9855 SW PEMBROOK STREET-1 1
ADDRESS:
iS-�✓-c
i:\records\microflm\targets\buildmg.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Ser rice FIN L:1
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
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: Q4"41_k¢`
Date: & —�iA.M. P.M. Entry-
Address: �ft S U) / d ;(�
Tenant: Ste:_ MST: 17�=03?1
BUP: _
Con/Own: MEC:
1 ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
JO
Insp r: _ — - ---- Date: l�T --
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/ServiceFINAL:
Foundation Water Line Ceiling Plumb.
Post/boam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation -Elect,
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Date: _ - A.M. —/�P.M. Entry:
Address: .. aks_- '�'LCJ
Tenant: — --- Ste: MST:
,7 n ------ BUR _
Con/Own: qq �4 _ MEC:
rC, �� PLM: —�
ELC:
C:
THE FOLLOWINU QRRECT NS'ARE REQUIRED: ELR:
Ins ector: / -! __— Date:
APPROVED —_DISAPPROVED/CALL FOR REINSP. CF C
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewei Gas Line Appr/Sdwlk Reins.
Other
Date: A.M. P.M. Entry:
Address: �jL�t� _ °9 -1 CC a T
Tenant: Ste: MST:
Con/Own: 6 � UP:
ez MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
- -
TIT
i
Inspector: � v+ �.1-`� � _ Date: / `
APPROVED _ _DISAPPROVED/CALL FOR REINSP. CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plum
Post/Beam Mech, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation z C
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _
Date: A.M P.M. Entry:_—
Address: 1 Q S — ,"yy
Tenant:_ Ste:-- MST: S o 3
BLIP:
Con/q9. _ _ MEC:
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —
Inspector --- Date:
_APPROVED _DISAPPROVEb<ALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation cTj
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bidg.
San. Sewer Gas Line Appi/Sdwlk Reins.
Other. _
Date: I A.M. P.M.`_ EEnntry:
Address: `l� ..Gy✓i K
Tenant ---- --- -- ------- — Ste' —_ MST. _7
--
Con/Own: BLIP:
----- — _ MEC:-
?LM:
ELC
THF FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
-T4
61
Inspector: - / j—.—APPROVED DISAPPROVE DISAPPROVED/CA F RO REI SP. CF CO
1
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone 639-4171
_ I
Footing Raln Drair Cover/Service FINAL:
Foundation Water Line Ceiling um
Post/Beam Mach, Shear/Sheath Framing
Plbg.Und/Flr/Slab Plbg.Top Out Insulation CVFr
Pr,vaeam Struct, Mech. Rough-in Gyp. Bd. �(
San. Sewer Gas Line Appr/Sdwlk reins.
Other: •-- 8� � �.._�
Date:-��l�.� A. Entry:_
Address: eo
—___Tenant: Ste: MST: U
BUP: _
Con/Own: __ McC:.
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
�LL��GN �Ju/✓�l�f10°u �_
Inspectoi: - _ _ Date:
__APPROVED _�Q1LED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILnING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
1 1,
Inspection: 1
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Ala m Water Line Insulation -Mech.
Underflr. Insul. Shear WallGyp. Bd. -Elect.
Date Requested:_ 12- 1 3 ``�� Time: AM PM
Address: kv\VN-ML"-
d
Builder, �`�/� — 7 p� Permit #: 0 3 T/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: -,
_ Date• x
_APPROVED _DISAPPROVED _APPROVEn SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE.
Inspection Line (Rec-O.,--PP.hoone): 639-4175 Business Phone: 63 - 1 1
Inspection:. 1 r L L t-Clti.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. an. S wer Gas Line -Bldg.
Pibg. Underfloor gain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elec �'pU
Date Requested: / ,��Time:—AM Pe
Address: c5 .� .� �:,,c j��,�;'� --1`�
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
aZ 7A.
(Infspecctt9r / , Date'
— APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line ns ation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. EI t.
Date Requested: 1 (0 Time: AM PM
Builder: Permit #:&I SU 3-1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: Z G.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —cy-pt _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbq. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out CElec� Rough-in FINAL:
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Und, 'icor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �� / /%5 Time: AM PM
Address: C� L.l.Q I e t'
_ L�1
Buildery faiY�� ' c Z >Z Permit #: �L4 7S ��`�l
THE FOLLOWING CORANNS NS A 0R O IRED:
e •::
Inspector:
Date:
_APPROVED _DISAPPROVED AAPPROVED SUBJECT TO ABOVE
_Call =ur Reinsp.
1��-ss
PERMIT
l01TY OF TIGARD PERMIT I#C#: ELC95 0601
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 12/05/95
13125 SW Hell Blvd,Tigard,Oregon 97223*8199 (503)839-4171
-'ARr.FI_: �S1.118D--w-�1�31�6
T TE ODDRLSS. 98955 SW P',1'-:1v1 :+FRO0K Sl
,-JBD I V I S I ON. . . . : PEMBROOK HEIGHTS 70N I NG:R-3. 5
BLOCK. . . . . . . . . . . I_.GT. . . . . . . . . . . . . :6
ProJer.t Description: Fot1r branch circ+.(its.
---REEE3IDENTIAL UNIT------ ---•-TEMP' SRVC/F-EEDERS---..- ------MISCELLANEOUS----
1000 SF OR LESS- - : 0 0 '1710 ,vmp. . . . . . . : 0 F'UMP/ IRRIGATT nN. . . . Q1
EACH ADD' L_ 500EiF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . . 0 4.01 -- 6V)0 ,amp. . . . . . . . 0 SIGNAL/PANEEL.. . . . . . . .. 11.1
MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : lZi MINOR LAPEL ( 10> . . . : 0
------SERV I CE/F'EEDEER-- -._ _.._._-.-.EaRANCI I CIRCUITS--------- INSPECTIONS——
0 c::00 amp,. . . . . . : 0 W/SERVICE OR FEEDER: 0 F'CR INSPECTION. . . . . : 0
201 400 amo. . . . . .. : it, 1st W/0 SRVC OR FI>R. : 1 PER 1401JR. . . . . . . . . . . : 0
401 - 600 am a. . . . . . : 0 EA ADD' L. BRNCH C 1 RC: 3 IN PLANT. . . . . . . . . . . .. 0
601 1. 1170 amp. . „ . . : 0 ________ _..____---_.._..-F='I_AN REVIEW SECT ION._.__.__._._.___.______.____
1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : i 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = c_'25 AMPS. . : CI_A55 AREA/SPEC OCC. :
Owner: --_ __.__.______._.__-____.._._______.___..____.____.__.___.__.__..__._..._._.._____ FEES
SUNSET ELECTRIC type amol_1nt lay date r•ecpt
1635 SE. ENTER.PRISEE CIRCLE RRMT $ 50. 00 CJS 12/05/95 95-27.352C
SPCT $ 2. 50 CJS 1c1/03/95 95-2735cr
HILI_SPORO OR 9712:
Phone #: 503--684-0735
SUNSET ELECTRIC `i 52. 50 TOTAL
1635 ENTERPRISE CIRCLE
REQUIRED INSPECTIONS
---
HILL3DOR0 OR 971 :. Ceiling Co\,qr Elect' ] Service
Phone #: Wall Cover Elec.t' l Final
Reg #. . :
This pewit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'ar•mittee Signature
applicable laws. All work will be done in accordance with
approved plans. This pewit will expire if work is not stat,ted /
within 180 days of issuance, or if work is suspended for sore __ �� _'��.t
than 180 days. 1 s s1.ted Nv
0WN1.-R IN5TA1__LATI0N 1)NL_Y.- ____
The installation is being made on property I own which is not intended for
'sale. lease. 01, rent.
OWNER' S SIGNATURE: DA?E:
..........-_-(-OhITR(aC;TOP INSTAL.I...(••1TION
SIGNATURE OF' SUPR. ELLL1N: 0/7 DATE: /r
LICENSE NO:
LeiI1 F0 r- iT15Pi:?Ll1ui1 4 ;_i 41 !:a
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Planck/Rec. # 7 z S .2!_•'
Permit # _,4G[q.�'-0601 _
Phone (503) 639-4171 Date Issued i ,2 - 5- y5
FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address ���-ls ��/ �/t. �Y�C/C- Service included: Items Cost(ea) Sum
City/State/Zip /;� •��(./�GCr 4a. Residential-per unit ^
1000 aq.It or less $11000
Name f business) Eadi additional 500 sq If or
(or name obusportion therenl $2500
Commercial❑ Residential t,mded Energy $2500 _
Fath Manul'd Home at Modular
r.-)welling Servins or Feeder $68.00
2a. Contractor installation only: 4b.Services or Feeders
Installation,alteration,or relocation
Electrical C//ontra;to e- 200 amps or leve $60.00
Address�1013S 201 amps to 400 amps $8000 _
Ci G (1 _ Stat6- y 401 amps to 600 amps $12000
ty p_Zl� 601 amps to 1000 amps $18000
Phone No. � 1 7 3 J —7�—� Over 1000 amps or voha $34000
Contractor'sLice e No. y y / 7 L Reconnect only $5000
Contractor's Board Reg. N U 4c. Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature Of Supr. Elec'n s __ 200 amps or less $5000 2
License No, 006gJ Phone No. 6VP 023y 201 amps to 400 amps $0500 _ 2
401 amps to 600 amps 1110000
Over 600 amps to 1000 volts
2b. For owner installations: see•b"above
4d. Branch Circuits
Print Owner's Name_ New,alteration or extension per panel
Address a)The fee for branch circuits with
City _ State Zip_--- purchase of maks,or floodsr Ns. 2
Each branch urcud $500
Phone No. b)The fee for branch circuits wllhouf
The installation is being made on property I own which is purchase of serrka or Neder be. D I
Furst branch circuit
intended for sale, lease or rent. branch
$`+$:15 n
Each additional branch circuit �_ no
Owner's Sigrvure 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Tach pump or irrigation circle $4000 _
Each sign or outline lighting $4000
Signal circuit(s)or a limited energy
Please check appropriate item and enter fee in section 58. panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) $100.00 _
Service and feeder 225 amps or more
41. Each additional inspyction over
System over 600 volts naming!
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 lief Por W000lu, $nr,n$56 no
"Mont no
Cubmit 2 sets of plans with application where any of the above
apply. Not required for temporary c oinstruction services. 5. Fees:
NOTICE 5a. Enter total of al,,jve fees $ y,
5%Surcharge(.05 X total fees) $ i! J`41
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 3ubtotsl $ T
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. I ❑ Trust Accountfill $
Balance Due $ ,��
y Of I I(-.I PIi P1 :1, J I I IIl I Ml--N I I I I I. (I 1 1 [411,
1,111- 1,K Fjllfjl.1141 - ,_,I'"I,
11 111'1')1 I -I I:I H k I., I'10,14 1-11111114,11 1 l'il.
r4 I I- [qJ.-I�)I f1t.. I P. I
1111 I J10 I
111'lr •I 111 14 1 111141 1 If,I j 1'111;1"11',:"1 111- Pf1yllIk-141 #01011NI P(110
I if P1 P11 I I
o
if I I I.q.)11)
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
� 1
Inspection: JAL1,c
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g, 5p"0 Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Pibg. Unde Rain Drain ram n + -Plumb.
Alarm a er Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. a JE wA:
Date Requested:_ _Time
_AM PM
Address: 2 ^S
Builder:---;) �l _3 �2 Permit #: , in 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Z -1e,
Inspector:— Date:
v
—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
PLUMBING PERMIT
CITY OF T I GARD PERMIT #. . . . . . . : MST95-039
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/04/95
13126 SW Hall Blvd.Tigard,Oregon 97223*81W (503)839-4171
PARCEL: 2SI11BD-00306
SITE ADDRESS. . . : 09855 SW PEMBROOK ST
SUBDIVISION. . . . : PEMBROOK HEIGHT'S ZONING: R-.3. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :6
------------------
CLASS OF WORK. . : GARBAGE DISPOSALS. . 0
TYPE OF USE. . . . :ADD WASHING MACH. . . . . . . : 0 BACKFLOW P,REVNTRS. . :O
OCCUPANCY GRr-,. . :SF FLOOR DRAINS. . . . . . . . IZI TRA1_-'S. . . . . . . . . . . . . . . 0
FORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : 0 CATCH BASINS. . . . . . . : 0
X LAUNDRY TRAYS. . . . . . :171 5F RAIN DRAINS. . . . . .0
INKS. . . . . . . . . . : 0 GREASE TRAPS. . . . . . . :0
LAVATORT+=_S. . . . . : I OTHER FIXTURES. . . . . : 171
TUB/SHOWERS. . . . : 1 SEWER LINE (ft) . . : 0
WATER CLOSETS. . : 1 WATER LINE (ft ) . . : 171
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . 3 0
Remarks : ADDITIONO 420 SO FT PATH I
OWNER: ----------------
ROSE MARIE RODRIGUEZ BPRT $ 184. 00 JGD 11/02/95 95-272451:1
1855 SW PEMBROOKE BPLC $ 119. 60 JD 10,'25/95 95-2721216,s
BriPc $ 9. 20 JSD 11,102/95 95-2-1245")
TIGARD OR 97224 MPRT $ 25. 00 JSD 11/02/95 95-272459
Phone #: 639-5529 M5PC $ 1. 23 JSD 11/02/95 95-272'451:1
PPRT $ 27. 00 JSD 11/02/95 95-272459
Plumbing Con t ract a r P5PC $ 1. 35 JSD 11/02/95 9327245c,
Name: (':4 k o r
Addresss—
C i t y State:
Z i P.-.—�� -Ph one#I
Reg
------- REQUIRED INSPECTIONS
ri-iis permit is isso-ted subject to the req Framing Insp
_k1ations contained in the Tigard Municipal Footing Insp Ft
Code, State of Ore. Specialty Codes and all. Footing Insp Low Voltage
other applicable laws. All work will be done Foundation Insp Gas Line Insp
in accordance with approved plans. This Foundation Insp Insulation Insp
permit will expire if work is not started Post/Beam Struct Gyp Board Insp
within 180 days of issuance, or if work is Post/Beam Mechan Rain drain Insp
suspended for more than 180 days. Crawl Drain Water Line Insp
PLM/Underfloor, Water Service In
Mechanical Insp Appr/Sdwlk Inip
Plumb Top Out Misc. Inspection
Electrica& Servi Electrical Final
let, ElectrirAl Rouph Mechanical Final
Plumbing Contractor SignatUre
c a 11 for inspection 639-4175
o n t r r t a r N o t e s
............ .. .. ..
........... ........ ............-
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: -t
Footing sp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain m* -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall -Elect.
Date Requested: G 1 I��
Time: AM � PM
Address: 5YY_l_Zuj �—
Builder: Permit
qSC
THE FOLLINC- RECT�IQN RE REQUIRED:
Inspector: Date:
-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41/7,5 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
F(,,indation Plbo. Underslab Mech. Rough-in Fireplace
LZ
(' Post/Beam SlrucTy,✓Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sevver Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear WalllI I c Gyp lid. -Elect.
Date Requested:��_�l C� t ( 5� Time:--AM —PM
Address:_
Builder: 3 �l W Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: — Date: r
—APPROVED _DISAPPROVED CPPROVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY OF YIGARD BUILDING INSPECTION NOTICE
/ Inspection Doe (Rec-O-Phone): 639-4175 Business Phone: 639-4171 \
Inspection:
T�
&Foun!aflZ
/Susp. Ceiling Sprink. Rough in Appr/Sdwlk
I Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Pcst/Beam Mech. San. Sewer Gas Lina -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested �^ �- _a Time:YAM _PM
Address: c)(-A �yv L a
Builder: xCi -� ((vv Permit #:qy — G��
THE FOLLOWING COR EC icNS ARE REQUIRED:
Ins ector.— � --------. Date:1�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
GITY OF TIGARD BUILDING INSPECTION NOTIC��
Inspection Line_ (Rec-O-Phone): 639-4175 Business Phon�: 639-4171
Inspection. _
Footin 1"Ceiling Sprink. Rough-in Appr/Sdwlk.
c:- A / Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
r
Date Requested: 1 �' I �5 TimJe: -_AM _PM
Address:C7 S S .5
Builder: (p cf,
THE FAOWIfVG CORA'9I S ARE REQUIRED:
�/ +< ��.,
Inspector:-_
_APPROVED DISAPPROVED `APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1AW, [L. E My!T T F7 -
CI
#. . . . . . .
CITY O�F T I GARD DATE-:' ISSUED: 11/02/95
t;OMMUN!TY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,or* n 97223*8199 (503)639.4171
F-3)ITE (7iDDIRESS. . . . J .)14 V'F*111BFl 001'
SUBDIVISION. . . . : r.'EMBRom, HEI(.3HTS ZONING: R--3. 5
r,:.;L_OCK. . . . . . . . . . : I-OT. . . . . . . . . . . . . .
Remarks: ADDITION@ 420 69 FT PATH I
--------------------------—------------------------------------- BUILDING -----------------------------------------------------------—---
REISSUE- STORIES.......: I FLOOR AREAS---------- BASEMENT...: I sf REOUIRED SETBACKS---- REQUIRED---------
CLASS OF WORK..-ADD HEIGHT........: 14 FIRqT.... 420 sf GARAGE...... 0 sf LEFT..........: 10 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND... 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS- I FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: I BATH: I TOTAL------: 420 sf VALUE—$: 27157 REAR..........: 16
------------------------—--------------------------------- PLL94BING -----------------------------_-—--—----------------------
SINKS.........: 0 WATER CLOSETS., I WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....- I DISHWASHERS...: 0 FLOOR DRA:NS..: 0 SEWER LINE ft- @ SF RAIN DRAINS: 0 CATCH BASINS_- 0
TUR/SHOWERS...: I GARBAGE DISP,.: I WATER HEATERS.: 0 WATER LINE ft- 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------- MECHANICAL --------------------------------------------------------------
FUEL TYPES------- FURN ( ION 0 BOIL!CMP ( 3HP: 0 VENT FANS.....: I CLOTHES DRYERS: 0
/GAS/ / / FURN )=100K 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 2 WOODSTOVES....: 0 GAS OUTLETS...: @
---------------- —------------ ELECTRICAL ------------------------------------------------ -
—RESIDENTIAL UNIT-- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADr0L INSPECTIONS--
1000
NSPECTIONS—IM BE OR LESS: 0 @ - 290 amp...- 0 0 - 200 amp..- 0 W/SVC OR FDR..! 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADDIL 5W.: 0 291 - 400 ala..: 10 Vl - 400 amp.., 0 1st W/O SIC/FDR: 0 SIGN/OUT LIN LT: I PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: a 401 - 600 3§D..: I EA ADDL BR CIR: I SIGNAL/PANEL... 0 IN PLANT......: 0
MANF HM/SVC/FDR: 111 601 - IM alp.: 0 601+a2ps-1800 v: 0 MINOR LABEL 0
AW alp/vo'..: 0 ------------------------------------ PLAN REVIEW SECTION
Reconnect only.: 0 )-4 RES LIMITS..- SVC/FDR) 225 A.: ) 600 V NOMINAL: CLS AREA/,;PC OCC-
------------------ ELECTRICAL - RESTRICTED ENERGY -------—---—---------------------"~----
A.
------A. SF RESIDENTIAL---—-------------------- B. COMMERCIAL--------------------------—-—------------—-
AUDIO & STEREO.: VACUUM SYSTEM...- AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING- OUTDOOP [NDSC LT:
BURGLAR ALARM..: OTHi BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK.,..,.....: INSTRUMEN.TATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.; NURSE CALLS....: TOTAL. A ",Y;TEMS: 0
Owner: ------------------------------ TOTAL FEES:$ 367,40
IOSE MARIE RODRIGUEZ R-N-R CONSTRUCTION CO
9855 SW PEMBROOKE 17870 SW 115TH
TIGARD OR 97224 TUALATIN OR 971*2
Phone it: 6�9-5529 Phone 0: 6"2-1694
Rea #..: 62503
This permit is issued subject to the regulations contained in the Tigard Municipal Code, 3tate of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordanre with approved plans. This permit will PxDi,-e if work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
-------------------------------------------------------- REQUIRED INSPECTIONS --------------------------------------------------------
Footing Insp PLN/Underfloor Framing Insp Rain drain Insp Mechanical Final
Foundation Inso Mechanical Insp Low Voltage Water Line Insp
o Plumb Final
Post/Beam Struct Plumb Top Out Gas Line Insp Water Service In Building Final
Post/Beam Meehan Electrical Servi Insulation Insp Appr/Sdwlk Insp
Crawl Drain Electrical Rough
,rd I Electrical Final
A I ssi..te(l FA
P,r 5 i q n I t 1.1 r-
r,a I I fnv- inspection -- 639 - 41.7`
Residential Quildina Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
7 , Office Use Only
Subdivision: /�l�l/��ljc'r:l��t r��Ul,rl Lot #
Contact Date / ! Initials
Valuation: 'r �, Result
New Construction Only: (Square Footage) l' k/Rec # L`
Permit # �, 3 f `�
House: 1L�t ' Garage: Reissue of
�- Map & TL ', 3(16
C. N
Corner Lot? Y Flag Lot? Y Zone > `�
-) Plat #
Owner: S lA ,a F C ��Z IC�u F2�
Address: Approvals Required
j� 5� S �" f Li`��j'/,'��ar'K c
-- /Ac C1,k, %�`, ��� Planning Setbacks Solar
Engineering
Phone: I_S a 3 �•, - s- Other S ,2 q, -
Contractor: _ a/- /� —
V S.i (1C'. Items Required
� Z CV,_
Subcontractors �VJ�
Address: �! '� Truss Details _
Other
Phone' j 50 3 i rr ����' l 16, Notes - - —
Contractor's License --
i
(attach coy of current Oregon license)
Contact Name r-rQ 1 tL
Contact Phone: L ) C`-3'i
Subcon.ractors: Arch itect/Engineer. VCjVELjPj r06_£4l,I0K,
Plumbing: ^ Address: Po Boo 10 E3
Mechanical: fv _N L�,_o&'_C CY,4- 'r 71.3 7 _
(attach copy of currenit OR Contra tors License)
Phone. 5( G 3 ) S-;�-S•4 3-�
:JOE DESS RIPTIQ,N: _'rfx �to ocM /�►��.Tilc' _ --
Applicant Signature ' Applicant Phone number
Received by Date Received: _ _
Permit# Account Description Amount Amt. Pd. Bal. out
5 ") J Bldg. Permit71
(BUILD) �• �' Y'( . .
Plumb. Permit (PLUMB)
Mech. Permit (MECH) a
State Tax (TAX) ( -
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: i G c
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIFO)
Water Quality (WQUAL) _
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) — //--
Erosion Planck/COT (EROSN) V
TOTALS: A:.L.'i 0
� +a. Al
,r j,ot b Q L.o aK t
�) t E PLN IM =
U_
1m9J1' N 09'33' E anz
J 17
A rAEAR YAM:l SMACK 8'4V
- -- - --— - -- - -- - — - --
7 �
AREA OF NEIU
GON5TRUCTION
O •i `• (SOIL l�lJl� 77
1 I
TO A)f w
o
E EXISTING
I w
w •• I � v
4
3
cb ,
ExI6TING
� HOUSE W\l
1
EXI5TING
CARPORT
I
1
i
L51
H9.331
Solar Ba;ance Worksheet
Address
Box A calculations: North-Sou*h 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 -hat point. Measure the distance from the midpoint of the
North lot fine to the South lot iii., +long the described line. it ) i ft
Box S calculations: Shade point height from your structure. Box B:
1 . Determine whether measurements will be based on the peak or eave of your
structure. The orientation of the ridge is also important. Which describes
your lot?
1 a: If the roof line runs North-South, measurements will be based on the peak of the (Circle one)
roof.
la � b lc
1 b: If th -of line runs East-West and the roof pitch is less than 5/12, measurements
will b,. jased on the eave.
1 c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements
will be based on the peak.
! '
ft
2. Measure change in elevation from front property line to finished floor elevation.
+ ' ' ft
3. Measure distance from finished floor elevation to the affected peak/eave.
ft
4. If the roof lime runs North-South, deduct three feet. If the roof line runs East-West,
deduct nothing.
r
5. Subtract one foot for each foot of difference in elevation from the front property — ft
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.
t, Total figure for box B: __ _ r� ft
Box C. Distance to the shade reduction line. Box C:
1 . Measure the distance from the North property line to the foundation. _ ft
2. Measure the distance from the foundation to the affected peak or eave. + ft
3. Total figure for box C: ft
�� -ogin\7:ma.ys,_arr_x
Solar Lalance Point Standard
Box A. North-South dimension for the lot Box B. Shade point height from yotti a•.-acture:
measured through the middle of the house Change in elevation from north property line to
the finished floor elevation added to the height
of the building from finished floor elevation to
feet the affected peak/eave. If the roof line runs
NIS, subtract 3 fleet from the figure.
I feet
Box C. Distance to the shade reduction line
Distance from North property line to
foundation added to the distance from the
foundation to the affected roof peak.
Feet
The following helps explain the graph below:
The horizontal axis (rows) represents box "C" figures.
The vertical axis (columns) represents bbx "A" figures.
It is most useful to draw a vertical line to repre3ent 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 "B" is less than or equal to the value found in box
"D", the building is in compliance with the solar balance code.
Distance to
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line in feet
70 40 40 40 41 42 43 44
65 38 38 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 2 32 32 33 34 35 36 37 38 39 40 41 42
45 310 30 30 31 32 33 34 35 36 37 1- 8 39 40
40 28 28 28 29 30 31 32 33 34 35 36 37 38
35 2I6 26 26 27 28 29 30 31 32 33 34 35 36
30 2:4 24 24 25 26 27 28 29 30 31 32 33 34
25 12 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 2.0 21 22 23 24 25 26 27 28
10 10 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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