Loading...
13575 SW SANDRIDGE DRIVE c (D 13,575 SW Sandridge Drive CITY OF TIGARD , BUILDING inspection 'Line: (503) 639-4175 �- OCj� '? INSPECTION DIVISION Business Line: (503)639-4171 MST BUR - Received —Date RequeslLd 4,2 AM PM BUP Location 7_�S7__ _ Suite MFC Contact Person _ -- __-- -- Ph _' ) PLM _ _-- Contractor --- ---- -- -- .. . _ Ph( —) -- SWR BUILDING Tenant/Owner _ FLC Footing El.C _ Foundation Access: Ftg Drain E:.R 2 ADO as ! Crawl Drain Slab Inspection Nates: SIT r_f Post&Beam Shear Anchors -- -- Ext Sheath/Shear - Int Sheath/Shear Framing - - Insulation Drywall Nailing - Firewall Fire Sprinkler - -- Fire Alarm12b 'q rl(-i C�� M �W Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING --- -- _- - - — - - - Post&Beam Under Slab -'� � �-L— .— Rough-In Water Service - —�----— _ ---- Sanitary Sewer Rain Drains � ----- -- - — Catch Basin/Manhole Storm Drain -- y - - -- - — — Other Pan Final c PASS PART FAIL MECHANICAL L ql Post 6 Beam � Rough-In ----- --- --� --- - _ — Gas Line Smoke Dampers - — — --- -- — Final PASS PART FAIL -------- ELECTRICAL Service - Rough-In UG/Slab 776-Alarm AS_PAR_T FAIL � Reinspection fee of$.__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SITE _ — [� Please call for reinspection RE:—_ �_ Unable to Inspect-no access Fire Supply Line ADA Insp0___Approach/Sidewalk Date ectr7720-4 Fxt Other: Final DO NOT REMOVE this Inspection record from the joie site. PASS PART FAIL AAAAAAAAA gasAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA i � o d i Q tTl i a. M ► t ' a• ° ► a• rD P �l d ` R i fD ! 7 � H ;' I ► t:) C.) r ► > rD �' a o ► I.. � �. ► tJ� ¢± R r' o ! a x � ► �! o.14 oilr '� b y ► � P • N o d � arl s t's, `` � o � w. W � n INJ a ^ r CT wy, tp• b a 3 � o s � O 4.1 o Z x 9 A d S rE �c CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received -_ .-Date Requested- AM___._-- PM -__ BUP _ Location i-eL g --Suite --_ _ MEC Contact Person _ �._-- Ph( _) _ _ PLM Contractor ____ _ Ph( -) ____._--__..___ SWR BUILDING Tenant/Owner _ -__ -_ ELC Footing -� ELC _ Foundation Access: Ftg Drain ELR Crawl Drain -------- �_ Slab Inspection Notes: SIT _ Post&Beam _--- Shear Anchors ---- --- Ext Sheath/Shear Int Sheath/Shear _- Framing _ ---- - -- -- Insulation - Drywall Nailing - — -- ------ ------------- ------ Firewall Fire Sprinkler --------- Fire Alarm Susp'd Ceiling - ----- Roof Other: - - --. - - ------------- --- - a_, S PART FAIL -- ------_--- UMBING Post&Beam Under Slab - -- - -- - -- - -- - ------ -- ------- Rough-In Water Service ---- -- --- — --------- - -- - --- ------ Sanitary Sewer Rain Drains -- ------- - - - Catch Basin/Manhole Storm Dra' --- --------- ---------- Shower Pat Other: --- Final PASS _PART_FAIL_ —-- - -- --- - --- MECHANICAL Post& Beam Rough-In --- Gas Line Smo Dampers ---- ----- - -- _ PASS ) PART FAIL -- - -- ---- -- __--- _-_._------------- ELECTRICAL Service -------- --- - Rough-In - ------- --- __ -- - --------- UG/Slab Low Voltage - - - --------------------.------ Fire Alarm -- Final F] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. _PASS _PART F_AIL_ SITE [] Please call for reinspection RF: Ej Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date � - ��-- Inspector Other: Final — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST �-/-- HUP -- Received Date Requested V `l- 6's_ _ _- AMPM 8uP - Location L*3-S-7 Suite MEC Contact Person _ - _ -_-_ -_ - Ph( ) 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 Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final _ PASS PART FAIL_ P Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Othe A PART FAIL _ CHA_NICAL _ Post& Beam Rough-In Gas Line Smoke Dampers Dampers Final PASS PART FAIL ELECTRICAL Service - - Rough-in UG/Slab Low Voltage Fire Alarm -- --- Final U Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ � � Please call for reinspection HE:__ Unable to inspect-no access Fire Supply Lino �r•te ADA � Auproach/Sidewalk __. Inspector Ext Other r-!11-1I DO NOT REMOVE this Inspection record from the job site. PA PART FAIL FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 08:34AM P2 Plumbing Permit Application Date received: 11 / s Permit nn.; 40 $� City of Tigard j_ Address: 13125 SW Flnll Blvd,Tigard,OR. 972).3 Sewer permit no.: Building pemilt no.: - City of Tigard phone: (503) 639.4171 Project/oppl.no.: Expire lhuc: Fax (503) 598-1960 Date Issued: Ry: Receipt no.: Ltuid use approval:_—, — Case file no.: PAyment type: I Em 0 1 &2 family dwolling or neccssory U Commercial/industrial O Multi-family O Tenant imprnvemont 0 Now construction QAddition/Alteration/replacement O Fond service 0 Other lilypollou Job address: r 1►evcr1rinn Q11. Fee en. Total Bldg,no.: Nen I-and 1 feuiTfv ds+ellin�c N Suite no.: (InClnda I0o n.tar nrlt utility rnmmctimt) Tax map/tnx lel/accoum no.: SFR(I)beth Lot: Block: Subdivislnn: R(2)hatFi— Vrnl,,ct name: _ SPR .) athCity/county: Zip' Each additional bath/ its tcn M Description and location ofv,ork on premises: _ 5iteutilldev Catch basin/area drain Est.date of coot lotion/inspectlein: Dgwellitlictich line/tranch drain Footing drain no, n.ftt.) Business name M L Manufactured home utilities MAn to es Address: SW /VIM .r y! Main drain connectnr f�ity _�� Stnte:Q ZIP: y --� Sanitary sewer(no,IR ,) Phone a,44- Fax V-d 4 ? E-mail: + torn sewer(no,lin. t) -- CC% no.: (rG Plumb.bus, reg,no:,101i Water service nu, in.1F City/mucro lic,no.: - Fixture or Item.. sen Contractor's repretntiveattire: Absorption valve - back flow prcvcnter Print name: / Date: Backwater valve nsins/lavatory Name: othcs washer pishwashcr Address' Orin ing ounta� in(n) City: _ Stntc: _ Z1P: I•actor. - Phone: Fax: E-mail: _xpans on tank Flxtul'e/SEWer CA _ Name(print): Floor rain. onr Rinks/hub Malling address: - G r a c disposal (lose bib City: State. 2IP: Ice maker Phone: rax: I P-mail: Interco tor/ rcaso trap — _ Owner htstallnlion/resldential maintenance only: The actual installation Primers will be mode by me or the maintenance and repair made by my regular Roo rain commerciufj�— employee on the properly I own is per OILS Chapter 441. Sink(s),basin(s), ays(s) Owner's si tnture: Date: ump Tubs/shower/shower pon _ Ngmc: _noaT - Addreas, Water closet _ Water heater City: State: ZIP _ Other: Phone: Fax: E mnil: Total Not nil juri.dicoono rectal audit ennui,please coil luriorucnon rnr mote lowmailnn. Minimum fee............... V Notice: This prnnit App.,codon , „ o vin, o MllrterCnnt Ilion review(at_ A) S Credit,oo numaec expires it a days permite not s beciltined r -- 11, within 180 drys scum it has been State surcharge(R/n) $ — - acct led as complete. --- Nrona of sur n t er r•show;un credit cord D p co, A r rn or#IIF, ore — aleanl //A AM1IM1(aIANCOMI CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00274 DEVELOPMENT SERVICES DATE ISSUED: 9/12/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SI'E ADDRESS: 13575 SW SANDRIDGE DR PARCEL: 2S105DD-06100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 037 JURISDICTION: TIG RLMARKS: New SF detached dwelling. path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1454 of BASEMENT: 06600 of LEFT: 6 SMOKE DETECTORS: r TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,111 of GARAGE: 720 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENT: of RIGHT: 5 VALUE: $363,499 20 OCCUPANCY GRP: R3 BURM: 4 BATH: 4 TOTAL: 2,58700 of REAR: 40 PLUMBING SINKS: I WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<t00K: BOIUCMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN>00014: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I 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 500SF: 6 201 400 amp: 201 400 arnp: tat wl0 sVCIFDW 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amu: 601+81npa•I000v: MINOR LABEL: 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: >•1 RES UNITS, 9VCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRIr,AL-RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM INTERCOMIPAGING. OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,585.93 D.R. HOR70N HOMES DR NORTON INC PORTLAND This permit is subject to the regulations contained in the 4386 SW MACADAM AVE 5125 SW MACADAM AVE Tigard Municipal Code,State OR. Specialty Codes and SUITE 102 SUITE 145 all other applicable laws. All woo rk will be done In PORTLAND,OR 97201 PORTLAND,OR 97201 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rap 6: I IC I mn';4 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, WIT Proofing Bsm't Wa Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beam Structural PLM/LlnderflDor Framing Insp Gas FlreDlace Electrical Final Sewer Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Underfloor insulation Plumh Top Out Exterior Sheathing Inst Rain drai p Plumb Final Foundation Ins Electrical Service Low Voltage star Line ns Final Inst cion Insp Crawl Drain/Backwater L , ,� ^ � �\ : �.J�d .LI �ll (LI�i A L V/�/ Permittee Signature : vv v Issue By — Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business da CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00180 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/12/02 SITE ADDRESS; 13575 5W SANDRIDGE DR PARCEL: 2S105DD-06100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 037 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 9/12/02 $2,300.00 27200200000 PORTLAND,OR 97201 INSP CTR 9/12/02 $35.00 27200200000 Phone: 503-222-4151 Total $2,335.00 Contractor: Phone- Reg # Required Inspections l 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 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' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 0010 ough OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(5 ' ) 6-19 _ � I PermitteeSure:Issued by. — Call (L ,3) 639-4175 by 7:00 P.M. for an Inspection needed the next business day r S - OZ� f , Building Permit Application Date received: G' perr>Rtlho?�2u; �, City of Tigard Circ r,fTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 639-4171 D ,w �S Date issued: F- 'r By: Receipt n�.: Fax: (503) 598-1960 ?p S 10.d y Case file no.: Pnyment type: Land use approval: Ca L 1&2 fnmily:Simple Complex: !� 0 1 &2 family Dwelling or accessory U CommerciaUindu�rrral U Multi-family *New construction 0 Demolition ❑Addition/alteration/replacement Cl Tenant improvement ❑Fire sprinkler/alarm 0 Other: _ JOR SITE 1 ' Jobaddress: 7f Dldg.no.: Suite no.: Lot: lock: Sutxlivision: Tax map/tax lot/account no.:VSA0 ,,6L Project name: 6 YA Zr1 Description and location of work on premises/special conditions: Name: 'V-9• Ch f,I =12rITITirg6mmm 17 Mailing address: 1Z5 I & 2 fanrilr dNelling: City: ;=;,�'rj' IStatc:0 g� ZIP: Valuation of work......., .�P..�. /�� Phone: - <j I Fax: -'JJ -mail: No.of bedrooms/baths............4y.:7. Owner's representative: - Total number of floors................................. y �l Phone: I Fax: E-mail: New dwelling area(sq. ft.) ....... to. ... Garage/cwport area(sq.ft.)........................ -- Name: Y'i-"/V-1 Covered porch area(sq.ft.) ..........30...... Mailing address: 2 )Mt A S a Vj 0 V-tom Deck area(sq. ft.) ........................................ City: State: ZIP: Other structure area(sq, ft.)......................... Phone: Fax: E-mail: ('rrmmerciallindu9trial/multi-family: Valuation of work................................... ... Business name: K 41 Nl Existing bldg.area(sq.ft.) ..... .......... ....... Address: e S New bldg.area(sq.ft.) ................ ............ CitNumber of stones..................... ...... ........ Y' ate:p ZIP: Type of construction.......... . ' Phone: �S Fax: ZQZ 371 E mail: �..................... CCB no.: p Occupancy group(s): Existing: New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: V 1- h provisions of ORS 701 and may be required to the licensed in the Address: �S r� jurisdiction where work is being performed. If the applicant is City: State: ZIP; exempt from licensing,the following reason applies: Contact person: I Plan no.: Phone: q151 eA. Fax: E-mail: — 111010110 Name: ontact person: AWALFees due upon application ........................... S_ Address: /y(���� Date received: City: 5tate:p� ZIP: S !� � 0/ Amount received ....................... . _-Phone:5M-(M.?.Z Fax.4/f ./f j E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards pleare call it nschmon loi more utfornuuon attached checklist. All provisions of laws and ordinances governing this UVis A J MasterCard work will he complied widj,whether specified herein or not. credit card numbet Authorized signature: � � Date; 51/ /lr,�— __ rxpues QL1�_ Nurse of cardholder u shown on credit cud It Print name: - I Cardholder NRnature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-413(e1001COW Electrical Permit ApplicationENEWI —' FDalc received: Permit nu. City of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no City n(Tigrard Phone: (503) 639-4171 Case file no.: y Pa menttype: Fax: (503) 598-1960 Land use approval: — C] 1 & 2 family dwelling or accessory U Q Multi-family y U Tenant improvement LJ Partial New canstruction U Addition/alteratiorvreplacement ❑Other: VAN 11 Joh address: ?) C Bldg. no.: Suite no.: I Tax map/tax lot/account no.: Lot: Block: Subdivision: Project name: e7 Description and location of work on premises: F:;timaled d:uc of completion/inspection: 1 1 ' 1 Fee Max Job no: ---- Description t1ty. (ea.) Total no.Insp Business name: New residential-single or multi-family per Address: �1,U �� I� � dwellingunit.lnciudesanschedgarage. State: ZIP: %erviceincluded City: i000 sq ft.or ICS% 4 Phone: Fnx: E-mail: Foch adduinnal 500 sq ft.or union thereof Elec.bus. lie.no: _ �� Limiiedenerg ,residential 2 _CCB no.: _. 2- City/metro lie,no.. Limited energy,non-residential Each manufactured home nr mndular dwelling 2 Lute Service and/or feeder Si narur[eJsuPe^uin dg—ecrrklan(required) Servicesatfeedera-installation, 8 Sup.elect.nano(pant). License no. alteration or relocation: 200 amps or less 2 2 201 amps to 400 amps Name(print): 401 amps to 6W amps 2 Qmps to I(1(10 amps 2 Mailing address: 601 T"—, 2 City: State: ZIP: Over IWo amps nr volts I E-mall: Reconnect oral _ Phone: - FAX: Temporary services or feeders- Owner installation:The installation is being made on property I own Install■tion,alteration,orrelocation: 2 which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2 ORS 447,455,479,670,701 201 amps to 400 amps Dale: �. 401 to 600 sin sTri -- Owner's signature: - Branch circuits-new,slteratlon, or extension per panel: Name: r s V A. Fee for branch circuits with purcl-a or service or feeder fee,each branch circuit Address: B. Fee for branch circuits without purchase City: State: Z1P: D of service or feeder fee.first branch circuit. 2 . Phone: Fas(/af E-mall. Each additional branch circuit.. Mlsc.(Service or feeder not Included►: 2 Each pump or irrigation circle 2 U Service over 225 amps-annmrn •1i U Health•care fanbty Eoch sign or outhne lighting _ U Service over 320amps•tutingof 1W U livardousiocauon U Building over 10,(X)0 square feet four o, Signal circuit sI or a limited energy panel, 2 family dwellings alteration,or extensmn• _ --- U system over 6(1(1 volts nominal more residential units in one siructurc _ Q Building over Uvea stories U Feeders,400 amps or mote •Lie' tion. of the above: U t)ccupant load over 9q persons U Manufactured structures or RV park FAX additional inspection over the allowable In any O Egressfltghungplan U Other . Pennspection Submit__sets u'glans with any of the above. Investigation fee ThOther above are not applicable to temporary construction service. permit fee..................... Not ail jurisdictioru accept credn cards.please call junsdtcuon tot more information Notice:This permit application Plan review(al — %) a U visa U MasterCard expires if a permit is not obtained State surcharge(896) ...•S _.._--------- Credit card number ----- within 190 days after it hes been TOTAL .......................$ _ accepted as complete. Name of cudaol1T1 as shown im c.dil card s 4"15 t60►'COM1 Cudholdn nEnatare Amount Mechiynical Permit Application Datereceived: Pernutno.tf(7 City of Tigard Project/appl.no.: Expireeate: city ofngard 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: Building permit no.: us ❑ 1 &2 family dwelling or accessory ❑Cornmercial/industriai ❑Multi-family ❑Tenant improvement ❑New construction ❑Addition/alteration/replacement U Other: INFORMATIONJOB SITL VALUATION Job address: ` J i Indicate equipment quantities in boxes below, Indicate the dollar Bldg, no.: Suite no.: I value of all mechanical materials,equipment,labor,overhead, Tax snap/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: i((,/ "See checklist for important application informat; nd Project name: jurisdiction's fee schedule for residential permit City/county: ZIP; 1 Mill WJJ5 I I AW IVA X A ill 101191110 S 1hitot Description and ovation of work on premises:_ _ 1 ' l l I 1•ee(e ) TOW Est.date of completion/inspection: Iltieuription (lty. Res•ofdv Res.only Tenant improvement or change of use: 1 �� Is existing space heated or conditioned'?❑Yes U N'() Air handhn);unit CFM Is existing space insulated?U Yes Ll NU conditioning(site Flan required) Nu Ahu Ton xiis o etingHVAC system Boiler/compressors Business name. State boiler permit no.: HP Tons BTU/H Address: _ ire/smo aampers/ act smu a detectors City: State: ZIP: Heat pump(site plan require ) - Phone: Fax: E-mail: nstn rep nce umac urrter CCB no.: — - Including ductwork/vent liner O Yes O No nsta rep ac re ocateheaters-suspen _ City/metro lic.no.: wall,or floor mounted Name(please print): ent for liance other than furnace --airl"WON 49of geral on: Absorption units _ BTu/H Name: of(t Ne- S� Chillers —_ HP Address: 5 6 7 �y Com ressors__ HP nv onmeuta exhaust an ventilation: City: /' Statc ZIP: D1 Appliance vent Phone' _y y- / Pax: Z 3JI F-tnail: Dryercxhaust _111ye 101, 0o s,Type res. itc a azmat hood fire suppression system Name: �H � [� Exhaust fan with single duct(bath fans) Mailing address: 5106 S Exhaust system apart from heating or AC City: 0'r-17`l State:OlG I ZIP: Fuel piping an st ut on(up to 4 outlets) Type: LPG NG Oil (hone: /f Pax: /'f E-mail: Fuel pipingeach ad luonal over 4 outlets Process p p ng(schernatic required) Name: ey&te C f Number of outlets Other listedappliance or equipment: Address: —�E /L� �' Decorative fireplace City: Stateze, I ZIP: ''f p/5 nsert-type Phone: Pax: E-mail. Woodstove/pellel stove Applicant's signature: Date: rt_ ) (TtEer. t er: Name (print): Not all Jurisdtcuons accept credit catch.pleahe call Junsdtcuon for more mronruoon Permit fee.....................S LJ Visa t]MasterCard Notice:This permit application Minimum fee................$ Ctedh card number expires if a permit is not obtained Plan review(at $ - — within ISO dayState surcharge(8%)....$s after it has been _ 96) � None of cardholder u shown on credit cud S accepted as complete. TOTAL S _ Cardholder si`rtature Amount— 4404617(60MCOM) PACIFIC CRES"I" SLTBE>lVISIUN LOT - 37 CITY OF TIS ARD atM LME HE APPROACH $HALL BE INNMUM OF 8"x12'x2O' OF AN PIT GRAvZL \ LANDSCAPING FOR THE ENTIRE LUT SM. °T SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL PRIOR TO BREAK OUT OF COMMUNIT" WA 1 EROSION CONTROL.FINISHED SLOPES ' EL-553' 6 0 EL-es9' SHALL BE LESS THAN 2 TO I P.GRAVEL D EWAY 1/2• IAIARIAN PLE f I I I NOT ,a L-,9 1 ROOF RAINS TO STOR"1 r— .T. IN STREET. 2. NDATION DRAINS TO I`9 GARAGE i BACKYARD SOAKAGE TFENC1- SQFT 120 i E ATTACHED DETAIL FIN EL 558, I I \ I I I I I I I 1` I I " I 1 FLAN 36430 IVING 3643 ` I I I _ 1 ` I I I i I I I _SETFiA K-UNE_ E EL-026' 6 2. 00' 01 EL-520 SETBACK REQUIREMENTS SCALE: 1'.70'-0' 3 7 FRONT YARD TO GA'2AGE 15' 51 7 � 052 R YARD — REAR 15R YEARD 15' 4D VOM LAN 139-15!IU lANDRID❑E DR •t 11 HUr11eS :)b36-43C)CSCALE: I- .70 D' ,1� Hoi DATE 5•15•07 5125 S.UJ. Macadam Aver:eue REvIlED!•79.07 rNON.E !o).n+1l� Portlard Ore Cn FAX 50)17J1111 ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00199 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 SITE ADDRESS: 13575 SW SANDRIDGE DR PARCEL: 2S105DD-06100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 037 JURISDICTION: TIG Proiect Description: All-encompassing low voltage. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: 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 4386 SW MACADAM AVE P.O. BOX 508 SUI1E 102 WILSONVILL_E, 7P 97070 PORTLAND, OR 97201 Phone: 503-222-4151 Phone: 503-639-0110 Reg#: ELE 36-94CLE SUP 2312JLE LIC 145918 FEES v Required Inspections Type By Date _ Amount Receipt Low Voltage Inspection PRMT CTR 9/2.4/02 $75.00 2720020000 Elect'I Final 5P(-,T CTR 9/24/02 $6.00 2720020000 Total $81.00 This Permit is issued : pct to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable, s. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 d, ,s 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. / Issued by /L �')�.:� 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: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE:-- LICENSE NO: - ---------- ------- Call 639-4175 by 7:00 P M. for an inspection needed the next business day Electrical PermikLAW��ation _ Date received: Permit no. 0z--"/ City Of Tigard SEP 1 %1 20!"/ Pmject/appl.no.: Expire date: City of Tq and Addr.ss: 13125 SW Hall BlvdTigtutl,OR 97223 Date issued: BY�L f✓ Recei t no.: PhomP: X503)639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: :. PP r 0,0 - e/vt 1 I &2 family dwelling or accessory U Commercia'rindustrial U Multi-family U'renant improvement ew construction U Addition/alteration/Oeplacenlen, U f)ther: U Partial It SiTE INFOR MATION Joh address: 4jS1__ d1Q!-IW Q Bldg.no.: Suite no.: Tax map/tax lot/account no.: _� Lot: Block: ISubdivision: _ _ Project name: 7Dtscription and location of work on premises: �(�y _ _' L and Estinlalc.d date of completion/insl>,ctiun: t'ONTRACTORAPPLICAtION FEE SCHEDULE Job no: ree Max : Zlp�u ('01"W j/ 1lescription __ Qty. (ea) Total no.insp BUSlnesanamC ��� ---- Nenreskkntial sistaleornwYi-farnllyper Address: 'I -Vrd dwelling mrit.IncvaleaattarlrnlRaram City: t1lJlllE State ZIP: 7Vp 40"Iceinchided: Phone:23 09 0 011) 1 Fax C 3W 6If -mail• 1000 rq.ft.or less _ -a-- Fsch additional 500 a .n.or portion thereof CCB no.: Elec.bus.lic.no: b- 'CE� Limited energy,residential 2 City/m M ic.no.: et)(1100_717 Limitedenergy,non•residential 2 Fach manufactured home or modular dwelling - Si na tie of su icing elect' (required) Date Service and/or feeder 2 - ( A Servirnorfeeders-installation, Sup.elect name(print) / j• License no: alleratlon or relocation: T�Ro1 ' 200 amps or less 2 Name(print):`DO-• 1i � 201 amps to 400 amps�-- _ 2 - 401 imps to 600 amps 2 Mailing address: tr - - _ 601 amps to 1000 amps _ 2 City: State: ZIP: over 1000 amps or volts 1 Phone:'All._ Fax: E-mail: Reconnect only +---- I owner installation:'Ilse installation is being made on property I own Temporary servim or feeders which is not intended for sale,lease,rent,or exchange according to Ins+allauon,alteration.orrelocation: ORS 44"1,455,479,6 200 anyrs or less ---- -- -— 2 201 amps to 400 amps _ 2 Owner's signature: Date: 401 to OW amps 2 — l:ranch circuits-new,alteration, or extension per panel: 701 A her.for branch circuits with purchase of service or feeder fee,each branch circuit 2 State: 7IP R. Fee for branch circuits without purrhase ------- - - - - -- of service or feeder fee,first branch circuit: 2 Phone: I ax: I? mail: Epchadditional branchcircuie ' 1 Mhc.(Service or feeder not Included): U Scrvice over 225 amps commercial U Henldl care facility Each pump or irrigation circle -- _ 2 U Service over 320 amps-rating of 1&2 U I laYarlkms location Each sign or outline lighting -_ 2 family dwellings U Building over 10,000 square feet four or Signal circuits)or a limited energy panel, U System over 6(10 volts nominal nine residential units in one structure alteration,or extension• U Building overthrer stories U FeLders,4 amps or nmrr •Description: __ Ll Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above U Egressllightingplan U Other _ Perinspection Submit %els of plans with any of the shote. Investigationfee _ The above are not applicable to temporary conctruellon service. "tier _ Na all)aisdicNmplease call or"credit canis,pleacart}arisdiclian fa mac infannrlut Noticr:This permit application Perritt fee................... $ U Visa U MasterCard expires Wit permit is not obtained Pian review(at �) $ _ Crrdn card number _,_4- ----- / I within I HO days after it has been State surcharge(8%)....$ M cte� Name Expires sampled as complete. TOTAI. .......................$ -- � d rYdh�U—i+f-own-- en�fi - _ _ s Cardholder sipusium AMON 440.4615(6=1170M) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY {� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Type of Nlcxk Involved: Residential-per unit 1000 sq,fl or less __ $145 15 4 Audio and Stereo Systems" Each additional 500 sq it.or portion thereof _ _ $33.40 _ _ 1 Burglar Alarm Limited Energy $75.00 Each Manuf'd Home or Morl,dar Dwelling Service or Feeder — $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 O 201 amps to 400 amps _ $10685 _-- 2 Vacuum Systems 401 amps to 600 amps $16060 — 2 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts —_— $454.65 -- 2 Reconnect only $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,atloration,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 ©ranch Circuits J r1 New,alleration or extension per panel l Boiler Controls a)Tho fee for branch circuits with purchase of service or F1 Clock Systems feeder fee. Each branch circuit _ $665 _— 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service r-1 1-1 Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 ❑ Pilch additional branch circuit $6.65 HVAC Miscellaneous CJ Instrumentation (Sr xvice or fender not included) Each pump or Irrigation circle _ $53 40 Each sign or outline lighting _ _^ $53.40 _ Intercom and Paging Systems Signal circuil(s)or a limited energy panel,alteration or extension —__ $75.00 _ Landscape Irrigation Control' Minor Labels(10) _ $125.00 _ Each additional inspection over ❑ Medical the allowable In any of the above Per inspection ------- $6250 ❑ Nurse Calls Per hour _ _ $62 50 _ In Planl — _ $13 75 Outdoor Landscape Lighting' Fees: ❑ Prolective Signaling Enter total of above fees $ __- F] Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review'section no 5 No licenses are required. Licenses are required for all other installations front of applkalion ---- Fees: Total Balance Dur $ r Enter total of shove fees C� Trust Account# 8%State Surcharge $ k of — Total Balance Due All New Commercial Buildings require 2 sets of plans. i:\dsts\fomvs\cic-fees doc 09/10-01 CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00387 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/0512003 SITE ADDRESS: 13575 SW SANDRrDGE DR PARCEL: 2S105DD-06100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: 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: f+ Remarks: Install backflow )reventer - --- --_ _—_ FEES -------- Owner: -- -- __— Description Date Amount PATEL 13575 SVV SANDRIDGE 1111 1 MB] Pcrnui Icc 08/05/200;: $36.25 1 \X I X SLirr I'l 08/05/200;• $290 Total $39.15 F-,,one : 503-579-0545 Contractor: ,JOHN DARBY LANDSCAPE INC 13867 SW BENCHVIEW TERRACE TIGARD, OR 97223 REQUIRED INSPECTIONS Phone : 579-5299 RP/Backflow Preventer Reg #: 11(' 7110 1_'41111 ('1 This permit is Issued s�ibjeot 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 f0HOW rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0001 0010 through OAR 952-0001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued B _r �� L - Permittee Signature: .,�yl✓. 4 r1 �` Call ( 03) 639-4175 by 7:00 P.M. for an inspection needed the next busines day FPF�' : --'HtI FIAPBY LANDSCAPE INC FAX N0. 5035246613,aulis:ug nitures Jul. 31 2003 06:48Pf I P3 FOR OFFICE IISF ONLY Plumbing-Permit Application Plumbing 03 � Permit No �3-�3� Planning Approval Sewer Clot/ of Tigard Dam : Permit No 13125 SW Hall Blvd. Plan Review Other DrtdB __ Permit No.: `Tigard,Oregon 97223Post Review land Use Phone 503-639-4171 Fax: 503-598.1960 1 Dates - Case No. Internet: www.ciAigard.or.us contact Juris I Qg $rr Page 2 for 24-hour inspection Request; 503.639-4175 NrrttelMethod, _� I Sulti lemcntrl Infurmatfon. ti Uk�i `Mu '�. E;(fote41a1_ tom_ ilrit tC clew coflsMetlon Dcrriolition Uescri tion ! (lty Fec(er.) Total^ Additiot/alt�era�tio�n/re la it Other: _ .4t� ct 'T u r�n�u wt r 249 20 I &2-Family dwellin Commercial/IndustrialSFS bath 350.00 AccessoryBuihiin multi-Family SFR 3) bath 399.00 45 00 Master Rudder Other; Each additional bath/kitehen , y y [i � ►�1'r 1'a �, Fires nr.klcr fl.: Pae 2 Job site address: fl N 0W- M, = . L�:I Suite #: I Bldg./A t.#: _ Catch basiri/area drain 10 60 Dr elVIea6h line/trench drain 16.60 T Project Name' Footing drain(no.linear ft.) Page 2 Cross street/Directions to job site. Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector )6,60 Sanitary sewer(no, linear ft) Pae 2 Su dl tion: '-� Lot#' Storm sewer`no linear fQ - Page 2 �- — -- �— -- - �---- Water ser,iee no, linear fl Pae 2 Tax n1a / arcel#: pp �, qq�� ter; +, K. '.11,1 tY�� ....'i16' %�' "�i l .' ' _ - Absorption valve _ 1b O) Backflow reventer �� Pae 2 Backwater valve T 16.60 Clothes washer 16.60 �-- - -- — Dishwasher 16.60 g�yyp Drinking fountain 16.60 E ectors/sun—�_ 16.60 i Name' —m' f) — — Expansion tank 16.60 r ixursewer ca . 16.60Address: CIIV/State/Zi :X.- " 7 � Floor drain/floor s' ub 16.60 r 60 r_ •F" X; Garba a dis sal 1660 Phtme' Hose bib ' ►' - Ice matter 16.60 Name; Interceptor/greasc ap 16.60 _ Address: Medical as•value, S Page Primer 16.60 city/state/zip: Roof drain commercial 16.60 I Phone: F:tx: — Sink/basin/lavato _ _ 16.60 E-mail: Tub/shower/shower, ap n __ 16.60 7�a7 Urinal — 16.60 Business Name: water Moser 16,60 Nater heater16,60 Address: rnnet �r city/state/Zi _ 3 i other Phone �_ ax`;f)3 9.ti CCA Lic. #~ Plumb, Lic.# Minimum Prtn,it 1 ee S'Z 5o c Authorized Residential Backflow Minimum F; 25 Signature Date:— U�lj Plan Review(25%of Petnut Fee) S v_ -- State Surcharge(6%of Peanut Fee S (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires It a permit Is not obtainod within All new commercial buildings require 2 tete of plane with Isomeric or Igo diva after It has been rceeptod as complete. riser diagram for plan review. Fee methodology set hi•Trl•Counry ltulldiny Industry Service Board Osn\Permi,FormsJPlmPermltApp.do< 01 103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)539-4171 MST BLIP Received 1 f / Date Requested_ Z./1 dI 3 AM PM BLIP _ Location .-_ 1,2):575 Lk.L c� _ &'l Suite_ M C - --- -- Contact Person Ph Contractor Ph - --- ) - SWR BUILDING Tenant/Owner Footing —_ -_ -- Foundation Access: ELC Ftg Drain Crawl Drain ELR -- _ Slab Inspection Notes: SIT Post&Beam - Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear I ` Framing Insulation Drywall Nailing Firewall --- --- Fire Sprinkler Fire Alarm Susp'd Ceiling - - Roof / Other: Final — PASS PART FAIL -- PLUMBING Post R Beam Under Slab Rough-In Water Service -- Sanitary Sewer — Rain Drains Catch Basin/Manhole Storm Drain - ----------- — Shower Qan -- 2A0tr,S PART FAIL - --� - HA_NICAL Post R Beam Rough-In ---- --- -�—` Gas Line - ---- Smoke Dampers _ Final --- PASS PART FAIL --- --- - ELECTRICAL "-- Service Rough-In — UG/Slab - -- Low Voltage Fire Alarm -�-- ---- - --- Final Reinspection fee of$-, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. I PASS PART FAIL 81TV— ❑ Please call for reinspection RE:___ Unable to inspect-no access Fire Supply Line ADA �.�/� Approach/Sidewalk Date ql�3 Inspector 7L-" /.�, Other: / Ext Final — -- 60 NOT REMOVE this Inspection record from the,fob site. PASS PART FAIL