13123 SW CLEARVIEW WAY Ul
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-131�-i SW CLEARVIEW WAY -
CITY OF TIGARD
DEVELOPMENT SERVICES
� F'I_UME11 IvG F'F Rh9I T'
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 ; ,FcrrM'.''T #. , , .
D1Tr-: IS SUE=T): 02`/06/9r4
PARC,EL.: 2,S104DC-0 3,f q-0
r;ITr_` AuDRE r. . . : 13123 SW ---F-ARVIEW WY
';I..PDTVISION. . . . : SENCHVTr7i4 EOTATF S) 70NTNG: P-4. 5
I._(7T» . . . •, . . . . , . . :036 ,JUR.'.SDIC'TION: TIw;
OF WOPK. . :OTF' rinRBAGE. DISPOSAI .S. 0 MQDXI_.[.- I•Ir1ME SP(-)CF 5'. : 0
'PE fel= I..)SE. . . . :,r- WASHING MACH. . . . . . : 0 BACKFLOW PRr'VNTRS. . : 1
'•:r'►_Ir•WRICY GRP— :F13 r"L.COR nPAINS. . . . . . .. 0 TRAPr.
'-OR'FS. . . . . . . . . 0 WATPR E-I["ATr'RS. . . . . .. 0 C4aTl�H F;ASINS. . . . . . . , 0
I•XTIJRE!33-• _.._..._.._.._........_......__ r_AUNDRY TRAYS. . . . . : yr 1,F" RPIN DRAINS. . , ., . : 0
'\1KS. . . . . . . 0 URINAI_..5. . . . . . . . . . . : 0 SREASE TRS+PS. . . . . 0
)Vt' TOP IE:S. . . » : r<) ''.)T'I!ER FT XTURE!'�. . . . : )Y'
117/SHOWrRS. . . : 0 c47WFR l..1NF (ft ) . . - : 0
•-,TC.R C.1_CY133E S. 0 61A'•rEP I.-INE (, - ) . . . : 0
p l-IF."RS , . . 0 9ATN nRAIN (f*.) . . . : 0
ifi,m ks : I,•5tallatin,i t?f' 1'1?,i -lde ttli 1. h),ir-lifl .— 1')1' F;Vertt; it)r' dew (!.
r*1011„ ...---....__._._,,--._..-.._----._.._-. __-_.•-.---- __._. _... FEF ':1
'VTtA K(Jar;HORECK t:yi- 1111,1111`. b', cio
1271 SW CI_EAPVIEW W!-1y Pr;PIT 19. 01'r DEA
GPF?D OR 1473''.3 1,99
I(Pne #>;
17r:'rtt�t l"'I_I.JMDThI(;
' 1;"'0 5W I NDUST P T PI WAY
1
IA1 1)T 1 t\l nra
c)Tle #: 6'11 (-:,1 fJ' W
tl __.___... .. ... Rr.0r_ITRFD INV' PU:TIrW'
permit is issued subject to the regulations contained in the Rf'/R...0 kf l nw r'r ry _
;ard Municipal NO., State of Ore. Specialty Codes and all other r''i ,,r�T Tnr�)ec1; iari
,licablP laws. A,' worlr will be done in accordance with
-7Wed plans. This permit will expire if wntl, is not stated _
.din IN days of i-seance, or if warA is a+.;spended for mor!
�'o 180 days. ATTE:NTIM Oregon law req.ires you tc frllow rales _._._ ,__•, _ _.-_ _..._ ___ _.___...__� _
:pted by the Oregon Utility Notification Center. These r+rlts art
fr•th in C:?a 9% Wl-9 16 through OAR F,,2-Wl-M, Yot( mey
'ain copies of Mese rules or direct Questions to OUNC by calling__
f/ I
By : ,� [tr�`ZC��"� 1"'^r in t t t;r?e ; i rl,) i ,'r(,
i
a
a-,-4..{-4.. .+.,l.••f..++++ + r 1 . . , ++.+..{..I +4 4-+4.+ +.+-4 ),.+.+-4-+ 4 J+4 { .4 F 'y I.4..� .r.1.4
Call 639•-4179 by 7:021, p. )n. t'1 ,an irtspw-tinn ,r,7drd i;rir r1c :I. h1ts: it
+.+.++.+•+++4 i-+.+-.!•,I-aF#..**++ F4.•F•-i-•F•+4-++++-4 +.i^+4-+-I-+4-+,-f.-4-4-4 -t+4-4 4 +•+#-++ 4
I
CITY OF TIGARD Plumbing Permit Application Plan ch/ea-ir -
13125 SW HALL BLVD. Cc Imercial and Residential Recd flv
T,'G'RD, OR 97223 Date Re``c'dd d-�/ 29
(503) 639-41 / t Date to P.E. -
Pint or Type Date to DST
Incomplete or illegible applications will not be accepted Perr.,it# � J
Related SWR
Called
f Name of Development/Projectr Ff`TURES (individual) QTY PRICE AMT l
Job Sink 9.0C
Address Street Address �• Suilp Lavatory 9.00
'7 L Sul G1eaw�'e lu Tub or Tub/Shower Comb. 9.00
_ Bldg 0 City/Stat Zip Shower Only 9.00
0r�, �7 L`3
Name Water Closet 9.00
u•� Q 5 C,1� DIShWesh9r - 9.00
Owner Mailing Address Suite Garbage Disposal 9.00
11 1 27j $w ea1'V;,e`J w P Washing Machine 9.00
City/State Zip Phone --
`AcuV� Floor Drain/Floor Sink 2" 9.00
- Narne 3" 9.00
4"" 9.00
Occupant Mailing Address Suite Water Heater 0 conversion O like kind 9.00
Gas piping rrrqulres a separate mechanical permit.
City/Slate ZIP Phone Laundry Room Tray 9.00
Urinal 900 --
Narne -- -- -
r>7 Other Fixtures(Specify) _ 9.00
Contractor Mailing Address C:dte _ 9.00
11110 _5.,, v_ 9.00
Prior to permit City/State Zip Ph neSewer-tar ' l0' 30.00
issuance,a copy "-, ,X 0 q-706 1- (71, I6(o
--� Sewer-each additional 100' 25.00
of all licenses are Oregon Caret.Cont.Bcard Lic.# Exp. ate -
required if 5 =?O(o A Z 9 20-0 Water Service-1st 100' 30.00
expired In COT Plumbin0 Lic.# Exp.D to Wafer Servlce-each addlt.mal 200' 25.1,0
3
database 14 -25 0- i)b t Z 2,d $I 1&Rain Drain-+at 100' 36.00
Name Stcrm&Rain Drain-each additional 100' 25.00
Architect _ Mobile Home Space 25.00
Or Mailing Address Suite Conlmerchl Back Flow Prevention Device or Anti- 25.00
?ollulion Cavice
Engineer Clty/State Zlp Phone Residential Backflow Prevention Device' 15.00
(Irrigation timing devices require a separate
Describe work to be done: - restricted energy permit.) _
New`&) Repair O Replace with like kind- Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00
Residential 4 Commercial O Catch Basin 9.00
Additional description of work -
Insp.of Existing Plumbing 40.00
per/hr
Specialty Requested Inspections 40.00
per/hr
Rain Drnin,single family dwelling 30.00
Are you capping,movant or replacing any fixtures?
Yes O Nu V r;rpase Traps 9.00
If yes see back of form o indican work performed by — QUANTITY TOTAL
fixture. FAILURE TO AG',URATr-.LY REPORT FIXTURE Isometrkorriser diagram isrequired itQuantrlyTutalis >9
WORK COULD RESULT IN Ii:V4FASED SEWER FEES. — 'SUBTOTAL
I hereby acknowledge lhct I have read this ap-lication,that the information
given is correct,that I am the owner or authoriz id agent of the owner,and 6%SURCHAPnE
that plans submitted are 0 compliance with Oregon State Laws. _
Signature of Owner/ alit T^eta "PLAN REVIEW 26%OF SUBTOTAL
y/?,_
�I
Required onlyif fixture total is 9
1'L ,
;�l�I��JJ.. ���. Lit TOTAL
Contact Pe ame Phone
r
'Minimum permit fee is$gt +5%surcharge,except Residential Back now
I r L A y I, c• I 0 7j '� o� Prevention Device,which is'i15+5%surcharge
"All New Ccmmerclal BiAdings require plans with isometric or riser diagram
and plan review
I WsIMplumarp doc 7/2!98
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed_
New Moved- Replaced Removed/Capped
Sink
L,3vato.-y
Tub or Tub/Shower Combination _
Shower Only
Water Closet _
Dishw&shei
Garhc-ige Disposal
Washing Machine
Floor Grain/Floor Sink 2"
311
4„
Water Heater —
Laundry_Room Tray _
Urinal �
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
1.Ws1slpk n@pp doe 7f?MB
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tf ard,OR 97223 (503)639.4171
CERTIFICATE O
OCCUPANCY
PERM i r int. . . . . . . : M5T9 7- 0075
BATE ISSUEDc 11/05/97
PARCEL i 2S1@4DC--03600
TE ADL7R: �� ,. . . : 13123 5W CI_EAPV I wW WAY
I 9I?1VISION. . . . : RENI:HVIEW ESTATE:` ZONINGjR--4. 5
TICK. . . . . . . . . . : LOT. . . . . . . . . . . . . 10,3C .JURISDICTION tTICP
CLOGS OF WOR. <. :NEW
TYPE OF USE. . , :S!"
1 YP17 OF CONST rt 15N
OCCUPANCY GPP. o R3
1 ,1 ' ' 1PANC.Y LOAD t 2
,y m a r k s : PATH 1
i-RRY BELL_
14;:V SW EIM'193HIFIE ST
IPT LAND OR 97EZ9
'lone we 644-8446
'';I.ADOWNER PROPERTIES INC
s 4ZO 6W BERKSHIRE
.iFi"r1_AND OR 9721 5
tone #: 644. 6446
Pep #t. . : 000536
1hits Certificate grantr ocrupenc:y of the above rtefrer^enced builditiU or portion
Ther-POf .and confirms that the building been inspected far r-omRlia.nce with
t tie State of Orevori Sipecialty Codecs for ther�r t,t � u:.Fr�_tpa ry, and etre kinder
the referenced permit was i1s5i_ted.
1 I Ln I PJC I N£il-�ECT(]R. __. . . RU 1 _ N
POST IN CONSPICUOUS PLACE
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 S"4 Hall Blvd., Tigard,OR 97223 (503)639.4171
I
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 5W Hail Blvd., Tigard,OR 97223 (503)639.4171
;1'`i OF T!!'.rAPCi "an Cnecx rr /
Residential Building Permit Application Roca By k
125 SW HALL BLVD, New Construction Additions or Alter
amt;y ations Cale Recd
OARD, OR 97:23 Single FDetached or Attached i Duplex) Cate to P E
503-639-4171 Date roDST - L !%—+r
:03 684-7297 Permit s S f 04
Print or 'Type Called
Incomplete or illegible applications will not be accepted
Nain -)f Protect -
Nam
Job111 �� alb " ,lit'
Address Sit ,Addrey FArchitect Mailing Xpress
Vj
e yiSlata
Owner atpn d ss Name
C IS zill Engineer Mn Adre s
ame C, tom., Pho e
General ! Describe work New (,(Addition O Alteration O Repair O
Contractor 4ilio kddress to be done:
l_ . ( r
Sta .,j Z' Pon C
Additional Description of Work:
r^ r � �''
Oregon C s n Board L c s Exp Dql
tach Copy of r- 5_ / '--
Current h-OT Business Tatx or Metro 0 Exp Date LPROJECT
jr ?- C c`) A $ v 'Name G '�C(pr
INN
Mechanical ' EW CONSTRUCTION ONLY:
�� �Jf� �I �_
Sub- Mailin Address S Ft. House. Sq. Ft. Gar /
Contractor t
pPhoCorner Loc NO Flag LotYES N� (check one) (check one)
�regun C n t. Board Lic.M Restricted g
Attach cony of :� Lp.Dare Audio/S=,erej Bur lar
Energy L' System Alarm
Current COT BBusir-.ss T"Ar Metro M �p t)a1 11 Installation --
Licenses < c I / (� Garage Door HVAC
Nam r _V Opener ___J_Systems
Plumbing �L1� G �� 7 (check all tha th
f( aooly) �. �.
Sub- \laiiin adress 4Y11 the ele "cal subcontractor were for all Y NO
ontractor I ,( 1 restricted energy nstallations'�
hst to Z ,,o Has the Suodivision Plat recorded NIA I Y/ L NO I
J . �0..z t
ach Copy of ` r ngon nar �" Boa d L,c a i Exo Oate 1� Reissue of MSS Solar Ccmphance
Current Plumb ngDate I (Calculation Attached)
Licenses I `l� � Of�' � �• I hearby acknowlec,ge that I have read this application, that the
-I information given is correct, 'hat I am the owner or authonzed
COT Business Tax or Metro a I E,xo Cate
i�' ! ( agent of tr owrer, and that plans submitted are m compliance
Nam with Cre eta Jaws
Electrical ' ', Signat o erl Gate �r
`i u b- ailiYY
dc.43S
Tont ct Person Name Pho
contractor
C.h, ',s:e Z; /�``,.., ono/�1 FOR OFFICE SE ONLY:
,,, /O �- Plat#- 7",
_(tach Copy of reg�n ��t. ` Board L c q E� Date i llii
Setbac;cs. I Zane. �.,C/ r -
Current c ecin i jetC >ti. - E:p Jate Solar
Licenses �
�QT 9usrness'ax r, tro in pate Eng' oproval Planning Approval TIF
J_
���7���f ~- --
i:lsfapp.dcc;dst) ,97
Fermi # Account Des ription Amoun Amt P –Q-UQ
uu .� MST Permit (BUILD)
6r
Plumb. Permit (PLUMB)
fVlech. Permit (MECH) ��
EL.0/EI_R Permit (ELPRMT)
State Tax (TAX) f.
o.;
Bldg. , _
Plumbi
tilech ,
ELC/ELR-
Plan Check
MST. (BUPPLN)
Plumb (PLMPLN)
Mech-. (MECPLN)
CDC Review (LANDUS) ��_ 'P�1J LC
_ Sewer Connection (SWUSA) ado U
Sewer Inspection (SV/INSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) 70
Mass Transit TIF (TIF-MT)
Water Quality (1NQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
�{u
Erosion Planck/USA (ERPLAN) c�1,
Erosion Planck,'COT (EROSN)
Fire Life Safety (FLS)
TOTALS- 1 ` -j2L G— ,[
0ufapp dOC doc !asq v97��
Scalar Balance Point Standard Worksheet
Address
Box A (.Jcul.tions: North-South dimension for the lot. Box A-
'This dimension .s determoned by finding tt ! midpoint of the North lot line and drawinr5
an in•.ersecnng line perpendicular to that point.
F:rte, determine which property line is the North lot line. The North lot line is the line
With the smailest angle from a line drawn east-west and intersecting dtie northern most
pont of the ;CL
1
,or w I n u"
N \ Ncirth-South
Dimension for lot.
,Measure the distance from the midpoirt of the North lct line to the South lot line along
the described line.
feet
1
N
!„r�tior+.aara a�rsr�
Rax B caicu(atinr.,: Shade point height for your residence. Box B_
Z Determine whet_!�tr measurements will be based on the peak or eave of your Whid7 describes
stnicrum. The orientation of the ridge is also important.
your re<idence?
1 a: If the roof line runs North-South, rneasuremenLs will (cirde one)
be based an the peak of the roof. o o c
�"--+ 1A 13 1C
1;0: It the roof line runs cast-West and the roof pitch is
less ;r..an :,1 measurements will ,e _ped cn .^e u I I
eave. —i I
1c: If the rcof lire runs --as-,-.Vest and the roof oitcn is
502 cr stepper, measurements will be based on the
teak. _
h
Box B. Continued
Box 3: t
_- `�te.isure c;+anie n elevation from front property line to finished !?txlr elevation. 1f
the 'cc sloces up from the front !cc line to the foundation, the ligure is posltrve. !f it
the lot slopes down from the front !ct 'ine to the foundation, the figure is negative.
3. ~measure distance from finished floor elevation co the affected peak/eave. t —�--�-- ft
-1. If the roor line runs North-South, deduct three feet. It the roof line runs East-West, --
ft
deduct nothing
;.
Subtract one foot for each fcxot os -lifferer:.e in elevation from the front propem,
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.
ti. Total Figure for box 1 — — ft e.
Box G Distance to the shade reduction line. Box C:
1. Measure the distance from the North property line m the foundation near the ft
affected peakleave.
Measure the distance from the fouodadon to the affected peak or eave. +- ft.
3. Total figure for box C: ft
it is most useful no draw a vertical rine W represent the arpropnAw figure found in box '/,'and a hcxirmW fine to rm-,A sent the
approfnatt t'guire found in brat 'C'. The intefseco n of the vertical and horizontal Gnes derlrmrx%the valet found in box '1:7'. The value
in Lmx 'O'should be rompar-i no fie value in box '9'; if the value in!'tar'8'is less than or equal to the value found in box 'O', then
the building is in mmpfiance Mndt the solar balance code. if you have any quesbons. please cont=us at 639-4171, x304 or at the
Community Orvt4opcnent Counoer.
MAXIMUM PERMITTED SHADE POCAT WIGHT (In Feet)
Distance m North-south bt dimension(in feer)
siude 100+ 95 V d5, 80 75 70 65 60 55 50 45 40
reducb n rine I
horn northern
lac r,,e riA fern — w
70 40 40 40 41 �2 43 44
65 38 38 38 39 i10 •111 ;2 43
60 36 36 36 37 39 40 41 a2
5S
.34 34 34 15 6 37 38 39 i0 41
;a 32 32 32 33 3� 35 36 37 28 39 40
-3 30 :0 :0 31 3� 33 3-+ 35 36 37 38 39
.0 _3 28 :8 29 3� 11 32 33 34 35 36 37 38
:3 ,5 25 26 27 , _9 30 31 32 33 34 35 36
:0 24 ,4 24 25 25 27 :s 29 30 31 32 33 3•4
„15 „ 22 23 .4 25 :5 27 28 29 30 31 32
:0 _0 :0 20 21J2 N 25 26 27 28 29 30
-, 18 18 19 7a 21 '? 2_3 24 25 26 27 28
•0 16 15 15 17 18 19 20 21 22 23
24 25 -5
14 14 14 15 16 17 18 19 20 21 2? 23 24
Box D. ,titpy:.,.,t;m ailowed shade point height. __ feet
h•',dO6�y�vertara�+dar.ch o
Rro*d:.2&n6
11
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Aix
wil• R�u1
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Al m
r i
1 \
r
i ev)
v
c ' --Q - !/GAS '�/AS�' �/��G7-Or✓ Co a�.f_6CAI
Fage No. 6 CASE HISTORY FOR CASE NO.: MST97-0075
JERRY BELL
13123 SW CLEARVIEW WAY
12/16/97
Acl.ion Description Req/ sehd/ End/ Action Notes Disp By Update Upd
Code Sent Dane Done Dater By
MSTA770 Misc. Inspection / / / / 12''!/47 Builder needs C of O for bank to release MAIL 12/15/97 J•H
tunds. Has been waiting too long. Note
to DS: house is at lower end of
Clearview, slope not significant. Fax
641 1847.
MSTA780 «REINSPECTION» / / / % 06/02/97 from inspection of 060297 (p/b) PAID RC 08/05/97 D/T
paid $15 on 6/2/97 receipt #295367
MSTA780 acREINSPECTION.- 08/07/97 / / 09/OS/97 paid PAID 10/29/97 J'•H
receipt 297962
for???
MSTA700 Electrical Final / / / / 10/28/97 rA88 HRP l0/,,2-99/,9971J•H
MSTA790 S1ecE=r caaI incl / / / / 10/24/97 Recept. in kitchen code ART410-56(8) FAIL BRP 12�ii/97 J*H
plate does not cover opening ARTI10-12.
9heetrock screws holding devices
ART110-3(b) outlet boxes setback - check
UL listing ART370-19.
Plastic boas■ listed by UL for flush
application only - not surface mount.
reference - spa ART370-19.
Submit listing for insta-heater at spa
(plumber) install barrier at recept.
under cooktop - protect cord from
physical damage.
CALL FOR REINSPRCTION.
MSTA7ty5 Mechanical Final / / / / 10/24/97 PASS MS 11/05/97 J•H
M8TA797 Plumb Final / / / / 10/24/97 ( PASS MS 11/05/97 J•H
MSTA799 Building Final / / / / 10/28/97 1. seal void above furnace and tape FAIT. KS 10/29/57 J•H
joint. 2. Insulate and weatherstrip
access door upper level. 3. Insulate
exposed heat duct (boot adjacent to
fireplace.) 4. Remov, wood and debris at
crawl apace. 5. R*cc •er vapor barrier as
needed. 6. Provide guardrail at front
deck or back fill less than 30-inches
from deck floor. 7. Needs final USA
erosion approval.
MSTA799 Auildtnq Final / / / / 11/05/97 USA oroo4en final approved PASS Rs 11/05/97 J•H
MSTA960 (P) Issue cert . of O,cupancy / / / / 11/95/97 JT 11/05197 .Tr