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Permit I _• CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DATE ISSUED: . 10/17/02007 0208 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 104CA - 06600 SITE ADDRESS: 13350 SW HILLSHIRE DR ZONING: R - SUBDIVISION: HILLSHIRE LOT: 066 JURISDICTION: TIG PROJECT: MURPHY Project Description: Deck and hose bibb. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 2,952.00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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 & 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 PAUL MURPHY NW RESIDENTIAL laws. All work will be done in accordance with approved plans. This 13350 SW HILLSHIRE DR PO BOX 230635 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97281 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 - 579 -3262 Contact #: PRI 503 860 - 263 I questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 162494 TOTAL FEES: $ 257.16 REQUIRED ITEMS AND REPORTS Issued By : Permittee Signature • I ` / Call 503.639.4175 by 7:00 a.m. for an inspection that busines - • : This permit card shall be kept in a conspicuous place on the job site until co I • - , o f the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RISidential 1-11-r- P I V E a C. FOR OFFICE USE ONLY City of Tigard Received / I, Permit ��{{��,� ■ III ° 13125 SW Hall Blvd., Tigard, OR 97223jCT 1 2007 Date/By: /t // / l' i' .473$ Permit -6 24 g Plan Review / 1 _ ' Phone: 503.639.4171 Fax: 503.598.1960 Date/By: i 6 7 • U 7 VA Other Permit: T I G A R D Inspection Line: 503.639.4170 y .t I it.i RD Date Ready /By: Jurist ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information RI BIDING DIVISION TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Nt Addition /alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ja 1- and 2- family dwelling El Commercial /industrial Valuation: $ 95a i ❑ Accessory building El Multi-family Number of bedrooms: 1:1 Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / 3350 3,4/ t1-1 j,s,-1/r p New dwelling area: square feet City /State /ZIP: 'r /(2- (0 0 4 [7 3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: /-tug. (2 y pezg- Covered porch area: square feet Cross street/directions to job site: ( Deck area: 7 C 0 square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 130 1 - 0 Zr 9 5 Dag- 00 JL ei,∎51 14-- Valuation: $ Existing building area: square feet New building area: square feet w PROPERTY OWNER. ❑ TENANT , Number of stories: Name: hfi)L M0 41( Type of construction: Address: ( 3 o S') tht -l-$ 'oft per- Occupancy groups: City /State /ZIP: "rt 0 De. 472,25 Existing: Phone: (5'03) 557 - 320_ Fax: ( ) New: ❑ APPLICANT El CONTACT PERSON NOTICE 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: : ( ) Ali r 73 33 . E -mail: CONTRACTOR T ------1j54-112-1140-1 Business name: id lN tZr;19ey lA (n1(, BUILDING PERMIT FEES* (Please refer to fee schedule) Address: P . G07 2- 3'v635 - City /State /ZIP: �16Ae ° O� Q 28 Structural plan review fee (or deposit): Phone: ($ 3) no - 3 Fax: ( ) FLS plan review fee (if applicable): CCB lic.: / 6,2_41+ ( _ 4 _ p q Total fees due upon application: / / Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ff fiL,(IV "1.-.35‘v Date: fey/ 7 /p1 * Fee methodology set by Tri- County Building Industry ( Service Board. I: \Building \Permits \BUP -RES PerrnitApp.doc 02/23/07 440- 4613T(I 1 /02 /COM /WEB) Building Permit Application Checklist . , One- and Two - Family Dwelling FOR OFFICE 'USE ONLY City of Tigard Received Permit No.' 74 . Date/By: 1 3125 SW Hall Blvd., Tigard, OR 97223 Associated permits: Phone: 503.639.4171 Fax: 503.598.1960 T I G A R D 24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 1:1 Mechanical Internet: www.tigard- or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 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 ❑ 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 Ideal 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 he completed if copyright violations exist. .J 1 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 spaeing such as floor beams, headers, joists, sub- • ❑ ❑ • v 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. . 122 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Oregon and shall be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS '_ 23 • Five (5) to plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑ 24' . ) sets each are required for Items 16, 19, 20 and 22 above. • , ❑ ❑ CI 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. . a. . • 19 Building \Permits\BUP- RES- PermitApp doe 03/21/06 440- 4613T(11/02/COM/WEB) Plumbing Permit Application $uilding Fixtures Y I"� E C E IV E P r FOR OFFIC USE OFFICE � Received City of Tigard 97 Date /By: Permit No /p6 r�� ._ 0D�� I . u 13125 SW Hall Blvd., Tigard, OR 22 7 2007 Plan Review • Phone: 503.639.4171 Fax: 503.28_1960 960 Other Permit No.: 4 ' Date /By: T I G A R D Inspection Line: 503.639.4175 U9 IGARD Date Ready /By: .runs: 65 See Page 2 for Internet: www.tigard -OGgov BUIL ®I ��`�,_. _ Notified/Method: Supplemental Information TYPE OF WORK Zl FEE* SCHEDULE ❑ New construction El Demolition For special information use checklist Description I Qty. I Ea. Total %Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 l- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: C 53° 514 /4 e n 2- Catch basin or area drain 16.60 City /State /ZIP: ''( D2 , qi 2 �3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: • Manholes 16.60 13 5 'al f ow-skive .P2- Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storni sewer (no. linear ft.: _ ) Page 2 Subdivision: Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 ' • DESCRIPTION OF WORK Backflow preventer Page 2 A001/4 � - (3157 &. p.!eVJ Pa-44- Backwater valve . 16.60 Clothes washer 16.60 Dishwasher 16.60 .PROPERTY OWNER El TENANT Drinking fountain 16.60 Ejectors /sump 16.60 . Name: FAV lr tAL Expansion tank 16.60 Address: 1 335 SW 141 -L-5 U'1 rZ ®g•-• Fixture /sewer cap 16.60 City /State /ZIP: •11( q-1223 Floor drain /floor sink/hub 16.60 Phone: ( s a 3) 5-7 9 - 3242 Fax: ( ) Garbage disposal 16.60 ®. APPLICANT ❑ CONTACT PERSON Hose bib 16.60 f Ice maker 16.60 W Business name: 0 -6I p04 - 1 - 1 t _ i,i C . Interceptor /grease trap 16.60 Contact name: 0 (.1 POC I E Medical gas (value: $ ) Page 2 Address: eo. 3oX � 3o63 f j Primer 16.60 City /State /ZIP: "1160-120 O (Z q72.5"( Roof drain (commercial) 16.60 Sink/basin/lavatory 16.60 Phone: ($o ) ��a0 -L�3 Fax: : (50 372.- D 7 3 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: 'f jpg-Kr - - UNethJG- D�jewn , Water heater 16.60 Address: V . o . �10�0 p 0 Other: Subtotal City /State /ZIP: b, OP- Ci 7 Z S� M inimum permit fee: $72.50 Phone: ( ) /!� C Fax: ( ) 'j - I ` 0 Residential backflow minimum permit fee: $36.25 CCB Lic.: 42 S i �� Plumbing Lic. no.: ca& - ( Plan review (25% of permit fee) / State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE 7 g. 30 Print name: (�/G(i C Date: /0//7707 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:\ Build \Permits\PLMF- PermitApp.doc 12/27/06 440 -46 t 6T( I 0/02/COM/WEB) Plumbing Permit Application - City of Tigard • Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: - Footing drain - 1' 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 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 - 1 st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Valuation: Permit Fee: 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 Fixture or Item Qty. Fee (ea) Total 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 Backflow 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 Inspection of existing plumbing or each additional $100.06 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for I I each additional $100.00 or fraction thereof. • Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes ", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees * . ❑ Any new commercial building with water service 2" and • Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed • Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi /Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. - Drive Thru Cuspidor/Water Aspirator Submit2 sets' of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain /sink - 2" that meet the qualifications above. , 3" • Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains ' ' • • Oil Separator (Gas Station) - Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory '• • • '' - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor • Water Closet - Toilet Urinal Other Fixtures: i \Building \Permits \PLM- PermitApp doc 12/27/06 • Sep. 26. 2007 2:22PM No.3207 P. 1 . ' int M 11 T . 1 - FIECEIVEt SEP 1 2007 OCT 1 7 1007 CleanWate Services SE ey Call OF filAND Our enmmitficnl is clolrr. P - . -'-' l rc ‘t �" r • Cw8 Fire Member Sensitive Area Pre - Screening I. O 7 0039? 1. l . Site Assessment I • Jurisdiction: . ..... Property Information: (erramp/e 1S234Aeo14(1o) Owner Information: 7axlot ID(s): _ ' 1 G fJb� V Name: PM + .1 . 0 44114 Y vr-eity Company. . Address: 1139 SW et?L(,Sjii - PIZ-- Site Address: I �.'5t) G 51 j- I Of _ . • '() 6.1-1,20 OIL. i 72.2- 3 Phone /Fax 603 3 S - 3242- 1 Nearest Cross Street _ ' SVf ) ' , '1 ro 19 E -mail: , • Development Activity: Check all that apply • Applicant Information; Addition to Single Family Residence (rooms, deck, garage) % Name: 91 AiPre,5 E . Lot Line Adjustment ❑ Minor Land Partition U Compan �1 S�rflt rjl4'1,. Pi C _ Residential Condominium ri Commercial Condominium ❑- Address: PO • f3 240240 E3 5 Residential Subdivision ❑ Commercial Subdivision ❑ --r1 - 0 . ern a,( Single Lot Commercial ❑ Multi Lot Commercial ❑ Phone/Fax: 503 rbc7'2.63.1 • , 5773 372, '14(17 Other - E -mail: w res i�i,inek Al @ &vrNCCSf',nef- Will the project Involve any off -site work: YES ❑ NO W Unknown ❑ Location and description of off-site work; Additional comments or information that may be needed to understand your project: - 5ifK6( 2eit) - .Situ 1 C' Z-K - •-- I'Ci A• A-0017; W . , ' This application does NOT replace -the need for Grading end Eroslon Control Permits, Connection Permits, Building Permits, Site Development i Permits, DEO 1200•C Permit or other permits as issued by the • Deparf Department of Environmental Quality, Department of State Lends and/or Department of j the Army COE• All required penults and approvals must ba obtained and completed under applicable local, state, and Federal law. ' By signing this form, the Owner or Owners authorized agent or representative, acknowledges end agrees that employees of Clean Water Services have authority • to enter the project site at an reasonable times ror the purpose of Inspecting project site conditions and gathering information related la the project site. I certify that I am familiar with the information contained In this document, and to the best or my knowledge and betel, tnis Information is true, complete. and accurate. , Print/Type Name: . pfI I L.-I?PC k 5 t; Print/Type Title: QWI"Ek -- • Signature: - • s : I • Date: 4 / C 7 . • FOR DISTRICT USE ONLY •'� ❑ Sensitive ar • tentially exist on site or within 200' of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties, a Natural Resources Assessment Report may also be required. [a Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200' of the site. This Sensitive Area Pre Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas If theyare subsequently discovered. This document Will serve as your Service Provider . letter as required by Resolution and. Order 07 -20, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, State, and federal law. IXI Based on review of the submitted materials and best available information the above referenced project will not significantly Impact the existing or potentially sensitive area(s) found near the site. This Sensitive Area Prescreening Site Assessment does NOY eliminate the need to evaluate and protect additional water quafity sensitive areas If they are subsequently discovered. This document will serve as your Service Provider letter as required by Resolution and Order 07 -20, Section • 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. • El This Service Provider Letter is not valid unless CWS approved site plants) are attached. ❑ The proposed actiVlty does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE . ASSESSMENT O' SERVICE PROV DER LETTER IS REQUIRED, J Reviewed By: _ i • Date; , Z a 6 2550 SW Hillatoo Highway • Htitsboro. Oregon 87125 ' Phone' 4 (503) 681 -5100 • Far: (503) 881 - 4439. r.v :oluawasag car dr8 � ne7be& May I. COY • • -�. J _ _I • • -- - - - - --- o.. - 11 • - SparkPeople: Resource Center Page 2 of 2 't, Activity Stats Calories Burned - 2,377,128,036 • Pounds Lost - 3,034,689 'Cups Water Drunk - 65,038,712 Cusnc, rZCTODAY on SPAMCPSOPLE • • • • • • • • • • • • • • • • • • • • • http / /www.sparkpeople. corn /resourcelmembership_card_pledge -asp 9/26/2007 _ -1 _. _J___ _. :_._ -.;_. _._J_._ -_ - � _ �_._�_.- ..1IL -.__ _.. .. .__-. . _ { I � I ....�. ! -� �,$ . j ._. _I- 1_ _►... -.1 i -.. I » ► 1 . __. 1 _._._ 1 ._ : , - I 1 Q S -- --'-* — ...� --- - _ _ .� .m um...... �.� 1 -1 � _ _ -_ __ _ HE _�_� - _ 7 m .] R"411TT __ _ _ • I i- --_ 0 ,. A 0 � ;; + J - -- -. - ! : E MI _ f! � I 1 - ! . 1 _ . ' 1 'CC ■ ` Ii1 • -� ! !� i I .- ! I _. � .__ _ __ 1 _ 1 _1__ ' _. !__ �__L_ ._ ■ CI CCCCI IC ■ C�■ . -- - ff 1_ _ - C ■ C CC•III CCCC C I I _I ` I - -- I i , _ .1.1.16............ ■ ■ _� !_ ' CC r.! ■CCCCCCu ■C. ■ . _ �__ -. -. _ �1 _ ! rarisommum. 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I_ PERMIT #: MST2007 -00208 COMMUNITY DEVELOPMENT DATE ISSUED: 10/17/2007 rT11G'ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 N:t a PARCEL: 2S104CA -06600 SITE ADDRESS: 13350 SW HILLSHIRE DR ZONING: R -7 - SUBDIVISION: HILLSHIRE LOT: 066 JURISDICTION: TIG PROJECT: MURPHY Project Description: Deck and hose bibb. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: DWELLING UNITS: THIRD: sf • RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 0 sf 2,952.00 REAR: PLUMBING . SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: • LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: , BCKFLW PREVNTR: GREASE TRAPS: . OTHER FIXTURES: 1 MECHANICAL . FUEL TYPES FURN <. 100K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: • FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: U . ELECTRICAL RESIDENTIAL UNIT - SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADO•L 500SF: 201 • 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: �� t . LIMITED ENERGY. 401 - .600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: i �'d MANU HM /SVC /FDR: 601 - 1000 amp: 601ramps- 1000v: MINOR LABEL: 1000+ amp /volt PLAN REVIEW SECTION m a Reconnect only: > =4 RES UNITS: - SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA /SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL 8. COMMERCIAL C O 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 applicable PAUL MURPHY NW RESIDENTIAL laws. All work will be done in accordance with approved plans. This 13350 SW HILLSHIRE DR PO BOX 230635 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97281 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 -579 -3262 Contact #: - PRI 503 -860 -2631 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 162494 • TOTAL FEES: $ 257.16 REQUIRED ITEMS AND REPORTS . + Is sued By I P ermittee Signature Si t � /' ° Y `lwi Vii /i 9 Call 503.639.4175 by 7:00 a.m. for an inspection that busines . r This permit card shall be kept in a conspicuous place on the job site until con� f inn of the project. Approved plans are required on the job site at the time of each inspection. • , , - r,4 ?' �° I� t MASTER PERMIT • iii t Ilex '. CITY F 1 � l I PERMIT #: MST2007 00208 • 1 Ott COMM DE DATE ISSUED: 10/17/2007 T1GARp; 131 25 SW Hall Blvd., Tigard, OR 97223 503.639.4171 k `+� ; ,v'v ••. PARCEL: 2S104CA - 06600 SITE ADDRESS: 13350 SW HILLSHIRE DR ZONING: R - SUBDIVISION: HILLSHIRE LOT: 066 JURISDICTION: TIG PROJECT: MURPHY Project Description: Deck and hose bibb. BUILDING . REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: sf FRONT: PARKING SPACES : TYPE OF CONST: DWELLING UNITS: THIRD: sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM. BATH: TOTAL: 0 sf 2,952 00 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: GARBAGE DISP: WATER HEATERS. WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN <1'00K: BOIUCMP < 3HP: VENT FANS: CLOTHES DRYER: FURN > =100K: UNIT HEATERS: HOODS: OTHER UNITS: A ....1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 11 , ELECTRICAL RESIDENTIAL UNIT SERVICEFEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD•L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 '- 200 amp: WISVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 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: St ANU HMISVC /FDR: 601 - 1000 amp: 601 «amps- 1000v: MINOR LABEL: 1000« amp/volt : . PLAN REVIEW SECTION Reconnect only: > =4RES UNITS: • SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL . AUDIO 6 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 d 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 PAUL MURPHY NW RESIDENTIAL laws. All work will be done in accordance with approved plans. This 13350 SW HILLSHIRE DR PO BOX 230635 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97223 TIGARD, OR 97281 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 Phone: 503 -579 -3262 Contact #:- PRI 503 -860 -2631 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 162494 • TOTAL FEES: $ 257.16 REQUIRED ITEMS-AND REPORTS . • • • • Issued By : .�l�� / Permittee Signature y r CaII 503.639.4175 by 7:00 am. for an inspection that busines _. e { f This permit card shall be kept in a conspicuous place on the job site until con#f oti of the project. Approved plans are required on the job site at the time of each inspection. • • CITY " OF GARD . • BUILDING DIVISION PERMIT #: MST2007- 0020B 13125 SW Hall Blvd., Tigard, OR.97223 DATE ISSUED: 10! 1'7/2007 Phone.; (503) 639 -4171 0 4441111 Inspection Requests`(24 Hrs (503) 639 -4175 ` INSPECTION WORKSHEET FOR `DATE: 11/19/2007 ,TIME: 7 :Q1Am 'PAGE: 37 • • SITE ADDRESS: 13350 SW HILLSHIRE DR CL■SS OF.WORK: SUBDIVISION HILLSHIRE LOT #: 065i T YPE OF USE: • PROJECT NAME: ' MURPHY i` DESCRIPTION: Deck and hose bibh. OWNER: MURPHY, PAUL PHONE #: 503. 579.3262 • CONTRACTOR: NW RESIDENTIAL PHONE #: 503.160 -2631 Inspection Request Scheduled. For: Date: 11/1942007 Pour Time: Code # Inspection Description Confirm # Contact .# Message 320 Piuml r g rough -in 059875-01 503 -860 -2631 Y - .r Corrections /Comments /Instructions: . ' . • • • • • • PASS `❑ PARTIAL APPROVAL ❑ CANCEL • n NO ACCESS n FAIL. : ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 V ‘ 1 ' `S " „ Date: • J I J I x_10. Phone #: (503) 718- • • CITY OF TIGARD • BUILDING DIVISION • PERMIT #:. I�tSTc�n -ocla 13125 SW Hall Blvd Tigard OR 97223 DATE ISSUED: 10/1:// Phone (503)':639 4171 441 111011 Inspection .Requests (24 Hrs..): (503) _ INSPECTION WORKSHEET FOR: DATE: 11/16/2007 TIME: • 7 :01A. M ,. PAGE: 22 • SITE.ADDRESS 13:360,sitv HILLSHIRE OP CLASS OF WORK. • • • :;SUBDIVISION: HIL1-SHIRr: LOT #: 06& TYPE, OF USE: PROJECT ;NAME: IOURPHY DESCRIPTION: Deck and hose hibb. OWNER:. • MURI I-IY, PAUL PHONE #:. ,,503-57B-3262 CONTRACTOR: tsfW Ft .S4DItIT1AI;. • � , PHONE # 503•860-2631 inspection Request Scheduled For: .Date: 11/16/2007 Pour Time: Code # Inspection Description Confirm .'# Contact # Message • 27,, . " Framing • 0598213 -01 '5034360 -263:1 Y Corrections /Comtnents /ih tructions:. • • • • • • • • • V — PARTIAL�APPROVAL ❑ CANCEL 1 1 . NO ,ACCESS El FAIL - jj C El ADDITIONAL FEES ASSESSE,D''`` Inspector Date: `/— /'(o — f> ?. _ Phone # (503) 718- • • CITY OF'TIGARD _ . . . BUILDING ..I ISION PE RM IT' #. h�ST2007 -00209 13125 SW Hall Bled , Tigard, OR 972231 DATE ISSISSUED: 1O/ I7 /2007 Phone: (503) 639-4171 • ! u #a4du i "l - Inspection. Requests (24 Hrs.): (503).639 -4175 I I. • . INSPECTION; WORKSHEET FOR DATE : 10/30/2007 TIME: 7:02AM PAGE: 19• ' SITE ADDRESS: i33,0 SW HILLSHIRE'Df CLASS OF WORK: ' SUBDIVISION: f ~TILL SHIRR~ LOT #: 066 TYPE OF USE: , ' PROJECT , NAME:' IvIURPHY DESCRIPTION Desk and hose hibtr. - OWNER: P HONE # .�03 -57.1 -3262 OWNER: s 'MURPHY; r �.� - CONTRACTOR: NW "RESIDEINTIAL PHONE ##: 503 - 060,263'1 • Inspection Request Scheduled' Pot: Date: 10/30/2007 Pour. Time: Code # Inspection Description Confirm # Contact °# Message " , :.-175.. Framing 051%28-01 ` 503 -880- 2631 •. N Corrections /Comments /Instructions ' 6 " LQp Gt,>.%92,..�77°' 60:,/,7--,...„.,:_ C- +,o n 5 %z�C'. _ • • • • • • • • • n PASS PARTIAL APPROVAL , 0 CANCEL ❑ NO ACCESS - . 'FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED. • Inspector: _ Date.70 — c� ? Phone #: (503) 718- . . ... . ' CITY OF RD 0 ., . . , PERMIT # , 13125 H all • B ° I . VISION M ST 200T- OO2U8" 31125 SW Tigard, OR 97223 DATE ISSUED: i07/1 Phone: (503)'639 -4171 r��wn�l1�l @jll ,, Inspection Requests (24 Hrs.): (503) 639- 41.75;' r� i PAGE: INSPECTION WORKSHEET FOR DATE: 1 0/1 812007 TIME:. ' 7 :01AM 1'1 SITE ADDRESS: 13360 SW'HILL.SHIREa D(,? CLASS OF. WORK: ,SUBDIVISION: I IIU_SHIj E LOT #: 066 TYPE OF USE: PROJECT NAME: mURPHV DESCRIPTION: Deck and hose Bibb. .. • , OWNER: MURPHY, PAUL PHONE #: 6 03- ?7g- 32Q . CONTRACTOR: NW RESIDENTIAL. PHONE #: 503 - 060 -2631 Inspection Request Scheduled For: " ,Date :. 10!18,2007 Pour Time: 12 ;� Code # Inspection Description Confirm #' Contact # . • Message • • 20S Footing :057877 -0 503 - 860 -2631 N Corrections/Comments/Instructions: ` 1 • . - _.. p R 1 PASS 1 PARTIAL APPROVAL n • CANCEL - 1 NO ACCESS .FAIL 1 CALL FOR INSPECTION n- ADDITIONAL FEES ASSESSED • Inspector: , Date: 7d. (77 Phone #: (503) 718 ' ,