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13455 SW SANDRIDGE DRIVE w cn cn cn a ry a c,Q CD v M. 13455 SW Sandridge Dri.,e CITY OF T I w(`.7=AR D -- ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: Et.R2002-00261 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/4/02 PARCEL: 2S105DD-06700 SITE ADDRESS: 13455 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 043 JURIsDIC"i'ION- TIG Proiect Description: All encompassing Low Voltage. — FA.RESIDENTIAL 6.COMMERCIAL - AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LAND ;C LITE: OTHER: X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: Owner: -- ------ - -- ----- --- Contractor:D.R. HORTON HOMES AZIMUTH COMMUNICATIONS INC 4386 SW MACADAM AVE P O. BOX 508 SUITE 102 WILSONVILLE, OR 97070 PORTLAND, OR 97201 Phone: 503-222-4151 Phone: 503-639-0110 Reg#: ELE 36-94CLE SUP 2312LEA LIC 145828 — -----FEES - Required Inspections Description Date Amount Low Voltage Inspection I.I.I'RMTJ EiLR Permit 12/4/02 $75.00 Elect'I Final ITAXj 8 SfiW'Fax 12/4/02 $6.00 Total $81.00 This Permit is issued subject to the re julations 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 952-001-0010 through OAR 952-001-0100. You may obtain copies if these rules or direct questions to OUNC at (503) 246-6699. , Issued by �1 S �' A._� I/�� tV �- __. Permittee Signature i c _ OWNER INSTALLATION ONLY The installation is being made on property I own which Is not Intendad for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ CONTRACTOR INSI ALLATION ONLY SIGNATURE OF SUPR. ELEC'N ( 'L _ DATE: LICENSE NO: — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day i�1� T tea- -Uri 77 Electrical Pcrniit �� ! 'licatiun Date received: Permit no.: i�;t_ City of Tl ProjecVappl.no.: Expire date: City nfTigard Address: 13125 SW Hall Blvd,, igar 97223 Date issued: By 1)j Receipt no.: Phone: (503) 639-4171 NQ iv [UUP Fax: (503) 598-1960 TIGNSO Case fit, -.0.: Payment type: CITY OF Uti' nN Land use approva4,4 nh, NGS TYPE OF PEWIT I &2 family dwelling or accessory U Commercial/industrial U Multi-familyU Tenant improvement ( New construction U Addition/alteration/replacement O Other: U Partial 11 SITE INFORMATION Job address: 1345b S JLNdQI �C Bldg. no.: Suite no.: Tax map/tax lot/account no.: - Lot: 4 Block: _ Subdivision: ((,• _- Project name: —Description and location of work on premises: Estimated date of completion/inspectit in: 1 1 131111111 Job no: tri Max —`—� Description Qtv. (ea) Total no.Insp Business name: ja,tt Ll C(y1b11 u�)t('/� /7Lt,�)j _ ,New residential-single or multi-family per Address: 4'3 J; )� =�( Ff,) dwelling unit.Includes attached garage. City:i(t LS' k)Lriu State:0(— 1 ZIP:c7) Service included: Phone: ,,j , + Fax; ri t.5ei tittS --mail: 1000 sq.ft.or less 4 l Lt 5 5�" 4 c�y Each additional SOU sq.ft.or onion thereof CCB no.: Elec.bus, Itc.no: CL'f Limited energy,residential 2 City/mete lic,no.: Lir tGr; 7r' _ Limited energy,non residential 2 (Cr C)7 E tch manufactured home or modular dwelling Signature of supervising elcOi tan(required) Date S,rvice andlor feeder 2 .up.elect,name(print): _��.c:'%II l= C License no:z ff ZLtr/1 Services orfeeders—Installation, alteration or relocalIon: 1141 200 amps or less 2 Name(print): [i -FG)�'f-11"U 201amps to 400 amps 2 401 limps to 600 amps 2 Mailing address: 1 j yj_S s' /C)3 601 amps to 1000 amps 2 City: d State:OR I ZIP: a 3 t Over 1000 amps or volts 2 PhoncOOD ,Ila Fa. ." i --371E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: 200 amps or less 2 ORS 447,455,479,(/070 1. %f� 20l amps to 400 amps 2 Owner's 5i nature: __ Date: ` v 401 to 600 amps 2 Branch circuits-new,alteration, or extensinn per panel: Name: _ A Fe!for brach 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: _ 2 Phone Fax: E-mail: Each additional branch circuit- PLAN REVIEW(Please check nil flint apply) Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facdity Each pump or irrigation circle 2 ❑Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 family dwellings O Building over 10,W0 square feet four or Signal circuit(s)or a limited em rgy panel, ❑System over 600 volts nominal more residential units in one structure alteration,or extension* — 2 U Building over three stories ❑Feeders,400 amps or more 'Description: ❑Occupant load over 99 persons ❑Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑Egres 0ighting plan ❑Othcr _-- Perinspection Submit sets of plans Nith any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not art jurisdictioru accept credit cards,please call jurisdiction fix more information Notice:This permit applicatirn hermit fee.....................$ ❑visa ❑MasterCard expires if permit is not obtained Plan review(at _ %) $ Credit card number, __ ._/ within 190 days after it has been State surcharge (8%)....$ Expires accepted as complete. TOTAL ............ $ ame of cardholder u s own on credit card --� S C holder dgnaturo Amount 4404615(15MCOM) FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 08:34AM P2 Plumbing Permit Application Date received: Permit nn.: City of Tigard Sewer permit no. Building permit no.: Address: 13125 SW Flall Blvd,Tigard,OR 9722? City u(Tigard phone; (503) 639-4171 Project/appl.no.: Expire date: - Fnx: (503) 598-1960 Date issued: By; Receipt no.- Lnnd use approval-- cane file no.: Pnymcnt type ❑ 1 &2 fancily dwelling or ncocssory J Commorcial/industrial O Multi-family 0 Tenant imprnvemoot O New construction 0Addition/nitcration/replacement 0 Pond mervlre 0 Other Job-address: tlnitlnn Qt .I Fee(en.) Tutnl Bldg•no.; I Suite no.. 7(2) -tom yIT d�tellfnu%only: Tax map/tax 101/necoUm n0.: n.for eachu(llit)connection) Lot: Block: Subclivisinn Ihnjeol name: _ SFR(.) ath Cit /county: ZIP: Each additional bath/�ktrc tcn Description and location of%ork on premises: Siteutilltlem Catch basin/atea drain Est.date of cora letion/ins ectlon; wells/lent me trent t drain Feotin drain no, in ) _ Huslness name Manufactured home utilities ---- r h L Man to es Addross: ,1 ,r_L/ Avi/l ,� I+.ain drain connecter City- State: Zit_': Snnita Sewer tin,ft.) Phonc a • yyt�q E-mall: + Stonnsewer(no• lin. t.) CCH no,: y9G6Plumb. bus.reg.no:,,ZQ-/Vlr ater servlce no.lin. ft. City/metro lic.nn.: Fixture ar Item: Contractor's representative signature: Absorption valve J1�e Date: Mock Ilnw prcvcntei Print name: / –Backwater vnlvc asins/Invotor Name; (lotlics washer _ Addresses Dishwasher State: hon ink fountain(p) City: T ZIP: ejectors/sum Phone: Fax E-mail; xpans on tank _ Fixture/sewer ca ' 7Nnme(print): Floor rains/ norAInksil,ub aiIingaddress, �— — Gar a o is Dial _� ----- Ilose t City: Stnte: ZIP: Ice maker Phone: Fr a—, I P-mail: Interco tor/ naso trop Owner installation/resldenlinl maintenance only; The actual installation Primer(i) — will be made by me or the maintenance and mpair made by my regular Roof drain cammorctnlj cmployee on the properly I ower as per ORS Chapter 447. Sink(s),begin(s), ays(s) Owner's si nature: _ Date: Sump —' Tubs/showerAhower pan Name; _ Urinal •" address: __ ____.._�— Waterclosct — Water heater City; -- State: 211' t ter: Phone: FaxSmnil: oUs Ne all jurisdierinne Accept undil ennk•pleAAo an)urlldicilnn rnr mnre Inrnneatinn Minimum fee.......... ... Notice: Thin permit application , „ /n O Vien G MnnterC ml Plan review(at_ ) S cxnircn if n permit ix not obtained Credit enrA nunlbuc „ —..IApir _ within 180 days oiler it has been State surcharge(914.),_3 Nnrne or rur .n t er n•.Iao..d nn r:nr a ter - ncccpled as complete. 1110?AL...... ..•.......... .fir nal cr d neturo S —mount 110•n1ilA(amnl('OM) CITY OF TIGARD J MASTER PERMIT PERMIT#: MST2002-002.79 DEVELOPMENT SERVICES DATE ISSUED: 9/18/02 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 SITE ADDRESS: 13455 SW SANDRIDGE DR PARCEL: 2S105DD-06700 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 043 JURISDICTION: TIG REMARKS: New SF detached dwelling. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1.454 of BASEMENT: 06600 of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.137 of GARAGE: 745 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: E 364,455 30 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 rn'AL: 2.587.00 of REAR: 40 PLUMBING __ SINKS: I WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATFR LINES: ton BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL.TY'ES FURN<100K: BOIUCMP<3HP: VENT FANS: 6 CLOTHES DRYER: GAS FURN>•100K: I UNIT 14EATERS: HOODS I OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: I GAS OUTLETS: I _ ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRIICIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ADO'L NSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: I PUMP/IRRIGATION: PER INSPECTION, EA AOD'L 500SF: 7 201 •400 amp: 201 400 amp: tet W/O SVCIFOR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL.BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 8014ampe•1000v: MINOR LABEL: 1000.amolvolt PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVClFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.9 Rr fIDENTIAL B.COMMERCIAL AUDIO 6:TEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPFIIRRIG. PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: DATArrELE COMM: NI.RSE CALLS: TOTAL 0 SYSTEMS: Contractor: TOTAL FEES: $ 8,725.41 Owner: This permit is subject to the regulations contained in the G.R. NORTON HOMES D.R.'NORTON 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#102 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 :suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg N• LIC 130859 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8j Wtr Proofing Bsm't We Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beam Strucl ,ral PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Sewer Inspection Post'Beam Mech.mica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain draint<sp Plumb Final Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltage ter Linen Final inspection Issued By : Permittee Signature : ✓" Call (503) 639-4175 by 7:00 p.m. for ar inspection needed the next business da CITYOF TIGA RD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00185 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED. 9/18/02 SITE ADDRESS; 13455 SW SANDRIDGE DR PARCEL: 2S105DD-06700 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 043 JURISDICTION: TIG rENANI NAME: USA NO: FIXTURE UNITS: CL,.SS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: FEES D.R. HORTON HOMES Type By Date Amount Receipt 4386 SW MACADAM AVE. SUITE 102 PRMT CTR 9/18/02 $2,300.00 27200200000 PORTLAND, OR 97201 INSP CTR 9/18/02 $35.00 27200200000 Phone: 503-222-4151 Total $2,335.00 Cortractor: Phone: Reg #: Required Inspections I� This,applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 daN,s from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the, accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm Issued by: _ ) '; 'r'1 '.' � J _ Permittee Signature:V Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Tb Os t D Z—U L f l 5 CIL) C Building Permit Application 11 IDatco-cceived:. ';j U Permi��d.57�Cx.;,1 City of Tigard /,- ProjecUappl.no.: Expire date: 1.Ciryn(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9722 ;-" �"'' Phone: (503) 639-4171 I V Date issued: By: Receipt no.: — Fax: (503) 598-1960 � Case file no.: Payment type: 1&2 family:Simple Complex: k Land use approval: / TYPE OF ' 0 1 &2 family dwelling or accessory 0 Commercial/industrial U Multi-family New construction 0 Demolition 0 Addition/alteratitm/replacement LI Tenant improvement 0 Fire sprinkler/alarm 0 Other: / .110111 SI I L.INFORMATION J Job address: Bldg.n'o I Suite no.: Lot: Block: Subdivision: A Tax map/tax IoL/account no.:s/0 Project name: VAO `_� 3 _.. Description and location of work on premises/special conditions: FOR-SPECI INFORMATION USE CHECkLISt Name: CG7 i QJ 2 . (Flolplal",septic capacitv,solar.etc.) Mailing address: 2C tt,I LtC 1 &2 family dwelling: ?/ City: Stale: ZIP: Valuation of work.......�J.4#/ .... ..... $ _ Phone: - 1 I Fax:-5A- mail: No.of bedrooms/haths........... . .. Owner's representative: Nltvl. Total number of floors................................. _ Z- I'lume: I Fax: E-mail: New dwelling area(sq.ft.) .......................... 24Z Garage/carport area(sq. ft.)......................... " Name: (�• K N"a Y t-5 V-1 Covered porch area(sq.ft.) ......................... S 7 Mailing address: 4 ►rt t to h 0 V ri Deck area(sq.ft.) ........................................ __# � City: State: I ZIP: Other structure area(sq.ft.)......................... Phone: Fax E-mail: Commercia[And ustrial/multi-family: Valuation of work........................................ $ %t10111 a Alm Kill Existing bldg.area(sq. ft.) . Business name: Y," P1 New bldg.area(sq.ft.) ........ Address: G 11,6 S Number of stories...... City: State:p ZIP: — �- •-� Type of canstruc ............................... Phone:-Z Z'4151 Fax: ZQZ 717 I Email; Occupanc up(s): Existing: _ CCB no.: -------- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be f licensed with the Oregon Construction Contractors Board under Name: y t provisions of ORS 701 and may be required to be licensed in the Address: AS jurisdiction where work is being performed. if the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Vic, Plan na.: (�•C. Phone: - 1 -eA.I 1:fx: E-mail: - -- Name: .0 ontact person: Fees due upon application ........................... $ Address: Date received: City: State:0)e ZIP:e97015--_ Amount received ......................................... $ Phone: Plerie refer to fee schedule. I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cards.pinue can jurisdiction for more infomunon. attached checklist. All provisions of laws and ordinances governing this 0 Visa J MasterCturd work will be complied wi ,whether specified herein or not. crcatt card number fomes Authorized signature: Date: _06 �1� Name of cardholder ua shown an credit card v'r' / Print name:� Cardholder uftttature s Amount Notice:?'his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "0461,(ts nrOM) Flectrical Permit Application Date received: Permitno.;/ 172ce�"-OCA 7-2 City of 'Tigard ProJeci/appl.no.: Expire date: Ciryrn/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (5J3) 639-4171 --- Fax: (` 'A) 598-1960 Case file no: Payment type: Land use approval: 1 7Ne�L] &2 family dwelling or accessory U Commercial/industrial J !�1ulti family U Tens mt improvement w construction O Addition/alteration/replice men U Other: U partial 11 SITE INFORMATION Job address: / Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: _ Block: ISubdivisioi: r?�-- Project name: �sDescription and location of work on premises: Estimated date of completi(in/insl)ection: CONTRAC117011111, 1 1 Job no: Fee Max Business name: ►escrlptfon Qty. (ea.) 'ictal no.lns Address: Ne"residential-single or multi-family per duelling unit.Includes attaclayl garage. City: SLaIC: ZIP: Service included: Phone: Fax: E-mail: lalosq it.or less _ _ _ _ 4 �— Fitch additional 500 sq.ft.or penton thereof CCB no-: Glee.bus. lie.no: - (Q(/ _ Limited eneigy,residential 2 CII)'/Illetro lic.no.: Z-� _ Limited energy,nun-residential_ 2 Each munufactured home or modular dwelling Signature"aJsu�ervitlna eiecirkian(required) Date Service and/or feeder – 2 Shp elect.name(print): License no Services or feeders–installation, alteration or relocation: mutioluotak 200 amps in less 2 Name(print): e-. 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: _ syr_- 601 amps to 1000 amps 2 city: Slate: ZIP: Over 10110 amps or volts 2 P!ione: Fax: E-mail: Reconnectonl --- I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479,670,701. 200 amps or less _—_ 2 201 amps to 400 amps 2 Owi,er's sit nature: Date 401 to 600 ams --- 2 gli Branch circuits-new,alteration, V or extension per panel: Name: G(/rs A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: _ State: Z1P: Q H Fee for branch ctrecits without purchase Phone: I-ax fjsf - 1 E-mail' of service or feeder fee,first branch circuit 2 Fach additional branch circuit Misc.(Service or feeder not Included): •Service over 225 amps-commercial U Heait .,ire focal Each pump or irtgation circle 2 U Service over 320 amps-rating of 16x2 U Hazardous location Each sign or outline lighting 2 fumily dwellings U Building over 10,(xNl square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal mnre residential units in one structure alteration,or extension* 2 U Huilding over Uva stories ❑reeders,400 amps or more *Description U Occupant load over 99 persons U Manufactured tinctures or RV park Each additional Inspection over the allowable In any of the alcove: U EgressAightingplan U Other per inspection Submit__sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. (ether Not all jurisdictions accept credit catch,please call jurisdiction for more ntfotrnmon. Notice:This permit application Permit fee.....................$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: _ within 180 days after it has been State surcharge 1817c) ....$ 'p1e1 ante cardholderu shown an credit e accepted as complete. TOTAL .......................$ — S Cardholder signature Amoum 440-4615(610(vCOM) Mechanical Permit Application Datereccived: PenWt no. City of Tigard Project/appl.no.: _ Expire date: CirynjTigard 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: Building permit no.: _ TYPE OF PERMIT' ❑ 1 &2 family dwelling or accessory O Commercial industrial ❑Multi-family ❑Tenant improvement ❑New construction U Addition/alteration/replacement U Other:JOB SITE INFORMATION COMMERCIAL Job address: Indicate equipmentquantities in boxes below. Indicate the dollar Bldg. no.: Suite no.. value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S Lot: Block: Subdivision: 'See checklist for important application information and Project name: f-- jurisdiction's fee schedule for residential permit fee. City/county: ZIP: now Description and ocation of work on premises: I I i Fw(ea.) 7otrl Est.date of completion/inspection: Ikuriprion Qty. Rcw.onl� Res.only Tenant improvement or change of use: t AC: Is existing space heated or conditioned?U Yes ❑No Air handling unit CIM Air conditioning(site an require ) _ Is existing space insulated?U Yes ❑No Alteration n existing system ompressors $usiness name: iler permit no.: HP Tons BTU/H Address: V o a ampers/ uct smoke detectors City: Slale:( Z[P: p� mp(site plan require ) Phone: Fax: E-mail: nsta rep ace urnac urner CCB no.: Including ductwork/vent liner ❑Yes O No nsta rep 1 ace/re locate heaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): Vent fora lance of er than furnace Refrigeration: CONTACT PERSON Absorption units _ BTU/H _ Name: N D I e 1 sr7 Chillers _.� HP Com ressors HP Address: �� 6 r omenta ex ust en ventilation- City: ent at on: City: /' y State: ZIP: D/ Ap liancevent Phonc6A-U;-,q/fr/ rax: - l Hyl I:-mail: rjryerexhaust I oo s,Type / res. itc a azmat hood fire suppression system :Name: rj'�(s Exhaust fan with single duct(bath fans) ng address: y SW IM1? � x iaust s stem a art rom heatin or AC rState:p(. ZIP:42zp tie p p ng an st tit on(up to uut ets) ?ype: LPC; NG Oil : /f Fax: /'f I E-mail: "ucl piping each a dnional over 4 outlets Process piping(schematic required) _ Number of outlets Name: (, �1kfa Other listed appliance or equipment: Address: 3 SE /yU Decorative fireplace _ City: State: /IP: -7,91 nsert-ty e Phone: rax: E-mail Woo slovei pellet stove Oth er: Applicant's signature: r Date: her: Name (print): Not all jurisdicbams accept credit cuts,please cdl jurisdiction Re nunr inf�nxmnMinim . fee.....................$ S ❑Visa C]MaisterCarA Notice:This permit application Minimum feeee............... S / / expires if a permit is not obtained Plan review(at _ 96) E Credit card number - - --- Expires within ISO days after it has been - accepted a ted as cumptete. State surcharge(896)....$ _.-- None of cardholder a shown on credit cud p s TOTAL .......................S Cardholder signature Amount 440-461'fhWfCON) FIC CREST SUBDIVISION LUT - 43 'FrY OF T IGARD yr LK E APPROACH SHALL BE A NMUM OF B"xl2'x2O' OF C N PIT GRAVEL S LAT LANDSCAPING FOR THE ENTIRE LOT \ SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL PRIOR TO BREAK OUT OF COMMUNITY \ WA R _ EROSION CONTROL. FINISHED SLOPES EL.Stn' 60. 00 0_-524' ALL BE LESS THAN 2 TO I TEMP \4*GR L DRIVEWAY i • 1�2 ATARIAN r ry PLE-- NOTE: s I.ROCF DRAINS TO STORM LAT. IN STREET. 2.FOUNDATION DRAINS TO BACKYARD SOAKAGE TRENCN \ rq ,.s SARAGET. 12O EE ATTACHED DETAIL c-- FIN EL • 524,5' PLAN : 43r LIVING ■ 3 U FIN EL = 525 "s I Z \ _ I I I � I I 1 I I t SET]) CLINE TY UNE !00' 0 � "E 60.00' S` SETBACK REQUIREMENTS scut: r•2o'-a' 4" 3 FRONT YARD TO GARAGE I5' YARD 5' 1790�] � 0 RE A � 15 ADDRESS.1345!5W SANDRID6E DR Hoi 1 H�fi U 1oilleS • •PLAN 36430 D SCALE:I'•70' Dire !•Il-07 5125 S.W. Macadam Aveneue REVISED!•]!-O7 rNONE 5033774�l� Portland Orpon cAx.l03n7.3 CITY OF TIGARD 24-Hour --7 BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP _-- Received _---_---//_,—Date Requested��U___._- AM ---— PM __.._ BLIP - — Location 3 7 5 ' —Suite MEC Contact Person Ph( ) S1� — 340 PLM Contractor_ -- Ph( ) S W R BUILDING_ Tenant/Owner __—_—_—_ --__ Ei_C Footing ELC Foundation Access: Ftg Drain ELF! 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 Ot ;PA�SS', PART FAIL PLUMBING ---- -_ __..._ ------ -- ---- - -- --- - - _ Post&Beam — Under Slab --- ------- - -- - ----- ----- ---- Rough-In Water Service --------------- Sanitary Sewer Rain Drains -- -- - ---- - -..— ---- Catch Basin/Manhole StormDrain _-.__- - -------- ---___.. --- --------------- — Shower Pan _ Other, ____ _ - __--------- ---------------------_____---------------------------- Final -- PASS _PART FAIL MECHANICAL — ---- ---._... - ------ - ------- --- - ---- - -- -- Post&Beam — Rough-In - -- ._ . _..-------- ---------- -- - --- - - --- GaB Line Smoke Dampers --------------___._._ --_- -- - ----.-- -------___ n ASS PART FAIL — - — _----- ---- -- — ----- _ELECTRICAL — --- Service Rough-In ----- --- -- --- _—.. ---- - --- UG/Slab Low Voltage — Fire Alarm Final r] Reinspection fee of$ _.---required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS - PART FAIL SITE — - F-1 Please call for reinspection RE:_ _ — [] unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date '¢ �� " .__ Inspector — Other: Final OO NOT REMOVE this Inspection record from the job site. L.PA�SS PART FAIL ►AAAAAA.AAAAAAAAAAAAaaAAAAAAAAAAAAAAAAAAAAAAeiPF Con � ► d 0 ! CL a � d a a �► ► a d ry ` � ► a ru ► i CD ► a a , a a Ag p s a IM ? � r ► > ° °' ► 0 a a M O ► aoil- -F o o d ► -� rbpoll G 'p a c ' p `C o• h 1 a �• ► a p � ► x � ► a � a ► a ► a Z i a ► ♦ ♦v♦vvvvvvvv♦vv♦♦vvvvvvvvvvvvvvvvvvvvvvvvvlI Q e. ar W p c r N ti. Z.A ft vi •� a (� J QIr o y C/1 h rC 0 CITY OF TIGARD 24-Hour -� BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP _ Received ___.__ __ - Date Requested_, _ AM----.- - PM _ BLIP Location �� Suite _ q MEC Contact Person - - _ Ph( ) -S� L 3 PLM Contractor _ Ph( ) _ SWR _ _y BUILDING Tenant/Owner -_ � ELC Footing ELC Foundation Access: �1+� Fig Drain ELR Crawl Drain Slab inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear a - Framing Insulation o �- Drywall Nailing t�A V S I*'aaS $�OW • Firewall 1 a1 ow ra s�Arai S�kC3 _ Fire Sprinkler - - _._._�_ Fire Alarm - Susp'd Ceiling --.-------_-- Roof L �^►til�,L A4V A�- Other:------.._�_ Final PASS PART FAIL PLUM__BING Post& Beam Under Slab Rough-In Water Service - ---- Sanitary Sewer Rain Drains - Catch 9asin/Manhole Storm Drain Shower Pan Other: - - __SSPART FAIL _ANICAL Post&Beam Rough-in Gas Line Smoke Dampers -- - Final PASS PART FAIL -- --- ELE _ AL Servicece __ ---�- Rough-In UG/Slab Low Voltage Fire Alarm Alarm Final Reins on fee of$ required before next Ins PASS PART FAIL u Pew — Inspection, Pay at City Hall, 13125 SW Hall Blvd. SITE i L] Please call for reinspection H _ -- F] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk nuts inspector i3O,1 �rLr N L �� ut Other: Final QO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection line: (503)639-4175 2 _aU - INSPECTION DIVISION Business Line: (503) 639-4171 MST SUP - ------ Received . _ ___ ___ Gate requested_— _- AM PM ____ BUP Location ___ i ��`_ _ _ ___Suite -- MEC Contact Person -- -_ ___ ___- Ph PLM ` Contractor _ -^—. ---_ Ph( -. —) —. _. - SWR - - rBUILDING Tenant/Owner - _ _`_ ELC Footing ELC Foundation Access: 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 -- PASS PART FAIL PLUMBING -- Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In - - Gas Line Smoke Dampers - - - - - - --- --- Final PASS PART FAIL -- --�-- E_LECTRICAL__ Service Rough-In - UG/Slab Low Voltage Fire Alarm S _ ART FAIL Reinspection fee of$__ _---required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. glj _- L� Please call for reins action RE:__. __- ❑ Unable to inspect-no access Fire Supply Line Approach;;u+�w,t�i IaAt® a' Ins OfOther Final DO NOT REMOVE this Inspection record rom the Job site, PASS PART FAIL 7,