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14540 SW CATALINA DRIVE 14540 SW CATALINA DRW-. CITY OF TIG/ARD 24-Hour � _�-�� BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business L.Ine: (503)639-4171 / BUP Received J� Fy Date Re nested__�'_6�_ AM PM SUP Location ----- Solite MEC Contact Person _— _-.` Ph PLM _ — Con„actor ----_—__-- -- ------_--`_ Ph( ) ._-- SWR —.. BUILDING Tenant/Owner _.__ _ ___-- _ ELC — Footing I ELC — Foundation Access: Ftg Drain cc- LO-1 n 01,i ELq - Crawl Drain Slab Inspection Notes: SIT cost&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 IN�P -- ---- - - — Pos ear — Under Slab A Rough-In Water Service ------ - Sanitary Sewer / Rain Drains - --- ---- — - Catch Basin/Manhole Storm Drain --------� - --- -- Shower Pan Other. - -- PANT FAIL - -- - ——-` -- — � NICAL Post&Beam — Rough-In -- --_- - — — Gas Line Smokp .')ampere --- ---- -- -- -- Final A-., ..PART FAIL - - ---- ---- ---- - --- Service -- - ---------- — --- Rough-In _—• --- _ — UG/Stab TVoltag Reinspection fee of$ —required before next in3pection. Pay at City liall, .3125 SW Hall Blvd. RT FAIL SIM _ ❑ Please celi for reinspection RE: _ Unable to inspect-no access Fire Supply Line ACA Approach/Sidewalk Dada_ �Q Illapaa#Of ,_Ext Other: Final — DO NOT REMOVE this Inspection record from the job eke. PA88 PART FAIL CITY OF TIGARD 24-Hots BUILDING Inspection Ling: (5031 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ ---Date Requested__t!(_ �AM�P _—_ BUP _ I.ocation __��_� _ _ —_Suite �-Q 2 MEC —_ Contact Person _.—t, _— Ph(—) �l q ��1 PLM — Contractor — _ _ Ph( ) — SWR — BUILDING Tenant/Owner -- — ELC --__— 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 Fi ASS) PART FAIL -- -- - - - - --� PLUMBING ---- ------_ ..- -----` -- Post& Beam Under Slab Rough-In Water Service --- -- - ---- - -- - - --- Sanitary Sewer Rain Drains - ---- -_---- -- _ _- Catch Basin/Manhole Stcrm Drain -- _ -- - ---- ----- - --- --�— Shower P 3n Other: - - -__-- -- ---- — Final _PASS PART FA ---- ---- .---- --- ----- - --- MECHANICAL --- -- ----- — -- — - — ------ — Post&Beam Rough-In -------------- - -- ------- --- Gas Line Smoke Dampers <Fri—niE"43 ASS PART FALL -- -- - — -- -_— - CTRICAL Service Rough-In - UG/Slab Low Voltage __—_-- Fire Alarm Final [] Reinspection fee of$--__-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - [] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sid;-walk Date "-C'� Inspector_z4_ � --_ —Ext Other: Final -- DO NOT REMOVE this inspection record from the job site. PAST, PART FAIL kAA.AAAAAA♦AAo,AAAAAAAAAAAAAAAAAAAAAAAAAAAAA:s 4 Poo. •o d ! tj ► fa Ln AaLL ► ONO `� ► ► •I ► N Q Clot rp a a � y y o � s � h x �C c I ' CITY OF TIGAR.D MASTER PERMIT PERMIT#: MST2003-00462 DEVELOPMENT SERVICES DArEISSUED: 10/28/03 13125 SW Hal( Blvd.,Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 14540 SW CATALINA DR PARCEL: 2S105DA-17400 SUBDIVISION: PACIFIC CREST ZONING- R-7 BLOCK: LOT: 062 JURISDICTION: TIG REMARKS: New SF detached, Path 1. Other plumbing fixtures include backwater valve and ejector pump, j BUILDING { REISSUE: ORH3902A STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 35 FIRST: 1,55e of BASEMENT: 924 of LEFT- 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,590 of GARAGE: 732 of FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 THIN) of RIGHT: 5 OCCUPANCY ORP: R3 e.') VALUE: 404,674.40 RM: 5 BATH; 4 TOTAL: 3,742 rl REAR: 15 PLUMBING SINKS; I WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES, 6 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RRJN DRAINS: 1 CATCH BASINS: TUBISHOWEP.S: 5 GARBAGE OISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: 2 FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN>a100K. I UNIT HEATERS: HOODS. I OTHER UNITS: 2 MAY INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 GAS UJTLETS: 5 ELECTRICAL RESIDENTIAL UNIT - SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. t 3 -206 amp: 0 -200 amp. W/SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADO'L 509SF: 6 201 - 400 amp: 201 - 400 amp: tat W/O SVCIFDR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 $00 amp: 401 - 600 amp: EAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601+amps-1 o00 v: MINOR LABEL: 1000•emu/volt: _ PLAN REVIEW SECTION Re7:onnecl oniv: ( —4 RES UNITS: SVC/FDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: 1NTERCOMIPAGING: OUTDOOR LNDSC LT� BURr,LAR ALkAM: OTH: ALL•ENCOMP BOILER: MVAC: LANDSCAPE/IRRIG: PROTECTIVE SIONL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 9,314.49 This permit is subject to the regulations contained in the D R HORTON INC D.R.HORTON INC 4386 SW MACADAM AVE#102 4386 SW MACADAM AVE. Tigard Municipal Code,State o k w Specialty Codes and PORTLAND,OR 97zOl SUITE#102 all other ce with applicable laws. All work Th be done it PORTLAND,OR 97239 accordance with approved plans. This permR will expire H work Is not started within 180 days of issuanoal or If the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-222-4151 Phone: 503-222-4151 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg 0: LIC 130h59 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Incl Rain drain Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Final Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Is ued By: l 1�� -1 Permittee Signature :_ "Li ' i Call (503) 639-4175 by 7:00 p.m. for an insnection needed the next business day CITYOF `f I GARD __SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00345 13125 ` W Hall Blvd,, Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/28/03 SITE ADDRESS; 14540 SW CATALINA DR PARCEL: 2S105DA-17400 SUBDIVISION. PA( 11-1( ('RFS I ZONING: It-7 BLOCK: LOT: 062 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS 1 TYPE OF USE: SF NO, OF BUILDINGS: INSTALL TYPE: LTFSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: FEES D k MORTON INC Description Date Amount 4386 SW MACADAM AVE #102 PORT'-AND,OR 97201 JSWUSA]Swr Connect 10/28/03 $2,400.00 1SWUSA]Swr Connect 10/28/03 $0.00 Phone: S03-222-4151 1SWINSP]Swr Inspect 10/28/03 $35.00 [SWINSI']Swr Inspect 10/28/03 $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 he 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 Issued y: (/ (7 '' ` " `t -�1 �,�� Permittee Signature: ,k&,( - Call (50s) 639-4175 by 7:00 P.M. for an inspection needed the next business day 1 CV E USE ONLY Building Permit Application Received `� Building // uatciB : 1 0 C✓ Permit No.: 4r" ev''7d v, Planning Approval Other � 200, Mn0 City of Tigard Dates : Permit No. .-.-u✓ 13125 SW Hall Blvd. Plan Rey - Other Tigard,Oregon 97223 Date/B � - 1 t' 0 J Permit No.:Post-Rev — Phone: 503-639-4171 Fax: 503-598-1960 Date/By: terse Use Date/By: Case Internet: www.ci.tigard.or.us Contact Ju Z See Page 2 for 24-hour Inspection Request: 503-639.4175 Name/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: New construction S� Demolition _- I&2 FAMILY DWELLING Addition/alteration/replacem_entZ�C►ther: CATEGORY OF CONSTRUCTION Note: Permit fees•are based on the total value of the work performed :ndicate I & 2-Family dwelling _Comrnerci�1/1 dustrial the value(rounded to the nearest dollar)of all equipment,materials,lubor, overhead and profit for the work indicated on this application Accesso Buildin Multi-Fam Master Builder Other: valuation........ ...t..,., .......l..'........................ 5 JOB SITE INFORMATION and LOCATION No.of bcdro= :s: No.of baths Total number of floors..................................... Job site address: y!y'yU New .:welling area(sq.ft.)..................... .... Suite#: Bld ./A t.#: Garage;carport area(sq.ft.),........,..:�...� - Pro'eet Name: fL (/l'e✓{' Covered porch area(sq.ft.)............................ —L Cross street/Directions to job site: Deck area(sq. ft.)................. ................. a Other structure area(sq.ft.)... ........................ — REQ'1IRED DATA: COMMERCIAL-USE CHECKLIST SubdE _ I L4t'#: Tax ma / arcel #: Note. Permit fees'are based on the total value of the work performed. Indicate DESCRIPTI()N OF WORK the value(rounded to the nearest dollar)of all equipment,materials,lab - — overhead and profit for the work indicated on this application. � Valuation. .................................................... — Existing building area(sq.ft.)........... ....... New building area(sq.ft.).... ...................... Number of stories...... PROPERTY OWNER TENANT Type of constr h....................................... Name: hGH �j Occupa raup(s): Existing: _ ---�- k — /� New: — - Address: Cit /State/Zi OR q;wI Phone:�I -y / ' Fax: 5D3 • yn',r7/7 NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under �� provisin is of ORS 701 and may be required to be licensed in the Business Name: tbam I R6 - Jaj�njurisdi,tion where work is being performed. If the aptrlicant is exempt Contact Name: 6 0/ _ from licensing,the following reason applies: Address: ) 'RtyAM 1JW _*/d 7 - _ Cit /State/Zip: POIWd Phone: - B111LDING PERMIT FEES* E-mail: _ Please referto fee schedule. CONTRACTOR — —_ - ---- Business Name: G " Fees due upon application.............................. Address: `�C_f � �►' 07-- City/State/Zi i Amount received......... ................ .... ...... .... Phone: r FaXX:0i- '910kLAI /? Date received: _ - CCB Lic. #: p — Authorized Notice: 'I h s permit spr:licatinn expires Ira permit Is not obtained within Signature: _ Date: _ IAO days naer It ha been aceepted n.omplete. •Fee methodology set by Trl-County Building Industry Service Board. (Please print name) ' iahstsTennit Fomis\BIdgPemiitApp.doc 01103 \� 02/129/2093 16:15 5936 22999 POSS ELECTRIC PH,;r 91 02/20/2003 16:10 503-222-2675 DR HORTON FDX CONST PAGE 02 Uzua Electrical Perpjt Application RicciOIL Fleming Appr:vtl Sim City of Tigard 2!rI tNo.: 13126 9W Hall Blvd. plan Revlcd other , 7 TIgud.Oregon 97223 2nT : Fermi *to. Phone: 503-639-4171 Fax: 503.598-1960 Dz!z rnew Cand Ute ,•;�Y: die No.: fInternet www.ei.tigar&or.ut Canted lurid.: W See FAIP 2 ter 24-hour lasgectioo Request: 303-Oin-4175 N2nc/\4ethOd. _ 9u lemeotalln rinstion. JAid, ditlon/alt=fi0n/rePla0M=t, I ,' 7 r Wi^ I�bllolis i�i11'ldllf .y : _E�'l'ea ,ew construction r Dernobtion service aver 2:5 arnpc- Health-erre facility eommeroinl ❑11lrardmi►oration other: [-1 S mnea over?20 amps-rating of ❑nuildinp over 10,OOD squate tent, t&2 farrdly dwellingo four or mote retwAntial units to 2-Fatnil dwell Cat323nercial/bdustrial system averr three vela rfelnor +l asedem,A e Building over duce acerbas C Feederts,400 arrrps or tno+'o twcessori Bll.ildin . Multi-Farnil QQ Occupant 1ou1 over 91 personsM1nu6tetured savelures or RV park Master Builder J Other: C]IaEretsnlgltt;ng�tan odler. Sabreit_lets of plans rvttb any of the above. ilt9 1" JQ STFFi ;BI The lbove are not t licable to t m rt t nstraetloa t'ervite.s: A:, " ''71i1!;:a!;1 �ESuite#: dr./Apt.#: Number of itsa ectioa.s per Permit allowed Project Nlsmr: curl nn Qty Fre(el,) Total New r"IdIntlaktagle or onoWfienk per Cross street/Directioas to job site: dw Ibn alit.ladedt$Attacked Cance. Sotvtae iar:lydtdr 1000s ft.oar Ie L 143.t3 4 Eeah roona�700 .ft or ~ thereof 33AO 1 irnhed cc+' 6.00 a Subdivon 1, _f C Lot'rf: isimltru energy.non mol A31 76,00 2 Tax toa /parcel ft: each manu5,twred Items or modutsv dwelling ;� ;� •i,�M t"' C' 'V'o Wo81G ;�';!,,x,_; �ervke stuUor r tdar _ 3,190 z rServkes er kedert•laettdlltlon, alrerntioo or relocation: 2 tmar or lei _ 80.10 2 201 to 400 _ 106 83 1 401 empo A 600 nm9 __ 160.60 2 4J' � 6�1 R !M.t—, over 10110 AM Yalta 454.63 I Name: _,g• H� - ll/I(��YT f � Rec«tnatroolr 66,es Z Address: /Q Temporary 7erviec4 or feedrn-IWIllxdaag A altm-lsn,ur releratirn: C1tV/Stahl 200 ampr or lav Phone:67 '2 -�`i F aX _ -l7l2 7° "'00t�°� — looan I9iC 3' W 40110 600 amps P 133.75 2 CID ;11' Urxech aircula-nee,-:oration.or Name: a estentloe per pin., ,y ,Y�� A.Fre ter I>nw,.:.-euio with purchcao of Address: �?g� l' _��4fs��I& !"I #��_•�"` tetvicc or,tadtr oith tmuroh cult 6.65 _ 2 Ci /State/Zl � ! t3.Fee'o,t>rumh c+rau;m without purchata of laver.-or Meda ibeAnt tRxncb sinoir 46,65 Phone:a&qv7-'qi1,q Vax: "Y r7 102MIJOUIl ranohcva+lt 6GST 2 E-mail: Mt4o,(3crJce ar aeodcr not Imcluded'l; Emb purnp or a tion elcvl: _ 13.A0 3 li �l r @P fi)K"'• 11. Exalt s+gft or outlne UA1r In S3 _ Job No: ;,CMI eimi n or r 1 mited eeergy Fusel• alo-r+Non.or ttMnr>ion . I 2 Business Narne: G y 'ewcrfpnon Address: -�3Xl'' S w D M Iq L,Q — 'Ci /State/Zip: 1-hl i t 5(DO i-0 O/Z ch rdd,tisaal fntpe.Gon over the ol!nyblc Is of the abtwe: r er Ri t t be tin.l hour Phone:4Y z- LfrGCJ Pax: 5z3•C.VL-'�I S laved anon are CCB Lic. ft: I.-;a I Lic,#: -y odor It '/ w �',;:id[�,.'.u!!"»�w.�'.�:E:ui!81c!•!t'Itald .rfdiilt• Lrit! 0' '�;;UI!�t�ly4:.ti ti1!li Supervising eleclricitut _ Subtotal 1 S Sl ltuti re tltred: � !'ban Rtmcw 75°/.of Prsrtlit Fre S Print Name:Sft V-t_ 205 5 1 Lic.#: 111.2 3 X.5 Sete Sttrobsttge(8%r1(Pertait Feel TOTAL PElD 11T ME , s AuthoriicdA /� Netlea: This permit xppli=d a t iret:f o permit it net obhtlned wicks 3ittnsturt: C1ate: 1 ,V to days after it Mas beta"Coptm at-rmpleta b - /��l •Fee ntrtnoddotq tet by Tri- oitM duildiat taduttty Servat tsoerd. (Pkaro n print me))) 1� i\Dttot/errnit Pormt`E1:1+mmetApp.dor 0!M33 FEB-20-2003 16:15 3 F•0 02/::1/2003 06:53 503-644-5393 CPAFTWOW PLUMBIH(B Prar,E 02 02/20/2003 16:08 503-222-267! OR HORTON PDX CONST PAGE 02 Building Fixtures , Plu�onbin Application ' > eiB-: �t d,,� P,Um�ing -�dDA �- PLanninZ Approves 9avgr City()f Tigard 46,618 : prtsratN°' Plan Rewe" Other 1.1125 SwFlall Blvd, Date/13 . PctrnlrNv. Tigard,Oregon 97223 Pae-peaiew L6114 UN Phone: 503-639.4171 Fax: 503-598-1960 typ c*3 a.., urit.: c4mct 1Src Pogr 2 for Internet: www.6i.tigard-cr.u4 $u r�{emNnrxl(nforn,niinn. 24-hot=Iaepe•:don R:quM: 503-639-4175 NamdMeehod; Desetr�.tiion�— QtY, See(r�) tool New consWic:n____�_,— Ue1r1011t1t]l1 r+ lar id x t ''S '.1�1' y '1� I� , r u� jAt,u " AdditioNaltcratioru lacement Other: ,' ,1; a,a. i�j, ul� ruru�"It� ii8�ht1 i6+?MI EGOR rhOF. QDtSTR C S o, ;s',,i,. SFR 1 Mth 149.20 &2•Famil dwellin COMMercia-Ulndustrial SFR(2 bath 350.00 Multi Family SFR(3 bath 399.00 Access Builds, 45.00 gailde, Other: Each additional batl�lo:chen master Fire c rinkla•s ft Pae 2 .' '1Tt7c8,'Sti�E C8li1Vt9lirilt3 V,6ltli'' It7t� T ,M"�"°e _ N1 Job site address: Gtcb bats Brea Nola 16,60 suite 0: Bid !A t•r: Drpycilliagalt lieeirmnch drain 16.60 P'ro'ect Name: G! G ��'` F I()otiniq drain no.linear A.) ?agc 2 ttu,00 Cross streetlDirections to job site: Mmwfactured bomc utilitin 16.60 %4=ho1es 16.50 Pain Oulu ConnecWr _ Smitat f.wwer(no.line, Ya c 2 St sewfa 110.!inert R page 2 Subdivision: r,�(� L010 Water service no•linear R. Page 2 Ir u t '�Il i '�'��.,M11 9,' � (�� r. y1 YM'• '. 07iF6 �r.'.'e' awr 16.60 �Abearpcian valve _ BackOtru Lmm�ter Pa 7. Bac later valve 16.60 Ciathe,;,msha 16.60 pishwasher 16.80 Drinkul totmtain 16.60 16.60 Fitoantion tan=k 1G,6J ame: � tG• Address: � G Fixturdtewa cap Floor d16WRaot nnkMub 16.60 Cl /Stat zi Dr Garbagc dlapcsal 16,60 Phone: - y- '/ Fax: 2.k;. 3?( ? How bib 16.61, lee crake, 16.60 F• :, 16.60 t aII1C: Inter tor/ ease Pae 2 Medical ea^ value: 5 Address: p cityistate/zi r1 104 _ Root drain conm+ercrcli hong: Fax: 16,00 'Nb/shouretlshau•er m 16.60 )r-81831: Urinni 16,60 {.'.,51 { , _'TVvatct clot 1660 �''T�"`J". .:•u' 11 •! Business Name: water heater 16,80 Address: 77 1 Srk0_ oche. Ci /State/Zi t D 9 7100C Other, s, ,cry, . wr+,t l� <; ','•f', _: Phone:-[, (4 M9K ;ta;,w�!"PllYdtl3tCt Fax: -.ro P14Y Subtotal S CC$Lie. 4: 9(&(0 FLUM0,Lie.l'k:.>!O;/yP1s Minitnt�.n Femur Fec 572.50 S Aurhotircd R+sidenetil earkcow Mlnirlwn Fec 936.25 _ 9i8natutc: _ OMIT,.- Plan?'�ew 25 A of Painit Feel S i Stats Stuch eu (8 Of P�_Fae S 1'r _-�.V "�• o' TOTALL PERMIT FELT S (P'euc rrin:eetne) setlee: This per,ttlt rpphcfbe at eplrec'.r a ptrmit isnot abuincd'vilhis All RN eontmerelai b,tildinp rtgaire 2 soft 1,t plane wlfh Ipatetrle to t80 deyt lft&it,hu beta aettptcd es ramPlcte. rltrr dleanta ter pun resiew. `Flat rortfiedl.te';!ret by Tr;.Cennty 1l1jlldine lndmlry5valce Aoerd. i.%Dst Tcr"t inrmstPlmPmflic4pp.doe 0110 FEB-21-2003 06:49 503 64.1 5';69 :a'. P.02 mech"1111 cal Permit Application -� Received Mechanical Date/13 q/11 b Permit No.: City Of Tigard Planning Approval Building 13125 SW Hall blvd. Date/B : PermitNo.: Tigard,Oregon 9722.3 Plan Review Other Phone: 503-639-4171 Fax: 503-598-1960 Post-DataR . Permit No.: Review [.and e Internet: www.ci.tigard.or.us Dute/B Case Us Us : 24-hour Inspection Request: 503-639-4175 '" Contact Case Page 1 for Name/Methoti: Supplemental Information. TYPE OF WORK COMME New construction RCIAL FEE"SCHEDULE-USE CHECKLIST Demolition Mechanical permit rtes*are based on the total value of the work Addition/alteration/re acement Other: performed. Indicate th%•value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 & 2-Family dwelling Commercial/Industrial Value: _ Sec Page 1 for Fee Schedule Accesso Building Multi-Famil RESIDENTIAL EQUIPMENT/SYSTI;M5 FEE•SCHEDULE Master Builder Other: De:icr ition t Fee ea. Total JOB SITE INFORMATION and LOCATIONHeatin CooUn lob site address: Furnace-add-cn air cnnditionin ** 14.00 Suite#: Gas heat um 14.00 Bid ./A t.#: Duct work 14.00 Pro'ect Name: — III Ildronic hot waters stem Cross street/Directions to job site: Residential boiler 14.00 for radiator or It dronic s stem 14.00 Unit heaters(fuel,not electric) in wall,in-duct sus ended,etc, 14.00 Flue/vent for an of above) Subdivision: 10.00 Lot#: Rc air units Tax ma / arcel #: 12.15 Other Fuel A Dances DESCRIPTION OF WORK Water heater 10.00 Gas fire lace 10.00 Flue vent(water heater/ as fire lace) 10.00 1.0 li hter as 10.00 Wood/Pellet stove 10.00 Wood fire lace/insert 10.00 _ PROPERTY OWNER— Chimne /liner/ftue/vent 10.00 TENANT Other: _ ame: _ 10.00 Environmental Exhaust_&Ventllation Address: W Range hood/other kitchen equipment 10.00 City/state/ i : K Clothes dryer exhaust 10.00 Phone: Single duct exhaust �1 FaX: -_�� a-7 (bathrooms,toilet compartments APPLICANT NCONTACT PERSON utilit rooms 6.80, ame: Attic/crawl s ace fans Address: & fir- Other: 111,00 10.00 Cit /State/Zi : f'f Fuel PI in¢ Phone: Furnace etc. 1.0'*(S5.40 for first 4,50 each additional ._��- �7J" ** F-mall: Gas heat pump ** CONTRACTOR Wall/sus ended/unit heater •• Business Noma. Ina-1111— Water heater *. �� -�i� � — Fire lace .* Address: ICIL Ran e •• Cit /State/Zi BB *� Phone " — Fax: Clothes dr er CCB Lic. #: — Other: '* Authorized Total: — Mechanical Ptubt Fees* Signature: Dater t 3 Subtotal: S Minimum Permit Fee$72.50 S __ Plan Review Fee 25%of P- -iit Fee $ (Please rip name) State Surchar a 8%of Permit Fee $ Notice: This permit application expires if a permit Is not of rslncd Hlthin TOTAL PERMIT FEE S 180 days after It hat been accepted as complete. Fee metht,dology set by Trl-Counq—Building Industry Service Board. i\I)SISTennit Fumu\MecPermitApp.doc 01/03 Site plan required for exterior A/C units. �t" PACIFIC CREST SUBDIVIS101�T CITY OFY ARD CONSERVATION EASEMENT E SHEET 3 T_ 8 / It It �0 It / / %// / / •x. 1 �y,of M ;7 37 , R ri I l_% SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTRCL PRIOR TO BREAK OUT OF COMMUNITY W EROSION CONTROL.FINISHED SLOPES SHALL BE LESS THAN 2 TO I . Volr� 2 SETBACK REQUIREMENTS - uu I.RCOF DRAINS TC STORM FRONT YARD TO GARAGE 20 (�� a LAT. IN STREET. SIDE YARD 51 1 1 V J � 2.FOUNDATION DRAINS TO REAR YAF:D- "15 BACKYARD SOAKAGE TRENCH D.R. Homes 5125 S.W. Macadam Aveneue °`7E 5" Portland Oregon CITY 0F'TIGARD'SITE CLAN ItF.V{r RUII'DINO i ERMIT NO.: PLANNING App- 7 d PP c-ed ❑ N,tt �n�faadc) Required Setbac , ..tt�511 S titrret si,le: -°- 5 fide'. ao (tear: � ut. 15 ( araE•' — O ;"' ,�App��vrd (3 Not Appr nce 1 t? t'eet i�1;i�i�n�un f3��ildint. Hei Itt' aired: ❑ Yes provider {.otter Req ❑ Itcrcic31 , i gam,:j {t -I PAApproved Nh,F.K1 r�'i UE1'MI:N f \ ,tu,il tilupr.� °ii► Appru�ed U N t �� proved Approved 8 !-lite ftiv. lam'