE PERMIT I SSUED:CO2/14/96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 072234140 (603)039.4171 PARCEL:: 2S l04DC 065&,
**k. 6)ERL SW FERNIRIDGE TGRR
IBUIVISION. . . . : IIURNiNGSTAF ZONING: R-4. 5 PD
_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :006
oje!ct Descr-iption : RESIDENTIAL TO 4, 500 SQ FT.
F2ESIDEINTIAL UNIT----- --- TEMP SRVC/FEEDERS---- ------MISCELLANEOUS------
ITO SI' OR LESS. . . . 1 171 - c.00 tamp. . . . . . . : 0 PUMP/I RR IG(AT ION. . . . : 0
1CH ADD' L 500SF. . . : 7 201 - 400 �m p. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
MI1'I :D ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/1DONCL. . . . . . . : 0
IIVF. HM/ SVC/FDR. . : 0 6 114 amps- 10121 1 volts. : 0 MINOR LABEL ( 10) . . . : 0
-..--SrRVI1:E/FEEDER-- _._.._..._DR4INCH CIRCUITS- ----ADD' L INSPECTIONS -.-
1.200 amp. . . . . . : 0 W/SERVICE: OR FEEDER: 0 PER INSPECTION. . . . . : 0
/it 41DVI ramp. . . . . . : 0 1st W/O 5RVC OR FDR. : 0 FUER HOUR. . . 0
,;1 600 amp. . . . . . : 0 EA ADD' L E+RNCH CIRC: 0 IN PLANT. . . . . . . . . . . : N
ell 111112112 am . . : Q REV Ik.W SECTION-
J
ECTION------.__-___ .._._ .-.... ...__...
100+ amp/volt. . . . . : 0 ) =4 RES UNIT;. . . . . . . . : ) 600 VOLT NUMINAL. .
_connect only. . . . . : 0 aVC/rDR > 225 AMPS— : CLASS AREA/SPEC. OCC.
vner: FEES
1STEPIECE CONST. type amoI-Int t)y date t-ecpt
li35 SW ASHLY PRMT $ 285. 00 CJS 02/14/96 96--275935
5PCT E 14. 25 CJS 02/ 14/96
lyaRL` OR 97224
,orae #:
10C ENTERPRISES INC $ 299. 25 TOTAL
1 DOX 1429
REQUIRED INSPECTIONS
- -- — --
.ACK11MAS OR 9717115 Ceiling Cove►, Elect' 1 Se►-vice
lone #: Wall Cover Elect' 1 Final
U #. . ,
�s pereit is issued subject to the regulations contasneo in the __ _
,lard Municipal Code, State of Ore, Specialty 'odes and all other Fe mittee Signat;.Irc+
,�licable laws. All work will he done in accordance with
;moved plans, This pereit will expire if cork is not strted
'hir 190 days of issuance, or if w^rk is suspended for Bore
i•, 160 jays, I: _led Ly
_.-OWNER INSTALL.ATI01\1 nNLY .._.-.--.-
e installation is being made on property I own which is, not intended for-
'Ile,
or.tile, lease, or, rent.
JNER15 SIGNATURE: UATI_:
INSTALLATION UNI Y--_ .. .. _. -.... ______._---- - ---_- ._
i.3NA1 URE OF SUPR. LLL:L' N: rf'a � � DOTE:
' f_;E:NSC Ntl a
I
Cell for inspection - 639 4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tig.,d, OR 97223 Planck/Rec. # `)C .� 76' 35
Permit # f/L 9r, - ojo9.j
Phone (503) 639-4171 Date Issued 9L
FAX (503) 6847297 Issuedby
CITY OF TIGARD FAX
No. (503) 684-2772 y
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development o g Number of Inspections per permit allowed
AddressService included, Items Cost(ea) Sum
City/State/Zip fT_ { u 4a. Residential• per unit 4
1 1000 sq It or lona _1— $11000
Name (or name of business) r\ - <,�-. 11,may_ L' �" 5(' Each additional 500 nq it or
portion thereol _L $2500 1 ,' S_� 1
Commercial❑ Residential [-T•-""- temded Energy $2500
Each Manul'd Home or Modular 2
Dwelling Service of Feeder $6111
2a. Contractor Installation only:
4b.Services or Feeders
]� Installation alipntxon or relocation 2
Electrical Contractor 200 Amps or less $6000 2
Address `pU I '-1 -5 S 201 amps to 400 Amps ^- $14000 - 2
City 401 amps to 600 Amps $12000 2
f A l c". �• State l Zi p �� 7 U I j 601 amps 10 1000 amps $18000 2
Phone No. 6 j J - G I ri L Over 1000 Amps or volts $34000
Contractor's License No. -X 4- e_: Reconnect only $5000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
s _ IrclallAhnn,Alteration or relocation 2
Signature of Su r. Elec'n l — L'_
9 P L¢--^` 200 apps or lana X00 00 2
License No. G /W - Phone No. 4 S 2 -0-1 It 2_ 201 at ripe to 400 Amps - $7500 2
-- 401 wips to 600 amps stop 00
Over fon amps to 1000 volts
2b. For owner Installations: see•r,•Above
4d. Branch Circuits
Print Owner's Name New alteration or extension per panel
Address a)The fee for brarxh circuits wffh
City _ State Zip purchsq of service or!soder Ne 2
Each branch circuit _ $500
h _
Phone No. , The lee for branch circuits wifhouf
The installation is being made on property I own which is purchue of service ar A►eder Ase. 2
_
not intended for sale, lease Or rent Fust branch circuit $3500 2Each Additional branch circuit 1500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 2
Each sign or oullin o lighting __ $40 00 __
Signal crn:url(s)or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel Alteration o/extension $4000
4 or more residential units in one structure Minor l abols I10) $too 00
Service arid feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
�— Cfassified arca or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 r'"'zlwtxon $3500
P"x i,our _ $55 00
�
Submit 2 sets of plans with application where any of the above $5500
apply. Not required for temporary construction services. 5. Fees:
NOTICE Se. Enter total of above fees $
O�
5%Surcharge(05 X total fees) $ 4
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb. Enter 251/1,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 x
Balance Due
�M1.t+rM1MN W.-P^RO
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . s MST93-0 31ft
DATE ISSUEDs 01/27/97
F'FaRC:EL s 2S 104DC-.Q►6;�►7.�V�
1 1 L ADDPESS. . . s 1;3786 SW F`ERNR I DOE T ERR
JIDDIVISION. . . . s MORNINGSTAR ZONING04. 5 PI)
t...ClCll. . . . . . . . . . s
LOT. . . . . . . . . . . s Dot,
'_ASS OF WORK. cNFLW
YPE OF USED. . . :SF
I YPE OF CONSTR t 5N
1)CC.UPANCY GRP. cR3
00(A)PANCY LOAD: 1.
Pemar-t<s . PATH I
1101..iTF Rio I LCE CONST
15435 4;35 GiW Af3MLEY DR
I 1[BARD OR 972x:3
i ,)lone #s 524•-4.371
H(71133TERPIECE CONST INC
10145 SW SEDLAK CT
t fILAT1N UR 97062
t 1hone #t 69x:-7099
C?e9 #. . s 069010
1 h.i H Cert i fic•ate grants cic-rc-uparncy of the above referenced building or• portion
theret,f and confirms that the hlAilding ham been inspected for compliance with
the State of Oregon Specialty Codes for the yr^oup, Tcupanc , and rise under
ior) ir:h the referenced permit was issued.
INSPECOR H•U I L.L�I NO OFF I L:I A-L.
.._ _- -....._.._._._.....___.__..
tai 1 t l_U IJG
Pos T IN CONSPICUOUS PLACE