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15190 SW 107TH TERRACE SURVEYORS„WILL PIN ALL EXTER10 FOLINDIA7=0011 AND PROVIDE SUSSEQUMMOMUM SURVEY. ' t.PIWMRJE a MWfTAIN r(ren'THICK r GRAM PMD a FINE UIdPt.PEW ANT CIE Oi�VE IS�i PIACE. 1 N - a.P� a YANRAIN SOILSEWIT � � FlOiM AS INDICATED. J 1 1 w � S 89'47'54" W 149.,43' 160.0c\ U) W W c0 Cn o i o 0 d 2.00' d 25.0' � Ln a 21.50' I d m 1 n- 2 00' _`-0. 0 59.1 i !o ` ' {� a) md Ic �} c� N N Ll .00' 50� ! '- 000 CD � � o - 39.50' \, 1 ' 1 �! S 89647'54" ' W 147.36 T73 W � d SCALE DRAWING LOT 29, ERICKSON HEIGHTS S.E. 1 4- SEC. 10, T.2S., R.1 W. , W.M. L5 1010c._ Vj 1010E CITY OF TIGARD - -A 2.5 FOOT LAND(zCAPE EASEMENT SHALL WASHINGTON COUNTY, OREGON EXIST ALONG ALL STRET FRONTAGE. .JANUARY 31 2001 - -A 7.5 FOOT PUBLIC UTILITY EASEMENT Centerline Concepts Inc -SHALL EXIST ALONG LANDSCAPE EASEMENT DRAWN BY: MSG CHECKED BY: WGDI1I _ -ADDED NEW HOUSE, i-RON T SET3ACK SCALE 1 "=20' ACCOUNT e 115 EMAIL WWW.CCIEMAILO-1EVANE T COM 5' MPW, ;?/19/01 640 82nd Drive Gladstone, Oregon 97027 M: \MLI\L29ERICK 503 650-0188 fox 503 650-0189 T I I r l I f I I- r 1 1 t T t l I I I l l l l l I I III I I I I I f l l I I I t t I l -t_ .1_ I I I I I I III I- 1 1 i T r-T 1 I T 1 I NOTICE: IF THE PRINT OR TYKE ON ANY I ( � � � ( � T � � � � � � � ( � � � � ( � � � � � 1 1 1 1 1 1 1 1 � - 1 I ! I I I ' I I I i { I ti T��r rj r � [ r i i iii > IMAGE IS NOT AS L I I I CLEAR AS THIS NOTICE, 1 2 3 4 5 � I -- - - -- -- - �� 7 ----8 -- 9�_-- 10 11 12 IT IS DUE TO 1 HE QUALITY OF THE -- - _ -- -- - -- — — - — No.36 ORIGINAL DOCUMENT _ --- - --- — I E 6Z $Z LZ 8Z 3 �� ' Z EZ ZZ TZ OZ 61 $ T LT 9T 5' � � T EI ZT T1 I 6 8 L 8 4 �+ E Z T ��i3w IIII�IIIIIIIIIIIIIIIIIIilIIIIIIII �� IIIII�Ii111�1 �111IIIIIIiI �� Illl. llilllllllllllll.IIII ��l llll �� I �,1111�� ,11 �� Illl �� Illlllllllll. 11It lul l lllll�lll1111111 111IIII�111� Ik 1! cD d n 15190 SW 107"' -rerrace CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00348 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 15190 SW 107TH TERR PARCEL: 2S110DA-06800 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 029 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device _ Owner: _ FEES Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES ---- — 1672 SW WILLAMETTE FALLS DR PRMT CTR 08/15/2001 $36.25 27200100000 JVEST LINN, OR 97068 5PCT CTR 08/15/2001 $2 90 27200100000 Total $39.15 Phone 1: 503-557-8000 v — Contractor: MOODY ENTERPRISES INC PO BOX 713 ESTACADA OR 07023 REQUIRED INSPECTIONS Phone 1: 503-630-5532 Final Inspection Reg #: LIG 5973 PLM 11717 This permit is issued subject to the regulations 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 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 952-0001-0010 through OAR 952-0001-0080. 'You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: b� � !1 <� �_-- Permittee Signature: Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application City of Tigard Date received: 2 O/ Permit H dog y� Address: 13125 SW liall Blvd,Tigard,Of: 97223 Sewer permit no.: 13uildingpermit no.: phone; (503) 639-4171 Project/appl.no.: Expire date: Fax: (503)598-1960 Date issued: By: , Receipt no.: Land Ilse approval: Case file no.: Payment type: 1 U,1 &2 family dwelling or accessory U Commercial/industrial LdNew construction ❑Multi family U Tenant improvement U Addition/alteration/replacement _J I•� „d "(.I�I L, U Other: f � r Job addresti_ i h / �"C •' l� � •- Oestri tion Bldg.no.: !� — Qlv. fec(es.) total Suite no.: New 11- and 2-family dwellings only: Tax map/tax lot/account no.: (includes 100 R.foreachUtility connection) Lot: Block: Subdivision: — SFR(1)bath Project name: SFR(2)bath - � �/t•C fJ•Cc • !1s SFR(3)bath City/county: T, Z1P: f 7? Z Each additional bath kitchen Desct7ption and location of work on premises: . Siteutilities: Catch basin/area drain Est.date of completion/inspection: D wells/leac line/trent drain mouawl;mmommt Footing drain(no.lin.ft.) Business name:, Manufactured home utilities l 1 (i t.2-J '. Address- 7 fly: Rain drain connector Y F" uI State:O , ZIP: 70 Phone: ); 2-3 Sanitary sewer(no.lin. 1't.) 3c' yz Fax:x,V. I:-mail: Stormsewer(no. lin. ft.) CCB no.: //7 .7 Plumb,bus. reg,no: i-1/ Water service(no. lin. ft.) City/metro lic,no.: _ Fixture or item: Contractor's representative simnature: ! ' Abst )tion valve Print name: /, ;—� - pate: ack Ilo_preventerCONTAUI PERSON - -- i -'/ � Bac water valve Basins/lavato Name: / G , "C -�'! c l C o es was er Address: ,c•' 7/3 ishwasher City: -s rc•�tL Sta11 t 11 elC c' `'Z� Drinkin fountains) _ Phone: ,� -�rc.- Sal p;,,• rrc/,,f. C- mail: Ejectors/sum F..xpansion tank 1 Fizture/sewer ca Name(print): _ Floor drains/door sinks/hub Mailing address: ` Gart!nEdis oral City: StMuse bibb State: ZIP: Ice make-- Phone. � Fax: [3-mail: - - Owner installation/residential maintenance only: Interce The actual installation tor/ rease tra will be made by me a untenance and repair made by my regular Primer(s) employee on the pr �t n I �r as per r)RS CI•lpter 447, Roof drain(rnmmercia) Owner's si mature. ' r� Sin (s), astn(s), ays(s) --- -- Date: Sump 1•uhs/s ower/shower an Narne: l lrinal Address: _ - Water closet — - City: _r _ State: 71p; Water eater Phone: Fax: -- Other: E-mail: Total _ NO all iuriaructiuns accept credit cards,pleat call Jurisdiction rot more information. U Visa U MasterCard Notice:This permit application Minimum fee................$ ,_Z5 Credit card number — expires If a Phan review(at _ % P permit is not obtained ) $ spires within I RO days after it line been State surcharge(8%) •.••$ time o c r AN e own on credit car accepted as complete. TOTAL .......................$ w / - Cardho r slitnature S Amount 440 4616 160WOM I _ ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001 00077 13125 SW Hall Blvd„Tiaard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 PARCEL: 2S110DA-06800 SITE ADDRESS: 15190 SW 107TH TERR SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 029 JURISDICTION: TIG Proiect Description: A.RESIDENTIAL B.COMMERCIAL —. AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL# OF SYSTEMS: Owner: Contractor: RENAISSANCE CUSTOM HOMES GREENLINE INC 1672 SW WILLAMETTE FALLS DR PO BOX 2.30155 WEST LINN, OR 97068 TIGARD, OR 97223 Phone: 503-557-8000 Phone: 968-1978 Reg #: LIC 103033 ELE 34-397CL FEES Required Inspections _ Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/27/01 $75.00 2720010000 Elect'I Final 5PCT CTR 3/27/01 $6.00 2720010000 Total $81.00 This Penrlit is issued Subject to the regulations 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 plans This permit will expire if work is not started within 180 days of issuance, or if work IS Suspended for more than 180 clays 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) 246-1987 Issued by Permittee Signature _ OWNER INSTALLATION ONLY The installation is being m e property I own which is not intended for sale. lease, or rent. n I OWNER'S SIGNATURE: _ _ _ DATE: - __ ✓� CONTRACTOR INSTALLATION ONLY SIGNATURE 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 Applicatiun Date received: a b( Permit no.. .1ba1-�DG7-I City of Tigard Projccilappl.no.: Expire date: CityujTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Cn"r IIle no.: Paymenttype: Land use approval: TYPE 1 1 &2 family dwelling or accessory U C(nnmcrcial/tndustnill U N111111 tmlltk U Tenant improvem,nl New construction U Addition/alteration/replacement U O111CI. -_ U Partial li SITE INFORMATION Joh address: JVJ f Bldg. no.: jSuite no.: Tax map/tax IotIaLl-i'unl fill Lot: Block: _ Subdivision: Project name: I Description and location of work on premises: Estimated date of com lotion/ins ection: APPLICATIONi Job no: Dem ri lion t�lv. I m nt:ry Business name: �,. P _ (ca.) torsi mac.intil� -- Ven nsiderdwl-%inKkormulti Tamil(per Address: dwellincnnil.lncludi-%attnelrerlparnce. City: Stale: 71 P:itill W tiervity included: Phone. 1971?1 Fa '.-mail: I(NN)sq.ft.or less 4 CCB no.: I DWS3 1 Elec.bus.lic.no:51f& JLF, Each additional 500 sy.It or portion thereof Limited energy,residential _ 2 City elro tic.no.: Limitedenergy,non-residential 2 _ Fitch manufactured home or modular dwelling Si nature ol'supervising electrician levy im- Date Service and/or feeder 2. Sup.elect.name(pont r. License no: Servlccs or feeden-Installation• alteration or relocation: POOPEMOWNER 200 amps or less 2 Name(print): NAP„ V _ He" 201 arnps to W)amps — - 2 - t,-' A,101A-Am 401 amps to 600 amps 2 Mailing address: 911M FAILS 601 amps to I(XX)amps City:MAff L Slate09, 7IP: over I(loo limps orvolts 2 Phone.: Fax: l:-mail: Reconnecroniv I Owner installation:The iwlallalion is being made on property I own Tempornn xenicm or feeden which is not intended for Tale, lease,ren(,or exchange according to Installation,aueration.orrelot m: ORS 447,455,471), O I. 2(N)amps or less 2 201 amps to 400 amps 2 owners 5i naturc r4,,to 60o nm s 2 ENGMEER Rrioull(.lrruils-new,alter alinn. or extension per panel: Name: A. Fee fur branch Litt.nils with purchase of Address: _ service or feeder fee,each branch circuit 2 City: Slate: LIP: N, Fee for branch circuits without purchase of service or feeder fee,first branch circuit. _ 2 Phone: Fax f-mall Each additional branch circuit _ Mise.(Service or feeder not Included): U Service over 225 amps-commetow j Ilea)(h Cate faclfily Each pump or irrigation circle 2— •Service over 320 amps mling of M2 2 U Hazardous location Each sign or outline lighting 2 familydwellings U Building over I0,w)square feet four or Signal circuit(s)or a limited energy panel. Cl System over 6M volts nominal more residential units In one smicmre alteration,or extension* _ 2 U Building liver three stories U Feeders,41x)nmps at mora vl h-wri tion — U(kcupani land over 99 persons U Manufactured suniclures or RV park 1 avh additional Inepectlon over the allowable In any of the abort: U I'.aleas/liglilhrgpl[lit U Other -- --- Per tits tcuum submit—_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all Iudadlclions accept credit carie,please call pttisdiction for more informallon Notice:This permit opl,licalion Permit fee.....................$ U Visa U Mastercard expires if a permit is not obtained Plan review(al _ %) $ Credit card nntnhrr _— _ -_L_� within 180 days after it has been State surcharge(819) ....$ saccepted as complete TOTAL ........ $ " Nome lir rer�Ti r1—r s'sTnwn on credit cud— IL— S ('iudhn6kr signalure Amount —. _ 4411.461s lr,Rna'rlMt CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #: MST2001-00038 Aute ISSUCd: 3/8!01 Parcel: 2S11 ODA-06800 Site Address: 15190 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 029 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. Your company has been indicated as the electrical contractor for the perm it indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST SINN, OR 97068 CLACKAMA'S, Or: 070Ann WEST Phone ##: 503-557-8000 Phone #: 503-657-0142 Req #: su" 618s uc 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X� Signature of Supervising EI ,ctr(� ician 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 CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00038 nate !ssued: '1/8!0! Parcel: 2S110DA-06800 Site Address: 15190 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 029 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. Your company has been indicated as the plumbing contractor 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 is received OWN[=R: PLUMBING CONTRACTOR RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE APIEST L.INN, OR 97068 BE VERTON, OR 97008 Phone tt: 503-557-8000 Phone #. 644-8698 Reg #: 1 If: 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 721 CITYOF TIGARD _ SEWER CONNECTION PERMIT SVVRDEVELOPMENT SERVICES PERMIT `<:DATE ISSUED: 3/8/01 3/8/01 1-00024 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-06800 SITE ADDRESS; 15190 SW 107TH TERR SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 029 i JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling Owner: _ FEES_ RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR --- --- WEST LINN, OR 97068 PRMT CTR 3/8/01 $2,300.00 27200100000 INSP CTR 3/8/01 $35.00 27200100000 Phone: 503-557-8000 _ Total $2,335.00 Contractor Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and 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. Issued by: Permittee Signature: Call (5/003) 839-4175 by 7:00 P.M. for an inspection needed the next business day RrP0eJ*Atr8b A R&V's/0Ae S CITY OF T'IGARD MASTER PERMIT • PERMIT#: MST2001-00038 DEVELOPMENT SERVICES DATE ISSUED: 3/8/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15190 SW 107TH TERR PARCEL: 2S110DA-06800 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 029 JURISDICTION: TIG REMARKS: Nev,SF detached. BUILDING REISSUE: STORIES: 2 FLOUR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,720 sf BASEMENT. 91000 sf LEFT: S'dOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,765 sf GARAGE. 808 of rRONT: 25 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7 VALUE. S 392,225.00 OCCUPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 3.485.00 sf REAR: 59 PLUMBING SINKS: 2 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAY.INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDE.RS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 800SF: 9 201 •400 amp: 201 •400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amp: 801+ampe•1000v: MINOR LABEL: 1000+amplvoll PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>=225 A.: >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL. At1Pln A STEREO. x VACUUM SYSTEM: x AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGIAH r•1 ARM x OT14: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER, x CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: x DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS- Owner: Contractor: TOTAL FEES: $ 8,394.09 This permit is subjectto the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code,State OR Specialty Codes end all other applicable laws All work will be done WEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans. This permit will expire H work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phnne Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rego: LIC 049955 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, Slab Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp ApprlSdwlk Insp Sewer Inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Footing Insp Post/Beam Mechanlca Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Foundation Insp Underfloor Insulation Plumb Top Out Exterior Sheathing Ins( Rain drain Insp Plumb Final Slab Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Issued By : � -- Permittee Signature : <,�A✓ Call (503)639-4175 by 7:00 p.m.for an Inspection needed the next business day Building Permit Application City of Tigard L)atereceiv'ed. <�� Pernlit no.:�/1 Address: 13125 S W Hall Blvd,Tigard,OR 97223 �1 /`�r �j r�3 City of Tigard Prolect/appl.ne.: Gxpirc date: Phune: (503) 639-4171 (1 Date issued: Fax: (503) 598-196 ____ HY receipt no.; Case file no.: Payment type: Land use approval: U,famil :Sim lu —__ y p Complex: - 1 &2 family dwelling ur accessory p Commercial/industrial U Multi-lamily `<New construction CJ Demolition U Add iliurl/alteration/replacente lit U Tenant improvement ❑Fire sprinkler/alarm U Other Job address: � I-olBlock: Subdivision: -1 - _ Lildg.nu._ suite u.: Pro.cct n_ar_ue: --- N G�T'� _ 11'ux map/out lot/acc0uul nIIa: //0 O0; Description and location of work on prenlises/special conditions: Nance: RE 1*ANG IVl''finV address: _ City: I &2 family dwelling: tit T �. tilate: LIF' Valuation of work......t .7 7 V t� G �' , Phone: Fax: fi-nr:ul: ............................. $ >� Owner's representative: Phone: No.of bedruoms/baUts............... 1/l . -SM I1}�" Total number of hours................................. I;1 .,�(� I n,•ul New dwelling area(sq, ft.) ......30.70..... Garage/curport area(sq.ft.). . -' Na le: - - - Covered punch area(sq. 1'1.) Mailing adders' - City: heck area(sq, It.).....•..... _........................ - � _ I!e: Zll': Other sintc'ture area tsq. It.) Phunr: I'•'1 �� - E-rtluil: ContnrerciaUinduslrialhuulti-family: ---�- - ' Valuation of work.......... $ .... ..... Business nunlr: Existing;bldg,area(sq. It 1 - Addre.ss: "_ - - New bldg.area(sq, li,)............ . .....•.....,... City: State: y_!p Number of stories.................... Phone: Fax: —- ux: Ei-tttail: 'I'Ypr Of construction............ - .......... .......... CCE;no.: Occupancy group(s): Existing: City/nlc:u,r hr m, - -- - New: EMEWAI p IW Notice:All contractors and subcuntru'turs arerryuired to be licensed widl Ute Oregon Construction Cuntracturs E3o;trd under O provisions Of OILS 701 and may he required to be licensed in ale Address pi (C% jurisdiction where work is being p Cit _ rNbnned. If circ. applicant is exrnlpt from licensing,lite fulluwing reason applies: Cunttrct person: rhr,nr�' -1251 I -14414, --- r; G www. Pvko, y I y} Nance: G� utact pets n Addtrss 'Lj ---- R Fees dor uixrn applicauun .................. .. . City: Date Int riw•I. - '11�1N titate: - 71 P: ----- ----- E'hunc: -�La 20 AnluUlll n ,r�rrl I;a. ;........ __ Z a L-mail: _ hereby certify 1 have lead and examined Ulis application and the I'I"!:" rr,er to 1'ee schedule. altaClied Checklist. All pfOvislOns of laws and ordinances govemill r Illt•, U V�lyrwi�.lirnrnu scepi ctnLi cr�,la,pluuse rdl lurfxl Okul:111olentunnatjon Work will be cunlplied 1, K'llCaler 9pCClflld hCCCllI Or't1UL U Mnctrrc aul .. r'rrdrt cwd nrurd,erAuthurited simaur1. -....._ .._-._�_ loft:Print na/ne• - - NrKlt cwdNoucr;phis permit applicutiuu rxplrrs it a perinnut ublainrd wiUlin 18U Jays alter it has been areal Icd as eontpleuul441r461.t e6'1tiYCUMr i Plumbing Permit Application City of 'Tigard U:nerecetvel: Permit no.: Address: 13125 SW Hall Blvd,Tigard,Olt 97223 Sewer pet mit no.: Building permit no.: "7 Phone: (503) 639-4171 — Pruject/appl.no.: Lxpire date: Fax: (503) 598-1960 Date issued: fay: Receipt no.: - Land urn approval: f ase tilr — -- i„ Payment type: 1 I ,l' 2 fanuly dwelling or accessory O Con►nterriaUindustrial ❑Multi-family ❑Tenant improvement A�New construction O AddiIion/alteration/re place ment U Food service U 1)I I irr: Job address: isp � ��'�� ` , • Ucscriuti'n (ft Frc(ca.) TotalBldg.no': -- Suite no.: New I-and 2-family do ellutgs only. Tax neap/tax lot/account no.: — (includes 1OUf1-for each utilit ycx,nncctiva) l ut: �„ Block: Subdivision: — SUR(I)hath Project naive: — — __ SFR(2)hath City/'county: SFR(3)bath — ZIP: Z _ Each additional ba kitchen Description all,] I .aUcnl of work on premises: _ Sheutilldcls! � �—NNG�— �tLY � Catch basitt/area drain list.darn of..Int pletiutt/inspecuon: Drywells/leaeh line rench drain-- W M71 Footing drain(io. Business name: Manufactured home utilitir_s Address: �j t1 tt,,-�� --- —._--- -,YJWUIules Cit Clain drain connector —' — y Slate + ZIP: 11 Sanitary sewer(nu.lin.ft.) -- Phone: Fu— T L"" moil; Sturm sewer(no.lin. ft.j CCB no.: Plumb. bus, reg.no: Q.. Water service(no, lin.ft—) City/metro lir.no.: Pb -lithe or licit: C_ontractor's lerl -ntative signature:- , Absorption valve Print name pp ` Back flow preventer t t Backwater —valve-(lavatory Nnuuc: _PE (Tot—hes washer Address Dist s_her City:` �_ i State: 71P; l)riukiti fiiuntuin(n) �- — Phcm'• I,r� E'ectors/sum s — h.-mail Ex tansiun lank f ti FixtureJsewer�t Name(print): �� Flour druins/Iluor sinks/Itub Mailing address: L w Qarbage disposal — A Q City: — Stare: ?.1P`/�Q hove bibb Phone: �,a — C.nicker — — li mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation primer(s) will be made by me or tllc nnaintenartce and repair made by my rgularRtxif drain(con employee on the pI t I own as per ORS Chapter 447. _ — slpnature. +—ter i 7.1 7J`O I Sink(s), Owner'~ asin(s),lays(s) Suntp I ubs/shower_/shower pan Name Urinal —` Address: �jl �. ----- Water closet State:_�--- Z _ atetTeutrr" 1'I tun ?1I'' -- -�� Nut all Jwixnirnutu tuept crWit carAs,rleax.all Jutiediniun fur nxrce Itdnntution U Vixa U Mmtctciud Nuticc:'flus pernfl application Minimum fee................$ �__---- Credu i,ud nutnbe, 1` expires il'a permit is not obtained Plan review(al — ,) $ -- Gnpirw widiin 180 days after it has been ~tate surcharge(8%) .••.$ Narne of ciudhuldrt u a own on credod— accepted as wntplete, '1'U'1'AL ....................... _ -- Canlhu7Jer tibnature -----� _ s Amount 440 46l6(~OM) Mechanical Perinit Application Cit bate received: Permit no.: - - - - - y of Ti gand Project/appl.no.: Expire date: C'iryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 --- Phone: (503) 639-4171 batt issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: Wunwatiallm )<1 &2 family dwelline or accessory U Commercial/industrial U Multi-I'arnily U'Tenant improvement 1KNew construction U Addition/alteration/replacement U Ot.her _ JOB SITE INFORMATION CONMERCIA 1 ---- t Job address: 5 19-- 1, Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: M I Block: Subdivision:C14CV.SW *See checklist for important application information and Project name: jurisdiction's fee schedule for residential pernhit fee. City/county: tkryw I'ZIP: r Description and location of work on premises: r 1 r Est.date of completion/inspection: _.- — b.+r,;pti itt -_ Qly. 114n.onfy Res.only Tenant improvement or change of use: r Is existing space heated or conditioned?U Yes J No Air handling unit ` CFM_- Air conditioning(site plan require ) Is existing space insulated'?U Yes U No Alteration of existing HVTC system 1 1 ' of er compressors —— --" Business name: _G P-� State boiler permit no,: _ — HIr Tons BTU/I I Address: Z, Q ire/smoke am cr uct smoke detectors City: 6 WW_ I State: 'LII'_ Z — eat pump(site plan require ) — Phon . VZA2. I Fax: I:-mail: inuall/rep ace untacrJtturner T' /C'CB no.: _-- D - Including ductwork/vent liner O U Yes Nu ---- ns(a1/repinee/relocate heaters-suspend, City/metro lic.tit).- wall,or floor mounted N:unr(please print): eat fur u p,fiance nt er t tan ornate 1 1 efr gerat un: Absorption units_ _. BTU/H Naine: 4:4Chillers Address: ~��^ - Cunt pressors --- -Titivironmenital exhaust and scoiiladow City. ---- Stale: ZIP: Appliancevent Phone: I ax — E-mail: )ryerex taust — 0o s, ype II/hcs.kitclien/ umat hood fire suppression system _ Name: Gxhaust fan with single duct(hath fans) Mailing address: j J1 :xhaust s "rm a ort 1'rum heating or A Cily: WW V 151a1r 21f': ld url p p ng and disliribution(up to 4 outiets) - ly a —IT(; __ NU oil (blob 1'a j/ E-mail: Fuel piping each additional over 4 outlets lillill.mot el 111:10 Process piping(sc ematicrequire ) Ninth. ri Nunthcrul outlels --- 1 er stid opp once or equipment: Address litfpwl 44 — Decorative iire lace P Slab: LIP: #Il_v!r I nserI-t pe — I'li ni.rgsemg If-nt'til: ext stove/Ix)lct stove Ut ter: Applicant's :ugnuuuc: 17a1e:'j Z, Other- Name er. Name (print): - Not all Jurisdictions accept cieda cards,pleatt cell tuttsdtcnon I.n mote infonnati„a Permit fee.....................$ -- U Visa U MasterCard Notice:this permit application Minimum fee................$ _ r expires it'a permit is not obtained Plan review(at __ t'rrsnt curl ouodKr. 1.� 1F)) $ Expires within ISO days oiler it has been Stale surcharge(8%)....$ _ Nine of catdrtu der u shown on credit cad accepted as complete. — --- -.--.-_._— Cardhohkr slgnawre —_-- - f Amount ")J6t7(MMV(OKI) Electrical Permit Application Date received: I'Cr Illll nu.: City of Tigard Project/appl.no. Expire date: City ujTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Phone: (503) 639-4171 Date issued: gy: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement *ew construction U Add itiran/alot alirm/replacement U Other:_ U Partial t Job adds ,. 1 .1� p - � Jam! r"' Illdt'• n l.: Suite no.: Tax map/tax lot/account no.: Lot: � -—..— � Bruck: �Juhrh�ision: � Project name: i Description and location of work on Premises: "= 'F`--F - _ Estimated date of completion/ins pecti nr 1 ! Job no: Fee Max Business name: / G Description Ql (ra, Total nu,ins r Address; —WX 14Z/� +�, Ncwresidc-inial-sinKleornruitifumilyta'r city: G dwelling tuft.Includes atluchcA garage. tilalr:QK• ZI1): 1olS 5ervicelncluded: Phone:6095q• 0 2, Fa V G•fllail: 1000 sq It.or less 4 CCB no.: Q Elec,bus.lic.no: Fach'rdditional 500 syw ft,or portion dnereof� ' Limfted ener ,reside sial 2- City/metro tic.no.: Lilnitedener y,uon-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician(required) Irate Ser vice and/or feeder 2 Sup.clecl.nalnrlpenrr unn Services or feeders-Installation, OWNERPROPERTY alteration or relocation: 200 unips or less 2 Name(print): �.,.,w 43 2111 amps ht 4(1)amps -i Mailing addrrs.s: Z 401 amps to 600 amps 2 h01 amps to 1000 amps 2 City: w-- --_ Stale:� 7.11': Q Over 1(x10 amps or volts 2 Plt(tnt Fa E-mail: kccormcct onl —1 Owner installation:The installation is bring made on property I own Temlwri ryserstcesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,allerailon,orrelocation: URS 447,455,47t), ) 701. 2t91 amps or less __-- _ 2 Z �) D' 201 amps nr 400 amps - 2 Owner's SI(-nattrl C f)alr' _ 4111 1000 1111111s 2 Branch circuits-new,alteration, Name: (& or extension per panel: A l'ee for branch cocui,s with purchase of Addle'., Ijw service or feeder fee,each branch circuit Cil). Slate l.11'—�' � II Fee for branch circuits without purchase Ishr mr I;n _ of service or feeder Ne.,firs,branch circuit I:-nhul: _ Bach additional hranclr circuit — Mlsc.(Service or feeder not Included): U Service over 225 anps•commercial U Hcallh-carcfacility Hach pufliporinigalioncircle i U Service over 320 apps-ruing of I&2 U Hazardous locution Huth sign or outline lighuug 2 family dwellings U Building river I(IAK)square rev,four or Signal circuit(s)or a limited energy panel, U System over mill volts nonunal more residential units in one structure aheratlon,or extension* Ll Building 2 6 U Feeders,41x)amps or more �I reser aiun. U(kcupant load over 99 persons U Manufactured structures or RV park — ---- U F.gress/lighling plan U Other. Eich addillonal inspect-un over the dlowsble In any of the■bore: ---- -- - perinapectlun Submit—seta of plans with any of the shove. Investigation fee The above are not applicable to temporary construc• ion service. other - Not 111 jurisdictions accept credit cards,please call jurisdiction ha naar inhutnaoranNotice:This permit application Permit fee.....................$ U Visa U Mastercard expires if a pennit is nut ublained Ilan review(at _ %) $ _ rredn card number ------_---�---_- - --�-, within IM)days aller it has been Slate surcharge(896) ....$ -- _ _�:xprres Nanta of cuilhui u own on crc h c accepted as complete. TO TA I. .......................$ C'wdhuldcr elgnauue ---_----- -Amount - 4404615(&VV('OM) SEE 35MM ROLL #21 FOR OVERSIZED DOCUMENT r n C '?9 O O � � Q - a � w c a ° W c w• �. wen � h .d a ry �• � n A a � On' ti 1 ti 'T1 A 7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2&61' e'0C'3? 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested /I _ �.S —AM_ PM _ BLD Location_ / 5 1 -° C / G 7 Suite _ MEC Contact Person —2-try--f— Ph 0 3/ 6 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wali ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab - --- SIT _ Post& Beam Ext Sheath/Shear ---.__— Int Sheath/Shear Framing ----------- - -- ---- Insulation Drywall Nailing Firewall Fire Sprinkler — ------- Fire Alarm Susp'd Ceiling — Roof Misc: - ---- -- AS ART FAIL - --- ---- — �- - -PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final — PASS PART FAIL MECHANICAL Post 8. Bodin,, -- -_----' Rough In cx90-ine — - ,mQke DErnl�ts F'ri• --- ----- ASS PART FAIL TR_ICAL - Service — Rough In IJG/Slab — — L ow Voltage Fire Alarm Final PASS PART FAIL — SITE Backfill/Grading — Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Gatch Basin Fire Supply Line ( J Please call for reinspection REQ_ — ( ]Unable to inspect-no access ADA Approach/Sidewalk Date •_ / / _ /l� Inspector Ext Other - Final PASS PART FAIL 00 NOT REMOVE this inspection record from the joh site. CITY OF TIGARD BU" DING INSPECTION DIVISION Ms1 Zc01 wo3Y' 24-Hour Inspection Line: 63.. 4175 Business Line: 639-4 1 BUP _ _Date Requested lI `e/ ____AM PM BLD Location / rj U /�� 7 �'` (� r c Suite MEC _ Contact Person LJr Ph _ c� y � �� U 7— PLM — Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. - Found"non FPS Ftg Drain SGN - Crawl Drain Inspection Notes: -------- — Slab _ SIT Post& Beam -- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation .__---- -- --------- ---- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof -- - -. - - --- Mise;. }SASS PART FAIL PLUMBING Post& Beam -- - ---- Under Slab Top Out --- -- - -- Water Service Sanitary Sewer - —"-- - -- Rain Drains Final --- - - - PASS PART FAIL MECHANICAL - - - - --- �. Post& Beam - -- -- - - - Rough In Gas Line - -- Smoke Dampers f'A�S PART FAIL ELECTRICAL - - -- - Service -- Rough In -- UG/Slab Low Voltage - - --_ - Fire Alarm Final PASS PART FAIL - SITE ------ -- -- Backfill/Grading -- -- Sanitary Sewer Storm Drain I J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE' Fire Supply Line f 1 P _ [ J Unable to inspect-no access ADA Approach/Sidewalk - r Other Date Inspector Ext Final PASS PART FAIL- 00 NOT REMOVE this inspection record from the job site. CIT i OF TIGARD BUIL vG INSPECTION DIVISION MST —�- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BUP Date Requested _ AM�_—PM _ BLD Location / `S /`j f��Z ` 2 L Suite MEG Contact Person Ph _� �1 - Y PLM _— Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access _-- -.T-T--- Foundation FPS Ftg Drain ---- SIGN - Crawl Drain Inspection Notes Slab _— -- srr Post& Beam - Ext Sheath/Shear Int Sheath/Shear ---- ----_.__.— Framing - �-^o�� IE}� �a� � �`"'r-�•�5G __J_ �__, . ._ _.._ Insulation _ Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ---- PASS PART FAIL.. - -- PLUMBING Post&Beam - — ---- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL [lost& Beam ----- -- -- Rough In Gas Line -— Smoke Dampers , ,PASS PART FAIL. LE CAL _ Service Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading ---— - - Sanitary Sewer Storm Drain I J Reinspection fee of$_ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I )Please call for reinspection RE' _ [ ]Unable to Inspect-no access ADA Approach/Sidewalk Date c' —/ I` ��! Ina ator Other Pe _ _ __ -- Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. r — CITY OF TIGARD BUILD "IG INSPECTION DIVISION MST 24-Hour Inspection Line: 639-411 a Business Line: 639-4171 - BUP - _ Date Requested / `LAM PM —_-- BLD Location S/ 1 L /G' 7 c L L.. Suite _ MEC Contact Persons ti..- r Ph C�� ---5[' PLM — Contractor e9 Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall ELR Footing Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Notes' ------ — Slab __— .._�. . -- ------ ----- -- SIT Post&Beam ----- -------- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ _ .--_----_---_----_-___. Firewall Fire Sprinkler _ --__- Fire Alarm Susp'd Ceiling — - — _— Roof Y��C? C Misc: -- -- --- --- - --- Final l -- — - PASS PART FAIL PLUMBING Post& Beam Under Slab Top Out - -- — Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - - - Rough In Gas Line Smoke Dampers Final -- - - --- PASS PART FAIL Service Rough In - -- UG/Slab Low Voltage Fi Alarm PASS PART FAIL -_ - Backfill/Grading Sanitary Sewer Storm Drain j j Reinspection fee of$ --required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin j Please call for reinspection RE:— _ j j Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk �7Cl inspector I-VL' Ext Other '�-�'`Date Ins e, p . _.... .� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 539-4175 Business Line: 639-4171 MST BLIP _ Date Requested_ Vim^ - C / AM PM BLD Suite Location �/ MEC Contact Person Ph _ PLM Contractor Ph _ SWR _ I3UILDk'NG Tenant/Owner ELC Retaining Wall — — Footing R ,S ELCO---�-1 Foundation Access: —,- FPS Ftg Drain ----- _�_ Crawl Drain Inspection Notes SGN Slab ------ Post& Beam ------- ---__— -- -- --------- -- SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ----- --__.--— - - Susp'd Ceiling _- Roof — Misc: l��i ' Final — P<,SS PART FAIL --_. PL'IMBING �� _ PostBBeam - - - -- _ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL '— Post& Beam _ /c Rough In Gas Line ---- —_ __ Smoke Dampers Final FAIL ELECTRICAL Lervi`_g,- Rough In — -- -- Low Voltage — — F' - PASS ART FAIL E- Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ `required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bashi Fire Supply Line I ]Please call for reinspection RE: ( ]Unable to inspect-no access ADA Approach/Sidewalk LL� ry Other nate Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.