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14192 SW 132ND TERRACE • - ... il.l(Ys44M,.15n3► 0 Bedroom 3 - L____.. " 1 Minster _ 2'-71 1 � � � I ,� 11 1 0 1 —� _"/A- -- 3'-800 103 .. '" ' 1/2" Un to WC ., `9 151-0 9' -- ---- v to 1 14'-4 N bo— 1 *V-5 12'-11 1'-7 ^ C Dining 1,41 M 1 3'-10 - et Game Room 1_ 4 3'-1 T-10 Great Room o 00 Q M 24 l bo J • I - --� t 1 a 2 -0c - 13'-0 S-0 --J ,.� 1/2" Dn to W W-9 Nocv - __ - --- -'--- 28 0'-10 71-4 5'-10 5'-6 A N4 __ � Fin IGtchen Bedroom 4 _\ n, '" � �!� L '�J to 11-9 _ 1 �+ _ �I it I -8 N__� I Garage 2 - -- M �b Sprinklers Per WPA 13D 00 3'-8 - 1 1 5'-4 1'-5 4 fj IT N ~ -- _ r, M _ ,l 6'-2 - Bedroom 2 Den Q LOWER FLOOR PLAN MAIN FLOOR PLAN SCALE: 1/4"= 1'-0" SCALE: 1/4"- 1'-0" 3/4" Meter: 13.0-psi loss city SUP y� Static: 60psi Residual: 55 Flow: 300%Im CITY OF TIGARD Approved... .... .. ....... .. ...... .................. Conditionally Approved....... .... ............. ( (: For only the work as described in; PERMIT NO.X�_Z#0 2- See Letter to, Follary,....................... ( ): Attach.................... . 2: Jot /yl q Z-t.-I1 -C T..,. f' ; Date -,2-y-6-L NORTH Revisions Symbol Head Count Standard Symbols Standard Symbols Sprinkler Head Symbols Inspections General Intallation Notes S nr,klers Model Degree Qt p�� -FosllndicatorVelve �� -Alarm Check Valve {r- -Upright On 1/2"Outlet _ Tuaiatin ���_uey PREFERRED PLUMBING LLC I. ;11{ piping is 1 pe �I copper ss opprovcd h� Orcknn tilale I'lumbin£ 13otu'd Star Stcal;h 5240 Concealed 05 2.1 � Key Operated Valve � Thrust Block � Pendant On 112"Outlet Fire& Rescue 3Z4 Barnet St 2. Install h: ogers per pipe manufacturer ret onunendations. _ ---- - — - --- -- — Forest Gra� Oregon 3. -%dd hangers srs necessary to ensure that there is a hangerµithur 6" of each sprinkler drop. * Public Hydrant 11,N�p:� Backfiow Preventer Upright On 1"St bt,-up 3. 4. Sprinklers nasi be S'-11" wax from ani µall,8'41" minimum from ani other sprinkler. � Fire Dept.Connection {o} Pendant On 1"Drop I6'-0" marxinnun spacing bctµrcn all,, tµo sprinklers in the snore room. j 4. j D 1 O.S&Y.Gate Valve -@- -Pend On 1"Drop Below Ceiling Job No. Lot 20 5. All pipe locations are to be field measured prior to installation he ('onU•actur. - -- - - _ -^ 6. All pipes and hangers are to be installed per ti I•PA 131). IBJ Check Valve Upgright Arid Pendant On Drop Date 01123102 _ Raicn's Ridge Subdicision 7, Hangers are to he l'.I.. Listed and F.M. Approxcd. _ _ -New Underground Side Wall On 1/2"Outlet ngr. J.Lamb Figard, 1R 1 Of I R. Pipe lu he protected 1•ro►n freezinP. _ --— ---_ �—J _ - TOTAL THIS PAGE 24 k = -Existing Underground S' 1"Outlet [Cale Noted I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I1III r 1 1 1 1 F n 1 1 1 1 1 III 1 1 1 1 1 1 ' I I I I I I'I 1 1 III I I Ill I III III IIIio II III III II'I I I I I NUTIG:. IF THE rNT OR TYPE ON ANY I I I II I I I I I I IFTP IT 1I1( I1 I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 6 11 IS DUE TO THE QUALITY OF THE Na�e e•�x__-- - --- �/ OPIGINAL DOCUMENTIIII IIII IIIIIIIIi7l i IIII9IITZ1111111L1FI11!lgljl3lll II iI II ►IIll►I( 11H1111 i► u11111 ((JI1(Il,1 - - ca N Cl) C a W N a lD d n RD 14192 SW 132"`' Terrace ©F T I G/'�R® - MASTER PERMIT CITY PERMIT#: MST2002-00028 DEVELOPMENT SERVICES DATE ISSUED: 2/21/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14192 SW 132ND TERR PARCEL: 2S109AB-09100 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 020 JURISDICTION: TIG REMARKS: Construction of new SF detached residence. Path 1 Fire sprinkler are require BUILDING REISSUE. STORIES: LOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEN HEIGHT: 1. FIRST: t BASFMENT. at LEFT: 5 SMOKE.DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1 018 of GARAGE'. 410 at FRONT, 20 PARKING SPACES. T ePE OF CONST: 5N DWELLING UNITS: 1 FINRSMENT: sl RIGHT: 7 VALUE: $243,74930 OCCUPANCY GRP: R3 BDRM: .1 BATH: 3 TOTAL: 2.55300 of REAR. 15 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN. 1'i0 TRAPS: LAVATORIES: •1 DISHWASHERS: 1 rL.00R DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBrSHOWERS: 4 GARBAGE DISP: ' WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE)RAPS: OTHER FIXTURES: MECHANICAL _FUEL TYPES FURN<10UK BOIL'CMP 3HP: VENT FANS CLOTHES DRYER: 1 nr, FURN—100K. i UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX IN.'. hW FLOOR FURNANCES. VENTS'. 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC1FE.'1ERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp, 0 200 anm WISVC OR FOR: I PUMP/IRRIGATION: PER INSPECTION EA ADD'L 500SF. .1 201 400 amp: 201 400 amu. let WIO SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR LIMITF.0 ENERGY. 401 000 amp: 401 000 amo EA ADDL BR CIR: SIGNALIPANEL. IN PLANT. MANU HMISVCIFDR 001 - 1000 amp: 6014amne•1000V MINOR LABEL: 1000•amp/volt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS. 9VCIFDR>a225 A.: >800 V NOMINAL: CLS AREAI9PC OCC: _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIL`ENTIAL B.COMMERCIAL. AUDIO&STEREO. VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER. CLOCK. INSTRUMENTATION MEDICAL: OTHR: HVAC DATA7TFLE COMM NURSE CALLS: rot Al.0 SYSTEMS: Owner: ContrDctor: TOTAL FEES: $ 7,396.07 PALACE HOMES PALACE HOMES INC This permit is subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and 27975 S.COX RD. 27975 S COX ROAD all other applicable laws. All work will be done In COLTON.OR 97017 COLTON,OR 97017 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: 503-815.5854 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg a uc 1255.13 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/undslab Insp Electrical Service Low Voltage Water Line Insp Grading Inspection Post/Beam Mechanica PLM/Underfloor Electrical Rough In Gas Line Insp Sprinkler Rough-In Sewer Inspection Underfloor insulation Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Sprinkler Final Footing Insp Crawl Drain/Backwater Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Foundatlon Insp Footing/Foundation Dr; Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrwa+fin I_ issued By : t� OI_r-�� .—.a L �/_� �_ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF T���►RD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S21/02 00020 DATE ISSUED: 2/21/02 1312E SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S109AB-09100 SITE ADDRESS; 14192 SW 132ND TERR SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 020 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDIN1=S: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection pert-nit for new SF detached residence. Owner: _ -- FEES PALACE HOMES Type By Date Amount Receipt 27975 S. COX RD. -- COLTON, OR 97017 PRMT CTR 2/21/02 $2,300.00 27200200000 INSP CTR 2/21/02 $35.00 27200200000 Phone: 503-630-2099 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. I'the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm i Issued by: Permittee Signature:'_ Call (503) 639-4175 by 7:00 P M. for an inspection needed the next business day Building Permit Application Datereceived: City of Tigard RECEIVED Project/appl.no.: Expire date: ry of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ci \Phone: (503)639-4171 �I �� f) , Date issued: By: 0) 1 Receipt no.: J Fax: (503) 598-1960 Case file no.: Payment type: Ci Y OF T 11y p JAXD 1&2 family:Simple Com lex: Land use approval: _- p 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition CJ Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: 'JOB SITE INFORMATIONi Job a4dress: ! Wil• i, Bldg.no.: Suite no.: _ Lot: ubdivision: E4 c-t \:-, I tC I _ Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: _ l Name: +,c+ t •._c \\�_ ,. 1 , Mailing address: ,j .i �_� -..� , C'C' t". I & 2 family dwelling: ; v ' r City: � 1 ri State:(Y ZIP: 1 / Valuation of work......,z ,31.?. .f�..... $ I Phone: Fax: ;t h E-mail: No.of lxdrooms/baths................................. Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.R.) .......................... `� APPLICANT Garage/carport area(sq.ft. y 10 Name,: 1 Covered porch area(sq. R.) . Mailing address:'- Deck area(sq.ft.) .......... .. ....................... i 65, City: State _-- -" -- —_ : ZIP: Other structure area(sq. It )- .............. Phone: I:,r F mail l'ommerciA[IindustriaUmulfl-family: 1110MM116luff oil Valuation of work........................................ $ Business name t Existing bldg.area(sq.ft.) ......................... +S_ Address: New bldg.area(sq.ft,).................. ..... .... — ---- Number of stories City: State: 'LIP: ............................ .... .... --- - Type of construction.................. ............... Phone: 'Fa I?-nuul: Occupancy group(s): Existing: CCB no.: New: _ City/metro lie.no.: Notice: %4 contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: t '+' N , + , i _1 �1 provisions of ORS 701 and may be required to be licensed in the Address: �•� j�f t + i i >. )\� c — jurisdiction where work is being performed. If the applicant is City: +\ - exempt from licensing,the following reason applies: Staten ►:, ZIP: i i Contact person: t _ Plan n" I •J'4 t -- Phone: - Name: r'o_ V-Ik .4 Contact person: (' + 1'1 Fees due upon application ........................... $ Andress: ', ;(:: - - u ,, 1 Date received: — City: ?C% \\c` + t State:c r ZIP:`i / -J I t,- Amount received ......................................... $_ PI o.•,t,• E-mail: Please refer to fee schedule. hereby certify 1 have read and amine application and the Na all iuduticutxu weeps cmfir cards,please call Judstficuon fm mese inrommilM. attached checklist.All provi i of or 'n ces governing this u visa U Mastercard �— work will be completre �pec� ec be Credit card number�Ein or not. - -- / Authorized si naturer `Its/ Date: 1 -+ • ' -- Name of u shown on iWi a► -- a Prinl,lame: t _'+ l L i IT- =4_i - Cmdhol&t sirnuure S Araotmt Notice:This permit application expires if a permit is not obtained within ISO days afler it has leen accepted as complete 1441617 etr WOM One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: Cityu(Tigard City of Tigard U Electrical U Plumbing J Mechanical Address: 13125 SW Hall Blvd,Tigard,r)12 97223 UOther: Phone: (503) 639-4171 Fax: (503) 598-1960 T111E FOLLOWING ITEmS ARF; t i 1 land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance ports,seismic soils designation,historic district,etc. 3 Verification of approver'plat/lot. 4 Fire district _--approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _ 7 Water district approval. 8 Soils report.Must ci..ry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building axles. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references b,!ween plan location and details. Plan review cannot be completed _if copyright violations exist. _ — __-- I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if theree is more than a 4-11t.elevation differential,plan must show contour lines at 2-ft.intervals);location of casements and driveway;footprint of structure:0 icluding decks);location of wells/scptic systems;utility locations;direction indicator;lot _area;building-coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing parts,connection details,vent size and location. I i Floor plans.Show all dimensions,rx)m identification,window size,location of smoke detectors,water heater, _furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Crow section(s)and details.Show all framing-member si%es and spacing such as floor beams,headers,joists,sub-floor, wall consiniction,roof con.,tructioia.More than one cross section may he required to clearly portray construction.Show details of all wall and roof shea,,.ing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs. _lireplacc construction, thermal insulation,etc. L5 Elevatlt,n views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four fort at building envelope. _ Full-size sheet addendutrv,showing foundation elevations with cross references are acceptable. Iii Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- rCscnptiye path analysis provide specifications and calculations to engineering standards, 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 19 basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 R nim calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any bcanl/joist carrying a non-uniform load. _ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required fur four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall N.shmvn to he applicable to the project unlcr n•vicw 23 Five(5)site pFin%are required lirr Itcni I I aln c. Site plans must be 8-1/2"x I I"or I I"x 17". 24 Two(2)sets each are required for Itetns Ib, 19,20 8r 22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mien.ed building plans will be accepted. y 27 -- — 28 _ Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is rt-served for department use only. "i-M.14(MMOM) Mechanical Permit Application Daterraived Permit no.: City of Tigard ProJect/appl.no.: Expire due: -- CityojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Rocetp(no.: Fax: (503) .598-1960 CAW file no_: Paymrnttype: Land use approval: _-�- Buildingpermi(no -� I &2 family dwelling or accessory U Commercial/industrial D Multi-family U Tenant improvement New construction 0 Addition/alteration/replacement 0 Otter. Job address: - LO13QVICI —Fc—v, Indicate equipment quantities in boxes below. Indicate the dollar Bld .no.: - I Suite no.: -- value of all mec linaical materials,equipmcri,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot:_` C l iBlock: Subdivision: r�!� ; •See checklist for important application information and Project name: �- jurisdiction's fee schedule for residential permit fee. City/county: ---_- ZIP: -� Description and location of work on premises:.__ - Est.date of completion/inapcctitrt: Fee(ew T"Ptts, go, odyj Tenant improvement o r change of use: --� Is existing space heated or conditioned')U Yes U Nr, Air handling unit --_-__-CFM Air CXinditioning(bite planrmqut ) Is existing slmox insulated?U Yes U No -Ttaation c existing system -- �i oiler/comprms(- -- Bnsirteaa nrtrrte: _ r r 1 S F IT�esate boiler permit no. Address: l cj(p$rj S. Kc� HP Tcxn BTUM t uetsmmookee�tectors city:_Q KUM C"-%d Stott. ZIP: Q'L�— )Teal�trrrtp rue anir� - —_ Phone;klcm er- Fax E-mail: Instal Vrrplace - U -` C>rB -- Including ductwodUvent liner U Yes U No _ nsta tZllepTacrTr>kXatetebestem-su (pittNme /metro Iic.oo.. — --- wall,rx floor mounter? (I+Itaste t): 0__ --- entra- aoeotTtlun�--- - MINE 1URRi"11111141: AhK"liun unitr __ Bntm _ e: POACI_r_� tiA Chillem HP J, )( HP �IAvr1 sett: 7.[P. rLLZ_ Hattavem Phone: I'1 0-51o(eq I F,u: E-mail: ex twat-T+_--� M ylu'1/1VW' itC -a it n L-_ hood fur supptesainn system Name: P� La- t�C7 Exhaust tan with sinsle duct(bath fane) -- - - Mailing addmta: � � v�L_-�,J- i stem�rem�tin ore - _.... a n out ' city:- c� r� state: oR ZiP t.ype Ips NG p al Phone. Fax: Ei retail: t over outlets -"- (schematic requrr - Nam`_ P(AAA e�IJJL,I.4. Numbs of outlets UlFwi NO Address: _1 - - Decorative We City: -Sttate: ZIP: �i1 So nacre=t - - - Phone: F E-mail: _-_- y , Applicant's siPatti Na i l.d.ekyks 41MVP crew MOS,pkre nujuraak km fo.or du,eMm Permit fee................... .S U Visa U MasinCanf Notice This permit application Minimum fee................S oyat card awn*r expim if a permit is nM otxanted — - , - Plan review(of %) S within ISO days c!ter it has been — �ai` ei cieTY c� State surcharge(8%)....$ tometuexl as compkee -- - 40re17(twnooar) Plumbing Permit A►pplicatiOP ENNONNONNEW —. t Datereccived: Permit no.: -- City O■ 'Tigard Sevier permit no.: _ Building permit no.: At k Address: 13125 SW Hall Blvd,Tigard,OR 97223 app Expire date. City'OfTigard Phone: (503) 639-4171 � � p Fax: (503) 598-196(t(l Date issued: By: Receipt r.a. Casa file rro.: Payment type: Land use approval: _ 1 dr.2 family dwelling or accessmY 7 Commercial/industrial 0 Multifamily O Tenant improvement New corstruction U Addition/alteration/reivlacement U Food service U Other: _`— DSKTtPdM Fee en. Total Job oddresa: New 7w�OWy. Bld .no.: Suite no.: _— (�cfaiaalNA.txeadwalWyaoraaertlorr) fax mapliax lot/wcouni no.: __._ _ SiR(1)bath_, — Lot: .. SFR(3)bath praiect name: _ "----- J Eac�i addiB�bwlWkitchen City/county: ZIP: Site tttdtltitdt: Description and location nl'work on premises: Catch basin/area drain _-.- -- _---- - - - wellstleach fineltr ench drain Est.date of completion/inspection. Feng drain(no.lin. -- 9111 Manufactured horse utilities Business tame: v t Wu'1 -__-_-- Manholes AdJtess: 2^� _ ►'� �' _ Rain drain connector __� ------- -- `'� ZlP_ I I b �itary wer(no.lin.ft.) State: se - City: VC__ Storm sewer(no.lin.ft.) Phoae: FE-mail: ax: —_ - - _ ------ Water service no.lin.ft.) CCB no.: 2(v0 Plumb.bus,teg.no:34 -3 Fttrttrre or Maas City/ttsetro lic.no.: - Ab on valve _ Coatrstxora seotative signature: —_ ack Wo—venter Date: Backwater valve Basins/Iav _ Clothes waettet _ -- Name: Q�CJS- +�tL S.�— -- — Dishwasher — ---- --- - Address: cL)q 7 S 3, 1G[l__ —_--- skin fountains) - -- ZIP: )0 ---- City: }pry State:Q(� E' stua� -- Pfiooe3b.$(p(� Fax:5�3 email: x Sion tank -- care/sewer cap _ - Floor drains/Iloor sin':slltub ^- Name(print): 00.\0.(.,L !\_pr" ;i ----- Garbage eisposal - Mailin address: )q -1 �_ X fe ose bibb - - - City: -}fir 1 _. `K-� ---StAW1 P777-L-- (rt<o Fax: 105 L-mail nlertx -j.Tttae trap �Sl t - Phone: c ' ax: - Oa vmirtstallation/rcsidential maintenance only: The actual installatioxt Rt_met(t) will be made by me or the maintenance and repair made by my regular Roof drain(con tat i -- employee on the Plupett as 447. ink(s),basin(s),Iays(s) Q late: „L__ um Owner's signature Tubs/showedshowet art Urinal- _ Name: O-- 1—�Q ., Lj ( - ----- ater c oset — Addttesa: !(i•� _ ester eater-- -- -.State: iv. Oder: city: Yct� Ii�A' - ?�!!�_ _ �--- -_ as E rrut'I Mimmum fee. . .... . ... . __ 4 Wet as hr+ rr0a' "cradh card.trr„r�.n w� + r..m�.�mr�,rr n Notice.This permit application plan review(at __ %) L)Visa U MaataCard expires if a permit is ten nMairkd State surcharge 48%) CM&card a.rae'm .-,_- L ._ within ISO days after it hav txxn TOTAL accepted as aimplete ---j,erre d men o+era ea eae�i cavi t ar»r,in tM,N'c�M� Elechic al PermitApplication Date rmeived. Permit no.:,, City of Tigard GryrrjTigorr! Address: 13125 SW Hall Blvd,Tigard, ProU pP ecUa Ino.: Expire date:OR 97223 --� — Phone: (503) 639-4171 Date issued:= _ BY Receipt no.. Fax: (503) 59e-1960 Case file no -+ Payment type: Land use approval: �4 & 2 family dwelling or aa;cssory J ComrnewiaUlndustnal U Multi-family l7 Tenant improvemrnt ew conSUUction [..0 Addition/alterationlrePlacement D()cher. — U Panial Job address' 1 V► Bldg. n<,. Suite no.: Tax mgVtax Iot/account no.: Blo ck: Subdivision:"Oct name: Description and location of ork on premises: ----�---- -- Estimated date of corn letion/ins ,ction: — - - --- �- ------ - Job no: Business name! ly`� L �t`_t�- . v ►C� acs' i'otat me.ins Address: ig ')tom e�(tar O✓1) 1Vewn+lrt�tlal-air�leerwaW(ra�tylrr City]- y l State: .IPS' -7TT_ d1erJlYagaaM lacistkeaidridgsraBt. �, a) '/ Sltlae�Mk Phone:j_ 1 Pax: _ E-mail; L n -"C t4 CCB no._ y0 E�Elec, bus, lic.no: iC E&A addluonol 500w n.or porion thereof, -. lamitedene y reaidenual __ Citylmetm hc.ria.: --- — -� - Urnitedenagy.rwn-residentirl_ 2 Foch manufactured home or modular dwelling Si ofiii electrician(Tguired) pow -- --- Service anivot feeder 2 Sup,elm-t.macro(print). Lra se no _— servim. orfeeders-katatWton, - dlerisam or reloeattea: 200 amps ot ten 2 Name(print): ct.�-(e_C� l�V�� 201 ampt to 100 amps ` _� 2 Mailing address: 4 �� <a �� 401 a�a/600 amps _ 2 —�� _ _ 601 s to 1000 rm — _ 2 Cil 1� Statc: t LIP: 70! tNer 1000 arr�ra m - 2 Phone: 5(,p(.o(� Fax: .30 ,)0j E-mail: Reconneictonly ---- I Owner instal.ation The installation is being matte on property I own rmvwmm ikweaWdes which is not intended for sale•lease,rent,or exchange according to i"illabBOss.aftnadira.Krabeigdaia: URS 447,455,479,670,701. 200 amps or bra 2 201 amp 2 Owner's si ratrlrc: Date: 401 to 6(10 amps _ — ---- -- 2 lrancY drtelb-slew,attetatioo Name %2y LA L or extearlea per panal, r A Far for h,anch circuits with purt4taw of Address' 3 �j�. r b ,`I G ^� aetvlct a feeder fee,each branch circuit 2 City 4 t rLv 1 Stott:[ JjP;.'-2T7 It Fee for branch circuits without purdtate - — PllOtle:.�n' of terfice or feeder fee,first branch circuit 2 E-mail: Each addutcnal tNYlfh orrul'. Mace.(9er.ke or fr.«In^laaral: U Stxviceover2:5ampa-coernercial U Iledth-acrefacility Bach rup ur�oncircle 2 .%r,,ia over 320 arnp-rating of I Rt2 U IluudaM button Each sign or--twthne lilthun -- 2 Tamil l — ------ — — y`welli^� �J nuildirra over ID,tIOQ quart feet four or SiSnal circunlr)a•tirmttd erlagy panel, U System over 6(1f volts norranal noir irsidraltial umtm in one ttnMutr Wleration,or ttiension• 2 U Budchng over thea!onnes U Fee 4011 a+tyA or nnre *tlescrivion ------_---` O ocrupam load ovn 99 persons U Manufac turett srrwnw.-s m R V parkEae lo a/OlMaal hrr* ever tie rsrawallle!w aey a/ire allrerre U figrew/lighungplan U(ltlrcr _- -------• - Poi itlt tact - - - tett of fyge trfUr qy o(Ure Mote. Investigation fee--- ---- �_ ilke ab vie are sot ap�tkabie to t - _- - ------._ __. egltorar�t:aastrsttlos ad7Mx. tAher ►M err lrtadtrtiarr acapt credo crAs.tiM--WC A irdsrartlea to sae fatararlm Notice This perfnit epplic:aticxl Permit fee.....................$ U vita U Mntert'ant expires if a permit is not obtained Plan review(at __ %) $ .—_-_ A rrsit card Aernim within ISO days slier it hag txten State surcharge(8%)....S F.tpirm accepted a.7 ult»prrtr TOTAL S Mame oi—eaedboT�i w rlrnivo na as 'catd-� •••••••••••••••.••••••• 02 Jan 1L 13:06:1A AALT%LT20RR.dw MRR ph 15' S.D E —�6 ---_-- S 0'05'57 '�-----E — X16 52 00' — — o 1 0.. ------------- .v - -- -- o x�xxxxxxxxxxx � xx xx - - -- -� I•-..... ....570 5•.0 ■ OFA- — EL 1530 8' 1 � L 1 hti �I I LOWER FLOOR wl EL :522 0' �I MAIN FLOOR olo vlo El 1532 0' o ;n rn o i� m I °o vtw / l n J G " I I I GARAGE i j1 EL 531 25 I I I I o r'.'i..d.tPCONC:���• '•�� I I �p5 i f'DRIVEWAY.t 1 o i N 0 o N I , 4> __E • W 1i2 11 C) I WA'EM y ME rFR I ' WVEAT i EL Isla FI,s7r S.W 132ND 7ERR%61SJA1(j9NlU Mlle 03AI3038x-x-x-x- SIE rrrma 01/15/02 MPI? S C A l-J— ilAIX WaltMiC,Obv:xat usoa•tla tta t6 tat CITY OF TIGARD '� lWlf f01 IK•CCutAC+O IK IQOpCJUOttt12 rroaNnroN n 11ne sac NEEK1NSW'ty at tK RAVEN RIDGE "own t0 vtwtAa 001 oil"1 C 1 AM NS 11CLFRAA LOT 10 It.- aNt ill RMIC oN 1K 9FF o m urcA IK "{�RF l'M1LUI Ogt[Rs C><MR►OIEMiW f�10 IIOOit•taN9 N ALAN YASC.Ot10 MIM A{10CJwtIf MIC 4.M SU (1 J BY PALACE HUMP t t•. . SEE 35MM ROLL # 21 FOR. OVERSIZED DOCUMENT C°ITY OF TIGARD 24-Hour ry BUILDING Inspection Line: (503) 639-417E MST _ -- CiC' INSPECTION DIVISION Business Lire: (503) 639-4171 BUP --- -- - - - Received .. _ _Datt. Requested__ __- AM_ _PM_--. BUP -- Location — ��L= `� �` � —Suitee __ MEC --- - -- -. Contact Person - Ph(-) o � PLM SWR Ph( ) - --- -- - -- BUILDI Tenant/Owrer _. -_ ELC ing ------ ELC - - Foundation Access: Ftg Drain z� �e 1 ELR ---_ _- Crawl Drain - SIT Slab Insp-ec 'on Notes, -- --- Post&Beam Shear Anchors Ext Sheath/Shear LT nKM /CJ Int Sheath]Shear Framing - - -. Insulation Drywall Nailing — Fire re r r - F=tre�m Susp'd Ceiling - -- - Roof - Q1her: tSSBING PART FAIL - - -- - - Boat&Beam Under Slab - Rough-In Water Service -- --- Sanitary Sewer Rain Drains - - -------- ------ ------------------- -- Catch Basin/Manhole Storm Drain Shower Pan IFiLANICAL PART FAIL Post&Beam Rough-In -- - Gas Line Smoke Dampers ---- - Final PASS PART FAIL JLECTRI�GAL Sorvice ------- Rough-In ----- k23/Slab Low Voltage ---- -- _-- — -_ - Fire Alarm FlnaT' �� Reinspection fee of$______ required before nsxt inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA - Ext Approach/Sidewalk Inspector _- ----.----- Other. Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL n O CD CD 6 CD a y cr o o Or rD P� n o tp: ti N 0 \ y � O 'D V 1w\ 0 ".44 N Olex C � Q d x S'