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�' •♦ Y ;" WIGATOV PLANT LEGEND
• SII / *�� 1 T YpE BOTAAKAL NAPE/ QTY, SIZE CAhpTIgM
I/ g 1 r•'' CAI'NpN NAME Y?EMARXS ,
LOT 6 ► / E a. `1 I TIPEYS bC o
T A i,M'•
Alnus ruhr.,' 30 3gallonPlanted North and <
• - �� ^ _ Red Alder cor►tar►er South of pard in USA . o
- I �I
M } -
I 1 � �., � vegetated co►ridbr'
Thuja Plicas/ SO 3 gallon Planted NorfA and
• s �' �" IM Western Red Cedar contaater' South of pond Yh USA
+� �}; ! • Y� N1aIOSEFD OM AREAS vegetated corridor
I w OfTMEFN TREES rmr
usA wr L4 ED LANDSCAPING PLANT LEGEND Salix scoderianal 90 live stakes rioit 3 Tony and �y,t� y
ai iven into yrourd meant seas=
II rY� BOTAAfKAL NAME/rr 61 qmwScouler's Willow �+/3 of length N
�• _ - - Fr. SIZE larrlARKs a!Y - MxcA
_ COMMCOQ�� TOTAL 160 z
• :_I / _
i CONSTRIKr 90 Lf Of 6'CEDAR ma Anr c
Acer circinatuw/ 60 1 gal. Planted Nord and $._
o
?gyp, �7 i ��' 6YSDE PRowERrr c6+� 1'Rfa
AGER PLATJK?OCS/ Vine Maple Seulh o/pond in LISA
14 2"DOH PANT 25'ON vegetated corri*r N -
r t ,�
I NORWAY MAPLE CENTER o
O Cornus sericea to
1 Gal. or Planted along edge N
TREE REMOVAL/RETENTION s/I�ees ---`— Red-esier Dogwood Lire Stake of pond
I I •t --
- I I
53 TREfS GREATER THAN n•ABH BERBCRIS NERVOSA/ to 1 GAL. SSwwS 0 Sambus raccinosa/ 12 1 gal. Planted along edge
0 1RfE5 GREATER r}LAN t?'REMOVED M f0 NEALTY
DUEL OREGON GRAPE TREES Red Elderberry of pond
GA 64 THA RIA S!IALLON/ 12 1 GAL. 1 Sm wS "•
SALA_ BETWEEN TREES 0 DuH M,� Grape 25 1 gal. Planted in upWand
to
4 rREfS GWA TER r*X tr RfM7VED OW TO OEYELOPMW , Berberis nervosa/
area adjacent to = r
1 t 1
41 M E$6►EEA TER THAN tr RfTAIIED at~ — — South side! of POW
L UV.4-UVSI/ r CMTERS NX Of AW-TUTAROVU5 b[L sE RfTAN" CV� TA
urrosPIIY os 60 - POr O'CANr ON 1' TO tbloatscvs discolor 1p 1 gal. PPlantedrear of
�•_.- at
KMINNKNNAII( � b+f
TfN TREES OceanSpray lots 34,5,6 c
M (' S Aphoricanpus albus 10 1 gal. Planted.).'Prar of
NOTE.' BARK DUST AREA BETWEEN TREES PRIOR TO �isaon Snow berry lots 3.4,5,6
PLANTIV6 KIMNIA7N W AND OREGON GRAPE S
WwwTOTAL 137
AUGUST 20021
NOTICE: IF THE PRINT OR TYPE ON ANY Ti_� 1 I t � 11 ► I ► 1 1 1 1 ( � � I ► T�1 1 1 1 I ( . I I I �� � ( � • ( f IIII I I S -I I I I �I I �i t I r �1 I 1111rrrTr7T � � T � � � I ' I ( ( f ( ( ICI-qlp.p- 1 � rr � � r . 1Ir � JT1_ tI T 1-' � � I � 1 I T 1 1 ( I r IMAGE .IS NOT AS CLEAR AS THIS NOTICE 1 II t 2� 3 4 � � � F
__
IT IS DUE To THE QUALITY OF THE _ — _ _
No.36 �,�,�:��• �:� J
ORIGINAL DOCUMENT - - ,
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12890 -;N Fonner Pond Piave
CITY OF TIGARC 24-Hour
BUILDING Inspection Line: (503)639-4175 _D v L/
INSPECTION DIVISION Business Line: (503)639-4171 MST —
BLIP
Received --.__�p Date Requested___--__ _�_�— AM. -- PM — BLIP —
Location vL ��` C� U - ,: - uite — ✓� - MEC
Contact Person _ _ Ph (__ PLFA
Contractor___-- – -------____-- Ph(----) -- SWR
BUILDING Tenant/Owner —�_ __-- ELC
Footing ELC
Foundation -------- -
Ftg Drain Access:
Crawl Drain ELR
Slab Inspection Notes: SIT
Post& Beam _.--_- --_ -
Shear.Anchors
EAt Sheath/Shear
Int Sheath/Shear
Framing - - -- ---
Insulation
Drywall Nailing - - ----
Firewall
Fire Sprinkler -------
Flre Alarm
Susp'd Ceiling -
Roof
Final
PASS PART FAIL ---
-------------
PLUMBING - --- - -i- ----- - e .v
Post& Beam
Under Slab —
Rough-In
Water Service --- - - - ----_-
Sanitary Sewer
Hain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: --
Final ---
_PASS PART FAIL ---- - --
M_ECHANICAL
Post&Beam �— - -------- _-_
Rough-In
Gas Line
Smoke Dampers - - ---
Final
PASS PART_ FAIL --------__ - -- -------- -----
ELECTRICAL -
Service -- -- --
Rough-In —
UG/Slab
Low Voltage
Fire Alartn - �-- --- ----- -
Reinspection fee of$
PASS PART FAIL p - ,tiquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
SITE ___ _ Please cull for relnspection RE:__-- - _ ._..-_ �� Unahle to inspect-no access
Fire Supply Line - r-�
ADA 5 , ` �
Approach/Sideroalk Date-`- __ �` - Inspector � Ext
T ---
Other:
Final -- DO NOT REMOVE this Inspection record from the Job site.
l PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspectlan Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received ^� Dae Requested--
Location � AM- PM BUPOU �
-
Suite._ MEC _
Contact Person _-_— _ ph PLM --
Ca;'ractor_ --- --— - -- - --- Ph( —) .--- ---- -_ SWR - —
BUILDING — Tenant/Owner ELC
Footing -- -----------
Foundation
Access: ELC
Ftg Drain -_w_—
Crawl Drain �_ ►O �' -_ S ( ELR
slab Inspection Notes: SIT
Post&Beam - --- ----
ear Anchors
-- -- --
Ext Sheath/Shear ---
Int Sheath/Shear
Framing
- - - -- --—
Insulation
Drywall Nailing
Firewail ---- --- -- ---
Fire Sprinkler
Fire Alarm -- -
Susp'd Ceiling
Roof - --- ---- _.
Other -- - — -- ---- -L- -
----
Final
P"943#RT FAIL
UJ _B
Po, & Beam ------- ---- -- -- -- - --- —
Under Slab —_
Rough-In -- - - -- ---- -
Water Service
Sanitary Sewer --
Rain Drains
Catch Basin/Manhole --
Storm Drain --- -- -.-_ _
Shower Pan -�
Other: - -------- _
�AS PART FAIL - --- - _
NICAL
Post& Beam - -- -- -
Rough-In
Gas Line - --- --- ——
Smoke Dampers -- -_-
Final ---- --------------- ---
PASS PART FAIL
CA
ELECTRIL - -i-
- — - _—_.-----------
Service -_ -- - -_ ----__-_
Rough-In -
UG/Slab - - --
Low Voltage
Fire Alarm
Final r
PASS PART FAIL Ll Reinspection fee of$--- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
---
SITE_ ❑ Please call for reinspection RE: - C-� Unable to inspect- no access
Fire Supply Line
ADA /}�
Approach/Sidewalk Date__ � `-u _ '..Is actor ��Y 1� Ext
P
Other. --- -
Final DO NOT REMOVE this Inspection record from the Job s!ts.
PASS PART FAIL
CITY OF TICARD 24-Hour c�
BUILDING Inspectioi 639-4175 MST
INSPECTION DIVISION DIVISION Business Line: (503)639-4171 --
BUP ----- ---
Received _ _______ Date Requested---_ _. 5' Z' _ AM_—____ PM—_ BUP
Location Suite __ MEC
Contact Person _ _ - Ph(_ ) -� PLM
Contractor ----- ------ ----— Ph(----) ---- -- SWR
BUILDING Tenant/Owner _-_-
----- -- ELC
Footing ELC
Foundation
Access: /
Fig Drain L.--- ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam _-
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - - - - ----
Insulation
Drywall Nailing - - - - - -- ----- - - - -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: -
PASS PART FAIL
U -
Post& Beam
Under Slab - -
Rough-In
Water Service
Sanitary Sewer
Rain Drains - --- -
Catch Basin/Manhole
Storm Drain - - - - - - - -
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam _ - - _ -
Rough-In - -- - --
Gas Line
Smoke Dampers - - --- ---
ina�
PART FAIL ---- --- --
ELECTRICAL
Service
Rough-In
UG/Slab ----- -- --- -- — -- --
Low Voltage
Fire Alarm -
Final Reinspection fee of$_--._ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd,
PASS PART FAIL
SITE F� Please call for reinspection RE:__ Unable to inspect-no access
Fire Supply Line f
ADA
Approach/Sidewalk Data __ �' v Inspector Ext _
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY O F T �_ MASTER PERMIT
DEVELOPMENT SERVICES�DS PERMIT#: ti1ST2002-00412
1312.5 SW Hall Blvd., Tigard,OR 97223 (503) 639.4171 DATE ISSUED: 10/15/02
SITE ADDRESS: 12890 SW FONNER POND Pl-
SUBDIVISION: ON FONNER POND TOWNHOMES PARCEL: 2S1U3AC 08700
BLOCK: LOT: ung ZONING: R-4.5
REMARKS: New SFA, Path 1 - Model home#3. 5/16/03, added a/c unit. JURISDICTION:
BUILL'NG
REISSUE ------ .__
STORIES: FLOOR AREAS RFOUIRED SETBACKS
CLASS OF WORK: NEW REQUIRED
HEIGHT`. ,, FIRST. r,',r, of BASEMENT of LEFT
TYPE OF USE: SFA - - SMOKE DETECTORS. r
FLOOR LOAD. sl FR
ne SECOND: 947 of GARAGE of
TYPE OF CONST: SNPARKING SPACES
DWELLING UNITS: I rNnn of
VALIJE. RIGHT
OCCUPANCY GRP: R3 aDRM. n BATH: 7 TOTAL 1.599 of
REAR
PLUMBING
SINKS: I WATER CLOSE TS WASHING MACH. LAUNDRY TRAYS -
RAIN DRAIN. lin
LAVATORIES. . TRAPS
DISHWASHERS I FLUOR DRAINS :
SEWER LINES. ' � SF RAIN DRAINS CATCH BASINS.
TUBISHOWERS. GARBAGE DISP WATER HFATERS '
WATER LINES. vm BCKFLW PREVNTR. GREASE TRAPS.
MECHANICAL OTHER FI-TURES.
FUEL TYPES FURN�100K I BOIL/CMP c 3HP I
VENT FANS. 1 CLOTHES DRYER: I
�A�' FURN>-100K: UNIT HEATERS
HOODS: � OTHER UNITS: �
MAX INP. btu F LOOR FURNANCES. VENTS: I
WOODSTOVES: GAS OUTLETS: '
ELECTRICAI.
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _
BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_
1000 SF OR LESS 1 0 200 amp 0 200 amp W/SVC OR FDR:
PUMPIIRRIGA?ION PER INSPECTION
EA ADD'L 500SF: 201 - 400 amp: 201 . 400 amp lot W10 SVCAFDR'
- SIGNIpUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 600 amp: 401 600 nnp: EAADDL eR CIR•
SIGNAL/PANELINPLAN I
MANU HMSVCIrDR 601 • 1000 amp: 001+amps.100gv;
MINOR LABEL
1000+amp/volt:
Reconnect only: PLAN REVIEW SECTION
>=4 RES UNITS. S'/CIFDR>=225 A.: >600 V NOMINAL CLS AREAISPC OCC:
---- — __.—, ELECTRICAL:REIiTRICTED Eh 6RGY
A.SF RESIDENTIAL '--
e__. B.COMMERCIAL _
AUDIO&STEREO VACUUM SYSTEM: AUDIO 6 STEREO
FIRE AI.AF'M INIERCOMIPAGI JG CUT900R LNDSC LT:
BURGLAR ALARM OTH: BO',ER.
HVAC LANDSCAPErIRT,IG P 20TECTIVE SIGNL:
GARAGE OPENER
CLOCK INSTRUMENTATION. MEDICAL
HVAC OTHR:
DATAITFLE COMIA NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor. TOTAL FEES: $ 6,065.97
NUPARK DEVELOPMENT INTERL(_)CKING EN 1 ERPRISES INC This permit is subject to the regulations contained In the
PO BOX 2304,2.1 10740 NW CCRNELIUS PASS RD, Tigard Municipal Code,State of OR. Specialty Cudes and
TIGARD,OR 97281 PORTLAND,OR 97231 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 the
work is suspended for more than 180 days. ATTENTION:
Phone: Oregon law requires you to follow rules adopted by the
50.4-297-6551 Phone 503-531-3635 Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001.0080. You
Reg"' I IC 90272 may obtain copies of these rules or direct questions to
0UNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Framing Insp Insl'lation Insp Rain drain Insp
Sewer Inspection Crawl Draln/Backwater Plumb Top Out Shear Wall Insp Insulation Insp Water Line InspFootln Insp Footing/Foundation Dr;
Electrical Service EX.erlor Sheathing Ins( Gyp Board Insp Appr/Sdw1k Insp
Foundatlnsp, PLM/Underfloor Electrical Rough In Low Voltage Firewall Ins
Po earnStructural p Electrical Final
Mechanical Insp Framing Insp Gas Line Insp Firewall Insp Mechanical Final
Iss d By :
Perwittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day —
CITYOF TIGARD _ SEWER CONNECTION PERMIT /
PERMIT#: 5'NR2002 00258
DEVELOPMENT SERVICES
13125
DATE ISSUED: 10/15/02
SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2;3103AC-OFP05
SITE ADDRESS; 12890 SW FONNER POND PL
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
TENANT NAME:
USA NO: FIXTURE UNIT'S:
CLASS OF WOr'K: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA. _
Owner: FEES _
NUPARK DEVELOPMENT Description Date Amount
PO BOX 2.30421
TIGARD, OR 97281 jtiW(JSAj S%%i C dicer 10/15/02 $2,300.00
�ti\1'INtiI'� �r Intihrri 10/15/02 $35.00
Phone: 503-297-0551 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections__ _
This Applicant agrees to comply with all the rules and regulations of the Clean `Nater Services. The permit expires 180
I 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" Perm
Issur,u by: _ < Pec niittoe Signatures I ,
Call (503) 639-4175 by T:00 P.M. for an Inspection needed the nex siness day
Ta• ds-f /0-10 z
Building Permit Application
City of Tigard Datereceived: i�y�n� Permit no.:Ny�
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl,no.: Exptr date:
Phone: (503) 639-4171 Date issued: By Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ �' . - 1&2 family:Simple Complex:
TYPE OF PERMIT
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition
U Addition/alteralivn/replacement U Tenant improvement U File U Other:.1011 SITE -
INFORMATION,
Job address: �- r t r'�r r Bldg.no.: Suite no.:
Project name: ion: Tax map/tax lot/account no.:7�1 ?j t ZfJr
Lot: Block: Subdivis
Description and location of work on premises/special conditinns: A4 C1
1 '
Name: NLS ztr II-- __ , Erpnra
Marling address: L !13 1 1 &2 fandly dwelling:
City: r - State O jZlP-9jYA-Uf2,j Valuation of work......................... ............ $J,5 IS iv
Pholt : ' - SS Fax: I E-mail: No.of hedrooms/paths................... ............ .��j
Owner's representative: Total number of floors
I'hn r �'t. - I'ax 1;-mail: New dwelling area(sq,ft.) I...........I.............
Garage/carport area(sq.ft.)......................... /
Nanic: Cy'f�RUUNG�XIE�I'i,IS�'• K Covered porch area(sq.ft.) .........................
Mailing address:_ fi1PN�5�3 Yil�— Deck area(sq. ft.)................ .......................
City: 7:9 71P: Other structure area(sq. ft.).. ...................... E
Phone: I ax E-mail: Commercial/Industrial/multi-family:
Kill;11111100 11fil" Valuation of work........................... ........
Existing bldg.area(sq.ft.) ...... ......... ....
' NTIiRlOGC1NG fiVT. .'iP1S65 QV4 --- ----_
Business name: I Fu New bldg.arca(sq.ft.)
------- - ------
...................... ......
Address: In74oN.wCt>RNPIRAPNS�gQAO -------
- -- -- Number of stories.......................... .............
City: POR1lNVf),GR6GOVN ,--------- -
Sl4�l: ZIP:
Type of construction....................................
Phoni. - 3 _'a t lr _t Cir E-mail: — - - ---
--
CCB no.: CG Occupancy gmup(s): Existing:
-
New: _
City/metro lir. no. Notice:All contractors and subcontractors are required to he
ARCHiTEcirmESIGNft licensed with the Oregon Construction Contractors Board under
Name: Ab ,, , t t provisions of ORS 701 and may he required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
Cit State: ZIP:' exempt from licensing.the following reason applies:
�Co.�t a�ct person: Plan no.: - -- ---- -- ----
Phtittc'. D -C Fax: l tr c - l--mail: --- -- -- --- - -
Name: c s A,l l'onlact lwrson:Yc.pot J.. 1;*) Fees due upon application ........................... $—
Address:: _ Date received:
--- - -
City: __ Sta_te: 7.IP: _ Amount received ......................................... $.
Phone:'� G z Fax`3 5 P1-S4 : I E-mail: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards,please call Jurisdiction frr more Information
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
work will he complied wiP w t r speeifituilwmin or not. credit card number:
Authorized signature' its Date: `% C' t'Z aspires
— Name of cardholder as shown on credit card
Print namc:__t6QRY Jr hdnitIZAttet — -- S
--- Cardholder signature Amount
Notice:This permit application expires if a permit is not obtain!d within 180 days after it has been accepted as complete. 440-4611 i6MCOMi
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
Associated permits:
CityafTigard City of Tigai A U Electrical U Plumbing U Mechanical
Address: 13125 SW F all Blvd,Tigard,OR Q7223 U Other: -.
Phone: (503) 639-4111
Fax: (503) ''99-1960
1 1 WINir, ITEMS ARE 1111"QUIRED FOR PLAN IREVIE* Yes No NIA
I Land use actions conafrlet ed. tire• toisdiction criteria for concurrent reviews.
2 7oning.Flood plain,solar balan t, it ants,seismic soils designation,historic district,ci,
3 Verification of approved plat/lot.
4 fire district_ approtal required.
5 Septic system permit or authorization for remodel Existing system capacity �-
6 Sewer permit. _
7 Water district approval.
S Soils report.Must carry original applicable stamp and signature on file or with application,
9 Erosion Control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.__
10 3 Complete sets of legible plans. Must he drawn to scute,showing conformance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on it separate full-size
sheat attached to the plans with cross references between plan location and details. Plan review cannot he completed
if copyright violations exist. _ _
I 1 She/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if
than:is more than a 4-ft.elevation differential,plan must show contour lines at 241.intervals);location of easements and
driveway;footprint of stricture(including decks);location of wells/septic systems;utility locations;direction indicator;lot
arca;building coverage area;percentage of coverage;impervious area;existing,structures on site;and surface drainage.
12 foundation plan.Show dimensions,anchor halts,any hold-downs and reinforcing pads,connection details,vent
size and location.
13 floor plans.Show all dimensions,roam identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and detills.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,mof construction. More than on, ross section may he required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal inselation,eta•.
I s I-:le vation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
L:xieriur elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope,
_ Full-size sheri midendums showing foundation elevations with cross references are acceptable.
IG Wall bracing;(prescriptive path)and/or lateral nualysis plans.Must indicate details and locations;for
_ non-prescrrpu\r path analysis provide specificatiluns and calculations to engineering standards.
17 floor/roof framing.Provide plans for all floors/roof assemblies,indicating member siring,spacing,and hearinu
locations.Show attic ventilation. _
�18 Basement and retaining walls.Provide cross sections and details showing placement of rehar.For engineered
systems,sec item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all hearts 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 pi,-vided,(i.e.,shear wall.roof friss)shall he stamped by an engineer or
architect licensed in Oregon and shall he shown to he applicable to the project under review.
JURISDICTIONAL
23 Five(5)site plan,,are required for Ilern I I above. site plans mw,t he H-1/2"x I I"of I I"x 17".
24 Two(2)sets cacti are required for Items 16, 19,20& 22 ahovc.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"1' dIding plans will he not accepted.
26 "Reversed"building plans must meet ctiteria outlined in the Permit & System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist must be completed before plan rcvic%\ start date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 440-4614 rerttacoMr
Building Fixtures
Plumbing Permit Application OFFICE USE ONIA'
Date reccived: 1 ;y g'S` Permit no..
Cll.y of Tigard Sewer permit no.: Building permit no.:
Ad tress: 13125 SW Ila*! Blvd,Tigard,OR 97223 !--
City of Tigard Phone: (503) 639-4171 t'rojecVeppl.no.: Expire date: ^�
Fax: (503) 598-1960 Date issued: By: Receipt no..
Land use approval: Case file no.: Payment type:
U I &2 family dwelling or accessory 0 Commercial/industrial la Multi-family J Tenant improvement
New construction J Addition/alteration/replacement U Food service 7 Other:
308 SITE INFORMAT`110N 1-4'1.� 1ULE(for spScial Information
Job address: ! D LA _ Description Oty. Ice(ca.) I Iota)
Bldg. no.: Suite no.: eh 1-and 2-fat»ih d+scllinj�s only:
(Includes 100 ft.for each utility connection)
Tax map/tax lot/account no.: SFR(1)bath _
Lot: Block: Subdivision:- SFR(2)bath
Project name: SFR(3)ba tit
Citytcounty: ZIP: Each additional bath/kitchen
Description and licatiob of work on prem'.ses: Nt� Site utilities:
Catch basin/area drain
Fst.date of catnpletion/inspection: ( Drywells/leach line/trench drain
Footing drain(no.lin.P )
Manufactured home utilities
Business nan)e_ lLj� _1'_1_ t ��L Man ,oles
Address: ' (� (yC� Rain drain connector
Cit State: ZIP: ZCGIo Sanitary sewer(no.lin. R.)
Ph L - Fax: E-mail: Storm sewer(no, lin. P.)
CCB no.: Z`" Plumb.bus,reg.no:&j yj
Water service no.lin. n.
City/metro tic.no,. Fixture or item:
Contractor's representative signature: Absorption valve
Back flow preventer
I Date: Backwater valve
CONTACIr PERSON Basins/lavatory
Was
Name: INT6kl( 1N(iFMFRlR15E(fNC —Clothes washer
Address: 10740N.W lXIW)lAM W Dishwasher
RwMM Drinking fountain(s)
2� t ur:_ 7.IP: _ Ejectors/sump —
1'ho)u: (--3 3L Fux: Li mail Expansion tank
Fixture/sewer ca
Name(print): �, _ Floor dr,�ins/floor sinks/hub
Garba+e dis osal
Mailing address: Hose bibb _
City.: iC State: ZIP g7� J Ice maker
Fax: I E-mail: Interco for/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will he made by me or the maintenance and repair made by my regular Roof rain commercial
employee on the property I own as per OR//RS Chapter 447. Sink(s),basin(s),lays(s)
Owner's si nature: f Date: _ SumpENGINEER —
Tubs/shower%shower pan
Urinal
Name: f ' Water closet
Address: 4 Water heater
City: State: ZIP: Other:
Phone: Fax: E-mail: Tot9i
Not all jurisdictions acceq credit card,t,please call jurisdiction for more information. Minimum fee S .
Notice: This permit application plan review(at� %) $
O Visa U ManetCard expires if a permit is not ubtained
Credit card number: --�—1-- within 180 days after it hays been State surcharge(8%).... S+
Expires
— p accepted as complete. TOTAL........................
Naim or cardnol r as chow s an credit u�rc --
_ S
Ca holder siansturc mount 4404616(&MCOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES individual) CITY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL
Sink 1660 the dwelling and the first100 ft. CITY (ea) AMOUNT
16 for each utility connection)
Lavatory 60 �— One(bath $249.20 _
Tub or Tub/Shower Comb. 16.60 Two 2)bath $350.00
Shower Only 16.60T, hree(3)bath $399.00
Water Closet 16.60 _ IF-- SUBTOTAL
Urinal 16.60 _ 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbage Disposal 16.60 TOTAL
Laundry Tray 16.60
Washing Machine 16.60
rloorDrain/Floor Sink 2- 16,60 PLEASL COMPLETE:
3• 16.60
4° 16.60 -- -
Water Healer O conversion O like kind 16.60 Quantity b_Work Performed
Gas piping requires a separate mechanical Fixture fype: New Moved Replaced Removed/
permit. —
Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San/Storm Sewer 46.40 Lavatory
Tub or Tub/Shower
Hose Bibs 16.80 Combination _
Roof Drains 16.60 Shower Only
Drinking Fountain 16,60 Water Closet _
Other Fixtures(Specify) 16.60 Urinal
y Dishwasher
Garbage Disposal
Laundry Room Tray
Washing Machine
Floor Drain/Sink: 2"
Sewer-1st 100' 55.00 3^
Sewer-each additional 100' 46.40 4"
Water Servlce-1st 100' 55.00 Water Heater _
Water Service-each additional 200' 46.40 Other Fixtures
(Specify)
_
Storm 8 Rain Drain-1st 100' 55.00
Storm 8 Rain Drain-each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 62.50
Requested Inspections perthr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65 75 -----------
Grease Traps 16.60 --- --- - -- -
QUANTITY
Isometric or riser diagram is required If _
Quantity Total is >e
"SUBTOTAL — ----- -- ---
8%STATE SURCHARGE - - - - -
"PLAN REVIEW 25%OF SUBTOTAL
Required only If fixture qty total Is>fI
TOTAL
"Minimum permit fee is$72 50•8 slate surcharge,except Fisldential Backflow
Prevention Device,which Is$39 25+8%stale surcharge
""All New Commercial Building, lulre 2 sets of plans with isometric or riser
diagram for plan review.
i:\dsts\folms\pim-fees.doc 12/26/01
Mechanical Permit Application
"Dateceived: 0,66, Permit no.: +- iT
City of Tigard Project/appl.ro.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171 —_
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
■ TYPE OF PERMIT
U 1 &2 fancily dwelling or accessory U Commercial/indusinal U Multi-fancily LJ Tenant improvement
Ncw constnlctiom U Arldilion/altcralion/replacement U Other:
VALUATIONJOB SITEINFOliMA-11-ION COMMERCIAL 1
Job address: ( � „�, 1Y1P� P�• e Indicate equipment quantities in boxes below. Indicate the dollar
Blr.g.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: 2.5 1 p 5t profit. Value$
Lot: - I Block: I Subdivision: - ' *See checklist for important application information and
Project name: �Y�f —� jurisdiction's fee schedule for residential permit fee.
City/county. ZIP: 1 1
Description and ocation of work on premises:
Irs•(ra.) 7�thd
Est.date of completion/inspcetion; Z 1>escription Qty. Res.only Its..Duly
Tenant improvement or change of use: "
Is existing space heated or conditioned?U Yes U No Air handling unit _ CFM
Is existin InsUlilled't U Yes ❑No irconditioning(site an required)
g space Iteration of existing HVAC system
of er compressors
Business name: State boiler permit no.:
<.�L- ` HI Tons BTU/11Address: Fir smo a dampers/duct smoke detectors
citz:ILI tate ZIP: 9-721 G Heat pump(site plan required)
Ph I? i 7s- ax: 11 E-mail; nsta rep acefurnace/burner— jT/I
CCB no.: ' " Including durtwork/vent liner U Yes U No
L -_ nsta rep ace re ocate eaters--suspen e ,
City/metro lic,no.; 1C25 wall,or floor mounted
NamVent for a t i lance other than furnace
Refrigeration:
Absorption unity BTU/H
Name: [OW)UP6 FJVRSIRMS 1K Chillers__ III'
107
Z�IR[lA�Pf[6 - Cont ilrssors
Address; ;nv ronncrntal rXhanst and runt�un:
9' tate: ZIP:
City:�� �—�- Appliance vont -
-trail: )ryercxhaust
1
Hoods, Type /11/res.kitchen/hazmat
hood fire suppression system
"Name:��� c.�t t 1 Cxhnust fan with single duct(hath fans!
Mailing address: yjqj -x taust systema art from heating or AC
(' l Q f state !Z.IP t ' Fuel piping an sir ut on(up to outlets)
Type: _ I.PCI NG Oil
Photic:' 7 - Ste. f=ax: E-mail: I'tiel piping each additional over out ets
'rocesspiping(schematicrequired)
Nano: t Number of outlets
ter . app ance or equipment:
Address: _ Decorative fireplace
City: State: ZIP: nsert-type --
Phone: ax: E-mail. Wlt)odstovc/pcl let stove
Other:
Applicant's signature: '" ) Dain:11L7161L ter: �-
Name (print)r7` t ) -
Not all jurisdictions accept credit cant+,please call jutWiclion for more information Permit fee.....................$
U Visa U MasterCard Notice:this permit application Minimum fee................$
c-redh card numhrr: __L J expires if a pern•it is not obtained Plan review(at rK,l $
r. pito within 180 days after it has been State surcharge(896)....$
Name of c'e��si,own on credit-card-- accepted as complete.
$ TOTAL .......................$
Cardholder signatwc Amount 440-461116KMOMI
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Pace Total
$1.00 to$5,000.00 Minimurn fee$72.50 Table 1A Mechanleal Code Qty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or Includingducts&vents 14.00
fraction thereof,to and Including 2) Furnace 100,000 BTU+
$10 000.00. includin ducts&vents 1740
$10,001.00 to$2!i,000.00 $148.50 for the first 510,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Includin vent 14 00
fraction thereof,to and Including 4) Suspended heater,wall heater - --
$25,000.00, or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or e,80
fraction thereof,to and Including 6) Repair units --
$50,000.00. 1215
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Comp ••
Minimum Permit Fee$72.5G SUBTOTAL: 7)<3HP;absorb unit -
to 100K BTU _ 14.00
8'/.State Surchargo a 8)3-15 HP;absorb -- -
_ ur't 100k to 500k BTU 25.60
28'/.Plan Review Fee(of subtotal) a 9)15.30 HP;absorb -
Required for ALL commercla�ermits only unit.5-1 trill BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb --
unit 1-1.75 mil BTU 52.20
11)>50HP;absorb -�
_ _ _ unit>1.75 mil BTU 67.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM
value --Total 10.00
Descrl tion: Ctt Ea Amount 13)Air handling unit 10,000 CFM+ --
Furnace to 100,000 BTU,Including 955 17.20
ducts&vents 14)Non-portable evaporate cooler
Furnace>100,000 BTU including 1,170 10.00
ducts&vents 15)Vent fan connected to a single duct
Floor If Includingvent 955 6.60
Suspended healer,well heater or r 955 16)Ventilation system not Included in
floor mounted heater a liance permit 10.00
Vent not Included in appliance 445 17)Hood served by mechanical exhaust
ennit
Repair units 10.00
805 18)Domestic Incinerators
<3 hp;absorb.unit, 955 17.40
to 100k BTU 19)Commerclal or Industrial type Incinerator
3-15 hp;absorb.unit, 1,700 69.95
101k to 500k BTU 20)Other units,including wood stoves
15-30 hp;absorb.unit,501-to 1 2 310 10.00
mil.BTU 21)Gas piping one to four outlets
30-50 hp;absorb.unit, 3,400 5.40
1 1,i5 fr,ll.BTU 22)More than 4-per outlet(each)
>50 hr,absorb.unit, 5,748 1.00
>1.75 rnll.BTU Minimum Permit Fee$72.80 SUBTOTAL: a
Air handling unit to 10,000 cfm 656
Air handling unit>10,000 cfm 1,170 8%State Surcharge a
Non-portable evaporate cooler 656
Vent fan connected to a sin le duct 446 TOTAL RESIDENTIAL PERMIT FEE:
Vent system not Included In 856
appliance permit
Hood served by mechanical exhaust _ p,58 9ther IneoectI no and Fees:
Domestic Incinerator _ 1 1, 70 '- 1 Inspections outside of normal business hours(minimum charge-two hours)
Commercial or Industrial Incinerator 4 590 $62.50 per hour
Other unit,Including wood stoves, 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour)
858 $62 5o per hour
Inserts etc. 3. Additional plan review required by changes,additions or revisions to plans(minimum
Gas iping 1-4 Outlets 3F0 charge-one-half hour)$62 50 per hour
Each additional outlet
_ __ _ *State Contractor Boller Certification required for units�200k BTU.
TOTAL COMMERCIAL $ "Residential A1C requires site plan showing placement of unit.
VALUATION:
- All New Commercial Buildings require 2 sets of plans.
k%detsUormsUnech-fees.doc 02/11/02
Electrical Permit Applicatic►n
— — _ IDatereceived. >11f71C1- Permit no.: i�,'•
City of 'Tigard Project/appl.nu._—� Expire date:
Chyoffigard Address: 13125 SW II;0l Illvd,Tigard,OR 97223 Date issued: By: Rccetptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ _.
TYPEOF
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
New construction U Addition/alteration/replacement U Other: U Partial
INFORMATION
Job address: U :�,ta; Hldg.num, — (lite n().: — Tax map/tax lot/account no.:;tS O
Lot:PP—(f? Block: Subdivision: 10 r3p)
Project name: Description and location of work on premises:
— — —
Estimated date of cont letion/inspection: /.' WA i
CONTRACTOR APPLIUATION FEE SCHEDULE
Job no: _ I.`,.
----- t Description !ih. lea.) Iotnl no.lu%p
BUSinC59 name,1>t ► f --- Ne"mitieniial-ongleormulti-fimdli per
Address: 5.1a), r dNellingunil.lnrlude%attach dKnrage.
acvak( t State: ZIP-97,20-1, Seri Ice Included:
P . _c Fax c S7 E-mail: 1 uuo�y n or less t
Facl�additional 500 sq.ft.or portion thereof
CCB no.: e) Elec.bus.lic.no: 3 t ' 2
J. L. Limired energy,residential
City/metro tic.no.: C C f" j-i _ Limited energy,non•residcntial
r T-L--- _ Fwh manufactured home or nodular dwelling
Sign r
S-rviceandlorfeeder 2
supervisin electrician(re uhrdl Date _
Sup.elect.name(print): ( ;- E v(t 1 S License no 4
Services or feeden—installation,
aheralton or relocation:
PROPERTV OWNER 200 amps or less 2
Name(print): 401
amps to 400 amps 2
401 amps to 600 amps
Mailing address: 601 amps to 1000 amps _ 2
L SIalc ZIPS Over 1000 amps or volts 2
Fax; I 1:•mail: Reconnect only I
Owner installation:The installation is being made on property I own InstTempora n,altecesorfeedeoc
which is not intended for sale,lease,tent,of exchange according to 2Wa gips or leteretlon,orrelocalton:
2(10 amps or less _ 2
ORS 447,455,479,670,701. 1 201 loops to 400 amps _ 2
Ow1ler", Sit`1l,'dure: _ _ - Date. -----,_-------- 401106(1(1nm s
2
trench circuits.new.alteration
or a xlenslon per panel:
Name: A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit
City: -- State: ZIP: B Fee for brunch circuits without purchase
of service or feeder fee,first branch circuit:
Phone: lax: I?-mall: troch additional branch 6--lit
Misc.(Service or feeder not Included):
U Service over 225 amps-conunerclal U Hcalth-care fm.lav Each pump or itrdgatioc.circle
U Service over 320 amps-rating of 1&2 U Hazardous Iecation Fach sign or outline lighting
familydwellings U Building over KIM square feet four or Signal circuits)or a limited energy panel.
U System over 600 volls nominal mare residential units in one structure alteration,or extension*
U Building over three stories U Feeders.400 amps or more •Ikscri tion: — --
U Occupant load over 99 persons U Manufactured structures or RV park Lach additior.sl inspection over the allowable in any of the above:
U F,gress/llghtingplan U Other: — Per inspection —
Submil sets or plans with any of the above. Investigation fre
The above are not applicable to temporary construction service. I other
)uridu ac
ictiar•epo credit cants,pleave call Jurisdiction for mare informnokat Notice:This permit application Permit fee.....................$
Na-all $
U visa U Maste,^ard expires if a permit is not obtained Plan review(at _ %) $
cleditcard number .. within ISO days afler it has been State surcharge(8%) ....$ _-
— — — accepted as complete. TOTAL .......................$
Now of cardholder u s own on credit card
$
Car signmure Amount 440.1615 Ma/(•t)M)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
TYPE OF WOR'(INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy F 0 0.............................................••••••••• $75.00
Number of Inspections per permit allowed I (FOR ALL SYSTEMS)
Service Included: Items Cost Total I Check Type of Work Involved.
Residential-per unit $145 15 4 A.-dio and Stereo Systems'
1000 sq ft or less _
Each additional 500 sq,f a $33 40 1
portion thereof Burglar Alarm
Limited Energy — $7500
Each Manufd Home or Modular $90 90 2 L� Garage Duor Opener'
Dwelling Service or Feeder _
Services or Feeders E] Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation $80 30
200 amps or less 2 Vacuum Systems'
201 amps to 400 amps _ $106.85
401 amps to 600 amps $16060 2 ❑ Other -
601 amps to 1000 amps $240 60 _-_-- 2 — -
Over 1000 amps or volts _ $45.1 65 _ _ 2
Reconnect only $66 85
Temporary Services or Feeders TYPE OF WORK INVOLVE? -COMMERCIAL ONLY
Temp
Install orar alteration,or relocation Fee for each system.......................................................... $75.00
$66.85 _ _ 2 (SEE OAR 918-260-260)
200 amps or less
201 amps to 400 amps $10030 Cl ck 1-ype of Work Involved:
401 amps to 600 amps _ $133.75
Over 600 amps to 1000 volts, Audio and Stereo Systems
see"b"above.
Branch Circuits I L] Boiler Controls
New,aileralion or extension per panel
a)The fee for branch circuits �J Clock Systems
with purchase of service or
leader fee.
Each branch circuit — $6 E,; _ A_— Data Telecommunication Installation
b)the lee for branch circuits
without purchase of servlLa Fire Alarm Installation
or fender rea.
First branch circuit $4685 _,- -- HVAC
Each additional branch circuit $6 65 _—
Miscellaneous Instrumentation
(Service or feeder not Inclu led)
Each pump or Irrigation circle — $53.40 -- Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circull(s)or a limited energy n Landscape Irrigation Control'
panel,alteration or extension $75,00
Minor labels(10) —_-.— $1:5.00 — O
Medical
Each additional Inspection over
the ahowable In any of the above $62 50 Nurse Calls
Per inspection _,_Per hour _ $62.50In Plant $73.75 Outdoor Landscape Lighting'
Fees: ❑ Protective RI,naling
Enter total of above fees $ Other ___—_ -- ----
6%State Surcharge $ — Number of Systems
25%Plan Review Fee $ ' No licenses are required Llcensos are required for all other installations
See"Plan Review"section on - --
front of app;ication ---.-— Fees:
TTo11tal Balance Due $ Enter total of above fees $
tL__l 1 rust Account rt __. - - _- 8%State Surcharge $
---___ ------ — Total Balance Due = ---
A1 New Commercial BulAings require 2 sets of plans.
i.\dsts\tnmu\clC-tccs.doc 08/30101
TEMPORARY USE PERMITS
FOLD HARMLESS AGREEMENT
I t / J2wrO am/representing the owner of property
Print Name
located at _amp S(,�,; fyAy6k 1�r4d OWW- _ do hold the City of Tigard,
Address or General Location
its agents, and employees harmless in the event that any injury (monetarily or
otherwise) is realized as a result of preceeding with the building or construction
associated with _/7e)AINtY 4417
Projer!tNmne or CaseCle
Further, I acknowledge that I may not convey ttie subject properties until final plat
recordation.
Signatur f Owner Date
Or Authorized Agent
File Number
CleanWatcr Services
Our commitment n clear
REVISED Clean Water Services
Service Provider Letter
Jurisdiction Turd Date September 18, 2002
Map & Tax Lot 2S103AC 1600 Owner -Roger Neu, Nu Park_De_v
Site Address 1130 SW Fonner St Contact _Mike Pruett
Tigard, --'R_ __ Harper Hauf Righellis, Inc`
Proposed Activity Residential L: ,velooment Address 5200 SW Macadam
Portland, OR 97206 _
Phone (503) 221-1131
:i
This form and the attached conditions will serve as your Service Provider Letter in
accordance with Clean Water Services Design and Construction Standards (R&O 007).
\�J YES NO YES NO
Natural Resources _ Alternatives Analysis �_
Assessment(NRA) ❑� Required Ll El
Submitt^d (Section 3.02.5)
District Site Visit
a ❑ Tier 1 Alternatives Analysis ❑] �❑
Date: 6!26/01
Conajr with NRA/or
submitted information Z F] Tier 2 Alternatives Analysis C1 F-1
Sensitive Area Present (❑ Concur with Alternatives
On-Site ® -_1 Analysis ❑ ❑
\ ,Sensitive Area Present i Vegetated Corridor
Off-Site I ® CJ Mitigation Required ® IJ
Vegetated Corridor ❑ [❑ On-Site Mltigethn j 1:1Present On Site I��I
\ Width of Vegetated 50 Feet -+t-4i ❑
Off-Site Miti
Corridor (feet) See attached map _latiorLl j
Crndition of Vegetated
Corridor �, Degraded/Marginal ® ❑
Planting Plan Attached
Enhancement Required
Encroachment into
r—�-
Vegetated Corridor RSAT, or Equivalent i ® i �; Required ❑
(Section 3.02.4(3))
Type of Encroachment Building/decks/lots Concur with RSAT, or ❑ I—i
Equivalent l-1
4 Allowed Use l
Conditions Attached ® ❑
`\ (Section 3.02.4(b))
Page 1 of 4
File Number
C_27�1
This Service Provider Letter does NOT eliminate the need to evaluate
and protect water quality sensitive areas if they are subsequently
discovered on your property.
In order to comply with Clean Water Services (the District) water quality protection
requirements the project must comply with the following conditions-
1. No structures, development, construction activities, gardens, lawns, application
of chemicals, uncontained areas of hazardous materials as defined by Oregon
Department of Environmental Quality, pet wastes, dumping of materials of any
kind, or other activities shall be permitted within the sensitive area which may
negatively impact water quality, except those allowed by Section 3.02.3 (1), (2),
or (3).
2. No structures, development, construction activities, gardens, lawns, application
,)f chemicals, uncontained areas of hazardous materials as defined by Oregon
Department of Environmental Quality, pet wastes, dumping of materials of any
kind, or ether activities shall be permitted within the vegetated corridor which may
negatively impact water quality, except those allowed by Section 3.02.4 (a
through h).
3. The vegetated corridor width for sensitive areas within the project site shall be a
minimum of 50 feet wide, as measured horizontally from the delineated boundary
of the sensitive are:. See attached graphic for approved encroachments.
4. Prior to any site clearing, grading or construction the vegetated corridor and
water quality sensitive areas shall be surveyed, staked, and temporarily fenced
per approved plan. During construction the vegetated corridor shall remain
fenced and undisturbed except as allowed by Section 3.0.4.a and per approved
plans.
5. The -pplicant shall provide the District with con;urrence of wetland boundaries
frim DSL and/or USAGE prior to conducting any land disturbance.
0. Prior to any activity within the sensitive area, the applicant shall gain
authorization for the project from the Oregon Division of State lands (DSL) and
US Army Corps of Engineers (USAGE). The applicant shall provide the District
with cooies of all DSL and USACE project authorization permits. Permits must
be obtained for in-stream stormwater detention.
%. Should a permit be issued for impact to the sensitive area, the applicant shall
submit copies of annual DSI. and/or USACE requires; mitigation monitoring
reports.
Page 2 cf 4
File Number
E,Y-' I
8. An approved Oregon Department of Forestry Notification is required for one or
more trees harvested 'for sale, trade, or barier, on any non federal lands within
the State of Oregon.
9. For vegetated corridors 50 feet wide or greater, the first .50 feet closest to the
sensitive area shall be equal to or better than a "good" corridor condition as
defined in Section 3.02.6, l-able 3.2.
10. Enhancement/restoration of the vegetated corridor shall be conducted either
concurrent with or prior to development of the site. Enhancement/restoration
activities shall comply with the guidelines provided in Appendix E: Landscape
Requirements (R&0 007: Appendix E.).
11. Prior to installation of plant materials, all invasive vegetation within the vegetated
corridor shall be removed. During removal of invasive vegetation care shall be
taken to minimize impacts to existing native trees and shrub species.
12. Enhancement/restoration of the vegetated corridor shall be provided in
accordance with the attached planting plan.
13. Protection of the vegetated corridors and associated sensitive areas shall be
provided by the installation of fencing between the development and the outer
limits of the vegetated corridors.
14. Maintenance and monitoring requirements shall comply with Section 2.11.2 of
R&O 007.
15. Appropriate Best Management Practices (BMP's) for Erosion Control, in
accordance with USA's Erosion Control Technical Guidance Manual shall be
used prior to, during, and following earth disturbing activities.
16 Prior to construction, a Stormwater Connection Permit from the District or its
designee is required pursuant Ordinance 27, Section 4.B.
17. For any developments, which create multiple parcels or lots intended for
separate ownership, the District shall require that the vegetated corridor and the
sensitive area be contained in a separate tract.
18. l he applicant shall notify the District within 72 hours following completion of the
vegetated corridor enhancement/restoration activities.
19. Activities located within the 100-year floodplain shall comply with Section 3.13 of
R&O 00-7.
20. Removal of native, woody vegetation shall be limited to the extent practicable.
Page 3 of 4
File Number
21 . The water quality swale and detention pond shall be planted with Agency
approved native species and designed to blend into the natural surroundings.
22. Final construction plans shall clearly depict the location and dimensions of the
wetland and the vegetated corridor (indicating good, marginal, or degraded
condition). Wetland boundaries shall be marked in the field.
2.3. Final construction plans shall include landscape plans. Plans shall include in the
details a description of the methods for removal and control of Exotic species,
location, distribution, condition and size of plantings, existing plants and trees to
be preserved, and installation methods for plant materials.
24. A Maintenance Plan shall be included on final plans including methods, dates (at
least twice yearly) and responsible party contact information.
25. Temporary irrigation shall be installed along the northern vegetated corridor, to
remain for the first two growing seasons.
26. Should final development plans differ significantly from those submitted for
review by the District, the applicant shall provide updated drawings, arid if
necessary, , obtain a revised Service Provider Letter.
Please call (503) 846-3613 with any questions.
& . 14.
l,0'
Ich
Heidi K. Berg
Site Assessment Coordinator
Page 4 of 4
S X11
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WESTERN CASCAPF ELECTRIC INC
11867 SW WILTON AVE
TIGARD, OR 97223
nECEIVED
Electrical Signature Form JAN () 8 2003
Permit #: MST2002-00412 CITY OF TIGARD
Date Issued: 10/15/02 31JILDING p1vlslnN
Parcel: 2S103AC-OFP05
Site Address: 12890 SW FONNER POND PL
Subdivision: ON FONNER POND TOWNHOMES
Block: Lot: 005
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Niew SFA, Path 1 - Model home 93.
Your company has been indicated as the electrical contractor for the permit 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 Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
NUPARK DEVELOPMENT WESTER! CASCADE ELECTRIC INC
PO BOX 230421 11867 SW WILTON AVE
TIGARD, OR 97281 TIGARD, OR 97223
Phone #. 503-297-6551 Done #: 503-521-0000
Reg #: ELF: 34-616c
SUP 46251
LIC 153416
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X �=
Si to Sup rvising +cian
If you have any questions, please call (503) 639-4171, ext. #y13'
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CITY OF TIGARD _ PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: P23/02 00174
DATE ISSUED: 5/23/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S1 U3AC-OFPUS
SITE ADDRESS: 12890 SW FONNER POND PL
SUBDIVISION: ON FONNER POND TOWNHOMES ZONING: R-4.5
BLOCK: LOT: 005 JURISDICTION: TIG
Y CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: 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: 170 ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Water Service to comply with condition of SUB2001-00002_Install a minii11Lim 1 1/4"water service.
_ F_EES_
Ownar_ Type E; Date Amount Receipt
NUPAI,K DEVELOPMENT LLC PRMT CTR 5/22/02 $101.00 27200200000
PO BOX 230421 PLCK CTR 5/22/02 $25.35 27200200000
TIGARD, OR 97281 5PCT JMT 5/23/02 $8.11
Total $134.86
Phone 1: 503-297-6551
Contractor:
;SUPERIOR PLUMBING LLC
830 JOHNSON STREET
WOODBURN, OR 97071 REQUIRED INSPECTIONS
Water Service Insp
Phone 1: 503-982-2517 Final Inspection
Reg fl: LIC 133461
PLM 24-373PB
SUP 5819JP
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 hermit will expire if work is not started within 180 days of issuance, or if work is suspen.,ed for more
tl-an 190 days. ATTENTION: Oregon law requires yogi to follow rules adopted by the Oregon Utility
Notificatio, Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-OP':)1-0030.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1947.
Issr.ed By: ?�t� ' 'Z— _ Permittee Signature'-- iA LL
��_ needed the next busi eI's da
Call (503) 639-4175 by 7:00 P.M. for an inspectiony
Plumbing Permit Application
Df►trreceived: �j Z
Ak City of Tigard �� t %� sewer Building Address: 13125 SW Hall Blvd,Tigard,OR 97223 r" +t g permit no.:
CJtyo7gard Phone: (503)639-41;1 ProjecVappl.te.• Expire date: _-
Fax: (503)598-1960 Date issued: 13y: Rcceiptno.:
Land use approval: 66d__ I Case file no.. Payment type:
„ t
l&2 family dwellinit or accessory U C4M]nlcrcial/indusinal U MUitl-lamily LI Tenant improvenlew
U New construction J ASIdiliorh/alteration/replacement U Fool service J(tlln•r:
JOB L-i�JTE INFORMATION FEF SCHOULE(For special Information line
Jobaddress: L�15�0 S� r�Nw�2 UN & 14 UescriCtion (1ty. 1ec(ea.) 'fo1:d
Bldg.no.: Suite no. New f-and 2-family dwellings only:
Tax map/lax lot/account 110.1 (Includes 100 It.fu:each utility connection)
_ SFR(1)bath
l ot: Block: Subdivision: D v j--yn N�>1 uN SI R t2)bath - — -
Project name: pv F M v rr< vr_r _ SFR(3)hath
City/county: _ ZIP: Each additional hath/kitchen
Description and location of work on premi9es: a Sit .tom- Slteutilities:
_ Catch hasin/area drain
Gst.date of contpleticra/itlspr coon: Drywe s/leach line/trench drain
Footing drain(no.lin.ft)
Manufactured home utilitica
Business name: -Wn holes
Address: a0 S � Rain drain connector
City &,gd i&yyk State: 0 ZIP: Sanitary sewer(no. lin,ft.) v�
{'hone:; 1a•2S' 1 rax: E-mail: Storm sewer(no. lin. ft.) __L
CCB no.: :��V Plumb.husYreg,no: a y' 3/� Water service(no.lin.ft.) O ,W
Cit /metro lie.nr . r C� � Fixture or Item:
Y `, Absorption valve
Contractors re resentative signature -fir-
�- Back flow preventer
Print nano• !t T Ale,. Backwater valve -- _
t t Bas)ns/lavatory —
N:Im„ Clones washer
-- __ - tshwaeher
Addn•ss. Drinking fountain(s)
CON,: - Slope: L — —^'
_--- --- ZIP: -_--� f jectors/sump
I'lunic: I ax 1: mail: Expansion tank — +
1 ixture/sewer carp
Name(print): p 6t 6ev� VyyR,t•,✓cf 1-L L Floor drains/floor sink0mb
Mallin address: ` Garbage disposal
Mailing Hose hibb _
City: _-I State: ZIP-i Ice maker
Phone: Fax: I E-mail: Interce�r/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and reprut made by my regular Roof drain(commercial)
employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signature: Dale __ Sum _
Tubs/shower/shower pan
Urinal
Name: - , Water c ofiec--
Address: _ Water eatrr
City: Slate: ZIP: puler: w _
_Phone: --1 Fax:_ E-mail: Total ._L D
Nd dl ruririichum accept credit curia,please call)urisdiction for more information. r Minimum fee.... ...........$
Notice:This ltennit a�.p cation plan review(at �9h) $
Ch Visa 0 MasterCard 7"-
�xpires if a p:mut is not obtained
Credit cud number, _ � �__ within 180 days after it has been State surcharge(8%)....$ l
apirca
_ accepted as con.rlete. TOTAL .......................
Name• cardholder u shown an credit card
S
C":dder 116nstwe Amtwni 1141616(60WOM)
Ilr
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
SUPERIOR PLUMBING LLC
830 JOHNSON STREET
WOODBURN, OR 97071
Plumbing Signature Form
Permit #. PLM2002-00174
Date Issued: 5/23/02
Parcel: 29103AC-OFPl1:.)
bite F,ddres.,. SW ��UND PL
Subdivision: ON FONNER POND TOWNHOMES
Zlock: Lct. 005
,Jurisdiction: TIG
ening: R-4.5
Remarks: Water Service to comply with condition of SUB2001-00002, Install a minimum 1
1/4" water service.
Your company has begin indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have tiro appropriate individual from your company sign below and return
this Plumbing Signature Form prior to tho start of the work .
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMB;NG CONTPACTOR:
NUPARK DEVELO►'MENT -LC SUPERIOR PLUMBING LLC
PO BOX 230421 830 JOHNSON STREET
TIGARD, OR 97281 WOODBURN, OR 91-071
11hont, /r: 503.,2r0'7..6!..t1 Phctie ;f: 501-LK-2517
17
Req #: LIC 133461
PLM 24-373PB
SUP 5819JFI
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X / /'� ,
SiiInature o. Authol't`Led Plumber
If you have any questions, please call (503) 639-4171, ext. # 310