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8625 SW BRAEBURN LANE 00 rn cn al m c X Z Z m 8625 SW BRAEBURN LANE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24.-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested _��M __PM — I ILD Location lu �� _ fi=r 2P-� f�� Suite _ MED Contact Person __— --_ Ph ___ L - AV ContraOAx, _ _-- Ph --___— __--- SWR l I UILDIN ^� Tenant/Owner _ _ _ ELC Rea n ng We -v ELR Footing Access: FPS Foundation Fig Drain SG Crawl Drain NOT 12,E GUESTNED � Slab Pot&Beam POUND DURING RESEARCH -- SiT [�`0 � Ext Sheath/Shear NO INSPECTION(s) IN FILE to f CI Int Sheath/Shear I .� Framing d/plc L( Insulation (;y ?)/"Z_51 [�/ Drywall Nailing _ �T 7 //�� /� 7 Firewall C� V C � _3 3 � a Fire Sprinkler _ '1- Fire Alarm ^L — C)6 Susp'd Celljng _— Ro&- P'4 R)((nRT FAIL r _ Post&Beams G � T -z- Post Slab "'-- Top Out Q� -- Water Service Sanitary Sewer ac 4:5� of yf '3J>- � � ,J..�. 1 ReliLDrains lJ✓�i\ � C 1�'X e c� �"`` "1� - C C' in _•' SS--PART FAIL R[Er-HANICAL — Post& Beam - — Rough In Ga3 Line — Smoke Dampers Final -- -- - PASS PART FAIL ELECTRICAL Service _ Rough In \ UG/Slab Low Voltage Fire Alarm r) Final L..' PASS PART SITE Packfi l,"rading Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection RE: _— [ j Unable to inspect-no access Fire Supply Line ADA - Approach/LP dewalks:5 'i 1't�n�. bate I �'' Inspect,.ir_ L_,{ L_� - - _ Ext n S PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST GGG�AUG i�� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - ---- BUP _--Date Requested— =7? PM -- BLD L.ocation� L �✓ U�rao w` — — Suite _ MEC _Contact Person Person _ _A — — _ Ph S4' 'O Z 3 PLM Conti-actor Ph Ph SWR BUILDING Tenant/OwnerELC Retaining Wall _ - - ELR Footing ��.. --- .----- Foundation Access. FPS Ftg Drain -- -- ----- Crawl Drain I Inspection Note.- SGN- - - - - ----_-- Slab — SIT Post& Beam Ext Sheath/Shear Int Sheath!Shear - Framing Insulation Drywall Nailing Firewall — Fire Sprinkler Fire Alarm Susp'd Ceiling _._-- Roof Final --- --`----- PASS PART FAIL - — PLUMBING C ----- Post& Beam ---- Under Slab i Top Out -•-- --------- — - — -- — Water Service Sanitary Sewer ---- --- - - ----. -- ---.-_— �— --_ Rain Drains i Final PASS PART FAIL MECHANICAL Post&Beam -- -- _. - Rough in Gas Line --- -- ------- Smoke Dampers Final --- --- — PASS PART FAIL Service Rough In ^- — UG/Slab _ Low Voltage LiLe Alarm AfcS 11ART FAIL - -- — - --- —-SITE Backfill/Grading - - - -- -- Sanity ry Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall. r 3125 SW Hell Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ J Unabie to inspect-no access ADA Approach/Sidewalk Date '� ��� Inspector �� Ext Other --- - p -. -- -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �- BUP _Date Requested --- �� `—� —_—AM---___ __PM — Bt D — ----- -- _ — Location l; Z j cd q Q��ct,�.� �^-� —_� Suite _--- MEC —1-- —__—v-- Contact Person _` Ph dy2- PLM Contractor Ph SWR BUILDING Tenant/Owner ELC _— Retaining Wall ELR Footing ---------- --- Foundation FlnsVktion Ss. FPS Ftg Drain Crawl Drain Notes. SIGN _ Slab _- �. - ----------___--- SIT Post& Beam - — ---- -- Ext Sheath/Shear Int Sheath/Shear -- - ---- - - Framing - - - _ ------------------ Insulation - -- Drywall Nailing Firewall -- -_--_---� ---- Fire Sprinkler Fire Alam --`-- - -- _---- Susp'd Ceiling ---- ---_.----___-- -._-. Roof -- --- ---- - Misc:_ --- Final ----- PASS PART FAIL ----------------_.. _---------__-,�-----_--_ (lost R Beam Under Slab lop Out Water Service Sanitary Sewer -� - -----`-- Rain Drains PA�S PART FAIL Post & Beam - -- - Rough In ----------__._.�._-_.--------- i3as Line I -- -- -- Smoke Dampers Final - - - - -- ---- ------ �. --- - -- PASS PART FAIL ELECTRICAL Service Rough In - UG/Slab Low Voltage - ------------------------- Fire Alarm Final - -----------.__ _ PASS PART FAIL SITE -- ---- ---------_..---- backfill/Grading -- i Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catcn Basin Fire Supply Line [ J Please call for reinspection RE. -_ - [ ] Unable to inspect- no access ADA Approach/Sidewalk Other _ pate . ALO r Inspector— s` Ct:�- ------- Ext Final PASS PART--FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING IMSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 PAST' F31 11P — Date Requeste11– d ___—AM-- _PM BLD Location . Z 5 4/ �✓ �� Gy,..` Sui`e — MEC Contact Person 4; PLM Contractor - Ph SWR 259ET1 Tenant/Owner ELC Retaining Wall -- - ELR -- --- Footing Access: ---- -- -----...__-- Foundatioo EPS Ftg Drain -----__-------_-__-- Crawl Drain Inspection Notes: SGN ^� Slab -- - --- --_ Post& Bearn -- - --- - IT -- _--- --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation ---- --- - ----- --- -- -- Drywall Nailing _ Firewall ---- --- - ---- Fire Sprinkler -- ire Alarm - - _- Susp'd Ceiling — Roof Misc nr PART FAIL PLUMBING Post& Beam - - Under Slab Top Out - - — -------- -------- Water Service Sanitary Sewer - Rain Drains Finan - - - ..---- ------- PASS PART FAIL Rough In - _ ---- - - -----_-_ - Gas Line ---- -- --------- ---- ------- Se Dampers -- S Dampers PART FAIL --- - ----- -- - --- -- FLECTRICAL _�- - --- Service Rough In —~ UG/Slab Low Voltage Fire Alarm Final - PASS PART FAIL _--- SITE Backfill/Grading -- - -- -- --- - -- _ Sanitary Sewer - Storm Drain [ J Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE: _ [ ] Unable to inspect-no access ADA Approach/Sidewalk Other Date �_� �L_—Inspector Ext Final PASS PART FAIL 1 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALA'TIN :SLY HWY #C ALOHA, OR 97006-1249 Electrical Signature Form Permit #: MST2001-00078 Date Issued. 3/9/01 Parcel: 2S111 DA-00800 Site Address: 08625 SW BRAEBURN LN Subdivision: APPLEWOOD PARK Block: l-ot 004 ,Jurisdiction: TIG Zoning: R-7 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: LEGEND HOMES CORP GARNER ELECTRIC 12755 SW 69TH AVENUE #100 21785 SW TUALATIN VLY HWY #C PORTLAND, OR 97224 ALOHA, OR 97006-1249 Phone #: Phone # 503-648-4552 Req #: LIC 121159 SUP 3707S ELE 34-305C AN INC SIGNATURE IS REQUIRED)Q T IS ORM X � - Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD -- MASTER PERMIT PERMIT#: MST2001.00078 ,.•4 DEVELOPMENT SERVICES DATE ISSUED: 3/9/01 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS. 08675 SVV ERAEBURN I-N PARCEL: 2S111DA-00800 SUBDIVISION: APPI_EWOOD PARK ZONING: R-7 BLOCK. LOT: 004 JURISDICTION: TIG REMARKS: New Sf detnched pith 1 BUILDING REISSUE: T 51 OWLS 2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 902 of BASEMENT: at LEFT: 19 SMOKE DETECTORS v TYPE OF USE: SF fI.uOR LOAD: 40 SECOND: 1,209 of GARAGE: 450 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N UWl I LING UNITS: 1 FINBSMENT: at RIGHT: 4 VALUE: $192.535 00 OCCUPANCY GRP: R3 BIMII BATH: 3 TOTAL: 2.110 00 of REAR: 18 PLUMBING SINES: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDnY TRAYS: a RAIN DRAIN: 100 TRAPS- LAI'-IUHIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS I CATCH BASINS. TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKrLW PREVNTR: 1 GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<TOOK: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>=TOOK: I UNIT HEATERS: HOODS: 1 OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE-F-EEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 ap 0 • 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 •400 amp: 201 400 amp: tot W/O SVCIFDR 00 910N/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 • 600 amp: EA ADDL OR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVC/FDR: 601 1000 amp: 601.81TIpa•1000V: MINOR LABEL: 1000+amplyolt: Reconnect only: PLAN REVIEW SECTION -4 RES UNITS: SVCIFDR,=225 A. >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AIIDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIP.AGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,945.77 This permit is subject to the regulations contained in the LEGEND HOMES CORP LEGEND CORP Tigard Municipal Code,State of OR. Specialty Codes and 1275�SW 69TH AVENUE#100 12755 SW 669TH 9TH AVE#100 PORTLAND,OR 97224 TIGARD,OR 97223 all other applicable laws All work will be dans in accordance with approved plans. This permit will expire K 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 No'ification Center Those rules are set Rag 6: LIC 60%, 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& Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Final Inspection Footing Insp Crawl Draln/Backwater Electrical Service Low Voltage Water Line Insp Bulldini; Final Foundation Insp Footing/Foundalion Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final issued By : _��? ��'r Permittee Signatur t-� Call (503) 639-4175 by 7:00 p.m for an inspection needed the next bust ess day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELgPMENT SERVICES PERMIT#: SWR2001-00045 J1 i--2.d1l2XfIL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/9/01 SITE ADDRESS; 08625 SW BRAEBURN LN PARCEL: 2S111 UA-00800 SUBDIVISICN: APPLEWOOD PARK ZONING: R-7 BLOCK: LOT: 004 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: --- —--- — MATRIX DEVELOPMENT CORP FEES Type By Date Amount Receipt 6900 SW HAINES ST STE 200 _ TIGARD, OR 97224 PRMT CTR 3/9/01 $2,300.00 27200100000 INSP CTR 3/9/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to cumply with all the rules and regulations of the Unified Sewage Agency. 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 of 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' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adapted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: Permittee Signature: tib- Call (50 639-4175 by 7:00 P.M. for an inspection needed the next business day Building P City of Tigar ped: Permit no.: Address: 13125 SW Ball Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 6394171 Date issued: By:. -- Rcc_eiptno.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:Simple — Complex: f-� 1W PE 1 U l &2 family dwelling or accessory C•I Commerci-l'industrial U Multi-family erNew rorrstruction U Demolition U Addition/all:ration/re.placement U Tenant improvement U Fire sprinkler/alarm U Other. — ItLI I I 1"WORNIATION Job address: ) (2. (> > Bldg.no.: Suite no.: Lot; (� Block: Subdivision: 'i,JvL'.7) Phi..( Tax map/tax lot/account no.: -7 c1/1,6,4 ^,j Project name: Description and location of work on premises/special conditions: 1 1 1 Name:�P Mailing add ss: 1 &2 family dwelling: Cit : State: ZIP: /-IZ 1 S O �7 Valuation of work.......t..(.....,�...........:.......... $ Phone: l',ZQ- o Fax;, - E-mail: No.of bedrooms/baths................................. —1 _ Owner's representative: PC67- H OL>r O-1 Total number of floors. ............................. _ F' Phone: Z�, `F'- ` Fax: S'` � p E-mail: New dwelling arra(sq.ft.) ..i./.....)..... I Emig Garage/carport area(sq.ft.)......................... L U-C.- Name: V Covered porch area(sq. ft.) ......................... Mailing add .ss: �, — Deck area(sq.ft.)........................................ _ City: State ZIP: Other structure area(sq.ft.).................... _ Phone: Commereiallludustrial/multi-family: Valuation of work........................................ $ 1 _ Business name: I Existing bldg.area(sq.ft. ....... ................ re 7�' �v / 13- — New bldg.area(sq.R)........ ..................... Address:1,1, City: a - Statee ZIP:AY7,,;201. Number of stories......... ..... ............ Phone O o Fax E-mail: Type of construction.... .................. ......... CCD no.: D tv O,}—(,o :� Occupancy group(s): Exis�l'ng: — -- New: _ Cit;./metro lic.no.: C- 7 Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: yL,�/ ���j�� r provisions of ORS 701 and may be required to be licensed in the Address:/ j-^�J'--*��=t� - jurisdiction where work is being performed. if the applicant is City: o stat ZIP: �j) exempt from licensing,the following reason applies: Contact person: " Jtjeq Plan no.: ---- — — Phone:6QO • O e) Fax - Email: --- ENGINEER Name: . ,e Contact person: — — Fees due upon application ...........................S Address: Lv gf p Date received: City: ZIP: f 7=13 Amount received ......................................... $-- Phone: p Fax: E-mail: _ Please ref `ec schedule. I hereby certify I have read and examined this application and the Not dl juriodictiom Kvw credit cud+,pleam catl juri"ction for rase information. attached checklist.All provisions of laws and ordinances govemiag this U visa ❑MasterCard wotlt will be complied with,whether s ifred he in or not. Credit carol number, —_ Expires Authorized ' nature:_ o ate: ' Ntune of rxdltaldvu rMwo an credit cud _ s Print name: _ -- c grultae Amount Notice:This permit applicat' n expires if a permit is not obtained within 190 days after it has be-.n accepted as complete. 440-4513(WWUM) Electrical PermitApplication Datereceivedr� Permit no.:,, i aW 0 -d r7r7 4: City ofr Tigard Project/appl.no.: Expire date: City ofTigrard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639.4171 --- - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TVPE OF E6& 2 family dwelling or accessory Cl Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement Q Other. - U Papal JOB SITE INFORMATION EEL- Job address: is r,W f no.: Suite na.: Tax map/tax lot/account no.: l.ot: C f I Block: Subdivision: UCAS -V-' kj _1<L_ - Project name: Description and location of work on premises: Estimated date of completion/inspection: — CON'tRACI-011 A111111( VI ION FEE SCHEDULE Job no: Fee Max Business name:�— f>'cscripilon Qt . (ca) Total no.los New residential-singleor multi-family prr Address: dwellingunk.Includes sand"garogr. City: StateQ ZIP: 22e Servicrincluded: Phone - D Fax:G -�f,/j mail: 1000 eq.ft.or less 4 3 Each additional 500 sq.ft.or portion thereof C O.: ,5- Elec.bus.lic,no: a Lttrtitedenergy,residenUal 2 Ity Q Limited energy,non-residential 2 r j ( Each manufactured home or modular dwelling n lure aupervts g el uician(required) Datof I Service and/or feeder 2 Sup.elect.tame(print):C., Services or feeders-btatallsdon, - alteration or relocation: 200 amps or less 2 Name(p!�� nt): ® 201 amps to 400 amps _----- �- 2 -- 401 amps to 600 amps 2 Mailings: '0- ",�, '9 �. -- - --- 601 amps to 1000 amps 2 C►ty: StateL'3� ZIP:r,72A Over 1000 amps or volts 2Phone: (,diOdd Fax:si, - E-mail: Reconnect only - n - Owner installation:The installation is being made on property l owTemn p° n'services or feeder which is not intended for sale,lease,rent,or exchange according to iWallallon,ofteratlon,or relocation: ORS 447,455,479,670,701. 200 amps or less - 2 /J 201 amps to 400 amps _ 2 Owners signature: 'J %�4 Cr A Dater (- 4011.600 em a � 2 Branch ch-cults-nen,alteration, or extenslon per panel: A. Fee for branch circuits with purchase of Addmss: service or fader fee,each branch circuit 2 Clty:�,.tial $tatep ZIPS'? B. Fa for branch circuits wiUwut purchase Phone: -�-_- �, Fax: E-mail: of service or feeder fee,first branch circuit 2 Each additional branch dmuit: Mise.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or Irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign er outline lighting _ 2 family dwellings U Building over 10,000 squaw fat four or Signal circuit(a)or a limited energy panel. - U System over600 volts nominal more residential units in one structure alteration,or extension• _ _2 U Building over three stories U Feeders,400 amps or more *Description: tion:—_----- __ _ U Occupant load over 99 persons O Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other. _ Per Inspection Submit_sets of plain with any of the above. Investigation fee —-- ---- — The above are not applicable to temporary construction service. Other -- -- - — ------- - — - -- -� --- Permit fee.....................S _ Na all Juriructione smept credit cards,please all lurrtsil"on far more Informadw Notice:This permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at —. %) $ Cmiit card number; I / within 180 days after it has been Slate surcharge(8%) ....S --______-- Expires accepted as complete. TOTAL ....................... Name of cardholder u shown an eredit�cr ---- _ f Cardholder signature Amaral 4404615(tv00MM) TYPE OF WORK INVOLVED -RESIDENTIAL 4. Complete Fee Schedule Below: FNur of Ins --- ___Number Inspections per Permit allowed Restricted Energy Fee........... Service included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit CheLk Type of Work Involved: 1000 sq.A.or less $147.15 4 Each additional 500 sq.ft.or Audio and Stereo Systems portion thereof _ $33.40 1 Limited Energy - _ $75.00 Each Manufd Home or Modular -� - - ❑ Burglar Alam? Dwelling Service or Feeder $90.90 2 --- --- Garage Door Opener' 4b.Services or Feeders Installation,alteration,or relocationHeating,Ventilation and Air Conditioning System' 200 amps or less _ $80.30 2 201 amps to 400 amps _ _ $106,85 _ p 401 amps to 600 amps _ $160.60 __ 2 �� Vacuum Systems' 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 2 - Reconnect only $66.85_ 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders - Installation,alteration,or relocation - -- eo or earth system.............................................. $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps _ $133.75 V - 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems 4d.Branch Circuits New,alteration or extension per panel ❑ BollerControls n)The fee for branch circuits with purchase of servke or Clock Systems feeder fee. Each branch circuit _�- $6.65 2 ❑ b)The fee for branch circuits Data Telecommunication Installation without purchase of service or feeder fee. Fire Alarm Installation First brands dirt $46.85__ _ Each additional branch circuit $6.65 T Cj HVAC 4e.Miscellaneous (Service or feeder not inducted) Instrumentation Each pump or Irrigation drde $53.40 Each sign or outline fighting w $53.40_--__ intercom and Paging Systems Signal.7rarll(s)or a limited energy panel,alteration w extension _ $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ _ $125.00 _ 4f.Each additional inspection over, V �T ❑ Medical the allowable In any of the above Per inspection _ $62.50 ❑ Nurse Calls Per hour _ $62.50 In Plant $73.75__ _ Outdoor Landsrape Llghting' 5. Fees: Protective Signaling Sa.Enter total of above fees $ eX Surcharge(.08 X total fees) $ Other Subtotal $ 6b.Enter 25%of line Sa for _ _Number of Systems Plan Review If required(Sec 3) $ ---- Subtotal $ �' No licemes are required. Licenses are required for all other Installations j ❑ Trust Account N _ FEES: Total balance Due $ _ ENTER FEES $ _ ------ �� 8%SURCHARGE(.08 X TOTAL ABOVE) $ TOTAL s Plumbing Permit Application Datereceivcd: / Permit no.:,, City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW(-Tall Blvd,Tigard,OR 97223 (.uy°f I tg°1 d Phone: (503) 639-4171 Project/appl.no.: FApire date: Fax: (503) 598-1960 Datc issued: BY: Receipt no.: Land use approval: _ Case file no.: Payment type: 1 ' 1 &2 family dwelling or accessory U CorrunerciaUindustrial U Multi-family U Tenant improvement Uf4cw constriction U A(Iclition/alteration/replacement U Food service U Other.-wi _ ll IV I I I IM 717myme I o t ' Job address: IL�� Cj�) s�Z `yL -� IlescrllrNon _ QtY. Fee ea. Total Bldg.no.: Suite no.• Nen n-ind-2 family dwellings only. Tax map/tax lot/account no.: (Mudes 100 ft.for each utility connection) Lot C Block: Subdivision: SFR(1)batt(TSFR(2)bath - - — -- Project name: C pp _ SFR(3)bassi--- - C I ZIP; Each additions!ba schen — - - Description and I ii ion of work on premises: Site utilities: Catch basin/area drain Est.date of completion/inspection: _ Drywells%leach Iine/trcncti jr-al—n — PLUMBING _ CONTRACTOR Footing drain(no.lin.ft.) Manufactured—home utilities - - Business name: el Manholes Address: — _ ��o DD Rain drain connector City:C fajAof/MState:p ZIP: 7o Sanitary sewer(no. lin, ft.) - Phone: 6 7_ 1 Faz:&b 7-9 E-mail: Storm sewer(no.lin.ft.) - CCB no.: 3 J Plumb.bus.reg.no:nfp, Water service(no. U.ft.) City/metrolic.no.: L IV lxtur--or Item: Contractor's Abso tion valve mpresentative signature: p ✓� _ 2'_ Back flow reverter Print name: �?- r ,�� f)atc: LJ Backwater valve 1asi-ff rs/lavatory - -- Name: dor r.a Clothes washer ---� Address: v pp 7 — Dishwasher -- ��3d Drinkin fountain s - - City: State• ZIP: -Drinking Ejectors/sump ( ) - Phone: Fax: E-mail: Expansion tank _ Fixture/sewer sewer cap - Name(print): Z'%V nC� f�©�P� Floordrnins/floor sinks/hub - Mailing address: (;art�age disposal Hose bibb _ City: o� n state:, ZIP: 97.2:ti,' Ice m er -- Phone: m Faz:d - E-mail: I terre for reale tra - - Owner instal lation/residential maintenance only: The actual uvstallation Pr-weirs)will be made by the or the maintenance and repair made by my regular Ronf drain(commercial) employee on the property I own w per ORS Chapter 447 Sink(s),basin(s),lays(s) Owner's signature:f /J ate: 1 l Sum - -- MR el I0* Tubs/shower/shower pin Name: Urinal -� - Water closet Address: �Z n Water cater�-' -- City: State- Z[P: _ Other. - Phone: _. a Fax: E-mail: _ Total Na all Jmift ictiom accept creta(cards.plow call iozi%icdon for mnre informmk n. Notice:This permit application Minimum fee................$ pppcaon - _- ❑visa n MasterCard Plan reviewat % $ expires if a permit is not obtained review(at ­ credo crd number-• -- ---- Expires within 180 days after it has been State surcharge(896) ....$ Nwe of canlnol as down on ema card accepted as'complete. TOTAL .......................$ -- -- -._ S Cartlholdu d�°uure Amount -- 44nJ616(6txYCOM) 'c �4 j' PLEA E COMPLETE, oXTURES (individual) + Qty '',•�Ptice:,(, Total r _ Fixture Type Quantl b WorkPerformed Sink !i- 16.60 _-` New Moved Replaced pamovedXipp- Lava' ry 18.60 Sink v - - Lavatc!- T ib or Tub/Shot,^r Comb. _ 16.60 Tub or Tub/Shower Combination - - R )wer Only 16.60 Shower Only - Water Closet Water G;losel - - 16.60 Urinal Urutr1 16.60 Dishwasher Qiafiwaaller 16.60 Gjrbag!2LsposaI - _ Laundr y Room Tray �- GarbaV"'•�Tsai 16.60 Washing Machine I Laundry Tra• 16.60 Floor Drair.Floor Sink 2- - Nashing Machine 16.60 3' Floor Na-lry loor Si• 2' 16.60 Water Heater 3' 18.80dy - Other Fixtures S - - - ---- -- 4' 16.60 -- Water i lealer O conversion O tike kind - 16.60 -- Gas piping requires a separate mr,chanical Kermit. -- _ MFG Home New Water Service 46.40 MFG Home New San/Storm Sewer 46.40 -� Hose bibs 18.60 -- COMMENTS REGARDING ABOVE: - Roof Drains 16.60 - �- - Drinking Fountain - 16.60 -- ----- -- _ Other Fixtures(Specify) 21.75 ----- - - Sewer-1 st 100' 55.00 Sewer-each additional 100' 46.40 Water Senke-1 st 100' 55.00 Water Service-each additional 200' 40.40 Stomi&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Bacidlow Prevention Device' 27.55 Catch Basin 16.60 Insp.of Existing Plumbing or Specially Requested - T2.50 Inspections __ perthr Rain Drain,single family dwelling 65.25 - Grease Traps �- 16.60 -T QUANTITY TOTAL Isomehtc Of d3er diagram Is requksd If Ouanely Tolyl Is :-9 *SUBTOTAL 97- 8%SURCHARGF 'PLAN REVIEW 25%OF SUBTOTAL Required only I fixture qty.total is>9 ya TOTAL °A rd.R 'Mlnlmum permit Ma Is$72.50♦a%surhaW.except Residential 6acHluw P+evenoon Device,whkh Is SM25 s 8%urdm rpa. An New Commercial Buildings require plans with homelrtc or deer dOsgrarrr and plan'-i- Mechanical Permit Application Datcreceived: -?/0/ Permit no.;,'/ City Or l Tigard igard Project/appl.no.: Expire date: City ofTigatd Address: 13125 SW Hall Blvd."Tigard,OR 97223 Date issued: Phone: (503)639-4171 o.: By �eipt n Fax: (503) 598-1960 Case file no.: w Payment,type: Land use approval: Building permit no.: TYPE OF PERMIT &2 family dwelling or accessory O Commercial/industrial U Multi-family 0 Tenant improvement ew construction ❑Addition/alteration/replacement ❑Other. A ]ob address: h=, 4- 1.o , �' Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax ma ax lot account no.: profit.Value$ Lot: ( ' ✓ Block: Subdivision: *See checklist for important application information and Project nFmc: ��(J,Q�lJ�/1 c, J` jurisdiction's fee schedule for residential permit fee. Citylcounty: "• G? zip. �.1�. Description and Iodation of work on premises: wT Fcx(ea.) Total Est.date of completicn/inspecdon: _ Description ILtL Res.only Res.only Tenant improveme r change of use: Air handlingun_it ----CFM Is existi space heated or conditioned'?Cl Yes Q Na pir con rud' oning sec plan required)Ise ' tug space insulated?©Yes U No 'ATieraa fexisung system _ o1 er compressor State boiler permit no.: Business name: leHP Tons BTU/H Address:Jtlg 1pS_'�" a smo camper uctsmo kketectors — City: 74" Stag ZIP: 970? cat pump irtc pias requirc-d)T Phone: 7 ) Fax: 7(,y E-mail nstal replace u�7 mace]Ftrner___ er ,�" ----- Including ductwork/vent liner U Yes O No CCB no.: - nits replac re ocaie eaters-suspended, City/metro lie.no.: 7 _wall,or floor mounted Name(please print): p�71 Q ent f-or n tanto otFer 7ian�urnace e era on: Absorption units BTUIH —_ Name: % n J Chillers HP (gin ---- Compressors---- HP Address: n? 'la j F, -- Farlrounental exhaust an rent 1 ori: City: G �Slete:OR ZIP: Appliance vent — Phone' -7 J Faxon- -1G i E-tnadl: Iho-od ere.r taust — _ d;TypeiTTllressiicheoT/r at fire suppression system Name: aust fan with single duct bath fans) ame: p t.� O/1 L� g 1 -- Maiiiag address: „? , �Q��� Exhaust system a art o Tmaun orT(— �s�-- Tpi ng rte istr u on up to ou etsCity: y Stated 7IP_9J.Z� pe: LPG _— NO -- OilE-mail: r m cac a mons over Tout ets Deese piping sc ematic requir ) — _Number of outlets Name: _ —_ J--,eel., T_ �__ ter :app nnec or M pm.nt: Address: to /L _ Decorati re fireplace City: 0"7 State: "LIP: _ nscrt-type _ Phone: to�C- Fax: E-mail: tov pe emotive er. Applicant's signature: _ atS 7 / _ er: _- Name(print): Perm Nd all Imisdlcoons wept credit cards,Pk-.M4 call iurisdictim fn more Inlanudon. Mini fee ................$ Notice:this permit application Minimum fee ................$ U Visa U MasterCard expires if a permit is not obtained Credit card number:_—_ --_1!z--. Plan reV1CW(at _� �) $ —, Expires within 190 days after it has been State surcharge(8%) ....$ ----- accepted as complete. TOTAL ....................... Name of cudholder u shown on credit cud s Cu,iholder 811pwwe — Amami, 440-44,17(NOWOM) Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE elle„ Furnace to 100,000 BTU Table 1A Mechanical Code � OIY Pr1oa row 955 +) Furnace+�100.000 Btu Including ducts 8 vents i nava+ arrdf a vents_ — +� 2) Fumad100,000aIUr Furnace> 100,000 BTU naudlriduds a vents +7 40 Including ducts&vents — 1,170 3) Flo"Furnace naudinq vanl 14.00 floor furnace 4) Suspended heater,wall healer _ 955 or floor mounted heatm Including vent — suspended heater,wall heater 5)Vent n°0 Included in appliance permit e.eo 955 6 k units 12.15 or floor mounted healer Check as that apply. 'Boller Heal Air Vent not Included in appliance permit 445 Fru Rama 7.10,see or Pump Gond Ory Pri a Taal lootmtra 1,1 comm Repair units 805 1)aHP;absorb unit to 1 OOK BTU 14.E <3 hp;absob.unit -Y)-37-15 HP;absorb unit to 100k BTU __955 took 10 500k BTU 25.60 9)15-3011P;Wsorb 3-15 hp;absorb.unit unit.5-1 ffA BTU _ 35.100 1700 tU)30-50 HP,absofl 101 k to 500k BTU unit 1-1.15 mill BTU _ S2� _ 15-30 hp-absorb.unit it) 50fiP;absorb unit 1.75 mil BTU — 57.20 501k to 1 mil.BTU 2310 12)Air handling unll to 10,000 CFM 1a.u° 30-50 hp;absorb.unil 1J)^ir lundeng unfl 10,D(10 CFM 3400 ___ vso 1-1.75 mil.BTU _ 1+)Nnn�o(Uhb ewpoale cooler -- — 10.00 > 1. hp;mil. BTU 5725 15)Vent tan mnneded to a single dud 6.60 > 1.75 rnil.BTU _ 10)wntaatlon sya+am nd k,duded In — __-- Air handling knit to 10,000 cfm 656 _ 10.00 _ appWnr:epemnit -- Air handling unit>10,000 cfm _ 1170 17)Hood served by medlanksl exhaust _ _ _ 10.00_ Non-portable evaporate ooller_ 656 tit)Oomesilr.k,anerston 17.40 vent fan connected to a single duct 446 1g)corrrlutdal a kdustrlel+ri>e lrldnent 1r 856 — __ 89,q= -- Vent syst.not Included In appliance permit _ -20)_Omer units,naudkq wood sio'n:s Hood served by mechanical exhaust 656 _ _ 1000 -- - 1 17021) as Plpkq one to lar MAWS 5.40 Domestic Incinerator - Commercial or Industral Incinerator 4590 22)More than 4-0er MOM(each) t.00 Other unit,Including wood stoves,Inserts,eta 656 Mlnlmurl Perm_F.eF.f72.5 — SUBTOTAL 360 $%simclaROe Gas piping 1 4 outlets __— --� µp1aeAL-W 25%OF suBTOTAL Foch additional outlet —_ 63 Required for ALL commmelal Permits only --- v —_ TOTAL -_— O1Mr hrp.cJ.m.rrd r«• 1, k,�pedi.n•dMOP d--W bwlne••naxl(ff**rn a dwq*e%o WM l tn.eo r tom. teak Rad t�h k+sRe du Vp W _. ln•p.d0w uler.dddr m r.h�k 171 so ai un addeX MAO—10 Pun+IrNrir•an �8 Sc Valuation _—� C __-- ---- cnrg. Ih•stnu)sr~iwpwnnbir dx 1172 50 _.— 'sue.Cmir/du&dam Cerarkal—mA or unM S 1.00 to 55,000.00 Minimum$72.50 55,001.00 to 510,000.00 572.50 for the first$5,000.00 rind 51.52 for each additional 5100.00 or fraction thereof, to and including 510,000.00 S10,001.00 to 525,000.00 SI _ for the first$10,000.00 and for each additional S 100.00 or fraction thereof,to and including,525,000.00 525,001.00 to$50,000.00 S379.50 for the C►tst$25,000 00 and 51.45 for each additional S 100.00 or fraction thereof,to and including$50,000.00 $50,000.00 and up 5742.00 for the—first SSO,000.OU and$1.20 for each additional 5100.00 or fraction thereof 1 CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT #. . . . . . . : PLM98--01._`4 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/08/98 PARCEL: 2SI11DA-00800 SITE ADDRESS. . . : 08625 SW BRAEBURN LN SUBDIVISION. . . . : APIPILEWOOD PARK ZONING: R-7 PID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG --------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPIE OF USE. . . . .SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 1 OCCUPANCY GRPI. . : R1 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . : 0 F I XTL.JRES-------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 HRINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 L-AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN ( ft ) . . . : 0 Remarks : Applewood Park common area at lot 4 Owner,: FEES LEGEND HOMES t ype ainot-int by d-.At e r,e c pt 6900 SW HAINES STREET FIRMT $ 15. 00 JSP 05/08/98 98-305608 PLAZA 2, SUITE 200 5PCT $ 0. 75 JSD 05/08/98 '38-305608 TIGARD OR 97223-2514 Phone #: CDntr-actov-­� MARTIN SANDERS PO BOX 307 NORTH PLAINS OR 97133 Phone #: 647-5567 $ 15. 75 TOTAL Reg #. . : 11068 REPUIRED INSPECTIONS This permit is issued subject to the regulations contained in the RVI/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection Ti applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started withir 180 d6vs of issuance, or ;f work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Litility Notification Center. Those rules are set forth in OAR through OAR You may obtain copies of these rules or direct questions to OlK by calling (583)246-19A7. s s i.i e d By : Permittee Signatt.ir,e : ++++t+++++++++++++++++ +++++++++-4-++•++++++++++++4-+++++++++++++++++4.++++++++•++++ Call 639-4175 by 7:00 p. m. for, an inspection needed the next bi.isiness day 4.............4++4..................4....................... .................. CITY OF TIGARD Plumbing Permit Application 13125 SW HALL BLVD. Plan Check# Commercial and Residecttial Rev'd By TIGARD, OR 97223 Date Recd ZJ (503) 639-4171 Date to P.E. _ Print or Type Date to DST, Incomplete or illegible applications will not be accepted Permit* / Related SWR# Called_ — Na a of Development/Project N r On back indicate Work Performed by fixture. 1 7 _ Job i ^IC. FIXTURE4 (Indlvhiutd) QTY PRICE AMT Address birSillf Address Suite Sink - Lavatory Bldg N LCltyiStata ZIP ____ 9.00 Tub or Tub/Shower Comb. -� 9.00 Name Shower Unly 9.00 F� Water Closet 9.00 Owner Mallln U dress�/4 r S l e�tJ Dishwasher 9.00 Garbage Disposal -- City/ tate Zlp Phone _ 9.00 t� , Washing Machine 9.00 N Floor Drain 2' 00 39.00 Occupant Mailing Address Suite 4' 9.00 City/State —ZIP Phone V Water Heater O convereion O like kind g,00 Laundry Room Tray 9.00 jaing Urinal -- u� 9.00 ContractorAddress Suite Utf�er Fixtures(SpeGfy) 9 00 — _ 9.00 Pricr to permit City/State 9Ip 7 7(-15--j phone y 9 UO issuance.a copy L. -`� Ol- Sswer-1st 100' 30.00 of all licenses are Oregon Const.Cont. Board Lic.# Exp,Date Sewer•each additional 100' 25.00 required if ,j _ �/' t Water Service-1 st 100' expired in COT umb ng LIc.f Ex Date 30.00 database LJ p• Water Service-each additional 200' Y— 25.00 Name Storm&Rain Drain- 1 st 100' 30.00 ArchitectStorm 8 Rain Oratn-each additional 100' 25.00 or Mailing Address Suite Mobile Home Space 25 00 Commercial Back Flow Prevention Device or Ant' 25 00 Engineer Clty/State iZip Phone -- Pollution Device J _ Residential Backflow Prevention Device' 15.00 Describe work New U AdditionAlteratton U Repair O Any Trap or Waste Not Connected to a Fixture 900 to be done: Residential O Non-residential O _- Basin 9.00 Additional description of work: Catch Insp.of Existing Plumbiny 4000 --- _ per/hr Specially Requested Inspections 40.00 berRv Fxisting use of Rain Drain,single family dwelling 30.00 budding or property__________ Grease Traps - 900 — Proposed use of QUANTITY TOTAL building or property _ Isometric or Baer dlsgram is required K Ouandy Total is ,9 _ 'SUBTOTAL I hereby acknowledge that I have read this application,that the information x" given is correct,that I am the owner or authorised agent of the owner,and 5%SURCHARGE that plana submitted are in com_ lip ance with Ore on State Laws. Sig natu of Ow Agen _ Date PLAN REVIEW 26%OF SUBTOTAL Requuad only 0 tixturo qty total Is 9 TOTAL Contact Person—Name Phone— 'Minimum permit fee is$25+5%surcharge.Except Residential Backflow Prevention Device,which is S15+5%surcharge •'All New Commercial Buildings require plans with isometric or riser diagram ,And pl review x (i l7 /L, (/,'1/� v I Id•UbkxntK•pp dot V!!9a PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved I Replaced Removed/Capped Sink Lavatory ub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal _ Washing Machine Floor Drain 2" _ Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) ::OMMENTS REGARDING ABOVE: 'vsVumbapp doc VSM CITY OF TIGARD SITE WORK DEVELOPMENT SERVICES PE RM I T l". 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT 4. . . . . . . : SIT97-004-DATE ISSUED: 1'2/08/97 PARCEL: 2S111DA-APW04 SITE ADDRF55. . . : 08625 SW BRAEBURN LN SUBDIVISION. . . . : APIPLEWOOT) PARK ZONING: R-7 PD BLOCK,. . . . . . . . . . : LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG -------------------------------------------------------------------------- CLASS OF WORK. . -NEW : PAVING?. . . . . . . . . : N RESO. NO. : TYPE OF USE. . . . >.Tyr'00M: GRADING?. . . . . . . . : N VALUE. . . $ 7000 EXCV VOLUME: 0 Cy LANDSCAPING?. . . . y F I I-L- VOLUME: 0 Cy SITE PREP?. . . . . . : y ENG FILI-?. . . . . . . N STORM DRAINS?. . . : N c' RPT RFQD'1* N IMPF RV SURFACE: 690 s kemArks : Site pewit for tesporary sales trailer f.:)vjn ev- : FEES ----------------- L. EGEND HOMES type amoLint by date r-ecpt 6900 SW HATNFG f;-T PL C11, $ 40. 63 GEO 11/26/97 97•-3012.69 TIGARD OR 97223 PRMT $ 62. 50 DRA 12/08/97 97-301528 `PCT $ 3. 13 DRA 12/08/97 '37-3015,28 Phone #: EROS $ 80. 00 DRA 12/08/97 97-301528 ERPU $ 26. 00 DRA 12/08/97 97--301528 Contr-actor: $ 26. 00 DRA 12/08/97 97-301528 LEGEND HOMES CORPORATION DULY. $ 54. 89 DRA 12/08/97 97-31LA1528 7160 SW HA7FLFFRN PD. WOUN $ 75. 80 DRA 12/08/97 97-301528 SIE 100 TIGARD OR 97224 Phone #: 620-8080 $ 368. 95 TOTAL Reg #. . : 000006 REOUIRED INSPECTIONS This pervit is issued subject to the regulations contained in the Erosion Cont t-nl Tigard Municipal Code, State of Ore. Specialty Codes and all other Stv-m Dr-ain Ins applicable laws. All work will be done in accordance with San Spk,ier- Insp approved plans. This pewit will expire if work is not started Domestic, water- I within 188 days of issuance, or if work is suspended for, wore Final Inspection than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon LItility Notification Center. Those rules ary set forth in BAR through OAR Your way obtair, copies of these rules or direct questions to OLHC by calling s s I-ted ( Permittee Siqnati-tre y 4 4.....................♦ ......4.++4............4....... +-++++-+++++++++++f+++++++++++ Call -+++4-++++4......4..........4Call 639---4175 by 7:00 p. m. for an inspection needed the next bi.isiness day 444.........................4...........4-+++-4.................J4+4.....4........4++ 11, 23 97 TUE 08-37) FAX 503 598 1980 CITY OF TIGARD r n 002 CITY OF TIGARD Site Permit Application �� J6 /r-2 13125 SW HALL BLVD. rgmm r al: Complete ENTIRE form TIGARD, OR 97223 RgizLdQ-nce. Complete SHADED areas (503) 639.4171 x304 j 1� �T`em J. Print or Type Incomplete or illegible applications will nit be accepted - -- -- — ProR?ct Natnr Utilities(Complete all that apply) - Adrdrs99Ad ir ¢� `"� " J a� « t Storm Sewer -- " w: linear Ft. yyy p�1!yry F+ r "'Y.v MAN14w SMI M' •` MW Sanitary Sewer Unear Ft. Fresh Water w-F p YY Wear Ft . S W t' tPt.Y ~k. ; tt. Catch Das,ns i qr,,,j. ''�..T S: > Clean Outs --- e•�Mlf°Y1N .. r ;✓ „� a ,;�' ,w,"° r Y •'"' r++.«wwpr'�• M �..,, tw' Describe work�to be.done. — w New❑AM {Addition(] Altetat RepeirQ C{t}�/catQtCJt pll�llC M�sl Jnraf y��Yy) Q ��t/! ��,', 8tatw t:km4t �� i-xp oel�', �>r,v �,;,.� • , �w " ; M s. h'+'w`.ii.•. '�� ►r'�'s,i,�y w.'"�r r[': M +,�',�� �... , n..,'. „,.N�«„-. .«� '-� NOMI' .ff �•��„ rl\. �h. W�1Nr.11" Architect Mailing Address �P.�tzY'�tlrii.,. � �1t4"i�a�� , City/State --Zip ^Phoneg ftnc*idAV Y - --- Na i ng Ptsri.�nlr9tfl�Fgtl� Landscapatg flan r Engineer Mlin ddress frtaDsllln tib trp)1 to and -Reusing SIMCU" 9, TpPh City/State / Zp ner, 1rA 4 Excavation volume ,1tetbarenletpGgbvr*.'thattl» (Soils report required for>5,000 cu YardsrK�6wrr+6�0,vAillirr .. cu.yds. [> t� :7. a 5ttbmlttltl'arg.n carp Fill Volume _-_ -- a`„�,;•M+«Jwe Le,.��� - (Soils repos required for>5,000 cu Yds) nr „ -- _ (En cu. yds. .'^"M, ..xM �iltrii” ,M..�M M* vn'f' 'sYR ...�w•iA•r.»i<^� will the fill supporta structure « r w Phong r"^ gineer rr±quirr!d if is yes) YESQ NO Retaining structure?(check one) C]RockFOR OFFICE USE ONl Y - QCMU Notes: ❑Concrete F]Other Total new impervious area including all land Use se N--{ MapITL# buildings,Sidewalks,end aving_ "q.Ft. si!ejpp.doc9/97 PLOT FLAN LOT 1104/ AFFLEWOOID FA *I. GARD 4( v TEM�s SALES TRAILER � � y Apury proved o ed f!!r For only tt>e work as described in: �,(} S a` �� PRIMIT NO.jo 7- 010,1_7Z FRI 261 11 86 5 SW DA ` a .��- � � �_ ���cj��;. . 4.�113 7 BRAE 3URN LANE m Mir U ,t ,�e S.E. 1/4 OF SECTION 11, T.2, R.1W, W.M. r V'�f �' CITY OF TIGARD k �►� �,►do W,45HINGTON COUNTY, OREGON � � �`� 0% � WATER METER ( o W------- WATER LINE —_ - __---- -- SAN TARP SEWEF LEGEND HOMES °�- a OF RE IN 8900 8.w. HAItM St'RSRP 71"n, ORBGON I" . 2m'-m" • MANHOLE I P[.AU 2. Surm 200 9722 -2614 ® CA'fGH BASIN oeTrlce> (503) M-8080 TAX (boa) bob-8900 -- PROPOSED I + STREET TREES TSTREET LIGHT FIRE HYDRANT` _ --- — 19F I 1 4,1 - �,per SArrLER ROAD ti 3 K i I e s 1 S 89 5425' W 4. i \ a 47.do --2--L(- 5' WALL d ,- _-__ __--_ / r I 1�4�AX hs � EASEMENT i � L i tiS / I W PROVIDE EROSION i I LOT 04 CONTROL FENCE: I(o44;' '4 37 &Q. Fr 3 PER CO 1MUNITY EROSION PLAN jIm lu , G:ry Fs 'LOT- 05 I Z I I 99 4' (196 B' z I S' UTILITY X96 EASEMENT /9.d I -__.' 55.00' C ,,e� h SIDEWALK — X95 r ( •, NAND IGAP � t)� — — — — _ J I X ® ✓ i 194 PARKING E I CURB - t `^ . SU/ SAZEABURN LANE f`0uj- �y ---- - --=�.- --••- k) �� 'r I ' n ; 1 3 LAID Ir1Ca �, ��- I I 1 1 I I 1 � I DECK )-n LANDING I ' I a, , , (uar�hptL I Ll IL„ M`T I - - - - - - -- - -- - - - - -- - - - —� hNo _AIL 3' WIDE l (u�4—Itoi 1— A iKWA, 4' WIDE CONC. c — \ WANDICAP ���� frti e- f kre ► . L�ac� �l9/ G,V HANDICAP RAMP: SLIP RESISTANT SURFACE/ 3/4" PL"JD. °44TH. t ' 2 x 8e at 24"oc W. (2(' 2 x 12 STRINGERS 34" NIG HANDRAIL, G AT W/ IUD. PICKETS '0, SP ED SO A 4" SPHERE CANNOT PASS THROUGH —_ t —TV5 \� 5'-m" g 'Ao px Q'. A Q u � / � J CONC. LANDING 61 GONG RAMP 1:12 SLOPE V � W Nk / / O 36" ►-'IrsH 6WARDR.AIL AT DECK W1 WD PIC KEI 5 / SPACED 80 A 4" SPHERE / CANNOT PASS T!4ROUC,14 DECK FLAN 1/4" I'-2" 12" 48" TRAIL2 .2208 0 24" 12" 281591 DEC-23-1996 16: 14 FROM MATRIX DEV.-LEGEND HOMES TO 6847297 p,02 1N1 UNIFORM BUILDING CODE ADAAGi Ii„ 17 LOW Larodkq swum of "arab C i kut ordalProjecdo or flan : •� !laabnass 1u�� ill 4614.Aorbv nw ft*tbw ' Slope M MM . !t r' in 1:12 b< 1:16 30 760 30 1 1:16 to< 120 30 760 40 12 Figure 16---•4Comporm is of s single ramp run and sample ramp dIrnw lon*. •10votion •Kr:ai I f t� .t RI��,r�:�Y...-�rirnele�M•i�dtarsb'�,e'19�e�1e�i'�ne1 r+lindriAl'�c+p�+� �� ►/ V L �V L J�/ V L•JL/1 1 1 1 1\M 1 r1 1�_V � \.I.\�I✓l W 1 V �/Jy��J\IV r'1 V� ■ NI -_ _—_—_— _— ---------- lie --- --e. ; I Q3 fc-T, , ' 1 w s I � 1 N o-_. {— 1 1 1 �;u _ 1 , F f - A ' 2 1 , = I to w N ' 1 OD 1 1 . I 1 1 1 p a � 1 ♦, Z ao /o o � 1 TML P.40 CITY OF TIGARD ELECTRICAL- PCRMiT PERMIT #: ELC97-0786 DEVELOPMENT SERVICES DATE ISSUED: 11/6/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 SITE ADDRESS. . . :086.='5 SW BRAEBURN LNPARCEL: cS 1 J. 1 DA-AF'WO4 SUBDIVISION. . . . :APPLEWOOD PARK ZON I NG: R--7 PID BLOCK. . . . . . . . . . . LOT. . . . .. . . . . . . . . :004 JURISDICTION: TIG F'r-o.j ect De scr•i pt i on : Temp power pole fur sales trailer. ...--RESIDF..NTIAL UNIT---- ___...TEMP' SRV(`/FEEDERS.---- ----•--MISCELA. ANFOUS--_-..._.. 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 1. PLUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : N 201 - 400 amp. . . . . . . : 0 SIGN/UUT LINE LTG. . : 0 L.IMJTED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL-/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDP..: 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER------ -----BRANCH CIRCUITS----_-_ --_--_ADD' L_ INSPECTIONS- — 0 - .='00 ramp. . . . . . . 0 W/SERVICE OR FEEDER: 0 PER INSP'EC'TION. . . . . : 0 . 111 - 400 �+mp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PIER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 0 E'O1 - 1000 amp. . . . . : 0 - --- ------________p'L.AN REVIEW SECT I ON-_.____---•___--- 1000+ amp/volt. . . . . : 0 l =4 RES UNITS. . . . . . . . : l 600 VOLT NOMINAL.. . : ` Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC UCC. Owner: - ---------------- -____-------__---- --------- -- FEES ---- _---- -__-- LEGEND HOMFS type amnrint by date recpt 69O0 SW HAINES STREET P'RMT $ 50. 00 GEO 11./26/97 97-301c.69 I-"-AZA 2 SUITE 200 `;PCT $ 2. 50 GEO 11/26/97 97-301269 TIGARD OR 97223 Phone #: GARNER ELECTRIC $ 52. 50 TOTAL .='1787 SW TUAI AT T N VALLEY I iWY SUITE L ------ - REOUIRFD INSPECTIONS -- - - ALOHA OR 97006--1248 E l ect' l Service Phone #: 591-1320 Flect' l Final Req #. . : 001211 --�- - This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of (l,egon Specialty Codes and ah 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0910 through CZAR 952-001-1981. You may obtain a copy of these rules or direct questions to Off by calling !246-1987. Per^m i t t e e S i gnat l.0•e : � { �I��Y __.._�.. I s s it e d By - ----------------------------OWNER INSTALLATION ONLY --___--------_-------_-- --.__-- _ Thp instal 1.at inn is beinq made on property I own which is not intended for- '; or _ ':ale, lease, or, rent. nWNE R' S SIGNATURE: DATE: ----------------------CONTRACTOR INSTALLATION ONLY-------- -- -------- -- SIGNATURE OF SUPR. ELEC' N: C �1 �'��-4`� DATE: LICENSE NO: + +++++++++++++++++++++}++++++++++++++4-++++++++++++++.++++++q-+++++++++++++++++++� Call. 639-4175 by 7:00 p. m. for an inspection needed the next bi_isiness day F f-++++i +++++++++++-++-I +++++++++++++++++++++++++++q-++++++++++•++++++++++++++++•1 •a+ CITY O F TIO A R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0786 DATE ISSUED: 11/2E/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PARCEL: 2S11. 1DA—APW04 SITE ADDRESS. . . :086215 SW BRAEBIARN LN SUBDIVISION. . . . :APPILEWOOD PARK ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . 004 JURISDICTION: TTG Project Description : Temp power pole for sales trailer. ---------------------- ----------------------------------------------------------- -------- ----RESTDENT TAI- UNIT----- ----TEMP SRVC/FEEDERF:).---- -----M I SCEI_..1._ANEOI_IS-------- 1000 ----MISCEI_.A_ANEO1_lS-------- 1000 SF OR LESS. . . . : 0 0 '200 amp. . . . . . . : 1. PIUMPI/I RRIGAT I ON. . . . : 0 EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 MANF. HM/ SVC/FDR. . : 0 6014-aMpS-1000 Volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- CIRCUITS--------- -,----ADD' L INSPECTIONS-- 0 NSPECTIONS­ 0 .7,00 amp. . . . . . : 0 W/SFRVTCF OR FEEDER: 0 FIER INSPECTION. . . . . 0 P01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL DRNCH CIRC: 0 IN PLANT. . . . . . . . . . . . 0 601 1000 amp. . . . . : 0 ­----------------PLAN REVIEW SECTION---------- -----_.____ 1 000+ ECTION-------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOL.T NOM I NAL. . Reconnect only. . . . . : 0 SVC/FDR > = ?25 AMPS. . : CLASS AREA/SPEC OCC. : Owner: FEES LEGEND HnMFS type amol.int by date recpt 6.300 SW HAINES STREET PIRMT $ 50. 00 GEO 11 /26/97 97-301 ;­*F-9 PLAZA C& SUITE 200 5PICT $ 2. 50 GEO 11/26/97 97-301 TIGARD OR 97223 Phone #: Contractor: GARNER ELECTRIC $ 52. 50 TOTAL C-11787 SW TIJPLA-(TN VALLEY HWY SUITE REDUIRED INSPECTIONS ALOHA OR 97006-1248 Elect' l Service Phone #: 591-1320Elect' l Final Reg #. . - 001211 This permit is issued subject to the regulations contained in the Tiqard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will he done in accnrdanre with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 18@ days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-*I-Nl@ through OAR 952-NI-1967. You may obtain a copy of these rules or direct questions to OUNC by calling )246-1987 Permittep Signat ,ire : .:_nr _.---____---------------____.-------OWNER INSTALLATION ONLY--------------------------------- Thp installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S) SIGNATURF: DATE- INSTALLATION ONLY----------------------------- -- 9 T GNATURF NLY---------------------------- -- 9TGNATURF OF SUPIP. EL.ECIN- DATE- LICENSE NO: ................4.4............................4.......4....................f-4.......... Call 639-4175 by 7-00 p. m. for-, an inspection needed the next bi,isiness day 1 F 14+++-•1-+++-+++++4 44+++++4...4.............J-++4'+-f.....................4•............. CITY OF TIGARD Electrical Permit Application Plan Check H_ 13125 SW HALL BLVD. Rec'd By Date Roc'd TIGARD OR 97223 Date to P.E. Phone (503) 639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permil ME16o E7 -o 25(�. Fax (503)684-7297 Called_ 1. Job Address: f �'� 4. Complete Fee Schedule Below: Name of Development / Number of Inspections per permit allowed Name(or name of business) Service included: Items Cost Sum Address 4a. Residential-per unit 7 ) 1000 sq.it.or loss $11000 _ 4 City/State/Zip_____ <.�' l / 1 _ Fach additional.500 sq.ft.or Commercial ❑ /ResidentiaF� portion l $25.00 Limited Energy $25.00 Each Manut'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $66.00 _ (Attach copy of all,current licenses)`- / 4b.Services or Feeders Electrical Contract t�L1 > I l t�_ Installation,alteration,or relocation Address ` .j JP 14ta Y 200 amps or less $60.00 = 2 201 amps to 400 amps $80.00 2 City A / _�State U Zip, ! 401 amps to 600 amps �_ $120.00 2 Phone No. - 601 amps to 1000 arnps $180.00 _ - 2 .lob No. �� Over 1000 amps or volts $340.00 2 --- Reconnect only $50.00 2 Elec.Cont. Lice. No. Exp.Date Zt, I I OR State CCB Reg. No. Exp.Date., 4c. emporary Services or Feeders COT Business Tax or Metro No. Exp.Date In Ilation,alteration,or relocation G1 --- 7 200 amps or less _ $50.00 _ 2 P Signature of Su r. Elec'nl�'�L�e i`• �7J�'�'✓ 201 amps to 400 amps $75.00 - --- 401 amps to 600 amps $100.00 - Over(300 amps to 1000 volts, License No. Exp.Datesee"b"above. Phone No.- -�` ` - --� __-- 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name - -.- feeder fee. AddressEach branch circuit $5.00 __ 2 h)The fen lot branch circuits City- _ State ____ _ Zip_ _-._.._ wiihout purchase of Phone No. _ _.__ ____ service or feeder fee. First branch circuit $35.00 _ 2 The Installation is being made on property I own which is not Each additional branch circuit_ $5.00 -_ 2 intended for sale, lease or rent. 4e.Miscellaneous (Sorvice or feeder not Included) Owner's Signature___ _ _ Each pump or irrigation circle $4000 Each sign or outline lighting $40.00 _ 2 3. Flan Review section If re wired :' Signal circult(s)or a limited energy^ q panel,alteration or extension __- $40.00 Minor Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 -_ Classified area or structure containing special occupancy Per hour $55.00 --_ as described In N E C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with oppllcot on where any of the above apply. 5. Fees: ���.) Not requireo for temporary construction services. 59.Enter total of above fees $ 5 Surcharge(.05 X total fees) $ -NOTICE Subtotal Subtotal $ ---- 5b.Enter 25%of line$a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,On IF CONSTRUCTION OR WORK Subtof-' $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 1:11 TIME AFTER WORK IS COMMENCED. Trust Account N- Total balance Due 10STMELM APP Rev" �--- CITY 4F TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT PERMIT #. . . . . . . : SWR97-041r+ DATE: I SSU=D: 12/08/97 PARCEL: 2S 1 1. 1 DA--APW04 SITE ADDRLSS;. . . :06622) SW BRAEBLIRN LN SUBDIVISION. . . . :ARPL.EWOOD PARK ZONING: R-7 PD DLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TIB TENANT NAMF. . . . . :LEGEND HOMES USA NO. . . . . . . . . . : FIXTURE_. UNITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :COM NO. OF BUILDINGS: 0 T NSiTAL_1_ TYRE. . . . :PUSWR I MPERV SURFACE: 0 s f Iremarks : lemporary sales tr•ai. ler Uwner: ------ ---------- _._______._----_._---______..---.___._..._.._---•--.____.._ FEES .__--------..._._---.--_-... LEGEND HOMES type amni_fnt by date rerpt 6900 SW HATNES STREET RRMT $ 2200. 00 DRA 12/08/97 91-3015eb PLAZA 2, SUITE 200 1NSP $ 45. 00 DRA 12/08/97 97-301528 TIGARD OR 97223-2514 Phone #: Contractor: OWNER Rhone # - f 2245. 00 TOTAL. Reg #. . . _----_— REOU I RED I NSPECT I ONSThis Applicant agrees to comply with all the rules and regulations Sewer Inspection _ v _ of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guar?ntee the accuracy of 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" permit and the Agency will install a lateral. AITENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR _ 9'i2-g01-�i8 through OAR 952-MI-OW. You may obtain copies of _ these rules or direct questions to ()UNC by calling (583)246-1987. 1 � l ss1.1ed f-iv : � � 'V �..._.._-_ Permittee Signatf_tre +++++++++++++++++++++++++++++++•!-+++++t++++++•F++++++•i-+++++++ f++++++++++++++++-F+ + f Call 639-4175 by 7:00 p. m. for an inspection needed the next bi_isiness day f ++++++++++++++++++++++++a++++++++++++++++•++++++++++.++++++++++++++++++++++.!-+++++ CITY OF TIGARD DEVELOPMENT SERVICES c='LLIMNING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97--051 DATE ISSUED: 12/08/97 PARCEL: 2 S 1 1 1 DA-AF'W04 SITE ADDRESS. . . : 08625 SW BRAEBI..IRN I SUBDIVISION. . . . : APPL_EWOOD PARK ZONING: R-7 FID BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TIG CLASS OF WORN.. . :OTR GARBAGE DISPOSALS. : 0 MORTL_E HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHfNG MACH. . . . . . : 0 BACKFL.OW PREVNTRS. . 0 OCCUPANCY GRr'. . :B FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXIURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 2 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 1 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0 Remarks: Temporary sales trailer 0wner: -___--_---__.-_-_-•_----_________._.__.----.----------__.--------___-- FEES --._____________ --_- LEBL ND HOMES type amol_int by elate recpt 6900 SW HAINES STREET PRMT $ 36. 00 DRA 12/08/97 97-301528 PI-AZA 2, SUITE 200 5PCT t 1. 80 DRA 12/08/97 97--.301528 TIGARD OR 97223-2514 Phone #: Contractor-------------------------------- WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM OR 97030 Phone #: 667-9891 $ 37. 80 TOTAL Reg #. . : 000238 -- - --- - REQUIRED INSPECTIONS - -This pervit is issued subject to the regulations contained in the Top-or.rt Insp Tiqard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _ applicable laws. All work will be done in accordance with approved plans. This pervit will expire if work is not started within 180 days of issuance, or if work is suspended for sore — r than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-9001 0010 through OAR 952-990I-0980. You say obtain copies of these rules or direct questions to DUNG by calling - -- (5931246-1987. Id Cao-clt'ML Permittee Signature: �T ++++++++++++++++++++++++++++++++++++++++++++++++++++++ +4•++ +Y" '+++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed he next business day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ I !av-L'6 97 03 : 21P P.02 CITY OF TIGARD Plumbing Application Aeec er M25 SW HALL BLVD- Cammerrial and Re&k*rtial Dais ag d TIGARD, OR 977.23 Dne w P.E r4 (503) 639.4171 DM Iti o Print or Type aaakad VAR t>m- Incomplete or illegible applications will not be accepted cabs NaRN of OeveloPtAnt/P'OQ� f&Rack indicate MVork Porn tanao by- Job S � l �1 Ori Lcf l duaq Q AUT Addross 511p9t�1eMrp6s , " - 910 atwirm.Gyro. —Too Norm / sow"or" - i Owner "Lary ( / t� Awa onhwaww _9_00 c�tyrs Tip Pflana _ 900 1frnkyacl1 wt Y / R.00 ,4R,w7 Fbw MinT 9. - 9.00 Occupant Malling neA,ea., Sum --_- 4.00 Ci1ylS - Fit- Why►-lMW n corr."sw O lin kind -- - am L,ataldri Gem Trail 8.00 NaftinLWF4W G I DPWF'mra�(spra�r) 9-u Contractor "no Ad — Mor to fxrmrl C*vtstato ap Phonu 9�0. KLUanW.a Utn J _ ��'��'�i��/1�� - - -- ago el all brpr"s om Q !R tJrJ GFL Ciao -- - foo 1%4UWW N �4 C 1' -lr -1 Sewer-!$t :10.00 eiq/frd m COI Lm1YmOr /; `irrrr+w-nae+aMNsvl 100" a.00 - Ntma Sarvto- tat 100 3000 Archltact L,y -+j�li',_'�� wkar9arv4s ..elarddlrwW 29.00 or luaninq Ad u „ iXain1a COP' 3acc Stvr4 a iQ Drain-esch 100 Engineer ! Uhr ZYp - F'rrcre "Mtn Nome ace -- Dewoa or A 6 2500 Descnkm arw4 No- O nddluon O Meralon O %pair O PatkAon LNJOW _ ro br dcxr. perseanoat 9 Nor>n4td1yf6U c `T .a�tatsow PrarWnbon ow4m' 15 On"- A4Mranal Aeacn mon of mark /N► reap or-wtl4 f+ot CddonneOaA 1e a Fasum 9.00 - - Cloth fK 0 4 na 4000 Erste+use of flpaata/r Re*msftd Invei-An- 60.00 building w property _ - - -p-Mv Hain Dram.OnWe h.r,i►f eo-meq 30.00 r.oposad vve or (ypy, Train buBdhp tv ptempnrry -- _ CUAN(TM TOUL - - --- I heralry ac*yx%vWpr plat t nave road this app-cation.01st Vo-nfonnation or sationzed loom of t N r. ""'I thin r am we owner 11e o"W vid lits W Rae►Olrrn v re�arwd d Tauri u >9 6"M M •.' v+rl darty w0ndfwr1 e am cD rMWa L _Orvolon Saws. �SUB?OTAL tifgeatufl of Ownaft-�nt _T Osrb -- liX SUACNARG r CO eeeroaet a / vnone P AN Of SUBTOTAL i� am r Garr qyMON s>9 _ TOTAL it Mnbnunl permit Gro a 3 a.id►arge.exce” "idenuar ew-korm Prawnnnn ftFKe,Mium i9!15-5%r4rt r.pm Ncv-26-97 03 : 22P P - 03 ��EASE COMPLET_E_: Fi�cture Type Quantity by Work Performed' ` Mew Moved Papfaeed Removed/capped Sink Lavatory Tub or Tub/Shower Combination Shower Onll Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" Water Heater Laundry Room Trate -_ Urinal Other Fixtures (S eci y) COMMENTS REGARDING ABOVE: CITY OF TIGARD BUILDING INSPECTION DIVISION 7.4.-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: (1 - �Z'�� 1 (A.Iv1. ��`�-— P.M. MS'f: _ Location: �jT 4 BUP: Tenant: Suite: Bldg: WC: Contractor: L EST ' D Ht'-AAE-,"--) Phone: z-Cq- �L-3'7 C' PI.M: Owner:_ Ph,me: ELC: `17-C,7 CIZ : A L Ce-.> 'TV-Al L E:42-- - APPLE ELR: -- _ BUILDING BLDG(con't) PLUMBING SIT:i MECHANICAL CTRLCAL SITE Site Post/13eam PosUlieam PosU13emn Cover/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water I.ine Slab Framing Top Out Gas bine Rough-In i 1G Sprinkler Foundation Insulation Sewer IIood f)uct Reconnect Vault Bsmt Damp Drywall Storm Furnace elnp Service • MISC. Masonry Ceiling Rain Thain A/C UG Slab Shcar/Sheath _ Fire Spklr/Aln CrawlIFound Dr I lent Pump Low Volt Approved Approved Approved Approved Approved -- Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL —Z- --- ter--. O Call for reinspection O Reinspection fee of$ required before next inspection C3 Unable to inspect 1 Page_ of / Inspector: — F � % � Q N r w a o ,1 �! N c a A` O V �J A 3 O x