13914 SW HILLSHIRE DRIVE • - "` i ., �t�h � 1,NdY�t.4Yd�i "d` ,..ta1�4'kwn.�rJa3Ui.J.W+tu..+awtw,t.Juwe...w�+nr •..-�.....•
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13914 SW HILLSHIRE DR
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,
CITY OF TIGARD BUILDING INSPECTION NOTICE..
Inspection Line: W9-4175 Business Phone:639 4171
Footing Hain Drain Cover/^ervice FiNAL:
Foundation Nater Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Meeh.
Plbg.tind/Flr/Slab Plbg.Top Out Insulation Elect.
Post/Beam Struct. Mach. Rough-in Gyp. BU. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ._ --
Date: `1 ,lrA.M. P.M. Entry:
1 3 / J ti' c1'-�
Address: , -
Tenant: Ste: _ MST:
BLIP:
Con/Own: EIEC:
PLM: _
A 6 >y- = ELC: -- --
TH FOLLOW NCG t� RRECTIONS ARE REOUihtD ELR
t
Inspector: �Z `--�q - Date `_—�'
APPROVED —DISAPPROVED/CALL FOR REINSP / CG
iTY OF TIGARD BUILDING INSPECTION NOTICE
Inspaction Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Covet/Service Ff 4AL:
+I Foundation Water Line Ceiling I<Plumb.
Po.at/Beem Mach. Shear/Sheath Framing Me:...
FIbg.Und/FIr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct, Mech. Rough-in Gyp, Bd. -Bldg.
San. Sewer Gas Line Appr/80alk Reins.
Other.
Date: ` 3' f+ _ A.M. Q� P.M. Entry:
Address: _ tfI l � q ';'w y�
Tenant:_. _ Ste._ MST:
BUP:
Con/Own: .1i. ME ;-
(/ PLM.
ELC: _
THE FI,:.LOWING COR ECTIONS ARC REQUIRED: ELR:
Inspectjr.� � Date
PROVED __DISAPPROVED/CALL FOR REIN SP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing tit-in Drain Cover/Service IN
Foundation Water Line Ceiling P b.
Post/Beam Mach. Shear/She?in Framing -Mec
PIhg.Und/Flr/Slab Plbg. top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. BI
San. Sewer Gas Line Appr/Sdwlk Ilei .
Other:
Date: _.�.Q A.M.!P.M. Entry:
Address:
Tenant: _ Ste:__ MST:
Con/Own: BUP;_ _ MEC
PLM:
ELC: -_
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
inspector-
'� Date:
v APPROVED -DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (5O3)6394171 CER'iIFICATE OF
OCCUPANC"
PERMIT #. . . . . . . i M4.T96-00--
DATE t�3SUE13: 10/15/16
F,ARCEL A 2S104CC:--04?9)0
SITE ADE)RFbS. 13914 EW 1-1ILLSHIRE DR
fiUBDIVISION. . . . i HILUSHIRE ESTATES P-10. 7.ONING-, R-7 PG
FALOCK. . . . . . . . . . LOT. . . . . . . . . . . . . e148
CLASS OF" WORK. DNEW
T Yj-1E OF USE. . . -SF'
TYPE OF CON5TRm5N
OCCUPANCY GRP. rR3
1CCUPANCY LOADc2
,2marksc PATH I
11urp
'.-F*F MILI-ER
'.1890 SW WATERPURD W-1Y
�iRTLAND OR 'i7wa9
!lune #t '53'L-8630
Ont ract a r o
NDWOOD HOMES
11:176 SW PENCHVIEW TERRA(.,E
uEJ:1) OR 972e4
!iune 461 590-4700
1� 'A. . : 050196
— is -ertifscat e grants ocukipancy of the above reforrnced bukIdIng or portion
thererif end confirms that the building has been in• ect@d for comj�:,lianc-o witri
�-hv, State of Oregon Speca
iltCt,
y odefor the group,-. ccupericy, And USe U111dPt'
oich the referenced pormit was imli%icj.
JILDING if, 3PECTOR BL116TW3 OFF'.-EI-A' L
POST '.N C.QNSPTCUOUS PL.ACE
CITY O F T I CARD P,ERMIT #. . . .
. . . . . . . . MST96-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/13/96
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
S I TL i ia&j L—i
SUBI)I V 113 1 ON. H I LLSH I RE ESTATES Ki. 2 ZONING: R-7 PD
EALOC (. . . . . . . . . . .. LOT. . . . . . . . . . . . . . 144
Remarks: PATH I
--------------------------------------------------------------— BUILDING ------------------------------------------------------------------
;EISSUE: STORIES,......: 2 FLOOR AREAS---------- BASEMENT,,.; 0 if REDUIRED SETBACKS---- REUUIRED------
CLASS OF WORK.AEW HEIGHT......... 33 cIRST....: 1470 s GARAGE.....: 744 if LEFT.,........: 5 GNM DETECTRS: Y
TYPE Or USE...:SF FLOOR LOAD—.: 40 SECOND...: 1603 if FRONT.......... 20 PARKING SPALES: 1
TYPE OF LONST. 5N DWEI.LING UNITS. I FINMNIT: 0 f RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 5 BATH: 3 TOTAL-----: 3073 sf VALUE_$: 21161b REAR..........: 64
-------------------------------------------------------------- PLUMBING ---------------------------------------------------------------------
SINKS.......... 1 WATER CLOSETS.: 3 WASHING WH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: TRAPS.........: 0
LAVATORIES....: ! DISHWASHERS.... I FLOOR DRAINS..: t SEWER LINE ft: 0 SF RAIN DRAINS: I 1`RJCH BASINS..., @
TUB/SHOWERS.... GARBAGE FISP..: I WATER HEATERS.: I WATER LINE f+: 100 KKFLW PRE'YNTR: I GREASE TRAPS..: 0
OTHER FIx"iRES: 0
-------I---------------------------------------_____.._____.____ MECHANICAL _-___--.--.-_---__r__..------______ .r----.__..___ __ .._.. ._.__._
;:L
----------------
;:L TYPES---------- FURN ( I W 0 BOIL/DIP ( 1HP. 0 VENT FANS.....: 4 CLOTHES DRYERS: I
-11 UNIT HEATERS.. 0
/ I FURN )=I I HOODS.........: I OTHER UNITS...; I
INP.: 0 BTU FLOOR FURNACES! 0 VENIS......... WOODSTOVES.... @ SPS OUTLETS...: I
----------------------------------.._____—------------ ELECTRICAL ---—----—-----------—------------------------------------- -
.LSIDENTIAL UNIT--- ---SERVICE/FEEDER---- -TEMP SRVC/FEEDEr)-- ---BRANCH CIRCUITG--- ----MISCELLANEOUS---- --ADT L INEiECTIElf6--
1 SF OR LESS: 1 0 - 200 Amp..: 0 a 200 amp.. : 0 WJSVC OR FDA..: 01
IYX/IRRIGATION: 0 PER II&EC71ON: ?
ADDIL 5W.! 5 201 - 400 alp.., 0 291 400 amp.., @ lit W/O SVCiFDR; I SIGN/CUT LIN LT: I PER HOUR......: 0
'TED ENERGY.: 0 401 - 600 amp..,. 0 401 600 asp., : 0 EA ADX BF CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: e
f7 M,6VC/FDR: 0 601 - 1000 al.n.: 0 601+alps-1e00 V: 0 MINOR LABEL -19: 0
Im' alpi/volt... 0 ------------------------------------- PLAN REVIEW SE[TIPN
Reconnect Only.: 0 )-4 RES UNITS..: SV1DFDfl)--225 A.: > -.0 V NOMINAL: CLS AREA/:,;,C OCL':
------------------------------------------------------ ELECTRICAL - RESTRICTED ENERGf
SFRESIDENTIAL----------------------------- B. COMMERCIAL------------------------------------------------------------------------------
-. 10 1 STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: r1RE ALARM—_: INTERCOM!PAGING,. OUTDOOR LNDSC LTi
BURGLAR ALARM.,- DTH: X BOILER.........: HVAC...........: tADSCAPE/IRRIGt PRO"ECTIVE SIGNL:
'AGE OPENER..; CLOCK..........; INSTRUMENTATION: MEDICAL........: CT4
ic... .... DATA/TELE COMM.1 NURSE CALL:.....; TOTi�_ m 56TEMSi
Omer: TOTAL FEES:J 4310.80
_7 MILLER
WINDWOOD HOMES
)e SW WATERFORD WAY
14076 SW BM. 4o1EW TERRACE
TLAND OR 97229 TiGARD OR 97224
531-8C30 Phone #: 90-4700
Reg Ill.: M5196
is peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
licable laws. Ali oarm wi.1 be dune in accordance with approved plans. This permit will txrire if war), is not s-carted within li)
�4 of issuance, or if work is suspended for more than IE# days.
REQUIRED INSPECTIONS
-ting Insp PLM/Underfloor Low Voltage Gyp Boaro Insp Electric.! Final
ndatior Insp Mechanical Insp Fireplace Insp Pain drain Insp Mechanical Fina'
ty'Beas Struct Plumb T(p .7,jt Gas Line Insp Water Line Into Plumb Final -__
:/Beaa Medan Liectrical servi Gas Fireplace Water Service In Building Final
•ql Drain ;rating lnsp itiilation Insp 4ppriSdwIx Insp r
Lontrai
in i t t e f! 'I a.q T1.1t 1_1 i,e s s-.t e d 13
C'i4 I I for- I L I Cw M
SEWER CONNECTION
E
' CITY OF T I GAR® PERMIT #.P. . . .RMIT
. . : SWR96-0041
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: OZ/ 13P)b
13125 SW Hall Blvd.Tigard,Oregon 97223*8169 (503)839-4171 PARCEL: 21S1'04CC--04,=1Z-0
.ILLGHIPL OR
"IUBD 1 V I,ION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 146
ii,NANT NAME. . . . .
3ANU. . . . . . . . . . .. . . . . . FIXTURE UNITS. . . 0
LP95 Or WORK. :NEW DWELLING UNITS. . : I
YPE OF USE. . . . . :SF NO. OF' BUILDINGS: I
NSTALL TYPE. . . . :BUSWR IMPIERV SURFACE': 0 s f
emarks : PATH I
JWrier: FEES
JEFF HILLER type amal.Ant by dAtc! r,ecpt
,.6890 SW WATERFORD WAY PRMT LE00. 00 JSD 0L/13/96 96-2,75881t
I NSP 1, 35. 00 JGD
ORTI—nND OR 97i'129
hone #: 531-8630
t.ritractor: —
ONTRACTOR NOT ON 17ILF
.une 00 TOTPL
feg #.
REQUIRED INGPIE-JIONS
mis Applicant agrees to comply with all the t-,jles and regulations Sewpi, Inspectioii
f the Unified Sewage ;agency. The permit expires 180 days erne
ie date issued. the total amount paid wall be forfeited if the
,ermit expires. The Agency does not guarantee the accuracy of the
,,at sewer laterals, If the sewer is not located at the measurement
,iven, the installer stall prospect 3 feet in all directions from
Lle distance given. If not so located, the installer shall purchase
"Tap and Side Sewer" Permit and th2 Agency will install a literal.
e r m i t t e e L;i si—ture
7
ssued By : lip
Call for- inspect ion 639- 4175
0
Residential Building Permit application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
l c, I ILL-`�
Jobsite Address: _'' � � _.tet! rl _
Office Use Only
Subdivision: �-f+1Lt_:r't2E �.�1�'1�,5 Lot#_ 1 1 f' _
If/
1 o Contact Date / / Initials
Valuation: m Result
-_ - --
New Construe tion Only: (Square Footage) Planck/Rec # '>
Permit # • ,`7,,'2 j5;0 - o p_i
House: G' % �' Garage. Reissue of
Map & TL # �:>t QLI(C .. C lq lot,
Cerner Lot? Y Flag Lot? Y N Zone _ P'-7 PCS
Plat # X11-
Owner: ,�L F>< H^j D Mc �A M t L-L-&)2
Agro%rals Required /1,f-�,
Address: /(v %c.:: ti,, ,— _j A�iYt-f•oA 0 uJA14,
/ _ / ,,G /(p
Planning Setback L S lar
�" PJM
F�c_AT(-4 j � C 2 �c�o79. ,
Engineering •—_T � k( �,,,•I c,v�i�
Phone: Other
Items Required
Contractor: L0 11 c 1) t f-t,;rte
Subcontractors <� �
Address: /q td �� Liz Nc H V �=U i2 Y�/-1�< < Truss Details
}t7�7 y Other
Phone: ( ��.3 ) "-� Notes PAVO 1
Contractor's License `x
(attach Cppy of current Oregon license)
Contact Name
r�
Contact Phnne
Subcontractors: ArchitecVEngineer:
Plumbing: i. i' Address: ru 4 c ,`��
A
Mechanical . . ' 1/ A� `i
(attach copy of c t ORnConGractor's Lr nse)
Phone.
JOB DESCRIPTION: ��3/ `ft!, + ir&/fir
c2/L cznc-1 /
Aoplieant Signature, Applicant Phone number j
Received by: �� l�. �' ��t^ Date Received: 7 jG
H gAIdMVNIO
Permit Account Descriptlon Amount Amt. Pd. Sal. Dus
Bldg. Permit (BUILD) ,� 7
_ Plumb. Permit (FLUMB)
Mech. Permit (MECH)
Bldg: S �- _ - 0 u
Plumb: Ile 'y
Mich:
1
Bldg:
P'umb:
>L S
Mech: "` ...
i
Sever Connectlon (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) L
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) �� �3 U
Commercial TIF (TIF-C)
Industrial TIF (TIF-1) _
Institutional TIF (TIF-IS)
Office TIF (TIF-C
Water Quality (W .uAL)
Water Quantity jWQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPRMT) _3 -,,"v
Erosion Planck/USA (ERPLAN) _ %(e
Erosion Plan:k/COT (EROSN)
TOTALS:
ti
�W *jLL.Shire orwV
I-1 DQk LAS F,"IC QS�A�
SCALE 0 _
ss 'tir
�o
va
r
r
I I �
� I
I l�
3EwEa
CONN(,,, 14
OL -
IIIV
R �QJve _
Solar Balance Point Standard
Box A. North-South dimension for the lot Box B. Sh&O..e 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 f!.00r 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 fefl: from the figure. Subtract
one foot for each foot of difference in elevation
from the front property line to the rear property
line.
feet
-J
Box C. Distance to the shade reduction line
Distance from North property line to
foundation added tv the distance from the
foundatior to the affected roof peak/eave.
Feet
The following helps explain `.ti graph below:
The horizontal axis (rows) r .r-sen.s box "C" figu::rs.
The vertical axis (columns) represents box "A" figures.
It is most usef, 1 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 vertir-al and horizontal lines determines the
value found in box "D'' . The value it box "D" should be compared to the value :n
box "B" ; if the value in Lox "B" is less than or equal to the value found in box
"D" , the building is in compliance with the solar balance code.
Distance to
shar'.e 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction lire
from northern
lot line in feet
70 40 40 4G 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 36 37 38 39 40 41 42
45 30 30 30 3' 32 33 34 35 36 37 38 39 40
40 28 28 28 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 26 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 29 29 30 31 32
20 20 20 20 21 22 2j 24 25 27 28 29 30
15 18 16 18 2-9 20 21 22 23 24 25 26 27 28
10 16 16 16 1'% 18 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
Address
Sox ? calculations : North-Seuch dimension for the loc . 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 tele
"orth lot line to the South Ioc line along the described lire .
ft
Sox 3 Shade he_chc from vour st, crate . Scx 3 :
Dete^ni ne whether measurements will be based on the peak
or eav2 of your structure . The o_ienta-ion of the Y_ 'alae
is also import ant . 'Which
!a : If the r.:of 1..'_n�- guns Ncr:i-ScuCh, measu- _.%^.:. 3 will De AeSCr_bes
based on the .eak of the rccf . I vour ' cc?
_b . if the root line runs Easc-Test an:. :he roof p; tch is __ss (Circ'_e one;
than 5/12 meast:remento will be ba:;ed an the eave .
1c : If the root line runs East-West and 7,he roof aitch is 1a ?b 1c
or steecer, measurements will be based on the peak.
2 . Measure c:range in eievac_en __tm front arccerr-.r 1_ne to
finished floor elevation. ft
3 . Measure :fi. -anc.% from finished ficor elevation to me
a;feczed peak,'-_ave . + f_
4 . Ic the _cot line rl^.s Vora`.:-South, deduct three Leet ,
- If the .roti line vans East-We,c, deduct noLhirg _ -
5 . Gu]ht:racC cne foot for eac. foct OC difference ?n elevation I �
_r:.•m the front procerty line to the rear property 1-ne, is
the loc slopes up from the front to the rear. If the loc
:'las no slope or slopes 'p ;._cm tne rear to the .-_.^.n.- _ --
deduct
r
?cx 3:_Ce _o t:*.---- s ace recuction __ne . Boa '=-
I
; . .•!eas:.re =�e .._sta-c=_ =_cr1 =^e vcr_-- _ -^pe__.r __-e :.. =tee �
i =gun da=
I re 5tanca __::m _:? =zL:.n Gaa__? ._?G
teak Cr ea-,-a .
I
CITY OF T I CARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST96 00
13125 SIN Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 D.,)TU ISSUED: 03/04/96 15 1 ON. . . . 1-,lIL'LSHIr'E ESTATES NO. ZONING : R-7 r1D
I-OT. . . . . . » . . . . . . J -ii,7
E 0r- U E,r. NEW WIDSHING MACH. . . . . . . : I PACKrLCW PREVNTRG. . I
S,r-- FL.00R BRAINS. . . . . . . . 1Z TRAPS- - - - - C
.2 Wk)T Z R I I E r.)T E R 0. . . . . . . I CATCH BnSINS. . . . . . . 0
1-(71UNDPY TRrAY0. . . . . . : 1 '.3F PAIN DrrINS. .
. . . . . . . . . . . . GREASE' TPnr.,S. . . . . . . .0
)VATr?RT[", OTHEr r-TXTURE! . . . . . . 0
SEWER L.INE (ft) . . :; CA
'r%l Wf)TER ( rt ) . Zcrll
- -HERS. I RAIN DRAIN (ft) — 0
F(=;- -
-.rr MILLER T ir- t I it 7 0. 01 0 JGD 0'."'!1'!9C, 6 7',1 ati
1300 120. 00 Z3
St! WATERF-ORD WnY T I I-M t 0" 1 1 19C, 9G -07 T,a CF%4
t ISO. 00 Ic-D 0i "I 1 9G 16
P7LI1ND OR 97229 cwm t 100. 00 JSD 06
Line 5-21f 27"!. 00 J70 13/96 �4
86"o
-CS 11. 7 J'T D k1 '/I
l-'L.RP T, a Q% I'
1)
7!-RS $ c- 013 J,5D 0.2/1-1
r"PT 137'. 00 Y): {1..,'1 C,
-X463. 451 Dpi! 0 1 /2 5,19 C, C,
S PL t
St r'3 r,C c 335. 6
r r} it —Y- 500. 12710 JSD 0"" 1.':`
Gv
t A-uV.m ht?;
REQUIRED TNSPECTTO�,.'-)
atiUnS contained iri 1,;,: TiWard Municipo '. -uotino Insp Cas l—' riv Insp
de, !':tate r, C�: . Sp,i:.:is1ty Cc)dct and .-.11 r- ,.)u n d a t j. ,)n I Ti s p nii;- rirepiac.,e
`'pr•- app1icable laws. All wcrk will be r,one Post/Vesm. Struct Insulatior,
P1!rLr. This r,ost,,pp,:am Meehan Gyp Scard
)-mit w- 11 expire if wot,k is not �tartpdj Crawl Drain Rain drain
thin 100 days of ai- if %;cvk iPL,M/LIT-.d o I-f I u a I-- Watec Line 1 -1
,-ended for more t,',an 130 diAy,--,, Mechanical Insp Water ser-vice I-)
Plumb Tor) Out nppr/sdwlk Irnp
Electt-ical 1-3prVi clectrical Final
1-1-P,M 41 1)Q Insp Mechar'ic.sl
1-ow Voltage rllum)a Fin;�l
Building r
Z P':J -.1 .!.'0 b i Ltd' u t)t is L1, Si t4 I,c, t.o
PLUMBING PERMIT
CITY OF TIGARD DATTEI ISSUED: • �t�9/04/966 0259
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Orpon 97223.8199 (603)830.4171 PARCEL: E_S 104CC-04'00
SITE ADDRESS. . . : 139t4 SW H I LLSH I R'; DR
SUBDI V' SIGN, . . . : HILL SHIRE ESTATES NO. 2 ZONING: R-7 FAD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 148
C:LASS�OFWORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES, : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 � I
OCCUPANCY GRP. . :R.3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURE5------ -- -- ---~ LOUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE "f RAPS. . . . . . . . 0
LAVATORIES. . . . . : 0 OTHER FIX;'6RLG. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSLTS. . : 0 WATER LINE (ft ) . . . .- 0
DISHWASHERS. . . . : 0 RAIN DRAIN (f; ) . . . : 0
Remarks : Backflow pr�eventor
Llwner: ____.______._.....___._.______.__.__._..__.._________.__.__.___..___________.. FEES
JEFF MILLER type amnunt by date r^er_pt
13914 SW HILLSHIRE DRIVE PRMT f 15. 00 JDA 09/04/96 96-28:3`.86
5PCT $ 0. 75 JDA 09/04/96 96--2835G6
TIGARD OR 97223
Phone #:
Contr•atctar:
CEDAR LANDS CAPE
14375 SW PATRICIA AVE
HIL1_SBORO OR 97IL-3 __._____~_._________._________--_-•__--__
)='none #: 503-628-3411 $ 15. 75 TOTAL
Reg #. . : 5843
- --- - -- REQUIRED INSPECTIONS
-- ---
This permit is issued subject to the regulations contained 'n the RP/Backflow Prev
Tigard Municipal Lode, State of Ore. Specialty Codes and all other Final I n s ptuct i on
applicable laws. All work will be done in accordance 4ith
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days.
- rmittee Siranat�_�rw : pC)0-
IA
�' Call for inspection - 639•-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _
k-125.SW Hall Blvd. Permit # i I IYk16.U,thk"
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N"inoU. '^' New Single Family Residences Only
`f I('sj,
10'■'■ / ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Job I (,�' fill�t/S`<<h'�" YJh'. ❑ 3 BATH HC')SE$225.00
Address CAY0910. zr Fee includes all plumbing fixtures in the dwelling and the first 100 feet
/)zj) of water service, srlitary sewer and storm sewer. See fees below.
N•"•I«^ of FIXTURES QTY PRICE AMT
A, Sink 9.00
M.M9"d*- °A" Lavatory 9.00
Owner / 3 V�f Tub or Tub/Shower Comb. 9.00
"• zo Shower Only 9.00
Water Closet 9.00
""^. «^• .�«•^•'•� Dishwasher 900
Garbage Disposal 9.00
Occupant M..,,,,,,-• �» Washing Machine 9.00
Floor Drain 9.00
*■• Water Heater 9.00
Laundry Room Tray 9.00
"•^• Urinal 9.00
i (Like �/�ti'��Si` �C ,;1�� ._jam/% Other Fixtures (Specify) Ton
M."a."... °''"" 9.00
Contractor _
/- •3 r"3 S Lr I�Ni�t'/G/�! r�UC 900
zip 9.00
'15"'71-2-1? Sewer 1st 100' 30.00
W.I.R•9""•"«'N. OV 1%._T•■N. Sewer•ea. Addit. 100' 25.00
S�3 Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or a,..horized agent of
the owner, that plans submitted are in compliance with State laws, that Storm R Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
^ _� Device orAnti•Pollution Device 9.00
_.rvw.to «.o�^11 Ow. Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new O addition 6Z alteration Q repair Q Catch Basin 9.00
to he done residential 0 non-residential Q Insp, of Exist. Plumbing 40.00thr
Specially Requested Inspections 40.001hi
Existing use of
building or property Rain Drain, single family dwelling 30.00
Residential bockflow prevention
devices 15.00
Proposed use of
building or property _ *(Except residential backflow
prevent'on devices)
NOTICE 'Minimum Fee $25.00 SUBTO'rAL 1 r ti'
PERMITS BECOME VOID IF WORK OR CONSTRUCTION f
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL I
Speciai Conditions
Date issued by
CITY OF TIGARD
13125 S.R. HALL BLVD.
TIZARD, OR 97223
IMPORTANT PERMIT NOTICE
JIRO PLUMBING
P O BO: 7160
ALOHA OR 97007
Plumbing Signature Form
Permit . . . . : NST96-0027
Date Issued. : 11/14/96
Parcel. . . . . . : 28104CC-04200
Site Address: 13914 SN HILLSHIRE DR
Subdivision. : HILLSHIRE ESTATES NO. 2
Block. . . . . . . . Lot: 148
Zoning. . . . . . . R-7 PD
R amarks:
P.,:'n
Your company has been indicated as the plumbing contractor for the permit indica
for the pl.umbinq permit to be valid, please have the appropriate individual from
below and return this Plumbing Signature Form prior to the start of work. No pl
will be authorized until this completed form is received.
hN INR SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
JEFF MILLER JIMS PLUMBING
16890 811 WATERFORD NAY P O BOR 7160
PORTLAND OR 97229 ALOHA OR 97007
Phone #: 531-8630 Phone #:
Reg #. . : 71660
Signature of Authcrized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
Ii you have any questions, please call 639-4171, ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CASCADE ELECTRIC & MAINTENANCE
7725 SW CIRRUS DR
BEAVERTON OR 97008
Electrical Signature Form
Permit # . . • . : MST96-nO27
Date Issued. : 02/13/96
Pa-_cel . . . . . . : 2S104CC-04200
Site Address : 13914 SW HILLSHIRE DR
Subdivision . : T ?LLSHIRE ESTATES *:-10. 2
Block. . . . . . . . Lot : 148
Zoning. . . . . . . R-7 PD
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your 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 :
JEFF MILLER CASCADE ELECTRIC & MAINTENANCE
16890 SW WATERFORD WAY 7725 SW CIRRUS DR
PORTLAND OR 97229 BEAVERTON OR 97008
Phnne # : 531-8630 Phone # :
Reg 77 97
' c�"
X_ Z--!.�
Signature o uparvising-rTectrician
Please --3turn this completed form to the address above.
ATTN: Building Dept,
If you have any questions, please call 639-4171 , ext. #310