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11422 SW LAUREL GLEN COURT r N N �c C C 1 Y/ 0 C 1 i 11422 SW/ Laurel Glen Court CITY OF TIGARD MASTERPERMIT PERMIT#: MST2003-00129 DEVELOPMENT SERVICES DATE ISSUED: 4/22/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11422. SW LAUREL GLLN CT PARCEL: 2S110AC-01900 SUBDIVISION: LAUREL GLEN ZONING: R-4.5 BLOCK: LOT: lull JURISDICTIOi:• I Ili REMARKS: Construction of new SF detached residence. BUILDING REISSUE: MAS22120 STORIES FLOOR AREAS _REQUIRED SETBACKS RFQUIRED CLASS OF WORK: NEW HEIGHT ,, FIRST: 1,200 at BASEMENT: if LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 4n SECOND: 1,339 of GARAGE: 719 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I TIARD of RIGHT: VALUE: 254,731.30 OCCUPANCY GRP: R3 BDRM: 1, BATH: ] TOTAL. 2,535 at REAR: t, _ PLUMBING SINKS: I WATER CLOSETS: WASHING MACH: I LAUNDRY TRAYS I RAIN DRAIN. U TRAPS. LAVATORIES: ti DISHWASHERS: I FLOOR.DRAINS: SEWER LINES. i SF RAIN DRAINS: I CATCH BASINS - TUBISHOWERS GARBAGE DISP: I WATER HEATERS: I WATER LINESI BCKFLW PREVNTR'. GREASE TRAPS: OTHER FIXTURES. MECHANICAL FUEL TYPES FURN�10OK: BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER. I n, FURN-HOOK: I UNIT HEATERS: HOODS: I OTHER UNITS: .. MAX INP btu FLUOR FURNANCES: VENTS I 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. PUMPIIRRIGATION: PER INSPECTION: EA ADO'L 50oSF 5 2U1 - 400 amp 201 400 amp. lot WIC)SVCIF DR. SIGNIOUT LIN LT PER HOUR: LIMITED ENERGY. 401 600 amp: 401 600 amp. EAADOL BR CIR SIGNAL/PANEI_. IN PLANT: MANU HMISVCIFDR: 801 1000 amp: 601-all,Ps 1000v MINOR LABEL: 1000-amplvolt PLAN REVIEWSECTION Reconnect only: — -- -4 RES UN,TS SVCIFDR>a225 A: >00C V NOMINAL: CLS A.REAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM INTERCOMIPAGING: 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- Owner: Contractor: TOTAL FEES: $ 7,757.85 This permit IS subieut to the regulations contained in the ALPENGLOW HOMES ALPENGLOW HOMES Tigard Municipal Code, State of OR Specialty Codes and 5620 SW KELLY AVE. 5620 SW KELLY AVE all other applicable laws All work will be dune in PORTLAND,OR 91201 accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Phone: 503-793-3866 Phone: SOS-245-7720 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080 You Rap M: LIC: 131932 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Mechanical Final Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Water Line Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Rough In Fireplace Insp Water Service Insp Building Final Foundatlon Insp PLM/Underfloor Framing Insp Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural Mechanical Insp Shear Well Insp Insulation Insp Electrical Final � � f Issued By : (- A �'�" �— Permittee Signature - Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITE' OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-0010:, 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/22/03 PARCEL: 2S110AC-01900 SITE ADDRESS; 11422 SW LAUREL GLEN CT SUBDIVISION: LAUREL GLEN ZONING: k-a BLOCK: LOT: (,.)2 JURISDICTION: -1 IG _ TENANT NAML: 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 residence Owner: _ _ FEES ALPENGLOW HOMES Descri n _ Date Amount 5620 SW KELLY AVE. p PORTLAND, OR 97201 SWUSA I sw ('onnect 4/22/03 $2,30000 SWUSA I S"r Conned 4/22/03 $0.00 Phone: 503-793-3866 [SWINSP] Swr Inspect 4/22/03 $35.00 [S%k'I\SI'[Swr Inspect 4/22/03 $0.00 Contractor: —_ Total $2,335.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued The total amount paid will be forfeited if the pen-nit expires The Agency does not guarantee the accuraNof 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 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. ? /� Issued by: �./L cca /Gr �zf __ Permittee Signature: , Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Quil>>:iin T Permit A, lication FOR OFF'ICI," USE -- --- -- ReceivedBuilding Date, y:�7 `��"d - Permit No.:{` Y I aMo3-oolaX Citof Tigard Planning Approval Other SF C/L- e-, 3 'e 1\E Date/Ay: _ Permit No: ',•,(,y k.)wr j-UO ;?J 13125 SW Hall Blvd. P'r,n Review Other Tigard,Oregon 97223 Date/By: VIA�J '/�-u Permit No.: Phone: 503-639-4171 Fax: 503-598x1960 .l Post-Review Lan0 Usc Internet: www.ci.tigard.or.us i Date/8 : Case No. 4 Contact Juris. Sce Pa c 2 for 24-hour inspection Request: 503-6 1 5 , Name/Method: _- Supplemental Information BUILUIN(-�DIVISIO� /(' / - y 5,0 TYPE OF WORK REQUIRED DATA: New construction ElDernolition 1 &2 FAMILY DWELLING Add ition/alteration/re-Zlace ment 10 Other: `-- --- CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 &2-Family dwC_ lung CommerclaVlndustl'tal the value(rounded to the nearest dollar)of all equipment,materials,labor, _Accessory Building—_ .[J ulti-Fami� overhead and profit for the work indicated on this application. M ___—� Master Builder ❑ Other: Valuation................. .. — No.of bedrooms: No of baths JOB SITE INFORMATION and LOCATION ' Job site address: 1 4 LZ 3--l.�Nncl Total number of floors.........,............... ....... ------- - - ---..-----------. - - Covered porch aren(sq. ft.)...Suite#; New dwelling area(sq. t.)..... Garage/carport arca(sq.ft.)..... Project Name: 1........�.`.�... .......... -- - — Deck area(sq. ft.)................. .......................... Cross street/Dlrccttons t�dub site: ed. jvl _ 0r/n 1 q Other structure area(sq. ft.) _......................... L � C �{ Cct.v rt o6h C,f REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivisit_m: Ck u_rel-6 i" I.ot 1?: -i---- ---- Tax neap/parcel #: / Note: Permit fees*are based on the total value of the work performed. Indicate -_- ----- -- --- the value(rounded to the nearest dollar of all equipment,materials,labor, DESCRIPTION OF WORK ) -- "" - —� -- overhead and profit for the work indicated on this application. Valuation......................................................... 5 Existing building area(sq.fl.)......................... ----- - - - - New building area(sq. ft.).... .......................... Number of stories....... . ...... .. .. ........_ . .... - PROPERTY OWNER ENANT Type of construction................................. ..... Name: - Occupancy group(s): Existing: New: Address: S Z o — City/State/Zip: QZ2_ __ - _Phone: 7173-386(, Fax: Z.r{s -T NOTICE: All contractors and subcontractors are required to be APPLICANT CONTAC T PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: _�--- --- jurisdiction where work is being performed. If the applicant is exempt Contact Name: �s �'j�C from licensing,thn following reason applies: Address:City/State/Zip: -- Phone: 793,31.ff Fax: _ __ E-mail: V BUILDING PERMIT FEES* CONTRACTOR - �— Please refer to fee schedule.--� Business Name: a "e Feesdue upon application.............................. $ Address: - City/State/Zip. Amount received............................................. $ Phone: ts=Fax: ZYS 77_6 Date received:_-__ CCB Lic. #: 31 q 3 Z _ I _ Authorized ?"OJ Notice: This permit application expires ifs permit Is not ohtpined within Signature: -- -- _� Date:_-.--_- 100 days aftc:•It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Iloard. (Please print name) 011ists\Permit Forms\BldgPer•mitApp.doc Q103 Commercial flan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2. Building 1 Fire Protection System ** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigatd, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICF_T level "S' technicians. i\dsts\forms\COM-matrix.doc 9/24/01 flpr 02 03 09: 49a PLU. CON. INC. (503)658-5232 p. 1 flpr• 02 03 06: 29a Bob McCurdy 15031?45-7765 P. 1 Building Fixtures Plumbing Permit AADplicatio 11 Rer i.,Yrd r�nmhtna Pt1111nt11e ApptelYYl .gC 1Yef City of'i'igard �, � ►EQ t)etenir _- _ Penn N� - -- -- 111?5 SW Flail 81,01�C/ Ptae Iterttw C)tixr Iigard,trepan 9772. I_UatdOy_�__-_—. PamniNo.: lir -- 1'hanr 'CUs-o1v.4i 71 tan 503 S'9B 1900, poll-Review age — Datd�—_ —..— Case No Iuh stet www r.i ugafd.rlr.us 'cContact Juns See Paae r for 24 haw lmpectlon Request 503 639 4 t 15 N�ia/MethaL 3u hmerral lnforwaNen ` _ FF.E•SCHEDULE(fors ecld information test ehteklbt - TYPE ( _ --�-- Pescri lion Viri Fee(ts{J 1'obl Newconslruction - I:kmohtion� �_.�__,...� - LT--� Ad st)ordalterahon/rc la�cment } - Other. _ New I.A 2-htWly dwatlhrRa - - ircWdrs 100 n.fee cath rttl;lY aaaeeWn _ _CATEGORY OF'COIYSTRUC TIOtY St I balk z4v zu _ 1 &2-Famil dwelling CommemialMdustrial —� tsoOfl _�_— - -- -- SFR�2j bath _- ccessr Kuildin Multi-familySFR lhoot — _lY9.00 _�_—�..___ --� ��._.._.._ .-_ �4500 — Master Builder _ Other F.ach addtNunal batlslkdcitcn—__ JOB SITE INFORMATION ad LOCATION fire rasp aler-sy.fl. Pr 1 ]ub trite adciress^jtq-2 Z f W C � ettsruc+wtaa Suite to -- _ I Bid_ p lAp.ft _ Catch basin/area drain 16.60 DrywNl/lach linc/ttench drain 16.60 Project Name: _ Feoun drain rolinear R — Pa r' _ Crost;street/Directions to dub site. Manuf cured hoax utilities _ 11000 _ 16 60 Ram drain conn^cine 16 60 L4 Oh Caw✓e 61� 4 Sattitar sewer hnearft — Pallor1 Stour+arwcr n.l.Itncrr h. Pe r? Suhdlvlsion: at yet( �.[ Lot#: -- Water aeit� vKe�no,linear ft � � i ax-map/parcel 0: — 4Ft urse or Iteet DESCRIPTION OF WORK _-.__ Absirs-iotion valve 1660 -- Backflowpreventer . _ Page 1 _ --- ---- Oack.woer valve _ 16 60 Clothes washer _ 1660 --- - -- - - utt hwasher 16.60 Uri mS fowstals 16 60 ROPERTY_OWMER -. T&NAN'1' ctota/au 1660 1 _Name 16.00 Addrnas `�sn t,r .�tll7/4t Fixture/sewer ap 16.60 - ^ _ inatb dramrflnm {tnk/hub 16.50- Cit 6.50 ��State/Z.i � v�L Z _� _ 1660 f;arba c dia sal Phone' 7' ��$�L_—_ Fax.2,A�7�—_ Huse bib 16.60 APPLICANT — _ C(ItVTAC.T P@RSON Ice maker 1660 Name, _ lniercr N react ria 16.6tl — ..... j`- — Medical Bas-value S Pa h 2 Address: pnmer _ 10.60 City/State/Z1Lfc_ _ Roofdranlcommrrcla�y 1660 fprn: _ Fax. aina1115560 b / -- 1 ub/showedshowaptt�t 14 60 E-mail: - Ir bo Wate-1c 109Ct 16.60 Business Narnc: 14JA5s.Z2r' . water}taict--- 1660_ Address: D IkZiox,_ Other — Cit /Sta�ei7i -/alk _0 ?�iS Vthet --�— - _" Pfreibirt 1'eitMlt Ft", PhonP:S41-05 •`aA _ Fax ► — -- `- Subtotal s _ CCB Lie, #: _� ,Plumb.LiC q:J�'�f jp�j -� Mmlmum f'crmit Fee 572 30 a Au tired RaidenUal Hitlifbw Minitttum Fee$3615 _ girt yam' -- �• > bale _ Plait Review(25%of Permit Fec S _ State Stlrcbar c tIY.of Ferrrul Fee S (Please prim riatr r) TOTAL PERMIT FEL f Noire. 7 his permit epplirMiee expires if a perm-f,am ehteined within AN new troleweMhl oeNdirp;;noire 2 sets otplars"_b INw Irk ar Igo nets suer it has Nero ucrynrd a rompku Yr.d;aaram for PIAN review. •t'ee ntethe4oleer set to Tri•Ceaeh SuIldina Iat Wrr Smkv Meed, MttiPermitFomnU'ImPrnr�ir•tmilrx 1111(it FOR OFFICE USE ONLY Mechanical Permit Application Received Mechanical Qate/By: _ _ Permit No.: ------ Planning Approval i3uilding City of Tigard Datc/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: — Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/B : Case No.: Internet: www.. lard.or.us Contact Juris.: Sec Page 2 for 24-hour Inspection Request: 503-639-4175 'Jame/Method: Supplemental Information. TYPE OF WORK COMMERCIAL FEF.*SCHEDULE-USE CHECKLIST NCW CU11 Aruction _ _❑ Demolition Mechanical permit fees*arc based on the total value of the work _Addition/alteration/replacement ___Other: — performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. fO 1 &2-Familydwelli Lj Commercial/industrial Value: S See Page 2 for Fee Schedule Accessory Building ❑ Multi-Family RESIDENTIAL F. UiPMENT/SYSTEMS FEE*SCHEDULE Description I QtyFee ea. Total ❑ Master Builder _ Other: Heatin Conlin — _ JOB SiTE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 Job site address: _?Z 6% �th� Gas heat pump 14.00 Suite#: Bldg./Apt.#: Duct work -- 14.00 Project Name: H dronic hot waters stem 14.00 .� -- Residential boiler Cross street/Directions to job site: _(for radiator or hydropics stem 14.00 Unit heaters(fuel,not electric) (in wall,in-duct,suspended,etc.) 1_4.00 Flue/vent for any of above 10.00 Subdivision: 1a4,jt 64.j _ I.ot#: 'Z Repair units Other Fuel Ap liances 12.15 Tax ma /parcel #: _ _ Water heater 10.00 _ DESCRIPTION OF WORK Gas fireplace 10.00 Flue vent(water heated es Fireplace) 10.00 --^ �— ------- - Lo Ig ighter as 10.00 -- -- - Wood/Pellet stove 1000 Wood fireplace/insert 10.00 _ Chimney/liner/flue/vent _ 10.00 -EWRlt"ERTY OWNER TENANT _ _ Other: 10.00 � Crlc;�� H _ Environmental Exhaust&Ventilation Name: -- —�- --- Range hood/other kitchen equipment 10.00 Address: 2 J Clothes dryer exhaust 10.00 City/State/Zip:� 'W N6 1 _� .3`� Single duct exhaust Phonc: 711- 586(. 1 Fax: Z t5, 774 3 (bathrooms,toilet comnartments, APPLICANT _ CONTACT PERSON utility rooms) Name: — Attic/crawl space fans -- - -- Other: 10.00 Address: _ _ _ Fuel Piping City/State/Zip: _ **($5.4_(1 f_or_first 4,$1.00 each additional Furnace,etc. Phone: F ---- — --- - ax:-----_.__,_ Gas heatEump - '• E-mail: _ Wall/suspended/unit healer — CONTRACTOR _ Water heater Business Name: is Fireplace '* ----��- n a •* Address: J- 0 d o� I 1/ _ Ra13a City/State/Zip: _0/1- T 7 0.91 Clothes dr cr as - "* Phone: 5-/F- 5'7 Fax:sb3-Ut_/LyS Other: CCB Lic. #: /t y 75, q _ Total: * Mechanical Permit Fees AuthorizedSubtotal: S Signature:Si �'- _ _ Datc:__ g --- - ---- - Y /v! Minimum Permit Fee 572.50 $ _ Plan Review Fee(25%of Permit FCC) $ — ---- --- - State Surcharge(8%of Permit Fee) $ (Please print name) TOTAL PERMIT FEF. $_ Notice: This permit application expires Ira permit Is not cbtalned r+ilhio *Fee methodology set by Trl-County Building Industry Service Board. 180 days after It has been accepted as complete. "Site plan required for exterior A/C units. t Ai)sts\Permit harms\MecPemitApp dnc 01103 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$155,000000,00 — Minimum fec$72.50 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000-00. $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including $50000'00. $50,001.00 and up $742.00for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per Appliance: Value 'fatal Description; t Ea Amount Furnace to 100,000 BTU,including 955 ducts&vents Fumace>100,000 BTU including ducts 1,170 &vents Floor furnace includin vent 955 SuspeWdcd heater,wall heater or floor 955 mounted heater -- Vent not included in appliance permit 445 Repair units 805 3 hp;absorb.unit, 955 to IOU BTU 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 15-30 hp;absorb.unit.501k to I mil. 2,310 BTU 30-50 hp;absorb.unit, 3,400 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air handling unit to 10 000 cfm 656 _ Air handl;r.¢'.nit>10,000 cfm 1,170 Nor urate cooler _ 656 _ Vent taa mectru to a sin le duct 446 Vent system not included in appliance 656 F; Hood served by mechanical exhaust 656 _ Domestic incinerator 1,170 Commercial or industrial incinerator 4,590_ Other unit,including wood stoves, G56 inserts,etc. – — Gas pipin 1-4 outlets 360 Each additional outlet 63 I OTAL COMMERCIAL $ VALUA'T'ION: i:\Dsts\Permit Forms\M-Pc nutAppl'g2 doc 01/03 Rpr 02 03 06: 37a Matt Weber 503 620 6819 p. l Wed,jesdtly,April 02 2003 6 33 AM Bob McCurdy(503)245-7765 POI Electrical Permit ATV 1ica_ tion ,�ni,� Elal>xa► �� DawsyNo-- � Planning Apptoral Sip City of Tigard D.1rm�^_ — - Prriflat No _ Men Rev rtv Other 1317.5 SW Hall Blvd I DatdHf -W I'errnd No Tigard,Oregon 97"223 p„tt_pe,,,ew Unit Ulf: Phone 501.635-4171 Fax: 503->98-19(* tonmat ,j,rrlt Ser Pone 2 Nr lnlrmr, www ri bParA nr.us Su 24 bout Inspection ReOi,;rst: 503 639 4175 rhmewbod — r V11ma-Tk- tek•all tAal�pTYpE OFWORK __ r�hhcuc tNew constructionCin0)lttnit cs� rovlr 225►taps- aurdout locatioA:at�1110e1�Y11 10tion repil CEnwnt�_. Aller: - ❑Sm�ce over 370 arrnplio` url«murc aedee�qw ^YOF.CONSnUCTION ____ t a 2 am ly dwcM;nR:Q System ova 600 voht nominane••truaurrorruttercialIndustrial []Nudd,ng over livec storiesneden,40o amps at nrorc MUIri•Fam11y i Occupant load Durr 9 pervollbnuCattutrA smicturet of RV parA Accessory BWtdUlg� - '71 F gressAiel"19 plan UOIHrr.--,--- -- _-__ Master Builder Other: Submit Balt or Filling1eN►3"Y or the above, ;' , JOB SR'E'tNFORMA• O 10d I;OC1art70N J - 7hc■bwe are nal Ip�Iin01e to Iemnorar�coulruclleo serTr�._ Sty %Ctrl/� �r�C � - ---•-----.FE1u345CHF��.�_. Job site addre3a: Niendieroy{at cod as r Broad alNwtp Qt File 44 Tani' Description Pru Cl VamC: New rnidesui-Berk m rerW•eanOr tae► Cross stri:W)rrections 20 1021 Site: dweiddig rIY.lrciadet atuched earap. Service lorhrded: 141.15 ' 1000 s0 fl rr lett _-_, Lark�ddtdani SOD sq.f1_«p•Mion thateof - iS VO -- imnetic-�,reaideMnlIs UO -�C ` Lot 0: - Z Limited enesp,nr^ruiMntnl _ - $Ub(i1VIS1CM1' aw h-- Fsch manulunueA Mete or modular we TIM tna steel AI: r(cede, 90.90 e; r+ t temlc atdlo Senkr•of hedm�inNalLlNa, Illtra"or reiocallom 80.36 200 vn.I"or les! - --- IOb.OS-- 201 am to 400 artR -__-- )60 60 _ -- -.__ -� 4ol Rn at Oc rn�+__ _-_.- --- 140.60 454 Ovr.IOYO ars_«vo -__- ',y GI }{o Ae5 Recannrsana� Na171C�_ y� 3' J Temvorary rtrviees or feeders-cbttallatlea, A_ddIC39__ Tr O St�L�Cv�~-- altoraMor,ar rell•ah°n 66/S 1 ,� ��of Z 100 ar rn ktt 100.70 Clty�tatC�iY�-j-5 1^ 0� rax; Lu.-S-7 7 401 w 6W wFV P�hon�e_: 7f3-3i 6 ----- P Ni''i�JuBrusli sety,alte.ellewar l."!-� i• t.. nlentMnlleP"pond: )!aMe: r� ------� A Fre fa brm ch a rcuiu w;rh ptycluse:tr 565 --- Address: ,fitoS JIseLJ/___� -- sCC icer1w er tether to e�eh Mangcirwn_ — 9'7 71 q O S - 9.fee fa lrar+th cucre wiihnrt purclwsi of 46./5 _ t-itv/SLatc/h ��eti' Q/(r-,.L�� 3 lnvice or lcedet far frrnSrrtch cirruis - 6.65 i -- � z. _�-- -j"T ., t/�=7 Face tpcor h-•►rirtuil — Phone: —L his.c(servits«kerkrAQ nmeubdedl �No: alion cwele AE- �. '-T_ �rY.. FicA .a _.� 7).4a lhnied taarp p-t e2 Jor�� ------ abaralt of +jvntb� --- BusinessNamC QC[ AC i� ,=nL_- DKmnrb^ /,tictreSS'. B�7Q �ie�Q-- p'-`-, -e - Eacl�{d�lllanl imDcdioa ery s;e Illorrlhk is ny of they c, Ctt lla7tat�LIP / A� �! _ 70 1i-f—al n�eiiuuesmin.I how).__._- fa7C` �` I v Mr�i ke. Phone- -L2P-_.1�1P1t- Oth f; 4Gr Lic.lf` '.- CCB Lic.�►� - - Subtolet ! )iMvising elect iCiaTt� - N part Revkw t3Ye of Penult Fa S r ---- 1 3 nature requ;rttd: Stale Surd t J!%-if Permit fee S_ Ptiat Nem_e;M�( C6CP L1C - TOTALERMIT FEE f P Notice: 'TDI;_prrrtit o0p6"atio^aeirei H I oermM k sot obtaMtatrilbli Aulherirtd too haw alter It hal been areepled 01 cenpletr- Deft:-,-.•-_--. eF..mAl,odobier rri by IYt-Conn.ty aril Ot Industry Secvkr Board. -- -_ (please W7111r»me) ^-- -- i Osirwetrrrt FormsNMcrefinUApp.dnc 01103 S.W. LAUREL GLEN CL. . I. RECEIVED APR 2003 DING DIVIwiC)N r 18,00 5.001 . T 5.55 !.5.00. i 14.56 - ------ - -- - r-------------- 1 �2•Y �y.:��i�LYrt+GY4 �' I I :,yr 1AIFW_5 •3 I � - N S I T E P L A N SCALE 1/16" = 1'-0" LOT No. 2 LAUREL GLEN 7,052 SQUARE FEET LOT AREA CITY of TIS` '1R0 WASHINGTON COUNTY, OREGON 30.9 % LOT COVERAGE CITY OF 1 .GARD 24-Hour BUILDING Inspection Line: (503)639-4175 G .�� 9 INSPECTION DIVISION Business Line: (503) 639-4171 MST�. —__ _'3 / BUP Received _--- Date Requested-_ S AM__--_-__ PMy _ BUP _ Location _- __ Z te — —_ MEC -- Contact Person --___— — Ph( ) _ ___— PLM _ Contractor — -- _ _ Ph( ) —___-- ---_—._- SWR — BUILDING Tenant/Owner ELC Footing — _ Foundation ELC _. Access: Ftg Drain ELF! Crawl Drain _ Slab Inspection Notes: SIT Post&Beam -- -_---__-_.__.------___--- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ------ ..-- - Insulation Drywall Nailing — -- - — Firewall �— Fire Sprinkler ----— _—_- ----_—__ — _ — Fire Alarm Susp'd Cailing ----- - Roof Other: — ri IF A PART FAIL P BING Post&Beam ---_—- — — -- Under Slab ---.------ __ __— _— Rough-in Water Service --------.__- __--- _ — Sanitary Sewer Rain Drains - -- -- — — --- Catch Basin/Manhole Storm Drain ez -- Shower Pan Other: - Final PASS PART—FAIL - ------- ----- --- ---""� ---- MECHANICAL — Post& Beam Rough-In -- -- --- —-- - -- gervice ersRT FAILL_ ~_ 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: --- F] unable to inspect-no access Fire Supply Line — / ADA Approach/Sidewalk Date Inspector a Inspector Ext _ Other: Final DO NOT REMOVE this inspection record from the Jeb s'te. PASS PART FAIL 14 A►AAlAAAAAAAA/ \AAAAAAAAAAAAAAA iAAAAAAAAAAAAA A ► • O ► t � ? o ► x pop. 7� pol- 4 ► an v ► o ► ► 1,4 pop. pool pool ..d a 'blop. P. � � r r ► i Poo. W QP.1-4 (D �, ► � -� P. A , y ► , A ► A ► 4w Q Poo.l 14 F-Tj P. t � O � U ► t � .04 as � ► �risiviisvvvvvvvvvviiiviivvvsvivvvvvvsvvvvvvV,4 I I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Bur'.ness Line: (503)639-4171 BUP Received _ -_---___.__.___,_�_�Date Reques d-__!�_7_- AM____- PM_.-___- BUP - Location nite_ __ MEC --------- - Contact Perscn Ph ( -) _7�� - PLM Contractor _- - ------ - -- -- ----- Ph(.--) -- --- SWR --- -- ---- BUILDING Tenant/Owner --------------._.._--- --- ELC - ------__-_-- Footing _— ELC �_�__----__---- Foundation Access: �� Ft5 Drain )___�=JrZ f �� -7 ELF! ----- --_-- Crawl Drain L Slab Inspection Notes: F'T Post&Beam -- - - -- .. --- ---._..---- - -- _ _ Shear Anchors — Ext Sheath/Shear Int Sheath/Shea,- Framing heath/Shea,Framiny --- - - ----- - - Insulation Drywall Nailing - - --- - ------- --- _ - - -- Firewall Fire Sprinkler -- ----- --- - - ------------- Fire Alarm Susp'dCeiling ------- -- - - _. ------- — Roof Other: Final PASS PART FAIL PLUMBING_ Post& Beam - Under Slab - -- — __ - - - ----- Hough-In --Rough-In Water Service ---._--- -__-.__-_ - -_-- ---- ---- Sanitary Sewer Rain Drains ------ ------ ------- - ------ - Catch Basin/Manhole Storm Drain ----- _ ---- ----— - - - - - ----- Shower Pan Other: ---....---- -- --- -------- ---- --.�_Final PASS PASS PART FAIL MECHANICAL --- Post& Bearn Rough-In - --- --- - ---. --- - ---- - Gas Line Smoke Dampers - -- - _--- ----- — Final PASS PART FAIL _ - ---__._---- ------ -- ELECTRICAL Service Rough-In --- --- --- - - - - - - _ - ------ ------ UG/Slab Fire Alarm - PART FAIL Reinspection`ee of$__ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. E - Please call for reinspection RE:__-.___-_-__ -. Unable to inspect -no access Fire Supply Line ADA to � .3 Ioctor `,� *�" -- Ext-- - Approach/Sidewalk �� ns p Other:------____- Final - -I DO NOT REMOVE this Inspection recorcffrom the Jolt site. PASS PART FAIL F � , rn l± 1 r w � � o CL o vi V) 7 J ti / O V A ^J C7 '— F '� I