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8386 SW DURHAM LANE 8386 SW L)tJRHAA4 CT., PGARD, OR LEGEND LOT 16 OF DURHAM OAKS SURDWISION W4TER L4TERAL _,,:>NITZAAFRr' 4 5EUJER `! ILT FENCE TREE FR0TE,'.,T10N FEW-7E ........... L 1 0 10, v Q1 q Js CID UJ UJ t-- FRC- ,'IDE TREE 1 _ \� ; =ROTECTICN FEN(-.-_IN(_3 4ROUtZ,) =ALL TREES 7" 5E 6,,�VED. INSTALL PER -)HEET 2 OF [)R,4UJ1NG5 ( TREE 5, i I 1 PRE` �E FRv'''Tl(:,)N R,A4 C'3E UL U) Im 4 rr "all F.F.E. 24' SET ACK 10 9 1/211 201-011 51 L T FENCE .......... 0� 51L.T F E NC E n will PLANT LIST TREE MITI 4 Tj C, F. A T,.�) 4"0 (MEI�A5UFPREC', -: T E5_`At&E , STREET TREE TOTAL s E,4, TC74L INCHES rr 4 1 2 FEB 4KEE10NO FLOWERING C-PERRT 1 '2 PER LOT ) 01-TY OF 'Ti MlTkS,;�TICN TREE 4' TC_-, E,' 4FE,ORVITAE 3OLDING 0 AT 4.E7' Dl ,vM. A." TO (MEA5UREC' AT 545F. ) Er TIWI TREE TO BE TC'T,4L ':' _'385. Tl.'-,)T4L IrICHES mm 2" r "a � �� SITE PLAN NORTH C"O LOT le Q)14 E 113 I "A BUENA vi;R,,rA CLFJST((:*1 W `_�W MACADAM AVE., SUITE t _11-A' A, Ait' DURHAM OAKS SUBDIVISION SW DURHAM RD AND SW HALL BLVD - TIGARD, OR 311E 440-,244,3 Ll'�,'jl' 103 fLAIA rrr�11 IIIf II11111 � I11 Illf 111 Illf Ill � lllf I II frlr171T7 Tj 1111111 1111111 1111111 ! 111111 1111111 HILT 1 1111111 IIIIIII 1111111 1111111 IIIIIII 111 ( 111 T AS CLEAR AS THIS NOTICE IMAGE IS NO .1 10 11 12 %��� ir �- d U NOTICE: IF THE PRINT OR TYPE ON ANY No.36 IT IS DUE TO THE QUALITY OF THE 91 L ORIGINAL DOCUMENT ou vjz 12: 0 t I ( I itli, it I111� I fill tll�lll 111 ill fill 1111►IIIi�1 :1� H MM 'W'-` 0 /W W r� Y I C 2 Z i 1 1 Y I 8386 SW DURHAM LW CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST Y INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received Date Requested `� q �i _ _ � _—. AM. PM____—__ BUP ._ Location ?S __ - +y1_____Suite — MEC Contact Person Ph( ) 7/G _� �,� PLM _ Contractor_ Ph( __) SWR _ BUII DING Tenant/Owner -__- ELC Footing ELC Foundation Access: ----"-- - Fig Drain EI n Crawl Drain ---- - �- Slab Inspection Notes: SIT Post&Beam -- Shear Anchors ----------- Ext Sheath.'Shear Int Sheath/Shear ------ -- -- "-- ---- F,iming ---- - -- --- ---- --- ----- - - -------- Insu.,lion Drywali Nailing - ------ -- ---- - --- --- -_-- - ---- - -- -- - Firewall Fire Sprinkler - - ------- Fire -----Fire Alarm Susp'd Ceiling --- - - --- ----- - ---- - -- --- Roof Other: i - ---- --- 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: - - -- -- -— - - - -- - ---- S _PART FAIL CHANICAL Post&Beam Rough-In - - - --- - --- ---- - Gas Line Smoke Dampers Final PASS PART FAIL — -- ---- - ELECTRICAL _ Service Rough-In _ UG/Slab — - — Low Voltage Fire Alarm Final El Reinspection fee of Q required before next ins PASS PART FAIL `-"I P _ q Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ C� Please call for reinspection RE a Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date 1! � Inspector --�lL� - - Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP _ Received — — __/ Date Requested __�_— AM PM .—_�. BLIP Location , i --- Suite-.—_ _ MEC -- J Contact Person .___ Ph(___—) ;2 -Z FCC) PLM --_-_ Contractor Ph ( ) SWR BUILDING _ Tenant/Owner -. ELC Footing ----------...__. Foundation Access: ELC Fig Drai-t ----�� ELR crawl Drain Slab Inspection Notes: SIT _ Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ------ ----- - - -- Framing Insulation Drywall Nailing - --____-- Firewall Fire Sl:,rinkler __- Fire Alarm — Susp'd Ceiling - \ Roof Other: --�- Final -- PASS PART_ FAIL. -- ._-- - PLUM_BING Post &Beam ---- -- -- ------- Under Slab Rough-In ._---___--- Water Servicr --- --- Sanitary Sewer --------�---- - Rain Drains Catch Basin/Manhole - - Storm Drain -- ---- .----- __-_-_- Shower Pan Other - --._ --- _.._---_.-- --- -. Final -------- —-------- PASS_PART-FAIL.- MECHANICAL ARTFAILMECHANICAL Post& Beam -_--- Rouah-In GasLine ---------------------- -- - -- Smoke Dampers ---- ------.-___-_ _- --_---- -- __ Final — — PASS PART FAIL ILECTRICAL Servlce - --- ----- ------ Rough-In UG/Slab ---- -- - -- �_- Low Voltage _ Fire Al^, -- ---- __- ----- T r it Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE -, Please call for reinspection RE:^____- ---__ -_ L Unable to inspect-no access Fire Supply Line L ~� (�� /�� Approach/Sidewalk De I - Inspector V_L1ti`� _ Ext Other: Final DO NOT REMOVE this Inspection record from the b site. PASS PARI FAIL i � � d b ► tTi Poo.lX� QS ► V\ CL M n ► ' Q r ► n ► ► 7 rD ► oil oil U° ► t - y nCD ► 44 - . � � A' ► 0 �' ► 4 4 oil. .4 ► h b � y ► ► CITY OF TIGARD 24-Hour BUILDING Inspection Line: 39-4175 INSPECTION DIVISION Business Li (503)639-4171 MST X00 C, T �y �- BUP Received ____ c v Date Requested AM_-`__- PM__.._. BUP Location —_Suite____-___ _,___.__ MEC _ Contact Person Ph PLM --- - — - Contractor__ - Pit ( ) —--------- ------ SWR -___---------- BUILDINGS Tenant/Owner -------- _ ---�-_-- _-_-�- -_-__- ELC ---,-----_-- ___- Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT -__-- Post&Beam Shear Anchors - -- Ext Sheath/Shear - _—- Int Sheath/Shear ;Z �'7-r'S Framing -- - - Insulation Drywall Nailing -- Firewall Fire Sprinkler - - ----- - Fire Alarm Susp'd Ceiling - - - -- Roof Other:C-P - - rna) ASS PA FAIL -- - _ - -`--- PLUMBING — Post& Beam ----�---�---- �--- _ Under Slab Rough-In Water Service --- ------------ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ---- - --- --- Shower Pan Other: Final —�-- PASS PART_ FAIL — - MECHANICAL Post&Beam Rough-In -_- Gas Line Smoke Dampers -- a a-PASS PART FAIT_ -- L _ RICA_ Service - Rough-In - UG/Slab Low Voltage Fire Alarm Final Reinspection tee of s required before next inspection. Pay at City Hall, 13125 SW Hall B[,/d. PASS PART FAIL SITE Please call for iainspection RE: — F] Unable to inspect-no access Fire Supply Line ADAc _ Date F Approach/Sidewalk -- -- -- Msp•etar _--- Ext -_-- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL yH d O 06 s I co � rar G y' c►a. o v N .r R 7% 1 o 0 � 1 i CITY JF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Bus'ness Line: (503) 639-4171 MST BUP Received _ Date Requested ( AM _ _ PM BUP - Location Suite MEC -. Contact Person __ -L _-, Ph( ___) 71 L _ �_ PLM Contractor Ph ( ) SWR BUILDING G Tenant/OwnerELC Footing -- ELC _ Foundation Access: -- -- Fog Drain ELR Crawl Drain 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 --- --- - - Roo( Other: - - -- -- - -- -- LASS PART FAIL ---- ----- - --- - _ BIND Post$ Beam --- ------_ -- - - ---- Ilk Under Slab - _ Apo Rough-In Water Sery^,o ---- -- Sanitary Se ver Hain Drains -- -__ Catch Basin/Manhole Storm Drain -- - --- - ---- ---- -�_-_ Shower Pan Other:_ - - ---- - -- _ _- Final - - --PASS PART FAIL --`---� `- ----- --" `- - -- MECHANICAL Post$Beam Rough-In _ ---------------- - -- Gas Line Smoke Dampers ----- -- - __-_-- -- -- ---_-_- - PASS PART FAIL - - ------- --- --- _ELECTRICAL Service - Rough-in UG/Slab "'- Low Voltage Fire Alarm - - Final LJ Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - Fj Please call for reinspection RE:_ -_ �� Unable to inspect-no access Fire Supply Line - ADA Approach/Sidewalk Date Ext - Other: _ Final DO NUT REMOVE this inspection rocor from the jots site. PASS PART FAIL U MASTER PERMI CITY OF TIG R PERMIT#: MS T2004 00042 DEVELOPMENT. SERVICES DATE ISSUED: 3/8/2004 13125 SW hall Blvd.,Tigard,OR 97223 (503)6394171 SITE ADDRESS: 08386 SW DURHAM LN PARCEL: 2S112CC-18000 SUBDIVISION: DURHAM OAKS ZONING: R-12 BLOCK: LOT: t)I6 JURISDICTION: TIG REMARKS: New SF detached 7/14/2004 Addition of AC unit and 1 branch circuit. _ BUILDING REISSLE: BVH1675 STORIES: 2 — FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 635 sf BASEMENT: of LEFT: SMOKE DETECTORS: Y IYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,040 at GARAGE: 305 sf FRONT: 1° PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 THAD sf RIGHT: 06130 ' OCCUPANCY GRP: R.1 BDRM: I BATH: TOTAL: 1.675 sf VALUE: 163. REAR: �5 PLUMBING SINKS. I WA1 ER CLOSETS. I WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS, LAVATORIES: 5 DISHWASHERS. i FLOOR DRAINS SEWER LINES. U", SF RAIN DRAINS 1 CATC'!I BASINS: FURISNOWERS- GARBAGE DISP i WATER HEATERS I WATER LINE'i 1BCKFLW PREVNTR. GREASE TRAPS OTHER FIXTURES-. MECHANI FUEL TYPES FURN 100K. I BOILIr MP c 3HP''J VENT FANSI CLOTHES DRYER: I (JAS TURN—100K. UNIT HEATERS. HOODS: I OTHER UNITS 0 MAX INP btu FLOOR FURNANCES VENTS: I WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp. 0 - 200 amp. W/SVC OR FUR `"�-� PUMPIIRRIGATION: PER INSPECTION, EA ADD'L 500SF: 201 - 400 amp. 201 - 400 amp bl WIO SVC/F� ) SIGN/OUT LIN LT PER HOUR. LIMITED ENERGY: 401 600 amn. 401 - 800 amp EA ADDL BR CI SIGNALIPANEL' IN PLANT - MANU HMISVCIFDR: GOT • 1000 amp. 601+8mps-1000x. MINOR LABEL 1000•amwvott. PLAN REVIEW SECTION Reconnect oniv —4 RES UNITS: SVCIFDR-225 A.: >600 V NOMINAL.: CLS AREABPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM. AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT. BURGLAR ALARM. O rH: Bn;IEH. HVAC: LANDSCAPE/IRRIG: PROTEC NVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC. DATA/IELE COMM: NURSE G41S: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,361.58 This permit is subject to the regulations contained in the BUENA VISTA HOMES BUENA VISTA HOMES Tigard Municipal Code, State of OR Specialty Codes r 132 SW MACADAM MACADAM SUITE C and all other applicable laws All work will be done in PORTLAND OR 9721199 PORTLAND, ND, UR 97219 accordance with approved plans This permit will expire 1f work is not started within 180 days of issuance,or if the work is suspended for more than 180 days Phone: 503-443-6033 Phone: 593-443-6033 ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those Reg 0: LIC 152235 rules are set forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or r+;iect questions to OUNC by Calling (503)246-1987 REQUIRED INSPEC11ONS Ersn Cntrl 681-4444 Post/Beam Mechanica Plurnb Top Out Shrar Wall Insp Insulation Insp Water Seivi Insp Sewer Inspection Underfloor insulation Electrical Service Exterior Sheathing Insl Insulation Insp Appr/Sdwlk Insp Footing Insp Crawl Drain/backwater Electrical Rough In Low Voltage Rain drain Insp Electrical Final Foundation Insp PLM/Underfloor Framir,q Insp Gas Line Insp Storrn drain Insp Mechanical Final Post/Bearn Structural Mechanical Insp Framing Insp Insulation Insp Water Line Insp Plumb Final / f� /oma z- - Issued By : f� S s���s��i. it f_L� Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day 8386 A_,,� IGARD, OH OEND LOT AOAf:S SUBDIVISION — • WATER I_.:TERAL —�- SANITART 4 SEWER LATERAL • S!:.T FENCE TkEE PROTECTION FENCE ic, I 1E I `I I I Ili I \ I I N I rPR0009 TREE PVOT:�TTIG:FENCING 9 -- -- i AROUND ALL 'REES TC BE SA./EC.INF CALL PER SWEET, OF CIvtL DRAUJI 1 5:TREE 5 4 1 I FNESER✓-ITICN AND aA E IEC I i LANCSCAPE PLAN I I ' I � y Li s i uj J 4 111 M I 'tl I li rIFE 0... SET ACK 14' 0"1_ S' g 1/1" 10'•0" FEN=F 00 p0GkJ00000-G 000p0000000 18C. -61LT FENCE S a i PLANT LIST TIGATIof,4 TREE • DCUGLA5 FIR 3" TC A^O(MEASUREC AT BASE' • pR0'yOSEC STREET TREETOTAL • Sa.TOTAL INGWES . 3' , SA . 161" E AKESONC FLOWERING CNRR-T r� 1 PER LOT) ' v . MITIGATION TREE 4' TO E+ ARB-CRY TAE AT DIA`" I, TC 3' I-^EASLJREC A'BASE' (j E,ItTltei*qcF +; BE SAvffV TCTAL 136 TOTAL INCWES i"a :36 !T6" SITS PLAN TW BUENA VISTA CUSTOM HOMES E992 8W MACADAM AVE., SUITE 013 L1vH ` ,! 1 l OINI1 N{l DURHAM OAKS SUBDIVISION - SII DURHAM RD AND SI HALL BLVD - TIGARD, OR Paleasl 443-003SOR to 1 LO` 11 - SITE FLAN FAX: 16031 442.2443 1.16.0+ CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT M. SWR2004-00043 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 3/8/04 PARCEL: 2S112CC-DOO16 SITE ADDRESS; 08386 SW DURHAM LI`J SUBDIVISION: DIIRIIAM ()AKS ZONING: R-12 BLOCK: _LOT: 010 JURISDICTION: "IIti TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: FEES BUENA VISTA HOMES Description Date Amount- 6932 SW MACADAM #C — PORTLAND, OR 97219 �SWUSAI S%„r t onncct 3/8/04 $2,400.00 �SWUSAI tip\,r c onncct 3/8/04 $0.00 Phone: 503-443-0033 ISWINSPI Sar Inspect 3/8!04 $35.00 1SWINSPI ti\„ Inspco 3/8/04 $0.00 Contractor: Total $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located.d the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm ( \ /I, Permittee Si nature: I�Sued by. _ c�'��7 --� 9 - l Call (503) 639-4175 by 7:00 P.M. for an inspection needed the ne business day ty Bwilding Permit,-AiWfiga,tion - Received Buildin Datc'By �'/ J Permit Nog .NSA. 'O � City Of Tigard and PlaNo. nning Approval Other p — (4 DatdB Permit : K�G+D�-OOt 13125 SW Hall Blvd. FEB U 3 7004 Plan Review Other Tigard,Oregon 97223 Datc!B : �V 3 l _ Permit No: I ( 1 Post-Review Land Use Phone: 503-639-4171 F��.'"1 V3- 8-J {�[� DatuB Case No Internet: www.ci.tigard.ot�h'll_DING C)IV151 Contact Juris.: See Page 2 fur 24-hour Inspection Request: 503-639-4175 Name/Niethod: Supplemental Information TYPE OF WORK _ REQUIRED DATA: New construction —�—� Demolition I &2 FAMILY DWELLING Addition/alteration/replacement Other: CATEGORY OF CONSTRUCTION Note. Permit fees•are based on the total value of to work performed Indicate I & 2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipmen,,materials,labor, overhead and profit for the work indicated on this application. Accessory Building _ Ew Multi-Family Master Builder Valuation............................... . ..... ................. S _ JOB SITE INFORMATION and LOCATION No.of bedrooms:_ No.of baths:__2_�_E> 1 _ Job site address: ( ,3S t, 5,j (,ej Total number of floors.................................... New dwelling area(sq. ft.).. .. ..................... - Suite#: Bl I ./A L#: Garage/carport a-ea(sq. R.). ....................... Project Name: Covered porch area(sq. ft.)...................... Z Cross street/Directions to job site: 11,, —- Deck area(sq. ft.)................. ....... ................ � � 'f�Gtl'VI � Other structure area(sq. ft.). ........ ............ . REQUIRED DATA: CONINIIERCIAL=USE CHECKLIST Subdi Tax map/parcel #: Note: Permit fees'are based on the total value of the work performed. Indicate DESCRIP'T'ION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, M1 overhead and profit for the work indicated on this application. IU_ �C 014 V Valuation........ _ ................................................. S Existing building area(sq. ft.)......................... _ New building area(sq. ft.)............................ Number of stones............................................ PROPERTY OWNER TENANT Type of construction..... ................................. _ Name: C p `j Occupancygroup(s): Existing: _ Address` LY _ Y New: Cit /St to/Zi _-_ Y_. Q��jcl Phone: �j( Z C Fax: ��14- NOTICE: All contractors and subcontractors arc required to be tom - licensed with the Oregon Construction Contractors Board under APPI: CA­Nt FZ CONTACT PERSON provisions of ORS 701 and irtay be required to be licensed in the Business Name: junsdiction where work is being performed. if the applicant is exempt Contact Name: S from licensing,the following reason applies: Address: rJ(�,�(}�Q _ City/State/Zip: Phone: �^ _ Fax: BUILDING PERMIT FEES•. E-mail: MMMCI� L�Q� � l .Please irife'Vto fee schedules _ CONTRACTOR Business Name: s Fees due upon application. S � � � Address: -Ll� _ L. Cit /State/ZI J_1� Ji� Amount received....... ... .... S _ Phone:. � �Q� Fax: 3 Date received: CCB Lic._#__1� _'- --- l --- — -- — —_. I Authorized Notice: Thii permit application expires If a permit is not obtained within Signature. Date ( 180 days after It has been accepted as complete. y1�1F C tl+'�i'V) _ _• 'Fee methodolopr set by TH4'ounh fluildine Indocin Srrnice fl�+n ! ( lease print name) ��r\�re`P�rmit Fnr..,<sQIASPet^.!IL41?p,7t)t' �t��. 01/20/2004 1G:22 5032537693 SUN GLOW INC PAGE 02 Meehanical Perh-Aft-%Wi-4 6, 7DAtef9r' - Mechanical _ Permit"lo.:Cl� O���gBr(� ��v BuildingPa nt No.: 1317,5 SW Nall Blvd cjT OF 1'66 ' Other Tigard,Oregon 97223 1n1, n1V1 UPdfamitNa _ Phone: 50-439 1171 Fax: Si�3�1 &i o Post-14view Lam Use uazsz- Cale No.: Internet: www,ci,tigard.or-us Contaet lurtf.: see Page 2 for 24-hour Inspection Ro luest. 503-639-4175 [jNarmfMcttusd. 9n lemeabd[nfarmat TM OF WORK CO1Vihi>gRG'[AL FEE•.. AtJ[.&�:UBECii#>tST New construction olition 4lahan1csJ permit fres•are based an the total value of the work AdditlONsiltetation/m laet mint Other: perfbrmed- Indicate the value(rounded M the nearest dollar)of ell rON -CATIMORT OF COMRu� rnechan cal materials,equipment,lal,or,overhead and profit. 1 fk.2-Family dw:llitt CTomm<rciaU1ndusUial Value: S __ _ See Page 2 for Fee Schedule y' Access Suild'n Multi-Famil ~ ---� — Oestri 'or Qty I r-�_ Tesal Master Builder Other: _ __ 1Hca6fitt� t,`�l ORMAMN and �f�H Futt►ace add-on air cnnditionin •• _ 14.00 Job site address ,' �, S. +in.r,r l:.0 Cas be_atpuur —i_ _ 14,00 #: Bld�/A t.#; _ Duet work 1400 Suite _ SuitLt Nsme:"�j A, H dronic hor waters tem A 14.00 Proie _-1 1�L1 - Resldntiai bailer Cross stxeevDirections to job site Nr radiator or hvdmntc eyatnm 14.00 0 u� �� Unit ht1,im- (fuel,suspended. ot ick vl, K• I/ V in wall,in-duc4 s nda+i,^tc 14.00 � Flue/venr(for env of above _ '.0.00 Lot R.e 't units 12.15 _ $ubdtVi9i0ri -- —Other Fre/ADOGROM Tax map/parcel 0: Water heaver 10.00 C�BCRI>P7L01YOFF WORK Gas fireplacc _ l A_ ----_j Flue vent wotsr t curlps flmlace)CP T 10.00 —_-- < I rLo li 5(gag) -- Woo&?ellet stove 10.04 Wood fire lacefinsert moo — Glti—ay/llnedfluc/vent i 10.00 RROPY:Etf 1f '�&LK 7 Other: 10.00 NBnle: _ Enrhm uneutal Ethauat k v-egt l t O R.anac hoodiother kltehen equipment _ 1000 Clothes dryer exhau4t 10 00 Ci t Mia ,I Siagle duct exhaust Phone. UX: 24 (batltrootm,toilet oomprrnents, I- JDAM]C fo*tTAfTlERSUP[ utility roona_L,___ 6 a0 Attidcrawl s_we fan: _ 10.00 Name:, Other- 10.00 � Address: ) _ Fvet t;!tfliM- - --- ._____� Cit /S ateJ_2i __ - ••s .so ter rtt�a s oo heti Rdaiti0 ai Furnace,Wc. •• _—� Phon r U 2 Te-mail': ,1EY1( 1115: 11Y1e�, walUsuspectdcNurtitkeiter '• �� _ CONTRACFOR _ _. Water heater _ •• Business Name: 1f) -('l � InLI FireDFace •• Ci. /State/Zi - I[J.V1 iClothes ash--_ •• Phone, - Z5 7 Fax - 3 7 tjri,cr. .. L Total: CC�3 L 131 -- -- eae..cau Authorize Date: z��Qy _ subtotal• s - Slanaturr. 10. inlrnn= errmil Fee 572.50 5 PLm eview Fee(25%of Permit Fee) `J Y pleue t name) �� State SutCh a a!°le of Pttmtit Fee S ( _ 'tarnr.P>rtl MH FEe S •Fec aWbodokW set b.Tri-Covttty Euitdieg[ndrstry Servla Board. rotire: ibis permit applitotion esPird u•permit Is eat obrelned-thin ..yltr pl4n rrgnleed for ntrrier A/C uahs too clays coir it hof bee"eoeepted ae eat*rre' ,�su�Pe--n P!F"MkmmrermitApp.doc WAN 01/20/2004 16 03 FAX 5036284633 THE MULLEN COMPANY 0002/002 PiunnPm , rued Plumbing Sewer No Plannlns Appfo"ol Sewer City of Tigard Daws : PCraiit No D 125 '4W Hall Stvd- �� U 3 plan Review Otho �� Permit No Tigard,Oregon 97223 Pi Poet-FAvltw Lan t'ar Phone. 503.639AI71 Fax: S5) 1- 't�G 1 . pates _ Case N _ Werner! Wawa i.rigafd Of us 1 (_i hlv Contact )uHl.: I Sr=Page Z for 24-hour inspection Request. N� lethod Supplemmeoul tnforngGon. TYIr OF WOE F)-E-Sr.�IULE r' ta[a�mWuif% cheic HdF�� _ Dtsn 'tion Deecri ttoa papa.) Fatal tru New consction ..--.—; .E, fimt-Iji�•• Addition/flteaionementOther "01 ,•-'_ _ ----------- 1fiON SF•,l l)b��.�.-------. �. 29,20 1 dz 2-F_amt'ly dwelling 1IT CorruriecctalMdustriatl 21b , 35U,o0 Aacesso Building j"ilv SF h bath _T 399 Master baster Bulder O'er' -_ do [ y Flre sprinkle, • Pa5g•e 2 iroBSTTI©w=d nU Job site address: r.;t. ,_al •'lam/H r� Lr✓ :.'. Site UtBRks, Catch basial area droiln 16.60 Suite#: Bld ./A c. : _------� elUluch line/bIvrich drain_ 16.60 Pro'ect Name: � c Footing drain(no.linear fl) e 2 Cross meevDirecnons to job site: MarnuCac t o • 1• 110,00 } Marthela:t 16.60 _ RIlin dT9:n connector -- VV Sani sewer no. linear� _ Page 2 Stortrl scwct (no.IlnCat ft.) Pa C2 Lot►�: Subdivision' �Lr1l L L/J Water service(no.linear ft. � — Pae z Tax MR /P cal#' Futurear Item' DESCRIPTION OF'WtiAbeortion van we 16.60 ' - 1InDnN Backflow ieventer Pasta 2 1Beckwt►ter valve 16.60 Clothes washer 16.60 -- ----- Piehwtuher __ •_ 1h.6U ---- Drink'n founuln 16.60 PBQQ1iLR'I'Y QWNER. IENjAM E'txtortJt; 1 '60 S Expansion tank -- 16.60 NtdT11e: �-- Ftxtute�yewar tx� _ _--- Adtkess. 1 _ Floor daudtlovr sinkhwb Cit /state/Zip: i}arb a disposal 16.60 PhoAe;t i 2 (i✓O Fax Cl l ? HcsebiS lee maker 16.60 Name: � 1 Intercepter.r6teave�_ _ (6.6 — ;vtedica -value f AddteSl; ��i141)��—a _ Ptitner - -- --- �it /SttitQ/Zi ; F Rtwldrain comn'fetria) 16.60 Phone: 5 ll� �Z Fax:,✓ G�l��,? 51nk/basin, a�•etcrs, _.. 1660 60 •mail: rr>E k - � • � p Tuoishower�snowerper _ -- -- Urinal 16.60 Watcr clout Business Name: � 16.60 _ Address: J � yiGe1u2G _ other. Ci /State/Li � / other ,y tom• Phnn _ >~ SO Subtotal s CC$ Uc. #; C lamb. L'C_#; t ,Jm Permit Fee S77.50 S Residenria)Backflow Mw-nura Fee 536.29 Signewre Dete z`�4`� — --Plan Review(?V%of Permit Feed s _ — State St laaO — � IYetiv print narrc) TOTAL rL T�R 5 Yoti+t This permit eppllathn as if a permit is not obtained within All ae,v wmtetxetd bvllalep net'aire 2 aces of ptM+with ltom a er 100 d■vs ager it>+tt bK++ectaepted u oemplete. riu� diagi-sI tar plan r"w• �F:+mcthedolog�+et by Trl•Csunry ltatldleR induar;5.rvl<e 60�rd• i rnu`Pcmit Farms\PI�nPertnitApp doe 01rO1 01/20/2004 16:08 5036425815 ROb5 ELECTP.IC INC PAGE 01 Electrical .Per f � olL� 1 Received Flccuical Dat peRttit No. City of'.Tigard � U �� IIIU� - �Y Planning Approval Sign 131125 SW Hall Blvd. LVtC/B PermitNo.: TiF.erd,Oregon 97223 (T'! r��" 1 Pim R, icw Other -- Phone. 503 6394171 Fax 1 t-ReiPana e � }s59S•1960 Post/13y u Land Ute Internet: www,ci.ttgard.ur us Detd9y Cite No,: 24-hour lnspection Request 503-639-4175 Can6tct lune Sea PageRe 1 forfor - Namc/Method -L SUPPIPmentall tnrnrmation, _ of WORK New construction ] !P'L.1CN �' legeKka7t.thsta'' h _ _ Demolition Service over 223 amps Healthcare ficility Addition/alterattoti/r lacemPnt Othf1; commercial ']Ifazardoua Imation ATEKY 0 c:uNS1RUCi_ ON LJ Service over 320 amps- ging or n Building over 10,000 tquur feet, I &2-Family(I Llin I &2 family dwellings four or rr-ax residential unity in ,_� CommercIal/Industrial ❑Systrrr,over fO)vola nominal 0111 structure Accessory>Buildtn Multi-Famt_>� -�I Building over three stones ❑Fecdcn,400 amps or more f Master Builder Occupant load over 99 pennns []Manuracturcd structures or RV park T � I ❑Egress/lighung plan SM UTI LJ other _ 170N hlpld LpC,�'(Zplvi_ Submit sets of plans rrith any of the above. Job site addre Sl.V F� J The above are not!RPI'cable ro tem ra eo Suii4 M: e------Pe r� nstrcdon service. -- Bld ./A t.# 'FEE*SEMMIULE Pro ect Name: - I- __ Number or inx�tMittnsper�crrrtit gllowed I'�-� lellipst 1Cr1 t10n^� Qfy Fee(ea.) Tout Cro$s 3tI et't/[)lreCt1of15 to Job Site: eww reskleatlayslnalF or mnitl.famlty per (AI I ^V� I■Included tnc!ndn attached garage. I �I Servke toct■ded- l000 I _FIR or legs 145 Each■ddit enol 00 R.nr rt on thereof 33.V 4 SUbdtVlsion' --- �--�-._-- YA Lot#: l I�-1 I iinard enerKy nu dmtw ,r r� Tax map/parcel#: * 1— I L m,ted tmcrX non rcndential�' -- 2 Loch manufaeturod ,ome or,nodular d veiling - 75.00 2 pL�CLON OB WORKservice and/or feeder _ C� r3arvtees a feeders-In,tallation, �-i,-- Z r alteratMa or retncaUear On amps or lets 80.30 2111 am vera Opp am -- 2 106 95 PROPERTY O — T� — _ 40l atn to 6x10 atnoa — - Y SEK 601 Un to 1000 160.60 I�AR1C: C Over IOOOernpm volts 140.60 7 1-- 454.63 — -- Address: �rt +►� - 2 CI /S tt/�l C/ Temporny services o r terrie 66 RS - 2 rs.ihstallation, 1/ alttntlm,,or relocation: Phone _ zixl am.i,s or leu 66,t5 Fax 0 c I unp to coo am -1100 30 Ap'P!'I _ CONTACT P!"RSON 4o I to 600 - — z Name: y 1 p�, - l � Branch Nrtnin-new,alteration,nr 13J>s 2 yr 1 Address _ extension per pgnel; —1 A Fee for booth circuits"th purchase al Ci /State/Zi - - �J _ cervico or feeder r-,each branch of tu' 6 65 2 C---p r B.Fee for branch cireuio witiwut purchase of Phone Fax: c 1/ 24 v 2 �TMn or fctdr,fee.fent pranch circuit - I 1 —✓I 1 Ear—h adlitiarul —r�- 46.A3 2 1 Email: r�l ILL12 ey �� r branch circwt 665 2 CQIV j j�0 pOR v' S. C C1� I Mise f.Ctrvicr nr feeder not mcludedl. _ t Ch11 or im on circle 53 40 Job No: each It or outline lightin 2 -` _`� Signal circmt(s)or a iimitW trsergv panel. 511.40 _ 2 Business ame: p$ ��'� _ altrrrtlon,or extension_ y Address:a 870 S Li,C,► � _ [kscripnne C_it /State/Zi S b0►-� ---- � �_ p: M T Each additional inspeetioa over the allowable In any of the above: 0 7r a3 Pc --- -, Phone:S3�+{7 00 L� tti hour mm. I hour '--- - . Z f S lnvdh uon fee 61.50 CCS Lice#: 1$'7�S�Jj __. _s�___.--JJ Q_ _----- Lie. #: 36G od,•.: Supervising elertricianl7 — I � __ 1L�leetdegl pee�httpig�M-;a , ; s elute required �� ���� - ---� _ Subtotal - Pririt Name: o(Ie l (- j�_#: '-J F--- Plan Review(15?5 of Permit Fee S - y� State Surcharge(g%o_f permit Fee S`�-W Authorizer♦ �� � DOTAL PERMIT FEE S $,grant , ` 7 'j �.) M1otite Thi.permit■ppgtation ex tree If a -` -- ggle: L P• permit is not Obtained within IRO days after it bu been accepted as complete. sF'ee rnrthndolost let b.Tel('panty Building Indmtry Service Board. (Please print name) t\bats\Perm,t Forms\EICPCIMLApp,doc olio3 SEE 35MM R- OLL# 22 FDR LARGE DOCUMENT