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13581 SW ESSEX DRIVE i W Ul J sCl) G m cn m x v M m i d�• 1, 13581 SW ESSEX DRIVE CITY OF T I GA R D CERTIFICATE OF OCCUPANCY PERMIT#: MST98-00381 DEVE!OPME14T SERVICES DATE ISSUED: 10/8x98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 171 PARCEL: 2S104CC-05400 ZONING: R-7 JURISDICTION: TIG SITE ADDRESS: 13581 SW ESSEX DR SUBDIVISION: HILLSH!RE ES-1-8,1 ES NO. 3 BLOCK: LOT: 162 CLASS OF vvi-kK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R.1 TENANT NAME: REMARKS: New SF - Path 1 Final Insper.tion Approved 6/4/99 by Ken Schriendl, Building Inspector Owner: BRIAN SMITH PO BOX 2315 LAKE OSWEGO, OR 97035 Phone 636-2991 Contractor SKYLIGHT HOME BUILDERS CO PO BOX 2315 LAKE OSWEGO, OR 97035 Phone: 633-2994 Reg #: T!iis Certificate grants cccupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes fo the group, occupancy, a-1 use under which the referenced permit was issued. BUILDING INSPECTOR BUILDIN510FricIAL POST IN CONSPICUOUS P!-ACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ — Date Requested b� l'l AM ( fit PM _ BLn Location 3 J l �� Suite MEC _ Contact Person _ Ph ��O>> �2 PLM Contractor Ph SWR UlLww Tenant/Owner _ --_— ELC Retaining Wall ELR Footing Access: Foundation b 4' FPS -_-Fig Drain Drain 1 SGN Crawl Drain Inspectiori Notes: -- ---- Slab -------- --_ ----- SIT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear Framing 7 �/ -_ i�r _ OL��.0 illi !?y�.. (A-L:- Insulation -L:-Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm � ----- Susp'd Ceiling R1Rqtpm(1ns of PART FAIL_ --- --- -- ---` _.. Beam / - ------ -- - ---- do lab p Out ter Sery _� ---- - - - - -- ------------------ nitary 5eWer --PA9S P. AELT FAIL GMA t. - ------ - - - -- -- os R Beam - - - - Rough In Gas Line - - - Smoke Dampers PART FAIL EfECTRICAL --- - --- Service Rough In \- ----------- UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL Backfill/Grading - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:�_- _ [ ]Unable to inspect no access ADA Approach/Sidewalk Date 4; � _ Inspector � Ext Other - - --- - - - - Final PASS PART FAIL DO NOT REMOVE this inspection record from thelob site. CITY OF TIGARD BUILDING INSPECTION DIVISION � z;T 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 y BLIP Dale Requested AM_ (e�k PM _ BLp -- Location 2 S g Suite MEC Contact Person , ��`�f� Ph d �7�� PLM Contractor _ _ _ Ph SWR — — UILQI Tenant/Owner ELC Retaining rVall ELR Footing Access: ----------_--.------ Foundation �� yFPS Fog Drain SGN Crawl Drain Inspection Notes: -- -- -- - -- Slab —- - ------ ---__ _ SIT Post&Beam w-- -- — -- Ext Sheath/Shear Int Sheath/Shear Framing %:v h� _ /QS�CL eZAr 7V--b l- -- Insulation Drywall Nailing ------_----- --..—_-- --- — Firewall �� Fire Sprint ler 2'0 Fire Alarm Susp'd Ceiling ---- -- --- - --- Roof Misc: PART FAIL ----------- -- --- Po eam --— - --- — _---- __ Unde lab Top Out / Water Sery Sanitaryefiver Re D ins S PART FAIL 6MA ` P-0-st&Beam — - - -- - Rough in Gas Line - --- -- Smoke Dampers F"►rlat - ------- PART FAIL ELECTRICAL - Service Rough In -`� \_ UG/Slab Low Voltage ,Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ —required before next inspection. Pay 3t City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RF `— — [ ]Unable to inspect no access ADA A roach/Sidewalk i _ Approach/Sidewalk Date Ci - e� �.� _ Inspector —, Ext Final PASS PART FAIL j 00 NOT REMOVE this Inspection record from the job site. CITY CF TIGARD MASTER PERMIT DEVELOPMENT SERVICES IDERMIT #. . . . . . . : MST98-0381 13125 SW Hal!Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 10/08/98 i F:,ARCEL_: 2S 104CC-05400 SITE ADDRITS5. . . : 1;3581 SW ESSEX DR SURD I V I S 101\1. . . . :H 1 LLSH I RE ESTATES NO. ZON I Nt3: R-7 F-D BOCK. , . . . . . . LOT. . . . . . . . . . . . . : 16 JURISDICTION: TIO Remarks: New FF - Path I ----------------- BUILDING ------------------------------------------------------ REISSUE: STORIES.......: c FLOOR AREAS----- ---- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----------- CLASS OF WORH. :NEW HEIGHT......... 35 FIRST..... 2090 ,f GARAGE...... 673 sf LEFT........... 10 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1355 sf FROM.........: 20 PARKING SPkCES: 2 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMF.NT: 0 sf RIGHT.........: 5 OCCUPANCY hRP. :R3 BDRM: 4 BATH: 3 TOTAL-------: 3445 sf VALUE..{: 255420 REAR..........: 99 -- ------------------------•--•---------- -------------- PLUMPING ------------------------------------------------------- SINKS......... ------------- -- SINKS.........: 2 WATER CLOSETS.: 3 WASHING MACH—: 1 LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TRAPS......,..: 0 LAVATORIES....: 4 DISHIASHERS...: 1 FLOOR BRAINS—: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LIFE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------------------------------- -- MECHANICAL. -------------- --------------------------- FUEL --FUEL TYPES---•------•-- FURN 1 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: i GAS FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.......... 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 -------•--------------------------------------------------------- ELECTRICAL --------------------- -- --RESIDENTIAI UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANFO1US- -- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGANnN: 0 PER INSPECTION: 0 EA ADD'L. 5005F.: 6 20i - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVL/FDR: 0 SIGN/f)JT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDI_ BR CIk: 0 SIGNAL/ONEL...: 0 IN PLANT......: P LRAM' HM/SVC/FDR: 0 601 -- I000 amp.: 0 601+61ps-1000 v: 0 MINOR LPBEL. -10: 0 1000+ alp/volt.: 0 ------------- __------.._._-.____-- PLAN REVIEW SECTION ---•-------- --------—-----_- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDA)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ---- ------- -------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL---------------------------- B. CO'MER[aAL----------------------------------------------..---------------------------- AUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIR: r'ROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC........... . DATA/TELE COMM. : '4JRSE CALLS.... . TOTAL N SYSTEMS: 0 Owner: ---------------------------------Contractor: ---------- ---------------- TOTAL FEES:$ %48.30 SKYLIGHT HOMILDERS SKYLIGHT HOME BUILDERS CO This perm t is subjer-t to the regulations contained in the PO BOX 2315 PO BOX 2315 Tigard Municipal Code, State of Ore. Specialty Codes and all LAKE OSWEGO OR 97035 LAKE OSWE.GO OR 97035 other applicable laws. All work will he done :n accordance with approved plans. This permit wiil expire if work is Phone 1: 636-2994 Phone #: 636-2994 not started within 180 days of issuance, or if the work is Reg C.: 000340 suspended for more than 11 days. ATTENIION: Oregon law ---_—-------------------------------____-__..----------------- requires you to follow rules adopted by the Oregon Utility Notification Center. lhuse rules are set forth in OAR 952-001-0010 through OAR 952-901-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. -- ------------------------ -- ----- REOUIRED INSPECTIONS Erosion 844-8444 Post/Beam Mechan Electrical Servi ^uas Line Insp Electrical Final Grading Inspecti Crawl Drain/Back Electrical Rough Insulation Insp Mechanical\Final Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Firm Foundation Insp- Mechanical Insp Shear Wall Insp Water Service In Bui4OgnalPost/Beam rust Plumb Top Out Lnw Voltage Appr/Sdwlk Insp Issue Ry : l )'L k F�ermittee Signati_:re:4-i•+++++ +++++++++++f++4 .•+++++++++++i++++++++++++ +++++++++++++++ Call 639-4.' S by 7:00 p. m. for- an inspection needeLJ t business day Plan Chi, CITY OF TIuARDResidential Building Permit .Application Recd By _ 13125 SW MALL BLVD. New Construction Additions or Alterations Date Rec'd_F�O TIGARD, OR 97223 Single Family Detached or Attached (Duplex.) Date to F c. V 503-639.4171 Date to DST F 503-684-7291 Permit# Print or Type Called Incomplete or illegible applications will not be accepted Name of Project Name Job Wk,,-SP)it.. f is V _ 441 T�/ — Address Site Address r Architect Mailing Address - - - City/State Zip Phone ie NOME ��,lP(/U — _--- Name Owner Mailing Address �~ ' s Engineer Mailing Address —^ City/State Zip Phone g _ tP✓•L v4t�k , l"1"i. CBE � ��rr.f -- -- City/State Zip Phone General Name Contractor �s K Y L l t. H 1 N,irY)1: (.301(01CLf Describe work New9K Addition O Alteration D Repair O- 1 Mailing Address to be done _JI Prior ro pem,:t �) Z ', 5 Additional Description of Work: issuance, a opy -ItylState Zip Phone or all licenses ( (�!sc_ C;6�tc t. C-1c -;( a')`) are required if Oregon Const.Cont. Board Exp Date PROJECT .ty expired in CC r Lic.# I VALUATION w �_� D database 3`I0Ft- Me rhan cal Name �� NEW CONSTRUCTION ONLY:_ ��� 3/G Sub- _ r,v�J� Sq. Ft House Sq.�Ft. Garage Contractor Mailing Address Prior to permit _ Corner Lot YES NC� Flag ct YES N ssuance a copy City/State Zip Phone (check one) (_ K"�-. (check one) of all licensas _ _ Restricted Audio/Stereo Burglar) are required if Oregon Const. Cont Board Exp Date Energy System Alarm i-xoired in database oT Lac# Installation Garage Door - HVAC Plumbing Name Opener — Systems Sub- -d� w\.oT— (check all that Other Mailing Address Contractor g apply) Will the electrical subcontractor wire for all YES Nq. restricted energy installations? Prior to permit City/State Zip Phone - ssuance, a copy Has the Subdivision Plat recorded�N/A YE NO Board of all licenses are Oregon Const Cont BoExp Date required if Lic# Reissue of MST# Solar Compliance expired in COT _ (Calculation Attached) database Plumbing Lic # — Exp Date 1 hearby ackno edge that I have read this application, that the informati�n giv n is correct, that I am the owner or authorized ---- agent of the ner, and that plans submitted are in compliance Name v r with Orergo 'State laws Electrical tvI t' Arr"0--e. _ Signator Owntt/Agent —^ Date Sub- Mailing Address 1 Contractor Co act Person Name Phcne# CitwState Zip Phone a"" 'm`1 N Pnor to permit FOR OFFICE USE ONLY: issuance. a copy Plat#: Map/TL#: of all licenses are Oregon Const Cont Board Exp Date f re) f� _��/ r[r[ ('�-C>5�<r� required if FT��i Setbacks: Zone. Solar expired in COT I t 11 (' �Li database l L c +� Exp Date 1--�--- - Engineering Approval I Planning Approval: I TIF: I SFP•EM DOC (DS') 4 a- 'War 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. 45°–► — * \ Nf7pMERN N("^HI1N � lOI UNE lUI UNE _�—_— N North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. 7 J feF�t —- —� N SOUTH CAAF SCN l'> Box B calculations: Shade point height for your residence. Box B: I Determine whether measurements will be based on the peak or eave of your ',;/hich describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will •"""'"'°°°' (circle one) be based on the peak of the roof. 1113 a 0 «a �► 1A 1B 1C 1 b: If the roof line runs fast-West and the roof pitch is less than 5/12, measurements will be based on the ,�;.:... eave. SHADE KW EME 1 c: If the roof line runs East-West and the roof pitch is 1 .5/12 or steeper, measurements will be based on the peak. Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevat;on. If the lot slopes up from the front lot line to the foundation, the figure ;s positive. If the lot slopes down from the front lot line 'Lo the foundation, the figure is negative. — � ft 3. Measure distance from finished floor elevation to the affected peak/eave. + Z > 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 lin.-, 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. - -7 Z ft 6. Total figure for bex 13: Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line tc the foundation near the V I It affected peak/eave. Measure the distance from the foundation to the affected peak or eave. + ( Z tt 3. Total figure for box C: ft It is most useful to draw a vertical line to represent the appropriate Figure found in bc,x "A" and a horizontal line to represent the appropriate figure found in hox "C". The intersection of the vertical and horizontal lines determines the value found in box "D". The value in box "D' should be compared to the value in box"B"; if the value in box "B"is les.than or equal to the value found in box"D", then the building is in compliance with the!olar balance code. If you have any questions, please contact us at 639-4171,x304 or at the Community Development Counter. � — MAXIMUM PERMITTED SHADE PAINT HEIGHT (In fest) Distance to North-south lot dimension iin feet) shade 100+ 95 90 85 80 75 70 65 60 5; 30 a:; an reduction line from northern IQL,line('i feed_ 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 60 36 36 36 37 38 _9 40 41 42 55 34 34 34 35 36 37 38 39 40 41 j0 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 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 21 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22. 23 24 15 26 27 28 29 30 15 18 18 18 19 20 21 :.2 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 11 14 15 16 17 18 19 20 21 22 23 24 Box D. Mwcimum allowed shade point height: _ _ feet h 4lcxs\naticv\ventura�v3lar.chp Revised 2/26/96 CCITY OF TIGARD OREGON _____ INTENT TO HAUL EXCAVATION (LOTS STEEPER THAN 20%) I rr7 v rnH F S'yr) I)J}-- (print name;. hereby certify that ALL excavation material on the subject property will be removed from the site and riot be placed as fill, except 'or that amount necessary to back-fill the foundation ONLY. I understand that id,;ure to remove the excavation material will result .n the requirement to remove the material or obtain a grading permit by submitting grading plans prepared by a licensed engineer accompanied by a geo-technical report regarding the placernent of the excavation material as fill. I further understand that my footing inspection will be denied if that inspection reveals that excavated material has not been hauled, and that work will be stopped and no further inspections conducted until the City has received and approved a- Ian and report from a geo-technical engineer regarding placement of the fill mateal. Sign re Date Pert-nit # ,Job Address: /� �w e- 0ubdivisio01 (LLT t k 1, �T 1 i '� 3 Lot: / I haul doc IDST1 7198 13125 SW Hall Blvd- Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 CITY OF TIGARD Community Develamrent Shaping A Better Community MEMORANDUM Crt�*J CE C OPY To Ft 0E CITY OF TIGARD TO: Skylight Homebuilders Company POW Jill Aldrich DATE: Bancrofting Sewer Connection Permit SUBJECT: 13581 SW Essex Drive SWR98--02 2 My signature below acknowledges the understanding regarding the issuance of MST98-0381: I, Brian Smith of Skylight Homebuilders Company understand that the issuance of MST98-0381 without the payment of the sewer connection fee represents a departure from normal procedure to accommodate both my need to progress with the project due to weather considerations and the temporary unavailability of city finance department staff responsible for initiation of the bancroft program. I further state that it is my intention to bancroft the sewer connection permit fees under the provisions of existing Unified Sewerage Agency guidelines administered by the City of Tigard for the above referenced permit. I agree that upon preparation of the bancroft documents by the City of Tigarr' and notification of that the documents are available for execution I will execute the documents within three (3 ) working days. I understand that failure to execute the bancroft document witi;in three (3) working. .lays will result in a stop work order on MST98-0381 1 Brian Smith Date Skylight Homeouilders Company h:Jill\sk,,lit I doc Return Recorded Document to: City Hall Records Department City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 IMPACTTRAFFIC Instailment Payment Application In the Matter of the Traffic Impact Fee for Skylicht Homebuilder Inc_ Tax Map 2S1 4CC Lot Number(s) 5400 and as further described in Deed#_ Building Permit# MST98-0381 Site Address 13581 SW Essex Dr. Subdivision Hillshire Estates No`3 Case File# _ TIF Land Use District To Be Billed To: Skylight Homebuilders,Inc. Address: PO Box 2315,Lake Oswego OR 97035 To the City of Tigard In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance No 379 which relates to the imposition of a traffic impart fee for the financing of major collector roads and arterials of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND SEVERALLY,to pay rriy/our traffic impact fee,as has been determined by Washington County Ordinance No 379 in 10 semi-annual Installments of the amount financed together with one-half of one year's interest thereon at a rate of 6_34 annual percentage rate on the unpaid amount owed. The lien date is the first day of the month following the date the application is signed. The first payment is due six months thereafter and at six(6)month intervals thereafter for a period of 5 years. Each installment payment will include principal and interest. If hwe neglect or refuse to pay any part of the installments provided herein, including interest,within one(1)year after the same shall have become due and payable, then the whole amount of the unpaid assessment shall become due and payable at once and shalt be collccted in the manner provided by law including foreclosure on the above-described real property. The traffic impact fee,annual percentage rate of interest(634%)and finance charges rhich I/we agree to pay are as follows. HIGHWAY TRANSIT 1) Amount of Traffic Impact Fee..... ............................. ................... ..$ 1750 140 2) Amount Financed.. ........................................................................$ 1750 140 3) Equal Semi-Annual Principal Payments.........................................$ 175U 140 4) Interest on Balance at Rate of............................................................6.34% I\VVe and nd that the amount owed, as stated at )ve, shall be a lien on the above-described subject property pursuant to Washington County Ordinance o.379 Section 6(D)and ORS 223.230 DATE t s $' day of�Qg„�___ 'S• unrty Wiens) Signature of Property Owner(s) STATE OF OREGON 1 Name(Please Print): �� ?( I` f►�1 �� — 1 County of Washington ) Address: 17 LA C C pl aaa MYa (pia L%Jl6��' � Pu SCRIBED AND SWORN TO BEFORE me this g day of_L ., 19 tI ao f —Notary Public for Oregon :- OFFICIAL SE,u . DEBBIE R.ADAMSKI _ a�.bl NOiANv PUBLIC OREGON My Commission Expires: __ .� ! COMMISSION N0.310788 %'Y COMMISSION D(PIRFS MAA.21.2002 1\DSTSITIFPAY2 DnT EL 498.0 C C LUT 162 HILLSHIRC EST 3 SKYLIGHT HOMEBUILDERS I"= 20'0" LOT:14,914 SQ FT — 510 R-7-PD 25 104CC FIS EL 512.0 05wO \ _ USA EftuaION CONTROL 1)CONSTRUCT GRAVEL,DRIVE 2),INSTALL,SILT FENCE AS SHOWN AND AS PER USA INSPECTOR APPROVALS 20 530 540 550 -CQNTROL FENCE 10.0 ft wide public storn _ easement EL5�2 — 1 5.0 side setback –~— IN FLOOR FFE I 1 584.0 1 to Its 3+41 tee 25'25' : Garage FF t I 4"san ; :583.0 I concrete - 1' .3/4"water line 580 ~` F SON e1582 ; trete drive nd approach 1 construct gravel 1 84 ` entrance for erosion el 584.0control • 1 ..�.,., �el 584.0 0'-0"WAT --"� setback C'c mom MOM mom No 0 on ONE Ell lic Ell ONO m Ell IN ME Ell mrm ".Am Ell mini mom Ell @IM 0 0 0 map mom WE Ell no PR op m Ell Ell No CITY OF T SEWER CONNECTION DEVELOPMENT SERVICES PERMIT oik 13125 SW Hall blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : SWR98-021 DALE ISSUE:): 10/12/98 PARCEL: E-S104CC-05400 SITE ADDRESS. . . : 13581 SW ESSEX DR SUBDIVISION. H I LLSH 1 RE ESTATES NO. 3 ZONING: R--7 PD PI-OCK. . . . . . . . . . LOT. . ,. . . . . . . . . . . : 162 .JURISDICTION: TIG TENANT NAME. . . . . .SKYLIGHT HOMEr')TI_DERS USA NO. . . . . . . . . . : FIXTIIRE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :LTPSWR I MPERV SURFACE: 0 s f Remarks : New SF - Path 1 Owner-: ---------------- --------- -------------------------------- FEES SKYI. I�'NT HOMEBUII_DECt'.:, type amol.int by date rer_pt Pn BOX 2315 VIRMT $ 2300. 00 DEB 10,112/98 FINANCED LAKE OSWEGO OR 97035 INSP $ 35. 00 DEN 10/10/98 98--3099Et Phone #: COntr-actor-: ----------------------------•- OWNER Phone #: $ 2335. 00 TOTAL_ Reg #. . ------ - REPU I RED INSPECTIONS - --This Apolicant agrees to comply with all the rules and regulation_ Sewer Inspect ion _ of the Unified Sewage Ayency. The permit erprres 188 days from the date issued. The total amount paid will be forfeited if the _ permit expires. The Agency does not guarar. the accw ary of the side sewer laterals. If the sewer is not lt.^ated it th? measurement given, the installer shall prospect 3 feet in all directions from the distance givan. If not so located, the installer shall purchase a "Tap and Side Sewer' fersit and the Age-cy will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those -ul•, are set forth in BAN W-x1-VIII through DAR 952-MI-M. You may obtain copies of these rul or direct qu±stions to OUNIC by calling 156.1)246-1987. I S S t.i t y : ��--- _ F'e r m i t t e e S i g n a t o r !s �_---- ------- +++++++++++++++++•f+++++++++++++++++++++++•f+++++++++ F+++++++++++++++++•+t+++++++++ Call 639-4175 by 7:00 p. m. for- an insper_tion needed the next business day +++++++++++++++++++++++++++++++ F+++++++++++-L++++++++-++++++++++++++++++++++++++++ I AFTER REVORDING, RETURN TO: Wayne Lowry, Director of Finance '3125 SW Hall Blvd. Ti,,ard,Oregon 97223 City of Tigard,Oregon Standard Agreement to Pay Sewer Connection Fee In Installments This agreement is entered into on this �+�� day of -8�� , 19YI by and between the City of Tigard, Oregon ("City")and the Owner. -- Recitals 13P j/_,>A-1/7V is owner in fee simple of certain real property !ocated at 13��'/�a' Tigard Oregon and more particularly described by the Washington County Tax Assessor as tax lot 0,95ic�/�"�'-�'�`��� and as decd number The City has determined that the owner must pay a sewer connection charge and ocher costs totaling $ . The owner has requested to pay such costs in installments in accordat._c with ORS 223.208. Agreement Now therefore,the owner and the City agree as follows: Owner agrees to pay the balance due of$a'r together with interest over a period of 5_years. Interest is hereby set at The first semiannual payment of$. _ will he due on the first of the sixth month following the date of this agreement and cacti subsequent payment will he due every six months thereafter. Owner hereby waives ,11 irregularities or defects, jurisdictional or otherwise, in the proceedings to cause the connection charge and assts fated costs to he charged to the owner. A late charge of $5.00 will he charged on all payments not paid within ten days of the due date. In th, vent that any payment is more than one year past due, the whole amount of the unpaid balance with interest and late fees shall become due and payable at once and shall he collected in the manner provided by ORS 223.505 and following• including foreclosure on the above described real property. In such event, the City shall he entitled to an award of reasonable attorney fees and collection costs even if no suit or action is filed herein. In the event a suit or action is filet:,the amount of such reasonable attorney fees shall he fixed by the^.wrt. All parties hereto have read, understand, and represent that they vol tarily enter into this agreement and that this agreement,and Amy documents referred to herein,constitute the en re greemcnt between the parties. City of Tigard,Oregon By:-- Director y:--Director of Finance wrier City of Tigard ubscrihed atlfl Sworn to before me this day of�� F�., !9 5 r6 OFF1CIAl.SEAL �`�-_- ..F_ � /L �-L' .��-'I1 DEBBIE R.ADAMSKI NOTARY PLIBUC-ORLt316N " (Notary Public of Oregon) COMMISSION NO 310188 MY C(1MMISSION EXPIRI S MAH 22.2002 ty Commission Expires: CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: 9 00171 6/2/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/2/99 SITE ADDRESS: 13581 SW ESSEX DR PARCEL: 2S104CC-05400 SUBDIVISION: HILLSHIRE ESTATES NO. 3 ZONING: R-7 BLOCK: LOT: 162 JURISDICTION: TIG CLASS OF WOKA: AL r GARBAGE DISPOSALS: MOBILE HOME SPACES: 'TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSEI S: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install a residential backflow prevention device. FEES Owner: - Type By Date Amount Receipt PRMT GEO 6/2/99 $19 00 99-315858 MISC GEO 6/2/99 $0.95 99-315858 Total $.9.95 Phone 1: Contractor: GREEN EARTH 17190 NW SPRINGVILLE RD PORTLAND, OR 97229 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: Final Inspection Reg #: ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All w(,rk will h:! done in accordance with approved plans. This permit will expire if work is not started within 180 days Of issuance, or if work is suspended for more than '180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling 503) 246-1987, Issued By: Permittee Si natur 9 --—...—--- r Call 3) 639-4175 by 7:00 P.M. fog' an inspection neede >?lie n xt busin s day COITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By TiGARD, OR 97223 Date Rec'd (503) 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit#07C M Related SWR#__ Called Name o� evetopment/Project , FIXTURES (Individual) QTY PRICE AMT Job �, Sink 11.50 Address Street Address _ _ Suite Lavatory 11.50 `_�t S`' !-�f z n ___ Tub or Tub/Shower Comb, 11.50 Bldg# TClty/State Zip Shower Only - 11.50 Name Water Closet 11.50 �C''� Dishwasher 11.50 Owner Mong Address Suite Garbage Disposal 11.50 2- ( Washing Machine 11.50 City/ ate Zip Phone Floor Drain/Floor Sink 2" 11.50 _ Name 11.50 4" 11 50 Occupant Mailing Address Suite Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 11 50 _ Urinal 1150 Nam CC // � I--ee<1 Cell i (GL ftcY jYi? %n Other Fixtures(Specify) _ 1500 Contractor Mall ng Addres$(�� ",UNC /cul« x, _ Prior to permit Cit /State Zip Phone Sewer-1 st 100' 3800 issuance,a copy �/ 5ewer-each additional 100' 32.00 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required If c,0 7(, — 31- Water Service-1st 100' 38.00 expired In COT Plumbing I_ic # Exp.Date Water Service-each additional 200' 32.00 database Storm&Rain Drain-1st 100' 38.00 Name Storm&Rain Drain-each additional 100' 3200. ,Architect Mohlle Home Space 32 00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 32.00 _ Pollution Device _ Engineer City/State Zip Phone Residential Backflow Prevention Device* 19.00 (Irrigation timing devices require a separate / Describe work to be done restricted energy ermit) / New O Repair O Replace wit t like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 11.50 Residential O Commercial O _ Catch Basin 11.50 Additional description of workm -- Insp of Existing Plue 50.00 _ per/hr Specially Requested Inspections 5000 Are you capping, moving or replacing any fixtures? error Yes O No O Rain Drain,single family dwelling 45 00 If yes, see back of form to indicate work performed by Grease Traps 11 50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. r� QUANTITY TOTAL I hereby acknowledge Thal I have read this application,that the Information Isometric o,user diagram is required H Quantity Total Is >9 _ given is correct.that I am the owner or authorized agent of the owner and 'SUBTOTAL 4 " that plans submitted are in compliance with Oregon Stale laws. — //- Signature of Owner/AgentDate 6% SURCHARGE Contact Parson Name Phone ""PLAN REVIEW 26%OF SUBTOTAL Required onlyH fixture 'otai Is>9 1BATHHOUSEi178.00 , 4. _, �`: ' ..i;M, TOTAL 2 BATH HOUSE=260.00 2 f� 6ATH HOUSE=2815.00 { :j 'Minimum permit fee is$50+ 5%surcharge.except Residential Backflow 4 (7hle fee Includes oil plumbing 711rtures In the lin Prevention Device,which is$25+591e surcharge 1110 tett of ernitery newer storm seh rend wa r serVlei) : "All New Commercial Buildings require plans with Isometric or riser diagram and plan review I k1%1sVn—\phlm8pp dfx'NV99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Cappad Sink_ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet _ Dishwasher — _ - Garbage Disposal _ Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater _ Laundry_Room Tray —~ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I�dsts*vmm,p"*M,doc&2199