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13535 SW NAHCOTTA DRIVE w n� n 0 13535 SW Nahcotta Dtrve CITY OF TIGARD 74-Hour BUILDING Inspection Line: (503)639-4175 MST Z !� INSPECTION DIVISION Business Line: (503)639-4171 BUD - - -- - - --- Received -- -Date Requested - —;X - AM - -_ - PM BLIP Location _ ��' ! 1't1 ��/ Suite MEC Contact Person -- __-_,-_- __ Ph PLM Contractor -- ----- -- - - __ Ph( -) SWR -- -- - BUILDING Tenant/Owner — ELC Footing ELC Foundation Access: Ftg Drain ELR -_ Crawl Drain i - 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:_ 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: --� PAS PART FAIL CHANICAL --------- --- -__- - __ .._ ------ -------------- Post&Beam Rough-In ------- - - - -- ----__ --- Gas Line Smoke Dampers -- - -- - Final PASS PART FAIL -- ------- - .-. -- --- -- ---- ---_--- ELECTRICAL _ Service Rough-In - UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL L_� Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ Please call for reinspection RE:_- _ _- Unable to inspect--no access Fire Supply Line Cl ADA Date j `/ Irss etor Ext _ Approach/Sidewalk - --�-- p -- --- — Other. Final DO NOT REMOVE this Inspectioni record from the job site. PASS PART FAIL CITY OF TIGARD 24-1iou► BUILDING Inspection Line: (503) 639-4175 MST "�U / INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received _-- _ Date Requested AM — PM-- BUP - Location / ..3 3 5� �- _.Suite MEC _---- Contact Person __ ___ --_ Ph(—), s/ 1 PLM Contractor _ —__—_ Ph SWR BUILDING Tenant/Owner ELC Footing ELC: - Foundation Access:Ftg Drain i ELR __- Crawl Drain - Slab Inspection Notes: SIT Post&Beam --- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation n Drywall Nailing --- Firewall Fire Sprinkler --- --- �._ Fire Alarm Susp'd Ceiling --Roof Other:Other: Final PASS_ PART FAIL - ---- ---------- -------------- PLUMBIN© - Post&Beam Under Slab -- _-- — -- Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole ` Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In Ur,/Slab - ---------_- ------- ----- Low Voltage ---- ---- ------ ----- �__.._.— --- Alarm h Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvu ASS PART FAIT_ SPlease call for reinspection�RE: Unable to inspect- no arcess 1 Fire Supply Line ADA faaate l� C� Inspector Ext- Approach/Sidewalk _ Other: / Final DO NOT (REMOVE this Inspection record from the job site. PASS PART FAIL .��.eeeeeeeeeaeee�eeeeee��eee ►�e�eseeeeee�,eeeeeir ► M � ► ► ► w ► 44 d h..� ► 4 cn 'y n 44 p- r- I 0. f�.1 r, � >r � n �44 un Op. if ► 1 p a � 01. ® Z � �] ► s 44 � a � R No. � r ► y v �j ° �' ► rJ rTi rill p ► 4 r UQ ► q G ► t!' rD W _9ONO ► 1 o ► i ► f hm � 0 o Cr d R1 F � 14� .r n Er A ry '1 T J I ' J N a z � av �D O fi CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 —�— BLIP Received Date Requested S AM__ PM _ _ BUP Location ��.�� -- Q--'- Suite—. _.__ __ _ MEC Contact Person __----_____" Ph( ) _ ��_� PLM — Contractor-- -- ____-- Ph(_---) --_-__- -- SWR _— BUILDING Tenant/Owner — _ ___._-_ ______ ELC Footing ELC Foundation Access: Ftg Drain ELR - Crawl Drain r Slab Inspection IJotes: SIT Post&Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Ac'1� c=�- -�� h . Cv =c L-� Insulation Drywall Nailing - - - Firewall Fire Sprinkler - Fire Alarm Sesp'd Ceiling Root Other: ------ --------------------------- --------- _ PART FAIL ----------- ------____-_-------- -------------- -- PLUMBING --- __--__ -_ _"-- -------- ----- -- Post&Beam Under Slab - ------- - -- --------- ---- -Rough-in Water Water Service ------ ---- - --- - -- - - --- Sanitary Sewer Rain Drains - ---- - --- - --v"-.--- --- Catch Basin/Manhole Storm Drain -------- - - -- --- -- -.__. -- Shower Pan Other: ----------- ----- --- - - - ----- Final PASS PART FAIL ----- -------------- ------ - -- - --- MEC_HANICAL - _ -. - -_--------_ -_-- -_ Post&Beam Rough-In --- - - - ---- --- -- ----- -- Gas Line Spoke Dampers ------ ------ - ---- ------ - --- Final PASS PART FAIL - -- ----------- _ELECTRICAL Service Rough-in - --- ------- - -- UG/Slab Low Voltage Fire Alarm Final u Fiainspection fee of$_ - required before next inspection. Pay at City Hall, 13125 SW Hall B, --PASS PART FAIL SITE Please call for reinspection RE: Unable to Inspect-no access Fire Supply Line ADA , ,- C , Li Z, Approach/Sidewalk Date Inspector Other: Final DO NOT REMOVE this Inspection record) from the job site. PASS PART FAIL ` " �� �I���D MASTER PERMIT CITY I T Y PERMIT#: MST2002-00464 DEVELOPMENT SERVICES DATE ISSUED: 12/10/02 13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 6394171 SITE ADDRESS- 13535 SW NAHCOTTA DR PARCEL: 2S105DD-03300 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: wT: oog JURISDICTION: "Cli; REMARKS: New SF detached, Path 1. BUILDING REISSUE: v STORIES: 2 FLOOR AREAS REQUIRED SETBACKS4 _ REGUIRED CLASS OF WORK: NLW HEIGHT: 22 FIRST: 1,552 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOA 3: 40 SECOND: 1,590 at GARAGE: 736 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 TH11p: of RIGHT: 5 VALUE: 310,347.00 OCCUPALCY ORP: R3 BDRM: 4 BA—H: 3 TOTAL: 3.142 a1 REAR: 37 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH. 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCh BASINS. TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>=100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS 1 WOODSTOVES: 0 GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp. WISVC OR FDR: PUMP/IRRIGATION: PEC INSPECTION: EA ADO'L 500SF: 6 201 400 amp: 201 400 amp: tet W/O SVCIFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EAADDL OF,CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: bill 1000 amp: 601*amps•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW RECTION Reconnect only. >•4 RES UNITS: SVC/FDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO&STEREO: x VACUI'M SYSTEM: X AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: x CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: x DATA7rELF COMM: NURSE CALLS: TOTAL 6 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,271.78 D R NORTON HOMES D R NORTON INC This permit is subject to the regulations contained in the 5125 SW MACADAM AVE STE 145 4386 SW MACADAM Tigard Municipal Code,State OR Specialty Codes and PORTLAND.OR 97201 SUITE#102 all other applicable laws All work will be dons it PORTLAND,OR 97201 accordance with approved plans, This permit will expired 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 am set forth in OAR 952-001-0010 through 952-001-0080 You Rea" LIC 130859 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion COn'rol Insp& Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Service Insp Sewer Inppection Fooling/Foundation Dr Framing Insp Gas Fireplace Appr/Sdwlk Insp Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Electrical Final Foundallon Insp Mechanical Insp Exterior Sheathing Insl Rain drain Insp Mechanical Final — Post/Beanl Mechanical Electrical Service Low Voltage Water Line Insp Plumb Final Issued By Permittee Signature : lL---� Call (503) 639-4175 t;; 7:00 p.rn. for an inspection needed the next business day CITYOF TIGAR D --SEWER CONNECTION PERMiT_ DEVELOPMENT SERVICES PERMIT #: SWR2002-00310 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/10102 PARCEL: 2S105DD-03300 SITE: ADDRESS; 13535 SW NAHCOTTA DR SUBDIVISION: PACII-JU CRES"r ZONING. C BLOCK: LOT: 009 JURISDICTION: I I(; TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: i TYPE OF USE: SF NO. OF BUII_DINI S: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF. Owner: FEES D R HORTON HOMES 5125 SW MACADAM AVE STE 145 Description DatF Amount PORTLAND, OR 97201 [SWUSAJ Swr Connect 12/10/02 $2,300.00 [SWLJSAI Swr Connect 12/10/02 $0.00 Phone: 503-222-4151 [SWINSI'i Swr Inspect 12/10/02 $35.00 (SWINSPl Swr Inspect 12/10/02 $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 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" 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 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699. Issued by: �;7 ; :1 _ . J Ir L - `._ Pei mittee Signatire: ��--- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application Date received: Permit no.:no.:/�• +�-y;;, rr _ City of 'Tigard _ Projecdappl.no.: ExpiLp date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - -- Phone: -.503) 639-4171 Date issued: :_Ab I Receipt no.. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: t �family simple Complex: TYPE OF PERMIT 0 1 &2 family dwelling or accessory U Commercial/industrial U Mulu-family ,(New construction 0 Demolition ❑Addition/alteration/replacement U Terant improvement J Firr sprinkler/ala m 0 Other: O; SITE INVORIWATION Job address: ABldg. no.: Suit _, Lot: Block: Subdivision: .4 ( L J _ Tax nrap/tax lot/account no.: _ - Proiect name: I _ — Dewription and location of work on premises/special conditions: OWNLIC FOR SPECIAL INFORMATION, USE Q CKLIS'll Name: Mailing address: 125 1 &t family dwelling: City; Statealuation of work....V-4,!a,.1-1'.9.41.......... $ ' - Phone: - 51 No.of bedrooms/baths................................. Owner's representative: pJ( "I 'Total number of floors................................. ,,''•TT Phunc: I�j l ___JL-mail• New dwelling area(sq.ft.) .......................... _ L Garage/carport area(sq.ft.) 1.r:. :.... � - Name: p• Q H D Y i Covered porch area(so.ft.) ......................... V!A V Deck area(sq. ft.) ........................................ Mailing address: c,L1 W►t G1 _ -•— City: �. State: 7.[P: Other structure area(sq.ft.).. ...................... Phone: lax: `i' rl rr.+tiv Commerclal/indttstrial/multi-family: Valuution of work....................................•... $ Existing bldg.area(sq. Business name: n . Q Y .t-b 1'1 _— New bldg.area(sq. ft. Address: Numb�an of stones City: irate:p ZIP. Typeo ctlon.................................... _ Phone: �; Fax: L_mail_ Oc cy group(s): Existing: CCB no.: p _ New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be r licensed with the Oregon Construction Contractors Board under Name: �L'N to h provisions of ORS 701 and may be required to be licensed in the : >g ' - jurisdiction where work is being performed. If the applicant is Address: AS CP exempt from licensing,the following reason applies: City: State: "LIP. Contact person: jLit Plan no.: - -- Phone: / i Name: e i r �JpJ =tmtact person: �(t� Fees due upon application ............I......... ... Address: � � � Date received: t Iy State:0 IP Q/ Amount received ......................................... Phone: E-mail: Please refer to fee schedule. I hereby certify I have read and !xammed this application and the Not all luntANcunnt accept credit coda please call tunultcaon Irn more rrdormation attached checklist. All provisions cf laws and ordinances governing this o visa D MasierCard work will he complied witb.whether specified herein or not. creat card numb" _-�-1-- lianitet Name m cardholder a r"own on credit card Authorized signaw�re: __—_ Date: �"' { - � Pnnt rlame: F,/ _� Cudhoidet tipature �rnaum� Notice:This pe milt application expires if it permit is not obtained within ISO days after it has been accepted as complete. 4404613 OMCOM) Mechanical Permit Application Date received: Permit no.: City of Tigard Projecdappl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Recetptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permi,no.: =New &t2 ily dwelling or accessory ❑Commercial/industnal U Multi-family U Tenant improvement ttvction 7 Addition/alterntion/replacement J Other: _ 11allowlill] ON COMMERCIAL VALUATION SU11111-11111111F Job address: Qpl I//" Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no: value of all mechanical materials,equipment,labor.overhead, Tax map/tax IoUaccount no.: profit.Value$ Lot: iq Block_ Subdivision: P(G/ -See checklist for important application information and Project name: fl.461 h jurisdiction's fee schedule for residential permit fee. City/county: <1A ZIP: Fq: t ll I J Jil 13111 It Description and ocation of work on premises: _ _ t t a _ Fee(a.) Total Est.date of completion/inspection: _ Description Qty. Res.onlylRes.only Tenant improvement or change of use: Is existing space heated or conditioned?Q Yes ❑No Air handling unit _CFM__ Air conditioning(site plan required) Is existing space insulated'?U Yes 0 No A terauon o existing HVAC system Boi er/compressors Business name: �Y State boiler permit no.: HP Tons BTU/14 P Address: ire/smokedampers/duct smoke detectors City;A � State:DIS zip:,M-100 Ileat pump(site plan required) Phone: �j Fax: E-mail: nsta rep ace umac umer Including ductwork/vent liner O Yes O No CCn no.: nsta l/replace/re ocateheaters-suspen e- , City/metro lic.no.: wall,or floor mounted Name (please print): _ Vent ora ianceotherthanfumace t tRefrigeration: Absorption onus_ BTU(H Name: N 0/G S p Chillers _ _ HP Address: Gj ,ly Compressors-- HP Environmental exhaust and rent at on: City: /' Swte: L[P: D Appliance vent Phones -U;_ / Fax: -37l F.-mail: ryerezhaust Illoods,Type res.kitchenihazmat —� hood fire suppressing system Name: /j'1(a Exhaust(an with single duc:(bath fans) Mailing address: y ei­ Exhaust systema art froar heaun or AC ,/`,y� /,, State:Q� ZIP: yp p ping andistribution(up to 4 outlets) City: LICA(Lal�� Type: LP j __ NG Oil Phone: /f Fax: / JErnail: Fuel piping each additional over 4 outlets M_0 A- rocesspiping(schematicrequired) ��y�� Number of outlets Name: r/7/Z- �Gt ter listed appliance or equipment: Address: Decorauveflre lace _ City: l4G�LA State: ZIP: Q/y- .risen-type oodstovdpel et stove Phone: - Fax: LAO ff-11 E-mail: Other, Applicant's signature: Bate: tri r, Name (print): Alletle Not all)unsdtcuons accept credit cards please cull iunsdreuon;ot more tnforrtwion Notice:This permit application Permit fee.....................$ %1in,mum fee................$ 0 visa ']MasterCard expires if a permit is not obtained Credit cord numher � _ / / Plan review(at ` %) S Laptres within I g0 days atter it has been State surcharge(8%)....S Name of cardholdet as shown on credit cats accepted as complete. t_aidhoider stRnmwe AmOuot 440.4617(WWOW Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CigoJTigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receiptno.: Land use approval: Case file no.: Payment type: &I all t ❑ I &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 Tenant improvement New construction ❑Addition/alteration/replac^mens 0 Food service 0 Other: I1 SITF INFORMKFION FFIE, SU1111EDULF. Job address: � `'j�j/j C�� [� �, Description Qty. Fee(ea.) Total Bldg. no.: Suite no.: New I-and 2-family dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath _ Lot: Block: Subdivision: SPR(2)bath Project acne: et /�" SFR(3)bath City/county: 1.fid. Z1P: Each additional bath/kitchen Description and I cation of work on premises: Site utilities: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities Business name: 6 bihll _ Manholes Address: V87-y 400 Rain drain connector _ City: Ah I State: ZIP: Ip Sanitary sewer(no. lin.. ft.) Phone: 10Fax: E-mail: Storm sewer(no. lin. ft.) �— CCB no.: I I I OD Plumb.bus.reg.no: Water service(no.lin.11.) City/metro lic.no.: Fixture or item: Contractor's representative signature- _ Absorption valve Back Clow enter _ Print name: i Date: Backwater valve _ w 1101 IF, 0 X1111121 Basins/lavatory Name: al z p le Clothes washer ---- Dishwasher _ Address: /� Drinking fountain(s) City:my%ffh so, I Statevg I ZIP Ejectors/sump _ Phone: -?1Z / Fax: r7 E-mail: I Expansion tank Fixture/sewer cap Name(print): D. 1-tZr ",7wleS Floor drains/floor sinks/hub -- Garbage disposal �. Mailing address: S J Hose Bibb City: dj✓ Cute: AoCZ I ZIP: Ice maker Phone: 1 Fax: 2 4?01 E-mail: Interce for/grease trap Owner instal latioivresidential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s), basin(s),lays(s) Otkner's ,,,ii nature: _ Date: Sum Tubs/shower/shower pan _ Urinal Name: �`f f/�/i �i(/��SU��jH_ _ Water closet Address: S-c f llpey Water heater City: 1 _ I State: ZIP: /r- Other: Phone: Fax:�rJ ij E-mail:_ total Not sit lunadtcuont accent credit tarda.please call junutiction for more uUortnauon Notice:'This permit application Minimum fee................$ _ Visa ,MasterCardPlan review(at — %i S expires if a permit is not obtained ...$ Credit card number. within 180 days atter it has been State surcharge(8%r Lxpum _ accepted as complete. TOTAL ....................... Name of cudhoider as shown on credit card S Cudhoider st6natum 4moum 4404616(45MCOM) Electrical Permit Application Date recetved. Permit no.: f City of"l igard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 - g Date issued: 13y: Receipt no.. Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: t ❑ 1 &2 family dwelling or accessory 0 Commercial/industrial ❑Multi-family J Tenant improvement New construction ❑Addiliort/alteration/replacement ❑Other: ❑Partial Il SITE INFORMATION Job address: Bldg. no.: I Suite no.: iTax map/tax lotlaccount no.: Lot: 1 Block: Subdivision: G/ Project ante: G Description and location of work on premises: Estimated date of completion/inspection CONTRACTORA,'ZLICATION ""'N FEE SCIIEDULE Job no: Fee Max Business name: Description Qty. (es.) Total no.Ins -- New residential-single or muni"fandly per Address: dwelling unit.includes attached garage. City: Stale: LII' �'11 Service included: Phone: a Fax: C-mail: 1000 sq ft.or less 4 Each additional 500 sqft.or portion thereof CCB no I Elec.bus. lic.no: Limited energy,residential z City/metro lie.no.: Linutedenergy,tion-residential 2 Each manufactured home or modular dwelling gsn—atu7—Lsu erv`rsx" eleccwn(required) parr. Serviceand/orfeeder 2 sup elect.name(print) 7-11— Services or feeders--Installation, alteration or relocation: 1 31 t 200 amps or less 2 Name(print): " 201 amps to 400 amps - 2 401 amps to 600 amps 2 Mailing address: AJI W _ ,ll � 601 amps to Ip00amps z City: f K Slalc ZIP: Over 1000 amps or volts _ 2 Phone: - Fax:Wk 311111 E-mail: Reconnectrnly I Owner installation:The installation is being made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps _ 2 Owner's si rnatt-re: Date: _ 41)1 to r,00 arnp� 2 Branch circuits-nest,alteration_ or extension per panel: _Name: j �p�f 5 i/ //( A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City:ei� State: ZIP: _ B. Fee for branch circuits without purchase Phone: Fax(//f - E-mail: of service or feeder fee,first branch circuit 2 trach additional branch circuit: PLAN REVIEW(Pleaft clieck sill (list apply) Misc.(Service or feeder not included): G Service over 225 amps-commercial J Health-care facility Each pump or irrigation circle , U service over 320 amps-rating of 1 dt2 ❑Hawrdous location Each sign or outline lighting 2 familydwellings U Building over 10,000 square feet fournr Signal ctrcunisioralimited energy panel. J System over 600 volts nominal more residential units in one structure alteration,or extension' _ 2 •Building over three stories O Feeders,400 amps or more 'Description: •Occupant load over 99 persons O Manufactured structures or RV parkEach additlonai inspection over the allowable in anv of the alrwse: O Egress/hghtingplan J Other — -- i'-r inspection. Submit__sets of plans with ant,of the above. Investigationfee Ile above are not applicable to temporary construction service. 01her Not all jurisdiction accept credit cards,piense call nunsdiUron for more information. Notice:This permit application Permit fee.....................$ _ ZI Visa ZI MasterCard expires if a permit is not obtained Plan review fat — %) 5 Credit card number within 180 days after it has been Slate surcharge(8%) ....$ Expires accepted as complete. __— TOTAL .......................S .-- Name of cardhoir rel shown on cresta rard _ S Cardholder signature Amount j 4"15(&WCOW �G, LCJ'r -- 9 C'1T'Y c_�1 ' " 1 'IGA.KLU i 1 i,IIX LM =.1N AT. tE.sez o 6 OQ' TEMP.GRAVEL. DRIVEWAY � NOTE: i� I,ROOF DRAINS TO STORM LAT. IN STREET ,� ----T�-- 2. FOUNDATION DRAINS TO BACKYARD SOAKAGETRENC- ---50FT. '156 SEE ATTACHED DETAIL f FIN EL 554' ' S- CD --- w < <� PLAN : 29'185 i ( SO FT. 3142 f FIN EL ■ 555' / / �"i cc 1 .11 i c� l , 1cl c ° o THE APPROACH SHALL BE A MINNMUM OF 8"x12'x2C' OF CLEAN PIT GRAVEL `%`%` n LANDSCAPING FOR T-JE ENTIRE LOT SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL j PRIOR TO BREAK OUT OF COMMUNITY o >>�1 , EROSION CONTROL FINISHED SLOPES 0 40 V1J 5NALL BE LESS THAN 2 TO I 60 . 00 n SETBACK REQUIREMENTS VALE. V-20-0*% FRONT YARD TO GARAGE 20' SIDE YARD 5' 6160 .4 REAR YEARD - 15 _.PLAN 25185i301i9O D.R. Horton Homes- 51-ALE 1" 70' pAiE 011/025.25 S.W. Macadar^. �.verQuQ w,.c:r ,c,:zr.e. F'o'tland Ore G/ 5031" -