14306 SW MISTLETOE DRIVE Snz*80 3013riysrw Ms 90EV,
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14306 SW MISTLETOE DR
. � CITY OF TIGARD
DEVELOPMENT SERVICES
AWMEM 13125 SW Hall Blvd.,Tlgsrd,OR 97223 (503)OX4171
CE RT I FI 'AT OF
OCCU AN Y
PERMIT 0. . . . . . . i MST96--0286
DATE ISSUEDs 08/11/97
PARCEL: 26t04CC--05700
SITE ADDRESS. . . s 14306 SW MISTLETOE OR
SUBDIVISION. . . . s HILLSHIRE WOODS 70NINGsR--7 PD
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . s001 JURISDIC:TIGNsTIG
CLASS OF WORK. sNEW
TYPE OF USE. . . t 4F" I
TYPE. OF CONSTR:3N
OCCUPANLY GRP. s R3 `
OCLUPANCY LOADs2 1
Remarks : PATH I
Owner:
BOURGEOIS;
14306 SW TAYLORS CREST LN
LAKE OSWEGO OR
Phone #1 636-6438
Cont ract or e ------------------------------------
NORTHWEST DREAM HOMES
a9351 5W BAKER ROAD
SHERWOOD OR 97140
Phone #: 682-8777
Reg M. . : 000869
This Certificate grants occupancy of the above reFerenced building or portion
thereof and csnfirms that the building hags been i spected for compliance with
the State Of ,regon Specialty Codes for the grow , occ^up cy, end use under
which the rp erenced permit was i.eso-ted.
N
BUILDING INSPECTOR BUILD G FFICI L
i
ED POST IN CONSPICUOUS PLACE
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Page No. 1 CABS HISTORY POR CUR NO.i WTOO-0296
1w'l.sOMIS
14306 IN MIBTLYTOU DR
71/17/97
Action Description Req/ echd/ 9bd/ Action Notes Disp By Update Ilpd
Code Sent Done Done Date by
------- ------------------------------ -------- -------------------- --------`-- ---- --- -------- ---
MBTA005 Application received / / / / 05/23/96 PABB JD 06/06/96 9T2
M8TA009 Permit Created / / / / o6/06/96 PASS RT 06/06/96 9T2
VATA010 Check for prcl. restrict. / / / / 05/24/96 PASS KN 06/06/96 DT2
MTA012 Flans routed to Plans =xaminer / / / / 05/24/96 PASS Bm 06/06/96 XT2
NSTA026 PL%ne approved by Plans Rxmr / / / / 06/06/96 PA88 RT 06/06/96 DT2
M9TA030 Rr7iewed plans routed to DST8 / / / / 06/06/96 PASS RT 06/06/96 DT2
MSTAOSO (Fl Ready to isene / / f / 06/10/96 PASS CJ8 06/10/96 CJS
META'192 %Pi Issue cookbinetion i—ruit / / / / 12/20/96 PASS J8D 12/20/96 JD
MATA093 (P) Reprint Pettit / / / / 01/01/97 PASA TAT 03/03/97 DST
MBTA095 Issue plumbing signature form / / / / 12/30/96 RIiCD JT 00/12/97 JT
MRTA097 Issi.Ae electric signature fors / / / / 01/03/97 RHCD JMT 01!02/97 JT
MSTA703 Pooting Inap / / / / 01/08/96 Una approval PRID RB 01/00/97 BAS
mono pour
MSTA706 Foundation Insp / / / / pi/09/91 pending- use approval (spoke w/ usm PASS RM 01/09;97 BAB
inspector -ok to perform inspection)
seinmic restraint
bearing pad
site/depth/rebar/location.
MSTA710 Post/Ream Structural / / / / / / 06/06/96 nT2
MOTA711 Post/Boom Mechanical / / / / 03/19;97 done at: mach rough- PAIL RB 03/19/97 RB
insulate ryes; insulate at registers
where brought up to floor
NSTA713 Crawl Drain / / / / 01/15/97 house perfed PASS M8 OI/if/97 MRA
MBTA717 PrM/Vndorfloor / / / / :1/17/97 PASS MB 01/17/97 MRA
MSTA720 Mechanical Inap / / / / 03/19/97 uoffit ductwork in garage; seal PAIL RD 03/19/97 RB
termination blocking both in garage
upper floor and w/in family rope;
(� exhaust vent rey'd at master
Njacuzzi/shower room; under-floor mech
issues.
MSTA720 Mechanical Insp / / ! / U3/20/97 issues unresolved PAIL RD 03/21/97 RD
m
JMSTA720 Mechanical Insp / / / / 01/24/97 soffit duct in garage; PWD RD 03/31/97 RR
MSTA720 Mechanical Insp / / / / 03/29/97 PASS RA 03/31/97 RB
MSTA722 Plumb Top Out / / / / 03/12/97 PASS MS 03/13/97 MRA
MSTA723 Rlectrical Barvice / / / / / / 06/06/96 BT2
MSTA724 Rlectrical Rough In / / / / 03/21/97 PASS MJR 03/26/97 KYR
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Page No. 2 CASS HISTORY FOR CABS NO.: MBT96-0266
BOURGDOIF.
14306 ON MiBTLBCOR DR
11/17/97
Action Description Ree,/ Schd/ gid/ Action Notes Mop By Update Opd
Code Sent Dans Done Date By
-- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MOTA725 Framing Inep / / / / 03/24/97 mech issuer strap plates/beans as PHIL RS 03/31/97 RS
narked; nailer needed at powder room;
shear HD's not installed at don/L.P.;
nails missing in hanger at nook;
fireplace anchorage; nail plates marked;
shower blocking; shower nailer; rat nm-
master bathrm; jacuzzi access; laundry
room- block for horiz. beat duct. in
garage; vent baffles; plumbing ewer.
MSTA725 Framing Insp / / / / 03/29/97 pending- nail plate protection thru out; PEND RB 03/31/97 NO
shear incomplete; vent baffles-
flat-to-vault.
M9TA725 Framing Insp / / / / 04/03/97 PASS RD 04/03/97 RB
NSTA726 Shear Nall Insp / / / / 03/10/97 drypack undernerth steel tube framing at FAIL RB 03/10/97 RB
stem walls; solid block over steel frame
header between rafters- detail A pg L;
do not torque HD'e greater than
allowable- drop HD's at living roan;
HD's rt wing of living room missed-
provide as per plana; nail exterior
sheathing 2" oc where missed.
NSTA726 Shear Mall Insp / / / / 03/19/97 HD's not secured FAIL RS 03/19/97 RB
M-nTA726 Shear Nall Insp / / / / 03/24/97 HD's (Den/L.R.) not installed yet FAIL RB 03/31/97 RB
MSTA726 Shear Mall Insp / / / / 03/26/97 shear ine mplete at living room PEND RB 03/31/97 RB
MSTA726 Shear Mall Insp / / / / 04/03/97 PASS RB 04/03/97 "
M9TA727 Low Voltage / / / / / / 06/06/96 BT2
MSTA730 Fireplace Insp / / / / 03/10/97 install R secure hold-downs; block as PAIL RB 01/10/97 RB
0.
needed.
MSTA730 Fireplace Insp j / / / 03/19/97 straps not secured upstairs i needs to PAIL Rs 03/19/97 RB
be extended inwnrd to 4' at main floor.
LO MSTA730 Fireplace Insp / / j / 03/24/97 anchor straps- extend inward 4-feet or PAIL U 03/31/97 RS
3-floor joists
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MOTA730 Fireplace Inap / / / % 03/29/97 PASS RB 03/31/97 RB
MSTA735 Gan Line Insp 03/19/97 / / 03/19/97 #176112 PA-99 RB 03/19/97 RB
Page No. 3 CARR HISTORY FOR CASE NO.: MBT96-0296
BOURM1B
14306 SM MISTLEYPOB DR
11/1f/97
Action Description Req/ Schd/ and/ Action Notes Disp By Update Upd
Code sent Done Done Date By
------- ------------------------------ -------- -------- -------- ---------------------------------------- .... ... ........ ...
MATA740 Insulation Inep / / / / 04/03/97 pending- vent baffles flat-to-vault; FUND RB 04/04/97 72
insulate skylight; insulate hard to
reach areas
NSTA740 Insulation Inap / 1 / / 04/04/97 pending- insulate skylight PASS RB 04/04/97 RB
MSTA745 gyp Board Inep / / / / 04/07/97 house allyl missed nailing thru out PART RB 04/07/47 RD
Wage incospleted at time of
inspection.
MSTA745 Ayp Board Inep / / / / 04/08/97 PASS RB 04/08/97 RB
MSTA755 Rain drain Inep / / / / 01/15/97 PASS MS 01/16/97 MRS
MSTA790 Nater Line Inep / / / / 02/26/97 not ready FAIL MS 02/36/97 MRS
MATA760 Nater Line Inep / / / / 06/19/97 PASS MS 06/22/97 J"H
KSTA765 Appr/Sdwlk Insp / / / / 05!21/97 PASS PI OS/29/97 $MR
NSTA790 Blectr1cik1 Final / / / / 06/19/97 PASS BRP 06/20/97 J*H
MSTA195 Mechanical Final / / / / 06/19/97 see bldn final fail this date FAIL RC 06/20/97 J*H
MOTA795 Mechanical Final / / / / 08/11/97 PASS RB 08/11/97 RB
MSTA795 Mechanical Final / / / / 07/28/97 See Bldt final notes this date. PASS RB 08/17/97 J•H
KL:i.,797 Plumb Pinel / / / / 06/19/97 no hot eater - can't check FAII. NO 06/22/97 J•H
KSTA797 Plumb Final / / / / 06/26/97 HOUSR LOCKED. FAIL NO 06/26/97 J'H
MSTA797 Plumb Final / / / / 07/01/97 PASS MS 07/06/97 J*H
MOTA799 Building Final / / / / 06;19/97 1. Provide 6" clearance from siding to PAIL Rr 06/20/97 J*H
earth.
2/3. ground must slope away from
dwelling 1/4" per foot for 6 feet.
4. Need address numbers on the hones.
S. Need smoke alarm at bottom of stairs.
H 6. All penetrations through gerage
N wall/ceiling must be sealed., wiLb
approved material. R=: Collars of of
gauge metal or fire caulking.
m 7. Need access to underfloor 42:
permanent ladder.
"`l 8. Cock stove not installed,
9. Meed ole-c/plm approval before
building final.
MSTA799 Building Firol / / / / 08/11/97 PASS RB 08/11/97 RB
Page No. ♦ CASR HISTORY FOR CARR NO.: K"96-0286
BOURUDD:S
14306 SW MISTId6TOR DR
11/17/97
Action Description Req/ ®chd/ and/ Action llotem Disp By Updata Upd
Code Sent Done Dane Date By
------- ------------------------------ --------- ------`- -------- --------------------------------------- -'-- --- -------- ---
MSTA799 Building Final / / / / 07/28/97 1. Firestop if of (seat duct in garage at FAIL RD 08/17/97 .3•H
ceiling thru penetrations.
2. Underfloor:
Al Insulation ?? of floor near access.
B) Vapor barrier needed to cover
around.
C') Remove wood debris.
3. USA Rromion final required.
MSTA90;n (F) Issue Cart. of Occupancy / / / / 09jil/97 11ailed 11/17/97 11/17/97 9.11
MSTA970 Came Finaled / / / / n8/11/97 RC issues PASS RB 09/11/97 RB
MSTB708 Erosion Control / / / / 08/01/97 PASS USA 00/11/97 RB
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CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd.,flgard,OR 87223 (603)8.18./171 PERMIT #. . . . . . . : PLM97-0174
DATE ISSUED: 05/13/97
PARCEL: 2S104CC—HW001
SITE ADDRESS. . . : 1.4306 SW MISTLETOE DR
SUBDIVISION. . . . : HILI_SHIRF_ WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :001 JURISDICTION:
-----------------------------------------------------------------------------------
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :H21 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES------------- LAUNDRY T14AYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . .: : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : to
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks : INSTL RESIDENTIAL BACKFLOW DEVICE
Owner-: --------------------------------------------------- FEES ---
JEFF BOURGOISE type mount by date reept
14306 SW MISTLE TOE PRMT * 25. 00 TAT 05/13/97 97-2:94480
TIGARD OR 97223 5PCT $ 1. 25 TAT 05/13/97 97-294480
Phone #:
Cont—actor---------- --•----------------------
ANCT I I__ PLU14B I NG INC
16900 SW MFRl.O RD
BEAVERTON OR 97008 —•----__------------•---------_____..___._.
Phone #e 503-642-7323 $ 26. 25 TOTAL
Reg #— : 000241
------- REQUIRED INSPECTIONS -------
Thi- permit is issued subject to the regulations contained in the Water Line T n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other RP/Backflow Prev _
a;,olieabl� laws. All work Mill be done it accordance with Final Inspection
IL (( approved plans. This permit will expire if work is not started
fL I within 1991 dais of issuance, or if work is suspended for more
F" than 188 days.
Pl-v-mi +;teF 3ipnat _IrPl:
LU
J Y TSSIIPCI Rv-
11 f., rspection — 639-4175
:,TY OF T IGARD Plumbing Application Roca By
'4125 SW HALL BLVD. Commercial and Residential Date Recd
CARO; OR 97223 eine to P E
X03) 639-4171 Cate to DST
Pnrmd s
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted Called
! Name o►CevetoomenuPro(ecr FIXTURE$ (Individual) QTY PRICE AMT
Job I� Sinx ?UO
Address I Srre� eiAddress Sutte Lavatory 9 00
30 sLA, Wr TdE�_ Fu0 or ruoiShowel,l:omo _ goo di t9+ I ale =L•-;pp Shower Onty _ 9.00
Name T— J Water Closet 9.00
— Y tC/ — u Ui[G lj i SE otenwasne►
900
i
Owner Mailing Address Ui1e Garbage Oisposat 900
Washing Machine 900
ry stare _!p Phone Floor Drain
2- 9.00
Name �� 9.00
•• 900
Occupant Mailing Address guile Water Heater
900
Laundry Room Tray 9.00
C tyrState Zip Phone Unnal —
9.00
Name Other Fixlures ISoeafyl
9.00
if I9.00
- antractor Mag dress Sue 9
40 ) Ek'l0 r�A 9.00
,--or t0 issuance City,�State Zia Ph ne
accucant must 9.00 —�
:rovide all Oregon Const Cont.Hoare t.tc.s Exp 0 to 9.00 i
Cantracors _1-0 9
license Plurrilpria Lie.s Eq.Date q1 Sower- 1st 100'
nformation _ 6 -PB _ '_ 1� 30.00
`or COT / Sewer-each additional loo i
CST?usines Tax or Metros Exp Date 25.00
aafabasel. 1 L�J G / ._ _ Water Service- tst 100' ---�
Name 11— Nater Service-eacn additional 200' 25 00
Architect Storm S Rain Crain- 1st 100' 30.010
Or Wading Address --s„te Storm A Ram Oram•Barri additional 100' 2b.00
Mobile Home Space 2300
_ngineer Cityrsiale zip Phone _ _
Cammeraal Bach Flow Prevention Cewte or Anti- 25.00
_ Pollution Devitt �
s.:7hC.vCrk Ne�.v � Addition 0 AIlerati0n � Repair C Re!`9ential 9aCkt10w'revent!�o Dewce' ;5 DO �� s
sone. Re*:dentl 'Jon-residential Any Trap or Was;!Nor Connected to a Fixture I
cc:onal descriotion,]r won I 9 00
CL Catch 3as,n i
Q' •` IC/���/(`� lcG 44lJ� i(/�V.CL a 4 n9 i 00
ins of Existing r umo' 0.00
� penhr
,rq use if Specialty Repuested Inspections + 40.00
ic:r.g or orocerty V_ I oerhr
Rain Drain. single`amity Dwelling JO.JO
J 7:osed use of Grease Traps
m rang or prcoerty 9 CO
QUANTITY TOTAL 1
JW a .cu C300 ng -novmg it reotac:ng any fixtures? yes ] No ] laorremc x^ser e!spram s recurred a Qusnrty Taal a 9
res see back of tortnt 'SUBTOTAL
e:�y acs owledge that• 'iave read;his application.that the nformation
�n s ro - ;hat tam re own authon;ed agent O(;he owner.and S'/. SURCHARCaEat aumittW are - cnm an with Or on State Laws.lnat wrrerfA91ant Date PLAN REVIEW 2SNe OF SURTO fAL '
4eduraa onry r lxnue
�,� sty 'aN is>9
L"- TOTAL
ntact Person Name Phone ,�$
'Minimum permit tee is 525-511,surcnarpe.excapf Residential 98;;fZ1
Prevention Dews.w^.ich is SIS•5%suratarge low
i^•tlsa'.plmapp.tloc 5/9e
'LEASE COMPLETE AS APPROPRIATE TO PROJECT:
Fixtures to be capped. moved or replaced j Qty
i Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
j Garbage Disposal
j Washing Machine
j Floor Drain 2"
4"
Water Heater ///0000
Laundry Room Tray
Urinal
Other Fixtures (Specify)
"OMMENTS REGARDING ABOVE,/
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
P O BOX 2007
GRESHAM OR 97030
Plumbing Signature Form
Permit # . . . . : MST96-0286
Date Issued. : 12/20/96
Parcel . . . . . . : 2S104CC-HW001
Site Address : 14306 SW MISTLETOE DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot : 001
Zoning. . . . . . . R-7 PD
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
BOURGEOIS WOLCOTT PLUMBING CONT. INC
14306 SW TAYLORS CREST LN P O BOX 2007
LAKE OSWEGO OR GRESHAM OR 97030
L Phone # : 636-6438 Phone ;, :
r Reg # . . : 23847
3 X--�A'b1 �� �,y ego-
0
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 . ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
BEAR ELECTRIC
PO BOX 389
28085 BUTTEVILLE RD NE
DONALD OR 97020
Electrical Signature Form
Permit # . • • . : MST96-0286
Date Issued. : 12/20/96
Parcel . . . . . . : 2S104CC-HW001
Site Address : 14306 SW MISTLETOE DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot : 001
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:
BOURGEOIS BEAR ELECTRIC
` 14306 SW TAYLOR.S CREST LN PO BOX 389
r 28085 BUTTEVILLE RD NE
LAKE OSWEGO OR DONALD OR 97020
Phone # : 636-6438 Phone # : FAX-687-1108
Reg # . . : 20919
3
xl
Signature ofSSupervising ectrician
Please return this completed form to the address a, ave. 3/62 S
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
. . CITY of TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
PERMIT #. . . . . . . : MST96-0286
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/20/96
PARCEL: 2 S 104CC—HW@01
SITE ADDRESS. . . : 14306 SW MISTLETOE DR
SUBDIVISION. . . . : HILLSHIRE WOODS ZONING: R-7 PD
BL_OC1;. . . . . . , . . . LOT. . . . . . . . . . . . . :001
Remark s: PATH I•
------------------- --------- BUILDING ---------------------_-----____—__—_—____.___
REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REOUIFED SETBACKS---- REQUIRED------------
CLASS OF WORK.:NEW HEIGHT........a 30 FIRST....: 1714 sf GARAGE.....: 7% sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1375 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 6 BATH: 3 TOTAL------: 3269 sf VALUE..1: 226279 REAR..........: 43
------------------------------— ----------------- PLUMBING ----_----__-- ------- ------- __---__--_
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRP19.........: 0
LAVATORIEF....: 5 DISHWASHCRS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 4 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 0 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
---------------------------------- -- MECHANICAL ----------—-----— ----_—__ __ --------
FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS..... 4 CLOTHS DRYERS: 1
/GAS/ / / FURN )-1001( ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAG OUTLE.TS...: 1
-•-------------._-------._.------------------------------------- ELECTRICPt. - - -- ----------------_---— __-------
-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- --BRANCH CIRCUITS—_ ---MISCELLANEOUS---- --MIL INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 2200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
f.A ADD'L 5005F.: 7 201 - 400 amp..: 6 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER FDA...... 0
LIMITED ENERGY.: 0 40 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNALiDAtEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 W1 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
10&00+ amp/vnit.: 0 ----- ------------------------------- PLAN REVIEW SECTIIIN -_----- -----------------------
Recomiect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC-
-------—----------—-----------
CC:------------------------------ ELECTRICAL - RESTRICTED ENERGY - -------- -- -- ----------------------------
A. SF RESIDENTIAL.---- -----_—_--------- B. COMMERCIAL------- ------------_—_._--_------•------------- _
AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO A STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CFLLS....: TOTAL 0 SYSTEMS: 0
,;wner: -------------------------------------Contractor: - ------ ---- ---- TOTAL FEES:, 3367.06
BOURGEOIS NORTHWEST DREAM HOMES
14306 SW TAYLORS CREST LN 29351 SW BAKER ROAD
IL LAKE OSWEGO OR 9TRWOOD OR 97140
rr Phone A: 536-6438 Phone i1: 662-8777 (W)
Reg A..: 66979
This permit is issued subject to the regulations contained in the Tigerd Municipal Code, State of Ore. Specialty Codes and all other
=� applicable laws. All work will be done in accordance with approved clans. This permit will expire if work is not started within lee
m days of issuance, or if work is suspended for more than 190 days.
�7 ----- REQUIRET, IN9PECTI[1M5 - - ------------ --
J Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
Post/Beam Mechan Electrical Servi Fire I e,4hsp Rain drain Insp Mechanical Final
Crawl Drain Electrical Rough tE Insp Water Line Insp Plumb Fina
Permittee 1:3ignatI_tre: — ISSI-ted fay:
1 t' r inspection — 639-4175
CITY ® TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . : SWR96-0273
13125 SWH80Blvd.,Tlgeird,OR97223 (503)838.4171 DATE ISSUED: 12/20/96
PARCEL: 2S104CC—HWO01
SITE ADDRESS. . . : 14306 6W MISTLETOE DR
SUBDIVISION. . . . : H I LLSH I RE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .001
----------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNIT-3. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :DUSWR IMPERV SURFACE: 0 sf
Remarks : PATH I
Owner: ---------------------------------------------------- FEES
BOURGEOIS type amount by date r•ecpt
14306 SW TAYLORS CREST LN PRMT * 2200. 00 JSD 12/20/46 96--288024
INSP $ 35. 00 JSD 12/20/96 96— 680L4
LAKE OSWEGO OR
Phone #: 636--6438
Contractor:
CONTRACTOR NOT ON FILE
-------------------------.__--------_
Ph n n e #; f 2235. 00 TOTAL
Reg #, . :
------- REQUIRED INSPECTIONS --------
This Applicant agrees to comply with all the rules and regulations Sewer Inspertion
of the Unified Sewage Agency. The permit expires IN days from Case Finaled
the date Issued. The total amount paid will he forfeited if the y_
permit expires. The Agency does not guarantee the accurac; of the _
side sewer laterals. If the sewer is not located at tke measurement
given, the installer shall prospect 3 feet in all :irections frmm _
the distance given. If not so located, the install shill perchafe
a "Tap and Side Sewer" permit and the A9 i 1 a lateral.
Pprmittee Signa. _ -
I s s i_leCl
y Call for inspection — 639-4175
J
I
I
Residential Bujidina Permit Ao flcat'
city of Tigard t
13125 SW ball Blvd. r
Tigard, OR 97223 �,
(503) 639-4171
Jobsite Address
Subdivision. "" Lot# � Office IJse QNaC
Valuation: foo Contact Date l i Initials
Result
New Construction Only: (Square Footage)
Planck/Rec#
House: _32 I Garage: _ Permit#. >Lf
Reissue of—
Comer Lot? Y � Flag�ot? Y Map #.,51 qccl
zone D _
Owner: ,� �L`� Plat# W I . l i z i, Sl77
A tdress� Approvals Requite )
Planning Setbacks (6 SolarcA �r
Engineering pW o 1^
Phone: (�G ' — Other
Contractor:
Address: �l/��f� Subcontractors
Truss Details
Other _
Phone: L ) _ NQ SDE 1 ` F. �c
Contractor's License#_ __—
Jr AL1/'N
,-, (attach copy of current Oregon license)
Contact Name
Contact Phone: Lew
p� Subcontractors: Archltect/Engineer: ! ("�
H
N
Plumbing: C1 G/ / _ Address:
J
m Mech3r.icaL �
(attach py of c t O Contractors Lic@ASS) > ?
J Electrical: _ r sr L hone:
JOB DESCRIPTION:
Applicant Signature } Applicant Phone number
Received by: y— r_ Date Received:
-+:oq•n caa+e+aoo
Permit d Account Description Amount Amt. Pd. Bal. Date ,.
Q r Bldg. Permit (BUILD) ' No,S o ,"Sp .
Plumb. Permit (PLUMB) Z 2 2
Mach. Permit (MECN)
Bldg:
i
Plumb: 2
Mach: 2
iarcrncpl , Z �� `'
an Check (PLANCK) 426 jr �� 2.3Z ;3
B g:
Plu
Mach:
��w6-o273 Sower Connec n (SWUSA) C,C)
Sewer Inspection (SWINSP)
Parks Dev Charge ( SOC)
Residential TIF (TIF
Mass Transit TIF (TiF-MT) -
Commercial TIF MF-C) _
Industrial TIF (TIF-1)
hastitutional TIF (TIF-IS)
Office TIF (TIF-0)
a Water Quality (WQUAL) L�
U)i Water Quantity (WQUANT)
J Fire Life Safety (FLS)
zo-
o Erosion Cntrl Permit (ERPRMT)
J
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) 6,0
TOTALS:
4
96 May 20 09:38:26 AALTILTIHW 4 Alan Molmd Deign 15031225-9181
2314E
BY
. ` NORTHWEST DRFAM HOMES
J �t� CITY OF TIGARD
HILLSHIRE WOODS
1 `68�.`7��,7, LOT 1
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_ TOPOONA/NY/Fg w"m R E TK$OLE
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o S S 300• All IM COW1014.MCl1AtE0 ANY FILL
S• PLACED ON THE VIE AND 0I01M1 OM"
OF ANY POTENTAIL FIELD MODIFICATIONS.
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lyjs, c
05/20/96 MRR
ofa ` O
ALAn flAf ( ODD Dtf Ian AIIOCIATtf In (
1305 N.W. 18TH AVENUE, PORTLAND, OREGON 97209 1503) 225-9161 S C A l E 1 " . 2 0 ' 0 "
SIERRA PACIFIC
nDEVELOPMENT, INC.
P.O. BOX 1754 LAKE OSWEGO, OR 97035 (503)684-3175 FAX (503)684-3176
TIF CREDIT VOUCHER
PROJECT NAME: HILLSHIRE SUMZT #2, HILLSHIRR ESTATES,
HILLSHIRE ESTATES #2
THIS VOUCHER ENTITLES �'CuCd� lj? �jCc
TO ONE ( 1 ) TIF CREnIT FOR LOT / IN THE
e5
SUBDIVISION.SUBDIVISION.
THIS TIF CREDIT SHALL BE APPLIED BY THE CITY OF TIGARD AGAINST
THE APPROVED TOTAL TIF CREDITS FOR SIERRA PACIFIC DEVELOPMENT, INC.
4`1
AUTHORIZED SIGNA UR
C�
OREGON TITLE COMPANY
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