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Permit CI TY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00247 ii' DEVELOPMENT SERVICES DATE ISSUED: 9/16/2004 N '�I I.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 07940 SW LEISER LN PARCEL: 2S112BD - LP017 SUBDIVISION: LEISER PARK ZONING: R - 4.5 BLOCK: LOT: 017 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: LP017 -A1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,457 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,830 sf GARAGE: 632 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 320 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,287 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 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: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 5 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 /OSVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 0 401 - 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 REVIEWSECTION 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: 0TH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,543.45 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, State of OR. Specialty Codes 12755 SW 69TH 12755 SW 69TH AVE #100 and all other applicable laws. All work will be done in SUITE 100 TIGARD, OR 97223 accordance with approved plans. This permit will expire PORTLAND, OR 97223 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 620 - 8080 Phone: 620 - 8080 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 60563 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 K 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 Final inspection Post/Beam Structural Mechanical lnsp Shear Wall Insp Insulation lnsp Appr /Sdwlk Insp Issued By : , IA _13..+.• Permittee Signature : 7; ; J V ---- " - D Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Permit Applic ' �� w F OF FICE U ON I City of Tigard Received Date /By: 6 .2 1 ej3 Permit No.: T'�4,0(..,--- 7 13125 SW Hall Blvd., Tigard, OR 97223 �;� Phone: 503.639.4171 Fax: 503.598.1960 AUG U 2 `I" i Plan Revie- Date /B 9 J e -G Other PemhIt: (/ N� ..„ �� Jur gi See Attached Checklist for Inspection Line: 503.639.4175 "ii .t om I" N t fed McBod: T1 Supplemental Information Internet: www.ci.tigard.or.us CITY OF TIGARD BUILDING DIVISION t ,� :; . ue ` . .. t , ' , TXYPE F" W R ' z: _;. �.., , rim, ,), E = . " IMBED DATA: - AND 2 FAMIL ' DWELLI : �__ ��.'.3�vs _ s. i`. " "� ��1t`"a���'._'�,�c��a3� �iA�. �.<k,. � „. °- �.z,.= .._a�- :� °E���`;°w°��t.s;��� ® 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 - 1��,= work indicated on this application. . ” s . ; . ,yam CATEGORY ,, F CONSTRUCTION ,P, ' .> _ W Valuation: $319,076.40 ® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: 3 ' `' , JOB SITE INFOR 11TION AND LOCATION N ' ''''''' ' ' Total number of floors: 2 Job site address: 7940 SW Leiser Lane New dwelling area: 3287 square feet City/State /ZIP: Tigard, OR 97223 Garage /carport area: 632 square feet Suite/bldg. /apt. no.: Project name: Leiser Park Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ff REQUIRED'DATA OI C NILRCIAL FUSE CHEC ,1, Subdivision: Leiser Park Lot no.: 017 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 ' ESCRIETION O W F ORK 7 ' work indicated on this application. . - ,. , '�`#...1 k:,. c.,,, . „s ue,... ,.,, -,._ ,_ ,. er � .,r s': . :4, ,..:._ Valuation: $ Existing building area: square feet New building area: square feet ; b . °PROPERTY W NER 4 s = T EN AN T , y k,. Number of stories: Name: Legend Homes Type of construction: Address: 12755 SW 69' Avenue, Suite #100 Occupancy groups: City /State /ZIP: Portland, OR 97223 Existing: Phone: (503)620 -8080 Fax: (503)598 -8900 New: „ y ', i g APPLICANT'. . . ® CONT . ACT PERSON . ,, . .. ., . .y x ... .,, ,� ..% .,, -- .. . ' r,�� 4 N Business name: Legend Homes All contractors and subcontractors are required to be Contact name: Steve Lucas licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12755 SW 69 Avenue jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/State /ZIP: Portland, OR 97223 apply: Phone: (503) 620 -8080 Fax: : (503) 598-8900 E -mail: slucas @legendhomes.com '3 C ONTRACTOR Business name: Legend Homes �� B1JILDINGt'PERMIT -FEES* x Address: 12755 SW 69 Avenue, Suite #100 1� & 4,-, . ., * �a.._. r, "ss . ;. Please refer to fee schedule. City/State /ZIP: Portland, OR 97223 Fees due upon application Phone: (503) 620 -8080 Fax: (503) 598 -8900 Amount received CCB lic.: 060563 Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Lucas Date: 0 720/2.1- * Fee methodology set by Tri- County Building Industry Service Board. i• \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I1/02/COM /WEB) 10/03/2002 23:59 6427925 - PAGE 02 .. 4.. AUG - 2004 THY 03:40 P!1 Legend Homes FAX NO 5035988e00 P. 03 • ® ff I ! l (I I ll li 11 ' I`' , 1 4 1 i' I: l ,,rR of r 1,, t%� � tit l i ), If I'1) ,i II !i ur ii ,, I. i' li CtrdCal Per ■ .l � I ! �_ f ' 2 Aloe^'' P ut* No.: �I,� t 0 City 131 of Tigard 1 _ 11 ,_' - SW Wall gird,, T�nr4, OR 9/221r. 9 - Pion Revive OtbsrPomue 2004 < ,, t ,��. Paadin,r In s pc O 031p19.4171 Pax, 503.590'960) i ,„ � { d ttl , g in = 503.699.4 R p ,., 1)aw Ro r — uapinnwarsl p,faratatcaa '"" Y Of TIC�A Nc/igamatulwa T p Y1 t ' Y'i wetter: WWWA,tigmd r / CI 'I"�' °�4u � , w ` I I ' i l. : 'i jiil, I li ,t J i Fa �.1 .;; ii 1 F V ,Y, }{. ilil i .r � : ii ..; r i , I, f ry.:.: L �''. , r tam 11111511140247-7.''.1i II - = , Neale chock all that wooly: Now eanstrtlellon ■ AddttlOn /eltCratlottlPeplacEmanl iService over 225 amps, convnl tjtbissinno+s location Others vc 32 ['Sell :Ina over new 10 1 000 sq. 0, 9arv1 over 0 amp; rsut , tttolttioll ':'.i , ,s ! !, L .,'! 'i�,., T:;.:u' I ,' tdei : . 04 it ..i.: irii :,;Ii.:i ±':• 1q-i- ,l ?'; t -end milY11vgi*11 un rmor nt at Peid e IOBuilding over Ono s ❑ Frx ant, 400 amps o• I ire ® y_ and Z.�milydwetling Q Carnmcroiallinduatri8l I Avocttsory building t7µ�,Igiaturnd structures OT Multi M Milner' builder U Other: ODoeupont load aver 99 poseurs 1ZV park r i I ' t . ,". ' , ! . I a ' i 0I"s plan �y e . ; i,° ` ' '' . I I' 8 Other: _....•�� —•— ;'i..:�,.I.Ii'•'r:a� !'i!Y'+��i: , . �� .. . , ©Edaelth wrr�acilhy Sob nn „ Job silo ad4ro>a: 79A4 ' l atser Lane Submit _2. sett capitols with any of the ab0% The above are not aooNeable to temporary construction service, iY: T! d OR 97aZ l'.1.1.1.':!:1:1, ,,. r, � .7 . S`i II • , 1 City/Stott/ZIP; � r ; y:p:!, • C �,l.,.i d� I 5ulte/bldg, /apt no,: _ Project mime; Leiser bark otr i"��+'� Now reWaeadal alagIt or meill- tensity dwcIUng edit Cron elroot/diraatione to job alas, WWudce *vend ;go • 1,000 K. e. or less 11111111 Lot no,: 03.7 Be. midi 500 tt, or , rtEon a 33.40 11Sc.a° NE $t Leiser Park - -- - Limited riser , mtkiendal 75.00 75.0 Tug me parcel rig.: - Limited en4•r :1 , non - residential ON 75300 — u r � i, �, I i '7, I I, r r I ' .i I:il .1',.. red of modular II •� „ ' �.. I '� � . ; . L: o li o "I..l , I;,; :� Bict: rrunlabchl i,F iG41iir1t W "i�l!bq i h . ':I, , • 90,90 �� :. ,� :.: ; .: l; � . �, � � �. dweliim service and/or realer 1 Ssrvtee$ er ttwd inRSlllaliea, attention, ai I r rioeattea ZQ0 om Far lme 10.30 ( 1 k 201 xtrPl w 400 atn r. 106351 t° • I'8' � O r �1 r . 1 , ' it '' �e , �,. GF,St: t: i K, .1 10 40 ,+, A .. -6, t !,' :! iUlri' a r t ' i .. 401 :.ato IIIIIIIIIEll 601 a ei 1,000 +mPil 240.613 Numa: Legatlt Nantes cm "' Over 3 Q0O emir or vote I 414.65 1111.11116 Addtoes :12709 OW 60 Avenre,'Sbite 0100 Rammed only — 66.35 3 C1ty /State/ZIP :Portland, OR 97223 Temporary services or feeders fhMallstlon, gItaratio', and/or plronal(tJ03�Z0.80ti0 ' f 66,11$ } Far. rolooasion 700 amps or less — t'"" . Owner Installatlont This installation is being made cm property that I awn which is not YOt w400arrgs 10o,3u I 2 Intended for sale, loam, rant, or exchange, according to ORS 447, 449, 670, and 701. 441 wane to 600 amos 133. M Owner signature: _ , Date; ; A. pod no branch ci •�' ,vu, a each 1 ; ' , t�. .' ,4� , I 5 'i' i 1 ,1 11,'4`illiO 1 't�j�' '•, . ' ! i i ; .E; lo no b r leader nhimuite with 6,65 • d Homes • b1Oneb circuit Dueinaea t t s t t r l o t 9.ig� D, Fee or brand I circuits I Contact name: Stem Lucas . wuho t service er feeder toe, I 19 II • each branch circuit Address /: 1275 SW 69 Avenue e tc #100 Bach add'I branch circuit 6,65 City /SWle/22P: Porlleed, OR 97223 , • Mlscellenneus scrvlce or feeder not inolud0d) _ pomp w M tgation lrcie on 33,06 Phone, (503) 630 -0060 . Fax: t Mil) 39l••0900 . Situ or outline llgllfine 53,40 i nn ma eodpetca.c — . signalcIrcufs(•) E-mail; etu 1 alt9radoq, w Yi I:r' �' , . r , '[!I;i1; f it l,, ,.. p .. ; .. , 4 8 K� 1>Ll ':, .: I... "attention, Describe: Business name: Carper electric ' - garb additional Iaepoethrn e►var allowable In any aP the above Address: 2920 SW 247 Awanuo A A pe 1 62.40 City/state/ZtF; 211111aboror OR 97123 62,30 q •_ 642.793 lntWakial .411i wham �� I Phone: (9031191 -i ",, :.4!••I•i ±a • CCB ,o. 111154 I 1. Electrical Lk • 4.3!.j S cu; ,.Lies.: 3707 -5 riuhtotnl 4Z0 .SS • � r ice' Plan review (t4 mit feel Saprv. $ltzbritisat Signature, inquired: ��( ' %�it, — State "charge 01% ef psrmit fee) SS .4,4 Print name: 6:R . 1A CI( . _ r . +r 24 co- . . TOTAL, FERMaT ptai 4 S 4.11 Authorized a18t1altro' Tbh ponalt orygWWWn eltArer It o oortrat to err obtulaod within 1 _ _ .. dogs gnat It not boon avwmsa 9r mmplew Print nalTiol • Cate: • ' o Fes motheeotoay art ay Trt•County It;,twlug 1ne11atry Smna• Bit o* Numboraf imp rlone pc pertntr *lb+u & 111wrhtlua4Pnm/•1aLGPw pP•d IiFO' - 440-40111T Ia,0''VCOWW5e RECEIVED Plumbing Permit A plica.ti9 Q : ;.F O R ;!.FOR USE O NLY i ( Jv - ' . ` 4 U ` Rece �) City of Tigard Date/By Permit No. i ll 13125 SW Hall Blvd., Tigard, c IT7Y2OF TIGARD y ,II``IIpp Plan Review Phone: 503.639.4171 Fax: r at// ��^0 "G DIVISION �I'; Date/By: Other Permit No.: 24- Hour Inspection Line: 503.63 7 e! W Date Ready /By: turfs ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information .V TYP F W E O OR �'. A " E . ., . •E�.`!19; w13 ; . ��s �. .. a . ,� ..r . , �.�� >,�:r .�. . .., � �` �=T. . -:� _ .,, E :SCHEDUI �. _, ® 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) N . '`� C ATEGO RY OF,,CONS r SFR (1) bath 249.20 . .... . . • ... a C .A . t � ® 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: Fire sprinkler 2 e sp ( sq. ft.) g `£ K JOB SITE IN,FORMATIONsAND LOC Siteutilities s t. Page ° ... - r ; s Job site address: 7916 SW Leiser Lane Catch basin or area drain 16.60 City /State /ZIP: Tigard, OR 97223 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: Leiser Park Footing drain (no. linear ft.: ) Page 2 Manufactured home utilities 110.00 Cross street/directions to job site: Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: Leiser Park Lot no.: 016 Water service (no. linear ft.: ) Page 2 Fixture or item Tax map/parcel no Absorption valve 16.60 i r. t� : t DE PTION 'OFWORIC z _ . ., =. - ,_ - -, .3 a , ,.:. Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 . .,,,, . ! Drinking fountain 16.60 . 9: ®P E RTI O -WN , RR .. 4,4 :0 ', . , . . . �0 ` t4 I'E g', . 0 , . Ejectors /sump 16.60 Name: Legend Homes Expansion tank 16.60 Address: 12755 SW 69 Avenue, Suite #100 Fixture /sewer cap 16.60 City /State /ZIP: Portland, OR 97223 Floor drain /floor sink/hub 16.60 Phone: (503)620 - 8080 Fax: (503)598 - 8900 Garbage disposal 16.60 � , :« k F Hose bib 16.60 4:1,v,'! ®APPLICA CON ' > "' Ice maker 16.60 Business name: Legend Homes Interceptor /grease trap 16.60 Contact name: Steve Lucas Medical gas (value: $ ) Page 2 Address: 12755 SW 69 Avenue, Suite #100 Primer 16.60 City /State /ZIP: Portland, OR 97223 Roof drain (commercial) 16.60 Phone: (503) 620 - 8080 Fax: : (503) 598 - 8900 Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E - mail: slucas @legendhomes.com Urinal 16.60 � _: ° - CON TRAC/rOR 4 r afar closet 16.60 w � r .E. ._.3. �.� e. .... ate...; _W� n4: � ._ _.. _ ,� . ,,:, - , 4 .. � W Business name: Wolcott Plumbing Water heater 16.60 Address: P.O. Box 2007 Other: City /State /ZIP: Gresham, OR 97030 Subtotal Minimum permit fee: $72.50 Phone: (503) 667 - 1781 Fax: (503) 667 - 9891 Residential backflow minimum permit fee: $36.25 CCB Lic.: 23847 Plumbing Lic. no.: 26 - 208PB Plan - review (25% of permit -fee) State surcharge (8% of permit fee) Authorized signature:.." ignature: - - - TOTAL PERMIT FEE Print name: Steve Lucas / Date: 8 245 p4. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \PLM- PermitApp.doc 12/03 440- 4616T( t 0 /02 /COM /WEB) Mechanical Permit.AIeJ1V EDA FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.p75 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 AUG 2,0 20 ifoopook Plan Review Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: EZ1 See Page 2 for Internet: www.ci.tigard.or.us TY OF TIGA# Notified/Method: Supplemental Information C BUILDING DIVISION -„ • • TYPE 'Of :„ . USEC,HECJAIST New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work El performed. Indicate the value (rounded to the nearest dollar) of all Demolition Other: mechanical materials, equipment, labor, overhead, and profit. " Value: $ • CATEGORVOF. ' ;11.ESIDENTIAIEQUIPMENT/,SYSTEMS:FEES*, 1- and 2-family dwelling D Commercial/industrial D Accessory building For special information use checklist. 111 Multi-family Master builder Other: Description Qty. Ea. Total .t7 $1*.1141,0414ATiON:ANEOCATTON Heating/cooling Air conditioning or heat pump Job site address: 7916 SW Leiser Lane (requires site plan showing placement) 14.00 City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) _ 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: Leiser Park Gas heat pump 14.00 Cross street/directions to job site: 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 Flue/vent for any of above 10.00 Subdivision: Leiser Park Lot no.: 016 Other: 10.00 Tax map/parcel no.: Other fuel appliances ' ''''j ';- r Water heater 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 — Chimney/liner/flue/vent 10.00 PRokiitY OWNER HC" ': - TENANT • ' Other: 10.00 Name: Legend Homes Environmental exhaust and ventilation Range hood/other kitchen Address: 12755 SW 69' Avenue equipment 10.00 City/State/ZIP: Portland, OR 97223 Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ( Fax: ( ) toilet compartments, utility rooms) 6.80 EF,AlfPL1CANJ":', CONTACT PSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: Legend Homes Fuel piping Contact name: Steve Lucas $5.40 for first four; $1.00 for each additional Address: 12755 SW 69 Avenue, Suite #100 Furnace, etc. Gas heat pump City/State/ZIP: Portland, OR 97223 Wall/suspended/unit heater Phone: (503) 620-8080 Fax: : (503) 598-8900 Water heater Fireplace E-mail: Range - • - ' - CONTRAcTOR . Barbecue Business name: Tri County Temp Control Clothes dryer (gas) Other: Address: 13150 Clackamas River Drive , ,MECHANICAL ppiMIT'VEES*' . City/State/ZIP: Oregon City, OR 97045 Subtotal Minimum permit fee ($72.50) Phone:-(503)-557-2220 —Fax:-(503)_557,0919 Plan review (25% of permit-fee) CCB lie.: 72623 State surcharge (8% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: Steve Lucas Date: 40/2401 * Fee methodology set by Tri-County Building Industry Service Board \ Building \ Permits \ MEC-PermitApp.doc 12/03 440-46I7T (11/02/COM/WEB) / 14 iaci / -c5 y7 1 LAAAAAAAAAAAAAAAAAAAAAA AAA ALL &A &A & AAAAAAAAAAAAAAA AAA ARAAA A W 4 N • :• m CJI 1 STREET TREE CERTIFICATION. in W ,, r m A 4-1.4 = ^ ent 'for b *i'fe- 10 -., 1 I, tZP iv el/ fi.r , 1 ''o) I MLEAS _ (PERMIT HOLDEN SEEN EARTH LANDSCAPING M'IMaER �• • Htusaon -, ■ � 1 1 A Do hereb = I ' • location � 0° 1 Wi t* ' ll I meets 4 ♦ +i A' .?� t 1! 'c' +��.d_'s on , ou nty ' Pi 4 l and use and development standards for street tree installation. ► . m 1 1' n i ■ -i .. _ 1 ADDRESS: 9 SSG 4 25v lent- � , 1 LOT: f SUBDIVISION: ■ RI NI •! / F . A BY: _ ~I DATE: ,/,,/t/,5 ∎ m ' ■ I li RECEIVED BY: ,,,�k DATE: 2 ' 7' 0S . Y m �h. v1 1TVV1'IY'I1T7TT1T •1TfvlvvvvvyvVITYVV VVV7VVVVVVVvv1T7fvvv7T' W CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 � �a 1 f7 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / 3/ AM PM BUP Location 7 Suite MEC Contact Person � .'1A2._ Ph ( ) a� 7 -3376 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR _ Crawl Drain ,• Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear 1—u 6 S v � ��� Framing '�'�c d 4-, 1 00 0(� y - c� < ../ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: 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 E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: E Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 1 /2 /Jo ( 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 Da6-1—v0.3,L1 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re ested 7 AM PM BUP Location 7 / C 4 -7 1 6 Suite MEC Contact Person - 1-ze / Ph ( ) 0 9 x.37 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC ACC2SS: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT . Post & Beam Shear Anchors Ext Sheath/Shear gyp-- hit Sheath /Shear �d// Z f v ��- CKS .i- 5Sv �S1 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: e= PART FAIL 'PLUMBING; : , / A Post & Beam Under Slab Water Service 7/AYL14 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 i AS 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 - Please call for reinspection RE: Unable to inspect - no access Fire Supply Line A DAoach /Sidewalk Date Z` 9 Ins �� - �� - Ext Approach/Sidewalk — Other: Final DO NOT REMOVE this inspection record om th = b site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (03) 639 -4175 MST INSPECTION DIVISION • Business Line: (03) 639 -4171 f BUP Received Date Requested (— 3 ( M PM BUP Location 7 9'7 6 Suite MEC Contact Person Ph ( ) -6 3376 PLM Contractor Ph ( ) SWR BUILDING - Tenant/Owner ELC Footing Foundation ELC Fig Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing B if 7 We v'V d Insulation �— Drywall Nailing " ' ' S ' _ - - it /�- � Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMPING° k A " 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 Volta ,e O( Fie ' larm � Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. '!:T PART FAIL SITE ' > _ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line — ADA Approach /Sidewalk Date ` c 2W - 0 Inspector Ext Other: Final DO NOT REMOVE this inspection record fro job site. PASS PART FAIL