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A1 .171
OF TIGARD BUILDING INSPECTION NOTICE � 4I. 4.
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Inspection Line: 639-4175 Business Phone:639 4171
Cover/Service FINAL:
Rain Drain
Coiling rK' k
footing -Plumb. @
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` Foundation Water Lined
Framing Mech. fi .
a „I tJ
" Post/Beam Mech.
Shear/Sheath
-Elect,
Insulation
PIbg.Und/Flr/Slab Plbg.Top Out BI
` Gyp. Bd. `
Post/Beam Struct. Mech. Rough in
/Sdwlk Rei
Appr
Sen, Sewer Gas Line
Other: `
Q 2— �o A.M. M. try
Date:
Address: �� Ste: MST:
BUP• �
Tenant:— --
' �5 MEC:_
j�,z � h� PLM: ---
ConlOwn. t — _ —
/ ELC: —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — I
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ctor:
InspeZ�_20 - ----
,/�, CF CO
PPROVED __bISAPPROVED/CAL L FOR REINSP.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Set lice FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach. z
)! Plbg.Und/Flr/Slab Plbg.Top Out Insulation C_-Elec I
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Post/Beam Struct. Mech. Rough-in Gyp, Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Bins w
Other.
Date: A.M. A:t�_P`M. Entry: a
Address:
Tenant:— _ Ste: MST:
BLIP:
Con/Own: -O MEC:
M PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector72Date `.�P_2
APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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' M f CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Business Phone: 639-4171
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Rain Drain Cover/Service FINAL:
Footing
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T�1tt,!il aI i t"'tky�lU t�(Y
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Post/Beam Struct. Mech. Rough in Gyp. Bd. �r
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A r/Sdwlk Reins.
San. Sewer Gas Lina
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A.M. P.M Entry:
Date:
Address: 7-5
Ste: MST:
Tenant: —.._— �i,t i s{ :
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MEC:
Con/Own:
PLM: {
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ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: [xs"°�" 'r t
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CITY OF TIGARD BUILDING INSPECTION NOTICEt'
Inspection Line: 639-4175 Business Phone: 639.4171 d �'
Footing Rain Drain Cover/Service FINAL: roAt7i f°
Foundation Water Line Ceiling -Plumb.
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Post/Beam Mach. Shear/Sheath Framing -Mach. ;'h �}f
Plbg.Und/Flr/Slab Plbg.Top Ou,. Insulation Y.1, a„
Post/Beam Struct. Mech. R(,ugh-in Gyp. Bd. -Bldg. `1W4" y +1,
San. Sewer Gas Line Appr/Sdwlk Reins. 40
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Other:
Date: �- 2 J A.M. RM. Entry:
1 Address: Z 62 - ,S�) ;t/,61-� LAO ~
Tenant:
Ste:__ MST: Lc(o�
BLIP:
hi; _
Con/Own:C2 n 3 CJ L S�`� MEC: — ----
PLM: _
ELC: --- --
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR
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Inspector. Date
-- -- - - -- - - �--1-
___APPROVED DISAPPROVED/CALL FOR REINSP CF O
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business4 hone: 639 4171
Footing Rain Drain Cover/Service FI NAL
i
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheathe Framing 91 I -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation! -Elect.
j Post/Beam Struct• Mech. Rough-in �Gyp_Bd•� Bldg.
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San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: CT ( _ A.M._ P.M.-� Ent
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Address: l U _7 �J @ C� ,, I
Tenant: — Ste:_ -- MST: '- �1
SUP:
Con/Own: MEC: i
ELC.
THE FOLLOWING CORRECTIONS ARE RE IRED: ELR:
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1 Inspector: ;�__--- - Date: �V
I APRROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE .
-4175 -4171Inspection Line: 639 Businessone: 69
Footing Rain Drain over ervice FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear Bath min -Mach.
Plbg.Und/Flr/Slab Pibg. Top Out Insulation -Elect. j
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. f
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San. Sewer Gas Line Appr/Sdwlk Reins.
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Other:
Date: _ G� A.N4. �l._P.M. Ent
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Address: �Q I �-�--t
Tenant: -----__--- Ste:__ MST
BUP:
Con/Own: MEC:
PLM:
ELC: � l
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
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Inspector: _ — Date:
PROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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N CITY-OF TIGARD BUILDING INSPECTION NOTICE
action Line: 639 4175 Business Phone: 639-4171
/lflsp
Footin ' Rain Drain Cover/Se-vice FINAL:
oundat - Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Fla Plbg.Top Out Insulation -Elect.
i Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg,
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: _ OL-1 Cc A.M. P.M. En r
Address: - _�
Tenant: —�� ----- — Ste: MST _317
i BUP:
i Con/Own: MEC: _
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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jI Spector: - Date:
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.APPROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 4175 Business Phone 639 4171
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Footi T Rain Drain Cover/Service FINAL: I r
Foundation Water Line Ceiling -Plumb. '
Post/Beam Mech. Shear/Sheath Framing -Mech.
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Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg,
San. Sewer Gas Line Appr/Sdwlkta�Bins. `
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Other: 00
Date: rl� Z A.M._P.M. try:
Address: c)
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Tenant: _ _ Ste: -- MST: I�
Con/Own:_ 7; 1!5 4 MEC:_
PLM: _—
ELC: III
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
40
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Inspector: _ ._ Date:
—_APPROVED —DISAPPROVED/CALL FOR REINSP CF CO
CITY OF YIGARD I
13125 S.W. HALL. BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
RED'S ELECTRIC CO INC
2002 SE ^LINTON ST 5
i
PORTLAND OR 97202
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Electrical Signature Form
Permit # . . . . : MST96-0397
Date Issued. : 08/19/96 `
Parcel . . . . . . : 1S134DA-01902
Site Address : 10775 SW NORTH DAKOTA ST
Subdivision. :
Block. . . . . . . . Lot :
t Zoning. . . . . . . R-4 .5
Remarks :
Building an attached garage to existing accessory structure with attached
1 breezeway
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. I
I
Please have the appropriate individual from your company sign below and return this Electrical j
Signature Form prior to the stari of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON TH!S FORM
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{� I
OWNER - ELECTRICAL CONTRACTOR:
t THEODORE WIEMER RED'S ELECTRIC CO INC
10775 SW NORTH DAKOTA 2002 SE CLINTON ST
9 PORTLAND OR 97223 PORTLhM OR 97202
'i Phone # : 503-968-7042 Phone # :
Reg # . . : 04443
Sf�Turetgo�visi Fe—ctric'ian T
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
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Cirf OF TIGARD MARMIT #ERMIT. . MST96--0397
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/19/96
13125 SW Hall Blvd.Tigard,Orapon 97223.8199 (503)830.4171 IDARCLI_: 1,3134DA--O 1902
SITE ADDRE,3S. , . 107 l'5 (3W NC)FR T•H DAKOTA ST
SUBDIVISIC)IJ. . . . : ZONING: R- 4. 5
E-1L..IOCK, . . . . . . . . . : LUT. . . . . . . . . . . . .
Remarks: Building an attached garage to existing accessory structure with attached
breezeway
--------------------------------------------------------------- BUILDING --------------------------•-------------------------------------
REISSUf_: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBPCKS---- REQUIRED-------------
CLASS OF WORK.:ADD HEIGHT........: 16 FIRST....: 320 sf GARAGE.,...: 0 sf LEFT..........: 0 SMOKE DETECTRS:
TYPO OF USE...:SF FLOOR LOAD....: 50 SECOND..,: 0 sf FRONT.........: 0 PARKING SPACES: 0 w
TYPE OF CONST.:SN 014ELLING UNITS: 0 FINBSMENT: 0 sf RIFT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 320 sf VALUE—$: 5658 REAR.........,: 15
--- PLUMBING ----------------------
---------------------•---------------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH.,: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORILS...... 0 DISHWASHERS..,: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER. FIXTURES: 0
--------------------------------------------------------------- MECHANICAL ------------ --•- ----------------------------
FUEL TYPES----------- FURN ( 100K ,.: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CL'JTHES DRYERS: 0
FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS,........: 0 GTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: a VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
- - ----- ELECTRICAL- --------------------------------------•----------------------
--RESIDENTIAL. UNIT--- ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRPNCH CIRCUITS-••- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 C_00 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR,,: ) 0 M1PiIRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5005F.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVCIFDR: 1 31GN/OUT LIN Lr: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PIINEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ alpivolt.: 0 -------------- ----------------•---- PLAN REVIEW SECTION ------------------------------------
Reconnect only.: 0 )=4 RES UNITS,.: SVC/FDR)=225 A.: ) 600 V NOMINAL: LLS AREA/SPC OCC:
------------------------------- ELECTRICAL •- RESTRICTED ENERGY -------------------------- ---------- -------- --
A. SF RESIDENTIAL----------------------------- B. COMMERCIAL----------------------------------------------------------------------------------
AUDIO 9 STEREO.: VACUUM SYSTEM.,: AUDIO & STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM.,: 0TH: BOILER.........: HVAC....,......: LAND5CAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL......... OTHR:
NtJRSE CALLq....: TOTAL M SYSTEMS: 0
HVAf............ DATA/TELE COMM.. -
Owner: -----------------------------------Contractor: - --- __._.....__.__-- __ ____-- TOIAL FEES:$ 178.06
THEODORE WIEMER VANPORT INSULATION INC
1:775 SW NORTH DAKOTA 285! SE 165TH AVE
PORTLAND OR 97223 PORTLAND OR 97236 . .
Phone M: 503-968-7042 Phone N: 503-760-5670
Reg M..: 062803
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other *
applicable laws. All work will be 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.
----------------------------------- ----------------------- REQUIRED INSPECTIONS ------------------------------------------------
I
Footing Insp Shear Wall Insp ------
Foundation Insp Rain drain Insp
Electrical Servi Electrical Final
Electrical Rough Building Final -- --
Framing Insp Erosion Control
�. X�f.h/�t�,Y -}1 I s;s•_reCl [?Y= --.� �.G � c_,`.;
m i t is e e a i g n,�t r.i r e : �`.�Yll.�!�� _.— / �_„r..__ �J._.- -_�.
Cal 1 fot- inspect ion - 639 -417`;for inspect ion 639 -417`;
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Plan Check# v�z
,ITY Or TIC "RD Residential Building Permit Application Recd Byii,q111"
.In.
13125 SW H� BLVD. New Construction Additions or Alterations Date Recd 'l r1 fD
3ARD, OR 97223 Single Family Detached or Attached Date to P.E
,03) 639-4171 Date to DST� �,, --� r
Print or Type Permit# 1 PI:'i `TL'— d'y`►
Calledie,N4 1/-M¢r�/
Incomplete or illegible applications will not be accepted f '.3�
Name of Subdivision Lot# Name
Job 1
Site Address Architect Mailing Address
e
Address Q) � �- < c.�.J ►�l,Il_.�k �U - •
Cityistate Zip Phone
Name
A Name
Owner Mailing Address
1-2's
7 c 5", ", Cie1kof Engineer Mailing Address 1 t
City/State Zip Phone
rkf 3X ( ! City/State Zip TPhone
Na �
General Girl Consit`VC"4 i 0�rl Describe work new 0 addition• alteration O repair 0
Contractorailinng-IdS,drreesss to be done.
}� 4 ;� I(��' N Additional Descnpti.n of Work: ,t , NC44 3:2-co TO L11-18
•,(
tyiS ate Zip Phone ~Y 1� �1 \Cq
�(Ly-'P pV `t t 4.k> l6�' Sty IO cZOX�{� ( Sivrl Sjo�v Ul�l`,'�ipr.) /7 1i �`fir /
Oregon Const.Cont. Board Lic.# Ex . Dat 1
Attach Copy of LSC q Project
Current r COT Business Tay or Metro# Ex .Date Valuation // o��
Licenses r� Z17756,(/Z�t„ ' C4"
Name NEW CONSTRUCTION ONLY:
Mechanical Sq.Ft. House: Sq.Ft.Garage:
_ I
Sub- Mailing A117 _
Contractor
Corner Lot Yes Nl, Flag Lot Yes No
City/State Zip Phone (check one) (check one)
_ Restricted Audio/Stereo Burglar
Oregon':onst. Cont. Board Lic.# Exp. Date Energy System Alarm
%ttach Copy of — --
Current COT Business Tax or Metro# Exp.Date Installation Garage Door HVAC
Licenses 00 r�. Opener Systems
Name (check all that Other
Plumbing apply) _
Sub- Mailing A s Will the electrical subcontractor wire for all Yes
Contractor restricted energy installations? _
City/State Zip Phone Has the Subdivision Plat recorded? N/A No
Oregon Const. Cont Board Lic# Exp.Date Reissue of MST# Solar Compliance
Attach Copy of (Calculation Attached)
Current Plumbing Lic.# Exp Date I hereby acknowledge that I have read this application, that the
Licenses I information given is correct. that I am the owner or authorized agent of
COT Business Tax or Metro# Exp. Date the owner, and that plans submitted are in compliance with Oregon
State laws _
-- Name 1 _ 1 i�t�e ogent
(��rOw Acv- to U
Electrical R P_ ] 1tc_'�t- L tact Person Name Phone
Sub- Mailing Address J
Contractor fir:I c_�J-;�vm,ar , FOR OFFICE USE ONLY:
itylState Zip #Pl
P e at Map/TL.#
�:J.
iOregon Const. Cont.Board Lia# "'xq� D t
Attach Copy of V4 L4.; b I I 1Setbacks Zone Solal
Current )rleptrlc'I''iCi# EtCp,Dara r^
Licenses d ` 1O (0
COT Business Tax or Metro# Exp Date Engineering Approval: Planning Approval, TIF
!sts\mstapp doc
1L Account De5-c� L AmQunt Amt. Pd. Sal, Du
MST. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT) i� D
State Tax (TAX)
Bldg: r �'
Plumb:
Mech:
ELC/ELR:
Plan Check
MST. (BUPPLN) �-
Plumb. (PLMF'LN)
'h: (MECPLN)
CDC Re\yew (LANDUS) _��U _ e- U
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WOUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: (p
t ldststmstapp doc
Rev. 7196
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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 j
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 ! s J
point of the lot.
X45' ``�
NORMFRN � NO(71NFRN � -j
lOf UNf LOT UNE
_ N \ j North-South
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along, I
the described line.
� 1 a feet
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I—F NORn,-sour+ati+ENsaN�
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measuicments will be based on the peak or eave of your �Ohich 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)
z
be based on the peak of the roof. o n o o .'x
i
11 C
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1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the ,
5 n 17 axxrx_
eave.
91ADE POINT I'Af
� f
1c If the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the
peak. ,,.��,1 IWGI !
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uu b * ry -
Box B. continued Sox B:
2. 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- ft
the lot slopes down from the front lot line to the foundation, the figure is negative. — --
+ ft
3. Measure distance from finished floor elevation to the affected peak/eave, `d
f
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, —
doduct 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. ft
6. Total figure for box 13: 7 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 2i�) _ ft
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + ft
3. Total figure for box C: I �, _ ft
It is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the
appropriate figure found in box "C".The intersection of the vertical and horizontal lines determines the value found in box"D".The value
in box"D"should be compaFed to the value in box"B"; if the value in box"B"is less 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 contact us at 639-4171, x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet
Distance to North-south lot dimension(in feet)
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
Int line iin feet)
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 4.3
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
50 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 29 30 31 32 33 34 35 36 37 38
35 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 26 27 28 29 30 31 32
20 20 20 20 21 22 23 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
Box D. Maximum allowed shade point height: _ > `� feet
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Revised 2/26/96 q:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
1- Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain K gr/ a FINAL: i
Foundation Water Line Ceiling -Plumb. I
Post/Beam Mach. Shear/Sheath Framing -Mech,
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect,
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M. P.M. Ent
Address:
Tenant: _- _.—__ Ste: _ MST:
BLIP:
Con/Own: 0 _,q_j MEC:
PLM:
ELC:9z i
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
�� � C-�-'�`✓�� -tom
or
Inspector: 1 ' _ _ Dat
APPROVED _DISAPPROVED/CALL FOR REINSP. "CF CO
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ELECTRICAL PERMIT
Il #: /CITY OF TIGARD DATE ISaUED: 08/07/96
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COMMUNITY DEVELOPMENT DEPAPTMENT
13126 SW Hall Blvd.Tigard,Or on 87223.8109 (60.3)030-4171 PARCEL: 1 S 13 4DA--01902
SITE ADDRESS. . . : 10775 SW NOF I H Dl-aKO I A ST
lid�r'
IBDIVIS10N. . . . : ZONING.-R-4. :e.
OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
'r•o,ject Description : Installing one service or feeder to .'00amps and four- branch
circuits.
--RE.SI DENT IAL UNIT----- -_-TL'.MF' SRVC/FEEDERS----- -•••----M I SCEL_LANEOiJS---_._......_
1000 SF OR LESS. . . . : 0 0 - .200 amp. . . . . . . : 0 f-'UMP/IRRIGATION. . . . : 0
L_ACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LT(3. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 16 601+amps -1000 volts. : 0 MINOR LABEL ( 10) . . . : rh
--.----GERVICE/F•EEDER----- -----_BRANCH CIRCUITS------- -- -ADD' L INSPECTIONS-
0 - X00 amp. . . . . . : 1 W/SERVICE OR FEEDER: E'ER INSPECTION. . . . . : 0
1.'01 - 400 amp. . . . . . : 0 1st W/O 5RVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 i
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 11\1 PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -__.___._.____._______PLAN REVIEW SECTION---_---- -- -- -- -
100k1+ amp/volt. . . . . : 0 > :=4 RES UNITS. . . . . . . . . > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : riff SVC/F"DR > 225 AMPS. . : CLASS AREA/SPEC OCC. : t
Owner: ____.. .._._-------_._..__- ____________.__ _____.____._.._.________.__.._____..- FEES
ANDERSON, MARE; iw BEVE=RLY type amount by date recpt
10775 SW NORTH DAKOTA ST F'RMT 'b 80. 00 CJS 08/07/96 96--2-82625
5PCT $ 4. 00 CJS 08/0'7/96 96-282625
fIGARD OR 9722;
Phone #:
Contractot-:
RED' S ELECTRIC CO INC B4. Orr TOTAL
2002 SE CLINTON ST
-_-- --- REQUIRED INSPECTIONS
Wall Cover Elect
1='OR'TL.ArdD 0i 97:'02 ' 1. final
Phone #: 503233-6467 Elect' 1 Service
Rey 1t. . : 04443
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signatu_ -e
applicable laws. All work will be 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 core �,, ,• i,,(, .,�___., h�t�r�I '.__-_._____......__..-.._.____._._...__....._._...___...
than 180 days. Issued By
_..__.._._.._._..._...._.-......__.___._._- .OWNER INSTALLATION
rhe installation is being made on property I own which is not intended for
lecise, or rent.
OWN1_R' S SIUNAI URE : DATE:
INSTALLATION
SIGNATURE OF SUPR. ELh_C' N: �c.�rcp DATE:
LICENSE NO:
Call for inspection - 639-4175
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B-06-1996 3--31 PM FROM RED' S ELECTRIC 503 233 1261 P6:)5- p 1
,° Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd, _
p Tigard, OR 97223 Permit FL -Os L9
Date Issued v�
Phone (503) 639-4171
CITY OF TI4ARD FAX (503)684-7297
TDD No (503) b84-2772
Inspection (503) 639-4175
1. .lob Address: 4. Complete Fee Schedule Below:
Name of Development _ Number of Inspection* per permit allowed
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Address ��,��56+1 _ Service included Items Cost(ea) Sum
City/State/Zip T�.�_.-t! 4a. Residential -per unit e�
1000 sq. R. or less $110.00 �— 6
Name (or name of business) Each addltional 5W sq.",of
portion thereof $25.00 -
limped Energy —— $25.00
✓Z - 1
Commercial
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Residential Each Manurd Home or Modular
D,raIIMg Service a fasdx $es.Do 2
2a. Contractor installation only:
0 4b. Services or Fsotlers
Electrical Contractor _ I"4laasll°"'alteration,or maloealtbn
— 700 amps or less $6000
. 2
Address ./ 201 amp,to 400 amps $80.00 _ 2
City o States_- Zip_��W - • 1 amps to Goo amps $120.00 2
01 r
Phone No 6ape t°loco amps $180.00 2
Over 1000 amps or volts $340.00 2
Job NO. Recomned only —_ $50.00 2
contractor's license NO �-')Z—/S 2— C— 4c, Temporary Services or Feeders j
Contractor's Board Reg ��Y — Installation:alteration,or mincMlrn I
Signature of Supr. Elec'n 200 amps of less 2
License No.,���� Phone yZ- 201 amps to 400 amps 11150002
41 amps to 600 amps _ _ $75.00
Over 600 amps to 1000 Vohs $100.00 ---
2b. For owner installations: sea••b•"shove
Print Owner's Name4d. Branch Circuits
—_
Now,alteration or evlenslon per pane
Address a)The fee for branch ckcults with
purcfraae of 4arelce or reeler rya. .� 7
City State Zip Each branen urcult ss o0
Phone No. b)The Ina for branch crtulls without
The installation is being made on property I own which is porch*"of service or f ft*w foe, 2
Fiat branch Circuit $35 00 2
not intended for sale, lease or rent. Each additional branch Circuit —`� $5.00 —---
Owner's Signature 6e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump Or inigstieri circle $60.00 2
Each sign or senna W"Ing $40.00
Sgnal cirtuigs)or a limited energy 2
Please check a $
ppropriate Item and enter fee In section 5B. panel,alteration or extension $40.00
4 or more residential units in one structure Mhw Labels(101 $10000 -
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Service and feeder 225 amps or more }•Each additional
_ .-. System over 600 volts nominal inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.0 Chapter 5 Per Inspection $3800
Per hour $55.00
!r.Plant $55 on
Submit 2 sets of plans with application where any of the above -----
apply, Not required for temporary construction services. 5. Fees:
c�Od
NOTICE Sw Enter total of above fees E 7071
5%Surcharge (.05 X total fees) 5 ycl _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter r 251 $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF v! of e A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Rev!ew iff required (Sec-3) $
Subtotal
A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS !
COMMENCED. 9 Trust Account 0
Balance Due a
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