13895 SW LIDEN DRIVE Lo
w
r�
H
d
C�
Z
M d
I
I
'S f
i
I
I
I
I-Ib95 5w LlubN UN.
CITY of TIGARD
ELECTRICAL. PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELC96-04,:,c_
13125 SW Hell Blvd.T'gerd,Oregon 97223.01 Pi (503)839.4171 DATE ISSUED: 07/01 /96
PARCEL: 2S104RA09100 I
I T1. ADDRESS. . . : 138 •a SW L I DEN DR
,UBDI VISION. . . . s CA5'i'LE HILL dlc' ZON: ..G: R—LE) V-11)
BLOCK. . . . . . . . . s LOT. . . . . . . . . . . . . : 126
P -o..ject Descriptir.n: Installing one hranL -1 circuit.
----.F:-iSIDENTIAL UNIT—— -- TEMP' ':iRVC/FEEIJERS---- -----MISCELLANEOUS—--
1000 SF OR LE=SS. . . . s 0 0 -- r_Q0 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5005F. . . : 0 201 - 400 a,n p. . . . . . . : 0 SIGN/OUT LIN: LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FUR. . : 0 601+amps-1000 volts. : 0 MINOR LARFL ( 10) . . . s 0
_--UE RV ICE/FEEDE:R----.-- ------BRANCH CIRCUITS---- ----ADD' L INSi-'ECT IONS----
0 _. 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 E'ER INSPEC 410N. . . . . 1 0
x '0I _ 400 amp. . . . . . : n 1st W/O SRVC OR FDR. : l PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 -- 1000 amp. . ., . . a 0 ------------------PLAN REVIEW SECTION-_____._-_____.........
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . s ) 600 VOLT' NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC UCC. ;
Uwner,. _.._._____--_______.__.___-______.__._. _____-----____-____-- FEES
SC:OTI (31JDEMAN type amolant by date ►^ecpt
13965 SW LIDEN DR PRMT $ 35 00 CJS 070101/96 96-2612c?b
5PCT f 1. 75 CJS 07/01/96 96-2812,7'6
TIGARD OR 97223
Phone #s
L.ontra tor;
URF f':.I._E'C T12IC $ 36. 75 TOTAL.
15460 9E PARADISE! LN
REUUIRED INSPECTIONS - ---
MUI_INO OR 97042 Wall Cover Eler_t' 1 Final
,`'honrr #. 503-829-4146 Elect' i Service
Reg *. " . 1015 4 3
This permit is issued subject to the regulations contained in tht
Tigard Municipal Code, State of Ore. Specialty Codes and all other Per-lnittee Signature
applicable laws. All work will be done in aceredance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days. I s sued By
_.__-...._._._........_._._..____________.--(JWNER INSTALLATION
The installation is being made on property I own, which is not intended for
sale, lease, or, rent.
OWNER' S SIUNATURE: _ W DATE:
INSTALLATION
1 GNraT URE OF SUPR. E.L.E:C' N s DAT E s ,,,^
[CENSE NO:
Call for inspection - 6S9-4175
Community Development ELECTRICAL PERMIT APPLICATION
13'25 SNI Hail Blvd.
Tigard, OR 97223 Planck,'Rec. # o P/
Permit # FLC,qr.-0 43
Phone 503 639-41;1 cG c
( ) Gate L,�uea
FA; (503) 684 7?97Issued by
CITY OF TIGARD684-2,".19
TDD No. (503) - -
Inspection (503) 639-4175
1. Job Address: l., / 4. Complete Flee Schedule Below:
Name of Dewt)or3fl V -) (7"1 T V'�� 1r 1;� Number of Inspections per permit allowed
Address��7 Li ��.� 1 L't (vi 1.21',, , Sw,vlce included Items Cost(ea) Sum
City/State/Zip 11 4 2 L 4a. Residential- par unit �— 4
1000 sV It Of 1089 $1 1 U 00
Name (or name of business)— Each additional 500 act It or r
Portion thereof —_ $25 00
Commercial ❑ Residential L1n11ed Energy $2500
/ Foch Manurd Hoge or Modular 7
Dwelling Service or Feeder $66 00
2a Contractor installation only: 4b.Services or Feeders
" Insunllation alteration,or relocalion 2
Electric2l Contractor__ cl e C 4-b L1, 200 some or less —_ $6000 2
Addressf 21,1 amps to 400 amps $8000 2
k, 21,1
401 ampn tc 900 amps $12000 2
City—J,1 r,y I i L. Sta e_ Zip ��� 601 amps to 1000 amps $18000 2
Phone No. �_I ' Over 1000 amps or volts -- $34000 2
Contractor's License No. ] _--JLUL
Raconnerl only $5000 _
Contractor's Board Reg. N0. 14c.Temporary Servicas or Feeders
Installation alteration ,r relocMion 2
Signature of SIIpr. Elec'n — 200 ampc or less $5000 — 2
i r - —(-i-
201 amps to 400 amps $7500 2
Lirense No. h7� one No. h Z 1 *� ( 401 amps to 000 amps EIrx 00
Over 600 amps to 1000 volts
2b, For owner Installations: nes•b•above
4d. Branch Circuits
Print Owner's Name Ivew nitelar,on or erttenelon per panel
Address a) r� fee for brarxh cup- iu with
City State.- Zip_ purchase of service or IDeder fie. 2
Fach branch rlrcult $5 00
Phone No. _ h)The len for branch circuits w ithout —
The installation is being made on property I own which is _ purchase or service or feeder res. -�� 2
not intended for sale, lease or rent. First branrh nlrcuil LL $3500
Each additional branch chant $500
Owner's Signature-- __ __ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Earh pump or irrigation orcle $4006 ---
Fach sign or outline lighting $4000
Signal rim Ult(e)Or Is limned energy ?
Please check appropriate item and enter fee in section 58. panel alteration or edanraon — $4000
4 or morn residHntial units in one structure Mme,I Rhein(t0) $10000
Service and feeder 225 amps or more
_ System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special�,.„cupancy the allowable in any of the above
as described in N E C Chapter 5 per inspection -_ $3500
Per hour $5500
In Plan' $5500
submit 2 sets of plans II application where any of the above !-- --
apply. Not required for temporary construction s«rvices. 5. Fees:
NOTICE Sa. Enter total of above fees
-- 5%Surcharge(05 X total lees) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTIOA -- --
',l ITHORIZED IS NOT COMMFNCFD WITHIN 180 DAYS,OR IF 5b. Enter of line A for
CONST?UCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec 3) $
Subtotal 6
A PERIOD OF 180 DAYS Al ANY TI VIE AFTER WORK IS _Y
COMMENCED ❑ 1 rust Account e
Balance Due $
1
Community Development RESTRICTED ENERGY ELECTRICAL APPLICA I ION
13125 SW Hall 131vd. PERMIT#
Tigard,OR 97223 -- 1 -- --
Phone(503)639-4171 UATF ISSUED_
FAX(503)684-7297
TDD No. (503)684-2772
CITY OF TIGARD Inspection N0.3)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECT IONS
1. LOCATION OI INSIAIAAIION 4. TYPE OF WORK
3 X I 5 S (ti_Z,1 dc ----- — —
Address RESI[)FN11At—Restricted Energy Fee . 140.00...- a tr( (FOR ALL SYSTEMS)
City Slate Zip S,1u'sk Tv�ne f�Ll1SZCh11l�!�l�esi
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems*
Is NOT STARTED WITHIN 160 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
I� GaragL Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
Contractor -- type_ ❑ Vacuum Systen
❑ Other---- --- -- -- - -
Address --Date COMMERCIAL COMMERCIAL—Fee for each system . . . . . . . . . 1540.00
— - (SEE OAR 9113-260-260)
Property Owner - Cheek Tye of Work Involved:
Contractor's Board Reg. No. ......_—�- ❑ Audio and Stereo Systems"
❑ Boiler Controls
Phone# __,--.- —_____.._ -- - ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
e.,c'nt} ��1� el f �GtC L{11alI ❑ HVAC
Print Owner's Name Phoria No Cj Instrumentation
ySy.S- .5ai Q�l 111,,#17-101 5'703Yy ❑ Intercom and Paging Systerrs
Address
/1 ��,L� 1✓7vU� ❑ Landscape Irrigation Control'
J66 it
City Slate /` Zip Medical
El Nurse Calls
This Permit is issued uncirr OAR 918.320.370 This applirant agrees to make only
restricted energy installations(100 volt amps nr less)under this permit and on do the ❑ Outdoor Landscape I ighlin';*
fnllowing.
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential ind other transactions are exempt from lir rising.These have ❑ Other _—__—___
asterisks(•).All others nerd licensing).
2. Call for an inspection when all of the installati-ns under this permit are ready I
for inspection at 503-639-4175. ❑ Number of Systems
3. Porch.,.e separate permits for dl installations that are not ready for insp pion
when the insprc-tor is out to iwpect under this permit. •No licenses are required. Licenses are required for all other installations.
4 Assume responsibility for assurin�that all corrections rrqulred by the inspector
are done,and
5. Assume responsibility for callinr,for a final lnslmch,,i when all of the corrections S. FEES
are completed
The person signing for this permit mast he the applica,tt or a person a. Fnter Fees $ t a�
authorized In hind the applic. .I.
1 /) ; 00
k — h. 5% Surcharge(.OS x total above)
Signa re TOTAL $ 1 pri
Authority if other than applicant
ENFRGAP.CHP
V/
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Ha;l Blvd.
Tigard, OR 97223 Planck/Rec. # 12_
Permit # / 9S 34
Phone503
( ) 639-4171 Date Issued Y- y- 9-5
FAX (503) 684-729' ISSU4d b ti rr ��s c ACITY OF ITiGARD TDD No (503) 684-2772 y -� —'�—���—
inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Nagle of Development_ _ Number of Inspections per permit allowed
Address /go ?,5 5X1/1 �/���1 �/� ' —, Sorvice_inciried Items Cost(ea) Sum
City/State/ZipY01 Q/� 4a. Recideniial per unit //0QD 4
—� �— 1000 sq It or:4ae $11000
Name (or name of business) eer,�;i} �dm� Each additional 500eq it or
portion thereof $2500 JJ'00 I
Commercial E] E Residentialm Each
Energy $2500 _ 2
Each Menut'd Homs or Modular
Dwelling Service or Feeder $aa no
2a. Contractor installation only: 4b.Services or Feeders
Installation.alteration,or relocation 2
[.lecirlcal Contractor���—����_�) 200 amps or lass $c000
Address-ft-2D-Sf.1 jy;v►-, h u S �Q 701 amps to 400 amps E20 0n 2
401 amps to 600 amps E120 00 2
C'ty_ 8 e A✓cd:+-t ri State nde zip-Icl 21Q&-S. sol amps to 1000 AMPS $18000 2
Phone No. Over 1000 amps-ps vnBs $34000 2
Contractor's License No _ d6_" — -- I Reconnect nal,, E5000
Contractor's Roard Reg. No. c/ ��. _ 14c. Temporary Services or Feeders
'istallahon alteration or relocation 2
Signature of Supr. 200 amps or lees $5000 2
� j 201 amps to 400 amps E75 00
LI(;ense N�,�J��,•__�._ t hone No�� Qf� Sul A.-rp.t.Ano amps $10000
Over 800 amps to 1000 volts
2b. For owner iris tallations: tine'b•Above
4d. Branch Circul
Print Owner's Name _ New,alteration orextens•..,,per panel
Address a)The Ise for branch crn to with
Cit State 71p rurehoa of se►vks or boost bo.
Y_ — — ---- Each branch circuit $5 00
Phnne No. _ b)The les for branch circuits Without
The installation is being made on oroperty I own which is pumz"or saints,or beam No. 2
First branch
not intended for sale, lease or rent. r $ae —
Each Additional
al bbranch arcus $500
Ownel's Signature 4e. Miscellaneous
(Service or foeder not included) 2
3. Plein Review 'Section (if required): Eanh pump or Irrigation circle $4000 '-
Each sign or oulline lighting $4000
Signal circull(s)or a limited energy
Please check appropriate item and enter lee in section 58 panel,alteration or extension S4000 _
4 or more residential units in one structure Minor Labels(to) _! $10000
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
_Classified area or structure contairu,ig special occupancy the allowable in any of the above
as described in N E.0 Chapter 5 Per inspection — $3500
Per Hour _ _ $55 00
In Plant $5500
Submit 2 rets of plans with application where tiny of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ � 5 vo
NOTICE 5%Surcharge(.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSP''ND0 OR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIM[ AFTER WORK IS Subtotal $ _
COMMENCED. ❑ Trust Account# $
Balance Due $ 9-'7'./,r21 r
worJ'unntlw�4rpm yp
FF-
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 L_Mec
Plbg.Und/Fir/Slab Plbg. Top Out Insulation lei
Post/Beam Struct, Mech, Rough-in Gyp. Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
1a-DaOth 3r: 12a—
Date:
te: —1 A.M. ---P.M. Entry:
Address:
Tenant: Ste: MST:
� ----- -
wrBDP:
Con r.
A,A414 i l MEd,
r •
PLM-
_
THE FOI LOWING CORRECTIONS ARE REQUIRED RE`D ELR:
Insp or
�_ Date: 7"tir"
APPROVED —DISAPPROVE D/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECT.ON NOTICE
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
InspQction:
Footing Susp. Gelling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab
Mech. Rough-in Fireplace
Post/Bram Struct. Plbg. 'Fop Out
Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer
Gas Line
Plbg. Underfloor Rain Dr i
�. Framing
Alarm Water Line
Insulation
UnderfIr Insul. Sh`
Shear all Gyp. Bd.
�ect;
Date Requested: U G
lime: AM PM
Address: ? C
Builder:
---- --permit �,-
THF FOLLOWING CORRECTIONS ARE R,:QUIRED:
-- zyZ--
i
-`
InspEctor.
Date: /Z
!!!�%P,FPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63'9.4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab
Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Tut
Elec. Rough-in FINAL:
Po-,t/Br-am Mech. San. Sewe
Gas Line -Bldg.
Plbg, Underfloor Rain Drain
Framing �u��
Alarm Water Line
Insulation -Mech.
Underflr. Insul. Shear Wall
Gyp. Bd. -Elect.
Date Requested: -� l
�,�2_. Time: AM
PM
L „ ,
Address: �� C --
Builder:
Permit #:
THE FOLLOWING CORRE(,TIONS ARE REQUIRED.
—
Inspector: _
+ — _ Date:
APPROVED —DISAPPROVr_ _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
OCCUPANCY
T #. . . . . . . . M'"'
CITY OF TIG,ARDP -:"ATEERMIISSUED: ;-T 9 5_ 02 6
COMMUNITY DEVELOPMENT DEPARTMENT
113125 SW Hall Blvd, Tigard,Oregon 9722396199 (503)539-4171
L A DR
IBD I V I S)I ON. CAS TLE HILL. C-:1' ZONI6115i; R-12 PD
..00K. . . . . . . . . . c LoT. . . . . . . . . . . . . 9 1
AS5 OF WORK. :NEW
44. W' LIGE. . . :SF
,qne
1)N MOR MSETTL
:100 !--',W MEADOWi RD
1.11. 1 L' 151
ARL 05WOO OR 9710IM'
t-i n n e 1t: G:'0 7`_ "."fl
011 tract()v- I
1.100:MAKE G PLUMB TNG
0 BOX 1250
AACADA OR 91023
I011F,. #4 630-7728
C. . 1 16 135
Cor l Afit:atp grants oucupenc:y of the above refell-enc-erl bui Idinq or portion
iereof avid confirms that the huj ) cjinq Iraq been inspected for ciampl iancR with
lie �3tptp of Oregoy,t Fjpvc:ialty Corless for- thF2 group, occupancy, And use under
Itc-,h the rpfqv-(9T1k,,ed periwit was xSsljLpd.
BUILDING OFFICIAL
I fj C CpW�;:,1
'LACC:
V
CITY OF TIGARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENTPEFRMIT
13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)839.4171 PERMIT #. . . . . . . ii MEC96-0204
DATE ISSUED: 06/28/96
SITE ADDRESS. . . 13 E
895 SW LIDN DR PARCEL: 2SI04BA-09100
SUBDIVISION. . . . : CASTLE HILL #2 ZONING: R-25 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 126
CLASS OF WORK. . :ADE FLOUR FURN. . . . -. 0 EVAP COOLERS: VA
TYPE OF USE. . . . :SF UNIT HEATERS. . - 0 VENT FANS. . . 1 0
OCCUPANCY GI' P. . : VENTS W/O APPL-. 1111 VENT SYSTEMS: IZA
STORIES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0 -;3 HP. . . . : 0 DOMES. INCIN: 0
• 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT : 0 DTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS F"RESSURE. . . 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : 0
FUP'j ( 100K wru: o 10000 cfm: I GAS OUTLETS. : 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks : Installing a residential air, handling 1-mit to 10, 000 CF.'11.
Owner: FEES
S'-'OI 'T BUDEMAN type amount by date recpt
13985 SW LIDEN DR PRMT $ 25. 00 CJS 06/28/96 96--281134
5PCT S 1. 25 CJS 76/28/96 96-2811..3 +
TIBARD OR 972a:3
Phone #-.
Contractor:
SKY HEATING & AIR CONDITIONONG
1637 SE NEHALEM
PORTLAND OR 97202 -------
Fah Wie #. 235-9083 $ 26. 25 TOTAL
Reg #. . : 50244
REQUJrED INSPECTIONS
This pertit is issued subject to the regulations contained in the Mechanical J n s p
Tigard Mui icipal Code, State of Ore. Specialty Codes and all other Mi sc. Inspection
applicable laws. All work will be done in accordance with F i na I I wipect i on
approved plans. This ptreit will expire if work is not started
within 180 days of issuance, or if work is suspended for nore
than 180 days.
Perm i t t e e G i qi)at t-tre
I s si 1.1 e ci By
C.a I 1 for inspection 63,9-4175
City of Tigard MECHANICAL PERMIT Planck/R c. #
13125 sw Han Blvd. APPLICATION Permit # el
Tigard, OR 97223
(503) 639-4171
Description
Table 3A Mechanical Code QTY PRICE AMT
Job
Address
z c -
Addre55 „'' •�!(! / f' r ! )y' 1) Permit Fee 0- --0- 10.00
_ 7 2) Supplemental Permit 3.00
.m.iu n.mi of u�in„.
Furnace t0
1) incl. ducts &vents 6.00
Furnace a6�bb-BTU+ —
Owner .5w_ I-/oeo,? )P 2) incl ducts &vents 750
F 9th.
� Floor Furnance
3) incl. vent 6.00
Suspended eater, wa eater
4) or floor mounted heater 600
Occupant 101.0.0 .Y Vent not in-.—in - —
/ ?x4 9 5 _ c c� F-�L1PM U�2 5) appliance permit 300zip —
Repair of heating-7r-eTr-ig-
/0- ri 7.1,1 6) cooling, absorption unit 6 00
/ rB-ones or comp et pump, air con .
k� �� /�//7 /) to 3 HP, absorp unit to 100K BTU b.00
-moi er or camp, heat pump, air conn -
��'3r - G 8) 3-15 HP; absorp unit to 500K BTU 11 00
Contractor f
G, `O
Boiler or comp, eat pump, air cond.
O/' / 7X') 9) 15-30 HP, absorp unit 5-i mil BTU 1500
•• •,•°•”" ' •• Boiler ocomp heat pump, air con
/ 7 3� '
10) 30-50 HP; absorp unit 1-1.75 and BTU 2250
hereby acknowledge thzt I have read this applica"t'i"o'n, tthiat the Boiler or comp, heat pump, air cond. --
Information given is correct, 'hat I am the owner or authorized 11) > 50 HP; absorp unit 1,75 and BTU 37 50
agent of the owner, that plans submitted are in compliance with Air handlinT7nit to - -
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM r 450 /
Board, that the number given is correct (If exempt from State Airhandling unit
registration, please give reason below) 13) 10,000 CTM + 750
—Aon
portable �-
- 14) evaporate cooler 450
Vent fanconnected!
15) to a single duct 300
Ventilation at- 1-ion system not
4_ ! P,� r I 16) Included in appliance permit
Z/.��i`� PP F 450
.iu iow�n a aprniT�`- 7 'tai•
oto serv77Ty
17) mechanical exhaust 450 L
Describe work new U a itlon "C.7 atterat!on repair - l,o^' m-mercialcin u-s-,r
to be done residential (3-'- non-residential Q 18) type incinerator
_ 30.00
Existing use o - ter i.e, woo stove. water
building or prooerty _- _ 19) heater, solar, clothes dryers etc 4.50
Proposed use of 20) Gas piping onP to four outlets 2.00
building or property — - —_
Type of fuel -oil Q natural gas Q LPG0 electrir. 0 -21) More than 4-per outlet (each) 200
NOTICE
Minimum Fee 52500 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -- — -- --
AUTHORIZED IS NOT k"OMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE / G'
IF CONSTRUCTION OR WORK IS SUSPENDED OR --------- --- —
ABANDONED FOR A PE' OU OF 180 DAYS AT ANY 71ME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED - ---- �_ —
TOTAL
Special Conditions - ----
Date Issued (, 96 _by -L—J
`'lO�IMU9T 9MECMPIET
PERMIT MST950 '
CITY OF TIGARD DATE ISSUED: Q717/20/95
COMMUN" DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tlgard,Oregon 97223*8199 (501)639-4171 PIARCEL,, c.'S104DA -0010111
SUED' IVISION. . . . CASTLE HILL #C-' ZONING- R- 12 Pri
LOT. . .
BUILDING
RE 1 SS t'�E. DWEILLING L':H I rS: I BASEMENT. . . . . . . :0 f
CLASS OF WORK. :NEW BEn PM'o:4 DATHS:3 GARAGE. . . . . . . . . . ..41 E' sf
I"Yr.,E OF' USE. , . ,.GF FLOOR AREAS REOUIRLI)
TYPT.* OF CONST. :5N FIRST. . . . : 1340 sf LEFT. . :7 ft RIGHT. :6 ft
CUPANCY Rr-,. P3 C:ECOND. . . : 102'0 s f FRONT. :2111 f 7t r_,[--,,A P, 0 t
0 R I EZ3. FINBSMCNT:O sf REQUIRED---.__.____. ___..___.__..
(�t1T. . . . . . . .
EQUIRED-----
. . . . . . . . PA TOTAi 2-_"00 s F SMOKE DETECTORS. '.Y
.GOR LOAD. .4(7) psf KALI,E. . . . . )`.)9:301 PARK ING SPACES. I
marks : PA,rvi I
PLUMBING ---
. . . . . . . . . . PLOOR DPAIW';. T3ACKFLOW PRL 047'R'�. . » 1
IV( I'ORIES. . . . . .3 WATER HEATERS. . . : I T RAF's. . . . . :0
. 3 LAU140PY TR("4Y"1. . . VD (7,A T C',H OPSINS. . 16
LLOSPTS. '3 SEWER LINE (ft ) . -0 GREASE TRAPS. . . . . . . :0
A4W,()1;HER,G. . . I WC4TCP LINE (ft ) . : 100 OTHER FI X TUPES 3. . . . - '0
!RBAGE DISE'. . . : 1 RAIN DRAIN (ft ) , :O
til I I NIG MACH. 1, 5F RAIN DRA11,15. - ' I
MECHANICnL FEES
UNIT HTRS. . ,0 type amount {ay
W
VENTS . . . . . :0 SWM $ 180. 00 E 07/20/95
3will "W 1J
1"I'U VENT FAN'S. , : 4 1, . $ ,,.1;)0,. 0 0 0 7/2,0/9*�
100K HOODS. . . . . . 21 SPRT b 583. 00 SW 07/20/95
woms,roVG. :0 BPI-C, 1. 7 6. ')5 JD 7C
00�? VURN. .0 (,L0 1)R'VE R 157. : I BTJPICI b E9. 13 SW 1217/20/95
0 GTI 1C R UH I T3. t 50'. 00 r.W 07 :0/')'"
GPS ou"rLETF3 i I PARK F 500. 00 SW 07/20/9S
MPT,`T s 45. 00 SW 07/20/92,
trV n10R,15F* FTE M 17,L.C b 11. 25 SW 07/21Q1/9`.i
I.' -'I-
'
07/20/9
1p 'j'A i11, D v,;-, r. M r C.*, 11 SW IJ
I17 L_ 1 .2c5,. '00 SW 0,7/20/95
(J1J14[.(_A3 OR 1) 1-1 P 5 f"r_ $ 1 1. :5 SW 0710.
c17 4 7'.5:x'1 E ROE., 64. 00 SW 07/20/t)5
80 SW 07/x'0/':'15
-,0. 80 SW 07/ -0/95
fl*.',iJ1:'i '1r_.R' 5 PLUMUING F RPE
ti 2E I. 4-) 10 T P I...
.i permit is issued subject tc the regulations conte. PCOUTRED INSPECTIONS
gird Municipal Code, State of Ore. Specialty he, Footing Insp FlUMb TOP Out
,plicable laws, All work will be di-► i- Arr, cyed F`v(.1r1CiatiL)r1 Insp Framing Insp
.ans. This ptrilit will expire if 160 P()St/BPaM strtjct Fir-pplace In,:�
if rs. V,ost /Beam Mvc-tiar) Gas Line Insp
C:,awl Dr o in I n s 1.t I a.' i c 1- 11')e -tiL
F`lm/1ti!dula1:) In .sp f-vu) Ins,
PLM/Underfloor, R. AtIl Av--p1ti 11-1,
LOAhie i 11 I r.::z 1 1 r,f.;p WE
-WER
CITY OF TICARD r-l-INNEU I I UN
PE'RM I T
PERMIT #. . . . . . . : SWR95--0'270
COMMUNITY DEVELOPMENT nEPARTMENT DATE ISGUED: 07/.D0/95
13125 SW Hall Blvd.Tlgard,Oregon 97223*8199 (503)639-4171 PARU,'.wl—. 2'Sj.04Bn--09100
I. rL PlAiRLS5. . . , 1369b SW 1-1 DEN DP
SUBD I V I S I ON. . . . : CASTLE HILL #E ZONING,., R-12 PD
BLOCK. . . . . . . . . . : L_01.. . . . . . . . . . . . . 11,76
TENANT NOME. . . . .
U�3A NO. . . . . . . . . . . FIXTURE UNITS. . .
CLAS.--s OF WORK. . . :NEW DWELI—ING UNITG. . 41
TYr",E OF USE=. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE_-. . . BLJSWr% IMPERV SURFACE. . f
Remarks: PATH I
Owner - --------------------------------------------------- FEES
DON MORISSFTTE type afflalirit by date recp�
5000 SW MEADOWS RD PRMT 2c00. 00 SW 07/20/95
C"U I I'L 15 1.
5 1 N S)P 1, 3!7,. 00 SW 07/20/970
LAKL. OSWEGO OR 97035
Phone # - -75'-..St
Coritractor:
CONTRACTOR NOT ON FILE
Piorie # 2235. 00 TOTAL
Peg
REQUIRED INS)PECTIONO
This qpjilf:ant agrees to comply with all the rules and regulations Sewer Inspection
:f tht kiified Sewage Agency, The permit expires 188daysfrom
the V'dtt issued. The totaA' amount paid will be forfeited if the
permit xxpires, The Agency does not guarantee the accuracy cf the
side sewer laterals. If the !ewer is not located at ease fasu sent
qpyen, t4 installer shall prospect 3 feet i
dir.ance given. If not so ';,,dc,:h,,d, !!,p4fri't er shall u I
__c
ncy IN j inst
1
Tip and Side Sewer" P!roit i w, I oral.
1 1. 1 n t,p e c t 'i o n 639--4175
---
Residential Building Permit App►;cation \
City of Tigard
1-'125 SW Hall Blvd.
Tigard, OR 97223
(5103) 639-4171
Jobsite Address:
^Subdivision: Office Use Oniv
-' _�����, t--t I � � �' Lot �,
Valuation: ~� / Planck/Rec #
Corner Lot? Y N Permit #/` SC�a�G�
Flag Lot? Y N Reissue of
Map & TL#
Owner: DOki 1- cc 146 �-�p�� I1�1�. Approvals Required
Address: ') Plannin `/ iILowe
Engineering
Phone: _ y - �J CJS Other � iIA.C� l
Contractor: 516r'f-'li✓ Items Required
Address: Subcontractors
Truss Details
Phone:
---- Other
Contractor's License # _ ey tp.
(attach copy of currant Oregon license) 15 , Frrn�
Contact Name & Phone: _ y _t _1 _ j3� �t� CD-f Y JL
2-01 C� \tI �RW
Subcontractors: Arch itect/Engineer:`nez) r-� v.-
Plumbing:� ,j�}-�Prft }�,UH�I U Address:`_L
Mechanical:T&A--Lr,5UP4Y `Ta-1
(attach copy of current OR Contractor's License)
Phone: _L000
JOB DESCRIPTION:
A
pplicant Signature & Phone nummbber
Received by _ 1L: Date Received: S'
N MORDTONIOVARESAPP
w.
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) �2 Z.) 1 --
Mech. Permit (MECH) q�-
State Tax (TAX) 1
Bldg: LL
Plumb:
Mech: 7-
Plan Check ` (PLANCK)
Bldg: 2 2f-12-4-/ ry A0
Plumb:
Me&: 7 �
" a,26 Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) v�' Se 0
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mas: Transit TIF (TIF-MT)
Commercial T1.'= (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TiF-IS)
Of'ice TIF (TIF O)
Water Quality (WQIJAL)
Wa'er Quantity (WOUANT)
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) .Jt f ti 7
Erosion Planck/COT (EROSN)
TOTALS: `U vZD6� ,� '��
FROM :F 1 FOST "IER 1 C.P44 TRNASSFN i0 S03620748- 1335.0'r- 0',: 5 q6S7 F.0,,, O�
i
���1• e i��i�••.•�: ,.,i��� , i.:it' ;iiiYi•. 1 •�,.. •'i��i• S' t b�• ii•�'• c. :��v
s,.t�,� ; i!!aa�.,,,�iZ'•4is;� ;�.�,�e�s �.•s:�= :,t�aa�,:t,ss:; , ,�,�,•c ,ti 's% ,• ;, ;r�•�•„�`, •s•;:•::l. ::. ,
�•�:?r'�. ?rj �f}{ `��!� �H.,.iY ��{ft• .'lt�!. ��'!, .,y,►'. ,• .7,1i.,�t', r. .��f.'!.��::. '..rSSi�i'� ,3•'�l��Z�'
a , ,r !fir
•� '�, sw L'DEQ
'ori~f�f Crecit No:
Cate lssu _ ti :;w
rd' ' :4L`
u x' TRAFF1CIMPAC7” Ec
��.`'� Cf�F^/T VOUCH - _ i_ ^^ •�,
,,; x,trarc8 with ;,,e 7ra1',c Impart Feo Cevelop^+ent Corporaticn
is entitled to �.4, iR i rsr�ic!np•=;1 Fee Cr-Adh!th8t can ba an iDd to ,
�; T17�"zr^es
6S-13i cf ttie CAatle Hi!I No. 2 C9vplp�;rygrt. Tie rsa Of TIF r'sC71s a ;.
A 1, vouC er must ba at the lJme Cf f� -a=uild
sans granted issuF,;rce or P,,7 Cccu„-Z/- Permit. suan02 cf trrirg Ps-,�It, or if datarral
'VA;r=11X OE VEL CFtilE'V T CO^POF.A i lON hQr �,
e..y sssi;;n,;811is rlgh",
title Pr,G ir12-est in and to f"et�fftai.7 ,Ertic Ir p, Fee Cr2d;'r to be
grer7red jll:
upon t,ti�Issua-774 ct a buI;d,,r'g per,';rit for Lot
CA37LE H;-IL NO. 2 a t ivision, WaS,tircton �.. nu"•;' '
County Gre_cn, to the cr;ar of,• u; _
rl��! \OVtL1C:
^`M 5_ 7i7is ass:„~r�ert a e is; aur r-ey C'-edit�rade a!-'Clv6,7 t.tirs L4D
ff= lVA;nIXG�.'ELOF'�l� OFAT101V, "i:
Nr COr rr �ti��ti;;;
&.7 r rF ypn :c400,atior,
A�7' ',
r •, Ti;le Cr Posrban
NN
«w
;=r""�, '_tit•'
i�?�h' r ;J�tr� S 1 �,r.• J•J.
•.rii E � ..� ,'y ' �S 5S . ��1•.P�. r ,4s- lti�= •;iil i' i•i' •, 'r S p,i 'j,
`�. ye+, r1!�y'ct�� ' �j�f3'G';yt +1;J�ii=i'' ''t�i i�;� �:� t'��4;'• :�ri'yii'¢,. .a,."� .;2�: :�:1'i• c,� ?1Jh,. ,I;,;'ry�<
i
Address �27 q9 1. `�C�Ct . C
Box A calculations : North-South dimension for the lot . Box A:
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the
North lot line to the South lot line along the described line . _
LV ft
Box 3 calculations : Shade point height from your structure . Box B .-
1 .
:1 . Determine whether measurements will be based on the peak
or eave of your structure . The orientation of the ridge
is also important. . Which I
la : If the roof line runs North-South, measurements will be describes
based on the peak of the roof . your lot?
lb : If the roof line runs East-West and the roof pitch is less (Circle one)
than 5/12 , measurements will be based on the eave . - i
lc : If the roof line runs East -West and the roof pitch is 5/12 la ,, lb lc
or steeper. , measurements will be based on the peak.
- Measure change in elevation from front property line to
finished floor elevation . / ft
3 . Measure distance from finis ted floor elevation to the
affected peak/eave .
ft
4 . If the roof line runs North-South, deduct three feet .
Ii the roof line runs East-West , deduct_ nothing.
ft
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
slope" I,
has no or slopes up from the rear. to the front – ft
deduct nothing.
i
v . :,:�C3l figure mor bcx B .
L_ j
jc C . Distance to the shade reduction line .
; . Measure the distance from the North property line to t^e
Foundation . - -` ft
?easure the distance from the foundation to the affected
peak or eave . _ ft
-
�otal cu=e =or ccx
i
ft
H _a
r
Solar Balan%.:e Point Standard
Box A. horth•Scuth dimension for your lot Box B. Shade poiOt Fie3ght from your structure
1 Jr_ feet feet
—�
i
Bax D13tance to the shade reduction 1
Feet
Distance ro
shade 1y0+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern
lot line in fest
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 33 40 41 42
55 34 34 34 35 36 37 38 3940 41
50 32 32 32 33 34 .15 _ . 19. . 51 18 39 46 4i 42
45 30 30 30 31 32 33 34 35 35 37 38 39 40
40 28 28 29 29 30 31 32 33 34 35 36 37 38
35 26 26 26 27 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 Z7 28 29 30 31 32 33 34
25 22 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 li, 18 19 20 21 22 23 24 25 26 27 28
: J i6 16 16 17 19 19 20 21 22 23 24 25 26
I14 1 . 14 1_ 15 17 13 19 20 2'_ 22 23 24
Box "D" Maximum al owed shade point height _ �j feet
_ogzn,vioie�soieroe.
5
6000 S.W.Meadows R2.,Ste. 161
Lake Oswego,OR 97036
Phone:(603)620-7638
ob
FAX:(603)620-7486
�.�fJ ►..Y�. 'SII �;w ,.� �+�� �
izi
• LI'W �F T�bi�(L;i
t�
\1
i
-�� Ca 2 c-r o••�. 'Q
�I
f
1-- a ti� a
z
i
r 1.6r sizo
rte_.�ur,,cam V V v�.pl� �...__.._____._...:.......:,....._.. •_.�.._..._....._......-....
� Z4t� Zoo
i