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Case File I 15885 SW AVON PL., PGARD, 019 - - - l.OT 25 OF DURHAM OAKS SUBDIVISION _.. _----- ------. ---- �'-- - = t1J4TER L ."TER-41.- 5EWERR L4TER,.: L I ____-_------ --_, ►-_�- 1,"311-T PENCE _ TREE PROTECTION PENCE z �_r► rtr n z cr rrn 1, ....... ......._rte.; 0.0-0 ul A 5'7 ACK 51_011 �r- --- ----- 5E T ACK. I P 1 I i z z as w ISO a --!Lo rn E e D Uj I E i n ko uu �J1 --- 3 ---------------- b. n, _. f RECENtu C F E B 1. 1 2 u V 4 :n SW A V N p CITY OF 1 ICaANU {_ ___ - -- -- -- --- - _ BUILDING DIVISION PLANT LIST "ITI6*1T t I TREE UC%U':xLAA FIR UREC, .:� T BASE Pf�"OF05EC STREET TRREE \ Tn T HL = 5.4 TGTAL INCHES a 3" x 54 = h& y 4KEE3C:?NC FLcXIERINe_--, C.NERRI` c :' PER L/--)T ) ...............__.___......---.-_----------._.__._._____._..----------__ O = M 1 T Ifa.4T I0N I RE E - 4' TC) 5' ARBCRV I T,-�E I - 4T 2,5' o,_. D14M, I. TO 3'' rIE45URE[�) AT 5.46E ' 5 �i Ivy IN TREE BE & /ED I (-.f1T ,L _'%3a. fiOT4L 2 '' 236 SITE PLAN - o 1.� SC ALE - I �'- : I�:,� ^ ��I� — ---1 • z ;:.�.��N,,,:�,uM,N��M„�,,.,.�,.,�,�,,,m��.r,��,�,M.,��.•..,.,.,,,Nw,�..-�,�.�.�..M�,w,�.,.��,,;,,�;.;.,,,;-,.-M�.,r�.,.-��.�.�-,;.-V„�.;.��,M,�;-.,,µ�,..,�-.;�...,,�.,w.,;,,w.�,�,,,-,..�,.,.,�,.,,.�;,,,-v-�,;��,...,;;�,.�-.,,,;�.,,M�.,-�•;,-w�-,,..;,,,:;;�M•-;,-.u--a•�..,;�„��,�m,;m,.-,.,,,w,,;,�-.M.,;,,..,.,,,.;,;,-,��,,,.M,-„M,,,.,....M,;�,�.--.-��M.M.�„•-��.;,,�,�.,�,;.M,;.,,,...�-.;.:.,,,.�,.�-„�.,,.r�Mµ,,,,,,;,,,�,,,�,�,.;,n;; „uMM,�...�.w,,,.w..,,.�;.1w.,-�.,•,..��,.�-,.�,.;:,. ,._;, , ,.,..,,;,,,�;.,,, C)C-?-L,,T; 2 ,��_W `�� p p �i/�` AVE.,�!zJ.�c+r, �l�PK 1�r'1?'f,�..r!"'1L�°P91�� ,"S 1� SLUE DURHAM OAKS SUBDIVISION - SW DURHAM RD AND SW HALL BLVD - TIGARD, OR I S 10.3 1 443-6033 NOTICE: IF THE PRINT OR TYPE ON ANY 11IIll Illllll IIIII11 I ( III ( 1 Illllll IIJILT-pp-111i Ilr-I-r�T ILIIIII I { III ! 1111 ! 11 1111111 1111111 1111111 111 ( 111 1111111 Iltllii 11111 t tllll1 ! 1111111 ' ! 1f1111 IIIIIII 11 ! 1111 IIIIIII f I I I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 2 7 1U 11 _ 12 IT IS DUE TO THE QUALITY OF THE _ No 38— ORIGINAL DOCUMENT �- A 6 Z H Z L Z 9 Z 5 Z Z E Z Z T 7, OTZ 6 T 8 T G [ -- 9jT - �6 LV-- -- � I IIII � ' � i I i ( Ii t � II 'I I I I � i � , t I �� •I I I � I I IIlI IIII IIII IIIA I„ I 1111,1 . ,1 I{�I Illl il ,l IIII II � III II I IIII IIII.IIII 1{LIIIIII �� I , IIi�IIllllllilll IIII- .III II .I I � I►I,Ilf�illi lil�llll I IIIIIII IIII III I►II ililllill llli�ll I I 1 l Il� llil Ill ' !� I I ' 'I ►l Illl.l►ll l►II II I�►Ir�,, �� l u�� ►.I1��1�� l>�ll�I ►Illi�lil 0 ao cn cn t � O z r I '7 i 15885 SW AVON PL Main ':ffice Salem Office Band Office P.O. Box 23814 4060 Hudson Ave,NE P.O.Box 7918 Tigard,Oregon 47281 Salem,on 97301 Bend,OR 97708 Carlson Testing Inc. Phone(503)684-3460 Phone(503)589-1252 Phone(541)330-9155 FAX(503)684-0354 FAX(503)589-1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LEITER July 15, 2004 T0405086.13 City of Tigard 13125 ,',W Hall Blvd., Tigan., OR 97223-8199 Attn. Building Department Pe: Durham Oaks — Lot #25 15885 SW Avon Place Tigard, OR Permit No.: MS-12004-00026 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the U.-iiform Building Code, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Installation of Adhesive Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not lc be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON T'F_3TING, INC. ;� 1/—/4411--,/) ,, ) James F. Hietpas Operations Manager JFH/mbw cc Buena Vista Custom Homes —Kyle McBride CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6309-4175MST -Z INSPE CTIOIV DIVISION Business Line: (503)639-4171 BLIP Received Date Requested AM _ v- PM BLIP Location �� / �` y`-' —_—___�__.� Suite MEC Contact Person __ Ph (- ) 7/0- PLM Contractor- — ------ _-- _ _-- Ph( ) -- -_-- SWR --_- -- BUILDING Tenant/Owner - _ ELG Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain ---- -_- �------- Slab Inspection Notes: SIT Post&Beam ----- --- ----- ---- -- ----- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - ---- ------- ------ -- Insulation Drywall Nailing --- - ----- -- Firewall Fire Sprinkler ----�!� --- — -- Fire Alarm Susp'd Ceiling ---- — Roof Other: - --- - --- Final -- --- PASS PART FAIL -- PLUMBING Post&Beam Under Slab Rough-in - -------- Water Service Sanitary Sewer Rain Drains _____------- -- - Catch Basin/Manhole Storm Drain -- --- Shower Pan ASS PART _FAIL _ ANICAL- r'ost&Beam Rough-In -- - -_ Gas Line Smoke Dampers ---- ---------- Final PASS PART FAIL ELECTRICAL ------------ Service --- - - -- - Rough-In UG/Slab - Low Voltage Fire Alarm Final F-1 Reinspection fee of$._ required before next inspection Pay at City Hall 13125 SW Hall BN cl PASS PART FAIL SITE [1 Please call for rein n RE: Cl Unable tri nst�ect - nn accoss Fire Supply Line ADA ��r Approach/Sidewalk Date '� Inspector Ext Other. Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIT. PF 2 ► d � d m O44 -+, ► A ► i � S y , r ► s ' o ► . M o ! , ° ~' ► * ► (D G ► 4 ^ CD p p; ! 4.4 44 ► 44 M■■d ► 44 i pool r � ► 44 , ► , ► . ► SPO� �'��eri�s��s�e��s��►�� Moln Office Salem Office Bend Office P.O.Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Phone(503)684-3460 Phone(503)589-1252 Phone(541' 330.9155 Carlson Testing, Inc. FAX(503)664-0954 FAX(503)589.1309 FAX(641)330-9163 Special Inspection FINAL SUMMARY LETTER .July 15, 2004 T0405086.B City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Durham Oaks — Lot #25 15885 SW Avon Place Tigard, OR Permit No.: MST2004-00026 Dear Sir or Madarn: This is to certify that in o ccordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Installation of Adhesive Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, apuroved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARLSON TESTING, INC. //1Z110 (/James F. Hietpas Operations Manager JFH/mbw cc: Buena Vista Custom Homes— Kyle McB;Ide _ G O O CD - a s ro —� Lon no . V. y ti Q D j l O h 7�Qp ° � O o n z x � Q It I i CIT` IGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received - —_Date Requested AM `� PM BUP Location ��gS � 'K�`'�`�-' ----- --,a��' MEC Contact Person _ rYl-, p Ph( _-) �J �O PLM Contractor ----_ - Ph ( SWR -- BUILDING Tenant/Owner --_ - _- ELC — Footing ELC - - Foundation Access: Fig Drain ELR __--- Crawl Drain - SIT Slab Inspection Notes: — - Post&Beam --- ---- --- - -- - - Shear Anchors Ext Sheath/Shear Int Sheath/Shearbe-"W r7- Framing . ��L C Framing I Insulation Drywall Nailing -- Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling - Roof Othe __ ASS ART FAIL _ MBING ---- Post&Beam Under Slab -- - --- FXVW - �- Rough-In — ,iter Service ---- ----- ----- --- --- __.-- - - Sanitary Sewer Rain Drains --' — Catch Basin/Manhole Storm Drain --- ---- - -- _ -----_.__---_-.._.--- Shower Pan Other: - --- Final �_ - —-- ---- ----------- -- -------- PASS PART FAIL MECHANICAL _ - -- - - - -- - - ---- Post&Beam Rough-In ------ -- -------- -- — Gas Line Smgte Dampers -- - -- — - - ---- PART FAIL --- ----- -- - ---- _ELECTRICAL _ Service � - ----- — Rough-In -- - -- -- --- - - --- - - UG/Slab Low Voltage --- Fire Alarm Final u Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Fwd PASS PART FAIL SITE _ Plea call for rein n REairomth Unable t��inspe �o ac ess Fire Supply Line ADA7Ext Approach/Sidewalk Date InspectorOther:--_Final DO NOT REMOVE this Inspection recoe Job site. PASS PART FAIL CITY OF T I G A R D _ MASTER PERMIT PERMIT#: MST2004-00026 DEVELOPMENT SERVICES DATE ISSUED: 3/2/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) b39-4171 SITE ADDRESS: 15885 SW AVON PL PARCEL: 2S112CC-DO025 SUBDIVISION: DURHAM OAKS ZONING: k I' BLOCK- LOT: 925 JURISDICTION: I I(, REMARKS. New SF detached _ BUILDING REISSUE: BVI-1160b STORIES. �i FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT ,. FIRST. 616 at BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD. n1 SECOND: 989 at GARAGE: 3G7 of FRONT: 15 PARKING SPACES: 2 1 YPE OF CONST: 5N DWELLING UNITS T4RD sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH 10TAL Ihff� 91 158,29330 REAR 15 �- PLUMBING SINKS. I WATER CLOSETS: WASHING MACH. I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP 1 WATER HEATERS 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<100K: 1 BOIL/CMP�3HP: VENT FANS: 4 CLOTHES DRYER: 1 (;AS FURN>-100K. UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp. 0 -200 ar T,: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: Z 201 400 amp: 201 400 amp: 1 at W/O SVCIF DR. SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp: 401 600 amp- EAADOL BR CIR SIGNALIPANEL IN PLANT: i MANU HMISVCIFDR: 601 • 1000 amp: 601•amps-1000V MINOR LABEL: 1000•amplvolt: PLAN REVIEW SEC t10N Reconnect only: -- >-4 RES UNITS: SVCIFDR>-225 A. 600 V NOMINAL CLS AREA/SPC OCC: _ ELECTRICAL-RESTRICTED ENERGY i_ A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIG PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,228.18 ItIJENA VISTA HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the 6932 SW MACADAM#C 6932 SW MACADAM HOMES Tigard Municipal Code,State o OR. Specialty done 111, and PORTLAND.OR 97219 PORTLAND,OR 97219 all other applicable laws. All work will be done.r, accordance with approved plans. This permit will expire ff work is not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-443-6033 Phone: 503-443-6031 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Rep N: [.IC 152235 may obtain copies of these rules or direct questuns to OUNC by calling(503)246-1987. REQUIRED INSPECTION', 1 Ersn Cntrl 681.4444 Post/Ream Mechanica Plumb Top Out Exterior Sheathing Insi Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final I:nuni±Giiun Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Bean1 Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp f Issued By : �-� y_ � _ � ,. � l�� Permittee Signature Call (503) 639-4175 by 7.00 p.m. for an inspection needed the next usiness day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00034 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/2/04 PARCEL: 2S 112.CC-DO025 SITE ADDRESS; 15885 SW AVON PL SUBDIVISION: D( RI IAM OAKS ZONING: K-I BLOCK: LOT: 025 _ JURISDICTION: I li TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPS WR IMPERV SURFACE: Romarks: Sewer connection for new SF detached. Owner: -- FEES BUENA VISTA HOMES Description Date Amount 6932 SW MACADAM #C - PORTLAND, OR 97219 [S\\'USA]Swr Connect 3/2/04 $2,400.00 [SWUSA] Swr Connect 3/2/04 $0.00 Phone: 503-443-6033 [SWINSP]Swr Inspect 3/2/04 $35.00 [SWINSPI Swr Inspect 3/2/04 $0.00 Contractor: Total $2,435.00 Phone: Reg #: Required Inspections_ This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from 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 n PermittAe nature:Si Issued by: _ 9 Call (503) 639-4175 by 7:00 P.M. for an inspection noeded theen xt siness day !3 Building Perm Receive �yy� �— Building Permit No. L� _Oc'h L(i City of Tigard Planning Approval 200 2004 ther 13125 SW Halt Bled. 'JAN 2 8 Date/B : __ PermitNo.: Plan Review Other Tigard,Oregon 97223 CITY OF TIGARI: Date/By "' ' '`� Permit No: Phone: 503-639-4171 Fa!g()p g�;1B6V1SI Post-Review lana Use Date/By: Case No. Internet: www,ci.tigard.or.us Contact Juns See Page Z for 24-hour Inspection Request: 503-639-4175 Name/Method Su lemental Information __--- TYPE OF WORK — _- REQUIRED DATA: 7_77-7 New construction _Demolition_ 1&Z FAMMY DWELLING LJ Addition/alteration/re lacement EJ Other: CATEGORY OF CONSTRUCTION Note, Permit fees*are based on the total value of the work performed. Indicate l & 2-Famil dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, - Accessory Building Multi-Famil uvernead and profit for the work indicated on this application. f_ Master Builder 1 Other: Valuation...................... ...... ......_................ S JOB SITE INFORMATION and LOCATION No.of bedrooms:,_ No.of baths.2 ` �t Job site address: _/ S Total number of floors..................................... New dwelling area(sq ft.).............................. 1 Suite #: Bld ./A t.#: Garage/carport area(sq. ft)............................ � Pro est Name: M Covered porch area(sq. ft)............................. S Cross street/Directions to job site: Deck area(sq. ft.)........... . .......................... Other stnlcture area(sq ft ) ........................ --_ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot#: ---- ---- -- Tar ma / arcel #: Note. Permit fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,mitterials,labor, I n D ' overhead and profit for the work indicated on this application. ��n Valuation.,..............................._........ ..... .... . $CIE f(AC Ll if d _ Existing building area(sq ft.)... ..._ ... ..... -- New building area(sq ft.) ... . . ._.......... .... . _ Number of stories. ........ ... . . . ............... ... PROPERTY OWNER TENANT Type of construction .. __.._ .... ... .... ........... Name: VAAfnCA \Ll , S New Occupancy group(s) Existing- Address: -- Cit /St to/Zi : —` Phone: �j FIX: NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed wi!h the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: �;V __ jurisdiction where work is being performed. If the applicant is exempt Contact Name: s from licensing,the following reason applies. Address:_ � ��--- -- — Cit /State/Zip:__ - -- Phone: _ Fax: BUELDING PERMIT FEES* E-mail: rn m�— Pj�( '►� e 5. -._.,. CONTRACTOR Please rere�to Rlscheiitila Business Name: .S Fees due upon application. ........ Address: 4--�. Cit /State/Zi _ 611 ZA Amount received._._ Phone: 443JI > Date received CC13 Lic.#: - Authorized �� ---__.— _ Signature Date Z Notice: This permit application espim If a permit is not obtained»Rhin -----— — 180 days after It has been accepted as complete. •Fet methodolooset h, T.i.(uunt� Building Industry Sefl1Ce&card (Please print name) is\DsukPermitForr*i'BldgPermitAppdoc 01'03 01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02 Mechanical Permit Application Lkit[J$Y: PettUt NO.: Ci of T srd Nanning Approval _ Building --- 13125 SW Hall Blvd Plan ttevirw other Tigard,Oregon 97223 baC1131 . — . tzrnit Piga0aoclal: 503-639-4171 Fax; 503 598-1960 11a a U" 8y Case No.; Internet: www.6.4ard.or-us r contacs 0see r,gc t r:r -- 24-hour laspectrou Rttquest. 503-639-4175 �hra neJ!Nrttwd: 9o�ptementet tar_ emu _tion �'M OF'YORK COMWIUL&L FEV.SCMA!U�`.F7l�C8Hi;$k New consttl.+ onDemolition M"hRn!cal permit rtes'are based on the total value 01 the wort, per formed Indicate the value(rounded m the nearest dollar)of a' l Additiott/altaatwrtlrt I�cemertt ether: ! mechanical materials,equipment,labor,overhead and Profit. TF:GORY--OF CAXi5T~RiTC1YOta l &2-Famflydwellin C_arri ncrcial/industrial Value: 5 _ Ste Page 2 for Fee 5ebepulc El Ace esso 6uildin _Multi-Famil — T�_ —_ pesiptioa 1 Fet(eL Tet,l Master Builder tether; -it-nn�cnor� JOBS RMA wri au J LocAT(O Furnace add-on air conditiunln '• 14.00 Job site address: _ Gobe!!� - 14.00 Suite : Bl /A t.#; Due work 1400 H'dronie hot water a tem 14.00 Project Name: — Restdential boiler - Cross street/Directions to job site fbr radiator ar hydmic cystern - 14.00 /� � l Unit he=n(Fuel,not electric) 21 V. in wa1l,-glum Wspended,tete 14.00 i 1 Flue/ven[ for anX of ebovr 10.00 Subdivision: '" Lot : i 'I units I t2.1S --- -.- --- -- Other Fed Am HAMM lax tea - cl#: Waxer hearer 10.00 1"OF R O K� Gas fireplace _ _ 10-00l Flue vent rt2w heercr A lace) 10.000 --- �-- 1 Lo It tet L2as) — - 1000 - 1 ---- _Woo&?elkt stow 10.00 C' Wood lir: lace/insert 10.00 �...-- Ghintnnylllnt~r/flucrvcnt RAOPP.RTY '>CkN . Other: j__ 1 10.00 LA Ewimamentsl Fstaua V Name: - Range f[oa3lother kitchen equipment 10.00 AIdrm. Cloth Pvhau4t - 10.00 Cit /St te/Zi )VSingle duct exhaust µ4 Phone: U AX: `� 2 L (bathrootm,toilrt compatvnen-%. /1lFLIC _ e>L'OMACTP!RS - ' utill rooms) 1 5.80 Name: ' - p Atticles;twl space raze � 10.00 J <�- -< Othm 1 10.00 Adt9revs&: _Q _ Fuel etri•a C1t /5 te?!21 ' so[or fret 4.S us neb IulC" el - - „ Phon (.) Fax: Furnace,etc. Ga!heat p•nr __ ••---- -- E-171t3i1: - ---- Wall/su dcd/unitheater -- '• „_j_! -- CONTRACTOR Water heater - •' Busilxas Name: Fire i ••e. -- -- -- Address: -MY `�F �h Itu+ -— - Cit /S!ate��7_ip: }?) } (1 L ,_ 11 Z�b c+ochea dtnrIs� - - •' Phone - 15 lZ Fax. ?53 7Lrf1 Otter. CCS L.IC, kitt:- _ — —— -- Total: _ Authorized C,( Subtotal S slg•rature.C we\-) clnU rltate:.-.LLz()pil - �Rnlmum Permit fee$72_.50 S_ -PLm Revle_cc 71%of Permit Fee) S` (Plus r frame) State Surchu $%of Pesmtit Fee S Ttxrwc.rF.wKH Mir L'Fir dwivodn set trr Tri-Couaty ISulhBe Indest SerraM 6osrd. ratlec Thls permit ippGc�tfoa a:pig r u.p•rma Is.�t obtalneA w•hhln �' E rY Igo days Viet it het been wafpted e"OHfptete. —3:te plan rrgnlrtd for exterior A/C U01- :1UsraWrfm+ Fnrt+u�ttecPermltApp.dot DIV 01/20/2004 16 O;i FAX 5036284633 THE MULLEN COMPANY 002/002 Plumblin2 )Permit App ieatiou Rrceived Plumbing DaWDY Permit No mommiq City of Tigard Planning r,pprovol - Se Wer pate/ti . Pcrc»t No 13125 SW Hill Btvcl. Pian Review Other Tigard.Oregon 97223 IhW 3 : Permit No _ Phonc: 503-639A1'll Fax; 503.598.1960 Poet•tieview Landt.'ae Paumy! --- Case tit) Laternel: www,ei,Hpard.or us rpntsct Juria.: Sr:page 1 for 24-how 1a--Y:;eon ltequesc 503-639-4175 NarneMethod: I suppleme_ nw fararmAu a, TY'rEOBWORi£ FEE"SCIMUI r SWW-ITta[tiimtufair secht�diltst New colt5t7uct..on Demo tion I Descripttitio __ Fce(oa.) I Total Addttion/altert.tion/re lacament (Xl er; - SFR U bad, T;9 20 1 dt 2-Fan»ly d"uellinComrnercialAndusttial SFR 21 bath 350.90 Aceesso!y uilding - _Multi-Fanuc SFRp1beth 399.5 El 1Vlastcr 13'.ulder Other! Eath additional bath/kitchar 45,00 JORSITV r—W."ALOCATLON Flre rprinkler• . it: Pa e 2 — Job sit: address: _— i site Utefttes Suite#: Hld ./A t.#: Catch basin/wra drain 16.60 DrywirlUleach lineffrenehdrain16.60 Project Narne: Focring drain(no,lincu (l.)— _ - Page 2 Cross Btte/et/DiLirectrrons to 'oLlb site: malluf"IYIA honlVi idCl 110100 DUv► GU� 11 I�� I l l l I l l�1 y V'1 Manhules t6 by Rain drain cunnectar 16.60 Sanitory sewer no linear Pa c Z _._--_ -- Subdivision: Lot#; i_F Stutrn sewer no,no.itneat ft.) _— __ Pale 2 Tax m8 parGcl #: Water service linear fl. Fate Z F-ilttttre err Item ' FS�ON OF WO C -- - r— Absotprion valve 16.62 El,u:lcflow pievcnwr P 02 ISMff� Backwwor valve 16.60 Clothes washer 16.60 ----._.--- — - ------ Puhwu!ur - — _16.60 _ UW FEE EATYnR jUr,% 0 e: 16.60 Address: gj— IIA-MFixture/sewer - 16.60 city/state/zip; Floor draWfioor sin"uo 16.60 Garb a disposal 16.60 Phone: lel lP� Fax: i 1 2 1 Hose bib 16.60 la"MCAW Ok7J&j* Ice roelcer 1660 Name: n/�C MI1�-- - -_ Inrerceptn-ease trip 16.6 Add2DS! C�r - 4trciical�tu-value. f Fa e 2 City/.State/z1 L:: Primer - 16-60-- Roof drain'colnmercliD- 16.60 Phone: 5 - 1 l� t Q. Z Fax:50 -_��- 14 4 sl asin avatory -- -i6. — E;,n;311: i 1 IC- Tub/shower/showerpan 16.611 i Urinal 16.60 $L1siness Nlme: AVILIWatcr closet __— 16-60 Address' 9 7D Loi J� � hatcr ��b.6v Cir'V'A•tate/Z;i P h o neCIre' F SO = ..Ytnmb ars* • __ CCB Lic. -� lamb. L c.# ��D _ st,btoat s - Mtnitnum Permit Fee$72,50 $ u oritxd Zo A R.csidrnr,sl Backflow Minimum Fee SM.25 Si�Ttatrare: ; -t--C Dtite•f Plan Review 259E o_f Permit Fee S State Qf taljg Fee) S (pitta print namcj �^ TOTAL PEXCT Fgt S Notice: This pertnit oppllutton aspire if it permit is not obuined within All new eomeeerelal bvilelap requlre 2 sib of plias with iaometrie or 1 Nil days aRi r it hss been sc0epts4 as complete. riser diaerain for plan+UP. •Fri mcttwdclor get by Tri.Couny FlulldlnR Induetry Servlet poard. i.`f)sts`PerrrJt FormSTl nPermiNpp dr�e 01,01 01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAM 01 t:tectrical Permit Ai licatioa Received I=I«mea; �Nterax_ pmnit ho ill,14f i igard Flinnin6Approvat Sift -- Date/B : c r Permit No.Hall Blvd PlanRcvicw _ truer '�-- i6ard,Oregon 97223I Date 13y: r emrit No.� �- Phonc: 503 639-4171 Fax: 503-598-1960 Post-Review [_and Use Internet, www.ci.tigard.orus Case No 7 Contact I lun. I - See Page 2 for 24-hour inspection Request 503 639-41.5 LNamc.Meth xi` _,-- lementst infnrmstion. Ty"OF WORK _ �1� ;CSN PX- Ew(Flaue check jut tba,t New construction Demolition C]service over 22`amps. Healtt ~--'r� � kart Carihry LJ cnmtnttcul r ❑Hazardous location Addition/alteratio>y replacement Other: 0 Service over 320 ramps-n;tng of rl Building over io,000 square feet, CATEGORY(0) CONSTRUMON i h 2 firmly dwellings four oT more residential units in 1 &2-Family dwelling C_ommerciaP--ndustrial ❑Syctrm ever 600 volts nominal ! one savcture Accessory Buildin _Multi-Fimil LJBwldit'g over three stones [�Feeders,400 amps or more �_-- I C3 Occupant load over 99 persons []Manufachmd structures or RV park Master Builder Other; I ❑Egress/lighting plan U Ot(er. JOY SM,INFOPUMATION and Submit_sets of plans with any or the above. - The above are not sp lfc blt to tempererconstruction service. Job site address: -- �,.S�®fig . Suite : Bid ./A t.# -- Number of ins eedons er tr-mit allowed Pro ect Name: �F - --- �srn tion —_.___ Qa Fee(ea.) rout Cross streetrDirecticliris to fob site: New rtildeetlaLslrsale or malil.ramltr per dwelluR salt.includes ansched garage. IOW sq.(t.a less __ __ 145 15 4 addinonsl 500 (!.or rc on Llc eof -�,/�, _ �m._— - 33.40 SF ubdivisinn'��J[�� -- �_ Lot#: t Lim ted merit`,teirdR,t;al —75 00 = 2 Limited energy,non residential —73.00 2 Tax map/par!`el#: Each manufactured home or modular dwelling - IDMS ON OF WOIKK service and/or feedsr qp q0 2 < — J Services or feeders-Installation, i 4 ' alteratlna or retoeationt L I - Of :- ---- --r_Y.LS�il/ 90 amps or Icss 80.30 2 2r a�to top amps 10685 _ 2 40.1 att�1 t to 60o amps _ 160.60 1 rROPERTY OWNER rM T — 601 ampq to 1000 a �,,J 60 2 quer 1000 an-p at volts �54g Dame: - R pct on — -- _ 2 66!:5 2 Address: I C292 Temporary fervieeii or reeden-instatlsdon, I ~ ciyS telzi ; y" - slier stlan,or relocation: 200 amps at cess 66 A5 I Phone Dx ITax 0 4I am . Io400amia '— 100.3n 2 CONTACT_P_ER50N� ` t�tso0 amp. -- ___ 133 75 2 Branch circuith-new,alteration,nr :Name: Y -�� 1 e� � � tatrnslon per panel: Address: t/Q A Fee fur branch circuits inch purchase of - --Ace or feeder fee,each branch etrcun 6 65 2 Cit /St1te/zip: ! B.Fee for branch circuits without purchase of Phone:W�7 � �pD72" Fax: 1� y ? �n or feeder rot,(hiss branch circ 46.8 i �,A Poch idonal branch circuit 6.65 2 E-mail: v v r Y5. C�m . I Mrsc(Service ne feeder not me u�ded) C` �R L Each p--p m n eation circle 53 40 2 Job No: cut,st or ani;rx li ht;n - t3 40 —� 2 S Rnal cirtu t(s)or a limited energy panel Business Ni�mc: -�— �+�-�.�--� —1 alteration.or exit for _ 2 2 O.SJ C�G ?/t!_L. Dela, Address.. 870 4� aali!�r� �_-� l city/state/zip: � ach eddiHonal ins iia=ver the allowable In an of the ibovt: �. �--, LPa inspection per tt0ur(min. t hn� --�-_ 62.50 Phone: z010 rat __ z -fir s- ) tn�esh nan f� — CCB Lic.#: '76 _ Lie. #: 3 3�G oder _ Supervising electricin �� I--. - !-- lE?esWcs,l Permftrow_ , 9i a"re uired. ii/;( - --- I�- - - Subtotal T _Plan Review2( 5%of P I S Print Natite; VC ) R, �,ic• fit• l',Z��—J ,"State Surcharge(81e of?errnit Fee 5 �_ TOTAL PERMIT FEE `S Authorized ''atiee: This permit■ lication expires If s Signature D DD P� permit is not o raised within 1'n — Gate — _-- IRII dsss after it bae pan accepted at complete 'Fee methodology set by Tri-Coon" Building induttry Smire Board (Please print name) is\btu)Pmnit Fottra'E!cPenrotApp doc of o3 SEE3, 5M- M ROLL# 22 FOR LARGE DOCUMENT