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Permit
I • MASTER PERMIT CITY OF T I G A R® PERMIT #: MST2005 -00021 l 'il DEVE H ME d , O SERVIC O ES 39 -4171 DATE ISSUED: 2/23/2005 SITE ADDRESS: 13622 SW LEAH TERR PARCEL: 2S109BA -08300 SUBDIVISION: DAFFODIL HILL ZONING: R -7 BLOCK: LOT: 009 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: PS CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,587 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,625 sf GARAGE: 691 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 314,277.30 - OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,212 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: / VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: 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: 6 201 - 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 10,398.61 This permit is subject to the regulations contained in the GOODLET /MARSHALL GOODLET /MARSHALL BLDG & DEV. Tigard Municipal Code, State of OR. Specialty Codes PO BOX 91551 PO BOX 91551 and all other applicable laws. All work will be done in PORTLAND, OR 97291 -0551 PORTLAND, OR 97291 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 297 - 1881 Phone: 503 297 - 1650 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 Reg #: LIC 100882 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC -by calling (503) 246 -6699. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 i I/ : 2 Issued B s Permittee Signature g , � Y 9 -/ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next busi • ss day I s Building Permit Appli t'� i EcElvii. • , ,, FOR2 OF I(f- USI ONI V ' 1 {, h Renewed .. _ . . • City Of Tigard Received / 01.87/ 4 1. i f Permit No.: 4/i?/ 13125 SW Hall Blvd, Tigard, OR 97223 D 2 Plan Review I Phone: 503.639.4171 Fax 503.598.1960 JAN 4. 21 :k. "= '' i' 1' ` D ate1B Y ,MM-u , - / S - Os `P � ' S CL'ol9 • Inspection Line: 503.639.4175 t� _ J Date R �/^ l See Attached Checklist for Internet www.ci.tigard.or.us CITY OF TIGARD r y /I It/ Supplemental 0\ Notified/Method: UrT 7' . = �'FR:� r<3" - - - � -- =jF'S`- `.'•=' - - '�'.ikb' - rYY.1L4v+.'fAeS " x 'r _'iii.".` ,`5:':.� ;- "-'g , ,4v"'." ' - : u' ' + a a ' , " y "r2 - ',t '.g `.4s; ^lr::: -ate- _ w.v'x,�,..- t :.- TYP TWO ?� t UIR DATA_4,- : 74AN_D,3 =F 1bIIL 4 .��•.. � a��.ra��.�'�:.t',= ..� ter. s*.^^;� �z�_ar m <�ry u.,vv'- ���,:�:�.. z... ..s,i'Y"`•.�,:. ;:�: °.. ?�- '�'�ss�.,sas�.��.e�? °.... n .. . ga ����x. -e, z',�.,xacvs xv�0i ® 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 s.. _;`'" 2'W',�.^; ' 3 saF -- i ' : >2= <.r,A- ,*ux3ata'Po r � S fiilJ .'.. ;;i'....� ;�_, •, �„ _ ,c g „'ra: „ :f , t•a:,n +'~�s? work indicated on this a t �� <. , 3 i CATEGORY OF NS'1IRUT s ` •-g'<, w application. � �. ?�.� -..r �,�~n _ - �', r. �,.r�.wr�= s::�..� ��c. . - -_ �..r�” �. >_t;ca .,,..6-N. zlb ® 1 -and 2- family dwelling Valuation: Z, So, c,00 ❑ Commercial/industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: Z. :p - ; 2 . t iP/ - - - .e;3"rc'r.'=.'.'r ..;.�'L {L +�i%°S .` -=',::;a'ti •"4 ";::Ak'u`.; i e J _ - ^; >_' - ,, +_, 3 a g JOB Sf=1=Lr INFORMATIONa AIVD- LOCATION{ " : " - V '' -' Total number of floors: 2, Oii r£:��.,, vs��b� sar_ :§..... ��u._.�'�°fh:x.,ei.: .,,�ra*?kz`+c^�5!.'£a��f r...�`n:+ai 3'ee E� _ ...•�h.., _ . �.c-- Z��_��S:veL P.., ,. .T�...�..7- .+aa,.. L g Job site address: i,' (02z c L , t-e. -) - teWelLee. New dwelling area: 5 2..12_ square feet City/ State/ZIP: Tigard, OR 97224 Garage /carport area: Gq i square feet "\ Suite/bldg./apt. no.: I Project name: Daffodil Hill Covered porch area: lb square feet Cross street/directions to job site: Deck area: d5 square feet Other structure area: 4 square feet RE UMIFD`IDATA: t'OMME V*L T�T�i C HECKI:I ja S. +• YZ: a? �wm°; " �+_ Ct s': �° 3' �'& r�a�• 1�f>:?_.. YFa&° tiv;':; i�a. �arfi`+:` tii 'E;<C� Subdivision: Daffodil Hill Lot no.: 9 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 m - r v ki -;�_°: ..: .mss -1 ' . ; �s; = >_w _ ,, z • Vi'e :. VR-1 -'. „ .. U >' .. r, .:,s -y - ;- .- K:'.•t? :- ," t §`�` ��*�i.s ha' Nr-'j'$- :•4,s::. •e= s`'"L.',. - "r3F� E ft? .. , . ; :. .< D F5CR1(P TYO� N O WORK z s � lr'' 3, ._ © work indicated on this application. New SFR Valuation: $ Existing building area: square feet New building area: square feet :�r_za:_:r� -.;;�- �a�.t;t:;=r�::ar.:,r� =: -r.� eye <� �yr�= ,t ":t:"i.�"•z.�'-"�'� • ,�'�rs" �_i� - - rr;.�i,.,��:;,�rT ;:;,�= r k'� : - ,,.' " = , =;� ; � . % "g PRUPERTYAOwNER�'' ;._+ +%? 4 s '/ .? . j fY i'•,` . :'u? T.� �� .TENANT . 5 % s Number of stories: c "��,m " e".. .v'a'E- ,-_sue, � w�zs� wx�,r;�r; 2�°.'�sY.+�. ao--�1�.�- .n��.� �,.�a;�'s�"",�..�. a: � �� Name: Goodlet/Marshall Bldg. & Dev. Co. Type of construction: Address: PO Box 91551 Occupancy groups: - City/State/ZIP: Portland, OR 97291 -0551 Existing: Phone: (503)297 -1881 Fax: (503)297 -1650 New: Vi i:,,' .aa•�'� .fin � aL- ' � ..�'r�,,. .��� � s s. �,�g�t. .. k: � v ,+�:�a °� «.FSa =nYt�� w �- u.:= l mom:. < 9 '- ; Ai°PLICA, - ;h_ s s .CCINTACT1- . .. 4 , N „r* tit. .._,:� u. .�',,��. �?.,£ -* . ���+.�.� ' °`n� ;�.:�. `�, `� � �";� �,• ,bus ., - .�','; s =a:.-h..,..._,..L -�.. a;.�*� �:.se;ry s: ,,..r.,z::�.,s a , i..,.s,= .'� . .,., r =: � sE;;h : Aa °4;.,, !ass::y<s :,c:s, ..Y ts?;� ."tYs-: ..: t .a. � 'ice Z t V ,„ :?=� "NQTI •v,`� ' 9„ :. ^''n6 -S°�i� d::,:saa�'" &:'z:,a�asY:. gas <c�"�CC��«: -.` �.:�s�.A Business name: Patrick Schmitt, designer Inc. All contractors and subcontractors are required to be -- Contact name: Patrick Schmitt licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 2414 NW Stimpson Lane jurisdiction in which work is being performed. If the City/ State/ZIP: Portland, OR 97229 applicant is exempt from licensing, the following reasons aPPIY: Phone: (503) 768 -4573 I Fax: : (503) 246-3559 E -mail: schmittdesign@comcastnet - p , � 1 : ^ ,,. a& rA s ' ?, a i:•.•_ � `z" �s� � �a CO NTRACTOR � '�' .,�, �? s �”` ti �F•��.�. -�- a ,I` T:j a, g1tA Sa u4.r.:,:.• ws ;, �.._zA aM`n '' ' ?44f0 —: .V.:kiii1A- •..ir>: ��; `.i�..1 Business name: Goodlet/Marshall Bldg. & Dev. Co. r 5 6 -4 ,+ . - ;. �' � " - $=ri- d�.<:r $ = < -�, : � F BUIIDING.EERMIT FEES.., - Address: PO Box 91551 �• �=,� ��, � �.�:�..����:��,.,�k� rF:- :.��,..�.. >- �..��: �� Please refer to fee schedule: City/State/ZIP: Portland, OR 97291 -0551 Fees due upon application Phone: (503) 297 -1881 I Fax: (503) 297 -1650 Amount received - CCB -lic:: -10882 — — Date received: / Authorized signature: ; j /��f �, This permit application expires if a permit's not obtained within 180 days after it has been accepted as complete. Print name: Patrick e e 'tt I Date: ti 1 k c, 5- I ' Fee methodology set by Tri -County Building Industry Service Roard A . Plumbing Permit Ap c- i ^ -a � i , /� FOR OFFICE USE ONLY City of Tigard !� Received Pemv - t No. :MLer 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: ✓ ✓// ) C.C.CDY tip Plan Review Other Permit No.: D ate Phone: 503.639.4171 Fax: 503.598.1960 m. i •.p Date/By: 24- Hour Inspection Line: 503.639.4175 1 J AN O 4. 1 � 1 2 i ' 1 L i Date Ready/By- Jun': El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information Ar '� ..� . r ;� °�. 'v {v.1f:. w.,� -... %. ; �'�. 9 ,.,�,W � =' �° i:t�h. `,.�; - _ :erg .� a�„ ;, ^,t.a." ,, ,, : , g.�v " y ; + - ,� yTY ,, . 'kV( ' `;v,e 3, :.`a * t: ",FY -", w, .Ay; o '.^ ' ' . s ,.,..,'xa 5 F 1 E y S HF DU I. r ' e • , y � ° .r, !,e':'..; i . r :x * �,..k - 'z,, �- ...,r.:��Y.4�s1" rab„a_'�X d..w, �+�� , a r 7iT ."ro,. - � ;4a r •' o -k'� i��:' m v. �." s; a�' ``"n ,.E . ,, ® New construction B lL R� I L\ '! . ry` *' Sti n t ` 4 For special information use checklist Description Qty . I Ea. I Total ❑ Addition /alteration /replacement ❑ Other: New 1 - 2 - family dwellings (includes 100 ft, for each utility connection) y�'M,; -'�,'�:'k - a iS?n..�'m`3.F Yt" "'F` _Afi '..E "1 't. ��arv. ' Ya "` �.�r t;. , .. "4 x ee e� f xAS.. , . , p.,:n ��� p+�l.s' ( ) 6: ' 0 4 . '"°' CATEGORY' v01?^ CONST r ION.;; - t " SFR 1 bath 249.20 „ w.s��,�n,."�R da�aa�_ ; r� �*����s� _:..�a°a�:.^ zer»a� _�„�'�-hr.e:r��- � °_- `x�wor� : o, xv.. a�''^e �,...:' - _ ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building 11 Multi-family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: *= ,�^�,7a=y '?� �,,, ��..ax �,,.,..yz�,�^'+�` ma.��a x -� .:. ;fi .�-• sF �� ,. Fire sprinkler (- sq. ft.) Page 2 ' .�� 4� +��y ' • JOB= SIT L OCATI I 1 �re. � e` ".5T [:k+ t 9 4ats,. Pt;i ',,,,ek e* : m AAes,1 `Atl•At•tret,f ', t∎VvrTti': „stttmacF'1,,,, N,Y:.11 ro + :"`0'e, r.:� .,.ii • . , Sit utilities Job site address: 13622 SW Leah Terrace Catch basin or area drain 16.60 City /State /ZIP: Tigard, Oregon 97224 Drywell, leach line, or trench drain 16.60 Suite /bldg. /apt. no.: I Project name: Daffodil Hill Footing drain (no. linear ft.: ) 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 Lot no.: 9 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorptio 16.60 •�` � � +� . �e� ,, �.vaet °� ,:mow. m�. , - �,�a,�,... � tF",.. - . r it , o fit a ia `WORK ::: '? ts. .` ' � , ,.. ,e d - so: ,3 .Ir.; - ., ea.-' Backflow preventer Page 2 New SFR Backwater valve .. .16.60` Clothes washer 16.60 Dishwasher 16.60 • ® PROPERTY O , I " 1 ®�TE AN T $ t " to Drinking'fountain 16.60 ' � " "' Ejectors/sump 16.60 Name: Goodlet/Marshall Bldg. & Dev. Co. Expansion tank 16.60 Address: PO Box 91551 Fixture /sewer cap 16.60 City/State /ZIP: Portland, Oregon 97291 - 0551 Floor drain/floor sink/hub 16.60 Phone: (503)297 - 1881 Fax: (503)297 - 1650 Garbage disposal 16.60 ' '"�;. '°' `W T x ; : '. ". . tp A r,, ;: 7 .. i �u a igloo ,; . : Hose bib 16.60 u 1 t - AP,P,L' �. t <', I L t ®' COPiT AC EERSON , x`'s w .,..� r :Y >...w.,,.,�r�.u. b % " k mw ; .., .:.rte n ..., -. >' :¢ Ice maker 16.60 Business name: Patrick Schmitt, designer Inc. Interceptor /grease trap 16.60 Contact name: Patrick Schmitt Medical gas (value: $ ) Page 2 Address: 2414 NW Stimpson Lane Primer 16.60 • City/State/ZIP: Portland, Oregon 97229 Roof drain (commercial) 16.60 Phone: (503) 768 - 4573 I Fax: : (503) 246 - 3559 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E - mail: schmittdesign @comcast.net Urinal 16.60 ',r�. ,'a x d "?:t • ', a �} r.,: ..r-" 3.h` w Y . t;h�, - n ay z ., ; s ✓ , w i-- - ,, _ - �u'i(i. h �, �'' A 4 Y ",f:w :3' `V3,' `" t " Ll s '�', li 8 c' ' •� ykt , y! t CONT R AGTO R : „;° e Y m.. Water closet 16.60 l? `Y�.srv- ��.`m'Q. ;������, .� „ 5 :¢ ...�m:= .o,�i .se � ,n.m,R'...a�,r*' ,.�r.'��..d:'' ��:z�-;,..���". :'��Z"''�". `".^u.. y Business name: ( :an b 1 (_(A #'Y1 bi n i{ 1 nL Water heater 16.60 Address: gb5 Ne 4-th . A - -- --- - - - - -- -. . . - - ' ' r �q er•' • City/ State/ZIP: ()zero b , C�Z ()76.13 - -_ _ _ - . -- - _ _ Subtotal Minimum per fee: $72.50 Phone: (&: ) 26 2_ I .. Fax: ( 603) 2 6 . Residential backflow minimum permit-fee: $36.25 3 . A CY Plan review (25% of permit fee) LCCB_Lic.:� _ _ _ _ p -/ _ _Plumbing- Lic.no.: 3� � p State surcharge (8% of permit fee) Authorized signature: ` .it TOTAL PERMIT FEE Print name: t Sa v 5 n L'D 5 Date: / -17- 0,5' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Mechanical Per; 1 FOR OFFICE USE ONLY Cl of Tigard Received �,f /y., City O Permit No.: M yr _/y na/ �,7 b ' Date/By: .J c.�d.J 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.59 960 q /� a+l Date/By: Other Permit: Inspection Line: 503.639.4175 JAN 2 t.i 2O Date Ready/By: uris: H See Page 2 for Internet: www.ci.tigard.or.us /M Y B g Notified/Method: Supplemental Information CITY OF TI(A.RD tlti� , t- :: t:�.A_ ,�,:'�.,,,�.� �". ,� • �, >_ ,�.;, ;,�' °�' ". �'`�` ° .,� *' -2 ~ -� E�CHECKI:IS ® New construction 1 b Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. - Value:$ $5,500.00 0 w "..>' �'f .i =; ..`: OF'.CONSTRUCl' ION' - `-, . .. . ;.. � �.:. . .. � . x� • ' ��''v � y .,_ ..,.,. � � - -. •,. ._ ,. ,4 ,,.. - _. , n � .._.�+,. r ?k _ : ^.r, =. _ _ ` .n � `st ;''• a'RESIDENTIAL EQUIPMENT / SYSTEMS`F.EES i ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total �d. ' `' - ° JOB' SITE INFORMATION 'AND;4I:oCAT30PT 1 t' H eatin _ w- hsas�s,:.,� - at'��+r�:._�P ".��:i����?'� g1CO0Iinp -, Job site address: 13622 SW Leah Terrace Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: Tigard, Oregon 97224 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Daffodil Hill Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: 9 Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances `s•x' - `:.-'� ".Ex r te ' ' ,v .. 7 " - "'v xrrer. =., '�',�";'�' : ,rest �,�^ , .;°�= "�"'`: �� � .�,'�ia " "„ Water heater 10.00 ..' =' DE SCRIPTIONOF - WORK ._ - , . A . � 544:4P N" New SFR Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 • Wood/pellet stove 10.00 Wood fireplace /insert 10.00 . - �;. 7 , a Chimne /liner /flue /vent 10.00 �� ®; PROPERT Y a OWNER"• ra', v ❑`R TEN AN T ^ Y - O th er: 10.00 Name: Goodlet/Marshall Bldg. & Dev. Co. Environmental exhaust and ventilation Address: PO Box 91551 Range hood/other kitchen equipment 10.00 City/State /ZIP: Portland, Oregon 97291 - 0551 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)297 - 1881 Fax: (503)297 - 1650 toilet compartments, utility rooms) 6.80 ;x; .':t ° „` _ task. , ��- ;! L'fi"k. r _. . - - .e >,n•.r- ,acne. v -," s'2..�5 ,•,.•.: • ;� PERSONS' x ' � Attic/crawlspace fans 10.00 '%`- �:' �r n _{r ®AP_PL:IC?l_PTT*' "' � � +, ' � „ �,,- �•E,., ®��COLVTAG"I''y �,. ,� � Other: 10.00 Business name: Patrick Schmitt, designer Inc. Fuel piping Contact name: Patrick Schmitt $5.40 for first four; $1.00 for each additional Address: 2414 NW Stimpson Lane Furnace, etc. Gas heat pump City/State/ZIP: Portland, Oregon 97229 Wall/suspended/unit heater Phone: (503) 768 -4573 Fax: : (503) 246 -3559 Water heater Fireplace E - mail: schmittdesign @comcast.net Range Barbecue ra`"?� ?. -._ a`"..�w �... . _,-a. . m°dN.aa�'rN�•. > „ _., s, „..,, asm .. mw ate,, f a:.`•< 8'�°xv;Yf.c -. ,; `.ys •.�`, g� ».�!. `. �,"� &?5z Business name: Michael's Mechanical Inc. Clothes dryer (gas) Other: Address: PO Box 758 ? • ;MECI3ANIC 4Lt'PERMITaFEES * s r iA City /State /ZIP: Troutdale, Oregon 97060 Subtotal Phone: (503) 661 - 6183 Fax: (503) 661 - 4341 Minimum permit fee ($72.50) Plan review (25% of permit fee) , CCB lie.: 35795 ')_ ( % /O 1 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ,,nt,nn I * RPP mPthnAninmr ePt by Tri_rn,mnr R,,,IAinn Tndinetnr .Q•rtn IN. 13na..1 1 FROM : FULL HOUSE CONSTRUCTION PHONE NO. : 503 829 2822 May. 05 2005 07:27AM P1 El Permit A pplication :it'''.'../11 * s Date received: Permit nt I at0 ma I i City of Tigard CE' ° 1vC � Project/appi.no.: Expire date: • City aJ� Tigard Address: 13125 SW Hail Blvd, T igard , OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 \J 0 2005 Fax: (503) 598 -1960 VIM Case file no_: Payment type: Land use approval: CITY OF TIGARD • PP _ II NG v40nl 'M'YP 01' I'LRL\LIT 0 1 & 2 family dwelling or accessory LI Commeroial/industrial Cl Multi - family Cl Tenant improvement mil ew construction 0 Addition/alteration/replacement Cl Other: 0 Partial JOB SITE INFORMATION Job address: j3 10a a_ 7 C.,c_. Bldg. no.: Suite no,: Tax map /tax lot/account no.: _ Lot: I Block: I Subdivision: Project name: I Description and location of work on premises: A1c. � F2t d -ems Estimated date of com letion/ins cation: Job no: Fee Max Business narrle :CL 11 0L.1 fc Cr 'C �/U Description Qty_ (ea.) Total no. imp Address: r'a:v1 S. 1 t A, 2c llewrnguni Includes attached garage. r dwelling unit. lrtrludes attached gage. City: -AA_ Ci f« / I :■ I State: 0 4 I ZIP : 1 Xn,..3, SetviceLtcluded: Phone: ?).-C) -� 98ti [Fax: ' I E- mail : - 1000 sq. ft. or less . 4 CCB no•: /60.O 0 I lEate — lec. bus. lie. no: ,-(1,y6 Each additional 500 sq. ft. orportionthereof Limited energy, residential 2 Cltx /mc tro IiC. no.: In -` y� t.imite�tenergy, non-residential 2 Each manufactured home or modular dwelling Sig> Attire of • •rvisitlw a t 4 [ �� S 3 - r > trician (regs red) Date Service and/or feeder 2 Sup. elect. name (print) :, a� , License no: uL4��s Sere icesorfeeders— Instztllation, • alteration or relocation: PROPERTY OWNER 20o amps or less 2 Name (print): 201 amps to 400 amps. 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City. t e: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I E-mail: Reconnect only 1 Owner installation: The ' lation is being made on property I own Temporary services or feeders - which is not inter or sale, lease, rent, or exchange according to installation less ration,orrdocafion: ORS 447, 455,'479, 670, 701. 200 amps or less _ z 201 snips to 400 sops 2 Owner's signature: Date: 401 to 600 amps - - ENG1 MEER - Branch cireuits. hew, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase Phone: Fax' E of service or feeder fcc, first branch circuit: 2 Each additional branch . circuit Misc. (Service or feeder not included)- ❑ Service over 225 amps - commercial ❑ Health-care fa ' ' • • Bach pump or irrigation circle 2 O Service over 320 amps - rating of 1 &2 O Hazard • ocation Each sign or outline lighting 2 family dwellings U : . . ing over 10,000 square feet four or Signal circuits) or a limited energy panel, ' O System over 600 volts nominal mom residential units in one structure alteration, or extension* 2 O Building over three stories O Feeders, 400 amps or more *Description: —_,,, , ❑ Occupant load over 99 pots. • O Manufactured structures or RV pad: )Fatah additional inspection over the allowable in any of the above: U Bgressnightingplan t_I Other: w_ „, .- .....,,.._,.. Pcr inspection I' I I . i mit sets of plans with any of the above. Investigation foe The a .. ve are not applicable to temporary construction service. Other . Permit fee $ Not all jurisdictions accept credit catch, pisses call jurisdictio or MOOD infotlttatioo s Notice: This permit application $ 0 Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) Ciedit card number: _ I / within 180 days it it hits been State surcharge (8%) .... $ t ifeS accepted as complete, TOTAL $ �w Name of cardholder as she . . credit card $ . 5 I V CJ V D e - L ■ c.... c.... • f signature Amount d40.4Ci15 (6/00,COtv1) I STREET TREE C \. 0. I, 41 dna at caner /Agent for 'J �� � ::: (PLE SE PRINT) Ffi (P RMIT HOLDER) ` P, E , , ;$ :;:7 ; 1- - ,i — r s \ 4 Do certify £h' , b he ' f d 1. = location y- , y a, � y . o Lowing I meets : Citrof Ti and /Wat`hih ton 'County land use and development standards for street tree installation. ADDRESS: l5 (L2 5v. L&L\. Tew1a .. i .: LOT: SUBDIVISION '( CXib I Itt I/ \ - A O- BY IL. J.: /i _ DATE: /64/ ! 2003 0,- 0. i 0s- .---- RECEIVED BY: DATE: ` V O S o. M 4 / VVVVVVVV CITY OF TIGARD .' • BUILDING DIVISION • PERMIT #: MST2005- 00021 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639- 4171u "�NPnIPuVdl�Ili Inspection Requests (24 Hrs.): (503) 639 -4175 .J INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7 : 11Am PAGE: 55 SITE ADDRESS: 13622 SW LEAH TERR CLASS OF WORK: SUBDIVISION: DAFFODIL HILL LOT #: 009 TYPE OF USE: PROJECT NAME: DAFFODIL HILL DESCRIPTION: New SF. 8/25/05: Added A/C. OWNER: COODLET /MARSHALL, PHONE #: J03 -297- 1881 CONTRACTOR: GOODLET /MARSHALL BLDG & DEV. PHONE #: 503- 297 -1650 Inspection Request Scheduled For: Date: 8/302005 Pour Time: Code # Inspection Description Confirm # Contact # Message `�1/ 199 Electrical final 014581 -01 503 -502 -7092 V Corrections /Comments /Instructions: ", ► / hit 04 tv9 . OLA -LItiAjA (V ri,i4 +,,,,, 1 c , ot,Atiud_, ;. _ ? AA" k .►►� 1 , „, ..- __PASS _l_ I_PARTIAL_AP_P_ROVAL 4'. CEL Ill_NO_ACCESS FAIL i��!'�' FOR INSPECTION ADDITIONAL FEES ASSESSED SPX / - p ' 41 3 ( ) Inspector: �� D at e: Pho ne #: 503 718- • CITY OF TIGARD BUILDING DIVISION • PERMIT #: MST2005 -00021 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2312006 Phone: (503) 639 -4171 Aingi Inspection Requests (24 Hrs.): (503) 639 -4175 ,.' 1 °='� .. INSPECTION WORKSHEET FOR DATE: 8/26/2005 TIME: 7:06AM PAGE: 91 SITE ADDRESS: 13622 SW LEAH TERR CLASS OF WORK: SUBDIVISION: DAFFODIL HILL LOT #: p09 TYPE OF USE: PROJECT NAME: DAFFODIL HILL DESCRIPTION: N SF. 8/25/05: Added NC. OWNER: GOODLET /MARSHALL, PHONE #: 603 - 297 -1881 CONTRACTOR: GOODLEf /MARSHALL BLDG & DEV. PHONE #: 503 -237 -1650 Inspection Request Scheduled For: Date: 8/26/2006 Pour Time: �� Code # Inspection Description Confirm # Contact # Message Pfi' 699 Mechanical final 014321 -01 503-502-7092 Y Corrections /Comments /Instructions: C E G) • [PASS i— I_PARTIAL_AP_P_ROVAL ❑_ CANCEL __ I— I_NO_AC ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED W'/one Inspector: Date: #: (503) 718- • CITY OF TIGARD „` 1. BUILDING DIVISION • PE RMIT #: MST208 :00021 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/23/2005 Phone: (503) 639 -4171 / %'4pvilih Inspection Requests (24 Hrs.): (503) 639 -4175 j INSPECTION WORKSHEET FOR DATE: 8/29/2005 TIME: 7 PAGE: 92 SITE ADDRESS: 13622 SW LEAH TERR CLASS OF WORK: SUBDIVISION: DAFFODIL HILL LOT #: 009 TYPE OF USE: PROJECT NAME: DAFFODIL HILL DESCRIPTION: New SF. 8/25/05: Added NC. OWNER: GOODLET /IvMARSHALL, PHONE #: 503 -297 -1881 CONTRACTOR: GOODLET/MARSHALL BLDG & DEV. PHONE #: 503-297-1650 Inspection Request Scheduled For: Date: 81231200► r Pour Timer ?J Code # ,spectio Description Confirm # Contact # Message 1 `�� 399 Plumbing final 014424 -01 503 - 502 -7082 Y Corr ctions /Comments Instructions: N //// k--- . C / -2 " . / 0 s W .- I v i IR wc( ►i L-072e_,C vi , - CAS 3., O 6-1 &LiA/r< FA 4 ra_AV .�,� a-e 6 • '�- AJ ve, cam- ( -C--7/./. vg-7; -� . z L, Lii,\A s L-Ans ---zt,u. 6J- c..,_. k 5 k.vv Ok}C..0 ..0• e--->"-crL, 0.)/ ( A1/6.'S il.CA v ■ ^ 5 (3_,- Liy""--.1(_ o-\P__.__Q---r \J---g . Pc ILO 0/../x.\„t._ Q.,("A ii-- 0,eiL.31 esz.../...--- 0 A . - p� � .. - . u.:,' --, v ■ ..h..1,1"___.c Ace--..... %-,./.._, s c..o 7 l Pro u-_ Le_ -- c-)-i s \---4_,a. , -- 5 .--)-.--(5L cLitS c- 1 ' 1) ke EA" 0,—.--. cam. PASS n_ PARTIAL APPROVAL n_ CANCEL_ I—I_NO_ACCESS I I FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: SVIi Phone #: (503) 718- ` ITY OF RD ( 1 11 C IGA A BUILDING DIVISION PERMIT #: MST200S-00021 13125 SW Hall Blvd., Tigard, OR 97223 D 'ISSUED: 2/23/2005 Phone: (503) 639 -4171 r10 1'1 Inspection Requests (24 Hrs.): (503) 639 -4175 &W ??/ INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7 :11AM PAGE: 54 SITE ADDRESS: 13622 SW LEAH TERR CLASS OF WORK: SUBDIVISION: DAFFODIL HILL LOT #: 009 TYPE OF USE: PROJECT NAME: DAFFODIL HILL DESCRIPTION: New SF. 8/25/05: Added A/C. OWNER: GOODLET /MARSHALL, PHONE #: 603. 297 -1881 CONTRACTOR: 0OODLET/MARSHALL BLDG & DEV. PHONE #: 503.297 -1650 Inspection Request Scheduled For: Date: 8/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message (W 299 Final inspection 014582 -01 503. 502 -7092 Y Corrections /Com nts /Instructions: ,, " _ T.,# Qsz_61'. g ri i • wir 1 4 ,,,it ,} / ' ie„.Q• 1- s '4 - O ( as "36 s< i 1 -4,0/,,,i- `Ivy 3® "6. (w-- 1 ‘/ (A- 1 , 642 )( bU X ,%--. Sii. ,� • j ''' Le-J 4 djvid 4/1' - V L I b C 1 46 / - 7 -'- " " A 7 1 . / 6 7 7 2 4 F PASS ❑ PARTIAL APPROVAL n CANCEL n_NO_ACCESS I 1 AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED � Inspector: �� C/J _ - - - Date: g 1 3 Q a Phone #: (503) 718 - P ( )