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8912 SW GRAVENSTEIN LANE co ca N N C) X D C m z -q m z r D z m 6912 SW GRAVENSTEIN LANE CITY 01= ?"IGARD BUILDING INSPECTION DIVISION MST 24-Hour hispectlon Linn: S39-4175 Business Line: 639-4171 BUP _ Data Requested �,-!�� AM —PM BLD Location—q-6 �7��.�I��l. � -f✓� Suite MEC Ph �� PLM Contact Person - - — Contractor __ Ph _ _ SWR _ end" i enantlOwner ELC Retaining Wall _ ELR Footing Access. FPS Foundation ---� - Ftg Drain SGN Crawl Drain Inspection Notes: Slab --- - --- -- ------ - -- SIT -----_.—. ----- PoRt F.Beam Ext Sheath/Shear Int Sheath/Shear Framing -----,.. --— -- - -- - Insulation Drywall Nailing - F irewall Fire Sprinkler --- — - �- Fire Alarm Susp'd Ceiling — -- /�—n— Roof — Misc: -- AS PART ► AIL __ - — — .------- —_— PLUMBING, -- Post& Beam Under Slab -- Top Out Water Service _ ----------------_�_ Sanitary Sewer Rain Drains __ -- -- -- ----- ----— ---—-- — Final PAS$ PART FAIL. MECH NIA CA FPos BHcam ---- --- - — Rough In __— Gas line --- *EiECTRICAL Dampers PART FAIL._� r Service — Rough In UG/Slab Low Voltage Fire Alarm --.-- Final _ PASS PART F_p.11 SITE _ — R ackfilllvrading Sanitary Sewer Storm Drain ( ] Reinspecean fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ] PleaFa call for reinspectior, RE: [ ] Unable to insr.ect-no access Fire Supply Line ADA Approach/Sidewalk Dato t' --_.Inspector— _-_ Ext — Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. u 1 _CERTIFICATE OF OCCUPANCY CITY OF T I G,A R D PERMIT#: MST99-00015 DEVELOPMENT SERVICES DATE ISSUED: 2/4/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-G9100 ZONING: R-7 JURISDICTION: TIG S'-.'E ADDRESS: 08912 SW GR'AVENSTEIN LN SUBDIVISION. APPLEWOOD PARK NO. 2 BLOCK: LOT:076 CLASS OF WORK: NEW TfPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage Final Inspection Approved 6/10/99 by Tom Plescher, Building Inspector Owner: MAI-RIX DEVELOPMENT CORP 6900 SW 1-;AINt-S PLAZA 2 SUITE 200 T!l-,'RD, OR 97223 Phone: 620-8080 Contractor: LEGEND HOMES CnRr 6900 SW HAINES ST #200 - IGARD, OR 97223 Phone: 620-8080 Reg #: 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 SpecialtyZorles for the groom , ccupancy, and use and r which the referenced permit 'Nas (4ssue"d 7 / F BUILDING INSPECTOR 13UILDINGI4bFFICIAL POST IN CvivoFiCUOUS PLACE CITY OF TI GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00161 13125 SW Hall Blvd., Tigard, OR 972z.3 (503) 639-4171 DATE ISSUED: 4/29/03 SITE ADDRESS: 08912 SW GRAVENSTEIN LN PARCEL: 2S111DA-08100 SUBDIVISION: P,.'-)PL.EWOOD PARK NO. 2 ZONING: R-7 BLOCK: LOT: 076 JURISDICTION: TIG CLASS OF WORK: GARBAGE DISPOSALS: MOBILE. HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: +vT — SINKS: URINALS: GREASE TRAPS: LAVATORIES: OT`iER FIXTURES: TUB/SII(iWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE. ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer FEES _ Owner: —— Description Date Amount DANIEL MCKENZIE --- 8912 SW GRAVENSTEIN LANE Ii'LUMBJ Pcriml I cc 4/29/03 '.36.25 TIGARD, OR 97224 I rnxl `t State lug •1/29/03 $2.90 Total $39.15 Phone : 503-970-7871 Contractor: PREGA LANDSCAPE 3975 NVJ SUSBAVER RD CORNELIUS, OR 97113 REQUIRED INSPECTIONS RF/Backflow Preventer Phone Final Inspection Reg#: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an(, all other applicable laws. All work will be done in accordance with approved plans. This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENT'ON: Oregon law requires you to follow rules adopted by the Oregon Issued By: 4—L1,4— t_, Permittee Signature;. ------ Call (503) 639-4175 by 7:00 P.M. for an inspection needed thy ext busi—.,ss day Building Fixtures Phinabi p, Permit Application Received , t Plumbtng_ Date/B : X03 Q Permit No.: Planning Approval Sewer City 01 I lgsird Date/Hy: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 9723 Dat-/By: Pem.d No.: Phone: 503-639-4171 Fax: 503-598-1960 Post leview land Use Date/By: Case r.o.: Internet: www.ci.tigard.orms Contact Juria.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Meth(vi: Supplemental Information. TYPE OF WORK FEE'kl]L0tJLE forspecial information use checklist New construction _ Demolition Description 7Qty. Fec;ca.► _ Total ddition/alteration/re lac_ lent Other: New 1-&2-family dwellings CATEGORY O CCF tNS'fRUCT10N (Includes 100 ft.for each utiiitv connec.lon SFR 1 bath 249.20 1 &2-FamilydwellingCommercial/Industrial SFR 2 bath 350.00 Accessory BuildingMulti-Family SFR 3 bath 399.00 t 9Master Builder Other: Each addit:,,a-al bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler-sq. .9 Pee 2 54c Ott=lilies Job site address: y '(11 S CL 1 Q'f L Suite#: Bld ./A t.#: Catch basin/area drain I6.60 - Dr cll/leach'ine/trench drain 16.60 Project Name: Footing drain no.linear ft.) Pae 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector _16.60 Sanitary sewer no.linear fl Pae 2 _ Subdivision _ 1 0(# _ Storm sewer no. linear fl. Pae 2 ------- Water service no.linear ft. Pae 2 Tax map/parcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 Backflow preventer Pae 2 Backwater valve 16 60 Clc -les washrr 16.60 --- ---- -- Dishwasher 16.60 _ Drinking fountain 16.60 ROPEROWNER TENANT _ Ejectors/sump 16.60 Name: Expansion tank 16.60 Fixture/sewer cap 16.60 Address: /of 3W G""J E VN` e t' \i\ Floor drain/floor sink/hub 16.60 City/State/Zip:. - IG.60 ph � b� Fax: Hose bib 16.60 L ANT CONTACT PERSON Ice maker 16.60 �►� -�, Interce tor/ ease trap 16.60 Name: C��l��'1� r Address: j p n/la,� S v�h ov eY R0 Medical as value: $ Pae 2 Primer 16.60 City/State/Zi <rJ t is c / Roof drain commercial _ 16.60 Phone: 6 y U �,'2 Fax: Sink/basin/lavatory16.60 E-mail: 1),-e° a J goi C VA e L I�ASN (o,. Tub/shower/shower an 16.60 CONTRA(.OR Urinal 16.60 - Water closet 16.60 Business Name: L O. - Water heater 16.60 Address: 39is NtA) ►2 _ Other: "3 Cid/State/Zip: (Oy Y1e S n _� // 3 Other: 1 Phone(so'] Q 2 Fax: � Plumbing Permit Fees" _ Subtotal $ CCB LIc. #:4.c/3 Plumb. L,icA Minimum Per.iit Fee$72.50 S Authorized /o'311-v8 - y� G, Residential Backflotlw Minimum Fee$36.25 Signature: Dale:-- Plan Review(25%of Permit Fee) $ State Surcharge 8%.,- crmit Fee $ _ �.xnt17'FEE $ (Please print name)) TOTAL P Notice! This permit application expires If a permit Iq not obtained is ithin All new commercial buildings require 2 sets of plans with 1%onfietric or 180 des after It has been accepted as complete. riser diagram for plan review. 'Fee methodology set by Tri-County Building Industry Service Board. is\Dsts\PermitForms\PlmPermitApp.doc 01/03 * 39- ! `� tttsttt� M 111umbing_Perinit Ap-plication - City of Tigard Page 2 -Supplemental Inforniallioll Fee Schedule: Residential Fire Sup ression Systems: Site Utilities Qty. Fee(ea) Total Square Footix e_ Permit Fee: Footing drain-1"100' 55.00 ('to 2,000 $11500 Footing drain-each additional 100' 46.46 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer•Ist 100' 55.00 7,201 and greatei $309.00 Sewer-each additional 100' 46.40_ W Water Scrvice-1st 100' s5.wMedical Gas S stems' Water Service-each additiot at 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 51.52 for each additionaFixture or Item Qty. Fee(ea) Total including $1 0fraction thereof,to and 00.00 or Commercial Hack FI iw Prevention Device 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and includinit$25,000.00. Rein Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 end$1.45 for -- each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and includinst$50,000.00, specially requested inspectionsper hour 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. J — Fixture Work: Are you capping,mo-,,log or replacing existing fixtures? It' "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity b Fliture Work Performed ('nnunents regarding fixture work: Fixture Type Replace New Moved FjIstln CspkLd_ — - Ba ptistr /front _- Bath -Tub/Shower -Jacuzzi/Whirlpool — Car Wash -Hach Stall -Drive Thru Cuspidor/Water Aspirator — Dishwasher Commercial _. -Domestic Drinking Fountain — I ye Wash Floor Drain/sink 2" .4" Car P:ash Drain *Note: If the fixture work under this permit results in an Garbage -Domestic Disposal -Commercial � i crease of sewer fJUUs,a sewer permit will be issued and ' -Industrial — fees assessed for the sewer increase must be paid before tlic Ice Mach./Refri .Drains plumbing permit can be issued. Gil Separator Gas Station) Rec.Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory -Bradley -Commercial _ -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal �. other Fixtures: ilDsts\Permit Forms\PlmPemitAppPg2.doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 1Bt1P 5 '�P ---- Received Date Requested_ _ M_ _ --- —PM BLIP SuiteMEC Location o — C __ YO -d9�� PLM 3 - 061 I Contact Person ——_______—.------ Ph(—) – Contractor _ — Ph(_ ) SWR BUILDING Tenant/Owner ____ ELC Footing ELC Foundation �7-re s.. ELR _ Fig Drain Crawl Drain SIT Slab Inspection Notes: Post&Beam -- — - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: _ Final PASS PART FAIL P_LUMBINQ — -- - Rost -b Beam _ Under Slab Rough-In _ _ -- Water Fervice -- M Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan - - Ot --V—-- jS PART FAIL C_H JA_N I C A L Post&Beam Rough-In Ges Line Smoke Dampers Final PASS PART_ FAIL '— ELECTRICAL Service - _- Rough-In UG/Slab I.^w Voltage Fire Alarm Fina' Reinspection fee of$ required before next Inspection. Pay at City He , 13125 SW Hell Blvd. PASS PART FAIL___ Unable to inspect-no access SITE � [] Please cal for r inspection RE: -- - Fire Supply Line ut r _ ADA Date 7 v Inspector / --�– Approach/Sidewalk Other: Final DQ NOT REMOVE this Inspection record from the job site. PASS FIART FAIL CITY OF TIGARD MASTER PERMTT FFRMTT d#. . . . . : M,3-f 9'7 001.., DEVELOPMENY SERVICES DnTE ISSIJRD: 02/04/99 13125 SW Hall Blvd. T!gard,CR 97223(501)6,19.4171 Tf ADDRESS. , . :08'.312 SW SfgAV1_J\l ff:IN L.N '13DTVISTON. ,. . . :f-1F'I"II.FWOOD rJARK NO, ZONING: R 7 PD !ICK. . . . . , . . . L..OT. . . . . . . . . . . . . :07C TL!RI!�DTOTTnN: TTS arks: PATH I: New single family dwelling rl:. tachetl garage ------------------------�__.._____�_.._._.__.._.__ ---__-- BUILDING ----- ----------------_--_-------__---____ )SUE: STORIES.......: 2 "_5OR AREAS---------- BASEMENT...: 0 sf REOUIRF-D SETBACKS --- REOUIRED------•----- "SS OF WORK.AW HEIGHT......... 23 FIRST....: 1037 sf GARAGE.....: 479 s' LEFT..........! 15 SMOKE DETECTRS: Y ^E OF USE...-yF FLOOR LOAD...: 40 SECOND...: 1273 sf FRONT.........: 20 PARKING SPACES: 2 TYPE OF CONST.:;;N DWELLING UNITS: I FINBSMENT: 0 sf RIGHT.........: 5 "LIPANCY GRP.:R3 DDRM: 3 BATH: 3 'OTAL------: 2310 sf VALUE..s: 16%58 REAR..........: 17 --------------------------------------------------------------- PLUMbING ---------------------------------------------—----------------•- ....... ; 1 WATER CLOSETS.: 3 WASHING MACH..: 1 :AUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0 "',1TJRicw....: 4 DISHWASHERS...: I FLOOR DRAINS.. : 0 SEWER LINE ft: 190 SF RAIN DRAINS: 1 CATCH BASIC. 0 'UB/SHOWERS...: 3 GARBAGE DISP.,; 1 WATER HEATERS.: 1 WATER IINE ft; 100 BCKFLW PREVNTR: i GREASE TRAPS..: 0 OTHER FIXTURES: 0 ----------------- __.._-_--.--___________.._..._..____.____.._.__..__._ MECHANICAL - ___.__.....__.._-_.._. _. ---------------------------------------- r,- .----------------------.---_--_--_-..__. r TYPES----------- FURN It 100K ..: 0 BOIL/CMP ( 3HN 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 FURN )=I W, .. : 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 IND.: 8 BTU FLOOR FURNACES: 0 VENTS.........: 0 WMDS70VES....: A GAS OUTLETS...: i -------------------------------- ELECTRICAL -----.__-- gESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TM SRVCIFEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS--- --ADD'L INSPECTIONS-- "0 SF OR LFSS: 1 N - 200 alp.. : 0 0 - 200 amp.. : 0 W/SVC OR FDR..: 0 PUMK';IRRIGRTION: 0 PER INSPECTION: 41),1 Seff,: 4 201 400 amF..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR; 0 SIGN/OUT LIN LT: 0 PER HOAR......: 0 "TTED ENERGY.: 0 401 - 600 amp..: 0 401 - 608 amp..: 0 EA ADDI. RR CIR. 0 SIGNAL/PANEL... : 0 IN PLANT......: 0 HM/SVC/FDq: 0 601 - 1000 amp,: 0 601+amps-1000 v: 0 MINOR LABEL -18: 0 1800} amp/volt. : 0 _.-.._.__..-------......__....._.---______.._ PLAN REVIEW SECTION ----------------------.__-.._-_.-. Reconnect only,: 0 )=4 RES UNITS..: SVC/FDR)=225 A,: ) 600 V NOMINAL: CLS AREA/SPC OCC: -------------- ELECTRICAL - RESTRICTED ENERGY ---------------------- E RESIDENTIAL..------------ ------------- B. CMRCIAL----------------------------------------------------------------------------- '70 d STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM,....: INTERCOM!PFGING: .,UTAS^,q LNDSC LT: -SLAP ALARM..: 07H: :: BOILER.........: MVAC...........: LANDSCAPE/IRRIG: PROTE'.TIVE SIBIU 'A6'f.' OPENER... X CLOCK........... INSTRUMENTATION: MEDICAL..... ... OTHR: "...........: DATAITELE CPIM, NURSE CALLS....: TOTAL a SYSTEMS: 0 ,r; ----------------------------------- Contractor: -__......-----___. .____.._._ _.- _ TOTAL FEES:t S00C.r 'rhD HOMES LEGEND HOMES CORP This permit is subject to the regulations contained in the i39 SW HAINEE 6500 ",W HAINES ST 1280 Tigard Municipa; Code, State of Ore. Sp_ialty Codes and al'. r�7a 2, SUITE 229+ TIGARD OR 97223 other applicable lives. All work will be done in accordance "11111 OR 972P3 with approved plans. This permit will expire if wore is -e a: 620-90AR' phone 0: 620-9880 not started within 180a days of issuance, or if the :vork is Reg #..: 000605 suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility :ficatinn Center. Those rules are set forth in OAR 952-MI-0010 through OAR 9`.. 801 0090. You may obtain copies of these rales or pct qurstiol.s to 01K by calling 15831246-1?87. .-----------------------------_...--_------------------ REDUIRED INSPECTIONS -----------------.---------______----------- -ior, 8444444 Crawl Drain!Back Electrical Rouge Insulation Insp Mechanical Final `ing Insp PLM'Underfloor Frasing Insp Rain drain Insp Plumb Final _- -.dation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final 011#81 5truct Plumb Top " ' Low Voltage Appr/Sdwlk Insp _ `Pearn MEChan r -,/ �' 0 ' I'le Insp Electrical Final ` r..}.r..4 _� -- per-mittee Si gnata:r 10� q r .a + rA1. 1 1-11q. ..p ,, r,,,- an Ens;I)Prt i on riePcied thy^ n, CITY O F T I G A D SEWER rONNF-rTInN DEVELOPMENT SERVICESPC,RM T'T' 13125 SW Hall B.vd.,Tigard,OR 97223(503)639.4171 PERM1T #*. . . . . . . . !-3 W R'-3'.-7-0 0 11 DfITE ISIGUED: 0:2/014/99 PARCEL: ' Tr ODDRESS. . . SW GRfIVENSTFIN 1-N D PARK 1\10. El 70NING, P---7 PIT) 'T%r)T V 181 ON. t-o-r. . .. . . . . . . . . . .. .CA76 1"10 I.-F.'17qND 'HOMES) FIXTURF UNTI'S. . . 0 �n r4n. . . . . . . . . . : nr WORK. . . .Nr-.W DWELL I NG UN*1'V-i. t PE Or t IFF. . . . . ..c')F Nn. OF BUILDINGG: I. ryr-,t---. . . . :1-Tr-113WR TMPERV 13IJRFA('.r': 0 sF f(-,.., riew � itlole family dwe' l.l. inu. ru.-*o nwne�- : E.GEND HOMES)' t v PC, -,mkil.tnt by chat P r,e(--pt PRM7, s 1--300. 00 0317n 100 0117, HOTNEC) ^, -ItITTF 200 Nsr., $ -r-j. 00 GUO 0,2/04/99 99-31.2701- 011 07;7,"-'21' cone #: 00 TOTf1l. REQUIRr- I N,.,)r,F,rr T 9W; ''pis Applicant agrees to comply with all 'ha rules and regulations Filewev, 1risr)er-tion of the Unified Sewage AgenrY. The permit expires In@ days from the date -issued. The total amount paid will be forfeited if the ppreit expires. The Agency does not guarantee the accuracy OF the ;ide sewer laterals, if the sewer is not located at the measurement uivenp the installer shall prospect 3 feet in all directions from t,,je distance qiven. if nnt so located, the installer shall purchase "Tap and Side Sewer" Permit and the Agency will irstall a lateral. '•T'TNTION- Oregon law requires you to follow rules adopted by the -� @gon Utility Notification Center. These rules are set forth in DAR ............ -2-0@14010 through 0AR 952-MI-M. you 187 048in copies Of `Pse rules or direct que0i- " ULW Iv ralling +503)24-087. A A 5 -1 Pei b pp��M i t 1,v r1i gllxit 1 1 4-4-1 4-4-4+4..1..1...}-4--r..t+4++4.-4-+4+++-+-+-1-4-A ++.4•.i.++4++++4+4-+4-++.4-44+4.++4. 1--+.+4..4..-1,+-1--I++••T••-+ r .1spe(Tt icer; nt-e-ilf*d tJie next; bl..isiri�-ss dAy ,,-,j 1 639-1417�5 by 7:00- [).� M. fcr At) it h+••+.++••.+{•-1•++++-+a•+++++4.}4++++--1.{.+#.+•+.{•+..4 +.;-++++++4++++ Pian Che ITY OF TIGARD Residential Building Permit Application Rec'de ,,�Ja : 125 SW HALL BLVD. New Construction Additions or Alterations IGARD, OR 9722,3 Sirgle Family Detached or Attached (Duplex) DatData to P E Oita to DST_ ' 503-6394171 r'ermd#/h5�`f 503-684-7297j Called �?n- ' Print or Type �� Lir ve a. incomplete or illegible applications will ndt be-acEepted "� >ul L tJ a of Project Name Job '&Iver /cJv Architet.t Madi Address 1 ' Site,�dr� �a�� ✓ LTi•l l V] *.s Address City/$tate ` up Phj� _�lJ�/yl� 3 Co Nair Owner Maill Address � E-�ineer Mailin Address I State Zip Phone %�- citi/state Zip Phone General / Name r -L Z 7 i Contractor L-� Q f�O.�� Describe work ew Additon O Alteration O Repair O to be doro: _ } Mailin Address :; :; Pnor to permit Additional Desc^ption of'J�'Ork: C' /State Zip Phone s::uance,a copy �Y ' of all licenses are required if Ore Const.Cant.Board Exp.Date'�r:w..• ECT expired in COT Lic.# VALUA. JN $ ! • �y database — NEW CONSTRUCTION &LY: Mechanical Nartte — Sub- Sq. Ft. Ouse: -:1 Sq. Ft. Garage ___11 L Contractor Mailing Add ' Prior to permit 2./ 0 soh _ Corner Lot YE NO Flag Lo YES N '. issuance, a copy City/State Zip Phone (check ane) (check one) '` or all licenses Po��lan�pR I& 25 - Restricted Audio/Stereo Burglar tip; are requi ed f Oregon Gons`C Cont.Board Exp.Date Energy System Alarm expired in r,01 Lic.# �j �cJ '�g Installation Garage Door r HVAC dalabase_ Q g� 1 — -L Opener _ / Systems Plumbing N'me + �,, _�.}- ,,,-� � (check all that Other. Sub- —Lo— � _!'IS.-►r— " apply) Contractor Mailing Address Will the electrical subcontractor wire for all ES NO PU SOX � � _ restricted energy installations? Pnor to permit City��a ne Has the Subdivision Plat recorc+,d? ZIA YES NO ssuance, a copy tv1 _. of all licenses are Oret.Co .Date Reissue of MST# :polar Compliance required f uc# L 1 Calculation Attached) expired in COT (Q database Plumbing Lac.# txp.Data I hearby acknowledge that I have read this application, that the / a7G) , -�� '`�� information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance Name with Oregon State laws. Electrical 0" CGr hx� . F(�� r I C_ Signaturejgf O er/Agent Dates Sub- Mailing Address _� ��-- Phone 0 ad a{?te Contractor 5 W TV tt+ —Ery/Slate Zip P e FOR Q#rICE USE ONLY: Prior to permit ,C c q J ('32 r'Iat# c. fV1ap/TL#: 1 issuance. a cor/ /�1 �lC� �s'✓-' o�� I ( f i -�' j r / !','. ,Ifu+ic aenses are Oregcn Co st. Cont. Board Exp. Date L c# t0acks. Zone Sal1� }:; expired.n cot i ! I --- , dataoase Eledncal Lc. # Fxp. Date Engipf enng Approv Planning Approval: TIF ;. ( l L�2R�i -3C5 �- is ------- — s, I SFREM DOC (DT 197 L 0 T FL.AN LOT *q(o , AFFLEWOOD PARK wSQgQ o�� R-1 251 Il DA TAX LOT "5100 8912 5W GRAVEN5TE IN LANE El WATER METER 5.E. 1/4 OF 5ECTION 11 T.2W------- WATER LINE R•iW, 5S——�— -- SANITARY SEWER CITY OF T IGARD Sb-` ' ' — STORM DRAIN — — 4 OF STREET W45NINGTON COUNTY, OREGON • MANHOLE CATCH BASIN LEGE HOMES SRR ET REES 9900 S.W. H►ST4Es STREET T)GARII, ^.;u."-N STREET LIGHT PLAZA 2. 5 UITE 200 97ZZ3-2514 FIRE HYDRANT mics (509) 020-0000 PAX (.509) 598-8900 SWGi� LANA AVEN5TE IN` ► ii N j7N CURB — �a89'54'25" E S EIUALI� -- 1 P,' UTILITY , ' < ,4` � � EASEME532 NT I ' • I ' \ PROVIDE EROSION N r P _ U -- to C ,� ,° I \� I I CONTF:OL FENCE_ ---- - l — - _-- �-<_"� 0 PER C:OMMUNII'r 203.0' I I E ` o ERO 2035' SION FLAN — s 203 4' I . R n 5 a ILU 0 /401S � L50. FT. OUR rLANO�1 fA I / FIN. FLR- * 203.60' /GARAGE FLR ■ 2048' r?0 .I' (� ( ILI 2040 IQ 89'G4'25" EI 202.5, 0` OT's 74 0T 75 12 00' i ..w ` 203I ! ! I