14655 SW KLIPSAN COURT 14655 SW Klipsan Court
CITYOF T I G A R D MASTER PERMIT
PERMIT#: MST2003-00084
�.,.g DEVELOPMENT SERVICES DATE ISSUED: 5/14/03
13125 SW ball Blvd., Tigard, OR 972.23 (503) 639-4171
SITE ADDRESS: 14655 SW KLIPSAN CT PARCEL: 2S105DA-11;1000
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 048 JURISDICTION: 11(i
REMARKS: Construction of new SF detached residence.
BUILDING
REISSUE: D )2B STORIES, FLOOR AREAS REQUIRED SVTBACKS REQUIRED
CLASS OF WORK: NLW HEIGHT. 32 Y FIRST 1,52 at BASEMENT: 924 if LEFT: a SMOKE DETECTORS:
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 'b9n at GARAGE: 756 of FRONT: 15 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: t 'MRD sf RIGHT: 5
OCCUPANCY GRP: R3 BDRM. S BATH: 4 TOTAL: 3.142 sl VALUE 402.37540 REAR: 15
PLUMBING
SINKS I WATER CLOSETS: 4 WASHING,MACH I LAUNDRY TRAYS: 1 RAIN DRAIN: TRAPS:
LAVATORIES a DISHWASHERS. I FLOOR DRAINS: SEWER LINES: 1 SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWF.RS: GARBAGE DISP: I WATER HEATERS: t WATER LINES: 1 BCKFLW?REVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c 100K: BOIL/CMP�OHP: VENT FANS: 6 CLOTHE:•DRYER: 1
GAS FURN>■100K: ' UNIT HEATERS: HOODS: 1 OTHL-R UNITS: 2
MAX INP: blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAb OUTLETS: 5
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SF't rlrEEUERS BRANCH CIRCUITS MISCELLANEOLaS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 700 amp: 0 200 amp: WISVC OR FUR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: b ."1 400 amp 201 - 400 amp: tat W,'r.SVCIPDR, SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HM!SVCIFDR: 601 • 1000 amp: Got-am Ps.I000 MINOR LABEL:
1000+amplvolt:
PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS: SVCIFDR>-225 A. >600 V NOMINAL. CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 3 S1EREO: X VACUUM SYSTEM: X AUDIO&Sl EREO: FIRE ALARM- INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: ALL ENCOMP BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNI
G4RAGEOPENER: X CLOCK: INSTRUMENTATION: MEDICAL OTHR:
HVAC: X DATAITELE COMM: NURSE CALLS. TOTAL N SYSTEMS:
TOTAL FEES: $ 9.249.24
Owner: Contractor: This pennit is subjza to the regulations contained in the
D R HOF?TON D.R HORTON INC Tigard Municipal Code,State of OR Specialty Codes and
5125 SW MACADAM#145 4386 SW MACADAM AVE. all other applicable laws All work will be done In
PORTLAND,OR 97201 SUITE#102 accordance with approved plans This permit will expire If
PORTLAND.OR 97239 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
Phone: 244-5322 PAone: 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 130859 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8& Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Mechanical Final
Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Flrlrl
Foundation Inst' PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk In
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp EI trical Final
Issued By : ,�� _ !� __ _ Permittee Sigoature
Call (50:3) 639-4175 by 7:00 p.m. for an inspection needed th,e next business day �
I
CITYOF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SVVR2003-00073
13125 SW pull Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/14/03
PARCEL: 2S105DA-16000
SITE ADDRESS; 14655 SW KLIPSAN CT
SUBDIVISION: IIACI IC t I:I S'l ZONING: R-7
BLOCK: LOT: 048 _ _..� JURISDICTION: I If ,
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DVrELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: L1-PSWR IMP(_RV SURFACE.
Remarks: Sewer connection for new SF detached residence.
Owner: FEES _
D R HORTON Descri tion `Date Amount
5125 SW MACADAM #145 _ p
PORTLAND OR 97201 �SWUSAI Swr Connect 5/14/03 $2,300.00
1 SWUSAJ Swr Connect 5/14/0,1 $0.00
Phone: .141-`.,2" (SWINSPI Swr Inspect 5/14/03 $35.00
Contractor:
1SWINS111 Swr Inspect 5/14/03 $0.00
— – - - Total $2,335.00
Phone:
Reg #:
Required Inspections 1
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 p-lid will be forfeited if the permit e•cpires. The Agency does not
guarantee the accuracy of the side sewer lateral. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, th? 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 952-001-0016 throOkkOAR 952-001-0100.
You may obtain conies of these rules or direct questions to OUNC by calling 0031 24 699.
LL.
n
Issued by: � j' i _ `� Permittee Signature— `�� V
Call (503) 639-4 175 by 7:00 P.M. for an inspection needed the next business day
.1
3
FOR OFFICE USE ONLY
Buildin ;_Perinit A `�lic�-tion
_ _ pL Received iiuddrng
Date/B3 Permit Nu _�T0(J( i 01111l�
City Of -rlgartf
Planning Approval Other
t g Permit No.: t
13125 SW I tall Blvd. Plan Rev W Other t '
Tigard,Oregon 97223 Date/B3y. 3-31-c'J R. Permit No.: _ N
Phone: 503-639-4171 Fax: 503-598-1960 Post-1(eview Land Use
Date/[) ' Case No.
Internet: www,ci.tigard.or.us Contact Juris.: N See Page 2 for I`
24-hour Inspection Request: 503-639-4175 Name/Method- Siinnlemental Information _
TYPE OF WORK_ REQUIRED DATA:
New constructi2pI Demolition t &2 FAMILY DWELLING
Add ition/alteration/re lacement Other:
CATEGORY OF CONSTRUCTION Note: Permit fees•are bared on the total value of the work perfonnea. Indicatej.
I & 2-Fa dwelling _ Cmm
oercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
ar, g_ overhead and profit for the work indicated on this application.
_Accessary BuildingLJ Multi-Family
Master Builder Other: valuation.......��� ..:..:..................... •... (
..
JOB SITE INFORMA I ION and LOCATION Total
No. bedrooms:: No.of baths:
Job site address: � � number of floors............................... .....
New dwelling area(sq.R.)..............................
Suite#: T Bldg./ t.#: Garage/carport area(sq.ft.)............................
Pro'ect Name: Covered porch area(sq. ft.)....,,�. ......... %
T
Cross street/Directions to job site: Deck area(sq.fl-)-.................... ./'.
Other structure area(sq.ft.)............................
REQUIRED DATA:
_ A COMMERCIAL-USE CIIECKLIS't"
Subdivision: —_, Lot#: —
Tax map/parcel #: Note: Permit fees"are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,I
overhead and profit for the work indicated on this application.
Valuation........................................................
----- Existing building area(sq.ft.)......... _
New building area(sq. ft.). ....... __—
Number of stories.............. —
PROPER'I Y OWNL► TENANT' Type of construction.r...�..•............•. .•.........
: , �;�(� r�l h Occupancy gr s): Existing:
Name
�- New:
Address:
Cit /State/Zip:�pr�1 �1
Fax: �3 y7�-Yj/? NOTICE: All contractors and subcontractors are required to be
Phone:J71 yyj'Al/5 licensed with the Oregon Construction Contractors Board under
APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
E3uqiness Name: __ _ W��;_� jurisdiction where work is being performed. If the applicant is exempt
Contact l�traftle– D from licensing,the following reason applies:
Address: 11o/- CIA h11
Cit /State/Zip_ – Q,�j� D17101
111f, Fax:L Fax rfp3- 221- 37f7 BUILDING PERMIT FEES'
-mail: Please refer to fee schedule.
CONTRACTOR -�-
Business Name: ___jAr_� � �7*"r Fees due upon application............................. 5—
AddressL M&W&M
Amount received................................. ..
.
-9!y/ ;tate-ZZS
Phone: /{ Fax: d J 7 f Date received:_ __—
CCB Lic. #: p — ----- __ —
Authorized Notice: 'I his permit application expires if a permit is not obtained..itbht
Signature: J "—" �J^ Date:'="`t C� 180 das's after it has been accepted as complete.
*Fee methodology set by Tri•('ounts Building Industry Sersice Itnard.
(Please print name)
i:\Dsts\Perrnit Forts\BldgPcrmitApp.doc 01/03 r f
FOR OFFICE UgE 0NLY
Mechanical Permit Application Received Mechanical
Date/By: Permit NoAs °-i,. <1^
It Of I'± Tal"d Planning Approval Building
y Date/13y: Permit No.:
13125 SW Hall blvd. Plan Review Other
"Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Date/By: Case No.:
Internet: www.ci.tigard.or,us Contact Juns.. See Page 2 f .
24-hour Inspection Request: 503-639-4175 Name/Method. Supplemental Informal'
TYPE OF WORK �COMMERCIAL FEE*SCHEDULE-USE;:HECKLIST Ll
New construction Demolition_ Mechanical permit fees•are based on the total va ue of the work
Addi'ion/alteration/replacement Other: I perfr rmed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION m .ianical materials,equipment,labor,overhead Pnd profit.
1 &2-Family dwelling Commercial/Industrial ''==: $ _ See Pugt 2 for Fee Set edule
Accessor $uildin Multi-Fam_il RESIDENTIAL EQUIPMENT/SYSTEMS FEE. �CHEUULE
Master Builder Othcr'— Description t Fee ca. Total
Hcatln Coolin _
JOB SITE INFORMATION and LOCATION Furnace•add-on air conditionin •' 14.00
Job site address: e-f— Gas heat pump 14.00
Suite#: I Bld ./A t.#: Duct work 14.00
Pro ect Name: ` H dronic hot waters stein 14,00
Residential boiler
Cross street/Directions to job site: for radiator or h dry onic system) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc. 14.00
Flue/vent for any of above 10.00
Wm
Re a
Subdivision: 1 61, ��' _ Lot#: tir units 12.15
Other Fuel Appliances
Tax map/parcel #: — Witter',eater 10.00
DESCRIPTION OF WORK Gas fire , !e 10.00
Flue vent(water heab_r'gas fireplace) 10.00
Log lighter(gas) _ J— 10.00
— Wood/Pellet stove 10.00
Wood fire lace/insert 10.00
_ Chimne /liner/flue/vent 10.00
PROPERTY OWNER 'TENANT Other: IU.00
Name: Y] ��G �' Environmental Exhaust&Ventllai ion
Address: Range hood/other kitchen equipment 10.00
City/State/Zi Clothes dryer exhaust 10.00
� Single duct exhaust
Phone: ,�.)�} Fax: - j7y-?j71 (bathrooms,toilet compartments,
APPLICANT I WCONTACT PERSON utility rooms) 6.80
_Name: N1f4(ice Attic/crawl space fans IOAO
Address: 0�-- otn^.r: 10.00
_ Fuel Piping^A•_�
City/State/Zip: p _ig "(55.40 for first 4,$1.00 each additional
Phone: �2; -Z1,1 Fax: Furnace,etc. ..
Gas heat pump
E-mail: Wall/suspended/unit heater '•
CONTRACTOR Water heater ••
Business Name: HE/bZr OL43L= Fire lace •'
Address: (p�o?�-9 �W 2 '�/ Range ••
BB '•
City/State/zip:-1r -L _ Clothes dryet as •'
Phone: -(� Other: '•
Total: I —
Authorized � j' Mechanical Permit Fees' _
Signature: +_-�� T�� Date:Jo3 ___ — Subtotal: S
Minimum Permit Fee 572.50 S
/"W Plan Review Fee 25%of Permit Fee S
(Please'print name) State Surcharge 8°,'o of Permit Fee S
T'OTAL PERMIT FEE S
Notice: This perndt application expires if a per mit Is not obtafued within *Fee methodoiopv set by Tri-County Building Industry Service Board.
180 days after it has been accepted as complete. "Site plan regvired for exterior A/C units.
ODius\P(rmit FormsJNecl'emiitApp.duc 01/03
02/20/2003 16:15 5036422900 ROSS Et_E(,TPIC PwGE 01
02/20/2003 16:10 503-222-2675 DR HORTDN PDX CONST P43E 02
Electrical Permit Application Received Weet,.al
City of TigardPlarotingApprovrl SM - -
DaleR3y: P_erm(t No.:
13125 SW Nall$lvel. Plan Rrviev other
Tigard.Oregon 97223 DatdB : Permi Ho. __
Photio: 503-639-4171 Fax: 503-.598-1960 PoaL-Rcvrew LvndUea
.IDarclH . Oise No.: _ 7_
ratefiet wuvall.r i.siPatCl Or.ttt Contact JUril. See FAIL 2 1nr
21-hour lmapection kequest: 503.639.4175 L Nunc/Methed: 924 IrmrarJl infarmn ia�
g•LII.!.i', .i TYP]I'.tni tri ti'U 1 Lam:' : J v'' ?� "1 lila Ihi'p' 9:fpplJiS W f_Ca t}1 ' •Ifl I -.�_ ""1
New cor:Sfi]ct70n DemoLttO� J 8ccv;cr over 2:5 wqx- Health-em hantlty
-- commmlia (�HMArdous l0r�tlon
Additlon!a'ttx'atlon/rr; lagemt It Ot11CT: ❑8n wee avrr 32o empe-rating of [J Building over 10,000 selture for:,
l A 2 family dwellinpp [our or more nsktantial units In
1 &2-Famildwell Cta11]121t.7GiS1/L�du3117a1 SWairt over 600 vela narmntl one sttuthre
Building over three etorree ❑raeden,400 AMS or mens
Aceessol^ Building F Multi-Family 8 Occupant toad over"prr-ons []ManuAtatured sir tatttres or RV park
1-1 Mazter Builder I Lather: >Rr«snl�Etta ptu, ❑Other-
Sol-' iii, JdBl51TEJ1Y)rY7R�4AT)< N ind7LQF,ATfd2V ,,; • sit sets of plans with any o[tha ratio,C.
Thr!abpv►gra not an�leehlr to t4tnt+arr t nctrarllol Sertlra
Job site address:
` 111_ I �l.,,1£EE`S[lFi£U1ill' 1, A,�t'', a .•..
Suitt#: Bid ./A t.#; Number of idy eetialu per pre, it allowed
KA
Pro'tct Nor= �ycg,�` Dr crl tion Q Poe(c%') Total
Cross St'eet/Directina5 to job Sita; New tM maltbHlnflb or ntthed Coria per—
New
I i
.1 dwelling malt.Itrlodes artethed genla
Servtue iaeladedr
1000 .R err less 145.15 4
Paah cion 100 .ft or on Jtt•reo[ 3].40 - i
Subdivision eel— I Lob k: tn>rrd n,ie s.00 a
m,rrid 71tt f`non mmld} to al 75.22 I 1 t
Tax ma / arccl 0: Bsalt tnanullicerred Roma or nlodul-r dwailing
�ervicewd/orfeerder 9090 2
.if.!JM',Ili,'^•:il4,t/_'��, '.I LI.r 7�.SV 1 1 .V�.T1VPL'.. i.'
Scrvkn or feeders•IeetetlltWn,
alterttiou or rtlocahnn:
200 rmpr or less 811.30 2
201 to 400 AuMh 105,85 1 2
4q I e 4 tAt)G1 — 60.60 ,1
,r c .'. 601 to 1000 nrr, 0 I
SPR F1151R C11lVy pnlll?.1.' j:idfi CT:,,,j l.':r+ i Ir; I,I!!rl aan� °t
Name:�,� 11 y/ f-, ov1000 Son wee 454.65 1
�_YT t QYW ,� � Reconrtx r sal 66.86 2
Address; g 4W nuayal" e -1/,l-_— Temporary urviree or(ae.lrr%•Ioatotlaboat
(.ih'/StatP7 �� rtltctrctten or retorahen:
_ 200 amps err Icy 66.85 1
Phancr: /�,/ Faxes -l12 •-�7i :a n to;ra 122324 i
I,: •, 401 m 622 a 113.75 t
Ct3Lti3�CT'PjE'jL$ N' ,I t,r J each airntitu-new,alttretion.or
Name: erreesloa per a2nelr
Adrire65:_ 1A) Ave _�1��,.. A CtY for b,uuh etmwo,v1W Irnchr a of
service or fkadti fee,eeeh brm cut* 6.65 1
Cy��'/Statt/Z B res for bMKh NreWM lvnhout purLhA!l of
711 one: �►ft� r 5" /7 troves or lletler[x c brutcE a R err 46.65 2
Each IMIta cal'aanch citoult 6 L5
E-mgiL ttc.(Serdee or te-drraos includcdh
-IIJ '1-1 V-V1�_,ar 4GGt. (TTOR.. r;yy,i,•r• Eget+ Itvrlgstvsncircle 53.40 1
Job N Swh c or outlata llglmns — _ 1 33.42 z
0: �t/nn!rirctirit(p of I mited ramp panel,
Business Nara, / G T altrrrdaR ro ernnuion 2 7
Deccr!pnolr
Address: to 6 D/-.IrL C_ej
Each eddstionslirripannever the sllww•ab_)-c is/rry of the shove:
Ci /Statcr'Zip: lilt! > o p l2 4r M%vetion--i Ln�n !bout, i i 8242 1 _
Phone:4Y 7- ZNCJC) Fax: SZ3-W -�f$ la�enitegtg ra. -
CCB Lic P": !L t 9 A I Lic,N:3 -y &c
if. a , , � �(ccte'Ifll�f�iiltiPf�'f?' `,r.• � '
Supervising electrkl.PM — Subtotal 5
SigtEmtltre required: ��� _�� PIuI Aavlew ?5°/.of Pnrrtvt Fee 5
Print Name;Wtv-C Roy 5 Lic, #: Y13 a- 1 SateS�reha;ze(R%of PtT=I,Pes)_U. _
L TOTAL PLRtit1T F>LE 1 S
Authorizc9 Netita: rbit permit Applimtloo mirve:r a permit is dot obtained wiuln
Date: Intl day+after it hse beth u&..ptod et evrnpitta
'Fee mrtutdelorty re,by Tri-Cw+lnry 8u;idia/,Isduttry Service board.
(Plrm print name)
ODste\Permit Por+rntElcPcnvtApp.doc 0'.'M
FES-20-2003 16:15 JT:. F.02
02/21/2egll 06:53 503-644-5399 (.PAFT00PV Pl_1.1b1Eit* PGGE 02
02/20/2003 16:08 503-222-2675 DR HORTOM PDY, CONST PAGE 02
]Building Futures
Plumbing Permit Apuration t iY��
Dnto1B�� _
Planning Approval sever
DtttPJ9 : Pctmit No.:
City of Tigard rhn>u-,� --- CIE.
13125 SW Flail Blvd. Pcm:lt No.
Tigard,Oregon 97223 rMt.po,,eve i ana uce
Phonic 503-09-4171Fax 503 598-1960 nit" ; CaseNo.: �.
treat tet ]unr.: 50':role Z rur
i<axlmet. tfvrvw.ci.tigard.or.u1 NAmc/Method: __Fup l�ctr+«ntxl[nrOrtnn_tian
24-bora lncpccuon Re ucsr: 503-639-4175
'FTu NSCDC�E'farts` _n1a '
-tiro r�W12KI, } �!tmo'=-:tun
�� 1�� �1 y. Ftt+(�.) ToLal
Dl DC+crf artp on� - —�
New conatrt=6071
p & t rlh a"'
Atltlition./alteration% lace Hent chher _ ;iy ! "' " ' ' 11!d�,li' TSarl brt�� r ' 'a
'C f,GoLggc' ''ON57at C_T1C y t ' SFR 1 bath 149.30
~� ;, f2-Family d��llin co=o crciaVlndustsiil SF'R(2 boO 360.00
SFP.(3 bath 399.00
[].Aeae,sarY Buildin 0Multi-FaTTul Each add tional batklatel+en 4500
(�Master$ui,deT Other: pep
--r L. Fire s rWtler , e
. :; UO�St E•'. 'l?li'?VLt9' 'D;Q 0ltti ��i0� i;. ;;!�� '�;'Xyi1 � :74 )
Job site address: i� Catch bmitvorm draltl 16.60
Bld A t.t� la.6o
Suite#: �--' D vcll/leaeh 1lGcltfetich dtrtin
PTo'oet Name: GI (i �' !w.linear 8
Footin drain . 00
Pa.c 2
Cross stTe&A>irect;ons to job site: Manufactured home utilities 110
16.60
;yam°lea 15.60
Pain drain alaaectnr
smtit�t sevttY(no.Iirrar d. Fa c 2
Stan sewer no.linear ft Pc�ae 2�
subdivision: aU Lot#' W3=service no.lipr"T A' Page 2�
1.21-f. r�ii�
ne : �. 16.60
yf N Wt)Rrr A Ab4�uonvalve
Baclt[loor grater _ pa 2
---�-
Backwrav-1 valve 16.60
_--- - - Ciathes .Vwh" 16.60
-
Dishwasher 16.60
Ddnki�four:tain 16.60
1q I .,��i,u4 r s i"Q` s'+ 8 ttctors�ttlrn 16.60
16.60
Ea, awlen=k
� FI lrewct c»p
Address: P-c-ew loor droln/flaor atnkMub 16.60
0 /St8t Zi .� Garba dla Tsai 16,60
J-z` Fax: 7• ,7f Hombib IG.6n
Pht�ne - 16.60
•, C 'P6�c50ti�:. lu rruker
- Interc tar./ ease aa�a 16'66
2ffiC. -�--�—---H hdedical ns-value: S FnRe 2
Address: , �� n q� prrlttLT 16.69
Ci i Stale!_Z J►' 4 Raaf dtun(cotm"ci2U _• _ 16 60
�
16.60
Fax: inWbasin/lav9tc 16.60
ab/show;r/show'er an
E-mail: Urinal 16.60
---r-,- .,�- ,.� T ; : .��,• a•;;'•fir,.,. 16 60
µ'ata close,
Business Name' ('.�< J6Yi• (�l�tm Lt Witur heater 16.60
Addles:�jy1 S Ir j_ f 06cr
Cir PIN-Rte/zip, P n O 9 e Pryer, 'r im+L�! JWIJ
Phone: N-MI? Fax _ -S'9Q4 Sub�o'.al E
CCB Lie. 47 17 & Plumb. Lie-#:.20 Niirtuntun Petrtur Fee$7 2.30 S
Authortred -��� �l J�- P e;identSat—Date, Paan an RitZV w M(nimum Fre 936 25 -
9iltosnuc tvtev+• 25'y otPtmut Fwr) =
Ststr Stu_hsr a(11%of Pmnit FOP. S
TOTAL PEiLMrT FEE
(p av+'.
te ptHrn
oe) _ r
All nee cntnntrrclfl builetnOt►tqui►r 2"it of ptaur with Itsmrtric or
148tlR: Tbls porsrlt oppllcotien"pircer
� .ptrmit is not eetatncd wltl•:r Ntrr dla0nm for plan tK+len.
180 diver Off?It has beef uttpted as complete +fpr Methadclor yrs by Tr;•County ll,dldlnc inauslry Set-vire Icor d.
i.�psUtpertdt FotmrU'ImPamie•1pp doe 01103
FEB-21-2003 06:49 $03 644 5999 x.02
� I
PACIFIC CR.ES-r SUBUIV ISI�C N
48
II
CITY c)F' 'TIGARD
THE APPROACH SHALL BE
A MINNMUM OF 8"xl2'x20'
OF CLEAN PIT GRAVEL
` 1 , �'
412
/
E1.11 8' NIP 11
f "
. 2 5; 0 2. 4. 8 0 '
` 2 1 } TA TANIAN \ I I STOW LINE
N E`. m - NOTE
`� i i SAN LAt I,ROOF DRAINS TO STORM
1 -- LAT. IN STREET.
l
TEM�r'.GRG, _ 2. FOUNDATION DRAINS TO
DRI*EWAI BACKYARD SOAKAGE TRENCH
SEE ATTACHED DETAIL
I I I II I
I
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 'MM � 7
INSPECTION DIVIVON Business Line: (503) 639-4171 Sy
BUP
Received Date Requested�� _ _ AM — ----_. PM___ -- - BLIP --- -
LocationjQ9, a, C-- Suite MEC
Contact Person w1 i -ka Ph(-) � � PLM
Contractor- - --------- — _ Ph (-- - - - ) — -- - ----- SWR - --- - -- - -- -
BUILDING TenanVOwner ._-__—_ ELC
Footing ELC
Foundation /Iccess:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes_ - SIT
Post& Beam
Shear Anchors __--
Ext Sheath/Shear _
Int Sheath/Shear
Framingn�-+..� U �- -�S��yr"�
Insulation
Drywall Nailing _..---_---- ---------.-------.--o____ —._—.
Firewall
/ ----
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- -------- --- ----- -- - - - ---------
Roof
S ART FAIL _- - ---------- - - --------- - - ------
RING ----._..
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains ------
Catch Basin/Manhole
Storm Drain - --
Shower Pan
Other-
Final
PASS PART FAIL
MECHANICAL
%lost&Beam
Rough-In -- ---_---
Gas Line
Smoke Dampers - ----
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In ^. -- ... ___ — — - —----- -------_
UG/Slab
Low Voltage - ---- -- ----— --- -- --- -----
Fire Alarm
Final [� Reinspection fee of$_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL
SITE _ [� Please call for reinspection RE:_ ❑ Unable to inspect-no access
Fire Supply Line
ADAc
Approach/Sidewalk Date C_>-'3-- Inspector_.��C��SLr- _ Ext
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
t
05/29/2003 07:55 503598870r GEOPACIFIC ENG PAGE 01/01
GeoPpiffe,
; ,
7912 SW Durham R, ad
Portland,Oregon 97,'24
Tel(509)588.8445 rax(509)588-8 06
May 29, 2.003
Project No. 99-2791
D.R. Horton
5125 SW Maca�am Ave. Ste 145
Portland, OR 9720'
Fax No. (503)579-6002
Attention; Emery Smith
GEOTECHNICAL_ REVIEW OF FOUNDATION EXCAVATIONS
Pacific Crest— Lots 47 and 48
City of Tigard, Oregon
At your request, Georacif}c Engineer, Jim Imbrie, arrived on site on May 14" and 20'h, 2003 to
review the foun0ation excavation subgrads on the above-referenced lots. The foundation
excavations generally exposed competent native soils consistrnp OT loe,,:al silt and residual/colluvial
clayey silt in deepest areas. Up to 8 feet of fill in the northeast corner of Lot 48 was removed. The
fill was only moderately compact and not cement treated like the fill that remains on the front of Lots
47 and part of Lot 4L at the southeast corner. Some organics were also obr.erved and removed.
organics tha` rema;n are not extensive or considered detriments to foundation locations.
In our oninion, the exposed subgrades are suitable for spread foundation support to an allowable
bearing pressure of 2,000 psf. The rear footing-to-slope setbacks should be adequate and interior
,;teps appeared to be appropriately placed for founat lion walls such that footings should not be
supported above verticel ruts. The excavations are ready fog ;-rmwork and placement of concrete.
This review was performed to the local Standards of practice for geotechnical engineering. If you have
any questions, please call.
Sincerely,
GeoPecific Engineering Inc.
p PROF sf\.
Q4� 14743 X1\1
James D. Imbrie, P E.
Geotechnical Engineer OFECOtJ
/� o
CITY OF TIG.ARD 24-Hour
BUILDING Inspection Linc• (503)639-4175
INSPECTION DIVISION Business Line: (50,1) 639-4171 MST
BLIP -----
Received _. Date Regt est d �.--�-__ AM__._ ..—_PP4 - -- BUP
Location -_---_-_— - SS -6i._ � C� Suite --- MEC
Contact Person 1�.�►'�`— _-_ Ph( ) .S(9 3Co I PLM - - _—
Contractor - _.- —. - —, Ph( ) SWR
BUILDING .I. - -- --
TonanyOWner -
Footing ELC
- -
Foundatio,i ELC
Ftg Drain CC@S5:
Crawl Drain ELR —
Slab Inspection Notcs SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/chair
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susn'd Ceiling _ _-------__ _--
Roof
Other. -- —
Fine' ----
PASS PART FAIL
PLUMBING -
Post&Beam
Inder Slab
Rough-In — -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Nan
Other _
Final
PASS PART FAIL -- - -
MECHANICAL
ost&Beam
Rough-In
Gas Line - -
Smoke Dampers -� P
��k
Final
PASS PART FAIL
E —� AL
_rule
In/Slab
-ewDoT! i- a L(.► _
Fire• IaA rm - - —
PASS ? PARI FAIL
[� Reinspection fee of$ `required before next Inspecticn. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE:---__ n unable to inspect-no access
Fire Supply line —
ADA '"7 C�
App,oach/Side-walk Dote `� —G_tom_ ectorZl-
�^
Other _
Final DO NOT REMOVE. this Inspection record fr l the Jo site.
PASS PART FAIL