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12990 SW OXALIS TERRACE HH31 SIIVXO MS 066U a a LU N J fi/ Q 0 3 r3 N W p O� N r 12990 SW OXALIS TERR • 4Q' CITY OF TIGAR® - PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2005-00413 13125 SW Hall Blvd., Tiqard, OR 97223 503-639-4171 DATE ISSUED: 8/x26/2005 PARCEL: 23104BC-08300 SITE ADDRESS: 12990 SW OXALIS TERR ZONING: R-7 SUBDIVISION: HILLSHIRE CREST LOT: 005 JURISDICTION: "i IG Project Description: Backflow preventer for irrigation. CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACLS: TYPE OF USE: SF WAS►!!NG MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLUOR DRAINS: TRAPS: STORIES: W<,1"ER HEATERS: CATCH BASINS: FIXTURES_ L\UIIDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft — i` DISHWASHERS: RAIN DRAIN: ft Owner: _FEES —� RIDGECP,EST CCNSTRUCTION CO Description Date Amount 6600 SW 92ND#210 --- PORTLAND, OR 97223 [PLUMB]Permit Fee 8126/2005 $36.25 [TAX]8%State Surcharl 8/26/2005 $2.90 Phone: 503-246-8808 Total $39.15 Contractor: CONTOUR LANDSCAPING INC 12485 SW TOOZE RD REQUIRED ITCMS AND REPORTS SHERWOOD, OR 97140 --- --Phone: 682-1302 Reg#: LIQ` 5698 a This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta a of OR. Specialty Codes m applicable laves. All work will be done in accordanoe with approved plans. This permit will expire if work is and all other apH p � p W not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon :aw J requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by Galli 503 246 99 -8 332.2344. Issu dB y: / Permittee Signature: Y 6V4, Call 503-635 4175 by 7:00 a.m.for an inspection that business day. This permit cans shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job sib.at the time of each Inspection. Building Fixtures �`'T�j��;�g; • ..- Plumbing Permit Application Cityorrigara ; 'r., Permit N•r 13125 SW Hall Blvd.•Tigard,OR 17223 Man Review Phone: 503.639.4171 Fax: 503.5119.1960 IArh>/B other Permit Nn 24-Hour Inspection Line: 503.639,1175 [Dwee dyjpy -� J"yr 0 Eaehp2rnr Internet: www.ci.ligard.or.us NcmfiaYMethod ... -'1 %ppkwhlwtoil inrarms0w MIF OF WORK FEE* 9CHRDULL �)New construction ❑N volition For rclnfi ot�ssad tsarcliftt i _ ---- - --- - ---- -T- -2 1141 Ea Total [_]Addition/alteration/replacement - []Other: New 1-Usually dwelllaga(includes 100 fl.for each utility connection) CATEC9RY OF CONiI MIJCTiON SFR(1)bath 249.20 I-and 2-family dwelling L]Commercial/industrial SFR(2)bath - 350.00 ❑ %ccessory building ❑Multi-family SFR(3)bath _ 399.00 ❑Ma.�tcr builder ❑Other: ------" Each additional both/kitchen 45.00 Fire sprinkler(_sq,ft.) Page 2 JOB 91Tr 041FORMA f1ON AND IACATION- Sift mlMltlelr --� -- Joh site access: nfI-O KAL6"TOR- Catch buid or area drain 16.60 City/State/7[P: emv. ,Arz-0 Q(L Drywall,leech line,or trench drain_ 16.60 Suite/Ndg./apt.no.: Project name: Footing drain(no.linear ft.:_� Page 2 _.- Manufactured home utilities 110.00 Cross street/directions to job site: - -- Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no,liner fl: ) Peile 2 -- - Sloan sewer(no.lin,Ar ft.:_. Ps lie 2 Subdivision: If1/I�(ne GrusT Lol nc_ Water service(no.linear ft.:_) Pige 2 Fixture or Item Tax map/parcel no.: Abstrplion�wlve t6.60 -D6.4CRIM ION OF WORK Backflow prove to Page 2 -! Backwater valve 16.60 'CV - Clothes washer 16.60 - - - Dishwasher 16.60 A MOPUTY OWWR n 'PINANT _ chinking fountain 16.60 -�-- Fjeclora/sump 16.60 Name: -(GI { O a t S I Expansion tank 16.60 Address: Fixturetsewer cap 16.60 City/State/ZIP: lJ 3 Floor drain/floor-ink/hub 16.60 Phone:(3c) y� $ �i Fax:( 3) �y� 369-1- Garbage disposal 16.60 D APPLICANT G CONTACT rzasON Hose bib 16.60 -------- - Ice make 16.60 Business name: _ - Interceptor/grace trap 16.60 Contact name: v- Medial lips(value:S ) Page 2 d. Address_ Prima --- 16.60 City/State/ZIP: - Roofiltain(commercial) 16.60 Sink/basin/lawtory -_ 16.60 t� Phone:( ) ( ) Tub/shower/shower pan 16.60 F-mail: - - Urinal- 16.60 CONTRAC M -- _ M Water closet - 16.60 _-- f a Business name: CO'.jTV 0 R �_s C Water beater 16.60 - WAddress: P Y W 760K D Ctha:-- -- - -1 City/State/71P: ©2.-9-7 / (t. Minimum permit fee. $72.50 Phone:(Sb'1 ) 625 - (30Z Fax:( ) r-t!. Residential backflow minimum permit fee: $36.25 Plumbing Lic.no.: v_ _ Plan review (25%ofpermit fbe) Autl orized signature: � �Vj/l (^E _ Stale surcharge AI �fpvmit fee) G� _ T(7fAL PERMIT FFE ,� Print 1,eme: PA (, r 1 Ca wq tro Date:30.10 J Tills permit application expires if a permit is mot obtain-'wl!I►ia IIIA days etar it Yn beep aeeeptH as complete. `Fee methodology sal by Tri-County Building Industry Savin Berard. i\tArildinp\Perm{"\Pt.R1F-PmnitApp dot 06tOi 44OA616Tt UMIX 1M/R•F.A) Plumbing Permit Aanlication - City of Tig9rd Page Z - Supplemental Informatio-t Fee Schedule: Residential Firy Su pression Systems: Site uduties otr. FK tom► T•al rester_Faot�l : e tz Fns: Fooling drain-1"100' — 55 N 0 to 2,000 _ $115.00 Footing drain-each additional 100' 46.40 2x001 to 3,600 ,�--- $160.00 Sewer-I st 100' 55 3,60110 7 00 _ $220.00 � _ 7 01 coli a $309.00 Sewer-ankh additional 100' 46.40 —— Water Service-10 100' S3•00 Medical Gas S stems' _ Water Service-each additional 100' 46.40 Vlltbltatit>Hu Permit Free: - Storm&Rain Drain-tst 100' 55 00 51.0010 SS 000.00 Minimum fa$72.50 Storm R Rain Drain-eaLS additional 100' 46.40 -- $5,001.00 to$10,000.00 572.50 fox the firm$5,000(m and S 1 52 for each Future or Item QtJh YON?in) Tabu aitional$10 OO or fraction thereof in and in udin $10 000.00, l ,nercial flack Flow r revention Device — 46.40 410,001.00 to$25,000.00 $111.50.or the first$10,000.00 and$1.54 for kesidential Heck flow Prevention Deviceh additional$100.00«fraction tNteor to (minimum permit fee$36 25) 27.55 including$25,000.00._ Rain thin,single 4mlly dwelling 65.25 $21,OOt.00{u$50,000.90 P79 50 for the first 525,000.00 and S I.45 for Inspection of existing plumbing or h additional$100.(10 or Radion thereof,to specially r and including$50,090.00. y equaled l it s- hwr 7 . 0 Subtotal: $So0nF-rat end up $742.00 for the first$50,000.00 and$1.20 for L each additional S 100.00«Radion thereof, Fixture I oris: Review for Complex S!rutdam Are you capping,adding or replacing lixtarts? If"y"", A"comp x structm•c-is defined as an installation of a plumbing please indicate work performed by fixture. Failure.to system (meets any of the following criteria accurate) remat flit ure9 could result in increased sewer fees Plea eck all that apply. _ Qocall Plxtvre Werk h ❑ y new commercial building. Fixture T'pe: Any new exterior plumbing site utilities. rap.. _C'4t9� _A44_4 A commercial building with instellatim,alteration or addition Baptistry/Font of nine(9)or more new or relocated plumbing fixtures. Hath -Jacuz hoover _ Medical gas and vacuum systems for health care facilities -Jacuzzi/Whirlpool providing services to human beings. Car Wash -Each Stall ❑ lura ing installatims,nii..zradons or additions to food service Drive Thru )))ties where new plumbing fixhercs,including interceptors Cos id«/Water Aspirator ng installed for the food service area Dishwasher -Commercial ❑ Any w residential building containing three(3)or more -Domestic dwell) units. Diinkinst Fountain ❑ Any Nle 13-0 multipurpose fire sprinklers .tem. E e Wash yt FlnorDr,i^1-ink "2 - 2" Snbmt sets of plus with any of the above. 4" Car Wash Drain a GarhaRe -Domestic Isometric a riser iagram is required for new buildings a Disposal -Commercialtrilthree(3),err more les in height. _ �� � -Industrial ` _W Ice Mach./RoRI .Drains Oil Separator Gas Station _ Comments MRS"An t//re work: J Rec.Vehicle Dump Station Showa -Gang — (; -Stall — W Sink -Har/Lavatory '-1 -Hadley _ -Commercial _ -Service Swimming Pool Filter — --- --- Washer-Clothes *Note: Ittlaextare work ander this fi Water Extractorperms sult4t In an water Closet-'Toilet increase of sewer F1111.1.9,a sewer permit will be issued and Urinal reel assessed for the sewer incivese must be paid before tht (Other Fixtures: _ plcmbing permit can be Issued. i\nuildinelPe RITI.M-PermitApp da 07106MS v CITY OF TIGARD I& BUILDING DIVISION \ PERMIT#: PLM200&00413 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 9/26/M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639.4175 INSGECTION WORKSHEET FOR DATE: 9120095 TIME: 7.07AM PAGE: 83 SITE ADDRESS: 12(0)SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT #: 0M TYPE OF USE: PROJFrT NAME: HILLSHIRE CREPT DESL'RIPTION: Backflow Freven'er for irrigation. OWNER: RIDGECREST CONSTRUCTION CO, PHONE #: +50,-:�t4(,f3gp0 CONTRACTOR: CONTOUR LANDSCAPING INC PHONE #: 682-1302 Inspection Request Scheduled For: Date: 9/212005 Pour Time: Code # Inspection Description C 'irm # :•ontact # Message 3 5 RP/bw4dlow preventer, 014924-01 WX 320-0183 N Corrr ctions/Comments/Instructions: iLR Ul A PASS ❑ PARTIAL APPROVAL. ❑ CANCEL ❑ NO ACCES i FAIL ❑ CALL FOR INS!'E.CTION ❑ ADDITIONAL ':EES ASSESSED Inspector: _ ►��� F-�a — _ Date: q4Z j-D 7 ____ Phone #: (503) 718- _ 00 .g v C V � •a � S � IL a k R i wpc O .y �eeee��eeeee�seesee:►e�,eeee�eeee�eer�,eeeeeeeei� � r i v 4 ► .+ -4 � ( 0 0 � e r� aA. a � Poo . a w a ► I loo.a `a -� ► A u � � ► A pop- w a ► o ► pollt � y ► Qj 3 , ► 44 .�i -4 t e ► 00, H ► ��vvvvvvvvvvvvvvvvvvvvvvv ♦vvvvvvvvvvvvvvvvvvv � MASTERPERfl IT CITY OF TIGARD PERMIT#: MS'T2004-00349 DEVELOPMENT SERVICES DATE ISSUED: 12/29/2004 131,15 SW Hall Blvd.,Tigard,OR 97223 603)6394171 SITE ADDRESS: 12990 SW OXALIS TERR PARCEL: 2S1C4BC-08300 SUBDIVISION: HILLSHIRE CREST ZONING: R-7 BLOCK: LOT: 005 JURISDICTION: TIG REMARKS: New SF BUILDING _ REISSUE: MAS2357A STORIES: 2 FLOOR AREAS !— REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,961 of BASrMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF UGE: SF FLOOR LOAD: 40 SECOND: 2,037 of GAP-4E: 616 of 1'RONT: 15 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THor> III RIGHT: 5 . OCCUPANCY�^.? 1VALVE: 394,794 60: R3 BDRM: 5 BATH: 4 TOTAL: ,016 of REAR: 15 PLUMBING 811:KS: I WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR CRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K BOILICMP c 1HP: VENT FANS: 6 CLOTHES DRYER: I GAS FURN>-100K: 1 UNIT HATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: dtu FLOOR FURNANCES: VaNTS: 1 WOODS'rOVES: GAS OUTLETS: 4 ELLu FRICAL _ R4SIrcNTIAL UNIT SERVICI FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADG'L INSPECTIONS 1000 SF OR LESS: 1 P 100 amp: 0 100 amp: WISVC OR FUR: PUMP/IRRIGATION: PER INSPZCT10N: EA ADO'L 500SF: 8 201 -400 amp: 201 400 amp: lot wo 6VOFCR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 amp: 441 ••00 amp: EA ADSL SIR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVC/FDR: 601 - 1000 amp: 901+amps•1000r. .:'VOR LABEL: 10001 amplyolt _ PLAN REVIEW 1SECTION Reconnect only: >.4 RES UNITS: BVCfFDR>•226 A.: '^400 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO 6 STERE\.: FIRE ALARM: INTERCOWPAG:NG: OUTDGOR LNDSC LT: BURGLAR ALARM: OTH: ALL-ENCOMP BOILEII: HVAC: LANDSCAPEJIPRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAL: DATAITELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 9,152.55 This permit is subject to the regOatkms contained in the RIDGECREST CONSTRUCTION CO RIDGECREST CONSTRUCTION CO Tigard Munidpal Code,State of OR Specialty Codes 6600 SW 92ND 0210 6600 SW 92ND AVE SUITE 100 and all other applicable laws. All work will be done in PORTLAND, OR 97223 PORTLAND, OR 97223 ar oordance with approved plans This permit will expire If work is not started within 180 days of Issuance,or If the L work is suspended for more than 180 days. 2 Phone: 503-246-8808 Phone` 503-246-8808 ATTENTION: Oregon law requires you to foll +w rules adopted by the Oregon Utility Notification Center. Those Re01: LIC 59228 rules are set forth in OAR 952-001-0010 through '^ 952-001-0080. You may obtain copies of!hese rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Ersn CnM 681-4444 Post/Beam Mechanical Electrical Service Low Voltage Storm drain Insp Mechanical Final Sewer Inspection Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Fir,al Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Fouidation Insp Mechanical Insp hear Wall Insp Insulation Insp Appr/Sdw1k Insp Post/Beam Structural Plumb Top Out Exterior Sheathing Inst Rain drain Insp Ele trical Final _—�— Issued B _ _ Permittee Signature : - !/' A By '- Call (5103) 639-4175 by 7:00 p.m.for an inspection neoded the next busine 4y7 CITYITY O F T'G A R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00346 13125 SW Mall Blvd.,Tigard, OR 97223 (503)639-4171 DATE: ISSUED: 12/29/2004 SITE ADDRESS; 12990 SW OXALIS TERR PARCEL: 2S 104BC-08300 SUBDIVISION: HILLSIIIitI CREST ZONING: R-7 BLOCK: LOT: 005 JURISDICTION: 'TIG TENANT NAME: US NO: FIXTURE UNITS: CLASS OF . )RK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPC-RV SURFACE: Remarks: Sewer connection for new SF detached. Owner: — -- FEL5 RIDGECREST CONSTRUCTION CO 6600 SW 92ND#210 Description Date — Amount PORTLAND, OR 97223 [SWUSA]Swr Connecti( 12/2:1/2004 $2,500.00 [SWUSA)Swr Connecti( 12/29/2004 $0.00 Phone: 503-246-8808 [SWINSPJ Sewer lnspeo 12/29/2004 $35.00 [SWINSP]Sewer Inspect 12!29/2004 $0.00 Contractor: = -- –-- Total $2,535.00 Phone: Reg#: --�_ Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The Termit expires 180 days from the data issued. T he total amount paid will be forfeited if the permit expires. The Agency goes not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet In all directions from the distance given. If not so located. the installer shall purchase a"Tap ar;d Side Sewer" Permit and the Agency will install a latera. ATTENTION: Oregon Iiw requires you to 'follow rul s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thr h , 952-G01-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 24ti$t Q Issued by: tyPermittee Signature: Call 1,503) 639-4175 by 7:00 P.M.for an Inspeztion needed the 41kwda guildin'p, Permit AIDDIII �1 � City of Tigard 1 Pennit No s 1 1125 SW hall Blvd..Tigard,Olt 97223 '1QQy ' --- j 1 t") Plan Review Phone: 503.639.4171 Fax: 503.598.ISi(�U �e/B A� -1� 11a OlhrrP� 04 (�i x � Inspection Line: 503.639.4175 �`�1�UJ`1 C GA(�U Date R y/By run 0 "r Anati,rd(herkho for Internet: www.ci.tigard.c.t.us ^1Sv O` `V1@, Norified/MetW -_ � Srppk-u"r40 Information — -- W�WE OF aWORK•7 RLQIJMZD DRTAt 1-AND"AMn.Y :.LINO ®New construction ❑I)cmolit;on Permit fees*an:based on the value of..at v perforrneol. wu --- --- Indicate the value(rounded to the nearest d: f)of all O ❑Addition/alteration/replacement ❑Other: equipment,materials•labor•overhead•and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling _ ❑Commercial/industrial — Valuation: S ❑Accessory building — — []Multi-family Number of bedrooms: r ❑Master builder ❑Other: Number of bathrooms: Ir �j JOB SITE INFORMATION AND WCATION Total number of floors: 2- Job Job site uddress:12990 SW Oxalis Terr. —^— _ New dwelling area d3�0/� square feet - City/State/ZIP:TIprd,Oregon 97223 — Garage/carport arca: square feet Suite/bldg./apt.n, Project name:Hillshire Crest Covered porch arca: f '+ square feet Cross street/directions to job site:Accession and Oxalis Terr Deck area: - /�� square feet Other structure area: square feet --BE—Q1MMD DATA:COMMER0411-USE CHZCKLIST Subdivision:Hillshire At no.:S Permit fees'are based on the value of the work perf(hmed. Tax map/parcel no.:25104 BC 53011 Indicate tF.r value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DLSCRIP•1"ION OF WORK work indicated on this application. — Custom ustom HValuation: Home Construction _ -- `- ---- Existing building arca: square feet New building area: square feet ® PROPERTY OWNER -- ❑ TEN:IVT — Number of stories. Name:Ridgecrest Construction Co.Inc. u Type of construction: Address:6600 SW 92"d Ave Occupancy groups: City/State/71P:Portland Or 97223 — -- - Existing: ^ Phone:(M)2416-8111M Fax:(503)246-3682 New: ❑ APPLICANT ® CONTACT PERSON NtD17tCE Busiress name:Ridgecrest Cons.euction Co.Inc. All contractors and sabcontractors are required to I•e Contact name:Dale Tucker licensed with the Oregon Construction Contractors Board — under ORS 701 and may he required to he licensed in the Address:6600 SW 92nd Ave jurisdiction in which w%mk is being performed.If the City/State/71P:Portland Or 97223 applicant is exempt from licensing,the following reasons — — •apply: Phone:(503)793-4966 Fax::(.503)246-3682 E-mail:DaIeTG.R1dgecrest1Ims.com CONTRACTOR — -- - Business name:Ridgecrest Construction Co.Inc.--+— OIgA1NG FMM1'h FM- Address:6600 SW 92"d Ave — -- _— - City/State/ZIP:Portland Or APlease refer fojer schedule. 7223 _ Fees due upon application u Phone:(503)2464808 Fax:(303)246-3682 --1------ - CCB lic.:59228 Ac,ount received / - - - Date received: Authorized signature: Tills permit application expires If a permit Is not obtained within 180 days after It has been accepted as complete. Print name: r _ Date: 11-17-04 • Fee methodology set by I r-County Building Industry — Service 9oerd i\Buildine\Permks\BUP-PermitApp doe 12103 4404613T(i 1/r XOMMEB) L" Mechanical� Permit Appliggagnl 7 `1004 �' Cof Tigard -- U V Ra Pe.-n+t No 1312_SW Ifall Blvd.,Tigard.OR 97223 CITY OF TIGA Dwo/B view -- lh AD PlanPhone: 503.639.4171 Fax: 503.598.1960 BUILDING DIV 1>rrle/By: other Permit Inspection Line: 503.639.4175 Date Ready/By T- — luriet8 See Pere Z for — Internet: www.eLligard.or.us Naifred/Method SupplemeaalInformation TYPE OF WORK COMMISRCIAI. me SCHROM- URIC ®New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,hrtxrc,overhead,and profit. CATEGORY OF CONSMUCTWN — valuc:S RE.S MENTIAL EQUIPMENT/SYSTEMS FEE.4a ® 1-and 2-family dwelling El Commercial/industrial ❑Accessory building -i For Veciallrl/ornatlon use checklist ❑Multi-family ❑ Master balildcr ❑Other:u �^ Description - Qty. Ea.T Total JOB SITE INFORMATION AND IACATION Head eoollalit Job site !ia 1V Oxalis 7 err Air conditioning or heat pump (Teires rote plan showing placement) 14.00 City/State/T.IP:Tigard Or 97223 Fumace I00 000 BTU ductsivents 14.00 -- Fumace 100,000+BTU(ducts vents) 17_90 Suite/bldg./apt.no.: Project name:Hilishire Creat pay heat pump 14.00 Cross street/diredirms to job site:SW Ascension&Oxalis Duct work 14.00 T ±onic hot water system 14.00 Residential boiler(radiator or h dronic _ 14.011 Unit heaters(fuel-type,not electric), in-wall in-duct,suspended,etc. !0.00 Subdivision:Hilhthire Cred I cri no.:5 Flue/vent for any of above 10.00 Other: I _1 10.00 Tax map/parcel no.:25104 BC 8300 Other fuel appliances _ "sRSCRIPTION OF WORK Water heater — 10.00 --------- Gas fimplace 10.00 New Construction Flue vent for water heater or gas fireplace 10.00 Log HL der 10.00 Wood/pcllct stove 10.00 Wood fire lace/inwrt 10.00 ® PROPERTY OWNER TENANT Chimrtey/liner/f!are/vent 10.00 Other: _ 10.00 Name:RidRecrest Construction Co.Inc. Environmental eithaust sod ventilation Address:6600 Sw 92"d Ave Suite 100 Range,hood/o,her kitcheneruipment 10.00 City/State/ZIP:Portland Or 97223 Clothes_yr er exhaust 10.00 -- Single-duct exhaust(bathrooms. Phone:(500246-8808 Fax:(503)246-3682 toilet compartments,utility rooms) 6.80 (] APPLICANT VE3 CONTACT PERSON Attidcrawls�tacc fans 1000 -- - --- - Business name:RidRecrest Construction Co.Inc. - -- - -- ------ -' - Fuel piping Contact name: _ 55.40 for Ont four;$1.00 for each additional a Address:6600 Sw 92nd Ave Suite 100 _ Furnace etc. fly - Lias heat pump 1-- City/State/ZIP:Portland Or 97223 _ Wall/su dad/unit heater Phone:(503)24640M Fax::(403)246-3682 Water heater Fi lace _ J F:-mail:QaleTWRIAXecrest nomes Ran e m CONTRACTOR Barbecue — -- WBusiness name:Supreme Comfort Clothes j7v_(gaJ__ _ J ---------- "her: _ .ddress:9425 SW Comercial Circle#16 MECHANICAL City/State/ZIP:Wilsonville Or.97070 J -_- —-- Subtotal Minimum - -- Minimum permit fee($72.50) Phone:(503)682-1985 ' Fax:(503)682-1018 _- Plan review(25%of permit fee) CCB lie.:21892 f -- State surcharge(g%of pert:.it fee) TOTAL.PERMIT FEE Authorized sl elute: 'Mb permit application expires ifs permit Is not obtained within 180 days after k has brut serepted as complete. ' Fee metho&Iorr set by Tri-Conray Building Industry Service Board Print name:Karl Ifiotfaes Date: 11-17-04 i�RuildinglPermilsWFC"PermitAppdoc 12V 440-4617 r(I I MWO"ER) ED Plumbip¢ Permit At>'pl � City of 1prd 2Q Received ' 1 7 Plan R Permit � 13125 SW Hall Blvd.,Tigard,OR 97223 N�V No---- --- �_ Phone: 503.639.4171 Fax: 503.598.1960 1'I�n Review �-�(I DeteRr r 11her Permit No.: 24-Hour Inspection Line: 3W.639.4175 ctly ---- - -- .or ms Date Ready/Byethm " ■ See Pane 2 for Internet: www,ci.ligard �����'N� Ndified/MtMxl Supplemental TYPE OF WORK FU* 111CIMPULE F50 New construction ❑UcnurliUurr Forspedd/optri aeAlow use check16R --- ---- - --- Description LX1. I Ea. 'I in ❑Addition/ahereticm/mplacchnem ❑Other: _ New I-2-11amily dwelliaga(includes 100 ft.fw%,,-A utility connection) CATEGORY OF CONSTRUCTION V SFR(t)both 249.20 ® 1-and 2-family dwelling ❑C'ommcrcial/industrial SFR(2)beth 350.00 ❑Accessory building ❑Multi-family '- - SFR(3)bath 399.00 --- ❑Mnster builder Other: Each additional boMitchen 45.00 ❑ •- Fire sprinkler(„`sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site atilltles Jab site address:/;7IG In 12 lis Terr• Catch basin or area detin 16.60 City/State/ZIP:Tlprd Or 97223 Drywall,leach line,or trench drain 16.60 Suite/bidg./apt.no.: Project name.Hillshire Creat Putting drain(no.linedr ft.:_� Page 2 Manufactured home utilities 110.00 Cross street/directions to job site:SW Ascension&SW Oxllas Manholes 16.60 Rain drain cennector 16.60 Sanitary sewer(no.linear ft.:_� Page 2 - Storm sewer(no.linear ft.:_, Page 2 Subdivision:Hillshire Crest �l lot no,:5 Water service(no,linear ft.:_J Page 2 Tax map/parcel no.:1,5t 04 BC A300 Fixturt or item - Absorption valve 16.60 DESCRIPTION OF WORK - Back flow prt venter Page 2 New Construction Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 0 PROPERTY OWNER ❑ TENANT Drinking fountain 16.60 ----�---�-- Name:R dgecroEjectors/sump 16.60st Construction Co.Inc Expansion tank 1610 Address:6600 SW 92*"Ave Suite 100 Fixture/sewer cap _ 16.60 City/State/7-IP:Portland Or 97223 - -- -`- Floor drain/floor sink/hub _ 16.60 Phone:(503)246-1,11110 Fax:(503)246-3682 -- ^- Garbage disposal `- 16.60 ® A"'i (CANT ❑ CONTACT FBRi1d'( Hose bib - 16_60 -.-_------------- Ire maker to.60 Business name:RidRecrnt Construction Co.Inc - -� Interceptor/grease trap 16.60 Contact name:Dale Tucker Medical gas(value:S ) Page 2 Address:6600 SW 92nd Ave Suite 100 Primer 4 16.60 City/State/7I1":Portland Or 97223 Roof drain(commercial) 16.60 - - Sink/basin/lavatory 16.60 Phone:(503)246-8808 Fax::(503)146_3682 Tub/shower/showe-pan - 16.60 E-mail:DaleTrlRidgecrestHms.com Urinal 16.60 a1 ( " Water closet 16.60 WBusiness name:Craftwork Plumbing Water heater 16.60 J Address:7742 SW Nimbus Ave Other: City/State/ZIP:Beaverton Or 97008 Subtotal Minimum permit fee: $72.50 Phone:(503)644-8698 Fax:(5% .-5989 .residential backilow minimum perTnit fee: 536.25 CCB Lie.:79666 04- Plymbing Lic.no.:20-143PB _ Plan review (25%of perch fee) Authorized signature: `��State surcharge(8Y*of permit fee) TOTAL PERMIT FEE Print name:Peter Pollard Date: 11-17-P This permil applica!'on expires If a perrnk is not obtained wlthln 100 days after it has beea accepted to complete. *Fee methodologv set by Tri-County Building Industry Service Board. I\auilding\Pemks\P1.M-PermitAppAce 12101 440.4616TOW21COM/W8a) �1 aEGEIV ED Electrical Permit i on city of Tigard NOV ] "� 20011 R•ri:a 13125 SW I fall Blvd.,Tigard,OR 97223 Pnm Re ---,-- 7_p- Phone ' 503.639.4171 Fax: 503.5911.601TY OF TIGARD PianRevtcw ermit. Inspection Line: 503.639.4175 BUILDING DIVISI rate Redy/By for+• i TO See v,Re 2 for — InterrtcC svww.ci.ligurd.or.us NotiflaWethnd 1 tiuppleraenullnform•tion —_..-... TM (W rNtf111K � CLAN R$ViIEW ®New construction Addition/a)teration/replacement Please check all thnt apply ❑Demolition ❑Other: ❑Servtce over 225 amps,romm'I ❑Hazardous location ❑Servi"mer 320 amps- iwing ❑Buildno over:0,')(10 sy.fl., _ CATEGORY OF CONSTRUCTION _ of I-and 2-family dwellings 4 or more new residential ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building []System over 600 volts nominal units in on!structure ❑Multi-family ❑Master builder ❑Other: []Building over three stories ❑Feeders,400 vnps or more ❑0ccupam load ovf r 99 persons ❑Manufactureo tnictutes or JOB SITE L FORMATION AND LOCATION _ ❑Egress/Iighting plan R park Job no.: _ Job site rAdress: 12990 SW Oxalis Terr — 4 ❑tieahh-care facility []Other: __- Submit j sets of plans with any of the above. City/State/ZIP:Tigard,Or 97223 7 he aioove are not applicable to temporary construction service. Suite/bldg./apt.no.: Project name:Hlllshire Crest ME" SCHEDULE -- — Nptrlplo• _ Pee. T . ot Cross street/directions to job site:Accension end Oxalis Ttrr New residential si;t nr aruld-family dwelling unit. ------ Includes attached ger!ge. 1.000 44.ft.or iess 145.15 4 Subdivision:Hillshire Lot no.:5 Ea.add'I 500 sq.ft.or pcm,m 33.40 1 Tax map/parcel no.:25104 BC 9300 Limited energy,residential 75.00 2 -- Limited energy,non-residential 75.00 2 DESCRIP'PION OF WORK `— _ Each manufi,ctured or modular m New Construction dwelling,service and/or feeder 90.90 2 -- -------_.. - _-- _ _ --_-- Services or feeders installation,attention,a Id/or relocation 200 amps or less 80.30 2 ® PROPERTY OWNER T q p r NANT 201 amps to 400 amps 106.85 2 401 amps to 600 --�-�� --` amps 160.60 2 Name:Ridgecrest Constru^`-jn Co.Inc. 601 amps to 1.000 amps 240.1,0 2 Address:6600 SW 92nd Ave Suite 100 Over 1,000 amps or volts 454,65 t -- Reconnect only 66.85 2 City/State/ZIP:Portland Oregon 97223 Temporary services or feeders Installailon,.Iteration,and/or Phone:(503)246-8898 Fax:(503)246-3682 nation 200 amps or less 66.85 1 Owner installation:"is installation is being made on property than 1 owhl which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps _ 133.73 2 Owner signature: _Date: Bench circuits-new,alteration,or estendon,per panel ❑ APPLICANT (81 0111MA& FZRKKV A.Fee for branch circuits with -� — —--- service or feeder fee,each 6.65 2 Business name:Ridgecrest Homes �- branch circuit _ —��- --- --- B.Fee for branch circuits Contact name:Dale Tucker _ wlrhout service or feeder fee, 45.85 2 Address:6600 SW 92nd Ave Suite 100 each branch circuit finch add'I branch circuit-� 6.65 2 City/State/ZIP:Portland Or 97223 Miscellaneous(service or feeder not Included) Pump or irrigation circle 53.40 2 Phone:(503)7934966 Fax::(503)246-3682 Sign or outline lighting 53.40 2 E-mail:DeleT*RidgecrestHms.Com Signal circuh(s)or limited- energy panel,alteration,or Business name:Lighthouse Electric extension.Describe: Page 2 2 Address:27501 SW 95'h Ave Suite 960 _ Ent:h additbnal Inspection over a'.-m Me In any of the above Per imbectiot 62.50 City/State/ZIP:Wilsonville Or 97070 Im ytigation per hour(I hr min) 62.50 Phone:(503)582-9600 Fax:(503)58241484 to Indastnal plain per hour -_ 1 73.75 v CCB Lic.: 1548971-X1' Electrical Lic.: 3-562C Suprv.Lic.�p5 f> Subtotal Suprv.Electrician signature,required: 7 Plan review(25%of permit fee) State surcharge(8%of permit fee) Print name: /f/)j JG Ali -- -- � Bute: 11-19-04 -- —. Authorized-signa�ture-� TOTAL PERMIT FLF This permit application expires If a perwii I.not obtained within Igo days after it has been accepted as complete Print name: s fee methodology set by Tri•Cmmty Building Industry Service Board `T— •'Number of inspections pet permit silosvect 1lWldh*kPermhslF.LC-PermftAppdoc ILO, 440-4615T(10A)W0M/VVM . ,_«�... IEC 6►�q,'�`� ,s4 � ��,q� ,CITY OF`TI `. �.:! t BUILQINQ DI 15,f mac, �► I D i + Q0 1 , s, !�i� OS Ir 3 O Me- rout e' - V { CGroutO. II�Q. Sr / ' iZ990 ScJ ORAL/� T4 IE- i2�llSFL)e�ST �A�►�l>ts�5 '�04 s%•� s.�s,-� ■ CITY OF TOGARD- SITS PLAN REVIEW RUIC.DING PERMi).T No .: PLAWNG DIVISION: �` r�7 ed [] Nos A17prOved hegnired Sethacks: ❑ I p __r'�— Si reel Side: J Rear: S Frons. Garage: "ovrd ref �\ >>r�,ved ❑ Not App Visual ClearanCe 1F' 1 f� feet Maximum 13uilding NeiKhr �:.- Yes �W(No {'WS Service Provid�:r yeller Itcyuired: I�«.cived `=.L--- I.vc�INF.E- NG CIEPAR I 141-N] Not A� roved Ac 01 Slope:.�. " Apprr,ved ❑ 1 P Approved ❑ of A proved Site PI` . Date: B : __Y14D ...trx.�..��-tic,.,�,� ..�.r►r.�arc��,m�-->�� a a� a� w J NlY OFTIO14RD i �► BUILDING DIVISION PEFIMIT k: MST20()4-00349 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUE.): 1212912004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/292006 TIME: 7:12AM PAGE: 20 SITE ADDRESS: 1)9W SW OXALIS TERR CLASS OF WORK: SUBDIVISION: HILL%ilRE(:F2E y"T LOT k 005 TYPE OF USE: PROJECT NAP4t: HIL.LSHIRE CREST DESCRIP i-ON: New SF OWNER. RIL)GECREST CONSTRUCTION CO, PHONE k: 5032468808 CONTPACTOR: RIDCECREST CONSTRUrTION CO INC PHONE k: 5037468808 Inspection Request Scheduled For: Date: 8/2FJ2005 Pour Time: Code # Insp6ction Description Confirm # Contact # Message 199 Eleclriral final 014292-01 50:V20947869 N Corrections/Comments/Instructions: C7 w J ----- - - - ---.-- - ----- XPASS ❑ PARTIAL APPROVAL ❑ CANCEL [] NO ACCESS ❑ FAIL ❑ ALL FOR INSPECTION ❑ ADDITIONAL F'FF.S ASSESSED � Inspector: _ �__ Date: _ Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT K: MST2004-00349 13125 SW Hall Blvd.,Tigard, OR 97223 DATE :SSUEC: 12/29/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 A L INSPECTION WORKSHEET FOR DATE: 8/2512005 TIME: 7:12AM PAGE: 19 SITE ADDRESS: 12890 S`W OXALIS TERR CLASS OF WORK: SUBDIVISIO" HILLSHIRE CREST LOT 1t: 005 TYPE OF USE: PROJECT NAME: HII_LSHIRE CRE3T DESCRIPTION: NewSF OWS��R: RIUC➢ECRES T CONSTRUCTION CO, PHONE M: 503 246•8 CONTRA,:,•OR: RIDGEGREST CONSTRUCTION CO INC PHONE N: 50- 8808 hnspection Request Scheduled For: Date: 812612W, Pour Time: Code 4 Inspection Description Confirm # Contact # Message 399 Plumbing final 014292-02 503 2047854 N Corrections/Comments/Instl uctions: a m W PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F] FAIL CALL FOR INSPECTION [] ADDITIONAL FEES ASSESSED Inspector: Zy"'4yw Dater oin Phone 0: (503) 718- ._..�...�.�.__ CITY OF TIGARD BUILDING flIVISION PERMIT C MST2004-0()349 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/2312004 Phone. (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: W2005 TIME: T05AM PAGE: 74 SITE ADDRESS: 12990 SEW OXALIS TERR CLASS OF WORK: SUBDWISION: HILLSHIRE CREST LOT N: (joy TYPE OF USE: PROJECT NAME: HILLSHIRE CRFS"T DESCRIPTION: New SF OWNER: RIDGECREST CONSTRUCTION CO, PHONE C 503.,46.08W CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE N: 6M24&b" Inspection Request Scheduled For: Date: 91Eil�005 Po,.lr Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical tinal 014972-01 603-209-7%9 N Corrections Comments Instructions: a a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ij NO ACCESS ❑ FAIL ] CALL FOR INSPECTION [] ADDITIONAL FEES ASSESSED Inspector: Date: Phone k (503) 718- CITY" OF TIGARD BUILDING DIVISION PERMIT #: MSI.2004-00349 13125 SW Hall Blvd., Tigard, OR 97223 [LATE ISSUED: 12/2912004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEL:T FOR DATE: 9(61200', TIME: TOGAM PAGE: 23 SITE ADDRESS: 12990,2/y OXALIS TERR CLASS OF WORK: SUBDIVISION: HILLSHIRE CREST LOT#: 005 TYPE OF USE: PROJFr•T NAME: HILLSHIRE CREST DESCRIPTION: Now SF: OWNER: RIDGECREST CONSTRUCTION CO, PHONE #: 503.246.00%1 CONTRACTOR: RIDGECREST CONSTRUCTION CO INC PHONE #: 503246•'#108 Inspection Request Scheduled For: Date: 9/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014972-02 503-209.7859 N Corrections/Comments/Instructions: o� QO PASS ❑ PARTIAL APPROVAL. ❑ CANCEL ❑ NO ACCESS Y [1 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: - i2==c� Phone #: (503) 718-