16020 SW 81ST PLACE SITE PLAN
LOT: 10 BLOCK: N/A SUBDMSION: DURHAM SCHOOL PARK
SECTION: SW 1/4 12 T--2S R- 1 W W.M. Cmc: TIGARD
COUNTY: WASHINGTON STATE: OREGON SCAM: 1 "= 10' '
TAX MAP AND TAX LOT No.: TAX MAP 2S 1 -12CC
SITE ADDRESS: 16020 S.W. 81 st PLACE
w
ZONING: R — 12
E
OWNER: HERB HOFEART & Co.
4632 S.W. VERMONT
PORTLAND, OREGON 97219
I TELEPHONE: 244-•0876
4 _------ - -- i------ 1j
LOT IN S 88642'32" E 79.00'
05
1 {
- - - - - - ' ET K LINE
s
1 � \ , zs ,
E E nor o
\ _� of ,
�cp AND GARAGE FIN FLOOR = 172.0
' -y� � . L 0 T AREA 3, 5 38 S. F.
n ` ,
i �
w
- - 76 8-7 ONO
C
\ J z j LAT
�9 '� ONO_ 'E N ;
3 p
7
C-) 15' 20. 52' ?
Qac
•� WATER U �e C ��✓�✓cam '�0 J
\ I - METER O FA
L '
SD
1 1 I `OT
S 88 42 32 E
�� 12.30
WATER
METER NOTICE: IFTHE PRINT ORTYPE ONANY -r��-I ► Ir � I � I � � � � I � I � I � � � � + � � � � I � � ► 1 � � � � i ! �r F[jTIT IITj'1�" f�Trllf III III SII ! �r � r( r r�r � ( ! � ( ! r� r -IlI III Tfr III ! 1111 i ( 1 ! � � ! f � I 1_ .fT 1 I I i i I ! ! � !
, II I 1-7111 11-p-l-rITI Il I I ► 11 ►T � i ( a i ( ( i ��. �
IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 3 4 ,1� -�.
IT IS DUE TO THE QUALITY OF THE --- - --- _
2 ,
No.36
ORIGINAL DOCUMENT
E 6Z SZ LZ 8Z 5Z fiZ EZ ZZ TZ OZ 6i 8i LI 9i 9i fii Ei Zi it I 6 8 L 9 4 � E Z ' I �iui3w !
11lll
111( 1111 (III IIII lilt Illi lflf Illi (lil f(II Ilfl 11� 1�( �lll 1((( (I�11�1 111 1(11 (1 IIII illl IIII IIII IIII IIII IIII IIII Iill .IIII IIII IIII IIII IIII Ilii IIII Ill! IIII Ilil 11 1111111 Llll IIII 1111 l.11l I
lU IIII�I�II
•s1Mf�W9WMwwrrW,w•i�rw�u'..+Mw�.rr+.w.Nw�IrM�•+rbw.+�rwl��M�www++�rn+1iiwwwwNL��1�w�Hw.�rAM�MW'M,awewu+4Miwww4MM�MM�a�wiWwhq�1L�WWM�EiY�StiYW.�n/1MIYW�YW�WM�+siYGNW�WIY..� •. ..
t�
B O
N
O
cC
G
00
T
G1
0
m
flu,
16020 SW 81" Place
CITY OF TIGAR® MASTER PERMIT
PERMIT#: MST2001-00294
DEVELOPMENT SERVICES DATE ISSUED: 5/31/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 16020 SW 81ST PL PARCEL: 2S112CC-14800
SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12
BLOCK: LOT: 010 JURISDICTION: TIG
REMARKS: Construction of new single family detached residence. Path 1
BUILDING
REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED -
CLASS OF WORK: NEW HEIGHT: 19 FIRST: 500 st BASEMENT: st LEFT, 5 SMOKE DETECTORS: Y
'TYPE OF USE: SF FLOOR LOAD. 40 SECOND: 720 sf GARAGE: 216 of FRONT: 'C PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: r FINSSMENT: $f RIGHT: IO
VALUE: S 110.165.20
OCCUPANCY GRP: R3 BDRM: 3 DATH: 3 TOTAL: 1,21000 sf REAR: :u
PLUMBING
SINKS: WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 1n0 TRAPS:
LAVATORIES: :I DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS.
TUBISHOWERS: GARBAGE DISP. I WA1ER HEATERS: I WATER LINES: 10() OCKFLW PREVNTR. I GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c 100K: 1 BOIL/CMP<3HP: VENT FANS: a CLOTHES DRYER. I
rnr, FURN>=100K: UNIT HEATERS HOODS, i OTHER UNITS I
MAX INP: htp FLOOR FURNANCES: VENTS. I WOODS1'0VES, GAS OUTLETS I
_ ELECTRICAL
_RESIDENTIAL UNIT_ SERVICE FEEDER 1EMP SRVC(FEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADO'L INSPECTIONS
1000 SF OR LESS: 0 200 amp: 0 200 amp. W/SVT.OR TDR: I PUMPIIRRIGATION. PER INSPECTION.
EA ADD'L 500SF, 1 2C1 400 amp 201 400 amp, 1st W/O SVC/FDR: 00 SIGN/OUT LIN LT'. PER HOUR.
LIMITED ENERGY: 401 600 amu: 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL IN PLANT:
MANU HMISVCIFDR: 601 1000 amp, 601•amps-1000v: MINOR LABEL.
1ono+amplvolt
PLAN REVIEW SECTION
Reconnect only
>=A RFS UNITS: SVCIFDR>=225 A 600 V NOMINAL. CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL D.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM INTERCOM/PAGING OUTDOOR LNDSC LT:
HURGLAR ALARM: OTH: BOILER: HVAC, LANDSCAPEIIRRIG. PROTECTIVE SIGNL.
GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL- OTHR.
HVAC DATA/TELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS.
Owner: Contractor: TOTAL FEES: $ 5,901.28
B HOFFART HERB HOFFART This permit Is subject to the regulations contained in the
HERB
H VERMONT STREET HER H VERMONT Tigard Municipal Code,State cf OR Specialty Codes and
PORTLAND OR 97 219 PORTLAND,OR 97219 all other applicable laws All work will be done i
accordance with appinved 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: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center those rules are set
Reg 0: LIC 34247 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 Mechanica Plumb Top Out Low Voltage Water Line Insp Final Inspection
Sewer Inspection Underfloor Insulation Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Footing Insp Footing/Foundation Dr Framing Insp Gas Fireplace Electrical Final
Foundation Insp PLM/Underfloor Shear Wall Insp Insulation Insp Mechanical Final
Post/Beam Structural Mechanical Insp Exterior Sheathing Ins) Rain drain Insp Plumb Final
Issued By ' Permittee Signature
Call (503) 639-4175 by 7.UU p.m.for an inspection needed the next buslne`iiIIs
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00167
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/31/01
SITE ADDRESS; 16020 SW 1ST PL
PARCEL: 2S 112CC-14800
SUBDIVISION: DURHAPvl SCHOOL PARK ZONING: R-12
BLOCK: _ LOT: 010 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new single family residence.
Owner:
FEES
HERB HOFFART Type By Date Amount Receipt
4632 SW VERMONT STREET _._
PORTLAND, OR 97219 PRMT CTR 5/31/01 $2,300.00 27200100000
INSP CTR 5/31/01 $35.00 27200100000
Phone: 503-244-0876 Total $2,335.00
I _
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires
180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit arid the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987
i
Issued by: S Permittee Signature: _h__
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit application Sw(2zcot - OOI(o-7
City of Tigard Datereceived: 5 f 61 Permitno.: a 11 -,
v
)Oaqq
City ojTigard Address: 13125 SW I-fall Blvd,Tigard,OR 97223 -F'ro-icct/appl.no.' lixpircJate;v
Phone: (503) 6394171 Date issued: BY: Receipt no.:
Fax: (503) 598-1960 - 1
�4 t / Case lite no.: Payment type:
Land use approval: tv''� t&2 family:Simple Complex:
e
"Xl & ly dwelling or accessory U Commercial/industrial U Multi-farnily U New construction U De-molition
U Addition/alteratioNrcplacemcnt U Tenant improvement U Fire sprinkler/alarm U Other:
1
Joh address: ��� „a 8/ � o�e e.J Bldg.no.: Suite no.:
Lot: /p 131ock: Subdivision:�� f;tx ma /tax IoUaccount no.:
-- SLa�c s�yo� � p �3 ii�CC-iYP�d
Project name"� -
Description and location of work on premiscs/special conditions:
13Z ` IZ
Name: , ,
run i1lr%T.1Tr911U=
Mailing address: 09- _ �- 1 & 2 family dwelling:
State: ZIP. 17-1/9 Valuation of work •.....• $ y(�,pa•�
................................. _
Phone: E-mail: No.of bedrooms/baths................................. 3 .?
Owner's representative: /
Phone: tal number of ors................................. _
yti!_p Pax: -
flo
✓ op E-mail:r-mail: New dwelling arca(sq.R. y _
Garage/carport area(sq.ft.)......................... iL
Name:¢�r„� Covered porch area(sq.ft.) .........................
Mailing address- -' Deck area(sq.ft.
City: State:p ZIP: 7 Other structure arca(sq, ft.).,....................... __
Phone: - Cr74 1Fa_x:,_qV,440e7 E-mail: ('ammercial/industrial/rnulfi-family:
Valuation of work........................................ $
Business name �,L�a, �a Existing bldg.area(sq.ft.) .......................... _
Address: yZ6New bldg.area(sq.ft.) ...............................
City: I State:pQ Z1P: � Number of stories........................................ _
Phone:,Ql y.,t.o♦ Fax:a E-mail: Tyle of construction.................................... _
CCB no.: r j y/��_ Occu ane p y group(s): Cxisting:
City/metro lic.no.: New: _
Notice:All contractors 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: �L t� ��, - jurisdiction where work is bging perform,:d. If the applicant is
C#Y: State: Vg ZIP; 9 9 exempt from licensing,the following reason applies:
Contact person: A .o Plan no.:
Plume: m _,t! Fax: y cC-mail: - ---
Name: 7�, Contact person: _ Fecs due upon application ........................... $
Address: Date received; _
City: sta-1c.:---T7-IP-: Amount received ........ $
Phone: Fax: E- Please -
ease refer to fee schedule.
hereby certify I have read and examined this application and the Nd an juri"ctiau accrl>t credit cmda,please call jurik ictim fa more Infamatinn
attached checklist.All provisions of laws and ordinances governing this U Mae U MwterCard
work will be complied wi ,wh mer specified herein or not. rtedu cant number
Authorized signetre• ` 'M�-
Date: None of cattawt rhe aW.w on credfi caM
Print name: . W S
Canlhdder si mtme Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404613(600roM)
Electrical Permit Application
Datereceived: 7 `-i Permit no.: eoA9
City of Tigard Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 Date issued: By: Receipt no.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERM I I
'X1 &2 family dwelling or accessory L1 Commercial/industrial O Multi-family U Tenant improvement
New construction U Addition/alteration/replacement U Other: U Partial
t . SITE INFORMATION
Job address: /_6, ems/ ad Gees, ljldg.net.: j Suite no.: jTax map/tax lot/account no.:
Lot: /p Block: Suhdivisitin: -DU.4A1,QMS OOL. PA�� S // GG 1�rYJ
Project nam6,'4-)ae,6ft ea Ate, I Description and Ifx:atutn of work on premises: ._.
Estimated date of conmple ion/inspection:
CONTRACTORt4UIIEDULE
Job no: Fee Max
13USInCSS name:— �� �,¢�,� IlescripNnn Ott. (ca.) local nn.ins
---- New reside ntlial-single or multi famih fx•r
Address:/'/j0 NE / ''^' - .v dwellin{unit.includes rllac wd garage.
City: State, ,e, ZIP: q�Aa n %ervicrinclurkd:
Phone:ASa- ,o I nx: E-mail: -- It(MR)sq.it.or less 4
CCD no.: g,, .'itS -3 f/o C -__ teach additional S0O s .ft.or portion thereof
f:lec,bus.lie.no: Li nitedenergy,residential 2
City/metro IIc.Ila.: Limited energy,non-residential 2
.r1o.0-40 i Uch manufactured home or modular dwelling
are of supervising flectrician(required) I tate Service and/or feeder 2
Sup.cleccrnime(pnnt) Seryices orfeeden-last allatIon,
alleratlon or relocrllon:
tu
PROPERTY1 %amps or less 2
201 amps to 40O stars _ 2
Name(print): �« �C,/p�F,O,e7 401 amps w f.00 a,nps 2
Mailing address: e, S cc) //,,g A.) 601 amps to 1000 amps 2
City: pB7 40001Jp State:, I ZIP: 9�a, Over I(M amps m Wks 2
phone:a -p Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on properly I own Temporary semicesurFeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alleralInn,orrel neat ion
:
ORS 447,455,479,670,701. Nat amps or less 2
201 amps to 4W amp, 2
Owner's sl nuture: Date: 401 to 61N1 a i s 2
Bmuch circuits-new,alteration,
or extension per panels
Name: A Fee for branch circuits with purchase of
Address: service or feeder fee•each branch circuit 2
City: Stale: ZIP: B Fee for branch circuits without purchase
- -- -- — of service or feeder fee,first branch circuit 2
Phone: I ox: Df-mail:
finch additional branch circuit.
PLAN RFVIE'W(I'lenoie check all flint apply) Mise.(Servlet or feeder not Included):
U Service over 22S amps-commercial U licalth care faciht� Each pump or irrigation circle 2
OService over 320nmps•rating(if 1Se2 UHaaordouslocation Fnch sign or outline lighting 2
family dwellings U Building over 10,(100 square feet taut or Signal circuit(&)or a limited energy panel,
U System over 600 vnits nominal store residential units In one structure nWcunm,or extension* '-
U Building over it,ee smries U Feeders,400 amps or more s I trxn mrnt
U Occupant load over 99 persons U Manufactured structures tar Rv park F sate additional Inspection over the allowable In any of the above:
U F.gres%flightingplan U Other _- ..- I crinspection _
Submit_sets of plana with any or the.!awe. lnvestigallon fee
he alNtve are not applicable to lempotat•y eomtrucilon&ervice. Other ^_
Not all jonu ktions accera credit cants,please call jurisdiction for more infromation Notice:This pcmill application Permit fee.....................$
U visa U MasterCard expires if a permit is nut obtained Plan review(at _ %)
Credo cud nomtwf f wilhln 190 dnys alter It has been State surcharge(9,T) ....
.pue� accepted as complete. TOTA1, .... ..................?� -- —---
--Tiara of ur�iol der u�iown an credit— cr�-
_ S
Cwtihol r aiRttature Amount 44o 4615 irur&ia t Nt
Plumbing Permit Application
Datereceived: 5�q�e/ Permit no.:f�i/rte _.004
City of Tigard
i,•ldress: 13125 SW Hall Blvd,Tigard, (W 97�2 i
Sewer permit no.: Building permit no.:
City of Tigard Phone: (503) 639-4171 Projecdappl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TVPE OF
1 &2 family dwelling or accessory U Commercial/indusuial U Multi-family J Tenant improvement
New construction U Addition/alteration/replacement J Food ser-Nicc J 01her•
O' SITE iNiroRmATION FEE SCHEDULEr
Job address: t4 n Deuri loon Qtly. Fee(ea.) Total
Bldg,no.: Suite no.: New I-and 2-family dwellings only:
Zai C - /�1'AQ (include)IOOn.frrrcachutflitycnnnccti
Tax map/lax lot/w:count no.: un)
SFR(I)hath
Lot: /to I Block: Subdivision. R SFR(2)hath
-- --
Project name-7juA,y,a S d 004 ID,y_ Ae Sill(3)hath
City/county:T o ,q zIP: q7.�a liarh additional bath/kitchenDescription and location of woe on premises:_ __ _ __ Siteutilifles:
_ ) me q_(�__ a r„a:4�__ Catch basin/area drain
Est.date of cam leuonhn�-ectioni ., o Drywells/leach line/trench drain
PLUMBING Footing drain(nu.lin. ft.)t ' -
Manulaclurcd home utilities
Business name:eegFreo0VRA �[tlrrt Manholes _
Address: 773 S.W. Rain drain connector
State:p ZIP: q �Jr Sanitary sewer(no, lin. it.) _-
Phone: 6 _ Fax: yy, E-mno:.2 pail: Storm sewer(no. lin. ft.)
79
CCB no.: Plumb,bus.re . . Water service(no. lin. 4l.)
G f,` g
City/metro lic.no,: % p Fixture
Contractor's representative signature: �e Ahso c,;:tior Item:
vnlve
�� ---- Back flow preventer
Prins name: Fr- «,,�A fate:
Backwater valve _
CONTACT t Basins/lavatory -
Name: Q Clothes washer -
Address: - _.__.. -_ Dishwasher
``�
Statr:0 - Drinking fountain(s)City:
Ejectom/sum
Phone:a _V r76Fax 3y .6, f:-mail (ixp+rasion tank
Fixture/sewer cap
Name(print): floor drains/floor sinks/hub
P YE�t'..Q .�/G7 F f 10 rtT
- . - Garbage disposal _
Mailing address: ;4j_? Klose hibb
City: StalC:orei7a/ ce maker _
Phone: _ Fax: -pr E-mail: _ nterceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primei(s)
will he made by me or the maintenance and repair made by try regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447• Sin (s),basin(s),Iays(s)
W
ner's si nature: Date: Sum
Tubs/shower/shower pan
Name: A10 v r — Urinal
Address: --' Water closet
Water heater
City_ _ Slate:- 7.1 P: Other: Y-- —
Phone: Fax: E-mail: Total
Nm all Judedicaau mccept credo code•pleae call)uriedictinn ra more Infmmudm Minimum fee................
Ureview
� Notice:11t1s pcnnit application
Viaa ❑Muterfard expires if a pennit is not obtained Plan res iew(at — %,) •- -
mfil Laid number _ uirhu, IRO days aver it has been State surcharge(A%) ....
--- -
:eplree
_ __ accepted as complete. , .......................5
Named Idrr u eM.revn on credit err TOTA1
p p --
S
.—.--i rrrlMdder ei�nuure —_ An,..uiii _ I"14 rMlr►n�
Mechanical Permit Application
Date received: Permit no.: f+SfiY/-�C
City of Tigard Project/appl.no.; Expire date:
Address: 13125 SW Hall Bl\d,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: — By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE-OF
U 1 &2 family dwelling or accessory 0 Conunerccd/indu,ucd J Multi-family U Tenant improvement
New construction U Addition/altcianoohcplal mien( J Ollie r:
JOB SITE INFORMATION1 1N SCIIIEDULE ---
Job addrcs:: /`pd Q s 4 el .- Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: 23//a aC- lv pdo profit. Value$
Lot: i p Block: Subdivision• ere •See checklist for important application information and
Project name: �,� juri,,diction's fee schedule for -esidential permit fee.
City/county: 'LIP: V7�yt PWELLIAG NkMIT FEE SCtt
IJesc 'ftion and atio► of wgk on premises: 1 1 t 1I WOM 1,01111111DI
I cc(ea.) Intal
Est.date of comet on/inspcction: cr. e, IMu"riplinn 011. Res.onit Rm.only
Tenant improvement or change of use: 11ll A(
Is cxisting space heated or conditioned?U Yes U Noi—conditioning(site plan rcqu(re )Airhandling unit _ —CFM----
-�
Is existing space insulated'?U Yes ❑No lcrauon o cxisting 14VAC system
MFUHANICAL CONTRWUOR Boilerkornfircssom
Business name: State boiler permit no.:
_ + HP --Tons BTt1/H
Address: Irirc/smo c amper uct smoke defectors -
City: Stale:Oe ZIP: if 7o cat punt (sue p an requirc�—
Phone: a_ 0o E-mail: nsta rep ace furnace/burner
Including ductwork/vent liner U Yes U No
CCB no.: .211,74 nsta ,rep ace re ovate eaters-suspen e ,
City/metro lie.no.: wall,or floor mounted
Name(please print):,_(_,f Vent fora iance ott er—ft tan furnace
CONTACTPERON Refrigeration:
Absorption units_ B7l iil I
Name: Chillers _ HP ----
Address: -- Com re.' HP
nv ronmcnta ex test■n rent lotion:
City: ,tr� � State:pq ZIP: 99a
Appliance vent
Phone: [Fax; yam.a E-mail: )rycrcx aunt
1 (xf s,Type res.kitcheiPliatmat
hood fire suppression system _
Name: , Exhaust fan with single duel(bath fans)
Mailing address: y4 �a Exhaust s %tcrn a art an heating or AC
trCiFuelpiping an st ut ou(up to outels)State:p 71P:
Phone: 15(r J �/. F-mail: Tpiping Type: LIad __ NG Oil
�uc` vac a( lunna over 4 outlets
rocesspiping(sc ematicrequire )
Number of outlets
Name: `j'l sr,.v ter listed■pp anti ce or eyuipmenl:
Address: DLcorativefircplace
city _ ---- State- ZIP: Insert-type ,
Phone: FaK: E-mail oo slo ctMove
Applicant's --
_� lis si nater
• _ b •� cA �i� uF�r� bate: Other:
� ! o� ter:
Name (print): — —
"".Wi p"alknow lite(cn&cards,pieav ell 7uria6ciim for mrxe InGwmnlm Pcrmit fee.....................
Its J Mule Card Notice:lltis permit application Minimum fee................$
.d expires if n permit is not obtained
_1— Plan review tat _ %) $
ipirer within 190 days after it has t,2en State surcharge(8%)....S
tiaat nr:i�dlvldn r aMvn m. ,i cid accepted as complete. --
TOTAL .......................$
44OA617(&"WMM i
SEE 35MM
ROLL # 21
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2001-00294
Date Issued: 5131101
Parcel: 2S112CC-14800
Site Address: 16020 SW 81 ST PL.
Subdivision: DURHAM SCHOOL PARK
Block: Lot: 010
Jurisdiction: TIG
Zoning: R-12
Remarks: Construction of new single family detached residence. Path 1
Your company has been indicated as the plumbing coritra(,tor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form 's received
OWNER: PLUMBING CONTRACTOR:
HERB HOFFART CRAFTWORK PLUMBING INC
4632 SW VERMONT STREET 7736 SW NIMBUS AVE
PORTLAND, OR 97219 BEAVERTON, OR 97008
Phone #: 503-244-0876 Phone #: 644-6698
Reg #: I iC 7 z'
P1 M 20-148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x /—/;P— /;,#
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EASTGATE ELECTRICAL INC
1410 NE 106TH
SUITE 206
PORTLAND, OR 97220
Electrical Signature Form
Permit it: MST2001-00294
Date Issued: 5/31/01
Parcel: 2S112CC-14800
Site Address: 16020 SW 81ST PL
Subdivision: DURHAM SCHOOL PARK
Block: Lot: 010
Jurisdiction: TIG
Zonina: R-12
Remarks: Construction of new single family detached residence. Path 1
Your company has been indicated as the electrical contractor for the permit indicated abc ie. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address ahove, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
OR:
HERB HOFFART EASTGATE ELECTRICAL INC
4632 SW VERMONT STREET 1410 NE 106TH
PORTLAND, OR 97219 SUITE 206
PORTLAND, OR 97220
Phone //: 503-244-0876 Phone 4:
Req #: LIC 43701
ELE 26-340C
SLIP 1512S
AN INK SIGNATURE IS REQU;RED ON THIS FORM
X
Sig, t re f��L-p g Electrician
—
I I you have any questions, please call (503) 639-4171, ext. # 310
X47"3
rA w o
� n o
CA.ro
cr
� D
w G �
aC
w h.
R � a \\ e•..
n
g o
o � �
o
n
e
O r+
a �
0
A
S
� I I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (504,1639-4171
4' BUP
Received __.__—_ _ Date Requested U_—_ AM__—___ PM BUP
Location — w U Z X I A� _ — Suite—_ MEC
Contact Person , — Ph PLM
Contractor Ph( _) SWR
BUILDING Tenant/Owner _ - ELC
Footing ELC
Fig Drain Foundation Access: ELR -- ---- -
Crawl Drain
Slab Inspection Notes SIT
Post& Bearn _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall NailingFirewall
Fire Sprinkler ----- -
Fire Alarm
Susp'd Ceilin - -- - - -
Roof
Other: -
Final
PASS PART FAIL
PLUMBING
Post& Beam —�
Under Slab
Rough-In
Water Service -
Sanitary Sewer
Rain Drains - - - ---
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: .----
Final
ther: ___Final
_SS_ _ART FAIL
MECHANICAL
Post&Beam -----
Rough-In ---- - - -- --- --
Gas Line
Smoke Dampers - -
Final
SS PA T_FAIL -- - - - ------- — —
CTR
Se ice -----
Rough-In
UG/Slab
Low Voltage --__ —
Fire Alarm
ina! ❑ Reinspectlon fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
-tIFAS!') PART FAIL
(] Please call for reinspection RE:- F-1unableto Inspect-no access
Fire Supply Line V
ADA / r z c _Z
Approach/Sidewalk Data, Q Inspector — _KXt
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 MST �O L K' -3-4
INSPECTION DIVISION Business Line: (503)639-4171
BU!'
Received - ------ Date Requested AM---., PM Bup
Location 21 --A 1Z MEC
Contact Person Ph -7-77-Y Y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _Z f� Ivz
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
t r::
PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
ShowerPan
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gas Line
-------
SmQke Dampers
I_VRAI)
PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIG/ARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 BUP
Received Date Requested AM --- PM BLIP
Location o P L Suite—_ MEC
Contact Person Ph 72-b
PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Fig Drain ELR
Crawl Drain Dbi, tw
Slab Inspection Notes: SIT
Post&Beam ----
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Farm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-in
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
--
Shower Pan
Other:
PART FAIL
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
----
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Lj Reinspection fee of$ required before next insdection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspoetor Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL