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13612 SW LEAH TERRACE rn w N r n, —a m as �o .r i i s 13612 SW Leah Terrace h O ► t r7 a ► + i , Cl ► � � 1�J M 4i �. ► m 4 d i 4 ► 4 m m ► d ` � nCD gal � o ► . '� c t O CD ► -4 I I cn crq ► D rD A ► �� �', � ► I `R' h+, �` d d o � ► 44 Y o ►► CD 44 � ,-r � ► iA I1 ► �. r v ► Pol 444 Q ► CITY OF TIGARD 24-Hour BUILDING Inspection LrN: (503)639-4175 INSPECTION DIVISION Business Lir. (503)639-4171 MST s_3 BUP —_ Received __. ..___ Date Requested_._ `_Z_ AM____ PM BUP Location __ � J�_l _._ - 1 T,Ott�_Suite _ MEC Contact Person -- ---- - - - ---- --- _ Ph( — Q` - ��_ PLM _-- -- -- Contract - - --- --- _ ------ Ph 1-- 1 ------- - SWR ----- ;G' Tenant/Owner ___ _- ELC Fooling Foundation ELC Access: Ftg Drain o err C�j1 � --- — ELR Crawl Drain Slab inspection Notes. SIT Post& Boam Shear Anchors Ext Sheath/Shear Int Sheath/Shear — —- - - --- Framing Insulation ----------------- _------ DrywallNailing - ----_— _.-__----------- ------__._.._._---------------____-- Firewall Fire Sprinkler — -- -- Fire Alarm Susp'd Ceiling -- - ---- ---- Roof Others _— -- -- - — ---- - --- - Finall S =PART FAIL Under Slab Rough-In !Nater Service Sanitary Sewer Rain Drains ----- -- --- -- - Ccich Basin/Manhole Storm Drain ---- --- — - -- Shower Pan Other'_--- -- — -- - S PARI FAIL dAL.- -- — -- --- Posi R Beam Rough-In -__-.-- Gas Line - ---- -- -_`-- - ST cke Dampers — Q_ SS PART FAIL — - --- - - - - -- — ----- - -- — �._. ELECTRICAL Service _-- Rough-In UG/;71e1? - ------- - daec. arm --- — - --------..----- 4�'�� 4 1-1 Reinspection fee of$ required before next insp.3ction. Pay at City Hall, 13125 SW Hall Blvd. ASS PART_ FAIL SITE- - Please call for reinspection RE: _ _ ( � Unable to inspect-no access Fire Supply Line ADA ' > Approach/Sidewalk Date Inspector - / p Ext Other: _ Final - DO NOT REMOVE this InspecCon record from the Job site. PASS PART FAIL CITY OF TIS:;ARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 r' IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC ���'( UF. PO BOX 751 HIL_LSBORO, OR 97123 Electrical Signature Fo:m Permit #: MST2003-00063 Date Issued: 3114103 Parcel: 2S10913A-08400 Site Addiess: 13612 SW LEAH TERR Subdivision: DAFFODIL HILI_ Block: Lot: 010 ,Jurisdiction: TIG Zoning: R-7 Remarks. New SF detached dwelling. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please ha\,e the appropriate individual from your company sign below and re`,irn this Electrical Signature Form prior to the start of the work to the address -' ove, ATTN: Building Divisicn. No electrical inspections will be authorized until this completed form is received OVVNL-R: ELECTRICAL CONTRACTOR: HEIGHTS CONSTRUCTION DAVID JEROME ELECTRIC P.O. BOX 91249 PO BOX 751 PORTLAND, OR 97291 HILLSBORO, OR 97123 Phone #: 503-209-1794 Phone #: 648-5144 Req #: LIC 36051 SUP 28775 ELE 34-1190 AN INK SIGNATURE IS REQUIRED ON THIS FORD] Signature of Supervising ectrician If you have any questions, please call 503.718.2433. CITYOF TIGARD _- MASTERPL'RMIT _ PERMIT#: NIST2003-00063 DEVELOPMENT SERVICES DATE ISSUED: 3/14/03 -- 13125 SW Nall Blvd., Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 13612 SAN LEAH TERR PARCEL: 2S109BA-08400 SUBDIVISION: DAFFODIL HILL ZONING: It-7 BLOCK: LOT: 010 JURISDICTION: -I IG REMARKS: New SF detached dwelling. BUILDING REISSUE: MAS2229 STORIES: FLOOR AREAS REQUIRED SETBACKS_ REQUIRED CLASS OF WORK: NEW HEIGHT: IRST 1,371 of BASEMENT �sf LEFT: 10 SMOKE DETECTORS: Y TYPE.OF USE: SF FLOOR LOAD: 40 SECOND: 916 of GARAGE: 45' sf FRONT: I PARKING SPACES: TYPE OF CONST: 5N DWELL ING UNITS: I TtiRD of RIGHT OCCUPANCY ORP: R3 BDRM: J BATH, VALUE:3 TOTAL: 2,287 0l REAR 15 PLUMBING SINKS. I WATER CLOSETS: 1 WASHING MACH: I LAUNDRY TRAYS. 1 RAIN DRAIN TRAPS: LAVATORIES 1, DISHWASHER.: 1 FLOOR DRAINSSEWER LINES, i SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS. 1 GARBAGE DISP: 1 WATER 14EAIERS: I WATER LINES. I BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL F JEL TYPES FURN<100K: BOILICMP<3HP. VENT FANS: CLOTHES DRYER: I ns FURN>•100K: 1 UNIT HEATERS HOODS: 1 OTHER UNITS: I MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SP.VCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS 1000 SF OR I Frc 1 o •200 amp: 0 200 amp.. WISVC OR FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp: 201 400 snip: tel WIO SVC1rOR SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 $00 amp: 401 - 600 amp: EAADDL.BR CIR SIGNAL/PANEL: IN PLANT: MINU HMISVCIFDR: •01 1000 amp: 601.8mps-t000v: MI140R:.ABEL: 1000+amplvall: PLAN REVIEW SECTION Reconnect only: --- >-4 RES UNITq: SVC/FDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO:y VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEARRIG: PROTEC,TIVESIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: MVAC: DATA/TELE COMM: NURSE CALLS: TOI:! a SUITEMS: Owner: Contractor: TOTAL FEES: $ 7,317.28 his permit Ir subject to the regulations contained In the HEIGHTS CONSTRUCTION HEIGHTS CONSTRUCTION LLC T,Igard in'oipal Code,State of OR. Specialty Codes and P.O.BOX 91249 PO BOX 91249 all other applicable laws. All work will be done in PORTLAND,OR 97291 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: 503-209-1794 Phone: 503-291-2550 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Reg a: LIC 133745 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPEC110NS Erosion Control Insp 81 Post/Beam Mechanlea Plumb Top Out Exterior Sheathing Inst Wgter Line Insp Plumb Final Sewer Inspection Underfloor insulation Electrical Service Gas Line Insp Watel Service Insp Building Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Fireplace Appr/Sdwlk Insp Foundation Insp PLM/Underfloor Framing Insp Insulation Insp Electrical Final Post/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Mechanical Final Issued By Permittee Signature,. Call (50:3) 639-4175 by 7-00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT [DEVELOPMENT SERVICES PERMIT#: SWR2003-00056 13125 SW Hall Blvd., Tigard, CR 97223 (503) 639-4171 DATE ISSUED: 3/14/03 SIT E ADDRESS; 13612 SW LEAH TERR PARCEL: 2S 109BA-08400 SUBDIVISION: DAI I c)I)II. 1111.1 ZONING: I.-7 BLOCK: LOT: nln JURISDICTIUN: TIO TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: N-=W DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BU.LDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: - --� HEIGHTS CONSTRUCTION FEES P.O. BOX 91249 Description Date Amount PORTLAND, OR 97291 1�;WUSAJ Swr Connect 3/14/03 $2,300.00 SWUSA I Swr Connect 3/14/03 $0.00 Phone: 503-209-1791 1SWINSI'l Swr Inspect 3/14/03 $35.00 1SWINSI'l Swr Ing pecc 3/14/03 $0.00 Contractor: - — -- - -- Total $2,335.00 Phone: Reg #: Regalrer♦ Snspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The penTiit 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 directlons from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Perm li Issued by: — Permittee Signature: Cal! (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 3- 5`0 --s Mnd limllljtaljmm nu�� BUljdina Perm IL Rcreivcduilding � a • bate/By' �l/l (1? _ PermitNo.:�Srd i City of Tigard FEB 10 20hZ Planning Apprnvhl Other bate/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 CITY OF I.IGARf, Date/By! 3-5'- M A✓ Permit No.: Phone: 503-639-4171 Fdilt1 8-1� �1f) Post-Review Land Use Date/By: Case No. Internet: www.ci.tigard.or.us Contact J N See Page 2 for 24-hour Inspection Request: 503-639-4175 NamelMethod: / Supplemental Information TYPE OF WORK REQUIRED DATA: New construction — � I� Demolition 1 &1 FAMILY DWELLING Addition/alteration/r Elacemerlt t [�Other: CATEGORY OF CONSTRUCTION Note: Permit fees'arc based un the total value of the work performed. Indicate 1 &2-Family dwelling 1 LJ C:ommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accesso Building _ �] Multi-Family ITTO110 00 ❑Master Builder 1 ❑ Other: Valuation.................................................... $- _� - JOB SITE INFORMATION and LOCATION — —� ------- No.of bedroom.- No.of baths:Z Tota er of Job site address: - Newldwellbing areao(9q.ft,)............. ..7. 3 Z 5 • ` tQ.rit -- —- - . Suite#: Bld . Apt.#: Garage/carport area(sq.ft. 7.A-.. . Project Name: — Covered porch area(sq.ft.).................... Cross street/Directions to job site: Deck area(sq.R.)....................... ....3..Y. Other structure area(sq. ft.)...... ._.. ....... _ REQUIRED DATA: COMMERCIAL-'.'SE C'yECKLIST Subdivision: 4", - li _R Tax map/parcel #: Ari Note: Permit fees'are based on the total value of the work perfomrcd. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. _ f4 L-f- FA Aarl', Valuation................. ........... ........................... S — --- —'— Existing building area(sq.ft.)....... ....... .......... _— New building area(sq. ft.)............................... --- Number of stories............................................ PROPERTY OWNER -TENANT Type of construction....................................... Name E,t PT 5 co',��2.0 ytil Occupancy group(s): NewExist: -- —_— Address: 'p.a. 'C, !7/211 City/State/Zip: Po prL�^.,,o _ bR• 7 L`1/ ��, �t0< • 7q� Fax: sod Jqi-2 SE'S NOTICE: All contractors and subcontractors arc required to be Phoney, CONTACT PERSO licensed with the Oregon Construction Contractors Board under APPLICANT — provisions of ORS 701 and may be required to be licensed in the Business Name: lcii­fr 5 jurisdiction where work is being performed. If the applicant is exempt Contact Name' 'Zgy,"T A(L.�qA/ from licensing,the following reason applies: Address /ZO, _9/:tq City/State/Zip: ©12. Phone(SO5 o -e 72 Fax.0o3 2 555 BUILDING PERMIT FPES* E-mail: Please refer to tee schedule. _ CONTRACTOR — Business Name: / �7"s Com,S7 f�rr e t IDN lk Fees due upon application.............................. S_o2S o-__07 Address:_l?0, 13 City/State/Zi o �,�� _�7 Z`i Amount received............................................. Phone�J A -/7'l Fax: '�°�)��j�'2 S'`'S Date received: C /D _ CCB Lic. #: 133 7q _ --_-- Authorized (f_ Notice: This permit application expires If a permit is not obtained within '.'ignature: �&' ��--► Date iSO days efl'r it has been accepted as complete. jh'EN 'r` �/,1/mfeA01 *Fee methodology set by Tri-County Building;Industry Service Board. (Please print name) i:\Dsts\PcrtnitFomis\iildgPcrrnitAnp.doc 01/03 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: CJrynfrrgard Ci of Ti Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 THE tOLLOWING ]ITEMS ARE REQUIRED FOR --1–Land ase actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc._ 3 Verification of approved plotflot. 4 Fire district _approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. - – 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with application. _ 9 Erosion control U plan U peiink required.Include drainage-way protection,Eilt fence design and localwn„i catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or an a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. 11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if' there is more than it 4-111.elevation differential,plan must show contour lines at 2-ft,intervals);location of easements and driveway;footprint ot'structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot ar a;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window siye,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fiKtures,balconies and decks 31)inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,foists,sub-floor, wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof she,nthing,roofing,rool'slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, therms,insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at bui ding envelope. full-sine sheet addendums showing foundation elevations with cross references tare acceptable. I r, Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Moor/roof framing.Provide plans for all floors/root'assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. is Basement and retaining walls.Provide cross sections and details showing placement o"rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for,ill beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load, 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A ga: 14ping schematic is required for four or more w hlI iancses. 22 Engineer's calculations,When required or provided,(i.c„shear wall,roof truss)shall he s,ampcd by an engineer or architect licensed in Oregon and shall be shrnsn to he applicable to the pnlieet under review. 23 Five(5)site plans are required for Item I I above. Site plans must he S 1/_' s I I" ,i I I x 17" 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. _ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. _ 27 "Drawn to scale"indicates standard architect or engineer scale. — 28 Site plan to include tree size,type&location per approved project street tree plan!if applicable),and COT Street Tree list. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans mny be in blue or black ink. Red ink is reserved for department use only. 440-4614(run(uc'otii) Mechanical Permit Application Received Mechanical Date/By: _ Permit No,:115f zX- 3'Q City Affl andPlanning Approval Building FEB I 02U01 200 Date/Dy: Permit No.:—�— _-- 13125 SW Hall Blvd, Plan Review Other Tigard,Oregon 97223 GO y !;;: Date/By: Permit No.: Phone: 503-6394171 Fa 1961) Post-Review Land Use �1• � �^ Dole/By: Case No.: Internet: www.ci.tigard.or.us contact - Juris.: Sec Page 2 for 24-hour Inspection Reque;t: 503-6394175 Name/Method: — Su Iemenlal information. TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction _ _H Demolition M�chanical permit fees*are based on the total value of )e work Addition/alteration/replacement _Other: performed. Indicate the-slue(rounded to the nearest dollar)of P11 CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. I &2-Family dwelling —Commercial/Industrial Value: $—� See Page 2 for Fee Schedule Accessory Building _Multi-Family RESIDENTIAL Etc UIPMEN_T/SYSTEMS FEE*SCHEDULE ---- Description F QtyFre ems_ Total Master Builder Other: -----"—_ Ifestl�Cooiin _ — JOB SITE INFORMATION and LOCATION Furnace_-add-on uir conditionin ** 1 14.00 Job site address: l 3`12 12,,J C-C*q Gas heat pump 14.00 Suite#: Bld ./A t.#: Duct work f 14.00 e: H dronic hot water system _ 14.00 Project Nam job site: Residential boiler Cross street/Directions to J (for radiator or hydronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Flue/vent for any of above_ 10.00 Subdivision: •1L— Lot#: 0 Repair units i 12.15 �ar��- Other Fuel A i Ilances Tax map/parcel#: Water heater _ 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 Flue vent(water heater/ as fire lace) 10.00 -�`-- Log lighter(gas) I01.00 -- — --- --- Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimne /liner/flue/vent_ PROPERTY OWNER I EITENANT Other: 10.00 _ Environmental Exhaust&Ventilation Name: �c%t�,` j �,,'� �L esv Range hood/other kitchen equipment 10.00 Address: PC) I 3Q'K `7`./;?V 'T _ Clothes dryer exhaust— 10.00 , City/State/Zip: %��-t-� ,.�'l- 42 O 1 2 G Single duct exhaust Phonq Jt,, Faj- Sol jI/- y V5 J— (bathrooms,toilet compartments, -M—APPLICANT ,t `` CONTACT PERSON utility rooms) 6.80 L7 Name: Rfw�T d` �.►,�,,✓ Attic/crawls ace fans 10.00 Other: 10.00 Address: t7 a i3- — .49 Fuel Piping _—_— Cit /State/Zi : 7 I "(s1.40 for first 4.51.00 each additional Phon Furnace,etc. _ _�_ •`� -- �J - --- Gas heat pump •' _ E-mail: Wall/suspended/unit heater *' CONTRACTOR Water heater I •* Business Name: jn1C1J,4 eS Fireplace Address: 2 y/ ve /5'� Range Cit /State/Zi 01Z7" ,Vr C7. s) 7 z -f -- °°Qdryer ** — /f Clothes (gas) _ _ •* Phone: $-&y - s�,f 6 6 Other: *' Total CCB Lic. #: : 3� � Mechanical Permit Fees* Authorized O v Subtotal: Signature: "[ + � �►�- Date:/" 5 l Minimum Permit Fee$72.50 $ Plan Review Fee(25%of Permit Fee) $ (Please print name) State Surcharge(8%of Permit Fee) $ TOTAL PERMIT FEE $ _ Notice: This permit application expires If a permit Is not obtained'Alli In 'Fee methodology set by Tri-Counly Building Industry Service Board. Igo clays after It hal been accepted as complete. "She plan reoaired for exterior A/C units. is\i)sts\Pcmit Forms\MccPermitApp doc 01/03 Mechanical Permit Application - City of Tigard M Page 2-Supplemental In Formation Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$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 525,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional 5100.00 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 _ $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per Appliance: Value Total Description. t Ea Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents Floor furnace inclvding vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 <3 hp;absorb unit, 955 to 100k BTU 3.15 hp;absorb.unit, 1,700 101k to 500k BTU 15-30 hp;absorb.unit,505 to 1 mil 2,310 BTU _ 30-50 hp;absorb.unit, 3,400 1-1.75 mil.BTU _ >50 hp:absorb.unit, :725 >1.75 mil.BTU A;r handling unit to 10,000 cfm 656 _ Air handling unit>10,000 cfm 1, 70 Non-portable evaporate cooler j56 Vent fan connected to a single duct 446 Vent system not included in appliance 656 t7nit Hood served by mechanical exhaust 656 Domestic i,icinerator Commercial or industrial incinerator 4,590 Other uni.,including wood stoves, 656 inserts,etc. __gas i ip ng 11 outlets 360 Each additional outlet 63 _ TOTAI:('OMMERCIAL g VALUATION: —_ is\Dsts\Permit Forms\MecPcnnitAppPg2.doc 01/03 Building Fixtures Plumbing Permit.-Application Received Plumbing A� Date/By: _ Permit No.://S'r?A0 Planning Approval Scwcr City of Tigard Date/By: Permit No,: 13125 SW Hall Blvd. 1 Plan Review Other. Tigard,Oregon 97223 Uete/B �L"a ermit Use Phone: 503-639-4171 Flk i Y03-598-1960 Post-Review ndUscDate/B : ase No.: Internet: www.ci.tigard.ciYAk.D1Nt� Contact Juris: IN See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemcntal Information. _TYPE OF V'ORK FEE*SCiiEDU_LE(for special Information use checklist I _ t!t>• F��•(ca.) 'rota) _ ew construction - Uc'crilion Demolition -_ I__- New 1-&2-family dwellings ❑ Addition/alteration/re lac' I1ent I Li Other: Includes too ft.for each utility connection CATEGORY OF C :INSTRUCTION SFR I bath 244.20 __^^ 1 &_2-Family dwelli_�_ Commercial/Industrial SFR(2)bath 350.00 - Accessory BuildinZ?_ Multi-Family SFR(3 bath _3 99.(t(1 _ �/Iaster Builder ❑_Other: Each additional bath/kitchen _ 45,00 _ JOB Si TE INFORMATION Pstd LOCATION � Fire sprinkler-sci. ft.: Page 2 Job site address: L 3!k JJ L„A4g-41 �'�2k Site Utilities , Bld ./A t.il; Catch basin/arca drain_ 16,60 Suite#: -- Dr ell/leach line/trench drain 16.60 Project Name: _ _- Footing drain(no.linear ft.) Pa c 2 Cross street/Directions to job site: Manufactured home utilities 110.00 /qL��i w"c. 1/1 �. �- '(l-� f•e�1•tC t Manholes 16.60 Rain drain connector 16.60 Sanitary sewer no.linear fl. J Page 2 Subdivision: Lot#: Q Storm sewer o. linear ft. Water service no.linear ft. Pae 2 Tax ma /parcel #: Fixture or item _ DESCRIPTION OF WORK Absorption valve 16.60 p "., at��� ' _ Backflow preventer Page 2 Backwater valve _ 16.60 Clothes washer 16.60 - Dishwasher 16.60 Drinking fountain 16.60 PROPER OWNER TENANT Ejectors/sum 16.60 Naltle: �t I l-$ Lc��►�7 .-r I Ex ansion tank 16.60 Address: ?o 13axe 9/.?y� Fixture/sewer ca 16.60 Cit /State/Zl : LX '? ? ft Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone: So i),;b?-I-let Fax S1531.2111-.21_55 Hose bib 16.60 APPLICANT I MrfiNTACT PERSON Ice maker 16.60 Name: Interce tor/ ease trap 16.60 L����i_/�: t�,v ------ fir Address: PU, fI2-Y j Medical gas-value: $ Pae 2 Primer 16.60 City/State/Zip: fZ_'Z-, ra �"� �l 7 Z`r Roof drain commercial 16.60 Phone. s&3)Jori -/79 Fa Sbl /.25-5-45- Sink/basin/lavato _ 16.60 E-mail: Tub/shower/shower pan - 16.-60 CONTRACTOR Urinal 16. 0 Water closet _ 16.60 _ Business Name: ,), .,��s tgL,ttf Water heater 16.60 Address: C'.0,_ , x `) I t<p Othet: Cit /State/Zi : /,y -/4 _9_�Ma Other: Phos 5o 3 .q 0 34 Fax: 5a"3 Z.- 103 Z, ' I'lumbing Pprmlt Fecs* Subtotal 5 _ CCB 11e. #: I Plumb. LICA 3,4- I f D Minimum Permit Fee$72.50 S Authorized Residential Backflow Minimum Fee$36.25 Signature: �s.. _'bate: I' Z�- Os P!m Review(25%of Permit Fee) 5 State Surcharge 8%of Permit Fee) S ( -- _ase print name) - �- __ TOTAL PERMIT FEE 5 -- Notice: Thi%permit appli ation expires If a permit h not obtained-!!"in All new commercial buildings require 2 sets of plans with isometric or 190 days after It has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. i'J)sts\Permit I:orms\PlmPcmutApp.doc 01/03 PlurdlAnE Permit Antniication - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suln ession Systems__ Site Utllitics Qh. Fec(ca) Total_ Square Footage: Permit Fee: Footing drain- I" IOU' SS.UU 0 to 2,000 -—�--_— 2,001 to 3,600 $160.00 Footing drain-each additional 100' 46.40 3,601 to 7,200. — $220.00 Ser - Ist 100' 55.00 7,201 and greater $309.00 Sr c -each additional 100' 46.40 — Water Service- I st 100' 55.00 Medical Gas Systems: Water Service-each additional 100' 46.40_ Valuation: Permit Fee: Storm&Rain Drain-Ist 100' 55.00 $1.00 to$5_000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100'! 46.40 $5,001.00 to$10,000.00 $72.50 fix the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,io and Fixture or Item Qty. Fee(ea) Tota-1— includin $10,000.00. _ Commercial Back Flow Prevention Device — 46.40 $10,001 UO to$25,000.00 $149.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 _ 27.55 and including$25,000,00. Rain Drain,single family dwelling 65.25 $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,ti Inspection of existing plumbing or and including$50,000.00. specialty requested inspections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping. ruoving or replacing existing fixtures': If "Yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased server fees*. Comments regarding fixture work: uautlt•bv�xturc�'ork 1'crfurmcd � � Flxtu�a Type: -Replace --— New Moved F.iletln Ca d Baptistry/Font --New —_ ---. . Bath -Tub/Shower -Jacuzzi/Whirlpool - Car Wash -Each Stall -Drive Thru _ Cuspidor/Water As Dishwasher -Commercial ----- -Domestic Drinking Fountain Eye Wash — -- — ---- Floor Drain/sink 2" _ — 3" .4" Car Wash Drain - *Note: If the fixture work under this permit results in an Garbage -DomeSticincrease of sewer E111!s,A SCN'er permit sNill be issued and Disposal -Commercial -Industrial fees assessed for the sewer increase must he paid before the Ice Mach./Refri .Drains _ plumbing permit can be issued. Oil Separator Gas Station _ Rec.Vehicle Dump Station _ Shower -Gang -Stall Sink -Bar/Lavatory -Brad!cy -Cnmmercial _ -Service Swimming Poul Filter Washer-Clothes Water Extractor Water Closet-Toilet Urinal _ Other Fixtures: _--. i.\Dsts\Permit Forms\PlmPermitAppPg2.doc 01/03 Electrical FefWt APOUCROOn /\ — Pamir no • OGr% pttterrccrtnd. __ Lily Of Tigard i I �} ;Rnjecyepp+ no: ex kedxte. Mims- 13125 SW Hell Blvd,Tig rd,OR 9 Date issued: 8y _LRocc+pt - C+h'nlTrRar6 Phone: (101) 639-4171 611Y Uf TIGARD Cate file no•; Payment type; FlIn. {53?) 598-1960 -WILDING DIVISIOI` 1-and u,;r_ approval .a"1 &2 faintly dwelling or x.ceaetsry U Cnmmcrciahindusr.rral O Multi-family O Trnrnt improvcmcnt w ct)nttruction u Addomn/altcratiunlrepiaccrlenl ❑(hlxr ,_ O Partial r � 101,address. t3� Z. S t J. L f•4r hl�:jd 510— no.: Sutx no, Tnx mepRa0ot/Recount n0� : t,ur, � �BhcW: Suhdivlsion �V11),�_._ ---- Cralcct Warne; 1�t_tri^pti0n anet It-. tton or work on Fxtimated date of comple Ion/ins 9 ecttore Fcc 110, Job no. _ tingle nrdine Ql CJ61 lolel nn.i 111J91nCgxnaTG: � �._s�.� �.1.•��Z-�..L�......�._ Hc+rrnlikntlnl,ilnQkmrlhi-fnmllrper ✓wddresa _ p�1 BOX J "72 __-_ - -- ",ellinQnniL1"O"desnitnetwlVrorc. City: H I L 1 5 6 0 R 0 zrr 9 712 3. 1ler.tcehleh"krt I IM10� n.nr loee a liiy/melro ne' B 413-5 1 441 Fnt 6 4(�- G•InaIL f hCo ^rldinoflnl�fNl sq fl.Or painum mucor r,nn—o-lT+0 5'_— _ Fiec.bue•hc•no; 3 4;:119 _ Q?, _— 2 �e— I,.imnedenar rcadenlial lie no. 3 Llrni nrlcncreY•n�nnc*+d<ntin _J �_! _—_ - ��,,�j Eat.h to+nuGcturoA he+Rr dt mOn71R:a,rl lnn Z Sig,sturo of su nrvism/.elr^trieitnSlr d1 _ w to Y--J Scrvicenrdltrfcertrr ,,e�rrlcce�OiAe�+•-Inetnl ntlnn. I Sip,elect nolo(pn n.)D A V 1 D A J E R O M E ..,rn.r��2 9 7 7 S rrltrr�ttlnn er raneortin* 1!10 rmn+o!)ell � 1 - l0t nmp++o 400 nmpe 2 . Name:(pent)_ £� ---C01`-s.Ste' .t to l^rmpa tt>oon amps Mallin nrttlrra, , „ - z � i e0i artpim Ioon ronpt CltStatim' t Z 7.I P: I^ �i OvrriCf�Inmptc+rv0lu 1___ y' otRT` N � � _...� Phnn ',7b - l'ri F :'90l �4/ • •mail: _. __.. _ Rmtnncctnnly O _ -- Owntr inst .iatini. Thr initall:+tton re being made on(trnlx;rfywr frm►nrllryserslcaerfte�ien- which is not intended fnt We.,leme.tent,of c m'kmoc%ccnrrling In 0 20 m nmnlnn,nkrrnrM+n,nrrdeOAline: 2011 pr•nr Ireµ —_ 2 010447.455,419 (!In, lUl. 2111 nntpato4W)nmrs: Cwt er's al nature, nitre qni to W hmpM �+ tench r•Ircetre +rcw,nikrntlnn, at 0%tenlee pet penrh Name: _ A. Fer to-hrnneh cinnht w th aurchue C' Addrels. _ scrvica a.tredve fcc Inch brnch eh tiro+'n w tltnut prcrclrl•ceni„ �r Cityhn Fen,fn Mn of ctrr(aecfoe. c ! fer,firathrenc+ �Z circ- Phone —J__—_.� nK: F•ntnil. rnch i„)rnlltraneheirV;l.�_ — Mil. 9erttar,nr feeder net Inst nic4) r + finchri^mpnr�rr,4nt1nrralee .n 9trvlce mer Yll ampr•mnrnorcid C1 Heel;h-sue,sc.1. •"" 7. U 9arvituotor 720nmps•tstineof 141 0 Mn nrdmrnitrrndoe Wchtt�noroutl nthglitnp fnmily dwt:'+nsn O itafdlnp nvet 11,00111qu1rt fee'f;u•^r Alpnel citruir(s)nt n lim+lyd-5-rity pent: t:1 5ynten noertlfMS vnitt nOnlinnl marc reudendnl a^It+in nnr c•n.cturr rlrcrntinn rn IJ RmIdingrvrrdlteesrories U Feeden,400aawlnewr*q! ,erg-- U OCCQV:Ant bled twOr99 penooe ❑Mnnufltenrud uroaurra nr R�pxrY Fdeh nddhlnnnl intpemim w r list nllnoeble In nny of rhe nlrtna _ ll hFtsJl+r'ringpUn 1J(Ahu _ ---- __-.- parnn .atkn 8ithmit ser,e.f plan,W-h any afthe abort. nve—it l i 11u•nNIVO arc not appiirrhtr to temporary camitruetlee servire, Other - —------- +remit(cc.......•.........$ or#11)i eieune.reetN r :.rn.,fite•e 01],nrlteu«,fpr .ern.a,+., No,tct:1!is rorrnit oFplicut!cn v,.a^ 0 YnererCvd erpirrs if it pctrnil it,not nhtarned Plan re liars(at ,•,__ %) $ _. FOCZA cord n,ttntmi. 11•— I whin 180 days Oct it has been State sutrharge(M) $ nccrprnA ltecnntplete. TOTA1. ......................>; ...—........— etre '���yr hutder'.irnniurc - _�_ =meed 140.4613IWOI 77M1 03 Jan 27 16:28:28 R:ULTAM ODH,dwg MAR RECEIVED '-f:,J", !h 10.- P S D.E 2211 2- 0_.. 16,_0" N­0*0I'20" W Id b69 0 _j U2 oi (i/\1?A6F P;II LL :658 5' Lu z cn b In 0 MAIN FLOOR-` On EL :6616` co Y I - 77 .............. ii 0 1 2 0 �E 41 03 EW 7*t/, 0L S.W. DAPP9916 PRIM& sar r'1 after Qvp I IrIj MRR q A I F 1 2 0 0 ci I y ui� TIGARD JR ILAIII'I.DIL-LiL CPU APHY I r WDRVAIIO4 It IS THF GOIE RESPONS-SKItV OF IN[ DAFFODIL HILL 222 A BULDER to VEPIFIT,Alt TIT CON000AS 14MUDIN0 ED ANY Fitt RACE ON 14 SIlE ANO Not"I'd LOT 10 O*W4,ot ANY Ppl[NLiAI ",In m c on", ATIONS MIRRORED I MARSHALL 12 0 0 ALAN UA(�r.nnn DFI;ICA ASSOCIATES 04C By GEORGE 5919 50, f7j. (PH) 503-291-2,550 ELECTRICAL - CITY OF ITIGARD RESTRICTED N RIGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00162 13125 SW Hall Blvd., Tiqard, OR 97223 (503)639-4171 DATE ISSUED: 6/16/03 SITE ADDRESS: 13612 SW LEAH TERR PARCEL: 2S109BA-08400 SL ,DIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 010 JURISDICTION: TIG Proiect Description: Installation of All Encompassing low voltage. A.RESIDENTIAL B.COMMERCI, , AUDIO &STEREO: X AUDIO& -JTEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: HEIGHTS CONSTRUCTION QUADRANT SYSTEMS P.O. BOX 91249 PO BOX 14833 PORTLAND, OR 97291 PORTLAND, OR 97293 Phone: 503-209-1794 Phone: 234-5558 Reg #: MGT 00002466 SUP 121 LILF. LIC' 96800 I FEES_ 1 1 I' 14644 Inspections _ Description Date Amount Low Voltage Inspection ILITIthl"I j LLLR Permit 6/16/03 T $75.00 Elect'I Final ITAX]W/o State Tax 6/16/03 $6.00 Total $81.00 This Permit is issued subject to the rPgulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work 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 throuc Issued by Permittee Signature_ �� �T. L' __ < _OWNER INSTALLATION ONLY The installation is being made on property i own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION 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 AG/12/2003 11: 30 5032362322 QUADRANT SYSTEMS PAGE 01 Electrical Permit Application Received Bler:ltical ( DateB : !lam-CZ- L'I,,. Permit No. a1 DU/ City of'Tigard 1, Planning Apprevel Sim, 13125 SW Hall 141vd. D'Pla7n Rev—Rc iew Fcrmit No Other Tigard,Oregon 97223 Date/By: Permit No.: Phone. 503-6394171 Fax. 503-598-1960 Post-ltevicw — Land Use Internet: wnvw.ci.tigard.or.us batc/B : Case No.: 24-hour Inspection Request: 503-639-4175 contact See Pape 2 roe Natrtc/Melhod. ! SaPplementnl Information. TYPE OF WORK — :1P IAN:1yrEw d— a chrt_k ill that a sly)' ew construction _ Demolition LJ 5erviCe over 225 amps- health caro r>,euity Addition/alteration/replacement Other: commercial U Hazardous location Q Service over 320 amps rating of [J Building over 10,000 square feet. �A it EChi RY CIF'CQmsmUc'►ION 1 Re 2 family dwellingn four or more rcvidential units in 1 & 2-Family dwelling Contmercial/Industrial ❑system over 600 volts nominal one structure Accessory Building Multi ❑Building over three stories ❑Fredcrs,400 amps or morn ;7 ❑Occulxrnt load over 99 persnns ❑Manufactured structures or RV park Master Builder Othcr: ❑Egteas/lighting plan []Othcr. '!•r, ' !' bBISI)('l EIRX,MQ 11 d 1, M-011; �! Submit _acts of plans with any of the above. .lob site addle&5: �Bldg./Apt.ft: O V rrL� —•-.�w .r,-hove are not applicable to tem n�rar�conatru ion acrvlc . Suite#: Number of Ina ectlana per iserrrlIt billowed Pro�cot Name: Description _ -- Fee(Co.) Total Cross street/Directions to job site: -u New residential-th'glr or multi-famlly per dwelling unit,lnclndes attached garage. Service Included: 1001 s%ft.or less145.15 4 ch additional 500 s .A. -- --- — ,—•-g---- - �- - 3J-,40 - I Limited 7500 2SU7diV19JOn: -7—Lot Limited cnc!v,ran der tial _ 75.00 2 Tax map/parcel#: Each manufactured hon is or modular dwelling Tl ;;Il'ESllt"RiP I�G11ViClli•V�II! I,tii service and/or feeder _- 90.90 2 /����j Servlect or fceden-I+stallation, � SJ}x/ -iteration or relecatio is -T- � -- 200 IMP.9 or less 80.30 2 -- - U - 201 amps to 400 amps _.--_ I OG.gs ---- 2 401 ems to 600 amp6__— IG0.60 2 i: ' ItIiTN '4' �• 601 IMP-2 1000"-rV - 240.60 2 Name: Over 1000 Imps or volts 4565 2 Reconnect only 0.85 2 Address: Temporary services or feeders-installation. ■Iteration,or relocation: �Ci /State/zt _ _ � p ._. 200 nm or las 66.85 I Phone- Fax: of amps to 400 an, 100.30 2 401 m 600 Ams 133.75 - 2 -Kip1CJ>(Ct�:1V ','; I ISN, t?R fiiCpE ON`r f Branch circuits-new,elirration,or IValrie: _ extension per panel: 1,43-5A•Fcr for brunch circuits with purchase of Y� Address: Tservice or fteder fee each branch circuit 6.65 7 — Cray/StatelZ>pR '�Q l tC CA I,kA B Fee for branch circuits without purchase of J - _service or feeder fcc,Ont branc_h_tmwf _ 46.85 2 Plane; 23�I raX_ z 31Q Z Z� -- Fach Jditiar,al branch circuit ---- 6.65 2 E-mail: Misc.(Scrvirc or fi:edcr not included); � - n Dch lint or irrigation circle 53.40 2 ch s�or outline l! 10,MR _ _ 53.40 2 Job No: ',iQnal circuit(s)m a limited rncrgv mncl,�- --- - Busi-ness Name• ---- Iltantion or erttcnsion _--�_._._ _ F e 2 z5 0(7 z — ncxcriplinn: - Address: __ Cl �StatC�Z' (�, AI 2,'� Each additional Ins !9lonoov-er the allowable in a�et the above: Pero innpcelion t+cr hour(min.1 hour) 62.50 Phone. C 5 Fax:#5 2 (Q �32Z rnvgti tirmfee, CCs — — --- Lic.#: �aeob trier : �s �p — � 5 � Other: Supervising electrician/,,,,� — _ •`; :' .�lr� tata: 1 s� ' ',r I. r �,1. si nature required; L �_ Subtotal 5U0 _._ _ _._ Plan Revieyy_ 2 ,,of Permit Fee Print Name C Cl! Y _� Lie. #: (�// -_ State Surchar c 84b a_f Pcrnlit f'cc_ S l.'O TOTAL PERMIT FEE :6 -' ,QQ A uthonzcd�� Notice: This permit application expires irs permit Is not obtained wlrhln Sign / ature '1� Date (8111--Egli 190 days after it has been accepted a.n complete. -TJ •For methodningv art by'1'ri-County Hniidln;Industty service 8nard. (PICIBC faint Hanle) i\Dsts�Petmit Fonm\ElcPerrtlitApp.doc 01103 -111,0 vk-v CITY OF TIOARD Residential Certificate of- Occupancy Permit No.• .1��S-�Z i> Address: 1-.?61 2 Owner./Contractor: � inspector: Date of final Inspection: = -�_Z> p - This structure has been found to he in substantial compliance with the provisions of the State of Oregon One& Two FamilY Owelling Sec•ialry Code and is hereb a roved for occu anc .