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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 LOT 3 fI i S 88 "42 ' 32 " E 82 . 28 ' 174. 79 ' • QD - - - LINE - - - - - - o , 169 . 35 SETBACK LI ` �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I STti� LAT 16 . 3 163 . 2728. 50 II I 1 0 UV� E L. CD i 1 � I d- 1 17 169130 -- - z W1o � LOT 2 0 t,sJ ' ISSI I � 1 W Z F.F. ) 7) .00 V% LAT. 1 o LOT AREA 2886 S.F. o 1162. 27 : 00 N v ; N , I Q I S 88,042132 E � Ln JOINT 110. 00 � ' 0 ~ ' ACCESS _ — 0 I o 1 o � , � I 1 E S M z 46 . 00 ' I Q I U 174. 83 `n Li LnI ' I CXD o 16 8.7 8 S 88 "42 ' ,32 " E 82 . 63 ' I� 0 - - - - - - -- - - - ,--- - - - - - - - - 0 IN LOT 1 I � I z D /W EL. I I 168 . 60 N 8 042 32 W Now NOTICE: IF THE PRINT OR TYPE ANY ON IrI � II i � il � � l i � ili � l IIID+ r IIIIII � I ( � l � 11Ili.� T.IT_1 �..1._ i iii i ( i i ( i i ( � i ( i iii i ( � iii i ( i i ( i t � il � � t i ( r iI � -ilr i � ► � � � i1i i ( i � ili iii � ( � l � � � i � i iii iii i � i � i � i �. NOTICE 2 6 7 I I ! I a. 3 4 101 1 IMAGE IS NOT AS CLEAR AS THIS _ -- -- - —__-- -- — -- 1_------- — -- --__- _-- -- --- $L— --- / IT IS DUE TO THE QUALITY OF THE — -----No.3s ORIGINAL DOCUMENT E6 Z 8 Z L Z 8 Z S Z fi Z E Z Z� T Z O Z 6 T 8 I G T 9 Z LIII IIII IIII 111111!1 illi Ilii 1111 lilt 1111 1111 �1�1 lll� Il_Il lfll ���� Iill illi. IIiI IIII 1111 1111 1111 1111 1111 1111 1111 1111 1111 IIII IIII IIII IIII IIII IIII IIII ILII IILL IIII _l` ll1.I ILII llI Llli 1111 �lli. 11.11 111.1 '�� � � � �llL iIII�1�Il l , { eff 00 O 00 W cn G n O_ A n O c 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. _ Con � � 1 a � 1 N co JiA < � 70_ CE ` J a rl G l� � s a O `v a i V � V C 3 N 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.