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13435 SW SANDRIDGE DRIVE 13435 SW Sandridge Drive �� ELECTRICAL PERMIT \ PERMIT#: ELC2002-00026 DEVELOPMENT SERVICES DATE ISSUED: 1/24/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S105DA-PC044 SITE ADDRESS: 13435 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7 BLOCK: LOT : 044 JURISDICTION: URB Pruiect Description: Installation of private street light. RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ MISCELLANEOUS_`_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amr. SIGNALWANEt_: MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER_— _ _ BRANCH CIRCUITSi _ _ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 2 PER INSPECTION: 201 400 amp: 1st WIO SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ _ PLAN REVIEW SECTION 1000•1• amp/volt: T>=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect onlySVC/FDR >= 225AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: R J ROUSE ELECTRIC INC 19450 SW CIPOLE ROAD SUITE 107 TUALATIN, OR 97062 Phone: Phone: Reg #: 60-0%154 SUP 661S ELE 34-359C FEES Required Inspections _ Type By Date Amount Receipt Rough-In PRM3 CTR 1/24/02 $93.60 2720010000( Underground Cover Elect'/ Service 5PC2 CTR 1/24/0 $7.49 2720020000( Elect'/ Final Total $101.09 _ J This Permit is issued subject to the regulations contained in the Ti and 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 expire if work is not started within 180 days of issuance,or 0 work is suspended for more than 180 days. ATTENTION. Oreton law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001.000. You may obtain copies of these riles or direct questions to OUNC at(503) 246.6699 or 1400-332-2344, By: f Permit Signature: Issued �� .,C�', _� ��,�-��,.• OWNERINSTALLATION ONLY The installation is being made on property I own which 's not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: –_---- LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day .•.�.�„ FROM :RJ Rouse Electric FAX NO. :503-612-0891 Jan. 24 2002 11:45AM P2 I 'h Electrical Pe n v pate received• -24-L ,j- Permit aro.;iw�k C11y of Tigard Projecit i;.1.no.: _ Expiredate• _ CiryuJTigaM Address: 1312.5 SW Hall Blvd,Tignrd,OR 977?i Date Issued*. ID Y: Receipt no.: Phone: (503) 639.4171 ci "i( OF Ild AKU Fax: (503) 598-1960 RULI;MNO IIMSION ase file no.: Payment type: Land use approval: U U I alt 2 family dwelling ur accessory 0 ComrnercWinduetrial 0 Multi-family 0 Tr.nant imptovement Ll New cunstructirin CI Addition/altetution/repincement D Other: O Partial Job add mail: KYIf t' l cat: 1, oma ` Subdivision: dt� _ Pro act name: r gesctiption And location of work oil premises: ;ppJ OQ (C:r . t u r�IB�iii Estimated date of coat,!;:tion/ins ction - III truh rMi Job not R. a. R 0 I S F L _ TRT 1 — _ Desert non . �► Total no. Ins Business name: F I"��C..h C._ •�--~-- New rvetlertrial-dtrgM(or nnrbi famliv per Address: 5 SW P L # 107 dwelUngmtlt.Inclurknstt>rrlwlgaruge. City: State ZIP: 7 S"Amincin". T U 11A__ _ Phone:612-0 8 4 0 �ax: 612-, 0 8 9 I _ 1000 aq,f1.or lean _ t Fach addilional 500 s ,fr.or portion thereof CCB no.: 9 Q_4_5A.//_ cc.bus.tic.no: 3 4, 5 9 - - ---• ��.� Lintltedener energy, _ 2 City/metro Ile.no O0 Limited energy,nonrasldontll 2 10 kL 5ach manufactured home or modular dwelling 51 nature f-mupervising olocir'_an to ulredi - _ Data service and/or feeder 1 Sup.elect name( 1 LirrnHrnn Services nrfredrrs-Installation, alteration or relocation: 2W am sur Ice, t9U� 2 Nnmc( rint): 201 Imps to 400 am a 2 ailingaddregg: _ �_--- 401 amps to 500am�raT — -- —2 601 stn a to 1000 amps -- 2 Over 1000 amps or volts - Phone: Fax: E mail: Recononly - 1 Owner Installation!The Installatlon is being made on property I own Tetni-artry services orreeders- which is not Intended for sale, Tense,rent,or exchange according to installation,elteratlon,orrelocation; ORS 447,455,479,670,701. 200 amps or leas 2- 0 1 01 am sto 400 nnirs 2 01 4to 60 Owner's M nature: Dale: _ 01 to 60 0 amPq llranch circuits-new,a teratlan, or extension per panel: Name: _._ A Fee for brnneh circuld with purchme cf V{� Address: service or reeeler ret,cacti branch circuit Z_ 3 2 1.1 City; State; 1': _ B• et for branch circuits witheut purchase --- - p - _ of servicr or feeder fee,nrst hranch circuli. 2 E Phone: Fax: -mait: Fach additional branch circuit. Mile.(service or feedernotloelndeft O Service over 225 Amps-rommerclal IJ Health-care faclllty Each frump or IrtilUtlao circle. _ _ 2 U service over 320 amps-rating of 1 R2 U MAzordeu locadon Each si n or uunine lightJng fomilydwellings 0 Building over 10,000 square feet rnur or signal circult(O or a limited enrrg v pnnr.l, O System over 600 volts nominal more residential units In one urucuirr Alteration,or extension• 2 U Building over three stenos 0 Feeders.400 amps or mora vrkscri don, — U Occupant load over 99 persons U Manufactured stnrcr;re,or RV park f�ch additional Inspection over the allowable In any for liw above rl tigtns!)ighting(dan Q Other: _______-�--- Perir action Submit_- seta of plats Mill any of the above. Invoul,atlon roe _— The above are not appllcahle to temporary conaraction-seMee.---- Other — -- -- ---- --- --------- Not nil tuna nctl6ro accept credit cants,plenee call prriktictlon for more lerontutlon. Notice:This permit application Permit fee................. ) ._�-- J Viso U MasterCard expires if a permit I.not obtained Plan toview(at _ 96) S _ within IRO dny,after it has been State surcharge(R%) ....$ Crsdlr real number. TOTAL. J ip ns accepted as complete. .......................S ---1 . ` ams 2 RRIPW-M-Now"on croAh card SL; Mot - gnY AntoYnr aeW61!(b00KbM1 FFCJrl :RJ Rouse Electric_ FAX N0. :503-612-0891 Jan. 24 2002 11:46RM P4 _ONLY"ANO;RF'146f OIIMANTFb 10 9E COWp,Ot OR ACCURATC._.J I ADMINISTRATION (BPA) RIGHT—OF—WAY (ROW), THE 7 PARI IDENTIFIED AS WCTM 2S105DD, TAX LOT 100, 201, 1900, 2C WCTM 2S105DA, TAX LOT 4.00 AND 500, CSONNVALLE POWER ADMINISTRAT1nN TRACT U 8 12 I I 10 TRACTY e 7 e e I4 r 9 ee i 93 el>/ •�� _i I 14 le Ie II le le 20 21 22 I 73 24 9e 46 ee e4 1 e7 as 50 65 T .e 1 +O I" 11 43 42 41 w 39 Je 37 Je 3e 34 33 32 3 1 TRACE I: IIILL91110F ONLCK ESTATfg /4, PFI. 1 I 47 I 4e TOTAL SITE AREA 18.9 AC. I TOTAL IMPERNOUS AREA 7.9 A APPLICANT; ��T— AP OWNERS;- 4 )c& D.R. HORTON FARMER'S LAND TRUST SW MACADAM AVE., SUITE 145 ATTN, JOHN RANKIN PORTLAND, OR 97201 26719 SW BAKER ROAD —m• --- CxISTINO STORIA LINE �+w PH: (503; 222-4151 SHERWOOD, OREGON 97140 Al� ' I EXISTING STORM MANHOLE (503) 625-9710 Y�► ' __IA E91911NO SANITARY I.IN►. CV19TINR JANITARY MANHOLE V r• FT INC WATER L INC G UT ENGINES C•,Ie11NC wH A rmok GEOPACIFIC ENGINEERING, INC, WESTLAKE CONSULTANTS, INC. M Lx Ie71N0 IS A84[MeIY rI Trtlurr RIeEN 7700 SW UPPER BOONES FERRY RD, PACIFIC CORPORATE CENTER /� Sill! 100 15115 S.W. SEQUOIA PARKWAY, LOl A t` W [LECTRI[A4 VAlA1 PORTLAND, OREOON 97224 SUITE 150 TIGARD, OREGON 97224 to ttirTl CA1 N rte.---- 1 rL I er I NCALr. max t �� q ; � j CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 B1JP Received __ J ' -' Date y1 R' ed __ AM__ PM _ BUP Location -Y�-h rn�— Suite - MEC Contact Person _ u �'- _ Ph( ) G•� C 94 G PLM Contractor--- ---- -__- - — Ph(--) % ro l 72 BUILDING- SWR BUILDING__ Tenant/Owner _._ _ _ EI_Cod� C"D Cad-Ga Footing v EL.0 Foundation Acces -_ Ftg Drain l �7Lr�QL Q - ELR - Crawl Drain Slab Inspection Notes: r 10SIT _ Post&Beam _' t Shear Anchors ' - '• - Ext Sheath/Shear Int Sheath/Shear -- Framing InsulationG Drywall Nailing F7 Firewall �� p�( t• Fire Sprinkler —.�- Fire Alarm __� _1 ' 44- Susp'd Ceiling -- ------ Root Other: - - ---------- -- --- -- Final PASS PART FAIL -�- - PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/h nolo Storm Drain Shower P 9n Other: Final PASS_PART FAIL_ MECHANICAL- _ _ Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service — a D Voltage Fire Alarm - Final Reinspection too of requhed before next Inspection. Pay at City Hail, 13125 SW Hall Blvd. P PART FAIL i [� Please cell for reinspection RE:__ �] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dates Inepect Other: Final - DO NOT REMOVE this Inspection record front the job site, PASS PART FAIL UT`t( OF TIGARD 24-Flour BUILDING Inspection Line: (503)639-4175 MST DIVISIONBusiness Line: (503)639-4171 - BLIP Received _ Date,Requested .�' SAM PM BUP Location �'L suiteMEC Contact Person ___ - - Ph( _) / .1 b $ G PLM Contractor__ _ -_-- Ph( ) SWR BUILDING Tenant/Owner ---- ELC Footing - -- -- --__ Foundation Access: ELC Ftg 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 �y�il�LC�CD Susp'd Celling -- - Roof ,�,,•• .. // Other: Final PASS_PART FAIL _ -- �--• •��J� � � � � �`� � — Post& Beam Under Slab Rough-In -- Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ----- — Shower Pan Other: ---- Final ------`---{ PASS PART FAIL --` - MEC_HANICAL - Post& Beam ---- -----�--- -� -- Rough-In Gas Line Smoke Dampers -------- ____ Final PASS PART FAIL — --- __ ELECTRICAL ^- Service ----- ----- - - --__- ------- Rough-In _ UG/Slab - --- Low Voltage Fire Alarm - — -- --- ,nasq PART`' F] Reinspection fee of$_- required before next inspection. Pay at City Hall, 13125 SW Ball Blvd. NuTtr,'k _ [] Please call for reinspection RE:------_._ L__J Unable to inspect-no access Fire Supply LineADA > Approach/Sidewalk Data.:-� _ �l - d 111 / -CK _� - Other: Final DO NOT REMOVE this InspectloN record ltonn the job site. PASS PART FAIL FF'i,f'1 :RJ Rouse Electric FAX N0. :503-512-0891 Jan. 29 2002 09:19AM P4 v n: �► `50B1999-00003 ��1C�= � MIS SLR19 91-00 '05 J I MIS1999-000''5 TRACT 'E" THRU MIS1999-•00018 c�lJ JJ 2S1030P (100. 201, 1DUO, 2tM, zt G y ®� '�� VOL 2510SDA (400. 600) 11 1J � 0 J � F w } O O ' 13355CA I ._� u1 1465 f SM It11PSAN LM 1 75 •� 1 r,5 w C `• I3 t3 35 13420 r " 13425 13410 ie S13445 014G 1:5455 i •- '• �- -� 13448061), tt 13485 �z 13475 - 13480 Qo)13455 •t 13495 =;_ m C.7 / L TRACT "A" I Al 013515 5 r 013536 13530 1! 013535 .p I � &13555 135500 013555 �01357b 1357D O (D13575 caJ 13890 13595 03d 13595 - L)!W i 013025 r--sw $"VIEW LN Z 013645 M40 1.3645 13680 013865 L-10-1 13885 __�--- 0 13680 013E.BS -- a 13Et18 i 13710 n2 13705 CITY OF TIGARD 24-Hour OUiLDING Inspection Line: (503) 95 INSPECTION DIVISION Business Line: (503) MST / rG BUP _ Received ___ 'L Date Requested L( AM__ _PM BUP Location —_ 1 3 -3 S y Suite MEC Contact Person _—_ h( ) �1�'—1.3 ( PLM —. Contractor_ Ph (— ) SWR BUILDING TenanVOwner --,_ — _ ELC Footing ---- Foundation Access: ELC Fig Drain Crawl Drain ELR ---_ Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear --- -- ---- Framing Insulation -- Drywall Nailing Firewall -- Fire Sprinkler - -------- — ---__ —_ Fire Alarm Susp'd Ceiling -------- -- -- _ --- ------ --- — Roof Other: PART FAIL -- ---- --- -----— �—.-- BING • Post&Beam -- ---_.�—.- ----- -------Under Slab ---------_-- _ -_.--_-- __ Rough-In �- Water Service ---- _-- -- -___-- _-_-- ---_ _ Sanitary Sewer Rain Drains -- — -- --- — ---- _.— Catch Basin/Manhcle — Storm Drain -- ___._-------------------_ -- --- _ Shower Pan Other: - - --._.---- -- - ----- - -- Final PASS PART _FAIL ------ ------- ---_ --- - - MECHANICAL Post&Beam — Rough-In -- (3as Lina --- ----- ---- Smoke Dampers -- -- -- -------.----___--- �_—� ,FtFa ---- ---- S PARTFAIL ----- ------ -- --- - —__-� _T_RICAL Service _-- --- - -- -- --- - -- --- -- ------- Rough-In UG/Slab ---------_.� _..___-- -- ---- ---- Low Voltage -- Fire Alarm —_v---- - -- Final l_.J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _SITE ❑ Please call for reinspection RE:_ —_ -- _� Unable to Inspect-no access Fire Supply Line ADA jr w'1 Approach/Sidewalk Daft--- -------- _ Inspoctor — Other: Final --- ---_ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL �AAAAAAAAAA ` AAAAAAAAAAS,AAAA " AAAAAAAAAAAAAAA q ► q I ► q � 1 � ► q q i► q x /� ► q � � � o r ► ► A 7 ► � r A cu ► La ® •� pop.r� Q ► ► 4 q > ► W4 q �. d � y � � 0 O 0 o z n ' zz vj O 0. rn n ° � O a O It a ti J 4 Ci 2 n i MASTER PERMIT TY OF T IGA R D PERMIT#: MST2002-00454 DEVELOPMENT SERVICES DATE ISSUED: 12/3/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13435 SW SANDRIDGE DR PARCEL: 2S105DD-06800 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 044 JURISDICTION: TIG REMARKS: New SF detached, Path 1 BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK; Nr W HEIGHT: 25 FIRST: 1 557 el BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,590 al GARAGE: 790 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: TM1FID of RIGHT: 10 OCCUPANCY GRP: R3 BDRM: 4 aVALUE: ]10,44540ATH: :� TOTAL: ],142 a1 REAR: 40 _ PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: I WATER HEATERS: 1 WATERLINES 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOILICMP-c 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN-100K: I UNIT HEATERS HOODS: OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp' 0 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5003F: 5 201 400 amp: 201 400 amp: tat WIO SVCIFOR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 •600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 501 • 1000 amp: 5014ampa•1000V: MINOR LABEL. 1000.amplvolt: PLAN REVIEW SECTION Reconnect oniV: +=4 RES UNITS: S lCIFDRa.225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: X VACUUM SYSTEM: x AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X 0TH. BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: x DATA/TELE COMM: NURSE r,ALLS: TOTAL 0 SYSTEMS: TOTAL FEES: $ 8,271.78 Owner: Contractor: This permit is subject to the regulations contained in the D.R.HORTON HOMES U.R.HORTON INC Tigard Municipal Code,State of OR. Specialty Codes and 4386 SW MACADAM AVE. 4386 SW MACADAM all other applicable laws. All work will be done in SUITE 102 SUITE 11102 accordance with approved plans. This permit will expire if PORTLAND,OR 97201 PORTLAND,OR 97201 work is not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Phone: 501-222-4151 Phone 503-222-4151 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. YOU Rau a LIC 1 1(145q may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Pest/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Undeliloor Insulation Plumb Top Out Exterior Sheathing h st Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk — 1 41 l lesuedy : cy � ' Permittee Signature : �NN C Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day 17c i Building Permit Application -- Datereccived:/D,�/ Q P- Permit no.: City of Tigard ProjecVappl.no.: a date: �7 Address: 13125 SW HAI Blvd,Tigard,Olt 97223 Citvn(Tigard pate issued: B Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 r ° �� Case file no.: Payment typ Land use approval: _ _ [�I_Z2 family:Simple Complex: OF.PERM It U 1 . 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition J Addition/alteration/rrpL•tcentrnt U'fenant improvemcrit _J Fire sprinkler/alarYn U Other: It SITE INFORMATION Joh address: Bldg.nte no.: o.: Sui Lot: Block; Subdivision: C Tax map/tax lot/account no.: ^ Pr�1 C��sr .-- Project name: ---- Description and location of work on premises/special conditions: M%N1 14 S111,41AL INI-OHNINI ION, USE( -A FNaeU �{I_ (1:11)odplalll.sepile capacity,solar,etc.) ir address: t �- f.{ JD;, 1 &t family dwelling: 33,,,,''T Cr__) Stat ZIP: Valuation of work........ $3J Phone: ;�4.-i 1 ' Fax: E-mail: No.of bedrooms/baths................................ --�— �_ Ovmcr's representative: 'n Total number of floors................................. _ �-- Phan^: New dwelling area(sq.ft.) .......................... ---� �- Garage/carport area(sq.ft.)......................... 738 Nr me: Covered porch area(sq.ft.) ......................... Mt:jline address: - Deck area(sq.ft.)........................................ — State: ZIP: Other structure area is . ft.)......................... City: -�, - CommerciaUindustrial/mutt i-family: - - ---- Phone: Fux: I n;tiL Valuation of $work........................................ _ Existing bldg.area(sq. ft.) .............I.... ...... Business name. T) . _ I New bldg.area(sq.ft.)....................I....... Address: - Number of stories.................................. .... State: 7.IP City: _ — �'YPe of construction........................... ........ Phone: Fax: 1;-mail - ---_ Occupancy group(s): I; isting: _ CCB no.: —_1_ New: ('sty/metro lie.no. Notice:All contractors and subcontractors are required to he ARCIOTECrIDESIGNER licensed with the Oregon Construction Contractors Board under provisions of OILS'101 and may be required to be licensed in the Name:^�,� i ►. '_ jurisdiction where work is being performed. If the applicant is Address: _ exempt from licensing,the following reason applies: -City; State: ZIP: Contact person: Plnn no.: _ Photic: mail: I:-moil: Name: contact person: Fees due upon application .............. -- Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail Please refer to fee schedule, hereby certify I have read and examined this application and the Not all jurishctions accept credit cards,please call jurisdiction for mote informnGon attached checklist.All provisions of laws and ordinances governing this U visa ❑MasterCard work will he complied with,whether speciEed herein or not. rocas yard number: _�_—.__ — —1— Expires Authorized signature: r.alC: Nene of cudholdri m shown on credit cud S Print name: Cudhnlder sipature Amount Naticc:1his permit application expires if r• _omit is not obtained within 190 days after it hes been accepted as complete. 440-M13(~'(ft One-and Two-Family Dwelling Building Permit Application Checklist Reference no,: 01yoffigard City g of Tigard Associated permits:IFI-rncal U i lumbtng J Mcchnnical Address: 13125 SW Hall Blvd,Tigard,OR 97223 J, i� Phone: (503) 639-4171 Rix: (501) 598-1960 THE VOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I land nse actions completed.See jurisdiction r tucrro 1-ii concurrent reviews. 2 "Zoning.Flood plain,solar balance points,scvomw �,&,designation,historic district,etc. 3 Verification of approved platilot. 4 Fire district approval required. —� 5 Septic system permit or nuthori talion for remodel. I:+fisting sy,trrn capacit+ 6 Sewer permit. 7 Water district approval 8 Soils report.Must carry original upplic thhe stump and signature on file or with application. -- 9 Erosion control U plan U permit required. Include drainage-way protection,sill fence design::rd location of catch-hasin protection,etc. 10 3 Complete sets of legible plans.Must he(Irawn to scale,showing confomtance to of piicable local and state fiuilding codes. Lateral design details and connections must be incorporated into the plans or on at separate Full-sire sheet attached to the plans with cross references between plan location and details. Elan rc�iew cannot he completed if copyright violations exist. I I Site/plot plan drawn to scale.'I'hc plan must show lot and building setback dimensions;property comer elevations(it there is more than a 4-11.elevation differential,plan must show contour lines at 241. inwrvals);lox ition of easements and driveway;footprint of structure(including decks);location of wells/septic systems;uolus If nations:direction indicator;lot arta;building coverage area;percentage ofcoverage;impervious area;existing stracnae�our site;and surface drainage. 12 Foundation plan.Show dimensions,anchor halls,any hold-downs and reinforcing pads,connection details,vent size and location. _ I I Floor plans.Show all dimensions,room identification,I+indow size,location orf smoke detectors,waiter heater, — furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches a hovc grade,etc. _ I I Cross sections)and details.Show all framing-member sizes and spacing such as floor beams,headers, joists,sub-floor, wall construction,roof construction.More than one eros,setlWo ncr� Ira required tar clearly portray conduction.Show details of all wadi and roof,sheathing,r ol'ing,root slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. I s Elevation views. Provide elevations for new constmction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to enginec,int .andards, 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating menber sizing,spacing,and hearing locations.Show attic ventilation. 19 Basement and retaining walls.Provide cross sections and details showing placement of•reha r. for engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of,calculations using current code design values for all beams and multiple joists over 10 feet long and/or tiny heam/ioist carrying it non-uniform load. _ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations.When required or provided,0-c.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall he shown to he applicable to the project under review. 23 Five(5)site plans are requittd for Item I I above. Site plans must he 8 1/2" x I I"or I I" x 17", 24 Two(2)sets each are required for Items 16, 19,20 K 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans+will be not accepted. 26 "Reversed"building plaits rnust trivet criteria outlined in the Permit& System lki elopnu•nt Ices document. 27 "brawn to scale" indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved iroject street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan rcvic++• start date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 4a0.4614 urtr)n•oNtt Building; Fixtures Plumbing Permit Application OFFICE Date received: /073/ Permit no.:y, // $ .�. , City of Tigard — --- Address: 13125 SW I loll Blvd,Tigard,OR 97211 Sewer permit no.: Building permit no.:-- Ciq,of Tigard Phone: (503) 6394171 Project/appl. no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval:—_� Case file no.: _ Payment type TVPfE OF PERMIT U 1 &2 family dwelling or accessory J Commercial/industrial J Multi-family J Tenant imn� ci,,,.r,t J New construction U Addition/alteration/replacement U Food szrvice J Oil t. 11 SITE INFORMATION `,� � �� t Description mllly dtiun Qty. I ee(ea.) Total Job address: �� Bldg. no.: Suite no.: New 1-and 2-fam ly dwelling.only: (Includes 100 ft.for each utility c•onoeetion) 'fax map/tax lol/acanui� n��. SFR(1)bath Lot: Block: Subdivision: SFR(1)bath _ Project name: SFR(3)bath i City/county: ZIP: Each additional berth/kitchen Description and location of work on premises: _ Site utilities: Gatch basin/area drain Est,date of completion/inspection: Drywells/leach line/trench drain I'ootin drain(no.lin. fl.) 1 1 %I nufactured home utilities Manholes Address: Rain drain connector City: State: ZIP: Sanitary sewer(no. lin. ft.) Phone: _ Fax. E-mail: Stoma sewer(no.lin. R.) _ CCB no.: Plumb. bus.reg.no: – Water service(no. in.R.) _ City/metro tic.no.: Fixture or item: Contractor's„•presentative signature: Abso tion valve _ Back flow preventer _ Print Iona• Date: BackwatercoNTAcT PERSON _ Basins/lavatory Name: Clothes washer Address: Dishwasher City _ State: LIP: Dr– inking fountain(s) �� Ejectors/sump Phone: Fax: E-mail: Expansion tank aFixture/sewer cap _ Name(print): '7�, Floor drains/floor sinks/hub!� Mailing address: --- Garbage disposal Ilose bibb City: —tate: ZIP: _ Ice maker Phone: Fax E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner': si m tire: Date: Sump Tubs/shower/shower pan rival Name: Water closet — Adtlress: _ Water heater (:fry: State: _ ZIP: Other: Phone —�I ax: TE-mail: Total Not all jurisdictions accept credit cards,please call jurisdiction for more information. Notice: This permit application Minimum fee................ $ ° U visa O MasrcrCOM expires if a permit is not obtained Plan review(al_ /o) S Credit card number _ within 180 days after it has been State surcharge(8%).... S _-Na-me o_fc`ar_dVo1aif a+shown on credit card accepted as complete, Cardholder signature i Amount M04616 Wno;coM) I PLUMBING PERMIT FEES: PRICE TOTAL i New 1 and 2-family dwellings only: FIXTURES (individual_ QTY ee AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT for each utllitv connection_) 16.60 Lavatory One 1 bath $249.20 Tub or Tub/Shower Comb 16.60 Two 2 bath _ — 3350.00 --- — Three(3)bath $399.00 Shower Only 16.h0 - Water Closet 16.60 SUBTOTAL Urinal 1660 8%STATE SURCHARGE Dishwasher —� 16.60 PLAN REVIEW 25Y�OF SUBTOTAL — _ TOTAL __ Garbage Disposal 16.60 --- -- — — Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2° -- 16.60 PLEASE COMPLETE: g^ - 16,60 4^ 18.60 -_--� Quantity b Work Performed Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical Capped permit. MFG Horne New Water Service 46.40 Sink 46 40 Lavatory — MFG Home New San/Storm Sewer Tub or Tub/Shower Hose Bibs 16.60 Combination _ Roof Drains 16.60 Shower Onl Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Clishwasher Garbage Disposell Laundry Room Tra Washing Machine _ Flog Drain/Sink: 2" Sewer-1st 100' 55.00 _ 3" Sewer-each additional 100' 4640 4" Water Service-1st 100' 55.00 Water Heater - Other Fixtures Water Service-each additional 200' 46.40 S ed Storm&Rain Drain-1st 100' 55.00 -- Storm&Rain Drain-each additional 100' Commercial Back Flow Prevention Device 46.40 — Residential Backflow Prevention Device' 27,55 Catch Basin 16.60 — Inspecf Existing Plumbing or Specially perch tion oCOMMENTS REGARDING ABOVE- Re uested Inspections Rain Drain,single family dwelling 8F5.25.25 — Grease Traps 18.80 -- QUANTITY TOTAL Isomehlc or riser diagram Is required If --__ __..-___ ---• — Quantity Total is >9 *SUBTOTAL 8% ----- 8%STATE SURCHARGE - "PLAN REVIEW Y5'/�N �OF SUBTOTAL Rc uked nnl >9 AL S "Minimum permit fee is$72 50+8%state surcharge,except Residenllal Backflow Prevention Device,which is$36 25+a%stale surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. ;Ad sts\forms\plm-fees,doc 12/26/01 Mechanical Permit Application 7received: � oY Permit no.:Cityof Tigard Expiredatc:CitynfTigarJ Address: 13125 SW Ilall Blvd,Tigard,OR 97223 Date issued: By: aeceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - Building permit no.: o U 1 &2 family dwelling or accessory U('onitncrcial/industrial U Multi-family U Tenant improvement U New construction J /�tl Bunn/ultcrau uihcl,l.:rrnicrt U Other: o , KI WIN It Jots address: l7 1.� Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot; Block: Subdivision: *See checklist for important application information and -- Project n�me: _ jurisdiction's lee schedule ti,r residential permit fee. City/county: _ "Lll': r Description and location of work on premiseIN d o r o t hce(da.) Total ESI.date Of COn1plCfion/InspCClion: --- -- — — I/euripiiou (r\'. aa.onh atw.onh Tenant improvement or change of use: Air handling unit _—__CFM Is existing space heated or conditioned?U Yes U No Air conditioning(site plan require ) Is exisliol!slider insulalyd'?lj N'e% U No test on of ex sting AC system MECHANICAL.CONTRAII'll ORo er compressors State boiler permit no.: Business name: U C HP Tons BTU/H Addhesst Fire/smoke dampers/duct smoa detectors City: State: "LIP: eat pump(file plan required) Phone: Fax: E-mail; nste rep ace urnac urner Including ductwork/vent liner U Yes U No CCB no.: q7(`7nstn rep ac re ocate heaters-suspen e City/metro lic.no.: _—` wall,or floor mounted Name(please print): vent for np, anceotherthan urnace cfTcrat on: Absorption unils_— _ B'rU/H Chillers HP Name: Cm I I I -- oressors Address: nv ronmewa erhausl and ventilation: City: State: 'LII': Appliance vent Phone: Fax: Ii mail: )ryerex aunt god s, ypeTIVres. itc en iazmat hood fire suppression system Name: d Q.T Exhaust fan with single duct(hath fans) Mailing address: ix iausi systema tut from icatin or A uc piping an .tr but on(up to 4 outlets) City: Stale: ZIP: 1y x: LK; NG Oil _ Phone: Fax: E-mail: ucl pipingeach a itiona overoutlets rocesl piping(sc ematic required) Number of gullets Name: _ Other listed app auce or egTprnent: Address: lkcorn ivefireplace — City: State: ZIP: nsert-type — — Phone: Fax: Email: Woodstovpeet stove 1cr. Appli,.anfs signature: _ Date: Name (print): — ----- — -- -- Pemlit fee............. .......$ Not all Jurisdictions accept credit curb.please call jurisdiction fix more information Notice:Thisrmit application� pp Minimum fee................$ — U Visa U MimeWard expires if it permit is not obtained Plan review(at — %) $ Credit para number —__^—_.— - P!spire within 190 days aper it has been State surcharge(8%) ....$ accepted Name of c older ars own on c--rc—is i cera— -- ted as complete. sTOTAL ....................... -- Cr�ic holder signature — — Amoum "04617(601COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Description: Price Total TOTAL VALUATION: PERMIT FEE. _ - Table 1A Mechanical Code �ry (Ea) Al $1.00 to$5,000.00 _ Minimum fee$72.50 1) Furnace to 100,000 BTU 9.4,001.00 to$10,000.00 $72.50 for the first$5,000,00 and &vents 14.00 $1.52 for each additional$1includin ducts 00.00 or 2) Furnace J00,000 ducts8,BTU* fraction thereof,to and Including includingducts&vents 17.40 _ $10,000,00. Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Including vent 14.00 $1.54 for each additional$100.00 or Suspended heater,wall heater fraction thereof,to and Including 4) S floor mounted heater 14.00 $25,000.00. $25,001.00 to$50,000.00 $379.50 for the Flrst$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1.45 for each additional$100.00 or _ fraction thereof,to and Including 6) Repair units _2215 $50,000,00, Boiler Heat Alr $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: or Pump Cond $1.20 for each additional$100.00 or For Items 7.11,see Comp fraction t2ereof, footnotes below. 7)<3HP;absorb unit 14.00 Minimum Perm Fee$72.50 t UBTOTAL: P't to 100K BTU _ 8)3-15 HP;absorb 25.60 8%State Surchargeunit 100k to 500k BTU _ 9)15.30 HP;absorb 35.00 25%Plan Rovlew Fee(of subtotal) unit.5-1 mil BTU Requlred for ALL commercial permits onl 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb 87.20 unit>1.75 mill BTU SSUMED VALTIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 AUA - Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct &80 ducts81 vents Floor furnace Includin vent 955 16)Ventilation system not Included In Suspeheater,wall healer or 955 a liance ermit 10.00 nded Floor mounted heater 445 17)Hood served by mechanical exhaust 10.00 Vent not Included In appliance permit - 805 18)Domestic incinerators 17.40 _Repair units <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU - 69.95 - 3-15 hp;absorb,unit, 1,700 20)Other units,Including wood stoves 101 k to 500k BTU 10 00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets will.BTU 5.40 30-50 hp;absom.unit, 3,400 22)More than 4-per outlet(each) 1.00 1-1.75 mil.BTU _ E - >50 hp;absorb,unit, 5,725 Wnimum Permit Fee$72.50 SUBTOTAL: >1.75 mil.BTU X56 e%State Surcharge a Air handlingunit to 10 000 cfm _- Air handling unit>10,000 cfm 1 [=IDENTIAL Non- ortable eva orate cooler d5b PERMIT FEE: $ Vent fan connected to a single duct 446 Vent!,!item not Included In 65C - appiLa.ilce permlt - 658 Other Insoectlons and Feel: Hood seInspctions eoutside of normal business hours(minimum charge-two hours) ervd b mechanical exhaust t Domestic Incinerator 1 170 $62 50 per hour. Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee Is specifically indicated (minimum charge half hour) 656 S 5o per Hour Other Unit,Including wood stoves, 3 Add ditional plan review required by changes,additions or revisions to plana(minimum Inserts etc. 380 - charge-one-half hour)$62 50 per hour Gas I in 1-4 outlets -- Each additional outlet 83 *State Contractor Boller Certlflcatlon required for units>100k BTU. ___ "Residential AIC requires site plan ahcwing placement of unit. TOTAL COMMERCIAL VALUATION: _ _ _� All New Commercial Buildings require 2 sets of plans. IAdsts\fornis\mech-fees.doc 02/11/02 Electrical Permit Application ` — "Datercccived:: le, $/ Cy Permit no.: yf,�r.tro ,S City of Tigard Project/appl.no.: Expire date: City u(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family J Tenant improvement U New construction U Addition/alteration/replaicemcnt U Other. - J Partial .1011 SITE INFORMATION Joh address: IL I Bldg. no Smlc m l liax map/tax lot/account no.: Lot: Bhx k: Suhdivision: Proicct name: Description and location of work on premises: Estimated date of complelionhllspection: 1S('IIFDIJLE Job no: Business 1)escriplion ea. Vtv• ( ) Iulal no.ills r name�� i - Nets midential-stn{Ie or multi farnP per Address: dweilingunh Includesatlacitedga age. City: Stale: ZIP: Seniceincluded: Phone: tux: E-mail: tunny n lir ie>. --- - 4 a. "' N orial W sq. tt.tit popoflifflfZhera,f CCB no.: Elec.bus.lic.no: Limited energy,residential 2 City/metro lie.no.: Limttedenergy,non-residential -Fach manufacturcilTome or modular r1wel5g _.... 3i f supervising electrician(required) Dale - _Serviceand/orfeeder 2 nature o Sup clrct.nnuie(print) License nu: Services orfeedeta-inatallatlon, alteration or relocation: 2(x0 amps or less 2 Nat (print): 2(11 amps to 41x)amps — — 2 401 amps to 61x0 amps 2 _Mailing address: 601 amps to tolxl ams __ 2 City: Stale: ZIP: Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeder.- which is not intended for sale,lease,rent,or exchange according to 'nvtallntlon,atteration,orrelocaiioa: ORS 447,455,479,670,701. 2x0 limps or less 2 _ _ 201 amps to 4(x)amps _ 2 Owner's sl nature: Date: 401 to 61x1 ams - - ' Bench uits-new,alteration, or extensionrIrcper panel: Name: !_ _ A. Fee for hranch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: Phone: tax; I'. ntnil Each additional hrmch circuit Misc.(Service or feeder not Included): U Service over 225 amps-conunerc•ini U Itealth care facility Each pump or irrigation circle 2 U Service liver 320 amps-rating of IFr2 U Ilarardouslocation Each sign or outline lighting 2 familydwell ings U Building over 10,1100 square feet four or Signal circuit(i)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* _ -' U Building over tin eestories U Feeders.400 amps tit more •lv.,.,cnption __ U Occupant load over 99 persons U Manufactured structures or RV park Each additional inspection over the allowable In any of the abo e: U Fgre:os/lightingplan U Other: ^ ---- Perinspection Submit____seta of plane W th any of the above. Investigation fee The above are not applicable to temporary construction service. other Not all pirsdicthtu accept credit canis,please call Jurisdiction far trate inronnatim Notice:This permit application Permit fee.....................$ U Visa U m1wercttrd expires if n permit is not obtained Plan review(at — %) $ Credit card nunnhec__ ___________ �_/ within I80 Anys after it has been State surcharge(8%) ....$ __- Fxpire` accepted as complete. TOTAL .......................$ -. Name of cued o-iAer as shown on ere I�t card -- Cardholder dgnature Amount 44(14615(MIWOMI ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: -- Complete Fee Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Number of Inspections Restricte•±Energy fee...................................................... $75.00 per ermit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less $145 15 4 El and Stereo Systems' Each additional 500 sq ft or portion thereof _ $33 40 1 Limited Energy l $7500 ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $9090 ❑ Garage Door opener' Services or Feeders Installation,alteration,or rel(x;atinn mHeating,Ventilation and Air Conditioning System' 200 amps or less $8030 2 201 amps to 400 amps `- $106 85 2 n Vacuum Systems' 401 amps to 600 amps _ $160,60 2 601 amps to 1000 amps $24060 2 CJ Other Over 1000 amps or volts _ $454,65 2 Reconnect only $66 85 2 Temporary Services or Feeders — TYPE OF WORK. INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ $66 85 (SEE OAR 9.18.260-260) 201 amps to 4100 amps $100.30 401 amps to 600 amps $133.75 Check Type of Work Involved: Over 600 amps to 1000 vols, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder foe. Each branch circuit $6.65 ❑ Data Telecommunication Installation bt The fee for branch circuits without purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $4685 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous Instrumentation Each(Service or fonder not included) L-1 Each pump or Irrigation circle $5340 Each sign or outline lighting _ $53.40 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy - ❑ panel,alteration or extension $1500 _ Landscape Irrigation Control' Minor Labels(10) - — -- $12500 Each additional inspection over ❑ Mertical the allowaLle in any of the above For inspection — $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $13.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $_ — ❑ — — — — Other 8°i°State Surcharge $ --________-__Number of Syritems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application. _ _—._--- Fees: Total tralance Due $ --- Enter total of above tees S 0 Trust Account a --�-- _--- 8'/.State Surcharge $ All New Commercial Buildings require 2 sets of plans. Total Balance Due t_ i:\dsts\fortes\etc-fees.doc 09/30/01 PACIFIC CREST SUBDIVISION LCAT - 44 RECEIVE' CITY C)F -FIC;/-\RD NOV 0 8 2002 STOP I Of CITY OF TIGARD TWE APPROACH SHALL BE A MINNMUM OF Wx12'40' BUILDING DIVISION OF CLEAN PIT GRAVEL LANDSCAPING FOR TWE ENTIRE LO' oax M. s/4464",6 �4"QGSWALL BE FINISHED OR TWE LOT SURROUNDED BY EROSION CONTROL i •� wAT PRIOR TO BREAK OUT OF COMMUNITY ^�� I 0 J' EL-s+a' �`� EROSION CONTROL.FINISHED SLOPES I ��SHALL BE LESS THAN 2 TO I TEM . G VEL PRI EW / o ^ ..2\1 IAT RIAr, / LE � i ry - ----- �-I NOTE! El ❑ I.ROOF DRAINS TO STORM r El LAT. IN STREET. ARA E SOFT 156 2. FOUNDATION DRAINS TO G FIN EL 510' BACKYARD 5OAKAGE TRENSI- _ SEE ATTACHED DETAIL PLAN \-siQIo9E y I V ING • 3TAit� F EL . 511' "! I J \y `• A \ I , \ I I I `�--�'- 71v♦ ,\\♦♦ ♦♦♦♦ I _�"' I \♦ s7AL'It, NE `�'�� S I 1 PROPERTY LINE Iv EL-500' 65.00' SETBAGk REQ_UIRE1"IE_NTS ALE FRONT YARD TO GARAGE 20' 1 7 SIDE Yg + REAR YEAEaRU C,RNes 1743Dew64NURipGEDR D.R. Hoi'tOl� Ho111eS OCOLE I • 20 DOTE 5•�e-o2 :.: - r-lacadam Avereue Revieec IIW02 if--ONE s032224el ::�Cr t a r;i C"B Cr FA( $031;23111 FROM : ROSS ELECTF,P PHONE NO. : 5036422600 Dec. 03 2002 03:26PM P1 CITY OF TIGARG 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ROSS ELECTRIC 23810 SW DRAKE LN HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002-00454 Date Issued: 12/3/02 Parcel: 2S105DD-06800 Site Address: 13435 SW SANDRIDGE DR Subdivision: PACIFIC CREST Block: l-ot: 044 .Jurisdiction: TIG Toning: R-7 Remarks. New SF detached, Path 1. Your company has been indicated as the electrical contractor for the permit indicated above. In order for tine electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individu^1 from your company sign below and return this Electrical Signature Eorrn prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be autht., ized until this completed form is received OWNLIR El FCTRICAL CONTRACTOR D.R. HORTON HOMES ROSS ELECTRIC 4386 SW MACADAM AVE. 23810 SW DRAKE LN SUITE 102 HILLSBORO, OR 97123 PORTLAND, OR 97201 Phone 1f: 503-222-4151 Phone #: 519-57U0 CELL IZe�� fit. W-284 -436C I.IC 11881.1 M14 r 0004669 ;a?P 11i2s AN INK SIGNATURE IS REQUIRED ON THIS FORM X /( _ Signature of Supervising Electrician It you have any questions, please call (503) 639-4171, 310 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST I _ BLIP Received . _ _._Date Requested L) AM Plvl BLIP Location .�� ,. Suite MEC _ Contact Person . P (_ ) �q_�CI 3�l PLM _ Contractor. SWR BUILDING TenOwner _ ELC _ Footing Foundation -LIN ELC Access: C, �:+C ,n, _ ay Ftg 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 ------------ PAS PART FAIL `-- LUM -- - --- - Post&Beam ------- ---._� Under Slab Rough-In Water Service ---- ----__.. ._-- -- Sanitary Sewer Rain Drains --- - - - - - --— -- Catch Basin/Manhole Storm Drain --- Shower Pan Other: --- - - - r -_ PASS) PART_ FAIL_ - - - - _NICAL Post& Beam-- - - Rough-In _r Gas Line Smoke Dampers _ - --_—_--- Final PASS ._RART FAIL ECTRIC _ Rough-In UG/Slab -- Low Voltage Fire Alarm - -- �- in D Reinspection fee of s-- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd, PART FAIL zrrr Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA C. t, Approach/Sidewalk Date_`_-7`� ( / Inspect r -- —- Ext-- Other: Final — - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00467 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/5/03 SITE ADDRESS: 13435 SW SANDRIDGE DR PARCEL: 2S105DD-06800 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 044 JURISDIC I-ION: 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: FIXT_URESLAUNDRY TRAYS: SF RAIN DRAINS: SINKS: — URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE. it WATER CLOSETS: WATER LINE: it DISHWASHERS: RAIN DRAIN. it Remarks: Install irrigation backflow preveotet Owner: _- FEES ----------- -- —_ _--- -- --�--- Description Date Amount LORERRO, TONY& MARY ANN — — --- 13435 SW SANDRIDGE DR MLI A1111 I'crnut I•cc 9/5/03 $36.25 TIGARD, OR 97223 I TAXI `Z",,~tate'la.x 9/5/03 $2.90 Total $39.15 Phone : X10-579-8552 Contractor: JOHN DARBY LANDSCAPE INC 13867 SW BENCHVIEW TERRACE TIGARD, OR 97223 REQUIRED INSPECTIONS Phone : 579-5298 RP/Backflow Preventer Final Inspection Reg#: I.11C 71 1 n I'I.M 1_111QI t I This permlt 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 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001 -0010 through OAR 952-0001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 2.46-6699. Issued By ��L�li mow _)Gt_�c!✓Z — Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day QOM JOHN DARBY LANDSCAPE INC FAX NO. 5035246613 Sep. 04 2003 10:55AM P3 fluling It Ixtul es `/��' elumbinLy Permit` ��itirt�u _ ' _.. i94� PlumbingPermit No. Lfh 3-C Ci of Ti and SEN 0 4 hui al sewer gs Permit No.: 13125 SW Hall 1Blvd, Plan Review Other on 8 8 Tigard,Ore 9'1223 CIT"i' OF 71GAHl Date : Permit No.—_ Phone: 503-639.4171 Fax: 50WJAWN9b r,+ctrl � : Post-Review Land Use Internet: www.ci,tigard.or.us Dates Case No.: Contact 0 See Pape 2 for 24-hour Inspection Request: 503.639-4175 Names: +: SuRpleniental Information. 4,44 ax"".dpic;Etal• ori oirxup3c New construction F1 Demolition Descrl tion Qty. Fec(ca) Total ❑Additaon/alteratian/re lacemc nt ( Other: h t t `. , '� 4► _ .(tl�'I.' r1,�.t'tk •'",i' a lu (C3�1d�1 :� TS.. Il7N.14t1,1fi I L..LiQ}) " ' ' SFR I ball 249.20 1 &2-Family dwel;ing ommercial/Industrial SFR 2 batt_ 350.00 MAccessory But din _ Multi-Fitmily SFR 3)bath _ 399.00 ❑Master Builder Other: Each additional both/kitchen 45.00 Fire s rinklcr- ft. Page 2 . Job site address: �_ �'' , damR.1_��. ,b' . .6�►.i1i1 i.'s} f_ , :, '. titlite# BIdApt.#r: U Catch basin/area drain v 16,60 Project Name: Dl' clUlcach line/trench drain 16.60 Footing drain no, linear ft. Pae 2 Cross street/Directions to job site: I Manufactured home utilities T 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no linear ft.) Pae 2 Subdivision:af� I,pt Storm sewer no. lincar ft. Page 2 Water service no linear ft. Pae 2 Tax 1•ns�/ ; r.F� - ;• :� .� ..�,.; _ S(rk[ PeilI17�A11� Abso hon ivalve 16,60 _ Backflow'preventer Pae 2 Eiii, l] `T��1 Backwater valve 16,60 Clothes washer 16.60 -- -- Dishwashcr _ 16.60 Drinking fountain 16.60 'cctors/su16,60 Em Nae: Expansion tank 16.60 Address: Fixture/sewer cap.. 16.60 Cit /State/Zi Floor drain/floor sink/hub 16,60 _ Garbage disposal 16.60 Phone — Fax: Hose bib 16.60 ? _._ - '1ON Ice maker 16.60 Narne: Interco tar/ ase trap__ 16.60 Address: Medi__caLSA •value: S Pae 2 : Primer _ 16.60 City/State/Zi _..-. _ Roof drain cmniercWIJ 16.60 Phone: Fax: _ Sin"asin/lavato 16.60 -Jrit3il: Tub/shower/shower an^ 16.60 ti 1 "' `jz,. .t,..a Urinal 16.60 Business Name: Water closet _ 16.60 _ r Water heater 16.60 Address: Othcr. Cit�State/Zi Other. Phone - - t Fax: 2q s ; Lir i. �e��«�?a">�tom, Subtotal MS CCB Lic. #: I I I Plumb. Lic.#_ _ hlrnimuin Permit Fee$72.50 S Authorized Residential Backflow Minimum Fee$36.25 a Signature Date:., Plan Review(25%of Pernut Feel $ State Surcharge(8%of Pennit Fee) S (Please print nsmo r— TOTAL PERMIT FEE S Notice: This permit application expires it a permit Is not obtained within M,nri commercial buildings require 2 sets of pia us»i11,Isuustrit ur 180dais after It has been accepted as cotnplett. riser dianram for plan review •Pee rnethodolopy tet by Tri-County Building Industry Service Board. i;lDsu\permit Fomn\plmPermitApp.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST P 4411BLIPReceived f_ j12 _3 JDate R nested Z- a AM_ —_ PM BLIP Location _._ _W 3J~ Suite MEC C - Contact Person __. Ph 54,.),3) -x:51 'r 7 Contractor Ph( ) SWR _BUILDING Tenant/Owner - _ ELC Footing — ELC Foundation Access: -' Ftg Drain ELR Crawl Drain Slab Inspection Notes: — SIT Post& Beam Shear Anchors Ext Sheath/Shea Int Sheath/Shear Framing Insulation Drywall Nailing - w - - - — --Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling , Roof Other: Final PASS PART FAIL �- PLUMBING_ Post&Beam - - - Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains Catrh Basin/Manhole Storm Drain -_ Shower Pan Othen i SPART FAIL ---- - -- - .-.------ -- - ._.... --- --- -- CHANICAL - Post& Beam Rough-In ----_ -- - -- --- ---- ----- _-------- -- — -- Gas Line Smoke Dampers ---- -- - ----- - ------- --- -- Final PASS PART FAIL_ _ELECT_RICAL - Service — -- ---�- - -- Rough-hi _ UG/Slab --- -- —------ Low Voltage - --__-- Fire Alarm - --e- - — -� Final Reinspection fee of$ required before next ins PASS PART FAIL — q pection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ [-] Please call for reinspection RE: - Unable to inspect-no access Fire Supply Line ADA - Ins /�i' Approach/Sidewalk Data �` pastor _-_�, �' ___•..,�_- Ext Other. — Final — DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL