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11740 SW KOSKI AVENUE O �D a c c� 11740 SW Koski Avenue MASTER PERMIT _ CIT'✓ OF TIGARD PERMIT#: MST2003-00035 DEVELOPMENT SERVICES DATE ISSUED: 2/20/03 13125 SVS' Hall Flvd. i igard, OR 97223 1,503) 6394171 SITE ADDRESS: 'I 174U`;V`/ !<OSKI AVE PAVCEL: 1 S1 35CD-1 1600 SUBDIVISION: KAL,'IMOIIKA ESTATES ZONING: R-12 FLOCK. LOT: 003 JURI3DICTION: "r1G REMARKS: N BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRFD - CLASS OF WORK: NEW HEIGHT: 25 FIRST: 807 of BASEMENT: it LEFT: 11, SMOKE DETECTORS: Y TYPE OF USE: SF FOUR LOAD: 40 9ECUND: 822 of GARA,iE 729 a FRONT: Zlj PARKING SPACES: 2 RIGHT: ` TYPE OF CONST: 5N DWELLING UNITS: I THR) of VALUE: 140,03�i.J0 iy OCCUPANCY ORP: R3 BDRM. 1 to 4TH � TOTAL: 1.429 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: i LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS, SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS TRAPS: TUDISI;OWERS: GARBAGE DISP: 1 WATER HEATERS WATER LINES: 100 BCKFLW PREVNTR: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN�TOOK: 1 BOILICMP t 3HP VENT FANS n CLOTHES DR'ER: 1 GAS FURN—100K: UNIT HEATERS: HOODS: t OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCE3: VENTS: WOODSTOVES: GAS OUTLETS. ELEC'RICAL _ SER�'lE FEEDER TEMP SRVCIFEEDERS BRANCH CIP:,UITS MISCT.LLANEOU9 ADD'L INSPECTIONS RESIDENTIAL UNIT r 10n0 SF(TR LESS: 1 0 - 200.mp 0 - 200 amp: WISVC OR FOR: PUMPItRP!GATION. PER INSPECTION: EA ADD'L 5003F: 201 400 amp: 201 - 400 amp; let WI0 SVC/FDR. SIC.NIOUT LIN L': PER HOUR: 4m 800 amp; EAAODL OR CIR SIGNAL/PANEL: IN PLANT LIMITED ENERGY, 401 900 amp: MANU HMISVCIFDR: 801 '100"1amp: 001-amps 1000v. MINOR LABEL: 10004 a,rolvolt: PLAN REVIEW SECTION Reconnect only: —4 RES UNITS: SVCIFDR>-225 A.: >800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRIC TED ENERGY B.COMMERCIAL A.SF RESIDENTIAL FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: AUDIO 6 STEREO: X VACUUM SYSTEM: X AUDIO 8 STEREO: HVAC: LANDSCAPEIIRRIG PROTECTIVE SIONL: BURGLAR ALARM: X OTH: ALL ENCOMP BOILER: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATAR!'.E COMM: NURSE CALLS: TOTAL N 9Y3TEM3: TOTAL FEES: $ 6,609.77 Owner: Contractor: Th's permit is subject to the regulations contained in the ECK CONSTRUCTION,INC. ECK CONSTRUE.!ION INC Tigard Municipal Code,State of OR Specialty Codes and O BOX 204 PO BOX 204 all other applicable laws All work will be done In P p 0 BOX 204 OR 97140 SHERWOOD,OR d7140 accordance with approved plans This permit will expire 0 work is not started within 180 days of issuance,or if the work is susp.inded for more than 180 days ATTENTION Oregon law requires fou to follow rules adopted by the Oregon Utility Notification Center Those rules are set Phone: 503-625-1305 Phone: 625-1305 forth in OAR 952-001-0010 through 952-001-0080 You Reg N: 1 1( 1 14755 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam MMechanical Final echanica Mechanical Irsp Shear Wall Insp Insulation Insp plumb Final Server Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Final inspection l Electrical Service Low Voltage Water Line Insp Footing Insp Craw ' !Bin/Backwator ApprlSdwlk Insp Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp —_I PosUlleam Structural PLM/Underfloor Framing Insp Gas Fireplace _ Electrical Final--� 1Permittee Signature Issued By : _ ti"- - Call (503) 639 4175 by 7:00 p.m. for an inspection needrJ the- rlaxt business day CITYO TIGA RD SEWER CONNECTION PERMIT DEVELOPMENT SE�VIGES PERMIT #: SWR2003-00034 13125 SW Hall Blvd . Tigard, OR 97223 (503) 639-4,171 DATE ISSUED: 2/20/03 SITE ADDRESS; 11740 SW KUSKI AVE PARCEL: 1 S135CD-11600 SUBDIVISION: KALAMOIIKA ESTATES ZONING: R 12 BLOCK: LOT: tort JURI?DICTION: 'TIG TENANT NAME: USA NO. FIXTURE UNITS: CLASS OF WORK: NEW DWc:LL:NG UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL"TYPE: LTP-� VR IMPERV SURFACE: Remarks: S Owner: --------- -- - -------- FEES --- ECK CONSTRUCTION, INC. Description J Date Amount P.O. BOX 204 __— SHERWOOD, OR 07140 1SWUSA I tiwr Connect 2/20/03 $2,300.00 1SWUSAI Swr Connect 2/20/03 $0.00 Phone: 503-625-1305 1SWINSP)Swr Inspect 2/20/03 $35.00 1 SWINSP]Swr Inspect 2/20/03 $0.00 Contractor: — --- --- - --- Total $2,335.00 Phon.: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean`Nater Services. 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 loLdted 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 OAR 952-001-n100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6E 19. Issued by: J(/U Permittee Signature. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bm;mess day Gr wilding Permit Application City of Tigardrd Date received: j'..- i; Permit no.y'JSr,(003 1700�-`a - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: _ Expire date: City njTignrd B Recei Phone: (503) 639-4171 Dole issued:� r,^ Y;L•� pt no.: Fax: (503) 598-1960 Case file no.: __ Payment type: Land use approval: _ _ 1&2 family:Simple Cwnplt-: i 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition ❑Additionialteration/replacemenh CI Tenaml improvement U Fire sprinkler/alarm U Other: _ JOB 1 b address: / 7rj✓O _��-- Bldg.no.: Suit,no.: Subdiv:<ion: • Tax map/lax lot/account no.: Project name: Description and location of work on premises/special conditions: (Floodplain,septic capacity,solar,ett.)Mailing address: .( I &2 family dwelling: City: State: IZIP. Valuation of work......ZYUOC/ I .. ° Phone: Fax_: C-mail: No.of bedrooms/baths................................. •�• Owner's represent tive: — -_ Total number of floors................................ Phone: Fax: F-mail: New dwelling area(sq.ft.) G �,�'T APPLIC Garage/carport area(sq. ft.) .......ti .7..... _ Name: �l--r' Covered porch area(sq.ft.) ......................... 'fes Mailing address.,-- Deck area(sq.ft.) .................................... ... -�-_ -� Other structure area(sq ft.) City: .-... .. . . Stat, LIP: ------ Phone: Fax: L'-mail: CommerciaUindlistriaUttiultl-faml[): Valuation of work S_ Business name Cc: Cl�.rr- Z�lCi"t:� Existing bldg.area(sq.R.) .............. ......... Address: L�1( a �O New bldg.area(sq.ft.)............. .. ............. • _ Z1P:971042 �` / Number of stories.................... . ............... City: St:Uc: Phone: /fp Fax TYIx of construction............ ........ ............ CCB no: r�r" Occupancy ttroup(s): G ' ting: /fl A- - - - -- New: City/metre lic.no Notice:All contractors and subcontractors are required to be orill licensed with the Oregon Construction Contractors Board under Name: �(�y � f'✓-"9 provisions of ORS'r01 and may be required to be licensed in the Address: jurisdiction where work is twing performed. If the applicant is zt�c J CtJ exempt from licensing,the toll-,wing reason applies: Cit State: ZIP:y&ZZ Contact person: 1Plan no.: --- -- Phone -ax: NaContact person: Fees due upon application ........................... Address: Date received: -- City: Stat ZIP:Q7 �5? Amount received ......................................... S _-_- Phone: s;?y Fax: 1 E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not dl jurisdictions rcept reedit cods,please call jurisdiction for more itdorntation. attached checklist. All provisions of laws and ordinances governing this U vii U MasterCard work will be complied with,whether specified herein or not. Credit .wd number: _--.. _-- - _.--.L_-1-- Cxpirrs Authorizedsignatures ` `L�-- rate: _ Nurse d cardholder u shown on credit cud T Print name: .fir• Cardholdet apature -� Amount Notice:This permit application expires if a permit is not obtained within 190 days after it hes been accepted as complete. 440-4613 rebuff(,Ni One-and Two-Family Dwelling Building Permit Application Checklist PURerenceno.: — Associated permits: City of Tigard City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW Nal' Blvd,,Tigard,OR 97223 LH-0 ther: _.! Phone: (503) 639-4171 — Fax: (50 1) 598-1960 VIE FOLLOWIN(; ITEMS ARE t FOR I Land use actions completed.See jurisdiction criteria for concurrent reviews. _ zoning.Flood plain,solar balance points,seismic soils designation,historic district,et. 3 Verification of approved pl+. 'lot. 4 Fire district_ approval required. 5 Septic system permit h,�authorization for remodel, Existing system capacity 6 newer permit. 7 Water district approval. 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. —_ 'To— 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable Ic cal and state building codes.Lateral design details and cont—ctions must he incorporated into the plans or on a st .!rate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot ue .;ompleted _ if copyright violations exist. I 1 Site/plot plan drawn to scole.'17he plan must show lot and building setback dimensions;property corner elevations(if there is more than a O4 elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/scpfic 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, 13 Floor plans.Show all dimensions,room id,;ntification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures balconies and decks 30 inches above grade,etc. 14 Cross section(s)and detalls.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-fluor, wall construction,roof construction.More than one cross section may he required to clearly portray-instruction.Show details of all wall and roof sheathing,roofing,ruol'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-size sheet addendurns showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral ar.Alysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. _ 17 Floor/roof framing.I rovide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineer d systems,see item 22,"Engineer's calculations." _ - 19 Beam calculations.P avide two sets of calculations using current code design values for all beams and multiple joists over 10 feet lung and/or any beanh/'oist carrying a non-uniform load. 20 Manufactured flour/roof truss design details. —_ 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more.yphlwnces. — 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall h%shown to be applicable to the project under review. mist]Lill IN"M IMIE= 23 Five(5)site plans arc required for Item 11 above. Site plans must he 8-1/2"x I I-(), I I" x 17". 24 Two(2)sets each are inquired for!terns 16, 19,20&22 above. _ 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 28 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only, 1461614(~'OM) Electrical Permit Application Datereceived: Permit no A671?0 -0(0-?5 City of Tigard Project/appl.no.: — Expiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: XI &2 family dwelling or accessory O Corn merci al/i ndustri al U Multi-family U Tenant improvement XNew construction U Additiuty'alteration/replaceinent U Other: U Partial 1 ' SITE WoKmAT,, 1 !,)baddress: 77 n'ol Suite no.: 'fax map/tax lot/account no.: Lot Block: _ Su)division: Project name: Description and location of work or,premises: Estimated date of completion/inspection: CONTIRACTOtt AIIILICATION FEE SCHEDULE Job not a t'M nlax Business name: lr GN1 iW • Description Qty. (ca.) fatal nu.Insp New residential-single ur multi-family per Address: v, Q dwelling unit.Includes attached garage. city: State ZIP: / Service Included: Phone: Fax: E-mail: 1000 sq.n.or less 4 C Each additional 500 sq.ft.or onion thereof CCD no.: f� Elec.bus.tic.no: �,f� Limited energy,residential 2 City/metro lic.no.: Umjled energy, ion-residential 2 Fach manufactured home o—r modular dwelling Signature of supervising electrician(required) Date Service and/or feeder 2 Sup.elect.name(print): _ License no: Servicesorfeeden-Installation, alteration or relocation: 200 amps or leas 2 Name(print); 201 strips to 400 amps 2 - 401 amps to 600 amps 2 Mailing address: 601 amps to I(M amps < City: Slate: 711 over 1000 amps or volts 2 Phone: Fs K: E-trail: Reconnectonly I Owner installation:The installation is being made on property I own femporaryservices orfeeders- which is not inter.•ded for sale, ease,rent,or exchange according to Installation,aiterat n,or relocation: 200 amps or less 2 mp ORS 447,455,09,670,701. —____ 201 amps to 400 as 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: ZIP: B. Fee for bra-ch circuits without purchase --- of service or fewer fee,first branch circuit. 2 Phone: Fax: E-mail: Each additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-cotr.nercial U Heallh-care facility Each pump or irrigation circle _- 2 U Service over 320 amps-rating of 1 Art U Hazardous location Each sign or outline lighting 1 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* 2_ U Building over three stories U Feeders,400 amps or inure •Deuri don: — U Occupant load over 99 persons U Manufactured structures or RV pork FAeh additional inspection over the allowable in any of the above: U Egress/llghtingplan U Other: _--, -�__—�-- I'erinspection - Submit__.sets of plans with any of the above. Investigadun fee The above are not applicable to temporary construction service. Other Nnr all jurisdictions accep credit cards,please call jurisdiction for more Inhwmalion. Notice:This permit application Permit fee.....................$ 0 visa U MasterCard expires if a permit is not obtained Plan review(at ___ oto) $ Credit card number: __ within 190 days after it hes been State surcharge(8%) ....$ _ ` 1 ' accepted as complete. Dame of cardholder r as shown on credit o g� $ Cstdiin er slputarc Amount 44o-4615(6Mf:9M) Plumbing Permit Application Date received: Perm t City of Tigard er permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tiga•d,OR 97223 t.� Cilvof7'igard Phone: (503) 6394171 P►ejccUdppl.ro.: — F,xpircdate: FaN: (503) 598-1960 Date ssued: By: Rcaiptno.: Land use approval: M Calc file no.: +Payment type: _ 1 & 2 family dwelling or accessory F]Commercial/industrial Ll Multi-family U Tenant improvennent New construction U Add ition/alterttion/replaccrnent U Food service U Othcr: _ IN F( Jim HIMA FEE (for special Information use clleckli%l) J1' / y. ACL l`J L,.l '% -- Description fee(ea. Total Job address: New 1 and 2-fatarlly dnellings only: Bldg.no.: - -- (includes tali ft.for each utility connection) Tax mar/tax lot/account no.: SFR(1)bath Su3divis10.dr 6 SFR(2)bade _ -- --- _- --- Project(tame: _ _ �_ SFR(3)bath City/county: --�'L!!': - Each additional bath/kitchen Description and location of work on premises:-- Site utilities: Catch basin area drain Est.date of completion/inspection: — Drywcllqleach line/trench drainM Alai 111@1911,11 11 MW ILI] _ Footing drain(no.lin.ft.) _ Manufactured home utilities Business name_ Q� �r� l!!�� IJ Manholes Address: /�" _aP _S" Rain drain connector _ City: _ Sttu ZIP: �l _Sana sewer(no.lin.ft.) Phone: lax: _ E-mail: Storm sewer(no.lin.ft.) CCB no.: _ Plumb,bus.reg.no: Water service(no,lin.ft.) City/metro lie.no.: Fixture or Item: Absorption valve Contractor's representative signature: Back flow preventer - — Print name: Date: Backwater valve 11101 Basins/lavatory i Name: Clotlles washer -- - Dishwasher Addr s: Drinking fountains) ---— — City; State: ZIP: Ejectors/sump - �__ Phone: Fax b n+aiL Ex ansion tank Fixture/sewer ca j Name(print): -- Floor drains/floor sinks/hub Garbage disposal Mailing address: Huse bibb -- City: Sral LIP_clee maker --- Phun Fax: F mail: Interceptor!grcase trap Owner h..lallatiun/residential maintenance unly: The actual installation Primer(s) will be made by me of the maintenance and repair made by my regular Rout,Train(commercial) employee on the prolwrty I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: �.--- -- Date: Tubs/showel/shower pan _---v- Urinal Nance: Water closer — Address: _ Water heater City: - -State—: Z1P: Cuter: Phone: Fax: �Lmail: otxl _ _r J Na ell Jurisdictions accept cmdit camas,prem call)urlrdictlon for mare lalutttuaon. Notice:This permit application Minimum fee................$ O visa ❑MasterCard expires If a permit is not obtained Plan review(at _. %) $ t:,,xut card numba: within 180 days after it has been Stale surcharge(8%)....$ -� Espira Name d cardltolda u shown on credit card accepted as complete. TOTAL .......................$ _ $ eardholder siguture Amount_ 4W4616(6W"M) Mechanical Permit Application Date received: Permit no M-77�&O-Y-QQe S. City of Tigard Project/uppi.no.: --_ Expire date: I City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 9'223 Date issued. _— — -- Bye Receipt no.: Phone: (503)639-4171 - Fax: (503) 598-1960 Case file no.. — _Payment type: Building permit,to.: Land use approval: _._ _ TNi &2 family dwelling or accessory (.J commercial/industrial U D luiti-G nnHy U', n cant improvement ew constnnction U AdcliNotJalteralion/rcpl.u:rtncnt U Other. { lydicate equipment quantities in boxes below. Indicrt►c the dollar Job address: _�yo sG�J �L �G -.--- - Bldg.no.: Suite no.: V` value of all mechanical materials,equipment,labor,overircad, profit. Value$ Tax map/tax lot/account no.: - _ Lot; Block: Subdivision: *See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: City/county. Description and location of L:LLIoiler/compressors : _Est.date of completion/inspe �Tl��o" (?tY• Rte•orti Tenant improvement or chanAir handling unit CFMIs existing space heatd?U Yes U No it con ifl ng a plan—Is existing space insuNo Alteration of exlstlnT HVA system of er compressors tate boiler permit no.: Bu,iness name: L�'t^ lj _ !!p —_Tonc BTU/H _ Address: T _ _ rig smo a ampec uct smo a etectors _ City: -- — Stale: ZIP: -- cat pump(site plan require ) _ Fax E-mail' Install,' ace urnac urner�is I TF Phone: Including ductwork/vent liner U Yes U No CCB no.: A S 4 Tti,7t,-tii-/r-c-PTa-e-Jr-eToc—a-t-e-Fe—aters-suspen , City/metro lic.no.: -_ wall,or floor mounted Dame(please print): ent for n) lance of Her than furnace e gent on: Absorption units BTU/11 -_ i'hillcrs____ lip Name: Con, ressora-_� HP Address: __ ry ronments ex ust an rens ton: City: State ZJP: — Appliancevent Phone: - ^- - I:,,c E-mail: ryerex aust __-- --- 0o s, ype r-:s ncr�F aamat hood fire suppression system - Name: _-_ Exhaust fan with single duct(bath fans) _ til -f_zfiaust s ten-i nlrnri fromfnoatin or7C Mailing address: -Q tet - - -TZel pip ng anila et ul on up to out C1 ) City: State: "LIP: -_ ^-_ - ---:��/�i'D Type: _ l.ht; N� nil Phone: Fax E-mail: Fuer i to ea7i a-Tc ditiuna over 7 4 outlets— - Process piping(scliematicrequire ) Number of outlets Name: _ _---_ ter Usted sip nce or equ pmenk dress: — Decoretivefirepla Ad _cc City: - ISlate: LIP:'-- JEsert-ry - 0o stov -etatove Phonc: Fax: E-mail: Her: - -` Applicant's signature: Late: --- Other: -- _ ----• ---- Name(print): - -- Permit fee.....................$ - Na dl,ttdkikuatu�cttpl Heart cants,pig can jurisdiction TIT tncre rnratrwiun. Notice:This permit application Minimum fee ...............$ U Visa U MasterCard expires if a permit is not obtained mub" _T-_-�-._ _—t<eq-- Plan review(at _ °k) $ Creditcad a __- - Ext,lfe7 within IRU days atter it has been Slate surcharge(8�) ..•.$ N.n,e'd�a�,�Ider a rnoWu on c 't c accepted as complete. TOTAL .......................$ — C"otder ti`atue $ Amount 440-4617 AWICOMI COL. r,� 1 s � � LOT 3 c, — ClLA J^'� �1L K — f r, �4 06, Fid s j 91 G PROPOSE �' Q RESIDENCE GARAGE PLAN N 110102 ('v�'�e. ✓i s ton '` c/I�z� �.S►t>�'tae — I cVM D ' T;CK, "ONC DRIVE 41,24Zo 4 . OPE FrA— c^II yct y SA, KOSKI DF ITt] SUNTEL HOME DESK�N,INC.IS NOT IAABLE FOR THE ACCURACY OF THE —_LFA TOPOGRAPHY INFORMATION. IT IS TO BE ATTACHED THE SOLE PESPONSIBUTY OF T}f BUILDER 10 VERIFY All SITE �"•"� — CONDITIONS,INC;LUDNG ANY FLL 46 -- PLACED ON THE SITE,AND INFORM OWNERS OF ANY POTENTIAL FIELD MODFICATIOhiS. :rcn;�er I CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT T PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON STREET' SHERWOCD, OR 97140 Plumbing Signature Form Permit #: MST2003-00035 Date Issued: 2/20103 Parcel: 1 S135CD-11600 Site Address: 11740 SW KOSKI AVE Subdivision: KALAMOIIKA ESTATES Block: Lot: 003 Jurisdiction: TIG Zoning: R-12 Remarks: N Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing 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 Divisinn. No plumbing inspections will be authorized until this CuIMPleted form is received OWNER: PLUMBING CONTRACTC }� ECK t.:,ONSTRUCTION, INC. NORTH STAR PLUMBING P.O. BOX 204 1445 SE OREGON STREET SHERWOOD, OR 97140 SHERWOOD, OR 97140 Phone #: 503-625-1305 Phone #: 625-2679 it .eg #: LIC 00090697 MET 00002691 PLM 34-255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sign tore of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGA.RD 13125 S. V. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WILLIAM BUTTERFIELD CONTRACTING PO BOX 305 13120 '_`W MORGAN RD SHERWOOD, OR 97140 Electrical Signature Form Permit #: MST2003-00035 Date Issued: 2/20iO3 Parcel: 1 S135CD-11600 Site Address: 11740 SW KOSKI AVE Subdivision: KAL-AMOIIKA ESTA'rES Block: Lot: 003 Jurisdiction: TIG Zoning: R-1... Remarks: N 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 individjal from your company sign below and return this Electrical Signature Form prior to the -tart of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is receivPr,l OWNER: ELECTRICAL CONTRACTOR ECK CONSTRUCTION, INC. WILLIAM BUTTERFIELD CONTRACTING P.O. BOX 204 PO BOX 305 SHERWOOD, OR 97140 13120 SW MORGAN RP_ SHERWOOD, OR 97140 Phone #: 503-625-1305 Phony: #: 503-625-6773 Req #: 1 1( 118554 III 3-5480 11' 3093S AN INK SIGNATURE IS REQUIRED ON THIS FORM x u - Signature r '-'upervi:,in Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGAR D ___. PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003.30311 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: t3/30/03 SITE ADDRESS. 11740 SW KOSKI AVE PARCEL: 1S135CD-11600 SUBDIVISION: KALAMOIIKA ESTATES ZONING: R-12 BLOCK: LOT: 003 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING h",ACH- BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATOWES: OTHER FIXTURES: TUB/SHOWERS: SEINER L!":c: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventei Owner: _ - FEES --- _ ECK CONSTRUCTION, INC. —_-- Description Date Amount P.O. BOX 204 11'LI A1131 I'ennit Fee 6/30/03 $36.25 SHERWOOD, OR 97140 1 FAX1 x°„State Tax 6/30/03 $2.90 Total $39.15 Phone : 503-625-1305 Contractor: GROVER'S LANDSCAPE SERVICES 26485 S. MERIDIAN RD. AURORA, OR 97002 REQUIRED INSPECTIONS Phone : 503-G78-1790 RP/Backflow Preventer -----__-------^__-- _--- Final Inspection Reg#: LIC 11807 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stat, 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 i,,suance, or if work is suspended for more 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 952-0001.0010 throug;i OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 2,48=6699. Issued By: Permittee Signature: I fi Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �` Bulling r IXture5 ' ' 'i% (A Permit A riiPlumb !.+ cation Received Plumbing. Dete/B : s! ' Permit No. I(I �X►? Com•/ It of Tigard Planning Approval Sewer City g Dete/B : Permit No 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 DatdB Permit No.: Phone: 503.639-4171 Fax: 503-598-1960 Post-Review Land Use Datc/B : Case No.: Internet- www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method-_ - Supplemental Information. TYPE_OFWORK FEE*SCHEDULE(for special information use checklist New construction _ Demolition Description i Qty. T Fec(ca.) Total Addition/alteration/re lacem,!nt Other New 1-&2-family dwellings CATEGORY OF CONSTRUCTION Includes 100 ft.for each u Ility connection 1 & 2-Family dwelling Commercial/Industrial SFR 1 bath � 249.20 ~� Y SFR(2)bath 350.00 y! DAccessory Building _ _Multi-Family SFR 3 bath Y _ _ 399.00 [� Master BuilderOther: Each additional bath/kitchen 45.00 JOE SITE(INFORMATION and LOCATION Firesprinkler-sq.fl.: Pae 2 S� Site Utilities Job site ad#.lress�v _ oS - - Suite#: Bldg./Apt.#: Catch basin/arca drain 16.60 Project Name; - Dr rll/leach line/trench drain 16.60 Footing drain no.linear fl.) Pae 2 Cross street/Directions to pb site: .ter Manufactured home utilities 110.00 �JvN1',..e- Gd f �" , ~ Manholes 16.60 _- Rain drain connector 16.60 Sanitary sewer(no.linear ft.) Pae 2 Subdivision: - Lot#: ,3 Storm sewer no.linear Page 2 --------� Tax mtt / arecl #: Water service(no, linear ft.) i'a c 2 -- Fixture or Item DESCRIPTION OF WORK Abso tion valve_ 16.60 G r`�-✓*"'^-_T __. Backflow preventer - Pae 2 Backwater valve 16.60 Clothes washer 16.60 - - - - -- Dishwasher 16.60 -� Drinking fountain 16.60 Jn PROPERTY OWNER TENANT Ejectors/sum _ 16.60 Name: w. ^�- _ ,v S��va Expansion tank 16.60 Address: Fixture/sewer cap 16.60 Cil /State/Zi i Floor drain/floor sink/hub _ 16.60 Y p--_-- -- --- Garbage disposal 1 16.60 Phone: Fax:_ _ Hose bib _ 16.60 APPLICANTCONT_ACT PERSON Ice maker 16.60 Nan1o: _ - I Interce tor,' rease trap 16.60 Address: MTML as-value: S P2 Primer 16.60 Cit /State/Zi _� : - -_ --. _ Roof drain(commercial) _- _ I6.60 Phone: [ Fa`c Sink/basin/lavatory 16.60 E-mail: Tub/shower/shower pan 16.60 CONTRACTOR Urinal 16.60 Business Name: de---411V watCr CIOSrt 16.60 - - - Water hea-er -_ 16.60 Address: s Other: - Cily/Stale/Zi : /tit--1• d�<� QV Other: Phone:�d3'67&'`� sflPlj4tnb. Fax -� Plumbing Permit Fees* CCB Lic. #: Lic.#: - _ Sr,- atat S Z2.50 S Authorized J ;residential Backflow Minimum Fec 536.2 Signature: -- _ _µ -5 3 Plan cvtew __ !o of Pernit •ce S s tl2 - State Surcharge(8%of Permit Fee $ (('(case print narnci TOTAL PERMIT FEE Notice: Thls permit application expires if a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or 180 days after It ties been accepted as complete. riser diagram for plan review. "Fee methodology set by Tri-County Building Industry Service Hoard. iaDsts4Fcrmn Forms\PlmPcrmi1App.doc 01103 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Inlormation Fee Schedule: Residential Fire Suppression Systems: _ Site Utilities Qty. Fee(ea) Total S ware Footage: Perndt Fee: Pooling digin- 1" loo - -55(_N) 0 to NOW -_— $115.00 - Fooling drain-each additional IM' 46.40 2 til to 3,600 $11ri0.00 — 3,601 to 7,200 $220.00 _ Sewer-Ist 100' 55.00 7,201 and greater $309.00 Sewer-each additionai 100' 46.40 Water Service- Ist IM' 55.00 Medical Gas S stems• Water Service-each additional 100' 46.40 Valuation: Perndt Fee: Storm&Rain Drain- Isl 100 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&.Rain Drain-each additional 100' 4(,40 $5,00100 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each l Total additional 6100.00 or I}action thereof,to and Fixture or Item _ Q y Fee(ea)) including$10,000.00. Cr�eial Back Flow Prevention Device 4040 $10,001.00 to$15,000.00 $148.50 for the first$10,000.00 and$1.54 out ' Residential Hackflow Prevention Device each additional$100.00 or fraction thereof,to 27.55 and including$25,000.00. Rain Oram,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$1OQ.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. spcciall requested inspections-per 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. Fixture Work: Are you capping,luoving or replacing existing fixtures'.' If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. uantlt fyv(Fixture)Work I'erfurmed k ununents regarding fixture work: Fixture Type: Replace —-- New Mored Exisli� Fla rosin /Font Bath -'I'uh/Shower -Jacuzzi/Whirlf,uol _ ----------_._------_ _ ---- ----__--- Car Wash -Each Sta l ------__.._---_-__-- -Drove 71rru L2Ssidor/Water A irolor - i - ---- - - - --- - Dishwasher Cormmercral i_-- _.-------.- _ - --- -Domestic _ Drinking FountainEye Wash _ — ---- ----------- - — —_ Floor Drain/sink -2" 4" Car Wash Drain - *Note: If the fixture work under this permit results in an Garbage -Domestic - _ increase of sewer F llll s,a sewrr permit will he issued ga Disposal -Commercial -1-,dusuial fees assessed for the sewor increase must be paid before the [cc Mach./Refri .Drains _ _ __ plumbing permit can be issued. Oil Separator Gas Station _ R,-c.Vehicle Dump Station _ Shower •t sang _ -Stall Sink -Har/Lavatory -Bradley -- -Commercial _ -Service Swimming Pool Filter __ e Washer-Clothes Water Extractor Water Closet- foilet _ Urinal - Other 17iXIUre9: Y �_ i:\Dsts\Permit Forms\I1ImPcrmnAppPg2.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (E:.3)639-4175 MST -- INSPECTION DIVISION Business Line: (503)639-4171 SUP —_ — — Received __Date Requested '— —AM—_ PM SUP I Locaiiur, -�c) Suite MEC � Contact Person Ph PLM Contractor_—_—_�-- ------� -- Ph( ) SWR ELC TenanVOwner -- — BUILDING _ -- �- Footing ELC -- Foundation Access: ELR Ftg 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 --�" Roof - Final - PASS PART FAIL PLUMBING ------- _ - --- __ ----- Under z:)iab Post A Beam (lough-In - Water Servic© -- - - - "- Sanitary Sewer _— --- -- Rain Drains -- Catch Basin/Manhole — Storm Drain -.-_ - Shower Pan }' -- Other: P S PART FAIL CHANICAL Post&Beam _- - _ - --- — -- ----- _.--r- Rough-In --- _-- Gas Line Smoke DampersFinal PASS ------ -— ------ �__--- PASS PART FAIL -----" -- _ ELECTRICAL — Service ------ ---- - --_--- Rough-In ---- — -- - --- - ------ —"--------------. UG/Slap ---__-------.------ Low Voltage ---- ------ ---- -- ---------- ----- -- - Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART_ FAILUnabl-a to inspect-no access SITE - Please call for reinspection RE:__ _. - - -- -� -, Fire Supply Line ADA, Inarpector'- - Ext Approach/Sidewalk D+�te Other Final Do NOT REMOVE this inspection record from the job site. PASS PART' FAIL- CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-417'.1 MST - - s INSPECTION DIVISION Business Line: (503)639-4171 BLIP — -- ?3 ,�.� Received �S_�__-.Date Requested_ AM _—_ PM____.___ BLIP Suite —. MEC Contact Person Ph(- -)C� -7 PLM Cc ntractor Ph SWR (-.__ ) -- r —_--- '- '— — -- BUI TenanUOwner _ _ _-- _ —.—_.__-- ELC Footing ELC _ Foundation Access: Ftg Drain ELR 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 ---------_ - ---------_ ..__ -- Roof - - Other: --- - ASS PART FAIL Post&Beam Under Slab - - - - - - ------ ---- - - Hough-In Water Service - - . ----------_-__ - — Sanitary Sewer Rain Drains -- --- - --- ---- Catch Basin/Manhole Storrs Drain - -- - -- Sho,•Fer Pan Other: Final _ PASS PART FAIL A ^i --- Post& Beam Rough-In --------- ----------..------ -----_ - Gas Line Smoke Dampers -------- - -------------_- ��ICAL PART FAIL_ - - Service - __ - -�-- -- Rough-In - t1Ci/Bleb a- — Low Voltage - Fire Alarm Final L� Reinspection fee of$_ _-_-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _ SITE �� Please call for reinspection RE___ _ - --. - ------ �__. Unable to inspect-no access Fire Supply Line / R ADA Oats��C�1. "� --- Inspector Ext Approach/Sida.valk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL ►AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAoseAAiPF ° " i► tT, ► .Ti ► d d r d ` CLru M ► d ru CD �\ � `i rte►ti ► r dI d ro d CD n ► ► dl u4 p ► d C-L ► ► d N , cm ► d d d o "r 0 ► 44 M M O �= U ► , 0 0 ► � ��1 ► drDr . al \\ ► d \� r\ ► d M ► o ► 1\' ► d � W r o O ry W � e C O � ~ 0 n g ^ r U A ti 3 F � Q i d I CITY OF .'IGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received ` Date Requested 7- 3 AM—_ PM— BUP -- Location ___ Suite — MEC _—_-- — — Contact Person - Ph (___-—) j�o 6 3-7 ? I PLM -- Contractor --._-.-- —__ Ph (__—_-) SWR BUILDING Tenant/Owner ELC Footing ELC —_--- Foundation Access: ELR -____ Fig Drain —_e.---_� Crawl Drain SIT —_-- Slab Inspection Notes: -----� Post& Beam - - - -- - Shear Anchors Ext Sheath/Shear - - --- Int Sheath/Shear Framing --�w Insulation Drywall Nailing Firewall _— f ire Sprinkler - Fire Alarm --- Susp'd Ceiling Roof ------- ------ Other. ----.__ Final - _ -- --- --- PASS PART FAIL - PLUMBING Post 6,Beam Under Slab - - -- - 11ough-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 F'ASS PART FAIL ELECTRICAL --- - - — Service Rough-In - - ---� UG/Slab - - Flr� arm PAReinEpection fee of s -_ --_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL_ - 1 1 Please call for reinspection RE:_------ Cl unable to inspect-- no access Fire Supply Line ADA Lbatn l =fromlhe Ext Inspector - :,NNrua:.!+/Sidewalk � - �. _----i"1 Other: Final DO NOT REMOVE this InspectEon reca d site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST 3 INSPECTION DIVISION Business Line: (503)639-4171 BUP —_ Received _ __---Date Requested _l = AM___ PM _ BLIP Location �-�- —�yt�.—_Suite _.— MEC ---.._ Contact Person _ — __--____ Ph( ) r%' __ PLM Contractor —.`_ --_. _-.. . . __ __ ___ Ph(— ) — _ SWR — --- 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 7/ C -------------..._ ---------- -------- _______.___.. Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - ----- - - - - --- ---- Root Other: - Final PASS PART FAIL ------ - ---- - - -- ---- --A- PLUMBING Post&Beam - ---- - --- _-- - Under Sl,ao Rough-In Nater Service --- .--- - - - -— ---- Sanitary Sever Rain Drains ------ -- - -- -- --- ---- - -- Catch Basin/Manhole Storm Drain ----- _-- Shower Pan Other_ ---- -� ----------- Fin,lP — - "JIAS _PART FAIL -- H_ANICAL _ -__.__---------- -.---------_ _ —.W_— Post& Beam -- Rough-In -- --- ----- - Gas Line Smoke Dampers -_-- - ------ - _ _ ___ ----------- ------- ..--.. - Final PASS PART_FAIL --_--------..__.__�-----.__�- _-_--- -------___ _---.____ ELECTRICAL Service RoL gh-In UGrSlab Low Voltage Fire Alarm Final Reinspection fee of$�__- __ required before next inspect,on. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL__ SITE [_� Please call for reinspection RE: _ -_ [ Unable to inspect m)access Fire Supply Line ADA { Approach;Sidewalk Date� � �� Inspector 1222 Ext Other: Final DO NOT REMOVE this Inspection record from the boa site. PASS PART FAIL