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Permit - Alph: • CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00257 I{i l DEVELOPMENT SERVICES DATE ISSUED: 12/21/2004 c a - - ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10898 SW BRETTON CT PARCEL: 2S115AA -09900 SUBDIVISION: BRETTON WOODS ZONING: R -4.5 BLOCK: LOT: 004 JURISDICTION: TIG _ REMARKS: New SF BUILDING REISSUE: SSN2833 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,259 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,574 sf GARAGE: 716 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRO: sf RIGHT: 5 VALUE: 284,662 60 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,833 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: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 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 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 # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,446.19 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 Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Grading Inspection Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation lnsp Appr /Sdwlk lnsp Sewer Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insr Rain drain Insp ' 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 Issued B : / Y Permittee Signature : 72/1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day • Building Permit Application 1 'FOR` OFFICE USE : . City Of Ti gard --' ` ��/ y Permit No. >` e t / —Ul 0", ' l 13125 SW Hall Blvd., Tigard, 0119 �C EpvEJ Plan Revie Phone: 503.639.4171 Fax: 503.598.1'960 //,i :dl �a -4. €' +a Other Permit: c f Inspection Line: 503.639.4175 a" 6 Date Ready/By: y: See Attached Checklist for Internet: www.ci.tigard.or.us SEP 0 2 2004 Notified/Method: Supplemental Information XF;: - ;.w ��. r�. ' ��4t'.`T �+iis# :2}- °�'•.��x � °s�:. �g�'., ":xcz - .•.6 -4 >t:�'f� t i� s, H tom... a _ :�` O - _ � �: - 2 D�.DA =IdA. . � It)1" �`L1IRE 1 = `' D` "' ; I:� . �`�DWELLIN ram �"� ,.� ,.Z, AMI Y G ;. -� ><. �< �,,r ass '��..� e:.«a"T�...s ,� ... ,. , nw�" <��:,,' ...� ..gad ��, t >.`4,.,,, , _ ..�. -�:,� .a:;'4,-zr; , ._ .... -,« _._ « ,a te �'..�, _ a.� ,.�� <�. ":, .�.. �- ��}. °�- %ter.. - , ° ^., s;��� •, - .... ,,, .. iiii New construction tSUIL u 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 Vie," i °a:• ;t3 1:; - .:."a;, , F., 'r .", L > r�:a' .a; >"is:k: c -=r`.. s,,;z k- ,' ;;:'.sna •G ;sfic �,t ,K :�s�;.,., t.'+� e ^: . - ,'; S z - ' " a r,. CATE00RY"a 3 TRi and , ; �' i m: work indicated on this application. fri 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 70o OQ � ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder \ ❑ Other: . Number of bathrooms: 2 / /Z - � ", k s , t t JOB 'SITE ,I N-FORMATION AND I;OCATIOhi' ... Total number of floors: Job site address: J/7 S 4 ,71?� j6J C � New dwelling area: . 2733 square feet City/State /ZIP: t v Garage /carport area: 7/‘ square feet Suite/bldg. /apt. no.: Project name: . . Covered porch area: square feet Cross street/directions to job site: 0 /.+t./'tLm • -/ / w Deck area: square feet Other structure area: square feet gz REQUmED DATA t:OMMERCIAI USE CHECKLIST • Subdivision: 1, - f- f / L2r � 5 Lot no.: q 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 equipment, materials, labor, overhead, and the profit for the - =• , y . '°,` "- : <4.5 =• y`.:.3:;A +'1t = .� #;;°a (§:: �c'= Z�: ^s^'t'*t:t >.c.,.�.ur°�?m"ti�.; ."- :�•�,5�' ;S.g'E:'�.4:�:';�;�� ;�,`' '�a ���.:, �'.,''�'��`- '!'��- `:^zx r4' ,.Z,,.�. ,30.�s`utl,�t_ work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet •,a °i'�'- `'�',. �, '�`'/+;. ". ° i'`";�� �� {.; :: ' �:` tt , y�:;:. - ,+t;L�MC,u3E7' =- �$st • . �:::' _ . ' ; iitii RTYsOWPIER '�a . - M® TENANT": : k�, Number of stories: Name: L , I- - LA �6 1-tree,- Type of construction: Address: 2 e ist £>/4_f - si Occupancy groups: City/State /ZIP: 4L C - Cs 'L - -( 07e ! d U /� 7-.5'-- Existing: Phone: (- 7]j (Y) ��Y2 Fax: ( ) <$z - New: F,„3,y,5�,s;,'i % «.;:7.% -"- '�F =`xt :.� ; t„ w:,.' F;t?�t::' : "rr' ^:.•s�.,.vli .+:^� VOW' v. 3}:c^`,z ;, °• -°px;ei ^;:". ",5;;i .," .... ?.. ' y 5 ',- h „ .,.�':� -y'iL L ''1. a� ." `;'t � d'i' . ..�,. n.; a� �� '_AF_PI;"IGAIV "AMR ,. NT' � = ' I' PER � ; , ` ;,.;.r:,. � ° ,�*x -.,��� .ts'w�s=. .;'.�...... ..s >,•''.^.s., : t. a.:`. 7. t> c•^ �=. ' a... �" i . � . r� �.=. c c�.: M# m." �:#.' �; �:.. a% iaf., x. _!,..�= 1s- c#.- , ^'^h.,"uz„�, x t.,r i;ce , r.,. - ...A..� :.;' ;. " ".: ;,�::. ;�: �, -• -• r.� ' ° , -' : I. ���,,; NO'I = � : �';a r '; : _< . y : , . Y; . Business name: L _ -5: ` t A'v^b Of t � L-S � " ` n `:r °r3a..,:,, subcontractors a required .R A]1 contractors and subcon are r uired to be Contact name: ���j�,t� I LP licensed with the Oregon Construction Contractors Board / under ORS 701 and may be required to be licensed in the p Address: 2 n a e c- (c 4,1 - S I , jurisdiction in which work is being performed. If the City/State/ZIP: L G�-4.f, (9 , = � (9K '7 ,3 5 applicant is exempt from licensing, the following reasons /' c' apply: Phone: (54)) (3 S- /3 L ] ax:: ( ) _54.., .e- E-mail: a -F� _ :..:,- rti, = §_. . ., ,,.a,. , x i "° ; n - ,,' :.:.a-a +s: _ "- .i. ".v'> ti:° A.; r v:.q ,- ._ -. f 4 rr : --- T.RA OR . . a. � 4 W Business name: L l— // �� ,i %S t .,�..: r ,, . .- ..__.�.,,.�,"„ .. ,, '- /`E��p �CD� :'� �1 ,, . Bi3IIDIRN P.ERIYIITIYFEES* Address: 2 X /3 II (_t( -€-7 5/. �. . u� ":.,_,,, . ,,,,,,,,,,,,,,, r � Please refer to fee schedule, City/State/ZIP: L _e (9s fz/. c /' � "! 2( - J Fees due upon application _ - Phone: ( 5_x'1) ' 3 5 _ l j G` Z -c Fax: ( ) t , 2/ - Nm CCB lic.: el / 3 J'$ / t+7 ount received • Date received: Authorized signature: ,11 J This permit application expires if a permit is not obtained iC L��� 1 within 180 days after it has been accepted as complete. Print name: F0,4 ..it /_ 4 �.2._ Date: F? /7 c"( * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- Per,nitApp doc 12/03 440- 4613T(I I /02/COM/WEB) Aug _ 17 04 02: 07p 503 -948 -6823 p. 1 08/17/2004 01:05 5036351343 ROBBIN'LEE PAGE. 01. • Electrical Per it l ica>taon , „. ,.._, to:kofF141 t iir_oNr.N .�... -: _..:: City of Tigard .. remitNo.: 13.124: SW rier tIvd, Ti ,.OR 97223 phew,: phew,: 503.639A171 Pau: 503.548 -1960 4.1 - - , - Other Permit: • Inspection Line: 5O3.639.417a {1'. �!�. - -�_„ pace BeculY/BP. !wv internee .mww.Ct.tfgardaor-af Notified/Method: - ul "Y4 i t r> �7}I �R r- F 11RiSlr ( N1 R T Oki rY: s?3 _,, ,l : '�� : ��Y`• r.M '-'! �s?(. r Q y7,, k .MS'.�`'" ' �Re'�;1d3 k - � ror'.tstl�6:..• :°- ;New.construction 0 Additsiontaltaationheplaceolemt Please check an that apply: El Demolition 0 OService over 725 wars, coming Clfeasrdeuslocadcn • qtr r +r a - rep ra r .r r , ❑service over 320 amps - !aura OS inking over 10,000 sq. It, '_ 1 __ $> , �y ^ ' t ` r,) . I ,a ' - „• • ;,, d t • 1 . 1, of 1- end 2-family dwellings 4 or more new residential 1 - and 2•faraily dwelling ❑ Comtaelrcialfindustrial 0 Accessory building OSyetent over '60Q voIte nomitroi +eats is ooc sovcurre ❑.Multi fatruly El Magter builder (] Other; �7Bw7ding war three nodes ❑Feeders, 400 amps or more ! _4 -7h ,, : a r d . ._ r r / , 1 Oseupantioad i over 99 pp ❑MaiwJactured structures or . : . ' © li$lttittgplaa lCV'pant ' Job no.: Jab site as / ) f / w � [ZHcalth came facility ❑Ottta: City/State/ZIP: ' S ubunit 2 sob of plans.vAthcoy C2/? The above are not applicable to temporary construction service. &uite./b1dgiapt.00.: Project mania: ?�(.'�', i �r,�..:_ ,4:' _:s. n estript . Qfy p".. 1 . r .. 1 . � streets ections to job site: a.e �a+i<f 7 /a NOV resideatrial Angle- or saaltl- family dwelling unit. 1 r raciuses smelled garag.. _ 1',000'9 :'R er less i • '145.15 r 4 - Subdi vision: 3 , - % A , / a 0. 1 f no q Ea, add'! 500 sq. ft. a por on _ 33.40 1 Taos map/parcel no Limited energy. residential 75.x. 2 Pra r r ^c , /, United roomy, con- residential 75.00 2 :.. 1 1•'...1...:.: ' .: sir,._ 4 r a r �'.ii. .��.•W`n .t,t- - i. . •�� 1L _l; •_ ° ��' • .i: :lti',.�. i,2:: :. :W:. , . a• :r b oil menufacoiv4 or modular j •dwellinq,'tervite and/Or feeder 90:90 2 I 1 Service, or !eiders isastalatIon, alteration, aod/or rvlocatio 200 amps or loss 80.30 Z ' 77 r ''tfi 70..":1T--'154.‘:' ' : ;11 S 71 r r , ` Tryn :7,74-:,-,'.,i`,1-7V2- .- - 5 . err tI ; �i 'r .. .y 7D l atxpsto 4Warnps 1068. 2 - .377:',1 :y .:i.:1,;.,,..::.; .- ?" -'�.� ..l.-_,,,,.=:. , ...1.11j• J2. .' � 'I n :,l : _L..: .:� _.n. � . (..' ci ..ap�YV I,:T3QIi /!1g11 401 amps to 600 aroma i 160.60 2 Narrle: A �/(7 p� 5 601 forma to 1,000 taupe 240.60 2 Address: l3° G l S - Ova 1.000 amps or volts 454,6$ 2 Ci �' att/Idk: /St 7 66.85 2 2 i - , � a c L. � � 67 .5 I r Reconnect only ' Temporary services or feeders fnetellatioet, atteratlan,, aadlor Pb D"' (ce) ) .r , _ 13q3 1 ' �_ ( ) .�.� 200 amps or Stns f 6625 l Owner instillation: : This installation is being made on property thin I own which is nor 201 amps to 400 amps 1 •100.34 • 2 , intmdcd for sa1c , easc, rent, or excbaetge, according to ORS 447, 449, 670, and 701. 401 titres to 600 amps I 133.75 2 Oatlxc sib Date Branch eircalts.- qew atteration or extension, per panel: s . a " t , :r. m .1 -, A. Fee branch circuits net/ 1-- ta sy' or or fee,.each iguairlea e : kg . i , js $.e5 Z branch circuit B. Fee for branch circuits Contact niarle: 4L 4 without service or feeder fee, 46 45 • rAddtess: 2 d # �� ( t each brtmcb circuit _ I 5 • Each 4 d'1 blanch circuit ( 6 :65 f 2 1 City/Statt/71P r^ Allacenateous (ferrite •r (eerier not included) Pht>me: (gy - Fax! ( ) 1 ' F r outline r i g L 53 40 ! 2 Sign or outline ltghwlg 53.40 I 2 fi rrk4tl _ �, i _ Signal circuits) or linatod- 1 1 .t_: '' n . ' 1 > . •1 1, d, --T.4 1 "a '.:4 i �r' ..:Gru L I aYYP3ntst,acraiion. or ' ' 1 III - Business name: rs , g !r a C r ettutsiod Describe: Prgs7 12 Address: /r �. �., f�� (^ - .. Emit additional • e tion.aver allowaole Matey of the above /!� p �t ] Per inspection 67.50 City/Statt/LIP :. w : f , . - {. . I 25 „. Of r. Invtetigptioa pot how 0brag. 62,50 p� ( r -) • Il 7' Fax: e ) I � - Industrial plaint hour 23.75 } _ff ; .^ , : 2 K + k L ./` a , r li + ' �' � CC.B. ic.:. i ' 1 7C Elec ical:Lic : :3 � a -. r_ -. .1 s °_ d ubtota! . • Suorv. Electrician signature, required: ` - -- Plan feviev (Z5% of permit flee) Point name: / � Date: Stxtesur4 urge (895.olpernf ) . ,CJ „4",.0/1' � «�' TOTAL PEJtMrr WEE , Authorized si ture � Thee peredt apyticati0aa7tptres if a ptuavt it not etx•ined Mr4itf loft 1 • days afkr it tar'Orea atetyisd art emptet. PAM nom= Date: • Tee n y rat try Tti-Cowdy Buddima Ifdutdry Service Board •" NmrbtJ ofinspeteap+ pea penal! allowed eisvi soon eova .Gratiuppevii was Mo- ..eirnipoetco rev s1 • Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received n (� Date/By: Permit No.; 13125 SW Hall Blvd., Tigard, Ol 97223 v�4 t 1 V L D ++ + Plan Review Phone: 503.639.4171 Fax: 503.59871960 Other Permit: Ins ection Line: 503.639.4175 .r„..,- j1m° �'�I'�� Date/By: Ready/By: P ��� U 10U4 �!f � Date eet Juns Supplemental See Page 2 for Interne[: wvvw.Cl.tlgard.or.us L Notified/Method: Supplemental Information .,�- : <a;._ w„5�, - =: a1 �''c•<y.:e ��y;:. �,�: . .�.L�'�a.•aua. , 9. =." ' -�a��� . �,,,., - •,� r-g: =�"� >X.� °d ,,;4x34 =�" :* ..:: r` Y ,., . RIB " , -- - :, ., - � : =;, .�.., -"�_ �, ` "'I�4'PE ;Q � � =:' �- R ;, : , CO ' MMERGI " ,'r - E - � GHEUiJIsE " �USE> CHE CKLIST K gg New construction til❑•L:.1dNd(diRn%allteinin/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ' < i r CAT ©Rk f;t,ONSTRUCTIONA4liii ' ^. Value RESIDENTIAL EQUIPMENT / S YSTEMS "FEES* sr 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. Total ;rti= ..a,�s^riz .��z55`' � �- ..�i3"i :".tlxs4�-."`. rtt ,�'�� -=F r.,:Y-.:<a �YS. �'�.,= - - n:`3 •: o��;;.,. « R y .°°^ - ,� °' 'As� � �OB�SITE<: =INFOIiM�ia,TliON AND LQGATIO1Vy;�a a � . _ Heating/cooling 'w'�.��. 'n'n� � sx : ..'.� -e:e� v-rc.r r�s-m:;- �+.bm�: - ar. - ,.e • „ ..:a;.. ..: Job site address: ( Y 'V r l �? Air conditioning or heat pump D Z / (requires site plan showing placement) 14.00 City/State /ZIP: �t 5 c , Z l Fumace 100,000 BTU (ducts /vents) 14.00 / , / / Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: , L r4 , ,�t 7L / -� 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: £ re II p,,l K/ 1, Al 3 Lot no.: Flue /vent for any of above 10.00 Other: • 10.00 Tax map /parcel no.: Other fuel appliances - 'P.' - %°�" :' a ;` m x3;.i < "s . y at ; .;? r - .s , .� . „ ,.: =mss ,a.^w:;a s ,. - y: d in . _fin " ^'=4s r nr� - , , r gg g,.. :v:q"� =.,1DE, , : OFk:, . j�� (('�. 4,-,.,4,,y,,,--.„t... � sq ,', i � s ' k .; Water he 10.00 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 ,r <r ... _. * ;, :. ;. ' =:, zr `:" sA ,;b,<,, -,. - s:s; r , f, : . Chimney /liner /flue /vent 10.00 A,. ;I V; . ,.. PROPERTY < =:O =W E'Rx" - f ` ; :1 •:' ,}! 4 111KTEN4NT7 a it; . , a... , . +x a; =.< A;; .. s._„ t,. :>,' T �' - "......_. �1 .f.xu;,r_ „ =s:.?s„se�.SEiiiv Y:�ax.r*. _ Other: 10.00 Name: , L, e_ 4 ,4/v /Joflh /s Environmental exhaust and ventilation Address: R / .. C Range hood /other kitchen 2 1J equipment 10.00 City/State /ZIP: L`L OS Ug - 7 Q/F ge:2 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (55o ) 63 5 - 3 4(3 Fax: ( ) __Sot-� � toilet compartments, utility rooms) 6.80 s '" i`l•n; 4; , w " ..y�;,YS.;.V f as- acts >FS�.a4 /7 . - x,".,,'s „; R4F s k' =.S:ta ?: ya .., f a ` - ,� E r S . x ic �, _ , :+ �gj'., APPIsTC ' t 4, A s CONTACT PrERSO; N 1,- r A Attic /crawlspace fans 10.00 Business name: `/� //J�' AA // 140416-_-- Other: 10.00 i� f-� �/T /U� ` Fuel t piping g Contact name: R�- L. ,i .t $5.40 for first four; $1.00 for, each additional I Address: 2 /3 ,t G ( _ ,5-{ Furnace, etc. � ' Gas heat pump City/State /ZIP L �� � ale Off[ c 2695 5 Wall /suspended /unit heater Phone: (503) ?5 1? (/) Fax:: ( ) 5 Water heater Fireplace E -mail: Range - .Y�t ,;„_ii" � =; ., -.:. :�a�, �.�:¢x ". s - >„3:: _- '�;,., .tea;• "s_.4 - ; ` g+, '; .. ;; .` P;V teV., . fit, p �.. ice, ° ,.tv�*.��^ + «. _ e, ... ,• ,as ,,rsC0 CT08,{ _...a .., - t, • t ; ' :a': Barbecue �T: �� ? �: z�:<, : �'... �. a::. ��*_ t '�.- ar ~ v ' d + C_ - i % ` - �.�:`- ` , �. �. 6 .... - .+. , _. aa' t,' �c" �s r� � � _• 'i�;�. "'s = �k��r.'<?,'.�."�.:e ?;•,�c: ..� Business name: P �� r Clothes dryer (gas) C 0 i'J Other: - Address: c , 9d S l 43 . n " " „y s . ', IYIEGHANICAL P)�RIVITTyEEES* City/State/ZIP: ,/j 1 0 i . L 2 o12 Subtotal Phone: (5-0) 2 /2 Fax: ( ) Minimum permit fee ($72.50) 111 Plan review (25% of permit fee) _ CCB lie.: / 4<<000 State surcharge (8% of permit fee) �� TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 d ays after it has been accepted as complete. Print name: r S L Date: _ / 7 , ( �L� * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \MEC- PetmitApp.doc 12/03 440 -4617T (I1 /02 /COM/WEB) B Fixtures t. Plumbing Permit Application, FOR OFFICE USE ONLY • f� l VE © d Receive City of Tigard Receive Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 2 001 / c- iP ,\ ,� P 1 2 V ( �u� N ' f4l' Date/By: Other Permit No.: _ 24- Hour Inspection Line: 503.639.4175 E! Date Ready/By: Juris. - El See Page 2 for Internet: www.ci.tigard.or.us _ Notified/Method: Supplemental Information � 4y _. tv� :���- ..��� -:.� ax � '� �'` _ E .•� -.�_, s.. =FEE•. SCHEDULE" 6 New construction ❑ Demolition For special information use checklist. Description Qty. Ea. Total ❑ Addition/alteration/replacement ❑ Other: New 1-2-family dwellings (includes 100 ft. for each utility connection) :; �r,�. � *€- zle.��..� t- ��:��ti��. � =sue °»r� -*� a� ;y.�w- r.:w£.:;i�- •.:;. +�,.a;,, ��ZS:¢. >,y,•' r�a "CAIE.G®RY +OFCONSTR[JCT702V ;� SFR(1) 249.20 �:.a , eE . :. >�- :.a�',zeax�....„�:%m,�,ck. ::, „:n -. , .a.+.':.e.�.z�,�..�_ k <h �..«a'a= ® 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 I=1 Master sprinkler Page 2 Master builder Other: r ::. ,.: . „ � k , N '. ' 2 F spri kl r ( sq. ft.) Pa e 4 1 / JOB S11?E ORMAI'IUN AND iiakfi N i " r i g ':.z.. , � � •et`1' ` =.`. ...,- ,,,, 'x .t.;?..a •;.,n4, g a'vaa.;.i =s. .s�".3 rea;.- ii..,a,.^,ka'aa:v.'�- ; ,,, v. _ Site ut Job site address: If ijertJ 4o n (57; Catch basin or area drain 16.60 City/State /ZIP: t Q� Drywell, leach line, or trench drain 16.60 - Suite/bldg- /apt. no.: ‘-/ Project name: Footing drain (no. linear ft.: ) Page 2 / � 7-4 / / �j I Manufactured home utilities 110.00 Cross street/directions to job site: () hA. 0 D • Manholes 16.60 Rain drain connector 16.60 • Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: h/�`F t 1/o2j_5 I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: , - l ,. -,7 L ,, O ._. w a- ,;: ., =, ;; . . ><.1.- . , rz ,, : 7 , w ,, �.. Absorption valve Ab orpt 16 6 ? tr � 2i . - �s rsD O W ; ,r , i 3i mm, � > r .. �. .. _:il : . w .A ` ,, , :. «A. _ . .,t? . , p .,, � .... Backflow preventer Page 2 Backwater valve 16.60 , Clothes washer 16.60 Dishwasher 16.60 • = rrs ;sr , xrw,,g:, -,t -Q«. Drinkin fountain 16.60 • li . ` ", ;.� F ,. a " 4 - s ue g . `. s " PI O �'N I„ ' s . ® f,FT ,,,, : r x. / . - ..ate s �z �...i a ;t _... >a . ., Ejectors/sump 16.60 Name: L, F ,-L,1 1 0� i- S Expansion tank 16.60 Address: 2 g .e v /.& t $ / , Fixture /sewer cap 16.60 Dn 16.60 City /State/ZIP: �.(� t�S�� /C �035 Floor drain/floor sink/hub Phone: ( ) Fax: ( ) Garbage disposal . 16.60 ,.. s a =vsr 'a _ v= £ g,: , a 0 -5x'.` r =r; , l,vo. :we t aw , Hose bib 16.60 x H ",' ., PI (146.7 '.x ' t om . k � CO . ERO Y . : � � q it / , t m. 4 _ - es/ r Ice maker 16.60 Business name: 4 - L.��, y- »7 /_; , Interceptor /grease trap 16.60 Contact name: / r0 d 4,.- p L- Medical gas (value: $ ) Page 2 . Address: 2 e U /C _L f 5 1 , Primer 16.60 City/State/ZIP: Roof drain (commercial) 16.60 !L �� 4' C1 )3.623_3 Sink/basin/lavatory 16.60 Phone: (c) ? $ /2 t 2 1 Fax: : ( ) Sq -e______ Tub /shower /shower pan 16.60 E -mail: 16.60 Urinal : _ -• .rl;;$fs,;- ;�,;',r :a+.�;r, < ; ti�=" � .s�:��w'mid:s` „.a -- %'t�:``- ,= r"'f;. ire": r, �`;' wY^; t` i'; :�a"?G;'�;�;�^y���s�- '�„�:- ^�;, °y At g l sf � � °CONTRACTORS. i lift = i,,g sit Water closet 16.60 `tz; r' -V 15,=i ,0 . ..� o„ x .,, rx.z 4 ... 4 fix ;, =rt. /3 Water heater 16.60 Business name: pi ' r ' , Address: � /9 g j /26, q Other: , City/State/ZIP: t I /7)/� / 7 / Subtotal ty ! . 607'0 t 1/ • rte`` ` ( 4 Minimum permit fee: $72.50 Phone: (5V) ) G 6 .. f / Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: q q 2 7 Plumbing Lic. no.: 34/ /q _ /06 Plan review (25% of permit fee) l / /�" ' '� /� State surcharge (8% of permit fee) Authorized signature: y / -t / -� /L � TOTAL PERMIT FEE Print name: � tJ�G,// , r.. / -L e_ -•(-- Date: /_ / 2 _Cy This permit application expires if a permit is not obtained within t C 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i \ BuildingWermits \PLMF- PermitApp.doc 12/03 440- 4616T(10/02 /COM/WEB) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE G & B PLUMBING PO BOX 1269 HILLSBORO, OR 97123 -1269 Plumbing Signature Form Permit #: MST2004 -00257 Date Issued: 12/21/2004 Parcel: 2S 115AA -09900 Site Address: 10898 SW BRETTON CT Subdivision: BRETTON WOODS Block: Lot: 004 Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF 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: LEE -LAND HOMES G & B PLUMBING 28 BECKET ST PO BOX 1269 LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 -1269 Phone #: 503 - 635 - 1343 Phone #: 503 - 640 -2311 Reg #: LIC 19907 PLM 34 -44PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X C % : cd .4k - 2 (9/ ATP Signature of Authorized Plumber If you have any questions, please call 503.718.2433. T C S .. A ry� g b� ` 1- L g Owner%Agent for L L/ ijb I/(-'4 (PLEASE PRINT) (PERMIT HOLDER) ' , 1 of 'i' k ' ,s .. d Do herebcer * y tha following location zn ° on meets City : of Tig r 44 ad%Washi `County N,^_ .,.unx�..'s` = -� -�,xrn u«y b'!:a£'iSkx y.. .x ^,s a xe l and use and development standards for street tree installation. ADDRESS: / a J` Sri. /3i''� o c- L7 LOT: SUBDIVISION: d L to aC S o. i l BY: DATE: F.- s RECEIVED BY: DATE: t ' ' ''-' S '------- 6. CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00257 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2004 Phone: (503) 639 -4171 .�m� n4lu�ii�nl�i�lh Inspection Requests (24 Hrs.): (503) 639 -4175 —_,1.91- 1 INSPECTION WORKSHEET FOR DATE: 6/9/2005 TIME: 7: 05AM PAGE: 31 SITE ADDRESS: 10898 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 004 . TYPE OF USE: • PROJECT NAME: BRETTON WOODS DESCRIPTION: New SF OWNER: LEE-LAND HOMES, PHONE #: 503.635.1343 CONTRACTOR: LEE-LAND HOMES PHONE #: 635.1343 Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 013172 -01 503 - 789 -67955 N Corrections /Comments /Instr ctions: P sv`— , -1 'V 1 1PC . , 4 ,=ASS • ARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS ❑ FAIL i/ L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: g'' �� Phone #: (503) 718 - CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00257 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/21/2004 Phone: (503) 639 -4171 /nm ���� r � iU1° yp' p� i hl \ Inspection Requests (24 Hrs.): (503) 639 -4175 1-.. INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7 :05AM PAGE: 33 SITE ADDRESS: 10098 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: 004 TYPE OF USE: PROJECT NAME: BRE I I ON WOODS DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503.635.1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 8/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 013172 -02 503- 7896795 N Corrections /Comments /Instructions: • • !M PASS ❑ rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL le A FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspect. r: Date: 8 0S Phone #: (503) 718- F TIGARD BUILDING DIVISION 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639 -4171 /oa���di4pu�ogi6� (j PERMIT #: MSS 2004 00267 DATE ISSUED: 12/21/7004 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 0/4/20055 TIME: 7:08AM PAGE: 29 SITE ADDRESS: 10898 SW BRE.I ION CT CLASS OF WORK: SUBDIVISION: BRETTON WOODS LOT #: OM TYPE OF USE: PROJECT NAME: BRLI 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: 8/4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 012829-01 503-789-6795 Corrections/Comments/Instructions: AM / . / �I ' ' • ASS ❑ P - TIAL APPR0% AL ❑ CANCEL ❑ NO ACCESS ❑ FAIL / /CALL FO" � '! ' ION ❑ ADDITION E S ASSESSED Inspector: ./ // Date: �� Phone #: (503) ,7;<. } CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004- 00257 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/2004 Phone: (503) 639 - 4171 °�������9huy�i���� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/8/2005 TIME: 7 :07AM PAGE: 71 i , SITE ADDRESS: 101300 SW DRE I ION t�T CLASS OF WORK: SUBDIVISION: BRE I t ON WOODS LOT #: 004 TYPE OF USE: PROJECT NAME: BRETTON WOODS 4 DESCRIPTION: New SF OWNER: LEE -LAND HOMES, PHONE #: 503.635-1343 CONTRACTOR: LEE -LAND HOMES PHONE #: 635 -1343 Inspection Request Scheduled For: Date: 0/8/2005 Pour Time: i Code # Inspection Description Confirm # Contact # Message II 399 Plumbing final 013042-01 503-703 -6735 N Corrections /Comments /Instructions: in -ASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- • '' ' —�