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13654 SW HILLSHIRE DRIVE i I i i I I I I i J �AA 11� 1 � H r r x H t ,I I �i t k1 h 1 I I J 13654 SW HILLSHIRE DR CITE' OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (M)633-4171 uERTIFICATE OF OCCUPANCY FERMI T #. . . . . . . : MST94-01148 DATE ISSUEDi 01/13/r)5 PARCEL i S I TE ADDRE5S. . 13654 SW VJ I LLSH I RE DR SUDDIVISION. . . . z HILL3HIRF ESTATES Z Oil."N13 i R-7 P D BLOCK. . . . . . . . . . s LO"f. . . . . . . . . . . . . :02S JU R I SD I CT I OW T1 G CLASS or WORI-',. :NEW TYPE CF USE. . . :9F TYPE OF CONSTR:51%. 0(',LIJPANC'Y' GRP. OCCUPANCY LOAV:�2 Pemarkri - PATH Owner- J T RC I H IL540 �A 68TH PAWWAY SUITE "S" TIGARD CIR 97.;':P � Phone #- 639-2639 Contractors T. T. ROTH CONSTRUCTION INC Ic'540 SW 68TH PARKWAY TI03ARD OR 97223 Phomp #s 639--E'639 114 e g #. 11,809 70 This Cert ificrte yrAnts Ot'C-UpiAncy of' the above referenced buil-Ang or pf,,-tic,(, thereof and confirms that the building has bepri insps.ar:ted for compliance with .k than Stat, of Or-ppon Specr Specialty Codes for, the grol"pt / -1C.UpAnC WId USP Under Which th'? rtaferey wed permit was issued. " 41— BUILDING IA3PECTOP RUILPING uFFICIAL, POST IN CONSPICUOUS) PLAC6 Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0198 J T ROTH 13654 SW HILLrMIRE DR 67/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd rode Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- 14STA007 Application received / / / / 05/12/94 PASS SW 05/23/94 BLT MSTA010 Plan check deposit paid / / / / 05. 12/94 PASS SW 05/23/94 BLT MSTA020 Plan check b/ 05/23/94 / / 05/23/94 PASS RT 05/23/94 BLT MSTA030 Check for prcl. restrict. / / 05/23/94 05/23/94 PASS JLG 05/23/94 bl.T MSTA092 (F) issue combination permit / / / / 05/27/94 PASS JLG 05/27/94 JG MSTA097 Issue plumbing signature form / / / / 05/27/94 05/27/94 JG MSTA705 root/found Insp / / / / 06/02/94 Pending: Remove elbow at footinn o. PAS; WEW 06/15/94 RB Prepare sL.bgrade per Jim Imbries instructions; i-mving fill at two locations at sw .orner of house and installing 12"wide x 611deep key at footing along front of house from se to garage. Jim Imbrie requestsd that he be allowed to view other excavations on adjacen. lots also contained it his report referencing this Lot so that he could evaluate and advise any additional excavation in a timely manner. Verify lowest footing is 18" wide. MSTA705 Foot/found Insp / / / 06/10/94 Foundation Inspection FAIL WEW 06/10/94 RB At front corner of garage install #3 veriical rebar 18" oc dowelled into footing, and 2 k4 rebar within 12" of the top of the wall. Confirm with engineer location for seismic r,straints 1 at south foundation wall. MSTA705 Foot/found Insp / / / / 06/13/94 PASS WEW 06/13/94 RB MSTA710 Post/Beam Structural / / / / 08/16/94 Post and Beam Structural and framing FAIL WEW 08/16/94 WW inspections will not be made until soil erosion rontrz-1 is approved by USA. MSTA710 Post/Beam Structural / { / 08,'17/94 SEE FRAMING THI'J DATE FAIL RB 08/17/94 RB MSTA710 Post/Beam Structural / / / / 08/19/94 PASS WEW 08/30/94 RB MSTA711 Post/Beam Mecf-3nicnl / / 1 / 08/16/94 see meth. rough this date FAIL RB 08/17/94 RB MSTA711 Post/Beam Mechanical / / / / 08/19/94 PASS WEW 08/30/94 RB MSTA717 PLM/Underfloor / / / / 08/11/94 tub shoe leaking PART MS 08/12/94 MRS Page No. 2 CASE HISTORY ,,"OR CASE NO.: MST94-0198 J T ROTH 13654 SW HILLSNIRE DR 07/22/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- -- --------------------------- -------- -------- -------- ------------I -------- ---------------- ---- --- -------- --- MSTA720 Mernanicat Insp / / / / 08/16/94 SEAL TEARS IN FLEX DUCT UNDER-FLOOR; FAIL RB 08/17/94 RB INSULATE WYE'S UNDER-FLOOR; INSULATE PLUMBING UNDER-FLOOR- AT BOTTOM 0' STAIRS; SOFFIT HEATING DUCTS IN GARAGE; SUPPORT FLEX DUCT WYE IN ATTIC-TOP OF STAIRS; ENCLOSE ENTIRE PERIMETET. OF RETURN AIR CHASE- UPSTAIRS. MSTA720 Mechanical Insp / / / / 08/19,f4 PASS W_7W 08/19/94 WW MSTAT22 Plumb Top Out / / / / 08/11/94 tub Shue leaking PASS MS 12/15/94 MRS MSTAT26 Framing <REINSP> / / / / 08/17/94 UNDER-FLOOR PONY WALL LESS THAN 1411- FAIL RB Oe/17/94 RB SHEATH INSIDE; POST P,ASEMENT STAIRS- UNDER-FLOOR; ADDITIONAL STUD NEEDED Al OPENING ADJACENT TO STAIRS; POSITIVE CONNECTIONS THAU-OUT; WINDEIc- STAIRS MIN TREAD WIDTH = 61; ATTIC ACCESS- EXTEND TO HEIGHT 1611: SUPPORT CEILING JOIST FWD N. BEDRM; ENCLOSE RETURN AIR CHnSE- BETWEEN FLOOR CAVITY; POST HIP/VALLEY N. BEDRM; METAL PLATE PROTECTION- N BEDRM; MECHANICAL ISSUES; SIFFIT HEATING DUCT IN GARAGE; SHEAR BLOCK AT GARAGE LOCATION. MSTA726 Framing <REINSP> / / / / 08/19/94 Pending: Soffit heating duct in garage. PASS 6%1 08/19/94 WW MSTAT35 Gas Line Insp / / / / 08/16/94 PASS RB 06/17/94 RB MSTA740 InsuiLtion Insp / / / / 08/24/94 Provide firestopping at penetrations to FAIL WEW 08/25/94 WW top and bottom plates in bathroom offf of garage, at vacuum and drain Ines next to stairs, vent line at kitchen sink, drain lines in family rocxn, vent lines in master bath, vent lines in family bathroom and at laundry room. MSTA740 Insulation Insp / / / / 08/25/94 Pending: Complete insulation of water PASS WEW 08/25/94 WW line in crawl space uncler garage. Clean supply plenum at laundry room. Align insulation under jacuzzi to fill penetration in floor. Provide V restop at penetration to top and bottom plate in walk-in closet and sink in mostor bathroom. Drywall may begin in ureas not noted above. Page No. 3 CASE HISTORY FOR CASE NO.: NST94-0198 J T ROTH 13654 SW HILLSHIRE DR 07/22/97 Action Description Req/ Schd/ End/ Action Notes Oisp By Update Upd Code Sent Done Done Date By ------- --- ----------- -------- -------- -------- --------------------------------------- ---- --- -------- --- MSTA740 losulation Insp / / / / 08/26/94 Pending: complete insulation of water PASS WEW 08/29/94 WW line under- garage in crawl space. MSTA745 Gyp Board Insp / / / / 08/31/94 Provide adequate attachment as marked. FAIL WEW 09/02/94 WW Taping may begin in all areas, MSTA745 Gyp Board Insp / / / / 09/02/94 Pending: Provide adequate attachment at PASS WEW 09/011/94 RB northwall of nri,oter bedroom. Taping may begin in a(( areas. MSTA755 Rain drain Insp / / / / 07/26/94 PASS Ma 12./16/94 MRS MSTA760 Water Line Insp / / / 07/26/94 PASS MS 12/16/94 MRS MSTA765 Appr/Sdwlk Insp / / / / 09/28/94 1. Install 311 drain line to exist. curb PEND LT 10/10/94 NL weep hole. 2. Be prepared to protect finish. MSTA795 Mechanical Final / / / / 12/14/94 see building final this date FAIL RB 12/14/94 RB MSTA795 Mechanical Final / / / / 01/13/95 APP GS 01/13195 GES MSTA797 Plumb Final / / / / 12/14/94 need access to water valve rASS MS 12/15/94 MRS MSTA797 Plumb Final / / / / 12/16/94 still no access FAIL MS 12/16/94 MRS MSTA797 Plumb Final / / / / 01/12/95 PASS MS 01/12/95 MRS NSTA799 Building Final / / / / 12/14/94 plumbing fine(; use final; seal ranaa FAIL RB 12/14/94 RB vent within cabinet; secure h-vent connector at furnace; vehicle barrier; insulate heating ducts at basement; erect barrier at decking at basement Level; replace missing insulation at basement; finish grade; lending at lower deck stairs; NSTA799 Building final / / / / 01/13/95 APP GS 01/13/95 GES MSTA960 (F) Issue Cert. of Occupancy / / / / 01/13/95 mailed 7-22-97 07/22/97 S"W MSTA970 Case Finaled / / / / 01/13/95 APP GS 01/13/95 GES CITY Or TIGA14D 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTIO': DIVISION Business Line. (503) 639-4171 MSS. Recinived ___ —Dat e Reques 'd `Z ,ZU AM �d�T YM_ BUP Location 5_4 Lk--_--Suite — _-s_ MEC Contact Person CIL1.�. Ph PLM Contractor __-_ __ — Fh( ) —_______ SWR ___--- _BUILDING Tenant/Owner ------- ELC Footing ELC Foundation access: Fig Drain ELR Crawl Drain _ Slab Inspection Notes: _ SIT --_-_� Post&Beam Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing - -- - - -- - Insulation Drywall Nailing A -- Firewall Fire Sprinkler - -- - --- -- -- --- Fire Alarm Susp'd Ceiling Roof Other: S PART FAIL - -- - -----------------_ -_ f F PLUMBING Post&Beam Under Slab r Rough-In Water Service — Sanitary Sewer Rain Drains _ - - - -------- - - --.r.- - - 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 ------- Rough-In UG/Slab - Low Voltage --_ Fire Alarm Final [� Reinspection fee of r - _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for re,nspection RE: Unable to inspect-no access 4irDaSupply Line /f l A pproauh/Sidewalk Date I Inspector C`ther: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL PERMIT CITY OF T I GAR® PLRMMASTER I'l # .". .. -.- MS 1*94-01.98 COMMUNITY DEVELOPMENT DEPARTMENT DATE :ISSUED: 05/21/94 13125 SW Hall E?,v(: -igard.Oregon 9 e23*8199 (503)639-4171 PARCEL.-, 2S104CD--02500 :1.3654 SW HILLSIATRL. vk SUDDIVISION. . . . : HTLLSHIRE' ESTATES ZONING. F-.7 PD BI OCK.. LOT. . . . . . . . . . . . . :025 BUILD.,*NG ............- kLISSUE.- DWEI LING UNIT S: 1 BASEMENT. . . . . . ,. .. .-940 s f GLASS 1JFWOKK. :MEW BE DRMS-4 BA'THSsJ UARAUE. . . . . . . . . . ..660 Sf TYPE OF' USE. . . :SF FLUOR A R E.A 1-3 REOUIRED TYPE OF, CONST. -.5111 F'IRST. s I 1b7 Sf LEF-r. . -.5 ft R I(311T. - 11 ft: V1,C.UPANCY GRP. :R3 SECOND. » . c1194 is f FRONT'. :20 f t REAR'. . -'19 ft T'UR I LJ. . . . . . . :2 THIRD. . . . :0 df REnUIRF:D...........--- 29 c FU I Sf SMOKE DETECTORS. Y i (")OR LUAD. . . . :41.4 psf VALUE. . . . . $ 164784 PARKING SPACES. . : I i-:anlarks- 1-10,111 1 ................................ PLUMBING ....... FLOOR DRAINS. . . . :0 B A C,K F-L 0 W P R EV N T R S.. 1. L 0 V A*T 0 Rf[:'.S. . . . . .5 WATER HEATERS. . .:I 'T R A P S. . . . . . . . . . . . . . :0 T'LJD/S1-40WLRS. .. . .. V 3 LAUNDRY TRAY:,. . . 30 CATCH SAE)I NS. . . . . . .. '.0 WATER CL.OSE*','S. ,. :J SEWER LINE (ft) . :0 GREASE: TkAPS. . . . . . . :0 1)IGHWt)SIAERS. . . . ... I W01ER LINE:. (ft) . .- 100 OTH E R F 1.X I U R LIJ. UARBOUL DISP- 21 RAIN DRAIN (ft) . s@ WASHING 11 A U H.. . I GF RAIN DRAINS. . ti MLCHANICAL ......«.......................... F*EES U E I- T Y PE'3 L)N T T HT R S., . -0 type 'Arnot.tnt by date reept !30S/ VENTS . . . . . :0 TIF $ 15R9.00 JG 05/27/9 4 1'.J VENT VA N S :4 B P RT $ 095. 50 J0 05/27/94 "'RN ( 100K --0 HOODS. . . . . . ... I EIPILC $ 387, 98 SW Ob/1.k?/94 URN >=100K WOODSTOVES. -.0 B51,C $ 2`:). '78 30 05/2'//94 I..L)L)k f-URN. . . . CLU DRYERS. : 1 SSDL $ 280. 00 JG 05/27/94 OIL/CIIIP OTHER UNITS: 1 PARK $ 500. 00 JG 0')12//94 GAS OUTLETSl. MPRT $ 45. 00 JG 05/27/F34 10111e1l". 3 11. 25 JG 0 5/P 7/94 ROTH M5PC $ 2. 25 JG 05/2 7/94 2540 SW 681H PARKWAY I'-`PRT $ 50 J 05,/r'//94 'U'LIE ..B" P 51-1 11, $ 8. 13 JG 05/27/94 161IND UR 97212.3 . T. ROTH CONSTRUCI'ION INC 'W .1S40 68TH PARKWAY, SUITE P (CARD OR 97223 11(.11-1e 0- ("39-2639 31700 ........ 3541- 49 TOTAL )is permit is issued subject to the regulations I:Qnt�inrd in the kEOUIRED INSPECTIONS ,lard Municipal Code, State of Ore. Specialty Lodes and all other F'00t/fOUnd Insp Fireplace Insp :iolicable laws. All wo-PP, will bF done in accordanre with approved Frost/Pearn 15trLwt, Gas Line Insp I ins. This permit will expire if work is not started within 189 Post/beam Meehan lnSUlati0l'1 1111 r :than 7days. Plni/t.tndslab Insp Gyp Board Insp iys of issuance, or if work is suspended for to 00, d f 1. R a d i vi 11-1 s V) f I L M J 001e,-- ni i e c! 9 11. 11 a t i.t r e e c h a n i r a 1. 1 vis 1) Water Line I vis p PIUMIJ Top Out Appr/ScIw1k Insp Ued Py: F-`( an%i 11 q J.ns p Mechanical F-i Call. for ivispection - 639--4175 LW L H CONNLL i I UN ER CITY OF T I GARD 1-,F:.RN1*T' 0VI. . . .111,1*. . . . SWR94-4.11 COMMUNITY DEVELOPMENT C''.PARTMENT DOTE ISSUED: WS/27/94 13125 SW Hall Blvd.Tigard,Or*gon 97223*Bigg (503)639-4171 PAR(.'11LL:: 21:-3104CD-02500 1.3654 :!W H:H-A-SHIRV. DR S(. R 1)1.V I S1.G N. . . . » 1-11 L L 15)WE R E E5 'r-1 11:S ZONING: F'1) 14LOCK.. LOT. . . . . . . . . . . . . ..025 TE-A10111' NWIL. USO NO. . . . . . .. . . . ; I X'FU R E U N 17*S. C''L 0 S 13 01- W(: R K.. :N I.'-W IMLI-LANG UNrrs. . :i. TYPE: OF USE., SF* NO. OF 1:1U.1LDTNGG.- :1 PUSWR SURFOCF.—, f P(A'144 T C.)W)-I e r- ................................. J R 0 1'H type ii M 0 1-(111., by (J i t(e Y,e r,r.) 1 21b41 SW 68 1+1 P(IIN111Wly PR 11 $ 2200. 00 JU 05/21/94 1'E 14 1311)" Wo i Uj 0 i? 1.)If# IWAkD OR 97223 Plic)rie W., 639-26.39 ........... N01- ON FJLE t- N e Li 4. R L.1.U I R E.1) 11NISPLIL11''JUNS This Applicant atrpe�, to capply with all the rules and regulations Sewer li-ispec-bj.civi of the Unified Seoiace Agency. The permit expires 180 days from ........ the date issued. The total amount paid will bf forfeited if the ........ ........... permit expires. The Agency does not guarantee the accuracy r, the side sewer laterals. If the sewer is not located at the measurement aiven. the installer shall prospect 3 feet in all directions from --------- the distance given. If not so located, thp installer shall purchase ...... a "Tap and Side Sewer" Permit and the Age-ney will install ,a lateral. ——---------- .................................. ........... Pernii.ttve .:sued B y. ......... ----------- CA11 fc3r inspec-ti.ori 63'x•-4175 q f - 1Q/ Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 9.7223 (503) c-39-4171 Jobsite Address: NP flciz rt P L Office Use Only Subdivision: {,1 {S1UrCLot# G�k PtancktRec# Valuation: � Permrt #1 y� of XG Owner: .,. VIA Reissup of Address: (ZJSIX) d Mau & TL. # �� 2 �� Approvals Required Phont;: Planning, ' , Contractor: �.J I ZDf�'1 CGY1`>�Y� �1C�� 1� Engineering Address: �� Other � .�� ..� `^ 0 Items Required 1 Phone: `Z�.�! Subcontractors Contractor's t, nse # 100 (attach copy of current Oregon license) Truss Details Subcontractors:ff c� Other Plumbing: Mechanical: �_t; (attach mpr of current OR Contractor's License) Architect/Englrieer: Address. Phone: r , r COMMENTS: ' L 'a��. r �;1� :�. L 45ca—nt Signature & Phorle number Received by: Date Received: Z_��y. I Permit t# Account Description Amount Amt. Pd. Bal. e1ie Bldg. Permit (BUILD) SyS S'' _ Plumb. Permit (PLUMB) /L- )Z' 'V Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: 'Z' Plan Check (PLANCK) i Bldg: Plumb: Mech: //• "c > Si,/14v i `1 Scwer Connection (SWUSA) J / -2 Z Sewer Inspection (SWINSr') — 3 Partes Dev Charge (PK-,DC) Storm Drainage Cho (SDSDC) Residential TIF (TIF-R) i M:i:,s Transit TIF (TIF-MT) Commerciai TIF (TIF-C) Industrial TIF Institutional TIF (TIF-IS) Office TIF (rIF-O) Water Duality (WOUAL) Water(hrantity WC,JANr) Fire District (FIRE) TOTALS: f."LUMBING PERMIT , Cf 7Y OF T I GARD DATE PERMIT ISSUED: ~05/27/"344....0 VrJ COMMUNITY DEVELOPMENT DEPARTMENT 12125 SVI Hall Mvd.Tigard,Oregon 27223*8129 (503)839-41,71 PARCEL: 2S10/40D-OP500 siW ,UDDIVISION. . . . .. HILLSHIRL ESTATES Z 0 N:1 N G: R-•7 PD BLUCK. LU'i . . . . . . . . . . . . . c 025 (.A-ASS OF' WORK. » ttNEW GARBAGE Dl,Sr_`OS01 S_ -. 1 1Y1-_1('-:. OF-- USE. . . . PSF* WASHING MACH. . . . . . . : I BACKFLOW PREVNTRS. . -. 1 OCCUPnNCY GRP. . :R3 F*L.00R DRAINS. . .. _, .. . -.0 TRAI"I. . . . . . . . . . . . . . ..0 STORIES. . . . . . . . 92 WA'TER HEATERS...,: J. CATC14 BASINS. . . . . . . ..0 1: IXI'Llr' ES---,--------------------- LAUNDRY TRAYS. 0 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . 11 GRE!"SE TRAPS. . . . . . . :0 L(A V ATO R I E'S. . . . . :5 OTHER F I XTU R E G. . . . :0 TUB/SHOWERS. . . . : SLWER LINE (ft) . . .. '(d WA TE R C 1.U S ETS. . 9 3 WATER LINE (ft) . . . . ... 100 DISHWASHERS. . . . Ill RAIN DRAIN (ft) .. .. . . '.0 •:temarlsg- PATH I 1WNER u 1....... F E E S------ ROTH T I F $ 1520. 00 J(3 05/27/94 ... 2540 SW 68TH PARKWAY BPRT $ ,"•:95. 5(5 JG 05/27/94 UITE "B" HFLA' 11 :3(37. 08 SW (65/12/94 94-252,; TI 0 A kD OR '3722;3 L45VIC iY 29. 78 JG 015/27/94 f-'Ihone 0: 639-2639 S D G $ H80. 00 J(3 05/E7/94 PARK $ 500. 00 JG 05/27/94) PlUmbing 11PRT $ 45.00 JG 05/27/94 MPLC $ 11.25 JG 05/27/94 115F.1c $ 2 5 TS 05/27/94 Aclaress a PPRT $ 162. 50 JO 05/27/94 City:._T S ta te VISFIC $ P. 13 JG 05/27/94 P ti 9.7.;k J........ # )::,eq ........... REOUIRED INSPECTIONS This, pe,-mit is issued subject to the req ulations contained in the Tigard Municipal Fact/found inn Rain drain Insp Code, State of Ore. Spec),Alty Codes And all, Post/Beam StrUC-t Water Line Insp uther applicable lows. All. work. wii! be done Post/Beam Meehan Appr/Sduilk. Insp J.,i accordAvico with approved plans. 1his V,I m,'u n d s I a b I n s p Mechanir,a]. F'jna-] permit will expire if work is not started PLM/Underf 100-1. Plumb Final within 180 days of issuance, oi• if work is Mrcha)iical Insp PUilding Final suspended for mar" than 180 days- Plumb 'Top Out Erosion Control Framing Insp Craw 1. D r J.n Fireplace Insp ------- Gas Line Insp Insulation Insp r d ......... Uyp Boa Insp ...... ed VIUM 1Iq C tractor Signature Call -for inspe"::tion - 6139-4115 a n t ri-it c t a r Notes: ............... ....... .......................... .......... ................ ....................... LLECTNiLAL PL.RMI 'l CITY OF T i CAR® R'7STRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PURMIT #: EI-R96-2)069 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171 DATE ISSUFDi 0a'-'/2:3/96 PARCEL: 2S104CD--02500 A1)DfRE..'.j'--'4. . . 136514 SW HILLSHTRE DR WI VISION. . . . : HIL!.SHIRE ESTATES ZONING: R-7 FIL) -OCK, . . . . . . . . . .. . . . . . . . . . . . . :025 Install bl-o,ylav- alarm. B. COMMERCIAL--- AUDW F STEREO. . . 4 AUDIO & STEREO- i INTERCOM R P'AGIN(.'1. BURGLAR ALARM. . . . AX BOILER. . . . . . . . . . LANDSCAPE/IRRiGAT. r Gfli[RAGE OPENER. . . . - CLOCK. . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVPC. . . . . . . . . . . . . . DATA/TLLE COMM. . . NURSE CALLS. . . . . VACUUM oY'LJ'1Ei*l. . . . I FIRE' PLARM. . . . . . : OUTDOOR LIrll)! L: Lil 01 HL.R. HVAC:. . . . , . . . . . . . ; PROTECTIVE SIGNAL. INSTRU)"IFNTATION. OTHER. TOTAL # OF SYSTEMS: 0 n)Iiu'lnt FEES IN D I X'50N type amount by date 1'ecvlt (.'.-51+ "iw PR M T � 0. 0 0 L J S 0 2/2 2 6 ":q 6--L 7 5PICT $ r<'0 GJS 02/2�'3/96 96--C-- "'&L4b GARD O #.R 503 - 524-5767 5ELUR11 t' ALARMS $ 4 0 '1'O1-AL 3 N. 2. 1 1(:4NCOCK REQUIRED INSPECTIONS ,1k 1 ect I 1 5 v 1,V I(-.e ,une �i Eleotl 1 Final ,s permit is issued suuject to the regulations contained in the G&rd ftpxcipa'. Code, State of Ort, Specialty Codes and aij other Perm itee Eignat k-ty,p aIicabit lahs. Ail vork 4iii ot done in accordance i4itti ..-rovea plans. This permit "ill expire if work is not started '.hin 160 days cr jsuance' tr work is suspendev fat sort an 180 days, Issued By -OWNER iNl�I'ALLAT ION ONLY— P i n s t a I I at i on is be itqA made on property I own wh 1L fl it not intended f o I']i 4 f LJ N t:. DATE. . -CONTRACIOR INSTALLATION OKILY- a" DA-r E3- 96 Ca I I for- inspection - 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# F/-R96 0009 _ Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED a- a 3 - QE ---- TDD No. (503)684-2772 CITU' OF TIisARD Inspection (503)639-4175 ISSUED BY ,Ao r -s PLEASE COMPLETE ALL SECTIONS 1. LOCATIONIOF INSTAILrTIO(N r �J 4. TYPE OF WORK Addfr , � RESIDENTIAL—Restricted Energy Fee . . . . 4Q.QQ I (FOR AL t.SYSTEMS) City State Zip Lbr&k T$-pe of Work Invalmd: PERMITS ARE 140N-TRANSFERABLE AND NON-REFUNDABLE AND EMPIRE IF WORK ❑ Audiou4&Stereo Systems IS NOT STARTED WITtI N 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. Urglar Alarm 2. CONTRACTOR APPLICATION El Garage Door Opener ❑ Heating,Ventilation and Air Conditioning S/stem* Contr.ulor AD1 SFCL)RI1y""FMS,t"C• f e Vacuum Systems* AIS K 14ANCKK YP FORILANO,OR 91212 ❑ ether -- Address 3128(.3265 Date d _ COMMERCIAL—Fee for each system ¢Q�QQ _ (SEE OAR 918-260-260) Property Owner hC eck Tyne of Work InvoJyak Contractor's Board Reg. No, ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION --X � ❑ Fire Alarm Installation Cl i•int Owner's Name Phinc No ❑ Instrumentation Address — ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State zip ❑ Medical This permit Is issued under OAR 918.320.370 This applicant agrees to make only ❑ Nurse Calls restricted energy Installa!,ons(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: ❑ Protective Signaling 1. Only use electrical licensed persons to do Installations where required.(Certain residential and other transactions are exempt from licensing. I hese have ❑ Other asterisks!•).All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for Inspection at 503-639-4175• (] _ Number of Systems T Purchase separate px+rmits for all Installatinns that are not ready for inspection --�� when the inspector is out to Inspect under this permit. •No Iicenres are required licenses are required for all other installations. 4. Assume re,pxmsihiliy,for assuring that all corrections required by the Inspedor are done,and 5. Aswme responsibility for calling for a final inspection when all of thr- 5. FEES corw.lions are rompleted. J� The person signing for this permit must he the applicant or a person a. Enter Fees $ 00 authorized to hind the applicant. h. 5%Surcharge(.05 x total above) $ C Signature __— ( m w TOTAL $ Ch/ Authority if other than applicant ENERGAP.CHP CITE( OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : MEC96-041,3 DATE ISSUED: 12/06/96 PARCEL: 2S1C/14CD--0C'-'I 500 S I TE ADDRESS. . . : 13654 SW H I LLSH i RE DR SUBDIVISION. . . . : HILLSHIRE ESTATES ZONING: P--/ IDD BLOCK. . . . . . . . . . . L.0 f .. . . . . . . . . . . . . :12);:.5 CLASS OF W)RV. . :ALT 1:1-00P FURN. . . . : in EVAP, COOLERS': 0 TYPE OF USE. . ., . :SF UNIT HEATFRS. . - V, VENT FANS. . . : 0 OCCUPANCY GRP. . :A I VENTS W/O AP,'-'I__: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 IAOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL. TYPES------ 0-3 HP. _ - 0 INCTN: 0 : /GAS/ 3-15 HPI. _ -- 0 COMML. INCIN: 0 MAX INP,L)T- 0 BTU 13 -30 HPI. . . . -, 0 REPAIR UNITS: 0 FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOODSTOVES. . - 0 GAS PRESSURE.. . . : 50.+ HI . . . . : W1 (,A 0 DRYERS. . 0 NO. OF 'JN I T9----------- AIR HANDLING UNITS OTHER UNITS. I FURN ( 100K BTU: 0 <= 100tho CJM : 0 GAS OUTLETS. 0 FURN ) =100K BTU: 0 > 10000 cfm - 'It Rem�it-l�s : instal gall stove install gas stove Owner-: FEES DANIEL DIXON type Amr)"Int by (J;:kte 1'ecpt 13654 SW HILLSHIRE DR PRMT $ 25. 00 TAT 12/02/96 96-287095 75PCT $ 1. 25 TAI 12/02/96 96-28709', TIGARD OR 97223 Phone #: contvactoi,-: THnMAS BISHOP, 12195 9W CANYON RD SUITE --;',0 BEAVERTON CIR 97005-i:--_'l70 --------------------------------------- Phone #: 626-4652 $ 26. 25 TOTAL Reg #. . : 000546 REDUIRED INSPECTIONS This ptreit is issued subject to the repulations contained in the 6a I.Ane Insp Tigard Municipal Code, State of Ore. Specialty Codes anki 311 other Mechanical Insp applicable laws. All work will he done in accordance wit'r Misc. Inspection approved plans. This permit wiH expire if work !s not started Final. Inspection within 180 days of issuance, or if work is suspended for more than 188 days. e :' _-_, _ ped By lel 639-4175 ,,/ Call fo inspection City of Tigard MECHANICAL PERP "JT Planck/Rec. # 1143125 sw Han Blvd. APPLICATION• Permit # Tigard, OR 97223 (503)'639-4171 escnp n Table 3A Mechanical Code QTY PRICE AMT " Job 1) Permit Fee -0- -0- 10.00' Address 2) Suppbmenbl Permit 3,00 umace to 100X0 Btu i c _ 1) incl. duds S vents 8.00 <� , _� urate + _ Owner ( 21 incl. duds &vents 7,50m Floor uance J i ' �- 3) incl. vent 8.00 us er , wa ea er _ 4) or floor mounted heater 6,00 cen ni • ,n ot ri Occupant 5) appliance permit 3,4 Repair of heafing. ro 8) cooling, absorption unit 8.00 i r Boiler or comp, heat pump, air concl. 7) to 3 HP; absorp unit to 100K Bl'I 6,00 Boiler lir conlpTtea�pu`rr1p, air cond Contractor c 1 8) 3-15 HP; absorr •mit to 500K BTU 11,00 Boiler/ or comp, heat pump, air c (-� m -J O � � 9) 15.30 HP; absurp unit .5-1 mil BTU 15.00 Boiler or comp, heat Y r cond. 10) 30.50 HP;absorp unit 1nE -X1..75 mil BTU 22,50 ere y a now ge at I have read is application, that the Boiler or comp, heat pump, atr con , information given is correct, that I am the owner or authorized 11) >50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in u)mpliance wdh ita Wing und to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 Board, that the number given Is correct. (If exempt from State Air 1handlirg un it registration, please give reason below.) 13) 10,000 CTM « 7.50 Ro—n portable �,— 14) evaporate cooler 4.50 A Vent n conn r: 15) to a single duct 3,00 .• ; J I + Ventilabon system not 1F', 'ncluded in appliance permit 4.50 Y/ � � e sery y r i.a ti 1. �Lt 17) m Tchanical exhaust 4.50 Des 0b w—rX hewj. addition teration repair c mrneru or r in ustna to be done residential 0 non-residential (D 18) type Incinerator 30.00 Mating use o building or property Proposed use of t•,uilding or property _ ,] 1.) 4 Type of fuel -oil 0 natural gas(&) LPG 0 electric 0 211 More than 4-per outlet (each) 2.00 —NOTICE � PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minhnum Fee 525.00 SUBTOTAL -- AUTHORIZED !S NOT COMMENCED WITHIN 180 DAYS, OR "6 SURCHARGE IF CONSTRUCTION OR WORM,IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 26%OF SUBTOTAL AFTER WORK IS COMMENCED. '. TOTAL Special Conditions — ��r q., Date issued _ by ' MYOtJMOfFwYtiCl�MT , ^�-A� ' BUILDING PERMIT CITY OF TIGARD PERMIT#: BUP2002-00093 DEVELOPMENT SERVICES DATE ISSUED: 3/26/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 25104CD-02500 SITE ADDRESS: 13654 SW HILLSHIRE DR SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7 BLOCK: LOT: 025 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMO' ')ET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICI-ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,500.00 Remarks: 232 sf deck. /Owner: Contractor: DIXON, DANIEL E A DEBRA A RICK'S CUSTOM FENCING 13654 SW HILLSHIRE DR 4543 SW TV HIGHWAY TIGARD, OR 97.23 HILLSBORO, OR 97123 Phone: Phone: 640-5434 Reg#: LIC 50088 _ Y FEES REQUIRED INSPECTIONS Type By Date Amount ReceiptFraming Insp PRM CTR 3/15/02 $72 10 27200200000 f=inal Inspection i 5PCT CTR 3/15/02 $5.77 27200200000 PLCK CTR 3/15/02 $46.86 27200200000 Total $124.73 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 ti,an 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00'10 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-66991§QO-332-2344. Permittee Signature: Issued By: Lis Call 6A-4175 by 7 p.m. for an inspection the next business day • Building Per lication Plate received /K p;y Permit no.: MC vt=,=1 City of Tigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Dale issued: By Receipt no.: Fax: (503) 599-1960 k . Case file no.: Payment type: $LM DDic brut Q Land use approval: I&2 family:Simple Complex: � >;d•1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addihon/altcr ition/replacement U Tenant improvement U Fire sprinkler/alarm U Other: C- Joh address: s/L H c 5 Hi/ _ Bldg.no.: Suite no.: IAH: Block: Subdivision: 'ax map/tax lot/account no.: 2--5 1 D q C17t?1 1 Project name: �1 f- r_. S1 r ..r' r C O Y f r S _ Description and location of work on premises/s tial conditions: -� r /d �✓ 'ref 5 `''� Name: ✓ 13/y e, r Mailing address: A-L-S/1 rz—r r2.r,) I & 2 family dwelling: 7 City: - State:C,/L izir `>7 Z Z 3 Valuation of work........................................ $ Phone: 1 i/ f Fax: E-mail: No,of hedrooms/haths................................. Owner's representative: Total number of Moors................................. _ Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq. ft.)......................... t r r ' Covered parch area(sq.ft.) ......................... Name: eyot/S .. , c e- e'-, J ., 5_� 3 - `✓/ ' Deck arca(sq. ft.)................ ....................... Mailing address: F J e /36� ZIP: c Other structure area(sq. ft.)................. .......City: SState.,�'�. --- Phone: J Fax: E-mail: CommereloVindustrlal/multi-tams Valuationof work........................ I............. Existing bldg.ares(sq.ft.) ...... .................. Business name: r. S New bldg,area(sq. ft.) Address: r S � _ Number of stories....... _ ... City: State: ZIP — Type of construction. ............... .......... .. Phone: �. Fax: Email: _ Occupancy groupf CCB no.: � � `� `c V .— �� City/metro lie.no.: ( / Notice:All contractors and subcontracto are required to he its 1111 KNIF11110LrAME licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 7(11 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing.the following reason applies: Contact person: Plan n.,.: - - Nione: Fax. ^ E-mail: '— -- Lin K Name: ' Contact person: Fees due upon application ...........................$ Address: — Date received: City: State: ZIP: Amount received ......................................... $ Phone: _Lax: �E-mail: _ — Please refer to fee schedule. hereby certify I have read and examined this application and the Not all lunubt ions wcgA credit cards.please call jurisdiction for more informatirxt attached checklist. All provisions of laws and ordinances governing this v Visa a MasterCari work will be complied wisp.whelper specified herein or not. o're'li'cam nuin1vt — - ---— --LEspiresim Authorized signature:,-_ ��i• hate 1 _ ---Name of c&.Zo er as drown on vmdit card Print name: L j, X21- c ` -/L. --- �Csrdhdrkr ingn turf i iF S Amount Notice:11iis permit application expires If a permit is not obtained within 1811 days after it has been accepted as complete.` 4-U at,t 1 ttAM'oMi C�mfi �l- ��.lr✓ One- and Two-Family Dwelling Building Permit Application Checklist Reference no. —= Associated permits: CJ(i,�f ligard Cit of Tigard City g U Electrical U Plumbing U Mechanical Address: 13125 SW ifall 131%d,Tigard,Olt 97223 UOther: Phone: (503) 639-4171 - Fax: (503) 598-1960 FOLLOWINGV THE 1 1 ' PLAN REVIEW Yes No N/A I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 'honing.flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. _ 4 Fire district —approval required. 5 Septic system permit or authorization lot remodel. Existing system capacity 6 Sewer permit. _ 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Uomplete set%of legible plans. Must he drawn to scale,showing conformance to appficahfe local and state building codes. Lateral design details and connections must he incorporated into the plans or on it separate full-size sheet attached to the plans with cross references between pl in location and details. flan review cannot he completed if copyright violations exist I I Sitelplot plan drawn to scale.The plan must show lot and',uilding setback dimensions;property corner elevations(if there is more Dian a 441.elevation differential,plan must show contour lines at 2-ft.intervals):location of easements and driveway;lixnprint of strucOtre(including decks);location of wells/septic systems;utility locations;direction indicator;lot arca;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details, vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location ol'smoke detectors,water hcatcr, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all Framing-member sites and spacing such as f1mir beams.headers,joists,suh-floor, wall construction,rool'construction.More than one cross section may he required to clearly portray construction.Show details of all wait and roof sheathing,roofing,roof slope,ceiling height siding material,footings and foundation,stairs, fireplace construction, dicnnad insulation,etc. _- 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. _ 1(, Wall bracing(prescriptive path)andlor lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. IT Floor/roof framing.I'rovldr plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. _ 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.provide two sets of calculations using current code design values for all beams and multiple joists over 10 lee(long and/or any beatn/joist carrying a non-uniform load. 20 Manufactured floortroof truss design details. 21 Energy Code compliance.Idon(ifv(he prescriptive path or provide calculations. A gat-piping schematic is required for four or mor:a planes%, _ 22 Engineer's calculations.When required c.r provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall he shown to he applicable to the project under Fede\\. 23 Five(5)site plans are required for Item 1 I ahove. Site plans taus(he 8-112" x I I"or I I" x 17". -_ 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrou-d" building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Pennit& System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. _ 28 Site plan to include tree size,type&l(xation per approved project street tree plan(if applicable),and COT Street Tree list. Checklist must he completed bef—e plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only 4404614 mnOvcott) ) r Uri 0 4 o ` r L G u o J ID IAJ Ell� (J aN r f . t it � o d 3 m z F Vvie r � T d� "Ci C� kA r � a � 0 m � 3 N 0 T A r� 3 � I c �N } L �j c LA O \ - I f � d 0 3 m L N V of Q1.� n, V, _ �� m I � 3 � Q �x ,s-r��►c,- n �C a P05 x(00 e4t—)—` o y T N w � o r 4 -� N d oll � F x � J 11 L N .1 1 OA y 'lot, 1 .411 . � t LA 1 o m a-��, z r�4LI ! ; t I � f - �- I Sm ft I