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9317 SW HOME STREET i c� ca I ti T 3 rn v, I 1 6 9317 SW HOME ST CITY OF TIGARD 24-Hf ur BUILDING Inspection Line: (503)639-4175 MST Z�' O�� INSPECTION DIVISION Business Lima: (503)639-4171 BUP Received ____---Date RequestedZ — AM---- PM BLIP "— location Z---.---, y - Suite _ MEC Contact Person — Ph(_ ) -5�-u� - PLM Contractor �---- -- - -- Ph(---) SWR — - ING TenanUOwr,o, ELC - --- —-- -- Footing — _ Foundation Access: ELR - tg Drain - - Crawl Drain SI Slab Inspection Notes: -- - Post&Beam - --- ---.— - — -- -- -- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- --u Insulation �--.--- Drywall Nailing �—�•�_ __ FirewallA -- Fire Spnr•Iler LOthnr: larm d Ceilingw�C1�—�� . PASS PART FAIL PLUM6I4, 6 - _ Post&Beam Under Slab — Rough-In — Water Service --- - - - Sanitary Sew-r — Rain Drains - Catr h Basin I Oanhole Storm Drain - Shower Pan -- Other: --- Final -- --- — -..----- P _ PART FAIL CH 1 AL ^_ _. -- - -- -- -- — ----- -- Post Beam Rough-In - - -- --- -- -- Cas Line ' —_ Smoke Dampers -- - - m -- - ---— WrPASS.~ PART FAIL E CI 9 Rough-In - - UG/Slab - Low Voltage - Vnaerm Refnspectior r-o of$._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL SITE [] Please call for reinspection RE:_-. -__-._ _—___—___-. [] Unable to inspect-no access Fire Supply Line ADA Date - Inspector Ext .- -- -- Approach/Sidewalk - Other: Final 110 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TICK RD 24-Hour BUILDING Inspection Line: (503) ':39-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP —__-- Received Date Requested_ l _3 AM----- PM BUP _ Location __ Suite MEC Contact Person ._ Ph(—) C' �/S~ PLM Contractor _ _ Ph I(—) SWR BUILDING_ Tenant/Owner __— _ _- ELC Footing Foundation Access: ELC Fog Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Int Sh.ath/Shear Framing Insulation — Drywall Nailing -- ----- --Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling - -_ - Roof Other:_ - -- Final PASS PART FAIL PLUMBING - Post 6 Beam - -- Under Slab _ - Rough.in Water Service Sanitary Sewer Rain Drains - Catch Basin!Manhole Storm Drain - -- Shower Pan Other: - S PART FAIT. MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL - - ---- - -- ELECTRICAL Service Rough-In _ UG/Slab --- - --.�.- - Low Vultage Fire Alarm Final Reinspection fee of$-_._ required before next Inspection. Pay at City Hall. 13125 r'41 I I.-ill Blvd PASS PART FAIL SITE Please call for reinspection RC:_ h Unable to inspect-no access f--ire Supply Line ADA I , / , Approach/Sidewalk Data ll� Inspector's Ext Other: Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL ►AAAAAAAAAAAA *AAAAAAA►AAAAAAAA * &AAAAAAAAAAAAAA \` J 4 CD ►_ ti fb t7 poll b , ► 44 4 O CD ° 44 Z p ► • r + v ► C ► i 4 d d �, o ► q � ° p a F' ► CD -� rD o o opt CD i ► i � - �• i o � i Mei i 44 lip, 4 AL rervev«iiieeeeri�eevevFeeeeevevevvv�v��evev� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received — D ate Requeste(a _ AM PM BUP _ Location / _3 / 7 Suite MEC Contact Person Ph( ) w �� " Z�DU PLM _- Contractor__ Ph( ) SWR BUILDING lenant/Owwr ELC Footing ELC Foundation Access: Ftq Drain ELR __— Crawl Drain SIT Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation C� ��� Ir , Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- Roof z"" O E4� Faii, —PART FAILAS NG — -- 6- -- Post&Beam Under Slab -- INAI IP --- 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 SR mpersPART FAILICAL Service —� Rough-In — UG/Slab Low Voltage _-- Fire Alarm ❑ Reir pection fee of$_ required before nn spection. Pay at City Hall, 13125 SW Hall Blvd. i (ok-91s, PART FALL31 —� ❑ Please call foi reinspection RE: _ ❑ Unable to inspect-no access Fire Supply Line ADA /I O Approach/Sidewalk Data —_ InapactOr — Other: Final DO NOT REMOVE this Inspection recoZM the job stte. PASS PART FAIL CITY Of TIGARD Residential Certificate of' Occupancy Permit No.:MSi 2°O`er ny/8� Address: ? /-10/VJ, <11----_-- Owner/Contractor: Date of Final Inspection: Inspector: This structure has been found to be in substantial compliance with the provisions of the St of Oregon One& Two Family G—41ing Specialty Code and is hereby approved for occupancy. CITY OF TICARD MASTER PERMIT PERMIT#: MST2004-00183 DEVELOPMENT SERVICES DATE ISSUED: 7/14/2004 13125 SW liall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 09317 SW HOME ST PARCEL: 2S111DB-KE006 SUBDIVISION: KESSLER ESTATES ZONING: R-4.5 BLOCK: LOT: uuo JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: BVH3465 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,455 a• BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 2.010 at GARAGE: 655 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THR12 of RIGHT: 5 OCCUPANCY GRP: R3 SCAM: 5 BATH: 3 TOTAL: 3VALUE: 337,41050,485 of REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: IOU SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 SCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•10011(: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 400 amp: 201 •400 amp: tat WFO SVCJFC SIGN/CUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 •600 amp: EA ADOL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+4mpa•1000v: MINOR LABEL: 1000+amp/volt: PLAN REVIE W S ECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A.. >600 V NOMINAL: ^LS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.`JF RFSIDENIIAL 13.COn'MERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURSE CALLS: 'OTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,908.64 BUENA VISTA HOMES BUENA VISTA HOMES This permit Is subject to the regulations contained in the 6932 SW MACADAM#C 6932 SW MACADAM SUITE C Tigard Municipal Code, State of OR Specialty Codes PORTLAND, OR 012 19 PORTLAND, OR 97219 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 183 days of Issuance,or If the work is suspended for more than 180 days Phone: 503-443-6033 Phone: 503-443-6033 ATTENTION Oregon law requires you to follow pries adopted by the Oregon Utility Notification Center Those Ren 6: ( IC 1522.35 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 Ersn(:ntrl 681-4444 Post/Beam Mechanlca Plumb Top Out Exterior Sheathing Inst Rain drain Insp E!ectrlcal Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Cravdl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdw� Insp 6�LLIssued By : Pr?rrT)ittee Signature : )�Tl �-, Call(503)639.4175 by 7:00 p.m.for an Inshnctior hen -d the ne busln as day I� 1 CITYOF T I G A R D SEWER CONNECTION PERMIT DEVELOPMENT SER%/ICES PERMIT#: SWR2004-00178 --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/14/2004 SITE ADDRESS; 09317 SW HOME ` I PARCEL: 25111 DB-KE006 SUBDIVISION: KESSLER ESTATES ZONING: R-4.5 BLOCK: LOT: 006 _JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: --- - __ FEES BUENA VISTA HOMES Description Date Amount 6932 SW MACADAM #C _ _ _ PORTLAND, OR 97219 1SWINSP]Sewer Inspeci 7/14/2004 $35.00 [SWINSP]Sewer Inspeci 7/14/2004 $0.U0 Phone: 503-443-6033 [SWUS,�]Swr Connecti( 7/14/2004 $2,500.00 Contractor: [SWUSAISwrConnecti( 7/14/2004 $0.00 -- Total $2,535.00 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 forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet In all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to toll W rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued by: Permittee Signature: Jil'.4/ i Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next U81098 Ody Building Permit Application Received Buil•ting Datei9v Permit No.: v�f� City of Tigard Planning pro al Othe y g Date/By: —Pc,,,',t N. 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: 'J Pcimit No —_ Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: _ Case No. Internet: www.ei.tigard.or.us Contact Juris: 1 0 See Page 2 for 24-hour Inspection Request; 503-639-4175 Name/Method: _17-ILI_17—ISupplemental Information TYPE OF WORK REQUIRED DATA: *New construction Demolition 1 a"c 2 FAMILY DWELLING Ll Addition/alteration/re lacement Other: CATEGORY OF CONSTRUCTION Note: Permit i••es•are based on the total value of the work performed. Indicate X 1 & 2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory o Building Multi-Family verhead and profit for the work indicated on th.s application. Master Builder _Other: Valuation,........... .... ... S� JOB SITE INFORMATION and LOCATION No. of bedrooms: No.of baths:% _ _ —r- Total number oC ors.......,» -..................... _ Jobe#:address:` , L f New dwelling area(sq. ft.)M'L` 4� �............. Suite#: Garage/carport area(sq. ft.).... `rte........ Covered poich area f.)Project Nam ......... _ Cross street/Directions to job site: Deck area(sq. ft.)................................... ........ Other structure area(sq. ft.)........... .... .... ..... REQUIRED DATA: COMMERCIAL.USE CHECKLIST Subdivision: Lot#: - Tax map/parcel #: Note Permit fees*are based cn the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, NEW CONSTRUCTION—SINGLE FAMILY—RES. overhead and profit for the work indicates'on this application. DEATACHED RESIDENCE Valuation.. . .................................................... S Existing building area(sq.ft.)......................... -- New building area(sq.ft.)............................... Number of stories............................................ I`ROPER 'Y OWNER TENANT Type of construction....................................... Name: Buena Vista Custom Homes Occupancy group(s): Existing: New: Address: 6932 SW Macadam Ave. Ste C City/State/Zip— �orlTancl Z5 Phone: 503-443Z6033 Fax:5 0 3-4 4 3-2 4 4 3 NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: SAME AS ABOVE jurisdiction where work is being performed. If the applicant is exempt Contact Name: Eliabeth Moore from licensing,the following reason applies: Address: City/State/Zip: Phone: ------ ---� Far: - -- -- . E-mail: BUILDING PERMIT FEES' -- — Please refei to'fee scfi cdtil' CONTRACTOR -- -- Business Name: Buena Vlsta Custom Homes Fees due upon application . Address: 693_2 SW Macadam Ave. Ste C Cit/State/Zip: Portland, OR 97219 Amount received Picone: 503-443--6033 Fax:503-443-2443 Datereceived:� CCB Lic. #: 152235 -- — ------- - --- - ------ Authorized1 // Notice; This permit application expires If a permit is not obtained within Signature: — U Date_-- Igo days after It has been accepted as complete. *Fee mrthndolory set by Tri-County Huildinq Industry Service Roard. (Please print name) i:\Dsts`Permit Fomu\BldgPermitApp doc 01/03 One- and Two-Family Dwelling wilding Permit Application Checklist Rcterenceno.: Cinof Tigard "City of Tigard Associated permits: TigElectrical O Plumbing O Mechanical Elec Address: 13125 SW Hall Blvd,Tigard,OR 97223 O Q ElecOther: Phone: (503) 639-4171 Fax: (503) 598-1960 1 ► 1 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zotdng.Flood plain,solar balance points,seismic soils designation,historic district,etc, 3 Verification of approved platflot. 4 Fire district_ approval required. 5 Septic system permit or authorization for remodel. Existing system capacity _ 6 Sewer permit. -'-- ---� 7 Water district approval. — — —"--- 8 Solis report.Must carry origiroal applicable stamp and signature on file or with application. 9 Erosion control ❑plan O permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must 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. 1 I Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions:property corner elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of vells/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 crid location. 13 Flog plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans, plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cf as section(s)and detalls.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction. More than one cross section may be 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 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 greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 'Nall bracing(prescriptive path)an6ror lateral analysis pians.Must indicate details and locations;for non-prescnptive path analysis provide specifications and calculations to engineering standards. 17 Moor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing, and bearing locations.Show attic ventilation. 18 Basement and retaining walla.Provide cross sections and details showing placement of rebarFor enp,incered systems,•:e 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 beam/joist carrying a non-uniform load. 20 Manufactured floor/roof tram"design details. 21 Energy Code compliance. Identity the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 1 I"or 1 I"x 17". 24 T.vo(2)sets each are required for lte,ns 16, 19,20T22 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 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 br, completed before plan review start date. Minor changes or notes on submitted dans may be in blue or black Ink. Red ink is reserved for department use only, U0.4e14tMxucoaa 03/04/2004 16:26 5032537693 SUN GLOW 1NC PAGE y2 Mechanical Permit .App;ation Receives Methwtcal vo)S Qat .-_ Perritt Ne.; '��• City of Tigard Pa^ ^g nppr�° � — Bultditg pato Pem'1it : N^. 13123 SW Hall Blvd. Flan Raeview 00" Tigard,Oregon 97223 oaw ; rmrtitxo.• --- phone: 503-639-4171 Fax: 503-598-1960 Poet• iew ci MAuu C eNa.• 1"ttmett www.ci.tigard.or.u6 stet2f A' 24-hour Inspection Request: 503.639-4175 NtarlMethad: 4rPpietTenrn i.:brMat]ob. r• ,.,• 'A')(PEOF�`'QRK•.;v3a�-r . .,_,_ :CdMbt1YRG!<It,E,.1rLF. � New construction Detn011tion t\4erhanieltl pertrut fees"ue bued on the total volue;;.the worm•. Adffition/alterationlre IaCeMerl, Other: Pei°rTn • �d'catc t1ue value(rounded to the nearest 1c ii.r1 of all ��- >t: C Nt4TC7Q mechanical rnterials,equipment labor,ovcYheazf and pc-)fit, Value: S See 2 for Yce Schedule rl & fu l dwellin Con=erciaV7ndtstria1 Pa oo Buiidin ]Multi-Fa__mi _ _� pr,,ri non P 'er Other; Head cooGt rs�itMe t.�Q11FOR t_T[ONf Plod LOC.['>ION furnace-add-on air condi g"' _ 14.00 r JobSF: Gas heat 14.0081d lA t.?�' Ductwork la•,00� P dronic hot w F_Cys em 14.00 : ttesidential boiler �,m ions to job site: I fbr radiator or hydrunlc aystem) la.(]0 Unit heaters(fuel,riot electric) in w3ali,i n-duct sus tided.etc.I _ 14.00 Flui'lvent fur any of Above) 1000 LOt#: —� fair unite 12.15 Subdivision: �_- -_� 1 - Q%a Fud A tutee e Tax mwp/paLCel WAIT heath 10.00 p'g (pZv F W-0 pas fir Iccc _ 10A0 1V t^ 737;17 P�Y , ,Flue w_nt(water ltvter/ fireplace) 10.00 —� -- Lo li ttel — 10.00 DETACHED RESIDENCE wood/1'ellctstave 1000 _ \/✓ood 5 lace insert � _- - `- — ---- Chimninxl uely to _ T O 10.m I 'FJOP 0� } "E;NA .:r,`�' er ----Ba.iro�meeml Csau VeaNbt�an Name: R �_clu s*om_�M Range hoocUother kitchen equipment 1- 0•Address; 6 32 5W M3ca�t-t��v� S. � Clothadtyeraxhauat ^1G.00 Ci /State/Zi :Portland OR -9—__ Single ductcthaust Phorier � _� _�,3� Fax:rlO---'f l (bathrooms,to tet enmpartrrcnts, APPLIC.�LM _ ��' K utW� rooms _ ht: wl ace f�n_s _ i0.00 Name: David Ga.toba 0 er; to.oa Address:�Z7 a arse4,sI stenadalao�a Cat -- P,�.Z, e,etc.lahotae. Fa�c: -- � -auded/unit heatE-mail: -3-- t�rt'RAtr QR Water hewer_ •• • Fi 10.oe `" ---- PussName_ �(;I �_ 1 Raztee �,AkJECs:2428 5E 105thAVe t /Statc/ZiP:2ortIand or 972 , C Clogs er - hor 503-253-7785)t ax 503 �1b r)ttter -- t�: •• to CB Lir,-. #:451 31 ���, -- MarsuelalFae>at tea' Authortaedu�al: S _ SigDate. t{17=4 Mininw n pattnit Fee7S 2.10 5�_� Vavi.d Gol _ ` FlanRavlewFee *4 of o� Permit ed) S rtutte) catesurchdree 15yo of permit POO S rt Fitt ounly hotlrr: Thli ptfrNt appticat'on e+tplres Ira permit ii not otaiewo within -Fet mod 41181M d h n e b A/C IId�1nE ladastrr 5crvrlibard• IAO dpa after it has beet IPOCRO tl as cnntpletr, t:\GkuNPerrnitPotry\htrGPrt+^iNpP.Aoc OI OJ Mechanical Permit ARplication - City of Tigard Page 2 - Supplemental Inforgnation Commercial Fee Schedule: TOTAL VALUATION: PERMIT FEE: 51.00 to$2,000.00 Minimum fee$ 2.50 52,001.00 to $5,000.00 $72.50 for the fist 52,000.00..nd$2.30 for each additional S 100.00 or fraction thereof,to and _ ___ including$5,000.00. 55,001.00 to S 10,000.00 $141.50 for the first$5,000.00 and S 1.80 for each additional 5100.00 or fraction thereo`,to and including 510,000.00. ___ $10,001.00 to 550,000.00 5231.59 for the first$10,000.0G ind S 1.35 for each additional 5100.00 or fractio i tl'ereof,to and including$50,000.00. $50,001.00 to S',00,000.00 5771.50 for the first$50,000.00 and S1.25 for each additional$100.00 or fraction thereof,to and including 5100,000.00. _ $100,001.00 and up S 1,396.50 for the first$100,000.000 and S 1.10 for each additional S100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. I:8ulldingTermit FormslMecPermitAppPg2 09-01-03 doc i I C3/04/2004 16:21 FAX 5036284633 THE MULLEN COMPANY + BUENNA VISTA IZO02/003 Plulmbin�Per�sut A plication tu�eivea In6 d� •©o�$�� ewa Permit No.: Planning Approval Sew City of"Tigard Date/ay' Permit No.: 13125 SW Hall Blvd. Plan Review Otho Tigard,Oregon 9722:1 Da ost•Su t Rrview nd Ulel! Phone: 503-639-4171 Fax: 503-598-1960 DaWB : Cue No. Inumat: www.Ci.tigard.or,us Contact lum's.: See Page 2 for 24-hour Inspection Recluest: 503.639.4175 Namsl __ suevluman�ar tn[o�roatica 7Yp�\YORK---- n1*SCtEUJDEILE tot•�pe�Cahinitihodetbhf ue'! - - ti• Demolition Description M m Total New constructiorOry. K h, P. r ' Addition/61WAtion/te lace::tment Clt}tti T �i`yI�' �^� '�' `tWd�s ;�• '^F F',. vl edN�Qlt[C(14C IelittddU �d1iYlSQC'1�00 .�, ry. :�.,y.,r IL1EG0 ?OI'C �R 1 bath. - 249.20 - 1 &2-FarrWy dwelling Commcrcial/lltdu.l:T1 SFR 2)bati, __ 3 FAccessory Suildin M � _ SFR 3 bath _ 399.00 Master Builder Other: Each additional bachIc t2bell 45, 66 a�B SWI IU Ir4C/ItT O Firc suru-ilcicr.Jg,tt; Pae 2 Site utimutfa fob site address: Catch basin/arca drain ___16.60 Suite#: _ Bld ./ t#: —__ Drywaltileah line/noch drain 16.60 _P_CO Ct ct Vatne' I Footing drain(ne.linear ft.) Pape 2 Cross 3treGDirtctlors to job Site: Manufactured home utilities110.00 _ i Manholca 16.60 Rain rain CO or 16.60 StAittry sewer no.linear ft. Pa e 2 I Lot ; oll+s Storm (no.linear ft, Pa e I �ubdivieion: f - - Pag e 2 �_ Water service no,linear R Tax map/parcel fE: Fixture;:or Item DES _OjitOF WORK Abso tion valve 16-60 N4X ,C0N5TRUCTION -SINGLE FAMY Baddlow eventcr Pa c2 ---.- -- F3►kLY DETACHED RESIDENCE Backwater wmhor 16.60 • Clothes washer 1660 _ -- - - Dishwasher 16.60 LNmmeDtiokin ro t n 0-0001 T]BiYr+ITIT ectorantmp _-- 16.60 : ena Vista custom Homes _ t x ansi� tank 16,60 Ptxturdlewer cap t6.G0 6 9 3 2 SW MACOarn Avg_ Floor uraimitloor sinklhub 6,60 elZi Portland 0147 9721 9 1 Garbage dis sal _ 1660 03••443-6033 Tw 503•-443-2443 _ Hose bib 16.60 A1ct'IIce maker 16,612+1 Mullen _�, Interceptor/g is nti 16.50 Kwal 6ee-value: S Pa e 2 C/zi -- n Commercial 1_ _ Phone: FBX: J_� -- Sink/basia/levalo 16"60 -. I 16-40 / wor/ahowe� an16"b0 Wats closer -- _ 16.60 nen Name: EA Mu11ar0Plu_R 9 -- water qjtCsl: 29470 SW RainbowLa a/State/Zi _ other. _ Phone: 5 0 3-6ai 1.632 .03-628--Lu_�_ _ u loud s --- CCB Lic. #: g1umb- Lici.#: - hTin•rairm Fermit Fcc 577.50 5 Authorized Reaidotttial BackloW Muiin, t F OS .25 Signaturec" - � ! Rcvitw 251/0 of Pamu F� 5 — g(dt3► ul �/o State urch�rRe 8%ofPcnni�Fee S r TOTAL PtaNJUF6 S (Pleeac '10 Print narrN) ins with ilemetrir or 140aset TTI/p4rolt applicaden expires Ira Permit i4 not obtained oithia All to at Ila nm fbr piano eviep.raqufr• eek o 1 t!0 days ager U has baso aeeapted u oomplrtr. 4 cense"802r4. •For malgrem tnpy ut by Tri County BalldinR Industry. t1lDats�PeentUlclnw�PlmtermltAlo.da 01/0) 03/0,4/2004 15: 11. 503h425815 ROSS ELECTRIC INC PAGE 02 Electrical Permit Application Received Electrical Permit Planning Approval Sign City of Tigard Date/Ely Permit No.: _ 13125 SW Hall Blvd, Plan Review other Tigard,Oregon 97223 Date/By Permit No., Phone: 503-639.4171 tax: 503-598-1960 Post-Revirw Land Use Da"Y: _ Case No., Internet: www, :•igard onus Contact logia: Sao Page 2 for 24-hour inspection Request 503 639-4175 I Name/Method: Sue2larriontal infermatian. TYPE OF WORK - PJ AN REVIEW(PlrpraE cbttxJcialtthat* ew construction Uemolitiott �5e rm-. over 225 amps• HayarLkelt �srt facility cotrmx,rclal Q Hasardnw location Addition/alteration/r lacement Other: I ❑Building over 10,0()()square feet. � �Service over 320 amps-ratingof CA'[tE601KtY OF'CONSMUCTION I ) &2 family dwellings four or more rrsidenliil units in &Z-Family dwelling LJ Conatnereial/ndust6al ❑System over 600 volLs nominal one stoic^ire Acccssory Buildin MuIU-Famil IJ Building over three stories ❑Feeders,400 amps or more —A_ � _._ ❑Occupant load over 99 persons ❑Manufactured swctures or RV park Master Builder Other: _ O egressn10tin8 plan p other JOB SITE INFORMATEON and LOCAT[oN u —. Submit ad.of Plane with Any of the above. The above are not applicable to to o��eonstruction service. Job site address: _ „S - Suite#: �i Bldg./Apt•#: Number ofins tions 1er�crntlt aitowed Project Name- Description _ --� QtY Fitt tea) ram - - - - New r"Ident121-/Ingle or maltl.hmlly per r Cross 5, eet/Dircctions to fob site: dwelling unit.lorledes attached garage. Service Included: 1000�.R.or less 14515 4 Each additional Son 9.kor portion thereof 3 t,do I .Subdiyi5bon: --- Tot#; _ _ Limited rnerAy,residrnttal _ 75 -_ 2 Ur"ired energy,non residential_ 7l.0o i 2 Tax neap/parcel ' - ty J - Fach monufaenrred home or:oodui,r dw _ DE N OF WORK service and/or feeder 90.90 2 ELv - Servkn or rerdert-Imttlladan, sherallon or retocallon �f t: e t Z C /1 C JZ -- - _ eon an, or lean aoao -- 201 oar to ani an,pa 106. s 2 _ 401 into 6W amps 160.60 2 it0601 amoa to 1000 _ _ �;'RTY UW1tfEk 'EEM�' _ � � 240,60 2 2X51100f)amp(or volts 454.65 7 -Jame: al r ,L fu- �/�i�r� i1- kRecann"t only Address: ), p!d1C/0 r, Temporary servie"or feeders-instillation. City/State/Zip: (ori 4�) ,q-1�l/9 ■Iteratioo,orrelocation: 200 am a or les% 66.85 I Phon Fax � cL7- 201 am�aoo am — -- -- 100 30 acts to 600 amt__ 1+1,25 2 APPLICAXTWT Cr PBR VN - ----�--�----- Branch elrculta•new,alleratlnn,or Name: h V"e- USS i eateniinnper panel: -- _-�-- A.Fee rot brarxh circuit with purchase of Address: service or feeder fee,cacti branch circuit _ 6.63 2 city/state/zip: 9 Fee for hmrxh circuity without purcham of Phone: Fax: '- - service or reefer feefit tit branch circuit _46.85 _ 2 _ Each additional branch circuit 6.65 _ 2 E-mail: MiscjService or fender not included). - (IONTRAC UR h cop or fmgation circle _ 53 4n - -_- ----- - - Eachtl oror>rlinclih6 tlrla J $3.40 2 Job No: Signal circuit(q)or a limited miergy panel• Business Name: 05.5 C�� $. alteration,Or entention _ P�e 2 2 3 Ikscr lmon Address: S- 0_Sea t5�at�e C'�_. r Each additional inspection over the allowablo In an of the above, Cit (State/Zip; t�b0►�d � r1'7/a,3 _ — _ -- Per Ins neer hoot min.1� 62.50 P}1Qt1P_:.�Q-3 Z Z84__ RX: 4 1 S Inve-tt!ption fir _ CCB Lic.#: 5- 13 / _ -Lic.#: ,3 6 _ °"'� ___ Supervisingclectricia Subtotal S Signal required �`I - _ Pian Rcvicw 25°�of Pcmtit Feetts S -�__-_-_ Print Name: _ Ve _1 OSSj-Lic. a< y�32 _� State Surchar c 8%of Petmit Fix_ _ TOTALPERIt4TTFET _ Authorized Netiec: This permit appllestion enpirn It a permit is tint obtained Within - Siltna'urc' Date -- _ 180 dayt slier it hm been aceeptrd n complete. •ria methodoingy set by Tri Cnunty Building Indnttry 3rrvire Board. (Please print Marini -- i:',Dsta',Permil Fnmr4'•ElcPermiLApp.doc 01W 9317 HOME ST, TIGARD. OR LOT 6 OF KESSLER ESTATES SUBDIVISION, PHASE I PLANT LIST - ■ Pi<OPOSED STREET TREE ■ MITIGATION TREE - OREGON WHITE OAK PAPER5ARK MAPLE �- 2"4 (MEASURED AT eA5E (2 PER LOT.) o EXISTING TREE MITIGATION TREE PROP06ED TO BE 5A1/ED i 240, N 89'42'09" E_311.31'. 238' 1r�. t5 SILT 10, a tu --� 3 o i LOT 6 7809 SF IBVH3465-L. C'J J240' — � �n - O I GARAGE N 0' oil J4,f'6 12'-0... .y i W uj _I —j _J l,U_ • ,. N I, • • I I O U N 8 ° ,° Ce 2 36 LLI wM iwr� y � � � �� � � � � r � � IHOME -r LOT 6 - SITE PLAN NORTH 1.1 SCALE: I" = 2o'-C -- — - <E F-I-LCTv- BUENA VISTA CUSTOM HOMES BUENA VISTA CUSTOM HOMER 8832 8W MACADAM AVE, STF C• � • POP.TLAND OR 97299 KESSLER ESTATES, PHASE I (ITY OF TIGAPD -- WASHINGTON COUNTY (603) 443-8033 RITE PLAN FAX: (503) 443-2443 0W.G�2.04 F TIGARU Pi NA.R vIl�'W BUILDING PERMIT NO.: 1� PLANNING DIVISION ApProvcdd [� Requireds Setbacks: �i `` tu1J11 Side'. s Street Side:ar :AORear: Gs��te: ---~- Not Appr�,vrd J Front. Alt roved ual Clearance: ► ht s^0 fret U�t D�yiS1D aXinjurn Eitlildin IAC It aired: 0 Yes �vI1.D1`yC� 0 Recco�,I CWS Service Provider Leiter eq Date: ti �] Nu► Approved ENGINEERING, DEPAA Approved 7 I of itprc,ved Actual SloPe• Approved n PP Site PI ate: 6 : G� -9--V1Upa NoWs: 0 a-a-~ o 1p co Cc. I