Case File 1
I
77
13 —
'q0 —� PATRICK SCHMI I'T,
designer Inc. _
-__ uWnrn Home Design,Pyng nn6 Consulting
—_ —_
L'
POW T 5129 91Nan d Seal
, �� + Portlandd Ongon9721^
fel'.(503)
_.... _ J
w Y. P. C. _ _00 .....__-_- _ _ __ _ _ —
/L/}/) (� rrnrl oChmpOttM•poA.CWn _.
— •L 05/_T/
�J 1O ZO Witten diMt"Icn! an those draw inq anrnl hove+._ pi.cedi uvl/ scaled a4nenelonsBURTON ENG. t —__ _ and9anWi r..P the b for all d—Im
and an Wiwi on the ia6. PA TRIG' SCIdI.II IT,
j (. &J _ /� _ deu ner Inc. must Os notified and consent to 1
SITE c L 4 N N C T E ony .d,b,� from limen.ant eet lath neren
,}\�)��,• \ ,� —_ ��L. --- I rh,t document Is the prapoty of PATRICK SCHMITT.
crinc Ce
neo o dt a.srwteo a use only for only for
oir.pre l,at,on ony (a,- all, .Ihmlthe
LEGALDESCRIPTION — gG1a•n�lm Con flan t PATRICK SCHIAIT7,
O ,~�\. - , - - / / � ^.. DIf►Odll VIII t ~
ui
SITE ADDRESS
�-�
1 1� (, h` i +-�— 13158&UAlpIrn view
/,/ •O8" ` \ O / "P"i / = x / `�Y ' 9 ! — /1 _- `_1 rl�.Oregon eT224
0 9J . . .
6C)
> � (
' r `K,. ;< :�r<;.y�, � LOT COVERAGE
/� 7 /' X� /` �� LOT AREA
o :'< ('�
_.�. cc BUILDING AREA 3.0'28
JE.-610D 114CLUDING EAVES) (�
5) 462, F. _G
/ r •' TOTAL LOT COVERAGE • 3D20 r 0,960 (100).51R ' ' N
r
E ROS I ON CONTROL NOTES:
/ 'r //' i (/�JJ/ r \ U REFER TO THE CITY OF I"'ORTLAND TROAION CONTROL MANJAL• • ti!i
///� FOR ADDITIONAL DETAILS AND ERCOON CONTROL 111180'0.
2)COVER ALL DISTURBED GI CIUND AiEA BETWEEN OGT. I TO
,/,/ %/ :// /'/�,''♦ r•�/ _/
APRIL W,COVER WITH MULCH,BCA.GRASS,PLASTIC OR O
ty t etrwAAwaarW M ra.vrs.,a:eesyrtrl `~`' Q) (� //,//'/ /X'ir' % /r�r ./ + % 1 ` OTHER APPROVED MATERIALS 4S SPECIFIEp IN THE 'EROSION
S`e1 —r.°i'A'"• _ _v ri' �(j/��/�•] ..'r /. / // rr/i' r %i/�/ �f- CADNIP40L AMIAL• O t
✓w+ _ `/J /'/ '�'!,, /" J'/�/// r. r/ r // !i�! / //�'' '' j 3)OEDIMENI MARRIER TO flE IN6TAI-LED PRIG!TO EARTIALI JRK. v `
�.: /r•',r%/ ,r /i'r /'; / REl'IObE UPILT AFTER Gfa01AID COVER 19 ESTABLISHED. �i00
CN
_ S.ywwy��rt.tM.r4,t`'.t,u:.t'r.s.:a�.rs,:.p.'',.ti�s..ti..m'..Y'.Y."6�r:7.<'1'-�''•;i:rlp`;".�T`,•+!p�J{rWFa',ren,s.'.wM:`wi•irr...r;.a�w:5.w�. QQ�> fI \ ^w` r/�'i''%'iJJ'/'JJr{//iJ:f/`i'j/J!!/'•I/�/'//J.%•%/X!!/V/Yr r''i,�"`�%r'%..//�/r/r,!•r,/'.�/•/.•" �;r'l/!'/,/7:r/�Y%�rr�/://'/;r/%/r
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4�)NvrO[QS(lO!1IL!!ALLOWED
LLOJE
D TO E!RODE OR BE TR
ACKED OFF SITE.E
.
twwnjr ' r . l,/ ;
/ •%/ ' •
LEGEND
kmA
r II
/rteGRAVEOENTRANCE - EE
OR IN THE CITY OFDETAIL 4.IA AT LET
1.ORTLAND 'EROBION CONTROL M. JIAL
0111
oEC0R C1
•
♦� aQ
. I
i '/ !�//r'///',' %�/�� �/IJr r • ` COVERED OTOCICPILES
r'
CONSTRUCTION DTRANX WOODD4 GLRO RAIU' WORK STAGING I II t
uwr wrraswr .. .». A' www J rr• �// ! ./ rr,•�, 4 '/ . / 1/ /,�: L.� 1
CD NG /MATERIA!. STORAGE AREAS
eo"tn'r e+ww: .'• i// !f/• •r!/i ' // r,i/ /r' / J/'
SETBACK
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WOODEN GUFl9 RAMP SEE DETAIL 41A AT
v•r']A+[Ant44+a(.i ► - — / , LEFT OR IN THE CITY OF PORTLaVD ERObIQ1
4 LINE , %' ; , r` /%, % CONTROL MAI
//.• !r' / ir ' /
SIMWALK guH-r,�* 'r
_ - r WRAP.MID PRC7MCT ALL CATC 4 e A **PER
M 1 T I G,C,T I ON T FREE 5 IL DETAIL 42N IN THE CITY C�PORTLAND — --
� EL.•i19 '
9 DETAIL DRA 540 4.1A - GRAVEL C•ONBTRl1CTION EN TRAw E EL•eT7 EROSION CONTROL MANUAL' -- —
`� PE f, D-E V, PL,4N5 ��
— - - -- -- -- _ _ _ _ 1 -- - _. -- — � —�--�--[}• SEDV"ENT FILTER IsENCING Date: Man h 26,2003
I 11
t/i r.,'L✓n�4'!C wl.•TT14 �\ %'SC.`TI:YN.TJ LOflIS -
rj � Plan: site Plan
Q
{?- -- �}—-- --{�- W . WATER LINE -
- - (USE I' PVC LINE FROM li" F TO HOUE)S
Job No.: PS-1261-02
�} 1 Revision:
«y.• LI l• � I - � / � _ ✓ / � SD STORM OEILER Llr•! - -- --
f -c� r - j(�� (USE 3' AM:INE FROM LAT'FRAL TO HOUOE)
« ,1 - - 1 \' N lJ 9 ') E / 9S t SANITARY INE FROM
LINE - ---
\\ (USE 4'F'1rC i.INE F�.1'1 LATERAL TO HOUSE)
Nw 1 - --
\ ` r 7 AUE • 110 IG JTILITY EASEMENT
o
SIM t11F.�t aQivYlEllY 5. 0 ' l Sheet 'I itle:
t ` '-_� ` l 5 5. 0 / o WATER METER Lot 13
,i Site
c � — ------- Plan
Z. F
r o, CNC-;0�FM AMM MAW _,t�W �� �( �( / �"" misc. �—
2 ^�.>sv4er►na/lravrl7 s rrwrrr: I arae rn p,
ECE
I) A 20% ADJUSTMENT TO THE SIDE
�*.' ,,;,,, ;, - - _ _ - -•• T ._alntcr 1V YARD SETBACK HAS BEEN GRANTED
��.=_
_ MAR 1 X003 FOR THIS SITE.
a nadir
1v/ARSt^�ev"NOW I1tiC o C.I1'Y O r 'r I u A R D of -
- 1 F-511..11ILDING DIVIF31ON
fZ] DETAIL DRAIIKNO 42A - TEMPORARY SEDIMENT FENCE 5
-A 13
(g)COPYRIGHT 2002 - I`ATJVCX SCT TMITT, c"IgnK Inc,
NOTICE: IF THE PRINT OR TYPE 014 ANY -�� ►� ii � ili + Ill Ilillii iii � l � r r� I � IililillIIT--iI-i-���T f.1TL .T �.�.��-I.�_1_ , � r .r�.1. � � i 1 .1.1_ rII I1III IfIII IIi III III rli ICI r�—I rlr� Ilr � Ijl 1IIIIIi � 11IiII ISI III IIIIiII iII iII � IIiIIII ..:
IMAGE IS NOT AS CLEAR AS THIS 140TICE, 2 I ,� 4 7 $ ( 9 �Q i 12 ��% �T'�/-' oZ r,�
IT IS DUE TO THE QUALITY OF THE _ _ _ _ _ No.36 pew r;�.�'• ter.
ORIGINAL DOCUMENT E -- 6Z — SZ LZ 8Z 5Z i fiZ— EL Z ZZ OZ 6T 8 [ LI 9T 5i � T Ei— ZT IT I I 6 8 L _ 9 ^ � E Z T �lyi�w
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13758 SW Alpine View
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-417.1
INSPECTION DIVISION Business Line: (503) 639-4171 BLIP
Received r� Date Requested PIA BLIP
Location _�-.�' .�� l Z----Suite -_ //MEC
Contact Person
Ph(,.w ) �- -= �Z� PLM -_-------_---
�- - -
Contractor___-- _ _ _ Ph ( __—) __--- ----- -- - SWR __-_---__-_--
MAL D-bild
Tenant/Owner - - - - ELC ----- --_--- _--__
Footing - ELC
Foundation Access:
Ftg Drain ELR -
Crawl Drain -- SIT
Slab Inspection Notes:
Post& Beam
Shear -hors
Ext SFS _.h/Shear --- -
Int Sheath/Shear
Framing - - - -
Insulation
Drywall Nailing -
Firewall - -_- _ - _---
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling - ---�--- _ -
Roof
ja ., ART FAIL
Post&Beam _
Under Slab
Rough-In -- -`--- __-_.
Water Service - --_ -----
Sanitary Sewer
Rain Drains -- - -- ----- ---
Catch Basin/Manhole
S'orm Drain - --- - -- ---
Shower Pan - ---��--^ -- --_--
PART FAIL
_ CAL - - -..--- --
Post& Beam -
Gas Line
SmokA Dampers ---- �-----�__--
-----
in ART FAIL -- - - ---- - - —
ECT AL. -- -- ------- - -- --
Service
Rough-In _ ------- ----- -- ---- - - - -- -
LJG/Slab
Low Voltage - —-
Alarrn
Fin, _ L� Reinspection fee of _-__---____. required before next inspection. Pay at Citv i iall, 13125 SW Hall Blvd
PART FAIL
5 mac- -- Please call for reinspection RE: Unable to inspect- no access
Fire Supply Line t�
ADA Date- L/ A) - Inspector _ - -- Ext -- -.
Approach/Siciewalk
Oi
Q!E;�
IZO NOT REMOVE this Inspection record from the Job site.
PA PART FArL
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2003-00126
DEVELOPMENT SERVICES DATE ISSUED: 4/21/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 13758 SW ALPINE VIEW PARCEL: 2S109BA-08700
SUBDIVISION: DAFFODIL HILL ZONING: R-7
BLOCK: LOT: u I-; JURISDICTION: I I(i
REMARKS: New SF detached dwelling.
BUILDING
REISSUE: CUSTOM STORIES. FLOOR AREAS REOUIRED SETBACKS _ REQUIRED
CLASS OF WORK: NEW HEIGHT: :'I1 FIRST, 7 r5J sf BASEMENT: sl LEFT: I SMOKE DETECTORS i
TYPE OF USE: SF FLOOR LOAD •1 i' SECOND "31' sf GARAGE: 611 sf FRONT: i 11 PARKING SPACES
TYPE OF CONST: SN DWELLING UNITS I r"w) sl RIGHT: ,
472.10 VALUE: 101,
OCCUPANCY GRP: R3 BDRM: 3 BATH: - TOTAL: 3 L!� sl REAR
PLUMBING
SINKS I WATER CLOSETS. WASFING MACH: LAUNDRY TRAYS, 1 RAIN DRAIN. I TRAPS'
LAVATORIES'. 4 DISHWASHERS FLOOR DRAINS: SEWER LINES. i sr RAIN DRAINS CATCH BASINS.
TUBISHOWERS 3 GARBAGE DISP. WATER HEATERS: WATER LINES'. I BCKFLW PREVNTR. GREASE TRAPS.
OTHER rixTURES
MECHANICAL
�— FUEL TYPES FURN�10OK: 930ILlCMP<314P. VENT FANS 5 CLOTHE DRYER I
FURN-1100K, 1 UNIT HEATERS. HOODS: I OTHER UNITS.
MAX INP: blu FLOOR FURNANCES: VENTS. I WOODSTOVES GAS OUTLETS.
ELECTRICAL
RESIDFNIIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS_
1000 SF OR LESS. 1 0 200 any 0 -200 anq, W/SVC OR FDR PIIMP/IPRIGA71ON: PER INSPECTION:
EA ADD'L 500SF. 5 201 400 arnp 201 400 Isnp tat W/O SVC/T DR. SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 600 amp EAADDL BR CIR SIGNALIPANEL. IN PLANT.
MANU HM/SVCIFDR: 601 1000 amp: 601+amps-1000v MINOR LAP"L.
1000♦amolvolt:
PLAN REVIEW SECTION
Reconnect only:
-4 RES UNITS SVCIFOR-225 A. >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A SF RESIDENTIAL B.COMMERCIAL _
D.UDIO&STEREO: X VACUUM SYSIEM * AUDIO&STEREO FIRE A[ARMINTERCOWPAGING: OUTDOOR LNDSC LT
RURGLi R ALARM: X OTH AI.1.I-N',0MI BOILERS HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL
GARAGE OPENER: X CLOCK. INSTRUMENTATION. MEDICAL OTHR:
HVAC: X DATAfTELE COMM- NUr SE CALLS TOTAL 0 SYSTEMS
Owner: Contractor: TOTAL FEEZ: $ 8,009.91
GOODLET/MARSHALL BLDG&DEV GOODLET/MARSHALL BLDG&DEV This permit is subject to the regulations contained in the
Tigard Municipal Code,Stale of OR Specialty Codes and
P.O.BOX 91551 PO BOX 91551 all other applicable laws. All work will be done in
PORTLAND,OR 97291-0551 PORTLAND,OR 97291
accordance with approved plans, this permit will expire N
work is not started within 180 days or issuance,or if the
work is suspended'cr -ore than 180 days ATTENTION.
Oregon law requires you to follow rules adopted by the
Phone: 503-297-1831 Phone: 503-297-1881 Orr'gon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080 You
Reg 0: LIC 100$$2 may obtain copies of these rules or direct questions to
UUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insl Rain drain Insp Mechanical Final
Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final
Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace ApprlSdwlk Insp
Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Elrfnbal Final
Issued By : i :�Lr 1/i_ .�C f t t _ Permittee Signature: I I
Call (503) 639-4175 by 7:00 p.m for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: S21/03 -OU100
DATE ISSUED: 4/21/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S1 U9BA-08700
SITE ADDRESS; 13758 SW ALPINE VIEW
SUBDIVISION: I)Al:l ()I)II. HILI. ZONING: It-7
BLOCK: LOT: M I JURISDICTION: "fl(i
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new. SF detached dwelling.
Owner: _ _FEES
GOODLET/MARSHALL BLDG & DEV Descriptir)n Date Amount
P.O. BOX 91551
PORTLAND, OR 97291-0551 [SWLISAJ Swr Connect 4/21/03 $2,300.00
[SWUSAJSwr Connect 4/21/03 $0.00
Phone: 503-297-1881 [SWINSI'J Swr Inspect 4/21/03 $35.00
jSWINSI11 S%%r Inspcct 4/21/0:3 $0.00
Contactor: _ — Total $2,335.00
Phone:
Reg#:
Required Inspections
This Applican. agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy c f the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located. the installer shall purchase a "Tap and Side Sewer' Perm
Issued by:t C' ,; t r !�- Permittee Signature �i I
Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day
Building Per>l�'i� A 'lea hin ONLY
- � _�..� Received „ Building
hate/B :- �'i O„ - Permit No� ' -ao/-Z(0
Cit of Tigard MAk J 1 M3 ingAppmstal Other Str)&.2o07 - O/
City b Date/
Date/B _ Permit No.:
13125 SW Hall Blvd. Plan Review Other
CITY OF TIGARD
_te BY_ L?u � -Permit No.:Tigard,Oregon 97223 ura
Phone: 503-639-4171 FatPAE-1010
—
Post.Review Land Use
Internet: www.ci.tigard.or.us Date/By: Case No. -
g Contact ISee Page 2 for
24-hour Inspection Request: 503-639-4175 NameNethod: _� Supplementat Information
_--�-- TYPE OF WORK REQUIRED DATA:
New construction_ Demolition 1&2 FAMILY DWELLING
Addition/alteration/replacement Other: _ --- -- —`-
___
CATEGORY OF CONSTRUCTION Note, Permit fees'arc based on the total value of the work performed. Indicate
J�Access(2g
2- 2-Family dwelling _COmmerClBl/indUSlT181 the value(rounded to the nearest dollar)of all equipment,materials,labor,
- overhead and profit for the work indicated on this application
Building MultrFamily
--- — c7l%b
Master Builder Bother: Valuation......................................................... $O No.of bedrooms:
JUQ SITE INFORMATION and LOCATION � No.of baths: Z�1/
Job site address: �� — Total number offloors................................'.... Z L
New dwellingft. ....
Suite #: 131d ./A t.#: ((s )) .
----- Gerage/carpot�area(sq.@.)..........................
Pro ect Name: 9PAT-OPIL, Covered porch area(sq.ft.)............................. _#I/ -__
Cross street/Directions to job site: Deck area(sq. ft.)........................................... 12
Other structure area(sq.ft.)............................
REQUIRED DATA:
COMMERCIAL-USE CHECKLIST
Subdivision: !r� FC7J�c /t�/ i /. Lot#: /�� �—
Tax mal)/parcel#: Note: Permit fees*are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
--- ----- overhead and profit for the work indicated on this application
Valuation......................................................... S -
-- --- -- --- - - -- -
Existing building area(sq.ft.
-- ---- ----- New building area(sq. ft.)...............................
Number of stories............................................
PROPERTY OWNER TENANT Type of construction....................................... >
Name: fop - -------_- ---- Occupancy group(s): Existing: —
_ _�1-ET�f�ttaftNl _ �•_ Y._Lf1New: _
Address:
Cit /State/'Lip: 97 YZ, -_S l..
Z`11- J(p5y NOTICE: All contractors and subcontractors are required to be
Phone: ?-I?- IfJ Fax:
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: e4p-5W1-,(Tr,9651��j1�� jurisdiction where wotk is being performed. If the applicant is exempt
Contact Name: %Tutt- SGHr T _ from licensing,the following reason applies:
Address: 151ZU 5L3
Ci /ty State/Zi /�
503- �� IL-rkvn -- - - -- --- --
Phone: Z- 4573 Fax: So- 5"-5-1•22 S" BUILDING PERMIT FEES*
E-mail: 504li n7 c 9 T13allditT. C,v I►v1 Please refer to fee schedule.
-- CONTRACTOR _ -- --- -
Business Name �IMaor a . 3t,n�, PILV, CU I Fees due upon application............................. S
t `1
Address: ?,q, eio15' I__ ._
City/State/Zip: �t Z.t,Wo [Date
mount received.............................................
Phone: Z°t - I Fax: - I (t!/5� _ received: -
CCB Lic. #: $ Z.
Authorized - Notice: This permit application expires If a permit is not obtained wlthin
Signature: -_- __ Date:�LIJL f_ 190 days after it has been accepted as complete.
A't'ILl ra(..1-4-4fT __- •Fee methodolo4c set bs Tri-(ount: Huilding Industry Srrvlce Hoard
(Please print name)
i:\Dsu\Permit Fotms\BldgPermitApp doc 01/03
Mechanical Permit A tice�,
-�'k l t-t-- Date received: Permitao.Yt�C
City of Tigard Project/appl.no.: Bxpimdate:
Cityi#7igord Address: 13125 SW Hall Blvd,Tigard)w 9-/223 6,03 -- --"
Plume: (303) 6394171 Date issued: — By: Receipt no..
fax (503)598-1960 . ,il Y OF IIGAND Caw filen.: Payamlttype:
111( hl\/I�iIQ� Building permit no.:
Land use approval: --__- --
$d 18t 2 family dwelling or accessory U Commeocialtindusthal U Multi-family U Tenant improvetoept
4-New construction U Addition/alterstion/replacement CI Other --_--_------ ---- - ---..—_
Job address: l 57Y'26 p,L ,-JL Indicate.e:fee
antitic4 in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of illal materials,equipment,labor,overhead.
Tax ma tax lottaccount no.: profit.Val $
Block: Subdivision: 'See checimportant application information and
Project name: gAr�uDlt.._ "u,4_ jurisdictiodule for residential permit fee.
City/county: ZIP:
--- - -- -
Description and location of work on premises: 1. t e� SFtL _
Fee(en.) TotalEst.date_of completitm/inspection: DT!!p"___QCy. ReLonly Res.enly
Tenant improvement or change of use: W
Is existing space heated or conditioned?14 Yes U No Air handling unit __ CFM--__ ---
60Is existing space insulated?U Yes U No Mir condlso^ing(site�Ta_n��_egwrsj —' — -
8 P ltasuono extstni�iVA eZ n
noiler compressors
Business name- State boiler permit no.:
Cs.----_ HP Tons BTU/"
Address: O•BO _ p reTsii»he�arn uct amoke detectors --
City: State:'O ZIP: f j�0/j Tleatpump(siieplanreWWR) --�
nxxm:,Sp). 66- Fi q1I Pax: Instal acelhurner_�Tffffv - -
--- — Including ductwork/vcnt liner U Yes U No
CCB no.: I a/0e8 st0. r-/7-04/ - - --_- 1niWrepaMOM eateis-suspend;
City/metro lic.no.: 1192. wall,or floor mounted
Name(please print): Co
--\Tent for -iiu►cc�iei
Absorption units _ BTUIN
Name: .� nyy.1+ SGle4r�ti7 tatillera— __--_. HP -
Address: 5 r ( _ --—:ewe HP
City: b nd SMODA. ZI ,_n j j1 I Appliance vent
Phone:JU(i3. AS-13I Fax:2gtr') &mall: Dryerexxhaust -- - --
s, ypeVTPia-Ei W--hili t
f, hood fire suppression system
Nartle ,, tib"Il 314 f C- w9l) 8� rLy. Co Fxhaust fan with single duct(bath fans)
Mailing address: f- C S._Iusn s-itetr art�rom t�eatfn cr AC
City: f0i6&W Istaft:Vrt- QIP: Fad- mW ribu_jO°(up to 4 outlets)
Phone: v Rax: 0 E-mail: -
Type: _--[Pry -- NO ---(M - -- --- -
2 fire1-ii-ping escTi- dlitional over 4ouiiets
Proem P%ft(sc ematicm-quiredj
NtJne: Numb of outlets — -
alB—lei N ice at p. —
Address: Decorative fireplace
City: state: ZIP: TnW" hype —--_. -
Phone: _— Fax E-mail:
Applicant's signature. Cwher
LName(print): - - -----------
Na Na lrrirdietloar awRa adk CW.I.plane ei j.l.dtcdn,ra ars idFrrmtlon Pk=dt fee.....................$
U visa U MasterCard Notice:This permit application permit
fee................$
e spires it a peit is not obtained
r.:,.dk c.a a..ta� - ---___.___--- -_L__l. Plan review(at _- 96) S .
ti,pitn within 180 days after it has been State surcharge(8%)....$
---NW wdww as cm6a end ` accepted as rxxnplete.
_- — -C—' WANEWS- -- AMMMA
440417(iIOtMO0t0
B if iltl ing Fixtures
Plumbing Permit Application
- --�- Dau received: Permit no, zk-
City of Tigard r Sewer oennit Building pamtlt no..
Address. 1312.5 SW Hell BIJZ�Zllji-d,U)2 97,'l2 i '"
Ca)-of Axard Phonc: (503) 639-4171 Protea appl no_ Expire Oates'
rut (503) 398-1960 MAK :.s l `1003 Cane ia�uld: ey 1 Recalpt no
-�--_
Lend use approval: _ c.sc fill no. Payment type
a
1P I &2 family dwelling or accessory U Commercial,'ir+dustrial U Multi•ftunily U Teotuit improvement
New constru,ztion 0 Addition/alteratiotVreplacetmnt U Food service O Other:
s a1
Job address: Description 1Qty.IFeefeal ToW
111d to Suou no.. ew -and y dwe�nt s only: I
(include 100 ft.for each utility conhection) I
Tac m!p/UtK lub'.tacouni no,: S
(I; bath 1
Lot._ Iy j_ Ulock; Subdivision:---- _..__ —_- R i2 atu
Pro)ect name: QA t. Wall. __---- 5 R t3)bato
rr
' Cityrcounty• I Z1P. ----• I--- •ae t addttionti(TetElrcttU,,oy
Descnption and oration of work on premises: _WEW,�F i Site utilities: +
Cgtch bmialarea drain
Pit.fists of con leaonlinspeclioa: Dn•N�ellsflcWi itne/trench drain
-•---
11 Foot;III ri ijl(no linA&IA
Vlanut'aciulc y'homutilitioa
1
Business name Martltolast
Address*�� _, Rarn driTn•cetwectar -„._,�_
lrv;� � State: ZIP�C�13 - SantGir auwcr(n).lin.11.
Nhone -�b-� 1?-tneil. _ Storm sewer no. Im.ft.) _-_-
CCTi_uo 3'5-7 Plumb.bus. reg no ester service(no.ltu. R.) +
�' �`�'” Fixture or ltomt I
CI (metra lir.a+>•• �OOp �y
i_...,�,..•.--•--•--- ? Absu hon valve
Gontseclor's
t. -e sigoatur _� -t7, ark rlow reg ---
Ptintname: P- Date. Bac water valve_- -- „ -_--- .
Name �CcC(Lt.a6- _ b�►"+t t ^�-- -- - ishw esna; ___... .__ -�_ _.-
rDr!hks",7k OinIiIn(s)
netOn` ZIP:91218 EICt bli+tum
I'honc'Sv: q Fax Qt,. S Email: Fx—pa nstua lank_- _ -
1 y Ft%rutc',,et,et cap —
' _ Floor diatr eltn{s/hN
Neme(pnnt): � _� y
-.._
— - .P�� x `11 5 (
Mhog _ osc bib
nraddress .•___ _� _+
T�Nj _ Suter +Z1P � °�]Z
City. 2 - — ce maker ,-
i Phones _ Intercepio�!yeas!rtes yw
Owner lnstalltUon/rrs1doIiJal MAMMA= only: The actual inctallatlnn Priment
wall he mnde by me or the metnte•tanee end repair made by my regular _Roof ara;ri corttmerc:al ," 1����
emplayed on the property I own as pet-ORS Chapter 447 sin 9) ioN(s)-0p
owners slanatlue. - --Data: _ Sump - - -- - _- ...-;-------�-
ehow --
7ubs/shower/ er pan
lJn rr
Naar. _ Waier 0i' '-
Addrrat ---•..• • .._ -�--E __ - -•-.--. atcr ctttcl-
Cih.' . .. ...�..._--...�-._ talc; ZIP other•
Pax: e-mail ora
- +
_ Minimum fie............ .. S
(Nee lU M146110e6 aaq^wiN arV PW&M loll)tlr;WWAI a rN Woof
tefOrnu�ee y�cc. 71,ls pennit application Plan review(at„— 'r) s
i U Vltl ._.. mam":111rd eKpitrr if a psmut is nal oetaihtd
crest pus„fir^ -- "tido" Ito mays ager at has been State autChwe(8°h).... S
apart lnoapud as carnpkro. TOTAL........................ S
'ane o u. e n b l ewe en ease�t>.ro
�"' '�'l�lq dattateal �soom
Electrical Permit Application
— -- Date received: Pcrtnit no.;LIS 1,100 ""R
City of Tiger Project/appi.no.: _– F.xpiredate:
City ofTiRt rd Address: 1312.5 SW IIuII Blvd,Tigard,OR 97223 Date issued: - - _ By: Receipt no.:
Phone: (503) 639-4171Pa Payment type:
Case file no.:� Y
Fax: (503) 598-1960
Land use approval: _
IA I &2 family dwelling or accessory 0 Commcrcial/industrial ❑Multi-family U Tenant improvement
7i1 New construction U Addition/alteratiorr/replaccment 0 Other. u Partral
rillwillaiLl U11"974 Bit=
Job adtimas: _ 5 s►� a Bldg.no.: Suite aro.: Tax moll lot/account no.: _
Lot: 3 Block: Subdivision:
_Project name: A�,Cf'ei0r" l4lw Description and location of work on premises: Neu_.aft
Estimated date of completion/inspection:
1gy I la,11 K 1
Fee Max
.lOb ISoe p ya O.Y. (ea.) T4trcl ao.ins
Business nwne:
Address: US& 3 _-.- -- anetlirrgratN.bedadesatlarlwedtDro
State:fJ, ZIP / Servicelacheded:
-City: r• /cr 1J 4
13•tnail: 1000 sq fl_or Itis
Phone: Fax: i Frch additional 500 sq.&or portion thereof
CCB n0.: t'r t3teC.bus.tic.Ad: 3 7(/- t imirotf ralitlaNid -- 2 -
City/mec.no.: _ _ _ Li lod�r,"o" 01ay _-_ 2
tro '
�— Itch manufactured home ex modular dwelling
2
S
ervice atdlor feeder _
mute of au ifln�tdedrician shed afceden-Iion,
Sup.elect mune(prinq:i ��,w /i' 13 40�: %� 5 orrelocation:
amps or leu -- _ 2
I 201 amps to N)0 amps
Name(print): (bopIII,&I/ /''1�*VV`�Nial� Yl.l�+, i� CJ — -- -- 2
401 arty.w 6W amps _
Mailing address? : (�U �� ( -601 amps to 1000 amps ---- ----
Cit
--
City: l rt� r( ZIP: er 1000 amps ur volts
-- -- - - - l
Phone: ` Reconnectonly —
Fax: E-mail: ( --
Tempel services or 1"Ams-
owner Installation:The installation is being made on property I own installation,alteration,or relocation:
which is not intended for safe,lease,rent,or exchange according to 200 anws or l«.
ORS 447,455,479,670,701. _261.,aps to 40o.enps – 2
Owne's signature: _ - - _ bate.. 401 io 600 smin - - 2
Brach circuits-new,aheration,
of exieasiol per panel:
Name: _ __ __ A. Fee for branch circuits with purchase of
Address' - — — service or feeder fee,each branch circuit _. 2
-- ZIP B. Wee fee lrrrrh circuits without purchare
City: Stale:_ -�--- of service or feeder fee,fine branch circuit-. 2
Phone. l-ax- E-mail: Fads adetitioaal branch circuie
M lwc.(Service ar feeder am Iadadd)
Each pump or irrigation tymle 2
O Service over 225 amps c banes ial U Health-care facility sign or outline lighting 2
U se,virr.over 320 amps-sting of 1&2 U Hazardous location circuit(a)or a limited energy Pam
fantilyriweilings Osignal lPW
2
1]System over 600 volts nominal note residential units in am structure altftatloo er naleresion'-' - -
U Building over three stories U Feeders.400ampliexrn3re *Desai :— __
U(kx%pam toad over 99 persons U Manufactured structum or RV pat Fwsi oyer 11.7T7
U Fjeress+lightingplat U Otlrx -- ---- Peri�pach°°invesL 1�--
%baN at s Of plass with my of'be abore. Other iguionvex
The above are sot applicable to lealpora 7 soMractba aeralce. Other
--- - --.- - — ---— - .._ Permit fee.....................S .
Na aU}riadktlaar aooep cseM cads g1er'°eyll 1ar+sdi`a°° 1°0re ietonarioa Notice_This permit application Plat review(at _ %) $ —
OYw O MasterCard expires if m permit►s rent obtained
--� —L_L_ within It10 days after it has been Stale surAL ..urge(896)....S
Crer$t card aneaber-— � Esphes TOTAL .......................
accepted as corrq)etc.
-- Aerosol 44114615(GO)CON)
r
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00504
DATE ISSUED: 9/24/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 J9BA 08700
SITE ADDRESS: 13758 SW ALPINE V'EW ZONING: R-7
SUBDIVISION: DAFFODIL HILL
BLOCK: LOT: 013 JURISDICTION: T13
CLASS OF WORK: OTR GARBAGE ASHING MACH:
BACKFLOW PREVNTRS: 1
TYPE OF USE: SF TRAPS:
OCCUPANCY GRP: R3 FLOOR DRAINS;
STORIES: WATER HEATERS: CAI CH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUG/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of irrigation backflow preventer. --
FEES _
Owner: Description Date Amount
GOODLET/MARSHALL BLDG & DEV (PLUMBI Pernut I rr 9124103 $36.25
P.O. BOX 91551 [TAX]8%State Tax 9/24/03 $2.90
PORTLAND, OR 97291-0551 _ —
Total $39.15
Phone : 303-297-1881
Contractor: --
CATANDELLA IRRIGATION +
BACKFLOW
5334 SE DEL RIO CT REQUIRED INSPECTIONS
HILLSBORO, OR 97123 ---
RP/Backflow Preventer
Phone ; 356-8022 Final Inspection
Reg #: MET 5351
LIC 11498
I'LM 7022
This permit 1s issuad subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: < <i t r r { t Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Fixtures
Plumbing Permit Application Receivedr� r Plumbing
DetdB a�� Permit Nu a,0),9-(v3-0,9
j Planning Approval Sewer
City of Tigard � Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Date/By:: Permit No.:
Tigard,Oregon 97223
se
Phone: 503-639-4171 Fax: 503-598-1960 Date/By:y:Post-RevLand Case No.:ate/ _
Internet: www.ci.tigard.or.us Contact Ju See Page 2 for
24-hour Inspection Request: S03-639-4175 Name/Method: 1 5u elemental Information.
TYPE OF WORK _ I FEE*SCHEDULE(for special information use checklist)
New construction i I Demolition Descri w.on I Qt--Fe(ea•) _ Total
Addition alteration/re lacement Othc— New I-&2-family dwell'ngs
includes 100 fl.for each utili�cnmrectlon
CATEGORY OF CONSTRUCTION SFR(I)bath 249.20
1 &2-Famil dwellingCommercial/Industrial SFR 2)bath 35(1.1)0
Accessory Building Multi-Family SFR(3)bath 399.00
Master Builder Other: Each additional bath/kitchen 45.00
JOB SITE INFORMATION and LOCATION I Firesprinkler-sq. ft.: Pa e 2
Job site address: t `,t_v l �u ���� Site Utilities
Catch basin/area drain 16.60
Suite#: Bld #: D/A r ell/leach line/trench drain 16.60
Project Name: I Footin drain no. linear ft.) Pae 2
Cross street/Directions to job site: Manufactured home utilities 110.00
_S_ Manholes
10.1)0
Manholes _ _ 16.60
eJ Rain drain connector 16.60
Sanitary sewer(no. linear ft.) Page 2 _
Lot
#: Storm sewer(nu. linear ft.) Page 2
Subdivision: �— Water service(no linear ft.) Pae 2
Tax ma / arcel #: _ _ Fixture or Item
DESCRIPTION OF WORK Absorption valve 16.60
Backflow preventer Pae 2 -
Backwater valve 16.60
Clothes washer _ 16.60 _
Dishwasher 16.60
_ Drinkingfountain 16.60
1-1 PROPERTY OWNER 10TENANT E ectors/sum 16.60 _
Name: r _ Expansion tank 16.60
Address: J Fixture/sewer ca 16.60
Cit /State/7.Ip: _ Floor draiti'Floor sink,'hub 1660
Garbage disposal WOO
GO
Phone: Fax: _ Hose bib 16.60
APPLICANT CONTACT PERSON Ice maker 16.60
Name: Interce for rease trap 16.60
r Medical as-value: S
Pae 2
Address: �� J p r Primer 16.60
City/State/Zip: Roofdram(commercial) 16.60
Phone: 2 i�� Fax: Sink/basin/lavatory T6.60
E-mail: Tub/shower pan 16.60
CONTRACTOR Urinal 16.60
/• 0 Water closet 16.60
Business Name: l`Y IG 60 _
ater heater _
Address: �;_�l,t t Other _
City/State/Ei : Other:
Fax:
Plumbing Permit Fees`
Phone: .>� r„ '� C 4 Subtotal S
CCB Lic. #: %� Plumb. Lic.#:/ ��' Minimum Permit Fee 572.50 S
Authorized ( y Residential Backflow Minimum Fee$36.25 3tc a
Signature ^\,�� `z =_=== Date:L plan Review(25°0 of Permit Feel $
State Surcharge(8'i,of Permit Feel S
_ (Pleas:print name) TOTAL PERMIT FEE S % ` !`3
Notice: This permit application expires if a permit k not obtained within All new commercial buildings require 2 sets of plans Nath isometrle or
190 da%%after it hxs been accepted as complete, riser diagram for plan reslew.
*Feemethodolo{. cet h% Tri-Count, Building Industr.Service Board.
i Dsts Permit Forms PlmPermit-1pp do: 01.113
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
.1ST .---------
INSPECTION DIVISION Business Line: (503)639-4171
_ BUP _
Received �' U_1Date Rpguested - AM--- PM — — BUP
�� �Location _— S ��s2.1 L --_-- — Suite — MEC 1
Contact Person _ �Lv, _— Ph ( ) `�� PLM
Contractor -_ ___—. _ v-- Ph ( ) _— SWR
BUILDING Tenant/Owner __— — ELC
Footing_ - - ---- ELC ---------
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT ---___--
Post R Beam
Shear Anchors _
Ext Sheath/Shear --—
Int Sheath/Shear
Framing -- -- - __— --
Insulation
Drywall Nailing --- - — ---- __-- ---- --------- - -- -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- "
Roof
Other: -
Final
PASS PART FAIL
Post 8 Beam
Under Slab
Rough-In
Water Service — - - ---
Sanitary Sewer
Rain Drains --- - - --
Catch Basin/Manhole
Storm Drain - -- -- -
Shower Pan
Other_.- — �—
AS 'ART FAIL
MEXHANICAL
Post 8 Beam
Rough-In — --- -----
Gas Line
Smoke Dampers — - -
Final
PASS PART FAIL - — - �—
ELECTRICAL _
Service ---_ ---_.—
Rough-In — ----- - -- - _ ---- --
UG/Slab
Low Voltage __-
Fire Alarm
Final Reinspection fee of$ -___ required before next inspection. Pay at City -tail, 13125 SW Nall Blvd.
PASS PART FAIL
SITE Piease call for reinspection Fii_ -__ —_ r� Unable to inspect-no access
Fire Supply Line
ADA Date _ � _ Inspector Ext
Approach/Sidewalk - -
Other:
inal
FDO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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