14565 SW KLIPSAN LANE N
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14565 SW Klipsan Lane
FROM :CRAFTWORK PLUMB I 1'G FAX NO. :5036445989 Nov. 01 2002 08:34AM P2
Plumbing Permit Application
Date received: Permit ni.;
City of Tigard Sewer enrllt no.: Building pemtit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 .
City ufTigard phone: (503) 639-d171 Projecdappl.no.:_ _ expire date.
Fnx• (503) 598.1950 Date issued: Ry, Receipt no.
Laud use approval:i l Caee file no.: 1'eytncnt type
Ell 1 1 firimily clwclling or accessory J Commercial/industrial 0 Multi-family 0 Tenant impmvemont
O 1 construction DAddition/alteration/replacement 0 Food rtervicc 0 Other
Job n;ldress: 5 PQ_A_o�rl_ptlnn t . leeti(en. Twill
Bldg,no.: Suite n ,: — est t•and -family d*Ve lingo oily:
Tax map/tax lol/account no,: (Includes 10011.rnrenchutility-onnection)
Lot: Black; Subdivislnn: FR(1)bath
!� _ S (2)both --
i'rnjecl name: _ SI'R(3) atli
Cit /conn �— -
ry: I IP _ F:ach additional oth/ tic ice
Deecription and location of work on premises: — _ _ Site utilities:
_ Catch basin/area drain
Fst date of completion/mspecrion: wells/lanc tine/trent t lrnt'n
Footing drain no, lin. .)
[lut:urcss name !-
Manufactured home utilities
-�- _�r--_ �11r! ��_�� Man io es
Address. `1� S Ni r" f ,t
�f (l! Rain drain connectnr
City:�+4Ys/�� Stnte;� LIh:�� Sanitary se+ver(no.tin, ,)
Phonc (it/ •�"+fi4a'" 1 Fn4 y.,pj E-mail: Stone cewrr(n�T-ft.)
CCH no.: Plumb.bus.req.nn���/Y P' ate;service(- n-fin.ft.)
City/metro lir..no.: _ A Fixture nr Item:
Contractor's representotive-signature; Absorption valve
Print name: - Mack How prevcnter
/ Uate: -5-3 water valve
A? 11110M nsins/lavotory _
Name: Clothes washer
Address — Dishwasher --
_-_ — _ Drinkin fg ountaln(a)
City: slate: zip.---_- -- _. f colon/sum
Phone: Fax: Expansion tank
Fixture/sewer ca
Name(print): Floor rains/nnor sinks/hub
Mailing address: --
Garbage disposal _
Ilose hib
City: State: 7 ZIP: lee maker
Phonc; I B-mnil• hiterceptor/grcpso trap
Owner installation/residential maintenance only: The actual installation Primers)
will be made b1 me or the maintennnee and repair made by my regular Roa drain(commcrcitt)
employee on the properly I own as per ORS Chapter 447. Sink(s),hasin(s), ays(s)
Owner's si tature: date; Sutnp
I'ubs/shower':hower pan
Name:
anal _..
_nddroxs: Water closet
Water heater
City: v State: ZII' Oi ter: _
Phone: _ Fax; -moil: nta
Noi Alijurtedtelione accept audit tMnU,plenne colt jurletacuon(mr mote Inrnrmatlnn. Minimum fee.......... ..... S �_
Nonce: This permit application , „
o Vint U MmtcrCmd expI Ian review(at_ /n) $
erodit onto number. _J / within Ito pCnitil a not s beced State surcharge(111%) $
.ap ter roe within 18n days oncr It his born
"— " accepted as complete TOTAL ...............
Nnn s al taro m�er ne ehnwn un cndlt card p p S -----
r
Her ilpnaturo Amount 40.e616(6taa/COM1
CITYOF T I G A RD MASTER PERMIT
PERMIT#: MST2002-00418
DEVELOPMENT SERVICES DATE ISSUED: 10/16/02
13125 SW �;dll Blvd., Tiy:;(d, OR 97223 (503.) 639-4171
SITE ADDRESS: 14565 SW KLIPSAN LN PARCEL: 2S105DA-16400
SUBDIVISION: �?� ZONING: k-7
BI OCK: LOT: Ili.: JURISDICTION: TIG
REMARKS: Construction of new SF detached residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: )r FIRST: 1,552 of BASEMENT: 9:.4 Of) of LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOD LOAD: 4n SECOND: 1,590 of GARAGE: 734 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: FINSSMENT: of RIGHT: 9
OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TO'iAL: 3,142 of VALUE: 400,357.20 REAR: 42
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 6 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES. 101) BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: a CLOTHES DRYER: 1
GAS FURN a-100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: B 2ul 400 amp: 201 •400 amp: lot W/O SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 40', 600 amp: 491 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
rAANU HM/SVCIFDR: Bpi 1000 amp: 601•ampa•t000v: MINOR LABEL:
1000+amp/vVII
Reconnect only. PLAN REVIEW SECTION
a-4 RES UNITS: SVCIFDRr-225 A,: a 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: x VACUUM SYSTEM: X AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PA 31NG: OJTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRk:G: PROTECTIVE SIGNI.:
GARAGE OPENER X CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: X DATAFIELE COMM, NURSE CALLS: TOTAL M SYSTEMS:
Owner: Contractor.
TOTAL FEES: 4 9,038.91
D R NORTON D R NORTON 7nis permit Is subject to the reg6,o!ions contained in the
5125 SW MACADAM#145 4386 SW TON INCIN VI Tigard Municipal Code,State of OR Specialty Codes and
PORTLAND, A M# SUITE W M#102 all other applicable.laws All work will be done in
PORTLAND,OR 97201 accordance with approved plans rds permit will a.pire if
work is not started within 180 days of issuance. If'he
Work Is suspended for more than 11.10 days A I TENT ION
Oregon law requires you to follow rui m adopted by the
Phone: 244-5322 Phone: 503-222-4151 Oregon Utility Notification Center Those rules are set
forth in OAR 952-001-0010 through 952-001-0080 You
Rep N: LIC 1 1459 may obtain copies of these rules or direct questions to
OUNC by calling(503)246.1987.
REQUIRED INSPECTSONS
Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Ir.Ip Mechanical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Footing Insp Crawl Drain'Backwater Electrical Service Low Voltage Water Line Insp Final inspection
Foundatlon Insp Footing/Foundation Dr; Electrical',)ugh In Gas Line Insp Appr/SdNlk Insp
712
Issued By :r- et L1 < C `C .� Permittee Signat�fre :(
Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next bLlsiness day
r CITY OF TIGARD -- - -
SEWER ,-, NEC TION PERMIT
PERMIT#: SWR2002-00274
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/16/02
SITE ADDRESS; 14565 SW KLIPSAN LN PARCEL: 2S105DA-16400
SUBDIVISION: ZONING:
BLOCK: LOT: _ JL RISDICTION:
TENANT NAME: C
USA NO:
FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sevier connection permit for new SF detached residency.
Owner: --�--_
FEES
512.5 SW MACADAM#14.5 Description Date Amount
PORTLAND, OR 97201 ----
I SWLISAJ S�cr Connect 10/16/02 --� $2,300.00
Phone: 244-5322ISWINSP] Swi Inspect 10/16/02 $35.00
Total $2,335.00
Contractor:
Phone:
Reg #:
Requirad Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water 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 located at the measurement given, the installer
shall prospect 3 feet in all directions frori the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. A17ENTION: 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 952-001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued by: == i' y t �f Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
„j ` q-3 -- R r
Building Permit Application
City Of rll al'(� Date received��:: �,1 Permit /
City n(Tigrrrd
Address: 13125 SW Hall Blvd,Ti�,u�l. t fR 9722' Project/appl.no.: Expir ate:
Phone: (503) 639-4171 Date issued: _ By: Receipt no.:
Fax: (503) 598-1960 1 Case file no.: Payment type:
Ladd use apprff.al: _ 1&2 family:Simple Complex: //'
OF PERA11-
U 1 &2 family dwelling or accessory Commercial/industrial ❑ Multi-family *'New construction O Demolition
❑Addition/alteration/replacement U Tenant improvement G Fire sprinkler/alarm ❑Other: _
II SITE INF MATION
J-h address: _ Bldg. no.: Suite no.:
Lot: 61-fBlock: Subdivisi n: A �� �' Tax map/tax lot/account no
Project name: VIA6411.1 &V _ IqC..—
r— —
Description and location of work on premises/special conditions:
1 ' 1
Name: Hiyrb t;t? r
Mailing address: C,l2Cj _ I &1 family dwelling:
Valuation of work . .,Ojr.
State: p ZII Q .... p ,,,,,,,.,• '�'
Phone: ( No.of bedrooms/baths.........4..”.....�f......
Owner's representative: -, LbAWI Total number of floors................................
Phone: 13 Fax: E-mail: New dwelling area(sq.ft.) ..........................
I-, sae/carport area(sq,ft.)....... ..r .`T.....
Name: p• R h h Y V-1 Covered porch area(sq.ft.) ......../..✓�..�...... — —_
--`- --`-` beck area(s ft.
Mailing address: G t A a�!U V q. ) ........................................
City: State: ZIP: Ocher structure area(sq. ft.)......................... _
Phone: Fax: E-mail: ('ontmercial/indttstriaUmulti-family:
Valuation of w $ _
Existing bldg.area(sq. ...
Business name: r t'L h
Address: New bldg.area(sq.ft.)...............
City: State:p 7.IP: Number of stones............. ................. �-
Phone: - /S Fax: yy�• E-mail: TYPc of constructio .................................... --
CCB no.: Occupancy p(s): Existing:
O _
New:
City/metro lie.no.: Notice:All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board under
Name: J�� U t., provisions of ORS 701 and may be required to be licensed in the
Address: �_7p — jurisdi pion where work is being performed. If the applicant is
City: State: ZIP: — exempt from licensing,the following reason applies:
Contact person: kl pMr IG Plan no.: Z,.
Phone:=. jjJFax E-mail:' - — —
"Name:"4'.ej/ �� l ontact person: Fees due upon application ........................... $
Address: Date received:
Utry: state:00- ZIP: Amount received ......................................... $
Phone: Fax:6od1 41/ E-mail: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all lunsd,caom accept credit cards,please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑'Ass J MasterCard
work will be complied wl , whether specified herein or not Credit card number
Es,,res
Authorized signature: ' _ Date: �_QZ Nene of:ardholder as ehown nn credit cutl
Print name: /GC/ ` _ __ g
Cardholder nylatttrc Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "i-M13(dmrcoM)
Mechanical Permit Application
Date received: Permit no. ( .,YirJ3 c'o 4/
' City of Tigard Project/appl.00.: Expire date:
City ofTigord Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 6394171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.. Payment type:
Land use approval: _ Building permit no.:
TYPE OF PERMIT
;Ne
amily dwelling or accessory O Commercial/industnal O Multi family 0 Tenant improvement
nstruction 0 k(ldition/alterutiott/replacemcnt U Other:
ON UOMMURCIAL VALUATION SCIIIIEDULE
s: 1 ,,- / t - Indicate equipment quantities in boxes below. Indicate the dollar
Bldgno.: ice no.: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit.Value$
Lot: A5,Z. IBlock: Subdivision: i(G/ "See checklist for important application infoimation and
Project name: rlwa 15(,. jurisdiction's fee schedule for-residential pem it fee.
City/county: ZIP: 1 ls�
P111
Description and ocation of work on premises: 11; ;AII tP11i
I ee(ea.) dotal
Est.date of completiontinspection: AefliMpHon qty. Res.only Res.only
Tenant improvement or change of use: AC:
Is existing space heated or conditioned'!0 Yes U No Air handling unit CFM
Air conditioning(site plan required)
Is existing space insulated?❑Yes 0 No Alteration of existing VAC.system —
Boi er/compressors —
Business name: V State boiler permit no.:
HP Tons BTU/H
Address: k _ ire/smoke amp�.tsmokedetectors — �—
City: State: ZIP loo I Heat ump(site pump(site _
Phone: Fax: E-mail; nsta rep ace u�t rnacr�iumer /H
CCB no.: Including ductwork/vent liner ❑Yes 0 No
nsta replace/re ocateheaters-suspen e .
City/metro lic.no.: _ wall,or floor mounted
Name(please print): Vent fora iance other than furnace
CO TACY PERSONe gena on:
Absorption units_ _ BTU/H
Name: N lel f1� SO 1 Chillers 11P
Address: (j 5�. Com ressorsnv _ HPY
onmenta t o
exhaust an rent an.
City_ y State: ZIP: O Appliance vent
Pht rn,t: - Fax r - •3I1 E-mail: Dryer exhaust
Hoods,Type U Wires. tchen/hazmat
hood fire suppression system
Mune: /1?t!s Exhaust fan with single duct lbath fans)
Mailing address: Z v xhaust system a arttom eatin or AC
City: dr `{ State:Qi( ZIP: tie piping an ut on(tip to a out ets)
Type LPG _ NG _ ()d —
Phone: /r/ I ax. 2 /'f I E-mail: I f=uel i to�each additional over•r outlets
tocess piping(schernat tc required I
Name: �' Number of outlets
-- f ter listed appliance or equipment:
Address: gic�iy_�c- �L •t!' Decorativefirepla.e
City: State: ZIP: -7g9(j nsert-type
Phone: I`ax: L4V I&S I E-mail Woodstove/pelletstove
Applicant's signature: Date: t)thrr
-4 ( ter:
Name IprintJ: / -
----- Permit fee.....................$
Not all junulLcuons accept credit yards.plum call lunuhcuon for"vote information. ---
:�Visa J MasterCard Notice:This permit application Minimum fee................$
Cfedit card number _--_—__ —� —L_L expires if a permit is not obtained plan review fat — or) b —
6aprres within III days after it has been State surcharge(8%) ....$
Nurse of cardholder tit shown on credit card accepted as complete.
_ S TOTAL .......................g
r.ardhnlder;rgnatuu Amount
440-4617 WMCOM1
Electrical Permit-Application
• Date received: Permit no.:�/}'fj"�•' �� —��l g
City of Tigard Project/7ppl.no.: Expire date:
City(!f Tigard Address: 13125 SW Hall Blvd,Tigard,u& 9",223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Paymet,t type:
Land use approval: —
TYPE OF PERMIT—
G i of 2 family dwelling or accessory U Commercial/industrial _1 Multi-family U Tenant improvement
New constn(ction U Addition/alterati(in/replacement A Other: LIP artial
JOSSITE INFORMATION'.
Joh address: Bldg. no.: ''lust nu.: Tax map/tax Int/account no.:
Lot: Block: Subdivision: Gf ri/Cst'
-- — -..
Project name: L 1 Description and location of work un prerli es: _-
I?stirn::ictl Mate of ronipi,•Iiun/irispccuot):
1XTOR APPLICATIONSCHEDULE
Joh oo: Fee Mnx
��� ys�v Qty. (ea. Total no.fnsp
Business namc: (/1 r r _.. New residential-single or multi-family per
Address: Ddwellingunit.includm attached garage.
City: State: 2 Serviceincluded:
Phone: - Fax: G mail: 1000 sq.ft.or less t
Fach additional 500 sq.ft.or portion thereof _
CC _ Elec.bus. lie.no: Limited energy,residentud 2
City/metro lic.no.: cb�_152Limited energy,non-residential 2
--�- Each mmmufactured home or modular dwelling
SfgngrU",.o�upervising etectrleian t'required) Date Service and/or feeder 2
Sup.elect.name(print): � License no: Services or feeders-Installation,
alteration or relocation:
IlLi�,T11IIIIERTY OWNER 200 amps or less 2
7. 1-
Phone.
nt): �. r 201 amps to 40U amps 2
401 amps to 600 amps 2
ddress: < _ Q' I 601 amps to IODO amps -'
`" tK Slate: 7-IP Over 1000 amps or volts 2
Fax: E-mail: peconnectonly
Owner installation:The installation is being made on property I own Temporary ser.lces or feeders-
which is not intended for sale,lease,rent,or exchange according to Installation,aileration,orrelocation:
200 amps or less 2_
ORS 447,455,479,670,701.
201 amps to 400 umps _ 2
Owner's sl nature: Dale: 401 to 600 ams 2
VIM 10 M Branch circuits-new,alterntfnn,
or extension per panel:
Name: -_ j A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circ0t —_ 2
City State ZIP. B. Fee for branch circuits without puren,se
,�/ —r— of service or feeder fee,first branch circuit: 2
Phone: _ - 11!I/! I E IrLnL Eat.h additional branch circuit. I
Misc.(Service or feeder not included
U Service over 225 amps-.:onunewial ❑Health-care facility Each pump or irrigation circle 2
U Service over 320 amps•rmmg of 1&2 ❑Hazardous location sign or outline lighting 2
on �.
family dwellings U Building over 10,000 square feet four or Signal circuit(O or a limited energy panei.
U System over 600 voila nominal more residential uruts in one structure alteration,or extension" 2
U Building over three stories U Feeders.400 amps or more 'Description: —
U Occupant'oad over 99 persons U Manufactured structures or RV park.. Each additional inspection over the allowable In any of the above:
U Egress/hghtingpla„ J Other. ___- per inspection
Submit ___gets of plant with any of the above. Investigation fee
l he above are not applicable to temporary construction service. Other
Not all lunsdicuans accept credit cards,please call lunsdicuon for mum infomtauon. Nolic::This permit application Permit fee.....................$
U\55a 7 MasterCard expires if a permit is not obtained Pian review tat °b) $
Credit card number: / / tvN'Im 180 days afler it has been State surcharge(836) ....$ r
Expires accepted as complete. $
Name of cardholder as Shawn on credit cud
_ S
Cardholder signature Amount 44w615 t6/atlft::0.1'
r
d = C PACIFIC CREsl- SUB01vlslo:N
52
C71•' "1'IGARD
LAND5CAPING FOR THE ENTIRE LOT
SHALL BE FINISHED OR THE LOT
SURROUNDED By EROSION CONTROL
PRIOR TO BREAK OUT OF CCE-''+UNITI
ER05ION CC".`F�:'_ - , 5—E:: .,_.CF'E=
.5644-- BE ..E55 .-an,
NOTE
I.ROOF DRAINS TO STORM
LAT. IN STREET.
2. FOUNDATION DRAINS TO
CKYARD SOAKAGE TRENC�-
/�^ S E AT*AC+4ED DETA;L
i1' 96' '5 f ) 00 )'E
f Jfl
I 1 15 n n,
4{ -LAN 39 A
SQ F' 9O
I� )
(-D
GARAGE
SOFT, . 15,
FIN EL . 5 TEMP GRA/E
DRIvEWAT
EE-496' 5 �
1 1 - , 00 THE Ate- OACN SHALL BE EL
A MIN',,'- OF &'x12'x2c
!�. OF CLE--'N PIT GRAVEL
52,
FRCN- 'ARC TO GARAGE
5 DE `'ARD
REAR YEARD
D.R . Hortoii llomc,�
�16-
•cwE 6C?: :ai5 C!..': �rr-� �.o��r _-
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST -
Received __ , Date Requested ___..�_��..___ AM—PM------- OUP
Location Suite - MEC
Contact Person Ph �� ^ 4 _ PLM
Contractor___- _- Ph(_ _ ) _ _ - SWR
_BUILDING 1 Tenant/Owner -- - - _ __-- ELC _--
Footing
Foundation -- �- ELC
Access:
Ftg Drain ELR
Crawl D:ain
Slab Inspection Nates SIT --
Post&Beam
Shear Anchors
Ext Sheath/Shear ,
Ini Sheath/Shear
Framing
Insulation
Drywall Nailing - - --
Hrewall
IFire Sprinkler - - - -
Fire Alarm
Susp'd Ceiling
Roof
Other:
1h
ASS, PART FAIL
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL - - - - - - - - -- - - - -- -
MECHANICAL
Post& Beam -�-
Rough-in ------ ---- ----- -
Gas Line
Smoke Dampers
n
SS PART FAIL
CT_RICAL
Service
Rough-In -
UG/Slab
Low Voltage
Fire Alarm -
Final [j reinspection fee of s, required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL
SITE - Please call for reinspection RE:. �— _ Unable to inspect-r)3 access
Fire Supply Line
ADA _DateExt----_-.--
Approach/Sidewalk _--�'- ✓h' Inspector t-�� --
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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11/15/2002 10:57 5035988735 GEOPACIFIC EPG PAGE 01/01
G ioP �rti to
MM=M=�
7312 SW Durham Road
Portland,Oregon 17224
Tel(503)598.8445 • Fax(503)50f 8705
November 15, 2(102
Project No. 99-2791
R. Horton
512.5 SW MacaJarn Ave. Ste 145
Portland, OR o 7201
Fax No. (5031579-6002
Attentin-,. Emery Smith
GUOTECHNICAL REVIEW OF FOUNDATION EXCAVATIONS
!Iacific Crest— Lots 50 through 52
City of Tigard, Oregon
At your request, GeoPacific Fngineer, Jim Irnbrie. arrived on site on November 1291, 2002 to review
the foundation excavation subgrade on the above-referenced lots. The lots exposed mostly mediur,•
stiff to stiff native soils and were excavated through most of tht- roadway embankment slope, which
was less compact for the first three to four feet deep.
In our opinion, .: exposed subgrades are suitable for spread founda ion support to an allowable
bearing pressure of 1,500 psf. the rear footing-to-slope setbacks should be more then adequate due
to the gentle slope gradient for at least 30 feet bevrsld the reap footing. The interior steps appeared to
be appropriately placed so as not to influence footings located above such steps with the exception of
the wast portion of Lot 50. At this location the footing may need to be deepened to the level of the
base of the step or a ne,v wall constructed aril str,:^turally backfilled at the base. The subgrade on
Lot 50 vilaq also cut a few inches sh�mdcw in some are,:- above vertical step,, but we anticipate !hat
mucking will be required prior to pour on all of the lots; this 1,.:r:king should extend through the rain
softened soils and is Pxpected to be lass than on inch in most area, but up to three to four inches in
isolated locations.
This review was performed to the Beal standards of practice for geotechnical engineering If you have
any questions, please call.
5lncerely,
GeoPaciflc Englu;oering, Inc.
0 PRO S
�/3 ILN6INE��
14743
James D. Imbrie, P.E. L� y
Geotechnical Engineer 'OREGON
�'4* 1994
r
CITY OF TIGARD 24-Hour
BUILDING Inspectio Line: (503)639-4175 _O0 qt
INSPECTION DIVISION Business Line: (503)639-4171 MST —
c� BUP --_---.
Received __ _ _ Cate Requesteed _- [. I .. --- _ AM_ .. PM __ . BLIP -_--_
Location � r�--- —Suite—--G�--� - MEC - - - —
Contact Person _ (/ _ —_ Ph(---) PLM - ---
Contractor _ _— _ _ -- Ph(---) _ SWR
BUIL niNG Tenant/Owner ___- __— ELC
Forting _-- - ELC
Foundation Access:
Ftg Drain ELR
Crawl Dain —_
Blah 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
Root
Other:
Final
PASS PART FAIL —
PLUMBING
Post& Beam
Under Slab --- -
Hough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- - __ - -- --- -
Shower Pan
Other: ----_-_--_---_------- —_.. ___--- _---- -
Final
PASS PART FAIL
_.-__--F
MECHANICAL
Post&Beam—
Rough-In --
Gas Line
amoke Dempers —
Final
PASS PART FAIL ------------ - __- --- -----�-- ---- —_.—
ELECTRICAL
Service
Rough-In —_ --- - - — _ — _— `—_---.— -- ---
UG/Slab
Low Voltage __--
Fire Alarm
11 Reinspection fee of$-- —_required before neki Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
-- u Please call for reinspection RE: —_-- _ F] Unable to inspect-no access
Fire Supply Line
ADA r
Approach/Sidewalk Dates, _ Inspedt0 ._6tl
Other: — --
Final DO NOT REMOVE thins Ihlspli01 0aM record from the jo 91te.
PASS PART FAIL
a