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11745 SW KOSKI AVENUE 11745 SW Koski Avenue CITY OF TIGARD 24-Hour c,( BUILDING Inspection Line: (503)639-4175 MST �d O INSPECTION DIViSIrN Business Line: (503) 639-4177 BLIP Re,,eived -_ — Date,Requested _ � 3 —_- AM PM BLIP Location - - -- Suite MEC _ pr �d ��� PLM - ------- Contact Persgn_ Ph ( - ) --9-�J—:�— -- --- _ _ ( ��� � SWR - -- Contractor — Ph ) --�J- -- BUILDING _ Tena )wner -- — — - _— SLC ------ -- Footing ELC Foundation Access: Ftg Drain ELF' Crawl Drain -_— --_--- - Slab Inspection Notes. SIT Post& Beam Shear Anchors Ext Sheath/Shear -- - Int SheatlUShear Framing --- - -- --- — - Insulation Drywall Nailing - Fi rewall Fire Sprinkler -- -- Fire Alarm Susp'd Coiling Hoof Other: - Final i A3S PART FAIL P��iMBING Fost& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhold Storm Drain Shower Pan Other: Final ��--- PASS PART FAIL MECHANICAL Post& Beam — Rough-In Gas Line Smoke Dampers Final _PASS PART FAIL ELE_CT_RIC_AL Service Rough-In UG/Sla i Low Vo tage - ----- - --- — Fire IE,rm -rinap Reinspection fee of$ required before nem inspection. Pay at City Hall, 1312.5 SW Hall Blvd. tziftx PART FAIL SITE - ❑ Please call for reinspection RE:._ _.__.,_—___- __ — F] Unable to inspec -no access ------ Fire Supply Line i n Approach/Sidewalk 77 nate- - �'C�-- Inspector_ .�� — --- xt--- Other: Final DO NOT REMOVE this Ir1e,N&:t1on record from the Job site. PASS PART FAIL �w�■tea ^ITY OF TIGARD 24-Hour BUILDING Inspection Line: (',j03)639-4175 INSPECTION DIVISION b:Jsu,nss Line: (503)639-4171 MST ---._------ -----_-_ BLIP ------ -- - Received _ _Date ReguestQd ( - "_I_'D AM -PM.r_ -__ BLIP Location . _ _ �,- t _ Suilee_QQ—�� MEC - Contact Person - Ph(___ ) -,..3-5 PLM Contractor _ _. _ Ph( j _ _____�__-_ SWR BUILDING Tenant/Owner ELC Footing Foundation ---- ELC Access: Ftg Drain Crawl Drain Slab !mspection r o1eS: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- -- - - - Insulation Drywall Nailing Firewall Q Fire Sprinkler _ -- ---- - - - Fire Alarm Susp'd Ceiling ---�-- - Roof Other: — --- - in" S PART_ FAIL MRlNf;, Post&Beam Under Slab Rough-in Water Service - SanitAry Sewer Rain Drains - -- Catch Basin/Manhole Storm Drain - Shower Pan Other: -- - -- - Final PASS PART -AIL MECHANICAL - — Post&Beam e� Rough-In - Gas Line Smoke Dampers SS 1 PART FAIL -`-- . TRICAL Service -- Rough-In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA__SS PART_ FAIL _SITE _^ F-] Please call for reinspection RE: _ Unable to Inspect-no access Fire Supply Linc ADA D Approach/Sidewalk pate _ Inspector _ Ext other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL I — IN AAAAAAAAAAAAA < kAAAAAAAAAAAAAAI ' AAAAAAAAAAAAA o d ► At:j �' i ► ► ► r. ► n cVN 1 A CD 1 p r ► Z p ►-r, :l H "-" ► .. p ,., p � d -,►, O ara ► '� rs1 h'1 � � � O � ► 44 N �' '� ► Uq ► o o p i� �� ,� o ► ► N � 1 44 �' IN \ pp r. I� p �►vvviiviivvivivvvvivvviivvivvsvvvvvvvvvvvv�v��' ro o 0 C. �V a � w � b � � s 0 H ro d ro a ro hZ d s 'a' CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST --_ INSPECTION !DIVISION Business 1.!r+A- (503)'539-4171 BUP Received _ Date Requested _ —� --- -_ AM__----. ---_ PM—__ _ _ BUP _— LocationSuite_ NIEC ---- --_ Ph( ) �,� �' /Z __ PLM Contact Person - - Conti actor --- Ph ; ) -- SVR ------ BUILDING TenanUOwner -- -- ELC _ _ - --_—_-� -- ---- Fnoting - ELC -_-- Foundation Access: Ftg Drain ELR - Crawl Drain, - --- - SIT Slab Inspection Notes: PuCt&Beam - - - Shear.'`nchors Ext Sheatii/hear -- "— Int Sheath/Shear Framing - Insulation Drywall Nailing - - Firewall Fire Sprinkler - - -- Fire Alarm Susp'd Ceiling Roof - Other: Final PASS PART FAIL Post&Beam Under Slab f Rough-In Water Service Sanitary Sewer Rain Drains (" Catch Basin/Manhole Storm Drain `- Shower Pan f, ----- Other: -- - -A ---- A _ PART FAIL fa CNANICAL --- Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL— Service --- Rough-In - UG/Slab Low Voltage - - Fire Alarm Final ❑ Reinspection fee of$ _.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please ca?fornspection RE: Unable to Inspect-no access Fire Supply Line ADADgtsAppioach/SidewalkOtherFinal OT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 144L .,1E OREGON STREET SHERWOOD, OR 97140 Plumbing Signature Farm Permit #: MST2002-00484 D.;te Issued: 1116103 Parcel: 1 S 135C D-1?7v"0 Site Address: 11745 SW KOSKI AVE:. Subdivision: KAL.AMOIIKA E`:TATES Block: Lot: 014 Jurisdiction: TIG Zoning: R-12 Remarks: Construct new SF detached residence. 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 Division. No pl,imbing inspections will be authorized until this completed form is received OWNER. PLUMBING CONTRACTOR. STEVE ECK CONTRUCTION NORTH STAR PLUMBING PO BOX 204 1445 SE OREGON STREET' SHERWOOD. OR 57140 SHERWOOD. OR 97140 Phone #: 503-625-1305 Phone #: 625-2679 Rog 4: LIC 00090697 MET 00002694 PLM 34-255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sig ature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WILLIAM BUTTERF!ELD CONTRACTING PCS BOX 305 13120 SW MORGAN RD SHERWOOD, OR 97140 Electrical Signature Form Permit #: MST2002-00484 Date Issued: 1116103 Parcel: 1 S135CD-12700 Site Address: 11745 SW KOSKI AVE Subdivision KALAMOIIKA ESTATES Block: I_ot: 014 Jurisdiction: TIG Zoning: R-12 R^marks: Construct new SF detached residence. Your company has been indicated as the electrical contractor for the pen nit indicated above. In order for the. electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received I OWNER: ELECTRICAL CONTRACTOR: STEVE ECK CONTRUCTION WILLIAM BUTTERFIELD CONTRACTING PO BOX 204 PO BOX 305 SHERWOOD, OR 97140 13120 SW MORGAN Rn SHERWOOD, OR 97140 Phone # 503-625-1305 Phone #: 503-625-6773 Req #: r 1( 119554 r r r. 3-5480 til �1) 3093S AN INK SIGNATURE IS REQUIRED ON THIS FORM x (0 � - -- Signature of Supervising EleF .ism If you have any questions. please call (503) 630-4171, ext. # 310 CITYOF TIG,ARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00258 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/10/0o SITE ADDRESS: 11745 SW KOSKI AVE: PARCEL: 1S135CD-12700 SUBDIVISION: KALAMOIIKA ESTATES 7.JNING: R-12 BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: L AVATOR�ES: OTHER FIXTURES: TUB/S0OWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. FEES Owner: DeLcription Date Amount STEVE ECK CONTRUCTION I I'LUM111 Permit Fce 6/10/03 $36.25 PO BOX 204 SHERWOOD, OR 97140 I \I ". State Tax 6/10/03 $2.90 Total $39.15 Phone : 503-625-1305 Contractor: GROVER'S LANDSCAPE SERVICES 26485 S. MERIDIAN RD. AURORA, OR 97002 RE.')UIRFD INSPECTIONS PRP/Backflow Preventer Phone : 503-678-1706 Final Inspection Reg#: LIC 11807 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 perr-nit will expire if work is not started within 180 days of issuance, or if work is suspend,d for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon f Issued By: Lt ',` _ Permittee Signature: _— Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day titmoing r fixtures Plumbing Permit Application ' Rccci��at Ill umhIng Date/is .( Permit No.: L," ✓ - ;50 City of Tigard Planning Approval Sewer DatelEl Permit No.: 1?.i 25 SW Hall Blvd. Plan Review Other T Pard,Oregon 97223 Da 13 : Permit No.: Post-RevPhone: 503-639-4171 Fax: 503-598-1960 Date/By:y: Land Use ate/ Case No Internet: w"rw.ci.tigard.or.us Contact uris.: See Page 2 for 24-hour inspection Request: 503-639-4175 Namc/Method. �� _ supplemental information. TYPE OF WORK _ FEE*SCHEDULE(for special information use checkilst ,ET_ _New construction _ Demolition Description oo,.IFee(ea.) Total _ Addition/alteration/re_placement ❑©ther: New t-&2-family dwellings Includes 100 ft.for each u Ility connection CATEGORY OF CONSTRUCTION SFR I bath _ 249.20 �1 &2-Family dwelling I Commercial/Industrial SFR 2 bath 350.00 Accessory Building -F Multi-Fam;ly SFR 3 bath _ 399.00 Master Builder Other: Each additional bath/kitchen_ 45,00 _ JOB SITE INFORMATILMandO A IO ' ? Fire sprinkler- . A : Page 2 Job site address: / S - Site Utilities_ _ Suite#: Bldg,/Art.#: Catch basin/arca drain 16.60 Dry-well/leach line/trench drain 16.60 Project t Name: Footing drain no.linear ft. Page 2 Cross street/Directions to ob site: , Manufactured home utilities 110.00 Manholes 16.60 ( Rain drain connector 16.60 _ Sanitary sewer(no. linear ft.) Pae 2 Subdivision: Lot#: Storm sewer no.linear ft. Pae 2 ------ Water service(no. linear ft.) Pae 2 Tax map/parcel #: Fixture or Item _ DESCRIP3 ON OF WORK Ab Yalvc 16.60 _ /L"L" R "' Backflow prevent i Page 2 Ziac WaF; valve 16.60 Clothes washer 16.60 -- - -- - ..---- Dishwasher _ 16.60 _ Drinking fountain — 16.60 ROIrERTY OWNER NT - Ejectors/sum 16.60 Expansion tank 16.60 Address: Fixture/sewer cap 16.60 drain/floor sink/hub . 0 City/State/Zip: Garbage disposal 16.60 — _ Phone: rax: _ _ Hose bib 16.60 A,,LICANT _ CONTACT PERSON ^ Ice maker 16.60 Name: Interceptor/grcase trap 16.60 Address. Medical gas-value: 5 Pae 2 — -- -- -- Primer 16.60 Cit /State/Zi : Roof drain commercial 16.60 Phone: _ Fax�_ �_— Sink/basin/lavator 16.60 _ E-mail: Tub/shower/shower an 16.60 CONTRACTOR Urinal 16.60 --- ——� Water closet 16.60 Business Name: Water heater 16.60 Address: Other: City/State/Zip: �, -i'iL �' Z Other: Phor-:<6"3 --6 S -(7 Fax: S.� Plumbing Permit _ Subtotal 5 CCB Ltt,. 7 _ Plumb. LIC.#: Minimum Permit Fee$72.50 $ Authorized ir 0: 3 Residential_Backflow Minimum Fee$36.25 Si aturc: Plan Review(25%of Permit Fec $ IF o Statc Surcharge(8%of P.mit Fee 5 ^lease print Hamel — __ TOTAL PERMIT FEE Netice: This permll application expires if a permit Is not obtained within Atl new Commerdal buildings require 2 seb of plans with Isometric or IAO days after It has been accepted as complete. riser diagram for plan review. "Fee methodology set by Tri-(bung Building Industry ­%ice Board. i\Dsts\Permit Forms\PlmPemiitApp.doc 01103 Plumbing Permit Application -City of'Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems.- Site ystems:Site Utilities_ Qty. Fee(caj Total Suuare rootage_ Permit Fee: Footing drain- 1" 100' S5(Ni 0 t P.000 _ $115,00 — — Footing drain-each additional 100' ----— 4(,40 2,001 to 3,600 SI60.00 — — 55 ttt — 3,601 to 7,200 $220.00 Sewer Ist 100' _ 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service- Ist 100' 55.00 _ Medical Gas S stems' Water Service-each additional 100' 4„•40 Valuation: _ Permit Fee: _ Storm ve Rain Drain-Ist 100' 55.00 $1.00 to$5,000 00 v Minimum fee$72.50 _ Sturm&Rain Drain-each additional 100' 4640 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or t}actiou thereof,to and Fixture or Item Qty. Fee(ea) Total including$10,000.00. __ Commercial!lack Flow Prevention Device Ori 40 510,001.00 to$25,000.00 $148.50 for the first 510,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27 55 and including$25,000,00. Rain Drain.single family dwelling —h5:5 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1 45 for Inspection of existing plumbing or each additional 5100.00 or fraction thereof,to _ and including$50,000.00. specially requested ms cellons-pet hour 71_NO $50,001.00 and up $742.00 for the first$50,000.00 and 51.20 for Subtotal: each additional 5100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? if "yes",please indicate work performed by fixture. Failure to accurateiv report fixturr-s could result in increased sewer fees*. Quantity y b FlxUtre)Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved Eiltidliff Capped Ila ostr punt _ _ — Ilath -Tub/Shower -Jacuzzi!Whiri ool Car Wash -Fach Stall _ -Drive'l hru r us itdor/Water Aspirator Dishwasher -Commercial _-Domestic Drinking Fountain Eye Wash _ _ ----- — Floor Drain/sink .2" -Y 4" Cor Wash Drain *Note: If the fixture work under this permit results In an Garbage -Domestic Disposal -Commercial _ Increase of sewer F,DUs,a sewer permit will be issued and -industrial __ fees assessed for the sewer increase trust be paid before the Ice plumbing permit can be issued. Oil Separator(Gas Station) _ Ric.Vehicle Dump Station Shower -(fang -Stall _ Sink -Bar/Lavatory -Bradley -Commercial -Service Swimming Poral Filter Washer-Clothes Water Fxiraetor _ Water closet-'toilet _ Urinal Other Fixtures 1ADstsTeiinil FormsTimPcnnilAppPg2.doc 01103 w MASTER PERMIT CITYOF TIGARJ PERMIT#: MST2002-00484 DEVELOPMENT SERVICLSDATE ISSUED: 1116/03 13125 SW Ball Blvd., Tigard, OR 97223 (503) 6�5d-4171 2 SITE ADDRESS: 1174`3 S\N KOSKI AVE PARCEL: -1D-12700 SUBDIVISION: KALAMOIIKA ESTATES ZONING: R-12 It I? BLOCK: LOT: 014 JURISDICTION: 1 II i REMARKS: Construct few SF detached residence. BUILDING REISSUE: STORIES, ' FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 603 sf BASEMENT. st LEFT: SMOKE rFTECTORS TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,023 sf GARAGE: 500 of FRONT PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THRD sl RIGHT VALUE: 182,332,00 OCCUPANCY GRP: R3 HDRM: s LATH. 25 TOTAL: 1.626 at REAR: PLUMBING _ SINKS: WATER CLOSETS. WASHING MACH: 1 LAUNDRY TRAYS: RAW DRAIN: 100 TRAPS: LAVATORIES DISHWASHERS: I FLOOR DRAIN' SEWER LINES, 100 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS. GARBAGE DISE: I WATER HEATFrz; I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAYS: OTHER FIXTURES: MECHANICAL FUEL -P ES FURN<100K I BOILICfAP<3HP. VENT FANS: 3 CLOTHES DRYER: 1 FURN�-100K: UNIT HEATER1 HOODS: OTHER UNITS: 1 MAX INP. fill] FLOOR FURNANCES: VENTS: WOODSTOVES GAS OUTLETS. 3 ELECTRICAL DENTIA..UNIT _SERVICE FEEDER TEMP SRVCIFEEUERS _BRANCH CIRCUI15 MISCELLANEOUS _RFSIADO'L INSPECTIONS LESS: I 0 200 amp. 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: 1J00 SF EN FA ADD'L SOOSF; 7 231 � .w0 amp. 101 - .100 rnp: 1st W/O SVCIF UR. SIGNIOUT LIN LT: PER HOUR: 401 600 amu: 401 400 amp. EAAODL BR CIR- SIGNALIPANEL: IN PLANT: LIMITED ENERGY: MANU HM.SVf,IFDR: 6n1 1000 amp: 401+empa-1000v: MINOR LABEL: I U00+amptvolt: PLAN REVIEW SECTION Reconnect only ,_4 RES UNITS: SVCIFDR>=225 A.: >600 v NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RFRTRICTED ENERGY - -- B.COMMERCIAL — A_SF RESIDENTIAL _ AUDIO✓y S rEREU. X VACUUM SYSTEfA: X AUDIO 6 STEREO. FIRE ALARM: INTERCOM/PAG,NO: OUTDOOR LNUSC LT: BURGLAR ALARM: x OTH. Alt ffNCr1M BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER. x CLOCK. INSTRUMENTATION: MEDICAL: OTHR: Hvnr� x DATA/TELE COMM: '91RSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEES. c 6,782.50 Owner: Contractor: This permit is subject to the regulz,tions contained in the STEVE ECK CON TRUCTION ECK CONSTRUCTION INC Tigard Municipal Code,State of OR Specialty Codes and PO BOX 204 PO BOX 204 all other applicable laws All work will be done in SHERWOOD,OR 97140 SHERWOOD,OR 97140 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 d tys ATTENTION Oregon law requires you to follow rules adopted by the Phone: 625-1 305 Oregon Utility Notification Center. Those rules are set Phone: 503-62 5-130`, f,I th in OAR 952-001-0010 through 952-001.0080 You may obtain copies of these rules or direct questions to Reg a 1 If 1 1 1755 OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst Water Line Insp Plumb Final Sewer Inspection Underfloor Insulation Electri;al Service Gas Line Insp Water Service Insp Final inspection Footing Insp Crawl Drain/Backwater Ele%;trical Rough In Gas Fireplace Appr/Sdwlk Insp Foundation Insp PLM!Underfloor Framing Insp Insula`ton Insp Electrical Final Post/Beam Structural Mechanical Insp Shear Wall Insp Rain Crain Insp —m Mechanical Final Is,ued By : , * Permittca Signature Call (5`.:3) 639-4175 by 7:00 p.rri, for an Insrection needed the next business day CITY O F II V A R IV MASTER PERMIT PERMIT #: MST2002-004H4 DEVELOPMENT SERVICES DATE ISSUED: 1/16/03 13125 SW Hal; Blvd., Tigard,OR 97223 (503) 639-4171 SITE ADDRESS: 11745 SW KOSKI AVE PARCEL: 1S135CD-12700 SUB1711VISION: KALAMOIIK;a ESTATES ZONING: I1-12 BLOCK: LOT: ilia JURISDICTION: FIG REMARKS: Constr,ct new SF detached residence. BUILDING REISSUE: STORIES ,2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 603 of BASEMENT: of� 14FT: SMOKE DETECTORS TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,023 of GARAGE. 500 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THIS: If RIGHT: VALUE 152. 200 OCCUPANCY GRP: R3 BDRM: 3 BATH: 25 TOTAL: 1.626 of REAR: PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAY' RAIN DRAIN: 100 TRAPS: LA\ATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LI 9: 100 SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: I WATER INES: 100 BCKFLW PREVNTR: GRFASE TRAPS: OTHER FIXTURES: MECHANICAL ^_ FUEL TYPES FURN<100K:, 1 BOILICMP<314P VENT FANS: 3 CLOTHES DRYER: 1 LPG fUP.N-100K: UNIT HEA3TRICAL. : HOODS: OTHER UNITS: 1 MAX INP, Ulu FLOOR FURNANCE9: VE1 WOODSTOVES: GAS OUTLETS: 3 RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDGgB BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 -200 anip 0 - 200 amp�% WISVC OR FD R, PUMPIIRRIGATION; PER INSPELTION: EA ADD'L 6009F: 3 201 • 400 amp 201 • 400 on tat WN)svctr R: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 000 4/np: EAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU IIM/SVCIFDR: 601 1000 amp: 601•ampNf000v: MINOR LABEL: 1000+amplvoll: PLAN RL-VIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR>e275 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL •RESTRICTED ENERGY A.SF RESID_ENTIAI B.COMME?CIAL AUDIO&STEREO: x VACUUM SYSTEM: x AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: X OTH: ALL ENCOM BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: Y CLOCK: INSTRUMENTATION MEDICAL: OTHW HVAC: X DATA/TELE COMM: w)FISE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,782.50 This permit is subject to the regulations contained in the STEVE ECK CONTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and PO Elf,;204 all other applicable laws. All work NUI be done In SHERWOOD,OR 97140 accordance with approved plans. 'this permit will expire K work is not started within 180 days of issuance,or If the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Ption6: 503-625-1305 r h—s' Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Pop a may Obtain copies of these rules cv direct questions to OUNC by calling(503)248-1981. REQUIRED INSPECTIONS Erislon Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Weter Line Insp Plumb Final Sewer Inspection Underfloor insulation Electrical Service Gas Line Insp Water Servs,M Insp Final Inspection Fooling Insp Crawl Drain/Backwater Electrical Rough In Gas Fireplace Appr/Sdwlk Insp Foundation Insp PLM/Underfloor Framing Insp Insulation Insp Electrical Final IPost/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Mechanical Final a -I l Issued By : Er` ' �' -- Permittee SignatureCall (503)(503) 639-4175 by 7:00 p m, for an inspection needed t:1e next business day CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00329 I Lllk 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE IS.iUED: 1/16/03 SITE ADDRESS; 11745 SW KOSKI AVE P..RCEL: 1S135CD-12700 SUBDIVISION: KAI.AMOIIKA FSIA11S ZONING: R-12 BLOCK: LOT: 014 JURISDICTION: 1 1() 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 connection for new SF detached dwelling. Owner: FEES _ STE=VE ECK CONTRUCTION PO BOX 204 Description Date Amount _ SHERWOOD, OR 97140 1SWUSAI Swr Connect 1/16/03 $2,300.00 1SWUSA]Swr Connect 1/16/03 $0.00 Phone: S03-025-1305 ISWINSP] Swr Inv,hcct 1/16/03 $35.00 1SWINSP; Swr In';lxct 1/16/03 $0.00 Contractor: Total $2,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expirt,� 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 measureme,it given, the installer shall prospect 3 feet in all directions from the distance given. If riot so located, the installer shall purchase a "Tap and Side Sewer" Perm Issued by: Permittee Signature: �.�` -z=s`�- -�_rz,__ Call (503)6394115 by 7:00 P.M. for an inspection needed the next business day I� Building Perinit Application Illy of Tigard Date,received: . F'crmit no Projec Address: 13125 SW Hall Blv �1�R23 dapidExpircdatc. .no.: — —_,— City oJTigard phone: (503) 639-41fj — I Date issued: iiy Receipt no Pax: (503) 598-1960 Case file no.: Payment type: Land use approval: L 1&2 family:Simple Complex: III I Will 1 &2 family dwelling ur accessory I mercial/industrial U Multi fanuly New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Job address: Bldg.no.: _Su,te no.. _ Lot: Block: Subdivision: Tax map/tax lot/account no. Lot: Block: �S Project name: Description and location of work on prernises/special conditions: (Floodplain,-.wplic capacity,solar,efc.) Mailing address: ( I &2 family dwelling: City: State: ZIP: Valuation of work....e..�7.. Phone: Fax: I E-mail: No.of bedrooms/baths................................. 3 _ Owner's represen tive: Total number of floors.............................._. Phone: Pax: fi-mail: New dwelling area(sq. ft.) .......................... 1 Garagc/carport area(sq. ft.)......................... Name Covered porch area(sq.ft.) Mailing address: — ---- Deck area(sq.ft.) ........................................ - City: State: /IP: Other stricture area(sq.ft.)........... ............. Phone: Fax: --�-7-h'. mail:L — ` ('ommerciaUindustrial/multi-family: - Valuation of work.................................. $ -__— _ . Existing bldg.area(sq.� �G�i?r /P�' ft.)......................... . Address: --- Business name: G �<� E) r�~7 - New bldg.arca(sq....t. .......... .................... City: )� State: ZI PQ Number of stones ------- 'type of construction Phone: p Pax '� &mail:- ._— ......................•........,.... �-- Occupancy group(s): Existing: CCB no.: 11,�Z`�e-- ---- — -- ----------___ New: City/metro lic.no.: Notice: All contractors and subcontractors aree required to be licensed with the Oregon Construction Contractors Board under Nanhe: � ��� y'<1 provisions of ORS 701 and may be required to be licensed in the — � - Addresjurisdiction where work is being performed. If the applicant is s �" f U f j� _ — Cit � State: "LIP: ��°�• exempt from licensing,the following reasor.applies: Contact tw•non: Plan no,; Phonea<-11- S^ Fax E-mail:-{ --— ---- ___ Name: L'n /;r r,+ '� Contact person: Fees due upon application ........................... $ Address:/ el_ �- 1/ Date received: City: Stat 7.1 P: q'7�; ' Amount received ......................................... Phone: Fax: [:-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Nor all Jud"ctione accept credit cant,pteax cart jurisdiction for moth inforrruwart attached checklist. All provisions of laws and ordinances governing this U Vise U MasterCard work will be complied with,whether specified herein of not Credit card number �► _ Expires Authorized signature���`'- DatC: _ Name of cxtdtwlder at down on credit card t�Ilp _ _ 1 Pfln'name:_ � _r, Cardholder riRnuure Amount Notice:This permit application expires ifs permit is not obtained within 190 days after it has been accepted as complete. rho-4613(~•onf) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: Cit of Tigard 3' � O Electrical O Plumbing U Mechanical Address: 13125 SW Ball Blvd,'Tigard,OR 97223 U Other: Phone: (503) 639-4171 - - - - Fax: (503) 598-1960 THE FOLLOWING ITEACSARV R�QUIRED FOR 1 land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat lot. 4 Fire district _approval required. _ 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report.Must cavy original applicable stamp and signature on file or with application, _ 9 Erosion control U plan U pennit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc._ 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I I Site/plot plan drawn to scale.Tlnc plan must show lot and building setback dimensions;property corner elevations(if' there is more dean a 441.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of stnrcture(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage area;percentage of coverage;impervious arca;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,conn�ction details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-Boor, wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheadiiat!,mxding,roof slope,ceiling height,sidin,r,%merial,footings and foundation,stairs, _ fireplace consuucdun, thenna!insulation,etc. _ 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect die actual grade if the change fn grade is greater titan four foot at huildi g envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;f rr non-prescriptive path analysis provide s pecificat;ons and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all (lcx,rVroof assemblies,indicating member sizing,spacing,and hearing locations.Show attic vcutilation. — 18 Basement and remining walls.Provide cross sections and details showing placement of rebar.For engineered — systems,see item 22,"Engineer's calculations." 19 Beam ralculationo.Provide two sets of calculations using current coxae design values for all beams and multiple joists oven lo feet long and/or any beam joist carrying it nun-uniform load. _ 20 Manufactured floor/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 itppliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,rood truss)shall be stamped by an engineer or architect licensed in Oregon and shall he shown to be applicable to the project under review. =IN 110 11 Lai[Dh%l 10-lil KM 23 Five(5)site plans are required for Item I 1 above. Site plats must be 8-1/2" x I 1 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. ^_ 26 No rolled,reversed or mirrored building plans will he accepted. 27 28 _ Checklist must he 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. 440-4614 tmoaCOMt Mechanical Permit Application Datereceived: Permit no.: t�lr ir.t'h3 yc City of Tigard Project/appl.no.: Isxniry Jatc:'l CityafTigard Address: 13125 SW Ilall Blvd,Tigard,OR 97223Date is:ucd: Hy:_ Receipt no.: Phone: (503) 639-4171 --- - Fax: (503) 598-1960 Case filcit, Payment type: Land use approval. Building rn: no.. &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tena,7i­,pto)7vcrnentNew construction U Addition/alleration/rrplacement U t)thcr. VALUATION Job address:l/ C2Indicate equipment quantities in boxes below. Indica;,the dollar Bldg.no.: - Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account r,o. profit. Value$ Lot: Block: 5uhdivision; *Sec checklist for important application information and Pmject name: jut,.u.: -on.s fire schedule for residential permit fee. If City/county: ZIP: i Description and location of work on premises: _ Fee(ea.) Total Est,date of completion/inspection- - D scri rtion Qty. Res.only Res.oul Tenant improvement or change of use: — Is existingiheated conditioned'?U YU No Air handling unit _._. CF-M 'space or cones Air condition`ng(site)T-requir ) _ Is existing space insulated'?U Yes ❑No Alteration of existin-�T�i .system m 1*1 imp 11111 of er c-5inpressors - - Business Warne: �G Mate boiler permit no.: �L_u 1��'Q lip __Tons__--BTU/H -- - Address: — Fire/smoke amper. uct smo�ce7ctcctors -- - --r;� ---------- -- -- City: State: I If: F(uat pump(site plan required) Phone:!7 Fax: E-rnaii: �- nxiall if Ia_efurnacelbumer_a,- TU/t ----- Including ductwork/.ent liner U Yes U No 4 �r CCB no.: _ __—_ nT1511rep ac rt ocate caters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): Vent for appliance other than furnace e6 gen on: Absorption units BTU/11 — Name: Chillers--__._____ — HP Compressors Addrrss: EnvironmentalEnviroinnental ex tml and trent ton: City: Stale: 7.1P --^_ Applianceveni Phone: fax F-mail: )rycrcx gust loor�s�yp� /IT res.UicTicn7fiaimat - - hood fire suppression system Name: Exhaust fan with single duct(bath fans) .x Mailing address: D dj�l./ - -- -hr wst-system a},a�rt ro�irtTtln� piping and di4r ut on up to 4 outlets) City: Slate: LP: �� Type. __LPG NG Oil Phone; Fax: E-mail: fug iin eacTa inions overtat—it fets rocesspiping(schematic regture ) Number of outlets Name: ter FoR apFIWmce or equipment:— Address: Mcorati_ve fireplace City: -- State: ZIPSnsert-type Phone: f tux: C:-mail: oo stove Ix et stove Other: _Applicant's signature: - _ hate:_ - Name (print): - ----- fee WO WI lwisdkliotu ts secept ctedit cants,pleacall)uriaLaion Ge ffvxr m(c oronNotice:711is pernrt application Miniman nmum ........... .........$ �• `�� Mm fee................$ _ �7- ' S•'=_ U Viso U Mttstett:ard expires if a pernlil is not obtained _1_3 Crnlit card number __ -....-_-_-----_--__ 1._--_/- _ Plan review(at %) $ -- 1.,1,;,f1 within ISO days aflet it has been — l ---------- ----------- $ accepted as wm tete. State surcharge(896)....$ e---, Num n(cerdltolder u shown on credit cudP TOTAL $ I - — C*rd6ddtx si`natwe __ — - Amount 140.4617(M)WOM) Plumbing Permit Application Datereceivcd: Pei mitno.:'t,�jl City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.Tlga!1. OR 97223 CiivofTigard phone: (503) 639-4171 Projcct/appl.no.: Expiredatc: Fax: (503) 598-1960 Dateksued: By: Itcceiptno.: Land use approval: r Case file no.: Payment type: 1 &2 family dwelling or accessory O Commercial/industrial O Multi-family 0'renant improvement A'New construction ❑Addition/alteration/replacernent U Food service Ll Other:_ 3011 SI*1 1-1 INFOIUVIA'l ION Job address: % Ikxcriptlon Fee ea. Total New 1-and 2-family dwellings only: Bldg.nu.'y Suite no_--� (Includes 100 ft.foreachutility connection) Tax map/tax lot/accuunt no.: _ SFR(1)bath Int; luck: SubSFR(2)bath Project name: — SFR(3)bath ('ily/county: ZIP: Each additional bath/kitchcn Description and location of work on premises: Site utilities: _ Catch basitLlarea drain Est.date of completion/inspection: Drywells/leach line/trench drain _ Footing drain(no.lin. ft.) Manufactured home utilities Business name: h' %! Manholes Address: - �j� —�P Rain arairf connector City: Srft — ZIP: ?71Sanitary sewer(no. lin. ft.) ^ Ptwnc: lax: Email Sturm sewer(no. lin.ft.) — CCB no.: 1'luutb.bus.reg. no: Fixture service.(no. lin. ft.) -- -- - Fixture or Item: City/nictm tic.no.: --- Absorption valve Contractor's representative signature: — �J�Back Ilow preventer Print name: Date: Backwater valve Basins/lavatory _ Clothes wasIM _ Nance' __ _ -- Dishwasher — Address: — Drinking fountain(s) City: State: ZIP: _ Ejectors/sump Phone: Fax: E-mail Expansion tank 11111111F 11110 it Fixture/sewer ca Floor drains/Iloor sinks/hub Name(print)_ Garbage dis sal Mailing address: _ — !— //� Huse bier City; Soft- LII': �{.� Ire maker Phone Fax: E-mail• Interceptor/grease trap Owner installation/residential maintenance only: The aoual inswllation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 4I7. Sink(s),has- s),lays(s) r _ Owner's signature:_ _ _ Date: Sum 'F'ubs/shuwer/shower pan Urinal Nance: _ _ _— Water closet Address: V Watct heater City: State•. ZIP: Ocher: Phone: Fax: E-snail: Total Minimum fee................$ w G Nut lwixhcauns occcix credit cutis,plc&w ull jull"cdon fur mom inf— umatior ,Suti x:ibis pemttt application UVisa C]htasterCard iPlatt review(at expires if a pemtil is not obtained State surchare(8'l0)....$ __ Gant cad numtxig :, _ — —L--1— I %,Jthin 180 days atter it has been -- Frt ues p af:u:pted as wmplete. TOTAL .......................$ _ Ns,ro u(-canllwldr�u Showa on credit card s Cudholdd si6nature Amawn _ 440-4616(6AWCOM) Electrical Permit Application Detereceived: Permit City of Tigard Project/appl.no.: Expire date: City of fiparrl 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: 1 "I At 2 family dwelling or accessory U CommerciaUindustrial U Multi-family U Tenant improvement _XNew cunsut,ction U Addition/alteration/replaccntrnt U Other: U Partial JOB SITE I NFOKMATION Job address: Jl!J � Hldg. nu _ Suttc nu.: Tnx map/tax lot/account no.: Lot: L Block: Subdivision: Project name: Description and location of work on premises: _ — Estimated elate of comfiletion/inspection: CONTIM-1`0111 APPLICATION FEE SCHEDULE Job no: al Business name:C(f ,� GTTr�r of _lf1 Description Uty. (ca.) Total no.insp - r New residential-single or multi-family per Address: &7, 0 _ _ dwellingwdl.Includes attachedgarage. City: 1/ Slate' LIP: / Serriceinciuded: i- Phone: Fax: E-mail: 1000 sq.ti.or less /.�S— 4 C Each additional 500 sq.fl,or portion thereof CCB no.:/ �s':r!e I?Iec, bus. lie. no: .�fy� Limited energy,residential 2 city/tttetro lie.no.: - _ Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician Inquired) Date Service and/or feeder _ 2- Sul),elect [lame(print) License no _ services orreeden-installation, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 _ -- 401 amps to 600 amps _ 2 Mailing address: 601 amps to 1000 amps 2 City: Slate: ZIP_--- - _ Over 1000 strips or volts _ 2 Phone: Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services orfeeden- which is not intended for sale, lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2amps less _ _ z 20011 amps in 400 amp, 2 Owner's signature: Dale 401 u.601 amps -- - - Branc!r circull.s-new,alteration, or e%tenslon per panel: Name: -__ A. Far for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ City: _�_ sttalc: ZIP: -_ B. Fee for branch circuits without purchase - ---- of service or feeder fee,first branch circuit 2 I'honc Fax: E-mail: — - - Gach additional branch circuit: PLAN REVIEW(Illease check nfl that apply) Misc.(serrlce or feeder not Included). U Service over 225 anrps-coi mKrcial U Health- ar facility Each pump or irrigation circle -` 2 U Service over 320 grips-rating of 1&2 U hazardous location Each sign or outline lighting 2 fa nilydwellings U Building over 10,000 square feet four at Signal circuit(s)or a limited energy panel. U System over 600 volts nominal mare residential units in one structure alteration,ur extension* _ 2 CI Building over three stories U Feeders,4(xl strips or more •(xycn,tion U Occupant load over 99 persons U Manufactured structures or RV Park Each additional inspection crier(fie allowable In any of the above: U Egressrlightingplan U Other _ �.� - Per inspection Submit sets of plant with any of the alNrve. Investigation fee The above are not applicable to temporary construction service. other Not all jurisdictions accept credit cads,please call jurisdiction For more InNamstion. Notice:This permit application Permit fee.....................$ ?0 O Viso O MuterCard expires if a permit is not obtained Plan review(at e %) $ d Credit cud numbs: within 180 days afler it has been State surcharge(8%).... accepted as complete. TOTAL .......................$ 2 14, 9!I> Name Idea u shown nn c t cad � L S aipatrae Amount 4404613(&MCC M) IY `I lc,-,Cf� 1 p \ ON PRoPC`lSFI_ / 0 . Zyl 5-0 O Q A'THICK - r� CONT z DRIVE Igo 711 --> 0 CN 0 IL Ln J U SWKOSKI D( N/F ~�.� �V) I a Y OF j�c,A��OM Dr'JIQf'7 av��.o�NU SUNIEL 140ME DESIGN,INC IS NOT LIABLE FOR THE ACCURACY OF THE LC�iAL D�lCRG�TI017 n�wwion.w ru TOPOGRAPHV GVrORMATION IT IS -- � •-� + THE SOLF RESPONSIBILITY OF THE TO BE ATTACHED BUILDER TO VERIFY ALL SITE CONDITIONS,INCLUDING ANY FILL �•____ PLACED ON THE SITE.AND INFORM N• P OWNERS Of ANY POTENTIAL FIELD .r. •rrn M1MRSt pESGN