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InitiallyGood r\ C L 1 00000' /- lop �v ' ; BOE ti L S r- 87 47�38" r 1 .39.00' ,� , 1 1 15.00' , /' 22.00' LLI l 5.00 N S j /5; P 5.137 17.33 i ! 17 Vj Q -.--. _ �J .J 1 (Ave L --)pad f I I pad - L _ s � Li i 1 I 20.0' 1.50' I `1 a' ' 8 L----- X6100•65. N r ��J .50 I $ I 9.00 I N V) I J` • 1 I � • 41.0011 20.00 t 3 zo, L S 8 7'47 38 E -� l y—�-- 139.00 . )qO EL � --HOUSE FLOPPED, HUL SE PER ®ERNICE, � 5-1 -96, TGB. r I �,G�q°► S �J Aevle, Dr. SCALE DRAWING LOT 40, EAGLE POINTE S.W. 1Z4 .SEC.3,T.2S. R.1 W. W.M. --AN EIGHT FOOT PUBLIC UTILITY EASEMENT -- SHALL EXIST ALONG ALL STREET FRONTAGES. CITY OF TIGARD WASHINGTON COUNTY, OREGON _ MARCH 29j 1996 Centerline Concepts Inc . DR WNN BY: TGB CHECKED BY: WGDIII 640 82nd Drive Gladstone, Oregon 97027 ._ SCALE 1 "=20' ACCOUNT 115 503 650-0188 fax 503 650-0139 WL _ NWWO _.. I NOTICE: IF THE PRINT OR TYPE ON ANY T' I VIII I III I I IIl l l l � r i i i � i -I �— I r r( r 1_ _� , � �.r c i iIi I r � � i -r i i i r i i i t + r iii i I r i I I I t l � I I ! i1i tli ilililil , IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 3 4 5[_ IT IS DUE TO THE QUALITY OF THE - -- - __._._ �---_—_-._- -----------__ I No.36 ORIGINAL DOCUMENT ---r---- -- --- - - -- --- - -- - -- -- -- __ - ----- - ---- -- r, _ _ _ ,- 8 6Z 8Z LZ 9Z 5Z � Z EZ Z TZ OZ 6T 8T l,, l 9T 5T � T ET ZT TT 01 6 8 L 9 9 '6 E Z TOUR]" II!Illlllllll�lllllllllllllll{IIllillllllllllllllllll.11111111111111. 11111111. IIIlllllllllllllliiliillllilllllllll.illlilllllllillllllllllllllll�lll!Illlllllillllll � LllllllllllllllllllL! Illl � � ' i� ' � �P '11 �. a ' m � X U WMMF- / ~~ 1.3649 SW AERIE DRIVE ~~�^ � -------- ----- CITY OF TIGARD Commercial Building Permit Application "ec'd By-(--4-" 7 �� 13125 SW HALL BLVD. New Construction and Additions mate Rec _�- --- ( Date to P.E. TIGARD, OR 97223 / P -79 '� Date to DST.i1 / ' -1 (503) 639-4171 �c Permit rr r P r Print or TypeI__ RelatEd SWR e IncompIpte e* 'Iftg,bje aPplicdtionS wiii not be accepted Name of Development/Project -� Job _ Existing Building ❑ New Building ❑ Address Street Address Suite s�,' C��A/�(c__ Building Bldg t City/State Zip Data 6,;,,P 01 �3)s.i_"> Existing Use of Building or Property: Name Propetty C, Owner Mall+ g Address Suite Proposed Use of Building or Property: I •I 131. 5 Sw i-/'�l/ 61,4 1 r ' ') 1- , '- City/State Zip — Phone ie -- � No. Of Stories: (oAd 41 ;17,12,3 Occupant Name Sq. Ft. Of Project: -- Name Occupancy Class(es) Contractor �M ) Prior to permit Mailing Address Suite Type(s)of Construction issuance,a copy of all licenses /SS/s SL_2 7'/ A✓ are.required If Citylslate Zip Phone — Will this project have a Fire Suppression System? expired in C.O 1Y_es ❑ No ❑ datahase 1, td C! `'>7,t�`` 63y- 3,1'7 Americans with Disabilities Act(ADA) — Oregon Const.Cont.Board Lic.* Exp.Date - Valuation X 25% = $ Participation _ 5 ,33 ,!S . - lc%G/ Complete Accessibility Form Name Project $ Architect Valuation Mailing Address Plans Required: See Matrix for number of sets tc submit City/state Zip Phona - on back Engineer Name I hereby acknowledge that I have read this spolication,that the information given is Corr(,ct,that I err,the owner or authorL7.ed agent of the owi I,and Halling Andress rte" Suite that plans submitted arc in compliance with Oregon Slate Laws Signature of Ownrr/Agent Date City/State T Zip Phone -d Contact Person Name T Phone Indicate type of work. New O Addition O Demolition O Accessory Structurc O Fouodalion Only O Alteration O _ Repair O Other o --_ FOR OFFICE USE ONLY Description of work: Map/TL# Land Use: /r Notes'. Parks: Estimated x of Employees -- TIF: If the abo,.e figure Is not supplied at the time of application,the city will ca',ulate the fee based upon the number of parking spaces. --_ - - — Note: Site Work Permit Application must precede or accompany Building ,Permit Application I\COMNEW DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREME14T MATRIX Plan Review is dependent upon submittal of BOTH pians AND a COMPLETED application. For an electrical submittal; the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval; Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total# of TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) i S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) t 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & til & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F-& M & P & E 3 Alt = A!ternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) ____..�....,. �3 *B & M & P & E(Alt) 3 *B & M & P & E & F(Alt) 3 A 0 1 EIS. 'Shaded areas designate ALT submittals only. \dsts\maxtux 1 doc 07106/99 FIRE MARSHAL'S OFFICE c Application and Permit 4755 SW Griffith Drive • PO Box 4755 • Beaverton,OR 97076 • 503-526-2.469 Location: PERMIT: fame: C 7' L C'� /,C��/ —_ El Carnivals & fairs, $70 H Address: ' / 0,4 I /< O Explosives (use and handling), $50 Phone: 4-1/ 7! ❑ Flammable gases (LPG Tank,see below), $30 City/County: 41;J Q/2, ❑ Tank (flammable or combustible liquids) installation, $50 (additional tanks$5.00) 4,4 Permit Location: ❑ Tank repair or replacement of piping, $39 ❑ Pyrotechnical special effects material, $39 Business Owner: ❑ Tents or temporary membrane structures ,r (in excess of 200 suuare feet), $39 H Address: / '! O Canopies (in excess of 400 square feet), $39 H City/county;T:.�' / I 1 _ ❑ Haunted house, $15 Signature' �_ 1 j� �_-- LlTank Removal (NO FEE) Describe:2."l - s rsr A/ V, .EN'tC ,4TCir4 Contractor/Installer: (When applicable) /I name: i ;f ')) Gv; 1 :.��Jl t l iNIJ d rt t ^rf� I r r , Address: ✓ Phone:_. ! 7/ ,Ci,rs�� r'ity/County: 9+Approval of local plaening/zoning official may be required. Signature of local Planning/Zoning Official t Plans for above ground tanks shall loclude a plan showing the location of any buildings,structures or other tanks,details of piping Date - and valves,tank capacities,diking,tank design and construction, accesswnys,provisions for spill control,drainage control and secondary containment and required fire protection. The plans shall also Indicate distances from buildings,property lines and public Completed by Fire Marshal's Office ways. FMZ#: e Plans for tents and canopies shall Include structure dimensions:exit size and arrangement;distances to buildings,property floes and AMOUNT RECEIVED: parking;placement and number of fire extinguishers;exit signs(if —_ occupant load over 50):seating arrangement(If appl!cabte). Notice of Installation of Liquefied Petroleum )Gas Tank This Permit does not replace any permit required by other jurisdiction 3. Make of Tank Type of Installoticn — Year Built Flow Rate Relief Va!,,e (CFM) _ _ Date Installed _ __--- Name of Installer (CO ) Date Installed Installer's Signature,Title&License No. Applicant Must Call the Fire Marshal's Office for nn On-Site Inspection Prior to Use. This section Is for application approval only. This section Is for on-site final approval only. El approved ❑ not r tpproved Inspector: ----- ----------- ----- - _Date: --- white-Fire Marshan omce Y"llow-bldg.Dept. l Pink-Applicant(Final Permit) Gold-Applicant IApr,e-.ration Approvall Form 7,1.29 )4/97) I HIJ-tJb-1 j jj dy 1 5DMHKra,H=U1.1 H 1 t5 IM— SHARP M SHARP & ASSOCIATES, INC. C O N T R A C T O R S FAX 620.4961 PHONE 639.3444 P,O Box 230947 15515 S.Y.' 74TH AVENUE 97201 0047 TIGARD,OR7GON 97224 January 6, 1999 City of Tigard 13125 SW Hall Blvd. Re- Tigard Tank Tigard, OR 97223 Attention, Sam Morrison Dear Sir, We propose to furnish all labor, materials and supplies necessary to construct concrete work at the subject project for the following unit paces. i 1190 SW Gaarde St I EA. 6" Tank Pad (a, $ 1784,00 Per EA. (11'1" x 8'11") (44 Bar@ 16" 0C ) Stipulations_ I We will do gill work according to plans and specifications and make same acceptable to the engineer-in-charge 2. Subgrade to within 1/1 Oth of I foot of proper grade is to be prepw ed by others 3 Compensation for our work shall be at the unit price; on actual quantities of work performed, based on final field measurements 4 Payment 1s to be made to us within 30 dp.vs from completion of our work Accepted this ?�r{ day of _JPr,s• ,199$"1 CIT'i OF TIIGARD SHARP & ASSOCUTES, INC. C,(11 a.t t,1 to Mxt.t— �w4v Signa ur e Title Gerald D. Johnson President TOTAL P.©2 J Street Address Section 10 � ` +� ... '.1aef�. a�Y• � � 1 '�1.,.-may i �I �+ ofii 0 + o � I c?i ro N U 0 I (U N+ NI N I > m m r rsr wool=W I►.I m m r w M■u m w�1w Y f�f'�.'r+r!!ss "' a*>•riaF� :waEwF�p �9 Kl r y In c� u, I40i1 civ} 7rF�14 p T I m l ~ \sw A Es L.AML: �. ��lo�z I I 14099 JAI; 1 I > 5w CNa�, ER nP1VE I_'Z' I 1 i rl , 4 -3 141I Ul cV cy c I 11 N \ I I I � � n ,2S! 1068-OOSQ7 p A � 7 CT Cl 14340 n, �220 a n � t � 2 14 3.�u � /J ' alV� I oft / 1� C�Rs. 1 �. YLUS CT I 5 I �\ i �. ` ,�_V. 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UL O �. ,�: m col 00 m rn cap f f f ro n n n to to NO to l0 10 '•�. 10 oo �� OJ A O • -I = w iiLL in I ++ I I i I 'i 11 I _ I K00 ' , 1 0 In la v u v ► •1 1 1 1 1 j 1 1 ,I pl -L, !�v` r- C Ott, i� S �+o, r � noo - •I . I, �L h J ►� p Q I oloto�olo Deo S/lam �� - � ' - `^ ♦I Q 'r Q�'.-�I�'.Irn -lo �.i tI a.i-m n v a.m,.m�m�m�mliviiv k 1 I r a� 1n1.A ^I•D L'I. I• �. I. _ .1 I olo o c� c ololnicloio U 3a. o l7� �3^.t" K a'Im'� 51 �nlmlr�I'o,,. r- w3 - „, rvi n eve n .� .� i C', 0 0'0 o yoc� llol0l0, y 1 U G I I p O o o o U OI GI O' tl 4' Ln 5.OI DID G 7j i $ L,/ 6AAA69 Arc d p . ..'s M G o � _ o NFw TAS K 31 - CINC C CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ 24-Hour Inspection Line: 639-4175 I -Business Line: 639-4171 BLIP _Date Re uested i I ZZ ` SAM �' )PM __— BLD r I '1 , I ---- LocationSuite MEC _ + �' ' �' ' "— 1i ,. Ph mar PLM Contact Person ,� %•� Yy l�! Ph_7U' - .z�- `� ��-� swR -- Contractor ` - - ELC BUILDING TeranUOWner _ ELR - Retaining Wall 'v ���„� �j �7 �— Footin9 � Access: 707 e .� FPSFoundation CSGN Ftg brain �CrawOratF Inspection Notj "(��2�'� `�� SIT $lab -- Post&Beam I �1 0 C) --_-_—_- ------ Ext Sheath/Shear Int Sheath/Shear — ------ I raining ---- — Insulation _—.__._---_-- Drywall Nailing L erling__�PART FAIL G - PoFt&Beam --- -- Under Slab - ?op Out Water Service - Sanitary Sewer Rain brains — Final PASS PART FAIL MECHANICAL Post& Beam —"- Rough In Gas Line Smoke Dampers Final PASS PART FAti- ELECTRICAL Service - ------- Rough In UG/Slab - — -- -- Low Voltage Fire Alarm ----- — --— — Final PASS PART FAIL -. --SITE BackfilUGrading Sanitary Sewer Storm Drain [ Reinspection to('of$ - - __ __—required before next Inspection. Pay at City Hall, 13125 SW Hell v Catch Basin ]Unable to inspect-no access [ ] Please call for reinspection RF� Fie Supply Line ADA Ext Date Approach/Sidewalk �_L-7 9� Inspector --- Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 / �J� BLIP _ ( Date Requested 11 _I �-r r AM_ PM — BLD - — Location_ -� (X- -av r lk l.! ��Slf `_— MEC -� Contact Person _ — Ph _ PLN,/- — //--T— ^`� Contractor —_ _ il.L /l.l -D�1-G� — Ph 36 ! � .� C. SVNR ELC IUILDING -- T ant/Owner _ _Retaining Wall Wall — ELR Footing Access FPS Foundation --- - - Ftg(train _ SGN Crawl Drain nspection Notes — ---- Slab SIT Post& Beam ----1— Ext Sheath/Shear Int Sheath/Shear -.- Framing �. Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm '� 5, - Susp'd Ceiling Roof Misc. - - --- - ---- Final ----_---- FAIL -- -�---- -- -- - ---- Post 8 Beam --- Under Slab Top Out � y�,� ��"---- -- - --- -J.------ Watc•r Service ' --. --- -_ _ --- --------- Sanitary Sewer (�J --- -- Rain _ ART FAIL -- _NIMMICAL. _ Post,i Beam - -- - - -. - --- -- Rough Ir Gas Line Smoke Dampers Final _- --- - -------- �..----------- -- ----- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab ------------- - - - ------ -- - -_ --_ — Low Voltage Fire Alarm - - ------ - -— -- ----- -- Final ART FAIL - --- --- ---- - - Fac Itrading j--- - - - Ganifov Sewer to D .n ] Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd c asi Fire Supply Line ( ]Please call for reinspection RE:_--_ __- ( Unable to inspect-no access ADA Approach/Sidewalk Date _ Inspector _ Ext Other -- - - --- -- `,---- rinal PASS PAR-- FAIL DO NOT REMOVE this Inspection record fre,ln the fob site. CITY 4F TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 PERMIT #. . . . . . . .. PLM98-041:DATE 'SSUED: 11/05/98 PARCEL: 1S135AA-R-O-W SITE ADDRESS. . . : SW h10 ADDRESS SUBDIVISION. . . . : ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: CLASS OF WORK, . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY CRP. . :A3 FLOOR DRAINS. . . .. . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASTNS. . . . . . . : 1 FIXTURES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . 0 URINALS. . . . . . . 0 GPEASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 IJJB/riHOWERS. . . : 171 SEWER LINE (ft) . . . : 0 WATEP CLOSETS. : 0 WATER LINE (ft ) . . . . 0 DTSHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 1 0 Remarks : Near 1S135AP-02700 Owner: ------------- __________.__.__._____.____________________ FEES __----------- CITY OF TIGARD type amount by date recpt 13125 SW HALL BLVD PRMT f 25. 00 JSD 11/05/98 98-310588 TIGARD OR 97223 SPCT f 1. 25 JSD 11/05/98 98-310588 Phone #: Cont ract HIGHLITE CONSTRUCTION CO FAST COUNTY ELECTRIC CO INC PO PDX 640 DRUSH PRAIRIE WA WA 9A606--0640 Phone #: 360-253-9886 f 26. 25 TOTAL. Peg #. . : 38565 - ---- -- REQUIRED INSPECTIONS --This permit ;s issued subject to the regulations contained in tl!e Storm Drain Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final I nspect i a il applicable laws. 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 198 days. ATTENTION: Oregon law requires you to follow rules _ adopted by the Oregon Utility Notification Center. Those rules are _ wW set forth in DAA 952-80011010 through OAR 352-8881-8888. You may _ obtain, copies of these rules or direct questions to DUNG by calling (503)246-1987. --- !-- — — T s s u e d �= _ _ _ Flermittee Signati_ + +++++++4-4•++++ ++++.+++++.++++++++++++++++++++++++++++++++++++++++++++++4•+++ Call 639-4175 by 7100 p. m. for an inspection needed the next business day ++++++++++++++++}++++++++++I.++++++++•++++++++++++++++++++A•+++++++++++++++f•+++++ CiTY OF TIGARD Plumbing Permit Application Plane _ 13123 SW HALL BLVD. Commercial and Residential Recd 6y� A--- Z7 TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E, Print or Type Date to DS Incomplete or illegible applications will not be accepted Permit,« •�-� '._,��n- i Related SWR #- 4.4 " ��, a c�> Called-- PRICE alled --- Jame of Development/Project // �7 i FIXTURES (individual) QTY,' PRICE A,NT Joh !c�� L / J'( �S O Sink 9.00 Address Street Ad res,. Suit 7� e Lavatory 9.00 'Xi tlML�(, d� _-_ Tub or Tub/Shower Comb. 9.00 Bldg 9 City/State Zip Shower Only 9.00 -- --- Water Closet 9.00 Dishwasher --- 9.00 Owner Mailing Address �- Suitdr Garbage Disposal 900 �3QQ �t-(-� -� C- Washing Machine ;.-.DO ly/Slate Zip Phone ��D3, Floor Drain/Floor Sink 2" - 9.00 - Name 3 9.00 4" -- 9.00 Occupant Mailing Address Suite �- Water Heater O conversion O like kind 9.00 D SD5 tJ f44 Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 00 _ Urinal 9.00 flame - -- (filqu ti' ��.5t-G(C'tld-x) Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite - _ -_ 9.00 _.D Io3O1C. -e- 9.00 _. Prior to permit Cit1/Stale /� Zip Phune Sewer-1s1100' 30.00 issuance,a copy "i3 Sl.{ Fk R I1 QIQ _598� Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lic.0 Exp.Date - - required If3 N 5 6 // 3 /a Water Service- Ist 100' 30.00 expired in COT Plumbing Lic.0 E Date/ Water Service-each additional 200! 25.00 database - L_- Storm 6 Rain Drain-1st 100' 30.00 Name Sto,7i1&Rain Drain-each additional 100' 25.00 Architect Mobile Home Spare 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 5."D 0 E(a.)/p} Pollution Device _ Engineer City/State Zip Phone/,5b 3) Residential Backflow Prevention Device' 15.00 _ l-b kfi' �� o-W- `3 ' - / 3 / (Irrigation timing devices require a separate Describe work to be done: I f restriGed energy permit.) _ New O Repair O Replace with like kind: Yes O No O Any T rap or Waste Not Cnnnected to a Fixture 9.00 _Residential O Commercial O- Catch Basin , 900 Additional description o1 work:l,v4tA-�-L /_/;uC,tL- r - Insp.of Existing Plumbing 40.00 AI?H /�/JlJ �4 a rb f-^7,4-r-^7,4-r-^7,4-r- t-F �T�/ er/hr foe- Q�,�� �J . Specially Requested Inspections � 4ef�0 - I Are you capping,moving or replacing any fixtures? Rain Drain,single family dwellin - 3000 __- Yes O No O Grease Traps 11 9.00 If yes,ser- back of form to indicate work performed by - QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram is required K Guantity Total is >9 WORK COULD RErSULT IN INCREASED SEWER FEES. "SUBTOTAL I hereby acknowledge that I have read this application,that the information _ __ given coned,that I am the owner or authorized agent of the owner,and 5%SURCHARGE th ,la s submitted are in m liance with Oregon State Laws. _ 3 n f/Owner/A t Date **PLAN REVIEW 25%OF SUBTOTAL C - Required only A 1`tsturo ty otal is>9 --ifaa----- ��------ ^ TOTAL 1 Contact Parson Name i � Pt one _- �I 'Minimum permit fee is$25+5%surcharge,except Residential Backflow Prevention Diivice,which is$15+5%surcharge "Ail Now Commercial Bulidings require plans wilt,Isometric,or riser diagram and plan review IWMNpk sw doc 7i,wA PLEASE COMPLE E: Fixture Type _ Q_uaritity by Work P3rforried New "oved Replaced Removed/Gapped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" Water Heater Laundry Room Tray _Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I%deM,p"impp doc 7/750 J #PEMIT v CITY aF T I GARD PERMIT MASTER . .R. . . . . .. NJ S T'v)6--02r,,:, COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSLIED: 07/22/96 13125 SW Hall Eivd.'PGard,Oregon 97223*8199 (503)539-071 PARCEL-. 25104DD--EP040 �W t-iLik.L.L. iji,, EAGLE POINTE ZLINING- R-4. 5 PI) . . . . . . . . . . i..O'T. . . . . . . . . . - -40 qevarks: PATH I ----------------------------------------------------------------- BUILDING ---------------------------------------------------------------- REISSUE: S I OR I ES...... 2 FLOOR AREAS---------- BASEMENT... f r pr "AjIRED SETBACKS----- REQUIRED----------- - GLASS EQUIRED---------- "LASS OF WOkh.:NEW HEW........: 29 FIRST..... t317 sf GARAGE....... 720 IS!: LEFT.....,....: 7 ME DETECTRSi TYPE OF USE...;SF FLOOR LOAD.... : 40 SECOND...: 1146 sf KNI.......... ee PARKING SPACES: TYPE OF LONST.:514 DWELLING UNITS: I F I NBSPENT: 0 sf 'i!3HT........ 7 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2463 5f VALUE-1: 171570 REAR.....,..,.: 65 ---------------------------------------------------------------- PLUMBING --------------------------------------------—--------------- 6INKS.........I I WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.......... LAVAT91ES...... 5 D I 944ASHE RS...i I FLOOR DRAINS—: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I LATCH BASINS.., TUP"6HMRS...- s 1ARBA6E DISP..: I WATER HEATERS.: I WATER LINE ft., 100 8CKFLW PREVNTR: I GREASE TRAPS..: OTHER FIXTURES: ----------------------------------------•---------------------- MECHANICAL ------------------------- —------------- :UEL TYPES----------- FURN ( INK 0 BUIL/CMP ( SHPi 0 VENT FANS.....: 4 CLOTHES DRYERS: I /GAS/ / / FURN )=IM I UNIT HEATERS..: 0 HOOD'3......... I OTHER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: @ WOODSTUVES.... 0 GAS OUTLETS... - I —-—----------------------------—-------------------- ELECTRICAL `- ----- ---.._._._r__...------------------------------- --RESIDENTIAL —-----------------------------------—RESIDENTIAL UNIT--- ---SERVI[EiFEEDER---- --TEMP' SRVC/FEEDFRS-- ­BPANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSFECTIONa IM SF UR LESS- 1 0 - 220e ;%P_ : 0 0 - M alp..: 0 WISK Or, FDR..: 0 PUMP/IRRIGATION: 0 PER INSPEVION: E'A ADD'L 5885f.: 5 -AI - 400 amp..: 9 201 40 alp..: @ 1st WIC SVC/FOR: 6 SIGN/OUT LIN LT: @ PCR HOUR......: I LIAITED DIRGY.: 0 401 - 600 amp..: 0 4e1 - 680 alp..: 0 EA ADDL BIR CIRt 0 5 1 GNAL i F'14NEL...: 0 '.N1 P�_PNI....... MW HM/SVC/FDR: @ 601 - IM alp. : 0 V. 0 MINOR LABEL A@: 0 IM+ alp/volt.: 0 -------------------------------------- PLAN REVIEW SECTION --------------------------------- Reconnect only.: @ )-x4 RES LNITS..: GVC/FDR):%225 A.- ) 680 V NOMINAL; CLS AREA/SK OCC: ------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ----—-----------------—------------------------- SFRESIDENTIAL--------------------------- B. CrMRCIAL-—-----------------------------—-----------------—---------------------- .400 A STEREO.: VACULP. SYSTEM..: AU1.0 I STEREO.: FIRE ALM...... INTERCOM/PAGING: OUTDOOR LNOSC LT: ,%JRGI-AR ALARM..: OTH- X 0Oh.FR.........I HVAC...........: I.ANDSCAPEiIRRIG: PROTECTIVE SIGNL: ARAUE OPFNER..: CLOCK..........: INST"CNTATION: MEDICAL.......... OTHR- 4uAC........... DATA/TELE COMM.: NURSE CN-LS....: TOTAL # SYSTEMS: ]weer: ---_--..___---------.__._-_-_-__------Contractor: ------------------------------- TOTAL FEES,$ 4635,45 KNAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES INL 1b72 SW WILLAMETTE FALLS DR 1672 bW WILLAMETTE FALLS DR WEST LINN OR 978L8 ;EST LINN OR 97068 :hq�p 0: 551-8800 Phone #: Reg C.: 91599 rhis permit is issued subject to the regulations contained in the Iiqard Municipal Code, State of Ort, Specialty Codes and all other aprlicatIr laws. All work will be done in &Lcordance with apprved plans. This ppreit will expire if work is of started within 18e lays of issuance, or if work is suspended for more than 180 days. ---------------------------------------------------------- REQUIRED INSPFCT,M -------------- ------------------------------------- Footing Insp PLA/Underfloor Framing Irsp Gas Fireplace Water Service in Building Final Foundation Insp "echa-tical Insp Shear Wall Insp Insulation Insp Pppr/Sdwlk Insp Erosion Control Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Flentrtcai Final Post/Beam Meehan Electrical Svrvi Fireplace Insp Rain drain Insp Mechanical Final Crawl Drain Electrical Rnoph rl� line Insp Water Line Insp Pk?b Final I- P)-mittep :),l r1,j-.,jtljvs1 S 5�1 ad lay: . .W b- - _:a111 f o i,- �..tspect ion 636c'-41 75 WER CONNECTION CITE( OF TIGARD FERMI r PERMIT #. . . . . . . : GWR9f- COMMUNITY DEVELOPMENT DEPARTMENT DATE ICSUED: 07/22/96 13125 SW Hall Blvd,Tigard,Oregon 97223e8199 (503)639.4171 PARCFLs �:5l04DD--EP040 1. I'L ADDHE'b:n. . . ; 1..i fa ay GW IALRiln- L)k SURD IVISIUN. . . . : EAGLE POINTE ZONING: R-4. 5 Pl) 13LOG11,. . . . . . . . . . L 0 1 . . . . . . . . . . . . . . 40 TLIJAW NAME. . . . . : USA NO. 3 FIXTURE UNITS. . . -. 0 LLASS O�" :NEW DWELL I NG UN I TS. . : I TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I I N91 ALL I YPE. . BUSWR TMPERV SURFACE: 0 s Remarks : PATH I Uwneri FEES I�LNAISSANCE CUSTOM I-10111ES type .Imoq-knt by date Ilecpt 1672 CSW WILLAMETTE FALLS DR PRIMI $ 2200. 00 b 07/221/96 96-- 1 NSP $ '5. 1110 B 07/i--12/96 96 WESTLINN Ott 91066 V-'hone #: 557-60121111 Cont t-i.-4ct or: ---- CONTRACTOR NOT' [IN FILE Phone $ 2235. 00 TOTAL Rcy REQUIRED INSPECTIONS This Applicant agrees to compiy with all the rules and regulations Sewer, Inspection of the Unified Seiage Agency. The permit expires 180 days from the date issued. ' !e total amount paid will be forfeited if the permit expires. The Agency does not guarantee the arc-.,racy of the side sewe?, 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 instailet shall purchase P ''AP and Side Sewer" Permit and thp (jopn-v Wk r-t4ll a lateral. (7,1 ni i t t e e S i q ro e : !ted By gall for i n 7,pecc ion 639--4175 Solar Balance Point Standard_Worksheet Address ( ")Leliq SkJ A00 Ir Box A calculations: North-South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a lire drawr east-west and intersecting the north,2rn most point of the lot. 450 L7t t OMFRN UNIT LUf UNE --- North-South Dimension for Lot: ,1toasure the distance from the midpoint of the North lot line to the South lot line along the described line. feet t NCRTMOU1N OA,EPaCN V Box B calculations: Shade point height for your residence. Box B: 1 Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. vour residence? 1a: If the roof line runs North-South, measurements will (circle one) be based on the peak of the roof. C-.7 `tFM-111o. 1,a, 13 1 C b: If the roof line runs East-Nest and the roof pitch is less than 5/12, measurements will be based on the ea, e. 1 r_: If the roof line runs East-West and the roof pitch is 5112 or steeper, measurements % ill be based on the teak. :w.LE SNI :8:2 i Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negative. G ft 3. Measure distance from finished floor elevation to the affected peak'eave. + _Z4ft If the roof line runs North-South, deduct three feet. If the roof line runs East-Wet't, � It deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the ear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. C) ft 6. Total figure for box E: ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the �j ft affected peak,'eave. ?. Measure the distance from the foundation to the affected peak or eave. 3. Total figura for box C: ft It is most useful to draw a vertical line to represent the appropriate figure found in box "A"and a horizontal line to represent the appropriate figure found in box "C". The intersection of the vertical and horizontal lines determines the value found in box "D". The value in box "D"should be compared to the value in box"B"; if the value in box "8-is less than or equal to the value found in box"J", then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-41 ',x304 or a.the Community Develnpment Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to N I i North-south of dimension (m feet) shade 100 95 90 85 80 '5 70 13 60 53 30 45 40 reduction line from northern lot lip_lin iaett _ 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 3 60 36 36 36 37 38 39 40 41 42 55 34 34 34 35 36 37 38 39 40 41 50 32 32 31 33 34 35 36 3!7 38 39 40 s; 30 30 30 31 32 33 34 3" 36 37 38 39 -10 28 28 28 29 30 31 323 34 35 36 37 38 35 26 ; .._x9._._293934 33 36 30 24 24 24 25 26 27 28 9 30 31 32 33 34 25 22 22 22 23 24 25 26 27 28 29 30 3i 32 20 20 20 20 21 22 23 24 2$ 26 27 28 29 30 15 13 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 ?1 14 15 16 17 18 10 20 21 22 23 24 Box D. Mammurn allo%tiecl shade point height: feet A Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 A t Jobsite Address: ) ILA q t iW Ac r l c Dy Office Use Onfy �„',�. Subdivision: ` { r. ' Lot#^ �� �� 7U Contact Date / I1'/'%, ,Initials 6 1 Valuation: ResultLmu",.' i- E,,tr 1 . New Construction Only: (Square Footage) Planck/Rec# House: 7,2 C' Permit# 1 . _ 3 _ Garage: Reissue of � Gomer Lot? Y i N Map & T # 7 ,1 PP t' G Flag Lot? Y {N Zona - t4.S p!�) Owner: I�e►la i SSanee- Cis dor, �c*rne, Plat# lig 4l .LI '� Address: 1 Lr 7 2 5•W. W Igmc.f4-c_Fal I s DY -• approvals Re wired # WeS91f`lC 8 Planning Setbacks Solar C Engineering Phone. ( a03 SSS -a00o Other Items Required Contractor: RIC(I a Ssa-✓SCC CL� S�zn 7Tl�C S Address: Subcontractors - -- Truss Details WeCt-4-0IeOther lone Notes '� ��)�' n I,�y l ��cXr t ` _ Contractors License # `a rt �)I�/ (�n (attach copy of current Oregon license) Contact Name: F-,,t v ri c rf 11«ki c r cjh_ Contact Phone: ( t5 G 3 A L 3 - C00 Subcontractors: , Arch itect/Engineer: Mg—scCY-d [X-S'Qr) �550(`•,�>>c Plumbing: -�- Address- 1 3C 5 N - r • 'qi4" Ave Mechanical i r -(_'cikk ie�P•C,,> 1 _ hc-ri la�t�l , G12. . CIIkc9 (attach copy of-current OR Contractor's License) Phone- ( -���.� 1 7 Z 5 - 9 JC8 DESCRIPTION: ,ApRieapt,-Signature ` 4� Applicant Phone number Received by Date Received: Permit Account Description Amount Ate.pd, Sal, Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) �---.� St AwTax (TAX) Bldg: Plumb: Mech: . . ✓����U r Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) _. Sewer Inspection (SWINSP) .r:.�..» Parini Dev Charge (P'<SOC) Residential TIF (71F-R) ,Mass Transit 7F (71 F�%M _ —• Commercial TIF -- Industrial 7F Ins:ituticnal TIF Office TIF F,IF — a 'Nater Cuality (WCUAL) 'Nater Cuantity ('NCLIA.N Fir- Life Safety (FLS) Erasion Cntri Permit (ERPRti1 ) _ _.asicn P!anck"USA (ER.O1..SN) ---- E zsicn P!anck!CCT (E7 SN) INC- TO NLTO T ALS: SEE 35MM R OLL# 22 FOR LARGE DOCUMENT I CITY OF TIGARU 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE. ENTERPRISES INC PO BOX 1429 CLACKAMAS OR 97015 Electrical Signature Form Permit # . . . . : MST96-0263 Date Issued. : 07/7.2/96 Parcel . . . . . . : 2S104DD-E.P040 Site Address : 13649 SW AERIE DR Subdivision. : EAGLE POINTE Block. . . . . . . . 1,r)t . 40 Zoning. . . . . . . R-•4 . 5 PD Remarks : PATH I 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 below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM 1'Vr J PR : ELECTRICAL CONTRACTOR : r�ENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1.672 SW WILLAMETTE FALLS DR PO BOX 1429 WENT LINN OR 97068 CLACKAMAS OR 97015 Phone # : 557-8000 Phone # : FAX- Reg # . . : 34544 Signature of 5upery g-R trician Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639 4171 , ext. #310 CITY OF TIGARD 1:5125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE EAGLE PLUMBING 13801 S. FORSYTHE RD OREGON CITY OR 97045 Plumbing Signature Form Permit # . . . • : MST96-0263 Date Issued. : 07/22/96 Parcel . . . . . . : 2S104DD-EP040 Site Address : 13649 SW AERIE DR Subdivision. : EAGLE POINTE Block. . . . . . . . Lot : 40 Zoning. . . . . . . R-4 . 5 PD Remarks : PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to br- valid, please have the appropriate individual from your company sign helow and return this Plumb,ng Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM NIJF;P PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES EAGLE PLUMBING 1672 SW WILLAMETTE FALLS DR 13801 S. FORSYTHE RD WEST LINN OR 97068 OREGON CITY OR 97045 Phone # : 557-8000 Phone # : FAX/650-8720 Reg # . . : 47914 Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-417 1 , ext. #310 J �y CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 [CERTIFICATE OF OCCUPANCY PE RM 17 #. . . . . . . : MST96 -•0863 DATE IS SUEDs 04/2'1 /97 PARC:EL.s 2SIOliDD--04900 -1)1 FE ADDRESS. . . s 1.3649 SW AERIF I F DF hUBD I V I S I ON. . . . : EAGLE POINTE 7.ON I NG:R 4. 5 VID BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . 340 JURISDICTIONS CLASS OF WOPK.. :NEW rYVIE. OF USE. . . :SF TYPE OF CCINSTR:5N OCCUPANCY CARP. :R3 OCCUPANCY LOAD%.2 17emarkv : PATH I Owner: RENAISSANCE CUSTOM HOMES—_+ - 1672 SW WILLAMETTE FALLS DR WEST I_.INN OR 9-;'068 'hone #: 557-6000 REWA I SSONCE CUSTOM HOMES INC: t6 !2 93W WILLAMETTE. FALLS DR WLbT L I NN OR 97068 8 Phone #: 557 -8000 F�pp •'t. 97599 � ! -► C:er-tificate gr ants occ-upanr.y of the above r-efererced b«ilding pr- portion thereof and confirms that the building has been inxpecte0 fnr, comn.lianr.e wis the State of Ot egull Specialty CodrEk for the gr•o�_r 0c•c,up� y, and 1-tse t.snder. fmhich the r-ei'erenc_pd Kermit was issued. ui.11 _DING IWECT0R SuILDING O FICIAL_ POST III CONSPICUOUS PLACE Page No. 1 CASE HISTORY FOR CASE NO.: MST96.0263 RENAISSANCE CUSTOM HOMES 13649 SW AERIE OR 07/10/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By --- - ---------------------------- -------- -------- -------- -------------------------------------- - --- -------- --- MSTA005 Application received / / / / 05/02/96 PASS JD 05/22/96 812 MSIA008 Permit Created / / / 05/22/96 PASS RT 05/22/96 BT2 MSTA010 Check for prcl. restrict. / / / / 05/21/96 PASS BON 05/22/96 BT2 MSTA012 Plans routed to Plans Examiner / / / / 05/21/96 PASS BON 05/22/96 BT2 MSTA026 Plans approvM by Plans Exmr / / / / 05/22/96 PASS RT 05/22/96 BT2 MSIA030 Reviewed plans routed to DSTS / / / / 05/22/04 PASS RT 05/22./96 BT2 MSTA080 (F) Ready to issue / / / / 07/11/96 PASS CJS 07/11/96 CJS MSTA092 (F) Issue combination permit / / / / 07/22/96 PASS B 07/22/96 BON MSTA097 issue plumbing signature form / / / / 07/22/96 PASS B 07/22/96 BON MSTA098 Issue electric signature form / / / / 07/22/96 PASS B 07/22./96 BON MSTA705 Footing Insp / / / / 09/06/96 APP GS 09/09/96 GES MSTA706 Foundation Insp / / / 1 09/12/96 APP GS 09/12/96 GES MSTA710 Post/Beam Structural / / / / 11/06/96 APD GS 11/06/96 GES MSTA711 Post/Beem Mechanical / / / / 11/06/96 APP GS 11/66/96 GES MSTA713 Crawl Drain / / / / 09/23/96 APP GS 09/23/96 GES MSTA717 PLM/Underfloor / / / / 11/06/96 APP GS 11/06/96 GES MSTA720 Mechanical Insp / / / / 01/15/97 APP GS 01/16/97 GES MSTA722 Plumb Top Out / / ! / 01/16/97 APP GS 01/16/97 GES MSTA723 Electrical Service / / / / 01/16/97 APP GS 01/16/97 GES MSTA724 Electrical Rough In / / / / 01/16/97 APP GS 01/16/97 CES MSTA725 Framing Insp / / / / 01/16/97 APP GS 01/16/97 GES MSIA726 Shear Wall Insp / / / / 01/16/97 APP GS 01/16/97 GES MSTA727 Low Voltage / / ; / 01/16/97 APP GS 01/16/97 GES MSTA735 Gas Line Insp / / / / 01/16/97 APP GS 01/16/97 GES MSTA740 Insulation Insp / / / / 01/21/r/ APP GS 01/21/97 GES MSTA745 Gyp Board Insp / / / / 01/28/97 APP GS 01/28/97 GES MSTA755 Rain drain Insp / / / / 09/3/96 APP GS 09/23/96 GES MSTA761 Water Service Insp / / / 09/23/96 APP GS 09/23/96 GES TISTA765 Appr/Sdwlk Insp / / / / 03/25/97 OK PASS PT 03/26/97 RB MSTA790 Electrical Final 04/21/97 / j 04/21/97 APP GS 04/21/97 GES MSTA795 Mechanical Final / / / / 04/21/97 APP GS 04/21/97 GES MSTA797 Plumb Final / / / / 04/21/97 APP GS 04/21/97 GES MSTA799 Building Final / / / / 04/21/97 APP GS 04/21/97 GES MSTA960 (F) Issue Cert. of Occupancy / ! / / 04/21/97 MAILED 07-10-97 07/10/97 S•W MStA770 Case Finaled / / / / 04/21/97 APP GS 04/21/97 GES r-— CITY OF TIGARD DEVELOPMENT SERVICES P' PERMIT PERMITT ##.. .. .. . . . . : P'LM97--0479 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11 /20/97 PARCEL : c:5 1.O4DD-004900 SITE ADDRESS. . . : 13649 SW AERIE DR SUBDIVISION. . . . : EAGLE POINTE ZONING: R-4. 5 PD T1L_OCK. . . . . . . . . . . L_OT. . . . . . . . . . . . . :040 JURISDICTION: TIG LL_.ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 1 YPIE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW P'REYNThS. . : 1 OCCUPANCY GRP'. . :R3 FLOOR DRAINS. . . . . . . 0 TRAP'S. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES----- ------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . .. : 0 SINES. . . . . . . . . . 0 URINAl5. . . . . . . . . . . . 0 GREASE TRAP53. . . . . . . . 0 LAVATORIES. . . - : 0 OTHER FIXTURES. . . . : 0 JUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 01 WATER CLOSEIS. : 0 WATER LINE (ft ) . . . : N DISHWASHERS. . . . : 0 RAIN DRAIN ( ft ) . . . : 0 Remarks : Installing r^esidential bacl<flow prevention device Owner: -- ---- - ___..____.____..._....__-____----------______-----..______._._.___------.--.-.-- FEES RFNA1SSANCE CUSTOM HOMES type amol.lnt by date recpt 1672 SW WILLAMETTE FALL:-- DR P'RMT $ 15. 00 JD 11 /18/97 97--3010;=;0 WEST L INN OR 97068 SPCT $ 0. 73 JD 11 /18/97 97--301030 Pharle #: MOODY ENTERPRISE INC f-fl BOX 98 E-.STACADA OR 97023 ___.________-•--_-.-.---___--- Phone #: $ 15. 75 TOTAL_ Rpq #. . - 01710059 RECU I RED INSPECTIONS ___---- This perait is issued subject to the regulations contained in .he RR/Backflow P'rev Tigard Municipal Code, State of Orr. Specialty Codes and all other Final Inspection applicable laws. All work will be doro ,r accordance with approved pla.,s. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for tire than 188 days. ATT1NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are _ set forth in OAR 952-8881-8818 through DAR 952-8881-8888. You eay obtain copies of these rules or direct questions to OUNC by calling ____—_-----._-._-- (583)246-1987. 1 5 5 _ted By : _ __- a r-m i t t E e �3 i gnat _i f+++-++++++++++++•'-+++f•++++++++++++-F++++; ++++++•F•++++++ F+++++++++++++++++++++++++ Call. 639--4175 by 7:00 p. m. for an inspection needed the next bi_1sir.ess day 1 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-1-+++i++++++++++-1- CITY OF TIGARD Plumbing Application Rec'd By`_� � _ ��) Date Recd r !, 13125 SW MALL BLVD. Commercial ar;d Residentiar / ,�t� Date to P.E. TIGARD, OR 97223 Date to DST (503) 639-4171 \ = Permits I' Frint or Type Related SWR Incomplete or illegible applications will not be accepted Called_ _ Name of Develop menUProject ­] On back Indicate Work Performed by fixture. Job o,' �d FIXTURES (Individual) CITY PRICE AMT Address Street A resss �Cnr z, Stile Sink _ 9.00 ;o yy w c yr Lavatory 9.00 Bldg s City/State Zip Tub or Tub/Shower Cnmb. 9.00 I--- -- Na Shower Only 9.00 ' Water Closet 9.00 Owner Mailing Address Suite Dishwasher 9.40 Garbage Disposal 900 — Cit /State Zip Phone—^ Washing Machine 9.00 If 971�6� Name Floor Drain 2" 9.00 3" 9.00 Occupant Mailing Address_ Suitd J 4' 9.00 Writer Heater O conversion O like kind 9.00 City/Slate Lip Phone Laundry Room Tray 9.L0 Name Urinal 9.00 Lfn Other Fixtures(Specify) � 9.00 Contractor Mailing Addre Suite - 9.00 O, 14n 9.00 Prior to permit C,tyl ate Zip Phone 900 issuance,a copy S 1 ,4516- of all licenses are Oregon Const.Cool.Board Lic.s Exp.Date goo required if S9" _/&111M ;ewer-1 st 100" 30.00 expired in COT Plumbing Lic.s Exp.Date Sewer-each additional 100' 25.00 database Name — Water Service-1st 100' 30.00 Water Service-each additional 200' 25.00 Architect _ _ -- Mailing Address Suite Storm 8 Rain Drain-1st 100' 30.00 or - Storm&Rain Drain-each addi!lonal tU0' 25.OL• � Engineer City/State Zip Phone Mobile Home Space 25.00 _ Commercial Back Flow Proventicn Device or Anti- 2500 Describe work New Ad on O Alteration O Repair C Pollution Device to be done _Residential Non-residential O Residential Backflow Prey milion Device' ` 1500 Additi1- onal desciorlon of work: Any Trap or Waste Not Connected to a Fixture 9.00 Catch Basin 9.00 LInsp.of Existing Plumbing 40.00 per/hr Existing use of Specially Requested Inspections 4000 building or property_— -_ _ __ —_ per/hr Rain Drain,single family dwelling 30.00 Proposed use of Grease Traps 9.00 building or property QUANTITY TOTAL 1 hereby acknowledge that I have read this application.that the information Isometric or nser diagram is required k Ounnrty Total is >9 given is correct.that I am the owner or authorized agent of the owner,and 'SUBTOTAL that plans submitted are in compliance with Oregon State Laws /f S1q ure of nerl/lgen Date 6%SURCHARGE r y PLAN REVIEW 25%OF SUBTOTAL Contact Person Na e Phono Required onty M fixture qty total s>9 TOTAL qtr w 'Minimum permit fee is$25+ 5%surcharge,except Residential Backflow Prevention Device,which is S15+5%surcharge I'h SI SDIm qCL(Mc 5 97 i PIEA$E-a0-KPLeM Fixture Type _ Quantity by Work Rerrormod ----� New Moved Replaced Removed/Capped Sink_ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet _ � — Dishwasher Garbage Disposal Washing Machine _ Floor Drain 2" — _Water Heater _ Laundry Room Tray Urinal Other Fixtures (Specify) 1 COMMENTS REGARDING ABOVE: i es, aimti ,dx S97 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: '.394171 Date Requested: �l",� (� 1 In _ A.id. P M. MST: Location:- �{(r t! �.�L \ L BUR --f--� . C1 (--,:� 1.� 9 �.• ___--- — Tenant:-- _ Suite: 7 /Bldg: _ MEC: Contractor: i { J j.A,A U? Phone: PLM: 21 Owner: Phone: F LC: ELR: SIT: _ BUILDING BLDG(con'() t.,FI.UmBIN_ MECHANICAL. ELECTRICAL SITE Site Post/licatn Posdl3eum Post/Beam Cover/Service Sewer/Storm Footing !,00f UndFl/Slab keugh-In Ceiling Water Line Slab Framing Top Out Gas line Ruugh-In UG Sprinkler i-oundation Insulation Sewer Ilml/Duct Reconnect Vault Nsmt Damp Drywall Storm Furnace Temp Service MISC. mr..;omy Cc fling Rain Thain A/C UG Slab J Shear/Sheath Fire Spklr/Alm Crawltround Ur heat Punip Low Volt Approved Approved Approved Approved A}»roved Appr/Sdwlk Not Approved N u -oved Not Approved Not Approved Not Approved FINAL F` NAL' FINAL FINAL., FINAL. 17 Call for reinspection C3 Reinspection fee oi S required before next inspection C3 Unable to itupeet hispector-_,_— � _ _ Date `Z ^ P Z _ Page of