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13975 SW HIGH TOR DRIVE I r Ln 210 21CII MIR NLS SL6£T ................ DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO. OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Ptrwit it 05U04504 i'r,.-.j e c t # P004 -1,i.At.,U!z; 4 ,:", r, x--j - I - Z Applied 03/01/95 lsslis*d 03/01/95 Lxplre5, - 1112`7191 06/02/95 Or, RESFLEC Pia-rmit Title SFR - NEW HOUSE /LOW VOLTAGE ur H Lescription HILLSHIDE ESTATES LuT 16 Begun 03,r' ., Job k1dreas 13975 SW Hl(314 TOR Dv TI Owner Name INSPECTION - TIGAWD Regicsn D Applicant Name -,2ASCADE ELECTRIc, Phone number 641 - )208 Va I uat.ic))-t 0 Approved,____,_._ -. spe,--tor Conunents Re )ected_ I Vv-RR ULT, REQirr-.qT npo Plumbing ...... Me ch an i c a 1 Flectr,ic-al St ructri.ial General Azz I ns ,ect ed LyLeat e Inapecti,.,n R(eqLested Final Elertricni 0499 E AP r)N jklfVi, 34-319C o5/3l/9S RI RIM,, 34-3J9C (I5/31/9s i.N R i')NIVv LlIT49 i DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE' 503/640-3470 OREGON INSPECTION PE©UE STS (24 hours): 503/640-3561 or 693-4415 Permit # : W'); ,ij41—A)4 Fr<,)je(,t_ V F00479:31 3t:ar-ua APPROVE1, Paye ! of 2 Applied 03/01/9 Issued 0:3/0'1/95 Expires 08/28/95 05/:31/95 05 : 01 RESLLEC Permit Title SFR - NEW HOUSE /LOW Vol-TACE OTH Oescr.iption HILLSHIRE ESnTATI:.Sn LOT IG Beyi.an: 03/01/95 Joh Address 13975 SW HIGH TOR UR TI Owner Noma INSPECTION - TIGARD Region L) Applicant Name ('ASCADE FLECTRI(. Phone number 641-9209 Va1uat.ia 0 Appr'avpd________ inspector Comments ,L�.✓17, VR- RE;�ULTs J U[✓c!GY� - RrC)I)EST ERROR' < < /�/c7✓ iV _ Plumbing J �j IJ Mechanical Electrical S t r u c t r.u a] --�� U _._ � 1GC.u� _ �._ i ,�:2�i�1�44z/ -(14- Genoral r , In!epec,ted by ��. '' r caste Inspection Requested * Final Electrical 0499 E AP (IN IVtl 05!31 /9", ItI RIIVR 34-3190 C 8 t I CIT' CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Nell Blvd.Tigard,Oregon 97223.8199 (503)839.4171 I G � City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # _ 13125 SW Hall Blvd. Permit # n�' i5Z�7G Tigard, OR 97223 (502j) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE NewSingle Family Residences Only 10r"'G 1_1 1 BATH HOUSE 5140 00 0 2 BATH HOUSE$195.00 Job -3 7 7S S, t7 3 BATH HOUSE$225.00 Address L� Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below. FIXTURES CITY PRICE AMT b' �%�S- 0� Sink 9.00 mm""°°..' ! ^ Phrr Lavatory --- 9,00 C weer 7 7�/ J t:J � ���� Tub or Tub/Shower Comb. 9 00 "^rNAIT a Shower Only 9.00 �'t" ��• l� �- Water Closet 9.00 - 14—la".'"..I fens•..' Dishwasher 9.00 Garbage Disposal 9.00 Occupant M„ft,o,"no P%_ Washing Machine 9.00 5 AlY1/�'� Floor Drain _ 9.00 ”"'°""' A• Water Heater 9 U0 Laundry Room Tray 9.00 Unnal 9.00 a U 1C fG I ����AoL <(qne S Other F,-cures (Specify) 900 M.aq AdsMr aro,,. Contractor 9.00 ,(,.J . Z ( — 9.00 /) rewe a0 9.00 A(r`A t �'`-'C � V 1 ' Sewer 1st 100' 30.00 Sul•R•p.tr•"on No. -- -- �'�''r"' '•''°" Sewer-ea. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby arknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit 100' 25 00 number given is correct. (If exempt from State registration, please _ give reason below.) Mobile Home Space 25.00 Back Flow Prevention - Device or Anti-Pollution Device 9.00 91r•n,f•la•n.r o..vMll D•u Any Trap or Waste Not Conrected to a Fixture 900 Describe work new addition O alteration Q repair u Catch Basin � 900 to be done reskientla,,o non-residential Q Insp of Exist. Plumbing 40.001hr Existing use of Specially Requested Inspections 40.00ihr building or property Rain Drain, single family dwelling 30.00 �^ Residential backflow prevention devices 15.00 ' Proposed use of building or property '(Except residential bac4flow prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL I , PERMITS BECOME VOID IF WORK OR CONSTRUCTION M AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 51b SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ---• — FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN REVIEW 25416 OF SUBTOTAL .'7 TOTAL ) Special CondRlons (,(i�"fl /C� �•G?A' -- L /_>�%' G'Zt�i't''Pte" Date Issued ��—_ by_�� CITY OF TIGARD ' COMMUNITY DEVELOPMENT DEPARTMENT MAf3TFR P'E'RMIT 13125 SW Hall Blvd,Tigard,Cragon 97223*8199 (503)830-4171 PERMIT #. . „ . . . . MST94--040f`. 639--4171 DATE ISSUED: 11/14/94 PARCEL: .v e3.11719k3A h1�a01G• 51 TF.- ADDRES S. . . : 1..3)- '79 SW 1••1I G H TOR 1)R '3U8L)IV151ON. . . . : HILLSHIRE SUMMIT ZONING: R-7 PD BLOCK. . . . . . . . . . . 1_01 . . . . . . . . . . . . . :11i C' BUILDING RE I SGUE.: DWEI.-L 1 NG UN I T`3: 1 NA5EMEN I . . .. . . . . . :0 S 1- C.LASS OF- WLiRK. :NE:W HEDRMS:3 HATHS:3 GARAGE. . . . . . . . . . :9`0 sf 'YPIL 017 USF.,_ . . :GF` FLOOR AREAS---- _.___...._-. REQUIRED TYPE. OF' CONST. :5N FIRST. . . . : 1415 Sf LEFT. . .-22 ft RIGHT. :24 ft ,JCCUP'ANC:Y CARP. : R'3 SECOND. . . : 13,3' s f FRONT. :20 •Ft REAR. . :40 f t 1 ORI Ls. . . . . . . :c F I NBSMEN'F:0 S f REQUIRED—­­­­­­ I EGIUIRED—__..r_-......___.....I IL I GH I . . . . . . . . :J4 ft TOT AL—---- __ 12749 s i SMOKE DL TEC;TORS. :Y LUUR LOAD. . . . :40 p s f VALUE. . . . . $ : 1927J.8 PARKING SPACES. . : 1 1�emarks : PATIA I PLUMBING 'iINKSi. . . . . . . . . . : 1. 1=LOOK DRAIN . . . . '0 BACKFLOW PREVNTRS. . : 1 '..F1VATURIESi. . . . . ..4 WATER HErATE;RS. . . : 1 TRAP'S. . . . . . . . . . . . . . :0 I UEa/SHOWE.RE3. . . . : 3 LAUNDRY TRAYS. . . : 1 CATCH BASiINS. . . . . . . -0 WA'I LR LLOWf S. . ::3 f3E WER LINE (ft ) . :0 GREASE: TRAPS;. . . . . . . :0 ;)ISHWASHERS. . . . : 1. WA'fl"R LINE ( ft ) . : 100 OTHER F'I XTURE83. . . . . :0 i.+ARL•IAGE D I SP'. . . : 1 RAIN DRAIN (ft ) . :0 WA511 I NCS MACH. I 5F" RAIN DRAINS. . ' 1 ME:CHANICAL -------- FES I UC:L TYPES _.....__._.....__._ UF\IIT F-ifRS. . :0 type 'Amol..rnt by date r,ecpt /GAS/ / / VENTS . . . . . :0 TIF t 1550. 00 JF 11/14/94 11AX 1NI',i.J1':0 LA1AJ VENI* 1--)N5. . :4 SP'R'T $ 665. 50 .11' 11/ 14/94 - kJ RN t 100K . . :0 HOODS. . . . . . : 1 FPLC $ 432. 58 JF 10/25/94 94- c'`8 i F URN ) =400K . . : I WOOD TOVE G. :0 S55P , 9• .31:3. 12 F? JF 11/14/94 - LUUR F`URN. . . . :0 CE_.0 DRYERS. a 1 5SDC ;2F)0. 00 JF` 11/14/94 '(?11_../1'M1> ( ,:3HP:0 C]TI1E.Ft IJNITS: l F'ARI; 500. 00 J F 11/ 14i94 GA5 OUTLETS: 1 MP'RT $ 45. 00 JF 11/14/94 — i.:IwnP_r: _.......__.._., ._.._ _ _.._..__...._..._.. ...._ .. ...._. _.__...--MF'I_l._ 11. E5 JF 11/ 14/94 W I IdUWUUI) CONS1 INC: 2. 25 J = 11/14/ 94 ,93 ") (:3W TERR() I')1. MP!a :301*I-1 `I• I:2,2�i. 00 JF 11/ 14/94 P`P( $ 11. 25 JF 11/14/'94 3E.AVF_RTON U17 9 7007 EROS $ 64. 00 jr, 11/14•/94 -Mine #: 1,44 sESi ERP'C: $ 20. 80 JF 11/14/94 - t r.rltI-ac:t ar- , __.._._ __.........._ ..._._.._._._..._..............._.._..,_....___._._....-ERF='C1 t c_0. 80 JF' 11,/14/94 A 1 NDWOUD CONST INC. 1:•9,3:3 {3W TIE.RRA DEI.- IVI0P HL(JIVE.RION OR 97007 11onv 0 Y80 -431b 11 eq #. . 5019f t 386 1. . '71 TO 1'f"-)L 'his permit is issued subject to the regulations contained in the - -- - REQUIRED INSPECTIONS 'igard Muricipal Code, State of pre. Specialty Codes and ail other Foot/fotmd Insp Fireplace Inst applicable laws. All work will be done in accordance with approved Post/Beam Str^xtct Gas Line Insp. oians. This permit will expire if work is not ;carted within 188 Post/Keao Mec.-han Ins+-dation In days of issuance, or if Mork is suspenvs. P'1m/Lmdslab Insp Gyp Boa1^d Insp IILM/Under-floor Rain drain Ir1Sp m i t t e e :7igT1aL.- I p :: __._...._..._._..__......_.._____._....____ Mer_hanic_,al Insp Water. Line IrrSP Flx_rmb Top Otirt Appr-/c. InaFr ss .rkd 121y 44_C� i r.ami.nq lr,Sp 1lei:Jiani(.%-i1 I lnaa _� f a ! { t n r i rr a; u t x 1 CIT' OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION 113125 SW Hall Blvd Tigard,Oregon 97223.81 99 (503)039-4171 PERMIT PERMIT #. . . . . . . : SWR94—i?.l36.t A+171 DATE ISSUED: 11/14,194 PARCEL: 2S109BA—H901t.. SITE ADDRESS. . . . 13975 SW HIGH T`0R DR 'EUBDIVISION. . . . : HILL SHIRES SUMMIT ZONING: R-7 FID BLOCK. . . . . . . . . . . LO T. . „ . . . . . . . . . . lb 16 TENAN11' NAME. . . . . : USPI. NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NE_W DWELLING UNIT'S. . : 1 I'Y,PE OF: USE. . . . . :SF NO. OF BUILDINGS: 1 1NST'ALL TYPE. . . . :BUSWR IMPERV SURFACE. f7 Pemay-kE, : POTH I Uwner- : FEES WINDWOOD CONST INC t ypt? iamal.mt by date v,e c,1 ) 6131-15w SW TERRA DEL MAR PRMT 2200. 00 JF* 11/14/94 INC P s 35. 00 JF 11 /14/94 BEnYER'TON OR 970Q17 Phone #: 644-3657 i ----------- —cintr,actor,: LONTRACINIR NOI ON FILE L"235. 00 TOTAL. Reg #. RLUUIRED INSPECTIONS This Applicant agrees to cosply with all the rules aT, regulations Sewer Insper-t i an of the Unified Sewage Agency. The pertit expires 180 lays fros ------ the date issued. The total avount paid will he forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer lat,,rals. If the sewer is rot located at the seasurement given, the installer shall prospect 3 feet in all directions ft,ov the distance given. If not so located, th installer shall purchase a "Tap and Side Sewer" Pereit and the AgenL,' Will install a lateral. Residential Building Permit Application (;ity of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 13 l / ILA �)f-,, 71/ Subdivision: >//���/10,e T Lot#_—�U -- Office Usk Only P # �_S r� 2. Valuation: �dU�/2,c) �_^� lan,;k/Rec�y1 �Permit # /I/ Corner Lot? Y - C Flag Lot? Y Reissue of — Map & TL# Owner: 1 / W tat,14,o)yr1 �CJrI S �� C l Approvals�Required Addre�: ! !g Sw Alt/r V-- d,,zL►r _ �+7 L!i(.'�i '� Rte/*�/-"'',�` 6 Planning�� .t.— (19 r- Z26)c 7 Engineering Phone �i -1/e/ • 3E.S 7 2A0— 1113 Sr _ Other Contractor: ` .Si�}�I7 E� ---- Items Reauired Address: �' s -- — Subcontractors -- - — Truss Details _ Phone: 3Other Contractor's License # iw i`. (attach copy of current Oregon license) Contact Name & Phone: `i3 Subcontractors: / LL Arch itectlEngineer: ., Plumbino: Address Mechanic I: ie (attach copy of current OR ontractoes License) Phone: /k 1-/i 5- JOB DESCRIPTION: Atppli ant Signature & Phone number Received by: Date Received: N MORMCOMMAREs Permit# ACCOL.it Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) _ .$ S� ►•� Plumb. Permit (PLUMB) �1,2 s-,'U � •� r Mech. Permit (MECH) j.vu /,�; - ✓'� State Tax (TAX) fe 5' Bldg: Plumb: // l Mer;h: Plan Check (PLANCK) /97 3.J'3 Bldg: Plumb: P tech: _-5-w 0Cf L-0 Sewer Connection (SWUSA) 2.? Sewer Inspection (SWINSP) '� 3 Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) / 2y Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) Water quantity (WOUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRM-r) Erosion Planck/USA (ERPLAN) 9t,vV Erosion Planck/COT (EROSN) TOTALS: CIT` OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvq., Tigard,OR 97223(503)639.4171 CERTIFICATE OF OCCUPANCY FERNY r #. . . . . . . : MST94-0406 I)(-)'I'E ISSUED- 06/02/9b E.ARCEL: 2S109BA-03100 SITE ADDRESS. . . : 13975 SW HIGH TOR DR SUBDIVISION. . . . : HILLSHIRE SUMMIT 7.ONING: R-7 FID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..016 ,JURISDICTION:T IG CLASS OF WORK. :NEW TYPE OF' USE.. . . :SF 7 1 YIDE OF CL)N(,)'I'R:5N ULCUPANCY GRP,. sR3 O(-.;CUPAr4LY LOAD:c Remar.(s : PATH I Owner: DOU(3LAS VAKOC 13975 SW HIGH TOR DR 'I IGARD OR 97i2.213 F"hone #: Contractor : WINDWOOD CONSTRUCI-ION INC 6933 SW TIERRA DEL MAR BEOVERTON UP (4100/ Phone #: 780-4,375 M Rey #. . - 000',501. This Certifluate grants occupancy of the above referenced building or portion thereof and confirms that the buildiiig has been inspected for compliance with the '.hate of Ot-egon Specialty Codes for the qr-01AP1 occupancy, and use under which the referenced permit was I-stil-ted. OOt47 AF OF rTt ISPI.-Av ION SUPERVI(jOk POST IN CONSPICUOUS PLACE CITY OF TI'GARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP A ��Date Requested � //4y AM _ PM _____ BLD Location r ��/ �� ' Zl.� T Z(� Y— Suite —__— M''C Contact Person ,, Ph _�— —_ PLM Cont a`-- �---i��., /J! �.�/��T T _— Ph .—.— —_�—_ SWR _-—- -- — ILDI Tenant/Owner ELC ------ Retdining Wall _ ELIR Footing Access- Foundationa FPS Fig Drain i . �. �-3 7 S'`j / 7 CrD Crawl Drain Inspection Notes: _ SGN _ Slab G'� V� ,� r r'GQ SIT Post&Beam '--- Ext Sheath/Shear j �� �� '_ Z>tt' C, - Int Sheath/Shear Framing Insulation T �7 Drywall Nailing �J 1 L .�Q- "X e,�P- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof a Fin , t rAS3 PART FAIL - - ------ -- -- PLUMBING Post&Beam - -- --` Under Slab Top Out -- Wates.Service Sanitary Sewer Rain Drains - Final PASS PART TAIL _ MECHANICAL _ Post& Beam Rough In Gas Line -- Smoke Dampers Final PASS PART FAIL Service--'- Rough ervice Rough In UG/Slab Low Voltage !— Fire larm R PART FAIL SITE Backfill/Grading -- Sanitary Sewer Storm Drain ( )Reinspection fee of$ _...___required before next inspection. Pay at City Hall, 13125 SW Hal!Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: _ - -___ -_ ( ] Unable to inspect no access ADA Approach/Sidewalk Other Date 7' / Inspector_, f Ext -- - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.