Permit A „ CITY O F TIGARD
MASTER PERMIT
PERMIT #: MST2001 -00414
i; DEVELOPMENT SERVICES DATE ISSUED: 7/25/01
��' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10555 SW LADY MARION DR PARCEL: 2S110DA -07600
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 037 JURISDICTION: TIG
REMARKS: New SF detached. Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,842 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,028 sf GARAGE: 496 sf FRONT: 21 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 271,827.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,870.00 sf REAR: 68
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 2 LAUNDRY TRAYS: 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: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 6 CLOTHES DRYER: 2
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
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: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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: $ 7,849.65
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit
Municipal is subject to the regulations contained C o i the
icipal Code, State of OR. Specialty Codes s and
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in
WEST LINN, OR 97062 WEST LINN, OR 97068 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:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg #: L IC 049955 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
Erosion Control Insp 8 Wtr Proofing Bsm't Wa Footing /Foundation Dr: Electrical Service Gas Fireplace Electrical Final
Grading Inspection Post/Beam Structural PLM /Underfloor Framing Insp Insulation Insp Mechanical Final
Sewer Inspection Post/Beam Mechanical Ftng Drain Bsm't Walls Exterior Sheathing Insr Rain drain lnsp Plumb Final
Footing Insp Underfloor insulation Mechanical lnsp Low Voltage Water Line Insp Final inspection
Foundation Insp Crawl Drain /Backwater Plumb Top Out Gas Line lnsp Appr /Sdwlk Insp
Issued / Permittee Signature : --0 " - Arn-------- sa
Y•
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
r r „ .1 .7 - T
'� S S w of -Ub 0
- Ai ,
' Buildi
Date received: y /.4/ Permit no.:
<Y�:� City of Msr Zoal- oi�y��
Project/appl. no.: Expire date:
Address: 1312, .. YT . ra.P.,.. w . sa..., ..,_, , ,
City of Tigard
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: • l &2 family: Simple Complex: f/
• TYPE OF PERMIT
A l & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family XNew construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
•1
JOB SITE INFORMATION .
Job address: 10 - IJ LADY MARION D( t& Bldg. no.: Suite no.:
Lot: Block: Subdivision: EP4 46oIJ $TS. Tax map /tax lot/account no.:___S//,0609—p -760
Project name: k - 3. S / /29-32 3, 3 .
Description and location of work on premises/special conditions: •
VA 1.0 - fMIiLY t mieIE
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
E ,+1►. 0 (Floodplain, septic capacity, solar, etc.)
Mailing address: I 2 6(4) 141 dV • Ili {;� /] 1 & 2 family dwelling: `_
Stater.. ZIP: 0 r'� Valuation of work A76 g $
Phone:557- 'i71P Fax: E -mail: No. of bedrooms/baths 3
Owner's representative: j h Total number of floors Z
Phon:.' 1f IlEn211 Fax: E -mail: New dwelling area (sq. ft.) 627C _tea,
APPLICANT Garage/carport area (sq. ft.) 1 7 1 .7. 1 .
Name: Covered porch area (sq. ft.)
Mailing address: _ iliteIlMilliMIIMIIIIIII Deck area (sq. ft.)
IEBEIMIIIMMINE State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial /multi- family:
CONTRACTOR • Valuation of work $
Existing bldg. area (sq. ft.)
Business name:
New bldg. area (sq. ft.)
Address: -it
Number of stories
COMIIMUIlli State: ZIP:
Type of construction
Phone: Fax: E -mail:
Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Address:
��� jurisdiction where work is being performed. If the applicant is
ZIP: exempt from licensing, the following reason applies:
Contact person: y Plan no.:
Phone: ' - j 4.0 Fax: E -mail:
ENGINEER
Name: ?Pd.. uh) 4 . Contact person: MAtlL Fees due upon application $
Address: 42.4 5I LV - Iff, D 1... IQ • Date received:
City: LVglit ' • EgrA2 ZIP: OM m 1 . Amount received $
Phone: '. - ViAdOMPIElgailMOMMIIIIII Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied , whether specified herein or not. Credit card number: / /
/r� Expires
V
Authorized signature: Date: 'Z 11 Name of cardholder as shown on credit card
�� ! ••
Print name: _ 1114 Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (moo /COM)
• \ / •
•
•
Mechanical Permit Application
1
Date received: 7 /,� /0/ Permit no.:) _%'W— "" 7/ y
�� Ci of Ti�rand
• - __l � b ProjecUappl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.: _
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory U Commercial/industrial ❑ Multi- family U Tenant improvement
❑ New construction ❑ Addition/alteration/replacement U Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: I / �� 4 M .1' pit . Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ .
Lot: 31 I Block: I Subdivision: pezooro 14TS. *See checklist for important application information and
Project name: Nl.1apta !A'PS jurisdiction's fee schedule for residential permit fee.
City /county: I , • p ZIP: /I 22.3 I & 2.FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMMERICAL/INDUSTRIAL EQUIPMENT SCHEDULE
S l O A L ,- fAwl L 1 1i £ Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
v
Air handling unit CFM
is existing space heated or conditioned? ❑ Yes ❑ No Air conditioning (site plan required)
Is existing space insulated? U Yes U No Alteration of existing HVAC system
MECHANICAL. CONTRACTOR Boiler /compressors .
N� ('ION . ll N
Business name: G 7 State boiler permit no.: HP Tons BTU /H
Address: 2130 SE � Fire/smoke dampers /duct smoke detectors
City: 4lU.1.h7 I State :N Y, ZIP: 1112)... Heat pump (site plan required)
Phone:Z/2A — rim LI Fax: E-mail: I InstalUreplacefurnace/burner BTU /H
y,,�, Including ductwork/vent liner ❑ Yes O No
CCB no.: 01 22o , Install/replace/relocate heaters — suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU /H
Name: &7 ' W Y / p.4l Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: C I S tate: I ZIP: Appliance vent
Phone: Fax: - E -mail: Dryer exhaust
. _ OWNER Hoods, Type U II/res. kitchen/hazmat
hood fire suppression system •
Name: P-E14A l GE, Exhaust fan with single duct (bath fans)
Mailing address: t fri 2.. `jw WILL)* E0 rA,V4 p1' Exhaust system apart from heating or AC
City: IN T L I N N State on- I ZI P: OI Fuel piping and distribution (up to 4 outlets)
d -, Type: LPG NG Oil
Phone% ■ '/ It/ / Fa rt • b* E -mail: Fuel piping each additional over 4 outlets
ENGINEER • Process piping (schematic required)
• Number of outlets
Name: �1 L PIA) 4)4 IOW./ NJ a Other listed appliance or, equipment:
Address: 4 , 'L .iwAtr ?'AR.(J6 D&. f 4 • Decorative fireplace
City: LA f State:, ZIP: Al • 1 Insert — type
� g �' ., >. ' Woodstove/pellet stove
Phon• .i � Fa . % E -mail:
Other:
Applicant's signature: _ -• Date: 7/i I lol Other: ,
Name (print): 4 44 4 GrVI/i
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
Notice: This permit application
❑ Visa ❑ MasterCard Minimum fee $
expires- if- a.permit -is- not - obtained
Credit card number: • / / Plan review (at TO $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholderas shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount 440 -4617 (6/00 /COM)
•
•
Electrical Permit Application
ilk
/ ' Date received: /We/ P ermitno.:/`/ . hj�� / - 4 /�/
Zt City of Tigard //6 - Project/appl. no.: E xpire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: P ayment type:
Land use approval:
•
TYPE OF PERMIT
V 1 & 2 family dwelling or accessory ❑ Commercial/industrial Cl Multi- family ❑ Tenant improvement
R New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: (/' � L Ajlint.41714 Bldg. no.: Suite no.: Tax map /tax lot/account no.: ' • • • _..
Lot: '31 I Block: 'Subdivision:
Project name: Stolae6 00 H14 I Description and location of work on premises:
Estimated date of completion/inspection: N .
CONTRACTOR APPLICATION FEE SCHEDULE
Job no: Fee Max
Business. name: ve E, F�L E.0 �.t c., Description Qty. (ea.) Total no. insp
P � 1 4 Z ol • `• New residential - single or multi - family per
Address: dwelling unit. Includes attached garage.
City: 4.L1 e-y-A mA5 I State, I ZIP: 4ndi s Service included:
Phone: (4) -- C A4 Z I Fax • f i ?3, E -mail: 1000 sq. ft. or less 4
CCB no.: 03$44 I Elec. bus. lie, no: 47105
Each additional 500 sq. ft. or portion thereof
Limited energy, residential 2
City /metro lie. no.:
Limited energy, non - residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) . Date Service and/or feeder 2
Sup. elect. name (print): License no: Services or feeders — installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less 2
Name (print): t-ESAANiGE. t f(e %#A livyYta5 201 amps to 400 amps 2
• Mailin g address: �/ f , L YV L/lrl•t (T 4,/ � I , L. r yY$7 FA 4fr Y , 7 •
nw 401 amps to 600 amps 2
7 601 amps to 1000 amps 2
City: WFAD T (-114N State: M IP: aria,* , * Over 1000 amps or volts 2
PhoneS67 • WC Fax es *.3E - mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
ORS 447, 455, 479, , 701. 200 amps or less 2
201 amps to 400 amps 2
Owner's signature: Date: II d! 401 to 600 amps 2
ENGINEER Branch circuits - new, alteration,
or 1 /c/ N � I e,r'[•'4IV [G • A. Fe e for branch per panel:
Name:
A. Fee for branch circuits with purchase of
Address: L} /4L LA/ o.• N , service or feeder fee, each branch circuit 2
City: 5It. f 1vN I State: L• I 34, ' B. Fee for branch circuits without purchase
Phones � • 4'4 Fax$'7 ` , E - mail: of service or feeder fee, first branch circuit: 2
4 Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1 &2 . ❑ Hazardous location' Each sign or outline lighting 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal • more residential units in one structure alteration, or extension* 2
❑ Building over three stories . ❑ Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
O Egress/lightingplan ❑ Other:
Per inspection
•
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $
❑ Visa O MasterCard expires if a permit is not obtained Plan review (at _ %) $
e
-- - credit - card - number: / / within r80 days after ifhas State 8% been g ( ) •••- $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
$
Cardholder signature Amount
440-4615 (6 /00 /COM)
•
• Plumbing Permit Application /
Date received: % 1 57/ Permit no.:/ 4 / 4D4// V
re Cit y of Tigar " _ Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
City of Tigard Phone: (503) 639 -4171 Project/appl. no.: Expire date:
Fax: (503) 598 -1960 Date issued: By: Receipt no.:
Land use approval: Case file no.: Payment type:
TYPE OF PERMIT
ti(1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement
New construction 0 Addition/alteration /replacement U Food service 0 Other:
JOB SITE' INFORMATION FEE SCHEDULE (for special infor . tion use checklist)
Job address: 10455 5t) LAIN •MJ►IL1CIP • • D1<, Description Qty. Fee(ea.) Total
Bldg. no.: Suite no:: New 1 and 2 family dwellings only:
(includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: 37 IBlock: I Subdivision: E C.It4 & His. SFR (2) bath
Project name: e.4.414,,lp14 RR 1,4 . SFR (3) bath
City /county: 't'1Amu) I 'ZIP: Each additional bath/kitchen
Description and location of work on premises: Site utilities: _
511V A ?�'11L t 11>Y1£ . Catch basin/area drain
Est. date of completion/inspection: Drywells/leach line /trench drain
•
PLUMBING CONTRACTOR Footing drain (no. lin. ft.)
Manufactured home utilities
Business name: C. ' T. wj .4L. Manholes
Address: 11U0 41 )w PIM$(1S Rain drain connector
City: S E A State: I ZIP: O' Sanitary sewer (no. lin. ft.)
Phone: e I Fax: , E -mail: Storm sewer (no. lin. ft.) .
CCB no.: 744r(o(p I Plumb. bus. reg. no:2O.144, r6 Water service (no. lin. ft.)
City /metro lic. no.: Fixture or item:
Contractor's representative signature: Absorption valve
Back flow preventer
Print name: Date: Backwater valve -
CONTACT PERSON Basins/lavatory
Name: PeTE Pout, D Clothes washer
Address: Dishwasher
Drinking fountain(s)
City: I State: I ZIP: Ejectors /sump
Phone: Fax: E -mail: Expansion tank
OWNER Fixture/sewer cap
Name (print): ILE4JA 1.6 el,. G(�� N�yytiFy Floor drains /floor sinks/hub
Mailing address: 102_ .9W - W IL(, E, MIA D11, . Hos disposal
Hose e bi bb
City: W l,_ J pJ 0 I State:/%11_ I ZIP: q'1 O Ice maker
Phonejl. *WC' Fax: I E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the pro. - I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: _ ‘ Date: 1 ii ell Sump
ENGINEER Tubs/shower /shower pan
Name: Qom, NW • EIJGI11V1;1;�.IAJL. Urinal
Address: 41.42 g1,w , Fhb pt, N . • • Water closet
Water heater
City: �j1(,1 f State: AL. ZIP: 11>$ 1 Other: •
Phone: i 9 - 31 G4 Fax:4;13 . 01 E -mail: Total
•
Not all jurisdictions accept credit cards, pleas call jurisdiction for more information. Minimum fee $
0 Visa O MasterCard Notice: This perm[[ application Plan review (at %) $
expires if a permit is not obtained
Credit -card- number: / i — : — St e '
. Ex ires within 180 days after ft it ha b een ) $
p ate surcharge ( 8% TOTAL $
Name of cardholder as shown on credit card aCCCPLCd as complete.
$
Cardholder signature Amount 440.4616 (6/00/COM)
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2001 -00414
Date Issued: 7/25/01
Parcel: 2S110DA -07600
Site Address: 10555 SW LADY MARION DR
Subdivision: ERICKSON HEIGHTS
Block: Lot: 037
Jurisdiction: TIG
Zoning: R - 3.5
Remarks: New SF detached. Path 1
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 Dept.
No plumbing inspections will be authorized until this completed form is received
•
OWNER: PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC
1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE
WEST LINN, OR 97062 BEAVERTON, OR 97008
Phone #: Phone #: 644 - 8698
Reg #: LIC 79666
PLM 20 -148PB
AN INK SIGNATURE IS REQUIRED ON T e FORM
A
gnature of Authorized Plumbe
If you have -any- questions, please- call - (503)- 639 - 4171, - -ext. # -31.0-
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS, OR 97015 -1429
Electrical Signature Form
Permit #: MST2001 -00414
Date Issued: 7/25/01
Parcel: 2S110DA -07600
Site Address: 10555 SW LADY MARION DR
Subdivision: ERICKSON HEIGHTS
Block: Lot: 037
Jurisdiction: TIG,
Zoning: R -3.5
Remarks: New SF detached. Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS DR PO BOX 1429
WEST I INN, OR 97062. _ CL ACKAMIAS, OR 97015
Phone #: Phone #: 503 - 657 -0142
Reg #: SUP 618s
LIC 34544
ELE 3 -128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Supervising Ele rician .
If you have any- questions,— please - call (503) 639 -4171, ext. # 310
G 7=90-6 I -. go if l Li- :
e .
CERTIFICATION
STREET
e
r,
I, Sit"- U/�� , V Owner /Agent for T 4-155 1 17
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby ce f y that ; :the f wing location 0.
meets ,City f Tigard /Washin on Count
l and use and development standards for street tree installation.
ADDRESS: /05—Cr— L✓'�' P9 71111(614 c D Q .
LOT: SUBDIVISION: E_( S v/ }// ` )4 / T -- 5
::
AI BY / DATE: . / -2 / O•
'
0.
r mi.
D BY: DATE:
RECEIVED )7 j Z1 0 1
•
MEMORANDUM 7 4.
CITY OF TIGARD, OREGON
DATE: July 11, 2001
TO: Engineering Department L
Community Development Department
Public Works Department q
FROM: Brian Rager, Development Review Engineer Or
RE: Building Encroachments in Public Easements
r ✓gam
* *REVISION **
This revision to the above operational procedure reflects recent discussions among Staff concerning the
issue of eaves and cantilevered decks. The Staff opinion is that eaves and cantilevered decks can
encroach into an easement provided the clearance height between finish grade and the bottom of the
eave or deck is 12 feet or greater.
Therefore, the procedure has been modified and is as follows:
New Procedure:
The following procedure elements are to be followed from this date, forward:
1. There shall be no architectural projection encroachments into public utility easements, except that
eaves and cantilevered decks will be permitted to encroach into easements, provided the height
between finish grade and the bottom of the eave or deck is 12 feet or greater.
2. The practice of allowing a footing to encroach into a public utility easement will be continued, with a
maximum encroachment up to 4 inches. Therefore, the reference point shall be either the foundation
wall, or the structure face, whichever extends the farthest.
3. In practice, this operational procedure should also apply to private utility easements.
\ \tig333 \usr\depts\eng\brianr \department issues \easement encroachment memo.doc
REVISION: 07/11/01
CITY OF TIGARD BUS' 7ING INSPECTION DIVISION - 'MST Z ( C / /(
24 -Hour Inspection Line: 639 g75 Business Line: 639-41
BUP
Date Requested / Zt7 AM PM BLD
Location / , C6 - 5 --
6 rnaA-41y1 Suite MEC
Contact Person Ph ' f �/ 3 / OZ PLM
Contractor Ph SWR
BUILDING: ,T ° :; - Tenant/Owner ELC
'Retaining Wall ELR
• Footing Acce s:
=011 �'
Crawl Drain _Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rai •rains
- PART FAIL
~ CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date ✓ 2 - — et( Inspector e // � � Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ZGI oy(
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested I �" - a AM PM BLD
Location / 6 S S fc- ' M r Suite MEC
Contact Person Ph S 9 3 t PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
M jsc;
• • PART FAIL •
PLUMBING: .e ,
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHANI.CAL
Post & Beam
Rough In
Gas Line
oke Dampers
'A PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm .
Final
PASS PART FAIL
Backfill /Grading
Sanitary Sewer •
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk � 2 Z
Other Date Inspector ' Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUV 'SING INSPECTION DIVISION . - MST 2 6)11 /g'
24 -Hour Inspection Line: 639- _ . /5 Business Line: 639-41
BUP
•
Date Requested / — / 3 AM PM BLD
Location C Il _ Suite MEC
Contact Person Ph T ? 3/ b Z PLM
Contractor Ph SWR
BUILDING.,, Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
olta "t(--P'4" •
it arm��
/111221 PART FAIL
SIT
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Date Z / / �
ate / / 3 / (� , Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.