8083 SW CAROL ANN COURT I
SITE PIAN
DU LOT: 2 BLOCK: N/A SUBDIVISION: DURHAM SCHOOL PARK
U SECTION: SW 1/4 12 T--2S R-1 W W.M. CITY: IGARD N
WASHINGTON STATE: OREGON SCALE: 1 "= 81
"J
TAX GAAP AND TAX LOT No.: TAX MAP 2S 1 -12CD
SITE ADDRESS: 8083 SW CAROL ANN CT. w E
ZONING: R — 12
OWNER: HER® HOFFART & Co.
4632 S.W. VERAONT S
PORTLAND, OREGON 97219
TELEPHONE: 244-0876
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8083 SW Carol Ann Court
CITY OF T I G A R D _ MASTER PERMIT
PERMIT#: MST2001-00041
DEVELOPMENT SERVICES DATE ISSUED: 02/21/2001
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 08083 SW CAROL ANN CT PARCEL: 2S112CC-14000
SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12
BLOCK: L(.T- nn) JURISDICTION: TIG
REMARKS: Construction of new single family detached residence, I-dt!T 1
BUILDING
REISSUE. STORIES: FLOOR AREAS REQUIRED SETBACKS REQUInED
CLASS OF WORK: NEW HEIGHT. FIRST: 636 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y
IYPE OF USE: SF FLOOR LOAD. 40 SECOND: 929 of GARAGE: 400 of FRONT: .'0 PARKING SPACES:
I YPE OF CONST: 5N DWELLING UNITS 1 FINBSMENT: of RIGHT. 6
VALUE: S 144.14000
OCCUPANCY GRP: R3 BDRM. 4 BATH: J TOTAL: 1,56500 of REAR 1,
PLUMBING
SINKS'. 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES101 3F RAIN DRAINS' 1 CATCH BASINS.
TUB/SHOWERS GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES. 10n BCKFLW PREVNIR 1 GREASE TRAPS'
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN<100K: I BOILICMP<3HP VENT FANS: .1 CLOTHES DRYER: 1
,ns FURN—100K: UNIT HEATERS HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR F-URNANCLS: VENTS. 1 WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS 1 0 200 amp: 0 200 amp: W/SVC OR FDR: i PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 400 amp: 201 - 400 amp. 1sT WIO SVC/FDR: n0 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT.
MANU HMISVCIFDR: 601 1000 amp: 601-amps-1000x. MINOR LABEL:
1000.amplvolt:
PLAN REVIEW SECTION
Reconnect only
—4 RES UNITS SVCIFDR-225 A >600 V NOMINAL. CLS AREA/SPC OCC:
ELECTRICAL•RESTRIC TED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL '
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO B STEREO: FIRE ALARM: INTERC,OMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM. OTH: BOILER: HVAC- LANDSCA-E/IRRIG: PROTECTIVE SIGNL.
GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHW
HVAC: DATA/TELP COMM: NURSE CALLS. TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,178.75
This permit is sub)ecl to the regulations contained in the
4632 SWW VERMONT 4632 SWW VERMONT HERB T 8 CO HERB T Tigard Municipal Code. State of OR Specialty Codes and
ERER
PORTLAND, OR 97219 PORTLAND,OR 97219 all other applicable laws All work will be done i
accordance with approved plans This permit will expire d
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
Rep a "' 1 forth in OAR 952-001-0010 through 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, PnsUBeam M!chanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Linc•Insp Final inspection
Foundation Insp Footing/Foundation Dr Electrcal Rough In Gas Line Insp Appr/S11wlk Insp Buildinq Final
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electric tl Final
Issued By : r _ Permittee Signature : ���`?
Ca11( 639-4175 by 7:00 p.m. for an inspection needed the next business day
6
1
CITY OF TIGARD SEWER CONNECTION PERMIT
PERMIT#: SWR2001-00027
DEVELOPMCNT SERVICES
DATE ISSUED: 02/21/2001
13125 SW Hall BlvJ.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112CC-14000
SITE ADDRESS; 08083 SW CAROL/ANN CT ZONING: R-12
SUBDIVISION: DURHAM SCHOOL PARK JURISDICTION: TIG
BLOCK: LOT: 002
TENANT NAME:
FIXTURE UNITS:
USA NO:
DWELLING UNITS: 1
CLASS OF WORK: NEW
NO. OF BUILDINGS:
TYPE OF USE: SF
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new single family residence.
Owner: - FEES
HERB HOFFART & CO Type By Date Amount Receipt
4632 SW VERMONT PRMT CTR 02/2112001 $2,300.00 27200100000
PORTLAND, OR 97219 INSP CTR 02121/2001 $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
180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given If not so located. the installer shall purchase a"Tap and
Side Sewer" 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 1,503) 246-1987
Permittee Signature:
Issued by:(
�ill 639-4175 by 7:00 P.M. for an inspection needed the next businessr'day
\-J
/ 7
Building Permit Application
City of Tigard Date received: Permit no.:
Ciof Address: 13125 SW[fall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (_03) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex: n
"L.&"2faumnily dwelling or accessory 0 Commercial/industrial 0 Multi-family New construction O Demolition
Addidon/alteration/re`lacement 0 Tenant improvement O Fire sprinkler/al ❑Other
Job address: (Lh 141,VIV e r Bldg.no.: 10suiteno.: A/
Lot: ,l, Bla k: !�A Subdivision:V)%k,hnm �<_ho, �wsztZ Tax map/tax lot/account no.: f'/:
Project name: 'U4,�h n n� `�, h�•i_� 1 y 1:1'�
Description and location of work on premises/special conditions:_ /�' ,- 1t
Name: PZ-kb O 6r.?&Tr' IF t1 c)
Mailing address; A14,;j Cr' r7tt rte* i do 2 family duelling:
City: c ti; l to State:v ZIP: 7 J Valuation of work........................................ S,/`-/ `J, f`/Lt
r
Phone: 5-C J ,,?9y'c1' Fax:5e ' No.of bedrooms/baths................................. _ Y _ 3—
Owner's representative: X';k ,( "I ha< Total number of floors................................. Z
1"hone:-f, s wy-cti- Jk Fax: :cqm E-mail: New dwelling area(sq.ft.) .......................... _/57( 3'
Garage/carport area(sq.ft.)......................... G� —
Name: �Eh'Jt ���� Il h 1 (`� Covered porch area(sq.ft.) .. .......... ........... —
Mailing address: ; ' ., a 'cL I1 c Deck arra(sq.ft.)...................
City: ` Starr:(V� ZIP: 7 Ir Other structcre area(so.ft.)...................... .. —
Phone:-i0 3 jyu.G*')k Fax: y c E-mail: Commerciat/induslrial/multi-family:
Valuationof work................................. ..... $
Business name: t Ich t: >< k 1 .r A) Existing bldg.area(sq.ft.) .............. ......... _
Address: j,l •` lc' l'_fz rurn�T 7r ui n,_ New bldg.area(sq.ft.)............. .............. -- _
/ Number of stories
- .................. sass... ...........
City: �, State: k ZIP: C/ 1:1(1i 'fype of construction........ ...
Phone:">t tFFax: _ E-mail:
Occupa,icy group(E): Existin
CCB no: - New: — --
City/metro lies no.: ;.Y- !/ Notice:All contractors and subcontractors are required to he
licensed with the Otcgon Construction Contractors Board under
Name: "A LA ,c provisions of ORS 701 and may be required to be licensed in the
Address: ;'/j tt'. ' jurisdiction where work is being performed.If the applicant is
Cit ,r_i State:, ': 7.11 :
exempt from licensing,the following reason applies:
Contact person: ,a ; Plan no.: - — —— -
Phone:5r�' IF'J- ;y Fax: E-mail: ---
"ki
Name: ontact person: Fees duc upon application ........................... $
Address: ,�-li�'t ;J" Date received: _
City: State:_ ZIP: Amount received ......................................... S
Phone: I Fax: E_-mail: Please refer to fie schedule. —
I hereby certify I havf --ad and examined this application and die No all jurirdictim accept credit cards,please call iw' fiction for more information
attached checklist.All provisions of laws and ordinances governing this 0 Visa t]MasterCard
work will be complied w!P,whelhec;slx itie ;n or not. credit card nurrber: _
,I' E;�
Authorized signature; ��r''� ,T ��' Date: — - Nome of cudholder u alnown on credit card p
Print name: h•c k' / f $
.— Cardholder alRrmture Amami
Notice:This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. 440-4613 tbtfarroM)
One-aad Two-Fancily Dwelling
Building Permit Application Checklist Reference no.:
Associated pemms:
CiryujTigard City Of Tigard
O Electrical U Plumbing U Mechanical
Address: 13i25 SW Hall 131vd,"Tigard,UR 9'1223 UUdrer.
Phone: (503) 6:49 4171 --
Fax: (503) 5')8-1960
1 Land use actions completed.See jurisdiction criteria for concurrent ievieuS.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
_:3 VeriOcatlon of approved plat/lot.
4 hire district _approval required.
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sen er permit. --
7 Water district approval.
- 8 Soils report.Must carry original applicable stamp and signature on file or with application.
(i Erosion control U plan U permit required.Include drainage-way prwation,silt fence design and location of
catch-basin protection,etc.
10 _ Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes.Lateral design details and connections must be incgrporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed
if copyright violations exist.
1 1 Site/plot plan drawn to scale.The plan must show lot said building setback dimensions;property comer elevations(if
titere is more than a 4-ft.elevation differrntial,plan must show contour lines at 24t.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/sepdc systems;Will locations;die �Ii-m indicator,lot
arca;building coverage area;percentage of coverage;impervious area;existing structures on site;turd suit.r,v drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location,
FT Moor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, -
futnnce,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
Cross section(s)and details.Show all franting-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,li Matings and foundation,stairs,
fireplace construction, diermal insulation,etc.
13 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is gicsrer than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable. _
16 Wall bracing(prmeriptive path)and/or lateral analysis plans.Must.9dicate details and locations;for
nc_m-lrereriptive bath analysrti provide specifications and calculations to eq-ineering standards.
17 Hoorlroof rraming.Provill, pldns for all floors/roof assemblies,indicating memcer suing,spacing,and bearing
locations.Show all-v,_,w+1Unn.
18 Basement and rt:. wining walls. Provide cross sections and details showing placement of tebar.For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. "'-
21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is roquired
_for four or more appliances.
22 Engineer's calcuistions.When required or provided,(i.e.,shear wall,roof truss)shall be staunped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project tinder re�'iew.
'3 five(5)site plans are rcquin d for Item 1 1 above.
24
25
26
27
Checklist must be completed before plan review straw date. Minor changes or notes on submitted plans may be in blue or black ink. f
Red ink is reserved for department use only. 4*14614(bon,cost,
Plumbing;Permit Application
Datereceived: .1 d e) Permit no.:/ M111//City Of Tigard Sewer pettnitno.: Huildingpertnitno.:
Address: 13125 SW Hall Blvd Tigard,01Z 9722.1
C'irvofTigard Phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land use approval: _ _ Case file no.: Payment type:
OF-PERMIT
&2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
New construction U Add itiotdalteration/replace ment U Food service U Other:
.1OR SITE INFORMATIONInformation
.lob address: d 3 W LHrc A CT- Description Qt . Fee(ca.) Total
l -w 1-and 2-family dwellings only:
Bldg.no.: ,� Suite no.: ,
(Ins.udm 100 ft.foreach utility connection)
Tax map/tax lot/account no.: rel P1 SFR�')bath
Lot: Block: 'A Subdivision: b SFR(2)bath – --
Project name: ,,h r,Vy\ �C_k f: SFR(3)bath _ __-
City/county: , - 1ciJ I ZIP: C- r Each additional bath/kitchen
Description and location ofork on premises: Site utilities:
/1/e Ile nE Catch basin/area drain
Est.date of completion/inspection: Drywells/Ieach linchrench drain
1 1 Footing drain(no.fin.ft.)
PhUMBING Manufactured home utilities
Business name: I ,tiu _ lanholes
Address: 713m jS u' /Ur rn hu5 —� Rain drain connector
City: f. E r hI A State:ore I ZIP: y?7667 Sanitmy+sewer(no.lin. ft.)
Phone:Ud &Vy-yj1/&' Fax: I E-mail: Storm sewer(no.lin.ft.)
CCB no.: 7V 41k& Plt+mb.bus.reg.no: .;e •/SI P15 Watcr service(no.lin,ft.)
City/metro lie.no.: Fixture or Item:
Contractor's representative signature: 't f - !L Absorption valve
Back flow preventer
PBackwater valve _
CONTACTPERSON Basins/lavatory _
Name: ,' L C II R , Clothes washer
Dishwasher
Address: �H/rk —_— Drinking fountain(s)
City: State: ill': Ejectors/sump_
Phone: Fax: E-mail: Expansion tank __
Fixturelsewer cap
Name(print): /aG2 h G f{NR t f CO Floor drains/floor sinks/huh W
Mailing address: (p (,c, t rrne,A j Garbage disposal
__ liose bibb
City: r c l N a I State:ok I ZIP: tet'),11c Ice maker
Phone: v3 .'yt/eii;X Fax: I E-mail: Interceptor/grease trap
miner instal Iation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular RoKA drain(commercial) _
employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s) _
Owner's signature: _ Date: Sum _
Tubs/shower/shower pan _
Urinal
Name: oLr '�" tl.�'t:d Water closet
Address: _ _ _ Water heater
City: Sta'.e: ZIP: Other:
Phone: Fax: I E-mail: Total
Not all jurisdictions accept credit cards,Please call jurisdiction for more mfonnation, Notice:This permi
Minimum fee................$
t application
O visa O MasterCard expires if's permit is not obtained plan review(at _ 96) $
Credit card number within 180 days after it has been State surcharge(8%)....$
aPires,
---Namof cardholder as shown on credit card accepted as complete. TOTAL .......................$
_ S
Cardholder d/nature Amount 410-4616 WXWOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellinge.only:
FIXTURES individual QTY lea) AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
-� -' --`-`--� 16.60 the dwelling and the first100 h, QTY (ea) AMOUNT
,Ink
16.60
for each utilityconnection) ._
Lavatory _ one 1 bath _ __ $249.20
Tub or 1 ub/Shower Comb. 16.60 Two 2 bath $350.00
t'.l,ower Only 16.60 Three 3 bath -- _ $399.00
Walercloset — ~! 16.60 _ �- SUBTOTAL -
ldnal --- 16.60 8%STATE SURCHARGE
hwas'n•' 16.60 PIAN REVIEW__ 25%OF SUBTOTAL
- TOTAL
;e Ulshosal 16.60 ----- -_ --
Laundry Tray ..---.� 16.60
Washing Machine 16,60
Floor Drain/Floor Sink 2" - 1660 PLEASE COMPLETE:
3^ 16.60
q^ 16.60
Quantic
Water Heater O conversion O like kind 16.60 b Work ad
cerfoed Removed/
fTn
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced
Capped
permit _ - -
MFG Home New Water Service 46.40 Sink_- --
MFG Home New San/Storm Sewer 46,40 Lavalor,,
__ _ Tub or• ub/Shower
Huse Bibs - 16.60 __ _Combination
Roof Dralns 16.60 Shower Only
Drinking Fountain 16.60 Water Closet
16.60 Urinal
Other Fixtures(Specify) Dishwasher
-- Garbago Disposal
--� -
LaundryRoom Tra
--- - - Washing achine _.
Floor Drain/Sink: 2^
L .vpr-1 st 100' 55.00 3^
`r:wc'-each additional tOU -- 46.40 - 4^ -
�Inr Sdrvi e-1st 100' 55.CJ Water Heater _- —
Urher Fixtures
Muter Service-each additional:50' - —464,-1
cnn 6 Rain Draln-1st 100' 55.00 - -
SrmloS Rah Drain-oach nddilional 100' 46.40
- Imer_ial E1ack Flow Pmvonlion Device 45 40 -- --^
rtrtstntial Ftackflow Prevention UevIeA 27.55
de
ratlrh Basin - 16.60 ----.--- - �— - _
.pe(.lirm of Existing Plumbing or Specially 72.50
Reuesled In
- `permr- COMMENTS REGARf)ING ABOVE:
Pain Penin,single family dwelling - 6525
r I raps-- ----- - 16 60 -- ----------- - -----
QUANTITY TOTAL
Isometric or riser diagram Is required if
tHy Total Is >P _ -- —v-- — —
'SUBTOTAL - -- ----- - --- ---- -
8%STATE SURCHARGE - - —- - ----- --
JIEW 250/9 t�- SUBTOTAL
Required only If fixture Is>Q.—
TOTAL
a_TOTAL a
*Minimum permit fee Is S72 50+a%state surcharge.except Residential Backflow
Prevention Device,which Is Sae 25•8%state surcharge
..At:New Commercial Buildings require plans with Isometric nr riser diagram and
plan reviow
I:\dsts\forms\plm-fees.doc 10/10/00
Electrical Permit Application
---____
City of Tigard pDrIa-tercceived:�_ 7!E77 Address: 13)25 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.:I'hone: (503) 639-4171 Datc issued:Fax: (503) 598-1960 —Case file no.:
Land use approval:
1
0 I &2 family dwelling or accessoryU ComLim
VNew construction U Additirnl/altrratirnl'rc la1 can nl -1 h'lttlfi-family J'1•cnanl inthrov(cnu•nt
p _I(Wirt: U Partial
Joh address: &H-3 .4,1,,' Cy�.j �N (rT
Lot: I{Idg.no.:/(/p cue no.: X,q Tax map/tax IoUaccount nor:
Block: Subdivision: UahA `aC
Project name: '� —�---' --
< L(�Ihryrn x had ��a Description and location of work on premises: --
Estimated date of completion/inspection. —i�t[�,' n,„[ -
Job no: 1
Business name:
Address: c __ IkscNplf°n Qty. (cn) Total .insp
�l� NE JG�"s �yNet(rrsilkfilial-slogk•ormuili-ramify 111).per
City: u /012 � dtsellingorlil.Inrludc-%n laefledgarage.
Phone:505 • 5 SIaIC:aQ ZIP: 5 07.70 Se"ireinc•luded:
?'L�f/0 Fax: E-mail: I(W sti 11.or less
CCB no.: 3 "� fslec.bus. lic.no: _ jydC Each additional 500
sq.ft.or portion(hereof 4
City/metro lie,no.: a Li mi led energy.residemial —
Limitedenergy,non•residential 2
Si nature of supervsing e�ectrlcian(rc sired) / F:ach manufactured home or modular dwelling 2
Da1c - '? Service and/or feeder
Sup elect.name(print): /tt' t'%1�m / License no: � s —1
alteration
—
alteration or relocation:
Name(print): _ 200 amps or less
�A2/� •e�0/ /q �� 201 amps to 400 amps 2
Mailing address: 401 amps In 600 amps 2
City: ���p 601 amps 10 1000 amps
State:p�Q ZIP: G �—
Phone: )Vq- oe?: �a%: �4 t Over 1000 amps or volts 2
E-mall: Reconnect not 2
(honer installation:The installation is being made on property I own Temporary services or feeder-
which is not intended for sale.lease,rent,or exchange according to
btstallnNon,alteration,or rrlocallott:
ORS 447,455,479,670,701. l 2W amps or less
Owner's signature: �.. z0i Daps to silo amps — 2_— bate: 4DI to 6(1(1 am s ---- 2
Branch circuits-new,alleratlon, -
Name: or exlensfon per panel:
Address: ti A Fee for branch circuits with purchase of
City: _
State: service or feeder fee,each branch circuit
_ ZIP: R. Fee for branch circuits without purchase
Phone- )';t,x; E-mail: of service or feeder fee,first branch circuit.
IOU%XALM= Each additional hranch circuit: —
❑Service over 225 a"'ps.uunmcrciai Mlsc.(.service or feeder not Included):
❑Service over 320 am s•rndn of I dr2 U Ncahh-care facility Each pump or irrigation circle
famllydwellings p g U Hazardouslocnlion 2
Each sign or outline lighting -
J System over600 volts nominal O Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, —
more residential units inone structure nlleration,or extension'
U Huilding over three stories O Feeders,400 amps or more
U(kcupam load over nO per,nns U Manufacture.I•tntctums or RV park 'lk•scri tion
U Egresx/HghNng plan U Other filch additional inspection over the allowable In any of the alwve:
5'abmlt Sets of plant Nlth anv(if the alcove. -- prr iva)tection
1 he above are not applicable to tern Invcsligatinn ice
--•--_ porary construction service. Other
NM all Judwicunns accept credit cards,please cZ Jurisdiction for more infa ntation. �—
O Visa U MasterCard Notice:Phis pennil application Permit fee.....................$ _
credit cud nutter expires if a permit is not obtained Plan review(a( %) $
Fxpire within 180 days after it has been State surcharge(R%) ....
Nnrrte o car 101 r as drown on cred—it c accepted as complete. TOTAT.
Via.- __
.............
Cardholder d6natu_ s — `—
Amount
4*)4613 t6A11T OMl
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Below:Complete Fee Schedule Bel
—TYPE
Restricted Energy Foe....................................................... S75.0c,
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total
___ Check Type of Work Involved
Residential-Per un.t
1000 sq it or less _ $145 15 Audio and Stereo Systems
I ach additional 500 sq,ft (jr
portion the-dof $3340 _ _ t F-] Burglar Alarm
Limited Energy $71-00
Each Manufd Home or Modular ❑
Dwelling Service or Feeder — $9090 _ 2 Garage Door Opener'
Services or Feeders Cj Heating,Ventilation and Air Conditioning System'
Installation,alteration,or rei(xation
200 amps or less $8030 2 r,
201 amps to 400 amps — $106.85 2 I_J Vacuum Systems
401 amps to 600 amps $160.60 _ 2
601 amps to 1000 amps $240.60 �i 2 Other
Over 1000 amps or volts $45465 2
Reconnect only $66.85 _ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system......................................................... $75 Ole
200 amps or less _ $66.85 2 I (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 _ _ 2
401 amps to 600 amps _ _ $133 75 _ 2 Check Type of".',)rk Invulved:
Over 600 amps to 1000 volts, --1
see"b"above. CJ Audio and Stereo Systems
Branch Circuits
New,alteration or extension per panel Boiler Controls
a)The fee for branch circuits
with purchase of service or Clock Systems
feeder fee.
Each branch circuit ___--- $6 65 ----_ 2 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service
Fire Alarm Installation
or feeder fee.
First branch circuit - $46.85 -_-
Each additinnal bmnrh rlrr-nii $665 HVAC
Miscellaneous �� Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53 40
Each sign or outline lighting T $53.40 Iniercnm and Paging Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 _ _ Landscape Irrigation Control'
Minor Labels(10) $12500 _
Each additional Inspection over — ❑ Medical
the allowable In any of the above r�
Per inspection $6250 _ lJ Nurse Calls
Per hour _ $62.50 _
In Plant _ _ $73 75 Outd .r landscape Lighting'
Fees: Prot,-live Signaling
Enter total of above fees g L I Other
84i6 State Surcharge $ _ _— Number of Systems
21,h Plan Review Fee
NoSee'Plan Review"section on g o licenses are required Licenses are required for all other installations
front of ahpliration ---
T Fees:
T,)f.,►Balance Due
Enter total of above ees
❑ Trust Account p
- --- 8%state surcharge S _
- -- -- --- - Total Ralance Due
i 4ists\fomuklc-fres doc 10/09/00
IF
Mechanical Permit Application
Datcr'ceived:�J Permitno_/�'iT��t/ '^`7.
City of Tigard project/uppl.no,: Eixpirc date:
City ojTtgord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued:_ By: Receipt no.:
Phone: (503) 639-4171 Pa inent t e
Fax: (503) 598-1960 Case file no.: — Y YP
Building permit no.:
Land use approvi l:
U &2 family dwelling or accessory U Commercia-Uindustria{ U MuIG family U Tenant improvement——
Fid/New construction J Ad#!ition/alteration/replacemcnt J Other: —
ormt-111 11 KIN 1
1
Job address: 3 <i L�ArO /�/�ti` =r Indicate equipment quantities in boxes below.Indicate the dollar
Suite no.: value of all mechanical materials,equipment,labor,overhead,
Bldg.no.: A profit,Value$
Tax map/tax lot/account no.: * , 4 application information and
Block: Subdivision: ��� Sec chcc.Itst for Important
Lot: jurisdiction's fee schedule for resin ential permit fee.
Project name: Lir or, Scha I
City/county: ZIP_ 2 161,1111111 211114110
IMMUMUM1 t
Desai tion and location of work on premises I: gee(h-) Total
_ D son Q!
ort l . Res.only Res.only
Estdate of completion/inspection: GIpl ; c r
Tenant improvement or change of use: Air h dli ig unit CFM
Is existing space heated or conditioned?U Yes U No Av con iti ping(site plan requiredT _ _-
Is existing space insulated?U Yes U No terauan o existingt]VAt systern
o1 er compressors
State boiler permit no.:
Business name: S U , r. 7� C��� r't-r lip —Tons--
Address: 5 W C C Gr l r "�� ire smoke amper uct smoke etec ixs
Slate:Qh' Z.IP: t!'JO cat pump(site p an reque ca► --
City: c / e r� E nsta rep acc urnac rurner_�
-mail
/'iE i Fax: E : s U No
Phone:�O i b•E a -- Including ductwork/vent liner U Ye
CCB no.'. 1 (I Instaiureplaccirclocatc ocitiv.,s–suspense ,
wall,or floor mounted
City/metro lic.no.: enc lora Lance nt ler than aarmee
Name(please print): vt cfngcrat on:
Absorption units___ BTU/l!
Chillers NP _ --
Name: �5 ���i'�r- - Corn lressors. _- tip
Address_ ;nv ronme.,ital exhaust an rent at ou:
C7----' State, ZIP: Apphanccvcnt
Fax: E-mail: rycrex
Phone. oot-js'1 ype res. ltc re azmat
// hood fire suppression system -
Name: G 2(j /7� ��Ah/ �D Exhaust fan with single duct(bath fans)
xlaust s stem a rart�rom teaun or A
Mailing address: -14 i 5 ee' 111rrmevv, ue pip ng am str ut on(up to out ets
City: ' ._1 r9 c� State:6R ZIP: x'7,71 y — Type; LPG _ NG Oil
Phone: /flu C IG Fax: Email: uel 1 in eac ae ditiona oveTTout cts �-
rocesspiping(schematicrequire )
Number of outlets _ —
Name: t ter stanpr-ante or equ pment:
Address: (" ! t.E`L�-I r c Decorative fireplace -
- St—at eZlP: Insert-type
City: o stov et stove
Phone: Fux: E-mail ter: ---{
Applicant's signature: VC t tt' - Date' t ter: —J{
Name (print): A4 I1, -----
- Permit ice.....................� -----
Nnr all Jursdkuow accept c"t:aver.plena call Jur"dicaon for mae tnrorm.uon. Notice:This permit application Minimum fee................$ ----
U visa O MasterCard expires if a permit is not obtained Plan review(at — %) $ _—
Credir cord number: — aptro� within 190 days after it has been State surcharge(8%) ....$
accepted as complete.
Name cudholder u own on credit cud s TOTAL. .......................$ --
Caeholdr�risnerore --- ArrvHmt 110-4617(ISWCOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Tot=
$1.00 to$5 000,00 _ Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) An,
$5 001.00 to$10,000.00 $72.50 for the first 55,000.00 and i) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or i Includingducts&vents 14.00
fraction thereof,to and Including 2) Furnace 100,01'0 BTU+
$10,000.00. Including ducts_&vents 17.40
$1_0,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$10200 or Includingvent 14.00
f T - frantion thereof,to and Including 4) Suspended heater,wall heater
$ 5,000.00. or floor mounted heater 14.00
525,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit
$1.45 for 9ach additional$100.00 or 8.80
fraction thereof,to and Including 6) Repair units
_ $50,000.00. t 2,15 -
550,001.00 and Ll $742.00 for the first$50,000.00 cud Check all thatbppl fI ea4 ,, Air
51.20 for each additional$100.00 or For Items 7.11;^se¢ Pump; Cored
fractior:thereof. footn.ces below. '?,., Go z �.
7)<3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb
Value Total unit 100k to 500k BTU _ 25.60
Description: Qt Ea Amount 9)15-30 HP;absorb
Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 `
ducts&vents 10)30-50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20
ducts&vents 11)>50HP:absorb
Floor furnace Including vent 955 _ unit>1.75 mil BTU 87.20
Suspended healer,wall heater or 95' 12)Air handling unit to 10,000 CFM
floor mounted heater 10.00
Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+
pormit _ 17.20
!. ;ha,r units - - --- 14)Non-portable evaporate cooler
.1 hp,absorb.unit, 955 1000_
to 10()k BTU 15)Vent fan connected to a single duct
,1 15 lip;absorb.unit, 1,700 1 6.80
101k to 500k BTU 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00
mil.BTU ----- 17)Hood served by mechanical exhaust
36 50 hp;absorb.unit, 3,4C0 10.00
1.1.75 ml!.BTU ------ 18)Domestic Incinerators
>50 hp;absorb.unit, J 5,725 17.40
>1.75 mil.BTU 19)Commercial or Industrial type Incinerator
Air handling unit to 10,000 Oin - 656_ 69.95
Air handling unit>10,00_t�cfrn 1,170 _ 20)Other units,Includl ig woo;-Stoves
N_un-porbible evaporate cooler _ 656 _y 10.00 _
nn.fan t,onnected to a sin0{R duct 446 - 21)Gas piping one to i'.,r outlets
it:astern not Included M 656 5.40 _
aij[�lance permit �. 22)more than 4-per outlet(each)
food served by mechanir s!exhaust 656 1.00 _
Dom.slit incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $
Commercial or Industrial Incinerator 4,590 _
Other unit,Including wood stoves, 656 - 8%Stats Surcharge $
Inserts,etc. _
Gas piping 14 oueets 360 - 25%Plan Review Fee(of subtotal) $
Each additional outlet 63 Re juired for ALL commercial permits only
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $
VALUATION: _ --
,cher InlBiQtt4!)!!.t_4.Fees:
Inspec.,a„s outside of normal business hours(minimum charge-two hours)
$72 50 per hour.
2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour)
$72 50 per hour
3 Additional plan review required by changes.additions or,revisions to plans(minim
charge-one-half hour)$72 50 per hour
'State Contractor Boller Certification required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit.
i:tdsts\forms4mech-fees.doc 10/11/00
lotDON • MORISSEoTTE
a 0 Y 1 9
LA [ [ G0svIa00. 97021G0NT 9 01T9703 :
(609) 907 - 7538 TA : (009) 987 - 7e 10 OBE : 2341
;r /- G / 77` LOT: 77
OPTION 02 ELEVATION DATE: 1/12/01
2/S/6 PROPERTY: EAGLES—VIEW
CITY: TIGARD
HS 7.2 DD/ 'DC)4S,�- SCALE: 1"=20'
PLAN No.: _ 17C
1
50- i
50C COriGretl�3 � / �°��O
2� 8 Driveway
_0 /
b14 Ft. -'- --
------
��� //�
FF-.E-
4W ��s_ i �c
498 r — 3�' ,
c -.
DECK 2 1/2 bath
- —�—� — - 493
u
4 1 /
V V
49I
491
115.m2'
LOT "'17
1,328
SEE 35M1VI
ROLL# 22
FOR
LARGE
DOC
UMENT
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EASTGATE ELECTRICAL INC
1410 NE 106TH
SUITE 206
PORTLAND, OR 972:0
Electrical Signature Form
Permit #: MST2001-00041
Date Issued: 02/2112001
Parcel: 2S112CG-14000
Site Address: 08083 SW CAROL ANN CT
Subdivision: DURHAM SCHOOL PARK
Block. Lot: 002
Jurisdiction: TIG
Zoning: R-12
Remarkc- Construction of new single family detached residence, Path 1.
Your company has boer indicated as the electrical contractor for the permit indicated above. In order fcr the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your comt. iy sign below -3nd return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Buildi;lg Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
HERB HOFFART & CO EASTGATE ELECTRICAL INC
4632 SW VERMONT 1410 NE 106TH
PORTLAND, OR 97219 SUITE 206
PORTLAND, OR 97220
Phone #: 503-244-0876 Phone #..
Req #: LIG 43701
ELE 2G-340C
SUP 15125
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X _
Sick ture of duperv.:any ectrician
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
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2001-00041
Date issued: 0212112001
Parcel: 2S112CC-14000
Site Address: 08083 SW CAROL ANN CT
Subdr 6sion: DURHAM SCHOOL PARK
Block: Lot: 002
,Jurisdiction: TIG
Zoning: R-12
Remarks: Construction of new single family detached residence, 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 �hove, ATTW Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER. PLUMBING CON FRACTOR:
HERB HOFFART & CO CRAFTWORK PLUMBING INC
4632 SW VERMONT 7736 SW NIMBUS AVE
PORTLAND, OR 97219 6EAVERTON, OR 97008
Phone #: 503-244-0876 Phone #: 644-8698
Reg #: I it 79666
PI M 20-148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x /
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
!n
an. _
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line- 639-4175 Business Line: 639-4171
BUP
_— Date Requested_—�- L% AM PM BLD
Location AL'g CSL L-� A-1 ;1 -- Suite MEC
Contact Person �(1r � Ph -2 7-7 PLM
Contractor Ph _ _ SWR
BUILDINC1.) � Tenant/OwnerELC —
Retaining Wall — - ELR
Footing Access
Foundation FPS _
Ftg Draio SGN —
Crawl Drain Inspection Notes: -----
Slab I SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing - --- ---- ---- -- -
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _—_-- -�— ----_--- -- —
Roof
Misc: - ------- ------- - -- ------ — -
gn '
----
R PARTFAILBING
Post& Beam _._-..----------- - -----
Under Slab
Top Out
Water Service
Sanitary Sewer --- ----- —
Rain Drains
Final ---------_------- -------.------ -. ._----------
A+466----PART FAIL _
- -- -----------------------------
MECHANICA _
Post& eam _T.___.--__.---------------__-. —
Rough In
Gas Line -- -- - - ------
Smoke Dampei I�
SS PAR FAIL
TRICAL - ----- --- - - — ----—— —
Service
Rough In _---------- --___-----
UG/Slab _
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
Backfill/Grading
Sanitary Sewe:
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply line [ J p -- — [ J Unable to inspect-no access
ADA -�—-----—
Approach/Sidewalks
Other Dale f=3Oi 0 l Inspector //, Ext
Fi,lal --
PASS__ PART_ FAIL DO NOT REMOVE this Inspection record from 'he job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BLIP
Date Requested_ - AM PM BLD
Location '0 SJite MEC —
Contact Person Ph 77 PLM
Contractor _ Ph _—_ SWR
BUILDING — Tenant/Owner - ELC - -
Retaining'Nall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: - --
Slab _ --_ --____ -_ ----- SIT
Post&Beam
Ext Sheath/Shear --- —
Int Sheath/Shear
f raming --- - ------_ --- --- - -- ---___
Insulation
Drywall Nailing --__.__ ___ - ----_-_--- --------.------- __ __ -
Firewall
Fire Sprinkler -------------_-_.__ __f -.
Fire Alarm
Susp'd Ceiling -- r• _�____ -_ --- ---..---
Roof
Misc: _ _ __ _- --------- -_ ----- -- - - -- -
Final -
PASS PART FAIL _- _ -- ----- -- ---- ---- - - _ -- --
PLUMBING -- - ---- — — -----. - ---- -
Post&Beam
Under Sl,jb —_-- —_-
1 op Out -____--- ----__--- ---- —
Water Service -- -------� _ -- - -- --------- --- --_-
Sanitary Sevier
Rain Drains
Final
PASS PART FAIL
MECHANICAL -- -------Y9T--_____
Post& Beam - . . -- -------.._ ------- - - -- - ---------
Rough In
GasLine - ------ ... ------------- ------- - -- - -- -
Smoke Dampers
Filial
PASS PART FAIL -- —_ _ ---- ------- ----- ---- ---- ---- --
'ELECT
service
(lough In ----__- --- ---- -----------
U6/Slab ----T-- - -- -- -
I ow Voltage
F i r e-4arm --- ---- --- ------- ------ -PASS PART FAIL ---- - --- -_._-- -- -_-_ --------
SIT
Backfill/Grading --- -- - --- -- - --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$,—__--required before ne i spection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Lane ( ] Please call for reinspection RE _—_- ] Unable to inspect-no access
ADA �1
Approach/Sidewalk pate Inspector�_
Other -- -- ��--._Ext _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.