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10877 SW KABLE STREET N 89`53'03" E 69.53' U) O �0 wry' 3 41?v o, p - � 0 0� s ,o ! fid � 3 ox-- ° % � , V s CV r ! 4K4 P- / S.- 1. 5,f N T— low� S2 ;7 , ) SCALE DRA DING LOT 57 ENCKSON HEIGHTS &4rffA_ 36 2 _ VA- 6V%0_ �,�. S.E. 1 /4 SEC. 10, T.2S., RJ W., W.M. CITY OF 11GARD WASHINGTON COUNTY, OREGON �� >> JULY 11 2002 Centerline Concepts Inc - DRAWN 0 ��•��- DRAWN BY: MSG CHECKED BY: WGDIII R `! M EMAIL WWW. CCIEMAIL®AOL. COM -- FOOT LANDSCAPE EASEMENT SHALL EXIST OY ` �_ — ACCOUNT 115 A �.5 � SCALE 1 --20 ALONG ALL STREET FRONTAGE AND A 7.5 FOOT PUBLIC 640 82nd Drive Gladstone, Oregon 97027 UTILITY EASEMENT SHALL EXIST BEHIND THAT. �a LoJ/0 M: \MLI\L57ERICK 503 650-0188 fax 503 650-0189 _ �...._ f�OTICE: IFTHEPRINTORTYREONANY EIJI � r 1 � 1 1 � 1 111 111 111 TIl_ 111 iii � rCrr� Iir� r r� r iii iii iii .i i ICi i� 1 1_�l_ i � � -� � i If1.' :� i _r �. � � � ..r� i � � ,�i �i r � rT� r ij ; � r� r [-if -11 � 1i � I � i � � 1-I l l l1111113r � l l l l f f l11 -IT f I I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 4 7 C..�C.� 8 9 - 1� 11 1� IT IS DUE TO THE QUALITY OF THE _ - -- -- No.36 ORIGINAL DOCUMENT 6Z gZ LZ 8Z 9Z fiZ EZ Z iZ OZ 6T SI LT 9T 9I fiT 91 Zt TT 1 6 8 L 9 9 9 9 ���► Iiil ���� ►��� Ilii ���� ���� ���� 1111 IIII IILI 1111 ��11111i illi 11111111 ���� IIII Ili 1111 Illi 11�� ���� 1111 Jill IIII ���� �1 11 :���� ��11 1���111111111111 11 ���� ���� Illi 1111 .1 ll111111 U� Lill 1111 llfl1111 11i llll�1�11 as e� �D 10877 SW Rable Street CITY OF TIGARD 24-Hour 03-7,-2-- BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _____ Date Reque ted __ AM___ PM __ BLIP Location Suite _ MEC —� Contact Person Ph PLM — Contractor _ ___—_--_ Ph( ) __ SWR BUILDING _ _ Tenant/Owner ------ _ _ ELC Footing ELC -- ----.._— Foundation ACC@SS: Fig Drain ' ELR __— Crawl Drain _ slab Inspection Notes: SIT Post& Bearr --- Shear Anchors ----------- - Ext Sheath/Shear In!Sheath/Shear Framing - ----r-_ - - ---- --- - — --- -----__ -- - -- - Insulation Drywall Nailing -— -- - -- -- -- ---Firewall Firs Sprinkler — - ----- --- �_ _. — ---- -- Fire Alarm Susp'd Ceiling -- - - - --- -- - - - —_— --- Roof - - - - Final _PASS PART FAIL ----------- .__--- - _ -- --- - - - --- ------- PLUMBING Post& BBeam--Ji Under Slab - - - - - - - - --- - — - — Rough-In Water Service - - - - — ---- —-- Sanitary Sewer Rain Drains - - --- - - - --- - Catch Basin/Manhole Stoim Drain -- -� Shower Pan ether: -- __ --... --- - ----------- -- .-. -- -- - --- - Final PASS PART FAIL __-- _- — — — -- -- -� PASS --------- MECHANICAL — Post& Beam-- -- Rough-In - --- —. ---- --------— Gas Line Smoke Dampers - - - - - - Final PASS PART FAIL ---- ELECTRICAL - Service Rough-In - UG/Slab Low Voltage - --- - - _ - - - — -- - Fire Alarm inaT PART FAIL --� Reinspection lee o($_-_—__-_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SITE__— �„ Please call for reinspection RE: _.—_—__._--_ Unable to inspect -no access Firs Supply line _ r_74� ADA ,-, 1 C Ext Approach/Sidewalk Ds�L-� ;oJ - Inspector /� .� �g Other: J Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line-. (503)639-4171 BUP Received Date Requested Z l AM PM—._-___— BLIP Location ----__. 7 ��-�o - _Suite _-_- MEC -- Contact Person - — �� �(1�' Ph( ) 1 3 1 C' Z-- PLM Contractor ---___--.__-_ -- Ph( ) ---__--- - SWR -- - --_ __- BUILDING Tenant/Owner ELC Footing - - Foundation ACC9S5: ELC Ftg Drain ELR Crawl Drair, Slab Inspection Notes: �� . �a /_ SIT Post& Beam Shear Anchors - -- ----- ---------- Ext Sheath'Shear _ Int Sheath/Shear Framing Insulation ` 1 Drywall Nailing Firewall Fire Sprinkler l [JET Fire Alarm Susp'd Ceiling --- — ---- --- Roof Other: - - �n - - t PAfiT FAIL PEUMING - Posl& Beam Under Slab - _- - -- - -- - Rough-In Water Service Sanitary Sewer Rain Drains --- Catch Basin/Manhole Storm Drain - - - -- Shower Pan Other: -- - - -- - - Final PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Line - - Smoke Dampers -- - - Fin S PART FAIL -- -- CTRICAL Service - Rough-In UG/Slab - --- - Low Voltage Fire Alarm - - — - Final I -I Reinspection fee of$ - required hefore next inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE i I Please call for reinspection RE:— - _ -- 1 Unable to inspect-no access Fire Supp;Line- ADA Approach/Sidewalk Date __ � _ Inspector _ Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL ►AAAAAAAAAAAI4'AAAAAAAAAAAAAAA ' &AAAAAAAAAAAAAA 1110.A ► ► a ► M■■� I ► W ► poll � �ffll o ► aW64 ► t ��( ° ° U4 ti � t � U 4.4 A a i -TJ ► e .� � �41 m ► 4 ► t v ° a 7� C\ ► � � � Q � � ice,, `� ► 1 ► �► Qj ► n N . 0 S 0 0 � g cr o' a o C� y ~ � O C 0 \� a v O A. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST 2 -2- INSPECTION DIVISION DIVISION Business Line: ;5n3) 639-4171 BUP Received -------------Date Requested _ r _ AM___— PM _ _ BLIP _ - Location ___..____ 1�_ ��t-� ---Sjite_ MEC __._ .- ------- - -z Contact Person PLM Contractor _- ^h _ _ - swR ------ BUILDING Tenant/Owner ELC Footing - -- Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/;hear Framing — Insulation Drywall Nailing ---- --- --- Firewall Fire Sprinkler ------n- Fire A arm Susp'd Ceiling --- Roof Other: Final �- PAS __RT FAIL UMQM_ t_&.ELeam Under Slab Rough-In y Water Service -- - -- --- ---- -... . -- - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - - Shower Pan ; Other: - tinkV SS ART FAIL - - NICAL Post&Beam Rough-In ----------_-_..-.-- --_.._-_ - Gas Line Smoke Dampers -- --- - -- - - -- - . Final PASS PART FAIL - - ELECTRiCAL Service Rough-in _— ----- -- ----_ __- --- - UG/Slab Low Voltage Fire Alarm - .--------- ----__.p._.__ __------- Final Reinspection fee of$_-�_ required before next inspection Prey at Citv Hall, 13125 SW Hall Blvd PASS PART FALL SITEPlease call for relnE spectlon R - Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date / -? Inspector '1 Ext Other: Final DO NOT REMOVE this Inspection reca7rd from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP --- ----- _- Received —Date Requested 1 '� AM.__._--- PM BLIP Location __ / ___ Suite_ — ME Contact Person -_.. Ph( —) ��c�-3( 0 PLM ___ ----------------___ _ Contractor—_ - Ph(--_-) _ SWR --- BUILDING Tenant/Owner _ ELC Footing Foundation ELC Access: FtG Drain ELR - -. .. .._ Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation r ✓ �,� Drywall Nailing Firewall Fire Sprinkler .��-. -.- — - _. .._—__. - _ - ----- - - _ - - - - --- - - i Fire Alarm Susp'd Ceiling ---— ----- Roof Other- Final therFinal PASS PART FAIL PLUMBING Post& Beam Under Slab Rough-In WLter Service -- Sani`ary Sewer Rain Orains ------ - - Catch Basin!Manhole Storm Drain Shower Pan Other. _. _- PART FAIL I'MECHANICAL Post& Beam Rough-In - - ---- --- - ---- Gas Line Smoke Dampers - Final PASS PART FAIL --- ELECTRICAL ------------------- Service - - -- - Rough-In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of$._ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for r3inspection RE.____ ___ --._-.___ Unable to inspect--no access Fire Supply Line ADA flpproach/Sidewalk Drlte �_ �� �_ Inspector-�-�---.-�- —. Ext Other: Final _ DO NOT REMOVE this Inspection record from the job s1te. PASS PART FAIL. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION E (VISION Busine3s Line: (503) 639-4171 BLIP Received _ ______.Date Requested AM__— ___ PM —- -_--_ BUP Location ---_� --- Suite__ --- MEC Contact Person �_— Ph( ) `Cr-j! PLM Contractor _.___ __— — Ph(—) _ SWR BUILDING Tenant/Owner ELC -- F�uung ELC - — Foundation ACC@SS: Ftg Drain ELP Crawl Drain __ Slab Inspection Notes: SI1 Post R Beam - Shear Anchors ---_-------- .._ Ext Sheath/Shear - Int Sheath/Shear Framing Insulation �� V Drywall Nailing -- --- --- - — Firewall ►'� / r Fire Sprinkler Fire Alarm Susp'd Ceiling ._._ -- -------- �_-- --- Roof Other: Final PASS PART FAIL PLUMBING Post& Beam Under Slab --- -- ----- Rough-In -.Rough-In Water Service - - - - - -- - Sanitary Sewer Rain Drains - - -- -- - - Catch Basin/Manhole storm Drain - - -Shower Pan Pan Other: PART FAIL CHANICAL --- - - -- Post&Bearn Rough-In _ _ --- Gas Line Smoke Dampers --- -- --- Final _PASS PART FAIL ELECTRICAL -- - - Service Rough-In - UG/Slab Low Voltage - --— -- -- Fire Alarm Final I Reinspection fee of$ _ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL — -- - SITE 1--� Please call for reinspection RE:--- __-_. _. ____.---_- _- Ll Unable to inspect-no access Fire Supply Line AOA ' �K# Approach/Sidevralk Date �_ Insp actor -�- --- -`-_- Other: --—-- --- Final DO NOT REMOVE this Ilnspectit • record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ,� G 3 .7— INSPECTION DIVISION Business Line: (503)639-4171 BUP Received — _ Hate Hequested Z 4` _ AM_..._.. __ PM _- BUP Location _. _1.�' L2.� �� _Suite_ MEC Contact Person .� --- '=ti°- Ph( �) — - PLM - -- Contractor --------.._.-_------ _. -- _ Ph( --) -- _.__ _ SW17 BUILDING Tenant/Owner -- _ ELC _--- ------------- Footing ELC - -- - _.---------- Foundation Access: Ftg Drain ELR -_--_- Crawl Drain _ Slab Inspection Notes: SIT Post& Beam -_- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing � ��-L7-•��-L�- ---_-- - --- -- - .. - - - Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling - - - -- -_ - - - Roof Other: - - Final _PASS PART FAIL -PLUMBING Post& Beam Under Slab ------- Rough-In Water Service - -- - ------- -- - --------- ------- Sanitary Sewer Rain Drains -- - ---- -------- — ------ Catch Basin/Manhole Storm Drain - - - - - -- --- --- Shower Pan Other: - - -- ------____- ..._-------------- Final PASS PART FAIL. MECHANICAL Post& Beam Rough-In -- - -- - Gas Line Smoke Dampers ---- --- -- --- - - Final PASS PART FAIL - - - - -- - - ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm ma PART FAIL F-1 Reinspection fee of$___ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd -- Please call for reinspection RE: -__ r..___ _ Unable to inspect-no access Fire Supp.y Line � ADA Data �, L, �� - InapaN�i! �L� y_ -Ext --- Approach/Sidewalk --7" Othp�: / Final DO NOT REMOVE this Inspection record firom the j.,b site. PASS PAR"' FAIL CITY OF TIGARD MASTER Pr RMIT PERMIT#: MST2002-00322 DEVELOPMENT SERVICES PERMIT ISSUED: 8/1/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10877 SW KABLE ST PARCEL: 2S110DA-09600 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 057 JURISDICTION: TIG REMARKS: New SF detached, Path 1. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 2' FIRST: 1,704 of BASEMENT: of LEFT: 5 SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: 4o SECOND: 1,762 of GARAGE: 578 of FRONT: "7 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 5 OCCUPANCY GRP: R3 BORM: 4 BATH: TOTAL: 3,488VALUE: $334,07880..00 0l REAR: 97 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN. 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS. rUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR- I GREASE TRAPS, AECHANICAL OTHER FIXT URES: . r-UEL TYPES FURN<10OK: BOILICMP<3HP: VENT FA:14S: 5 CLOTHES DRYER: I CTAS FURN>-100K: 1 UNIT HEATERS. HOODS: I OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS i WOODSTOVI S: GAS OUTLETS. I ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_ 1000 5F OR LESS: 1 0 - 200 amp: 0 - 200 sing): W,SVC OR FOR: I PUMPIIRRIGATION• PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: tat WIO SVC/FDR 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA AODL BR CIR SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR 601 - 1000 amp: 601+ampa•1000v: MINOR LABEL: 1000•amp/volt: Reconnect only: PLAN REVIEW SECTION >-4 RES UNITS: SVCIFDR>•225 A600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM. INTERCOM/PAGING: 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: $ 8,339.83 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in WEST LINN,OR 97068 WEST L.INN,OR 97068 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cente, Those rules are set Ree a 11c 13'14'11' forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)2.46-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Firewall Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Water Line Insp Final Inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp -tjIssued BY: �[,� , � ( _, Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the ne'x't business day CITY OF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00222 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 nATE ISSUED: 8/1/02 SITE ADDRESS; 10877 SW KABLE ST PARCEL: 2S110DA-09600 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 057 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer permit for new SF. Owner: --�-- —� - RENAISSANCE CUSTOM HOMES Type By Date FEES_ Amount Receipt 1672 SW WILLAMETTE FALLS DR WEST LINN, OR 97088 PRMT CTR 8/1/02 $2,300.00 27200200000 INSP CTR 8/1/02 $35.00 27.'00200000 Phone: 503-557-8000 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm 1 Issued by: ,� . Permittee Signature: Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next busines �� Building permit Application C lty of Tigard Uate receives - jt C`j Permit no•:/�,f Cavuf rijard Address: 1-125 SW Haul Blvd,Tigard,OR 972? - Prolect/appl no, : - re date: Phone: (503) 639-4171 Nateasued: bit Recetptno Fax: (503) 598.1960 r� "" (�/ "Case file no.. Payment type: Land use approval: &2 family.Simple Complex: 1 r1c 2 family dwelling ee assessor) U Comincrcia!hndustrial O Multi-family New construction :]Uemoiit;or U Additiotvalte�atiori replacement U Tenant iniptovement 11 Fire spnnklenWarni U Other- job ther MMM "b addrtss. f ^ c _ Bldg,no.. Suite no l.ut B1ock. Subdivision: n u; ss,, ,�JL,7�s_ -� — - /� /� _ Tax m_apitax Project name: — `4-41�, �'1__ _ _— lothccount no.. -- ---— Description and location ofwork on prernises/special condaicim:­ 'r., 0 Name w,./a,rl�+r►4y_ i Mailing address. 16 7Z "r.✓ ix!,l/, ,lit a// l &2 fully dwelling: City: wry? 1 ,.,, State: 21P �7� Ss Valuation of work.............................. ......... Phone: .s r71'.,•",D Fax: �d /(rum/ E-mail: No.of bedroom ..........•.. ... ............ s/baths. Owner s representative: C f,r, a r 'Total number of Phone: G ) (r,V 90 Fax:C7a fty.9 E•meil: New dwelling are (sq.ft•) .,, .7.r�.Y...... `�_ __ Garage/carport area(sq. ft.)......................... rN : �, c Covered porch area(sq, ft.) ............ ............ ft.) - -- - address: Deck area(sq, , Other stmoure area s • ft. r City: Statf: Z'N_ t )...... .. Phone: _ Fax: E-mail: CommaclaUlndttatr1&Umaltl-f@ndIyt Valuation of work................................ '• . . 5 Business name: ;a,, Existing bldg.area(sq. ft.) •....... . ............. Address: — e �r New bldg.area(sq. ft,) ....... .............. Stare Number of stores Ph ne — ^ rl*— _ I E-mail: Type of constructiun...... ....... .. y Occupancy group(s,. Existing: CCB no. New: _ City/metro!ic no,: Node*All contractors and subcontractors are required to be licensed with the Oregon Construcaor,Contractors Buerd under Name provisions of ORS"01 and may he required to be licensed in the Add:ess. jurisdiction where work it being performed.If the applicant is i City _ State: TIP. exempt from licensing,the foilo%ing reason applies. rContact arson: — Plan no: I Phone. --TFax E-mail: �,c Contact ixrcon: Fees due upon application — Address: Datereceived: City _ Stxte: I-IP _ Amount recen ed . ............•... ..... ........ .... S c Phone: Fax: I Email; Pease refer to fee schedule 1 hereby certify I have read and exe tuned thia application and the jurirltcaara¢rept credt terdi.p4s,e cJl �rtrdta�on far mare tn:arnuuon attached checklist. All provisions of laws and urdinancei governing th.s I a wee J MasterCard work will be complied with, whether specified herein.or not Cttd grad®und+et Authorized signature: ___ - _ __ Date. _ I— Name of cu.holds-a shman an cremi:ard ; t Print name: S'-e... !: , r — I _ .._— -- — Cudhcl r ur,nuyc Amcor. Notice:This permit spf•lieetlun expires if a perm.t is ant obtaine,i�.t ithin 18,, dnvs atler it itaa bees accepted m wmplete "0-+61.it•W/sou; Electrical Permit X,,)hlication City I)ate received: e)y Permit no.: ,'��j . yt Lily Of Tigard Project/appl.no.: Expircdate: City of Tigard Address: 13125 SW Na;I Blvd,Tigard,OR 97223 I)ateissued: Hy: Receiptno.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no: Paymcnttype: Land use approval: TWE 6F &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction 'Addititm/altcratiim/rcpl.u_cnunt U Othcr: J Partial II SITE INFORMATION Job address: D 117 5O 1 hldg iw j`;, �i, n', 1";is map/tax loUeccount no.: � Lot: Block: Subdivision: rFl c/ r,,,, r 4 Project name:_ ��,e./cs:,,, rrr, Description and location of work on premise,, F,stirnated date•t,l cnmplrlir n/insperliun _ APPLICATION' I Job no: I ire M,tc Business name: )ewript on Qrv. (ca.) btal rto-imp /vc r,-,C, -__ New residential single ormutti-family per Addrdviellingunit.Int ludeaattached garage. CityG.'/ /cw State: CjQ LIP: 7©J s 5erviceincluded: Phone:j � =S 7 p;y 2 E-mail: 1000 sq n.or less c.-PI - -- r .� Each additional 500 sq,It,or portion thereof CCB no.: -P 57 Elrr hus.tic.no: a – /2�L Limited energy,residential 2 City/metro lic.no.: 7_110 Limiledenergy,non•residential 2 .� f, �_ Each manufactured home or modular dwelling Signature o_fLsupervising electrfcate Service and/or feederian(required) b 2 Sup,elect.name(Irmo (5-a, r I.icensr nn G j!�s Services or feeders-Installation, alteration or relocation: PROP200 amps or Tess _ 2 Name(print): 1.0 ev, ncav La, >`a rss, 201 amps to 400 amps _-- – 2. 401 amps to 600 amps 2 Mailing address: tfG ,.v 601 amps to 1000 amps _ 2 City: , ,r,t State:, ZIP: 97 Cff Over 1000 amps or volts _ 2 Phone: rr2 s TtyCta Fitz:S;'Sts % A F.-Mail' Reconnect only I Owner installation-The installation is being made on property I own 'remporaryservlcesorfeeder%- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orreloca,ion: ORS 447,455,479,670,701. 200 allips or less _ 2 201 amps to 400 amps 2 Owner's signature: _ Date: 401 to 6011 ams 2 Branch circuits-new,alteration, or extension per panel: Name: -_ i_ k Fee for branch circuits with purchase of Address: service or feeder fee,each branch rirruit 2 City. __ ~I`;sate: zip: B. Fee for branch circuits without purchase FFF- of service or feeder fee•first branch circuit 2 !'hone: la.ti: F snail: Each addiUo sal branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-c•onunernal -1 He: ;h-caretucdiry Each pump tit imgauon circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting ::r2 family dwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nomiwd more residential units in otte structure alteration,or extension* C]Building over three stories U Feeders,400 mps nr more *Description W Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspertion over the allowable In any of the above: CI Egress/lightingplan U Other �. perinspecnon Submit_sets of plans with anv of the above. Investigation fee _ Ile above are not applicable to temporary construction service. other Not all Jurisdictions accept credit cwts.please call jurisdiction far more information. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: L— within 180 days after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL .......................$ Name of citrdholder u shown on ere it card S Cardholder atgnattz* _ Amount f 4404615 t6/1000Mi Plumbing Permit Application City of Tigard Datereceived: �d G;) I Permit nc.;HSrW_06,E,; L Address. 13125 SW Hal) Blvd,Tigard.OR 9'223 :;ewer pennit nn _ I�yullding permit no.. f'Irl ofrigard Phone: (.503) 639-4171 Projecvappl.no. Expire date FL.X; (503) 598.1960 Date issued. By' Receip!no� — Land use approval case fie no: I K.Yment type 1 &2 ftttnily dwelling or acct;ssory Z Commerciai/industtia) Q Multi-family a Tenant improvement i view construction Additi n/a!teratinnirepla crl;nt t,3 Food sernce J Other: Job address: ripti � Dial Bldg. no.: Neeird 242nMy dwellings oNY'Sutte no.: I j ----- (includin('B4 ft,toreach utWty cumwction) fTaK rnup/tax loJa�count no: SPA t t)b dl -Loth 9lock ----r�biivisio ,, S (2�bait_ Project Harr ,/ .,'. ,e,t J+r rSFR (3)bathCity.lzountj --� �r;,j ,��,.p ZIP. _ _ Each a &itionat batiVki(chtc Description and icxation of work On IiNlInibdIS: f—. Y_ Slteudlitier --� Catch hasirviuea drain r• is/leach line�tren7i,drain Est.dao of tom leuan/innpectian l- oowng dram(no.lin ft.) 'AasufactureJ homy utilities Business none: Address: :%"hu u r n.^ ain conntor ec City r . _..L:tate: C+ ZIP 7Ofi� iia, sewer(n(.,. kn t Phone;sa -6 -P 9 Fax: E-mail. Storm sew,_,(n l C(CC'B no.: _ (C Plumb.bus. reg. no: CI ity/metro lic.no.: -2 ,�/ Fixture or Iteatt _ Absorption vtJve T Contractor's re rescntalive signature: dv ------- -b• .� Printf mane A a G� -- Back flow pr-.,enter Pr7_- Date: -B�-u-k^wa:er valve pIL11n9llaV'Lori - Name: �rart 'Itches washer ._ f Address: - ishwrsFe: C� _ St to LIP -- �ri fountunW I Fjectors/sut C Phone; Fax: E-mail _ Irx .rsitsion tartic ixta:re.sewer ca Name iptint); ,,11;�fiLe Gam_� �� ., '_ G.FICar c ttunsl�7,xr s nks,mub ; ._�.. u,a e x sal Mailing address 16 tit s' r/n + Fr lis r. o - -~-----�--- --I r use Bibb I City: I/_ �' ti. ` make,, Phone: S•e+ sJ yT•-T Flex: E-mail: ,�' I nterce tunes: gre�E� _�+ ^� Owner i:ismliation'residentuti mai.itenance oniy: 'Tilt actual installation rimers) will he made by rae or the maintenance End repair matte by my regular Rtocf chain(commercial) -- err: to•ee on the to erty 1 own as per ORS Chapter 44' ( P ) P P P P ..ank,s` asints►. lays(g-�j ---� Uwner s si trttue; Date: ump TuEs/shower/shower an ! 'Name: -- --- at: closet AdJreas: iter heater City'. I Stilet I ZIP Othtr ____-- __t___.__.✓_ Phone:! _- Fax: L�rE: malt: Total t.a.ttl iur,.<l n.accept,mdit rrrU.pteeae ca i rurodrctioa fa nnxe infonwliae' uncn haste M i lin'L nt :ci JVea JMuterCard exons if a eticpFli:btatnea Plan reviv-k nt 5 i f as1)ern11r it is:10! � -- -- --' CaCrtcud numbe �— xl'hln 18n±ays s'ta! tl aas been State sure) rge _. I Spires —T^ •"•-*— - ti0Ce ted Ib CO-r)ICIe. �'I�' !� .iatnt nl•��.inol.ter%show^_r�eretlit a tri___ I p - `--��— _ C. n�ber u�natun —' s-Amouna ----.. i 443.0,Ii t,6MtcOAlr TM11eehanical Permit Applicati®n Date received 7 q � F'ertnit no. City of Tigard d Prolect/appl.no: Expire nate. C„7 nr'Tiga�f 4ddress: 13125 SW Nall Bic,Tiguta,OR 9722? ---- Phone: (303) 619-417; Date issued. By-i Receipt no Fax: (503) 398-i96o Case file no Payment type: - Land use approval: Bulldlr,g permit no.. PICI-&2 family dwelling or accessory �3 Commercial/industrial U Multi-fainlIv :1 Tenant Improvement ew construction U Add ition/alteration/repiacement J 0thcr: lob addross: �m _ -- _ Indicate equipment quantities in boxes below. Indicate the dollat Bldg. no.: _ ; Suite no.: value of all mechanical matenals,equipment,labor,overhead, Tax map/tax lot/acccunt no.- _ profit. Value Lot: H kl ~�j Subdtvisior, 'yes checklist for important application intintmation and Protect name: E,Ci1s•.,,, ,., ulisdiction's fee schedLle for residential permit fee. -- - L City/county p �,� „� Zip: 11KWA alk]111 am MUM 0 Description and location of work on premisea: ----- Fee(eaJ Total Fsi. date of completton/inspection: lkscrl Qry. Res.ord l Res.unly Tenant impmvement or change of use, 7A4 , ,n.i CI?,1_ Is existing spn,.:e heated or conditioned;'J Yes ZI No Air can ,u n sr an=equ rem-`Is existing space imulated''U Yes CJ yo - --+ -- ------'--- Alteration o cxlsnng HVAC systems of er compressors -' Sfwv boibrr L�erm;t c, Business name; I , K__.�--- HP ___ Tons bTI;iH .Address b �� '�t ,F'J _ _ -- L•! ��—� _ Fare/smo e.ilampery'C,,�:tsmo c .,teaurs i_it . - ",rN - �t re:7� ZIP: q 7Q) eat pump s(te pian to u;red, r Phont 2G '? Fax: ��E, ly)$�E mail —�� nerat,rep ace cr tirn�_r_'13Tf Includin duT�o�rk.Nent liner J 1 e:, (CB m.. 1✓ $ �- _ Inis rep ac re ocate a--1i aters-auApen-r , t (VltTlet")I'C.n0.' wall,or Mor lnUL1Vt1!0 I --4---� r Name(please rint): / n., ent u'-r`a'ft neeo[he��ann uria:i ut Absorpiwn unlr, 4Nante S'e. t t.?nl rea50rS i�f i i �� ` Addres;`�- � �__ n ruteata kYF1aY11 ao seat at rio:--'��� � CityState: Z1P' Phone: Fax, I E-mail; rye,c�Tiaust- -- Hoods,T p�eTTGNs: / hoodfl,esuppress,cr,system Molle /�C r qw jSOJJ G M/ •M /�d rrF1 k'.1.haust ftin with%11 le duct(brit fails, `— r^lailinR address: f!�72 I„ L/I/ `fie _FP7 �auei svutem span rom heat,n•or AC . State: Z� FP: �7 ue p n8 ct ut on up to a uut;etsl I iy Ir,n I 1'y�x__-_,_LP!j __ NG Oil Phone:- SS 7 Yoe W Fax: 6 5 G i(,r T,E-:nail: Fue, t .n cath a d,tionel aser a_inlets racessp 8,sc err:ancrcyu;rcr,I \umber of cutlets ! lame Other rap once or equipaiejr17 -- -- - 4.ddms5:-� 1-tecurat:vetreplace City, _- State: �~ ZIP- nsen- type -- r clas[ove2 a Ietstose T Phone: Fax: E-marl: p - Apphi ants signature: - nate: — U1.e Other: Fume t nn nt .S'�'W✓e � � - -. _ -� J !✓ — I h�sdreuau AU.fri,edit Ca.%U,01eu►e'W1 Wril-iter .a Mair,c:or iter r1 Permit f!C .. . s __--._----- J aypticaau Ursa j I`racn rr:,ud 6 Ice: T his pettnit r. S4intmum iec .. .. ......S cred.r��:•.:Mh: _. ___._------___ -- --- -1.--- expires if a permit is not obtainedPlan review rat �r ,p,.e1 within 180 days after it has been „ ,i 3 N- dcuaru.l1::�.hpH�o+�";,�--- amp:ad as complete. State surcharge M) ...S _ �— �� IF,-0i7ii T-- — 11.1MEum_.r 4CA617 1001CQM, SEE 35MM ROLL #2 0 FOR OVERSIZED DOCUMENT CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT M PLM2002-00465 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1'/13/02 SITE ADDRESS: 10877 SW KASLE ST PARCEL: 2S110DA-09600 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: 1-OT: 057 JURISDICI"IOM: TIG CLA'3S OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of less than 100 feet of storm line. I`tIIES Owner: ' -' Description Datp Amount RENAISSANCE CUSTOM HOMES 1672 SW WILLAMETTE FALLS DR II'LUh11il 11C111111Frc 12113/0?_ $72.50 WEST LINN, OR 9706$ I TAXI 8"/n Stale f�ix 12/13/02 $5.80 I I'I A11'LN I I'lan Rc\ic\\ 12/1102 $18.13 Phone : 503-557-8000 Total $96.43 Contractor: CURTIS HEINTZ EXCAVATING 27475 SW 145TH AVE SHERWOOD, OR 97140 REQUIRED INSPECTIuNS Phone : 503-682-20.33 Storm Drain Insp Final Inspection Reg#: LIC 87263 Ti,is permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other ,applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENITION: Oregon law requires you to follow rules adopted by the Oregon Issued By: _ 4 �,,�__,; . �' . .C.c Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection neededlithIf next busines$ d Building Fixtures Plumbing Permit Application Date received: 3 D9 Permit no. �r/�i�'a-_?O�& City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 project/appl.nu.' date: C'rn�ulTi�{�u`I Phone: (503) 639-4171 ������ _ Fax: (503) 598-1960 ED Date issued: Bye, ' Receipt no. Case file no• Payment type: Land use approval - — J I & 2 family dwclling or accessory UC! � tU�s�1 �if+ J Multi lanul} 1 Tenant improvement New crmstruclion JAddititm/a to nt�ft��rfo�►IfidOhtent J FOurl ser�icril c Other: ___;� 1 1 1 t Description JQty. Fee(ea.) ilotal Job address: /(4-1 1 [, S~� New i-and -tam ly dwellings only: Bldg. no.: _-- Suite n.],: (Includes too fl.for each utility connection) Tax map/tax lot/account no.: SFR (I)bath _ Lot: Block: Subdivision:IiAlegG 5eyF3. SFR(2)bath - Project name: Q ,5'fJ _ SF-R( d butlt City/county: ZIP: Each additional bath/kitchen Description and location of work on (�. Siteutilltles: premises: Catch basin/area drain — Dr,, ells/leach line/trench drain Est.date of com letioWinspection: Footing drain(no.lin. it.) Manufactured home utilities — Business name: (�/y;�`jS --��`f �K�� -- ` 010- Manholes Address:-Z. j S� Rain drain connector Statet", ZIP: 7, 11a Sanitary sewer(no. lin. fl.) Phone: Fax: _ E-mail: Stotrn sewer(no.lin.tl.) Plwnb.bus.re no: Water seri ice no.lin, n. CCB no.: tl 7L g' --+- Fixture or'tem: City/metro lic.no.: Absorption valve — Contractor's representative signature: Back flow preventer— Print Dat : Backwater valve 1 Basins/lavatory Clothes washer Dishwasher —_ Address: Drinking fountain(s) City: ---- _ State: ZIP: Ejectors/sump _ Phone:'BLfV 516 2 Fax: I F:-mail: Expansion tank Fixture/sewer ca _ �' S Floor drains/floor sinks/hub Name(print): i246t ,SSS�J r 1 Oarba a dis osal -Mailing address: 14 /Z Ilose bibb SII': � � ate�-, Zy: �y S+ Ice maker CitT Phone:S S' �'c 0" Fax.1,,7(.' F' It s' E-mail: Interceptor/grease trap Owner installation/residential maintenanrc o>rtly: The actual installation Primers) will he made by Ile or the maintenance nd -pair made by my regular Roof drain(commercial) employee on the property 1, w as er �R C t 447. Sink(s),basin(s),lays(s) _ / 11 -� Owner's si mature: Date: Sump — T;tbslshowerlshowcr pan 11111IF21,04111[bpi Urinal — Name: _ Water closet — Address: -- - _ _ Water heater City: State. ZIP: Other: Phone: Fax: E-mail: oW --- Minimum fee................ Not all juriadicrions accent credit cerda,plerae call julidilon for more information. Notice: This perdit application plan review(at r %) ' U Visa U MasterCard expires if a permit is not obtained O r p � State surcharge(8%).... $ Credit card number __�_—__ --- — within 180 days after it has been TOTAL........................ $ �3 Expires- accepted as complete. �� Name of cardholder as shown onon credit card S 1104616(MCOM) Cardholder si More Amount PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-1�mlly dwellings only: QTY Be AMOUNT (Includes all plumbing fixtures in PRICE TOTAL FIXTURES (individual) t6 6U the dwelling and the first100 ft. QTY (ea) AMOUNT for each utlli�tor1-action) 1660 One 1 bath _ $249.20 Lavatory ---- $350.00 Tub or TublShower Comb 16 60 Two i2) 16 60 Thlee(3)bath $39.00 Shower ON V - SUBTOTAL Water Closet 16 60 -- 16 60 8•/.STATE SURCHARGE Urinal P�LANEVIEW 25%OF SUBTOTAL _ -- 16 G0 --i OTAL Dishwasher --- - -- - 16.60 Garbage Disposal _ Laundry Tray 1660 Washing Machine -- 1660 Floor Drain/Floor Sink 2' 1160 PLEASE COMPLETE: 3,. 16.60 - -4" 1660l Quantic h Work Performed Water Heater O conversion O like kind 16 60 Fixture Type: New Moved Replaced Rad/ Gas piping requires a separate mechanical Ca Rema ed _12ermit - q6 40 Sink - -- v MFG Horne New Water Service _ Lavatory - MFG Flome New San/Storni iewer 46.40 Tub or Tub/Shower Flose Bibs 1660 Combination -- ----- 1660 Shower only --- Roof Drair s - Water Closet Drinking Fountain _ 16.60 - - Urinal Other Fixtures(Specify) - 16.60 Dishwasher - Garba a Disposal - _ - - Laund Roorn Tray Washing Machine - Flonr Drain/ ink: 2" - - Sewer-1st 100' s 55.00 _ ^�-3" _ _ —4„ 1— 46,40 - - Sewer-each additional 100' Water Heater - - Wator Service-1 st 100' - 55 00 _ Other Fixtures Water Service eeac� h additional 20U' _ 46.40 S ecft - - Storm&Rain DralP-1st 100' 5500 -- - - Storm&Rain Drain-each additional 100 4640 46 40 Commercial Back Flow Prevention Device _ - Residenli-al Oackti�w Provention Device' 27.55 - -- 16.60 Catch Basin - _ c Inspection of Existfn—h g Plumbing or Specially 6er�tr COMMENTS REGARDING ABOVE: Requested Ins actions 65.25 Rain Drain,single family dwelling _ - -"- - 116 60 Grease Traps _ --- QUAF'TITY TOTAL _ -- - - Isometric or riser diaa an, s reqs ired if _ — -- Quantity Total Is >9—-__ _ - _i — SUBTOTAL 8%STATE SURCHARGE Rf E "PLAN REVIEW 25%OF SUBTOTAL R2 ulred only if Oytwe t total is,9 TOTAL S 'Minimum permit fee Is$72 50.a%state surcharge,eycept Residential Backflew Pre_ve.ntion device,which is$36 25+a%state surcharge "All New commercial Buildings require 2 sets of plans wilt'Isometric or riser diagram for plan review. is\0sts\forms\plm-fees.doc 12/26/01