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13710 SW SANDRIDGE DRIVE J W V O cn 7 U3 m 13710 SW Sandridge Drive CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST off--oO3� INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received __ Date HegtJOsted��--_ �� _ AM _ _- PM BUP — Location _ 3 -71 c Aei' p 196 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 Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab - - - -- ——-- --------- -— -- Rough-In Water Service - ----- Sanitary Sewer Rain Drains - -- - -- -- --- - --- - Catch Basin/Manhole Storm Drain Shower Pan Oth -- S ' PART FAIL M_ANICAL - Post&Beam Rough-In -- — --- — Gas Line Smoke Dampers — —-- -- --- Final PASS PART FAIL — -'�— — - ELECTRICAL Service — - '--- --- — __--- Rough-In UG/Slab Low Voltage — Fire Alarm Final El Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ __PASSPART FAIL _SITE _ D Please call for reinspection RE: Unable to inspect-no access Fire Supply Line Gr � ADA Approach/Sldewalk Orb �" Inspector Other: Final DO NOT REMOVE this inspection record from '"de job site. PASS PART FAIL CITY OF TIGARD 24-Hour _ BUILDING Inspection Line: (503) 635-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP Received —Date R nested " AM— PM BLIP Location _ Suite __--- _. -- MEC Contact Person Ph PLM Contractor _ Ph ( ) SWR BUILDING Tenant/Owner __ ELIC Footing — - Foundation Access: LC Ftg Drain -- Crawl Drain _ ELR Slab Inspectio Notes: - - SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: Final PASS PARTFAIL PLUMBING ___ - Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan — - Other: Final -----__.-- - —_, PASS PART FAIL -- ---—_ —_._ MECHANICA'_ Post ABeam Rough-In Gas Line Smoke Dampers Final - - - - --- PASS PART FAIL - ELECTRICAL Service _- Rough-In UG/Slab -------- ---------- larm -- In WRein PART FAIL_ spection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 8 _ [] Please call for reinspection RE: _._ Unable to inspect-no access Fire Supply Line — ADA Approach/Sidewalk Date �* ._T3) Inspector -_ - / Ext —' Other: -- - ----- 1. 19 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 c, �_ ego INSPECTION DIVISION Business Line: (503) 639.4171 v BUIP Received _ DReaues AM.-. PM BLIP Location 3 7/O . _.. - - - .quite MEC Contact Person --_ -_-- Ph(_-- ) --_---------____-- - PLM - Contractor --_ Ph(——) --- -_ --- SWR --- UILDI _ Tenanvowner _ ELC Footing Foundation Access: ELC Ftg Drain EL.R Crawl Drain _ Slab Inspection Notes: — SIT Post&Beam -- Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing _ C� Insulation Drywall Nailing Firewall Fire Sprinkler - < ^�•-�--- 7'�YVt Fire Alarm J Susp'd Ceiling — ----- - Roof Other: ----- _ na PUM6_1Nd___ PART FAIL - `-- --- - - P Post&Beam — Under Slab Rough-In - Water Service Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain -_-_ Shower Pan Other: Final PASS PART FAIL - - -- - - ----- - -------- --- --- MECHANICAL _ Post& Beam -- Rough-In ---- --_ ----- Ras Line —-- Smoke Dampers --------------.—_- _ ._ _ Final A� PASS _PART_ FAIL ELECTRICAL - - Service - - -------__- -_.—_----- _.- -- ---- _- ----- Rough-In UG/Slab ----- ----- - -- - Low Voltage - --- r•ire Alarm .- _ --------------_---- --_._-�-- Final U Reinspection fee of$__-__ -_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL - - .-----_.__..------ F-1SITE _ U Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Dow_ Approach/Sidewalk ---.-_-._ InaPecti.)r Other: _ --- Final ®O NOT REMOVE this Inspection record from the Job site. PASS PART FAIL LAAAAAAAAAAsAAAA-AA AAAA,AAAAAAAAAAAAAAAAAAAAA w� i '► r bNo. d ► r4 cn Q.. 44 CCD ► rb 4 44 CA s `d ► 44 QO ► y O ► t� � o /� t IM � ► m n , ► 44 o �. 444 I i 44 ► � R 44 �► d - - - ► � w CD n OT? ar o N � n "1 � a ol�N `p n •- f �0 t o � � a N n O n o � 0 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00308 DEVELOPMENT SERVICES DATE ISSUED: 7/19/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13710 SW SANDRIDGE DR PARCEL: 2S105DD-05000 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 026 JURISDICTION: TIG REMARKS: New SF detached, Path 1. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT! 23 FIRST: 1.478 of BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOUR LOAD: 40 SECOND: 1.427 at GARAGE: 112 of FRONT: 21 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. at RIGHT: 7 VALUE: $281.899 00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2 905 00 at REAR: 18 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS! 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES. 100 13CKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOILICMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 800SF: 6 201 400 amp: 201 - 400 amp: let WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 800 amp: 401 - 800 amp: EA ADDL BR CIR: SIGNAL/PANEL.: IN PLANT: MANIC HM/SVC/FDR: 801 1000 amp: 801+8mpe•1000v: MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION Reconnect only: a•4 RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL: CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO 6 STEREO: VACI IUM SYSTEM: AUDIO A STEREO: FIRE At ARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR At ARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC' DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,828.03 This permit is subject to the regulations contained in the D R HORTON HOMES DR HORTON INC Tigard Municipal Code.State of OR Specialty Codes and 5125 SW MACADAM AVE STE 145 5125 SW MACADAM#145 all other applicable laws All work will be done In PORTLAND,OR 97201 PORTLAND,OR 97201 accordance with approved plans. This permit will expire H work is not started within 180 days of issuance,or i`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 13085Q forth in OAR 952-001.0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechaiica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundatlon Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp PosUBeam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final ' G Issued By : Permittee Signature Call(503)639-4175 by 7:00 p.m.for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR,402-00215 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7119/02 SITE AiJDRESS: 13710 SW SANDf�IDGF DR PARCEL: 2S105[)D-05000 SUBDIVISION: PACII-IC CREST ZONING: R-7 BLOCK: LOT 026 JURISDICTION: TI(; 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 Owner: - - -- — - -- -- ---- - D R HORTON HOMES FEES 5125 SW MACADAM AVE STE 145 Type By Date Amount Receipt PORTLAND, OR 97201 PRMT CTR 7/19/02 $2,300.00 27200200000 INSP CTR 7/19/02 $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 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 accurary 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. Issued by: C,OL C,:. lyL.Z, Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day r Building Permit Application — -- ---- Dale received f Permit no.City of Tigard City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: edate: Phone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval; 1&2 family:Simple Complex: TYPE 6F rkRMIT O I &2 family dwelling or accessory U Commercial/industrial iJ Multi-family *"New construction U Demolition U Addition/alteration/replacement ❑Tenant improvement A Fire sprinkler/alarm U Other: JOB SITE INFORMATION Joh address:71 Bldg.no.; Suite no.: Lot: _ Block: Subdivision: Tax map/tax lot/account no.: .r. Project name: flAtifill Description and location of work on premises/special conditions:---------- Name: onditions: ____Name: T2. f',(-7 Mailing address: 125 I alt 2 family dwelling;: / City: State:p 7.1 P: Valuation of work. . -1,W, Y� 9, .. $ Phone: - 1 Fax:6A- -'5J -mail: No.of bedrooms/baths.... . Owner's representative: (, Total number of floors................................. 2.. Phone: %3 Fax: E-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.)......................... — .-)I 2� _ Name: p• tk-tl Y"In Covered porch area(sq. ft.) ......................... Mailing address:_ _W � a�!G V C� Deck area(sq. f.) ....... .. ............................. — City: _ 1 ; ,,tc: Zip: Other structure area(sq.ft.)......................... ` I In n, y I I : E-mail: CommereiaUindustrial/multi•ramily: CONTRACtOR Valuation of work........................................ $ Business name: D V fib Vl Existing bldg. area(sq, ............. Address: S New bldg.area(sq.ft.) .......... ........... .. City: State:p ZIP: Number of stories.... . �... .. Type of cons ton............. ............ ....... _ Phone: •- lS Fax: yam• r E-mail: CCB no.: Occu y group(s): Fxisti g: p - --- -- - New: City/metro lie.no Notice:All contractors and subcontractors are required to be l licensed with the Oregon Construction Contractors Board under Name: Pj_t2 provisions of ORS 701 and may be required to be licensed in the Address: .4s jutisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: 14 VI I Plan no.: Phone , / l Fal. E-mail: Name: .0 '�� 'ontact person: l Fees due upon application ........................... $ Address: E Vy(p�h Date received: City: MA4,qg State:QP— ZIP: p! Amount received ............................. ........... $ Phone: Fax:&4 y E-mail: Please refer to fee schedule, I hereby certify I have read and examined this application and the Not all)uriWtcaons accept credit cards,pleam call)unstknon for more Information attached checklist. All provisions of laws and ordinances governing this U vise U MasterCard work will be complied with,whether specified herein or not. (";edit card number / / Expires Authorited signature: �'CYh Date: None of cuNtolder u shown on credit card Print name: /Lei l Cardholder sipattoe $ Amoum Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Idl}J61J(6/10WOM) Flectrical Permit Application Date received: CI Permit no.: ell -� Clay of Tigard ProjecUappl.no.: date: Cavo(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97Date issued: B Phone: (503) 639-4171 Receipt no.: Fax: (503) 598.1960 case file no.: Payment type: Land use approval TYPE OF PERMIT U 18c 2 family dwelling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement New construction U Addition/alteration/repl icernent A()rl er: U Partial JOB SITE INFORMATION Job address: L Bldg. no.. I j6SUlW no.: Tax map/tax lot/account no.: Lot; 0 ock: Subdivision: (,t Project Warne: 4s Description and location of work on premises: Estimated date of com letion/inspectn'n 1 ' APPLICATION FEE SCIIEDULE Job no: Fee Max Business name: E264_3[1(/ Description Qty. jm) Total no.insto New rrsidential-single or mulli•family Iter Address: dwel8ng unit.Inclwles itltaclrrd gnre. City: State:0—)v 1 IP:03 23, Serviceincluded: Phone: - Fax: E-mail: 1000 sq.It.or less 4 Each additional 500 sq.fl.or portion thereof CCB no.: Elec.bus. Iic.no: Limited energy,residential 2 City/metro Iic.no.: Z�- Linutedenergy,non-residential 2 Each manufactured home or modular dwelling Stgnaru�ojsupervising electrician(required) Date Service and/or feeder 2 Sup.elect.name(print): License no Services or feeders-Installation, alteration or relocation: 200 amps or less 2 Name(print): S 201 amps to 400 amps 2 Mailing address: 41 401 amps to 600 amps 2 Q 601 amps to 1000 amps 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: -ily,5l I Fax: E-mail: Reconnectonly I Owner installation:The installation is being made on property I own Tempomryservices orfceders- which is not intended for sale,lease,rent,or exchange according to Installation,tdteration,orrelocation: ORS 447,455,479,670,701. 200 amps or less — — — 2 201 amps to 400 amps 2 Owner's si nature: _ _ Date: _ 401 to nnn ams 2 Branch circuits-nevv,alteration, or extension per panel: Name: MSV �Z _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit D/ 8. Fee for branch circuits without purchase City: _ State: 7.IP: p of service or feeder fee,first branch circuit: ` Phone: _ Fax(�r9 E-mail: Eoch additional branch:ircuit PLAN REVIEW(Plearie chgck all (loaf apply) Misc.(Service or feeder not included): O Service over 225 apps-commercial U Health-care tacthty Euch pump or ungation circle 2 LJ Service over 320 amps-rating of 1&2 U Htrzadous location Each sign or outline lighting 2 familydwellings U Building over ROW square feet fouror Signal circulus)or a limited energy panel O System over600 volts nominal more residential units to one structure alteration,or extension* 2 U Budding over three stories U Feeders,400 amps or more •Desert uon 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.gressilightingplan U Other - Permspecuon �T— —j---" Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary cunstruct)on servlee. other Not all jurisdictions wcept credit cards,please call tunsdicuon for more mfnrm icon Notice:This permit application Permit fee..................... U Viso U MasterCard expires if a permit is not obtained Plan review(at Credit card numher within 180 days after it has been State surcharge(8%) ....$ . accepted as complete. TOTAL .... S ---- — -- Name of cardholder u shown on credo card Cardholder signature Amount 410-1615(5i00ICOM1 I Mechanical Permit Apel icat ion Date received: Otis Permit lra� C>tty of Tigard Project/appl.no.: date: cityofrigord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By.LipReceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U 1 & 2 family dwelling or acresstiry U Commercial/industrial O Multi-family ❑Tenant improvement U New construction J Addition/alteration/replacement U Other:_ t114t t Job address: Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: V value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: Subdivision: I(G/ 'See checklist for important application information and Project name: >e jurisdiction's fee schedule for residential permit fee. City/county: ZIP; 14 tIj x Description and ocation of work on premises: t t t t x I i Iee(ea.) lotrl Est.date of completion/inspection: — — I)H.criprion QWy, e%.onl Res.onl Tenant improvement or change of use: Is existing space heated or conditioned'?U Yes U No Air handling unit — CFM Is existing space insulated']U Yes ❑ Ntr Air conditioning(site plan required) agaia Alteration o existing A system MECHANICAL t r of er compressors Business name: State boiler permit no.: Address: - HP __Tons BTU/11 ire/smo a ampers/ uct smoke detectors City: State: ZIP: d eat pump(site plan required) Z7 Phone: -4- Fax: Email; Install/replace urnac urner CCB no.: Including ductwork/vent liner O Yes U No nsta rep ac re ocate eaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): ent forappliance other an furnace e gest on. Absorption units BTU/H Name: N �(l- SO GChillers HP Address: rj / �y Com ressars 1{(, r nmental exhaust and ventilation: City: I State: ZIP: D Appliance vent Phone• _ l" / (:ax: - •.�11 E-mail: 133ryerexhaust Hoods, ype UT17res. itc en/ azmat hood fire suppression system Name: tbr /rK Exhaust fan with single duct(bath fans 1 Mailing address: y _ v Exhaust system a art froin heating or AC City: I Q State:pl( ZIP: ue piping andistribution(up to out cU) Type: LPG NG � oil Phone: (f Fax: / F mail: ue i i-i n each ad itiona�4 outlets ENGINEER. rocess p p ng(sch.tnauc rcyuocd) Name: /��I:!y C�j /h f Number of outlets Other st appliance or equipment: Address: 13ys4/ S[ /yU _ Decorativefirepla:e City: State: ZIP: ''Jp/� nst.n-type Phone: - Fax: ooustov pe etstovc ( ter: At)plicant's signature: Date: ten Name (print): , �� Not all lutisdicaons accept credit cards,please call jurisdiction rot more mrormanoa Permit fee.....................$ U Visa O MasterCard Notice:This permit application Minimum fee................$ Credit cord number __ _____ — / / expires if a permit is not obtained I_,�p,re- within IRO days after it has been Plan review(at _ 96State surcharge(8%)....$) $ None of cudholder a shown on credit card S accepted as complete. TOTAL Cudholder s palure Amount 440-4617 16AarCOM1 Plumbing Permit Application ' \ Date received: r `I Permit no. t; ( its Of 'I iard Sewer permit no.: Building permit no.: Address: I.i l'_5 SW flail Blvd,Tigard,OR 9722,1 Ciryn(Tignrd Phone: (503) 639-4171 ProjecUappl.no.: Ex ire date: Fax: (503) 598-1960 Date issued: By r,,,' Receipt no.: Lund use approval: ^_ _ Case file no.: Payment type: TYPE OF PERMIT 0 I &2 family dwelling or accessory 0 Comrnercial/industnal Q Multi-family 0 Tenant improvement New construction ❑ Adtfitinn/:ilteratinn/rclilacement O Food service 0 Other: stMEWORMATION FEE SCHEDULE(forinformation Job address: Descri tion . Fee(eu.) Total Bldg. no.: _ Suite no.: New 1-and 2-family dwellings only: (includes 100 It.fur each utility connection) Tax map/tax IoUaccount no.: SIR(1)bath Lot: Block: Subdivision: r!S'!'' SFR(2)bath Project name: ��' SFR(3)bath _ City/county: PA "LIP: Each additional bath/kitchen Description and l ration of work on premises: Siteutililies: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain t Footing drain(no. lin. ft.) PLUNIING CONTRACTOR Manufactured home utilities _ Business name: _Ijme'—TIM Manholes Address: $y Rain drain connector _ City: State: 7..IP_ "� Sanitary sewer(no. lin. ft.) �— Phone: - p Fax: VqJ E-mail: Stotm sewer(no. lin. ft.) g 3 �8 Water service(no. lin. ft.) i CCB no.: Plumb. bus.r no: City/metro lic.no.: Fixture or Item: Absorption valve Contractor's representative signature .-).-� .�1 _ Back flow preventer Print name: Date Backwater valve CONTAff PERSONBasinsllavatory _ Name: �L Clothes washer Address: /Z� / Dishwasher City: / Jwh StuteD� ZIR 7'i?�l Drinking fountain(s) Ejectors/sump Phone: -111 /s7 Fax: E-mail: Expansion tank 1 Fixture/sewer cap Name(print): D. J-tpr/ L/-r r�We, Floor drains/floor sinks/hub Mailing address: - --- Garbage disposal 11 Hose bibb City: State: A<ZIP_o Ice maker Phone: Fax: Z 9('1 E-mail: nterceptor/grease trap Owner 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 I awn as per ORS Chapter 447. Sink(s),basin(:.), lays(s) Owner's si nature: _ Date: _ Sum oatl Tubs/shower/shower pan Name: Lk GG?5U/�H� Urinal _ Water closet Address: 1 / Water heater City: t_1�22�'� State: Other: Phone: Fax:O _1 E-mail: Total Not all iwisdicuons accept credit cards.please call iunsdictton for more mfortnationNotice:-this permit application Minimum fee................S Plan review lar �,) $ -- — L1 visa Q MasterCard expires if a permit is not obtained _ !— Credit card number within 180 days after it has been State surcharge(8%) ....S Nam of cardholder u shown on credH Expires card accepted as complete. TOTAL .......................S S Cardhoider sttinature Amount 441.1616 f6Aa/CUNt1 PACIFIC CREST SUBDIVISION LOT — 26 CITY OF TIGARD LANDSCAPING FOR THE ENTIRE LOT SHALL BE FINISHED OR TWE LOT SURROUNDED BY EROSION CONTROL PRIOR TO BREAK OUT OF COMMUNITY S O 0 o C ^ 1A/ EROSION CONTROL. FIN15WED SLOPES .see' `4 VVEL-see' 5WALL BE LESS TWAN 1 TO I 65.0 PROPERTY UNE t i m i T ACK — U ® � ------- -----SES---- -------- _ 1 - NOTE: i 1 I,ROOF DRAINS TO STORM LAT. IN STREET. 1. FOUNDATION DRAINS TO 1 BACKYARD SOAKAGE TRENCH SEE ATTACHED DETAIL 1 1 � 1 PLAN : 1905A 50 FT. 21318 FIN EL • 588' i � 1 � � 1 O O ��— ; O 00 1 ' 0 z ' o GARAGE b) T. . 111 rIN ' z 1 I 1 1 1 , 1 �'- ---- TEr DRIVEWAI' i �" I R EL-Set' - Q 1/2• TAtARI N E L-5e2 AIAPLF MW LME _ TWE APPRCACW SWALL BE S A MINNMUM OF 8"xl1'x2C' OF CLEAN PIT GRAVEL SETBACK REQUIREMENTS WPU r-m'-o• 26 eAK T FRONT YARD TO GARAGE 15' 61939 SIDE YARD b. REAR YEARD IDS 4DLAN t906A Horton DbAD.R.eu,eANDRID6EU�tPLAN �R' H eGALE� 1^ .70' DATE 640/02 5125 S.W. Macadam Aveneue Pcrtlancl Ore on PAY 50)777)111 1 RMIT- CITY OF TIGARD RESTELECRICTEDICAL ENERGY RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00188 13125 SW Hall Blvd.. Ticiard. OR 9722.3 (503) 639-4171 DATE ISSUED: 9/18/02 SITE ADDRESS: 13710 SW SANDRIDGE DR PARCEL: 2S105DD-05000 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 026 JURISDICTION: TIG Project Description: A!I 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: U R HORTON HOMES AZIMUTH COMMUNICATIONS INC 5125 SW MACADAM AVE STE 145 P O. BOX 508 PORTLAND, OR 97201 WILSONVILLE, OR 97070 Phone: 503-222-4151 Phone: 503-639-0110 Reg#: ELF 36-94CLF. SUI' 2312AF LIC 145828 _ FEES Required Inspections —^ Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 9/18/02 $75.00 2720020000 Elect'I Final 5PCT CTR 9/18/02 $6.00 2720020000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by i �t 1 �_ _ 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 ATE:i____CONTRACTORINSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:-.- LICENSE ATE: _LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day I Electrical Permit Application 11)aieemreceivccl: 9 �?� Permit no.-r4e(ZOOZ�00/ City of Tigard �_ Project/appl.no.. Expire date: C'itynjTi)enrrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 nate issued: B Recei t no.: T � p Phone: (503) 639-4171 Pax: (503) 598-1960 I I Case File no. Payment type: Lard use approval: I<�.% -�' t &2 family dwelling or accessory U Commercial/industrial U Multi family U Tenant improvement ew construction U Addition/alteratiott/replacement U 0111cr: __. U Partial J06 SITE INFdAMATION Joh address: 7j1 jp&-- Rh1) nn� Sttilc nu _ — I ax m:rp/!ax Int/ac crnml _Lot. 2G Block: Subdivision: Project namei---- , _ ^ Description and location of work on premises:_ � (� Estimated date of completion/inspectiow CONTRAtFORAPPLICATION FEE SCHEDULE Job no: tee ntax Business name: ZIMb1 f^ 4Wr �/ ,J S f Description try. (ea) 'total no.insp - IVew rraidrntial drrgk or menti-famih per Address: ,4 I �� drreltirrgr.dt.brclerMsau,clwdgaraRr. City: 1 a)i)ILtE Stated ZIP: 7v70 Serviccinclerkd 4 1000 u1 It.or less Phone:56 63 0111) Fax: O36�Soti -mall: - -- -- ----- F"rh additional 500 sq.ft.or portion thereof _ CCB no.: y Elec.bus.tic.no: E- •�E t.imiledencrgy,residential t,l Erjump 2 City/mpiro tic.no.: OJV&S-1 � Limited energy,non-residential 2 Fach manufactured home or modular dwelling Signa e of supervising elect (required) Dale service and/or feeder - 2 ur Sup,elect.name(print): J License no: ( Services or feeders-installation, Iteration or relocation: A 200 amps or less 2 Nnme(prinq: �• 201 amps to 400 amps ---- - 2— - - - 401 amps to 600 amps 2 Mailing addrrss: 601 amps u)1000 amps - 2 City: Slatc: LIP: 412,-T—OOvrr Inlq strips or volts 2 Phnne:'1,.ILL' 151 FAX:— - E-nlaill: ltrcnnncctonly Owner installation:The installation is heing made on property I own Temporary services or feeders which is not intended for sale,lease,rent,or exchange according to Inshllallon,Ilerallon,ortrbcation: 1 200 amps or less ORS 447,455,479,6 4W —----- - • 2111 amps l0 400 amps 2 Owner's slrnature: Date: � *?Z7 401 to 60O amps Branch circuits-new,alteration, or extension per panel: Name: _ --__-____ A. Fee fur hranch circuits with purchase of Adtlrc'; service or feeder fee,each branch circuit 2 City: -- Stale: - ZIP: _ B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: Phone: Fax li mail: - Each additional branch circuit fril Mkr.(Service or feeder not included): U Service over 22S amps r un:wi,is l U Health-care facility Each pump or irrigation circle - 2_ U Seryicc over 320 anrps-raring rat I A•2 U Hn, ardous location Each sign or outline lighting 2 familydwellings U Building over I 110K)squarc feet four or signal circuit(s)or a limited energy panel, U System river 600 volut n notal more res•dc^rial units in one structure. alteration,or extension* 2 U Building over three stones U Fcm:as,400 amps or nx)m *Description.-__ U Occupant load over 99 peru,us U Manufactured structures or It V park Each additional limpedlon over the allowable M any of the above: U Egress/lightingplan U Other _ -- perinspectiar tiuhmll sefs of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. other - -- --_ - Permit fee.............. ...$ C.�U Na all pxladfcticns accept eredn canh,please call iuriatiction for rrrrre infrrmatim Notice:71tis permit application "" U visa U MasterCard expires it a pennit is not obtained Plan review(at _�) $ Credit cud number: —L-1--- within ISO days after it has been State surcharge(8%)....$ --------_ -- Expires accepted as complete. TOTAL ...................... -�Nome of as drown on credit card S - --- f ardholder riRnarurc Auto" 4404615(600ICOM) CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00388 DATE ISSUED: 08/05/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S105DD-05000 SITE ADDRESS: 13710 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 B_L_OCK: LOT: 026 — JURISDICTION: TIG CLASS OF WORK: AL 1 GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: t OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: Of LIER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: It DISHWASHERS: RAIN DRAIN: If Remarks: Install h,+ckflow preventer FEES _ Owner: -- Description Date Amount MAVTHIES 1I'1.UM1il 08/05/200: $36.25 13710 SW SANDRIDGE IAN titan, I a\ 08/05/200:: $2.90 Total $39.15 Phone : 503-430-7677 Contractor: -- JOHN DARBY LANDSCAPE INC 13867 SW BENCHVIEW TERRACE TIGARD, OR 972.23 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 579-5298 Reg #: I Ic• 71 1n 1111%1 123191 c'1 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By f --�712 _ _ __ Permittee Signature: Call (�9-4175 by 7:00 P.M. for an inspection needed the next business day FROM : JOHN DARPY LANDSCAPE INC FAX NO. 5035246613 Jul. 31 2003 06:49PM P4 131111ti:ttg r ixtures FOR OFFICE USE'ONLY plumbing Permit Application pi..nmongA4ppro�413_ ! It Pluniti o��m�oo3-tom 3 S : o Sewer City of Tigard : Permit No 13125 SW Hall Blvd. view other PenYrtit NoTigard,Oregon 97223 view Land use Phone: 503.639-4171 Fax: 503-598-1960 Case No Internet: www.ei.tigard.of,us Conuct Jurla. I 2g See Pasta for 24-hour Inspection Request: 503-639-4175 LSu P2 lement81 Information, E!l' 'D.11 'fnr. Sal'►11A� �la`ti t.Ch1�Iv� Qt). Fee(ea) Total Demolition Description New construction &� a; Addition/alteration/re lacement Other: r`. In tiiu �J9)�d, iar cax ut � Irat�l�o6'�'*+ r,". `dx ;`. ► :,.I. SFR I bath -- 249.20 1 &2-Famil dwellin ('�mmercial/Industrial SFR 2 bath 350,00 Accesso Building Multi-Famil SFR 3 bath 399.00 _— ------ 45.00 Master Builder Othcr Each additional bathJkitohen �e Fires rinkler- ft�.' ; Pae 2 I Job site address: �' �ii. -- 16,60 I Bld ./A 1.#: Catch baain/erca dram Suite : — Dr elVleach line/trench drain 16.60 PrU eCt Nan1C: Foofinz drain no,linear fl Pae 2 Cross street/Directions to job site: Manufactured home utilities 110,00 Manholes 16,60 Rain drain connector T 16.60 — Sanitary sewer ino.linear ft,) Pa e 2 - Storm sewer nolinear f Subdivision: _ _ --.-.l=Qt — Water sert•icc no linear ft) Tax ma / nrcel 0: -� : "• Q-- COM- : - I Abso tion valve - fi--_1_6,60 - Rackflow preventer Pa Backwater valve - -_- - 16.60 Clothes washer 16.60 — _-_-- - - Dishwasher 16.60 Drinking fountain 166. 16.60 Name: - � olv� C Ex ansion tank -- - 16.60 RddlCSg: Fixture/sewer cap,. 16,60 Floor drain/floor sit Aub 16.60 -city/state/zip—.1 ` R _ r Garbage disposal 1660 Phone• Hose bib 16.60 Ice Husker 16.60 -Name: Interco tor/ resse trap _ 16.60 Address: Medical ass•value: S PaRe 2 - ------ Primer 16,60 City/State/ZiQ _ Roof drain •commercial 16,60 Phone: }"iX' _ Sink/basin/lavatory _ 16.60 -- E-mail: 'Rib/showet/shower an 16,60 �: , Urinal 16.60 ` +"` Water closer 16.60 Business Nam —— - Water heater 166 Address: __ -- 1 Other. T _ Other - —— Phone: Fax:i Subtotal S CCB Lic. 0 Plumb. Lic,ft: Minimum PcnTut Fcc$72.50 S AutSigpnr true } �u� Residential 9ackflow Minimum Foe it 6 25 Fee) - J Si store: pate: Plan Review 2S°�of Pern»I Fee) S State Surchar c $%of Permit Fee S (Freak print Hamel - L _TOTAL P$FtMIT FEE S Notice: Thh permit appri.tion cities it r pernslt Is not obtained within All iten cunnuerrirl bulldinas require 2 iris or plans with isometric or 190 days after It has been accepted as complete, riser diagram for plan review. •Fee methodology set by Tri-County Building Industry Service Board 0su`Permit ForTm\Pln1PermitApp doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received -/Z//7 Dastet Ramnested AM PM _ BLIP Location -x11 LftC /L Suite_ MEC_ -- -- Contact Person ( Ph( ) �`>�1 /�Nd� (PLM '_?=LLL 2 Contractor Ph( ) _ _ SWR BUILDING Tenant/Owner ___. _ ELC T_.—.— Footing Foundation ELC Access: Ftg Drain ELF Crawl Drain Slab Inspection te' SIT No Post& Beam Shear Anchors — Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing - — Firewall 7 Fire Sprinkler --- Fire Alarm 01 Susp'd Ceiling — Roof Other: -- Final _PASS PART FAIL — — --- -- — — PLUMBING -- -------- --- --------- --------------- Post&Beam Under Slab -- Rough-In Water Service _ -------------- ------- Sanitary Sewer Rain Drains ----- - — --- -- — — Catch Basin/Manhole Storm Drain -------- -------- Shower Pan QHVr:_C-u�k FW( Pus PART FAIL IECWA—NI CAL_ Post& 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 Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE i Ej Please call for reinspection RE:__ _ [� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DOWtnspectof/ Ext Other _ Final DO N6T REMOVE this Inspection record from the Job site. PASS PART FAIL