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13547 SW HILLSHIRE DRIVE • •�� rr v� rte, s'� ••! � � • ± / ••00 0000' ►••� �••' �� ♦, I ♦, , r �` 40 40 00 #0 dPoo woo •,• •♦,• •�• ♦ • moo AV • 0,0000 •60• r+r•6rrrr •!'�•�••• +�rr�• � \ • • O ♦ +r •• •• V • Woo 0 OOV 0000 000 w to so op ♦♦ ♦• ♦• ♦! ♦I 0 '• ♦'• a♦• I••, •,••r 1♦`♦' ••,�0i0��j0r6✓•0M0 4 i ./, ;? ' \\ �� �•� , • • 41% / I / • 400 • • • ` �' • ,� •••00 110 "00 ` �. 11 so 10 •% • "f «• T� ) ,�. . %fb 10 \\ / •00 go 0 too ev4 "I zo**� r% 1 , ma00 y-, � '� � \ •� t '�� �� . . '. ��' '�'.�-�.,.� •y �� . f ; .0000 � .•� \ o 00 0. 00 • ♦ 100, 400 '� ♦. 00W it ! \ f / may` \ ,�� 7.L¢� / • i \ , I , / r/ r / �•' \ v \✓ V" • ,l.:t., ,►-0100, NUJ a r • i Y • 4j 40000' 6 fb 40000, 4.1 NR i TO ZiRAiN TOI�,�RG' �c� i �I *, \U/ t / '0/ r p , IA { • 1 �' C • • • ♦ • 40 PA / y % f~3UIiDING TER _��-�_._.,� ' ..1' I•♦•' ♦••• / ♦�i�♦ �-r ( �� • r v iL-D;NG 5ETB�+�K LINE: ---- �� / • �,� •# \ �ti,, �•ttt••' NOTICE: IF THE PRINT OR TYPE ON ANY �I.111 � II ► 1III Ill Jill Ill 11111 ill III III 111 111 [--I l. .rlr. Tr� .l._l.r1ll ill III III Ili III Ilf I ( I III III III III ' III IlI Ili Ili ill III III Ill III 'I I 1 1 1 1 IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 Z 3 4 5 6 7 $ 9 1Qr-_- ___ 11 12 Dt, G GG IT IS DUE TO THE QUALITY OF THE No.38 ORIGINAL DOCUMENT -- — _ --� E IiZ SZ LZ 8Z 5Z � Z EZ Z TZ OZ 6I 8T LT 11111111911 5IFillpi V EMAN IIII IIII Ilii 1111111,11 IIII IIII Illi fill 111 Illi .11ll�illl LII LIII L111 I� lll i 11ll 1111111/1 r w JS i E x H r r En x H d t� f p r I r iuj m m 13547 SW HILLSHIRE DRIVE -- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-417:1 Business Line: 639-4171 `[late Requested 311 AM PM BLD Location �;_> �i �''^�'L�� Suite MEC _ Contact Person ', .a ?-- �YL- Ph 7 ��' PLM T-r-- Contractor—__ _ Ph SWR VILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation � f- FPS Ftg Drain v Crawl Drain'? Inspection Notes: SGN Slab Y Pot&Beam du ,SITS G `� Ext Sheath/Shear r'1 i 5c—*— u Int Sheath/Shear _ Z Framing — Insulation til Drywall Nailing rYw g — FirewallL �, `- Fire Sprinkler — ���^ - -5 �= r Fire Alarm Susp'd Ceiling — Roof F fnal �S PART FAIL rttrMBING Post& Beam Under Slab ---- Top Out - Water Service Sanitary Sewer — Rain Drains _ - O final PASS P FAIL _ -- -- ECHANICA !/ Post& Beam —------- -- Rough In Gas Line -- Sm9ke Dampers rf S PART FAIL TRICAL -- --- -- -- -- Service — Rough In UG/Slab ---- I.ow,Voltage Fire Alarm ---- — ----- -- J sinal PA PART FAIL —_- - ITE W -- — ---- c fill/Grading Sanitary Sewer Storm Drain I ]Reinspection fee of$ _required before next inspection. Pay a'City Hall, 13125 SW Hall Blvd Catch BasinUnable to inspect-no access Fire Supply Line ( J Piaase call for reinspection RE I ] P ADA A roach/Sidewalk Date \ Inspector �/ --'� �— __Ext Olh� 4 �r -- Fi P,',SS PART FAIL OO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT #. . _ . . . . : ME)T96 -0045 DATE ISSUE'.D. 0-3/01 /99 PARCEL : 2SI04LO-00100 3TTE ADDRESS. . . : 13547 SW HILLSHIRK DP 5UBDIVISIDN. — c HILLSHIRE ESTATE~-i ZONING:R-7 PD BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . t= JUPISDICTIONrTIG CLAS!-3 OF WORV. cNEW TYPE OF USE. . . :G)1- 1'YPF-. OF (.-.ONS'TR.5N OCCUPANCY GRP. :R3 OCCUP(4NCY I-OAD. kpmarkg : PAN I UWners ROBERT & ,IAN IS SMITH 9493 EjW APIKARA TUALATIN OR Phone Ne 503-692-3325 Lantractor,e OWNER SIGNED RESPONSIBILITY FORM IN FILE Pho"p Q Reg #' . : This Certificate grants ocvupancy of the above refprencpH building or portion thereof and confirms that the building has been inspected for compliance with the State of 0argon Spr&J' alty Codes for the group, occupanc-.�y, And use under - which f r,"'"- (_ �?, w . which the refe-riLlnced pi.irmit wii issiietj. ION ��)UP'EPVTSOR r 661i61NG il'Isr-r-C-TOR _i Ihl5 POST IN CONSPICUOUS PLACE SEE 35MM ROLL# 23 FOR LARGE DOCUMENT CITY OF TL* .;ARD P"'FITEF #. . . . . . . : ) r�T �iAC F:3C'JC:: • Z�.sJ 1 !:'r COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orpon 97223.8199 (503)539.4171 WLtl)1 F 1 rJ. . . „ ; ISLLCHIRE C'-TATE". ZONING: R BUILDING R�1" STORKS........ 2 FLOOR AREAS- - BASEMENT...: IZ s'' RIOUIRED SETBACKS-..--_ REOUI^ED C- J wc'rK.;T*W HEIVT........s 30 FIRST....: 0115 sf GARAGE.....: 1348 if LEFT..........: 7 SMOKE DETECTRS: Y T'41_ r!r SF FLCC!2 LOAD....; 40 SECOND...: 984 if FRfWT.........: 20 ^AR�116 SPACES; 1 OWELL146 UNITS: i FINSMENTs 0 if RIG14T........... 1` PDR.M: 4 BATH. 4 TOTAL---. -; 1,019 if VALUE.,t: 218aO REAR........... IS DUMBING -------.w_-.__-----..---__-_-_..__--.---------------._.._....._....__.. WATER CLCStiTS.: 4 uASHING MACH..: 1 LAUNDRY TRAYS.: I RAIN DRAIN ft; 0 'Rwfi............ 0 ATORIES....; 6 DISHWASHERS...; 1 FLOOR DRAINS..: 0 SEWER LINE ft: t SF RAIN DRAINSs 1 CATCH BASINS..: r31?CWE^:,.,. GARBAGE DISP,.: ► WATER HEATERS.: I WATER LINE ft: 100 KIl'LW PREVN'N l CREASE TRAP-— : CTR FI%'U► : ''CCKNICAL --- - yr,LS._____.__.__ TURN i 1W,, ... 0 BOILICK 3HP: 0 4EN' FANS.....: CLOTHES DRY`RS: I S; I I TURN )VIM ..s 1 UNIT HEATERS..: 0 HOODS.........: 1 7HER L"tIT;...s 1 I?'C - 0 BTL' FLOOR FURNACES: 0 VENTS.......... 0 WOODSTOt'EE..... 0 GAS OUTLETS...; 1 ELECT RICA __. .... --- _-.._..__._. . ._.. "ESl.'FL4I1AL 1M"T --SERVICE/FEEDER---- TEMP SRVC/FE[XRS-- ---BRANCH CIRCUITS..-- ---MiSCEL.f+NECI1 --ADD'L INSPECTIG 0 - cd3 alp..: 0 W.'SVC OR r'DR..: Q 0 PER ',M-C71ft IDD'L 51!0<",: k 201 - 400 asp..: 0 201 - 400 amp..: 2 1st W/O SVC/FDR; 0 SIGN/OUT LIN LT: 0 PER 1t0JR....... IT' ^QRS".: 0 401 - 600 asf,.: 0 401 - 600 asp.,: 0 EA ACO, BR CIR: 2 SIRIAL/PANCL...: 0 IN PLANT......: B 2 601 IM asp.; 0 501+asps 1x00 V: 0 MINOR LABEL .Mf amp/valt.: 2 __.... _._._ RLfAl REVIEW SECTION Reconnect only.s 0 =4 RES UNITS..: 5'; 22" A.t W V NOMINAL: i.S Abril"r !TFC: ---- ELECTPICAL FC-•1ENEMY ..,N., 1 'a: RCI•' VACJIM uYSTCM..: AUDIO t S":F,.:, 'IRE ALAR!",....: 1'1TERI3 MACIM: OUTOMR L4rS 1.T: GL�:R VrA* .. . OT11: :t X BOILER.........: RVAC...........t LANDSCAPE/IRRIG; PROTECTIVE S::,NL; _XiE C^Ct,'LV: r CCK.,,....... : INSTRLKVATION: MEDICAL........s OrPr. C. .. DATAITELE COMM.; MJRK CALL:..... TCTAL A SYS"EMS: ri Contractor: _.._.._. TCTAL TEES:N 4370.41 OWER ^e4 9... 04"3t"QC ... :5 we; subtct to the reG..l:ti.rs :c^tai-.. the Tigard M„-,icipal Cade, :tate of O;,e. Specialty Codes and all c fall i+crh .::ll be done in accordance pith app:-oved plar:s. `his pea-ait will expire if wvk is not started rtithsr. .:: if ,<k i^ 4,spended for sort Oar 198 days. - ISGUIRED INT CTIM . -_._ .__ .. .._... .._.... __..... 'I::. .aW Voltage gyp Board Insp Eiectri.al Final "i-eplack Insp Rain drain rrsp Mechani�al Final Gas Li- :-;p Water Lint Insp Plasb 7rvice In Buil:' r/Sd#vIs, Insp tj MSTQ�-004, ^':.RMI'r #. , . » . . . GWR96 -0053 CITY OF TIGARD OATC I a �rl; : 0-�-PI/1 1/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: L-L'S 104CV—00100 i 13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)1139-4171 2 J —7 QCf4. . . . . . . . ,. . . LOT. . . . . . . . . . . . . .00.1 r -t*nNT NnME. . . . . . J.) NO. . . . . . . . . . FIXTURE UNIT_. . . . 10 AGC, Or WOR,.. . . .NEW DWELL I PIC UNI Tom.. . : 1 'PE OF USE. . . . . :SF NO. Or BUILDINGS: 1 `� TAL(. TYPE'. . . - -PUSWR IMI=uv ._.uPrnm 0 f lm,11"iis : r'ATIL{ I ,nfi'r. -...._-.._.. ._._.._...... ._._._...._._.___.. ._..-.._ .-_.--_-._.._.._. ---_- -_..........._..__ -__.__...____._. r 'CJ T A Jt3N GMIT1I type amount 5y date i�ecpt )� 13 ARIK� I;A F�RMT f t�0. �.0 JMII r�3/i 1/96 1) INSP $ 35. 00 ,JM11 03/1 1C, '3 G, !(',;.'4TIN OP ' 70c G NOT ON rIL.r lone tt: C'35. 00 TOTAL ij --- REOUIRED INSr1C.rT TCN'i Applicant agrees to cov;li with all the riles and regulations Ses+�er In Viec:tian tt,e U-i"ied sewage Agercy. The persit Expires IN Jays ` r --.__--__ r date issuer. T!e total asauM paid will be forfe I - ,° ' : ^sit a irires. The Agenq does not guarantee the a-.j �.., j' the Ja sewer laterals. If the sewer is not :ocated at the seasurerent ren, the installer shall prespect 3 feEt in all directions from �— distar;,e given. If not so located, the installer shall purthsse "Tap and Side Sewer' Persit and Ve al. Cul l fr, it?gppe^t iryn f.::'-, 41711-: 00`a Residential Building Permit Application City of Tigard 13125 SW Nall Blvd. Tigard, OR 97223 (503) 639-4171 11 ''•,' Jobnite Address: i `t I1Shrtf 17r ideiT � �}l�)Sh ItL' �� Lot# Office Use Only Subdivision: _ Contact Date / / Initials J ` Valuation: �`f J 4 y Result .aW New Construction Only: (Square Footage) Planck/Rec# _ Permit # House: ':J01 { Garage: sr4 � Reissue of Map & TL# 0'.)I `';C / 00,0 o — Corner Lot? Y rN Flag Lot? Y Zone 75 77, Plat # Owner: Approvals Regulred Address: L���� 11A1 �Y�k u•ti -�! Planning Setbacke± ±L Solar 0 K -- Engineering C'cA� -rL Other Phone ( .� ) (G►�Z 3. Contractor,: �`, Items Required C. � ► / Subcontractors /V-" Address: Truss Details _ Other _—r— Notes 0 G�f Phone Contractor's License # _ (attach copy of current Oregon license) Cont�,,:t Name — Contact Phone L �(rr 12 la)h,,aP Subcontractors: C J i �ArchitectJEn iAneer: �1l "Plum bin ! ►../�L� r _ _ �p1 I I Address: ``� 3_j C, 17' N1 r IUJQ r,ck.�e try U� r� P6-41aije, orz W72. 2 Mechanical: /// (attach copy of current OR Contractors License) + o�e• � , 2 3i_ 1 S3 JOE3 �ESCRIPTION. �1 Appl .ant Signature Applicant Phone number Received by. Date Received _v^ -✓ Permit X Account Oescriptian Amount Amt. Pd. Bal. Due /rJ GJ a C Bldg. Permit (BUILD) i�_���y ��JL� J v , Plumb. Permit (PLUMB) ,cv Mech. Permit (MECH) S S v Stag Tax _y_� G . rpt/' Bldg: Plumb: Mach: Plan Check (PLANCK) '3 =�5- - x,22 Bldg: Plumb: Sewer Connection (SWUSA) 2 el Sewer Inspection (SWINSP) .3 Parks Dev Charge (PKSOC) t� U� ,� �,v Residential TIF MIF-R) '� U V ,),C) Mass Transit TIF (TIF-MT) / 2.0 Commercial TIF MF-C) Industrial TIF MF-I) Institutional TIF (TIF4S) Office TIF (TIF-0) 'Nater Quality (WCUAL) Water Quantity (WQUANT) Fire I.ife Safety (FLS) Erosion Cntrl Permit (ERPR.'MT) 42 k �� :--rasion PlanckJUSA (ERPLAN) cls', C U .:��'•G� Eresion P!anc!c/C0 i (EROSN) ',S G r rl TOTALS: )S_ -K r Solar Balance Worksheet Address ? 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. Measure the distance from the midpoint of the a / North lot line to the South lot line along the described line. L�. ft Box B calculations: Shade point height from your structure. Box B: 1. Determine whether measurements will be based on the peak or nave of your structure. The orientation of the ridg t is also important. Which describes your lot? 1 a: If the roof line runs North-South, measurements will be 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 eave. 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. r ft 2. Measure change in elevation from front property line to finished floor elevation. + C � ' u 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, deduct nothing. �i t 7. Subtract one foot for each foot of difference in elevation from :he front property t I ne to the rear property line, if the lot slopes up from the front to the rear. If the I lot has no slope or slopes up from the rear to the front, deduct nothing. 6. Total figure for box 8: I 1 Box. C. Distance to the shade reduction line. Box C: 1. Measure the distance from tree North property line to the foundation. — ft 2. Measure the distance from the foundation to the affected peak or eave. ft � 3. Total figure for box C: ._ r� ft -� — �1;2-�,- c�, � V, Solar Balance Point Standard Box A. North-South dimension for th. for Box B. Shade point height from your structure: measured perpendicular to the midpoint of the Change in elevation from front property line to north lot line 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 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 f cted roof peak/eave. 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 to represent the appropriate figure found in box "C" . The intersection of the vertical and horizontal lines determines the: 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 bcx "D" , the building is in compliance with the solar balance code. Distance to shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot_ line in feet 70 40 40 40 41. 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 32 33 34 35 X36 37 38 39 40 41 42 45 30 30 30 31 32 33 34 35 36 37 38 39 40 40 28 28 26 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 29 30 31 32 33 34 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 28 29 30 15 18 1.8 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 16 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 feet Permit#: M!:� Address: Issued by- Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the fallowing statement before a b,uilding permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: (—Y 1. 1 Own, irsrde in, or will reside in the completed structure. 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. F13A. My general contractor is (Name) Contractor regis. # 1 will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. 01Z El113. 1 will be my own general contractor. 11 1 hire subcontractors. I will hire only subcontractors registered with the Construction Contractors Board. 11' 1 change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this huilding peritrit 01'01C name of the contractor. 1 hereby certify that the above information is correct and that l have read and do understand the Information Notice to Property Owners abo UqUilr4jlon Responsibilities on the reverse side of this form. ,moi ��-- ,- - _— f ----------- ---- - --- (Signature of permit applicant) '(Date) (White copy to issuing agency permit file. pink copy to applicant) information Notice to Property Owners About Construction Responsibilities Now. iht> IiIJ((arta(lot'l !1`ntrcc' it) /,?-0pri i', rI',t no,tS uiwin (.'anstruc:tion Responsibilitrrs u a.s tltr Collstruc tion Confl of none. Board fn accordance with ORS 701.x155(5). II you are acting as your own contractor to construct.►new home or make a substantial improvement to an existing structure, YOU can preveni mw)) probk�mb t+y being aware of tile. following reapunsibilitics and areas of cuucern,. EMPLOYER RESPONSIBILITIES. 11'you hire persons not ieL,uslk:i cJ .01 lltc CUnLArnCliUn Contractors Board to do labor in consUucting or assisting in the constriction or miprovcmcnt of a residential structure,you will, in most instances,be ruled to be an employer and the peuplc you hire will he employees As 11W employer, YOU trust comply with the following; Oregon's withholding tax law: A,,an crnpt.oycr,YOU must withhold income taxes from employee wages at the time employees are paid. You will he liahle for the tax payments even if'you don't actually withhold the tax from your employees. For more information,call the Oregon Dept.of Revenue at 945-8091. Unemployment insurance tax: As an employer, you erre required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employrrient Division at the Department of Human Resources at 378-3524. Workers'compensation insurance: As an employer,you are subject to the Oregon Workers'Compensation Law.and must obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may he subject to penalties and"I I I he I table for all claim costs if one of your employees is injure on the job. For more information, call the Workers'Compensation Division at the Department of Consurner and Business Ser ices at 945-7888. U.S.Internal Revenue Service: As an employer,you must withhold federal income tax fmm employees'wages. You will he liable for the tax payment evvil if you didn't actually withhold the tax. For more information,call the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for tilt, l)roject,you are responsible for resolving any failure to noel L,)k1c r t clunL ut ut. that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools,paint overspray,water damage from pile punctures, tire,or work that must be re-done. 'rime to supervise employees: Make sure you have stiff i0ent time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough-in and fillish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-505.' 5(13/378-4621). 'rhe Beard is located at 700 Summer St. NE Suite 3011,in Salem. prep-own.pm4 1194