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SURVEYM WILL PIN ALL EX ERICA
FOUNDATION CORNERS AND PROVIDE
�o SUBSEQUENT
MORTGAGE SURVEY.
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2 PROVIDE & MAINTAIN SCIL SEDIMENT
FENCE AS INDICATED
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SCALE DRAWING LOT 47 EAGLE POINTE
N.W. 1 4 SEC. 10,T.LS,R•1 W, W.M.
CITY OF TIGAFZD
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_ , • _ WASHINGTON COUNT`r, OREGON -
JANUAR'� 16, 1997 Centerline Can cpP is Inc .
--AN EIGHT FOOT PUBUC U71UTY EASEMENT DRAWN BY: MSG CHECKED BY: WGDIII
SHALL EXIST ALONG ALL STREET FRONTAGE SCALE i "=20' ACCOUNT # 115 640
82nd give _;ladstcne, Oregon 97027
• M: \MLI\PLAT\EAGLEPO\L47EP—A 803 650-0188 `ox 503 650--0189
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-- 13875 SW AERIE DRIVE �.
Page No. 2 CASE HISTORY FOR CASE NO.: MST97 0093
RENAISSANCE
13875 ati AERIE DR
02/19/99
Action Description Req/ Sr-hd/ End/ Action Notes Disp By Update Upd
Code Bent Done Done Date By
------- -----
MSTA735 Gas Line Insp 07/18/97 / / 07/08/97 PASS US 07/18/97 J+H
MSTA736 Gas Fireplace 04/21/97 / / / / 04/21/97 RDP
MSTA740 insulation Insp 04/21/97 / / 07/08/97 PASS GS 07/18/97 J•H
MSTA740 Insulation Insp 07/18/97 / / / / 07/18/97 J•H
MSTA745 Gyp Board Insp 01/21/97 / / 07/14/97 PASS TLP 07/15/97 J*H
MSTA755 Rain drain Insp n4/21/97 / / 10/01/97 PASS MS 10/01/97 MRS
MSTA755 Rain drain Insp / / / / 04/15/97 PASS TLP 10/07/97 J*H
MSTA760 Water Line Insp 04/21/97 / / 04/15/97 PASS TLP 10/07/97 J+H
MSTA761 Water Service Insp 04/21/97 / / 04/15/97 PASS TLP 10/07!97 J•H
MSTA765 Appr/Sdwlk Insp 04/21/97 / / 09/17/97 PASS MH 09/24/97 S•W
MSTA765 Appr/Sdwlk Insp / / / / 04/28/98 PASS MH 04/29/98 DOW
MSTA790 Electrical Final 04/21/97 / / 10/01/97 Install box extenders at various plug PASS ACP 10/02/117 J"H
outlets, ART370-20.
Complete under cabinet light fixture.
MSTA795 Mechanical Final n4/21/97 / / 09/30/97 according to t-mail from GS on 2/2/99, PASS TLP 02/19/99 JT
data entered by Jeanne
MSTA797 Plumb Final 04/21/97 / / 09/30/97 TLP 02/19/99 JT
M6TA799 Building Final 04/21/97 / / 09/30/97 TLP 02/19/99 JT
MSTA960 (F) Issue Cert. of Occupancy / / / / 09/39/97 02/19/99 JT
CITY OF TIGARD Plumbing Application _ Rec'd By
13125 SW HALL BLVD. Commercial and Residential �1 L ) Date Recd / "
Date to P.E.
'TIGARD, OR 97223 r r Date to DST
(503) 639-4171 ( Per it*
Print or Tvpe Related SWR rF,
Incomplete or illegible applications will not be accepted Called
Name of Development/Project On back Indicate Work Performed by fixture.
Job _-36�y-1' _ FIXTURES (Individual) QTY PRICE AMT
AddressStreet ddress �nn Suite Sink 9.00
/ .��'$ M�nage_ 4-- Lavatory 9.00
Bldg• City/State Zip Tub or Tub/Shower Comb 900
Pic- ci7
Nam Shower Only 9.00
e � Water Closet 9.00
Owner Mailing Address Su� Dishwasher 9.00
W Garbage Disposal 9.00
City/St to Zip Phone
Jq V � Washing Machine 900
Name O Floor Drain 2" 9.00
3' 9.00
Occupant Mailing Address Suite 4- 9.00
Water Floater O conversion O like kind 9.00
City/State Zip Phone
Laundry Room Tray 9.00
Name Urinal 9.00
er> Other Fixtures(Specify) 9.00
Ad
Contractor Mailing dr ss Suite 9.00
13liy
Prior to permit City/State Zip Phone 8.00
issuance,a cope .�`,lA d'� '/70� ,- _ 9.00
u•. �►
of all licenses ar Oregon Const.Cont.Board Lic.M Exp.Date V 9.00
required If I7.:� _ .7- 1 --V Sewer-to 100' 30.00
expired in COT I Plumbing Lic.0 Exp. Date Sewer-each additional 100' 2500 �
database
~- Name Water Service-1st 100' 3000
Architect Water Service-each additional 200' - 25.00
or
Mailing Address Suite Storm 3 Rain Drain-1st 100' 30.00
Storm d Rain Drain-each additional 100' 25.00
Engineer City/State 7ip Phone Mobile Home Spam 2.500
_ Commercial Back Flow Prevention t7eVice or Anti- 25.00
Describe work New 5 Ad ton O Alteration O Repair O Pollution Device
to be done Residential Non-residential O _ Residential Backflow Prevention De fico' / 15.00
Additional description of work. Any trap or Waste Not Connected to a Fixture 9.00
Catch Basin 9.00
Insp.of Existirg Plumbing^ 40,00
_ perthr
Existing use of v Specially Requested h•spections 4000
building or property per/hr
Rain Drain,single family dwelling 30.0(1
Proposed use of Grease Traps 9.00
building or property
QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the Inforr'nat on Isometric or nser d agmrn Is requimd d Quanrty Total is >9
given is correct,that I am the owner or authonzed agent of the owner,and --— *SUBTOTAL
that plans submitted are in compliance wiL1 Oregon State Laws.
Sip lure fUwl3erl gent _ Date—�' - -_ 5°10 SURCHARGE
PLAN REVIEIN &5% OF SUBTOTAL
Contact P rsan Mame Phone Required only A Fxture qq total is>9
,C/LLt�LI _ �E�•�y�� TOTAL
•Minimum permit fee is S115+5'%suicharge.except Residential Backflow
Prevention Device.which is S15•5%surcharge
I Jsi3ic-800 dot 5.9'
PA.EASE C-QWLET-EL!
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink __
Lavatory_ _
Tub or Tub/Shower Combination
Shower Orly - _—
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
311
411
_Water Heater
Laundry Room Tray
Urinal —
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
.`45!SCm30p 7x S9%
ELECTRICAL F'ERMTT
CITY OF TIGARD PERMIT #: E: ,ERM-T7 7
DEVELOPMENT SERVICES DATE ISSUED: 11/20/97
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171
PIORCEL: 2S 104DD--05600
SITE ADDRESS. . . : 13875 SW AERTE DR
SUBDIVISIOhi. . . . :EAGLE POINTE ZONING: R--4. 5 FID
BLOCK. . . . . . . . . . . LOT. . . . .. . . . . . . . . :04.1 JURT.SPICTI0N:
Plro.ject Descr-ipt ion : Installation of one (l) branch circuit to finish wiring on
hot tub at
IDENT TAI_ UNIT---- ---TEMP SRVC/FEEDE:RS-__.._ -----•--MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 FIUMPI/ TRRIGATION. . . . : 0
LACH ADD' L. 500SE. . . : 0 X01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 Fmp. . . . . . . : 0 SIGNAL/PIANEI.. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601.+amps-1.0?n0 volts. - 0 MINOR LABEL ( 10) . . . : 0
-----SE RV i.F /FFE:DE R- ----- - PRANCH CIRCUITS---------- ------ADD' L I NSPIECT i ONS---
0 - 200 amp. .. . . . . . 0 W/SERVICE OR FEEDER: 0 PIER INSPIEc_'TION. . . . . : 0
='01 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . , . . . . . . : 0
401 - 600 lamp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 ----___________.___.-FILAN REVIEW SECTION----
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Rer.onnect only. . . . . : 0 SVC/FDR > _ 225 AMPIS. . : CLASS AREA/SPIEC OCC. :
owner: ______ ____ _.__._._____._-__._.__--___._._._.______- ----___.___-- FEf_i,
FABL.E DOINTE t ype amoi;nt by date recpt
13875 SW AERIE DR P-RMT tI 35. 00 T.iH 11 /20/97 97-301091.
1 IGARD OR 97223 SPICT $ 1. 75 TJH 11 /1210/97 97-301091
' 'bone #:
(SAGE ENTERPRISES; INC f 36. 75 TOTAL
f'O BOX 142.9
REDUIRED INSPECTiui4t
CLACKAMAS OR 97015 Rol.1gh-in Elect' l Final
Flhnne #: 657-01.4'' Elect' 1. 5ervic,e
Reg #. . : 000345
This pereit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othe,
applicable laws. All wcr4 will be done in accordance with approved plans. This persit will expire if work is not started within lee
days of issuance, or if work is suspended for sore than 18@ days. ATTENTION; Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center, Those rules are set forth in OAR 952-@el-NIP through OAR 952-01-1987. You say obtain a copy
of these rules or direct questons to OUNC by railing 15@31246-1987,
f prm.i `tae Si nature : Issued P
---.---OWNER INSTALLATION ONLY----------- _.._---_--_---.-------------•---____--
The installation is being made on property I awn whir_h is not intended for-
Sale, lease, or, rent.
OWNER' S SIGNATURE: DATE:
----.---------------------CONTRACTOR INSTALLATION �Jhll_Y- ----- --- --------------
I GNATURE OF SUPR. ELEC' N: Ox e _ _ DATE:
L..I CENSE NO: (P/9 T
+++++++++++i++++++++-F+-Fi ++++++++++. F++++++++++++++++.++++++-1+++++t+++++ F+++++ }++
Call 639--41.75 by 7:00 p. m. for an inspection needed the next business day
++4+-1-+++++++++++++++4-4-4+++++f-+4 4-+++4+++++++++++++++-1 +++++++++++i ++++f+++++•+++++
Community Development ELECTRICAL, PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
r Permit # E
Phone (503) 639-4171 Gate Issued I!/.2;��l 1 r"l
OV4, FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772 TT^
Inspection (503) 639-4175 _
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development •' d Number of Inspections per permit allowed
Address:3,H, 7 5.— ++ IJ V.'�_ Service included Items Cost(011) Sum
City/State/Zia 4a. Residential-per unit ^
1000 aq If or lana $11000
'��f t Ids �l`11 Fadi additional 500 sq It cr —�
Name (or name of business) 1� l\1 portion thereof �_- $2500 _ 1
Commercial ❑ ResidentialLimited Fnergy $2500
2
Each Manut d Home or Modular
Dwelling Servrre or feeder $N 00
2a. Contractor installation only: 4b.Services or Feeders
r— Installation,alteration.or relocation 2
L Ir ctrical Contractor�� 1—.w�.—�1` _� 200 amus or lees $6000 2
Address p I^ _ __! 201 amps to 400 amp. $Ao 00 _ 2
1�1�— -- 401emoe to 600 am is $12000
City l c-yC�+ r" s State �7�_ Zip y 7ci l 601 amps to l000 enps $18000 2
Phone No. 6 A 7 — 0.1—LL� Over 1000 amps rr vaus $34000
Contractor's License No. s Reconnect only $5000
Contractor's Board Reg, No. 3-!_-!s- -t� _ 4c.Temporary Services or Feeders
Installation,alteration,or relocation
signature of Supr. Elec'n_fyAe _ 200 amps or lees $5000
201 amps to 400 amps $7500
License No. �_f �' _ ,.` Phone No 401 amps to 600 amps S10000
Over 600 amps to 1000 volts
2b. For owner installations: see V a"@
4d. Branch Circuits
Print Owner's Nanie New alteration or extension Par panel
Address a)The fee for branch circuits with
purchase of service or feeder fee. ?
City State_, Zip Each branch cacurl $500
Phone No. b)The tee for branch circuits without
The installation is being made on property I own which is purchase of navies or feeder►se v U 2
not intended for sale, lease or rent. EacFirsh
adidth ialcirbranch
__I_ $$500 35•
Each addflonsl bench arcual $5 00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) ?
3. Plan Review section (it required): Each Pump or rrigation code $4000 2
Each sign or outlaw lighting $4010
signal circuitls)or a limited energy `
Please check appropriate item 9nd enter fee in section 58, panel,alteration or extension $40 00
_4 or more residential units in one structure Minor Labels(10) �— $10000
Service and feeder 225 amps or mote
System over 600 volts nominal 41. E-=h additional inspoction ova,
_ Classified area or structure containing special occupancy the allowable in any of the above
as described In N.E.0 Chapter 5 Per inspection $3500
Per lour $5500
In Plant $55 00 _
Submit 2 sets of plans with appli:stion where any of the above --
apply. Not required for temporary r:onstruction services. S. Fees:
uc
NOTICE `•s. Enter total of above fear s _
-- 5%Surcharge(05 X h1;al fees) s
PERMIT;BECOME VOID IF WORK OR CONSTRUCTION I Su $
AUTHORft�D 13 NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enteeroral r line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review
eww if required(Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal s
COMMENCED L_J Trust Account 0 $
6813nce Due 3 t5
RECEIVED
NOV 2 0 1997
COPIM11r;fTy 0FVEIOpME'NT
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES
F'F.P.MIT #. . . . . . . : MST97-•00',
ML 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE. ISSUED: 04/24/97
PARCEL: 2S104DD-05600
SITE ADDRESS. . - .- 1387!7) F14 AFRI: DR
SUED I V I S T.0N. . .. . :EAGI_F PO I NTE_ ?ON I NG: R-4. 5 PD
Ia1_..00K. . . . . . , . . 1.OT. . . . . . . . . . . . . . 47 TLIRISDICTICIN:
Remarks: pATH 1
BUILDING -----------•------------------__— —�.__� —_------ -
REIS9UE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REOIIIRED SETBACKS---- RFrAJIRED----_-_-...
CLASS OF WOW.:NEW HEIGHT........: 27 FIRST.... : 1322 sf GARP&.....: 704 sf LEFT..........: 5 SMOKE OETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD,...: 40 SECOND... : 1000 sf FRONT.........: c'0 PARKING SPATES:
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 yf RIGHT.......... 5
OCCLPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2322 sf VALUE-4: 167789 REAR........... 72
----------- --------------------- PLUMBING -________-------—------------------------- ---- ---------
SINKS.........: 2 WATFP rLOSETS.: 3 WASHING MACH..: 1 LAUNI'PY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LPVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER I.INt ft: 100 5F RAIN DRAINS: 0 CATCH BASINS..: 0
T IB/SHOWERS...: 2 GARBAGE DISP..: I WATEP HEATERS.: 1 WATFP I_iNE ft: 100 BCVFLW PK VNT,: 0 GREASE TRAPS..: 0
OTHER FIXTURES:
--------------------- ------------ --------------------------
MECHANICAL --------------------------------------------------------
FUEL TYPES----------- wURN ( 100V 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 3 CLOTHES DRYERS: 0
GAS FURN )-IW, ..: 1 UNIT 4EATERS..: 0 HOOLKa.........: 0 OTHER !.TWITS...: 1
MAX INP.: 150080 BTU FLOOR FURNACES: 0 VENTS.........: 1 WOODSTOVES....: 0 GAS OUTITTS...: 1
---- ELECTRICAL --------------------------.-_-----------------------------------...--
-RESIDENTIAL UNIT--- ---SEkVICE./FCEDFR---- --TEMP SRVC/FEEDERS- ---BRANCH CIRCUITS-- ----MISCELLANEOl15---- --ADD'L IN9PECTI0N9--
1000 SF OR LESS: 1 0 - 2" amp..: 0 0 - 208 amp..: 0 W/SVC OR FDR..? 0 PUMPilPRiGATION: 0 PER INSPECTION: 0
"A ADD'L 5803F.: 5 201 - 400 amu..: 0 201 - 400 amp..: 0 1st W/0 SVC1rDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0. 401 - W. amp..: 0 EA ADD- BP CTR: 0 S I GNAL/DANEL...: 0 IN PLANT......: D
MANF HM/SVC/FDP: 0 601 - )ON amp.: 0 601+amps-•1000 v: 0 !"NOR LABEL. -10: 0
1000+ amp/volt.: 0 ------------------ PLAN FEVIEW SECTION ---------------------------------
Recannect aniy. : 0 )=4 RES UNITS..: SVC/FDR)-z225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
----- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------—------
ri.
---.------ -----------------------------------------
ri. 5F RESIDENTIAL--------------------------- B. COMMERCIAL --------- -----------------------/----- •--------OUTDOOR I.NDSC
------------------
AUDIO ! STEREO.: VACUIM SYSTFM..: AUDIO 9 STEREO.: FIRE ALARM.....: INTFPCOM.P fit.%": O1.T.
BURGLAR ALARM..: OTH: BOILER.......... HVAC.......... LANL•SCAPE!IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER.. X CLOCK........... INSTRLWNTATION: 4EDICAL......... OTHR:
4W........... LATAITELF COMM. : NURSE CALLS..... TOTAL I SYSTEMS:
Owner: ----------------------------------Contractor: ----------- ------------------- TOTAL FEES:$ 3072.50
RENAISSANCE RENAISSANCE DEVELOPMENT CORP
167: SW WILLAMETTE FALLS DR 1612 SW WILLAMETTE FALLF DR
'AFST LINN OR 97068 WEST LINN OR 97068
t"�^e I: 557-8800 Phone I: 557-9008
Rep I..: 00+955
His permit is issued subject to the regcl3tions contained in the Tigard Municipal Cnde, :;`.ate of Ore. Specialty Codes and all other
ipplicable laws. All wort, will be done in accordance with approved plans. This oersit will expire if work is iot started within 188
days of issuance, or if work is suspended for more than 188 days.
----------- RELr-SIRED INSPECTIONS ------------- --------------------------------
Erosion Contol Post/Bead Meehan Plumb Top Out Low Voltage Rain drain Insp Mechanical Final
Grading Inspecti Underfloor insul Electrical 5ervi Gas Line Tnso Water Line Insp Plumb Final
Footing Insp Ftg Drain Bsm't Electrical Rough Gas Fireplace Water Service In Final inspectian
Foundation Insp PLM/Underfloor Framing Insp Insulation lnt.P Appr/Sdwlk Insp Building Final
Poit/Bear Struct Mechanical Tnse Shear Wall Insp ( p Board Insp Electrical, ,Fi,ial
t t;e e S i gnat?.�.r e : _.. _-. ��_�_� s t.tY
- 6 -
CSI I for i ns ec•t i.0n S -4175
CITE( OF TIGARD
SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvw., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SWR9.'-009
DATE TSSI_IED: 04/24/97
PARCf I : S104DD-OyF,00
SITE ADDRESS. . . : 13875 SW AERIE DR
1--3UP17)T V I S I ON. . . . :EAGLE PO I NTF 70N T NG: R-4. 5 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :47 JURISDICTION:
------__-_----.---______-------------------_.__--____-__--- .-..-__-_ _.
TENANT NAME. . . . . :RENAISSANCE
LISA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
-LASS OF WORM. . . :NEW DWELLING UNITS. . : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0
TNSTALI_ TYPE. . . . :B11SWR IMPERV SURFACE::
I
Remarks : Path I
►wrera --___----_ -._---_-----________..__._.__---____-- FEES
RENAIS'3ANCE tvpamo+.+nt by date recpt
678 SW WILLAMETTE FALLS DR PRM," $ 0.'x_'00. 00 P 14/24/97 97-293702
WEST LINN OR 97068 TNSP $ 35. 00 3 :j4/24/97 97-293702
r1hone ib:
7ontractora --.______.-•---•---___.____._---.____
nWNER
-----------------------------------------
r"h on e #: t 2P35. 00 TOTAL
rteg M. . .
------- REQUIRED INSPF_.CTIONS ---This Applicant agrees to comply with all the rales and regulations Sewer InPpection _
of the Unified Sewage Agency. The permit expires IRO dayF frne
the date issued. The total amount paid will be forfeited if the
Permit expires. The Agency does not guarantee the accuracy of the
;ide sewer laterals. If the saver is not located at ►ha veasurpment
riven, the installer shall prospert 3 feet in all dirortions from
the distance given. If not so located, the installer shall purchas!
.s "Tap and Side Sewer' Permit and the Agency will install a lateral
n a�t�_�r•e: ''r` '- � -
t>s+.led B y : i __
Call for- inspection - 639-4175
-Y OF TIGARD Residential Building Permit Application Roe dByAA
:s SW HALL.BLVD. New Construction Additions or Alterations Date Reed
ARD. OR 97223 Single Family Detached or Attached (Duplex) Date toPE a�114� op
503-639-4171 Oats to DST / jW r-j
;03-684-7297 Permit a lot 4.7-.
Print or Type called -2A. pdg7j
Incomplete or illegible applications will not be accepted
Name of r`•ulect Name
Job 4,.u it i,-)ti � C t> '1 +i `I f �`<<," ('�► � F ,i l� r
Address Site ress Architect Mailing Andress ��
_ ► a, ,IS ��ItJ e-4ie. �v _ Nu. I�, r.
Na
7iis C tyr$taie Zip Phone
l'\f I i(t l', .,(C \� �t 1,11 "("rl )Z-� — lilt (
Name Owner Mailing Address Name
�; :,� L ;Illdt►ufI< <<s 13r"" ' I}ji,
city/state Zi Phone Engineer Mailing Address
L ,J Lilldt �i l'If`6 - SZ�C.i '-D Lk
Name 1
1
0 Phone
General I,-�L 1(l i ` :a(i t F�. 0 .11 a went New ".ddition O Alteration C Repair C
cintraetor Mailing Address f--4 to oe do.1e
yin txnq-�`c Il; (,', AdJdional i:escription of'Nock:
C,tyiState Zip Phone 1 -,t
+ I t N
ll i A L.l,ili 1 l I '�Ct,` >o �.k It D tip t i i Cc< r
Cregon Canst. Cant. Board Lie.# Exp.Date
.ttacn copy of
Current COT Business Tax or Metro it Exp.
Oat
PROJECT C.ILicenses Name I 9 VALUATION
_ I
I Mechanical t NEW CONSTRUCTION ONL.1':
Sub- Mailing address Sq. Ft. House Sq. Ft. Garage —_
Contractor - �L _
Corner Lot YES NO Flag lot "S NO
C,tyiStaie Zip Phone check enol >c"
i tit ( (check one)
Cregon 'Zon"Cont.Board Lie-# Exp.Date Restricted Audio/Stereo I I Burglar
Attach coos of C' 12 4 ! 3 'e 1`i 7 IEnergy System Alarm
Current :.OT usinesa Tax or Metro at Ex Dat _y Installation Garage Door HVAC
Licenses t � t r�
Opener Systems
Name
I (check all that I Other.
Plumbing IC ,� i r I��ulilklllt� apply'
Sub- ilaiiing Ad6ress ( — Will the electrica subcontractor wire for ail YES I NO
r''ontractor I �C�lp ( �� 4 restricted energy installations7
I C,ty,StateZ:o Phone I Has the Suoaivision �'at •ecorded) I N/A I YE NO
I C't�t ti� (i It 04, ;
Cregorsidarl COMY Board Lc a Ext) Date Reissue of NIS7*1 Solar Ccmpiiance u%
;tach Copy of `y r' 7 _I }, .- WA I (Calculation Attached) I ��
C.,rtenc P'umbing L;e.a Exp.Da —
canses ! ��r t'tom__I l , ,i I hearby acxnowiedge that I have read this application, that the
information given is correct. ;hat I am 'he owner or authorized
COT Busiress Tax -/Mevo x I /p.D to agent of the owrer. and that plans submitted are�n compliance
r r ,�� �'-1 % I t�l �cl� � 9 P p�
Name with Oregon Mate taws. _
lectrical '' ' ►`,� t,ti Yr s SPS I Signiature of Owneu gent Date
` 11
Sub- Hailing Address ontaet'Person aitite Phone#
:ontractor I 1�, C� Y o-x" qz`l k r4 ick IA-00 7A1t •; �
Cj;v S'a:e z o Phone FOR OFF!CE USE ONLY:
r- I ?lat Mapi7L#:,
Oregon C,:nst Cont Ooard Le 0 Exo Dat , _t� ' ' > l.. �7
:tach Copy of \' i -' (bacx
3e Z Solar.
Current =ectrcai L.c a E.xp. 11111.1
tenses I i : a k I�� `- i Engineenngg A rcv I: Planning Approval: TIF
r COT Business Tax or Metro 0 Exp at t I IC 1 V. iv IC1
IT I i.`.Sfapp doc ,dst) 1191 1
i '
P;rn�iL Account Den i ,r Amt. Pd Bal, Cue
MST Permit (BUILD) ✓
Plumb. Permit (PLUMP'
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT) _ �✓
State Tax (TAX)
Bldg.
Plumb: '
roach.
ELC/ELR:
Plan Check
� t
MS i'. (BUPPLN)
Plumb: (PLMPLN)
Mech. (MECPLN) r'(
CDC Review 2v (LANDUS) r(
Sewer Connection (S WUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WQUAI_) I �0 - r,
Water Quantity (WQUAN T) A-0 0 - 16
F osion Control Permit (ERPRNIT) —
p:,
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
,..•lhpp.dnc (030 119#
Solar Balance Point Standard Worksheet
Address / rt�'�c :,1�� f�� ir ,Ur - /,a >"-,li to Lc
C
Box A calculations: North-South dimension for the lot. Box V
"his dimension is determined by rrding the .Tldpomt of the Ncrh lot line and drawing
in intersecting line perpendicular:o chat point.
r_,. determine which propertrt: line is the North lot line. The North lot line is the 'ine
,ith the smailest angle from a line drawn east-,vest and intersecting the rertherr• -nost
�,oint of the !ot.
'North-south
Cimensipr or Lot.
I ,teasure the distance from the miccoirt of the North lot line to the South I& lire along
ie described line.
,)r 13 calculations: Shade point height for tiour residence.
i Box
B:
„r,. tinether :ensurer-er .•. =e cased 2n :! a =e-, a:
^e Oriernaticn ;f :-e '!Cge s a.se rr^errar
,.cur -esice:-
'cert 'ire 'urs `cr;,-_cud ea__rer,erts c:rc!e are
eased -r ;he peak :;f-.-e -cc.;
i
3
Ine -5 _sz-, --st arc .-e ---rf :;Itc- s
I
�r _trace. a _c_eC ,r
I
Box B. continued Box B:
2. ,,leasure change in elevation from front property line to Finished Floor elevation. If
the !ot slopes up from the front lot line to ;he foundat-,n, the figure i5 positive. If
the !OL slopes down from the front lot !ire to the Foundation. ;he Figures negative, Z •C) rt
3. Oeasure distance From finished Floor elevation to the affected oeak,'eave. �� • Ft
-1. If ;he roof line runs North-South, deduct three feet. If the roof !ine runs East-West, - ft
deduct nothing.
3. Subtract one foot for each rcpt 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 ;he rear to the front, deduct nothing.
h. Total 'figure for box B: � rt
Box C. Distance to the shade reduction line. ZitoSox C:
1. iYeasure the distance from the North property line to the foundation rear the ,
affec_ced peal,eave. -----
L Ititeasure the distance rre„I the foundation to the alrtec-ed peak or eave. —
3. Total figure for box C: 3J
I s most useul :a draw a•:erucal!ine:o •ecr?sent a e acorconate •lrsure-cund n 'cox '-k' and a iori:ontal ire:a represent:he
acorconate•figure round in box"C'. The Intersecion of the vertical and ncnzontai lines determines the value round in box'p', 'he value
m`:ox 'C' ,hould be camoared to he value in box '8': if the':alue in box '9' s'ess than or equai to the value round !n box 10 then
:he buildirg s n cam'Ddance with the<"olar-talance code. if veu nave anv ques�cns. ;.lease ccntac:,sat 6, �;1' x304 or at:he
C;rnmunrty Ceveiooment Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Fee;)
i
stance tr �.or n•scu;, of aimension in reeul
snade ;C- 95 90 35 30 75 70 63 60 33 30 43 4q
reduction line
'rpm northern
:cCinP 'Pat,
C 40 sp 40 4' _ 43 44
65 39 33 33 :? 4: 43 11
'0
'6 36 36 33 36 30 38 39 40 41
30 _ 3, 33 33 36 37 33 39 20
.0 3C 30 33 34 35 36 3" 38 39
40 .3 :3 :9 ?C 31 33 34 35 36 33
33 25 ri _6 -6 : -3 -9 30 3' 3.1 33 34 35 36
30 _ .3 :ti :3 :9 30 3; 3: 33 3-1
23 - :2 -= :' s 13 25 27 23 29 30 3' -_
20 -0 20 =9 :' :: 23 24 23 36 3' _3 29 .0
3 13 '3 _ -
_ =
10 '6 15 5 3 19 :0 :1 23 1•1 3- .6
SO`( tat `•IaXimum al!o`%et-' shace ::C!rt ^e!g^.C: ieet
-,cs•rarc. ,e^tura-u-,Jar
2- U
i
SEE 35MM
ROLL#, A?.... 2
FOR
LA. RGE
DOCUMENT