14040 131st Terrace 14040 131ST TERR 1 OF 1 FILMED 2004
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14040 SW 131." Terrace
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST e2
INSPECTION DIVISION Business Line: (503) 639-4171
BUF'
Received - Date Requested _ AM PM BUD
Location I Y0 Li) _l -44.- l- e- - Suite - M .0
Contact Person -[J`' - Ph(__- ) i-5-- 7(F41_ PLM
Contractor — -- -- — — - - Ph(_______) --- — - SWR
BUILDING • Tenant/Owner ELC
Footing — ELC
Foundation Access:
Ftg Drain L-./3 / I ELR
Crawl Dain I "� l _----_
Slab Inspection Notes. SIT
Pc t& Beam
Shear Anchors
Ext Sheath/Shear _ •---
Int Sheath/Shear t -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other
ASS(. PART.-- FAIL
PLUMB IN 3
Post&beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Resin/Manhof a
Storm Drain
Shower Pan
Other
Final
PASS PART FAIL ---
_MECHANICAL
Post it Beam
Rough-In _-- - —_
Gas Line
Smoke Dampers
r i 7
PART FAIL
ELECTRaCAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next inspection Pa-at City Hall, 13125 SW Hell Blvd
, PASS PART FAIL
SITE [ _1 Please call for reinspection RE -_ [ 1 Unable to inspect - no access
Fire Supply Lint
ADA C�.j Ins ector iii Ext
Approach/Sidewalk Date__ � _ P
Other.
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 �O� 3?
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
F;eceived _____ ___ Da,e Requested s _ -___ AM _ PM _ _ BUP
Location / tQ _.____._/ 3r-4-44- . Suite------- — MEC - ---
Contact Person LS -(/ Lt2 Ph(__ ) $ 75 '1V-4 ' PLM ---
Contractor • _ Ph(_ ) __ SWR
BUILDING Tenant/Owner ELC
Footing
Foundation
Fig Dram (� ELC
Accets:
- C2O ELR
Crawl Drain A/
Slab Inspection Notes. SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing -+----
Firewall
t
Fire Sprinkler " 1
Fire Alarm
Susp'd Ceiling _ - —_ -- -- - - - ----
Roof
Other --
Final
PASS PART FAIL
PLUMBING —�
Post&Beam
Under Slab -- - - — ---------
Rough-In
Water Service - ---
Sanitary Sewer
Hain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
S PART FAIL --
HA_NIC_AL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL -
LECTRICAL
-
Service --------- -
Rough-In -
UG'SIab
Low Voltage
Fire Alarm --_--- - _----
Final I Reinspection foe of$ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL
Please call fcr reinspection RE.._____ [1 Unable to inspect no access
Fire Supply Line 1 �.-,
ADA C,
Approach/Sidewalk Date _ rInepocto/ � Y` Mgt
Other
Finel DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION D!wISION MST '-t�c3
Business Line: (503)639-41�1 _—
BUT
Received _____________Date Requested______S---,..$:- _ AM_ PM
— -- BUP _
Location l O ge —_____./3177€44_. Suite_
MEG
Contact Person --
Ph ( ) — PLM
Contractor --
Ph( )
-- SWR
BUILDING Tenant/Owner —
Footing — ELC _
Foundation
Ftg Dram ACC@SS: /��,/ ELC —
Crawl Drain �(' "L� / T �7 ELR
Slab Inspection Notes: /
Post& Beam SIT
Shear Anchors � -
Ext Sheath/Shear I
77-477}----e fL/ i rI �/
Int Sheath Shear / 1`
Framing / -
Insulation —
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alaim —
Susp'd Ceiling ---------
Roof _
Roof
Other.
Final --+ ---- —
PASS PART FAIL — —
PLUMBING _ ` ----
Post 8 Beam -----
-
Under Slab
Hough-In —
Water Service -
Sanitary Sewer — -- --
Rain Drains _ _
Catch Basin/Me;nhole — —� —
Storm Drain
— - - _
Shower Pan _.__.—.—
Other-
Final --- --- —
PASS PART FAIL -
MECHANICAL
Post& Beam --
Rough-In --- --
Gas line
Smoke Dampers
Final
PA T FAIL
ECTRICA I
Rough In
UG/Slab
Low Voltage
Fire Alarm
.� ii r I Remspecticn tea of$
��y� PART FALL _ required beford next inspection. Pay at City Hall, 13125 SW Hall Blvd
S - __ __ Please call for reinspection HI Fire Supply Line — — Unable to inspect-no access
ADA sY�/
Approach/Sidewalk Date V__ Inspector
Other - --
Final DO NOT REMOVE this Inspection record from the job sIte.
PASS PART FAIL
!►AAAAAAAA••••AAAAAAAAAA•AAAAAAAAAAA•AAAAAA••••AAAA•••AAAAAA4IF
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1 STREET TREE CERTIFICATION
1 '►
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AI. _ < 7->Li1 , Owner/Agent for _ , 1L.; ' -, ' _-,-11c..17_1--k
1 I (PLEASE PRINT) (PERMIT HOLDER) ►
1 ►
A ►
1 ►
A
: Do hereby certify that the following location ►
1} ►
A meets City of Tigard/Washington County i
land use and development standards for street tree installation.
1 ►
1 ►
1 ►
I
ADDRESS: ' 1(1 H - ti , 1 / e,'7a Cr, I , < rx
1 ►
A LOT: _ 7 SUBDIVISION: r�o•\,' e n' S R ► cA 5 -c_-
4 1 ►
1 ►
BY: .- DATE: mo ut (_ 1 2C C 3
1RECEI�rED BY: Zc DATE: J7- - ►
1 ; , �; . ��
CITY OF TIGARD
Residential Certificate or Occupancy
Permit No.: 24:( Z_ x`72 J Address:
Owner Contractor: 0 uc-5 r
Date of Final Inspection: S= 7_,. Inspector: ,r,
This structure has been found to be in suhstant:al compliance w ith the pro•inions of the State of Oregon
S Leialti Code and is hereto appto�ed for occ upancs R One& Two Fantih Duelling
CITY OF TIGAPD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST 4_3,'
BUP
Re`se Date Requested_. .S- 7
AM PM_ BUP
a'aha- :'- ��''`` ` 1� Suite MEC
ntasl r�sr Pe .._�. _-- �.c_�—_-... Ph _ _—�
:.0
( ---) -� I S 2L PLM
Ph( ) - — SWR
Tenant'Owner _______ —
ELC
tNirldatror
it 7rnir Access: ELC
;:raw ;lra L- i3 e,))‹ - /g 7 E L R
Stat Inspection Notes:
po 'd Bearr SIT
Shea, Anchors - --- - - --
f r Sheath'Shear
I^ Sheath'Shear
Framing
Insulation
Dr waf Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other
'ASS/ PART FAIL
PL MBINQ -
Post R_Ream
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin i Manhole
Storm Drain
Shower Pan
Other -
Final
PASS PART FAIL - --
MECHANICAL
Post& Beam
Rough-In -
Gas Line --- - ----
Smoke Dampers -- --- - ----
Final __ - - - - -
PASS PART --
FAIL
---------------------- --- --
ELECTRICAL— --
Service -`—` -- _— -
Rough-In ------ - --- — - r��-.-
UG/Slab _
Low Voltage --- - - -. ---
Fire Alarm
Final
before next Reinspection fee of$ requiredinspection Pay at City Hall, 13125 SW Hall Blvd
PASS PART FAIL [
SITE H
Please call for reinspection RE
Fire Supply Line 1 Unable to inspect no access
ADA
Approach/Sidewalk Date �` 7 3 Inspoctoy / L
Other: ` ----- Mit
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
MASTER PERMIT __
T1( OF
T I Rry
DEVELOPMENT SERVICES
V PERMIT #: MST 2002-01399
D IE ISSUED: 10/22/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S109A8-07£200
SITE ADDRESS: 14040 SW 131ST TERR ZONINGIt
SUBDIVISION: RAVEN RIDGE JURISDICTION: I-'
7
BLOCK:
LOT: 'Ill'
REMARKS: New SF detached, Path 1. BUILDING
—
_ -- REQUIRED SETBACKS REQUIRED
STORIES . FLOOR AREAS
REISSUE
CI.ASS OF WORK. NEW HEIGHT 24 FIRST .. sf BASEMENT '. . sl LEF1 5 SMOKE DETECTORS •
TYPE OF USE: SF FLOOR LOAD. 40 SECOND . if GARAGE
4',: sf FRONT PARKING SPACES
RIGHT
TYPE OF CONST: SN DWELLING UNITS: 1 FINESMENT sf VALUE 4 .t REAR
OCCUPANCY GRP RI BDRM 5 BATH: 4
TOTAL 1'ri4 sf
Pt UMBING
+ RAIN DRAIN "�'� TRAPS
SINKS . WATER CLOSETS 4 WASHING MACH • LAUNDRY TRAYS. CATCH BASINS:
LAVATORIES �, DISHWASHERS
FLOOR DRAINS SEWER LINES I• SF RAIN DRAINS
WATER LINES BCKF_W PRF"'•TR GREASE TRAPS
T U819NOWER9 4 GARBAGE DISP WATER HEATERS ' OTHER FIXTURES
MECHANICAL
FUEL TYPES TURN t 100K
BOLI/CMP Y THP VENT FANS CLOTHES ORVER 1
+
FURN Y•tUOK UNIT NEATEPS
HOODS OTHER UNITS
.,4', WOUDSTOVES GAS OUTLETS.
MAX INP
btu FLOOR FURNANCES `'cNTS '
ELECTRICAL
MISCELLANEOUS AID L INSPECTIONS
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS --
1000 SF OR LESS I 0 • 200 amp 0 • 200 amp
W/SVC OR FOR I PUMP/IRRIGATION PER INSPECTION
201 •� 400 amp
1st W/O SVC/FOR SIGN/OUT LIN LT rER HOUR
FA ADD'L 3009E h 201 - 400 amp SIGNAL/PANEL IN PLAN1.
401 • 600 amp EA ADDL BR CIR
LIMITED ENERGY 40 � 600 amp MINOR I ABEL
MANU HM/SVC/FDR Sot • 1000 amp 60t•amps•1000.
1000•arnprvuit PLAN REVIEW SECTION
Rscnnnsct only .d RES UNITS SVCIFDR••22S A ..600 V NOMINAL CLS ARENSPC OCC
ELECTRICAL•RESTRICTED ENERGf "—
B COMMERCIAL
A SF RF.SIDENIIAL _
AUDIO 6 STEREO VACUUM SYSTEM
AUDIO A STEREO FIRE ALARM INTERCOM/PAGING OUTDOOR L NDSC LI
6URnlAR ALARM. OTH
BOILER HVAC LANDSCAPL IRRIG PROTECTIVE SIGHT..
CLOCK INSTRUMENTATION MEDICAL OT11R.
GARAGE OPENER
MS
IIVAC
DAIgRELECOMM NURSE CALLS 10TAL�SY9TE
TOTAL FEES: $ 8,930.24
Owner Contractor: This permit is subject to the regulations contained In the
OVE PETERSEN SCANDINAVIAN GENERAL -fgerd Municipal Code, State of OR Specialty Codes and
7761 SW OAK ST CONTRACTING(OVE PETERSEN) all other apple:able laws All work will be done in
TIGARD.OR 97223 7521 SW OAK ST accordance with approved plans This permit will expire d
PORTLAND OR 97223 work is not started within 180 days of issuance or if.o old
work is suspended for mcre than 180 days ATTENTION
Oregon law requires you to follow Iules adopted b/the
Photo. 2-y,t
e 45s7 Oregon Utility Notification Centel Those rules are set
Phone �111_,�52-q,15) forth in OAR 952.001-0010 through 952-001-0080 You
Rig A 1►I►1)I'll-I(t may obtain copies of these rules or direct questions to
1 I1 OUNC by calling(503)246 1987
REQUIRED INSPECTIONS
Gas Fireplace Sprinkler
Erosion Control Insp 8' Post/BeamStructural PLM/Underfloor Framing Insp Gas Insulation Insp Sppr(SeFinal las{,
Grading Inspection Post/Beam Wall Insp Beam Mechanics Mechanical Insp Electrical Final
Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage
Water Line Insp Mechanical Final
Founda}wrt 1n3p Footing/Foundation Or; Electrical Rough In Gas Line Insp Sprinkler Rough-In Plumb Final
4 ,--1/WWI. L y : ,,_ -j41164 . Permittee Signature : jr —
Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day
I
CITYOF TIGARD - SEWERCONNECTIONPERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2002-00260
Aditi13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/22/02
SITE ADDRESS; 14040 SW 131ST TERR PARCEL: 2S109A13 07800
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
Owner: FEES
OVE PETERSEN — — __________ -SW OAK ST Description Date Amount
TIGARD, OR 97223 IsWI•sAI s‘11 r iiIllli,I 10/22/02 $2,300.00
IsWINsI'l Si Iii.lu't 10/22/02 $35.00
Phone: So3-452-145; — --- — - —
Total $2,335.00
Contractor: �!
Phone:
Reg #:
Required Inspections
r 1
11
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 w'i be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given. the installer
shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and
Side Siewee-Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted
by a Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0100
Y u may obtain copies of th1
ese ru___,
les or direct questions to OUNC by calling(503) 2466699
sued by: ks.______4... , ) L.4 i#td4� Permittee Signature: , , . ,J
Call (503) 6313-4175 by 7:00 N.M. for an Inspection needed the next business day
"t
.
,.;i—C rig ;,i;
• Building Permit Application
Datereceivea: f/1/. Permit no ,
.414. 'IL' City of Tigard -- --
.�
F'ro�ect/appl.no.: date.
City njTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 s - -
Phone: (503) 639-4171 Date issued: By:I Receipt n.,
Fax: (503) 598-1960 Case file no: Payment type:
Land use approval: —_ -- l&2 rarntly.simple Complex `/
TYPE OF PERMIT '
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition
U Addition/alteration/replacement U Tenant imps,ivcmcnt 'U Fire sprinkler/alarm U Other:
JOB SITE INFORMATION
Joh address: 610 U St/4 I T I` Bldg.no.: Suite no.:
r � lax ma /tax lot/account no.:
Lot: '1 ___ Block: — Subdivision: QVC N S �� C map/tax
Project name:
- -- —__� _--
Description and location of work on premises/special conditions:__.. - _— --
OWNER ---" FOR SPECIAL INFORMATION, I'SI. ('III-kt.ItiI
Name. 0 t e PEI a 'Sraki -_ (I'loodplaIn,still lceapath y,solar,etc.)
Mailing address' 7'VI SW DAKS1 . I & 2lamily dwelling:
City: 1`1 WI/2-PFS-tate:Q I "l.IP: 7213 s Valuation of wort. .... $ - ' _
Phonc:slr; 4 S?-9`1S tTFax: E-mail: No.of bedrooms/baths... _5 - j 'z
Owner's representative: Total number or floors �.
Plume Fax: F-mail: New dwelling area(sq.ft.) . '7 �__
%1'1'1 l( %1 I Garage/carport area(sq. It t '150
Name: Covered porch area(sq. ft f 0 ______
-- Deck area(sq. ft.) ��`---- —
Mailing address: _-
city: state: ZIP:
(ether structure area(sq. II f .. e'
Phone: Fax: - E-mail: a Commercial/Industrial/multi-family:
((►1 I It U( I Olt Valuation ofwork...... ..... . . h
Existing bldg. area(sq. ft.)
Business name: $(_C!rid t r Ity"rtq vs rjr'vU r A C u►, f Ac( n
- New bldg.area(sq. ft.)
Address: '7/1,/ S(+._O ekk S4- " Nuntl>rr of stories
City: 1 1 y os►i Stale:C' ZIP: Z'Z 3 Type of construction . _
Phone:(,k�"} 412 510 Fax. r w, rn14, E-mail: Occupancy group's): Existing.
CCB no.: 1117 �`��. e��� b ---- \ New: ___
City/metro he.no.: Notice:All contractors and subcontractors are required to be
11111SII( ( I'1►1 `II.\1 It licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to he licensed in the
- -- —' -- --- junsdiction where work is being performed. If the applicant is
Address:
State: l,1P. —' exempt from licensing,the following reason applies:
City: -----r;_.--.
Contact person: Plan no.: _ _
- - — --- —
Phone: Fa 1'. 11111) y
Phone: — -----"---
ENGINF'4 R
Name: ('intact person: Fees due upon application $-.-.____—
Address: _ _ Date received: —.
City: _ — State: 'LIP Amount received $.___---.._----
Phone: Fax: i E-mail: Please refer to fee schedule. -
1 hereby certify I have read and examined this application and the Nw n,an mot&noaccept credit cw se ta
t.,please pmvlrcnun lin uinformation
mote inforon
attached checklist All pnrvisi ns of Illi -pnd ordinances governing this U Visa U MasterCard
work will be complied with !ie 'ified herein or of t't '`w't number - 4 i
/ 1 Iptre.
Authorised signature: ".44-1 Dole: Z1�O L None'of caiipndJer w fio»non credit cid
GjE)<' t
Print name: 0�C cr..�_----- Cardholder i,p,nwe Amount __.
Notice I his permit application expires if a permit is not obtained within 180 days alter it has bet accepted as complete. 4*0.4*0 r ibornr'ossi
One-and Two-Family ))welling
.1.1. Building Permit Application Checklist Reference no.:
Associated permits:
CityofTigard City of Tigard U Electrical U Plumhrr.g U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther
Phone: (503) 639-4171
Fax: (503) 598-196(1
1 Land use actions completed.Sec jurisdiction criteria for concurrent reviews.
2 'toning.Hexad plain,solar halancii points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot.
4 Fire district_ _approval required. _
5 Septic system permit or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval
8 Soil.report. Must carry original applicable stamp and signature on Isle or with application.
9 Erosion control U plan U permit required. Inch.r.•drainage-way protection,silt fence design and location of
catch-basin protection,etc.
I0 ) 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 be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot he onnpleted
if copyright violations exist.
11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions:property corner elevations til
there is more than a 4-Il.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems,utility locations;direction indicator;lot
area;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 size,location of smoke detectors,water heater.
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 ('mss section(s)and details.Show all framing-member sizes and.,pacing such as floor beams,headers,joists,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 sheathing,roofing.roof slope,ceiling height,siding material,Footings and foundation,stairs,
fireplace construction, thermal insulation •(c.
15 Elevation stews.Provide elevations for new construction;minimum of tw•i elevations for additions and remodels.
Exteriot i prions must reflect the actual grade if the change in grade is greater than him foot at building envelope.
1 . Item..''• I. foundation elevations with cross references arc acceptable.
I() t hi int;(prescril rr r p;rtlr)and/or lateral analysis plans.Must indicate details and locations,for
riptive path provide spe:ifications and calculations to engineering standards.
17 i"loorlrouf framing. I'rrsidc plans for all floors/roof assemblies,indicating member siting,spacing.and hearing
locations.Show attic ventilation.
IS Basement and retaining walls.Provide cross sections and details showing placement of rehar. I-or engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current axle design values lin"all beams and multiple foists
over It)lira I ,rel•and/or any beam/mist carrying a nun-untliam load. -- ---- —
21)
Mariam-1medfloor/roouf truss design details.
21 F.ner (ode compliance. Irlennl) the ncs.optive path or provide cab•ulations. A gas-piping schematic is required
for four or more appliances.
_
22 Engineer's calculations.When required or provided.(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall he shown to be applicable to the project under rex iew
II Itltllll 11111\I tl'I( II 11 S
23 Five(5)site plans are required for Item 11 above. Site plans must be 8-1/2_s 11"or 11" x 17".
^24 Two 12)sets each are required for Items Ili• 19. 21)& 22 above
25 Building plans shall not contain red lines or tape-one "Mirrored"building plans will be 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 sc:Ie.
28 Site plan to include tree size,type& location per apprrverproject street tree plan Of applicable).and('(1'1 Street Tree 1 ist
Checklist must he completed before plan review ::tart date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved hie department use only 44rr 4t 14 MIN.(
. .... :Lt,C.Li'lt.- c_5-A : (---466cnir.6-kk.. i*AA\t1C-Z__
A Electrical Permit Application
Daterewc,vrd Pelfttitn..�3 2.AliiA ed39!►
City of Tigard J .
'4_11771 1' ProJea/eppi no.. 6xpkedaa:
citynfTitsard Address: 1312n SW Hall Blvd,Tigard.OR 9?223 I}1leiuuen By:__ Rss°iptao.:
Phone: (503)6394171 '—` -
Pax: (503) 598.1960 can tole nu Payment type'
Land use approval:
' Tl PE OF PERIIII
O l&2 family dwelling or accessory U CommerctaVndustrial 0 Multi-family L2 Tenant intltrvvemcnt
0 New caostructon U Addition/alteration/replacement O Other. ___ U Pulul
.lOil'lrr 1\1 ORM-1110N ' •
Joh address: 0 r 0 SW flidt nu Suite no.' Tax map/lax loUoccaint no —
^I.ot Block' Subdivision• ,o 0_, ,,,,;de
Protect nurse: Deicnption and location ,.work on pennies: _-- --1
iummFrbmated dare of coni lletnxtIti pe Ino
u
lob ret Teo MAS
_._-____------- ------...--- --••••*------- Dwq{Oiw— ' Qty. los.) Total se.kap
Bttaioeas same: d..ce I lirC ..1.p .• J Iwwnwtrrd.l•rMdrw p.,
Addtesa• C1, A 1c,-17la _ /walingunit Melds essandenrage.
dty C i r s-�� Sti10' ZIIPk f30 7 tte,..lnAede+r! 4
Fax: r- s, � .____moo,Qorlees _.- _
' f •, • each eNittond Sao f4 R:a v think
CCB no.: , e' 6lsc bue.IIe.oro: , ..Igragi.- I1.c._\ Untied cant treldamsl :
Cl /metro lie.no.: 4 , Linilledana ,r.oe-residewdtd —� _ - 3 —
Jdl rsoeYf>atlwsd hone or medals dwelling��t.____.._ 11e C�- s.rrlua,dtarrada v Z
Slimes . • owe a ripen(I�j1INW) Se IwItilWtta, ~�
SYp.elea.narna(ptnt). Wens* elnrstlenornlenllse
1'11(11'1 It l l (1\1 N111 TOO anitrnrintu __ — 1
arse 11. 201 ones ,100 Banal 2
.._ . .___ .. . -- --' -- d01,,,,,,,,.„..),„,2„. 1
. . addttse _�601 tem co iso snips . ��•I
ty' Vire: .-.-_.-. _Over 1000 rept or vola ..—.-- _ __ _
ax: Email: Reconnectody _ I
.net insollation.`'I. issuUaoou IR being made on property I own T"rifere evieeserhvdln• t
which is not Intended for sale.lease,rent.re exchange ac:oiding to v10'at"1ee ieriNiw'ert.l.+a.n
200 at.p or lob 1
ORS 441.455,479,670,701. 101 nip.to ILIO Non t 1—~
Owners s atom. Date. _ _ 401 to 600 snip. 2 ,
intim*emits•eew,tdterelien,
w.Weemsr,pee panel:
Nam_' _ _._ , A Pee for brach nrtulu with purviews/
Address! luvluorWere reu,eta hbrush errant 2
City State ]ZIP II Fee for Owen dreviu.vltnoSI preeiase
of&orrice or feeder foe Rnt bra.efi eurwt 2
Phone. Fox P mail' Bacbadditional nratchcneNali.
1'I N\ Ill %II AS'lIicaic check .,Ii that .tppitI Mc-(Swore etReMs.trc$udr4)
Path pang or rt,cle 1
O servlet now 1211em r<rnerwe ori O Ilrhkeore hello. s.�--+-
O Santos over)20 rmps•redng or I a. O IUtrdous Ioalm Eiehii jn et oeiLnen �1 2__
Andre&.eLAC' U 9iII4Ml ow.10,000 puma Mt alar or Stawat tartvtt1)or e IiniUsd r.way past. 1
U Swam ever 601.,1111 nonenll rile rodueLl units to die arum re e111MU Oe slues..• _ 3
U sendou n.n direr..ee s. 0 Peaew.Urn%AT,M F0.011. `Oew dant. _ i
O(carnet'load over 09 m u perU Itlawebt raven a elms„t e v pot r.sek edtbiIseM'Aioa;.n the JloweiVinsa am aMO.
O lieros/hlhuru pull A 0/er -- - Mi 11161.014011111161.01401111-----f i _1_2.
soak__Mb of plats w0b we e(the shag*. Ie.eaLwon far --.
The Int.esprnefadsehrrrior..seise. Odic, - - ,
_._AT_w _.. Penial fee. . . . ._ .... .S _.
''No rt�,.t.11�t Arm�,.p-r.tAt rrr,plows eea>�s tr.a.NOM atrani.►..� P40111011'Tl+if permit appHeattnn
UVisa 0Ma.vrtvd aspires ltap romisnot obtaYb4 Ilanrvlew(at __ lb) S
e.ee,rad sew foranWMa ISO days Oct it hes been Stitt It rentRe(/w)....$
-- accepted aaaotapk4 TOTAL
roov 4MVDIL d0 111 098i69gtoll XV,J GO It 1003/L0%0I
1 -d Ho ail ll6E EOS 0I4 31iy13J Ii NAM 1 dill 1120 80 [.0 400
Building Fixtures
Plumbing Permit Application - • .OFFICE: USE 1 .
Date received Permit no.:
�_I II City of Tigard Sewer permit no Bait;ing permit no.:
�� _ Address: 13125 SW Ilall Blvd,Tigard,OR 97223
CityofTigard Prnjectlappl. no Expire date:
x Phone: (503 639-4171
Fax (503) 59t(-1960 Date issued.`
By: - Receipt no.:
Case file no. Payment type:
Land use approval: _
TYPE 0. 'ERMIT
U I &2 family dwelling or accessory J('ommercial/industrial J Multi-family J Tenant improvement -
U J New construction J Addition/alteration/replacement J Food service Other: —
JOB SITE I FORMATION FEE SCHEDULE(for special inforroatio ,sec* list) -
Description Qty..Few let.) TotalJob address: (t{0Y0 SW 131 104 .
ISe nd 2-family dwelling,only:
Bldg. no.: 1 Suite no
(indu les IOU ft for each tit Hits connection)
Tax map/tax lot/account no.: _ SFR ( )oath
Lot. Block Subdivision tiFR(2)bath ---___—_ , -.
Projoct name: -- _ SFR(3)bath
City/county_ T�til' h1:
Each additional batitchen
f Site utilities:
Description and location of work on premise' Catch basin/area drain
- -- ---- I)rywells/leach line/trench drain
Est.date of corn lesion/ins ection: Footing drain(no. lin. Il.)MIAMI\(; (()NIR 1("1011 Manufactured home utilities
Business name: Al Ag.* MEN r)4-U Wt e,1 IJ 6 -_- Manholes -- --
Address: i Rain drain connector
_1State: i7.IP: Sanitary sewer(no lin.tt.)- _ _._-
City: ------`-_ ' Storm sewer(no. lin. fl.) I_____
_�
' Fax: E-mail _
Phone:S0� � __ Water service(no.tin.ft.J
CCB_no.. f 0��3z Plumb.bus.reg.no: 3�T6�t�- Fixture or Rem
_City/metro lic.no.: Absorption valve --__ --
Contractor's representative signature: y fir, .�' "` - '--- Back flow preventer ,
Print name: Date Backwater valve
CONTACT PER'()♦ Basins/avatory- -_-
Clothes washer
Name --_--_- --------..-- Dishwasher - __
Address: ___ -_ Drinking fountain(s)
City: -----J -�-
State:-�lll': I..ectnrs/sump
Phone.
=
Fax: E-mail. I:x ansion tank
---- ---
Fixture/sewer cal, .. _
Floor drainsi�(oor sinks/hub
_TA'eme(print)_ _--- -__-_ tiar n a ispustif
h tiling address: - -- _ I ose bine
City: State: :
7.IPIce maker
Phone ----�
Fax: F-mail: - ► interceptor/grease trap ,
Owner installation'residential maintenance only: The actual installation rrimer(s) _-_—
will be made by me or the maintenance and repair made by my regular Roof drain(cotnmer tc a —
employee on the property I own as per ORS Chapter 4)7 5ink(s►,_basin(s), ays(s)- ---J
Sum _
Owner's si-nature D''''
- ENGINE'E'R tubs/shower/shower pan - -
Ur oaf -"
Name: _ -- Waters Deet_
Address --- - _ _ Water heater_--
City:
___1 11 State: 17..IP tither
Phone: 1 Fax: 14.-mail: Tot ,
-------- --- I_ ___ _ Minimum fee S
r-------- Notice Ihls permit application Plan review(at — qo) S
NM all iurredkrwne scums credit card'.please till pelvis(tit*Int more ml��raNum .
U VIM U Master(and // expires it a permit is not obtained State surcharge IR"�1 S ____---
1.Credit card numher .-. _.__. - / rwithin I All days after it has been TOTAL - $ _
spnes rr
accepted as complete
-Fame oTcndAT&I ad sKe rn en credeCiW
S. IMI IhIn Ik'(Inr Ali Cir Iwrldlr d lure Amount __i
I
PLUMBING PERMIT FEES:
r --r PRICE TOTAL New 1 and 2-family dwellings only:
I FIXTURES (individual) QTY tea) AMOUNT (includes all p:umbing fixtures In PRICE TOTAL
Sink 16 60 the dwelling and the firstlO(0 ft. QTY (ea) AMOUNT
Lavatory - — 18 60 _for each utility connection) _-
One(1)bath $249.20
Tuo or Tub/Shower Comb —16 60 Two 2 bath _ $350.00
Shower Only 16 60 ~Three(3)bath �_ __ $399.00____ --
Water Closet - - 16.60 -,
- - -
SUBTOTAL --- -
Urinal 16 60 -
8%STATE SURCHARGE __
Disnwasher 16 60 PLAN REVIEW 25%OF SUBTOTAL 1
- - TOTAL
Garbage Di ees-a- 1660 -. -_ --._-
Lauridry Tray - - 16 60 -
Washing M:chine 16 60
Floor Drain/Floor Sink T 16 60
3' 1660 PLEASE COMPLETE:
4" 16 60 _
Water Heater O conversion c) like kind 16 60 -- - Quantity blr Work Performed_
Gas piping requires a separate mechanical Fixture Type New Moved '2eplaced Removed/-
.ermit -Caped
MFG Home New Water Service 46 40 Sink _ _ __
MFG Home New San/Storm Sewer 46 an Lavatory 4
Tub or Tub/Shower
Hose Bibs 16 60 Combination _
Roof Drains 16 660 Shower Only -_.-._r
Drinking Fountain 16 60 Water Closet ---
Other Fixtures(Specify) 16 CO i-- Urinal -_ _--,
Dishwasnei
Garbage Disposal
-- ---__--- •-- Laundry Room Tray —
--- - Washing Machine
----- Floor Drain/Sink, 2"
Sewer-1st 100' 55 00 "—"-' 3- •-
Sewer-each additional 100'--- -------'-----46 40 4" -
Water Service- 1st 100' 55 00 - Water Heater
Water Service-each additional 200' - 46 40 Other Fixtures
(Specify) -+- -
Storm 8 Rain Drain-1st 100' 55 00
—
-
Storm 6 Rain Drain-each additional 100' 46 40 _,--
Commercial Back Flow Prevention Device 46 40 - -- ---- ---- ---
Residential Backflow Prevention Device 21.55 -- - - -'
Catch Basin - - -� 16 60 -- — -- -'--`--
~-
Inspection of Existing Plumbing or Specially 82 50 --- -
Reguested Inspections _perRv _ COMMENTS REGARDING ABOVE:
Rain Drain,single family dwe!iing 65 25
Grease Trips --- 16 60 -
�- QUANTITY TOTAL ---
Isometrlc of riser diagram Is required it —— — ---
Quantity Totai 1.4 e 9 i ___,____________ -- ---
•SUBTOTAL — —
8%STATE SURCHARGE - - — - -_-
"PLAN REVIEW aS%OF SUBTOTAL -�
Required ortly i1 fixture qty-total 1%19
TOTAL $
'minimum permit fee Is 172 SO•1%state surcharge,except Residential Backflow
Prevention Device which is 131 29•5%stele sumharge
**All New Commercial Buildings require 2 sets of plans with Isometric or Peer
diagram for plan review
I Vista\forms\plm fees doc 12/28/01
J
I
A Mechanical Permit Application
-- —�
Date received
_ Penne ro
,41:":11.' City of Tigard Pro)ect/appi.no.: Expire date.
Cm.of Tigard
Address. 13125 SW hull Blvd,Tigard.OR 97223
Phone: (503) 639-4171 Uate issued By: Receipt nftV
Fax: (533) 59S-19611 Case file no.: Payment type:
-----
Land use approval:
Building permit no
• 11P1 01 I'II011I • '
U I &2 family dwelling or accessory U Commercial/industrial U Multi-f.imily J fcnant improvement
1i3INew construction Li Addition/alteration/rcplaczment U Other:
.108 SI Fl INFORMATION COM 11IIt(-181. V11.1'A1ION MIIF'l/1'I,F'
Job address: i 4t9U ;1.J 1 i i 7 g Indicate equipment quantities in boxes 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: Bir ck: Subdivision: 'See checklist for important al,plication inthrmation and
Project mune: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: — I & 3 FAMILY DWELL 'G/PERMIT PEE SCHEDULE
Description and location of work on premises:— AND COMMERI( %I/INDUSTRIAL EQUIP%IENTSC7IEDULE
------- --.--- `— I I cc(ca.) Iota! '
list.date of completion/inspection: Deaription ( . Res.only Re%.onll'
Tenant improvement or change of use:space III
existing heated or conditioned?U Yes U No Air handling unit . __CFM—_ mgAir (site ,ianreyyuue�
Is existing space insulated?U Yes U No A caution o exiisting IIVAc system _
\1I(111NI(AI. (ON I It 1( 1(111 Boiler/compressors
•
Business name: 1-b-'C(,�t SSI v f ; I __ State bailer permit no.
_ _ _ HP Tons IITU/II _
Address: __ _ __ ire/smoke dampers/duct smoke detectors -
City: 70 7(,ei N ip I State:(1 p ZIP: 9�l Z.3— Neat pump(site(plan re4 c 1-I
Phone:50 i ci Si-' 3 (.I Fax: E-mail. nsta replace(site(
_ I
_Including ductwork/vent liner Li Yes U No
CCB no: Hata repTacc/re acole eaters-suspen e
City/metro lie.no.: wall,or floor mounted
Name( lease tint): Vent tor a iTiance toer t an f urnace
( ()NTA(T PERSON a gest on:
Absorption units _ - -__. Hi't.l/H
Name: Chillers — HP
—
Coin n c s,,o,s III'
Address. ZIP: Appliance
ns ronmenta ex taus,rant sent at an:
City: State: Appliancevent
Phone: Fax: Entail. >T ryerexhaust —i
IMNI It Bonds,Type 1/II/res.knihen/hazmat
hood fire suppression system
Name: Exhaust tan with single duct(bath fans)
Mailing address: _—_ 1'il'uuvt system apart front eating or •C
('it piece: ZIP: wring sad distribution(up to out et,)
Y � Type LPG _— NCI .__ of;
!..
Phone: F'., E-mail: T171 i in i each additional over 4 outlets
•t NGINEI':R 'recess p ng(se( ematuc require(1
Number of outlets
Name: __-- _---• ZflTier--fsiTapplfanni a or minimum,:
Address: _____ _ Decorative firepl:u,
City:——__ _ ` i1 Sriv
Stale: ZIP: en type
!W
P
ltune: x:�. E-mail:[ mail: N odstove/pellet%tot r
Tiber
Applicant's signature: ,/ J4 4th__ rate: '' I c ® other;
Name (print): (ZVC' e 7t/1 NC's) -- -- -----__-_
'Not all)urietklion.&cell urcdit civil..New rall tunahrtiin figmore inlnnunia,.. Permit fee $ -
Notice:ibis permit application Minimum fee
U yin.' U MasterCardMinimum
if a permit is not obtained Plan -
L review(at ___ `�) $ —__
t•tr.m red numhn -- i-spplit. scithin IRO days eller it has been
acceptedcomplete State surcharge(M%) $ --
Name of tardholart iu s&+wn on._rrd s p asTOTAL $
1 adholder signature Amount 441461,uM'Y('UMI
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
T_O_TAL VALUATION: PERMIT FEE: Description: Price Total
$1.00 to$5,000.00 Minimum fee 572 50 -__ _ Table 1A Mechanical Code Oty I (Ea) Am:
$5,001.00 to$10,000.1 $72.50 for the first 55,000.00-a-n- 1) Furnace to 100,000 BTU --I
includin.ducts&vents 14 00
$1.52 for each additional 5100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including 40
$10 includin.ducts&vents 17 0
-$15,001.00 to 525,000 00 51" or the first$10,000.00 and 3) Floor Furnace
includin vent 14.00
t
$1.." fureach additional$100,00 or 4) Suspended heater,wall heater
fraction thereof,to and Including 14 00
$25,_000.00. .,r floor mounted heater --_
$25,001.00 to 550,000 00 $379 50 for the first$25,000.00 and F 5) Vent not included in appliance permit- 6 8C
$1.45 for each additional$100.00 or -
fraction thereof,to and including 6) Repair units 12 15
$50,000.00
150,001769-and-up _ - S742.00 for the first$50,000.00 and Check all that apply. T Poiler H'at ,
$1.20 for a?ch additional$100 00 or For Items 7-11.see I or Pump Cond
fraction the'fol. - footnotes below. Co•
mp ..
- - - 7)(3HP;absorb unit
-
Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU --___ _«14 00
8'/.State Surcharge $ _ -. 8)3-15 HP,absorb_
unit 100k to 500k BTLI -- 25 60 -_
__ _ 9)15-10 HP;absorb
25%Plan Review Fee(of subtotal) $ 35 Ou —_
unit.5.1 mil BTU __,
Required for P' commercial permits only 1 10)30-50 HP;absorb
TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU- _--- -
5:20
11)>50HP absorb
------ unit>1.75 roil BTU 87 20 -_
12)Air handling unit to 10,000 CFM
ASSUMED-VALUAIION_S PER APPLIANCE: _ 10.00 _
Value Total -
13)Air handling unit 10,000 CFM+
Description: 1111 Qty _TAO__ Amount-. • -Y -----« 17 20 --
Futo 100,000 BTU,including 955 14)Non-portable evaporate cooler
ducts&vents _ __1111 _----- -_, _-_ 10 00-
Fumace> 100,000 BTU Including 1,170 15)Vent fan connected to a single duct
ducts_$vents _ 11.11._ -_-- ----- -- ---- --6 80
Floor furnace atter, ng vent - 955 _-__ - - 16)Venlilation system not included in
Suspended heater,wall heater or appliance permit _--. 19 110
Ven mounted heater _____- 17)Hood served by mechanir,al exhaust
Vent not included In appliance 445~ 1C00
-
permit -_-___ _ --_---_-__-- 18)Domestic incinerate.
Re air units _ ____ 805 .__ _. t 7 40 _--
<3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator
_to 100k BTU_ _ _b.
,_____ 69 95
3-15-hp;absorb.unll, - 1,700 20)Other units,Includng wood stoves-
101 k to_500_k BTU__------_ __ __ 1111_ 10 00
15-30 hp,absorb.unit,501k to 1 2,010 I 21)Gas piping one to four outlets
mil.Bill _ ___ _.- -- -- ___ -- - — 5 40 --
30 50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1.1.75 mil.BTU1 00
>50 hp;absorb unit, - i 5,725 Minimum Permit Fee$72.50-- SUBTOTAL: - -
$
>1.75 mil.BTU _ _ _ _- —-
Air handling unit to 101000 cfm �____-- 656
656 _------____--8".State Surcharge f
Air handling unit>10 000 cfm _ 1,170 ___ __ _
Vat portable 1•ted to cooler_ 858 -__ __ TOTAL RESIDENTIAL PCRMIT FEE: , $
Vent fan connected to a single duct 448- —__
Vent system nal Included in 656 -- -----
appliance permit _�-_-_.__ -_-. ---.-- ----- 1
Hood served b mechanical exhaust _856 Qttt tLe)�ctteni_AKI t.t
� . —__ ----- 1 Inspections outside of normal business hours(minimum charge-two hours)
DomesUc Incinerator _1.1170__ ___ _ $62 5n per hour
COmnferclal or Industrial incinerator 4596 111'1__ 2 Inspections for which no lee is specrrirully Indicated (minimum charge half hour)
Other unit,including wood stoves, 656 $62 So pet hour
_Insert,etc. —�_. __ _,._- 2 Add'ionat plan review inquired by the files additions or revisions to plans(minimum
Gas piing 1-4ouV_et - - 380 _._ charge-onehail hour)$62 52 per hour
Each additional OUNRt _`--. __-_ _ 'Slate Contractor Boller Certification required for units,•2001tBtU
"Resldentlal A/C requires site plan showing place newt of unit
TOTAL COMMERCIAL $
VALUATION: _ _ - - All New Commercial Buildings require 2 sets of plans
i‘dstsVorms\rnech-fees doc 02/11/02
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SCANDINAVIAN GENERAL CONTRACT INIi tit, l
7761 S.W.Oak St. 2 5 I S ca l l sr
Tigard,OR 97223 I " = 101.o"
k- -T —�
C(1-ti 452 -9457
FL SW. ST.7P MES 1./.).sit/ 1
52'2/U/ c 1 o.J.or
65'J2'36' E 55.57' 12 S 56'25'44` N' 185.98'.,_, N04 �4 CORNER SECTION 9, ��
13— S 00'0927' E 3.38 FD J-1 4. ALUMINUM DISK
---- U.S.B.T. BOOK 5, PAGE 454 I 1
H \
c i+U j. 1
cm. o
- E3 N 00'05'57' W 381. 74' INI TIAL„�°INT ''
•bi�rc LS.808•
5' •
P.S.O.E. 9?.00' ?►,00' L00 -` - - - PY' m
5' P.S.D.f. t 131.74'
40 o 6k, 8 mzo,, , 0
$ 5,152 S.F. S $ $ 1 f3 __
'o o�z {`T�J� m �<2
O N O n
,-,
S.F. r- - - a J
•
JI' N 0005'51' W '. �' - — 10.00, tV, z j
___. 910 � o--- --- ' - g k, '' 1
N 00.6,,07532'57' W 1,413
.55' i
w 1�
Z r $ 2 n �`
s; °D I CS
- "i U1 JO
$ v 5,i57�S.F, 8.
6,723 S F.
4 ; --?
• �-, 17-1s11-3- i i' - 3 _ • ,'
I. '' • • N 00'0 '5Y W 92,04' 8 N 0005'57' W 134.13' ; N 4
ri
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_ 4 ':
83 5,152 S.F. $ n I. z Et
9,055 S.F. ,N 8 CJi pci) c) a1 a.
1. C., n
7' • N 09'05'57' W 91.00' ---. --+m-0 O i N
' ' • --— N 00 05'57 W 134.14' I
d
8 t [I' 11' $ 1 in
$ 37 v; ii $ 4 ti II �
4 94? S.F. �7 3E �, c-T
8 C_,./
rp4 3,' 8 -4.98' 7,952 S.F. C11 co 41
4 O' •
, Q* 4_?�'7;�• N 00'05'51' W 113.91' —1---- ". C'd C , .{ J
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J5'S7' W 171.J7' - —F a-�`hS `4V ,li �Uy f ��9 Fe c
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7 336 SF
_ ' 'LI/.00' • qy. 4 . N 00'05'57'iW x r
60.00' IJ.JI' t�-j* 1 ,-.; Ni '4
i= �,�, ' $. �' • - -- - - -u 4.00' 2.5.°13.
2 1 'f,P • $�•N 00'03'37' Wt_____Frr.i..ti
n68.11' `"
rI 16, 15' S.O.E. - Ci e)e)
p 8 I I r., 2 �5' -i /L li
R 8 I I�p �$ 420 s 6 �s D;,
SEE NOTE v •
5,267 S.F. 5,301 S.F. 1 l0 7 9, 'e tv tiI
No. .
4 5'••J1 '�5,J10 S.F. 7,249 S.F. q �r
t S' S. .E. _ I 10' S S.E. 7 fe ,jJ 1
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1,5707" W 697.85 ' ~' (78 82'4') 8 iN A' 4
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