Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST99 -00129
t lY , 1 1 DEVELOPMENT SERVICES DATE ISSUED: 4/13/99
-- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13588 SW WHITEHALL LN PARCEL: 2S104DB -00400
SUBDIVISION: AMESBURY HEIGHTS ZONING: R -4.5
•
BLOCK: LOT: 004 JURISDICTION: TIG
REMARKS: Path I
BUILDING ,
REISSUE. STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK N HEIGHT: 24 FIRST: 2.219 sf BASEMENT: 0 00 sf LEFT: 64 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.443 sf GARAGE: 810 sf FRONT: 48 PARKING SPACES : 0
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT: 16
VALUE: $ 272,325.18
OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3.662 00 sl REAR: 5
PLUMBING
SINKS 2 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: 0
LAVATORIES. 6 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: 0
TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN < 100K: 0 BOILICMP < 3HP: 0 VENT FANS: 6 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1
MAX INP: Obtu FLOOR FURNANCES: 0 VENTS: 0 WOODSTOVES: 0 GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 0 - 200 amp: 0 W /SVC OR FDR: 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF: 7 201 • 400 amp: 0 201 • 400 amp: 0 1st W/O SVC /FDR: 00 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
601 • 1000 amp: 0 601 +amps•1000v: 0 MINOR LABEL: 0
1000+ amp/volt : 0
PLAN REVIEW SECTION
Reconnect only: 0
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: IRRGATION BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: 0
•
Owner: Contractor: TOTAL FEES: $ 5,828.56
CASCADE WEST CONSTRUCTION CORP CASCADE WEST CONSTRUCTION This Tig ard d Municipal is subject icipal Code, , the re State of f OR. OR. ec C o in the
10445 SW CANYON RD gR. S Specialty Codee s and
1
1044 CORP OR 5 SW CANYON RD all other applicable laws. All work will be done in
#103 TON, OR 97005 E 103 10445 accordance with approved plans. This permit will expire if
103 N, OR 97005 work is not started within 180 days of issuance, or if the
BE
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 641 -7424 Phone: 641 -7424 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Post/Beam Mecha Electrical Service Gas Line Insp Electrical Final
Grading Inspectior Crawl Drain /Backe Electrical Rough Ir Insulation lnsp Mechanical Final
Footing lnsp PLM /Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service Ins[ Building Final
Post/Beam Structt, Plumb Top Out Low Voltage Appr /Sdwlk lnsp
•
/5 &y; /1- 1/6'nl /Z.6-.' i• 40 0
C9--1..z_ (So.3) 63 9 - q' 7S /3 y 7• a � s V7 �Z. fin/ //vsPE( 70 n/ rk/ &6 E
7 Ate x7 /U � S ,A, - 5 ,'9y
ARD Residential Building Permit Application Plan Check #d -9 ? C
HALL BLVD. New Construction Rec'd By b
Date Rec'd 3 - Q
, OR 97223 Single Family Detached Date to P.E. %ff ' •
- 639 -4171 Date to DST 4 - • " l 40')'
+7 F 503 - 684 -7297 r/.
c ' Pem,it # M 5799 — 9/4 9
') Print or Type Called '/ - /7 -T9
Incomplete or illegible applications will not be accepted
Name of Project Name
Job (-+� {- `'4 AntiL,sb1� 61 . fc Qt cJ � L. CA) (�,
Site Address Architect Mailing Address
Address i -3 S B ln
W, n � - ( 9.e. -f, l 04
Name City/State Zip Phone
I��� �.� os D 0 590 - 7c/2
Owner Mailing Address N A l � --r I latiNA
City/State Zip Phone Engineer Mailing Address
General Name City /State Zip Phone
Aloha oQ °I7C'7 SriI -s$s3
Contractor ecc>c.0 11J1,-( C v, - s • C p Describe work New Q Addition 0 Alteration 0 Repair 0
Mailing Address to be done:
Prior to permit I o H 4 z S,,.S e. '(a-) ea - ( ( - 1 3 Additional Description of Work:
issuance, a copy City/State Zip Phone
of all licenses Be ,il -f -'J Z. 9 1 - 7 a 3 s &in 7 &/ 2(./
are required if Oregon Const. Cont. Board Exp. Date v PROJECT '
expired in COT Lic.# VALUATION $ a 72 3 z
database & 2- 6-
Mechanical Name NEW CONSTRUCTION ONLY: ace 2 V Y 0
Sub- In/ t 1 -\-4-'-1 ,.. -f. ( 4 14- Er-,, ( Sq. Ft. House: Sq. Ftialage
Contractor Mailing Address 3 fc 62_
Prior to permit 43 Aid 2-31-51- Indicate the restricted energy installation by the electrical
1 subcontractor in the following areas
City/State
issuance, a copy Zip Phone
1+ ll
of all licenses r Sboro, 02 C/7 / 4 bq `i -15/ Restricted r /Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy fr System Alarms
: - expired in COT Lic.# � a � /9 � Installations ; � Vacuum Irrigation
database oL // System •--
Plumbing Name (check all that Other:
Sub- Pat vot Pid,..6(ne apply) y TV
Contractor Mailing Address Number of Units in Building Unit Number Designation
241 u L ,6r ed • Has the Subdivision Plat recorded? N/A a NO
Prior to permit City/State Zip Phone
issuance, a copy )1l l [sbd2a e.g.. ' 7(Z/ 6y$- 6yy/
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.# O•
expired in COT
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
n information given is correct, that I am the owner or authorized agent
3Y /R/ /�� / 5 / 012 of the owner, and that plans submitted are in compliance with
Name t! Oregon State laws.
Electrical it C „T-,e....
S. 4 atur- of Ow nt Date
Sub- Mailing Address - ��`�� f �'� " S 2 9
ontact P son Name Phone #
Contractor PD. (30 c 3 g if 1 o J d IA. tP4 y s 6W-7(12-(1
City/State Zip Phone
Prior to permit
issuance, a copy Wn a(a 02 q 7 J Lo 6 g - ) 3 5-s
FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date plat #: Ma R #:
required if Lic.# /,� C
expired in COT 07/f
,7-A0-0 l o - ( l /ory pi 6 o oo
database Electrical Lic. #, Exp. Date Setback t � Zo 7_ 4 5-- oVi —1 °7G 70 —/— 7 7 ; 4 dk � peA. /deo' /`yak. Electrical S pervisor Lic. # Exp. Date Engineering Approval: Plann' A val: TIF: 04. 3l& A -s /0 -/- of
is \dsts \forms\sfd - new.doc 11/20/98
T� y
,• '1
City of Tigard
Washington County Oregon pr
Voluntary Compliance Agreem-, t e/
To: Todd Pays /
10445 SW Canyon Rd #250
Beaverton, OR 97005
Re: Tempora• Certificat cup cy
I, Todd Pays, as responsib' e person for Tax Map 2S 104DB, Tax Lot 00400,
agree to the followi : - 6 ditions:
A temporary certi e of occupancy will be issued for a period not to'
exceed thirty days from this date, by which time the following conditions
must have been met and approved by the City of Tigard:
/35 6w WAiMe / Lrr -
Permit MST99 -00129 must be completed and approved.
Final grading and any required permit(s) for retaining walls must be
completed and approved prior to December 4, 1999.
I understand the City will withhold action until December 4, 1999.
Upon compliance with all above conditions, this case will be closed and the
certificate of occupancy will be permanent. I further understand that if these
conditions are not complied with fully, I may be served with a Summons
and Complaint without further notice for violation of requirements set forth
in the Oregon One and Two Family Dwelling Specialty Code (Final
inspection approval required prior to occupancy).
Signed: a ? Date: 0/1-/N
Signed: / _ I / Date: //
Note: Sign and return one Copy of this agreement by May 27, 1999,
otherwise this document is terminated and a Summons and Complaint will
be issued.
Main Office Branch Office
i • P.O. Box 23814 4060 Hudson Ave., NE
Tigard, Oregon 97281 Salem, OR 97301
Carlson Testing Inc. Phone (503) 684 -3460 Phone (503) 589 -1252
FAX (503) 684 -0954 FAX (503) 589 -1309
November 17, 1999
99- Gxxxx.CTI
FIELD OBSERVATION REPORT
PROJECT: Amesbury Heights — Lot 4
ADDRESS: Tigard, Oregon
BY: Brian D. Leach, E.I.
CTI engineering associate, Brian Leach, arrived on site to review the rockery wall at the proposed lot.
CTI provided a rockery wall design to the contractor prior to the start of construction. We understand that
the wall ranges in heights between 4 and 7 feet. During construction, CTI made periodic visits to review
the placement, fitting, and backfilling of the wall. The boulders were well fit and backfilled with crushed
drain rock (4" dia.). In addition, the subgrade soils were observed and probed by CTI and determine to
be suitable for support of the proposed wall. Based on our review during construction and final
observation after construction, it is our opinion that the subject wall has been adequately constructed and
backfilled. No further review of the subject wall is considered necessary.
Our reports pertain to the material tested /observed only. Information contained herein is not to be
reproduced, except in full, without prior authorization from this office.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted, ` PRp�
, f C 9
CARLSON TESTING, INC. .
15,951''°: :
+ 1 `
Brian D. Leach, E.I. Alan P. = - , ."
Geotechnical Engineer Associate Principal En • --
Cc: City of Tigard Bldg. Dept. — "HAP"
Seigler Excavating, Inc.