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13465 SW NAHCOTTA DRIVE 13465 SW Nahcotta Drive CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested._-_- .��� � AM _ _ PM ___ BLIP _ Location _ L S �j T _Suite ___ _ _ MEC Contact Person Ph(� _) _ -- PLM --- Contractor_— 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 Framing — ---- -- - - ----- —- - Insulation Drywall Nailing �--- - -- ------ - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling V — Root Other:_ Final PASS_PART FAIL PLUAIIBING — Post&Beam Under Slab Rough-In Water Service -- Sanitary Sewer ` S Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: PART_FAIL ------------ CHA_NICAL - Post& Beem^ Rough-In ------- — --- _ _ - - Gas Line Smoke Dampers Final _ PASS PART FAIL - ELECTRICAL Service -�---— — Rough-In UG/Slab Low Joltage Fire Alarm Final Reinspection fee of$ _—required before next inspection. Pay at City Hall, 13125 F,W Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:—_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DMO p Inspeeot Other: F!nal – DO NOT RF MOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST �� �S— INSPECTION DIVISION Business Line: (503) 639-4171 BUP _ -- — ReceivedDate Requested �. _ AM— P PM - BU -- ------- Location _ �-' �— Suite MEC C ~ ..5�, Contact Person _ -- - Ph( ) —'1 PLM Contractor Ph( ) SWR _ BUILDING Tenant/Owner __ ELC - Footing ELC -_- -- Foundation Access: Ftg Drain ELR Crawl Drain - SIT Slab Inspection Notes: - Post&Beam -- -- -- --- Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing Insulation Drywall Nailing -- _- - - Firewall Fire Sprinkler Fire Alarm — Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pen Other. Final PASS PART FAIL MECHANICAL Post&Beam Rough-In .._- ----- --- ---- Gas Line Smoke Dampers --- —.^J.--- -- -- _ Final ---- --- PASS PART FAIL — ELECTRICAL Service :VA L-/,t•- (,� ��-— Rough-In __ --� UG/Slab U Fire Alarm, Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE:. —.- Unable to inspect-no access Fire Supply Line ADA c� fie�s r_— ���4��`l�' L-?�---- Ext Approach/Sidewalk Det ��� W p�� Other •I Final DO NOT REMOVE this Inspectlon record h0111 0�O l'A. PASS PART FAIL AAAA♦Aar AAAAAe®AtAaAAAA AAAAAAAAAAAAAAAAAAAAv d ► r � � J cj ► rl I W _ ► r ► 4 < �. ° ► rD d � o � H .� I � ► cis ► CD ► d d ►�. o ► y U H H � cn � a `"' � ► '4 M r� C ► + r} rb -4 A w �- ► ® r ► pool *j c ► a! P •I ► d ► .//♦iii♦l�iiiiiiiiiiiiii�iiiii♦iiii�iiii�iiiii♦ y 0 o N O Con S a a � n N' CI,CD t� n CI p �7 4 A 5' CITY G. 101 24-Hour BIJI. a Inspection Line: (503) 'S39-4175 MST -DODOS INSPECTION DIVISION Business Line: (503) 639-4171 BLIP _ r' Received Date Re ested J AM- - PM — BUP -_-� --- Location Suite MEC Contact Person Ph( ) / 9 �- PLM Contractor ----- -- 'h( ) SWR - -- BUILDING Tenant/Owner -- __ ELC - Footing - ELC - --- Foundation Access: ELR - Ftg Drain - Crawl Drain -- - SIT -_ Slab Inspection Notes: Post&Beam - --- - ---- - Sheai Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- -- - Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: PART FAIL PLUMBING -- Post&Beam Under Slab - Rough-In Water Service -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain --- -- Shower Pan Other: - Final PASS PART _FAIL _M -- ECHANI_CAL Post&Beam Rough-In - Gas Line Smoke Dampers -- IZAS PART FAIL —� ELECTRICAL _—___—_ ------ ---- Service Rough-In - —._ --- - UG/Slab Low Voltage -- -— - Fire Alarm Final F-1 Reinspection fee of$ _ _requlrbd before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [� Please call for reinspection RE: D Unable to inspect-no access ----- - _ Fire Supple Line ACA Date �� co_03- Inspector _-- Approach/Sidewalk Other._- Final DO NOT REMOVE this Inupection record from the Job site. PASS -PART -FAIL j CITY OF TI(GARD MASTERPERhiIT PERMIT #: MST2002-00465 ©EVELO['MEIV-f SERVICES DATE ISSUED: 12/10/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 13465 SW NAHCOTTA DR PARCEL: 2S105DD-03400 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK. LOT: Ill() JURISDICTION: TIG REMARKS: New SF detached, Path 1. BUILDING _ REISSUE: STORIES. 2 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORM: NEW HEIGHT: 23 FIRST. 1.478 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD, nn SECOND: 1.427 of GARAGE: 712 of FRONT: 21 PARKING$DACES: 2 TYPE OF CONST: 5N DWELLING UNITS IMAD of RIGHT: 5 . OCCUPANCY ORP: R3 BURM: 'i BATF 201 615(`0 BATH: 7 TOTAL: 2,605 of REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I CREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES I,URN c 100K: BUILICMP�3HP VENT FANS: 5 CLOTHES DRYER: I GAS FURN>■100K: I UNIT HEATERS: HOODS: I OTHER UNITS: 2 MAX INP: blu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I 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 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 408 amp: tat WIO SVCIF DR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 - 600 amp: EAADDL BR:IR SIGNAL./PANEL: IN PLANT: MANU HMISVCIFDR: 801 1000 amp: 001+amps•1000v: MINOR LABEL. 1000+Amplvolt: PI-AN REVIEW SECTION _ Recon-iecl only: >600 V NOMINAL: CLS AP.EAISPC OCC >•4 RES UNITS: SVC.'FOR>•225 A.: ELECTRICAL•RESTRICI CD ENERGY A.SF RESIDENTIAL B;COMMERCIAL AUDIO 6 STEREO: X VACUUfA SYSTEM: K AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING. OUTDOOR INDSC LT. BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS TOTAL N SYSTEMS: TOTAL FEES: $ 8,078.99 Owner: Contractor: This permit Is subject to the regulations cont2ined in the D R HORTON HOMES D.R.HORTON INC Tigard Municipal Code,State of OR. Specialty Codes and 5125 SW MACADAM STE 145 4386 SW MACADAM all other applicable laws. All work will be done in PORTLAND,OH 97201 SUITE#102 accordance with approved plans. This permit will cxpire If PORTLAND,OR 97201 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: 503-222-4151 Phone: 503-222-4151 Oregon Utility Notification Center. Those rules are set forth;n OAR 952-001-0010 through 952-001.0080. You Rap N: LIC 130859 may obtain copies of these rules or direct questluns to OUNC by calling(503)246.1987. REQUIRED INSPECTIONS Erosion Con'rol Insp 8, Post/Beam Mechanics Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Unde111oor Insulation Plumb Toff Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Volage Water Line Insp Final Inspection Foundatlon Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued B ' �c L Permittee Signaitfrs Call (503) 639-4175 by 7:00 p.m. for an inspe:;tion needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S /10/02 0(1311 DATE ISSUED: 12/10/02 Fla 13125 SV- Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S105DD-03400 SITE ADDRESS; 13465 SW NAHCOTTA DR SUBDIVISION: PACIFIC'CRESTZONING: it BLOCK: LOT: tiln _ _�_ JURISDICTION: 11(, TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NF VV DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS- INSTALL TYPE: I.TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: ---- _FEES D R HORTON HOMES Description — Date Amount 5125 SW MACADAM STE 145 — PORTLAND, OR 972.01 )SWUSAI Swr Connect 12/10/02 $2,300.00 ISWUSA]Swr Connect 12/10/02 $0.00 Phone: 503-222-4151 [SWINSPI Swr Inspect 12/10/02 $35.00 [SWINSPI Swr Inspect 12110/02 $0.00 Contractor: _ Total $2,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee th.o 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 b I�"1 i _ Perniatee Signature: Y _ Call (503) 639-4175 by 7,00 P.M. for an inspection needed the next business day T7C1j4' Building Permit .Application Date received:// OB./''- Permit no.:f/gj .x City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Ex ire date: City q f Tigard Phone: (503) 639-4171 Date issued: B : .receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: G CI I &2 family dwelling or accessory G Commer.:ial/industrial U Multi-family XNew construction G Demolition AAddition/alteration/replacement CI Tenan:improvement U Fire sprinkler/alarm O Other: I JOB SITE INFORMATION Job address: _ Bldg.no.: Suite no.: Lot: Blor:k: subdivi"ion: q j i Tax map/tax lot/account no.: Project name: U I L� Description and location of work on premises/special conditions: _ Mailing address: 12ei t &2 family dwelling: Cit state: ZIP: G% y Y D - Valuation of work..... .�.............:............ $ 8 Phone: -Z 5 I Fax: mail: No.of bedrooms/paths................................. _ Owner's representative: •, Total number of floors................................. A . I Fax: E-mail: New dwellingareas ft. ��-- ( q. ) .......................... ---,��-Fug---- Garage/carport area(sq.ft.) ........................ Name: p• 1V- • �tl Y t-e V1 Covered porch area(sq. ft.) Mailing address: YV t ASa V'i V C,, Deck area(sq. ft.) ........................................ --- -- City: _ State: 7.IP: Other structure area(sq. it.)......................... — Phone: Fax: E-mail: Commercial/Industrial/multi-family: r Valuation of work........................................ $ Existing bldg,area(sq.ft.j Business name: '. V t'fy h New bldg, area(sq. ft.)................. Address: G 5 -- Number of stories..........,,.�::�'� City: State:p ZIP: .............. Phone: _ l, Fax: Zye- I Email: Type of cons�ryctitnf. CCB no.: p - Occ•yprtty group(s): Existing: - --- - - New: City/metro lie.no.: Notice: All contractors and subcontractors are required to be ARCIUM-117DESIGNI 14 licensed with the Oregon Construction Contractors Board under Name: /-i provisions of ORS 701 and may be required to be licensed in the Address: �ji� `jS C� jurisdiction where work is being performed. If the applicant is City: State: t_ZIPexempt from licensing,the following reason applies: Contact person: IpIkI FMrIPlan no.. _ — Phone: I-ax E-mail: — 11 F4 1 11 19 19 Name: .C�j C�/jG 0/�f�- bntact person: /' Fees due upon application ........................... $ _— Address: Date received: —_ City: state:09_ Amount received ......................................... Phone: Fax; Please refer to tee schedule. I hereby certify I have read amt exarrured this application and the Not ml jurisdictions accept credit cards.piens cNl jurisdiction for mom intornuuron l attached checklist. All provisions of lows and ordinances governing this J visa J MasterCaro work will be compl i,whether-pecified herein or not. Credit card number , —_ / '� �J f?xpires Authorized signature: ( Date: �� Name o1 cardholder a shown on credit card Pant name:�� _ Cardholder signature TM un1 Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete 4/44613(6AXWOM) Mechanical Permit Application _- Date received: Permit no. -- City of Tigard Project/appl.no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598.1960 Case file no.: I Payment type: Land use approval: Building permit no. =UMew family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement onstruction U Addition/alteration/replacement ❑Other: Job address: s; 17K Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: uite no.: value of all mechanical materials,equipment, labor,overhead. Tax map/tax lot/account no.: _ profit. Value$ Lot: Block: Subdivision: �fGt 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: t al I 1 111144,111, Description and ocation of work on premises: I I _ ftp Ira.) Intal Est.date of completion/inspection: Dewription OIt Rrti..mlc {tit uttls Tenant improvement or change of use: VAC. Is existing space heated or conditioned'?U Yes U No Air handling unit `__Cllvt Isexisting space insulated. U Yes U No Aircnndiuoninglsste lanregsured) P'c A teration of existing HVAC system of er/compressors Business name: V y State boiler pennit no.: HP Tons BTU/H Address: _ _ Fire/smoke dampers/duct smoke _ City: A 1016& State:( ZIP: T dump(site p an require ) Phone: fax: Email: Install rep ac-1 a fumace/bumer 'J/ ,.� Including ductwork/vent liner Ll Yes L3 No CCB no.: 7tifl�() spende , Instalrepacelteocate seaters-su City/metro lic.no.: wall,or floor mounted Name( lease rint): Vent or appliance other than furnace t e gerat on: Absorption units BTUM Name: N/�D 1 e, ,`�p Chi llcrs_____ _ HP Address: 5 vF �y — Com ressors THP City: r State: ZIP: D nr onmenta exhaust an ventilation: A Plitt vent Phone ;- / Fax: - 3yl E-mail: ryerexhaust Hoods,Type res.kite en/hazmat hood fire suppression system Name: 2,Kr b /yk'e- Exhaust fan with single duct(bath fans) Mailing address: 51;6 Exhaust system a an from heating or AC City: r QState:Q�( ZIP: Fuelpiping andistribution(up to out ets) lidType: LPG iNG ---Oil Phone: 1 jl`ax: "/j F-mall: Fuel piping each additional over 4 outlets Process piping(schematic requn C71 Name: 7C rl y N f umber of outlets '47 42r� / Address: -- ter Usted appffince or e9 pment: y _LIZ Decorative fireplace City: Slate: ZIP: ''Jp/5 nsert-type Phone: Fax: S I E-mail: oodstove/pel et stove —1othe, Applicant's signature: fate: Ut er: Name (print): Not All junsdicuons accept•:redit cards,please call lunsdiction for more information. Permit fee.....................$ _ O Visa J MasterCard Notice: This permit application Llnlmum fee................$ f — � expires if a permit is not obtained pian review(at L°o) S Credit cmJ number __ _ Expires within 180 days after it has teen _ State surcharge 18%) ....$ Name of crtdhoider as shown on credit card accepted as complete. Cardholder sipaftrre Amotwt 440J617(tiA6rCOMl Plumbing Permit Application Date received: Permit rto.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Pro)ect/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land USC approval: Case file no.: Payment type: OF PERMIT ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial J Multi-family J'tenant improvement New cnn 1f1) 11 11 U Addition/alteration/replacement U Food service J Other: _ JOB WWRMATION Job address: (��j� Desert tion _ [m. Fee(ca.)5,14 Total Bldg. no.: uite no.: New I-and 2-family dwellings only: Tax n /tax lot/account (includes lot)ff.for each utifitvconnection) p SFR(1)bath Lot: Block: Subdivision: SFR(2)bath _ Project name: e( _�f-- SFR(3)bath City/county: I ZIP: Each additional badvIotchen Description and Idea''on of work on premises: Siteutilitless: Catch basin/area drain Est.date of completion inspection. Drywells/leach line/trench drain _ Footing drain(no. lin. ft.) Manufactured home Utilities _ HUsiness name: ds (/lm _ Manholes T Address: $Z 4w 4FMV4 - -Rain drain connector - -- City: State: ZIP: pb Sanitary sewer(no. lin. ft.) ^__ Phone: - jc3q jFax:.(,44a- E-mail: Storm sewer(no. lin. It.) CCB no.: Plumb.bus.reg.no:'?� -( Water service(nu. lin. It.) City/metro Iic.no.: ��— Fixture or item: Absorption valve Contractor's representative si6'nature .-,` .� ----- Back flow preventer Print name: �Bte Backwater valve _ ONTUT PFRSON asins/lavatory Name: Able �L � Clothes washer er Address: /_�1 ishwashfo Drinkin fountains) _ StaleD< ZT11,44ZEjectors/sump _ Phone: -1lZ W577 I Fax. Za g.j r7l E-mail: Expansion tank _^ fixture/sewer cap Name(print): p l--Drfvh Floordrains/floor sinks/hub address: _ -- Garbage disposal —Mailing 57 _ � ' Hose bibb City: AlKilkA.WState: ZIP: Ice maker Phone: PA,4-c Fax: Z7 7/11 E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or die maintenance and repair made by my regular Root drain(commercial) employee on the property I own as per URS Chapter 447. Sink(s),basins), lays(s) thkner's si nature: _ Date: Sum Tubs/shower/shower pan NaC me 1f1,4 GG�'!5U Unnal Water closet Address: Water heater C)ty: 1 — State: ZIP.- _ 0 er: — Phone:sy-4_/fiy.Z Fax.A? .7 E-mail: Total Not all)unsdicuons accept credit cards,please call!,rnsdicuon rot more nformoho" Notice:lhis permit application Minimum fee...............$ Visa J MasterCard expires if a permit is not obtained Plan review fiat c) $ _ Credit card numhet _ within 180 days atter it has been State surcharge(901r) ....$ Name or cardholder m shown on credit cud Expires accepted as complete. TOTAL .......................$ _ ardholder signature amount 4n 4G16 4&OWCOM) Flcctrical Permit.Application —" Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: City of"figard Address: 13125 SW Hall Blvd.Tigard,OR 9722, Date issued: By: Receipt no.. Phone: (503) 639-4171 — Fax: (503) 598.1960 Case file no.: Payment type: Land use approval: _ U I &2 family dwelling or accessory U Commercial/industrial 0 Multi-family ❑Tenant improvement New construction U Additiotdalteritiori/replacement Q Other:_ _ J Partial JOB SITE INFORMATION Job address: Blt!cSuite no.: Tax map/tax lot/account no.: Lot: Block: _ Subdivision: Project name: 4 Description and location of work on premises: Estimated date of complelion/insprcfion: �1 CONTRACTORAOPLICAT223M 1 Job no: Fee Max - -- — _ Description qty. (ea.) Total no.Ina Business name: Newreshlential-single ormuiti-familyper Address: .' dwelling unit.Includes attatiwd garage. City-. State: ZIP: 1 .77 Ser-4ceincluded: Phone: - Fax: E-mail: 1000 sq.It or less � _ 4 Each addiuonal 500 sq.ft.or portion thereof CCB m_-, Elec.bits. Iic. no: Limited energy,residential 2 City/metro lic.nu.: �Z�j' Limited energy,nun residential 2 Each manufactured home or modular dwelling signature'ojsrrprrviain elerrru.en n quiredi __-- pate Service and/or feeder 2 Sup,elect.nano(print): License nu. Services or feeders-Inalallatlon, alteration or relocation: PROPERTY r 200 amps or less 2 Name(print): 201 amps to 400 amps 2 �----- 401 amps to 60U amps Mailing address: _ j eUI amps to IODU amps 2 City: `f State: ZIP: � �^ Over 1000 amps or volts _ 2 Phone: - Fax: / Gmail: Rernnnectonly l Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,orreioritiun: 200 amps or less 2 ORS 447,455,479,670,701 201 amps to 400 amps 2 Owner's si nature: Date: 401 to WO amps 2 Branch circuits-new,alteration, or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: / �� Slate: ZIP: Q B. Fee for brsich circuits without purchase 4t Lal of service or feeder fee,first branch circuit: 2 Phone: FaxE-mail: Each addiuonal branch circuit. M Lsc.ISen Ice or feeder not Included): U Service over 225 amps-commercial Q Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 Q Horardous location Facl:sign or outline lighting 2 familydwellings U Budding over WSW square feet four or Signal circuius)or a limited energy panel. rj System over 600 volts nominal more residential units in one structure alteration,or extension* 2 Q Building over three stories U Feeders.4W amps or more •Dcscn uon U Occupant load over 99 persons Q Manufactured structures or RV park Fps h additional inspection over the allowable in any of the above: Q Egressllightingplan U Other: v __ Per inspecuon Submit sets of pians with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Ferrule Fee.....................$ Not all jurtsdicuom accept credit cards,please call junsdreuon for more intornunon Notice:This permit appllcelion Plan review(at _ `Jo) S Q Visa Q MasterCard expires if a permit is not obtained Credit card number. / / within 180 days after it has been State surcharge(8O7o) ....$ Expires accepted as complete. TOTAL .......................$ Name of c of r u shown on credit cud S Cardholder signature At,aunt 440.41915 i6l00/COM) V ACIFIC CRSS"I' SLJBLUIVISION L40 r -- 10 CITY OF -FIGARD W iTER THE APPROACH SHALL BE brow m A MINNMUM OF B"xl2'x2O' OF CLEAN PIT GRAVEL sax AT, I W /�l fj C 0 rr& EL•542 j EL-S ' ,f7 0. 0 4 T P. GRAVEL APL[ r RIVEWAT � � r ,x r NOTE: GARAGE ^I I.ROOF DRAINS TO STORM r SQFT : ll LAT. IN STREET, 1r FIN EL ■ 4' 2. FOUNDATION DRAINS TO r BACKYARD SOAKAGE TRENC�-- SEE ATTACHED DETAIL T� l / LANDSCAPING FOR THE ENTIRE LOT PLAN : 2SO54 SHALL FSE FINISHED OR THE LOT Q FT. 2905 LJ SURROUNDED BY EROSION CONTRC. j IN EL 545' ; PRIOR TO BREAK OUT OF COMMUNII EROSION CONTROL.FINISHED SLOPES O `+ SHALL BE LESS THAN 2 TO I 0 � � I % % L % C \\\ 1 \ \\ 0-'5 ' 0 0 \�(V EL-542' \6t-�e`O 0 EL•!46 SETBACK REQUIREMENTS scut f•20'-0' O FRONT YARD TO GARAGE 20' 6 , ^ SIDE YARD — 15, (rv.` 51 REAR TEARD 15' 04 ADDRESO-U4rl ft NAMC:O iT4 DR D.R. Horton Homes r{,AN 7X;.� x ue r . 20 DATE,IN 5125 S.U). Macadam "aveneue Tajo►! )072224)1 Fortlard Qreon PAY,90722231il a CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-002.89 DATE ISSUED: 6/2/0313125 SW Hall Bivd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S105DD-03400 SITE ADDRESS: 13465 SW NAHCOTTA DR SUBDIVISION: PACIFIC CREST ZONING: R-t BLOCK: LOT: 010 JURISDICTION: TI17, CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: _ FUEL TYPES 0 3 HP: �1 DOMES. INCIN: I LF 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS_ OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install of exterior AC Unit. AC cannot be placed in the reyuire(l',C1IMCk'.. Owner: __ FEES MAX & DEBBIE KROODSMA Description Date Amount 13465 NAHCOTTA DR. (MEC'HI Pennit Fee 6/2/03 $72.80 TIGARD, OR 97223 [TAX]844-State'l•ax 6/2/03 $6.00 Total $78.80 Phone: 503-590-8441 --` Contractor: SERVICE NOW OF OREGON INC 404 SE BEAVERCREEK RD #228 OREGON CITY, OR 97045 REQUIRED INSPECTIONS Cooling Unt Insp Phone.: F-655-7593 Final Inspection ,55-7558 Reg#: 0110214 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: S `_ Permittee Signature- Call ignature yL L�, lL_ �_ .W Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application --- Date received: Permit no. �• � � city of Tigard Project/appl.no.: Expire date: CjrynfTigard Address: 13125 SW hall It]%It,I igard,OR 97223 Date issued: Byi Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case tilt no.: Payment type: LBuilding permit no.: Land use approval: XA &2 family dwelling or accessory ❑Commercial/industrial J Multi-family ❑Tenant improvement U New construction M Addition/aiteration/replucemcnt J Other: Job_addres_s: 13465._.Naheotta Dr_ __ _ Indicate cyuipment yuunuucs in boxes below. Indicate the Iloilar Bldg.no.: x$$$$ —r uite no. value of all mechanical materials,equipment,labor,overhead, profit.Value$ Tax map/tax lot/account no.: - Lot: Block: Subdivision: 'See checklist for important application information and J urisdiction's fee schedule for residential permit fcc. Project name: City/county: ,pj rd 97223 — 1i i I ZIl': Description and location of work on premises: _ l Fct•Ica.) total (jt'. Kt�.orb Rts,uuk Est.date of completion/inspection: 6/2/03 Uta riptinn !— Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No Air con it oning(site p an rcquire ) Is existing space insulated?U Yes U No T Alteratio-n-oT—existing I IVAC system _ Boiler/compressors State boiler permit no.: Busincssnamc: Service Now of Oregon lip Tons BTU/It - Address: 404 i S T3eaverereek Rd •ire/smo c dampers/duct smoke detectors City: Oregon city I State:Qr ZIP: 97045 cat pump(sue plan rcquirem nsta rep aceurnace�umcr—_BTUAI 503 Phone:6 5 5—7 5 5 4 FaxS 5 5-7 59)E-mail: Including ductwork/vent liner U Yes U No CCA no.: 110214 _ nsta rep ace re-ocate heaters-suspended, , City/metro lic.no.: 2462 wall,or floor moun=furnacc Nme(please I,rint i ent fora liance c r gnrrt ett:Absorption units Naimc. Kathy Address: ntlronmenta ex City: Stale: ZIP: Appliance vent Phone: I,� E-mail: U yCr I iiust — I loin s,Type !Wires. itchen/hezmat herd fire suppression system ----- --- Name: Max & Debbie Kroodsma Exhaust fan with single duct lbath fans) Exhausts stem a att from heatingor AC Mailing address_ ue p p ng anddistribution(up to 4 nut ets) City: — State: ZIP: Type. Ll NU Oil i 0 3 11 It o I ie::::: AA1 I;tx C-mail tic pilling cac_e additional over out cls races+p-(ping isc icmatic require — Ntunlx:r of outlets _ Name: — ter ste app ante or equipment: Addr.sS: --� DCCoratiV l�teplaee - City: State: ZIP_ _ Insert type C-mail: oo stove pe et stove _ Phone: -- ha Applicant's signature: u /2 9 0 3 t ere Name(print): Kat FriC( — _ Permit fee ..................... $ -- Not all juri4dictitws accept credit canlr,pieaw.all lun,thcnon ton more information NOIICC: This permit application Minimum fcc................ $ ❑visa U Mastcrc'ard expires if a pernut is not obtained Plan review(at _— %) 5 _ Credit card number:_____ ----LF— within ISO days eller it has been State surcharge(8%) $ — accepted as complete. TOTAL—'—Fame of cat�ldcr a+shown on cteTit Carl— ....................... _� S 76-80 . —_ Cardholder afynamre Amount r4o 4611 ttvW COMI SENT SY: SERVICE NOW OF OREGON; 503 655 7593; JUN-2-03 8:16; PAGE 2'2 lL�,y .VVV 6\'o r � I I Iv CITY OF TIGARD 24-Hour BUILDING Inspection Line- (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received — Date Requested __-_ (�p AM PM— BLIP ca J (o.S ,l�l� i. Suite Location MEC - - - Contact Person _-_ — Ph( ) __ PLM Contractor_ Ph( ) .S.S SWR BUILDING Tenant/Owner - ELC —_ Footing ELC ----- Foundation Access: ELR Ftg Drain --- -- Crawl Drain - SIT Slab Inspection Notes: Post&Beam -- - - - - Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing Insulation Drywall Nailing -- - - Firewall Fire Sprinkler -� Fire Alarm Susp'd Ceiling - - --�--- --- Roof - - - -- --- - Other: Final — - PASS_ PART FAIL PLUMBING Post&Beam Under Slab Rough-In _ Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other. Final P ,RT, FAIL _FCHANICAI-S_- Post& Beam Rough-In Gas Line Smoke Dampers Fln AS PART FAIL ELECTRICAL Service Rough-In - UG/Slab Low Voltage —� Fire Alarm Finel l� Reinspection fee of$, _.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL. _ E _ Please call for reinspection RF Unable to inspect-no access SIT Fire Supply Line / AI-)A C - /6 - d ? Ext__ Approach/Sidewalk Date -- --- Inspector ' - Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL