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i:\records\microtlm\targets\building.doc
Page No. 1 CASE. HISTORY FOR CASE NO. : MST96-0181
GEORGE & LISA DE OCA
09230 SW 74TH AVE
12/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date i+y
MSTAOUS Application received / / / / 03/29/96 PASS JH 04/17%96 BT2
MSTA008 Permit Created / / / / 04/17/96 PASS RT 04/17/96 BT2
MSTA010 Check for prcl. restrict. / / ! / 04/04/96 PASS JH 04/17/96 BT2
MSTA012 Plans routed to Plans Examiner / / / 04/04/96 PASS JH 04/17/96 BT2
MSTA026 Plans approved by Plans Exmr / / / 04/17/96 PASS RT 04/17/96 BT2
MSTA030 Revie-ed plans routed to DSTS / / / / 04/17/96 PASS RT 04/17/96 BT2
MSTA060 (F) Ready to issue / / / / 04/22/96 PASS CJS 04/22/96 TMP
MSTA092 (F) losue combination permit / / / / 04/22/96 PASS JSD 04/22/96 JD
MSTA095 Issue plumbing signature form / / / % 04/20/97 RECD SIGN PLM FORM 4/20/97 PASS DRA 04/21/97 MRS
MSTA098 Issue electric signature toren / / / / 04/22/96 PASS JSD 04/22/96 JD
MSTA125 r,ERMIT EXTENSION REQUEST / / / / 08/18/97 until 8/18/97 per David Scott 02/19/97 JT
MSTA705 FooL.ng insp / / / / 03/14/97 APP ES 03/14/97 KBF�
MSTA706 Found8t1'7R !nap / / / / 03/14/97 APP KS 03/14/97 KDs
MSTA710 Past/Beam Structural / / / / 04/08/97 APP KS 04/09/97 KBS
MSTA713 Crawl Drain / / / / 01/22/97 PASS RAS 07/22/97 J•H
MSTA717 PLM/Underfloor / / / / 04/07/97 water to br run overhead PART MS 04/08/97 MR'
MSTA720 Mechanical Inep / / / / 11/05/97 1. Provide clearance at b-vent/contact PASS KS 12/08/97 TLP
with wood.
2. Screws not allowed to penetrate inner
liner of b-vent.
3. Connect exhaust lane and verit to
exterior.
4. Wall around exp,ged duct at upp-r
level closet and lower.
S. Support gas piping vertical adjacent
to furnace also at horizontal 1/2 inch
at six feet OC and at each change of
direction.
c 6. Fireplace not installed.
�t
V) Pti PA720 Mechanical Insp / / / / 11/07/97 Mechanical rough-in approved. PASS KS 11/09/97 J•H
s
H MSTA722. Plumb Top Out / / / / 06/05/97 PASS RAB 06/08/97 J•I4
--� MSTA723 Electrical Service / / / / 07/03/97 Approved after corrections: PASS BRP 07/08/97 —H
1. Wire in meter base to be fully
inserted into lugs.
LL1
-� 2. Mud ring needed at water pipe bond
connector for inspection purposes.
SERVICE APPROVED AFTER COPREC"ftONS, NO
WED FOR SERVICE REINSPECTION. THESE.
WILL. BE VERIFIED AT ROUGH-IN INSPECTION.
V.
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0181
GEORGE & ',ISA DE OCA
09230 SW '4TH AVE
12/14/98
Action Description Req/ Schd/ End/ Act:on Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- — -
MSTA724 Electrical Rough In / / / / 10/31/97 Check liaLing for number of wire allowed SASS BRP 11/06/97 J*H
in wirenut. 4-gang switch boxes. Outlet
setback-device mounting to comply with
ART410-56(e) and 380-10(b) at final.
Boxes setback, will have to be projected
to wall surface with listed box
extenders. Bathroom fan enclosure not
securely mounted. Install mud ring at
water pipe bond clamp. Install outlet
font - outdoor receptacle. ART210-52(e)
210-8(a) (3) . Fan box bedrooms upstairs,
all.
MSTA725 Framing Inap / / / / 11/04/97 PASS TLP 11/05/97 J*H
MSTA726 Shear Wall Insp / / / / 05/09/97 PASS TLP 05/12/97 TLP
MSTA740 Insulation Insp / / / / 11/12/97 PASS TLP ll/ 2/97 J*H
MSTA745 Gyp Board Insp / / / / 11/21/97 PASS TLP 11/'x.1/97 J*H
MSTA755 Rain drain Insp / / / / 07/22/97 Storm drain also approved. PASS RAS 07/2:/97 J*:I
MSTA790 Electr:.cal Final / / / / 05/12/96 PASS BRP 01/14/98 J*H
MSTA755 Mechanical Fine'. / / / / 11/06/98 PASS TLP 11/06/98 TLP
MSTA797 Plumb Final / / / / 11/06/98 PASS TLP 11/06/98 TLP
MSTA798 Final inspection / / / / 11/06/98 side garage and deck landing(porch area) PASS TLP 11/06/98 TLP
to be completed
by owner when ashphalt work completed.
doors to be barricaded until work
completed.
MSTA970 Case Finaled / / / / 11/17/98 11/17/98 JT
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CITY OF TIG.ARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: _ 5--12—. —`� A.M. _ /.M. MST:
7�-T- =v��1
Location: �2 �` j6t) T BUP: _
Tenant: _ _ _ Suite: 131dg: WC: �—
Contractor: /E ty /61-4ff-4'-1 Phone: 70 C 6 ^ PLM: —
0"er: Phone: ELC:
--- -- — ---- ----- ELF.: --
__ _ — .►-� Sn-:
BUILDING BLDG(con't) PLUMBING NIECHANICAL <.r;LE (1i1�AL, SITE i 1
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Ston
Footing Roof tJndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas i,ine Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
f3smt Damp Drywall Stonn Furnace Temp Servi.;e misc.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire SpUr/Alm Crawl/Found Dr Ifent Pump Low Volt
Approved Approved Approved Approve( Approved
Appr/Sdwlk Not Approved Not Approved Not Approved wed Not Approved
FINAL FINAL FINAL NA FINAL
If,
1.^
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I7 Call for reinspection J O yu pection fee of$ required before next inspection C7 Unable to inspect
q —
Inspector: ,( _ Date: _/� - Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1?6 -Dl( f
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
,L
Date �Requested_�/�/�,� AM_ PM
BLD
Location v ��y4/ 7 //-/ -� Vt&t-►e^r _ Suite _ MEC
Contact Person I? 2/ Ph .;L _ FLM
Contractor Ph SWR
BulmN _ Tenant/Owner ELC ---
Re aminq Wall E!_R
Footing Access: / , I � )
Founc,ation ��� ���> /�� /v��N FPS _
Ftg Drain - — SGN
Crawl Drain Inspection 14otes:
Slab SIT
Post&Beam
Ext Sheath/Shear L
Int Sheath/Shear �- -
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _ -
Fire Alarm
Susp'd Ceiling
Roof 5
FAILk�UMBING earn
Under Slab
Top Out ----
Water Servi-e
Sanitary Se.,r — - -' -- —
Drains
F'
FAIL
HANJI
Pos 8 earl,
am - -— - - -- -- - - -- - - - -- - -
Rough In
Gas Line --- - ----
Dampers
FAW PART FAIL
CTRICAL - --- -- - -- —_ -- ----- --
Service
Rough In ------ -- -- ----- - -
UG/Slab
Low Voltage
Fire Alarm --
,� Final - - -- - -- --------
%ii PASS PART FAIL
sift
J Backfill/Grading - - —
Sanitary Sewer
Sturn Drain I j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ]Please call for reinspection RE: - I ]Unable to inspect-no access
Fire:supply Line
ADA
Approach/Sidewalk _
Other Date _� "'` - Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 63,9.4171f�
Footing Rain Drain Cover/ rvir, I ' FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech, Shear/Sheath Framing -Meth.
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. Entry:
Address: - Q_..__
lenant: Ste:___ MST
- - - BUP: _
Con/Own: . - -- - ---- _ MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: - r � Date: —
APPROVED _DISAPPROVED/CALL FOR REINSP. OCFCO
CITY OF TIGARD
�- DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
i
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CITY OF T1,GARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
Date Rec' � 7
TIGARD OR 97223
Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DST__
Inspection (503) 639-4175 Permit# � ,�$
Fax (503) 684-7297 incomplete or illegible will not be accepted Called
'. Job Address: 4. Complete Fee Schedule Below:
Name of Development_ Number of Inspections per permit a!lowed
Name(or name of business) Service included: Items Cost Sum
Address_ "`a3CJ 1j-w --1 �1 {� k,) 4a. Residential-per unit
1000 sq,ft.or loss $110.00 4
City/State/Zip I I kPOS�t1 _1'.)F-% Ci-13111 Each additional 500 sq.ft.or
Commercial ❑ Residential ® portion thereof $25.00 1
Limited Energy $25.00 _
Each Manuf'd Home or Modular
Dwelling Service or Feeder $G8.00
2a. Contractor installation only:
(Attach copy of all current 1.senses) 4b.Services or Feeders
Electrical Contractor Installation,alteration,or relocation
200 amps or less $60.00 2
Address _ -_ 201 amps to 400 amps $80.00 2
city _State Zip_ _ 401 amps to 600 amps $120.00 2
Phone No. _ 601 amps to 1000 amps $180.00 _ 2
_ Over 1000 amps or volts $340.00 2
Job No.
Elec. Cont. Lice. No. _Exp Date Reconnect only $50.00 __ 2
OR State CCB Reg. No. Exp.Date _ 4c. ora srvlces or Feeders
COT Business Tax or Metro No. Exp.Date__ Installation,alteration,or relocation
200 amps or less $50.00 �7 CJ
Signature of Su P r. Elec'n201 amps to 400 amps $75.00 2
- -- 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. --__- Exp.Date_ see"b"above.
Phone No.
- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
� ^ purchacu of service or
Print Owner's Name F c f�IJ c �=
1 <: -C feeder fee.
3U l
S-L,; )U A U t _ Each branch circuit $5.00
Address _
b)The fee for branch circuits
City State r�,R Zip Q-7 Q a Z without pur,:hase of
Phone No. a.t4 U O tR la service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit- $5.00
intended for sale, lease or rent. 4e.miscellaneous
4 l l (Service or feeder not Included)
Owner's Signature 9-4. - A��L/ G_ Each pump or Irrigation circle $40 --- 2
(. Each sign or outline lighting $40.00
3. Plan Review section (if required):' Signal circult(s)or a limited energy
a panel,alteration or extension $40.00 2
' Minor Labels(10) ' 100.00 --
Please check appropriate Item and enter fee in section 5B. -
_ 4 or more residential units in one structure 41.Each additions:Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $35.00
-� Classified area or structure containing special occupancy Per hour $55.00
In Plant $55.00
cc as described In N.E.C.Chapter 5
rD
J ' Submit 2 sets of pians with application where any of the above apply. S. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ Q
5%Surcharge(.05 X total fees) $ 6 c
NOTICE Subtotal $
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Se(:.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -------�-
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. Trust Account k_- 5< t 5 L
a
Total balance Due
1\DSTS%FLC66 APP nrr wwi
_ �,�,',• ^ � �_ E
50
;741
L_�
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement be fore a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
M1. I own, reside in,or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
❑ 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
313. 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 genera contractor, I will contract with a contractor who is
registered with fl— ('CB and will immediately notify the office issuing this building permit of the
name of the con
CIO
CM I hereby certify that the above information is correct and that I have read.
do understand the 1 nformalion
LL Notice to Property Owners about Construction Responsibic*-ties on the reverse side of this form.
(Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
r'ITY OF TIGARD
DEVELOPMENT SERVICES
13126 1-j!N Hall Blvd.,Tigard,OR 97223 (503)639.4171
- � -r•i^- .'sr1�". iii". . r ;.1
zi\I tj%
yea"kx; PrDITION 1159S0 PT P71'� 4kIC) "99 6P A7
_-_---_----___.____._ ______------------------------.-_____._ RIJILDI 6 ----------------_.-----,---------___.._.__.---------------------.
`Tn* ;r FLO?R ARFOr -_ ---__ PPSEtAEt!T.,.: A �r Rfi�!1*.qEn rFTAa(•Ki - R9Cf1j0""-- --------_
HF' FIRST.,,. , 39F, s f rW1r,F....... 399 1_EFT............ 11, SM'I'.c r)FTFrTpg; r
F:i- SECQ4'D...: 45' <f FRtit+T..... ... .
DWf!_LIHt; IIMITS: k. F?IdNS+'lE►IT: P� s� IG4?..........
r
AAT14: ? T7Tk-..---- . 1359 s4 UAI_UF.,t•
PAIN WIN ft: 0 TRPOS.........
:
QVOTOR!rF QIS 4 A9Hr1:r FLOOR I)WIA,, . SEWER CNIF RPTN nP.87 q: P rATC..!) BASTN .
-1 M,rpt W47P HEATERS, 5 Tws
fJT!?FR �'YTt1FtF.�:
r.•., •h1:: ck ^!^. n r^..r -1 I-tr•_.'.
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MS'TER P,
CITY OF TIGARD FARMIT #ERM1.1 . . : MST96-0181
COMMUNITY DEVELOPMENT DEPARTMENT DA-rl= ISSUED: 04/22/96
13125 SW Hall Blvd.Tigard,Oregon 97223+8199 (503)839-4171 F 1ARCE I_: 1 S 1 2 5D13—+ 2'800
11_E ADDRESS. . . : 092312) SW 74TH AVE-
`BUNDIVISION. . . . . BOULEVARD HEIGHTS ZONING: R--4. 5
LAL_OCIi. . . . . . . . . . . L_O-r. . . . . . . . . . . . . :4
Remarks: ADDITION 1359SO FT HOUSE AND 399 GARAGE
------------------------------•--------------------------------- BUILDING ----------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:ADD HEIGHT........: 21 FIRST....: 396 sf GARAGE.....; 399 sf LEFT..........: 14 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 963 sf FRONT.........: 50 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: I FINBSMENT: 0 Sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 2 TOTAL------: 1359 sf VALUE..$: 94696 REAR,.........: 99
------------------------------------------------------•-------- PLUMBING -------------------------------------------------------------..--
SINKS.,.......: 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: c DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WAFER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICHL --------------------------------------------------•-------------
FUEL TYPES------------ FURN ( 100K ..: 0 BOIL/CMG ( 3HP: 0 VENT FANS.....: 3 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 1 UNIT HEATERS.,: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BIU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOIES....: 0 GAS OUTLETS...: 1
--------------------------------------------------------------- ELECTRICAL ---------------------
••-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FFEDERS--- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
IM SF OR LESS: 1 0 - 200 amp..: 0 0 - 290 amp..: 0 W/SVL OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
SA ADD'L 5d0SF.: 2 c01 - 400 amp..: 0 201 - 400 cop..: 0 1st W,'0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 1N PLANT......: 0
MANF HM/SVC/FDR: 0 601 -- 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECT1')N -----------------------•----------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=2.25 A.; ) 600 V NOW NAL: CLS AREA/SPC OCC:
--------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-------------------------------------------------------------------------- -
AUDIO Il STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC........... : LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: UTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: -----------------------------------Contractor: ------------------------------ TOTAL FEES:$ 1154.60
GEORGE A LISA DE OCA NORTHWEST HOME BUILDERS INC
09230 SW 74TH AVE 626 SW PAMELA
TIGARD OR 97224 PORTLAND OR 97219
Phone N: 246-7086 Phone N: 50 -
Reg C.: 99::2
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
N applirable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
r days of issuance, or if work is suspended for more than 180 days.
-------------------------------------------------------- REQUIRED INSPECTIONS .-------------------------------------------------------
Footing Insp PLM/Underfloor Shear Wall Insp Electrical Final
Foundation Insp Mechanical Insp Low Voltage Mechanical Finai
Post/Beam Struct Plumb Top Out Insulation Insp Plumb Final
—' Post/Beam Mechan Electrical Servi Gyp Board Insp Building Final
Crawl Drain Framing Insp Rain drain I sp Erosion Control
m_ uw_ lam' ---_
1 er mii;tee Signat r.it e : issr_ied Lay • __�
— ,--.
Call far, inspec.,tion -- 639-4175
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd. �d
Tigard, OR 97223 �j-
(503) 639-4171 <JS
JobsiteAddress: 9_230 S.W. 74th Ave.
Boulevard
Subdivision:Heights Lot#4 OffiglUse Only
Valuation: - 00 ( UAFL P= E/ M �- >M;' ontact Date / / Initials-
Result —
New Construction Only: (Square Fiotage) Planck/Rec 'A,
House: � _- Garage: Permit* h1 i`
—_�
Reissue of
Corner Lot? Y N Flag Lot? Y N Map&T # i`� 5Tj -�
Zone = +
Owner: George.. & Lisa DeOca Plat# h rr
Address:9230 S .W. 74th Ave. Tigard, Or. _^- App-roval-a-Reur
Planning Setbacks Solar
Engine�.ing 4f nl �; Tt' rru
Phone: P' ?46 70t?6 Other
.:ontractor.'ro be selected Items Required n��r
Address: �V ur-�ii�•.4�J`�'S T Subcontractors
Truss Details
6,16L Other ----
Phone: f Sr7' L_._ Notes - -- — —-- ----
Contractor's License#
(attach copy of current Oregon license) �-
Cc,itact Name:
Contact Phone:
S u b c o n ,- Archit.-,-t/Engineer: Bud Smith
Plumbing: + �t't_— Addres__s
Mechanical: (''f ��� LV.4ak I IW_f�tiJ t —_ _
(attach copy of current OR Contractor's Li ansa)
Electrical: t,U ownar >3 7 b 2L4CrfV• DED�A1Phone:
l
JOB DESCRIPTION:
AppiicantSignaturb-7h Applicant Phone number 503 667 0604
Received by: 0.41 tom` Date Received:
H:epnCSU•»iuo i
Permit 1 Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) ���. 6a -
_ Plumb. Permit (PLUMB)
Mech. Permit (MECH) 2�
tate T'ax
(TAX)
Bldg: vU
Plumb: O
Mech: �y2.I U -
Plan Check (PLANCK) 0 7f 7 Q Y bZ'
Bldg:
Plumb:
Mech: -----------------' l� Z'
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSUC)
Residential TIF MF-R)
Mass Transit TIF (TIF-MT) —_
Commercial TIF (T!F-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Cffice TIF (TIF-0)
Water Quality (WQUAL)
CL'
N Water Quantity (WQUANT)
�- Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
c.�
Erosion Planck/USA (ERPLAN) / 3
Erosion Planck/COT (EROSN) �' /3
/ (r.(1
TOTALS: U
Permit #: i
Address: IG''30
1G�zzs�
Issued by: Date:
Statement: Inf-)rmation Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction C'-Mractors Board to sign the
following statement before a building permit can he issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under CRS 701.010(7),
need not.submit this statement. This statement will he filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2,and either box 3A or.313:
7 1. I own, reside in, or will reside in the completed structure.
2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is��u11��1� Nn/�t6 f3uz/. _f 0
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction t tractors Board.
I� OR
3B. i will he 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
N registered with the CCB and will immediately notify the office issuing this building permit ofthe
name of the contractor.
J
Co I herehs certify that the ahoy a i 1forniation is correct and that I hard read and do understand the Information
w Notice to Properh (Nners about construction Resp011sihilities on the reverse side of this form.
(Signature ofprrmit applicant) (I ritr►
(White copy to issuing agency permit,/ile,
pink conn to applicant)
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Solar Balance Point Standard Worksheet
Address—"I-2-607 '-)\) ' IL-)t�
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.
Ike 450-
t
5°-1
LOT LINE t NCMMF E
LOT UNE J \ LOT LINE
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. (r C� feet
t �\
F i
N '
i
NOR64SOUTH DIMENSICN�=� \
i
Box B calculations: Shade point height for your residence. Box B:
1. Determine whether measurements will he based on the peak or eave of your Which describes
structure. The orientation of the ridge is also important. your residence?
la: If the roof line runs North-South, measurements will (circle one)
be based on the peak of the roof. o o❑a µt
HIM Ell
113 IC
1 h: root line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
F- SHACE POINT FAME
J
Cul
IC
.J
1 c: if the roof line runs East-West and the roof pitch is
5/12 or steeper, measurements will be based on the tg
`
peak.
wx.CYIf M[1GF
Box B. continued Box 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.
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 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
b. Total figure for box 13: _Z 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 ft
affected peak/eave.
r
2. Measure the distance from the foundation to the affected peak or eave. + , Z ft
3. Total figure for box C: � ti , . z �� 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 compared to the value in box"B"; if the value in box "0"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 8,11 75 70 65 0 55 50 45 40
reduction line
from northern
lot lin (in feet)
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 4'
60 36 36 36 37 38 39 4u 4; 12
55 34 34 34 35 36 37 38 3'• 0 41
50 32 32 32 33 34 35 36 37 18 39 40
45 30 30 30 31 32 33 34 35 6 37 38 39
a'
40 28 28 28 29 30 31 32 33 4 35 36 37 38
35 26 26 26 27 28 29 30 31 2 33 34 35 36
> 30 24 24 24 25 26 27 28 29 0 31 32 33 34
t-
25 22 22 22 23 24 25 26 27 8 29 30 31 32
J
m 20 10 20 20 21 22 23 24 25 6 27 28 29 30
i; 15 18 18 18 19 20 21 22 23 4 25 26 27 28
U1
J 10 16 16 16 17 18 19 20 21 2 23 24 25 26
14 14 14 15 16 17 18 19 0 21 22 23 24
Box D. Maximum allowed shade point height. _ feet