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Hanger No. 24
Side Pipe Strap
GENERAL NOTES:
Wont) HYDRAULIC DESIGN INFORMATION
NE•NLl
v ;:.°•�,, 1. ALL PIPING IS CENTRAL SPRINKLER BLAZEMASTER CPVC W/ CEMENTED CPVC to iR 1 UNFPA 13D,95 "•=�+D RESIDENTIAL ; WET
FITTINGS, UNLESS NOTED OTHERWISE. Y10 '° REMon DENSITY IMIDE HOSE OUISOE nog ARu FR
� 100 0HA 2 GPM/HEAD 17.0 AILOWANCE 0 AuowANce 0 srRrRaEn 400
C / / / / vnwwRLwwr
2. UPPER LEVEL PIPING IS TO LAY ON TOP OF THE BOTTOM CHORD OF THE wwun wua wr TOTAL SYSTEM WATER MAIN
/ / ROOF TRUSSES, FIRST FLOOR PIPING IS +4" ABV BOTTOM OF wvwmwvw� REQUIREMENTS: 91.51's 34, OPN AT
"""'"""` �� 'A'•�••_'•�• TJI FLOOR JOISTS.
t'ER�rm wu•E HYDRAULIC DESIGN INFORMATICN
am car
we. m Am a.w. N,v,W= me •A• INmmaom 3. EXACT LOCATION AND TYPE OF HANGERS AND RESTRAINTS TO BE PER Merin 2 jcODINFPA 13D,93 JHAZAADRESIDENTIAL I m WET
FEILD CONDITIONS AND CONFORM WITH NFPA 13, 13R & FJMOTE oENaTr WW HOSE Du so Hog ARu vu
wr rRETYPE
A 1 GPM/HM 24.0 A-1OwAHCE 0 AL OwANCE 0 SVRw uw 400
MANUFACTURER'S RECOMMENDATIONS, _
1°•°'rr wTOTAL SYSTEM
nI R,A�IwR[
4. PIPING LENGTHS NOTED ARE FROM CENTER TO CENTER OF FITTINGS. REQUIREMENTS: 76.9Pm 24, )GPM ATWATER MAIN
Y�
5. CENTRAL "ROC" RESIDENTIAL HEADS ARE LISTED 20'x20'(10' OFF WALL) mums vff r
RISER DETAIL
SCALE N.T.S. � /— —
8'-0„ NOOK
10-0 X 1Q_
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LOWER LEVEL MMING PLAN 1/4" = 1'-0" MAN LEVEL fir' MING PLAN 1/4" = 1'-0" aY:
NOTES REVISIONS SPRINKLER LEGEND THIS DRAWING IS THE PROPERTY OF JND
WATER SUPPLY INFO. — WATER MAIN JND FIRE SPRINKLER INC
THIS SYSTEM HAS BEEN HYDRAULICALLY Q zS PEND wNITE teo ♦.zo 11/2' 17/16- csc Roc wNTE COVER P ATE Cwnanl STATIC RES WAL tow DAN JOB #: ARE SPRINKLER, INC. THIS DRAWING IS LOANED MIHOUT E
118.0 90.0 2869 7-10-98 A
DESIGNED TO PROVIDE 17.0 GPM/HEAD - Lac�naN 13520 SW LAUREN LN p A,g 25' THESE SHOP DRAWINGS OTHER CONSIDERATION THAN THE AGREEMENT AND CONDITON 1 e Ir BURS-o MOADN
N FOR THE MOST REMOTE 2 HEADS Q _- To wA TAP THAT IT IS NOT TO BE REPRODUCED,COPIED, OR OTHERNSE PHONE NO. 503 968--5200 FAx 503 988-5920
SouRCE WERE PREPARED FROM
WHEN SUPPLIED WITH 91.9 NSI AT FLOW BY JND WITNESSED BY TVFR PLANS BY DISPOSED OF, DIRECTLY OR INDIRECTLY, AND IS NOT TO BE LOSE HOMES #2064BR
34.0 GPM AT THE BASE OF THE RISER. APPROVALS SUPPLY FO. - _POLLARD HOSMAR_ USED IN WHOLE OR IN PART TO ASSIST IN MAKING OR TO 301 yWn" SW BROADMOOR PLACE
SYSTEM DESIGNED IN ACCORDANCE WITH 1 TO FURNISH ANY INFORMATION FOR THE MAKING OF DRA'MNGS TIGARD, OREGON
NFPA 13D, 1996. PIESSORE 0 CAPACITY 0 ELLV. 0 _ ARCHITECTS __
PlaNrs, APPARATUS ON PART HEREOF. THE ACCEPTANCE OF 11115 NFPA 13 D AUTOMATIC FIRE
r Q �WHONTES CITY OF TIGARD GGG'Y R _ TIGARD, OREGON
- DRANING MILL BE CONSTRUED AS rN ACCEPTANCE OF THE
FIRE PUMP SPRINKLER PIPING PLAN
PRINT DATE: 7 14 g8 FOREGOING CONDITIONS, AND AN ADMISSION OF THE EXCLUSIVE
26 RATEDD RATED Mrw o,a -_-______,_1__ OWNERSHIP IN AND TO THE DRAWINGS. SCALE 1/4" = 1'-0" OREGON LIC.lro. 64395 1 PAGE 1 OF 1
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130'16 SW BROADMOOR PLACE
CERTIFICATE OF OCCUPANCY
CITYOF T I G A R D PERMIT#: MS rc)8-00208
DATE ISSUED: 06/Oy/1998
DEVELOPMENT SERVICES
13125 GIN Ball Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DB-01200
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 13016 SW BROADMOOk 't COf
�SUBDIVISION: AMESBURY HEIGHTS �� ,
BLOCK: LOT:o12
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR:
OCCUPANCY GRP: R'
TENANT NAME:
REMARKS: SF - Path 1
Final Building Inspection and Certificate of Occupan(y Approved
10/113/99 by Ken Schriendl, Building Inspector
Owner:
GREG SIMMONS
41214 SW KANAN DR
PORTLAND, OR 97221
Phone: 244-5616
Contractor:
CLOSE HOMES
GREG SIMMONS
4214 SW KANAN DR
Phone: 224-5616
Reg #:
i
This Certificate grants occupancy of the above referenced building, or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued. /
BUILDING INSPECTOR BUILDIkb OFFICIAL.
POST IN CONSrITUOIiS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST -
24-Hour Inspection Line: 659-4175 Business Line: 639-4171
BUP _
----- Date Requested U AM PM _�%_� BLD
Location_ �U �-ft ,. n� Suite —_ —_ MEC _
C'„,-ttaet Person Sol Ph _ '�` � _ PLM —
Contractor_ _ Ph SWR
13UILDING Tenant/Owner ELC _
Retain ng Wal ELR
Footing — —
Foundation ACCeS�3: �,
� 4V FPS
Fty Drain I —---
Crawl grain Inspection Notes: - SGN
Slab —__ III— SIT
Post& Beam ----- — —.—
Ext Sheath/Shear
Int Sheath/shear — —-
Framing
Insulation --` --^-- -----
Drywall Nailing
Firowall -_---- - ---
Fire Sprinkler — —
Fire Alarm ----------- __
Susp'd Ceiling
Roof -----------
i
Misr. 1 L� ' -- ---- _� — -----
PASS P RT FAIL
I PL NG —1---- ---
Post& Beam ---- -- ----_ — -
Under Slab
Top Out -- ---_-- - -- -- -
Water Service
Sanitary Sewer ------- ---- -- ------ -----------
Rain grains
Final --- --------- --
PA69 PARC. FAIL
--------------------------
1 MECHANICAL -- -------
Post& Beall) --— -- -------- --- _
Rough In
Gas Line -- --------- _ _ _
Smoke Dampers — —
PASS P RT FAIL
ErECTWCAL - - -- - -
Service
Rough In ------ --------- — --
UG/Slab _
Low Voltage I ---- ---- -- __ — -- -- -
Fire Alarm
Final
PASS PART FAI:
SITE -
Back Ill lllGrading -�--- — - ----- - -
Sanitary Sewer
Stolen 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 re°rspectior.RE: [ )Unable to inspect-no access
ADAAppr %
Otheoach/Sidewalk Date ,�j 1�' Inspector _— _`--Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLtJMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERM I T #. PLM9B04 10
DATE IS51JED: 11/02/98
PARCEL_: r25104DB-01.200
SITE ADDRESS. . . : 13016 SW BROADMOOR PI...
SUBDIVISION. . . . : AMFSBLJRY HFTGHTS ZONING: R-4. 5
BLOCK. . .. . . . . . . . : LOT. . . . . . . . . . . . . :012 JURISDICTION: TIG
------------
CLASS OF WORK. . :NEW GARBO.GE DISPOSALS. 0 MOBILE HOME SPACES.: 0
TYPE OF OSE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP'. . :R3 FLOOR DRAINS. . . . . . . 01 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . = 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F I X TLJ RES-------------- LA(JNDRY TRAYS. . . . . 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . , . . . : 0 IJR I NAL S. . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 01 OTHER FTXTtJRES. . . . 0
TL.JB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0
Remarks : Installation of v-es,i.dpntial barkflnw prevention device.
Oteiner: FEES
GREG SIMMONS type amot..int by date re(_-pt
4214 SW KANAN DR PIRMT $ 15. 00 DEB 11/02/98 98-310479
PORTLAND OR 97221 5PCT $ 0. 75 DEB 11 /001/98 98310479
Phone #:
Contractor-------------------------------- - ---
DEWAYNE DENNIS
2'5930 S MORGAN RD
ESTACADA OR 97023
Phone #r 519--7179(MOS) $ 15. 75 TOTAL
Reg #. . : 12319
REQ1JIRED INSPECTIONS
This persit is issued subject to the regulations contained in the RP/Raf_kf1ovi Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Firia l Tnspf�rtion
applicable laws. All work will be done in accordance with
approved plans. This pervit will expire if work is not started
within 180 days of issuance, Or if work is suspended for sure
than 180 days. ATTENTION: Oregon law requires YOU to follow rUIP5
adopted by thp Oregon Utility Notification Center. Those rules are
set forth in OAR 952-000I-0010 through OAR 952-.0001 OW. You say
obtain copies of these rules or direct questions to OLOC by calling
(503)246-1987.
I s s iA e d y: Permittee SignatLtre:
+++++++++++++4•+++++++i+++•+++++++++++++++++++++++++++4++ ' ++ +++ + +f+.4-++++ +
Call 639-4175 by 7:00 p. m. for an inspection needed the 11 1 btis ness y
+..........................4•......4.++.1--+-+.........4-++++ +.+4.+.++4... +++++. ++++
CITY OF TIGARD Plumbing Permit Application Pian Che . _
13125 SW HALL BLVD. Commercial and Residential Recd By
TIGARD, OR 97223 DateRec'd //
(503) 639-4171 l rrj ,.� iS Date to P.E _ —
Print or Type el Date to DST
Incomplete or illegib;;; applications will not be accepted Permit
Related SWR
Called_
Name of Development/Project FIXTURES (individual) QTY JPRICEAMT
Job i 'ren Sink Address Street Addre;ls Suite Lavatory T ub or TublShower Comb Hldg# City/SlateShower Only
nc
N ne l ' C 'Nater Closet 9.00
Dishwasher Y 900
Owner Ma ingg-Atfdress Suite I Garbage^15pV.dI 8.00
y�E i,1�4 net to I Vv , — Washing Machine -- -- ------r---t- .n" I
dy/St t Zip P Qne - —
- �• lE` Flcor Drain/Floor Sink 2" - 900
Name 3" 9.00
4" 9.00
Occupant MailingNd ass Suite, Water Heater O conversion O like kind 900
_; Gas piping requires a separate mechanical permit,
--City/state Zip Laundry Room Tray 900
—_ Urinal 900
/ NN
Other Fixtures(Sperily) - — 9.00
Contractor Mailing Address Su9.00lte _—
� r -- 9.00
Prior to permit CC�IState Zip Phone Sewer 1st 100' 30,00
issuance,a copy / C - Sewer-each additional 100' — 25-00
of all licenses are Oregb Const Cont Board Lic# Exp.Date
required If 7 _ Water Service-1 st 100' 3000
expired in COT Plumbing I_ic.# Exp.DateWater Service each additional 200' 25.00
database — Storm&Rain Drain-1st 100' 3000 J
Name Storm&Rain Drain-each additional 100' 25 00
Architect Mobile Home Space 2500
or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00
Pollution Device
Engineer City/S!ate Zip Phone Residential Backflow Prevention Device' 1500
(Irrigation timing devices require a separate \
Describe work to be done: restrict--d energy permit.) __ L __
New O Repair 0 Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture T 900
Residential 0 Commercial O _ Catch Basin — 9.00
Additional description of work: -
I-tsp of Existing Plumbing 40.00
perthr
Specially Requested Inspections 4000
_ per/hr
-- Rain Drain single family dwelling 3000
Are you capping, moving or replacing any fixtures? -- — — -I
Grease Traps 900
Yes O No O
I
If yes,see back of form to indicate work performed by
QUANTITY TOTAL
fixture. FA'L RE TO ACCURATELY REPORT FIXTURE Isometric or riser diagram Is required if Quantity Total is >9 _
WORK COJILO RESULT IN INCREASED SEWER FEES. _ •SUBTOTAL /s,o
I hereby ar now dge that I haze read this application,that the information _
given owner or autiiori7ft t of the owner,and —^ 50'c SURCHARGE '
n nitted are in co Iiance With Oregon Sta Laws
�I Slgnatur Owner/Agent - � ate **PLAN REVIEW 25%OF SUBTOTAL
Re ur ed only if ftxtwe qty total is>9
TOTAL
Para Phone _
*Minimum permit fee is$25+ 5%surcharge,except Residential Backflow
-� `-------- �L / Preveniton DwAce,which is$15+5%strrharge
"All New Commercial Buildings require plans with Isometric or riser diagram
and plan review
1 ldstsblumapp dot 72139
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed_
New Moved Replaced Removed/Capped
_Sink _ -----� - —�—
� Lavatory ---
-fub or Tub/Shower-Combination
Shower Only--_--- --- — -� --
Water Closet
Dishwasher
Garbage Disposal
Washing _Machine
Floor Drain/Floor Sink 2"
Water Heater__
Laundry Room Tray
Urinal -—_ ---- — —_ —__ —
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
I\dsls\phimapp dcx 71il;18
CITY OF TIGARD MriS FR r-'ERMTT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MGT98--0.':_'0a
DATE ISSLIED: 06.,109/98
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
F,ARCEI. : 2S I O4DB -0.12'00
':)ITF ADI)14 `3L;. 1.31016 SW
IJSD I V 151 CIN. . . . :AMESB(JRY HEI 0HTS 70N TNG: R-4. 5
T3I_..00K. . . . . . . . ..
I_OT. . . . . . . . . . . . ..01 rt.lF?I5pTCTTON: TIG
Remarks: SF - Path 1 -Special Conditions (a) Contractor to provide hydrant at curb elevation 410.40 in the cul-de-sac between lots 10 an
d 11. See note in
actionE under framing. (b) The building shall be sprinklered as required by the Fire Department.
---------------------------------------------------------------
REISSUE: STORIES.......: 3 FLOOR AREAS---------- BASEMEN{...: 0 sf REOUIRFD SETBACKS---- REQUIRED----------
CLASS OF WORK.;NEW HEIGHT........: 28 FIRST....: 1980 sf GARAGE—-: 950 sf LEFT..........: 5 SMOKE DF _CTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND,..: t49 sf FRONT.........: 1 PARKING SPACES: 2
TYPE 0r CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........:
OCCUPANCY GRP,:R3 KIM: 4 BATH: 4 TOTAL-----: 3446 sf VALUE..$: 249493 REAR....,.....: 20
---------------------------------------------------------------- PLUMPING ------------—-----—-------------.-----------------------------
SINKS.........: 3 WATER CLOSETS.: 4 WISHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 200 TRAPS.........: 0
LAVATORIES....: 6 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: I'M SF RAIN DRAINS: 3 CATCH BASINS..: 0
TUB!SHOWERS...: 4 GARBAGE DISP,. : t WATER HEATERS.: 1 WATER LINE ft: 200 BCKFLW PREVNTR: l GREASE TRAPS..: 0
OTHER FIXTURES: 1
-----------------------------•--------------------------------- MECHANICAL ------------ - ...------ --- ---- -----------------------------
FUEL TYPES----------- FURN ( 100K ,. ; 0 BOIL!CMP ( 3HP: 1 VENT FANS.....: 4 CLOTHES DRYERS: I
GAS FURN )=I&F ..: i UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS.—
MAX INP.; 250'D00 BTU FLOOR FURNACES: 0 VENTS.........: 2 WOOD5TOVES....: 0 GAS OUTLETS...: 1
------ ----------------- -- -- ---- - -- ---
—RESIDENTIAL UNIT--- ---SERVIr,F/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANE(XUS----- --ADD'L INSPECTIONS-
1000 Sr OR LESS: 1 0 - 200 alp..: ^ 0 - 205• asp..: 0 W/SVC OR FDR.. : 0 'UMP/IRRICATION: 0 PER INSPECTION: 0
EA ADD'L 50057.: 8 201 - 400 asp.. : 0 201 - 400 asp.. : 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOUR......:
LIMI'ED ENERGY.: 0 401 - 600 asp.. : 0 401 - 600 asp..: 0 EA ADDL BR CIA: 0 SIGNAL'PANEL...: 0 IN PLANT......: Z
MANE HM/SVC/FDR: 0 601 - 1000 asp.: 0 601+amps-1000 v: 0 MINOR LABEL. -10: 0
1000+ asp/volt.: 0 -------------------- --------------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS PREP/SPC OCC:
--------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -- -- ---------- - ------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------------•-------------------------•-
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO rI STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
°.'RGLAP ALARM..: OTH:X :; BOILER.........: HVAC...........: LPNDSCAPE/TRRTG: PROTECTIVE SIGNL:
PRAG1 OPENER..: CLOCK........... INS.TRIUMENTATION: MEDICAL........ : OTHR:
HVAC............. DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: p
9wner: ---------------------------------Contractor: ----------------------------- TOTAL FEES:f 5&'3.71
GREG SIMWM CLOSE HOMES This permit is subject to the reg.rlations contained i , t:.e
4214 SW KANAN DR GREG 91MMONS Tigard Mgnicipal Code, State of Ore. Specialty Codes and all,
PORTLAND OR 97221 4214 SW KANP': DR other, applicable laws. All work will be done in accordance
PORTLAND OR with approved plans. This permit will expire if work is
Phone N: 244-5616 Phone N: 224-5616 not started within 180 days of issuance, or if the work is
Reg A.. : 001091 suspended for more than 180 days- ATTENTION: Oregon law
------------------------------------------------------------------ requires you to follow rules adopted by the Oregon Utility
Notification Center. Those riles are set forth in OAR 95?-001-0010 thro�,gh nAR 95'-PPI-008e, You may obtain copies of these rules or
direct questions to OK by calling (503)246-1987.
-------------------------------------------------------------- REQUIRED INSPECTIOMS -----------------------------------------------------
Erosion 844-8444 Post/Beat Mechan Plumb Top Out Low Voltage Rain drain Insp Electrical Final
Grading Inspecti Crawl Drain/Back Electrical Servi Gas Line Insp Water Line Insp Mechanical rinal
Footing Insp Footing/Foundati Elertrical Rough Gas Fireplace Water Service In Plumb Final
Foundation Insp PLM/Underfloor Framing Insp Insulation Insp Misc. Inspection Building Tinal
Post/Brat 5tr . echanica rsp Shear Wall Insp Gyp Beard Insp r1r a r•m i ttee Si.gnatL r,( 6
1-F++.+..+-4 .+._f.-1..x .441' 1. +.1.4 + 1 r 4 r. 4 r 1 1 r 1.+ .1.4.4 +4 r 1'-4 4.4. -44.}..1.+.Ik++ F +
y 7:00 p. m. for- in in-per.-J in—per.—Jion needed thr? ne >xt t,
CITY OF TIGARD
DEVELOPMENT SERVICES SrWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT
PERMIT #. . . . . . . .. SWR98-01. 117
DATE ISSUED: 06/O9/98
PARCEL: 2S 1 O4DB-01 C'OO
SITE_ ADDRESS. ,. . : 13016 SW DROnDmOOR F,I-.
SUBDIVISION. . . . :AMESBURY I-1ETGHTS ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :012 JURISDICTION: TTCi
TENANT NAME. . . . . :GREG SIMMONS _
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0
INSTALL TYPE. . . . -BL.ISWR IMPERV SURFACE: 0 sf
Remarks : SF — Path 1
Owner: --____._.__._____.__._______—_._______.___._. __._._._ ___----______ FEES
GREG SIMMf]NS type amoo_Int by date recpt
4214 SW KANnN DR PIRMT $ 2200. 00 DEB O6/O9/98 98-306403
PORTLAND OR 97221 INSP $ :35. 00 DEB 06/09/98 98-306403
Phos #i
Contractor: -.._.---.__-.----------------------
OWNER
Phone #: $ 2235. 00 TOTE L.-
Reg it „ .
--- --- - REOUI RF..D INSPECTIONS
- _---
This Applicant agrees to comply with ill the rules and regulations Sewer Inspection
of the Unified Sewage Aoency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The r4gency does not g,jarantee 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 Sioe Sewer" Permit and the Agency will install a lateral,
ATTENTION: Oregon law requires you to follow rules adopted by the
--egon Utility Notificatior Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-0101-M. You may obtain copies of
these rules or dire estions to OL1NC by calling (503)246-1987.
Iss+..led b Permittee Signatl.i a __..._..
+++++++++++++++++++++++++++++++++•++++++•++++++•++++++++++++++++++++++++++++.++++++4
Call 639-4175 by 7:00 p. m. for, an inspection needed the next hi.lsiness day
f-f++++++++++++++++++++++++++•+++++++++++++++++++++++++++4-+++++++++++++++++-1•++++44
e
MR BOB POSKINS
CITYPLANNING DEPT
CITI' OF TIGARD
MR JERRY RENFRO
FIRE INSPECTOR
TUALATIN VALLEY FIRE/RESCUE
TO THE POWERS THAT BE
GREG SIMMONS DBA CLOSE HOMES HEREBY ACF:OWLEDGES THE CITY'S NEED
FOR CERTAIN BUILDING IMPROVEMENTS RELATIVE TO THE CONSTRUCTION OF
A SINGLE FAMILY AT 1 010 SW BROADMOORE PLACE (LAT 1110 SPECIFICALLY
THE CITY IS REQUIRING A SPRINKLERED STRUCTURE ,TO OVERCOME CERTAIN
ACCESS ISSUES. AS WELL AS INSURING THAT A FIRE HYDRANT, SERVICABLE TO
THE HOME BE INSTALLED APPLICANT FURTHER ACKNOWLEDGES HE HAS
UNTIL THE TIME A FINAL- FRAMING INSPECTION IS REQUESTED, TO RESOLVE
TTTFSL MATTT'RS TO TTIF CTT)"S ATISFACTTON
YOUR COOPERATION AND CONSIDERATION IS APPRECIATED CONSIDERING
THE E\PE"SIVE BURDEN THESE OVERBITES HAVE CREATED
SINCERELY
'-7--1 Fz-1 <5�k c-
GREG SIMMONS
0
State of—OAC G o A/
County of-1R S r,yc +0^1
On this day of '--J �'_" In the year of 9 99' before
Me -LO– X. K i ++le.5 on1, personai!y appeared 60-4'S
Personally known to me (of-provided-to rtte un VI-Mbesis-of Satisfaotory evidence),to be
The person(*whose name(,, is/am subscribed to thq within instrument, and
Acknowledged to me that he/shokUy executed the same in his/heaft r authorized
CapacityW, and that by his/he~signature(o) on the instrument the person%) or
The entity upon behalf of which the person(+) acted, executed the instrument.
nFFICIALSEAL �
Signature of Notary TIM A KITTLESON
NOTARY PUBLIC•OREGON
COMMISSION N0.307903
Y(dAMISSION EXPIRES DECEMBER 2: 1001
.-'�'"'**''--may-+--•-;•`'`�:V>��^G�-�.c�,
–M Sig ExD ACLS ece.^4 Zz- zva/
C l r s bi
Plan Check#
G!TY OF TIGARD �Aesidential Building Permit Application Recd By
13125 SW HALL BLVD. New Construction Additions or Alterations Date RecJ S; -
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. < z
V 503-634171 Date to DST b 2.
F 503-684-7297 Permit# 5U1j�q
Print or Type j� Called - Z GYb
Incomplete or illegible applications will not be accepted
Name of Project r Nam
j 1
Job 4W GJ 61"1 12-
Address
ZAddress Site Address — Architect Mailing Address
Nary�e City/Stare ZigPhone
Owner MailinAdorpss ) Nam
yTle Zip jon/eI Engineer Mailing Address
General Name
City/State Zip Phone
Contractor �+ / 1'
ft-Dm FS Describe work New Addition O Alteration O Repair O
M i ing Addr �s to be done
Prior to permd , I r. (� . /�1/1 C� Additional Description of Work:
issuance, a copy C at -zip tPhone _
cf all licenses ��� 'are required if Oregon Const.Cont.BoardD to PROJECTjDOvexpired in COT Lic.# VALUATION10 database � � � ���
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- 1'� I i It Sq. Ft. Hoyse. :,�q. Ft. _Garage
Contractor M 9 A�dress - u3 ClL)(�, Llv
Prior to permit L3 Corner Lot YES NO Flag Lot YES NO
issuance. a copy Ci /St Zip Phone (check one) (check one) x
of all licenses (,\J. �,� r jf�,S` Restricted Audio/Stereo �� Burglar
are required if Oregon Const.con Boar E Otto
exoired in COT Lic# yrnctra �r�, Energy System Alarm
database �'-����/ g � $� "I Installation ✓ Garage Door ,/ HVAC
Plumbing Name Opener _ Systems_
Sub- _TY le pJ,/M1,L! 1C (check all that Other:
Contractor Maillrg Address apply) _
1 �S SbJ SOC E-1 Will t le electrical subcontractor wire for all __YES NO
��{ �U restricted energy installations? _ r
Prior to permit �jty S to Zip - phone Has the Subdivision Plat recorded? N/A YDS NO
ssua ce, a copy r1 ( L1142- 16 x
of all licenses are Oregon Const.Cont.Board Exp. Date _ _ _
required if Lic r. /I Reissue of MST# Solar Compliance �v/
expired in COT u c5� Z) I� _ (Calculation Attached]
database Plumbing Lici_ic.N Exp.Date I heE,,oy acknowledge that I have read this application. that the
I L1 p g 12I�}I irlirmation given is correct, that I am the owner or authorized
.[^- Name agent of the ownor, and that plans submitted are in compliance
with Qregon Sta laws.
Electrical ��- �C( C — Si atuc6 of 01/J';!/)r
er Agent Dat
Sub- Mailing Address C" j fr t
Contractor I C_ont.�dPidr§orl Name Phone#
City/State Zip PhoneL�_.t.�Cw?��� ��1�� "'.Lj _ _ IL (v
Prior to permit FOR OFMCE USE ONLY: _
issuance, a copy LPlat#: Map/TL#:
of all licenses are Oregon Const Cont Board Exp Date
required if Lic#
eSetba }: I Z Solar:
xpired in COT _ / i�
database Electrical Lic # Exp Date `
EnneeGmg Approval: P a r ling Approval: TIF:
I SFREM DOC (DST) 4/97
�7C
SEE 35MM
ROIdL# 2 .2
FOR
LARGE
DOCUMENT
M E I-Chariton, Inc. TO: � (h � � (�'to 'p BY:
2233 S W 1`.,031?_28.966:'1
5ren, N Fy r., .1 _- - EF. NU.: / 5 J DA?E: r ,.
L owe- v 610
I
1
�Y
Iht"rruri� F��rGT iGy b7
` P ti�►r �e�t rjr7"dr .� civ+"�� S lh � rl-�-� I'+""' �`�.�?'',
G�r7 e-ae e7
/'U-QIP I ; C y q to df
?70 XT 2 6 y
. r,s'T ruhA l•rhT
ell
CITY GF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd, Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : BUF138-0E,82
DATE ISSUED: 08/19/98
PARCEL: 2S104DB-01200
SITE ADDRESS. . . : 13016 SW BROFiDMOOR PI..
SUBDIVISION. . . . : AMESBURY HEIGHTS ZONING:R-4. 5
BLOCK. . . . . . . . . . . I_0T. . . . . . . . . . . . . ..012 JURISDICTION:TIG
------------------------------------------------------------
13EISSUE: I--,' FLOOR AREAS---------- EXTERIOR WALL GONSTRUCTIOni
,LASS OF WORK. :�J FIRST. . . . : 0 sf N: S: E: W.
TYRE OF USE. . . :SF SECOND. . . : 0 sf PROTECT OPEN I NGS?-__-__---__-
TYRE OF CONST. :5N344x; sf N." : E- W:
OCCUPANCY GRP. :R3 TOTAL----. : ,+48 s F ROOF CONST: FIRE RkT? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEF'. RATED:
STOR. : 0 HT: t7i ft GARAGE. . . : 0 sf OCCU SEP. RATED:
HSMT?: MFZ Z?: RE(;,-' SETBACKS-.--------- REQUIRED----------------------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKl_: SMOK DET. . !
')WELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
HEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
UALUE. f : 3880
Remarks : Fire suppression system for single family dwelling.
Cwner: --- ______..._.__.___._____._---___._._.__._. __._ FEES
------
CLOSE HOMES type amount by date -recpt-
4`14 SW KANAN DR PRMT $ 44. 50 DEB 07/16/98 98-30.7408
PORTLAND OR 5F'C•T is 2. 23 DEB 07/16/98 98-•307408
Phone #: 244--5616 FIRE_ $ 17. 80 DEB 07/16/98 98-30740E:
Contractor: __.------------- -------_.--._
JNV FIRE SPR I NKL_ER INC
PO BOX 23535
EUGENE OR 997402
Phone #: 541-686-1964 $ 64. 5.; TOTAL
Reg #. . : 64395
---REUUIRED ACTIONS or INSPEC71ONS-----
Thrs pe,mit is issued subject to the rrotslatiors contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other _ _ r-
applicable laws. All work will be do:.e in accordance with ~-- -`
approved planr,. This permit will expire if work is not started _within 180 180 days nf issuance, or if wo-k is suspended for more _--than 180 days. ATicNTION: Oregon law -equires you to follow the --�-
''ilec ad Cted by the Oregon Utility Notification Center. Those
ruler a e sPt forth in OAR 452-001-0?10 through OAR 952.-M101QD1.
You many obtain a copy of these rules or direct questions to OUNC
by calling (7)031246-1987.
['ermittee Signature : 22 Issued By : ` L.hIQ�� ✓
1 +++++++++++i+++++++t+++++t+++++++++++++++++++++++•+++++++++++++{ +++++++++•+++++
Call 63•x•-4175 uy 7:00 p. m. for an inspection needed the next business qday
++++++++++++++++++++++•+•++•++++++++i•++++++++++++++++•+++++++•+++ ++++++++++++F••4-++4-4
Fire Protection Permit Applicationo J- 74.
try Ian Check#--
CITY OF TIG3ARD Commercial or Residential 1 1 Reid By
13125 S",V HALL BLVD. Date Recd
TIGARD, OR 97223 Print or TypeI �' Date to P E. 4,(;i 17
503 639-4171 x. 304 Incomplete or illegible applications will not be ac eC pted Date to DST
Permit N a 14,f C7.A1/��.2._.
�L -/✓ ( Called
c c
Job Name of evelopmentfPro ect ype of System (Complete A or B as applicable)
YIC—.S I, 7EACI= -- --- —
Address Address A.) Sprinkler Wet Dry ❑ ----
_
Name GSl;jC Standpipes
Owner Marling Address Hazard Group
c. -L,'-( Stry t pQ1 Additional
City/Stat % � �`lStatTMQ' zip 24ne_ ' Information Density
�.�Tl� -
Name Design Area
2-k1epps
Occupant Mailing,�ddress K. Factor
-- "-4.L I _
Cityl7,twe — Zip r'hone A.1) Sorinkler Project Valuation $ 2 gg�
Contractor �N� l — B.) Fire Alarm
(Sprinkler or IrtR_`r4Ak?'19c. —_
Alarm company) Vailing Address Submittal Shall Include Battery Calculations YES Q
Prior to permit L.0, 13662-'Lf _
issuance a City/State 71p Phone Individual Component YES a
C,py Cut Sheets
of nn licenses 1��4EJ�� 9 9bo S�0 B.1) Fire Alarm Project Valuation $
ate required i! State Const Cont. Hoard Lir•_# Expl Datf _
expired
in COT Project Valuation Subtotal (A & or B) $data —
Name - - - —
P Permit fee based on valuation $ ��
--'�- � (see chart or.back) `"I/
.J Q
./architect MailingAwess1 � IO - -- -- 5% Surcharge $7110 [k Lcot W Mr �
Gdy/State zip Phone FLS Plan RAVIO i 40% of Permit $ —7
4i4R �Z Z- t. �
Descriue work A )Newer Addition O Alteration O Rep-r O j
to be:tone: ~�TOTAL $
- (0
B.) Modification to sprinkler heads only .- --I
1. 1-10 heads=No plans required a require Sgorod three sets of plans, including a vicinity map and
2. 11—Plan review required the location of the'nearest hydrant.
I hereby acknowledge that I have read this application.!hat the infirmation given is
correct.that I am the owner or ar,•honzed agent of the owner,and that plans sutmitted
Number Of sprinkler heads are.n compliance,vith Oreqon State laws
Add t c.ial Description of Work
�•'T--'T)IAI-- I D rS � Signature of Owner/Agent Date /
A.)In Existing Budding p New Budding-*I, �.�►� -- !r _�-
Building — I contactrson(NNam�e , • Phone
Data B.) Commr;rcial p Residential L—���C'' �1 �1
FOR OFFICE USE E ONLY: _
No. of stories 2- Plat# i Map/TL#
Sq Ft
�p Notes
Occupancy Class ype of Construction
is firesupr.doc
CITY OF TIGARD
FiUII,DlNG PERMIT F_US
TOTAL.
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601-1,700 28.00 11,20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901-2,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15.40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,001-5,000 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 81.93
6,001-7,000 62.50 25.00 3.13 90.63
7,001-8,000 68.50 27.40 3.43 99.33
8,001-9,000 74.50 29.80 3.73 108.03
9,001-10,000 80.50 32.20 4.03 116.73
10,001-11,000 86.50 34.60 4.33 125.43
11,001-12,000 92.50 31.00 4.63 134.13
12,001-13 000 98.50 39.40 4.93 142.83
13,001-14,000 104.50 41.80 5.23 151.53
14,001-15,000 110.50 44.20 5.53 160.23
15,001-16,000 116.50 46.60 5.83 168.93
16,001-17,000 122.50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 6.43 186.33
18,001-19,000 134.50 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21,001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 63.40 7.93 229.83
23,001-24,000 164.50 65.80 8.23 238.53
24,001-2.5,000 170.50 68.20 8.53 247.23
25,001-26,000 175.00 70.00 8.75 253.75
25.00 1-27 000 179.50 71.80 8.98 260.28
27,001-28,000 184.00 73.30 9.20 266.80
28,001-29,000 188.50 75.40 943 273.33
29,001-30,000 193.00 77.2.0 9.65 279.85
30,001 -31,000 197 50 79.00 9.88 286.38
31,001-32,000 202.00 8080 10.10 292.90
32,001-33,000 206.50 8260 10.33 29943
33.001-34,000 211.00 84.40 10.55 305.95
34.001-35,000 21550 86.20 10.7" 312.48
35,001-36,000 220.00 8800 11 &, 319.00
36,001-37,000 22450 89.80 11.23 325.53
37,001-38,000 229.00 9160 11.45 332.05
is tiresupr.doc
SEE 35MM
R-OLL# L2
FOR.
LARGE
DOCUMENT