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11830 SW KOSKI AVENUE .,a 00 w O N C x ij N C t9 11830 SW Koski Avenue CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 ;NSPECTION DIVISION Business Line: (503) 639-4171 MST BUP ---------- -- Received Date Requested -7 -1 AM______ PM _—_ BUP Location ---- 30 k - --- - —Suite MEC --- Contact Person _ Ph( ) 2 3 6 "52 v PLM -3 – 3 Ccntractor___— _—_ -_ Ph(.-------) -- - –T_ _.-- SWR �– BUILDING_ Tenant/Owner _ ___--- _ ELC _ Footi icd Fou,idation Access: -"`- PLC Ftg Drain ELR (gaud I;ralr slab Irspection Notes: SIT --_ Post& Beam --- - ---- - Shear Ancn --- -- - - --- Fxt Sheath Sar Int Sheath/Shea- Framing - - Insulation Drywall Nailing --- - - - -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- --- Roof Othor:._ / Final PASS PARI' FAIL , � t✓J��- ------ PLUM_BING Post& Beam --—_ -- Under Slab _-- - -----_- __..---- - Rough-In Water Service - -•- _ _ __._._..__.. Sanitary Se ver Ram Drains - Catch Basin/Man;-,)Ie Storm Drain - Shower Pan Othat: -f"tnai-' /PA_SSS, PART FAIL HANICAL Post& Beam Rough-In -- ------------- G;Is Line Smoke Dampers - - - - Final PASS PART FAIL ELECTRICAL Service — - - --------._.._.._._-------- — --- -----__._� - ------_-- Rough-In UG/Slab Low Voltage Fire Alarm _ Final C7 Reinspection fee of$__- ____-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ — C� Please call for reinspection RF: _ I Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _-_ Inspector./, Other: Final - DO NOT REMOVE this Inspection record from the, job sko. PASS PART FAIL r CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003-00036 DEVELOPMENT SERVICES DATE ISSUED: 2/20/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE PDDRESS: 118'10 S\N KOSK: AVE PARCF!: 1S135CD-12100 SUBDIVISION: KALltMVUKA ESTATES ZONING: R-12 BLOCK: LOT• 008 JURISDICTION: TIG REMARKS: N L UILDING REISSUE: STORIES: _ Ft 00'l AkEAS —REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: r / of BASEMENT. sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: •1[ SECOND: f 12 s1 GARAGE: 304 sf FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: TMpID sf RIGHT: 15 V..LIIE: 13i 426 60 OCCUPANCY GRP: 123 BDRM: 3 BATH: 3 TOTAL: 1,429 of REAR: 15 __PLUMBING SINKS: 1 WATER CLOSETJ: 3 WASHING MACH: 1 LAUNDRY TRAYS 1 RAIN DRAIN: 100 TRAPS. LAVATORIES: 3 DISHWASHERS I FLOOR DRAINS. SEWER LINES. 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISi'OWERS: • GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES MECHANICAL _ FUEI TYPES FURN<100K: I BOIL/CMP<3HP. -NT FANS: 4 CLOTHES DRYER: 1 FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP. htu FLOOR FURNANCES: VENTS: I WOL DSTOVES: GAS OUTLETS: 1 _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS^ 1 0 200 amp: 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER'NSPECTION, LA ADUT 500SF: 201 400 a tp: 201 400 amp: tat W10 5VC/FOR: SIGNIOUT LIN LT• PER HOUR: LIMITED ENERGY: 401 600 amp: 4ul Sao amp: EAADDL BR CIR. SIGNAUPANEL: IN.' 1NT: MANUHMISVCIFDR: 001 1000amp: 601+amps-I000 , MINOR LABEL: 1000+amp/volt: PLAN REVIEW SECTIOtJ Re,.nnnect only: >•4 RES UNITS: SVC/FDR),-225 A. >$00 V NOMINAL. SL9 AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 0 STEREO: x` VACUUM SYSTEM: X AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: ALL E.NCOMP BOILER: HVAC: l ANDSCAPE/IRRIG: PROTECTIVE SIGNL: G?P.AGEOPENER X CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC, x DATAlrELE COMM: NURSE CAS LS TOTAL a SYSTEMS: Own9r. Contractor: TOTAL FEES: $ 6,603.02 ECK CONSTRUCTION INC This permit is subject to the regulations contained in the ECY,CONSTRUCTION,INC. P.O. BOX 204 EC BOX 204 Tigard Municipal Code,State Of OR Specialty Codes and SHERWOOD OR 97140 SHERWOOD,OR 97140 all other applicable laws A work be done in accordance permit acrdance with approved pianc 71TIs peitwitl expire N 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 followru!es adopted by the Phone: X03-625.1305 Phone: 625-1305 Oregon Utility Notification Center 'those rules are!�c; forth in OAR 952-001-0010 through 952-001.0081" You Rog 0: LIC 11475 S may obtain copies of these ules or direct quer,eons t OUNC by calling(503)24F 1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation PIUmb Top Out Exterior Sheathing Insf Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Firen'dce Electrical Final Issued By : � 1iL � _ Permittee Signatures Cail (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD __ SEWER CONNECTION PERMIT DEVELOPMEN't SERVICE3 PERMIT#: S`NR2003-00035 13125 SW Hall Blvd., Tigard OR 97123 (503) 639-4171 DATE ISSUED: 2/20/03 SITE ADDRESS; 11830 SVJ KUSKI AVE PARCEL: 1 S135CD-12100 SUBDIVISION: h-11,AMc�IIKA ESTATES ZONING: It-12 BLOCK: LOT: 008 ,JURISDICTION: Ilr[_� _ TENANT NAME: USA NO: FIXTURF UNITS: CLASS OF WORK: NFW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILJINGS: INSTALL TYPE: LTPSWR IMPtr'V SURFACE: S" Remarks: S Owner: ----- ------------ —_ — - FEFS ECK CONSTRUCTION, INC Description Date — Amount P.O. BOX 204 _ _ _ SHERWOOD, OR g7140 [SWUSA]Swr Connect 2/20/03 $2,300.00 [SWUSA] Swr Connect 2/20/03 $0.00 Phone: 503-625-1305 [SWINSP] Swr Inspect 2/20/03 $35.00 [SWINSh]Swr Im;pect 2/20/03 $0.00 Contractor: ---- - -�� —�— Total $2,33500 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulationr r f the Clean'Nater Services. The permit expires 180 days from the date issued. The total amount paid will be forfeitp a it the permit expires. The Agency does not � guarantee the accuracy of the side sewer laterals. If the sewttr 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 ano 0 dL� Sewer' Permit and the Agency vrul install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center 'ncose rules are set forth in OAR 952-001 0010 through OAR 952-001-0100 You may obtain co les o`these rules or direct questions to OUNC by calling(503) '-146-6699 i r' Issued by: j ' J Permittee Signature. _ Call (503) 639-4175 by 7:00 "I.M. for an inspection needed the next business day Building Permit supplication Datereceived: ; ,' Permit no L7L,/'[, 117,1 - City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 972 Prolcct/appl.no.: Expire date: ('ire /7ii;.,rd Dtteissued: y• Receipt no.: B '. Phone: (503) 639-41'71 �� Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 rnmily:Simple [Complex. J all I To a 01 I &2 family dwelling or accessory U Commercial/industrial U Multi-family )(N AU construction ❑Demolition U Addition/alteration/replacement U Tenant improvement U Fire spcinkicr/alarm U Other: _ Job address. ' ACL.-�� Bldg.no.: Suix no.: Lot: Blrxk: Subdivision �.?!�1/�IGr�/t' ,-J?! Tax map/tax lot/account no.: S�? C'! Project name: U,!scripuon and location of work on premises/special condition;: 011 MIR FOR SPECIAL INFORMAsIVION, USE CHECKLISY Name,_S.' -! -� ' Woodplalia,septic capacity,solar,etc.) Mailing address: ( s amity dhelling: L(� ✓� r'ity: State: 7,[I': Valuation of work....... .:.:a..,.. .... ..r.......... $ Phone: Fax: E:-mail: .� No.of bedrooms/baths................................. • .. Owner's represent<tive: Total number of floors................................. Phone. fax: I n,,nl. New dwelling area(sq.ft.) .......................... _1 Garage/carport area(sq. ft.)....... ....... 'J- Name: Covered porch area(sq,ft.) ........................ �-- Mailing address: " - Deck area(sq.ft.) ........................................ 41!P -- City: State: ZIP: Other structure area(sq.ft.)......................... Phone: lox C snail: �+ CommerciaUindnstrial/multi-family: V rluation of work........................................ $, Business name: �pfExisting bldg.area(sq. ft.) .......... ............... ,C Y .i rte/ - --� -- — New bldg.area(sq.ft.) Address: el O d411Number of stories City: State: LIP: ................... .......... 1 . Type of construction..............r.................. Phone: Fax E-mail: CCB no.: Occupancy group(s): Exiting: _ � �-.5-_ New: _ City/n,r•trtr lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Niune: �L,�l� -� �✓ /yt� provisions of ORS 701 and may be required to be licensed in the Address: y��_^L! jurisdiction where work is being performed. If the applicant is City: ' State: LII': '� exempt from licensing,the following reason applies: Contact person: _ Plan no.: ---- P1.une:�!/- .>�^ Fax r on, person: Fees due upon application .. Address: J /1' Date received: City: — State LI P: Amount received ......................................... Phone:S f'�' S 7`/ Fax: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,piece call jurisdiction for mote infommion 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 aan,her __ __ _�__ _ E, l t Expires Authorized signature: �� •:: Date: _ -- Name o1_cardholder as shown on credit nerd Print name: L�>r — _ — Cardholde,siPatWe Amount Notice:This permit application expires if a permit is not obtained within 180 days ager it has been accepted as complete. 4*R-413(tnWCOM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits. (:iryuJTigurd Ci of TI and `•r J Electrical U Piumbing U Mechanical Address: 13125 SW liall Blvd,Tigard,OR 97223 U Other. Phone; (503) 639.4171 Fax: (503) 598-1960 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 'Zoning.flood plain,volar balance points,seismic soils designation,historic district,etc. 3 Verification 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 application. 9 Erosion control U plan U permit required. Include drainage-v.,ay prote,lion,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and conni.ctions trust be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plat,location and details. Plan review cannot be completed if copyright violations exist. I I Sltelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a O4 elevation differential,plan must show c ntour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot arca;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drains e. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing rids,connection details,vent size and location. 13 Floor plans,Show all dimensions.room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,root'construction. More than one cross section may be required to clearly portray construction.Show details ofall wall and roof sheathing,roaring,roof slope,ceiling height,siding material,footings and foundation,stairs, _ fireplace construction, thermal insulat� ,n,etc. 15 Elevation views,Provide elevation for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cruss references are acceptable. 10 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for _ non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Sho44attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 (team calculations.Provide two sets of calculations using current code design values for all beams and multiple joists �1%er 10 feet long and/or any beam/joist carrying a non-uniform load, _ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify die prescriptive path or provide 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 he shown to be applicable to the project under review. 2 t Five(5)site plans are required for Iter► I I aho.e. Sits•plans must be H-1/2">. 11"or 1 I"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 min•ored building plans will he accepted. 27 28 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be it, blue or black fi: . Red ink is reserved for dcr.viment use only. 440.1614 to"oM, Electrical Permit Application —' .)ate received: Permit no,:/1ST;p0 Voi 40 Cit' of Tigard Project/appl.no.: Expire date: Cifynj1'igard Address: 13125 SW all Blvd,'ri►:.,rd, .W 97223 Phone: (503) 639-4171 - Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: I Payment type: Land use approval: )41 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement �N(New construction U Addition/alteration/replacement O Other: _ U P-atial W IV I 1 Joi,addre>;S: 1Q1i�C1_lil lg.no.: I Suite no.: Tax map/tax lot/account no.: =Lot Block: subdivision: Project name: Description and iocation of work on premises: Estimated date of con,pletiunhll.lw 11-1 NTRAj`TO11 APPLICATIONt Job no: tee Max — � f–� 7' 4W D Kcription Ul1'• (ea.l Ictal no.insp Business nat�te: _ � 4� _ hc.w rcildcutlal sfngk ormulti-famllr I,cr Address: tJ� _ O _ dwelling unit.Includes attached garage. City: S Y/� State' ZIP: -- Service included: Phone; Fax: 1:-mail: 1000 Gil n.or less 4 C Each additional 5W s .ft.or portion thereof CC a no.: YJ:r Elec.bus, lie.no: �.-}'�� Limited energ),residential 2 City/metro lic.no,; _ Limited energy.non-residential 2 Each manufactured home or modular dwelling Service and/or feeder 2 Signature of supervising electrician(required) pate License no Services or feeders–Installation, Sup.elect.name(print): alteration or relocation: 1XII11111101 on 200 amps or less 2 201 smps to 400 amps 2 Name(print): 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: _ Stale: ZIP: Over 1000 amps or volts _ 2 Phone: Fax: E-mail: Reconnec,only1 Owner installation:`Ihe installation is being made on property I own Temporary services or feeders- which is not intended for sale, lease,rent,or exchange according to Installation,alteration,urIelocabun: 200 smps or less 2 ORS 447,455,479,670,70]. 201 am s to 400 amps 2 Owner's si nature; _ Date: 401 - 101 at 01! Hronch circults-new,alteration, or extension Iwr panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit f 2 _ City; StalC: ZIP: B. Fee for branch circuits without purchase --— of service or feeder fee,first branch circuit: _ 2 one: Fax: Ph E-mail: Each additional branch circuit. IIIAN 1tl.',VlEW(Please 'check all flint apply) Mkc.(Service or feeder not included): U Service over 225 amps-commercial Cl Health-care facility B'sch pump or irrigation circle •Service over 320 amps-rating oft&2 UHezardouslocation Each sign oroutlinelighting familydwellings U Building over 10,000 square feet four of Signal circuits)or a limited energy panel. Li System over 600 volts nominal more residential units in one structure alteration,or extension* _ 2 LI B gilding over three stories U Feeders,400 amps or more *Description: -- •Occupant load over 99 persons O Manufactured structures or RV park Fach additional Inspection over the allowable in any of the above: •Egress/lightinitpinn U Other. _ Perinspection subnnit sets of plans with any of the above. Investigation fee _ The abuse are not applicable to temporary construction service. Other --- -- Permit fee..................... Not all jurisdictions accept credit cards,paean tail jurisdiction for more Information. Notice:This permit application Plan rCVICW(at — 96) $ _ U Visa U MasterCard expires if a permit is not obtained Credit cud number:____ / I within 180 days after it has been State surcharge(8%) ...,$ Expires accepted as complete TOTAL .......................$ Nuns�u older u shown on c 1 card s Cwdholdetsignature — Amount 410-4615(MCOM) Plumbing Permit Application Datereceived: Permit no//17-,�;>;l? City of Tigard Sewer pertnit no.: Building permit no.: Address: 13125 SW Hall Blvd,'I'igard,OR 97223 -- City njTigard Projec Phone: (503) 639-4171 dano ppl. .: Expire date: Fax: (503) 598-1960 Date issued: By- --c eiptno.: Land use approval: Case file no.: Payment type: 1 X1 &2 family dwelling or accessory Commerciallindustrial U Multi-family U Tenant improvement- New construction U Add ition/alt,.ration/replaccment U rocxl servir.e J Other: Il 1 DescrJob address: 2-family tion (1tv. Fee ea. Total Ncw 1-and 2-ffamily dwellings only: Bldg.no.; Suite no.: (includes 100 R.fur each utility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: I Subdivision: SFR(2)bath - Project name: SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of work on premises: Site utilities: _ Catch basin/area drain Est.date of completion/inspection: D wells/leach line/trench drain Footing;drain(no.lin.ft.) Manufactured home utilities Business name: A171f .� Manholes Address: l,/ ["_��C ,P Rain drain connector - City: Stat ZIP: SwiiLuy sewer(no.lin.ft.) Phone: Pax: E-mail: Sturm sewer(no.lin.ft.) CCB no.: I'lumb.bus.reg.no: Water service(no. lin. it.) City/metro lie.no.: _ _ - tUture or Item: Contractor's representative signature Absorption valve Back flow preventer Print name: Date: Backwater valve. 1 Basins/lavatory Name: Clothes was ter Dishwasher Address: Drinking fountain(s) City: State: "LIP: Ejectors/sum Phone: Fax: E-mail: Expansion tank _ Fixturc/sewer cap Name(print): Floor drains/floor siaks/bub Garbage disposal _Mailing address: Hose Bibb f;ty: StatZIP: ice maker Phone- 412 Fax: I E-mail: Interceptor/grease trap owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the main.enance mid repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sinks , asin(s), ays(s) Owner's signature: Date: Sum Tubs/shower/shower pan Urinal Name: Water closet Address: _ Water heater _ City: State: ZIP: (Jthcr: Phone: Pax: E-mail: Total Not all)unkfictiom swept cterht cards,please ca11 judu kdon fur mm tnrornutiorr. Notice:'this permit application Minimum fee................$U Visa O MasletCerd expires if a permit is not obtained Plan review(at _ %) $ Cmdit cvd numb«: within 180 days eller it has been State surcharge(8%)....$ Expires Ntunc of cardttolrkr u shown on credo card accepted as complete, TOTAL ....................... S Cwdholdu slVmwv Amount 410-4614(610=M) 11r X003 -DO Mechanical Permit Application D6teteceived: Permit no. 7,10 q �G03 City of "Tigard Project/appl.no.: — Expire date: (7n ofTi,4urd Address: 13)25 SW I IalI 131vd,Tigard,OR 97223 Date issued: By. Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: - Payment type: — Land use approval: _ ��uildingpermit no.: E [flown I k?la roily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement Ne.w constnrctWll Ll Additiotl/alteration/replac-nrent U Other:._ 1 Job address: ' /-�' Indicate equipment quantities in boxes below. Indicate the dollar R1dg.no.: Suite no.: —^ _ value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value Lot' 13lock: Suhdivision: 1��1� ' *See checklist for important application information an Project Hume: ilirisdiction's fee schedule for residential permit fee. City/county: ZIP: Description and location of work on premises:----..-, Ger(ea.) 'Total Est.date of completion/inspection: --- Descr•i ion Qly. Res.onl Res only Tenant improvement or chane::of use: Air handling unit ---CFM-- Is FM-,Is existing space heated or conditioned'?U Yes U No Airc—fit Hing(,tie p an requtr ) _ Is existing space insulated?U Yes U NtAtaon o existing i syetem — o.er cornpressors �tn:e boiler permit no.: Business name: UP _ _Tons BTUAI Address: 7 it smo a amper, udsmo c electors City: — State: ZIP: eat pump(slie p-Ton Phone: - Fax: E-mail osis rep ace furnace urner U Including ductwork/venl liner U Yea O No CCI no.: 2 ll tea ri�cc7rcTocate It e it ters-s u spc nd ed, City/metro lic.no,: _ wall,or floor mounted Name(please print): cot ora iance other th-a-n7urnace e gera on: Absorption unitsBTU/U Name: Clullcrs_... — tip -- _— — — Coro,ressors Add', s: — �nr IIE—ta ex hand an ventilation: Pity: — State: 7.1P — Ar,pliancevent _ Phone: — hex: E-mail: rycrex aust o s, ypeT sAitchcWhazinat hood fire supprc. n system -- -- Na;r !�' _ — Exhaust fan with single duct(bath falls) Mailing address: Q .L'� - x gust s stem a art rom eaun or Fuelpiping an ut on up to out ets) City: Slate: 'Z!P: Type: LI'C; NG oil Phone: 6 I�ax E-mail: fupi>in�each aTditianaTcivLr�outlets rocessp p np,(schematic required) Number of outlets Nan- _ � Other r listed applEwce or equipment: Address: Decorative fireplace City: State: ZIP_ - -~ nserl-type — — — o tov c1pe I I et stove Phone: Fax: I E-mail: - Applicant's signature: Date: -_ _ t her: Nd VI Jtuiadktloru acceQt carat cards,please call juridkdon for stare infam aaoa. Permit fee.....................$ Notice:"Phis permit application Minimum fee................$ _ U Vise O MaaterC'atd expires if a permit is not obtained — cud numtnrr:-- — _ Plan reVICW(al %) $ Credit c x fel - within 180 days after it has been State surcharge(8%)....$ — ---- --- ted tete. Warty or c tolda u shown nn credit card s ecce p as com p Crraatda algwue -- Amount 411.4617(GWCOM) 4 30,44' /78 U') ; LOT 8 LI 11 i 1 V9 GARAGE PROPOSED o I i)ESIDENCE p / PLAN M 110102 10 X THICK r ' • N a+Nc DME N I LU di � 7 t6� u S.W. KOSKI DRIVE �J LC(IAL. DFJ(TP T)Cfl TO BE ATTACHED SUNTEL HOME DESIGN,INC.IS NOT LIABLE FOR THE ACCURACY OF THF TOPOGRAPHY INFORMATION IT IS THE SOL RESPONSIBILITY OF THE BUILDER ">V'WY ALL SITE !I.«•^^ -ONDITIONS,IF CLUDW ANY FILL 46 — d..w._ PLACED ON THE SITE, AND PFOI?M ;lWNERS OF ANY POTENTWI,FELD L 4� DIFICATIONS. 1 CITY OF TIGARD 13125 S.;",i. F'A'_L BLVD. TIGARD, OR 9',"-'23 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON STREET SHERWOOD, OR 97140 Plumbing Signature Form Permit #: MST2003-00036 Date; issued. Parcel: 1 S135r.D-12100 Site Address: 11830 SW KOSKI AVE Subdivision: KALAMOIIKA ESTATES Bloci<- Lot: 008 Juriscictior: TIG Zoning: R-12 Remarks: N Your company has been indicated as the plumping contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN Building Division No plutobing inspections will be authorized until this completed form is received OWNER PLUMBING CONTRACTOR.' ECK CONSTRUCTION, INC. NORTH STAR PLUMBING P.Q. BOX 204 1445 SE OREGON STPEET SHERWOOD, OR 97140 SHERWOOD, OR 97 140 Phone #. 503-625-1305 Phone #: 625-2679 Reg #: LIC 00090697 MET 00002694 PLEA 34-255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM `sign ture of Authorized Plumber If you have any questions, please call (503) 639-417 1, ext. # 310 CITY OF TIGARD 13125 S W. HAI bLVD. TIGARD, OR - 223 IMPORTANT PERMIT NOTICE WILLIAM BUTTERFIEL.D CONTRACTING PO BOX 305 13120 SW MORGAN RD SHERWOOD, OR 97140 Electrical Signature Form Permit #: MST2003-00036 Date Is>ued: Parcel: 1 S135CD-1:.'100 Site Address: 11830 SW KOSKI AVE Subdivision: KALAMOIIKA. ESTATE:. Block: Lot: 008 Jurisdiction: TIG Zoning: R-12 Remarks: N Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrrcar permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your cornpany sign below and return this Electrical Signature Form prior to the atart Of tl19 work to the address above, ATTN Building Division N- electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL. CONTRACTOR: ECK CONSTRUCTInN, INC. WILUAM BUTTERFIELD CONTRACTINC P.O. BOX 204 PO BOX 305 SHERV`.00D, OR 97140 13120 SW MORGAN RD SHERWOOD, OR 97140 Phone #: 503-625-1305 Phone #: 503-F25-6773 Req #: r_rc 118554 ELE 3-548( SUP 10435 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising rlectrician If you have any quesuons, please call (503) P59-4171, ext. # 310 CITY ®F ^I I GA R D — PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PI-M2003-00313 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63ti-4171 DATE ISSUED: 6/30/03 PARCEL: 1 S135CD-12100 SITE ADDRESS: 11830 SW KOSKI AVE SUBDIVISION: KALAMOIIKA ESTATL_:S ZONING: R-12 BLOCK: LOT: 008 JURISDICTION: HG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: 1 fPE OF USE: MF WASHING MACH: RACKFLOW PP,EVNTRS: 1 OCCUPANCY GRP: P.3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: __ F_IX_TU_RES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: �^ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISFIOWERS: SEWER LINE: it WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of irrigation backflow preventer. FEES_ Owner: —�-- "J -- -- - Description Date J Amourt ECK CONSTRUCTION, INC --' P O. BOX 204 11'LUMB] Permit I CA' 6/30/03 $36.25 SHERWOOD, OR 97140 11 Ax] H"„Stare I a6!30/03 $290 Total $39.15 Phone : 503-625-1305 Contractor: GROVER'S LANDSCAPE SERVICES 26A85 S MERIDIAN RD. AURORA, OR 97002 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503.678-1796 Final Inspection Reg#: LIC l 1 xo? 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 wil! be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952_-0001-0100. You may obtain copies of these rules it direct questions to OUNC by calling (503) 246-6699 Issued By: y a ;_. ... .T `.. Permittee Signature: .K Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Buj!o.aiing r ixtures l Plumbing permit Application 7Datc � 'Z OFFICE USE' ONLY Plumbing_-�li'G PermitNo.: (� JGuIt of Ti and pproval Sewer yg Permit No.: 13125 SW Hall Blvd. Plan Review — Other Tigard,Oregon 97223patp�HiL Permit No.: - Phone: 503-6394171 Fax: 503-598-1960 Post-Revicw band Use Internet: www.ci.tigard.or.us Date/By: Case No.: Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Namc;Method: T (1- Sn) lemental Information. TYPX OPIWO — - - _FEE"SCHEDULE(f)r special Information use checklist _ ew construction Ueinolitic)n Description __ =�Fee(ea.) total _❑ Addition/alteration/re lacement Other: New i &2-family dwellings CATEGORY OFCONSTRUCTION Includes 100 ft for each u ility connection 4 1 &2-Family dwelling CommSFRI bath 249.20ercial/Industrial SFR 2 bath 350.00 _ Accessory build_ Multi-Family SFR 3 bath 399.00 _ _Master Builder Other:_ Each additional bath/kitchen 4r 00 JOB S11 E INFORMATION and LOCATION Firesprinkler-sq. ft.: _ Page 2 Job site address: ffK3 a , C.w Xes &i Site Utilities Suite#: Bid ./A to Catch basin/arca drain 16.60 Project Name: Urywcll/leach line/tench drain I0_.60 Fooling drain no. linear R. Page 2 Cross strect/Dircetions to job site: ,f Manufactured home utilities 110.00 t Manholes I6.60 Rain drain connector 16.00 Sanitary sewer no, linear ft. Pae 2 _ Subdimion: Lot#: Storm sewer(no. linear ft.) Page 2 _ Tax map/parcel #: Water service no. linear ft. Page 2 DESCRIP i ION Uh WUie Fixture or Item — -7--- Absorption valve _ 16.60 _T_ _ C i'eBackilow preveriter _ Pae 2 — "j�-n--y q--iT`i��— s.-f s i d--y v Backwater valve — 1660 i Clothes washer 10.60 Dishwasher 16.60 _ PROPERTY OWNER TENANT Drinkingfountain 16.60 - ----- E'cctorwaum 16.60 T Name: _C �=- re s T,� c � ,�.,. -- -- _--_ Expansion tank I6.60 Address: Fixture/sewer cap 16.60 City/State/Zip: Floor drain/floor sink/hub 16.60 - - Garbage disposal 16.60 Pl1Cne: _ 1'a't _ Hose bib — 16.60 APPLICANT _ CONTACT PERSON _ Ice maker _ 16.60 Name: Interco tor/ reale trap 16.60 Address: I Medical gas-value: $ Pae 2 Cil /State/ZI — --�---- ----- Primer _ 16.60 Roof drain(commercial) 16.60 Phone: FaXu _ Sm_k/basm/lavatory _ u 16.60 E-mail: Tub/showc0showet pan 16.60 -----CONTRACTOR Urinal _-�= 16.60 Business Name: , Z;t,C Water closet 16.60 Address:_ ��-Y wt aa-.+tiv�.�A-�� 7, Water heater 16,60 Other: City/St te/ZiOCAf(L -- Ct7616Z Other: -- -- Phone: _ ah- X: {_• Plumbing Permit Fees* -- - Subtotal 3 CCB LIC. #: Pl mb. LICA Miaimum Permit Fee 572.50 S Authorized Residential Backflow Minimum Fee$36 25 Signature: —Date: ' 3C .UL Plan Rcview(25%of Permit Fee S _ s State Surcharge(8%of Permit Fcc) S — (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires if a p-i-mit i%not tit(aitled wititlo All new commercial buildings require 2 sets of plans with F,,metric or 180 days after it has been accepted as conq lete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. i\psL-Termil Forms\PlmPermi►App.doc 01103 CITY OF T'IGARD 24-Hour BUILDING Inspection Line: (503)639.4175 MST 3.:3 2 INSPECTION DIVISION Bu-ineSS Line: (503)639-4171 BUP _ Received __—_—_ Date Requested—.7 AM___�— PM _—_—___ BUP -- Location __—� Z > � _ 16 04 '1 ___-- _--Suite--_. __ MEC Contact Person —_ �� Ph(--) PLM Contractor _ _— Ph (_�—) — __ SWR — $UILDIN, Tenant/Owner _— ELC — Footing Foundation Ar cess: ELC _----- -----_...__ Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing insulation I;rywall Nailing -- ------ ----- ----------.___�____-.— Firewall Fire Sprinkler ----.---------..--------_ Fire Alarm Susp'd Ceiling Roof Other: >=rnat _ PART_ FAIL --- PLUMBING Post& Beam -- Under Slab -_---- Rough-In Water Service -- - - ---�_-.--- . -- --- ----- Sanitary Sewer \ Hain Drains --- ---- -- Catch Basin/Manhole / Storm Cain _-- Shower Pan % Other: --- - Final PART FAIL Post& Bearn----— -- Rough-In - ----- Gas Line Smoke Dampers - - - --- -- - - --- -- - PART FAIL. ------- -------- - - -- EL CTRICAL Service Rough-In UG/Slab ,----------- - --..—___ _._.—` ---- -..—.— - ---- --- -- -- Low Voltage Fire Alarm Final Reinspection fee of$ _required before next inspection. Pay at City Half', 13125 SW Hall Blvd. PASS_ PART FAIL SITEPlease call for reinspection RE __-- - - [] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ 7 _[ �._ Inspector-<�_. _._ Ext ____ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL AAAAAAAAAAAAAA AAAI AAAAAAAAAAAAAAAAAAAAAAAAA ► �J i plo- a rb ► C� �— ► 44 r° r-. � O Cp � ► O Poo- pool► r+, 4 H o �- Poo. 44 i q j � G p �1 �� Poo. ► «I -li 0 Old Poo. Pli. 7pol- 44 coo 0. ► 4.41 PON. rl CL zr ry rD C2, rl LA f--A QIQ CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 75 —,n6 d 3� INSPECTION DIVISION Bus;ness Line: (503)639-4171 MST BUP Received ___ _ Date Requested 7 AM . PM BUP Location ___c� ' r_: S„�— �_Suite MEC Contact Person -tJ-�: Ph(—) W,?d -'37?? PLM ContractorPh(—) SWR BUILDING Tenant/Owner — ELC Footing ELC Fourdation 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 ire Sipa;kier -- — --- Fire A!arm Susp'd Ceiling _--- Roof Other: _ -- -- - ----- --- - --— - -- - ---- -- Final PASS PART FAIL J----- - ------ ------ ----------- PLUMBING — Post&Beam Under Slab —- -- ---- --- _—_—�__-- -- - - - Rough-in Water Service -- -- -- - - ---------. ----- - - - Sanitary Sewer Rain Drains -- _ -- ---- —- - �._-— - - -- - - -- - - Catch Basin/Manhole Storm Drain ----------- ---- ..___ —.--_ --- - - - Shower Pan Other:_ — --_. --_-._ - Final ASS PART FAIL MECHANICAL — - - ------ --_--. -- .- - Post& Beam Rough-In ------- --- -. -- -- Gas Line Smoke Dampers —_— — — -_ -- -- - - -- Final PASS --P RT FAIL - ELECI'A1GA Service Rough-In - tow�Tol�i�e Fire Alarm Ftn 1:1 Reinspection fee of$__. required before next inspection. Pay at City Hall, 13125 SW I lall Blvd AMW PART FAIL p _ —___ -� Unable to inspect- no access SITE Please call for reinspection RF —_.____- Fire Supply Line ADA -� 1 Approach/Sidewalk Date _/ = :napector Ext Other: Final DO NOT REMOVE this Inspection record from the 166 site. PASS PART FAIL