10465 SW HIGHLAND DRIVE CTI
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10465 SW HIGHLAND DR
CITY OF TIGARD 24-Hour
BUILDING Inspection L!ns: (503)639-4175 d 6 f _�ov� 3
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INSPECTION DIVISloN Business Line: (503)639-4171 MST '
SUP _
Received Date Requested_ /7 �� AM--_._ PM_ BUP
Location �� - .� l" �=_r`�,�,a Suite MEC ------
Contact Person Q, ' Ph( ) `7�1 � ` Ic�7�"S"PLM
77
Contractor _ Ph( ) _._ SWR
IIILDIPI ) Tenant/Owner ELC
0o inq
Foundation Access:- ELC --_ --_—�
Firg Drain
Crawl Drain ELF!
Slab Inspection Notes: SIT
Post&Beam -
Shear Anchors
Ext Sheath/Shear
Sheath/Shear
Int Sheath/Shear
Framing
Insulation
--- --l/
Drywall Nailing _ ---- -- — --__-.
Firewall
Fire Sprinkles - ----- --_ _ _
Fire Alarm _
Susp'd Ceiling -
Roof - -
Othe - - -- - - - - - -
PASS PART_ FAIL — - --
P MBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Plain Drains --- _ -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL — — — - — -
MECHANICAL
Post& Beam — —�—
Rnugh-In
Gas Line ------
Sm„ke Dampers —Final
S -, AT FAIL
S - ---
LEC LR-I
Service ------ - — _�
Rough-In
UG/Slab --
Low Voltage
Eire Alarm -- �—
A3h PART FAIL
❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S — ❑ Please call for reinspection RE:-. ❑ Unable to inspect-no access
Fire Supply Line
ADA ,
l
Appioach/Siclewa;k Data_ -_ Inspector
Other:
Final — — DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
�1
CITYO F T I G A R D MASTER PERMIT
DEVELOPMENT SERVICES DATE SSUIED: 8/31/200400234
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639.4171
SITE ADDRESS: 10465 SW HIGHLAND DR PARCEL: 2S111CC-11600
SUBDIVISION: SUMMER=1ELD NO.4
ZONING: R-7
BLOCK: LOT: 107 JURISDICTION: TIG
REMARKS: Remove existing sunroom and replace with same (to code).
BUILDING
REISSUE: COSTSTORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: ADD HEIGHT: I? FIRST: c1 sf BASEMENT: of LEFT: fi SMOKE DETECTORS: Y
TYPE OF USE: SI' FLOOR LOAD: 411 SECOND: 0 of GARAGE: of FRONT: PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: THRO al RIGHT: 5
OCCUPANCY GRP: R3 BDRM: BATH. TOTAL "I sl VALUE: 15,00000 REAR: I;
PLUMBING
SINKS: WATER CLOSETS: WASIIItIG MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES DISHWASHERS: ALOOF.DRAINS: SEWER LINES: SF RAIN DRAINS. CATCH BASINS,
TUBISHOWERS: GARBAGE DISP. WATER 1ICA rF.RS: WATER LINES: BCKFI-W PREVNTR, GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<t00K: -BOIL,CMP<3HP VENT FANS CLOTHES DRYER
FURN-1^.OK: UNII HEATERS_ HOOLn OTHER UNITS:
MAX INP: btu FLOOR FURNANCr.& VENTS: WOCJSTOVE& GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP 3RVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS _ ADD'L INSPECTIONS `
1000 SF OR LESS: 0 - 200S..., 0 - 200 amp: VIISVC OR 1PDR: PUMPIIRRIGATION: PER INSPFCTK„
EA ADD'L 500SF: 2b 1 - 400 anp: 201 400 amp: !At W10 SVCJFDR: .Ni SIGN/OUT LIN L" PER HOUR
LIMITr.C ENERC". 401 - 600 amu. 401 - 600 amp: A ADDL 13R CIR I In SIGNA LIPANEL: IN PLANT:
MANU HMISVC,FDR: 1101 • 1000 amp801+0m,pe-1000v: MING'LABEL:
1000+amolvolt
PLAN REVIEW SECTION
'taconnecl only. -
—4 RES UNITS SVC/FDR-225 A,: >600 V NOMINAL CLS AREPISPC OCC:
ELECTRICAL-RES7RICTED ENERGY
A,SF RESIDENTIAL B.COMMERCIAL _
AUDIO 8 STEREO: VACUUM SYSTEM. AUDIO B STEREO: FIRF ALARM: INTERCOWPAGING- OUTDOOR LNL4C LT
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFARRIG: ROTF.CTIVE SIG;.-.
GARAGE OPENER: CLOCK: INSTRUMENT-ATION: MEDICAL: OTHR.
HV DATAj7FLE COMM: NURSE CALLS: TOTAL N.YSTEMS:
Owner: Contractor: TOTAL FEES: $ 423.81
VESTA LIBBY ALDER CREST DE VE LOPEMENT INCThis permit is subjeri to the regulations contained in the
10465 SW HIGHLAND DRIVE 5911 SW SOUTHVIEW PL Tigard oxhar pal Cale, State of l w Specialty Codes
TIGARD,OR 97224 PORTLAND, OR 97219 and all olhsr applicable laws P,II work will be done in
accordance with approved p'-ins This permit will expire
if work is not started within 180 days of issuance or if the
work is susperdPd for more than 160 days
Pbonn. Phone: 503-799-97$5 ATTENTION Oregon law requires you to follow rules
adopted by tht- Dragon Utility Notification Center Those
Roo 0` LIC 66956 rules are set forth in OAR 952-001-0010 through
952-001-0080 You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987
REQUIRED INSPECTIONS
Footing Insp Electrical Final
Electrical Rough In Final inspection
r-raming Insp Final inspection
Shear Wall Insp
Exterior Sheathing Msl
Issued By ; —,1 rr� _ Permittee Signature
Call (503) 639.4175 by 7:00 p.m. for an inspection needed the next business day
Ruildina Permit AmhcatiQ _
' Received PermitNo.,. M!5,7�o`l—,nd8�{
City of Tigard mteB : 3
13125 SW Hall Blvd.,Tigard,OR 97223 Plen Re%icw Other permit.
Phone: 503 639.4171 Fax: 503.9 '�60 �Oajt Date/N : 4 —
Inspection Line: 503.639.4175 Dete Rcad5 soft• ® S«Att4 bed(4eetlmt for
Internet: www.ci.li(,ard.t,''.us Nottfied/Melhod: Supplemental Inform .ion—
CITY CF TI 7ARD
ttbI TA'90 irdik
REQUIRED DATA-I-AND 2-FAMILY DWELLING
[3 Demolition Permit fees•are hared on the value of the work pertitttncd.
[_]New construction _ — 1 idicale the value(rounded to the nearest dollar)of all
Addition/alteraliot✓rcplacemcnt ❑Other: equipment,materials,labor,overhead,and the profit for the
CATHOORY OF tCOb18TRUCTM %cork indicated on this application.
Valuation:
S,l-and 2-family dwelling ❑Commercial/industrial
Numbxr of bedrooms:
ElAccessory building -b-Multi-family
-
- — ❑Other: Number of bathrooms:
❑Master builder _
10B SrM INFORMATION AND LOCATION Total numhar of Moon: 1 -- —
Job site address: 1DGi�t�_ luk� , New dwelling arca: �G� square feet
-_
Garage/carl aa: square feet
City/State/7IP: tAPJism
Suite/btdg./apt.no.: Project names(�, Covered porch area: -) square feet
Cross street/directions to job site: i � beck arca: square fee
Other stricture area: square feet
~ _ REQUIRED DATA:COMMERCIAleTISE CHECKLIST
Subdivision: CjU ItAM E�� _ I.ol no.: Pc- RCS'mit S•are bossed on the value.of the work performed.
Inde,-,Ie the value(rounded to the nearest dollar)of all
"fax map/parcel no.: equipment,materials,labor.overhead,and the profit for the
DHSCRLPTION OF WORK work indicated oil this applica,ion.
Valuation: S- -
Nk yR Fs<Sttit►t�7 `Jut�R-e: Fwu — -I Existing building area: square feet -
New building area: square feet
PIIOPERTY OWNER —T ❑ TENANT Number of vtoriew: --
Name: d-�tt A Type of construction: --
Addrsws: --- Occupancy groups: s---
City/slate/zIP: \VvA�-n— �'1YIZ4 �- - Existing:
Phone:( 5) t l .lJI�" Fax:( - New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name:_�� o LI s-VT�J a.-%-'-C. All eontrnctun and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
f 1C- i-_--- under ORS 701 and may be required to be licensed in the
Address: � Sri:r )►�Le g��_?____ jurisdiction in which work is being performed.If the
t applicant is exempt from licensing,the litllowing reasons
City/State/"),IN: apply: A-29 �_�9
Phone:(e_.
Fax: ( t 4(,\)L --
1;-mail:
CONTRACTORG��.a -
Business name: At. U�fr 5A M Q Via PEA BUILDING PERMIT FEES' ---
Address: L e� � � ZL q e F= -- Mease refer M fee schmde.
City/State/ZIP: �r,,'� , "� ---- -�.-.-- ---_ --- -----
_ I cc,due upon application
Phone:(9a; l r Fax:(�j 1 ---- --
A mount received
CCBlic.: 3t - ---- -- ----------- - --
--- --- - bate received:
Authorized sipatt 'bis permit applicatiert expires if a permit is not obtained within
190 daen days after it has beaccepted as complete.
Print name: batcJCK4 Fee methodology rel by fn-('aunty Hutldmt!Industn_
Service Board.
E1e cal-Permit A :t V E L;i
City of Tigud Received
l�tc/I1y I'crma No
W N
13125 Sell Blvd.,'rigard,OR 97223dUrj � ,`; �oal( Plan Review
503.639.4171 Fax: 503.598.1 Date/By. Other Penin
Inspet.;ion Line: 503.639.4175 tkne Ready/Py -` '-- i 8 Sac Pip-2 -
Internet: Hww.ei.tigard.ot.us CITY OF AGARD Notill Method: _ Supplemeuul Inrornuyon
Y111
_ ___ _ PLAN REVIEW
❑ New construction -- Tion/alteration/replacement Please check all that apply: _---�
7 5
Elv Demolition ❑Other: - over ver_2. turps,comm] ❑I lazardous location
❑Sc-vice os er 320 amps-rating ❑Buildug over 10,000 sq.ft..
_ CATBOORY OF CON9'IRUCTTON of i-and 2-vnily dwellings 4 or more new residential
®.i and 24amily dwelling ❑Comrm.-rcial/industrial ❑Accessory building ❑System ove,0(10 volts nominal units in one structure
❑ Multi-family ❑Master huilder ❑Other: ❑Building over three stories ❑Feeders,400 amps or more
--- ❑c Lcupant load over 99 persons []Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑F?gress/lighting plan RV park
Job no._ Jub site address: �0�}b� 5� �� O ❑Health-care facility ❑Other_
Submit 2 sets o1 plans with any oh the above.
City/Stale/ZIP: U (� The above are not applicable to temporury construction service.
Suite/bldg./apt.no.: Project name: L�aa. CI --( -Y -— -- FEE' SCHEDULE
�—
Cross street/directions to job site: New residential single-or multi-funily dwelling Loft.
"` ---- Incbrcles attached garage.
--- ---.. I,(NN►sq.ft.or less 145.1'' 4
Subdivision: �Vl M,IA �. Lot no.: I b F.a.add'1500 sq.ft.or portion 33.40 1
Tax map/parcel no.: Limited energy,resitiential 75.00 2-
Limiled energy,non-residential 75.10 2
DESCRWTM OF-- --. WORK —_ F?ach manufactured or modular
( dwclli ,service tmd/or feeder _ 90.90 2
Rgo►T l '� J►M1i'y- a - Services or fbeders in dallation,alteration,and/or ralocaHoo
200 amps or less _ P0.30 2
-_ riltomRT^, OWNER - 1 TENANT 201 amps to 400 amps 106.85 2
- _--- 401 amps to 600 amps _ 160.60 2
Name: e _ 601 am to 1,000 am
�'� Ps P• 240.60 2
Address: `_ �F _-�� (her 1,000 amps ar volts 454.65 2
�l t Reconnect only 66.85 2
City/ti'ate�/71P: r_Oi"�1\ (,l relocation ��or lbadera FnahlWiat,aNeration,and/or
Phone;( ',J 1 Fay.(�) -- —
200 amps or less 66.85 I
Owner installation:This installation is being made on property that 1 own which is not 201 amp,to 40o amps 100.30 2
intended Ibr sale,lease,rent,or exchange,according to ORS 447,449,670.and 701. -- --
2
Owner signature: _-- _ Date: 401 amps to 600 amps 133.75
19
-- Branch circuits-new,aheration,or extension,per penal
-SANT [] CONTACT pgR•yait � A.Fec for branch circuits with
service or feeder fec.each
Business name: p�, � 6.65 2
TI a _ branch circuit -
Contact name: B.Fee for brach circuits
T without service or feeder fee, 46.81 2
Address: • �i �. each branch circuit
f:s.
h add'I branch circuit
City/State/"1.11': 1 Mist Alaneoaa
_- qtL-�L.A�('� �� _ (service or fader not included)
Phore': — hmp x irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s)or limited-
CONiRAC'hOR energy panel,alteration,or
Business t1N11E: �-� � r ' extension Describe Page 2 2
Address: — — Each additional inspection over allowable in any of the above
-- vj Per inspection_ _- --- — 62.50
City/StatelT.IP: �.17 �� Investigation-per_hour 11 hr now 62.50
Phone: Industrial plant per hour - 73.75
CCA 1.1c.:1-LPIZ to/ Electrical Lit.: '' ►` Suprv.Lie.: 5S ELECTRICAL PBItMIT FBBSa
-- Subtotal
Suprv. Electrician signature,required: --� - Plan review(25%ofpermit fee)
Print name: Data - Stale ::,itrgrge(9%ofpermit.fee)
- FPF.
AuthorirTOTAL PERMIT ed signature; -Tina __ _ _ 7, Z
-- Pia trpplic�tion agtitcs if$Perone 10 otftimad wiat,.. days
after it has been sxzMed as crnnplete
Print name: Date: • 1-ce InethodOORt scl hr oonf}liuddury.Indeftr Semce Huard
••Numhet of ninmettom ocr nernot allowed
c
L
RECEIVED
vl AUG 1
CITY OF TIC ARD
BUILDING D11PISIOM
e t
i
I
C -A b�
�vhMhFp-�IF-c.O I
1046S G�,) 4t 6NL4M Off, Uj
CITY OF TIGARD - SITE: PLAN REVIEW
BUILDING PERMFT NO : A-�,r,2f)Oq—_ QO
PLANNING DIVISION: I;L—'l PD
Required Sethpek.r: Id Approved ❑ Not Approved
Side: S Sireet Side
Front. Rear: `R-
Visual Clearance: Approvers Not Approved
Maximum Build;.•I :-!eiKht ss tart
CWS Service Provideo 1..etter ;)egwred; (3 Yes XNo
Q r.cri�e�i
H Rxek ed
Qt • Cmc Date: g -
ENGINE[ ING DIFTAR I M—AT:
Actual Slope._. % L-4'Apprrved [] Not Approved
Site Plan: (!rApnroved Q Not pproved
LBy: M K`�-�-- . _ Date: F 1Cf
NoIIS;
/"70
Flue 23 04 11 : 51a Root 503-452-9893
p. 6
Aug 12 04 07: 44a Roat - 503 452-9893
r p. l
■
AUG, i 2004
File Number
C�leanWaterr Services
Sensitive Area Pro-Screening Site Assessment
Ou commitment is rlcar g
;urisdiclion �y_1 Date
Map &Tax Lot - /1&414000_ - - OwnerA
- T —�- -
Site Address �Q( � —�_l�/—lstL .� �) ' � -
J-l„$(� Contact
Proposed Activity __-� �y�y T Address �� I�w �• v1DO
---._. -_— Phone
Official use only below this fine 1
Y N NA Y N NA i
_ l Sensitive Area Composite Map Siormwater Infrastructure maps
Map# CSS# r
I �,1 �/ - ---
�,��ts1'� _—
Locally adopted studies or maps Other
Specify--- --- r� Specify 3gW3--4-ke".4-
Based on a review of the above informa!ion and the requirements of Clean Water
Services Design i nd Cnnstrw:tion Standards Resolution and Order No. 04-9:
Sensitive areas potentially exist on site or within 200' of the site. THE APPLICANT
MUST PERFORM A SITE CERTIFICATION PRIOR TO ISSUANCE OF A SERVICE
PRC' .DER LETTER OR STORMWATER CONNECIION PERMIT. If Sensitive Areas
exist on the site or within 200 feet on adjacent properties, a Natural Resources
Assessment Report may also be required.
Sensitive areas do not aprear to exist on site or within 200' of the site. This pre-
screening site assessment d-ies NO"eliminate the need to evaluate ar* ' ProNet
water quality sensitive areas if tnvy air , subsequently discovered on your
property. NO FURTHER SITE ASSESSMENT OR SFRVICE PROVIDFR LETTER IS
REQUIRED. THIS FORM WILLSERVE AS AUTHORIZATION TO SSUE A
STORMWATER CONNECTION PERMIT.
The proposed activity does not meet the definition of development. NO SITE
ASSESSMENT OR SERVICE PROVIDER LETTER IS REQUIRED.
Comments:
-_ _�-_ _ JO
Trwriw� l�hfiT1Y�-.�°t!� �ytw ld ! •a/
Reviewed By: Date:
Post-it't ex_.�Nota 7071 gate a n Returned to.Applicartl
-
8/ � Mail Fax Courter
7o rrom --.__ _i-
&Son Dare By
co Inept rn // --- - - -----
Phone,v — Phnnr a
Fax N✓O��b'M r / 3 Fax 0
r
Page I or I
Larbara Butler - MOT 2004-00234
From: Susan Ross
To: Res Notification
Date: 8/26/2004 10:38 AM
Sulhject: MST2004-00234
The variance 2004-00067 was submitted and approved 8-24-04, effective 8-25-04. CK to issue MST200a•00234
Sue Ross,
Permit Coordinator
City of Tigard
file://C:\Documents%20and%2GSettings\barbara\Local%20Settings\Temn\C 1'✓I0001'�l.HTM 8/26/2004