13755 SW SANDRIDGE DRIVE a
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13755 SW Sandridge Drive
CITY OF -TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP - --- _
Received _._Date Requested — AM - _ PM BLIP
!!11
Location —{ 2) _4�+1 Suite--__ MEC
Contact Person --- ^— h(________ ) 1cd--- PLM
Contractor Ph SWR
BUILDING Tenant/Owner EL.0
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
Fi i ewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Other:-- - ---
Final
P R-r_ FAIL
Post R Beam
Under Slab — --- -
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains - — -
Catch Basin/Manhole
Storm Drain - —"
Shower Pan
Other: -
m
ASS )PART FAIL
b09ANICAL —_-- — _ -- — --
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$— _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [] Please call for reinspection RE: —_._ Unable to inspect-no access
Fire Supply Line J�,
ADA _�� and
Pp --
A roach/Sidewalk Date -� w Z Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAI .
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST f O
INSPECTION DIVISION Business Line: (503) 639-4171
BUP _.
Received Dale Requested �I �� AM _-._..________ PM BUP
Location lam',_7 S -Suite _ MEC
Contact Person ...___ -- �i _- h( ) 53�0 _ PLM -
Contractor —__-- Ph(—) —-- - s W R
BUILDING Tenant/Owner _ _ ELC _-
Footing ELC
F _
Foundation
Drain Acc 3SJ. -
g ELR
Crawl Drain
Slab Inspection Notes-- y. � SIT
Post 8 Beam �
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler -- ---
Fire Alarm
Susp'd Ceiling - ------ - - --
Root
Other: —
Final ------ ------
PASS-- PART FAIL - ------_. .._---------- - -`
PLUMING
Post 8 Beam e- -_--- - — —
Under Slab
Rough-In
Water Service
Sanitary Sewer ---- i�
Rain Drains -
Catch Basin/Manhole
Storm Drain -- --- - - - - - --
Shower Pan
Other:----------- -'-----_ _ - - --
Final
_PASS PART FAIL -- -�� -- - - - --
MECHANICAL
-Post 8 Beam — —.---------------- � _--- __. -
Rough-In ------- --- ------- -- --- -------
Gas Line
Smoke Dar1pers --__---- --____ _ __---- -_-- - ------- —
Final
P "__1A T FAIL -_- -_-------- _ __ -_--- --------- -----
LECtRICA
Rough-In
UG/Stab ----- - -----_._._. -� __-_.�----
w o age?
m [� Reinspection fee of$ _ required before next ins,)ection. Pay at City Hall, 13125 SW Hall Blvd.
4ff_ PART FAIL
S Please call for reinspection RE: - Unable to inspect-no access
Fire Supply Line
ADA
ApproaclJSldewalk Date-- -vl �V Z' Inspector �_ ' " ` _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PA88 PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST �JUZ�'�'o+� Z'"
INSPECTION DIVISION Business Line: (503) 639-4171
(71 / BUP
Received — Date Requested AM PM BUP
Location / 3 ') _Sw SQr/4i�'`^I l�� - Suite.-_ MEC
Contact Person _- Ph ( -__- _) .S/ - f✓��!/ PLM
Contractor -- Ph( ) S W R
UI TQnanUOwner ---_---_. .-_-_-- ELC
Ping
Foundation Access: -- ELC
Ftg Drain ELF!
Crawl Drain _ __ _ ___ _
Slab Inspection Notes -- �- SIT
Post& Bearn
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling ----- --
Roof
Fin
PART FAIL ---- -
BING
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 -
Gas Line
Smoke Dampers _
Final
PASS PART FAIL -- - _-
ELECTRICAL
Service -
Rough-In
UG/Slab - `-- -
Low Voltage —
Fire Alarm -
Final [�
PASS PARI' FAIL Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_
SITE -__ [� PleaT�j
se call for reinspection RE:�—__ Unable to inspect-no access
Fire Supply—Line
ADA 6 IL-
Approach/Sidewalk Date_ _ _ Inspa+ctor _ Ext
Other
Final DO NOT REMOVE this Inspection record from the Job sire.
PASS PART FAIL
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CITYOF TIGARD _ SEWER CONNECTION PERMIT_
DEVELOPMENT SERVICES PERMIT#: S 00093
13125 SW Hall Blvd., Tigard, OR 9'1223 (503) 639-4171 DATE ISSUED: 2!220/020102
PARCEL: 25105DD-PC030
SITE ADDRESS; 13755 SW SANDRIDGE ST
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7
BLOCK: LOT: 030 JURISDICTION: TICS ,Y _
TENANT NAME:
USA NO: FIX1 URE UNITS:
CLASS OF WORK: NEW DWELLING UNITS:
TYPE OF USE: SF NO OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached.
Owner: FEES__
D.R. HORTON Type By Date Amount Receipt
5152 SW MACADAM
SUITE 145 PRMT CTR 2/20/02 $2,300.00 27200200000
PORTLAND,OR 97201 ItvSP CTR 2/20/02 $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 accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the Installer shall purchase a"Tap and Side Sewer" Perm
Issued by /V,..] Permittee Signature
Call (503 94175 by 7:00 P.M. for an Inspection needed the next business day
CITY C3 F T i C�A R D ___ MASTER PERMIT _
PERMIT#: MST2002-00002
DEVELOPMENT SERVICES DATE ISSUED: 2120/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13755 SW SANDRIDGE ST PARCEL: 2S105DD-PC030
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7
BLOCK: LOT:030 JURISDICTION: TIG
REMARKS: Construction of new SF letached residence. (MODEL HOME)
Receive TIF credit for demo of an existing residence
BUILDING
REISSUE: `-STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1.680 at BASEMENT: 502.00 at LErT. 9 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.918 at GARAGE: 690 at FRONT: 23 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT at RIGHT: 5
VALUE: E 484,187 00
OCCUPANCY GRP: R3 13DRM. I BATH: 4 TOTAL: 3.59800 at REAR: 42
PLUMBING
-r SINKS: I WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS. I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 7 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN )RAINS: 1 CATCH BASINS:
TUBISHOWERS 5 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: 100 RCKFLW PREVNTR: I GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP c 3HP: VENT FANS: 7 CLOTHES DRYER: I
GAS FURN>■1100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
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 FOR: I PUMPIIRRIGATION. PER INSPECTION:
EA ADD'L 500SF: 10 201 400 amp: 201 400 amp: tat W/O SVCIFDR'. 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 $00 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 601•ampa•11000v: MINOR LABEL:
1000~amolvolt: PLAN REVIEW SECTION
Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A. >600 V NOMINAL: CLS AREA/SPC OCC.
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: A JDIO&STEREO: FIRE ALARM: INTFRCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC,: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR:
HVAC DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS:
TOTAL FEES: $ 7,423.10
Owner: Contractor: This permit is subject to the regulations contained In the
D.R.NORTON D R. HORTON INC Tigard Municipal Code,Slate of OR. Specialty Codes and
5152 SW MACADAM 5125 SW MACADAM all other applicable laws. All work will be done in
SUITE 145 #145 accordance with approved plans. This permit will expire 4
PORTLAND,OR 97201 PORTLAND,OR 97201 work is not started within 180 days of issuance,or If the
work Is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rog N: LIC 130859 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, Wtr Proofing Bsm't Wa Footing/Foundation Drl Electrical Service Low Voltage Water Line Insp
Grading Inspection Post/beam Structural PLM/Underfloor Electrical Rough In Gas Fireplace Appr/SdWk Insp
Sewer Inspection Post/Beam Mechanica Filing Drain Bsm't Walls Framing Insp Insulation Insp Electrical Final
Footing Insp Underfloor Insulation Mechanical Insp Shear Wall Insp Gyp Board Insp Mechanical Final
Foundation Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Issued By' �^ ��4 L-�XtA
Y `- a Permittee Signature : C
Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business day
Building Permit A lira ion
City of Tigard Date received: —`�—Ll'� Permit no. C
Address: 13125 SW Hall Blvd,Tigard,O ProjecUappl.no.: Expire date:
City n/Tigard phone: (503) 639-4171 DateiFsued: By: Receipt no.:
Fax: (503) 598-1960 Cas,rile no.: Payment type:
Land use approval: _7
1&2 family:Simple Complex:
u�4�[ ' _
TYPi
OF
U 1 &2 family dwelling or accessory U Commercial/industrial J Multi-family ,j hew construction U Demolition
U Addition/alteration/replacement U•tenant improvement J Fire t prinkler/alarm U Other:
JOB SITE INFORMATIQN
Job address: Bldg.no.: Suite no.:
Lot: Black: Subdsion: A ) Tax map/tax lot/account no.. 2t�1Dp.. PGD
_.
Project name: I __—.----------------._—
Description and location of work on premises/special conditions:
Name: V.12— hlyrz c t!
Mailing address: I215 , 6}t—(q6' F & 2 famil) dNrllinr,: AdAn
Cit State:0 ZIP: Valuation of work 1. � �' $
Phone: Cj I Fax: : mail: No,of bedrooms/baths................. ...............
Owner's representative: I bVI Total number of floors................................. __ 3
i
one: l?3 Fax: ti-mail: New dwelling area(sq. ft.) .......................... _�10�
11 W
Garage/carport area(sq.ft.)......................... ,1Q --
Name: p• 1'tf e r V-1 Covered porch area(sq.ft.) .........................
Mailing address: /vvc A S A k 0 V v Deck area(sq. ft.) ........................................ _51 U --
City; 1 State: I ZIP: Other structure area(sq. ft.).........................
Phone: Fax: E-mail: ('ommereiatlindustriaUmulti-family:
Valuation of work.............................. ........ $
Existing bldg.area(sq.ft.) . ......... ............. --_
Business name: P - Zi)Y f a Vl New bldg.area(sq. ft.) .......... .. ......I..........
Address: C:., AN- -- Number of stones................. .. .................
City: State:p ZIP. �_
-- Type of construction.....................
Phone_ IS '' 1?Z'3'211 E-mail — — —
Occupancy group(s); Ex .ting: _
t'f3 no.: New:
City/metra lic.no.: Notice:All contractors and subcontractors are required to be
al 11"auffim LHO licensed with the Oregon Construction Contractors Board under
Name: r-f—yi. " h provisions of ORS 701 and may he required to be licensed in the
Address: �_A_5 t� jurisdiction where work is being performed. If the applicant is
city: State: ZIP: exempt from licensing,the following reason applies:
C 0_6W Plan no.: 4116A —
Phone: ! 1 r,1 1 E•marl:
Name: .041, �f 'untact person: Fees due upon application ........................... $
Address: >'h Date received:
City: Statc:Q 21P: / Amount received ......................................... $ _
Phone: Fax:yiolff 4qE-mail: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all junadktions accept credit cards,please call jurisdiction for more mtrnmatron.
attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard
work will he complied with,whether specified herein or not. Credit cars number — L
�,y� J �]�. fixpirrs
Authorized signature: R��= Date: L Name of cardholder u shown on credit cwd
a
Print name: `Cardholder si`nature --- Amount—
Notice:this permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613(6WICOM)
Electrical PermItApplicatiun
—�-- '- Date received: Permit no..
----- -City of of Tigard Project/appl.no.: Expire date:
City nfTigord 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: —
U 1 &2 family dwelling or accessory J C•tmunrtciai/industrial U Multi-family U Tenant improvement
New construction J Atitlltinit/allcr,titm/replacement U Other: _ ❑Partial
JOB SITE INFORMATION
Joh address: Bldg,. no.. Suite no.: Tax map/lax IoUaccount no.: —
Lot: Block: Subdivision: (�
Project name: Pf ription and location of work on premises: ^i
Estimated date of complctiort/inspection:
CONTRACTOR A111111,11CATION FEE SCUE&LIF
Job no: Fee Max
/� �`�^(/ Description Qty. (ea.) 'Total no.ins
Business name: 'W2 li 1 r, Newm,
Address: dwelling unit.Includes attached garage.
City: Stale: ZIP: Serviceincluded:
1000 sq,It.or less _ _ 4
Phone: F
ctX: E mall: Each additional 5(x)sq.ft.or portion thereof
CCB no.: Elec.bus. lie.no: 10 Limitedenergy,residenlial 2
City/metro lit:.no.: Li mi ted energy,non-residential 2
F.ach manufactured home or modular dwelling
--- — Service and/or feeder 2
5lamature o supmrsrng electrklan(ragrrtred/ Dot -- Services orfeeders-installation,
Sup elcrt.u:»nt,pII1111 License no: all or relocation:
200 amps»r less 2
201 amps to 41x1 amps 2
Name(print): 401 amps to 600 amps 2
Mailing address: _ Q �- 601 mops to I(XX)amps 2
City: Stale: LIP: Over 1000 amps or votes �- 2
Phone: - Fax: - E-mail: Recormectonly
1
(Owner installation:The installation is being made on property 1 own Temporary services or feeders-
installation,alteration,or relocation:
which isnot intended for sale,lease,rent,or exchange according to 200 amps or less 2
ORS 447,455,479,670,701. 201 amps to 400 amp% _ ---— 2
Owner's Si nature: Date: 401 to 600 ams 2
Branch circuits-new,alteration,
�^ or extension per panel:
Name: �w 5 V A. Fee for branch circuits with purchase of
Address: service en feeder fee,each branch circuit 2
State: ZIP: , �• Fee for branch circuits without purchase 2
y of service or feeder fee,first branch circuit:
Phtttu _ 'axr/9 - F. 111 Each additional branch circuit
Misc.(Service or feeder not included):
❑Service over.25 amps annmercnd U Health-care facility Each pump or irrigation circle _
O Service over 320 amps-rating of 1&2 U Hazardous location ksign signort(s)or lighting
farnilydwelhngs UBuilding over 10,000square feet four oa Signal cucuuls)rnalimuedenergypm,el,
U System over 600 volts nominal more residential units in one s ructure alteration,crextenston• 2
U Building over three stories U Feeders.400 amps or more .1)eNcnption _ -
U Occupant load over 99 persons U Manufacturers structures or R1'park Lach additional Inspection over the allowable In any of the above:
U Egress/hghtingplan U Other: v Per inspection
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Pemtit fee.....................$
Not all jurisdictions accept credit cards.please call jurisdiction for more information. Notice:This permit application Plan review(at _ %) $
U Visa U MasterCard expires if a permit is not obtained
Credit card number: within 180 days after it his been State surcharge(8%) ....$
- - .spires accepted as complete. TOTAL .......................$
No of cardholder-as&gown on credit cant i S
Cardholder Iiiinaltire J Amount 440-4615 16K)WOM)
:j
Mechanical hermit Application
Datereceived: Permit no.
City of Tigard Project/appl.no.: Expiredate:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ Ruir::g permit no.:
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction ❑Addition/alteration/replacement U Other:
.11011111 SITE INFORMATION ,
Job address: ` ' 2K Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: �/�/ *See checklist for important application information and
Project name: iuri�:dictinn's fee schedule for residential permit fee.
City/county: ZIP: DWtLLING PERMIT FEE SCHOULE
Description and ovation ol•work on premises7conditioning
hre(ea.) total
Est.date of completion/inspection: Qt . Res.only Res.ordy
Tenant improvement or change of use:is existing space heated or conditioned?U Yes U No nit LI At
(site an require )
Is existing space insulated'?U Yes U No xisting HVAC system
Boiler/compressors
Business name: State boiler permit no.:
HP Tons__BTU/H
AddFire/smoke amper. uctsmoke .tactors
City: State:( ZIP: nd at pump(site plan require )
Phone: VU A 5K 1 Fax: E-mail: nsta /rep ace umac urner
CCB no.: Including ductwork/vent liner U Yes U No
nstal rep ac re ovate eaters-suspen e ,
City/metro lic.no. wall,or floor mounted _
Name( lease rint): Vent fora ante other than furnace
t e geration-
Ahsorpuununits BTU/H
Name: N166I e -S 07 Chillers _ HP
Address: 5 S Com ressors HP
nr nmenta exhaust and ventilation:
City: fjol Stale: ZIP: D Appliancevent L
Phone -2 y' / Fax: p l �Jl F. mail: ryerex oust
Ho
s, pe
/ res. tic en/hazmat
hood fire suppression system
Name: &L f�I_ '1�� _ Exhaust fan with single duct(bath fans) _
Mailing address: Z Exhaust system art from heatingor AC
CityState:QFuelpiping andistribution(up to outlets)
_ �
Type: 1_1'G NO Oil
Plwne: / t: lI cl tin eat f a f iuonnl over out cis
1110 ri 0 111 Process piping(sc ematic require ) _
Number of%Bets _
Name: i1'y 4#%W 1h ___ ter , yr app ante or equ pment:
Address: ySy G' Decorative fireplace _
City:141 111.4 Akd4. Stat :or, ZIP: _Illfr Insert-type _
Phone: Fax: L#W 4VO 1 E-mail: oo stove'pellet stove _.
O er.
Applicant's signature: Date: jp;_ ter:
Name (print):
Not all jurisdiction,accept cmdit cards,pleau roll tunsdreum
nn for arc mformauon Permit fee.....................$ —_-
Notice:This permit application Minimum fee................$
U Visa U MasterCard
expires if a permit is not obtained plan review(at — %) $
credit cord number. _._ ___��_.-- within 180 days after it has been
6j,4 %% surcharge(896)....$
Name of cardhalder as shown an credit cud accepted as complete.
C r sipature Amount 440-*17(6MCOM)
Pltimbing Permit Application
Date received: Permit no.:
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 -
City of Tigard Phone: (503) 639.4171 ProjecVappl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land use approval: _ Case file no.: Payment type:
U I &2 family dwelling r,r u•rr.-,ory U Commercial/industnai U Multi-family U Tenant improvement
New construction U Addition/alteration/replacemcn J Food service U Other: ___
O; r rinformation
Job address: 2 /�( ���. Description (ltd. hee(ea.) 'Total
Bldg.no.: Suite no.: New 1-and 2-family dwellings only:
(includes 100 ft.for each utility connection)
Tax map/tax lot/account no.: SFR(1)bath
Lot: gA j Block: Subdivision: e04+' SFR(2)bath _
Project n e: SFR(3)hath
City/county: 14 Y' ZIP: Each additional bath/kitchen
Description and Kation of work on premises: SiteutWties:
Catch basin/area drain
Est,date of:ompletion/m p•,titin _ Drywells/leach line/trench drain
1 1 Footing drain(no.lin. ft.)
111 Manufactured home utilities
Business name: l��Y1 Manholes
Address: 1&qgy ZM 4MV4 Rain drain connector
City: State: Z1P: p Sanitary sewer(no.lin. ft.) �M
Phone: - 10 Fax: - Email: Storm sewer(no.lin.ft.) _
_Plumb.bus. '?� -( Water service(no.lin.. ft.)
CCB no.: reg.no:
City/metro tic.no.: Fixture or item:
Absorption valve
Contractor's representative signature:
' Back flow preventer _—
Print name: Date: Backwater valve _
Basins/lavatory
Name: /` Clothes washer
ishwas er
Address: /Z _ Drinking fountain(s)
City: ff�/) StateD,t ZIP: ectors/sump
i
ne: -711 / Fax: E-mail: Expansion tank
1111191011111 Fixture/sewer cap a
Name(print): 1-tyr -vH &-aH7* s Floor drains/floor sinks/hub
Garbage disposal
Mailing address: S- SMJ
Hose bibb
City: & State: ZIP: Ice maker
Phone: Fax: i77-5?/I I E-mail: Interceptor/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 own as per ORS Chapter 447. Sin (s),basin(s),laysW_`
Owner's si nature: Date: Sum _
Tubs/shower/shower pan
�lKf/L� GL�2N sinal
Narne: — pacer closet
Address: c /� 5E / Water heater
City: �-r _ State: 7.1 P: ? / Other:
Phone: Fax:$vj .7 E-mail: Total
Not all jurisdictions accept credit earls.please call jurisdiction for more mfanuttlubNotice:This permit application Minimum fee................$
Plan review(at .� °k) $
U Visa U MasterCard expires if a permit is not obtained
Credit cad number L / within 180 days after it has been Slate surcharge(8%) ....$
tispires _
Name of cardholder u shown on credit cad
--- accepted as complete. TOTAL .......................
S
Cardholder sl nature Amount .404616 I(v0o/CUM,
rT -04-2002 11:25 D R HORTON 503 222 4151 P.03
I PACIFIC CREST SUBDIVISICGN
LOT - 29
:2-- CITY OF TICARD
opy LANDSCAPING FOR THE ENTIRE LOT
'HE APPROACH SWALL BE SHALL BE FINISHED OR THE LOT
A MINNMUM OF WK12'x20' / SURROUNDED B" EROSION CONTROL
OF CLEAN PIT GRAVE- / PRIOR TO BREAK OUT OF COMMUNITY
ER05ION GONTROL FINISHED SLOPES
' 5NALL BE LESS THAN 2 TO I
590 NOTE:
Eveer,•' ` I,ROOF DRAINS TO STORM
LAT. IN STREET.
`<' r 2.FOUNDATION BRAINS TO
i BACKYARD SOAKAGE TRENCH
G , SEE ATTACHED DETAIL
tNp!'r LAT l `
LJ TEMP.C*4AVEL
� 1 I
P.� r ✓ 1 J , r �``l r
of-,or , GARAQIE
n•587" x' SOFT. : 6901
7
-r 412 A
LIVIJ�IO". 510OZ6FT,
EL-570'
SETBACK REQUIREMENTS_
tl�DID'
sCMC I'40'.p• 2 ,,JQ FRONT YARD TO GARAGE 70'
SIDE TARO 5
9 , 093 � REAR `EARD 15
_ D.R. Horton Hordes
P,-LN X17°A _
'CAI`!'-11'—tO"--- 5'Z5 S.W. Macxidam Avereue
''O7 Portland ire On rJ.x s°>ti7s��ae
owJNe Do{r7e»ee
TOTHL P.03
ELECTRICAL PERMIT-
CITY OF TIGARD
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT M FLR2002-00078
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 5/6/02
SITE ADDRESS: 13755 SW SANDRIDGE ST PARCEL: 2S105DD-PC030
SUBDIVISION: PACIFIC CREST SUBDIVISION ZONING: R-7
BLOCK: LOT: 030 JURISDICTION: TIG
Pro:ect 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 :r: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL #OF SYSTEMS:
Owner: Contractor. �~
D.R. HORTON 7).R. HORTON
5152 SW MACADAM 4386 SW MACADAM AVE.
SUITE 145 PORTLAND, OR 97202
PORTLAND,OR 97201
Phone: 503-222-4151 Phone: 503-590-0206
Reg #: LIC 130859
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 5/6/02 $75.00 2720020000 Elect'I Final
5PCT CTR 5/6/02 $6.00 2720020000
Total $81.00
This Permit is issued subject tot' egulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be none 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 ruledirect questions to OUNC at (503)
246-1987. lr
Issued by /�'� ' ca L /.I-, �_ 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 SIGNA,rURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'NDATE:
LICENSE NO: _--
Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day
A Electrical Permit Application
—� —
Date recei,ed, Perilnoelze,)i:7iJ
City of Z i)gard Project/appl.no, _ Expire date.
c n r I r nr,t Address: 13125 SW HaV Blvd,Tigard,OR 0122?r Date issued: By: Receipt no.
Phone: (503) 639-4171
Fax: (503) 598-1960 lase file no: Payment type
Land use approval: _
U t &2 family dwelling or accessory J Commercial/industrial J Multi-family ;.J Tenant improvement
*New construction J Adclition/alteration/replacen,viii J Other: 0 Partial
Joh address: fild�.nu.. 'Suite no.: ITax trap/tax lot/accouni no.:
Lot: : 5ulxiivisitm:
Project name: _111 wription and lrrcation of wt)rk on premisev
Estimated date of comp
jetion/insnection:
Job no:
Business nurne: . Description (ea Tatar nv.Ins
_ Ven rnhkntlal•singk or multi fatnlly Ira
Address: b�J�rj — dNetlingunit.lnciu*l%attached Rntay,e.
City: _ State: Z[P: Ser.Ieeinclurted: '
Phone:WPW
-lj E-marl: 100)Aq fi or less
Fach additional SOU n it titin thcteof --�—
CCB na.: i PICC bUS. IIC. to: t imitedener v.residnnia; 2
Oily/metro lic,no.: _ Li-nitedenergy non-resilerhal 2
Each manufactured home ct moodulac dwellintt
Si nahtre of su ervlsin eleenlelan re
!]red) bate T Service andlur feeder
R Lprint) ----5-�—'- ier►Icrsorfeeden-InstaltutIon,
SnIt elect.name(print) +�_�I,r n r no:
dterotlan or relocation:
200 amps cr;css _ 1 2
Name( Ml). 201 amps to 400 amps 2
-. 401 um s to 600 ams
Mailin address: 601 amps t0 IO(K)amps 2
City Stale: ZIPM Over 1(100 amp&or volts
Phone Fax: I E-mail: Reconnec!only I
f.twner installation:'fhe installation is being made on property 1 own Temporary aervices or fre-let,
Inlrfarimlon,nlleration•nrrelocalnm:
which is not intended for sale,tense,rent,or exchange according to Ino amp •,leas 2
(ms 447,415.479.h Ol `�V ,0,am s to 400 urn _ _2
r i,• u!' �;:,turf
Hutt 401 f� 401 to 600 ams �- 2
rarteh elrcubs•nen,aueration,
or e.Mension per panel
Name. �- `--_-- __ A Fee for btanCh orcuit,with purchase z4
Address ser+ice or feeder fee,each branch circuit 2
_ _ -- -
City; _ State: 7_{{' B Fee far branch circuits without purchase
-� of service or feeder fee,first branch circuit _ 2
Phone: Fax Each additional branch orcul00 film Kiwi k]Txrm rM Jim I imill 11 t
_
sc.( relceorreedernotincluded)!
Feeh um r,rlrlgauonclrcl; 2
Service over 225 turips-enrnmercud U llealth-carefaciloy - 2
U Semiceover320antps ratinllof 1&2 U llayardouslocation Fachsignor outline'ighnnq
familydwelimils 0Bulidingoverlo.umsquare feet four or Signal circuitslora::mltcJenecg�panei
U System over 6110 vola nominal more rept'enuu units in one structure alteration.or extension'
:]Building civet thtee stories U F'eetiem IOQ amps or more •Descn uon .. ----
U(kcupaot load over 99 pemoaF J hlanufacturecf structures or RV park ch additional tasprctlon over the allowable in any oft abort:
U Egressllighungplan other _ __ -- tierinaperuur
5ubtait-_sets of flan$'11th ani of the above. Invesiigauon fee
'The abort are not applicable to temporary constriction serrfce. OtherNot _
Permit fee —
�ot till IuNsdictions accept credit catch plew call Jurisdiction lot more infomurntvr elpire:i fa penrli shot obtainion plan review(at %) S
Jvlaa a Mastert:mcf expiro9 Ifa pCm:lt IS nal Obtained
riedn c,ud numhur' withi
._�._.—_ --
n 1f10 da,'s atter it has been State surcharge(8%).,.. �.i —
tp, accepted ascomplete. ram ............... .......
r amt TcT e r rc runwn an� ,��� S
�C A�alder siMelure —� ��»a! IJO�tit��6CWCU�1t