Permit CITY OF T MASTER P ERMIT
r` /4,04, DEVELOPMENT SERVICES PERMIT # MST97 -0231
�DATE ISSUED: 07 /15/97
U - _-.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S104DB -03800
SITE ADDRESS...: 13212 SW WELLINGTON PL
SUBDIVISION •AMESBURY HEIGHTS ZONING: R -4.5
BLOCK LOT -38 JURISDICTION: TIG
Remarks: SF - Path 1
BUILDING
-
REISSUE: STORIES • 2 FLOOR AREAS BASEMENT...: 0 sf REQUIRED SETBACKS— REQUIRED- -
CLASS OF WORK. :NEW HEIGHT • 28 FIRST • 1128 sf GARAGE • 900 sf LEFT 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD • 50 SECOND...: 1042 sf FRONT • 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT : 5
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2170 sf VALUE..$: 161085 REAR • 20
- - - - - -- PLUMBING -- ----
SINKS • 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.• 1 RAIN DRAIN ft: 1w . TRAPS • 0
LAVATORIES • 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 1w SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB /SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 1v- BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
— MECHANICAL — - - - - -- ---
FUEL TYPES— FURN ( 100K ..: 1 BOIL /CMP ( 3HP: 0 VENT FANS • 3 CLOTHES DRYERS: 1
GAS FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 1 OTHER UNITS...: 0
MAX INP.: 250000 BTU FLOOR FURNACES: 0 VENTS • 2 WOODSTOVES • 2 GAS OUTLETS...: 1
- - -- — ELECTRICAL — --
- RESIDENTIAL UNIT— — SERVICE /FEEDER -- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS— MISCELLANEOUS -- — ADD'L INSPECTIONS --- .
1v SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 0
MANF HM /SVC /FDR: 0 601 - I'M amp.: 0 601 +amps -1' v: 0' MINOR LABEL -10: 0
1000+ amp /volt.: 0 — — PLAN REVIEW SECTION -
Reconnect only.: 0 1 =4 RES UNITS..: SVC /FDR) =225 A.: ) 600 V NOMINAL: CLS AREA /SPC OCC:
- -------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY - -- - ----- - - - - -- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL -- ---- ----- — - - - --
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: .. BOILER • HVAC LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: X CLOCK • INSTRUMENTATION: MEDICAL OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS • TOTAL D SYSTEMS: 0
Owner: -- ---- Contractor: — - TOTAL FEES:$ 4371.35
MILTON CONSTRUCTION INC STONE CASTLE BUILDERS This permit is subject to the regulations contained in the
8465A SW HEMLOCK ST PO BOX 230594 Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97223 TIGARD OR 97281 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 0: 452 -0969 Phone 0: 452 -2554 not started within 180 days of issuance, or if the work is
Reg R..: , 4026 suspended for more than 180 days. ATTENTION: Oregon law
-- — -- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001- '.'' :' You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
------- - - - - -- -- - - ---- -- REQUIRED INSPECTIONS --- - - - - -- — -- -- --
Erosion Contol Post /Beam Mechan Electrical Servi Fireplace Insp Water Line Insp Plumb Final
Grading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Service In Building Final
Footing Insp PLM /Underfloor Framing Insp Insulation Insp Appr /Sdwlk Insp
Foundation I Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final
Post /Be 5truct Top Out Lo Voltage Rain drain Insp Mechanic- final
��
Issue By: .. _ �' .� Li- Permittee Signature: ill
+ + + + + ++ + ++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + +,.' + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
�-� l Y -✓ r`--"
Recd By Plan Che Z 3
ITY��''= nc; D Residential Building Permit Application ) •
j125 HALL BLVD. New Construction Additions or Alterations Date Recd &- /g--0 7
:GARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. . -'7
503 .8394171 Date to DST - _.ela!j ff
303- 684 -7297 L - g Permit a ,f., 'Ti I' 31 eqi-
7 Print or Type Called n 7-07, , 231
Incomplete or illegible applications will not be accepted L '�`5� ' 7' '
Name o Protect Name f
Job � Wt. S ( .,,Ay �e c 4 J�1 S ( ., / L i r 1 c 1\
Address Site Address Architect Mailing Address
12 z QI(;4a,,, -r/ t' .1 /U is 66' 14!
Name C Sta Zip Phone
Owner Mail �`Ib c ' _w /'I+ ode e2 , (s9-u•t -t -'t- C i S
City/State c� Zip . Phone
Engineer Mailing drrisa / J
Nai' 5 »f- � 1 - 1?- 1 -:3 4/SZ - 0 °6 d ' dres
13 o s (� Zp ' I Phone,
J [ G1
General /� -�� q7 U'' J 79
c.,, Describe work New, Addition 0 Alteration 0 Repair 0
Contractor Mailing Address to be done: /
Additional Description of Work: _
City/State Zip Phone CC
Oregon nst. Cont. Board Liao Ex y ate 1 1 I (/ O �
Attach Copy of j i Se ( 5
current -- - - COT =Bus = ax°or Metro - 0 - -- _ /-- - PROJECT ._ -
licenses t �i�' / / VALUATION li — >L-G
�
Mechanical N y(e -� �,�,�t, �, t�e vv - NEW CONSTRUCTION ONLY: -
Sub- Mailing Address Sq. Ft House: O . Sq. Ft. Gara
Contractor 3 C° / ie a Comer Lot YES NO Flag Lot YES NO ,
City/State - Zip e Phone g
N� J , l (�. 9 703 hots- �Sz�F (check one) I/ (check one)
Restricted Audio/Stereo Burglar
Oregon Const. Cont. Board Licit Exp. Date
, .Itach Copy of I/io 3 6 - Li 2 - -? I Energy System Alarm
Current al: usi ess Tax or Metro # Exp. Date Installation Garage Door , / HVAC
Licenses Cj 7 -- SK/ Z / V Opener (/ Systems
Name (check all that . Other. -
Plumbing ' ?,vs 1. 7 apply)
Sub Mailing Address Will the electrical subcontractor wire for all YES NO
Contractor 3 L- 0 si..j 2d5 Xi l LA. restricted energy installations? V
w ar t.,..._ Zip Has the Subdivision Plat recorded? N/A Y� NO
O an n t. Cont. Board Licit Exp. Date it Reissue of MST# Solar Compliance
Attach Copy of G ep ar0 3 -2 9$� � (Calculation Attached)
Current . Plumbing Lea 4 4 .x Dace I hearby acknowledge that I have read this application, that the
Licenses 3 N _ Z �� information given is correct, that I am the owner or authorized
COT Business Tax or n ry, cx .Date � agent of the owner, and that plans submitted are in compliance
- Name 2 3 R �-I - with Oregon State laws.
l Sig 4412 - ner /A.
Electrical D to
L � �/A, ,, S Lief r C jvrL /Z 7 7
Sub- Mailing Address Con act Pers• > • - me Phone 4
Contractor / J 867 S kJ Ail / ive 4 r ye- - -- • 'fOZ- ,.2c/ T
SState ( Z � Phone FOR OFFICE USE ONLY: ,/
� 13 163.7' r75 7 L Plat #: 6
O on Const Cont. Board Lic.# Exp. Date 110 — I I 1 2.- 4C'" � ,y � ?j
Attach Copy of / `/ k S tb ck 2rzi ' I Solar.
Current E!ectncal Lic. 4 Exp. Date � _ � lJ � S d Licenses 'I- g OS - C 7 g _ 11 `
� �� r / \ri psgva I PI r mg Approval: TIF:
COT Blsiness Tax or Metro # Exp. Date U t I.P ,(1 r (��//W
`'li 7 .SJ9 3 I 'i :Lsflapp.doc (dst) 1/97
f _
Permit � DescriDtiorl � �mt. Pd. Bal. �pg D
�N9 MST. Permit (BUILD) `c
Plumb. Permit (PLUMB) o 'Iv- Aas��
Mech. Permit - (MECH) `i I/ 6
ELC /ELR Permit (ELPRMT) 8 ' tj -75
State Tax (TAX) -- 6, '- 51"
Bldg: gg
Plumb: /
Mech: _ . g ' % //
ELC /ELR:
Plari Check • ,/
•
MST: (BUPPLN) -382 " I (96Z• oo - . i ?a
Plumb: (PLMPLN) J
Mech: • • V (MECPLN) /a• °/ 1
. C rte
CDC Review G r,� , " (LANDUS) .4c5-- 2d _
�cp -de AP' �/
Sewer Connection (SWUSA) 2 ?PO 2
Reimbursement District ( ) /
Sewer Inspection (SWINSP) - -7 2 S / 3‘
Parks Dev Charge (PKSDC) I b ' / I oso
Residential TIF (TIF -R) I 7U / 1 S ao
Mass Transit TIF (TIF -MT) 12Q ✓ I zo
�
. «,o
Water Quality (WQUAL) J,,� I 2
,
te6 ei
.,
Water Quantity (WQUANT) 6 6/
U
Erosion Control Permit (ERPRMT) ( 4— V calk
Erosion Planck/USA (ERPLAN) /,D i �� / J . 70 Yv
Erosion Planck/COT (EROSN) V
gD & ,
------/)
Fire Life Safety (FLS) �` TOTA LS: - G l r /) 'p .o° OW l 5 /
i:\sfa••. oc (dst) 1/97 1
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CITY OF TIGARD •
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EVANS ELECTRIC INC
11867 SW WILTON AVE
TIGARD OR 97223
taA Ica ignature Form
Permit #
Date Issued.: 07/15/97
Parcel 2S104DB 03800
Site Address: _ •a TON —
Subdivision.: AMESBURY HEIGHTS
Block Lot: 38
Jurisdiction: TIG
Zoning • R - 4.5
Remarks:
SF - Path 1
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:
DALTON CONSTRUCTION INC EVANS ELECTRIC INC
8465A SW HEMLOCK ST 11867 SW WILTON AVE
TIGARD OR 97223
TIGARD OR 97223
Phone #: Phone #:
Reg #..: 001048
Sign ure of upe visin• Electrician
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
J & R PLUMBING
3430 SW 209TH AVE
ALOHA OR 97007
Plumbing Signature Form
Permit # • MST97 -0231
Date Issued.: 07/15/97
Parcel • 2S104DB -03800
Site Address: 13212 SW WELLINGTON PL
Subdivision.: AMESBURY HEIGHTS -
Block Lot: 38
Zoning • R -4.5
Remarks:
SF - Path 1
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 RE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
DALTON CONSTRUCTION INC J & R PLUMBING
•
J
8 SW HEMLOCK ST 3430 SW 209TH AVE
TIGARD OR 97223 ALOHA OR 97007
Phone #: 452 -0969 Phone #:
Reg #..: 000000
X ax4Atze j_ ICIA4t-eAte,Z
Signature of Au horized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639 -4171, ext. #310
•
•
Solar Balance Point Standard Worksheet
Address ,
Box A calculations: North -South dimension for the lot. Box A:
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. -._ ..::..
. , • ,.`,, on.........1 45
t
Qw .
N North -South
Dimension for Lot:
Measure the distarice.from the midpoint of the North tot line to the South lot line along
the described line. 40. feet
. ' . t ' - ... • - - • . . . „
_
N
�wuuN aem«
Box 3 calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important your residence?
1 a: If the roof line runs North- South, measurements will f aLl'■ (circle one)
be based on the peak of the roof. W
111.11.1.111
i. •ales 1 A 1 B m
l
1 b: If the roof line runs East -West and the roof pitch is X,
Iess tan 3;12, measuremer.ts will be based on the
eave.
1c: If the rcof line runs East —Vest and the roof pitch is ■
5/12 cr steeper, measurements will be based on the_. , . s �,,
- R ..,
p eak. o� -�-
OKI MOM mat
•
Box B. continued Box B:
2. I L
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 5.0 ft
the lot slopesdown from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + ft
4. If the roof line runs North - South, deduct three feet. If the roof line runs East -West, - () ft
deduct nothing. _
5. Subtract one foot for each foot of difference in elevation from the front property
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. - 6 ft
6. Total figure for box B: Z3.5 ft
Box C. Distance to the shade reduction line. • Box C
1. Measure the distance from the North property line to the foundation near the W,0 ft
affected peak/eave. •
2. Measure the distance from the foundation to the affected peak or eave. + 24.0 ft
3. Total figure for box C: _ Q ft
It a most useful to draw veidQl Erne to represent the appropriate figure found in box 'A' and a horizontal fine to represent the
appropriate figure found in box 'C'. The intersection of the vertical and horizontal fines determines the value found in box 'D'. The value
in box 'D° should be compared to the value in box '8'; if the value in box 18' is les than or equal to the value found in box 'D', then
the building is in compliance with the solar balance code. If you have any questions, please menace us at 639 -4171, x304 or at the
Community Development Counter. -
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) E
oisance to North -south lot dimension fin fees
shade 100+ 95 90 85 80 75 70 65 60 55 50 - 45 40
reduction fine
from northern
int fine r;n feerf
70 • 40 40 40 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
/
'30 32 32 32 33 34 35 36 37 33 39 40
45 30 30- 30 31 32 33 34 35 36 37 ci 39
�0 28 23 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 28 29 30 31 32 33 34
25 22 22 22 23 24 25 25 27 28 29 30 31 32
20 20 20 20 21 22 2.3 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 27 28
10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
Sox D. maximum allowed shade point height 3S • 0 feet
hMocsknancyNventuraisolar.cho •
Re Ased 226i96
Ita
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: [ 3 ` /� � / , P M. MST: -/ 7 t� /
Location: /cam /c A 7 74 , .� ,n )'L- e Li 7 BUP:
Tenant: Suite: Bldg: MEC:
Contractor: 2) �
Phone: 7 l - 03- PLM:
Owner: Phone: ELC:
CrJp 8 Ct D ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Fos eam Post/Beam Cover /Service Sewer /Storm
, Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Ap roved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
•
O Call for reinspection O Reinspection fee of $ required before next inspection 0 Unable to inspect •
Inspector: G`9 ��_ Date: it Page / of
L-OT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ^^ �� ' gU A.M. P.M. MST: / 7 l 1
Location: _ — o+. 1 L / // /� BUP:
Tenant: Suite: Bldg: MEC:
Contractor. ( ��.U"Yl Phone: 519 -- 05 PLM:
Owner: Phone: ELC:
� j (�v//��111
/ i / /U E w (e ._ Fop ELR: •
/ / C �`} (E%��/' SIT:
BUILDING BLDG (con't) 1 PLUMBING MECHANICAL LECTRIC SITE
Site Post/Beam Post/Beam Post/Beam Cover7Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
. Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump •w to
Approved Approved Approved • • pproved' Approved
Appr /Sdwlk Not Approved Not Approved Not Approved o • 'proved Not Approved
FINAL FINAL FINAL FIN • FINAL
� lY1Q /-- jap
ZDet/ I//P 5'S
•
/- 4-5 4 U.iork Loa acs S as c.,/,
•
•
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: // --- -, �- 0 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 AP Date Requested: — / , / ' 1 9 A.M. .P.M. MST: 9 7
Location: / 3. /� iv Wavy? r? : # A � ( (47 £ BUP:
Tenant: Suite: ?SP MEC:
Contractor: G i ' .� _ / 0V� _ Phone: . ?— 0 p a 7 0 PLM:
Owner: Phone: ELC:
ELR:
BUILDING BLDG (con't) UMBINC) MECHANICAL ELECTRICAL SITE
Site Post/Beam ost /Seam Post/Beam " Cover /Service SenterLStotm
Footing Roof UndFUSlab Rough -In Ceiling Cater Liri
Slab Framing Top Out Gas Line Rough -In • UG Sprinkler
Foundation Insulation t� Hood/Duct Reconnect Vault
Bsmt Damp D r y w a l l o s . Furnace Temp Service MSC.
Masonry Ceiling • Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved ‘Ap Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
•
O Call for rein tion 0 Reinspection fee of $ required ' before next inspection 0 Unable to inspect
/ /�.
Inspector: Date: G� q7 Page / of J
MA3
`
�`' CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / _ _ _ A. P.M. MST: 9 7'✓ e,7c.3/
Location: A 3Q IOR,1) I
BLIP':
Tenant: Suite:: (dJ Bldg: MEC: �
Contractor: K� ( '5 9 Phone: (�� PLM: %Q '(/6
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) <PiUMBING) MECHANICAL ELECTRICAL
Site Post/Beam PosBBeam Post/Beam Cover /Service Sewer orm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinlder
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab '
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved • • .. ed J
Appr /Sdwlk Not Approved • o - .. oved Not Approved Not Approved Not Approved
FINAL DIAL , FINAL FINAL FINAL
O Call for re. - 0 Reinspection fee of $ r *red before next inspection 0 Unable to inspect
Inspector: '" Date: < "` ,�� Page of