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13672 SW LEAH TERRACE , _3154 , y . R=40. 00 ' .....ms/+rw,.• TI 1J• L— 62. 83 ' ' SC M PATRICK . op.�1�. designer Inc. Y.( ~+ :j !I'� `.� y .04 „3�f°� �,) 1 W . L AH O � Cuvk"HOM Of irl.Pl$nnnQ A Ca111111 1p - : ,�' �, d 811#1W 5, 48 S. F. 'F�T,� 07219 v � ERRA E / � � rat(�s)tMsra * ,, , 6O/° mI�IWIP«Imm + �-�9, 1 -'.1 - -- -- - e —11f — i "i �� >t►lleJ�_t ITs1lI>� '� - 1 9 o N1'lllen dmeneldnc an Ih•Y trealn ehtll hdv! -- s�i j y ! ,e•A t �r ` l )!`; JJ ;�. — O O 2� pr.c.wnc• o,nr aaw dlrrlenelKlna Can Vaalar� 11, I',/..1 ,r..y,.• „ -f• • ,',,.",j�� .Y :i�.. 1 i is i t 7!'�;yy�,`�j ' / \ ,`' / • ro-!, ,, shall o■M,nN r.■na,.i0iph far all di 50"17. 0"sinsio1. •t 1 ,% \�\' - SITE !/� � A I I �` /'� a�i,y wra lona Irm,Id'.d�rw�iuon�u1�Ifarl�Mrl Tiir, 5 E F L (� I y O r a■slgn■r tnc from w vomit and orlh he to 1l 8958° ' 12.a_ 105. 8 1 '•} !}7•�R�r ' 4 \1' / �./T I\ ,�T E — _ This document is lM Prapwty of PATRICK SCHMITT, -�� — deelgner Ina. rod le for the use only for a w PER D E PIS AN __ rod lomorowl a. nates a d1 Hd fretless ., / / ,.-.roO^.Iwo n any lam s dlarwl •ithae,l the LEGALDESCRIPTION eepreu erglen eontvt of PA(RICK SCNMITi, • ��: � N89.58 0 E 65. 17 ' Jeepnw lna •' LOU,6 DAI/Cdll HIII ' v l � ° •� " t• / .� 'f ;f . -�� ;' �� it A oft SITE ADDRESS t ....-..,..n. ,....+. i k� ; \ I 01612 6W.Leah Twr� j Q ` >° , , r LOT COVERAGE 9, 392 S. r . .• ''y,- �J y(, LOT AIKA . •,1�6 •k•' '` �c5 I II OUILDINS AREA . ?!•? Q V (INCLUDING RAV96) � TOTAL LOT WVERAGE • ?',IA2 i r,'TA6 (100)■s4.11► 1 - 011 EROSION CCN. TROL NOTES: b ' ! •'%�/ ; ..'%//' , r, /i / // •' U(!!R TO T1J!CITY Q PORTLAND '!TlO61CN GGfN'TROL MANUAL' wy 0",'�/ / .f/, i i,.,;�, • /j Id, 0 POR ADDITIONAL DETAIL6 AND EIEOdION CONTROL PMQb. � M1 2)COVER ALL D16TUl�ED 4ii0UVD AREA DETtLEEI1 OCT.I TO //��% / r' I APRIL !/I,COVM UNTW MW.04,WD,4A&",M.A6TIC OR Q ,■.rlw..e•erd6 °r1+.wr1•i� ' O / /.'�`/i/ �./ ' / '/�//, Id'-d"! w C0NTIWL MATe1lIAL6 46 6PECPIEO IN T19 'ERO6ION Q 1� !)/EDIMONT RAMMER TO DE M6TAJ.LifD PRIOR TO EAR714WO VC, eI` Y- I = / ;'/ :,• 1 REI'IOVE ONLY AFTER GROUND /.OVVR 16 E6YAEILIENED. i'/ .//X//,/i /r `/ '/ i )NO 601E ALLOWED TO ERODE OR DE TRACKED G*SITE. ��. sto / , M 1■�■ ••~' .��.r",+1';,if;:• t� / / %: `.�i e /i °/i LEGEND `ti./ even 0 via 10 ,f•..y I T %f/ ,/ '•/ / //', /'i (�iRAVEL CON6TRUCTION ENTRANCE ' EEE {„ / I o % ! / %,. '/%' I D/TAIL 4JA AT LEFT OR M T11E CITY OF // . / / . / / // rlr+fee�r,-Jx�E.rnlrrec /// f do 01 %// /% / i i' i'/ / PORTLAND 'El1O610N CONTROL MANUAL' , '// `i////// •/ �f/ /f i'�� / '•�/' '/ •/' •1 �j-to .,,� ` t� ��;/%;; /,/�; I '///��,;',;'/ ri ,•' `II l7OVE1lED 6TOGW�ILE6 .,_,. 11 Nww EU11M F U I T I MA T ARE A6 DIT10111�E w000-x a1e11 wowc 6 AGING MATERIAL a oRAaE A6 .redee.w•r.Ir rr•nroM •.s•.41 �._._. _- O e•1 a/•6 ..- T+ w � •/ '/�, . SEE DETAJL 4JA AT WCXXX 01 �.1 •+r.lwr \ •ow O V I II • I I L.•,N L..ii9 I L N IN 714E CITY F10RrLAPD 'EESR0610N CONTROL MANUAL' SE,TBAGK f4f ' )OX. 41 I � r' '...%i W'G t.i._•S /"/v (�T-T O • I MAP AND F#101 CT ALL CATCH D4AMM PER 5UlT.1NIUc Slw-a�� j L DaTAIL 4 H IN 9 -•u I' IAL II I � � 3 TWE CITY GF PORTLAND _ _ --- DETAIL DRAWING 4.U1 GPAVEL CONET'RUCTION ENTRANCE lrU JIL. 71Ap61ON CONTROL MANUAL' ..._ _.. — Q -- �•.� �-• ,�7� ,(. 7 '�• ' ,�' Date: March t 003 V __"_�_� - EE RENT TER MENCM3 31 __.- -----_ -- UMTMIIU -� --• ,- - - _�C 1 �T KWALL— M" - -- _... _-_.-- la, VW soman t[q►! _ -. i _X �_ f �� /- { �.: �S ��. OG � PINI' Si P 14+J'►-PAW wTf'lllu r.? P75� ;... r r --• ._ �.-_i !- ��-- G --......__ TER _ �'alar.+sacsyy _.[ . -�- _.-�� - - -.._..._.. - _ W • r - Job No.: P 1265-03 l._. •-• - t - fi (UAE Tri LINE PROM METER TO NOM) $ — �. TO NOUAE) ed,mbur liar Wo% � • EE�e,e LSE - Revision: ° LATERAL TO NOUA6) m dIsru side of dla b0 (U6E!' AD6 LNC!PR01'1 LATERAL 1�-- UAE 44 IPvG LINEJMLNNE - Ply • PUBLIC UTILITY EAAEMENT Sheet Title: _ -_ ._------------- �- �-. t"• O METER Lot S _. Site J iFilm z ., JIEii cr�rlw nrv►T new carr•"_ - 7 - el ,'p"fE ANUr aefr/alrua�sl►3'7.+NrD I 4~(A7•) _ �. :_ �. -- V;- - .• -- �3 Q� b I w - r'- _ -._" _ D - -- - •_•___'_..._»...._ _ , 1 '!_i�0_ DEQ - -WERE-- 73 is- w Q*.� IIIIUM•POIt7J -^-_ -- ---_ r-__.1'-„_ ..._�nii► -_ _ - - _. ._._ �•��ET TREES ,� P PrrpgLmew ! Ar°�'• a - __ -E R D E v P L ANS.01'r OWN T OF 112) ( C . Re 14I W DETAIL Dgt*W rG 42A - TM4PCRARY WOMEN, PENCs - -- _ COPYRIGHT 2009 - PATPJC X 9C1NM, d•dp1>♦r ft zr, c NOTICE: IF THE PRINT OR TYPE ONAN� ° _11 � .� 1i � � i Ili � � � � � � � � i � � � i � r- TII � T T� �µ T .��. n_.� .rII rli 111 llr .r11 i1i "rll r r- i � � 1_i .rl__ .�. �-� r- -r I r1 -r�� il� i � � �I I I I C '1 ! 1 1.11.1-1, � I �IMAGE IS NOT AS CLEAR AS THIS NOTILE IT IS DUE TO THE QUALITY OF THE No.38 �K1 " ORIGINAL DOCUMENT E 6 Z S Z L Z 9 Z Z i► ZTH"11 Zflift, Z Z 6 T S I L T ®T 9 T T E 1 Z T I T T 6 L lll� i�ill�lfl�ll1lll1lll 11.11. fl ��1 1111111111 1111 �� II,I IIII IIII IIII Ilii IIII .JIII till Illi 1111 IIIc 1111 Illi Illl -Lill �lll 1111 ll. Ill Ll1l 111 L�II1,k� .x+•,M............wa...�.:.,<,,.,,ww.w,.,�.„.,,e,w,..�+."___,,.r+a....„ww,w.,.:.,.w..u,.+ W.+.,�.k«+w...•..;d,.aa.w...�.,a..u„+:w�M.w��wwwrr.w.d�:...ra.uw�.:-.w�++VtiiNt�4.xw�+�..,.:.+wkuiNdMd'Ydi...ul..t�:SiliwGs+B�:JwA':1�n3'Mrv��n4.,ti�uYlGtaai�t'-u.0 a w � N Cn r c� d co r i i `t 13672 SW Leah Terrace CITY OF T'GARD _ MASTER PERMIT 1 I 3-00141 DEVELOPMENT SERViDES DATE ISSUED: 5/13/03 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 13672 SW LEAH TERR PARCEL: 2S109BA-079J0 SUBDIVISION: DAFFODIL HILL ZONING: It-7 BLOCK: LOT: 005 JURISDICTION: I I(f REMARKS: New SF detached, Path 1. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 1.45 1 of BASEMENI: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOCR LOAD: 40 SECOND: 1.559 of GARAGE: a-,! at FRONT: 15 PARKING SPACES TYPE OF CONST: RETWI. DWELLING UNITS: 1 TWO of RIGHT: 5 OCCUPANCY GRP: BORM: 4 BATH: 4 TOTAL: 3 0;2 VALUE: 210 46P 90 sl REAR: 15 PLUMBING �V SINKS: I WATER CLOSETS. 4 I'VASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES 5 DISHWASHERS I FLOOR DRAINS: SEWER LINES loo SF RAIN DRAINS: I CATCP BASINS: TUBISHOWERS: 4 GARBAGE DISP. i WATER HEATERS: I WATERLINES iw BCKFLW PREVNTR. GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEI.TYPES FURN�t00K: BOIL/CMP c AHP: VENT FANS. 5 CLOTHES DRYER: i TURN>-100K: I UNIT HEATERS: HOODS- OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 sF OR LESS: 1 0 -200 amp 0 - 200 amp. WISVC OR FOR PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 0 201 - 400 amp: 201 400 asap lot WIO SVCIF DR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - WO amp: EAADDL BR CIR: SIGNALIPANEL IN PLANT: MANU HM/SVC/FDR: 601 1000 amp: 6ri1 aanpa-1000v MINOR LABEL. 1000 amp/volt PLAN REVIEW SECTION Reconr•ecl only - >=4 RES UNITS: SVC/FDR-225 A.: >600 V NOMINAL: CLS AREAISPC OCC: _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUT DOOR LNDSC LT, BURGLAR ALARM: OTH: BOILER: HVAC LANDSCAPE/IRRIG PROTEC rIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION MEDICAL. OTHR: HVAC. DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,898.63 HI IGHTS CONSTRUCTION HEIGHTS CONSTRUCTION LLC This permit is subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and I,() BOX 91249 PO BOX 91249 all other applicable laws. All work will be done in 1'1 1!2TLAN D,OR 97291 PORTLAND,OR 97291 aroordance 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: 503-291-1550 Phone: 503-291-2550 Oregon Utility Notification Center. Those rules 2 ,set forth in OAR 952-001-0010 through 952-001-0080. You Rep N: may r�iut.;"copies of these rules or direct questions to LIC 133745 OUPIC by calling j'03;146-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Shealning Insf Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Rocf Nailing Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Walel Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Bearn 4tructuibl Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Issu d By : !�\= � - P—a Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00120 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 5/13/03 SITE ADDRESS; 13672 SW LEAH TERR PARCEL: 2S 109BA-07900 SUBDIVISION: DA11:01)IL Illi_.I_ ZONING: It-7 BLOCK: LOT: 005 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF. Owner: FEES HEIGHTS CONSTRUCTION Description Date Amount PO BOX 91249 p PORTLAND, OR 97291 1SWUSAJ Swr Connect 5/13/03 $2,300.00 [SWl1SAI Swr Connect 5/13/03 $0.00 Phone: 501-291-2550 [SWINSPJ Swr It.sl)rcr 5/13/03 $35.00 [SWINSP] Swr Inspect 5/13/03 $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 permit expires. The Agency does not guarantee the ac;uracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a "Tap and Side Sew,:r" Perm y i Iss4d' by: � �;, / � 1 J j'tiv Permittee Signature: � Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application Received „ , peirmitNo.:N` Date/By: City of Tigard Daffy Approval Other Permit No.' 13125 SW Hall Blvd. Plan Review Other -- Tigard,Oregon 97223 Datewn ._ MAV' 41 Permit No.:-------- Phone: 503-639-4171 Fax: 503-598-1960 Post-Review,J Land lige Internet www.ci.tigard.or.us Contact V 1�See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Methad: 5 supplemental Information T_Y_PE OF_WORK —_ — REQUIRED DATA: _ New construction Demolition 1&2 FAMILY DWELLING Addition/alteration/re lap cement -- CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Buildin Multi-Family Master Builder HOther: Valuation.................................................t�..... $ o•aoo JOB SITE INFORMATION■sal LOCATION No.of bedrooms: DL_ No.of baths-1 L Job site address: 7 15qµ 6t1,(LAe.Fi Total number of floors..................................... New dwelling area(sq.ft).............................. 2 t- Suite#: Bld ./A t.#: Garage/carport arra(sq, ft. .......... Proje�] et Name:— �p�71�— U% Covered porch area(sq.R.).................•........... ----- Deck area(sq. ft.)............................................ Cross street/Directions to job site: Other structure area(sq.ft.)............................ REQUIRED DATA: COMMERML-USE CH19CKLIIST Subdivision: _ _ Lot#: — -- Tax map/parcel #: Note Permit fees•are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equiprmnt,materials,labor, ------- overhead and profit for the work indicated on this application Valuation... ..................................................... - ----- -- - - Existing building area(sq.ft.)_...................... -- ---_..-- — -- - -- — - New building area(sq. ft.)............................... —_ — — Number of stories............................................ -� PROPERTYOWNER _ TENANT _ Type of construction.. ................................... Name: '}'E\�H'fS— _cpNS'((=VL-C►OtJ__-----------. Occupancygroup(s): Existing: Address: P.o. 2ey- `l1LAa -.._ --- -- ------ -- -_ - C_ity/State/Zip: Tt,pti1� �ti - --- 5 Fax: 5r,I-, -Z°I (�(("� NOTICE: All contractors and subcontractors are required to be Phone: 33 •Z°II ?J� o �_— licensed with the Oregon Constriction Contractors Board under •APPLICANT -_ _ _CONTACT PERSON provisions of ORS 701 and may be required to he licensed in the Business Name: ' � �,zclh�t7_o63lhNG�— 1�L. jurisdiction where work is being per•.ormed. If the applicant is exempt Contact Name: from licensing,the following reason applies: PPrtp t.V-. fn ----- --- Address: StZ,to 54Jci!.fo�A ST• ---_._ City/state/ f S' -_- _9121° - -- - -- - � _._L � �►— — - Phone:SQb tt�g_-.�513_ Fax: 50} tb4-X559 _ BU11w1ko, - E-mail: _ Phlatte leer Gts erhllt>Ila CONTRACTOR — Business Name:-��,(�'CS�S��110.. __--- Fees due upon application............................. - Address_iLcx j _- 2 — -----_..----- Cit /State/Zi _ 211 Amour,received.. .._.. .......... .............. . ... . $-----.-- - -- _ _ p. 4b�`CLA4 O a _31—� Phone: _L-111. ?lyo Fax: cion -Z°11 (^I Dale CCB Lic. #: 13"3-1 A 5 -- - --------------- ---- --- -- - — --- Authorized Notice: This permit application expires If a permit Is not obtained within Signature: _ _ __—______ Date:_ 190 days after It has been accepted as complete. gLLC*_ C-f- 1, __ 'Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dets\Pernit Forms\BldgPermitApp.doc 01103 Building Fixtures Plumbing Permit Application ---�--- Date received: 46' Permit no.:*Xyi A City of Tigard -ng - , J b Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City ofTigard phone: (503) 6394171 rDate ppl. no.: Expire date: Fax: (503) 598-1960 ed: By: Receipt no.: Land use approval: no.: Payment type: JAVE OF PERMIT' 1 &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Food service 0 Other: —_ 1 ' special Job address: ��41Z �j� L(�p_µ _TS,%Aa,r,G. Descrl tion Qty. Fee.(ea.) Total Bldg. no.: TSuite no.: - New 1-an 2-family dwellings only: Tax map/tax lot/account no.: -- (includes 100 ft.for each utility connection) SFR(1)bath Lot: E; _ Black: subdivision _ ---- - SFR(2)bath - ---� Project name: A!gpp%L SFR(3)bath -- — City/county: Gl—f 6� II,yJ UP: 1'727, 4 — Each additional bath/kitchen Description and location of work on premises: 1f- 0 SF= Z— Siteutilities: Catch basin/area drain fist.date of completion/inspection: Drywells/leach line/trench drain 1 Footing drain(no. lin. ft.) Manufactured home rtilities _ _ _ Business name_371M� ?4tj($*j k. � Manholes Address: _N J�cr& Iiyy _ Rain drain connector City: N,12,4 _ I State: 7..IP: 11_Qoj Sanitary sewer(,io. lin. fl.) Phone:(, 6014 Fax: �tiL E-mail: Storm sewer(no.lin. fl.) - CCB no.: Plumb.bus.reg. no_14-Isco Fater service(no.lin. Il. City/metro lic.no.: �= j Fixture or item: - ----- - valve a Contractors representative signature. __ — bsorption Back flow pvalvalve r Print name: ►�pN Date: Backwater valve PERSON Basins/lavatory -- -— -- Name:-- 1 _ l..rl�1 Clothes washer — — Address "-- ---- -� Dishwasher _ — -�L-�— �'� �--5 - -- Drinking fountain(s) City: -( ,C State:pfl, TLIP: 1 — �P�1 �_.._ Ejectors/sump Phone:7 B J573 Fax:24G-3 Sq 1 E-mail _Expansion tank Fixture/sewer cr. -- - -- -- Name(print) � Lh(� rnp(tirNN,V� �- Floor drains/floor sinks/hub Mailing address: P p Garbage disposal — — �'P1'��p State Hose bibb city:_�'�, ti P: _ ZI�7_��-.. Ice maker Phone: 711 E-mail: Interceptor/grease trap Owner instal lation/tesidential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my reg: '.r Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)_ Owner's si ature:— —Date: Sump — -� KH 10 1 Tubs/shower/shower pan Name: Urinal - — Water closet Address: ------- ----- -- ` Water heater City: . State: ZIP: Other: Phone: Fax: E-mail: Dial Not all jurisdictions accept credit cards,please call jurisdiction for more inrormx+ion pe pp Minimum fee... .......o... Notice: This permit application U visa O Mamer.:.rd expires if a permit is not obtained Plan review(at _— /o) S Cmdii card number: --- within IAO days alter it has been State surcharge(8a/+).... $ spires TOTAL Name of cardholder u shown on credit _-....._. .edit card accepted as complete. –_ _-_–,Cardholder signature - -- —Amount 440-4616(6AWYCnM) wr Electrical Permit Application 1Datcre.cciveMAd:::: 4✓ 9 Q0 �Permil .: City of Tigard Projec:t/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 pate issued: By: Receiptno Phone: (503) 639-4171 -- ---- --- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: OF PFRMIT JZ I &2 family dwelling or accessory U Commercial/industrial 0 Mulli-family U Tenant improvement ((New construction U Addition/alteration/replacement U Other: _ U Partial INFORMATIONJOB SITE Joh address: I1map/tax(�L Bld no.: Suite nu.: Tax lot/account no.: I,0(:W 7 Block:' Subdivision: �MF4�fJ1l� �w — --- Project name: Vprrrop Itr N I VDescription and location of work on premises: �;) (L Estimated date of completion/inspection: CONTRAVfOR APPLICATION Job no: V"1 Z S1J I.��µ TE(M,p 'L Fee Max Nosiness name: 7 pr. 'S5O,�ytnu�, �� Zh��, Description _ tlty. (ea.) Total 110.1111Py , New.eshksrtW-single or multi-family per Address: { dwellingaJl,Includes attachedZnrage. City: a State:pr,, ZIP: 123 Serviceincbtded: Phone: •51,44r Fax: Z3 E-mail: I DW sq.ft.m less 4 -"- — - Each additional 500 sq.fl.or portion thereof -- - -- CN no.: i;�prj� Elec,bus.lie.no: 34 [� — Limited energy,residential&L —� 2 City/metro lic.no.: - Limited energy,non-residential_ 2 Ench manufactured home or modular dwelling Signature of supervising electrician(required) Dot Service_and/or feeder __ 2 Su elect.name((Print): (r] License no:7,�! !S Services or feeders-installation, P p 2 '�F�O M alteration or relocation: 200 amps)r less I 2 --- --- -- --- Name(print): �j f .� I-1G(1-1t,` 201 amps to 400 omps 2 -- 401 amps l0 600 amps 2 Maulii g address: 9 q 601 amps to 1000 snips 2 City: POI:IrLCpA-z IStatep/1__ ZIP: q7 Over 1000 amps or volts ---- 1 Phone: L.9 I• S U Fax: :�O 'J I E-mail: Iteconnectonly — -- t Owner installation:The installation is being made on property I own Temporary services or feeders- �- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less2 201 amps ht 400 amps 2 Owner's signature: Dale: _ 401 to 600 amps ------ - - 2 Maill Branch circuits-new,alteration, or extension per panel: N3mC: - A fee for branch circuit%with purchase of Address: service or feeder fee,each branch circuit 2 City: SlateIIP: _ It fee for branch circuits without purchase -" -'- of service or feeder fee,first branch circuit: 2 Phone' I ax: E-mail: Each additional branch circuit: PLAN REVIEW(Plense check all (hat appl.9Mise.(.Scrvin or feeder not Included)- O Service%,ver 225 amps-commercial ❑Health-care facility Ear h pump or itrigiyion circle 2 U Service over 320 amps rating of I Bel U Hazimlous location Each sign or outline lighting 2 familydwell ings U Building over Roof)square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,orextension' 2 U Building over three stories U Feeders,4fx1 amps or more *Description: U(kcupani load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above L1 Fgresstlightingplan U Other -- Perinspection - Submit _---sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,please call jurisdiction for more information Notice:phis permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at ___ %) $ Credit card mrmbn: L._I within 180 days afler it has been State surcharge(8%) ....$ r%prrcs accepted as complete. TOTAL . ....... of carAroldd v drown on credit card-- - _ S ----� Cardholder sipWun: Arnounr -- - ._..._-------- 440 4615('0 IM rtMl Mechanical-Permit Application -- ---- lDaterem�xceived::: �/ 9 p d !T.,it ��Xltr City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW flail Blvd.Tigard,OR 97223 Phone: (503) 639-4171 hate issued: By: R (I ipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: ~� )�I 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U'Tenant improvement New construction U Additionlalteration/replacement U Other: JOR S11 FE INFORMATION COMMERCIAL VALUNIVION SCHEDULE Joh address: \3(el z SW V.gC.I} -raPAMo.C�, Indicate equipment quantiiics in ht-)xcs below. Indicate the dollar Bldg.no.: Suite o.. - - - - value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value - . L.of: S Block: Subdivision: - - - 'Sec checklist tie important application information and Project name: �1�1.i� ^� ,jurisdiction's fee schedule for residential permit fee. City/county: - Description and location of work on renuses: _ _ XXL) 5"_--- Fee(m.) Total fast.date of completion inspection: De%aiptkm Qty. Rut.od Rtt.anly Tenant improvement or change of use: rAd handling t CFM Is existing space heated or conditioned?U Yes U No ni Hing(stl—'a plan requtrc ) �- Is existing space insulated'?U Yes ❑No Alteration o rxisting II—VA_ syr -- Hoiler/compressors f Business name:�f�>�� L�a�4 p.e,^Tv---- State boiler permit no.: 7� - — HP Tons BTU/H Address: ,N�- _ � _ ire/smoke amper uct smoke detectors City: rl p-o,w Stat• fy ZI-P��L�p eat pump(site plan required) Phone: (D(eI (x(03 Fax: L� E-mail: nste /rep ace urnac� urner___ BTUIH — CCB no.: t, Including ductwork/vent liner U Yes O No nslall rep ace/re ocate heaters-suspen ed, City/metro lic.no.: _ wall,or floor mounted _ Name(please print): IC Q�� Vent for appliance other l inTuFnace -- 27 eefrigenf on: Absorption units—..._—_ BTU/H Name: fA'(1w V-- Chillers-__-- HP Address: I SUMa(L1C p Compressors HP - — - Environmental ex must■e rent latron: City: '( �p State:d(t, ZIP: Appliancevent Phone: 1673 Fax:ZAU•3 S E-mail: 74 l [)ryerexhaust----�-- - i _ -- ooc s, ype /res.kitrhen/hazmat T hood fire suppression system Name: 1f{j "Nt�At\LL- _ Exhaust fan with single duct(bath fans) S Mailing address: r�z_ 12Lc 1q�? _ Exhaust s stem a ran from heating or AC J ue piping an st ul on{up t- �) City: _� p state: �. ZIP: 0177011 Phone: 1 - t7 Fax: E-mail: Ty LPG _� NO Oil LLJ Fue i i.t bac additionel ovoutlets rocenpiping(schematicrequired) -- -� Name: Number of outlets - -UNW 111wed app tact or rpU`eW: Address: Dmorativefireplace_ _ Z• City: State:_ ZIP: nsert=type Phone: F 4:mail: moo stov pe et stove Applicant's signature: Date: Other: w Ot er. Name(print): Not ell judatictionx mccept credit curb,pkaee cdl imioction for rmre hdormdtion. Permit fee.....................$ Notice:This permit application OY�sa u MasterCard Minimum fee................$ expires if a permit is not obtained r'redit card mmher: _ L�--- Pian ItVICW(at — %) $ - Expims rthin 180 days after it has been State surcharge(8%)....$ Now Naof c r n i Wn on c it crd �- accepted as complete. - -- --- f _ _ TOTAL, .......................$ - - -(Will Eder d`nsture -Amount � ..__�.._. -- 440.4(I7I(utxk(-(lMl CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED DAVID JEROME ELECTRIC MAY 15 2003 PO BOX 751 C;,11Y OF- TIIARD HILLSBORO, OR 97123 BUILDING DIVISION Electrical Signature Form Permit #: MST2003-00141 Date Issued: 5113/03 Parcel: 2S109BA-07900 Site Address: 13672 SW LEAH TERR Subdivision: DAFFODIL HILL Block: Lot: 005 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached, Path 1. 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 have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: El ECTPICAL_ CONTRACTOR: HEIGHTS CONSTRUCTION DAVID JEROME ELECTRIC PO BOX 91249 PO BOX 751 PORTLAND, OR 97291 HILLSBORO, OR 97123 Phone #: 503-291-2550 Phone #: 648-5144 Rey #: LIC: 36051 SUP 28775 ELE 34-11 9C AN INK SIGNATURE IS REQUIRED ON THIS FORM x, ; Z Signature of Supe isirig'Electrician If you have any questions, please call 503.718.2433. LECTRICAL CITY OF TIGARD RESTRICTEDE ERG DEVELOPMENT SERVICES RESTRICTED ENERGY 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT#: ELR2003-00213 DATE ISSUED: 7/24/03 SITE ADDRESS: 13672 SW LEAH TERR PARCEL: 2S109BA-07900 SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 005 JURISDICTION: TIG Proiect Description:Audio, alarm, phones and tv's A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: X AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: HVAC: X DATA/TELE COMM: MEDICAL: VACUUM SYSTEM: X NURSE CALLS: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP . X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: Owner: — TOTAL#OF SYSTEMS: HEIGHTS CONSTRUCTION Contractor: _ PO BOX 91249 QUADRANT SYSTEMS PORTLAND, OR 97291 PO BOX 14833 PORTLAND, OR 97293 Prone: 5()_1-_-,)I-2550 Phone: 234-5558 Reg#: MET 00002,406 SUP 1 2 1 I.IIJ: LIC 90800 FEES ELf. ftq 'BInspections PDesc_ription� _ Date Amount Low Voltage Inspection PRM I LPrrmii 7/24/03 $75 00 Elect'I Final X]8%Sime Tax 7/24/03 $6.00 Total $81.00 chis Pen-nit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires YOU to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issue) by �� `"y - _ Permittee Signature OWNER INSTALLATION ONLY The nstallation 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 07/23/2003 13:50 5032362322 QUADRANT SYSTEMS PAGE 02 Elcetrical Permit .A 1xcat on �CEived Electrical Date/B_ - Permit 'v.' ODa 13 City of Tigard Planning Approval Sign 13125 SW Nall Blvd, ; �r:r -Oat -- Permit NQ: Plan Revlew Other Tigard,Oregon 97223 Date/By. Permit No.. Phone; 503-6394171 Fax: 503-598-1960 Post-Re _._ Lend Use Internet: www,ci.tigard.or.us DetrJB Case No.: 24-hour Inspection Request: 503-639.4175 Contact ]UTIs.; I WY bee Page 3 for -�s��h0d�--- Su lemcntral Infermntiod. New Gstructlon Demolition . Service over 225 amps- Health•c#rc faclliry Addition/altcration/r lac¢mcnt Other: COrtirtiCMia1 []Ha>Ardeus location 1i} ❑Serlice over 320 amps-MOTIS of ❑Building over I0,0oo sq,,arr feet, NIV 1 do 1 family dwellingd four of more residential unit_r m 1 & 2_-Fates dwelling Commercial4ndustrial System nvcr 600.MIh nominal oar structure Ll Accessory Building Mult- lj]y Building over three stories �]Feeders,400 amps or marc Master Builder U Ocoupant load over 99 pKanns 1]Mnnufseturrd structurc9 or RV park Other: ❑F-gress/liahting plan ❑Other. t.. submit_.sets of plans with any of the■bovn.. .lob site address: I 6-q.1 Sy3 L�Ah I�f(�t�C (_ The above are not apiallable to temporary nstrueHen vice. M' Suite#: Number of itue #elle Pro ect Name: - -- ES Per le Mill allowed _ _ Des^ti tion Qty Pee(to.) Tofd Cross street/Diregfians t0 Job Site: New resldentlal-sln{le or multi-falU p mer tan�S _ ,�>+t (ps j -(� J*0111119 Unit.Includes attached>'Arago. J Servke Included: 1000 sq.ft or less 145.15 4 Each fddihonal S00 en.0.or r onion rheeeo��— 33.40 j Subdivision: ,�}. L �(�� .Ot#. J - Limited enetM.csidentisl 7400 2 —�` Limited crar non residential 75.011 2 Tax ma / areCl#; $ach manu(ytt<ue3"home or modular dwelling xm•ice andlor ftedet Services or feeder installation, 90.90 altKition or relocation: 1 200 ettvn or less iw. fC• 1 (sAlro 101 amps to 400 ends —`-- ,80,3o ' _ 2 UU 401 aMDS to 6ttC amps _ 160 30 z 601 amps to Io00 AMIM — 140.60 2 _Name: r tow seat's or volt. _ as4,rs Z -- -�a� 1 _ onl 66,85 2 Address: _ _- ry service#or fecdcrt-Instfilatlan, Clt /Besets/Zip: `-- ,or relocation: °t leas 66 95 I r ` to 400 AM 1 �'- _ 100.30 2 am 133.75 1 Branch tirealts-new,alteration,or Name: — - --- - — exttnslonper panel: Address: - A.Fee fcr branch circuits with purchase of mer-duc or feeder fee,cede bnttch circult 6.65 1 CI /State%Zip: B.Fcr for branch :� -- circuits without lamhae of _ bthPhonC: 7gX: ervice or feler fcefutn — circuit -- _46.85 `---- 1 Each additional branch circuit 6,85 2 E-mail: A4isc,(Seev ce or ferrkr not ineluderl): EachPMP er irriftation circle 53.40 7 Job NO__ � Fach_si oorMlinr.li 53A0 - 2 _ st rul crrcvit(s)or n limited cnerfy panel, Business Name: �.a_acjr s.,`ry�� — attcration,ot=tcnriorl P 1 2 -- Address: „ ,rrrcripirot„ -- C�/State/Zi t_.I.1 �� 9�' "' Each addltlond Inspection over the allowable I�n any of the shove: Phonc: t1' 5rrpe - F C -�- Per in �_onwhour(minJl hour) _- __ 62.50 - uZ 3b a3 a !oven lion fee_ CCB Lao.#: Lia #: JZ I I t_ Other. — ---- - Supervising electricians 1 '- signature required: r.� _ Subtotal $ _ Plan Review 25°/6 of permit Pee $ Frint Name: )✓ic, / �A_ State Surcharge 8ye of Permit Fee S Ju It £>x- TOTAL PERMIT'FEE S _ Autharizcd _.— _-- _ . Signature ,IZ Notice- 71111 permit epplkatinn expires Ire permit is not nhl■lned within bate: _ 3 1A,0 days after It 1169 been■erepted ar eompletr, •Fe►mrthodolary set by Trl-County flulldl11a Induslry Servlre Boned, b` (Please print name) i.NDsei%Pcrmit Pomm\ElePermitApp.doc 01103 CITY OF TIGARD Residential Cerlificate of Occupancy Permit No.: 7 .�j'_(J� / A(I(Iress: Owner/Contractor: �� Date of Final Inspection: llc-iyC`_t_�- Inspector: This structure has been found to be in substantial compliance with the provisions of the.Stare of Oregon One& Two Fmnily Dwelling ,�pfL alt} Code and is hereby approved For occupancy. CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -- INSPECTION DIVISION Business Line: (503)639-4171 BUP Received — _^Date Requested _ — AM PM _ BLIP Location - -- Ito 7 Suite— ------ --- MEC _ ----- Contact Person Ph( —) ��—L_11' PLM _--___— Contractor ---- - -- ----- -- Ph(—) - - SWR ---------- BUILDING - Tenant/Owner — _- ELC Footing - --"---- Foundation Access: ELC Ftg Drain ELR N Crawl Drain __ -- Slab Inspection ates: SIT Post& Beam -- ---- Shear Anchors - Ext heath/Shear Int Sheath/Shear -- ------ -- - Framing ------------ _... -_�.____ Insulation --' _---- Drywall Nailing ---- - ----_-- -- - Firewall ---- ----fire Sprinkler - -- --- ---- --- Fire Alarm - Susp'd Ceiling --- .._ --- - Roof Other: - - -- .. -- - -- Final PASS PART_ FAIL --- -- -- - ----- - - PL_UMBING- Post& Beam --- -- - ----�- Under Slab --_ Rough-in Water Service Sanitary Sewer -- - Rain Drains Catch Basin/Manhole -- — Storm Drain - - ----- ---- ----- ---- - Shower Pan Other:- -- --__._ --------- ---------- --- -- rri iAS PART FAIL - - -------- ------- -- W---- - - ---- ----- M ANICAL Post& Beam------- -------- -- -- - Rough-In _--- --- Gas Line - - Smoke Dampers -----.---- ___--_ -_--- --- Final ------ - - PASS PART FAIL --- -- --- -------.-- ELECTRICAL -- �-----�------ _-----� Service --- ------ --- _ -- -- Rough-In 'JG/Slab - - - - ---- ---- -- Low Voltage Fire Alarm - - -- ----- - -_ - - ----- ------ Final r1 PASS _PART FAIL LJ Reinspection fee of$__.._,-- -�___-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE [] Please all for LOTREMOVE n RE:----., __. Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector '�J I't Other:Final DO this inspection re rd from the Jab site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested. ��Q:_Q _ AM PM BUP -- Location 7'b`13-4=� �� 1�_3^'i _—_—Suite MEC _ Con;3ct Person 2-►A --- -_ —— Ph( —)� 4 ) __-- PLM _--- — Contractor __-- ------._..-__.__- ----.__--- Ph( -) _ _ __-- SWR --_---- BUILDING Tenant/Owner ELC Footing — ELC _ Foundation Access: — Fig Drain ELR Crawl Drain —� Slab Inspection Notes: SIT Post& Beam Shear Anchors ----- - __-------------__----------- -- ___-_—_-___._. Ext Sheath/Shear Int Sheath/Shear ----- ------- — Framing Insulation Drywall Nailing ----- - -- -------.-_....— --- -------- Firewall Fire Sprinkler — - - ------------ - -- -- -- ----- _ --- Fire Alarm Susp'd Ceiling RoofOther: Final -- ---- - ------ ------- -- -- — - ---- ---- Final PASS PART FAIL -- -- - ._ .. - - _...------- - ---- _---- ----- PLUMBING Post& Beam A_ Under Slab Rough-In ---__.-_---------.__. Water Service -- -- - - - --- - -- - — --- - --- — _- -- -- Sanitary Sewer Rain Drains - --- ---- -- ------------ ---- -- - Catch Basin/Manhole Storw Drain - - - ---- - - - --------- --------- - -------- Shower Pen Other: -- -.. ---- - - - - -- ---- --- ------- -- -- - - __— Final PASS_PART FAIL ---- - ----- - - -- --- ----- -- --- MECHANICAL Post&Beam --- - - Rough-In -------------- ---- -- _- --- - --- ---- Gas Line Smoke Dampers ---------- -------- -- ------- --- --_ --- -- Final T FAIL -- -- _-- -- - - - ---- ECTFiiC Service — -- --- Rough-In UG/Slab -__ — -------- --- —_- Low Voltage - - -_- -ire Alarm PAS FART FAIL F1 Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT Please call for reinspection RE: ------ na le to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data --____ � - _7_' Inspector- — _ Ext Other: __-- Final DO NOT REMOVE this Inspection/cord from the job site. PASS PART FAIL bk,AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA i ( i `� iA i pop.J o ► te. ► ci poll O ► b t4 ► O ; ` ',J ire ► ` Q v O� a� p 1.0 A 741. a ` -b ► q O P. J a O ► qu > A ► .lu V -� ► lu AIN, ► N �l. I►►lop,► 04 poo. H � Q H W ► q O V ► / d � as � ► CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50s)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 /! BUP _ Heceived Date Request � AM__ PM—_ BUP Location __— Suite_—_ ME Contact Person _.__ __ Ph 7 Aq PLM Contractorh(____/ � SWR BUILDING _ Tenant/Owner __ — __ ELC Footing ELC Foundation Access: _ Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors -�-------- _-- Ext Sheath/Shea,- Int heath/ShearInt Sheath/Shear -- IFraming Ac, ---- Insulation Drywall Nailing - - ------- Firewall Fire Sprinkler --- — Fire Alarm Susp'd Ceiling - ------ Roof in PART FAIL �PLUMBING Post Post& Beam Under Slab Rough-In Water Service - - --- Sanitary Sewer Rain Drains Catch Basin/Mar hole Storm Drain - -------- --- - — --- Shower Pan Other: ----- --- ------- - - - ---- Final - PASS PART_FAIL MECHANICAL — Post& Beam -- Rough-In __--._—_-- ----._-- _-.- Gas Line -- - Si ampers _ --._ _ -- ----- -------- in A RT FAIL ------------ --- -- __- _ — _ --__-�. TRICAL Service __- -- ----- ------- ------ - - _ Rough-In UG/Slab ------ --- -------- l_ow Voltage _ Fire Alarm Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:- _ —_-- Unable to inspect-nu access Fira Supply Line ADA ApproactuSidewalk Dates 4--� Inspector _ - --___-. Itxt - Other Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL