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J, .,P,-d ::bay*m6J.AL A INTERIOR LIVING, AREA EXISTING DOOR T,) BE 100 I/2 _ and Construction Services Inc. ---_\ _ � GENERAL NOTES REMOVED. INFILL DOOR AND MATCH EXT. SIDING REf iOVE EXISTING WOODEN - RAISE EXISTING WATER NEATER � 9025 S.W. Center Street P.C. Boz 23784 AND DRYWALL INT. SIDE STAIRWAY /� 18" ABOVE NEW FLOOR Tigard, Oregon 97223 I Phone: (503) 620-2086 I. LOCATION: 11345 SW AMBIANC: PLACE e fi F0 (�03) 684-3636 TIGARD, OREGON 9"1223 EXISTING DOOR TO 2. SCOPE OF WORM. THE EXIBTING DR'VEWAY HAS A SLOPE OF ABOUT, .30 PERCENT FROM THE STREET I � REMAIN AS 15 DOWN TO THE GARAGE AND STAIRWAY ENTRY INTO THE FiOME, THE G4RAGE CURRENT, Y HAS AN II FT. REMOVEI VE EXISTING CEILING. THERE WILL BE A NEW ; FLOOR IN THE GARAGE THAT IS 3 FT. HIGHER THAT HR.E EXISTING CONC. FLOOI _��, ���REMO t LANDING.-- THE E>'ISTING CONCRETE FLOOR WILL REMAIN AND NEW FOOTINGS WILL BE PLACED DIRECTED ON TOP, PROVIDE NEW STAIRS THE FRONT CONCRETE WALL OF THE EXISTING GARAGE WILL BE REMOVED AND A NEW RETAINING WALL WILL BE INSTALLED. PROVIDE 5 - �" X 12" _ - FOUNDATION VENTS IN THE EXISTING DRIVEWAY WILL BE REMOVED EXCEr T Fc7R A 5M,4LL PORTION AT THE TOP. RETAINING WALLS EXTERIOR WALL DIRECTLY WILL BE 4r-DED ON BOTH SIDES OF THE DRIVEWAY. THE DR'`.' WAS WILL THAN BE FILED AND COMPACTED W'TH BELOW RIM LY T.A SPACE EVENLY ALONG 3/4" MINUS HOCK ANC A NEW GONG. SLAB INSTALLED END OF BUILDING. _ --EXPANSION IOINT LOCATED 3. DESIGN CRITERIA: k— OVER 5t.PFC RT WALLS BELOW��1 DEAD LOAD ON GARAGE FLOOR ■ 60 LF38/S.F. LIVE LOADS ON GARHGE FLOOR (TWO CONDI;ION5 CONSIDERED SEPARATELY): \_EXP NSION JOINT LOCATED A. 100 L55116-F. LIVE' LOAD OR EXISTINGDOORS TO BES-- AT LATER OF GARAGE B. TIUC AUTOMOBILES LOCATED FT. OC. WITH WHEEL LOADS OF 2000 LBB. EACH. REMOVED d RAISED 3't 1 `"� 61—)TE; THE CALCS. SHOW A 1000 L.B. POINT LOAD. THE DESIGN A55UMPTION 15 THAT 1/2 OF THE WHEEL AND RE INSTALLED. J ►; LOAD WILL GO DIRECTLY INTO TI,E JOIST BELOW AND THE REMAINING 50% WILL GO TO THE EXISTING WINDOW -_-_-_---__ --____----__�-_-__ ----- --- --------`-� - PROVIDE 4 - 6" x 12" , OTHE^ ADJACENT JOIgT.) TO BE REMOVED 4 r 16'x7 GAR"GE DOOR 1 i 8' 1' GARAGE DOOR i DESIGN SOIL PRESSURE FOR RETAINING WALLS RAISED 80 THAT SILL ,� i I FOUNDATION VENTS IN v 1500 P5F i C EXTERIOR WALL DIRECTLY MAXIMUM SOIL PRESSURE UTILIZED IN DESIGN ■ 1170 PSF 15 24" ABOVE NEW FLOOR I i i BELOW RIM JOIST. LATERAL PRESSURE USEC IN DES GN OF RETAINING, WALLS : 35 P5F I I I ' — i � SPADE EVENLY ALONG ADDITIONAL LOADING WAS APPLIED TO RETAINING WALLS rF 250 P51= FOR AUTOMOBILE TRAFFIC i i i i ` END OF BUILDING. i SOIL HEARING CjN EXISTING GARAGE FILL (WITI-, TWO CARS SIDE BY 51DE) ■ 1166 PSF B. 4. SHEAR WALLS: B ALL BEARING WALLS Al'-1450 ACT AS SHEAR WALLS. NO NEW HORIZ. LOADS ARE TO BE PLACED INTO EXISTING STRUCTURE. r PROVIDE A "V" NOTCH IN THE CURB AT THE LOW POINT TO PROVIDE WATER RUNOFF IN - - —� —� THE EVENT THAT THE DRAIN PLUGS. 2 -5" 32'-2" -- -- — F;EV!SIONS: EXISTING DRAIN TO BE RAISED TO NEW GRADE. SLOPE NEW CONCRETE REBUILD STAIRS INTO MAIN ENTRANCE 0 DRAIN. AT THIS LOCATION TO MATCH NEW GRADE Cr- NEW DRIVEWAY. PROVIDE 36" WIDE STAIR / 8" MAX R15E 4 9" MIN. TREAD. NE�iI RE fAININGr WALL - STEP FOOTING _ - — AF REQUIRRED A5 GRADE CHANGES BOTH 51DE5 OF DRIVEWAY. EXTEND RETAINING WALL TO A POINT / WHERE THE FINISH GRADE OF THE ° DRi VEWAY 15 APPROX. I FT. ABOVE THE ADJAC�'NT GRADE. P E �? 6' ( PROJECT: --- A 41 E XISTING E L EV. 16 FT, AND 8 FT, DOOR5 TO BE _ 0 AT FRONT RAISED 3 FT. AND REUSED. ew 119 RAISED OF GARAGE '/� ■ �° GARAGE SLAB P � � � EXISTING COLD JOINT IN DRIVEWAY TIGARD, OREGON ,.41�0 ° �P CLIENT: 4' JACK AND NEW GOLD JOINT KATIE SCHWAB EXISTING COLD JOINT IN DRIVEWAY Date: 12/15/99 Scale: 1/4"=1'--0" 1he CAty oI I rj ,. ti FIs r�rrplaye�] s11;311 not r;'- Drawn by: DJL f 11 Checked by: JRN Job No.: 991122 \ �`----- CHIS PORTION OFFLOOR TO DE Drawing No.: P--PLAN RAISED 3 Ft. \ V - APPROVED FOR CONSTRUCTION \ I CI1Y CW TIGARD PERMIT NO -4,^-000 073 . ADDRESL A NEW ELEVATION AT FRONT ',,,7J OF GARAGE A PLAN VIEW_ OF DRIVEWAY 1/4" EXISTING GARAGE SHEET I NOTICE: IF THE PRINT OR TYPE ON ANY -I I I I III I I— II-II I III I-III II �- I --I - -I- l I---I -11 IMAGE IS NOT AS CLEAR AS THIS NOTICE, ITIS DUE TO THE QUALITY OF THE No JB �- ORIGINAL DOCUMENT E 6Z 8Z LZ 9Z �1Z >bZ EZ Z [ Z OZ 6I tai Li 9i 91[ m Zi it i 8 R L P 9 iLllzl" FI�,19111 )"�Ilcll l << i i II!I 1 1 �u I llllllll��llll 4 S and Construction Ser,,ices Inc. 9025 S W. Center Street t P.O. Box 23784 Tigard, Oregon 97223 EX15TING DOOR TO 5E REMOVED LATERAL SUPPORT WALL 4 FTC3. =OR AN FILLED IN. MATCH SIDING ON EXT. cn� 5E15MIG FORGES. TWO ARE RECD RED. ,� Phone: (503) 620-2086 D LLE EXISTINCx DOOR INTO NA�LWAY PROVIDE 5ECOND ONE AT OPF�5ITE END AND SNEETROCK INT. FACE. � FAX: (503) 684-3636 5'-3 1/2" OF GARAGE PARALLEL TO REAF WALL. TO REMAIN. PROVIDE NEW STEPS - _ _ REMOVE EXT. 5TAIRWA'" TO DOOR. , ON ('-'zARAGE SIDE. TWO ( " RISERS W/ 12" RUNS ARE REQUIRED. ----------r---------i----------- NEW 4" GONG. FLOOR W/ ' 1*4 -m 24" O.G. EA. WAY - --}--- �----- ---- ----------L---- _--_-- �. ..7 )N %x;}121100 --------- ------ - i ---------------------- 44� W/.TERPROOF MEM5RANE USE 30" FELT MIN. W/ 2" LAP _ i AT EDGE5. EXTEND UP WALL (oil ---------------------- 12" TYP. EA. END - - - - - - REVISIONS: EX15TING CONC. FLOOR ,I 5/8" rDX PLYWOOD 5U5FLOOR I I (USE 1/2" GDX IF JOIST 5P4GINGs — -- - 3 15 12 O.C.J. 5TAGGER JOINTS 4' TRY TO MAINTAIN 2' MIN. PLY. DIM. WHENEVER POSSIBLE I i I , 11.515" TJI PRO-550 JOIST 1(0O.C.- ALTERNATE JOINT U5E r 1 11.85" TJI PRO-350 J015T 1211 O.C. NAIL PLYWOOD W/ 8D I _ (o" O.G. NAILS � AT EDGE� < � I PROJECi:-- - �- - 12" OC. FIELD. PROVIDE SOLID 5LOCKING AT ALL SUPPORTS 4 _ NAIL W/ SD NAILS AT (o" O.G. - RAISED - GARAGE SLAB TIGARD, OREGON i CLIENT: JACK AND KATIE SCHWAB � 3 / Date: 12/15/99 Scale: 1 /2"=1'-O" Drawn by: DJL / Checked by: JRN Job No.: 991122 REMOVE EXI5TING CONCRETE DRIVEWA'?'. _ �v Drawing No.: P-FOOTING PLACE NEW 3/4" MINUS FILL, COMPACT TO 95io DENSITY, PLACE NEW 4" CONCRETE i SLAB W/ 04 BARS -w 24" O.C. EA. WAY. / PROVIDE EXPANSION JOINT fD 15' (MAX) EA. WAY. 0 \y A NEW FOOTING AND FLOOR - FRAMING PLAN � 1/211 , 11-011 SHEET -� - a• 2 NOTICE: IF TIME PRINT OR TYPE ON ANY IT�I III III I I I I t I I I III III III III 1 1 1 III11131111 III III III I!I I I I I I I I III III I I I I I I I 111 1 1 1 III III I (1 III I I I i I I III III I I I I I I I III III I III III 1 1 1 1 1 1 1 III III 1 1 1 1 1 1�1 I I I I III III I I /-> > , '}/��� IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1--�_I—I it -I-I--I 2I- I-- I 13� I 14L I-- I- 151 I I 6L I __ I L- L_ .._I__-I g I-- I -I l I I lO� -I lel_ I_I_� / 11" :TIS DUE TO THE QUALITY OF THE __ __ __ — - -- - -- ---- --- - - - - -- --- - - - - - 19H LL N,>:�s ®<' == - -- -�� ORIGINAL DOCUMENT E 8Z 18Z GZ 8Z 2. 'bti SZ �Z iZ O�Z e[ 8I L�T 9t 9I 6t Et tit iT� T i8 g GG�9 l�eII11111"11111111111111111111111111111 IIIIIII!I IIIIIIIII IIII IIIIIIIIIIIIIIIII II LII�!lll IIiIIIIiIIIiIIIIIIII-Il11W1111111Ill11I1l�1ll111111111�111L111111IN11, � ii �IIII�lIII11111 II III �� I IIII I I�II�III�IIIIIIIII�II o�► I�IIIIIIIIII II IIII NAI i / NAIL. BOT. CHORD OF TJ! r NAIL�BOT. CHORD OF TJI BLG,:KING Vr INK yr TOS" x6" W/ 2 ROWS - 16dNAiLS + 6" O.C. i TO 4 X 10 W/ 2 ROWS - 1©d N„>ILS +� 12” O.C. L 5/3" t'LYUJOC.D TO TJI JOIST ONE ROW EA. SIDE OF WEB. NAIL 5/8 PLYWOOD TO eI.00KING ONE ROW EA. SIDE OF WEB. ' and Construction Services Inc. W/ 2 ROWS - dD NAILS + 6" O.G. \ W/ BD NAILS + �." O.G. ---NEW 4" SLAB ----NEW 4" SLA5 _ \ / � --WATERPROOF • _ � 9025 S.W. Cenier Street � P.O. Ba>s 23784 04 + 24" O.C. E.W. -� ~`�' —WATERPROOF PRO 4 0 24 O.C. E.W. - ' •M' I - UJATERPROOF Tigard, Ore 97223 EXTEND WATERPROOF BARRIER ° ° , MEMBRANE VERTICAL UP EDGE OF CONC, - - --5/g" CDX P�YWD - NAIL W/ ° 5/ 5/8" COX PLYWD - NAIL W/ Phone: (50-�j 620-2086 4 BEHIND GYP. BC �\ y 6d + 6" EDGE 4 12" FIELD 8d m 6" EDGE 4 12" FIELp PROVIDE 20 GA. GALV. gHEETMETAL TJI BLOCKING - TYP. -� ' '-`-- FAX: 50j) 684-3636 CLOSURE STRIP. �� 11.815" TJI/PRO-55o 11.85" TJI/PRO-550 ( _ \ JOIST + 16" O.C, OMIT . OGKING + JOIST o 16" O.G. \ - EY.ISTINCs 2>C STUD FRAMING 8' O.G. 5/8" GDX PLYWD - NAIL W/ � IT 4" x 10" CONT, - CUT 8d � b" O.C. TO RIM JOIST _ __ AS REQ'D TO MATCH REPAIR GYP, r 4"x b" `may SLOPE OF FLOOR 4" GONG. FLOOR �_ BD. O ORIGINAL __=� a \ - CONDITION WHERE REMOVAL 19 REQ'D. ' 1/2" TREATED ,� --�-_ -2" x fes" TREATED fE - GGNT. 1/2" x 4" TREATED -�—J PLYWD. W/ 8d /-�� — -2)(4 TREATED IQ - CONT. .8 JI/PRO-550 PLYWD. W/ 8d JOIST 16" O.G. INSTALL NEW 2X FIRE BLOCKING - GALV. NAILS. NAIL 4" O.G. GALV. NAILS. NAIL S" O.C. 04 l JOISTS RUNNING PARALLEL MAY BE LOCATED AT ANY HEIGHT INTO 2x _ - 2 - 04 CCNT. - SPACE S" O.G. INTO 4x 1 2x - 2 - •4 CONT. - SPACE 9" O.G. TO RIM JOIST NOT 5NCll1N _ ----'"-- -+�.� . � : FOR CLARI'T'Y ) �� ADJACENT TO CONC. OR 1,'15' x 9.`i5" RIM JOIST _ :. r.' i •4 BAR x 6" LONG 3ET INTO + w, 1/20 A + ~:• :• PRE-DRILLED HOLES IN . • . -� BAR x 6 LONG SET INTO EXISTING EXT. PLYIUOOD W/ NCHOR I/2o ANCHOR +� Ii PRE-DRILLED HOLES IN d • EXISTING BLAB + 12" O.C. -- EXISTING SLAB * 24" O.G. 12" O.C. W/ •. ;� °� '• DRILL 2" INTO EXISTING SLAB 4'-m" O.C. W/ ;, r- �� "41, •° DRILL 2" INTO EXISTING SLAB 1.15" x 925" ISE MIGROLLAM LVL i SIDING TO REMAIN (EXCEPT 1" EMBEDMENT •� �" EMBEDMENT , . ;>;•;;,,;; �y`» ATTACH TO STUDS W/ 3 - 16d �' ,4T FRONT OF GARAGE ) w., 9,11 •�' •ii' tip.�.�'.r Com) EXISTING 4" SLAB EXISTING 4" SLAB .•..... , EXISTING '3YP. BD. TO REMAIN - SW - - EX�?1�iES�12-'31-X00 le" 1 PLYWOOD CONNECTION TO EXT. WALLSLATERAL SUPPORT WALL. FOR L3 JOPORT DTL FOR NEW SEISMIC FORCES . ,' - GARAGE SLAB REVISIONS: 1 1 REMOVE BOTTOM OF EXISTING GARAGE WALLI R 1/20 ANCHOR BOLT + 12" O.C. S"{ ADJACENT TO GARAGE DOOR OPENINGS W/ 1" EMBEDMENT « AND RECONNECT TO TOP OF NEW CONC. WALL \ " GONG. DRIVEWAY SLAB W/ El /4" RADIUS CORNERS I/2" MIN. j/ NEW 2" X PRE55URE TREATED fQ 4 REBAR + 24 O.C.E.W. \ / W/ 1" EMBEDMENT NEW C'�)NC. GARAGE FLOCR ap ° NEW 4' CONCRETE DRIVEWAY --� i SUPPORT FRAI`iING NOT SHOWN 4 @ 16' O.C. #4 @ 12" O.C. NEW 4" CONCRETE DRIVEWA i' _ FOR CLARITY 4 �= III _ , • I = �,� -1�I-IlI-BI ° ;. III-- i� ITl- -III • PROJECT: • 1L1�III�Lil�Li1�111 :, ° . • , . . ' , • — �.�� •, • . : , . ..� , • •. __------ - ——- ----------- — • •. MIM 111 ll�-1I�1— _ i _— — — 3/4' MINUS COMPACT — —w-ISI—_III— :. • TO 95% ILIII—IITIII�III-II�1Tf s 8„ RAIStD TI-III-ITIS( Ili >T1 III 1_7 III IlI � 'j rrr_r 4„ -----# 4 BARS @ 16" O.C. GARAGE SLAB II ll1 II 111 111 SO ,_ 1'IGARD OREGON -_ _�1�_T.1-�1 +' E G �_TTT�11ifSi i__i i 4 BARS @ 16 O.C. 0 � � �—�— _ II EXTEND VERT. STEEL ABOVE TOP Ir � # . 3/4 MINUS - COMPACT --- _�1�=ll1 I d g WEEP HOLE 2" DIA. @ 4' O.C. � � -`-1T1� P •' �- �. � TO 95% O IIIli 1 _ 1 -3 - - 3/4 MINUS - COMPACT OF WALL AND RETURN AS SHOWN _ _ ROMERTO 95% # 4 BARS 2'-8" LONG -- - ll1T1111 — • PLACE NEW FOOTING AGAINST 111 _ „ �=II—�— - � CLIENT: I�1T-111—_1T1_;I , • - — - - - @ 16 O.C. /- EXISTING CONC. FLOOR. �I--IIII�i=II1 lit . 1-11-III�I Ill- -11I- - , -II - r EXISTING GARAGE CONC. FLOOR - -- — - JACK AND NOTE: 42 TY" _ KATIE — ) FOR INFORMATION NOT SHOWN PERTAINING ---� ,� 4 ::•' 1T1 — TO LOWER PORTION OF WALL SEE DE AIL 6 �► •• ,. 4 ., SCHWAB # x1 11 ® 16 O.C. 5 4RETAINING WALL AT FRONT OF GARAGE # 4 BARS AS SHOWN , Date: 12/15/99 • #4 BARS - CONT. �I �P' _ Scale: 1"=1'-0" DW- - RIN2 OPEN --- Drawn by: DJL Checked by: JRN Job No.: 991122 Drawing No.: P-DITL NOTES: 1.) ALL REINFORCING STEEL TO BE GRADE 40 - 40,000 psi RET (�l 2.) CONCRETE COMPRESSIVE STRENGTH = 2,000 psi RETAINING ti.. ..,NG WALL SIDES OF 3.) PROVIDE SIMPSON LSTHD8 HOLDOWNS 6 WALL AT FRONT OF GARAGE AT EACH SIDE OF GARAGE DOOR OPENINGS 1 'I `e,�� & Al OUTSIDE CORNERS OF GARAGE WALL ADJACENT TO DOOR OPENIN^-c' DRN. . EWAY ( 6 TOTAL REQ D ) SHEET 3 -I�eSFcarH�i�ii6a�rAMV»x�a^�emar.+�.�.,•yr+.�n�.,A,y�.i.:;..,,�.��Y• 9�W' , , : a - »:y...r; NOTICE: IF THE PRINT OR TYPE ON ANY1 TI1(IIfIIl1I'1 IIII111IIIII!II 11!III!II�!I11f !11I111I11111/(�1 !11I1�1IIII � II! IIII!II+IIIIIII IIIIIII,illl�l I IIIII� I 111f1�1 III+TJI-f1111I (f 11111 111 IMAGE IS NOT AS CLEAR AS THIS NOTICE, I � 3 I rj I � i � I I I I I ITIS DUE TO THE QUALITY OF THE No.98 11I ���I �►�I ��,Il_�l�l_llll�ll►11I1111► ►Ie►I�Zfllll►►�I �1�1�1►II1y11111►1Z►JIZ,1►III►►� ZI11_1I111T1Z11�► 1111 I----� 1_ 11 � f - -- � ---l 11 1 � 1 � � 1 9ORIGINAL DOCUMENT Q [ 1ll Jul, 1EI1� _Il„[�t� �� 1 lllllllI11 I All ► V 11345 SW Ambiance Place ......: p Yi ..._-_— aW-.........,-....-..........,.._. r Wlswn,'r..r...w .......rM..r.�..�...w�-.Lr:r. .. ...rre..r...... .... CITYOF TIGARDBUILDING PERMIT DEVELOPMENT SERVICES DATEEIS UIED: 7/28/00 0 0025 13125 SW Hall Blvd..Tigard, OR 97223 (503) 6394171 PARCEL: 2S103DE3-06300 SITE ADDRESS: 11345 SW AMBIANCE PL SUBDIVISION: GENESIS NO. 2 ZONING: R-4.5 BLOCK: LOT: 023 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCT-1014 _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE. SF SECOND: sf _ PROJECT OPENINGS? 'iYYPE OF CONST: 5N sf N: S: — E: W: OCCUPANCY GRP: U1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: By M T? MEZZ?: REQD SETBACKS REQUIRED CLC . LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: REURMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Alteration to residential garage - raise slab Owner: Contractor: SCHWAB, JOHN E + JACK SCHWAB BRINK-SCHWAB, K R 11345 W AMBIANCE PL 11345 SW AMBIANCE TIGARD. OR 97223 TIkARD oneOR 97223 Phone: Reg#: FEES REQU:RED INSPECTIONS Type By Date Amount Receipt Footing insp PLCK GWL 6/2700—� $140.73 003196 Post/Beam Ir sp Framing Insp PRMT DLH 7/28/00 $216.50 0004051 Final Inspection 5PCT DLH 7/28/00 $17.32 0004051 Total $374.55 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNG oy calling (503) 246-1987. PermKee _ Signature: Issued By: -- --- — Call 639.4175 by 7 p.m. for an Inspection the next business day CITY OF-TitiARD Residential Building Permit Application Plan Check# 13125 SW HALL BLVD. Additions or Alterations Recd By �P Date Recd & TIGARD, OR 97223 Single Family Detached or Attached (Duple,) Date to P.E 6-21-00 V 503-639 4171 Date to DST_ F 503-684-7297 /1 r Permit#' ' 0 AZ53 Print or Type //� Called_1f, o Incomplete or illegible applications will not be acceptedrek0 Name of Project Name Job Address Site Address -L'- �----�-- Architect Mailing Address St'y_ City/State zip Phone Name ��,..rr�� [['�� ,,��,,��,��.L �Lr!`�___�c�nr'1L1'� _- --. - - — Name Owner Mailing Address 1 _ -r- I �?_ �1✓V P/ (�C_. L. Mailing,A dress n EIVITS� �7 1 Cit /'Sttate qZi� Phone,L Engineer �() 5 l� 1x191?Z3 �`fCit t e Zip Phone General Name I ( � 62'0-10 Contractor V ell* describe work New O Addition O—AI-t{eration Repar O Mailing Address to be done: A ` Prior to permit e11�1111,4 E Additional Description of Work: issuance,a copy City/State 71p Phoneof all licenses _ are required if Oregon Const Cont.Board Exp Cate PROJECT expired in COT Lic.# 7 VAL_U_ATION e'- database --L-- Mechanical Name - �- - NEW CONSTRUCTION ONLY: Sub- Sq. Ft. House: —� Sq. Ft. Garage Contractor Mailing Address - - Indicate the restricted energy Installation by the electrical Prior to permit issuance,a copy City/State Zip Phone subcontractor in the followin areas of all licenses Restricted Audio/Stereo are required if Oregon Const Cont. Beard Exp.Date Energy System Alarms expired in COT Lic# Installations Vacuum Irrigation database _ _ Stem System Plumbing Name (check all that Other: Sub- apply) _ -- -- ---- -- Corner Lot YES NO Flag Lot YES NO Contractor Mailing Addreas _ (Check one) (check one) Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zip Phone issuance,a copy -- --of all licenses are Oregon,Const.Cont.Board Exp.Date required if Lic.# expired in COT I hearby acknowledge that I have read this application,that the database Plumbing Lic # — Exp.Date information given is correct,that 1 am the owner or authorized agent of the owner ind that plans submitted are in compliance with Ore o State laws. — Name _ Sig r of O er/Agent Date Electrical — - Sub_ C t ct±pxwon Nam Phone# Contractor 0. A J7 L k r� r -- --- ---- - - --- City/StaIP Zip Phone Prior to permit issuance,a copyFOR OFFICE USE ONLY: _ of all licenses aye Oregon Const.Cont Board — Exp.Date Plat#: rMaprfL#: required if Lic# I S 0 3 P.6.V b3 expired in COT - database Electrical Lic # Exp.Date Setbacks: Zone: r? S Solar: Flrctrical Supervisor Lic # Exp Date Engineering Approval: Planning Approve[ TIF: a��PLS i.Wststforms\sfaddalt doc 11120/9£ ©.1 3 SEE 35MM ROLL #,, 20 FOR OVERSIZED DOCUMENT seem"law 1