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11790 SW KOSKI AVENUE 11790 S W Koski Avenue CITY OF TIGARD -_ PERMIT tfSTMASTER#: MSTT 2002 ,10479 DEVELOPMENT SERVICES DATE ISSUED: 12/31/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 s'TE ADD KESS: 11790 SW KOSKI AVE PARCEL: 1S135CD-KM006 SUBDIVISION: KHI-AMO!IKA ESTA I ES ZONING: R-12 FLOCK: LOT! 000 jURISDI^TION: 1 G REMARKS: Construction of new SF detached residence. BUILDING _ REISSUE: � STORIES: 2 FLOOR AREAS REQUIRLD SETBACKS REQUIRED CLASS OF WORK: NF W HEIGHT: 24 FIRST: H23 %I 9ASEMEN 1, st LEP": 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLUOR LOAD: 40 SECONDM G4H',GE 40' of FROVT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N D'VELLINU UNITS: I 1RWI " sf RIGHT: 5 � E 1/7Arp}Ole OCCUPANCY GRP: R3 BDRM: 4 BATH: TUTAL sf REAR: IF. FILUM13I1IG SINKS* 1 WATER CLOSETS: 3 WASHING MACH. I LAUNDRY 1 RAYS, itAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS SEWER LINES: 100 SF RhIN DRAINS: CATCH BASINS. TUnISHOWERS: 3 GAnBAGE DISP- 1 WATER HEATERS: I WATER LINES: 100 BCI,FLW PREVNTR: I GREASE TRAPS. OTHER FIXTURES. MECHANICAL r _ FUEL TYPES FURN<100K: 801.ICMP<]HP. VENT FANS. 4 CLOTHES DRYER: 1 GAS FURN>-100K: I UNIT HEATERS: HOODS: 1 OTHEn UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES. GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BFIANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 emp mP' p 206 a W.9VC 4,!FDR: PUM>IIRR13ATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 anp: tat W/o SVCIFOR: 5V3NIOUT LIN LT. PER HOUR: LIMITED ENERGY: 401 66'Amp401 600 an p: EAADDL SR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amu, eM+anps-t00ov: MINOR LABEL. 1000+amplvolt: PLAN REVIEW SECTION Recornect only: >=4 RES UNITS: 9VCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: ,v J VACUUM SYSTEM: X At DIO 8 STEREO: FIRE ALARM: INTER,OMIPAGING OUTDOOR LNDSC LT: BURGLAR ALA.1W x OTH: ALL ENCOMP BOILER: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: x CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: X DAT,�ITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEES: $ 6,80.14 Owner: Contractor. This permit is subject to the regulations contained In the STEVE ECK CONTRUCTION ECK CONSTRUCTION INC Tigard Municipal Code,State of OR Specialty Codes anri PO BOX 204 PO BOX 204 all other applicable laws. All work will be done in SHERWOOD,OR 97140 SHERWOOD,OR 97140 accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or If the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Photo: 503-625-1308 Phone: 625-1305 Oregon Utility Notification Center. Those rules Pre set forth in OAR 952-001.0010 through 952-001-0080. You Ren a: LIC 1 147�� may obtain copies of these rules or direct questions to OUNC by calling(503)146-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanlca Mechanical Insp Srlear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final P.3oting Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Foot' g/Foundation Dirt Electrical Rough In Gas Line Insp Appr/Sdwlk Insp P)st/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final J Issued`3y Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needp. .i the next business day CIT"! O F TI G�RI� ._ SEWER CONNECTION PERMIT DEVELOPMENT GEFZv Kv PERMIT#: SWI,2002-00325 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12131/02 SITE ADDRESS; 11790 SW KOSKI ^VE PARCEL: 1S135CD-KM006 SUBDIVISION: h.1i ,".M00KA 1-1)1;1 1 i 5 ZONING: It-12 BLOCK: LOT_006 JURISDICTION: .1 1i i TFNANT NAME: USA NO: r IXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUii_DINGS: INSTAL.I_ TYPE: l_1-PSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached residence. Owner. _ FEES.----- STEVE EES __STEVE ECK C&,i , Ir;ioN Description Data Amount PO BOX 204 - SHERWOOD, OR 97140 1SWUSAJ Swr Connect 12131/02 $2,300.00 1 SWUSA I Swr Connect 12/31/02 $0.00 Phone: 503-625-1305 1SWINSI11 Swr Inspect 12/31/02 $35.00 [SWINSf'1 Swr Inspect 12/31/02 $0.00 Contractor: Total $2,335.00 Reg u: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The tota! amount paid will be forfeited if the permit expires. The Agency does not gu=tmntee 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" Perm Issue .by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day c < /.. Budding Permit A.ppHcation Date received: �-- r Prrmitno.: CityOf T% V ID Pro)ect/appl.no.: Expire date: Add ess Ivd,Tigard.OR 9�,?33 City,)]Tigard j Date issued: By: - r Receiptno.. Phone: (303) 39.4,,71 Fax: (503) 5981 tl Case file no.: Payment tvpe: Land tire a , 1, IO,AF'�i) 1&2 family:Simple Complex: ;Job &2 family dwelling or accessory O Commercial/industrial U Multi-family Yl construction 0 Demolition dditionlhdteration/replarement U Tenant improvement U Fire sprinkler/al O Other: ddress: n Bldg.no.: Suite no.: Lot; Block: Subdivision: Q►/r1/i�fDi/� Jj�y.f Tax map/tax lot/account no.: �/ %h Project name: f•i /�, I � r Description and location of work on premises/special conditions: )1,Lu- "0 Name: l -C Mailing address: ( I &2 family dwelling: /f; �U/ ,t -�� City: State: ZIP: Valuation of work.................. ....J.......U�.... 5 L Phone: Fax: Email: No.of bedrooms/baths................................. _._ o • _ _Owner's represen live: Total number of floors................................. - Phone: Fax. IE-mai.: New dwelling area(sq.ft.) .......................... --- GarageJcarport area(sq, ft.).................n...... - - Name: Covered porch area(sq.ft.) ...�............... 0 _.- -- - Deck area(sq. ft.) Mailingaddress: __ _ Other structure areas ft.) d City: State: ZIP: (. . Phone: Fax E-mail: s Commerrial/indttatrlal/multi-family: Valuation of work........... ............................ $ -- Existing bldg.area(sq.ft.) . ........................ _-- Business name: 10� �orrr Z" ' __.1C _' _. New bldg.area(sq.ft.) Address: if, Number of stories -_ -- --- _ State: 7.It: ii� City L' - -e- Type of consurr,aon.................................... -� Phone./�2,�=/ p Fax Email Occupancy group(s): Existing: CCB no.' l�Y7f�C'- v_- New: - City/metro lic uo•: Notice:All contractors and subcontractors are required to be licensed with the Oregon Constriction Contractors Board under Name: S�r/y, ��f L� -_ _ provisions of URS 701 and may be regLired to be licensed in the Address: 7j6�_.J UJ I jurisdiction where work is being performed. If the applicant is Starr. ZIP: exempt from licensing,the following reason applies: Cit Contact person: LPhuh no. -Y-- ---- -- PhonegL_" �S_ Fax. Email: _ Ntune: ��` _�/1 /�/P' Contaperson: Fees due upon application ........................... $ Address:/" i( J .f/ Date received: hit rAmount received ......................................... $ _ Stat ZIP:y7= ' Phone �"7J Fax: _ E-mail: Plcage refer to fee s.hedule. I he:eby certifv I have read and examined this application and the Na at Judedktiom acct rredii card$,ptew car'Jurisdktion for more wotnwion attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard work will be complied with, whether specified herein or not, Credit card number xpirn Authorized signature: `-�- Date: —Au,s d csrdhntb.o mown on tte,+t Print name:.___ '�"' - carWatda s�— Amount Notice:This permi!application expires if a permit is not obtained within IRO Jays eller it has been accepted es complete. 40Y413(GRV/COM) One-and Two-I7amily Dwelling; Pfigilding Permit Appdcatitn Checklist pReferenceno.: - -- — A.ssr iatedpermits: r u •,i 1 r,,.,,! City of Tigard U Btectrical U Plumbing U h;,;rhanical Address: 1311.5 SW Hall Blvd,Tigard,OR 97223 U Other: _ Phone: (503) 639-4171 Fax: (503) 598-1960 I Land use actions cr-npleted.See jurisdiction criteria for concuirent reviews. 2 Zoning,flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verfiication of approved platilot. 4 Fire district _ approval required. _ .5 .Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. _ 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with applicatioi. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence de,.-,--and location of catch-basin proteclion,etc. 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed —� if copyright violations exist. _ I 1 Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.clevadon differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of st*ucture(including decks);location of wells/septc systems,utility locations;direction indicator,lot area;building coverage ansa;percc:nta,e of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Shaw dimensions,anchor bolts,any hold downs and reinforcing pads,connection details,vent size and location. _ 13 Floor plans.Show ail dimen ions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbiug('i stures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-membe r sixes and spacing such as floor beams,headers phos,sub-floor, wall construchon,roof comtructioat.More than one cross section may be required to clearly portray cow wit Imn.Show details of Cl wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace conn action, thermal insulation,etc. _ 13 Elevatlon views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations trust reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing found ttion elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details ane'locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all fl(iors/roof assemblies,indicating mcmber sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement apd retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using cum W code design values for all beams and multiple joists over 10 feet long and/or any bea nVjoist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify,tie prescriptive path or providc calculations.A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to he applicable to the project under review. r,111111a 11[a IMMAUM 23 Five(5)site plauis are required for Item I 1 above. Site plans must h.. s 1!2_x I I"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be acceptco. 27 -------- 28 �r - Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. can-4611~'Oki) Mechanical Permit Application rDatereceive!d! Permit no.:lil`'City of Tigard 1rojectapp.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: By: _LRcceipt no.: Phone: (503) 639-4171 ---- -- Fax: (503) 598-1960 Case file nu.: _ Payment type: Land use approval: __ B-Iding pernut no. 1 &2 family dwelling or accessory U Commercial/industrial U Multi-farnlly U Tenant improvement New construction U Add ition/alteration/replacement U Other -- -_---_---_-__—_-_------.--�-- 1 1 Job address: i W _�� Indicate equipment quantities in boxes below. Indicate the d tllar t3ldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/accountno.: profit. Valor.$ Lot; Block: Subdivision: *See checklist for important application information and Project name: — jurisdiction's fee schedu:, for residential permit fee. City/county: ZIP: gas No u1nnal I Description and location of work on premises: _ t1ill a 1 1 _ I-ee(ea.) Total Est.date of completion/inspection; _ DMA Ion Qty. Res.only Re-%.only c: Tenant improvement or change of use; Air handling unit __ CFM Is existing space heated or condifioned7 U Yes U No Aircon it omng(sltep an requir ) _ is existing space.insulated?U Yes U No A teration of, Will er compressors Mute boiler permit no.: BUSIIIeSS name_` .�/j _�e_ ' �Q4,Cd Hl' Tons BTU/H Address: 1r smo a amtT�pera7eTuct smo a detectors — --- — - — ?.IP: eat pump(sueTrey-required) City: State: PhoneTax_ E-mail: nsta I replace urnac urner _ Including ductwork/vent liner U Yes U No C_Ci3 no.: ,_ nsta rep ace re of—cafe caters-suspended, City/metro lic.no.: - _�— wall,or floor mounted Vent forappliance other an furnace _ Name(please print) �e gera on:Ilia — Absorption units _ BTU/I1 Na Chillers HP -- - -- -- Com ressors, `_ HP : W __ r ronmeota ex uit an venular on: City: - State: ZIP: Appli4ncevent Phone: hex: E-mail: ryerex aust oo s,Type res,Kitcheriffiazmat hood fire suppression system — - Name: _ _ Exhaust fan with single duct(bath fans) — Mailing addre •Q df x aunt s stem all art fi olr�Ticaliri or C ucI p f ng an str mion(up to outlets) it State: ZIP: / _Type: L 13 —_ NG Oil Phone: I ax E-mail: Fuel—i in,each additional over 4 ou'.ets rotes+p p ng schemaft-requite ) Nuniberof outlets Name: - - ter staeTp Gnce u�e,iu parent: Address: Decorativefireplace —_ City_ - _ — - Statc: ZIP: - rise -1Vpe - 0o stov islove Phone: I a�x� _ Gtnailc er. -- Applicant's signature_ —_—� Dater ^_ ter: L1 ame(print): Perntit fee.....................$ - —. Nd ail jttrixdictlau acxtp credit terra,pl,axe call JurixJicuon r..ro e inrornutiun Notice:THIS permit a hee11011 Pe PP Minimum fee................$ ❑visa U MasterCard cr ices it's permit is not obtained c'trdlt card cumber. ISO days PPlan review(at �) $ „ithin a �after it hes been , Expires S ate surcharge(8%) .... accepted as complete. .—`---_ Nenr of oldtr u wn ort credit e s TOTAL ....................... �— Cardholdu elFneturc -- Amount 410-4617(6K)WMM1 Plumbing Permit Application -- Date recoil ed- Permit no.: C City of Tigard Sewer perpnt no.: � Building permit no.: Address: 13125 SW Hall Blvd,Tigard.OR 97223 Cin of Tigard phone: (503) 639-4171 1'rojcct/appl.no.: _ Expire date: Fax: (503) 598-1960 Date issued: By: Recciptno.: Land use approval: Case.file no.: Payment type: A17t&2GunHy dwelling or accessory U Commercial/industrial Q Multi-family U Tenant improvement ;(Nruction ❑Add itiott/alt,?ration/replaceniclit U Frxxl service ❑Other: 1 1 Job address: �r �/ _�� ' _!EL—crtt (jt . I�eY•(ea.) Total Bldg.no.: Suite no.: New 1-and 2-fatuity dwellings only: ----- (Includes 100 ft.for eathutility connectlon) Tax map/tax lot/account no.: ,.. SI-R(1)bath Lot: Block:_! Subdivision:���a!� d1G/. q SFR(2)bath - Project name: _ _ _ SFR(3)bath r _ City/county: ZIP: _ Fach a ditional bath/kitchen Description and location of work on premises: Site utilities: _ Catch basin/atea drain Est.date of completion/inspection: D wells/leach line/trench drain Footin drain(no.lin.ft.) PLUMBING CONTRAC70R Manufactured home utilities Business naure_L{�/._QL l //! Manholes Address: in drain connector _ State ZIP: 7C Sanitary sets er(no,lin.ft.) Phone: `— LPax: E-mail: Storm sewer(no.lin.ft.) - CCB no.: Plumb.bus.reg.no: Water service(no,lin.ft.) City/metro lic.no.: _ Fixture or Item: Contra-toy's representative signature: ck IlAbsorption valve aowpr-venter Print name: I Date: Backwater valve Basins/lavatory _- Name: Clothes washer Address: Dishwasher _ Dunkin fountains) t:ity_� State: ZIP: _ E'eciors/sum i Phone: Fax: E-mail: I Expansion tatlk _ Fixture/sewer cap Name(print): - - Moor draitis/floor sinks/hub Mailing address: � odisposal Hose bibb __— _ City: -_ Stnt ZIP: Ice maker Phone Fax: E-mail: Interceptor/grease trap — Owner ipstallatlon/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Raaf drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) Owner's signature: Daae: _ Sunr - 101101 a It Tubs/shower/shower part Urinal Name: Water closet Address: _ Water heater - -- City: State: ZIP: _- Other: Phone: Fax: I E-mail: Total Nut all juris&dau acce.pt cmdlr cant.,plem can jurtl&tlon r«nk"infuuumxt. Notice:This permit application Miniurunl fee................$ U Visa U MasterCard expires if a pernut is not obtained Plan review(at _ %,) $ Cndu card numbs: within 180 days after it ba+leen Smote surcharge(8%) ....$ Name of uudhulu abown oac Eapina - accepted as complete.mplete. .......................$ du Cardholder ai nature Amuw l 47)4616(60YC.'OM) Electrical Permit Application Datereceive( Permit no.(VT,—,doco -DDB City of Tigard Project/appl.no,: Expiredpte: City of Tigard Address: 13125 S\N Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 — Fax: (501) 598-19t0 Case file no.: Payment type: Land use approval: �I &2 family dwelling or accessory O Commercial/Industrial U Multi-family U Tenant improvement ' XNew construction U Add ition/alterition/re placenient U Other: C7 Partial 1INFORMA]ION Job address: ;'( ',(� � �/ liltl� act: Suite no.: ITax map/tax lot/account no.: Lot: Block: Subdivision: .,sly -- - — Project name: Description and location of work on premises: Estimated date of coni letioidiuspeclion: SCIIEDULE Job no: _ t�w Max /�!y Description Qty. (ea) Total uo.ins Business name: �f >'r aQ — — _ P - Newresidentlal-singkorrnuhi-fondly per Address: ©� Q dwelling wilt.Includes altachedgarage. City: StjW.I Z1P:C�ft!/� Service included: Phone: Fax: E-mail: 1100 sq n or less / 4 CCB no.: �f;f Elec,bus.lic.no: 3.•f Ifs Each additional 500 sq.ft.or onion thereof -- �—_-- Limited energy,residential 2 City/retro lic.no.: Lirnitcd energy,non-residential 2 Each manufactured home or modular dwelling Si nature or superyising-elect ncran(required) Uatc Service and/or Peder —2 — Sup.elect,future(print): License no: Ser-r'.esor feeders-Installation, I"IfNJ alteration or relocation: 1 1 200 amps or less 2 Name(print): 201 amps to 400 amps - 2— _ 401 amps to 600 amps — 2 Mailing address: 601 amps to I001 amps City: Slate: IIP: Over I 00 amps or volts _ 2 Phone: I E-mail: Reconnect only I Owner installation:The installation is being tnade on property I own Temporary services or feedrre- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps ar less 2 201 snips to 400 snips __ 2 Owner's signature: Date: 401 to 600 am)s �— 2 Branch circuity-new,alteration, or extr•nslon per panel: rNa A Fee for branch circuits with purchase of service or feeder fee,each branch circuit 2_ City: Slate: ZlP' B. Fee for branch circuits without purchase — of service or feeder fee,first branch circuit 2 Phone: Fax: E-mail: —-- ---- Each additional branch circuit C OVA M1tlse.(Service or feeder not Included): U Service river 225 amps-commercial ,Health•carr.facility Each amp or irrigation circle _ _ 2 U Service over 320 maps-rating of 16x2 ;J Hazardous location Each sign or outline lighting _ v 2 fatnilydwellings U Build ig over 10,000 square feet four or Signal ciicuit(s)or a limited energy panel, U System over 600 volts nominal more resic ential units in one structure alteration,or extension* _ 2 U Building over three stories U Feeders,470 amps or more •Descri4om _ U Occupant load over 99 persons U Munufactuted structures or RV park Each additional Inspection over the allowable In any of the above: O Egress/lightingplan U Othrr Per inspection Submit__sets of plans with any of the o1mv'e. Investillationfee The above are not applicable to temporary construction service. Other Notall'udsdicriaru arca credit cnida, lease call urisdic lion fm come information. Permit fee.....................$ 1 M p ) Notice:This permit application U visa U Mastercard expires if a permit is not obtained Plan review(at _` %) $ _ Credit card number: _. �__ within 180 nays after it has been State surcharge(8%) ....$ Name of c1 u shown on credit card Expires Z —__ accepted as complete. To7'Al. .......................$ . S a{tuatne Amowu "0 4611(6WICOM) ECK CONSTRUCTION P.O.Box 204 Sherwood,OR 97140 0 4900' _ I pQ�/o I s ' I ve-re Fyoo I PROPOSED I i a CE p I PLAN N 1121 OTB (REVERS ) e:sco 4-THICK I Zp CDF�IVE y m I - 49.OT _J I� 7q ys-rt J1 U / C 0- SW KOSKI DRIVE Sir nil 1�CI_ SUNTEL HOME DESIGN,INC IS NOT LIABLE FOR THE ACCURACY OF THE LM TOPOGRAPHY NFORMATK_1N IT IS TETE SOLE RESPONSIBILITY OF TILE TO BE ATTACHED «+_ BUILDER TO VERIFY ALL SITE CONDITIONS INCLUDING ANY FILL ..►cry_P PLACED ON Tit SITE,AND INPORI'A OWNERS OF ANY POTFNTIAL FIELD MODEL ATIONS -- —^ i N CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON STREET SHERWOOD, OR 97140 Plumbing Signature Form Permit #: MST2002-00479 L'-Ite Issued: 12/31/02 Parcel: 1 S135CD-KM006 Site Address: 11790 SW KOSKI AVE Subdivision: KALAMOIIKA ESTATES Block: Lot: 006 Jurisdiction: TIG Zoning: R-12 Remarks: Construction of new SF detached residence. Your compar,v has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit ',.o be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER- PLUMBING CONTRACITOR: STEVE ECK CONTRUCTION NORTH STAR PLUMBING PO BOX 204 1445 SE OREGON STREET SHERWOOD, OR 971,0 SHERWOOD, OR 97140 Phone #: 503-625-1305 Phone #: 625-2679 Reg #: LIC 00090697 MET 00002694 PLM 34-255PB AN INK SIGNATURE IF REQUIRED ON THIS FORM `Sig trare of ^uthorized Plurnber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL 131 VD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WILLIAM BUTTERFIELD CONTRACTING PO BOX 305 12120 SW MORGAN RD SHERWOOD, OR 97140 Electrical Signature Form Permit #: MST2002-00479 Date Issued: 12/31/02 Parcel: 1 S135CD-KM006 Site Address: '11790 SW KOSKI AVE Subdivision: KALAMOIIKA ESTATES Block: Lot: 006 Jurisdiction: TIG Zoning. .. 1; Renjalks. Constru;tion of new SF detached residence. Yoor 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 h ave 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 Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: STEVE ECK CONTRUCTION WILLIAM BUTTERFIELD CON 1 RACT!N( PO BOX 204 PO BOX 305 SHERWOOD. OR 97140 13120 SW MORGAN RD SHERWOOD, OR 9—!140 Phone #: 503-625-1305 Phone #: 503-625-67 ' ', Req #: IR 11855-1 U: 3-548 Si;U 3093S AN INK SIGNATURE IS REQUIRED ON THIS FORM Sign; '�i re of Si.pervising lectrician If you have any questions, please call (503) 639-4171, ext. # 310 i \ CITY OF TIC ARO PLUMBING PERMIT , 5/8/03 PERMIT#: 30019x., DEVELOPMENT SERVI'L. DATE ISSUED: 5/8103 13125 SW Hall Blvd., Tigard, OR 97223 (50.5) 639-417' PARCEL: 1S135CD-119(:0 SITE ADDRESS: 11790 SW KOSKI AVE ZONING: R-12 SUBDIVISION: KALAMOIIKA ESTATES JURISDICTION: TIG BLOCK: LOT: 006 — _ —_—_-- - CLASS OF WORK: OTR GARBAGE DIaPOSALS: MOBILE HOME SPACES: f3ACItFLOW Pr2EVNTRS: 1 TYPE OF USE.: SF WASHING MACH: FLOOR DRAINS: TRAPS: OCCUPANCY GRP: R3 CATCH BASINS: STORIES: WATER HEATERS: GCRAIN DRAINS: FIXTURES _ LAUNDRY TRAYS: SF SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOVNERS: SEWER LINE: ft WATER CLOSETS: WATEm i INE: ft DISHWASHERS: PAIN DRAIN: ft Remarks: Ii1stallation of residential backflow prevention device for irrigation system. FEES Owner: Description Date -- Amouiit STEVE ECK CONTRUCTION �Nl,l,�lltI'c, I 5/8/03 $36.25 PO BOX 204 I'AX 15/8/03 $2.90 SHE=RWOOD, OR 97140 r Total$39.15 Phone : 503-625-1 3(15 Contractor: GROVF.R'S LANDSCAPE SERVICES 26485 S. MERIDIAN RD. AURORA, OR 97n02 REQUIRED INSPECTIONS - RP/Backflow Preventer Phone : ;n;-(,714.1791, Final Inspection Reg #: ' Ii 11907 This permit is issued 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 oot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTIONS Oregon law regUires you to follow rules adopted by the Oregon Permittee Signature: Issued By: Call (503) 639-4175 by 7:00 P.M. for ?.i inspection needed th . next business day Buildin!y 1�iXtlll'Gti ` 13111nlbil T Pit A 1, Aicatiou _� erm _� _ rKeceived ` � PlumbingBy: J G 5 Pennit No.: "��O Planning Approval Sewer City of Tigard DatC : — -- Per-iii No.: 13125 SVd hall Ulvd. Plan Review Other fermi( Tigard,OrerPost ;on 97223 _ _ n91•KCVICtV Land Use Phone: _'v3-(39.4)7l Fax: 503-598-1960 Date,By: _ Case No.: Internet: %-,%y,,v.ci.ligard.or.us ('on►act Jur M See Page 2 for 24-hour Inspection Request: 503.639-4175 NantcrMethod:_ Su t tlrmental lufortttallmt. _L.. 11 -- TYPE OF WORK _ FEE*SCHEDULE(for special Information use checklist New construction Demolition Description (ltd. F'ec(ca.) lotnl New I-&2-family dwellings Addition/alteration/replaecmetll Ut11er: Includes too fl.for er:ch ullllty connection CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 1 & "2-1a mil dwelling Commercial/Industrial SFR(2 both — 350.00 Accessory Building Multi-hami_y Lac 399.00 v!uster 1?wilder Other: _ Lacadditional batIO,itchen 45.00 JOB SITE INFORMATION-a-n# . )CATION Fire sprinkler-sq. A.: Page 2 Job site address: K/d1�0`y� Site Utllllies Bld /A t#: Catch basin/arca Site Suite#: g P • - - Dr well/leach line/trench drain 16.60 _ Protect Namc: rooting drain no.linear Il. Pae 2 Cross street/Directto job site: `x �' �o Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer'no. linear PJ [,age 2 _ — - — Lol#: Sturm sewer(t„r.linear fl. Page 2 Subdivision: ,� - Water service no. linear tl. Pae 2 7'ax ma / arcel #: Fixture or Item _ _ DESCRIPTION OF WORK 40111;-atcrns moovalve _ 16.60 ckflow ,revcMei • Page 2 valve _ 6.60 f f Clothes washer 16.6U — --- ---- — Uishwashcr 16.60 Drinking fountain 16,60 OPER7'Y OWNER TE ANT I?cclors/sunt 16.60 — __ Expansion tank 16.60 Nallie: _ G how Sim�E. 1 -- -- fixture/sewer can 16.60 _- Address: _ — _ - _..— m--- I;loot drain/floor sink/hub 16.60 _City/S C/Zip: -- -_---__—_-- Garba a disposal 16.60 — i'hone; fax: _ Hose bib _ 16.60 _. APPLICANTCON'l'AC7'PERfiON Ice maker 16.60 — Name: _ Inicrce tor/ rcase tra 16160 ---- -J Medical gas-value: S f a c t _-- Address: —_-_ _ Primer 16,60 City/Stat,.-/Zip: _ Roof drain(conuncrcial) 16.60 Phone: _ f'aX: SinkAmsin/lavatory 16.60 _ Tub/shower/shower pan .__ 16.60 —` E-mail: Urinal 16.60 CONTRACTOR , Water closet I6 60 Business Name: '-Z j, [I '�� St'/� c- 'S Water heater Address: r +tieY lt%� (�tner: Clt /State/7_.i i L 1,+, r 4• d 0 other: Plumbing Permit Fees* P1lone: ,T65 _6*_1ax: _ subtotal s CCB Lic. Plumb. 1.1C.#: Minimum Pcnnil 1cr $72 SU 5 �, 5 Authorized �. Residential Backnow Minimum Fcc$36.25 .3 Signature _�T-�Da1C:y�__C Plan Review(251'.,of Pcrmit Fcc) $ State Surchar a B°a of Pcrmit I ec 5 - (Please pant name) _TOTAL PERNI11'FEE 5 Notice: This permit application exph cA If a permit is not obtained within All new commercial buildingi require 2 sets of plans with Isometric or IRO days after it ha keen accepted aA complete. riser dippratn for plan retie„. •Fee methodology Act h, 'rel-('nnnfr nullding Industry Semler nntrd. ,\ITsts'I'cnnitFnrnc\I'Intl'crnulAppd„c ul�o� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received ------_-_ Date Requested- AM --- PM BUP —_ Location _- ___ 1L_111_ It -: � =..____�_�Suite_ MEC Contact Person _-. _----_—_- - -_-... Ph (_-- ) 9 PLM OZJ I Contractor--.--------.__ __.-------- _ Ph(----) —.-- __ SWR _-- BUILDING Tenant/Owner __- . _-_ _ _- _ _ ELC Footing -------- ELC --- ------- - Foundation Access: Ftg Drain ELR ,--------.-.__.--- Crawl Drain Slab Inspection Notes: SIT Post& Beam --- ---- -- -- ---,.._- _ ------ Shear Anchors -_-- Ext Sheath/Shear ------------ --- -- Int Sheath/Shear Framing - - - - - --- - ---- ------- ---- Insulation Drywall Nailing --- - - ----- -- -_ ------- ---_.. Firewall Fire Sprinkler - _- - ---------- ----- ----- -_ — -- .-_.------._.-- Fire Alarrn Susp'd Ceiling ---- --- ------ -------- ----- - - Roof J / Final PASS _PART_ FAIL Nd, -_" __7_Z Post&Beam Under Slab - -- Hough-In Water Service ---- ------- - ---- Sanitary Sewer Rain Drains -------_ -- ------------ -- -- - ------- - - ... -- - atch Basin/Manhole Storm Dain -- --------------.-.�-------_ ----.._. Shower Pan ) t Other: __ 1 . _---- - _ -- ---------- __-_----- _ --- __ ASISPAR_TFAI� - -- -- _- ------- -- _ I> CHANICAL _ - _-- - ----- Post& Beam -- Rough-In -- - -- ----�._—�_.�_— - ---- -- Gas Line Smoke Dampers Final ART P PASS FAIL -- SS PART ELECTRICAL Service Rough-In Low Voltage _-----_._..__-------- _ -- r ire Alarm Final PASS PART FAIL �-� Reinspection fee of$ �' required before next inspection. Fay at City Hall, 1?t25 W Hall Blvd SITE - Please call for reinspection RE -_ linable to inspect-no access Fire Supply Line L ADA Date�� _�- Inspector /� ' 1 Ext -- Approach/Sidewalk Other:_._T Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL kh,AAAAAAAAAAAAI AAAAAAAAAAAAAAA AAAAAAAAAAAA r i 4 � ► ► i t �\ ► i v � ► 6 ;� ► a ► ' •! a- ► i d ` t ► i i 7 , i a ► rD44 44 �' s ~ o ► 4 � CPQ ► S -i o' ► 44o 44 A Q0 ° ► 4444 M ► A l ► 4 ► 44 ► t P t ► � r Ir � N n_ G `^ O ti %• o. wN � � n rD F O J O 1 r, if w y c� � v O q 00 �'Tti c ^V^ Q 5 CITY OF TIGARD 24-Hour / BUILDING Inspection Line: (503)639-417F MST INSPECTION DIVISION Business Line: (503)639-4171 – _ BUP Received'-t .� — L—Date Requestgd--_ __-.._ AM — PM ___ BUP Location / t' '�� 6' r� c _-_-_—___--Suit —_ MEC e Contact PersonPh(____ ) . �' _-' 1 PLM Contractor . __ SWR _-___ - ----.— VWEMR-6 Tenant/Owner -- -__ -�____ ELC g 4- ELC -- ------- Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes. SIT Post&Beam Shear Anchors - -- - Ext Sheath/Shear Int Sheath/Shear Framing - - -- Insulation Drywall Nailing - �L— �------ -�- ---• -_----__. Firewall Fire Sprinkler -- - -- --� --_-- - ----� Fire Alarm Susp'd Ceiling ----- Roof J�1 ------ _— ---- ----- Ot PART FAIL _ ------ -- 1 --- -- _A_------___ --- PLIAISING _ — `---_____ ----- -------- -._.---- Post&Beam — Under Slab ` -�------------- Rough-In Water Service - - - - --- -- Sanitary Sewer Rain Drains --- ' IT — Catch Basin/Manhole c rt Storm Drain — 7 �,���� — - ---- Shower Pan Other: -- ---- ------ - .___.-^ — - -------- Final Dom--PA RT FAIL _ HANK Post& Beam Rough In - -- - - - ------- Gas Line 'jDI&Dampers - - ----- --- - -- - - __ PA- Fi�n _ . SS PART FAIL -- - - — --- ..__- - - --- -- _-_ - ------ I� EL CZRICAL Service - Rough-In UG/Slab ----- --- - - --__--------- Low Voltage - Fire Alarm Final FI Reinspection fee of$__- _—_-_ required before Text inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:__ ______-_ ____._ Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Oats `� _ Inspector -_ Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour __ � /7 BUILDING Inspection Line: (503)639-4175 MST ��5� , 7 INSPECTION DIVISION Businccs Line: (503)639-4171 BUP Received ate Fjeyuested_. �+=/ AM PM_— BLIP Location __— �_ �' ? Suite—_—___ .__ MEC Contact Person ----- — --- Ph(----) PLM --- ------ Contractor _ —_ ---- Ph�— ) J1 73_7"_— SWR -- BUILDING Tenant/Owner _ ELC -Footing ELC ------------_.—_--- Foundation Access: -- -- - ---- Fty Drain ELR Crawl Drain -� Slab Inspection Notes: SIT Post& Beem ----�`—_—_--- Shear Anchors -- Ext ShadthiShear Int Sneath/Shear Framing --- ----- - Insulation Drywall Nailing — ---- ... - - -- --- _ — __ — ---- -----— Firewall Fire Sprinkler _---- --- - - - ----- - — Fire Alarm Susp'd Ceiling --- - Roof Other: — ----- Final PASS PART FAIL — -- -� — ----- --- PLUM8ING Post& Beam ------ — —��Under Slab Slab Rough-In Water Service ---- Sanitary Sewer ___---- - ------- - -- - -- --- Rain Drains _----- C;atch Basin/Manhole Storni Dram Shower Pan Other: ___ ---- -- ---- (sinal PASS _PART_ FAIL_ MECHANICAL Post&Beam Rough-In -- -- Gas Line Smoke Dampers - -- ---- --- FFnal PASS PART_ FAIL — - -- -- -- - --_ Service Rough-In _ UG/Slab - ---.—.------------ -- ----- Low Voltage Fite Alarm I��,� PASS PART FAIL 0 Reinspection tee of$__— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ - Please cell for reinspection»E:___ j Unable to inspect--no acce,s Fire Supply Line ADA. Approach/Sidewalk ©ete...a 7=� _ Inspoeo Ext Other: / ; Final DO NOT REMOVE this Inspection record4rom the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ l_ BUP -------- - Received . Date PArluested .S ��=_ AM_ PM—_ BUP Location _ i �� �?� '�-! Suite_ — MEC _ ------- Contact Person Ph( ) _� � 7 PLM --_—___-- Contractor_ — --- - - ---- - Ph l— ) — SWR _ ---- - BUILDING 1enant/Owner ELC Foaling Foundation Access: ELC Ftq Drain ELR Crawl Drain _ ��---- Slab Inspection Notes: SIT - Post& Beam - ---- ----------- _ -Shear Anchors Anchors __---------- -__—_- -- . _...----- Ext Sheath/Shear Int each/Shear --- Framing - - --- --- - - Insulation Drywall Nailing --.. ---- _ - -- ----- Firewall Fire Sprinkler -- __ - --------- — - Fire Alarm Susp'd Ceiling -- -- -.-_ _ - - --- - ------ -__ ---- -- Roof -- - Other: - -. ---_ --- -- - - --- Final PASS PART FAIL -- --- - - - - ---- PLUMBINGS _ Post&Beam Under Slab Rough-In Water Service -- - ------ Sanitary Sewer Rain Drains - --- --- --- - - ------ Catch Basin/Manhole Storm Drain - --- - - - R----- �_ -- - . Shower Pan Other: MPARTFAIL ---------- --_-------. ___ ---- -- -- -----. .__-._- MECHANICAL Post&Beam Rough-In -�---- - - -- -.. - -- ------_ --- --- Gas Line Smoke Dampers -- --- - - ____- -- -- Final P."S3 PART FAIL ---- __—_.. ---- --_...------------ __ ------ ------ ELECTRICAL ------------- Service - - - - ----------- Rough-In UG/Slab - -e._—__------- -__---------------�_—__�_-------_—------ Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Flay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA L � �s ;� ,/ Approach/Sidewalk Date J.Z -= - Inspector - � - _- Ext Other: Final DO NGT REMOVE this Inspection record from the job site. PASS PART FAIL