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Permit • A � , I / .-- / Qde4o c j,,2e rra-t 06/ CITY TIGARD MASTER PERMIT PERMIT #: MST2003 -00460 M DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 — 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14050 SW 131ST TERR PARCEL: 2S109AB - 07900 1 SUBDIVISION: RAVEN RIDGE ZONING: R -7 BLOCK: LOT: 008 JURISDICTION: TIG REMARKS: Const new SF detatched residence. FIRE SPRINKLERS REQUIRED. 377 sq ft of un- heated non- habitable basement valued at $24.30 as well as 663 of habitable. 2 -26 -04 Add all BUILDING REISSUE: CUSTOM STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 665 sf BASEMENT: 665 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,446 sf GARAGE: 775 sf FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: I rum: 1,293 sf RIGHT: 5 VALUE: 346,341.20 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 3,404 sf REAR: 15 . PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: . - OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 8 201 - 400 amp: 201 • 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC/FOR>=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ' ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL • AUDIO & STEREO: X VACUUM SYSTEM: X AUDIO& STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: ALL ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,565.85 This permit is subject to the regulations contained in the PIATSKI, BORIS OWNER PIATSKI, , COTTONTAIL PL. Tigard Municipal Code, State of OR. Specialty Codes and 10625 S COTTONTAIL 9TAIL 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 the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 313 - 2406 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Footing Insp Post/Beam Structural Footing /Foundation Dr Electrical Service Exterior Sheathing InsF Grading Inspection Foundation lnsp Post/Beam Structural PLM /Underfloor Electrical Service Exterior Sheathing InsF Sewer Inspection Slab Insp Post/Beam Mechanical Mechanical Insp Electrical Rough In Low Voltage Footing Insp Wtr Proofing Bsm't Wa Underfloor insulation Mechanical Insp Framing Insp -' =.lace lnsp Footing lnsp Post/Beam Structural Crawl Drain /Backwater Plumb Top Out Shear Wall I r .. Gas Line Insp Issued By : f / J Permittee Signature : Call (503) 639 -41 5 by 7:00 p.m. for an inspection needed t e next business day • • Elec Permit Application FOR OFFICE USE O City of Tigard Date/By: Permit No. �4 — 004 0 Plan R 13125 SW Hall Blvd., Tigard, OR 97223 y g Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 44 Date/B : 1 Inspection Line: 503.639.4175 I' Date Ready/By: Juris: EI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information � ^ ._ "�xt:.;; � -� ��,- , :�.: i,,.n- s'�.� �;..,t�....,m:;� .:v ;axt ;�� p.:`t* wR�P :;i;i r,i� %. �;-; :z,.F,. h - . Wart . .. &I". "". T OF. , WORK . , °` *' ...: " , � . , � i . '-I .:. .: a :.�.�,�,,. � .;*__.�;�� ��ana�..:_.., �r�� ..x"���.::�,;�?�: � °�=����4 <; ....: � .,.: PI;<AN _ , ;RE,V�LEW;:;:' ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑ Service over 225 amps, comm'l Hazardous location may. -,j, s ,_ ;may gr3z ti _ ." x t , ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., r `r. ;a3rd . t @g' tV `' m,a �, " t . 1A1 0 C'A°TtE,GORX= O ., CONSTRUCf ic.O� ` " :A ,. 11; . ; '.� .. T, `!O', :- of 1 -and 2- family dwellings 4 or more new residential off, �,F/:wvx^. �.: s��kr.' n; r :�a�ss:�s;r�ax,'f,�...,.;�.:�•a :..,�-s- vr:«te«a��n.�^�r cars= FS�a�s e- Esc,,. s 9er;' i�? a� '�7+Y'�'��iz �ei�,u:&ar�k ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ESystem over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more w„ii F' sr,�t,° ",'' +i;:,`�:tx T r e.,s� : :C . ....w: ;;� €.^�f „:: r az.x.. ai _,.: .. �,. ['Occupant load over 99 persons ['Manufactured structures or „z ' �' JQB1'SL- TE^:INFURiVIA *JQi4 ND,L ! ATOION '' '' : 1 RV '_F'� = .�:�?.n•�:,�:� ;�' ..�;..•- �;; �: - k- ��«:,�:���:, --�. •: ,,,,i,„,1,, _- .�..^�.":,~�a ��° -'�*' s � ❑Egress /lighting plan park P Job no.: Job site address: ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City/State /ZIP: The above are not applicable to temporary construction service. Suite bldg. /apt. no.: Project name: t'' J ` " "` ik : i � FEE*„ SQHEAiI E ; ^ F ` .. Description - 1 Qty. Fee. I Total Cross street/directions to job site: New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 of h 4 w . � _ Limited energy, non - residential 75.00 2 .= i :�.�:`/ � `. , ' ' a= , ' I NDESCl2IYAI „,OI�*fl OF `WORK • e ' qc "p ,�" " : .' ,r=_ fir - ? .4kA n , ,:&- s ' - ,, Each manufactured or modular /J� , dwelling, service and /or feeder 90.90 2 f'T� W U/ t.J .- Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 s- ._ 7'. P~ 201 amps to 400 amps 106.85 2 ff ®" EROPERTY ' a;:... 10. )Fri- AN.-T '- t:1 ,.;?'0.t f..,. ,„„,.,...ads+= , - ..e. ,�tc�.4v.i SISterltu -L '.; i,.,.m,l.*.1i�,L. ,•,:;.t4:`?'E.. .h;'r �# 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel "` `,ln'4M V. -..} ,. i '' Tnat z s ,air t , $ __.rte s.� • _ "- " A A. Fee for branch circuits with t t � .. . .1A PLICAN w t d i, . � ` - ®,CONTA aP i `� '' �'� ° "" °'� "` "' "`- " service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: • without service or feeder fee, / 46.85 46,16" 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - a;i„ `s'�- - r;�..,,, ��,':,;�. - rT, .. ' :^= 'S=i ",w" R t r ;�,:; — ,7 <t:� - energy panel, alteration, or �?: i..,l�� ��+���`�'`,?:, ,r =��,�..� , :..2 �.' „`ta 4.��nr�.j.'S�”` s+ ..i:'` ..,h:�" extension. Describe: Page 2 2 Business name: Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax ( ) Industrial plant per hour 73.75 V,ELE'OTRICALPERIVI!TTFEE_ S " =" .. CCB Lic.: Electrical Lic.: Suprv. Lie.: Subtotal • i Suprv. Electrician signature, required: Plan review (25% of permit fee) 1 4 0 4 � Print name: Date: State surcharge (8% of permit fee) 2, 1 5 TOTAL PERMIT FEE 60 r (7 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board "' Number of inspections per permit allowed. is \Buitding\Perntits\ELC- PemtitApp doc 12/03 440- 4615T(10 /02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RES ta:TT a ` W:dkW Y F , _ : k ,. B S Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm • ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* n Other: r ;,CO.. n .; ?:'.. Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems • n B oiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* Fl Medical n N urse Calls ❑ Outdoor Landscape Lighting* n P rotective Signaling ❑ O ther Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PermitApp.doc 04/03 eif /9C ai/ 17/ c itY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00460 i DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 li , .;fin 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14050 SW 131ST TERR PARCEL: 2S109AB -07900 SUBDIVISION: RAVEN RIDGE ZONING: R -7 BLOCK: LOT: 008 JURISDICTION: TIG REMARKS: Const new SF detatched residence. FIRE SPRINKLERS REQUIRED. BUILDING REISSUE: CUSTOM STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 3,769 sf BASEMENT: 1,040 sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,040 sf GARAGE: 785 sf FRONT: 15 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE 371 10 OCCUPANCY GRP: R3 BDRM: 4 BATH: 4 TOTAL: 4,809 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 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: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 8 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,651.36 This permit is subject to the regulations contained in the PIATSKI, BORIS OWNER Tigard Municipal Code, State of OR. Specialty Codes and 10625SW COTTONTAIL PL. all other applicable laws. All work will be done in BEAVERTON, OR 97008 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 - 313 - 2406 Phone: Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8z Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Water Service Insp Grading Inspection Post/Beam Mechanical Mechanical Insp Shear Wall lnsp Gyp Board Insp Appr /Sdwlk Insp Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins f Rain drain Insp Electrical Final Footing lnsp Crawl Drain /Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Final Foundation Insp Footing /Foundation Dri Electrical Rough In Fireplace Insp Water Line Ins Plumb Final s n .` Issued By : �� Permittee Signature : }l Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the n xt business day 1 "n) 1r 10 ;1_03 !Sa ww 3 ° ®D Building ng Permit gu11 1' S I FOR OFFICE USE ONLY • 7, /� Building _ p DateB Receive y :( / o D -1�fJ Permit No\&) STdoo 3 - 04,4 (.o Q • Planning App val Other ( � City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. SEQ 1 0 2003 Plan Review Other <1_ Tigard, Oregon 97223 r AR Date /By: /AAA/ )V "'IA '3 � Permit No.: a Phone: 503- 639 -4171 Fax: e0SY5A i 9tor i A 1 .'s Post - Review Land Use Internet: www.ci.rigard.or.us�IJI rING VIS, _! II Date/By- Case No. —"—■.A Contact funs.: 0 See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: ,/ /C7 Supplemental Information to i s ` '� �,. ''� kc - '3s',' S ' - t • '+:.,.... ., 3... „-'. � A. - nja 1 °� 3 4 �R '�,:� - � d Q U,1.��L1� �� � :.f. s' �' Till F � z N ew construction 111 Demolition .T,���I &2 }iI+` ` ' Y L � , ' ,, �L ❑ Addition/alteration/replacement ❑ Other: P o ', . , G i QF 0, 1$` R"a(1 w Note: Permit fees* are based on the total value of the work performed. Indicate 21. & 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. - El Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ allvis ' , J,U gI7 0:M I W 040.5* -00 e" No of bedrooms: No of baths: Job site address: ///87'ste/ /3 6/ 7Gfoei Total number of floors New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: Garage /carport area (sq. ft.) Project Name: Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) .\ e /32 ^O L � � E �L GKLIS-T �: ,, Subdivision: /);<1- 0j/I/Ski p6. Lot #: �� k ,.r ta .� ��_ � � . ��� Tax map /parcel #: ,2 ,., i 079 ,14- f3 — 0 99 00 Note: Permit fees* are based on the total value of the work performed. Indicate s; ���� :;' „ �v:: �, �« a ;:�; D�EsGIR`' T =sA� - ��,��. - ,�.�:.«y"s::”` `=a�< : the value (ded the nearest dollar) of all equipment, materials, labor, . /� C � over an roun to profit for the work indicated on this application. Valuation $ . Existing building area (sq. ft.) New building area (sq. ft.) a i ? Number of stories i„,.P,RU ;tai ,Q,WNF:R , ' i 3 =TEEN N, " ..," v Type of construction Name: l%S RG7__ Occupancy group(s): . Existing: New: 11 Address: /e/62 su/�y74 /e' City /State /Zip: ,ate, -riew a 97t In Phone ' �/3 �¢ra� Fax - - NOTICE: All contractors and subcontractors are required to be t _,_ _, .� �- .,�, . � �. .� , licensed with the Oregon Construction Contractors Board under �°� ":0- _4�N °_; " `` ,u^ , , "+ ' 1& "$0 ,3, �° provisions of ORS 701 and maybe required to be licensed in the Business Name: - empt Contact Name: r� from licensing, the following reason applies: Address: City /State /Zip: Phone: Fax: - , R G P /EW N V � E -mail: f , �r ' _ } 4 , �a Y 1 , 1 1 : Sp efert,0 E feesc a he . ule , i • l a a" R' k"..�+ 4 : 3?.s< P.ts .a. Avy . -0. '� ` .11. kWdoii. ,L,,i +.. .. .,- C,.338 ,, eel. Business Name: co tso \f Fees due upon application $ Address: _ City /State /Zip: Amount received $ Phone: Fax: Date received: CCB Lic. #: Authorized - ' d �� Notice: This permit application expires if a permit is not obtained within Signature: Date: 7 \ 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03 • One- and Two - Family Dwelling Building Permit Application Checklist Reference no.: City ofTigard City f Tigard Associated permits: Y g ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use 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 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 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catc -basin protection, etc. 10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ing 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 be 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 a 4-ft. 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 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 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub -floor, wall construction, roof construction. More than one cross section may be 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, 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 building envelope. Full -size sheet addendums showing foundation elevations with cross references are acceptable. 16 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 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing locations. Show attic ventilation. 18 Ba and retaining walls. Provide cross sections and details showing placement of rebar. For engineered systems, see item 22, "Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all 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. 2 1 - Energy Code compliance. Identify the prescriptive path or provide calculations. 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 be shown to be applicable to the project under review. JURISDICTIONAL SPECIFICS • Five- 5 . plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" 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 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 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 may be in blue or black ink. Red ink is reserved for department use only. • 440 -4614 (6 /00 /COM) Mechanical Permit Application , USE ONLY Received Mechanical .. ., Date/By: Permit No.: `{ brAt -00& Cit of Z'1Qard Planning Approval Building Y g Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Post - Review Land Use Phone: 503- 639 -4171 Fax: 503 - 598 -196 P 1 . Date/By: L and Use Internet: www.ci.tigard.or.us ,, ITY ,' � itI y ii See Page 2 for 24 -hour Inspection Request: 503- 639 -417-5 Contact Juris.: P q Name /Method: Supplemental Information. BUILDING DIVISION _ �.n• e;, *. .; '.:, _'p` , of #"rr'= `t:- ',t<` < •,. r: „4` '' a '' .ir k e�,� z di .i. <.�': ��'' �`°; r Tl 'P.E:OF�WURTC;� „�.. F,:.; .;;,, .�, , �_, s_ CONIIVIERCIAL`: EEE. z SGHEDLTLE�- .,USE�CHECKLIST =::�:;� ";� N ew construction ❑ Demolition Mechanical permit fees* are based on the total value of the work ❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all ; ' ..,,, l'= nCATECORY'OF= ,C.ONSTRUCTION: ,` "Y'a'`-:=T rls °' mechanical materials, equipment, labor, overhead and profit. ' & 2- Family dwelling ❑ Commercial /Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family «-. RESIDENTIALIEQUIPMENT /SYSTEMS °FEE *;SCHEDULE;,:;„ -' Description Qty I Fee(ea.) Total ❑ Master Builder ❑ Other: Heating/Cooling .' =- : ',; JOB SITEtINFOHMATION ant1 LOCATION' Furnace - add - air conditioning ** 14.00 Job site address: /[/dz� 13 /g 1 e�-za Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Project Name: Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 `vvr'> 4,1 s- 1� Unit heaters (fuel, not electric) Q, (in wall, in -duct, suspended, etc.) 14.00 Flue /vent (for any of above) 10.00 Subdivision: ' Lot #: Repair units 12.15 Tax map/ parcel #: Other Fuel Appliances ax ma p P Water heater 10.00 .t :.. - .�., , . ;, Gas fireplace 10.00 w.w.. w���`:.°`�:��_; , 7 °DESCRIPTIOIY�:UF'WORIC� r:.;,., ; °s;,�, »;..., , /vhf." C.0 Flue vent (water heater /gas fireplace) 10.00 Log lighter (gas) 10.00 - Wood/Pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 IS "PROlitRtik-WW1i1EIGt-teklg ®ITEN' ANT `.` `yira.. g”" Other : 10.00 Name: Q,, ' Environmental' Exhaust & Ventilation '' . O� Range hood/other kitchen equipment 10.00 Address: /eya _s _cl. y �- /e/' <, Clothes dryer exhaust 10.00 City /State /Zip: / �,e j'C��+j? Single duct exhaust Phone:,,3/. -Z. «p,� Fax: (bathrooms, toilet compartments, 1 t - APPLICANT. , .f .! ", :CONTACT-PERSON. ">'�` utility rooms) 6.80 _ ; //e42.-?/:y Name: CDAt e> `3 Attic /crawl space fans 10.00 T � Other: 10.00 Address: 7,,e/.__p_- 4'q.ie , /d Fuel Piping' P ' City /State /Zip: 7- /` a 97e/ * *($5.40 for first 4, $1.00 each additional) Phone: &,V,4 9/ -, s-Fax: Furnace, etc. ** Gas heat pump ** E-mail: Wall/suspended/unit heater i fi, =;CONTRACTOR" `. .. p . y• .v <.,..wt:,: * * .- ,_._. '� r ,� ._... , . ��_.. -�._ ,,m. _ � i ° -� - Water heater ** Business Name: 7 41 e _ , 1 e Fireplace ** Address: Range ** City /State /Zip: Clothes es dryer (gas) ** Phone: Fax: Other: ** _ . CCB Lic. #: /2,;.? 6 Vy o-f Total: Authorized Mechanical Permit Fees* Subtotal: $ Signature: Date: 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 within *Fee methodology set by Tri -County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: TOTAL VALUATION: PERMIT FEE: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,001.00 and up $1,396.50 for the first $100,000.000 and $1.10 for each additional $100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. i:\Building\Permit Forms \MecPermitAppPg2 09- 01- 03.doc Electrical P j* Q • e • . .�r - a tion FOR OFFICE USE ONLY . - - Pe Received Electrical l "�; DateBy: PermitNo.:+�S 2o , b'� �U TlQD City of Tip� and Planning Approval Sign b Date/By: Permit No.: 13125 SW Hall Blvd. SEP 1 0 2003 Plan Review Other Tigard, Oregon 97223 ���� pp RR Date/By: Permit No.: Phone: 503- 639 -4171 Y50g-5�8"I Post - Review Land Use DING D IVISI N �.'��' '" Date/By: Case No.: Internet: www.ci.tigar�'t ®1� �����'�I� 24 -hour Inspection Request: 503- 639 -4175 Contact Turfs.: Z See Page l for P Q Name/Method: Supplemental Information. w � ��;� ��, -'ta, : .,�.. >., _ . ,� r ; �y�,. 7 c� ,,,�. K R .� ... ,.,M..,..� >,..._... �..�.. ,. .a33a`��>�^:.,c..� , ,,,.�;4. :r^, '.�.�; �.a ,xr.sz +b- .."�ivi ...:.. ... o wi � .,i, -l:a, i„e ..,, 3v ._ ,s"�„r''`".,.'.": r 4:,: + - : ° . ct t e a fie r occaao:— p� '� s .,..'�^�+tata,.�? '.'^ New construction 0 Demolition ❑ Service over 225 amps- ❑ Health -care facility 111 Addition/alteration/replacement ❑ Other: commercial over ❑ Building over er 10 on �„ w ,,, � y �,�,,�_ , � ❑Service over 320 amps - rating of ❑Building over 10,000 square feet, `i ii ltiOAIEf (R �1>+O. NS & i a ' I :-; ,i.,,,1 1 & 2 family dwellings four or more residential units in ' 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure CI Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building El Multi-Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: ` �: z..__. s I .. '_' ` \ ". Submit sets of plans with any of the above. anrdTt):C�_ The above are not applicable to temporary . Job site address: �S /3 s/ T' i �• orary construction service s d �rt Suite #: Bld /A t. #: �������� g P Number of inspections per permit allowed Project Name: Description Qty Fee (ea.) Total 1 Cross street/Directions to job site: New residential- single or multi- family per dwelling unit. Includes attached garage. 4Vq- e/41", — /32a Service included: 1000 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: Limited energy, residential 75.00 2 , �e , r5 Ma/ r Lo t #' C7 Limited energy, non residential 75.00 2 Tax map /parcel #: 2S /Q -- c7794, G Each manufactured home or modular dwelling `�� t a � 4 �i "" �,:: � .. n�.� �'� .,a,E�` ' , . ; D.ES.Cl2IP?I�T"O'� ©�'�WOR �,.,:. �.. "'�..� . , y� service and/or feeder 90.90 2 ,y / "" Services or feeders - installation, /t . _-' G' ClaCc alteration or relocation: • 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 lN 1?.ROR. - „, Ovxm mIEvtf >.';,z,og 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: ,—,S ,2 @'7S s Reconnect only 66.85 2 Address: / 5 '.. Su/� 74ber l2ie/IPe' Temporary services or feeders - installation, ∎lyd alteration, 00 s o less relocation: City /State /Zip: , d� 7 ��d 200 amps or less 66.85 1 Phone: l"e .3L3 -2 yd6 Fax: 201 amps to 400 amps 100.30 2 1 „ ".. , ,F, a N ,, n ,, :1 . 401 to 600 amps 133.75 2 Branch circuits - new, alteration, or Name: -/J _s t c- extension per panel: . Address: A Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City /State /Zip: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2 E -mail: Misc.(Service or feeder not included): • . ,� 5 ,, Each pump or irrigation circle 53.40 2 Each sign • or outline • lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, � • alteration, or extension Page 2 2 Business Name V/ 4 E £C- /'/ Description: Address: 92 sei/ /6_ 23/ City /State/Zip: Each additional inspection over the allowable in anyof the above: y 1 !J L- 7 t'' / 7e Per inspection per hour (min. 1 hour) 62.50 3 f rf'�L�/ 6 'y 97 Investigation Phone: � # J — Fax: ation fee: g CCB Lic. . /4'7 7 Lie. #: 3y �/Q G Other. 7rrrartea - % rIz , 7. Supervising electrician Subtotal $ � � signature required: Plan Review (25% of Permit Fee) $ Print Name: Jj e.r.° 6 j/j Lic. #: Z/, 6* s State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authorized Notice: This permit application expires if a permit is not obtained within Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set,by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 / Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems $75.00 Check Type of Work Involved: Audio and Stereo Systems ❑ Burglar Alarm Garage Door Opener n Heating, Ventilation and Air Conditioning System In Vacuum Systems n Other COMMERCIAL WORK ONLY: Fee for each system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls • Clock Systems ▪ Data Telecommunication Installation n Fire Alarm Installation n HVAC E Instrumentation n Intercom and Paging Systems In Landscape Irrigation Control n Medical ▪ Nurse Calls n Outdoor Landscape Lighting n Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Forms \ElcPermitAppPg2.doc 01/03 .Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY Received Plumbing • Date/By: Permit No.: City Of Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. I A Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: Q3 98 ,96� Post - Review Land Use �i j LUO / /H imi�ill�y1���1P � � Date/By: CaseNo.: Internet: www.ci.tigard.or.us 8111' � Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: G5 AR - "- Name/Method: Supplemental Information. BUILDING DIVISION New construction ❑ Demolition Description I Qty. 1 Fee(ea.) Total El ❑ Other: a 0' ,, ' „ " f an nily d e"1 ing <�:.. "a ' W G `,..WA f}� NWA T Ta UN .iN .-,, ;: 4ncdude 1AQi foi ea __ u t t' co . nn),, �'�,. * n • :, Y "' SFR (1) bath 249.20 ❑ 1 & 2- Family dwelling ❑ Commercial /Industrial SFR (2) bath 350.00 ❑Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 ..L}BSLiii ji o ' + $7 IM.l ; and '®,:CA O N 6'' Fire s rinlder - s . ft.: Page 2 a ���,�._ tee. _e. w �, P q g Job site address: /4/C2.5 /3/5 7 ..._.R ° IRM ' 1 SifeL l t es .Viit it Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: Drywell/leach line /trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 ijA;•. -/- 1__ Manholes 16.60 Rain drain connector 16.60 f • Sanitary sewer (no. linear ft.) _ Page 2 Subdivision: / // S 4:34 '1 'i�. Lot #: Aj Storm sewer (no. linear ft.) Page 2 Tax map /parcel #: 2 7 47� B -- p7Q� Water service (no linear ft.) Page 2 :'ar. . -mac:'" � a F e ''��. z u .. ; �.,.�, � ., ;. �. .- ,,, .. A «., l .a, �,? .fi ..,`��e�.s. „ •., .,.�.��XC,�Orf�'teIl�n,,C,.� �t.,�*� .`�`� .�'.,�r."S R , L. DESGR ` O,TS OFAYO ac. ,, "" ° "�"`��' �` � "`"°_ °` °�' � � � Absorption valve 16.60 .4",T c drip. Backflow preventer ' Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 1r Ul?�R`)E a0N.1�1'EB�� y: i. ;a. an tall m . Drinking fountain 16 60 ������ =�' '� �" ^�� Ejectors /sump 16.60 Name: / 4%,,,„..-, , c , 1 a-/ Expansion tank 16.60 Address: /�62 -- je-� e-,e0 Fixture /sewer cap 16.60 City /State /Zip: � f� de 9?dl�1 Floor drain/floor sink/hub 16.60 Phone -- Z1/4,6 Fax: Hose bib disposal 16.60 Hose bib 16.60 ti4V `.' i s - .1E1Wet401 R_ 01, 'r Ice maker' 16.60 Name: 7 q . .. sa t u Interceptor /grease trap 16.60 Address: Medical gas - value: $ Page 2 City /State /Zip: Primer 16.60 Roof drain (commercial) 16.60 Phone: Fax: Sink/basin/lavatory .16.60 E -mail: Tub /shower /shower, pan - 16.60 f alt ' ft . <. > G'O�I�I. E O i' 11t ' 1 Urinal 16.60 Business Name: , (. ��' t 4 Water closet 16.60 Address: Water heater 16.60 / /L/A - s.E�Ct,�' B/"/e/ L-, Other: City /State /Zip � y j ,�, s eeJ 9T /S Other: Phone: - 3,19gi..- 04/ Fax: �J3y . '9A e 3/ rig , 1 4 1 1 `x ` O erm, � 0 1MF g CCB Lic. #: /3/x Subtotal $ Plumb. Lic.#: Minimum Permit Fee $72.50 $ Authorized Residential Backflow Minimum Fee $36.25 Signature: Date: Plan Review (25% of Permit Fee) $ State Surcharge (8% of Permit Fee) $ (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri -County Building Industry Service Board. i:\Dsts\Permit Forms \PlmPermitApp.doc 01/03 • Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: i e CJtii i , >ie':sF .ireV ,:�.M i? b "� .W�c.:3, s t70 ,,.'"'' ,' "'..'s:� al ,S(IlY,`d, ;, OQZ`d .'(?, ;„i -; "'•± '' '? Fv.el'1T,11"t,.T,�e ;. ` .'. <A ra ,. w .. Footing drain - 1s` 100' 55.00 0 to 2,000 $115.00 Footing drain - each additional 100' 46.40 2,001 to 3,600 $160.00 3,601 to 7,200 $220.00 Sewer - 1st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 ..y,; e.- ",§ ._' °,:;; ^��" ^; n ",;;,i, �:; A � ��a' ��� �: .� tsar � � a ;Y�11„A�IOn, _�..r''"...,��CrI �� Mr.'�'`;� ��. r" Storm & Rain Drain - 1st 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 for the first $5,000.00 and $1.52 for each r � • �� ` '� Q e additional ding $10 000.00. lfraction thereof, to and e n Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 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 $37950 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to Inspection of existing plumbing or and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. • • Fixture Work: Are you capping, moving or replacing existing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees *. � Q,� ixtltre o erfEozn► Comments regarding fixture work: xs nre ype a e laee� ' ` t s i 1wI4 a c` xiatin � i J? V,a ...e a �, - �.b s ti _ oRed, Rte : Clallpetl Baptistry/Font Bath - Tub /Shower - Jacuzzi/Whirlpool • Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator 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 - Domestic Disposal Commercial increase of sewer EDUs, a sewer permit will be issued and - Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Refrig. Drains plumbing permit can be issued. Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar /Lavatory - Bradley - Commercial - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i: \Dsts\Permit Forms \PlmPermitAppPg2.doc 01/03 CITY OF TIG' RD • 13125 S.W. h._ ..L BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JOEL A. GODVIN 920 SW 163RD AVE #231 BEAVERTON, OR 97006 Electrical Signature Form Permit #: MST2003 -00460 Date Issued: 11/3/2003 Parcel: 2S109AB -07900 Site Address: 14050 SW 131ST TERR Subdivision: RAVEN RIDGE Block: Lot: 008 Jurisdiction: TIG Zoning: R -7 Remarks: Const new SF detatched residence. FIRE SPRINKLERS REQUIRED. 377 sq ft of un- heated non - habitable basement valued at $24.30 as well as 663 of habitable. 2 -26 -04 Add all encompassing low voltage. Your company has been indicated as the electrical contractor for the permit indicated above. I n 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: ELECTRICAL CONTRACTOR: PIATSKI, BORIS JOEL A. GODVIN 10625 SW COTTONTAIL PL. 920 SW 163RD AVE #231 BEAVERTON, OR 97008 BEAVERTON, OR 97006 Phone #: 503 - 313 -2406 Phone #: 503 - 704 -6497 Reg #: ELE 34 -610C SUP 4264S LIC 147447 AN INK SIGNATURE IS REQUIRED ON THIS FORM X c (fits Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE YURY PLUMBING 18330 SW BROAD OAK COURT ALOHA, OR 97007 Plumbing Signature Form Permit #: MST2003 -00460 Date Issued: 1113103 Parcel: 2S 109AB -07900 Site Address: 14050 SW 131ST TERR Subdivision: RAVEN RIDGE Block: Lot: 008 Jurisdiction: TIG Zoning: R - Remarks: Const new SF detatched residence. FIRE SPRINKLERS REQUIRED. 377 sq ft of un- heated non - habitable basement valued at $24.30 as well as 663 of habitable. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: PIATSKI, BORIS YURY PLUMBING 10625 SW COTTONTAIL PL. 18330 SW BROAD OAK COURT BEAVERTON, OR ,97008 ALOHA, OR 97007 Phone #: 503 - 313 -2406 Phone #: 503 - 649 - 8334 Reg #: PLM 34 -359PB LIC 137889 AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Aut or'z Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ROSE CIT PLUMBING 11148 S E RAN B E R RY -L Low) • CLACKAMAS, OR 9708.5 =t Plumbing Signature Form Permit #: MST2003 -00460 Date Issued: 11/3/03 Parcel: 2S109AB -07900 Site Address: 14050 SW 131ST TERR Subdivision: RAVEN RIDGE Block: Lot: 008 Jurisdiction: TIG Zoning: R -7 Remarks: Const new SF detatched residence. FIRE SPRINKLERS REQUIRED. • Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: PIATSKI, BORIS ROSE CIT PLUMBING p6, J o f 10625SW COTTONTAIL PL. 11148 SE RANBERRY LN CIFevIDTnni rKe aC Phone #: 503 - 313 -2406 Phone #: 503 -386 =6523 iq -14444 Reg #: LIC 131267 PLM 3 -459PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have any questions, please call 503.718.2433. AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA V 1 STREET T EE CERTIFICATION R .. .. .. -- I, s- , Owner /Agent for is �"�'G -- � (PLEASE PRINT) / (PERMIT HOLDER) J-', _ "' §£ Do hereb E sc r i f ' - loca I tion y e " � y �haa t�tle fcllo�wing tion m eetsCity z of;€ €Ti '° Count �. . �. :.�,�M. �,�: ,.u, . Washington land use and development standards for street tree installation. ADDRESS: / le I 7 LOT: SUBDIVISION: ,Z ;V'a %s % 1 -�� 1 BY: DATE: 7// /. ./ �� RECEIVED BY: DATE: 7//:_c -- /e. 9 VVVV ' CITY OF TIGARD 24 -Hour BUILDING . -0 Inspection Line: (503) 639 -4175 oIea3�l�� INSPECTION DIVISION Business Line: (503)1 6 - MST - 7 BUP -766 Received 749 Date Requested PM BUP Location /'k �J /3/ 31 - Suite MEC Contact Person ETI Ph ( ) l — b PLM Contractor Ph ( ) SWR U Tenant/Owner .c ELC Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: « ,�a-- —, 4 s - ,'�-< -`., SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof e /J �� S PART FAIL G , os & Beam Under Slab ("111# % Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain ShowerF 4doe PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reins ection RE: ❑ Unable to inspect — no access Fire Supply Line � h ADA l/" O 11 Approach /Sidewalk Date I nspector E xt Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour a /o© BUILDING Inspection Line: (503) 639 -4175 MST 0O Oa 40 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 - 7 AM Id 3a PM BUP Location / '/a 13/ ‘,4-f 4 -Q--.AA-.. 1 Suite MEC Contact Person 1.c. ® Ph ( ) 3 / 3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain 1_ ox ' 3 S 7 7 ' 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 Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers (5 ;;ProART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Anal 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 — no access Fire Supply Line ADA Approach /Sidewalk Date _� _ a Inspector ' Ext 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 MST d003- INSPECTION DIVISION -" Business Line: (503) 639 - 4171 -- c� BUP Received ! Date Requested 7 -" / AM PM BUP • Location i `t' D S Z) /3( /c Suite MEC Contact Person Ph ( } --�1 -3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: yy�� _ ELR Crawl Drain L k7 d /3s- f/ Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Ina Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling wwcc,,o�1 //�� r Roof Other: • rn 1 1� `�� Lke L Fc[ S 6A Final Cr pp S v f4 _ PASS PART FAIL "`� ,,� -p PLUMBING Mi\ tZISL PCB S Post & Beam Under Slab Rough -In - Water Service Sanitary Sewer Rain Drains Catch Basin / 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 UG /Slab Low Voltage Fire Alarm ina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL SITE ' Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date Inspector — Ent Other: Final O N T REMOVE this inspection r ord from the job site. PASS PART FAIL