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13555 SW S indridge Drive
FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 08:34AM P2
Plumbing Permit Application
pitta received: ' Permit no.: - 7
City of Tigard Sewer permit Puildinc pcmtit
Acldress; 13125 SW Hell Blvd,Tigard,OR 97223
Ciry u/Tib nrd phone: (503) 639-4171 Projeat/a�pl.no.: Expire dntc,
ax (503) 598.1950 Due Issued: Ay: Receipt lie.-
Land use approval. �- --- Cao ale no.: I hsyment type
I 0 1 &2 family dwelling or accessory UCommerc:61/industrial 0Multi-i:1111i1y ❑Tenant imprrivemont
❑New construction OAdditiun/nitcration/replacemen t ❑Fond Hervicc 13 Other
Job address: 3tJ�7 f)evcrl tl�nn t . Uee en. Total
Bud no.; New 1-and 2 fnm y dil we111n's msy:
8 Suite no,: u
Tax map/tax lot/account no.: (Includes 100 ft.for each utility conucrlinn)
SFR(1)bath
Lot; Block; Subdivision; (2)bash` -`�"
Ih•nject name: _ SFR(3)bith --
Cil /count : ZiI': Each additional both/kitchen -
Description and location of N irk on premises; �_'� slit utilltletl
_ Catch basin/area drain
Est.date of con lotion/ins ection; wells/lent t me/trent t c rain
iiiiiiiiississid Footing drain'no,
Manu actured humc utilities
Business name -d- st 111_C Man,o es
Address: U x j Wip" f 00
- Rain drain connector
Ci► ; State ZIP' --T Sanitarysewer�(no,lin,Ill.)
Phone:` Fax Wy� E•mail: torn sewer(no,lin. ft.)
CCIi1 no.: & p. Plumb.bus. reg,no: •/ P' afar service nu.Ti it. .
City/metro lie,no.:___AfV/ Fixture ar Item:
Absorption valve
Contractor's representative signature; Hack Ilow nrsvcnter
Print name: Uate: - ac water valve
assns/levnfor —_�
Name: of ics washer _
Address-- Dishwasher
---- Dan inountoin(a)
City; Stntc: 7.iip.
get s/ um
Phone: Fax: I E-mail: I Expancinn tank r
extort/sewer cap
Name(print); Floor drains/floor sinks/hu
MalIIng address: ^" `- - Garbage di osa
I lose hibb
City: State: ZIP: Ice maker
Phonc; Fax; B-mail: Interretor/gressu trap
Owner installmion/residential maintenance only: The actuni installation Prime s) _
will be made by me or the maintenance and repair made by m) regular Roof drain commercial- _
employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),Tays(s) _
Owner's si nature; Date; Tubs pan
Name: Urinal
Address; Walercloacl
er h
Watealer
City: State: 2111 Other: -
Phone: Fax; E-mail: Totol
Not nil juri/diepnnt accept acdn ennit,plente eau)utiadicann rnr more nnrmmtflnn. Minimum fee................$
Konee: This permit sppllcation ,
U Vial U Met Kent eipirri it a pemut is not nhtnintd Plan review(at_ A1) $
Credit enrd number J■iI.-p i-- within ISO days offer it hss been State surcharge(A%)....S
V led Tete. TOTAL....................... E
- n�1 IBe OT Pu n t!f 111 t Own un 1 tar ecce p os complete
nrd n r ilpnnturo "—` Ameunl 110•46I6(Nf11YCOM1
,L
CITY O F( T I G A R D MASTER PERMIT
PERMIT#: MST2002-00275
DEVELOPMENT SERVICES DATE ISSUED: 8/27/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13555 SW SANDRIDGE DR PARCEL: 2S105DD-06200
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 038 JURISDICTION: TIG
REMARKS: New SF detached dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1.380 of BASEMENT: 830.00 of LEFT: SMOKE DETECTORS: Y
T'PE OF USE: SF FLOOR LOAD: 50 SECOND: 1,352 of GARAGE: 625 of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT:
VALUE: S 348,184.10
OCCUPANCY GRP: R3 BDRM: 6 BATH: 3 TOTAL: 2,132.00 of REAR:
PLUMBING
SINKS: I WATER CLOSETS: T WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 50 TRAPS.
LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINE:': 50 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 50 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS. CLOTHES DRYER: I
LPG FURN>000K: I UNIT HEATERS: HOODS: I OTHER UNI18.
MAX INP: 100.000 btu FLOOR FURNANCES: VENTS: I WOODSTOVES: I GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _MISCELLANEOUS _ADD'L INSPECTIONS
1000 SF OR LESS: I 0 - 200 amp: 0 200 amp: WISVC OR FDR I PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 5003F: 7 101 400 amp: 201 400 amp: lot WIO SVCIFDR: 50 SIGNIOUT LIN LT: PER HOUR:
I..IMITED ENERGY: 401 600 amp401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANLI HMISVCIFDR: 601 • 1000 amp: 6014 ampo•1000v: MINOR LABEL:
10000 amDlvolt
PLAN REVIEW SECTION
Reconnect only: >=4 RES UNITS: SVCIFDR>•115 A >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCY. INSTRUMENTATION- MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Contractor: TOTAL FEES: $ 8,562.91
Owner: This permit is subject to the regulations contained in the
DR 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 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
Reg M: LIC 130654 forth in OAR 952-001-0010 through 952-001-0060. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246.1987
REQUIRED INSPECTIONS
Erosion Control Insp 81 Ftng Drain Bsm't Walls Framing Insp Insulation Insp Mechanical Final
Sewer Inspection Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Footing Insp Plumb Top Out Exterior Sheathing Insl Water Line Insp Final inspection
Foundation Insp Electrical Service Gas Line Insp Water Service Insp Building Final
Plm/undslab Insp Electrical Rough In Gas Fireplace Electrical Final
Issued By i - , Permittee Signature : V —
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES E ISSUERMIT D:
S27/02 o�1a1
13125 SW Hall Blvd., Tigard, OR 97223 (503) b39-4171 DATE ISSUED: t3/2?�02
PARCEL: 2S i05DD-06200
SITE ADDRESS; 13555 SW SANDR.DGE DR
SUBDIVISION: PACIFIC CREST ZONING: R-1
BLOCK: LOT: 038 _ 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:
Remz.rks: 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 8!27/02 $2,300.00 27200200000
PORTLAND,OR 97201 INSP CTR 8/27/02 $35.00 27200200000
Phone: 503-222-4151 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewag, Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measuremi.nt given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION. Oregon law requires you to follow rules adopted
by the Oragon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through CAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987.
Issued hy:
Permittee Signature:
�C � _ --
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
-PJ3r Q - G O Z r.37 pp !rP/
Building Permit Application
City
^ t9eL. Permit no.H_0;200c2 DOa7
City of Tigard --
Address: 13125 SW Hall Blvd,Tigard,OR 97223 1'r r�Jcct/appl.no.: � xpiredate:
City njTigard
Phone: (503) 639-4171 Date issued: R y: i Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: 1&21. dy:Simple Complex:
TYPE OIPPERMiT
❑ 1 &2 family dwelling or accessory C]Cornnu•rctal/indw sal J N'ulu larntly XNew construedon CJ Demolition
❑Addition/alteration/replacement ❑Tenant nnpmvement J Fire sprinkler/alarm ❑Other:
J 1 '. SITE INFORMATION
J- Job address: ! �� _ _ Bldg.no.: Suite no.:
Lot: ^ Block: Y Subdivision: (,)! i( ' C�y r' 1'fax map/tax lot/account no10.5t,n$t, %'4
Project name: i .0 -
Description and location of work on premises/special conditions:
-ION, USE CIIECKLISY
OWNI'll FOR SPECIAL INFORMA1
Nance: N"6►'j� ('7 (Floodplain,septic teppacity,,solar,etc.)
Mailing address: jZ15 ' 1 & 2 fanail� dnelliag:_?�Cr
State: p ZI P:�1� Valuation of work.....�1�f d 7 '4 7 r .......
Phone: y41,51 Fax: -1j'] ,-mail: No.of bedrooms/baths................
.................
Owner's representative: 11W, tb&bkl Total number of floors.................................
----------- -
Phonc: E-mail: New dwelling area(sq. ft.) ..........................
APPLICANT Garage/carport area(sq,ft.)
Name: (�• Hl Y 1 V_1 Covered porch area(sq.ft.) .........................
�! Deck area(sq. ft.) ......
Mailing address: ytt- Gi �l0 V G�
City: State: ZIP: Other structure area(sq, ft.).........................
--_-- Commercial/ ustrial/multi-famll
Phone: Fa.x: F, snail: y'.........
Valuation of work......
Existing bldg.area(sq. ft.) .... ........... „r ^
Business name: Y " h New bldg.area(sq.ft.)...........
Cdyress: State:p ZIP: Number of stories.... ..........�:�.,`
Phone: _ ,•41, Fax: yy�- E-mail:
Type of co ion.................................... _
Occup cy group(s): Existing:
CCB no.: o -17— -
New:
City/metro lic.no Notice:All contractors and subcontractors are required to be—
licensed with the Oregon Construction Contractors Board under
Name: tf-pp -m f.t provisions of ORS 701 and may he required to be licensed in the
Address: -c- jurisdiction where work is being performed. if the applicant is
Citv: 41 1 State: ZIP: exempt from licensing,the following reason applies:
Contact person: 1,1 kj lL kj I Plan no.: -
Phtmt, mail: - ---
Nor fj 10
IName: .0 ontact person: / Fees due upon application ........................... $ _
Address 12,60th Date received:
City: ��fYLl1S State:pr, ZIP: / Amount received ......................................... $
Phone:5j_4AIf_ Fax:40v -jy E-mail: Please refer to fee schedule.
1 hereby certify I have read and examined this application and the Not all iunubcoons accept credit cards.pleue cal jurisdiction for mote mtormatton.
attached checklist. All provisions of laws and ordinances governing this ❑visa ❑MasterCard
work will be complied w�ft ,whether specified herein or not. credo card namMr,Authorized signature: Date: �� � Y-— Name of cardholder as shown on credit card Expires
S
Print name: Cardholder signature Amount
Notice:This permit application expires if it permit is not obtained within ISO days after it has been accepted as complete. 410.4613(WYCOM)
Electrical PermitApplicatiun
Date received: Permit no.Rs WO;•Q(Jl%s
44LMVX�ma City of Tigard Project/appl.no.: Expire date:
City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171 -- -
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
TYPE OF PERM-IT
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
New construction U Add i tion/alteration/re pl acemen I. U Other:_ U Partial
JOB SITE INFORMATION
lob address: Bldg. no.: Suite no.: Tax map/tax lot/account nu.:
Lot: Block: Subdivision: 147L Ue52
Project name: 4 Description and location of work on premises:
Estimated date of com?.letion/ins ection:
CONTRACtOR APPLICATION FEE SCHEDULE
Job no: Fee Max
'—' Description Qty. (tut.) Total no.lnsp
Business name:
-- Ne"rrsidcntial-single ur mala-f:unih I>rr
Address: tlnelling unit.Includes attached garage.
City: Sate: ZIP: Service Included:
Phone: Fax: WV,1 E-mail: I(N)O sq n ar less I _ _ a
? Each additional 500 s .ft.or pnrtion thereof
CCB no.: EIeC.bus. lie.no: _ Limited energy,residential
City/inelro lic.no.: 7,17_ Limited energy,non-residential _ 2
Each manufactured home or modular dwelling
SignaruR ojsupervu�electrician(required) Dale Service and/or feeder
Sup elect.name(print): License no Services or feeders-Installation,
alteration or relocation:
PROPERTYOWNER 200 amps or less 2
201 amps to 400 amps 2
Name(print): l n 401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
Slatc: Z1P: Over 1000 amps or volts 2
Phone: - Fax: E-mail: Reconnect only 1
Owner installation:The installation is being made on property I own Temporary services or feeder-
which is not intended for sale,lease,rent,or exchange according to Installation,alteration,ur relocation:
200 amps or less 2
ORS 447,455,479,670,701.
201 amps to 400 amps 2
Owner's si mature: Date: 401 to 600 ams 2
Branch circuits-nen,alteration,
ore
r extension per panel:
Name: L'Oh5 041m A. Fee for brunch circuits with purchase of
Address: - service ar feeder fee,each branch circuit 2
City: 1 State: ZIP: Q B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit:
Phone: 7 Fax(//J E-mail: Bach additional branch circus:
PLAN-REVIEW(please check nil 1111tif fl-flpj�) Misc.(Service or feeder not included):
O Service over 225 snips commercial U Health-cue facility Each pump or ungmion circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting
family dwellings U Building over IOAK)square feet four or Signal circum s i or a limned energy panel,
U System over 600 volts nominal rmore residential units to one structure alteration,or extension* 2
U Building over three stories U Feeders,400 amps or more •Desert ton:
U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the above:
U F-gressllightingplan U Other . — Petinspecuor, _
Submit—sets of plans with any of the above. Invesug.uon see �_
The above are not applicable to temporary construction service_ other
Not all jurisdictions accept credit cards,please call junsdicuon lar more lnforniaoon. Notice:This permit application
Permit fee.....................$
U Visa O MasterCard expires if a permit is not obtained Plan review(at _ 3b) $ __
Credit card number / within 180 days after it has been State surcharge(8%) ....$ _
Expires accepted as complete. TOTAL .......................$
ante o c o r a shown on credo cu
_ S
CudholAer sfgnutrrc Amount 4404615(60WOM)
Mechan-Lal Permit Application
Date received: Permit no.:,JS7.-00
City Of Tigard Project/appl.no.: EEXpircate:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223Phone: (503) 639-4171 Date issued: Receipt no.:
Fax: (.503) 598-1960 Case file no.: �Payment type:
Land use approval: Building permit no.:
TVPE OF
❑ 1 &2 family dwelling or accessory ❑Commercial/indusuial ❑Multi-family ❑Tenant improvement
U New construction U Addition/alteration/replacemem J r)lu•r
_
Job address: 2Lj�dz z2y Indicate cquip::writ quantities in boxes below. Indicate the dollar
Bldg, no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit. Value$ _
Lot:�T Block: Subdivirion: 'See checklist for important application information and
Project name: fl,4Kr jurisdiction', fee schedul for residential permit fee.
City/county: ZIP: t
Descnption and ocation of work on premises:
•I o1AI
Est.date of completion/inspection: Ut-wription (A . Rm.ordy Res.onl
Tenant improvement or change of use: ff VAC:
Is existing space heated or conditioned?❑Yes U No Air handling unit _ CFM
Is existing space.insulated"U Yes 0 No Air con uioning(site plan required)
Alteration of existing HVAC system
al er/compressors —'
Business name: y State boiler permit no.:
Address: HP Tons BTU/H
ire/smo edampers/duct smoke detectors
Ci.1 State: ZIP: Op eat pump(site plan requ_`re)
Phone: Fax: E-mail: nsta ureplacefurnace/burner—B
CCB no.: �Q _ Including ductwork/veni liner U Yes U No
nsta rep acdrelocateheaters-suspended,
City/metro lie.no.: wall,or Moor mounted
Name(please print): _ vent for appliance other than furnace
CONT Wr PERSON
c gest on:
Absorption units BTU/H
Name: N 1 0I e- ;j Ok7 Chillers � _ HP
Address: Cj S Y5— Com ressors
En onmenta a ust an rentila( on:
City: State: . ZIP: D!
Fax: 3�l F mail: Appliance vent
Phone _?, - / / ryer ez iausf t
0o s,Type res. itc a azmat
hood fire suppression system
Name: �, LY ,� d/f'k'S Exhaust fan with sin le duct(bath fans)
Mailing address: r, 1�_�//��/��,, +7e,- -x Mums, an from eaten or AC.
City rAL11State:Qlt ZIP: Fuel andistribution(up to outlets)
Phone: — � Type: LPG NG Oil
/S- fax: - /I E-mail:
tin each addluona over 4 outlets
Not rj 10, piping(schematic required)
Name. f �i G°�' / Number of outlets
-- ter st appliance or equ pmeni:
Address: 9i y54 �� -' Decorative fireplace
City: State: ZIP: ''Jo/� insert -type
Phone: - Fax: _ 7 t E-mail: o stove/pe et stove
Applicant's signature: Other.
Pp b 22�— Date: } ter:
Name (print):
Na all)unsdictiont acce)n credit cards,please call runsdreoon(a more mfoonsuion Permit fee.....................$
O Visa U MasterCard Notice:This permit application Minimum fee................$
Credit card number expires if a permit is not obtained
Plan review(at 96) $
- � within I FO days after it has been _
�
Name of ciadholder as a 1own on credit cad accepted as complete. State surcharge(8%)....$
Cardholder tiptature
$ TOTAL .......................$
Amount
4404617(600ICOM)
PACIFIC CREST SUBDIVISION
L_OT - 38
CITY OF TIGAR[E>
THE APPROACH SHALL BE
A MINNMUM OF S"xl2'x20'
BT LME OF CLEAN PIT GRAVEL
` LA1.
\\ . I STLETOE DRIVE
EL-548' r , WAW
EL-553'
TE P. G L
D IVEWAY r
2 (ATARI N
LE �
ry
NOTE:
__� ---- I.ROOF DRAINS TO STORM
LAT. IN STREET.
2. FOUNDATION DRAINS TO
BACKYARD SOAKAGE TRENCH
GARAGE SEE ATTACHED DETAIL
SOFT, 625
FIN EL 553.5'
r PL 356215
r— LIVIN •562
FIN EL -
LANDSCAPING FOR THE ENTIRE LOT
Q _ SHALL BE FINISHED OR THE LOT
SURROUNDED BY EROSION CONTROL
\� PRIOR TO BREAK OUT OF COMMUNITY
Qo — EROSION CONTROL. FINISHED SLOPES
�\ SHALL BE LE55 THAN 2 TO I
I I
SCALr
\ • I I
I I
1 I
i I I
I I = I
� I I
I I
I I
�L
zz SETBACK REQUIREMENTS
FRONT Y ARD TO GARAGE 15'
SIDE YARD 5'
6 , 820 REAR YEARD '—` �— 15
:I,L'AN, I3555 !laNOgIT70EoR D.R. Horton Homesf`L AN 356MSCALL. I• .20'
DATE 5.15-07 5125 51.U. Macadam Aveneue
IZErIDLD 11.7!•p7 ^.�cWE 5c�777�1e� Prrtland OrcB On Fax so�r77wi
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) G39-4171 MST
BLIP
Received Date Requested �` AMy� PM BUp _ --_-
Location _ 1 3 S S Suite— _ _- MEC
Contact Person
PLM
Contractor-__ �- Ph( ) SWR _
BUILDING Tenant/Owner _ ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain -----
Slab Inspection Notes: SIT
Post&Beam ---
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear — —
Framing --Insulation
Drywall
Drywall Nailing
Firewall �J
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other: -- -- _
Final --------- -- - ------- -
PASS PART FAIL `------ —
PLUMBING —
Post& Beam - � --------------- --- -
----
UnderSlab _-----._____-.
Rough-In ----�--
Water Service
Sanitaiy Sewer
Rain Drains
Catch Basin/Manhole
Storrn Drain --- -- ......
Shower Pan
Other: --- ---- --- — - -
Final --- -� --
_PASS PART FAIL - - -- --- —
MECHANICAL
Post& Beam -- -- v -
Rough-In -- ---- ---_
Gas Line -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL —
Servire -- _ - -- - - ----
Rough-in
UG/Slab - -
Low Voltage
Fire Alarm
PAS PART FAIL CJ Reinspection fee of$ ____- - required before next inspection. Pay at City Hall, 13126 SW Hall Blvd.
SITE _ L�l Please call for reinspection RE: F] Unable to inspect-no act-3s
Fire Supply Line
ADA /
Approach/Sidewalk Date Iran�sctor/% ' G
Other: _
Final �- DO NOT REMOVE this Inspection record from the ob site.
PASS PAR-T FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST c
INSPECTION DIVISION Business Line: (503)639-4171 ---
7 BUP
— —
Received _—__ Date Requested LAM PM_._ BUP — —_
Location _—� S �� - Suite MEC __
Contact Person _ El"" Ph(—) - ��1`"� j�' PLM
41
Contractor .— Ph( ) ----_ SWR
BUILDING _ Tenant/Owner _ _ __. ELC
Footing ELC
Foundation Access:
Ftg Drain ELR --
Crawl Diain
Slab Inspection Notes: SIT — �_—
Post& Beam — —_—
Shear Anchors —— -- —
Ext Sheath/Shear ___----
Int Sheath/Shear
Framing - -- ----- ------ - - - —-- -- ---
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler _ - - - ------_ ....------- ------------- -
Fire Alarm
Susp'dCeiling — --- - -- -------- _—. - -
Roof
n
PART FAIL -------- --- --- - - ------ _...—__.__ __.... ..----------------- -
T
Post& Beam
Under Slab ------ - - - -- - ------_._.. --- -- -- -- _ .
Rough-In
Water Service —-- - -
Sanitary Sewer
Rain Drains _ ------- - -- ---— -- — ._._ ---------- -- ---
Catch Basin/Manhole
.form Drain --------._.----------- ---
Shower Pan
Other. ---__—_�. -- --- ---------- ------------------------
Final --- --_----
PASS_PART FAIL ----------_ _ - — -------------__,.. ...._
MECHANICAL ---�_ -
Post& Beam
Rough-In —
Gas Line
Smoke Dampers -- --- --- --- _ — _—.—�
ASS PART FAIL -- - - ---- __—_—_ — --_-- --
RICAt_ --
Service
Rough-In
UG/Slab
Low Voltage —
Fire Alarm
Final Reinspection fee of$___--_—.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART_ FAIL
SITE _ — F] Please call for reinspection RE: _ F] Unable to inspect--no access
Fire Supply Line
ADA b__. Q /
Approach/Sidewalk Dalesp�atOr __— _Ext .. _
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILUENG Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 6394171
SUP
Received _ Date Requested - __ AM---- PM . _ BUP
Location _ __� �✓SSS- __Suite— MEC
Contact Person .__ Ph(_ -) - PLM
Contractor-- _—_ Ph(-. } _ SWR _.
BUILDING Tenanl/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam --
Shear Anchors
Ext Sheath,'Shear
Int Sheath/Shear
Framing _ —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - �—
Roof
Final _
PASSPART FAIL
VM;IB41_
Under Slab — — - ---�
Rough=ln
Water Service
Sanitary Sewer
Rain Drains --- ... -- ---- - - - - -
Catch basin/Manhole
Storm Drain --
Shower Pan -_—
Other: - - ------
<-1;
ASS PART FAIL
ANICAL -
Post& Beam
Rough-In _ ------._-_ —_-- ------
Gas Line
Smoke Dampers ----
Finel _
PASS PART FAIL — —
ELEC_TRICAL
--------- --------- -- -------
Service -.
Rough-In - -- ----
UG/Slab
Low Voltage ----- -..—� —. _ — -—
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL_
SITE Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA Approach/Sidewalk Date -2- 14110- 3 ut
Inspector ___—_ ---
Other-
Final
ther Final DO NOT REMOVE this Inspection record from the Job site.
PASS PAHT FAIL
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ELECTRICAL -
CITY OF TIGARD _ RESTRICTED ENERPERMITGY
DEVELOPMENT SERVICES PERMIT#: ELR2002-00253
13125 SW Hall Blvd., Ti4ard, OR 97223 (503) 639-4171 DATE ISSUED: 11/20/02
SITE ADDRESS: 13555 SW SANDRIDGE DR PARCEL: 2S105DD-06200
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 038 JURISDICTION: TIG
Prolect Description: All Wlcot"IKIssing low voltage.
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATAiTELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
Owner: - -- TOTAL#OF SYSTEMS_
Contractor:
U.R. HORTON HOMES AZIMUTH COMMUNICATIONS INC
4386 SW MACADAM AVE P O. BOX 508
SUITE 102 WILSONVILLE, OR 97070
PORTIJ-�ND, OR 97201
Phone: 503.222-4151 Phone: 503-639-0110
503-639-0110 Reg #: ELE 36-94CLE
SUP 2312LEA
_ LIC 145928
FEES W – Required Inspections _
Description Date _ _ Amount _ Low Voltage Inspection _
�I?LP(tMT) E111 Permit 11/20/02 $75.00 Elect'I Final
)TAXI W/o State Tax 11/20/02 $6.00
Total $81.00
This Permit is Issued , )ject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable la..s. 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 throuc
Issued by 61 M_ �Kt� [may , Permittee Signature
OWNER INSTALLATION ONLY
The Installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ v _ — _ _ DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N ,1� �o- L1/' DATE:
LICENSE NO: -- ----- --
Cali 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
t)aterccer:ed: �t Permit no.•.�
�.. �1-
%` Ity of Tigard Project/appl.no.: Expire date:
CirvofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By I Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
1 , j
.1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 Tenant improvement
New construction 0 Addition/afteration/replacement _1 ether: 0 Partial
11 WE INFORMATION
Job addreb5: S 5 S 6svTSubdivis!on:
V Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: V/ e3v4pr _
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
CONTRACYOR APPLICATION
Job no: Fee Max
Business name: ZjmtLT l' +/11,11 L) %F '17 `L __ Description Qty. (ea.) Total no.Insist
n , n
New residential-single
Address: �' �, ); )61 '(_'6 N/,1 dwelling unit.Includes attached garage.
City:jL1 L'•t„1"i U State:41,_ ZIP:e"%t 70 Service included:
Phone: 1j L-3v 6'// Fax j4 mail: 10005 .ft.or less 4
Each additional 500 s .ft.or portion thereof
CCB no.. /�{5 5:+-di Elec.bus.ltC.no: - 4, y CLQ Limited energy,residential 2
City/metr tic.rto.: �'t r;t ','�r Limited energy,non-residential 2
Each manufactured home at modular dwelling
Signature of Supervising •eler tan vequired) �i Date Service and/or feeder 2
Sup.elect.nam:(print): 13,4c'7-1 t,.rj't C License no Z 3t ZLE/I Services orfeeders-•installation,
alteration or relocation:
200 amps or less 2
Name(print): 0 K- /'{61"ni 201 amps to 400 amps 2
Mailing address: J T 401 amps to 600 amps 2
601 amps to 1000 ams 2
City: io State: ZIP: � � 1 Over 1000 amps or volts 2
PhonefY00 -diA Fa. ." ; --3'?/ E-mail: Reconnectonly I
Owner installation:The installation is being made on property I own Temporary services or feeders-
which is not intended for sale, lease,rent,or exchange according to Installation,alteration,or relocation:
URS 447,455,479, ,701, 200 amps or less 2
_
Owner's signature: _ Date: 1 201 amps to 400 amps 2
401 to 600 amps 2
1 _ Branch circuits-ne",aneration,��
ore tension per panel.
Name: A. Feb for branch circuits with purchase of
Address:_ _ _ service or feeder fee,each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
— — of service or feeder fee,first branch circuie 2
Phone: Far, I E-mail: -itatEach additional branch circuit:
PI,AN REVIEW(Please check n1i that apply) h11se.(Service or feeder not included):
•Service over 225 unips-commercial Ij Health-care facility Each pump or irrigation circle
O Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting _ 2
family dwellings U Building over 10,000 square feet four or Signal circuins)or a limited energy panel,
•System over 600 volts nominal more residential units in one structure alteration,or extension' 2
❑Building over three stories ❑Feeders,400 amps or more *Description:_
O Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
U Egress/lightingplan 0 Other: -- Per inspection
Submit_sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. other
Not all jurisdictions accept credit cards,please cal(jurisdiction for more information. Notice:This permit application Permit fee.....................$
Q visa U MasterCard expires if a permit is not obtained Plan review(at r %) S
Credit cud number: _ / ( within I80 days after it has been State surcharge (8%)....$
Expires ......... ..........accepted as complete TOTAL ... S
—Name of cardholder as shown on credit cud
S
Cardholder signature Amount 440„4615(6MC011)