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13611 SW LEAH TERRACE - - X011_ - _ PATRICK SC_'HMITT, EInc. �,'� C.JetDT home D -w M'H 81959WMold Street PaWnd Oregon eTREE ' TREES Tet(503)7WA573 _ I I •-melC 111enrlu'3teNpon.awn v J PEF,' DEWPLANS � 7.77 o l0 20 -- dlmene.one on these drawn Cal have (• , • _ O _ r_ W er ail dimenawne oreOVK ceded d4nen elpn e. Con lydal Jr eh a: wwrrw re ana�bliT Y � 7 i on,, Cdndrlo T 7n The loo PATRrK SCHMITT• I — 89 I I to Q — on ypva~a,lam Isom at a-*e sttIM dna'ca naMran - _-__ \\ . •,� \ r / / �N �O Th-a doaumenl a the oroaally of PA'NCK SCHMITT, �/� -4,9. if ;' ) - % - -- ado anc oolecr-f me �aetnovcfor 'oelo.e o i�N Oar as L .`l.T�c }IA %^ v) reprodr.elron A any 'am .a alo-ad , 0mi the `•�•\ I� `.�_ \ = I y r r;�..' - earn. .Aden donur.t nr °A-RICK SCHOTT, �/ , 1 • . O LEGAL DESCRIPTION aeadner _ - � Loc n Derroda ►+III ---- IC Lu14, Ile T 41 II i .° • , SITE ADDRESS \ • ♦\\� \\ r��\ .\ �% . WAII ELL Leah Ter'reG I ```+♦ ♦'•`\\' / I I TtQWd,Octagon 91224 4. M \� \ .\ ' - LOT AREA . 6216 - _ -_ BUILDING (� \ \\ \� �\ \ ♦ ' a jc/ \� I • (b1CLUD EA.O26) U v I O I II �♦ \\ \•♦� \ ♦ � TOTAL LOT COVERAGE • 2,J'ti / •?E6 (WPO) a 36.1K L N '\ ;•� \\� EROSION CONTROL NOTES: p 1 (�I \\\�` ♦ � \` �'It ;; \,\\�.\ ♦ \ j I U(SER TO TNr:c:!T7 OF rORTLAND *EROSION CONT}EpL M/Ni1AL' Q N - Q:) ..' V ��\\�\ \\, `\�.�\y\\\�.•\�♦�` ,` f n I SOI!ADDITIONAL De?41LE AND EROSION CONTROL IIEQE. E �4 8 F N ?~ •�.��\�\;� �` \\.ti\\,��'••. 1 O) 2)COVER ALL DISTURCED GaOUND AREA BETWEEN OCT. I TO ` AI"RIL !O.COVER WITW MUI.CW,SOD,GRASS,PLASTh3 OR O yrerw^� ^ O V \��• �,x'•\!"� � \�, .\ 1 1 T OTS LAPPROVED MATERI.:1.E AE SPECIFIED IN TME: 'EROSION O rr•eAwro awpsi.�airayrar.r ♦ �' \!J �• II ` ♦� ♦ I II !)SEDIMENT BARRIER TO BE INSTALLED PRIOR TO lARi1 y{JOIIK V, I O \ `\\\ \ L..t .Y O 5, 462 �' \\ ' \,\ `♦ \ •`\ \ � '�` \�\ 1 ------- - -.-- -- RQ'10'VE ONLY AFTER GROUND COVER 19 ESTADLIEWED. 3 r-1 Cd ° \ ` ♦\ \� \`\,`\\\� \,�\ - I - -_— --I NX 4)NO SOIL ALLOWED r0 ERODE OR DE TRACKED O>!SITE S r-4 GU t►,e.,Aa,_ ,,�;it.. ••, n.wr, Z 1JE TL ACK : �. \:\ \\♦'` \ ; I }�'� r \• "\ I LEGEND 1- INE \ \�`•ti`s \\ \♦\ \ \ •� CL..feA 1"I f T I G T - ;��\` \\ ` 1 \� *RAVEL CONSTRUCTION ENTRANCE - SEE ..31�IDdEriE O� TRE DETAIL AIA AT ,...r.rn...., \ r ♦\�``,\ ♦ \ `� \\ ` :�''�\ M, EFT OR IN TWE CITY OF 17 I Qb Aw••1rr1 �- �...... r-.w-w� \ . \ \ �\♦ I ... N f'�fg PORTEND 'E}YJSION CONTROL MANUAL' , \ � \ •\`\�\\. ,\\;`\\,`• tl ; .� I � � i1 M.h (COVERED ETOGCIMLF6 ►.-I CONSTRUCpON EdTAAN:E W000?I GL'RS RAAIt' EL•eee CL•eee� l `: t / " I WORK STAGING /MATERIAL STORAGE ARE 46 `+.-ra.ww.r •arms Xi •\ � I I _ \ CD 4i~"~' WOODEN CURD RAI11P - SEE DETAIL 4JA AT C r. ) • LEFT C'R IN THE CITY OF PORTLAND 'EROSION r f c.Y .,, ,y{2�yy��QtxIG3N4r 1 :\ J 5 �_ Q O CCWROL MANUAL' g , '� 55. 0 -� � 1 I. i �' � ; `O � DETAILI °��CITY CiF AFTO�RTL�PER DETAIL DRAWII�9 4.IA - GRAVEL CQNETIM'�rION ENTRANCE �' I I 'CRO6ION CONTROL MANUAL' --� G Q LLJ - C 1 i 1OM Mw I 1 Q _ • EEDMNT FILTER FENCING Date: September 18,2002 rn cj Re/IIAMr'ANlL71ML f`�Mr.100 LAW ^ I ._._. _ o Via!,ICG( /-00 rtr raarr. Plan: Site PIaIT Ihh y �' �� ' I. I I i W(UEE PVC LII FROM METER TO NOUEE) Job Na.: PS-1252-02 f I SD • STORM SEWER LINE - -- -- 1 (USt. 9'ADS LINE FROM LATERAL TO WOUSE) Revision: i ' L , O 1 I I • EIE a eMUTART MUM LINE fV (USE 4'F'VC LINK PIYIOM LATERAL TO WOUSE) T•. i ! R1E . PUBLIC UTILITY EAOVIENT : ..:C♦I SIDE � Sheet Title: 1 I ^ j+__. —._.._...-- p . WATER METER Lot , v J z l 1 Site ° ► ;._ wr>�OM MISC. IN - I `. � I � ! O 1J A 20% ADJUSTMENT TO THE REAR y �° ;' .:K-•�rM ~ - -- l' .w�wae'ir'• o I ( ; + O YARD SETBACK HAS BEEN GRANTED O FOR T4�113 SITE. NOW,, _ ter C ! i -SEE CASE No. VAM002-0002'1 ra'yarn. � " or ---- JQP www . ;�.,fi w D•:1 OIL DRAWING 42A . TEMPORARY AEDIMINT F!<PKE 5, 72 6 S. F. 6, 252 S. Fl, - I � - -----— — - — -- - — -_-_ — __ COPYRIGHT 2002_ PATRICX 5CIIMTTT, dalpner Inn "NOTICE: IF , lE PRINT Oil TYPE ON ANY � I 1 � i I � � I � � � � � � � C _. li • r � , � � � � � � � � � i -� I � r � � I I T r �- , � r r. r � r T1..- V...1 , � I rlrIl � �-IllISIIlII I IlI Ili iII. _rl-r r�-'i. � lTr' li 1 I r� i -11irlllill ILS_ r1i Ii1 Jill 1 i I ( � I I � � I IMAGE IS NOT AS CLEAR AS THIS NOTICE, - 1 _ _ 3 _ 4 6 _ _ 8 10 _l l LZ � IT IS DUE TO THE QUALITY OF THE _ — ------- NO.38 �cnewA wa cpr,.. ��•.,..�- __:'::tC'�+4.xL^:..-.... ..• _ ...- ORIGINAL DOCUMENT ---�- — �E 6Z SZ LZ 9Z SZ �Z EZ ZZ 1[ Z OZ 6T 8T LT 91 9I � T Ei ZFimi,ti'l , 6 81111 ill! llll�lllllllll llll 111 11.1 IlIIP11I ' L CA m m X 13611 SW LEAH TERR CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received . Date Requested_� � �� — AM PM LUP Location -� �� Suite MEC Contact Person . ��' �l , t- Ph ( ) G l ?�> PLM - Contractor_-- _-- — --.. ._ .___ _-- Ph (-- -) SWR _ - BUILDING Tenant/Owner _ _ __- __ _ ___-.- ELC _-- Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain r- Slab Inspection Notes: SIT _- Pest& Beam Shear Anchors —� Ext Sheath/Shear _-_- ---_—--- Int Sheath/Shear Framing -- _ ------ -- -- - --- ---------- Insulation Drywall Nailing -- --- - -- - ---- ------------ F i rewall Fire Sprinkler -- ------ ----- -- -- — --- ----.-- - Fire Alarm Susp'd Ceiling -- --- - -------- - ----- -- -- Roof --- ----.--Other_ ------ ---- -- Final PASS PART FAIL -- f 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 -------� --- ------- - -- -- S A Post& Beam - - Rough-In ---- ------- --- Gas Line Smoke Dampers -------- - ------ ------- - - - --_ Final PASS. PART FAIL - __._---------.._.- - EL CTFUC L_ 'Service - - ----------__ - --- ____ _ --- ---- Rough-In _ UG/Slab Low Voltage -- ..-_ __ ----- ----- ---- ------- - -.-. - -- Firs F,larm Final L � Reinspection fee of$__ _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ART FAIL Please call for reinspection RE ___- _ _.___—_--____ Unable to inspect-no access Fire Supply Line ADA Date.� Inspactorr Ext Approach/Sidewalk - - .------ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00417 DEVELOPMENT SERVICES DATE ISSUED: 10/16/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13611 SW LEAH TERR PARCEL: 2S109BA-08500 SUBDIVISION: D n 4-t�4 ZONING: 1z-7 BLOCK: G� LOT: 0 1 JURISDICTION: "Ilei REMARKS: Construction of new FS detached residence.path 1 BUILDING REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NFW HEIGHT: 30 FIRST. 1.286 of BASEMENT. sl LEFT: 11 „MOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1.521 of GARAGE: 660 sf FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT'. sf RIGHT: 11 ' , OCCUPANCY GF P. 21 BDRM: 3 BATH: 3 TOTAL: 7 809 8f VALUE28859010 REAR: 12 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH LAUNDRY TRAYS: i RAIN DRAIN lou TRAPS'. LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: i0o SF RAIN DRAINS: 1 CATCH BASINS: IUSISHOWERS: 3 GARBAGE DISP: I WATER 14EATERS: I WATER LINES: l c BCKFLW PREVNTR: I GREASE TRAPS. OTHER FIXTURES. MECHANICAL FUEL TYPES FURN- 100K: BOIL/CMP<3HP: VENT FANS 4 CLOTHES DRYER: 1 �•`, FURN—106K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAXINP: btu FLOORFURNANCES: VENTS: I WOODSTOVES. GAS OUTLETS. I ELECTRICAL RESIDENTIAL UNIT SERVicE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 sF OR LESS: I 0 200 amp, 0 200 amp: W/SVC OR FOR 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF > 201 400 amp: 201 400 amp', 1st WIO SVCIFDR nr1 SIGN/OUT I IN LT: PFR HOUR LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNAL/PANFL IN PLANT: MANU HM.!SVCIFDR: 601 - 1000 amp: 601-amps-1000v: MINOR LABEL 1000-amp/volt. PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVC/FDR-425 A.. >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL. B.COMMERCIAL. AUDIO&STEREO: VACUUM SYSTEM. AUDIO R STEREO: FIRE ALARM INTERCOMInAGING: OUTDOOR LNDSC LT BURGLAR ALARM OTH: BOILER. HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION. MEDICAL: OTHR: HVAC. DATA/TELE COMM. NURSE CALLS: TOTAL 0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 7,711.50 HEIGHTS CONSTRUCTION HEIGHTS CONSTRUCTION LLC This permit Is subject to the regulations contained in the HE BOX CON Tigard Municipal Code. State of OR Specially Codes and i BOX 91249 PORTLAND, 9 97291 all other applicable laws All work will be done in PORTLAND, OR 97291 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: 50;-291-2550 Phone: 503-291-2550 Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through 952.001-0080 You ReQ"' LIC 1;374` 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 Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas line Insp Appr/Sdwlk Insp Po3t/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical incl Issued By : dLlt- f e(-A - "!.: Permittee Signatur� Call (503) 639-4175 by 7:00 p.m. for an inspection npededthe ext business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00273 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/16/02 PARCEL: 2S109BA-08500 SITE ADDRESS; 13611 SW LEAH TERR SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: 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 residence. Owner: _ -- FEES HEIGHTS CONSTRUCTION Description Date Amount PC) BOX 91249 ISWUSA] Swr Conncct 10/16/02 $2,300.00 PORTLAND, OR 97291 [SWINSP] Swr Inspcct 10/16/02 $35.00 Phone: — Total $2,335.00 Contractor: Phone: Reg #: Reg0red 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 peimit 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 ;ha'l purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires y^lt t, follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 throt ;;i OAR 957_-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 2.46-6 Issued by: Permittee Signaturte:_ Call (503) 639-4175 by 7:00 M. for an inspection needed the next business day 76057lU-F -07, 14? - c a Building Permit Application �.a nate received: _ Permit no.: City Of Tigard 1 ° Project/appl.no.: Cxpiredate: Q City nJ77gard Address: 11125 SW Nall Blvd,Tigan ' ----__._ -—— --- — Phone: ---- (.503) 639-417 I SEP t1 Date issued: [3y: Receipt no.: V` Fax: (501) 598-1960 SEP n ?.007 Case file no.. Payment type: Land use approval: _-- 1&2 farpily:Simple Complex: 1 1 &2 family dwel;ing or accessory U Commercial/industrial U Multi-family U New construction U Demolition Q Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Job address: _1 _ Bldg.no.: Suite no.: - Lot: Block: Isilbdivision: 1�p�Q�OQ�i�w Tae map/tax lot/account no.: Project name:........ %k.1" � 2 Q1U, 5ClCj Description and location of work on premises/special conditions: Sli�i�l�r �'ArK - !r rZ�l� -- Name: Tsvi'�+�r?�F��1�.�-•- -- '" Mailing address: '�p. NX,g z -�— ,, 1 &2 family dwelling: City: p v,Al�. D Stale: 91 7.IP: Valuation of work....................................... $ Phonec{so Fax: t E;mail: No.of bcdrexwms/baths................................. X1,11 T- z�, r�I l T �,. Owner's representative: PI4'(R-\[,�Sc,th rn CCf 'Total number of floors................................. L I Phone:50.5.1(#(3-8573 Fax: 4L 355q G mail:$utnlff�o1P New dwelling area(sq. ft.) .......................... WUNLIMGarage/carport area(sq. ft.)......................... Name: A Qty r { Covcred porch area(sq. ft.) ......................... - �' --- --y Mailing address: 51Z(O MpVe-T -r� I. Deck area(sq. ft.) ......... .........;". „ .. State( 7.IP: _ ��.•.....`...aNr --------- -— City: roe Tt�r)t W — Other structure area(s . t. ...............1......:. Phone: -AST 3 Fax:7�(,.j F mail: "� Commercial/in hal/multi-famlly: LZ Valuation of work.......... ................. ........ $— Fxistin-bldg.area(sq.ft.) ..... : .............. Business name: �hWf, GVAfF-T►)(I Q __-- - - New bldg.area(sq.ft. .......... .. Address: - -- -- Number of stories City: WI_". P_ state:� �Z—_-- T of constnrction. � Phone• 6 L1x 2°II. 7 E-mail: YD• ,,........................ - ---- °��'u—S�_ I (h Existing: gmup(s): Existing: CCB no.: 1�'j 7G�� — _ New: City/metro lie.no.: INotlee:All contractors and subcontractors are required to be fill licensed with the Oregon Construction Contractors Board under Name: .� t ,_ provisions of ORS 701 and may be required to be licensed in the � .ZG Y^ -- jurisdiction where work is being performed.If the applicant is Addre,": 51 Z V °J�_NJ City: QOIZ I{�p State ZIP: �� exempt from licensing,the following reason applies: Contact person: %UtC1it� Plan no.: _ — -- --_--- Phone: 'Irj Fax: • �j5 F-mail: - --- ---- Name: , ja Contact person: Spt}N" Fees due upon application ........................... $—_ Address: Sr�p (,) A1�1lx7V1� _ Date received: City: VOIWIWA91 Statc:wh ZIP: �jG(ei2. Amount received ......................................... $___.__-- _ Phone:$4 o,L6 4 V?Wax: (e0" SS Email: --__ — __ Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Na all Wdicnons accept crr&cards,please call Jurisdiction fa mae idwnation. attached checklist. All Provisionj of laws and ordinances governing this U visa U Mastercard work will be complied w s •cifred herein of not. credit Fwd nurn^e' __-- ---- .—L--�-- Authorized signature: _ Dime. _ OExpires �i_- T'Name of codholder as shown on c"I cart �� S_ Print name:_-1. _T--M] (.L._-.- C• alder iiyia. Notice:ibis permit application expires if a permit is not obtained within 190 days nfler it bac been accepted as complete. tar asl (ss/JaK'oM) Electrical Permit Application -- Date received Permit no,,n City of Tigard projectlappl.no. Expitc date: CXR CirynfTrRard Address: 13125 SW Hall Blvd,Tigard,OR 977.23 pateismed• BY. Receiptno.: Phone: (303) 6391171 tau nle no,. Paymcni type: — Fax: (301)598.1960 Land use Approval- — O I &7 family dwelling or accessory O Commcrci■l/mduxtrial 0 Multi-family C]Tenant improvement ❑New construction 0 Addition/alteration/mplacement O Wei. __-.__ O Partial =29M ;Job addteSa: Bld I Suite no. Tax map/tax lot/occount no,: Lot, P.ojeal name: 71-Cittictiption and location of work on premises Utimated due of tom ledon/ins ,atom. MoRgEnr Mesa 7Addresq Daerl as Total on.intp0BDX 7HILL HDR0 Slate: DqZIP. g123 ate..luertrldatk_ - - 1000 nor los 14 4 Lax 6 4 9 9 7 2 'ti.matl: 1i a„sl Mo so.—tior—Portion lMreo CCB no77_6bT►�- Elec.bus.lie no: - -- -- �4-=-��D mrtert eeot�retleanli�l _2 Cit lir no.. 1 3 T umilul�y,non-residential _ t porch mann round hone M modular dwelling Signe�ure o Ins Iaing torn pate _— __ Service erdree feeder 2 Sup.slat nW* nt)D A V I D A JCR 0 M E ucente no 2®7 7 S ■■ eN wMe '�'■��^�inn„'Ihtlen XIo unpt or IW Z Name( riot)_ J_ 201 a-rep,In tempt 2 4 1 amyl to 00 arnpt Mailing address: 601 imp%m 1-000 . 7 ChV: _- j3ute: ZIP: 1000 torvots Phone; Fax: E-mail- Reconneaoal TetagMar y■erview or f■e e h- Owner instillation.The installation is basing made on property i own Ina+Ilan.n,eMee.Bnn.errtr+oryttiotu which is not intended for ealr.,lease.rent,(x exchange orcrmdtng to 2 ORS 447,455.479,670,701. 2IX/enptetlGt -- - 701 atnpsto ■mer• 1 Owners .1 nnture: Dale d01 to r,00#mpt 2 Arraeh alreaNa-ttew,allentieh. or earettalen per"Rol: Name: n Feu fhrhrarteh e+etzWu wtlh prrehaae of Adtire8s: — -- aemce a War feeieach branch circuit 2 City' State: LIP: J _, 8 Fee for branch circuits rvlthout purrthatc of semen or feeder fee.firm brooch circu_lu 1 Phorm: Faz: �mai1' eacFtnddiuon.lbr■lxheirealt�`— -- III RA M!"'A MUjjWM=flMMke(9erti or k4der aM Included): - UServietam273arrtpu"mmental ❑Haddt-corefnciltiy Each E=rant getiencitele __ 3 bScrvitzover 320amp.rating ofldt2 ONar.■rdnarlocedon F•vb_Voroudincll ting _ 2 hmilydweihnet 6 Building over 10.1110&WAR raft foot or 3i1<nsl cifrrir(r)or a Ilmija energy panel, *System over a00vohtnommnl morantidentla!nnittinonrstrucmtte alteration,or extension* 2 OBuilding over threetrorlre URedors.400emprmmort 'Deacriptlon O thtvpint load river"polorts O Mmufwtuted amour,or RV park rich additions,irtatseclfe■ever the■dateable in my of fire above: O EgrudllghtinloPlan O Onto .._. - Perimpection f aehtnk_ _aNs of p1aRa Nath aRy of the ttbeve. Invetdgadonn to The above are Rol stppllesible to tesponry ceastroction Im' -rice. Otho Na on itetildcnteu amps rredN etarM,plea.e cora jeriadtuen for rani,..^areeUat Notice'ThIs permil opplieelinn 9'etmlf fee.�- .......,.� _-- O virn O Matlefcard expires if a p"mit ii not obtained Plan review(at --- CR414 end tarmber within 140 days after it has been Slate surchar;e(SW "o""� accepted as completc. TOTAL ............... S P. at C; u r an Cedif ear _ S hdikrsignature ____Hoorn A40A191IruMK7nmI SEP-M-2002 13:05 503 642 9032 P.01i01 Building Fixtures Plmubing Permit Apppicatioo Cityr 13etr t.aitrsd t.>olt w.:�15i�EXa?�x� 7 oIl Tigardsorer powak W.: 1lleltdiap t o0 Addraa 13123 SW Htt11 BK Y*W-()R 47323 t:IV#' frvd pbow: (503)6391-417! iho Lao.. data: FA-x: (503) 598-1460 IJate Groan: _ Mi '�eoe t no. land tut Epplrovlt): — Gra 60 no.: /rytaent type: I!2 twnily dwc]WR or naseory O CmmawrialAwdourial O MAIN-Gmity n Temmt improVtimant Now eoeebuerin" O Addltiodaltmtaahrtpi.a.tnent Q Food Mvke O Other. . Bie ea. Toad Job addreee. - -NOW-1 r F we t tMita oo.: Omdoft IM 1.Ar NW&WIM eeewdlotl) SPR Sl barb I d ivisloo: zAM29 STR Project ttatpeput _ _ 3 - Cote .o rtl.at4B EIF'�.. oe WWi$ie pestxipNon ud Ittaatittn of v►oflr be ptstnlrnc: _l,,lR,.�_ �i�_ � Cd►r�i btMhlter'ee drnln an,date of ted -� toa prlem:�i ra i�.�r utl ulv T Plawas name! A,ddt+eer -"�O t�•te 71e,ai7 _ __ _ 'ln'tGdeaottoeetor - C ZIP: 17ta7 7 i arra ao. Phnue: {r4' Fez "� E_ .: ' MN►Mt uo' ------ -- GCB no: rt(�(se7 `_-- Plu�ue_k bun�.no: ckyhmt"Iia so.P � lAtll:ntspt or ivalvelaly�s Gonreoorr n Nve aptun rietwMr � Be w pmv ts _ eicsr--vtdva-- - Nerve as --- 11-7— iNttr�NlK�'- EDE �»_ Nttnto t : Floor oar minhmftA .I '. --- l►gailieg eddre.c f r�.�9 _.._ Uwbiiii4rvowd ---__ - Ci x}lr el�7M _ o meku ch"Ur irwallatiia.heridsKitd raainknNteo uy: The i Mechanical Permit Application Date received: Permit no.:/ City of Tigard Project/appl.no.—` Fit pire date: / City of Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 --` —`-- Phone: (503) 639-4171 Date issued: - - By: Receipt no. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - Building permit no.. 1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteratiolJreplacement U Other: 1 . SITE, INFORMATION CONIMEMCIAL VALUATION SCHEDULE Joh address: _ Indicate equipment quantities in tx)xes below. Indicate the dollar Bldg.no.: --Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: Subdivisionppt�, tw 'See checklist for important application information and Project name: � 12RV hh jurisdiction's fice schedule for residential permit fee City/ccnnty: Ci-ly4 --- Desctiption and location of work onremises:_-_— 1 c(� 5F� Fre(ea j 'Total Est.date of completion/inspection: f(>hesaiptloss Qt . Res.onl Res.only Tenant improvement or charige of use: Is existing space heated or conditioned?U Yes U No Air handling unit _.__._.CFM_ - ls existingspace insulated?U Yes U No Aircon conditioning(site p an regwredj - P' A teratian o Cx19ling HVV.Xys1Cl11 Alum Moiler/compressors Business name: hl�} (s /�1��f�I►A�,�C prt� Slate boiler permit no.: �q` HP Tons HTU/H Address: 17 k�N -) l'171+- - _T Tir-Unmokedamtxrs/ uctsmo c detcctors _ City: v,kor-W _ Stn ZIP: '71 30Neat pump(she plan regwre ) Phone: Fax: 31 E-mail: Install1replace furnace7hurner_._-_ Including ductwork/vent liner U Yes U No CCB no.: j j lnstal/•ep ace re ocate heaters-suspende , City/metro Ilc.no.: wall,or floor mounted - -- ------ -- Vent for app liance 0t Ct thanmt•nace- _ - Name(please.print): IG A ia1 ate enM n: alliniumagalkle Absorption units_ . BTU/B :Name: ,LV' }�rn I j` Chillers HP ip ess: 5� o,(L\� '(' Com reasors___ l,n ronnsenta ex nitan scut lar n: '( State: (t. ZIP: 7 Appliancevent e 7� Fax:Z, }rs Email: G s I veyerexlhaunt ___�v-- -- -,-_-_-- __-- No s, 'ypfi-pe 11117i7s. It, Rhahazmat- - -- --- hood fire suppression system Name: " +14.(.T — Exhaust fan with single duct(bath fans) — Mailing address:—.R-P0c 1 1 Ad'I Exhaust system apart from heat n or A`C -� state: ZIP: Fuelpiping ane distribution(up toCityp0(Vf oullcta) Ty : I.d'(; _ NG oil_ _ Phone: - r 0 FuelI m each eddiionaovroutlet rocs piping(sc emahierequire ) Name: Number of outletr, __ - -- ---- t r i��aece or iWpsloent:- Address: Decorative fireplace _ City: State: '.IP: -- Insert-type Phone: --- --- - mai! ------- - Wo . ov pt: et stove -�----- _ - Oiher: Applicant's iiignature: g Date: Name (print): W9 �l —---------- No rl Jurivactions nav"credit cw&.pkw cn11 junurictbn for more infmmwitx,. Permit fee...................... ^- U Visa U MasterCanl Notice:this permit application Minimum fee................$ - CXthIfC9 If a pef7T111 IS n01 Ob1fllnP.d , (•rrAn<n,d number - _- L__-/_ Plan review(at _ 9t+) $ _. rxp;R, within Igo days atter it has been State surcharge(8%) ....S ane w n on ch c -` acceptedas c(xnptete - - Atneuei — "04617(610a,COM) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 �� 1 7 BUP Received -f ( 3 % CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP —_ Received --".-.__ Date Re ested____� AM e— PM -- BUP Location -- - ---- --- �� --Suite ------- MEC Contact Person ---_ _ --- —-- Ph(----) —,�—�_J PLM �— Contractor –_---_ _._ __-- Ph( —) — SWR -- BUILDING Tenant/Owner --_— _ ELC _ Footing ELC Fowodation Access: -� — Ftq Drain ELR Crawl Drain -- Slab Inspection Notes: SIT -- _ Post& Beam -- Shear Anchors -- - ----- -- Fxt Sheath/Shear Int Sheath/Shear -�--- Framing _- Insulation I � Drywall Nailing d L ` Firewall L 5.� t Fire Sprinkler _�?!_L�- � _- Fire Alarm -'- Susp'd Ceiling - 5--�1��--- ----.---- Roof Ot ---- - - - — --- - ----- - PASS PART FAIL �- - "�-- - - - --- — PLUMBING Post 8 Beam ----- - --- . J v --- -__---__-- - Under Slab -_ Rough-In -------- Water Service Sanitary Sewer Rain Drains - - -_ Catch Basin/Manhole Storm Drain - ---- ---- Shower Pan Other: Final PASS PART_ _FA__I_L_ - --" -�- - -- MECHANICAL Post& Beam ------ _- �-- -- -�_-- _---- Ruuch-In Gas Line - - - - �--- _--- Smoke Dampers - - ------ --- —. __ __-- _ Final PASS PART FAIL ---- ---- ---- - - -- -------- - ELECTRICAL — Rough-In UG/Slab I ow Voltage Fire Alarm Final Ll Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Fall Blvd. PASS PART FAIL SITE u Please call for reinspection RE:-_ ___ ___ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date - _ _ _ Inspector .- — Ext Other -- - - - -- Final ---- DO NOT REMOVE this Inspection ord from the job site. PASS PART FAIL AAAAAAAAAAA♦ ►AAAAAAAAAAAAAAI *4AAAAAAAAAAAAI, 'w� O ► • ► 7 d `!' BO. BIN► . CL M ► b � , w ypop. • w ► a (D 0 Poo- CL • � Ill. rb ► \ ° 44 opoo.® O (b R' ► • 7 .Kt-• Poo- 44 s, R. O ► CL • pop. Vf -h CJQ � ► 44I' OO '" Dil. M l?i O o ► 44 CD a � �-] q o ► . r-+ Kr,} ► Pool 1 44Poo. -4 poll 414 14 14 ------------------- CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00042 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/11/03 PARCEL: 2S 1096A-08500 SITE ADDRESS: 13611 SW LEAH TERR SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 011 JURISDICTION: TIG Proiect Description: L': W 0(-77t`eie (AL-L �tVC C>rv� �` l NG A.RESIDENTIAL B.COMMERCIAL _ AUDIO& STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGA--: GARAGE OPENER: CLOCK: MEDICAL- HVAC: DATAPf ELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL r-NCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: HEIGHTS CONSTRUCTION QUADRANT SYSTEMS 1 PO BOX 14833 PO DOX 91249 PORTLAND, OR 97293 PORTLAND, OR 97291 Phone: 503-291-2550 Phone: 503-291-2550 Reg #: M!BT-55590002466 SUI' 1211JLE LIC 96806 FEES ELE Ahq 'blfnspections Description _Date Amount Low Voltage Inspection 11;LPRMT] ELR Permit 2/11/03 $75.00 Elect'I Final TAXI 8°i„State Tax 2/11/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard �lunicipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with .jpproved 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 :,enter. Those rules are set forth in OAR 952-00'1-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 II /• Permittee Signature , \ Issued by �� Yi-1 ��.(, l ! Y�..,�..� _�-�,, 9 —d ) LA- 1,i.C1 OWNER INSTALLATION ONLY 1'ie installation Is being made on property I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: Call 639•4175 by 7:00 P.M. for an inspection needed the next business day -1 4 46PH FROM QUADRANT SYSTEMS 503 236 2322 P. 5 �I ]Electrical Peanut Application Datereceived:7-11_6) Permit no.:,,' City of Tigard,-,C Project/appl.no,: Expirc date: Address: 13125 SW Hall 't`i�I> �R City o�Tegart� Date issued: By. Receipt no,: Phone: (503) 639-4171 --— -- ------� Fax: (503) 598-1960 Case file no.: Payment type: ; Land use approval: ;c rlf-;h TYPE OF PERMIT '0 1 &2 family dwtiling or accessory U Commerclal/industnal U Multi family 0 Tenant improvement 0 New construction D Additiordalreration/replacement Cl Other: O Partial .108 SITE INFORMATION Job address: i>J L-F-A V• -1 ksr Bldg.no.: Suite n( Tax map/tax lot/account no.: ;! >ur II Block Subdivision: -L c�; 1 , T--- Project name: 5 �,nS Iry ' I Description and location of work on premises: Estimated date of completioNins tion: ,, - er i ry, CONTRACTOR APPLICATION- 1;EL SCHEI)VIX Job no: FInc Mut Business nameF_,�_s►�n.c��+�� Wit{S' �, Descrlptlon Qtr. (at) Total no.las Address: (� — Nlevr eddis tW-single ortnniti-6ruuy per -..-- O .�� } I_'4 k 3 3 d"elkng uidt.Iaclodes attached proge. City: �y,1`„�Q p. d _I State: ZIP L -— 5crvi«Indttdea Phone� , l-fie _, FVvc:,�3tc _a3a1 E-mail: - t000 sq.ft or less CCB nu.: �� -- Elec.bus. hc.no:.: , t.r [ Each additional S00 sq.ft.or portion thereof _ ? u _,m,1rdort Y,residential r City/metro he.n � l x(41, -_ ., Lirtt)ted energy,non-residential - T , Each manufactured home or modular dwelling Service,and/or er Signature of supervising electrician(required) Vats ration or reloc■tlon allalion, 2 Su .elect.name(print): 1 ! License no: 2,6 L-EA I 200 amps of less Name(print): 201 amps w 400 crops --`- - aft' -. 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps l- - ---'State; ZI:P City, _� � _ Over 1000 sups or�c+l u �, Phone: - - Fax: E-mail: RcconnoctoNy �- t Owner installation:The installation is being made on pr-petty 1 own Temporary sertkesorfecders- which is not intended for sale,lease,rent,or exchange&ccarding to tactallatloo,alteration,orrelocation! ORS 447,455,479,670,701. 200 amps or loss _ 1 201 amps to 400 as 2 Owners si ature: Date' 401 to 500 ampsmp n ---- 2� Rach circuits-new,alteration, or extension per prier: Name & Fee for Manch circuits with purchase of Address: Catty: �-- — service or feeder fee,each branch cirra)t ZIP: B Per for cheircuifsvAthoutpure+"a -- - - -- of service or feeder fee,first branch c u'cuir !2 Phone: Fax: )'u mail: — -- Each additional blotch circuit: i. Mise- vice(Seror feeder not Included): *Service over 225 ampsrammerclal U Health-urn facility Each pump of irrigation circle O Service over 320 amps-rating of 1&2 O Hazardouslocation Bach signor outline lighting ram)lydwellings U Building over 10,000 squats feet four or Signal cireuit(i)or a limited energy panel, q O System ove1600 volts nominal more residential units in one structure alteration,or extension• - ❑Building over trues stories ❑Heedera.400 amps or more •Deacri tion, _ O oncupant load over 99 persons 0 Manufactured structures or RV park Fweh additional Inspection over the allowable In any of ■ ve: Cl 6lreaiQ)ght)ngplan C3 Other -_ rerimpoction Submit—gets of plans with any of the&bore. Investigiuon fee _ 'Ilse above are not appUes le to temporary eeastrnction aenice. - --- -- Nall jurisacftm Wee c"0111 ends,please call iuriadter;o Prof rum mformwa- m Notice:'This permit appliertion Permit fee.....................$ Not U Vise U MsaterCard cxpirts it's Fermit is not obtained Plan review(at — %) $ -. Crrdir Card namtxr ,--- ,(�_ within 190 days after it has been State surcharge(8%)....S I rixpircs accepted as complete. TOTAI. .......... .....__.-.$ _ l N■ter' der as shown on—41 card Carrlholekrsijruturr Amcunt 440.4611( 0IDC0 ) li, CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLfv12003-00276 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 6/19/03 SITE ADDRESS: 13611 SW LEAH TERR PARCEL: 2S'09BA-08500 SUBDIVISION: DAFFODIL HILL ZONING: R-i' BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCC'1PANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: InAall irrigation backflow proventer. FEES Owner: - —' Description Date Amount HEIGHTS CONSTRUCTION � II'I,t!MRI I'ennit Fcc 6/19/03 $36.25 1 BOX 91249 I rAX1 8 State Tar 6/19/03 $2.90 PORTLAND, OR 97291 Total $39.15 Phone : 503-291-2550 Contractor: 1 HOMAS CONSTRUCTION P.O. BOX 91283 PORTLAND, OR 97291 REQUIRED INSPECTIONS Phunc� : 503 690-4925 RP/Backflow Preventer Final Inspectior. Reg#: LIC 6361 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. -I his 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 Issued B (� 7 r' /�� Permittee Signature Y� �� -ft..�r--�� c r.{yam_ g Cali (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Bunning r iatures Plambirei Permit Application Received Plumbing �y rate/8�- Permit No.: Planning Approval Sewer City of Tigard iDatdBy: Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Da B : _-_ Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review hnd Use Date/B : Case No- _ Internet: www.ci.tigard.or.us Contact — -' Je Page 2 for 24-hour Inspection Request: 503-639-4175 Manx/Method: - _ I l a- Su Iemental Information. TYPE OF WORK FEE,SCHEDULE(fors ectal Inform.:tion use checklist Nev.v construction I LJ Demolition Description I city. I Fee(ea.) I Total Addition/alteration/replacement— Other: New i-&2-fa ach y dwellings _ CATEGORY OF CONSTRUCTION th (Includes 100 ft.forreach utlllt connet�lon ba24).20 ❑ I & 2-Family dwelling Commercial/Indt.strial SFR I SFR 2 bath 350.00 [71ACce-ssory Building_ J-1�Multi-1 amity_ SFR 3 bath —_ 399.00 Master Builder ❑Other: _ Fach additional bath/kitchen -----45-00 JOB SITE INFORMATION and LO_CA_TI_ON Fire sprinkler- . fl.: Pae 2 -j-Wb-`Site address: G / Site Utilitles Bid ./A t.#: Catch basin/arca drain I6.60 _Suite#: _ P�_— --- Dr ell/leach lint/trench drain 16.60 Project Name: Footing drain no.linear ft. Pae 2 Cross street/Directions to job site: Manufactured home utilities 110.00 / L Manholes 16.60 Rain drain connector 16.00 Sanitary sewer no. linear fl.) Pare 2 Storm sewer no. linear fl. Page Sul)dlylSlon' Water service no. linear ft. Pae 2 Tax ma / arced #: _ _ Fixture or Item DESCRIPTION OF WORK _ _ Absorption valve 16.60 B Qle e�r�iG/G!' Backflow preventer I Pa c 2 Backwater valve ` 16.60 Clothes washer 16,60 ---- -- ---- Dishwasher _ 16.60 _ Drinking fountain — 16.60 — DROPERre OWNER --LLJ TENANT F cctors/sump 16.60 Name: �L� /7��i rTi..t _ Expansion tdni: _ 16.60 - Address: Fixture/sewer cap 16.60 lt /StatC/21 Floor drain/floor sink/hub 16.60 — _CIto/Z� _ - Garbs c disposal 16.60 Phone: Fax: _ _^ Hose bib 16.60 APPLICA_N T- _ - CONTACT PERSON Ice maker — 16.60 Name: Interceptor/grease trap 16.60 Address: Medical gas-value: — ---- -- ---- - Primer 16.60 Cit /State/Zi . _ of �— �_ _ - Roof drain(commercial) 16.60 Phone: Fax: Sink/basin/lavatory — I6.60 E-mail: Tub/shower/shower pan _ 16.60 CONTRACTOR Urinal _ 16.60 �--� Water closet _ 16.60 Business Nafne: � i, ---- water heater --- — —16.60 Address: &- , /ia.' �7 other: City/State/Zip: �,.�✓_ � 922�' other: —r Phone:JL - j` Fax: Plumbing Permit Fees* Subtotal $ _ Plumb. Minimum Permit Fee$72.50 S Authorized .�� Residential Backflow Minimum Fee$36."25 �(�. < (igniture +4-_ -ar.tt- Date:_G�/�/�3 Plan Review(25%of Permit Fee 5 State Surcharge(8%of Permit Fee) 5 '1 / ice IP ease print narne) _ _�__TOTAL PERMIT FE_E 5 r / / i:,rllce: -1 his permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with Isometric or M days after It has been accepted as umrpletc. riser diagram for plan review. *Fee methodology set by Tri-(bunts Building Industry Service Board. is\Dsts\Permit Forms\PlmPermitApp.doc 01/03 Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential_Fire Suppression Systems: Site Utilities Qty. Fee"(ea) Total I S uar��Fout_a e: Permit Fee; -- Footing drain- I" ILNi' S5.1Hr — _ G 0 ftOL1 _ —`- $1 15.00 `— ------- 4� Prxrling dram-each additional 100' 4�i 40 2,001 to I,h00 $IUO.GO - -- ---'— Sewer- I st low 3,601 to 7,.200 _ $220.00 55.00 7,201 andgrcater $109,00 ------- Sewer-each addttinnal IOn' 46.40 -' — --- -- - --- Water Service- I s(100' 55.(M Wafer Service-each additional I()()i a6.4o Medical Gas S stems: Valuation• —` Storm&Rain Uram- Ist I()0' Permit Fee: 55(H) $1.00 to$5,O()0.00 Minimum fee$72 50 - Slorm&Rain Drain-each additional 1(9)' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 For each Fixture or Item _ Qly, Fee(ea) Total additional$100.00 or fraction(hereof,to and Commercial Hack Flow Prevention Device 46"40 including$10,000.00. $10,001.00 to$25,0(H).(x) $:48.50 for the first$10,000.00 end$1.54 for I�estdcntial Backflow prevention Device each additional$100.(8)or faction thereof,to mininmm peinut fec$36,25) _ 27.55 __ and includin $25,000AO. _ Rain Drain,single lentil o"ellin 2_ '- �-- - — g ' Y R 65.,5 $25,001.00 to 550,000.00 $379.50 for the first$25,000.00 and$1.45 fitr htspection of existing plunthing or each additional$100.00 or:,action thereof,t') S Wally requested inspections-Per hour 72 50 and including$50,000.00. Subtotal: $50,OOL()0 and up $742.00 for the first.$50.)00,00 and 51.20 for each additional$100A)or fraction thereof. Fixturt. Work: Are you capping,moving or replacing existing flxtures? If "yes",please indicate work performed by fixture. Failure to accurately report fi•sures could result in increased sewer fees*. Fixture Type: uanilt b Replace eplace rformed Comments regarding fixture work: New Moved Existing__Cad — Ha tist�!14mL _ ------- Hath Tub/Shower --- -- ___ -Jacuzzi/Whirlpool Car Wash -I'.ach Stall -Drive'Thrtt --- ---'- -- - - C'us idor/Water Aspirator Dishwasher -Commercial - -Dorneslic _-- Drinkia Founuin - Flonr Drainsink 2'• - 4., — Car Wash Drain _ c;arbage -Domestic - *Note: If the fixture work under this permit results in an Disposal -Commercial increase of sewer FDI Is,a sewer permit will be issued and -industrial �_ __ fees assessed for the sewer increase must he paid before the Ice Mach./Refrig.Drains — plumbing permit can be issued. Oil Separator Gas Station _ Rec Vehicle Dump Station Shower -(lung -Stall Sink -I;ar'I-avalory _ -171adlcy I -- -Commercial I -Service Swim():irtgl'ool r;ilcr --- Washer-1'otiv.s _Wa.er Extractor Water Closet Ioilet - Urinal - Other Fixtures — i ADsls\permit Forms\Plml'crnn1Appl'g2 dAw Ol/0+ CIT IC'ARD 24-Hour buv,_JING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received __ / /Date Requ sted__ - "(- AM-__-__PM BUP _ Location .____- __� 0 l� _ _ ��1 Suite_ - MEC - - Contact Person __ __ _- Ph(-_.�) �� - PLM Contractor __-_-_ _ Ph(---_) SWR BUILDING _ Tenant/Owner __ --�__ ELC Footing -- ELC _ Foundation Access: — Ftg Drain ELR - Crawl Drain Slab Inspection Notes: SIT — Post&Beam Shear Anchors --- ^-- Ext Sheath/Shear Int Sheath/Shear Framing - - --- --- - -- - Insulation i Drywall Nailing - ---- -- --- ------ Firewall Fire Sprinkler --- ----- -------- Fire Alarm Susp'd Ceiling --- -- ---- - ----------- Roof Other: ----- Final PASS PART _FAIL - - -------------------- ---- ---------_._--- PLUMBIN_G_ _� - -- -------- -- Post&Beam— — Under Slab ----- ----_ ... .- - ---- --- --- -- -- ---.--. Hough-In Water Service - Sanitary Sewer Rain Drains ---.---__-- - -- ---- - -- -- -- — - Catch Basin/Manhole Storm Drain Shower Pan 94 in 15ASS PART FAIL - - -- --. - -- - -- -- - -- -- MECHANICAL_ -- Post& Beam Rough-In Gas Line Smoke Dampers - Final K.. QPASS PART FAIL -- -- ..__...------- --- --- ERICAL - Service Rough-In - —_-,-- - - ----_-_-, --- __ -. __-_ UG/Slab Low Volt•.ge - - - ---- - - - --- -------- -- Fire Ala m 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:.-_—__ _ CJ Unable to inspect-no access Fire Supply Line ADA �w�.J l 1 ►-� Approach/Sidewalk Date �21��3 __ Inspector _ _ - __- _ - ___-Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL J CITY OF TIGARD 24-Hour 7 BUILDING Inspection Line: (503)639-4175 UIBT/ INSPECTION DIVISION Business Line: (503)639-4171 BUP Received -_ Date Requested �' / _— AM_ PM _ _ ._ BUP - Location _— oc Suite MEC PLM Contact Person Ph(--) _ _.____ Contractor Ph (-___--) --------- -- SWR _ _BUILDING Tenant/Owne __-_._ ___.__ __.- ELC Footing -- ELC — Foundation Access: ELR Ftg Drain Crawl Drain ---- SIT Slab Inspection Notes: 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 y PASS PART F ----� — ---- AIL M_BINS--...._ _ ----- --�--- ----� PIJ --- F cst&Seam Under Slab - - Rough-In -- Water Service Sanitary SeWL — Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan --_ -- -- - Fin I - -- VHANIC PART FAIL ALL _--- - Post&Beam Rough-In - -- --. -- --- -- -- ---- _ Gas Line — --.----- Smoke Dampers - -- Final ---.-- PASS PART FAIL - lCtdTRICAL - -- -- --- 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:___-_--___-_. _------ El Unable to inspect-no access Fare Supply Line r �� ADA Date �_ ---- Inspect Approach/Sidew3lk - Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL •1. CITY OF TIOARD Residential Certificate 01' 0ccupancy Permit No.: Cx�`�Iz , ddl-ess: 6/1. Owner/Contractor: Date of Final Inspection: /,,so 'q�/ Inspector: This structure has been lound to he in substantial compliance with the provisions of the Sate((Oregon One& Two F(undv 1)rrelling SPecial►v Code and is herchj .Tproved for occupancy.