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8044 SW CAROL ANN COURT SITE PLAN LOT: 30 BLOCK: N/A SUBDIVISION: DURHAM SCHOOL PARK SECTION: SW 1 /4 12 T--2S R- 1 W W.M. CITY: TIGARD COUNTY: WASHINGTON STATE: OREGON SCALE: 1 "= 8' TAX MAP AND TAX LOT No.: TAX MAP 2S 1 -� 1 2C � SITE ADDRESS: 8044 S.W. CAROL. ANN C=OURT ZONING: R — 12 OWNER: HERB HOFFART & Co. 46.:52 S.W. VERMONT PORTLAND, OREGON 97219 TELEPHONE: 244-0876 I + 1 + �' d S 01 17.28 W 82.00 I ' rn - ; PERn►iENANT DRAINAGE EASEMENT Lor LINE C� 1 8.49 DOC. NO. 95-047641 Ln 168. W I o I a 3 I SET BACK Ll —+ _..� — — — — — — — — — — — — — — — — _ 28.50 o _ Q Y , , W r o A � � 17.50 I L 0 T J0 I� . CO �, , 0 Q 0 1 C,.3 5. 00 Lj �� a 0 w \ � + I 9 �"C BLDG AND GARAGE FIN FLOOR = 16.x. 0 0 _ _ _ � "' --� � 15 Z —SS W rYj > O I t 1 0 Q CEJ Y g J N r a L 0 T AREA 2, 804 S. F. `' pN �' co N rA I 00 , V I � I cn CD ' "' � I i (0- 46. ' 46. 00' 20' I e 11.69 16 SET BACK LINE _ - 16� � so I S ER I Q LOT LANE S 01.17'28" W 82.00' �' �0 _ ..- W - - � I � I I I � , I rr I ( r TT� r_.i rj�I- Jill- �1. 1 1I1 1 1 ( 1I III I IIIII I I IIIII l �_ p fi 1 1 1 I1III - r1t1I1I1 ! II IIi. I' IlIlfiI IlIIIIINOTICE: IF THE PRINT OR TYPE ON ANY 1111111119> 1IMAGE IS NOT AS CLEAR AS THIS NOTICE 2 6 7 10 1112 c _._.. ► r '� IT IS DUE TO THE QUALITY OF THE No.35 -m-�• !�... -� � ORIGINAL DOCUMENT g 6Z 8Z— LZ — � � Z � Z EZ Z IZ 0Z 6T 8tLT 9T 4T � T E1 ZT ZT T 6 A S L 8^— 9 J? E Z T , iw ►ill illi Ilii IIII LIII illi ilii Ilii Illi IIII ILII l�� 1111 < <�« ���� I�u Illi llll II�� Ilii ILII ILII ilii �ii� ��� �� � ���� � ► f, I - I d 00 0 cn J 1 0 D 0 0 c i 1 l 8044 SW Carol Ann Court CITY OF TIGARD BUII.DING INSPEC'nON DIVISION MST 24-Hour Inspection Line: 63. 175 Business Line: 639-4 BUP _ Date Requested l f' • 3 AM__ PM BLD Location i c "I L-��tAwCLy�.�-,_ Suite MEC _ Contact Person Ph 71 c PLM Contractor Ph _ _ SWR F61 ILDING Tenant/Owner ELC Retaining Wall ELR Footing Acce�s. Foundation FPS Ftg Drain Crawl Drain Inspection Notes, SGN Slab Post& Beam -� -� - ---- — SIT Ext Sheath/Shear Int Sheath/Shear — --- Framing Insulation —�- - - -- -- Drywall Nailing Firewall — Fire Sprinkler Fire Alarm --- -- --- ---------- - - Susp'd Ceiling Roof -- Misc:_ _ ----------- Final - PASS `PART FAIL Post&Beam Under Slab Top Out Water Service Saliltary Sewer --- --- Rain Drains ilia I PASS PART FAIL. MECHANICAL Post& Beam Rough In ,as Line — Smoke Dampers ` Final - PASS PART FAIL ELECTRICAL -- --� Service Rough In --- — UG/Slab Low Voltage �— Fire arm 4U- SSV PART FAIL Backfill/Grading -- -- - Sanitary Sewer Storm Drain I ] Reinspection fee of$ _ required before next ins.rrmction Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RF I ] Unahle to inspect no,ccess ADA Approach/Sidewalk / /Lt' Other Date _ �� _ Inspector- __ _ _ _ Ext Final PASS PART_ FAIL DO NOT REMOVF this inspection record from the job site. CITY OF TIGA►RD BUII DING INSPECTION DIVISION 24-Hour Inspection Line: 63t 175 Business Line: 639-4', L 1i� BUP _Date Requested // j AM_ PM BLD Location --- Suite -- MEC _ Contact Person � _---� Ph �7� _'� efc _PLM Contractor Ph SWR _ BUIL.DING _ Tenant/Owner ELC Retaining Wall - Footing ELR _-- Foundation FAc.cess: --- FPS Fty Drain - Crawl Drain Inspection Notes SGN Slab ---- Post& Beam --------- ----------------- SIT - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation - ---_...___-- --------.---- -------� ---_.___ - Drywall Nailing Firewall --------- -------—- --- Fire Sprinkler Fire Alarm - ---- --- -- -- - - ---- ------ --- -- Susp'd Ceiling ----------------------------------- R c af -- -- -- Misc: Final --- -- ..`--- — --------- — -_-._ *PASS l4itT FAILM. earn — - - ----------------- -- Under Slab ___. ---- --------------- --- Top Out Water Service - -- Sanitary Sewer --- - -- -------- Rnir grains PAS � PART FAIL --__.-�_-.--- --------------- CHANICAL -- ------------___-.__-----.- Post& Beam -- --- --. — —-_ -.— Rough In -- ------ -------.— Gas Line - --- ------ — Smoke Dampers — --- -- ---.--_._--- Final --- PASS PART FAIL - - ---------�_ �~ --- — - �- ELECTRICAL Service - - - Rough In -_-' ---- -------..—.- UG/Slab Low Voltage --- --_ ------ Fire Alarm Final _.- _------ --------- ----------- PASS PART FAIL SITE � ------ —_ ------ ----- Backfill/Grading --- ----- -- _-- -_- _ Sanitary Sewer Storm Drain ( )Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin - Fire Supply Line [ ] Please call for reinspection RE _ _ [ ]Unable to inspect- no access ADA Approach/Sidewalk Date / 0 /CInspector ---7 + Other - _ Inspector Final -—-------'--_ PASS PART FAIL-J DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST �L��, - BUP Date Requested AM PM _ BLD _ Location_ U D(/O qC! LrJ CC(Y �'l � �1 C _ Suite _ MEC Contact Person Ph PLM T— Contractor Ph SWR -1 Tenant/Owner ELC _ Retaining Wall ELR _ Footing Access: - Foundation FPS Fig Drain SGN - Crawl Drain Inspection Notes: - — Slab _--- _ _- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -� Framing �__ i --__------ Insulation Drywall Nailing ---- - ------ _� ---__,_-- --------______._-,--- Firewall Fire Sprinkler --------- _ _n - - -- u-..------ - ---- - -- -- Fire Alarm Susp'd Ceiling Roof Misc: - - ---- -------- ---- ----- --- r man ASSPART FAIL ------ ------ -- -- ---- -- -- ..__. PEUMBING Post 8 BeamUnder Slab Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL Post R Bearn Rough In Gas Line - ----- -- --- - ------- Smoke Dampers A - PART FAIL Service Rough In UG/Slab -- ----- -- - - _ - -- -- -- Low Voltage Fire Alarm ------. -----------__ -- Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:__ — ( ]Unable to inspect-no access ADA Approach/Sidewalk Date 7- d Ins eCto, Ext Other -+�--- P , �- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �►♦eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeei� i o � i tTl d w r �� ► ! J J b. d i V-, n ► '1 ► r \ 11 ► L40') CL44 O � ► rD tz7a. Nib. Cn ~ ► O, !' 1 ► 44 (n ► p.44 ► �l a ► N cry ► 44 H cn H M Mti O -.. ► 44 a Poo.c=s' ► ' � ►r4 r... 44 V �' ► c� ► 44 q o j �44 ► t � ► t ► n � � � � s �. a � ° � -- S � �' � � a_ Q y Q �+ 2� '� „1 �. I, 0. r `) rAV 111 ,y J < 4f,V � y � �, � � � R � � " �; � �. Q h Z �'� �.. n � � � g � ,,�. � � `�►� Q � i _' ^ A '�►. 70 �� � � D F J � � o � � � 0 ro � � "� O ' C ' ,� 4 E �' CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00289 Date Issued: 5131101 Parcel: 2S112CC-16000 Site Address: 08044 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 030 Jurisdiction: TIG Zoning: R-12 Remarks: SIF Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the Plumbing permit to be valid, please have the approrriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, f\TTN. Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: HERB HOFFART CRAFTWORK PLUMBING INC 4632 SW VERMONT STREET 7736 SW NIMBUS AVE PORTLAND, OR 97219 BEAVERTON, OR 97008 Phone #. 503-244-0876 Phone #: 644-8698 Reg #: I Ir 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM d ?// Signature of AuthorizedPlumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE EASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 2C6 PORTLAND, OR 97220 Electrical Signature Form Permit #: MST2001-00289 Date Issued: 5/31/01 Parcel: 2S112CC-16000 "te Address: 08044 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 030 Jurisdiction: TIG Zoning: R-12 Remarks: S/F Path 1 Your company hay, been indicated as the electrical contractor for the permit indicated above. In order for the electrical pennit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return i its Electrical Signature Form prior to the start of the work to the address above, ATT'N: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: HERB HOFFART EASTGATE ELECTRICAL INC 4632 SW VERMONT STREET 1410 NE 106TH PORTLAND, OR 97219 SUITE 206 PORTLAND, OR 97220 Phone #: 503-244-0876 Phone Req #: LIC 43701 ELE 26340C SUP 1512s AN INK SIGNATURE IS REQUIRED ON THIS FORM X Sijnatulh cf Su c-rvising Electrician If you have any (juestions, please call 1503) 6394i71, ext. # 310 �ya�— CITY OF TIGARD MASTER PERMIT PERMIT#: MST2001-00289 DEVELOPMENT SERVICES DATE ISSUED: 5/31/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS•. 08044 SW CAROL ANN CT PARCEL: 2S112CC-16000 SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 030 JURISDICTION: TIC REMARKS: S/F Path 1 BUILDING REISSUE STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: e,3( sl BASEMENT: e1 LEFT: 5 SMOKE DETECTORS: v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 929 at GARAGE: 380 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENT: sl RIGHT: 5 VALUE: $143,685.50 OCCUPANCY GRP: R3 BDRM: 4 BATH: i TOTAL: 156500 at REAR: 16 PLUMBING SINKS: I WATER CLOSETS: WASHING MACH. 1 LAUNDRY TRAYS' RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS* 1 CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP. I WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR I GREASE-TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES _ FURN<10OK: I BOIL/CMP<3HP: VENT FANS 4 CLOTHES DRYER: I 6AS FURN-100K UNIT HEATERS: HOODS: I OTHER UNITS. i MAX INP: btu FLOOR FURNANCES. VENTS. 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIrEEDERS BRANCH CIRCUITS MISCELLAN,OUS ADD'L INSPECTIONS_ 1000 SF OR LESS: I 0 200 amp 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500Sr: 2 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY 401 600 amp: 401 600 amp: EA ADPL OR CIW SIGNALIPANEL IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601�amps•1000v: MINOR LABEL: 1000.amp/Voll PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR,-225 A.: >100 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO. VACUUM SYSTEM: AUDIO 6 STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPE:IRRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR. HVAC, DATA/TELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,160.01 This permit is sub)ect to the regulations contained in the 4632 SWW VERMONT STREET 4632 SW VERMONT HERB T HERB HOFFART Tigard Municipal Code, State of OR Specialty Codes and ER PORTLAND,OR 97219 PORTLAND,OR 97219 all other 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 the work is suspended for more than 180 days ATTENTION Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set R"p" 1" 1•`1 forth in OAR 952-001-00101hrough 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beanl Mechanica Plumb Top Out Low Voltage Water Line Insp Final inspection Sewer Inspection Underfloor insulation Electrical Service Gas Line Insp Appr/Sdwlk Insp Footing Insp Footing/Foundation Dr; Framing Insp Gas Fireplace Electrical Final Foundation Insp PLf1/Underfloor Shear Wall Insp Insulation Insp Mechanical Final Post/Beam Structural Mechanical Insp Exterior Sheathing Insl Rain drain In!p Plumb Final Issued By Z-� Permittee Signature : �c�� �Xlr _ Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGAR[) SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S -00162 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/33 1/011/01 SITE ADDRESS; 08044 SW CAROL ANN CT PARCEL: 2S112CC-16000 SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 030 _ JURISDICTION: TIC TENANT NAME: USA NO: FIXTURE UNITS: 1 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: L-T''S`/1/R IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwellirg. Owner: _ FEES_ _ HERB HOFFART Type By Date Amount Receipt 4632 SW VERMONT STREE-r — PORTLAND, OR 97219 PRMT CTR 5/31/01 $2,300.00 27200100000 INSP CTR 5/31/01 $35.00 27200100000 Phone: 503-244-0876 Tntal $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total arnount 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" Permit and the Agency will install a lateral ATTENTION Oregon law re:;uires �ju to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth ir.OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: — — Permittee Signature: — Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day Building Permit P'ermit Application `` City of Tigard Datcrcccivcd: � •,�0/ Pcr�rtA.. z pct / —00L Project/appl.no.: Expire dale: Cirynfl'igard Address: 13125 SW Hall lllvd,'Tigard,OR 97223 -- Phone: (503) 639-4171 bate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _— 1&2 family:simple Compl^;x: 7_�Xl & ly dwelling oraccessory UCommercial/industrial U Multi-fr.mily U New construction U Demolition teration/n:plat enurnt U Tenant improvement U Fire sprinkler/alarm U Other: JOB SITE INFORNIA]"ION Job address: 77744 --:rCJ ,0.¢U L A.J,J Or Bldg.no.: Suite no.: Lot: ,j p _ Bhxk: Sur division:Z)UWu,d! C�o.V riy�tva. Tax reap/tax lot/account no.: I - C VIC Project name:1_2�G,,e,c�,p,t,{ S Czti/eec. �ra,e De-scnption and location of work on premises/special conditions: OWNER FOR INFORMA]ION, USE CIlt'.('KI.IST _Name: t h h Mailing addr--ss: 3� .S� �/ _ 1 &2 family dwelling: City: �,y�L — state: "LIP: Valuation of work....ky.,.� ............... $ Phone: - w.pp Fax:.7,/,/-to f E-mail: No.of bedrooms/baths................................. Owner's representative: -- � alas. 'Total number of floors................................. _�---- Phone: ,,f_p M Fa New dwelling arca(sq.ft. ) .......................... Garage/carlwrl area(sq. ft.)......................... _ JIG Name: Covered porch area(sq. ft.) ......................... _---- Mailing address: Deck area(sq.ft.) ........................................ jL --- -� City: State:p ZIP: 7 Other shucture arca(sq. ft.)......................... _ Phone:a as" Fax:��Kod7 E-mail: Commercial/Industrial/multi-family: CONTRACT Valuation of work................................ ..... $ Business name l atm (� Existing bldg.arca(sq. ft.) .......................... Address: gCF a S� -- New hldg.area(sq.ft.) ................................ — Number of stories........................................ — — City: State Type,of construction.................................... Phone:,Q-/•/•c)� Fax_a��J __. — - �E-mail: Occupancy group(s): Existing: CCB no.: � ?�y --- --- _ New: --_— .. ..----------- City/metro lic.no.: Y Notice:All contractors and subcontractors are required to:w licensed with die Oregon Construction Conti actors Board under r provisions of ORS 701 and may be requited to be licensed in the Nam �d j �„�, �.y t�� lurisdict on .here work is my performed. I[the a li ant is Address: // � C �+ {/ j be g l pP• Cit State ZIP; 7 exempt tum licensing,the following reason applies: Contact person: - A i a.:o.J Plan no.: ---- Phone: Fa-: _s.,a k 1i-mails ---- 1 Name:�,„� Contact person: Fees due upon application ........................... $ Addr.ss: �---- — Date rcccived: ----- City: S to LIP: Amount received ......................................... $ Phone: Fax: '-n ail: Please refer to fee schedule. hereby certify I have read and examined diis application and the Nor all juridictiom accept ctedr cards.please call jurisdiction for mm infomhaaon attached checklist. All provisions of laws and ordinances governing this Udism UMasterCard work will b�=gnit complied wi .wl er specified herein or not. Cmdil card number: Expires Authorized [,late,: _ .15",/ _ Name d canlholdrt u ahnwn on credit canf — ` _ S _ Prjni name: --- Cardholder sipature Amount Notice:'lliis permit application expires if a permit is not onlained within 180 days after it has leen accepted as complete. 4404613(&%MM) Electrical Permit Application ---— -- Date received: _ Permit no.: City of Tigard Projectlappl.no.: Expire date: C.•iryoffigurd Address: 13125 SW Hall Blvd,Tigard,OR 97''' bate issued: By: Receiptn :� Phone: (503) 639-4171 a Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ XI & 2 family dwelling or accessory U Commercial/uxjusiri;ll U Multi-family 0 Tenant improvement ANew construction U Addition/alteration/replacenuvlt U Other: U Partial 'JOB Slii INIFORMAT Job address: p r, HIT. nu: tiuitc nu.: Tax map/tax lot account no.: V' lot: �p F3ltrrk: _ Subdivision: 3—� --�—— xia Project nam , �, oo� ,oma Description and location of work on premises: �_ � � Estimated dale of%simple lot,/inspection: - Y `i2, moo/ t t Job no: Fee Max Business name: q a> �( fM� Description Ory. (ca.) Total no.InsP Address:/yio ,�� ry _ New residealial••single or multi-family per --- dwelling unit.InchrAesallaclrcdgarage, -City: , ,� Stale:ORL ZIP: '?'7_Ag 0 Serviceincluded: Phone:ASa-jo qio Fax: E•m811: I(x)0 sq.It.or less _ 4 CCB no.: +sElec.bass. tic.no: _ G Bach additional 500 sq.ft.or portion thereof Limited energy,residential 2 City/metro Ile.no.: Limiledenergy,non-residential 2 AEach manufactured home or modular dwelling asps of sujrervising Icctricinn Ircyuired) Date Service anti/or feeder 2 Sup.elect.name(prinl): ,7".1 l �,{ Lwenseno:/ Servlcesorfeeders-Inalallrllon, -' t PER t alteration or Pjlt200 amps or less 2 Name( rint):��,« f�eJFE�i _ 201 amps l0 400 amps 2 Mailing address: t:3 sac S Gc> (SGA? p J 401 amps to 61x)amps 2 �— 601 amps to lax)amps 2 City: O,e7.L.,o�a, Stale: ,Q zip: 9�a_�s Over 1000empsorvolts 2 Phonc:a -o Fax: E—mail: Reconnect only — 1 Owner installation:The installation is being made on propeny 1 own Temporary Services or feeders- which is not intended for sale,lease,rent,or exchange according to Inosllatlon,alteration,orrelocali•rn: ORS 447,455,479,670,701. 200 amps or less _^ 2 201 amps to 400 snips 2 Owner's si nature: Date: 401 to 600 noifis Branch circuits-new,alteration, or extension per panel: Name: Yl - A. Fee for branch circuits with purchase of Address: _ _ _ service or feeder fee,each branch circuit 2 City: Slate ZIP: B. Fee for branch circuits without purchase Phone: _ I a K: E-mail: of service or feeder fee,first branch circuit: 2 Each additional branch circuit PLAN REVU.W(P1en%e check sill that nplils, — Misc.(Service or feeder not Included): U Service over 225 amps-comnkrcoa] U Health-care facility Fac_h pump or irrigation circle O Service over 320 amps-rating of 1 de2 U Hazardous location Each sign or outFac lighting 2 family dwellings U Building over 10,(xx)square feet four or Signal circuits s',or a limited energy panel U System over 600 volts nominal more residential units in oneslructute alteratlor,— xtt.nsion• _. U Builth..;„verthme stories U Feeders,400 amps or more *I)r c i tion U Occupant load over 99 persons U Manufactured structures or RV park rich e additional Inspection over the allowable in any of the above: U Fgrcs.Jlightingplw, U Other' t'ertn%pection -- Submit_sets of plan%wilh any of the above. Investigation fer �11te above are not applicable to temporary construction service. Other Not all Jurisdictions accept credit cards,pteue call iud:diction far more informvion Notice:This permit application Permit fee....................•$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: within ISO days ager it hits been State surcharge(8%)....5 acct tp .od ds complete. TOTA1, $ - Name of cardholder as own on cit --" act ----- Cardholder eianalure Amount 440a611(tiiU0lCOMl �r Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 9722; Project/appl.no.: Expire date: City of Fgard phone: (503) 639-4171 Fax: (503) 598-1960 Date issued: By: Receipt no.. "ase file no,: Payment type: l Land use approval: — - - ti 1 I &2 family dwelling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement XNew construction U Addition/alteration/re place nu•nt U Fecal service U Other• -- 1 ' 1 iag; t Descri tion Qty. Fec(ea.)) Totiol Job address: ,)?Q t�R.Ot r4nJ - 7N�- -and Z-faAct n[;s only:Bldg.no.: Sults no.: es 100tl.frconnection)'Tax map/tax lodaccount no.: e7b /�Z CC. /6000 Sl It(1)bath _ - Lot: p Block: Suhdivision D&,t& AU Sc:w• R SFR(2)bath - -__ -- Project name. ,o So�c , . SFR(3)bath _Cit /count -7" zIP: 97.E aEach additionalnY y: /GO�O� A Siteli itilies: Description and location of wor on premises: Catch basin/arcDrywells/leach drain E :. /inspectiun: Oc8 .date of conlpletr � Fomting drain(no.lin.ft.) PLUMBING CONTRACM Manufactured home utilities Business name:eeg riabU;'s ���� c3in/�,L Manholes Address: 77,$� S•c.�l�t/• Rain drain connector - City: State:p ZIP: / Sanitary sewer(no.lin.ft.) _ Phone: G _ Fax: y. E-mail: Storm sewer(no.lin.fl.) Water service(no.lin.ft.) CCB no. 7y Plumb.bus.reg.no: o- Fixture or Item: City/metro lic.no.: 0 Absorption valve Contractor's representative signatuBack flow preventer Print name,: r- o c,ow Date: o7/y y r Backe,aler valve Basins/lavatory Clothes washer _ Name: a _ Dishwasher F�Adss: ` uJ Drinkin};fountains) State: ZIP: qy�i Ejeclors/sum � Ex ansion tank:a _o!y Fax:gip -� Gnutil: - Fixture/sewer cap _ -- Floor drains/floor sinks/huh_ Name(print): , ����e T -—. - Garbage disposal Mailing address_44j Ilose bihb City: State:0'e I ZIP: 5;'7'Q/9 cc maker Phone: Fax: -ol E-mail: Interceptorlgrease trap - Owner installation/residential maintenance only: The actual installation Primer(s) _ will he made by me or the maintenance and tcpair made by my regular R(x)f drain(commercial) employee on the propenv I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature:—v Dale: Sump Tuhs/showe_r/shower pan Urinal Name: o NA- ?��a�"4 6'a _ — Water closet Address: _ Water healer City: State:--I�Z�IP: Other. Phone: Fax: E-mail: � - TOfA� Minimum fee................$ _ Not toll jtrriadicuons aceepr credit cants,Plea me cell jurisdiction r«nww Inrw vion Noticc:•Ibis permit application Dian review(al _ %) S U MAO U MutetCard expires if a permit is not obtained i - Credu cud number ___ -- -- -�— within 190 days after it has been State surcharge 1 R9F) ....$ _ -- ---- Expires accepted as complete. - Name or cardholder u shnwn nn credit card $ Cardhnldet aiitnature Amount IIO Iti(UA1DX(1M' Mechanical Permit Application City of Tigard Date received: Permit no.: City n/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProlecVappl.no.: Expire date: Phone: (503) 639-4171 Dale issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: 1 1 &2 family dwelling or accessory U Commercial/industrial New constructionU Multi-family U Tenant improvement U Addition/altera(ioii/replaccr11C111 U Other: Job address: yU 3rdd � e NS aAt Bldg,no.: - Ad T Indicate equipment quantities in boxes below. Indicate the dollar Suite no.. value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: ,y S r� wC,- /GaQ� profit.Value$ _ Lot: JBIock. Suhdivision;4,1., *See checklist for important application inl'ormahon and Project name- City/county: juri;diclinn'.s fee schedule for residtantial permit tec. [ZIP. �'�-- Desc ' tion and J atio of wo k on premises: _ i t i F,st.date of compl .on/inspection- I cc(ea.) Notal e Deseii on Vty. Res.only Res.onI Tenant improvement or change of use: --- Is existing space heated or conditioned?U Yes U No Air handling unit __CFM Is existing space insulate(l?U Yes U No ircon ilioning(sitep antequire ) -- -- A lcration o existing A( sy,tem — 1 toiler compressors Business name: State boiler permit no.: Address:Qf/v�� S ) 2 lip Tons BTUAI City:(�,�d — irelsmo e c amPer. uct smoke t eleclors — Stale:pe, '!_IP: �!'7C eat pump(sn�p an rcqu re )Phone: --- a_ / hax .7- pi E-mail: nsla 1 rep ace lu:naeurne� , CCB no.: aij9a Including ductwork vent liner O Yes O No City/metro lic.no.: nsla repine re ocaIe eaters-sIts pen ed, Name(pleaseprint): _ wa'!,orfloormounted ie + a ES ent fora fence of ert an furnace Refergerat on: Name: — �thototeirlms-o-n-u-n—is._- Address: _ HBTP UlH — s Cum Iressors Np City: State:O e ZIP: nv ronmenh es usl an vent at on: Phone: 99ai Applioncevent aM Faz: C-mail: Dryercx gust oo s, ypc res. nc enlha,,nat '— Name: pe,,l hood fire suppression system _Mailingaddress _ Exhaust fan with single duct(bath fans) ' ` xhaust s stem a art mm eatin or City: sKX ov.eL Stale: neE71 r ue p p ng an 511 ut on(up to out cls) _ li-mail 7y : i 1-PG _ NGFhonc: oil veei n ca11 itiona over out ets rocessPiping(schematicrequire ) Name: Inyn Nurnhrr of outlets — - Address: -- - N er st app ante or equ pment-- City: -- — Decorativefireplace Stale: ZIP: nscrt-ty Phone: pe raX: I.-mail: --- no sinv pe cistove ---- Applicant's signatur 01 cr: Dale: Name (print): NM all)urirlictions acccp credit cods,MW call)uNµtiction for more information. U Visa U MasterCard Notice:"flus permit application Permit fee............... rredlt cud number: _ expire-,:if a permit is not obtained Minimum fee................$ -- within Igo days oiler it has been Plan review(a( — `)F') $ ivtnne of cudhntde,as ohm-m on credit c accepted as complete. State surcharge(8%) ....$ Cardholder tianalues TOTA1. .......................$ Oft 4+04617(~'Oki, t ' i SSE 35MM � ROLL# 22 FOR LARGE DOCUMENT