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Permit 5/a44o 16 - 7 D 4/c. . 11/11 17 o� CITY OF TIGARD M S TERPERMIT PERMIT #: MST2004 -00255 ∎11riII • DEVELOPMENT Tigard, 3- 639 -4171 DATE ISSUED: 12/30/2004 PARCEL: 2S1 15AA -09 700 SITE ADDRESS: 10878 SW BRETTON CT ZONING: R -4.5 SUBDIVISION: BRETTON WOODS LOT: 002 JURISDICTION: TIG Project Description: New SF 8/24/2005 Add AC. • BUILDING REISSUE: SSN3412 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,483 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,929 sf GARAGE: 482 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: sf RIGHT: 5 VALUE: 328,043.80 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,412 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL . FUEL TYPES FURN < 100K: BOIL /CMP < 3HP: 0 VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: 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: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFDR: SIGN /OUT LIN LT: ' PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL 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 t/ SYSTEMS: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes LEE -LAND HOMES LEE -LAND HOMES , and all other applicable laws. All work will be done in 28 BECKET ST 28 BECKET accordance with approved plans. This permit will expire LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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 Phone: 503 - 635 - 1343 Phone: 635 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or Reg #: LIC 41535 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 8,807.30 1 - 800 - 332 - 2344. REQUIRED ITEMS AND REPORTS Issued By : Permittee Signature : Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. n�-= a+.sn,.s�,�"�•sms..w.a wrtrs....,+...eeawtw� w,, ar:;. .. . rM � , i r" I O 0 0 a soe- 0/4 I A /07 P Siw' 9._ 0 0 ._ art * : CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 00255 44 i DEVELOPMENT SERVICES DATE ISSUED: 12/30/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10878 SW BRETTON CT PARCEL: 2S115AA - 09700 SUBDIVISION: BRETTON WOODS ZONING: R - 4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF • BUILDING REISSUE: SSN3412 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,483 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,929 sf GARAGE: 482 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRE sf RIGHT: 5 VALUE: 328 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,412 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 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: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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: $ 8,792.18 This permit is subject to the regulations contained in the LEE -LAND HOMES LEE -LAND HOMES Tigard Municipal Code, State of OR. Specialty Codes 28 BECKET ST 28 BECKET and all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 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. Phone: 503 635 - 1343 Phone: 635 - 1343 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 41535 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Ins F Rain drain lnsp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain Insp Mechanical Final Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation lnsp Appr /Sdwlk Insp Issued By : ://, � r� Permittee Signature : 2 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Application° r . FOR OFFICE USE_ONLY ' U1: JLt'W1 City of Tigard Received / 9l / ," Permit No. � / g g Date/By: %1 7 0 I / t 7 oUot. 13125 SW Hall Blvd., Tigard, OR 97223 ��P O Plan Review -, Phone: 503.639.4171 Fax: 503.598.1960 �7 f ��� RH +\ Dates : / c Other Permit: ' J y � �(� � �I�i /0 �� —C SZti,ZO lfl� Inspection Line: 503.639.4175 ; `f S Date Ready/By: 0 See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information - BUILDING DIVISInN r =pa Ex` � � ;.Y. 'K , . .. " .�,, . �,y �RE 1 -?iND`�2'FAIVIII:Y DW.ELT:ING _ 3 z?s'. `: �, �'':' 2. ye..ue...s''�:.xn.tS�Ti'4..... • ? `.v ".� .,.. w r.....r. sys ^A': .i3=is ,., _1� .�. ..., a � , +.{= , '. u � , . .' . .. � . . �. 3 Y re. � * _tne i`v1P�<, .. x. 'LF' � „ +_..P Ln. - ..d.-:N(�, - :. "�'- . a. _. i �.' L "' 9 . : ; :b�.=`� . �r'. ^: �'”' . 4 New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the :s �" ,, *uti:t"> "'c. ,, p, ,,e,�" s :,ta s^„ m` , rw.�°K ,,n. '= :•,, e;. .;.fir. .,:^ & �, : ;r e s� • - ''•'•,' 1 t , •71 . :'!,„ ¢ : _ ` 1 '-' iq "'. ltctTEG,Q4' r9 F CON S`PRUG>TION k work indicated on this application. (i 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder • ❑ Other: Number of bathrooms , 1 / 2 •n.' :^ .°JOB SITE I NFORMATIQNr tA ND LOCATION, Total number of floors: Job site address: ` 7 / j74 7, C.-1 .. New dwelling area: 34//2 square feet City/State /ZIP: —rfy /1/- t7`'" 0, Garage /carport area: X12, square feet Suite/bldg. /apt. no.: v- Project name: { Covered porch area: square feet Cross street/directions to job site: 0 /4, -gy -/0 / a � Deck area: square feet Other structure area: square feet 5fI2EQUIRED DATA COVIMERGIAL USE CHECKLIST Subdivision: �$ /e_`t -1-0, ( 5 Lot no.: 7 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all ' ,, s no.. f 4 #tea � � „ }., equipment, materials, labor, overhead, and the profit for the fix 0 ,! , th %, . ,ty� `� ESC�IIRON ri ORK F ?i z _ ; ; > ` 1 work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 'z.'!+„r#i. a .w' a� * xis r, `. ^ �c* , } ; � :a ia *,.... + s , -.:.; . .; <. '�.;. ° .u? '= �' a ` R OPERTaY O . a „;0"� w - � ,” i .AID L , Ftf ' , ,' Name: L � Number of stories: .. wi:.v, a4. :4a..� ., .m,,w 16 _.>. ! .' ,„i��._ °xs°t: '.s, .: 2 >, H s: - L4 g) 8 ain e)- Type of construction: Address: 2 L(' �- s tJ f Occupancy groups: City/State /ZIP: /_(,Z CAS tz--€0 " / /� / -7 c $ Existing: • Phone: (5 7j C �S_ /j L{3 Fax: ( ) .$ .- New: °�� - - .�. ,} ;; ; ;s:r7.� 1'f..•a .'. ^n'°�%g':�.� s�:=: :e�1�: w�i s.��s,.. �,j:, ,, ...:ti�;�'�"i ".aT'�. `.u ';" -� .:�9 °y,: `- `-�e n.X:�;s?::.�i' 4A AP PLIC2v . ti S .r,y,. . T PERSO "= :. .32 . m.� ` :t , t % s t . <k ^' i:a 1` . . = +Y:�" z ;= �.":�ra* , ,y� �."�'' ,;''.. . w G . x<i:,...�,."R- ....sn „ten a.. .. _• ?sx; „,.. o F.= s;' rsr ,x..a. '. ''�.: : ?a.`urm «. :;aM;':.. nom•..,.... ^ti? r�,::a?. �.:', +',:'.,.s .; �.; . , LP . ' a , cc,.. ...s: Business name: L _ /i - G- �/L�IJ �Nr 6-� ` All contractors and subcontractors are required to be Contact name: 0 '' #x�;> .r ;:. ?;5 °; ' . • °, , "::- :..a:,;: €: :;. zzF 6� r, . .�- licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the v ,l Address: 2 n /2 e (-1C L7 f S 1 , jurisdiction in which work is being performed. If the /� applicant is exempt from licensing, the following reasons City/State /ZIP: 6, L Gp -K.� l3 0 5 �i �,G/ (9 7c C��S s app Phone: (5 J) 3 S- 13 C/ � Fa / x:: ( ) i7, 1.-- E -mail: 'iFs; -Pa' "� ' "F�'��n =c` ' &,... ,.t �.p -. i:. "r;c,; ;^�%. p ». rte,, - �,- "F;�F:S''r.�:-.,�AS ::;cy :"�- 4 t }�g..s 'x'�v;i °: °,�� s5'!�; ' � �1'. o t a" a GONTRI eroR >" arra r V - - �� , n Business name: // ,t� ra ., ; ..,' - ..- :...,., w:'- .., -,.. L l� L. ��j�,d �D�?i S F � y� °�'= BU' kaff "! °F * �" Address: 2 X /, a c_k-e � .5 /--- / Please refer to fee schedule. Cit l _-f( .e (9. i9 o q 7‘739 • Phone: ( 5'L � 5 _ h 113 Fax: ( ) Fees due upon application M nountreceived CCB lie.: ( I/5 - 23 — ®` Date received: Authorized signature: j�� , This permit application expires if a permit is not obtained lll e / within 180 days after it has been accepted as complete. Print name: F0J Keit L L. 4 _g� ? / - Date: '7 . c"L * Fee methodology set by Tri -County Building Industry Service Board. i:\Building \Permits \BUP- PermiiApp doc 12/03 440- 4613T(11 /02/COM/WEB) lectrical Permit Application (om (�(� i FOR OFFICE USE ONLY City Of Tigard �( li�� I� 11 111/ © Received I U LL�E -�� E UUU "VV" L� Date/By: Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960'Hl '"✓; ( Date/B : Other Permit: . Inspection Line: 503.639.4175 SEP 0 2 200 `t' Date Ready /By: Juris El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ` . r E' ", 2P-, y '= :* i ki I P a WORK {; , .. .":. ,- ,. , , . - . PLAN REVIEW New construction ❑ A 1 t A eplVement Please check all that apply: ❑ Demolition ❑ Other: EService over 225 amps, comm'l ❑Hazardous location , .: ,- a „ �::;':'. ., .,,,, _ " >. �a :.,��,:�.:. -.::., , �..ra -� ., - EService over 320 amps — rating ❑ Buildng over 10,000 sq. ft., =4* 3 i ' 'CA'TE 4: -- CONSTRUCTION of 1- and 2-family dwellings 4 or more new residential ; x x��, �” , �cRi. ms-�` �,u3; �.gaa�c s , z'sr �.a � - :c+� uu� �. - .-... � - . ., .i ..zf: . ,.. Y P> le 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure . ❑ Multi - family ❑ Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more * Multi yFr 4 =d , aster builder - Tt . k yF ❑Occupant load over 99 persons EManufactured structures or 1; >r ' r ife gITE INFOR , , MATION F1 LOCAION q ' ❑Egress /lighting plan RV park -s - cw m . . � s... s, -.. fit ^+ ; "u ,, - *: -�'.T .Li. ,zk %=i 3»� ❑ Ot}1CI: /0? 7E n _ & C4 ❑Health -care facility Job no.: Job site address: ' (�} / o -�/ r Submit 2 sets of plans with any of the above. City /State /ZIP: ._' (a. /� l e...-M, The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: , ' Project name: '`; )' _= fra { %. SSC"HEEDTJL " / ,V7 Description Qty. . Fee. Total Cross street/directions to job site: w„1 IO• / .� - New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: f3,P,16,1 4/, Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 4 t : = °_;' ";rr« ? 'r; y , ", =?,a 3t;:r � ; Limited energy, non- residential 75.00 2 6,s` =�,:h;��. '�,`, r N .� < �� � °ik, ".�. -.:.� .� : �'- � - -._ ?.�. Y � "� =,�r�. s�w.i- .,,.:r -.k:. -.. �.,.� ».�� .,�� -.:„ - _ �.. �;,,, �: ,- �.`s��.�r.�7��", �;a'�:.a:;"yi: Each manufactured or modular • dwelling, service and /or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 «- _ k „�-•sa« :.- r:� , :�za>_ o ,T :' v a "`,.; " ii7i- ., ` ' 201 amps to 400 amps 106,85 2 >.�', ���s.PR01' RT'1' _O_WNE12 => ?a:. .=r: , r:Y � , " ,�;:,� �Y..;. =.� ..: - (' �sr c. TEI V AN1 wx, . ;....... 160.60 2 F- `� "•` `" "" " "" 401 amps to 600 amps Name: L tr F - _ L A efi / E.5 601 amps to 1,000 amps 240.60 2 Address: a y Re e. _ .e.-�ff 11 S / _ Over 1,000 amps or volts 454.65 2 Reconnect only 66,85 2 City /State /ZIP: ,��,/, C/i �, �� q, '? f Temporary services or feeders installation, alteration, and /or ( / ?5 / /' 3 5 relocation Phone: S T &) 6 �` F ( ) /h�/ 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 ,r �, n - `.+rt:, ✓5 `.^''� x ,5 s- ' yr ��` :�'x'ar 'r -:«` �'- s`� ;� ye � Est: �;fs��� "::xt�:x: d .. "..� y.w..;:r, °. i� ^•' K. A. Fee for branch circuits with 3 �:���� 7� ,� ;.; .,,. � C�UN AGT�E�RSON� ��:�' A C — / WD , / °��� : s branch circuit feeder fee, each 6.65 2 Business name: L / 1- 1 t branch circuit Contact name: ki:72L, ` i L a. B. Fee ou servic cir fee without service or feeder fee, 46,85 2 Address: 2 8 each branch circuit L T Each add'l branch circuit 6.65 2 City/State /ZIP: W � / i,- � � c � ja a� q -2 02 1 Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (5-02) C ? /3 LiJ Fax: : ( ) J44,i d Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - iN n;;:„.. - �rs;�„,* -�s: ;,`4 -k:`.0 ,,o:�&, r*"r,• 'a'r,�; -sly x;t::', =5 „t.f,..;;,�fi.; c �.M.•,.,�>:.. -7:,., ��..a.• „1 �. >; . u y. WRIMORr: CO ITRACTOR; - E fi ? �..: :' , , , ,. . „M.- , en ergy Panel, alteration, or extension. Describe: Page 2 2 Business name: ( ;(.P... / C f K4 ` L /n ( , Address: Po , a )6 .2 f Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: ti I lS ,41t'/ (9e. '12 1,27 Investigation per hour (t hr min) 62.50 Phone: (5 ) ? L j Fax: (y(2.3 Industrial plant per hour 73.75 : ;, '.;:�:1 llt TR PERT VII -_- FEES *: ,' :' ' '., ' ... CCB Lic.: Electrical Lic. 59 Suprv. Lic.: t./ ,� Subtotal Sum. Electrician signature, required: . Plan review (25% of permit fee) State surcharge (8% of permit fee) Print as 4../..om0. Date: Authorized iiigleture: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Flint nun= Date: - days after it has been accepted as complete Print name: I I * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. i:' Building \Permits'ELC- PermitApp.doc 12/03 440- 46I5T( I 0 /02/COM/WEB Mechanical Permit Application r FOR OFFICE USE ONLY City of Tigard 19ECE IYE Receive PermitNo.: 13125 SW Hall Blvd., Tigard, OR 97223 Pl Phone: 503.639.4171 Fax: 503.598.1960 D an Review SEP 0 2 ��dl �� ate/By: Other Permit Inspection Line: 503.639.4175 ((�� F . �lt� I Date RReady/13y: J „ s . y: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: • Supplemeatal.Information • CITY OF TIf -1ARn I �., -% . e " , � G mFt aXi , - f O . k� d s. i f , ; 1 `fi a = : j r r; CO ,.,,,, RCIA " <' - , , EDUI E - , LJSE. C HECIQ IST New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work ilif performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, 'equipment, labor, overhead, and profit. ti .: -., •,..•• -� ..,.�. #�„ �;.escc�.: a'w,�. ="b:�•;*i.z - .as. -.. _.za..1;,, »�.t.(.;: � r; :t.° .i;�. Vallle:$ "- 41 ' ' `' Zn�a'° =`"-t � , " GAT ,'"' OF : �GON ST RTJC TION•. Z i 2 4 - -�: fZU. : _2 ., s, ar:.-..,�,.;v,.0,.,,_;«re,ii. .c r. ..x... az..uw. -.. _..ar ti - .f ., s. .,...5 - -i 8 - ., .... - , , RESID EN T? l .EQUIPMENT / ; SYSTEMS = FEES * lei 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total 6 ; 5 0= ,R•.,; - °` �,�' =:� ;�, e%::r.�.au'rx,: .:s� "rtr��5: _ea,�= .�+n�:- �:,�,o,:. :: �,.�r.a" . �,ro'« - 'iF �. '�4N t ` 1 `* - 1- trOB SIT_ _ E`= INF.OR1V;{';ATION AND 'TedafION.:?' µ ;': i 31 : � =-•' Hearin coolin Job site address: / Air conditioning or heat pump (/ �� .0 n (requires site plan showing placement) 14.00 City/State /ZIP: •� 5 C�h ._ l9� Furn 100,000 BTU (ducts /vents) 14.00 / ' / / Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: ^p Gas heat pump 14.00 Cross street/directions to job site: t'✓L�t�/Cl,„vt ? L e , / ���tri Duct work 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: � `! 7 p� W Q A / S Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances • : "A " "•`� - �� � rr ,�� � '° =" �' }� Sys ,; . , . - �1 4, - DESCRIPTION ",OF WORIt f` 1" " a- � i Water heater 10.00 ^t.,E�;,.asw_�-§t�:�,.,�ta ).t.��s. ,.,- §F:� � r+sr•: -,•� �.a_se _a s:.: �r�� .''.3�!,a�.•.a^:s^a<# ..sa =-. w•i: .. �„�s`...�: ,. Gas fireplace 10.00 Flue vent for water heater or gas fireplace • 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 'Wood fireplace /insert 10.00 ,,,. �. -.w -a : :: ,rr 1 ' _ :r'" = k caz aJZ. ,; ._ 3 Chimney /liner /flue /vent 10.00 ,ww - AJ, ;, PE YitiVgR ` 4 4Mi ,t , Q TENArIT ", * ; ...,,,,,,,,,,,,,,,,,,k,,,,, : .t,,.. ,, . z _ �' . }, ..+ .a .4,,,, z.. -,i 4. 'a :` Other: 10.00 Name: L_ r L . /. ,( // fl 0fI /S Environmental exhaust and ventilation // 5 Range hood /other kitchen Address: 2 � '�'c� J equipment 10.00 City/State /ZIP: L64 OS (;,,,,e Qg. 6I ) Clothes dryer exhaust 10.00 . Single -duct exhaust (bathrooms, Phone: (S 6 57_. l ,3 4 73 Fax: ( ) __Set-r-kt toilet compartments, utility rooms) 6.80 `•:3` ` - �~'"" i ," 'x " t Attic /crawls ace fans 10.00 ;; ,;P, . ' t - r1PPLTCAN`� s " ""t ' " ,,,s ` :.. . PERSON . .% t - . P 'S'3's):',t -:.4;: »��. _ ,.- ...... -xf�s � ,� aS�,� = °� .x £L t., .�,��:. � �;e,: a: - �,.a�,,., . Business name: ` /] ,�/ // �� Other: 10.00 > �/ t /�� y£ fl0 i Fuel piping Contact name: Poi A, p.I Z -,- $5.40 for first four; $1.00 for, each additional Address: 6 L c •1 )-{_ Furnace, etc. Gas heat pump City/State /ZIP: L GL i� (., C, e (9'[, q 7 � 3 s Wall /suspended /unit heater Phone: (L Q3) ‘ ?5 / L ✓ Fax:: ( ) _c Water heater - Fireplace E -mail: Range ; f rS -# { 'a , . r ?: -: zaidR.4 ",i ffi:.T-- <r #;.6; .xa. l & - '.t f r:. M ." �. ii,44 .. .ai ;x y`�i� �;. . `a':, , t'izt.;w'l '>x ' « ":} ^ :` F,� ""' 46 , a r,: f � < l ,q. l , a � w CON- ",.. . „'.,,, -�_ m ` 1'� :444 E° .vv o Barbecue z��„�,,. .,k...�.2�,34 - 3- .. d .. - x � -.. �ca3C' K `: :: Yx�� . Business name: I' �2_�Z,` ,1 Co Clothes dryer (gas) r � _.,.Y� -, .�� ; 3; .z.� �, ss = 5 / . / f RI - i Address: / ,� s iaini ' - ; 1VIE CHAN ' Ie - i ii- FEES *` City/State/ZIP: Ca- n i () ,e, C 2 eV s...:, � � Subtotal Minimum permit fee ($72.50) Phone: (5-10) 2 ‘o .. j2 rig Fax: ( ) Plan review (25% of permit fee) CCB lic.: / V 0(2 f State surcharge (8% of permit fee) j TOTAL P PRMIT FE P 30 Authorized signature: ' This permit application expires if a permit is not obtained within 1 days after it has been accepted as complete. • Print name: / L o ‘,-,, 2. - (e_-.- Date: ? _ / ? , (2Z-( * Fee methodology set by Tn -County Building Industry Service Board i:\ Building \Permits \MEC- PernutApp.doc 12/03 440 -4617T (11 /02 /COM/WEB) Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY 111' V t tjVE© Received City of Tigard Pemut No.: 13125 SW Hall Blvd., Tigard, OR 97223 • Date/By: Plan Review Phone: 503.639.4171 Fax: 503.598.19 0 "milli' Other Permit No.: !_I u LUO� � r �� t\ . DateB y 24- Hour Inspection Line: 503.639.4175 E. Juris: Internet: www.ci.tigard.or.us ��.. Date edlMeth S See Page for g Notified /tvlethod: Supplemental Information -xF- -. _�'a,.:e %• >.,x�n� - t •&s = - d�. ;.P .. , . "»•;�` - �3u�t •;c < > ai.� :. > ai, b- �:ssz : >.. � �a,: -, c. '• . - . w„ „ a x t 0 2 ,., ,} _. -r.. .REE.. '. '' HE II E .� . �^+a ..4 :�r � N.,�r a*. ..,... ,. .. , ,, ., ie: `,:5°.=,', -��� ?'s . _.:�� :... ..... ..... .. .. a, �-. 3- �. a' ?r^' r°�'s . ^,�kba -"Wood-0k S.'��+i��a awt':'$,ae.rw.,.f . .L �s %�J5'z.�b• _..,,,,. N I New construction ❑ Demolition For special information use checklist. Description 1 Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) .�,�, �y » �m �- ::. � "��� 3 .af.- � a q:.:3;':«°�N ". - - :.; cr�iE `��>' ro�,'",.�, `� - R GA TEGO ii Q F ; ,IYSTRLTC%Tl SFR (1) bath 249.20 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: �'n '��'x::; :.�:�-� �:.�A�- `�•a�r ; �c: zm�: = :x.�� -ssa>; �r:�'>•<.•te icy:: �z _., '�;.= �� Fire sprinkler ( sq. ft.) Page 2 4 V:A• " 'tz ;"r. .Ir.ZS ; i » a' ` • y ,z i" " s.<r" ` W4 ,sy' s- J OB+ST T - INF IOI ?= }11�TD I O .G'A ,:*, .' ° , ' >'".�.�xQ "fir.. .... �'.`•,,,.c,...�+s"rY�T���:r: �` sz•¢ E.¢ e:.:- "'= °s:rL::�,'�„s.:,- ;xrr;s?ra� �. �.. �.:: a�= x7> 6;u ;s��a "q�r� +1..� Site utilities Job site address: �} ��'� (9/p., / /3' t4. __ Catch basin or area drain 16.60 City/State /ZIP: ( Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: t/ I Project name: Footing drain (no. linear ft.: ) Page 2 job site: Manufactured home utilities 110.00 Cross street/directions to 3 ���'P 4 'L�e �� 2 ' Manholes 16.60 Rain drain connector 16.60 • Sanitary sewer (no. linear ft.: ) Page 2 (( Storm sewer (no. linear ft.: ) Page 2 /3 + Subdivision: 1!0,- 1 4/0/,‘X, J5 Lot no.: .2., Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: : „,.G =.. , n u. ,_:,. r . ; , . • Absorption valve 16.60 �Y, 1 DSCRIP FIOOF�ORI y - ,=.lC Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 e w - r x € Drinking fountain 16.60 Ejectors /sump 16.60 Name: 4 r -L 4 en 80 ly, 1,2-5 Expansion tank 16.60 Address: 2 g . ? a --e - f 5 f - Fixture /sewer cap 16.60 City/State /ZIP: �7 7 �q '; li L/s Lt�-� v 6/e � � 03.�`` Floor drain/floor sink/hub 16.60 Phone: ( ) - Fax: ( ) Garbage disposal 16.60 . ;. _ •sgw ; ;',ow: Wit:." , - °; r;� :r t ft k Hose bib 16.60 130 2 - 1 i , . P 1,17 , , .s' ., ` G O1% . TA T P-ERS . .i `�x&.a..:a x. x r as3,� b�3 Ice maker 16.60 Business name: i ji - It /C41,9 1/0,11/-,-, Interceptor /grease trap 16.60 Contact name: / L7 d b, - , 1 w Medical gas (value: $ ) Page 2 Address: .. 2._ . ? J (i /c r . f 51, Primer 16.60 City/State /ZIP: . a (L, L 0 aW q,,93_5 Roof drain (commercial) • 16.60 Phone: Sink/basin/lavatory 16.60 (co) S _ /2 / 1 F ax:: ( ) S4 ...>2.4,-G---- Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 ». °.x,;1 .. 4° `r: -_-� r;; r di ,gi>; ;.,. 1VI. a; : � 1 :li = .:. .� 4 :.,�.., ski" �T.,,P,. .� ,�, .ss. <°s� ` �' ? °k�',r5,., "�� ' ," .,. �..-, I gl $ :t .: fCON'TIiw '' ~a , V ,6 °f 16.60 ..��� ��"�.,:;l +'� � ;��,� � �'. I rw�.� =. ���?..'�£�i?.�.a. „�it,._..,.f:�= �`.:�<�;` M< ° Water closet Business name: G , 5 1'lk.M A,, Water heater 16.60 Address: 1 / , / 1 jL 12 q . Other: City/State/ZIP: - I 4 . 4417 C4 q 1,43 /2 / G� Subtotal ` Minimum permit fee: $72.50 Phone: (50 ) 6 L ( 0 ......2,_? t ( Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: / q q� 7 Plumbing Lic. no.: 3LJ_ /L/ _ /05 Plan review (25% of permit fee) 1 State surcharge (8% of permit fee) Authorized signature: / TOTAL PERMIT FEE Print name: e,-)1,5i,1 £c ( -, Date: Cn , / 2 _( This permit application expires if a permit is not obtained within . C 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. is\ Building \Pemtits\PLMF- PemtitApp.doc 12/03 440- 4616T(i0 /02 /COM/WEB) TREE C .. S .. I ' I, r( cZ ,1/1 £ a 6- , , gent for L 1� - 1� /Ah�D PO/46 (PLEASE PRINT). (PERMIT HOLDER) ' N %3 Do- F v m - „' K i 3 hat , ' y et s 1, Do hereby certify th.e folldwiiag location City' meets of Ti and /W °hir on Count l and use and development standards for street tree installation. ADDRESS: J : l ? 7 0 :S� ��_ /3rd ���� C7 . oa. LOT: SUBDIVISION: 4 - / S BY: ' / J DATE: F — 2-2 - ,%7- RECEIVED BY: DATE: 0. 1 , CITY ,QF TIGARD BUILDING DIVISION PERMIT #: MST2004-00265 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639-4171 eediipp Inspection Requests (24 Hrs.): (503) 639-4175 ..A- .-''-,... INSPECTION WORKSHEET FOR DATE: 8/26/2006 TIME: 7 PAGE: 43 SITE ADDRESS: 10878 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I i ON WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: BRE I ION WOODS DESCRIPTION: New SF 8124/2005 Add AC. OWNER: LEE-LAND HOMES, PHONE #: 603-635-1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635-1343 Inspection Request Scheduled For: Date: 8/26/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 014379-01 503-789-6795 Y Corrections /Comments / Instructions: PASS 0 PARTIAL APPROVAL D CANCEL fl NO ACCESS i I FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: • Date: 1,-2 `‘ -- Phone #: (503) 718- CITY OF TIGARD ,. ,. . . BUILDING DIVISION PERMIT #: MST2004 -00255 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30 /200 Phone: (503) 639 -4171 ��filin liIi'\ Inspection Requests (24 Hrs.): (503) 639 -4175 '__.. INSPECTION WORKSHEET FOR DATE: 8/26/2005 TIME: 7:06AM PAGE: 42 SITE ADDRESS: 10878 SW BBRETTON CT CLASS OF WORK: SUBDIVISION: BRE I I ON WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF 6/24/2005 Add AC. OWNER: LEE -LAND HOMES, PHONE #: 503 - 636_1313 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 6/26/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 014379 -02 603-785-6795 N • Corrections /Comments / Instructions: PASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i Date: Zr #: (503) 718- wirY OF TIGARD .. . BUILDING DIVISION PERMIT #: MST2004.00255 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 :0m �� f l l�� Inspection Requests (24 Hrs.): (503) 639 -4175 ' W L:_.. INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME 7:08AM PAGE: 22 SITE ADDRESS: 10878 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE I ( ON WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: BREI i ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 603-636 -1343 CONTRACTOR: LEE - LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 8/24/2006 Pour Time: Code # . Inspection Description Confirm # Contact # Message 199 Electrical final 014203 -01 503- 788.6796 N Corrections /Comments /Instructions: j G r.4.617 a.-0./,c9 s-1/. /V6 t & Afsqlede.q kcitix 4 Ok<leic loetilikt_ s'--rs± PASS ❑PARTIAL APPROVAL ❑ CANCEL pi ACCESS n FAIL El C (' FOR NSPE • N 11] ADDITION L FEES ASSESSED Ay Inspector: r 1 Date: a Ai` Phone #: (503) 718- Z 1 . CITY ,.OF TIGARD BUILDING DIVISION PERMIT #: MST2004.00255 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/30/2004 Phone: (503) 639 -4171 � u � + ��,uu� �� p� l; l i i'i Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 0/2412005 TIME: 7:OOAM • PAGE: 21 SITE ADDRESS: 10876 SW DRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 002 TYPE OF USE: PROJECT NAME: BRE.I ION WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 603- 635 -1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 8/24/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 014203-02 503 - 789.6795 N Corrections /Comments /Instructions: • • X PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - <T) t'r,t-Jfl I 6.--4- Date: $` /2t-( / c.)S Phone #: (503) 718-