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13200 SW VILLAGE GLENN DRIVE-1 ■ ��v � ;uAt� � GIENn) i.RIVF ADDRESS: a ;:\records\microflm\targotstuilding.doc I 1 CITY OF TIGARD > DEVELOPMENT SERVICES ' EN13INEE:RING PERMIT (1E 2MIT #. . . . . . . s ENG97•-OO56 131,,5 SW Nall Blvd., Tigard,OR 97223 (.503)639.4171 FSR I M. PERM IT #. . : ENG9-1 OOZE. DATE ISSUED: 10/08/97 T-fr: ADDRESS. . . s I. 3.00 SW V I I.A.41U I il_ENN DR PARCEL. 1 2S 1 O2CA._(10'-_:4a3 iJ3D I V l S I ON. . . . : V I LLOUF GLENN 7..ON I NO s R--4. 5 q_OCK. . . . . . . . . . : L.04. . . . . . . . . . . . . 1023 JL)R15L)TCT ION: TIG FRMIT TYPE. . s SOP PUBLIC IMPRV s QUANT. (LIN FT) VALUE AGREE=MENT DATE: J GRAD/EROS -***- $ iS URANCE EXPIRATION—— 91`REE T $ PERFORMANCE: I � SAN 5F"W $ MA.'"T'ENPNCE: / ! 9'rM SFW $ PATHWAYS " F 'TOTAL. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . pmr�r14 : STREET AN;N6, TO TAP ($4 k,:STING MAINLINE SANi1ARY SEWER LIFE iM TO ASTALL A (BUILDING) SIDE 5ANITARi ",C*.R SERUCE LATERAL. e►^m i t t pe _...... ._ --..__..-...._._..._ _..__ FEES lIL"lAN to MAT'TO type Z4MC'.Ilnt by H_Ate recpt 13200 S. W. VILLAUE GLEN DRIVE OPEN $ 24. 00 JSD 1O/08/97 97--e9987`, IIGARD GR 97223 HONLI $ 6O0. 00 JSD 10/O8/97 97--299875 ''hone #.- 624. 00 ,�ngiri�er.. s /I REQUIRED I NSPEC r 1 mis - _... _... 'ermittep/Agent /;i gnatt_r� - �3rfaF?lYl SEWER-- /��,� + �G 1 hl. H� A C. B. CRH ;..INE' R RRAL;i PIPE, 1_N R ORD SURGRADE - BCKF(_L. & CMPC;'T BASE. ROCJ< AIR a IV TESTL_EVE�L (]OURSE. City of Tinlwd, OreyoriWEi.ARING COURSE= �?1r±:5 �. W. H1 ]. Eilvt�, - - SAN. SE4II'.R- _ 'TRAFF & WED COIN r I GARD, Oregon 9721" M. H. R- C. O. MCINUMENTAT I ON '-'hone #: 639--41.71 CII-'C L,►V A GRD STREETI-IGHTING Hr'KF=I_.I_. & CrIPUT WAi._K/APRON;RAMP AIR & 'TV TF_aT i1; I NSPEC 1 10N. r0N'TAC;T: L.ethr. Thrim s #639-4171 (office?) _-REPR' L;/ADJ, S-- CONTOURS #780•-2647 (mobile) DRA IMAGE - - PA THWAYS--_ EROSION CNTI... ,PE.CIAL CONDITIONS: M MIL Page No. 1 CASE HISTORY FOR CASE NO.: PLM97-040'7 LUCIAN B MATIA 137.00 SW VILLAGE GLL" DP 05/28/9U Action Dfecription Req/ Schd/ End/ Action Not.eo Diop By Update Upd Cede Sent ']one Done Date By ------- ------------------------------ - --- -------- ------------ - ------"____-. PL14AO03 Application received / / / / 10/01/97 PASS DRA 10/08/97 JD PL14A005 Create Permit / / / / 10/08/97 PADS JSD 1.0/08/97 JD PIMA040 (F) Ready to imeue / / / / 10/U8/97 PASS JSD 10/08/97 JD PIMA050 (P) Iaaue permit / / / / 10/08/97 PASS B 10/08/97 DST PL,MA705 9uwer Inspection 10/08/97 / / 11/07/98 PASS MH 05/12/98 J+H < PLMA799 Pinal Inspection / / / / 11/07/98 PASS MS 05/12/98 J•H PIMA800 Came Finaled / / / / 11/07/98 PASS Mn 05/12/98 J*H CITY OF TIGARD LUMBING DEVELOPMENT SERVICES PERMIPT #. . . . PERMIT . . . : F'LM97-0407 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/08/97 PARCEL.: 2SI02CA-00923 SITE ADDRESS. . . : 13200 SW VII-LAGE GLENN DR SUBDIVISION. . . . : VIL.A.-AGE GLENN ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :0`3 JURISDICTION: TIG ------------------------------------------------------------- --- CLASS OF WORK. . :AL.T GARBAGE DISPOSALS. : 0 MOB IL.E HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANC Y GRP. . : R3 FI_0OR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES-------------- L.nUNDRY TRAYS. . . . . : 0 SF RA I N DRA I NS. . . . - : 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 L-AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER L.INE (ft ) . . . : 100 WATER CLOSETS. : 0 WATER LINE ( ft ) . . . : 171 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Lay second sewer line hook—o-ip for resicleTlce , no additional sewer connection permit reqoi.red. Owner: ---------------------------------------------------------- FEES I_UCIAN B MATIA type Amoi-int by date recpt 13200 S. W. VILLAGE GLEN DRIVE PRMT $ 30. 00 B 10/08/97 97-299893 TIGARD OR 97223 5PCT $ 1. 50 B 10/08/97 97--299893 Phone #: 9ES-1576 Contractor-------------------------------- OWNER ----------------------------------------- Phone #: $ 31. 50 TOTAL. Pe(A 999999 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all othrr Final Inspection applicable laws. All work will be done in accordance with approved plans. This vr.,sit will expire if stork is not started within 180 days of issuanr_�, or, if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fellow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-MI-0010 through OAR W. -W14W. You may obtain copies of these rules or direct questions to RINC by calling (503)246-198'. 1 S s i'l e d By Permittee SignitlArc :_ '0000, ++++++++++++ .................I................4-+4++++++++-4...................... Call 639-4175 by 7:00 p. m. for an inspection needed the next bl.isiness day .............4.........4•................1-++4................................ Re. ' d 9y CITY OF TIGARD Plumbing ApplicationDate Recd 13125 SW HALL BLVD. Commercial and Residentia; Date to P E. TIGARD, OR 97223 Dace it US T 8 (503) 639-4171 Print or Type Related SWR0 Incomplete or illegible applications will not be accepted Called-,�i� " Name of DevelopmenuProjed r - QTY PRICE AMT Job CrC-�A� �� r�H�� Fa ES (Indlvldual) Address `'beet Address pc� sorts --- s 00 VPK t r�lt�r.7 !�i'Blddg 0� CIState ZrP ub/Shower Comb. 3 00 Tl6Only 9 00 - — Name I I J I Water Closet 9.00 Suite Dishwasher 9.00 Owner Marling Address - � - - 9.00 r. Garbage Disposal _ City/Stale Zip Phone Washing Machine -- Floor Drain2" 900 Name 3 -- 9.00 -� Suite IIS" 9.00 Occupant Marling Address _�4"---- 900 Water Heater O conversion O like kind 9 00 ICitylState ZipPhone Laundr-Room Tray 9.00 ---- Unnal 9.00 `- Name J 9.00 Other Fixtures(Specify) Contractor Marling Address Suite _ - 900 9.00 (Prior to Issuance City/State Zip Phor,e -- - 9.00 applicant must _ — 9.00 provide 311 Oregon Const.Cont.Board Lica Exp.Date — 9 00 contractors _ license Plumbing Lic.! Exp.Date -Sewer-tst tU0" 30.00 Information if Sewer-each additional 100' _ 25,00 expired — 31.00 in COT COT in Busess Tax or Metro ll Exp Dale Water Service 1st 1Q0' database). _______ Water Service-each additional 200 _ — Name Slor m&Rain Drain- 1 st 100' 30 JO Stone&Nam Drain-each additional 100' 0 Architect _ Mailing Address Swte Mobile Home Space 25 00 j Or - Commerdal Back Flow Prevention Device or Anti- 25.00 C11i /91ate T.ip Phone Pollution Device Engineer ------ -- 15.00 _ Pesidential 9 ckflow Prevention Device' Describe worts New O Addition Q Alteration O Repair O Any Trap or Waste Nat Connected to a Fixture 90 to be done: Residential O Non-residential O - g Op -- Cat tt Basin P,dditronal description of work -- 40.00 Insp.of Existing Plumbing er111r Specially Requested Inspections 4000 _ f perlhr_ Existing use of Ram Drain,smgle family NNelling 30.00 budding or property ----_ 9 00 Grease Traps Proposed use of TITY TOTAL building or property — -- t]UAN Isometric or riser diagram is required 6 Ouarrity Total is >9 Are you capping, moving or rePlac+ng any fixtures? Yes[i No Q 9UEITOTAL (if yes see back of form) 5% SURCHARGE I'iereby acknowledge that I have read this application,that the information jliven is correct.that I am the owner or authorized agent of the owner,and PLAN REVIEW 25%OF�—SUBTOTAL that pla s submitted are in compllanye with Oregon State Laws Signature of OwnarlAgent Date Requrred only A tfxturegry later is>9 TOTAL CXj-Z ._. -- CartCact Person Name Phone *Minimum permit fees$25-5%surcharge,except Residential Backflow Prevention Device.which is S15�5%surcharge rsia`oKr�P dos 6191 F LEASE OMPLETE AAPEROPEUA E D PROff-�CI: Fixtures to be capped, moved or replaced I city Sink _ — Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" Water Heater _ Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: i Uttepreoo�Joc 59, Page No. 1 CASE HISTORY FOR CASE NO.. MST'97-0373 LUCIAN MATIA 13200 SW VILLAGE C ^'NN DR 05/28/98 Action Description Req/ Schd/ End/ Action Notes Uiop By Update Upd Date By code sent Done Done ------- -------------------- -------- -------- -------- -` MBTA005 Application received / / / / 09/08/97 RECD GEO 09/09/97 BON MSTA008 Permit Created / / / / 09/09/97 DONE B 04!03/97 BUN MSTA010 Check for prel. restrict. / / / / 09/09/97 PASS 8 0909/97 BON MSTA012 plans routed to plane Examiner / / / / 09/09/97 SENT B 09/09/97 BON M9TA026 Plane approved by Pln Examiner / / / / 09/10/97 PASS RT 09/10/97 HT2 MSTA030 Revi4wed pl,,uin routed to DSTS / / / / 09/10/97 PASS RT 09/10/97 BT2 MSTA032 DBT Post-Review Cort.pletad / / / / 09/11/97 PASS DRA 09/11/97 DRA MSTA050 Hold for / / / / 04/03/98 cue final. sent inspection slip HOLD JT 05/12/90 J•H ken. The newer line on the plumbing permit has not been inspected. Owner called in on master but obtained a separate permit, 110797 Mike S approved newer. See P11497-0407 (SOP s PLM were not grovped, fixed 051298.) MSTA080 (F) Ready to ie•ue 09/11/97 Have owner sign owner liability form, PASS DRA 09/11/97 DRA issue electrical label over the counter, ane enter the overage of $62.15 as a minus amount in the receipt. MSTA092 (F) Issue combination permit / / / / 09/11/97 PASS B 09/11/97 DST 14STA202 Hold. Release to Issued Status / / / / 05/12/99 New sewer lateral from P11497-0407 wan PASS IMH 05/12/99 J•H approved 110797. owner called in on MST. Slip in file. Entered 0E1298, MOTA704 Sewer Inspection / / / / 11/07/97 PASS TLP 05/12/98 J•H MSTA705 Footing lnnp 09/22/97 oee foundation notes, approved an noted PASS KS 09/22/97 J•H M8TA706 Foundation Insp / / 09/22/97 Approved as noted: PASS KS C9/22/97 J•H 1. Need initial erosion control approval. 2. Monolithic footings/foundation. 3. Install anchor bolts size and spacing an shown. OK TO POUR AFTER xRobION CONTROL I8 APPROVED. MSTA707 Slab Inap / / 10/16/97 Slab on grade,insulate total PART Kb 01/07/98 KBS perimeter. To R- 15 extend minimum of twenty-four inches. MBTA717 ptm,'Underf.loor / / / / 10/03/97 call back in tie into sewer PASS MS 10/03/97 MPS R W, NO Page tJ". - CASE HISTORY FOR CASE NO.: MST97-0373 LL.JIAN MATIA 13200 SW VILLAGE GLENN DR Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Sent Done Dome Date By Cote MSTA720 Mechanical Insp / / / / 11/25/97 1. Need 3 min. screws at each connecting FAIL. GS 01/07/98 KBS joint, Thie inspection in for vent fans and heat ducting, no connecting to existing, heat supply has been made at this time return air through existing house. call for reinspection of mach roughin with framing. MSTA720 Mecha•ical Insp J J J / 12/02/97 FAIL. C9 01/07/99 KJ?S Provide felt behind etude and lower level. Contact with foundation wall. Firestop furred wails at ten ft. horizontal. Main door between existing and addition, not installed at this t:iie. Extend save baffles 19-inches above bottom of truss chord. provide positive connection between existing additon at plate/1-straps. Provide motrl flashing at front subsiding in contact with concrete, also caulking joints. Connect heat ducts At lower level to supply duct. 12/15/97 / / 12/15/97 PASS RC O1/07/9N KBS MSTA720 Mechanical Insp pA88 MB 11/11!97 J•N MOTA722 Plumb Top Out / / / / 11/07/97 MSTA723 Electrical Service / / / / 11/25/97 panel not approved for closet FAIL a" 11/25/97 MJR M1ITA724 Electrical Faugh In / J / / 11/26/97 PASS DRP 12/02/97 J*H i / 12/15/97 Furr out wall needs fireblock at top and PASS RC 11/15J97 JAM MSTA725 Framing Insp / / 10-ft intervals, oK to insulate. MSTA725 Frar.Ar.g Insp 12/15/97 / / 12/16/47 Not ready, cancelled. Note: This in an FAIL RC 12/17/97 J•H adult foster care home SR3-less than 6. MSTA725 Framing Insp / / / / 12/23/97 APP KS 12/24/97 KBS MSTA725 Framing Insp / / / / 12/02/97 See mechanical iuopection for FAIL KS 05/12/99 J•H corrections th�s date. MSTA726 Shear Wall Innp / / / / 10/15/97 No We required. PAPS KS Io/16/97 J'H Mg-A-1-8 Low Voltage / / / / 12/15/97 pArS AAP 12/15/97 J•H MSTA740 insulation Innp / / / / 12/23/97 4 1- seal around all penetrations floor AI-P KS 12/24/97 KM / ceiling 9-2- insulte rim joist,also floor cavity at ext wall_ j MR Page N+,. t CASE HISTORY FOR CASE NO.: MST97-03'13 LUCIAN MATIA 13200 Sh' VILLAGR GLRNN DR 05/28/98 Action Description Req/ 8chd/ gnd/ Action Notes Diap By Update Upd Date BY coie SentDone Done ...-- -------- ---- --- --- MRTA745 Gyp Board Lipp / / / / 01/07/98 NOTE FRAMING NOT roMPL ffB AT JACUZZI. PASS RS 01/08/99 J•H PROVIDE ACCESS WATER PROOF GYPSUM AT FACE OF JACUZZI. 03/02/98 PASS WA 03/03/98 J•H MSTA755 Rain drain Inep / / / / PASS HRP 03/02/98 E•P MSTA790 Blactrical Final / / / / 12/15/9.1 03/02/QB PASS BRP 05/12/98 J•H MSTA790 electrical Firial / / / / pp„g RS 03/04/98 J•li MSTA795 Mechanical Final / / / / 03/04/98 MSTA797 Plumb Final / / / / 03/02/98 1. Rain drains approved. FAIL WA 03/03/98 J•H 2. Lav drain for downatwirs lave can't have offset trap arm in vertical ponition. MSTA797 "uml) Final. / �' 03/04/99 Items or inspection report dated 030898 PASS 'NA 03/04/98 J•H have been corrected. MSTA199 Building Final / / 03/04/98 I. Slope finish grade away from PA£_ R9 03/04/98 J•li structures at side of rear lam weather permits). 2. Plumbing final approved 3-4-98. 3. structure has working amok* detectors. M'TA970 Case Finaled / / / / 05/28/98 05/28/99 .;T CITY OF TIGARD MASTER IDERMIT PERMIT #. . . . . . . . MST97-0373 �. DEVELOPMENT SERVICES DATE ISSUED: 09/ 11/97 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 FIARCEL: `S 1.02CA.-00'323, SITE ADDRESS. . . : 1300 SW V 11__LAGE GLENN DR SUBDIVISION. . . . :VIL_LAGE GLENN 7()N I NG: R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG Remarks: Single-family addition PATH I --------------------------------- BUILDING -- --------------------------_—_------- --------__—_----- REISS(E: STORIES.......: 2 t-L00R AREAS---------- BASEMENT...: 364 sf REQUIRED SETBACKS---- RE(XUIRED--------- --- CLASS OF WORK.:ADD HEIGHT........: 21 FIRST....: 409 sf GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SWACES: 0 TYPE OF L'I)HST.:5N DWELLING UNITS: ! FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL-----•--: 409 sf VALUE..$: 51714 REAR..........: 30 ----------•----------•---------------------------------------•-- PLUMBING ------------------------------------------------------------------- SINKE. 0 WATER CLOSETS.: 3 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS,........: 0 LAVATORIES....: 3 D1S1*ASFERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOWERS...: I GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ---- MECHANICAL ------------------------------------------------- FUEL -----------------------------•-------FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 0 GAS FURN )=109K ..: 0 UNIT HEATERS..: 0 HOODS........... 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 7 WOODSTOVES....: 0 6% OUTLETS...: 0 -------- ELECTRICRI- ------------------------------------------------------------- —RESIDENTIAL UNIT---- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- -•-MD'L INSPECTIONS-- 1080 SF OR LESS: I P, 200 amp..: 0 0 - 230 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR.,....: 0 LIMITED ENERGY.: 0 401 - 600 amp,.: 0 401 - 600 amp..: 0 EP ADDL BA CIR: 0 S1b71AL/PANEL...: 0 IN PLANT......: 0 MAW HM/SVC/FDR: 0 681 - 1008 amp.: 0 601+amps-1000 v: 0 MiNOR LABEL -10: 0 1000+ amp/volt.: 0 ------------------------------------ 14AN REVIEW SECTION -----------------------------.. Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ----- ELECIA CAL - RESTRICTED ENER„Y ---------------------------------------.-___--____ A. SF RESIDENTIAL----------------------- B. COMMERCIAL-------------------------------------------- ------------------------------ AUDIO I STEREO,: VACUUM SYSTEM-: AUDIO I STEREO.: FIRE ALARM..... : INTERCOM/PAGING: OUTDOOR LNDSC LI: BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PKJECTIVE SIGN: CARA% OPER..: CUP........... IN5TRLK:T'niNn- MEDICAL......... OTHR: .1 1. HVAC,. .,......: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0 Owner: --- --- --- ------ ------- ----Contractor: ---- ----- -------- TOTAL. FEES:t 800.63 LUCIFY'i B MAT1A OWNER This permit is subject to the regulations contained in the 13200 SW VILLAGE GLENN DR Tigard Municipal Code, State of Ore. Specialty Codes and ali TIGARD OR 97223 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone t: %8-1576 Phone t: not started witnin 180 days of issuance, or if the work is Reg C.: Q( t suspended for more than 180 days. ATTENTION: Oregon law ------------------------------------------------------ _ - requi-es you to follow rules adopted bi the Oregon Utility Notification Center. Those rules are set forth in OAR 952401-0010 through OAR 952-001-00R0. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. ---- -- -------------- ----- REOUIRED IMSFCTIONS -- ------------- -- ------ --- -------- ---... Footing Insp Electrical Servi Insulation Insp Plumb Final �_- Foundation Insp Electrical hough Gyp Board Insp Building Final PLM/Underfloor Framing Insp Ra-n drain Insp - —— Mlchanllal Insp Sheer Wall Insp Electrical Final - Plusb Top Out ow VoltageNA, Mechanical Final _ _ — 4F 7 2111 ' h__ Permittee Si gnati_ire : ��L-� - ++++i•+++4++++++4 4-+++ >•++++�F•1-+t+4ii++'+4-+�-.+�4i--4-...4+�++i-.+ �+�+'....+t ttt+t+� +t�+t Call 639-4175 by 6:00 P. M. for, ar, inspection needed the next �_isineSS day J Plan Checic 0 :ITY (;F TIGARD Residential Building Permit ApplicatiGn Recd By '-rt-c:' 31 :e; SW HALL BLVD. New Construction Additions or AlterationsDate Pec'd " 1GARD. OR 97223 Single Family Detached or, Attached (Duplex) Date to P E. 503-639-1171 Date to DST 503-684-7297 Permof>r 7T Print or Type Called q-11 -7 Incomplete or illegible applications will not be accepted N ma of Project Name JOt) I Q ( )IG�� Mailing A -- Site Addre Architect 9 ddress Address , Nam C tyiState Zip Phone Name Owner Mailing Address ��'� • �t.r ' v..-�.4s;;f_ Iv/V Gty,Statt. Zip P�_pporls Engineer Mailing Address ob�)?"�7_' y -- /,; ' Name CtyrStale Zip Phone General i ?(� /�/' /� Descnbe worx New O Addihon O Alt ration O Repair O Contractor Mailing Address to be done _ Additional Description of Work:: C'tyr5tate Zip Phone r I( `r, (Ch1 �� /XC 170a Oregon Const.Cont. Board LSC k Ex!). Date 'A1�( { p ' tach Copy of Current COT Business Tax or Metro 0 Exp, Date PROJECT / 7j`7// G ^ Licimses VALUATION Name -- Mechanical NEW CONSTRUCTION ONLY: Sub- Mailing Address Sq. FL House: ? Sq. FL Garage Contractor Corner Lot YES NO Flag Lot YES NO Cay/slate Zip Pho a (Check one) (check one) Oregon Const. Cont. Board L c.# Exp. Date Restricted Audio/Stereo Burglar Attach Copy of Energy System _ Alarm Current COT COT Business Tax or Metro M Exp Date Installatlen Garage Door h4 AC •'1Cen3tl3 Ooener Systems _ Nama (check all that Other-, Plumbing apply) _ Sub- Mailing Address — Will the electrical subcontractor were for all YES NO Contractor I ( restricted energy installations? j C,ty;state ?:p I Phone Has the Subdivision Plat reccrded? N/A I YES NO Cregon Const. Cont. Board L.c.x Exp. Dace Reissue of MST# Solar Compliance attach copy of -- —ulabon Attached) _ Current P!umoing Lic # Exp Cate �Calc-- — I hearby acknowledge that I have read this application, that the Licenses information given is correct. !hat I am the owner or authorized COT Business Tax or Metro x Exp Date agent of the owner, and that plans submitted are in compliance Name I with Ore on State laws I 5ignatLre of Owner/AgentI Oatr, -Jectrical L�� " ""t" L __ ;_.__ t_v• ,� Sub- tailing Address ( Contact Person Name Phanq tt ontractor I l ' .f lC,tyrStateE p Phone FOR OFFICE USE ONLY: r (" t' (?C'Q . ,tti( Plat# Map/T #. Cregon Const. Cont Board L c x Exo Date ° �i, 1 I u'O 7t"' ? %"ach Copy ofI - Sgtbl�cks� (� � i c.. � Solar. Current E ectncat Lc it E.xp. Date Licenses Engjn ehng Approval: I P'annln .=pprovel: 77F 1/L COT 3usiness Tax or Metro 4 I Exp. Date I�Jf` FREMOL.30C tcSn 097 r�js�y7-03� MST. Permit (BUILD) (UBUILIA 2�'1, uv ✓ `� Plumb Permit (PLUMB) (UP MB) ru t Mech. Permit (MECH) (U E H) ELC/ELR Permit (ELPRMT) ( ELP T) u. State Tax (TAX} III �, 2 BLDG: � {= PLUMB: MECH: ELC/ELR: Plan Check MST: / (BUPPLN) (Ob UPLN) 7, Plumb: (PLUMB) (U 'U B) Mech: (MECPL.N) (UMEPLN) CDC Review (BUILD) (CDCBLD) (L, wCDC) c��' ,4 Cd CDC Review (PLN) (CDCPLN) h/A Sewer Connon (SWUSA) (USWUSA) �- Reimbur. Distnct ( ) ( ) Sewer Inspection (SWINSP) (LISWINS) Partes Dev Charge (PKSDC) N/A Residential TIF (TIF-R) (UTIF-R) Mass Transit TIF (TIF-MT) (UTIF-M) Water Quality (WQUAL) (UWQUAL) Water Quantity (WQUANT) (UWQAN-T) Erosion 'Control Prmt (ERPRMT) �'UERPMT) Erosicn Planck/USA (ERPLN) (IJERPLN) Erosion Planc!,'COT (EROSN) (UEROSN) Fire Life Safety (FLS) (UFLS) er � 3 TOTALS: I SFREMDL.DCC :DST) 697 I Solar Balance Point Standard Worksheet Address f f �l �lr .► rat r►. -,�vF� � T�c�a!? �/� Box A calculations: North-South dimension for the IoL —_ 1 Sox A. 1 This dimension is determined by Finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. Firms, determine which property line is the Norti, lot line. The North lot line is the line with the smailest angle trom a line drawn east-west and intersecting the northern most point cf the lot. 46n-.. I��wr N North-South Dimension for Lot: MeasIL-re the distance from the midpoint of the North lot line to the South lot line along the described line. feet * — I 1 N Box B calculations: Shade point h ight for your residence. Box B: 1 Determine whether measurements wiil be based on the peak or ear of}our Which describes strurrure. The orientation (Jr r , ridge is also important. your residence? la: If the r.)of line runs North-South, measurements will f (cirde one) bit b?sed ort the peak of the roof. ❑�11 -ON--► 1 A 1 B 1 C 1 b: If tf-e roof line runs cast-West and the ooi pitch is less than 3112 measurements will :e *asev cr. :fie ear e. «n"L-4 1c: If the rcof lire runs East—vest and the roc( pitch ;s 3/12 cr sleeper, measurements will be based 3n the � I peak. 1-43 10"m I I Box B. continued Box B: Measure change in efevation from front property line to finished floor elevation. If the !ot 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 foundwicin, the figure is negative. 3. Measure disortce from finished floor elevation to the affected peak/eave. + — ft 4. If the roof line runs North-South, deducx three feet. If the roof line runs East.West, ------ It deduct nothing. :a. Subtract one foot for each foot of difference in elevation from the front property line to the rear property lint_, if the lot slopes up from the front to the rear. If the lot has no ;lope or slopes up from the rear to die front, deduct nothing. ft 6. Tool vre for box B: ft Box C. Distance to ,he shade reduction line. Box C. 1. Measure the distance from the North property line to the foundation near the ft affected peak/eave. 2. Measure tore distance from the foundation to the affected peak or eave. + ft 3. Total figure for box. C: It it is most use"in draw a verod fine in represent the appropriage frgune fund in boot'A'and a horizontal line to represent the aptxopraste 6igure found in box'C'.The interset7ion of the vertio9 and horizontal Gres dem mines the value fund in boot'O'.TSre value in box 'O'shm-ld be compared to the value in box'0'; if the value in boat'9'is less than or equal to the value found in bax'O', then trit bonding is in oompliance wilt: the solar balance code. if you have any quesnons,please contact us at 639.1171,x304 or at the Commurdty Oeveiopment Country. W=muM PE814 TIED SHADE POINT WEIGHT (In feet) oismi ce to North-south lot dimension tin fee0 shade 1004• 95 90 65 80 75 70 65 60 55 50 4S 40 redumon rine Rnm northern ane fin feed 70 40 40 40 41 42 43 44 65 38 31r 38 39 40 41 42 43 60 36 36 36 37 . 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 3= 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 35 36 37 38 39 .0 23 ?3 :9 29 30 31 32 33 34 35 36 37 38 35 26 26 26 23 29 30 31 32 33 34 35 3S .0 24 24 �s 25 '5 '_7 '_3 _9 30 31 32 33 34 21 22 22 23 24 25 2y 27 28 29 30 31 32 .� 20 :0 20 21 2-1 23 24 25 26 27 28 29 30 t5 18 18 18 19 _0 21 2_1 23 24 25 26 27 23 10 16 16 16 17 13 19 =0 21 22 23 24 25 =6 5 14 14 14 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: t ti draawncti+Kra,nbotu�+o Permit#: Address: : ; Issued by: .�� !!_-- Statement: Information Notice to Property owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), require.% residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following stuternent before a builaing permit can be issued. This statement is required fior residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under DRS 701.010(7), ne(,(l not submit this statement. This statement will be filed with the permit. Mill in the appropriate blanks and initial Boxes 1 and 2,and either box 3A or 313: own, reside in, or will reside in the completed structure. 1 /3 (Q 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. F1 3A. My general contractor is — (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR Alt B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct anti that I 11a1c read anti tlt►understand the Information Notice to Pro mrty Owners bout Construction Ilespon"'hilities on the re%vi w Nitre of this forst. ignature of permit applicant) (Date) (White copy to issuing agenev permit file, pink copy to applicant) , ul�w4lwY:t,Ili��imm ..r, Y '�"wf- •dil�ps.�4a MNYI,.,,Y✓VfIM4„:r•,.�:- d.:.:..�,. .r9:s... -.. .•�w. rY..e.wtnn ....��a`i�Br�.tlnw'WWNniiihlYWt' information Notice to Property Owners About Construction Responsibilities 1, ,F ' 111:! h-if It l tLll t 'R,'t 11.17. Sf.51. :i l• 1,.111 ti�ai,_. �ilir, ,. .,..ti;� „ItiW.. J _'�I ..,illi. ., ✓' tip�1�. lil.(U.:: uIld 'lit•.'„A EMPLOYE:P RESPONSIBILITIES: '. ,IIIE�Ml1��tY�t�r�� I ,t� .l,ln .,,.. �. ,! . . - 't•n-�, I,,',nll .`1}+,'In`.:•(, . „,,; I Iflt ,. iii' .,. r, j`tk:l Yr>lt ��Ill f.,,, 1, „ t, ,, r- •t. ri„„'l �Ii,ll� ,1 tilrfl; ',1 fill, 1, Ir1,r11 (,�!'I`•' tttull, Call If1C f,''I'„I, i t.Ca t 1 j°,"•C'Ctltt-' I) Q., Lri'f mcr?ihl, "):1i,:lit 111.,J;11Ik itIII Ilio r•1lrt�,4lit•rr, � ;1{i,tl„•i)11;�tltl 1'.li1l?I�D4t�t,1y11 f 1lVlSlf)Jl ilt thL f)tpilitftiew of Human-Rootircas ,It , ,{ 1„it , f}I,, . ,rl, ��•: l'lllilcd,,IiIf1C)(1h. !"(It it]ii' ! „I„ ! 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I ( ,,n�itncltutl t',•nll;t,ttuV 1i1.,;lyd(1'U Rik i4 i 4f1. SatCm,f l,�'1,;11'1.5fi��. II Y�:II llil~,'t,' ellf(.I ItIC,l litl ill l!"l' 'c111!l' 1�I iillf i 1t.' � ;-.7fi?I), f Itr I;tt;ini .I ,:;t1, 11 .tt Iu 1 >Ilt,urn-'r til N finite M, Ili Salvill t•�„�) r1u,t I,r!v1 I ,1 94' - 8 7/8" - -- �L, I��I1 FA F i NIJ�TE;CONNECT STORM SEWER_T �) EXISTING STORM SEWER r � ___-----�" �1Y S C 48'_ 0, EXISTING20' 0" "1Z E _STRUCTDRE �-� L d •5 , I'14� L. c ._. __ _ 26` 8 7/8 SW ASH - Gl °_. NFW ADDITION ° :r k0 /T I23'- 0" 21' S 3/8 I sIAD E 4„ CbNC, OR IVEWA'f 1 I�� 1�� C�r1 Sylr�' 1'�''OO �R V11,1 hGE t;JAN N SITE PLAN - --—! i — - 94' - 8 '1/8" DNNECT STORM SEWER J t �� NG STORM SEWER I 48' - 0" _- - EXISTING LP•11 - ' �STR�CTUREJ �-� l f o -t�•`� I I'I�� L• 7/811 4, _. G1, I Liz 6p NEW ADDITION I 23'- 0" 2l' - 5 Jib S r1oE �F C"c _ 1 S [PIVEWAY - F- - - r I��J - - - ( dry 13200 Sl VILLAGE GLENN N SITE PLA 1 P P=20 r _Ov v 94' - 8 7/81, --- ---- - -- -- - � I J. 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