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8267 SW NORFOLK LANE NI )IlOdHON MS 1928 i z J d J 0 N LL. 0 z 41 � J � N co 8267 SW NORFOLK LN CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00256 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 6/14/02 PARCEL: 2S112CB-16800 SITE ADDRESS: 06267 SW NORFOLK LN SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT:017 JURISDICTION: TIG CLASS OF WORK: ALI' 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: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: OD GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation of exterior A/C unit. Unit cannot be placed within the required setbacks. Owner: FEES__ SCOTT SKINNER Type By Date _ Amount Receipt 8267 SW NORFOLK LN PRMT CTR 6/14/02 $72.50 2720020000 TIGARD, OR 97223 5PCT CTR 6/14/02 $5.80 2720020000 Phone,503-968-2708 — Total $78.30------ — Contractnr: SPECIALTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 _ REQUIRED INSPECTIONS Mechanical Insp Phone:620-5643 Final Inspection Reg#:LIC 66578 U. OL r/1 J_ m This permit is issued subject to the regulations contained in the Tigard Munici al Code, State of Ore. w F� 1 9P 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 adapted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obta' copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: 4wPermittee Signature: !�/V,' �/�/ L 1 Cyd%/0 Call(503) 941175 by 7:00 P.M.for Inspections needed the next business day Jun 14 02 08: 40a Speojalty Heating: 503 580 0718 p. 2 r Mechanical Permit A,pplilcation o Daterm:eivewl• Permit no Ci{�, n of Ty and � � `7 g Projecdappl.no.: EApire to: Cin'ojligara Address: 1312.5 SW Hall Blvd,TiW,04 1r{ Phonc: (503) 639-4171 pope Issued: By Receipt10.: q �1" — - Fax: (503) 598-1960 I .iN 1 d ZD�Z Cane the no.: Paymcnt type: Land use approval: �".'► Building permit no.; '1�6 dt 2 family dwelling or accemory 0 Commercial/industrial Q Multi-family 0 Tenant improv Iment 0 New construction JWAddition/altcmtionit-eplacement ❑Other _ —_ 1 1 1 .lob addmss: t7olv& , (,(J N r^/-6GK Indicate equipment quancidos in boxae below.Indica*the dollar Bldg.no.: Suite no.: value of all m&chanical materials,equipment,labor,l verhead. Tax mnp/tax lot/account no.: profit. Value S Lot; Block: Subdivision: "See checklist Ibr impunmlt nppliwtiun infiinnuiiun and Project name:.?'� jurisdiction's fee schedule for residential permit fee. City/ nty: "4,ald ZIP: 7 X24 Description and location of work on premises: GrAir lFee en.) ToW Gst.dace ot'compledon/lnspe don: ,,t/ Y ]t)k:oaipHop lues,Tenant improvement or change of use:Is existing space heated or conditioncd?xYcs 0 No it CFM Is exlsdn space insulated? Yes u No Aucon irioning(siteelan 8 P Alteration o existing HVA�m_ oiiedcolnprftsers Business nim L ¢ State baiter perm![no.: HP Tons BTU/N Addr¢as: S(t) / 0 r dsmolca • era/ notamoiul ilttomrs CI . ! aj 4 _ State:Q L ZIP:e?7pz a 3 eat pump site p an rcqulred) Phone .i U: Z�1ft/ FaxS9Ff C7/ E tragi!: In3tall.replace furnaccibumer__ I 14 CCB uo.: Including ductwork/vent liner O Yet U No T —_ nsta �ice/rc locate eaters-suspen , City/metro lie.no.: 1' wall,or floor mounted Name( lease print): 4()rfrWt4t-'!f zls encor app lance Jmer n furnace - e gernc—[eh: r' Absorptionunits__ BTU/H Name:W q.TV Lze N 1.;V_I n P7(I!, Chillers - — HP _ — Co tcssors HP - �virolunmu enLaasat ae veat ase on: City. 71 —Ztd Stae:G ZIP: e a-�7 A 'liancevent Phone• 3 6-W- Fax:S 0-011 E-mail: ryerexhaust AooT. Yfi pe I7 llrea.klic eft -- hood fire Supp,ession system 0. Name. jKj/11YW_ Exhaust fan with single duct(bath fans) p� Mailing ad_d -Miross:_$_�7 S Ca! Or rust n m a an m o — �' Cil Statc:ox ZIP: -g Fuelp oe(up to ou ora N Y: /y�t� _ `�?�� Type, LPG NG Oil Phone' - Fax: E-mail: -nuT`P-FPng�dinona ove outlets Jr•ocen piping( strode ter,u red Name Number of outlets m __---- Odwrlisted ipp-Hiieceoi•'w1 Addrrss: Decomtive fireplace WCity: _ State. ZIP: T - rt- Phone: I E-mail: ° — A other: Applicant's sign ure: LUatetro B L Name(print): Noydl)v lathe im%WM credit cards.Olease call juntdirlhM rur munM iMaMlaticHt. PCr7rllt fee.....................$ _.. Q 11A O Made Notice-This er it I application Minimum fee................$ _ erp,rvc.f a permit Is not obtained CroAil cudwithin 190 days atter it has been Plan review(at 3 96) I It „o„ ,coca accepted as complete. State surcharge(8%) ....S _ l� 3rqw s TOTAL ............. .. ......S ct tWtl � AOfo11M N1-1617(61001tOM) Jun 14 02 08140a Speoialty Heating 503 598 0718 p, 3 SITE PLAN PL PL-' PI. PL STREET a Specialty Heating & Cooling, l�c U1 9 5 2 8 S Tigard Street Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.0718 ffillsboro Phone 503.640.3607 Fax 503 .681 .079:3 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (603)639-4175 ® MST INSPECTION DIVISION Business Line: (503)639-4171 - BUP _ Received — Date Requested (a A 2— _ AMPM._ BUP _ Location _� �_ Suite MEC-26Q 2-00-2S,6 Contact Person _____ � ph PLM Contractor.—.---------_____ Ph(�'�") �`i y- SWR BUILDING Tenant/Owner _—_— ELC _ Footing Foundation Access: ELC Ftg Drain Crawl Drain ELR 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: -- - _ Fir?al --------____ -- 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 S T FAIL _----- - -- ME HANK m — — Rough-In IL Gas Line Smoke Dampers Wa PART- FAIL - -- TRICAL -� Service _-- — -- — — m Rough-In UG/Slab -- i I_cw Voltage, Fire Alarm -_ Final n Reinsnection fee of$ _required before next ins PASS PART FAIL — pectlon. Pay at City Hall, 13125 SW Hall Blvd. SITE l-1 Piease II for reinspaMion RE: _- �� Unable to Inspect-no aac:ess Fire Supply Line ADA Approach/Sidewalk Daft -- Other: Final DO NOT REMOVE this Inspection record from the fob *No. PASS PART FAIL C3 0 � C V Q O a t:� o o n a 7 1 U 0,� o M U C � � 3 � h4 .CITY OF TIGARD BUILDING INSPECTION DIVISION MST 0600—GUy 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 �/ SUP Date Requested �� O _AM �� PM BLD LocationZ � LSuite MEC -- Contact Person Ph _j37� PLM Contractor—_ Ph SWR — — 6ALllla Tenant/Owner — _ ELG Retaining Wall ELR �,- Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain !nspection Notes: Slab _ — SIT _ Post&Beam — — Ext Sheath/Shear I Int Sheath/Shear Framing __— Insulation Drywa!I Nailing Firewall Fire Sprinkler — --- -- Fire Alarm Susp'd Ceiling ----- Roof Misc.. — — --- ASS PART FAIL — --- — P UIMBIN Post&Beam Under Slab _ — --- —`_— Top Out Water Service Sanitary Sewer ---- —�_- �~ Rain Drains Final EAa§==QRT FAIL Post&Beam --— --- --- ------ — --- Rough In Gas Line e Dampers Fines - — - --- PART FAIL ELECTRICAL ---- --. __—.—----- — __ — ------- IL Service Rough In WUG/Slat _ ------- — Lnw Vn..age — ----_ — —_ Fire Alarm J Final m PASS PART FAIL — --------- -- ---- — -- W YffE J Backfill/Grading Sanitary Sewer Storm Drain I IR pection fee of$ required before next inspection. Pay at City Hall, 13125 SSM Hall Blvd Catch Basin 04 ,ase Supply Line I 1 ase call for reinspection RE' inspect- no_ [ �Unable to inspe - no access ADA Approach/Sidewalk !r _ C� inspector Ext Other Date 5 — ,. � p f_ Final PASS PART FAIL DO NOT REMOVE thIn inspection record from the job sits►. CITY OF TIGARD BUILDING INSPECTION DIVISION MST �_Gv 24.Hour 1pspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested - AM A—' _PM BLD Location dk r te_ Suite _ MEC _ J� Contact Person Ph PLM �~ _ Contractor Ph SWR BUILDING Tenant/Owner EL.0 _ — Retaining Wall Fooling EI.R Foundation AC:CeS3: FPS _ Ftg Drain - Crawl Drain Inspection Notes: SGN _ Slab Post&Beam -- SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall -- - -` Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Misc: Final - PASS PART FAIL. --- _-- - PLUMBING Post&Beam -"-- - Under Slab Top Out - -- Water Service Sanitary Sewer - --- Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - --- -- - -- _ Rough In Gas Line -- ----------__._._�____.- - Smcke Dampers Final -- - - - PA§S PART FAIL IL Service Rough In --" f- UG/Slab N low Voltage ----•-- ---- -•- - - Fire Alarm J rn AS ART FAIL --_- W J Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$-_ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reins Fire Supply Line 1 reinspection RE:- - �_ j Unable to Inspect- no access ADA Approach/Sidewalk Other _ Date ^Inspector_— lei Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. �` RD BUILDING INSPECTION DI'V'ISION MST �. 24-, s>spection Line: 6394175 Business Line: 639-4171 BLIP Date Requested - L —.—AM- PM — RLD Location 2- 2 24 ,/7�r _ Suits MEC Contact Person _ —_ _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC —— Retaining Wall ELIR _ Footing Access: — ^ Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: — -- -- Slab SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear ^— !- Framing Insulation Drywall Nailing - Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Misc: - -- - Final PASS PART FAIL ------- - - Post 8 Beam ��-- Under£,lab Top Out -- - --- _ -- - - Water Service _ Sanite,y Sewer — Raf rains 252 PART FAIL _ �•— WANICAL Post& Beam -------- --- Rough In Gas line - - - Smoke Dampers Final --- --- _-- - PASS PART FAIL ELECTRICAL -— — -- ------ -----_._ _�..--- n' Service FRough In ---- --- ---------- ------ N UG/Slab Low Voltage J Fire Alarm Final PASS PART FAIL W SITE -. Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE: — [ ]Unable to Inspect no access ADA 1� Approach/Sidewalk Date Inspector `rte r-Z-- - E7tl� Other ------ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. _MASTER PERMIT _ CITY O F TIGARD PERMIT#: MST2000-00469 DEVELOPMENT SERVICES DATE ISSUED: 10/25/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 6394171 SITE ADDRESS: 08267 SW NORFOLK LN PARCEL: 2S112CB-16800 SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT:017 JURISDICTION: TIG REMARKS: S/F PATH 1 BUILDING REISSUE: STORIES: 2 - FLOOR AREAS REQUIRED SETBACKS - REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 091 at BASEMENT: of LEFT. 16 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.160 of GARAGE: 112 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: t 190.101.00 OCCUPANCY GRP: R3 DORM: 3 BATH: 3 TOTAL: 2.071.00 of REAR: 27 PL.UMBING___ SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 1 DISHWASHERS: I FLOOR DRAINS: SEINER LINTS: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINFS: IOO RCKFLW PRFVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES TURN<160W BOiLICMP<2HP: VENT FANS: 5 CLOTHES DRYER: I VAS TURN a.100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: htu FLOOR FURNANCES: VENTS: t WOODSTOVES: (SAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVr/FEEDERS _ BRANCH CIRCUITS MISCELLANEOUS _ADD'L INSPECTIONS 1000 SF OR LESS: I n - 200 anlp: 0 - 200 amp: WISVC OR FOR: 1 PUMPRRRIGATION: PER INSPECTION: EA ADO'L SOpSF: 4 201 - 400 amp: 201 400 amp: tat WIO SVC/FDR: 00 SIGI6OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 emp: 401 -600 amp: EA ADDI.RR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR' 601 - 1000 amp: 601Nmpa4000r MINOR LABEL 1000+amplvolt PLAN REVIEW SECTION Rr_onnact only: r MINAL• CLS AREMSPC OCC: >•J RES UNITS: SVCIFDR��226 A.: 600 V NO ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO t!TEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPF4RRI0: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MP-DICALt OTHR• HVAC: DATAVrELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Contractor: TOTAL FEES: $ 6,060.28 Owner: 1 his permit is subject to the regulations contained In the LEGEND HOMES LEGEND HOMES CORP ;pard Municipal Code,State of OR. Specialty Codes and 12755 SW 69TH AVE 12755 SW 69TH AVE RII other applicable laws. All work will be done In TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plana. This pernit will expire If IL work Is not started within 180 days of issuance,or If the work Is suspended for more then 180 days. ATTENTION N Phone: Phone: Oregon'aw requires you to follGwrules adopted by the Oregon Utility Notification Center. Those rules are,set Reg 0: LIC 00088503 forth in OAR 952-001-0010 through 952-001-0080 You may obtain cophs of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS JErosion Control Insp 8• Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Ele.trical Final Sewer Inspection Underfloor In3ulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Low Voltage Water Line Insp Final Inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr1Sdwlk Insp Bulbiing Final Issued B Permittee Signaturq` Y • Call (50. )63941TS by T:00 p.m.for an Inspection needed the next business day 1 �7 CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00321 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 10/25/00 SITE ADDRESS; 08267 SW NORFOLK LN PARCEL: 7S?12CR-16800 SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT: 017 JURISDICTION: TIG _ TENANT NAME: USA NO: FIXI 'JRE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. rr BUILDINGS: 1 INSTALL TYPE: LTPSIIVR IM:IERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: — — - FEES LEGEND HOMES Type By Date !Amount Receipt 12755 SW 69TH AVE — - - TIGARD, OR 972.23 PRMT CTR 10/25100 $2,300.00 27200000)00 INSP CTR 10/25/00 $3E.00 27200000000 Phone: Total52,335.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection a y m J This .Applicant agrees t(_ comply with all the rules and regulations of the Unified Sewage Agency. The permit expires W 180 days from the date issued. The total amount Laid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. It 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. ,l Issued by: _ Permittee Slgnatu • ti Call(50. )639-4175 by 7:00 P.M.for an Inspection needed th-next buslne s day i Oro �-x Building Permit Application_ Date received:/( -/6-W Permit no.:AA( City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 1317.5 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: — Receipt no.: — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _,_--_ _ 1&2 family:Simple Complex: &2 family dwelling or accessory U Commercial/industrial U Multi-family OrNew construction U Demolition —v U Add ition/alteratiorthreplacement U Tenant improvement U Fire sprinkler/alann U Other: 10 101 t R1 I Job address: / ' Bldg.no.: Suite no.: Block: Subdi ilio . _ Tax map/tax lot/account no.:2.S/17-6 ,4o v L Project nam , / Description and location of work on premises/special conditions: r Name: / O Mailing add ss: -7,j-,5 rNo. mily dwelling: City: �, Slate:0 ZIP: f 7 on of work........................................ y _ Phone: (�U- o Fax• - Gt'� E-mail: edrooms/baths................................. _? Owner's representative: P c� O/1 mber of floors................................. Phone: - ivd Fax: ail: New dwelling area(sq.ft.) .......................... - Garage/carport area(sq.ft.)......................... Covered porch arta(sq.ft.) ........................ c? Name: - . Mailing add ss: !� I s�f16� 4 r — Deck area(sq.ft)........................................ Ci Statep ZIP: Other structure area(sq.ft.)......................... _ ty' - CommerciaMudustrhUmulti-family: Phone: (, Faxes E-mail: Valuation of work................ . .-- Existing bldg. sq.ft. .......................... — Business name: Z G New bldg.area(sq. Address:/,1.,7J' Number of stories... .. City: paf Stated4 1 ZIP:`T 7.;Z,�- Type of construed ................................ Phone; O a Fax E-mail: _ Occupancy gmup(s): Existing: _ CCB no.: (o p `0 _ New: City/metro lic.no.: 7 Notice:All contractors and subcontractors are required to be licensed with the Omgon Construction Contractors Board under Name: n,�,� _ provisions of ORIS 701 and may be required to be licensed in the jurisdiction where work is being performed.If the applicant is a Addrtss: ',1' exempt from licensing,the following mason applies: LY. City: '�d a. Statcry ZIP: 9) NContact person: ytdo Plan no.: Phone:4�.ZO - O t� Fax:d _ E rnail: J _ m Contact person: Fees due upon application...........................$ Name: �.� W Address: lj Date received: - -t City: csi State- Zii': aJ 7� Amount received .........................................$ Phone: pqs Fax: E-mail: -- — _ Please refer to fee schedule. I hereby certify I have read and examined this application and the No an lirivac+kne.tet aedN crdk oem call iM*Scdm for"mmInfam�dtw attached checklist. All provisions of laws and ordinances goveming this o vu Q MRsterc w work will be complied with,whether s ified he in or not. cmett c�^o^ -- _ —M L, Authorized ' nature: ate: /G ►+ is - 777-77 S — i Cadlwl pfN�e Anu+aN Print name: -- --- - Notice:This permit applicat' n expires if a permit is not obtained within 190 days atter it has been accepted as complete. 4404613(WWOW Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building Address: 13125 SW Nall Blvd,Tigard,OR 97223 Permit no.. City of Tigard Phone: (503)639-4171 Pmject/appl,no.: Expiry date: Fax: (503) 598-1960 Date issued: _ By: y Receipt no.: Land use approval: Case rile no.: Payment type: Of 1 &2 family dwelling or accessory O Commercial/industrial ❑Multi-family O Tenant improvement a'(Vew construction O Addition/alteration/replacement O Food service ❑Other: Job address: De" . !qea). Total Bldg.no.: Suite no.: New I-and 2- y dwellings only: — (Includes 1911 R.for each utllfty connection) Tax map/tax lot/account no.: SFR(1)bath Lot: z Ifflock: Subdivision: SFR(2)bath -- Project name: _ 2T2 o/1) av/ SFR(3)bads City/county: ZIP: Each additional bath/kitchen Description and lotallon of work on premises: SlteutillAft: Catch basin/ama drain Est.date of completion/inspection: wells/leach—line./trench drain Footing drain(no.lin.ft.) Manufactured home utilities BuAness name: 1,0e r, ManhoTes — Address: 2,:�o 7 Rain drain connector City: Cy_ y� I State:p ZIP:iq 70 _ Sanitary sewer(no,lin.ft.) Phone: (,7-1 ZT1 117ax:46 7-9 E-mail: Storm sewer(no.lin.R.) CCB no.: 3 Plumb.bus.reg.no: p Water service(no.lis ft) City/metro lic.no.: Flxtmr,or kexu: _— Contractor's representative signature: O pt Absorption valve oBacY,flow preventer Print name: ? d on Da .: Backwater valve a�t%lavatory Name: Clothes washer Address: pe eq dh,1 610 7 Dishwasher fountain(a) _ City: State ZIP: 9 x.30 E. sum Phone: Fax: E-mail: Expansion tank FtxtumJsewer cap Name(print): e s Floor drains/— floor a sinks/hub -- Oacbage disposal Mailing address: 7j-.3— G IF � Flow bibb City: o� d State:e'Q ZIP: yJ�3 Ice maker IL Phone: m Fax: E-mail: Interco as r gree trap Owner installation/residential maintenance only: The actual installation Primer($) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own per ORS(It a r 447. Sink(s),basin(s),lays(s) J Owner's signature: - /� gum — — m Tubs/shower/shower pan —ffn7n—al UUi Name: . Water closet — - -t Address: Water ter City: Statex ZIP Other Phone: _ o� Fax: E-mail: Total Nd all judedIctim Wee aefiit cad,.Oem as)Q1,3ction for mae inr«mrien Notice: Minimum fee.......... $ This permit application "'' U Visa O MasterCard expires if a permit is not obtained Plan review(at _ %) $ _. CmcHt cad number. _ _ p� within 180 day,after it has been State surcharge(8%)....$ TOTAL Nano of er�eo o drown an eredN card accepted as complete. .......................$ ..�._ S Cardholder signature Amount 444161A(6MICOM) wz' PLEASE COMPLETE: FIXTURES (Individual) i ;Qty Pee ToIAI Fisturr Ty5=QuanoWork PartormSink 16.80 R%PWCAd ik;.rro pp«Lavatory 16.60Lavat Tub or TubrShower Comb. 16.60 Tub or 1 ub/StowerShower Only 16.60 Slower Only Water Closet 18.60 Water Closet -— '— _ Urinal Urinal 16.60 Dishwasher —— — Dishwasher 16.80 Garbage Die I ---- Laundry Room Tray_ — Garbage Disposal 16.60 Washing Machine -�— Uurxlry fray —�-- 18.80 Fkror Orak/Fkor Sink 2' _ 3' Washing Machine 18.60 4• -- Floor Drair/Floor Sink 2" 18.60 Water Heater �— --- Other Fixtures 3" 16.60 —_ 4' 16.60 Water Heater O conversion O like kid 16.60 Gas piping requires a separate mechanical permit. MFG Home New Water Service 46.40 —--— MFG Home New Sar/Slortn Sewer 46.40 Hose Ribs 6.60 COMMENTS REO DING ABOVE: 1 Roof Drains v �— 60 Odnkkq Fountain 16. -- Other Fixtures(Specify) 21.7. Sewer-1st 100' 55.00 Sewer-each additional 100' 48.40 �M~•' Water Service-1 st 100' 55.00 Water Service-each additional 200' 48.40 Storm&Rain Drain-1 at 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention DwAce 48.4 Residential Backflow Prevention Device' 27 5 Catch Rosin - .00 Insp.of Existing Plumbing or Specialty Requesteri 72.50 Inspections r Rain Drain,skgle family dwelft 65.25 Grease Traps 16.60 y QUANTITY- AL laxnetrk or riser diagram is mluw/ " Toa Is >9 IL `SUBTOTAL. R 8%SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL J Rc!ed 22Y r Ibdure guy.los Is>9 m TOTAL 0 �. W 'Mlnlmum permit fes Is$72.50.9%surcharge,sxospt Rooldw lNl Baddbw PrevarMbo J Devlos,which Is$3625 a 6%archer". "AIL New Commemlel Bu"IrW require plans WMh Iserrhedk a rlw diagram and plan review. May-10-00 10:21A Wolcott Plumbing 603 667 98111 P.O2 INdAddl Adftu OLCOTT 2060 M.W.Swrd a OPS.BMW O MMM Oxon GMMWM OR V= PLUMING MNG teaotesr.lnt aa�6os�an-wot ccs CONTRACTORS, INC. May 10,2000 City of Tlprd 13125 SW Hall Blvd. Tigard,OP.97223 Wokott Plumbing ContrwUns,Inc.docs hereby avthorine a representative ori agand Homes to represent this firm when applying for plumbing permits inside the jurisdiction of'1'he city of Tikard. Wolcott Plumbing Contractors, Inc.realize that should the agreement with Legend Homes terminate, we have the right to withdraw our consent. ame Tide ignature nate 26-20M 4211 CL State Plumbing License CIty License M J_ m W ...1 Mechanical Permit Application — Date received: Permit no.. City of TigardPro)ect/appl.no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Cue file no.: Payment type: Building permit no.: Land use approval: dr 2 family dwelling or accessory O Commercial/industrial ❑Multifamily O tenant improvement O New construction LlAddition/alteration/replacement Other Job address: Ko,6, -7 dt t-21 --A indicate equipment quantities in boxes below.Indicate the dollar rte value of all mechanical materials,equipment,labor,overhead. Bldg.no.: --- profit.Value$ — Tax map/tax lot/accotrnt no.: Lal Bloch Subdivision: *See checklist for important applicstion information and Project me: p�m Oil Off/ jurisditglott'a fee schedule for residential permit fee. City/county: r 21P:Description and 1 don of work on premises: Fee(ea.) Total Est.date of completion/'tnspeotlon: _ Description ResRes.od Tenant improvcn r change of use: Air handling unit _ CFM Is existispace heated or conditioned?O Yea 0 No a or►n Sne p an -u Ise ' ng space insulated?O Yes O No tenuon a ex►snng s stem r er compressors State boiler permit no.: Business name: HP Tons BTU/H s„ro a uctsmo a electors Address: 1,5?J 5 �- — City: C f State:O/2 ZIP: u70f�' eat pump s to an requt Email: n& rep aces urnac urner 7R Phone: S'7�,1. O Fax: -�' Including ductworiclvent liner Cl Yea O No CCB no.: R (oo?3 oats rept re ocate eaten-suspen , City/metro lic.no.: // � wall,or floor mounted ant ora once o er m umace Name(please print): I o 7 a [foal LVLIIM m ME Absorption units — BTU/!{ Chillers.. HP Name o 2 f e. ~ HP Co essora Address:/3/,f p ,i' C %Y h esee eat lid an teal ton: City- p/v en C-4 State, ZIP: 701 a Appliance vent Phone: `�-,i t,ld �r-, �.O E-mail: exexhaurt Hoods,Type u lures. tc azmat hood fire suppression System Name: �_� d�p/I10� Exhaust Nn with single duct(bath fans) IL ust system zeatin orr Zr Mailing addfeas:/ T f Gam' P- up to ou eta RX Stai ]ZIP:,?7 .'? _LPG NO Oil 1-- City: a/ela )d N Phoue p!- o Fax;s�! E-mail: P i a a i on over ou ets c requr Numbertatoutleu —t Name: o or eq pmeis Address: G 9« Jlawn alive lace LLJ City: �": p/ Stat Z[P tov etstove _ Phone: O� o G Fax• - Email Applicant's signature: "- -- Permit fee.....................$ Na an jWiadcdow wept t eat.Pkaw call JWiracrMn for more Notice:This permit application Minimum fee................$ o vin 0 MasterCard expires if a permit is not obtained plan review(at —_ %) $ Crean end mmnMr_�--------- — _ F �- within 190 days after it ha+been State surcharge(896)....$ Naim (cerdhotdv—. accepted as complete. s TOTAL .......................S 4aa-�n ttw�,o>n dpsaaa Electrical PermitApplication —'-"--"-- — nate received: Permit no.: city Of Tigard :rujcct/appl.no.: Expire date: — __- CityofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (.503) 639-4171 --- Fax: (503) 598-1960 Case()le no.: Payment type: Land use approval: 7addmss: welling or accessory U Cotnmercial/industrial O Muld-ftunily U Tenant improvement construction U Addition/alteration/replacement ❑Odter: U Partial G �_ 11 t �,,,r Bldg.no.: Suite no.: Tu m&pAsx lot/account no.: Lot: Block: Su visi _ Pro'ect name: M105Vyl 147 DmAption and location of work on remism: Estimated date of compledon/ina tion: Job no: Rae Max Business nam n� -- Tow .o-lualp New n+:.ien1W-slttgle er ally ParAddress: ,5' City: Statep ZIP: 9crvlcebrcbttfet Phone - Fax:G -•7 Jd t -mail: I WO sq.ft or vas 4 -- FAch additional S00 sq.fl or porontithereof Elec.bus.lic.no: Undted energy,residertdal f 2 icy _ 3 ��— t.itdWeargy,non-residential -- 2 r Encht manufactured home or modular dwelling cure su rs gel cian( uired) – Das 3 xvica and/or feeder 2 Sup.elect.namr(print): „� Ucensenc: Q tier�aorfeders–lerblladoa, aharatioa our nMcetbru 200 amps or leu 2 Name(print): 201 E400 2 Mailing riddttss: 7J W f+y q_ 6 1 600 2 _ 601 sm. .to 1000 amp 2 City: jstateoZmn/4L2Over 1000 amps or volts 2 Phone:GaO- D,'d I Fax:S-? - E-mail: Retxmnertoia 1 Owner installation:The installation is being made on property I own Tearpor"ry nervlca orfee+ea- which is not intended for sale,lease,rent,or exchange according to trrataBadorr•atterrMlaa,errelartloa 200 unr"or las 2 ORS 447,455,479,670,701. _ 201 ampM to 400 amps _ 2 Owner's si nature: G tate: 401 to 600 amps 2 Ssaoch rtrcrlb-new,altentloa, or extes sim per pmek Name:. r / - —__----- A.Fee krbrrrch circuits with purchaw of Address: servicea feeder fee,each branch circuit 2 City: ,. StateV ZiP9'j B. FeeforbraacI circuitswithou[purchase Phone: - pv Felt: E-mail: of mvice ar feeder fixe,firstbranch eirealt: 2 F.. Each aMdood branch drealt N Mise. or trot btehrded) Cl Service over 223amps-commewAsl U HeshiN efacility Each pwW orIrrigation circle 2 ,J U Service ever 320 amps-ntingof 1,42 U Hazrdooslocation Eachaliporoudinelillitinj 2 family dwellings U Building over 10.000 square fed four or Signal dreult(s)or a limited energy panel. � O System over 600 volts nominal mrxe residential units in one eutretrre alteration,a exandon• 2 LU O Building over three stories U Feeders.400 amp or more eDescri on• -.l U Occupant load over 99 persons U Manufaetmed structures or RV park FArb MWkhWd l .. era dw anowsbk In my of dw shaver O EgressAighting plan U Other. . — PrxInspection — Sghwk_gem of pias wkb any of the above. Investigation tee Tbe above are trot appleable to temporary carhinedw Iter TIM — Other fetNa an odadktbn weep[cmtt cadr,pore nth JOHIN§ctlen ft—Wal arise. Notice:This permit application Permit PIM revie................. ) $ U VIM, U MasterCard expires if a permit is not obtained ew(at -_ � C,�t c.d ne>rtw. __ 1 m _ within ISO days after it has been State surcharge(896)....$ S _ accepted as complete. TOTAL .......................$ Named r oe card �__ Cmd6alder dgnom AroeM 440-MIS(6i0 VMO - TYPE OF WORK INVOLVED-RESIDENTIAL ONLY 4. Complete Fee Schedule Below: Number of Inspections per permit allow" Restricted Entryy Fee.»»».»..»...,... Service Included: Items Cost; Total (FOR ALL SYSTEM) 4a. Residential-per unit Chedc Type of Work Involved: 1000 sq.9.or less _ $147.1 a Each addilioinal 500 sq.R.or ❑ Audio and Stereo Systems Portion thereof $33.40 1 Limited Energy $75.00 Burglar Alarm Each Manurd Home or Modviar - ❑ Owellhg Service or Feeder $90.00 2 --- ❑ 13aragr,Door opener 4b.Services or Feeders Inslafindw,alteration,or relocation ❑ Heating,Ventilation and Air AftionIng System* 200 env$or less $50.30 2 201 amps to 400 amps $106.85 2 ❑ vacuum systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 Reconnect only _ $66.85 TYPE OF WORK INV VED-COMME► M41 ONLY 4c.Temporary Services or Feeders Instalstim.afterallon,or relocation Fee for trach 200 amps or less $88.85 2 (SEE 1 AR 91 Z 60) -------------- »» $7100201 amps to 400 amps �- $100.10 2 401 amps to 800 amps _ $133.75 i 2 Type of Wo Involved: ps Over 600 amto 1000 volts, a,m'b"above. Aud and Stereo Systems 4d.Branch Circuits New,alteration w extension per panel ❑ r Controls a)The lee for branch ckaBts ►Nth purchase of servke or EJ Systems feeder fee. Each branco circuli $6.65 2 b)The fee for branch circuits `-- 0 Teleoor,�mu�nlartbn Installation W16houl purchase of service F] ire Ala Installationor feeder fee. First branch circuit $46.85 Each additional branch crude _ $6.05- ❑ MVAC 4e.Miscellaneous ❑ Instrumentation (Sdvioe or tender not tclnded) Each pump or Inigation circle $53.40 Each sign or oul9ne NtOV $53.40 ❑ Intercom and Pagi Systems Signal dnxnit(s)or a United energy penel,afternoon or extension $75.00 C7 Landscape Irrigation r Misr Labels(10) _ $125.00 4f.tach additional Inspection over ❑ Medical the allowable In any of the above Per inspection _ $6 ❑ Nurse Calls Per hour 2.50 In Plant f7�.75 ❑ Outdoor Landscape Llghfing" OC 5. Fees: Protective Signaling6a.Ender lots)of above tees � $ 8%Surcharge(.06 X total lees) $ ❑ Qth6r Subtoal $ Sb.Ender 25%of Ine Sm for I Number of Systems Plan Review tf_ tired(Sec.3) $ subtbal $ Holm are required. Lbenses are required&W ON olher Irn181185" LU 'j j❑ Trust Account 9 _ FEES: To(al balance Due ;. .� ENTER FEES pyo SURCHARGE(.Oe X TOTAL ABOVE) S TOTAL $ PLOT FLAN LOT 011, HAMPTON COURT R IFD 251 11 DA TAX LOT *- - - - - - - - - - - - - - 82(ol SW NORFOLK LANE S.E. 1/4 OF SECTION 11, T,2, RIA W.M. CITY OF TIGARD WASHINGTON COUNTY, OREGON LEGEND HOMES Inon >Irm n sm �m111e mmiM o"Ka ( ) MO-MM rano. as rna ►M (M) M-MM CCs/ MMS ►� Z .0 N89'2010"E 2001.0' -N I \ I I I I I 199.5' 1995' 111 . 20-0 ^- I I 1 0 WATER METER I I ( - 1 I l.U------- WATER LINE ( � `� I . LOT, �7 55---- SANITARY SEWER i cA iSTORM DRAIN I 14,740 861.FT. 4 OF STREET ' FIN. FLR • 2001' • MANHOLE I 1 ® CATCH BASIN ADAGE FLR .5' • 199 Y PROPOSED I STREET TREES TREES 1 \ 1 n STREET LIGHT Y FIRE HYDRANT AAMllkI PROVIDE EROSION I I SIOO' CONTROL FENCE _ - --- - - PER COMMUNITY , EROSION PLAN 11LS.W. NORFOLK LANE - ---- -------------- CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VALLEY HWY S ALOHA, OR 97006-1248 Electrical Signature Form Permit #: MST2000-00469 Date Issued: 10/25/00 Parcel: 2S1 12CB-1 6800 Site Address: 08267 SW NORFOLK LN Subdivision: HAMPTON COURT Block: Lot: 017 Jurisdiction: TIG Zoning: R-7 Remarks: S/F PATH 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above,ATTN: Building Dept. No electrical inspections will be authorized until this completed form Is received OWNER: ELECTRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 12766 SW 69TH AVE 21786 SW TUALA`TIN VALLEY HWY S TIGARD, OR P7223 ALOHA, OR 97006-1248 Phone #: Phone #: 591-1320 Req #: LIC 121159 d SUP 37078 E!_E 34-305C F- N AN INK SIGNATURE IS REWRED ON HIS ORRIV m W X J Signature o up is Electrician If you have any questions, please call (503) 639-4171, ext. # 310