13510 SW SANDRIDGE DRIVE 13510 SW Sandridge Drive
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639.4171
BUP
Recc ved Date Requested - " �_-_ AM_--.._ _ PM - - BUP --
Location _ _� I' l~ %y1, Suite__ ___ MEC
I cI -` `�r'
Contact Person _- ___�._ _ Ph( ) t -
PLM -
Contractor___ ^_ Ph(_. ) -- _ SWR ---
BUILDING i Tenant/Owner __— ,.— -__ _. —.. ELC
Footing ELC
Foundation Access:
Ftg Drain ELRC
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.
PLUMBIN-G
Post&Beam
Under Slab - ----- ---- --
4,17
Water Service ---.
Sanitary Sewer
Rain Drains — ---�--
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other:
Fina) - '
PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
F�, ART
•Lf=CTRIC
Rough-In _—
UG/Slab
Low
Fire A arm., �(J
FTffjL _e'
S PART FAIL F] Reinspection fee of$ — �required before next inspection. Pay at City Hall, 13125 5W Hall Blvd.
- FAIL
SI Please call for reinspection RE: _. _. Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date 3 Inspector
Other:
Final DO NOT REMOVE this Inxpoction record from the job site.
PASS PAR I FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (5031639-4175 MST 2 _OC,3 Z-
INSPECT!ON DIVISION Business Line: (503)639-4171 BLIP
Received Date Requested AM— PM BLIP -
Location Suite- MEC
� !
Contact Person --�Gl Ph(—) -S 34 (_ PLM
Conti - _-- Ph( ) — SWR
UILDI Tenant/Owner _ �.-_ --.--- ELC - -
- 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
Suap'd Ceiling --- _ -
Root ------------ -- --- -Other:— ------ --
fi'in
PAR'r FAIL
P BING
Post& Beam
Under Slab ---- ----
Rough-In
Water Service -- —
Sanitary Sewer
Rain Drains --
Catch Basin/Manhole _
Storrs Drain - — -
Shower Pan
Other: -
Final
jAB_S ` FAIL - -
CHA
Rough-In ---- --- -- - -- - - - ---- - --- ----_- -
Gas Line
Smoke Dampers -- ---------___.--.__ _-- --__ _� _— _._-_-_--
+n
AS _PART_ FAIL ------------------------- -------- - --- —_----
TRICAL
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_FAIT_
SITE ___ �] Please call for reinspection RE: — Unable to inspect-no access
Fire Supply Line
ADA [late _y � Inspector -_� �._Ext-
Approach/Sidewalk
Other:
Final DO NOT REMOV(F this Inspection record from the Job site.
PASS PART FAIL
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CITY
��� �� ������ MASTER PERMIT
PERMIT #: MST2002-00324
DEVELOPMENT SERVICES DATE ISSUED: 8/27/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13510 SW SANDRIDGE DR PARCEL: 2S105DD-04200
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 018 JURISDICTION: TIG
REMARKS: S/F Path 1
BUILDING _
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1.207 of BASEMENT! of LEFT: S SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.662 of GARAGE: 804 of FRONT: 24 PARKING SPACES: 2
rYPF OF CONST: 5N OWEI LING UNITS: I FINSSMENT: of RIGHT: 6
VALUE: S 292.024.00
OLCUPANCYGRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.94900 of REAR: 50
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: ! FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN t 100K: SOIL/CMP<AHP VENT FANS! CLOTHES DRYER: 1
GAS FURN>000K: I UNIT HEATERS: HOODS- I OTHER UNITS: 1
MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENT IAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 amp: 0 200 amp: WISVC OR FOR: I PUMPARRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: 1st WIO SVCIFOR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 •600 amp: 401 •600 amp: EA ADDL BR CIR: SICNALIPANEL: IN PLANT:
MAN HMISVCIFDR! 601 - 1000 amp: 601+amp14000v: MINOR LABEL:
1000*amp/volt: PLAN REVIEW SECTION
Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.sr RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&'STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPE)IRRIG. PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
TOTAL FEES: $ 8,020.49
Owner: Contractor: This permit is subject to the regulations contained In the
D.R.MORTON INC D.R.HORTON INC Tigard Municipal Code,State of OR. Specialty Codes and
5125 SW MACADAM AVE STE 145 4386 SW MACADAM all other applicable laws. All work will be done In
PORTLAND,OR 97201 SUITE#102 accordance wfth approved plans. This penult will expire If
PORTLAND,OR 97201 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 N: LIC 130659 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 8, Post/Beam Mechanical Mechanical Insp Shear Wail Insp Insulation Insp Mechanical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing trial 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 Insp
Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
ksued By : `,f} */r «4 Perrnittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
1TY OF
TI Gq®D _ SEWER CONNECTION PERMIT
DEVELOPMENT 3ERVICES PERMIT#: S7/02 -00225
A Rpm 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/22 7/02
PARCEL: 2S105DQ-04200
SITE ADDRESS; 13510 SW SANDRIDGE DR
SUBDIVISION: PACIFIC CREST ZONING: R•7
BLOCK: LOT: 018 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS: 1
CLASS OF WORK: NEW DWELLING UNITS: 1
TYNE OF USE: SF NO. OF BUILDINGS.
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection fee for new SF detached residence.
Owner: FEES
D R HORTON HOMES Type By Date Amount Rec,)ipt
5125 SW MACADAM AVE STE 145
PORTLAND, OR 97201 PRMT CTR 8/27/02 $2,300.00 27200200000
INSP CTR 8/27/02 $35.00 27200200000
Picone: 503-222-4151 Total $2,335.00
Contractor:
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
days from the date issued. The total amount paid will be forfeited if the pr,,-mit 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 byr/ �?r c �� ( � __ Perviittee Signature: JuJ L-;-
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next blr-;rness day 7�
(
Building Permit Application Moll
Date received: Pe�,l , �rZl- �-m3
City of Tigard
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projectlappl.no.: Expire date:
City r�j7'igard phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Paymenttype:
Land use approval: _ 1&2 family:Simple Complex: j
TYPE OF PERMIT
❑ I &2 family dwelling or accessory ❑Commercial/industrial O Multi-family New construction ❑Demolition
❑Addition/alteration/replacement U Tenant improvement ❑Fire sprinkler/alarm U Other:
JON 91TIE INFORMATION
Job address: Bldg.no.: I Suite no.:
Lot: Block: ISubdivisiotr. q t I Tax map/tax lot/accuunt no.:
Project name: 1
Description and location of work on premises/special conditions:
Name: �'�DVi'b h L7
SIMON
Mailing address: 125 1 &2 family dwelling:
City: �' State:Q ZIP: Valuation of work.......a9l a.A.q.f#p $
Phone: Z 5 I I Fnx: - mtdl: No.of bedrooms/baths........................ ........ 3 —
Owner's representative: ( Total number of floors................................. _ W
Phone: I Fltx: E-mail: New dwelling area(sq. ft.) ..........................
APPLICANIr Garage/carport area(sq.ft.) . _
_Name: p- V— - Y In Covered porch area(sq. ft.) ........................
Mailing address: ,mic a�0 V� Deck area(sq. ft.) ........................................ _
City: State: ZIP. Other structure area(sq. ft.)......................... _
Phone: has E-mail Commercial/industrial/multi-family: ,-
a t Valuation of work........................................ $
Existing bldg. area(sy.ft. _
Business name: V 1"D h New bldg.area(sq.ft.)..........
Address: 5 --
Number of stones ...... .... .......
City: Statc:p ZIP:
Type of co on .... ........
Phone: 1S Fax l L' mail: cy group(s): Existing:
CCA no.: O _ _ New:
City/metro lie.no.: Notice:All contractors and sutZontractors are required to be
ARCIIITFCIrIDESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: 'AL1 AS jurisdiction where work is being performed. If the applicant is
City: State: 'LIP:
exempt from licensing,the following reason applies:
Contact person: yi�., Plan no.:
Phone: i F:x: F.•mail:
Name: .C * 'ontact person: � _ Fees due upon application ........................... $
Address: /�/ tJi�lZ��h Date received:
TSI-
City: State:Q� zIP: / Amount received .......... .............................. $
Phone: ►ax: 4qC marl: Pleas, efer to fee schedule
I hereby certify I have read and examined this application and the Nd all tunxhcttons accept credit cards,pleme call jurisdiction for more mformauon
attached checklist. All provisions of laws and ordinances governing this o Visa O MasterCard
work will be complied wit,whether specified herein or not. credit card number — --- Exp; ,
Authorized signature: Date: -- � Nana of-rlholder as thrown on credit card V
Print name:_Ah Cardholder si r�rnuure s Amount
Notice:This permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. .1464613(60/COM)
Electrical Permit Application
Date received. Permit nil
City of Tigard Project/appl.no.: Expire date.
CitynjTigur,l Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: � ey Recerptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case rile no.: Payment type:
Land use approval:
Cl 1 &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family Q Tenant improvement
New construction u Addition/alterntion/replac ement ❑Other: ❑Partial
J011111MEYFORKATION
Job address: Bldg. nu.: Swte no.: Tax mop/tax lutlaccount no.:
Lot: Block: Subdivision: / — _
Project name: Description and location of work on premises: T
Estimated dale of completion/insrect ion:
1 61K APPLICATION1
Job Ito: Fee Max
Business name: (��yj _ -- -- Description (?ty. (im.) Total no.Ins
New residential-single or multi dandly per
Address: duelling unit.Includes aaactted garage.
City: State:o -LIP: Service included:
Phone: Fax: VW E-mail: 1000 sq.ft.or less 4
CCB no.: Elec.bus. tic.nu:
Each additional 500 sq.ft.or onion thereof
CCB no.: it!1C I
Limitedenergy,residential 2
City/metro lic.no.: 7i`�- _ Liniiicdenergy,non-residential 2
Each manulactared home or modular dwelling
SiRnorurd ojsupervisinR dectrtcian/required)i pore Service and/or feeder 2
Sup electname(p.ini License no Services or feeders-installation,
alteration or relocation:
PROP RT"iOWAR200 amps or less 2
Name(print): 201 amps to 400 amps 2
address: - � 4111 amps to 600 amps 2
Mailing Q 601 amps to 1000 amps 2
City: Slate: ZIP: o1=1 Over Ilxxl amps or volts 2
Phone: Fax: E-mail: Recormcctonly I
Owner installation:The installation is being made on property 1 own 'temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:
ORS 447,455,479,670.701. 200 amps or less 2
201 amps to 400 amps 2
Owner's si'nalum., Date: 401 to 600 amps 2
Branch circuits-nen,sherstion,
or extension per panel:
Name: $ *bM_ A. Fee for branch circuits with purchase of
Address: J service or feeder fee,each branch circuit 2
City: State: ZIP' Q B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit-. 2
Phone: _ Fax-v E-mail.61 F ach additional branch circuit.
Misc.(Service or feeder not Included):
❑Service over 225 aial.v-commercial U Health-care facility I Each pump or imgution circle _ _ 2
U Service over 320 amps rating of 1 dt2 U Hazardous location Hach sign or outline lighting _ _ 2
family dwellings ',Building over IO.fxx)square tee(four or Signal circuit(s)or a limited energ�panel.
U System over 600 volts nominal more residential units in one structure alteration,or extension* - 2
O Budding over three stories U Feeders,4110 amps or more 10escri tion.
U(kcupanr load over 99 persons U Manufactured structures or RV park FAch additional inspertion over the ellnwahle in any of the above:
❑Egress/hghungplan U Other Perins ecuon _
Submit__sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service.
other
Not NI)udsdictions accept credit cards,pleme can jurisdiction for more infomuuon. Notice:This permit application Permit fee.....................$
U Viso U MasterCard expires if a permit is not obtained Plan review(at _ %) $
Credit card number. __-
within ISO days after it has been State surcharge(8%) ....$
spire accepted as complete. TOTAL ........ ..............$
Name of c o r a shown one It c
S
Cardholder sipature Amount 440.4615 l6MCOMI
Mechanical Permit Application
A Date received: Permit no
City of Tigard ProjecUappl,no.: Expire date:
CityglTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receiptno.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi•fantily U Tenant improvement i
U New construction 0 Atlditiotl/alteration/rei,lacement U Other:
.1011 SITE INFOItMATION
Job address: Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: U value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Block: Subdivision: If 6 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: v=j a 104 1111 A
Description and oration of work un premises:_ •s t x' 1 ' a i x "t y'
[ee(ea.)j total
Est.date of completion/inspection: — nr_ticripti tt qty. Rei.only I Res.only
Tenant improvement or change of use: 7;7A
AC:
Is existing space heated or conditioned?U Yes U No handling trio
Air conditioning(sue required)
Is existing space insulated'?U Yes U� i Alteration of existing
HVAC
system
MECHANICAL CONTRACJOR
-Wer/compressors
Business name: State boiler permit no.:
HP Tons BTU/H
Address: tjL) Fire/smoke dampers/duct smoa stertors
City: A InVA, I State: I ZIP: pp 1 Heat pump(site plan required) — --
Phone: _Fax: E-mail: nsta rep ace umuc umer
CCB no.: ^/l Including ductwork/vent liner U Yes U No
nsta rep ac re locate heaters-suspcn e ,
City/metro lic,no.: wall,or Floor mounted
Name(pit print): + j5f3Cg
Vent forappliance other than furnace ---
tNTACT PERSON e ger•at on:
AbsorptionunitsBTU/H
Name: /V core S 07 Chillers HP
Address: Compressors. _ HP
nv ronmentaaleUm-ust and ventilation:
City: I State: ZIP: D Appliance vent
Phone y- Fax: - 39l I E-mail: Dryerexhaust
Hoods,Type res.kitchenthazmat
hood fire suppression system
Name: �ij _ Exhaust fan with single duct(bath fans)
Mailing address: Z � xhaust systema art fromTcatin or AC
City: ,/�/ Q State:QIC 7.[P: ue piping an st ut on(up to outlets)
!v Ty c:
LPG NO oil
Phone: j?, - / -tie i n eadditional over out etsf _
Process1101 a piping(schematic required)
Name: o C�/f/ Number of outlets
Other Ildia appliance or equipment:
Address: _ .5E [�f( e' Decorativefire lace
City: State: Z11. /6- Insert-type
Phone: Fax: f E mall: oo stove/pe et stove _^
Other:
Applicant's signature: j Date: �Z- t er.
Name (print):
Not all jurisdictions accept ctubt cards,please call jurisdiction far ttw+re mfotrrutton. Permit fee.....................$
U Visa U MasterCard Notice:This permit application Minimum fee........ .......$
expires if'a permit is not obtained Plan review(at _ 3'c) $
Credit cord number _-- -----.---.—__-- —�---/ -- --
Expires within 180 days after it has been State surcharge(8%) ....$
Name of cudholder as shown on ciedit card -- accepted as complete.
S TOTAL .......................$
Cardholder signature Amount
1404611 IhWCOM I
Plumbing Permit ;pplic-itio>'n
'—'�-- Date received: Fermat n..
City of Tigard Sewer permit no.: Building permit no..
Address: 13125 SW Hall Blvd,Tigard,OR 97223 pro ecda I no.: Expire date:
C.itynj7'igard Phone: (503) 639-4171 pp
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land use approval: ._ Vase file no.: Payment type:
61
U I &2 family dwelling or accessory U Commercial/industnal U Multi-family U Tenant improvement
New construction J Addition/alteration/replacement U Food service U Other:onogm _
1 1 1 1 r ,
Job address: P ;W11 ���/,�'j,,� Description Qty. Fee(ea.) Total
"' �= New I-and 2-family dwellings only:
Bldg.no.: Suite no,' (includes 1OUft.for each utility connection)
"Description
count no.: SFR(1)bath _
Block: Subdivision: 204 SFR(2)bath
SFR(3)bath
VQ ZIP: Each additional badvlutchellcation of work on premises:r Siteutllities:
Catch basin/area drain
rywells/teach line/trench drain _—
Est.date of completion inspection: Footing drain(no,lin. ft.)
PLUMBING 1 Manufactured home utilities
Business name: G, P Nrhbly►0� r Manholes
Address: $Z Rain drain connector _.
City: State: ZIP: pD Sanitary sewer(no. lin. ft.)
Phone: - C Fax: E-mail: Storm sewer(no, lin. ft.) —
Plumb.bus.re no: Water service(no. lin. ft.)
CC_B no.: g' 3 Fixture or Item:
City/metro lic.no.: Absorption valve
Contractor's representative signature: _ Back flow rp eventer
Print name: Date: Backwater valve
Basins/lavatory
Clothes washer
Name: IG '2 — Dishwasher
Address: /2 Drinking fountain(s)
City. /,� xh, StatCV4 Z1P: 7 Ejectors/sum _
Phone: -711�y//57 Fax: E-mail Expansion tank
Fixture/sewer cap _
Flour drains/floor sinks/hub
Name(print): �. IfDr,<v�f �N/rS __ Garbage dis sal
Mailing address: Huse bibb
City: State: ZIP: _ ice maker _
Phone: ^ - Fax: 2 - 5 1/? E-mail: Interce tor/grease trap
Owner install ation/residential muintenance only: The actual installation Primer(s) _
will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's siimuture: Date: Sum
Mill Tubs/shower/shower pan
Urinal
_Nome: L GG 67 Water closet
Address: Water heater
City: j State: ZIP: / Uther:
Phone:n Fax:Wj -17 E-mail: _ • otal
Minimum fee................$
Not tdl jurisdictions accept credit cards,pleue call jurisdiction for more information. Notice:This permit application Plan review(at _ %) $
O Visa 0 MasterCard expires if a permit is not obtained State surcharge(8%) ....$
Credit card number Expires within 180 days after it has been TOTAL .......................$
accepted as complete.
Name of cardholder u shown on credit card s
Cardholder d`nNure 44n16161On/CUM1
Amount
PACIFIC CREST SUBDIVISION
LOT - Is
CITY OF TIGARG
LANDSCAPING FOR THE ENTIRE LOT
SHALL BE FINISHED OR THE LOT '
,� SURROUNDED BY EROSION CON'R.7_
EL-561 n"54 EL-550' PRIOR TO BREAK OUT OF COt
uPERTY u E EROSION CONTROL. FINISHED SLOPE
6 9. 0 SHALL BE LESS THAN 2 TO I
I� SE TBA LINE
I
I
I I
i NOTE:
`I \ I.ROOF DRAINS TO STORM
LAT, IN STREET.
W1 2. FOUNDATION DR/ 'N5 TO
BACKYARD SOAKAGE TRENC6-•
L\� W O SEE ATTACHED DETAIL
I O O
O i I Cp
O _ l O CD
r
O - r
o I
V)
r1
M
�J
I I
cnI GARAGE
PL N 2S414cJ SOFT. . 528
FW E 29541' FIN EL 542.5'
\ I
I
I
II
I
I '
1
I
I
_-m J _._—___.____—___
TEMP. GRAVEL ; THE APPROACH SHALL BE
DRIVEWAY
A MINNMUM OF 8"xI2'x20'
4 T OF CLEAN PIT GRAVEL
_ 69.0
InRIAN EL-942'
DT -_-----
"✓ SAH t
SETBACK REQUIREMENTS
SCALE 1•-20'-0' 1 8 FRONT YARD TO GARAGE 15'
SIDE YARD S'
-7 ) 590
' 5 9 O REAR YEARD - -------..._-- 15
APDRE88 UD 10 ft 5MC)RIDGE DR D.R. Horton Homes
PLWH 2141A
9CAL.E, I" .20
D.s.TE vio, 5125 S.W. Macadam Aveneue
P�IONE �o�s2t.41s1
Fort land FA"A 503n2_3".
_CITY OF TIGARD ELECTRICAL
ESTRICTEDENERGY
DE VELOPMENT SERVICES
PERMIT#• ELR2002-00189
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 [LATE ISSUED: 9/24/02
SITE.ADDRESS: 13510 SW SANDRIDGE DR
PARCEL: 2S105DD-04200
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 018 JURISDICTION- TIG
Proiect Description: All-encompassing low voltage.
A. RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: — INTERCOM & PAGING:
BURGLAR AL-ARM: BOILER: LANDSCAPE/IRRIGAT:
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 SYSTEMS:
Owner: Contractor:
D R HORTON HOMES AZIMUTH COMMUNICATIONS INC
5125 SW MACADAM AVE STE 145 P.O. BOX 508
PORTLAND, OR 97201 WILSONVILLE, OR 97070
Phone: 503-222-4151 Phone: 503-639-0110
Reg#: ELE 36-94CLE
SUP 2312JLE
LIC 145828
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 9/24/02 $75.00 2720020000 Elect'I Final
5PCT CTR 9/24/02 $6.00 2720020000
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 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987. �`
isisued by _. l! f �. _—_-- Permittee Signature�blL ✓/''�'_'/�'-Z
OWNER INSTALLATION ONLY
The installation is being made on property I own which Is not intended for sale. lease,or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'NDATE:
LICENSE NO-
Call
O-
--_
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electdcal PernitApplication
--- w� Datereceived: Permit no.:,
city Of Tigard Prujecdappl.no.: Expire date.: — -
City trjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date iuued: 13 :- ! Receipt no:
Phone: (503)639-4171
Fax: (503) 598-1960 Cess file no.; Payment type:
Land use approval: 7.2.00e? -ODA /
r&2 y dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
uction ❑Addition/alteration/n pl:, •mend t.3 Othcr: U partial
1
Bldg.no.: Suilr no.:
Job address: Tax map/tax lot/account no.:
—
�)
iLotk LID Block: Subdivision:
Project name. Chsscnption and location of work on piemises: VO-AAA, F -AL'Y_ 1
Estimated date of completion/inspection:
t '
Fre I Max 1
Job Ooi _ Description Qty. (ea-) TO(al uo,insp
Business name: �►IY11A Opts IM 7/ S — IVrw rrsir4 iW1-single Of inaki lamnV pr
Address: , ( 1 y 4i7 deellingnink.Inc"
:attaclredgarage. S
KJi)lLLE Slated ZIP: ?V' U ser.ininciaded:
1=I sq.ft.or less a
Phone:56 3 63 DLIV D 3Of 0 '-mail: —— --
Each additional 500,q.R.or portion thereof \�
CCB no.: - F.lec.bus.lic.no: b- 'CE Limnedenergy,residential 2
City/m ro tic.no.: VtFax� S __ Umiled energy,non-residential 2
C L Each manufactured home or modular dwelling t
Service.ndlor feeder 2 F.
Signa arc of supervising elect ( cored a Serrlccsorfeedera-installallon, - r.
Sul, drrl nnnw� vnnr) /_ (�Z tG r,icenserro: Z;LL or relocation:
' 200 amps Of less 2
2111 amps to 400 amps
2
Name(print): 401 amps to 6U(l amps 2 N
Mailing address: �a _ 601 amps to Imo snips � 2
City: Slate: ZIP: Alt Over I(I(1(1 amps or volts _ 2
Phone:J.1L- Iteconoectonly 1
Fax: E-mail:
Temporary txrvM:n or feeders-
Owner installation:'lite installation is being made on property 1 own inna11.11on,allenrlon,orreliocation;
which is not intended for sale,lease,rent,or exchange according to 21x1 amps of less 2
ORS 447,455,479,b 26i ramps to 4110 amps_ 2
Owner's signature -_ --- Date: 02, _4oi i rdx)ungrs - --� 2
He aur to circuits-new,alteration,
i, or extension per panel: '
Name: A Fre for blanch racuits with purchase of
Address: service or feeder fee,each bt.rreh circuit 2
State: I
ZIP: R Fee for branch circuits without purchase
City;
_.._ -- - of service or feeder(cc,first branch circuit: 2
Phone: Fax F, mail Each additional branch circuit: --
Misc.(Service or feeder not Inc Wed): x
Fitch pump or irrigation circle _ 2
U Service over 225 amps-commercial U 11csllh cmc(adder; Each sign or oudine lighting — _ 2
U Service over 320 amps-rating of 1 R2 U listArdous htcauon Si nal circuits)or a limited energy panel,
fnmily dwellings U Building over lo.(XX)square fret four of g 2
U System over 600 volts nominal none residential[mics in one structure alteration,a extension" —
U Building over three stories U Feelers.400 amps or more •Uescri tion: -
U Occupant land over IN persons U Manufactured structures or H V pork Fach additional inspection oxer the allocable In any of the above:
U Egiess/lightingplmr U Other _------_--..- ..-_ ----_ --- Per inspection —
Submit__sets or plans with any of the above. Investigation fee
The above are not applicable to temporary com1ructloo service. Others
Permit nee.....................$
Non all Immicrims erecta cmdh calls,pleraw. call imisdictim for more Wormetion. Notice:"is permit application
iif ermil is not obtained Plan review(at _96) $
U Visa U expires a MastrrCard P ` State surcharge(890)....$ y `
('ceder caro member —_.---.-- _.._-- Expires—. within 180 days eller it has been � �
accepted as complete. TOTAL .......................
N �adrolder 0 ahshows an cruel end - s
——O'adholder sipsuire - AlwarN 4464615(WYCOM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
p Restricted Energy Fee... ......... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total I Check Type of Work Involved
Residential-per unit
1000 sq ft or less _ $14S 15 4 � Audio and Stereo Systems'
Each additional 500 sq R or NY
portion thereof __ $33.40 i_ 1 (� Burglar Alarm
Limited Energy $7500
Each Manufd Home or Modidar
Dwelling Service rx I oedor $90.90 — _ 2 ❑ Garage Door Opener'
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less —�___ $80.30 2
201 amps to 400 amps — _ $106.85_ 2 ❑ Vacuum Systems
401 amps w 600 amps 5160.60 2
601 amps to 1000 amps _— $240.60 _ — 2 Other
Over 1000 amps or volls _ $454.65 2
Reconnect only _u— $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 2 (SEE OAR 918-260.260)
201 amps to 400 amps _ $100.30 _— 2
401 amps to 600 amps _ $133 75 — _ 2 Check Type of Work Involved.
Over 600 amps to 1000 volts,
see"b"above. ❑ Audio and Stereo Systems
Branch Circuits ❑
New,alteration or extension per panel Holler Controls
a)The fee for branch circuits
with.purchase of servlco cr �_, Clock Systems
feeder fee.
Each hrarch circult $5 65 _ 2 U Data Telecommunication Installation
b)The lee for branch circuits
without pum!,asc,of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $4685
Each additional branch circuit --— $665- -- ❑ HVAC
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or irrigation circle _ $53 40 _ _
Each sign or outline lighting --� _ $53.40 ❑ Intercom and Paging Systems
Signal circuit(s)or a limited energy
panel,alteration or extension __ $75.00 —_J_ ❑ Landscape Irrigation Control'
Minor Labels(10) $12500 —��
Each additional inspection over — ❑ Medical
the allowable in any of the above ❑
Per inspection - $6250 - Nurse Calls
Per hour $6250
In Plant $73 75 __ _ C� Outdoor Landscape Lighting'
Fees: Ej Protective Signaling
Enter total of above tees $ F] Other.-
8%
ther.-8%State Surcharge $ _-Number of Systems
25%Pian Review Fee
See"Plan Review"section on $ No licenses are required Licenses are required to.all oilier installatons
front of application --------- — -
----- Fees:
Total Balance Due $
Enter total o/above fees
Trust Account# 8%State Surcharge
Total Balance Due
All New Commercial Buildings require 2 sets of plans.
i;\dsts\form&\elc•fees.dm 08/30/01
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00252
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/9/03
PARCEL: 2S 105DD-04200
SITE ADDRESS: 13510 SW SANDRIDGE DR
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 018 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
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: tt
WATER CLOSETS: WATER LINE: tt
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of residential backflow prevention device for irrigation systern.
FEES
Owner:
-- Description Date Amount
EVELYN ROSL.ING 6/9/03 $36.25
13510 SW SANDRIDGE DR II I \llt� I rinn� I r
TIGARD, OR 97223 619/0:3 $2.90
Total $39.15
Phone
Contractor: _
ESEQUIEL ROBLES LANDSCAPING
7076 RIDGEMONT DR N
KEIZER, OR 97303 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone : 503-390-4353 Final Inspection
Reg#: I'l.M 7784
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 Pxpire 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
J
Issued By: ( /� ''_ Permittee Signature _ c� ,1''
Call 503 639-4175 b 7:00 P.M. for an inspection needed the next buusstness day
1 � y
tiu><Idu>Ig r >txtures
Plu�� Bing Permit Application 'NLY
Received Plumhurg
Date/By: Pernut No..
CityCit of Tigard Planning Approval Sewer
g Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review other
Tigard,Oregon 97223 Da Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/By Case No.:
.
Internet: www.ci.tigard.or.us Contact 1uris.: Sec Page 2 for
24-hour Inspection Request: 503-639-4175 Namc/Method: Supplemental information,
TYPE OF WORK FEE*SCHEDULE forspecial information use checklist
_EJ New construction Demolition Uescri tion t1h. Feclra.l total
Addition/alteration/rep]acerni Other New i-&2-family dwellings
CATEGORY OF CONSTRUCTIONincludes 100 ft.for each u llity connection)
SFR(I bath _ `24+/.20
1 &2-FamilydwellingCommercial/Industrial SFR(2)bath _ 350.00
]Accessory Building Multi-Family SFR 3 bath _ 399.00
Master Builder I ❑Other: Each additional bath/kitchen 45,00
JOB SITE INFORMATION and 14CATION Fire sprinkler-sq. fi: Pae 2
Job site address: I ;�: ` o-I L'v , d s ,, 0 F. Site Utilities _
Suite#: _ Bldg./Apt.#: Catch basin/area drain 16.60
Project Name: Dr ell/leach line/trench drain 16.60
Footing drain no.linear ft. Pae 2
Cross street[Directions to job site: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 10.60
Sanitary sewer(no. linear ft.) Pae 2 _
Subdivision: I.ot#: Storm sewer no. linear ft. _ Page 2
--- -- �-- Water service no.linear ft Pae 2
Tax map/parcel #: Fixture or Item
DESCRIPTION OF WORK Absorption valve _ 16.6(,
G, _T,M1 11). ,�5�c'r4 _ Backflow prcvcnlcr Page 2 _
Backwater valve 16.60 _
Clothes washer 16.60
-- - - - ---- -- -.. - -- - Dishwasher 16.60
Drinking fountain IG.GO
PROPERTY OWNER TENANT Ejectors/sum 16.60
Name: J Z�%ft (� . r't� t ;� Expansion tank 16.60 _
Address: itr; ,5 u: :,C1 v, r e `�j(' lZ,__ Fixturc/sewer cap 16.60
City/State/Zip' Floor drain/floor sink/hub 16.60
�� - --- - - Garbage disposal 16.60
Phone: _ _A _ Fax: _ ;iosc bib 16.60
PPLICANT CONTACT ON
-- __ -v Ice maker _ I6.60
Mum: ,�, , �,i c _ Intcrcc tor/ rcase trap 16.60
Address: p yA c#1 '� ,t/ Medical gas-value: $ _ Pae 2
City -: i< L 0 2 Prinmer r 16.60
Roof drain commercial _ 16.60
Phone: ,t j )YC, c)3-�g Fax: Sinl Amsin/lavatory 16.66
E-mail: _ _ Tub-shower/shower pan 16.60
^,v_.•vTRACTOk Unnal- 16.60
Business Name: _j, � i Water closet 16.60 _-
laill� � f Water heater 16.60
Address:-)L. ) ' 9,-,k 4D R IV Other: -
Cit /State/Zi ' Zv. ,r t other:
Phone: _ Fax_: ry f. ^ ' Plumbing Permit Fees" -
CCB L1C. #: PlumSubtotal $b. Lic.#: ]-)� Minimum Permit Fce4j-Z�T• $
Authorized C, ) Residential Backflow Minimum F $36.25
^ "
Signature: __.___. Date:��e'$ Plan Review 2595 of Permit ree) $
_ State Surcharge 8%of Permit Fee) $ c. '
(Please III lilt r,:rrr,r t -- - ----TOTAL PERMIT F_EE $
Notice: This permit appllration c%pRc%if a permit Is not obtained Nithin All new commercial buildings require 2 sets of plan%Nath Isometric or
190 days aftee it has heen accepted a%cnmplil riser diagram for pian;e%lc%.
'Fee methodology set by Tri-('ounty Buildin Indu%u 5cr,icc Hoard.
is\Usts\PermitForm%\Plml'ermitApp.doe 01101
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Su pression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
I-ooting drain- I" 100' - 5500 0 to 7,(9M) -- -- $115.110 � ----
Footing drain-each additional I(V 46.40 2,001 to 3,600 —_-__ $160.00 -�
3,601 to 7,200 $220.00
Sewer-1st 100' 55.00 7,2111 and�rcater _ $309.00
Sewer-each additional 100' 46.40
Water Service-Ist 100' 55.00 Medical Gas S stems'
Water Service-each additional 100' 4640 Valuation: Permit Fee:
Storm&Rain Dram- Ist 100' 55.00 $I.(9t to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$L52 for each
l Total additional$100.00 or fraction thereof,to and
Fixture or Item Q y Fee(ra) including$10,000.00.
Commercial Back Flow Prevention Ikvuc 46.40 $10,001.00 to$25,000(9) $148.50 f'or the first 510,000.00 and$1.54 for
Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to
minimum tmit fee$36.25 27.55 and including$25,000.00.
Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
each additional$100.00 or fraction thereof,to
Inspection ot'existing plumbing or and including$50,000.00.
specially requested ins ections-per hour 72.50 $50,001(9)wad up $742,00 for the first$50,000.00 and$1.20 for
Subtotal: each additional$100.00 or fraction thereof.
Fixture Work:
Are you capping, moving or replacing existing fi•.tures? If
",yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
uantil by Future Work Performed Comments regar(ling fixture work:
Fixture Type: Replace
New Moved _Existing Capped --— ---- - ---—
Bn list /Font --- - - ----------
Bath -Tuh/Shower
-Jacuzzi/Whirlpool - ---— —�-- -- - - -
Car Wash -Tach Stall
-Drive Niru
Cuspidor/Water Aspirator -"---
Dishwasher -Commercial -
-Domestic
Drinking Fountain ------_---- —~-----�---_-
E e Wash _ ------- ------
Floor Thain/sink -2"
-4"
Car Wash Drain *Note: If file fixture work un(ier this permit results in an
Garbage -Domestic
Disposal -Commercial _ increase of server F.I)Us,a server permit will he issued and
-Industrial fees assessed for the sewer increaN must be paid before the
Ice Mach./Refri .Drains plumbing permit can he issued.
Oil Separator Gas Station
Rec,Vehicle Dump Station
Shower -clang
-Stall
Sink -Bar/Lavatory
-Bradley
-Commercial
-Service _
Swimming Pool Filter
Washer-Clothes
Water Extractor
Water Closet-lbilet _
Urinal
Other Fixtures:
is\Dsts\Permit Forms\PlmPermitAppPg2.doc 01103
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
ReceivedDate Requested_ _ AM----- PM- - _ BUP
Location _. /✓5/2 Suite MEC
Contact Person _ -- -- Ph PLM
Contractor_. - __.-- Ph( ) ------_--- _.__ SWR —
BUILDING Tenant/Owner ELC
Footing ELC -
Foundation Access:
Fig 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
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
tr: PART FAIL
HANICAL _
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL - -- _- -- ----__-- -� ----- -
ELECTRICAL
Service -- -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL �-� Reinspection foe of required before next inspection Pay at City Hall, 13125 SW Hell Blvd.
Sn Please II for reinspection RE:- Unable to inspect-no access
Fire Supply Line if
ADA Date - Inspector �✓�_. - - ff.xt----
Approach/Sidewalk
Othe►:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL