13337 SW HILLSHIRE DRIVE 13337 SW Hillshire Drive
- - -- � FL�JI�►13 T NG NLr11*I x �
CITY OF TIGARD DATEI ISSUED: 06/0"/944
COMMUNITY DEVELOPMENT DEPARTM 'NT PARCEL: 2S 104C:A•-0 7600
13125 SW Hall Blvd.Tigard,Oregon 97223►9199 (503)639-1171
;,w + ;i1_a_:�i:aiir_ LR ZONING: R-7
PD
JbiJivi.�1',.Jili. , . . HI1_LSHIFtF.
LOr— _ ` ._..._.___.__._.w__..___________..__..,_._.____.__._ ..._.._.
,-AF Fa OF WORK. . :NEW GARBAGE U)ISPOSOLS• 1 AACKCLOW P'REVN'rRS. . : 1
OF USE. . . . aSF7 WASHING MACH. . . . . . . : 1
F LUOR DRAINS. . . . . . . .J) T RAP:.•. . . . . . . . . . . . . . :kl
CCUFJANLY GRP- - : ;R "
fC]RIES. . . . . . . : WATER HEATERS. . . . . . . 1 CATCH k�11SIIV5. , . . . . . ;kr
IXTURES.... __..__ LAUNDRY TRAY!). .. . . . . : 1 GR RAIN LAPS. �. . . . . ; 1
INNS. . . . . . . . . . : 1 GREASE TRAr='S, . . . . , . :+C
.AVATORIE11 . . . �5 OTHER FIXTUR'S. . " . . :�
.3
UES/SHIJWLRS. . . . bLWLR LINE (ft ) . . . . :0
ATER C:.'L.OSETS. , WW'TER LINE (ft ) - . . . : 10111
i LsHWA-3HI-KU. . . . : 1 RAIN DRAIN (ft ) - 1 . :0
winarks : PHIH 1
JWNLH-
Al!",KE:P.19MC.ON431 INC 0 00 .IF 00/03/94
16317 SW FALLEITIN LOOF, BPRT $ 470. 5-121 JF OC./0.3/94 -
BPLC 4 305. G? SW 05/ 19/1J4 94-• L51`
sLCIHra OR9700/ E15PC 3 23. 53 JF 06/03/94
:.)Lane #: 97l-•lE1�ti3 SSDC $ L-80. 00 JF' 06/03/94 -
PARK $ 500. 00 JF 06/ill,• ;y4
)1�_�mtrirry Gontracto, ;; .. .__...� �
MP RT $ 4B. 00 JF 06/0, 94 _
PiPLC 11.:'. 00 .JF 06/03/94
-
f,lame h .1( 06/03/94 -
1 r � -t E:'F:'RT $ 1 '70. 00 JF 06/1213/94 -
F'SF'C: FJ. 7)0 JF 06/03/94 -
x Io:
iey it : NZ63
REQUI RE_U I NSPLCT l ON5 -_.._.
per-mit is x.ss .,'�d subject to t;_rlations contained in the Tigard Mi_lnicipal Foot/found1n- F� W; t drain IsF,
n
Code. State of Ore„ 5perialty Cude� arld fall nc,-;t Beem 5tra(''t Wter Line Ir�r,
other applicable laws. All work will be do+re post/Beam Mrcl-ran Apr)v-/Sdwlk Insp
in accordance with, approved Fxlan ;. this
F''lm/UndSILAb 1n5p Mechanical "incl.
F'LM/Underfloor Plumb Final
permit wxl l emp,re if work is not started
within 1.B0 days cif xssi_latrce, nr r. f ark IS Me,"hanlral 1-19p Suilding Final
s�.rsoencled fc,r more than 180 days. F'l�.lmb Top Out Er^asian Control
Fr-r:+ming Insp Cravil Drain
F i r e p 1.A c a Ins
Gas Lirre Inst _.. _ ...._ ._._...._.. .
Ins 1-r 1 at I a n I n s p ------.___..____
---' Gyp Hoard Insr, _
A. or^fixed F'lumbir. Contractor Si nature
Call for inspection 639--41'75
Contractor Notes :..__-_
MASTER PERMIT
CITY OF T I GARD PERMIT #. . . . . . . : M S T)14 0 20
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/03/94
13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (501)639 4171 PORCEL. 1040;A-1117600
SITL. !3W HILLSHIRE DR
SUBDIVISION. . . . : HILLSHIRE ZONINU.'. R-7 PD
0 L 0 C V. . . . . . . . . . LO.. . . . . . . . . . . . . .
---------- BUILDING
RE I SSUE: DWFLLT.NG IJI'JITS: 1. BASEMENT. . . . . . . . :0
r'LASS OF WORK, NEW BEDRMS:4 BATHS:3 GARAGE. . . . ., . . - ,516
/PE OF USE. - - :5F FLUOR ARE PS - -- — REOUIRFD 5ETbACKG-----
YPL Of' GONST. :5N F I RST. . . . I 1137 sf LE�,FT. IE' ft RIGHT. : lb
GCUPANCY Grilj. R3' SECOND. . . : 1 148 S i; F- R 0 NT -AZI ft RE:.AR. . :39
UH.ILS. . . . . . . . TH I RD. . . . :0 S f REUU I RE-D--
MOKF
i.11 G H T 0 f t TOTAL_ f T DETECTOF
-OOR LOAD. — 4 fl., psf VC'LUE. . . . . $ - 14398 171ARK INC, SPACLS. I
q m a v-I,s . r,wr 1-4 1
PLUMBING
INKS. . . . . . . . .. . . . PLOUR DRAINS. . . . :(A BACKFLOW FIREVNITR5. . : 1
�4VA-I URI E S. . . . . WATER HE=ATERS. . . : 1 TRAPS. . . . . . . . . . . . . .
IJB/SHOWERS. . . . LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . .
ATER rLOSETS. - :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . .
I'-i!iWW-)HC]R5. . . . : 1 Wf: l'r--'.R LINE (fl-, ) . -- 100 OTHER FIXTURES. . . . ..
ARBA3E DISP. . . : 1 RAIN DRAIN (ft ) - :0
'�'-)SH 1.NG MAOI I- - - - 1 5F R(IIN DRAINFi. . I
MECHA N I C P L FEE
JEL UNI I """n- type aniol-l"t by (1 C4 t P v e zc P
6 P S VL N TS . . . . . ..11A I II`- $ 1 belzi. 00 11-- 06,'03/44
AX I NPU' BIU VLNT FANS, - -i-i BID R I * 410? 5 0" ..JF 0E•+/03, 9 4 -
LjRN ( 100K . :0 HOODS. . . : 1 FPLC $ ;305. A3 SW 4)E 19/94 94-25Z!
URN . - 1 WOODSTOIJES. :0 LN5PC t 23. 53, JF 06/03/94 -
LOOP FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JF 06/03/94
UO-JER UNI1*5: 1 PARK $ l.-00. 00
I . . ,Jr" 06/03/94
GAS OUTLEISel MPRr `I; q0 00 JF 06/03/94
I-:. ow j 06/03144
lwner,i - -MPL.L L
'JILKL-NS LUNbl . INC M5PL 6 i::. 40 JF 06/03/94
[1317 9W 1--nL-t.A1IN LOOP PPI: T 4 170. 00 JF 1716/0,;1/9-4
r,5PC $ 8. 50 JF 06/03/94
L_UH(1 OR `37007
'hone #.- 591- J.P.33
ontlr-actor-,l
,JLKENS COI,4S0'RULI-IUN, I.NL
(1311 SW rHLLPTIN LOUP
iL.OHP OR 9711107
,11oti1? 0: b91 -18,33
$ 3340. 76 TOTAL
'his permit is issued subject to the regulations contained it the REQUIRED TNSPF-ET101145
-igard Municipal Code, State of Ore. Specialty Codes and all other Foot/fcli.tnJ Insp Fireplace It-lSP
applicable laws. Pll work will be done in accordance with approved Post/beam stt-l-kct bAs Line Insp
plans. This pertit will expire if work is not started within 180 Post/Fteam Mer. tiairi In"tilation Insp
divs of issuance, or if murk is suspended for more thar 189 dews. PlIm/ktridslab Insp Gyp Boat-d Insp
r1LV/Undelr,f loot Rain dt ,. in I T1 S p
Et V11111 - e -, Dj- Mecf-ianical Insp Water- Lin'? Insp
{,ter Pli.imb Top 01-1t Appt-/SdwIk InsI,
By F i-a m i n g I n s p Ivl,:ch a n i c.�a J F- i na
Call for- inspection 6.39--4175
ijLWLR CONNm,—
ERMIT
CITY OF T I GARD PERMIT #.P. . . . . . SWI?94-02ec-,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/03/f.-4
13125 SW Hell Blvd.'riga rd,Oregon 97223*8199 (503)639-4171
:SITE. ADDRESS— : 13337 SW HILLSHIRE DR PARCEL: 26104CA -07600
:SUBDIVISION. . „ „ : H I LLSH I RE ZONING: R-7 PL)
BLOCK. . . . . . . . . . : L01 . . . . . . . . . . . . . :0766+
TENANT NAME. . . . . :
JSA NO. . . . . . . . . . w I FIXTURE UNITS. . .
-LASS OF WORK. NEW DW['---LL ING UN ITS.
FYPE OF USE. . . . . :SF NO. OF” BUILDINGS: 1
I NS I AL L TYPE. . . . -.BUlj'W R IMPERV SURFACE. S f
qPmarks : PATH i
WICKENS GONGT. INC type 'AMUL(rit by Oate
18317 BW FOLL(irIN LOOP PRMT $ 2200- 00 JF (2)6/02,/94
il-OHA OR 97007
'hone 0: 591-1833
ontractor:
iDVANCED F'LUME'S I N6
10 Box 86 793
1 V R TL OND UN 91286+
!�e
Photi#e #. 236402'0 $ 2235. 00 "UTF4L r . 79E8-3
q
REQUIRED I NSPECT I UNS
:his Ppplicant agrees to comply with all the rules and regulations Sewer Inspect iurl
of the Unified Sewage AgpnL:y. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
,r-roit expires. Th,, Agent does not guarantee the accuracy of the
:de sewer laterals. If the sewer is not located at the measurement
i.ven, the installer shall prospect 3 feet in all directions free
:ie distance given. If not so located, the installer shall purchase
"Tap and Side Sewer” Permit and the Agency will initall a lateral.
r M i t t e N S i g r1 t
5 U e(I 1A
Call for iris pecA k on 6;39-4115
u1u sw Ilau Blvd. P!NCK/REGI � �/ '�� /�
CITY OI,, TIGARD � _ G��
CONI MUNITY 1)UYELOPMEINTI)EPARTMENT Tigard,Oregon912n PERMIT N
(503)639-4171 DATE ISSUED
JOB ADDRESS: ✓�A TAX MAP/LOT
"J `'"
SUB: fi�1t-1 �I�IIZE LOT: r) D ' LAND USE: P D
VALUATION: Zzj� �
OWNER SPECIAL NOT S
NAME: � I�KEW (DIh I'C INS REISSUE OF: _
ADDRESS: I a��� >�� r Al � '� IfJ LUf�P _ LAST REISSUE:
FLOOD PLAIN/
PHONE: _S1, SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: WI�I'lt_�: �f)rJ�� I��C_ PLANNING �! �
ADDRESS: I,U" ' I C PLl_AiIk) Loo, ENGINEERING:
I,\L-uM u. 1'lOC'1I FIRE DEPT.-
PHONE:
EPT:PHONE: ^' l 1`G,'i"� OTHER: _
CONTR. OARD J`, EXP GATE: `I
ITEMS REQUIRED
SUBCONTRACTOR: PLU B: LUt1blM6 LIST/SUBCONTRACTORS:
LL.LI._ �',� 'llrJl_ BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: �IJNI��IDC� : UL�IGI1 i _ TRUSS DETAILS:
ADDRESS: `� ' _ ��. `Sll�(!.4' _ OTHER:
PHONE: _ 2 ' 1. 1 1 el�Z
PROPOSED BLDG,. USE: R15OLN'CIAL.
COMMENTS:(`C d 'U r /l, ,L__ ---
/ I = _ —
APPLICANT SIGNATURE
Received By: __ Date Received: __
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. OUE
h1.s � uloy 1.0-432 00 Building Permit Fees yiQ-S() � q7v. ,-r
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mei anical Permit Fees —IJ *v Y.
10-230 01 State Building Tax (5%) 3
Building .53
Plumbing S d
Mechanical -2 -yO
10-433 00 Plans Check Fee 3l Y3 / ?'� 7- Y-3
Building ,3oS, 'y
Plumbing
Mechanical /2--v
10-230 06 Fire
.5,.✓ _u�o�j 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3 / 3 �J
25-448-02 Commercial TIF Fees
25-448-04 industrial TIF tees
25-448-06 Institutional TJ Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees IU Stu
25-448-05 Mass Transit TIF Fees !�y
52-449 00 Parks System Dev Charge (PDC' Svo
31-450 00 Storm Drainage Syst Dev Chra
(SSDC) �� _
24-445-01 Water-tdt+4t-y_(fee -a-44w-ef-) -__4t-
C,-GL4-.
24-4.45-02 -Water Qua"ity (Fee in..ltee-v _ ` 'Yr' y
TOTAL S OZ .�G �
01 _ -1,4 3
nm/3587P.WPF
STATE OF OREGON
100
do ��T► i i.•�,
s
BOAAD
�Qgi51dr1+I;,5 Ypr}�K INE EKCMANGE
sptc tool'. A/ 4Eb1,�EATIAl• 545+17a3�
( EXEMPT
( IN'�IVIOUAI , FILE
( ADVANCED oLU�6iNb _
( JQMN PUCKETT
( PO dOX 80743
( PORTIA40 OR
h��f� �. �dry;� 11/; �•k t � � .
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASI'ER PERMIT'
13125 SW Hall Blvd,Tigard,Oregon 97223.8109 (503)(139.4171 PERMIT #. . . . . . . . MST94—Oi vi
UPT`E: I SFUE.D: 09/12/94
PARCEL-- 2S 104CA•-07.00
S I T E ADDRESS. . . : 133:37 GW 1-I I LLGH I RE DR
SUBDIVIGICIN. . . . : HILLSHIRE ZONING: P--7 PD
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :0x76
BUILDING
RE I SSUE; DWELL I N.; Ulu 1'FS: 1 6ASCME-N'I'. . . . . . . . ..0 f
CLASS OF WORK. :NEW BEDRMS:4 BATHS 13 GARAGE. . . . . . . . . . :516 sf
T"Pl= OF USE". . . :Cif= I L.UOR AREAS-------- REOU I RED SETBACKS-------
TYPE UF CONS'T. :5N FIRSI". . . . : 1137 sf LEFT. . : 12 ft PIGHT. : 15 ft
OCCUF-'jANCY GRP. :R3 S ECOND. . . : 1 148 s f F ROAT. :20 ft !tEAR. . :39 ft
STORIES. . . . . . . C2 F I NBSMENI :0 s f RE QU 1
HE I GH F. . . . . . . . :29 ft TO'TAI_..__._.._._.._: `8C t,f SMOKE= DETECTOR;.;. :Y
FLUOR LOAD. . . . :40 psf VALUE— . . . . $ : 128566 PARKING SPACES. . : 1
Remar^ks : PA•TI•i 1
PLUMBING -• -_..._.-_____..._.._.._._....-_-.___.____._._.. _...___..__..... . _
F1INKS. . . . . . . . . . . i F=LOOR DRAINS. . . . :0 BACKFLOW PRE:VNTRS. . : 1
LAVA"IORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUI /SHOWERS. . . . 53 LAUNDRY TRAYS. . . : I CATCH BASINS. . . . . . . :III
AATE;R CLOSETS. . :.i SEWER LINE (ft ) . :0 IiREASEy "CRAP='S. . . , . . » :0
,)ISHWASHERSi. . . . : 1 WNTER I_INE ( ft ) . : 1.00 OTHER F IXTURES. . . . .. :0
"ARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
JAC;H 1:NG MACH. . „ : 1 `::iF RA 1 N DRO I NS. . : 1
MECHANICAL ..___...__.__.._.__- ._.._.._._,.__..___._....._ _. ...,.__..._.._ ...._____-_ FEES _-....._..._-.._.._... . .._
UE L� UNIT HTR: . . :0 t y p amo1..lnt by .late r prp�
GAS / / VENTS . . . . . :0 T'IF $ 15c.'PI, 00 JV 06/17+-3/04 -
1QX INPUT-0 BTU VENT F-ANS. . :`'i BPRT $ 505. 50 JF 06/03/94 -
URN ( f OOK, . . :0 HOODS. . . , . . : 1 BPL_C: $ L28. 58 GW 05/19 /94 94-25
I.JR1\1 ) '= 100K . . : 1 WOODS TOVE:S. :0 B5PC s 2,5. 2a JF 06/03/ 34
LUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 1110 JF" 06/03/94 -
i4.1IL./CMF' ( :"sFil- :111 OT'IaER UNITS: 1 PARK $ 500. 010 JF Ob/111:3/94 •
GAS CJLJ'T'LETS: I MPRT $ 48. 001 JF 06/03/94
12. 00 JF 06/03/94
,.lIC:KENS CON57. INC M5PC $ 2. 40 JF 06/03/94
SW FOLLAT IN LOOP PF'R'T $ 1 ,In. 011.1 JF 06/03/94
P5PC $ B. 50 JF 116/03/94 -
1LOIAP UP 07007
'hone #: 591--183.3
.ont1^actor-•: _.- _.._....._..__.. ..__ _. .._..... ._._._._._....._..._..___...._..__.
J I UKE-NS, CONST RUCI'I ON, l NC:
1.831-7 9W FALL.AT I N LOOP
11__f.)HA OR 97007
,hone 4: 591 --1833
8335`]
34001. -_b TOTAL
,his permit is issued subject to the regulations contained in the - - - REOUIRED INSPECTIONS -- --
7igard Municrpai Code, State of Care. Specialty Codes and all other Foot/found Insp Pl�_Imb Tup 01.1t
applicable laws. All work will be done in accordance with approved r.of /f o i-end I n s p P 1 t.Im b .Tap Ol.It
plans. This permit will expire if work is not started within 180 Post ;Beam Str1-Ict Pll.1mb Top Ol.It
days of issuance, or if work is suspended for more than 180 day$, Post/Beam Mechan Framing Insp
�`� '• ( \ Plm/tandsslab insp Fireplace I.rlsr
F`'es mittee `lignat F, : V�Q/1.�. . �_ `"V.�,^/y.--- PL.M/Underfloor Gas Line insl
Mechanical Insp Inst.11ation In _ ,
1 s.s .led By - ._ .,�C�_.... . _ _. -__..._._._._.. __.-___. ._.___
Ile ch anica) Insp 13,.�p Board In
Residential Building Permit �►Pplicat;on
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: 12 ?3
Subdivision: _ f t ! FS Lot#�_ Office Use Only
Valuation: / .+ (e , w — Planck/Rec #
Corner L ot? Y Permit# � . (J
Flag Lot? Y Reissue of r _
Map & TL#
Owner: It S CIr f f Approvals BgquilLed
Address: 01317 :7 ) _ �; L rpt► P Planning
/QAV Cr
Engineering
Phone: S�1 1 — ��'.�i —_ ..._.
— -- Other
Contractor: �►►T -�J�� — y
Items Reguirod
Address
-- — -- Subcontractors
-- --- Truss Details
Phone: _ _ Other t _
Contractor's License # _ __ �C, •! '
(attach copy of current Oregon license)
Contact Name & Phone:
Sulbcnntractors: Archltect/Engineer.
Plumbing: _ Address:
Mechanical:
(attach copy of current OR Contractor's License)
Phone:
i
JOB DESCRIPTION:
Applicant Signature & Phone number —
Received by —_ Date Received
NiWORMCOW)BARESAFP
rr�sw���■�s
Permit# Account Description Amount Amt. Pd. Bal. Due
U' a 4 Bldg. Permit (BUILD) +•ati u70" ,'Z 2S.
Plumb. Permit (PLUMB) ) 7o. ✓ j )U d ,ay
Mech. Permit (MECH) 4k �
State Tax (TAX)
Bldg:
Plumb: ✓
Mech: ✓
Plan Check (PLANCK)
Bldg: t
Plumb:
Mech:
Sewer Connection (SWUSA) 22 u u ✓ 2 Z vy
Sewer Inspection (SWINSP) 33",
Parks Dev Charge (PKSDC) J
Storm Drainage Chg (SDSDC) `✓/ "�/
Residential TIF (TIF-R) /(JI 0_J U_
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (E ZPRM 1)
Erosion Planck/USP. (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: . - - :� _�
1�CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec•O Phone). 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. P sic+. Top Out Elec. Rough-in
Post/Beam Mach. San. Sewer Gas Line � \)
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation ec
IJnderflr. Insul. Shear Wall Gyp. Bd. -Elec. -
Date Requested, c� T_Time: AM
Address:. ,
Builder: Permit p:
TFE FOLLOWING CORRECTIONS ARE REQUIRED:
In Spector:_ Date:'-C/—
_APPROVED DISAPPROVED 9:: A ROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD C.EF-tTIF-'.C:A'fE OF
COMMUNITY DEVEL13PMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd,Tigard,Oregon 971^?3.8',99 (503)839-4171 PEPM I T #. . . . . . . 7 1+1;1794- 0 -'k1`
639-417', DATE: ISSUED: 04/26/95
VIAPCEL: 253104LA-07604(
,ITC. ADDRESS;. . . : 13337 SW N I LI_SF4I RIr DFt
.UDD I V I S I ON. . . . A I.1 I LL SH I RE. t fJR11 NG s Ft-i F'1)
.LOCK. a L_01
.,LW 'i OF WORK. :NEW
YPE. OF Ur&. . . :SF
)CC:UPANC;Y GRP. c R3
►C:CUPANCY LOAD11229 4
1 E NANT NAME. . . 11
"em.-Arks t PATH I
JICKF NS CONST. INC
F.1,3 t 7 [-�W FALL IT I N t,no
1 IL.OVIA 012 97007
Phone #: 591 .--1033
J1Ct;E:hl!i CONSTRU(,TIf)t4, INC
1,6,317 SW FALLATIN LOC1P
+4LOF10 OR 1700;
Photie #: X31-1E3.�s•
83353
(7cc:1_crranr y n f `lw at+r.+ve +.`f r;r �+rrc eri t+u 1 I..I i►+[I i hev-pby y a vin, tht:1 c 1-01 iia. + a
thie r omF�iI nc a with 4 ,.Ie CJf Cir erg��n :,j.)e(- i�+1.+:y Codes fc)r thcr gr .rl
4r'`C".+.tr7enC^Y�
and t.hc" r�fPren{ eco P� .rmif islsueo.
1 �
1.4UILDING INcIPFCTOR PH L_D'ING _1 F F li+
F,MIT IN
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-41-5
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP
Received ---_---Date Requested_ _ 12, � AM_ PM BUI-
Location �.� �3� � _ b'L _Suite_ MFC 1 —
Oontact Person —_- "
Ph(_ _) s� 3 -7 PLM
Contractor SWR
BUILDING Tenant/Owner ELC
Footing -
Foundation Accass: ELC
Ftg Drain
Crawl Drain ELR
Slab Inspection Notes: SIT
Post& Beam — -
Shear Anchors _`_— _—1 ------------ _�.. ---
E,t Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
DrywallNai!ing
Firewall
Fire Sprinklai
Fire Alarm
Susp'd Ceiling
Roof
Other: --- - ,
Final
PASS PART FAIL -
PLUMBING
Post& Beam
Under Slab
Rough-In -- - ---
Water Service
Sanitary Sewer —
Rain Grains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: ------
Final
PASS_ PART FAIL --
MECHANICAL _
Post& Beam
Rough-In
Gas Line
Smke Dampurs
fPW PART FAIL
ECTRICAL
Service — - - -
Rough-In _
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$__._ required before next ins
PASS PART FAIL pectlon. Pay at City Hall, 13125 SW Hall Blvd.
SITE F] Please call for reinspection RE:Fire __ Unable to inspect-no access
ADA /q/7
Line --; � w �
�
Approach/Sidewalk Mate �� Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGi.Rr, 24-Hour
BUILDING Inspection Llne: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received — Date Requested AM _ M BUP _
Location _ , Suites MEC
Contact Person __._ _ � Ph( ) S76 S 3 �� PLM
Contractor -- Ph( ) SWR
BUILDING Tenant/Ower _ ELC
Footing
Foundation Access. ELC
Ftg Drain ELR
Crawl Drain --
Slab Inspection Notes: —^ SIT
Post& Beam -
Shear Anchors
Ext Sheath/Shear J
Int Sheath/Shear -
Framing ---- - ----
Insulation -
Drywall Nailing ---------- -.._--- __
Firewall
Fire Sprinkler �fVD
Fire Alarm
Susp'd CeilingRoof
Other - - �3 - —
Final
PASS PART_ FAIL_
PLUMBING
rPost&Beam
I� Under Slab
Rough-In
Water Service --- ---- __
Sanitary Sewer _
Pain Drains
Catch Basin/Manhole —
Storm Drain
Shower Pan
Other: --
Final ---- — -----_ --
_PASS _PART FAIL -
MECHANICAL
Post& Beam
--
Rough-In ---------
Gas Line
Smoke Dampers
Final
PASS PART FAIL - ---
ELECTRICAL
- -- _—
Service
UG/Slab
Low Voltage
Fire Alarm
PART_FAIL Lj Reinspection tee of$_ _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA '
Approach/Sidewalk Data -? %� InspecUm-r,- Atz
__ / - Ext _-
Other:
Final DO NOT REMOVE this Inspection record f om the Jou site.
PASS PARI' FAIL
� MECHANICAL PERMIT
CITY OF TIGARD
DPERMIT#: MEC2002 00311
DEVELOPMENT SERVICES
DATE ISSUED: 7/19102
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S iO4CA-07600
SITE ADDRESS: 13337 SW HILLSHIRE DZ ZONING: R-7
SUBDIVISION: HILLSHIRE JURISDICTION: TIG
BLOCK: LOT: 076
CLASS OF WORK: OTR FLOUR -URN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT- SYSTEMS:
STORIES:
BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: I DOMES. INCIN:
- — 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install A/C unit. Cannot be placed within the required setbacks.
OwFEES
ner: -- =
HOWARD WOOD
Type By Date Amount Receipt
13337 SW HILLSHIRE DR PRMT CTR 7/19/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 7/19/02 $5.80 2.72002000C
Total $78.30
Phone: 503-516-5388 '—
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST REQUIRED INSPECTIONS __ T
TIGARD, OR 97223 —
Mechanical Insp
Phone:62.0-5643 Final Inspection
Reg #:LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Codi, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
rted within 180 days of issuance, or if work is suspended
plans. This permit will expire if work is not sta
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
t.itility Notification Center. 'Those rules are set forth in OAR 952-001-0010 through OAR
952 001-0080fYou may obtain copies of these rules or direct questions to OUNC by calling
Issue By: c;_�� , ,(, Permittee Signature: o-n Q-
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business'day
Jul 16 Oc 07: 07a Speetalt!A Heating 503 598 0718 p . P
Mechanical Pernut Application
PDatercc6v,.d- Jai'If I< P�rsnitn0.:
City of Tigard Project/appl.no.: Expiredate: ._
(lryqfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Oatcissued: _ Dy' ' Receipt rQ.:
Phone: (503)639.4171
Fax: (503) $98.1960 Case file no. Paymenttype:
Land use approval' Building permit no.:
TYPE OF PERN
X1 &.2 family dwelling or accessory QCommerviaVindu❑trial ]Multi-t:ro,;ly 1"1 .nam intptn ment
C-1Nrw Construction Addiliun/altcratiom/replaremcnt ❑Other. .
1 t 1 1
Indicate equipment quanutics in buxa,)bclvw.Indica c the,dollar
value of all mechanical materials,equipment,labor,t verhead,
Suite no.:
profit.Value E
Tax map/tax lot/account no.:
—.
Lot; Block: Subdivision: •See checklist for important appltcahon inforntatlon and
- jurisdiction's fer,ychr�ule for restdrntial pennt! fee
City/roan c •ji ZIP: ` '7 7-�
Description and location of work on premises: ��-�
_... 1 1 1 1
p(v ea.) Total
Est.date of completion/inspertion' 7 (' Z- �-
Iksabuog Q Kea.only ItcS.ntilv
Tenant improvement or change of use: Air bundling unit
Is existing space heated or conditioned? Yes Q No rcondi
tfon,- ►g stte Ian requ c
--Is azittinb spacr inaul:tteA1 et 0 NOMECHANICAL A leralion of ct�sung 41 V A('eystem
1 1 fioiler/comptcssoh
state holler permit no.:
Business nate r4_ L'f �" .� ._ lip Tons BTU/H
Addres E' �( _ �T w 1 Sr ti'Tk�aniper ducts-okes rLectuta _
city., d State:e) ZIP:!? of 3 catpump(siteplanrcquurd) _
n aniUreplace unacc urner t
�3& ( Fa�:69d1_0,;/mail: -
Qlrone• --- Including duct,vorklvent liner O Yes❑Nu
We no.: 5? 7� _ nstalUreplace rc uceteheateis-suspenrlra,
Cfty/metty lir..
no.: 7� 7!� wall,of floor mounted
ilcase tint Vent for app Ince o er an tumaee _.
1 1 Absorption units _ HTU/H
HP
Natttc:.,. 1'j!L-t°e lY - I
m _ HI' _
AAtlress:.4'J �.$' V / �/t _S -Ci 1 r� tit :� ZIP: ?r ^ entrc� .-maustoae• 3 Gam .�( I ax.J U? e I/ ccs pprcmiou system„ns,i,.r 'y;`yq�} ';/�d with eirtttle dart(bath fans)
Name. �L i _ ---
aust syslcin A art tram bt:a ng or A
_ _
Maiiing address '7�7,� 1� r ,_ at on up w uu cu
Cit ' Itate:O� 7.1I'. �ri'�'��b lyPepll► LI'C; __ NG _10i-
It-
_
_�.:__ -- __Oi
PhOIIC: ;”-
Fax: E-mail:,;t:. :. - ._ Fuel ptpittp ear h ati iriunta Over J outlets I
essp1P ng11cinanaticmqutrcd)
N'tl�tr"�tt: ',,- lberiisteTpllnarc o—�egt�i��nseut•. .,r
.r. ►tif3te�• kAP t• luxti. pc. — 'r'
`Qty •+��~'" -- , oatstuve%penUstcvr _ "�
phoriet1. -- F (v..ttwil: IterApplicant's,slgttaiurc: !rr Date: ? /6 D�- o rr —
NatIIe rint): E �
- _ Permit fee.
Na dl Jwl*rlfdnos eceYpt tit Cons ptr+se cell ltaisdtalon fa'store Ittfametim Notice:This permit epplieatinn Mitumum fee ...........•$ _
tivmd a mutplewA expires irtt permit in uut ulttsioed Plan review(at _ %) E _
rmnu card nUT"bW. Atter - within ISO days affin it has been State surcharge(8%)
_— N-—tn d imaFTrrer a Iwo on c t c
accepted as comptete. �"
TOTAL .... . ..........E
f
_-- Cs d r tcq�atvts /Cittottut
4r1417(60WC(1M)
Jul 16 02 07: 07a Specialty Heattn% 503 598 0718 p. 3
SITE PLAN
PL
40
Pl.
Pt.
r�
PL
Ski fl,
�L
STREET
Specialty Heating & Cooling, Inc
9528 SW Tigard Strcet
Tigard, OR 97223
Phone 503.620.5643 Fax 503 .598.0718
Hillsboro Phone 503 .640.3607 Fax 503 .681 .079.3
CELECTRICAL PERMIT
CITY O F T/GA R D
PERMIT#: ELC2002-00329
DEVELOPMENT SERVICES DATE ISSUED: 7/17102
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CA-07600
SITE ADDRESS: 13337 SW HILLSHIRE DR
SUBDIVISION: HILLSHIRE ZONING: R-7
BLOCK: LOT : 076 JURISDICTION: TIC
Protect Description: Install 1 branch circuit to A/C.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF GR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amn: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMh'4'AL:
Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HOWARD WOOD OWNER
13337 SW HILLSHIRE DR
TIGARD, OR 97223
Phone: 503-516-5388 Phone:
Reg#:
FEES — Required Inspections
Type By Date Amount Receipt Rough-in
PRMT CTR 7/17102 $46.85 2720020000( Elecl'I Final
5PCT CTR 7/17/02 $3.75 2720020000(
Total $50.60
This Permit i- issued subject to the regulations contained in the Tigard Muniapal Code.State of OR. 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 more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to
Permit Signature: � L�c� C� -'� _— Issued By:
OWNER INSTALLATIQN ONLY
he installation is be ig made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: ""{7,/ — DATE:__.__
CONTRACTOR INSTALLATION ONLY
SIGNATURE ': SUPR. ELEC'N: /� �_ t ---- -- DATE:_— .—
LICENSE NO: --- — ------ -�-
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
Date received t p Perc.,n no G?:1
City of Tigard Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd, Tigard,OR 97223 Date issued: ByJ Receipt no.:
Cin n(lignrd Phone: (503) 639-4171 Y Pa mentiYpe
Case file no.:
Fax: (503) 598-1960
Land use approval:
U Multi-family U Tenant improvement
&2 family dwelling or accessory U Commercial/jn ustl:iill U Partial
TUNew constnlctiort U Additi a teration/folaccrnent U Other: —
Job address: 7 ��ylli.-e &Ivc Rld�. ncl.: tiuile nr).:- Tax map/lax loUaccount no.: -
1.,,1; Block: Subdivision: — ---
I'r,acct nnnlcc _ Description and location of work on prreemissees ,(t ?j.(, b f 61
f --
Estimated date ocorn Iction/inspection: — -
III-WAINv 14v 11:n
Job no: r r — Ik%criptiuu Qh. (cu•) Total no.imp
Businesslnlllic > / Nenre%idetrtial-single or multi-famihix-r
Address: duelling,wit.Inchnlrc nln"lied Kill al;e
State' Senicelncluded:
City: I0W sy ft.or less _ 4
Phone: Fax: E-mail: 1; ch additional 50o sq.ft.or ortion thereof
CCB no.: Elec.bus,lic.no: Limited energy,residential 2
City/metro lie.no.:
Limited energy,non-residential 2
Each manufactured home or modular dwelling 2
- -- bate — Service and/or leerier
re ot
Signatu 'su rvising electrician Ire uired) _ Services or feeders-Installation,
I ira•nsc°taltera(lonorrelocation:
Sup.elect.nr.nrc(printl: 2
pRopERTY OWNER 200 amps or less 2
201 amps to 401 amps 2
Name(print): wd��' -- 401 amps to 6OO amps
2
< 6(11 amps to I(M amps
Moiling,address:/3 j 2
City: T State: ZIP: 4 Over 1(100 amps or volts I
3 9 I'ax:
E-mail:: Recrltnlect on1
Phone:
Temporaryaervlcow or frrder%-
Owner installation:The installation is Icing made on property I own Installation,alteratlon.orrelocation:
which is not intended for sale,lease,rent,or exchange according to 2M amps of less
ORS 447,455,479,670,7 1. 201 unlps to 4M amps
Owner's signature:
�( Dale: 7/ n i 401 to(100 all,Ps
Branch clrcults-tea,alteration,
or extension per panel:
Name: _ A. Fee for branch circuits with purchase of `
-- service or feeder fee,each branch circuit _
Address. B. 'cc for branch circuits without purchase
State: ZIP:
(`joy; _ of service or feeder fee,first branch circuit:
Phone: --- w {: IIL'til: Eachnddit,,iibranch circuit
Misc.(Service or feedrr not Included):
Each pump or irrigation circle —
U Service over 225 am U I lenitlrenn facilityEach sign or outlin —
U Service over 120 amps-rating of 1&2 U Harardous location Signal circuits)or a limited energy
panel,
familydwelling% U momsBuildngoentialver nitsinon000 estruct feet four or alteration. -�_
J System over 600 volts nominal nx�re residential units in one structure —
U Building over three stories U Feeders.41111 amps or more "Descrition _
U Occupant Inud over 99 pentons U Manufactured structures or RV park Each additinnaa Inspection over the allowable In any of the above:
U iign'ss/lightingplan U Other -- Per inspection —
Submitsell%of plans Nlth anv orlhe mbo'ke Investigation fee
- _
'll(e above are not applicable to temporary consUvclion service. Other
Pernut fee.....................$
Plan review(at — %) $
NPl aII)adxlicliutu OCCfpI l',,dll Cants,I'll--1a11 IanXhc'tion form Nr infivoultl(Nl Notice:This permit application �
U visa U Maslett'ard expires il'a permit is no ' '7t obtained State surcharge(896)....$
('rrdu card number __ within IAO days after it has been
! -� _ y accepted as complete. TOTAL
-------------
Narne of cardhnl r a,shown on credit cord s
4411-4615 1 htOtA('OM I
(:rdhnlder s.RMlure Amount
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL r SLY
Restricted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq ft.or less _. $145 15 4 Aud.j and Stereo Systems'
Each additional 500 sq ft or
portion thereof _ $33 40 --__ 1 Burglar Alarm
Limited Energy $7500 _
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $90.90 ?
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 2 Vacuum Systems'
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60 _ 2
601 amps to 1000 amps $24060 2 Other
Over 1000 amps or volts _ $454.65 2
Reconnect only $86.85 2
Tem tonneprirary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system.......................................... . .. . .. .... $75,01)
200 amps or less _ $6685 2 (SEE OAR 918-260-260)
201 amps to 420 amps $100.30 2
401 amps to 600 an,'ps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1001 volts,
see"b"above. Audio and Stereo Systems
Branch Circuits Boiler Controls
New,alteration or extension per panel
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Fach branch circuit $6.65 _ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 _ ? J
Each additional branch circuit $6.65 - HVAC
Miscellaneous Instrumentation
(Service or feeder not Included)
Each pump or irrigation circle _ $53 40 Intercom and Paging Systems
Each sign or outline lighting _ $5340
Signal circuit(s)or a limited energy
panel,alteration or extension _ $75 00 Landscape Irrigation Control'
Minor Labels It 0) $12500
Each additional Inspection over Medical
the allowable In any of tire above Nurse Calls
Per inspection $6250 _
Per hour _ $6250
In Plant _ $7375 _ ❑ Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ —_ Other_--
8%State Surcharge $ Number of Systems
25%Plan Review Foo
See"Plan Review"eection on $ ' No licenses are required Licenses are required for all other installation,
front of application �T ----
Fees:
Total Balance Due $ $
------" Enter total of above fees
❑ Trust Account# _. 8"i Slate Surcharge $
- --------------
-- --� ---- — Total Balance Due $--
All Nein Commercial Buildings require 2 sots of pians.
i.\dsu\fomuklc-Iecs.doc 08/30/01
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PH(`NE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit # : 05(J5/4`ar; Pxoject- 4 : P00432A4 ,::.t.atus Pa":.10 i c.t E
Applied , 08/24/94 Ic-&ued 08/24/94 Expires 05/20/95 04/19/95 06 - 17
REnELEC
Permit Title CFTC - NEW HOME GIH
Description Bequr. : 08/24/94
Job Adds-esa 13337 :C'W HILLSH' RE DR TI
Owner Name INSPEC.'TION - TI YARD Regi.on
Applicant. Name H 6, R ELECTRIC ;Nt"
Phone number 642--4161 Valuation : a Approved_
i
Inspector C'ovattent.s Rejec.t.Nr1_ -_
IVR-RESULT:a
REQUEST
Pi urnh i n y �_..___._ -.---•---------- __ __ �....____ .. ______ ._._ ____. _._.----- . .. .___.._..
Mechanical -_ . _ . __. � _.___.. _--- _.__.�___ —__ _ _.. __.._ .-.-•-- -
EJ P-c t r i c a 1
,t r•u c t r u a 1
Ueneral
1 n s p e c t N d by: !-_-~-' D a t.e . _
11ispta.ction I2�gaaasf ad:
Final Electri<-al 0499 F AF UN IVR
04/19/95 RI HI3
04/ 12/95 RI RIIVR 63355 c:'
04/12/95 DN MJ DNIVR LUTt2 I 9.;
04,' t 0/95 RI .JF
04/10/95 DN RG frNm LUT49 I Bb
01/09/95 RI JM
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
OC COUNTY, 155 NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit, V 05057456 Pro,jo pct # P004:3,'84 ;3t.atus APPROVED pagN 1 of 2
Applied . 08/24/94 Issued 08/24/ 94 Expires 05/20/95 04/12/95 05 . 01
RESELEC
Pormit Title SFR - NEW HOME OTH
Description 9,�!qun : 08/24/94
Job Address 13337 SW HILLSHIRE DR TI
Owner Name INSPECTION - T IGARD Regi(: n L'
Applicant Name H & R ELECTRIC INC'
Phone number 0342--416 Valuation Approved--_..—.__
Inrpectur CarrmRr.ts Rejected )
--. ..__ t/r�_ �.ld!1d�L.l :►�i�DLti�.....�._.____._ IVR-R E S I1 L T:3
RECItIFST ERROR
Plumbing
Mechanical :
1:].PCtricAl '
..,t.ruct.ruul .
3eneral _ �
1 n s p e r t,e d by :__- ._ L-
Date
ed
Final Elftctri�_al 0499 E AP 7N iVk
-*+' R I T V R 83'35S o
04/10/95 RI JF
04/10/95 DN RG DNIVR LUT49 I L3;3
01/09/95 RI JM
01/09/95 DIV RG DNIVR LUT49 I as