13665 SW NAHCOTTA DRIVE c'
13665 SW Nahcotta Drive
CITY OF TIGA ND 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST 3 —&oo Fa—
INSPECTION DIVISION Business Line: (503)639-4171
Received _ ___ Date Requested G =3 . AM____- PM BUP ---
Location _I -3(4 � `'���' -' Suite---- MEC
Contact Person -- _ Ph PLM
Contractor Ph(__ —) __- swn
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 Sher"/Shear
Framing - ---
Insulation
Drywall Nailing
Firewn"
Fire' -
Fire Al.
Susp" ,ding
Roof
Other:
Final
PASS PART FAIL - -
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 ( T iZ -C C �JL-
PASS PART FAIL
_ELECTRICAL_ -----
Service -
Rough-In l`✓f� f���l _ --
UG/Slab /I
olt
Fire arm _,_ ------ -- - ..-- -- -
"'e"-ca-G P Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd,
A§ PART FAIL
SITE [J Please call for reiospection RE: Unable t� Insoect-no access
-__-- �--
Fire Supply Une
Approach�Sidewalk Date -%'_-� �� ' -v..�a Inspoetor _-- {�' _ �- --ExtADA —_-
Other
Final DO NOT REMOVE this Inspection record Orom the job site.
PASS PART FAIL
CITY OF TIGARD 24-Flour
BUILDING Inspection Line: (503)639.4175 MST
INSPECTION DIVISION Eusiness L in : (503)639-4171 BUIP
Received __ __—_ _ Date Requested__7 G> AM---_- PM - - RiJP
Location ��Q ___-- d 1.4't--' Suite ----. - MEC --
Contact Person __ __-- Ph(__�.—) � _-- - _ PLti1 —
Contractor Ph(--___—) _ SWR - -
BUILDING TenanVOwner __- — ELC
-Footing ELC
Foundation Access:
Ftg Drain ELR - -
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam -- -----_---- __
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling ---- -�
Roof L-J -
Other:
Final Ir
PASS PART FAIL l
PLUMBING --
Post&Beam
Under Slab
Rough-In _
Water Service —�
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
0A S PART FAIL
I ANICAL _--- - --
Post&Beam
Rough-In --- --
Gas Line
Smoke Dampers --- —
Final
PASS PART FAIL ----- -
ELECTRICAL — -- --
Service — --�--------
Rough-In --- -- - —
UG/Slab
Low Voltage _ —_------- ----- --- -�
Fire Alarm
Final Reinspection fee of$—_ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [� Please call for reinspection Unable to inspect-no access
Fire Supply Line
ADADat! Ext--
Approach/Sidewalk `
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
IN
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP --
Received —_ _.__ . __ ._._.Date Requested .��c� AM-- PM BUr, - -_ -- --
Location L3 G�.S-__ C J Suite--_---_ MEC
Contact Person Ph(_ _—) S�L1 �_..__ PLM
Contractor _ ___ _._ Ph(__ ) -_ _—_- -_-_ SWR
BUILDING_ _ TenanYOwner _ ELC --
Footing ELC
Foundation Access: ..
Fig Drain ELR
Crawl Drain
Slab Inspection Notts: - - 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: -- -- -
PASS, PART FAILPtU -
_ ING — --- -- --- - — _—
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
S03nhe Dampers --- -- ----- —
S5 PART FAIL ----- -------------- ---- -- ------
_ RICAL—
Service
Rough-In ----- — ----- - — -----------
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_ required before next Inspection. Pay at City Nall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: _^__ [ Unab'e to inspect-no access
Fire Supply Line
ADA Data__ '—'Ib" _ Inspector _ .. --- - Ext_
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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�� O� � '��� D . _____.—MASTER PERMIT
PERMIT#: MST2003-00082
DEVELOPMENT SERVICES DATE ISSUED: 4/3/03
13125 SW Hall Blvd., Tigard, OR 97221 (503) 639.4171
SITE ADDRESS: 13665 SW NAHCOTTA DR PARCEL: 2S105DD-02800
SUBDIVISIO14: PACIFIC CREST 'ZONING: R-7
BLOCK: LOT: 004 JURISDICTION: TIG
REMARKS: Construction of new SF detached residence.
_ BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,552 of BASEMENT: of LEF r: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,580 of GARAGE 756 of FRONT 20 PARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS. 1 THRD of RIGHT: 7
691 60
OCCUPANCY ORP; R] BORM: 4 BATH: 3 TOTAL: 3.142 of VALUE: 306. REAR: Jt
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIU DRAIN: 195 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 109 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: IVO BCKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<10OK: BOILICMP<3HP: VENT FANS: S CLOTHES DRYER: I
(SAS FURN>000K: I UNIT HEATERS: HOODS: I OTHER UNITS: I
MAX INP: htu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS I 0 •700 amp o -207 amp WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION:
EAADD'L 500SF 5 201 400 amp. 201 - 400amp tat WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 500 snip: 401 - 000 amp EAADDL BR CIR SIGNALIPANEL: IN PLANT:
MANU HWSVCIFDR: 601 1000 amp: 601•ampS-1000v M100A LABEL:
1000+ornplvoll:
PLAN REVIEW SECTION
Reconnect only:
—4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC UCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL - B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGINCI. OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER, CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,249.45
D R HOR1 ON INC PORTLAND D.R.NORTON INC This permit is subject to the regulations contained in the
4386 SW MACADAM AVE#102 4386 SW MACADAM AVE Tigard Municipal Code,State Specialty Codas and
PORTLAND,OR 97201 SUITE#102 all other applicable laws. All woo rkk will be done
PORTLAND,OR 97239 accordance with approved plans. This permit will expire if
work is not started within 180 days of Issuance,or if the
work is suspended for more tharl 180 days. ATTENTION:
Oregon law requires you to follow i ules adopted by the
Phone: Phone; 503-222-4151 Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080. You
Rap N: LIC 130859 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final
Sewer Inspection underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Plumb Final
Foundation Insp Footing/Foundatlon Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Final inspection
Post/Beam Structural PLM'LUuderfloor Framing Insp Gas Fireplace Appr/Sdwik,nsp
Issued By : �? 1 ; � Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
^\ SEWE R CONNECTION PERMIT
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT#: SWR2003-00071
13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE !SSUFD: 4/3/03
SITE ADDRESS; 13665 SW NAHCOTTA DR PARCEL: 2S105DD-02800
SUBDIVISION: W ( PLS'i• ZONING: R-7
BLOCK: LOT: 004 _ JURISDICTION: Tl(.
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.
Owner: _ --------- ---- FEES -- _
D R HORTON INC PORTLAND Description Date Amount
4386 SW MACADAM AVE #102
PORTLAND, OR 97201 [SWUSA]Swr Connect 4/3/03 $2,300.00
[SWUSA] Swr Connect 4/3/03 $0.00
Phone: [SWINSI'[ Swr Inspect 4/3/03 $35.00
1SWINS111 S\%r Inspcct 413/03 $0.00
Contractor. — Total $2,335.00
Phone:
Reg i/:
Required In3pe0ons
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from tiro 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
i
Issued by: C- L Permittee Signature: r
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the text business day
7-Z '-
V0R
Building Permit Application Received / 0 Iwil'lmg
Date/By- A Flo C'i Permit Nu.��
City of Tigard Planning Approval Other
Date/By: Permit No.:C;0t.tJ
13125 SW Hall Blvd. Plan Review. Other _
Tigard,Oregon 97223 Date/By: �-G-G3 !�r Permit No.:
Phone: 503-6394171 Fax: 503-598-1960 f'ost-Review Land Use
Dale1B : case,No.
Internet: www.ci.tigard.or.us Contact 1 See Page 2 for t'
24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information
r
TYPE OF WORK – REQUIRED DATA:
New construction HDcrnolition I &2 FAMILY DWELLING
Addition/alteratinn/replacement Other:
CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the neurest dollar)of all equipment,materials,labor, - –
overhead and profit for the work indicated on this application.
Accessory Building_ Multi-Famil
❑ Master Builder ❑Other: Valuation............. ........................................
JOB SITE INFORMATION and LOCATION I No.ofbedrooms: No.of baths: _
rTotal number of floors.....................................
Job site address: i' r' New dwelling area(sq.ft.).............................. -
Suite#: Bld ./A t.#: Garage/carport area(sq. ft.)............................
Project Name: ` Covered porch area(sq. ft.)........... . ........... _
Deck area(sq. ft.).................. —
Cross street/Directions to job site: Other structure area(sq, ft.).
REQUIRED DATA:
_ COMMERCIAL-USE CHECKLIST --
Subdivision: NU (I �'�C ___ I.ot#: 1A
Tax ma /parcel #: Nate: Permit fees•are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of al'equipment,materials,labor
— overhead and profit for the work indicated on this application
Valuation.........-..............................................
------- - - Existing building area(sq. ft.)..................
New building area(sq. ft.)............. .............. --
_ Number of stories............... _--
PROPERTY OWNER TFNANT Type T e of constructio ........................,..........
Name: r�-L(j /'�l /t Occupancy r s): xiVting:
Address: -Ada �l . Or
Cit /State/ _ -.1
L��� (�__�1�(
Fax: NOTICE: All contractors and subcontractors are required to be
Phone: -,�" / �3 ' �%j"��� licensed with the Oregon Construction Contracture Board under
j_JjApp- I ES CONTACT PERSONprovisions of ORS 701 and may be required to be licensed in the
Business Name: _ jurisdiction where work is being performed. If the applicant is exempt
Contact Name: X1119 tt-n� / from licensing,the following reason applies:
Address: SW M&A -9
Cit v/State/Zi : V Q 09 117;01 _
Phone: - 1 Fax: 3- Yl -5-7/7
BUILDING PERMIT FEES*
E-mail: Please refer to fee schedule.
FONTRACTOR
Business Name t fah /h grj*Ll Fees due upon application.............................
Address: L
City/State/Zip: ePr4`i2a �� Amount received............................................ S — --
Phone: �?_�1� -%/ Fax_ J '37 f 7 Date received:_—
cc,B I.ic. a --
J
Authorized Notice: This permit application expires If a permit Is not ohtaincJ within
Signature: / 190 days after It has been accepted a complete.
/[�� *Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
i\DsWI`crmit Forms\BldgPemiitApp.doc 01103
FOR OFFICE USE NLY
Mechanical Permit Application Received Mechanical
Date/By: Permit No
Planning Approval building
City of Tigard Date/By: Permit No.: _
13125 SW Hall Blvd. Plan Review Other
o.
Tigard,Oregon 97223 Date/b Permit
Post-Review lend Use
Phone: 503-639-4171 Fax: 503-598-1960 Date/By: Case No.:
Internet: www.ci.tigard.or.us Contact Juris.: Z See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: supplemental 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
FI CATEGORY Olaceme TRUCTION mechanical materials,equipment,labor,overhead and profit.
Value: S See Page 2 for Fee Schedule
1 &2-Family dwellin Commercial/1ndu5trial — RESIDENTIAL E UIPMENT/SYSTEMS FEF.r SCHEDULE
Accesso Building_ Multi-Famil — Descri cion t Fee ea. 'total
_Master Builder Other: Ileatin,Co ling
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditionin " 14.00
��jA , , Gas heat um 14.00
Job sire address. [ 14.00
Bid /A t.#: Duct work
Suite#: _�— H dronic hot waters stem 14.00
Project Name: 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 an of above 10.00
/y,
Repair units 12.15 _
Subdivision: Q�r c[/ �{�/G✓r Lot# Other Fuel A tllances _
Tax map/parcel#: Water heater I OAU
DESCRIPTION OF WORK Gas fire Ince 10.00
Flue vent water heated us fire lace) 10.00
Log lighter as 10.00
Wood/Pellct stove 10.0(.'
Wood fireplace/insert 10.00
Chimney/lincr/flue/vent 10.00 —�
PROPERTY OWNER TENANT Other: 10.00
Environmental Exhaust&Ventilation
ame: r Range hood/other kitchen equipment 10.00
Address: Clothes dryer exhaust 10.00
Cit /State/Zi H _ Single duct exhaust
Phone, .,q?� Fax: (bathrooms,toilet compartments, 6.80
APPLICANT CONTACT PERSON utility rooms) __ _ --
Attic/crawls ace fans 10.00
Name: Other: — 10.00
JF---
Address: GtC –06 Fuel rlping
Cit /State/Ziy � **($5.40 for first 4,$1.00 each additional
�'----�1— — Furnace,etc. "
Phone: �75 Gas heat pump "—.
E-mail: Wall/sus ended/unit heater
_ CONTRACTOR—_ Water heater "
-- � "
Business Name: �/ / �Jlil Fireplace •• _
Ran e
Address: BBQ ..
City/State/Zi 0 Clothes dr cr as — "
Phone' Total:Fax: _ Other: -
CCB 1..1C. 4: -
�Z �� —
�_—_ bfechanlcal Permit Fees•
Authorized Subtotal: S
Signature —_ nate: a .7 Minimum Permit Fee,$72.50 S _
Plan Review Fee 25%of Permit Fee
-��------•------ State Surchar a 8°�.of Perm $
it Feel S
(Please rin name) TOTAL PERMIT FEE S
Notice: This permit application expires If a permit Is not obtained within *Fee methodology set by Tri-County Building Industry Service Board.
IAO days after It has been accepted as complete.
—site plan required for exterior A/C units.
i:\Dsts\Perrnit romisVNeePermitApp doc 01103
02/20/2003 15:1S 5735422900 POSS ELEi:TPI': PAGE 01
02/20/2003 16:10 503-222-75'5 DO HORTON PDX CONST PAGE 02
Electrical Permit Ayulication
Received gle�a,eai
v. Yelmit ,. 1'V-;
Plamtit+g Ayptvvat _._.. St1,n
City of Tigard
13125 SW xau Blvd. Plan Revlevother
Tigard.Oregoa 97223 Damm potmil No.
Phone: 503-6394171 Pax: 503.598-1960 ?ac-Pevtew Land Use
Dsrc/S - ale No.:
rat'ernet WwW.ci.tigar(Lar.%m eantoct Luria.: see lla44 2 for —�
24-hour Inspection Request: 503-639.4175 Nameltitetht!d: 9u lemeotal Information
TYPE'.tOPI' VOLr a., ;'i� �irlJii "'' ^airs 'Nii ,r, REVIEW EPl'ea _t411ent 5 :'" ',Tf>.lHrs4.,.
�1ew construction DernoLtion ee ever 225 ot,tpt- Hea11VAr eats cation
eotrlmerolal C'ES>,sreout location
Addihon/altmtion/re laoetnent Other. r]Seance over 320 errpa-rAIInr of ❑nuildins ovx 10.aoo sgture fde,
':.+:GJt'I ECif Y aF 614 ' a'r ",''r;i'':-t.a'. t Bt 2 farmly dwelUn p four Cyr more nsidert;ol urtt!in
1 &2-Family dwelling Ct7mII ereiavIndustZial f�S%ttem over wlb ies tl one ttnreaae
8tilding overr three
ree Atorics ❑Feeders,400 Amps or more
Acccsso'a$U.Ildin f I Lil Multi-Fatally Occupant load over 99 person: [I M3r?U&c and 3cuetwes a RYpitk
Masw Euildnr Other: 8 Eprea3nigkrltt2Pltn G odtrn
r
,I, , 9ebrnit _sets of plans vitla any of 04 above.
"1u: /Q 617�X TI{ 1��itdLQCATI'tlN' �' TkP Aaw Rro n212V!wdhl(-
to temparary ettctroedoesenira
Job site address: n!Ilhi. ;i-_' Q•riLTE.".SGHEI)lf tw�!'I3fu3�+ r:w'i,irr�`r r:''>.+; .,.
State#: _ Bid ./A t.#: Number of ir,3 eelinn.t per Pit allowedv
Pro•cet Namr-: Li 4YCerC _ Dt erl 1Dn 4o I've(ea-) ToIll
New rssldlmUo-4frptp or muld-rimrly pa
Cross street/Directioas to job sttr-: dwelsher Balt.larlades artatked COMES.
Sertee iDtleded+
1000 sA.R or less 115.15 4
Each 94 Thor, 100 ft or do tl%:foo[ 33.A0 I
Irtllttd rCr� S•� 1
Subdivision: C Lot : tad olctw�n R ,stoa c ami Ts.00 2
Tax ma / SSCCI Beak manufitctured(tome or modular ewoTlinq
t,,d• y�;.yl.t.,, i u .qr.i service iWor fender 90.90 2
1 ,I .,.b.t*.SC'ELl ,_ ir.wostt
'"°+ " „t'•'` ` ' •+^ „il.
Sen-kn or kedrre•teatNlatlon,
alttr-ntion or relocaham
2Q1 untir,or Ies: 811.30 12
tot • to 400 encs 10645 2
W1 norms A K*gtun 160.60 2
QOoun
.PR It fl rtlrll; is ° �: °Y°i''"3 .;lei "`uiTl bol.rn .tola6o :
-+— 7= +L�t� Oret IOrH ampia wit* 154.66 2
Name: �ij(1��,<1 Ikcannacronl 6r>tcs z
Address: Q r / Temporary ta►vlccs of fardrrs-lestallabee,
Idtemlen,or rtlotatien: 1
City/StaterLl � 200 amps or Itv 46.65 I
Phone: c Fax: �17Z '37i� 201to 1° ''° 10030 z
� 4ot o a 133-752
h�PltiC' ,,T+'` CL'P14'Tt1C1''P 'ItS Enoch airculn-nea,alhration.or
Na IC /s(/ 1 _ A.r re or per panel+
v��- _
A.f:e for brnn:h clrnw�wttl+Trschr.:n of
Addte55: Cif �� � /DY- w-vice or Nader oathbr:lnoh tuft 6.65
^It ,/$t2tC✓Zi : yjj B.fee IM bncnch NrOA;u without plochaee of
kit ter%vr or IYedcr fee.(frit branch a regret tf.65 2
PlIt7t1C: ' ax: y Eacha7dttlrCa hrsncblvoult 665 2
E-mail: titevc(Semite er tbedcr cot rncbeleffl.
1),U,'✓Ah}P L''t°t)'�° ' (7.. !J OR:. ath�9t;'l' Euh -U ar elpmn elrole $3.40 2
Ranh vip or outline U 53.40
Job No: Sisnnl rircvitfn Or r Ilmited aorngy perm',
alter-War,or owntion 2 2
Business NatnC: /_ �/ _ _. petcrfp cw
Address: Z 3X1 b 5 w 0 M 19 ter:.,~►
Eac
� h atldreieeel{misse� xe
on or the alle'MAble is a of rite shove:
`Ci istate:�Zl Nh�1 5420 I,-o Q l2 Ar It. n r heW/m'n.t hour, 6
Phonc-CeY z- ZS'Go Fax 51)3 e,r/L-4-7f 5 tarCstf aaen reW
CCB Lia n: ! US ES d{ Lic•#:-3 -y b� other.
N.;,1„� :M.�1� +;:+� Lrcttrlt�llt ffliiltiFt�la is
Supervising elertricintn
Subtotal a
SiRM r2 u1Ted: IMart Rarcw 1.511,of Patna Fee S _
Print Name:5tev<. MOSS k �1
ic.M 7.13 ;L5 $tale TOT
$lrtCl (e%df PtTm1t Peel
TOTAL Fl:IZ1b1IT E'B.F, I S S _.
Authorized Netlec Thi.t permit applladon rcplres if o permit it not oberNed within
Mpature: I L Clute: � � 5 IN days after it KAt bees aeetpted at complete-
f •Fee nrethedeloRy tet by Tri-Cm,M Auildiop tAdrtttry Servrtt Board.
(pkue Print none-,)�/)C/1J
is�DstrVermitPaemsTEleParttitApp.dor OI/0�
FEB-20-200.3 1515 50.35422900 37•: P.02
0�/21!�003 06:53 503-baa-5399 CPAFT'i PLUb1BI'lG PAGE 02
,02/20/2003_ 1.6:P,B 503-222-2675 DR HORTal PDY. CONST PAGE 02
Building Fixtures
Plumbin Permit Application RftmeiVad n•hlag
I A
.. _
aevr9 :
planning App
City of Tigard /� plan P : Oft-
13125
---
13125 Sw Flail Blvd, , \ plan
�v" —
� D`urta
Tigetd,Oregon 97223 I'txaPw ewI U111
Phone: 503-0394171 Fax 503-598-1960 AatoP '�„e,ctart rope 2 ra.
24-hrna InaPection Request•. 503-639-4175
lCtnontxllnformatintL
bTuF,,'F6C:HuI7C'ZTrof'x 8i39daiif6 Mdq+ 1Ml '�
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F
ee(n.) TOW .
. illi 'uo 'ru._ w-=--•- Doecrlbion ��pp „.
Newconsixuctton Dtmolitlon 1 1,1.y .p, " &+�-tdn�tl�('(rdi �'6'�utiwU�d,1+It
AdditioNalterationr lacemtnt C)thc, ei r�;' u"ir lu�I �•ldf,6' li-t1 1
L7 249.20
y'°-^' "CAT IEGORYif�iiF •ONSTR 5FR 1 both 350.00
.5t 2-Famil dwel'an [�Comm, rclal/lIldUatslBl SFR.t2 both 399.00
.Oiceessory Building _Multi-FaTrul SFR(1 balh Eh add 45 f10
[�Other: actiotu'll halu
thchcrt
Mester Builder a•m•,i r.l•, Fire s rinkler-4 •ft Pepe 2
•,ICt31i�Gt'flD�,r�►ltifir ALL- 'a
job site address: C,tcbbinim'adreln 16.60
Suite#: Bld !�npt.r: p vcll/1taCh(ioc/trench dretin 16.60
pm,act Name: G/ G erg~ Footin drain no.linear't Papc 2
Cross streetlDmmu
ireet:ons to job site: fac,rme ad houtllltie5 1t o.00
- 116.60
P.Rin drain c=ectar 16.64
Saoitnt irimViCr loo.Ii4eat a. Pa c 2
---� _ Storm sewn no.linear R Poe Z
Subdivision: Q(Jt �1=t I Warta 5L
no,lintar!t' Peae 2�,�
Tax the /�aLCCI i'.Au °�'. ^t;41 !� �� at7, ydtltti6iil ' guy wry LrrlH
' ''•iL� Ci`�5'rr�lUN 0 .WORit r A IPA.urs ;,, A— b _uon valve
Raclttlmv trrtntcr 16.60
BacF-'tater valve 16.60
Clcthec-vashcr 16.60
1 pinhwe her 16.60
Drltilcitl £our:uin
16.60
id k"'; t�i(;� ' ectots�rrm
E k Nine: l 6.60
e: h Exvantian am1
� � Flxriudwa lecap _ 6
Address: flotx dramilloot aMl
ir. ub 16.60
Cl Istat Z� : ar 222n-1 c,tbnt:dla sal 16.60
Phone: " Fax: y J ' 3'7( Hose bin _ 16.50
i2ZL IC 7 CHIP.) Oti :..1, ice maket - 16.60
�[" I T r.' tor/ ewe tsa 16.6r,
Intone
ame: Medical ills•value. s Pose 2
Address: 2 Print�a t6.6a
l 7'd Rnoxdtain cotrtrttelr.tall 16.60
Ci �State/Zi : G --� { 166 _
Phone: Fax: 5ink/bimnAav9tor 16.60
sb/shower/show'er �t+
E-mail: �-. ,i. Unna 16.60
:r:-.CO -- � �t utt elan 1660
Business Name: {' Wi=hili 16.60
Address: 77 l S Wr 4 ettim.
Phone: td-M9 Fax: -S'9P'g ' '°'"`` Subtotal S
(� Plumb. Lic-0.20- 4PMirmum m Pfee 11,2.50 S
GCB Lic. t#: G Raideli enckfow Minim=Ftc 536 25
Authort?cd . (I
9iRonnuc- _ . Plan w..nn+• 25'yu oiPerttut Feel S
/► /�� - SlimSllt:har-.e(R%Of
_�C/•-`t�� TOTAL PERMff FE>E -,
- (p'eatt print nerne)
Notice: This pormlt vpplirelbe Mir" it a°ppt•M' u not eNtelncd Nlthle AR rr d1lise nm for PlAwild,rcn.nqu,rr 2 rr•�t plaa,wllh lamrtrit of
,go dna nRipY it he%1i teetptrd nt complete 4Ft'r metModelor rel li Tr;.Covnty IttalltlinC Inenetry gayNcr M+.rd.
i.�Dtltu�r'n1t FnrmelPlmPmt it tpp dor.
01'03
R PRODUCT
DATA
d �
VAPOR
BARRIER
CHAftk& ERISTiCS "SPECIFICATIONS_ SURFACE PREPARATION
COLOR: OFF WHIT_ DRYWAL_ DRYWALL
1 CT.VAPOR BARRIER REMOVE ALL SURFACE CONTAMINANTS
2 CTS.ARCHITECTURAL TOPCOAT BY WASHING WITH AN APPROPRIATE
CLEANER.FILL CRACKS AND NAIL HOLES
COVERAGE:
400 SOFT./GAL AT WITH PATCHING PASTE/SPACKLE AND SAND
4 MILS WET, MASONRY SMOOTH. JOINTS COMPOUNDS MUST BE
1.5 MILS DRY 1 CT.VAPOR BARRIER CURED AND SANDED SMOOTH. REMOVE ALL
2 CTS.ARCHITFCTURALTOPCOAT SAND114G DUST.
DRYING TIMES 40 TO TOUCH:15-20 MIN.
77•F.50%PH TO RECOAT:WHEN DRY PLASTER
TO TOUCH 1 CT.VAPOR BARRIER MASONRY
2 CTS,ARCHITECTURAL TOPCOAT REMOVE ALL CURFACE CONTAMINANTS
FLASH POINT: 201•F CLOSED CUP WITH AN APPROPRIATE CLEANER, ALL
COMPOSITION BOARD SURFACES MUST BE.CURED ACC)RDING TO
1 GT.VAPOR BARRIER THE SUPPLIERS RECOMMENCDATIONS.
FINISH: FLAT 2 GTS.ARCHITECTURAL.TOPCOAT REMOVE ALL FORM RELEASE AND CURING
AGENTS. TOUGH SURFACES CAN BE FILLED
SOLVENTfREDUCER 'DO NOT REDUCE' TO PROVIDE A SMOOTH SURFACE.
VEHiCLETYPE: STYRENE BUTADIENE
PL.ASTFR
VOLUME SOLIDS: 27.0%+/—2 BARE PLASTER MUST BE CURED AND HARD.
TEXTURED,SOFT,POROUS,OR POWDERY
WEIGHT SOLIDS: 42.0%-1-2 PLASTER SHOULD BE TREA TED WITH A
SOLUTION OF 1 PINT HOUSEHOLD VINEGAR
WEI(iHT PER GALLON: 10.3—10.7 LBS. TO 1 GALLON OF WATER. REPEAT UNTIL
THE SURFACE IS HARD.RINSE WITH CLEAN
MAXIMUM VOC .4 LBS/GAL WATER AND ALLOW TO DRY.
AS PACKAGED: 50 GMSJUTER
PERMS: 0.50+/—0.20
COMPOSITION BOARD
REMOVE ALL SURFACE CONTAMINANTS
WITH AN APPROPRIATE CLEANER. SAND
ANY EXPOSED WOOD TO A FRESH
SURFACE.PATCH NAIL HOLE AND
IMPERFECTIONS WITH A WOOD FILLER
OR PUTTY AND SAND SMOOTH.
000000000 4l91
CITYOF T I GA R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00556
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/10/03
PARCEL: 2S 105DD-02800
SITE ADDRESS: 13665 SW NAHCOTTA DR
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS.
OCCUPA14CY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _BOILERS/COMPRESSORS HOODS:
FUEL TYPES — 0 - 3 HP: 1 DOMES. INCIN:
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
FURN >=100K BTU: -- 10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Remarks: Intitallahon of c\tcrior A/C unit. Unit ( uniui lu• plATLI within 11ir icquircd rrth.icks
Owner__ _ FEES ------ -
PHAT DOAN Description Date Amount
13665 SW NAHCOTTA DR
TIGARD, OR 97223 x%111111 Pcrmit Fec 9/10/03 $72.50
1,1t `3" ti�atrTa� 9/10/03 $5.80
Phone: 503-704-60 4-7 — _
Total $78.30
Contractor:
ADVANCED HEATING & AIR GOND
5825 SE FOSTER
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone: S03-235-0060
E micallnsp
r-ina ;pection
Reg#: LIC 98573
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 worts will be done in accordance with approved plans. This permit will expire if worts 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. Tho,--a rules are set forth in OAR 952-001-00
Issued By: lt,f Permittee ;signature:
Call (503) 639-4175 by 7:00 P M. for Inspections needed the next business day
1qnt By: HP LaserJet 3100; 503 774 4391 ; Sep-9-03 3:04PM; Paye 113
rie-rovtven: 9/ 7/01 8:01AM; -> Aavanceel Mantinp; Papa 2
Hug 07 02 07: 068 p• 2
08/00/01 VON 16:19 FU 503 598 1900 CITY OF TIGARD WOW
Medumical Permit_ donPEUM OWN
City of 1%artd n.utea.l..a: h [ c,r,S .
Chyanvard Addtmu:13125 SW Hall Blvd,TISud.OR 9'/7,13
pllooe' (503)639.4171 Dateluwd: Ul: RAIlt1o.:
Pax:(301)398-1960 Cee Ale fo.: Ps N trye:
1.a11d we approval: aulWtaipenaitaa:
ji 1&Z faad(y dwsUkg or aex *mxy 11 C,lotan"Cbd lnduwzial C)Muitl-family ❑Tmlut improvmue{t
O New oonsanmiloe G Addtlendalltlntlowlephran 111 U Dtl'usf:
)lsb addaoaa h�mp Indicate tt"kukant9uatWltes in boxes Wow,lndl� dollar
Hi,+tuna. �u1te ao_ value of dl RmthaMeal Ubllm6de,a llnipmend.labor,mrdwad.
Tax ntarhax Watuwtal no., pmflt.Value t
LO ((Hlork SubdJyidyn - -— *San cheakUst fat ICf
__._-1 _ partrst appilcalinn infnrtnallcxl and;
" same; '�`� )uHlrllotlan'a fee 0#4610 Au meald*Aw powetu fisc
t ityCount : 71 A!{n 1
I)MIUKiw and fmadum of work on ptmdaes;
FeeTOW
Hal.date of wm�yldlo ectlgn _ Deser�flo. it
.t.(5) Ile..
Tenant l"VEO+atread 01 cbsup of tne:
ls ox"ting spwr.. sttd hotx otnsdltioned7 Cl YrPit bawling t 1 N� rItna unit Cf'M - -
Is spare inudiUrd?U Yes Q No -Wommi
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Soft Boller parotit cu.
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or nwa mt>wstyA
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Address:
p m=sun 9 0011"1
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mums. plot: snail: -� ���
tx�°tjp0llBlrris. rn»r
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Appiiemt's elpi u -to Off �iC Dux: , ..._
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PRANK Ae............._.�...t
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Within 110 days ahsMbom Stan
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Sent By: HP LaserJet 3100; 503 774 4391 ; Sep-9-0d 3:04PM; Page 213
_. a Atival�eea Meeting; 'ape J i
+.r.►.u� u.0+rM;
SITE PLAN
A/C UNITS,1GENERATORSt SPAl'NOT TUBS OR
ANY NOISE PRODUCING EQUIPMENT
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rLEASE 94OLLN)C• I
4 �NU>�',A7�N OF LorAMI-0 ANDM i USE
I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST -------------
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP -
Received _ ___-_.Date Requested�L' AM_ - _ PM BUP _ -
Location -suite - _____ ME -5 "60
Contact Person -�14. Y I-P Qfe, Ph PLM
Contractor-_xd.(JCM/% C p yl_!F - Ph(- ) - - SWR - - —
BUILDING Tenant/Owner -_. _ __-_- ELC _
Footing ^ - ELC
Foundation Access: ��
Ftg Drain �/I �1,L vk ov. , i�-ft. . ELR
Crawl Drain
Slab Inspection Notes: / A SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - - - -
Insulation ��1 �, �
Drywall Nailing - - S.� -- --- -
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
---- - - - -
AIL
ME_CHANICAL
Post 8'li W n
Rcugh-In - t S �.d�7�.�C �'� l�i S
Gas Line
Dampers - \ i `.O I..t�b,t �-- . eV Qf•i �[�d�cSes �?
Fin
ASS PART FAIL - -- -- -� `-
RICAL - T
Service -
Rough-In _ - ---
UG/Slab
Low Voltage ------
Fire Alarm
Final [] Reinspection fee of$ __required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [� Please call for reinspection RF:- _- r] Unable to inspect-no access
Fire Supply Line
ADA C� ZG" -
Approach/Sidew�!k DateIns Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL