13460 SW SANDRIDGE DRIVE 13460 ';W Sandridge Drive
FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 08:34AM P2
PlUnlibing Permit Application
Dal e received: Pct•mit nn.:
City Ot Y l�;aC[� Sewer permit nn.: Building permit no,:
Cityu(Nard Address: 13125 SW Hall Hlvd,Tigard,OR 97223
Phone: (503) 639.4171 project/appt,no.: Expire Chile:
Fax: (503) 198.1950 Date issued: � Ay: Receipt no.
Und use approval- Cagc file no.: T'nymcnt type
MUNN MINIMUM,
O 1 &2 finiily dwelling or necessary J Comme,cial/industrial O Multifamily O Tenant imprnvemont
O New construction U Addition/nitcration/replacement U Fnod aervin O Other:_
Job address: , t llte(en,) Towl
l)eacrl�rtlun
Bldg,no.: Suite no.: New I-Lind 2-fnH V dwelling's only:
Tax map/tax lol/account no,: —'�—— (Includeis 100 n.for each utility connection)
Lot: Black; 5ubclivivinn: SFR(1)bath
S (2)bol
I'rnjecl name: - SPR ,) ath
Cit /county: ZIP: Each ad inane(bath/ itc cn
Description and location of Hork on premises: Slteutllltless
Catch basin/area drain
Est.date:of com Inion/inspectinn: Rr wells/lentline/trench drain
Footing
Business name Manu actured home ut Itiil es
"JIS: Antoles ` -
AJtlross: s w_/�/j� ,r Rain drain connector
(:Ily: t eh Stntr: ZIP: LAO Sanitary
sewer(no. lin. )
Phone fp* - y Fnx• E-mail: Csewer(no.hn. fTt
lutb. bus, reg,netervice(no, in. t.CCH no.:
City/mclTu lie,nes.: �,�/ Fixture nr Items
Conlrector's represenlntivc std ature t �� Assotptian vnlve _
Print name; back Ilnw prevcnter
Backwwer valve.
asins/lavniory
Name Clothes washer
Address '— Dishwns cr
Drinking fot,ntaili(A
Phone: I.t; Cjectors/stem
E-moil: xpans on tank
fixture/sewer CA _
Nnme(print): Floor rains/ftonr sinks/hub
Mal I ing address: - --- GAr e c disposal _-
Ilose bibb
City: -�Stat�e�; 2IP; Ice maker
Phone: ,Fax: I -moil: Interco for/greAso trap
Owner instatlntion/residential maintenance only; Tlic actual InsiallAt,on Primers)
will be made by me or the maintenance and repair made by my regular Roof rain commercior)
cmployee on the property I own as per ORS Chnpler 447. Sink(s),bssin(s), ays(s)
Owner's si naturo; _ slate; Sum "—
I ubs/shower/shower pan
Names nnAl
Address:s:
Water clt)Ael
Water heater
City; Stole: ZII^ Ot ier:
Phone: Fax: E-mail: otal
Nol all tunrdieponm accept ercdil calx,please roil Juriatlrlien tor Tore iarnrmohlne, Minimum fee S
Notice: Thio permit Apphcauon � --
O Vinr 0 MluicrCnnl
expires if a panni is not nhtnined I Inn review'(at_ '%n) $
Geiu cord numouc —..�,�_ within 160 days after It has been State surcharl!e(R"%).. 3 _
hapnee
e of rur e h er no ehowi hm CrNw en•d accepted as complete TOTAL...... ....•.. fi
- e hot er dphawre - � s nnieum
eu+attle tomo+cow+i
CITY OF TIGARD 24-Hour C �
E'.IILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171 -"
BUP -- __-_—
Received __ —Date Requested 3 ! I AM_ — PM BUP
Location — 7`5 D Suite MEC
Contact Person _ Ph( ) _ ____ PLM _—
Contractor_ Ph(�`) —_ _ SAAR
BUILDING Tenant/Owner __ _ EL1' _ - —
Footing
Foundation Access: ELIC -- _._
Ftg Drain ELI1
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: ---- - .—�-- - >t
Final --- ---- _1
_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 --- --- ----- --
ELECTRICAL
Service - - _.____---____------ -- .-_-------------- ---------
Rough-In
UG/Slab
Fire Alarm
S�f .2 RT _ t�
S PART FAIL [] Reinspection fee of$_-_-_ required before next inspection. Pay at City Hall, 1312E SW Hall Blvd.
SITE _ Please call for reinspection RE:_^___ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Daus =.. - IM,tpeeto _.- . - ��-� f1E1rt
Other:
Final DO NOT REMOVE this Inspection record froRn the job site.
PASS PART FAIL
CITY OF TIOARD 24-Hour
BUILDING Inspection Line 39- 75
INSPECTION DIVISION Business Line: 9-41771/ MST
-a 0 SUP
Received Date Requested `� _ AM _ PM_.. BUIP
Location 3 (o b —Suite__-_ ___ ___ MEC
Contact Person _ ____ Ph( —) S"P i-" 1:3G - PLM
Contractor_. Ph(__.. _ ) ._._._ ._ --.--_..._ -.-___- SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: \ /� n _ SLS. SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
CKI 0,3 09
Int Sheath/Shear
Framing ...---
Insulation
Drywall Nailing - ------- --
Firewall .7`
Fire Sprinkler -
Fire Alarm
Susp'd Gelling 14-1
_ - -
Root
of s•
''
;r
(El -- —
PASS !FART FAI
Pols Beam — ( -
Under Slab
Rough-in
Water Service --C
Sanitary Sewer
Rain Drelres
Catch Basin/Manhole 1' l �1 yAt"t �N-•��/ Z-t�
Storm Drain — ;T
Shower Pan
Other:_
Ines —
PASS PART FAIL ------
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers --
in
S .'PART FAIL —
CTRICAL
Service --! ------ - ---
Rough-In
UG/Slab
Low Voltage _ ----------- --- ---—--.
Fire Alarm
Final C� Reinspection fee of$___ ___.—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE
n Please call for reinspection RE:__— _. L Unable to inspect-no access
! Fire Supply Line
ADA
Approach/Sidewalk I11r$Peet .---- Ext
Other:_
Final IDO NOT [REMOVE this inspection record from the job site.
PASS PART FAIL
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CITYO F T I A R® Y`__ MASTER PERMIT
DEVELOPMENT SERVICES DATEEISSUIED: 0/11/022-00415
13125 SW Nall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13460 SW SANDRIDGE DR PARCEL: 2S105DD-04000
SUBDIVIS!GN: ZONING: R-7
FLOCK: LOT: nlcl JURISDICTION: I I1 i
REMARKS: Construction of new SF detached residence. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 2 FIRST: 1,552 at BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 4,i SECOND: 1,590 of GARAGE: 756 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: or RIGHT: 5
OCCUPANCY ORP: R3 BORM: 4 BATH: TOTAL: 3.142 of VALUE: 306,691 60 REAR 31
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 1U0 TRAPS: —
LAVATORIES: 5 DISHWASHERS: 1 rLOOR DRAINS: SEWER LINES: 10f, SF RAIN DRAINS: I CATCH BASINS:
TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS I WATER LINES: IDG BCKFLW PRE�NTR 1 GREASE TRAPS:
MECHANICAL
OTHER FIXTURES:
FUEL TYPES FURN<IOOK: BUIL/CMP<3HP: VFNT FANS: 5 CLOTHES DRYER. I
(SAE, FURN.•1100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS 1
ELFCTRICAL
RESIDENTIAL UNIT SERVICE FEEDER 1EMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 5009F: 5 201 400 amp: 201 400 amp- tet WIO SVCIFDR: UU SK N10U7 LIN LT, PER HOUR:
LIMITED ENERGY: 401 600 amp. 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL. IN PLANT:
MANU HMISVCIFDR: 601 - 1000 amp: 601+amps•1000v: MINOR LABEL:
1000+amplvolt
Rnconnecl only
PLAN REVIEW SECTION
>•4 RES UNITS: SVCIFDR>-225 A.: >600 V NOMINAL: Cl S AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 S1EREO: .X VACUUM SYSTEM: x AUDIO&STEREO: FIRE ALARM: INIERCOMtPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: x 0TH: ALL ENCOM BOILER: HVAC: LANDSCAPEIIRRIG PROTECTIVE SIGNL:
GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC x DATA7TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,218.86
D R NORTON D R NORTON INC This permit is subject to the regulations contained in the
5125 SW MACADAM#145 4386 SW MACADAM Tigard Municipal Code,State of OR Specialty Codes and
PORTLAND,OR 97201 SUITE#102 all other applicable laws All work will be done in
PORTLAND,OR 97201 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
OrePhone: Phone: Oregon law
a Ilt requires you to follow rules adopted by the
244-5322 503-222-4151 9 y Notification Center Those rules are set
forth in OAR 952.001-0010 through 952-001-0080 You
Rep 0: I IC 1 i0>;S1) may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Ins{ 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/Sdwik
PosUBoem SMcturEkI\ PLM/Underfloor Framing Insp Gas Fireplace Elec Ical Fln
�— -
1
Is!t ed By : '1�' , 4. , Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TI GARS _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-00271
13125 SW Hall Blvd.,Tigard, OR 97223 1501) 639-4171 DATE ISSUED: 10/11/02
SITE ADDRESS; 13460 SW SANDRIDGE DR PARCEL: 2S105DD-04U00
SUBDIVISION: ZGNING:
BLOCK: LOT: JURISDICTION:
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF residence.
Owner: —__- --_------------
FEES
D R HORTON --
5125 SW MACADAM #145 Description Date -_ Anieunt
PORTLAND, OR 97201 S,Vt`SAJ Swr Connect 101'1/02 $2,300.00
I\SI,J S\\I Inspect 10/11/02 $35.00
Phone: Total $2,335.00
Contractor.
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the se,,er is not located at the measurement given,the nstaller
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 throw 0
OAR 952-001-0100
You may obtain copies of these roles or direct questions to OUNC by calling (503) 464 99.
Y�
sued b _ 1 l GGAIA10 Permittee Signature: ��
Call (503) 634-4175 by 7:00 P.M. for an inspection needed the next business day \
Building V.rmit Applicationam
City Of Tigard Daic roceivePl Permit no.:l, �let
Address: 13125 SW Hall Blvd,Tigard, ()R of Tigard
i? l Project/appl.no.: Expiredate:
Phone: (503) 639-4171 . Date issued: By:,, Receipt no.:
Fax: (503) 598-1960 t l i—++V L ii Case file no.: Payment type:
Land use approval: r ii L rjl(l l&2 family:Simple Cumplex:
TWE OF PERMIT
❑ I &2 family dwelling or accessory •❑Commercial/industrial '❑Multi-family *ew construction ❑Demolition
❑Addition/alteration/replacement ❑Tenant improvement J Fire sprinklerhdarm ❑Otoer:
JOB SITE 1
Joh address: / Q Bldg. no,: Suite no.:
Lot: Block: Subdivision: D•I 1 ' tL� r Tax map/tax lot/account no.:
Project name: I
Description and location of work on premises/special conditions:
1 ' fil 0 IN NJ1
Name: V. f'j"DV1`b c1-7
Mailing address: 512,15 -� -- 1 &2 family threlling;
City: State: ZIP: Valuation of work................... ..... .. ... . , z
Phone: -; 51 Fax: - 'J7 .-mail: No.of bedrooms/baths................................. _
Owner's representative: NltD1,6 Total number of floors................................. Z
Phone: 13 Fax: E-mail: New dwelling area(sq, ft.) ..........................
Garage/carport area(sq. ft.)......................... : ,14—
Name: p• �' Y t"D V'I Covered porch area(sq. ft.) ......................... _
Mailing address: C,� t a 0 U Deck area(sq. ft.) ........................................
City: State: 7.111: Other structure area(sq. it )......................... -.--
Phone: Fax: E-mail: CommercinUindustrial/multi-family:
Valuation of work.................. .................... $
Business name: H, 41 ki --
Existing bldg.area(sq. ft.) ......... ...........��f
New bldg.area(sq.ft.) _
S ..........
Address: Number of stories...........
City. State:p Z(P: Type of construct'
Phone: /S Fax: -tl; 37 J? E-mail:
CCB no.: i3oR Occupant up(s): Existing:
City/metro lic,no.: Notice:All contractors and subcontractors are required to be
ARCHITECUDZSIGNIElftlicensed with the Oregon Construction Contractors Board under
Name: y P, provisions of ORS 701 and may be required to be licensed in the
Address: 5- p ASjurisdiction where work is being performed, If the applicant is
City: State: /ZIP: exempt from licensing,the following reason applies:
Contact person: I ki f(, Plan no.: —
Phone: J I Fax: F-mail:
Name: ,( 'ontact person: Fees due upon application ........................... $
Address: !� o5 6 /ZfP�h oL Date received: _
City: r State:Q, ,Amount receh,d .......... $
Phone: -� Fax:(/4Ry E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all lunsdtctions accept credit cards,pleam call tuntdiction fur more information.
attached checklist. All provisions of laws and ordinances governing this O A%a U lMacter•'ard
work will be complied wi , whether specified herein or not. Credit cord number __L__L_
Exprrer
Authorized signature: j� Dale' Name nt cardholder as shown on credit card
Print name: - — s
— — --- Cardbotder silnamre Amount
Notice:this permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete.
4404613(60WOM)
Flectrical PermitApplication
Daterererved Permit no.:,,'
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 flit. Payment type:
Land use approval:
TYPE OF
0 1 &2 family dwelling i)r accessory ❑Commercial/industrial O Multi-family 0 Tenant improvement
New construction Q Addition/alteration/replacement O Other: ❑Partial
J?�SM IN FOR IMATION
Job address: :? Bldg. no.: Suite no.: Tax map/tax Int/account no.:
Lot: A01 Block: Subdivision: G-( - — - - --- —
Project nan C,, 4 � _ _ ;Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACTOR APPLICATION -SCHEDULIE
Job no:
Business name: 77 Description y. (ea) iota[ no.ins
New reshlentlal-single or multi-family per
Address: dwelling unit.Includes atutclred garage.
City: Slate:OF I ZIP: Service included:
Phone: Fax: Email: 1000 sq,It.or less 4
Each addiucinal 500 sq It.or portion thereof
CCB no.: Elec,bus. Iic. no: 1W
Limiledeneroy,residential 2
City/metro Ilc, no.: Limited energy,non-residemial 2
Each manufactured home or modular dwelling
-�
Si nota.'[o sit ervuine electrician(required) Date Service and/or feeder 2
Services or feeders-installation,
Sup.elect.name(prim i. PROPERTY OWNER License no
alteration or relocation:
200 amps or less 2
Name(print): S 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: Qk4 s0 601 amps to law amps — 2
City: /' K Slate: ZIP: over 1000 amps or volts 2
Phone: Fax: E-mail: Reconnectonl l
Owner installation:The installation is being made on property 1 own 'temporary services or reeden-
which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation:
URS 447,455,479,670,701. 200 amps or less _ 2
201 amps to 400 amps 2
Owner's si nature: Date: 40 1 to 60o amps
Branch circuits-new,alteration,
-/�� ,r0�� V1 L� or extension per panel:
Name: t G [7! A. Fee for branch circuits with purchase of
Address; service or feeder fee,each branch circuit
Clly: G . S Istate: ZIP: p B. Fee for branch circuits without purchase -
of service or feeder fee,first branch circuit: 2
Phone: Fax(lir - E-mall: Such additional branch circuit:
% PLAN (Please check All flint apply) Misc.(Service or feeder not Included):
❑Service over 225 amps-commercial 0 Health-care faciht� Each pump or irrigation circle _ 2
❑Service over 32U amps-rating of 1&2 ❑Hazardous location Each sign or outline lighting
familydwellings lUBuilding over 100)0square feet four(it Signal circwusiorulimited energy panel,
O System over 600 volts nominal more residential units in one structure alteration,or extension'
U Building over three stories ❑Feeders,400 amps or more 'Description: _
•Occupant load over 99 persons O Manufactured stnictures or R park Fitch additional Inspection over the allowable In any of the above:
•Egress/lightinaplan U Other Perinspecuon �—
Submit__sets of plans with any of the above. Investigmton fee
The above are not applicable to temporary construction service. other
Not all Jurisdictions accept credit cards,please call ptrtsrbcnon tot more inforttuuon. Notice:this permit application Permit fee..................... ..
❑Visu O MasterCard expires if a permit is not obtained flan rcview(at
Credit card number — /[__ within 180 days after it has been State surcharge(8%) ....
Name of cardholder u shown on credo card
'spire' accepted as complete. TOTAL, $
Cardholder siltnnure Amount 440-4615(6MCOMI
Mechanical P1ermit Application III.ANEWM����
—~ 71D.),
ived: Permitno.:fr,i /-Y,•
City Of Tigard Pro MY no.: Expire date:
City fTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 ed: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
1
O 1 &2 family dwelling or accessory U i ,iuni, „,.,Andusttial Cl Multi-family O Tenant improvement
O New construction U Addv:,nt/alteration/replacement O Other: _
If 1 1 t
Job address: '
`, Indicate equipment quantities in boxes below.indicate the dollar
Bldg. no.: uite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ .
Lot: Block: 0 'See checklist for important application information and
Project name: fIdly h C, t- jurisdiction's f-ee schedule for residential permit tee.
City/county: _ ZIP:
Description and ocation of work on premises: t ;1 I D1 1
Icctca.) lural
Est.date of completion/inspection: Description Qty. Res.only Res,nnly
Tenant improvement or change of use:
Is existing space heated or conditioned?O Yes O No Air handling unit -_CFM
Is existing space insulated'?O Yes O No Air conditioning(site plan required)
no existing HVAC syste`m
MECIIIIANICAL CONTRACTOR of er/compressors
Business name: t/ State boiler permit no.:
Address: HP —Tons—BTU/[l
re smo a dampers/duct smoke detectors
City: A WW" _ State:010- 1 ZIP:e Heat pump(site plan required)—
Phone: VUpj 5W I Fax: E-mail nsrd rep ace fumac urner /
CCB no.: �O Including ductwork/vent liner ❑Yes❑No
nsta UrepIac re ocale he1ters-suspende ,
Cit /metro lie,no.: wall,or floor mounted
Name(please print): ent ora lance of ter than furnace
1 e' gerat on:
Absorption units RTU/H
Name: N164/e- S4 Chillers HP
Address: Cj S �7 Com ressors Hp
Cit nv onmenta a tut an ventilation:
Y � e State: ZIP: /��D� Appliance vent
Phone -Z y-k/ / Fax: 37i F-mail: ryerex gust
Dods,Type U II/tes.kitchett/ azmat
hood fire suppression system
Ntune: ypr Exhaust fan with single duct(bath fans)
Mailing address: y A4,d1 — - Exhaust systema art from heating or AC
ue epiping anddistribution(up to d ouet
s)CitY: r QF_ State:997IPNG
/ ax: E-mail: 1�uel piping each additional over outlets Oil
Process piping(schematicrequired)
Name: �' f Number of outlets
------- ( ter s1 appliance or equipment:
Address: N.�y 1 �' Decorative fireplace
City: State. ZIP '70/rp" nsert-type
Phone: - Fax; t E-mail oodstove/pe etstove
t)ther:
Applicant's signature: Date: '� Ut er:
Name (print):
Not all juritufictions accept credit colds,please:call)unsdictton for more mformaaon Permi'fee.....................$
❑Visa 0 MasterCard Notice:This permit application Minimum fee................$
Credit card number- expires if a permit is not obtained
—E,p,�res within 180 days atter it has been Plan review(at _ 96) $
Name of cuoulder u Chown on credit card accepted as complete. State surcharge(8%) ....$
$ TOTAL .......................$
Coe older ripsoture Amount
1464617(&MCOM)
PACIFIC: CREST SUBDI V ISION
LOT - 16
CITY OF TIGARD
I
I
S 0005 LANDSCAPING FOR 'WE ENTRE 1 OT
SEL-536' V V
EL-542 SHALL BE FINISHED OR TWE LOT
- SURROUNDED By EROSION CONTROL
PRIOR TO BREAK OUT OF COMi'fUNIT7
EROSION CONTROL. FINISHED SLOPES
_ SHALL BE LE55 THAN 2 TO 1
o,
NOTE
ROOF DRAINS "C 5'01R"'
LA': IN STREET.
2 FOUNDATION DRAINS TO
BACKYARD SOAKAGE 'RENCw
SEE ATTACHED DETA�-
PLAN 291S,4
90 FT 3142
FIN EL . 535 �1
f
_ l
`3 GRAVEL
�e EWAT
'WE APPRCACW E
. 00 A MINNMUM OF 6"x I'
_ _r OF CLEAN PIT GR-�.
LL SlOMAPLE'
!,
n, N
V 5? lME
S LAT \
( SET- < REGu RE""--7 �T=
SCAL! I'.2U-6' FRONT `"ARC -C SLR-'.GF c
SIDE 'TARG
l� c n n I REAR TEARC
:4L , a6pgy,gANDRiDGE D.R. Horton Homes
1' aly 7'!104
Sca�E 7C
DALE 1,10/07 .. �O CO oa— sI's
PWCNE 503222AID 1c,tiarlo C-eecr rAx 9,03222»n
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639- 5
MST
INSPECTION DIVISION Business Line: (503)
BUP _ --
Receiveti --__ Date Rested 3 AM —_ PM_____.— BLIP —�__—
Location —__ 3 _._Suite—__— MEC
Contact Person -- _ _ __ rh(--) PLM _
Contractor------ - ------- -- Ph - ) --— ---- SWR - ----- —
BUILDING Tenant/Owner ____-.-_ - ELC -----
Footing — ELC
Foundation Access:
Ftg D•ain ELR _--
Crawl Dain
Slab Inspection Notes: { � 2 6-2, SIT
Post R Bearn -
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing -- 0------
Insulation
---Insulation r?..-
Drywall Nailing -- --- --- --- - ---- - ----
Firewall
Fire Sprinkler -- - ---- --------- - ----
Fire Alarm
Susp'd Ceiling ------ - - - - -- - - -
Roof _
Other: -'-- -` ---
SS PART FAIL -�-
P0-rBeam ZI
-
Under Slab - ----
Rough-In
Water Service --- - ---
Sanitary Sewer
Rain Drains --- - - ---- --
Catch Basin/Manhole
Storm Drain ---------_T- -- ----
Shower Pen
4inal
-
S ART _FALL - - - -
_ _HANICAL - --- - --- ---- _
Post&Beam----- -
Rough-In _ - ------ ------
Gas Line
Smoke Dampers ----- ---
Final
PASS_PART FAIL
ELECTRICAL
Service -- ------- - ----- --- ---- --
Rough-In -- ---- -- --- -
UG/Slab
Low Voltage --- -- --------- -- - --- ----- ----.
Fire Alarm
Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect-no ecce
Fire Supply Line 'f
DAoacfUSidewalk Date 2` / � -�'" Inspector
A
PP
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL