Loading...
10140 SW MOLLY COURT 10140 SW Molly Court CITY OF� TIGARD ___—_ MASTER PERMIT__ PERMIT#: MST2003-00077 DEVELOPMENT SERVICES DATE ISSUED: 4/9/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10140 SW MOLLY CT PARCEL: 2S102BB-MM009 SUBDIVISION: MOORE'S MEADOWS ZONING: R-4.S BLOCK: LOT: 009 JURISDICTION: I I(i REMARKS: Const new SF detached residence. BUILDING REISSUE: PH2O7MB STORIES: 2 FLOOR AREAS REQUIRF.r IETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1 102 SI BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 970 Sf GARAGE: 440 of FRONT: 20 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I rHRD Sf RIGHT: G OCCUPANCY GRP: R9 BORM: 4 BATH: 3 TOTAL: 2 08 Sf VALUE: 201647.00 REAR: 15 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: 0 RAIN DRAIN: TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: I SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: I WATER HEATERS: I WATER LINES: I BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>-100K: I UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRAI.CH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp0 - 200 amp. W/SVC OR FOR. FUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF, 4 201 400 amp. 201 - 400 amp: 1 St W/O SVC IF DR: SIGNIOUT LIN LT: PER HOUR; LIMI CED ENERGY' 401 600 amp' 401 - 000 amp: EAADDL BR CIN: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 501 1000 amp: pS4000v: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: rT4 Rr:S UNITS: SVCIFDR>=225 A,: ?500 V NOMINAL: CLS AREA/SPC 0r... ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ S.COMMERCIAL _ AUDIO d STEREO. VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OU I'DOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR_ MVAC: DATA7TELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS: TOTAL FEES: $ 7,137.78 Owner: Contractor: This permit Is subject to the regulations conlaineo in the INTERCOAST DEV GROUP LLC JLS CUSTOM HOMES Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 91185 17200 NW CORRIDOR CT.#110 all other applicable laws. All work will be done in PORTLAND.OR 97291 BEAVERTON,OR 97006 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 requires you to follow rules adopted by the Phone: Phone: 503-533-4006 Oregon Utility Notification Center. Those rules are set 503-250-0739 forth in OAR 952-001-0010 through 952-001.0080. You Rag 0: [ LIC 139970 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Mechanical Final Sewer Inspection Underfloo,insulation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final r Issue By Permittee Signature Cali (503) 639-4175 by 7:00 p.m. for an inspection needed the nd'xt business day CITYOF TIGARD _EWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00069 DATE ISSUED: 4/3/03 13125 SW Hall Blvd , Tigard. OR 97223 (503) 639-4171 PARCEL: 2S102BB-MM0M( SITE ADDRESS; 10140 SW MOLLY CT SUBDIVISION: M0 ORB'S MEADOWS ZONING: k--1 BLOCK: LOT: 009 _JURISDICTION: 11( _ TENANT NAME: USA NO: FIXTURE UNITS: CL.ASS OF WORK: NEW DWELLING UNITS: ? TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: -------------- FEES INTERCOAST DEV GROUP LLCDescription —� _ Date Amount PO BOX 91185 - PORTLAND,OR 97291 15WUSAI Swr Connect 4/9/03 $2,300.00 (SWUSAISwr Connect 4/9/03 $0.00 Phone: 503-250-07:39 ISWINSPI Swr Inspect 4119/03 $35.00 IsWINS1)1 r Inspect 4/9/03 $0.00 Contractor: Total $2,335.00 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' Perm Issued by: ! �:f'' 1) > !!(-�(l Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business clay -.;,-0oa o �G Building Permit Application I_Da!eiveg;�_,,_�SO Permitno.: �City of TigardAddress: 13125 SW Ifall filvd,'I ieattl,(W t1722A appl.no.: Expiredate: Phone: (503){+19-4171 ued: By- Receipt no.: Fax: (503)598-1960 Case file no.: Payment type Lard use approval: � 1&2 family:Simple Complex: TYPE OF PERMIT 141 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacemenl U Tenant improvement U Fire sprinkler/alarm U Other: —_ JOB SITEINFORMATION Job address: G/6/0 w e ( Bldg.no.: Suite no.: Lot: I Block: Subdivision: /woz"o1 ittxI.I_-.1 Tax map/lax lot/account no.: Project n ame: Description and location of work on premises/special conditions: Name: Mailing address: V o� 11 do 2 family dwelling: City: , Z Statc:p ZIP: '72'1/ Valuation of work........................................ $ Phone:` oG•7 y� Faxs -Z2 E-mail: No of bedrooms/baths................................. -- Owner's representative: Total number offloors................................. �- Phonc: I aK mail: New dwelling area(sq.ft.) 2 U tip APPLICANT Garage/carport area(sq. ft.) Name: th Covered porch area(sq.ft.) ......................... //0 Mailing address: Deck area(sq.ft.)........................................ City: State: ZIP: - Other structure area(sq.ft.)......................... Phone: I E-mail: ('ommerciallindustrial/rnultl-faniil}: Valuation of work........................................ $------- Qusiness name: [_�t•}�,�� v Existing bldg,area(sq.ft.) .......................... Address: 7 rc�o i New bldg.area(sq. ft.)................................ Number of stories...................................... . �— City: / t?J P;fon State:CR ZIP: Q"JQ d� Type of consttucdon Phone: ( t � Fax:S �G E-mail: .................................... CCB no.: Occupancy group(s): Existing: I f r 17UW New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: -5 Mz e' provisi,ms of ORS 701 and may be required to be licensed in the Address: z ti <;�" (, z A t: p onsdiction where work is being performed. If the applicant is City: State ►Z ZIP:�'- L exempt from licensing,the following reason applies: c'r_mtact person__�,J(L,-tf_ Plan no.: D -/ ------------------------ Phone: ( r1S I I Fax:( i.61 F.-nsril: Name: q�- _ C'omnlact persnn: Fees due upon application ........................... $ Address: i Date received: _ City: _ Staic:E-mail: ZIP: _ Amount received ....................................... . None, Fax: f mail: Please refer to fee schedule. I hereby cetlily I have read and examined this application and the NM all iunwlictim arcept credit cmdf,hlew call)umdictinn far mere infamallm attached checklist. All provisions of laws and ordinances governing this U Yisa U Mastercard work will be complied with er specified herein or not. / Ordit cud nundtet .apim �� - -__ Authorized s�iiju�m°ture: -i- — _ - - _ f)ate: Nmne d cmdMoldrr a Chown on credit cud Print name:LC_/11 —_ — -- s- --- Cardholder iixnaterc Amour Notice:This permit application expires if a permil is not obtaitied within 180 dbys after it has been accepted as complete. /104613(bUOI'OM) Ai1G-7-2001 07:09f1 FRO11:EDWARD MULLEN PL.UMBI 503 628 1633 1'0:5035334306 P:1,1 "VY. u vet tri;1A FRX P. 2 Plumbing Permit Application COE Tigard ---- `— Detemccivorl; I A1'utomttn �yT3Q�Zl �,(.� g Sewer penult ou.: Building pemill no.: Addree.A: 13125 SW Hall Blvd,Tigard,U 97223 -- ('ilpnf7/eo d I'tnnte: (5(13)6394171 Nokc1/Appl,m.�� Etxplredate: Fax: (503) 598-195U DAtelasuerC By: _ Receipt no.: Land use approval' Cue n1e no.: peyunpultype: &1 family dwelling or accesemy U Commeroia industrial 0 Multi-family U Terwtt improvement �j New cunatruWan U AddiliurAlt.rafinNreplacelilt!III U Fanl Atrvict U Other. _ Job address: JJl U 5 W �T C T Desert tion _^ F"On.) Total Job Suiten ow -sued 2- y d-r�rRn ontyu • Qatiaden IG0 fl.rbr@arb atllHy cnnewctlnn) Tax nuap/u►x lot/et:eaunt no.: 5FR(1)bnth Lot: _ fllooh: M Melon: -- gull __------ -- --- PrvJect"erne: S (3)bath CII /county: r(,f��tS 71P: JNAC I WUUoi a tc ell i Description and Iocalirrn of work on lmemia si Alteatmtknt _ Catch bmNin/aren drain W.date of con IeUun/inspection: ' -��«�r IU ucn rein Fwang n(flu.lin. t.) arirfac, rrue�ut I a -�-� Busine"name: N 0144 an-14R=no — '-- Address: Z 't'4r 9 _ Rain drain connector City' 11 r 1/S0V State: Z1I' r'' §Rriitaiy sewer(lw-1Tn t�,) Phone: l� Pnxl(n ` C mail. Sltrntt sewer(oo-lin. e r PIumF.bus.to rw: suer service po. ln. ccs no.: a� g-_3 i- Cityhnctm tic.no... a Helm or heart valveCAmtractoes rc reeattative Aigtultarc: ��'� venterPrint acme: Uatc: OJjAbqsoqgion wamr varve ow"Mavatury - ---- ----- -- UnhweeFier AddrcAA: ) n-Ing nta (ity---- 5late: 'Cllr E'eclats/eum _- plK,ne: ,munxim tall --- - �x_tu�_and nmir ski r dua�om ai�tuTr - Name.(print): ,.j � - - �— Mailing addms/: i\Ztt c t State:C ZIP: c '2 2 1co makes— Pl)onc: t t r 1 3 Ivex;:,; : ?L(;r-mail: nt�tease - Owner InAtAllalifmt/residential mainte"antr. only:'Ihe actu d imitallatkmt �4 mer(a) will be trade by me or them ar".and repair made hy{my trgulm - 00 dro_l_n�c_�al) roydnyco ut lir property per URC Chapter 447. I ,m (a, rl ealrl(e), arve s thvnera v we: z [►aur._ um - Nt-?/ihuwcda l�ovYer M i-` Name; n_ rlrxei _ Address: mater Ticalef - C1tyl- - Stall: ZIP - Phone: Fax: We on lrtirdrdoa neap aaAt CW*.pkm Na lr:rinlen Ila afro Yom. Nudge:Tlile penult appl leation Minimum fee............... i U Vlu 0 htutrrC'ud rrtpiree it a permit ie nm obtain6d Plan review(al — %) _�- t.Yedlr widtin 180 days after ii bu hese State eurclwlie(8%)....3 ~-'-1tins--ia er�in-[�'r r�irwn nn e Acarpted u Wing,left VITA.......................It �.._ +" .. .` 404616 WXYLIAW Mechanical Permit Application r 7�— edPermit no.:Clity of Tigard lno — Expire date: CltvafTtgadAddress: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639.4171 Date issued: By: — Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval' Building permit no.: �(I &2 family dwelling or aecessm _!Commercial/industi ml J Multi-familN J Tenant improveme--] nt 0 New construction -� lddiunn alteration lacetncnt J C)thcr Job address: a' - Indicate equipment quantities in boxes below. Indicate the dollar Bldg, no.: ISuite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: ?,5 .j V 2(j,' profit.Value S �_- Lot: Block: Subdivision: TI,4 *See checklist for important application information and Project Irans: iyJr , jurisdiction's fee schedule for residential permit fee. City/county: ZIP; Description and location of work on premises; T —_ t tIV Pee(ea.) I trial Est,date of completion/inspection: Description Qty. ties.only Res.only Tenant improvement or change of usc: Air handling unit C'FM _ Is existing space heated or conditioned?U Yes J No Air conditioning(snc plan required) Is existing space insulated?O Yes n No lerauon o exrsung system ' Boi crlcompressors Business name: / �' �(f 1 y State boiler permit no.. IIP_Tons BTU/H Address: 2 '—�3'Z-' �G�lu Fire/smo a ampers/duct smo a electors City: pe, State::( P. �J,/v Heal pump(site plan require—lc)-- Phone: 0/(�, ( Fax: 77VF?-mail: nsta /reli ace umace urner--_ CCB tto.: Is - - Including ductwork-vent liner -1 Yes U No -----. _ nsta /rep ace relocate t-Teaters suspended. City/metro lie.no.: j Z wall,or fluor mounted Name lease rint): r 11r IC /l FI.111 - - VCtii fir liancc other than ,urnace Refrigeration: Absorption umtc _ _ BTU/II Name: ��)(, r�� �/ I c hitters ---- lip Address: Compressors lip - - — — — .nr ronntenta ez aust an vent at nn: City. 51a1C. ZIP: Appliance vent - ----- -- --- Phone: I;tx: I?. nrtil' Dryer exhaust --^— _—_ Hoo s,Type I/ I/res. itc en aztnat hood fire suppression system Name: �j ��(� l xhaust fan with single duct(built tans) Mailing address: 16aust syslcm apart from heading or AC City: _ Statc: k 71 —om-- -- Fuelpiping an qtr uun(up to outlets) 4 .Inc: __ l Pci oil -mail: eneac additional outlets Z rax: LN - t rocess piping Ise cmntic require Number of outlets Name: l �,pg�l/�,�' ter sae app once or equipment., Address: -7/ ,2 - pill Z/1 E,ij — ,'v cr u_ Decorative fireplace City: -7-/eAq Q -- State: (9ZIP: _I� _ nserl type -- — -- Phone: 1 V Yt T/ rax Woo stove a er stov`e z G-mail: P Other. — Applicant's signature: Date: e' / 0 Other- &-44 Name(print): 1, - Nm all urtWictimisa U accept Jit cards, tease call Jurisdiction I'm ru+re mrmmati,m. Permit fee..................... S i cr r i Notice: This permit application Minimum fee................ $ !-- __-- Credit card number — Li expires if a permit is not obtained Plan review(at __ %) S spires within 180 days a0er it has been State surcharge(8%).... S Name of cardholder a�.hewn on cre itit c—i`art] accepted A3 COmpICIC, ---— — -- s OTAt ....................... $ Cardholder xtgnaturr -- Arnunnt— 440.1611 i641IGCOM) Electrical Permit Application Date received: -- Per Jill, ria.: �is` � � 77 (.Ity Of l lgard Projecthpl,Lno.- Expue dam ` t'irl'rrl7i�rrrrl Address: 13125 SW Ilall Blvd,'I'igard,Ot2 1)/"3 Date issued By: Itecciptnu. Phone: (501) 639.4171 Fax- (503) 598-1960 Case file no. I'ayntcnttypc: 1'and ince. approval: 1 ' Le I &2 family dwelling or accessory U C'onnucrcinl/itldu.11ual U Mulli-family U Tenant improvement U New consuucuon U Ad(Iitioti/aiteratJon/rcl)larrnlrnl U 011ier U Partial Joh address: I U _�CU mc, l) 47 Bldg. no.: Suite no.: Tax Inap/tar lotlaccount no..?S 1 U 213.0_- Lot: I Block: Suhdivisioll: Project Hanle: Description and location of work on prrnn ti: Estimated date of completion/in,+pr•r bine CONTRACTOR1FEE.SCIIEDULE Job no: r r� Busltlesti n.nn �� C( (,t ju'C - Oestri tion 111y. (ra) total no,fns r Nrr+rnidcritial-vinRk or nndli-fondly tear All il: .. •N3fou I (� (� K L+� dnellbtgunll.IncludcsatfaclrrdgaraRr. Y. Stale ZIP:g7i;23 Semiceincluded: I'11011Y�^ Lhx• I:t11i11I' IlNlll aq.n or Ir ss / t �/ Each additional 500 sq It rir Pnuion Ili turf CCI-110,: Flec.bus, lic,no: g -- _� 'Z'T•��Q �'_- Lunucdenergy residential ---- — 1.J City/me ro lic.no.: L � Limiled energy.min residential 2 Each nrraittfact fired bottle or modular dwelling Service and/or feeder 2 Si nature of supervising electrician peyuited) Dale - Sup.elect.nome(prtnt) � I.iecnsrm, 3ervlcesorfeeden-Installatlon, alteration or relocallon: 111ROVERTY2(X)amps rir less 2 Name(print): 201 amps 1,400 amps 2 --- 401 naps n,6(X)amps 2 Mailing address: a ---_ �r �S (in _moi%to l(writols -- —_ -- 2 City: State; '( ZIP: (i7 ?c f)vrr In11x)ampsorvolts ___T 2 Pholle: 2 V _ I'ax: 1 li-Itlad: Recnnncctnnly �.. Owner installation:The installation is being made:on property I own Trmporaryverrlcesorfeeders- Installatlon,alteration,or relocation: which is not inlended for sale, ase,rent,or exchange according to I(X)snips or Icss - ORS 447,455,479,670,70 ---- -- 201 amps ro 41X1 amps Owner's ;i,Ililtnrl': Date: 2 401 11u 6(X)amps - Branch circults-nen,alteration, or erlenslon per pmrrl: Nanle: A. I ce.or branch cin ulls with purchase of Address: �'�� y W C e/I G service or feeder fee,each branch circuit _�---- Cil _T-�<�A shale' f 2•IP: (/7 z z3 n fee forbrancl)circuits without putchasr --- Y' --•�---- ---1' �- of service of feeder fee,first branch r,rl tilt 2 PhUI1C: ( �z I'ax62 orf f ell%III: liachnddinuualbronchnc�uil ^- - -- -�- Misc.(Service or feeder not Included): Cl Service over 225:unps(olonu>Ic;a1 U health Iall,Iari111v Each puny,of ungation ncle - n orouilure ll hon• U Servnr„srr 110angn rating of I&.1 'J Il,li,udnuslcn:alion tachsi g �.� — - fatuilydwellings J naddurgovet 10,1XX)squmr Irri four(r Signal circulits lilt a Inured rnrrpy panel. U System river 611X)volts umm„aI mere residential units,in nor Stu,full- alteration,or carensinn• U Builrlingoverthnesnnres U I'eeder5,4(X)mnpsonoffal, •Desctirlo'n -- U occupant Innd over 99 persons U Manufin:lilt ell structures of RV park FAch siddilinnal inspection over fire allowable Ir any of Ibe abort: 1 U Iigtes AghriIII,I'to .J r nh"l - Pet inslrec(ion Submit Se(%uf pian%with 1111 nl the alnt%c. Imcrngationfill• -- _ Ile above are 1111 applicable to temporal/conNrlit lion scrvice. 1)llwl — — �_ h-111111 lot Y -_----- _-__ NnI d11 Jill k, n..�,. �� .-I�i „iii u h pl,,.� .,u, ...e .,.. I�i m....-...I,un N('(Itc I ins pcnnll'11,1111turn"I cspncs If a pcnnll I"mil,'I lau�„I Plan levtrw(al UVrsa UMa,I.�� .,� 1 _. r n•dn r,nl unn,l,., / / ,slthm 18”da)s allcl it has heal Slaw sure:hal)rr.(9'9)) t r11n„•, ,rcceptedascoml,lcle. TOTAL ... . b ---- Nano•til,nnlln,lLn ar dn�wn�a, n•�hl,and r .n�anddrr ut�nalla,p t nun„fr,r 4oo 461s lr,r Mur'r M11 _ooa-77 6r� rCOtd Fe^s° 108 . 56 Md F�osp^far 1� 8' P.U.E, Q' N 1'"- �- CD ..p '''` LO ....... (Tract A) .... . ......••••• Private ST • 100 10' S.S.E. Scale 1 " - 20' Lot 9 Moore's Meadow's Subdivision 10140 SW dolly CT Tigard, OR Applicant; Intercoastal Development Group LLC PO Box 91 185 Portland, OR 97291 � OF ----BUILDING PERMIT CITY / PERMIT#: BUP2003-00377 DEVELOPMENT SERVICES DATE ISSUED: 6/19/03 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S1021313-02800 SITE ADDRESS: 10140 SW MOL I-Y CT SUBDIVISION: MOORE'S MEADOWS ZONING: R-4.5 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR i FIRST: sf N: S_ E: W: --_-_ TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ'?: __R_EQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT it FIR SPKL_ SMOK DET: DWELLING UNITS: FRNT: ft REAR: tt FIR ALRM - HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,660.00 Remarks: Construct 100sf deck. Owner: Contractor: INTERCOAST DEV GROUP LLC JLS CUSTOM HOMES PO BOX 91185 17200 NW CORRIDOR CT.#110 PORTLAND, OR 97291 BEAVERTON, OR 97006 Phone: 503-250-0739 Phone: 503-250-0739 Reg #: 50-533-40001)711 FEES ^� REQUIRED INSPECTIONS Description Date Amount i Footing Insp lirILDj Permit FCC 6/19/03 $62.50 Final Inspection ITAXj 8%State Tax 6/19/03 $500 11311PPI.N1 Pin Rv 6/19/03 $40.63 Total $108.1: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, o• if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. �..�Issued By: Permittee ----" Signatur& — Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received: Permit no �i City of Tigard J Address: 13125 SW Hall lilvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard f• Phone: (503) 639-4171 Date issued: 8y +'j Receipt no.: Fax: (503) 598-1961"i Case file no.: Payment type: Land use approval' _ 1&2 family:Simple Complex: 1 &2 family dwelling or accessory U Commercial/industrial J Multi-family U New construction Demolition U Addition/alteration/replacement U Tenant improvement J Fire sprinkler/alarm ,Other: JOB SI'll F IN FORMATION Job address: C _ I Bldg. no,: Suite no.: Lot: Block: Subdivision: r_ Mgc XLe I Tex snap/tax lot/account no.: — Project name: — Description and location of work on premises/special conditions: Namc: 1C L,,c-,kc4n �\c mg,, Mailingaddress: 112C'Y t JJlti' - ti ( I &2 familt dwelling: City: state , r ZIP: �17[,(L, Valuation of work ...................................... Phone: !.r [ (•�, Fax.e- .[ C-ma il: No.of bedrooms/baths.................................. Owner's representative: - - t Total number of floors.................................. Phone: Fax: E-mail: New dwelling area(sq.ft.)............................ Garage/carport area(sq.fl.) Name: Covered porch arca(sq.fl.) .......................... Ctiysr.S� Mailing address: Deck area(sq. fl.).......................................... City: State: ZIP: Other structure area(sq.fl.).......................... Phone: Fax: F-mail: v Commercial/industrial/multi-family: Valuation of work ... ..................................... �; _ r. Existing bldg.area(sq. fl.)............................ Business name: ��,�� �j /, New bldg.area(sq.fl.) Address: Number of stories.......................................... Phone: E-mail: — City: State: Lip: Type of construction CCB no.: Occupancy Fax::� Occupancy group(s): Existing: New: C'iry/metro tic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is City; State: ZIP; exempt from licensing,the following reason applies: Contact person: Plan no.: - Phone: Fax F,-ll Name: Contact person: Fees due upon application.................. .. ..... .�_--- Arldress: — Date received: City I State: IZIP: Amount received...........................................S Phone: _ Fox: —_-E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit tarda,please call jurisdictirm rut more inrotmalilm. attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard work will be complied with.w h9t her ecified tcin or not. Credit card number: apim Authorized signatut'e' C Date: ___. Name or cardholder u shown on credit card Print name: _S I i e t(r 11 a�£c __ _ _ --"--- Cardholder signature S Amount Notice: i his permit application expires if a permit is not obtained within 180 days after it has been accepted as canplete. "04617 l640(70M) JINN. -18' 05(WED) 13.z2 y P. 002 • 1 1 � , 1 � , 1 1 t 1 `rtl`M Ona,i `nc� 108.56 �,Ccnpa�For' J 1 1 I Q.. I storm We i CN Q SICJCWalk 5' ' 166 L0 i (T ct A) i 34 j Note ST 20 i F&9e1,tD 100 /0' ,x16 L*CK 10' S,S,E, Scale Ill — 20' Lot 9 Moore's Meadows Subdivision 10140 SW Molly CT' Tigard, OR Applicant; Intercoastal Development Group LLC PO Box 91 185 Portland, OR 97291 ol CITY OF IV ARD -SITL 1'1.11?l,lt: :V1� f III 111,L)INO PERMIT No PI.ANNINii f)tvttill)N: 'R� S Required Setbacks'. Nr A`iaxwd Ll Nut Ap1.n"W;,t Side: Street Side: M'riltlt. � (;area.•- _.it2_ ' • ''Rear: vislaal Clearance: S Appprrosed Q Not Approved Maximum Buildilig 1VS Service Prosider Letter I(euu re ttl, dl.;s ❑ `•it W etei Stitt v -.oINF,LKIN(i DEPART N417N 1: Actual Slope.': 3 % tj Approved ❑ Not Appru,ed site Plat / ,� ,M Approved ❑ Not Approved Nates: ti R EQ 1 in 01 r , ti • i r zt�4 to itlb:� r 2� 0 CITY OF TIGk-.RD Approved mditionrally Approved..... .. .... .. or oniv the work as described In. PFAMI7 NO 114"O3 0-03Z7— Some I etre to Fahow l trgll. . ..; Job Ar}tress'. By, .. .__ __ _ .. Date I OFFICE. COPY i �r S kin L v go 10 J � (bo o t'd tb0'oH un�ss:� E0©�'6t'NnI CITY OF"11GARD 24-Hour BUILDING Inspection Line: (503)65 , INSPECTION DIVISION Business Line: (503)6071 MSTCie AM Received Date Requested PM___ BUP Location suite MEC Contact Person PLM Contractor ...... SWR IBLIILDIN. Tenant/Owner ------ --- -- ELC (I OE_0_t i ELC Fo jnET6tjon Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 21 SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other';-. e;inal A PART FAIL PtM — BIND Post&Beam Under Slab Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pan Other: Final PASS PART FAIL MECHANICAL__ Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alam Fin'! Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL. SITE Please call for reinspection RE:.-_ E] unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Doft Inspector W Other: Final DO NOT REMOVE this Inspection record from the job sit,%. PASS PART FAIL CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)63y-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _— Received __ Date Requested_ ` r _ AM -- PM �_ BLIP Location -- _� ( � __ r _�—Suite'' MEC Contact Person —_—__— �d�-'-- _ Ph( _) -�c- -�-�!7 5 1''_M — Contractor __. Ph( ) — SWR BUILDING Tenant/Owner __ _ _--__� ELC _ Footing — ELC Foundation Access: — Fig Brain ELR -_.._.__- Crawl Drain Slab Inspection Notes: SIT -- Post&Beam Shear Anchors — --- -- Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'dCoiling ----_.__—_--__.-----_-__- --- Roof Other: ___.__._.- _-- t:ifia�.__` _PASS PART FAIL PLUMBING Post& Beam ---- Under Slab ---------- - ---- Rough In Water Service -- -- --- — Sanitary Sewer Rain Drains -- --- - uatch Basin/Manhole Storm Drain - — -- - —� Shower Pan Final _- P T FAIL - -_ __- ---- --- ------- ---- MECHANICA _ Post 8 eam _ Rough-In — --- ---- - _. Gas Line Smoke Dampers — - - - ----- -- m ZCSS., PART FAIL ------ - -- _ _. --_—__-- ELECTRICAL Service — Rough-In i.JG/Slab Low Voltage _ Fire Alarm - -- -- ---- --- - --- ---- -- Final Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ I PleAse call for reinspection RF �_____—.__. —. _-- [-] Unable to inspect-no access Fire Supply Line ADA Ar:oioach/Sidewalk Date'. _._-__ InsRsctor _ -�__ __ __. _Ext Other: Fined DO NOT REMOVE this inspection record from the Job site. PPSS PART FAIL AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA S-i ► d , ► CL pol- 44 N a M ° ► �- A �r ► r� ► ► 44 p ,- ► w • 0 0 ( �* n ► n f 1 , Fes+. ► A D r ► G �e ► ► a x ► i I�■I i i ► A ► . C00/ZOOfpj 071Y9LL d0 JUIN 096TOOSCOG IM tZ:CT COOZ/8Ti80 6� r d n � 'T] •G•f O C4 C O 1 c4 a _ c ~ C1 rD n r o s n rL v 1 V \ H S �V Y� 7 fi aws� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50 p- 175 MST INSPECTION DIVISION Business Line: BUP Received Date Requested— �0r `- AM PM_1__ BUP Location z �Y 1l. c�.,; -- Suite _ MEC Contact Person Ph Ph( ) PLM Contractor_ Ph( ) _ SWR BUILDING Tenant/Owner _ ELC Footing -� T Foundation ELC Ftg Drain AGCOSS: ELR Crawl Drain Slab Inspection dotes: SIT Post& Beam Shear Anchors -- - -- Ext Sheath/Shear Int Sheath/Shear ��- �2 () (yyy (LS Framing -- Insulation Drywall Nailing - r - Firewall _ _ - JAIL Q v r~+ 1� 0 Fire Sprinkler - -------- Fire Alarm `�(y lzc, V-Q Susp'd Ceiling --�.- --- --- - Roof Other:_ --- -- 1 . - ----------- n Final d 16, 4 VIA - Lin PASS PART FAIL PLUMBING — -- - Post S Beam Under Slab — Rough-In Water Service -- Sanitary Sewer Rain Drains /t-� ----- __., - -- _ -- - - _---_ ----- -- ------------------------- Catch Basin/Manhole' Storm Drain 4 / - - - - -..-__...__---- ---- ------ Shower Pan PAS PART FAIL - - - ---------- - - . ANICAL Post 8 Beam ----------- Rough-In - -- - -�--- ---- - Gas Line Smoke Dampers Final PASS PART FAIL -- ELECTRICAL_ Service Rough-In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: -_--------_ Unable to inspect--no access Fire Supply Line ADA 1 � � InsptorApproach/Sidewalk f� Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL