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13685 SW SANDRIDGE DRIVE 13685 SW Sandridge Drive CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received _ Date Requested ( � Z( _ AM _ PM BLIP Location 25 W Suite MEC Contact Person __._. _�z!zjjP/U-r __- Ph (- -__—) -'`�_!!2_23_CX l PLMLZ -_ Contractor —__ Ph ( �) -- _- SWR BUILDING Tenant/O�aner _ 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 Suspd Ceiling - Roof Other: - — Final --T--- --- PASS PART FAIL - — — PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain -- Shower Pan Other: - --- P PART FAIL CHANICAL Post 8 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$_—_ required before next inspection. Pay at City Hall, 13125 SW Hall B' _PASS PART FAIL SITE — [ Please call for reinspection RE: _� _-- ❑ Unable to inspect-no at Fire Supply Line ADA Approach/Sidewalk Blab - �- - Inspoeor — EA! Other:__ - Final DO NOT REMOVE this Inspection record -rom the job site. PASS PART FAIL CITY OF TICAPn 24-Hour - BUILDING Inspection Line: (503) 639-4175 MST ' INSPECTION DIVIsIoN Business Line: (503) 639-4171 Received Date Requested_ / - a 2L_ AM .. PM _ _ BUp BLIP Location � �^�S _ — - 6uite_ - MEC Contact Person --_- --- —_- ��'►'t-Q ( PLM � ) S I`�—�1 tn/ Contractor h_i Ph f ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: EL C Ftg Drain Crawl Drain ELR Slab Inspection Noles:^- A — SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling -- Roof Other: — Final PASS PART FAIL ------ _ _ PLUMBING _ Post 8"Beam — - --- Under Slab _ Rough-In —' --— -._— ---- - Water Service Sanitary Sewer — - Rain Drains Catch Basin/Manhole -- - Storm Drain — Shower Pan --- Other: Final PASS PART FAIL -- MECHANICAL Post&Beam ---- — -.__ Rough-In _ Gas Line - -- - Smoke Dampe-s -- _— Final -- PASS PART FAIL ELECTRICAL - - Service -- -"----^-- -- Rough-In ---_-- UG/Slab --s -- —_- Low Voltage Fire Alarm - -_ 1 Reins PART FAIL -� pection fee of$_ ___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE [_1 Please call for reinspection RE: _- _,- n Unable to inspect--no access Fire Supply Line - ADA - Approach/Sidewalk Date--�� Cie-1, Inspector Ext Other: Final DO NOT REMOVE this Inspoctlon record from the Job site. PASS PART FAIL 0 a rri s a � . ► Ttt a d I ► v' P J% M P a r � �' ► a rra � ► C� � �' C� rr ► + ru a ► .j uq O ► a 'V a ► r P cm rD 4 � � P ,4 Cr1 M � � � � P 4 , r° a �a I ► i1 � rD r- ° A ► - 4 t� � o P a � y � ► a ► 4 o ► a b ► a P P t ► a P � P a P a AAreeeeee�e�ieeeeiiiieiiiiiieeeeieeeiiiiee��' n o o b ^. O 0 ry G o� a ` o N w � o O a O � � rD 71 O ti .a 0 f� �e _J CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUh - _-- Received _. Date Re $sted AM ____�_ PM BUP Location .— __ . �D�-S � Suite MEC Contact Person Ph( ) 5 I �I _ ��3�( PLM - Contractor Ph(___) S W R BUILDING Tenant/Owner _ ELC Footing Foundation ELC A Fig Drain Access: ELR Crawl Drain Slay Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Lrz- Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Other: ash --- PART FAIL PLUMBING_ Post& Beam Under Slab --- Rough-In Water Service Sanitary Sewer Rain Drains �._--------___-- Catch Basin/Manhole Storm Drain -----—----- Shower Pan Other: -. -- --- -- Final _ PASS PART FAIL ------ MECHANICAL Post 8 Beam -----— - ---- ---------------------- Rough-In Gas Line Smoke Dampers — na S PART LECTRICAL___— _ Service ~— Rough.-In - _--- UG/Slab Low Voltage — Fire Alarm Final Reinspection fee of$_____v_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE _ _ Please cell for reinspection RE: U Unable to Inspect-no access. Fire Supply Line ADA Approach/Sidewalk I7atw �� r � Inspector 1— _-- _Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL A CITY OF T I G A R D !ASTER PERMIT PEF'MIT #. MS12002-00270 DEVELOPMENT SERVICES DATE ISSUED: 8/5/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13685 SW SANDRIDGL- DR PARCEL: 2S105DD-05600 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 032 JURISDICTION: TIG REMARKS: New SF detached dwelling. Patti 1 BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST 1,360 of BASEMENT: 8300Q sf LEFT: 6 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND 1,502 sf GARAGE: 625 sf I'RONT 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: sf RIGHT, 7 VALUE: E 362.044.10 OCCUPANCY GRP: R3 BDRM: 7 BATH: 3 TOTAL: 2,862.00 of NEAR: 50 PLUMBING SINKS: 1 WATER CLOSETS: 6 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TU131SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 RCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL.TYPES FURN c 100K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•10014: 1 UNIT HEATERS: HOODS: t OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES- GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER9 BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 7 201 •400 amp: 201 409 amp: lot WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 801 • 1000 amp: 601+amps•11000w MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: a•4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGF OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Contractor: TOTAL FEES: $ 8,882.41 Owner: This permit Is subject to the regulations contained in the D.R. HORTON HOMES D.R. HORTON INC Tigard Municipal Code,State of OR Specialty Codes and 4386 SW MACADAM AVE. 5125 SW MACADAM 1!145 all other applicable laws. All work will be done in SUITE 102 PORTLAND,OR 97201 accordance with approved plans This permit will expire N PORTLAND,OR 97201 work is not started within 180 days of issuance,or if the work Is suspended for more then 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rap N. LIC 1301159 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copYss of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Wtr Proofing Bsm't Wa Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final Grading Inspection PosVBeam Structural PLM/Underfloof Framing Insp Gas Fireplace Mechanical Final Sewer Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final Footing Insp Underfloor insulation Plumb Top Out Exterior Sheathing Insl Water Line Insp Final inspection Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltage ApprlSdwik Insp Issued By : = ��:' r ':! f errnittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT_ DEVELOPMENT SERVICES PERMIT#: SWR2002-00176 1315 SW liall Blvd., Tigard, CR 97223 (503) 639-4171 DATE ISSUED: 8/5/02 PARCEL: 2S105DD-05600 SITE ADDRESS; 13685 SW SANDRIDGE DR SUBDIV;SION: PACIFIC CREST ZONING: R 7 BLOCK: LOT: 032 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 8/5/02 $2,300.00 27200200000 PORTLAND, OR 97201 INSP CTR 8/5/02 $35.00 27200200000 Phone: 503-222-4151 Total $22335.00 Contractor: Phone: Reg#: Required Inspections 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 952-001-0010 through OAR 962-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. y Issued by: r< Permittee Pittee Signature: / I f f j - j � r � erm -+ ----- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 7ol cj5 r Building PerndtApplication Datereceived: Permit no.�J frAdC %Oe 9*10 City of Tigard Coy a/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97229 Project/ap .no.: Expire date: Phone: (503) 639-4171 Da.eissued: ByQ_j,ji Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Laud use approval: 1&2 family:Simple Complex: 4,7 O 1 &2 family dwelling or accessory ❑Commercial industrial I]Multifamily ,WNew construction ❑Demolition 0 Addition/alteration/replacement O Tenant improvement ❑Fire sprinkler/alarm ❑Other: _ JOB SITE INFORMATION Job address: I ViW IN Suite no.: Lot: 3A= Block: Subdivisio A lax map/tax lot/account nrf__ S i:v Project name: Description and location of work on premises/special conditions: OWNE11 1:0111 SPFCIAL INFORMATION, USE CHECKLIST Namc: g • N'6►�p C (Floodplain,septic capacity,solar,etc.) Mailing address: I & 2 family duelling: City: q38State:p ZIP:JJZ4 1 Valuation of work �YG4 qq.•Y.........../ U Phone: - <j( Fax: - -�J-f mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. �, 3 Phone: Fax E-mail: New dwelling area(sq. ft.) ..J.2.L.L....... ! _ Garage/carport area(sq.ft.).................•....... Name: V Q 1'rs Y"V i Covered porch area(sq.ft.) ......................... s J Mailing address: yole ""'• 71K Deck area(sq.ft.) ........•.......•................. City: State: ZIP: Other structure area(sq. ft.)......... ............... Phone: I:tx. Email CommerciaUlndustrial/multi-family: tNTRWfOR Valuation of work........................................ $—� Business name: a y �-p h Existing bldg.area(sq. ft.) .\\................... ; New bldg.area(sq. ft.) .......... Address: 5L4 AAAL"a-m ell ..�.........,r.. City: State:p ZIP; Number of stories..................�......... Phone: - IS Fax: 1,V, E-mail: Type of�,;.nlruclions . ..•..•.... CCB no.: OccupanExisfh%4 0 New: City/metro lie.no.: No :All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: H _ provisions of ORS 701 and may be required to be licensed in the _ �Sjurisdiction where work is being perfomted. If the applicant is Address: City: State: t—ZIPexempt from licensing,the following reason applies: Cnntact person: ( Pla_n tic: /� i+::". E-mail: Name: &44W ontact person: & Fees due upon application ........................... $ Address: f G. Date received: _ City: Statc:Q)e_ IZIP: / Amount received ........................................ $ Phone: Fax (/telefyYE-rnail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all lumdiclionf accept credit cards.please call luri"ction Int mare information attached checklist.All provisions of laws and ordinances governing this o visa O MasterCard work will be complied wi ,whather specified herein or not. Credit cud number _ __- I I _ r ires Authorized signature: Date: _t - Name of cudbolder at shown on credo cud Print name: Y'DH $ 1�.. Cudholdlr afEnnure Amount Notice:this permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. tauvcOM Electrical Permit,Application Date received: Permjt noltr2 06 X76 f City of Tigard Projecdappl.no.: Expire date: --giliII14-MIL C,iry o(Tigrtrd 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 6F PERMff 0 1 &2 family dwelling or accessory U C:ontmcrcial/rndustnal O Multi-family ❑Tenant improvement New construction O Addition/alteration/replacement O Other: _ ❑Partial JOB SrM P"RMATION Job address: P1 - I Bldg.no.: ISuite no.: _ ITax map/tux lot/account no.: _ Lot: Block: Subdivision: 0(4 PDescription and location of work on premises: — Estimated date of completion/inset-ction 1 1 ' 1 Job no: Fee Max -- -- Description Qty. (m) Total no,insp Businessname: New reddential-single or multi-family per Address: jG1 Ij dwelling unit.Includes attached garage. City: I Service included: Phone: � - Fax: _�E-mail: 1000 sq ft.or less 4 Foch additional 500 sq.ft.or portion thereof _CCB no.: Elec.bus. lie.no: 7j IO Limited energy,residenual 2 ('its,/metro lic.no.: Limited energy,nnn-residential 2 Each manufactured home or modular dwelling c;enarur[ming electrician(require dl l---- -l`intc Service and/or feeder 2 Sup.elect.name(print): License no, Serrates or feeders-Installation, alteration or relocation: 207 amps or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps Mailing address: Q 601 amps to I(W amps 2 City: ` Stale: Over 1000 amps or volts 2 Phone: Fax: ( E-mail: Reconnectonl I eden Owner installation:The installation is being made on property 1 own ItiTemporary seraltvices or f nolo which is not intended for sale,lease,rent,or exchange according to 200almps or less lon,orrelocation: ORS 447,455,479,670,701. 200 amps or Tess _ _ 2 20I amps l0 41N1 amps 2 Owner's si nature: _ Date: 401 to 6(>a ams 2 r Branch circuits-nen,alteration, or extension per panel: Nance: �lS VNiniq A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City; State:4K 12 P: Q B. Fee for branch circuits without purchase of service or feeder fee,first branch circuie 2 Phone: Z Fax/l9 - r mall Each additional branch circuit Misc.(Service or feeder not Included): O Service over 225 amps-commetrial ❑Health-care facility Each pump or irrigation circle ❑Service over 320 amps-ruling of 1&2 ❑Hazardous location Each sign or outline lighting furnilydwellings ❑Building over 10,M)square feel four or Signal circintls)or a limited energy panel. Cl System over 600 volts nominal mare residential orals m one structure allegation,or eslension• Z ❑Building over three stories ❑Feeders,400 amps or more *Description; ❑Occupant load over 99 petsnns ❑Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: ❑Egress/lighungplan ❑Other. - Peinspection submit _ sets of plans with any or the above. Invesu auonfec The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,please call jurisdiction for more information' Notice:'this permit application Permit fee..................... _ ❑Visa ❑MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit card number � within 180 days after it has been State surcharge(8%) :pines accepted as complete. TOTAI. .......................g Name of cardhol r u shown on endo car S Cardholder slsnsture Amount 4404615(&WrOMI .- - I ____ I Mechanical Permit Application Datereceived: Permitno.: �r City of Tigard � City ofri8nrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecVappl no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Zldingpefmitno.: 1 ❑ 1 &2 family dwelling or accessory O Commercial/industrial _j N1uli 1,on;l :1 Tenant improvement ❑New construction ❑Addition/alteration/replacernent __j�)1h r _ G 1 1 1 1 1 Job address: 17 "t'j, :;411kU lzliy Indicate equipment quantities in boxes tic low.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. IBlock: Subdivision: Pfo 'See checklist for important application information and Project name: jurisdictiun's fee schedule for residential permit fee. City/county: ZIP; -- ► t Description andon of work on premises: 1 f r Itl M t a!I -- 1 ear(r•a.) ' l otal Est.date of completion/inspection: Desai ion Of v. Iter.anl.1 [A es.onh. Tenant improvement or change of use: Is existing space heated or conditioned?❑Yes U No Air handlin unit --CFM--Air conditioning(site plan required) - Is existing space insulated?❑Yes ❑No Alteration of existing HVAC system MECHANKAL t 1 of er compressors +- Business name: V State boiler permit no.: HP Tons w_BTU/H Address: Fire/smoke dampers/duct smoke detectors City: A WA, State: ZIP:101010peatH pump(site plan required) Phone: Fax: E-mail: nota replace umac urner CCB no.: Including ductwork/vent liner ❑Yes O No nsta ,rep ace/re ocate eaters-suspen e City/metro lic.no.: "all, or floor mounted Name(please print): ant ora lance of er an furnace of geration: Absorption units BTU/Ii Name: N t D I e, s p Chillers HP Address: 6j �y Com ressors HP nv oninenta exhaust an ventilation: City: _ State: ZIP: D Appliancevent Phone _1,;;-- / Fax: •,�yl E-mail: ryerez oust Hoods,Type res, it5e haT zinat hood fire suppression system Name: �tLH Amws Exhaust fan with single duct(bath fans) Mailing address: 5]y v Exhaust system apart front heatingor AC C its': �� State:Qo. ZIP: are piping andistribution(up to outlets)it � �� Type: _LPG NC; Oil Phone: / ' Fax /'f E-mail: Fuel piping ea-cii-additional over 4outlets rocess piping(schematic required) Jame: ( JA�/ 2k1h Number of outlets Other listed app oequipment:nce or Address: 13yS/, 5E /y �/�' _ Decorative fireplacc City: 1 Stater ZIP: lig/i nsen-t e_ Phone: Fax: 1.02 E-mail: oar stove/pe !t stove era -- Applicant's signature: Date: r: 1 , Name (print): 1r e?C — --- — Nor all)urfuhcuau accept credit cards.pleve call lunsdecuon fen mare mformwion Permit fee..................... —_ U Visa U MasterCard Notice:This permit application Minimum fee................$ Credit card number _ expires if a permit is not obtained Plan review(at _ %) $ _ ExI g0 days after it has been State surcharge(896) ....$ _ Name of cardholder u shown on credit card accepted as complete. TOTAL f .......................$ Cardholder g1paime Amount 4404617(&MCOM) Plumbing PermittApplir><ti�� Date received: Perm itno.,/f��,��C� City of Tigard Sewer permit no.: 13widing permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 — Ciry n(T Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case rile no.: Payment type: DEC U 1 &2 family dwelling or accessory 0 Commercial/industrial J Multi-family J Tenant improvement New construction J Addition/alteration/replacement J Food service J Other: _ JO11 SITE INFORMATION1ULE(for tipeciml Information Job address: 1 4LAJ 6 & Description Qty. Fee(ea.) Total Bldg. no.: Suite n New 1-and 2-famlly dwellings only: 1 (Includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivision: SFR(2)bath _ — Project name: t ^! -- SFR(3)bath City/county: r`( ZIP: Each additional bath/kitchan Description and It1cation of work on premises:�. -_-- Sileutilities: Catch hasin/area drain Est.date of completion/inspection Drywells/leach line/trench drain PLUMBING CONTRAC'I'OR Footing drain(no.lin. ft.) Manufactured home utilities_ Business name: hl'Y��jjd Manholes �- Address: �g $Z �7 Rain drain connector City: State: ZIP: pp Sanitary sewer(no. lin. ft.) Phone: 411- D Fax.: E-mail: Storm sewer(no. lin. ft.) CCB no.: I I' Plumb.bus.reg.no:'3 -� Water service(no. linft.) �� City/metro lic.no.: — Fixture or Item: Contractor's representative signature ,. t Absorption valve �- - � — -- Back flow preventer Print name: I ;/ fate Backwater valve WNTACT PIERSON 11111111 Basin. lavatory Name: l e D le- Clothes washer Dishwasher Address: /Z Drinking fountain(s) City: r11wh eq, StateD,< I Z!fff. 7ZD/ Ejectors/sump_ Phone: ply / l -mailExpansion tank Fixture/sewer cap _ Name(print): D. K . ftowe S Floor drains/noor sinks/hub Mailing address: 6-725y --- Garbage disposal Hose bibb City: State: qQ ZIP: Ice maker Phone: - Fax; V7-37/,7E-mail: lnterce tor/ mase trap (honer instal lation/residential maintenance 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 1 own as per ORS Chapter 447. Sink(s), basin(s), lays(s) Owner's signature: _ Date: Sum Tubs/shower/shower pan Name: l Water star closet Address: _ ) —5F /2U Water heater City: _ 17� l I State:ZIX I ZIP: _ Other: Phone: Fax:jwj _1 E-mail: Total Not all jutndictiom accept credit cards,,ptew call junction for more mtamauonNotice:This permit application Minimum fee................S O Visa O MasterCard expires i1'a permit is not obtained Plan review(at _ %) $ Credit card number L—L within 180 dad s after it has been State surcharge(8%) ....$ ERpircr Name of cardholder u shown on credit card -- accepted as complete. TOTAL ....................... _ S Cardholder uenatute Amount 446-4616(6MCOM) PACIFIC CRL--ST' SUBDIVISION LOT - 32 CITY OH -FIG, RD STO 11 Of THE APPROACH SHALL BE A MINNMUM OF 8"rl2'x2O' OF GLEAN PIT GRAVEL e LAT LANDSCAPING FOR THE ENTIRE LOT El eS79' SHALL BE FINISHED OR THE LOT — EL-577' SURROUNDED BY EROSION CONTROL WA R PRIOR TO BREAK OUT OF GOMMUNIT" EROSION CONTROL. FINISHED SLOPE5 SHALL BE LESS THAN 2 TO I TEM GRAvEL i a � AY 2 112" TA i AR1AN i MAPLE I 1 I I ---- 1 4-2 I NOTE: I I.ROOF DRAINS TO STOR`t LAT. IN STREET. I i i i 2.FOUNDATION DRAINS TO F I BACKYARD SOAKAGE TRENCu SEE ATTACHED DETAIL I j I I 1 I I I I I I I I / I I 2 I I I 1 1 I � r• I I I 1 I I ( I I I I I I I I I I 1 I I I I I I I I I I I 1 1 I I I I 1 t i -rte` I I �- I t j I I I I I I I I I I -- -�TSfiCI�TINf'-----------J //�� t' EL�S�E' ._ PROPER TV LINE EL-550' 'v 3SETBACK REQUIREMENTS I SCAU: 1'-20'4 FRONT YARD TO GARAGE 15' j SIDE YARD 5' 7 , 2 1 REAR YEARD _— 15' 4UDRE6&,1f0*7'SW lANDRIpfiE DR D.R. i ��1 ��1 � � �0m�r1,JPLAN f�b2DWALE. •20 DATE.5.15.02 5125 51J. Macadam Aveneue RCVIbED 5.21-C2 PNONF !0)222.4151 Portland Ore on FAX 5051223111 �' ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED -- ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00194 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 PARCEL: 2S105DD-05600 SITE ADDRESS: 13685 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 032 JURISDICTION: TIG Proiect Description: All-encompassing low voltage. A. RESIDENTIAL B.COMMERCIAL _ �_- AUDIO & STEREO: AUDIO & STEREO: A 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: !NSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS: Owner: _—__— -_--��----___�_^-Contractor: -- -- �-_-- D.R. HORTON HOMES AZIMUTH COMMUNICATIONS INC 4386 SW MACADAM AVE P O. BOX 508 SUITE 102 WILSONVILLE, OR 97070 PORTLAND, OR 972.01 Phone: 503-222-4151 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 23123LE LIC: 145828 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 9/24/02 $7500 2720020000 Elect'/ 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 tie 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 I �lYl'L+f" ! Permittee Signature OWNER INSTALLATION ONLY The installation is being ioade on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL.EC'N LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day t Electrical Permit Application I[Faterc��ceivMcd:: �1/,� �,�- Permit no.:,ta Z. City Of Tigard Projectlappl.[to_F_---- Expiredate: City rrfTigard Address: 13125 SW flail Blvd,Tigard,OR 97223 Date issued: By: ----; FR Phone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 tm &2 family dwelling or act msory U Commerctal!industrial U Multi-family 0 Tenant improvement ew construction U Addition/altert, ion/replar.emeIII U Other: U Partial TE INF01MIATION Job address:t C W-_ `l1tCBldg.nu.: _ Suite noTax mapltax lot/account no.: —_-_ Lt)t:—'L Block: Subdivision: Project name: _ jj-- Dt seri tion and location of work on premises. PAM I Estimated date of completion/inspection: CONTRACTOR WHEDULE Job oo: I ee Max Description _ Qtr. (ea.► Total no.ins Business name: MA 21M 4 T^ .+ -tdw'r!�T/dd- s DescriptionNewledditttial aingleormrYi frmilyper Address: h' S. 0 1 i7 itwrilingwrit.tnrtaarsan,rhrdgaraRr. City: 1xJ0ILIE I Stater ZIP: 70 U Servirrincluded: Phone:5b300 011V Fax•5031Kooi mail: IMI 141 it snre.ti -_ - -- � Elec.bus.Iic.no: E, - •CE' F�a:h additional 500 sq.ft.or porion thereof -_-- CCB no.: l.imitedenergy,residential 2 City/mic.no.: J&V S-1 97 - Umited energy,non-residential - 2- G 14sch manufactured home or modular dwelling Signa are of supervisin elect' (required))�t— Date Service amUor feeder 2 Sup.clect.name(print) AVL alteration Ucdlaerlo: L Senleesorfeeden--Inshllalion, alteration or relocation: 1 200 amps w less 2 Name(print) �• ^1 1 amf- 7.00amps 2 ---- 401 am0 amps 2Mailing mh ss: 601 amMamps 2 City 5latC: � Over 1000 amps or volts _-_ 2 Phone: Fax: G-mail: Recnnnectonly I Owner installation:The installation is Feing made on property I own Temporary services or feeders- which is not intended for sale,lease,rc it,or exchange according to litstall.ilon,sitenlim,urrelmilon: ORS 447,455,479,6200 amps or less 2'_- �~ all,* OZ 201 amps to 400 amps - Owner's sip nature: Dale: 1 401 to 6fx)ams 2 UNGINEER Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale 1711' N. Fee for hrsnch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: a x E-mail: Each additional brnrx.h circuir--- - _ PLAN ' Mise.(Service or feeder mot Included): 0 Service over 225 amps-commercial U Health-care facility Fach pump or irrigation circle 2 U Service over 120 amps-rating of I A2 U I Iarantous location Foch sign or outline lighting_ - 2 familydwellings U nuilding over 10,000 square feel four or Signal circuil(s)or a limited energy panel. USystem over 600volts nominal nxneresidential units inone structure alteration,orextension• __L__ U Building over three stories U Fectlem,400 amps or more *Description. U(keupant load over 99 persons U Manufactured structures or R V park Fjeh additional Inspection over The allowable In any of the above: U tigmss/lightingplan U Other -- Pet inspection (—�-1- Subvrit _ sNs of plans with any of the above. Investigation fu The above are not applicable to temporary construction service. other I -rmit fee.....................$ 75,l'-e) Not an iariadicuoru se"credit card+,pkne call itmstdretim Im mar mrsMrnolon Notice: Iltis"it application U Visa Cl MasterCard expires if'a permit is not obtained Plan review(al _, %) s --�- credit end miriberpL— within 190 days after it has been State surcharge(8%)....$ accepted as complete. TOTAI, ............ .......$ rpi r Ut) Ntame of c drr a shosva on c�- S _ — -i'artUtoltltt dRnalare—�---- --Amount 4464615(6AM'OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY rry P Restricted Energy Fee...................... $75.00 Number of Inspections per permit allowed - (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ $145 15 _ _ 4 Audio and Stereo Systems' Each additional 500 sq.ft.or 14 portion thereof __ $33 40 1 r1I Burglar Alarm Limited Energy _ $7500 `+t Each Manuf d Home or Modular Dwelling Service or Feeder _ $1!0.90 2 U Garage Door Opener' Services or Feeders ❑ Pleating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30_ 2 201 amps to 400 amps $106.85 T 2 ❑ Vacuum Systems 401 amps to 600 amps $160.60 _ 2 601 amps to 1000 amps $240.60 2 Other_11dlr-4 _A_A Gver 1000 amps or volls $454.65 _ 2 Reconnect only $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 (SFE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133.75 — 2 Check Type of Wori,Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circulls ❑ New,alteration or nxtenslon per penal Biller Controls a)The foe for branch dn:uits Will purchase of service or ❑ Clock Systenls feeder fee. Lach branch circuit _ $665 2 r� Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 ❑ Fach additional branch circuit $6.65 HVAC Miscellaneous ❑ (Service or feeder not inciuded) instrumentation Each pump or Irrigation circle $5340 ❑ Each sign or outline lighting _ — $53.40 — _ Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension $75A0 ❑ Landscape Irrigation Control' Minor Labels(10) $12.5.00 Each additional Inspection over ❑ Medical the allowable in any of the above ❑ Per inspection $62,50 Nurse Calls Per hour — $62.50 — r, In Plant $73 75 LJ _v _ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8'Y State Surcharge $ ___,Number of Systems 25%Plan Review Fee See'Plan Rnview'section on $ ' No Iic ensRs arequired quired licenses are requlmd for all oltrer Installations front of application Fees: Total Balarre Due $ rr--�� Enter total of shove lyres LJ Trust Account q 8%State Surcharge -------------� —�-- — —�--- -�— Total Balance DueAll New Commercial Buildings require 2 sets of plans. i\dsts\forms\cic-fees doc 09//0411