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13255 SW NAHCOTTA DRIVE i ua d1109HVN MS SSz£6 0 � a ' � U 2 Z in J Ln N M r 13255 SW NAHCOTTA OR CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)638-41750 INSPECTION DIVISION Business Line: (503)638-4171 BUP -- Receive x_.?�Date Requested 3 �5 l'�AM__ PM_� BUP - ---- Location .. /3 2- S 5 C'&6n_ Suite_,� MEC _ �._L Contact Person � 2 ------ Ph( •) PLM Contractor. Ph(_ ) -- -— SWR _ -- BUILDING 'Tenant/Owner ___ - — ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain - -- Slab Irtspec,+ion Notes: SIT ---- -- Post&Beam Shear Anchors Ext Sheath/Shear ------- Int St ath/Shear Framing -_ -�_ -- -- -- --- - Insulation Drywall Nailing - —_ -- -------------- ------ Fir- " Fl. Jer ---- ----- --- -Fire, n Su, Ceiling -- ----------- - ____-___—_-___._-_. Roo. — ----�_.. Other: --- -- ---__�--- -- F.nal PASS PART FAIL - ----------- — -- --_-' PLUMBING _ -- -- — ---_---.-- Post 8 Beam — Under Slab ----- ----- - -- - - --- - - Rough-In Water Service _-_-----_-_- -__-- -- Sanitary Sewer Rain Drains ---- __-.- ---- ----- --- ---- Catch Basin/Manhole Storm Drain -- Shower Pen P PART FAIL -MtCHANICAL _ --- -- --- - -- -- - - ------ Post$Beam Rough-In - ------- --- - - - _-_. __-___ Gas Line A Smoke Dampers --_--- ----- - ---- -------i -- -- Final PASS PART FAIL --- -- -6-- -- - -------- N - ELECTRICAL _ — ----- --- — - - ----- _ Service Rough-Ir, m UG/Slab -- ------------- --- LU Low Voltage -j Fire Alarm Final r] Reinspection fee of$ required before next Inspection. Pay at City Ha!I, 13125 SW Hall Blvd, PASS PART FAIL SITE Please call for rel spection RE: __ Cl Unable to inspect--no access Fire Supply Line J�L ADA DIAo -- Approach/Sidewalk Other: Final _ DO NOT REMOVE this Inspection record from the lobi site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 � 3___Q©4(�� INSPFCTION DIVISION Business Line: (503)639-4171 BUP Received `�J/?F Date Requested AM PM .-. BUP — Location _ 4a__Z_,5_ __-Suite_ L S MEG rc�� � Contact Person _— t _- Ph( _.) -L. -�-_ �� PLM --_— _ Contractor f --_ Ph(---_) — SWR — BUILDING Tenant/Owner ELC — Footing ELC _ Foundation Access: — Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post& Beam — Shear Anchors ---.--- ---- Ext Sheath/Shear Int Sheath/Shear ----��� v 1 %, cis T O Framing -----. Insulation s� - Drywall Nailing — -- �-- - -- Firewall Fire Sprinkler -- -- ---------- — ----- -- Fire Alarm — Sy�, �� � '�� psi ��� Susp d Ceiling — .LL Roof Other:----— --- —_.. - -- — - — - Final ' PASS PART FAIL PLUMBING _ _ —�--- Post A 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 a Smoke Dampers — - lZ Final N PASS PART FAIL — — -- ELECTRICAL --- _— J Service m Rough-In UG/Sia — - ---- - --- -- --- W ow Vo tags -ina [] Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART SI Please rail for reinspection RE____ _ ________�— __ Unable to inspect-no access Fire Supply Line ADA Dab Approach/Sidewalk _ - ___-- Intsptecter Other: Final DO NOT REMOVE this Inspecvia" r• m the job she. PASS PART FAIL PF , o ► V Q .� •� ► cu r ► i M■y ° „cam L-4 ► �. .a o t ' � t� J �' o loobjD ► ,.. Wr �. ► 3 d ► N �'! 1�■■, v O ► 0 �% ► 0.4 ► v Q > `\ ► E• cc �,f a P. W 01. ► W , ► ► Q H U � O � a4 j �/PP'PPPPPPPPP ♦PPPPPPPPPPPPP ♦P��PPPP♦»�►\ k OO C 4L U a H a V v o i t vJ C u 'd P. u •� a U C � m ° 3 � CITY OF TIGARD 24-hour BUILDING Inspection Line: (503) 75 INSPECTION DIVISION Business Line: (5 MST d BUP Received _Date Re sted � (��AM _PM_—._ BUP Location _ �-S J '�"`-SuiteCc-``�� MEC --. -_ Contact Person _ — Ph(—) -s5-1-�36 PLM Contractor _ -.—_ Ph(_ ) - SWR BUILDING Tenant/Owner -_ ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab 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 --- - -- - -- -- Roof Other: - --- - _ PART FAIL —— PUMBING Poht 8 Beam --- --- ------- Under Slab Rough-Ir Water Sei vice -------------- Sanitary Sewer Rain Drains --- - Catch Basin/Manhole Storm Drain -- - -- —--- — Shower Pan Other: - Final ------- PASS PART FAIL MECHANICAL - Post& Beam Rough-In - Gas Line n, a pers - -- to - W PART FAIL ELECTRICAL J Service m Rough In � UG/Slab W Low Voltaoe -j Fire Alarm Final Reinspection fee of$ __— required before next inspec%3n. Pay at City Hell, 131:'SW Hall Blvd. PASS PART FAIL SITE Please call for reinsoection RE: _— —_ Unable to Inspect-no access /ZAppFire Lino 3/2- Approach/Sidewalk roach/Sidewalk Dab Other.-_.----- Final DO NOT REMOVE this InepoWon roeerd trent So job e1Ee. PASS PART FAIL CITY O F T I G A R® - MASTER PERMIT E DEVELOPMENT SERVICES DATE IS UI3 00430 ED: 0//31/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 13255 SW NAHCOTTA DR PARCEL.: 2S105DA-17100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 059 JURISDICTION: Tlri REMARKS: Construction of new SF detached residence. Other fixtures include ejector pump and backwater VaIVP. BUILORIG REISSUE: DRI-13902C STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1,552 of SASEMENT'. 924 tl LEFT: 5 r SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.426 of GARAGE: 744 St FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I THAD of RIGHT: 5 : OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 2,976 of VALUF369,414 00 REAR: 15 PLUMeINU SINKS: 1 WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TPAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUSISHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS I WATER LINES: 100 BCKFLW PRCVNTR: GREASE TRAPS: OTHER FIXTURES: 2 MECHANICAL FUEL TYPES FURN<190K: BOIIfCMP c AHP: VENT FANS: 5 CLOTHES DRYEP. i GAS FURN>-100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS _ 1000 SF OR LESS: I 0 200 amp: 0 -200 amp: WBVC OR rD R: PUMPIIRRIGATION: �. PER INSPEC TION: EA ADD'L 500SF: 6 201 WO amp: 201 - 400 amp: 191 WK)SVC r-DR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 amp: 401 900 amp: EAADDL BR CIR, SIGNALIPANEL: IN PLANT: MANU HMISVCfFDR: 601 1000 amp. 601♦am PSAM0v, MINOR LABEL: 1000•amplyolt: — PLAN REVIEW SECTION R-connect only: >=4 RES UNITS: SVC7FDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: orH: Al L-ENCOMr BOILER: HVAC: LANDSCAPEARRIG: PROTEC�IVEStG.NL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL R SYSTEMS: Owner: Contractor: TOTAL FEES: $ 9,334.15 This permit is subject to the regulations contained in the D R HORTON D.R.HORTON INC Tigard Municipal Code,State of OR. Specialty Codes and �3A6 SW MACADAM AVE.,STF 102 4386 SW MACADAM AVE. aft other applicable laws. All Work will be done in ORTLAND,OR 97239 SUITE#102 accordance with approved plans. This permit will expire H PORTLAND,OR 97239 work is not started within 180 days of Issuance,or if the a work is suspended for more than 160 days. ATTENTION Oregon law requires you to follow rules adapted 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 Rog"' LIC i 30859 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. m REQUIRf•D INSPECTIONS IU J Erosio, 'rol Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer I In Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final Footing 1.,. Crawl Drain/Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Fina' Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Lin Insp Plumb Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace at or Ser Insp Building Final Issued ByyZ�Z-, Permittee Signature : -- Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business d CITY OF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00324 Lllk 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/31/03 SITE ADDRESS; 13255 SW NAHCOTTA DR PARCEL: 2S 105DA-17100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 059 JURISDICTION: TIG 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 dwelling. Owner: -- __ _ FEES_ D R HORTON Description Date ! Amount 4386 SW MACADAM AVE., STE 102 PORTLAND,OR 97239 1SWUSA]Swr Connect 10/31/03 $2,400.00 I S W USA]Swr Connect 10/31/03 $0.00 Phone: 244-5322 (SWINSP]Swr Inspect 10/31/03 $35.00 (SWINSP)Swr Inspect 10/31/03 $0.00 Contractor: total $2,435.00 Phone: Reg#: Required Inspections a oc U) m This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 Wdays 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 from the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued byy �chcL• PermiticR Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day N V-V 'V\ KlitJ11133 Inman B-uilding Permit Application Received , Building ` FDate/By: _07 Permit No/) r y3 City of Tigard Planning Approval Other �y� Date/ByPermit Nor lo 13125 SW Hall Blvd. Plan Revicw Other Tigard,Oregon 97223 Date/ByAV b -o Permit No.: Phone: 503-639-4171 Fax: 503►59PA1p��n�� Post-Review Land Use p 17Gl1 Date/By: Case No. Internet: www.ci.tig-ird.or.us atilto11VG OIVI Contact Juris.: Sec Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ 7!fa Supplemental Information TYPE OF WORK REQUIRED DATA: l� New construction Demolition I&2 FAMILY DWELLING Addition/alteration/replacement 1 0 Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 & 2-Famih•dwelling___ Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, -- — overhead and profit for the work indicated on this application. Accessory Building Multi-Family -791 Master Builder Other: Valuation......................................................... s O JOB SITE INFORMATION and LOCATION No.of bedrooms:__ No.of baths:__y__ Job site address: Total number of floors..................................... New dwelling area(sq.ft.).............................. Suite #: Bld /Apt.#: Gara e/ca ort area ft. Project Name: 1,40FIC, [/ft•t" Covered porch area(sq. ft.)............................. Cross street/Directions to job site: Deck area(sq.ft.)............................................ _ Other structure area(sq.fl.)............................ REQUIRED DA _ COMMERCIAL-USE I Subdivision: 7m-;r Lot#: ---- -- -- -___ Tax map/parcel #: 5 i D t,D -/7/pU Note: Permit fees*are based on the total value of the work performed. icate DESCRIPTION F WORK the value(rounded to the nearest dollar)of all equipment,materia a r, overhead and profit for the work indicated on this applicali Valuation................................................. S __ -- —' Existing building area(sq.ft.)......... .......... -- —_ New building area(sq.ft.)...... ...................... Number of stories.......... ............................... _ PROPERTY OWNER TENANT Type of constructio ........................ Name: ,t2,gF �yh Ih(� �j / — Occupancy gr s): Existing: — New: Address: 4 1Y Cit /State/Zi 4,01 yn,��5r � NOTICE: All contractors and subcontractors are required to be Phone: .3�__ Fax: y7�-�J/� `L licensed with the Oregon Construction Contractors Board under APPLICANT CONTACT PERSON . provisions of ORS 701 and may be required to be licensed in the Business Name: I(,t( fbY jurisdiction where work is being performed. If the applicant is exempt Contact Nam( from licensing,the following reason applies: Addres;: y�14' 3w 11�L611' */6 2--- -- _-- —_. CL City/Stat /Zi : 0� 01C - ir F- Phone: - : LLL Fax: 3- yl�, �� N 3�7 iIt)LLUllY��it'`$RM l E-mail: _ Pltaie+ �I J CONTRACTOR _ --� .a Y•. „r k E Business Name: e - " Fees due upon application.............................. S U Address: -y` '5V �L ���0.7 J _Cit /State/Zl /? 177Y./ Amount received............................................. S Phone: 'y/ Fax:03- wg-37 1-7 Date received: — CCB Lic. #: p — --- Authorized Notice: 'rhis permit application expires If*pormit Is not obtained within Signature: Dale: ISO days after it has been accepted as complete. _ All e 17(1 ,4 f *Fee methodology sei by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Permit Forms\BldgPermitApp.doc 01103 Mechanical Permit ApplicationReceived Mechanical T , RECEIVED Da e/B�_ Permit No.hti S�,�[XJ� City of Tigard Planning Approval Building Date!B : Permit No.: 13125 SW Hall Blvd. Pian Review Other Tigard,Oregon 97221 !it, '; r 111' Date/H Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Date/By: Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us .,i rY OF 11�-iA1i Contact luris.: See Page 2 for 24-hour Inspection Request: 13 Ot([30412tNlsl. Name/Method: Suppiement.l Information. TYPE OF WORK ____ ' COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New Construction Demolition Mechanical permit fees'are based on the total value of the work Addition/alteration/re lacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. i & 2-Family dwelling Commercial/Industrial Value: S See Page 2 for Fee Schedule Accessory Building Multi-Family RESIDENTIAL EQUiPMENTISYSTEMS FEE*SCH ULK s Description _ ___I Qty I Fee ea. Total Master Builder —H-Othcr: Heatln&Wltcoolie JOB SITE INFORMATION and LOCATION Fumace-add-on air conditionin '• 14.00 Job site address: h(4tmD�'. Gas heat pump 14.00 _ Suite #: Bldg./Apt.#: Duct work !_ 14.00 Pro ect Name: H dronic hot water system 14.00 Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc.) _ 14.00 Flue/vent(for any of above) 10.00 Subdivision: r�� Lot#: Repair units 12.15 L(.cZ L Other Fuel ApI illances Tax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 �^ Flue vent water heater/ as fireplace) 10.00 — Log lighter(gas) 10.00 Wood/Pellet stove _ 10.00 Wood fireplace/insert — 10.00 Chimney/liner/flue/vent — 10.00 PROPERTY'OWNER TENANT :':!� Other: 10.00 Environmental Exhaust fie Ventilation Range hood/other kitchen equipment 10.00 Address: �� Clothes dryer exhaust 10.00 Cit /State/Zi Single duct exhaust — h e— Phone: �J Fax: j7y— 7 (bathrooms,toilet compartments, APPLICANT _ CONTACT PFRSON.' utility rooms) 6.80 Name: _KIM i Attic/crawl space fans 10.00 Address: 03" Other:—_ Fuel Pipingl0 00 City/State/Zi mp% **($5.40 for 11rst 4,51.00 each additional 00 IL Furnace,etc. Phone: .7' Fax: D ;1 T ! Gas heat pump Ras N. E-mail: Wall/suspended/unit heater U) CONTRACTOR" S.''i " Water heater — oe Business Name: M Fireplace _ " �!7y -� AI LW .. m Address: Range •• City/Stat 1ZiQCloches dryer(gas) 00_ W Phone' 3=L —�� tlFax: other: _ CCB Lic. #- 2111Total: l�-- Meeh_■nieal Permit Fees* Authorized _ Subtotal: S Signature: /� -�' Dater Minimum Permit Fee$72.50 S Plan Review Fee(25%of Permit Fee S M (Please rin name) State Surcharge 8%of Permit Fee $ TOTAL PERMIT FEE S _ Notice: This permit application expires It a permit is not obtained within 'Fee methodology set by Trl-County Building Indu+try S"ce Board. 180 days atter It hst been accepted as complete. "Site plan required for exterior A/Cunits. i\D.sis\Permit Form\MecPermitApp doc 01/03 0,2/29/2993 16:15 57354229 9 FOGS ELFCTRIC PAGE 91 02/20/2003 16:10 503-222-2675 DP HORTON PDX CONST PAGE 02 Electrical Perm 1t�cdved — 611 rfcal 1 D�e-- peratit No.: I�T�' n3 City of Tigard plpec —vrmngAgptova scan - urrrlt No.: 13125 SW Hall Blvd. -PlatRrvleer Cftrr Tigard.Otegon 97223 Datoll!y: DsmuJ_!wo. Phone: 503-639-4171 Fax: S 9 poet-Rcvrew Land Use IbI �l DoLz Cast No.: raremtt www,ci.tigador u, na- f r cottua Jtm•. s.e rare x for 2d-hour Intpectiou Request: 54I-63W45( Nam�/1►letttea: 9 Ip errill l lnM110MI ioe ';y4'�l?II-'�4(fY\'Nltit,=.;l�.'::,. .'':-.TXP'E�""�}V,_O .,.•).,,fi,,,:''i:,' '_'ll�'�It'"�' .t I: �1' .�, W: ! ��R,.J„__ 'a 'fllttit«v�:ti..., Nt ry ctmst2uction __ Demobtioservice over 223 an{x- Nenithcm hattity commeralel ❑113.-Ardoot loation Addition/alteration/replacement Other: ❑Servrta nvrr]20 ernps.atln6 of Q 9Uilding mer 10,000 seltura Bar Y:aF " +'. Sa,!' t A 2 Amlly dwellm fp four a mare nrt tlerfiel unit!in 1 &2-Family dwell Buildingin commereiaVInri—t-lal $ficaver 600 vote nor nnat ane ereure g"or three stories ❑Fneden,X00 ampv or wtrxa Accessory Building Multi-Farflity Occumnt load over 99 Persons ManU&ctuttd ttruetwea or RV Perk MastmBt1lldDt Oth r: Egrtt3/II0t^3Plan Otlxr• TION_ 4indTLOcATION :. 3abmil_xts of plant•rkh any otcb.et:ove. li�. ' Tko.above ire not opishcable to tionmrary c pdradlotl ttrvirn Job site address: ,P ;it+„4..�(ih=`':�s: �' EE.5,5�E1__I Suite I Bid ./A t.#: _ Plumber ofil►a ediouJ poor pit allowed Project Name: Drscriptleu Ree(as.) TOO Ncw rMtd«eWLsllrMle or r wht-fandy per Cross street/Directions to job site: dtrelllee aelt larledts attached x.rigo, ser.tee i.cl.d.ar 1000 sq.R or less 14.4.1 S 4 P.ach&Oconal 100 fa.fta a theroor 13AO I subdivision r U Lot#: n;`md qty,;- wrat�—� _. 75,00 a. Tax map/parcel it: (tech.monufocnrkd Noma e,Inedutar dwelling OS1C71Service Warfteder Servkes or feedert-IeettMl�tfea, alteettion or miacation: -M amyo or LKS 80.70 2 201 to 400 106.65 2 wl qJ 40.60 2 ,7tjt 601 t0 QW Unx O 1o00atrt�_q vaaltr 454.65 2 Name: + �/' -l(�(yI%�Y Reeonnurml — 66 Bs 2 Addles: {�Q �l/pr -- Temperriry terHae er fardrn-Irstallatieq — r�• n(Lrvtlort,or relocation: [CAV/Stateqi 200 amps lcv 66135 I Phone: F 22 '3"11 i as to '� _-- 10030 1 401 to WQ walto 133.7S 2 Branch circuit(-ars►,alteration,or r:reuden 16Wpaaelr �-: A.Gee rbr brvrch Circuits whit Purchase of Address: ll��Cw Ayet7�-- 6 65 1 tKvice or Atter kt,cath trnrrreh 4ircuft C)t /State/Zl r4la13,Fee far hrmsch Crau7c without pmehase of nice or hada fir.grit br=b e{reun A6.t5 1 Friona: am- y 7 Each aedttlaoalbrarwhcioalt 665 2 Email: Mb?a(SerAcc or&-&.,r Cot mcl,Med): 4...3:a_� 9`�. —��_JLet'a'alrole S]�r0 Uchsiza or cWtine U $110 IL Job No: Simi eimnKq ort I tniled am V peel, Business Name: L- alalter"dom oxtons1en x_ 2 t” Address: �3X10 5 wD I C-10 N Each additional Ia 'oe ever the Due-We to a of at xbovl: 'City/State/Zip: NI Il Sfoo I^O , 0/ ,r ,pear_�(mM.i how) - -1 e2sg Phore:4Y z- LfJ't;�CJ Pax: Sv3-f:yz-sem($ toratl oo t►e� m CCB Lic. # l S 9 a I Lic.#: c_ omar �+ o1r 1ru� -� G I l�, I�r..a t 4— i'_ ��IS1.__ :17!-4Yr b� Supervising electrician _ subtotal S J sigrl>tture required: Platt Review 25%of Pm?iit Fee) S PIZt Name.5t t°y-f- 1-(-055 Lic.#: '��3 _. slue staoborge(ase o permit Pee _ TOTAL PMU4H FILE S Authotizcd Nelkat T4it'ermlt ftrPhertleo"PIM:f a permit k set ebtalewl yirbin Sigrnrure: Dae: j' (011 day*eller it hat licca accepted at complete- -7 'Fee rMrfhedeletpr se by Tri-Ctm,M lu;ldier radtr fry Serviet board. (rkvo print(rune) i:\Dctr\Pernt t P*"mrn Elc;•ametApp.doc 01/0 FEB-20-2003 16: 15 50.36422900 97% P.02 02/21/2003 05:53 503-S4a-5399 CPAFTWOW PLUMBIrIG P4GE 021 02/20/2003 16:08 503-222-2575 OR PORTON PDX CONST PAGE 02 ~Buildiug Fixtures , Plumbin Permit A Q tleeeived Plumbing T P4?>m1No.:1�'1STe3tJ(/ O0 PlanninG sewer DOe/H : ptrttnlNo.� City of Tigard 13125 SW Hall Blvd, U`� 2�G ' Land DuelDy sand Uee Tigard,Oregon 97213 patt-peg ew Phone: 5(13-639-4171 Fax: 501-598-1960 Daffy CateNa.: set rape:fir luxrnet: www.ci.figard.or.us Narrre/Methad: � _ Ru le�ponui lnforlmatien. 24-hoar_ncpechon RcgacV'. Sp3a609�1175 „- 561n'Ib -.. 7�**——. 1.1 IV u; "�E VNOBK X41",;:.r1T sin.) Total -u = -- � Due rt tion t)ry. New constzuct on Demolition i r.q R—�Gu Addition/slurataanJreplacemcmt ©tiler: :f ti ', �'�c"1";U `'R Nh 11d , ">5 1 +,.,.. . �,.� ,, :,� sFx 1 bath �249.30 _ EGrJRY�tiF fJLY97R - 3yo.00 I &2-Fami1 dwell, [�Commerciat/induetrial SFR(1 bath Multi-Famil SFR 7 bath 399.00 wcoess Budding ❑ Each sdditiunal bailtlatehm J a5 il0 Master Builder ❑Other: 2 �It t Fire at)rinkla�� "• l Job site address: 16.60 Catcb bretiNarea drain suite#: Bldg-' Lt-ft: _ p clI/leaoh line/trench drain 16.60 Pro'eot Name: G( G �' Footin Arvin no.ling Q• Pa, 2 110.00 Ct'O65 strecMrections to job site: Manufactured home Utilities 16.60 Mattho I-- 5.60 Rain dfaln comector P c 2 Slroirar sewer no.IiAeu i;.)Lot#. pe E2 stem ecwr. no.linear R Subdivision: AU Wattr srrv(cc no,llncat ft.) Pa a2 ria, _ I;�tfi•al aDol , _:,�"d;'�;�i`' valve �- Aboa tion - Bwkfla-,t• everter Pa�l�7- Backvralla valve 16.00 Clother rmsher _ 16.60 Dishwmher 16.60 Dr:nkitl fountain 16-`60 5��n�l ..+.� l- • - �- 16.60 ame: Ex aruiatt teak 16.60 - Address: Floor dtawnoor sinklhvb _16.60 C1 /Stat Zi DY Q J G dli Deal 16'60 F2X• y y- 3?f ? Hose bib 16.60 Phone: - Y' "� 16.60 1GC�i rrUltta! iCa�'1 Interc tod ease tri 16.60 ame.- Medical gu-value: S pa e 2 Address: ?� iI Primer 16.60 Ci /Statelzi (dr corrirnefcial 16.60 $ink(basin/tavarorL 16.60 a Phone: a Faz: �pr - TLb(sh owttlsh ower,pan 16.60 GC E-mail: ihinel 16.60 16.60 � :�'�•.•s,:�';aq'1 y-•�. ,,��;W00 wat¢rcloset Business Name: wirer heabix _ 16.60 J Address-.177 1 SW r' Coche: C /StateeeV Q Other k1g91Ii" «al ^, er , i p,,; tP t t7 Phone: 4-PC,Q Fax: Subrotal S J C�LiC.#: C� (� Plumb.Lle. A0- y Pr Minimum Permit Fee 572.50 f Authorized �- Midendal BackflOw Minimum Etc 936,25 91gnAtttrc Dme:1'+�"R _r Plan Review 259E atPttmit Feel) S Stata Surch I of Pettdt ee S _ TOTAL PERMTr FES S (Pleme print ntme, ^atlrr: rhi+per Pelt mpgIlestlen a"area if a permit it not obtained withle All nem eornmorelit WilMeg�regd;re 2 soh of picot*Irk heat ter rltrr dlagreta for ptaa miew. lee days after It h■t hcee aeetpted a WMPltte 41rN eatthodettr+ret by 1't•;-Cmreb Itnlldlnr Indoelry SM"re heard. i.tDSUV'crrdl Frnmr FIMPerrnit4p.doe 01/03 FEB-21-2003 05'49 503 644 5989 96% P.02 o ' • �'A�IRF'I� GI3fy�"�I���DI'V•ISIUN AR Q ��f.adt��b+li;►paSl "is;oft;��� I(ttlt rri+l�• �.( :yJflelMaf f y(Jy i r 4210' /\0� !.'+ _ 1!i,'I�Lf grll��lllill Mlittl! ?4 r ' i.j 1 ' I I.'�r `-y. 1 r�t;7 J�J'!�� a'.. . •:l' \ fol � � \1 `\ \••r (; 'N y' TA MITI 1\ /� `•� T VEL DRIVEWAY ...w .�.•.•.,............._ .»• \\ \\ \ \\ I •';� A OACH SHALL BE A,t�INN 13"XI2,)20' OWr, Gi"L, \`, \ i 1 L-40. • I \ FAQ FT \\ \\ GA�AC,E 1 �e FIN 9L '-\\43 `\ `\ SOP 156 ,. \\ \ \\ \ \ \ \ F;N EV 430' 1 % \ r \ 00 \ a \\ 1 1 \ N \ \\ \ \ SHALL BE FINISHED OR THE LUI \\ \ 11 SURROUNDED BY EROSION CONTROL ld \\` \ \II \� PRIOR TO BREAK OUT OF CO"'11—NITY Z \ \ EROSION CONTROL. FINISHED SLOPES m — } \\ \ \I \ SHALL BE LESS THAN 2 TO I 3: O O EL-402' SETBACK REQUIREI'1ENTS SCALE: 1'-20'-0' I.ROOF DRAINS TO STORM LAT. IN STREET FRONT YARD TO GARAGE 20' 2.FOUNDATION DRAINS TO SIDE YARD 5' 7 , 813 J 1 BACKYARD SOAKAGE TRENCH REAR YARD IS' ADMAN 31 C)PESS,I„„ _ -20' °ATE,1/8,05 5125 S.W. Macadam Aveneue F*4” 503232.4A1 Portland Oregon PAX,W3222Jt11 CITY OF TIGARD•SITE PLAN REVIEW BUILDING PERMIT NO.: Si PLANNING DIVISION: yti--- ' Required Setbacks: 9 Approved LJ N' Apprm vd Fro Street Side: RECEIVED r. _ Roar Visual Clearance. Z Appreved 0 Not Approted OC I 7 2003 Maximum Building Height . feet CWS Service Provider Letter Required: ❑ Yes 0 No CITY OF TIGARD t _ ❑ Received BUILDING DIVISION g ; Date: IC ._q- L)3 ENGINL ING DEPA;(TMENT: Actual Slope.ZM-% 19 Approved ❑ Not AppraveO Site P {.Approved E3N A ovtd g a Date: 16Z o 3 Nass: u A•7'c- PPtra4 1� 6>r 5 fR-✓tc-� f� A'1TAC->.'T hIZ c� g X�W i c�L a►tel .n T �c 9 QG H t}o F- J_ _m 0 W J