14142 SW MISTLETOE DRIVE SAIEU 301371SIW MS ZVTVT
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14142 SW MISTLETOE DR
CITY OF TIGARD , w ELECTRICAL PERMIT
• PERMIT 0: ELC2005-00198
�., DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005
13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 PARCEL: 2S104CC-01600
SITE ADDRESS: 14142 SW MISTLETOE DR ZONING: R4
SUBDIVISION: HILLSHIRE ESTATES NO.2 LOT: 121 JURISDICTION: TIG
Project Description: Alteration of existing 120 volt service. Joh#TG06d5.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 arnp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 arnp: SIGNIOLIT LINE LTG:
LIMITED FNFRGY: 401 - 600 amp: SIGNALWANEL:
MANF WWI SVC/FDR: 601+amps-1000 volts: MINOR LABEL ;10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
C - 200 ^m 1 WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+amplvolt: UNI >600 VOLT NOMINAL~
Reconnect only: SVC/FDR 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
HERMAN,JERRY DRYER ELECTRIC INC
14142 SW MISTLETOE DR 9409 NE COLFAX ST
TIGARD,OR 97223 PORTLAND,OR 97220
Phone: Phone: 503-771-5667
r.EES Reg P, ELE 26-1142('
LIC 153466
Description Date Amount SUP 28765
IF-.I PRMT) F.LC Permit 4/1/2005 $30.30
1TAN) 8" State Surcharge 4/1/2005 $6.42 REQUIRCD ITEMS AND REPORTS
Total $85.72
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate of OR.Specialty Codes and all ether applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended
for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are Q,ei
forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at 503-246-6699 or
1-800-332-2344.
Issued By: Permittee Signature:
OC OWNER INSTALLATION ONLY
U) The installation is being made on property I own which is riot intended for sale, lease,or rent.
OWNER'S SIGNATURE: M DATE:
m
CONTRACTOR INSTALLATION ONLY
J
SIGNATURE OF SUPR.ELEC'N: DATE: _
LICENSE NO: _ �^
Call 503-639.4175 by 7:00 a.m.for an Inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
03-30-2005 13:33 FROM- T-933 P-006/043 F-594
01 2005 15:12 PAX 5035991960 0111 ut• LIAJ AU
41
_l:lec i uD,I? mit Aunlfca'oil
i �ity of Tiprd navaWW��a V/C� Mrmlttt�. Ll4a+�'V.L. �1.
123 a W HW t B tvd.,Itpaid,OR 0722,1 ry awe f
me: 303.619-4171 Fite: 307.999.1960 patrla -
spectien L!r c t03.tl39A173 Aak RadY/By. $applamentitl lnrormaGan j
;•,taoet. "m:ai tij;ard.onus NelIFa1/btMaod --
l Naw a trutrtion Addition/nitaratlodtoplseomenx ease eck sU I)u sq+ply i
Q3eNice out.-32!an'p.,cotru-1'1 QH++¢udotr locator.
DCiAohUCU Qd1ai 09ervice over 327 amps rains QBuildn`aper 10,003 sq.L.,
of 1-and 2 falnil�CWe1'dnps 4 or more'new Mliden4al
❑System over 600 volts nominal umis in one strurrnc
-]1-and 2.ikn ily dwelling Cot=wcl lndUttrid
Accessory building []Building ON et tht.e storits QFt:cden,400 tutu or more
�]1Vlulti-OaotJl Mneter builder C othwt []occupant luac trw 99.pasons QMsnufa0t41ed stniowres or
UHgraslliRb'iag p:u, R park
MHealth-can facia ty ❑oow —
�) �b no.: lob lite �_ SPbnV%IL sett e:'plau with a0y of the above.
(�(� iry/state/zT°_ Talc above Ksnot a;r.,iicahle to ttstttPorery ctmsttycn0o serv,cc. .
lite/bldg./qty 90.: set name: _ Delt,i den Qh Rt. Tnul
toss!tt•0eV/ ire dont to job site: — few res dentia,singlt-or multi-family d,veiliuq unit
_
1,000 sy.R.of Itis la3.1i l
Lot no.. E�.add'1500 ln.or�ttrtion J 33.10,
ltrdi:Tuan -
Littutedenerv,tesidtrtfial 75.0q
axn7aIT
d 119.: LiftTed er rge,iron-teridential 75.00�
Ch Tnanu&vurit N modular —
dwelling,aarviU arind/ur fiteda _ 90.9(1 2
darvlces or rotd,srs InstAllatlon,AI reties,ands r relocntl n
inn,—0"asro : 3a
201 a s to 400 unt'ls 106.85
401 ttrtfrt A 600 u 2
_n s 1411.601 rt�
601 a s m1,00D arctf s 240.60! . z
-<•idr--et+-9--� t �.{tri 1 �'�'G `�� Over 1,000 Air t or veiu4aa.65 2
try/state/7.11': l it C) Temporary servIec•t pr orders inseallAdon,Atte adoa,and/or
relocation
ipw( ) -_ _ 200 aagts er lest - -~ 66•alSrL �-
twner haat iReat 7bb iaeTi U on Is being MA&on ptop9lTY thAt 1 own which is not 201 amp!t0 400 amps 100 30; _ i
,tended for i d-:,lean:,Teat,or exchange,at:cording 10 ORS 447,449,670,anti 701 401 jTW to 600 ATC03� 133.75� 2
,,,,nuslpxwt:
Date. H_tAacb circulta-ole attention,or melon,, er parisl
A Fee ibr br A*e 'ret,
''etas each
service or AteCm�'et,eecb i 665, I 2
Usinels nwetch circa LI _ ----
�__�_-- --_---- 8.Fee fir b►u ck eil cuits
ontect Malt:: withour sande:a 'twda fee. 6.85, 2 i
- --
-------- --- ----• —- ---- -- each bnnck circctt
Adress: _—_ Such edd'I brancd malt u•6 - 2
ity/ataretw: - - --� — M"eenantaw:(per-lee or feeder Cot iddpd0d,
- ....•-� P of irrigadcn cinl_e 33.40; 2
4. ,lone:( ) Pax: :( —) -Quaint li ;, �_- 33,41k --- ?-
� -mail: � - 9isn■t ctroult(a)nrl.mited-
� eeet'sY Pesiel.n(tmuliot,rt I t
U) extenslon.Descr.be Yase Z
Wm Le:
Lath udditiotal Insp,ctlon over pAtr
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� Per inn eetior., ___ _
Ity/StateI : (� 67vaa ROtt ler b4ur I hr td 62.SG _-
� -- -f . liat�t�tpaiwur 7375 I
;BAul
Blecaical Lic. Sttprv.Lic suhtntal e;
tprv.Fleetrlotan a re,requited Plat,rehear(2501 V pc^nir fee) -1
J - 9 ate sun huge(81E of ptrmit the) i
.zrtt nAtoc �•i.` -�If Bare: ---- - - -- -
+�i�, Tal'ALPRRMTT'FEE
=tahorized!gtledtue: _
This pertnh gtplicn,lo.a t>Rlyd rc a permit If not eh ion ori a t �
--- ---- day►s for Ithet baoa aateprod u coenpjeu
tie„atttbaaett.,o!lriry3trel6 tn Ly T-;-County Awldi,a Indt4"i UrOce 30a,d
int II�n0:
par perrrut allawCa,
.I'dy,�,rsre,{■$.t:ewm7AppdoL n:�Ol 440.441 ret I Umveoww"
CITY OF TIGARD
BUILDING DIVISION PERMIT#: ELC200500198
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 4/1/2005
Phone: (503) 639-4171 h
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 617/2005 TIME: 7:17AM RAGE: 47
SITE ADDRESS: 14142 SW MISTLETOE DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT#: 121 TYPE OF USE:
PROJECT NAME: COMCAST
DESCRIPTION: Alteration of existing 120 volt service. Job N TG066.
OWNER: HERMAN, JERRY, PHONE#:
CONTRACTOR: DRYER ELECTRIC INC PHONE#: 503771-5667
Inspection Request Scheduled For: Date: 617/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Massage
199 Electncal final 00863502 603771-5667 N
Co actions/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL. ❑ CANCEL ❑ NO ACCESS
❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ''�`�'� Date: _ Phone #: (603) 718-
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hell Blvd.,Tigard,OR 97223 (503)8394171
CERTIFICATE OF
OCCUPANCY
PERMIT M. . . . . . . A MST96---0541
DATE ISSUEDe 08/13/97
PARCELe 2S104CC--01600
SITE: PDDRESS. . . a 14142 SW MISTLETOE DR
SUBDIVISION. . . . a HILLSHIRE ESTATES NO. `' ZONINGeR-7 PD
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . a121 JURISDICTIONaTIG
CLASS OF WORK. aNF7W
TYPE OF USE— :SF
aSF
TYPE OF CONSTR a 5N
OCCUPANCY ORP. a R3
OCCUPANCY LOADa2
R e m a r N s a tient rO PATH I
Owners -_--._------.--------------------------
W I NDWOOD 40MES
14076SWBENCHV 1 EW TERR
T I GARD OR 97224
Phone Ma 590-4700
Contractor: ------------.----.---_-----_----._-
WINDWOOD HOMES
14076 SW BENCHVIEW TERRACE
(FAX # 590-7606)
T I CARD OR 97224
Phone Ne 590-4'700
Req #. . a 501
This Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
IL the State of Oregon Specialty Codes for- the group, occupancy, and use under-
which
nderwhich the referenced permit was issued.
N
m SUILDING INSPECTOR BUILDING FFICIAL
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POST IN CON23P I C:UOUS PLAC F
Id
CITY GF TIGARD
DEVELOPMENT SERVICES
13125 SW Hell Blvd.,779erd,OR 97223 (3D3)6394171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT Ms ELR97-0275
DATE ISSUED: 09/26/97
SITE ADDRESS. . . : 14142 SW MISTLETOE DR PARCEL: 2S104CC-01600
SUBDIVISION. . . . :HILLSHIRE ESTATES NO. 2 ZONING:R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 121 JURISDICTNs TIG
Project Description: Add burglar alae to an existing single family dwelling.
----------------------------------.-----------------------------------------------
A. RESIDENTIAL--------- B. COMMERCIAL----------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . - INTERCOM & PAGING. . :
BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . = DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . a FIRE At-ARM. . . . . . : OUTDOOR LANOSC LITE:
OTHER: ss HVA( . . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. i OTHER. . :
TOTAL M OF SYSTEMS: 0
Owner: --------------------------------------------------- FEES ----------------
JERRY HERMAN type amount by date recpt
1.4142 SW MISTLETOE DRIVE PRMT $ 40. 00 GEO 09/25/97 97-299558
TIGARD OR 97223 5PCT $ 2. 00 GEO 09/25/97 97-299558
Phone k:
Contractor: -------------------------------------------------------•---------------
ALLTEC SECURITY $ 42. 00 TOTAL
(A. K. A. SEQUENCE SYSTEMS INC)
PO BOX 55310 --- --- REQUIRED INSPECTIONS -------
PORTLAND OR 97238-5310 Low Voltage Insp _
Phone !t: 232-1188 Elect' l Final
Reg 1k. . : 001188
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable !ms. All work still be done in accordance with approved plans. This permit Mill expire if work is not started within IN
days of issuance, or if stork is suspended for more than 151 days. ATTENTION: Oregon last requires you to follow rule adopted by the
Oregon Utility Notification Center. These rules are set forth in OAR MP-M-019 through OAR 952-M-M You may obtain copies of
these rules or direct sti OUNC 5631246-1957.
4. Issued by Permittee Signature _
1X
I -----------------------------OWNER INSTALLATION ONLY-----�-------------------------
ce The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
o
5 ------------------------CONTRACTOR INSTALLATION ONLY---------------------------
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SIGNATURE OF SUPR. ELEC' N: DATES O /�
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++?-++++++++-r+++++++++++++++++.+.++++i•+++++
Call 639-4175 by 6100 P. M. for an inspection needed the next business day
++++•++++++++++++�•++++++++++++i++++++++++++++++++++++++++++++++++++++++++++++++++
' Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT# -7Tigard,OR 97223 - —
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_ -
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
14142 SW Mistletoe Drive
Address RESIDENTIAL—Restricted Energy Fee. 4il.ilIl
Tigard 97223 (FOR ALL SYSTEMS)
City State Zip C11eck Tyne of Work Involved:
PERMITS ARE NON-TRANsrERARLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STAREFO WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR �-t
180 DAYS. 4J Burglar Alarm
❑ Garage Dour Opener*
2. CONTRACTOR APPLICATION ❑ Healing,Ventilation and Air Conditioning System•
Contractor AllteC SecuriLy Type __ ❑ Vacuum Systems'
❑ Other_
Address PO Dox 55310 — Portl--nd, OR 72M
Date9124/97 - COMMERCIAL—Fee for each system . . . . . . . . . 540.00
(SEE OAR 918-260-260)
Property Owner Jerry Herman — check Type of WorkInyalyuk
Contractor's Board Reg. No. 118839 • _ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # _331-2620 _ ❑ Clock Systems
❑ Data lelecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ Landscape Irrigation Control'
City Slate Zip ❑ Medical
El Nurse C-nlls
This permit is issued under OAR 916.320.370.This applicant agrees to make only
restricted energy installations(100 wAt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following: ❑ Protective Signaling
113. 1. Only use electrical licensed persons to do installations where required.(Certain ❑ Other —�
residential and other transactions are exempt from licensing.These have
Fasterisks(•;.All others need licensing).
U) 2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.6394175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
J when the inspector is out to inspect under this permit. •No licemes are required. Licenses are required(or all other installations.
m 4. Assume responsibility for assuring that all corrections requir-d by the inspector --- ----- — -
0 are done,and
W
J 5. Assume responsibility for calling for a final Inspection when all of the S. FEE
corrections are completed.
The person signing for this t the applicant or a person a. Enter Fees $ 40.00 —
authorized to bind If
b. 5%Surcharge (05 x total above) $ 2 .00
Signature TOTAL $42,00,
Authority if other lhan Applicant
f.NERGAP.CHP
Page No. 5 CASK HISTORY FOR CASE NO.: MST96-0541
NINDNOO.O HOhHS
14141 SN MISTIJMR DR
C9/15/97
Action Description Req/ Schd/ Rnd/ Action Notes Disp By Update Upd
code Sent Dane Done Date By
------- ------------------------------ ------•- -- ----- ---•---- ---------•---- _.----.----.---- --'- --' -'-----' -.._
MSTA799 building Final / / / / n9/06/97 usa approved 7-31 FAIL R9 09/07/97 RB
plumbing failed
ext. cover needed for 3" ABS- east side
main entry handrail
firaatop water line at N.N. Heater
sediment trap needed on gas line to
furnace
weatherstrip doors
fireplace hood not installed yet
range gas line disconnected in cabinet
heat duct disconnected in crawl
insulate hoots of heat duct in crawl
rewrnre crawl debris
clear passage for low point drain
dryer venting length limitation
violated- dryer spec'• req'd
MOTA799 Building Final / / / / 06/12/97 plumbing final foiled 15 RB Ob/15/97 J•H
glue fitting for down spot
permanent handrail at main
seal joints w/in cabinet of range vent
door sweep needed at french doors
weather-proof ;
dryer venting length limitations
remove crawl debris
clear passage for low point drain- route
water to low end
9/13/97 reinspect fee $15 paid receipt
#299220
MSTA96D (F) Issue cert. of occupancy / / / / 08/13/97 06/19/97 JT
Page No. 4 CUR HISTORY FOR CASE NO.: NOT96-0541
wINDHOOD HOMES
14142 SM NIBTLRTOR DR
09/15/97
Action Description Req/ schd/ and/ Action Nous Disp By Update Upd
code sent Dane Done Date By
------- -------- --------------------- -------- -------- --•------ -------------•------------------------- ---- --- -------- ---
MRTA790 —.RRINBPECTiON» 07/20/97 / / 0'1/16/9' for 2nd elc final failed 071697 PAID TAT 07/31/97 DDT
reinspection fee paid ($JS) 7/31/97 - on
recpt897-297837
MSTA780 «REINSPECTIO11— / / / / 08/12/97 charged for mach/building final failure PAID RD 08/13/97 DBT
Paid 97-299220
MBTA790 Electrical Final % / / / 07/10/97 1. eheetrock gap at desk receptacle to FAIL RRP 07/14/97 J•H
be patched, Art 370-21, NEC
2. Recpetacle plate in first floor bath
not flat on wall, Art 380-9, 410-56 NEC
3. Panel cover to he cleaned
4. Panel schedule - refer to ART 384-13,
110-22
MSTA790 Electrical Final / / / / 07/16/97 Previous corrections not done. FAIL DRP 07/20/97 J•H
Pay reinspection fee and call in when
corrections are completed.
MSTA790 Electrical Final / / / / 08/01/97 PASS HRP 00/01/97 J*H
M;TA795 Mechanical Pinal / / / / oe/06/97 see buildi-1g final this date FAIL RD 00/07/97 RD
MSTA795 Mechanical Final / / / / 08/12/97 one building final this date FAIL RD 00/12/97 RB
MSTA795 Mechanical Final / / / / 08/11/97 APP Os 00/13/9' QES
MSTA797 Plumb Final. / / / / 08/06/97 no hot water FAIL MS 09/06/97 MRS
M9TA797 Plumb Final / % / / 08/12/97 PABA RAD 08/15/97 J*H
MSTA799 Final inspection / / / / 00/13/97 dryer venting tc be coordinated APP 09 00/13/97 OSS
w/homeowner
IL
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Page No. 3 CASE HISTORY POP CA.SR NO.: MST96-0541
NINDNOOD mom=
14142 SN MISTLRTOE DR
09/15/97
Action Dercription Reri/ Schd/ End/ Action Notes Disp By Update Upd
code Sean Done Done Date By
MSTA725 Framing Insp / / / / 04/14/97 previous report incomplete PAIL RB 04/14/97 RD
MSTA725 Framing Insp / / / / 04,'15/97 sech issues- to be checked at insulation PEND RD 04/15/97 RD
M9TA725 Framing Insp / / / / 04/17/97 PAOB RB 04/16/97 RR
MSTA726 Shear Ns.11 Insp / / / / 03/05/97 N-1- nailpanels at garage wing walls DIS 118 03/06/97 RAA
4/12 o/c #-2- install htt-22-
holdowna at dee, +also nail #-D- panel
2-1/2 a/c
#-2- complete nAl ling at hpabd huldowne
#-3- nil all shear panels
per schedule
MSTA726 Shear Nall Insp / / / / 03/14/97 APP EB 03/14/97 R98
MSTA727 Low Voltage / / / / / / 12/03/96 JD
MSTA727 Low Voltage / / / / 08/01/97 PASS HRP 06/01/97 J'H
MSTA135 Gas Line Insp / / / / 04/07/97 pressure dropped PAIL RD 04/07/97 RB
MSTA735 Gas Line Insp / / / / 04/11/97 pressure Of FAIL Pa 04/14/97 PB
M?TA735 Gas Line Insp / / / / 04/14/97 ON a 15 RB 04/14/97 RB
MSTA735 Gan Line Insp / / / / 04/15/97 176139 PASS RB 04/15/97 RB
MSTA740 Insulation Insp / / / / 04/17/97 PASS RB 04/16/97 RB
MSTA745 Gyp Board Insp / / / / 04/21/97 APP GS 04/21/97 O$S
NSTA745 Gyp Hoard Insp / / / / 04/21/97 pending- b-vent clearance; misned PASS RA 04/21/97 RD
nailing
MSTA755 Rain drain Insp / / / / 01/23/97 PASS M9 01/24/97 MRS
MSTA760 Nater Line Insp / / / / 01/23/97 PASS MS 01/24/97 MRS
MOTA765 Appr/Sdwlk Insp / / / / 06/06/97 PASS MH 06/07/97 S•N
CL MSTA77' Mine. Inspection / / / / 06/26/97 PAi1S RAD 09/02/97 J*H
MSTA771 «kRINSPRCTION» / / / / 04/14/97 Paid 2 reinspection fees, 1-framing, PAID DRA 04/14/97 DRA
1-mechanical, on this date, receipt
#97-293206
MSTA771 «REINSPECTION» / / / / 04/11/97 mechanical rough PAID TAT 07/11/97 DOT
;n reinspection fee (015) paid 7/31/97
W w/recpt # 97-297637
J
MSTA771 <<RP'.NSPECTION— / / / / 04/14/97 gas line PAID TAT 07/31/97 DOT
reinspection fee ({15) paid 7/31/97 - on
recpt#97-297637
Page No. 2 CASE HISTORY POR :aLSE NO.: MST96-OS41
"IND"0O1) MON=
14142 S" MISTLETOE DR
09/1S/97
Action Description Req/ Schd/ Bad/ Action Motes Disp By Update Upd
code Sent Dane Dene Date By
------- ------ ---- --- -------- ---
NSTA720 Mechanical Insp / / / / 04/14/97 issues pending from previous report FAIL RB 04/14/97 RB
NSTA720 Mechanical Inap / / / / 04/19/97 clearance at t;hrnat of fireplace flue; PEND RP 04/15/97 RB
flame spread fireplace cavity; seal All
thru penetrations w/in RA plenum
MSTA720 Mechanical Insp / / / / 04/17/97 PASS RH 04/16/97 RB
MSTA722 Plumb Top Out / / / / 03/17/97 need to re-test water PAIL M9 03/16/97 MRS
need lateral brazing for vents
MSTA722 Plumb Top Out / / / / 07/19/97 PAS. MS 03/19/97 MRS
MSTA723 Blectrical Service / / / / 03/26/97 PASS MJR ()3/31/97 MJR
NOTA734 Electrical Rough In / / / / 03/26/97 check listing instructions on smoke PADS MJA 03/31/!7 MJR
alarm
MSTA725 Framing Inap / / / / 04/07/97 block walls exceeding 10 feet in height] SAIL RB 04/07/97 RB
2x6 garage ceiling joists over-spanned;
strap plates in garage; add stud under
and joint of plate over header in
garage; strap glu-lam w/in kitchen;
support micro Ism at top of stairs;
enclose spaces above living room
fireplace- soffit sad attic) maintain
flue clearance at L.R. fireplace; vent
baffles missing; attic access req'd over
L.R. 6 formal dining; 2x10 ceiling
joists at main entry over-spanned; add
drywall ,nailer at master bedrm/bath;
metal plate protection of plumbing at
jacuzzi; shower pan inspection; support
ceiling joists at master bath; make
tighter meal of exhaust vent w/in mastmr
IL water clomet; support. hips w/in attic
space over garage; flame spread 6
insulate fireplace cavity at living
roan.
m msTA725 Framing Inap / / / / 04/11/97 UDA PRD TAO I PAIL RH 04/14/97 RB
Gas line failed; enclose fi.replace chase
W w/in attic; maintain 1" clearance at
thrcmt of fireplace flue; insulate R
flame spread fireplace cavity; vent
baffles missed; seal all thru
penetrations in return air- including
and block terminations.
Page No. 1 CARR HISTORv FOR CABS NO.: MST96-0541
WINDNOUD HOMES
14142 ON MISTIAMB DR
09/15/97
Action Description Req/ SCM/ End/ Action Note■ Disp By Update Upd
Coda sent Done Dane Date By
MSTA005 Application rece.ved / / / / 11/26/96 PASS BON 12/03/96 JD
MSTA008 Permit Created / / / / 12/03/96 PASS JSD 12/03/96 JD
14STA010 Check for prcl. restrict. / / / / 12/03/96
PASS JSU 12/03/96 JD
MSTA012 Plans routed to Plane Examiner / / / / 12/03/96 PASS JSD 12/03/96 JD
MSTA026 Plans approved by RPE / / / / 12/05/96 PASS RT 12/05/96 BT2
MSTA030 Reviewed pians routed to P.STS / / / / 12/09/96 PASS RT 12/10/96 PHN
MSTA032 DST Post-Review Completed / / / / 12/10/96 PASS DRA 12/lti/96 PHN
M9TA080 (P) Ready to issue / / / / 12/10/96 PASS DRA 12/10/96 PHN
MSTA092 (P) Issue Combination permit / / / / 12/23/96 PASS JSD 12/23/46 JD
MST;.L,95 Issue plumbing signature form / / / / 01/07/97 Rim .Mr 01/07/97 JT
MSTA097 Issue electric signature form / / / / 01/13/97 RWCD MI' 01/14/97 JT
MSTA705 Footing Inap / / / / 01/06/97 N-1- due to cold weather conditions A/N KS 01/06/97 ISS
protect cuncrete from freezing
MSTA706 Foundation Insp / / / / 01/1.0/97 pending- seismic; rebar req'mts for hd's PASS RB 01/10/97 RB
MBTA710 Poet/Beam Structural / / / / 01/30/97 post girder at front; remove wood FAIL RD 01/30/97 RS
debris; gusset at location of cross
girders; nail rim fwd west location; fwd
hpand-22 strap- add studs for nailing.
MSTA710 Post/Beam Structural / / / / 01/31/97 PASS RB 02/03/97 Ell
M$TA711 Post/Beam Mechanical / / / / 01/30/97 PASS RB 01/30/97 RD
MSTA713 Crawl Drain / / / / 08/06/97 see building final this date NOTE 08/07/97 RS
MSTA717 PLM/underfloor / / / / 01/29/97 PASS MS 01/30/97 MRS
MSTA720 Mechanical Insp / / / / 04/02/97 gas line pressure too low; provide FAIL RB 04/03/97 RB
b-vent clearance; protect throat of
dryer vent; seal all hole penetrations
for upstairs return air plenum; seal
duct joints- make air tight; maintain
9LL.R. venting clearances; insulate 6
Rflame spread L.R. fireplace cavity; at
y ceiling level of L.R. fireplace- enclose
attic space 6 w/in soffit; insulate wye
of attic flex; run exhaust venting to
roof; secure heat duct located at
upstairs hall bath; exhaust venting duct.
Jjoints must be air tight; support
furnace b-vont at all change of
directions; NOTR- no listing found on
vent connectors
KSTA720 Mechanical Insp / / / / 04/07/97 ■se framing this data PUL 11 04/07/97 Ifs
MSTA720 Mechanical Insp / / / / 04/11/97 ase framing this date it 22 04/14/97 10
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: _ A. _ P.M.--- MST:
. _
Location: _ BUR —
Tenent:_ Suite: Bldg:
�� MEC:_
Contractor- _ Photw — PLM: —
Owner: Q/Y�/ _—Phone: ELC: _
--��- SIT:
BUR.DING — BLDG(con't) PLUMBING MECHANICAL RL CTRIC SITE —�
Site Post/Ream Post/Bean Post/Beam CovatsevG ce Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out (Sas Line Rough-In U0 Sprinkler
Foundation Insulation Sewer I food/Duct Reconnect Vault
I3emt Damp Drywall Storni Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C
Sheer/Sheath Fire Spklr/Aho Crawl/Found IN Heat Pump PBtI
Approved Approved Approved Approved
Apfir/Sdwlk Not Approved Not Approved NA Approved ved Not Approval
FINAL FINAL FINAL FINAL FINAL
_ rte - p�#- s _------ - -- -
f
L
U
D Call for reinspection Cl Reinspection fee of S� _required before next inspection l3 Unable to inspect
Inspector: _ Date: Pw of
CITY CSF 7IGAR®
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)839.4171 PERMIT #. . . . . . . : PLM97-0269
DATE ISSUED: 07/17/97
PARCEL: 2S104CC-01600
SITE ADDRESS. . . : 14142 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 121 JURISDICTION: TIG
-----------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : @
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES-------------- LAUNDRY 'TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . .. 0 GREASE TRAPS. . . . . . . s 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installing residential backflow prevention device
Owner.: ----------------------------------------------------- FEES --------------
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERR PRMT $ 15. 00 BON 07/09/97 97-296910
TIGARD OR 9722+ 5PCT f 0. 75 BON 07/09/97 97-296910
Phone 0:
Contractor-------------------------•------
CEDAR LANDSCAPE
14375 SW PATRICIA AVE
HILLSBORO OR 97123 ------._--------------------------------
Ph on e #: 503--628-3411 $ 15. 75 TOTAL
R e g #. . : 000058
------- REQUIRED INSPECTIONS - -- -This permit is issued subject to the regulations contained in the RP/Backflow Prev
Tiqard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
a approved plans. This permit will expire if work is not started
R within 188 days of issuance, or if work is suspended for mare
N than 188 days. ATTENTION: Oregon law requires you to follow rules _
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-MI-88i8 through OAR 952-8881-8888. You may
m obtain copies of these rules or direct questions to DUNG by calling
(583)246-1987. _
W
Issued By :-6, /�_' Permittee Signature: OK ef
++++++++++++++++++++++++++++++++++++++++++++++++++++++...�-+++.++++++++++++++++++
Call 639--4175 by 6:00 p. m. for- an inspection needed the next business day
++++++++++++++++++++++q-+++++++++++++++++++++++++++++++++f++a•++++++++++++++++++
yJTY OF TIGARD Plumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
_
(503) 639- 171 Date to MST
Permit 0
Print or Type Relstod SWR a
Incomplete or illegible applications will not be accepted called
Name of Development/Project FIXTURES (Individual) QTY PRICE AMT
Job �ls' , sink _ 9,00
Street Address Suits Lavatory 9.00
Address Tub or Tub/Shrriver Comb. 9.00
/4 91 Ali T�
Bldg 0 City/State Zip Shover Only 9.00
-rlieitD D�E'� Wafer Closet 9.00
Name
Dtahwp,stw 9.00
Owner Melling Address Suits Garhaga Disposal 9.00
W+shkrg Machine 9.00
City/State Zip Phone Floor Drain 2' 9.00
Name
3' 9.00
4" 9.00
Occupant Moiling Address Suite Water Heater 9.00
Laundry Room Tray 9.00
citylstate Zip Phone Lkinal 9,00
Name
Other Fixtures(Spedh) 9.00
QE,c-WA- 141VOcc1#141E 9.00
Contractor Mailing Address suite 9,00
/ 37SswRWjcM AvE
9.00
C /State Zip Phone 900
/ %�r6igFo aw )13 6.2F-
Oregon Const.Cont Board Lic.a Exp.Date 9.00
Atach Copy of 5j'f3 6--to-98 9.00
Currvrtt Plumbing Lic.! Exp.Date Sewer-1st 1110' 30,00
Licenses Sower-each additional 100' 25.00
COT Business Tax or Metro t Exp.Date Water Service tat 100, 30.00
Name Water Service-sach additional 200' 25.00
Architect Storm 6 Rain Drain-1 at 100' 30.00
Storm a Rain Drain-each additional 100' 25.00
Or MaiNrg Addro Suite
Mobile Home Space 25.00
Engineer City/State Zip Phone Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Describe work New Addition O Alteration O Repair O Residential Bnddlow Prevention Device' 15.00 j
D. to be done: Residential O Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00
Additional description of work Catch Basin 9,00
I- -
y Insp.of Existing Plumbing 10.00
00
Existing use of Specially Requested Inspections 10.00
-J /hr
m building or property Rain Drain,single family dwelling 30.00
WProposed use of Grease Traps 9.00
J hudding or property
_ QUANTITY TOTAL
Are you capping, moving or replacing any fixtures? Yes❑ No p leorrhetrto or rue►dWWW Is required if Quanly Total is V9--
(it
i(if es see back of form) *SUBTOTAL ��
I hereby acknowledge that I have road this application,':st the Information
given is cortect,that I am the owner or authorized agent o;the owner.and 5%SURCHARGE � 7f
that plans submitted are in compliance with Oregon Slate Laws.
Sign:7-1c-
Owner/Agent Dote PLAN REVIEW 25%OF SUBTOTAL
R ked on M fixturetotaltoIs a 9
��� �-9-97 TOTAL �'-
Centact Person Name Phone S
I
*Minimum permit No is 325*5%surcharge,except Residential Backflow
(�j¢vf Ko RC1 (iZ-.34 isPrevention Device,which is$15•1 5%surcharge
PLEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be kapped, moved or replaced Q
Sink
Lavatory
Tub or Tub/Show r Combination
Shower Only
Water C ',aset
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2
3"
4"
Water Heater
Laundry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CL
M
m
is
W
J
CITY GF TIGARD
DEVELOPMENT SERVICES
19125 SW Nall Blvd.,Tlprd,OA97228 (503)W4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT" #: ELR97-0191
DATE ISSUED: 07/17/97
PARCEL: 2BI04CC-01600
SITE ADDRESS. . . : 14142 SW MISTLETOE DR
SUBDIVISION. . . . :HILLSHIRE ESTATES NO. 2 ZONING:R-7 PD
HLOCIi. . . . . . . . . . . LOT. . . . . . . . . . . .. 12: JURISDICTN: TIG
Project Description: Installing residential backflow prevention device
--------------------------------------------- ---------------------------------------
A. RESIDENTIAL--------- B. COMMERCIAL---------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTF_RCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGEOPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
0"fHER: IRRIGATION: :X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMEN'TATION. : OTHER. . : $ t
TOTAL # OF SYSTEMS: 0
Owner: -------------------------------------------------- FEES ------------
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERP. PRMT $ 40. 00 B 07/09/97 97-296910
TIGARD OR 97224 5PCT $ 2. 00 B 07/09/97 97-296910
Phone #: 590-4700
Contractor: -----------------------_----_-----------------------------------------
CEDAR LANDSCAPE $ 42. 00 TOTAL
14375 SW PATRICIA
------ REQUIRED INSPECTIONS -- -----
HILLSBORO OR 97123 Elect' l Service
Phone #: 628-3411 Elect' l Final
R e g #. . : 000058
This perait is issued subject to the regulations contained in the Tigard Nuni:ipal Code, State of Ore. Specialty Code,., and all other
applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started within IN
days of issuance, or if work is suspended for sore than 191 days. ATTP410N: Oregon law requires you to follow rule .i;spted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-Ml through OAR 952�01- M1. You say obtain copies of
these rules or di question t OUB at I5I31246-1997, s
a
Issued by t �`"� Permittee Signature IF X
OWNER INSTALLATION ONLY- -----
U) The installation is being made on property I own which is not intended for
sale, lease, or rent.
.J OWNER' S SIGNATURE: DATE:
m
INSTALLATION ONLY---------------------------
-J
SIGNATURE OF SUPR. ELEC' N: DATE: _
1_.T CENSE NO:
+++++-F+++++++++++++++++++++++++++++++++.F++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 6:00 P. M. for an inspection need3d the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
fa
CITY OF TIGARD Electrical Permit Application Pian check ffij.�.f.!2:Z-Qi9/
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Phone(503)630-4171,x304 Date to P.F-.
Dats to DST
Inspection(503)639-4175 Print or Type
or
Incomplete Illegible will not be accepted Permit 1t
Fax(503)684-7297 P 9 P celled
1. Job Address: / 4. Complete Fee Schedule Below:
�l�
Name of Development ,c ESTATES _ Number of Inspactlons
PK Pin sJknved
Name(or name of business) Service Included: Rams Cost Sum
Address /-4/-42 S W rn/s rz rroe 4s. Residential-per unit
1000 sq.ft.or less $110.00
City/State/Zip T/ ARD �. Each additional 500 so,ft.or 4
Commercial ❑ Residential portion thereof - $25,00 1
Limited Energy $25.00
Each Manurd Home or Modular
Dwelling Service or Feeder $88.00 2
2a. Contractor installation only: - -
(Attach copy of all currant licenses) 4b.Services or Feeders
Electrical Contractor_eek,Y1R lAx/DScApE Installation,alteration,or relocation
3�5� 200 amps or less
Address 14275 s'r✓ oraic�A Arm% $eo.Qo 2
201 amps to 400 amps - $80.00 2
City Nei/s by f o _State D lip 4-1,7j 401 amps to 600 amps - $120.00 2
Phone No. 6 1 I? -3f// 601 amps to 1000 amps $180.00 2
Job NO. � Over 1000 amps or volts $340 00 2
Elec.Cont. Lice. No. Exp.Date Reconnect only - $50.00 2
OR State CCB Reg. No. Exp.Date 4c.Temporary Services or Feadom
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
/' 200 amps or less $50.00 2
Signature of Supr. Elec'n 1✓a•�c- l.� 201 amps to 400 amps __ $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. Exp.Date soo,"b"above.
Phone Na
` -�- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner Installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name leader fee.
Address Each branch circuit $5.00 2
b)The fee for branch circuits
City State - Zip without purchase of
Phone No. service or feeder nee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Si (Service or feeder not incflxied)
Signature 00
9 Each pump or Irrigation circle -.L- $40.00 �_ 2
Each sign or outline lighting -_ $40.00 2
3. Plan Review section(if required):' Signal circuits)or a limited energy
L1. panel,alteration or extension $40.00 2
_
Please check appropriate Item and enter fee In section 58. Minor Labels(10) $100.00
4 or more residential units In one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
J Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C.Chapter 5 In Plant _ $55.00
J *Submit 2 sets of plans with application where any of the a,ove apply. S. Fees: �K
Not required for temporary construction services. Be.Enter total of above fees $ 40"-
5`yo Surcharge(.05 X total fees) $
-
NQT U Subtotal $
Sb.Enter 25%of line Ss for
PERMITS BECOME VOID IF WORT(OR CONSTRUCTION AUTHORIZED IS Plan Review if reouiTg(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1P0 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account
Total bstance Due S
IADSTS\ELC96 AAP Rsv 996
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST96-0541
13125 SWHaff Blvd.,71perd,OR97223 (503)6391171 DATE ISSUED: 12/23/96
PARCEL: 2S104CC-01600
i T TF ADDRESS. . . : 14142 SW MISTLETOE DR
Sl_IND I V J S I ON. . . . : H I LLSH I RE ESTATES NO. 2 ZONING: R-7 PD
131-.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1.21
Remarks: New SFD PATH I
------ -- BUILDING ---- -- -
REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REIIUIRED SET&US-- REQUIRED—
CLASS OF WORK.:NEN HEIGHT........: 24 FIRST....: 1536 if GIA .....1 866 if LEFT..........: 5 KK DETECTRS: Y
TIME OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1334 if FRQIT.........: 21 PARKING SPACES: 1
TYPE OF CONST.:SN DWELLINB UNITS: 1 FINBSMEMT: 8 if RIGHT.........1 5
OCCUPANCY GRP.A3 BDRM: 4 BATH: 3 TOTAL----: 2932 s VALUE..1: 211462 REAR..........: 65
-------- PLUMBING ---'-SINKS......... 1 WATER CLOSETS.: 3 WP.SHINS MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 5 DTSHW 8 RS...: 1 FLOOR DRAINS..: 0 SM LINE ft: 1 SF RAIN DRAINS: 1 CATCH BASINS..: 1
TUB/SHOWERS...: 3 GARBW DISP.. I WATER HEATERS.: I WATER LINE ft: 118 BCKFLW PREY M 1 GREASE TRAPS..: 8
OTHER FIXTURES: 1
----------------- _—_------___--_—_—____-- MECHANICAL --
FUEL TYPES-------- FURN ( I10K ..: 0 BOIL/CMP ( 3Pt 1 VENT FANL....1 4 MOM DRYERS: 1
/GAS/ / / FURN )=188K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 8 BTU FLOOR FURNACES: 1 VENTS.........: 1 WOODSTOVES....: 1 GAS QJTLET5...1 1
- ------------------------------------------ ------- ELECTRICAL ----
—RESIDENTIAL
--—RESIDENTIAL UNIT— ---SERVICE/FEEDER---- —TEMP SM/FEEDERS-- —BRANCH CIRCUITS--- ---4I9CELLAMEOU9---- --ADD'L INSPECTIONS--
IO00 SF OR LESS: 1 0 - 200 amp..: 0 0 - 280 amp..: 0 W/SVC OR FDR..: 1 PUP/IRRIGATION: B PER INSPECTION: 1
EA ADD'L 5089F.: 6 201 - 488 amp..: 0 211 - 480 amp..: 1 lit W/O SVC/FDR: 1 SIGN/OUT LIN LT: 1 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 8 401 - 610 amp..: 0 EA ADDL BR CIR: 0 SI6'VAL/PANEL...: 1 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1811 amp.: 0 601+amps-1810 v: 1 MINOR LABEL -11: 0
1080+ amp/volt.: 0 ----—-----—-----—__.__--_-- PLAN REVIEW SECTION -- ---- --------
Reconnect only.: 8 )=4 RES UNITS..: SVC/FDRI=2''i5 A.t ) 611 V NIQEINAL: CLS AREA/SPC OCC:
------------------- ------------------------- ELECTRICAL - RESTRICTED ENERGY --------------------- ----------
A. SF RESIDENTIAL— ---- B. COMMERCIAL- — ----- - - ------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO L STEREO.: FIRE ALARM.....: INTERCOM/PASINB: OUTDOOR LNDSC LTi
BURGLAR AUN..: OTH: :: X BOILER........... HVAC...........t LANDSCAPE/IRRIB: PROTECTIVE SIGHLt
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL t SYSTEMS: 1
Owner: ---------------------------------contractor: --------------------------- TOTAL FEES:$ 4847.05
WINDWOOD HOMES WINDWOOD HOMES
1487E SW BENCHVIEW TERR 14076 SW BENEHVIEW TERRACE
IL TIGARD OR 97224 TIGARD OR 97224
Fes- Phone N: 590-4708 Phone t: 591-4700
N Reg C.- 058196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
EDapplicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 181
Wdays of issuance, or if work is suspended for more than 180 days.
-t ------ --------- ----------- REVUIRED INSPECTIQB — — —.-----___—_—. ------------
Footing Insp PLM/Underfloor Framing Insp Bas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp —
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Peal Mechan Electrical Servi Firepiace Insp Rain drain Insp Mechanical Final _
Crawl Drain Electrical Rough, 1 Gas Line Insp Nater Line Insp Plumb Final
Issued By :
Call for inspection — 639-4175
CITY O TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERM I T #. . . . . . . t SWR96-05°2
13125 SW Hog Blvd.,flg►d,OR I= (503)W 4171 DATE ISSUEDs 12/23/96
PARCEL, e6104CC-01600
SITE ADDRESS. . . s 14142 SW MISTLETOE DR
SUBDIVISION. . . . s HILLSHIRE ESTATES NO. 2 INGt R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 121
----------------------------------------------------------.D. ---------r.�rrrrrr rr
TENANT NAME. . . . . :WINDWOOD HOMES
USA NO. . . . . . . . . . s FIXTURE UNITS. . . s a
CLASS OF WORK. . . eNEW DWELLING UNITS. . s 1
TYPE OF USE. . . . . eSF NO. OF BUILDINGSt 1
INSTALL TYPE. . . . sBUSWR IMPERV SURFACE, 0 sf
Remarks, New SFD
----,------------------------
Owners ------------------ FEES --------------
WINDWOOD HOMES type amount by date recpt
14076 SW BENCHVIEW TERR PRMT $ 2200. 00 JSD 12/23/96 96-288097
INSP $ 35. 00 JSD 12/23/96 96-288097
TIGARD OR 97224
Phone #a 590-4700
Contractor. ------------------------------
CONTRACTOR NOT ON FILE
-------------------------------------
Phone #: $ 2235. 00 TOTAL
Reg #. . ;
-------- REQUIRED INSPECTIONS -------
This Applicant agrees to coeply with all the rules and replations Bower Inspection
of the Unified Sewage Agency. The pereit expires 10 days free
the date issued. The total aeeent paid will be forfeited if the
pereit expires. The Agency does not guorentee the accuracy of the .:
side sewer laterals. If the sewer is net located at the emorme nt
given, the installer shall prospect 3 feet in all:direations fm
the distance given. if not is loestedy installer dell parehate
a 'Tap and Side Serer' Pereit aod,the will install,a.lateral.
Permittee Signa " - XiL I
a Issued Bys
a
y Call for inspection — 639-4175
m
J
s
;Y OF TI�GARD Residential Building Permit Application Plan
e�a 753 F,
125 SW HALL BLVD. New Construction Additions or Alterations Dole Read -
GARD, OR 97223 Single Family Detached/Attached (1 or 2 units) ogee to P E te-d -
�)3) 639-4171 oats to OST
Print or Type Penn+t a sT
Incomplete or illegible applications will not l:e accepted cam`' 1146 IYo, f,
Name of Protect Na
Job '3 s 2 Got
Address 41tqAddiross Architect Mai"Address
14 q)L S6J Ac sw /
Name C,prI ate Zip Phots
L" O w o 0 0 E4 �5 w•i1-D + L Q yo 2-
Owner
Owner Mailing Address Name
1'-(.O 3`6 S w P, A,,4 r- tr
city/State Zip Phone Engineer Mamrq Awress
T LP-A.&0 1 �f 2 �!Ivo )4-7
3 �r
Name itylstate DO l�r'ZP o!l_ 9�1 IT ?otr -ob(�!6
General C ft-.3 0 N kFyt. Onertbs work Nsw� Adderon O Alteration O Rapalr o
contractor Masrng Address to be dopa:
of use
CitylStaa Lip Phone Type
• Type of miction
Ontgon Const.Cont.Board Lie e p. D to
Attach Copy of 1 4b I� q} ney Class
Current COT Business Tax or Metro t Exp. Date
Licenses 46 s- 7-1 qL wo it be sap
NoW
Nems N Yes.separate FLs plans and
Mechanical a t0bsii°'n'W
Number Jones
Sub- Mailing Address ;2
Contractor (, ( g 5 c ti 9- Proposed Use
Citylstate Zip hone
'Zp rL a c( of lol the
Oregon Const.Cont. Board Lie.a p.D to
Attach Copy of 9 y 2 S R Valuation
Current COT Business Tax or Metro e E qato
Licenses 916 -z 262 9 t NEW CONSTRUCTION ONLY.
14" Building ID
Plumbing ut m 1 S P�•�.fi/b t N 1..
Unit T N
Sub- Mailing Address es wean R. of units
Contractor P c . 6 0x ?( 6th A.)
City'State Zip Phone B )
cI444 o`1 'r ?-ue4 1(a`(9-4a3`/ C.)
Oregon Const. Cont.Board Lie K E P. DD.)
Attach Copy of 4-t ra a 3 2(ao 7 4• wijj
Current Plumbing Lic.0 E D to ins the slsctrlcal subcontractor win for aN netrtexad 1 je NO
tl Licenses 6 �a en installations? L�
`` -- r � 31 `f� Has tho Subdivision Plat recorded? N/A � No
COT Business Tax or Metros Ex ate
N t b (.A- ( I 1 hereby acknowtodge that I have read this appNtation.Mat the
Name information given is correct that I am the owner or auMonzed apent of
electrical vv--T 4Tivo Etc c ort (r- the owner. and that plans submnled are in compliance with Oregon
m Sub. Mailing Address State I
W "ontractor �i 9p c, S. i Qac ti^r r{✓�" 319 Agent
J Citylstate Zip T Phone C ct Poison Namo pts
0 o `foLz3 Ic -t 33 i� /( �ti./►rLps "o_4 Jos_
Oregon Const.Cont. Board Lic.A ED to FOR x . OF E USE ONLY:
clash Copy of ' � 3 q4
Current E!ectncal Lie.M Ex D re
Licenses p tit
Me Zoite
34 - yz c"c= � 10( 1��7 �`COT Business Tax or Metro s E p ate rqLrtg
2,
Tn �
resacp.doc ,(, t Z'/c'� 9G• ApptwM
P r i # Account Descriptjon int Amt" Pd.
I MST. Permit (BUILD) 71.3, 0
Plumb. Permit (PLUMB) 2 " �f
Mech. Permit (MECH) `a4 s qw`
ELC/ELR Permit (ELPR T) i Q.
State Tax (TAX) 164, 1S
Bldg: 3S. �►S../
Plumb: _( / • Z sem/
Mech:
E C/ELR: ,1 V
Plan Check
MST: (BU PLN) 3. ,S Z
Plumb: (P PLN)
Mech: ( CPLN) &A) /
COC Review - planning DCPLN) p, i
CDC Review - bldg DCBLD) 420
C,'?- y
610Sewer Connbction (S Zml
Sewer Inspection (SWINSP) ~ w y
Parks Dev Charge (PKSDC) p� rr/
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
a '
F
Water Quality (WQUAL)
N �r Q •i
Water Quantity (WQUANT)
m Erosion Control Pe it (ERPRMT) ,
Erosion Planck/ A (ERPLAN) Aftevof/
Erosion Pla COT (EROSN) •�i(� `Q/'
Fire Life afety (FLS)
TOTA
i:Wstsvesapp.doc rev. 1
Solar Balance Point Standard Workshee*
Address
Box A calculations: North-South dimension for the lot. Box A.-
This
:This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
'mow N North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
feet
t
N
�iaw�ora
Boot B calculations:Shade point height for your residence. Beet B.
1. Determine whether measurements will be based on the peal:or eave of your Which describes
structure. The orientation of the ridge is also importam your residences!
1 a: If the roof line runs North-South, measurements will ;` (drde ones)
be based on the peak of the roof. TO-0-0-OT IN
PCM 1A 1g /1�)
1 b: If the roof line runs East-West and the roof pitch is
U) less than 5/12, measurements will be based on the
eave.
era nom w
t0
J
1c: If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the
peak.
Box B. continued Box g:
2. Measure change in elevation from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ft
the lot slopes down from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + A 'r
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, _ h
deduct nothing. /
S. Subtract one foot for each foot of difference in elevation from the front proerty
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. . (r
6. Total figure for box S: 23 _ h
Box G Distance to the shade reduction line. Batt Q
1. Menure the distance from the North property line to the foundation near the zo.o R
affected peaWeave.
Measure the distance from the foundation to we affected peak or eave. + , 24 _, h
3. Total figure for box C: k
Itis neat useful oo draw a%wdal line eo oopne dw appn*daoe App loured in bac' 'and a honironNal lot oo repreaennt dw
app roprim retort found in boa"C'.The inoeneafon of dee vertical and iomkontal Knees nes doe value hound in tont'D'.The value
in box'O'should be compared to the value in toot'80;if the value in floc'S'b ks dun at equal to due value found in bac'D',then
the building is in compliance with the solar balwom node. If you have any quationur pkase contra us at 639-4171,x304 or at the
Community Oevelopment Counted:
MAXIMUM PRAIM RWR POINT IWGNT la feat
Distinct to March-souodt tot dimension On feed
glade loo+ 95 90 8S 80 75 70 65 60 SS SO 43 40
from
ka ko
70 40 40 40 41 42 43 44
63 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
5S 34 34 34 35 36 37 38 39 40 41
SO 32 32 32 33 34 3S 36 37 38 39 40
p, 4S 30 30 30 31 32 33 34 33 36 37 38 39
a 40 28 28 28 29 30 31 32 33 34 33 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
2S 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
J 13 18 18 18 19 20 21 22 23 24 2S 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
S 14 14 14 1S 16 17 18 19 20 21 22 23 24
Box D. Maximum allowed shade point height: _ 30 _feet
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