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8077 SW CAROL ANN COURT s9LTL FLA LOT: 3 BLCCK: N/A SUBDIVISION: DURHAM SCHOOL PARK SECTION: SW 1 /4 12 T-2S R-- 1 W W.M. CITY: TIGARD COUNTY: WASHINGTO N STATE: OREGON SCALE: 1 ".— 13' TAX MAP AND TAX LOT No.: TAX MAP 2S 1 --12CD W E SITE ADDRESS: 8077 SW CAROL ANN CT. ZONING: R — 1 OWNER: HERB HOFFART & Co. s 4632 S.W. VERMONT PORTLAND, OREGON 97219 TELEPHONE: 244--0876 i - - - - - - - - ~ I � 6 S 88 4?_ 3? 4' J �� E 8 2. 8., �2 � I LGT LINE L-C) - - / Jm I 15. 88' a , L 28.50 ..ET NewLINE a 101,cr �. q 7 '� .50 ' x . o ,�, f I . cu -) 'cl - - - -� s D ti , 0 � J - - - �- - w ) I `n o LOT 3 w 20. 00 uica L O T AREA 2, 838 S. F. o Q o CD BLDG AND GARAGE FIN FLUOR = 171 . 00 N �� 1Q - N - C) I , 5 � '�� I SD • I I J 46 . 00 ' , Z G o - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - R - 18:00 U — — — — — — _ _ — — — ` SET BACx .INE — — _ — — a L= 4, Q8' 1 WATER MFER W LOT LINE S 88"42'32" E 82. 28' S 01 '17'28" W / I I 2. 56 169. 35 � /^/ r - - - - - - - - - - - - - - - - - - - - - - - - - - - � V r I f - - - - - - - - - - - - - - Ul I ' NOTICE: IF THE PRINT ORIYPEONANY 11 ! Ilf � I � � I � � I � . I . � I � SII III � I � � I � i ( r r1r ,11 �. ili il � ili il � � li i1r tl � il � ili ili ili ili Ali ili ili ill .t� i. _r �� rlr T-l � ilr r� i r� t ( t-fit t � t1tl � tl ► t_rt_, 1 �r�TCt ilt ililili l � Jill i �I VC/ 5 6 7 8 9 - � 10 I 11 1� � C�' IMAGE IS NOT AS CLEAR AS THIS NOTICE, _ 11' IS DUE TO THE QUALITY OF THE _ J T No.36 ORIGINAL DOCUMENT E FZ SZ LZ 9Z 5Z I � Z EZ ZZ 1Z OZ 6i $ I Li 9i 15i fii Ei Zi it i 6 8 L 9 9 E Z 1 �ltll3w II IIII IIII Illi IIII IIII llllillll�llll �IIJ�IIII IIII IIII►IIII IIII IIIL IIII IIII Illl IIII IIII IIII IIII IIII IIII IIII Till IIII�IIII IIII IIII IIII IIII IIII IIII ' I I -III IIII II IIII IIIII� (llllllilll llllllllllll1111 . 111.1 Lll l�.I �III �,I . . isrx�r-•,-,..__: Y ....: wia�+eiWwurswmwwar+r4e.w.�W�x..wr�w►irr.+r�awrYwiA�iwgWww:r+M+�ar ... - .+.wK�•aa�:1++.ci�letiAYrlr;w.wrr�:. ar.. 00 0 �S G n d O D 0 0 c CITY OF TIGARD BUILDING INSPECTION DIVISION MST 26C-1 �� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP —Date Re, lmb%pd .jl� - �� yAM— PM _—� BLD Location_ -'l J(/I? Suite _ MEC _ Contact Person _ Ph �� ` PLM Contractor __ Ph - WR UILDINC Tenant/Owner —_ ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain --- SGIN Crawl Drain Inspection Notes: --� Slab _-_..._ --`------ SIT Post& Beam Ext Sheath/Shear ----- - Int Sheath/Shear Framing - - --- --- ----- ---.-�_. ----_.._.. Insulation — Drywall Nailing _ _-- -- ----__-- --__ Firewall -� Fire Sprinkler - - Fire Alarm Susp'd Ceiling -- - - Roof Misc. PASS PART FAIL — ---- --- GING --- Post&Beam 1 Under Slab -- Top Out Water Service _ -- Sanitary Sewer e Rain Drains -- - Final �- p PAR FAIL - ---- — - _ -- W—CHANICAL ------ 1'ost& Beam - -- — --- Rough In Gas Line - Smoke Dampers ---- ina PART FAIL — - ELECTRICAL Service -- - -- -- -- Rough In UG/Slab Low Voltage - Fire Alarm _--_--- -------- _-- Final PASS ?ART FAILSITE _ Backfill/Grading - — — — Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required t efore next inspection. Pay at City Hall, 13125 SW Hal; Blvd Catch Basin [ [Please call for reinspection RF' -.__.— [ ]Unable to inspect- no access Fire Supply Line ADA (� Approach/Sidewalk Gate ' f 7j Inspector ` Ext Other Final PASS PART FAIL 00 NOT REMOVE this i;irspection record from the job site. CITY OF TIGARD BUII-DING INSPECTION DIVISION MST 24-Hour Ins,jection Line: 63. 175 Business Line: 639-4. BUP _ _ - -_Date Requested 1 /Z �' AM PM __. BLD --- — — Location 7 �—�—'l-a—� L�_r 1�_ Suite _ _ MEC __— Contact Person — / - CC-�1tiC �. Ph 7 L( PL-A -- --- Contractor _ — _ Ph --_ _ SWR _-- _-- BUILDING u —� Tenant/Owner -- ELC Retaining Wall ELR _ Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes. Slab ---------- ---- --- --- ---- SIT --- - -- Post&Beam Ext Sheath/Shear I Int Sheath/Shear Framing _ Insulation ----_-_-----_-----._.____- -- Drywall Nailing Firewall Fire Sprinkler - - - --- - --- -- - ---._ - Fire Alarm Susl.'d Ceiling - .--- -- - --------- - - - Root Misc: -- Final PASS PART FAIL _ _.. - ----------- - PLUMBING ----- - -- — — -- Post& Beam Under Slab Top Out Water Service - Sanitary Sewer — - -_ _ - -- --_ Rain Drains --- Final / PASS PART FAIL MECHANICAL Post&Beam — Rough In Gas Line --' '�— Smoke Dampers Final _ - _- ----- - _ . _- ---- _ - -_ ----__----- ----------- ------- PASS PART FAIL ELECTRICAL -- Service - — Rough In UG/Slab — I_ow Voltage Fire Alarm - ---- PART FAIL Backfill/Grading Sanitary Sewer Storm Drain ( I Reinspection fee of$—_ required before next Inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I I Please call for reinspection RE:, [ ab to inspect-no access Fire Supply Line -—" ADA r ,r � ApproachlSidewalk Date ' Inspector_—� - Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY 07 TIGARD BU' )ING INSPECTION DIVISION MST 24-Hour Iwipection Line: 639-4175 Business Line: 639-4-, BUP Date Requested /r 1AM ____PM BLD (t-ocatto '� L-Cts?.e� ,rz n Suite (�t� _ MEC Contact Person �Q 'LCG�2_ Ph _'Z 2 c% 77K PLM "ontractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS Fig Drain Crawl Drain Inspection Notes SGN Slab Post& Beam Slab ------ — -- --- SIT __-- --------- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall -- - ---- -- Fire Sprinkler --------------- Fire Alarm - Susp'd Ceiling Roof Misc: -- ------- -- -- - -�- -- - -- - - - ---- .._. - . Final P S PART FAIL ---- --- - ------ l-1- -- ---------- - --- --PLUMEI!82 earn ---- - --------Ur der Slab 1_ Top OutWaterServiceService VV Sanitary Sewer - - - - --- Rain Drains � m A PART FAIL .CHANICAL Post& Beam - - - - - -- Rough In Gas Line -- - -. - Smoke Dampers Final PASS PART FAIL ELEC�RICAL - --- - Servicer Rough In LIG/Slab Low Voltage _ -- -------- A Fire Alarm - ---- ------ - ------ --- ----- Final PASS PART FAIL - ----- -------- - -- --------------- —-SITE Back` .Grading --__-� _ -_--- -- __-- Sanliary Sewer Storm Drain ( Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ [ J Unable to inspect-no access ADA Approach/Sidewalk Date �j- �4 In�nector _ -- -77-71�-"7--- Ext Other _ - ---- — rinal PASS PART FAG__ DO NOT REMOVE this inspection record from the job site. MASTER PERMIT CI'TY OF TIGARD PERMIT MST2001-00291 DEVELOPMENT SERVICES DATE ISSUED: 5/31/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112CC-14100 SITE ADDRESS: 08077 SW CAROL ANN CT ZONING: R-12 SUBDIVISION: DURHAM SCHOOL PARK JURISDICTION: TIG BLOCK: LOT: 003 REMARKS: S,'F Patti 1 BUILDING -- FLOOR AREAS REQUIRED SETBACKS REQUIRED REISSUE. STORIES: 2 CLASS OF WORK: NEW HEIGHT: 22 FIRST: 636 sf FASFMENT sf LEFT: SMOKE DETECTORS 5 TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 929 if GARAGE:. 'I+�� if FRONT: .:n PACES PARKING S RIGHT rl TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: if VALUE: OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1,565.00 at REARt5 ' PLUMBING RAIN DRAIN: 100 TRAPS: SINKS: I WATER CLOSETS I WASHING MACH: LAUNDRY TRAYS: SF RAIN DRAINS: 1 CATCH BAS'NS: DISHWASHERS t FLOOR DRAIN;: SEWER LINES: LAVATORIES: i GREASE TRAPS: GARBAGE DISP: WATER HEATERS: I WATER LINES: wo BCKFLW PR---VNTR: 1 TUBISHOWERS: OTHER FIXTURES - MECHANICAL —'-- FUEL TYPES FURN<100K: BOIL/CMP<3HP. VENT FANS: 4 CLOTHES DRYER: 1 n� FURN>=t00K: UNIT HEATERS. HOODS: OTHER UNITS: t ' MAX INPbtu FLOOR FURNANCES. VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL __ MISCELLANEOUS ADD'LINSPECTIONS RESIDENTIAL UNIT SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS 0 200 amp, 0 200 amp: WISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION: 7000 5F OR LESS: t PER HOUR: 201 400 amp: 201 400 amp: tat W/O SVC/FDR: 00 SIGN/OUT LIN LT: EA AOD'L SOOSF: 2 IN PLANT: 401 600 amp: 101 600 amp: EA ADDL BR CIR: gIGNAUPANEL: LIMITED ENERGY: MINOR LABEL: MANU HMISVCIFDR: 6C 1 - 1000 amp: 601+8mps•1000v: 1000.amplv(3ll PLAN REVIEW SECTION _ - Rncnnnect only' »4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAI. CLS AREA SPC OCC: ELECTRICAL•RESTRICTED ENERGY — e.COMMERCIAI. A.SF RESIDENII.AI- - -------- AUDIO 6 STERE') FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT: AUDIO&STEREO. VACUUM SYSTEM: BURGLAR ALARM: 0TH, BOILEI HVAC: LANDSCAPEARRIG: PROTECTIVESIGNL: CI OCK INSTRUMENTATION: MEDICAL OTHR•. GARAGE OPENER NURSE CALLS. TOTAL SYSTEMS: HVAC nATAJTELE COMM TOTAL FEES: $ 6,160.01 Owner: Contractor: This permit is subject to the regulations contained in the HERB HOFFART HERB HOFFART Tigard Municipal Code,State of OR Specialty Codes and 4632 SW VERMONT STREET 4632 SW VERMONT all other applicable laws All work will be done in PORTIAND,OR 97219 PORTLAND,OR 97219 accordance with approved plans. This permit will expire if work is not-started within 180 days of issuance,or if the Nork is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Phone:Phone: Oregon Utility Notification Center Those rules are Set Reg N: LIC aa,•t• forth in OAR 952-001-0010 through 952-001-0080 You may obtain c.ap�es of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Shear Wall Insp Insulation Insp Mechanical Final Erosion Control Insp 8, Post/Beam Mechanics Mechanical Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Ins; Rain drain Insp Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Foundation Insp FootinglFoundatiun Dr; Gas Fire lace Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp P Permittee Signatulo : Issued By : .---..�.� ss-�'---- Call (503) 639-4175 by 7:110 p.m. for an inspection needed t!ie next business day ;i CIT` OF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00164 3125 SW Hall Blvd.,Tigard, OR 9722; ,503) 639-4111 DATE ISSUED: 5/31/01 PARCEL: 2S 112CC-14100 SITE ADDRESS; 08077 SW CAROL ANN Cf SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 003 —^ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence Owner: _FEES HERB HOFFART Type By Date Amount Receipt 4632 SW VERMONT STREET PORTLAND, OR 97219 PRMT CTR 5/31/01 $2,300.00 27200100000 INSP CTR 5/31/01 $35.00 27200100000 Phone: 503-244-0876 Total $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 160 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 iron. 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in 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 Su_)R )ool ool& q Building Permit Application Date received: —U/ Pe .:aap� City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 NrolecUappl.no.: Expire date: CityojTignrrl Phone: (503) 639-4171y P bale issued: R Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Laad use approval: I&2 family:Simple Complex: �® FPERMIT PE, G 7tAdd family dwelling;or accessory U Commcrcwlhndustrial U Multi-family U New construction U Demolition �•s tion/altcratiort/rcplacement U Tenant improvement U Fire sprinkler/alarm U Utfter: _ JOB SITE INFORMATION Job address: 10 7 7Jr,,) Bldg.no.: Suite no.: (r1 Lot: Z11 I Block: Subdivision: Ax43 4 Tar map/tax lot/account no.: >7J Project named Description and location of work on premises/special conditions: 7 Yl 01%NF11 FOR SPECIAL INI-0111%1'ATION, USE CIIECKU�T (Floodplain,seplic capa'city,solar,etc.) Name: Mailing address: 3,2 �� 1 &2 family dweUing: City: �a„t _ State: ` ZIP: q Valuation of work........................................ $ bt�tiiJ Phone: r-op Fax �) w E.inail:_ No.of txdreoms/baths................................. _� -a•S Owner's representalrve: - __ �,�. M_ _ Total number of floors................................. a '' Phone: t564_-_42t24, Fax: New dwelling area(sq.ft.) .......................... /li 6 APPLICANT Garage/carport area(sq.ft.)......................... _ JJ10 Name: Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.) ..................... .................. City: state:p ZIP: 7 Other structure area(sq.ft.)......................... Phone:,? _ Od Fax: �,�,y 0d7 E-mail: Comrnerclal/industrlal/multl-family: r TOR Valuation of work........................................ $ _ Business name Z (� Existing bldg.area(sq.ft.) ......................... Address: New bldg.area(sq.ft.).............. ............. City: State:p,Q ZIP: 7a Number of stories................. ..... ............ Phone:,�y,!•a� ` Fax:a _ E-mail: Type ofconstruction.............:............. ...... CCB no.: 7 - Occupancy gmup(s): Existing: New: _ City/metro lic.no.: Nonce:All contractors and subcontractors are requited to be licensed with the Oregon ConstnAction Contractors Board under Name: of id 5 I provisions of ORS 701 and may be required to be licensed in the Address: j jurisdiction where work is bging performed.If the applicant is L--` � exempt from licensing,the following reason applies: Cit State: 0& ZIP: IF 7 i Contact person: j24 a,,Gd.) Plan no.: — Phone: -6 Fax: so d< E-mail: Name: 77,„.rA' Contact person: Fees due upon application ........................... $_ Address: O _ Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not all Jurhdktione accept credit cant,please call Jurisdiction for more inb rtuanno attached checklist.All provisions of laws and ordinances governing this ❑visa ❑MasterCard work will be complied wi/ttr,wh ter specified herein or not. Credit cud number: _ c/^'/ - Expires Authorized elgrlat Date: _ 10 Name o(cardholder as shown on credit cant Print name: -- _ Cardholder signature A.mount Notice:This permit application expires if a permit is not obtained within IRO days alter it has been accepted as complete. 4404613(6410VOM) Electrical permit Application '- Datereceived:6 0 / Permit no.:KT 2001 -• 00;.ct City Of 'Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,Olt 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PERM UI* I &2 family dwelling or accessory U C0 111111CIclal/hn(htun,tl U Multi-family U Tenant improvement x A New construction U Addition/alteration/replacement U Other: ❑Partial JOB Doli a(hlrrss: �O _ ,4111W _ Bldg•no.: Suite no,: Tax map/tax IoUaccount no.:J I.ot: S Block: ISubdivisiun: ,¢�vaf SGNoOA. �igoir Project nam , u q Qee Pk. Description and location of work on premises: F'Stinlaled(IaIC of CnnIhIC ir)It/inspec•tloll: W111111:111 1 fee Max 7City.. V%.r4_ t . pt Total no.lmpi.�� -s- ��.� New miden0l vingw•nr muiti famiis Iw•r X1/4 / rw - -*� dwelling unit.1110lid tianatI-IVrngcSlate: 0_ zip: q7 p Seniceimrbnkvl: $ a- .., Fax: �� Email: 1(XX)sy.ft.or less Phone:A 4 Each nddllional S(N)sq.ft.or onion thereof CC13 no.: Eec.lbus,tic.no: 2 !i / —:� �y0 Limited energy,residential City/metro Ilc.no.: I.imitedcnergy,non-residential 2 p/p Q Each manufactured home or modular dwelling -_ Sv,vIce and/or feeder 2 pre ofsupervising Icctririon(requinnli Date ti�rvlresnrfeedrn-installation, II i,rirrn Sup elect name(print). v_c ,,, a -� allel'ation or Ielmat inn: PROPERTY OWNER 200 amps(it less 201 amps to 400 amps 2 Name(print): F % 401 amps l0 600 amps _ 2 Mailing address: tLe, .5 c<_) L,G,eA-?0.t) ST• _ 601 mops It,1000 amps — -- -- 2 City: ,cj4) Slate:,O ZIP: 970 i over I(xx)amps or volts 2 Phone:,, _p7k I Fax: M_ E-mail: Reconnect only 1 Owner installation:The installation is being made on property I own Temporary srrvlces or feeders- anatlan,.uentinn,nrrelocatimn: which is not intended for sale,lease,rent,or exchange according l0 InaInsiramps nr kxs _ 2 ORS 447.455,479,670,701. 201 amps to 4(x)amps � _ _ 2 Owner's Si mature. _ _ Date: 401 to 6)W nm s 2 Branch circuits-new,alteration, or extension per panel: Nali1C: A. Fee for hranch circuits with purchase of �` /_.1. .� _[.tis l.c� -- AddfCaS: o' _ _ service or feeder fee,each breach circuit 2 _� C ily; _ Slab 1 l I I' Il Fee for branch circuits without purchase ---- ! of service or feeder fee,first branch circuit. 1 12 Phalle; Pax: L-In.ul. Facltaddrtionalbranchcircuit— Mlse.(Service or feeder not Included): '- O Servittmvet].25 amttm ps-anercral U He:dlh-cnre(naEach pump or irrigation circle hty 2 U Service over 320 amps-rating of I&2 U Hazardous location Each sign or outline.ighting familydwellings U Building over 100)0 square feet foul or Signal circuits)or a limited energy panel, E2 U System over 600 volts nominal more residential units in tine stmcame alteration,or extension* ❑Building over three stories U Feeders,400 amps m more •Description: U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the abose:- U Fgres;Jlightingpinn U Other _--�--._--_---- - pcnnspccuon Submit_sets of plans with anj of the above. Investigation fee The above are not applicable to temporary construction service. Other — — � Not all jurisdictions accept credit cards,pleue call Jurisdiction tot more infnnnation. Notice:This permit application Permit fee.....................$ U visa U MasterCard expires if a pennil is not obtained Plan review(at Credit card rmmher: _.- _�.� %%ithiu 180 days allcr it has been State surcharge(8%) Expires accepted as complete TOTAL .......................S Name of c: elder u s own on credit c �- - S Cardholder signature — Amount IMIdM1IS odln/l+rst '1 Plumbing Permit Appl icat iorl Dale received: 01 Permit no.:� 20p/ City of Tigard . ,, - i Cit r Address: 13125 SW Nall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: -- City of Tigard phone: (503) 639-4171 Projecl/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.. Land use approval: _ _ Case fl1e no.: payment type: I &2 fanniy dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement XNcw construction U Addition/alteralion/replacement U Food service U Other: _ JOB SITE INFOfRMATIONSCHEDULE Job address: J'py7 ,�� c.�a�.��C, , � d". ,,t-- - - fmition (let. Fsr(ca.) 1=3 Bldg,no.- Suite no.; New 1-and 2-famlly ly dwellings only: Tax snap/tax lot/accouni no.: aS//.q CSC -/0i00 - (in l00fl.foreachutflityconnectfon) SFR (1)I' (I)hath [.of: ,j Block:----1Suhdivision:-b&,,f, t�sc,� PSR SFR(2)bath --- Project name--7p C Op r; �,q,��_ -- SFR(3)bath _ City/county: - A 7.11': 97a a __ Each additional bath kitchen Description and location of war un premises:. __- _ 5lientilities: r-, tet - Catch hasin/arca drain �_- Lst.date of complet n/inspection p _ o — Drywells/leach line/trench drain rAffOR Fooling drain(no.lin.ft.) _ Manufactured home utilities Business name:e q �GUR-(cg/n/�s Manhoies Address: 773 S.cel. it/�,aq r��, -Rain.drain connector -- City: _—� State:p ZIP�Z f^ Saniary sewer(no.lin. ft.) - -- Phone: L - Fax: 11/V.ffzi — E-mail: Storni sewer(no.lin.fl.) CCB no.: yq 1'lumh,pus.reg,no: o. Water servire(no.lin.ft.) City/metro lic.no.: <'p -�� Fixture or item: Contractor's representative signature: -- Absorption valve - eu� preventer Print name: �r� o a ,a eo Calc: 6 0 Backwater valve t Basins/lavatory Clothes shwa washer Dishwasher Address: ` r,j — Drinking fountain(s) City: Stalc:0'e- ziP: 97.1 I:jcctors/sump _ Phone:a --x:71176, I;lx:�yi _6 E-mail: Expansion tank ixlure/sewer ca Name( riot): ' Floor drains/floor sinks/hu p � '�'��--- -- Garhage disposal _ Mailing address: 44o Nose hihh City: Store:0,t I ZIP: 97.0 _ Ice maker Phonc: Fax: _ -al E-mail: Interceptor/grease Owner installation/residential maintentmce only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) f Owner's signature: _ - Date: Sum Tubs/shower/shower pan Urinal Name: /1/0"V Q U r E�� T ------ Water closet ; Address: Water heater City: -- State: ZIP: _u ---- Uther: Phonc: Fax: E-mail: Total - --- � Not all jurixliclions accept ctedil cards,please call lurisdiclinn rnr mrxe inkMinimum fee................$Nmolinn Notice I his permit application - U visa U MasierCnrd expires if a permit is not obtained Plan review(at — %,) $ Credit card number --_- __— —/— rcilhin 190 days after it hit,;been State surcharge(8%) ....$ Name of cardholder u shown on crcdil card !:spires -- — accepted as complete. TOTAI, .......................$ `- __ S cardholder al jmllUre--- Amount 44D.46161M10A'r W ' 11 Mechanical Permit Application Date received: y Permit no.: k JT ZCr�I 7Cj City of Tigard Project' ;pl.no': Expire date City of Tigard Address: 1.3125 SW Ifall Blvd,'figard,OR 97223 Phone: (503) 6:39-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: 1 X'1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: _ JOB SITIE NFORMATION Job address: pCsha."-aLC^ Indicate equipment quantities in loxes below.Indicate the dollar Bldg.no.: _I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: v2 S ii•?CC ./44/00 profit. Value$ _ Lot: Black. Subdivision 'See checklist for important application information and Pmjt•u name: Q,( jurisdicion's fee schedule for residential permit fee. City/county: ZIP: 97a PLAMIT ' Desc (tion and •atio of wo k on premises: ' 1 1 ' CLin_� t-ref+—=L Est.state of contplc on/inspcction: ' c-r-- e e i 1leuriptfon Oty. ItM.only IR"'.. Tenant improvement or change o' use: Airhandling Is existing space heated or-conditioned?U Yes U No unit ! CFM Air conditioning(sllcpanrequirecTj— Is existing space lash• rd'?U Yes U No I Alteration of-existing HVAU system _ lot er cmnpressors Rusinr ss tante: Slate boiler permit no.: HP Tnns BTU/H Address: Hrc smo a nmper uct smo a defector.% City:�,�,�o Slate:�,,e 'LIP: gyp Ticat pump(site plan require ) Phone: a_ Fux _ p/ E-mail: nstn replacefurnac urner / —� Including ductwork/vent liner U Yes U No CCB no.: %Q/.r 7-7 Tn qtal Ureplac re ocate healers-suspended, City/metro lic.no.: wall,or floor mounted Name(please print):,e."�,Q, , U k' S ens ora lance other if vin urnace Refrigeration: Absorption units Chillers I I P Name: - - - � ��-�--- -- Comiressors III' Address:. ��eay '.m•ronmcnta exhaust an veno aUon: City: bsC{�► Slaw OR ZIP: 97.2i : Applianccvcm Phone: y rax: ya.c E-mail: tryel exhaust OWNER un s,Type res. tc le azmat hood fire suppression system Name: ,,� Exhaust fan with single duct(bath fans) Meiling address: _ x oust s stem a art rom eosin or AC Fuelpiping an std uniotop to nutes) city: 7 i Type: —L G NO Oil Phunc: -p rax: v G e I?-trail: Fuel piping eac i a itlono over 4 outlets --- meets piping(sc+ematic require ) Nwnher of outlets Name: `y16,,a -.e- _ shier USIA app Ince or equ pment: Address: _ Decorative fireplace City: — State: ZIP: nsert-type Phone: Fax F.-mail: --- oo stov pc et stove er. Applicant's signatur•:i w,,, ci^75 1 Date: 61j-lo O1 err Name(print): Not all I Wictioru¢cep credit cans,pleme ra:l tunsdhction fdN more inGxmatiooPermit fee..................... U visa L!MasicWt rd Notice:"lits permit application Minimum fee................$ \•idler s if it permit is not obtained Plan review(at _ 91:) $ _ r'rniil enrol number spires \%IIhIII I KO Jays aPCr t has Ixcn _ State surcharge(896) ....$ . None of cadholder a shown on cmia cud---- accepted as compl-e. Cardholder signature Amount 410.1617 Ih10aICOM1 SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMF, NT 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 #: MST2001-00291 Date Issued: 5131101 Parcel: 2S112CC-14100 Site Address: 08077 SW CAROL i NN CT Subdivision: DURHAM SCHOOL PARK Block: [-a 003 Jurisdiction: TIG Zoning: R-12 Remarks: S1F 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 appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Bui!ding 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 BEAVERI ON, OR 97008 Phone #: 503-244-0876 Phone #: 644-8698 Reg #: I or: 79666 P1 M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM A J X 1/'x, Signature of Authorized Plu ber !f you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. :'IGARD, OR 97223 IMPORTANT PERMIT NOTICE EASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 206 PORTLAND, OR 97220 Electrical Signature Form Permit #: MST2001-00291 Date Issued: 5131101 Parcel: 2S112CC-14100 Site Address: 08077 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: I. ot: 003 Jurisdiction: TIG Zoning: R-12 Remarks: S/F Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below wed return this Electrical Signature Form prior to the start of the work to the address above, ATTN: 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 PORT�AND, OR 97220 Phone #: 503-244-0876 Phone Req #: LIC 43701 ELE 26-340C SUP 1512S AN INK SIGNATURE IS REQUIRED ON THIS FORM x Si aturqof Sup vising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 ry?4 LAAAAAAAAAAAAAAAAAA♦ \AAAAAAAAAAAAAAAAAAAAAA rD � ► rD C Cr CD rJ r-t �—j ► � su � fD ► un � M M � � cn � � o' ► ., rDrD IN r, r• r• ► _ r• ► i d I ► G O n cr rz Q� a � c0 0 fD � a I r0 c r) C a LA L o Lo CO S ^ � c. o � n Q 3 r