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8310 SW NORFOLK LANE i NI )IIOJUON MS OLEO 1 f i Z � J M Q Z m � 3 co J CD r M CO 8310 SW NORFOLK LN CITY OF TIOARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00482 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/11/2003 PARCEL: 2S112CB-16300 SITE ADDRESS: 08310 SW NORFOLK LN SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT:012 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS WiO APPL: VENT SYSTEMS'. STORIES: BOILERSICOMPRE 4SORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS77 30-50 HP: WOODSTOVES: GAS PRESSURE: 504, HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: _ OTHER UNITS: 1 > GAS OUTLETS: 10000 cfm: Remarks: Install exte it A/C unit. Do not place within the required setbacks Owner: _ FEES BEN GALLINGER Description Date V� Amount 8310 3W NORFOLK LANE [MECH1 Permit Fee 08/11/20( $72.50 TIGARD, OR 97224 ['I'AX18%StateTax 08/11/20( $5.80 Phone: 503-620-1272 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 1601 SE RIVER RD HILLSBORO,OR 97123 REQUIRED INSPECTIONS Phone: 503-640-3607 Final Inspection Reg#: LIC 66578 a o� rn m WThis 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 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. Issued By: _ Permittee Signature: 'J" Call (5011) 639-4175 by 7:00 P.M.for Inspections needed the ne�ness(lay • N orhanicai Per n Mechanical Citi of Tigard VDB Ptsrmlt ing Appro Du'ilding 1312 i SW Hall Blvd. AUG 0 8 2003 B Perm t Na:Tigut:l,Oregon 9•/223 Rerloty t Phon:: 503-639-4171 Fax: 503C��rpbQIGA e.tewP�T"it Nnlntelrct; www.ci.tlgard.or.us OUILf)ING OIV VndNn24-hourLlsNccdon Request SU3-639-4175 et —"'McQaocl luria. ec Page 2 ter -- .,��11 5�u—Cp_lemenfd Informatlon. -- •. T�YPIv'OF W N w construction _ �`c0 IER ;•, )�pitLS`US19 CH)g •. Demolition Mechanical �AidiHon/altCratlon/r lIll ent - Permit fees"are based on the total value ofthe work Other: Performed. Indicate the value(roundixl to fie neatest dolinr)of all :DF5 mechanical malarial 1 ,is 2-Family dwellin co mechanical s,equipment,labor,overhead and profit. Value:_` :lee Page Z fo Al cesso Building Multi-Famil R t'' tv� r Fee Schedule M.Ister Builder Other: -i-JOB - © T bN';si- ' ITO w tr.•: l�-9eatendCooU Fee as Total y J.)b sn a address: Furnace-add-on air condir i n� _ w n J o�� .. Suite i•: Bld~J ! Oas Malt pu t a,00 A t.#: Duct work 14'40 Y'ojec:Name: H ronic hot Waters tem 14.00 - Cross itrretJN ecttons to J_- 'ob site; Residential bailer 14• t) fur radiator or h tunica em 14 Unit heaters(fuel,not electric) _ wall in-duct s2T06dod,ctc. 14.00 Subdivision: FlueJvenI for anoY fabove 10.00 -�---._ Lot#: R r units 12.15 Ttx me / steel #: pth att�l n ueaeaa F ES ;l_ *• Water eater z _ Gas 111 10.00 10.00 Flue vent(water he„teri fi lace 10.00 -- Lo u r Wood/Pellet stove � 10.00 --" Wood flrr face/insen 10.00 RlAoIi �. : Chitttne ni 10.00 O :*N nMflucivent .,� ;::a;;•� Other: "�-- IO.W Name: � .I (o.00 Eavlrvntncetal BRhaWR k Ventilation Addres,;: 3 i � _ rV J r Range hood/other kitchen tri Lit /Stttte/Zi k n t' - _ pment 10.04 Clothes dryer exhaust Phune�•I•,I -1 Z ?7L Fax: Single duct 10100 j (bathrooms,ttoilet exhaust u. Name: orifi r petttrtcn Atdc/crawl a(•arts - 6.80 Address: ---------- 10.00 Other; - --- - Cir//Siate/Z! : ---- -- - 10-00 Phone: ,,ro Ibr Itrat 3L00 c�cb addhlo`^ital Fax: Furnace,etc. a E-tt;ail:_ - •• _ Glut heat - - Co pR" h-,r, .: Wall/suspcnd�ed/eun «. BUS c it heater .. N iter. Nan1e. ,� Water heater } Address: p t -,ccyf ,-`�] Fireollt�� •• _ t Q R� city stat�/_ZiP c BB� .. m Gc�lcol e: Gotha d Fax: -I_ V �cl then .. W • Lie #: tither JAuthorized 4___ Ta :11I •• Signalure: �6� t � ('� Mechanical Perntlt 1Rau+ �}1�,1 •�L Su total: S Minimum Permit Fee$72.50 S (Please print name? YPlan Review Fee 2S%of PermitS Stare 3urc �"--- Fee Notice: Til ertnit applicaNnn expires if a permit k net ohhincd within �~ a 89ti of Pecm,t I*ee S 'All dais atter it has been a TOTN PE Ili T�lE S oeepted as complete. a Selz�1we detttgy tact Dy T rl Cep nlnt ty Building Industry Ser.lee Iteard. i:kNtsU etrnia rormsVNecP"tApp.doc 01/03 D t'etlttlr*d for e:teNer A/C uelh.. i? -d BiLO 969 E3; Zutaa:tH 9Zja1[o4d9 dgItEO Eo BO Snd SITE PLAN PL ,Yr r PL n . ;IV PL 1 P PL -` -- , STREET o'c Specialty Heating & Cooliug, ;:CIn* W 9528 SW Tigard Street Tigard, OR 97223 Phone 503.620.5643 Fax 503.598.071.8 Hillsboro Phone 503,640.3607 Fax 503.681.0793 E 'd SILO 869 EOS SU1200H R2Iel00dS dEItEO EO 80 SnH CITY OF TIGA RD 24-Hour BUILDING In%wctIDn Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST — BUP Received _— _Date Requested , _�-_� AM PM BUP Location 310 Suite � 3 Contact Person Ph(_ —) PLM Contractor Ph( ) —_ _ _ SWR " BUIL')ING _ Tenant/Owner ELCyV S Footing Foundation Access: ELC Ftg Drain ELFT Crawl Drain _ M ---- Slab Inspection Notes: SIS' Post 8 Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing (�A Insulation - Drywall Nailing - - -- -_,- ._ ___.___-,-_..---------- _-_- Firewall Fire Sprinkler - -- -------- ------ - - _----- Fire Alarm Susp'dCeiling -- - --- --- -- Roof Other: Final PASS PART _FAIL ------- -- �-— PLUMBING Post&Beam Under Slab Rough-In Water Service -- ---------- _ Sanitary Sewer Rain Drains - ------- - _ Catch Basin/Manhole Storm Drain -- -- ---- -- Shower Pan Other: - -- - - --- - Final -�- ---�-" PASS,WT FAIL ---- — --- _ Rough-In r --- --- --- -- --- ---- - IL Gas Line pC S oke Dampers - ^--•_-�- _ -- -- r- tn FAIL -- - --- - - --- UCTRICAr m Rough-In L? UG/Bleb -------- - --- -- - -- Low Voltage Fire arm PART FAIL Reirmpeet!on fee of$ -requirra before next Inspection. Pay at City Hall, 13125 SW Ha!I Blvd. SITE -_ Please call for reg'-3peption RE: Unable to inspect--no across Fire Suppty Llne / ADA Date7/ / � Inel,walto c� Ext Approach/Sidewalk 7` Other: Final — DO NOT REMOVE title Inspoetlon record omni the job Ito. PASS PART FAIL CITY OF TIGARDELECTRICAL PERMIT PERMIT#: ELC2003-00505 DEVELOPMENT SERVICES DATE ISSUED: 8/14/03 13125 SW Hall Blvd..Tigard,OR 97223 (503) 639-4171 PARCEL: 2S112CB-16300 SITE ADDRESS: 08310 SW NORFOLK '-N ZONING: R-7 SUBDIVISION: HAMPTON COURT BLOCK: LOT: 012 JURISDICTION: TIG Project Description: A/C AND PLUG RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/SVCI FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD't-INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect onl _ SVC/FDR>=225 AMPS: _ CLASS AREAISPEC OCC: Owner: Contractor: BEN GALI._INGER HILLSBORO ELECTRIC 8310 SW NORFOLK LANE 21185 NW EVERGREEN PARKWAY TIGARD,OR 9722.4 HILLSBORO,OR 97124 Phone: 503-620-1272 Phone: 503-439-9666 Reg 0: ELE 34-4330 LIC 134491 FEES slip 42AOS Description Date Amount Required Inspections 11:1.PRM1') ELC'Permit 8/14/01 $53.50 [TAX]8%State Tax 8/14;'03 $4.28 Elect'I Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigaid Municipal Code,State of OR.Specl'rIty 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 riles 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 at(503)246-6699 or 1-800-332-2344. IL Issued By: _ Permit Signature: OC — F- U) __ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. a! OWNER'S SIGNATURE: _ DATE: J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — DATE:_ LICFNSE NO: Call 639-4175 by 7:00pm for an Inspection the next businesot clay Froni:HIL.LSBORO ELECTRIC LLC. 5036013680 08/13/2003 11:30 #097 P.001 -- kectll-ical P rrxxit e6Meattcal tr City of 'igard .. Plarming A twat gtp 13125 S'% Holl 131vd. tD -- - P t No.; Tigard,Oregon 977.23 �U Plan viewUwym Phone: 503-639-4171 pax: 503-59861(0)v 11 A Port-ReviewcNo.:D,1 � Land Ute Internet www.ci.tigard.or.us 11 DIN£ G yyGee N .: 24-hour Inspection Request: 503-6391 75 Contact Judo.: Sae Pap x far Na ett�; — Su IemMtt111nformatlon. ----� TYPED OF WORK ;,.i, LU Now conetrut:tion ''"' ��-� Iw�e ceeck_.lI thttt a Demob trvicr over 225 amps- Nealth-care racility Addition/altaration/r laeement Other: Commercial Hazardous location i]Scrvice over 3).0 antpt.rating of BuiidM over 10,000 . *G0 OF' ONS U a square feet, _ 1 d•2 fYmily dwelling, four or more residential units in 1 dt I Family dwelling Commercial/industrial System over 600 volts nominal ono structure Aa:esso BuildinBuilding over three stories Iyl;ulti-Famil �. FeMnta,400 amps or more Matter BUIL • Occupant load over 99"on, I-J Manutletured structure,or RV I � � Pgmtdlightir last [[]] .IOB E 1 (3 p Othvr: ' TIO "'iuld' `OCX I ":.-+'�i; {awe Submit an of plane with,sny of the sbova. Job site ad ss: _�a above are rat a li le to tegtpo�,t sen rush tarot Suite M Bid ./At.i : UII+ Pm'ect Name: LL IHterl tion - - Number or ins UCtlon$ or strut allose Cross street/Directions to jobs �� ' Fee(es, 7.h1 New ra,ldentl.►.9lagls or multi-Sargay p.r dwelling unit.Includes attached garage. Service Included- 1000 .R.or 14 . __ F acct addlti 300 .orthem — ) 0 Subdivision; LOt#: imhad onersy,res enema _ 3.00 TIM 111E IM81 M � Lim ene. mn " est —7 Each mutu ved hom Oe or m grog ;.D F W l••<yt'�'. p: sato ee and/ Moder 90.90 Services or am-lastallatlea,� alteration or reloention; 200 a or 80.30 60 to 600 106 , - Name' 111111hem,13011iVo,lts 4.65 2 Address: gS _ Temporarvl ry reoee,or feMan.Inmllatloa, Cit /State/7i alteration,or ralontlon: Phone: Fax: 2 am too 400 66.x5 1 - I ':e.yt'r, .y.:4�.,Rk• - w .:.i•: 1 600 — - .30 Nurse: Bnneh clreelto-now,alteration,or 1317 exteaalen per panel; Addrae: A Fee for branch circuit,with lroehasa of Ci /State✓zi ice or Meeer peach sh btutch Circuit 663 2 Phone: for I of AX: h Circuit i Mader branen etr�L r E-11161, oe.(Semco or feeder not i, hrletp: 6 Each�tmtp m k�ptlon c k 3.40 d T �_ 2 i.��h tit)' i al alto,a out ins s gra r(,)ora tmigd t,arEy pam-� N 11S111ia Name: 1 `- altars oreettentton ^�_ 2 Ci /StatC/�_ �; �� ch dditional . Iewr Wo mb a In Orth stave: C0 Phon 1_ ax ��_c�-�, M . eat n a CCA Lic. :13+-1y. 1 Lic. -- Supervising electrician '`'� - ,,,.. ay signature required: Subtotal S Plan Review 2S o of PerniitFOCI) S Print Name: Lies.iM: Sate Surch o Be, of Pumic Fa s Authorized TAL PERMIT rKE i7-;P- Signature: - Signature: Notice: This permit npplleation aspires If a pantnit is not ebNl'ad within DatO:,�� 180 days atter it has gess aecapted at eemplete. *Fee methodology set by TH-County Budding Industry Service Board. ease print name) l i\DDM\Pem it POmukE1cPermitApp,doe 01/03 ' -7 CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIiT NOTICE GARNER ELECTRIC 21786 SW TUALATIN VALLEY HWY S ALOHA, OR 97006-1248 Electrical Signature Form Permit#: MST2000-00283 Date Issued: 8122/00 Parcel: 2S112CB-16300 Site Address: 08310 SW NORFOLK LN Subdivision: HAMPTON COURT Block: Lot: 012 .Jurisdiction: TIG Zoning: R-7 Remarks: S/F PATH I 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 21786 SW TUALATIN VALLEY HWY S PSUITE�1g0N0p� pR 9T2Y ALOHA, OR 97006-1248 Phone#: 503-620-80803 Phone #: 591-1320 Req #: LIC 121159 IL SUP 37076 ELF 34-305C F- N AN INK SIGNATURE IS REQUIRED T S f RM J_ m W x J Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 ------ MASTER PERMIT" ,CITY OF TIGARD PERM;T#: MST2000-00283 DEVELOPMENT SERVICES DATE ISSUED: 8/22/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 SITE ADDRESS: 08310 SW NORFOLK LN PARCEL: 2.S112CB-16300 SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT:012 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED�i _ CLASS OF WORK: NFW HEIOtfT: 23 V FIRST: /10 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y— TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 990 of OARAGE- 431 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS- 1 FINBSMENT: M RIGHT: 9 VALUE: 6 130,119 4I OCr,UPANCYGRP: R3 RDRM: 4 BATH: 3 TOTAL: 1.72000 of REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACHO 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES. 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 SCIIFLW PREVNIR: 1 GREA3E TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOILCVP<7HP VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>000K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR rURNANCES: VENTS: t WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC(FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 Arno: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER 1NSPEC nON: EA ADO'L!oosr: 3 201 400 amp: 201 400 amp: tst WIO SVC/FOR. no SIONIOUr LIN LT: PFR HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: s!nNAL/PANEL: IN PLANT: MANI)HM/SVCIFDR: 601 - 1000 amp: 601•ennpe•t000v: MINOR LABEL: 1000+emolvol PLAN REVIEW SECTION Reconnect only: — ----•---- �_ .�__ _.._�_.�__ >N RES UNITS: SVCIFDR>-275 A.: >600 V NOMINAL: CLS ARFAISPC OCC. _ ELECTRICAL•RES"UC'EO ENERGY A,SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTF.RCOMIPAOING: OUTDOOR LNM LT: BURGLAR ALARM: OTH: BOILER: HVAC: 1_ANDSCAPEIRRIV: PROTECTIVE SIGNL• GARAGE OPENER: CLOCK: INS:RUMEN'rATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL I SYSTVMS: Owner: Contractor: TOTAL_ FEES: : 5,777.15 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code,State of OR Specialty Codes and 12755 SW 69TH 11130 SW BARBUR BLVD all other applicable laws. All work will be done in SUITE 100 PORTLAND,OR 97219 accordance with approved plans. This permit will expire if PORTLAND,OR 97223 work is not started within 180 days of Issuance,or if the a' work is suspended for more than 180 drys. ATTENTION: Prone: Phone: Oregon law requires you to follow rules adopted by the N Oregon Utility Notification Center. Those rules are set Roo If: LIC 000601A3 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or dirset questions to - I OUNC by calling(503)248-1987. � REQUIRED INSPECTIONS 0 _— - —__— W Erosion 844-8444 Post/Beam Mechanical Mechanical Insp Sherr Wall Insp Rain drain Insp Plumb Final J Sewer Inspection Underfloor Insulation Plumb Top Out ExtPrlor Sheathing Inst Water Line Insp Find Inspection Footing Insp Crawl Drain/Backwater Electrical Service LOW Voltage Appr/Sdw1k Insp Building Final Foundation Insp Footing/Foundation Dr, Electrical Rough In Gas Line Insp Electrical Final Post/Beam PLM/Underfloor Framing Insp Gas Fireplace Merlmnicel Floal �l y �� — L Issued - 'Z Permittee Signature : 1 Call(503)6394175 by 7:00 p.m.for an Inspection needed the next busine day CITYOF TIGARD SEWER CONNErTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00226 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 8/22/00 SITE ADDRESS; 08310 SW NORFOLK LN PARCEL: 2S112CB-16300 SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT: 012 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Owner: - FEES LEGEND HOMES 12755 SW 69TH Type By Date Amount Receipt --� SUITE 100 PRMT DEB 8/22/00 $2,300.00 0004643 PORTLAND, OR 97223 INSP DEB 8/22/00 $35.00 0004643 Phone: 503-620-8080 Total $2,335.00 -7J Contractor: Phone: Reg#: _ Required Inspections Sewer Inspection a OC F- N _J m This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires -j 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 952-001-0019 through OAR 952-001-0080. Youy:obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. Issue _ Permittee Signature: Call(503)839.417 by 7:00 P.M.for an inspection needed the next busine day CITY OF TIGARD Residential Building Permit Application Plan Check N ,IJ3 f? 13125 SW HALL BLVD. New Construction Pec'd ey__n L- TIGARDr OR 97223 Single Family Attached Date Recd 2 �C-09 y acData to P.E.��w V 503-639-4171 Date to DST g- -OtJ F 503-684-7297 '(� C Perrnk N IaAgAA> Print or Type / Called_,F - Incomplete or illegible applications will not be accepted Swq,2ovo Name of Project �^ Name Job cryo C",�� o, Address ¢dd -- Arch,tect Mailing Ad rr r� . ss �-e_ Na CltylS�a Zip Phone � Name , �? Owner Mlilin dress � � C Engineer Mai in A dross City State Zip !lone- T ` Ci //Stare Zip Phone General Na I. ; � _ 7.1-J _ 'f �o Contractor C eely 1271al �� describe work NewG,QV ddibon O Alteration ) Repair O Mailing Address to be done: Prior to permit Additional Description of Work: 'issuance, a copy City/State Zip Phone of all licenses f are required it Oregon Const.Cont. Board Exp.Date PROJECT expired asQT Lic. VALUATIONbO Mechanical Name NEW CONSTRUCTION_ONLY: Sub- r Sq. Ft. House- Sq. Ft.Gar a e Contractor Mallsqdr*i ,yL _ Prior to permit Indicate the restricted energy installation by the electrical issuance,a copy qt"Slate Zip Phone subcontractor in the following areas of all licenses d� q `L7 Restricted Audio/Stereo are required if Cregorf)Co-ndf Cont. Board Exp.Date Energy System Alarms expired in COT Lic.N ZInstallations Vacuum Irrigation database J J '�� _ System _ System Plumbing Name i (check all that Other: Sub- ; /) amply) _ Contractor7740,ge-) g Address `� Number of Units in Building Unit Number Designation / /- Has the Subdivision Plat recorded? N/A Y S NO Prior to permit ity/Sta a Zip Phone issuance, a copy Q0 j of all licenses are Ziegon Const.Cont.Board Exp.Date required if Lic.M expired in COT v2 3 G' I Nearby acknowledge that I have read this application,that the database Plumbing Lic.N Exp.Date information given is correct,that I am the owner or authorized agent CL / of the owner,and that plans submitted are in compliance with Oregon Slate laws. Name Sig Lure of Own r/ gen Date Electrical �a'� _ �<• .� Sub- Mailing Address C ct Pers a hon � Contractor J S W City/State Zip Phone , J Prior to permit ^ J� ip issuance, a copy !j t�17 i��_ J/�"�� _ FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont.Board F-xp.Date r'tat : Map/TLO. required if Lie.N expired in COT Z 02.11i-J, database Ebctr Lic. rC Ex6 Data Setbacks: Zona: J O , Electrical Supervisor Lic.N Exp.Date Engineering Approval: Planning Approval: TIF: i:%dstsVormslsfa-new.doa IIrMy?e i=LO. T FLAN LOQ' 4*12 , HAMPTON COURT R-1 281 11 DA TAX LOT 0- - - - - - - - - - - - - - &310 SUJ NORFOLK LANE LEGEN S.E. 1/4 OF SECTION 11, T.2, R.IUJ, W.M. HOME CITY OF T IGARD WASHINGTON COUNTY, OREGON (503) 628 Wim' GCB' 69563 S.W. NOI=OLK LINE ------------ .——SS--— N ' Culm - I" 889'20'10"uI , SIDEWALK 25' LAND3CA_ -- -- ------ --- 73�3�' ----------------- I2' P.Ur= EA9MT_ ---- ------ - �'_�ar..; - ------------------- WATER METER 2 .I' W------- WATER LINE I - -tom = - 200 SS——--— SANITARY SEWER �- SD— - - — STORM DRAIN I I /� 290.1' Q.— ---- Q OF STREET '� � I 3 SLOT �2 -- MANHOLE / I 2 ;t 3.4,62 SQ,FT. ;p • r 199 I •Q� / ® cn cH BASIN t ATNER C 0. PROPOSED I � FIN.FLR Z01�' •9 OC STREET TREES I GARAGE FLR•2003 Q ® STREET LIGHT FIRE HYDRANT � 9.01_ t 2005' ro PROVIDE EROSION 200 200 w CONTROL FENCE - — - _- - - - — -- PER COMMUNITY 20,E-- - - - 200 EROSION PLAN 1988' 889'59'26"W 1988' dSNFORD w CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspettion Line: 639-4175 Business Line: 639-4171 BUP Date Requested 2 AM PM BLD Location- r-3 /0 S�-' Nu✓ /�� _ _ Suite MEC Contact Person Ph l� -o�1 Z3 PLM — y Contractor Ph SWR BUILDING Tenant/OwnerELC _ Retaining Wall — — ELR Forting Access: — Foundation FPS Ftg Drain SGN —p 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 P ART FAIL --- — Past& Beam —`- --' —� Under Slab Top Out Water Service Sanitary Sewer — — —— Rain rains PART FAIL —_- Post&Beam — Rough In Gas line — Smoke Dampers T FAIL PMMCTRIC ----- — — -- a � Rough In — N IG/Slab Low Voltage J Alarm _ — — m P PART FAIL SITE J Backfill/Grading _— Sanitary Sewer Storm Drain ( ]Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE: Fire Supply Line [ ] p _ — __. _ [ ]Unable to inspect-no access ADA ` / —0Approach/Sidewalk Other Date Inspector _ Ext - Final PASS PART FAIL DO NOT REMOVE this Inspection record from tho job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ['Z 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 MST BUP Date Requested l Z "' ' AM_�PM BLD _ Location 3/ U 3 l,✓ u►- /i� ►- Suite MEC Contact Person _ Ph �-,�3? _ PLM Contractor Ph SWR Tenant/Owner ELC _ — Retaining Wall ELR _ Footing Access: Foundalion FPS Fig Drain SGN Craw:Drain Inspection Notes: - -- - Slab SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Spiinkler Fire Alarm Susp'd Ceiling -- Roof mi F' - ASS PART FAIL - --IPMBING Post&Beam - �— - —-------" Under Slab Top Out ---�-�-- — Water Service Sanitary Sewer - Rain Drains Final - PA ART FAIL MECHANI Post R Beam - - --- -- Rough In Gas Line Smoke Dampers PASS PART FAIL ELECTRICAL - — n. Service I - -- ------ - ------ pG Rough In UG/Slab � Low Voltage Fire Alarm -� Final Im PASS PART FAIL W SITE J Backfill/Grading - - --- - _-_ Sanitary Sewer Storm Drain I ]Reinspection fee of$ _required bet, next Inspection. Pay at City Mall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE _ I ]Unable to inspect-no access ADA ApproacYSidewalk Date ` r Inspector "� Ext Other --- -- — - - Final PASS PART FAIL Pf3 NOT REMOVE this Inspection record from the job site.