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Z� cS�y •^ a I � ` :a•�f 1 �1--•----i� , ^ i� 1 l '`• L t � Y `J�• • i•, � � 'c��y a1 vp ti �, r ? �� Y OTS �+'� ( i { t •\\ s "' MT16ATOV PLANT LEGEND TYPE BOTANCAL NAPE/ QTY. a C01~NAM S/ZE [GhCXTIq/ firlm !S > > h t LOT 6IN M- �_L -• : 1; j o bl % \ + , I Plante/Mnrlh and Aliws ruhra/ 30 3 gallon w \ - � Red Alder' contarler South of prld in USA o o o ' • regelaled corridor Tlxr/aPIK.?tal Plante/Mnrth and SO 3 gallon I IIf • 1 Western Mrd Cedar contaerzr South of Prid lin USA Nl'APIrSEED OIoEN AREAS 11KTMEFN MffS WIN vegetated corridor usA Der ARfil SfIDMtK LANDSCAPING PLANT LEGEAD Salix scouleriana/ so Live stakes 1 &3'I NMd g II I%ff AM 0 Seodel S �lloW fR�A/1 / Planted w* N TYPE BOTAMIUI. NAME/ QYY. SIZE REMARKS A60 I/3 of len9ft DOC _ H� _ COl'N'IOW Nali'E• TOTAL caarRlArr >so tf Of r CEDAR ffAKF�vsr Ir �� •�� Planted AbrM and � SGQE PROPfRIr eerf Acer crainatuw/ 60 to. South d ~ o Vine HWe PwW in USA I< _ 1 � ACER Pt a r DOM RANT ?S ON A vegetated corridor Q NORWAY HAPLf CENTER - :r - O Cornus seryrea ,b 1 Gal. or Plarrtd aLwog edge •,• ii TREE REMOVAL/RETENTION Red-osierDogwood Lire Stake of pond 53 nUS GREATER THAN jr Dan BERBEW NERVOSA/ A 1 GAL. 3 5NRU�S Salllbvs raccMrosa/I Plante+/DULL OREGON GRAPE BETWEEN TREES Red Elderberry of pard edge 1 gal. 'r9 i I rIPEFS GREA TER 1ttAN 1r RETbVfD ow to/EAl TN e GAUL T'HARIA SHALLOINI W i GAL. 'ShWGQS w I i TRfET GRFATEMP THAN trWVVfD OW TO AEVE WMW SALAL BETW N TREfS 0 Serbens nerrosa/ n 1 gal. Plante/it upland &1ldl Oregon Grape arra adjacent to I 41 TREES GREA TER Ram Lr RfTAMV 6ftxm _ �+ Cj r south sideof pond t [i7YEA: ARCTOSTAPHYLOS M WANT !, r ry --------- - 1 `, !IX OF Nor Iu?ARDays WL of Rt7ARED VVA-VVSU I CENTEMs is toluol cus dacolar AO 1 gal. Plan/e+I at nr o/ ` l KAWW t!tWffN TRIMS Ocean mar leis 34.56 i M• I': � 6 NOTE' BARK DUST AREA BETWEEN TREES Fl • Coco rSnow Aorwpu�s 20 1 gul Plante+/at trot o/ lots 3LA,S,s PLANING KdWVi1rM11ANf AAD OREGLIIf GRAPE ^ o �= DMW" TOTAL L37 T � l r I I I l I I I l l l r �. r r r i i III r r r r 17ITT-111-1 l 111 1-11-11 � l t 1 t 1 11111 1 ItT T 1 r 1 t ► I r I I � I 1 1 I I 1 i I f T l + I i i l l i t i i TICE: IF THE PRINT OR TYPE ON ANY T[-Ill � I � I I � I 1 � 1 ( �� -� I I � �� - - � .� � . I1-1l r II 1 I• I III � I' II I 1 1 111 I r 11 . I I II IMAGE IS NOT AS CLEAR. AS THIS NOTICE 1 Z � -- -- _ IT IS DUE TO THE QUALITY OF THE _ No.36 ��. _•, � ..:.: ORDINAL DOCUMENT E 63 bZ LZ 9Z Z fiZ EZ Z 1Z UZ 6T SI LT 91 91 31 01 6 8 L 9 4 £ Z I �I•Il7w IIII IIII till 11111111�I1i! lilt IIII Ilii IIII IILI 11.1.1. Ii1l illi IIIL LIIL I-ill Illi, illi Illi fill Il � I VIII IIIIIIIIIIII IIII IIIII�II .IIIIIIII Illi �lll IIIIIIII IIIIIIII llllllll l . 1.111 l lllllllllll- 1.11 'i lid. lillr4ll � �" 7 f N �O 4 4 C '11 7 7 cD 0 3 CL d 12900 SW Fanner Pond Place CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00179 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 523/02 SiTE ADDRESS: 12900 SW FONNER POND PL PARCEL: 2S103AC-OFP06 SUBDIVISION: ON FONNER POND TOWNHOMES ZONING: R-4.5 BLOCK: LOT: 006 JURIST"" ON: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 'E SPACES. TYPE OF USE: SFA WASHING MACH: BACKF dREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINK;,: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS SEWER LINE: ft WATER CLOSETS: WATER LINE: 140 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water Service as a condition of SUB2001-00002, Install a minimum 1 1/4"water service --- Owner: FEES -- — _--- -- NUPARK DEVELOPMENT LLC Type By Date Amount Receipt �-- — PO BOX 230421 PRMI CTR 5;22/02 $101.40 27200200000 TIGARD, OR 97281 PLCK CTR 5/22/02 $25.35 27200200000 5PCT CTR 5/22/02 $8.11 27200200600 Phooe 1: 503-297-6551 _ Total _$134.886 CoWractor: SUPERIOR PLUMBING LLC 830 JOHNSON STREET WOODBURN, OR 97071 REQUIRED INSPECTIONS Phone 1: 503-982-2517 Water Service Insp Reg#: LIC 133461 Final Inspection PLM 24-;'73PB SUP 5819JP This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cedes 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 su ,. :nded for more than 1,30 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. Yo:a may obtain (;opies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued 'ay: -_ f1 ��—_ _ Permittee Signature:_,—)�—�[. �( Call (503419-41'15 by 7:00 P.M. for an ijit pucuon needed the next business day Plumbing Permit Application ' Date received: (j7.- Permit ri purl prj l 7 City of Tigard Sewer per,nit no.: Building permit no.: Address. 13125 SW Hall Blvd,Tigard,OR 97223 - --- CityojTigard phone: (503) 6394171 Prujert/appl.no.: Expire date: Fax: (503)598-1960 Date Issued: By: Receipt no.: Land use approval: __ ri Case file no.: - Payment type: a 1 ' 7UNew family dwc!!ing or accessory U Commercial/industrial U MU10-family U Tenant improvement onstruction U Addition/alteration/replar.emenl U Food service U Other: — a 1 ' 1 , _Job address: /a2 r,0(Jr� r tlt� er f>cscri tient - Qtv. hee(ca.) 'Total Bldg.no.: --- I Suit. 11o.: — — Nen'1-and 2-family dvrellfngs only: - (Includes 100 ft.forea(h utilith connection) 'Tax map/lax lot&,-count no.: _ � SFR(I)hathLot _�,_ fP Block: SUbdi'ISion: PAI rV"NNt uN SFR(2)bath -- - -- - Project name: PP ALw v o#L ov SFR(3)bath --- ----- -- City/county: I Z!P: Each additional bath/kitchen Description and location of work on premises:_ rr 5-a✓,'C_- Siteudlities: Catch basin/area drain fat date of completion/inspection: > _ — Drywells/leach line/trench drain - - -- -- footing drain(no.lin.ft.) _ Manufactured home utilities - Business name: 4.� Minholes - Address: e$p '12 -5�- --T -- ---- ---Rain drain connector -_ City: klp&d 4vm State: d ZI � Sanitary sewer(no. lin.ft.) - �- Phone: -Cq 11;• Fax: I E-mail: itorm sewer(no.lin.ft.) _ CCB n��i�71 Plumb.bus.reg.no: _ 3737-V Water service(no.lin.ft.) IYO vo City/metro lic.no. Fixture or Item: Contractor's-representative signature: _ Absorption valve -- -1 `L G' __ r -- -- Back flow preven(er Print name: Backwater valve Basins/lavatory Name: Clothes washer Address: — -- -- Dishwasn�r ---_� City: _ State: Llp, Drinking fountain(s) - -.�-^- - - Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixture/sewer cap �— Name(print): p _ L(.t�. Moor drains floor sinks/hub Mailing address: --- V Garbage dis isal -- Idose bibb City: __- _ State:— ZIP_ Ice maker Phone: Fax: E-mail: Interceptor/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 drain(commercial) employee on the propetty 1 open as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump Tubs/shower/shower pan Name: l)rinal— -- - - - - --- - Water closet Ad rens: _ _ Water heater City: State: LIP: Other: _.-- Pltonc: Fax: E-mail: Total Not all Jurisdictions arcYpr cndit rank,pleas call Jurisdiction I'm mart infr�,mati,n. -ibis fee................ Notice: ibis permit application r U visa U MasterCard expires if a permit is not obtained Plan review(at� f%) $ 0w crtditcam numher __--.._---T,�. .—�L—.�--. ,Stale surcharge(8%) ....$ _.-- E pins within i 80 days after it has been accepted as Com lete, TOTAL .. .................$ ly Name d catdh�:��r as showy on�i1 etre P S ---�- Ca—rdholder danature — Amount_v - — 440J616(6A)n/(Y1M) 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 #: PLM2002-00179 Date Issued: 5123/02 Parcel: 2S103AC-0FP06 bite Address: 12900 SW FUNNLR PUNU NL Subdivision: ON FONNER POND TOWNHOMES Block: Lot: 006 Jurisdiction: TIG oning: R-4.5 Remarks: Water Service as a condition of SUB2001-00002, Install a minimum 1 1/4" water service. Your company hay) been indicated as the plumbing contractor for the permit indicated above In order for the plumbing permit to be valid plaase have the appropriate individual fror- your company sign below and return this Plumbing Signature Form prior to the start of the work . No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: NUPARK DEVELOPMENT LLC SUPERIOR PLUMBING LLC PO BOX 230421 830 JOHNSON STREET TIGARD, OR 97281 WOODBURN, OR 97071 Phone #: 503-297-6551 Phone #: 503-982-2517 Req #: LIC 133461 PLM 24-373PB SUP 5819Jr AN INK SIGNATURE IS REQUIRED ON THIS FORM i Signature of Authorized Plumber i If you have anv questions, please call (503) 639-4171, ext. # 310 ►AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA♦AAAA un 10. ► CL R 1 ► rbCb ► rD o TrJ. U- ► O rb +, p ► CL ► rr o o _ 3 o ► j �, o ► 44 11 n pop. n, ► -4 old 44 ,`tet pop.4 l � ► 44 l ► � p ° rte+ .� _ M■•� i N a G0 fn ► 44 .4 � ► CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WESTERN CASCADE ELECTRIC INC 11867 SW WILTON AVE TIGARD, OR 97223 Electrical Signature Form Permit #: MST2002-00411 RECEIVED Date Issued: 10/15/02 Parcel: 2S103AC-0FP06 JAN I' 8 2003 Site Address: 12900 SW FONNER POND PL Subdivision: ON FONNER POND TOWNHOMES CITY CF TIGARD Block: Lot: 006 BUILDING DIVISION Jurisdiction: TIG Zoning: R-4.5 Remarks: New SFA residence, Path 1 - Model home #4. 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 i.ispections will be auttlorized until this completed 'corm is received OWNER: ELECTRICAL CONTRACTOR: NUPARK DEVELOPMENT WESTERN CASCADE ELECTRIC INC PO BOX 230421 11867 SW WILTON AVE TIGARD, OR 97281 TIGARD, OR 97223 Phone #: 503-297-6551 hone #: 503-521-0000 Reg #: ELE 34-616(' SUP 46255 1 Ic 153416 AN INK SIGNATURE IS REQUIRED ON THIS FORM x� -� _ Sig at of Supervising Electrician __ If you have any questions, please call (503) 639-4171, ext. #,3� MASTER PERMIT CITY OF TIGARD PERMIT#: MST2002-00411 DEVELOPMENT SERVICES -'AT-- IssuED: '1005/02 13125 SW (tall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12900 SW FONNER POND PI- PAR,EL: 2S103AC-OFP06 SJBDIVISION: ZONING- R-4.5 BLOCK: LOT: 000 JURISDICTION: TIG KEMARKS: New SFA residence, Path 1 - Model home#4. BUILDING REISSUE: STORIES: 2 FLOOR AREAS __ REQUIRED SETBACf<S REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 656, sf BASEMENT. Si LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 943 of GARAGE: 31: sf FRONT: ;! PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT. of RIGHT: ,615 Zu OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1..553 of VALUE: 150REAR: 15 PLUMBING_ SINKS' I WATER CLOSETS: 1� WASHING MACK: LAUNDRY TRAYS. RAIN DRAIN: Ire,; TRAPS: LAVATORIES, 3 DISHWASHERS: FLOOR DRAINS. SEWER LINES: Irl'' SF RAIN'1RAINS. I CATCH BASINS. TUBISHOWERS: 2 GARBAGE DISP I WATER HEATERS: WATER LINES: IN) BCKFLW PREVNTR I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: i BOIUCMP c 3HP: VENT FANS 4 CLOTHES DRYER: i (!AS FURN%=100K: UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAXINP: btu FLOORrURNANCES: VENTS: I WDODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEE015RTEMP SRVCIFEECER'i BRANCH:IRCUITS MISCELLANEOUS ADD'L INSPECTIONS _ 1000 SF OR LESS 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 400 amo 201 400 amp: lot WIU SVC/FDR: 00 SIG NIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp 401 600 amn: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amu: 601*amps-1000V: MINOR LABEL: 1000-amu/volt PLAN REVIEW SECTION Rer+mnert only: �■4 RES UNITS: SVCIFDR"225 A.: r 500 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL S.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM AUDIO&STEREO: FIRE 0LARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL. ,:ARACE OPLNER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAlTELE COMM- NURSE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,019.60 This permit is subject to the regulations contained in the NUPARK DEVELOPMENT INTERLOCKING ENTERPRISES INC Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 230421 10740 NW CORNELIUS PASS RD. all other applicable laws. All work will be done in TIGARD,OR 97281 PORTLAND,OR 97231 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: Oregon law req, fres you to follow rules adopted by the °h°"•' 503.297-6551 Phone: 503-531-3635 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Ree"' LIC 90272 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8& Post/Beam Structural PLM/Underfloor Framing Insp Gyp Board Insp Electrical Final Sewer Inspection Post/Beam Mechani,:a Mechanical Insp Exterior Sheathing Inst Firewall Insp Mechanical Final Footing Insp Underfloor Insulation Plumb Top Out Low Voltage Rain drain Insp Plumb Final Foundation Insp r'rawl Drain/Backwater Electrical Service Gas Line Insp Water Line Insp Final Inspection Wtr Proofing Bsm't We Footing/Foundation Dr; Electrical Rough In Gas Fireplace Appr/Sdwlk Insp Issued By : _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next I.rslness day SENERCONNECTION PERMIT OF TIGARD DEVELOPMENT SERVICES HERMIT#: SWR2002-00267 '13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/02 SITE ADDRESS; 12900 SW FONNER POND Pl_ PARCEL: 2S103AC-OFP06 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW )WELLING UNITS: t TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE. Remarks: Sewer connection for new SFA residence. Owner: ------- _—�_ — __ FEES NUPARK DEVELOPMENT Description Date Amount P.O. BOX 230421 __— TIGARD, OR 97281 1SWUSA)Swr( mmect 10/15/02 $2,300.00 1SWINSI11 Swr 1w,pect 10/15/02 $35.00 Phone: 503-297-6551 — — Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be fc foited 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 rj7,o Issued by: ��L1`�'_ _.:------- Permittee Signature: -Aim,rl Call (503) 639-4175 by 7:00 P.M. for an in,,jection needed the next b ess day Building Permit Application City of Tigard Date received: t'1 lo 7- Permit no./11,'j -0 Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard — ,�•,j -- Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 .r?4P.200 2 ,Ae, 41 Case file no.: i Payment type: — Land use approval: -_ '13ZO01- 00QZ)_Z 1&2 family:Simple Complex: V TYPE OF IPFRMtT U 1 &2 family dwelling or accessory U Comma•:iallindusul.d U Multi-f�unily *New construction U Demolition U Addition/alteration/replacement U Tenant fimtrovemrn. U Fire sprinkler/alarmU Other: � INFORMATION I t Job address: , e- Bldg.no.: uitc no. Lot: F.P_fAo I Block: Subdivision: .: FTax map/tax lot/account no Project name: C)n r�r-fit( a►tel N 1e7�y�S _ Description and location of work on premises/special conditions: 821121MMM)HNIA]ION,USE ('11FUKLIST Name: � -- — t r t 'epflc capacity,solar4 etc.) Mailing addres•: , i� i I & 2 fancily dcyelling: Citj ;6,0 -VA JS(atcM IZIP.97,- j V=a/*4>................._.. ................ s/568/5 � 1 PhW. " � Fax: 113-mail: Nroom aths........ ...................... . Ow er's representative: e-u Total number of floors.......................•......... !•_ __•_. Ph r Fax E-mail: - New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.) 3 a Name: Covered porch area(sq,ft.) ......................... 3 G J - Deck area(s ft.) _j��, Mailing address: vnrrrt�� 9723 � q"""""........•.......'.'............ --� City: State: ZIP: :Ther stntcture area(sq. ft.)......................... Phone; `j 3' Fax /' (�5 Email; Coinmercial/industrialhnulti-fancily: CONTRACTOR Valuation of work............... ....... . ........ . .,1 Business name: Existing bldg.area(sq. ft.) .........\. .. 7�J New bldg.area(sq.ft.)••.........•....... . Address: """" Cit e 21P — Numbt r of stories..................... .......:>,. .. _ y 1 ' �3`� -- Type of construction Phone: f2' - L c mail: Occupancy group(s): Existing: CCB no.:q Q' �.----- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Naive: ,l�c� '-j��1O provisions of ORS 701 and may he required to be licensed in the Address: _ f" jurisdiction where work is being performed. If the applicant is City: State: ZIP:c exempt from licensing,the following reason applies: Contact person(,,, Plan no.: -_ - Phone: ' c Fax: E-mail: --- - Name'12(— Contact person: . Ji tf Fees due upon application ........................... $, _ Address: Date received: _ .City: State: ZI_P: _ Amount received .............. ............. ............ $ Phone: --�ax: l3-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all Juri.dictions accept credit cards.please call Jurisdiction I'm nmre inft matinn. attached checklist.All provisions of Taws and ordinances governing this U Viaa U Mastercard work will he complied wi wheth ;i7ZVciAed herein or not. credit card number. IA / F'splrcs Authorized signature: Date: _ ` /yi SII 2 Name of cardholYet as shown mt crcdN c Print name. T!'_ CMdhobrer signature Notice:This permit application expires if a permit is not obtained within Igo days alter it has been accepted ar complete. 444-M13(ry WOM) One-and'Uwo-Fandly Dwelling Building hermit Application Checklist Reference tic`: - - — Associated permits. City n(Tigard City of Tigard g ❑Electrical O Plumbing U Mechanical Address: 13125 SW Hall Blvd,'rigard,OR 97221 U Other: Phone: (503) 639-4171 Fu: (503)598-1960 THE FOLLOWING t r RIMM I Land use actions completed.See jurisdiction criteria for concuo,•11t reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verhleadon of approved plat/lot. _ 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _ 7 Water district approval. 8 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 pians.Must he drawn to scale,showing conformance to applicable local and state building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Site/plot plan drawn to scale.The pian must show lot and building setback dimensions;property comer elevations(if there is more than a 4-11.elevation differential,plan must show contour linos at 2-ft.intervals);location of easements and driveway:footprint of structure(including decks);location of wells/septic systems.,utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent _ size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans, plumbing fixtures,balconies^nd decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.Marc than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,rnofing,roof slope,ceiling height,siding material,footings and fonadation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is Treater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral 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 floors/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,sec item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any heam/Joist carrying a non-uniform load. 20 Manufactured_noor/roof truss design details. -- 21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is requirLd for four or more appliances. _ 22 Engineer's calculations.When required or provided,0.r . shenr wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be appl (able it)the project under review. 23 Five(5)site plans are required for Item 11 above. Site plans 111111,11 he 8.1/2" x I I"or 1 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. "Mirrored"building plans will be not accepted, _ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fces document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&mention per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes, n submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440461416AWCOM) Building Fixtures Plumbing Permit Application ,f Date received: Permit no.: 0r City'of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (5031 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt nu.: Land use approval: Case file no. Payment type: TVPt OF PERMI] ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant improvement ,kNew construction ❑Addition/alteration/replacement U Food service .J Other: JOB SITE INFORMATION I Z • ' Description Qty. I'ee(ea.) Total Job address: L`r` Bldg. no.: Suite no.: Nen• 1-and 2-family disellings only: (includes loo ft.for each utility connec(ion) Tax map/tt:x lot/account no.: p SFR(1)bath Lot: Block: Subdivision: _ yam] _ _SFR(2)bath Project name: SFR(3)bath Cit /coon y. ZIP: Each additional bath%kitchen Description and'lbcatio of work on premises. _ d Site utilities: _ Catch basin/area drain Mt.date of completion/inspeDrywalls/leach line/trench drain CONTRAPLUMBING 1 Footing drain(no.lin.ft.)) Manufactured home utilities Business na;c� V)- Manholes Rain drain connector Ci State: ZIP. Sanitary sewer(no.lin.ft.) ^h Fax: E-mail: Storm sewer(no.lin. fl.) CCB no. Plumb.bus,reg.no: a Water service no.lin. ft. City/metro Tic.no.: bsoFixture or Item: Contractor's representative signature: tJ Back tion valve '- Back flow preventer Print name: t ,��l).� l�:tte' 3� OZ -_J Backwater valve CONTACT1 Basins/lavatory _ Name: NMI IVjjV6&WfflRj,%5 K Clothes washer Address:—T87� T — Dishwasher _ -- - - Drinking fountain(s) Cit;' A � !- talc. 711' -- - 031-__ �3 ._.__ � Ejectors/sump ..• Phone: k 7)c_, l a, Lj I-t I 111;111 Expansion tank Fixture/sewer cap _ Name(print): ` Floor drains/floor sinks/hub ibb Mailingaddress: . 5 ,��' t HoSea�edge disposal C'y: f _ State: _ ZIP. Ice maker P f Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain commetcial) _ employee on the property I own as per Chapter 447. Sink(s),basin(s),lays(s) _ Owner's si nature: h I Date: Sump r Tubs/shower/shower pan ��{��;� Urinal _ Name:_ 1 '_ Water closet Address: _ Water heater _ City: _ State: ZII' Other: Phone: i- Fax: E-mail: _ Total Not all jurisdictlens accept credit cards,please call iuriadicnon rot more information. Notice: This permit application Minimum fee................ $ a, ❑vise U MasterCard expires if a permit is not obt•dned Plan review(at a o) $ _-___— within I Rtl days after it has been State surcharge(8/o).... $ Credit cud number _ L_ -- u accepted as complete. TOTAL........................ $ me of �_. Nacolder as shown on credit ca -. s— —- Cudhalder signature Amount 410J616(ti/0(VCOM) PLUMBING PERMIT FEES: -- PRICE TOTAL Now 1 and 2-family dw^flings only: - FIXTURES individual QTY ea AMOUNT (includes all plumbing fix.-u•es in PRICE TOTAL Sink 16.60 - the dwelllnq and the firstlOC,ft. QTY (ea) AMOUNT Lavatory 18.60 for each utility connection) •- - Tub or Tub/Shower Comb _____ 16.60 One 1 bath $249.20 ---- - _ Two 2 bath _ � - _$350.00__ Shower Only _- ~- 16.60 Three(3)bath _- _�� $399.00 Water Closet -- -�-- 16.60 --------- - - _-._�__. SUBTOTAL Urinal- 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 __ - TOTAL Laundry Tray -^ 16.60 - Washing Machine 16.60 Floor Drain/Fluor Sink 2- 16.60 3- 16.60 PLEASE COMPLETE: 4- - 16.60 Water Heater O conversion O like-kind 16.60 - Quantity b e Work Performed Gas piping requires a separate me:hanical Fixture Type: Now Moved Replaced Romoved/ permit. _Sapped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer _ 46.40 Lavatory Hose Bibs 16.80 Tub or Tub/Shower Combination Roof Drains 16.60 Shower Only Drinking Fountain - 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal -_ Dishwasher Garbage Disposal Laundry Room Tray _ -- Washing Machine Sewer-1st 100' - 55.00 Floor Drain/Sink: 2" 3" Sewer-each additional 100' 46.40 _ 4- _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures S ecify) Storm 6 Rain Drain-let 100' 55.00 - Storm$Rain Drain-each additional 100' 46.40 - Commnrclal Back Flow Prevention Device 46,40 --- -- - -- - - Resldenttel Back"uw Prevention Device' 27.55 -- - -- Catch Basin 16.60 - Inspection of Existing Plumbing ur Specially 62.50 Requested Inspections er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease traps 16.60 QUANTITY TOTAL Isometric or riser diagram Is required If Quantity Total is >a - -- -- -- *SUBTOTAL --- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only I fixture qw total Is>9 TOTAL S *Minimum permit fee Is$72 50+8%state surcharge,except Residential Backflow Prevention Device.which Is$36 25+8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isomehic or rigor diagram for plan review. 1:\dsts\fonns\plm-fees doc 12/26/01 Mechanical Permit Application Datereceived: Permit no.: City of Tigard Project/appl.no.: _ Expire date: (IrynjTtgnrd Address'. 13125 SW Hall lilvd,Tiitani.(W 'i72'_1 - Phone: (503) 639-4171 Date issued: BY: Receipt no Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT F_4 &2 family dwelling or accessory U Conuncrcial/industrial U Multi-family U Tenant improvement 6j6 New constniction U A(I(lilion/aiteration/replacement U Other. 1 ' COMMERCIAL Job address: 7• Indicate equipment quantities in boxes below. Indicate the dollar=" Bldg. � �I� � value of all mechanical materials,equipment,labor,overhead, Bldg.no.: Suite no.: Tax map/tax lot/account no.: �jLjzAQ,j profit.Value$ Lot: H?-p(Q Block: Subdivisio r fl t�t�,Y"�'al *See checklist for important application information and Project name: l jurisdiction's fee schedule for residential permit tee. City/county: ' 711': f ULE Description ant local on of work on premise: .ti l I'fe(CN.) Total Est.date of cumpletion/inspection: ,2- Demi lon Qty. Rm.only Res.only Tenant improvement or change of use: HVAC:Air handling unit __CFM_ Is existing space heated or conditioned?U Yes U No Air con itioning(site plan require I _ Is existing space insulated?U Yes U No Alterationo existing HVAC system o er compressors State boiler permit no.: Business name: (-•,.t=,i-zS - -'c' _ HP Tons BTU/H _ Address: Zb& bUkA Pirclsmoke damper0duct smoke detectors State. _ ZIP: a eat pump(site p an require ) _ o E-mail: _ nsta rep ace urnac uiner e / Including ductwork/vent liner U Yes U No CCB no.: Tnstalrep ac re ocate heaters-suspen ed, City/metro iic.no.: wall,nr floor mounted Natnc(please print)' t n� �" 1 t Vent frn appliance— other than furnace of gest on: Absorption units BTUM Name: �'fF?11.(N;fPGffi'TWR,LLES�IVC. Chillers __ HI' _ C Address: 1( �13�,t1�. nm�ressn t nv ronmenta ex must and rrnlilation: alc: ZIP: Appliance vent Ci Ne" - Phone: IFax: _ -,-4F-mail: Hoods,x Type res. r..aen iazwat _ hood fire suppression system Name: s'Q. Exhaust fan with single duct(bath fans) Exhaust system aart from heating or C. Mailing add ss:" ue p p ng and distribution(up to out cis) O t'(t1 State: ZIP. - Ty • _ LPG NO oil P ', Pax: -mail: e i to eac vadditional over 4 outlets Process piping(schematic required) Number of outlets — Name: other appliance or equipment -- Address: _ De-orative fireplace City: State: ZIP: nscrt- yp _ Phone: ax: E-mail oo(stov pe et stove t t er: Applicant's signature. u. Date: U cter: Natn: (print): e __ --- Not VI jurisdictions accept credit cards,ptesue colt jurisdiction Ra neue infonnaridt. Permit fee......... ..........$ Notice:•I'his permit application Minimum fer.. ............$ U Visa U MasterCard expires if a permit is not obtained -- —J-L— within 1 g0(lays alter it has been Plan review(at _ ')F) $ Credit card number. t-:spi�r y State surcharge (896)....$ -- Now of cardholder u sown on credit cord S accepted as complete. TOTAL .......... ............$ �.--- -� Cordholder signature —Amount 440-4617 I[M'UMI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SChEDULE: TOTAL VALUATION: PERMIT FEE: J P 4� -� DesrXl- ---v ----- tlon: Price Total $1.00 to$5,00_0.00 _ Minimum fee$77..50 Table 1A Mechanical Code sly (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 including ducts&vents _ 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ _ $10,000,00. Including ducts&vents- _ 17.40 $10,001 00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace - $1.54 for each additional$100.00 or Including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $2_5,000.00. 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 appy;ince permit $1.4F for each additional$100.00 or 6.80 _ fraction thereof,to and Including 6) Repair units $50,000.00. 19.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Hear 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.,10 SU3TOTAL7)<3HP;absorb unit $ to LOOK BTU _ 14.00 8%State Surcharge b � 8)3-15 HP;absorb 25.60 unit 100k to 500k BTU --- ---- ----- --- 9)15-30 HP;absorb 25%Flan Review Fee(of subtotal) $ unit.5-1 frill BTU _ 35.00 Required for ALL commercial punit 30 -50 HP;absorb ermits only - TOTAL COMMERCIAL PERMIT FEE: $ - unit 1-1.75 mil BTU 52.20 11)>50HP;absorb unit>1.75 mll BTU 87 20 ASSUMED VALUATIONS!SER APPLIANCE: 12)Air handling unit to 10,000 CFM - 10.00 Value Total 13)Air handling unit 10,000 CFM+ - Description: Qty Ea Amount 17,20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate ;ooler ducts&vents 10.00 Furnace>100,000 BTU including 1,170 7-s55t far,connect3d to a single duct ducts&vents __ 6.80 Floor furnace Including vent 955 16)Ventilation system not Included In Suspended heater,wall heater or 955 Hood served by mechanical exhaust_pr,lance permit 10.00 floor mounted heater /) Vent not Included In appliance 445 - 10.00 permit -- 18)Domestic Incinerators Repair units 805 - 17.40 <3 hp;absorb.unit, 955 19)Commercial it Industrial type incinerator - to 100k BTU _ 69.95 3-15 hp;absorb.unit, 1,700 101 k to 500k BTU 20)Other units .lciuding wood stoves _ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 7.1)Gas piping one to four outlets frill.BTU _- - 5.40 30-50 hp,absorb.unit, 3,400 22)Moie than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mll.BTU Alr handling unit to 10,000 cfm _ 656 AIr hand!IiN_un{t>10,000 cfm 1,170 8%State Surcharge $ Non-portable evaporate cooler - 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single.duct 448 _ Vent system not included in 656 _ appliance perms' _ Hood served by mechanical exhaust 656 -- other Insosctlons and Fees: Domestic incinerator 1,170 1 Inspections outside of normal business hours(minimum charge two hours) _ $62..,0 pert ,ur Commercial or Industrial incinerator _4,590 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) Other unit,including wood stoves, 656 $62.50 per hour inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 14 outlets V 360 charge-one-half hour)$62 50 per hour Each add:tlonal outlet -- 63 ,, -- --t - - --- Slate Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL - - "Residential A/C requires site plan showing placement of unit. VALUATION: -__ All New Commercial Buildings require 2 sets of plans. I:klst9Vorms\mech-fees.doo 021,1/02 r l' Fiectricai Permit Application --� Date received: Permit no.: City of i,,ard Proje.;l/appl.no.: Expire dale: CirvofTigard Address: 13125 NW Nall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use apprjwal: _- U 1 2 family dwelling n•accessory U Commercial/industrial U Multi-family U Tenant improvement *New construction L]P.ddition/altcr;ititm/rcplaccrnr ni U()It _ U Partial 1 1 Job address: Wdg.no.. F, no.: Tax map/tax lot/account no.:'LS Lot _ Block: jSuhdivir, L�--- Project name: r� � �L t 1,-�_ Description and Itp;ation of work on premises: Estimated date of com 'etion/in, ction: X oil Njob no: - For Max BusineSS mine: _ ; - - - I)escrFdion Qty. (ca.) Total nn.insp Address: _ New residential single,,r t u ltl-fnmlly per t(V < dweShidunll.I...ionci attached gi rage. Ci State:i: Z1P: 3 Service Included: P Fax q E-mail: I(Wsq.ft.or less 4 Each additional 500 sq.ft.or portion thereof CCB no.: Elec.buss lie.no: ��J.� City/metro lies no.: — �^�y�y Qu�� `�-+-- Limited energy,residential 2 LL A L Z`li1_L� _ Limited energy,non-residemial _ Each manufactured home or modular dwelling - Sign f -electrician(required) Date Scnice and/or feeder _ 2 Sup.elect.name(print): C t.Icenseno- Services orfeeders-Installation, 10 alteration or relocation: it Ik*11 200 amps or less 2 Name(print): . • -201 amps to 4W amps —_ 2 401 amps to 6W amps 2 Mailing address: 601 amps to lax)amps -- it Statc Z1P. _ — — - Over 1000 amps or vc:ls _ _ _2 atilt¢ _ Fax: I E-mail: Rcconnectonl I Owner installation:The installation is being made r)it property 1 own Temporary services orreeden- which is not intended for sale,lease,rent,or exchange according to installation,alteration.orrelocaUmc ORS 447,455,479,670,701. gal amps or Icss 2ul amps to 400 amps Owner's si mature: /I Date: _ ___ 401 to 600 ams ----- — 2 Branch circuits-new,alleralir7, or ettemlon per panel: Name: _ � A Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit City: State: ZIP: 0. I-ee for brmtch circuits without purchase — of service or feeder fee,first branch circuit: 2 Phottc: 1 nr: f-mail: — -- -- Each udditwnal branch circuit: Misc.(Service or feeder not Included): U Service over 215 amps-comnercial ❑I l,dtli.rr;i:n iii a Each pump or irrigation circle — 2 USennceover 320amps-rating of1R2 UliaxardJuslocation Lich sign oroudine lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuil(,sl or a limited energy panel. U System over 600 volts noriinal more residential units in one structure alteration,orexte_nsion• _ 1 2 U Building over three stories U Feeders,4W amps or more 'Description: U Occupant load over 99 persons U Manufactured structures or RV park Fieh additional Inspection over the allowable In any of the above: U Egress/ligh!inpplan U Other. _ Pcrinspection _Submit sets_sets of plans with any of the above. investigation fee —_ the above are not applicable to temporary construclion service. Other l-- Not all jurisdictions wcepl rrxrJl cm..►,please cell jurisdiction for more information. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at ^ %) $ _ Credit card number within 180 days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL Name of carclho as shier—own on crccNt rand — cardholder siEnetnre -__ Amount 4404613(6MOCOW ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYF F OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: --Restricted Energy------ — -- /� Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less $145 15 t Audio and Stereo Systems' Each additional 500 sqft,or portion thereof _ _ $33.40 I Burglar Alarm Limited Energy _T $75.00 Ead,Manurd Home or Modular ❑ Dwelling Servire or Feeder $90.90 2 Garage Door Opener' Services or Feeders F] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or loss $80.30 2 ❑ 2n1 amps to 400 amps ^�-- $106.85�- _ 2 Vacuum Systems* 401 amps to 600 amps _—� $160.60 2 ❑ 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts $454.65 2 Reconnect only _ $66.85 2 Temporary Services cr Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee fc,each system.......................................................... $75.00 200 amps or less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 __ 2 401 amps Ic 10 amps $133.75 2 Check Type if Work Involved: Over 600 a ii,)s to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits ❑ New,alteration ar extension per panel Boiler Ccntrols a)The fee for branch cirruits with purchase of service or Clock Systems feeder fee. Face branch circuit $6.65 ^_ _ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service l� or feeder fee. L F;re Alarm Installation First branch circuit $46.85 r� Each additional branch circuit $6.65 L HVAC Miscellaneous Instrumentation (Service or feeder not Included) Each pump or irrigation circle $53.40 _ Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension v $7500 _ Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional inspection over ❑ Medical the allowable In any of the above Per inspection $62.50 Nurse Calls Per hour $62.50 In Plant $73 75 _ Outdoor Landscafe Lighting' Fees: Protective Signaling Enter total of above fees $ ------ n Other 8%State Surcharge $ ` _ _ __Number of Systems 25%Plan Review Fee See"Plan Review"ser_lion on g No licenses aro required Licenses are required for all other Installations front of application -- --- — ---- Fees: Total Baiance Due $ Enter total of above fees $ Trust Account" l 8%State Surcharge. $ Total Balance DLe $All Nev, Commercial Buildings require 2 sets of plans. i:AstaVormsklc-fees.doc Ux/10/01 File Number Clea nWater� Services l)nr cnnunitine nl iti rlcar REVISED Clean Water Services Service Provider Letter Jurisdiction Tigard __ Cate September 18, 2002_ Map & Tax Lot 2S103AC 1600 - Owner _Roger Neu,Nu Park Dev. Site Address 1130 SW Fonner St Contact Mike Pruett Tigard, OR _ Harper Hauf Rig_h_ellis, Inc Proposed Activity Residential Develoment— Address _5200 SW Macadarn Portland, _ OR 97206 Phone (503) 221-1131 --_--.`--- 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). YES NO YES 11,40 Natural Resources _ Alternatives Analysis ~ < <,ssessment (NRA) ® ❑ Required ❑ Submitted (Section 3.02.5) District Site Visit — Date: 6/26/01 Tier i Alternatives Analysis ❑ � ❑ tY-.1 i Concur with NRA/or submitted information ® ❑ Tier 2 Alternatives Analysis I� ❑ I Sensitive Area Present ® ❑ Concur with Alternatives ❑ ❑ On-Site Analysts �1 Sensitive Area Present Vegetated Corridor Off-Site ® ❑ Mitigation Required ® U Vegetated Corridor I\ Present On-Site ❑ On-Site Mitigation ® I ❑ Width of Vegetated SO Feet Corridor(feet) See attached map Off-Sfte Mitigation Condition of Vegetated Degraded/Marginal J — u Corridor Planting Plan Attached ® ❑ Enhancemcnt Required �•°� v Encroachment into i Vegetated Corridor ® ❑ RSAT, or Equivalent ❑ (Section 3.02.4(3)) I Required _ i VType of Encroachment Building/decks/lots Concur with RSAT, or El ❑ _ - --- Equivalent Allowed Use (Section 3.02.4(b)) — U Conditions Attached Page 1 of 4 File Number � 7 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 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 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 area. 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 applicant shall provide the District with concurrence of wetland boundaries from DSL and/or USAGE prior to conducting any land disturbance. 6. P,,c)r 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 (USACE). The applicant shall provide the District with copies of all DSL and USACE project authorization permits. Permits must be obtained for in-stream stormwater detention. 7. Should a permit be issued for impact to the sensitive area, the applicant shall submit copies of annual DS�_ and/or USACE required mitigation monitoring reports. Page 2 of 4 r'File�N,ummb�er E-T =___J 8. An approved Oregon Department of Forestry Notification is required for one or more trees harvested for sale, trade, or barter, 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 t!-.an a "good" corridor condition as defined in Section 3.02.6, Table 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 providers 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 (BP✓IP's) for Erosion Control, in accordance .lith USA's Erosion Control Technica' Guidance Manual shall be used prior to, during, and following earth disturbing activities. 16. Prior to r�oostruction, a Stormwater Connection Permit from the District or its designee is required pursuant Ordinance 2.7, Section 4.D. 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. The 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 to 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 u , �-)cation and dimensiolis of the wetland and the vegetated corridor (indicate, )d, marginal, or degraded condition). Wetland boundaries shall be marked in the field. 23. Final construction plans shall include landscape plans. Plans 7.-hall 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 vegetatedd, 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, and if necessary, obtain a revised Service Provider letter. Please call (503) 846-3613 with any questions. Heidi K. Berg Site Assessment Coordinator Page 4 of 4 SEE 35MM ROLL #20 FOR OVERSIZED DOCUMENT TEMPORARY USE PERMITS HOLD HARMI.ESS AGREEMENT am/representing the owner of property Name � located at Print Nam �s -Q m SCJ Frvk �r� ✓JK-�� 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 proceeding with the building or construction 1 associated with FINN �d � pl Project Name or Casefiile Further, I acknowledge that I may nut convey the subject properties until final plat recordation. IL Signatur f Owner Date Or Authorized Agent — -- 100 (tE a LOT 1 -- .39'-6- (Zg p BUILDING 1 � o [OT LAME (TYPI � LOT 2 27'-4 1z ' UILDING 2 ,,, I �.,o►r, ,��' I AlF�'L15C�b��1�"•S�A'1•�o3T0'0F�'tn,..—.. .._. — .—.. .. k r--AR S ' M - i (' LOT 3 "1 �� ' ��,.41 P1a4 ?poor zg J BUILDING 3 h -•i 5.W( � Qhce I 7 Wl�t, � I � (-(JS lc Er ;r,�. I t .Za z (IM LOT 4 i i BUILDING 4. o -�c I IvNI� � J CONT f.T Mf P6E� ..._I I oy,,, RE7�ft �D��RZtia%C _...._..�..�..__.. "ja/;or',j.._..._.• •--• - —•--••—..J'/ j1�1E?C+1 E71Sc1'�k1V''" [w� ..Rnlr�S`rpr� k�L ��R S7aCn: r fi00 . LOT 5 -�rs�� IS t IZ9gb BUILDIN S aIn. I �LA tJ t290U LOT 6 BUILDING 6 Te G"'(a�tRaf7 S•,or�rr�,�E! Esc. � ' w 1pZ ' 12Ws 0 ` I ZOO() eONb CRs UE arper Houf B(IMNG "ACKS own ft — gbellis, Inc.oftow"ftowam OwlON F'ONNER POND TOWNHOME$ �wccwc�r.Q�ww,we "M-sm F I`u �� ...,_.•..,�...__.ri�'N �.it.IS.l9Nt�` t � _�7H��'19ZN� �,�1Y��f lva�- I Al2 M"GSV3 Wols- 31 VAIdd Pt .oa�x .au�1 . .P �9 aZ .S9 IZ ��; 1�1 M � ne• +nc" ,M+r arc . �f. � ►.4 -- t �t � �i I %ft � 2 r i; •'rte. - I I , I -.,� ^r ;� 4 ni "31( z n / . b -„' r� �r�rttr� • � �Y •J I~ • h1 906 de 1�Ya11 h CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)GMST39-4171 `T BUP Received _____..___ Date Requested -__ �0 — /a _ AM_-_ __ P BUP Location ____ _._ �� d- ` 'OLD- r `�.�3yt-e� _.�Suite — �- MEC ---- Contact Person - -.-_— �� PLM` Contractor C 11 � h( ) 1_"" k1.2r- SWR BUILDING TenantlOwner —_ _ __ ELC — Footing Foundation ELC Access: Ftg Drain q ELR Crawl Drain _ __--.--_-__----_-_.--- Slab Inspection Nates a SIT Post&Beam -_-- Shear Anchors ----- ---_ Ext Sheath/Shear Int Sheath/Shear - - - Framing _ Insulation Drywall Nailing --- - -- - - -- - - - ----—------ _— _ - Firewall Fire Sprinkler ----- - --- -- -- —_._ Fire Alarm Susp'd Ceiling ----- -- ---- -�— Ronf Othe•: --- -- --- - - -- -- -- -- --- Final ----------- PASS PART FAIL - PLUMBING Post&Beam Under Slab - Rough-In W �,r Service ----- ----- Sanitary Sewer Rain Drains - Catch Basin i Manhole Storm Drain - - - - - - Shower Pan Other: Final PASS_ _PARTFAIL MECHANIC'AL----- _ Post& Beam Rough-In - Gas Line Smoke Dampers -- - Final PASS PART r-#'\IL - ELECTRICAL - Service --- Rough-In UG/Slab Low Voltage Fire Alarm Reir,spection fee of $ required before next inspection. Pa a E w Hall Blvd.PASS PARTIL Stu ��» SITE - �� Please call for reinspection RE:._ _ Unable to inspect-no acces Fire Supply Line �-- IADA Approa";I u'Si,1ewalk Date p� .5 Inspector - ��___ } Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection I.ine: (503)639-4175 MSTINSPECTION DIVISION Business Line: (503)639-4171 BLIP -- ----- HPceived ----- - - —.Date Requested_� ,!-- ��- AM..-- PM --- - - BUP - ---- - ---- Location -__ __- -__� �-�Q(��"Z Y1�Gl� C�_!' Suite___ _ MEC _-- Cort,ct Person _ T Ph( __) S ____1a- PLM , t .�Lr Contractor7y; _ SWR BUILDING TenanUOwner _._... ... .-.._ _-- .. ELC Footing - _ Foundation ELC Access: F;g Drain ELR -- ---- Crawl Drain Slab Inspection Note; SIT Post 8 Beam _..... - Shear Anchors -- --- Ext 3hecth/Shear Int Sheath/Shear Framing -- - - - Insulation Drywall Nailing --- - -- - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Other: Final PASS PART FAIL _.. PLUMBING Post& Beam Ugder Slab -- - - - - Rough-In - - - Water Service - - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - - Shower Pan Other: -- - - Final PASS PART FAIL_ AN MECHICAL Post& Beam --- - - Rough-In - - - - Gas Line Smoke Dampers --- Final _PASS PART_ FAIL -- - ELECTRICAL UC,!Slab Low Voltage ___-- Fire Alarm Final PART SAIL Reinspection fee cif f required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -1912P- SITE Please call for rnmcspechon R --__ Unabin to inspect-no access Fire Supply Line ADA Approach/Sidewalk a�ts _vc►�/lt_ Inspector l c Ext -- ---- - Other:_ Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL