Permit ,
CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00300
r DEVELOPMENT SERVICES DATE ISSUED: 9/28/2005
I
G,� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S108DA -02801 .
SITE ADDRESS: 14895 SW HAWK RIDGE RD ZONING: R -4.5
SUBDIVISION: GRAYHAWK LOT: 003 JURISDICTION: URB
Project Description: Remodel: dining room, master bedroom, (2) baths & deck extension.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: 20 FIRST: sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 70 sf GARAGE: sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: • sf RIGHT: 5
VALUE: 20 00
OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 70 sf REAR: . 15
PLUMBING
SINKS: WATER CLOSETS: 2 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 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 FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: 1 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDLERCIR: 6 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 & 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
Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes
MARK & HEAT CHISM CONSTRUCTION MANAGEMENT & and all other applicable laws. All work will be done in
14895 SW HAWKRIDGE RD DES. accordance with approved plans. This permit will expire
TIGARD, OR 97223 19837 S LELAND RD if work is not started within 180 days of issuance, or if the
OREGON CITY, OR 97045 work is suspended for more than 180 days.
ATTENTION: Oregon law requires you to follow rules ,
Phone: 503 590 0621 Phone: 503 655 - 2198 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
Reg #: LIC 112648 direct questions to OUNC by calling 503 - 246 -6699 or
TOTAL FEES: $ 754.64 1 -800- 332 -2344.
REQUIRED ITEMS AND REPORTS
n
II ,
Issued By : A. a , _ L Permittee Signature : ! i LI U. 1 1 i k `�..----^
,
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that busine-s 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.
Building Permit Application FOR OFFICE USE ONLY
City Tigard n5 Date/B v .../y !y Permit No. 5- � 0o
13125 SW W Hall Blvd., Tigard, OR 97223
p Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 x/40 ' a Other Permit.
14 � " ���� Date/By: �1,d19 7' e ta `��
Inspection Line: 503.639.4175 = Date Ready /By: See Attached Checklist for
Internet: www.ci.tigard.or.us BD Notified/Method: 5 upplemental Information
eN
.: YPE 'OI YORK :...
,.,.. ".._.. ,� � � � ,.. ,,, ,a ' EQU ED" DAT- 1D'2 IL °'DWELLING
❑ 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
work indicated on this application.
.CATEGORX :O " <CONS`T'R[TCT" ON
® 1- and 2- family dwelling 111 Commercial/industrial Valuation: $20,000
❑ Accessory building ID Multi-family Number of bedrooms: 1
El Master builder ❑ Other: Number of bathrooms: 1
TIO >';,? Total umber o floors: 1
d . . , " „�' ;;,�. E ......... �, � >• RMAN "a LOCA'I' (}N'• a ., �
Job site address: 14895 SW Hawk Ridge Road New dwelling area: 74 square feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Chism remodel Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED_; DATA COMMERC USEgCHECKLIS
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
nd the profit materials, labor, overhead, a e ofit for the r
a lication.
work indicated on this PP
moving existing exterior wall in dining room out, remodel master bath and bedroom, Valuation: $
update hall bath. DeLK e.x113\Si r*4 Existing building area: square feet
New building area: square feet
�,�:, W;" ��' °��,.' >. Number of stones:
t1-1 ®: PROPEI€`Cy OWI"IEIi '„ c;> :
y W' 4 'r TENANT'`
_ Via:• .. "r'aI
Name: Mark and Heather Chism Type of construction:
Address: 14895 SW Hawk Ridge Road Occupancy groups:
City/State /ZIP: Tigard, OR 97224 Existing:
Phone: (503)590 -0621 Fax: ( ) New:
, . :�d /N/N,,° °A'• \one ^” �:�J; •sqa t :'s� =e; 2:"✓e: °r. e =..
:APP ANT,:'
��» ''® CONTACT P' N NO"
a ®,. E RSO 'TICS • Fs,
Business name: CM & D, Inc. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Cohen Mihalik under ORS 701 and may be required to be licensed in the
Address: 19837 S. Leland Road jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Oregon City, OR 97045 apply:
Phone: (503) 655 -2198 Fax: : (503) 518 -5558
E -mail:
Business name: CM & D, Inc. " "'
Address: 19837 S. Leland Road Please refer to fee schedule.
City/State /ZIP: Oregon City, OR 97045 Fees due upon application
(503) 655 -2198 Fax: (503) 518 -5558 Amount received
CCB lie.: 112648 Date 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 l y // Date: 8/17/05 * Fee methodology set by Tri County Building Industry
Service Board.
i• \ Building \ Permits \BUP- PermitApp doc 12/03 440-46 13T( l 1 /02 /COM /WEB)
08/17/2005 08:56 15032632513 ROTH MECHANICAL PAGE 02
Aug"17 05 09:45a CM&D,INC 50510'5558 p,2
' ' V .. ...._ . ... . . ........ ..
. .
ne• r n // -,- i'
Mechanical Permit V t" L jA ' . . Fr.)1Z 01 C ti!:,‘ ()NO!
City of Tigard optasy:. . .. remit No.:A/I rd
imassw Hall Blvd., Tigard OR 97221
: SO Pa: 50.3.593.19ti0Ail 1. 8 200'.-M"
••••,..,.,,i, tIlun
an RrriCW
kriy: Other PerIllit
Maine 3.639.4171
Inspection Lille: S03.639.417$ _ 14_ . ",iii - na . ion I sa: Wilmette
Internet www.44.tigard.onau. twatElccVMeabock suppaileceselartirmatioa
CITY OF TIGARD
- -•:.-..: , :'. 1 11VIii . : 1 0 4 1tii,4 1 .1k7:5: .(3 :!..:' - -- ". 4 :; . :.::: 7:',4: ::. :7 i! . • cl*tottiA;0•20st SIMEDULE,.:-. . USE GRECRLIST
- ..
Mechanicsl permit fee' toe based an the valve of tbe wtiliS .
0 NCW C011sttuc:icrn 0 Addition/alteration/replacement pcifortotxt toil; eau thi valve trouottcd to the nearest dollar) o r a 11
0 Demolition 0 Other: LN-hait e.al materiels ui nt, labor, overhead, and profit
• . 7 :• *:• • CA191100W dif. AttikrtattaiON. - • : .•• 1 :f ". - • • •'. .'ii- ••• , . Vniun $
• - • - • • - - ••- • .. " • - • -: '•'';.:*01a1111AL-0(1111A,MBYIF / SieRTEM^fir0
0 1-tind 2:finit dwelling 0 Commercial/industrial 0 Accessory building For sprcthl inform:Mon ice chailist
0 Multi-family 0 Master builder 0 Other: DOI:donee , ri Safi Ea. Ti Tots'.
*K KNEO:AjC0*. :!:": .; • Reatinpixoolktg
• Soirsi iteldrex; SW HaWit Ridg e Road Air conditioning or haat porno 1 1
spjuirea vile pan showing pkolrecc0 _ 14.u0
City/StateaTi Tigard, OR 9fl I P‘intace I(.000 BTU orlicitivotasj 14.00
Vuxoace tra1000+ felt (thee) 1,1.90
SelitC/bklgiapL no.; I Project =net Odom Remodel
- Gaa leat pimp 11.00
Cross secoudireetiods to job stir Diet work . I&0
hydrants hot water system 14.00
Residentiat boiler (radiator or
hYdtOnic) 14.00
Unit hates (fuel-011016f electric),
1.. in-oull, en-doot, susinalds04.0c• 10.00
LL,Imotrent Scram of :hove __ .,... -
Subdivision; [Lot no.:
---- I COien 10 00
.. .
Tax map/puce, no.:
i Other riot appliance% -
- - • . . ;" ••• : ,• '' Paltk • -- •••• • •• • •Oi - - . .:: J:41 .Z.q w''erbtalL • 10.00 .
Cos lireplace 10.00
ethintat fano Mar vent arr warer.baner arxers
• fireplace 10,00
^-1 7
Log_lighi* •' - ". .. 10.00 ----- •
. . . .. ... . .. . .. • • Wood/pallet stove I 0.00 i
WOW ftreplacednsett 10.00
'.. domneeierrer/fluto'rent 1'0.00
. • tia 'ITOPkialt.AAM..k ;: • !.. P:, .:.1:-. :•:•!:;:.. GlIESN't - -'-'- .:; •- ' . .
to oo
Name: Mark and Heather albino gavtoonmontot exhaust and ventilation
Ai:Mita: 14095 SW Hawk Ridge Road hOod/ceicr kitten
, equipment
• - 10.00
. . • •• - • •
CiryiBtate/Z/P: Tigard, OR 97224 . Ckties dem/ohms:
sit:we-duct eximust (bothruoms,
Phone: (503)5904621 P a,; ( ) toilet compartments. utility rooms) ,:v: - 4,80
. . . ...
1 -
r83.:4 . S . ' . `:e . . 4 Riii100titgfifi*ort ..• ',..- . Autrk*.emmex f a r $
10.00 1
10.00. L
&selfless name: CM &D, I J se.
IVO PIPUIR
Contact name: Colleen Mlitaliki S5.40 for First 1005 51.00 for each stnittIo nal '
Address: 19537 S. Leland Road 'Fumaie •
--., ...._ ... . • 1 .----. 1
Cas hest zump
City/State/ZIP: Oregon aty, 01(97145 Will/sUstacndediunit heater 1 1.
Phone: (503) 055-2194 j Fax: : (503) 5113-5558 Weer heeler I
Fireplace
P.-mail:
Range '
•
• •••••-• • ••'• ::. .:. ",i i • 1 • i•• ;•'<::'-:• :.- Barbecue
a t
ntMiltCd8 1111111C: 11 „AAA tia. goo . I Clothes d • as
.. 4 .00mr: I i
Address: . t 7.-(1, •• • •-•• i' ••';.:•:. mEctiAtticitLitaitt • .
...... .. .. . . .
Cityiti (AA 10 • e..9-__91 0 ( 3 5ubeon0 i.
Phone: eV'
t O ) I AD GI .- t ° k Fax; QY 't-Lo to •-• 3.-(-78 L I
Prilfrolifekv of *Mit feel 1
CCB lic.: It-400i I i Stone surcharge (MS of permit fee) j
7-
s 7z.. .141,0‘ I TOW. rEp.mn FEE I ----
Authorized signature: a 4n i'm mynas notruntamonnve, it . petrol, eg ant otdafaed willea 160
dmp OM II ttne been accepted at complete
!print name: Date: 81 (CS j • fn matbothoogy act b77.i-County tituttaing Inanity scrykesuird
tausainorsoroomac-reanamen 11/03 40a46a7T(11412/cpoenvc1a) .
•
„ .
... . . .
E lectrical Permit Apnlicationj ED
Olt OPTIC L : USE ONLY
City of Tigard u Recei /By: Pemut No.: ,/V(5 1-
13125 SW Halt Blvd., Tigard, OR 97223 A Dar Renew
Phony 503.639.4171 Prot: 503.598.1960
g 104 DatelBy. Other Permit:
NU
Inspection Line: 503.639.4175 _ . ' ° Lt • *!.!_ pate Ready/By: fa See Page 2 for
Internee waw.cLtigard.or.us „r_TIGOR - -- Notified/Method. I Supplementallafermadon
TYFi$rolP , ORKiS e v PLAN REVIEW
® New construction . 0 .Ardilitionf lteration/rt placement Please check all that apply:
0 Demolition ❑ Other: ❑Service over 225 amps, control °Hazardous location
❑Service over 320 amps - rating ORuildrig over 10,000 cq. ft.
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or mare new residential
® 1- and 2- family dwelling ❑ Con iiercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one atructo e
❑Building over three stories ['Feeders, 400 amps or more
❑ Multi-family ❑Master builder [] Other
0 Occupant load over 99 persona ❑Manufaciwed structures or
JOB SITE INFORMATION AND LOCATION °Egreas/lighting plan RV park
Job no.: 1 Job site address: 14895 SW Hawk Ridge Rd OHealth•carefacility OOt>
Submit ,1, sets of plans with any of the above.
City/State/71P: Tigard OR 97224 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: I Project name: Mark & Heather Ch i sm FEE* SCarYlt1LE
wanton I Qty. I Pee 1 Tow [ ..
Cross street/dinsctions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
• 1,000 sq. ft. or less 145.15 4
Subdivision: i Lot no.: go. a sq. ft. or portion 33.40 1
Limited energy. residential 75.00 2
Tax map/patoel no.: Limited energy, yon- reaident:ial 75.00 2
DESCRIPTION OF WORK • Each manufactured or modular
Kitchen, bath, hail, dining room, master dwnllfnjt, service arid/or feeder 90.90 2
- 155 - droom wtr n( Services or feeders Installation, altered and/or relocation
200 amps or less 8030 2
a PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 106.85 2
Namc: k 8e H 401 amps to 600 amps 160.60 2
Mareather Chism 601 amps to 1,000 amps 240.60 2
Address: Over 1.000 amps or volts 454.65 2
14895 SW Hawk Ridge Rd , Reconnect only 66.85 •. 2
City/State/ZIP: Tigard OR 97224 Temporary services or feeders Instaltatlon, alteration, and/or
Phone: (503) 590-0621 [ Fax: ( ) relocation
200 amps or less 66.85 1
Owner Lestallation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale; lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 snips to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, ter panel
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch cireuita with ' .
service or feeder fee, each
Business name: breach circuit 6.65 2
—
B, Fee for branch circuits
Contact flame: tnrbma or tbeder tbe, J. 46.85 46.852
Aridness each branch circuit
Each edd'l branch circuit 6 6.65 3 9 . 9 ) 2
City/State/ZW: Miscellaneous ( service or fewer not Included)
Phone: ( ) 1 Fax; ; ( ) Pump or irrigation circle 53.40 2
1 Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
' CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business Hanle: Tice Electric Co. ,
Address: PO Box 15009 Each additional Inspection over allowable in any of the above
/StateJZlP: Portland 97293 - 5009
Per inspection ,
Ci 62.50
tY Investigation per hour (Ile erne) 6250
Phone: ( 503) 233 -8801 I Fax: (503) 872 -8290 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.:
1.66 I Electrical Lie.: 26 -126c 1 Su prv. Lie.: 2586S Subtotal 86. 7 5
Suprv. Electrician signature, required: ,` / Plan review (25% of permit fee)
Print name: John J. Maloney Date:
8/1; / 0 5 State surcharge (8% of permit fee) 6.94
TOTAL PERMIT FEE qq�� �gQg
Authorized signature! iris permit application eaptree it. permit la oat obtii?* IiLTa 1110
Print name: Date: • Pee methodology eel by 'Fri-Comity accepted u complete
Service
•• Number of Building Industry Servitx Berard
iMoitdaappeasiiaun.GPe,ndypp.aa 12ma 4ews1s7(1mmcomtnvZa To Be Paid by t CM&D
Rug 17 05 09:11a Br Nelson 5036573622 p.1
A RECEU 1% ED
Plum' bing Permit Application, 'o tall.:lc t i 1: O .1.v � .
City of Tigard MUU 1 200r Roceivod Permit No.:A4 S ra.rm5 - rr03oV
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIGP 0 . . ' Date/By: other Permit No.:
24- Hour Inspection Line: 503.639.4175 BUILDING DI1`. ` l DateReady/By: suds: I ® See Page2For
Internet www.ci.tigard.or.us - • - Notified/Method: 1 Supplemental Information
T3I$PE OF WORK FEE* SCHEDULE
❑ New construction ❑ Demolition For special i mutation use checklist
Description Qty. Ea. Total
R . Addition/alteration/replacement ❑ Other. New I- 2- family dwellings (includes 100 ft for each utility connection)
CATEGOR OF CONSTRUCTION SFR (1) bath 249.20
V1- 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 I ❑ Other:
Fin: sprinkler ( sq. ft) Page 2
JOB SITE INFOIRMAT1ON AND LOCATION Site utilities
Job site address: 1 Lt-B(3 S I t ' yi - Catch basin or area drain 16.60
City/State/ZIP: -11 ! 27 _c4 Drywell, leach line, or trench drain 16.60
Suite/bldgJapt no.: C� { vY�
ect name: � Ae I Footing dram (no. linear fl: Page 2
Manufactured home utilities 110.00
Cross street/directions to job site: Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no. linear ft.: ____) Page 2
Storm sewer (no. linear ft: ) Page 2
Subdivision I Water service (no. linear ft.: ) Page 2
i Fixture or item
Tax map/parcel no.: Absorption valve 16.60
fi 1� DESCRIPTION OF WORK ` , V1 l 5
Backtlow preventer Page 2
' n `Uit WI Sk74 I 1 _9.Jy 1 3 1 I'1 VIC P V Iv i l Backwater valve 16.60
ft V( KA�� J J Clothes washer 16.60
Dishwasher 16.60
❑ PROPERTY OWNER ❑ TENANT - Drinking fountain 16.60
Ejectors/sump 16,60
Name:
_ Expansion tank 16.60
Address: Fixture/sewer cap 16.60
City/State/ZIP: Floor drain/floor sink/hub 16.60
Phone: ( ) Fax: ( ) Garbage disposal 16.60
❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60
Business name: Ice maker 16.60
Interceptor /grease trap 16.60
Contact name: Medical gas (value: $ _ ) Pagc 2
Address: Primer 16.60
s
City/State/ZIP: I Roof drain (commercial) 16.60
Phone: ( ) I Fax: : ( ) Sink/basin/lavatory 3 16.60
I Tub /shower /shower pan Z 16.60
E -mail:
Urinal 16.60
CONTRACTOR_ Water closet Z 16.60
Business name: ` .� p l�y�(� �` in Water heater 16.60
Address: �� 7Ci 1 I r LJ Y k l ilei- ,
M ‘ \VAS P, (�R 12 0
, C I -
Subtotal
City/State/ZIP: _ Minimum permit fee: $72.50
Phone: (653) ''j ._ `+61 -15 Fax: (t.,.1 ( (15 -- �(C 22_ Residential backflow minimum permit fee: $36.25
Plan review (25% of permit fee)
CCB Lic.: ` Plumbing Lic. no.: 3-' 52452G
State surcharge (8% of permit fee)
Authorized Sl lttC' 9 TOTAL PERMIT FEE
Print name: 1 W Date: EN ' ' - C I 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.
CleanWater Services
RECEIVED
SEP 2 2 2005
• CITY OF TIGARD
September 21, 2005 BUILDING DIVISION
Fred Hailer
CM &D
19837 SW Leland Rd
Oregon City, OR 97045
RE: Addition to single family residence located at 14895 SW Hawk Ridge Rd.,
Tigard, OR
CWS file 05- 003609 (Tax map 2S108DA Tax lot 02801)
Clean Water Services has received your Sensitive Area Certification for the above
referenced site. District staff has reviewed the submitted materials including site
conditions and the description of your project. With one condition staff concurs that
the above referenced project will not significantly impact the existing Sensitive Areas
found near the site. The , and debris in the ve•ietated corridor must be
removed Is-rior to construction, In light of this result, this document will serve as
your Service Provider letter as required by Resolution and Order 04 -9, Section
3.02.1. All required permits and approvals must be obtained and completed under
applicable local, state, and federal law.
This letter does NOT eliminate the need to protect Sensitive Areas if they are
subsequently identified on your site.
If you have any questions, please feel free to call me at (503) 681 -3605.
Sincerely,
Chuck Buckallew
Environmental Plan Review
Site plan attached
2550 SW Hillsboro Highway o Hillsboro, Oregon 97123
Phone: (503) 681 -3600 Fax: (503) 681 -3603 0 www.CleanWaterServices.org
Case Activity Listing 5/28/2008
9:19:11AM
<ACCEL Case #: MST2005-00300
art 4 h r= �'u.:� ✓ :Fs^;
F ?r3
• • e•u
e e.
,. � , „ ,� � , „ .Date 2..... ,Date 3. Hotd ..Drs „ 'To .,,..:,,:B g ::•.�,..
MST1010 Application received 8/18/2005 None RECD DER 8/18/2005 Gave contractor CWS forms. Advised
DER must have before issuance.
MST1020 Permit created 8/18/2005 None DONE DER 8/18/2005
DER
MST2699 Mechanical final 3/31/2006 None PASS KBS 4/5/2006
JMT
MST2199 Electrical final 4/24/2006 4/25/2006 4/25/2006 None PASS CB 4/25/2006 028632 - 01 - 503 655 - 2198 VM -
STI Y
MST2399 Plumbing final 4/24/2006 4/25/2006 4/25/2006 None PASS CB 4/25/2006 028632 - 02 — 503 655 - 2198 — VM -
STI Y
MST2299 Final inspection 4/24/2006 4/25/2006 4/25/2006 None PASS CB 4/25/2006 028632 - 03 — 503 - 655 - 2198 — VM -
STI Y
MST1740 Case finaled 4/25/2006 None DONE CB 6/19/2006
RB
MST1030 Check for parcel 8/18/2005 None DONE DER 8/18/2005
tags /CWS DER
MST1050 Site plan revwd/route 8/18/2005 None DONE DER 8/18/2005
to PT /PW DER
MST1060 Building plans routed 8/18/2005 None DONE DER 8/18/2005
to PE DER
MST1065 Begin plan review 8/30/2005 None DONE MAV 8/30/2005 Need lateral calcs. /Eng. stamp.
MAV
Page 1 of 3 CaseActivity..rpt
5/28/2008
Case Activity Listing
q‘CCELA #: MST2005 -00300 9:19:11AM
,... . ._ w , � ... , ... _.. - -.,.. .. A'ssi " newi--; one dated �• ,;,, � �.. , � .
4 �.z
.iii. ... .... ....... i .. ., f ...... .. ..... ..•
"8
„ors' : "'+Fig
shy...
► ,Date:2< ,Date 3 <• ,.� -< ��,
t .•
a
MST1720 Misc. activity (see 9/22/2005 None DONE DER 9/22/2005 CWS letter submitted.
note) BLD
MST1100 Building plans 9/26/2005 None APRV MAV 9/26/2005
approved by PE MAV
MST1110 Approved plans 9/26/2005 None DONE MAV 9/26/2005
routed to PT MAV
MST1240 Post - review 9/27/2005 None DONE DEB 9/27/2005
completed DEB
MST1250 ELC signature on 9/27/2005 None DONE DEB 9/27/2005
application DEB
MST1260 PLM signature on 9/27/2005 None DONE DEB 9/27/2005
application DEB
MST1270 Ready to issue permit 9/27/2005 None REDY DEB 9/27/2005 CWS letter attached.
DEB
MST1280 Issue permit 9/28/2005 None DONE BB 9/28/2005
BB
MST2315 Post/beam plumbing 10/24/2005 10/25/2005 10/25/2005 None PASS MRS 10/25/2005 019289 -01 — 503- 655 -2198 V M -
STI Y
MST2120 Electrical rough -in 11/1/2005 11/2/2005 11/2/2005 None PASS CB 11/2/2005 020107 -01 .., 503- 381 -8785 VM -
STI N
MST2615 Mechanical rough -in 11/1/2005 11/2/2005 11/2/2005 None FAIL CB 11/2/2005 020107 -02 — 503 - 381 -8785 — VM -
STI Y —180
Page 2 of 3 CaseActivity..rpt
Case Activity Listing 5/28/2008
1 - , Case #: MST2005 -00300 9:19:11AM
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a•, : n i.
�� ,,,� Date Ho1d�;: Dis 'I�o , „� � =B : �...: Notes �.� ,
.:. " �. I _ . � , . ,.,, ,. Date Z ... , .
v Descn tion i,. � 3.
MST2320 Plumbing rough -in 11/1/2005 11/2/2005 11/2/2005 None PASS CB 11/2/2005 020107 -03 - 503 -381 -8785 - VM -
STI Y
MST2275 Framing 11/3/2005 11/4/2005 11/4/2005 None PASS JM 11/4/2005 020395 -01 - 503 -590 -0621 - VM -
STI Y
MST2615 Mechanical rough -in 11/3/2005 11/4/2005 11/4/2005 None PASS JM 11/4/2005 020395 -02 - 503 -590 -0621 - VM -
STI Y
MST2120 Electrical rough -in 11/9/2005 11/9/2005 11/9/2005 None FAIL CB 11/9/2005 020851 -01 - 503- 341 -7350 - VM -
STI N -180135
MST2120 Electrical rough -in 11/9/2005 11/10/2005 11/10/2005 None PASS HFY 11/10/2005 020921 -01 - 503- 655 -2198 - VM -
STI Y
MST2280 Insulation 11/11/2005 11/14/2005 11/14/2005 None PASS JM 11/14/2005 021100 -01 - 503- 655 -2198 - VM -
STI N
MST2320 Plumbing rough -in 2/15/2006 2/16/2006 2/16/2006 None PASS JW 2/16/2006 026999 -01 - 503- 655 -2198 - VM -
STI N
MST2199 Electrical final 3/31/2006 None FAIL CB 4/5/2006
JMT
MST2299 Final inspection 3/31/2006 None FAIL KBS 4/5/2006
JMT
Page 3 of 3 CaseActivity..rpt