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8989 SW MCDONALD STREET ZSSUIS GIVNOQ OW MS 6868 I H W W a H Q a z a o f" U 3 ..f U) 00 W � .J co 8989 SW MCDONALD ST CITY GF TIGARD DEVELOPMENT SERVICES E'I_ECTRICAI_ PERMIT 13125 SW Hall Blvd., 7798i d,OF 97223 (503)6394171 PERMIT #: ELC97-•0141 DATE ISSUED: 03/10/97 q QQ C�1 PARCEL-: 2S t 02DC 02501 S I TF' ADDRESS. . . . 5W .�9 R .Y. .�c�.� SURD I tj I S I ON. . . . : EDGEWOOD ZONING:R_4. 5 PL_OCK. . . . . . . . . . [_OT. . . . . . . . . . . . . .. 1 1 F'r^ojer_t Description : TEMPORARY SERVICE AT SITE OF NEW SF CONSTRUCTION I --F."_SIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- -------MISCELLANEOUS-- --- 1.000 SF= OR t_ESS. . . . ; 0 0 - '*='00 amp. . . . . . . : 1. PUMP/IRRIGATION. . . . : 0 SACH ADD' I.- 500SF. . . : 0 201'. - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L-IMITED ENERGY. . . . . : 0 /..01 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. e 0 MINOR LABEL (10) . . . : 0 SFRVIrF/FEEDER--____ - -----flRANr'Ii [IRC11IT TI\ISPECTIONS__- t� - 2:00 amp. . . . . . 1 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 '01 400 amp. . . . . . : 0 15t W/0 SRVC OR rDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 -.01 101710 amp. . . . . : 0 -- - --.----------------PLAN REVIEW !SECTION-- __..__-...------._._-_.. 1000+ amp/colt. . . . . : 0 ) =4 RES UNITS. . . . . . . . e ) 600 VOLT NOMINAL. . : 1'eronnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC, OCC. r 2wner: --------------------------------------------------- FEES -------------_-_- TOM VENZKr type amount: by date recpt 1.540 SW STH ST PRMT ! 50. 00 JMH 03/10/ 37 97-`9146'_'-) 5F'CT E 5 0 TMH 07/tib/9797-29146''1 VEST I-INN OR 970613 'trans F( : PGR: 301-3187 ant r,act a '?WNE R E 52. 50 TOTAL_ _.._..__.__..._... REDUTRED INSPECTIONS Underground Cove F_lect' 1 Service A g #. . ; 999 '`is pereit is issued subject to the regulations contained in the _Q.. .gard Municipal Code, State of Ore. Specialty Codes ane' 311 other �'ermittrae 5igt7- +� . F, applir.able laws. All work will be done in accordance with aithined plans. This aereit will expire if work is not started CL 1����� CaC✓(J� within lee days of L55U8RCl, or if Hark is suspended for sore OC tear 188 days. i1gs11ed Fay _. ____ _.. 17(4NER INSTAI_I-ATION The installation is being made an pt-operty I -)wn which is not intended far J 31.e, lege, oi, rent. 11 ra .-IANER' S STGNATURE: - . DATE'• /O �) W _..___..._.__.__.__...._._._____...__CONTRACTOR INSIAL.I.-ATION ONL-Y.-. - ---------__.-- IGNPTURE OF SUPR. F1_.EC' N: DATE: TrENSE NO: Call for inspection - 639-41'75 r Permit#: ��� �— � Address: Issued by: ate: --�— Statement: Information Notice to Property Owners About Ccnstruction Responsibilities Note: Oregon Law, ORS 701.055(4), requires resident«: ..-onstruction permit appli- cants who are not registered with the Construction Conrractors Board to sign the following statement before a building permit cern he issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exertpt 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 313: 1. I own, reside in, or will reside in the completed structure. ❑ 2. 1 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 Illy general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR LJ 313. 1 will be my own general contractor. a. If I hire subcontractors, 1 will hire only subcontractors registered with the Construction Contractors Board. If I Chang^ my mind and hire a general contractor, I will contract with a contractor who is rn registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. _J m a I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. Iq (Signature of vpepFnit applicant) (Date) (White copy to issui►rg agent.y permit file, pink copy to applicant) CITY Of TIGARD Electrical Permit Application Plan Check it__ 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P.E. Phone(503)639-417 1, x304 Print or Type Date to DST _ Inspection (503)639-4175 Incomplete or illegible will not be accepted Permit lr_ Fax (503) 684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per p permit allowed Name(or name of business) %V C1 Gree.A(f.•usf. Service Included: Items Cost Sum Address_fmt-�_Mi.t��...l�f '�7 • ��� 4a. Residential-per unit Cit /State/ZI 11;6#91 v 1000 sq.ft.or less $110.00 4 Y p -12 C5d4--_- Each additional 500 sq.It.or portion thereof $25.00 1 Commercial Residential Limited Energy $25.00 - Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor Installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor_ T rM Elrxt ti Installation,alteration,or relocation Address -_ 200 amps or less $60.00 2 City__ _ State Zi 201 amps to 400 amps $00,00 2 Zip 401 amps to 60C amps $120.00 _ 2 Phone No. 601 amps to 1000 amps $160.00 - Job No. Over 1000 amps or volts $340.00 Elec.Cont. Lice. No. Exp.Date Reconnect only _ $50.00 2 OR State CCB Reg. No. Exp.Date_ 4c.Temporary-Services or Feed COT Business Tax or Metro No. Exp.Date InslaaRail-on,alteration,or re oca on / 200 amps or less / $50.00 2 Signature of Supr. Elec'n _ 201 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"abmm. Phone No. '- 4d.Branch Circuits New,alteration or extension per psoel 2b. For owner Installations: a)The fes for branch circuits with purchase al service or PrintOwner's Name� w.as e14R.Kt feederf9e. Address 19'40 ® S` Each branch circuit $5.00 2 _ ZI iwOfi>p! b)The ice for branch circuits C.tyUh NF- L'H r, State &,r- p_ _ without purchase of Phone No. s;7-tl.S`I $_; -311x' service or feeder fee. First branch rircuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 _ _ 2 intended for sale, lease or rent. 4e.Miscellaneous � (Service or feeder not included) Owner's Signature. "11_r1.Q+�^-eu-- /G„G�`- - Each pump or irrigation circle $40.00 2 -T- Lach sign or o,-ttlfne lighting $40.00 2 3. Plan ReviAw section (if regtfired):* Signal circult(si or a limited energy a panel,alteration or extension $40.00 2 � Please check appropriate Item and enter fee in section 58. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional 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 occupancv Per hr.ur _ $55.00 m as described in N.F.0 Chapter 5 In Plant i $5500 W 'Submit 2 sets of plans with application where any of the above apply. Jr. Fees: -I Not required for temporary construction services. 5a.Enter total of above fees $ -�.�.>:2LC� 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of?ine 5a for PERMITS BECOME VOID IF WORK OR CONST RUCTION AUTHORIZED IS Plan Review IfIfrffilUl (Sec.3) $ --- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED 0'1 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY � TIME AFTER WORK IS COMMENCED. El Trust Account>1 5 • � J Total balance Due $ J I�MTSTrc9 APP Rev a96 (CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard.OR 97223 (503)6394171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . i MST97- O+h` DATE ISSUED: 05/21/97 PARCEL a 2S 102DC-FI2 501 Li i I I: ADDRESS. . . : 089139 SW IhC DONALD ST SUBDIVISION. . . . : EDGE:WOOD ZONING a R-4. 5 BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . eil JURISDICTION:TIS CLASS OF WORK. :NEW TYPE:: OF USE. . . :SF" TYPE OF CONSTR:5N OCCUPANCY GRP. :R3 OCCUi-IANCY LOAD:c Remarks : Path 1 Ownere -...___.____-________._--___..__.__-_.____- DAVID GREEN CONSTRUCTION 29100 SW BURKHALTER RD HILLSBORO OR 97123 Phone #: 648--9805 Cont Tact or e -----_._____w_______.._-_____....._ DAVID GREEN CONSTRUCTION INGREENIOUS INC 29100 SW BURKHAITER RD HILLSBORO OR Q7123-9232 Phone #.- 6413-.3805 Regi #. . ! 000116 This Certificate grsnts occupancy of the above referenced building or portion thereof and confit-ma that the building has bees: inspected for compliance with the State of Oregon Specialty Codes for thAINGP61F occupancy, and (Ise under which a)referenced er~mit was isslted. a __.. 1 L BUILI)INC� INSPE C OR BU ICIAL U) POEJ IN CONSPICUOUS PLACE m f� F3 W a Page No. 1 CASE HIS?u.cY Pok 'R No.: MST97-0052 DAVID GRRRN CON, 'RUCTION 06989 SN MC DON` J AT 11/17/97 Action Description Req/ Schd/ Fad/ Actio Notes Disp By Update Upd Code Sent Done Done Dade BY MSTA003 Application received / / / / 02/20/97 RECD DRA 05/26/97 SMR MSTA006 Permit Created / / / / 02/25/97 PASS B 02/25/97 BON MSTA010 Check for prcl. restrict. / / / / 02/23/97 Must pay for Reimbursement Dist 01 MEMO B 03/04/97 BT2 before obtaining building and rewe- permits. THIS HAS SEEN TAKEN oFW BY CMRn SUP.PY No PAYMM9T REQUIRED 03/03/Q7 KOTA012 Plans routed to Plana Examiner / / / / 02/25/97 PASS B 02/25/97 BON M9'TA026 Plans approved by RPE / / / / 03/04/97 PASS RT 03/04/97 BT2 MSTAo30 Reviewed plans routed to DSTS / / / / 03/04/97 PASS RT 03/04/97 BTI MSTA032 DAT Post-Review Completed / / / / 03/04/97 PASS B 03/05/97 BON MPTA080 (F) Ready to issue / / / / 03/05/97 PASS B 03/05/97 BON MSTA092 (P) Issue combination permit / / / / 03/10/97 MILL COMPECr TO NON-RR7MSUPSRMWrr PAID JMH 03/10/97 DBT DISTRICT LATERAL, OR PER CHRIS BRATTY. No SOP NEEDED MATA095 Jesus plumbing signature form / / / / 03/10/97 JM 03/10/97 DST MBTA095 Issue plumbing signature form / / / / 06/11/97 06/11/97 JT MSTA097 Issue electric signature form / / / / 07!18/97 RECD JT 07/18/97 JT MSTA705 Footing Insp / / / / 03/16/97 PASS TLP 03/20/97 TLP MSTA710 Poet/Beam Structural / / / / 05/21/97 PASS TLP 05/27/97 TLP MSTA711 Poet/Beam Mechanical / / / / 05/21/97 PASS TLP OS/27/97 TLP M9TA713 Crawl Drain / / / / OS/21/97 PASS TLP 05/27/97 TLP MSTA717 PLN/Underflocr / / / / 04/03/9"7 PASS TLP 04/03/97 TLP MSTA72.0 Mechanical Inap / / / / 04/18/97 'PAA TLP 04/21/97 TLP MOTA722 Plumb Top Out / / / / 04/!_/97 no tust an water FAIL M9 G4/14/97 MRB waste ok MSTA722 Plumb Top Out / / / / 04/15/97 PASA Mi 041-14/97 MRS MSTA723 Electrical Service / / / / 04/18/97 PA TLP 04/21/97 TLP LL MSTA724 Electrical Rough In / / / / 04/18/97 PASS TLP 04/21/97 TLP MSTA725 Framing Insp / / / / 04/19/97 PASS TLP 04/30/97 TLP (n MSTA725 Framing Insp / / / / 05/31/97 Underfloor pier pads too close to edge PASS TLP 05/31;97 J'H of pier. Resuprort posts both ends, reconnect/rebrace pier pads. m MSTA726 Shear Mall Insp / / / / 04/19/97 PASA TLP 04/30/97 TLP W MSTA735 Gan Line Inep / / / / 04/18/97 PASS At9 04/21/97 MRA M9TA740 Ineulakion Inep / / / / 04/23/97 PA.49 TLP 04/23/97 TLP MSTA745 Gyp Board Inap / / / / 04/25/97 PASA TLP 04/70/97 TLP MSTA755 Rain drain Insp / / / / 04/03/97 PASS TLP 04/03;97 TLP MSTA765 Appr/Sdwlk Inep 05/28/97 / / OS/21/97 PASS PI 05/26/97 SMN M.STA790 Electrical Final / / / / OS/21/97 close openings around plates PASS MJR 05/.7.3./97 MJR MSTA795 Mechanical Final / / / / 05/21/97 PASS TLP 05/27/97 TLP MSTA797 Plumb Final / / / / 05/21/97 PASS TLP 05/27/97 TLP Paye No. 2 CABG HISTORY POR CUR NO.: MaT97-0052 DAVID ORERN CONSTRUCTION O99S9 8N MC DONALD NT 11/17/97 Action Description Req/ scbd/ 2nd/ Action Metes Diep By Update Upd Code sent Done Dane Date By ------- -"-------------------—------- -------- -------- -------- --------------------------------------- ---- --- -------- --- WrA799 Building Final / / / / 05/21/97 PABA TLP 05/27/97 TLP MSTA96n (F) Issue Cert. of occupancy / / / / 05/21/97 ■ailed 11/17/97 11/17/97 s*M MSTA970 Cane Finaled / / / / OS/21/97 PASS TLP 05/27/97 TLP KSTD000 MF Menu-2+ rental units / / / / 03/04/97 PASS RT 03/04/97 BT2 CITY OF TIGARD 13125 B.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE M WHITED PLUMBING 11625 NW LOST PARE DR PORTLAND OR 97229 Plumbing Signature Form Permit I. . . . : NST97-0052 Date Issued. : 06/11/97 Parcel. . . . . . : 20102DC-02501 Site Address: 08989 SW MC DONALD ST SuDdivision. : EDGEWOOD Block. . . . . . . . Lot: 13, Zon;'ng. . . . . . . R-4.5 Remarks: Path 1 Your company has been indicated as the plumbing contractor for the permit indica for the plumbing permit to be valid, please have the appropriate individual from below and return this Plumbing Signature Form prior to the start of work. No pl will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: PLUMBING CONTRACTOR: DAVID GREEN CONSTRUCTION M WHITED PLUMBING 29100 SW BURKHALTER RD 11625 NW LOST PARR DR HILLSBORO OR 97123 PORTLAND OR 97229 Phone 1: 648-9805 Phone 0: Reg 0. . : 000347 X 1 Signature of Authorized Plumber Please return this completed form to the address above. AT.I'N: Building Dept. If you have any questions, please call 639-4171, ext. 1310 CITY OF TIGARD 13125 S.W. BALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE T i M ELECTRIC INC 833 NE MALDWIN ST HILL£BORO OR 97124 Electrical Siqnatur• Form Permit #. . . . : AST97-0052 Date issued. : 06/11/97 Parcel. . . . . . : 28102DC-02501 Site Address: 08989 SD MC DONALD 8T Subdivision. : EDGEWOOD Block. . . . . . . Lot: 11 Jurisdiction: TIG Zoning. . . . . . . R-4.5 Remarks: Patb 1 Your company has been indicated as the electrical contractor for the permit indi order for the electrical permit to be valid, the signature of the supervising el is required. Please have the appropriate individual from your company sign below and return t Signature Form prior to the start of work. No electrical inspections will be au this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR: DAVID GREEN CONSTRUCTION T i M ELECTRIC INC 29100 SR BURKHALTER RD 833 NE BALDWIN ST HILLSBORO OR 97123 HILLSBORO OR 97124 Phone 1: Phone 0: Reg 1. . : 000634 X �D Signature of Sup r is ng Electr c an Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171, ext. #E310 CITY OF TIGARD DEVELOPME14T SERVICES MISTER PERMIT 13125 SW Hall Blvd.,17gard,OR 97223 (503)6394171 PERMIT #. . . . . . . s MST'97-01?5Fa DATE ISSUED: 03/10/97 PARCEL- : 25102DC-02501 SITE ADDRESS. . . : 08989 934 MC: DONALD ST" SL.rI71-f!T.VIS10N. . . . : FI-DGEWOOD ZONING: R--4. 5 SI-OCH. . . . . . ,. . . . . IAIT. ., . , . . . . . . . . . : 11 Remarks: Path 1 ------------------------—--------------------------------- BUIL.DIN6 -------------------- __—.---____--____ __-___---_______ REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETWYS_-- REQUIRED------------- CLASS OF WORK.:NEN HEIGHT........: 11 FIRST....: 982 sf BARABE.....: 462 sf LEFT..........: 9 SMOKE DETECTRS: Y TYPE OF USE—:% FLOOR LOAD....: 40 SECOND...: 886 sf FRONT....... .: 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMEM: 0 sf RIGHT.......... 32 OCCUPANCY GRP.:R3 PDRM: 3 BATH: 3 TOTAL------: 1868 sf VALUE..1: 133131 REAR..........: W �iM!S.........: 1 WATER "1 15ETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHEk9...: 1 FLOOR DRAINS..i 8 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUP!SNOWFRS...: 2 GARPArT DISC..; 1 NATER HEATERS.: 1 WATER LINE ft: 100 RYFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------------------------- MECHANICAL -------_-_w ___---------------- ------------ -----_------ FUEL TYPES----- FLR+N ( IM ..: 1 BOIL/CMP t 3HP: i VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS,' / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........I 0 WOODSTOVES....: 0 GAB OUTLETS...:: 1 ------------------------------------..--------------------_ ELECTRICAL. ---------—_-.----------_�— --RESIDENTIAL UNIT--- ---SERVICE/GEEDER---- --TEMP SRVC/FEEDERS-- ---VMNCH CIRCUITS-- ----MISCELLANEOUS-- --ADD'L INSPECTIONS- 1000 Sr OR LESS: 1 @ - 200 alp.. : 0 @ - 200 amp..: 0 W/SVC OR FDR..: 0 PJMPIIRRIGATION: 0 PER INSPECTION: 0 EA ADD'L %ff.: 3 201 - 400 amp..: 0 201 - 480 asp..: 0 1st W/0 SVC/FPR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 'sell . 1_0" asp..: P 401 - 68@ asp..: 0 En ADDL CR CIR: 0 EIGNA!./PANEL...: 0 IN PLANT......: 0 MAW HM/SVC/FDQ: " 601 - 100@ asp.: 0 601+asps-100@ v: 0 MINOR LAREL. -10: 0 10004 acp"'ol`..: 2 I --------------------__.. PLAN REVIEW SECTION ------------------------------------- Reconnect only.: 0 )=4 RES (BUTS..: SVC/FDA)=P25 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: --------—----------_-------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------- A. Sr RESIDENTIW.---—---__,_— B. COMMERCIAL__ - A'SDIO Ir STEPEO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM...... INTERCOM/PAGING: CdTDOOR L.MDSC LT: BURGLAR ALARM..: OTH: :; X BOILER.........: HVAC...........: LANDSCAPE/IRR1S: PROTECTIVE 919NL: SARPSE OPENER.-: CLOCK..........: INSTRLIMENTPTION: MEDICAL........: OTHR: HVAC............ DATA/TELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0 Owner: - _____...---.- . ----------------.--ContI-artor•: ------------- TOTAL FEES: 4575.26 DAVID GREEN CONSTRUCTION DAVID GREEN CONSTRUCTIr".. 291M SN Pr:RKHALTER RD INGREENIOUS INC 29100 SW BURKHALTEW RD °POQO OR ?7122 NILLSBORO OR 97123-9232 u e #: 642-9805 Phone 0: 648-9805 j Reg C.: @11663 j "xis permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of Ore. Specialty Codes and all other j ,pplicable laws. All wort; Nill be done in accordance with approved plans. This permit will expire if work is not started within 180 j flays of issuance, or if work is suspended for more than 180 days. : - - --- ------------------------- - ____ REQUIRED INSPECTIONS ---- _-._...___.--------.-------------------- ------ -- rasion Contol Post/Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final G•adirg Inspecti Crawl Drain Electrical Rough Bas Line Insp Nater Line Insp Plumb Final Footing Insp PLM/Underfloor Framing Insp Bas Fireplace Water Service In Building Final ro!lnda!ic. Insp Mechanical Insp Shear Nall Tnsp Insulation Insp Appr/Sdwla Insp Post/Peas Struct Plumb Top Out Low Voltage gyp Board Insp Electrical Final Perm i.t t e e `.',i g:1 t r_r r e: 01/s a'e- _.___ I s 5 r-r P d B y: Cat 1 f+or^ inspect i or, 639--4175 CITY O F TI O A R D SEWER CONNECTION DEVELOPMENT SERVICES PERMIT :(SWR97-00-554 55 13125 SW HBO Blvd.,TI and C R 97M (503)6394171 PERMIT # . . . . DATE ISSUED: 03/11 PARCEL: 26102DC-02501 SITE ADI)PESS. . . - OB989 SW M(. DONALD ST SUBDTVISION. . . . : EDGFWOOD ZONING: R-4. 15 01-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : tl ---------------------------------- ----------------------------------------------- TENJANT NAME. . . . . :DnVTD GRF-EN CONSTRUCTION LJSP NO. , . . FIXTURE UNITS. . . rA-nS9 C� . . . * * WORK. . . :NEW DWELLING UNITS. . - I TYPE Or USE. . . . . :SF NO. OF BUILDINGS: I f NG)TnL1 . TYPE. BUGWR IMPERV SURFACE: 0 s 1lemAt,ks: Path I nwnpr: ------------------------------------------------------- FEES ---------------- I)AVID GREU4 CONESTPUCTION type -Rmaitnt by data I-e .pt * ,9100 SW BURKHALIER RD PRMT $ 2200. 00 JMH 03/10/97 97-291468 TNSP $ 35. 00 JMH 03110197 97-29!4FA HTL.1-S- BORO OR 9712.3 r1hone #: 648--9805 Conti-artar- CONTRACTOR.NOT ON FII-E ---------------------------- Phone #: $ 2235. 00 TOTAL Reg #. . : REQUIRED INsr,ECTTONS ?his Applicant agrees to comply with all the rules and regulatinis Sr-weat- Inspection of the Unified Sewage Agency. The permit expires Hs days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency doil.,, not guarantee the accuracy of the gide sewer laterals. if the sewer is not located at the veaiureepnt gi%,Fn, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Top and Side Sewer" permit and the Agency will install a lateral. ret-mittee Si yn-ltljv-p � - /�/2 T3sLted By : 41/1.4"-1 1I ------ r - 6329-4175 _a fov, inspectio(L ILI J, Plan Check 'ITY OF TIGARD Residential Building Permit Application Reed By 13125 SW HALL BLVD. New Construction Additions or Alterations Date Redd TIGARD, OR 97723 Single Family Detached or Attached (Duplex) Date to P.E. V 503-639-4171 Date to DST F 503-684-7297 Permit# 1 Print or Type Called;-5-17 GGrr' Incomplete or illegible applications will not be accepted Name of Project Name i Job I a4AII Madjn address S I Address Site res Architect 9 C State Zip Phone Name AV 4721 ( z y"rvG2 L r Owner Mamng Address I Name1 ZI 100 r► "4k Engineer Marling da nASL, _f� City/State Zip Phone 9 r i hR i�S r�ulSt1 !v _q 5 kw - cityrState Zip Phone Name - f o __ `l703' General A\)',I) kms_ (VPJ S"- Describe work New A dition O Alteratron O Repair O Contractor Marling Address to be done ov �r _ Additional Denea4ptloa ai..f�loclt:. iAr to Zip Phoneowl A 5 k) v Oregon Const. Cont Board Lic.# Exp Date Attach Copy of Curreff COT u iness Tax or Metro Exp.Date PROJECT a Licenses _ 2- _ VALUATION $ Name Mechanical NEW CONSTRUa ON ONLY: � (A)r � � r►�r — Sub- Marling Address 1.0 Sq. Ft. House. Sq. Ft. Garage--'� ontractor kILAL) (051 Ft k ()4', Corner Lot Y177 NO Flag Lot YES NO GO/state; /slate Zip Phone 72 Z r " c� check one) (check one) ?C L221y �J e7O regon Const Co^t Board Lie _xp Date Restricted Audio/Stereo Burglar Attach Copy of OT 3 Y 752. 3 71 b 3 I 2-U-!7 Energy System Alarm Current cot usiness Tax or Metro# Exp Cate Installation Garage Door HVAC Licenses 7_ 613 � _ - 1-y Opener X_ S stems Name (check all that Other: PlumbingIr apply) s �. TU Sub- Vading Address Will the electrical subcontractor wire for all YES- NO Contractor c ' restricted energyinstallations? �� tyiState Zip Phone Has the Subdivision Plat recorded? N/A YES NO u l ioS&' llfij r Oregon Const. Cont Board Lc# Exp Date Reissue of MST# Solar Compliance Attach Copy of i. t r L � �"� f�97 (Calculation Attached) Off C I Current PluJnbmg L c.x Exp. Date I hearby acknowledge that I have read this application,that the Licenses / information given is correct, that I am the owner or authorized COT Busin ax or Metro# Exp.Dat �• ��t C� agent of the owner, and that plans submitted are in compliance Name with Oregon State laws. Signature caner/ Date tj Electrical T4 rn •��+r Sub- Mailing Address Contact Person Name Phone# Contractor 10 t3�(d W-',,,J �_ t.' r a «E �- i -St to Zip Phone FOR OFFICE USE ONLY: : i _�_ - Plat#: t5 E'-"y _ 11 MaplTL#: GregoCont.onst.CoBoard L # Ex ate Attach Copy of ; {Z_ 2-7 11 Seta s: Z ne: Solar: Current Electrical Lic # Exp.Date L r Licenses 3y Wit 1419 1 Engineenng A pp rpvaI PI ning proval: TIF: 4oT 8usineU%r Metro# �o I=� , A__p _ (,l/ 416, ----- i:'isfapl.dos(dst) 1/97 vtc�Pith. Permit # Account Desuiplion Amount Amt. EcL Ria1-Que yf - -si MST. Permit (BUILD) ``, Plumb. Permit (PLUMB) -245", , Mech. Permf. (MECH) �l°j 4-f ELC/ELR Permit` (ELPRMT) Zs 27 45._ State Tax \ sY (TAX) •50� p,Bldg.- Plumb: ldg:Plumb: Mech: Z ELC/ELR: Plan Check glob MST: '(131 PPLN) 4�3�• Plumb: (P MPLN) Mech: ( ECPLN) CDC Review ( NDUS) Sewer Connection (S SA) u�' u� Sewer inspection (SWIN ) `:3> 3.;e Parks Dev Charge (PKSDC) QC's 0'�� Se Residential TIF (TIF-R) /5 ��''u� _ L 7u. ' Mass Transit TIF (TIF-MT) 2 10• __ L•��'' `~ Wafer Quality (WQUAL) CIO w' W Water Quantity (WQUANT) a0 Erosion Control Pe it (ERPRMT) Erosion Planck/U A (ERPLAN) Erosion Planck/ OT (EROSN) _� Fire Life Safet (FLS) _ TOTALS: 0srapp doc (dst) 1/87 Solar Balance Point Standard Worksheet IV Address ' Sox A calculations: North-5outh 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, determirr_ which prcperty line is the worth lot line. The `north !ot line is the line with the smailest ang+e from a line drawn east-west and intersecting the northern most pont of the lot. 450— t1 Ww N we North-South Oimeruion for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the des&bed line. 1 �;_O feet 1 N Fr_7 PQM4K"ori < > Boat B calculations: Shade point height for your residence- Box B. 1. Determine whether measurements will be based on the peak or eave of your Which describes structure.. The orientation of the ridge is also impor WL your residence? 1 a: If d t roof line runs North-South, measurements will nv... (cirde one) be based on the peak of the roof. Td 0 o a .�.... 1A ,g ,c) I b: If d-.e roof line runs East-West and the roof pitch is !ess zran 5x 12, measuremer.ts will 'e 'aced cn tie ease. .. ,..... ic: If the -cof lire runs East-.vest and the roof pitch is 5/12 cr steeper, measurements will be based on the �..�.. peak. �•_...c +b SON a0c4 Box B. continued Box B: --� 2. ,Measure change .n elevation irom front property line to finished tloor elevation. if the lot slopes up from the front lot line to the foundation, the figure is positive. It the lot slopes down from the front lot line to the foundation, the figure is nel;ative. —I' -- h 3. Measure distance from finished floor elevation to the affected peak/eave. + 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 6. Total figure for box B: ft Box G Distance to the shade reduction line- Box G 1. Measure the distance from the Norah property line to the foundation near the /00 ft affected peak/eave. 2. Measure the distance from the foundation to the affected peals or eave. + t C�- ft 3. Total figure for box C: i it is most useful to draw a vW*W rube in represent dse apprapdaee lune found in batOA*and a hodmntW tine to repny t dhe appropriate fqum fewsd in bac'C'.The inwersemon of the vertid and horiaortd tieea dtan"neo die valise found in ban ICY.The value in box 'D'should be compared to the value in bmf'B';if dhe valise in boos 890 b lea than or equal to die vL%m found In boar'O',dwn the buitdins is in compfranm with he soiar balanc!code. If you have any qurrfiam please contact us at 639-4171,x304 or at the Community oevelopmew Counaer. MAXIMOM PWtJI fff=fll K POINT NEGMT a Peet Oisonce to Noah-south I" mdorh on fam OWde 100+ 9S 90 as r.) ; 70 63 60 53 30 4S 40 reduction tine Wm northern Im Rno 70 40 40 40 41 42 43 44 — 65 38 38 33 39 40 41 42 43 60 A 36 36 37 38 39 40 41 42 35 34 34 34 3S 36 37 38 39 4o 41 50 32 32 32 33 34 35 36 37 38 39 40 45 30 30 30 31 32 33 34 .15 36 37 38 39 IL -0 23 23 23 29 30 31 32 33 34 3S 36 37 38 35 26 26 16 27 28 29 30 31 32 33 34 3S 36 ~ :0 24 24 24 2S 16 27 28 29 30 31 32 33 34 N :5 2-' 2222 23 24 2S 26 27 28 29 30 31 32 .r :13 :0 20 20 21 22 23 24 2S 26 27 28 29 30 m 15 18 1 18 19 20 21 2-1 23 24 2S 26 27 28 W 10 16 16 16 17 18 19 20 21 22 23 24 25 26 J 14 14 14 15 16 17 18 19 20 21 22 23 24 Box D. maximum allowed shade point height l p t feet h: ltolu.d�o Revised:136x% 1 N#TI T14 is A ZO SSS rA6wt4*HT pu,da 11C 4mil-o(Mw FFOrvpxy wfje s eT 5F4nNrl ` eF THE fRerQIL•tx T"T I N p++o 4695 to W 4N goe TAW w i H 'Vioj;a 6(io" loll-- _ aid kc �I-uhecl he c��d r Ic via u v i TL, UpFwfL TIz N 48• � � a Ph"PrAL, 5 'Tr PSP N N 6 o Ld a L A. l.e'f 2 S o 1 Gp. c" �_ (,� 15 12 Pe- U) oN I --i 1�. �'� 1KE51p�r�c•� PR.IYA,� co Jr. tow 2D P R•1�` 1 ,.=--=�_-__•=•-- G yl/_980 Tw OF 9 oo �- 200.0 S.\44, H c 0 6PA LD ST �Ile � sM r 7kol ilk �~ „~��r ♦ . "r r �c. O N D_ ,Iq,2)? S BAC , 84 oo1 Jo 10 _ I ki 20� FRONT I -� 99 E59 - 1 • .9o ' �� AWL From: "Greg Berry" <FINANCE/GREG> To: FINANCE/BONNIE Date sent: Tue, 25 Feb 199713:56:11 +0000 Subject: McDonald St. Sewer Reimbursement District, 8989 SW McDonald St. Copies to: FINANCEIPAULI The builder tells me he plans to connect to the USA-installed line to the back instead of the line in the street subject to the reimbursement district to accomodate a daylight basement. Should this connection be made, the City can not require payment of the reimbursement fee. a _J m W J