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12873 SW MORNINGSTAR DRIVE
'Ha tiVISJNINHOW MS CLOD 0 a � y �J tJ", i iso a� U) M ti 00 N r 12873 SW MORNI!':;STAR DR MEMORANDUM TO: Gary Lampella FROM: Albert Shields RE: Background Detail — Carolyn Caines, 12.873 Morningstar CC: Hap Watkins, Jim Hendryx DATE: Thursday, October 09, 2003 Here's a detailed background on this case. Most of this has been in the Project Lists or individual mer -nd is pulled together here to have it all in one place. If you need more on anythi gust let me know. Morningstar Dr. 12873: • House built by Carolyn Caines (Owner/Builder) and Steve Ediger (Contractor) in 1998-99 under MST98-00150. Issued 6/18/98, finalled 6/30/98, CofO 7/1/98. • Current owners Lon & Amy Dufek purchased the house from Caines on 4/20/00 and on 3/17/03 took out MST2003-00070 to convert the large unfinished lower level space to a finished familyroom and bath. • In August, 2003, the current owners called to report they had experienced recent extensive cracking of the floor slab and, on investigation. had found a perf pipe dumping water into the garage crawl space, directly uphill from the cracking slab. They also expressed concern about an inaccessible water shut-off valve and a lack of a vapor barrier in the garage crawl, asking whether these were acceptable under the building codes and requesting ar evaluation. • 1 inspected on Friday 8/8/03 and confirmed the extensive cracking of the slab (cracks then up to '/, in. wide, now 5/16,) the inaccessible location of the water shut- off valve, and the lack of a vapor barrier in the garage crawl and found a pert pipe from the forward footing drain penetrating the foundation and discharging water into a the garage crawl. The water staining and efflorescence on the concrete demonstrates that it has been actively and regularly discharging water inside the building for an extended period of time. • 1 pulled plans and records of the 1998 permit front files and archives and found that o'o we had issued written corrections in 1998 to remove a pert pipe from under the c7 house (8/28/98) and declaring the shutoff valve too high to be accessible (12/2/98) � but I found no record that either of these corrections had been made or accepted by inspection. I further noted that the approved plans called for a vapor barrier in the garage crawl, as required under the OOTFDSC because the garage crawl and the crawl under the living room and other habitable space are effectively continuous, with an 80 sq. ft. opening between them. • 1 called the builder and contractor on Friday, 8/15, to invite them in to talk. They came in on Monday, 8/18 to discus3 resolving the violations voluntarily Both Ediger and Caines were initially argumentative and challenged whether they had failed to do anything and whether we could go back 5 years on a permit. I pointed out that this was a courtesy meeting and that if they wanted to contest the points we could do so in court and I could issue a Summons. They agreed to focus on resolving the outstanding issues and to meet with the homeowners and inspect the site. I rave them a 30 day timeline for effecting the repairs, at that time expecting that they would do so voluntarily. • Ediger and Caine:, met with the homeowners and inspected the site that evening (8/18) but made no comments as to what they would or would not do. • Neither the homeowners nor I heard from either Ediger or Caines again until 9/17 when the 30 days had passed. Ms. Caines called nip that morning, after I had prepared the Summons & Complaint, declaring that she was going to tell me what they would do, which was to address the pipe issue only and do nothing about the shut-off valve or the vapor barrier, and that they would not take out a permit nor call for inspections but that the homeowners could, if they wanted. • I served the Summons and Complaint by mail that evening, Wednesday, 9/17. • On Wednesday, 9/24 1 heard from Steve Ediger who asked to come in and discuss what we required. We met and discussed possible repairs. The homeowners reported that Carolyn Caines had come by the house the same qday and had told them that she had talked with me and that she and Steve had City approval to start work. Mrs. Dufek told h1s. Caines that she would have to have her plans approved by the City before they could do the repair work. Ms Caines stopped by City Hall and left a note for me saying that she "needed me to give the Dufeks permission to allow them in to do the work." • On Monday, 9/29, Steve Ediger returned to City Hall to meet with me and c Jr Senior Plumbing Inspector to discuss the required repairs on the footing drain issue. He submitted a permit application & plans, which were approved, and the permit was issued 9/29 during his visit. I pointed out in a 10/2/03 cover letter for the issued permit that we would allow a period of 30 days, until Monday, 11/3/03, for the completion of all work under the permit and our inspection approval that the necessary correr.t;ons had been made. • With this de nonstration of intended compliance we postponed the court app, o from Wednesday, 10/1 to Wednesday, 11/5. • Neither we nor the homeowners have heard anything since from either Ms. Caines nor Mr. Ediger. • On Monday, 10/6, Jim Hendryx advised us that Ms. Caines had apparently contacted Bill Monahan, that Bill had a Thursday afternoon meeting with Ms. Caines, M and that we were to prepare a briefing for Bill on the facts of the case. The 0 substance of the case was set forth in my Project List report for you this morning and � this memo provides more detail in a chronological format. • In my opinion, the grudging and slow response of Mr. Ediger and Ms. Caines makes it almost certain that homeowners will file civil action against them for damages, even after our code issues are resolved. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: ( 3)639-4171 MST OUP O"? Received _- Date Request _z -_ AM__ PM—_—._ 9UP -_— Location _-_--- -1z � - 0/1� ite�� _ MEC -- Contact Person __.- ....` _ h .5 ) -�Z t` '�T 1-� PLMZ- Contractor- _c.271�✓E /L*�f� Ph 3!5 _ ?�� SWR BUILDING Tenant/Owner ___.___ ELC — Footing Foundation ELC —_ — Fig Drain �CaB''S- Crawl Drain ELR Slab Inspection Notes: SIT —_ Post A Beam SheF.r Anchors - -- - -- Ext Sheath/Shear Int Sheath/Shear - Framing InsulationK� --- Drywal, Nailing �t� _— Firewall Fre Sprinkler Q Fire Alarm Susp d CeilingRoof Other: Ot ger.__--- ---- - - - --- Final -- __ _ FAIL KfPLUM�INQ q �-Q'✓- LAS — Po 1_ Under Slab — Rough-In Water Service --- - :dnitary Sewer — Rain Diains - -- -__ Catch anhole rm Drain --- PASS ART FAIT_ A--- - --- — ---- MEC LAICAL Post R Beam - -- Rough-In (Cas Line Smoke Dampers --w-__----___-----------__....— _ �_—_ ---- - C Final D PASS PART FAIL -- ---- -- -----� -- _- - - - ------ ELECTRICAL - Service -.- p Rough-In UG/Slab _-�— ---------- ----- - _ --------- Low Voltage _ ---------- ---- - -- Fire Alarm Final Re lee of S__ _ _______-___- required before next ins n. __PASS_ PART FAIL N Pay at Halt, 13125 SW Hall Blvd. SITE Please a-A for rein k n _ --- -�__._-- - _ inspect-no fkmass Fire Supply Line ADA Approach/Sidewalk Dib Othet: Final -- -- DO REMOVE this Inspection retlmrd ftem the job raft PASS PART FAIL Thursday, October 23, 2003 CITY OF 'TIGARD Carolyn F. Caines ORMN 318 N. Bridgeton Portland, OR 97217 Steven P. Ediger, CCB 81751 4755 Alder St. West Linn, OR 97068-3553 RE Summons and Complaint, 12873 SW Morningstar Drive, Tigard. Thank you for your cooperation. This confirms that the work under permit PLM2003-00512 regarding the continuation of the exterior footing drain through the garage crawl space to the crawl space drain and waterproofing the footing drain and building sewer penetrations of the foundation wall has been inspected today and has been given final inspection approval. A copy of that final inspection report is enclosed. During that inspection we also verified that the required vapor barrier has been properly installed in the garage crawl space. Accordingly, this further confirms that that all of the corrective work called fcr in the Summons and Complaint referenced above has now been completed by you and inspected and approved by our office. We have asked the Tigard Municipal Court to dismiss the subject Summons and Complaint and have been advised by the court that this request has been granted. All of the issues raised in the Summons and Complaint have now been addressed and you and the property itself are now considered to be in compliance with the requirements of the Oregon One and Two Family Dwelling Specialty Code and the Tigard Municipal Code. Because the corrective work has been completed prior to an actual court appearance we herewith waive the civil penalties associated with the violations described in the Summons and Complaint. a NBy copy of this letter 1 am advising the homeowners, Lon and Amy Dufek,of our approval of the work under the permit and the completion of all of the required corrections. m 4rtShie questions �a call me. W i es Enforcement Officer cc: Municipal Court; Property File, Lon and Amy Dufek. 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 CITY OF TIGARD Thursday, October 02, 2003 OREGON Carolyn F. Caines 318 N. Bridgeton 7 Portland, OR 97217 .It�ven P. Ediger, CCB 81751 4755 Alder St. West Linn. OR 97068-3553 RI; PLM2003-00512, 12873 SW Morningstar Drive, Tigard. Thank you for your cooncration to submitting a permit application and plan for the drainage piping work required at 12873 SW Morningstar Dr., Tigard. The submitted plan and permit application is herewith approved and the permit has been issued. Please note that, per our discussion, we have added a location diagram to the plan and have noted certain "red-line" requirements on that diagram: that the exterior foundation penetrations be waterproofed in accordance with the 1996 Oregon One and Two Family Dwelling Specialty Code (OOTFDSC) Section 3113.8 and that hard pipe Schedule 40 ABS be used within the building envelope and through the foundation wall per Section 3802.1. Because this work is required to correct violations of the OOTFDSC we require that all work he completed, including receiving final inspection approval from this office, within thirty (30) days from today or by Monday, November 3, 2(X)3. To fac,;litate the cooperation of all interested parties I am copying the homeowners, Lon and Amy I.Pufek, to advise them of the City's approval of the permit application. As you know, the First Appearance under our October 1, 2On3 Summons and Complaint has been held over until Wednesday, November 5. Completion by November 3 of the subject drainage piping work and the installation of a garage crawl space vapor barrier will make it possible to resolve the issues detailed in the Summons prior to the scheduled appearance 0 If you have at questions a out this letter, the situation, or the attached Summons and 3 Complaint case call it L11 Ibert Slit (S Building Codes Enforcement Officer cc: Property File; Lon and Amy Dufek, 12873 SW Morningstar Dr.,Tigard, OR 97223. 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 CITY OF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00512 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 9/29/03 SITE ADDRESS: 12873 SW MORNINGSTAR DR PARCEL: 2S 104DD-09100 SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 ZONING: R-4.5 BLOCK: LOT: 049 JURISDICTION: TIG CLASS OF WORK: REP GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS, TRAPS: STORIES: WATER HEATERS: CAT CH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 100 ft Remarks: Installation of less than 100'of hard pipe fiiter drain through garage crawl space to low point drain. _ Owner: FEES — - DUFE Description Date Amount 12873 S W MORNINGSTAR UR LOO &AMY [PLUMB] Permit Fee 9/29/03 $72.50 12873 S TIGARD, OR 97223 1-f AXI 9%State Tax 9/29/03 $5.80 Total $78.30 Phone : 503-524-4620 Contractor: EDIGER CONSTRUCTION 4755 ALDER ST WEST LINN,OR 97068 REQUIRED INSPECTIONS Phone : 503-722-4376 Storm Drain Insp Final Inspection Reg#: LIC 81751 This permit Is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will er, if work is not started within 180 days of issuance, if work is suspended for more than 180 days. ":NTION: Oregon law requires you to follow rules opted by the Oregon Iss d B Permittee Slgnatur Call(5 639-4175 by 7:00 P.M.for an Inspection needed then t business day Building Fixtures Plumbing Permit Application Receeived Plumbing Date/BX::: o'/ O Permit No.: LIy Yt�'C City of Tigard Planning Approval Sewer y g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/B :_ Permit No. Phone: 503-639-4171 Fax: 503-598-1960 Post-Review tan;'Joe bate/Ely: Cue No.: Internet www.ci.tigard.or.us Contact Juris.: 0 See Page 2 for 24-hour Inspection Request: 503-639-4175 Natrre/Methid: - Su lementalInformation. TYPE OF WORK s FEE*SCHEDULE(for tpeefall Informitloo we ch New con. tion I LJ Demolition Description city• Fee(ea.) Total ja-Additioi7ait-cra- lacement Other: New 11-&2-family dwellinp CATEGORY OF CONSTRUCTION acladeo 100 ft-Or each a Allity earaaectioa _ I &2-FamilydwellingSFR(1)bath 249.20 Commercial/Industrial SFR 2 bath 350.00 Accessory Buil in Multi-Family _ SFR 3 bath 399.00 Master Builder Otter: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fire s rinkler- .ft: -� Pae 2 Job site address / 2 S ptr� L r- Site Utilities Suite#: Bld r./A t.#: iiJ Catch basin/area drain 16.60 Dr ell/leach line/trench drain 16.60 Project Name: -. Footing drain no. linear ft. _Page 2 _ Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 SanitarySewerno.linear R. Pae 2 Subdivision: -T-Lot#: Storm sewer(no.linear R � Page 2 -- Water service(no.linear ft.) Pae 2 Tax map/parcel #: - DESCRIPTION F WORK Fixture or Item Absorption valve _ 16.60 ,f�FG rd i,�OC A,+tr r<"N A,4 S Backflow preventer _ Pae 2 r 'Jct t �Ss ���.► �o '�� �`� n, Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ROPERTY OWNER TENANT Drinkingfountain 16.60 E cctors/surnp 16.60 Nams: -d A),,, u ,t Expansion tank 16.60 A_ddress: 11075 LJ f Fixture/sewer cap 16.60 Cit /State/Zip: -V% ,( Floor drain/floor sink/hub 16.60 ----- - Garbage disosal 16.60 Phone: Fax: Hose bib 16.60 ]ROPLICANT _ ONTACT PERSON Ice maker 16.60 Name__ 4�v-., cr - _ Interceptor/grease trap 16.60 _ Address: t/1 SS L^,,, �- Medical gas-value: S Pae 2 City/State/Zip: ( e- 11- Primer 16.60 Roof drain commercial 16.60 IL Phone: ��'3~7t Z�` FaX: Sink/basin/lavatory 16.60 � 'Tub/shower/shower an 16.60 E-mail: _ CO TRACTOR Urinal _ 16.60 Business Name: Ec Ah tr Water closet 16.60 J Water heater 16.60 a0 Address: c/?,i---� u - Other: Cit /State/Zi QSF (". fb Other: W -1 Phone: o ., 2.2"137161 Fax: Pluniblat Permit Fees" -- CCB Lic. #: P umb. Lic.#: Subtotal S t Minimum Permit Fee$72.50 S Authorized 8 C�_7� Residential Backflow Minimum Fee 536.25 Signature: T Date: L K/_v Plan Review(25%of Permit Fee S State Surcharge 8%of Permit Fee Sr , (Please p name) TOTAL PERMIT FEE S r G' Notice: This permit application expires f a permit Is not obtained within All new commercial buildings require 2 urs of plans with Isometric or 180 days after it has been accepted as complete. riser diagram for plan review. "Fee methodology set by Tri-County Building Industry Service Board. is Dsts`Perrnit Forms\PlmPcrmitAppAoc 01103 Plumbin¢ PePermit Appllc4tion - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site UtilitJea Qty. Fee(ea) I Total Square Footage: Permit Fee: Footing drain- I" I(MY 55.00 0 to 2,000 $1 1500 Fooling drain-each additional IM' 46.40 2,001 to 3,600 $160.00 J,601 to 7,200 5220.00 Sewer- I st I M, 55.00 7,201 and eater _ $309.00 Sewer-each additional 100' 46 4(1 Water Service- Is[ IM' 55.(X) Medical Gas Systems' Water Service-each additional 100' 4640 Valuation: Permit Fee: Storm&Rain Drain- Ist MY 55 00 51.00 to$5,000.00 Minimum fee$72.50 r Storm&Rain Thain-each additional 1(MY 46.40 55,001,00 to$10.000,00 $72.50 for the first 55,000.00 and$1.52 for each additional SI00.00 or fraction thereof,to or Fixture or Item Qty. Fee(n) TOWadditional $10,000.00. _ Commercial Hack Flow Prevention Device 4640 $10,001.00 to$15,000 00 $148.50 for the first$10,000.00 and$1.54 for Residential 1lackilow Prevention Device each additional 3100.00 or fraction(hereof,to minimum permit fee$36.25) 27,55 _ and including 525 000.00 Rain Thain,single family dwelling 61.25 $25.001 00 to 550,000.00 5379 50 for the first 525,000.(X)and 51.45 for Inspection of existing plumbing or each additional$100.00 or fraction thereof,to specialty requested inspections• and including$50,000.00.r hour 72.50 550,001.00 and up $742 00 for the first$50,000.00 and$1.20 for Subtotal: S50,001 additional 5100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. uaatt by Phtture Work nned I Comments regarding fixture work: Fixture Type: 801111 e bw Me"d Itakdog Capped Ha tistrg/Font Halh -Tub/Shower _ -Jacuzzi/Whirl I Car Wash -Each Stall -Drive Thru Cuspidor,Water Aspirator Dishwasher -Commercial _ -Domestic _ Drinking Fountain _Eye Wash Floor fhain/sink 2- -4" "-4" Car Wash Drain *Note: If the fixture work under this permit results in an (tarbage -Domestic IL Disposal -C'ommer-+-' increase of sewer EDUs,a sewer permit will be issued and I -industrial fees assessed for the sewer increase.must be paid before the N.- Ice Mach.;Ref'ri .[rains plumbing permit can be issued. Oil Separator Gas Station Rec.Vehicle Dump Station _ Shower -(tang — _m -Stall (� Sink -Har/Lavatory _ W -llradley ...1 -Commercial -Service _ Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal Other Fixtures: i:',DsWPermitForms\PfmPermitAppPg2doc 01/03 RECEIVED SEP 7.003 September 29, 2003 CITY OF TIGARD BUILDING DIVISION Ediger Construction City of Tigard Steven Ediger Albert Shields 4755 Alder St. 13125 S.W. Hall Blvd. West Linn, Oregon 97068 Tigard, Oregon 97223 (503) '722-4376 & 351-2625 Registration # 81751 Subject: Workers Comp # 629403 12873 SW Morningstar. Drive Tigard, Oregon Civil Infractions Summons Case No. 0803-08 Dear Mr Shields: 1. The drain pipe which carries drain water across the crawl space (below garage) shall be 3" schedule 40 ABS. Points of entry and exit shall be cleared 3" and cleaned, then sealed with an approved material. Begin with 4"x3" (possibly 51lx3" ) coupler and drop run to low point at 1/4" per foot. Strapping to be at 4 ' . Back water valve to be behind a combination Y to allow footer drain in crawl space to pass. 2. Penetrating pipes to be sealed with same sealant. 3. 6 millimeter black plastic to cover, ground under garage. Over lap to be 12" and up sides the same. Respectfully yours, 0. Steven Ediqer R H m t� W r CITY OF T I G A R D MASTER PERMIT PERMIT 0: MST2003-00070 DEVELOPMENT SERVICES DATE ISSUED: 3/17/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 SITE ADDRESS: 12873 SW MORNINGSTAR DR PARCEL: 2S104DD-09100 SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 ZONING: R-4.5 BLOCK: LOT: 049 JURISDICTION: TIC; REMARKS: Finish Off existing basement. BUILDING REISSUE: CUSTOM A STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ALT HEIGH-T- FIRST: of BASEMENT: 1,379 of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SI FLOOR LOAD: SECOND: of GARAGE: 91 FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I THAO of RIGHT: 000 00 OCCUPANCY ORP: R3 BDRM. BATH: TOTAL: n of VALUE: 25 REAR: PLUMBING SINKS: 1 WATER CLOSETS: I WASHING MACII: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 1 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWFRS: 2 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: I MECHANICAL FUEL TYPES FURN<100K. BoIUCMP c 3HP:� VENT FANS! 1 CLOTHES DRYER: GAS FURN 1•100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS! WOOOSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS�� 1000 SF OR LESS: 0 100 anp: 1 0 -200 arty: WISVC OR FDR: a! PUMPIIRRIGATION: PER INSPECTION: EA ADIYL 500SF: 201 - 100 amp: 201 - 100 amp: tat WAD SVC IF DR" m SIGNIOUT LIN Lr: PER HOUR: LIMITED ENERGY: 101 - 600 amp: 101 600 amp: F.AADDL OR CIR: ora SIGNALIPANEL' IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601-empe-I000v: MINOR LABEL: 1006.ampfvoh: PLAN REVIEW SECTION Reconnect only: >-I RES UNITS: SVCIFDR»225 A.! >600 V NOMINAL: CLS ARFAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ S.COMMERCIA1. AUDIO S STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOIWPAOINO: OUTDOOR L NDSC LT, BURGLAR ALARM: OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION, MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS- TOTAL A SYSTI-3: Owner: Contractor: TOTAL FEES: : 921.32 � c This permit is subject to the regulations contained in the C:. _K, LON&AMY OWNER Tigard Municipal Code,State of OR. Specialty Codes and 12873 SW MORNINGSTAR DR all other applicable laws. All work will be done in TIGARD,OR 97223 accordance with approved pians. This permitwill expire lf work Is not started within 130 days of Issuance,or if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to followrules adopted by the 0. Phone: 503-524-4620 Phone: Oregon UtIlity Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You NReg R: OUNC by call ng(503)24 obtain coies of these r1 I988s7or direct questions to REQUIRED INSPECTIONS Mechanical Insp Gas Firepi2-:e Final inspection W Plumb Top Out Insulation Insp J Electrical Rough In Electrical Fine Framing Insp Mech;pica!Fioal Gas Line Insp Plumb Final Issued By . \ � Permittee Signature :�� �Iejy - Call (5 ) 639-4175 by 7:00 p.m. for an Inspection needed the next business day Permit#: H-9� 00-070 Address: SW IYU- I mia lssue by: __ _ Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS ,'0/.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the .followiti,,stale.mens before a hailcli►ig nermit can he issued This statement is required ,for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt,,rom registration under ORS 761.010('), need not submit this statement. This statement will he filed with the permit. Fill in the appropriate blanks and initial boxes i and 2,and either box 3A or 313: 121/ 1. 1 own, reside in,or will reside in the completed structure. ET2. 1 understand that i must register as a construction contractor if the structure is sold or offered for sale before or upon completion. a3A. My general contractor is (Name) Contractor Legis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. I will be my own general contracim if 1 hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If 1 change my mind and hire a general i-orntractor, 1 will contract with a contrae.or who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that i have read ap.d do understand the information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. -- — -1- -- --- --- A _ (Si at ire oof it a icant) (Date) (While copy to issuing agency permit.file, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities ;Wolf D?A i►Iformulion �wwv lu 1'rulwi-l'I /hi iievs chow(twsiruciion Resl onsibi illes lrn.c clevelope(1 by the('onstruc�tion('orttracturs Board in accordance with ORS 701,055(5). If you are actino- nr o%%it contractor to construct a new home or makr a substantial improvement to an existing structure, you can prevent Win,,by being aware of the following responsibilities and arFas of concern, EMPLOYER RESPONSIBILITIES: 'ti. If you hire persons not ICgi ILIk d lie Construction Contractors Board to do labor in constructing or assisting in the construction or improvement ofa rc•.R1c of structure,you wilf.in most instances,be ruled to he an er"ploycr and the people you hire will be employees. As the employ ou must comply,with the following: Gregon's withholding tax law: Asanemployer. Imustwithholdincometaxesfromemployeewagesatthetimeemployees are paid. You will be liable for the tax payments ev if you don't Actually withhold the tax from your employees. For more information.call the Oregon Dept.of Revenue at 945- 91. ' Unemployment insurance tax: As an employer,you are re tired to pay it tax for unemployment insurance purposes on the wages of'all employees. For more information,call the Orego 'mployment Department at 378-3524. Workers'compensation insurance: Asan employer,you are sub ,t to the Oregon Workers'Compensation LmN.and must obtain workers'compensation insurance for your employees. Ifyou I ' toobtain workers'compensation insurance,you may be%ubject to penalties and wilt he liable Poral)claim costs if one ofyoure ployees is injured on the job. For more information, call the Division at the Department ofConsunter d Business Services et 945-7889. U.S.internal Revenne Service: As an ernplover.you must withhold federal i me tax dont employees'wages. You will be liable for the rax pay trent even i('\ou didn't actually withhold the tax. For more in rmation,call the Internal Revenue Service at 1-800.829-1040. OTHER RESPONSIBILITIES AND AREAS OF C CERN: Codecompliance: As the perm it holder for this project,y oil are responsible for reaolvingany 'ittretomeet code requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequ a insurance coverage for accidents and omissions such as fal l ing tools,paint overspray,water damage from pipe punctures, or work that must be ' re-done, , ; Time to supervise employees: Make sure you have sufficient time to supervise your employees. Expertise: Make sure you have the expertise to act as your own general contractor,to coordinate the work of rough in and f finish trades,and to notify building officials at the appropriate times so thea,can perform the rtJoired inspections. If you have additional questions.write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St,NE Suite 300, in Salem. prop-own.pm4 1/94 R Building Permit Apulieation lceived Building tc%, PermitNo ' t7 City of Tigard V Planning Approval — — Other vV Date/ElY_— Permit No.: 13125 SW Hall Blvd. Plan Review other— Tigard,Oregon 97223 ( U� Datc/B : 7 6Permit No.: — Phone: 503-639.4171 Fax: 503-598-1960 F Q Date/B view Land ilea Date/B Case No. Internet: www.ci.tigard.or.us �0 Contact J Sec Page 2 for 24--hour Inspection Request: 503-639-4175 (+ Q� Name/Method: I �• su dementai information — TYPE OF WORK REQUIRED DATA: New cc,:struction Demolition I do 2 FAMILY DWELLING Addition/alteration•ire lacemPnt CATEGORY OF CONSTRUCTION Note Permit fees*air based on the total value of the work performed. Indict4te 1 &2-Family dwclliN Commcrcial/lindustrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application Accessory Building Multi-Family Master Builder 40ther: Valuation........................................................ S0 No.of bearooms:-- No.of baths:— _. _ JOB SITE INFORMATION and LOCATION — Total number of floors............................... .... __ Job site address: I-kb-1•3 rl of 4 IN G i 1 A R !)f� New dwelling area(sq. fl.)............................. Suite#: B dg./Apt.#: �— _ Clarage/carport area(sq fl.)............................ I Project Name: Covered porch area(sq. ft.)............................. Cross street/Directions to job site: Deck area(sq.ft.)........ ................................... yy- Other structure area(sq. ft-)........................... RV,QUIRIKD DATA: _ COMMERCIAL-USE CHECKLIST Subdivision: _--- — –^ Lot W. Tax map/ arcel #: Note Permit fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, ovenccad,nd profit for the work indicated on this application. �rt1[aprl� y�)EZ U/�R ll I f�11 (t C^Sr�� Valuation... ..................................................... S _ Existing building arca(sq.ft.)......................... —_ R P VT #Nl T tLF _ _. New building area(sq.fl.)............................... Number of stories............................................ PROPERTY OWNERENANT Type of constntetion....................................... _ ane: –' OL (� 1 �lF F 1� Occupancy group(s): Existing: - New: _ i ddress• 1 '1 3 I,J M u t4 t�s c,Ti A tt Rt /State/Zi l G A(I1 o rL I'1 X.)-3 NOTICE: All contractors and subcontractors are required to be Phone: 3O 3-S a U-711611) Fax: 50 3- Z I Li - 1114 0 licensed with the Oregon Construction Contractors Board under APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name; _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: T from licensing,the following reason applies: Address: --- Cit /State/Zip: -- -- -- Phone: Fax: BIJILC,ING PERMIT FLM* E-mail: I-lew to r CONTRACTOR __ ----- Business smc: $ _ Fees due upon application.............................. Address: City/State/Zi T Amount received............................................. S Phone: Fax. Date received:__ CCB Lic. #: — -- -- Authorized Notice: This permit application expires If a permit is not obtained within Signature: t• _ Date: •1 19 A_3 180 days after it has been accepted as complete. L VN 1 *Fee methodology set by Tri-County Building Industr)3erviee Board. (Please print name) II��(J, (�5' ��et , LE '– is\Dsts\Permit Forms\DldgPermitApp.doe 01,103 �i I -rte One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Cirvoffigard City of Tigard Associated permits: Address: 13125 SW hall Blvd,Tigard,OR 97221 U Electrical U I'IumhiuR U Mechanical ❑Other: Phone: (503) 639-4171 Fax: (503) 598-1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic distric etc. 3 Verification of approved plat lot. 7 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 original applicable stamp and signature on file or with plication. 9 Erosion control U plan U permit required. Include drainage-way protection,sit fence design and location of catch-hasin protection,etc. 10 i 3 Complete sets of legible plans. Must he drawn to scale,showing con for ance to applicable local and state building codes. Lateral design details and connections must he incorporated in y the plans or on a separate full-size sheet attached to the plans with cross references between plan location and de.ils. Plan review cannot he completed if copyright violations exist. I I Sitelplot plan drawn to sale.The plan must show lot and building setback di nsions;property comer elevations(if' their is more than a 4-ft.elevation differential,plan must show contour lines at -ft.intervals);location of casements and driveway;footprint of structure(including decks);location of wells/septic syst ins;utility locations;direction indicator;lot area; building coverage area;percentage of coverage;impervious arca;existi structures on site;and surface drainage. 12 Foundation plan.Sh( w dimensions,anchor bolts,any hold-downs andinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,I -ation of smoke detectors,water heater, furnace,ventilation fans plumbing fixtures,balconies and decks 30 i hes above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spa mg such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section ma he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling he' in,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;mini um of .w,, ations for additions and remodels. Exterior elevations must reflect the actual grade if the change ' grade is gr -r than four foot at building envelope. Full-size sheet addendums showing foundation elevations wi cross references are acceptable. 6 Wall bracing(prescriptive path)and/or lateral analysis ans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and • culations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof ass blies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross section and details showing placement of rebar. For engineered systems,see item 2.2,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculatio using current code design values for all heams and multiple joists over 10 feet long and/or any beam/joist carrying nen-uniform load. a 20 Manufactured floor/roof truss design details ~ 21 Energy Code compliance.Identify the prey Alive path or provide calculations. A gas-piping schematic is required 6►) for four or more appliances. 22 Engineer's calculations.When required r provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or J architect licensed in Oregon and shall shown to be applicable to the project under review. m 23 Five(5)site plans are required f tem 1 I above. Site plans must be R-1/2"x 11"or I I"x 17". —� 24 Two(2)sets each are requirfor Items 16, 19,20&22 above. 25 Building plans shall not retain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"buildiM,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. T7H Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440-4614(&MCOM) Building Fixtures Plumbing Permit Application Received Plumbing DOW/By: Permit No.: Planning Approval Sewer ity of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223Date/BY:_ Permit No.: Phone: 503-6394171 Fax: 503-598-1960 Post-Review land Use Dste/B : Cue No.: Internet: www.ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Ial`npttoa. 7RNew construction I El Demolition Addition/alteration/ lacement I El Other:MnOIRRY0 1 X 1 2-Famil dwellin Commercial/Industrial SFR 1 249.20 y SFR 2 bath 350,00 Accesso Building _ Multi-Family_ SFR 3 bath 399.00 Master Builder Other: Each additional bath/kitchen 45.00 p ?. Fire a 'nkler-sq.ft.: Page 2 Job site address: ld- -1 3 StJ MveA 1A sr^rt R Ko Suite#: Bldg./Apt.#: Catch basirdares drain 16.60 Project Name: Dr ell/leach line/trench dein 16.60 Footing drain no.linear ft. Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 1 ;•9T H t G AA R Manholes 16.60 Rain drain connector 16.60 _ Sanitary sewer no.linear ft. Pae 2 Subdivision: Lot#: Sion newer no.linear ft. Pine 2 Water service no.linear ft. Paze 2 ' •� j -Absorption valve 16.60 1 J ;�i,AR oo^ vtjE t 2A t>, T o Backflow preventer P e2 ►�n t t i3NC f rtC�IT 3 AT oo�'� Backwater valve 16.60 tc T % L1lj H« = Clothes washer 16.60 Dishwasher 16.60 E 1 AIL ' J G i rV W AA Drinking fountain 16.60 E'ectors/su _ 16.60 Name: > (XJ y 1 0,Ff- I L Expansion tank 16.60 Address: i.L `1 3 S kJ M on N 1.-4 C�ST A rL Fixturelsewer cap 16.60 City/State/Zip: -i t C,An 0 2 `� ��`z 3 Floor drain/ftcor sink/hub 16.60 Garbage disposal 16.60 Phone: 50 J-,5.14 It bl t7 ax: 50-3-.1 t b- 11111 0 Hose bib 16.60 fi Ice maker 16.60 Name: lnterc tor/ 16.60 Address: Medical gas-value: S Pee 2 City/State/Zip: Primer 16.60 IL ---TF- drain commercial 16.60 RK Phone: Fax: Sink/basin/lavatory 16.60 1�_ E-mail: Tub/shower/shower pan 16.60 ?- Urinal 16.60 t Business Name: Water closet 16.60 ,J Water heater 16.60 m Address: Other: C7 City/State/Zip: Other: Phone: Fax. �' I, Subtotal s CCB Lic. J Plumb. Lic - .#: Minimum Permit Fee$72.50 S Authorized Residential Backflow Minimum Fee$36.25 Signature: _J , /� Date: j- I 1/0,3 Plan Review 25%of Permit Fee S L u r.l V State Surcharge 8°'e of Permit Fee S (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or 180 days after It has been accepted as complete. riser diagram for plan review. *Fee methodology so by Tri-County Belldleg Industry Servlee Board. i:\DstalPermit FormslPlmPermitApp.doc 01103 Plumbine Permit Application -City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: 14 b ; l}d1' '• re Footage: t F Footing drain-I"100' 55.00 0 to 2,000 _ $115.00 Footing dein-tach additional 100' 4640 2 001 to 3 600 $160.00 3 601 to 7,200 $220.00 _ Sewer-i st 100' 55.00 7,201 and greater ____ $309.00 Sewer-cacti+ddilional 100' 46.40 — Water Service-Ist 100' 55.00 Medical Gas S stCms: Water Service-each additional 100' 46.40 'Valultlont P"Init Fee: Storm&Rain Drain-Iet 100' 55.00 $100 to$5,000.00 Minimum fee$72.50 Storrs&Rain Drain-each additional 100' 46.40 55,001.00 to$10,000.00 $72.50 for the first$5,00(1.00 and$1.52 for each additional$100.00 or fhaction thereof,to and FIIt1Dre or itom Ift Ir"OOE including$10,(M.00. Commercial Back Flow Prevention Device 46.40 S10,001.00 to$25,000.60 S148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 55 __ and including$25,000.00. Rain[rain,single family dwelling 65. 525,001.00 to 550,000.00 5379.50 for the first 525,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing or _ and including S50,000.00. -specialty requested ins ctions-Er lour 72.50 111, $50,001.00 and up 5742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional 5100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in Increased sewer fees*. Co ents regarding fixture work: P1ttl�te �t r; :r. Ba tis /Font Bath -Tub/Shower -Jacuzzi/Whirl 1 Car Wash -Each Sta!I -Drive Thru —Cuspidor/Water Aspirator Dishwasher -Commercial _ -Domestic Drinking Fountain Eye Wash _ — Floor Drain/sink 2" 4" Car wash Drain *Note: If the fixture ork under this permit results in an Garbage -Domestic increase of sewer EDU a s -Industrial ewer permit will be Issued and IL Disposal -Commercial fees assessed for the se r Increase must be paid before the � f., Ice Mach./Refri .[rains _ plumbing permit can be sued. N Oil Separator Gas Station } Rec.Vehicle Dump Station 5 Shower -Gang -Stall m Sink -Bar/lavatory (� -Bradley -Commercial Scrvice _ Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet _ Urinal Other Fixtures: ---�— _� -- is\Dsts\Pernrft For ns\PlmPermitAppPg2.doc 01/03 Mechanical Permit Application Received Mechanical Nte/By: Permit No.: City of Tigard Planning Approval Building —� Dste/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 DsWB : Permit No.: Phone: 503-6394171 Fax: 503-598-1960 Poet-Review land use [Hte/By: Case No.: Internet: www.ci.tigard.or.us Contact Juris.: I@ see Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method. _ Supplemental Information. I,. 1, 1P ,. 1. El New construction Demolition Mechanical permit fees•are based on the total value of the work Addition/alteration/rc4lacement Other: performed. Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead and profit. -chaWRY or 1 &2-Fami�dwellin CommercialMdustrial value: S_ See Page 2 for Fee Schedule Accessory Building Multi-Family _ — Dacrt tlon F ea. Total Master Builder Other: 111le.tln11Cswling — OB puFO AT - 77 Furnace-add-on air conditionin •• 14.00 Job site address: t i%-13 f'1) h oft nerd V,r-rAR AA Gas heat pump 14.00 Suite#: _ Bld ./A t.#: Duct work _ 14.00 Project Name: i Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: for radiator or h ronic a�tem 14.0_0 ,Z I T IA + G AA O,% f+ Unit heaters(fuel,not electric) in wall,in-duct suspended,etc. 14.00 Flue/vent for any of above 10.00 Subdivision: T T Lot#: _ Repair units 12.15 --- lather!Pad Apt diamon _ Tax map/parcel #: _ Water heater 10.00 DESCRIPTION OF W RK ^' Gas fireplace 10.00 AS v t fit=PLA C A'_ TO tkrV -to t .F taw Flue ventwatenccater�fi lace 10.00 3AJ, ► "N i t v L t_�t ► b -tet. P I n1 ( Lo lighter as 10.00 Wood/Pellet stove _ 10.00 _ A ,I- f- L"�L Enya.-,I 1 ►= l.E c 7 tIR.' L Woad fireplacchnsert 10.00 70 t F; t ► R uo� - Chimne /liner/flue/vent _10.00 14e f r, ., Other: 10.00 Name: L , - � L .. �lF= %c/— EnvlrontnenW a Range hood/other kitchen equipment 10.00 Address: I;1 5-1 3 S,,J M o lt,4 1,1 64 TA 0- t it . Clothes dryer exhaust 10.00 Cit /State/Zi : T 1 L,A R I I QtL I1 1 3 Single duct exhaust Phone: so 3--S i 4 -it 16 a o Tax: 5e;-.z 1 6 I o (bathrooms,toilet compartments, ,TT—All—C-1 C A :"' utility rooms _ L 6.80 Name: Attic/crawl space fans 10.00 Address: - Other: Fad. 10.00 . � Cit /State/Zl : ••(s5.40 for Ont 4 $1.W each addidonal Furnace etc. •• CL Phone: Fax: Gas heat punT •• E-mail: Wall/suspended/unit heater '• U) <`: COW Water heater •• Business Name: Fireplace •• Range •• Address: BB — .. City/State/Zip: _ Clothes dryer as •• W Phone: Fax: Other: _ •' _J Total: CCB Lic. #: Meebaoial Ferudt Rea" Authorized Subtotal: S Signature: 1 _ Date: J- I c Minimum Permit Fee$72.50 S Ly F E I Plan Review Fee 25%of Permit Fee S ease print name) State SurchLw c 8%of Permit Fee S TOTAL PERMIT FEE S Notice: This permit application expires If a permit Is not obtained within "Fee methodology to by Tri-County Building Industry service Board. ISO days after It hart been accepted as complete. "Site plan required for exterior A/C units. ODstAPetmit ForrnsWlecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 -Supplemental Information Commercial Fee Schedule: Total Valuations Permit Fee: S1.00 to$5,000-00 Minimum fee 572.50 550)1.00 to$10,000.00 $72.50 for the first 55,000.00 and$l.52 for each additional$100.00 or fraction thereof to and including$10000.00. 510,001 A)to$25, 00 $148.50 fnr the first$10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000.00. $25,001.00 to WAX)00 $379.50 for the first 525,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including —$51000 $50,001.00 and LIP $742.00 for the first$50,110(:.00 and 1.20 for each additional S10.00 or clion thereof. Assumed Valuation Per Appl ce: _ Value Total Description: Ea Amount Furnace to 100,000 BTI_l,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents _ — Floor furnace including vent 955 Suspended healer,wall heater or floor 955 mounted heater _ Vent not included in appliance permit 445 Repair units 805 <3 hp;absorb.unit, 955 to look BTII 3-15 hp;absorb.unit, 1, 1 10lk to 500k BTU 15-30 hp;absorb.unit,501k to I mil. 2.3 BTU 30-50 hp;absorb.unit, 3,400 1-1.75 mil.B'rU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air handlingunit to 10 000 cfm 656 Air handlingunit>10,000 cfm 1,170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Ifood served by mechanical exhaust _ 656 Dortxstic incinerator 1 170 Commercial or industrial incinerator 4 590 Other unit,including wood stoves, 656 inserts,etc. (;as piping 14 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL S 3 VALUATION: 0 — — 9 U a i:\Dsu\Pe:rmit ForntsVvlecPerrnitAppPg2.doc 01/03 — Electrical Permit Application Received Electrical Dste/B : Permit No.. Sip City of Tigard Planning Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97123 Date/By: I !ermit No.: -- Phone: 503-639-4171 Fax: 503-598-1960 Ds!SPost- e. LandL)sateJEly: Can No.:: Internet: www.ci.tigard.or.us Contact Juris.: C9 See dose 3 for 24-hour inspection Request: 503.639-4175 Name/Method: i Supplemental Information. TWE OF Wr' Obi K ;,',.,,r. y, _',PWJtEVMW New construction Demolition Service over 225 amps- LJ Health-care facility commercial ❑Hazardous location injAddition/alteration/re lacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet. RV 1&2 family dwellings four or more residential units in 1 &2-Familydwelling_. Commercial/Industrial ❑System over volts nominal one structure ❑Building overr three stories [3 Feeders,400 ant's a'more Accessory Building Multi-Famil ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑F.gress/lighting plan ❑other:__ O I Submit_sets of plan,with any of the above. The above are not apglicable to temporary eoodructioa service. Job site address: Id-S-13 AW r10Rr4114 (7si,Afl I ) R �: ,4 ` ' Suite M Bldg./Apt.#: _— Number of I spectlans per perinIt Mowed Description Qty Told Fee(ea•) T Project Name: Cross street/Directions to job site: New rng unit.Includengles a tachemultidgaraamily per dwelling roll.Inelyda allached garage. Service Included: l C1 T V + G A A i2 I 1000 sq.ft.or less 143.15 4 Fach additional 500 sq.fl.or portion thereof 33.40 1 — Lot M Limited energy,residential — 75.00 _ 2 Subdivision: _ Limitedly,non residential 75.00 2 Tax map/parcel M Each manufactured home or modular dwelling i p; service and/or feeder 90.90 2 Services or feeders-Installation, l.F_L_JfL r(A L �J ort 1( f d R HN r 1A IS kV I alteration or relocation: 200 amps or leas 90.30 1 '1 C l Ll U'2 Nl- L nW 7L_t__=i 1 •. 201 amps to 400 amps— — 106.85 2 $ I _ ,� 1•^I (� 1 X 1 111. 401 am to 600 am 160.60 2 601 amps to 1000 limps 240.60 2 Over 1000 amps or volts 454.65 2 _Name: L :4 a Amy 1,07 i=- � Reconnect only 66.85 2 Address: 1 a-%-1,3 s%,J L-LCa/`l 1-4 G S tL I R Temporary services or feeders-Installation, dteratlon,or relocation: City/State/Z.ip_n n o rt_ q I LX 3 loo am or less _ 66.85 1 Phone: 503-�z A b t) Fax: _4- _ h 1 p 201 amps to amps am 100.30 2 401 to 600 am 133.73 2 Branch circuits-new,alteration,or Name: extension per panel: --- A.Fee for branch circuits with purchase of Address: _ — service or feeder fee each branch circuit 6.65 2 City/State/Zip: B.Fee for branch circuits without purchase of service or feeder fee first branch circuit 46.85 2 Phone: FBX: Each additional branch circuit 6.65 z IL E-mail: Misc.(Service or feeder not included): — Each pump or irrisxtion circle 53.40 2 Each sian or outline liahting 53.40 1 2 U) JOb NO.' Signal circuit(s)or a limited energy panel, — alteration or extension P 2 2 Business Name: Description: Address: Each additional Inspection over the allowable In any of the above: City/State/Zip: hour min. 1 hour _62.50 W Phone: Fax: Investigation fee: CCB Lie. #: Lic.#: othG1: Supervising electricilin Subtotal S smnature re uired: Plan Review 25%of Permit Fee S 5 .y Print Name: Lic. #: State Surcharge 8%of Permit Fee S TOTAL PERMIT FEE S 7 Authorized Notice: This permit application expires If a permit Is not obtained within Signature: d'1 _� ►^' +✓� Date:1- t ti A 3 180 days after It has ban screpted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. v od l — ( print name) is\Dstc\Permit Forms\ElcPermitApp.doe 01/13 Electrical Permit Application -City of Tigard Page 2 -Supplemental Information LIMITED ENC) PERMIT FEES: RESIDENTIAL WORK O LY: Feefor&H systems.................... ...................................... $75.00 Check Type of Work Involved: F1Audio and Stereo Systems* Burglar Alarm lJ Garage Door Opener* El Heating,Ventilation and Air Condition System* ElVacuum Systems* other--------- COMMERCIAL WORK ONLY: Feefor f&d system................................................. ....... $75.00 (SCE OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems 0 Boiler Controls Clock Systems Data Telecommunication Installation I_.J Fire Alarm Installation HVAC Q Instrumentation MIntercom and Paging Systems EJLandscape Irrigation Control* Medical Nurse Calls a EJ Outdoor landscape Lighting* 1` N ❑ Protective Signaling _ F-1 Other m _ Number of Systems IL) -'I * No licenses are required. Licen s are required for all other installations i:\Dsts\Permit Forms\ElcPermitAppPg2.doc 01/03 CTI 96-6022 Page 3 of 4 STANDARD FOUNDATION RECOMMENDATIONS The proposed residential buildings on simple, relatively flat lots, will likely be founded on shallow spread footings bearing on competent native soils or engineered fill. Spread footing design and construction should generally conform to Chapter 4 of the CABO One and Two Family Dwelling Code (CABO), except where we specifically recommend otherwise. For protection against frost heave, spread footings on nonexpansive soils should have a minimum embedment depth of 12 inches for exterior grades on level ground. The recommended Mbimg_m widths fv continuous wall footings are tabulated below: Minimum Width for No. of Stories Continuous Footing (floors supported) (in) 1-story 12 2-story 15 3-story 18 We anticipate that the allowable bearing pressure can be taken as 1,500 IMP for footings bearing on competent native subsoils or engineered fill to a maximum of 15 kips for column footings. ,For heavier column bads and masonry chimneys, a Soil Engineer should be _consulted. The coefficient of friction between on-site soil andpour -in-p ace concrete may /,,-'-be taken as 0.40. The maximum anticipated total and differential footing movements (generally from soil expansion and/or settlement)are 1 inch and U inch over a span of 20 feet, respectively. K 9 w J_ 0 9 U .l CTI 96-6022 Page 4 of 4 CLOSING AND LIMITATIONS Our reports pertain to the materials tested/inspected only. This 12tler should be mad#available to 2ach builder in the develg=ent: however,jg�formatiora contained her2in is not to be r#pr uc d, except in II without prior authorization from this gffic2, This letter should not be construed to relit;ve or lessen the responsibility of the contractor or owner s site representative for this site work, but is provided for the minimum required goverrumental assurance. Our support was given on an as-needed basis as requested. If conditions are encountered during foundation excavation which differ from this report, then the developer(Cascade Communities,Inc.), the contractor (Clearwater Construction), a.x, CTI should be allowed to review the condition before corrective actions are taken. Corrective work performed by the builder without notifying the above parties will be interpreted as an acceptance of the conditions encountered. Respectfully submitted, CARLSON TESTING, INC. RED PROFS 4�O�S�Er`N61NEEq ss�oy 14743 OREGON 0 ✓44� 23. 10`'c, SES D. iMe� James D. Imbrie, P.E. IL Geotechnical Engineer a JL.K cn Attachments: Summary report of in-place soil density tests a m cc: City of Tigard W Clearwater Construction Company J CITY OF TIGARD 24-Hour BUILDING • Inspection Line: (503)636.4175 , INSPECTION DIVISION Business Line: ( )636.4171 MST BUP o - Received Date Request Z 3 AM _PM_ BUP Location � � //� e — MEC Contact Person PLM �--- Contractor '�T�✓E �'�/Ge _ Ph( ) 3s/—;-to SWR BUILDING Tenant/Owner _ — — ELC Footing ELC Foundation Ftg Drain ELR Crawl Drain -- Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear ` Framing Insulation Drywall Nailing i Firewall _ _ � Fire Sprinkler �_�(�s'� Fire Alarm Suap'd Ceiling Roof - Final LUMIANG FAIL _ - 1"S Pos Under Slab &*A,& _ Rough-In 40f _ Water Service Sanitary Sewr• Rain Drains - O — CatchManhole �- m Drain r. -- PASS ART FAIL -- —_ EC NICAL Post& Beam -�--- —�Rough-In Gas _ - Gas Line d Smoke Dampers w Final I' PASS PART FAIL ELECTRICAL _-- J Service ED Rough-In — F3 UG/Slab W Low Voltage Fire Alarm Final Reinspection fee of$ required before next ins ion. Pay at nY Hall, 13125 SW Halj Blvd. PASS PART FAIL SITE Please call for reins ion —_ ------_._. ---- inspect-no access Fire Supply Line ADA /Cl 3 �Za Approach/Sidewalk Do% ----__-- lespector -- — Ext Other: Final DO REMOVI this InspaMen rmmrd fmm the job sib. PASS PART FAIL • �� - _ \ SO2;'15/ ?w7 �► " � �- "� ''�`,.G � ate t %Ir r I-•'� � ���� •� max, ' . _ _ � � � �� Ir' 3 i3 '�'�' ��`` \ — - - -� yzi ss � f 1+w►'X17 _ tl1 too J . 1 nes AVS M ! • i1 11.'14—'�_" ' tom' � A • .\ ,:.�,/FLC NbuNi1►IN MwM1ylpN,wgl� No +� I,� mor.I�i�r�a1fT1�►1 — +� t-- -- - '- IVL . , �f+Ni1 N�OI�1111MYh►R ORIVt �'�� �� w�s++�►�{1tiN eahrrr,get•reN - y - CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00302 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 8/1/02 SITE ADDRESS: 12873 SW MORNINGSTAR DR PARCEL: 2S104DD-09100 SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 ZONING: R-4.5 BLOCK: LOT: 049 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow device. _ FEES Owner: —� Type By Date Amount Receipt LON DUFEK PRMT CTR 8/1/02 $36.25 27200200000 12873 SW MONRINGSTAR 5PCT CTR 8/1/02 $2.90 27200200000 TIGARD, OR 97223 Total $39.15 Phone 1: 503-524-4620 Contractor: OWNER REQUIRED INSPECTIONS Phone 1: RP/Backflow Preventer Reg#: Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Coc,es and all other applicable laws. All work will be done in accordance with approved plans. This permit wl:ii exp-re if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the, Oregon Utility Notification Center. -those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obta_ir, uuNies of these rules or direct questions to OUNC by calling (503)246-1987. Issued By: , Permittee Signature, _ P Call (503) 639-4175 by 7:00 P.M.for an Inspection nee d the next busin BA'Ading Fixtures Plumbing Permit Application Date received: 0 f 1 Permit no. -CV, y CityCit of Tigard es Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 — —'— Qy of Tigard phone: (503) 639-4171 Project/appl.no. expire date: Fax: (503) 598-1960 Date issued: By: Vp 1,_21Receipt no.: Land use approval: — _� Case rile no.: Payment type: ,,1 1 &2 family dwelling or accessory U Commer ' . ' I O Multi-family U Tenant improvement U New construction U Additi n/alteratio placement O Food service U Other: / Job address: I A-$-1 3 fR nl 11G&Pal 2 Deacri tlon Qt . Fee ea. Total Bldg. no.: Suite no.: ew -siniff-fandly dwellings only: (includes 100 R.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivision: SFR(2)bath _ Protect name: SFR(3)bath City/county: ]tGA -JA ZIP: q 1 z13 Each additional bath/kitchen Description and localio of work on premises: Siteulilities: S Q 0 Y-4- Catch basin/area drain Est.date of completion/inspection: p Drywells/leach line/trench drain Footing drain(no.lin.fl.) Manufactured home utilities Business name: © La) F,) Manholes _ — I Address: _ Rain drain connector City: State: ZIP: Sanitary sewer(no.lin.fl.) Phone: Fax: E-mail: Stone sewer(no.lin.fl.) CCB no.: Plumb.bus.reg.no: Water service no.lin.fl. Fixture or item: City/metro tic.no.: Absorption valve Contractor's representative signature: Back flow preventer Print name: Date: Backwater valve Basins/lavatory Name: Clothes washer Dishwasher Address: Drinking fountain(s) City: State: ZIP: Ejectors/sump Phone: x I Expansion tank Fixture/sewer cap Name(print): �( it IC Floor drains/floor sinks/hub Garbs Ze disposal Mailing address: 1.-v13 SPA0 R N of 6 f-1A(L ►L Ilose bibb City: T I GAP State:0(_ I ZIP: C1-1 3 Ice maker Phone-,5(;3 52 tl 6 x Fax: I E-mail: Interceptor/grease trap Owner installntion/residential `:Ainienancc only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as=Date: r 447. Sink(s),basin(s),lays(s) Owner's signature.: a"\ 1 V z Sump _ Tubs/shower/shower pan Urinal Name: Water closet Address: _ Water heater City: ZIP: Other: State: _ _ Phone: �ax:—� I E-mail: Tota Minimum fee................ $ _-_5& a S Not all jurisdictions accept credit cards,please call jurisdio otfor mom information. Notice: This permit application ° Plan review(at /a ) U Visa U MasterCard expires if a permit is not obtained State surcharge 8% --�_ Credit card number: -- ���- Wlfhln IRO days after it has been g ( )•••'S " 3.9 Fxpires / — TOTAL........................! _- 7 7Name of cardholder as shown on credit card accepted as complete. S Cardholder signature Amount 444-4616(6MWCOM) I PLUMBING PERMIT FEES: PRICE TOT'-AL Now 1 an 24am�ly�lings only: FIXTURES (individual) QTY ea AMOUNT (Includes all plumbing 1'bdum In PRICE TOTAL Sink 16.60 Or d hlii�larld the 0*1100 it. QTY (es) AMOUNT Lavatory _ 18,80 _ One 1 bath _ 249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Thrrme(3)bath _ $399.00 Water Closet 16.60 - __ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 257E OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray j 18.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater O co version O like kind 16.60 uantity b f Work Periormad Gas piping requires a s4,sAZmechanIcaI Fixture Type: New Moved Replaced Removed/ permit Capped MFG Home New Wator Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Hose Bibs 18 60 Tub or Tub/Shower _ Combination Roof Drains 16.60 Shower Only Drinking Fountain 60 Water Closet Other Fixtures(Specify) 16 - Urinal - Dishwasher _ _ - Garbage Disposal Laundry Room Ira - Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 - 3" Sewer-each additional 100' 46.40 4" Water Service-1 at 100' 55.00 'Vater Heater Water Service-each additional 200' 46.40 ON!,Fixtures S e Storm&Rain Drain- 1 st 100' 55.00 _ Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backllow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 6250 Requested Inspections perthr COMMENTS REGARDIN ROVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 - 4. QUANTITY TOTAL Isometric or riser diagram is required If Quantity Total Is >9 - f" 'SUBTOTAL CO) 8%STATE SURCHARGE i f- ro "PLAN REVIEW 25%OF SUBTOTAL a Required only If fixture qty.total Is>9 W TOTAL $ "Minimum permit fae Is$72.50*8%state surcharge,except Residential Rack8ow Prevention Device,which is 538,25•8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. I:\rlsts\forms\plm-fees.doc 12,126/01 CITY OF TIGARD 24-Hour BUILDING " 0 Inspection Line: (603)636.4175 MST INSPECTION DIVISION Business Lim (503)636-4171 SUP BUP Received Date Requested__— d13- AM---PM — SUP Location _— l % Suite MEC _ Contact Person �ath —) �� "Z?.5 2— PLM Qat '��3 O•� Contractor Ph(--) SWR — _- BUILDING Tenant/Owner —_ _ ELC _ Fooling ELC _ Foundation Acce": Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT -- Post&Beam — — Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing - -- -- --- Insulation Drywall Nailing --- Firewall Fire Sprinkler — — Fire Alarm Susp'd Ceiling — - Roof Other: — Final PASS PART FAIL_ ---' PLUMBING — Post&Beam Under Slab — -- Hough-In Water Service -- Sanitary Sewer Rain Drains —_-- Catch Basin/Manhole Storm Drain --- 01h r Pan ' - PART FAIL HANICAL — — Post&Beam Rough-In -- a. Gas Line Smoke Dampers — N Final PASS PART FAIL ELECTRICAL m Service Rough-In W UG/Slab J Low Voltage Fire Alarm Final L 1 Reinspection fee of a —_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 / /� Approach/Sidewalk DSU G inspectff -- hive- Other: Final DO NOT REMOVE this InspeWen It"sltiOlt/11}roll)the job tilt. PASS PART FAIL AV CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 8: MEC2001-00320 441 4 Anfliffim 13125 SW Hall Blvd.,Tigard,OR 97223 (303)639-4171 DATE ISSUED: 1 2510 PARCEL: 2S 104DD-09100 SITE ADDRESS: 12873 SW MORNINGSTAR DR SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 ZONING: R-4.5 BLOCK: LOT:049 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30.50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: FURN <100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: 1 FURN >=100K BTU: <=10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Remove existing ventless FP and install vented firepleace. Owner: FEES _ AMY DUFEK Type By Date Amount Receipt 12873 SW MORNINGSTAR D.R PRMT CTR 9/11/01 $72.50 2720010000 TIGARD, OR 97223 5PCT CTR 9/11/01 $5.80 2720010000 Phone:503-524-4620 Total $78.30 Contractor: GP +W SYSTEMS, INC 732 MARBLE RD WASHOUGAL, WA 98671 REQUIRED INSPECTIONS Mechanical Insp Phone:360-835-3516 Final Inspection Reg M LIC 108176 IL oe: a m W This permit is issued subject to the regulations contained in the Tigard Municipal Code, St.-do of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work Is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 951-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling XZLI'd— Issue By: f,Ay-'O, Permittee Signature: /rf.�-7 yL- Call(503)6394175 by 7:00 P.M.for Inspections needed the next usinsss day 09%10/01 MON 15:55 FAX 3008355710 Kent i Lyme Kettering_.__....._.._....._.... �looi Mechanical Permit App#coion 7Projwdapp // Pcrmltno,;M - . 0 City of 'Tigard P( Expiredate: 1CiryofTigard Addnesa: 13125 SW Hall Blvd,Tt X11 221Phone. (503) 6394191 By'," Receipt no,: Fax: (503) 598-1960 Care filen.; Pnymcnt type Land use approval: Building pcmdt no. U i do 2 family dwelling or accessory U CornmerciaVindustrial U Multifamily U Tenant Improvement U New construction U Addition/alteradonheplacement D Qdwr. Job address: Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: _ _ Suite no.: U value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no proflc Value$ Lot_ Block: Subdivision: *Sea checklist for important application information and Prot name: jurisdiction's fee se iedule for residential permit fee. t;.it /county: ZIP. INS - Description and location of work an cmises: !Cm a w 7k'ee(tna.) tty Ta Fst.date of completiontinlipmiion: '111-7 —_ - R7 Plea. Tenant improvement or change of usc: u7handUng Is e;Aisting spacr heated or conditioned?U Yes U No t CFM Is existing space Insulated?U Yes U No (site anre u�) _ trm ono ext ng HVAC system Uam o Ier/compressor Easiness name 5 State boiler permit no.: NF Tons BTU/H Address_ '� Prrr smo it damper act smoke detectors City: - State: 7IP: 7/ ca7fi i um(�tep anrequ Phone. Fax: E-mail: les rep ace um urner t n ? G . Including ductwork/vent liner 0 Xes 0 No CCB no.: JQ_ initiliGplaccimlocatc heaters-suspended, City/metro lic.no.: wall,or floor mounted Namc(please print): �i'fnr a liance other than ranaee c ` 1 A ill'in onuNts UTTJ/H Name: 6��-�� Quitter iiP Address: - -- - -- Co HP Alp Ciry: T-- - -- -state. Z1P. an n: Appliaacewat Phone' Fax- E-mail15;yCrexhalm s,' ype res.Ut-cRiUliazinat r. n l hood fire suppression system Name: }e F� Exhaust fan withsingle duct(bath fans) Mailing address a.� S ( .--- to awe atuo man from ItCa ng or AC 11 City: 1-t Statc: V U=PIPOR and dbftt up to 4 outlets) & T . Im NO 011 4d Phone: Fax: E-mail: Fuel p n eacha ons over 4 out cts N FroempWn sc emit crequired) } Number of outlets Name: app a or equipawall. J Address: De"Wivcflttplace m City State: ZIP: - Phone: Fax: E-mail: tov pe etstove - W Other- - _J Applicant's signature I Date. Name (peittt): - Nu as jtaisdicti accepts tat cards,pleew call iu•{a9cdmrm an for ale infidkwt Po reit fee.....................$ U Ytsa uutzrCard Noticc-This permit application Minimum fcc................$ R Credit card tuber-, g3(AZa2IQ expires if A permit is not.obtained- �3 Flan review(at � etrplrG within Igo days atter it has teen State atrrcharge(896) $ Name alder —�gil +f-.. _� ,�' accepted As complete. _.f� TOTAL.......................S 7 er algutatAmwfat 400 17(x'01) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested AM PM BLD Location_ ! �-�Z�_��-/1�1 _ Suite MEC DLQQ1 "O ) 3'ZO Contact Person Ph 34 O 7 7 Z 4P 3 ZS PLM _ Contractor Ph SWR BUILDING Tenant/' .5-a-4' — -2- 0 ELC _ Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain SIGN Crawl Drain Inspection Notes: Slab IT Post&Beam Ext Sheath/Shear ._ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling — Roof Misc: Final PASS PART FAIL PLUMBING Post&Beam – Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL P m ough In tine ke Dampers ASS PART FAIL ELECTRICAL L Service — r Rough In UG/Slab Low Voltage Fire Alarm -- -- Final 0 PASS PART FAIL — --. u SITE a Backfill Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ J Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. q� � , ntq FILE COPY - T-,-' 0 OBSERVATION REPORT w / mo To: Hap Watkins; inspector's Supervisor 14Y From: Rick Bolen; Building Inspector II Mike Sheehan; Plumbing Inspector Date: February 14, 2000 Subj: 12873 SW Morningstar Dr.; Water Run-off of On January 19, 2000, at approximately 2:30 PM, Mike Sheehan and 1 went to investigate water run-off from the subject address to the down-slope property of 12861 SW Morningstar Drive. Mr. John DeGeorge, the owner of the down-slope property, met us upon arrival, and addressed his concerns about his water run-off problem. Mr. DeGeorge, in an attempt to alleviate the problem, installed a French Drain along the back half of his side yard property line. The French Drain is sub-standard, being 2 feet in depth, and was not protected with a silt barrier. The river rock is adequately undisturbed with a perf pipe installed for drainage, but needed a rip-rap. Surface water was present and erosion was evident, as Mr. DeGeorge's bark dust showed signs of rippling. Mr. DeGeorge stated that Mrs. Caine, the owner of the subject address installed a Dry Well at the lower end of her rear yard facing Mr. DeGeorge's rear yard. The Dry Well was installed to catch water drainage from a footing drain, which was installed for basement living space. At no time, during our observation(s)did the Dry Well show signs of purging. Mr. DeGeorge felt that the Rain Drain System drained into this Dry Well. The Rain Drain System was designed to re-enter the under structure. An attempt to gain fall to the lower end street weep hole. At a later date, Mike Sheehan and I returned to do a dye test and found that the Rain Drain System does work and is in fact draining to the lower end weep hole. Mr. DeGeorge witnessed the test. Also, at the upper most rear property line pin, a drain pipe was noted. It is believed to be that of a low point drain termination. This drain faces the "Greenway"and shows no water or erosion problem. Mr. DeGeorge expressed another concern. He alleges that 120 cubic yards of fill was placed in the rear yard of his neighbor. This is unclear. Typically, there would be spills L from the excavation at the time of dig-out. There's nQ evidence of permitted fill in record. The variation of grade(s) between lots da show different contour lines. How much is fill and how much is spill is undetermined and can not be verified without proper!ecords. 3 o FINDINGS: A steep slope between these homes is substantial. It is also not conclusive u that water, other than surface water, is being displaced onto Mr. DeGeorge's property, except the possibility of a spring. There is no-evidence of a purging Dry Well or a Rain Drain System that is being mis-directed to anywhere other than the street. RECOMMENDATION: Extend and increase depth of French Drain on west side. CITY OF TMASTER PERMIT DEVELOPMENT SERVICES PERMIT M. . . . . . . a MST98-0150 13125 SW Hall Blvd.,Tigard,OR 97223 (503)NT394171 DATE I SSUED r 07/14/98 PARCEL: 28104DD-09100 SITE ADDRESS. . . 112873 SW MORNINGSTAR DR SUBDIVISION. . . . :MOUNTAIN HIGHLANDS NO. 3 ZONINGe R-4. 5 BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . e049 JURISDICTION: TIS Remarks: Single family detached, Path 1. — BUILDING -- REI991Et STORIES.......t 2 FLOOR AREAS---- MEMR...t 1379 sf REQUIRED SEIBACIM- NMI MANOF ROW.ift HEIGHT........t 31 FIRST....: 2145 if GHIRIff.....: 111 of LEFT..........: b SIM DETECTRSt V TYPE OF UK...tSF FLOOR LOAD....: 48 SECOND...I 927 if FRONT.........: 21 PANTING SPA®t P TYPE OF CONST.191 DWELLING UNITS: 1 FINBIGEMI: I of RIGHHT.........1 S OCCUPANCY GRP.tR3 BDAN: 3 BATH: 3 TOTAL—i 3112 sf VALUE..tt !✓41191 WAR..........t 56 ----- ----- PLUMING SINKS.........: 1 WHITER CLOSETS.: 3 WASHING M}C..t I LAUNDRY TRAM i 1 RAIN DRAIN ft: 111 TRPS.........e I LAVATORIES....s 3 DISHANAGERS...t 1 FLOOR DRAINS..: I SEWER LINE ft: 10 SF RAIN DRHIMMG: 1 CATCH BASING..: I TUB/SHOWERS...t 4 IGASAGE DISP..: 1 INTER HEATERS.t 1 MUTER LIRE ftt 10 SCI M PR W Rt I SEAS TRAPS..: 1 PER FIXTURES: I MECHANICAL FUEL TYPES----- RUIN ( IM ..: I BOIL/QP ( 3IP: 1 VENT FANG.....: 4 CLOTHES DRYERSi I GAG HUN )*IM ..: 1 UNIT HEATERS..: 1 HOODS. 1 OTHER UNITS...e 1 MAX IMP.: I BTU FLOOR FU1RNCESt 1 ft-1&........3 0 W OODSTOVES....t I GAB OUTLETS...: 1 ELECTRICAL _-__r. --------_-- --RESIDENTIAL UNIT--- --SERVICE/FEEDER— -TEMP SM/FEEDERS- CIRCUITS- - M19CEL1AEOU11--- -ADD'L INSPECTI08- 1MI SF OR LESS: 1 I - 2" Sep..: I I - 20 sop..t I W/SVC OR FDR..: I PUP/IRRIGATION! I PER INSPECTION: 1 EA ADD'L 5809F.1 9 211 - 40 amp..: I 211 - 401 amp..: 1 1st W/O SVC/FDR: I SIGN/OUT LIN LT: I PER OP......: 1 LIMITED ENERGY.: I 411 - 60 mop..: I 411 - fin amp..: 1 EA ADDL BR CIRe 1 SIMlK/PNIIEL...: I IN PLANT......t I OF HM/SVC/FDR: I fill - 1111 mop.: I 6104mps-1010 v: I MINOR LABEL Al: I IM amp/volt.: I PLAN REVIEW SECTION Reconnect only.: I )*4 IES UNITS..: SK/FDR)*225 A.: ) 6M V NONINAL: CLS AREA/SPC OCCt ------ ----- ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL- --- L IAIERCIAL------ ---- AUDIO 0 STEREO.: VACUUN SYSTEM..t AUDIO I STEREO.t FIRE ALARIN.....t INTEMM/PABINSt OUTDOOR LIDGC LTt BURGLAR ALARM-: OTH: st X BOILER.........: HVIIC...........I U DGM/IRRIGt PROTECTIVE SIGNLt SAM OPENER..: QUEM..........: INSTRIMITATIONt MEDICAL OTHR1 :1 HVAC:...........t DATA/TELE COM.: NURSE CALLS....: TOTAL f SYSTEMSt I Owner: Contractort - - TOTAL FEESO 5343.31 CAROLYN F CAINES EDIGER CONSTRUCTION This permit is subject to the regulations contained in the 3382 SW LUlRM ST 4717 RIVERVIEW AVE Tigard Municipal Code, State of Ore. Specialty Codes and all PORTLAND OR 97219 WEST LIMN OR 97168 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phone I: 245-5757 Phone I: 656-8339 not started within 1M days of issuance, or if the work is Reg C.: OW17 suspended for mere than 181 days. ATIEMTIO i Oregon law ------- -------- - - ----------- requires you to follow rules adopted by the Oregon Utility Notification Center. Those Mules are set forth in OAR 952-01-011 through OAR 952-M-M. You may obtain copies of these rules or direct questions to (1URNC by calling 1513)246-1981. REQUIRED INSPECTIONS Erosion 844-8444 Past/Beam Meehan Electrical Servi Fireplace Insp Water Line Insp Pl:tmb Final Grading Inspecti Crawl Drain/Back Electrical Rough Gas line Insp Nater Service In Building Final Footing Insp PLM/Underfloor F ir.: Insp Gas Fireplace Appr/Sdwlk Insp _ Foundation Insp Mechanical Insp ear Nall Insp Insulation Insp Electrical Final Post/Beam Struct Plumb Top Out ON Voltage Rain drain Insp Mechanical Final Issued By : ,�- Y �- � Permittee Signatures� ���, � +4+++++++.+++++++++ ++44+++++++++++++++++++++++++++++++++++++++ +++++++++++ Call 639- 4175 by 7: �. mt. for an inspection needed the next business day L t T- CITY OF TIGARD CERTIFICATE OF OCCUPANCY PERMIT 0: DEVELOPMENT SERVICES DATE ISSUED: 06/18/1998150 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL: 2S104UD-09100 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 12873 SW MORNINGSTAR DR SUBDIVISION: MOUNTAIN HIGHLANDS NO.3 FILE COPY BLOCK: LOT:049 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Single family detached, Path 1. Final Building Inspection and Certificate of Occupancy Approved 7/1/99 by the City of Tigard Building Division Owner: CAROLYN F.CAINES 12873 SW MORNINGSTAR DR TIGARD, OR 97223 Phone: Contractor: EDIGER CONSTRUCTION 4717 RIVERVIEW AVE WEST LINN, OR 97068 Phone: 656-8339 Reg#: CL ac rn m W This Certificate grants occupancy of the above referenced building or portlon thereof and confirms that the building has been Inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and usUnde Wwhlthe referenced permit:vas Issued. BUILDIN INSPECTOR BUILDW OFFICIAL POST IN CONSPICUOUS PLACE ' CUMMINAS.SENKEI i ASSOCIATES�,___ C SVLTINQ ENGINEERS t 9 July, 1998 I -73 M Gary Dahl Gary Dahl Design 11855 SW Ridgocrest, suite 130 Beaverton,OR 97008 To: Gary Dahl,Gary Dahl Design From: Suranne Green, CSA Consulting l ngrnaerr Re: Caines Residence,CSA Job 01374 71m Rsllow o"Omw the r+Maining wall calculation and dsndl for up to it Iw hith Wall. 'f% Um rotaining wall detail nay be used at the front of the 11vial room,whore there will be no Garage floor slab and the waft will be framed up on top of tho joisu. Sincerely, CSA (7onsu/ling Engineers 1�• SUZIUVIC0. Green, B.I.T. n PRO�E��i 4W`S1��►�O1N�� �t 1 � t 4 ,# fit► '. (503)228.3848 321 S.W.41h,41h ftor+Portland,016W 0701 r a� a `n i !'►�� Foundation Engineering, Inc. Professional Geo►echnical Senices Mr. Steve Ediger July 19, 1998 Ediger Construction ------ 4735 Alder Street West Linn, Oregon 97088 12873 Morning Star, Lot 49 Footing Foundations Tigard, Oregon Dear Mr. Ediger: At your request, we have provided a review of the footing foundations for the above indicated house lot located in Tigard, Oregon. This is in response to the City of Tigard inspection report dated July 17, 1998 indicating concern regarding the stability of the soil and requesting a test of the soil compaction. Two reports were reviewed: 1) Carlson Testing, Inc. dated February 21, 1997; 2) H.G. Schlicker and Associates, Inc. dated May 28, 1998 The Testing report indicates that engineered fill was placed on and surrounding lot 49. A total of 12 in-place density tests were conducted on the soils on and surrounding the lot. The tests indicate that 10 of the relative compaction tests exceed 95 percent of standard Proctor. Two of the tests were at 94 percent. This indicates that the engineered fill was placed in accordance with typical standards required for home construction. The Schlicker report indicates several foundation recommendations which it appears you are following in your work at the site. The report also refers to the engineered fill, and also indicates the presence of loose uncompacted fill on the upper part of the site. A site visit was conducted by the undersigned on July 19, 1998. The soils at the base of the footings were probed, and a visual inspection of the site was conducted to locate the presence of uncompacted fill. Our probing indicates that the footings were excavated into the engineered fill along the entire perimeter of the home and that the footing foundations appear adequate and within the normal standards of construction practice. The uncompacted fill appears to have been moved from the front to the back of the lot to be later used as site grading soil. It is our opinion that the foundations are adequate that construction can proceed. P �p1NE O Sincerely, !12,01 y r FOUNDATION ENGINEERING, INC. oe 'k 23 ., Frederick G. Thrall, P.E. RICK G. Principal Geotechnical Engineer EXPIRES: 5030 SW Philomath Blvd. - Corvallis, Oregon 97333-1044 - Bus. (541) 757 64 - Fax (541) 757-7650 7420 SW Hunziker Road. Suite A - Portland, Oregon 97223-8252 - Bus. (503) 684. 314 - Fax (503) 598-9343 1 , H.G. Schlicker & Associates, 607 Main Street - Oregon City, Oregon 97045 (503)655-8113 • FAX (503)655-8173 i Project #981590 � May 28, 1998 i To: Ms. Carolyn Caines t 9555 S.W. Maplewood Drive,Apt. D46 Tigard, Oregon 97223 Subject: Engineering Geologic Investigation Lot 49, Mountain Highlands S.W. Morningstar Drive Tigard, Oregon f Dear Ms. Caines: The accompanying report presents the results of our engineering geologic investigation of the above subject site. After you have reviewed our report, we would be pleased to discuss the report and io answer any questions you might have. This opportunity to be of c;e is sincerely appreciated. If we can be of any further assistance, please con H,G. SC CKER & OCIATES, INC. 1 ouglas Gless, P G., C.E.G. Vice President/Principal Engineering Geologist 1 JDG:cch 1 i GEOLOGISTS • ENGINEERS • ENNRONMENTIIL SCIENTISTS a rls on Testing) Inc. Cmutnsctton Inspecthn&Mated Te: C1ft4* u*W Consulti P.O. Box 23814 February 18, 1997 Tigard, Oregon 97281 Phone(503)884.3480 FAX(503)884-0954 CTI JOB N0. 96-6022 ..l. Cascade Communities, Inc. 13535 SE 145th Avenue Clackamas, OR 97015 FINAL REPORT OF EARTHWORK OBSERVATION AND TESTING MOUNTAIN HIGHLANDS 111 TIGARD, OREGON Reference: MORNINGSTAR PROJECT, SOILS AND GRADING REPORT, Oakley Engineering,Inc., April 28, 1994. Carlson Testing Inc. (CTI), has conducted on-call inspection services for the earthwork at the above residential development. This final letter briefly summarizes our observations and testing during construction, and the as-built soil conditions to the best of our knowledge. This letter also Provides recommendations for foundation design and soil guidelines during construction of the single-family homes. SITE PREPARATION AND FILL PLACEMENT Based on our visual observations and our density test results, after stripping vegetation and topsoil, engineered fill using on-site soil was moisture-conditioned and placed on the following areas to a maximum depth of approximately 15 feet: Lots 42 to 49 Based on the in-place soil density results and our visual observations, it is our opinion that the engineered fill on the above lots was generally placed in conformance with the standard: of the City of Tigard. t Lots 26 to 41 and 50 to 52 are cut lots or lots left near natural grad., IL The backfill placed in the sanitary sewer easement between Lots 46 and 47 and to the laterals was not compacted and has settled more than one foot. w STRIPPINGS AND/OR EXCESS FILL Based on our observations, it a m ppears that most of the topsoil strippings and otter unsuitable fill material was removed from the site. The strippings were stockpiled very high on Lots 47 through 51 before they were apparently removed. During our site visit on 2-14-97 It was observed that approximately 12 inches of trench spoils and stri we.a spread acs the fronts of Lots 42 to 52. There is a 2 to 3 foot high debris pile on the front of Lot 33 in the northwest corner. CTI 96-6022 Pape 2 of 4 SLOPE STABILITY The original geotechnical investigation for this project was performed by others. CTI engineers observed the base of the fill placed along Lot boundaries 43/44 and 44/45 which Included subdrains and were started with quant' run fill material before any soil fill was placed. The subdrains are flowing presently and these fills have performed well this winter compared to nearby natural slopes. We also observed the recent slope repairs on Lots 43, 46 and between Lots 28 and 29. More recently a new failure, Initiated by excessive uphill storm runoff has occurred just east of Lot 29. Generally, the slopes near the creek become less stable up-canyon or in the southerly direction. We do not anticipate any stability concerns on Lots 47 through 52. Lots 31 through 34 have fill placed during previous phases and some thin dumped fill by builders; shallow sk)pe creep was noted on Lots 31 and 34. Lots 30 and 35 through 41 will likely require cuts to construct future homes. We recornmend that these cuts be made M the summertime to minimize the potential for adversely affecting existing residences above; any cut exceeding 8 feet in depth should be observed by a geotechnical eng!rww during excavation. The following Lots should definitely require a lot-by-lot geotechnical review: Lots 26.29 and 42 through 46 We anticipate that Lots 26,and 27,may be founded on spread foundatkxis,with some special considerations. These lots would be more stable with daylight basement homes. Lot 29 may likely be founded on spread foundations with a proper setback from the east slope where a recent failure occurred. Lots 28,and 42 through 46,aro mon steeply sloping or aro very now steep Slopes that have a moderate to high probability of failing in the future; these lots may require deep foundations or horizontal anchors to improve stability or they may be founded on spread foundations, subject to a geotechnical engineer's review, HOUSE EXCAVATION GUIDELINES We anticipate deeper than typical foundation excavation depths on most of the lots due to the sloping nature of the site. If excavated material is spread around the lot and is expected to support appurtenant structures such as deck footings and sidewalks, it should be placed, R compacted, and tested as engineered fill. Under no circumstances should nonengineered fill I.- be placed without observation over ground sloping steeper than 20 percent,or on flat ground >- more than 3 feet deep. 13 M a W J rt 4CE-i:V]M*- EP OAL ITYOF'f RD + r` ILI pw l' 0 _ NP Id i LL 41 LL. }- _, % r x •� � �•7I LAG '� �� � .-bi � �1� aco tu Solar Balance Point Standard Warksheet Address "V; o_'d. Dr' 97;A5 Box A calculations: North-South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 450-0 t "V' v North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. tie �t Ne't t N NM%410UM OM"M. Box B calculations: Shade point height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will (circle one) be based on the peak of the roof. a000 Ill► "0""-o. 1A 16 1C IL 1 b: If the roof line runs East-West and the roof pitch is N less than 5/12, measurements will be based on the eave. J_ m W 1 c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements will be based on the peak. ism Off Box B. continued Box g: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negati,e. 3. Measure distance from finished floor elevation to the affected peak/eave. + �'�'? It 4. If the roof line runs North-South, deduct three feet If the roof line runs East-West, it - deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. ft 6. Total figure for box B: Z.s,"'t97 ft w Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the 140— It affected peaWeave. 2. Measure the distance from the foundation to the affected peak or eave. + it 3. Total figure for box C: ft It is most useful to draw a vertical line io represent the appropriate figure found in box"A*and a horizontal line to represent the appropriate figure found in box'C".The intersection of the vertical and horizontal lines determines the value found In box'D".The value in box'D'should be compared to the value in box'8"; if the value in box'8"is less than or equal to the value found in box'D then the building is in compliance with the solar balance code. If you have any questions,please contact us at 639-4171,x304 or at the Community Development Counter. MMMVM P[ Mff=$NADI POIN4 HWG1 T In FMd Distance to North-south lot dimension(in feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern lot line(in feet) 70 40 40 46 41 42 43 44 65 38 38 36 39 40 41 42 43 60 36 36 3 37 38 39 40 41 42 55 34 34 3 35 36 37 38 39 40 41 50 32 32 32 33 34 35 36 37 38 39 40 Q, 45 30 Jt) 30 31 32 33 34 35 36 37 38 39 40 28 18 26 29 30 31 32 33 34 35 36 37 38 CO) 35 26 26 20 27 28 29 30 31 32 33 34 3S 36 30 24 24 24 25 26 27 28 29 30 31 32 33 34 —� 25 22 22 22 23 24 25 26 27 28 29 30 31 32 m 0 20 20 M 20 21 22 23 24 2S 26 27 28 29 30 Lu 15 18 18'' 16 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 1 14 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height.: '2-s•7 ej' feet h:WocAmncrventura\solar.chp Revised V26t96 CITY CSF TIGARD DEVELOPMENT SERVICES SEWER CONNEF TTON 1312bSWHall Bfvd.,11 00 07M (IM)M4171 PERMIT PERMIT i1. . . . . . . : WR98 -007^ UATE ISSUFC: 06,110/98 PARCEL: 2S 1 O4DD-0'3100 'TE nDDR7rS. . . : 12'873 SW MORN I P,G STAR DR IPDIVISION. . . . :MOUNTAIN HI(3HLnND5 NO. 3 ZONING: R-4. 5 OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :g49 JURISDICTION: TIG 'NANT NAME. . . . . :CAINFS9 CAROLYN ^A NO. . . . . . . . . . a FIXTURE. UNITS. . . : 0 .ASS or WORK. . . :NEW WELLING UNITS— : "YPE OF URE. . . . . :SF NCI, nr AUTL_DTNC5: 1 T NOTAL-1_ TYRE. . . . :PUSWR i Mr'C Rv rl-1Rt=ACE: 0 s Remarks o Single Family detatched, Path 1. r1wner: _._ _ _ ..._.._ _ _..__.__� .. _. _.... _...._._.. ... r-F - _. _ S . ._... ._._._..... _._._.._ ._ CAROL_YN CAINES type amount by date rerpt 3302 SW L_URADEL PRMT $ 2200. 00 JSD 06/18/98 98--3O6656 C'nRTLANn nR 971219 INSP 4 35. 00 JST) O6/IS/98 98-3O6656 Phone #: Contr-actors OWNER Phone ! 2235. 00 TOTAL _--- ---- RE=fnl.J I RFD INSPECTIONS - --_- s Applicant agrees to conply with all the rules and regulations Rewer, Inspection ` the Unified Sewage Agency. The perait Pxpires 180 days frog date issued. The total asount paid will be forfeited if the mit expires. The Agency does not giiarantee the accuracy of the ee sewer laterals. If the sewer is not located at the aeasuresent riven, the installer shall prospect 3 feet in all directions frog t�e c'istance given, If not so located, the installer shall purchase a "Tap and Side Sewer" Pereit and the Agency will install a lateral. A-'!YT;ON: Oregon law requires you to follow rules adopted by the ey,r Utility Notification Certer. Those rules are set forth in OAR IL r7'-PP10 throuy', DAR 952-Q�01 0P+ nu may obtain copies of _ f1C :Fs r, d`-Fct q '-scions to by cal;irg (51131245-1987. N CO) C ed by • Pet-mittee 3i gnatttret m W f•++ '-+f+++•+++++++++++++++++++++f•+++i++++++++++++++++++++++++i•++++-++++++++++4-4-++4- Call +++ -Call 6.39•-•4170 by 7:00 p. m. for an inspection needed the next business day ++++•++++++++++++++•+++.1-++++•++.h+++++++++.!-+++++++++++f"++ ++++++++++.+++++++++++4 CITY OF TIGARD Site Permit Application 13125 SW HALL BLVD. QQMmejcj.a1: Complete ENTIRE form TIGARD, OR 97223 Resideno: Complete SHADED areas (503) 639-4171 x304 Print or Type Incomplete or Illegible applications will not be accepted ttNM Utilities(complete all that apply) ( Job C�.I��`a'!``'.._.�.L3..r n f Rs AtJdress Address 2 g�3 Sl"1�r�,�rtn� Gtr Storm Sewer Linear Ft. Sanitary Sewer Linear FL 0W1W Mailing Address j?4 i;►rref 4 Fresh Water Linear Ft. C�/State hp Phone t53 Catch Basins General Nemo Clean Outs Contractor Pft to Msill"oMdroas Describe work to be done: 4suer+ .a tLz New[] ❑AdditionAlteration[] RepairE] W10" s are City/State Zip Phone 363-4 — Additional Description of Work: requ"d if t7 +►xMreelirfGOT .....f..�.�2R �'.�5..,�.a.t �$�..�.i ���c,",�,4�,.t r.(� deabne State Corset.Cont oord Lic.# Exp.Date NameP rojetC r Valuation �.1 $ �.. G�l _e 44- AmhI%jt Mailing'Address 5 L ;1?_ 1 135 Pians Regrilred: :3ea Matrix on bsO. 562 A�dqe,,ebr The Mlowing,must accom Ispplicatlon: City/State Zip P,ione 5c.7 ltA plan with VkJnity Map Barking(int�.iding Be,.!7f n - 1 5ttADA comt"nceAfJ 4A l IN,Mian Name P,rading Plan sand details _ Landscaping Flan Engineer Mailing Address 4ti rasion Control Plan and _ Retaining Structurett l 5 W L-1 t ` 4 " Ic details _ __ Inr;Iuding r e Utatipnt City/State 0p Phone SG3 - Site Utility Plan and rtetaits Soils Report (showing connection to (if required) c. r N a �- 3 is ri � v�scl syete�r� Excavation Volume i>hereby acknowledge that i have read this application,that Ileer (Soils report required for>5,000 cu.Yards Ilorrrtsltion given it r•.trrecl,that I am ttM ownear or au!Mrized cu.yds. '`: t of the rnansr,And that plans submitted are in complianrm — — ":VYNh oMon State l2ws Fill Volume $tgnaturs of OwnedAgent Date (Soils report required for>5,000 cu.Yds.) IWr ill the fill support a structure Contact Pe►rss�'At Name Phone 45QS N (Engineer required if answer is yes) YES❑ NOp — t' �►�«,:.u•, 799. J Retaining structure'?(check one) ❑Rock FOR OFFICE USE ONLY— in C]CMU Notes: 0 ❑Concrete W []Other Total new impervious area including all Land Use Case 0 MaprTL# buildings, sidewalks, and paving Sq.Ft. siteapp.doc9/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 O,o,u) -- -- B (New or Add) 1 1 -- -- 3 6,o,w) F (New or Add or Alt.) 3 3 -- -- 3 O,o,f) M (New or Add. or Alt) I 1 -- 20,o) -- -- B & M (New or Add) 1 1 -- 3 O,o,w) -- - P(New, Add. or Alt) 2 -- 2 -- -- 20,o) -- B & M& P (New or Add.) 2 1 1 -- 3 O,o,w) 20,o) -- E (New, Add, or Alt) 2 -- -- 2 -- __ 20,o) B & M & P & E (New, Add) 3 1 1 1 3 O,o,w) 20,o) 20,o) B of B&M(AW) B A M&p(Alt) y M�ry P Q4 i'ii �•' ff'<` ilia. rg 'i'' ,_ t�•. Y 1 ':r NOTES. a. Before returning to DST, Plans exa2nd ropriate j =Job B =BUP number of revised plans from applicompletes, o =Office M =MEC updates and adds actions. f=Fire P = PLM u=USA E=EI.0 w= Wash. County F =FPS N c. FPS is a new permit category set a#de for fire sprinklers and fire alarms. ff 0o d. Effective August 15, 1997, Tujifatin Valley Fire and Rescue no longer requires a set of C9 approved plans to be forwarSMd to their office. W Exception, continue to fopkard a copy of approved fire sprinkler and fire alarm plans with calculations. h:4nahic.Doc CITY Of TIGARD OREGON INTENT TO HAIL EXCAVATION I, C`�c.�Yo�. Q_cn L,e (print name), hereby certify that all excavation material on the subject property will be removed from the site and not be placed as fill, exc.ept for that amount necessary to back-fill the foundation ONLY. I understand that failure to remove the excavation material will result in the requirement to remove the material or obtain a grading permit by submitting grading plans prepared by a licensed engineer accompanied by a geo-technical report regarding the placement of the excavation material as fill. Cin,`•Q..=. Q_�� Lk- %-- 9 V Signature Date Job Address: 2q� r; C r !D1 , 0, 9 7a9L 5 Subdivision: �n,,, Lot: Ll �---- C J J 13125 SWM9WM.T,)fflbrd, OR 97223(503)639-4171 TDD(503)684-2772 Plan CITY OF TioARD Residential Building Permit Application Reo'd By 13128 SW HALL BLVD. New Construction Additions or Alterations Dee Recd TIGARD,OR 97223 Single Family Detached or Attached (Duplex) Dat.to P.E. V 503-639-4171 DaM b OST ' F 603484-7297 ft 14 N Print or Type ! 1 cafte X40 Income eta or Illegible applications will not be accepted 7dL Name of P Nama Job Address Site Addroof X01b 4 Architect M+Ong Awres8 $k,Ec Isar Name ! Cihr/ tatozo Phone 0.1 Owner Mailing Add-rode Nara 1302 — City ata zip Phone -0O3, Engineer MailN Address khbt, - Q yee - 9' H General erne �r ta- Zip sys Connector H 5 5I 5 06 v Describe wait New Addition O Aft,scion O Repair O Mailing Rddrsss to be done: Prior to permit 'j -t. Additional Descrip*m of Work: Issuance,a copy City/8ts% Zip Phone of all licenses Or bn 0, are mquired If Oregon Const.Cont,Board Exp.Data PROJECT v C;:pired M COT Lic.0 VALUATION p database 041 7,31 ' e- Mechanical Nome NEW CONSTRUCTION ONLY: osi Sub- C'Qyp�r Sq. Ft. House: Sq. Ft. Gamge Contractor Mailing Address j .3 v 72- -O Prior to permit Comer Lot YES NO Flag Lot YES NO Issuance,■copy City/state tip Phone So3 (check ono) Check one of all licenses Restricted Audio/Stereo Burglar are required If Oregon Const.Cont.hoard Exp.Oft expired in COT Lic.Ar Energy System Alami Plutabase mbing NafT1e ��a t � �\ate,/,1/:-'If �`� Installation �. garage Door HVAC pener systems ` Sub- Q-Irpt-"rC\ (check all that Other. Contractor Mailing Address apply) Will the electrical subcontractorwird for 90 YES. NO ellS restricted onergy installations? ✓✓ Prior to permit icy/state zip Phone issuance,a copy Has the Subdivision Plat recorded? N/A YES NO T of all licenses are "Oregon Const.Cont.Board Exp.Dote required If Lic r `� Reissue of MSTN: Saler Compliance ' expired in COT V / (` ' (Calculation Attached database Plumbing Lic.MExp.Da y I hearby acknrwledge that I have read this application,that the 4. 9. - Information given Is correct,that I am the owner or authorized HName agent of the owner,and that plans submitted are in compliance Electrical with Oregon State laws. Signature of Owner/Agent Date Sub- Mailing Addw V �(1�t Q J 1` m Contractor c Contact Pers n Name Phone 0 3t73 City/State Zip Phone W Prior to permit FOR OFFICE USE ONLY: y s s s issuance,a copy 7 -57 Plat#: JO(; -�/ ado 'a 41�Q of all licenses are Oregon Const.C n.Board Exp.Date required if Lice Setb - Sola C Zone: n ' r. expired in COT �.J database Electrical Lic.a Exp.Date Englpperi Approval: Planning i/ g Approval: TIF: LAL I:81FREM.000 (DST) 4W