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13154 SW BROADMOOR PLACE FACE OF FOOTAw TOE OF SLOPE 0— NA WT NEED NOT (1/ T j, - EXCEED 40'MAX ♦- / '� O TOE OF SLOPE U N!1 BUT NEED NOT EXCEED IS'MAX / ti0 \� F I ! 7_ DN STANDar.�g t RE�uIQ�Nt�r.�r �� ,�- a= 6CONMACtOR 16 TO VERIFY ALL FIELD CONDITION6 PIRIOR TO CON6TRUGTION •CONTRACTOR 16 TO VERFY ALL FINAL STORM AND SANITARY INvERf ELEVATION 61uBb FOR IllR h DRAINAGE PRIOR IV E6TADLI8wING FNAL ISUILDINO ELEVATION r, \ / EXISTING 6' STREET CURBINd ` *CONTRACTOR IS TO VSRW'r LOCATION OF ALL PROVIDE STREET TREES AISpIPC TWE r°iRoplERT•r • �O• j i / LNDEWA*01P0 LI'IILITIE6 PRIOR TO EXCAVATION F' 3 ANDPERMTER iER tN6-ALLEa PER GC�R t'IM STANDARDS AND \ \ •CONTRACTOR tb TO "ERfi:Y THE LOCATION OF ALL \,J ( ! ,(\� PROPERTY LINES AND CUILDINri 6ET5ACXA TO VERIFY ' \/ / �� I. AND RB�IRErrENtTEETb ALL THE GUIRRE►IT CITY STANDARDS fi PROVIDE 4S'LNDE ENTRY WALK A&LOCATED ON \ ID TWAT WOUSE 6 7►#SITE PLAN EXTENDING FRO'1 TIE DRIVEWAY t" TYPROPOSED ISUIL DING OERIMET'E! bwowN TY!'ICAL MIK BUILDING 6CT15ACK LINES AIlOfAlp THEAS M1u40 0�ARDSS bF M PL'R CITY IOLA T7PICAL PROP£KT1 LNiE LU f . � r � �'� e7�,� ADJUSTED NEW GRADE LINES AS SI1O11l,1 - 6' EXISTING OTREET CtalBING t� TO+OF WALL 7f1 MAX GRADE SLOPE AT ANY POINT AT 41000 CN SITE EXISTING O#tADE LRES AS 6NOUN r PRI7VI0E CJRBC:lT FOR DRIVEWAY F'ER \ CITY STANDARDS AI D MIK REQ TYPICAL DRIvEWAY . 4'MIN,3500 GOMGRETE SL AD WITH EXPOSED AGB,"FIN OVER 4'MIK 3/4'Mkl" t I R C MPACTED GRA"AFILL SLOPID TM O DRAIN TOWARD 6TREET EDGE Ae TYPICAL PROPERTY LII! _ rovIDE 4'ADO SANITARY'6CUER coNNECTION / L ' TO EXISTING 6ANITARY SEWER STUB PROVIDE ♦' A66 6T �� ` ORM D!!A M T TIE PROVIDE A 314' R DFL AIN WATEIlLIFE INSTALLED / .. _ r / y. LOWER DRAINAGES E he?IENT AT T/'E • \ REAR 1�'MIN.BELOW TUE FMI6+4ED GRADE SURFACE t�' ,F ': R `�``' OF AND REQMRL GOlNT7 N6TALLC'D"ER CQL!'!TT MRi STANDARDS AJ'O REQUIREMENTS �L / --1 . ` OF y 4y 0�. ? EXI TING 4'PVC 6ANITARY 6EL,ER - _. . :. ! d \ ��►`,, �L114-A F7.1].4 YARD ARl3'. _ a-, - AT ELEV.4(1---Z = / 1.15' *:!► j z , Lu SIDE! : THE "AAA TO T AT TNR T� SIDE! THE HOMY TO THE REAR !tib ?D / / lI LOUR YARD AREA 1( V1 }, 48 f$ j / ; / / I AT ELE V.403'7-*- PR<7I`06ED BUILDING PERIMETER 1 �• / •TWE FILTER FABRIC 6HALL Be PURCWASM IN A CONTNL" / ROLL CUT TO THE NECE66dtY aENGTH OF TUE mARRIER TO PROVIDE 4'Mh,1 3820 PAJ.EXPOSED AGM S• 2. / / / l / AVOID USE OF JOINTS. WHEN J0IN78 ARE NECF66ARY,FILTER C-OW44ETE SLAB AT TI.E REAR OF 'HE ��� �•� J Gr07N bwALL BE bPLICED TObETUE!ONLY ATA 6uPPORT "MM OVER FIRM 601L BASE OR AF'PRr)VED }d/ P h +� / 36'CONABRIIJ6 APF'ROVfD POET,W7H A MNIIMU'M 6-MCH OVEI�..P,Anlp DOTH ENDS CG"PACTED GRANULAR FILL SLOPED TO DRAM / /� 4 DESIGNED BRAUN FILTER AL6RIG ROLL WITH 6ECORELY FASTENED TO THE POST. AWAY FROM THE BUILDING EDGE HOPI F WALL ' `14- I l N VERTICAL erAiCte AT 6_o. ,�� RIGH4RD L. JX� OC •THE FILTER FABRIC PROVIDE ROCKERY RETANING WALL6 FROM'UPPER / � yC � � / I � / � iklr_�A7�AMI•L In w FEMCE IBLL. BE INSTALLED 70 FOLLOW TO LOWER GRADE AS SHOUN ON TFE 61TE PLAN -- J/ i —EXISTINb GRADp THE CONTOURS WERE FE At& E. 7t•+E FENCE P10678 SHALL } 1 / / do BE SPACED A MAXR`LpM OF 6 BEET APART APO DRIVtM ; 00 TRENCH I7'J0'CONTINIJOU6 SECURELY INTO TwE OROWD A f1N"J M Q I`IC+d6. PROVIDE A 36'MIN SILT 6GREE�1 FENCE ,p � r.' / / BASE POR LW.ERED FABRIC •A T�IENGH SHALT_ DE EXr.AVATED.ROUGHLY 6 MC+�b WIDE EROISION CONTROLBARRIER AROUND THE 1F' _ ROLL AND BAc�ILL FOR LOUIR EXCAvATID SITE A6 ftv=,RED BY �„ 6TADILITY BY U INCHE6 DEEP UP6LO-E AND ADJAC✓rNT TO THE WOOD TWE CITY STANDARDS — - / , "T6 TO ALLOW THE FILTER FABRIC TO BE "IED. - - - ` ' �} L/Iq G•1t00.OIlOOM fL •TWE"t Ur1T FENCES BRAWL BE REMOVED �y � ` t� —FILTER FADRIG MATERIAL THR1R USEFUL FU@O1ObR.BI:T NOT E1EFC� T►$TUPSL01"E AREA�D _ v HAb BEEN PERMANENTLY 6TACII.IZED. S `J ` I 1 C) x DRIVE VERTICAL STAKES •6EDR'ENT RENGEb S+aALL ESE INbI"EG'ED BY APPLiG.yrT,CCT•ITRACTOR Jp INTO THE EXI6TIN0 GROLNO ITTIEVIATELY AFTER EACH RAINFALL AMD AT LEAST DAILY DURING I -- AT 6'-0'OG NG PROOED RANFALL, AN' REOLRE ID REPAIRS 6HALL BE MADE ELEV. IMMEDIATELY. 996 m0' S ,�� L �� •AT NO rf-e 61ALL MORE T-AN A ONE FOOT DEPTH 6EDRMENT DE �j ` S �- �.��� `� Y L` ^ r1 lJ L.. ALLOUIED TO ACCJ-ULATE BEwIND A bEDr"E rtNCJE,WDRME-4T OWM BE RfflNCE6vED JWD A D ED VANTO 8�I"o AS EC AME55URY HEIGHTS �I^ � � L� bEDR 1RNT FE►IGE6 REPNRED AND Rf-E6TADLI6HED AS►!EDlD. !1! - ll 1 l C >r �-STAN AEO.J ,�SITE PLAN J J _LOT •1S ------ '1,4H SQUARE FEET ti T a aS�$€—�er ---- ------- w � �- - ,,. � SHEET NO. NOTICE: IF THE PRINT OR TYPE ON ANY �� � I � � I � � I � � I � � I � � I � � � lr � Ii � I � � 1�� HT1- Ili � � � Ili il � i - i r i i at t i iIMAGE aS NOT AS CLEAR AS THIS NOTICE Z ;�L I I ! I I I ! I11- ] [1- 1-ITITI-1lll 1 11--I [ 11 � I I III I i III 3 4127 $ 91 IT IS DUE TO THE QUALITY OF THE — - - _ 1 No.36 �<..��.��.� �..... ORIGINAL DOCUMENT E 6 Z 8 Z L Z 8 Z Z Z E Z Z 19 Q Z 61 IIII II ! IIII IIII Till I!II IIII Till IIII LLi� ILI( llll_�1111L1111 ill �lll Till IIII. I i ► i T T s g L s E Z R �Itll)w I Illlllll- IIII IIII I{II .IIIIIIIIIIIIIIIIIIIIiIIIIIIiIi� IIIIIIIIIIIIIIIIII�IIIIIILII Illl .11llllll1.111 .1111 (.1.11 111 111. 1111�1,k1i 3 sMax�_ � I:T��—ars LIABILITY The city of Tigard and its — — -- _-- ___��.__ _ � ,� .- - employees shall not be ZS►-9 Z.S CITY OF 1"1CARa Approved ......... ..... ....... fig,, responsible for discrepancies Conditionally Approved ...................... ( ): which may appear herein. ��''--- �uTl-I1`J� o� r�-�►� \ U_ I I.«t✓f� �L.c�tL �I 4-7 4'' .�- -__ -� 74-x•" � For onlythe work _ I 1 1 ''raT��. (,,_ 4--14. Z 5 Z -5 z as dPsc;ribad in: 1 PERMIT NO. ..n.$r_ --.�c� / See Letter to: Follow Job Add 1,2 -. -'•,. / 5 Lf^ (,��' Address- RY JUtJ . L.�4U 12.E I -T-! �•ti -D F�. 9 7 Z Z 3. - , v . . ti I ��/� • • a r � �� � sst6 . r es r • , '�"'!r G.';'L,� >✓,�. �u , 9 (r S03l Z41 -7 w . �.�.+ _ • . � ti :, e i ���f tit}'--..'_� �—�3-C./IS.��i�` '� . s • „ ,, y ,., + [.ter" r • ,• • 4--1ALL .C, s4sAv j 'i .-&,\/. 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PL_,d,N PA- ?, (Dt REC Ei U Jennison Residence 13154 SW Broadmoor Tigard, OR IAURENCE FERAR N iw W ►.�l.-S Al �� �HC.7V-1 }-4 ►-�A 1=� 17 __ ._� __..� /' �_.� ,--� APR d Q 2003L A U R E N C E F E R A R' _-.%_ CITY OF TIGARD w x o w • • O c i w T s a 1 x G � PgRTLAND, OREGON Final Inspection approval is Approved plans Address shall be posted r r DIVISION 1' v � fi occupancy. p �3..1II_DIN .� waaaiTscTv�s t.wxn�cwrewacaiTscTvas � required prier o p Y shall be On )cab site. and visible from strftt. 1014 Lt CLAY roaTzwxa ozsacx uaA. P7101 (503)24 .5441 NOTICE: IF THE PRINT OR TYPE ON ANY IMAGE ISN T AS CLEAR AS THIS NOTICE -- -- -- -- ---- -- ----- 3 � Iit . .__ _ 1� I0T� - � 1 III I � I I � f, l1' 1 ! II I + I III + I � t 12IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT _ -- E 6Z 8Z LZ 9Z 111�jil ZI LI 9T 5I VI EI ZT TT T 6 8< IIII IIII IIII IIII Ilii IIII Illi IIII IIII Illi II1111111111111111I1111111111111 _�1 1111 (ll111111111 III( [J►l � � I1 1.1. ��� IIIII�II (3- >e INvrPe�N PC7 -ilTlvtil Ir- 1-,&, N VJ G�PENINC� FSF_P r 1-1 DOd(L.I r 50� xiv-/ I r7vc.71L d. , 7� '� \ \ HALL, P7�'r .3Hrz . 2 DSV �2 5w ITL SrorL sv� sw-�>✓ 2 n 6� P�I,u.ly w/ .o,,F,�W5T'v i VFhTir3uLE o i FO, Pc'ST _ 'L• ��+.3 U/�H 1S 51%PA1T�LY �fLol'1 C,n.K1 -r , N O �/ Z "� ISI V HT`a_....__. 4 —"! 1Z.G. I-/iGso•.TF,Ii .�K�.Y.JL 3 T-fr _ r_ t, avii 1°.bac c„A,p- vrz�1�Iloy W� c7kiNt=ift / o AKo1Jl.Jl7 �Nb OF � — - ' h _ _ _ _ Tv �xIS"•'SLS" �Ly wL fiY.I7T�(j i✓OCYfI tJ(7 I I I — i '4" fCS Q• I�<'� O,C., rj�. WA. 7"RI(sI1J INSLn� , I Z' r AT — lo� - I� IhT v # Tower I lot�7e rLs w/ iD t- _ � .Q F rl�.lu'i 7 o Ow til .rte 7- - 1p LIh:EIa LLv�i>;T: �� � ��i LL STn wAIJ� Ol a )'�ov� �� CS� ADJ . - ['.G• TUt3/SHow�K vw -TE( 11PC11iA`�� fel -PA`yS E,XPP,TIlr FcwTriv��szl �Y11 Izbv�s u��l <Y 2;a 6AT H PLAt�I t312p� 5 F!�, F-1-A Jennison Residence 13154 SW Broadmoor Tigard, OR LAUREN FERAR N -3 L A U R E N C E A N D A 0 1 D C I A r P OgIl,4ND, OREGON ARCHITICTURN LAND4CAP3 ARCRIT,CTO1, ^ 1010 RR CLAT PORTLAND. OR,OON URA. 41841 (541)141•3441 OF NOTICE: IF THE PRINT OR TYPE ON ANY IIIIIII III III III I III III I � I I ! I I f �IrIII ( lT"TTI f ! f"flrfh �i "I I I ! I I ! I I ! I I ! I f ! I I ! I I ! I I I I ! I I ! I r! I r1r r ! rq1 ! III I I ! i I ! I IJI ! Ill ISI f(I I�T!1 ! I I ! I I ! I I ! I ! III � IMAGE IS NOT AS CLEAR AS THIS NOTICE, � DD g �I 10 I I 11 I 1� /O�i•- ' IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT !!!! E!!!! !!8uG 8 9 ti Z Ta4uGZ ! 9Z � lOZ 8TF111111jillill Tl4T 6IE'111,111,13, TiTT!! 8 Z EZl � ZlTZ11l !IIII�II8IIIII8I! lli! iu! !!u ! u 8 f w 7WD D O M v m 13154 SW BROADMOOR PLACE .i CITY OF TIGARD MASTER F,ERMIT F•ERMIT #. . . . . . . : MST98-0054 DEVELOPMENT SERVICES DATE ISSUED: 03/13/'V'8 14 ik 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 FIARCE.L.: 2S 1.04DB-01800 STTE ADDRESS. . . : 13154 SW BRUADMUUR F,I_ 'i1.JF3DIVISI(7N. . . . :AMESBURY HEI(3HTS Z(3NIN(3: R-4. 5 I11__UI V,. . . . . . . . . . t_01.. . . . . . . . . . . . . :ViIS JURISDICTION: TIG Remarks: SF - Path 1 ------------- ------------ BUILDING - --------------- ___---_-------------------- REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 1330 sf REQUIRED SETBACKS---- RE(XUIRED---------- CLASS OF WORK.-.NEW HEIGHT........: 19 FIRST....: 2554 sf GARAGE.....: 947 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 20 PARKING SPACES: 2 TYPE OF CONS', :SN DWELLING UNITS: t FiNDSMENT: 0 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRK: 4 BATH! 3 TOTAL------: 2554 sf VALLE..$: 279519 REAR..........: 80 --------------------------------------------•------------- ---- PLUMBING ---------------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH.,: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 5 D19#4ASNNERS...: 1 FLOOR DRAINS..: 0 SEWER L?NE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/SHOVERS...: 3 GARBWE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES (d ----------------------- -- - - FUEL. TYPES----------- FURN 1 100( ..: 0 BOIL/CMP l 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS FURN )=10Ov ..: 1 UNIT HEATERS..; 0 HOODS.........: 1 01HEq UNITS...: I MAX INF.: 0 BTU FLOOR FURNACES: 8 VENTS.........: 0 W00DSTOVES..... 0 GAS OUTLETS...- l ------------------------------------------------------------------ ELECTRICAL --------------------- ---RESIDENTIAL UNIT-•-- ---SERVICC/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -- iMISCEL:ArEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - r'09 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR,.: 0 PUMP/1RRIGATIOM: 0 PER INSPECTION: 0 FA ADD'L 500SF.: 8 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC./FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 M(PF HM/SVC/FDR: 0 601 - 1080 imp.: 0 60t+amps-1000 v: 0 MINOR LABEL --10: 0 1000E amp/volt.: 0 ---------------------------- ------ PLAN REVIEW SECTION ----------------------------•------ Reconnect only.: 0 )-4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ------------------------------------- ELECTkICAL - RESTRICTED ENERCY ------------------------------------------------ A. SF RESIDENTIAL--------—---------------- B. COMMERCIAL--------------------------------—____----------------- ----------------- --- AMIJ L STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE Sl(*.: GRRAGE OPENER..: 1X00(..........: INSTRUENTATION: MED1CAi.........: OTHR: .. HVAC............ DATA JELE COMM.: NURSE CALLS...... TOTAL i SYSTEMS: 0 Owner- ------------------------------------Contractor: ---------------------------- TOTAL FEES:$ 5648.95 TODD PAYS CASCADE WEST CONSTRUCTION CORP This permit is subject to the regulations contained in the ]027 SW IB1ST PL 10445 SW CANYON RD Tigard Municipal Code, State of Ore. Specialty Codes and all ALOLIA OR 97006 STE 103 other applicable laws. All work will be done in accordance BEAVERTON OR 97005 with approved plans. This permit will expire if work is Phone M: 642-1462 Phone N: 641-74L4 not started within 180 lays of issuance, or if the work is Reg C.: 62678 suspender' tar .ire than 180 days. 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 1503)246-1987. --------------------------------------------------------- REOUIRFV INSPECTIONS --------------------------------------------------•--------- Erosion 844-8444 Post/Beam Mechan Electrical Servi Fireplace Insp Rai. drain Insp Mechanical Final Grading Inspecti Crawl Drain/Bank Electrical Rough Gas Line Insp Water Line Insp Plumb Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplact Water Service In Building Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp _ Post/Beam Struct Plumb T jut Low Voltage Gyp Board Insp Electrical Final J / Issi_ted By : -t) t--- Fler,mittee Signati-ire ++•+++++++++++i++++i+++++++++++++++++++++++++++++++++++++++++++ ++++ ++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day i CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 97223 (5n3)639.4171 PERMIT PERMIT #. . . . . . . : SWR98-0040 DATE ISSUED: 03/13/98 PARCEL: 2S104DB-01800 SITE- ADDRESS. . . : 13154 SW BROADMOOR FIL SUBDIV15ION. . . . :AMESBURY HEIGHTS ZONING. R-4. 5 BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :018 JURISDICTION: TIG ------------------------- TENANT NAME. . . . . :TODD PAYS USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE: OF USE. . . . . :SF 1\10. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : SF - Fath 1 Owner: ­----­.__-_------------------------------------------------ FEES --------____ - - TODD FLAYS type amoi-int by date recpt 70c'7 SW 18191 F'L F'RMT $ 2200. 00 B 03/13/98 98-304105 ALOHA OR 97008 INSP $ 35. 0C3 B 03/13/98 98-304105 Phone #: Contractor: ---- -----------•----------------•- OWNER ------------------ Phone #: $ 223'j. 00 TOTAL Reg #. . : --•----- REQUIRED I NSPECT i ONS --- ---This Applicant agrees to comply with all the rules and regulations So -ter Inspection of the Unified Sewage Agency. The permit expires 188 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. ATTFNTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notificatinn Center. Those rules are set forth in OAA 95?-MI- 18 through OAR 952-MI-M. You may obtain copies of t' a rules or direct estions to OUNC by calling f5831246A9R'(. Issi_ted by : � Permittee Signati-ire : • -- ++++++++i•++++++++++++++++++++++++++++•F++++++++++++++-4—++++++++- ++++++++++++++++++ Call 639--4175 by 7:00 p. m. for- an inspection needed the next bLtsiness day +++++++++++++++++++++++++#+++++++{+++t++4-+++•++++++++++++++++++++++++++4-+++++++++ Plan CITY OF TIGARD Residential Building Permit Application Recd eyc 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd ' TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date tc V 503-639-4171 Date to DSTJ - 2 - F 503-684-7297 Permit# Print or Type Called Incomplete or illegible applications wil! not be accepted JName of Protect I Name Job - � � �/►'�C 5 l�vr t. 1 I� Address )itgAddress -- U Architect Mailing Address Narme11 , �1 1 CiryfState zip i Phone Owner Mailing Address Name 70 L 'w I ; 1 s ( ('L City/State Zip Phone Engineer Marling Address General Name CitylState Zip Th—one— Contractor hone Contractor ��5(„+� �5 �'�\5 {r. (� Describe work New Addihon O Alteration O Repair O Mailing Address to oe dont Pnor to pernut G 4`� ,�� qr l {�J V. /u ; Additional Description of Work: ssuance• a copy City/State Z;p Phone of all licenses f; to J o2 cj i(L)5 q I _-7Y z are required d Oregon Const.Cont Board Exp. Date PROJECT expired database e Lic# +. C I I G, VALUATION Mechanical Name NEW CONSTRUCTION ONLY: ----� Sub- ^' k + <:` F 1�'1 Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Prior to permit %\ I f 1'. 1�V ? Corner Lot YES NO/ Flag Lot Y EO: issuance. a copy City/Slate Zip Phone (check one) I \! (check one)of all licensesare required if Oregon Const. Cont Board l ` I1Restricted Audio/Stereo Exp. Date Enerexpired m coT Ua# - � gy System database Installation / Garage Door Plumbing Name Il.,- Opener !_ Systems Sub '� (check all that Other Contractor Mailing Address aPPIY) Will the e-ctrlcal subcontractor wire for all YES NO r' t ' `v restricted energy installations? Prior to permit City/State Zip Phone -- issuance. a copy 1 4,v_ I r' , ;.. Has the Subdivision Plat recorded' N/A YES NO of all licenses are Oregon Const. Cont. Board Ex D to P equved f Lic# ) ., Reissue of MST#: expired in COT �� ') Z �c- .Z ( 3 ��`(, Solar compliance database Plumbing Lic. # Ex Date (Calculation Attached) Exp. I hearby acknowledge that I have i ead this application, that the Z (✓ l� information given is correct, that I am the owner or authorized Name agent of the owner, and that plans submitted are in compliance Electrical !- with Oregon State laws. _ �a�c+_� I i Sigmi ure of OwneNA ent Date Sub- Mailing Address l.- Contractor t i, (�'.,, Contact Person Name Phone Phone# CitylState Lip Phone lt �� Prior to permit FOR OFFICE US ONLY: issuance, a copy P!at#: of all licenses are Oregon Const. Cont Hoard Exp Date Map/Tl_#: required if Lic expired in COT 0 � c'v 1 v c� Setbac Zone: 7 Solar• d r,.base Electrical Lic # Exp. Date C /u �, Engineering Approval . Planning Approvali TIF I SFREM DOC (DST) 4r97 Solar Balance Point Standard Worksheet Address Box A calculations: North-South dimension for the lot. Box A: phis dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. rirst, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. �—_ 45o t ' NORTH" t 'X NOQMEhN `� �.GI UNE Af uHE �— N North-South Dimension for Lot: Measure the distance from the mApoint of the North lot line to the South lot line along ee the described line. 7q feet t ' -� —�NONM•SnUM DiMENSICN=:> \\l it Box B calculations: Shac,c! point height for your residence. Box B. 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1a: If the roof line runs North-South, measurements cVMR}M 1Y� (circle one) be based on the peak of the roof. TC—]L—][3—CT 1, 113 1c5) 1 b: If the roof line runs East-West and the root` pitch is less than 5/12, measurements will be based on the eave. S"AN POINT EA%A 1 c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements will be based on the o . peak. :/NOF RM11 G[Y.E Box B. continued Box B: Z. Measure change in elevation from front property line to finished floor elevation. It the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from rhe front lot line to the foundation, the figure is negative. — 3. Measure distance from finished floor elevation to the affected peaWeave. + �1 ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, deduct nothing, 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. - ft 0. Total figure for box B: Box C. Distance to the shade reduction line. Box C: tt 1. Measure the distance from the North property line to the foundation near the ' '_ ft affected peaWeave. Measure the distance from the Foundation to the affected peak or eave. t ft 3. Total figure for box C: ys ft It is most useful to draw a vertical line to represent the appropriate figure found in box "A"and a horizontal line to represent the appropriate figure found in box "C". The intersection of the vertical and horizontal lines determines the value found in box "D". The value in box "D"should be compared to the value in box"B"; if the value in box"B" is less than or equal to the value found in box "D", then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171, x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance tn North-south lot dimension(in feet) shade 100+ 95 10 85 80 751 70 65 60 55 50 45 40 reduction line from northern let line(in feed 70 40 40 40 41 42 43 44 65 38 38 38 39 40 41 42 43 f,0 36 36 �6 37 38 39 40 41 42 55 34 34 35 36 37i 38 39 40 41 50 32 32 33 34 35 36 37 38 39 40 45 30 30 310 31 32 33 34 35 36 37 38 39 40 28 28 29 30 31 32 33 34 36 37 38 30 31 32 33 34 35 36 30 24 24 25 2627 28 29 30 31 32 33 34 25 22 22 24 24 25 26 27 28 29 30 31 32 -'0 20 20 21 22 23 24 25 26 27 28 29 30 1; 18 18 1 19 20 21 22 23 24 25 26 27 28 (�l 16 16 1 17 18 19 20 21 22 23 24 25 2f. 4 14 llt 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: 2(r KA K feet h:`docs\nancywenturawIar.chp © ��-- -�---- Revised 2;26/96 �_ ---- SEE 35MM R OLL# 22 FOR. LARGE DOCUMENT CITY OF TIGARD BUILDING INSPECTION DIVISION (� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MS -`- J �r✓� BLIP --�-- _ Date Requested_ � �-� AM PM _ LD Location i 360 Suitt MEC Contact Person Ph 51R- 2� L Contractor _ �t�l��1� Ph SWR �I�*7 Tenant/Owner _ ELC Retaining Wall ELR Footing Access: — F oundation FPS Ftg Drainer - rawl bra Inspection Notes: SGN — ,5 Post 8 Beam --- -- -------"""- SIT Ext Sheath/Shear Int Sheath/Shear — - Framing Insulation - -�--- �- Drywall Naitin9 Firewall Fire Sprinkler ---- Fire Alarm ----- - ` Susp'd Ceiling Roof ��- Misc: - PASS PART FAIT. - —- - ------- -- Dr Under Slab Top Out — ----- - ----- Water Service D,/L Sanitary Sewer - - -- - - --- -- -- Pau�`a 6 y� F i n "- SS PART FAIL NIcaL Post& Beam ------- Rough In - -� Gas Line -- -- ------- ------ ----- --- Smoke Dampers Final PASS PART FAIL — ELECTRICAL --- _- - --------- - Service Rough In -- -t1(::,/Slab Low Voltage Fire Alarm Final --- -- ----_ --- ---. - - •---- -------- PASS PART FAIL SITE —• --- Backfill/Grading ------- Sanitary Sewer Storm Drain ( )Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fie Supply Line ( )Please call for reinspection R6 -- --__ ( ) Unable to inspect-no access ADA / Approach/Sidewalk l G^ Other - Date / �Q lnsppctnr.__ V 1 Ext Final PASS_ PART -FAIL DO NOT RFMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested �� ` AM PM BLD Location !3/ LL/L 'I « � Suite LUT G MEC Contact Person �tf-Ti(i� L� Ph _ / 'SZ, PLM Contractor L C"Czldc �G�L Ph SWR UILDINGJ- Tenant/Owner ELC Retaining Wall ELR Footing Access: — Foundation Ftg Drain ��t*. (/A I(. FPS --- Crawl Drain Inspect) n Notes: SGN Slab Post&Beam -- SIT Ext Sheath/Shear Int Sheath/Shear ',-- — Framing d A-4 T - �i. i I'i �jc2rit/ !/�!�'✓�7 LL,�/ ti Insulsaladon Drywall Nailing ':�yq C- AC- 1 .10 a✓ rte-Y.�ulZ��Z t Jll PLA 04= Firewall — Fire Sprinkler _ O`' �.��"�� Fire Alarm --,� Susp'd Ceiling C" Roof M - Inal PART FAIL ------- PLU IV Post IS Beam - Under Slab Top Out Water Service Sanitary Sewer - Rain Drains Final PASS T FAIL "C IANICAL Post& Bearn -- -- - - - -- --- Rough In Gas Line Smoke Dampers PART FAIL ELECTRICAL _ —-- - - - Service Rough In UG/Slab Low Voltage Fhe Alarm _ Final PASS PART FAIL A SITE Backfill/Grading - --- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( j Unable to inspect-no access ADA Approach/Sidewalk /�� � _ c7'� Other Date Inspector Ext Final - — PASS PARI_ FAIL 00 NOT REMOVE this inspection record from the job site. CITY CSF TIGARD DEVELOPMENT SERVICES El ECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 9722.7 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR98-0165 DATE ISSUED: 06/30/98 PARCEL: 25104D13-01800 SITE ADDRESS. . : 13154 SW BROADMOOR PL SUBDIVISION. . . . :AMESBURY HEIGHTS ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . a . . . . . :018 JURISDICTN: TIG Pr-ciJ ect De set,i pt i on: Installation of vwuuo systee. --------------------------------------------------------------------------------- A. RESIDENTIAL---------- B. COMMERCIAL..---__________._._._______..____.__________________. AUDIO OMMERCIAL-­­­—­ AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LqNDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE CON.". . : NURSE CALLS. . . . . . . . VACUUM SYSTEM. . . . : X FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE : OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 0 Owner,: ----------------------------- ---------------------------- :EES GARY' S VACUFLO INC type aMOLint by date rec-pt 9015 BE FLAVEL PRMT $ 40. 00 DEB 06/30/98 98-306931 PORTLAND OR 97266 5PCT $ 2. 00 DEB 06/30/98 98-306931 Phone #: 1175-2042 GARY' S VACur 7 LD INC $ 42. 00 TOTAL 9015 BE FL.AVEL REOUIRED INSPECTIONS PORTLAND OR 97266 Low Voltage Insp Phone #: 775-2042 Elect' I Final Reg #. . : 069047 This permit is iss,ied subject to the regulations contained in the Tigard Municipal rode, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for @are than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in PAR 952-001--W10 through DAR 952-88I-8888. You say obtain copies of these rules rl—ir—e—etluest inns to WK at (583)246-1987. 1 c,s i-(e d (V Signati-tr-e- J-44A ZIA1, d_k�j- OW INSTALLATION The installation is being made on property I own wriich is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION SIGNATURE OF SUPR. ELECIN: DATE- LICENSE NO: 4...........I ......................4......4-++++++++-,,+-1 ........4...........4........ Call 6339­4175 by 7:00 P. M. for- an inspection needed the next bl.1siness day ++4 4-4++++4-++++-+-+++++++-++++++++4--4.............................f................... JUN-29-1998 16:14 GARY'S UACUFLO, INC. P-02 Community Development �,� RES I V114-I to tivttcv t t- _. 13125 Sw Hail Blvd. 0, �ERMI'f # , Tigard, OR 97223 �p (i Phone (503) 639-4171 \r DATE,1SWED FAX (503) 6B4-7297 -- ^� TDD No. (503) 664.2772 �'� OF TIGa►RD Inspection (503) 639-417 t ISSUED BY i PLEASE COMPLETE ALL SECTIONS I '1TION OF INSTALLATION 4. TYPE OF WORK � _ RESIDENTIAL--Restricted Energy Fee . , (Fc)R AI L 51'STEMSI 7i Check Tyge of work nvolYU: I I NONTRANSFERABLE ANO NUN-uEFUNOAKE AND EXPIRE IF WQXKq�,o and Stereo 5ysl�ms' TED WITHIN 1x50 DAki OF ISSUANCE oR IF WORK IS SUSPENDEU FOR gijrglar Alarm i rage D. r Opener' rRACTOR APPLICATION [ ing ve tt.ilabon and Air Conditioning System' Type Va tim Sy`ierns' _—._.—.� bihor_ —.. —• I RY ' S VAC'UFi.b. INC. 775—?O k2 _ COMMERCIAL—Fee for each systern . . . . . . . . . Sao.OQ SEE CAK 118-260-260) 5 SF FLA �LD . OR 972b6 C gd TY=(1(YYstr w I ❑ Audio and stereo Syrrem5' E 25728 . JLE 935 . C 9 7 ❑ Bniler Conlmis L1 Clock Systems ❑ DaLa 1'elecr,mnlunication Installations ,VNER APPLICATION ❑ Fire Alarm Installation __ [J HVAC vner'S Namr — Fhune Nr' ❑ Instrumentation �� ❑ Intercom and Paging Systems - - ❑ landscape Irrigation Control' St21te Zip d Medical ❑ Nurse Calls ,t is issued under OAR 918.320.370.This nppi'icant agree to make only ❑ N enemy mstallurlom 1 r0o wh amps or kssl under this parrnit and to do the Outdoor Cr landscape Llghtuq' ❑ Protective Signaling use rlectrir l licens,rtl persons to do urstallatiom where required.ICerrain --- enual and other iransacuons are t:aeropt from licensing.Thele have skit') All others need kensing) for an inspection whon alfof the,invAllauons urs fpr this I'rermit are madV D Number of Systems ISPLcuon at 503.639.4175. _—__ hale separate permits for all in,tallatinns.Iwt err!n,t ready for inspection o the inspector is nut to nspcet under this imrma. •No Iit.enfct are rertuued I cense%are rreluireA for all other rnshllatiom _— .me respQmihility fur assuring that all comet tions requitcel by the inspector - -- done,and rine responsibility rot rsrlting fur a final Inspec0on when ail of the currecuuns 5. FEES cnrnplcted " I a. Enter Fees $ �' I erson signing for thio Permit must be the applicant or a perstan — razed to bind the applicant, b. 596 Surcharge (.05 x total above) $ tore TOTAL r/ $ uriry if other than applicant -- - � �.! (j ENERGAP.CHP! TOTP'_ P.02 CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : PLM98-0368 DATE ISSUED: 10/08/'98 PARCEL: 2F3104DB--01800 T. TE ADDRESS... 13154' SW BROADMOOR PL- SUBDIVISION. . . . LSUBDIVISION. . . . : AMESBURY HEIGHTS ZONING: R--4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :018 JURISDICTION: TIG ---------- CLASS OF WORK. . Al T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . SF' WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I OCCUPANCY GRP. P3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . ., . . . . . : 0 STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . . 0 FIXTURES---------- ----•--- I-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 UR I NALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 I.-AVATORIES. . . . : 0 OTHER FIXTURES. . .. . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAII DRAIN (ft ) . . . : 0 Remarks : Residential backflow prevention dpvic-e. Owner: -------------------------------------------------------- FEES I-ODD A PAYS type amol.int by date reept 131.54 SW BROADMOOR Pt.. PRMT $ 15. 00 DL..H 10/08/98 98-309842. TIGARD OR 97223 5PCT $ 0. 75 DLIA 10/168/98 98-309842 Phone #: 519-5233 Cont rar-tat------------------------------------ CASCADE WEST CONSTRUCTION CORP, 10445 SW CANYON RD ':ATE 1.0-1 BEAVERTON OR 97005 Phone #: 641-7424 $ 15. 75 TOTAL Reg #. . : 62678 ------- REPUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 188 dal,s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9524001-010 through OAR you may Qbtain copies of these rules or direct questions to OLNC b- calling Issi-ted By Permittee Signature :��—z9 ►� �] +A.................. .......4 ...........*.+++I...................................+++ Cal 1 639-4175 by 7:00 p. m. for an insper-t i on rieeded the next bl-(s iness day +++•++++++++++++-+-++++++•-4-+++++++++++'+++++++++++++.4-++-++++4++++'++++++++++++++++++•+ CITY Of TIGARD Plumbing Permit Application PlanCheci;fk 13125 SW HALL BLVD. Commercial and Residential Rec'dBy �f/ TIGARD, OR 97223 Date Recd (503) 639-4171 /Y Dale to P.E. Print or Type '�� -- Date to DST Incomplete or illegible applications will not be accpted Permit Related SWR 0 Called___ _ Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job W+ l (� -� F C�tL ►n {) Sink 9.00 Address Street AddressIte Lavatory 9.00 (� , 17�t n 64r �� Tub or Tub/Shower Comb. _. 9.00 Bldg* City/State Zip Shower Only 900 -- Name Water Closet 9.00 _ _ , , `'1 Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9,00 I_�? I'�kj J—� (SFc Ad 4-o' f LA C C— Washing Machine 9.00 City/State Zil Phone ,C,a 5 I ci �3 Floor Drain/Floor Sink 2" 9.00 Nam 3" 9.00 _ 4" 9.00 Occupant Mailing Address Suite Water Healer O conversion O like kind 9.G0 _+ Gas piping requires a separate mechanical ermit. _ City/State Zip Phone Laundry Room Tray 9.00 -- _ Urinal 9.00 N ece Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 o ,N c 4,0"j -1v I o3 -- — 9.00 Prior to permit Clty/State Zip Phone Sewer-1 st 100' 30.00 issuance,a copy ��t<^ O/� 7 yi E ( 74 2q _ _ — Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date required If IP Z_(c,7 — Water Service-1st 100' _ 30.00 expired In COT Plumbing Lic.a Exp.Date Water Service-each additional 200' 25.00 database. Storm&Rain Drain-1st 100' � 30.00 Name Y Storm&Rain Drain-each additional 100' 25.00 Architect _ -- Mobile Home Space —�— — 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 _ Pollution Device __ Engineer City/State Zip Phone Residential Backflow Prevention Device' 15 00 _ (Irrigation timing devices require a separate Describe work to be done �— restricted energy permit.) _ New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial O — _ Catch Basin 9.00 Additional description of work, Insp,of Existing Plumbing 40.00 er/hr _ Specially Requested Inspections 40.00 per/hr Are you capping, moving or replacing any fixtures? Rain Drain,single family dwelling _ 30.00 Yes O No O Grease Traps 9.00 If yes,see back of form to indicate work performed by fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL Isometric or rises diagram_Is required H Ouentxy Total is >9 WIG 1K COULD RESULT IN INCREASED SEWER FEES. _ •SUBTUTAL I he• ny acknowledge that I have read this application,that the information _ ? given Is correct,that I am the owner or authorized agent of the owner,and 6% SURCHARGE that plans submitted are in compliance with Oregon State Laws. f j sleature of Ownn��er/Agent Date " PLAN REVIEW 25%OF SUBTOTAL �)�7 J _ ��� ie wired only M fixture qty total Is>9 - — --- TOTAL ontact Person Name — Phone , A V` c 'Minimp 'Minimum permit fee is 325+5%surcharge,except Residential Backflow ��� 't + S Z �' Prr venlion Device,which is$15+5%surcharge **All Now Commercial Buildings require plans with isometric or riser diagram and plan review I Wsts%plumapp doc 72M PLEASE COMPLETE: Fixture Type _ Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tut or Tub/Shower Combination Shower Only Water Closet _ Dishwasher _ Garbage Disposal Washing Machine Floor Drain/Floor Sink 2" 311 411 Water Heater Laundry Room Tray__ -Urinal — Other Fixtures (Specify) COMMENTS REGARDING ABOVE: !wlslrr+Wmar(±dx:71719 CITY OF TIGARD iDEVELOPMENT SERVICES k 13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4171 CEPTIFICAT'E (1F OCCUPANCY PF'NPI I T #. . . . . . . N MST96 0054 001"F f5'5(X1).- 10,108/98 ;ITE ADDRESS— s 13154 SW BPOAI*.-MOOR f L 'UBD I V I S I M . . . a RMESSURN- HEIGHm ZONINC . R- /t. ' . . . . . . . . . . L.OT. . . . . . .. . . . . . . Me JUR I Gr)I CTT ON: T J 0 !-AGF) OF' WORK. :NEW IYPE OF USF. . . sGF YPE OF 17ONSTR:5N )CLUMNry' URP. sR3 ICC UPANC Y L 0A U- 1 )@MAI-kc c 5 Patti I jw n e I- . 1,I)DD POYS 7W 181ST PLACE A-014A OR 97007 'huriv #. ASCADE WEST CON5I'RUC710N coprl J-0445 OW CANYON P1.) ')TE. 103 tkEAVFRT(.')N OR 97005 .'hone 641,--7424 6''b78 ihis Certificate grants occ,-ipancy of t:hjp above reff-renced building or portion 1:h&pveof and confirms that the building has been in, pected for rompliance with he ( State of Oregon Cwpeciakty Godes for the group.,. occ.-mr.-sticy, and use I.mcfer -thigh the referencPd permit was iss..ied. MJILDTNG INSPECTORSUPERVISOR -/ INGr-,E(:T PMil' IN CONSPICA.101.19 PLACE CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RAINIER PACIFIC ELECTRIC INC PO BOX 823070 VANCOUVER, WA 98682 Electrical Signature Form Permit #: MST2003-00142 Date Issued: 4130/03 Parcel: 2S104DB-01800 Site Address: 13154 SW BROADMOOR PL Subdivision: AMESBURY HFICH7S Block. Lot: 018 Jurisdiction: TIG Zoning: R-4.; Remarks: Creating 2.700 sf interior habitable space. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the add ess above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: JOHN JENNISON RAINIER PACIFIC ELECTRIC INC 13154 SW BROADMOOR PI_. 8916 NE 90TH AVE TIGARD, OR 97223 PO BOX 823070 VANCOUVER, WA 98682 Phone #: 503-531-9358 Phone #: 360-896-2451 Req #: LIC 10459 ELE 37-938( Sill) 16255 AN INK SIGNATURE IS REQUIRED ON THIS FORM X 1 1-4,9 -4V Signature of Supervising Electrician If you have any questions, please call 503.718.2433. RE C EE MAY 0 l 2003 RAINIER PAOIFIC, i CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 �,S — q Com- BUP Received __ -_________,... Datee Requested_ �O —1 /J AM— PM . _ BUP Location .__ � �J1L� __L:_l Suite__ _— MEC �_— Contact Person Ph( ___) _`7��— 4 17 PLM _ Contractor _ - `F_ � Ph(__—_ ) ____ SWR UlL IN TenanVOwner _ _— _.___ ELC Footing ---- ELC ------- - FOUndatlon Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- - ..----- --- --- — - -- ------- Insulation Drywall Nailing ----- - ----- ------_�-- -- ---- —-- Firewall Fire Sprinkler -- ---- - -- --- - --- -- -- --- - ----- Fire Alarm Susp'd Ceiling Root F - - PART FAIL Post& Beam -- Under Slab - - - -- -- _-------- ------ - - --------- -- - Rough-In Water Service - -- - - - - - - --- ------ - ------ ---- ----- - --- . Sanitary Sewer Rain Drains - -- - -- --- ---- �.._--- ---- ----- --- _ _ Catch Basin/Manhole Storm Drain Shower Pan Other. -- -- -_ - --------- __..__---—--- ------_ _�___ RART FAIL ---------- Ii'AL Post& Beam --- - Hough-In -- - - - - --- -- -- --- --- - --- Gas Line Smoke Dampers - - - - --- ------------- - n PART FAIL - - - -- ------- - -- Service - ---__ ------ Rough-In UG/Slab Low Voltage Fir I rm 5 PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A Please call for reinspection RE. _. _ ____-____ -� Unable to inspect-no access Fire Supply Line ADA �i) / Approach/Sidewalk Date 11 1-4� _ Inspector -_ __ Ext- Other. Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL FPCIM : D&B Plumbing Ini_ FAX N0. : 5577346 May. 05 2003 09:30RM F1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE D + B PLUMBING PO BX 686 OREGON CITY, OR 97045 Plumbing Signature Form Permit #: MST2003-00142 Date assued--4/30/03 - Parcel. 2S104DB-01800 Site Address: 13154 SW BROADMOOR PL Subdivision: AMESBURY HEIGHTS Block: Lot: 018 Juhsdic,-tion TIG Toning: R-4.5 Remarks: Creating 2700 sf iotprior habitable space. Your company has been indicated as the plumbing contractor for the permit indicated above In order for the plurribing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNLR PLUMBING CONTRAuOR: JOHN JENNISON D + B PLUMBING 13154 SW BROADMOOR PL. PO BX 686 TIGARD. OR 97223 OREGON CITY, OR 97045 Phone # 503-531-9358 Phone # 657-7423 Reg # MET 00001008 LIC 00048110 PLM 3-181 PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Siydature of Authorized Plumve It you have any questions, please call 503.718.2133. CITYOF T I G,A R D MASTER PERMIT — PERMIT#: MST2003-00142 DEVELOPMENT SERVICES DATE ISSUED: 4/30/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 13154 SW BROADMOOR PL PARCEL: 2S104DI3-011300 SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TI(i REMARKS: Creating 2700 sf interior habitable space BUILDING REISSUE: CUSTOM STORIES: FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGHT: FIRST %I BASEMENT. Sf LEFT: 5 SMOKE DETECTORS. v IYPF OF USE: SF FLOOR LOAD: I SECOND. S GARAGE: at FRONT: 20 PARKING SPACES TYPE OF CONST: NONE DWELLING UNITS: I THIaO ST RIGHT: 5 OCCUPANCY GRP: R7 BDRL: VALUE 30,000 00 BATH: TOTAL. U sl REAR 15 PLUMBING SINKS. WATER CLOSETS. I WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS. LAVATORIES. DISHWASHERS FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS GARBAGE DISP WATER HEATERS: i WATER LINES BCKFLW PREVNTR: GREASE TRAPS. OTHER Fix TURES1 MECHANICAL FUEL TYPES FURN,TOOK: BOIL/CMP<3HP VENT FANS: 1 CLOTHES DRYER: FURN»100K. UNIT HEATERS. HOODS OTHER UWTS: MAX INP blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES-. GAS OUTLETS. ELECTRICAL RESIDENTIAL_UNIT _ SERVICE FEEDER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 -200 amp. 0 -200 amp. W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION. EA ADD'L 500SF. 201 - 400 amp: 201 - 400 amp 1st W/O SVCIFDRSIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY 401 600 amp: 401 - 600 arnp. F.AADDL BR CTRSIGNAL/PANEL, IN PLANT MANU HM/SVC/FDR. 601 1000 amp: 601-amps-1000V MINOR LABEL - 1000♦amplvolt: PLAN REVIEW SLC,ION Recon;ect only. >=4 RES UNITS: SVC/FDR>=225 A.: 600 V NOMINAL. CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO .__. VACUUM SYSTEM: AUDIO 6 STEREO. FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG. PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION MEDICAL: OTHR. HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 783.72 JOHN DENNISON DOYD BROWN& SUNS,INC. This permit is subject to the regulations contained in the J OHJE BROADMOOR PL 1431 LARCH N Tigard Municipal Code,Slate of OR. Specialty Codes and TIGARD,OR 9722.3 LAKE OSWEGO,OR 57034 all other applicable laws, All work will be done i accordance with approved p,..ns. This permit will expire it work is riot started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-531-9358 Phone: 503-636.0909 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg N: may obtain copies of Inese rules or direct questions to LIC 9733 OUNC by calling(503)246-1987. REQUIRFD INSPECTIONS Footing Insp Mechanical Insp Electrical Final Foundation Insp Plumb Top Out Mechanical Final Underfloor insulation Electrical Rough In Plumb Final Crawl Drain/Backwater Framing Inso Final inspection Plrn/undslab Insp Insulation Insp Issued By : [ ` - i214 �_ Permittee Signature : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day Rec Bu diln� Permit A 1p >ot icatio ' ' ' ' eived lBuilding_ �.{ �� Dat co/ed -') —G.`..+ Permit No.: '`'' `" � Planning Approval Other City of Tigard Date/By. Permit No.: 13125 SW Hall Blvd. Plan Review Other -� Tigard,Oregon 97223 Date/BPermit No.: Phone: 503-639-4171 tax: 503-598-1960 "' Post-Review band Use Date/li : _ Case No. Internet: www,ci.tigard.or.us Contact Juns.: See Page Y for 24-hour Inspection Request: 503-639-4175 �( Namc/Method: Su rpemental Information - i TYPE OF WORK REQUIRED DATA: New construction Demolition _ I &2 FAMILY DWELLING Addition/alteration/replacement Other: LL CATEGORY OF CONSTRUCTION Note: Permit fees*are hosed on the total value of the work performed. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor(-, 1 &2-Famil dwelling CommerciaVIndustrial � , overhead Multi-Fam_t� and profit for the work indicated on this application. Accessory Buildui�____ L; ❑ Master Builder Other Valuation.......................................................- s 36) r JOB SITE INFORMATION and LOCATION No.of bedrooms;-- No.of baths:_— Job site address: _J_`)`i- c,w Total number of floors..................................b.r Suite#: I31dg./Apt.#: New dwelling area(sq.ft.)................Z,.0.... �.-- Garage/carport area(sq. ft.)........... ••....•........• Project Name: _ Covered porch area(sq.ft.)............................. Deck area( q,ft )_.....I... ........... Cross street/Direclions to job site: • • �•t?•• Otiiwxg6 tla(sq.ft.)...... �.�........... �I _-- REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: — Tax map/parcel#: Nate: Permit fees'arc based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor. overhead and profit for the work indicated on this application. eValuation......................................................... $ �wi� a� 1fat1'� �' r t �l Existing building area(sq.ft.)......................... _ �1_w New building area(sq. fl.)..................... Number of stories................•..•........................ PROPERTY OWNER _TENANT Type of construction....................................... Name: O�Aw, J o.nr� l!�-(_I �`-- Occupancy group(s): Existing: Address: 1 S (-1 17W rt ,r \r,��. New: City/Stat -4:�i � �-4 G (-L �'1 IA- -- ^� - - Phone: 503 '53)- FaX: NOTICE: All contractors and subcontractors arc required to be APPLICANT Clicensed with the Oregon Construction Contractors Board under ON PERSON I\ — provisions of ORS 701 and may be required to be licensed in the Business Name: Le,�V c L-� jurisdiction where work is being performed. If the applicant is exempt Contact Name: It Q,t Q..vi I it, from licensing,the following reason applies: Address: 1014.=, St —-- -----_ City/State/Zip: V o ` p - Phone:Sud Z`•I1 5 1 Fax: 561, 241 >3 Z E-mail: rr vt e�w g ei :-maw BUILDING PERMIT EES" ` n Please refer to fee schedule. CONTRACTOR - - Business Name: 13u a I- • Fees due upon application. Address: — Cit /State/ZI : L- 0-ki- ck�r-''.c OIL 417 U', Amount received............................................. $ Phone:LA 340-C°1 O 9 Fax: Date received: CCB Lic. #: �/ , --- - - -- - - -- - Authorized ���j Notice: phis permit application expires if a pri-mit Is not obtained ssithin Signature ����t/Tr] Dete: IAO do after It has been accepted as complete. p _ 1Z,.a�E' � wvJ �� 'Fee mcthodolagn set b% l ri-('Duni Building;Industry Service Board. (Please print name) i.\Dsts\Permit Forms\QtdgPermitApp.loc 01/03 One-and Two-Family Dwelling Building Permit Application Checklist rRefferenceno.: — ted permits: Ci(vgfTlgard Cit of Tigard�' g U Electrical ❑Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503)'639-4171 Fax: (503) 599-1960 REQUIRED1 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 'Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. _ 3 Verification of approved plat/iot. 4 hire district---approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. _ 7 Water district approval. v 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated 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 he completed _ if copyright violations exist. I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if there is more than a 4-11.elevation differential,plan must show contour lines at 2-ft,intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations:direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. f 1 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross secdon(s)and details.Show all framing-member sizes and spacing such as floor hcams,headers,joists,sub-floor, wall construction,roof construction. More than one ciuss section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation.etc. 15 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 greater than four foot at building envelope. Full-sine sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineerin(;standards. 17 Moortroof framing.Provide plans for till floorstmof assemblies,indicating member sizing,spacing,and hearing locations.Show ettic ventilation. 19 Basement and retaining walls.Provide cross sections and details showing placement of rebar.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 prnvide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e..shear wall.roof truss)shall be stamped by an engineer or architect hcew,ed in Oregon and shall he shown to he applicable hi the project under review. JURISDICTIONAL SPECIFICS 23 Five(5)site plans are required for Rena I 1 above. Site plans must he 9-112"x I I"or I I" x 17". 24 Two(2)sets each are required for Items 16, 19.20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in thl: Permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 440.4614 t OWK*oM) EKLUMM Mechanical Permit Application Received Mechanical Date/By: PermitNo.:�It��� C�tyOf'Ilgalyd Planning Approval — Building Date/By Permit No.: 13125 SW Hall 131.d. Plan Review Other Tigard,Oregon 97223 Date/By: _ Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Po:. Rcvicw land Use Datc/ByInternet: www.ci.tigard.or.us Contact ard.or.us Contac : Case No.: t Juris.: LN See Page 2 for 24-hour inspection Request: 503-639-4175 Name/Method: 5u lemental Information. I TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction u DemolitionMechanical permit fees*arc based on the total value of the work Addition/alteration/re lacement Other: _ performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 &2- 1 arnildwellin r ('ommcrcial/Industrial Value: S_ _ e See Page 2 for Fee Schedule Accessory Building ❑ Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE lJi— Description Qt; i ee ea. 'Total Master Builder Other: _ HeatlnKWIConlin JOB SiTE INFORMATION and CATION Furnace-add-on rir conditioning" 14.00 �- tr,�c� Gas heat pump 14.00 Job site address: , - Suite#: Bld ./A to Duct work \; 14.00 Project Name: _Hydronic hot waters stem 14.00 Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) Ili-wall,in-duct,suspended,etc. 14.00 Flue/vent for any of above 10.00 Subdivision: Lot#: Repair units 12.15 I — Other Fuel illances 'Tax ina / arcel #: Water heater 10.00 _ DESCRiPTIO�N OF WORV Gas fireplace 10.00 Flue vett(water heater/gas fireplace) 10.00 - Log lighter(gas) 10.00 Wood/Pelletstove10.00 Wood fireplace/insert 10.00 _ Chimne /liner/flue/vent 10.00 EZ PROPERTY OWNER TENANT Other: __ 10.00 — Name: J 0 r Y, J Q,y�,, I t u Environmental Exhaust do Ventilation S i L t ----�;--- Range hood/other kitchen equipment 10.00 Address: , J Q5r-cu, v^W Clothes dryer exhaust 10.00 City/State/Zip- `( �, 4, U 9— 7 2 Z Single duct exhaust Phone: >6 t, I Fax: _ (bathrooms,toilet compartments, 10 APPLICANT CONTACT PERSON _ utility rooms) 6.80 Name: Lt vr' r.uc� a✓��>r J�tSoc i l , _ Attic/crAw!space fans 10.00 Address: 10 1-�VJ GI Sl Others _ 10.00 _ Fuel Piping _- Cit /State/Zi p Q (Y) 1-0 1 **($5.40 for first 4,$1.00 each additional) _ Furnace,etc. " Phone:c-14 U1 -439W) Fax:c o� 1-111 Mt, Gas heat pump •• E-mail: r-Q-,L. c F' . Wall/suspended/unit helter _CONTRACTOR Water heater_^ •' Business Name: i~ Ztb�— Fir^ lace Address: p cF`i + L• h - Range a e __ •• Cit /$tate/Zi : Clothes dryer as Phone: Z jj. 2 t4 Fax: z4Other: Total: CCB Lie. #: !,- C — _ / _ Mechanical Permit Fees* Authorized Signature: DatefSubtotal: 5 Minimum Permit Fee$72.50 S f✓G r] L--t-,Vo Plan Review Fee 25%of Permit Fee) S (Please print name) State Surc_h_arge(8%of Pcmiit Fee) S TOTAL PERMIT FEE S Notice: This permit application expires'f a pernilt is not obtained Althin *Fee methodology spt by Tri-County Building Industry Service Board. 180 days after It has been accepted as complete. **She plan required for exterior A/C units. is\Dsts4lempit For m\MecPermitApp da: 01103 Mechanical Permit AwDlication - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fce: T �l $1.00 to$5,000.00 _ Minimum fee$72.50_ $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000,00 and $1.54 for each additional$100 00 or fraction thereof,w and including _ $25,000.00. 525,001.00 to W,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction therenl',to and including _ $50,000.00. $50,00100 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per Appilanee: Value Total Descmm.tion. t ER Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents Fluoro furnace including vent 955 Suspended heater,wall heater or floor 955 mounted heater_ Vent not included in appliance permit 445 Repair units 805 <3 hp;absorb.unit, 955 to look IJTU _ 3-15 hp;absorb.unit, 1,700 IOIkto500kBTU 15.30 hp;absorb.unit,501k to 1 mil. 2,310 BTU 30-50 hp;absorb.ttnit, 3,400 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 1.75 mil.BTU Air handling unit to 10,000 cfm 656 Air handiing unit>10000cfm 1,170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit _ Hood served by mechanical exhaust 656 _ Domestic incinerator 1070 _ Commercial or industrial incinerator 4,590 _ Other unit,including wood stoves, 656 inserts,etc. _Gas piping 14 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: is\Dsts\Permit Forms\MecPermitAppPg2.dor 01/03 Building Fixtures OFFICE USE ON LY Plumbing Permit Application Received O r Plumbing Date/By: Permit No.*,W-1 —221-142 Cit of Ti and Planning Approval Sewer y Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact Juris.: see Pagc 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. TYPE OF WORK FEE*SCHEDULE(for special information use checklist) New construction Demolition DescriptionI Qty. Fre(ca.) lbtal Addition/alteration/replacement Other: New 1 &2-family dwellings CATEGORY OF CONSTRUCTION includes 100 ft.for each utility connection 1 &2-Family dwelling Commercial/Industrial SFR 1)bath _ 249.20 SFR 2 bath _ 350.110 Accessory Bui ding 10 Multi-Family SFR 3 bath 399.00 Master Builder _Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Firesprinkler •sq. ft.: Pae 2 Job site address: Site Utilities Suite#: Bld ./A to Catch basin/arca drain _ 16.60 Project Name: Dr ell/leach line/trench drain 16.60 Footingdrain no.linear R. _ Page 2 Cross strPet/Directions to job site: Manufactured home utilities _ 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer no. linear ft. Page 2 Subdivision: I,ot#; Storm sewer no. linear ft. Page 2 Tax map/parcel M Water service no. linear ft. Pae 2 DESCRIPTION OF WORK Fixture or Item Absorption valve 16.60 Backflow rcventer Page 2 e,1-U ��- _ Backwater valve Clothes washer 16.60 — ------ --� Dishwasher 16.60 PROPERTY OWNER 0—TENANT Drinkin fountain 16.60 E'cctors/sum 1 16.60 Name: 4'. 6 Expansion tank 16.60 Address: 1 . 1 S S W C.el YvUO✓- Fixture/sewer cap 16.60 Cid/State/Zip: 1 �, U ( Z Floor drain/floor sink/hub 16.60 Garbs e disposal 16.60 Phone:�,� S i 3 5' Fax: Hose bib 16.60 APPLICANT I El CONTACT PERSONIce maker 16.60 Name: p:..R" > >r SU G iv- Interceptor/grease trap 16.60 Address: I �) G S. h S • Medical gas-value: $ Page 2 Primer _ 16.60 Cid/State/Zi p r 7 �-oRoof drain commercial 16.60 Phone V-A b 4 4—I ax: SVA 'ZA 1 Orb'LI. Sink/basho lavator L 16.60 _ E-mail: r aiA I -CvJ e, ►C l rz�V^ t t1 Tub/shower/shower pan Z 16.60 CONTRACTOR Urinal 16.60 Business Name: Water closet ^` 16.60 —� Water heater 16.60 Address: Other: _ _ City/State/Zip: Other: I_ Phone: 6- 7 -1 L42 ?5 _ax: Plumbing Permit Fees* CCB Lic. #: 1 i C) f, 1,P11imb. Lic.#: g subtotal $ Authorl2ed / ¢ ) Minimum Permit Fec$72.50 $ Signature: Date: ! � G1 Residential Backflow Minimum Fee$36.25 Plan Review(25%of Permit Fee) $ State Surcharge 8%of Permit Fee) $ (Please print name) _ TOTAL_VERMIT_FEE $ _ Notice: This permit application expires If a permit is not obtained%%ithin All new commercial buildings require 2 sets of plans with Isometric or 180 days after It has been accepted as complete. riser diagram for plan revicss. *Fee methodoinp ser M Trl-(ount.� Building Industry Service Board. 011st0ennit PomisTImPemiitApp.drx 01103 PlumbinY Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Sup ession Systems- Site stems:Site Utilities Qly. Fee(ea) 'rot... Square Footage: Permit Fee: Fooling drain- 1" 100' — tis iii 0 to 2,000 $115.00 Footing drain-each additional 100' to a0 2 001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer-Ist IM' Ss oo _ 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Isl 100' 55.00 Medical Gas S 'stems: Water Service-each additional 100' 46.40 Valuation: Permit Fee: _ Storm&Rain Drain-Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total includihit Commercial Hack Flow Prevention Device dr $10,001.00 to$25,000.00 $143.56 for the first$10,000.00 and 51.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25) -17 ss and includings25 nn<J.0(i. Rain Drain,single family dwelling l�5 25 _ $25,001.00 to$50,000.00 $379.50 for the first$25,000 00 and$1.45 for each additional$100 M or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-Pet 11-1v 72 50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping, nlox,ing or replacing existing fixtures? If "yes",please indicate tcork performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity b Fixture Work 11 rro�nred Comments regarding fixture work: Fixture Type: Replace - NeN 1lfovrd Existing.-_Galli d - -- Be tis" /Font - Both -Tub/Shower _ -Jacuzzi/Whirlpool —'--- -- Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator Dishwasher -Commercial _ -- -Domestic _ Drinking FountainEye Wash _ - ------ -- Floor Drain/sink -2" — - -4„ - -- Car Wash Drain ---- *Note: If the fixture work ur•der this perntil res-Ats in an Garbage -Domestic �_- Disposal -Commercial _ increase of sewer VDI Is,a lesser permit is ill be issued and -Industrial fees asses-ed for the sewer inemise must be paid before the Ice Mach.,Rcfn .Drains J l+%n1!)ing permit can be issued. Oil Separator Gas Station --_ Rec Vehicle Dom Station _ Shower -fang _ -Stall Sink -Har/Lavatory -Bradley -Commercial -Service Swimmin fool Filler Washer-Clothes Water Extractor Waley Closet-Toilet Urinal Other Fixtures. i\DsLs\Pemiit Forms\l lmPcrnutAppPg2 doc 01103 Electrical Permit Application ' ' Received I Ice trig al DatcBy: Permit No.:/) *'%'' CC/��✓ City Of Tigard Planning Approval Sign y Date/By. Permit No.: 13125 SW Hall Blvd, Plan Review Other - _— Tigard,Oregon 97223 Date/By: Permit No. Phone: 503-634-4171 Fax: 503-598-1960 ;, Past-Review Land Use DateB : Case No.: Internet: www.t i.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspect:on Request: 503-6394175 Namc/Method: Su tlemenlal lufornration. TYPE OF WORK PLAN REVIEW Please check all that apply) New construction _ Q@n1011tiotl Service over 225 amps- I Icalth•care facility Addition/alteration/re lacement Other: commercial ❑Iluilding ser 10on ❑Service over 320 amps-rating of El Building over 10,000 square frc4 CATEGORY OF CONSTRUCTION 1&2 family dwellings four or more residential units in I &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure A ❑Building over three stories El Feeders,400 amps or more •1CC@SSO Building Multi-Family []Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑Other:_ JOB SITE INFORMATION and LOCATION Submit sets of plans with any.rf the above. The above are tot applicable to lenriorary construction service. Job site address:T—��' 2� (�Y--Q r (Y-,Q or A�>L _ FEE*SCHEDULE #: Bld ./Apt.#: _ Number of Ins ections per Lermit allowed Project Name: Description Qq Fee(ea.) Total Cross Street/Dircctions t0 job Site: New residential-single unit.In udor tacked garage.per .1 dwrlllnf unit.Includes attached garage. Service Included: I(I(I(1 sq.0.or less 145.15 4 Each additional 500 g 8.or portion thereof 33.40 I Subdivision: Lot#: Limited energy,residential 75.00 2 — _— Limiled energy,non residential 75.00 _ 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPT11Q.N OF WORK service and feeder 90.90 2 ` tirryfeeders or -fuslallation, hti. v.l j r•Lr. c 1i- I i— _) alteration or reloca(ion. e 200 amps or less 80.30 2 h��tn, h ^'��'` l`r --,__J-_— 201 ams to 400 amps 106.85 2 401 ams to 600 ams 160.60 2 PROPERTY OWNER I TENANT 601 amps to I WO amps 240.60 2 -- Over low amps or volts 454.65 2 Name: )Q hy♦ Reconnect only 66.85 2 Address: 3 15LJ Z-, 3 r(,p r vvk Or h CA— Temporary services or feeders-installation, alteration,or relocation: C /State/Zip: l t�� , o�. 2Z 3 2(N)amps or less 66 R5 I i'hone:SUS `l-���a�.S Fax: 201 am s to 4W amps _ _ 100.311 _ 2 nPPLICANT� CONTACT PERSON 401 to 600 amns 133 75 2 Branch circuits-new,alteration,or Named_ IVoc,,. v-sc- extension per panel: Address: `� 1 A.Fee for branch circuits with purchase of >J �o L✓ �``� 1 service or feeder fee each branch circuit 6.65 2 fat /State/Zf O r 1 v 2, C)Ni 1 ILO B.Fee for branch circuits without purchase of service or feeder lee,first branch circuit 4695 2 Phone:Ly(j1) 2 1 ��c t ax: S� 7, �r Z Each additional branch circuit 6.65 1 2 B-mall: )r Q+ 4✓�: r p ✓' Misc.(Servtce of feeder not included) Each um or irrigation circle 53.40 2 CONTRACTOR ---- Gach signor outline lighting 53.40 2 Job No: 12,61 IJ gi�r_ PSC L L%r L_ t.ee~' t yJ C Signal circuit(s)or a limited energy pinel, Business Name: alteration or extension Pae 2 _ 2 -- �— Description: Addresri: City/State/Zip:- Each additional Ins ectlon over the allowable in any of the above: Per inspection per hour min. I hour 62.50 Thane: FaX: Investigation fee: CCB L1c. #: Lir #: Other: Electrical Permit Fees* Supervising electrician __ Subtotal $ signature required: — Plan Review 25%of^cn it.Fee $ Print Name: Lic. #: __ State Surcharge 8%o,Permit Fee S TOTAL PERMIT FEE S _ Authorized y Q Notice: This permit application expires If a hermil Is not obtained within Signature: — Date: 7 / / 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i:\DstslPemtit Forrns0cl ermitApp.doc 01103 Electrical Permit Application - Cite of Tigard Page 2 - Supplemental Information LIMITED ENERGY PI;KMIT TEES: RESIDENTIAL WORK ONLY: _ Feefor all systems............................................................ $75.00 Check Type of Work In%W%cd: F1Audio and Stereo Systems* nurglar Alarm (iarage Door Opener* ricating,Ventilation and Air Conditioning System* MVacuum Systems* MOther_ — ------- COMMERCIAL WORK ONLY: Fee for IlSh system.......................................................... $75.00 (SEE.OAR 919.260-2160) Check Type of%N ork!nvolved: Audio and Stereo Systems Boiler Controls Clock Systems Data Telerommunication Installation Fire Alarm Installation IIVAC Instrumentation F1 Intercom and Paging Systems EJLandscape Irrigation Control* M Medical Nurse Calls Outdoor landscape Lighting* Protective Sipnaling aOther----- _--- --—.�,. Number or Systems * No licenses are required. 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