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Permit
• 0 C iTY OF TIGARD MASTER PERMIT PERMIT #: MST2006 -00104 _;u°:u•I�I- DEVELOPMENT SERVICES DATE ISSUED: 9/21/2006 r ---' ;'' .13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S105DD - 00201 SITE ADDRESS: 13270 SW MENLOR LN ZONING: R - SUBDIVISION: LOT: JURISDICTION: URB Project Description: New SF. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 2,372 sf BASEMENT: 2,372 st LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 3,369 sf GARAGE: 911 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWEWNG UNITS: 1 mine: 1,117 St RIGHT: 10 VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 6.858 sf 0.00 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 500 TRAPS: LAVATORIES: 5 DISHWASHERS:. 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 500 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN e 100K. BOILJCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD_ INSPECTIONS 3 1000 SF OR LESS: 1 0 • 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: r / EA ADD_ 500SF: 14 201 • 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL IN PLANT: MANU HWSVC/FDR: 601 • 1000 amp: 601.amps•1000v: MINOR LABEL - 1000. amp/volt : PLAN REVIEW SECTION f a Reconnect only: - >44 RES UNITS: SVC/FDR> -225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: 1 ELECTRICAL - RESTRICTED ENERGY Y A. SF RESIDENTIAL - B. COMMERCIAL ` AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: 0 BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: S This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other • BRIAN PAUTZ OWNER applicable laws. All work will be done in accordance with approved 9685 SW CARRIAGE WAY plans. This permit will expire if work is not started within 180 days BEAVERTON, OR 97008 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules`are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies Phone: .. 503= 969 - 8448 Contact of these rules or direct questions to OUNC by calling 503- 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 9,653.66 REQUIRED ITEMS AND REPORTS I Ersn' Cntrl 681 -4444 Structural welding Engineered soils Special inspection (see plans) C -: -�� 1 . °._.. Issued By :. , T ' / :.e1 ' � _ - , Permittee Signature : `. _ CaII 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on thejob site until completion of the project. Approved plans are required on the job site at the time of each inspection. �� CITY O IGARD 41A. STER PERMIT 11111 : PERMIT #: MST2006 -00104 COMMUNITY DEVELOPMENT DATE ISSUED: 9/21/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 105DD - 00201 SITE ADDRESS: 13270 SW MENLOR LN ZONING: R - SUBDIVISION: LOT: JURISDICTION: URB PROJECT: PAUTZ Project Description: New SF.3.21.08- Sprinklers approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAYS, (2) TOILETS & (1) SHOWER STALL. 7/7/08, ADDING (2) FEEDERS AND (10) BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 2,372 of BASEMENT: 2,372 sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 3,369 sf GARAGE: 911 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,117 sf RIGHT: 10 VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 6,858 sf 675,437 70 REAR: 15 PLUMBING SINKS: 3 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 500 TRAPS: LAVATORIES: 7 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 500 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 2 0 - 200 amp: W /SVC OR FDR: 10 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 14 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BRIAN PAUTZ OWNER laws. All work will be done in accordance with approved plans. This 9685 SW CARRIAGE WAY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97008 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 969 - 8448 Contact #: questions to OUNC by calling 503 246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 10,658.88 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Backflow Test Structural welding Enginee soils Spel al inspection (see pl- ) , Iss ed By : W� �� Permittee Sign• re : _ dr .d ifZ _, _, , Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. - 7 7/7 h ter¢ 7e- 4 c0.. - 7 III CITI( TI C ARD MASTER PERMIT COMMUNITY DEVELOPMENT PERMIT : MST2006 -00104 DATE ISSUED: 9/21/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S105DD - 00201 SITE ADDRESS: 13270 SW MENLOR LN ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: URB PROJECT: PAUTZ Project Description: New SF.3.21.08- Sprinklers approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAYS, (2) TOILETS & (1) SHOWER STALL. 7/7/08, ADDING (2) FEEDERS AND (10) BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 2,372 sf BASEMENT: 2,372 sf LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 3,369 sf GARAGE: 911 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,117 sf RIGHT: 10 VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 6,858 sf 0.00 REAR: 15 PLUMBING SINKS: 3 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 500 TRAPS: LAVATORIES: 7 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 500 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 2 0 • 200 amp: WSVC OR FD P. 10 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 14 201 - 400 amp 201 • 400 amp 1st WAD SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 -600 amp EAADDL BR CR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BRIAN PAUTZ OWNER laws. All work will be done in accordance with approved plans. This 9685 SW CARRIAGE WAY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97008 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 969 - 8448 Contact #: questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 10,490.75 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Backflow Test Structural welding Engineered soils Special in c ion e plans) Issued Permittee Signat c o Call 503.639.4175 by 7:00 a.m. for an inspection that business day. . This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. G.G -65dZ/►re MASTER PERMIT CITY OF TIGARD PERMIT #: MST2006 -00104 ' COMMUNITY DEVELOPMENT DATE ISSUED: 9/21/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S105DD -00201 SITE ADDRESS: 13270 SW MENLOR LN ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: URB PROJECT: PAUTZ Project Description: New SF.3.21.08- Sprinklers approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAYS, (2) TOILETS & (1) SHOWER STALL. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 2,372 sf BASEMENT: 2,372 sf LEFT: 10 SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 3,369 sf GARAGE: 911 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,117 sf RIGHT: 10 VALUE: 675,437 70 OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 6,858 sf REAR: 15 PLUMBING SINKS: 3 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 500 TRAPS: LAVATORIES: 7 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS 1 WATER LINES: 500 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP> btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 14 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR• SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR Specialty Codes and all other applicable BRIAN PAUTZ OWNER laws. All work will be done in accordance with approved plans. This 9685 SW CARRIAGE WAY permit will expire if work is not started within 180 days of issuance, or BEAVERTON, OR 97008 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 - 969 - 8448 Contact #: questions to OUNC by calling 503.246 6699 or 1.800.332.2344. Reg #: TOTAL FEES: $ 10,236.40 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Structural welding Engineered soils Special inspection (see plans) Issued By ` —�. Permittee Signature : r/ i Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD DEVELOPMENT SERVICES MASTER PERMIT PERMIT #: MST2006 -00104 Aso , � i l DATE ISSUED: 9/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S105DD - 00201 SITE ADDRESS: 13270 SW MENLOR LN ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: URB Project Description: New SF. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 2,372 sf BASEMENT: 2,372 sf LEFT: 10 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 3,369 sf GARAGE: 911 at FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,117 sf RIGHT: 10 VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 6,856 sf 0.00 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 500 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 500 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN a 100K: BOIUCMP < 3HP: 1 VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 14 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other BRIAN PAUTZ OWNER applicable laws. All work will be done in accordance with approved 9685 SW CARRIAGE WAY plans. This permit will expire if work is not started within 180 days BEAVERTON, OR 97008 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies Phone: 503 969 - 8448 Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $ 9,653.66 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Structural welding Engineered soils Special inspection (see plans) Issued By : fj /C � � ,7 Permittee Signature : r / ��' goer - — Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit A lication �j F ; �FiOROI F IC L'USEON L :-.,,,,,,;,,,:,•,., f { � n E ew N Permit . _ O 13125 SW Hall Blvd., Tigard, OR 923 G P Phone: 503.639.4171 Fax: 503.598q60. ��„ x Other Permit: Inspection Line: 503.639.4175 & `�OQO ,!J, . ; Date Ready/By ions: ® See Page 2 for Internet: www.tigard or.gov ' NotifiedlMethod Supplemental Information �� Q � r_ MAO 4-;":`,,,,,, ' °' " ^ MMERCIAL . SCHEDU[.E�'- s `USE ,C HE • # U. � - • ^-� ti �' T11Psp�WQl2'C1Q °:�� : � .3 "•��� � CO * r` ait ration /replacement Mechanical permit fees* are based on the value of the work liNew construction 0 Adjitioni performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. k:.. ' ° Qe• £ f. r Value: $ IC.i :4 " f .,'itC,ATEGORY;'OF, CONS'OtUCT {0*„ n ., 48'Zet ,,,� �" ' : RESIDENTIAL '.EQUIPMENTw / SYSTEMS.FEES* U 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total ' .- "' i .- `" 1 4JOB SITE INFORMATION• 'AND 'LOCATION = r *k` .: i , Heating /cooling Job site address: ' 1 a...-1 0 S W rr __ Air conditioning or heat pump (V‘ Q AN Lo ft.. t _q, ►t‘ p, (requires site plan showing placement) { 14.00 City/State/ZIP: 'M. Furnace 100,000 BTU (ducts/vents) i 14.00 , j Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: I Project name: Gas heat pump 14.00 Cross street /directions to job site: Duct work 1 14.00 n 1 Hydronic hot water system 14.00 () `[� � is.V Q,C .E� .A r& _ ( to koi x.rA /; \-j QMArtk Residential boiler (radiator or S (A i_ t I jydronic) 14.00 t. �•C- V La- 9 n �e -^st-p 5O f _ Unit heaters (fuel -type, not electric), 1 1 _ in -wall, in -duct, suspended, etc. 10.00 ubdi T D l.t I Lot no.: Flue /vent for any of above 10.00 2 b l Other: 10.00 Tax map /parcel no.: �C i0 S OD Other fuel appliances • r ■F.: .:;.'::_ `g . :*:=1 " .t:: :DESCRIPTION OF.:WORK ', '." ; .. ` Water heater 10.00 ... :,, Gas fireplace 1 10.00 Art u9 .o,_ (.04•- S A,py•si Flue vent for water heater or gas fireplace i 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ,. ROPERTY , et w, r ._ . ,` T ENANT w Chimney/liner/flue/vent 10.00 °' * °� ~ ,., '4:t �.;:,.r.:,.;. 10.00 ;> Other: Name: .c,�� P�wk. Environmental exhaust and ventilation Range hood/other kitchen Address: 916 La equipment 10.00 City /State /ZIP: � R Clothes dryer exhaust ( 10.00 j ©' `� �� Single - duct exhaust (bathrooms, Phone: ( S 9 ( % Li 14% Fax: (S ) 2t‘a,..,— 76 9 '� toilet compartments, utility rooms) 5 6.80 - - . • . ' - ❑ APPLICANT ' _ - 't ( CONTACT PERSON 1111. Attic/crawlspace fans 10.00 Business name - 7A- -s_ 5 ,�, -, - ea -� - x „ �t l Other: 10.00 e / e - Fuel piping Contact name: c" en,..\ C_,�` tom■ \ -- .- -S 7 •S5.40 for first four; $1.00 for each additional Furnace, etc. Address: o0 ---rj,/.tieis..sk-- -1Q..i nl 'Y -1N-) Gas heat pump City /State /ZIP: 1 \ .e��AZ _ Ct 1 13 "Z„,,,,.. Wall /suspended/unit heater , Phone: to 1 � � � Fax: q ) S3�" b i (.O J' Water heater 7) Spey Fireplace 1 E -mail: Range - CONTRACTOR ' - '? Barbecue Clothes dryer (gas) Business Warn - • _ - y�� A N Other: Address: \ O S �, +� , p , , ' MECH A N ICAL : PERMIT FEES *,. '.• - : City /State /ZIP:. I V 4_,t J.) ‘ CV-1 1 e?-) Subtotal Minimum permit fee ($72.50) Phone. 50'6) ) �'�9 _ 1 Q Fae: 7 O Plan review (25% of permit fee) CCB lic.: 9 1 1 5a State surcharge (8% of permit fee) 9 PERMIT FEE Authorized Signature: This permit a pplication expires if a permit is not obtained within 180 p F�� j7 C ._L _ days after it has been accepted as complete. Print name: 6 et fl,.,", \ fa_ _ w.kis Date: Z/j 2/ 4 • Fee methodology set by Tri- County Building Industry Service Board 1'\ Building \PermitsVAEC- PermitApp.doc 12/30/05 440 -4617T ( l /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total:. Valuation; y; "' ff€ Permit:Fee '``.Y : `, ' ,' • , °;,`.` %ry '' ' ' $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • f I _ 1:\ Building \Permits\MEC - PermitApp.doc 12/30/05 2 SP Plumbing Permit Applica-ti-on2 �� - i.s '"4F011 ofl` ?SL ON'11 ' '', i' ' . *Hr City Of Tigard 1o Q� Date/By. Permit No C `� d y 13125 SW Hall Blvd., Tigard, OR 97223 t Y ) ! i1 / Plan Review Phone: 503.639.4171 Fax: 503.598.1960 kl' !/�e;r )k a DateB Other Permit No.: 24- Hour Ins ection Line: 503.639.4175 c;�1 i Y p F "(\C..t.,; ' _ :!, ,. Date Ready/By: y: luris: See Page 2 for Internet: www.tigard- or.gov c o.( 0 ,•- Notified/Method: Supplemental Information .. .5 �` .i ^:,' €` - `f'1 ��;4`!:.. ;.s ir, % a..' T`i:t.,.�Se ' . °'4 44 :1 i`a°r : Y,.. £ xE<, wt .::;4'.a . a°.• ?' ?3 y w _ ; ' t;.�F'..'` * r. ,. . c , t _ }; . < a, '�„ . .; _ <TYPE� O�eK � ,. L;•f, �� .;. . �«'.� "`:; , „ a.. `,`� `.�`' _Mz SCH E DULE : ���� - mss v. � :'' - ' L3p New construction ❑ Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition /alteration/replacement 0 Other: New 1 - 2- family dwellings (includes 100 ft. for each utility connection) 1 i 'q ; ; ;z, j`•,' ' 1OF,.CO_N STRUCTIOIiiiii'.:; - ::;` ; „: = :, :� SFR (1) bath 249.20 071 l and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: . Fire sprinkler ( sq. ft.) Page 2 . . AND 'LOCATION ' ; �..�, „ �dOItSTfE•INFORMATION f - -�;,'"°�ti ��az4? : -` ; , �.. .r�. - <.: : .. _:r ., xr . s Site utilities Job site address: 1 a: 0 SvJ ( I v.,e_ Catch basin or area drain 16.60 City /State/ZIP: D L D Drywell, leach line, or trench drain 16.60 / Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: I Project name: Manufactured home utilities 110.00 Cross street /directions to job site: cc.. t 1 n � (1 o) vit, - N\, �,) r L � 1 l ` © Manholes 16.60 1 LK 11,).)S - 0 G\ ('pf/Af` - S ,_ O..C-GeS i V '.0.- 1i vu-e -4,49- 0.41.4.P Rain drain connector 16.60 -F1bN•- G.-h- i p t � Sanitary sewer (no. linear ft.: _) Page 2 i a • Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no 2_ i `% Water service (no. linear ft.: ) Page 2 • Fixture or item Tax map /parcel no.: S i (7 C 0 Absorption valve 16.60 • DESCRIPTIO OF', WORK ', . , ". p ,'': . i :::1, ^ : ;;', - , : i. : ,;',...,, - . Backflow preventer Page 2 Backwater valve 16.60 Clothes washer , 16.60 . Dishwasher ).., 16.60 Drinking fountain 16.60 if.' PROP ERTY OWNER ' ,k° ,) °❑ TENANT - Ejectors/sump 16.60 Name: .. f � O.. Pa.,tik Expansion tank 16.60 - Address: 9 r < s i c _ '+ „ � D l ¢ �� ,e. Fixture /sewer cap 16.60 • • City /State /ZIP: `D ( ��,rer-t O. '1 / ( ,�t' o c{ v Floor drain/floor sink/hub 16.60 • - Garbage disposal i 16.60 Phone: (5,:,-7.7) 9 La l - < 4 it 4( Fax. (S ) Q3 z -7 C2K a- - . ,❑ APPLICANT ` ` Hose bib 4 16.60 • ' '� 0 PERS ', ::" ': ' Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State /ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax:: ( ) Sink/basin/lavatory p jiv6;, 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 . • , . , , . ..J,.. '" , 1 ,`CONTRACTOR . - : . • • , Water closet '7.003 16.60 Business name: SdIQ us 6 pta ,...t l j t^ ,t 6 Water heater 16.60 Address: f 90 /C) 5 1>t,,, & C- Qa w L �I Other: Subtotal City /State /ZIP: 44 A Lo i d 2 Q 7 jj Minimum permit fee: $72.50 Phone: (5a3) 5-Z Z - z :7 Z lJ (9Y ) - zS7- ( Residential backflow minimum permit fee: $36.25 CCB Lic.: , ) j t.7 (D Plumbing Lic. no.: 3Li J./v.1_ Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature TOTAL PERMIT FEE Print name: I Au L (j2 -7 h`( Date: 2- Z y - f, t. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I.\ Building \Permits\PLM -Pe mitApp,doc 12)30/05 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utahtics Qty Fee (ea) Total Square Footage Permit Fee Footing drain - 1 100' 55.00 0 to 2,000 $115.00 2,001 to 3,600 $160.00 Footing drain - each additional 100' 46.40 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 4640 Valuation' . Reinii*Yee:egf-,,zwtzteMtglitiapi*t „storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each A.91),r7,J? additional $100.00 or fraction thereof to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for Residential Back flow Prevention Device each additional $100.00 or fraction thereof to (minimum permit fee $36.25) 27.55 and including $25,000.00. • Rain Drain, single family dwelling 65.25 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for Subtotal: each additional $100.00 or fraction thereof „ . Fixture Work: Are you capping, adding or replacing fixtures? If "yes", A "complex structure" is defined as an installation of a plumbing please indicate work performed by fixture. Failure to . system that meets any of the following criteria. accurately report fixtures could result in increased sewer fees*. Please check all that apply. b (Fixture) Woik'Perforned 0 Any new commercial building. Y i - ' Fixture El Any new exterior plumbing site utilities. ' -`; • ' e , ;;;. • ; :; ; • Previous 'Calmed 0 A commercial building with installation, alteration or addition Baptistry/Font of nine (9) or more new or relocated plumbing fixtures. Bath -Tub/Shower 0 Medical gas and vacuum systems for health care facilities -Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall 0 Plumbing installations, alterations or additions to food service -Drive Thru facilities where new plumbing fixtures, including interceptors, Cuspidor/Water Aspirator are being installed for the food service area. Dishwasher -Commercial 0 Any new residential building containing three (3) or more -Domestic dwelling units. Drinking Fountain 0 Any NFPA 13-D multipurpose fire sprinkler system. Eye Wash Floor Drain/sink - 2" Submit 2 sets of plans with any of the above. Car Wash Drain Garbage -Domestic 0 Isometric or riser diagram is required for new buildings Disposal -Commercial three (3) or more stories in height. -Industrial Ice Mach./Refrig. Drains Oil Separator (Gas Station) Comments regarding fixture work: Rec. Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory -Bradley -Commercial -Service Swimming Pool Filter Washer - Clothes *Note: If the fixture work under this permit results in an Water Extractor Water Closet - Toilet increase of sewer EDUs, a sewer permit will be issued and Urinal fees assessed for the sewer increase must be paid before the Other Fixtures: plumbing permit can be issued. i \BuildingTerrnits\PLM-PermitApp.doc 07/06/05 . .. '''' ''''''''!' ' .. , A t; : . .. , .'; ''''': l' ;''''S " .!: :i' ''' " ' : ■:' , .',r: t1 '... , . ' , 44. '4 .' 4Z- '41; :,, 1. ;', "' ;'''.:.: ' -r,Vant , Electrical Permit Application inE Permit No „ EG1 Nv 4 ----' Received City of Tigard Date/By. \,.. ... ' 13125 SW Hall Blvd., Tigard, OR 97223 c . Plan Review Phone: 503.639.4171 Fax: 503.598.1960 , 4 A " Y /.44,plir, ..e.,:., l _ r Date/By. Other Penrut: Inspection Line: 503.639.4175 r • .0.- - ei i , „-. Date Ready/By: tuns. El See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information '..,". i":''' :1; '''FiN.. '',"1.t -:::• .' Y`;' : ;i:': - /1;k-i -''...: 0 New construction 0 AdditiMilteraifon/replacement Please check all that apply: 0 Service over 225 amps, conrun'l OHazardous location 0 Demolition 0 Other: 0 Service over 320 amps - rating ID Buildng over 10,000 sq. ft., cATEGORY r :,.. of 1- and 2-family dwellings 4 or more new residential 0 1- and 2-family dwelling 0 CommerciaUindustrial 0 Accessory building 0 System over 600 volts nominal units in one structure ElBuilcling over three stories OFeeders, 400 amps or more 0 Multi-family 0 Master builder 0 Other: Occupant load over 99 persons CIManu factured structures or :foli:$irTi*FOa*.ribisu,1441,k,iplis.;,:.:::-4:‘..ak;-:'-'w, Cl Egress/lighting plan RV park 0 Health-care facility ClOther: Job no Job site address: I 1 a .... - 1.0 s‘.,.) r , L . , Ai Submit 2 sets of plans with any of the above. City/State/Z1P: -- 4 _, 0 r The above are not applicable to temporary construction service. Suite/bldg./apt. no.: ( 1 - li Project name: ,,,,,;:-,t, F,EE'Y'StliED[JLE :iitlf VEtt f• ', Description I Qty. I Fee. I Total • • Cross street/directions to job site: . o f_ (1, r i-Dj s r.. . - milisi.4, n- New residential single- or multi-family dwelling unit. . Includes attached garage. +i-X-R-1 IV rttAra- sOre-oxteA vtu., greltrek949- St,' P-Dtv. 1,000 sq. It or less 145.15 4 Subdivision: .. A_ 4 Lot no.: a 0 ( Tax map/parce no.: oa 1 0 5 D G., Ea. add'I 500 sq. ft. or portion Limited energy, residential 75.00 2 Limited energy, non-residential 33.40 75.00 1 2 , ... ...;. ...,;,: ,:.. -::' .:DkscRIPTION OF WoRic ::: :, 1, f. ' ,'-'-`-',. Each manufactured or modular dwelling, service and/or feeder 90.90 2 Al Q.v.,' it" eS atr44.. r _of..:5 isf vt-tAtc;vs. Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 •ViROPERTY:OWNER . S ; •:.....; ,'''' 1 .„ :. ,, ' 401 amps to 600 amps I 160.60 2 Name: 9c 601 amps to 1,000 amps 240.60 2 Address: . c ,SW lr Over 1,000 amps or volts Reconnect only 454.65 66.85 2 2 City/State/ZIP: tf3 e _ ts ,..„ 4 - 4 .4. N , 0 a_ V Temporary services or feeders installation, alteration, and/or , 1 relocation Phone: (55 ) 616.6) -‘61144 I Fax: (5Y5) .. 25ca . ...--76 i 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease>s4.. exchange, rding to ORS 447, 449, 670, and 701. 401 amps 10 600 amps 133.75 2 Owner signature: 4 ,1....--- Date: Branch circuits - new, alteration, or extension, per panel APPLICANT -- .., : '----" ' APPLICANT .. :,;.,,, -, 1: 0 CONTACT, PERSON - . ..4. -7:-:'-`2''' A Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, first branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone:( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E-mail: Signal circuit(s) or limited- energy panel, alteration, or extension. Describe: Page 2 2 Business name: W e5 Ci( s Ca de (eel' r i C Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Investigation per hour (I hr nun) 62.50 Phone: ( ) I Fax: ( ) Industrial plant per hour 73.75 'ELECTRICAL PERMIT FEES* ,: , • -:,,,- CCB Lic.: I Electrical Lic.: 1 Suprv. Lie.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) State surcharge (8% of permit fee) Print name: I Date: 4111° TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 / . _ . 4.' .....si_.4_, days after it has been accepted as complete Print name: , Date: .2/ & . * Fee mber methodology set by Tri -Countallowed. y Building Industry Service Board r I. 0-1N. ? 0- V\ -A • N u of inspections per permit 1. \ Build in g \ Penn its \ ELC -Perm itApp .doc 12/30/05 440-4615 T( 10/02)C01%4/W ED Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: NRESIDENT ONLY: i y ,i _, R : ;rr.> ; Arfr ,;f Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: El Audio and Stereo Systems El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1\ Budding \Permits\ELC- PermitApp.doc 12/30/05 _ , 1 . t5,. A , t u `N t n:a?"r v 113 34/6' f4.-..3 �,s !• �A,T,'.. *F1-'d ' � k o it t Building Permit Application ; t, , °n� I FOk o,LI IC E NE D + � � I ; �`45 r, l � : 1 Fes City of Tigard ii�8� y, Permit No..� - d J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 M1 r , , , IA 4 20 r: °1i`5 1 11 � , . Ready/By: t Date/B . r / A ✓ g - 19 - 06 Other Permit: .. Inspection Line: 503.639.4175 I ■ 1c71 y , Date rn � S 7: See Attached Checklist for Internet: www.tigard - or.gov _� Notified/Method: / / 1 J / pplemental Information F TIGARD rAINI O t) S qo e .--e, '5'-p 3 pi, ., «r?' .l �� • K:: ',.. _ -i V.ls : � . '.»; 3 `' ;; f', ":x .1 _ . .- ' _ - - - =rr - r,7 � , , '� ` - �`.` '1 � 4 ,. : � ; ; m # �- ; ',, '�'� � � ;�`'VOR K•' .Q. -, _ ;, �. e= � -• ',:4:: - �REQUIIiEDUA 'I'A: °I= �AND2= Fe DWELLING f >� ' • I2/ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the • µ �r =' 1 , ',, .;. '" _ - - , a -; �; ,• -: 4'r work indicated on this applicati n. dam, t._ : r,* : :tk .. CATEGORY "UF,;CONSTRUCTION.: . ;•;t.; :ry 4'; 6"7S', y3 7. 7q (T- and 2 -family dwelling El Commercial/industrial Valuation: . $ d ❑ Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 5 T otal number of fl 3 = s�'- :,. +. ,.t. "...v p. ,. .t 't �;, „,.•, ; _ � dOB SITE �IIYFORMATION 'AND � I.O Wig,-- ,�(,� -, ��_• -� o floors: Job site address: 1 3 a') 0 Si” �6R.. L[1,.4t,Q New dwelling area: 44 square feet City /State /ZIP: -T, t o!` Garage /carport area: i l.s t .c 111 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: __1, 3 square feet Cross street/directions to job site: Deck area: -1 7 d square feet � i r t C). '' ,,, 9 � 1 Q)ft..Li ..t t i — iVN -AL,n, br- Ti LA" AA '-0 1 Other structure area: square feet s �'t;Lil'�l - S 'A re_ o..Gce3t; Ut.0 , e.,0.A6e- C st ''row„. f4,t e,ri i 4 z, REQUIRED M DATA. COMMERCIAL US CHKL ECIST , Subdivision: j Lot no.: '�,c, ( Permit fees* are based on the value of the work performed. Tax map /parcel no.: _ 5 �� Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the '{ � . P: ' , ,,DESCRIPTION OF 'WORK .` +n ' - `cr :'' ro r „ '' - work indicated on this application. N � 1ln.StA94/AlAll C.O■. 9 S 1't Valuation: $ , Existing building area: square feet New building area: square feet ! • ar ROPERTY. OWNER'; `` �'' - '' I 'I .'`' ;❑ TENA ,, ' ; a ' Number of stories: i T Name: f \ t) v., (7. i Type of construction: Address: 9 U !. t e S S j t4 --, Occupancy groups: City /State/ZIP: , 7 �q / Existing: Phone:( (� ) ,'g 1,'+ � 0 (/' Fax: ( 5 6 b ) ..' --7(,c j New: : ❑ APPLICANT 1 - ---';:r - - ❑ CONTACT PERSON -'; d,, N ' : . . .. ; .NOTICE, .,l..rd.•: .. Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) Fax::( ) E -mail: CONTRACTOR Business name: 'BUILDING PERMIT .FEE Address: Please refer to fee schedule. City/State/ZIP: '3.5..1 e° Fees due upon application Phone: ( ) Fax: ( ) Amount received .522 :613 CCB lic.: • Date received: 5.- 4/ — G Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Vrtra VCS, iti }I Date: �� y 4 i Fee methodology set by Tri- County Building Industry "`��� Service Board. 1. \Buildin \Permits \BUP- PermitApp.doc 12/30/05 4404613T(I I /02/COM/WEB) One- and Two- Family Dwelling Building Permit Application Checklist 1•OR,OF OFFICE USL O\L1 Y f E ; F.2 k • • City of Tigard Permit • No .. 13125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 /�+ arl l „. 24- Hour Inspection Line: 503.639.4175 ' I I , ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard- or.gov " " "' ` ❑Other x;TH OLLOWING- 1TEM1S aRPRFQ- 61RED FO PLA N REVIEW r, t 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ ^ 2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ . ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control, 0 plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑ basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑ building codes: 'Lateral design details and connections must be incorporated into the plans or on a separate full -size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑ there is more than a 4-ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements and driveway; footprint of structure (including decks); location of wells/septic systems; utility locations; direction indicator; lot area; building coverage area percentage of coverage; impervious area; existing structures on site; and surface drainage. 12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑ furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc. 14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑ floor, wall construction, roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings and foundation, stairs, fireplace construction, thermal insulation, etc. 15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing (prescriptive path) and /or lateral analysis plans. Must indicate details and locations; for non ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non - uniform load. 20 Manufactured floor /roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore .on and shall be shown to be . • slicable to the ero'ect under review. IURISDIC` \L SPECIFICS •... , .,. . 23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17". ❑ ❑ ❑ 24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑ 30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings on a lot of record approved prior to September 9. 1995. I:\Bui l ding \Permits\BUP- RES- PermitApp.doc 2 FROM :GARNER ELECTRIC FAX NO : 5036427925 Jan. 15 2008 11 : 29AM P1 , . Electrical Permit Application FOR OFFIC,Ii: 'USE ONLY City of Tigard v.. . 11 ...,_ , Received Permit No.: /lir gra, (204 -& /05 . _...,.. cR „:-... i — „. .„ , L, M .. thte y. ...._,_ , 13125 SW I-Tall Blvd,, Tigard, ( 4 t Man ROVICNV (Aber Permit: Kama: 5()1,639.4111 Fax: 50.15.1t i....'" • okio 4 54110:11Jt" 1:),e.t.r2.,_.—..___. ...„ ...---, .. t S `' „..„,011.- '; '1',„ Date Ready/By: Join: El See Page 2 for inspection Line: 503.639,4175 0 1 Notified/methoeil Supplemental Information _ __— Intern& www.ci,tigard.urt Is „ pio . .._... . " .,., ,,,,,p..:(1..,;?;■11 ' 1. .7.' *li7 .. - . , ,A ,,,! .,.1", !Ai ii07,..."4,';'777,71 *: \ 11,4 1 ;e:M71177 . ... 9' 114: : !kif1;070 . , I T:1.; . , 1 ;i''‘V.".:1 ' 1.'.1 ) ;".1t 1 1.141 .; . 7' 77 IA 0 !.: r y, ;,..0,,, k4,4,.. ..1 , .7 i:e.'' ,, • "' . .j, ,2„.:,4■,.40 4 . . • . ...■.; 1 /..2.% 4 , ' -• .1(0■0 ' ( ■.-4..t.- ' - .— Please cheek all that apply: ew construction 1'! .- a itilk' ''a terati on/replacement EIScrvica over 225 amps, comm'i 01Inzarrious location L i Demolition El Other: 1:155crvice over 320 amps - rating 08uilcing over 10,000 sq ft., • . ,-,,,,,,,..,,,.., , ,■.,...,,,,_,,, A-.17 „ .:.,:..,.. ,,. N',■:;0) ; ',,,± R ' *'.• '''''''':'1.:':.:1'N('1"!.1'..' of 1- and 2-family dwellings 4 or more new residential System over 601) volts nominal. units in one structure . 4 1411 1- and 2-family dwelling D commerciamindtistriho 0 Accessory building OFecders, 400 amps or more D.Builaing over three stories n Multi.family 0 Master builder E,I Other: ., ,, ,. . ,,.,. DOccupant load over 99 ,, .....017,7 DEgrmili gluing plan parsons DMonutlietured structures Or RV park Olicaltb-care facility °Other: _,,, ..._ Job no Job site acklreSs! 1 32,70 S4 ry1en 1 0 ,,, _ .: _ ..- --- Slihmit "2 SOT of plans with any of the above. Thc above arc not applicable to temporary construction sevice. Ci I y/Statc/ZIP: • .. • '-- .. -" $ - 1'','. .: Suite/bldg./apt. no.: Protect name; „..., .,..%.,,,, ''' I; . ''. , A (_, IA* 131451011)1101', ,,,,,,,,,. 1 , y,,.... 6177710.1 .--.,n-■- . ■ ...- • -- - . • -.• . Si" Croat street/directions to job sitc: New residential single- or multi-family dwelling Bolt. "-----''' -- . .. _______ includes Attached garage. _ .. .. ... 1,000 sq. ft. or loss . + , / 145,15 /L(S,/r" 4 .. Subdivision: Lot no 33 AO Ea. add 'l 500 s q. fl. or f portion i z_, , *_0_ 1 ' . .... 7 5 00 2 -- . .,. - - • - ,., - - ' -- 1,imited energy, residential ... . Tax map/parcel no.: Limited energy, non-residential 75.00 2 7.7.7,717 Wr, T.60 Eachnianufactuig or modulat dwelling, , and/or feeder _ ()0,90 2 Cavisfroc. b r) ., S et or feeders installation, Alteration, and/or relocation .... ._. ....... .. _ ...... . ...._ ... ..... 2 ''''' 1. 200 amps or lws g0.30 4 4 2--- IN't S "1" 2, pit? b -- 60 ), b L'i _._ ' i 106.85 0, , 2 X*0'1■;RAV1i 201 amps 4.92) . 'A W: .j...4.:;:' 4.!!'• ..:A. ■ 4' h.1.;;YAA.A0A.1.4A:" A.A. ....'.' "14 4.A44.:": ' .''. i' . '‘' ' 401 amps to 0(1 amps 160.01) 2 . ...., ... -... ,. Name; Rvi a. VN.... A - 1.4....1 601 amps to 1,000 amps 240.60 2 ' - -- • '''' - . Address: Over 1 , 000 amps Or 1 454.65 2 „,„„ -......_ -....... ,..... . - -.- - , City/State/ZIP -. Reconnect only 06.85 2 '. - , Temporary services or feeders 'nstallatIon, alteration, and/or ---- Phone: ( ) Fax. ( relocation . ) 200 amps or less , _____ - " -•.. •.-- i - ..._ ._.... ,...._ .....- . 85 - -- -. Owner installation: This installation is being made on proper 66, ty that 1 own which is not 201 ainosto 400 autos 100.30 2 intended for sale„ lease, rent, or exchange, according 10 ORS 447, 449, 670, and 701. 401 amps to GOO ainps 13335 2 ... OWn si gnature; ... _ Date; Branch circuits - new, alteration, _ , sir extelislim, per panel .._ 7 , ., .., - - . - „,.\i,.;i„iiV.Tic.,,;::',;?tioife.+:ii:..4;?;':';:i'VV,..,,.•''.A.. 11';'17,7171!:,iitiiik4,K1,7,1,...'..,," ,..1/ A: .1 for branch Gilt 1.11tS with ..,...;,;:r;.;,;..,..,2:•;;.`. .;'! PAV;.,... 1 )6 . ....11VX , T , '. , ; . .! . ".' - i.•,..;.:v service or feeder !ea, oath 6.65 2 Business name: branch circuit. ., - ' 13. Fee tor branch circuits Contact name: without service or feeder fee, AddroAS: '—' . 46.145 2 - first branch ci rcut .-- Each add'i branch c. i i rcuil. 6. - 65 2 .. . ' - ....._ .... . ..., ...,,_ .,.. City/Stale/ZIP; Ailiscellancous (servi .. _ ce or feeder not included) -„. ...,._ Phone: ( Fax: : ( ) __ Pump or irrigation circle 53,40 2 ) . . , Sign or outline lighting 53,40 2 .... ....... __ _ -""- ....._ ,..... - •"" ' .„. ....., ..... ..._ E- moil : ._ .. Signal circuit(s) or limi fed- ••.•'::.„':' inikt1'!4,..5 - k ..'.. energy panel, alteration, or extension. 13escribe: Page 2 2 'Business name: .114--epj.E12, , 7 ) C. Each additional inspection over Allowable in Any of the above Address: 212 , 5f-T-' (;.r. Ave.t* A ....... Per inspection .. „ 02.50 , - ....--- City/State/ZIP; 4 Ls (,,,,) 0 vE ID R 9 — 3 I Z3._ Investigation per 11 0111- (I hr Min) 6250 ) . .,. .” PhOrle: ( S� (1.4 3 , c „ 2 _L j Fax ( 16) (ok-i 2,, 9 2' Ind US trial plant pet hour 73.75 -'' ........ C,CB Lie,: 1 2._( 1 - 5 Electrical 1_,ic: Y, F;-v. Lie,; 3707 7 3 Subtotal ,66 76 _ -- ' - • ___ .„..... .., . . Suprv. Electrician signature, required: Plan review (25 of permit feel .., :)"' , ....... .... .... _., •'''' .... f' ""'• i State liurellarge of. permit for.;) Print name; Lk Gir-0,e..v- ' ' 1-/s - .r _•.• T l'AL PERIVIIT FEE 7 31 . Authorized siEmatore: This pei-4;it application expires If a permit is not obtained vrirhin 180 - dor. after it has tn.n uceePtrll us caniplete Print name: Date: 4 ' 1 1nCt110111110gy set by Tn. County Building industry Savice itreell , . ** Number tff Inspections per permit allowed. i: \ Duildim;Tednas \ 12LC-PkT4,itApp.dea 12/03 440_41 5T( 10/02/(10M/WED FROM :GARNER ELECTRIC FAX N0. :5036427925 Jul. 07 2008 02:07PM P1 - r . ‘ ECEIVED ot� .. , , . . . ,. FOR UI''FiCh: I1SL ONLY. • '�` 3 1 r " , E lectrical Permit Application JUL 0 7 2008 kcccived P emd tN o,: City of Tigard _ Date,nv: 7 7 eg _ �`l7 00�_0��0V EN 13125 SW 50 ifall .411 Blvd., 'Tigard, O3. 97j OF T IGARD Phi* Review Other Permit: C Phone: 503,639.4171 Fax 503.5 patcBy: J . L DIN G D D rtcad et See Page 2 for y /13y: ' ,n i'i c iAl1) In line: 503.639A 175 VS h d , r 1 ( Snpptemcotul f Internet: wNW.ti or.gov Moti ed /Met p j p t I a .r c, • y �, -t footer,, ?' r t ' + ^ t, l ,a' +; , lr { t l l , . 'el'. 1 1 3 I � Q r , 4 "t 1. • 6 , - , tt - , -4�1 ,An.• a "'" �, a { (' t�f7L ; I':' `4 va'� , ..nom, , • 1 " r'1 � a . r , fir ( ; , J, W t ! " t � ! i . 1 4 .' V 2. 1 { ,Il a t, ? 1. �' H , 9 r , " 3 r '.ili�1i',ei `�I1>t ,, I ?� “ ,, 3 ti , t f it : t ',,, � Plcase check all that apply (submit 1 sets of plans w /item" checked below), i New conSiluctiUtl [] Addition/alteration/replacement 0 Service or feeder 401) amps or more ❑ Buildit over three stories. • Demolition ❑ Other: where the available fault currcut ❑Marinas and boatyard:, t v7r r OWN to u t e _ zr , ri i tt1 i r exceeds 1 0,000 amp% at 1Sq v <,Its or 0 Floating buildings. P Vi to 1 lie!• Sri is a t , t• t t} r ' r 4i r i t1 " r i less to ground, or exceeds. 14,000 ❑ Commercial -sac agricultural I I, ,,?i,a&l� ?" Ai i � ti,i f l b a T °�'; ��� , 1 lea . I I.- and 2- family dwelling ❑ Commercial /industrial 0 Accessary building amps for all other inxiallations, huildings. • El 0 ❑ T; pump, ❑ Inaealatio 75 ln of Y.V or Master builder 0 Other larger separately n of derived system. Multi -family 1=1 Master Emeri i system. , !' r +ti t ; ,, t��{�! t " p +tn rz t 1' F i 1 , � + "A, "t +, ( rl , , IN . „ derived '�° S9Vre yl ���ik' f �t11 � .,at ",ir1.11 ❑ Additionofnewmotorlo adof ❑off , p a , t!p rfa �P r r . S:a �.� J � , Y , I t / l coi3P or more. acu nCy. Job no.: Job site address: 13 •2. Dl, L-�1 , ❑ Six or more residential units. ❑ Recreational vehicle park'•• • I [Health -care tBcilitis. 0 Supply voltage for ,oars than City/State/ZIP: j C ( �.� — / •A 1 _ ❑ Hoard= location boo volts nominal, ❑ Service or feeder 600 a,trps or more. Suit.elbldg. /apt. no.: Project name: rz i t, ,,. .. _ - { t���' ��' �r '���7��,gaNslittTral"' d')I 11 ti�'' . 4"f . t Cross street /directions to, job site: Deeeription It , Fee. Total NOV residential single- or multi- family dwelling unit. includes attached garage. Lot no.: 1,000 sq. ft, or less 145 4 Subdivision: - Ea. add') 500 sq, ft., or portion 33.40 1 Tax lnap /par ccl no.: Limited energy, residential 75.00 2 w,�1}t�)�t w. � � r ) ry a , ,N'rQryf+ Wtl { �M ai ' yfri, K�•1{� , yr' i tiY: (with tlt sbovas9:.fl -) 11,, F Y , di , .., k.. , , 't (. I t G ° ' �^'��'_ �� t ' , >1Er�ict +l {, "'l` -;a19 di(� lktti"�' i rn,t I F,,.'t i d u . , a tx.; ° s Limited energy, multi- Gamily 1 i t - _ a C "V -1.s 75.00 2 t C 2 1 r , ! _ • - W r esidential (with above sq. 19 - J r Services or feeders installntion,altcrtdlon,and/or relocation `..—..?" MAIN . 1 ` ry)G'T 2 D d b 0 I D 200 amps or less so.30 r c,p. 4,p 2 • l'' tit i k cw JI diA +', , f t ' +l ' t ,` ; r ' ti a N 1 + ' '" 101 am a to 400 a s 106.85 7_ PA r,t,. is0 1 , � Y?k� ' fe al . ,it, . i. ` t 1t k ,', 2 , P rrip 401 amps to 600 amps 160.60 2 Name: R Irtain. pa (r Y 601 amps to 1,000 amps 240.60 2 - Address: 4J Over 1,000 amps or volts 454.65 2 Temporary services or feeders installation, alteration, atldlor Glry /State /7(P' relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 201 amps to 400 amps • • 100.30 2 (honer installation: This installation is being made on property that I own which is not - sill amps to 400 amps 133.75 2 intended for sale, lca.4e, rent, or exchange, according to ORS 447, 449, 670, and 701, Branch circuits -- new. alteration or extension er anal Owner Signature: _Hate: — A. Fee for branch circuits with r t + n r "rt is t i, ri„rt , '? i � l ;n • l+ . ; l 52 t1 i Pl `'' 1 above service or feeder fee, , 5 2 t rAlh � l,e 1 at , ; 4. 1 {r a1511�' t , a If . - ••,.,, , •,� ;15 ;, , . - i,,, t‘ttt Nil l'41 , ll, each branch circuit 6.6. Business name: 13, Fee for branch circ - without service, or feeder fee, 4(1.85 2 Contact name: first branch circuit „ _ - - Each add'l branch circuit . 6.65 (p(,561 2 Address: Miscellaneous (service or feeder not Included) City/Stale/ZIP: --- Each manufactured or modular • . 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax:: ( ) Reconnect only • 66.85 2 E p Pump or irrigation circle 53.40 2 � t , ,, „ 1 i +. , , � e , to ,r , rnr t r . v, ,.o iili • r 1� „ti. k i y7 1 i ' 1'oa�a Sign or outline lighting 2 53,40 I;fU Yi i�t!, )} tl . k E f6, �i t L. 1,.,=�..,, 1 E' +.,, tlttlx flaw .,.,. , ,,� a •• -•.. _,.._ r " Signal cireun(s) or limited- Business name: 1 _af J� __ ..J C-- energy panel, alteration, or pp ���y� � � � extension, Describe: Page 2 2 Address: -q e ia wp ,. •_ „ City/State /Z,1P: Each additional inspection over allowable In any of the above 3____ • Per inspection 62.50 Phone: ( ) _ Fax: (5r1) (p t-{ 2.•') 92,5 Investigation per hour (1 hr min) 62.50 Industrial pla per hour 73.75 CCR Lie. E lectrical Lie„ Ali, i 3, c Su v. Lie, : -2 D -7-5 � py �� t ,,, ; + .. � 2i I i ' iEREM ,:° to 4, A,, q r]) "rl�l, u, i „df��,�,i;,t Suprv, Electrician signature, required: ,:,- _ �_ _ Subtotal: q t �. . 1 0 • PAP7 , ,tr M' Plan rev (25% of permit fee): Print name„ tau / . Slate surcharge (12% of permit fee): ',--/. Authorized signature: TOTAL PERMIT FEE; 2 59, 3 . -- — This permit application expires If a permit is not ohtnined within ISO Print name: Date:” 7 -" I � da }'a after it has been accepted ae sample le. • Number of inspections allowed per permit. Permit #:\ S - 1 2O0 0 ) C! V Address: 1, S� '7 0 S \ \ v N�A.,.\ Cl \r- Issued by: Date: �i s') O T Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt 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 1 and 2, and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. ag 2. I 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 my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR • 4 03 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I•change my mind, and hire a general contractor, I will contract with a contractor who is registered with.the CCB and will immediately notify the office issuing this building permit of the name of the contractor. 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. ce.‘ (Signature of permit applicant) (Sign P PP ) ( O (White copy to issuing agency permit file, pink copy to applicant) finforrnation Notice to Property $!$wners About Construction esp®rosilbulotiles Note: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5). If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and areas of concern. EMPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure, you will, in most instances, be ruled to be an employer and the people you hire will be employees. As the employer. you must comply with the following: Oregon's withholding tax law: As an employer, you must withhold income taxes from employee wages atthe time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Oregon Dept. of Revenue at 945 -8091. Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 378 -3524. Workers' compensation insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you may be subject to penalties and will be liable for all claim costs ifone ofyour employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 945 -7888. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even ifyou didn't actually withhold the tax. For more information, call the Internal Revenue Service at 1- 800 -829 -1040. OTHER RESPONSIBILITIES AN** AREAS OF CONCEN: Code compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be re -done. Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor, to coordinate the work ofrough- in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions, write or call the Construction Contractors Board (PO Box 14140. Salem, OR 97309 -5052, 503 /378 - 4621). The Board is located at 700 Summer St. NE Suite 300, in Salem. prop- own.pm4 1/94 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. ' 14 in BUILDING DIVISION TIGARD TRANS.' TAL LETTER i O p..._ P i • TO: ♦ / % w • DATE ,CEIVED: DEPT: B LDING DIVISIO ;7.ECEIVED MAR - 3 L008 c3 FROM: r t 0. id P 0 - CITY ®F 1I0FtR® GUILDINGDIVI'S:ON COMPANY: r PHONE: 5 ( - q k - -( (f% RE: 1 ( Ai ' E L _ I ► A ' �'I 5' 0 ( - 6X) /6 V it , • . ress -� (Permit/Case Number) ®O • (Project name sr su:. ivision naive and of tuber) ATTACHED ARE THE F A LL WIN t� 'EMS: M� 1 Z‘C'`?'' c)N . Copies: 'Description: :. ; Copies: . . De iption: ..:: Co . =. V � • Additional set(s) Ian' . l Revisions: _ , Cross section(s) an det.1 :. Wall bracing and /or IN - . . I .) .i . u l. Floor /roof framing. Basement and retainin . ' k Beam calculations. Engineer's calculations. k < ` Other (explain): , Q REMARKS: 0/ A a , 0' 1 _ • —_A iA MI_ � , --e—w\ . . . : : FOR OFFIC USE ONLY e to Permi T Date: - 3 , ( 41 • 0 g Initials: • Fees Due: X. Y :s n r o Fee Description: Amount Due: • _ - • - • , - rr ` E . $ a 9 ` _ _ $I 0• T $ . X. . . O C. $ Special � •' / / Ins -. 'OHS: \ y Reprint Permit (per PE): le Yes 1 I No '.- Done J' Applicant Notified: Date: Initials: 5 .7`( l: \Building \For ansmittal Letter - Revisions.do • • • This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. III n BUILDING DIVISION TIGARD TRANSMITTAL LETTER TO: 44/ DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JUL 0 2 2008 FROM: .7( 6' 7J CITY OF TIGARD COMPANY: Se .S; BUILDING DIVISION PHONE: .5o L/69 - 13 Bf� RE: (g 0 7C) SC.3 l'Pit//c3 IO S7 - a OCX%' — l o l l (Site Address) (Permit/Case Number) At (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): u, / }A.C. _ REMARKS: r FOR O E ONLY 7 outed to Permit Technician: Date: ?/11 /O Initials/ 'sl -. ees Due: NYes ❑ No Fee Description: • .4111! Due: , - , L $ $ . S•e " s�ctions: Reprint Permit (per PE): 0 0 No ❑ Done e oplicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07 , , ,,, .I'V.',7(V.?-::',7;:ri. 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' .,.'.' • , , i .;,::•,:::.;:.:: ,'. , ,i ,, ; .,, , . :,, -. 1312 SW ., . • l'-)E 97. 1.F.,. „? .;. ; ,• .: C . .,,, i ? - .,.?•. 6;7 • -'.' :,, ..;„,‘'''',,, ••.''••••', ,...; •'-' . ', .' • ,, . ' . • . • • • ' .• ..• .' . . •,. •• ' .. , ., „. ,,, „ .. •'‘• ' •.,:;..,.. -:. .. - .. • ' • ,. .. 1 11 ® Infornetion ®To Build On Engineering a Consulting Testing TESTED FOR: Brian Pautz PROJECT: Pautz Residence 13270 SW Menlor Lane PERMIT NO.: MST 2006 -00104 Tigard, Oregon 97223 PROJECT SITE: 13270 SW Menlor Lane Tigard, Oregon DATE: September 13, 2007 REPORT NO.: 702 - 70061 -13 INSPECTION TYPE(S): Structural Welding, AWS QC1 /ASNT VT (new inspection, at completion, periodic) REMARKS: - - On this -date a PSI representati.ve_was at the.above.:referenced site to perform special inspections as requested or_ required in accordance with job specifications, IBC, and applicable codes. On site to perform visual weld inspection per IBC and AWS codes and approved plans. Performed final weld inspection on HSS to HSS tube steel connections. Tube connections and size of tubes and quantities are as follows: 12" to 12" x 1/2 wall, 10" to 18 ", 10" to 12" tube walls were 1/2" 'and the 10" tube was 3/8" wall. All welds were 1/4" minimum. Reviewed welder certs /WPS's /MTR's. Location of tubes are 2 floor and drawing S -4 and SK -3. *Note: All tubes are oversized S /B' /2" and 5/10" wall, tubes are 1/2" and 3/8" Welds conform to AWS D1.1 code for visual acceptance criteria. Non- conformance: *See note above. To the best of my knowledge, the work was in accordance with the building department approved design drawings, specifications, and applicable workmanship provisions of the IBC. INSPECTOR: H. Andres 11, COP #816, CWI #01110661 Respectfully subnzitted, Professional Service Industries, Inc. ord John Eakrnan Construction Services JE /AW c: City of Tigard, A. Naylor These test/inspection results relate only to the specific lest locations noted. PSI is not responsible for any other location or elevation. Reports may not be reproduced, except in full, without written permission of PSI. 6032 N Cutter Circle, Suite 480 Portland, Oregon 97217 Phone (503) 289 -1778 Fax (503) 289 -1918 { " IP 6032 North Cutter Circle Suite MO " Informatzon Portland,, Oregon 97237 m To Build On 503 2 8 Engineering • Consulting • 7b sting Visual Inspection Report Project: Pautz Residence Date: 09/05/2007 Job #: 702 -70061 Client: Brian Pautz Phone: ICI Job #: 07 -067 Client Address: 13270 SW Mentor Lane- Tigard, OR Permit #: Drawing #: Service: Visual weld inspection Project Address: 13270 SW Mentor Lane — Tigard, OR Inspection Conditions: Dry, slightly overcast Service Location: Jobsite Inspection Detail: Beams Inspection Code: AWS D1.1, IBC Ch 17 Non- Conformances: None noted Remarks: I arrived at the above Iocation`to provide visual welding inspection in accordance with AWS D1.1, IBC Chapter 17, and project requirements. The fabricated materials were delivered to the erection, location and I inspected them. I reviewed the stamped drawings and details. The material certifications were reviewed as was the AWS D1.1 preapproved welding procedure_ The welder was Dennis Brown, C819, approved in FCAW groove and flare bevel welding by Carlson Testing. His certification was current • The beams were numbered 1 through. 8, which corresponds to the approved drawing as 2/S2, 2/S3, 18/S2, and fax SK -1. The welding complies to AWS D1.1:2006 and the approved drawings. FINAL INSPECTION OF STRUCTURAL STEEL IS STILL REQUIRED FOR THIS PROJECT. Inspector Signature: • Pr Print Name: Joseph I. Robinson giAIS � Date: 09/05/07 Certification No: CWI 8105332, COP . 624, B'OA Reviewed by: I _ Print Name: ; gi A GII t It e: 9/45 Corporate Signature: Print Name: + r Date: /y' 7 Position: The above report is submitted for information purposes only and is not considered final until reviewed and signed by PSI Corporate Representative. Page 1 of 1 11 6032 North Cutter Circle Suite 6480 1 In orma Zon Portland, Oregon 97217 . �® To Build On Compressive Strength Test Phone503- 289 -1778 Engineering • Consulting • Testing ASTM C39 -05 Fax:503 289 -1918 Client: Date: Report Number: BRIAN PAUTZ 08/15/07 • 702- 70061 -11 Project: Contractor: . PAUTZ RESIDENCE SYLVAN CONSTRUCTION INC Permits: Material Inspected: MST 2006 -00104 CONCRETE Address: Specimen Type: 13270 SW MENLOR LANE, TIGARD, OREGON • CYLINDER Field ©ata Ji Placement Location: AKXX I(;1 161 FLUUK VVALLb, F'HKIMt I tK UI 13UILUINU (NUK I H SUU f hi ANU VVL5 I b1Ub) FROM 1ST FLOOR TO 4' HIGH OR BOTTOM OF WINDOW Tested By: Supplier: Delivery Ticket # Truck # A. SEATON GLACIER NW 885470 255 Date Placed: Mix Number & Proportions: -- • 08/08/07 _ 3871 ARXX ICF MIX, 10 OF 10 CUBIC YARDS Batch Time: Sample. Time: Cement (lbs.): 7:30 AM 8:45 AM -- Slump (in.): , Water: 8 Batched (gal): -- Added @ job: __ Air Content ( %): Fine Aggregate (lbs.): 4.0 -- Concrete Temp, °F Coarse Aggregate (lbs.): 75 -- Air Temp, °F Admixtures: 67 -- Note: Applicable ASTM Standards unlessotherwise: indicated; Slump C143/C143M -05; Air Content C231- 04;:Temperature C10641C1064M- 05;,Sampling C172 -04 :::::.:.; :: >:a .:. ;:<:`:. .::;: >:: ::;>:;. ;:: :...;;, Labarata rY d : : ' > .:s .: . 9 $ eim�n Size :::Sp�crriert; Gomp.. .....:... . Carom t 'T ei�i . Brea kl . C;ab:Number o (f ?ays) Te t bate. Totaf LDad 0 :::!:iii: . 06.4!:H:::1: q St re ng €Ei (.psi) : `. yp. 07 -2271 A 7 08/15/07 32,155 4.00 12.57 2560 TYPE 2 07 -2271 B 28 09/05/07 53,285 3.99 12.50 4260 TYPE 1 • 07 -2271 C 28 09/05/07 52,615 3.99 12.50 4210 TYPE 1 07 -2271 D HOLD 09/05/07 53,080 3.99 12.50 4250 TYPE 3 • Set If (ix of y): Mix Design Strength (psi): Specified Structural Strength (psi): 1 OF 1 . . 3000 3000 iii Specimens made by PSI rep. ® Specimens delivered by PSI rep. • II Test results comply with specifications ❑ Specimens made by:Architects or ❑ Specimens delivered to PSI laboratory ❑ Test results do not comply with specifications • Contractors rep. C: CITY OF TIGARD, A. NAYLOR • Respectfully Submitted, � Typed By: AW � �/ Tested By: MO These test, results apply only to the specific samples tested and may not represent the entire Mike Ober material.. placement.' Reports may not be reproduced, except in full, without the written permission of PROFESSIONAL SERVICE INDUSTRIES, INC. Construction Services 6032 North Cut Circle 8uite 11480 • - ® / Y Information R of en i,.Oregon 97217 Phona:503- 289.1778 •�e wild O n Engineering • coneuItkrg • 7bering Rroc:503489 -1918 Visual Inspection Report , Project: Pautz Residence Date: 09/04/2007 Job #: 702 -70061 Client: Brian Pautz Phone: ICI Job #: 07 -067 Client Address: 13270 SW Mentor Lane - Tigard, OR Permit #: Drawing #: Service: Visual weld inspection Project Address: 13270 SW Mentor Lane — Tigard, OR Inspection Conditions: Overcast Service Location: Jobsite Inspection Detail: See below Inspection Code: AWS D1.1, IBC Ch 17 Non - Conformances: See below Remarks: r I arrived at the above location to provide visual welding inspection in accordance with AWS D1.1, IBC Chapter 17, and project requirements. Upon arrival, I sought out the construction foreman for directions to the piece(s) requiring inspection. I; was told that the inspection was supposed to have been at the fabrication shop in North Plains. I instructed the foreman to contact the fabricator, have them paint the piece and ship it to the jobsite. I will retum to the jobsite to provide inspection tomorrow. '1 also contacted the PSI scheduling office. FINAL INSPECTION OF-STRUCTURAL STEEL IS STILL REQUIRED FOR THIS PROJECT. Inspector Signatur-. % �' Print Name: Joseph I. Robinson Date: 09/04/07 - Certification No: CWI 8105332, COP 624, OBOA 300 / Reviewed by: -- i e rint Name: Date: //� Certification No: 0 _4 >S \ Hf� ; ;. ccc ---((( Corporate Sig ' ature: Print Name: Position: Date. t 9 /O The above report is submitted for information purposes only and is not considered final until reviewed and signed by PSI Corporate. Representative. Page 1 of 1 N _ te 6032 North Cutter Circle Suite #480 Q lrrforrna ton Portland, Oregon 97217 ® . ., .Tn auali an Phone:503- 289 -1778 Fnijhieerfng'• Consulting • Flkstrng Daily Field Report Fax:503 289 - 1918 CCB Report# 176269 page 1 of 1 Client: Permits: Date: Brian Pautz Residence MST 2006 -00104 08/08/2007_ _ Project Md s: Report Number: 13270 SW Menlor Lane, Tigard, Or 13270 SW Menlor Lane, Tigard, Or 702 -1 or:k — 1 ;Type ofi"Inspection Perforated . , . a' General Contractor: Sylvan construction Inc. Weather: Partly sunny 50 to.60 15 Reinforcing Steel Q Reinforced Concrete ❑ Concrete Forms New Inspection ❑ Re- Inspection ❑ Standby Time: Shotcrete ❑ Structural°Masoary ❑ Other in ag r..at ._ . . ii,l _,e ,• . .4. r Faeld Observations &:Comments g ' • . f. i f p Special Inspection ❑ Continuous E2 Periodic ig Reinforcing Steel was inspected for grade, size, lap length, placement and clearances where applicable Locations) /Item(s): 1st floor budding ;perimeter ARXX ICF walls.:' Reinforcing steel,: embeds, and, concrete :Referenced- Details /Drawin g--: — Approved p 9 A roved lans,- floor=framin &-notes S :1 and on S.-2 - - — Psi was in this Job site on the above date to provide special inspection of reinforced concrete for 1st floor to the 2nd floor walls. , Reinforcing steel was inspected and found :to be in general compliance with the above mentioned plans and details. Obtained a fresh sample ;from the first truck and performed property tests then cast 4 cylinders for compressive • strength tests. Cylinders were left on site ovenmightin a cooler. Approximately 43 cubic yards placed and consolidated. No exceptions taken Non- conformance : # 14 . �� X �� 7 -J r rt�t���,v .,' u r .e ("�: �� } S � - ,. ._ :SY ;. ss, ` ` ..f< 4 ... _-., . ". cr, I R _;' :. _.., ' � . � us'Mate . s Data. - 7�` � - - r - . Cont inued :Cem Concrete. Shotcrete: • Grout: Mortar Supplier: Mix Des n # , Design Strength (psi) Specified Strength (psi): (F'c) Fm Glacier NW 3871 ARXX Mix 3000 ,_ 1 3000 Number Quantity Tested/ 3 %'Air, " M e�uol` Placed " . nr `. tcF' � Specimens Ticket # Batch Time, Time Unloaded (Yd -) Sl ump (in.) cC� — °" 't 1 4ea 885470 7:30am 9:10am 10 of•10 cy 8.00 4.0 %. • 75 67 2 3 4 Location(s): Be specific. include elevations & grimes. DO NOT include entire inspection location 1 ARXX ICF 1st floor walls north, south, & west°wa lls from 1st floor to 4' high. 2 3 . 4 • Tb the,best.of my knowledge, the work inspected' above was in accordance with the buikiing.department approved design drawings, specifications and applicable workmanship provisions of the International Building Code except as noted: ❑ Non - Compliance ❑ Requires Engineers Acceptance (RFI) ❑ Reinspection Required Inspector (orintl: Review Alfred N. ,Seaton I ID N umber COP 664 / OBOA 320 Inspector Signatur , ( // Jobsite Representative Signature: \ rk e: , t , Information • - �, ®To Build On '� Engineering o Consulting o Testing DAILY FIELD REPORT TESTED FOR: Brian Pautz PROJECT: Pautz Residence 13270 SW Mentor Lane Tigard, Oregon 97223 • PERMIT NO: MST 2006 -00104 PROJECT SITE: 13270 SW Mentor Lane DATE: August 9, 2007 Tigard, Oregon OUR REPORT NO.: 702 - 70061 -10 INSPECTOR: E. Hart TYPE OF INSPECTION BEING PERFORMED SOILS X CONCRETE Foundations /Including Piling _ Batch Plant Controlled Fill (Compaction) _ Placement (Job Site) Soil / Material Sampling X Specimen Transport • _ Shotcrete ASPHALT Batch Plant Pre /Post Tensioning Placement (Job Site) OTHER REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT "WRITTEN >PERMISSION BY PSI, INC. BRIEF RESUME OF WORK ACCOMPLISHED THIS DATE: On this date a PSI representative was at the above referenced site to pick up specimens and transport them to the PSI Portland laboratory for curing and compressive strength determination. J E /AW Respectfully' submitted, c: City of Tigard, A. Naylor PROFESSI AL SERVI IIIV USTRIES, INC. o COnSf Eakman rLlctlon Services 6032 N Cutter Circle -Suite 480 • Portland, OR 97217 • Phone: 503/289 -1778 • Fax 503/289 -1918 r � : ; I n f o 4i, on . T o Buld O Engineering o Consulting . Testing TESTED FOR: Brian Pautz PROJECT: Pautz Residence 13270 SW Menlor Lane PERMIT NO.: MST 2006 -00104 Tigard, Oregon 97223 PROJECT SITE: 13270 SW Menlor Lane Tigard, Oregon DATE: June 19, 2007 REPORT NO.: 702- 70061 -8 INSPECTION TYPE(S): Welding/Bolting REMARKS: On this date a PSI representative' was at the above referenced site to perform special inspections as requested or required in accordance with job specifications, IBC, and applicable codes. _ PSI representative was on site as requested. Checked TS column per details as stamped by Jamie Lim structural engineer #7449. Checked (7) columns to drawings provided and found them to be in conformance with those drawings. No piece marks were available. Welds were''A" and of good quality. Checked welder qualifications for Dennis Brown (Carlson Certification #C819). Mill certifications were provided. To the best of my knowledge, the work was in accordance with the building department approved design drawings, specifications, and applicable workmanship provisions of the IBC. INSPECTOR: P. Matera, CWI 02030511 Respectfully submitted, Profess', nal Service Ind ries, Inc. J; /zn Eakman onstruction Services • • • JE /jb c: City of Tigard, A. Naylor These test /inspection results relate only lo the specific test locations noted. PSI is not responsible for any other location or elevation. Reports may not be reproduced, except in f dl, without written permission of PSI. 6032 N Cutter Circle, Suite 480 Portland, Oregon 97217 Phone (503) 289 -1778 Fax (503) 289 -1918 ® • 6032 North Cur Circle Suite 8480 Information Cutter e P r Ci Suit 97217 ..° pp To Build On Comressive. Strength Test _ 1' b Phone:503- 289 -1778 Engineering • Consulting • Testing ASTM "C39 -05 Fax:503-289 - 1918 Client: Date: Report Number: BRIAN PAUTZ 05/25/07 702- 70061 -6 Project: Contractor: PAUTZ RESIDENCE SYLVAN CONSTRUCTION INC Permits: Material `Inspected: MST 2006- 00104 CONCRETE Address: Specimen Type: 13270 SW MENLOR LANE, TIGARD, OREGON CYLINDER Recd Data... ......... Placement Location: ARXX ICF BASEMENT WALLS PERIMETER OF BUILDING (NORTH, SOUTH, AND WEST SIDES) FROM FOOITNG TO 4' HIGH OR BOTTOM OF WINDOW Tested,By: Supplier: Delivery Ticket # Truck # • . A. SEATON GLACIER 905388 . 220 Date Placed: Mix Number & Proportions: 05/18/07 3871 ARXX ICF MIX, 10 CUBIC YARDS Batch Time: Sample Time: Cement (lbs.): 8:45 AM _ 9:20AM_ Slump (in.): Water: 6 Batched (gal): -- Added @ job: -_ Air Content ( %): Fine Aggregate (lbs.): 4.5 -- Concrete Temp, ° F Coarse Aggregate (lbs.): 73 -- Air Temp, ° F Admixtures: 59 -- Note: Applicable ASTM unless otherwise indicated:. Slump•C143 /C143M -05; Air Content C231 -04; Temperature C1064/C1064M -05. Sampling C172 -04 •Laborat:o Data :. Test;R e, S ecimen Size S admen Comp essive : tr.10 . i T e tit Breakl arnrrlents .`l:ab Number. ::: p.:: (€) ay5) , Test ©ate: � Total Lead ((fis:) .... Area (:Sq in;) Str� . 9Th (ps) 07 -1405 A 7 05/25/07 81,705 5.98 28.09 2910 TYPE 2 . 07 -1405 B 28 06/15/07 123,425 5.99 28.18 4380 TYPE 2 07 -1405 C 28 06/15/07 125,220 5.98 28.09 4460 TYPE 5 07 -1405 D HOLD .. J . Set # (x of y): Mix Design Strength (psi): Specified Structural Strength (psi): 1 OF 1 . 3000 3000 . Specimens :made by PSI rep. ® Specimens delivered by PSI rep. .. • Test results comply with specifications Specimens.rnade by Architects or ❑ Specimens delivered to PSI laboratory Test results do not comply with specifications Contractoi's rep. C: • CITY OF TIGARD, A. NAYLOR Respectfully Submitted,. /777/. - Typed By: JB Tested By: MO These testresults apply only.to the specific samples tested and may not represent the entire Mike Ober material, placement:, Reports may not be reproduced, except in full, without the written permission of PROFESSIONAL SERVICE INDUSTRIES, INC. Construction Services • - . • 6032 North Cutter Circle Suite #480 ;� Information Portland, Oregon 97217 To Build On Compressive Strength Test Phone:503- 289 -1778 Engineering • Consulting .Testing ASTM C39 -05 Fax:503- 289 -1918 Client: Date: Report, Number: BRIAN PAUTZ 05/25/07 702- 70061 -6 Project: Contractor: PAUTZ RESIDENCE SYLVAN CONSTRUCTION INC Permits: Material Inspected: MST 2006 -00104 CONCRETE Address: Specimen Type: 13270 SW MENLOR LANE, TIGARD, OREGON CYLINDER Placement Location: ARXX ICF BASEMENT WALLS PERIMETER OF BUILDING (NORTH, SOUTH, AND WEST SIDES) FROM FOOITNG TO 4' HIGH OR BOTTOM OF WINDOW Tested - By: Supplier: Delivery Ticket # Truck # A. •SEATON GLACIER 905388 220 Date Placed: Mix Number & Proportions: 05/18/07 3871 ARXX ICF MIX, 10 CUBIC YARDS Batch Time: Sample Time: Cement (lbs.): 8:45 A 9:20 AM — _ Slump (in.): Water: 6 Batched (gap: -- Added @ job: Air Content ( %): Fine Aggregate (lbs.): 4.5 -- ConcreteTemp, ° F Coarse Aggregate (lbs.): 73 -- Air Temp, ° F Admixtures: 59 -- Note: Applicable ASTM Standards. unless otherwise indicated:. Slump C143/C143M -05; Air Content C231 -04; Temperature C1064IC1064M -05: Sampling C172 -04 Laboratory Data Test Age Specimen Sixe .Specimen :' Oompressfve Lab Number f o (€3a Test €3ate; ..:Total l gad (Ibs.) (In) Area (4.4 :!:!0 Type of Break/ Comments 07 -1405 A 05/25/07 81,705 5.98 28.09 910 TYPE 2 07 -1405 B 28 06/15/07 07 -1405. C 28 06/15/07 07 -1405 D HOLD Set # (x of y): Mix Design Strength (psi): Specified Structural Strength (psi): 1 OF 1 3000 000 © Specimens made by PSI rep. © Specimens•delivered by PSI rep. ❑ Test results co pecifications El Specimens made by Architects or ❑ Specimens delivered to PSI laboratory ❑ Test results do not comply with specifications Contractors .rep. C: • CITY OF TIGARD, A. NAYLOR Respectfully Submitted, • Typed By: JB d Tested By: MO These'test,results only to the specific samples tested and may not represent the entire Mike Ober material placement. Reports may not be reproduced, except in full, without the written permission of PROFESSIONAL SERVICE INDUSTRIES, INC. Construction Services Information ii fo Build On Engineering • Consulting • Testing DAILY FIELD REPORT TESTED FOR: Brian Pautz PROJECT: Pautz Residence 13270 SW Mentor Lane Tigard, Oregon 97223 PERMIT NO: MST 2006 -00104 PROJECT SITE: 13270 SW Mentor Lane DATE: May 19, 2007 Tigard, Oregon OUR REPORT NO.: 702 - 70061 -5 INSPECTOR: A. Supp TYPE OF INSPECTION BEING PERFORMED SOILS X CONCRETE _ Foundations /Including Piling _ Batch Plant Controlled Fill (Compaction) _ Placement (Job Site) Soil / Material Sampling X Specimen Transport Shotcrete ASPHALT Batch Plant _ Pre /Post Tensioning _ Placement (Job Site) OTHER REPORTS; MAY NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT WRITTEN PERMISSION BY PSI, INC. BRIEF RESUME OF WORK ACCOMPLISHED THIS DATE: On this date a PSI representative was at the above referenced site to pick up specimens and transport them to the PSI Portland laboratory for curing and compressive strength determination. JE /jb Respectfu ly submitted, c: City of Tigard, A. Naylor PROFE: • I •NAL SERV 0 .v , DUSTRIES, INC. Jo Eakman instruction Services 6032 N Cutter Circle -Suite 480 • Portland, OR 97217 • Phone: 503/289 -1778 • Fax: 503/289 -1918 - / o �Q • 6032 North Cutter Circle Suite #480 4r •. - ^� ` Portland, Oregon 97217 1 1 ° 7 ' 4 .. L [) Build On 1 Phone:503- 289 -1778 Englneerfng • Consulting '• Testing l Daily Meld Report • Fax:503 289 - 1918 age 1 of 1 'Client: Permits: ate: Brian Pautz Residence MST 2006 -00104 05/18/2007 Project: Address: Report Number: 13270 SW Menlor Lane, Tigard, Or 13270 SW Menlor Lane, Tigard, Or 702 -70061 -4 TypeaoPI 'nipectton`Perfomed..M"`', General Contractor: Sylvan construction Inc: Weather: Partly sunny 50 to 60 el Reinforcing Steel El Reinforced Concrete ❑ Concrete Forms New Inspection ❑ Re- Inspection ❑ Standby Time: ❑ Shotcrete ❑ Structural Masonry ❑ Other Y r �� ki ^> 5. e ';`#�,"i o-s a xDE . j „ f .xt "� _ • ® Special Inspection ❑ Continuous ei Periodic E Reinforcing Steel was inspected for grade, size, lap length, placement and clearances where applicable Location(s) /Item(s): Basement Building perimeter ARXX ICF walls. Reinforcing steel, embeds, and concrete Referenced Details /Drawings: Approved plans, floor framing & notes on S.1 and Details on S.5 Psi was in this Job site as requested to provide special inspection of reinforced concrete for basement walls. Reinforcing steel and embeds were inspected and found to be in general compliance with the above mentioned plans and details. Obtained a fresh sample from the first truck and performed property tests then cast 4 cylinders for compressive strength tests. Cylinders were left on site overnight in a cooler. Approximately 51.5 cubic yards placed and consolidated. No exceptions taken • Non- conformance.: # 14 . - 7' - ., ' ���.0 gn .�,�awiir; 2 <, ��5 :�, '� N "a7a'"t .. #"',�8�•as ,!}?,'I.k�.'%'�'fPw�, f 4� °:+` s 3 v " xi+ �t•x { Stie g :�; i ,� t ro t , : • ' � r �. sue. z tt a 4 + ,Cemen I us -M_ at s:Data<. I� l c =s; :a a y G bn • Concrete: Shotcrete: Grout: Mortar: Supplier: Mix Design # Design Strength (psi) Specified Strength (psi): (Pc) Pm Ross Islands 3011B 3000 3000 Number Quantity Tested / Specimens Ticket # Batch Time Time Unloaded Placed (Yd Slump (in.) % Air Material eF) Ambient pF) _ 1 4ea 905388 8:45am 9:55am 10 of 10 cy 6" 1.5% 73 59 _ 2 3, 4 Location(s): Be specific. Include elevations & gridlines. DO NOT include entire inspection location 1 ARXX ICF basement walls north, south, & west walls from footings to 4' high. 2 4., To the best of my knowledge, the work inspected above was in accordance with the building department approved'design drawings, specifications and applicable workmanship•provisions of the,nternational Building Code except as noted: ❑ Non - Compliance ❑ Requires Engineers Acceptance (RFI) ❑ Reinspection Required Inspector ( N. Seaton ID Number COP 664 / OBOA 320 Reviewed Inspector Signature: Jobsite Representative Signature: 1 Infor7ion .To Build on Engineering o Consulting o Testing TESTED FOR: Brian Pautz PROJECT: Pautz Residence 13270 SW Menlor Lane PERMIT NO.: MST 2006 -00104 Tigard, Oregon 97223 PROJECT SITE: 13270 SW Menlor Lane Tigard, Oregon DATE: May 2, 2007 REPORT NO.: 702- 70061 -2 INSPECTION TYPE(S): Reinforced Concrete REMARKS: On this date a PSI representative was at the above referenced site to perform special inspections as requested or required in accordance with job specifications, IBC, and applicable codes. Reinforcing steel was inspected for grade, size, lap length, placement, and clearances where applicable. PSI representative was on site as requested. Inspection of rebar and concrete placement at ARXX foam concrete form system. Elevation and location: East wall first lift up to 7' north wall 7' :lift stopping at beginning of retaining wall. Small portion of garage front wall also placed. Rebar found in conformance with details on page S.5 1, 2, 4, and 5. The system listing is ARXXNER 685. An engineer designed mix. ARXX from Glacier concrete 3500 psi was used. A total of 11 yards was placed by pump. Concrete consolidated by tamping and placed in three lifts. Work found in general conformance with approved plans. Today's inspection only at ECFAARX walls. Grade 60 A615 rebar was used and placed on existing footings previously poured. SUPPLIER: MIX DESIGN #: DESIGN STRENGTH (psi): SPECIFIED STRENGTH (psi): F'c F'm Glacier ARXX I CF 3500 3500 Note: Applicable ASTM Standards unless otherwise indicated: Slump C143 -00; Air Content 0231 -04; Temperature C1064- 88(03); Sampling C172 -04 QUANTITY SET NUMBER OF BATCH TIME SLUMP % MATERIAL AMBIENT # SPECIMENS TICKET ti TIME UNLOADED TESTEDI ( In.) AIR PLACED (Yd (F ") (r) 4 877353 11:45 am 2:00 pm 9 5.25 4.1 58 48 LOCATION(S): 1 Placed first lift east wall To the best of my knowledge, the work was in accordance with the building department approved design drawings, specifications, and applicable workmanship provisions of the IBC: INSPECTOR: J. Adams, COP 766 Respectfully submitted, Professional Service Ind • ries, Inc. J' n Eakman Construction Services 1E /jb c: City of Tigard, A. Naylor These lest/inspection results relate only to the specific test locations noted. PSI is not responsible for any other location or elevation. Reports may not be reproduced, except in full, without written permission of PSI. 6032 N Cutter Circle, Suite 480 Portland, Oregon 97217 Phone (503) 289 -1778 Fax (503) 289 -1918 • • 6032 Nort Cutter Circle Suite #480 ® Information Portland, Oregon 97217 To Build On Compressive Strength Test Phone:503 -289 -1778 Engineering • Consulting • Testing ASTM C39/C39M -04a Fax 503 289 - 1918 Client: Date: Report Number: BRIAN PAUTZ 02/09/07 _ 702- 70061 -3 Project: Contractor: PAUTZ RESIDENCE -- Permits: Material Inspected: MST2006 -00104 CONCRETE Address: Specimen Type: 13270 SW MENLOR LANE, TIGARD, OREGON CYLINDER Placement Location: FIRST LIFT EAST WALL Tested By: Supplier: Delivery Ticket # Truck # J. ADAMS GLACIER 877 -353 -- Date Placed: Mix Number & Proportions: -- ARXXICF Batch Time: Sample Time: Cement (lbs'.): 11 :45 AM -- -- Slump (in.): Water: 5.25 Batched (gal): -- Added @ job: Air Content ( ° /p): Fine Aggregate(Ibs.): 4.1 -- Concrete Temp, ° F Coarse Aggregate (lbs.): 58 -- Air Temp, ° F Admixtures: 48 -- Note: Applicable ASTM Standards unless otherwise indicated: Stump C143/C143M -05', Air Content C231 -04• ' ,Temperature C10641C1064M -05; Sampling C172 -04 vi :::::: 0 -A e � S pec;Trte 9 gth . (8...) :.: E :., a :t . , Caiiim n A - I Steen t s p eak! a " a( Llaii :�' i i ii::it1i rea S ........9.. .. ... ........_ . ............._................ 07 -0411 A 02/09/07 38,710 4.02 12.69 30 TYPE 2 07-0411 B _28 03/02/07 69,455 4.00 12.57 5530 TYPE 2 07 -0411 C 28 03/02/07 67,400 4.00 12.57 5360 TYPE 2 07 -0411 D HOLD Set # (x of y): Mix Design Strength (psi): Specified. Structural Strength 1 OF 1 .3500 3500 El Specimens made by PSI rep. II Specimens delivered by PSI rep. Test results comply wit sph ecifiications ❑ Specimens made by Architects or ❑ Specimens delivered to PSI laboratory ❑ Test results do not comply with specifications Contractors rep. C: Respectfully Submitted, Typed By: JB //X Tested By: MO These .test results apply only to the specific samples tested and may not represent the entire Mike Ober material' placement. Reports may not be reproduced, except in full, without the written permission ofPROFESSIONAL SERVICE INDUSTRIES, INC. Construction Services N ot d el By Informatic • To Build On • Engineering • Consulting • Testing DAILY FIELD REPORT TESTED FOR: Brian Pautz PROJECT: Pautz Residence 13270 SW Mentor Lane - Tigard, Oregon 97223 PERMIT NO: MST 2006 -00104 PROJECT SITE: 13270 SW Mentor Lane DATE: February 7, 2007 Tigard, Oregon OUR REPORT NO.: 702 - 70061 -1 • INSPECTOR: R. Swenson TYPE OF INSPECTION BEING PERFORMED SOILS X CONCRETE Foundations /Including Piling _ Batch Plant Controlled Fill (Compaction) • _ Placement (Job Site) _ Soil / Material Sampling X Specimen Transport • Shotcrete ASPHALT Batch Plant _ Pre /Post Tensioning Placement (Job Site) OTHER REPORTS MAY NOT BE REPRODUCED, EXCEPT IN • FULL, WITHOUT WRITTEN PERMISSION BY PSI, INC. BRIEFRESUMEOF WORK ACCOMPLISHED THIS DATE: On this date a PSI representative was at the above referenced site to pick up specimens and transport there to the PSI Portland laboratory for curing and compressive strength determination. JE /jb Respectfully submitted, c: City of Tigard, A. Naylor PROFES oNAL SERVIC ;.PUSTRIES, INC. John akman • . Co struction Services 6032 N Cutter Circle -Suite 480 • Portland, OR 97217 • Phone: 503/289 -1778 Fax: 503/289 -1918 • : ® % 10 , 7oO7 Sorensen Plumbing 19010 SW Bonnie Meadow Lane Aloha, OR 97006 City of Tigard — Building Department . To Whom it may concern: As requested by a building inspector, this is to indemnify and hold harmless the City of Tigard and the building department and Sorensen Plumbing with regards to the tankless water heater that supports 3 bathroom showers at the residence located at 13270 NW Menlor Lane. The temperature is set at 118 degrees and will be maintained`at a safe temperature. Pau - sen GAO 503 - 522 -2052 MST 2006 -00104 • 0410 16:12 (FAX) P.0011001 i wd. f ► . . • City of Tigard - Building Department . To whom it may concern: As requested by a building inspector, this is to indemnify and hold harmless the City of Tigard and the building department with regards to the tankless water heater that supports 3 bathroom showers at the residence located at 13270 NW Nienlor lane. The temperature is set at 118 degrees and will be maintained at a safe temperature. Bri utz -tea 503 -969 -8448 r� 5T -oo11)4 • • r ---;-,_;.--- - ----i----- , t . -------.:,„:.... - - - - -,,,,,,„ ...r - - trA4-:-. ";,.-....:,,;-■:-, - ‘.,...."':. .•.'c' , ; 1 ''':. .7..f," ;;..... ' .! A - : , -V' ''''''''---"''''' -r ;.,_ Am i. -•-• .' t 'l • ,,,e": b. ' ''. .PER fosg„...4,-,,,,,,,, .. --,,,,,,,,,, . • ,, ,. : . Cl eanWater . Serv Our com.mi•inicirt is clear. LOT • .. - • ' • . .EROSION CONTROL INSPECTION REPORT -.., . - DATE 9„609F INSPECTOR )8,.',/,th! 7:.:,.. -SUBDIVISION \ 774 • • OWNER/PERMITEE /4 ',,,. ....., 2;141, £4 ....,. - _,..._ • . .... . SITE DDRESS ,,/ Q ,_e) Iee) V e." .) ..:, ,. ./...- f..-• • L ,ga. 4 tr:; • • ...../k.00‘ i +-.' "" ■•••' / i •-- .-t' ‘...■•• , ' '' '; `- f :4," 7,:" .■, I .4 Vii . H ; T't • :'„ ' ,V '' li.itL f ' ..?''''''' . \ '''-', / ,i,. 4. -?':•..- 414,: , ••,,,- , . - 3. - 0 • ‘tk :,,, ■ , _,jr r , -; , 4!.k,"' . ' - • ' 4 . . ': . . , ' '•'.. '- ' . .r t PT • X ,:>••• , , . . ,..... , ' ,A, ' ,.,. •: • % ,„ ,: . f . ; .. : • - • , . F.fg ,„,. 1 , • ' ., . . ' ;i,"' - 3 , - i', , . ' ,,.. : .%-, ,,y, 3 _ .. • '' ".1, Gf. - st' '--, ..... - , . . • . -.. . . . . . . . . . . • : T HI S SITE MEETS THE POST-CONSTRUCTI•A . . ..... . . • EROSION CONTROLREQUIREMENTS SET FORTH IN CLEAN WATER SERVICES • . -RESOLUTION AND ORDER • . NOTE: IF POST-CONSTRUCTION EROSION CONTROL.MEASURES ARE STILL BEING • EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, • 0 - THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE 'ORPERMANENT GROUND COVER IS ESTABLISHED. , • ,, • „ • A COPY OF Tilk EROSION CONTROL INSPECTION ,REPORT MUST BE • ' FORWARDED TO THE NEW OWNER,-AT WHICH.TIME'NEW OWNER ASSUMES . , ' • , THE RESPONSIBILITY FOR MAINTENANCE,REPAIR AND REMOVAL. • OTHE-R . • ._ • . .. :., ' • , THANK YOU FOR YOUR COOPERATION! . . • . • - INSPECTOR 7f. 6/ ,---//7---- - PHONE -------- /..'. , . , _;.,:::.:•::, r - , • CITY' Of TIGAR 110. . . . . / , 40 - BUILDING DIVISION , / _ PERMIT #: MST2006 -00104 13125 SW' Hall Blvd., , Tigard, OR 9 IU I DATE ISSUED` 9, 1120 Phone: (503) `,639 4171 %/�mN�4� ° • i , - Inspection Requests (24 Hrs.): (503) 639-4175 . I I ' tr INSPECTION WORKSHEET FOR . DATE: , 12/W2O68 . TIME: 7:"00AM r PAGE: 5 SITE ADDRESS: 13270 SW1v1ENLOR LN CLASS OF WORK: SUBDIVISION LOT #: TYPE OF USE : 'PROJECT NAME: PAUTZ DESCRIPTION:. New SF.3.21.08- 'Spriniders approved as Rev.. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS, (2) TOILETS & (1) SHOWER STALL. 7/710B, ADDING (2) FEEDERS AND (10) OWNER: PAUTZ, BRIAN PHONE #: 503. 969.8448 • • CONTRACTOR: OWNER PHONE #: Inspection Request.Seheduled For: • Date: 12 /8TP008 ' , Pour Time: - • Code # Inspection Description • . Confirm # . Contact # • Me- • age . 295 Mii c. inspection , 078863 -01 603-969-8448 Y ' Cor %Comments /instructions: • ' • PA PARTIAL APPROVAL 0 CANCEL 17 NO ACCESS FAIL • H CALL FOR INSPECTION l ADDITIONAL FEES ASSESSED: � --- :�' Inspector: Date: / Phone #: (503) 718 - CITY OF TIGARRD ill / • • BUILDING DIVISION - PERMIT #:. MST200&.00104 13125 SW ,Hall Blvd.,,Tigard, OR 97223 DATE ISSUED: 2i /200 • Phone: (503) 639 -4171 hu�wr IC Inspection Requests (24 Hrs.):, (503) 639-4175 --�°+- . INSPECTION WORKSHEET'FOR DATE: 7/1 TIME 7 :00AM PAGE: 5 SITE ADDRESS: • 13270 SWMENLOR LN CLASS OF WORK: SUBDIVISION: LOT; #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: 1 New SF.3.21.08• Sprinklers approved:askRev: 3125/08, ADDING (1).DOG WASH, (1) LAUNDRY SINK, (2) LAYS, (2) TOILETS &(1) SHOWER STALL. 7/7/08, ADDING (2) FEEDERS AND (10) OWNER: 'PAUT.7,ERI N PHONE #: 503^969:844B CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled' For: Date: 7/16/2008 Pour Time: Code # Inspection Description • Confirm # Contact # Message 320 piumbing. -in 072731 -02 503 -969 -8448 Y Corrections /Comments /Instructions: • • _ _ • . _ _ _ . • ®® SS PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS • , n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector Date :7A 61 Phone #. (503) 718 .._ ,.....„ . ... , . . CITY OF TIGARD • BUILDING DIVISION PE 1-3125 SW Hall Blvd., Tigard, OR 97223 A ,! DATE ISSUED: l, 9/21/2006 Phone: (503) 639-4171 ,..4. „ l ...L. Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME 7:01AM, PAGE: 56 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: • • PROJECT NAME PAUTZ DESCRIPTION: New SF.3.21.08 Sprinklers approved as Rev. 3/25108, ADDING (1) DOG WASH, (1) LAUNDRY SINK. (2) LAYS, (2) TOILETS & (1) SHOWER STALL. OWNER: PAUTZ, BRIAN . PHONE #: 503-969-8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: • Date: 6/13/2008 Pour Time • Code # ` (2 ection Description Confirm # Contact # Message ) 9Frs 330 Water Service 071311-01 503-969-8448 N Corrections/Comments/1n tructio s: ..ge i , el ' • , . V t -A--- -Z. ' • ' • , , . • , • 1 _ , , _At...ti . I - 4 ■ 1 • • t • ib_ -s ' _A A Al _ 0 g - • . . • . II t ' . SS • - E PARTIAL APPROVAL fl CANCEL fl NO ACCESS n FAIL I I CALL FOR INSPECTION E ,ADDITIONAL FEES ASSESSED - .20 • Inspector: W, •(PI/ Date: A Phone #: (503) 718-- i CITY .OFTIGARD a e_,.. ,- ,... , BUILDING ;DIVISION ww PERMIT #: MS1200 00'iO4 LOup dl a Phone: (503 639 4171 � i � ' 13125 SW Hall Blvd., Tigard', .OR 97223 TE .ISSUED: 9/21/2006 , 5 - Inspection, Requests (24 Hrs.): (503) 639 -4175 __ . INSPECTION `WORKSHEET FOR DATE: 614/2008- TIME ::. 7 : :01AM ' PAGE: 7 SITE ADDRESS :, 13270 "WMENLOR LN CLASS OF WORKS SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: PAUTZ DESCRIPTION: NNem.SF.3.21.08- Sprinklers 'approv"ed as Rev: 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK (2) LAYS, (2) TOILETS & (1) SHOWER STALL. - OWNER: 1B1 PHONE #: 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: • Date: 6/4/2008 - Pour Time : Code # . Inspection ;Description ,Confirm # ' Contact # Message 305 , , It ` - _ 070855 -01 503 -522 -2052 N ' VZiN4L- Corre i(:l ' ,K ;omrrments /Instruction U/ i 1 bJ 15L7-(76(( - ' C " S `- d -4 90,-60-, Ct/ f ir) S_ tAr ("J a l?, . ( vir6ile_ ,c1/4J--Pt-r --PO ' dAt- ' k' A-12-5-6(.4,t e t/ , 4 -- 2A /V ( - . Ytitq,-v/' - `- S 5 - -, C (ltA A Gam-• - , -- 1 C■ka-C) , _ T 0? ' ' ec A }_....., a 5 r i • r �. v ' - - , . . \ - t j4■1 A--Q-C& u b . PASS • I 1 PARTIAL APPROVAL NCEL ❑ NO ACCESS V FAIL n C ALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED 6 ' / 7. 2 \InsPector; VtA Date: / 4 / P hone #: 503 71.8 - I _, 3 �� -. " / 3 / .\ F (/ L., 5 , 5 - '. • 3 3 LAS .. hc S ,y r i I ( -7 7 1__________o 1... IT ►.S v ...) / s ( w y . Ei 14 * IP D-2-9,5" LAS 0 --___ LAv C 1 .5.1 f / [ 1 ` c ZJ T 1 ro•s t ---- Y° L-t 311 t LJ t t1 L•-) N 7 :— . • • 7 7: cr.`:-P • 3 3 ,........) 7- -- N ',...... -.1 1...1 r)t> (lb us • •C ,/' sl. , rq 9 c,c_A ,,,, j • ', rd I . \ ....,_ - : L , , c _ , er c' r c Fl 77:. "r1 . (IL: r 0 ( ..r.r.. , 1 - '1 1 I.2 1 1"1 0 1°11 i l l 1 v r T4 \ 1 1 0 1 — i `r1 1 i 1 e") : 44 ■ ),„:7- lio 0 1 -- 0 7 -A- V . . Building Codes Division 0 Department of Consumer and Business Services • State of Oregon 1535 Edgewater NW Salem, Oregon • PO Box 14470 Salem, OR 97309-0404 ;... - •r‘. 503-378-4133 0 TTY 503-373-1358 0 Fax 503-378-2322 0 bcd.oregon.gov !ii'? Rick Bolen From: Brian Pautz [ccm @mrdata2000.com] Sent: Friday, June 06, 2008 2:18 PM To: Rick Bolen Subject: FW: Permit Attachments: PAUTZ PERMITS0001.pdf Rick B. Here are the documents validating our sand filter and septic approvals. I have cut out the yard hydrant from the main line as well. We are going to call for fire sprinkler followup inspection this Monday. Can finalize the outside plumbing issues then too? Brian Pautz 13270 SW Menlor Lane MST2006DD -00104 503- 969 -848 Thanks for all your help. This process has been long, tedious and even a bit scary for me at times. You have been very kind and helpful. Forwarded Message From: Rick Jonas < aaffordablesepticservice @yahoo.com> Date: Thu, 5 Jun 2008 16:22:41 -0700 (PDT) To: <ccm @mrdata2000.com> Subject: Permit Dear Mr. Pautz, Please see the attached permit from Washington County. I have scanned all the documents that were attached to the permit as well. Please let me know if you need anything else. Thank you, Ashley Bevell A- Affordable Septic Service, LLC (503) 682 -1929 End of Forwarded Message 1 'WASHINGTON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL HEALTH AND SANITATION 155' - .1N. First Avenue, Suite 200, MS 5 Hillsboro, Oregon 97124 (503) 846-8722 CR. #: , • Tax Map it: Road Narne: .2 i - PERMIT .,, , El. NeW COMOUCti011 ( i j Repair ( Major, Minor ) - D Alteration ( Major, Minor) 0 An On-Site Sewage Disposal Permit is is I sued to: for a period of one-ear from the date issued. (This Permit is NOT transferable) Alt epic SyStenns Must be installed as :indicated on the approved plot plan. If any changes are . . anheipated, a revised plot plan must be submitted to ,the Washington County'Departinent of Health ilk and Human Services -for approval. The is part of the pettnit. Before a drainfield can be backfilled, a pre-cover inspection must be made. The inspection will be made within 7 working days after his requested. i, — i , ,' i h , Date Issued: 1 I ;;,::::5;, i '-,--' ''''-' J / ,./-,;, / i :, t k,,,, . .,.. . : ., ironmental Health Specialist I ; :11WIIIVAIIIIM . ' < . , 0 • CM f ,P .4 i 1 0 1 7 ,-VoiCed 7/0,.,.„4 /co ' ;' .. . . „. „ ,..„ -..„ \../ -----? \ 041, /471e 6 „coo /Z co, c..-,-.k . C.:,-,r -, ‘" , e74 • ( , I / - 4-5 / 7 P"'" 1 / e ' V/140 .1- i h*4 rt;e• IV -. - 1 r 0 on ci 944E4 4-4,- ?-cese-1.) -47i-1111 2" l'> 5 Z 4 /0 _ 1. )- 5 ' ',.11,t, L57-:/2' p 5 ,c. A,. ._.,-:.---. 2 0 '-vc le ' „s' C ../ ir,„.....a/ L 6 (.04-o4n,,, .4--).- • -- , i . ,.., ,.,„, • 4 a ee et il ( 4, - 1 - be (e[ 0 noli‘siv ,, 1), E/.. / 5.sii. .-51 ,,,,,?* " WA i GPV T IV er,i9EGC(4.61;,,, i Ji .,....... -,.....--,,,,,,.....„--..........., Location, depth, 4: arrangement of attparts of tts4 6, 0 r?4 individual septic tank s, (inducting distribution - ( .'' box & subsurface lim) will conioan to details sh 13 i own ..G on this piot plan. Any 'deviation from plan as here ,/, .1 -: /6 6,,,, S!)004 must be apptoved by the Department of Health /1\ Htirnag Services in writing in advance of installation. Faftdre on O.:',e eart 01 tile agent or owner to comply ( wiM Mese recuirements voids any obHgation iOr ( Depatiment appwai 01. the Iinittect system. S S )0/(,), -- )'- 1,91,20/ 1 i „,.. ./4A 4 ...-;,‘"/.., S e ',6 2.<'4 i i' ,JorrA s — ?h se"...-- 5/,s 2.;'6 /7,30 C,),./_se, , 0/...? Y 76 — — — --- i-- , , • , i — / - • . co Li , , vii 1 cell ?Krt C---c-r1,:. 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(r 4.1...t. rv( 1 41.414 , 73 +.v/3, t ,C(/0-= i`,,t-w kilt ,..,) -..„,....._..._. .),(7)-/Z i ,-- 3 1,) iill?:;\ 2," 0+ s'47,if t i 4 -e-- , i4.'t,i,-.1 t \ , -----___ , \ 1 \ ' o'l 74e c i 4-te4 f-f-4,} s vh U-A ‘E' it4.4ivi /IV] I i \ I 4 /V ifec.eiv;4=- - 1 -1 -e2 4 c--t. of ', (4. , — wkwil --, tA4 Ott i) 3 0 - C L4 -,. 2_ 5i- 5 /, .536 5 - ha /a .ct CC • 4L , ) D t.r c) // . ot ce - • • .0 VJ • 6 k) • et • RECEIVED APR 1 9 2004 Dept. at Heats & Human Services Enviromental Health P Q'f CITY OF TIGARD BUILDING DIVISION - qt , PERMIT #: MIST200 &001174 13125 SW Hall Blvd, Tigard, OR 'DATE ISSUED: 91211200€ Phone: (503) :639= 4171, • Inspection Requests (24 ;Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/3112008 TIME 7:01AM PAGE: 8 SITE ADDRESS: 13270 SW ' M E NLOR'LN CLASS OF WORK: SUBDIVISION: • LOT #: TYPE. OF USE: PROJECT ;NAME: PAUTZ DESCRIPTION: NewSF 3:2`6 :08t 3/25/08, ADDING (1) DOG (1):1.Al.1NDRY SINK, (2)1:AVS, (2) TDILE1 S &41) SHOWER STALL. OWNER PAUTZ, BRIAN PHONE #: 503 - 969.8448 CONTRACTOR: fAMMER PHONE #: Inspection Request : Scheduled For Date: 5/30/2008 Pour Time: Code # Inspection Description . Confirm # , Contact # Message 30'`1 P 07060E -01 503 -622-2052 hl 1 71 %,instruction . ❑ PASS ❑ PARTIAL APPROVAL CANCEL - NO' ACCESS • (l FAIL ,❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. U Wj t--A Date: 3b t 0. 6) Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION ' PERMIT #: MS 13125 SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 9f21/2006 Phone:. (503) 639-4171 n 11 ,9010. Inspection Requests (24 Hrs.): (503) 639-4175 I INSPECTION WORKSHEET FOR JDATE:, 3/21/2008 TIME 7:01AM PAGE:, 9 SITE ADDRESS; 13270 SW fv1ENLOR LN CLASS OFWORK: SUBDIVISION: ,LOT #: TYPE 'OF, USE: PROJECT NAME: li , DESCRIFfION: New SF. OWNER: , 'PAUTZ, BRIAN - ' 'PHONE #: 503-969 CONTRACTOR: OWNER PHONE #: Inspection Request' Scheduled For: Date: 3/2112008 " Pour Time: Code # Inspection Description Confirm 4* Contact # Message . 305 067143-01 503-522-2052 Corrections/ Comrneht8/ nsttubtions: . €T4 /c:V7)1.-~ ) AA/ 4-, \It:7p . S,LArts C-4_ .4P Sva () ift o 12.,c 1 ya./31 R ‘ /Ai /V .v cc, en cc,,,dt ov, c e _ c, J4 7- L j et , p I p P CL-c-uk4, "Pr riA)-(4 PL. Al a 'Jai E ,C) Nq 140L La 111P ("3 / z.c. Gs4 4...• z,.51-.. ft, rt.itt 0 c_, /V\ C.-{,LVL,11 j3 Eli PASS 111 PARTIAL APPROVAL Lil CANCEL 1 NO ACCESS • Xj- FAIL 'CALL FOR INSPECTION n. ADDITIONAL FEES ASSESSED Inspector: (TZ Date:312- I 10?) Phone #: (503) 718- CITY OF TIGARD , 4110 BUILDING DIVISION - PERMIT #: MST2006-00.:104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9(2112005 ‘, • , Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639,4175 INSPECTION WORKSHEET FOR DATE 2125/2008 TIME: 7:00A1v1 PAGE: 16 • I SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: 'SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: NM SF. OWNER: PAUTZ, BRIAN - PHONE #: • 503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 212512006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 399 agrfflufeTrifloi 065575-01 503.969-13448 utw-1;\9•1 R'ovo Correctionst.ComenentS/Instrtictions: • r )00v I ,13a-rt, 9 _ (4 e LOT, o 1L Jti Ij . (0 L-t - . N6,A\ V\A-Ve, G-tt kf-lk 14:\\ C42 Gc4=-A t ' 1, R‘{--60r P26)3. 9: Ua..-Lie- LCLAvi 04.) Nevgv-ii Lr (L5LA, Virr ),&,-1-(4),) oc•is OR , x)a el."_iii Pi po,f..A kt. Laall Co 1019 wb o L v: T S v optivi - , - T A7C-c> S 3 2 ( 3-1- z g '-‘1A-) c)o. Ov Pun etc, C - 1.1(34,./oot A. 1 'PASS 111 PARTIAL APPROVAL 111 CANCEL • fl NO ACCESS FAIL CALL FOR INSPECTION IJ ADDITIONAL FEES ASSESSED Inspector: (Mk/ILA-A Date: 2 I )24 ,OT.) Phone #: (508) 718- CITY OF T 4 , . BUILDING DIVISION PERMIT #: MST2006- 00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phone: (503) 639 -4171 sv lN* Inspection' Requests (24 Hrs.): (503) 639 -4175 �___ir °i 1ill - . INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM • PAGE: 52 SITE ADDRESS:. 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE:., PROJECT NAME: PAUTZ DESCRIPTION: New SF. . OWNER: PAUTZ, BRIAN PHONE #: 503969 - 0440 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For Date: 6/4/2007 Pour Time: Code # spection Descri • "an Confirm # Contact # Message 320 Plumbi .y. ough -in 049516 -01 ° 503,969-8448 Y Corrections/ om tints /instructions: • ' • Ci, PASS, . n PARTIAL APPROVAL n CANCEL . 1 1 NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED mi vv ' Phone #` 503 71`.8 ^ J _ Inspector t - Date: (, ) _ . CITY OF TIGARD 0 . BUILDING DIVISION PERMIT, #: MST20064)0104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED; . 9/2112006 Phone: (503) 639-4171 /:„sd N 'l I Inspection Requests (24 Hrs.): (503) 639 4i;75' . .__N INSPECTION WORKSHEET FOR ;DATE: 212212007 TIME: 7 :02AM _ PAGE: 39 SITE ADDRESS: 13270 S Ai MENLCR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ ' DESCRIPTION: New SF. OWNER: PAUTZ, PHONE #: 503-969-6448 . CONTRACTOR: OWNER • PHONE #: - Inspection Request Scheduled For: Date: 2122/2007 Pour Time: , Code # Inspection Description Confirm # `Contact # Message 335 Rain drain 043744 -01 503- 219 -1541 ' Y Corrections /Comments /Instructions "At!, ./-• i / - - ,,at.,, . _ , dvegAloAdlAf III./ . ∎� :A v IN SS • n PARTIAL APPROVAL. El' CANCEL I I NO ACCESS FAIL ; . n CALL FOR INSPECTION n. ADDITIONAL FEES ASSESSED • • / � Da te: Phone #: (503) 718' - � - Inspector: ) - �� *— Alberti Shields From: Albert Shields Sent: Monday, February 25, 2008 4:37 PM To: Hap Watkins; John Williams Cc: Brian Blalock Subject: Pautz is Septic. That is, Brian Pautz does have a County permit CR63153 for a sand filter system at 13270 SW Menlor Lane and the County is looking to us to inspect the installation up to the tank. He does not, however, yet have final inspection approval from the County on that installation. Joseph Federico says that they had completed everything except a few relatively minor items, however ... alarm & control panel, soil cap ... but that the permit dates back to 2004 and the file has been gathering dust for°some time. I've told him that they'll doubtless be hearing from Mr. Pautz or his people very soon about getting final County approval because we will be demanding a copy of a final approval report before we will allow occupancy of the building. Apparently, Pautz had drilled a hole or holes some 60 ft deep ... maybe the installation I photographed some years ago ... to demonstrate or practice well - drilling and the Watermaster had him fill and seal those with bentonite or concrete. In any event, the Watermaster signed off on decommissioning the wells /holes and the County issued the sand filter permit. p ...e a/fre `-`j4". 1 U 'i/r �, x7, s ' ,.. s1 .Pa ..,i "„. a ®A ® °.. ME MORANDUM 1 ' cacoARD TO: File, MST2006 -00104 FROM: Albert Shields RE: Water & Gas lines ... Easements, tracer wire, & observation required. DA'1E: Friday, June 08, 2007 CC: Hap Watkins CAUTION: 13470 is new address for 13450 SW Sunrise Ln. Previous permits /cases under 13450 which is now retired. Gas and water lines were laid from Menlor in 2004 without permit or inspection and subject to a complaint from owner of neighboring property that lines crossed his property without his permission and without a recorded easement. Observation (NOT inspection) 7/04 showed no tracer wire, pipes were largely covered, section joints not accessible, not connected to public mains lines or to user equipment. AMS PLM2005 -00441 for "Water linework only, no hookup at this time." - passed 9/12/05 MRS, not established whether these are the same lines, need to verify whether was on owned property or if a recorded easement was submitted. Do not approve gas line or water line installations unless r -: .,P.- -mb „ili :::.:.: • ' • - . - - - -' .,_o�._-d burial depth and tracer wire installation verified. • MASTER PERMIT PERMIT #: MST2006 00104 , . F DEVELOPMENT`S,ERVICES io 0 b ,�.'�i DA TE ISSUED: 9/21/2006 ..__.I. 13125 SW Hall Blvd., Tigard; OR 97223 503 - 639 -4171 PARCEL: 2S 105D D -00201 SITE ADDRESS: 13270 SW MENLOR LN ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: URB Project Description: New SF. BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 2,372 sf BASEMENT: 2,372 sf - LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 3,369 sf GARAGE 911 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 1,117 sf RIGHT: 10 VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 6,656 sf 0.00 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 500 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE. DISP: 1 WATER HEATERS: 1 WATER LINES: 500 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN <100K: BOIUCMP <3HP: 1 VENT FANS: • 5 CLOTHES DRYER: 1 • NAT FURN •=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX MP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD_ INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: ��r� ���� EA ADD_ 500SF: 14 201 - 400 amp: 201 ,- 400 amp: 1st W/O SVC/FDR: SIGN/OUT UN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADOL BR CIR:' . SIGNALIPANEL: IN PLANT: - g - 1 MANU HWSVC/FDR: 601 - 1000 amp: 601*amps- 1000v: MINOR LABEL: 1000• amp/volt : PLAN REVIEW SECTION Reconnect only: �'® >4 RES UNITS: $VC/FDR> =225 A.: > 600 V NOMINAL CLS AREAISPC OCC: ® ELECTRICAL • RESTRICTED ENERGY A,SF RESIDENTIAL B. COMMERCIAL 0 AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: 0 BURGLAR'ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArrELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is!subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty.Codes and all other BRIAN PAUTZ OWNER applicable laws. All work will be done in accordance with approved 9685 SW CARRIAGEWAY plans. This permit will expire if work is not started within 180 days BEAVERTON, OR 97008 of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law :requires you to follow rules adopted by . the.Oregon Utility Notification Center. Those rules are set forth in OAR 952-0,01 through 952 -001 -0080. You may obtain copies Phone: 503 969 - 8448 • Contact #: of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Reg #: TOTAL FEES: $9,653.66 REQUIRED. ITEMS AND REPORTS n n1 4'444 ' Str 'welding Engineered 68 soils Specialinspection (see• plans) sued By '�, , � 1 ' . w' -, Permittee Signature ; ' Call 503- 639 -4175 by 7:00 a.m. for an inspection that business day. �_ 1 \ , This permit card shall be kept in a.conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. CITY OFTIGAIRD Aft BUILDING DIVISION PE RMIT #: fvi ST 0 &0i7'fd f' 13 SW , Hall Blvd.,, Tigard, OR 97223 � DATE: ISSUED: 9121!2006 Phone: `(503) 639 -4-171 - :440; „ n 0 ";•,'' . Inspection Requests: (24 Hrs:);; (503) 639 =4175 - � _.. ` INSPECTION WORKSHEET FOR DATE: 12/11i2GO3 TIME: 7:00AM PAGE: 2 • SITE ADDRESS: 13270 SW MENLOR LN - CLASS OF WORK :. • SUBDIVISI LOT #: TYPE OF USE: ; PROJECT NAME: PAUTZ • DESCRIPTION: ' Now SF 3.21 08', Sprinkiers approve& asi ev., 3/25/08, ADDIN:C (1) WASf-f _(1) LAUNDRY` SINK,. (2) =LAVS, (2) TOILETS ":8; (1) SHOWER "STALL.'7 /7/08;: ADDING(2 FEEDERS AND (,W)` / .. i d Ito OWNER: PAUTZ, BRIAN PHONE #: 603-96943148 i!J . CONTRACTOR: OWNER PHONE #: ,O$ t�,� Inspection Request•Scheduled For: Date:. -12111/2008 t)174%. . Pour Time: , Code* . Inspection Description Confirm #. Contact # Me fg 4 29( Misc. inspection 078983 -01 503 -969 -8448 Y a Corrections /Comments /Instructions: "' • • • • • • !ol :PASS 0 PARTIAL APPROVAL n CANCEL n NO',ACCESS 1 1 FAIL 1 I CALL FOR INSPECTION • ' n ADDITIONAL FEES ASSESSED &fit" 5Q3 inspector: . _ VL Date: \� Phone #: ( ) 718 -.. • • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MST2006-00104 13125 SW Phone: ( 563 6 . i ard, OR 97223 DATE ISSUED !?1/2i}0 9 Inspection Requests (24 Hrs.): (503) 639 -4175 '4 INSPECTION WORKSHEET FOR DATE: 12/512008 TIME: 700AM PAGE: 3 SITE.ADDRESS: 1 3270 SW IVIFNLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION :' NeN SF.3.21.08 Sprinklers approved as ROY: 3/25/OB, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAYS, (2) TOILETS & (1) SHOWER STALL. 7'%108, ADDING (2) FEEDERS AND (10) OWNER: PAUTZ, BRIAN PHONE #: 603.969.841a •_ CONTRACTOR: 'OWNER PHONE #: • Inspection Request' Scheduled For.: Date: /2/500018 Pour Time: ' • Code # Inspection Description Confirm; # _ Contact # Message 699 Mechanical final - 078828-01 603-969 -8M8 Y Corrections' /Comments /Instructions: O 4 t -- R 1 • • • • • • • 'PASS n •PARTIAL APPROVAL I CANCEL n NO ACCESS ( n FAIL , . CALL FOR I PECTION ADDITI , : A , EES, ASSESSED` • TrL,,,i ‘" - - - sector:. Date: 1 Phone #: (503) In _ p ' - ( ) 718- CITY OF TIGARD 1 111 BUILDjNo DIVISION PERMIT #: MST2006-00104 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 9/21/2006 Phone: (503) 639-4171 k„Ah Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 12/3/2008 - TIME: 7:00AM PAGE: 18 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: New SF.3.21.08- Sprinklers approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS, (2) TOILETS & (1) SHOWER STALL. 7/7/08, ADDING (2) FEEDERS AND (10) OWNER: PAUTZ, BRIAN. PHONE #: 503 CONTRACTCSR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 603-7113.2446 N Corrections/Comments/Instructions: ID S P r akieig■ SRN( W14446 fltAb • C ,si 01.1• oP ROW_ rT I/ . e■ . _ ,%L.■ trziL tt(N) (401. Aisb . • 91-c .40e ii:F.6t4ku •Ece ezto '-A9 bISL v it i o 9 tsuOCN .■ s\vi okei)(1-w\r sleRN ,&• tsAk e wetwiti tovgb, • - Tae-1•Qun) • • • pASSH PARTIAL APPROVAL CANCEL n NO ACCESS El FAIL -. 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G G% LIE • Date: 1 t. • I • Di Phone #: (503) 718- TAIL r . . * . . . • - • .. .• . . A • • . • . PyS '' ? i: ^n .; f r . �- • ;'",�)) -. ` -. : ; , , ev. ! 7. r a` it; .. I ii �� K �' /7 ' r o. 1 t ,'tr, a 4 , •� le.) ,.w . 1 `JL :FId` '� 5 —v C=^�,: 1 r ,Z 3 ,A,11...,,,-..".P r ., "'F i3 adr p , �LwC4',- j. 's) ry` r, 1 'p`' �' -.! ;:-g , ti;),,R 16 R 3 - � fi`I ,f,-.4. N2. • ,F � ,•_... 1 a. . : -r ✓ 1 ) ' b A t r ,, , 4!n)7i'5, 7' 2:,. -'.,i f),;',- a - . - <• w ; • �3' y� /JA S "! E f ` t +i fe 'r p r i f aS � I ' , , l ' °" 1 S i \ r�� S • 1 ;.J . . . . . , • — L i. a r • v r c . .+ ,4 , e „� ., ... 3 7 ., LA 1 CP • • : . .. , . . ; , � . _ d' *t 4 ! F c ! s tr i • • CITY OF TIGARD • 'BUILD NG DIVISION PERMIT #: IvMS12006.00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/'21/2006 Phone: (503) 639 -4171 Ate Inspection Requests (24 Hrs.): (503).639 -4175 . INSP ECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7 :00AM PAGE: 2 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: • SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: New SF.3.21.0B- Sprinklers approved as'Rev. 3/25/08, ADDING (1) DOG WASH, ,(1) LAUNDRY SINK, (2) LAVS; (2) TOILETS & (1) SHOWER STALL. 7 /7 /08, ADDING (2) FEEDERS AND.(10) OWNER: PAUTZ, BRIAN PHONE #: 503. 969.8446 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For Date: 12/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Eleutlimal final 078697 -01 503-969-8448 \ Y Corrections /Comments /Instructions f I Ai!) O 1r- 16.? 1 Lk. ■;. he. • 3 A `11 '\ TY ..111 - - NI■ (z61 1 cA6Gs Feay. Pi-kii s L b& I N , ■ R4i6W‘ 1 01\*C ■ANAP 0.6 APT3if Pk v4A . Aoc-s To P4 6 MN .,,- 4 j , 11.3 • 2(5 , t e. C m Qtie e ez -1(..) miLk g - AC33 . F rr C' ❑ PASS 1./ PARTIAL ' {' t CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL. FEES ASSESSED Inspector: Date: t 2 _ i Phone #: (503) 718 2-146 N 0 . . r 7 Tr— O k - " ; '" 41.r` 16' t �" i " it l A . 1 . i s s ' j t2 V ` a C _ 9 T i .. "-• i Ff '3 -� -r/ . 1 1. 3. � y �� ., i f ,�. i - ! + 4 i 1't.= 1 if" .. +� ,;11:-„,:„., .e -„»' bj,rf ' r _ d/ „r '•' . _ .. o i7 �3 , X.I' 1:. , a . r r b i f r . fly.$ . ' U ''' .•} 1. 4R �• 1 pt P` , ,7 t i' 9. . `?t, � a r.+P r ( 'd, ' .•e_ ,�„+9 *x: ) • y �'- i . ,i " , 'y S.vr 1y Y i •.t «4 4 4s� ` sy f ;`e x,,,..44 . ; 'a' C�i, i a k' P < 1, :3.. -f .. �S ,4t g 4'.:', : "r ,I P. C I I C - ' •�` P ik .. N. P � • ' 4 , t i ' � P$a ,J :a 3 a r. .a , 3 ; 3r t C,/,':'' ' WL„1.i S Q+ ;, e/ 44:..,c +,rf, 2 ,s f. ; y,I.. ,„ ,. "^'l, K;, ?j . ,, ,. . . . . • ;r • • • • • S t ��tt . CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2O06 00184 13125. SW Hall 'Blvd.., Tigard, OR 97223 „ ' DATE' ISSUED :: 912112006 Phone:, (503) 639 -4171 0/8'4Ni ly - Inspection Requests-(24 Hrs:): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: ' 7 :00AM PAGE: 6 SITE ADDRESS :!. 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT' #: TYPE OF USE: PROJECT NAME: • PAUTZ DESCRIPTION: Newv >SF.3.21 - .OB- Sprinkiers approved as Rev: 3125/08, ADDING (1) DOG SH (1) LAUNDRY SINK (2)'L.AVS; (2)"TOILET'S'& (1ISHOWER STALL. 7/7/08; ADDING` (2) FEEDERS AND (10). OWNER: PAUTZ, BRIAN — PHONE #: 603969-8448 CONTRACTOR: OWNER. PHONE #: Inspection Request Scheduled 'For: • Date: 7/16/2008 Pour Time: * Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -ire ,072731 -01 503 - 96:8448 Y Corrections /Comments /Instructions: • • • • • • ® PASS` ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS ; FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED „ Inspector: (`‘• va Date: 1' I 01 Phone #: (503) 718 - • CITY OF.TIGAR 0 BUILDING • DIVISION PERMIT #: MST 2006- 00 13125 SW Hall Blvd., Tigard, OR 97223 = DATE ISSUED: 9/21/2006. Phone: (503) 6394171 i11 N , 11p0A( . Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 719/2008: TIME: 7 :00AM PAGE:, 24 SITE ADDRESS :: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ - DESCRIPTION: New SF 3 2:1 08- Sprinklers approved =as =Rev.. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS,-(2) TOILETS & (1) SHOWER STALL. 7/7108, ADDING (2) FEEDERS AND (10) OWNER: PAUTZ, 'BRIAN PHONE #: 503 -969 -8448 CONTRACTOR: OWNER. PHONE #: Inspection Request Scheduled For: Date: 7/9/2008 _ Pour Time: Code # inspection Description Confir n # Contact # Message 115 Electrical service 072373 -01 503-648-4552 N Correction's/Comments/Instructions:. • • • • • 4141 PAS n PARTIAL APPROVAL ; ❑ CANCEL El NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' Lk Date: 1 `" 06 Phone' #: (503) 718- 14 CITY OF TIGARD • B • UILDING DIVISION PER # . ST v' `J lO4 13125 SW Hall Blvd., Tigard, OR 97223' DATE ISSUED: 21f2006 Phone: (503)• 639-4171 Inspection Requests (24 Hrs.): (503)'639-4175 INSPECTION WORKSHEET FOR DATE : - 71912008 TIME: 7 :00AM PAGE: •;23 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: .LOT #: TYPE OF USE PROJECT NAME: . PAUTZ DESCRIPTION: New SF.3.21'.OB.• Sprinklers approved as Rev. 3025/08, ADDING 11)DOG WASH, (1) LAUNDRY SINK, (2) .L DVS, (2.) TOILETS lit (1) SHOWER STALL. 7/708,. ADDING (2) FEEDERS AND (10) OWNER: PAUTZ, BRIAN PHONE' #: 603-969-0448 CONTRACTOR: , OWNER PHONE #: Inspection Request Scheduled For.: Date:. ,7/912000 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 072373 -02 603-648-4652 'Y Corrections /Comments / : p o 68' 18' AWL-V" • • • • PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS. ❑ FAIL ❑ CALL FOR INSPECTION IONAL FEES ASSESSED • Inspector: _ N t ' gl ‘ Date: 1 - "1' 01 PKone.#: (503) 718-144 CITY OF TIGARD. BUILDING - DIVISION • - PERMIT #: 2,001 8 6310 11' 13125'SW Hall Blvd; Tigard, OR.97223 DATE,ISSUED: 7 / Phone afire . (503) 639 4171 m�pi °` inspection Requests '(24 Hrs.): (503) 639'4175 • I_�'� INSPECTION WORKSHEET FOR DATE: TIME: PAGE .61 SISUBDIVISION: D A l� `� " v 4 �` LOT #: CL TYPO OF O USE: PROJECT NAME: - DESCRIPTION: OWNER: "PHONE #: CONTRACTOR: PHONE #: Inspection Request;Scheduled For: Date: 1 , . Pour Time: Code. # Inspection Description Confirm # . Contact # Message 2.(21 CON.11.41LL QA„.„.7,0 . • . . Corrections /Comments /instructions: j fl cow F ( • Lq E (AA • _ c N) ---, • • • 01 PASS P1 PARTIAL APPROVAL CANCEL n NO ACCESS :F1 FAIL 0 CALL FOR INSPECTION - �• ADDITIONAL FEES ASSESSED Inspector: • ' t _ Date:. Phone # :• (503) 718- 2 ,Yb CITY O.FTIGARD ���� , i aF e BUI�LDII\IG DIVISION , PERMIT #:T 1 2 00( ..00210 13125 SW H'aiI Blvd , Tigard, OR 9,7223 DATE ISSUED. Q A t Pho (56 :7 / Nln iipl�( I r !!! Inspectibh Requests :('24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1 :) • O TIME: :. , PAGE: S ISUBDIVVIS ON: Q r v . o � LOT # C L TYPE .OR 'USE: - PROJECT NAME: DESCRIPTION: ' . • • OWNER: _ ' PHONE 4•: • CONTRACTOR: PHONE # ' . inspection Request Scheduled For,:' ' Date: 1 •1 • Pour Ti'rne: ' Code # . 'Inspection Description Confir # Contact # - Message IC). . cov . j5 C-1 C--1L/".-.1 N Corrections /Comments/Instructions: . - \o...c®?A_ \ F (-ffl `, 4 . C.Z.ItiQ Lc....- czoL.K. 40\\D . ,.,; . ',‘„,-. � emu' a, I 'ON �.. " '" 4L CALL 'tl0 III• -• {♦ A'` - , C y 1 i • PASS - PARTIAL APPROVAL ,.r. I ..I CANCEL . ,I I NO ACCESS <I I FAIL f,CALL FOR INSPECTION .'ADDITIONAL FEES ASSESSED Inspector: Da r ►.1 U Phone # ( 503r718;- I ! b __.''' CITY OF TIGARD 0 . ' B 0 . UILDIN?G DIVISION _ PERMIT #: • MST2006.00104 1.3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phone: (503) 639-4171 �"��� i Inspection Requests (24 Hrs.): (503) 639 -4175 'ILA INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7 :01AM PAGE: 35 SITE ADDRESS: 13270 SW MM(ENLOR •L..N ' CLASS OF 'WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ _ DESCRIPTION: New SF.3.21 04- Sprinklers approved as Rev: 3/25/08, ADDING (1) DOG WASH, ,(1) LAUNDRY SINK, (2)LAVS,.(2)'TOILETS & (1) SHOWER STALL. OWNER: PAUTZ, BRIAN PHONE #: 503 - 969 -8445 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: • - Date: 6/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message i 1'15 Electrical °seMv ce 071342 -01 503-646' 4552 Y P r 9 S'V Corrections /Comme is /I tions: fl4 , ' : iure "1/01 wit-4 Af 4,i'i o1 I4 • 3/0, /3 i i I 6 / /' A' / , ,/ - 11 .di ==" ' , A--/- Of 0446 L6 --- 0 1 - 1,/ '. // (q--) . .do ' ':/ Al %. .a/`i :S 't /Amid r Or % a ( YJ ! !L .' : L 7i' , -2 , 4 n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS X FAIL CALL FOR INSPECTION • • P ADDITIONAL FEES ASSESSED Inspector: / Date: 6/ " , /,� Phor a #; (503) 718 -, , L' .......... . ,_ ... . ' CITY OF TIGARD 0 BUILDING DIVISION Alk PERMIT #: MST2006:00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phorie: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 .41_4 -II . • -..„, ...... • INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME 7:01 PAGE: 34 • SITE ADDRESS: • 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: New SF.3.21'.08- Sprinlders approved as Rev. 3/26/08, ADDING (1) DOG WASH, (1).LAUNDRY SINK, (2) LAYS, (2) TOILETS & (1) SHOWER STALL. OWNER: PAUTZ, BRIAN PHONE #: 603-969.8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/13/2008 . Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in, 071342-02 503-648-4562 V Corrections/Comments/ Instructions: 64A f' ( "--a C-- Pep L 3 (4) , 1, v ,, , ( \ A 14.: /(0. ( Do-ttiy./ i F 45) 1 z,)/mi.44 mith,et c 2bed 6e-z-eg 0/41(k v h- f rw, J- ' ' - v ' All L i I 2-- 40,,,vki /4--,--v 1 \ n c . I .. / / y I t 4 4 .5 ) l il k " All/ It. M . . • . . • 0 ' ASS fl PARTIAL APPROVAL 0 CANCEL - 0 NO ACCESS ‘firj FAIL - CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED • .4/(3/d ,f Vo Inspector: 2 Ar Date: , ' Phone #: (503) 718- V ` ' _ I I I I I J I \ ,, , 1 1 1 1 17 OTTI ...-,_ MERON •\___--\\ \ \ \ 0 j 11,4 1 0::=_ ‘,.. L / Tri - A \ ° \ , . P.,',..i i I RID '‘, I ---T-------------------- \ . 'il ,i,'' ''' I ''.'' ' :' '''' : ' rl\ ,. 1 ' ,:. : 1/" . " ';': - \ a\ , .,, / ,_ ______,(_2_,47,7_,., , / .,, , \,../ .,%\,,„.„,,,, \ ,,,r•.,...,-,.:: :._ • .._. ----,-,',.. 1 - 4111111 ` . 3 hi r ___ 7 ________ Thl---47 -1., ,, /\/ N ''<'''''''___. ./. '' ''J--fj1;. ‘ ; ' j;Jj.; - \ ;J - /7 , 1 i_ji / 7 --,./ \\ c} —__i , \_----89....... , , \ 1: i -------; ,..________L : . FA 1 . i ,/ /----......,, 1 ! ) - I . BONNEVILLE POWER 'j ' J ADMIN IS:tilt j , COO . / ,______./..„,_ FT -,..,..,„, ----,,,, / 2 -<, al— . )\.._.=------ \,----A \\// / / >:\s: \ \ \\/, / / r-/-----„----4--- `-------11/ 1 / . / i - ---/----' ---1 \ \ ' .,--- I \---'-'-- ')\ , Y /:''''. N N,/ . // ,•;' ''`,,', / / /J 7 ----- ' -------- -----------/- / ! ' / -----------______Z—Nr--L-•mo-soo-ci---_______ , ',-, ' ^ CITY .OF' TIGARD 410' BUILDING DIVISION P ERMIT #: i Sl f006-0o'01 13125';SW Hall Blvd., Tigard, OR 97223. DATE ISSUED: 912112006 Phone:, (503) 639 -4171 1000 1140 � Inspection Requests (24 Hrs.): (503) : �' �L INSPECTION WORKSHEET FOR DATE: 6/6/2008 TIME: 7 :01AM PAGE: • 3 SITE ADDRESS: 13270 SW MENLOR " LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION, . New SF .7'1.88- Sprinklers approved as Rev. 3f26/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS, (2) TOILETS & (1) SHOWER STALL. . OWNER: PAUTZ, BRIAN PHONE #: 503- 969.8446 .CONTRACTOR:; OWNER 1 PHONE #: � cap �. ®G-R RN Inspection Request Scheduled For: Date:; 616/2008 Pour Time: Code # Inspection Description 0 Confirm # Contact ,# . Message 120 Electrical rough -in 071031 -02 503-969-8448 Y . • Corrections /Comments /Instructions: X16 v4ALs..-e• Lills 6 (4,..,1 CJ:A NO Zee — ❑ PASS PARTIAL APPROVAL CANCEL n NO ACCESS FAIL CALL FOR INSPECTION. ADDITIONAL. FEES. ASSESSED • in G NbIaS Date: C =V "u Phone #:.(503) 718- L`f { V • CITY OF TIGARD • BUILDING DIVISION PERMIT MST2006- 00104 13125 :SW Hall Blvd., Tigard; OR,97223 DATE ISSUED: 9/21/2006 Phone: (503) 639-4171 p��N�tjmllj�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET' FOR DATE: 6/6/2008 TIME 7:01AM PAGE: 2 • SITE ADDRESS: 13270 SW MENLOR LN CLASS'OF'WORK : SUBDIVISION: LOT #: TYPE OF USE. PROJECT NAME: PAUTZ DESCRIPTION: New- SF.3,21.08 -. Sprinklers approved as Rev. 3/26/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAMS, ( TOILEI"S.& (1) SHOWER STALL. OWNER: PAUTZ, BRIAN • PHONE, #: 503- 969 -8446 CONTRACTOR: .OWNER PHONE #: • Inspection°. Request Scheduled For: Date: 6/6/2006 • Pour Time: 'Code . #: Inspection Description Confirm # Contact # Message • • 135 Low voltage 071031 -03 503- 96948448 . N Corrections /Comments / Instructions: • • • • • • PASS AL APPROVAL Q CANCEL fl NO ACCESS n FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Nil Date: 6' (0 d ' Phone #: (503) 718- Di% CITY OPTIGARD 0 BUILDING DIVISION - - 'PERMIT #: MST2006-001(14 13125 SW Hall BlVd., Tigard, OR 97223 . DATE ISSUED: 9121/2006 Phone: (503) 639-4171 , esboorati i ail\ Inspection Requests (24 Hrs.): (503) 639-4175. . 11.. INSPECTION WORKSHEET FOR . ' DATE: 5/29/2008 TIME: ' 7:00AM PAGE:' ' 16 SITE ADDRESS: 13270 SW IvIENLOR LW CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE PROJECT NAME: ;PAUTZ DESCRIPTION:. New.SF Sprintders approved as Rev. 3/25108; ADDING (1) DOGVASH, (1) LAUNDRY SINK, (2) LAVS, pyTOILErs 8, (1)'SHOWER STALL OWNER: PAUTZ, BRIAN PHONE #: 503.969-8448 - CONTRACTOR: OWNER G -62 - PHONE if: 8 _ 4 1 Inspection Request Scheduled For: Date: 5/29/2008 Pour Time:. Code # Inspection . Description Confirm # ' Contact # Message 120 Electrical rough-in 070525-02 503-969-8448 • N • Corrections/Comments/Instructions: CS) - ALL c4bolit)4ta ' tx)IXIciit i? )4* 6 utstt-10 , vik(z-zQYA t)(.1- 6to (■). . f\c 110. tr. " •ar k ....' ki * t C l I QV . \ Ili 0 ' • • Nctl- 330.210 , GTh S vivIDO tetsR — 1/.1 fNepft gli) iiA04(1 ct/. b3 .Pob._ . , . , . . .. . .. . • . , . . . , . V--p 46,0\k. 'I . - 91J1t.ft (44, f s()IV\ eSCh2orsTA,5 PASS , n PARTIAL APPROVAL 7 CANCEL I NO ACCESS FAIL - CALL FOR INSPECTION D *ADDITIONAL FEES ASSESSED Inspector: G N 08) \....- Date: 61 -2116 Phone #: (503) 718- VIA , .• ... , . , \ •N ' . CITY OF TIGARD BUILDING DIVISION #: MST200E 0O1O4 13125 SW Hall BlVd., Tigard, OR 97223 DATE: ISSUED: 9/21/2006 Rhone: (503) 639-4171 ■ ���NI4�ii�61 "11I Inspection Requests (24 Hrs :): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 5/2912008 . TIME: 7:00AM PAGE: 15 SITE,ADDRESS 13270 SW iVIENLOR LN CLASS. OF WORK: SUBDIVISION: LOT ki TYPE 'OF USE: PROJECT NAME:. PAUTZ DESCRIPTION:. New-SF.3.21.08- Sprinklers approved= as•Rev. 3/25/08 ADDING' DO( WASH, (1) LAUNDRY (2) LAVS, (2) & (1)SHOWER STALL: OWNER: PAUTZ, BRIAN! PHONE #: . 503 - 969.8448 CONTRACTOR : - OWNER PHONE #: Inspection Request Scheduled For Date: 5/29/2008 - Pour Time: Code # Inspection Description Confirm # Contact .# Message 135 LOW voltage 070525-03 503- 969 -8448 N Corrections /Comments /Instructions: • • • PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL D CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED AA�� Inspector: K66 Date: q2.5 Phone #: (503) 718- /Alit • . , CITY OF TIGARD • iik-- w . BUILDING DIVISION PERMIT #: • MST2006-00104 13125 SW Hall Blvd, Tigard, OR 97223 DATE ISSUED: 9,/2:000(3 Phone: (503) 639-4171 if,,0 ,,,, Inspection Requests. (24. Hrs): (503) 639-417,5 ...--:,.&4- 11.1°. INSPECTION WORKSHEET FOR DATE: in 612008 TIME: 7 PAGE: 4 . 1 SITE ADDRESS: 13270 SW MENLOR LW CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ . DESCRIPTION: Nevi, SF. OWNER: ' PAUTZ, BRIAN PHONE #: 503-969-8448 . CONTRACTOR: OWNER (to CAS cmg ea. c...7 ,) PHONE #: 03. Gal '000 0 Inspection Request Scheduled For: Date: 1/16/2008 Pour Time: Code # Inspection Description -- Ciii ---- rn #, Contact .# Message 295 Misc. inspection O63294-0 411115110 Corrections/Comments/Instructions: Dqvf 30(t$1 JAVA- 6 N iipi ti- eosi 5 , I _ IN t■ (.. 0 V•i i , 61*S1- PAssAB'etk5 • • V1.1(1- -- 1-0`N 1 t ■ c.' ‘..101 '1 (NI • --- 1 G- t■k- ''' \ ____------- r er" --% • 1,- -- ZN\S" ck. •. f\\' E \ () ■ C I\ F rn Cc . 4'2 , MIIIMMINAIR t ir . . _ • ... • . _ _ • ) , • n PASS ,)■ PARTIAL APPROVAL 0 CAN 11 EL L j NO ACCESS H FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G --‘ Date: - 1 — - Phone #: (503) 718- • . _ • C,ITY F TIGAR�D . • - e , BUILDING DIUISIOIV PERMIT #: MST2006.00104 • 13125 SW Hall Blvd. Tigard, OR 97223 DATE ISSUED: 812112006 Phone: (503) 639-4171 / wed ,u lp�l l it Inspection Requests (24 Hrs.): x(503) .639 -4175 -__,. . INSPECTION WORKSHEET FOR DATE 11/26/2008 TIME: 7 :00Am PAGE: 5 : SITE ADDRESS: 13270 SW . MENLOR LN CLASS OF WORK:. SUBDIVISION: LOT #: TYPE OF USE: • PROJECT NAME: pAUTZ DESCR New SF 3.21.08- Sprinklers approved as Rev. 3/25/013, ADDING (1)•DOG WASH, (1) LAUNDRY • . SINK, (2) LAYS, (2) TOILETS & (1) SHOWER STALL. 717108, ADDING (2) FEEDERS AND,(i0) . OWNER: PAUTZ, (BRIAN _ PHONE # 503 - 968 -13448 CONTRACTOR: OWNER PHONE #: Inspection Request. Scheduled For: Date: 11/26/2010. Pour Time: . • Code •# Inspection Description - Confirm # . Contact # Message 699 . Mechanical final 078576 -01 . 503-969-8448 N Corrections /Comments /Instructions: /a►6 al.. ,r �4i 4 y' . _w C. z ,, .< ez J . . • • P ❑PAR TIAL APP,ROVA. L ❑ `CANCEL .. ❑ NO „A CCESS FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL- FEES ASSESSED Inspector . - . Date:•�f /— - -ee Phone #: (503) 718 - r 1 d t { ; r CITY OF TIGARD' a im. 40 _ , • IIP BUILDING DIVISION .- PERMIT #: MST2606.00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE: 8/27/2008 TIME: 7:00AIVI PAGE: 4 SITE ADDRESS: 13276 SW MENLOR LW CLASS 'OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ -DESCRIPTION: Nov SF .3.21 .08- Sprinklers approved as Rev. 3125108, ADDING (1) DOG WASH, (l) LAUNDRY SINK', (2) LAS/S, (2) TOILETS & (1) SHOWER STALL. 7/7/08, ADDING (2) AND (10) OWNER: PAUTZ, BRIAN HONE #: 503-969-8448 CONTRACTOR: OWNER PHONE Inspection Request Scheduled For: Date: :8/27/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message • 280 Insulation 074733-01 503-9698448 Y Corrections/Comments/Instructions: 7 ,44304i9r o iy, _„4-- i 4-L , /.‘-tRylaerio . • - ' • . ' • .ASS 0 PARTIAL APPROVAL • 0 CANCEL 11] NO ACCESS. n FAIL IL _ CALL FOR INSPECTION • 1 ADDITIONAL FEES ASSESSED Inspector: / ..g Date: g - 2 7 Phone #: (503) 718- ._2s, _ _ CITY OF TIGARD *- BUILDING DIVISION PERMIT #: MST200 &-00104 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 9/21/2006 Phone: (503) 639-4171 e "aN 1 /0/1 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 13270 Sit MENLOR LW CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ . DESCRIPTION: Now SF.3:21'.08 Sprtnlders approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAYS, (2) TOILET'S & (1) SHOWER STALL. 7/7/08, ADDING (2) FEEDERS AND (10) OWNER: PAUTZ, BRIAN - PHONE #: 503- 969 -8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/17/2008 Pour Time: • Code # Inspection Description Confirm # • Contact # Message 275 Framing 072813 -01 503.969- 8448 N Corrections /Comm 9nts/ Instructions: N: —54Lv 0/1/Le., ‘1A.P■t43, 5.75 t, � V&A) • Wn .c ( rS� ifJ � - - (01 % (y'\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \l b Date Phone #: (503) 718- - . CITY OF TIGARD ft' IF BUILDING DIVISION 7 A .)________. PERMIT #: MST200S-00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 - Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 . INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 13270 SW MENLOR LW CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: New SF .3.21.08- Sprinklers approved as Rev 3/26/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS, (2) TOILETS & (1) SHOWER STALL. OWNER: PAUTZ, BRIAN PHONE #: 503-969-8448 CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: 6/17/2008 (0 3.9-/• Pour Time: Code # Inspection Description Confirm # Contact # Me age 295 Misc. inspection 071466-01 503-64B-4552 Y . • • Corrections/Comments/Inst ctions e_ i __ 4, ,i • , dg ---- Le-i 7 1 ' 2-e_ . • , . . . . . • • , . , • . r . , • l" - ...' ....,: 1 '-' --- ■ PASS E PARTIAL AppRo . L ji ANCEL NO ACCESS .• ri AIL - ALL Fo : , SPECTION ADDITIONAL - - ASSESSED ......,, • t Inspector: I / Date:, P T) C,_ Phone #: (503) 718- _, ..v. .. CITY OF TIGARD di • Aile„,-- BUILDING DIVISION . .., A 1 i PERMIT #: MST2006-0004 131,25 SW Hall Blvd., Tigrd, r ard, OR 97223 DATE ISSUED: 9/21,2006 Phone:' (503) 639-4171 4 Sill -. Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 11 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: • PAUTZ DEsciRiPTioN: New SF 3.21.08- Sprinklers approved-as 3126/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS, (2) TOILETS & (1 SHOWER STALL., OWNER: PAUTZ, BRIAN PHONE #: 503-969-8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6,1312000 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 Sprinkler rough-in 071369.01 503-621-2052 N Corrections/Comments/Instructions: 1) CC,C e- . (e2 , WeLkA 4W LIZ ear . A Ati, AA le. - I ' 7 , `--- c . , ,I i - „.4-... • _AAA...41 . . / ..salL a 1°- ' ' ' - ilig: ' • 4:= \ ■i a ES . - . PASS al P 'TIAL APPROVAL 0 CANCEL fl NO ACCESS , FAIL ra CALL FOR INSPECTION ADDITIONAL FEES ASSESSED, Inspector: ., Date: 615 1 ( Phone #: (503) v \ r CITY OF TIGARD 110, 4 BUILDING DIVISION - PERMIT #: MST 1,3125 SW Hall Blvd., Tigard, OR' 97223 DATE ISSUED: 9121/2006 Phone: (503) 639-4171 1 ,1%01 ii,t. __„4 Inspection Requests (24 Hr:): (503) 639-4175 ..„...., ' ..11 -..... INSPECTION WORKSHEET FOR. DATE: 6/11/2008 TIME 7:00AM PAGE: 7 . SITE ADDRESS: 13270 6A1 MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: ' TYPE OF USE: PROJECTNAME: pAurz DESCRIPTION: New 3E3.21%08- Sprjnklers approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK, (2) LAVS, (2) TOILETS & (1) SHOWER STALL, OWNER: PAUTZ, BRIAN PHONE #: 503-969-B448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: di Date: 6/11/2008 Four Code # Inspection Description' q Confirm # Contact # Message 910 Splinkier rough-in 071229-01 503-522-2052 N Corrections/Comments/Inst , ctions: vs 0 , ■,---e., VY'vl,) , • : s C12-64 VINIAin a t/lni (7 ),Lthe.1 ) . U4 41u., ra, , vic--4 4 _72_1) - L L91 r a n '`ci. c fctiAit -- - it_i.-e--(-- a.. cAAA---e- Rrri),, 4-4cAlw, - ) ,./. 2,1or" r „IAA& P-, to,/, , I PASS . PARTIAL APPROVAL CANCEL El NO ACCESS FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED (1 , , 1 Inspector: Date: 1 1 v t) Phone #: (503) 718- , . CITY OF TIGARD t , . BUILDING DIVISION PERMIT #: MST2006 -00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/212006 Phone: (503) 639- 4171u Inspection Requests (24 Hrs.): ,(503) 639 -4175 m ,INSPECTION WORKSHEET FOR DATE: 616L200B TIME: 7:01AM PAGE: 4 SITE.ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT # :- TYPE OF USE: PROJECT NAME, PAUTZ DESCRIPTION: Nev S3F.3.21.08- Sprinklers approved as Rev. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY . SINK, (2) LAVS, (2) TOILETS & (1)•SHOWER STALL. OWNER`: PAUTZ, BRIAN PHONE. #: . 503-969-8448 CONTRACTOR: OWNER ' PHONE #: Inspection Request Scheduled' For: Date: 6!612008 , Pour Time: , Code # it spection Description Confirm # Contact # Mess - ' 615 i Mechanicaf rough. En 071031 -01 ' 503-969-8448 Y Corrections /Coniments %Instructions: • • • • t l-RASS ;f PARTIAL APPROVAL ❑ CANCEL 0 NO ACCESS 7' FAIL.. I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: � I (_ Dat Phone # (503) 718- a v y'' CITY OF TIGAR:D . BUILDING. DIVISION < PERMIT #: , MST20Q6 04 131:25 SW Hall Blvd., Tigard, OR 9 / 6 DATE ISSUED: 9/21/2006 Phone: (503) 639- 41714 H I)" b'I M Inspection Requests (24 Hr&): (503) 639 -4175 ,... INSPECTION WORKSHEET FOR, DATE: 6/29/2008 TIME: 7:00AM' PAGE: 18 • SITE ADDRESS; 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION :: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: New SF.3.21.08- Sprinlders, epproyed as Rev 3/25/08, ADDING (1) DOG WASH, (1) L:AI)NDRY SINK, (2) LAYS,(2)'TOILETS & (1) SHOWER. STALL. . OWNER: PAUTZ, BRIAN PHONE #: 503:969 =8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 5/29/2008 Pour Time: Code # Inspect %;on Description Confirm # - Contact `# Message 910. Sprinkler rough -in 070523-01 603-522-2052 ill, Corrections/ mments /Instructions: ,LCZ 5 1-1 A V) 7. e5t • 1 YY2Th C52,AA,11_,J PASS 0 PARTIAL APPROVAL 0 CANCEL U NO ACCESS - FALL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ' 2; / Inspector Date : - , ' o _ , Phone #: (503) 718- - � . CITY OF TIGARD i t. BUiLDING DIVISION / PERMIT #: MST2005 -00104 13125 SW Hall BlVd., Tigard, OR 97223. / - DATE ISSUED: 9121/2006 Phone: (503) 6394171 .a "ISO / Inspection Requests. (24. Hrs.): (503) 639 -4175' INSPECTION FOR DATE: 5/29/2008 TIME: 7 :00AM PAGE: • 17 SITE ADDRESS: 132.70 SW MENLOR LN • CLASS OF WORK: . SUBDIVISION: LOT #: TYPE OF USE: . PROJECT NAME: ~ PAUTZ DESCRIPTION: New SF.3.21.08- Sprinklers approved as Rev -. 3/25/08, ADDING (1) DOG WASH, (1) LAUNDRY SINK; '(2) LAVS,: (2)' TOILETS & (1)- SHOWER. STALL. OWNER: PAUTZ, BRIAN PHONE #: 503-969-8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date:. 5/29/2008 Pour Time: Code # , Inspection Description Confirm # Contact #. Message .` 615 Mechanical rough -in 070525.01 503. 969-8448 .N . Corrections/ b ents /Instructions: 5/kJ1,,j L SCo / -e • /I "d - ) .G--� l- -- - ' , / LO - tf e 0i►_� t o . A e -PM ' k- UJ .'-- k: ' Y C a rr\'` - � . Qa -r 9-1A. --. c__ _ _. ' V2.-.L( C_ ,`fi_ c ` C \.,.- 2`Y 0 - • - . ..--•-- ' .0-/16( • A.• a ..f1 ■ A r t kil-10-± - LCit 0 - NA 4 . kAki6/6 t --e.r&_ A f,;, ‘ „,, d ; 11 ,„ . # : ' : e_-- <ecl.&_C2- PASS ❑ PARTIAL APPROVAL ' . ❑ CANCEL ❑ NO ACCESS F l FAIL . ❑ CALL FOR INSPECTION , ADDITIONAL FEES, ASSESSED Inspector: ector: ��� Date: " ) ‘/2/C ) Phone # :. (503) 718 SP . j r i r k k F '' 4' "$ :. MEMORANDUM VilagRb TO: File, MST2006 -00104 FROM: Albert Shields RE: Water & Gas lines ... Easements, tracer wire, & observation required. DA'Z'E: Friday, June 08, 2007 CC: Hap Watkins CAUTION: 13470 is new address for 13450 SW Sunrise Ln. Previous permits /cases under 13450 which is now retired. Gas and water lines were laid from Menlor in 2004 without permit or inspection and subject to a complaint from owner of neighboring property ' that lines crossed his property without his permission and without a recorded easement. Observation (NOT inspection) 7/04 showed no tracer wire, pipes were largely covered, section joints not accessible, not connected to public mains lines or to user equipment. AMS PLM2005 -00441 for "Water linework only, no hookup at this time." - passed 9/12/05 MRS, not established whether these are the same lines, need to verify whether was on owned property or if a recorded easement was submitted. Do not approve gas line or water line installations unless recorded 1•1 i easement or proof of ownership has been received and burial depth and L tracer wire installation verified. s c r CITY OF TIC�ARD A , gi BUILDING DIVISION 'PERMIT #: MST2006:00, , 13125' SIN Hall Blvd., Tigard, OR 97223 ��, DATE ISSUE a':)•1 /2 0O `\ /' Phone. (503)' "639 =4171. A piti , ; < r I Inspection Requests (24 Hrs:): (503) 639 - 4175 i INSPECTION WORKSHEET FOR DATE: :3110/20013" TIME: • 7:00ANi PAGE: ' 4 SITE ADDRESS:: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: • ., LOT #: TYPE OF USE: PROJECT . NAME: PAUTZ DESCRIPTION: New SF`. • • OWNER: PAUT7 BRIAN PHONE #: 503-96B-8448 CONTRACTOR: OWNER PHONE #: Inspection; Request Scheduled For: Date: ' 3/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # :. Message - . 610 Gas line 065391 -01 503.989 -8448 N Corrections /Co ments /Instructions: C s (�-=. :Q f d' ,mss 4‹).--S' .r f ___ -_ - -• Bi , pfri - 1 - kz5 - c - ' ts - -4a....._ - A..e. , - . __€-(41.-4 ,. , ,_ ..--- ct s ..../Lit - cr -4 '1,%/1 411--e it-W2-;CL,f-C- . ` L r-C & ; i f LAtt/r C -^ . ii, Crk■of1/4..ii Qtor ._— -C-ceir d—vJr- --(h-K". - .• 4A,i-"_,c ;s s. h 4 i� f - ,� s v (A S 1 . IA . PASS , 0 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL l I CALL FOR' INSPECTION • ❑ ADDITIONAL FEES ASSESSED Inspector :: V (' Date: ✓ P Phone #;: (503) 718- Z7 "`1 • cc. ____ ,Itist A„lf0 • ir • t . ‘q& \ Tankless W/H ; `►�P' 4' � t� Gas Line Schematic 180,000 BTU a 4 `V �����‘ :` • • 13270 SW Mentor Ln. Tigard, Oregon • - 4; 24" E� Water heater 3/4" hard pipe 3' Basement 3/4" flex pipe 50,000 BTU 9' 9' 9 3/4" flex pipe 1/2" flex 17 8' 17 Future Fire Pit •r ) . 25,000 BTU Cook top 1" vertical - hard pipe to Main floor 3rd floor 40,000 BTU 11' 2 - / 15' 16" . 3/4" flex 2 C3 1/2" flex to outside 3/4" flex pipe 5 hard pipe g' PP � w ® 7 T 4' 2.5' / . ® . � t...1 rn 19' 29' �\ �j '-4 C 1 1/2" hard pipe cis Z> -- : 6' 1" FLEX LINE 1" FLEX LINE Z® a 2 5 , 1 1/2" hard pipe E1 meter 15' 3/4" flex pipe 1/2 FLEX 7 t . s • Cook top 40,000 BTU F/P - freestanding Deck BBQ 60 ;000 BTU 12' LEGEND Basement 2' 25,000 BTU Water heat 50;000 BTU Tankless WH 180,000 BTU + Tee al T6rQ Basement Cook top 30,000 BTU BBQ 60;000 BTU Submitted To: City of Tigard — .Basement Gas Fire PI. 25,000 BTU Cap + Submitted By: M & M Mechanical Future Fire Pit 25,000 BTU Deck- main floor 1-360-518-4567 Total Btu /H 410,000 BTU Vertical Pipe Lines Date: February 29, 2008 Permit Number: MST2006 -00104 Furthest Distance 75 feet ICF Wall 13270 SW Menlor Ln. • • This form is reco g ni' zed b y m uildin g Departments, in the Trr -Cou rea for transmitt i nformat i on.,. :Please complete this form when submitting information for plan review °responses and revisions. This form and the information itprovi'des helps the review process and response to your project. BUILDING DIVISION . ;. I• 4:40ARD T - MkT'TAL LETTER • TO:; C/ \ DATE RECEIVED: • DEPT: BUILDING DIVISION • V'Q • MAR 1 1 'LUUtl FROM: � CiTYOF rIGARD BUILDBNGDIVI510fV } COMPANY: �/ /// (�' PHONE: ) O 3 _. ?� - o `f `t0 By i ' (Site Address) Permit/ ase urnber) (Projectname or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: • Copies . _ Descr>I,phon� C opies • Descriphori Additional set(s) of Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: Ce5i r .SIA crs C(9ut/C-- e " 4w jote r I�P1Lr. rt-fv\Ov%-a (), Id...2d) fr FOR OFFICE USE ONLY •_ z Routed to Permit Technician: Date: Initials: Fees Due: Yes I I No Fee Description: Amount Due: $ • $ Special . Instructions: Reprint Permit (per PE): , I Yes I I No I I Done Applicant Notified: Date: Initials: • l: \Building \Form`s \T.ransmittal Letter- Revisionsidoc 4/4/07 • • • E. i : k eCE‘ n�8 MiN,R _ 6 2 Tankless W/H Vkt Gas Line �C �111� IC 3rd floor 0 BTU a 4 V Of 1 I sON �- 13270 SW Menlor Ln. Tigard, Oregon 4 gU11 -� Water heater 3/4" hard pipe 3' Basement 3/4" flex pipe 50,000 BTU 9' 9' 9 3/4" flex pipe 1/2" flex $, 1 /2" flex 17' 8' 17' ill . Future Fire Pit 25,000 BTU Cook top 4' 1" vertical , hard pipe to Main floor 9 3rd floor 40,000 BTU ' 11' , / . 6' • 15' 16' Cook top ? 3/4" flex 30,000 BTU 2' c• ' ii to outside -r 1/2" flex , �� I 3/4" flex pipe 5, 1 1 /2 e i p A i 7' 12' ' 2.5 1 g' • 29' gas 2" hard pipe 6 1" FLEX LINE 1" FLEX LINE • . 5, • . 1 1/2" hard pipe 0 meter 15' 3/4" flex pipe 1/2 FLEX 7 1111 . • Cook top 40,000 BTU F/P - freestanding • Deck BBQ 60,000 BTU 12' . Basement, _ • Water heat 50,000 BTU 2' LEGEND 25,000 BTU Tankless WH 180,000 BTU Basement Cook top 30,000 BTU BBQ 60,000 BTU Tee al Submitted To: City of Tigard Basement Gas Fire PI. 25,000 BTU Submitted By: M & M Mechanical Deck- main floor • 1 -360- 518 -4567 - Future Fire Pit 25,000 BTU Cap 4- Total Btu /H • 410,000 BTU Date: February 29, 2008 Vertical Pipe Lines - Furthest Distance 75 feet 13 00104 270 SW Menlor Ln. CITY OF TIGARD • , BUILDING DIVISION i . . -. PERMIT #: MST2006•00104 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISS,UED: 9/21/2006 Phone: (503) 639-4171 .411:11ilifil". / Inspection Requests (24 Hrs.): (503) 639-4175 • INSPECTION WORKSHEET FOR DATE:i 3/7/2008 • - t 00AM PAGE: 6 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: ' SUBDIVISION: S LOT #: TYPE OF USE: PROJECT NAME: PAUTZ . DESCRIPTION: New SF. . . OWNER: PAUTZ, BRIAN PHONE #: .503 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For Date: 3/7/2008 Pour Time: Code # Inspection Description ' Confirm # Contact # Message 610 GaS line 066303-61 603-969-8448 N Correc nts/Instructions: , , • / • . -- S-e___ ' .S ' _S(k,e (0k .,-- A....6 P b' - a ,...iff AL__..i /■.. -- AP ," lir \AS-- ' n 1 1. '. '‘ C ' V C . itt I .---- ' - I ' . > , ■gt ' ' 1 — VV\A--- --- .1444—___ _ 0 _i .-\/ ' ccci _ ip OP Am • IP -. A ) ii, -.MR _ - 1t , e_.-- _1 4_ Y -1,40 r ,,- ''' . • \..._,,,___(_....._ _ , . - ,9° . . 1 S I I PARTIAL APPROVAL El CANCEL. ' [ NO ACCESS A AIL CALL FOR INSPECTION / ADDITIONAL FEES ASSESSED Inspector: cit,______ ,- • - Date: .---- Phone #: (503) 718-, Y .. • .• , , CITY OF TIGARD 40 BUILDING DIVISION - PERMIT #: MST2006-00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 Phone: (503) 639 • Inspection Requests (24 Hrs.): (503) 639-4175 - 0:-..cLW: • • INSPECTION WORKSHEET FOR DATE: 2125/2008 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 13270 SW MENLOR LW CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF OSE: • PROJECT NAME: PAUTZ DESCRIPTION: New SF. . OWNER:- PAUTZ, BRIAN PHONE #: 503-969-8448 CONTRACTOR :4 OWNER PHONE #: • Inspection Request Scheduled For: Date: 2/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gm line 065575-02 503-9698448 Corrections/Comments/Instructions: • /4W 1'I-') - es ilz." 1 4 6,4.4_, - 3 0 ■ ,--74-70, A L "PI • . • • 4 n PASS - n PARTIAL APPROVAL " CANCEL El NO ACCESS ,AIL CALL FOR INSPECTION Di ADDITIONAL FEES ASSESSED Inspector: /1 Date: '2. -2y - ES Phone #: (503) 718- CITY OF TIGARD BUILDING DIVI PERMIT #: hiST5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: r '11.1flt ; 00104 Phone. (503);.639 - 41714 " Inspection Requests (24 Hrs):' (503) 639 -4175 I� INSPECTION .WORKSHEET FOR - DATE: 10118/2007 TIME: 7 :01AM PAGE: .5g SITE ADDRESS 13270 SW MENLOR.1..N CL ASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE:; PROJECT NAME: . F.'AUTZ DESCRIPTION: New SF. • I OWNER: PAUTZ, BRIAN PHONE #: 603:96-84118 CONTRACTOR: OWNER • PHONE #: Inspection, Request Scheduled For: _ Date: '10/18/2007 Pour Time: 12:00 Code #. Inspection Description Confirm # Contact. # essage 270 Reinforcing steel (reb fir) 057829 -01 , 503.969 -8448 Corrections /Comments /Instructions: • • • • • BASS I .I PARTIAL APPROVAL. n CANCEL n NO ACCESS • n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (/' Date: 1 WA Phone #:, (503) 718- CITY OF TIGARD - BUILDING ;DIVISION PE RMIT #; - oo 0t>I'�t Phone: (503) Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 one: (03) 639 -4171 19/tilt i. Inspection Requests (24 Hrs.): (503) 639- 41'75 __:. INSPECTION'WORKSHEET FOR DATE: °10/812007• TIME: 7 :01AM . PAGE: 58 SITE ADDRESS: 13270 SW MENLOR .LW. ' CLASS OF WORK: ' SUBDIVISION: LOT #: TYPE OF USE: ' PROJECT. NAME: PAUTZ DESCRIPTION: New SF. OWNER: PAUTZ, BRIAN PHONE #: 503. 969 -B448 CONTRACTOR: OWNER PHONE #: • Inspection Request Scheduled For: Date: /0/1812007 - Pour Time: Code # Inspection. Description Confirm # Contact # Message , • 215 Footing drain • 057829 -02 503969 -8448 N ' Correcti 'ns /Commen /Instructions i 1■1 k , - - "IvIt (A(1- ',' /k4 (d) .. • • • 1 �' PASS fn PARTIAL APPROVAL CA n NO ACCESS l FAIL . n CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED Inspector: D'at.e:9 v Phone #: (503) 718- CITY OF TIGARD 0 411 2t!:v( - 60 0 .( ) F BUILDING DIVISION! - f . PERMIT #: 131.25 .SW Hall Blvd., Tigard, OR-97223 DATE ISSUED: Phone: (503) -639 -4171 : °NimulPtill Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET. FOR DATE: 9 'v , _ /al TIME:. PAGE: • SITE ADDRESS: 9.-- ••' L • - CLASS OF WORK: . SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: . OWNER: - - PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: • Date: Pour Time: - Code •:# In ection Description Confirm #, Contact # Message C Z/t ‹) - , , Corrections /Comments /Instructions:. . , • . , • ' PASS' ❑ PARTIAL APPROVAL • ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION . n ADDITIONAL FEES ASSESSED � `/o I Phone #: (503) `718 - Inspector:: Date.. ( ) CITY OF ■ I.GARD III.' . . BUILDING DIVISION PERMIT #: M 00104 13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED: 9/2112005 Phone: (503) 639 - 41:.71 �dtll� °��I Inspection Requests (24 Hrs.): (503) 639-4175 ' �� ' '__.., 1.. INSPECTION WORKSHEET FOR DATE: 9/11/2007 ' TIME:. :00AM PAGE: 38 F SITE ADDRESS: 13270 MENLOR LN . 'CLASS OF WORK. SUBDIVISION: LOT #: TYPE OF USE: . PROJECT, NAME: PAUTZ , I DESCRIPTION: New SF'. ' OWNER :. PAUTZ, BRIAN , PHONE #: 501.969.6448 f CONTRACTOR: OWNER PHONE #: 1 ' Inspection Request Scheduled For: Date: 9/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # ' ' Message 255 Wit proofing basement walls . , . 055469-02 ' 503 -369 -8448 • - N Corrections /Comments /Instructio ' ' ..._ . . - . 1,--;,) n , .. I.Jti • vs.vy\ ..,,,,,--s NIN NcLisf -,....x ,,, _ 4 . , - r' • • . • . PASTS. Q PARTIAL APPROVAL ❑CANCEL 'I I_ ,NO ;ACCESS FAIL fl CALL FOR INSPECTION . (I ADDITIONAL FEES ASSESSED ' Inspector 1 ✓ C/�r Date. k 4 Phone # (503) 718 - v' "1 . • CITY OF TIGARD hlIST�006- f�01i:)4 BUILDING DIVISION PERMIT #: • 13125 SW Hall Blvd., Tigard, OR ` DATE ISSUED: . 9/21/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 w INSPECTION' WORKSHEET'FOR DATE: 9 TIME: 7:00A PAGE: , 15 i SiTE ,ADDRESS: 1 3270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT .. #: TYPE OF USE: F PROJECT NAME: PA'Z } DESCRIPTION: New SF. , OWNER: PAUTZ, BRIAN PHONE #: 503 CONTRACTOR: OWNER , PHONE #: Inspection Request Scheduled For: bate: 9110!2007 Pour Time: Code # Inspection Description : Confirm # Contact #''f Message 255 Wir piroefing b s nlent . wails 055399-01 503-9698448' N Corrections /Comments / Instructions: • : n 9 - 41- 9 . O: PASS j . I PARTIAL APPROVAL n CANCEL n NO ACCESS ® CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED r Inspector. Date: . /(2 — 4 - '7 Phone' #: (503) 718- CITY OF TI ARD • , . 0 . BUILDING DJVISION . . PERMIT #: MST2006 -00104 13125 .Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 9/210.006 Phone: (503) 639- 4171 t i Inspection Requests (24 Hrs.): (503) 639 -4175 ®.!�- `__.. INSPECTION WORKSHEET FOR DATE: 816/2007 TIME :. 7:04AM PAGE: ' 36 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: • LOT #: ' TYPE,O- OF USE :' PROJECT 'NAME: PAUTZ - ` DESCRIPTION`: New SF. ' OWNER: PAUTZ, BRIAN PHONE #: 503969 -6446 CONTRACTOR: OWNER PHONE #: Inspection, Request Scheduled For: Date: 8/6/2007 . Pour Time: Code ,# Inspection Description Confirm #. Contact # Message -- -R-arr it -- �� - 0;3467 D 503.969 -8446 ;N ✓l:bati D 0:53 f ga_o/ . Corrections /Comments /I st ructioris: ' 4.Y./' /2242--. 1 _v' Vic,_ -cr.-4— .o a r o A., 1 _ I_ PA SS P APPROVAL ❑ CANCEL - ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL' FEES ASSESSED ' Inspector` _ . - Date: _9 -6- ?7 Phone #:, (503) 718 , - . 1),,, - r ' . - • CITY OF: TIGARD BUILDING DIVISION • PERMIT #: MST200r00104 13125 SW .Hall. Blvd., Tigard, OR 97223 DATE ISSUED 9/21/2006 Phone :: (503). 639 -4171 - 1mu11by��llu����l Inspection Requests (24 (503) 639- 41 -- 75 !_! INSPECTION.WORKSHEET FOR 'DATE: 5/18/2007 TIME: 7 :02AM PAGE: 33 SITE ADDRESS: 13270 SW'MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF, USE: • - PROJECT NAME: PAUTZ DESCRIPTION: Nem SF. OWNER: PAuTz, BRIAN PHONE #: 503969 -8448 CONTRACTOR: OWNER PHONE #: Inspection. Request Scheduled For Date: 6/18 /2007 Pour Time: 9:00 . Code .# Inspection , Description Confirm '# Contact # Message 270 Reinforcing steel (rebar) 048625 -01 . . 603-887 -2286 Y Corrections /Comments / Instructions: • • • • - • � PASS ❑ PARTIAL APPROVAL I I ,CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑' ADDITIONAL FEES ASSESSED Inspector: - Date: - / 8' o 7 Phone #: ( 503)' 718- 74-4 -S { t ( r • • • ��odL.s Z CITY OF TIGARD ,�.� r'o .er BUILDING DIVISION PERMIT #: IVIS cis -0M Q/V 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006 - 40r7l Phone: (503) 639 -41 UIiMiM �" Inspection Requests (24 Hrs.): .(503) 639 - 4175': INSPECTION WORKSHEET FOR DATE. '5/17/2007 TIME: 7:00AM PAGE: 17 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE PROJECT NAME: PAUTZ DESCRIPTION: New SF. OWNER: PAUTZ, BRIAN PHONE #: 603- 969.8448 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1 2007 Pour T - 2:00 p q 5f 7f Code # Inspection Description Confirm # Contact; # , Message 270 Reinforcing steel (rebar) 048525.01 503 - 969-8448 Y tions /Comments /Instructions: • • - n PASS. PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL U CALL FOR •INSPECTION [ _I AD DITIONAL FEES ASSESSED . 5---1-to • ...Inspector: Date: 7 Phone #: (503) 718= 1 • CITY OF TIGARD .4 BUILDING DIVISION PERMIT #: .MST2006-00104 " s 13125 SW Hall Blvd., Tigard,. OR .97223 DATE ISSUED: 9/21/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs); (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/112007 TIME: 7:01AM PAGE: 15 SITE ADDRESS: 13270 SW MENLOR LN - CLASS OF WORK: SUBDIVISION: LOT #: . TYPE OF USE:• • PROJECT NAME: PAUTZ • DESCRIPTION:. ;Ne SF _ OWNER: PAUTZ, • PHONE #: 503 - 969 - B448 . CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 21//2007 Pour Time: 2 :00 . Code #• Inspection Description, Confirm # Contact .# Message • 210 Foundation walls 042838-01 503 -1387 -2286, Y • Corrections /Comments /Instructions: • • ,.,,r mom= df_ 2 % -© ilaf.0 a !mac' . _ Gv llrl.L , ''ice i /..41 ,--CJ .v C 7 TG �_ - ?7 N4 L aR ' -j_ Stu 0 S � . 1 L 1 rt/ 7 7 ' �; J i1:(,•Y / - D • • • • • • Li PASS PARTIAL APPROVAL n CANCEL I "I NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:? Phone #: (503) 718- :_!__ CITY OF TIGARD t BUILDING I c» IV SIOIV MST2706 -00` 04 13125 S1N Hall Blvd., Tigard, OR 97223 . - DATE ISSUED: 9/21/2006 ' . Phone: (503) 639 -4171 �� r� uyli �l _ - PERMIT Inspection Requests (24 Hrs.): (503) 639-4175 �-! ' , 711.. • INSPECTION WORKSHEET FOR DATE: - 1 TIME: 7:QOAM PAGE: 14 SITE ADDRESS: 13270 SW.MENLOR LN C LASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE PROJECT NAME: PAUTZ DESCRIPTION: - New SF OWNER: PAUTZ, BRIAN PHONE #: 503 969.8448 - • CONTRACTOR: OWNER PHONE #: Inspection °Request Scheduled For: Date: 1/4/2007 Pour Time: 10:00 Code ,# Inspection Description Confirm # Contact # Message 205 Footing . O41803 -01 503-887-2286 V . Corrections /Comments /Instructions: ,e2 (� � =` ,, . moo C--- 14---pry u-Ar. -- - q.4`v , - . -;ASS H PARTIAL APPROVAL E CANCEL I I NO ACCESS n FAIL FOR INSPECTION ❑' ADDITIONAL FEES ASSESSED Inspector: Date: : _ - : 4 - 4 7 Phone #: (503) 718 2-1 4,->r . CITY OF TIGARD BUILDING DIVISION PERMIT # M T 006 -0 1104 13125 SW Hall ,Blvd., Tigard, OR 97223 • DATE ISSUED: 9/210006 Phone: (503) 639-4171 A Inspection , Requests. (24 Hrs.): (503) 639 -4175 ' _... INSPECTION WORKSHEET FOR BATE: 1/3/2007 TIME: 7 :07AM • • PAGE: 30 SITE ADDRESS: 13270 SW MENLOR LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PAUTZ DESCRIPTION: New SF. OWNER: PAUTZ, BRIAN PHONE #: 503 -989 -8448 CONTRACTOR: OWNER PHONE #: . Inspection Request Scheduled For: Date: 1/3/2007 Pour Time: 2 :00 Code # Inspection Description Confirm # Contact # Message 206 Footing 041731 -01 03- 989-8448 N Corrections /Comments /Instructions: ✓ /0 04v6 D, / S' TW • nsL r 44 -1: � G S • • .PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ,AIL ^ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: / —: a? Phone # :. (503) 718- 5 0 - aD /o ALDER GEOTECHNICAL SERB ` ^ES, INC. '- o'r .�oa�ao. 3910 NE 10th Avenu 0 ` 3t O 7 E' ^/ PORTLAND, OREGON 97212 «OJECT pA (503) •282 7482 (( ( LOCP1 FAX (503) 282 -7402 - o I— � CONTP.ACTO 0„liER TO l b@rdv 7 FH i ,, WEAER TEP.lR 'at !�1 1' ' A 27 0 5_�w -- t. L-vv Coo b V' ; �` 4.-- °at . PRESSNT AT SIFTTE { �,j.�_ S 2 ye U /,S(r` THE FOLLOWING WAS NOTED: V l s r m 3 L r o c u" F , • ,Y 5 I mo__ V' / S t dr / fir b° uS j 4 1)----.6415 Tin 14 lk- 1-i off`$ -PCC U C`/ L 'S p L 11 P 6,G J S COPIES TO ) ]11 K1 ©r SIGNED 2-626“-, OK for Framing inspection. No Final until private hydrant is installed or Fire action plan is signed by TVF &R, Brian Pautz, COT and any other parties involved with po installation of public hydrant in easement. MAV 7/11/08 1 } -- 1 REC8 • To the City of Tigard AUG 1 8 2008 August, 2008 Engineering Dept. Attention: Mike White CITY �' IGAi PLAN I CIIENGINEERII G The following 3 items are in response to the stated requirements for a water supply (Hydrant) within the required 600 feet of the established residence located at 13270 SW Menlor Lane, Tigard. The following 3 steps represent the intended responses to the directive requested by the Tualatin Valley Fire Department, specifically John Dalby, and to support an inter - agency agreement between TVFD and the City of Tigard concerning the aforementioned residence. Brian Pautz presents the following 3 steps taken or intended to be completed for the sake of compliance 1. Brian Pautz has acquired a public facility improvement permit ENG28 -00105 date issued 7/11/2008 for installation of fire line for hydrant as requested by the city of Tigard. Contingencies: 2. D.R. Horton working with WRG Engineering in compliance with Clean Water Services demands for Down Stream Analysis and completing all permitted and intended construction will install a public fire hydrant in the area already privately permitted by Brian Pautz. 3. If D.R. Horton is not able to fulfill agency requirements or complete the intended development within a reasonable period related to the scope of the proposed development thereby providing ' placement of a local water source or if any other future possible developments on adjacent or appropriately close properties fail to come to completion, Brian Pautz agrees to take responsibility for installation of the required water supply within a practical time response as weather allows due to the slope of the area where the line would be installed. Brian. Pautz der/14..-61"... G.3 • Rick Bolen From: Mark VanDomelen Sent: Friday; July 11, 2008 2 :47 PM To: Rick Bolen; Hap Watkins Cc: Brian Blalock; ' Dalby, John K.'; Mike White RE: MST200.6 00104_ Brian Pautz picking up his engineering permit and approved revisions to install a private fire line and hydrant on his property at 13270 SW Menlor. He has been given approval to call for a framing inspection but No final approval until the hydrant is installed or we have a Fire Action plan signed by Brian Pautz, TVF &R, COT, and any other parties that may be involved with the possible installation of a public hydrant located within an easement on his property. The action plan is to include a timeline of completion. This option is being considered due to other parties interest in running a city line through this property to serve a future subdivision on sunrise Lane. If you have any other questions, Mike White is involved in the possible public water and sewer line through this easement, and John Dalby has been informed and has given preliminary approval of the Fire action plan option. Thanks Mark VanDomelen City of Tigard Plans Examination Supervisor (503)718 -2759 markv@tigard- or.gov 1 111 11/ RECEIVED JUN 1 7 200 eb age 1 of 4 CITY OF TIGARD a 'VISION Aktf;V=V4.4TeNV;11§ l',46.00,:*;44±1PM V.TAWA*440.41:4 , 1/NoadwaY40.41,9p.0;AW" - pA 4.T,Nra,Ar.;;;NIV.V.y. 444.;$ 00.gtrriPoisYemPrjvsyst,90V-411 ItOgivg15:400.44V4W 43:K:a • or p,„ o=b MI.F.40.Wall.011111.1111111.1111101011. nalliralitill.111110111111W1 TENSAR EARTH TECHNOLOGIES, INC. www.tensarcorp.com • 1-800-TENSAR-1 Pautz Residence Gravel Driveway Washington County, Oregon, United States Project Reference: 675-1 • Project Description Gravel driveway to residence at 13270 SW Menlor Lane. Driveway to support 60,000 lb fire truck with maximum point (wheel) load of 12,500 lbs. Dual rear axles each carry 25,000 lbs. Front axle carries 10,000 lbs. • a DESIGNER • Alder (leotechnical Services 3910 NE 10th Ave Portland. (2)re2,on 97212, United States All John Cunningham, GT. 503-282-7482 (TEL) 9 503-282-7402 (FA X) alder2,eorcP.teleport.corn cF This document was prepared using SpectraPave2 Version 2 17 Developed by Tensar Earth Technologies,.Inc. Copyright 1998- . 2006, All Rights Reserved. • • • Alder technical Services 3910 NE 10 Avenue Portland, Oregon 97212 Phone 501282.7482 Fax 503.282 7402 aldergeo ©teleport. November 9, 2006 Project No. 675 -1 Mr. Brian Pautz 9685 SW Carriage Way Beaverton, Oregon 97008 STRUCTURAL EVALUATION OF GRAVEL DRIVEWAY FOR FIRE TRUCK SUPPORT 13270 SW MENLOR LANE WASHINGTON COUNTY, OREGON Dear Mr. Pautz: As requested, I have evaluated the structural support capacity of your existing gravel driveway. The purpose of my work was to determine whether' the existing gravel thickness was adequate for supporting fire truck traffic. This letter presents my recommendation that . the existing minimum gravel thickness of 4 inches be increased by 2 inches to provide a minimum gravel thickness of 6'/? inches along the entire driveway. My engineering calculations are also attached for reference. Shallow test pits were dug through the existing gravel pavement at four locations along the approximately 1,000 -foot long driveway. The thickness of gravel in each pit was 4, 4, 6, and 10 inches.. The subgrade soils all four pits consisted of undisturbed, brown, native silts. Static cone penetrometer measurements in each test pit indicated that the undrained shear strength ranged between about 1,000 and 4,000 psf (7 and 28 psi). Based on these measurements, the required thickness of gravel to support a 60,000 -pound emergency vehicle and a 12,500 -pound point (tire load) calculated using the design method of Giroud (2004) The analyses are attached. The results indicate that the crushed gravel should be a minimum of 6 inches thick based on the existing soil conditions and the, assumed loading. It is recommended that 2 inches of additional gravel be placed on driveway to increase the minimum gravel thickness to 6 ,.inches. ' Giroud, J.P. (2004). "Design Method for Geogrid - Reinforced Unpaved Roads. I. Development of Design Method." Journal of Geotechnical and Geoenvironmental Engineering, Vol. 130, No. 8, pp. 775 -86. • Subgrade Improvement Calculation } Page 2 of 4 • • Design Methodology • The aggregate fill thicknesses determined in the Results section below are based on the methodology prescribed in Giroud and Han (2004). The design method is intended for the calculation of the required unbound aggregate layer thickness for unpaved roads constructed on weak subgrades. Validation of the thicknesses achieved for pavement sections reinforced with Tensar biaxial geogrids using this method were achieved through calibration with several sets of test data including the results obtained from work undertaken in the pavement test facility at North Carolina State University (Gabr, 2001). Design Parameters a) Trafficking Requirements � • Property Value _ Axle Load (kips) 25 lit N I/ Tire Pressure (psi) 80 1,0‹. 2- c Axial Passes (Each) 12 Maximum Rut Depth (in) 3 2 VeB�ct e-t A b) Pavement Soil Properties 2 3 ,,z :fl - tZ- Property Value Aggregate Fill CBR ( %) 20 • Field Subgrade CBR ( %) 3 -__-- , s - Th _VrEfi;;O F6%<& 6-0v KILL A C e This document was prepared using SpectraPave2 Version 2.17 Developed by Tensar Earth Technologies, Inc Copyright :1 - 2006, All Rights Reserved. • • Subgrade Improvement Calculation Page 3 of C) Geosynthefic Properties N`o. I b Parameter BX1100 BX12 Integrally I &ally Geogrid type formed, single f reed, single layer layer Rib shape Rectan ar/ Rectangular/ • s re square Rib thickness (in) ; 0.03 0.05 Aperture stability modulus/ 0.32 0.65 (m -N /degree) 7 Junction efficiency o) 90 90 Aperture dime Ions (in) • - Machine ction 1.0 1.0 - Cross chine 1.3 1.3 Th ness adjustment factor 1.0 1.0 Results - Required Aggregate Fill Thickness (in) . f , I K i 60 .-- ----- —— `�\ - -1 • —' Uninforced J Ten4arBX1100 50 - - _ — - .. - -.... I - -- ...- ---- -- -- —. - •- - •- - •- Ten$arBX1200 4 V. 40 1 lJ - N .I` • 0 0.0' 0.5 1.0 1.5 2.0 2.5 3.0 3.5 • 4.0 0 field Subgrade CBR (%) This document - vas prepared using SpectraPave2 Version 2.17 Developed by Tensar Earth Technologies, Inc. Copyright 1998 - 2006, All Rights Reserved. • Subgrade Improvement Calculation Page 4 of 4 Aggregate Fill Thickness Savings . • Aggregate Fill Thickness (in) Aggregate Fill Thickness Savings Geosynthetic (in) Calculated Required q (in) (%) Unreinforced 5.22 s 6 N/A N/A :: 2 4 4 L2- 3 References 1. Gabr M. (2001) Cyclic plate loading tests on geogrid reinforced roads. Research report to Tensar Earth Technologies Inc. N.C. State University • 2. Giroud, J.P., and Han, J. (2004) Design method for g eogrid - reinforced unpaved roads: Part 1 — Development of design method ASCE Journal of Geotechnical and Geoenvironmental Engineering • 3. Giroud, J.P., and Han, J. (2004) Design method for geogrid- reinforced unpaved roads: Part II Calibration and applications ASCE Journal of Geotechnical and Geoenvironmental Engineering • E 0 O • G O P O This document was prepared using SpectraPave2 Version 2.17 Developed by Tensar Earth Technologies, Inc. Copyright 1998 - 2006, All Rights Reserved. • • • • Via;,; �p+ +f(�5 S . , 4+ „ � �=.� :. • ' ., t t ` Y u .°"fir 7 s 'a , >�Gir =�� v. sa : F'yZi F • ia -'" t ai. . �Y'ia� kW°. .ra�sr 2i ' 4t'� ,! ? t e`'fr p ?,,a . ` #3} a . r �. ; . " ba a r � � • ,N, ::A "` `- ..u S� na:,`-F�f'fi"�.3`�. ys . ,y t °�,° -, ' 1 ■ . - .w . 6 �7� ���.M ��G� � r r e � .� j � � � L mit*, • . �� � ` C ��`� ; � ?���'1caa`,�c �j "�` � a ``¢�a g 1 `� �, t r � *ulft x . f for �i atin g S b r e of S .red ih L ft .t "�: � `�r., '� ++� °t"",t"„ r M+� h "''#•+S,i�; Uit kx W. timated Consistency by: Test by: • Correlates to: Standard 1 Dynamic Cone I'enetrometer Shear Strength, Penetration 1 (in./bloty) C R Value 'eel Equipment/Visual Test (blows;/ft.) SC, SN1, Si CL C1 i fpsi) ftsf) - 'l, Soft N1an standing sinks 3 inches Man walking sinks • ;oft _3inclit•s 1.7 -3.5 0.12.5 -0.25 <0,36 0 di _.:4t7n< v�lkrrb srnls :S .-'2�fi 3'S 6 9` 415'.4::,50.10:X7 . z itiff: Pickup truck ruts 5 `- 15 . > 3.9 2.6 _1.8 — :6.9 1319 0.56_1.0 2.5 ..6.8 I.. -- 1/2-1 inch • Loaded (lmp truck v Stiff ruts - I 3 inches 13.9 - 27.5 1.0 - 2.0 6.8 - 15.5 lard Insignificant ruts fnorn loadl�.1 dump truck 27 5 2•t7 > I SS rirr� es: .After l'. r !. r d C.enrent:A .-. ,.i.tion, I. i. [)ul'ont lit rtturi and ;\lcd irthy. David J fw: •ruials n''S,atd afee am' Foi,r:iiatipas, 19:; ;; li ns Webster, Personal t untrrurrticatiun 21;X)1. Lk T' fir : c°FrR AAci`i'i0, t91-13 Guide for I Ast.;u r7 P...'r!mrrrt L•trurtore:4, Van dill et al, NCI WI' 1214_ • 4 • • LaVIELLE GE ®TL I, Il NI CAL PC ' 2313 NE Alameda Portland,, Oregon 97212 (503) 287 -0511, Fax 282 -7671 March 15, 2008 Our ref: 04- 1943.001 Brian Pautz 9685 SW Carriage Way R ECEIVED Beaverton, Oregon 97008 JUN 17 2008 RE: CONSTRUCTION MONITORING — ROCKERY WALLS CITY OF TIGARD 13270 SW MENLOR LANE TIGARD, OREGON BUILDING DIVISION In accordance of your request we have completed our monitoring of the rockery walls. The site is located at 13270 Southwest Menlor Lane, in Tigard, Oregon. Our observations and conclusions are presented below. The 2 rockery walls and the driveway ramp were constructed by stacking two to 3 foot diameter boulders against a cut face. These walls were designed for a maximum height of 10 feet above the surrounding grade. The areas in front and above of the wall were designed to be horizontal. Calculations for design of the wall are attached. The boulders were fresh black basalt. The boulders were stacked to create a wall face with an inclination of 1H:4V (horizontal: vertical). A perforated plastic pipe, 4 inches in diameter was installed behind in the lowest row of boulders. In our opinion the contractors completed the construction of the two rockery walls and the driveway ramp wall in substantial accordance with the project rockery wall designs and specifications. Sincerely, f ' . . LaVIELLE GEOTECHNICAL PC f`` r �- _ y J Craig C. LaVielle, PE /GE Principal 0 0 .7 , 1 0 FOOT - Rockery Wall Design Calculations : 104-1943.001 13270 SW Menlor Lane, Tigard, Or. • , r . 1 . . _... Wall Ht. Above Grade 1.01feet (H) 1 Unit Weight Basalt Boulders, pcf 1 140 pcf • Surcharge: • • 0 . Boulders Size = Minimum 2.ftdiam i! . • :- Phi Angle:: I• .• 32 degrees i • • : I , Soil Cohesion: 0 psf . :Retained Soil = Med Stiff Clay Silt 1 . 4 ..._... ................................ Soil Unit Weight: 125 pcf (wt) : .. .................... Embedment Depth 0.5 feet (Ed) 1 i : • 4 : ••• Batter of Wall Face: 41-1:1V 14 degrees 1 Back Slope: Horizontal I T : • : :•• . • . • : . • .. . . . Rockery Wall Rotation: • : . : • : • • _.......„. _ :••• • • _ _.... : IKa for a 14 degree slope face I 0:31 1 ..... . . INAVFAC DM-7.2 pg.66 -I. ....... :Resultant: :Pa = I KaWt(H+Ed)^2/2 = 1 2 136 091Ibs. , • , . :Moment Arm: feet Ar = 1/3 H = . 3.501ft • Driving Forces: PaAr = 1 1 7,476.32ft-lbs :. !Resisting Forces: Iwt(H+Ed)wd(H/4) = 111,576.251ft-lbs. J. 1.5510K Factor of Safety Against Over Turning = PaAr/RF = • • . , . . . . . • . • . • . • • • • . • • • • ' Rockery Wall Sliding I , 4 . .. . i SOil - Passive Case: • 1Kp = itanA2(45+phi/2) = i 100.001 • • I PP_ = 1 1 1,562.50:lbs. , . • . : • : • . , • Soil Friction Coefficient: Fc < tan (friction angle) 1 0.51 - , 1 i — . 1Base Friction: (H+Ed)wt(width)Fc = 2,205.00 • 3,767.501Ibs. ;Total Slidng Resistance.at Base of Wall: Pp+Fb = 1 • • - - - l• :Factor of Safety Against Sliding: ,.(Pp = • • . 1.7610K , ,.... • Sliding Between 1st & 2nd Boulders: I . .... ....... . Boulder to Boulder Soil Friction Coefficient: 1Fc < tan (friction angle) : ..• 0.61 • • ..... ...... %...... 1 Base Friction: 1Hwt(width)Fc = 1 462,001 . • ...... : ;Resultant w/Surdharge Acting on 1st Boulder: 1 77.501 .. : • :Factor of Safety Against Sliding: (Fb)/Resultant = - 5.9610K • . • • • 1 .. • • . . . . • : • • . : • : • • : . : • - t - 1 : .:....,..,::::.:-•.•,,::::::-;:•••••••.... : : ........ • ,f•I'..',I4::::::::::-.:1:-::-..::::.*'!-.:.. : t I ; • • • ! : • ...... . ; . . , .. i . / I-:'` 'i' ;" I ' 5 )Y. • „, ...- •i -..../":-- :,...__., ........ . .‘,..- : .+ : ::: ..••?., :::J:: :.,.: ::.: ,;.::. :;•.:: ...:,..,,...• , . . . ,••• : • . . : . : . ,.: : I I • • • . ••• • ••••••:'6?•:";•; ....::-.',..':!....:•I• . ' • , 1-•- • .. . .... : i ........... 1 : . • • • • • ..........,.......... . . , . .. : ..• • i . [ i 1 A 1 . . . . • - - 3 i 1 i . 1 • i • i 1 . , I : i I _ 1 . I • 1. . ROCK SIZE SCHEDULF(See note 3 below) • ROCKERY WALL DESIGN D (FT) MIN. WT. (LBS.) . TYPICAL SIZE (IN.) • MAXIMUM WALL HEIGHT (H) •= 9 FEET -near level backslope 1 000 24 X 18:X 12 8 FEET -4' taII2H:1 V backslop • 32X24X17 3 1,600 D is distance ;from 24 X 23 X 23 of boulderto •top of wall 5 2 400 40 X 28 X 20 (D = H for toe boulder) 36 X 27 X 23 • 54 X34X24 7 I 4,000 48 X 36 X 26 LEVEL TO 2H:1V MAX: SLOPE 9 5,000 60 X 48 X 36 72X.42X30 DRAWING NOT TO SCALE { COMPACTED SILT OR Elongate CLAY SOIL,(12 TO a Boulder ce � 18 INCHES THICK) D (varies) p %- o '.•": • T STABLE TEMPORARY CUT � d0 (SLOPE ANGLE VARIES) H 4 ±1 `q. c;<;•• . °J , 4 "-0 CRUSHED AGGREGATE •° •1 LIGHTLY COMPACTED IN 12 41111111W w INCH LIFTS , 0,35H Toe Boulder � 4"-0 OR 1 1/2 -0 CRUSHED AGGREGATE WITH NO MORE THAN 7% 5-ft min length FINES PASSING THE NO. 200 SIEVE, LIGHTLY TAMPED ....... .....-- -------. 12 IN. MIN. . �, 6IN. 'a : , , ;Az • - - :iv i0- A I I c I ®1 3 INCH MIN. DIAM. PERFORATED I M IN. KEYWAY PLASTIC PIPE ADS HIGHWAY GRADE CONSTRUCTION NOTES: WIDTH = 0.75H OR EQUIVALENT 1. Keyway subgrade and embedment should 'be verified by GeoPacific Engineering, Inc. For walls supporting fill, an engineered fill should be overbuilt and then trimmed back so that the wall is constructed against a stable excavated face of compacted engineered fill. 2. Rocks should have a cubical; tabular, or semi-rectangular shape that roughly matches: the space created by the previous rock course. Rocks should be laid flat with -the long dimension oriented perpendicular to the wall and extending towards the excavation face. Rocks should be staggered such that each rock bears on at least two rocks below and vertical joints are discontinuous. Rock placement and wall integrity should be checked (by builder) by lightly hammering on the top ofeach rock with excavator bucket. 3. Minimum rock sizes for a level backfill condition should be determined using the ROCK SIZE SCHEDULE above, where D is the distance from'the base of the rock to the top of the wall. Rocks should be no smaller than 650 lbs. For sloping backfill, rocks should' be.50% larger than.the smallest size. • 4, Voids greater than 6 inches wide where -there is no contact between adjacent rocksshould be chinked with a small rock. 5. Backfill behind the rocks should consist of a minimum 12 -inch -wide sheet of 4 " -0 crushed aggregate with no more than 7% fines passing the U.S. Standard No. 200 sieve. Backfill should be placed in 12 inch lifts and lightly compacted to an unyielding state as each course of rocks is placed. 6. Structures supported above the wall should either be at least 1.6H horizontal .from 'the base of the wall or footings deepened as determined by a geotechnical•engineer. This detail is applicable to the subject project only and should not be used for other projects. 7. Cap boulder, -be a minimum of 30 inches wide to minimize potential' dislodging of boulders during a seismic event. • • . . • . • • - In n. I I I I ' I I , - - • - - LI . 1. . I 1 , ' • .1 ci-) — — _ _ ' , A II L / \J • I • '.-•.; .) ) 1 I I • I 5 /7. • , . • 1 • BEDROOM ..4 i I FAM11...17BONU5 17',(1-1 21' - 2"x21 ' - 4" * -1---. . .,-2 I I UNFINISHED I I I I . .. — acAss olcig ..i-•"-?‘: I I 1 Y 1 - : , 4■ • i 1 t .,3 ...., • 0' / ...-‘ 2 ...--) ••■ c,..„) ...„. •,, - —7: . •• ..)-1 I Z &TOR * A CDI muswaw ma.. I . , ____k • L . ' $ 6TOR 0 • ... . / —I P ..%':. :. . -..l. 7 (TiVir■ft-fli0(IfIr:':. :) f . , --K .. ., —.., GRAU.11- SPACE ? t 0 . • ii • • • ( ... I . . .,..; - • . ,- -,-, . - !D S , 9 4 (..0 . q 7 ,- ,:- N -- -4 - 6(5 -. - r4o"dIr . 'D (-1— ` - ',, t..,, 0 ; i :::.)---rr - )5.7_, - ). - 1 , - .. L- -,,,_:,.,.. , ( . .. ,. -.. • -' ' ;5 ,. '''-- .-_-9 - .,. -- . " — *A' ' s : - " ' ``---f'' --) --- -‹ -, - 5 : ..?. — . T . • ,s . . . • • .. •. • %;. s ' • • • . . • • - - Residential Ji) Commercial o Weatherizanon JB INSUL .. TI{ N RECEIVED PA. Shelving /Accessories "You, Insulation Specialist Since 1979" r Q N � o Firestoppi JUN 1 '1 2008 CITY OF TIGARD • BUILDING DIVISION REVISED INSULATION SUBMITTAL BRIAN PAULTZ 13270 Menlor Lane Permit No. MST 2006 -00104 Spray Foam N.C.F.I. 4" Closed Cell Foam at roof With R -13 fiberglass batt Average R- Value: 38 • Thank you. 5/13/08 REVISION APPROVED 14255 SW Galbreath Drive o Sherwood, Oregon 97140 a Office 503.625.9700 o Fax: 503.625.9730 Federal I.D. # 87- 0572162 o Contractors Board # 127440 Permit # MST2006 -00104 13270 Menlor Lane, Tigard Brian Pautz 'IA 2x8 14 guage metal joist average a inch c.c. spray foam 1 \ IP 5/8 inch sheathing 0 aiii 1 III � � Ak 'Ill. v%. D Total R value equal to R -38 ���` .h. � � 11 :. -,,,,,, / -.". -iiih. ,,,,.. O Fiberglass Batt. ,,:^ 410 +9;� 1 . t. ESREP -1615 *R T" Reissued April 1, 2008 This report is •subjectto.re- examination in one year. ICC Evaluation Service, Inc. Business/Regional Office u 5360 Workman Mill Road, Whittier, California 90601 a.(562).699 -0543 Regional Office tJ 900 Montdair Road, Suite A, Birmingham, Alabama 35213 a (205) 599 -9800 WW W. C C-es. o rq Regional Office a 4051 West Flossmoor Road, Country Club Hills, Illinois 60478 a (708) 799 -2305 • DIVISION: 07— THERMAL AND MOISTURE PROTECTION 3.2 Surface- burning Characteristics: Section: 07210— Building Insulation The insulation, at a.maximum thickness of 4 inches (102 mm) and a nominal density.of 2 pcf (32 kg /m'), has a flame - spread REPORT`HOLDER: index of less than 25 and a smoke - developed index of less than 450' when tested in accordance with ASTM E 84. NCFI POLYURETHANES Thicknesses of up to 8 inches (203 mm) for wall cavities and POST OFFICE BOX 1528 12 inches (305 mm) forceiling cavities are recognized based MOUNT AIRY, NORTH CAROLINA 27030 on room corner fire testing in accordance with NFPA 286, (336)789 -9161 when covered with minimum 1 / 2 -inch-thick (13 mm) gypsum www.ncfi.com • board or an equivalent thermal barrier complying with, and Roger.morrisonPncfi.net installed in accordance with, the applicable code. EVALUATION SUBJECT: 3.3 Thermal Transmission R- values: The insulation has thermal resistance R- values, at a mean INSULSTAR SPRAY APPLIED POLYURETHANE temperature of 75'F (24 "C), as shown in Table 1. INSULATION 3.4 Aldocoat 757 Intumescent Coating: 1.0 EVALUATION SCOPE Aldocoat 757 intumescent coating is manufactured by Aldo Products Company and is a water -based latex coating with Compliance with the following codes: specific gravity of 1.4. Aldocoat 757 is supplied in 5- gallon n 2006 International Building Code (IBC) (19 L) pails and 55- gallon (208 L) drums and has a shelf life of six months when stored in a factory- sealed container at m 2006 International Residential Code (IRC) temperatures between 40 °F (4.5 °C) and 90 °F (32 °C). ® 2006 International Energy Conservation Code (IECC) 4.0 INSTALLATION ® Other Codes (see Section 8) 4.1 General: Properties evaluated: InsulStar insulation must be installed in accordance with the ® Surface - burning characteristics manufacturer's published installation instructions and this report. The manufacturer's published installation instructions ® Physical properties and this report must be strictly adhered to, and a copy of the 'o Thermal resistance instructions must be available at all times on the jobsite during ® Attic and crawl space installation installation. InsulStar insulation must be spray - applied on the jobsite 2.0 USES using'a volumetric positive displacement pump as identified in InsulStar insulation is used as a medium - density thermal the NCFI application manual. The InsulStar R component insulating material and has.been evaluated for use in Type V- must not be stored at temperatures below 65 °F (18 °C) or B construction (IBC) and dwellings under the IRC: Under the above 85 °F (29 ° C). InsulStar must not be used in areas that IRC, the insulation may be used as a vapor retarder, or as an have a maximum in- service temperature greaterthan 180 °F air- impermeable insulation when applied in accordance with (82 °C). The foam plastic must not be used in electrical outlet . this report. or junction boxes or in direct continuous contact with water. • 3.0 DESCRIPTION The.InsulStar insulation, with a maximum nomin;ll thickness of inches (203 mm) for wall cavities and 12 inches (305 mm) 3.1 General: for ceiling cavities, must be separated from the interior of the InsulStar' is a spray - applied cellular polyurethane foam plastic building by an approved thermal barrier of 0.5 -inch (12.7 mm) insulation that is installed in cavities of roofs, ceilings, floors, gypsum wallboard or an equivalent 15- minute thermal barrier crawl spaces and stud wall assemblies. The foam plastic is a complying with and installed in accordance with the applicable two- component, closed -cell, one -to- one -by- volume spray foam code. Within an attic or crawl space, installation must be in system with a nominal density of 2 pcf (32 kg /m'). InsulStar accordance with Section 4.2. insulation may be used for application to wood, metal, 4.2 Attics and Crawl Spaces: concrete, masonry and gypsum board surfaces. InsulStar insulation liquid components are supplied in nominally 55- 4.2.1 Application with a Prescriptive Ignition Barrier: ,gallon (208 L) drums, labeled as "A" component or "R" When lnsulStar insulation is installed within attics or crawl component. spaces where entry is made only for service of utilities, an • .REPORTS" are not to be construed as representing aesthetics or any other attributes not specifically addressed nor ore they to be construed ON an endorsement of the subject of the report or a recommendation for its ube. There is no warranty by ICC Evaluation Service, Inc., express or implied, as to any finding AN St ,, or other matter in this report, or as to any product covered by the report. • um wr..mre rw M°WLl CUMFIGil°M Copyright :0 2008 Page 1 of 3 0 . 6 Page 2 of 3 - ESR -1615 • ignition barrier must be installed in accordance with IBC 5.2 InsulStar insulation and Aldocoat 757 intumescent Section 2603.4.1.6 or IRC Sections R314.5.3 and R314.5.4, coating must be installed in accordance with the as applicable. The ignition barrier must be consistent with the manufacturer's published installation instructions, this . requirements for the type of construction required by the evaluation report and the applicable code. The applicable code, and must be installed in a manner so that the instructions within this report govern if there are any foam plastic.insulation is not exposed. InsulStar insulation as conflicts between the manufacturer's published described in this section may be installed in unvented attics in installation instructions and this report. accordance with IRC Section R806.4. 5.3 InsulStar insulation must be separated from the interior 4.2.2 Application without a Prescriptive Ignition Barrier: ofthe building by an approved 15- minute thermal barrier, Where InsulStai insulation is installed in accordance with as described`in Section 4.1, except when installation is Section'4.2.2.1, the following conditions apply: in attics and crawl spaces as described in Section 4.2. ® Entry to the attic or crawl space is only to service utilities, 5.4 InsulStar insulation must be protected from the weather and no heat - producing appliances are permitted. during application. u There are no interconnected basement or attic areas. 5.5 InsulStar insulation Must be applied by installLirs certified by NCFI Polyurethanes. a Air in the attic is not circulated to other parts of the building. 5.6 Use of InsulStar insulation in areas where the probability of termite infestation is "very heavy" must be • a Ventilation of the attic or crawl space is, provided in in accordance with IBC Section 2603.8 or IRC Section accordance with the applicable code, except when air- R320.5, as applicable. impermeable insulation is permitted in unvented attics in 5.7 Jobsite certification and labeling of the insulation must accordance with Section R806.4 of IRC. comply with IRC Sections N1101.4 and N1101.4.1 and 4.2.2.1 Application with Intumescent Coating: In attics, IECC Sections 102.1.1 and 102.1.11, as applicable. InsulStar insulation may spray - applied to the underside of 5.8 InsuIStar insulation at a 1 ( 33.3 mm) thickness roof sheathing or roof rafters, and /or vertical surfaces; and in or greater is a vapor retarder as defined in IRC Section crawl spaces, InsulStar insulation may be spray- applied to R202 and IECC.Section 202. the underside of floors and /or vertical surfaces as described in this section. The thickness of the foam plastic applied to the 5.9 InsulStar insulation is produced in Mount Airy, North underside of the top of the space must not exceed 10 inches Carolina, and Clearfield, Utah, under a quality control (254 mm). The thickness of the foam plastic applied to vertical program with inspections by Construction Materials surfaces must not exceed 6 inches (152 mm). The foam Technologies (AA -709). plastic must be covered with a minimum nominally 10 -mil 6.0 EVIDENCE SUBMITTED (0.25 mm) wet film thickness of the Aldocoat 757 intumescent . coating described in Section 3.4. The Aldocoat 757 6.1 Data in accordance with ICC -ES Acceptance Criteria for intumescent coating must be applied over the InsulStar° Spray- applied Foam Plastic Insulation (AC377), dated insulation in accordance with the coating manufacturer's October 2007. instructions and this report. Surfaces to be coated must be 6.2 Reports on room corner fire tests in accordance with dry, clean, and free of dirt, loose debris and any other NFPA 286. substances that could interfere With adhesion of the coating. The Aldocoat ® 757 coating is applied with a medium -size nap 6.3 Reports on air leakage tests in accordance with ASTM roller, soft brush or conventional airless spray equipment at a E 283. rate of 0.75 gallon per 100 square feet to 'obtain a 6.4 Reports on water vapor transmission tests in accordance . recommended minimum dry film thickness of 7.5 mils (0.19 with ASTM E 96. mm) [10 wet mils (0.25 wetmm)]. The coating must be applied 7 0 IDENTIFICATION when ambient and substrate temperatures are within a range of 50 °F (10 ° C) to 90 °F (32 °C), and requires a 24 -hour curing Components of the InsulStar insulation are identified with the time. InsulStar insulation may be installed in unvented attics manufacturers name (NCFI Polyurethanes), address and as.described in this section in accordance with IRC Section telephone number; the product trade name (InsulStar use R806.4. and application instructions; the density; the flame - spread and 4.2.3 Use on Attic Floors: InsulStar insulation may be smoke - development indices; the evaluation report number (ESR-1615); and the name of the inspection agency (PRI installed exposed at a maximum thickness of 12 inches (305 Construction Materials Technologies LLC). mm) between joists in attic floors. The InsulStar insulation must be separated from the interior of the building by an Aldocoat 757 intumescent coating is identified with the approved thermal barrier. The ignition barrier in accordance manufacturers name (Aldo Products Company, Inc.) and with IBC Section 2603.4.1.6 and IRC Section R314.2.3 may address; the product trade name (Aldocoat 757); use be omitted. instructions; and the name of the inspection agency (PRI Construction Materials Technologies LLC). 5.0 CONDITIONS OF USE 8.0 OTHER CODES • • The InsulStar insulation described in this report complies 8.1 Evaluation Scope: with, or is a suitable alternative to what is specified in, those codes listed in Section 1.0 of this report, subject to the The products recognized in this report have also been following conditions: evaluated in accordance with the following codes: 5.1 This evaluation report and the manufacturer's published rs BOCA National Building Code /1999 (BN BC) installation instructions, when required by the code a 1999 Standard Building Code (S BC) official, must be submitted at the time of permit ® 1997 Uniform Building CodeT^(UBC) application. C , • 410 Page 3 of 3 • • ESR -1615 8.2 Uses: 2602.4, as applicable. The' ignition barrier must be consistent with the requirements for the type of construction required by See Section 2.0, except,the product has been evaluated for the applicable code, and must be installed in a manner so that Type 5 -B (BNBC), Type VI (SBC) and Type V -N (UBC). the foam plastic insulation is not exposed. 8.3 Description: 8.4.2 Use on Attic Floors InsulStar'. insulation may be • See Section 3.0. installed exposed at a maximum thickness of 12 inches (305 8.4 Installation: mm) between joists in attic floors. The InsulStar insulation must be separated from the interior of the building by an See Section 4.0 except the wording of Section 4.2.1 should be approved thermal barrier. The ignition barrier in accordance replaced with.the wording of Section 8.4.1 and the wording of with BNBC Section 2603.4.1.4, SBC Section 2603.5.1.6, and Section 4.2.3 should be replaced with the wording of Section UBC Section 2602.4 may be omitted. 8.4.2. 8.5 Conditions of Use: 8.4.1 Application with a Prescriptive Ignition Barrier: When InsulStar' insulation is installed within attics or crawl The InsulStar® insulation described in this report complies spaces where entry is made only for service of utilities, an with, or is a suitable alternative to what is specified in, those ignition barrier must be installed in accordance with BNBC codes listed in Section 8.1 of this report, subject to the Section 2603.4.1.4, SBC Section 2603.5.1.6, or UBC Section conditions noted in Sections 5.1 through 5.9. TABLE 1— THERMAL RESISTANCE (R- VALUES) THICKNESS (inches) I R- VALUES (°F.ft /Btu) ASTM C 518 TESTED VALUES t 6.4 4 25 • CALCULATED R- VALUES' 2 13 3 19 3.5 22 4.75 30 5 32 6 38 7 45 7.5 48 8 51 9 57 10 64 • 11 70 11.5 73 12 76 For SI: 1 inch = 25.5 mm; 1 °F.ft /Btu = 0.176 110 °K.m 'Calculated R- values:.are based on tested K- values at 4 -inch thickness. • • �1�R _ : 0 0 • ru �' .. 27x4 -.d' ',,g . .'pis - ' NCFI POLYURETHANES . : , Division of Barnhardt Mfg. Co. P. O. Box 1528 a Mount Airy, NC 27030 P O L Y U R E T H A N E S 800.346.8229 www.NCFl.com TECHNICAL DATA SHEET Doc 144 . NCFI SPRAY FOAM SYSTEM 11 -012 DESCRIPTION: NCFI 11 - 012 is a two component, one -to -one by volume, self - adhering, seamless, high insulating efficiency spray applied rigid polyurethane foam. system. NCFI 11 -012 has been designed for use where Building Codes specify 25 Flame Spread and less than 450 Smoke Density'per ASTM E -84. This NCFI system has been formulated with HFC -245fa as the blowing agent. This NCFI system has been formulated with an anti- microbial ingredient to inhibit growth of molds that may affect this product. NCFI 11 -012 is suitable for use in the NCFI InsulStar and InsulBloc insulation systems. DISTINGUISHING CHARACTERISTICS : TYPICAL PHYSICAL PROPERTIES: ® High R-Value Core Density 2.0 pcf • O Zero ODP o Excellent Moisture Vapor Transmission Compressive Strength 29 psi Resistivity O High Yields Moisture Vapor - 0 High Closed Cell Content 1.8 permit 9 Transmission O Good Dimensional Stability • Meets ASTM E -84, FS <25, SD <450 Closed Cell Content >90% at 2 inch Thickness R value @ 1 inch 6.4 @3.5 inch 22 For proper use of this NCFI insulating material refer to the NCFI Application Information and any of the Maximum Service 180 °F following codes or guides: Temperature 2 inch o International Building Code, (IBC), Chapter 26 Flammability, ASTM E -84 Flame Spread <25 o International Residential Code (IRC) Section Smoke Dev <450 R314 and R806 Note: The above values are average values ob- 0 • API Fire Safety Guidelines for Use of Rigid tained from laboratory experiments and should Polyurethane 'and Polyisocyanurate Foam Insu- serve only as, guide lines. Free rise core density lation in Building Construction (AX230) should not be confused with overall density. Over- all densities are always higher than free rise core densities and take into account skin formation, thicknes& of application, environmental conditions, etc. • Polyurethane products manufactured or produced from this liquid system may present a serious fire hazard if improperly used or allowed to remain exposed or unprotected. The character and magnitude of any such hazard will depend on a broad range of factors, which are controlled and influ- enced by the manufacturing and production process, by the mode of application or installation and by the function and usage of the particular product. Any flammability rating contained in this literature is not intended to reflect hazards presented by this or any other material under actual fire conditions. These ratings are used solely to measure and describe the product's response to heat and flame under controlled laboratory conditions. Each person, firm or corporation engaged in the manufacture, production, application, installation or use of any polyurethane product should carefully determine whether there is a potential fire hazard associated with such product in a specific usage, and utilize all appropriate precau- tionary and safety measures. P 0 L X ' U R 'E T H` A .N E S `: P.O. Box 1528 . Mount Airy, NC 27030 800- 346 -8229 www.NCFl.com InsulStar ARCHITECTURAL SPECIFICATIONS and INSTALLATION INSTRUCTIONS for STUD -WALL CAVITY INSULATION PART 1— GENERAL 1.01 SUMMARY InsulStar provides building envelopes with seamless insulation which substantially reduces air infiltration. InsulStar can be applied: (1) to the full or partial thickness of stud -wall cavities for a total insulation, air barrier and moisture vapor retarder package; or (2) in a ' /2- to 1 -inch thickness in combination with conventional insulation. In either case, air infiltration is substantially reduced due to the sealing characteristics of the spray foam system and eliminates the need for house wrap. 1.02 QUALITY ASSURANCE InsulStar must be installed by a qualified spray polyurethane foam applicator who is familiar with the operation and maintenance of his equipment and who is familiar with the properties of the NCFI Spray System which is being applied. 1.03 MATERIAL DELIVERY AND STORAGE A. Materials shall be delivered in their original, tightly sealed containers. B. Keep the temperature of the chemicals above 70 °F for several days prior to use. Cold chemicals can cause pump cavitation and, therefore, incorrect metering. Storage temperatures should not exceed 90 °F. Do not store in direct sunlight. Keep drums tightly closed when not in use and under dry gas pressure of 2 -3 psi after they have been opened. See individual product data sheets for specific storage recommendations and shelf life information (refer to Section 2.01). 062507 • InsulStar Specifications Page 2 of 15 1.04 SEQUENCE AND SCHEDULING The spray polyurethane insulation used in the InsulStar system is applied after the perimeter wall is in place, windows and doors installed, and rough -in plumbing and electrical inspections are complete. 1.05 VAPOR BARRIER: Install vapor barriers as required by local code. NCFI closed -cell spray polyurethane insulation systems provide a degree of vapor retardance themselves. In many circumstances, the use of this closed -cell insulation eliminates the need for an additional vapor barrier. The system used, the thickness to which it is applied, the adjoining building components, the exterior weather conditions, and the interior temperature and humidity all affect need for a vapor barrier. Consult NCFI for specific recommendations. 1.06 SAFETY A. HANDLING OF LIQUID COMPONENTS: Use caution in removing bungs from 55- gallon drums. Loosen 3 /4 -inch bung and let gas escape before completely removing. Avoid breathing of vapors. In case of chemical contact with eyes, flush with water for at least 15 minutes and get medical attention. For further information refer to "MDI -Based Polyurethane Foam Systems: Guidelines for Safe Handling and Disposal," published by the Alliance for the Polyurethanes Industry, 1300 Wilson Boulevard, Arlington, VA 22209. B. 15- MINUTE THERMAL BARRIER: Federal, state, and local building codes vary. All have requirements that spray- applied polyurethane foam insulation be separated from occupied spaces with an approved 15- minute fire rated thermal barrier. One typically approved material is Y2-inch gypsum wallboard (sheetrock) applied over the spray polyurethane foam insulation. Exceptions to the thermal barrier requirement include certain headers, sill plates, attics and crawl spaces. Check the applicable building code and with local officials for specific requirements. 062507 InsulStar Specifications Page 3 of 15 PART 2— PRODUCTS 2.01 POLYURETHANE CLOSED -CELL INSULATION The polyurethane insulation used shall be NCFI Chemical System 11-001, 11 -009, 1 1- 012, or 11-016. See individual product data sheet for typical physical properties and application information. 2.02 SUPPLEMENTAL INSULATION: Use fiber glass batts or spray -on cellulose having the following typical properties: Density 0.6 - 1.0 lb /ft R Value 3 - 4 hr / Btu•ft ° F 2.03 ACCESSORIES A. Joint Filler Foam: Hilti CF 124 Filler Foam or equivalent. B. Caulk: Sikaflex la: Single component polyurethane or equivalent PART 3— EXECUTION 3.01 SURFACE PREPARATION All surfaces to be sprayed with NCFI polyurethane foam must be dry, clean, and secure. Remove sawdust and other debris from areas to be sprayed by blowing with compressed air or vacuuming with a shop vacuum. Check surfaces with NCFI MDP strips to verify dryness. All metal to which foam is to be applied must be free of oil, grease, rust, etc. Primers should be used where necessary. Mask off all areas not to receive spray foam with masking tape and plastic sheeting. Apply release agent to stud facing to facilitate removal of foam. 3.02 FOAM APPLICATION Apply spray foam using a "picture framing" technique: apply a cant of foam between the exterior sheathing and the inner stud surface. Then spray apply the required 062507 InsulStar Specifications Page 4 of 15 thickness of foam against the sheathing. For a nominal thickness of %2 inch, apply in one pass. For filling the stud wall cavity, apply the foam in two or more passes. 3.03 ACCESSORY APPLICATION A. Supplemental Insulation (Optional): If the stud wall cavity is not completely filled with spray polyurethane foam, supplemental insulation may be installed to achieve desired R— values. B. Joint Filler Foam and Caulk: Use joint filler foam and /or caulk to seal around windows, doors, chimneys, electrical raceways, sill plates, multiple studs, etc. Caution: Joint filler foam can tighten window frames and door jambs to the point that they will not open or close properly. Care must be used in these areas to avoid distortion of these members. 3.04 CLEAN UP Clean off all overspray and overfill from the interior stud facings. For fully filled stud cavities, shave off the foam face to provide a surface flush with the stud for drywall installation. Remove all masking materials. 062507 . • 5 . cn . e - ri ,Nate insulate w alls ceilings, arid ::-11 . :-*. that ( seprate ' int areas from .tfie w e denor,or m fro unheated spaces _ o' c - .. Flned .0 lsh,Room spaced Attie ove Cara ; r. e 9 ti Vented Attic ¢ l R Space C a thedral Ceihng.or • 7. `' 'e., Non Nented - Attie - ', x+`r.3... -. -, _ - Rtes, ^'fyv.^ci'ro ,,. Living Space Unheated Gatagef �Exterlor Wail; V .. . •• Partition Unheated. • 4 1 . ' • Crawl Space • Heated Basement 647, .a.,., , I U or Crawl' Space • • J Areas to •• Insulate- in utSiar -1 : '1.°2 4 '17 . . P) ' CM co C' • N LA C' • O Po - - o cu • Ridge Vent Baffle to pr • ce. air spa between • • insulation and roof' _ J - deck • i ::::,: • — ' InsulStar -Spray Foam: full or partial thickness r • • 44.:•:44. Interior Finished Surface RESIDENTIAL INSULATION Vented Soffit (112,inch Sheetrock) ,.: , ,, s ysio s • V "Cathe Ceili Insu 1St ar2 102403 . `G A (7Q CD CIT o O 0 J • I-t • - c . ?t co CA izs . C) Baffle to provide'.: / 0 air 'space between insulatlon'and roof deck. Protection from �� // ignihon per � i - a p pr °pr at e �� - buildmg,code '-'''''-'---'-"-c-.2-- ,,,,,,,.......: , r ..................................:.:„.......................................„. // %�/ A _ InsulStar Spray Foam. i f , st*::::::::::::::::::::::::::*:::::::::::::::::::::::::::::::::::::::::::::::, Ceilings: 12 inches max.. .. iizmooi my4 7 0, oaioi3O0/07,0A•At A•7 I n t enor fi n i shed',: • surface' (1/2- inch Sheetrock)` RESIDENTIAL INSULATION • Vented Soffit r.;'- SrsTEtis InsulStar.�SprayFoam Vented 'Soffit full or partial thickness. Walls`8 inches max: InsulSiar - 3 •122445 "d AD QQ CD 0 N "'}) o ..—, J N c ":".: ' 1°. '" 0 410 0 - 0 104g 4T09:0 044 00%00, Cr) �_ 6 * _ ° ,I 01, � s .--, • --='' 0 s '_ �., o Interior 4.- *see_ > 12,0 q. lettogoweattra $ 00 Interiorfinished Surface:. , (1 /2 :inch Sheetrock)' 1413 ' ° 00%0 jj '-- : ,. I ns uiS ta r Spray F o a m . • • Thickness det . design ,R =vaIue .. r 22., :� . : 0 p S � S N SYSTEtd TWIiNSULATEONq O ,.. , '04 : E x tenoc Sheathing P ffi " 1 _ Stud Thickness • • ur0 0 �@@Iyyyy * yy by sign R Value ° N a 6 � o in ut9tar - 4` l ' 102403 _ U1 Po • .. , . y+ ; 0 ° :1 % r r, .'",?'•,,,, . , r , r , � � a °11 1 .4 f , , , I ° ° ° a f+` 1� ri ✓r � , ✓� fr sf 'tya y �, °�°,."# i r i ‘ r ', { ,%. - • ' r r r r ! ✓ f✓ = r� • r, r r ,/, °� ',...%,-.7',,,, f` InsulStar- Spray. --- — Foam Applied at f ,r ffay,, 1 /2`inch,(nom)° Interior: Partition v r, ., r, rn ° ,,'' %,'.1 Thickness; >b r f , ./, f ./; r ' r r r I _+ r r r 1 ' f ✓ _ Stud Wall Cavity Filled l'i r ,,Y of.....,,.., with Conventional I nsulation. / „. r r f fy . .c , _ • ' y',1 / :. r / //' ' xterior . 11, ''rr ' dr ' 'r ' �' ; _.� InteriorFinished Su r • � l/2 inch Sheetrock)~ • n, �4 <, RES[DENTWL IMSUtPT10N ' r / = SYSTEMS. r ./. ,'/' f' ' f ° ' ` S W all wi , S upp lim � e ntal , r r . '' ..� IX ' ✓, /, /r,ir�,' 1, , r = , 4 lnsulafion Mate ' r, r" r ' r., r ✓ , InsulSter 5 _ � r 102403' "G (IQ cD VD ° 0 0 t_n c c v a ti•':' CID i• y 0 cn He z .. Subfloor A ' , _ S111 - - -- tlt' Joist, : f fig' • ',404.01;,.,:r .t+? ,!:. (as Pro tec t ion . ag ignition' ii s ?• (as reguued'by to code): Extenor Grade b z. .....; i,> 4 .< : <.://e . , , . ` / z�r,. InsulStar.Spray Foam , x • .� ;8 Mm rnrai xs �+n or Footer �� '�M Vapor Barrier;: Se s J r.� A �x �4 ' A i \:,, Craw Space.: t,.-:::,..... �� � N InsulStar -6 I t 102403 b v CP 0 O 0 N - O J V1 • 1 AD ® . . r . , ' _____... - - ,,„,....„.... , I ., ......„.. „.... .. , • . .. - 4oAt�Oe °° ° °° a °* 4 a ° ° o ° °3W - s 4 4 P 1 °0 @ y t / 0 0 0 ° O ° .O O° O O 6°O �Y t ,�� , } p t i4 . • ♦° ° °g°°°is .+ r °° s °s° _ r *WOO t t ° ato ' . . 1 .0 '!- _ .°+ ° ,t., • 3 QO r . ..� � t4�� t M 4 444MS* _ . „ b il04Ge @OtOQOOO OOOOO ff. o t t�i tt *.* Plato: reefing ?" t t * t i tst,- Dock with the shingle manufacture, r • ,•`" +� #4 +' WemaMY f3WadeS for the ktsmBatia+of chives own rapt 1 . ' t W t ats Interior Finished Surface .r�r. (1/2-inch 'Sheetrock). " ,- • *,, v. „ t, .. ,o�wr.. er.ererts�,i err,ru i�airr r at Ins S p r ay Foam -' " '41°° . / uffl or partial thickness - •111..144:4+1 '' 4 . ti Ceiling 12 inches max. : WaNs 8 inch es max -- '-•--- � ;OH �������� RESIDENTIAL irrsuv�noN . • ` Soffit E .. • . u 1Jt� ` ` sys,CMs (venting optional) $ ° e t`''` ,- ,.e ;. , . , Inten • ' ° Surface Cathedral ,Cellmg • S°. * °g; - (112 - inch Sheetrock)' ,°?° - ;Non Vented . ;''°a' ' - l ns u lStar -Si 122905 • fIz • r. c) • 0 O . J vl • • • - c • • va . m . CD P a " u° °� °sa ° s . 0*4 0 a 'NeessIe- O 14 • I Gu est with the rmflng etrtr msnui4enver rdiFift inift efitj, ..°4 ° °ae 10,14 o°4 ° s 4 s e ': N potmas�lpraalnsw or+satedr `"� a" 4,1 u �Ssas ,'�sy? 0 tle#a - . verl w r t • 0 r t s. #0 0.4140 ° s t t.. 2 Reim I , L.6 totcrnatpenel RssWantiel:dete Soet.O0 Karl. . -- ...ogee te :kg • . ...ogee, r .- q i e4. TM%.111:0.40.440:0:04.0.,/ ® a ate. r i - 7 kw blding - id was iq euircmerrta recited io cwwiiisa;ea Hate ' a '.,- a°V in r t °•i• astanMiea _ "- .4's`fi t far • ' .,e` sse eeirl � � i° ° a°�a a a ° t o e a°ffi ® `i aaga baaa ° •a�� p i ki ° a f; r "6I�a InsutStar;Spray Foam In an arilc where. .�` s a a a+s ; � . *a:a° M° a > °' _ entr i s mod e oniy'for service of 0 Ries a must be protected'against ignition by _, as requued by the' appropriate building .rl . ' r F 'bade: . . • I sulStar Spray Foar r ` .••. • lull - - • .oa f� Wails 8 -in max .,. 010y s iv.07, /zwzdrr• hxeear rrsira » 0e , Ceiidng 12 max tn� - • I tA •°: ; nterlot Finished Surface Ies a$3 M (1/2 i She A REn e ivis AL I S • • offit s a ,<: SYS (venting optional) .,. goo* '4' f k * / .Unv ented Conditione Attic •• • ` "_.+5 lnsutStar 10 06.1807 , , Po co t`.) o O O _ L/, - - ., • , = VI ,:.,,,....,■;,...•' ' . ' ,o-14.!...!.' C to Pp ..-1 ' e S '''' - ''''''''' J :0..." -'" • .--' ' 'Air' space-between C4 ...,< Foam arid I ^ • Spray > ..41.1 c'D ,- .- fle- :.:'' '''',' • - '• :In 0 terioriFinisK.SUrfate _. ,-;- , , '',..:•;„ ''‘ ..„ ' . •I ' = •,',:'' ;::' • = '` •'''' • ' — '''''''4.-- , .`-''' ' '''‘''''."1":i . >1 ._ v) Mii6ntijiiIiiiCk- . ,-- - s‹- '' ""'' ...;.: eilili4..., , ' ' , .4;'' . 7 "..-' ' -,m r«..•.. ; : ,., . ( - ", - ; , --. - , .. . „:,. z : . =.";.;';'4...,; - .." ■ , t. ' .' **,' 4 i , V,V '.. ' , ,, 2 , :.! , IP :---',.., .. t Tt:::' ..',- ::: : , ' , : ii = ' 41 , 4' . .?::; . '' ' ..;';''. , :" I 1 'g,/,• -....: : , , N. , .. . - ^, , . ' ' ■ '. $, ' '....f - , ' S . :;;■ '. : , i ' -'';,:':''''. & , ■,,. • ^ '... ... , `', 'Inteiii3VEitiigh:SUrfaCe ' (1/2-inch -,,,, ,t . ' ';; : ,-;.,....= • - • . ,,; ,,-;,./.., . , 21 4'Studs. offset from ,.,-- -; .,, 1 block wall 3/4 to ;- •e,, st . ; ..ti•-.‘„,:-.7,,, $ - - , - - trisulStar Spray,Foam, ,,.,, ',.._ . ..',.4,7. . t' , - . ' , ' ' -, '0".:T.'` • 0 , 4. • te , ,.. ' S,t 4 '. • ' . ":' r- •;,, , • — , . - • ./ A. ..":15" , . t.n.:--•.2 , . , ...., 1 0 -A 111 • ' it :. ',..;27-,‘ : ".',. , .;. - .... ep.t... , . 1 , „ , .;,.'!'":?:-.- , .. - . ' 1 ' - , ., ...cv - w, , -..• • ..11 ' ■-•''',.. , '''. r . . - - - A = .. '. .. - ; , , ' - . - - ' ' . . _ _ IN SULATION ... 1 a N . : SIDE L ' , :°- 4 t: ';: '::' 100 '''' ' !".; ' ' ' ' ° : . L' ' - g" . ";, , :"•• , to: ". . - : ).,.-... ' " ' Fitiritte4313atehientwail,. with Offset Studs . . „ zzz . 1. .• ' • .• „ (7c7 - . " • InsulStar=11 — - - . , 102403 rT) ,. . . L......) o o , --*) t..; .-., co c Cr• . Oa Spray Polyurethane Foam under , .,, . . , , li (SPF must be 2 ib/cu ft mn i density) co Bond Break (SPF. or othe C to Slaty • _� SuRa tiis . b b sear y w J C I / O . K ,Y d / { • rat a• t e - • t '" a 4 t'-' r • 3 i° „ }r 6 '..-.W. „if-4. , s •�� Cl) .•- b d� s w " gQj ',4,; it 1 • rtevilpit a* ° aa <°s'°�s °1 r w L ,vi � .y ° ,a{j rw ", s . - ' : v.:// „,:. ; ,„ ;. . :„.,. ..: ....., - „,z, ..7,:.:*] q-zz:m., ' 1, ..'. 'i.-- ',.. , ..., ,., ,,. 7 ,,,,,,, ,.,,v ..,.. \\. , . . , ,, ..,)/ F K : ,... -,, \V‘.X ; ,,; , , ,/ . \\■ 7. & 9 "...:;,,...N ,. ‘.' .:*... i';' ..•.• ,' '":■;.,, .. '' ,;`;',■-,‘. X",.. ,'..„," 2--....,- ,N. y.,...,, :,,,,,A .7 , ,f , ,' ," 7 % , .4 , '. • , :"':41:: \�t `' . �� \ . Gr avel Lay er drains ad;8 ca ills_ break )„, "I ' ); : ' .''' \;;;;:":,1>/ , . /, X �`` /\, % / . ° . � A ,, C ter Foundation Walt a NT 'Y ';' F e ,•, C • on Footer (below frost d ` s ! fr` / \hd f �.:. J AY [f, SYSTEMS:. C o n crete Siab on .G�ad tlnsutStar 42 - 1024013, `d >v 00 co .A O — 0 N O v CM • •• . . C r. > ,, __ .. .. ._, - - - - (/D CD 0 C) . CA 0 Surround;with Box of '`:-+ Gypsum Board or Other i� • Approved Material j c l • bbrdestt 0 ob V . ' . wows i��b socove br bbGrYb bo®. pries 000epb b b4, ' Recessed Type IC ' , - Lighting. Fixture:; Spey Polyurethane Fo ' to Thickness Recessed Ligh s and Fixtures Interior Finished ; Surface • • Avoid ap spray foam` directiy to recessed ' tight fixtures (1' /2- inch Sheetrock) ' or ; fixtures that c o u ld' g heat Typicall these „_. fixtures are first boxed In with X- gypsum board (a thermal, . • • barrier) Ths,spray foam Is, terminated' at the barrier box;- , .'See the typtcat detail atiight: ” B G. 1FP .- - . ,- NTIAI;,.n -. [ RECESSED LIG F I M1NCFI^ 1 I t 'i2207 IN$UL `c1 .. Po Up . . CD LA 0 O I. b = . E - i s r ( h .7-:....? 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D ^;.. ...; r s. : IN COMPLEIINGFAND SUBMRTING THIStTEST REPORT THE,TESfERCERTIFIES THATTHE4 .. .. N` . �' ASSEMBLY HAS BEE T ES E AND MAMi'AINED IN A CCORDANCE WRHrALI. APPLICABLE ; i '` ,* .tRULES AND -, REGU L ATIONS 01- THEE WAIER SYSIEM A ND SPATE REGULATIONS z i t GAUGE CALIBRATION DATE l / ` T �O DETE METER READING r �� z ,. ` .. > > - -1 . e G L4. "r__ `� 2 'G'irtrr - . .s -vrF ... r c TESTE SIGNATU -1' .y. CE i F3' � .. � .. / tr.[ / '. � .4 ` �� a f ' ,� c r7 � � . .� s_ .y ..-._ � �� �t xf, TESTERS NAME: PRINTED h y - - C ' V0 TESIERSADDRESS f : ` u v 4 rPHONErN COMPANYf NAME L -„r , ,, : ' _.�'� t. s c><...,. �l ..-r tic c, °;��'1�.Z -.� a> _,� ..', 'W.. REP RE B Y , - SERVICE RESTORED (REPR E SE NTATIVE OF - 's y -d . - r . t e v . .;!,,,'",z,...,, } � WHflE Wotee S Co ` ' .. PINK Co z ., zl YELLOW Teste:Copy =�. ' '": • r i . • -- __, *Ilk ' / IS% ,s 0 , , ' ! s_.1 ,) f ` to) ' O Tualatin Valley Fire & Rescue May 9, 2007 Brian Pautz 9685 SW Carriage Way Beaverton, OR 97008 Re: 13270 SW Menlor Lane Dear Mr. Pautz, . I have reviewed the plans you dropped off at our office, including the report submitted by John Cunningham of Alder Geotechnical Services. I also conducted a site visit on Tuesday May 8, 2007. As a result I have the following comments. You will note each of my comments is preceded by the fire district's adopted code language. 1) DEAD END ROADS: Dead end fire apparatus access roads in excess of 150 feet in length shall be provided 0 with an approved turnaround. (IFC 503.2.5) The roadway must have a compliant and approved turnaround. 2) FIRE APPARATUS ACCESS ROAD EXCEPTION FOR AUTOMATIC SPRINKLER PROTECTION: When buildings are completely protected with an approved automatic fire sprinkler system, the requirements for fire apparatus access may be modified as approved by the fire code official. (IFC 503.1.1) The automatic sprinkler system is an option you have elected to exercise in lieu of providing a compliant access roadway. 3) FIRE APPARATUS ACCESS ROAD WIDTH AND VERTICAL CLEARANCE: Fire apparatus access roads shall have an unobstructed width of not less than 20 feet (12 feet for up to two dwelling units and accessory buildings), and an unobstructed vertical clearance of not less than 13 feet 6 inches. Where fire apparatus roadways are less than 26 feet wide, "NO PARKING" signs shall be installed on both sides of the roadway and in turnarounds as needed. Where fire apparatus roadways are more than 26 feet wide but less than 32 feet wide, "NO PARKING" signs shall be installed on one side of the roadway and in turnarounds as needed. Where fire apparatus roadways are 32 feet wide or more, parking is not restricted. (IFC 503.2.1) We will accept the access roadway having an unobstructed width of 12 feet. However, the unobstructed vertical clearance must be not less than 13 feet 6 inches. The trimming of some of the overhanging trees is necessary. 4) TURNOUTS: When any fire apparatus access road exceeds 400 feet in length, turnouts 10 feet wide and 30 feet long shall be provided in addition to the required road width and shall be placed no more than 400 feet apart, unless otherwise approved by the fire code official. These distances may be adjusted based on visibility and light distances. (IFC 503.2.2) This requirement is being waived due to the installation of the automatic sprinkler system. III .... North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503 - 356 -4700 Fax: 503- 644 -2214 www.tvfr.com r .. •,,,•- 1 ,,. ? .. J Tualatin Valley Fire & Rescue 5) SURFACE AND LOAD CAPACITIES: Fire apparatus access roads shall be of an all- weather surface that is easily distinguishable from the surrounding area and is capable of supporting not less than 12,500 pounds point load (wheel load) and 60,000 pounds live load (gross vehicle weight). You may need to provide documentation from a registered engineer that the design will be capable of supporting such loading. (IFC D102.1) This requirement will be met when the recommendations from Alder Geotechnical Services are completed. 6) TURNING RADIUS: The inside turning radius and outside turning radius shall be not less than 28 feet and 48 feet respectively, measured from the same center point. (IFC 503.2.4 & D103.3) The turn at the top of the hill does not appear to meet this requirement. 7) GRADE: Fire apparatus access roadway grades shall not exceed 10 percent. Intersections and turnarounds shall be level (maximum 5 %) with the exception of crowning for water run -off. When fire sprinklers are installed, a maximum grade of 15% may be allowed. Adequacy of fire apparatus access shall be evaluated from the point beginning at the first due fire station to a point within 150 feet of all structures within the development. The approval of fire sprinklers as an alternate shall be accomplished in accordance with the provisions of ORS 455.610(5). (IFC 503.2.7 & D103.2) This requirement is being waived due to the installation of the automatic sprinkler system. 0 8) GATES: Gates securing fire apparatus roads shall comply with all of the following: (IFC D103.5) Minimum unobstructed width shall be 16 feet, or two 10 foot sections with a center post or island. Gates serving one- or two- family dwellings shall be a minimum of 12 feet in width. Gates shall be set back at minimum of 30 feet from the intersecting roadway. Gates shall be of the swinging or sliding type Manual operation shall be capable by one person Electric gates shall be equipped with a means for operation by fire department personnel Locking devices shall be approved. 9) SINGLE FAMILY DWELLINGS - REQUIRED FIRE FLOW: The minimum available fire flow for single family dwellings and duplexes served by a municipal water supply shall be 1,000 gallons per minute. If the structure(s) is (are) 3,600 square feet or larger, the required fire flow shall be determined according to IFC Appendix B. (IFC B105.1) The compliant fire hydrant must be capable of supplying 1677 gallons per minute at 20 pounds per square inch residual pressure. 10) FIRE HYDRANTS — ONE- AND TWO- FAMILY DWELLINGS & ACCESSORY STRUCTURES: Where a portion of a structure is more than 600 feet from a hydrant on a fire apparatus access road, as measured in an approved route around the exterior of the structure(s), on -site fire hydrants and mains shall be provided. (IFC 508.5.1) The fire hydrant west of your property on SW Sunrise Lane and the hydrant on the southeast corner of SW Menlor Lane and SW Fern Street do not meet this requirement. We are also advising you by way of this letter (and for the public record) the automatic sprinkler system is required to be installed in accordance with nationally recognized standards. We noted the • unfinished basement on the submitted drawings. The basement must be finished to the extent adequate sprinkler coverage and protection is achieved. North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503- 356 -4700 Fax: 503- 644 -2214 www.tvfr.com ri, 404. imi, • , ', Tualatin Valley Fire & Rescue We are willing to waive the requirement for an on -site water supply to be provided prior to vertical construction taking place. However, we will not endorse the issuance of any occupancy permits (temporary or permanent) until the required water supply is installed and in service. We trust this letter will be helpful with the final design of this proposal insofar as fire apparatus access and firefighting water supplies are concerned. If there is anything about this letter you do not understand, disagree with, or wish to discuss further, please call me. Sincerely, John K. Dalby John K. Dalby, Deputy Fire Marshal II Tualatin Valley Fire & Rescue, North Division 14480 SW Jenkins Road Beaverton, OR 97005 -1152 (503) 356 -4723 • S North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503- 356 -4700 Fax: 503- 644 -2214 www.tvfr.com ..„ _ • . Tualatin Valley Fire & Rescue May 9, 2007 • • Brian Pautz 9685 SW Carriage Way Beaverton, OR 97008 FR e 1`3270 SW,Menlor lfY^�'.s1tSF L • Dear Mr. Pautz, I have reviewed the plans you dropped off at our office, including the report submitted by John Cunningham of Alder Geotechnical Services. I also conducted a site visit on Tuesday May 8, 2007. As a result I have the following comments. You will note each of my comments is preceded by the fire district's adopted code language. 1) DEAD END ROADS: Dead end fire apparatus access roads in excess of 150 feet in length shall be provided with an approved turnaround. (IFC 503.2.5) The roadway must have a compliant and approved turnaround. 2) FIRE APPARATUS ACCESS ROAD EXCEPTION FOR AUTOMATIC SPRINKLER PROTECTION: When • buildings are completely protected with an approved automatic fire sprinkler system, the requirements for fire apparatus access may be modified as approved by the fire code official. (IFC 503.1.1) The automatic sprinkler system is an option you have elected to exercise in lieu of providing a compliant access roadway. 3) FIRE APPARATUS ACCESS ROAD WIDTH AND VERTICAL CLEARANCE: Fire apparatus access roads shall have an unobstructed width of not less than 20 feet (12 feet for up to two dwelling units and accessory buildings), and an unobstructed vertical clearance of not less than 13 feet 6 inches. Where fire apparatus roadways are less than 26 feet wide, "NO PARKING" signs shall be installed on both sides of the roadway and in turnarounds as needed. Where fire apparatus roadways are more than 26 feet wide but less than 32 feet wide, "NO PARKING" signs shall be installed on one side of the roadway and in turnarounds as needed. Where fire apparatus roadways are 32 feet wide or more, parking is not restricted. (IFC 503.2.1) We will accept the access roadway having an unobstructed width of 12 feet. However, the unobstructed vertical clearance must be not less than 13 feet 6 inches. The trimming of some of the overhanging trees is necessary. 4) TURNOUTS: When any fire apparatus access road exceeds 400 feet in length, turnouts 10 feet wide and 30 feet long shall be provided in addition to the required road width and shall be placed no more than 400 feet apart, unless otherwise approved by the fire code official. These distances may be adjusted based on visibility and light distances. (IFC 503.2.2) This requirement is being waived due to the installation of the automatic sprinkler system. North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503 - 356 -4700 Fax: 503- 644 -2214 www.tvfr.com Tualatin Valley Fire & Rescue 5) SURFACE AND. LOAD CAPACITIES: Fire apparatus access roads shall be of an all- weather surface that is easily distinguishable from the surrounding area and is capable of supporting not less than 12,500 pounds point load (wheel load) and 60,000 pounds live load (gross vehicle weight). You may need to provide documentation from a registered engineer that the design will be capable of supporting such loading. (IFC D102.1) This requirement will be met when the recommendations from Alder Geotechnical Services are completed. 6) TURNING RADIUS: The inside turning radius and outside turning radius shall be not less than 28 feet and 48 feet respectively, measured from the same center point. (IFC 503.2.4 & D103.3) The turn at the top of the hill does not appear to meet this requirement. 7) GRADE: Fire apparatus access roadway grades shall not exceed 10 percent. Intersections and turnarounds shall be level (maximum 5 %) with the exception of crowning for water run -off. When fire sprinklers are installed, a maximum grade of 15% may be allowed. Adequacy of fire apparatus access shall be evaluated from the point beginning at the first due fire station to a point within 150 feet of all structures within the development. The approval of fire sprinklers as an alternate shall be accomplished in accordance with the provisions of ORS 455.610(5). (IFC 503.2.7 & D103.2) This requirement is being waived due to the installation of the automatic sprinkler system. 8) GATES: Gates securing fire apparatus roads shall comply with all of the following: (IFC D103.5) Minimum unobstructed width shall be 16 feet, or two 10 foot sections with a center post or island. Gates serving one- or two - family dwellings shall be a minimum of 12 feet in width. Gates shall be set back at minimum of 30 feet from the intersecting roadway. Gates shall be of the swinging or sliding type Manual operation shall be capable by one person Electric gates shall be equipped with a means for operation by fire department personnel Locking devices shall be approved. 9) SINGLE FAMILY DWELLINGS = REQUIRED FIRE FLOW: The minimum available fire flow for single family dwellings and duplexes served by a municipal water supply shall be 1,000 gallons per minute. If the structure(s) is (are) 3,600 square feet or larger, the required fire flow shall be determined according to IFC Appendix B. (IFC B105.1) The compliant fire hydrant must be capable of supplying 1677 gallons per minute at 20 pounds per square inch residual pressure. 10) FIRE HYDRANTS — ONE- AND TWO - FAMILY DWELLINGS & ACCESSORY STRUCTURES: Where a portion of a structure is more than 600 feet from a hydrant on a fire apparatus access road, as measured in an approved route around the exterior of the structure(s), on -site fire hydrants and mains shall be provided. (IFC 508.5.1) The fire hydrant west of your property on SW Sunrise Lane and the hydrant on the southeast corner of SW Menlor Lane and SW Fern Street do not meet this requirement. We are also advising you by way of this letter (and for the public record) the automatic sprinkler system is required to be installed in accordance with nationally recognized standards. We noted the unfinished basement on the submitted drawings. The basement must be finished to the extent adequate sprinkler coverage and protection is achieved. North Division Office 14480'SW Jenkins Road, Beaverton, OR 97005 Phone: 503- 356 -4700 Fax: 503- 644 -2214 www.tvfr.com J Tualatin Valley Fire & Rescue We are willing to waive the requirement for an on -site water supply to be provided prior to vertical construction taking place. However, we will not endorse the issuance of any occupancy permits (temporary or permanent) until, the required water supply is installed and in service. We trust this letter will be helpful with the final design of this proposal insofar as fire apparatus access and firefighting water supplies are concerned. If there is anything about this letter you do not understand, disagree with, or wish to discuss further, please call me. Sincerely, John K. Dalby John K. Dalby, Deputy Fire Marshal II Tualatin Valley Fire & Rescue, North Division 14480 SW Jenkins Road Beaverton, OR 97005 -1152 (503) 356 -4723 North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503- 356 -4700 Fax: 503- 644 -2214 www.tvfr.com • • • Tualatin Valley Fire & Rescue May 9, 2007 Brian Pautz 9685 SW Carriage Way Beaverton, OR 97008 Re: 13270 SW Menlor Lane w'r � ( tZ, / Q ( Dear Mr. Pautz, I have reviewed the plans you dropped off at our office, including the report submitted by John Cunningham of Alder Geotechnical Services. I also conducted a site visit on Tuesday May 8, 2007. As a result I have the following comments. You will note each of my comments is preceded by the fire district's adopted code language. 1) DEAD END ROADS: Dead end fire apparatus access roads in excess of 150 feet in length shall be provided • with an approved turnaround. (IFC 503.2.5) The roadway must have a compliant and approved turnaround. 2) FIRE APPARATUS ACCESS ROAD EXCEPTION FOR AUTOMATIC SPRINKLER PROTECTION: When buildings are completely protected with an approved automatic fire sprinkler system, the requirements for fire apparatus access may be modified as approved by the fire code official. (IFC 503.1.1) The automatic sprinkler system is an option you have elected to exercise in lieu of providing a compliant access roadway. 3) FIRE APPARATUS ACCESS ROAD WIDTH AND VERTICAL CLEARANCE: Fire apparatus access roads shall have an unobstructed width of not less than 20 feet (12 feet for up to two dwelling units and accessory buildings), and an unobstructed vertical clearance of not less than 13 feet 6 inches. Where fire apparatus roadways are less than 26 feet wide, "NO PARKING" signs shall be installed on both sides of the roadway and in turnarounds as needed. Where fire apparatus roadways are more than 26 feet wide but less than 32 feet wide,. "NO PARKING" signs shall be installed on one side of the roadway and in turnarounds as needed. Where fire apparatus roadways are 32 feet wide or more, parking is not restricted. (IFC 503.2.1) We will accept the access roadway having an unobstructed width of 12 feet. However, the unobstructed vertical clearance must be not less than 13 feet 6 inches. The trimming of some of the overhanging trees is necessary. 4) TURNOUTS: When any fire apparatus access road exceeds 400 feet in length, turnouts 10 feet wide and 30 feet long shall be provided in addition to the required road width and shall be placed no more than 400 feet . apart, unless otherwise approved by the fire code official. These distances may be adjusted based on visibility and light distances. (IFC 503.2.2) This requirement is being waived due to the installation of the automatic sprinkler system. • North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503 - 356 -4700 Fax: 503- 644 -2214 www.tvfr.com • , Tualatin. Valley • Fire Si Rescue. • 5) SURFACE AND LOAD CAPACITIES: Fire apparatus access roads shall be of an all- weather surface that is easily distinguishable from the surrounding'area and is capable of supporting not less than 12,500 pounds point load (wheel load) and 60,000 pounds live load (gross vehicle weight). You may need to 'provide documentation from a registered engineer that the design will be capable of supporting such loading. (IFC D102.1) This requirement will be met when the recommendations from Alder Geotechnical Services are completed. 6) TURNING RADIUS: The inside turning radius and outside turning radius shall be not less than 28 feet and 48 feet respectively, measured from the same center point. (IFC 503.2.4 & D103.3) The turn at the top of the hill does not appear to meet this requirement. 7) GRADE: Fire apparatus access roadway grades shall not exceed 10 percent. Intersections and turnarounds shall be level (maximum 5 %) with the exception of crowning for water run -off. When fire sprinklers are installed, a maximum grade of 15% may be allowed. Adequacy of fire apparatus access shall be evaluated • from the point beginning at the first due fire station to a point within 150 feet of all structures within the development. The approval of fire sprinklers as an alternate shall be accomplished in accordance with the provisions of ORS 455.610(5). (IFC 503.2.7 & D103.2) This requirement is being waived due to the installation of the automatic sprinkler system. 8) GATES: Gates securing fire apparatus roads shall comply with all of the following: (IFC D103.5) Minimum unobstructed width shall be 16 feet, or two 10 foot sections with a center post or island. Gates serving one- or two - family dwellings shall be a minimum of 12 feet in width. Gates shall be set back at minimum of 30 feet from the intersecting roadway. Gates shall be of the swinging, or sliding type Manual operation shall be capable by one person Electric gates shall be equipped with a means for operation by fire department personnel Locking devices shall be approved. 9) SINGLE FAMILY DWELLINGS - REQUIRED FIRE FLOW: The minimum available fire flow for single family dwellings and duplexes served by a municipal water supply shall be 1,000 gallons per minute. If the structure(s) is (are) 3,600 square feet or larger, the required fire flow shall be determined according to IFC Appendix B. (IFC B105.1) The compliant fire hydrant must be capable of supplying 1677 gallons per minute at 20 pounds per square inch residual pressure. 10) FIRE HYDRANTS — ONE- AND TWO - FAMILY ,DWELLINGS & ACCESSORY STRUCTURES: Where a portion of a structure is more than 600 feet from a hydrant on a fire apparatus access road, as measured in an approved route around the exterior of the structure(s), on -site fire hydrants and mains shall be provided. (IFC 508.5.1) The fire hydrant west of your property on SW Sunrise Lane and the hydrant on the southeast corner of SW Menlor Lane and SW Fern Street do not meet this requirement. We are also advising you by way of this letter (and for the public record) the automatic sprinkler system is required to be installed in accordance with nationally recognized standards. We noted the unfinished basement on the.submitted drawings. The basement must be finished to the extent adequate sprinkler coverage and protection is achieved. North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503 - 356 -4700 Fax: 503- 644 -2214 www.tvfr.com • ;a %: • • ' w, .e mot, - Tualatin Valley Fire & Rescue We are willing to waive the requirement for an on -site water supply to be provided prior to vertical construction taking place. However, we will not endorse the issuance of any occupancy permits (temporary or permanent) until the required water supply is installed and in service. We trust this letter will be helpful with the final design of this proposal insofar as fire apparatus access and firefighting water supplies are concerned. If there is anything about this letter you do not understand, disagree with, or wish to discuss further, please call me. Sincerely, John K. Dalby John K. Dalby, Deputy Fire Marshal II Tualatin Valley Fire & Rescue, North Division 14480 SW Jenkins Road Beaverton, OR 97005 -1152 (503) 356 -4723 • • North Division Office 14480 SW Jenkins Road, Beaverton, OR 97005 Phone: 503- 356 -4700 Fax: 503- 644 -2214 www.tvfr.com I th . • Tualatin Valley Fire k, : Rescue Fire Marshal's Office . .09/ Z8 ?9a MT— 2-006 - Col O Date File No. Project Name 1 (/> J\-( ✓ Z. The following checked items are applicable Fire Code requirements based on your proposal. This form is for informational purposes only and does not constitute any type of approval of your project or its design. • FIRE APPARATUS ACCESS ROAD DISTANCE FROM BUILDING AND TURNAROUNDS: Access roads hall be within 150 feet of all portions of the exterior wall of the first story of the building as measured by an approved route around the exterior of the building. An approved turnaround is required if the remaining distance to an approved intersecting roadway, as m easured along the fire apparatus access road, is greater than 150 feet. (IFC 503.1.1) icii DE END ROADS: Dead end fire apparatus access roads in excess of 150 feet in length shall be provided nit h an approved turnaround. (IFC 503.2.5) ~ FIRE APPARATUS ACCESS ROAD, EXCEPTION FOR AUTOMATIC SPRINKLER PROTECTION:- When b uildings are completely protected with an approved automatic fire sprinkler system, the requirements for fire apparatus access may be modified as approved by the fire code - official. (IFC 503.1.1) ❑ ADDITIONAL. ACCESS ROADS, COMMERCIAL: Where buildings exceed 30 feet in height or three stories in, height shall have at least three separate means of fire apparatus access. Buildings or facilities having a gross area of more than 62,000 square feet shall be provided with at.least two separate means of fire apparatus access. Buildings up to 124,000 square feet provided with fire sprinklers may have a single access. (IFC D104) ❑ ADDITIONAL ACCESS ROADS,— ONE - OR TWO FAMILY RESIDENTIAL: Where there are more than 30 . one - or two- family dwelling.units, not less than two separate approved means of access shall be provided. Where there are more-than 30 dwelling units and all are protected by approved residential sprinkler systems, a single access will be allowed. (IFC D107) ❑ ADDITIONAL ACCESS ROADS — MULTIPLE- FAMILY RESIDENTIAL: Where there are more than 100 multiple- family dwelling units, not less than two separate approved means of access shall be provided. Projects up to 200 dwelling units that are protected by approved residential sprinkler systems may have a single access. Projects having more-than 200 dwelling units shall have two separate approved means of access regardless of whether they are equipped with fire sprinkler systems. (IFC D106) n AERIAL FIRE APPARATUS ACCESS: Buildings or portions of buildings or facilities exceeding 30 feet in height above the lowe level of-fire department vehicle access shall be provided with approved fire apparatus access roads capable of accommodating fire department aerial apparatus. Overhead utility and power lines shall not be located within the aerial fire apparatus access roadway. Fire apparatus access roads shall have a minimum unobstructed width of 26 feet in the immediate vicinity of any building or portion of building more than 30 feet in height. At least one of the required access routes meeting this condition shall be located within a minimum of 15 feet and a maximum of 30 feet from the building, and shall be positioned parallel to one entire side of the building. (IFC D105) ❑ REMOTENESS: Where two access roads are required, they shall be placed a distance apart equal to not less than one half of the length of the maximum overall diagonal dimension of the property or area to be served, measured in a straight line between accesses. (IFC D104.3) S tx . FIRE APPARATUS ACCESS ROAD WIDTH AND VERTICAL CLEARANCE: Fire apparatus access roads shall have an unobstructed width of not less than 20 feet (1.2 feet for up to -two dwelling units and accessory buildings), and an unobstructed vertical clearance of not less than 13 feet 6 inches. Where fire apparatus roadways are less than 26 feet wide, "NO PARKING" signs shall be installed on both sides of the roadway and in turnarounds as needed. Where'fire apparatus roadways are more than 28 feet wide but less than 32 feet wide, "NO PARKING" signs shall be installed on one side of the roadway and in turnarounds as needed. Where fire apparatus roadways are 32 feet wide or more, parking is not restricted. (IFC 503'2.1) ❑ FIRE APPARATUS ACCESS ROADS WITH FIRE HYDRANTS: Where a fire hydrant is located on a fire apparatus access road, the minimum road width shall be 26 feet. (IFC D103.1) ❑ TURNOUTS: When any fire apparatus access road exceeds 400 feet in length, turnouts 10 feet wide and 30 feet long shall be provided in addition to the required road width and shall be placed no more than 400 feet apart, unless: otherwise approved by the fire code official. These distances may be adjusted based on visibility and light distances. (IFC 503.2.2) ❑ NO PARKING SIGNS: Where fire apparatus roadways are not of sufficient width to accommodate parked vehicles and 20 feet of unobstructed driving surface, "No Parking" signs shall be installed on one or both sides of the roadway and in turnarounds as- needed. Roads 26 feet wide or less shall be posted on both sides as a fire lane. Roads more than 26 feet wide to 32 feet wide shall be posted on one side as a fire lane. Signs shall read "NO PARKING - FIRE LANE" and shall be installed with a clear space above grade level of 7 feet. Signs shall be 12 inches wide by 18 inches high and shall have red letters on a white reflective background. (IFC D103.6) K SURFACE AND. LOAD CAPACITIES: Fire apparatus access roads shall be of an all- weather surface that is distinguishable from the surrounding' area and is capable of supporting not less than 12,500 pounds point load (wheel load) and 75,000 pounds live load (gross vehicle weight). You may need to provide documentation from a registered engineer that the design will be capable of supporting such loading. (IFC D102.1) ❑ BRIDGES: Where a bridge or an elevated surface is part of a fire apparatus access road, the bridge shall be constructed and maintained in accordance with AASHTO Standard Specification for Highway Bridges. Bridges and elevated surfaces shall be designed for a live load sufficient to carry the imposed loads of fire apparatus. Vehicle load limits shall be posted at both entrances to bridges when required by the fire code official. Where elevated surfaces.designed for emergency vehicle use areadjacent to surfaces which are not designed for such use, approved barriers, approved signs or both shall be installed and maintained when required by the fire code official. (IFC 503.2.6) TURNING RADIUS: The inside turning radius and outside turning radius shall be not less than 28 feet and 4 8 feet respectively, measured from the same center point. (IFC 503.2.4 & D103.3) • ❑ PAINTED CURBS: Where required, fire apparatus access roadway curbs shall be painted red and marked "NO PARKING FIRE LANE" at approved intervals. Lettering shall have a stroke of not less than one inch wide by six inches high. Lettering shall be white on red background. (IFC 503.3) GRADE: Fire apparatus access roadway grades shall not exceed 10 percent. Intersections and turnarounds hall be level (maximum 5 %) with the exception of crowning for water run -off. When fire sprinklers are installed, a.maxirrmum grade of 15% may be allowed. The approval of fire sprinklers as an alternate shall be accomplished in, accordance with the provisions of ORS 455.610(5). (IFC 503.2.7 & D103.2) ❑ GATES: Gates securing fire apparatus roads shall comply with all of the following: (IFC D1'03.5) • Minimum unobstructed width shall be 16 feet, or two 10 foot sections with a center post or island. • Gates serving one - or two - family dwellings shall be a. minimum of 12 feet in width. • Gates shall be set back at minimum of 30 feet from the intersecting roadway. • Gates shall be of the swinging or sliding type • Manual operation shall be capable by one person • • Electric gates shall be equipped with a means for operation by fire department personnel • Locking devices shall be approved. ❑ COMMERCIAL BUILDINGS - REQUIRED FIRE FLOW: The required fire flow for the building shall not exceed 3,000 gallons per minute (GPM) or the available GPM in the water delivery system at 20 psi, whichever is less as calculated using IFC, Appendix B. A worksheet for calculating the required fire flow is available from the Fire Marshal's Office. (IFC B105.2) f / 0 .SINGLE FAMILY DWELLINGS - REQUIRED FIRE FLOW: The minimum available fire flow for single family wellings and duplexes served by a municipal water supply shall be 1,000 gallons per minute. If the structure(s) is (are) 3,600 square feet or larger, the required fire flow shall be determined according to IFC Appendix B. (IFC B105.1) ❑ RURAL BUILDINGS - REQUIRED. FIRE FLOW: Required fire flow for rural and suburban.ar.eas in which adequate and reliable water supply systems do not exist may be calculated in accordance with National Fire Protection Association Standard 1142, 2001 Edition, when approved by the fire code official. Please contact the Fire Marshal's Office for special assistance and other requirements that may apply. (IFC B105.1.1) ❑ FIRE HYDRANTS - COMMERCIAL BUILDINGS: Where a portion of the building is more than 400 feet from a hydrant on a fire apparatus access road, as measured in an approved route around the exterior of the building, on -site fire hydrants and mains shall be provided. This distance may be increased to 600 feet for buildings equipped throughout with, an approved automatic sprinkler system. (IFC 508.5.1) • FIRE HYDRANTS — ONE- AND TWO- FAMILY DWELLINGS & ACCESSORY STRUCTURES: Where a ortion of a structure is more than 600 feet from a hydrant on a fire apparatus access road, as measured in an r approved route around the exterior of the structure(s), on -site fire hydrants and mains shall be provided. (IFC 508.5.1) ❑ FIRE HYDRANT NUMBER AND DISTRIBUTION: The minimum number and distribution of fire hydrants available to a building shall not be less than that listed in Appendix C, Table C 105.1. Considerations.for placing fire hydrants may be as follows: • Existing hydrants in the area may be used to meet the "required. number of hydrants as approved. Hydrants that are up to 600 feet away from the nearest point of a subject building that is protected with fire sprinklers may contribute to the required number of hydrants. • Hydrants that are separated from the subject building by railroad tracks shall not contribute to the required 'number of hydrants unless approved by the fire code official. • Hydrants that are separated from the subject building by divided highways or freeways shall not contribute to the required number of hydrants. Heavily traveled collector streets only as approved by the fire code official. • Hydrants that are accessible only by a bridge shall be acceptable to contribute to the required number of hydrants only if approved by the fire code official. FIRE HYDRANT DISTANCE FROM AN ACCESS ROAD: Fire hydrants shall be located not more than 15 feet from an approved fire apparatus access roadway. (IFC C102.1) ❑ REFLECTIVE HYDRANT MARKERS: Fire hydrant locations shall be identified by the installation of reflective markers. The markers shall be blue. They shall be located adjacent and to the side of the centerline of the access road way that the fire hydrant is located on. In case that there is no center line, then assume a centerline, and place the reflectors accordingly. (IFC 508.5.4) 'FIRE E HYDRANT /FIRE DEPARTMENT ) � CONNECTION: A fire hydrant shall be located w 100 fee t,of a ire department connection FDC . Fire hydrants and FDC's shall be located on the same side of the fire apparatus access roadway. FDCs shall normally be remote except when approved bythe fire code official. (IFC 912.2) ACCESS AND FIRE FIGHTING WATER SUPPLY DURING CONSTRUCTION: Approved fire apparatus a ccess roadways and fire fighting water supplies shall be installed and operational prior to any combustible construction or storage of combustible materials on the site..(IFC 1410.1 & 1412.1) ❑ KNOX BOX: A Knox Box for building access is required for this building. Please contact the Fire Marshal's Office for an order form and instructions regarding installation and placement. (IFC 506) Additional information may. be obtained from our web site at www.tvfr.com I� , 41 ohn 4. Pal , D: - arshal II T alat.n Valley Fire & Rescue, North Division 503- 6 -4700 /\ 7 • • • .. Ufa September 19, 2006 , € ^mow -Brian Pattiz }t;r 9685 SW Carriage way OREGON Beaverton, OR 97008 • RE: New Single Family Residence Project Inform Building Permit: .MST2006- 00104 Construction Type: VN ` Address:.- .: ..: _ _ SW hienlor Ln. - - - Occupan c Type: -• - - R -3 _ . ... :.... _ . '6858 °: ft : ;. Area: sq ° Stories: 3 The plan review was performed under the State of Oregon "Structural Specialty Code (OSSC) 2004 edition; the State of Oregon Residential tial Specialty Code (ORSC) 2005 edition and the Tualatin Valley Fire & Rescue Ordinance 99 -01 (I VFR99 -01) 1999 edition. The submitted plans have been reviewed and the following information is required for' this project • • • 1. The provided site plan does not meet Tualatin Valley Fire.. &_ Rescue Ordinances as shown. The building. plans are being approved on the basis that TVF&R approval is submitted in writing forhydrant location, fire apparatus access, and Minimum water flow requirements prior to framing inspection. Any plans for an alternate method (such as a sprinkler system) approved by TVF&R shall be submitted and approved by the City of Tigard prior to framing inspection. 2. The approved plan set includes (and must be on site and available for the City of Tigard inspectors) 'the Engineers calculations and welded construction guide, the Form -a -Drain brochure and product listing„ the ICFVL installation instructions, the ARXX ICF installation guide and product listing which identifies any required special inspections, the Superseal foundation waterproofing sheets, the original site geotech report, and the 'Dietrich steel framing guides. " 3. Due to the building site having slopes exceeding 20%, City of Tigard policy requires a geotechnical report for the "dig- out ", any soils ,compaction, and footing to slope set back requirements prior to the footing inspection. 4. Special Inspection: Special inspections are to be performed per chapter 17 of the OSSC for structural steel construction /welding, insulate concrete form (ICF) construction, and any requirements that may arise from geotechnical testing during construction. All special inspection reports are to be submitted to the City of Tigard building division attn Hap Watkins. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772 • 5. The approval. of this permit does not include approval foi the sand filtration septic system proposed. Approval and construction of this system requires a permit from Washington County Environmental and Health services as per attached letter from said department. dated February 20 2004. Please provide a copy of the final inspection report for such permit -to the City of Tigard prior to final "plumbing inspection. Respectfully Mark VanDomelen, Plans Examiner City of Tigard