13888 SW 124TH AVENUE ADDRESS:
SW 1,24TIlf
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Pa4e No. 1 CASE HISTORY FOR CASE NO.: PiR93-0018
RENAISSANCE
13888 SW 12dTH WE
06/12/98
Action Descriptio._ Reg/ Schd/ End/ Action Notes Map By Update Upd
Code Sent Done Done Daue By
ELRA003 Application received / / / / 02./02/98 RECD GEO 02/02/98 ^.EO
ELRA010 Permit created / / / / 02/02/98 DONE GEO 02/02../98 GEO
ELRA500 (F) Issue permit / / / / 02/02/90 PAS GEO 02/0[/98 GEO
EL.RA725 Low Voltage Inspection 02/02/98 / / 02/02/90 02/02/98 GEO
ELRA799 Elect'l Final 02/02/98 / / 05/07/90 PASS GS 05/07/98 GES
ELRA800 Case finaled / / / / 05/07/98 PASS GS 05/07/98 GES
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Page No. 1 CASE HISTORY rJR CASE NO.: SWR97-0403
I[ENAISSANCE
1"386 SW 124TH AVE
06/12/98
Action Description Req/ Schd/ Eau/ Action Notes Disp By Update Upd
Codas Sent Done Done Date By
----`---------------... -------- ----- -------------- ---- --- --------- ---
SWRA003 Application received / / / / 11/03/97 RECD DRA 11/21/97 DST
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Page No. 1 CASE HISTORY FOR CASE NO.: MST97-0484
RENAT&SANCE
13888 SW 124TH AVE
06/12/98
Action Description Req/ Schd/ End/ Action Notes Disp by Update- Upd
Code Sent Done Dane Date By
MSTA005 Apolication received / / / / 11/07/97 PASS DRA 11/06/97 JD
MSTA005 Application received / / / / 05/1, 199 06/05/98 IT
MSTA008 Permit Created % / / / 11/' ,37 PASS JSD 11/06/97 JD
MSTA010 Check for prcl. restrict. / / / / 11/06/97 PASS JSD 11/06/97 JD
MSTA012 Plan9 routed to Plaus Examiner / / / / 11/06/97 PASS JSD 11/06/97 JD
MSTA026 Plane approved by Pln Examiner / / / / 11/14/97 PASS RT 11/14/97 HT2
MSTA030 Reviewed plans routed to DSTS / / ; / 11/14/97 PASS RT 11/14/97 BT2
MSTA032 DST Poet-Review Completed / / / / 11/18/97 DONS B 11/18/97 BON
MSTA080 (F) Ready to issue / / / / 11/18/97 PASS B 11/18/97 BON
MSTA092 (F) Issue combination permit / / / / 11/21/97 PASS JD' 7 DST
MSTA095 Iswe plumbing signature form / / / / 12/15/97 RECD SN S*M
MSTA097 Insae electric signature form / / / / 12/15/97 RECD SW 1., ', e,7 S*N
MFTA700 Erosion Control Insp 844-8444 / / / / 12/11/97 pada per USA insp Chuck PASS HAP 12/11/97 DBT
Buckallew......NOTEi m FOOTING
INSPECTION WAS DONE WITHOUT
INSPECTION.....USA INSPSCfION 12-10-97,
COT INSPECTION
10-15-97. . ............ ...hap
MSTA705 Footing Insp / / / 11/25/97 PASS GS 11/25/97 J•H
MSTA706 Foundation Inap / / / / 12/02/97 PASS GS 12/03/97 J•H
MSTA710 Post/Beam Structural / / / / 02/09/98 PASS GS 02/17/96 GES
MSTA711 Post/Beam Mechanical / / / / 02/09/98 PASS GS 02/17/98 GUS
MSTA713 Crawl Drain / / / / 02/09/98 PASS GS 02/17/94 QRS
MSfA717 PLM/Underfloor / / / / 02/09/98 PASS GS 02/17/98 GUS
MSTA720 Mechanical Inap / / / / 02/09/98 PASS GS 02/10/98 J'H
MSTA722 Plumb Top Out / / / / 01/09/98 PASS GS 02/10/98 J*H
MSTA723 Electrical Service,. / / / / 02/09/98 PASS GS 02/10%98 J'H
MSTA724 Electrical Pough In / / / / 02/09/98 PASS GS 02/10/98 J*H
MSTA725 Framing Inap / / / / 02/09/98 PART GS 021'13/98 J*H
M.4TA725 Framing Insp / / / / 02/13/98 PASS GS 02/17/98 J+H
MSTA726 Shear Wall. Inn^ / / / / 02/09/98 PASS GS 02/10/98 j*H
MSTA735 Gan Line Insp / / / / 02/09/98 PASS GS 02/17/98 GUS
MSTA736 Gas Fireplace / / / / 02/09/98 PASS GS 02/17/98 GE9
F—
MSTA740 Insulation Irap / / / / 02/17/98 PASS GS 02/13/94 J•H
MSTA745 Gyp Board Insp / / / / 01/1.7/98 PASS GS 02/24/98 J•H
MSTA755 Rain drain Insp / / / / 01/09/98 PASS GS 04/06/98 GES
J MSTA760 Water Line Insp / / / / 02/09/98 PASS GS 02/10/98 J•H
D MSTA765 Appr/sdwlk Insp / i / / 04/14/98 PASS MW 04/15/98 J�H
MSTA770 Misc. Inspection / / / / 04/01;98 Shower pan PASS GS 04/01/99 J•H
U.1
.l
MOTA710 Electrical Final / / / / 05/07/98 STRAP SE com FATE. G8 05/07/98 GES
LABEL AC CIRCUIT
M.STA190 Electrical Final 05/11/98 / / 05,'11/98 PASS GS 05/:!/9P J•H
MSTA195 Mechanical Miaal / / / / 05/07/98 PASS G', 05/07/98 GES
MSTA791 Plumb Final / / / / 05/07/98 ?ASS US 05/07/98 On
Page No. 2 CASE HISTORY FOR CASE NO.: MUT97-0484
RENAISSANCE
13888 SW 124TH AVE
06/12/98
Action Description Req/ Schd/ End/ Action Notes Diap By Update Upd
Coda Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MSTA799 Building Final / / / / 05/0'7/98 SEAL FOUND VENT AT AC FAIL OS 05/07/98 OHS
PROTECT FP VENT IN BONUS RM STORAGE
'TA799 Building Final 05/13/98 / / 04/11/98 PASS OS 05/13/98 J•H
MSTA960 (F) Issue Cert. of Occupancy / / / / 05/11/96 MAILED 6/11/98 MAIL VN 06/11/98 VLN
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CITY OF TIGARD
DEVELOPMENT SERVICES
Et_ECTRICAL p'ERMIT -
13125 SW Hall Blvd,, Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: ELR98-0018
DATE ISSUED: 02/02/98
PARCEL: 2S1O3CC-04100
SITE ADDRESS. . . : 13ABB SW 124TH AVE
SUBDIVISION. . . . :EAGLE POINTE ZONING:R-4. 5 RD
BLOCK. . . . . . , . . . . LOT. . . . . . . . . . . . . :016 JURISDICTN: TIG
Pr,o j ect De scr,i pt i on : Add audio/sterei system, burglar alarm, garage door opener,
heating ventilation I air Gond. system and vacuum system to an existing SFD.
A. RESIDENTIAL--------- R. COMMERCIAL-----------------------------_---.---.-_-.
AUDIO & STEREO. . . : X AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : l-_ANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . : X CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : X DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : X FIRE ALARM. . . . . . : OUTDOOR L.ANDSC LITE-
OTHER:
_ITE:OTHER: : :X HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL.. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL. # OF SYSTEMS: 0
Owner: ---------------------- -------------------------------- FEES -----------------
RENAISSANCE type amount by date recpt
1672 WILLAMETTE FALLS DR PRMT t 40. 00 GEO O2/0.2/9B 98-302946
WEST L INN OR '97068 SPCT $ 2. 00 GEO 02/02/98 98--3O294E.
Phone #: 557-8000
Cont r,act or: ----------------------------._---------------
GARY' S VACUFLO INC $ 42. 00 TOTAL
901.5 SE FL_AVEL
REEOU I RED INSPECTIONS ---------
PORTLAND OR 97266 Low Voltage Insp
Phone #: 775-2042 Elect' l Final
Reg #. . : 065047
This permit is issued subject to the regulaticns contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Mork will be done in accordance pith approved plans. This permit will e•tpire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION; Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 9524010010 through OAR 95?-901 0NA8. You may obtain copies of m
these rules or direr vest 9 to at (503)246-1987. I
Issi_red b Permittee Signati_rre1 _
_ ..._----------------.__--_-_-OWNER INSTALLATION ONLY------------------------------
The installation is beinq made on property I own which is not intended for
"' sale, lease, or, rent.
OWNER' S SIGNATURE: _ DATE-
-----------------------CONTRACTOR
ATE:-----------------------CONTRACTOR INSTALLA'T'ION ONLY----•-------------------------
SIGNATURE OF SUPIR. E:LEC' N: _ ._ DATE:
LICENSE NO:
4++++++++++++++f+++++a-+f-++-'+++++i++++++++++++++f+i+++++++++++++++++++++++-1++++++
Call 639-4175 by 7:00 P. M. for an inspection needed the next blisiness day
++++++++++++++++++++++++++++++++++++++4f+++++++++++++++++++++++++++++++++++++4-++
is
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
�5 SW Hall Blvd.
i igard,OR 97223 PERM F #
Phone(503) 639-4171
FAX (503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
3 PJ'f ,�r4jz 4-Ae - _
Address .� RESIDENTIAL—Restricted Ener Fee . . . . . . . . . $412.QtI
I (q�1�C Cf -7-72-3 (f()P,AlI SYSTXS)
City State Zip Check Type of Work InyplYd: tVj1
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK E]�Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ffT rglar Alarm
2. CONTRACTOR APPLICATION H� arage Door Opener*
H�CHeatlng,Ventilation and Air Conditioning System*
Contractor _. 11ac ) Type_ L ,Vacuum Systems*
Address T OT( _— � Other _-_-- --_
Date_ t /� _ _ COMMERCIAL—Fee for each system . . . . . . . $40,U0
(SEE OAR 918-260-260)
Property Owner h ^� �D tl Check Tyne-if Work Invoked:
Contractor's Board Reg. No. ❑ Audio ane Stereo Systems
e7-75 _ ;7e) 11 Boller Controls
Phone# _ /Z ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
L1 Fire Alarm Installation
U HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address — ❑ Intercom and Paging Systems
U Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy hnstallalinns 000 volt amps or less)under this permit and to do Pre ❑ Outdoor Landscape Lighting'
following: �
El Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing.These 1,we ❑ Other _
asterisks(*).All others need licensing). -
2. Call for an Inspection when all of the Installations under this permit are ready
CL
for inspection at 503.639-4175. ❑ Number of Systems
ce 3. Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit H fe fe fe •No licenses are ruqulred. Licenses are required fo;all other Installations.
`n 4. Assume responsih ty for assuring that all corrections required by the Inspector
> are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
-� corrections are completed. /
The person signing for this permit must he the ap•�'(ant ora person 1. Enter Fees $ 'eta D
J authorized to hind the applicant. (�
^' h. 5%Surcharge(.05 x total above) $
Signature tie)
TO-fAL $_ �z. _
Authority if other than applicant
ENERQAP.CHP
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
Cf:RT I f I CATS OF
OCCUPANC`r
PERMIT 4. . . . . . . : MST97--.0464
FATE ;SSUED: 05/11/98
PARLJ L s 2S 103CC-0410:?
ITE ADDRESS. . . : 13888 SW 124TH OVE
,:iUBDIVI':iION. . . . : F_'aGLE POINTE ZONTNGsR-4. 5 FD
1�l_Ch_K. . . . . . . . . , s . . . . . . . . . . . . . 1016 .JURISDICTIONiTIG
f:.;I_AGIS; OF WORT{ :MF W
T'YP'E OF USE:. . . :SF
I'YPE Of: CUNSTR:uIV
:.)C:CUPANCY GRP'. : R3
)C CUPANCY LOAD s 2
!'e m aE r^k s : N#w SFU PATH l
)wner,s
4E.NAISSANCE
1,672 WILLAMETTE FALLS DR
,4E'::)T I_ INN OR 97066
!'hone, #s 557-0000
?ENA 1 GSAhICE_ DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
REST I_INIV OR 07068
'hone *1 537--6000
Peg #. . s 000499
' has Le-tific•ate gr•antsi occupancy of the above r-efe►-enced building or-, portion
hereof and cont irons that the building nas bsen inspected for- compliance with
he State Of Ot'eWon Specialty Code% for the gr-uup, occ:upar"jcy, and U%e under
•,hk-h thv reter-enred permi +; was issued,
i
I.JILDIN 'JIN` t`TOf2 I I._/ ISP T( C 9IJF`ERVIbOfc
r;
F POST IN CONat='I CLIDUS GLACE
J
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
q
Date Requested: �` '��" T A.M. _ P.M.— MST:
Location � ,��� > (,� BUP:
T_nant: Suite: Bldg: MEC:
Contractor:_— -2 It Phone: PLM:
Owner: Phone: ELC:
ELR:
SrF: _
BUILDING BLD coni) PLUMBING V—MECHANICALCT�-L� SITE
Site os earn Post/Beam Post/Beamo er ervice Sewer/Storm
Footing Roof UndFl/Slab Rough-in Ceiling Water Line
Slab Framing Top aIt Gas Line R-)ugh-fn UG Sprinkler
Foundation Insulation Sewer Hood/Durt Reconnect Vault
lismt Darnp Drywall Stonn Furnace -temp S,"ice MISC.
Masonry Ceiling Rain Drain A/C Its.Slab
' Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr I lent Ptmip Low Volt
--NSP' Approved Approved rov ` Approved
Appr/Sdwlk No Approved Not Approved Not Approved Not Approved Not Approved
C YTN FINAL FINAL FINAL
,r
J
O Call for reinspection O Reinspection fee of S `required before next inspr.•tion O Unable to inspect
Inspector:_V_ �— _ Date:___ /— Page_ -of-- -
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-0484
13125 SW Hall Blvd., Tigard,OR 97223 (50,-:,'639-4171 DATE ISSUED: 11/ 1/97
PARCEL: 2510 tiCC—x:4100
SITE ADDRESS. . . : 1.?,888 SW 12411-1 AVE
SUED I V I S ION. . . . :EAGLE POINTE ZONING: R-4. S PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :016 JURISDICTION: TIG
Remarks: New SFD PATH I
--------- ---- - --------------------------------------------- BUILDING --------—----------------------------------------------------
REISSJE: STORIES.......: 2 FLOOR ARER5-------- - BASEMENT...: 0 sf REDUVRED SETBACKS---- REQUIRED--•----•-------
CLASS OF WORKS:NEW HEIGHT........: 23 FIRST....: 1477 sf GARAGE.....: 704 sf LEFT..........: 6 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1870 sf FRONT.........: 25 PARKING SPACES: 2
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 7
OCLUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 3347 sf VALI1E..f: 236361 REAR..........: %
—-------------------------—--------------------------------- --- PLUMBING -------------------------
- ---------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 00 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.- 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-- -----------...---------------------
FUEL TYPF-S----------- FURN { 100({ ..: 0 BOIL/CMF { 3HPe 0 VENT FANS.....: 5 CLOTHES DRYERS: 1
GAS FURN )=100K ..: I UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP.: 0 BTd FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES..... 0 GAS OUTLETS...: 1
----------------------------------------- ---------------------- LIECTRICAI. ---------------------------------------------------------------
--RESIDENTIAL UNIT--- --SERVICE/FEEDER-•--- --TEMP SRVC/FEEhERS-- ---9RANCH CIRCUITS--- ----MISCELLANEOUS--- -ADD'L INSPECTIONS—
IN* SF GP LESS: 1 0 - 200 alp..: 0 0 - 200 amp..: 0 W/SVC OR FOR..: 0 PUMP/IRRIGATION: a PER INSPECTION: 0
EA ADD'L 500Sr.: 6 201 - 400 amp..: 0 201 - 408 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 EA ADDL BR LIP: 0 SIGNAL/PANEL..: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 100@ amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ------------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=2P5 A.: ) 6Pq V NOMINAL: CLS AREA/SFC OCC:
------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY —------------------------------------------------
A. SF RESIDENTIlk--------------------------- B. ------------------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BUR(A-AR kHWI..: OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
` GAPAGE OPENER—: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: ----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 3667.21
RENAISSANCE RENAISSANCE DEVELOPMENT This permit is subject to the regulatiaiis contained in the
1672 WILLAMETTE FALLS DR 1612 SW WILLAMETTE FALLS DR Tigard Municipal Code. State of Ore. Specialty Codes and a'l
WEST LINN OR 97068 WEST LINN OR 97668 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
c� Phone #: 557-8000 'hone #: 557••8000 not started within 180 days of issuance, or if the work is
Req N..: 000499 suspended for more than 180 days. AT-iENT10N: Oregon law
-------------------------- ------------------------------------- requires yoc to follow rules adopted by the Oregon Utility
Notification Cen+er. Those rules are set forth in DAR 952-001-0010 through OAR 952-NI-MO, You may obtain copies of these rules or
direct questions to OK by calling (503)246-1987.
------------------------------------------------------ REDUIRED INSPECTIONS --------------------------------------------------------
�° Erosion Control Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
w Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
—' Foundation Insp Mechanicd) Insp St.rar Nall Insp Insulation Insp Appr/Sdwll- Insp
Post/Beam Strilct Plumb Top Out Low Voltage Gyp Board Insp Electrical Fina --
Past/Bear Machan Electrical 5ervi Fireplace Insp Rair, drain Insp Machan• i
A �
Iss�(ed E,y: ��- Permittee Sionatf-tie : _ _
4 -F+-....t+•.... +•+ttt.4 • ++4...+.................. -...i-........t 4-4I-t' ++ t+ +i....F....
Call 639-4 5' by 7:00 p. m. for an inspection needek1 the next business day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
°
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #PERMIT PERMIT SWR97-0403'
DATE ISSUED: 11/21/97
PARCEL: x:S103CC-04100
SITE ADDRESS. . . : 13988 SW 124TH AVE
SUBDIVISION. . . . :EAGLE POINTE ZONING: R-4. 5 PD
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :016 JURISDICTION: TIG
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPIE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUGWR IMPERV SURFACE: 0 sf
Rpmarks : New SFD PATH I
Owner: --- -___________---•---________----__-----__.__- __.—__—___—_— FEES
RENAISSANCE type amaLtnt by date recpt
1672 WILLAMETTE FALLS DR PRMT $ 2200. 00 DST 11/21/97 97-501151
WEST LINN OR 97068 INSP $ 35. 00 UST 11/2-1/97 97-301151
Phone #:
Lont r-act or-: _____------•---•-----___�_____--__-_-
Ot!NE R
Phone #: 2235. 00 TOTAL
Reg #. . .
REQUIRED INSPECTIONS
-- -- -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days frog
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of 4he
side sewer laterals. If the sewer is not located at the s�asureeent
given, the installer shall prospect 3 feet in all directions fro+
the distarce given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral
ATTENTION: Oregon law requires you to follow rule, adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
?52-001-8818 through OAR 952-0001-8888. You may obtain copies of
these rules or direct questions to Of by calling (503)246-1987.Cz
1 s s i_i ed by �_��. � .�.L� P e r in i t t e e S i g n a t 1-i r e:
J
L •1-+++++++++++i-++++4++++tr+++++++++++++-h++++++++++++++++++++++++++t++++++++++++++4
w
Ca 11 639-4175 by 7:00 p. m. for- an inspection needed the next bi_Isiness day
Plan Check�l- /
1TY OF T4GARD Residential Building Permit Application Recd By
3125 SW HALL BLVD. New Construction Additions or Alterations Dace Recd
�1GARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. r(-.
' 503-639-4171 Date to OS-1- /
-' 503-684-7297 Permit w Lt
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Prolect
Name
Job L=�C- •E ��i U� 1�� S✓�1%/�Zc` lt/ Tf,� A�I:�;c�
Address $iF Address Architect Mailing Address/ / X
Name City/state Zip I pponj
Owner Mailing Address Nam9-
/ •' ,>? /�".i".1/'�%`�'� ,��,'�/r �r,'• -�"`��, ,ms's ..fix�:^}
CityiState Zi Phone ( Engineer mamnaAa=u
'(:}f ', /4i/ L;'�; .7 -�l�t v Cia. t .�Zn�Yrn:r✓G —dn,4/ti/f.
Name I Cityistate Zip one
General! of Lr?jr } <<d-icgry /obi-1Ys' Dube work New O Addition O Atteratlon O Repair O
Contractor Mailing Address to be done:
_ A,-A Additional Description of Work:
Cit�rrSlats�lA��✓ [ip Ph_one
'fl j � ,j��� `�jj7 �'r�� -_,.1.!/l l�G.' .1"�i�f.'�C Y `l I:r`.t:►.moo/
Oregon Const Cont. hoard Lie 0 Exp.Date,
Attach Copy of c -L-� Z r --
Current COT Business Tax or n'tewo M Q.
gate A PROJECT
Licenses /,r r- � <�l/, y VALUATION
Name j
Mechanical 7X1 e-;,(:�! �.r'��C t f',�t NEW CONSTRUCTION ONLY:
Sub- Mailing Address Sq. Ft. House: Sq. Ft. Garage
'antractor —'
cityrstate Zip Phq a Comer Lot YES fy0 Flag Lot YES N�
G s C/k"vlitwW, c ' '�/. (check one) t
,, 5 _xis (check one)
Oregon Const.Cont. niard Lir ft Exp. Opte , Restricted Audio/Stereo 6urylr
Tach Copy C, i.ti �� -� ,J�4' ��� Energy System Atam,
Current COT Business Tax or Metro x attl Installation Garage Door HVAC
Licenses /X{.' .I
Nam - Opener Systems
, _ (check all that
Plumbing r��%�t/ "!✓ 'r .�f(� G apply) Other._
Sub- Mailing Address Will the electrical subcontractor wire for all Y NO
�antractor �.�� �,i,lj r�,rl /1!f restricted energy -nsta"ations? L
C, rstata Zip Phone Has the SuCdivision Plat recorded? N/A 1 NO
Oregon Con;L Cont.Board Lica Exp.0 to Reissue of-MST# Solar Compliznce
Attach Copy of e2e, 'rC ,j
Current Plumbing Lac � / C , (Calculation Attached) y
Licenses /� i• rt ✓�/ /� I hearby acknowledge that I have read this applicaW)n, that the
COT Business Tax or Meuo a Oat' 17 information given is correct, that I am the owner or authorized
(7c) -'; �, agent of the owner, and that plans submitted are in compliance
Name '"1 '"" with Oregon State laws. __
y
electrical ;.!��j� f'"���-��-�yrtj�-f Signatu�ge Date
Sub-
Mailing A��ss C0�ltact PeMfi ,me- Phone
1.0
s Contractor �/: it cv Dy�rrf; �,
�'�-.
Ci Sit :e Zip Phgne FOR OFFICE USE O Y:
w y _
-r •i��!rl �,7 • Plat ax- Ma LJa::h
Or on v psL C qqnL Hoard Lie.# (� (} 7 ` --Qi�
ar.h copy of Setbacks, 4 �> Zone-/, r ll
Currrnt E!ectncal L;c.10,."
p_ 0 c ( Solar
Licenses �n 1
COT Business tax or Metro• Date
Englnlbnn Appr �l: Plan ing approval: TIF: f
�slac . d�$ I 1 h,
L- r L /l " ys // if app.doc(dst) 1/97
PerTnit # ACcQuIIt Descri tion Amour Amt. Pd. Bal. Due
MST. Permit (BUILD)
Plumb. Per,-jilt (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
F'!vmb:
Mech:
ELC/ELR:
Plan Check
MST: (BUPPLN) —
Plumb: (PLMPLN)
Mech: (MECPLN)
CDC Review (LANDUS)
_ Sewai Connection (SWUSA)
Peimbursement District ( )
Sewer Inspection (SWINSP)-
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WOUAL)
Water Quantity (WQUANT)
—' Frosion Control Permit (ERPRIAT)
w Erosion Planck/USA (ERPLAN)
J
Erosion Planck/COT (EROSN)
Fire Life Safety (FI.S)
TOTALS:
_.�_ lAstapp.doc (dst) 1197
Solar Balance Point Standard Worksheet
ddress� _ ,�.__
gox A calculations: North-South dimension for the lot. �OX'�
This dimension is determined by finding the midpoint of the North lot lire and drawing f
an inter-ecbrig line perpendicular to that point.
First, determine wiiicti property line is the North lot line. The North lot line is the line
mth the smailest angle from a line drawn east-west and intersecting the northern most
point of the lot.
....moo
t t '�•
YON'~ North-South
N
Dimension for COL
,Measure the distance from the midpoint of the North lot line to the South lot line along
the descibed line- '.� feet
t
N
CT'�cr•sv..ci��ow
I
Baal B calculations: shade point height for your residence. Box B:
1. Determine whether measurement will be based an the peak or cave of your Which des.- ibes
strucure, The orientation of the ridge is also important. your residence?
1 a: If the mci line runs North-South, measurements viill �. (circ'e one)
be based on the peak of the roof, coo Ci
J' 1
�••.-• l A 18 1C
1b: the roof line runs cast-West and the rcof pitch is
i less znan 5i12, measuremer.m will cn �e _`
n
ear e. ,. ,
1
1 c If tl�e rcof lire r iris Ear- .Vest and the roof pitch is
Si 1 2 cr sieeaer, measurements will be based on the G=Mr
i
Box B. confitiued Box 3: I
_. .Measure c-Sange ;n elevation from front property line to finished floor elevation. If
the !ot slopes up from the front !ot line to the foundation, the figure is positive. If 1
the lot slopes down from 1,e front lot line to the foundation, the figure is negative. _ ft
3. Measure distance from finished floor elevation to the affeaed peak/eave. + _ ��_ ft
�. If the roti line runs worth-South, de-dua three feet If the roof!-rte rurs East-West, -�� ft
deduct nothing.
3. Suotna one foat for each foot of difference to elevation from the front property
line to the resr property line, if the (art slopes up from the front to the rear. If the
lot has no slope or slopes up from the rrar to the front, deduct nothing.
6 Total figure for box B: _2
Box C. Distance to the shade reduction line-' Box C.
1. Measure the.distance from the North property line to the foundation near the 7, S ft U.Z
affected peaWeave.
2. Measure the d'atance from the foundation to the afleaed peak or eave. +
3. Total figure for box C q,S� t
:t is MCA useful a drAw a verocal ram w represent die approphaw Gpm found it bw'A'and a horimntaj ine to represent the -�
appropnate Cnjwe Pard in boat'C'.The uuersetnon of fie ver6cli and Nwkonol In"dewmines the.slue round in boat'tY. The value �
in bat 'D'should be a"pared to the value in box^8-; if the value in.boat'9'is ku dun ar equal b the value round in boat'O',then
:he bw4ns is in a)mPianr=with the stslar balance code. U fou have ant.gUetoorM please c7on.aa w at 6394171,x304 or at the
Ccxr,munity Oevelopment Counmr. 1. 4
MAXIMUM Pum TTED SHADE POINT RIGHT (In Feet) ,
C;=nce to tom►-wuth lot4Wwaim an reed ify
VLade 100+ 95 90 85 80 (71' :0 63 60 55 So 4S 40
n-ducDon 6ne -i
from rwrdiern
tnr ing(in rr-ri
70 40 40 40 Al 42 43 44
65 38 38 38 39 40 41 42 43
.30 36 36 36 37 38 J9 40 Al s2
53 3; 34 34 35 Z6 1.7 38 39 10 Al
.1 32 32 32 33 34 15 26 !7 23 39 40
=3 30 30 30 31 3Z34 35 36 37 38 39
:0 -- _S :3 23 Z9 30 1 32 33 34 35 36 37 38
=3 26 25 26 27 28 9 30 31 32 33 34 35 36
,a5. 'S 2S :9 30 31 32 33 34
21. 24 .5 7 ZS :9 30 31 32
w :9 1-0 30 20 21 22 .3 24 Z5 Z6 27 28 29 30
S
3 i8 18 18 19 :0 21 '= Z4 :S 25 27 23
0 16 i6 16 17 18 19 23 2; 25 25
w 14 14 14 15 16 17 18 19 .0 21 2-1 23 24
J
Box D. ,\Aa imum ailowed shade oeint height. Z f
eet
i
EF OQM OONTML
I.MlOIMNEavmmrrp"THOS
CONC
C9// GRAYS MDaOA11E uleT�.PER�IMIedT ��.7 y l A
I RETEONK a N PLACE
138 s-
2 PRNK a YANTAN SOIL SE0SOff
A/ FRU AS MAIM lPf�/�ters a+tc Com•,
NOTE: CENTERUNE CONCEPTS, ���'�� '7S
ti
SURVEYORS,Will PIN Awl. EXTERIOR
FOUNDATION CORNERS AND PROVIDE
SUBSEQUENT MORTGAGE SURVEY.
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1 ^ S 85.11,19" W ..I
c ` SCALE DRAWING LOT 16 EAGLE POINTE
S.W. 1Z'4 SEC. 3, S.E. 1/4 SEC. 4,
N.W. 1/4 SEC. 10,T.2S,RAW, W.M.
CD CITY' OF TIGARD I l
J WASHINGTON COUNTY UREGOIJ
--AN EIGHT FOOT PUBLIC U71LITY EASEMENT OCTOBER 2, 1997 �
SHALL EXIST ALONG ALL STREET FRONTAGE. DRAWN RY: MSG CHECKED BY: WGDII! Center�ine �_•c�nCepts Inc.
SCALE 1"=20' ACCOUNT 111 115 640 62nd C:Iye Gladstone. Orsom 97027
• - • . M: MIJ PLA AGL.EPO L1 EP 503 650—LIaS fox 50