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10800 SW FAIRHAVEN WAY Z) G.m',4/n/0- I 17. a 8 �/S T Lv/¢iZ�G.� fgr 4 2 X& Z X/O c v-,L a-4 o.c. ,?x4- QCT wAu--S . /►f I D W I►LA.- � ,� �/��L@"" Obi✓ it Teo;pdam', 9o?w2-2 3 1 , NOTICE: IF THE PRINT OR TYPE ON ANY �( ► jl ( f 111 ( 111 11111 ( 1 IIIIIII IIIII ( i 1111111 II � LII1 1 �TI1'�f f �'f1111 IIIA I IIIIIII IIIIIII I ( Ilill IIII ! I III ( II ) II111 � 1 I � 1I1I > 1If11 I fllll � l 1 � 1 � 111 ( IIII � I IIIIIII IIIIIII 1111111 ,� r �� r) , IMAGE IS NOT AS CLEAR AS THIS NOTICE, OLL. 10 11 12 IT IS DUE_ TO THE QUALITY OF THE ORIGINAL DOCUMENT 0 V 6z 87, L Z e z S Z Z E Z Z I Z o Z 6 t S t L t 1 i 1 I s i ju � �lllllll llll III �IIIIIIIlll �1�111 ho I I I i i I , I 10800 M FAIR VM WM CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT PERMIT #PERM . . . : SWR 97-025.?, DATE ISSUED: 06/27/9 PARCEL: 2S 103DD-0014 30 1_3 T TE ADDRESS. . . : 10800 SW FA I RHAVEN WAY SUBDIVISION. . . . :FAIRHAVEN COURT 7CININC3: R-3. 5 BLOCK. . . . . . . . . . 7T. . . . . . . . . . . . . :8 JURISDICTION: TIG TENANT NAME. . . . . : IDSA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 Ca-ASS OF WORK. . . ,NEW D14E.LLING UNIITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0 INSTALL_ TYPE. . . . :LTP TMPERV SURFACE: 0 sf Remarks : Connection to Fairhaven Way sewer line. Owner,: _-- --- -- -- -- ...__.._.._..._._.. __ ___ - -_ __ - - -___- - --- - FEES ----- RAL_PH PETERS type amor.int by date ret:pt 10800 SW FAIRHAVE WAY PRMT $ 2200. 00 DRn 06/27/97 97-296-,531 TIGARD OR 97223 INSP $ 35. 00 DRA 06/27/97 97-296531. MISC $ 450",. 88 DRA 06/27/97 97-296531 Phone #: Cont Tactor: OWNER Phone #: $ 6;740. 88 TOTAL_ Reg #. . : ----- -- REDUIRED INSPECTIONS - -- - This Applicant agrees to comply with all the rules and regulations Sewer Insper_t; ion of the Unified Sewage Agency. The permit expires 188 days from t`c date issued. The total amount paid witl he forfeited if the permit expires. The Agency does not guar,.ntee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 felt in all directions from the distance given. If not so located, lop installer shall purchase a "Tap and Side Sewer" Permit and the regency 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 952-881-8818 through OAk 952-MI-SAA. You may obtain copies of these rules or direct questions to OUNC by calling 15831246-1987. Iss�_red h 'ML Permittee 5' Tiatrarpi� u,`LiL '� ++++++++++-1++++++++++++++++++++++++++t++•+++-r•+++++++++4•+++++++++++a++++++++.+++++ Call 639-41.75 by 6:00 p. m. for, an inspection needed the next oi_isiness day +++++++++4.+++++++++++++++++•+++++++++++++++++++++++++++++++++4+- +++++++++++++++++ TY OF TIGARD ung Application .125 SW HALL BLVD. Commercial and Residential Gate Rec'd - 3AR0, OR 97223 Data to P E. )3) 639-4171 Date to° T 5 Permit 9 :5 Print or Type Related SWR s Incomplete or illegible applications will not be accepted called_ No"of .FUS'rURES;pndlviduall Job Sk* 9.00 = ���./n L i�� �F/L'�� - Ad tress Streef Address gUftLaval" 9'00 rl Tub or Tub/Shower Comb. 9.00 elca aa ,fib"P��.; shower only 9.00 Water Closet 9.00 Name `I ( , I G / C owrmasnw 9.00 Garbage Disposal 9.00 Owner M�9 Addrau waslwg Machine 9.00 c tgfsum Zip Phone Floor Drain 2' 9.00 Y 9.00 hVarn�J �/ql ,�S /�1 n1�� 1• 9.00 iccupant Ming Address suit* Wats Floater 900 Laundry Room Troy 9.00 GtylStats Zip Phone umal 9.00 Name (DOWFixtures(Specify) 9.00 9.00 ,ontractor hloltirh4Addm" sunt 9.00 9.00 ,,nor to issuance 'CltyfStats Zip Phone - 9.00 applicant rust _ provide all Oregon Const.Cont.Board scat Exp.Date 9.00 corwsdors 9.00 Icer" Pkimbng Lir:s Exp.Date Sewer•1st 10o' 30.00 hflontydon Sewer-each additional 100' 23.00 for COT COT Bwrheso Tax or Metro• Exp.Date Water Servirs-1st 100' 30.00 database). Na" Water Servim•each Additional 200' 23.00 Architect Storm 8 Ran Drain-1 st 1 W 30.00 or Ms*V Address Suite Storm&Rain Orate-each addltlonel 100' 28.00 Mobde Home Space 25.00 Engineer rityrStab Zip Phone Cornmerdal Bads Flow Prevenuen Device or Anti- 25.00 Pokabn Device Psrnbe work New O NidMbn O AReratlon O Repair O Residential Backflow Prevention Device* 15.00 bP done: Res+derift O Non-4asiderift O Any Trap or Waste Not Conneued to a Fixture 9.00 .mroonal desviptlon of work Catch Basin 9.00 Insp.of Exhsflny Plurhbing 40.00 perft --_ --. nng use of Specialty Requested Inspectilms 40.00 r ding or property Rain Dramsin . gle family coating 30.00 ,ccsed use of Grease Traps 9.00 urlding or property! QUANTITY TOTAL .rr you capping. movvhg or replacing any Armes? Yes c] NO❑ Isanoft or riser diiigram is reVurw/Curry Total a >9 k.:w :,.1 If see beck of form) 'SUBTOTAL wrrby acknowledge that I have ead this application,that the information ,en.s correct that I am the owner or authorized agent of the owner,and 5%SURCHARGE at clans subtained am in compliance with Oregon State Laws. 'mature of OwnsrfAgeM Date PLAN REVIEW 25%OF SUBTOTAL , Reavfflse anti I ftfire Qq total is s 9 TOTAL - intact Psmnlimine Phone •Minknum permit fee is$25+ S%surcharge,except Resdenfial Backflow Preventkm Device•which is$15•5%surcharge L\plmapp.doc 12196 (dst) 'LEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced C2 Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2w- 3" 4" Water Heater Laundry Room Tray Urinal _ Other Fixtures (Specify) :OMMENTS REGARDING ABOVE: l:\phnapp.doc (dst) CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLM97-0161 DATE TSSLIED: 05/06/97 1:,ARCFI,-: 2,9103DD-00430 SITE ADDRESS. . . : 10800 SW FAIRHAVEN WAY Sl 3 JBD I V I S I ON. . . : FAT IRHAVEN COURT ZONING: R-3. 5 BLOCK. . . . . LOT. . . . . . . . . . . . . :8 JURISDICTION: TIG CL..ASS OF WORK. . :ALT GARBAGE DISPOSAI-9. : 0 MOBILE HOME SPACES. : V, TYPE OF USE. . . . :GF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . - 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : I WATER HEATERS. . . . . 17.1 CATCH BASINS. . . . . . . : 0 I AUNDRY 'TRAYS. . . . . 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. 0 TUB/SHOWERS'. . . : 0 SEWER LINE (ft) . . . : I 00 WATER CLOSETS. : 0 NATER I.-INE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN ( ft ) . . . : 0 Rpni,ir-ks : waste lines, residential (riir-rt-ntly (-orint-rte(I to SPpti (--) Owner: ------------------------------------------------------ FEES RAI PH Pl:JERS type anini.int by date ir-er-pt 10800 SW FAIRHAVF WAY PRMT $ 30. 00 ..TMH 05/06/97 97-294220 TIGARD OR 97223 5PCT $ 1 . 50 ..TMH 05/06/97 97--E'.94220 Phone #: OWNER Phone #: $ 31 . 50 TOTAI- q 9999913 RFQI)IRFD I NSPECT TONS This permit is issued subject to the regulations contained in the PLM/l Itici et-f I nor Tigard Municipal Code, State of Orr. Specialty Codes and all other Final Inspection ,inn. 10-able laws. All work will bi done in accordance with Rorroyed plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended fnr more thin 180 days, 1 1 1 ITI i t t e P Signature' Pv- F,i 1 1 for i n pLort i on 639-4175 ,;;TY OF TIGARD Plumbing Application Rec°By '30 25 SW HALL BLVD. Commercial and Residential Cafe Recd "GARD, OR 97223 cats ° e Cate ro CST 503) 639-1171 Parmlla Print or Type Related SWR a Incomplete or illegible applications will not be accepted Called Name of CeveloomennProject FIXTURES (Individual) QTY I PRICE AMT Job -� T UM / 5mx 9.00 Address S"eetAddress Suite Lavatory 900 ruo or i uDjShower Camo 900 B1.1g a y,i rt�(e 'ip r,7 h Shower Only 900 l/L� ryIE�J �),�'� Q/-[ < Water Closet — 9.00 Disnwasner • � � .30-0 Owner Maing Address _ r Sege Garoage Disposal 900 IV �l�)�-.�/,f 14,441& / ),q Wasning Macnine goo S1afe 'p Pht Floor Cram 2 9 00 Name 4• 900 Occupant Mailing address Suite 'Nater Heater 900 p Laundry Room fray 9 00 GryiSlale Zip °hone Unnal 9.U0 _ I Name ) Other Fixtures ISoecifyl I 9.00 e)a) n/ E c 9.00 Contractor Mailing Address Suite 900 9.00 Prior 10 issuanceI CityiSlate Zip Phone — I 9.00 aoclirmust Il3nt _ orovide alt Oregon Const Cont.Board L c a Exp Date 9.00 ::cntrar.om i •. y { (ri,;, 9.00 license Plumbing Lic.a EAp. Date Sewer• 1st 100' 30 06 ,e nfonnanon Sewer-eAh additional 100' 25.00 'or:CT CJT Business Tax or Metro a I Exo Date Water Service• Isi 100' 90.00 —� :lataoasel. Name :+ater Service-each adddlonai.00' 25 )0 Architect Storm S Rain Cram• tst 100' 30.00 or Nailing Address Suite Storm 3 Rain Crain-each additional 100' 25.00 Monde Home space 25.00 j Engineer C,tyistate Zip Phone Commercial Bacx F'ow Prevention Cevice or Anu• 2500 Pollution Device _ ?5.-te .vorx New .. addition AllerallOn)z, Repair zesidentlal Bacir1c v 3•eventlon: ice• j 'S 30 i o C? acne nesidenllal 0 Non-residential .. Ary Tr30 or'Nawt.`Jct Connec*ed 10 a rixtute j I 900 acci,anal desr-notion of wont i � - , i ; ::atcn 3asm � 3 00 � ,nsp or=xi'sting=umoing +0.00 I ceuhr •�s"r^y use 'f Soecsalty Requested Inspections 40.00 c:ng or cronerry /�iFl�",4/-Zl l�C4"&7 oer.hr Ram Cram singe family dweihng I 30 :0 ---sed use of Grease Tracs I 9.:0 i;;rrg or crcoerfy �1`a 460(IL QUANTITY TOTAL �:u :acoing -novirg or reolac,ng any rixiures'1 fes = No ] lsame"x user c agram s recuved I Quanny-=I s >3 _ es see back of forint _ 'SUBTOTAL -v 3ctnow edge;na: nave read this acp ication.that.he information s :orrett 'hat I am -e owner or autronzed agent of,me owrer and I 5% SURCHARGE . :laps sucmitted are - :ompriance with Oregon State Laws. I j _• nature of OwnenAgent Date PIAN REVIEW 250,16 OF SUBTOTAL / i a soused:nn+'.x;t;re:v •cal s>a -- -q-3�.y� TOTAL ontact Pe on Na Phone 'Minimum permit fees 525 - 511,surcharge.except Residential Backflow Prevention Cevice mniG'1 is i15-511.surcharge -- -- — f asts 01mao0 doc 9x'96 'SEASE COMPLETE S APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced L___Q__ty7 o`"�. - ir Sink " Lavatory Tub or Tub/Shower Combination Shower Only Water Closet ,z HCl Dishwasher I, Garbage Disposal Washing Machine Floor Drain 2" 3" 4„ Water Heater Laundry Room Tray j Urinal + -- Other Fixtures (Specify) 'OMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM_ PM SLD Location____LLr��% Lt F ►� hCG A Suite MEC p Contact Person Ph PLM Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR Footing f NOT REQUESTED FPS Foundation FOUND DURING RESEARCH Ftg Drain NOINSPECTION(s) IN FILE SGN Crawl Drain I , Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -------_ Firewall __— Fire Sprinkler �-__--- Fire Alarm Susp'd Ceiling - Rosi Mise I ---------- ------ Final PASS &LT FAIL Post&Beam -� Under Slab -------.._- Top Out -- - -f...-- ---- Water Service -- - - - Sanitary Sewer Rain Drains -- _---- --Fin- ART FAIL --- _ - MECHANICAL Post 8 learn ___—__ --- -------- _---__---- ----- -- _ Rough in Gas Line -- --- - - [ Smoke Dampers Final PASS PART FAIL ELECTRICAL Service -- -- Rough In _ UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Mems ection f�,e of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain f 1 P Catch Basin I 1 Please call for reinspection RE:. ____ __-__ [ Unable to inspect- no access Fire Supply Line ADA 2, Approach/Sidewalk pate G Inspector _—Ext Other _-� Final PASS PART FAIL 0 ZREMOVE this inspection record from the job site. CITY CSF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 15125 SW Hall Blvd., Tigard,OR 97223 (503)6394PERMIT #. . . . . . . :171 DATE- ISSUED: 05/06/98 PARCEL.: 2'S103DD-00430 SITE ADDRcSS. . . : 10800 SW FAIRHAVEN WY SUBDIVISION. . . . : FAIRHAVEN COURT ZONING: R -3. 5 Bl__OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :008 JURISDICTION: TIG CLASS OF WGRK. . :ALT GARBAGE D I SPOSAL.S. : 1 MOB IL.E HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFL.OW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIX I-PUNDRY I RAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : I URINAL.S. . . . . . . . . . . : 0 GREASE TRAPS. . . . . „ . . 0 LAVATORIES. . . . : 3 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 14ATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : I RAIN DRAIN (ft ) . . . : 0 Remarks : Replacing 2 sinks, conve-ting a single sink to two sinks, replacinq dishwasher 9 install a new garbage disposal. Owner: FEES F.-D TAYLOR type amoi-ti-it by date rerpt 10800 SW FAIRHAVE WAY FIRMT 54. 00 DEB 05/06/98 98-305532 TIGARD OR 97223 5VICT 2. 70 DEB 05/06/98 98­30553"'_ Phone #: Cont rant or--------------------------------- WOODBURN PLUMBING L.EL-AND FOSTER VIO BOX 252 WOODBURN OR 970-71 Phone #: '381--405,3 56. 70 TOTAL Reg #. . - 000511 REQUIRED I NSFIF I I ONS ------- This permit is issued subject to the regulations contained in the Misr. Inspection Tigard Municipal Code, State of Ore. Sppcialtr r!odes and all other Insp existing/ca applicable laws. All work will be done in accordapee with Final Inspection approved plans. This permit will expire if work is not started within 182 days of issuance, or if work is suspender; for more than 180 ddy!,. ^rTENTION: Oregon law requires yrd to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 288I-0111 through OAR 952.-222I-M. You may otitair, copies of theie rules or direct questions to OLK by calling (583)246-1987. d B y T s Is I- — Pe r m i t t e e Signati-ire +4.........................................f-+++4-+4.....................4-++++4-++++ Call 639-4175 by 7:00 p. m. for An inspection needet. the next bi-isiness (Jay ++++++..............4++4+++++4.......4A..............4•.............4.............. CITY OF TIGARD Plumbing Permit Application ,clan Che 13125 SW HALL BLVD. Commercial and Residential Recd B TIGARD, QR 97223 Date Recd S=G-� - (503� 639-4171 Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Per it Related SWR*___ Called Name of Development/Project On back Indicate Work Perforrmad by fixture. Job 'FU(TURE3 pndMdUAQ,tv;' w QM -PRICE: .AMT, Address StrIlipt Address Su to Sink I 9.00 oa QebO sLJ FAIR Lavatory 9.00 K, Bldg* City/State ZiP Tub or TublShoh,r Comb. Tj %r 00 Uk. �7Z2� 9.00 Name Shower Only 9.00 t D A Water Closet 9.00 Owner Mailing Address 5.115 E Suite Dishwasher 9.00 City/State Zip Phone Garbage Disposal 9.00 rr Washing Machine 9.00 Name Floor Drain 2' 9.00 3' 9.00 Occupant Mailing Address Suite 4' 9.00 City/State 21p Phone Water Heater O conversion O like kind 9.00 Laundry Room Tray 9,00 Name I, p Urinal 9.00 `� 1 _'"()C)L 9 a D Other Fixtures(Specify) 9.00 Contractor Mailing Address Suite 9.00 Prior to permit C'ty/State Zip P ne 9.00 issuance,a copy pBLUL� 2 os Sewer-1st 100' 30.00 of all licenses are Oregon Const.C nt.Board Lic.* 9p.Qat Sewer-each additional 100' 25.00 required if _1 J 3 Water Service-1 st 100' 30.00 expired in COT Plumbing Lic.* Dto Water Service•each additional 200' database 2 4 151- - P� � •�a 25.00 Name Storm S Rain Drain-1st 100' 30.00 Architect Storm&Rain Drain-each additional 100' 2500 Or Mailing Address Suite Mobile Home Space 25.00 Commercial Back Flow Prevention Device or Anti- 25.00 Engineer r'ity"State Zip Phone Pollution Device Residential Backflow Prevention Device' 15.00 Describe work New O Addition O Alteration O Repair O Any Trap or Waste Not Connected to a Fixture 9.00 to be done Residential O Non-residential O Catch Basin 9,00 Additional description of work: Insp.of Existing Plumbing 40.00 \ &' ". r n I �/J i �ltir S r In ilt. -- per/hr r' n r A I get t�J�,d. 1.•1 Specially Requested Inspections 40.00 per/hr Rain Drain,single family dwelling 30.00 Existing use of building or property,- Grease Traps 9.00 Proposed use of QUANTITY TOTAL building or property Isonwft or riser diagram is required d Quenity Total is >9 'SUBTOTAL •,. ...: I hereby acknowledge that I have read this application,that the Information given is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE that plans submitted are in compliance with Oregon State Laws. Y M slpesttireff Owner/Agent / � Date 11 lJ"rJ1r ^t _ "PLAN REVIEW 26%OF SUBTOTAL Required on t Poue itty totl >g `O5 TOTAL r. Contact Person Name Phone 'Minimum permit fse is$25+5%surcharge,except Residential Backflow Prevention Device,which is S15+5%surcharge -' -- -All Now Commercial Buildings require plans with Isometric or riser diagram and plan review I k stl%i*xnbw doc 515190 PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink I Lavatory 2 Tub or Tub/Shower Combination Shower Only _ Water Closet Dishwasher V Garbage Disposal Washing_Machine _ Floor Drain 2" 3" 4" Water Heater Laundry Room Tray _ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Z ) LNt A ST M- 18 A�L-{ ftR,1&J AJ L 6 S CoA r-J Ti- r� )JEuJ DSHWOSN6-2— U -- cJ E w C 7 fj gAGE -D)- .jk)," L.- w ,a,iebkjM"M eoc 515M CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171 Date Requested: A. _ P.M._ MST: Location: Tenant:�^ _ — Suite:--Bldg: _ MEC: Contractor: Phone: � _ I LM: g 7— (hvncr: Phone:. Lz 0 T ---- ----- ------ ------ --- — ELR: BUILDING BLDG(con'y PI,UMBIIr�' MECHANICALS ELECTRICAL �SITE n� Site I'ncl/I�rr+m na rnm poi{/l}n 2l1 C'nvc-,'ScrvicC iCltcli�lullll Footing Roof UndFl/Slab Rough-In Ceiling Water line Slab framing l'ou Oul Gas line Rough-In 110 Sprinkler Foundation Insulation Sewer _��,� Ilood/Duct Reconnect Vault lismt Damp Drywall Slonn furnace 'temp Service MISC. Masonr}' Ceiling Rain Drain AX U<<Slab Shear/Sheath I'ire Spklr/Alm Crawl/I'ound Dr l lent Pinup I'm Volt Approved Approv-R> Approved Approved _-- Appr/Sdw1k Not Approved over{ Not Approved Not Approved Not Approved FINAL FINAL ; FINAL FINAL FINAL - -- -- �`t O Call for rein-spection O Reinspection fee of Sr �ni(r t>;fore next inspection O Unable to inspect Inspector:__/ Page_�— of P O Y - A Proposal No. EXCAVATION INC. Date�gjL — 21258 SE LANSING LN. Sheet no. BORING,OR 97009 OFFICE:666£357 • PAGER:299-5478 Proposal Submitted To: Work.To Be Performed At: Mame Street 1 1 Street CityJ—'1#4,41A - City State State lDate of Plans Phone Architect We hereby propose to furnish the materials and n?rfnrm the lahnr nacNggary Mr the rmmrilation of �- - C2 - All material is guaranteed to be as specified',and the above work to be performed in accordance with the drawings and specifications Asublor abovework and completed in a substantial workmanlike manner for the sum of Dollars with payments to be made as follows: Any alternation or deviation from above specifications involving extra Respectfully submitted costs,will be executed only upon written orders,and will become P y an extra charge over and above the estimate. All agreements Per contingent upon strikes, accidents or delays beyond out control. Owner to carry fire,tornado,and other necessary insurance upon above work.Workman's Compensation and Public liability insurance Note-This proposal may he withdrawn by on above work to rq taken out by: us it not accepted within days 'Not responsible for broken water lines and underground utilities ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Payment will be made as outlined above. Date —__ Signature — Signature __ _ RECEIVED AUG ] 2 1997 COMMUNITY UfVFI1 mtIII CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES DATE ISSUED: 9/21/01 T M , 001-00314 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103DD-00430 SITE ADDRESS: 10800 SW FAIRHAVEN WY SUBDIVISION: FAIRHAVEN COURT ZONING: R-3.5 BLOCK: LOT: 008 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FIRST: sf N: S: E: W: TYPZ OF USE- SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: sf N: S: E: W: O'CUPANC',' GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: ME7.Z?: _READ SETBACKS _ REQUIRED FLOOR LOAD- psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING. VALUE: $ 3,500.00 Remarks: Replacement existing double door garage door with single door garage. Owner: Contractor: TAYLOR, EDWIN L + HELEN R TRS MASTERCRAFT ENTERPRISES INC 10800 SW FAIRHAVEN WAY 11440 SW LANE WOOD ST TIGARD, OR 97223 PORTLAND, OR 97225 Phone: Phone: 503-671-0212 Reg #: LIC 56602 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 8/30101 $81.70 27200100000 Final Inspection PLCK CTR 8/30/01 $53.11 27200100000 5PCT CTR 8/30/01 $6.53 27200100000 Total $141.34 I his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not startea within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 052-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-?00-332-2344. i Permittee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Date received: " p Permit no.: ;// Address: 13125 SW Hall Blvd,Tigard.OR 97221 Project/appl.no.: Expire date: Cil v q('fig and Phone: (503) 639-4171 Date issued: By: Receipt no.: � 1-ax: (503) 598-1960 Case file no.: Payment type: L.ind use approval: — - 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Conunercud/industrial U Multi-family U Nem ronslntclion U Dtmolilion �(Audition/alteration/replacement U Tenant improvement U Dire sprinkler/alarm U Other: Joh address: U �' , � � th �i' Bldg.no.: Suite no.: Lul: Block: Subdivision: Tax map/tris lot account no.: I'nrjcct name:- — — - ---- - - --- f h•Nciiption and location of work on premises/special conditions: uf- /Irs,J G��F Ave Vm_ Name: - /A — - - �. Mailing address1� �' A/ a/ y _ I &2 family dwelling: el �� 1 City: �—_ Slate: -� ,e ZIP:AZ Valuation of work.. ..................................... $3_,UD--- Phu H-W111 I Fax: I E-mail: No.o1 bedrooms/haths................................. Owner's representative: Total number of floors Phone:SQA Fax E-mail: New dwelling area(sq. ft.) .......................... _ — Garage/carport area(sq. ft.)......................... Name:r0m, 6k i L>+v l�i&_i;f /�_ Covered porch arca(sq. ft.) ......................... Mailing address: L f-_)V00Q_ Deck area(sq.ft.) .......................... ............. _ City: _ State ZIP; Other structure area(sq.it.)......................... Phone:f, t, L Faxes E-mail: CommerciaUindustrial/multi-family: Valuation of work........................................ $ Exts(ing bldg.area(sq. ftJ .......................... _ Business name: % C f �'S y v New M Address: dR.area tsq. ft.) ................................ --- City: - State: LIP: ,mss Number of stories........................................ Phone: _s .-dZ l Fax: tyS ?p E-mail: Type of construction...................•................ ---- --- --- Occupancy group(s): Existing: CCB no.: New:6"� Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Bo ird under Name: provisions of GRS 701 and may be required to be licensed in the Address: -- jurisdiction where work is being performed. If the applicant is Cit State LIp; exempt from licensing,the following reason applies: Contact person: Plan no.: -- --- I'honc: Fax: -- E-mail: _-- — Name: /Yj Contact person: Fees due upon application ........................... $ Address: 10't `' Dale received: City: State ZIP: r�7 01 Amount receive,l ......................................... $,--- Phone:' ---Phone:' -3Fax: I E-mail: Please refer to fee schedule. hereby certify I have read and examined(his application and the Noi all jurisdictions accept credit cords,please call Jurisdiction for mote information attached checklist. All provisions of laws and ordinances governing this UVisa U NlastetCard work will he complied w' ,whether S cified herein or not./ Credit card number _ _ Expires Authorized signa11t-ure / Uate: ��.— None of cardholder as shown an credit ceryl Print name: �.b?.F��,Qf�✓L�Y _ -- Cardholder elpature - - $ Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "14611 tnaxut•oMI One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: - Associated permits: 0yofTigard Cit of Tigard ❑F.leclrical U Plumhinp J Mcrhaniral Address: 13125 SW flail Blvd,Tigard,OR 97223 ❑Other: Phone: (503) 639-41-/I - -- Fax: (503) 599 1960 I band use actions completed.See jurisdiction criteria for c nuurrcnr reviews. 2 Zoning. Floxxl plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platllot. 4 Fire district approval required._ 5 Septic system permit or aulhorir.ation for remodel. Existing system capacity _ 6 Sewer permit. 7 Water district approval. 9 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-wary protection,silt fence design and location of catch-hasin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into;he plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. flan review cannot he completed it copyright violations exist. I I ,tiitclplot plan drawn to scale.`1'he plan must show lot and building setback dimensions:property corner elevations 1 1' thenv is nom than a 4-fl.elevation dilferential,plan must show contour lines at 2-ft.int(rvals);location of casements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;din:clion indicator:lot arva;building coverage area;percentage of coverage;impervious area;existing structures on site;and surf ace drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforci;tg pads,connection details,vent size and location. 11 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace, ventilation tans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 (Toss section(s)and details.Show all framing-member sizes and Fpacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction. More than one cross section may he required to clearly portrav construction.Show details of all wall and roof sheathing,roofing,ruol'slope,ceiling height,siding material,Rulings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction:minimum of two elevations for additions and remodels. Gxlerior elevations must reflect the actual grade if the change in grade is greater than four Rot at building envelope:. _ Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floe, roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. _ 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. for engineered systems,see item 22,"Engincer's calculations." _ 19 Ream 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 floor/roof truss design details. _ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. 23 rive(5)site plans are required lot Item I 1 above. Site plans must be 8-1/2" x 1 I"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 be accepted. 27 28 - — — Checklist must be completed beti,re plan review start date. Minor chunges or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 440-614(6KV,'0M) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BUP:��l _ Date Requested AM PM BLD Location �— /& ) e MEC Contact Person (Z 1Z_ PI �(�1 — ' Co PLM Contractor 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 Insulation Drywall Nailing �- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling —.-- - --__ Roof - Misc� �_ al ART FAIL - ---- PLUMBING Post& Beam - -- - - -- - Under Slab Top Out - --- Water Service _ Sanitary Sewer -- Rain Prains Final --- --- -- - -- PASS PART FAIL MECHANICAL — Post& Beam ------- ------ -- — - --- Rough In Gas Line v.._—_ ----------- — -- Smoke Dampers Final PASS PART FAIL ELECTRICAL _-_-- Service Rough In UG/Slab - I ow Voltage Fire Alarm Final --_---- _ PASS PART FAIL SITE Backfill/Grading - — — Sanitary Sewer Storm Dain [ J Reinspection fee of$ -� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Gatch Basin Fire Supply Line ( ]Please call for reinspection RE. -__ __ [ J Unable to inspect- no access ADA Approach/Sidewalk Other — Date 1 S _ _—Inspector , ,/ _ _ _ _ Ext Final PASS PART FAIL_ 00 NOT REMOVE this Inspection record from the job site. PLAN ' I'lan check It ...__.1lenil it N L?94P•2601•GU Date_ y_l Address o ov s w Fr#b Ai o4 v 4-.__tr - ---..._-:I'ax Map N ZSI U 3/�Q' 60 _ _Lot N-_­,:R�__ . Land User Valuation JZ6 0 Set hack tions Back Left - Right Work class G1 f llright - Total Area Use'Type .r Fburr load I" Floor - - --_— C'onsl Type /'� _.---I leas type 2'"t Floor Occupy Group_ '-3 Dwell t Troup 3d Floor Stories lied Rooms -Basement Deck Bath rooms_ -Garage___-. Permit t! Description Amount Amount paid Bal Due Ruildin� Permit - - Plumbing Pernut -_ --- ------- —Mechanical Permit _-- Electrical I'ernut State Budding Tax Building! r/. ' I'lunrhin�' ---- Mechanical _ -Mechanical [:Iectrical Total Plan Check Recti Building CDC — Parks -- Residentical 1 iff — - Mass Tritf is ------ Water ___.Water(,Quality _ --- Water Quantity - --_- Erosion(onuol flans — Erosion Control USA _ Erosion Control COT — Sewer Inspection Sewer Permit r S I lan Check 0 I'ermat Application Rec•dBy [Ian 11 and IZesidenti.11 DateRec•d - mit Application ----_-__ f7ec'd Oy-- - -- +nd Residenlial o,le Recd � Dale to RE -` _ Oalr to DST Dale to r'C---`-' 1 Type -- - _..----- -. - Ilications will not be accepted PermitN utilelhhb,1 _ '-- 1'enn4 a Called --- -�_ Type Related SWR It ax, -- .: Table Mechanical Code O(y Price Total 3Uons will not be accepted Called 1) rur7w6 1b6.00o t�Tti 7) including Fumac1ducts 0 i51 BTUs vents 14.00 FI �11R S"Individual " �"''° f�q L R .•..1 T.6 ,.Ea...IS�..... Sink 16.60 including ducts 6 vents 17.40 3) Fl"Furnace lavatory 16.60 including vent _ - - - ,14.00 Tub or TutilShower Comb. -- - 16.150 4) Suspended[sealer,wall healer Shower Orly - or boor mounted healer 14.00 1b60 --- - water Closet 16 5) Vent ncl included in appliance permit 6.80 Urinal r 16.60 DishwaslMr --- --- 16.60 6) Repair units 12.15 _-- ;;hrdc all that apply: '©oilerHeat Alr - Garbage Disposal - - 16.60 For items 7-10.see or Pump Cond Q(y Price Total Lautndry Tray 16.60 footnotes 1.2 _ Comp Washing Madhinc -- 16.60 7)<31 1P.absorb unit to - __ 100K 071.1 _ 14.00 Floor DraiNf loor Sink 2' - 16.60 B)3-15 HP;absorb and -- 3 1G.fi0 1001 to 500k SITU 25.60 4' 16.60 9) 1530 HP;absorb Water 14ealer O conversion O like kind 16.60 und_5-1 mil FITU _ -- L 35.00 Gas piping requires a separate mechanical pcmfd l10)30.501W.absorb MFG Home New Water Service unit 1-1.75 and[ITU _ 52.20 1 11)>5011P;absorb unit>1.75 mit OTU MFG Home New SaNSlumn Sewer 46E,40 - 87,20 11osc Jibs 16.60 12)Air handling unit to 10,000 CFM Roof Drains 16.60 _ - 13)Air handling unit 10,000 CFMt 10.00 Drinking Fountain 16.60 17.20 Other Fixtures(Specify) 21.75 14)Non-podablr evaporate cooler �-- - 10.00 ----�-__--- - ---- 15)Vent(an connected to a single dud -- - -- - _ _ 6.80 16)Ventilation system not included in Sewer-1- sl 100' 55.00 appliance permit _ 10.00 Sewer-rads additional 100- 46.40 17)Hood smell by mechanical exhaust Water Service-1st 100' 55.00 10.00 Is)Domestic incinerators ----- - - - Water Service-each additional 200' 46.40 17.40 Storm 6 Rain Drain-1 sl 100' 55.00 19)Cotnrnnerrial or industrial type incinerator Stomp b Rain Crain-each additional 100'` 46.40 69.95 Commercial Back Flow Prevention Device 46.40 20)011ier unit:,including wood slows 10.00 Residential Backflow Prevention Device* 27.55 71)Gas piping one to tour orrlN!l; Catch Basin 16.60 --- --._------- ---_-.._ -_... 5.40 _ kV.of Existing Plumbing or Specialty Requested 72.50 lJ)More than 4 per oulkl(each) Inspections perfiv 1.00 Rain Drain,single family dwelling 65.25 Minimum Permit Fre 172.50 SUBTOTAL ' Grease Traps 16.60 -�- -- --- 81",SURCHARGE QUANTITY TOTAL P11W RMEW 25%OF SUBTOTAL Isometric or riser diagram Is requied r arantlty Total k >f Required for ALL commercial permits only - 'SUBTOTAL TOTAL r 8Y. SUF2CHAFtGE kher ktspeetlorts and Fees- InspecZonsaRvleofnom hllxhsrhrss tvxxs(ffwww"chwr rtw"tvx.rsl --- -PLAN REVIEW 25%OF SUBTOTAL j f?2.50 per tw Rcarihd only i faturey_lutah Is>9 -----i Inspections lex which no err is spn:ir.-arty iv1«::Ir•1 (nirinvrm dharyr ham hrxn) g -- TOTAL 7- S 72-50 per tk- _ Mkfilional pt-mvsrw rerrared by dharvi s, or rr%isions to plans(rnvvfra --- -� dha'17e oheluf hexa)S 72.50 per lvxrr 'M4dmum persalt fn Is 17250 a fX urnisarpe,exono Reskk,"0ad11oa Preresh4on -.Stasi Cex,lr"x noier Crich.-ar;nrh mq(A 4 oerloe.«skit to$36.25.ex u.a.a� 'Rrti sl M-rrpwrs silt pl..uh stv>,"V plai'rnxrht or unit "NI New Comme-Ul Oulldings reQuie puns oft ls,,tri_a riser d xgram end PUn fchlrw 98/25/2081 19:94 5260849 Gfd"ING PAGE 93/03 Rut 22 01 10:488 William N. Hooper 503-843-70)1 p•� Z 0 N e N` * ' W1 t�► Cir C4 1 v ,r it 21 R 00 0 N Ul y a - '/ J! 1.5 K •,!o t or �x /0 F /¢c '°� ,O a /y�o OdC W4�L h+�9x f i(�00 fG �B �ONNFc- /ONS 7417,6 � _ •� ZOO `ShY�3.LO�J �/�E¢ ti//Id E14, �/�� til�o x /2 = 31.S w w/ Fc/c A. �S,w, R �_�� - 4- /SLEsO 7400 x/./5 e/t �e,•vio �X r�a, T R ' /65 C 510 004t .4P/oeo vFso . 7s ,4W94d(-c.s'[. 7 so F/ = �I CD Ac' --T- �. 7,7 S sc ' e � , ''ri/.ss/ '/ A 'e.. Cry too =Or? Cd 8,5Zw �s _ /G,S/ (Bo ti/Aw Ae / / _• /�, 2 P�SF Com, _ . �2 . E.�-- 6 /v /� �'oo/e Grepuke,r•t Z` s FIR 9� /�• // 9 A? 0862 1_ to OREGON jq 22, = = Z�.�, (��d)�= 7sz , .��=f /roo 4d,F .e.•/6o, �1gASFfALLG�P� 0 o EXPRAVON 70�TE: 30 0 d ' FILE NO. SHEET NO MADE by PORTLAND,OREGON SALEM,OREGON CLIENT �7 i�,cF cw4T/G)/V7E R_1lSFC-�I• PROJECT y/SOY l.0 /`�� // ( 144,46-x