14442 SW MISTLETOE DRIVE ■
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14442 SW MISTLETOE DR
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
XL ELECTRIC
581 LANCASTER DRIVE, SE #50
SALEw OR 97301
Electrical Signature Form
Permit # . . . . : MST96-0173
Date Issued. : 04/26/96
Parcel . . . . . . : 2S104CC-06000
Site Address : 14442 SW MISTLETOE DR
Subdivision. : HILLSHIRE WOODS
Block. . . . . . . . Lot : 004
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:
p, PALLADIAN PROPERTIES INC. XL ELECTRIC
OC 11375 SW 90TH AVE 581 LANCASTER DRIVE, SE #50
N
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TIGARD OR 97223 SALEM OR 97301
Phone # : 799-0566 Phone # :
m Reg # . . : 109432
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Signature of Supervising sing Electrician -
Please return this completed form to the address above.
A'TTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
CITY OF TIGARD
DEVELOPMENT SERVICES
13123 SW Hsll Blvd., npO ON 91723(303)6394171
CERTIFIGNTE OF
OCCUPANCY
PERMIT 0. . . . . . . s MST96 -01 7'..1
DATE ISSUEDs 10/11/96
PARCEL 1 26104CC-06000
SITE ADDRESS. . . 1 14442 SW MISTLETOE DR
SUBDIVISION. . . . a 141LLSHIRE WOODS 1:0NIN60- 7 PP
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . s004 ,JURISDICTIONsTIG
CLASS OF WORK. aNEW
TYPE OF USE. . . s SF
TYPE OF CONSTRs5N
OCCUPANCY GRP. sR3
UCCUPANCY LOADs2
Remar-ks s PATH I
Dwners
PAL.LADIAN PROPERTIES INC.
11375 SW 9014H AVE
TIGARD OR 97223
Phone #s 799-0566
Contractors ----____.-____________.-____-.._-_. ..
PAL.LAD1AN PROPERTIES INC
11375 SW 90TH AVE
TIGARD OR 97223
Phone #1 799-0566
Re.q #. . 1 000958
chis certificate grants occupancy of the above referenced building or portion
thereof and r;onfirms that the building ha% been inspected for compliance with
the State of Oregon Specialty Coders for the group, occupancy, and use under
which the referenced permit was issued.
Y i
BUILDING INSPECTOR F�vJ �`3ALiTNS4CT
!3UnERVIROR
POST' IN GONSP I CUOLIS3 PLACE
MASTER
CITY GF TIGARD PERMIT RERMIT. . s 05-126-0173
' COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/26/96
13125 SW Hall Blvd.Tigard.O►ogon 97223.6199 (503)6304171
PARCEL: 2S104CC-06000
SITE ADDRESS. . . : 14442 SW MISTLETOE: DR
SUBDIVISION. . . . : F4ILLSHIRE WOODS ZONINCs R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004
Remarks: PATH I
----------------------I--------------------------------------- BUILDING ---------------------- ------------_______-----------------
REISSLIE: STORIES.......: 2 FLOOR AREAS---------- BAS£MENT...v 8 if REQUIRED SETBACKS--- REQUIRED------------
.: HEIGHT........: 30 FIRST...,: 1'21 0 if GARAGE.....: 736 if LEFT..........: 9 SNWE DETECTRS: Y
TYPES U5E...:ST FLOUR LOAD....: 40 SECOND...: 1339 if FRONT.........: 25 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 8 if RIGHT.........: 6
OCCUPANCY GRP.:R3 BDRM: 4 BATA: 3 TOTAL-------: 2539 t VALUE..{: 176655 REAR..........: 70
.----------------------- -------------------------- PLUMBING ----------------------- ----------------
SINKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.......... e«
LAVATORIES....: 5 DISIORSHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 8
TUB/SW.RS...: 3 GARBAGE DISP..: i WATER HEATERS,: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS,.: 0
OTHER FIXTURES: 0
------------------------ -- --------------------------- MECHANICAL -------------------------------------._—_--__—..---------
FUEL TYPES----------- FURN ( 108K ..: 8 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=IM ..: I UNIT HEATERS..: 0 HOCDS.........s I OTHER UNITS.,.: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
---------------—------------------------------ —.__--_ ___ ELECTRICAL --------------------------------------------------—--------
--RESIDENTIAL LMIT--- ---SERVICE/FEEDER---- --TEMP 5RVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS----- --ROD', INSPECTIONS—
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 8 PER INSPECTION: 0
EA ADD'L 508SF.: 5 281 - 488 amp..: N 201 - 480 amp..: 8 1st W/O SVC/FDR: 8 SIGN/OUT LIN LTi 0 PER HOUR......: 8
LIMITED ENERGY.: 0 401 - 600 amp..: 0 481 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 8 IN PLANT......: 0
MANF HM/SVC/FDA: 0 601 - 1008 amp.: 0 681+amps-1880 v: 0 MINOR LABEL -l8: 8
1880+ amp/volt.: 0 ------------------ ---------------- PLAN REVIEW SECTION -------------------------- _---
Reconnect only.: 0 )=4 RES LIMITS..: - SVC/FDR)=225 A. ) 688 V NOMINAL: CLS AREA/SPC OCC:
--_
---------------------------_---------------- ELECTRICAL - RESTRICTED ENERGY ---------------____-------------------------------
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL-------- --------------------------------------------------------------_---
AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARMM—_: INTERCON/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :s X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNLi
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: s:
HVAC...........: DATA/TELT COMM.: NURSE CALLS....: TOTAL- 1 SYSTEMS: 8
Owner: -----------------------------------Contrartm: ------------------------------ TOTAL FEES:1 4672.46
PALLADIAN PROPERTIES INC. PALLADIANI PROPERTIES INC
11375 SW 90TH AVE 11375 SW 98TH AVE
LL TIGARD OR 972c-'3 TIGARD OR 97223
ix
Phone IM: 794-0566 Phone 0: 799-8566
fn Reg C.: 95889
This permit is issued subject to the rega?e}inns contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
ED' applicable laws. All work will be done in arr.ordance with approved plans. This permit will expire if work is not started within 180
W days of issuance, or if work is suspended for more than 180 days.
W --------------------------------------------------------- REQUIRED INSPECTIONS ------------------------------------ ---------------------
Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final _
Post/Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final
Post/Beam Meehan Electrical Servi Gas Line Insp Nater Line Insp Plumb Final
Crawl Drain Framing Insp Gas Fireplace Water Service In Building Final
4
1='ar,mitLee 'S)iynat1-r -ee�� _t- Is s 1-i ed By :
Call for- inspection - 6:z9-4175
SEWED CONNECTION
CITY OF TIGARD PERMIT
PERMIT M. . . . . . . : SWR96-01.68
' dOMAMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED r 04/26/96
13128 SW Ham SN!.TNerd,Oregon 97223941" (603)6394171
PARCEL: 2S 1 @4(:C-@6@@@
SITE ADDRESS. . . : 14442 SW MISTLETOE DR
SUBDIVISION. . . . : HIL_LSHIRE WOODS ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . c004
-------------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE U04I TS. . . e 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACES 0 sf
Remarks : PATH I
Owner: ------------------------------------------------------ FEES --------------
PALLADIAN PROPERI IES INC. type amioi_+nt by date recpt
11375 SW 90TH AVE PRMT $ 2200. 00 J*H 04/26/96 96-278685
INSP f 35. 00 J*H 04/26/96 96-278685
TIGARD OR 97223
Phone #: 799-0566
Contractor:
CONTRACTOR NOT ON FILE
---------------------------------
Phone #: $ 2235. 00 TOTAL
Req #. . .
------- REQUIRED INSPECTIONS -------
1his Applicant agre.s to comply with all the rules and regulations Sewer Inspect i n �+
of the Unified Sewage Agency. The permit expires 180 dais from "'JA a
the date issued. The total amount paid will be forfeited if the _
permit expires. The Agency does not guarantee the accuracy of the —
side sewer laterals. If the sewer is no; located at the seasurement _
given, the installer shall prospect ?, feet in all directions from
the distance given. if not so locatrd, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
F-'ermittee Signature :
s
l s s i_i e d S y :
r—
d. Call for inspection — 639 -4175
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Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 (fk`�GI
Jobsite Address: I t1411aZ P11/,51Lr&�' &,ah
Subdivision: 911,5#145- Lot# Office Use Only
Contact Date / / _initials _
Valuation: Result
New Construction Only: (Square Footage) Planck/Rec # ( __
Permit # 17-
House. Garage: _ Reissue of M _
Corner Lot? Y � Fla Lot? Y - Fj- Map & TL# 7 10 fi
9 C�_ Zone �-�1 pv
Plat # l0(•.:23
Owner. '!4 tS �/�
Address. 11375' SSAJ 90 Approvals Required
Planning Setbacks /Solar_ c_ ILTIA,'A f
Engineering ---T' t_nUL 0.-z B<?C' - el ,
Phone:
LsLD �q�'�,S�L __. -- Other iS /b" pLtaEy-"wtAnff_
Contrac: .r: Sfet4lg Arl AUPEA.-_ _ Items Required
Subcontractors
Address. _— _ _ Truss Details
Other
Notes�0
7hon
Contractor's License # �
(attach copy of current Oregon license)
Contact Name: l6 S/1�
Contact Phone: ( 5.0-5 ��1-"OsL6 �,,k THA(
Subcontractors: 96 Architect/Engineer: A&4�W_h
L Plumbing: �sl<fi /`",-e Address:
r
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Mechanical:�iL/-9�'_dNAo'ry
(attach copy of current OR Contractor's License) (ti CeY CcAnV_
/0-Aflyf-17Phone: L573 )QA_4-_9/�
7 JOB DESCRIPTIG 3/D
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Applicant SignaWe Applicant Phone number
Received by:
'WIC. Date Received: b 3 2 P' fo
H Vogw'k'*..pp
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YES NO N/A
9. ( ] [ j [ ] ROOF TRUSS�S (engineerin etails and layouts)
10. [ ] [ ] [ ] COMPLETE C OSS SECT N(S)
11. ( ] [ ] ( ] ALL 4 ELEVA IONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS D MODELS
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12. [ ] I ] [ ] BASEMENT L, FOUNDATION AND RETAINING WALL
SECTIONS ( I need engineering if walls are 8 ft. nigra or
higher).
13. [ j [ ] [ J WALL B ING (structure must meet table R-402.10, revised
terna ethod 93-7, or a lateral design shall he provided).
14. [ ] [ ] [ ] ALL E AILS REQUIRED BY NO. 13 ABOVE SHALL BE
IN O ORATED INTO THE PLANS. (Attachments must be
arl ible and fully referenced in the plans).
15. ( ] [ ] [ ] BE CAL LATIONS (all beams over 10 ft. in length or any
b m that sup rts a point load).
16. [ ] [ ] [ tNERGY CODE PA APENTIFIED
DO NOT MAKE CORRECTIONS IN RED
RED WILL ONLY CAUSE DELAYS% '
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