14560 SW CATALINA DRIVE Cfl
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14550 SW CATALINA PRIVE
CITY OF 7 wGARD 24-Hour
BUII_nir.i:; inspection (_03) 639-4175 aT,
INSPECTION DIVISION Business Line: (503)639-4171 (--
BUP
Received _Date Requested Z� -�_ AM__ _ PM— BUP
Location Suite—_ Lf w 3 MEC
Contact Person _ _ _ _ Ph ( ) d t h —9, ( PLM
,ontractor____ --- -- --_ Ph ( ) SWR ----
BUILDING Tenant/Owner _-_ ELC
Footing -
Foundation ELC
Fig Drain ACCPSS:
ELR
Crawl Drain In _
Slab sNertion Note s _ 517
Post& Beam
Shear Anchors -
Ext Sheath/Shear _
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'c Ceiling ---(,7' —
Roof
Other.
PARD PART FAIL _-
PLUnnBIN_G
Post& Beam
Under Slab
Rough-In
Water Service
Sani!ary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAI-L - ------
MECHANICAL
Post& Beam
- - - - _
Rough-In
Cas Line
Smoke Dampers
Final
PASS PART FAIL_
ELECTRICAL
Service -
Rough-In
UG/Slab W
Reinspection fee of$^-_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
R_TFAIL
317E I ❑ Please call for reicspection RE:__ _ —____ ❑ Unable to inspect -no access
Fire Supply Line
ADA Data 1 j,� 2 l
Approach/Sidewalk 0 Inapocto� ___.. `— _a _
Etat
Other: -�
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 a>
INSPECTICN DIVISION Business Line: (503)639-4171 MST 's
BUP _
Received Date Requested. __ AM__ PM BUP
Location _- A(5i(e 16 _—__—Suite L,1� MEC _
Contact Person .___— _ Ph(__—) ( � – �� PLM —
Contractor Ph(_ _) _— SWR —
BUILDING Tenant/Owier _ —_ _ ELC ---
Footing
Foundation ELC - �-
Ftg Drain
Access: ELR
Crawl Drain ------
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors ---- --
Ext Sheath/Sheaf
Int Sheath/Shear -
Framing
Insulation
Z
Drywall Nailing
Firewall -„� T�tPTS ��I T S /,YJC'_ 511((/cP'
Fire Sprinkler
-- -�-�-� ----
Fire Alarm ��� `,• ,�
Susp'd CeilingRoof - D ,?� ,7r-I -
Other: & -i NNENY7 -
Final PART FAIL --�yr I'�^~ _ Y�� Ute U f✓ __
- LUMBI
Post&
Under Slabm -_—_-'P z C//2 LC
Rough-In
Water Service -----�� � - _-- _
Sanitary Sewer
Rain Drains - - — -- -- --
Catch Rasin/Manhole
Storm Drain -- - - ---- ----- -
Shower Pan
Othffr-
ini
FAIL --
Post 8 Beanr ------ ---- ------ ------ --- - -
Rough-In
Gas Line
Smoke Dampers - -----------
Final
PASS T FAIL _ -- --
Service --- ---- - --- -- - _--_
Rough-In -- - -- ---------
UG/S
ow voltago -
-ir
ina Reinspection fee of$-� required before next
SS PART AI � p 4 inspection. Pay at City Hall, 13125 SW Hell Blvd.
SITE Please call for reinspection RE: — _ Unable to inspect-no access
Fire Supply Line
ADA I /(0
Approach'Sidewalk L Inspector�_—_ — Ext
Other:
Final - �— DO NOT REMOVE this Inspection rmmrd holm the job silo.
PASS PART FAIL
CITY O F T I G A R® ---- MASTER PERMIT
PERMIT #: MST2003-00463
DEVELOPMENT SERVICES DATE ISSUED: 10/28/03
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171
SITE ADDRESS: 14560 SW CATALINA DR PARCEL: 2S105DA-17500
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 063 JURISDICTION: TIG
REMARKS: New SF detached, Path 1.
BUILDING
REISSUE: DRH3562 STORIES: 3 FLOOR 4REAS REQUIREDSETBACK^ REQUIRED
CLAS'OF WORK: NEW HEI G,T: 35 FIRST: 1.380 at BASEMENT. 830 at LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,547 at GAR GE: 645 st FRONT: 15 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 TRIRD of RIGHT: 5
VALUE: 368.663.50
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 2.927 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 L AUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: t CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN>=100K: 1 UNIT HEATERS. HOODS: 1 OTHER UNITS: i
MAX INP blu FLOOR FURNANCES: VENTS. 1 WOODSTOVES: GAS OUTLETS: 4
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_
1000 SF OR LESS: 1 0 - 200 snip 0 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 7 201 - 400 amp: 201 400 amp: tat W/O BVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 Goo amp: 401 400 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVCIFDR: 60t 1000 amp: 001+amps•1000v: MINOR LABEL:
10013+am"lvolt
PLAN REVIEW SECTION
Reconnect only:
>=d RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAlSPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL-ENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTP1 IMENTATIIJN: MEDICAL: OTHR:
HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,944.00
This permit is subject to the regulationq contained In the
D R HORTON INC D.R.HORTON INC Tigard Municipal Code,State of OR, Specialty Codes and
4386 SW MACADAM AVE STE 102 4386 SW MACADAM AVE. all other applicable laws. All work will be done in
PORTLAND,OR 97201 SUITE#102 accordance with approved plans. This permit will expire if
PORTLAND,OR 97239 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: 503-222-4151 Phon•: 503-:`22-4151 Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080. You
Reg"° LIC 130859 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanics Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Appr/Sdwlk Insp
Footing insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Electrical Final
Foundation.Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Storm drain Insp Mechanical Final
L_ Post/Beam Structural PLM/Underfloor Framing Insp — Gas Fireplace Water Line Insp Plumb Final
Issue B i CU , ` It�ll�jl A '.�l/i�� le
By : __->� _T � Permittee Signature :���_�_ _
Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00346
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/28/03
SITE ADDRESS; 14560 SW CATALIIJA DR
PARCEL: 2S 105DA-17500
SUBDIVISION: I'ACIFIC( RE'S I ZONING: R-7
BLOCK: LOT: na i JURISDICTION: I
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Suwer connection for new SF
Owner. —__---
— _
D R HORTON INC _^� FEES
4386 SW MACADAM AVE STE 102 Description Dale _ Amount
PORTLAND, OR 91201 1SW( S/\I S\\r Conncct 10/28103 $2,400.00
J S W USA Scr(unnecl 10/28/03 $0.00
Phone: S03-222-4151 [S\A'INSI'] Spar Inspect 10/28/03 $35.00
[SWINSI'] Sa•r Inspect 10/28/03 $0.00
Contractor: -----
Total $2,435.00
Phone:
Reg #:
Required Inspections
This Applicant agues to comply with all the rules and regulations of the Clean Water Services. The permit e;:pires 180
days from the date issued. The total amount paid will be forfeited if the permit expires ?hq Agency does not guarantee
the accuracy of the side sewer laterals If the sewer is not located at the measuremen, :-.en, the installer shall prospect
3 feet in all directions from the distance given. If not so located,the installer shall purch,asn a"Tap and Side Sewer' Perm
Isslted by: /� �l(`.r i�� _ f'errnittee Signature: , r u/�/r��
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the t,gxt business day
Ira r� Ib• ►n•C3
Building Permit Application Rccetved /-" Building
Date'By: L Permit Ivo.:11lyf�" fJ��=�
City Ot Tigard Planning Approval Other
y g Dale,B . Permit i io. W 'OD
13125 SW flail Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: T 'I -o j Permit No.
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By! se
Internet: www.ci.tigard.or.us ald, Contact See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction I Demolition 1 &2 FAMILY DWELLING
Addition/alteration/re lacement 7 Other:
CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
Accessory Building Multi-Family
overhead and profit for tha work indicated on this application.
3�d �� ?
❑ Master Builder Other: Valuation................. � • )-TJ s
_ JOB SITE INFORMATION and LOC TION No.of bedrooms: No.of baths: _—
Job site address: Total number of floors.....................................
New dwelling area(sq.ft.).........3.7.51.. —_-
Suite#: Bld ./A t.#: Garage/carport area(sq.ft.)............................
Project Name: Covered porch area(sq.ft.)............................
Cross street/Directions to job site: Deck area(sq. ft.)............................................
Other structure arca(sq. ft.)..........................
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: �� �.ot#: (p�
Tax map/parcel#: ( Note: Permit fees•are based on the total value of the work performed. Indica
—�' the value(rounded to the nearest dollar)of all equipment,materiels,la
DESCRIPTION OF WORI�-
overhead and profit for the work indicated on this application,
Valuation........................... ................... ..... S
Existing building area(sq. ft.)...................
New building area(sq. ftJ............................... ,
Number of stories............................................
PROPERTY OWNER TTT TENANT Type of co (tion.......... ............................ _
FName: i l htl l�I k Occu cy group(s): Existing:
New:
Address:, ► (City/State/Zip:
Phone:� "j,'j'� / Fax: �3 • ,yn•,yf/7 NOTICE: All contractors and subcontractors are required to be �
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: - jurisdiction where work is being performed, If the applicant is exempt
Contact Name: ffitple from licensing,the following reason applies:
Address: V.M49_�Shc_�2� �Y1 /6�-- -- -
Cit /State/Zi &Pduhi,
Pho Fa3—`'��"37/7 -
E-mail: BUILDING PERMIT FEES*
Please refer to fee schetinle.
CONTRACTOR -- —
Business Name: e " Fees due upon application.............................. $
Address: Jyk S l x/07
City/State/Zip: ! -'3111
Amount received..... ...... ... .. ... .. . ...... . .. . S
Phone: '�f/ Fax:0 - d, 3? /7 Date received:.
CCB Lie. #: / p - - - - - - ----- ---
Authorized Nonce: This permit application expires if a permit Is not obtained sslthln
Signature: _ _ Date: O 180 dans atter it has been accepted as compl-te.
�00 50 — •Fee metbodoings set by Trl-Coun!y Building Industry Service Board.
-t (Please print name)
i:\Dsts\PermitForms\131dgPemiitApp.doc 01103
NLY
Mechanical Permit Application '
Application FOR
Mechanical
Date/B•: '/ /I 03 Permit No.: i pp�(p3
�l of Tigard Planning Approval Building
�J g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use
?*r?
Internet: www.ci .igard.ur.us Date/By: Case No.:
Contact 1uris.: See Page 2 for
24-hour Inspecti in Request: 503.639-4175 Name/Method: Supplemental Information.
_ TYPE OF WORK COMMERCIAL.FEE'SCIiEDULE-USE CHECKLIST
wnstruction __ Demolition Mechanical permit fees*are based on the total value of the work
Addition/alteration/re lacement I LJ Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit.
1 & 2-Famil dwelling Commercial/Industrial Value: S See Page?for Fee Schedule
Accessory Building LJ Multi-Family RESIDENTIAL E UIPMENTiSYSTENIS FEE*SCH DULE
Master Builder F1 Other: Descri tiont _Fee ea. Total
Heatln Coolln
JOB si rE INFORMATION and LOCATION Fumace-add-on air conditionin *• 14.00
Job site address: 1665W 4 Gas heat pump 14.00
Suite#: B g./Apt.#: Duct work 14.00
Project Name: H dronic hot water system 14.00
Residential boiler
Cross street/Directions to job site: for radiator or h dronic system) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct suspended,etc. 14.00
Flue/vent for any of above 10.00
Subdivision: Lot#: Repair units 12.15
Tax map/parcel #: - Other Fuel Appliances
Water heater 10.00
DESCRIPTION OF WORK Gas fireplace 10.00
Flue vent water heater/ as fireplace) 10.00
Log lighter(gas) 10.00 _
-- --— Wood/Pellet stove 10.00 _
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY OWNER TENANT Other: 10.00
Name: — - r Environmental Exhaust&Ventilation
Range hood/other kitchen equipment 0.00
Address: 0*1'�2—
City/State/Zip:/State/ZI Clothes dryer exhaust 10.00
- Single duct exhaust
Phone: -y Fax: - f.2j--3 r7 (bathrooms,toilet compartments,
APPLICANT WCONTACTPERSON utility rooms) 6.80
Name: Attic/trawls ace fans 10.00
Address: Other: _ 10.00
fir' Fuel Piping
City/State/Zip: QR14 "(55.40 for first 4,$1.00 each additional
_
Furnace etc. •' _
Phone: y�J'�i,y/ Fax: 0'3 r — l ,
Gas heat pump •`
E-mail: Wall/suspended/unit heater '•
CONTRACTOR Water heater '*
Business Naine: Fireplace •*
Address: (��' r S�j�J Ran e •'
.. _
Cit /State/Zip:AJV C othes dryer as •'
Phone —_ qFax: Other:
CCB Lic. #: ?d _
Mechanical Permit Fees*Authorized _
Subtotal: S
$IgnIISignature: 1� Date,- —
Minimum Permit Fee$72.50 S
Plan Review Fee 250.6 of Permit Fee S
(Please rin name) State Surcharge 8%of Permit Fee S
TOTAL PERMIT FEE S
Notice: This permit application expires If a pertnit is not obtained�%Ithln *Fee methodology set by Tri-County Building Industry Service Hoard.
160 days after It hal been accepted as complete. **Site plan required for exterior A/C units.
ODstsTermit FormsVNerPermitApp.doc 01103
02/20/2003 16:15 5035422900 ROSS ELECTRIC PaGE 01
02/20/2003 16:1' 503-222-2675 DR HORTON PDX CONST PAGE 02
Electrical Periu_ it Application Received memcal
PlsrrngApprovtl Stn
DiCi of Tigard a
e3rrrr(1 No.:
13125 SW Hall Blvd, Plan Revlenr Other
Tigard-Oregon. 97223 Date/9y: Permi No.'
Phone: 503-6394171 Fu: $03.598-1960 post•Revrew Und Use
Ds;;M . Case No.:
Iatemer www.ci.tigard or.ua Corttdct )Uri..: W See Pap 2 for
24•bour Inspection Request: 503-639-41.75 Nark lethcd: 9u IemeatalLtlbrrlLllion.
1 `1`'�lT1t"' :':;!, TYPE'.flPYkYQ r,,, ,Bail";n.'1' ":, , P�•' f�NFfEW lPl'ea" 161w p e'I': Z
New eorlaTMT+e,cu Demolition Savice river 225 amps- Natlth-caro halliry
commerelnl (]}tar•Ardous locatlon
Additiott/alttxation/re laoetllt' Other: i�Sonnet ours 32o empa-rating or ❑lluiidind over 10,000 sgturo Atr,
;';��+0.";INI_j ;C TE d OFF�ICITi r0 '",'" Is, !: r-1 t A 2 fesTrily dwelling four armors midel.641 until m
I &2-Family dwelling Co=ercial/Indtlasial U System aver 600 Vela normntl one smKhze
Acccssor Building Multi-Farnfly
U Building over three morles ❑rtedets,400 Arm or mors
Occupant load over 99 pons ❑M3RAclumd structures or RV park
Master Builder Other: Egref3/110tittgplO ❑other'.
IIA ; ;;11, 4 Tl Iv+ ifdrt t Submit_sets of plans rvttb any or tht above.
LOG�1Ttdla' _ �:
The above art not t lierble tt m rt a nstraetlo0 tervira
Job site address: {- . p ;; �ptt rr���e -r--
I� ;;, 'n+'..�i�g'i:�'��';:,;I��i�f,)i' E� ti'�'.�D1Y�aY't�^
Suitt 0: 1 13fdr_,/AptA_ Numbs of inspections per pennit allowed
Project Na=: r ;,� Description Qtr I pre(os,) Us!
CI099 Sfr'etlDifeCtlOt15 t0 job site: New mild.tuakinaa or muh4ranuly'per
1 dtrellhtg aalt laeltdes aRtdhed ganea.
Settee@ ittlndedt
1 009-sq.,k_or less 1 143.15 4
EachPrtiona 90�R err on CKrcot' 23AO l
Subdivision: imhrd �, •U s.0o 1
_Rl��f�C�rt'" LOt�: ,�, Lon t�riafnnat 75.00 2
Tax ma / arc-0#: tstmh nlanufnotnred home or rhodu(ar dvn1ImA
service md/or ttedar 9190 2
Servkes or feeders-lasttllatlon,
_ alteration or retceatim;
1 am a or lest 90.30 12
-- 201 o a00?mcs 106.85 2
401 m—ap O 00.60
7��
.PIt�T2 C1 tall' t', e,,�11;'�i.°i'�IIL� .."r'lll' 4PI KMIE to_INO MV_ 1
� p ��Y - Int/ - 2 IS 00ronp� Path 454,65 2
tg N� — Reconntorooi 66 93 2
ddress: Q �ty/StaWzi 01 —1 200Aml.n errrtitniti.n:
_/ 200 amu+or 1cs 66.65 1
Phone: r- p 'lxZ -3'JI^ 2 am to uapa - - 10030
FrdCC' �, '"'r :r;': C'(9AG�T C T'H RS 1!f i ^�;'l;� l 401 b 6 0 x _ 11D-7S 2
aJY� Bratch eireuin-new,artvrxt;ot,or,
Name: 11,0 1erfeuslon im r panel,
Address: 1 C # ��,-, a rte ror tnwh mounts with purcheso of
eeTtriee or Aader fivoi tach bmmh creult 6.65 1
Cl /StatC/zi : �� 7�?D B.rite Ibr brmch Nroyits without purch,ut of
Phone: '�!5?' 1�/3y4 •y�►y �'?' r*7 le7tiiee 1lsdcr res Am brxmb e�+it 46.15
tch adds oaal!handl drools &6f._ 2
E mail: MLTo.t6cr�lcaarhrdernotmeludoC
K'la' 'll'INIR fl(t4: IICsV._�rTt .• — ,111Q'41_74 mD Or dbno ion cine le — 53,40 2
Job No: 19aoh pp at outline 11 rOnr _ 53.40
SiltMl rirnrif(q a�I mited rtnarEy pane+,
Business Name: Ii Oltemdon,or ern tltoon 2 z
Oecetipnon�
Address:-2 3,�,10 5 w Or L Ir{- c.N
G• 0/� Each tddiboatl lm Gon owr the sUs+yble In f orthe above_
�1 /$te7telZ1 F-FI ii wC l''O
r err its tl r Ise min I how) 6111
Phone:4Y 2- Z»u� Pax: .s�3-G1YL_5W15 lavestl how ee.
CCB Lit:. #: ! r69a711:31. .p: -y G c Otber, _
I,l;j,d :;�V »r'�'.' ,,ElcttrYl�ll I;MJnelt•FCi!'►.' '16'I'1'n�.L� r�.u:i!t�iy;.,
Supervising electricipm Subtotal I 9
si itu-e r0 aired; plat(RRvlcw ?S%of P t Fee S
Print Nome:5t e v- . Ro s 5_ Lic.#: YI3 ; Sante S',aahme(11%Of P«na Fee)
Autlttsrizcd TOTAL PERM1IIT FEE $ _
Notlet: This/ermle uplimtlot @spin@ lit a pori-4 if eat obtbined witbin
Im doy@.Qer it Iv:t--IL teeepted toeompiete.
Thl o e �— •ret rnethodelory tit,by t t:Cs,trtbn fluildite Itdasfry Service @anrd.
1
(Fk=c lam name)
isNDstel►etmitPor*ts�EICPCT?tdtAppdnc 01�J
FE 8-20-2001 16:15 5036 22ot]0 3 F.(l,=
02/211/2003 05:53 503-544-5993 (7AFTWOPK PL UMBIr1G PAGE 02
02/20/2003 16:pjs 503-222-2575 DR HORTM) PDP, C^MST PAGE 02
Building Futures ping Perdllt ApplidiOn RCOeivr7!!
Plurt'binb0
Dam/B P i No.: �� ''
EJ
Sewer
City of Tigard prrsrlisN°'
13125 SW Hall Blvd- Otho
Permit Nc.•
Tigord,Oregon 97223 Lana lire
Phone: 503-639-4171 Fax: 503-599-1960 ;aseNo•:
lana.: src r2ec r.for
wernet www.c1.rigard.cr.us clatI' ppirtn«ntn,Inrortnnrion.
24.hma lntpecbon Request: 503-63y•417� -
•�'1 yai1111it/ �:��!yI>r F. �'�i� BK.�9Vli'�i�.0 i�N .i.•�,-- ,��•q�'`•i y.I.IT'p w 41.c.'w+sa ��, t1l4a ... 6 • . '
Doge l"I t3�Cr1Qry. e9.' Total
New const7uctitm Demolition �; 1f „=0270
�w"' u'16wri�r�'';i
Addition/alteration! laeement Other: ;�; ',IJ?t+yt ,, lam" ' IFd'i!',>sb aV'�k,: ,;a
y. �rJR rF�. 82R C s,'n�;�. ,•.: :', SFR 1 bath 249.20
2-Family dv"n1h I ComlmerciavIndustsial 5FR f2 bath 350.00
[]Accessory Building Mu1ti�Famil SFR 7 bath 399.00
ustier Builder Other:Otheaeh add tional b.ilUlate}+en 45.00
s
M
t.
IMS E' [ ;�t1t1'i1 I0 + t FiretYetnkler I s .ftPa e 7
v Ww
"•"I � i.7.;91W'+'tl'iniMi+ j'17L II ! �'••�•� ••� tl{ �y?F1111d �1.' .'1:'�'7i ' Pil
Job site address: titch batlrvarea drain 16.60
Suite#: Bld �A ` D vcltlieaeh lice/trench drain 16.60
)erect Narne7 Footing drain no. huff ft.
Cross stTet iDirections'o job site: Manufactured bony utilities 110.00
Maacholei 16.40
Pain drain connector 16.60
Satiny sewer(no.linear @ Pago 2
Storm sewer no-linear ft. Pape 2
Subdivision: aU Lot 4• ;, � Water servtcc no,rimae tt• Page 2
Tax rna 2rCt l#: _'^_ N;,^ IItY'i;Zf�iY gni I i �4. �1+161f�t{ty� i_ tt4� iR 4
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valve 16.60
Baakiltrly ecnrer _ Pa 2
Baek-jister valve 16.60
clothes vtsher 15.60
Plihwesher 16.60
DrInkLi four,#An 16.60
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MP-1660
acne: 1Ile Expulsion auk 16.60
Fixtura/eewcr cap 16-60
Address: Floor draWilaot zrkhtub, 16.60
Ci /Stat ZiDYJ Garba rc disposal 16,00
Phone: r- Fax: y y' 37f 7 Hosebtib 16.60
ITT "'t" ` ,;'.� lC o �;"^ �'I Ice maker 16.60
" - Inter tnr/arse tsay __ 16.60
ame' Medical •-vale!; > Page 2
Address, hvollkTo �'- 16.60
(✓i i5tate/Zi Roof.dtun(commefel!1� _ i 6.60
Phone: I Fax: F Sink/basdrUlivtuo 10,60
E-mail: T•tb/shower/shower nm 16.600
sNas,:+_" 6f- t�J V'scr close, 160
Business Name: � H,'atn heater 16'80
Address:
Q. c W
Ci /State/Zi D 9 7�b f other' ��ilur� t1r"",f'
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Phone:
44-VT Fax :4) s
CCB Lie. 0: �' �i 4 Ph1mb. Lic*-2p_-N Pts Miriunurn Perror�S-,230S
Residenettl f?ackilow Minimum 9(PPLUc• Date Plan Uyiew 25'x,of 5
� � Q� f Steve Stuchar R9�.of Penta Fee) s
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PERMIT FEE S
lgatlet: roil permit spphceifen"plret it a arrrair ht n+t nbtalncd ,Wilby All nep eottrmrrela►W11d1nr eegou '.rec n{picas wMh IremeMe er
IPO dayt aIle►k ha%bcH uetpted n complete rlsrr dia(mrs for plan review-
•pet metbadelor ret by Tr-Corny 111d,tNnr industry Service Board.
i.��sia\PerrluiFormt�PLnPermitAypdx t)1.ro3
FEP-?1 =Ofl D6 a9 503 6.1.1 5'3919 �6'. P.O
PACIF-IC CRES-r SUBDIV ISIJN
LUT - 63
CVFY OF VIC Aj&,RL)
CONS VATION
EASEMENT
S E H�E j 3,,
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A GEOTECHNICAL SHALL BE FINISHED OR THE LOT
[lJ-')VEC'Tlr,)N
EPORI IS REQUIRED SURROUNDED BY EROSION CONTROL
w EFORE THE FOOTING PRIOR TO BREAK OUT OF COMMUNITY
IS APPROVED EROSION CONTROL. FINISHED SLO?ES
SHALL BE LESS THAN 2 TO I
>>
6 SETBACK REQUIREMENTS
SCALE,y.M.F— I.ROOF DRAINS TO STORM FRONT 'f ARD TO GARAGE 9�
LAT. IN STREET SIDE YARD 5
.�.� ' C� 2 J 2. FOUNDATION DRAINS TO REAR 'YARD is,
BACKYARD SOAKAGE TRENCH
D.R . Ho -
tton Homes
x125 S.W. Macadam Aveneue
�„C,,E �.. ;,� Portidnd Ore on Fes.
ITE P1..AN R'E.VIF:W .
ctTY OF TI ARS
D - S o
MIT No�-
R01.DING PERMIT [3 N,,t ApP�'wrd
1L ANN1NCi DIVISION Approve o
yt.equ,red ks:
Setbac
Side. 15 Gur:tPc: Q N .,r �.,4
\�i5� ;,1 t'Ieura�u;K (,1• � Pert � r;
. Yr'
ti1 ►.imt�nt I�tiitdin,-Ne�L� � R�`c'��ed
Srrvi.r i'n,viurr LcNer Ittcyaired
9 ./'!�--
t t I Ml•N N�►► Appr.wecl
1 ;(i1N1,1--, I APPruvrd ,� A 1111 rJ
,,ite Plast
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Notr.�'
CITY OF TIGARD 24-Hour
BUILDING Inspection Line; (503)639-4175 3 _
INSPECTION DIVISIONBusiness Line: (503)639-4171 MST
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Received Date Req ested_ `�� 3 AM�RM_ BUP _
Location 7 Scam -�t,•� _Suite MEC
Contact Person _ ��� Ph( ) ,,�l `� _ `� 'I PLM
Contractor . —__ PhS
VVR
BUILDiAG _ Tsnant/Owner ELC _
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Dram —�-
Slab Inspection Notes: SIT _
Post& Beam
Shear Anchors --
Ext Shealh/Shear
Int Shoath/Shaar ----
Framing "�_ _. C < _
Insulation � ��-- ���� � —
Drywall Nailing
Firewall
Fire Sprinkler — -- ---
Fire Alarm
Susp'd Ceiling — - --- -
Root
Other:
PART FAIL --- ----�_-- -
MBING _ _ —
Post&Beam - —
Under Slab
Rough-In -
Water Service
Sanitary Sewer
Rain Drains --.---------- _
Catch Basin/Manhole
Storm Drain ---- —
Shower Pan
Other:
Final
PASS PART_ FALL ----��-- -- - - --
MECHANICA: -
Post 8 Beam --- ----� -----
Rough-In
Gas Line
SmokSAampers
Fn
_ PART FAIL
-------- —•--- -
_ITRICAL
Rough-In
UG/Slab —
Low Voltage
Fire Alarm —
FPAReins $ uired before next
PASS PART FAIL � Reinspection fee of required Inspection. Pay at City Nall, 13125 SW Hall Blvd.
SITE ---
Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line ,L
ADA
Approach/S"dewalk Inspector
Other:
Final DO NOT REMOVE this Inlspeation record from the job eke.
I PASS PART FAIL
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