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OCT 2 5 1997
LLT. BY;
OSP --SETBACKS CONFIRMED PER CHRIS PAJAS
10/25/96 MSG
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STAKEOUT LOT 32 H I LLSH I RE ESTATES
SW.1 4SEC.4,SW.1 4SEC.9 T.2S,R.1 W.W.M.
CITY OF TIGARD
--A SIX FOOT PUBLIC UTILITY EASEMENT WASHINGTON COL',' 1TY, OREGON
SHALL EXIST ALONG ALL FRONT AND REAR LOT LINES. OCTOBER 25 1996 C e rit e r l i n e Concepts! Inc.
DRAWN BY: MSG CHECKED BY: WGDIII 640 82nd Drive Gladstone. Oregon 9702 `
SCALE 1 =20 ACCOUNT 2397 503 650-0188 fox 503 650-0189
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13530 SW HILLSHIRE DRIVE
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CITY GF TIGARD MAsYFI? r,F'RMTT
DEVELOPMENT SERVICES PERMIT it. - . . . . . : MST9G6 0349
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01 /15/97
PARCEL: aS 104CD--03200
3I TE ADr)1?ES,3. . . : 1 3530 3W 1-!-11L.1-SHIRE DR
SUBDIVISION. . . . : HILLSHTRE ESTATES ZONING: R-7 k1l.)
LCL (7CK. . . . . . . . . . .
LOT. . . . . . . .. . . . . . :032.
�emar�s: SF RESIDENTIAL, PATH 1
-----------------_.._----_-__—.-------------------------------- BUILDING --------------------------------------------------------- -
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 818 if REQUIRED SETBACKS---- RENIRED--------------
CLASS OF WORK.:NEW HEIGHT........: 16 FIRST....: 1478 s GARAGE.....: 818 sf LEFT..........: 5 SMOKE DETECTRS: y
TYPE OF USE...tSF FLOOR LOAD.,..: 40 SECOND...: 0 sf FRONT.........; 20 PARKING SPACES:
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 if RI6KT.........1 5
OCCUPANCY GRP-:A3 BORM1 BATH: 3 TOTAL------: 1478 sf VALUE„!: 168064 REAR..........: 80
----------- -- ------------------------------ PLUMBING ------------------------------ --------------------
SINKS.........: 1 WATEh CLOSETS.: 3 WPSHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISr..: 1 WATER HEATERS.: 1 WPTFR LINE ft: 100 BCKFLW PREVNTP: 1 GREASE TRAPS..: u'
OTHER FIXTURES: 0
---------------------------------------------------------- MECHANICAI- --------------------------------------------------------------
FUEL TYPES------ FURN ( INK ,.: 0 BOIL/CMP ( 3HPt 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
lips/ / / FURN )-100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 JTrER UNITS...: i
MAY INP.: 0 BTU FLOOR FURNAIESt 0 VENTS.........t 0 WOODSTOVES....s 0 GAS OUTLEJS...: 1
----•---------------------------------------------------------- ELECTRICAL. ------------------------------------------------------------
-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- --BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
ION SF OR LESS: I 0 - 200 alp.,: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION; 0
EA ADD'L 5O0SF.; 5 201 - 400 amp..: 0 201 - 4% amp..: 0 lit W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
1I"'TED ENERGY,: 0 401 600 amp.,: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNALMANEL... : 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601faaps-1000 vt 0 MINOR LABEL -10: 0
1000+ alp/volt.: 0 ----------------------------------- PLAN REVIL:W SECTION - ------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDA)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC NO:
----------------------------------------------- --- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------..
A. SF RESIDENTIAL--- ------ B. COMMERCIAL----------------------------- ---------------------------------- ---------
AUDIO t STEREO,; VACUUM SYSTEM..: A;JD',O 6 STEREO-; FIRE ALARM...... INTERCOM'PAGING: OUTDOOR LNDSC LT:
BURGLAR gLARM,,: OTHsALL It X BOILER,........: HVAC...........: LANOKAPE/IRRIG; PROTECTIVE SIGNL:
GAAASE OPENER,.;
rLOCK......._., INSTRUMENTATION: MEDICPL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: e
Owner: -------------------------------------Cont actor: ----------------------------- TOTAL FEES:$ 4778.4E
CHRISTOPHR PAJAB PARAGON HOMES INC
P,E95 SW MAVERICK, TERRACE #103 2013 RIDGEWOOD ROAD
BEAVERTON OR 47008 LAKE O9" OR 97034
Phone #: 524-907E Phone #: 635-1581
Reg 0... 091664
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
-------------------------------- -- - —----------------- REQUIRED INSPECTIONS ----------------------------------------------------
Erosion Contol Post/Beam Mechar Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Ins'ilat'an Insp Pppr/Sdw4 Insp �_-
Posh/Peal Struct Plumb Top Out Low, 'Voikage Gyp Board Inspa cal Final
a r-m i t t e e S i g n:a t u n e : _1� W^�4�- -- I s s"e<:i i,7 ��L2^,Q- --
Call for, inspection 639-41.75
CITY OF TI C A R D �IFWER CONNECTION
PERMI1
DEVELOPMENT SERVICES PERMIT #. . . . . . . : SWR96-0560
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED. 01 /15/97
PARCEL: 2S104CD-0312:,00
131TE ADDRESS. . . : 1.3530 SW HT'Ll-SHIRE DR
SUBDIVISION. . . . : HILLSHIRE ES'iHTE-9 ZONING: R--7 PT)
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . .. . 0 312
TENANT NAME- - :
USA NO. . . . . eo . . . : FIXTURE UNITS. . . 0
CLASS OF WORK. . . :NEW DWELLING I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I
TNSTALL 'TYPE. . . . ..BliswrR TMPERV F-'IJRF()CF- 0 ,1=
Remav,ks : SF RESIDENTIAL-, PATH 1,
Owner: FEES
CHRISTOPHR PnJAS type amal.mt by date I•Pcpt
F1695 SW MAVERICK TERRACE #103 PRMT $ C-200. 00 JSD 01108197 97-- J,8858','
1 NSP $ 33. 00 JS0 01/08/97 '37 -.2138513,
BEAVERTON OR 97008
Phnne #: 524-912176
CONTRACTOR NOT ON FILE
r-11-ione
REOUTRED INSPECTIONS
This Applicant agrp@s to cooply with al' the t,tjl@s and regulations iiev4et- Insppcticm
o; the Unified Sewage 4genci. The pervit expires 180 days froo
14 date .ssl;ed The total asount paid will be forfeited if the
pprvzt expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the cew@?, is not located at the measurevent
given, the installer shall prospect 3 feet in all directions Frog
the distance given. If not so located, the installer shall purchase
? "Tap and Side Sewer" r#prsit and the Agency will install a lateral.
5 S 1-t Lac!
fc)r- inspec-,tion 639--41.75
-Y OF TIGAFD Reside-" al Building Permit Applicat' n Re,; IBv �
25 SW HALL BLVD. New Construction Additions or ,Alterations D.ue Rec 1
,AR0, OR 97223 Single Family Detached/Attached ( 1 or 2 Units) t,.rtr to P E
)3) 639-4171
Print or Type Permits
Incomplete or illegible applications will not t. accepted
Name at P,ciec: Lr Na e
Job Architect N1311ng a(mmsp
,address Z),W �re�s
1da1.,1"15���., ly'stmo .'o a,u,r
I ewl it, OIL
_ Name _
Owner �Ni.t ling.Andress ^^ ff,,
�eb-7-5- rlli✓l�itK �2PAlf_ 'K!L I L��r �n1<�`,�� �I vb�
Engineer Nlailing A(1,1 esus
��.ty Stale 'p Ph —IV 0 L(t1A.,b1�)1)C)ir /, `
QtigyllFL✓mow 9�cs�S S2 s/-�a�v ,.�
CaryiState Phone
Nre n 0A 11705 ,j t"y• 5l()
general �J S DescnCe worn New WAddition :
F'orrTiun - 'ri iqn AmoL Amt. Pd
�Wj•(ti1ST Permit (BUILD) 6o5,-9-e-," &5•
Plumb Permit (PLUMB) 5. 22S.
►I
klech Permit (MECH) _ __ ✓,
ELC/ELR Permit (ELPRMT) xV7,5
State Tax (TAX)
j57 S"7
Bldg.
Plumb
IV1ech.
ELC/ELR:
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN) ►�
CDC Review - planning (CDCPLN) 0,
CDC Review - bldg (CDCBLD)
�w� Sli Sewer Connection (SWUSA) � G1 U, �V, ,��GU•
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (7"IF-ti1T) _ G�, '"✓ c �•
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT) 64 Yv _ � f—
U L� iL
Erosion Planck/USA (ERPLAN) , _
Erosion Planck/COT (EROSN) C �%" ` U,
Fire Life Safety (FLS)
TOTALS: J�� _ Z t5c<v
i�ests resaco _cc ev _ e� ��-1
Solar Bala ecce Pon Standard Worksheet
"Z1- 3V St✓v 111hS Ir.C_
Address 4146". W4166"Vi%
Box A calculations: North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
450-0-
t
5°—-
1 t \
LOT UP19 toy
N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. i feet
t �\
N
_V7 NM%-�DAWNWN
Box B calculations: Shade point height for your residence. Box B.
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important- your residence?
1 a: If the roof line runs North-South, measurements will RM (circle one)
be based on the peak of the roof. o o a 3
'QCm—► 1A 6OC
1 b: if the roof line runs East-West and the roof pitch is \
less than 5/12, measurements will be based on the
ea\,e.
4-1Cf.•T_7r EA1E
1 c: If the roof line runs East-West and the roof pitch is
5/ 12 or steeper, measurements will be based on the
peak.
Box B. continued Box B:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If
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.
5. 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
Box C. Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the ft
affected peak/eave.
2. Measure the distance frorr. the foundation to the affected peak or eave. + ft
3. Total figure for box C: ft
It is most useful to draw a vertical line to represent the appropriate figure found in box 'A'and a horizontal line to represent the
appropriate figure found in box 'C'. The intersection of the vertical and horizontal lines determines chic value found in box'D'. The value
in box 'D'should be compared to the value in box '8'; if the value in box 'B'is less than or equal to the value found in box 'D', then
the building is in compliance with the solar balance code. If you have any questions, please contact ins at 639-4171, x304 or at the
Community De,,eloGment Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Net)
Distance to North-south lot dimension (in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
L-A-be(in feeL_ _
70 40 40 41 42 43 44
65 31 38 38 39 40 41 42 43
60 3 ii 36 36 37 38 39 40 41 42
55 3 1 34 34 35 36 37 38 39 40 41
50 3 32 32 33 34 35 36 37 3? 3� 40
45 3 30 30 31 32 33 34 35 36 37 38 39
40 28 18 29 30 31 32 33 34 35 36 37 38
35 6 26 26 27 28 29 30 31 32 33 34 35 36
30 4 24 24 25 26 27 28 29 30 31 32 33 34
25 2 22 22 23 24 25 26 27 28 29 30 31 32
20 0 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 18
10 1 16 16 17 18 19 20 21 22 23 24 25 26
1 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: },.e�� � u (� feet
h:'docsVunMventura\solar chp
Revised 2J26'96
t
G2 ASSOCIATES INC. (503)292-7939
GEOLOGY • SOILS • ENVIRONMENTAL • DEVELOPMENT .
May 12 , 1997LC
Mr. Tracy Livingston '
2013 Ridgewood Road
Lake Oswego, OR 97034
RE : Pajas Residence Fill Compaction
SW Hil.lshire Drive
Hi.11shire Development
Tigard, Oregon
Dear Mr. . Livingston:
At your request, we have been involved in resolving
excavation concerns, slope relationships and the need for
limited structural fill placement for the above residential
structure. Enclosed is a sketch of the westerly foundation
layout, detailing the areas whi.ca have required structural
fill to improve grade relationshps and genual conditions
for the support of foundations . Without this wcrk, those
foundations might have otherwise oeeri cast into a minor draw
unearthed beneath this structure upon excavation for the
foundations . The result would have been less than
acceptable and could have resulted in deteriorated
foundations with time .
Since the beginning of our involvement (January 16, 1997) we
have both visited the site and held phone conversations with
your office on multiple occasions in an attempt to resolve
the above issues . As previously rioted, we have also
provided input rr?garding wall drainage, and recommendations
about other site features pertinent to your project .
The structural fill was recommended for the lower westerly
footing areas in the locations noted on the attached sketch .
It was expected to reach an approximate (maximum) depth of
three feet, key into the native basalt bedrock formation, to
provide a free-draining base for the foundations, and to
place foundation runs on level benches . The wall segment
noted as "B" will involve a four to five foot retaining wall
designed by ASK 4 Engineering and will be backfilled on both
sides . This will achieve reduction of the steep slope
conditions discussed between the walls below the garage .
As of this writing, the structural fill has been
accomplished using a select granular rock fill compacted in
six to eight inch lifts by repeated passes of special
compaction devices . The degree of compaction sought was 95+
percent of AASHTO T-99 or 90+ percent of AASHTO T-180 as
2005 S. V. 27TH. DRIVE • GRESI IAM, OR[CON • 97080
5440 S.W. WESTGATE DRIVE • Sl11TE 250 • PORTLAND, OUGON • 97221
Mr. Tracy Livine,:on
May 12, 1997
conditions and equipment application would permit under site
conditions . The fill density was field tested by Carlson
Testing using a nuclear densiometer for compliance with our
recommendations . We are in receipt of those compaction
tests and find that the results generally meet the requested
standards . Two tests were conducted ir. the deeper fill
section with results of 91+ percent cf T-180 or 95-96
percent of T-99 standards .
We remind you that the crushed rock fill between the garage
walls is vital and must be completed in order to meet the
Footing "K" criterion proposed by your structural engineer.
We have discussed this matter and both feel that the
material will offer needed lateral stability to the vertical
cut bank which lies south of and below the frontal 14 foot
retaining wall . This fill will fall at or near a two
horizontal to one vertical slope and should tailor into the
top of the rear garage wall . The outside of that wall is
also to be backfilled with native soil as will the areas
below that elevation. This should in effect resist sliding
factors and. other similar design forces .
We recommend that all slopes within the foundation "cells"
and the surrounding exterior grades be established at two
horizontal to one vertical angles as soon as possible and
where practicable . This will permit maximization of efforts
to vegetate the soil slopes and resolve erosion potential .
We tr.4saC this information meets your current needs on this
proyE& .,.-"Pleaee feel free to call should further assistance
dicerZy
o n H.d4fty, �1 16
L ei,kdegf'-
JN 'it'
CC: $ ght, P
S, HILLSHIRE DpIVE
r e r r 0001
7.
s N 56'
FQ 55.t1' i
.ter S�.A � --t. ��• N( �� --y _ 7-
96 • _ `0
WAII/LOCATION "B"Ile
APPROXIMATE LIMITS OF SUBJECT STRUCTURAL FILL PLACED.
TEST LOCATIONS INDICATED ON THE COMPACTION TEST SHEETS BY CARLSON TESTING, 5-9-97.
(15,12 •97 MON 11:(1(1 FAX 503 084 0954 CARLSnN TESTING; [ 001
t ..,j 0
Carlson Testingy nC• Constr•uetion Inspection &Related Tests
Geoierhniml Consulting
J013 Nn .__,:�?-7 : , PO. Box 23814
Tigard, Oregon 97281
Phone(503)684-3460
REPORT OF IN-PLACE DENSITY TESTS FAX (503) 684-0954
Client �F�"]f.�ifi.iL`1_1ii,rl►��.
-
'c'31:� ^Gl HILI_ I!JF'L DRTVE LF'+P•E CISLJC(il :,,
M.,tonal Descnption ! "ter II_ L,Ir.I, .r•r;I'I SGS.4RT}
Max Dry pensity � ._:.� Ibs!cu h Optimum Moisture °/a Method of Tcst _::�� 't u_T
IN' 1,7
U _ATF OF TEST T E 5 7 LOCATION couaSt AOJ. ELEV FIELD IN-PLACE OEN$ITY %TEST NO MAX. Iacl:;lunE iLeSicu.R,)
PARTICAS DONS, FT COMPACT101
SW DDRNERt
n� /' CCI�'NER i`,II lr; !'i 1 .4 1 L.rlr'
E_- �i
�emarka: ';)5% GOMPACTICIN r�r` y 6�' C,2fG�f 5 ���-9I
CITY OF
ii il-1N GR(-IY
L;ll_l. 'YC.IJ JGr�Lr,nD /C'RW Rfmv iewed I:y
��dby,ela_.aLt�el tajX tkrp m�tPr_jhj_ aste'di inspa,_i:e,:j r,r,ly, --- -CARLSONTESTINGINC-
-
hum
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
CITY OF T
DEVELOPMENT SERVICES
Milk 13125 SW Hall Blvd., Tlaarrl OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT M. . . . . . . : MST96-0549
DATE ISSUEDs 03/23/96
5 I TE ADDRESS. . . : 1.3530 SW H I L1..5H I RF_ UR PARCEL.s 2SI04CD-032010
c;UBDIVISION. . . . e HILL.5HIRE ESTATES ZONING:R-7 PD
OI._OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 1032 JURISDICTIONS T IO'
CI-ASS OF WORK. sN!=W
VYPE OF USE. . . s sp
TYPE OR CONSTR:5N
OCCUPANCY GRP. sR3
OCC+ 'PANCY LOAD s 1.
t e m asr k s s OF 1ESIM01FL, PATH 1
Owners
CHRISTOPHR PAJAS
8695 SW MAVERICK TERRACE 1!103
r r.-nVERTON OR 97006
Phone Ns 524.-9076
Contractors -•-.______._______...._.___________....._
PARAGON HOMES INC
2013 RIDGEWOOD ROAD
LAKE OSWEGO OR 970:34
Phone Mss 635._.15£31
Reg #. . s 000916
This Certificate grants occuuancy of the ebove referenced building or portio,,
thereof and confirms that the building hay been inspected for compliance wit"
tP,e State f' 0"90n Specialty CWII-S. for the group, occupancy, and use under
whish the referenced permit was 6sued.
C!IJILUING INSPECTOR SPECTIfJN SUPERVI^300
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION I
24-14our Inspection Line: 6394175 Business Phone: 6394171
Date Requested: 31 ,E M. P.M. _ MST: C)
f
Location: . 73 S✓d u �?,fk.?: .1 C . 'Z--' _ BUP:
'tenant: Suite: __Bldg: MFC:
Contractor: �7 >•_�'L � 4J�[ _Phone: PLM:
p
(honer: r�'Ll./wjl C/ 1i(.O G __ Phone: T? l el ___ FLC:
-- --- 71J� C Gil. fU tt r '1�I71f' ELR: --
BUILDING (cate't) PLUMBING CHANICA. -- ELEC'T'RICAL SITE
Site Rt/Beam ;., Post/13eam cam Cover/Service Sewer/Stonn
looting Roof y,4lndF11S)ah Rough-In v 10,07 Ceiling Water Line
Slab Framingtop Ont 4115 bine tel L Rough-In I1G Sprinkler
Foundation I ulation ..N Sewer Iloou/buct Reconnect Vault
lismt Damp -y ywall C�"� Storm Furnace "temp Service MISC.
Masonry �`A�� Ceiling . Rain Thain A/C 1)G Slab
Shcar/Sheath Fire spmdAlm Crawl/1'ound Ih I lent Frump. Low Volt
Approved, ' Approved Approved-- Approved Approved
Appy/Sdwlk li3et-Approved Not Approved Approved Not Approved Not Approved
FINAL, FINAL FINAL
J
I T
-
i
rl('all tin reinspection rl Reinspection fee of 4 reyuned ixforc nest inspection 711nable to inspect
Inspector �iI„_
Date / e- Page__ of
Page No, 1 CASE HISTORY FOR C43B NO.: MST96-0549
CHRISTOPHR PACAS
13530 SW HILLSHIRE DR
05/09/90
Actium Description Req/ Schd/ End/ Action Notes Disp By Update Upd
code Sent. Done Done Date By
MSTA005 Application received / / / / 12/12/96 JMH 12/17/96 J-H
M.4T.\009 Permit Created / /
/ / 12/17/96 JMH 12/17/96 J-H
MSTi.010 Check for prcl. restrict. / / / / 12/1'7/96 12/17/96 J•H
MSTP012 Plane routed to Plans Examiner / / / / 12/17/96 BUILDER WILL PROVIDE INFORMATION ON JMH 12/1.7/96 J•H
SUBCONTRACTORS BEFORE ISSUANCE AND
HIS METRO k COPY
MSTA026 Plane approved by RPE / / / / 12/18/96 PASS RT 12/18/96 BT2
MSTA030 Reviewed plane routed to DSTS / / / / 12/18/96 PASS RT 12/18/96 BT2
MSTA032 DST Poet-Review Completed / / / / 12/19/96 PASS JSD 12/19/96 JD
MSTA080 (F) Ready to issue / / / / 12/19/96 Need contractor info and application PASS JSD 12/19/96 JD
form completed/signed.
Thin ptrmiC wan made ready then given to
Jean to complete entry of names and
determine applicant for notification.
MSTA092 (F) Inoue combination permit / / / / 01/15/97 PASS DPA 01/15/97 DRA
MSlAo95 Issue plumbing signature form / / / / 03/11/98 RECD JMT 03/11/90 JT
MSTA097 Ioeue el+ctric signature form / / / / 01/27/97 DECD JMT 01/27/97 JT
MSTA700 Erosion Contol / / / / / / 12/17/96 J•H
MSTA703 Grading Inspection / / / / / / DO NOT DO FTC: INSP (INTI, GRO TECH NOTE 03/10/97 GBS
REPORTS AND ENGINEERING FOR FTGS
MS'rA705 Footing Inop / / / / 05/15/97 SEE NOTE ON GRADING INSP ABOVE NOTE OL 05/x2/97 J•H
051597: Building met to orubeyed ntakes
1. Raise all steel .3" above ground.
2. Finish digging keyway for wall over
11 ft in height.
UFER IVOUND ROD IN.
M'.TA706 Found.:tion Insp / / / / 06/10/97 foundation wall PASS RC 06/17/97 J*H
WTA706 Foundation Inop / / / / 11/05/97 Concrete in piers underfloor and at PASS RC 11/05/97 J•H
front of house placed without
inspections. Piero underfloor not
corrected.
DO NOT [AAD SHER'I'R0CK - INSPECTION
TERMINATED.
M;TA710 Poet/Beam Structural / / / ; 11/04/97 sheathing req'd for <14" stud cripple FAM RE 11/10/97 RB
walls;
support bearing pads
seismic restraint req'd for posting
nupporr beams (change of floor loading)
MSTA710 Post/Beam Structural / / i / 1L'J.u9' PASS RB 11/12/97 J•H
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0549
CHRISTOPHR PAJAS
13530 SW HILLSHIRE DR
O5/09/98
Action Description Reg/ Schd/ End/ A�tian Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA711 Poet/Beam Mechanical / / / / 10/21/97 pending- heat duct boot needs to be PASS RB 10/22/97 RB
necured to floor
MSTA713 Crawl Drain / / / / 08/11/97 OKAY TO BACKFILL AROUND HOUSE RXCEPT ON PASS RAB 08/12/97 JT
BACK SIDE AT FINAL CONNECTIONS
MSTA717 PLM/Underfloor / / / / 07/14/97 Folindation drain approved, front of PASS FB 07/15/97 J+H
dwelling ox.
Route for termination - tie into rain
drain if not extended to rear of
property. Provide rip-rap at
termination.
Thin inspection does not include rain
drain approval.
MSTA720 Mechanical Insp / / / / 10/14/97 Move bath vent fans or strap off to FAIL TLP 1.0/15/97 J•H
structure above. RE: laying on vent
motor housing - one in basement. No
pressure an gas gauge.
MSTA720 Mechanical Insp / / / / 10/21/97 post./beam issue FAIL RB 10/22/97 RB
gypsum req'd prior to placement of
furnace
seal duct joint in garage soffit
gas line test failed
seal gas line at e,:terlor
when using exhaunt venting at the eaves-
make sure that the vent is secured to
the screen portion of the vent opening
and not allow to be placed on the top
plate.
11^1A720 Mechanical lnnp 10/29/97 / / 10/28/97 PASS RC 10/29/97 J•H
Paye No. 3 CASE HISTORY POR CASE No.: MST96-0549
CHRISTOPHR PAJAS
7353n AW HILIZHIRB DR
05/09/98
Action Description Req/ Schd/ End/ Action Notes Diup By Update Upd
Code Sent Done Dome Date By
MSTA720 Mechanical Inap / / / / 10/22/97 1. We have no water line/nervice FAIL, RB 11/07/97 J•H
inspeciion in record.
2. Lias line 21.75 poi
3. Seal duct joint within garage (above
furnace) .
4. Shear requirements not met an per
091997 RB inspection okay this date.
5. support 2x6 hip above service panel,
view from study. Block within garpge.
6. Top plates thry-out need to be
continuous where off-setn are leen than
48-inches OC.
7. Short pony wall stuJa lens than
14-inch need sheathing (basement UP).
8. Suppc.rt bearing piers underfloor.
MSTA722 Plumb Too Out / / / / 10/22/97 prev correction by me 102197 ok PASS GS 10/22/97 GUS
MSTA722. Plumb Top Out / / / / 10/21/97 No test on waste. FAIL MS 10/31/97 J-H
MSTA723 Rlectricrl _:vice / / / / 10/1.3/97 Smoke alarms need to be moved. PASS MJR 10/14/97 J•H
M.^,'IA724 Electrical Rough In / / / / 10/13/97 Smoke al..rnm need to ba moved. PASS MJP 10/14/97 J*H
MSTA725 Framing Insp / / / / 11/04/97 PASS P33 11/05/97 J•H
M5T11725 Framing Inap 10/2.9/97 / / 10/28/97 1. Hip still not supported. FAIL RC 10/29/97 J•H
2. Top platen need straps where overlap
is lees than 48-inches.
3. Bearing piers underfloor need
support.
4. Bearing footings for porch not level
before placing concrete.
5. Okav to insulate.
Mf:TA726 Shear Wall Inap / / / 09/19/97 Shear wall nailing not approved. PAIL RB 09/21/97 J*H
1. Main floor 2A miened at garage (north
side wall left of door opening, provide
equivalent strap between 2 levela.)
2. Adequately secure all HD's
underfloor.
3. Block north nide wall in garage and
nail pinch o.c.
4. Nail sheathing where lackinq.
MSTA726 Sheat Wall Tnsp / / / / 10/22/97 PASS RB 03/23/98 RB
+1^TA^27 Low Voltage / / / / / / 12/17/46 J•H
Page No. 4 CASE HISTORY FOR CASE NO.: MST96-0549
CHRISTOPHR PAJAS
13530 SW HILLSHIRE DR
0:/09/98
Action Description Req/ Schd/ End/ Action Notes Drop By Update Upd
Code Sent Done Done Date Ey
------- ------------------------------ -------- -------- -------- ----------------.----------------------- --"- --- -------- ---
MSTA735 Gan Line Insp / / / / 10/14/97 No pressure on gauge. FAIL TLP 10/15/97 J-H
Mf;TA735 Gan Line Inap / / / / 10/21/97 presnure dropped FAIL RB 10/22/97 RB
MSTA'735 Gan Line Insp / / / / 10/22/97 PAS; RB 03/23/98 RB
MSTA740 Inaulation Insp / / / / 11/13/97 glazing unit at corner of. livingroom 4Lh FAIL RB 11/14/9 RB
If of fireplace and basement south room-
,.40 U-value.
re do flame spread at fireplace
maintain clearancoo
insulate duct under-stairs
insulate to R-21 above/behind shower at
basement
insulate small area at rim above ohower
at banement
firestop all thru floor penetrations
MSTA740 Insulation Inap / / / / 11/18/97 1. Please addre►q U-values an per prior FAIL RB 13/18/97 J*H
report dated 111397.
3. Insulate round duct under stairs.
3. OK to drywall.
4. Issues 1 6 2 may be "final"
disapproved if not addressed ASAP.
MSTA745 Gyp Board Insp / / / / 1.1/24/97 Cut back sheetrock min. 1-inch around FAIL TLP 3.1/24/97 J-H
furnace vents. OK to tape. Call fo.
reinspection Lar above item.
MSTA755 Rain drain Insp / / / / 09/11/97 Rain d-ains not approved. Need drainage FAIL RAS 08/11/97 J-H
fittinq at rear leaving footing.
MSTA755 Pain drain Insp / / / / 08/18/97 to street ok PASS MS 08/18/97 MRS
MSTA160 Water Line Insp / / / / 11/12/97 need to tent service FAIL MS 11/13/97 MRS
MSTA761 Water Service Insp / / / / 11/13/97 PASS MS 11/13/97 MRS
MSTA765 Appr/Sdwlk Insp / / / / 02/27/98 Finian forme okay to pour. PASS PI 02/27/98 J•H
M9TA770 Misc. Inspection / / / / 08/12/9'1 okay to backfill around hcnrse except on FILL RAB 08/17./97 :.'*H
back side at final connections.
MSTA770 Mise. Inspection / / / / 10/09/97 Phone call for information. PASS MJR 10/09/97 J•H
MSTA770 Mine. Inspection l 1 i ! 01/7.3/98 Shower pan PASS TLP 01/23+'98 J*H
Paye No, 5 CASE HISTORY FOR CASE NO.: MST96-0549
CHFISTOPHR PAJAS
13530 SW HILLSHIRE DP
05/09/98
Action Dencription Req/ Schd/ End/ Action Notes Diop By Update Upd
Lode Sent Done Dcme Date By
MSTA770 Misc. Inspection. / / / / 03/11/98 Homeowner has requested a "walk-thru" to MEMO RB 03/12/98 J•H
get ready for final inspections.
Homeowner fired contractor, finishing
the job himself.
sent request and file folder to building
modular. JT 031198
Misc. Walk-thri:
In reference to case history, the
following is noted as not being
approved: Copy remaining on site.
I. insulation inspection failed
(111997)RB.
2. %TF um inspection (failed 112497)TLP.
3. Electrical final (failed 030598)BRP.
4. Plumbing final (failed 030598`BRP.
5. Geo-tech report (031097)GRS for
grayling.
6. Building and mechanical final
approvals.
MSTA790 Electrical Final / / / / 03/05/98 All receptacles above counter space must FAIL BRP 03/05/98 J•H
be oFCI protected.
Install listed box extenders on
receptacles in wood wainscoating. Woad
must not be exposed. Panel labeling
method in good. Looks like a good job.
MSTA790 Electxical Final / / / / 03/17/98 PASS BRP 03/17/98 J•H
MSTA790 Electrical :incl / / / 03/18/98 PASS HRP 03/23/98 J•H
MSTA795 Mechanical Final / / / / 03/23/98 PASS RB 03/23/98 RB
MSTA797 Plumb Final / / / / 03/05/98 1. Tantall downspouts where needed. FAIL WA 03/05/98 J•H
2. Install discharge pipe for water
heater pressure relief valve.
3. Repair leak on continuous water at
kitchen sink.
MSTA797 Plumb Final 03/22/98 / / 03/18/96 Already approved by RB an 031798. NOTE WA 03j22/99 J•H
MSTA?97 Plumb Final / / / / 03/23/99 all wilmerle ineues -esolved. PA39 RB 03/26/98 Fri
Paye No. 6 CASE HISTORY FOR CALE NO.: MST96-0549
CHRISTOPHR PAJAS
13530 SW HILLSHIRR DR
05/09/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Vpd
code Sent Done Done Date By
MSTA799 Pu d ding Final / / / / 03/11/99 THIS IS A MISC. iNSPRcim OWNER FAIL RB 03/18/98 JT
OCCUPYING THIS RESIDENCE WITHOUT
CERTIFICATE OF OCCUPANCY:
"You are hereby granted 5-working days
to complete all building final
requirements an the mise. inspection of
031298 and those listed below:
Inspections must be approved by 3:00 pm
on March 19, 1999. Inspections must be
performed by a COT innpector. Seo-tech
repor�. required.
1. Grade/slope.
2. Handrail/guardrail (interior 6
exterior).
3. Smoke detector at basement level.
4. Flame spread unfinished rooms.
5. Gararge man door landinq 1x3.
6. Extend handrail/guardrail in front of
nosing of stepping.
7. Under-f l.00r not viewed thin note.
3/13/98 Mr. Livingston brought in
density test report from Carlson s
letter from O2 Associates. Info went to
Rick on thin date. Jeanne T.
3/18/98 inspection request for bld/meth
final wan cancelled by Tracy L.
MSTA799 Building Final / / / / 03/23/39 shear approved 10-22 RB PASS RB 03/23/98 RD
gas line approved In 22 RB
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/23/98 03/23/99 JT
MST4715 Slab Inep / / / J 09/10/97 garage slab only PASS PH 08/20/97 RB
Paye No. 1 CASE HISTORY FOR CASE NO.: SWR96-0560
CHRISTOPHR WAS
13530 SW HILLSHIHE DR
05/09/99
Action Description Req/ Schd/ End/ Action Nates Disp By Update Upd
code seat Done Dane Date By
------- ------------------------------ -------- -`------ -------- --------------------------------------- ---- --- -------- ---
SWPA007 Application rec,lved / / / / / / 12/18/96 BT2
SWRA010 Plan check by / / / / 12/11/96 12/18/96 BT2
SWRAOn0 (F) Issue permit / / / ; 01/15/97 PASS DRA b. '15/97 DRA
SWRA705 Sewer Inspection / / / / 08/11/97 nee mst96-0599 file notes PASS RAS 08/12/97 JT
SEWER OK TO BACKPILL
!WPA720 Case Finaled / / / / 08/11/97 PASS RJB 08%12/x7 J•H
Eu9er;9 Sales• 1541) 687-8723
Eugene Fax • 1541) 687-1243
Portland Sales• (503) 692 6167
EF1 Empire Pacific Industries Portland Fax • (503) 692 3076
Sacramento Sales • (916) 649 2840
Sacramento Fax • (916) 649 1445
March 24, 1998
.:ity of Tigard
Attn: Rick Bolen
13125 S.W. Hall Blvd.
Tigard, OR 97223
Dear Rick:
It has been brought to our attention that. two of the windows
at 13530 S.W. Hillshire, Tigard, OR. , have been mislabeled with
a .48 U-Value sticker. All the windows, including the two in
question, were ordered and manufactured with LowE glass and
Argon gas. The labels should have read . 32 , which not only
meets, but exceeds the Tigard city codes.
I apologize for any confusion or inconvenience this error may
have caused.
Please feel free to call me should you have any further questions
or concerns.
Sincerely,
Becky c'i ncter
EPI Sales Repres ftative
A DIVISION OF BASSETT FOLEY, INC
1 E131)0 SW TETON AVE., TUALATIN, OP 97062
CELECTRICAL PERMIT
CITY O F T I G A R D
PERMIT M ELC1999-JO398
DEVELOPMENT SERVICES DATE ISSUED: 7/2/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503? Q�]7� PARCEL: 2S104CD-03200
SITE ADDRESS: 13530 SW HILLSHIRE DR (� G'N4
SUBDIVISION: HILLSHIRE ESTATES L ZONING: R-7
BLOCK: LOT : 032 JURISDICTION: TIG
Proiect Description: Installation of one branch circuit for a/c unit.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR 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 HMI 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: 1 st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp. ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _PLAN REVIEW SECTION _
10G0+amp/volt: >.--4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _
Owner: Contractor:
CHRIS PAJAS GRF ELECTRIC
13530 SW HILLSHIRE DR 15460 SE PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Ph-)ne: Phone: 503-829-4146
Reg#: LIC 001015
SUP 30035
ELE 26-878C
FEES _ Required Inspections_
Type By Date Amount Receipt Flect'I Service
PRMT DEB 7/2/99 $37.50 5791 Elect'I Final
5PCT DEB 7/2/99 $2.63 5791
Total $40.13
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or ff work is
suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987
Permit Signature: ^^ (' r _- Issued �y �/ �lw�l-k
1 \ Alli
OWNER INSTALLATION ONLY
I he installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: __ __ DATE: _ _—
_ _ CONTRACT/OR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: .aQk— .A DATE:
LICENSE NO: -----
Call 639-4175 by 7:00pm for an inspection the next business day
07/01/1999 11:18 5038295747 GRF ELECTRIC PAGE 01
RECEIVED
CITY OF TIGARD JUL. 0 2 191lectricel Permit Application Plon Chedt 4
13125 SW HALL SUOCOMMUNIIY DIM LO MLN$ AK'd B>jl ' '
TIGARD OR 97223 in Ile
60 Dao' "
Phare(50)830-$171, K3o4 , � IXDau to P.L. --
Inspection(503)e3e-4175 Print or Type Dole to DGT ----
Fax(503)684-7297 Incomplete or Illegible will not be accepted Perrrn•�1rrl'?19-c�39�
1. Job Address: 4. Comple."s Fes Schedule 9010W.
Nam all Develeprrwn . Number of InspsoAofts per ptarmlt silo
Name(or mane of bualnesa)_1 _ Y] S / l
•- 1d 1 asr Ace Included: nems Cost Sum
Address-3 S 44. Aealdenual.per unit
1WO p.A.0r lase
Clty/5talazp_ J ���,�_ g 7 Z 2 Each additional 500 W.n.or _
Cortxnerdsl❑ Reoldentwruon thereof
� $26.00 t
I LMtMedEnervr $29.OD
a � featlt MarAd'r�Noma or MIod�Jar
?a. Contractor Inatsllatl no only �Service Fanow � $0.00 g
• (AMseh espy atoll Ilconons) 4b.Illarlrlcea or Feeders
EittrCWCW Co(itmdor O (�C _ Installation.alteration,or relocation
Address 100 amps or Mea tiso.oD y_ 2
City_/1d 1A ✓►
r a _ a 201 ampa to dw amps $ap.00
3 P �Q._ 401 amps to aw amps �_ 9120.OD 2
Stets
Phone No. 901 amps to IOW amps t iso,00 2
Job Nn, Over 1000 amps or volls _ $540.00 2
Elec.Cord. Lice. No. Exp..Data Rsconrwct unN W-00 2
OR stats CCB Rep, No. Exp.Dats 4c.Temporary Somiaa or Peedsra
COT Business Tax or Metro No. Exp Date Inatallatlon,alteration,or raocatk n
200 amps or Ws $60.00 p
Signature of Supt. Elec'n4- 201 artpe to 400 amps $76.011 _ 2
-- 401 amps 10 900 amps 6100.00 —_~ ` 2
License NO. ''S Ov00 er am amps to 10volts.
Exp.Dats elle mss^sAov..
Phone No,
4d,brench Ciroulb
New,alteration or exonaton per pawl
2b. For owner Installations: a)The tae for brwlot clmulN wIrlt
purenaan of asevfas or
print tuner's Name fooLow rw.
Address Eaer brand$drtx►It U.OD
City State_ Tip b)The too for trance c1muits
i'hcvle No. _ s ewes or hear•No.
First brunch drcutt „j1f+aC' 2
The insialiedon Is being made on property I own which Is not i Each adMional bra"clrcutt` $8.00 2
WAsn4ed for sale, lease or mutt, 4e.MIaGMlarmus
oNeter s Bigneture _ ((ONvloa or larder not ln*xk d)
each pump of Wgauw earth $W-W 2
Eller air et.eudkte W&V W-00 2
3. Plan IIsview section (it roquired):a 6lgnal clrcull(s)or a tlmned energy_
pants,alterallon aireeeneien (40.00 2
PIer:Na ';ock appropriate Item and enter fee In section 5111fdNtor Labels(10) it0o,tx1. —'
4 at mors reakNrdol urft h one eRumure 41f.Each addidonat inspection over
Sefvlce and Fo d&276 amps or more ter ahotrabie In any of The above
Sysmm war 600 volts raTilnol PN Mtapectlon $76.00
Cloodflad ane of slnittt ro cornaklirlq&pedal oot:tiparmy Per hour $55.00
as described In N.E.C.Ch$PW S In Plant 656.00
"fllubfnh 7 sets of plane whh sppllaUon wMre any of the above 6Wy, S. Fees: -7
Net t"ulrtd ter trmporery conetructon ttervIe to 6a,Enter total of above fees $
5%surcharge(.05 X total teas) $
sublDcal
sb-EMM 125%d line 6o for
eepyrTS BECOME VOID IF WORK OR OONSTRUCTION AVTHORIZED IS Plan Aerview JM4p Q(See.3) $
NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR WORK suafoatl $ -------
IS SUSPEMMOOR ABANDONED FOR A PERIOD OF 1W DAYS AT ANY
TIME AFTER WORK IS 00044ENCED. I Account M
od/het lsnm Cue 7
aTY OF T I G,A R D O R
MECHANICAL PERMIT
DEVELOPMENT SERVICES 71IGI� PERMIT#: MEC1999-00285
AtT
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 E ISSUED:
PARCEL: 2 S 2510 104CD-03200
SITE ADDRESS: 13530 SW HILLSHIRE DR
SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7
BLOCK: LOT: 032 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: 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: 1 DOMES, INCIN:
LPG 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: Installation of a/c unit. Placement of a/c unit must comply witri standard setbacks.
Owner: FEES_
CHRIS PAJAS Type By Date Amount Receipt
13530 SW HILLSHIRE DR PRMT DEB 7/2/99 $50.00 5792
TiGARD, OR 97223 5PC1- DEB 7/2/99 $3.50 5792
Total $53.50
Phone:
Contractor:
SKY HEATING + AIR CONDITIONING
1637 SE NEHAI_EM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:235-9083 Final Inspection
Reg M LIC 00050244
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in 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 tflese rules or direct questions to OUNC by calling x.503)246-9189.
�� � �.�i
Is4ue By: Ld-- _ 1l�1Yihlf�/' Permittee Signature:
JJ �1r7 , ��
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit Application Reid�y1n-e,_.D
13125 SW HALL BLVD., Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E. --
(503) 639-4171, 00 Date to DST
,ON Print or Type PermitrKt?
Incomplete or illegible applications will not be accepted Called
Name of Developmentr Dmied Description
Table IA Mechanical Code OTY PRICE AMT
Job street Address Sun" A) Permit Fee
Address I�5�0 5W-a,0 5 h i re,A . -0 o- 10.00
Bldg# Cdy/Stma Zips �1 1 ) Furnace to 100,000 BTU 6,00
lC Q.rzi, �� 4� inc!uding duds&vents _
Name for none of busneaa) 2.) Furnace 100,000 BTU+ 7.50
Owner �� (5 including duds R vents
Mn)nq actress3.) Floor Furnace 6.00
1 - 1 JW I I,(15hi rc ',Dr, including vent
IY/sfata Zip Phone 4.) Suspended heater,wall heater 6.00
C (�i d I (I K (�'"� J J��� ��)J or floor mounted heater
Name(or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mantip Address 6.) Boiler or comp,heat pump,air Gond. 6.00 ;{ ('C
_ to 3 HP;absorb unit to 100K BUT"
Cnylstats ZIP Phan 7.) Boiler or comp,heat pump,air cond. 11.00
_ 1 3.15 HP;absorb unit to 5WK BTU"
Contractor No"s ++ r , 8) Boiler or comp,heat pump,air Gond. 15.00
(Prior to r I (.C�i I 1 �I( I 1 1)C 15-30 HP;absorb unit.5 1 mil BTU"
issuance nddnsa ` 9) Boiler or comp,heat pump,air Gond. 22.50
applicant �lf' 7 ` tl�[ 7.` ) 3C•50 HP;absorb unit 1-1.75mil BTU"
must provide all P"Is 10.) Boiler or comp,heat pump,air Gond. 37.50
contradur {r,f MPH rv� ` -u >50 HP;absorb unit 1.75 mil BTU"
license OrW Car Com.Board Lie.a 11.) Air handling unit to 10,000 CFM 4.50
information
for COT COT Business Tax or Metro K Ex D 12) Air handling unit 10,000 CFM 7.50
_ database).
Architect No",a 13) Non-portable evaporate cooler 4.50
or Mailino Address 14) Vent tan connected to a single dud 300
Engineer 15) Ventilation system not included in 4.50
_ appliance permit
escnbe work New O Addition O Alteration O Repair O 16.1 Hood served by mechanical exhaust 4.50
f5
to be done Residential O Non-residential O _
Additional Description of work 17) Domestic incinerators 7.50
I I LN-a l I W r (0 Old I f10 vim'
18) Commercial or irdusthal type 30.00
Incinerator
Existing use of 19.) Repair units 450
holding or property_
20) Wood slave 4.50
Proposed use of 21 ) Clothes dryer,etc. 4.50
building or property _ _
22) Other units 450
Type of fuel-ort O natural gas Q LPG O electric O 23) Gas piping one to four outlets 2 00
I hereby acknowledge that I have read this application,that the 2.1 More than 4-per outlets(each) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State CITY SUBTOTAL �1 �I•
laws
Signature of Owner/Agent Of b) 'SUBTOTAL r f (.
j
_ ��n. /.'��'"a'�-�•, CdI�C)/�� q3.
r, °!6 SURCHARGE
Contact Person Name Pho to PLAN REVIEW 250/c OF SUBTOTAL
zl;�6 TOTAL
r\dstUnechpmt doc (rev 9 inkinurrl permit fees S25y 5%surcharge ( 1_ l l �T r�
"Residential A/C requires site plan sh ng plslcemen of unit
CITY OF TIGA►RD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
n q BUP
Date Requested b o- -( / AMXPM BLD
location I ��� `�� 7 �.�l�l.t Y1f�, L/� Suite _ MEC -
Contact Person _ �I C(,V}k' Ph r' PLM
Contractor _ PU -Q� SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN --
Slab _—_ -- _ SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm _____-_-_.-- --.-.------------,_---
Susp'd Ceiling
Roof _.--------_.-__----------- -
Mise. ------------- -------
Fmal -----------
PASS PART FAIL
PLUMBING
F'ost R Beam ---
Under Slab
Top Out - -- - --
Water Service
Sanitary Sewer ---- ---- ----
Rain Dr% is
_ _ ---- -- --Final
PASS
-
PASS PART FAIL
ECHANIC
Post ean) - _ -- - - _. ---------
Rough In --
Gas Line - — -- —_--_�
Smoke Dampers
in ----- - --- ----
PART FAIL
1
Rough In
UC,/Slab
I ow Voltage
Fire-Alarm
f'fh
AS PART FAIL
SITE
Backfill/Grading - - ----- - ----- --- - ------- -.—
Sanitary Sewer
Storm Drain I j Rein,,,pection fee of$_- -_^ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ) Please call for reinspection RE ( ]Unable to inspect-rro access
ADA
Approach/Sidewalk -U
Other Date _ �_�'- Inspector— — Ext
Final
PASS PART FAIL DO NOT REI'AOVE this Inspection record from the job site.