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10889 SW KABLE STREET N 8953'03" E 115.2459?�z c-,f- ' CJS `�` ` I I . Z J ....7,. V VED 01 .S swDl-kc v 3� l• 00 " �✓4 Tt4. 3' • r. _• 24.6' .49'si lij Il 57, 97 j •� I yi W 4 ..� k 9. 7Q 'meek. _............_.._ SCALE DRAWING LOT 58 ERICKSON HEIGHTS Ste, S.E. 1 /4 SEC. 10, T.2S., R.1 W., W.M. tT �z L, CITY OF TIGARD WASHINGTON COUNTY, OREGON ` MAY 8; 2002 Centerline Concepts Inc . DRAWN BY: MSG CHECKED BY: WGDIII SCALE 1 "=20' ACCOUNT 115 EN,AIL WWW. CCIEMAIL®AOL. COM ALO 2.5 FOOT LANDSCAPE EASEMENT SHALL EXIST 640 82nd Drive Gladstone, Oregon 97027 ALONG ALL STREET FRONTAGE ANDA 1.5 FOOT PUBLIC M: \MLI L58ERiCK 503 650--0188 fax 503 650-0189 UTILITY EASEMENT SHALL EXIST BEHIND THAT. TIIrI { IIIIIIIII � rIii � � irrrr TT� tr � I11rti � rri1i � t � ii � � ► � NOTICE. IF THE PRINT OR TYPE ON ANY I � ( ( , I � f { ( ( � � { { ( 1�` � � �"i' � � �� � � 1 " � . . IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1FqI I I 1 2 3 5 6 � �, I 10 �L� ITIS DUE TO THE QUALITY OF THE - - - -- 11 12 ( . � C � No.36 ORIGINAL DOCUMENT E 6Z SZ L—TZ 9Z 5Z � Z EZ Z T111311 Zll11110, IL1{ s g L s 9 E z T „"13w 1{II I{Illill illi 11{{ I{II II{I {IIII{{{ Illlllll {III {fll flll {Ill 1111- ilii 111.1 ll 1111, 11111(ll 111JlIIC�11 0 00 00 co cn Q' cn r+ cD ipp$9 SW KableStreet 72�pe��trr�D (,v1 �DDt T/�N/s PERMIT � 3 CITY OF TIGARD _MASTER PERMIT#: MST2002-00251 DEVELOPMENT SERVICES DATE ISSUED: 6/4/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10889 SW KABLE ST PARCEL: 2S110DA-09700 SUBDIVISION- '=RICKSON HEIGHTS ZONING: R-3.`+ BLOCK: LOT: 0 i8 JURISDICTION: Il(I REMARKS: New SF detached, Path 1. BLILDING REISSUE: STORIES'. FLOOR AREAS RFQIJIRED SETPACKS REOUIkED CLASS OF WORK: NEW HEIGHT: FIRST: 1.294 of BASEMENT: sf LLF f 21 SMOKE DETECTORS. TYPE OF USE: SF FLOOR LOAD: •W SECOND: 1 547 of GARAGE: 506 sf FRONTPARKING SPACES: 2 T YPE OF CONST: 5N DWEI LING UNITS: 1 FINBSMENT: of RIGHT. VALUE: 2J0/Og 10 OCCHP„NCY GRP: R3 BORW 3 BATH: i TOTAL: 2,041 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: { WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN. 101i TRAPS LAVATORIES: DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 Sr RAIN DRAINS: 1 CATCH BASINS IUB/SHOWERS t GARBAGE DISP. I WATER HEATERS, WATER LINES: 100 BCKFLW PREVNTR. + GREASE TRAPS: OTHER FIXTURES. MECHANICAL _ FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: I FURN—100W I UNIT HEATERS: HOODS: 1 OTHER UNITS: I MAX INP. btu FLOOR FURNANCES: VENTS. I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL.UNIT SERVICE FEEDER TEMP SRVC:FEEDERS- BRANCH CIRCUITS_ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amu0 200 anm: WISVC OR FDR t PUMPIIRRIGATION! PER INSPECTION: EA ADD'L 5665F: 201 400 amp: 201 - 400 anw: 1st WIO SVCIFDR 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 600 amu: EA ADDL BR CIR. SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR. 601 - 1000 amu: 601-amps-1000w MINOR LABEL: 1000.amulvolf,: PLAN REVIEW SECTION R.connod only >�4 RES UNITS: 9VCIFDR>=225 A.: >600 V IIOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM. i AUDIO&STERE J. FIRE ALARM: INTERCOM/PAGING. OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTEC I'IVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OT 1R: HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: Ownpr Contractor: TOTAL FEES: $ 7,801.49 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This is subject to the regulations contained in the 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigardd Municipal Municipal Code,State OR. Specialty Codes and WEST LINN,OR 97068 WEST LINN,OR 97068 all other applicable laws. All work will be done i accordance with approved plans. This permit will expire If work is not started within 180 days of Lesuance,or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 557-8000 Phone: 557-13000 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001.0080. YOU Rep N: 11( 130449 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 81 Foundation Insp Post/Beam Mechanica Electrical Service Low Voltage Insulation Insp Sewer Inspection Foundation Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Rain drain Insp Footing Insp Foundation Insp Footing/Foundation Dr; Framing Insp Gas Line Insp Rain drain Insp Fooling Insp Wtr Proofing Bsm't Wa PLM/Underfloor Shear Wall Insp Gas Line Insp Water Line Insp Footing Insp Post/Beam Structural Mechanical Insp Exterior Sheathing Insl Gas Fireplace Appr/Sdwlk Insp Tued By : Permittee Signature Call (503) 639-4175 by 700 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00166 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/4/02 SITE ADDRESS; 10889 SW KABLE ST PARCEL: 2S110DA-09700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 058 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: Sewor connection for new SF. Owner: - -- -- - _ FEE; RENAISSANCE CUSTOM HOMES 'Type By Date Amount Receipt 1672 SW WILI�A.METTE FALLS DR WEST LINN, OR 97068 PRMT CTR 6/4/02 $2,300.00 27200200000 INSP CTR 6/4/02 $35.00 27200200000 Phone: 503-557-8000 Total $2,335.00 _ Contractor: Phone: Req #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through AF) 952-001-_0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246.1987 i Issued by r{L ` �tz.�. ;� �i'y Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next businesso 9 kkii6iiwi6l 0 /A, Budding Permit Application Date received:,/ i-i Permit no:H'.'"-v✓ - ,r 1 City of Tigard Ciry a/Tigard Address: 13125 S\'.' Hall Blvd, Tigard,OR 97223 Projecvappl.no.. EApiredate -- Phone: (503) 639.4171 Date tssued B>: Receipt no: Fax: (303) 598.1960 1. Case file no.'. Payment type Land use approval: ' l&2 fwa ly.Sanp!e Complex. 1 &2 iamlly dwelling or accessory J CummerciaVindustrial :d Multi family JeNew construction ZI Demolition J Addition/niteration/replacement 3 Tenant irnplovement �D Fire sprinkler/alarm U Ocher _ "Jobaddrme!F/e) 88 9 561 r3 I—E ST" Bldg.no.: Suite no.: _ Lot: �$ Block: Subdivision E /„n,, // y 'Tax map/tax lot/account no,: Project name: E6044,14 L,rl _ _ �" Description and location of work on premises/special conditions:_ I Name: /1 rr�a::tJ'a _ �Nj'la� /�bMPl C Mailing address: /6 7'Z 5'r✓ ,l/,•, +fie 1 &2 Melly dw@Uing: City: W";�- L,,, State: IZIP. q7m fd Valuation of work........................................ S y 3 t Phone: t, ,G /t%�'+/ Email: _ 2 s y To^'a Fax: No.of bedrooms/baths............................... Owner's r�resentaUse: Sfgvr_ Wu 7- Total number of floors .2 Phone G 7,±r ?OSLA Fax:C70 B6,L3 1 -mail: New dwelling area(sq. It.) .............. ........... 254 X- Garage/carpurt area(sq. ft.) . ,. Covered porch area(sq. ft.) .. ...................... „�Ob F !-lalling address. Deck area(sq ft.) ...................................... City: _ State: ~?ZIP: Other structure area(sq. tt)......... ~Phone: Fat: TE-mail• l:ommercloUindtistriaUmuitl-family- Valuation of work .............. . ..... .. ........... . Existing bldg.area(sq. ft.) ...... Business name: sa .............y<. Ad�dress` New bldg.tires(sq ft) . ... - - Cily- State: Zip: Numberol'stories XX.- `- f—tp o --j3 ---- Type of construction....�..... _Phone: fax: E-mail: ................... Occupancy group(s): Existing: New: Citytmetro Itc no : ,H Z - Nodes-All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name,. provisions of ORS 701 and may be required to be licensed in the Address jurisdiction where work is being performed. If the applicant is Ctv: i State: ZIP. exempt from licensing,the following reason applies. Contact LLMSOn. Flan flu.: Phone: Fax: Email: Name: Contactperson: Fees due upon application ........................... $ Address: Date received: Cit _ State. "!_1P: Amount received ........................................ S. Phone: Fax: ,1: ma-! Please refer to fee schedule. I hereby certify I have read and examined this application and the Na�I p-tchenl weeps cmcht cards please c0 prsdicrnon(or tare imormennn attached checklist. All provisions of law and rrriinttnces governing this 0VIsa QMestetfard work will he complied with. w tette sp cged herein or not. I rrrdu cord number Lx�rrs Authorized signature: Date: Nems-r cuulmidder as Chown on etedit cad Print name: s�'e�!%_ crdhotder tl tore 5 Amount__ Notice:This permit application expires it'a permit is not obtained within 180 days after it has been accepted as complete. OD4611 twoacoW Mechanical Permit Application Uaterec:eived: Permit n�tpj ) City of Tigard Project/uppl.no.: Expire dote. City of Tigard Address: 13125 SW Hall Blvd, 11gard,OR 9727.1 Phone: (503) 639.4171 Gate issued._ By I Receipt no.. Fax: (503) 598.1960 Case file no. _ Ptymerittype. Land use approval: Building permit no.: v I &2 family dwelling or accessory O Commercialitindustrial O Multi-family U Tenant improvement J New construction U A;idition/al,o-,ration/replacement J Other: Joh address 'Cj ,Z IZ S 0' Indicate equipment quantities in boxes below. Indicate the dollar Bldg no.: _ Suitt tic,: value of all mechanical materials,equipment. labor,overhead. �q;x map/tax lot/account no.. profit. Value$ _ Lot . 1alrnh: Subdivision: • �,sr,. •See checklist for important application information and P.ojectname: <i,•.., ./0 f G;Or s jurisdiction' fee schedule for residential permit fee. j City/county 4,^ 7"A ZIP: _ Description and location of work on premises: x Fee(m.) ToW Est.date of completion/inspection: Desert ony.1 Res.only Res.only Tenant improvement or change of use: AirhandArlgun,t CFM Is existing spare 1 sated or conditioned?U Yes U No Atrcondi[iuning(sitep aT n rrquirc3j— �`--� Is existing space.insulated'?J Yes O No Alteration of ex isur��'system of er7cot•.tprcsaor.+ Business name: AA A, State boilei penn:t eo.: aL'r.-.J� ^ HP Ions__,_8 f W H Address: r±xj')m -rr, As/111 41 Q/ umperi/ uct smoKc etec-.ors City: 6.UA(., _ State:OleZIP q 7Qr T�eui pump(stir. tan rc ulrrdi— --�- Photl ie: 1(d 2 Jif Fax ;(; 3 E•mall: TnstaTlliePrac ce urner 7 1 'I r u i -- including ductmork/ver_,t liner J 1 e, .:f No CCB no,: R nstalTr c`c,re,uc`atcheatern-sAspen e , --1 City/n!ctro lic,no.: 404/1, //'3, wall,or floor mounted ---1 Name(please tint): /(d Altair. ,i �entfor a fiance of erihan u_rract e Ren on: Abiorpttonunits3TU/H dame S's,�,e Chi:lers _----- IP I �dds: Ccm ressors _ �-... N)' jStale. TIp nr ronrnent ex uuct and rent a on: Phone: Fax: [ maim Dryer ex oust eo s, -pe j'I fires TiTE ienhazmat // hood flrc suppression Sy!tern Name: 1ci,'j1pA,lt Exhaust fun with stngl:duct(bail)fang Mailing address: /L?Z Si..- L.f %,[,,.. t F-/,7— Exhaust s stem s art from.eaun m AC ��,, —�—�" C'il ' .��' 7 6 Fuelpiping an ri ut oe(up to outlet 'Y� n/ N.t State: ZIP m Type: LPC; NG Oil Phone: Ss 7 Sfu7e: Fax- t,5 G/4,r, 1 E-mail: ue of in each additicnal ever 4—outlets rocew ptollng t sc temauc required t Name: Number of outlets other HoR app ■rice or equ pment: LAddre,s: -~ Decorative fireplace City: nsert-ty Phone: Fax: �•S'atcE rrra& Woodstovelpellet stove ��-- Other: Applicants signature: Date. t i i NNamc (pnntl _S'fr✓e ,, - — �7— Nn,di please'-till r%It([un fit n)"11 inronnN1anFernut fee.....................g _—_- U',lsn U!vt;:torf-arn Notice:This permit ap• 'cation Minimum fee....... ...... .$ c',ed,t cad runtl,et _ expires if a permit is not obtained Plan review(at _ ek) ,Giros within ISO days atter it has been State surcharge(8%) $ 'ane of milhol u-shown an credit car s accepted as complete. TOTAL. ..... ...... ..... ...$ v C how r eiesture Arnount Plumbing Permit Application llaterecet%ed. Penntt no.; e- ('ity of Tigard `�/��(��•; _ r. :ri�,:..Y�- Address; i 3125 SW Hall Blvd,Tigard,OR 17223 Sewer permit no.: Building permit no. c Cir>of Tigard phone: (503) 639-4171 Pro ecus I.no. vT "l J PP i Expire Fax, t503} 598-1960 Dale issued: By Receiptne.: t Land use npnroval: ____`� - Case file no.. I Payment type. i 1 & 2 family dwelling or accessory J C�inrrerciai/md lstrial O Multi-family U Tenant improvement 'vew uinstnic.ion U Addition/aliertuari'replucernerit O Food service .I Other Jim M10103UUMEM Job address; p 8` Descrf tion 8 Kph S'1 Fee(ea.) jotal Bldg. no.: Suite no.; New 1--in a2-ranWy dweWngs Duly: Tax map/tax lot/account no.: (includes 1000,for tach uttlltyconnertion) Lot: f•lock: � SFR (1! bath SFR -- __ f2i Hath ----7" - �P`rooject�m nae: 3i hath 1-- City/county, ;ycfj /, zIP - -"�- SFR(. Eacb addinon,tithikitchet: f)escripGun and location of wctk on premises A. SiteutWties: � 1 _ !rJ/il t. Catch Ims-/area drain Lst dale of complctloNinspcction: rv�wil's Tline;trcnch dram Fouting drain Ino lin. ft.) Ulm Business name: ManManhole; reu home utilities - .Address. - �aln Dr _Z3 s� v -- �-- _- -T� ain conncrtor CitY �s�.-,.-t.„ _ Stairtr.. cT71P. 7127+ Sanitaryscwerino. lin. L) " Phone:y r 9 --- - ��9 Fax E-mail Storm sewer(no. lir, ft.) CCB no.: `� -_ Plumb. bus,reg,no. •Zb Water sery ce(no. lin. ft.) City/rtietro lic.nr.: Z ja Flxture or Item: Contractors representative signature: Absorption valve - ack Ml rcve- Pont name. Pr",- �„ Uate - P tt Backwater -- valvc Basins%lavaton Name: y�,,,a CC othes washer Address: ishwasher '�� ~` -- '--'� - Drinking fountatn,si city, State: i 1P: - --- -_. Ph Ejectors/sump one: rax: E-mail: Expansion tank _ fixture/sewer cap 'Fame(pont): IQt►nurfr�, Flour drains/ nor sinlca%hub - Mailing address: 1472 ;, ,•rye r//s Gar�age�is �5a1 City: p,•� NN State; oR JZIP: 7 "T Hose bibh �. ice maker �—Ph-ones�i s ase-.e Fax: m>dl, Interceptor/ tease trap Owner r installation residential inaettenance only: 'Me actual ir,stallat on Ptimer(s! will be made by me or the maintenance and repair made by m;by R�Tof Train(comonerc, !) �- employee on the propeny !own as per URS Chapter 447, Sink(s . asir.(s), Ivvsisi-- -`- t)tvner's sf nature: Date: Sump Tubsishoucr/showAcr pan Name: Unna Address: - aler closet Water heater City: State: i ZI?: V- Phone: FT ax: - E-mail: - - Dial NcN oil junudictions;cept credit catch.plum Bali junklictinera rmne loran,,,;,,,. Minimum fee...... ...... .. Q Visa MasterCard Notice:This permit application Plan review tat 9c) 3 expircs if s permit is not obtained - - Ctedugad number _ rp.te1 _ within 190 days after it has been State surcharge(8%) _ . $ _ Name of etvdholder ass own on crtdit card accepted as complete TOTAL ...... ............. . 5 S Crtlho! r al tare Amount o4U4010(6AJWCOM) Electrical Permit Application Uatereceived: 5 1fW Perrlt!no.:H'rr�r+"d. e.,)d City of Tigard Prolectlappl.no.: Bxpiredate: — C'ity,,f7ignrd Address. 13 125 SW Hall Blvd,Tigard,OR 97223 Date issued: By — Receipt no. Phone: (503) 639-4111 Fax: (503) 598.1960 Case the no: Paywent type Land use approval: & 2 family dwelling ur accessory J Commercial/industrial 0 Multi-family O Tenant improvement 'Jcw t onsttucUon O AdditioNalierntion/replacement J Ullmr. _ 0 Partial lob address; /(� $$`j S�� {1iRLl =�7 — Bldg, no ;Suttc no.: Tax mapitar IuUaccount no.: L' 11 Lot: Block: �uhtl, ' fun: ��rr� l'o�n /�rliTj Project name: Description and location of war}:an premises Estimated date of completion/m—, C�tion. Job azo: Fee M1ta>: Description �(M`• (ex i'oul , no iml, Business name: Cl�r Tr,G ._-- _^ M1c„ entyl singkormulti farrtllti per Address: A0 GLS,,, I� dwelling unit.lncludes►narhV41Prnge, city: G'!�. liar^ t j State: QjQ ZiP: 7©/S rservicelnrlutsesl lO4W 6y 1' of less _ 4 Phone: So- .'S7Plyx Fax. E-mail: _ -- Each addiuonal 500 sq,ft.o; un.un dirrco' c Flee bus.lie.no: — /2 t3 2 CCB Do: Sy Linired e .ergy,residential Lu:, :Jenerev,non•residenuld Citylrretrn tic.ria: _ /Z+�3 _.._ j Each Can and/or ed home or mc.tu!ar du e'.tng -1.�-�--- Service sndlnr feeder _ 2 � gnaturc ct supervising titter awn inquired; T� Date -- Services orfeedets–Installation, op ,ie.' nnnic'pnri (a/ r L 4enseno: G/�f aiterstlonorrelocation: 'A 111ROPI.RTV OWNER 200 omps or lets 2 2U1 amps to AOU amps 2 Name ihtino. r. _k, aWr.,e Gk� l>l Ao1 ani s:o Eau amps _ �._--_� .,e Mailing,ddress: 147Z t„/ L,/,l aM.>y4 a __ 601 anipsto IOOOamp 5 _ City: S-l—tOe�•�E_..m_aZIP: . ——_ over 1000 nm sor,mlu Reconnatonl Phone' Fax: ` Temporary senicea crfeeder� l.ys+ner installation.The installation is beinft made on property 1 uun Installation,siteratlon,orrelocation: which is not intended for sale•lease,rent,or exchange according to 200 amps or ices ORS 447,455,479.670,701. 10:air s:o 400 amp! _ _ I 2 -- 0%kncr s signature. bate: 401 to 60J amps -T Ilrancit cirsalb new,altersticn, or extension per panel: 'game: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch c rcuir _ H. Fee for branch circuits without purthut! City,: a State: Z1P' _-___, of service or feeder fee,first bratich circuit Phone: — Fax: E mad- Eoch addiavnal branch circuit ; "MMIffIrmMNc.(Ser lee or feeder not included), Each amp or cri a'.ien Circle 2 U Service over 225ampa•�.ontmerc iij � Hetdth-ewefacthty 2 Eachsi noroutiinolighnng O Service over 320 amps•raang of 1&2 >Hazardous locauon S. nal circuits)nr a limited energy panel, fomilvdwellings q Buildingover tO,OWsquazefem four or R II 2 3Svslemover 600volsnominal Mile rusidentialunits inone structure aiterouon,orextension V Buildiigovet thm:stoties j Peedem,400 amps or more p Each�tid,tional Ins cllon osteitic allowabie� t ;T-- Q Uccuoant load over 94 persons 6fmtufaciured structures or KV ark — Itt any of the atso�e: ❑Other. �_•---T l]Egroullighungplan _ _ __-- Per nsp-caon Submit vets of plans with any of the above. Invest: atioo tee ill^above are not appl)cahle to tenipomry comtruction service. Other —-- - 4a,ail luriidicuau accept teeth,cam.piewe t.ui unahcuon(ct more rnn:mtaoon. Notice This permit apphcation Platt review(pl 4kr $ a Visa :3 MasterCard expires if a permit is not obtained State sumharge(8%) -.. e Credit card numiKt widiin 180 days atter it has been _ 6p1f°: accepted as complete . .... .... ..... .. - - 4aMe of catdhotder hs shown un-tel a card _ E -' Cudhddcr ngnature — _ Amoum •4.4615 c6WCOM1 SEE 35MM ROLI.-a #20 OR OVERSIZED DOCUME,,NT 24-Hour BUILDING 1•tspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received __—__— Date Requested -___ I _� AM __--PM- __—.__ BUP Location --- �� C� �` - _�_---___---Suite MEC Contact Person `''_=- --- Ph(- ) JI PLM Contractor__ _ _ - __ Ph(_—_) __. SWR — BUILDING Tenant/Owner __ _ _._ _ ELC Footing �— — ELC Foundation Access: Ftg Drain ELF! — 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 Roof Other: •Fth;�l PASi6r�PART FAIL - --- ----- 1-LUMB1_NG ---------- - Post& Beam - Under Slab --- --- --- Rough-In Water Service -- -- T-- - _ 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 -- r1p.141 S PART FALL - - ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$______� required before next inspection. Pa at Ci Hall, 13125 SW Hall Blvd. PASS PART FAIL �_ � � Q p y ry SITE � � Please call for reinspection RE:____ ____�.______._. ... - �-� Unable to inspect-no access Fi•4 Supply Line ADA 7 r 7 Inspector �. - --- Ext - -- Approach/Sidewalk Unto =� Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA i d bC y ► n ro L; d rD ► ► ® ► A O o 144 ► � UY4 ► ' O 44 d o � o pop. M � �' ► ° . .rD ► uqn rb 1,4 Ir ► 0 ► -4 �� �~ ► � o M ► o y ► • ► AA ,r 7 a � O -„ 7 ry � C rD w o � S ~ o DIC T o a m \ � c CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50s)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP - /- AM- --PM--_-_ BLIP Received Date Requested __L_-� - /n �' _Suite MEC Location ___-_L - - g L -- J/ OZ PLM Contact Person Contractor ._i� ��L_ Q- - - Ph t,5 �-) SWR ELC Tenant/Owner __ __ ~--- -� rFoundation LDING ELC ting Access: ELR Drainwl Drain - SIT - Slab Inspection Notes: — _ - Post&Beam - ---- - --- Shear Anchors - -- Ext Sheath/Shear Int Sheath/Shear -------------- Framing Insulation - -_ - Drywall Nailing - Firewall Fire Sprinkler - Fire Alarm Susp'(j Ceiling n, Root Other: _ Final _PASS PART FAIL - PLUMBING -------- Post&Beam --_ Under Slab --- Rough"ln - - - - -_ Water Service Sanitary Sewer - - - - Rain Grains Catch Basin/Manhole - Storm Drain Shower Pan - - Other. ---- - Final - PASS PART FAIL. MECHANICAL_-___ _ Post&Beam - Rough-in Gas Line �- Smoke Dampers Final -- PA_SS PART FAIL ELECTRICAL_`_- Q` �O L `Ir P Lr Service 1-W) Rough-In -- IJG/Slap `r l M �76 �L Stj�J ii� Low Voltage - Fire Alarm f iW Reinspection fee of$___ _—required before next inspection. Pay at City Hall, 1312�� SW Hall v ASPART FAIL j j Unable to inspect-no access J- --"- - - , l Please call for reinspection P,::- SITE. c:_SITE _ Fire Supply LineExt AOA Date t _ �. 41�� -- Inspector Approach/Sidewalk Other: VO NOT REMOVE this Inspection record from the Job site. Find PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST �' ��`_57 INSPECTION DIVISION Business Line: (503)639-4171 - BUP Received ___ Date Reqy99sted 2 AM_ PM_-____—_ BUP Location 0 �`1 Suite MEC Contact Person _ - _ - Ph(.—) PLM Contractor ....__ --_ -- Ph( ) SWR BUILDING Tenant/Ownar ELC Footing Foundation ELC -- - - Ftg Drain Access: ELFT Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors - -- Ext Sheath/Shear Int Sheath/Shear T— Framing Insulation Drywall Nailing T L'°' ' Firewall /f d T- f�.,«j /r;�'�1 7-lZA Fire Sprinkler ------- - Fire Alarm Susp'd Ceiling - — - Roof Other: — ----_ --- Final S_G/�_4�f: O/L/ 1J41e T y PASS PART FAIL PLUMBINGC�(�°C / q r Lt LLQ ( f' Post& Beam Under Slab Pough-In Water Service Sanitary Sewer Pain Drains Catch Basin/Manhole Storm Drain --- Shower Pan Other: �^ - PART FAIL -- M HANICAL Post& Beam Bough-In — -- Gas Lines Smoky Dampers -__ --- - - ------_ _ f in:d -- ---- --- PACS PART FAIL f LECTRIQ L Service Rough-In (1G/Slab — —' I ow Voltage --—----_- ---- --- -- _ Fire A arm Final'.' L] Reinspection fee of $__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS _PART AI SITE _ ❑ Please call for reinspection RE:__ _ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date / aO9�t1 Inspector �r'.__ -_— )ther Final DO NOT kEMOVE this inspection record from the fob site. PASS PART FAIL CITY OF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT M PLM2002-00469 DATE ISSUED: 12/11/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10889 SW KABLE ST PARCEL: 2S110DA-09700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 058 JURISDICTION: TIG CLASS 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: LAVA'ORtES: OTHER FIXI URES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWAS ,ERS: RAIN DRAIN: 139 ft Remarks: Installation of approximately 130 feet of storm drain line. FEES Owner: - - — -- Description Date Amount RENAISSANCE CUSTOM HOMES 1672 SW WILLAMETTE FALLS DR ll'LLIMI3i I'crmit fce 12/11102 $101.40 WEST LINN, OR 97068 I I'I.MI'LNJ flan Itcview 12/11102 $25.35 TAXI 9°4,Statc'I'ax 12111/02 $8.12 Phone : 503-557-xrntti Total y134.87 Contractor: CURTIS HEINTZ EXCAVATING 27475 SW 145TH AVE SHERWOOD, OR 97140 REQUIRED INSPECTIONS Phone : 503 682-2033 Storm Drain Insp Final Inspection Reg#: I IC 87263 This 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. ATTENTION: Oregon law requires you to follow rules adopted by We Oregon y:, 1, 41 , - Permittee Signature: Issued R ' _ - CdII (503) 639-4175 by 7:00 P.M. for an inspection needed the next busines4 dIa Building Fixtures Plmnbing Permit Application 112101 W =lima= RECEIVED Date received:/a 3 Permit no.: e.�/«�a-,`�)r,� City of TigardSewer permit no.: Building permit no.: Address: 13125 SW I lall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171DEC U 3 2002 Projecuappl, no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: CITY OF TIGARU ('ase file no: _ Payment type: Land use approval: Ill OWING DIVISION TVPE OF PERMIT U I & 2 farnil,,dwelling or accessory J C onunercial/uufustlwl U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service kother: .5 J �I_,,ns- •t"' JOB SITE INFORMATION FEE SCHEDULE(for specialt t ' Job address: /�B� fes„ Description Q',. Fee(ea.) 7blal ---�- - New I- ind 2-family dwellings only: Bldg. no.: Suite no.. — - (includes 1011 ft.for each utilll�connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivision: SFR(2)bath - - Project name: SFR(3)bath — City/county: 7.IP: Each additional bath/kitchen Description and location of work on premises: _ STiv+n SZWSf2_ Site utilities: Catch basin/area drain Est.date ofcompletion/insprcb ion Drywells/teach line/trench drain 1 1 Footing drain(no.lin.ft.) PLUMBING Manufactured home utilities Business namN �j � ,_ Manholes _ Address.,z i Jnr Rain drain connector _City: �J-p State: ZIP: O Sanitary sewer(no,lin. fl.) Phone: Far: E attail: Storm sewer(no. lin. Il.) / �) ----- - Water service(no. lin. Il. CCB no.: QA?J2JdPlumb.bus,reg:no. — Fixture or item: City/metro lie,no.: Contractor's representative signature: 'xS > Absorption valve Back flow prevanter Print name: V CJ `' '= —Backwater valve PERSONBasins/lavatory Name: T__ /J J U/v C/` Clothes washer ---- -- — Dishwasher Address: Drinking fountain(s) City: State: 111' ___ — Ejectors/sump I'h ,ne 9 13t __Expansion tank 1 IVJ 0 _Fixture/sewer cap Name n int):)• Floor drains/floor sinks/hub _I T:�Sflfy ' - � �_ Garbage die osal _ Mailingaddress1(7L 5'*j kf1 Hose bibb CiIV: L_S�S H^r/� State ztP: 0 6— ice maker Phone: d00 JFax; E-mail: Interceptor/grease trap Owner Installation/residential maintenance only: The actual installation Primer(s) will he made by me o, the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's si mature:_— Date: Sump Tubs/shower/shower pan Urinal _ Name: Water closet Address: Water heater _City: _ State: ZIP: Jther: --�— Phone: x: Email: otal Fa Not all jurisdictions gree credit cards,please can jurisdiction for more inrornunon Minimum fee............ ) $ 9 i rr 1 Notice: This permit application <- ❑visa U MasterCard expires if a permit in not obtained Plan review(at% a/u) $ _9 5� credo card number _ _�_ —.-�- -- within 180 days after it has been State surcharge(8/a).... S Gxpires — -- accepted as complete. TOTAL........................ $ ' Name of cardholder as shown on credit card S _ Grdholder signature Amount "04616(MCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16 ) the dwelling and the first100 ft. QTY (ea) AMOUNT 16 60 for each utility connection__„ _ Lavatory —_ r One 1 bath $249.20 Tub or Tub/Shower Comb— 16.60 Two 2 bath _ $350.00 _ — __—��__--._.__ -- Shower Only 16,60 Three 3 bath $399.00 Water Closet ---8-/. _SUBTOTAL _ Urinal 16.60 — 8'/.STATE SURCHARGE _ Dishwasher 16 60 PLAN REVIEW 25°/.OF SUBTOTAL _ TOTAL Garbage Disposal 16,60 ---- — --- -- Laundry Tray — 16.60 Washing Machine 16 6C Floor Drain/Floor Sink 2" - _ 1660 PLEASE COMPLETE: 3^ 1660 4" 16.60 _T _ — —Q--- uantity b Work Performed Water Healer 0 conversion 0 like kind 1660 Gas piping rei;'iires a separate mechanical Fixture Type: rNe Moved Replaced Removed/ Capped permit___ _ ----- MFG Home New Water Servlcc 46.40 Sink _ MFG Home New ra San/Storm Sewer — 46 40 Lavatn _ _ Tut,or Tub/Shower Hose Bibs 16.60 _ Ccmbination _­___ .� Roof Drains 16.60 Shower Only____ — Drinking Fountain 16.60 Water Closet _ — Urinal _ Oth_er Fixtures_ (Specify) 16 60 Dishwasher _Garbage Disposal -- Laund Room Tray. — -- Washing Machine -- _ —_ Floor Drain/Sink: 9" __- Sewer-1 st 100' —�-- 5500 3" Sewer-each additional 100' 4640 �- 4„ater Heater _— Water Service-1st 100' 5500 W 46.40 S ecif Other Fixtures Water Service•earh ad20 ditional 0' _ 55 00__ Storm 8 Rain Drain-1 sl 100' — Storrn 8 Rain Urain-each additional 100' 4640 - Commercial Back Flow Prevention Device 14640Residential Backflow Prevention Device' 55 Catch Basin 60Inspection of Existing Plumbing or Specially50Requested Inspections hr COMMENTS REGARDING ABOVE: Rain Drain.single family dwelling 25 -- ---- - Grease traps — 1660 QUANTITY TOTAL _ _ -- Isometric or riser diagram is required If Quantity Total Total is >9 _ "SUBTOTAL J - 8°/.STATE SURCHARGE ----- — "PLAN REVIEW 25°/.OF SUBTOTAL Required only If fixture qty tonal Is>9 I TOTAL $ .Minimum permit fee is$72 50"8%state surcharge,except Residential Backflow Prevenoou Device.which is$36 25+8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. 1:\dsts\forms\plm-fees.doc 12/26/01 CPLUMBING PERMIT CITY OF TIGARD PERMIT#: PLM2001-00386 DEVELOPMENT SERVICES DATE ISSUED: 08/15/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S11 ODA-09700 SITE ADDRESS: 10889 SW KABLE ST ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS JURISDICTION: IG BLOCK: LOT: 058 - — CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE JF USE: SF WASHING MACH: BACKFLOW PREVNTRR: FLOOR DRAINS: TRAPS: OCCUPANCY C,'<P: R3 WATER HEATERS: CATCH BASINS: STORIES: SF RAIN DRAINS: FIXTURES LAUNDRY TRAYS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: SEWER LINE: ft TUB/SHOWERS: WATER LINE: ft WATER CLOSETS: DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of back flow preventer. FEES Owner: Type By Date Ar-count Receipt RENAISSANCE HOMES PRMT CTR 0811512001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR. 5PCr CfR 08115/2001 $2.90 27200100000 WEST LINN, OR 97023 — Total $39.15 Phone 1: 503-557-8000 Contractor: - — MOODY ENTERPRISES INC PO BOX 713 ESTACADA, OR 97023 REQUIRED IN',: RP/Backflow Preventer Phone 1: 503-630-5532 Final Inspection Reg #: LIC 5973 PLM 11717 This permit is issued subject to the regulations conta;-ted 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 stEirted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon 'aw requires you to follow rules adopted by the Oregon Utility lgotification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or Jirect questions to OUNC by calling (503) 246-1987 Permittee Signature. — Issued By: ----1—� -- Call (503) 639-4175 by 7:00 P.M. for an insnection needed the next business day Plumbing Permit Application Datereceived: Permit City of Tigard Buildin no,:Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit g permit no.: CltyojTlgard phone: (503) 639-4171 Pro}ect/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: - - Land use approval: rase file no.: Payment type: OF PFRM11T V2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement w construction U Addition/alteratiurt/repiacemenl .J 1110d .crviLc U Other: I F INFORMATION FEE SCHEDULE(for special=j tow checklio) Job address: leVVy ,S 1 UevcrTp'tion (1tV. !'ee ea. Total Bldg,no.: Suite no.: - New I-Mnd 2-family dwellings onlr: Tax ma /lax lot/account no.: -- (Includes 100111.for rack utility connection) S I It(1)bath Lot: Block: Subdivision. SIR(2)batTh Project name: �:-n.,c -eA / r, SrR(3)bath —_.-- City/county: C ZIP: �_ '2 z Eacli add itiona a Itchen _ Description and lot,-al ion of work on premises: _+ Siteutilities: _ Catch basitr/area drain litit dale of completion/inset conn rywells/leach Inc/)sane rain -� PLUMBINt;CONTRACTOR Footing drain(no, lin.ft.) IJusincss nanhr: , � tManufactured home utilities Manholes . Address: v, -�"-��--- -- / 7/ renin drain connector City:F_•14c,t State: l ZIP: 97C 2 3 Sanitary sewer(no.lin. ft.) Phone:j' jc•' J"! � Fax:�y.•o< E-mail: Storm sewer(no.lin.R.) CCB no.: 11717 Plumb.bus.rcg.no: j y'? ' Water service(no. lin.ft. City/metrt,lie.no.: Fixture or Item: Contractor's representative signature: ij ` Absorption valve — Print name: /, ,� ,tif Date:71p c' Back flow -rventer Backwater valve Basins/lavatory Name: -11 r Clothes washer - Addresw ft' ir- 7/• Dishwasher — -- - _- y0 '. StatelC�/� 7.[P:r c'Z� Drinking fountain(s) --1L_____ Phone: o C jc 4'A Fax: S,-, t.< E-mail: EJectors/sum - Expansion tank Fixture/sewer crap Name(print): Whiz LL Floor drains/floor sinks/hub — - __ 2- -- Garbage disposal Mailing address: 1101 . _ - -� - Ilose bibb City -- -- - -- suite: Lt': Ice maker - -- Phonc. _ I ax: E-matt: Interceptor/grease trap Owner installation/residential maintenance only: The rctual installation Pnmer(s) will be made by mac n hr intenance and repair made by my regular Roof drain(commercial) _ employee.on the fi en I w a�per ORSCI filer 44'1. Sink(s),basin(s), lays(s) Owner's si niature _ Drte: _ �) Sump — Tu s/showe.r/shower pan Name: Urinal -- -- _ --- -- — - Water closet Address: - --- -- W;•.,,r heater _City: Stale: 7.IP: tither: — - Phone: Fax: E-matt; Total Nol all Jurisdictions accept credit cards,pteae call Jurisdiction for more information. Notice:This permit application Minimum fee................$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ 96) $ Credit card number: _ / L__ :within I80 days ager it hes been State surcharge(8%)....$ Expires TUTA1 �[ Name ore older ae shown on credit c accepted as complelt. ^^•••••••^•••••••$ Cardholder Hputum - Amount 440-4616(6MCOM)