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15020 SW 131ST TERRACE Ut 0 N O Cn tD d n 15020 SW 149"' Mace ELECTRICAL PERMIT- CITYO F T I G e R® RESTRICTED ENERGY PERMIT#: ELR2002 00143 DEVELOPMENT SERVICES 13125 SW Hall Blvd.. Ticrard. OR 97223 (503) 639-4171 DATEISSUED: 2 ISSSU EL: /30/02 -05800 SITE ADDRESS: 15020 SW 149TH PL ZONING: R-7 SUBDIVISION: DAVIS PLACE JURISDICTION: LAR BLOCK: LCT: 002 Nroiect Description: All encompassing LOW V DLT AGE. A. RESIDENTIAL B.COMMERC',f L ,aUDIU STEREO: ALIDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: 13011-ER. LANDSCAPErIRRIGAT: CLO:;K: MEDICAL: GARAGE OPENER: NURSE CALLS: HVAC: DATA/TELE COMM: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: AIL ENCOMP : X HVAC: PROTECTIVE SIGNAf INSTRUMENTATION: OTHER. TOTAL#OF SYSTEMa_ Contractor: Owner: OWNER ELISE KUBC, 15020 SW 149TH TIGARD, OR 97224 Phnne: 503-524-7346 Phone: Reg #: FEES Required Inspections e B Date Amount Receipt Low Voltage Inspection T yp _ Y Elect'I Final JPCL CTR 7130/02 $6.00 2720020000 PRM3 CTR 7/30/02 $75.00 2720020000 Total $81.00 This Permit is issued subject to the I zgUlations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plr,ns. This permit will expire if woilc is not started within 180 days of issuance, or if work is suspended for more than 18f' days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or dime' questions to OUNC at 503, 246-1987. �.✓' � �-�' / ; permittee Signature Issued by �' d �,<4tc d, - f OWNER INSTALLATION ONLY The Installation is being made on property I own which Is not Intended for sale. lease,or rent. DATE: _ OWNER'S SIGNATURE: CONTRACTOR INSTALLATION C1tJLY --------------- -, DATE: SIGNATURE OF SUPR. ELEC'N: r 1"t c — LICENSE NO: Call 639.4175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Application FateReceived: Permit nu.• City of Tigard Projecl/appl.no.: Expire date: City ofTignrd Address: 13125 SW IfaiI Blvd,Tigard,O2 Uateissued: By: Receiptno.: Phone: (503) 639-417 // Fax: (503)598-1960 `/�, Case file no.: Payment type: Land use approval: TYPE OF PERMIT &2 family dwelling or accessory U Commerci glrf q U Mulli-family U Tenant improvement U New construction JZI Additf alteration/ralilacement U Other: U Partial JOB.SITE INFORMATION I Job address: O c- v Idg,no.: I Suite no.: ITax map/tax lot/acco-mt no.: Lot: Block: Sub<livisio : Project name: Description and location of work on premises: —~ �_r� Estimated date of completion/inspection: 1 1 Job no: (� I !1 A/ � Fee Max Business name: Uescrl tion Otv. (ea.) Total no,im New, den rezirlal-Ongle or multi-family per Address: duelling unit.includes allached garage. City: Stale: ZIP: Seniceincluded: Phone: I E-mail: 1010 sq.ft.or less 4 CCB no.: Elec•bus.lie,no: Kaci:additional 500 sq.ft,or portion thereof Limited energy,residential 2 City/metro 11C.no.: Limitedenergy,non residential 2 __ _ Fach manufactured home or modular dwelling Si nature of supervlsin electrician(rc aired) pate Service and/or feeder 2 Sup,elect.name(print): license no Servlcesorfeedem–installation, alteration or relocation: POPEI.ft OWNER 200 amps or less Z Name(print): � �� 201 amps to 400 amps _—_ 2 Mailing address: ZO Sto 1,4 01♦ 401 amps to 600 ampsi _ 2 60I amps to I(10)amps 2 City: p1 — SlalC: Is. LI P: ZZ Over 1000 amps or volts 2 Phone: N . 11 Fax: E-mail: Reconnect onl – — I owner installation:The installation is being made on property I own Temporary xer ices or feeders- / which is not intended for sale,lease,tent,or exchange according to Installation,atleratIon,orrelocation: —_ f/ ORS 447,455,479,670,701. 2+k1 amps or less 2 201 maps to 400 amps 2 Uwner's sitniturc' -Q Date: 0.O 4(11 to 600 amp% -- 2 :liat-1 lo Branch circuits-new.alteration, Name: or,rx :mionper panel: --- — A. Fee for branch circuits with purcho•,of Addresse service or feeder fee,each brand circuit 2 City: _ state: /I i', h. Fee for branch circuits withur.purchase -- ---- --- Pltonr of service or feeder fee,first nrnnch circuit: _ 2 I ;It � I alai I' chadditional branch circuit _ Misc.(Senlce or feeder not Included): O 5ervicc uvet 22S amp,cummet.: l U l leiililrrate Lu tiny Each pump or lrrigotioo cucle 2 U Set vice over 320annps-rating of IAt2 A Horardouslocation Fnchsign oroullinelighting 2 fnmilydwellings U Building over 100K)square feet fouror Signa)circu+ns)ora limited energy panel. U System over6fx)volts nominal more residential units in one structure alteration,orexten,sion• U Building overlhreestories U Feedem.4lx)amps or more •Ikscri lion:_1t,LL" U Occupant load over 94)prisons U Alanufaclured structures or RV park Fich additional Inspection Pier the allo"able In any of the a ve: U Fgress/lighl+ngpion U Other ---_- -_ Perins c_lion �7 Submit---sets or plane vvllh any of file above. Investigation fee The above are not applicable to temporary construction service. Other Not all p-risdirtitrrts accept crectit cards,pleae call Jurisdiction for mote+nfonntafon Notice;This permit application Permit fee......... .. _ s__U U Visa U MasieWard expires 11'a permit is nol obtained Plan review(at t'redu crud aarrdKt within 110 days after it has been Slate surcharge(8%). ..$ o Nance of carclEio r u si�hown nncrM,��c'a— accepted as complete. TOTA1. .......................$ r • ' ---- Card WWW,si6aattnre _ Atnormt NUK,ISt..rxa'c)Mt ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES' ___ --- --1 TYPE OF WORK INVOI-VED_RES�DENTIAL ONLY __ ... $75.00 - ---- Fee... --- Restricted Energy ......................................... Complete Fee Schedule Below: (FOR ALL SYSTEMS) I•iurnber of Ins ections ef mit allowedItems Cos+ 1 otal y Check Type of Work Involved: Service included: stems' Re,idential-per un $145.15 it 4 Audio and Stereo Sy �_-- 1006 sq ft.or less ft or Each additic.na 500 sq. $33.40 1 Burglar Alarm portion thereof --- - $75.00 Limited Energy - Garage Door Opener' Each Manuf d Home or Modular $90.90 2 Dwelling Service or Feeder Heating,Ventilation and Air Conditioning System' Services or Feeders Installation,alteration,or relocation $80.30 2 El Vacuum Systems' 2oo amps or less $106,85 2 201 amps to 400 amps $160.60 2 n Other 401 amps to 600 amps $240.60 2 601 amps to 1000 amps $454.65 2 Over 1000 amps or volts $66.85 _ 2 Reconnect only - TYPE OF WORK INVOLVED COMMERCIAL ONL $7t o0 ...... Temporary Services or Foedom Fee fur each system.......................................... Installation,alteration,or relocation $66.85 _ 2 tSEE OAR 918.260.260) 200 amps or less - $100.302 o of Work Involved: $133.75 201 amps to 400 amps -' 2 Check Typo '- _ 401 amps to 600 amps Audio anr+SterQo Systems Over 600 amps to 10('0 voi;a, see"b"above. Boiler Controls Branch Circuits Now, nration or foe for branch circ its on per panel t-I Clock a)1 h with r{"chase of service or J feeder fee. 2 ED Data Tr �nicalion Installation $6.85 •�___ Eich branch circuit _--- b)The fee for branch circuits LJ Fire Alarm Installation without purchase of service or feeder fee. $46.85 __- HVAC First branch circuit $6.65 �- Each additional branch circuit — Instrumentation Miscellaneous (Service or feeder not Included) $53.40 __ Intercom and Paging Systems Each pump or Irrigation circle - $53.40 Each sign or outline lighting - ED Landscape Irrigation Control' Signal circult(s)or a limited energy $75.00 �- panel,alteration or extension _ $125.00 _ - Q Medical Minor Labels 001 ---- Each additional Inspection over Nurse Calls the allowable in any of the above $62.50 Per inspection - $62.50Outdoor Landscape lighting' Per hour — $73.75 -___ El In Plant Protective Signaling Fees: $ _. _ Other_r Enter total of above lees Number of Systems $ 8%State 1'urcharge ' No licenses ere required Licenses are required for all other installations 25%Plan Review Fee $ See,flanReview -- Fees: nor,,of:,ppur::.h„n $ _--` Total Balance Dile $ t We, total Of above fees If1°°State Surcharge ClTrust Account ft ---_ I f —' ToGtl Balance Due All Now C01111flerClal Buildings require 2 sets of plans. i:\d5U\rem%\elc-rees.doc 01/30/01 ELECTRICAL PERMIT- CITY OF T I G A►R D — / RESTRICTED ENERGY DEVELOPMENT SERVICES PERMtI'f #: ELR2002-00072 13125 SW Hall Blvd., Tia.3rd, OR 97223 (503) 639-4171 DATE ISSUED: 4/26/02 / SITE ADDRESS: 15720 SW 149TH FL / �� `" �' / `� `/ 1 ( PARCEL: 2S108DA-DP002 SUBDIVISION: DAVIS PLACE ZONING: R-7 FLOCK: LOT: 002 JURISDICTION: UR Proiect DeGcription: Low voltage ALL ENCOMPASSING. A. RESIDENTIAL B.COMMERCIAL_ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE. OPENER: COCK: MEDICAL: HVAC: DATA/TEL.E COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS Owner: � — — — Contractor: -- RIVERSIDE HOMES INC GREENLINE INC 15455 NW GREENBRIER PKWY#140 PO BOX 230755 BEAVERTON, OR 97006 TIGARD OR 97223 Phone: 503.645-0986 Phone: 968-1978 Rog#: LIC 103033 ELE 34-397CL SUP 3345JLE FELT Required Inspections Type By Date Amount Receipt _ Low Voltage Inspection FIRM3 CTR 4/26/02 $75.00 2i10020000 Elect'I Final 5PC2 CTR 4/26/02 $6.00 2720020000 Total $81.00 This Permit is Issued subject to the regulations contained in the Tigard MLI-JdFal Code, State of OR. 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 2,46-1987. i/ .. _ _. _ _._-- Issued by %, � (. �, �« Permittee S'nnature OWNER INSTALLATION ONLY _ The installation is be;.rg made on property I own which Is not Intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: — CONTRACTOR INSTALLATION ONLY SIG14ATURE OF SUPR. ELEC'N: DATE LICENSE NO: --------------- Call 639-4175 by 7:00 P.M for an inspection needed the next business day Electrical Permit Application _ I Uate received: - / Permit no.:�: i.k,�'t �� -G f'' 7a- City Of Tigard Pro,jecUappl.no.: Expire date: 4" MIALCiryuf'1'igurJ Addre!R: 13125 SW Hall Blvd,"ligand,OR4221!) pate issued: By Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ I &2 family dwelling of accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other:_ U Partial JOORMATION Job address: 1115 a Q0 SVV ( 1*rth P I. l IG O, Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: a,. I Block: Subdivision: ('6 par H lij Project name: I Descri)fi n and location of work on premises: -_Pt Estimated date of completion/inspection: 1 Job no: Fee Ma% Business name: r _ Description 0". tea.) total no.t 111 ---- -- New reshkntial %Ingle or nadli-family per Address: Btr )� F _ dwel0ngunit.Inclnde%atlaclwrlgaWe. City: It tA a Y A ISlate:UC I ZIP: i Seniceinclalkd: Phone: Fax: Lt,r E-mail: K")sq.It.ofaess 4 CCB nn. 3 Elec.bus.tic.no: 34..'r1 1 (,. — Each additional 5W s .ft.or portion thereof Limited energy,residential 2 City/meso hc.no.: Limited energy,no n-residential 2 v Fach manufactured home or modular dwelling SI nature ,supervising electrician(re uired) _ bate Service and/or feeder 2 Sup.elect.name(print): L1 C f'(r' I me no: j� Services or feeders-Installation, alteration or relocation: 2W amps ur Icss 2 Name(print): 201 amps to 4W amps 2 401 amps to 6W amps 2 Maili;Ig address: _ _ 601 amps to 1000 amps 2 City: _ State: ZIP: Overlaxlampsorv,fh% -- ' - Phont.: -lax: - I F-(nail: Recom,ectonl — i Owner installation:The installation is being made on property I own Ternporarysefwice%orfeeders- which is not intended for sale,lease,rent,or exchange according to inti lAtion•alteration,orreloation: 200 amps or less ORS 447,455,479,670,701. 1U I amps l0 401)amps Owner's signature: hate: 401 to 600 amps Branch circulus-new,alteration, or extension per panel: Name: A. Pee for branch circuits with purchase of Addiess: service or feeder fee,each branch circuit —_ 2 City: StglC: 7.1 P: B. Pee for branch circuits without purchase of sery ice ui feeder fee,first branch cltcuit: 2 Phone: E-mail: I.ach additional branch circuit: Misc.(Service or keder not Included): U Ser,Ice over 225 amps conuncrctfl U Health cute Iauhq 'nch pump or irrigation circle 2 U Service over 320 amps rating of 1&2 U thunrdous hicstion I itch sign or outline lightin 2 family dwellings U Building over 10.01x)square feel four or signal circuit(%t or a limited energy panel, U system over 60t)volts nominal Imre residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,4W amps or more •lkscrl tiun: U tkcupant load over 99 penom U Manufactured structures or Rv park Fach additional Inspection over the allowable In any of the above: _ U P.gres4lightingplan U other: _- -- Per iwpecuon r -�---� Submit_sets of plaint with any of the above. Investi atg ion fee _ Ike- ',ore are not applicable to temporary condruct Ion service. Other -W Not VI)uN%If cnon%accept credit cards,please call jurisdiction fa more Intomrtlrar. Notice:This permit application Permit fee.....................$ U visa U INaslcrCard expires if a permit is not obtained Plan review(at , %) $ Credlt card number:__ _— _ L —L within 1110 days after it has been State surcharge(8%) ..,.$ —i"%plRe accepted as complete. TOTAL $ +� amof f U% D11 C IIrcJ eae�� _ S --Cardholder sl`nalure Amount 440-4615(6MCOM) ELECTRICAL. PERMIT FEES: LIMITED ENERGY PERMIT FE FS: --- ---------- ------ Complete Fee Schedule Beluw: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY _ P Restricted Energy Fee.................................................... $75:30 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total _ Check Type of Work Involved: Residential•per unit 1000 sq.ft.or less $145.15 n Audio and Stereo Systems' Each additional 500 sq.ft,or portion thereof $33 40 Limited Energy $76.00 __ ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 ❑ 3arage Door Opener' Services or Feeders Installation,alteration,or relocation ❑ Healing,Ventilation and Air Cc ,(litioning System' 200 amps or less __ $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 100 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders _ TYPE OF WORK INVOLVED - COMMERCIAL ONLY Inste'ation,alteration,or relocation Fee for each system............ ............................................. $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work In. 'ved: Over 600 r.^tps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Syster� ; /seder fee. Each branch circuit $6.65 — ❑ b)The fee for branch circuits Data Telecommunication Installation without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit _ $46.85 Each additional branch circuit $6.65!� ❑ HVAC Miscellaneous ❑ (Service or feeder not Included) Instrumentation Each pump or Irrigation circle $53.40 Each sign or outline lighting _ $53.40 - ❑ Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or exlensior _ $75.00_ ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over ❑ Medical the allowable In any of the above Per Inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other_ 0%State Surcharge $ — Nu,tber of Systems 75%Plan Review Fee 'I'lan Pn"Iea%'section on $ ' No licenses are required Licenses are required for all other Installations floe l of apl)k,';ion Fees: Total Barence Due $ --- Enter total at above fees =� ❑ Trust Account p --- — 8'/.State Surcharge =_ All New Commercial Buildings requlro 2 sets of pians. Total Balance Due =_ i 4ists\f6mnsklc-Ices doc OH:104)1 4*01 0 MASTER PERMIT CITYOF T I G A R D PERMIT#: MST2001-00527 DEVELOPMEN •' SERVICES DATE ISSUED: 11128/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS:-DAVIS157.2"W 149TH PL �a L U yI Y-11 ��L PARCEL: 2S108DA-DP002 SUBDIVISION: PLALF ZONING: R-7 BLOCK: LOT: 002 JURISDICTION: URB REMARKS: Construction of new single farnily detached residence. Path 1 Plans have been revised fees have been changed 2-11-02 (bt) BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST? 1,717 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,202 at GARAGE: 413 e1 FRONT: 25 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS 1 FINBSMENT: of RIGHT: 5 VALUE: f 277,251.00 REAR: 20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,919.00 It PLUMBING SINKS: 1 WATER CLOSETS: 3 WASIIINO MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: IOr) SF RAIN DRAINS 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 SCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: I _ MECHANICAL a FUEL TYPE. FURN<100K: BOILICMP�3HP: VENT FANS: 5 CLOTHES DRYER: I GAS FURN>000K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOOOSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT_ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS M113CELLANEOU9 ADD'L IN4PECTION9 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: I PUMP/IRRIGATION: PER INSPECTION: EA A110'L 5003F: 5 201 400 amp: 201 400 amu: Jet W/O 9VCIFDR: 00 SIGNIOUT LIN LT; PER HOUR: LIMITED ENERGY: 401 •600 OMP: 401 000 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 901 1000 amp: 001+8mpe•t000v: MINOR LABEI.: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: "Al RES UNITS: SVC/FDR-•225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIALB.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: r AUDIO 6 STEREO: FIRE ALARM: INTEHCOMIPAGING. OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEES: $ 4,460.74 Owner: Contractor: This permit is subject to the regulations contained in the RIVERSIDE HOMES INC RIVERSIDE HOMES Tigard Municipal Code,State of OR. Specialty Codes and 15455 NW GREENBRIER PKWY#140 15455 NW GREENBRIER PKWY all other applicable laws. All work will be done in BEAVERTON,OR 97006 SUITE 140 accordance with approved plans. This permit will expire if BEAVERTON,OR 97006-2115 work Is not started within 180 days of Issuance,or If the work is suspended for more than 180 days. ATTENTION: Phone. Phone: Oregon law requires you to follow rules adopted by the Oregon Utility f;otification Center. Those rules are set Reg e: LIC 70065 forth in OAR 9,,2-001-00110 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Eroalon Control Insp 8, Foundallon Insp Underfloor'nb.1illon pI lmb Top Out Low Voltage Water Line Insp Sewer Inspection Foundation Insp Crawl Drali/Itrrk•: a: Electrical Service Gas Line Insp Appr/Sdwlk Insp Footing Insp Foundation Insp Footing/Fount;.' :.'I Electrical Rough In Gas Fireplace «REINSPECTION» Footing Insp Post/Beam Structural PLM/Underfloor Shear Wall Insp Insulation Insp Electrical Final Footing Insp PosUBeam Mechanica Mechanical Insp Exterior Sheathing Insl Rain drain Insp Mechanical Final Permittee Signature : 1110 hra ued 9y: Call(503 39-4173 by 7:00 p.m.for an inspection needed the next business day 1 �� I��® MASTER PERMIT CITY TY PERMIT#: MST2001-00527 DEVELOPMENT SERVICES DACE ISSUED: 11/28/01 1315 SW Hall Blvd.,Tigard, OR 97223 (503) 638-4171 SITE ADDRESS: 157-Q0--�M 149TH PL ( `, L C / yc7 1,141 �jl Pit- PARCEL: 2S108DA-DP002 SUBDIVISION: DAVIS PLACE ZONING: R-7 BLOCK: LOT:002 JURISDICTION: URB REMARKS: Construction of new single family detached residence. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,219 of BASEMENT: of LEFT: 5 SMOKE DETECTORS, Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.189 of GARAGE: 498 of FRONT: 25 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 5 VALVE: 3 231,810.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,40800 of REAR: 20 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS' SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: tpn BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN<100K: SOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCEL,4NEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR, 1 PUMPIIRRIGATION: PER INSPECTION: EA ADVL 500SF: 4 201 400 a.no: 201 400 amp: tat W/O SVCIFDR: 00 SIGNIOu'r LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 500 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 801 1000 amp: 601+ampo•1000v. MINOR LABEL 1000+limplvolt: PLAN REVIEW SECTION Reconnect Only: >•1 RES UNITS: SVCIFUR>•225 A.: >500 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 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: DATAITELE COMM: NURSE CALLS: TOTAL.N SYSTEMS TOTAL FEES: $ 3,226.13 Owner: Contactor: This permit is subject to the regulations contained In the RIVERSIDE HOMES INC RIVERSIDE HOMES Tigard Municipal Code,State of OR. Specialty Codes and 15455 NW GREENBRIER PKWY#140 15455 NW GREENBRIER PKWY all other applicable laws. All work will be done in BEAVERTON,OR 97006 SUITE 140 accordance with approved plans. This pemilt will expire If BEAVERTON,OR 97006-2115 work is not started within 180 days of Issuance,or If the work is suspended for more than 180 days. ATTENTION: Phone. Phone. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep N: (1C, 70065 forth In OAR 952-001-OOIJ 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 Mechanica Mechanical Insp Exterlur Sheathing Insl Rain drain Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Low Voltage Water Line Insp Final Inspection Fouting Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final Pcst/Beam Structural PLM/Underfloor Shear Wall Insp Insulation Insp Mechanical Final Permittee Signature Issued 9y _�- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Services CleanWater Our cornmitinenl is clear. 155 N First Avenue, Suite 270 SANITARY C� d Hillsboro,Oregon 971124(503SURFACE WATE RTmd (503}846-6621 �� Y� C( i,, r:C TION PERMI ISSUE DA'Z'E, 112801 EXPIRATION DA'Z'E 052702 EC EXP DATE; 11.12803 PERMIT 1:'184 : 3TRUCTURE ADDRESS 4hfi2'r /SD-2U PROJECT 8469 :STRUCTURE STREET SW 149TH P1, LOT 2 BLOCZ TYPE: CONNECTION- NEW OF' DAVIS PLACE TYPE INSTALLATION- ( 19 ! BLD SWR/ERC) CON/SDC 'T'YPE: OCCUPANi'Y .. ( I ) SINGLE: FAMILY PARCEL 251 8DA 500 Q,rR SEC; 4514 MH r; t OWNER P.IVERSTDE HOMES INC %�DPPE:SS 154�,r, NW GREENBRIE:R k140 TREATMENT PLANT DURHAM BEAVE~=R` ON OR 970106 PHONE 503-545--0986 WATER DisrrR.ICT "IGARD _'IX'URE EQUIVALENT DWELLING� RESIDENTIAL _. '.WITS SERVICE: UNITS 0 . 0 U''TTS 1 SERVICE UN'!TS 1 CONNECTIUN .YrES ,RFAC:E: WAFER DEVELOPMENT FEES SEWER CONNECTION 2300 . 00 WATER QUALITY 225 .00 LESS CREDIT < 225 .00> .•r. 'ER QOANT.I'IY 275 . 00 LESS CREDIT < 0 . 00: EROSION cowrROL INSPFCTIOV E,4 , 00 PLAN CHECK 41 . 60 SUBTOTAL 2'300. 00 suarOTAL 380. 60 i'C)'rfll, 2680. 60 APPI, NAME ROBERT HARP PHONE AF'FILLIAi TON REV REMARKS DAVIS PLACE LO'r 2: PftJ 8469 ".4 H01IR NOTICE FOP, EROSION CONTROL TNSPEC"PIONS RE:()UIRED . . . . S - -9444 I� A1r 1�f!i; "at rrr ICon (tions 1T,e ap a h atl the rine and regulations nt clean water Services,uniuding those rprlarding erosion control A 24-hour notice Is required for all Inspectlons. The Inspection request number Is(503)8468444 When calling for an inspection,please refer to the permit project and lot numbers The Permit expires one hundred eighty(180)clays from the date of Issuance. The District does riot guarantee the 8carracY of the location of side sewer laterals Revised 6101 White USA, Blue Accounting, Green inspection, Yellow Customer Building Perllnit Application � - -- Date received: _J.,.� Permitno.:�1�,Tianl-00 City of Tigard - Address: 13125 SW Hall Blvd,Tigard,OR 9722 Project/appl.no.: Expire date: City of Tigard 1 Phone: (503) 639-417Date issued: By: Receipt no.: C' Fax. (503)598-1960 1 Case rile no.: Payment type: Land ust:approval: l C:2 family:Simple Complex: L �, ❑ 1 &2 family dwelling r,r accessory ❑Commercial/industrial ❑Multi-family OfNew construction ❑Demolition ❑Add ition/aiteration/repiacement ❑Tenant improvement ❑Fire sprinkler./alarm ❑Other:'JOB SITE — 1 Joh address: !19��Ion _rrrtfj Bldg.no.: Suite no.: Lot: Block: ST L uhdivioit'f Tax ma /tax lot/account no.: ! P ��IOgC), cx� Project name: - -- -- _L Description surd location of work on premisesispecial conditions:_ Kill 1161 9 1 ' _ Name: ,, t r Mailing address: i r ' tkr ? l&2 family dwelling: city. -4 State: ZIP: Valuation of work.141.00(e................... $ I` k" • Phone: Fax: E-mail: _ 7 " t� � Z No.of bedrooms/baths................................. _� �- Owner's representative: _L-f n_.'P Total number of floors................................. 2 Phone: c 2.470% Fax: I nt;iil New dwelling area(sq.ft.) —2 `-I�`�� _ Garage/carport area(sq.ft.)......................... `I' l I —_ :an _ Gt.� (')ll^_tu1- Covered porch arca(sq.(t..) ......................... address: - �— Deck area(sq. ft.) ........................................ _ State: ZIP: Other structure area(s .fi i ........................Fax: E-mail: CommerclalJindustrialhnulti family: Valuation of work............................ $ _ Existing bldg.area(sq.ft.) .....%....:............. Businessname: - Address: -- -- New bldg.area(sq.ft.)................................ City: —State II': Number of stories........................................ : ZI ---- Type of construction ....�..... _ Phone: 7 SCG^�,. Fax: i;-mail: Type — CCB no.: -- - -- Occupancy group(s): Existing: New: City/metro lic.no.: Notice:All --onlractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: - jurisdlethn where work is being performed.If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: --- — Phone: Fax: - E-mail: — - - Name: Contact person: Feeb 4ue upon application .......................... $_ Address: i Date received: City: v State: LIP: Amount received ......................................... $_ Phone: Fax: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Na all JurisdkNons accept credit cards,pica.-cdi Jurisdiction for nm Infortratlon attached checklist. All provisions of laws and ordinances governing this 0 Vise U MasterCard work will he complied with,whether specified h rein or not. Credit sad wrtiti e. irn Authorized signatuie� t(rf�-�t Date: /0 � �� Name of ciujh drr u shown on credit card r Print name:—s "�as��' y C dH lirnalum _s-Atnouto Notice: this permit application expires if a permit is not obtained wi'hirt 110 doy Miter it has been accepted as complete. 4144611(6RUMM) One-and Ilwo_114 ,lily Dwelling Buildi.ig Permit Applieatin'i Checklist rReterenceno.: r It of Tigard �lty Of HgslS'(� Associated permits• - Address: 13125 SW Ifall Blvd,Tigard,Ok 97223 O-olectrical !]Plumbing U Mechanical Phone; (503) 639-4171 O Other: Faw (503)598-1960 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc. - -- 3 Verification of approved plat/lot. — 4 Firedistricl— approval required.— _ 5 S1e system permit or authorization for remodel. Existing system capacity 6 Sewer permit. _ 7 Water pproval. 8 Solis report.Must carry original applicable stamp and si�n•� -e on file or with application. 9 Erosion control ❑plan ❑permit required.Include dra :-wa C, -basin protection,etc, Y protection,silt fere design and location of 10 'omplele sets of legibleplans.Must be drawn to scale,showing conformance to applicshle last and state ing codes. 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 between plan location and details. Plan revieH cannot be completed ' copyri ht violations exist, I 1 Ite/plot plan dawn to scale.Thc3,tan'must chow lot and building setback dimensions;p tiaem is more than a 44 elevation differendal,plan must show contour lines at 2 roperty comer elevations(if-R.intervals);location of easements and I driveway;footprint of structure(including decks);location of wells/septic systems;utility locations,direction indicator,lot I area;building coverage area,percentage of coverage:impervious mea;existing ctrucaures on site;and surface drainage, 12 Foundation plan.Show dimensions,anchor bolts,any hold downs and reinforc_w pads,connection details,vent size acid location. 13 Floor plans.Show all dimensions,room identification,window size,location ol'smokr detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above Lade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beam:: headers,joists,sub-floor, wall construction,roof construction.More than one cross section may he required to clearly Pon•ay construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and framdadon,stairs, fireplace construction thdrmal insulation etc 15 Elevation 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 foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral anrlysls plan,,Must indicate details and locations;for non- rescriptive path analysis provide specifications and calculations to a;igineering standards 17 Moor/roof framing.Provide plans for all floors/roof assemblies,mdreating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walla.Provide cr lss sections and details showing placement of rebar.For engineered _systems,see item 22 "Engineer's calculations." l9 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured Ooorlroof truss dean details. 21 H;nergy('ode eompllauee. Identify the prescriptive path or provide calculations.A gas-piping schematic is requited for four or more appliances. 22 Engineer's cs culatIons.When required or provided,(i.e.,sheat wall, of truss)shall he stamped by an engineer or architect licensed in(hrgon and shall be shown to he applicable to the project under review, 23 Five(5)site plana are required for Item I I above. Site plans must be 8-112"x 11' or I I"x 17 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will tic accepted. 27 - 28 _ - Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 410I611 JOrt't>hrl I "C tNa11ii,111 Permit Application Dalc received: City of Tigard - - I D /; Pcnnit no.: - o ec53 011.,r(7iAnrrl Address: 13125 SW Ilall Blvd,Ti):ard,Olt 9722.1 I'!"lect/appl.no.: I:xpiredate: Phone: (503) 639-4171 Date issued: _ tly: Receipt no,: Fax: (503) 598-1960 Calc tilt no.: Payment type: Land use approval: Iluuding permit no D . &2 family dwelling or arcessrlr y U Commercial/industrial U Mulli-fancily l]Tenant improvement New construction U Addition/alteration/replacement U Other: Joh addn ss: Bldg.no.—�� 1 L t 1 I �'4� Indicate equilin qu;lntitir in hllxrs below. indl�:uc the dollar Suite no.: value of all mechanical mauvlalti.equipment,labor,overhead. Tax man;lax lot/account_no..- prom. valor$ _ l-ot_�. Block: Subdivision: 1 +See checklist Iit1 important ill ion in(itrmalit and Project pante: _ jurisdiction's ri•c Sc!u•dulc liar rr•-idenli;ll nrrntil Ice. City/county: - Description and loc, on of work on premises: Est.date of complelion/insprction: - 1'm(ea.) Tr,•,1 Ikscripllon (Ay. Rex.only Kea.only tenant impl�tvcmrnt or change of use: - 1 'nt: - - Is existing space hented or contlitiuncd?0 Yes U No _Air handling unit -e I'M Is existing space insulated?U Yes U No Atrconc itionmg(sac p an required) Alteration of existing _C system ioi er contltrrssors Business name: 3 kivcrs e P e2ow6 h1,C Slide boiler permit no.. Address: 82Z NE gr4n s>f'. v, t- low. uIu/It 0 y: p r 1.�,� Iire'/slna c 1 nnylcrs/duel saw a rlCctors •^ Stater_ zip: 72/2 Tir'al 1pump(site pian rryuirea7j- 1hone, j 03- fi.• I.,.Ix: --- �'�JT .3' ('•-Itulil; nstn hep acclurnare/burner_-_— 1" !/I CCB no,; y�P�(o Z — h1c•luding ductwork/vent liner U Yes U ell! o City/metro lie.no.: Insln cep ace/rc oca►c lemers-susprn rl, Name(please print) -� ---__-__-- wall,ortloornulunlyd Y1r�I C_.U G( Ir Cit l t�'ni Irir n 1 Iinnre of rr Ihan furnace - 1 c gct'at nn: - Name: Absorpljonunits c'liillrr' 111' - Address: - (',minevsurs__-•- - III' -- _-- - Cily: _ Slate: 7►P, :nr rnnmcrde ex Host nn rent al on: - Phone; 1 -�. _ AI plinnce vent li mail. Tit el exroust — F,,-.,-(F, .yT p�T%yrs. uc le-1/T1.II '.il Name: 1101 Ill I'uc 51111111('.4 9 it)11 91'xll'lli -_.._- 1?xhaust(all wish single duel(hath Fans) Ill Mailingaddrrss• _ - -- - ..zrlst s,:m:ilortlrumTicaliil�rirAC'Cit Y: - - .S(;11r' 7.I P: -- n� p p ng ran tar ut nn(up to out rts► NII --.._- Oil 'ucT�111,+^a.uu �tlonta ��ri•I.1„uil`ctti• -- — rOCPAfn n ng(SC rmnli�u•yuucrll Name: Nunlhel,,f•,,,,1,•lc Addre•s: -- - ---- t rr tae ajipTfanrr nr equTptnenl: - -- City -- -- -- Ih•coralivctircphace _ Stale: c__ I he ne: Ftlx: I:-Illtlll; ruu v1ovC�pe fel slovi, -- P.pplicunl's signature: halt: IhT1e -- - --- Name (prhal): - --- -----. - J-1 tnri -- - ---- - - I I f Nul all jwhJlrrinn,,M ert,l,avlil,nal,.plraa ,all puj,410, �n,Im mule rtdonnannn UVivn UMns4•,!'nnl �nncr Ihly ,eriniln111icuii„ll I'rinul Ire ............ \lunnnun (rr. - — r,rdu cv,l nuudnr cs1•ilry it a pelinn i nal obl;uned , tvill,iu INo d;a 11Icr iwell t h:r bn Hall rr11c w I;d __- %) Rmne n elle n,kr n+ mvn mi rir�i IT,and State. (3%). $ TOTaccepted�•::conlplt'; ... (.nr a, r rlpnnlurr — •------ . ....................... — JJrI Jr;11,rutrur'rMI1 MECHANICAL. PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: OTAL VALUATION: FEE: Description: `--- Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Qty (Ca) Amt $5,uu I.OU to$10,0^0.00 $72.50 for the first$5,000.00'and 1) Furnace to'100,000 BTU $1.52 for each additional$100.00 or Including ducts&vent i 14 Uo fraction thereof,to and Including 2) Furnace 100,000 BTU+ -- _ $1000000 includin ducts&vents 11 40 $10,001.00 to$25,000.00 $14'.50 for rhe first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or includingvent _ 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. _ or floor mounted heater •4 0C $25,001.00 to$50,000.00 $3'9.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100 00 or 6.80 fraction thereof,to and including 6) Repair unit; _ $50,000.00. - 1215 $50,001.00 and up $742.00 for the first$50,000,00 and Check all that,'pply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof footnotes below. Com • •• _ _ 7)<3HP;absorb unit ASSUMED VALUATIONS PER E PF'LIANCC: to 100K BTU 14.00 Value Total 8)3.15 HP;absoit� - Descrl tion: l]t 1t-al Amount unit 100k to 500k BTU 25.60 Furnace to 100,000 BTU,Including 955 9)15-30 HP;absorb - ducts&vents unit.5-1 mil BTU 3500 Fumaco>10J.000 BTU Including 1,170 10)30-50 HP;absorb ducts&vents unit 1-1.75 mll BTU 52.20 Floor furnace Includin vent 11)>50HP:absorb Suspencind heater,wall heater or 955 - unit>1.75 mil BTt 1 _ 87.20 floor mounted heater 12)Alr handling unit to 10,000 CFM '- Vent not Included In appllcance 445 - 10.00 grmit 13)Air handling unit 10,OU0 CFM+ Repair L'_Its _ �_- 805 17.20 <3 hp;absorb unit, 955 14)Non-portable evaporate cooler to 100k BTU 10.00 3-15 hp;absorl;.unit, _ 1;70 15)Vent fan connected to a single duct 101k to 500k B'f U 6.80 15-30 hp;absorb.unit,SOtk to 1 ?,310 16)Ventilation system not included in mil.BTU _ ap Ip iancepermit 10.00 30-50 hp;absorb.unit 5,400 17)Hood served by mechanical exhaust 1.1,75 frill.BTU 10.00 >50 hp,absorb.unit, 5,725 18)Domestic IncRirators >1.75 mil.BTU _ I ►� _ 17.40 Air Itandlin unit l0 117,000 cfm g58 ---'� I r B)Commercial cr Industrial type Incinerator Air 1landlin unit>10,000 cfm 1,170 _ _ 69.95 Nfrn- ortable evaporate cooler 856 �- 20)Other units,Including wood stoves Vent fan connected to a single duct 446 _ 10.00 `lent system not included in 656 21)Gas piping one to four outlets appliance permit 5.40 Hood served by mechanical exhaust 858 22)More than 4-per outlet(each) Domestln Indneralor 1 170 -� 1.00 Commercial or Industrlat Indneratur 4 590 Minimum Per mit Fee$72.50 5UB70TAL: $ Other unit,Including wood stoves, 656 Inserts,eta -_ 8%State Surcharge Ong s Gas n 1-4 a lees 380 --- Each additional outlet 83128Y. plan Review Fee(of subtotal) Z Required for ALL ucmmerclal permits only TOTAL COMMERCIALs TOTAL RESIDENTIAL PERMIT FEE: S VALUATION: Othgr ns e�IQns and Feg3: 1 Inspections outside of normal business hours(n.inimum charge-two hours) $12 50 per hour 2 Inspections for which no lee Is specifically indicate,I (minimum charge-half hour) $72 5o per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum chargo one-half hour)$12 50 per hour *State Contractor Boiler Certification required for units>200k BTU. '•Residential A1C requires site plan showing placement of unit L\dsts\formslmech-fee3.doc 10/11/00 04/20/01 12:59 FAX 1 311111 2[4 7104 r nRNI'sS l' IiLi{(:,I,It I C, INC. 121ou1 El lectr>ical Permit Application AAL UtY of 71gard (.iry n/TrgnrA Address: 13125 SW Flail Blvd,Tigard,pit 9722.1 lkojccllappf „, 1'hooc; (503)6394171 ".__ Upiredatc: Ualefsi«f: Fax: (503)598-1,i6i By� Receipt no.: Care filo no.: 1'eyment type Land use apptvval 2 family dwcfling or ar••crssvry U Cou:nroreiaVinduslrlal [ANew construction 11 Additiun/nlleralioWte lacernenl U Other- h er•famllY LI Tenant improvement Jub address- ( �'7�Cj 1 Let: y 1 i1. Dlock: usion: `dg,no.: Stull nu.: Tax mapllau for/account no.: 14uject name: Z-i lV�-w T y_ �— Estimated date of ".el,ctipt land location of work rrn pr¢rnises: com ktion/inspecrirro��4'"' Job not Businessnnmc- Ferwesr )ti]ectr. ic r Illc. Address: 07 /�2 N ' ---_� - __ ud cript►an r p" h Ave NennaM4nred-eie�learrrrelllf.nriryp�r- (fD) 'Intal nn.lnn City Val'c O U v e r Slate; d»rftlnt unA Inchdtr nrtr,rttnt i 1, ate:i=5 Z!P:V'96SI nr.cr. _ Fax: .> 1'� .••.-.._.___. t►enicrir,rin,Md: CCD MCI2 3 5(r — - -mail: _ low$It It of less ---•.-__________ _- Blac,bus,tic,nn: 3 7-2 7 C '__ !Uo ►Soo eg.i2o— rt�on ihuenf ' ('icy/metro tic.nu.; ----- UmilWentn — -- •- _._ .__ ry�rafdentid - 2 �q l.lmheA znrr Si not .noq•rcMrknpel lur jy '^^"-' -_ L !!.rh mmrufeclured borne or mrMut.r dwclll w 4 2 �.�..__ Pcrvw elecutcron(rewired)-. ---- _parr- _ na - Sap elect name to,ill), n "1�-� !Fl i[(f; - service etdhx(cede, Ucenaa no: 2 Trier*ar let drrr Inc Into", 1 Nance((11111 ellerarlan ar telrAllen? _ 1): t ...` Moiling tarfdresa: L,-+ri`Sc �t' '1 _ 201- -TP po 42" 2 it 1 fir• 1_ ` 4011<<mpe to(,Counp-- _s __ 2 list `. ZIP 401 a rmp ro I(WA not 2 Irbonr: l L - (Iveri(xpanrpso wits' 2 -'s XT I Ernaii: _2 1)wlter inslallntion:'I he insUdlnreclonly ton rs being rnadc un prOpeily 1 own pe pnr.r tvhterden. icb is not intended ftlr salt.,Itarr,rcrn,or ellchanMe according to hMashlletien,allenllete,erretsra I UrtS 447,455,479,670.701. ' 200 amps In tat (1wneils Si nature: " ! 201 amp r to 100 ape - 2 Date:�C le- MEN ` 4OIayG(1(le, - _ 2 hat tclrtnlH ran, Name: sitenrloe,� 2 - oretgneMn per poet: P,ddrraS. A. ree for branch chrWu with Purchow of City- rervlte or Relict fa,cath tow,,,clrcuo _ Stale--��-YP- -- q, t}e far poach oMcviu wNhorl purMax FJ1ltxlc: Fax: _1. ---___ »______ _ . .___ --_ w - Fs•alai I: Of trot a or toeder,fee,Ilnl branch circuli. I Ismh rldluoml Manch cls•,,•, '- --.__ 2- U Servloa reset 225 accts,vc n,rn,rnial Mhe.(Srr.ke forester 1ror�� - `' U t4slth cerefstiiny fiaeh IwtWrkdl USanlrsover.120m,nrrntlr,prtlAl UHuA,dwrNcauort Irornptirinl Iondrek farnnydwelknr' Ixh tlgn a U$Acro,Ove,400 vorn nmrnnal U Uuikhnp ever 10-0o)Madre Ierl/nay nt 6cs t"of l(Q trr a hmfhrd d U IIuIlAlnst mr.Y i.e tn.r;r creta rrsideetial smile In one rat Juncture NlNatfon,a Gtugipr• tY portal, U(krupam hell o,el 99 pertn,rt O reedr,s.4OU.rnpr to cane - -_-------.------ - 2 UMeeurscrurrvltuur•turesorRvpartr •Ikrcn tion: U I:pnrrllipMlepplsr' U(cher: lirM Ndnbael ' Mtereaylaal ever Nle"019111111110 w any of IM abevr. RnhesM —aeU or Pils""*h aray of 111e*Mere. per Imp«amt the above arc oel jppHJnW to f rMb!'~T„�oetsflw'llon Na en)Wr,actlser tgpr tretW eslrt,,pleats eM1lwMdletMr,fo wan . Notice -""_".'-"'-`•'... U VIn U MMaewrCwd - -... ._ This permit algriicatiwe 1'rrmil Cee.............. Credit red nundit . - - -- ettpirtl 1"xrmil is not obtained IYan review(1111 within 11110 day,enrr it hu been Slatr surclrarxe(111%) accepted Ill cmnrirl. UO AI. — - 44n ae17(elorrCttM) • I11twmbing1'crmit Application-- erred: /o-I 13-Ly 1'cnuit nu•chht o/-oa y'e y City of Tigard yard _-- ticwcr pct mil no.: lit ilding permit no.: Address: 13125 S\''hall I3lvd•Tigard,OR 97223 - r'inq/71,11„`/ Uappl. Phone: (503) 639-4171 Ihujccuo.:_ - Expire dsuc: I-ax: (503) 598-1960 IrllCIssued_- _ BY: Rccciptno,�_ 1'a m,fill•no.• I,;]vnlcnt rypC: Land use approval: _ TYPE -OF ARMft U I Rc 2 family dwelling or accessory U Commercial/industrial U Multi-family U 1 nam improvement )New comsnuclion U Addilinn/alleruiunlrcplaccntcol U Food service U(tiller: JOB 1 ' 1 Job address: �`�] (� ,� c-ir�1► J Ct r - Descrlpllon - (?ty'. Fce(ea.) Total Bldg. Suite no.: Nen 1-and 2-family d„ellin);S Duly: g' to.: - (Inc ludes100(I.for enchtit lilt yconnect ion) Tax nmpAnx lot/account no.: SFR(I)bull Lot: 13lock: Subdivision: 1 - - -- -- --.- --- _ - - -T L! b1tILL_ SFR(2)bath ----- -- Project name: SFR(3)bath City/county: C 7.11': �- ^-- - Fach additional miliAilchrn - - Description and location of work on premises:--- ------- Siteutilltles: _ Catch basilvarca gain FS1.(lute of crmtplelion/inspection: ----- rywells/leaclt itte/lrenc t draiii _ Fooling drain(no.lin. A.) Manufactured home utilities Business namc_� +L ,15 (/L, Manholes - - -- - — Address: Rain drain connector - -- City:ew o I, C, J _ State: G ZIP: ' 0 Sanitary sewer(no.lin. ft.) - - - -- Phone: O &3L d ax: (p 31 Storm sewer(till. lin. It.) - CCB no.: Plumb.bus.reg.no: Water service(no. li.:. II.) Cityintetro lie.no.: ' Absorption valve (p �_ or Item: C'C'ontractor's representative signature: - 11, Ilow wevcnter Print name: •,1'� 1►) Uatc: r' " Backwater valve -- - Basins/lavatory - -- _ Name: Clothes washer _-- - - Address: _� )is tt�ashrr - - ---_--- - -,- r---- — -- Drinking foumiii( City: State: Z111: --- 13jeclors/sump Phone: Fax: I G-utrtil: expansion tank --_-- - -- 'ixlure/sewer cap _ , '__u -Floor rains/llriursinks/lull-rNameitis%: K�US:C;a _�G I/c3.� _C 'address: r (larhage disposal��?�l�__C StLA �-r #1� - else bi , , -.._(arc, - J2��P -_-- ice ata Cr Phone: Fax: 1?-I nrll: Interceptor/grease uip ----- Owner instullatiun/resirlcntinl maintenance only: The actual inslallatinn riutCr(s) will lie made by file or the nminlenance raid repair made by lily reguhn Roor drain(commercial— -.. -- employee on Oil- I'llgwkly'l own as Jim ORS Chapter 447. / ��.! (s► ,:tsiit(s), uvsI%) -- - - - Owner's si tnattml. ; �f_r. 1 Dine: /ice I Su_nlP -vv u ts/1 showcr/s tower pan _ rinn. Name: -._ Water close( Atldrrsa: - Cil Sta1C: _ 7.11'' --- -' - -- I'hone: Fax. fe-mall: nta -- Millimnnn fee. .............. Nal all lmiullrtlom wrels ord11 comb+•pltma•11111 i1111NIivilml I.N 111mr 1111m1111:ai11' Notice I Iris pcmlil il,plicatimi U viva U MaileCilld eSpin••.it n permil i•;nal(:1111;6111.41 Phil Ir,ir,v 1;11 - 3i.1 $ I m•da rout numlbct \\1111111180 da,.tiller it 11;s lIml `Iml. .all It,ify" 11{1';1 ...$ _--- -- 1,ct•pted Ilse(*uy,lrtc. 101 A1, _... ....�+ Name til ral�llui(IA•1:,,•J�,.,11..m, .,mt,r,l _-- w ------ t'oullyddrl +lrtmatntr Nun°01 Jpl calm 1/�'xl/t'r`Vl PLUMBING PERMIT FEES: PRICE TOTAL New•f and 2-family dwellings only: FIXTURES individual _ QTY ea AMOIINT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) One 1 bath _ $249.20 Tub or Tub/shower Comb 16.60 _ Two 2 bath $350.00 _ Shower Only 16.60 Three 3 bath _ $399.00 -_ Water Closet 16.60 - Urinal _ - 16,60 __ SUBTOTAL _ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 _ TOTAL _ Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" - - 15.60 PLEASE COMPLETE: 4" -- 16.60 Water Heater O conversion O like kind 16.60 �_ Quantit b I Work Perfonnod Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/_ pormil. _ CaLped MFG Home New Water Service 46.40 Sink -- MFG Home New San/Storm Sewer 46 40 Lavatory -- Hose Bibs 16.60 - --- Tub or Tub/Shower �- Combination Roof Drains 16.60 w Shower Only Drinking Fountain 16.60 - Water Closet - Other Fixtures(Specify) 16.60 _ Urinal - -- Dishwasher _ -Garbage Disposal Laundry Room Tray Washing Machine _ Sewer-1st 100' 55.00 -- Floor Drain/Sink: 2" _ 3" Sewer-each additional 100' 46.40 4" -- Water Service-list 100' 55.00 Water Heater - Water Service-each additional 200' 46.40 !- Other Fixtures -- - Storm 8 Rain Drain- sl 100' 55.00 (Specify) Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 - - Catch Basin 16.60 -- - Inspection of Existing Plumbing or Specially 72.50 -- Requested Inspections perthr_ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL ------- -- Isometric or riser diagram Is required if Quantity Tutal Is �,a *SUBTOTAL 9%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only II nldUre gly total Is>g TOTAL s ''Minimum permlt ba Is$72 50•0%stale surcharge,except Residential Backnow Prevention Device,which is$38 25 4 8%state surcharge. "All New Commercial Buildings require plans with Isometric or riser diagram Rod plan review I\dsts\forms\pim fees.doc 10/10/00 Loi -z 7-- vri Q0 118G 31VAIdd ;qN6 Nj-(v% JA I-Al? aA 09 09 00 G�/Vl( 3GIS j� 40 %K to A AR X R CEIVED lz, V ONV4 3GIS 1-Y OF IIUAit,,, U C = ,�, I, PACLIECTDMGN CONSt)Z.TASCAT. Lor2 - SITE PLAN I MOOS W.First Avit-nue,.4jilic 1 aA rt-.- AUG 2ouj DA VIS P1 A CE 5USt)l K.qloN PRIVERS/CE HOMES;OMIAnd.OR 97201 PROJECT503•196-6100 PAX 501-2%rono P045 00 Jar .30. 2002 ' :5^ 4i Par Pacific Electric No 0342 P. II CITY OF TIGARD 13125 S.W.HALL BLVD. v TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RAINIER PACIFIC ELECTRIC INC 8916 NE 90TH AVE PO BOX 823070 VANCOUVER, WA 98682 Electrical Signature Form Permit#. MST2001-00527 Date Issued: 11/28/2001 (�2L Parcel: 2S 108DA-DP002� Site Address 15720 SW 149TH ISL r 2 U Subdivision: DAVIS PLACE Block: Lot., 002 Jurisdiction, URB Zoning: R-7 Remaftk Construction of now single family detached residence;. Path 1 Your company has boon indicated ah the elec;trical contractor for the permit indicated abvvw In order f or the electrical permit to be valid, the: signature of the superviSing electrician Is required Pleflse have the approp6sto individual from your company sign below and return this Electncai Signature Form promo the start of the work to die address above, A'ITN: Buikfrny Dept. No electrical inspections will be authorized until this completiNd form is received OWNER. FLL.0 I RIC AL CON i N.AIa c"JR' RIVERSIDE HOMES INC RAINIER PACIFIC ELECTRIC INC 15455 NW GREENBRIER PKWY#140 8916 NE 90TH AVE BEAVI_RTON, OR 97006 PO BOX 823070 VANCOUVER,WA 98682. Phone#: 603-645-0986 hone it 360-896-24,61 M 14114" UX 37 IYAL SVP 16255 AN INK SIGNATURE IS REQUIRED ON THIS FORM x Vigna ure of Supervising Electncian If you have any questions. pease call (503)639 4171, oxt. # 310 20'd VT6hZ6�7lt 11:dj WH-rt:C'o 2WE,-eZ-t0 s o b ► M d 4f d ; lux y ; (A ► 44 ,, n `� ► Un loo. •� =� ' p o ► R ! • p a r-r, ► �� M M • CJ -• "t ON. -C) ► UV ► d P ► •1 .044 � o ; p ► t Q Pil.44 . 44 ` ► 4 ► ...:...:.:::::..v::.....:..v...vvvvvv:..:.:: ag N .7 < a �J w c H Tom. o (7 J R , o IA � •r. � a � � a o 0 I '1 A 40 CITY OF TIGARD BUILDING Inspection Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Received -_ Date Requested y ( BLIP - --- _ Location S �� ---- AM--__PM BLIPContact Person Suite - ' MEC -_ Contrac`or Ph(` ) f� PLM BUILDING Ph Tenant/Owner - SWR Foofng -.-- - Foundation — ELC Ftg Drain Access: ELC Crawl Drain - Slah /� f {l ELR Post Beam, Inspection Notes--- - - Shoar Anchone LCA SIT Ext Sheath/Shear --- Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ___�AY. � ` ' t�•OL7— Boor --------- --_— PASS PARTFAIL ----_- _ PLUMBING Post ------ Under —Under Slab Rough-In - - -_ - - - ------------ Water Service -----. --- Sanitary Sewer - Rain Drains Catch Basin/Manhole Storm Drain Shower Pan -— Other:_ Final PASS PART FAIL HAN - MECICAL _ Post l�Beam - -- Gas Line ------ Smoke Dampers ---_._ Final PASS PART FAIL ELECTR C L _ Service Rough-In - ------- UG/Slab ._UG/Slab Low Voltage - Fire Alarm ----___ - _ Final —`'--- PASSPART FAIL Reinspection fee of$ required before next Inspection. Pay at Ci Hal SIT Line Please call for reinspection RE ty I, 13125 SW Hall Blvd.Si.�pply ---- ADA — E] Unable to inspect-no access Appivach/Sidewalk Date _��--p�, Other: - Inspector Final .• -------------- -.--___ Ext PASS PART FAIL DA NOT REMIUYe this Inspec;tion record from the Job site. ,r CITY OF TIGARD Shap mg A Beller Cbnrrnimity MEMORANDUM CITY OF TIGARD 1312.5 SW Hall Blvd. Tigard, OR 97223 Phone 503-639-4171 Fax: 503-684-7297 TO: Distribution List FROM: Shirley Treat DATE: March 26, 2001 SUBJECT: DAVIS PLACE SUBDIVISION It has been brought to my attention the need to make address corrections for this subdivision. The following are the corrections made: Old Address New Address 15725 SW 149th Pl. 15025 SW 1491h PI. (Lot 1) 15720 SW 149t11 PI. 15020 SW 149th PI. y (Lot 2) v, 15008 SW 1481" Terr. 15007 SW 1481h Terr. (Lot 4) 1 apologize for any inconvenience this may cause. If you should have any questions, you may contact me at 503/639.4171 ext. 419 or e-mail me at s, irlleyc, i.ti>;ard.orm Thank you. S j D6CJj_ ()oS DL77 i:eng\9hirley\address\ CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP _ Received Date Requested .._ - AM __ PM — Location ___.__� `� � � i�- -1� L.Suite__ -_- MEC -_-_ -__. PLM Contact PersPh Contractor Ph SWR BUILDING — Tenant/Owner ___.-- _--_-- ELC _ - -.--- Footing ELC Foundation Access. Ftg Drain ELR -- Crawl Drain - - SIT Slab Inspection Notes: - Post&Beam Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear Framing - -- — - Insulation Drywall Nailing - - ---- ------ - - - Firewall Fire Sprinkler - c j -- -- --- - - - - Fire Alarm t •_ Susp'd Ceiling -f..�.->_�._ .- — ---- Roof - --- --- --- --- Other: Z—l� — - ---- - 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 PART FAIL MECHANICAL ------ --- —--- ---------- Post& Beam -- Rough.-In - ---- -- ------ ---------- -- -- Gas Line Smoke Dampers ---- - --- —- ---- - -- -------— ---- - Findl PASS PART TAIL — - _..- -- - ------- --------- ELECTRICAL — _ --__.—_--___- Service Rough-In UG/Slab „r Low Voltage -- -- ��- .- --- -- — Firg Alii+n PASS PART FAIL �J Reinspection fee of$ — required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. PA _ I � SITE — Please call for reinspection RE-__-___ _. u Unable to inspect-no access Fire Supply LineAA -- _ 1_ / Approach/Sidewalk Dat��1Z f �_V-` Inspector Ext -- Othot Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL i CITY OF TIGARD 24-Hour BUILnING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP _ Received — Date Requested___ w l ( AM PM— RUP _ t. Location —__� '; __ _�_� ��. _-�Suite.------ MEC Contact Person Ph 1� —) — — PLM ----- Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing - Foundation Access: ELC Ftg Drain ELR Crawl Drain --- -.— Slab Inspection Notes: SIT Post&Beam --- ----- - C��. �� --- Shear Anchors C1 Ext Sheath/Sheary - Int Sheath/Shear t V --- - - Framing Insulation — --- Drywall Nailing Firewall Fire Sprinkler —---- ---� _. Fire Alarm Susp'd Ceiling — ---- ----- _ Roof Other. — --------- --- Final -- - ---- - _PASS PART_FAIL ---_ --_ -- PLUMBING_ - Post&Beam Under Slab __---_-----_�-_- Rough-in — Water Service Sanitary Sewer Hain Drains ----------- __�-- __ Catch Basin/Manhole Storm Drain Shower Pan Other:—_— _ -- - _-SS' PART FAIL ----- --- ------- MECHANICAL Pest R Beare - Roughdr. --------- ------------ ------------- Gas Line Smoke Dampers _._-- Final - ----- — PASS PART FAIL -- - - ELECTRICAL - Service Rough-In ------- -------- G/Slab - ----_-.- -- -------_ Low Voltage - ire Alarm ------ - -- Final PASSPART FAIL r Reinspection fee of$ required before next inspection. Pay at City Hali, 13125 SW Hall Blvd. I—` - ] Please call for reinspection RE:_--. _ _ _ I J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date,_ _ Inspector ExtT - - Other. � Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL