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12712 SW ROCKY MOUNTAIN COURT N 4 -4 N O n 'G O C �t 7 n O G A 12712 5W Rocky Mountain Court �� MASTER PERMIT CITY PERMIT#: MST2001-00464 DEVELOPMENT SERVICES DATE ISSUED: 2/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12712 SW ROCKY MOUNTAIN CT PARCEL: 2S109AD-08300 SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: TIG REMARKS: Construction of new single family detached residence. Path 1 BUILDING REISSU,i. STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLA35 OF WORK: NEW HEIGHT. 16 FIRST: 1,329 at BASEMENT: st LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,329 at GARAGE: 502 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: at RIGHT. 5 VALUE: 5 257,111 40 OCCUPANCY GRP: R3 BDRW 3 BATH: 3 TOTAL: 265800 at REAR: 20 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: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS- I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL ` FUEL TYPES FURN c 100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FIIRN>-100K: t UNIT HEATERS: HOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURVANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 50OBF: 5 201 400 amp: 201 400 amp: to WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp. EA ADDL FIR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 001+amps•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Raconnactonly: >-4 RES UNITS: SVCIFDR>=225 A: >$00 V NOMINAL: CLS AREAJSPC OCC: ELECTRICAL.•RESTRICTED ENERGY A SF RESIDENTIAL S.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: X AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPEIIRRIG' PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATWTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,655.96 This permit is subject to the regulations contained in the MILLENNIUM HOMES INC MILLENIUM HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and 2208 SE 182ND AVE 2208 SE 182 all other applicable laws. All work will be done in PORTLAND,OR 97233 PORTLAND,OR 97233 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 than 180 days. ATTENTION: Phone: Phone: Owyon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rog 0: LIC 79766 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8& Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beam Mechanica Ftng Drain Bsm't Walls Framing Insp Lias Fireplace Electrical Final Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inrf Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Low Voltage Water Line Insp Final inspection Issued By : tom; "t. Permittee Signature : ') Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day CITYOF T I G A R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00238 DAT t ISSUED: 2/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PAROL: 25109AD-08300 SITE ADDRESS; 12712 SW ROCKY MOUNTAIN CT SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: TIG TEN'AN r NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL '1 YPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection of new single family residence. Owner: i FEES MILLENNIUM HOMES INC Type By Date Amount Receipt 2208 SE 182ND AVE PORTLAND, OR 97233 PRMT CTR 2/4/02 $2,300.00 27200200000 INSP CTR 2/4/02 $35.00 27200200000 Phone: 503-665-0111 Total $2,335.00 J Contractor: Phone: Reg#: Required Inspections _ This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. 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' Perm r Issued by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day \ /\ RD SEWERCONNECTIONPERMIT CITY Or TIG DEVELOPMENT SER/-VICES PERMIT#: SWR2001 00238 DATE ISSUED: 2/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639•4171 PARCEL: 2S109AD-08300 SITE ADDRESS; 12712 SW ROCKY MOUNTAIN C 'I SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 027 —�. ____._JURISDICTION: TIG i ENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SIFNO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection of new single family residence. Owner: FEES _ MILLENNIUM HOMES INC Type By� Date Amount Receipt 2208 SE 182ND AVE PRMT CTR 2/4/02 $2,300.00 27200200000 PORTLAND, OR 97233 INSP CTR 2/4/02 $35.00 27200200000 Phone: 503-665-0111 — Total $2,335.00 Contractor: _ Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency 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" Perm Issued by: _' ZA Permittee Signature: ��t / - - Call (503) 639-4175 by 7:00 P.M. for an inspection r;eeded the next business day r Building Permit Application Date received: yr Permitno.: �.i:�oe ��05/I C• City of Tigard o- 7 no: Expuc date: Ci�vofTigard Address: 13125 SW Hall Blvd,TigardyJ* Phone: (503) 6:39-4171 / Date issued: By: Rcceiptno.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: .1 TI &2 family dwelling or accessory U Commercial/industrial U Multi-family 13 New construction U Demolition U Addition/alteration/replacement U Tenant improvement J I r, rurl•I r%il.irm A ()1h.'! 1Colo :C- Job address: �. r `� of o ; Bldg. no.: Suite no.: Lot: Block: Suhdivisi n: L ., � •, Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: E (7t ti,.t ` 1 1 1 1 Name: (\ eY1n w (" Mailing address: >( ( tie 1 &2 family dwelling: / City: v State: 13yL I'LIP: c L?. V V Valuation of work...,....s�.... a........�.......... Phone:r p,5.b ` 011 t Fax: ,c, E-mail: No.of bedrooms/baths.............. Owner's representative: Lk t' r\11�"\ _ Total number of floors................................. Phone:'11 r. Fax: E-mail: New dwelling area(sq. ft.) i7. .�...... Garage/carport area(sq. It.)........ti Name: L o-(< Covered porch area(sq. ft.) ......................... ~-- F� Mailing address: '' i `'t Deck area(sq. ft.) ........................ .. ........... �_� City: ) her structure area(sr{. ft.)........... ............. �, • ,State: ZIP: � �� Ot_ Phone: r, , (,,ilt IFa,,:(-r4c { E-mail: Commerciaifinductrial/multi-family: Valuation of work........................................ S _ Existing bldg.area(sq. ft.) ........................ - --------- — Business name: ��r ','C ' Address: ., 5 7 . :1 l New bldg.arca(sq.ft.) .............:.: .............. Cit State: 'LIP:� Number of stories.............•............c. ......... y: \lc,�. 2 .. Phone: ty r).p Fax: :',t, I--mail: Type of construction................,f........... ... CCB no.: Occupancy group(s): Existing: ',9]( l�___---- —�—._ I New: City/meu-o lic. no.: Notice:All contractors and subcontractors are required to he ARCHITC11711"IDESIGNER licensed with the Oregon Construction Contractors Board under Namr.: �t ( �. rt provisions of ORS 701 and may be required to be licensed in the Address: , t jurisdiction where work is being performed. If the applicant is Cit State: ZIP: , exempt from licensing,the following reason applies: Contact person: Plan no.: Phonc::L ) IJ il I PFax:L.,1 1 p 5 j-) -- Name: Contact person: Fees due upon application ........................... It-- Address: Date received: City: �T tato ZIP: _ Amount received ......................................... $ Phone: _ �Fux: I ?_mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Nd all jun+clictions accept credit cards,please call jurisdiction tilt m,ue Infor"Ution. attached checklist.All provisions of laws and ordinances governing this t]visa U MasterCard work will be complied with,whether specified herein or not4_4 / Credit card number: , � h.aplreAuthorized signature: 4 L✓''batc: 1 Name of carcaroldet u shmnon credit cardV . — S Print name: cardholder sirtnuure Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 446.1613("McoM) f Orae- and Two-Family Drivelling Building Permit Application Checklist —�—Tigard of Ti Cit ga \ssociatcdpernuts. r'iry /'lid•tial City b J Llectncal -1 I'luinh rw -1 Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 i nhcr Phone: (503) 639-4171 -- hax: (9011 508-I9h(1 TIIE FOLLOWING 1 I FOR PLAN REVIEW Yes No N/A 01 1 band use actions completed. See jurisdiction criteria for concurrent review~. _' /.oning. flood plain,solin halance points, scisrttic soil;desipmitirm, historic district,etc. 3 Verification of approved plat/lot. --- �- - 4 hire district, approval required. 5 Septic system permit or authorization for remodel. Existing system capacity h Sewer permit. Water district approval. s Soils report. Must cavy original applicable stamp and signature on Dile or with application. _ ---- ') Erosion contrnl'>•j,lan J permit required. Include drainage-way protecliun•silt fence design and catch-hasin protection,etc. !� IU 3 "ouiplete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate lull-size sheet attached to the plans with cross references between plan location and details. plan review cannot he completed if copynght %iolauuns exist. I I Siteiplot plan drawn to scale.The plan must show lot and building setback dimensions:property comer elevations(it tftere is more than it 441.elevation differential,plan must show contour lines at 2-It. intcnalsi:location ofeasernents and driveway:footprint of stricture(including decks);location of wells/uy,tic sv 1011s:1111111, I,x:.mons:(unction indicator:lot arca:building coverage arra:percentage of coverage:impervious arca:existing anictures on sue:and surlace drainage. j 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinlorcing pads,connection details, vent 1 size and location. 13 Floor plans.Sh()ky ,ill dimensions,room identification, Amdw,t 1.( 10"111,Ill,�i ,nwke detectors,water heater. furnace, ventilation lans,plumbing fixtures,balconies and decks to ouches ahoyr grade.etc. 14 Cross section(s)and details.Show all framing-mennher sizes and spacing such ass flims learns,headers.Worsts, ,uh-floor, wall construction,roof construction \tore than one cross section may he required to cicmly p,wtray construction. Show details of all wall and roof shcathing,toiling,roxrl'slope,ceiling height,siding material,foxwng's and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new constnicuon:tninimum of two elevations fur additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. hull-size sheet addendums showing foundation elevations with cross references are acceptable. Ili Wall bracing(press i ilit iro pa i h)and/or late r tl aimli.is plans. Must indicate details and locations:for non-prescri tivc path analysis provide ,ind calculations to engineering standards. _ 17 Floor/roof framing. Provide plans fur all floors/roof assemblies, indicating memher sizing,spacing,and hearing —� locations.Show_attic ventilation. _ 18 Basement and retaining walls. Provide cross sections and details showing placement of rehar. For engineered systems,see iters 22,"Engineer's calculations." 1 i? Beam calculations, Provide two sets of calculations using current code design values for,all hearts and multiple Joists over 10 feet lung and/or any beans/.joist carrying a nun-unifornn load. 20 Manufactured floorlroof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schentatic is required for four or more appliances. _ 22 Engineer's calculations. When required or provided,(i.e.,shear wall,root truss)shall he stamped by an engineer or architect licensed in Oregon and shall lw shown to he applicable to the prolcct under review. 23 Five(.5)site plans are required for Item I I above. Site plans must lie R-1/2" x 11"or I I" x I" 24 Two(2)sets each arc required for Items 16, 19,211& 22 Aw%e. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled, reversed or mirrored building plants will be accepted. 27 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved fir department use only. W461+i~'Ox+, Electrical Permit Application �— _ -- Datereceived: <,r 31 Permitno.:h`17 .,—, City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,oft 97223 Phone: (503) 639-4171 Date issued By: Receipt n. j Fax: (503) 598-1960 1 Case rile no,: Payment type: Land use approval: TYPIKOF I &2 family dwelling or accessory Ll Commercial/lndusttrtl J Multi-family 0 Tenant improvement O New construction O Addition/alteration/replacement 0 Other: ❑Partial INF61NATION Job address: $t,) 131dg, no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivis' n: -N L-AZ-+e s Project name: Description and location of work on premises: j; �` Intimated date of completion/inspecimi CONTRACIOR APPLICATION % t Fee Max Business name: ` Description tJty. (es.) Total no,insp — New residential-single ur multi-famiiv per Address: C' w tUr dwellingunit.Includes aunc•lavl tnaraee. city: � � State: ZIP: L 'erviceinctnded: Phone:15D y 441V Fax:(p 0.13 E-mail: 1000 sq.it.or less _ - 4 Each additional 5(x)sq.h.or portion thereat CCB no.: �1 Elec.bus.IIc.no; L.i mited energy,residential 2 City/metro lie,no. Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature ot'supervising electrician(required) _ pate Service and/or feeder 2 Sup.elect.name(print): License no: Services or feeders-installation, alteration or relocation: 1 200 amps or less _ 2 Name(print): WiL VA 201 amps to 400 amps 2 Mailing address: r K 401 amps to 600 amps -_ 2 601 amps to 100)amps 2 City: t� State: 41L I ZIP: Li '1 3 Over 1000 amps of volts 2 Phone:y o c Fax: o, 4 E-mail: Reconnect onI -- I Owner installation:The installation is being made on property I own Temporaryservices or feeders- which is not intended for sale,lease,rent,or exchange according to Installotion,alteration,orreloc lion: ORS 447,455,479,670,701. 200 amps or less 201 amps to 401 arnps 2 Owners si tnature: Date: 401 to(0);unps 07m, 3= Branch circuits-new,alteration. Name: or extension per panel: A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: _ State: ZIP: B ree for branch circuits without purchase I'hone: Fax: E-mall: of service or feeder fee,first branch circuit _ - 2 Each additional branch circuit: Misc.(Service or feeder not Included): ❑Service over 225 amps-commereral ❑Health-care facility Each pump or irrigation circle _ 2 ❑Service over 320 amps•raunR of 1&2 U Hazardous hxation Each sign or outline lighting family dwellings U Buildin;over 10,000 square feet four or Signal circuits)or a litnited energy panel, U System over 6011 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories ❑Feeders,4W amps or more ^*D escri tion: allowab _ ❑Occupant load over 99 persons ❑Manufactured structures or RV park FAch additional Inspection over the le In_an_y of the above: ❑Egrem/lightingplan ❑Other: _ Pet nspection - Submit_sets of plats with any of the above. Investigation fee 7'he above are not applicable to temporary construction service. Other Not all jurisdictions accept credit ands,please call junsdicti,at for more information Notice:This permit application! Permit fee.....................$ ❑visa U Mastercard expires if a permit is net obtained Plan review(at — %,) $ Credit cart)number: c _ _ within 180 days after it has been State surcharge(8%) ....$ Nanta our s shown on CXplrea accepted as complete. TOTAL, ......................$ cr 1 - - _ S Cardholder si`nature Amount -- -- 44046151b1xYCOM1 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - ---- ....... — -a---- _ -- _ TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Complete Hee Schedule Below: _ Restricted Energy Foe...................................................... $75 00 Number of Inspection!-,her permit allowed (FOR ALL SYSTEMS) Service '-tcluded: Iterns Cost Total Check Type of Work Involved: Residential-per unit - - ❑ 1000 sq ft.or less $145.15 1 Audio and Stereo Systems' Each additional 500 sq ft.or portion thereof $33.401 Burglar Alarm Limited Energy $7500 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $90.90 ___ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 Vacuum Systems` 201 amps to 400 amps $106.85 ~ 2 El 401 amps to 600 amps $160.60 2 r-, 601 amps to 1000 amps $240.60 2 U Other Over 1000 amps or volts $454.65 2 Reconnect only $86.85 _. 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY TemFee for each system........................................................ $75.00 Installation, or relocation 200 amps or less $66.85 2 (SEE OAR 918 260-260) 201 amps to 400 amps $100.302 401 amps to 600 amps $133.75 r 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of sorvke or Clock Systems feeder fee. Each branch circuit $6.65 2 F-] Data Telecommunication Installation h)The fee for branch circuits wlthorrt purchase of service Fire Alarm Installation or feeder fee. First branch circuit __ $46.85 HVAC Each additional branch circuit _ $6.65 _ Miscellaneous L7 Instrumentation (Service or feeder not Included) Each pump or irrigation circle _ $53.40 Intercom and Paging Systems Each sign or outline lighting - _ $53.40 Signal circuit(s)or a linoited energy Landscape Irrigatlun Control' panel,alteration or extension _ $75.00 ` Minor Labels(10) $125.00 [� Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per Inspection $6250 _ Per hour $62.50 In Plant _—, $77.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ ._ --. Other_ ------9%State Surcharge $ Number of Systems 25%Plan Review Fee ' No licenses are required Licenses ale required for all other Installations see'Plan Review"section on S front of application _r,. .--_. Fees: Total Balance Due Enter total of shove tees $ Trust Account# _ _____ 8%State Surcharge $ - — ^-- - �- Total Balance Due - $ OdstsVbrmslelc-fees,doc 06107/01 Mechanical Perinit Application "Datereceived: 41Permit no.: NST q; City of 'I lgard Project/appl.no.: Expire date: City ofTigard Address: 13125 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: Building permit no.. I &2 family dwelline or.rc r-sory J Cornmercial/industrial 0 Multi-family J Tenant improvement O New construction 0 Addition/alteration/replacement 0 Other: 19SIFTE INF(iRMATION1 1SCHEDULE Job address: „ Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite o.: _ value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lor: A 5Blork: �S � ubdivision- CIK Noc "See checklist for important apr!ication information and Project name: _ _ jurisdiction's fee schedule for residential permit lec. City/county:I r h V 11— LIP: Description and I ation of work on premises: 5L,4LiL ,,r c Fce(en.) Total Est.date of completion/inspection: DeWtiptiom Qt . Res.only Res.onty Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes 1X No Air conditioning(sue plan required) Is existing,spier insulated?U Yes 'Jd1'No I Alteration of existing HVAC system WIECTIANI[ItAL CONTRACTOR 11111-oiler/compressors 1 State boiler permit no.: Business name: ,e-vn�1 tE _;-�,ti� _ .. HP Tons BTU/H _ Address: Fire/stroke dampers/duct smoke detectors — City; State: ZIP: 1U 1 eat pump(site plan require) Phone:tl,,, r1g,2 , •f."i� Fax: (p E-mail: nrepocefurk/ urner__ Including ductwork/vent liner O Yes❑No CCB no.: _ nsta I/rcplactlre ocateheaters-suspen ed, City/metro lie.no.: wall,or floor mounted Name (jIt,,tst, 111,1, �ent,for a for other than furnace CONTAcir PCRSON of gera170D7 Absorption units BTUAI _ Name: chillers _ HP - Compressors HP Address: Environmental exhaust and ventilation: City: tt St,ur 7Z—IP: Appliancc vent _ Phone: Fax: E-mail. Dryer exhaust oods, ypc res. itchen/iazmat hood fire suppression system — Name: 1 r� -_ Exhaust fan with single duct(bath fans) Mailing address: O` xhaust systema art from heatingor AC State: ZIP: ue piping andistribution(up to 4 outlast City: ., .- TE ype 1-116 NG __ t rtl Phone:` I ax:�x, (1 E (nail: uel ptptrtg cath additional over 4 outlets processENGINEER pp'pang(Schematic requited) iiiiiiiiiiiiiiiiiiiii4Number of outlets Name: t er appliance or equ pment: --- Address: Decorative fireplace City: State: III Insert-type oodstove/pe let stove Phone: Fax: E-rnatl. tither: Applicant's signature: Uatc: Other: _ Name (print): F_ — Not ort 111omlictnxn wcept credit cud&,plenae call JuNxllcllnn rot nnae infunnaunn. MininiiPermit f ................$ U Vian U MasterCard Notice:This permit application Minimum feeee................$ expires il'a permit is not obtained Plan review(at 9h) $ t'rcdit card number._. -- --� within 180 da s offer it has heen fl>tp tea y State surcharge(896) ....$ None of cardholder as shown on credit cud—u S 1 accepted as complete. Torn, .......................$ Cardholder dgnatute �� Amount 4410-4617(&WCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE- 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description — Price Total $1.00 to$5.000.00 Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Atilt $5,001.00 to$10,000.00 $72.50 for the first$5,000 00 and 1) Furnace to 100,000 BTU $1 52 for each additional 5100,00 or including ducts&vents 14 00 fraction thereof,to and including L) Furnace 100,000 BTU+ ___ $10,000.00. includingducts&vents 17-40 $10,001 00 10T25,000 00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent___ is 00 fraction thereof,to and including 4) Suspended heater,wall heater _ _ _ _ _$25,000.00. or floor mounted heater 14 00 $25,001.00 i_6150, 000, 06 $379.50 for the first$25,000.00 and 5) Vent riot included in appliance permit $1.45 for each additional$100.00 or 5 80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 Sbu,001.00 and tip $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 tar each additional$100.00 or For items 7.11,see or Pump Cond _ fraction thereof, footnotes below. -_�_- 7)<3HP;absorb and —i to 100K BTU 14 00 ASSUMED VALUA710NS PER APPLIANCE: g)3-15 HP;absorb value-�— Total unit 100k to 500k BTU _ 25 oU Description: _ Ot Ea Amount 9) 15.30 HP:absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BT0 35.00 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU including 1,170 unit 1.1.75 inl BTU 52.20 ducts&vents 11)>50HP absorb _Floor furnace including vent 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10.000 CFM floor mounted heater 1000 _ Vent not Included in applicance - 445 13)Air handling unit 10,000 CFM+ permit _ 17.20 Repair units V 805 -- <3 hp;absorb.unit, 955 14)Non-portable evaporate cooler 1000 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6 80 _ 101k to 500k BTU -- 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2,310 mil.BTU appliance permit 10 00 30-50 hp;absorb.unit, — 3,400 17)Hood served by mechanical exhaust 1-1.75 mil.BTU _ 1000 >50 hp;absorb.unit, — 5,725 18)Domestic Incinerators 17 40 _ >1.75 mil.BTU —_ Air handling unit to 10,000 cfm _ 656 19)Commercial or industrial type incinerator Air handlingunit>I0,000 cfm 1,170 --- 69.95 Non-portable evaporate cooler 656 20)Other units,Including wood stoves Vent fan connected to_a single duct 4_46 1000 -- ---- - --- 21)Gas piping one to four outlets Vent system not included in 656 540 -appliance permit _ _ - - 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1 00 Domestic Incinerator — 1,170 Minimum Permit Fee$72.50 SUBTOTAL: Commercial or Industrial incinerator 4,590 $ Other unit,including wood stoves, 656 8!.State Surcharge $ Inserts,etc. Gas piping 1.4 outlets _ 360 25%Plan Review Fee(of subtotal) $ Each additional outlet v 63 Required for ALL commeroal permits only TOTAL COMMERCIAL $ �- TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other lit ctlons and Fees: 1 Inspections outside of normal business hours(mrnimurn charge-tvro hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72.50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$12 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. I:\dstsVomis`anech-tees.doc 10/11/00 Plumbing Permit Application Date received: ', ✓i /' Permitno.: +� ItV of rlr;al'(� Sewerperrnitno.: Buil,lingpermltno.: Address: 13125 SW Hall Blvd,Tigard,OR 9722 City of Tigard Phone: (503) 639-4171 F'rojecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: -__ rage file no.: Payment type: TVIOE 1 r 1 &2 family dwelling Or accessory J COrnmercial/industrial ❑Multi-family O Tenant improvement New construction ❑Addition/alteration/replacement ❑Food service :1 Other 1 . SiTtINFORMATIQN FEE SUIIEDULE Job address: '' �,� ,�k�• (l�' I1+escri tion Otv. Fec(es.) 7 ural Bldg.no.: Su' a no.: Ne" I-and 2-fancily dwellings only: Tax map/tax lot/account no.: (Includes 100 R.for each utility connection) SFR(1)bath Block: I Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: cl�Ly ZIP: Each additional bath/kitchen Description and lodiltion of work on premises: SiteutlOtles: r Catch basin/area drain Fst.date of completion/insIvoit,n D wells/leach line/trench drain Food g drain(no. lin.ft.) i Manufactured home utilities Business name: Manholes Address: j4pj, i 5Lv .0 . Rain drain connector City: State: ZIP: (-1J_ Sanitary sewer(no.lin. ft.) Phone: o '(,, Fax: Storm sewer(no. lin. It.) CCB no.: t L C Plumb.bus.reg.no: Water service(no. lin.ft.) -- City_/metro lic.no,: Fixture or Item: Contractor's representative signature: _ Absorption valve F'rin( n,nn Back flow preventer I'"" Backwater valve _ 1 1 Basins lavatory — Name: Clothes washet Address: Dishwasher --- - -- Drinking fountain(s) City: _ State: 'LIP_ Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): Floor drains/floor sinks/hub p int " Y,< Garbagedissal Mailing address: � ,C,3 ',�. , t City: State: (_ ZIP.. �i 1 a � Hose bibb Ice maker Phone:, r Fax:lc 1, -;t E-mail: Interceptor/grease trap Owner installation/residential 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) Owner's signature: _ _ _ _ Date: Sum Tubs/shower/shower pan Name: Urinal — Water closet Address: Water heater City: I State: _ ZIP: Other: — Phone: Fax: Email: Total Na Vi Jutidkuoru attepl crcdil code,please call iu lsdicuon rot mare infbmrulon. Minimum fee................$ _ O V1$a ❑MasterCard expire:This permpermit i application Platt review(at _ %) $ � � expires if a permit is not obtained State surcharge 8% Credit card number! wililin 180 days after it has been g ( ) ""$ �— t:apiru TOTAL rlatrl!D C 4 Y an 1 cad accepted as complete. •..•••••^••••...••^••$ s ai oro —moi 1104616(0000M) PLUMBING PERMIT FEES: -� PRICE TOTAL New 1 and 2-family dwellings only: rFIXTURES (Individual) _ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL I Sink 16.60 the dwelling al d the first100 ft. QTY (ea) AMOUNT Lavatory16.60 for each utillty.onnection) _ _ One 1 bath $2_49.20 Tub or Tub/Shower Comh 16.60 Two(2)bath S3,. Shower Only 16.60 Three 3 bath $399.00 _ Water Closet i 16.60 SUBTOTAL Urinal 16.60 8%STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL 70TAL Garbage Disposal 16.60 _ Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 P.,-EASE COMPLETE: 3^ 16.60 q• 16.60 Water Healer O conversion O like kind 16.60 Quantity b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved r2eplaced Removed/ -Permit. Capped MFG Home New Water Service 46.40 Sink MFG Home Now SardStorm Sewer 46.40 Lavatory_ Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Urinal _ Other Fixtures(Specify) 16.60 y) Dishwasher Garbage Dis osal Laundry Room Tray Washin Machine _ Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3^ Sewer-each additional 100' 4 r0 4" Water Service-1a 100' ba.00 Water Heater ^ Water Service-each additional 200' 46.40 Other Fixtures Sed Storm-&Rain Drain-1st 100' 55.00 _ Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Preventicn Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.00 Inspection of Existing Plumbing or Specially 72.50 Re uested inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 _�- Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram Is required If 9uen0ty Total Is`4 W _ p- *SUBTOTAL 8%STATESURCHARGE �- "PLAN REVIEW 25%OF SUBTOTAL Required only If fixture qty.total Is:1 9 TOTAL. 5� "Minimum psmrlt too is$72 50•8%state surcharge,except Residential Backflow Prevention Device,which Is$ae 25 4 8%state surcharge "AIL Now Commercial Buildings require pians with isometric or riser diagram and plan review. 1.\dsts\forms\plm-fees.doc 10/10/00 .�-01 10 :03A Millennium Homes Inc 503 666 3047 P . 02 RECEIVED S`T 2 °t 7e GeoI 17700 SW Upper Scones rerry Road,Sulte 100 Portland,Oregon 97224 Tel(503)696-8445 • Fox(503)698-8705 September 20,2001 Job No. 01-7491 Millenium Homes, Inc. Mac Even 2208 SE 182nd Avenue Portland, OR 97233 GEOTECHNICAL ENGINEERING REVIEW OF FOUNDATION PLAN AND SITE LOT 25-ELKHORN RIDGE ESTATES TIGARD, OREGON At your request, we have reviewed the lot and proposed foundation plan for Elkhorn Ridge Estates, lot number 25. The purpose of our review was to make conclusions and recommendations for foundation support of the proposed large single-family home and comment on the geotechnical feasibility of the building plan. The plan shows a 2- story home with a daylight basement cut into the gentle to moderately downwardly sloping lot. No signs of slope Instability were observed. Up to 8 feet of well-compacted and nonorganic fill was present on the lot. The native silt soils and engineered fill are stiff and suitable for foundation support. The cuts in the crawlspace should be sloped to near 1H:1 V. It any footings lie within a 11-11:1 V plane extending from the base of an interior vertical step, the footing should extend to the base of the step, the footings should be deepened,or a retaining wall should be constructed It is our opinion that the observed native and fill soils are suitable for spread foundation support to a maximum allowable bearing pressure of 1,500 psf. Maximum column loads should not exceed 30 kips; it masonry chimneys are planned, a minimum of 2 feet of compacted crus;it;d rock should be placed beneath their footings. Softening of unprotected areas due to frost or rain may necessitate mucking of a softened surface layer. We trust this information rnRets your needs. If you have any questions, please call. Sincerely, GeoPeciflcneering, Inc. ARE D PRo - �tk61NE'r \y Q' 114T 4 3� OREGON ✓4'yF 23, ll, so. tM� James D. Imbrie, P.E., C.E.G. Geotechnical Engineer Q l47 0 y b 4Y d i� .L 1 i J r 0 .. J � U• Se � Q \n�. ti _L Lr�s� Ove L o,nkrol p la„� G o,00 t ' 1 r d' I i f T ' i CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE R K ELECTRIC INC 24495 NW OAK DR HILLSBORO, OR 97124 Electrical Signature Form Permit #: MST2001-00464 Date Issued: 214102 Parcel: 2S109AD-08300 Site Address: 12712 SW ROCKY MOUNTAIN CT Subdivision: ELK HORN RIDGE ESTATES Block: Lot: 027 Jurisdiction: TIG Zoning: R-7 Remarks. Construction of new single family detached residence. Path 1 Your company has been :-licated as the electri:al 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 Foran prior to the start of the work to the address above, ATTN Building Dept. No electrical inspections will he authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: MILLENNIUM HOMES INC R K ELECTRIC INC 2208 SE 182ND AVE 24495 NW OAK DR PORTLAND, OR 97233 HILLSBORO, OR 97124 Phone #: 503-665-0111 Phone #: 640-1344 Req #: SUP 094275 ELE 34-375C AN INK SIGNATURE IS REQUIRED ON THIS FORM �L Signature of Super ng Electrician --- If you have any questions, please cail (503) 639-4171 , ext. # 310 CITY OF TIUAHu 14-Hour BUILDING Inspection Line: (503)639-4175 MST �40� INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received — Date Requested_ AM = �__' PM BLIP -___- Locationy----�– � � Suit - MEC - --- Contact Person �) -__ Ph( ) 3-7 U �D�` PLM _--_-_ . -------------- Contractor - _ Ph( ) SWR BUILDING Tenant/Owner - -__ ELC — Footing E:LC Foundation Access: Ftg Drain L tJ X �� _ ELR —_--_ Crawl Drain / Slab Inspection Notes: SIT - Post&Beam -- Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear Framing - Insulation �. .t=. Drywall Nailingt 2 Firewall Fire Sprinkler Fire Alarm _ Susp'd Ceiling Roof Oth n � - ART FAIL Nd__ Ist& Beam Under Slab 17 - - — Rough-in Water Service ------- - — Sanitary Sewer Rain Drains - Catch Basin/Manhole _ Storm Drain f Shower Pan Other: PASS PART FAIL --- Post&Beam - Rough-In — Gas Line Smo Dampers ;ASS PART FAIL `etfe�icAL _- — Service Rough-In UG/Slab Low VoKage - Fi I rm ART FAIL Reinspection fee of$____—_--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. g [1 Please call for reinspection RE:--------- Unable to inspect-no access Fire Supply line //''�� ADA Date _— 2, til Inspector Approach/Sidewalk �`t� Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL ELEVATION CERTIFICATION " PER SECTION 710.1 of the OSPSC WYt'OF TIGARD 3510.1 of the OTFDSC OREGON THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME OR ALL OF THE FIXTURE SPILL RIMS IN THIS STRUCTURE. INFORMATION IS NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE TO THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING INFORMA'T'ION: LOT NUMBER 2-7 SUBDIVISION ( V— r ADDRESS 12111- SW Q oC PERMIT# "6 2..Q� ^ 4 . A TRANSIT SHOT ON(DATE) �� bj Z- HAS VERIFIED THAT THE FIRST UPSTREAM MANHOLE, SI'ILLRI111 IS�'"� 5 �:1(;.H:EJ-ROR LOWER(CIRCLE ONE)THAN THE LOWEST FINISH FLOOR ELEVATION. ?L*m'e0\4vo-- DATE PLUMBER DATE1- JOB SUPERINTENDANT ABOVE INFORMATION ACCEPTED AND APPROVED BY: INSPECTOR �� _Q�! _DATE_ 13125 SW Hall Blvd„ Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 s $ ro a o 0 o rD w Q' Q 0 H G ►� ro Fr 7 O ""A 3 . o � 0 c� o � � Q 3 z _.