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13495 SW SANDRIDGE DRIVE
13495 SW Sandridge Drive CITY OF TIGARD 24-Hour BUILDING Inspecti .n Line: (503) 639-4175 MST -7 Y INSPECTION DIVISION Business Line: (503) 639-4171 - BUP Received __ _ Date Requested _ AM_- PM 6UP Location _ 7�) Li , j' `` Suite MEC - - - Contact Parson - --- -- --- -- Ph ( ) S— l I 123C'1_ PLM Contractor----- -------------- - - Ph (—) ,,.,- - - --- - SWR - BUILDING Tenant/Owner - ELC Footing ELC Foundation Access: Fig Drain - Crawl Drain �� �4��/� UI� ELR 6 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 --- — �JMBIN Post&Beam Under Slab —_--__ — Rough-In Water Service Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain - -- --- - --- Shower Pan Other• SS , PART FAIT_ - -- Post& Beam — — Rough-In — Gas Line Smoke Dampers Final PASS PART FAIL — ---- ----- -- — ----- ELECTRICAL ,— Service-- �- -'--- - --- Rough-In UG/Slab _ Fire Alarm r'.ltC; ASIV PART FAIL .._J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. e"PPlease call for reinspection RE: _ E] Unable to inspect-no access Fire Supply Line --11 ADA ZI Z I U Approach/Sidewalk Date -._ _ Inspector -_�----_-___ _-_ - - Ext-- Other:_ Final DO NOT REMOVE this inspection ret ird from the Job site. PASS PART FAIL CITY OF TIGAR© 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 --- �— BUP -- ----- — Received ___ __Date Requested. Z. AM PM ___. BUP Location . 3 5Suite_ _____ MEC Contact Person __ _ Ph! PLM Contractor —_ - _-_ __ Ph( —) — — __ SWR _ — BUILDING _ Tenant/Owner ___ ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes. SIT Post& ream Shear Anchors — — Ext Sheath/Shear _ !nt Sheath/Shear 2 G VV05 Framing — o — — — Insulation Drywall Nailing -- --- Firewall Fire Sprinkler — �` ---- Fire Alarm , Susp'd Ceiling — — — � - ----�— Roof Other: Cc ASS PART FAIL PLUMBING Post&Beam Under Slab — -- ---- ---- -- - ------- Rough-In Water Service - ---- — — ---— Sanitary Sewer Rain Drains ---- ------- —------- Catch Basin/Manhole Storm Drain Shower Pan Other: _—_ -------- ---- - Final ------�-�-- PASS PART_ FAIL -- —�------ --- — -- MECHANICAL Post&Beam Rough-In - — —— --- Gas Line Smoke Dampers n'-- -- - --- -- ASS ART FAIL ELECTRICAL of_-, Service �1 Rough-In -- __ T-- ----------- UG/Slab Low Voltage Fire Alarm Final 'teinspection fee of$-_.__.____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE L Please call for reinspection RE: —_ _ F] Unable to inspect-no access Fire Supply Line j ADA Date ^�3 Inspector Approach/Sidewalk Other: Final - DO NOT REMOVE this Inspection record from the job s.FA PASS PART FAIL 02/28/2003 11:00 :;035988705 GEOPACIFIC ENG PAGE 01/01 G(61PPififte Engineering,Inc. _' 7812 SW Durham Road Portland,Oregon 87224 Tel(303)698.8445 • Fax(503)608-0705 February 28, 2003 // Y Project No. 99-2791 (, D.R. Horton 5125 SW Macadhm Ave. Ste 145 #� r, Portland, OR 97201 Fax No. (603)579-6002 TO c Attention: Emery Smith 1)111( GEOTECHNICAL REVIEW OF ROCKERY WALL ftcitic Creat—Lots 40 a 41 City of Tigard, Oregon At your request, GeoPacific Engineer, Jim Imbrie, arrived on site on February 20, 2003 to review the existing rookery walls in the rear yards of the above-referenced lots. The walls are approximately 5 feet tall and the City of Tigard requosted that they be reviewed by an engineer. Landscape walls up to 4 feet In height are typically allowed without any engineering Input. These walls are not In any way supporting the existing homes above, only the rear yard backfill. The rear yards are sloping at about a 20 percent grade. The boulders a: well-sized and stacked, in accordance with GeoPaeifio's typical standard rookery wall detail, but are lacking in other areas. No 4"-0 rock backfill Is present behind the wall and portions of the wall toe bear on approximately one foot of uncompacted illi and are not keyed into the native slope In our opinion, the walls cannot be considered to be engineered, but should remain stable with only slightly more deformatlon than an engineered wall. The walls are not considered to be a hazard to the residences on the existing lots or to adjacent properties. This review was performed to the local standards of practice fo; geotechnical engineering. If you have any questions, please call. Sincerely, GeoPacific Engineering, Inc. -�t'D PRaF�s NAINt*FR si . 14748 James D. Imbrie, P.E. �pEgOk Geotechnlcal Engineer v _gyp �41 ii8. �" �t�l•3p-03 ., I ►AAAAAAAAAAAAAAAAAAAAAAAAAAAAA.AAAAAAAAAAAAAAA t rTl rri PRO � r t � M P d a_ M kill rD rD R9 Cfq ,.f J ► r_r Q r rt, pool °- a ► � � P 4 -- ► y y o o IP N rD p ► ► 44 Uj � b a ► i ► i i 2 I n z o � o 0 a 71 ? a I h w 1.7 CL o � 5' I° � n "1 ,•rn 7i . 0.1 a o n a CITY OF TIGARD 24-Hour Q BUILDING Inspection Line: (503)639-4 MST 2-00 a -7V INSPECTION DIVISION Business Line: (503)639 BUP - Received ____ Date Requested `-�3 _� AM-- PM - BUP Location . 1 3 q5- Suite_ MEC Contact Person Ph(—) PLM 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/Shear -- Int Sheath/Shear Framing Insulation Drywall Nailing - -- Firewall Fire Sprinkler Alam Fire Alarm Susp'd Ceiling Roof �- Other:ATna ---- zs— _ PART FAIL - Post&Beam `` a 5 ��S /'! • Under Slab1—-. ------ Rouyh-In S lr Water Service --- — - --- Sanitary Sewer Rain Drains - - Catch Basin/Manhole Storm Drain - -- _ Shower Pan _. Other: -- - --- --- - ----- - a Final PASS PART FAIL — - MECHANICAL - Post&Beam Rough-In _ �- Gas Line Smoke Dampers --- Final PASS PART FAIL ---- - - ELECTRICAL __-_- Service Rough-In ---- UG/Slab Low Voltage -- -- - ---- ----- Fire Alarm Final 0 Reinspection fee of$r- __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PAS PART FAIL_ Please call for reinspection RE: Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date Inspeato►_ _ — -__---Ext Oth Ina DO NOT REMOVE this Inspection record from the Job site. PART FAIL FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 Oe:34AM P2 Plumbing Permit Application WHOM Date received: ( 1 permit no.; Dv City o.1 ].igerd Sewer permit no.: Building permit no.; Address; 13125 SW Hall Blvd,Tigard,OR 97223 -- Ciiy ulTrgurd Phone: (503) 639.4171 Project/appf.no.: Expire date: Pax: (503) 598.1960 Date issued: 110.' Land use approval: Crsc file no.: payment type ❑ I &2 fanl(1y clwolling or ne.cssaty C]Commercial/Industrial ❑Multi-family ❑Tenant impmvemont ❑Now construction ❑Add ition/nllcratIon/replacemenI Cl Feed aervrcc O Other Job address: Qer,erl tion QI fre(en.) Total Blclyt.no.: Suite no.: if New 1-and Z-flamilly dwellings only: Tax map/tax lot/account no.: — (Includes 10011.Wench utllitvrnnnectimo SFR(I bath toot; Block: 5ubdivislnn: (2)but (inject name: r SIR(3) alh : Additional - —'" Cit /coup ZIP: trach Additt nl both/ kite un — Description and location of work on premises: Site utllltlem Catch basin/area drain Est.date of eom letinn/ins ectlrnm: D irywellot/lanch line/trench drain Foottn drain(no.Ila. .) Business name; Manu actured hurnr-utilities -i h C, Manholes Addto$$: 7744A S ✓(�"rtnte:o (I! Italn drain connector _ City; � 'LIP:4"'� Sanitarysewer(no. Iln, ) Phone a 96' Pnx 4fMn q E-mail: Storm sewer(no.lin. ft) CCR no.; (� Plumb.bus• reg.no: /�P' Water service(nu. tl� City/motto tic,no.: Fixture nr Item: Contractor's representative signature: Abs' tion valve Hack flow revcntcr Print name: Date:1111111111111 Backwater valve _ Basinstlavatory Name: Col les washer Address - Dishwas to 17rin mg ountain(s) _ City: Stntc: ZIP: — G ecloro/sum Phone: Pax: E-mail: —Expansion tank ixtureAewer cap Name(print): Floor drains/flnor sinks/hub Milling address: Gar a c t osa Ilose bibb City: State ZIP: Ice maker Phone: Fn-: E-mail; Interceptor/gresso trap Owner installation/residsnoal maintenance only: The actual installation Primer($) will be mode by me or the maintenance and repair made by my rrgular It drain(commerciu ) employee on the properly i own as per ORS Chapter 447. 5irllt s),basin(s), ays(s) Owner's signature: Date; um Tubs/showerAhower pita Name; rias _ Add o. — Water closet Water heater City: _Stott: 211' Wier: Phone: Pax: v �E-moil: nta Nom all juri.dielloni Accept uedo on"Im.pteeee cell iuriedt,,rinn rnr more inro"Ali.o. Mininmu fee ...... S Notice: Thin permit application , M vim, G MaaerCant I Inn review(at_ /A) S Credit earo number_..- — _ !h / witelthin it n permit it not s e been State aurcbarge(9%)_..S :apiree within 180 days a(Irr it hes txcn �Mnn O�rnr m ter M 1 Own un cndl accepted 1l;complete TOTAL...... ......... ...... E _`� udhn der dpnuwro --�"� niuount 440.4616(KMAC.OMI CITE' OF TIGARD - - MASTER PERMIT PERMIT #: MST2002-00278 DEVELOPMENT SERVICES DATE ISSUED: 9/18/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 539-4171 SITE ADDRESS: 13495 SW SANDRIDGE DR PARCEL: 2S105DD-06500 SUBDIVISION: PAGIFIC CREST ZONING: R-7 BLOCK: LOT: 041 JURISDICTION: TIG REMARKS: New SF detached dwellirlg.Path 1 BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST- 1,380 of BASEMENT: 63000 at LEFT: 5 SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1,502 at GARAGE: 625 it FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: S 382,044.10 OCCUPANCY GRP: R3 BDRM: 7 BATH: 3 TOTAL: 2.88200 of REAR: 50 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LALINDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 Sr RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS- 5 CLOTHES DRYER: 1 GAS FURN>-100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 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: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F: 7 201 400 amp: 201 400 amn: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 40. 600 amp: EA ADDL OR CIR: SIGNAUPANEL: IN PLANT. MANU HMISVCIFDR: 601 • 1000 amp, 601+81"05•1000v: MINOR LABEL: 1000+amolvolt PLAN REVIEW SECTION Reconnect only: >.4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO S STEREO: VACUUM SYSTEM. AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING! OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATIONS WEDICAL• OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,706.16 This permit Is subject to the regulations contained in the D.R.HORTON HOMES D.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 #102 accordance with approved plans. This permit will expire if PORTLAND,OR 97201 PORTLAND,OR 97101 work is not started within 180 days of Issuance,or If the work is 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 Rep 6 UC 130659 forth in OAR 952-001-0010 through 952-001.0080. You may obtain copies of these rules or direct questions li OUNC by calling(503)246-1987. REQUIRED INSPEC'IONS Erosion Control Insp 8, Wtr Proofing Bsm't We Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwik Insp Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Sewer Inspection Post/Beam Mechanics Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltage IT ter Lin Final inspection Issued By : o< Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2002-00184 13125 SW Hali Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/18/02 SITE ADDRESS; 134951 SW SANDRIDGE DR PARCEL: 2S105DD-06500 SUBDIVISION: PACIFIC CRLST ZONING: R-7 _ BLOCK:—. ___ LOT: 041 _--____ JURISDICTION: TIG _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS 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 9118/02 ` 2.300.00 27200200000 PORTLAND,OR 97201 INSP CTR 9/18/02 ':3E,.00 27200200000 Phone: 503-222-4151 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Appli,-gnt agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm �rmc Issued by: � — Permittee Signature:_ Call (503) 639-4175 by 7:00 P.M. for an inspection na:dec; :he next business day Building Permit Application City of Tigard — - Dalereceived:C ,, Pcrnut 11q. Cup 47igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ; Pro)ect/appl.no.: � 3 Ate: Expire date: Phone: (503) 639-4171 �• 1� Date issued: By: Receipt nn Fax: (503) 598-1960 Case file no.: Paymen!:ype Land use approval: 1&2 family:Simple I Complex: Aa 1 U 1 &2 family dwelling or accessory U Commercial/indusinal J Multf-lamlly y ,Ncw construction CI Demolition U Addition/al teration/re:placement U Tenant improvement U Fire sprinkler/alarm U Odrer: _ 1 Job address: Bldg. no.: Suite no.: Lot: Block: Subdivision: A Tax map/tax loVaccount no.:' Project name: I i0 Description and location of work on premises/special conditions: 1 Name: }Z• �&z ki ib vwLi p Mailing address: 125 1 & 2 Jamil} th�rllinR: Crty: '_*'i' State:p ZIP. Valuation of wurl Phone: $ I Fax: - '�3j mail: No.of bedrooms/haths..................... — __�_ Owner's representative: ����� ' ••••••••• - (L 1 Total number of floors....................... Phone: . I� Fax: E-mail• -- --.— New dwelling area(sq. ft.) ...... Garage/ciPorch ort area(sq. ft.)......................... u L�' lo- Name: D. jZ • r}--e►tet Covered area(sq. ft.) ......................... 3.) - Mailing address* MF-ax: a Y L Deck aresq• ft.) ................... /7y — City: _ State: ZIP: Other structure area(sq. fL).....!lie�!!s/�... - s O Phone: Email: Commereia[And twtrisl/multi-famil y: Valuation of work..............•......................... $ _� Business name: V fi-p Existing hidg.area(sq.ft.) ................ ......... _ Address: S New bldg.area(sq.ft.)............. City: State:p ZIP: Number of stories ..................•. Phone: - IS Fax: JZ: Z E-mail: Tvpe of constructio .•............................... ............... -- CCB no.: 2�.,--,q _ Occup up(s): Existing: — --- C'ity/metro lic.=no.�--I-- New: Notice:All contractors and subcontractors are rcqu;red to he ARCUMMIDESIGNER with the Oregon Construction Contractors Board under Name: -��- _— JV_�h provisions of ORS 701 and may he required to be licensed in the Address: (Y1,r �S jurisdiction where work is being performed. If the applicant is Citv: Stutc: ZIP: exempt from licensing,the following reason applies: Contact person: J� � .f Plan no.: f Phone: / i f Fax: E-mail: Name: -C� C4'y-,umnkontact person: 1k4L1_ Fees due upon application ...........I............... $ Address: fh Date received: it Y: Statc:09 ZIP: / _ Amount received ................. . ... . Phone: Fax: E /fy -mail: —+� 1 lease refer to fee schedule. 1 hereby certify I have read and examined this application and the Not ah runsdictiotrs accept cred7PIcasecall =n for ]mformationattached checklist. All provisions of laws and ordinances governing this U Visa U MasterCardwork will be complied wi , whether specified herein or not. Croda card numberJ Authorized signature: Date: ���- 1 - Name of cardholder u Print name: / sCardholder Notice:This permit application expires if a permit is net obtained within 180 days after it hes been accepted as complete. 4164613(61pCOM) Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: City gjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 bate issued: Phone: (503) 639-4171 BY Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 &2 family dwelling or accessory U Commercial/industrial O Multi-family U Tenant improvement New construction U Addition/alteration/replacement ❑(Plicr U Partial JOB.SITE INFORMATION Job address: 7A / flotill f. nu.: Sutic no.: fax map/tax lot/account no.: Lot: Block: Subdivision: Pros _ Description and location of work on premises: Estimated date of completion/inspection: --- `—� APPLIcAlriON IEE SCIWDULE Job no: Fee Max Business name: 6-1�5` 01-6 —'�� Ikscriptiun Ql . ea.) Total no.lns `—"—'�------ New residential single or multi-family per Address: 1 d„clling unit.Includes attacked garage. City: Slate: ZIP: Service included: Phone: Fax: E-mail 1000 sq n.or less 4 Each additional 500 sq.ft.or portion thereof CCB no,: Elec.bus. tic.no: Limned energy,residential _ 2 City/metro lic.no.: Limited energy,non-residential Each manufactured home or modular dwelling Signatur£osu rrvuing electrician(required) pate Service and/or feeder 2 Su elect.name rind Serrlcesorferden—inslallrtinn, Sup. lP License no alteration or relocation: PROPERTY1 200 amps or less 2 Name(print): '12g_ i jt�r [ 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: Q I �u 601 amps to 1000 amps 2 City: 0 9 ZIP: Over 1000 amps or volts 2 Phone: I,, E-mail; Recon nectonly l Owner installation:The installation is being made on property I own Temporary services or feeders- wnich is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocatit m URS 447,455,479,670,701. 1200 amps or less --T 2 201 amps to 400 amps 2 Owner's signature: _ htllC; 401 to 600 am s Branch circuits-new,alteration, Name: S V K or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: State: ZIP: 11,0prB. Fee for branch circuits without purchase Phone: _ Fax F-mail: of service or feeder fee,first branch circuit: 2 Each additional branch circuit Oki I 011.1m, Tri Mi+c.(Service or feeder not Included): O Service over 225 amps-commercial U liealmh-care facility Each pump or irrigation circle LJ Service over 320 amps-rating of 1&2 O Hazardous location Each sign or outline lighting familydwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel, ❑System over 600 volts nnminnl more residential units in one structure alteration,or extension* U Ruildingoverthreestories O Feeders,400 amps or more *Description, U()ccupant load over 99 persons O Manufactured structures or RV poi k Each additional Inspection osrr the allowable In any of the s trove: :J Egress/lighlingplan UOther• _ Perinspecuon —T-- Submit_-sets of plans with army of the above. Investigation fee The above are not applicable to temporary construction service. other Not all junsdtclOns accept credit cult,please call jurisdiction for more information. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ 96) $ Credit cud number I / within 180 days after it has been State surcharge(8%) ....$ _ Esp11Ds accepted as complete. TOTAL ... $ Name o cudho r u shown on credH cud _ S Cardholder signature omouni HOJf+IS INtgICOMo Mechanical Permit Application -- Date received: Pelmit no.: City of Tigard frojecVappl.no.: Expire date: City cif Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Huilding permit no.: TYPE OF l ❑ 1 &2 family dwelling or accessary U Commercial/industrial U Multi-family :3 Tenant improvement O New constructi-m U Addition/alteration/replacement U Other: JOB SITE INF ORMATION CONIMERUIAYW�ATION ... ---I--- Job address: ?j i ) r' , -o1 7Indicate equipment quantities 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$ l,oe 14 JBlock: Subdivision: PI(O *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: , Zip, Wild1 Description and ocation of work on premises: 110 11!4 Ll 0 X11 i I Wo I Wa vill I I Di I 111 Fee(ea.) 7btal Est.date of completion/inspection: Descriptio? Qty. Res.only Res.onlyl Tenant improvement or change of use: t Is existing space heated or conditioned?U Yes U No Air handling unit __CFM Is existing space insulated?❑Yes ❑No Air conditioning(site plan required) Alteration of existing HVAC system 1 Roller/compressors Business name: � � State boiler permit no.: HP Tons BTU/H Address: it smo adampers/duct smoke detectors City: A State: Zip: np ficat pump(site plan required) Phone: WU1,1 - Fax: E-mail: Install/replace furnac• Burner CCB no.: Including ductwork/vent liner U Yes U No nsta replace/re ocate heaters-suspen a ��- City/metro lic.no.: wall•or floor mounted Name(please print): _ Vent or applianceother than furnace CONTACT PERSON Refrigeration: Absorption units_i BTU/H Name: Nit ole S p Chillers HP _ Address: 5 6 -z �y Compressors HP Environmental a ust an ventilation: City: y _ _ State: Zip: D/ Appliance vent Phone' -7, 2- / F;ax.5 - p/ E-mail: ryerex eust Hoods, ype !111tres.kitchc azmat hood fire suppression system Name: /Yj( Exhaust fan with single duct(bath fans) Mailing address: .0 Exhaust systema art rom hcatin or AC Citv: a Stale:Q� ZIP: Fuelpiping andistribution(up to out ets) Type: LPG NG _ Oil Phone: /J" Fax: /' E-mail: tial tin sach additional over outlets rocess piping(schematic required)- Name: fi (� / Number of outlets Other listed appliance or equ pmeur Address: t/ Decorative fireplace City: State: ZIP: -7,91fr nsert-ty e Phone: Fax: E-mail: oo slovei[vI etilove Other. Applicant's signature: _ Date: ; 0L0t er. Name (print): Not all jurisdictions accept credit cards,please call juris•..,ion for more rnfornunion Permit fee.....................$ _ ❑Visa t7 MasterCard Notice:This permit application Minimum fee................1i expires if a permit is not obtained Credit card number. / / Plan review(at 96) $ Expires within 180 days after it has been State surcharge(8%)....S Name of cardholder u shown on credit cud $ accepted as complete. TOTAL $ 4104617(60mcom) Cardholder upruurc � AMtlYOt PACIFIC CR.ES-F SUBDIVISION LOT - 41 CITY OF' -FIGA,RLU THE APPROACH SHALL BE A MINNMUM OF 8"xl2'x2O' OF CLEAN PIT GRAVEL 5T LSE LANDSCAPING FOR THE ENTIRE LOT SHALL BE FINISHED OR TWE LOT SURROUNDED BY EROSION CONTROL LAT. PRIOR TO BREAK OUT OF COMMUNITY EROSION CONTROL.FINISHED SLOPES 5 4ALL BE LESS THAN 2 TO I R EL•531' 6O.O EL-537' TE .GR VEL RI SWAY y NOTE:TATARIA ry I.ROOF DRAINS TO STORM MA LE ---" -- � � ----- - i LAT, IN STREET, 2.FOUNDATION DRAINS TO 1 BACKYARD SOAKAGE TRENCP N ` SEE ATTACHED DETAIL P� RAGE 5 T 625 FIN 531.5' PL 3562A 3562 r FIN EL 5 1 , 1 I I , I , I , I , 1 I I I � I� I I ___.. . ------ SE. -- .INE -_-� EL•512' 60. O0 EL-513' v _ TB_ACK REQUIREMENTS SCALE I'.20'-0' 41 FRONT YARD TO GARAGE 15' SIDE YARD 5' 6 ' C� REAR YEARD — 15' ADDRESS: 1349!SW DANDRIDGE L'R ,_ D.R. Hoi-ton H PLAN� MOA SCALE 1" .20 DAM,5-15-02 5125 S.W. Macadam AVeneue Revt5eD5•»-07 PRONE 5031224151 PCrtldr'd Ore On F.:x 5�3::.J . CITY OF TIGARD RESTRICTS PERMIT- — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00259 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12./4/02 PARCEL: 2S105DD-06500 SITE ADDRESS: 13495 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 041 JURISDICTION: TIG Proiect Description: All encompassing Low Voltage. A.RESIDENTIAL _ B.COMMERCIAL _ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER.: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSl_EMS: Owner: Contractor: � J DR HORTON HOMES AZIMUTH COMMUNICATIONS INC 4386 SV-J MACADAM AVE P.0 BOX 508 SUITE 102 WIL.SONVILLE OR 97070 PORTLAND, OR 97201 Phone: 503-222-41 s I Phone: 503-639-U 110 Reg #: ELE 36-94CLE SUP 2312LEA LIC I.1582R FEE=S i Required Inspections Description _ Date _ Amount— Low Voltage Inspection I I I'RNTI J l.l.R I'crnut 12/4/02 $7500 Elect'I Final IA X 1R state Fax 1214102 $600 Total $81.00 This Permit is issued subject 'to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will 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 r.f tt ese rules or direct questions to OUNC at (503) 2.46-6699. Issued by _ 4._ � Permittee Signature , OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: -___- DATE: CONTRACTORINSTALLATIONONLY SIGNATURE OF SUPR. ELEC'N + ' ,_, r c ,� � DATE: LICENSE NO: -.,, i I- (- )i --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day t;1!7 rood _o�Z7�, Electrical Permit,Application Date received: 6 1j Permit no.: – Uj City Of Tiga Project/appl.no.: Expire date: City of Tigard Address: 13125 SW ullQi�wgQ Date issued: By: r/' Receiptno.: Phone: (503) 639-4171 — --- Fax: (503) 598-1960 NOV 2 1 2002 Case file no.: Payment type: Land use approval: _ -1jI &2 family dwelling or accessory ❑Commercial/industrial OMulti-family O Tenant improvement New construction ❑Addition/alteration/rcplacement D Other: O Partial JOB SITE INFORMATION ,fob address: Q4,1a_ C . QIz Blde. no.: Suite no.: ,Tax map/tax lot/account no.: Lot: j I I Block: Subdivision: (( Project name: I Description and location of work on premises: Estimated date of completion/inspecti(ut: CONTRACFOR APPLICATIONalSCHEDULE Job no: Fee Max Business name: � b111,LT?+ Cyrll,ii t4c i t'4'70,J.� Description Qty. (ea.) Total no.Ins - -- Nen residential-single or multi-family per Address: �` " 7 =j_'G /1 j) dwcllingunli.Includesattachedguruge. City40L5 4);t,L_c(- State:�, I ZIP:C-7 t;C' Service Included: Phone: �3(u j/ 6//V f t 1000 s .ft.or less 4 ' � Fax: t, � rt -mai L• q CCB no.: Elec.bus.lic.no: r f Each additional SUU sq.It.or portion thereof t 5 =6 �' f L Limited energy,residential 2 City/metr lic.no.: �r�)'r;, '%r Limited energy,non-residential 2 11C,16), Each manufactured home or modular dwelling Signature of supervising elec um(required) Date Service and/or feeder 2 Sup.elect.name(print): ')f / Services or feeders—Installation,* alteration or relocation: (Ij W 1 200 amps or less 2 i ' 201 amps to 400 ams 2 Name(print): [�, fffJ/C Z.ti amps___-_-._ 401 amps to 600 amps _ _ 2 Mailing ad Jress:1 j S'"U _r 601 amps to 1000 amps 2 City: . O State: Z1P: `? �a.3q Over IOOU amps or volt _ 2 PhoneC-403) '2,2,Q E-mail' Reconnect only I (honer installation:The installation is being made on property Town Temporary sersices or feeders- which is not intended for sale,lease,rent,or exchange according to Instnllntlon,Alteration,orrelocation: 200 amps or less 2 ORS 447,455,479, ,701. 11 /� 201 amps to 400 amps 2 Owner's signature- _ Date: << 1 V w 401 to 600 ams 2 tNGINEFR Branch circuits-ne",alteration, or extension per panel: Name: A Fet for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: _ State: 'LIP: B. Fee for branch circuits without purchase — -- — -- Phone: E-mail: of set-vice or feeder fee,first branch circuit: 2 f:tK: Each additional branch circuit: 1111sc.(Service or feeder not Included): U Service over 225 amps-commercial J Health-care facility Each pump or irrigation circle 2 O Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 fancily dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. O System over 600 volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allonable in any of the above: U Egmss/lightingplan U Other: — Per inspection Submit!set%of plum"Ifli any of the above. Investigation fee _ The above are not applicable to temporary construction seri Ice. Other Not all jurisdictions accept credit cards,please call jurisdiction ror more infomuunn. Notice:This permit application Permit fee.....................$ _ O Visa Cl MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: _ within 180 days after it has been State surcharge (9%) ....$ spun accepted as complete TOTAL ............. .........$ _ Name of car er As shown on credit card S Cardholder signature Amount W-461!t6MICONfi CITY OF TIGARD _ PLUMBING PERMIT [DEVELOPMENT SERVICES PERMIT#: PLM2003-00431 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 8/14/03 PARCEL: 2S 105DD-06500 SITE ADDRESS: 13495 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 041 _-_ JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install irrigation backflow preventer. FEES_ _ Owner: __ Description Date Amount ALBARES, JENNY 1 AX1 8%.state'fa\ 8/14/03 $2.90 --- 13495 SkN SANDRIDGE U TIGARD, O'' 97224 I'LN1111 I'crmit I r 8/14103 $36.25 — Total $39.15 Phone Contractor: ESEQIJIEI_ ROBLES LANDSCAPING 7076 RIDGEMONT DR N KEIZER, OR 97303 REQUIRED INSPECTIONS RPiBackflow Prevenler Phone : 503-390-4353 Final Inspection Reg #: 111,M 7784 This permit is issiied subject 'o Vie 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 1 Permittee Sig nature:X` `T Issued B , — Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Plumbin T Permit A lication FOR OFFICE USF ONLY .. Received Plumbing Date/By: ; N'�/ Permit N .:f�lYl U31 Cit Of 1'>t and HEGEIVE Planning Approval Sewer y g Date/By: Permit No.: 13125 SW Hall Blvd. AUG 14 2003 Plan Review Other Tigard,Oregon 97223 Date/By: Permit No,: Phone: 503-639-4171 Fax: 5p Post-Review Land Use G� (� CiARG Date/By: Case No.: Internet: www.ci.tigard.or.t���pp[[RR ISI Contact 1 's.: Sec Page 2 for 24-hour Inspection Request: SU3Ti �Y Name/Method: !( Su Icmental information. TYPE OF WORK FEE'SCHEDULE for special Information use checklist El New construction _ Demolition Description Qty. Fce(ea.) lotal [Addition/alteration/re lacemcnt Other: New I-&2-family dwellings (includes 100 ft.for each utility connection _ CATEGORY OF CONSTRUCTION T-- 1 SFR( bath&2-FamilySFR(2 dwelling Commercial/Industrial ) _ 249.20 )bath _ 350.00 Accesso Building Multi-Family SFR 3 bath 399.00 Master Builder Other: _ Each additional bath/kitchen 45.00 _ jOB SITE INFORMATION and LOCATION Fire slit inkler-sq. fl.: Page 2 Job site address: fy Site Utilities Suite M Bld ./A to Catch basin/arca dr!-.in 16.60 Project Name: Dr ell/leach line/trench drain 16.60 - - Footing drain no.linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.00 _ Sanitary sewer no. liner ft. Pae 2 Subdivision: _ J-1:0-t-#7- Storm sewer(no. linear ft.) Pae 2 -� Tax ma / arcel #: Water service no. linear fl. Page 2 DESCRIPTION OF WORK Fixture or Item Absorption valve I6.60 ------- .------__--._.._-_---__.-__-.--� --___-.- 13ackflow preventer - - Pae 2 —� Backwater valve 16.0 Clothes washer 16.60 --- --_ -- Dishwasher 16.60 Drinking fountain 16.60 PROPK•„&ILY OWNER JEI TENANT Ejectors/sum 16.60 Name: Expansion tank 16.60 Address: 9$' SW Sy,' Fixturc/sewer ca 16.60 City/State/Zip: r ('� Floor drain/floor sink/hub 16.60 Garbage disposal _ 16.60 Phone: _ _ Fax: Hose bib 16.60 _ APPLICANT CONTACT PERSON Ice maker _ 16.60 _ Name: i 5 ` _ Interce tor/ rease trap 16,60 Address: 12 K ,C/ Medical gas-value: S Pa c 2 Primer 16.60 City/State/Zip: Zee, O _ 7,363 Roof drain(commercial) 16.60 Phone:�Q1� T c� Fax_ Sink/basin/lavatory 16.60 E-mail: Tub/shower/shower pan _ 16.60 ^CONTRACTOR Urinal _ V 16.60 Business Name: t"g �,✓ j a� Water closet 16.60 - Water heater 16.60 Address: " � �____ Other: -- Cit /State/Zi _ 2. e, Lt,7 Other: -�- t _ Phone: Fax: Plumbing Permit Fee, CCB Lic. #: 77 Plumb. Lic.#: �' --- Subtotal % 77)'-t _ Minimum Pennit Fee$72.5t, t n Authorized ,ti'( Residential[3ackflow Minimum Fee$36.25 Stature: _ _ _ Date: ( _-O Plan Review 25%of Permit Fee S _ CSS State Surcharge(8%of Permit Fee) S (P case print name) _ TOTAL PERMIT FEE S Notice: Thls permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plant ssith isometric er 180 days after it has been accepted as complete. \ , riser diagram for pian review. 'Fee methodology set by Tri-(bunt Building Induory Service(bard. is\Dsts\Permit Fumssd'ImPcrmitApp.duc 01/U3 7 CITY OF TIGARD 24-Hour BUILDING Inspection Line: ( -4175 MST INSPECTION DIVISION Business Line: (`�31 689-4 71 �J BLIP Received Date Requested ____— _ AM PM — BLIP Location — r Suite MEC u Contact Person — -_- -- Ph(—) PLM /' '7 - y 7 -7_L_ SWR Contractor _ _ -.. Ph( ) ____ - -- - --- BUILDING Tenant/Owner _- _ 7 '� ELC _- Footing ELC -_ Foundation Access: Fig Drain Q Q _ �� ELR Crawl Drain SIT Slab Inspection Notes: �� - - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing InsulationO�� Drywall Nailing Firewall - � Fire Sprinkler — Q Fire Alarm C,Q(��'C C-1-- 1 Susp'd Ceiling Roof _ PASS PART_ FAIL — PLUMBING —____— S - Post& Beam Under Slab — — — Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other:---.-,,- ��- - PASS PART _NICAL Post&Beam _ Rough-In - Gas Line Smoke Dampers -- --- Final _ PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage - ---- Fire Alarm Final .i Rewspectron 1,- ( I z _ 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 Llne q ADA Approach/Sidewalk Date � ' 4 3• _ _ 1111p�etor -- ----`�---- -0�`C- ---�-- - Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL