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Case File NEWCASTLE fION1ES, INCYO BOX 230459 M ARI " OR � /281 p�..V I1 PLAN TFL: 503-684-7543 VAX: 503-684-0671 (11'13: ',1)66/ Lot Jr _ S u b d I v I s t o n13f �._ Address a . _ Scale 1 /8" 1 ' Notes: downspouts and cravdipace drain to street. Sidewalks and driveway appim,ch to city code. s�31 L/ e) 3f � err,�.• uj :� o 3=T LA � a ; /1• �( � � 'r •� ( � A � ,� }� ter'' VCv (0 L vie We'lpf �I •I .. tr• � r.r�.___ - 00* •r ri V► V-4 r I•djf c 0 ,o i c i NOTICE: IFTHE PRINT ORTYPE ONANY Thr Ilr III I { I III II � III III I I Illil � l � lll III III III III SII I ! I III IIS III III III 1111111 III III III III 1111111 Ill III III Ilillll ( 111111 Illl � � l � � l � li i I { illll � lllllll IIIII II J�� I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 3 7 1C� ITIS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT Ellllll6llZilll1111311 l8ZIII�ILI7IIIIIII8IIZIIII11.11- .Llll 1 �IIIIIfIlLll3 111 .111T1UllZlllllL6llillll�ll8LllllIILIIIIIIIII9II 111111 111 Illi►IIIliIIiIIIIIIIIIIII O.T�lll l Lillil{Ill 1 3 tli3w Illllll 1�.1 ►II111�J�1I ..o........�.rwa....�w�....w.�..�.....•+.w......wr+.+..,+�w.r...,,. ...w+�r..+..,.w..r..w..�.�.....-...--�».+r`rwrrwarl- - --+��+.vsrrNlrN 1 1 i 10420 SW Amanda Court I CITY OF TIGARD MASTERPERMII 01- DEVELOPMENT SERVICES DQ:i-E ISSUIED: 8/27/01 00450 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10420 SW AMANDA CT PAPCEL: 2S111BB-8W005 SUBDIVISION: BRIE WOODS ZONING: R-3.5 BLOCK: LOT:005 JURISDICTIG;v: TIG REMARKS: New SF detached residence. Path 1 BUILDING REISSUE: STORIES: 2 _ FLOOR AREAS L REQUIRED SETBACKS y REQUIRED CUSS OF WORK: NEW HEIGHT: 23 FIRST: 1.170 of BASEMENT: of LEFT: 1F, SMOKE DETE^,TORS: Y TYPE OF USE. SF FLOOR LOAD: 4C SECOND. 1138 of GAP.AGE: 652 of FRONT: 20 PARKING SPACES: 2 TYPE OF CUNST. -,N DW3LLING UNITS: 1 FINSSMENT: of RIGHT, 25 OCCUPANCY ORP: R3 BDRM• 4 BATH: 3 TOTAL: 2,50800 of VALUE: S 242,742 40 REAR: 44 PLUMBING 9 SINKS: I WATLR CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE UISP: 1 WATER HEATERS: I WATER LINES: 100 PCKFLW PREVNTR•, t GREASE TRAPS. MECHANICAL OTHER FIXTURES: FUEL TYPES _ ^—FURN c 100K: BOIL/CMP c OHP: _ VENT FANS: 5 CLOTHES DRYER- 1 FURN»100K: I UNIT HEATERS: HOODS: 1 OT14ER UNITS: 1 M4LY INF: btu FLOOR FURNANCFC: VENT,-: 1 'NOODSTOVES: GAS OUTLETS: 1 _ ELEC'T'RICAL RESIDENTIAL-UNIT —SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSnC FIONS 1000 SF OR LESS: 1 0 200 snip: 0 200 amp: WISV:OR FDR, I PUMpgRni(-iATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 400 amp: 1st WIO SVC.FDR• nn SIGNIOUT UI4 LTA PER HOUR LIMITED ENERGY- 401 6110 0.19): 401 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SV-CIFDR: 601 - 1000 amp: 601+amps•1000v MINOR LABEL 1000♦amp'volt Reconn:ct only: PLAN REVIEW SECTION �� - —4 RES UNITS: SVCIFDRI.225 A: >600 V NOMINAL: CLS AREA/SPC OCC _ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AU"10 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR I.NUSC LT. ^� BURGLAR ALARM: OTFI: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGt OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: MVAC: DATATELE COMM: NURSE CALLS: TOTAL N SYS1-EMS: Owner: Cor tractor: TOTAL FEES: $ 7,706.79 This permit is subject to the regulations contained in the NEWCASTLE HOMES.INC. NEWCASTLE HOMES Tigard Municipal Code,State of OR. Specialty Codes and TIG BOX R 972 PO BOX 2 R 97 all other applicable laws. All work will be done in TIGARD.OR 97281 TIGAitD,OR 97281 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if:he work is suspended fr, more than 180 days. ATTENTION Phone: Phone: Clregon law requires you to follow rules r'Ipted by the Oregon Utility Notification Center. Triose rules are set Rep N: LIC 55557 forth in OAR 952-1571-001,0 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRE f:INSPECTIONS Erosion Control Insp 8, Post%Beam Mechanica Mechanical Insp Shear Wall Insp Insu!eiinn Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing ins[ Rain drain!nsp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service LOW Voltage Water Line Insp Final inspection Foundation Insp FoctingiFoundat nn Electrical Ruugh In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Freplace Electrical Final Issued 8y f.it '` ,1 ._• Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00237 13125 SW Nall Blvd., Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: 8/2.7!01 SITE ADDRESS; 10420 SW AMANDA CT PARCEL: 2S111BB-BW005 SUBDIVISION: BRIE WOODS ZONING: R-3.5 BLOCK: LOT: 005 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: - --- - FEES NEWCASTLE HOMES, INC. - -- P.O. OX 230459 _Type By Date Amount Receipt TIGARD, OR 97281 PRMT CTR 8/27/01 $2,300.00 27200100000 INF,,P CTR 8/27/01 $35.00 27200100000 Phone: 503-689 7543 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant ; trees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days�,,= the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a 'Tap and Side Sewer' Perm IssuedY b � //� f Permittee Si9nature: f, '% �s!sL1� _— -- Call (503) 639-4175 by 7:00 P.M.for an Inspection needed the next business day Ar _Building Permit Application Citof Tigard "� �('a Date received:8'/v'L Permitno.: y / Address: 13125 SW hall Blvd,Tigard, R 972 / Project/appl.no.: Expire date: Cityn(Tigard phone: (503) 639-4171 Date issued: 13y: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type! Land use approval: l&2famiiy:Simple Complex: 1 &2 family dwelling,or accessory U Commercial/industriai U Multi-family New constnrc:ion U Demolition U Addition/allcrdtiott/replaceinent U Tenant improvement U Fire sprinkler/alarm J Uther: Joh address: 10420 21 &,Id 0, C-r Bldg. no.: Suite no.: -Lot: Block_ _ Sulxfivis on: rr �_ Tax map/tax lot/account no.: �__— - - Q '-_fid Project narne: Description and location of work on premises/special conditions: Name: AJt✓tA)(_AS1'LA ti0t0j S )ht... Mailing address: 0 8 X x.30 1 &2 family dwelling: City: � ,,l � State:p� ZIP: q72 ) Valuation of work........................................ $1�7�� Phone. (c R . -75 Fax: 0(#'i) E-mail: No.of bedrooms/baths................................. -- •3_-_— owner's representative: Mi ILL(' Total number of floors................................. 2- Phone:48 q -7S 43 Fax: E-mail: — New dwelling area sq. ft. Garage/carport area(sq.ft.)........6.5.�... Name: C Gi"fYl t jk I Cl Ght/ Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.) ........................................ City: State: ZIP: Other structure area(sq.ft.)......................... Phone: Fax: E-mail: comm.-ciaUindustrinUmulti-family: Valuation(if work........................................ Existing bldg.area(sq. ft.) ............. ...... — _-.— Business name: /11 tAJC(,� (,� �-(py►l1S �/ C� New bldg.area(sq.ft.).......... ...... Number of stories................. ....... ............ City: State.: ZIP: - — --- -- Type of construction...................... ...... ...... Phone: Fax: F-mail Occupancy group(s): Existing: _ -- ---_ - CCB no.: New: City/metro lic.no.: Notice:All contrrctors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: — jurisdiction where work is being performed. If the applicant is City state: InP exempt from licensing,the following reason applies: Contact person: I Plan no.: — — -- - Phone: I Fax: E-mail: -- - — "— -- Name: Contact person: Fees due upon application ....... .. . . . . .. - 9 Address: Date received: City: _ state: ZIP: Amount received ......................................... $ - Phone: _ _— Fat`— I E-mail:— Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the Nd WI jwiadtcrions weep credit cava..pleasr rnll Jurisdiction ror mar information attached checklist.All provisions of laws and ordinances governing this Uvisa U MasterCard work will be complied with,whether specified herein of not. Credo cad number: __ —Fxplres r Authorized signatu �C e- Date: 8'/Q-0 raame or ��ie u shown on cm it crd--- Print name:_ _ cr r dAaMure Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete 44n 410 1 iMKvr t rnt One-and Two-Fancily Dwelling Building Permit Application Checklist Reference no.: Cilyr,JTlg, y g 1,1 Cit of Tigard Associated permits: U Electrical U Plumbing U Mechanical Address: 131','5 SW Mill Blvd,'I'i�ard.OR ')7?'; ❑Other: _ Phone: (503) 1539-4171 _ 1 Fax: (503) 55,3-1960 ' I 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 platllot._ 4 Fire district_--approval required. 5 Septic Fystem permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Wrter district approval. _ 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.fuclude drainage-way protection,silt fence design and location of catch-hasin protection,etc. _ 10 3 Complete sets or legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral Jesign deta;:s and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans w;'h cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I I Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-11.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements end driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot arta;building coverage area ;percentage otcoverage;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 stnek- detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grad 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,sidin;-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 remodel%. 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 pat!!anrlysis provide specifications and calculations to engineering standards. 17 Floor/root frwlting.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations. Show attic ventilation. 18 Basement and retaining"alis.Provide cross sections and details showing placement of rehar.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 1lfanufactured door/roof talus desigi.details. 21 Energy Cade compilauee.Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations.Wh,-n 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 he applicable to the project -r review 23 Five(5)site plans are required for Item I I above. Site plans must be 8-112' x I I"or 11- x :7". 24 Two(2)sets each are required for Items 16, 19,20&22,above. 25 Building plans shall not contain red lines er tape-ons. — — 26 No rolled,reversed or mirrored building plans will he accepted. 27 --- — — 2g — - - Checklist most be completed befit-e plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614(6000OM) w Mechanical Permit Application Date received: Permit no.: City of Tigard Projcct/appl.no.: Expiredate: City ofTigard Address: 13125 SW IlaC Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: i _ Building permit no.: ,76 1 & 2 family dwelling m acccsscrcy U Commercial/industrial U Multi-family U Tenant improvement KNew construction U Addition/alteration/replacement U()they. _ Job address: 70 A!?'3t {A. L _ Indicate equipment quantities in boxes below.Indicate the dollar Bldg,no.: Suite no.: -_ value of all mechanical materials,equipment,labor,overhead, Tax map/lax lot/account no.: profit.Value$ Lo!: Block: tiubdivtston: / QDIp s 'See checklist for important application information and Project name: —� iu,'k(liction's fee schedule for residential permit fee. City/county: Cj-I-Ck _ Description and location of work on premises: t Pce(e9.) 7Rem.only Est.date of completion/inspection: Ihsxription _ "y. Res.only Tenant improvement or change of use.: Air handling unit CFM Is existing space heated or conditioned?U Yes U No Air conditioning(site plan reyuire� - Is existing=pace insulated?U Yes U No Alteration of existing system __ Boiler/compressors ,, ,, t'- Stun boiler permit no.: Business name�� 3,e-asap, _ � ,e-a.3Q n S TT[a-an, _ fiP Tons BTU/H Address: 1,09 J ire smo a amper uct nokedetectors City: A _ State:oX ZIP:Q-7 Z 9 O eat pump(site pian req�..e ) Phone:'7 75• S Fax: E-mail: rata rep ace urnac urner Including ductwork/vent liner U Yes U No p CCB no.: q 62.$3 Install/replace/relocate heaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): M 1-h CA ens ora iance other than umace Refrigeration: 7Name: Absorption units F3Tl'!H/�Lh �7Chillers _�_ III� Com ressorsHronmenta ex nst a vent at on- State: ZIF: Appliance vent Pl one:-],?S• S 1 rax E-mail: Dryerexhaust __-- o res. itc a azmat hood fire suppression system ----- Name: Exhaust fan with single duct(bath fans) Mailing address: N a t s stem a art from eatin of Stale: ZIP: -fuelpiping a distribution(up to otf cts) : City: _ _ Type: LPG NG Oil Phone: Fax: E-mail: I Fuelpiping eachaddition over 4 outlets rocesspiping(scematic required 1 Number of outlets _ _Name: Other listed appy ance of equipment- Address: equipment: Address: Decorative fireplace City: - State: ZIP: nsert-type W00UNIUVW13-cl let stove Phone: Fax: I E-mail: Cx er: Applicant's signature: _ Date: Namc (print): ___ Pt mit fee.....................$ Not all Jntisdictiow accept credit c.;.please calf Jttrisdictian par mote Irdarmadan. Notice:Thisemit application Pe PP Minimum fee................$ U Via" U MasterCard expires if a permit is not obtained credit caid numhec____— —._—__ — / / Plan review(at _ %) $ Expires within Igo days after it has been State surcharge(8%)....$ _ Name of cardholder ss shown nn ctrtit card S accepted as complete. TOTAL .................... $ ��^ Cardholder slptatu+e Amount 440-017 MA KVM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: --- _ Cascription: Price Total TOTAL_VALUATION: PERMIT FEE: _ Table 1A Mechanical Code Qty (Ea) Amt _ $1.00 to$5,000.00 1. _ Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for tt:e first$5,000.00 and Includino ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnar�100,000 BTU+ fraction thereof,to and including inducting ducts 8 vents 17.40 _ $10,000.00. - 3) Floor Furnace $10,001.00 t0$25.000.00 $148.50 for the first$10,000.00 and (nduding vent 14.00 _ $1.54 for each additional$100.00 or �) St anded heater,wall heater fraction thereof,to and including or floor mounted heater 14 00 _ $2.5,000.00. - $25,001.0010$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1.45 for each additional$100.00 or - fraction thereof,to and including 6) Repair units 12.15 $50000.00. 050,001.00 and up $742.00 for the first$50,000.tlO and Check all that apply: Boiler Heat Air $1.'0 for each additional$100.00 or For items 7-11,see or Pump Cond fraction thereof. - footnotes below. Comp* 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU _ 8)3-15 HP;absorb 25.60 8%State Surcharge = - unit 100k to 500k BTU 9)15-30 HP;absorb 35.00 25%Plan Review Fee(of subtotal) $ unit.5-1 ml)BTU Required for ALL commercial_permits only 10)30-50 HP;absorb 52.20 TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 11)>50HP:absorb 07.20 unit>1.75 mil BTU - 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: - Value Total 13)Air handling unit 10,000 CFM. 11.20 Description: Qt If Amount - Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler 10.00 ducts&vents -Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duc: 6.80 tluc�ts&vents - Floor furnace Including vent _ 955 16)Ventilation system not included in 1000 Suspnnded heater,wall heater or 955 17) appliance 3 bymechanical exhaust i floor mounted heater _ -- 10.00 Vent not Included In applicance 445 rmit 18)Domestic Incinerators 17.40 Repair units 805 <3 hp;absorb.unit, 955 19)Commerdal or industrial type incinerator 69.95 to 100k BTU __ - 3-15 hp;bbsorb.unit, 11700 20)Other units,including wood stoves 10.00 101k to 500k BTU -- - 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas plying one to four outlet., 5.40 mil.BTU - 30-50 hp;absorb.unit, 3,400 - 22)More than 4-per outlet(each) 1.00 1-1.75 mil.BTUa >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: >1.75 mil.BTU Air handlinp�unit to 10_000 cfm 656 _ 8'/.State Surc►'trge Air handling unit>10,000 cfm 1,170 Non-- ortable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not included in 656 a (lance permit Other I ons and Fees: -Pp658 1 inspections outside of normal business hours(minimum charge-two hours Hood servee�m3chanical exhaust - p Domestic incinerator 1,170 S72.50per hour ,590 2 Insppecec per for which no fee is specifically indicated (minimum charge-hell hour) Commercial or Industrial Incinerator 4 $72 50 per hour 656 Other unit,including wood stoves, 3 Additional plan review required by changes,additions or revicciuns to plans(mininvin Inserts,etc. charge-one-half hour)$72 50 per hour Gas plping 1-4 outlets 360 _ Each additional outlet 63 _ 'State Contractor Boiler Certification required for units>200k t. -- _ "Residential A1C requires site plan showing placement of unit. TOTAL COMMERCIAL S VALUATION: -�- - _.--j 1:ldsts\formstrriech-fees.doc 08/M01 Pluilnbing Permit Applicadon — ^��— Datereceived: Permit no.: City of Tigard Sewer permit no.: Building permit Address: 13125 SW Hall Blvd,Tigard,OR 07223 -- — -�� CiryofTigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503)598-1960 Date issued: -- By: Receipt no.: Land use approval: ^__J__- ____ Case file no.: Payment type: all W ;Job ;addre7ss: lling or accessory U Commercial/industrial U Multi-family U Tenant improvement U Addition/altercuion/rcpliiceinent U Food service J 00wr: z o Aman r61 a Ct -Description Qty.i Fee(4-1u) Total -7-- SF — Neva l-and 2-family dwellings only: -'-- Bldg.no.: Suite no.:_, �— (Intludes100It.foreachutilityconnection) Tax map/tax lot/account no.: _ SFR(1)bath _ Lot: BlWi,-. Subdivision: /I L Wood S _ SFR(2)bath --- __ Project name: SFR(3)bath _ _ _— City/cednty: "T(GA.rCL ZIP: Q?2 Z Each additional bath/kitchen Description and location of wo ,c on premises: CaSittch ba in/ Catch basin/area drain Est.date of completion/inspection: DrywcI1s/leach line/trench drain v __ -Footingdrain(no.lin.ft.) i Aan-factured home utilities _ Business name: Nil f 4h ww-3-V P/tirn;4. �t/I'q bt'AL Manholes Address: _ Z 3 3 .,— Rain drain connector _ City: _ State ZIP: 8 I Sanitary sewer(no.lin.ft.) Phone: Fax: E-mail: Stone sewer(no.lin.it.) — CCB no.: Plumb.bus._mg.no: Water service(no.lin.ft.) F ture or item: City/metro lie.no.: Abso tion valve Contractor's representative signature: _ Back flow preventer Print name: Date: Backwater valve Basins/lavatory Clothes washer Name:__KA rx ytl -S Dishwasher Address: ---- Drinking fountain(s) City; State: ZIP: ,— Ejectors/sump — — Phone:? E-mail: Expansion tank Fixlure/sewer cap Name(prnt): ^ Floor dmins/floor sinks/hub - Garbage disposal _ Mailing address: Hose bibb _ City: _ State: ZIP: Ice maker Phone: Fax: I E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) — Owner's si nature: _ Date: r mp bs/shower/shower pan _ inal Nam': ------ Watercloset /%ddress_: Water heater City: — _ .ate: ZIP_ Other: --- Phone: --_ Fax: E-mail: _ Total Minimum fee................$ MY all jurisdictions accept credit card+.pleau call iurivuction for mae inficern :on. Notice-This permit application q visa U MeaterCenf expires if a permit is not obtained Plan review(at _ 96) $ Or&card number _._ — 1---L— witbin Igo days after it has been State surcharge(891) ....$ Expires TOTAL .......................$ ---�Bente or cardhntder as shown un t card —_ accepted as complete. — _ S C d�oaltre _ Amoant_ 440 4616(MiCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dtiellings only: - FIXTURES. 'Individual QTY _lea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and Nre first106 ft. QTY (ea) AMOUNT Lavatory —! — - 16.60 '- for each utililr o onnecflon�__ Tub bath Tub or Tub/Shower Comb. — 16.60 -5-�--------- ______..__ __-f2-4920. _ Two 12 bath $350.00 Shower Only — 16.50 Three abath -_ $399.00 Water Closet --- 16.60 - -- --- ET- SUBTOTAL Urinal '- — 16.60 - 8•/.STATE SURCHARGE - Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 - -- _______ -� TOTAL Laundiy Tray — 16.60 — - Was'tinq Machine _ 16.60 Flax Diain/Floor Sink 2" 16.60 3" - 16.60 PLEASE COMPLETE: - Water Heater O conversion O like kind 16.60 _ ^- Quant ter b Work Performed - Gas piping requires a separate mechanical Futuro Type: New Moved Replaced Removed/ permit _ _ --- _ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm sewer 46.40 Lavatcry _ Hose Bibs 16.60 Tub or Tub/Shower _ __- Corr.oinadon _ Roof Drains 16.60 Shower Only Drinking Fountain - 16.80 'Water Closet_ Other Fixtures(specify) —16,60, 6 60 Urinal _ - - _- -- ---- --- — _ Dishwasher Garbage Disposal Laundry Room Tray - - -- -Washing Machine _ — Floor Drain/Sink: 2" Sewer- 1st 100' - _ 55.00 -- ---- -.___ 3" Sewer-each additional 100' 48.40 4" Water - - Water Service-1st 100' 55.00 Water Heater Water Service•each additional 200' 4640 Other Fixtures — — - - �S�eci Storm&Ralr,Drain--1st 100' 55.00 Storm&Rain Drain-each additional 100' - 46 40 _ _ `- Comm,raal Back Flow Prevention Device 46.40 - Residential Backflow Prevention Device 27 55 ---- �_. — Catch Basin -� 16.60 - Inspection of Er,:.ing Plumbing or Specially 72,50 - Reoue_stod Inspections perfir _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps — - 1660 ,- -_ --- -QUANTITY TOTAL --- -- --------- - --- Is,,metric or riser diagram Is required if ------------ _ Guanl Total is >B - 'SUBTOTAL 8%STATE SURCHARGE — �— — "PLAN REVIEW 25%OF SUBTOTAL -- -- -Reuy fired only If fixture qty totals>g TOTAL --- S-- ---- ---- —j------_-- "Minimum permit fee Is$72 50*8%slate surcharge,extort Reeidentla!earknow Prevention Device,which Is$30 25.8%$tale surcharge "All New Commercial Buildings require plans with Isometric or riser diagram and plan review 1:idsts\forms\plm-fees.dor: 1010100 Flech ical Permit Application ---- -- Dafereceived: Permit no.: ...___ City of Tigard Project/appl.no.: Expiredate: CirvofTigard Address: 13125 SW liall Blvd,Tigard,OR 97223 Date issued: gy: Receipt no.: Phone- (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: =14 1 & 2 family dwelling oraccessory U Commercial/industrial O Multi-family U Tenant improvement !l f.ew cor,stntcunll U Addition/alteration/repincement ❑Other: U Partial Job address: IO -21) /f _ BldSuite no.: Tax tnap/tax htl/accttunl lio,i Lot: Block: Subdiviaton: �r L 1,(/DOd s _ ----- --�------�-- Project name: Description and location of work on premises: Estimated date of com letion/inspe cion: - ---- --- Job no: — 1'rr Mnt Business name: )-i:L't'Y I L _ Description Qly (ca.) 'notal no.insp rye.:rnirkntlal-single or muhi-family iN•r -- Addre.is: Pp 666 "7.3 -2 dHellingunit.InchWeNattach,41garage. City: Sajii,4n I StalepJQ ZIP: '1345 Seniaincluded: Phone:3 3- Z Z 2 3 1 Fax: E-mail: IOM sq.ft.orlcs� _ 1 CCB no.: ( 12, Elec.bus.lie.no; Each additional 5W-4-1,or portion diereof Limited energy,residential 2 City/metro tic,no.: _ Limited energy,non-rosidential 2 — Each manufactured home or modular dwelling Signature of supMising electrician(required) Date Service and/or feeder 2 Sup.elect.nome(print): License no: Services or feeders-installation, Wirr alteration or relocation: 200 amps or less Name(print): N 4,W C 0.51-U t'tp(1'L:t �A L 20I amps to 400 amps 1 — — Mailing address: p 40'amps to 600 amps/SoX Z$ s 601 amps to 1000 amps -- --2 City: /C, 2State. Z1P: 7 I Over 1000 ampa or volts -- 2 Phone: a_ - 3 Fax: .C _E-mail: Reconnect only — 1 Owner installation:The install•ttion is being made on property I own Temporary venic"nr teedem- which is not intended for sale,lease,rent,or exchange according to Insialiatlin.auerauon,or relocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps -- —2 Owner's signature: Date: 401 to 600 ams 2 WIN not Brooch circuits-new,afteration, Name: or extension per pawl: A. Fee for braarh circuits with purchase of Address: _ servir,or feeder fee,each branch circuit _ 2 City: _ Stale: 7.I P: B. Fe.:for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: 10010MMi Fax: E-mail: Etch additional branch circuit: __TA M Mc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump et irrigation circle 2 U Service over 320 amps-rating of 1&2 J Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuits)or a limited energy panel, U System over6W volts nominal more residential units in one structure alteration,orextension' U Building over three stories U Feeders,4(10 amps or more •fkscrition: _ U Occupant toad over 99 persona U Manufactured structures or RV park Each additional Inspectlon over the allonable In any of the above: U EgreF%flighdngplan U Other Perinn tion Submlt _-__,.sets or piano with any of the above. Investigation fee the above are not applicable to temporary construction service, Other -- -`-- f - —` Permitee..,........ $ Na all JurisdkNnns accept credit cards,plesm call Jurisdiction tow morn information Notice:This permit application ......••• U visa U MasterCard expires if a Plan review at — % Credit card number: _ _ t permit a not obtained ( ) $ - within I g0 days atter it has been State surcharge(8%)... !� ex roe accepted as complete. TOTAL .......................$ _ --- Name of c Idrr u shown on credit ward — cardholder aigwrrre _ �i 4404615(6011COM) ELECTRICAL. PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete. Fee .Schedule Below' _TYPE OF WORK INVOLVED-RESIDENTIAL ONLY p' - Restricted Energy Fee..................... ................................ $75.00 r p Number of InspeciionsEeermit allowed (FOR AU SYSTEMS) Servico included: Items Cost Tutai Check Type of Work Involved: Residential •per unit 1000 sq ft.or less - $145 11 ^ 4 ❑ Audio and Stereo Systems' Each additional 500 sqft or portion thereof _ $33.40 t ❑ I9urgiar Alarm 1.imlt-id Energy _�� $75,00 Each Manufd Horne or Modular Dwelling Service or Feeder $00 90 ❑ Garage Door Od)ner' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' In^tatlabon,alteration,:x relocation 20V amps or less _ $80.30 ? ❑ 201 amps to 400 amps — $10685 _ 2 Vaatum Systems' 40+amps to 600 amps $160.60 2 601 amps to 1000 amp. r $240.60 2 r] Other Over 1000 amps or volts _ $454.65 2 Reconnect only _— $66.85-- 2 Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMER171AL ONLY Installation,alteration,or relocation Fee for each systoin.......................................................... $75.00 200 amps or loss $6685 2 (SEE OAR 918-260-260) 2.01 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75„�_ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The tee for branch circuits wifh purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 ^ _ _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purehase of service ❑ or fender fee. Fire Alam1 Installation First branch circuit g46 65 _ J_ ❑ Each additional branch circuit —J $6.65 HVAC Miscellaneous ❑ Instrumentation (Sarvk;e or feeder not inc•.ud&.;} Each pump or irrigation circle _ _ $53.ar Each sign or outline lighting - $53.40 _� _ ❑ Intercom and Paging Systems Signal circuits)or a limited rhergy panel,aiceration or extensio•l _ $75.00 _ ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 — Each additional ir.spection over ❑ Medical the allowable In any of the above ❑ Per Inspection — _ $62.50 _ Nurse Calls Per hour $62.50 In Plant _ $17 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protect;✓e Signaling Enter total of above fees $ I ❑ Other _- 8%State Surcharge $ — - Number of Systems 25%Plan Re✓low Fee Zee"Pler Re%dnw"section on $ No licenses are required. Licenses are required for all other installations front of r prxatlor. ----_----- Fees: Twat Balance Due $ Enter total of above foss $ — El Trust Ac.-,,,nt q MState Surcharge $- -Total Balance Due $. --- `.hSichmis�rli-ti-c�stn no l��iii �c��'�ew;J�s�as m•�,Aad�bal�ti? .:rw:,d.:�«wai 7mm SLE ROL #20 FOR 0 TERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RE Cir r'�,Q IMPORTANT PERMIT NOTICE AUJ uUnt- NORTHWEST PREMIER PLUMBING CONA10ifr P.O. BOX 23338 '01mopw(v" TIGARD, OR 97281 Plumbing Signature Farm Permit #: MST2001-00450 Date Issued: 8127/01 Parcel: 2S111 BB-BW005 Site Address: 10420 SW AMANDA CT Subdivision: BRIE WOODS Block: Lot: 005 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached residence. Path 1 Your company has been indicated as the plumbing contractor for ie permit indicated above. In order for the Plumbing permit to be valid, please hay . ,t�- appropriate individual from your company sign below and return this Plumbing Signature Form prior to the s'.art of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed fo.- n is received OWNER: PLUMBING CONTRACTOR NEWCASTLE HOMES, INC. NORTHWEST PREMIER PLUMBING P.O. BOX 230459 P.O. BOX 23338 TIGARD, OR 97281 TIGARD, OR 97281 Phone #: 503-689-7543 Phone #: 503-624-0582 Reg #: I Ir. 135022 PI M 34-348PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber if ycu have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD, TIGARD, OR 97223 IMPORTANT PERMIT NOTICE INTERSTATE ELECTRIC INC PO BOX 7342 SALEM, OR 97303-0068 Electrical Signature firm Permit #: MST2001-00450 Date issued: 8/27/01 Parcel: 25111 BB-BWO05 Site Address: 10420 SW AMANDA CT Subdivision: BRIE WOODS Block: Lot: 005 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached residence. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign be!ow and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAI. CONTRACTOR: NEWCASTLE HOMES, 'NC. INTERSTATE ELE('TRIC INC P.O. BOX 230459 PO BOX 7342 TIGARD, OR 97201 SALEM, OR 97303-0068 ['hone #: 503-689-7543 Phone #: MBI_ 392-2223 Req #: 1_Ic 117121 SUP 14795 ELE 24-3540 AN INK SIGNATURE IS REQUIRED QN THIS FORM fZ ;7 /ignnature of Supervising Electrician 'f you have any question,, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 57223 IMPORTANT PERMIT NOTICE NORTHSIDE ELECTRIC PO BOX 12323 SALEM, OR 97309 Electrical Signature Form Permit #: MST2001-00450 Date Issued: 8127/01 Parcel: 25111 BB-BW005 Site Address: 10420 SW AMANDA CT Subdivision: BRIE WOODS Block: Lot: 005 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached residence. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. PIE�ase have the appropriate individual from your company sign below and return this Electrical Signature Farm prior to the -tart of the work to the address above, A.TTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER. ELECTRICAL CONTRACTOR: NEWCASTLE HOMES, INC;. NORTHSIDE ELFCTRIG P.O. BOX 230459 PO BOX 12323 TIGARD, OR 97281 SALEM, OR 97309 Phone #: 503-689-7543 Phone #: 503-585-4879 Req #: suP 222:S LIC 80593 E L c: 24.1.1(:; AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 i i CITY OF TIOARD Residential Certificate of Occupancy Permit No.: Address: i nwnei/Contractor: Date of Final inspection: 2 'Z Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling keciat Code and is hereby approved I-or occupancy. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business .Ine: (503)639-4171 MST Bijp Deceived .— _--Date Requested-_ AM— PM -_—. BUP - , �S --- uitteMEC Contact Person ..--- -- _— ,l.�ti _ Ph(----) -7 'Cp��/ _Wq211 PLM nfr3 - ----- ---------- Ph( ) --- — SWR Tenant/Owner _-.-_--- --_ _ - _ ELC _ --_-,-- Foundation Access: ELC -_-_— Fog Drain Crawl Drain ELF! -- Slab I Inspection Notes: ;,- SIT _ Post&Beam ------_ -- -i��G�� S�f oc:Iz �Z t•- iL Iflcil - Shear Anchors rQ ' ��cr> — ---v-- `4N�, Ext SheathiShear la Int Sheath/Shear - -- Framing ---- - -- --- - __ Insulation -- -- Drywall Nailing ----- -- - -- ---- - - ----- -- -- Firewall - -- Fire Sprinkler ---- ------ --- _-- _ _ _ Fire Alarm Susp'o Ceiling ----- - -- --_ -- -- — Roof Other: ---- /2 61-5 — _ ART FAIL_ --4A.1149-1�� — 7 G �2 - /VU/ — Post&Beam -- -- — Under Slab _ Rough-In - Water Service -- _ Sanitary Sewer Rain Drains Catch Basin;'Manhole Storm Drain Shower Pan Other: -- f7n _ _ FAIL --- —AR"ANIC Rough-In Gas Line — —Smoke Dampers Dampers Fin IZIS PAR' FAIL Rough-In — UG/Slab ---- !-Ow Voltage Eir W PA_gT FAIL Reinspectlon fee of$__-.- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ — r] Please call for reinspection RE _ _ Unable to inspect-no access Fire Supply Line `y►� ADA (' / Approach/Sidewalk Dab_-7// - 7!f� Irsp�ct�� - Ext -- tither _ Final n0 NOT REMOVE this Inspection record from the job site. PASS PAR r FAtL