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CITY OF
T I G e R D PLUMBING PERMIT
DEVELOPMENY SERVICES PERMIT#: PLM2002-00382
13125 SW Hail Blvd., Tigard, OR 9722? (503) 639-4171 DATE ISSUED: 9/30/02
SITE ADDRESS: 13591 SW HiLLSHIRE DR PARCEL: 2S104CD-00700
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
CLASS OF WORK: ALT GARBAGE Di3POSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_FIXTURES _ LAUND TRAYS: SF RAIN DRAINS:
SINKS: URINALC: GF'EASE TRAPS:
LAVATORIEO: OTHER FIX-.URES: 1
TUB/SHOWERS: SEVIER LME: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replace shut off for A/W inside wall.
FEES
Owners
Descriptior. Date Amount
STAHL, FRANCES +
HAYES, SUSAN E JI'LUMIiJ I'er.nit Fee 9/27/02 $72.50
13591 SW HILLSHIRE DK II'LUMBI Permit i.ee 9/30/02 $0.00
TIGARD, OR 97223 11 AXI State Tax 9/27/02 $5.80
( 1'AN ` State Tax 9/30/02 $0.00
Phone 1: — ---
Total $78.30
Contractor: — --�— —
CROWN PLUMBING
5429 SE FRANCIS
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone 1: 503-771-9449 Final Inspection
Reg #: LIC 4201
PLM 1.1.701113
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 riot 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
Issued By: 'Z_.!Zle iL 5 �� — Permittee Signature: �'; c ` .1=- e'Z G;' �—
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
P- P7-P00? l 0 : PO AM GROWN. PLUMBING 503 7 7 1 9454 P. 01
1VMmbWgiePWtAppHCRon
City Of Ti
Address: 13125 SW Hall Blvd, Sewerprxrnit M: -T Buildingperm{ttw•;
Gry°f7Tgard Phone: (303)639A171 +I ' i i'ro)ecVapp1.na,: i3xpirodaue:
Nax:(503) 598-19160 Due issued: By: Receipt no.:
Land use approval; i CAN fiic no.! I Payment type:
I do 2 fatnlly dwelling tw wcxatory. ' O(_0Mm ndtr�tria� , ,,,0 MWO-family D Terarut improvement
U New construction X Additlon/alterati^'nlmplacement f ❑Food aervice C_'other: _
Job address: 1W.
Descrl tionFra trtr rot
al.no.: _ _� •,t Suite no.: oW - y wca..ttg�ronly:
12tTax map/tax lot/&zcount no.: ��for each utility Commetioo)
_-
1X: Block: Slubdivision: _SITSbath -- _�
[io cct acme: _ SFR(3)bathi
City/county. a r �,! / J�, _ "ll"_� aIG-ch i2ditlonila tc�,un-
Deacriptlon dlL:ah of work on pyemises: _X� Sitetadlltles:
W - vnSirdE /,tJ�7. _ Catch basintarea drain
last.date of eompleti m/inspecrir 5 wel' lstletwh line/tm:"cit drain - T
F ?ng ,2 no.T.,.t.a,,N. an :nme u estitlaineaa name: •`o to t� F lea v►l b i I an%W MU: -
a L w°� JE S�'. nLeCtC11 an. In. -
Phone: 'rax:'' 7 . N�maii; - Stunn sswoor tw. ft.)
(.r..'B oa.: a 1;t i l t ' n PIWnb.bus .no: I t .Ip PAY Water service
. " `
/tny Fixture or Item:
t� ettlic,no,-. � ,'
t" --_— l.Y'' .------- -.- AFHnx�on valve
oa:racwe, r� taUve signAture: �_-
--- 6en —b-11C flow preventet
Ptinl name: ! 4L1 C� Date: - V niter valve
Bealtti/lav
N .. LJOUM Wash-
Addresg:
Cit State: Z1P. tlnkrn fountaln(s)
Phone: Fax: B-mall: Ex ant on tank
u� _
ixtwer cap
_Name(Print): glom c n an
oot ,�Cs/fwTi— _ -- _
Mailing addma.. a[b C a
City: Statc ZII' ,],�rt, er
1'Itone:'aCJ U '1 t11. ll: ----- f" atercerco to
0,vner butalimlordmidential maintenance on;v: The actual installatvsn -.rft _
will he nude by the or the maintenatue and reptir made by my tegular n(tmrnmer-ial
employee on the property I own a per ORS Cl-apter 447. . a, n s , ays s
Ownees signature: Date: Sump
Tubstsho shower an
Urinal
Address: _ —
_... .� ,�. ntnr'lieater
City: State: Zlt" ter- -�£_fuz A
Mcme: --- Fax: i F tttatL TOW
WA an .o:opt rude.dsw c a*#Ad ko r«�Wk w" Notice:'This pennit application Minl revitunew
fee........... ) $
�1m" t]atrtNC�M expires if a permit is not obtained Flan taview( t �,) S —
k,r !, `•�''.• __. - ,{ Q p State autchm 8% J n
r9+dit � .���� -� ���� within il10 dqt after it hcs been 6"( ).'..� •"'--�'-�'
r '
aooeptedattxttttplete. TOTAL _....................5
� $:eq
��' - L I ++meta OMWO»ei
-
ia�s) PI trtagi= mc-, ��t�NT�r VWr•L 17, A'F ASAP. (N I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION. Business Line: (503)639-4171 —
BLIP
Received _..-____ _Date Requested Z AM__ PM __ BUP
Location LLL Suite_ __ _ MEC
Contact Person _ ___ Pi, PLM
Contractor __ ___- Ph(, ) �7 -7 -=2 LJ(4,11' SWp
BUILDING TenanUOwner ELC
Footing
ELC
Foundation
fAccess:
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --__-- ----
Insulation
Drywall Nailing - - -- - - --- ------ —_—
Firewall
Fire Sprinkler
Fire Alarm1n
Susp'd Ceiling
Roof
Other: _----- -- - - ------ - -
Final
PASS PART FAIL --_ �"--- V--- — —
PLUMB_ING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains ---- -- -- -
Catch Basin/Manhole
Storm Drain — --
Shower Pan
i —
A PART FAIL
HANICA.L
Post&Beam
Rough-Ir
Gas Line
Smoke Dampers
Final
PASS 13ART_FAIL - -
ELECTRICAL
Service
Rough-In _
UG/Slab
Low Voltage
Fire Alarm
Final Rein fee of$_—__ required btifore next ins
PASS PART FAIL aPen Q Inspection. Pay at City Hall, 13125 SW Hall Blvd.
_SITE Please cell for reinspection RE:�_ _ — Unable to inspect-no access
Fire Supply Line
ADA
ff f
Approach/Sidewalk Dote A Inspector �/�f ? _—�_�Ott
Other:
Final DO NOT REMOVE this Inspection record from the lob site.
PASS PART FAIT.
CITY OF TIGARD
DEVELOPMENT SERVICES
134025 5W Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATF OF
OCCUPANCY
PERMIT #. . . . . . . : MST96-0036
GATE ISSUED: 07/124/97
PARCEL ! eS104CD--0070
SITE ADDRESS. . . : 13591 GW H I LUSH I RE: DP
SUBDIVISION. . . . i HILLSHIRE ESTATES ZONINGeR•-7 PD
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . :007 JUPISDICTION:TIG
4 LASS OF WORK, a NEW
TYPE OF USE. . . :SF
TYPU Or' C:.ONSTR:5N
OCCUP'ANC'Y GRP. : R3
OCCUPANCY LOAD:2
rtemar,<ss PATH I
Owner __.__.__�. _,___._.�._........_..._ ..,....._...._._�..._ ._._. �_..
8 RUNK JW 1140
3940 .3W TOWER WAY
PORTLAND OR 972211
^'►one A: 246-13659
cor,tr-autor.s
BR!.1NKOW INC:
3940 SW 'TOWER WAY
PORTLAND OR 9722 .1 3463
Phone #: P46..8659
Peg #. . : 000649
This Certificate 9 -amts occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
the State of t1r•egon Specialty Code% for the rlro , nand ,tae 1111rier
which the re ei enc ed permit was isaueCl.
__.___..__...._.. ..,_/_... _.... ..___ __ .._ ._ . . .._...ter'. _.._.. _......._ �_...._ .._._.--
BU I LZ)I NG INS) t:T(-)R Fi1.1 l3-oF'C I C 1 AL.
F'C15T IN CONSP I CUOL.Ic, PLACE
Page No. 1 CASE 'IISTORY FOR CASE NO.: MST96-0036
PRUNKOW INC
13591 SW HILI.SHIRE DF.
11/17/97
Action Description Req/ Schd/ End/ Action Nates Diap By Update Upd
code Sent Done Done Date By
M,9TA005 Application received / / / / 01/25/96 PASS BON 02/20/96 ST2
MSTA008 Permit Created / / / / 02/20/96 PASS R'r U2/20/96 ST2
msTA010 check for prcl. restrict. / / / / 02/09/96 PASS JH 02/20/96 BT2
MSTA012 Plane routed to Plano Examxuer / / / / 02/20/96 PASS JH 02/20/96 BT2
MSTA026 Plano approved by Plane Exmr / / / / 02/20/55 PASS RT 02/20/96 BT2
MSTA030 Reviewed Plano routed to DSTS / / / / 02/20/96 PASS RT 02/20/96 ST2
MSTA080 (F) Ready to issue / / / / 02/25/96 Need electrical contractor info PEND B 02/26.'96 BON
MSTA092 (F) Inoue combination permit / / / / 02/29/96 PAS: B 02/29/96 BON
MSTA097 Inoue plumbing signature form / / / % 02/29/96 VPJS B 02/_9/96 BON
MBTA098 Inoue electric siRnat.ure form / / / / [2/29/96 PASS A 02/29/96 BON
MSTA705 Footing Inep / % / / 04/01/96 use 3/26 PASS RB 04/01/96 RB
MSTA706 Foundation Inep / / / / 04,01/96 PASS RB 04/01/56 RB
MSTA710 Poet/Bear Structural / / / / 04/19/96 no plm in didn't do struct DIS GS 04/19/96 GES
MSTA710 Pont/Beam Stnictural. 06/24/96 / / 06/24/95 #-1- lateral support any poet that A/N KS 07/25/96 BT2
exccodn four ft high
MSTA711 Post/Beam Mechanical / / / / 04/19/96 APF ,S 04/19/96 GES
MSTA713 Crawl Drain / / / )4/08/96 PASS MS 04/10/96 MRS
MSTA717 PIM/Underfloor / / / / 04/19/96 NIR GS 04/19/96 GES
MSTA717 PIM/Underfloor 04/23/96 % / 04/23/96 completed at top out PASS MS 07/25/96 BT2
MSTA720 Mechanical Inep / / / / / / 02/20/96 BT2
MSTA720 Mechanical Inep 06/17/96 / / 06/17/96 seal joints at bonus ductwork; FAIL RB 06/18/96 RB
inrulate/flame spread fireplace cavity;
MSTA72 Mechanical ]nap 06/24/96 i / 06/24/96 APP KS 07/25/96 B^'2
MSTA722 Plumb Top out / / j / 05/24/96 PLUMBER CALLED, MST NOT POSTED, I GAVE APP GS 05/24%96 088
HIM PERMIT NO. So HE COULD CAIS. IN
INSPECPION3. SRUNE.OW ;4OTIFTED THEY NEED
TO POST PERMIT.
MSTA723 Electrical Service / / / / 06/07/96 PASS MJF 06/10/96 MJR
MSTA724 Electrical Rough In 06/10/96 / ! 06/07/96 PAS.^- MTP 06'10/96 MSR
Paqe No. 2 rASR HIFTOR.Y FOR CASE NO.- MST96.0036
BRUNAOW INC
1.3591 SW HILLSHIRE DR
11/1`/97
Action Descripticn Req/ Solid! End/ Acti.ozi Notla Diss By Update Upd
cede Sent Done Done Date By
MSTA72.5 Framing Inap / / / / 06/14/96 #-1- strap plates at fam,rm DIS RS 06/17/96 KBS
#-2- king .itudo each aide of glu/lam faro
rm
# 3-nrovide full bearing under micro lam
at garage
#-4- provide ledger under rafters at
bonus
#-5- diagonal broci.tg at gable end trues
#-6- add nupport adajcmit t.c short
rafter at bonus rm
4-7-nail truss clipls
MSTA725 Framing Insp 06/17/96 / / 06/17/96 mach issues; post/beam structural FAIL RB 06/19/96 RA
approval
MSTA726 Shear Wall Insp 06/17/96 / / 06/17/96 PASS RB J6/18/96 RB
MSTA735 Gas Line Inst, / / / / 05/28/96 #-1- no pressure UIS KS 05/29/96 KPS
MSTA735 Gan Line Insp 06/17/96 / / 06/17/96 0# FAIL RB 06/18/96 RB
MSTA735 Gan Line Inap 06/24/96 / / 06/24/96 #-1- piesaure not adequate for test( ;1.E KS 06/24/96 KBS
leak)
MSTA735 Gan Line Inap 06/26/96 ! / 06/26/96 PASS M9 07/25/96 BT2
MSTA740 Insulation lnnp / / / / / / 72/20/96 BT2
MSTA740 Insulation Insp 06/24/96 / / 06/24/96 #-1- insulate exposed heat ducts at AM ICS 07/25/96 BT2
garage
MSTA745 Gyp Board Inop / / / / 07/09/96 PASS RB 07/23/96 BT2
MSTA755 Rain drain Insp / / / / 04/08/96 PASS MS 04/10%96 MRS
MSTA760 Water Line Insp / / / / 04/19/96 don't crawl 2'crawl npacee FAIL MS 05/24/96 GRS
MSTA760 Water Line Inep 05/24/96 / / 05/24/96 APF GS 07/25/96 BT2
MSTA765 Avpr/Sdwlk Insp / / / J 11/12/96 B8 PREPARED To PROT$CT FINISH. PASS PI 11/22/96 RB
MSTA765 Appr/Sdwlk Insp 07/10/96 / / 06/2.6/96 1. Provide wheelchair ramp at curb out PASS PI 07,110/96 C•H
to m,.tch ramp across street.
2. Be prepared to protect finish.
NO-R- Finished and formed section
approved for pour 20^ ( ) of HIllsaire,
sidewalk on Blue Gum Ct.
Page No. 3 CASE HISTORY FOR CASE NO.: M5T96-0036
BPUW.OW INC
13591 SW HILLSHIRE DR
11/1 /97
Action Description Reg/ Schd/ End/ Acticxl Notes Diep By Update Upd
Code Sent Done Dome Dago By
MSTA765 Appr/Sdwlk Inep 11/:2/96 / / 11/08/96 1, ADD PIPE FOR WEEP HOLES. DIS BDR 11/22/96 RB
2. 1/2" EXPANSION JOINT MATERIAL MUST BE
INSTALLED I'M DWF WINGS.
3. DRIVEWAY FORMWORK NOT FINISHED.
4. WHEELCHAIR RAMP FORMS Nolf INSTALLED.
MSTA790 —REINSPECTION— / / / ! 06/30/97 plumbing final - no het water for test PAID RAS 07/14/97 DRA
Paid $25, receipt #97-297098.
MSTA790 Rlectrical Final ! / / / 06/30/97 1. No receptacle outlets in i^l.nd FAIL BRP 07/02/97 J-H
cabinet (ART-210.52).
2. Panel co+,er does not fit tight to
panel.
3. Flex conduit at furnace must be
supported according to ART 35U-1P.
4. Hole In sheetrock at garage door push
buttons to be closed 370.21
5. Receptacle in lower bath must
protrude through plate 410-56 NRC.
MSTA'190 Electrical Final / % / / 07/15/97 Protect Ramex in island with conduit PASS BRP 07/15/97 J*H
also recess box at recpt. no plate
fits flat to cabinet surface.
Flex at furnace to be secured to bldg
structure.
Approval pending correction of the noted
items.
MSTA795 Mechanical Fir, 1. 00/27/97 / / L-'/24/97 PASS RB 08/27/x7 J-H
ISTA797 Plumb Final / / / / 11/01/96 no hot water PAIL. MS 11/04/96 MRS
shut off valve?
MSTA797 Plumb Final / / / / 06/30/97 no hot water, reinspection fee of $25.00 FAIL RAS 07/01/97 J+H
required before reinspection.
MSTA797 Plumb Final 07/22/97 / j 07/15/97 PASS BB 07/22/97 JT
Pao• No. 4 CASH HISTORY POP CASH NO.i MOT96-0036
BRUNROW INC
13591 SN HILLSHIRE DR
11/17/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ----------- ----•------------- •------- -------- -------- --------------------------------------- ---- --- -------- ---
MOTA799 Building Final / / / / 07/01/97 see file for entire report FAIL RB 07/16/97 J•H
1. USA Prosion approval
2. Plumbing final
3. Electrical final
4. Bonus room attic doors-insulation
S. Handrail
6. Fireplace
7. Address
a. Seal siding at low voltage wiring,
garage side
9. Floor insulation missed - underfloor
access
10, Crawl drain debris
1.1. Seal sanitary through foundation
wall.
MBTA799 Building Final / / / / 07/22/97 HOUSE LOCK®, (WILL RESCHEDULE) KEY F\IL RS 07/22/.9 1•H
ABOVE FRONT DOOR,
NSTA799 building Final 08/27/97 / / 07/24/97 PASS RB 08/27/97 J•H
NSTA960 (F) Issue Cert. of Occupancy / / / / 07/24/97 mailed 11/17/97 JT 11/17/97 &*W
NST3709 Erosion Control / / / / / / PASS USA 09/.6/97 RB
Your company has been indicated as the electrical contrartc +r the permit ind,cated above. In
order for the electrical permit to be valid, the signature o" the ;upervising electrician
is required.
Please have the appropriate individual from yo--+r company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER : ELECTRICAL CONTRACTOR:
BRUNKOW INC ABILITY ELECTRIC INC
3940 SW TOWER WAY PO BOX BC9
PORTLAND OR 97221. BEAVERTON OR 97075
Phone 4 : 246-8559 Phone # : I Y /- q4 3 Z
Reg 022133
1211
5S
ign ture of Supervising ecir clan
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
_17 l
r� `.�T �� _ ���3P
,CITY OF TIGARD h1FiSTIT r'I✓.. . . . . .
I"�'Er-MIT �)t. . M 0T36--t;�01"''
DnTE ISSUED: 02/29/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)930.4171 Pyr' EI-; 1,7-5104c:0 -00 700
1.3591 SW !-III.-LGl-i T r^•,E Dr-z
SiUBL)IVISI01I . . . . . I-1ILLSNIPEY ESTATES ZC)NItIG: R--7 P,D
r?L_C)C:L;. . . . . . . . . . . LOT. . . . . . . . . . . . . :01 7
ReAarks: PATH I
--- ---
--------------------------------------------------------- BUILDING --------------—__....---------------------------------------_--.
R£ISRS: STORIES...,...: 2 FLOOR AREAS- ------- BASEMENT...: 0 Sf REQUIRED SETBACKS---- REGUIRED-------------
C.ASS OF WORK.:NEW HEIGHT........: 28 FIRST....: 1258 sf GARAGE.....: 850 sf LEFT..........: 10 1370KE DETECTRS: Y
Tv.'E OF UST... :SF FLOOR LOA[....: 40 SECOND.,.: 1468 0 FRCINT.........: 20 FAKING SPACES: 1
TYPE OF CVNST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 22
OCCUPAKY 1P.:R3 LLRM: 3 BATH: 3 TOTAL----•-: 2726 =.f 'VALL'€..$: 191962 REAP.,.,,.....: 27
--- --- PLUMBING �-------------------------...-------------------------------------
......: i 147R CLOSE 3 WASHING MACH,.: 1 LAUNDRY TRAYS.: i RAIN GRAIN ft: 0 TRAPS....,....: 0
LA,dATORIES....: 4 DIS114AGHERS...; i FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS.,; 0
T.UB/1HOWERS.,,: 3 GARBAGE DISP,,: I WATER HEATERS.: I WATER LINE ft: AN, BCKFLW PP.EVNTR: I GREASE TRAPS..; 0
OTHER FIXTURES: £
-------------------- MECHANICAL ---------_--______-_-.._-------_--..__---------__----.-
FUEL TYPES------------- F;iRN ( 100K ,.: 0 BOIL/CMF ( 3W: 0 VENT FANS.....: 4 CLOTHES DRYERS., 1
'GAS/ / i FURN `=100K ..., 1 UNIT HEATERS,.: P HCIGDS.......... 1 OTHER HITS..., 1
MAX INP.: 0 iTU FLOOD FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
- ELErTRICAL ------------------------__-.._...---_--..-.---------__-___-___-__
--RESIDENTIAL L'NIT--- ---SERVICE/FEEDER--- --'EMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCEL'-KOUS---- --ADD'L INSPECTIONS--
lkV 5F Op LMS: 1 0 - 200 app,.: 0 1, - 200 alp.,: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
€A ADD'L °1SF.1 4 201 - 400 app..: 0 201 - 400 app..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 C47R HOUR......: 0
1-1 1TED 1, RGY., 0 401 - 600 aep..: 0 401 - 600 app..., 0 EA ADDL BR CIR: 0 SIGNALi PNEL... : 0 IN PLANT....,.; 0
MANF NK/SVC/FDR: 0 601 - 1000 app.: 0 6014apps-1000 V: 0 MINCP LPKL -le: 0
1000 alp volt.; 0 -------------------------------------- PLAN REVIEW SECTION ---------------_-__-----.---_------
Reconnect ily.. 0 )=4 RES XTS.,: SVC/FDR)=r.2r A.: ` 600 V NOMINAL: CLS AREA/SPC OCC.,
------ ------------------------------------- ELECTRICAI. - RESTRICTED ENERGY ---------_---------------------
A. SF RESIDENTIAL- ___------_.----------- B. COMMEICIAL-----w-------------------__-...------------ -----------_____-__------___--_-_-_-.
AUDIO I STCPEO.: VACUUM SYSTEM..: AUCIO 8 STEREO,: FIPE ALARM.....: INTERCOM/PAGING: OUTDOOP LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC,......,...: LANDSCAPE/IRRIG: PROTECTIVE SIGNU
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATAITELE COMM,: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner; --___.... -----------------------Contractor. --_.._____ ___---------- 'OTAL FEES:$ 4159.95
BRUNKOW INC BRUN90W INC
3940 SW TOWER WAY 3940 SW TOWER WAY
PORTLAND OR 97221 PORTLAND 09 97 01-34:3
Phone M: 246-8659 Ghzre M: 246-86"9
Rtg It..: 34903
This persit is issued subject to the regulations contained in the Tigard Municipal Ccde, State of Ore. Specialty Codes and all other
applicable laws, All wore kill be done in accordance with approved plans. This persit will expire if work is riot started within 180
days of issuance, or 1f work is suspended for pore than 180 days.
REQUIPED INSPECTIONS
.oting Insp PLM/Underfloor Low Voltage Gyp Board Insp Electrical Fina'. _
,ndation Insp MEcneni,.al Insp Fireplace Insp Pain Grain. Insp Mecharical Final
;t/Beal 3t-act Pluab 'op Out Gas Line insp Water- Line Insp Plurb Final
-.t/Reap Mechan Electrical Servi Gas Firepiact Water Service In Building Firal
jwl Drain Fraying Insp ;' Insulation Itsp Appr/Sdwlk Insp Er , on ontrol
' f
rr.i ,. l: -r 3 i y r w�t�_:r : .+. ,., t t�s.� 15 t r.ci y ,
f. i - � pectinn 639,--417S,
I
L.IJPql\ILL I I LIM
Pr RM IT
CITYCSF
t . . . . — - TIGARD DATEPERMIT ISSUEItD:. 02/'L29/1)6 SWR960050
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639.4171 PARCEL : 2S104CD--Q*700
ITL. f4r)DRUOG. . . % 1x`591 SW HILLSHIRE DR
.JBDI VISION. . . . . HTLL53HIRE E15TATES ZONING: R-7 Pl)
�.00K. . . . . . . . . . . LOT. . . . ,. . . . . . . . . 12107
NANT NAME. . . . . :
" A NO. . . . . . . . . . : F-I X TUR,: UNI T 153. 0
--ASS OF' WORK. . . -,NrW DWELLING UNIT', . I
TYPE,' OF USE. . . . . .Sr NO. OF BUILDINGS 3 i
] N9,T01-1-. TYPE. . . . -BkjT)WR TmpEpv ourmcF ; 0 5f
,Pomat
-ks : PATH I
OWTjej_., FEES;',
BRUNI'OW INC type Amol..knt by date re=pt
3940 SW TOWER WAY PRMT 2200. 00 SON :712/29/96 96-2764630
,T BON 0i-R*/29/96 96--2764OV,
1P0QTLPQ OR
P1-lorlp #. 246 -665r1
"MTRAC"rorR NOT ON FILE
Mane #: 2`1239. 00 TOTAL
REGUIRED INSPEC TION5
This Applicant agrees to cooply with all the rules and regulations 5vwev- In .,pvu,tiori
of the Unified Sewage Agency, The persit expires 30 days frog
the date issued. The total avc�jnt paid will be forfeited if the
p#rait expires. The Agency dies not guarantee the accuracy of the
.,de sewer laterals. If ti; `ewer is nct located at the seasurement
given, the installer shall p,-ospe:t 3 feet in all directions frog
the distance given. If not so 'located, the installer shall purchase
a "Tap and Side Sewer" Pormjt and the A ncy mill install a lateral.
-pt-m i.t t P e 0,i ynt,..� I'll- h.7 2�/,
.1.tLld By - 'IV
Czal I for- inspec.,t ion 6511-41 75
Residential Buildin Permit A -P icati0n
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: i1� �/ -��! � ���" ---
/ Office Use Pnly
Subdivision: i /s� Lia¢a►��" Lot# 7
Contac: Date / / _Initials
valuation: `._ /%C��a _ Result
New Cinstruction Only: (Square Footage) Planck/Rec #
Permit # 111,.S 7
House _ Garage: '` .`>�� _— Reissue of N 4 _
i' »
Map & TL #
Corner Lo"? Y N Flag Lot? Y (N. Zone -•-
Plat #
Owner: �'�` —'
Approvals Re ug_ired
.Address: '��� Sy(f �r�vb•� —
Planning Setbacks`.�J/t-'f'�` "Solar `y►" _
f- "1A�10. Engineering
Other
Phone. L' � ..'� ) � 'f� � F: � �. J
Iterns Required
Contractor:
Subcontractors
Address _ Truss Details
Other
Nates _(L
Phone. et
Contractor's License #
(attach copy of current Oregon license)
Contact Name
r '
Contact Phone. L__ 1 "
Subcontractors:
Arch itectlEngIneer:
Plumbing: t. _ Address:
Mechanical-
(attach
echanical(attach copy of current OR Contractor$ Lk mse)
Phone:
JOB DESCRIPTION:
Applicant�Signature Applicant Phone number
r v
Received by. Date Received:
�_ L -
Permit# Account Description Amount Amt. Pd. Bal. Duo
PIJ Q9 -O"4 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
M ch. Permit (MECN)
SMN-Fox
Bldg:
Plumb:
Mech:
El- it
Plan Chack (PLANCK) d• Y -��>j� .c
Bldg: v
Plumb:
Mech: L ►
O�L4 Sewer Connection (SWUSA) c. 1, ou
Sewer Inspection (S'NINSP)
Parks Dev Charge (PKSDC) �' Sv 0
Rresidential TIF (T;F-R) /Y 7`� -u--.�
Mass Transit TIF (TIF-M1 Z
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) �
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) = L' '
Erosion pianck/USA (ERPLAN) _
Erosion Planck/COT (EROSN) �,j'� _ �?• 01
TOTALS: !► .rL'
o 10 zo 30 ao so
TA x t o r ; 700
Tt-RI?AC/AIG ROCK W,-'RK
/l0'- To ARROX. S28
TAX MAP: 2 Slol�Ac7
t
N �►" ip
C3 �';►
W
dip
JP'
SL9
\\ ArP • t
1 S
`' O�.
,'�RiMErER R,�1iN CRNNs,
,�RMiN/ITE AT cvRd \�Q,
�1
5 U
,y 2�
,sem ems, �
,-.,F,-✓FwAjv cry' (Z'. LOT
P,'CloR ro ESUS/O,✓ r.S�sP. ti o +'� ��'� HILLSHIRE ESTATES
TIGARD, OR
BRUNKOW, INC.
NOTE: Togo i-),Arum ,cEv1si_n rROM SCALE: 1" = 20'
A ro A c nlAL
r p Solar Balance Worksheet
1
Address /111/
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
!' t South lot line aloe the described line. ft
North lot me to he S t g �.
Box B calculations: Shade point height from your structure. Box B:
1. Determine whether measurements will be based on the peak - eave of your
structure. The orientation of the ridge 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 c
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.
1c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements { �'
will be cased on the peak.
ft
I 2. Measure chance in elevation from front property line to finished floor elevation. ,
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. S '
5. Subtract one foot for each foot of difference in elevation from the front property _ ft
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.
6. Total figure for box B'
Box C. Distance to the shade reduction line. I Box C:
i
1 . Measure the distance from the North property line to the foundation. ft
2. Measure the distance from the foundation to the affected peak or eave. + _ ft
3. Total rigure for box C: ft I
Solar Balance Point Standard
Box A. North-South dimension for the lot 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
C� the affected peak/eave. If the roo line -uns
feet NIS, subtract 3 feet from the figure. Su.,tract
one foot for each foot of difference in elevation
from the front property,line t9L-the rear property
line.
(� feet
Box C. Distance to t} shade reduction line
Dista,
istance from North p operty line to
foundation added t t e distance from the
foundation to the fcV roof peak/Pave.
(� Feet
The following helps explain the graph below:
r,
The horizontal axis (rows) represents box "C" figures.
The vertical axis (coli;mnsl 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" . Thl, value in box "D" should be compared to the value in
box "B" ; if the value itl bo "B" is less than or equal to the value found in box
"D" , the building is in co pliance with the solar bal;.rice 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 i
70 40 40 40 41 42 43 44
6' 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 36 37 38 39 40 41 42
30 30 30_ _31 _32 33_._ 3-5--- 37 38 .- - --_U--
40 28 2.8 28 29 30 31 32 33 34 35 36 37 39
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 18 i18 19 20 21 22 23 24 25 26 27 28 � I
10 16 16 X16 17 18 19 20 21 22 23 24 25 26 ~�
5 14 14 14 15 16 17 18 19 2.0 21 22 23 24 kri
J
Box "D" Maximum allowed sh7. e point height feet
Aq
i- ( L j
CITY OF TIGARD
MEMORANDUM
TO: Bob Thompson
FROM: Paul izatt. Engineering Dept.
DATE: February 12, 1996
SUBJECT: SITE REVIEW 13591 SW HILLSHIRE DR.
FINDINGS:
1. They had there approach drawn to Washington co. standards so I made note on
the site plan.
2. I might remind them of pre-construction placement of erosion control, because of
the hill. If they start digging and it rains were are going to have mud everywhere.
2/9/96
Brunkow, Inc.
To: Jim Duckett
Per your request, enclosed Pre 5 copies of revised plot plan, to substitute for the
ones submitted with my 1/25/96 permit applicatic,i.
Thanks,
Bill/Brunkow
246-8659 (also fax)
125/%
Brunkow, Inc.
Tr,: City of Tigard
Along with attached Residential Building Permit Application form are:
1. Three sets of blueprints, with:
a. One set of the 8 1/2x11 lateral analysis sheets.
b. One set of the 81/201 header/glulam design sheets.
2. Five plot plans.
If TJI's are used, those details will be submitted prior to froirling.
Roof truss details will be submitted prior to framing.
Thanks,
Bill Brunkow
246-8659 (also fax)
CITY OF T i CARD PERMIT
PERMIT
MIT # : 113T96 0031
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/29/06
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 PARCEL. 2'_)I04CD -00700
SITE ADDRESS— - 173'_91 SW HILLSHIPE VP
�;UBDIVISION. . . . : HILLSHIRE ESTATES ZONING: R7 r.!D
PI-OCK. . . . . . . . . . : LOT. . . . , . . . . . . . . ..007
CLASS of WQnK. OnRBAGE DISPOSALS. . : I
TYPE or USE. . . . ;N(7W WASI :I NO MACH. . . . . . . : I SACKFLOW PREVNTR;. . ; I
-I .c
OCCUPANCY GRP. . :"'I- f -0or DIPPING SINS. . . . . . . .. . . . . . 0 PArS T . . . . . . . . . . . . . . : VJ
`ORIECATCH BASINS. . . . . . . : 0
. . . . . . . . WATEP HEATERS. . . . . . : I CAT
I XTUPEC LAUNDRY TRAYS. . . . . . : 1 Sr PAIN DRAINS. . . . . : 1
,1 NKS. . . . . . . . . . I* I GREASF TRAPS. . . . . . . :0
'1VAT0P1!.3. . . . . : 4 OTHrR FIXTURES. . . . . 0
iJB/SHLIWIJKI). . . . : 3 "73EWE=R L I Nr_ (ft ) . . : 0
WATC.R [,'.LrjSETS. : 3 WATER L...TNF (ft ) . . 100
DISS'HWASHERS. . I PAIN DRAIN (ft ) . 0
ifla)-ks : PATH I
,JNEP:
`1JNI',OW INC, TI r- f 14717,. 01,E n_OKI 02/29/9& 1)G- i1,7641::30
40 SW TOWER WAY TIrM 't, 120. 00 SON 0,`'/29/96 96-276480
SWM 1. 1,50. 00 DON 02/29/96 96-'C'2764'11A
ARTLAND OR 97221 SWM t, 100. 00 SON 1712/29/96 96--276480
Phone C.Lcr s 2 t 0. 00 BON 021._'9/96 06 -2764no
ELC5 $ 1121. '---0 11CIN 0_`/"'h/96 96 -4276480
r:.L n P $ 140. 00 SON 02 11/1)6 1)6 271-4,30
E'LK'S 2. 00 SON 02/"9/96 96-1764SO
POWER PLUMBING CO. nrRT 1 6 6 3. 00 nON 02/2^/06 90 , :7C- 40
LI d r-e P n A 3t 23.1-44_.____ DPLC J, 430. 95 BON 01/2x/96 96 7`;31;:1
" ity ' - Tigard Or S --)r"I: t �I.,. 1. r.i("IN 02 6 9 E) 276480
p 97281 [Ihvnefl .- 244-19 PARK $ 500. 00 DON 9C, ,:'764t30
3 4-:159-PR23 ii shown her-e.- --L Contr- 5 74--__ r�:Id i t i ona1 ' not
REQUInED INSPECTIONS-3
iis (permit is issued s,.kbjert to the t-eg-
I
,.ations contained in the Tigard MI.-MiLipal Footing Trisp Gas Line Insp
;de, ;tate of O)-e. "!pT- :i -aLlty Codes ..And Ail roundest ion Insp Gas rii-eplar:e
the;- applicable laws. A1. 1. work will be done Post/Seam 10-ti-I.Ict Ins,. lat ion Insp
-i -d
with appi--oved plans. This, Pist /n_e�,-A m Mechai Gyp Boat In,,p
, -mit will expire if work is not Stal-tPd Cr-awl Drain Rein drain Insp
thin ISO days cIf issuanre, or if wol-k is PLM/!in d 9 r-f 1 a o I- Watqv Line Inip
lkspen,led for mora than 180 days. Mech�inic-Al Insp Water Service In
Plumb Top Out Appi- /Sdwlk Insp
r'lectt-ical Set•vi [:lectv-ic4;A1 final
ri-aming Insp Mechanical r j.t,,,.k i.
I_.ow Voltage Plumb Final
6__Q
1" il-pplace Inrp D IA i I d i t,g
L. _m_e
It h L'I i x. bing Coritt'actir, C, g at+s�
ri' l for pection 63141753
ontr,,-:%ctuv' Note
...........