11202 SW NORTH DAKOTA STREET-1 1S vio)iva HINON MS ZOZ11
i
0
Y
Q
H
OC
O
z
3
N
O
N
r
r
11202 SW NORTH DAKOTA ST
TY O TIGARD MASTER PERMIT
PERMIT 0:
DEVELOPMENT SERVICES DATE ISSUED. 1/23/200400021
13125 SW Hail Blvd.,Tigard,OR 97223 (503)639-4171
SITE ADDRESS: 11202 SW NORTH DAKOTA ST PARCEL: 1 S134DB-07400
SUBDIVISION: PP1997-018 ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TICS
REMARKS: Garage remodel. Partial conversion to living space. Other plumbing fixtures include ejector pump.
4/30/04, added water heater, area drains & a/c unit.
BUILDING
REISSUE: CI1STOA1 — STORIES: 1 FLOOR AREAS REQIIlRED SETBACKS REQUIRED_
CLASS OF WORK: At T HEIGHT: FIRST: -- of BASEMENT: of LEFT: �_— SMOKE DFTFCTORS: Y
TYPE OF USE: Sr FLOOR LOAD. SECOND: if GARAGE: of FRONT: PARKING SPACES:
TYPE OF CONST 5N DWELLING UN'TS: TI*C or RIGHT:
:
JCC'.;PANCV GRP- n7 BDRM: BATH: TOTAL: n of VALUE10.000 00 REAR.
PLUNKING _
SINKS: I WATER CLOSETS: I WASHING MACH: LAUNDRY TRAYS: VAIN DRAIN: Ino TRAPS--
LAVATORIES: I DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUR/SHOWERS: I GARBAGE DISP: ! NATER HEATERS: I WATER LINES: BCKFI.W PRFVNTR: GREASE TRAPS:
OTHER FIXTURES: I
MECHANICAL.
_FUEL TYPES R,,.;n c 100K I BOILICMP<]HP: t VENT FANS: I - CLOTHES DRYER: `
GAS FURN>-100K: UNIT HEA rFRS: HOODS. OTHER UNITS:
MAX INP: bru FLOOR FURNANCES: VENTS- I WOODSTOVE3: GAS OUTLETS: 1
ELECTRWAL
RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVC/FEEDERS BRANCH CIRCUITS _MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - '00 amp: 0 - 200 amp: W/SVC OR FOR: PUMPIIRRIGATION^ PER INSPECTION:
EA AO7L 80091: 201 - 400 amp: 201 400 amp: 1st WOSVctFDR: on SIGN/OUT I IN LI: PER HOUR:
LIMITED ENERi.Y: 491 - 600 amp: 401 -600 amp. FA ADDL 91 CIR: r en SIGNAUPANEL: IN PLANT:
MANLI HMISVCIFDR: 601 - 1000 amp: 11101•amps-1900: MINOR LABEL:
1000.amuf.arf:
PLAN REVIEW SECTION
1-4 RES UNITS: SVCfrDR>-225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
_ A.SF RESIDENTIAL a.COMMERCIAL
AUDIO R STEREO- VACUUM SYSTEM: AUDIO d STEREO. FIRE ALARM: INTFRCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: At r ENCOMP BOILER: MVAC: LANDSCAPFARRIG: PROTECTIVE 91ONL:
GARAGE OPENER: CLOCK: INSTRIIMENT%TION: MEDICAL: OTHR:
HVAC; DATAITFLE Cn.Mftr* NURSE CALLS: TOTAL fl SYSTEMS.
TOTAL FEES: $ 964.19
Owner: Contractor: This permit is subject to the regulations contained in the
LAFOIINTAIN, DALE OWNER Tigard Munidpal Code,State of OR Specialty Codes
11202 SW NORTH DAKOTA and all other applicable laws. All work well be done in
iL TIGARD,OR 97223 accordance with approved plans This permit will expire
if laork.is not started within 180 days of issuance.or N the
work is suspended for more than 180 days.
:hone: 503-504-2449 Phone: ATTENTION Oregon law requires you tofollow rules
adopted by the Oregon UtNity Notification Center Those
Reg 0: rules are set forth in OAR 952-001-0010 through
952-001-0080 You may obtr>'in copies of these rules or
direrl questions to OUNC by calling (503)246-1987.
W REQUIRED INSPECTIONS
Footing/Foundation Dr. Framing limp insulation Insp Final inspection
Mechanical Insp Framing Insp Rain drain Inst,
Plumb Top Out Franing Insp Electrical Final
Electrical Rough In Special Insp required Mechanical Final
Electrical Rough_In` Gas Lino Insp Plumb Final
IssL dIBy : _ Permittee Signature :� ��-
Call (503) 6394175 by 7:00 p.m.for an inspection needed the next business day
N
.�.�-
'l
1
I
I
�--
r
1
IL
ca
do
I
SP,
1
i
i
r
Permit
Address:
Date:
00 Issued by: — —
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, DRS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7).
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
-F*T 1. I own, reside in, or will reside in the completed structure.
5V 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
F] 3A. My general contractor is_ ---- —————
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
W313. I will be .r y own general contractor.
IL If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
m
W I hereby certify that the above information is correct and that I have read and do understand the Information
-j Notice to Property Owners about Construction Responsibiiities on the reverse side of tth��..iyys form.
40)
(Signature of permit applicant) (bate)
(White copy to issuing agency permit file,
pink copy to applicant)
r
•w
information! Notice to Property Owners
About Construction Responsibilities
Nota: This h1fbrmotion Notice to Pi operry Owners about Construction Responsibilities
was developed by the Construction Contractors Board in accordance with ORS 701.055(5}
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure,
You can prevent many problems by being a.,are of the following responsibilities and.areas of concern.
EMPLOYER RESPONSIBILITIES:
If you hire persons not registered with the.Construction Contractors Board to do labor in constructing or assisting in the
construction or improvement of a residential structure,you will, in most instances,be ruled to be an employer and the people
you hire will be employees. .As the employer,you must comply with the following:
Oregon's withholding tax Iasi: Asan employer,you must withhold income taxes from employee wages at the time employees
;are paid. You w ill he liable for the tax payments even if you don't actually withhold tho tax from your employees. For more
information,call the Oregon Dept.of Revenue at 945-8091.
Unemployment insurance tax: As an employer,you arc required to pity a tax for unemployment insurance purposes on the
wages of all employees. For more information,call the Oregon Employment Division at the Department of Human Resources
sit 378-3524.
Workers'compensation insurance: Asan employer,you are subject to the Oregon Workers'Compensation Law,and niutn
obtain workers'compensati�m insurance for your employees. if you fail to obtain workers'compensation insurance,you may
be subject to penalties and will he liable for all claim costs if one of your employees it in jured on the job. For more infotmatiot,
ar!I the Workers'Compensation Division at the Department of Consumer and Business Services at 94.5-7888.
U.S.internal Revenue Service: Asan employer,you must withhold federal income tax from employees'wages. You will be
liable for the tax payment even if yon didn't actually withhold the tax. For more information,call the Internal Revenue Service
at I-80x)_87.9-1 01401.
G rI.1ER RESPONSIBILITIES AND AREAS OF CONCERN:
Code compliance: As the permit holder for this project,you are responsible for resolving any failure to meet code requirements
that may be brought to your attention through inspections.
CLrX
Liability and property danrage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for
accidents and omissions such as falling tools,paint overspray,water damage from pipe punctures,fire,or work that must be
re-done.
'rime to supervise employees: Make sure you have sufficient time to supervise your employees.
_m
5
J Expertise: Make sure you have the expertise to act hs your own general contractot,to coordinati the work of rough-in and finish
trades,and to notify building officials at the appropriate times so they can perform the required inspections.
if you have'additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 973019-50.52,
503/378-4621). The Board is located at 700 Summer St.NE Suite YXl, in Salem.
prop-ow,..pm4
1/94
Building Permit Application
_ Received Building
Date/B : 1''1�3-401/B Permit No. aooy—�
Cit of Ti 81"d Planning Approval Other
y t Date/By:: Pcrmit Mo.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Wic/By Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
DatdByCase No. _
Internet: www.ci.tigard.or.us Contact r. . See Page 2 for
m
24-hour Inspection Request: 503-639-4175 Nae/Method: 7 I Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction _ Demolition I&2 FAMILY DWELLING
Addition/alteration/rerlacemen t M Other:
CATEGORY OF CONSTRUCTION Note Permit fees•are based on the total value of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
- overhead and profit for the work indicated on this application.
Accessory Buildin Multi-Family
Master Builder Other: Valuation......................................................... E S a;bou
JOB SITE INFORMATION and LOCATION No.of bedrooms:__ No.of baths:_ I_
Total number of floors..................................... I
Job site address: )I Lo r'r k New dwelling area(sq.ft.).............................. lb sn
Suite M Bldg./Apt a: Garage/carport area(sq.fl.)............................ _NCv r 'Lop
Project Name: Covered porch area(sq. fl.)............................. h
Cross street/Directions to job site: Deck area(sq.fl.)............................................ _ A
I / /' J I a�— Other structure area(sq.fl.)............................ p
r 5"4 o r,srC.w(' � U+ I z_ � 0�1 REQUIRED DATA:
COMMERCUL-USE CHECKLIST
Subdivision: — Lot#:
Tax map/parcel #: !vote: Permit f,es*are torsed on the total value of th-work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
` overhead and profit for the work indicated on this application.
Valuation......................................................... $
Existing building area(sq.fl.)................,........
New building area(sq. fl).......................
Number of stories............................................
PROPERTY OWNER TENANT Type of construction....................................... _
Name:
Lel Occupancy group(s): Existing:
k� �t — New: —_
_Address: ll ZU L
City/State/Zi T 1= r -} _
Phone:;d- soy - zy 4$ Fax: a 3' " r q -1 7 Uq NOTICE: All contractors and subcontractors are required to be
APPLICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: j�,; I-e_( �� _'�t� from licensing,the following reason applies:
IL Address: 11-7_() 2_ --
IK City/State/Zip:~'t ---J—
cc Phone: v 3 S6LA ZqFax:6 t_, -i `4
E-mail: -_ a,1 t~ , BUH.*"fo[MGr
%f9i se idu&
CONTRACTOR Pklfe'refer tali etlle�ail .
Business Name: ow A-e r-- Fees due upon application.............................. S
Address:
City/State/Zip: Amount received........ .... . .. . .............. -.-_ _-_--�_
Phone: Fax: Date received:_
CCB Lic.
Authorized Notice: This permit application eipires If a permit Is not obtained within
Signature: _ ate: t /Icl 1pm 190 days after It has bt.•n accepted as complete.
X1_1,1_ — *Fee methodolep set by Tri-County Building Industry Service Board.
(Please print name)
i:lthts\Permit Fortes\BiegPermitApp.doc 01/03
r
Plan Submittal Requirement Matrix
Commercial & Multi-Family
City of Tigard New, Additions or Alterations
TYPE OF SUBMITTAL #of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work .:
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building �*
Fire Protection System 3**
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
IL
or
H Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue).
*For over-the-,ountol commercial tenant improvements, submit 2 sets of places.
""New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
iskP,jildingtForms\PlanSubMatrix.doc 04/03
Electrical Permit Application
Received Electric,!
Date/B :_ _ Permit No.M
Planning Approval Sign T
City of Tigard Date/13y: Perrn,t No..
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 DateJBy: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By: Case No.:
Internet: www.ci.tigard.or.us Contact i luris.: at Page 2 for
24-hour Inspection Request: 503-639-41'75L Name/Method: Supplemental Information.
TYPE OF_WORK PLAN R6ViEW Pteare Cheek an that no*) _
New construction Demolition Ll Service over 223 amps. Health-care facility
Add ition/alteratiot�/replacement Other: `°"'""Tial Hazardous location
❑Service over 370 amps-rating of ❑Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION 1&2 family dwe'ings four or more residential units in
I & 2-FamilydwellingCommercial/Industrial ❑System over 600 v Ats nominal one structure
❑Building over three stories ❑Feeders,400 amps or more
Accessory Bu,ldin Multi-Family p persons i]Manufactured structures or RV park
_ _�__—. �, Occupant load over 99
Master Builder Other: ❑Egress/lighting plan ❑Other:
JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above.
The above are nota licable to tem ra construction service.
Job site address: 11 z v z. w t} nz.
scmuJul
Suite#: $ld ./Apt•#•'! Number of fur fons et,permit allowed
Project Name: �;, \0.51- 666! L-� Description Qty Fee(COL) Tota,
- New residentle"lugle or multi-family per
Cross street/Directions to job Site: dwelilas unit.Includes attached gat age.
T-, lc k, 0,J,,,4- F,�, T'r�,o ,�� Service laeluded:
•r b !I
tor e we t. l v f 1 ^5+ 1 17--1 t,,<<j'�. 10(1() .fl.or Itss _ i 145.15 1 S, 10 4
F 1 a t r- cl Each additional 500 .ft+or portion thereof 1 33.40 ,Nb 1
Limited energy,residential 75.00 '1 2
SUbdiVlSlOn: Ot#: Limited energy,non residential ?5.00 2
Tax map/parcel#: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service and/or feeder 90.90 2
Services or feeders-Installation,
alteration or relocation:
200 amps or las 9030 2
201 amps to 400 amps 106.95 2
401 amps to 600 amps 160.60 2
PROPERTY Q'WNER TENANT 601 IMN to 1000 am~ 240.60 :
—'--' Over 1000 amps or vola_ 454.65 2
Name: ~>a AFF .tirt �,_�,, Reconnect only 66.95 `— 2
Address: I L.o V,j /1Jb� 5.�� - Temporary services or feeders-Installation,
alteration.or relocation:
C i t y/Stat e/Zip: 'r fL1L-2-3 200 amps or less 66.95 1
Phone: 5o, -,5Fax:6(,3-q(fig--1 fit„ -101 amps toWamp; _ 100.30 1
PPLiCA IT El CONTACT PERSON 401 to 600 amps 133.75 2
-- Branch circuits-new,alteration,or
Name: lr _ extension per panel:
A.Fee for twanch circuits with purchase of
Address: (I 'LL)Z service cr feeder fee,each branch circuit _ 6.65 2
Cit- /State/Z1 . i r e li-12L B.Fee for branch circuit, without purchase of
service or feeder fee,first branch circuit I 46.93 N6 f 1
Phone: 6 3"$D -,-t-(q Fax: 1,Q� ---1 1 (.01 Each additional branch circuit 1 6.65 N(.-S5 2
E-mail: ti Loo Y. Mkc(Service or feeder not included):
2 __ O r 't, LA rv. Each pump or irrigation circle 53.40 2
CONTRACTOR Each sign or outL lighting 53.40 2
Job No: , r_ Signal circuits)or s limited energy panel,
Business Name: afterarion,or extension PW 2 2
Description:
�
Address: ^_
Each additional Ins ection over the allowable In env of the above:
Cit /State/Zi -
� _-.�_.� _� Peri coon
lour min. I Mur) 62.50
Phone: Fax: Investigation fct: -
CCB Lica#: _T Lie. #: other:
-- -- ht;ka+triesftl! t►talbW ",.
Supervising electrician _ Subtotal S "" , i 1I
signature reguired: _ ~ _Plan Review Q5'�a of Permit Fee S 91_171'
Print Name: Lic. At: State Surcharge(8%of Permit Fee) S ^Z'a
TOTAL PERMIT FEE
Authorized Notice: This permit application exp!res Ira permit Is not obtained within
Signature: �'c'�. L! T Date: I 6 IMt days after it has been accepted as complete.
'Fee methodology set by Tri-County Building industry Service hoard.
(Please print name)
i Dsts\Permit Forms!ElcPermitApp.doc 01103
Electrical Permit Application -City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor 1H systems............................................................ S75.00
Check Type of Work Involved:
)c Audio and Stereo Systems*
❑ Burglar Alarm
F1 Garage Door Opener*
ElHeating,Ventilation and Air Conditioning System*
Vacuum Systems* _I � ��(( L
® Other ��►�� �tunr' V"AWAY-
COMMERCIAL WORK ONLY:
Feefor tUh system.......................................................... S75.00
(SEE OAR 918-260-260)
Check Type of Work Involved:
EJ Audio and Stereo Systems
❑ Boiler Controls
Clock Systems
ElData Telecommunication Installation
Fire Alarm Installation
HVAC
EDInstrumentation
Intercom and Paging Systems
ElLandscape Irrigation Control*
Medical
Nurse Calls
CJ Outdoor Landscape Lighting*
Protective Signaling
3 E] Other
WNumber of Systems
* No licenses are required. Licenses are required for all
other installations
i\Dsts\Permit Fomu\ElcPcrrnitAppPg2.doc 01103
Mechanical Permit ADDlication Received Me hanical
Date/By: _ Pennit No.: -Ccpo
CI of Tigard Planning Approval Building
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Internet: www.ci.tigard.or.us Date/By: we No.:
g Contact Juris.: I N See Page 2 for
24-hour Inspection Request: 503-639-4175 1 NamefMethod: Supplemental Information.
TYPE OF WORK C011i1'IERCIAL FSE*SCHEDULE-UU C11119010 >sT
New construction I n Demolition Mechanical permit fees*are based on the total value of the work
Addition/alteration/re lacernent Other: performed. Indicate the value(rounded to the nearest dollar)of all
_ CATEGORY OF CONSTRUMON mechanical materiais,equipment,labor,overhead and profit.
I &2-Family dwelling Commercial/Industrial value: s k4 SOa See Page 2 for Fee Schedule
Accessory Building Multi-Family RESIDEI9IALEOUIIYMENNSYSTEINSFEE*SCHEDULE
Master Builder Other: Description �i-�Qty-`�`Fa.fe..) Total
Head NOR
JOB SATE INFORMATION and LOCATION Furnace-add-on air conditionin •• _ 14.00
Job site address: j I Zv_L 5 to dJo� Ga,kp'k Gas heat pump I 14.00 11;
Suite#: Bld ./A to Duct work 14.00 IT
Project Name: (,L(c'-"� (fir H tunic hot waters tem 14.00
Residential boiler
Cross street/Directions to ob site:
T i etl a-0,,_a...,. +b K",I_ r)"I"*r-- (f for radiator h droes stem 14.00
Unit heaters(fuel,nott electric)
Le F¢ r,♦ Ery gt of r—Na wn.-� PtiS� I IZ't h in wall in educt,suspended,etc. 14.00
is few e- 'l Flue/vent for any of above 10.00
Subdivision: Lo #: Re air units 12.15
Other Fret A u■t:a
Tax map/parcel #: _ Water heater _ t 10.00 ID
DESCRIPTION OF WORK Gas fireplace 10.00
{ -t'_ 0�- Flue vent(water heater/gas fireplace) 10.00
r-rA-
Log lighter(gas) 10.00
-- Wood/Pellet stove 10.00
Wood fireplace/insert _10.00
Chimney/liner/flue/vent 10.00
ROPERTY OWNER I OTIENANT Other: - 10.00
Name: Q,,Lk_ B■viroamesta16s1aret 4 Vadil0as
Range hood/other kitchen equipment 10.00
Address: t I zv� ;t,,-� 1�1ar�1._ 1�,.�b�� —
-t- Clothes dryer exhaust 10.00
City/State/Zip: 1 i r:, ��-7 LZ Single duct exhaust
Phone:Sn3- Seo-f-Z4yS Fax:Lb 3—,TD -1-16 (bathrooms,toilet compartments,
APPLICANTACT PERSON utility rooms) 6.80
Name: g,t-v�=><+4 q Y, A tic% Attic/crawl space fans 10.00
'" Other. 10.00
Address: I z,D7_ � /,�, r per, A_ Fuel Pfpirg _
Cit /State/Zi ;C rJ 'L 3 "(S3.40 for first 4.$1.00 each additional
d Phone:Se, a -LLA 4$ Fa :4 Fumace,etc. •• —
Gas heat pump ••
FE-mail: 1 (- r-),\ Wall/suspended/unit heater ••
N CONTRACTOR Water heater ••
Business Name: Fireplace - ••
Address: Ran a ••
City/State/Zip: _ DD ..
us � Clothes d er as
u� Phone: Fax: Other: ••
CCB LtC. #: Total: t S.J a '4D
Authorized - _ Mecharlal Permit Fm* 13
Signature: L,-c,C. � Date: 1 b _ Subtotal: $ X79
--� _Minimum Permit Fee 572.50 S
!x� L ������ Plan Review Fe:(25%of Permit Fee $ Wq lq
State Surcharge 8%of Permit Fee) S 4
(Please print name, TOTAL PERMIT FEE
Notice: This permit application expire it a permit Is not obtained within *Fee methodology set by Tri-County Building Industry Service Board.
180 days after It has been accepted as complete. **Site plan req■IrM for exterior A/C units.
is\Dsts\Permit Forms\MecPermitApp.doc 01103
Mechanical Permit Application -City of Tigard
Page 2 -Supplemental Information
Commercial Fee Schedule:
TOTAL VALUATION: PERMIT FEE:
$1.00 to$2,000.00_ Minimum fee$72.50 04 bcx"
;2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each
additional$100.00 or fraction thereof,to and
including$5,000.00. _
$5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and$1.80 for
each additional$100.00 or fraction thereof,to
and including$lU 000.00. _
$10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and$1.35 for
each additional$100.00 or fraction thereof,to
and including$50,000.00.
$50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and$1.25 for
each additional$100.00 or fraction thereof,to
_ I and including$100,000.00. _
$100,001.00 and up $1,396.50 for the first$100,000.000 and
$1.10 for each additional$100.00 or fraction
thereof.
All New Commercial Buildings require 2 sets of plans.
o.
H
w
03
i:\BuildinglPermit ForrnMMecPerrn1tAppPg2 09-01-03.doc
Building Fixtures
Plumbing Permit Application Received Plumbing
DateB : Permit No.NW-2Z
Ci Of Tigard Planning Approval Sewer
`.1 6 DateB : Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 DateB : Permit No.:M
Phone: 503-6394171 Fax: 503-598-1960 Post-Review Land Use
Datef9 : Case No..
Interna: www.ci.tigard.ar.us Contact Jur+.: TM Sec Page 2 for
24-hour Inspection Request: 503-6394175 Name/Method: I i-opplemental Information.
TYPE OF WORK FIEF+SCURDDULE for YtM IrN`'roifte an dalfttl
LJ New construction Demolition Y Descrl tloo Qty. Fee(n.) Total
Addition/ilteration/repiacement Other: New I-a2-fstm0lydfral t
CATEGORY OF CONSTRUCTION tadvida IIIIIII It tbr MA
1 &2-Family dwellinst Commercial/Industrial SFR I bath 249.20
- - SFR(2)bath _ 350.00
Accesso Building Multi-Family SFR 3 bath 399.00
Master Builder Other: Each additional bath/kitchen 45.00
JOB SITE INFORMATION and LOCATION Firesprinkler- ft.: Page 2
Job site address: it 2-C.)L 5,J 11,1, !!� �+ SHO N
Suite#: Bld ./A t.#: Catch basin/area drain 16.60
ell/leach line/trench drain 16.60
ProjectName: LaFn U .'�c..r+ Footing drain(no.linear ft.) Page 2 55 C0
Cross street/Directions to job site: Manufactured hone utilities 110.00
-7_k,,_ N N^ 1e�-Ar` ��Q"' T;t•� N"t Manholes 16.60
F:.s`r al r t%.W w':y Cyr Rain drain connector_ 16.60
S � Ing I n�k
Sanitary sewer no.linear ft.) I Pa e 2 �,OZI
Subdivision: Lot#: Storm sewer no. linear ft. Pa e 2
Tax map/parcel #: Water service no. linear ft. I Pa e 2
DESCRIPTION OF WORK >hiltttrrc or Ibe.
-- Absorption valve _ 16.60
Ci PI B- ��v^ _- Backflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
-- Dishwasher _ 16.60
PROPERTY OWNER 1.13 TENANT Drinking fountain _ 16.60_
Ejectors/sump 16.60_ p
Name: L G�p,.�v� Expansion tank 16.60
Address: t I Zet L_ S C,2 A L De_Jk-, -a+ Fixture/sewer cap 16.60
Cit /State/Zi -,� ,n Lp JL 1-� -LL Floor drain/floor sink/hub 16.60
Garbage disposal 16.60 .(9U
Phone:5 c>3 Sa-i-- LJ 41 Fax: (ops q o b Hose bib 16.60
APPLICANT CONTACT PERSON Ice maker 16.60
Name: ,�`�, ���� � Intercemtor/grease trap 16.60
Address: 1 L va Q •kms Medical as• value: S Pa e 2
City/State/Zip: ,ftz�
\ _ n fz_ ��Z 73 Roof r 16.60
d �� Roof drain commercial 16.60
Phone:j U, S c�+ '� Fax:CI)3-T 04--7 jlc>� Sink/basin/lavator 16.60
N E-mail: d IL I I I Q ar- Tub/shower/shower pan _ ( 16.60 6D
} CONTRACTOR Urinal _ - 16.60
tJ
Business Name: Water closet 16.60 t
Cj-lc) QI� Water heater 16.69 '-
a_p Address: other: -----
City/State/Zip: Other;
� Phone: Fax: "
Subtotal S � ,No
CCB Lic. #: Plumb. Lic.#: Minimum Permit Fee 572.50 S
Authorized--- DD Residential Backflow Minimum Fee$36.25
Signature: 1� ,.�.[. 1 Date: ( /04 Plan Review 25%of Permit Fee $ $ VgS
State Surcharge 8%of Permit Fee S I Ii• S1
(Please print name) TOTAL PERMIT FEE S 1,-J(.
Notice: This permit application expires If a permit Is not obtained witi to All new commercial buildings require 2 sets of plans with Isometric or
180 days after It has been accepted as complete. riser diagram for plan review.
'Fee methodology set by Tri-County Building Industry Service Boa,:.
i^DsWPermit Forms\PlmPermitApp.doc 01103
Plumbing Permit Application -City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities 4 Qty. Fart(00) TOW Square Footage: Permit Fee:
Fooling drain- I' IM' 55.00 , t� 0 to 2,000 $1 1500
Footing drain-each additional 100' 4640 1001 to 3,600 $160.00 _
— 3,601 to 7 200 UNDO
- 1st 100' _L 55.00 L,�; 7,201 and greater $309.00
Sewer-each additional 100' 46.40
Water Service- Ist 100' i 55.00 s,� Medical Gas S stems: _
Water Service-each additional 100' 46.40 Valuation: Peradt Fee:
Storm&Rain Drain-I sl 100' 55.00 51.00 to 55,000.00 Minimum tee$72.50
Storm&Rain Drain-each additional 100' 46,40 $5,001.00 to SI0,000.00 $72.50 for the first 55,000.00 and$1.52 for each
additional$100.00 or fraction thereof,to and
FIItYrc Or Item Qty. Fte(a) Tooladditional
510,000.00. _
Commercial Back Flow Prevention Device 46.40 510,001.00 to 525,000.00 $148.50 for the first$10,000.00 and 51.54 for
Residential Backflow Prevention Device each additional SI00.00 or fraction thereof,to
(nunirnurrr permit fee$36.25) 27.55 and including 525,000.00.
Rain Drain,single family dwelling 65.25 525,001.00 to 550,000.00 5379,50 for the first 525,000.00 and Sl 45 for
--
Inspection of existing plumbing or each additional S 100.00 or fraction thereof,to
specially nd incqu iqg 550,000.00.requested inspections-per hour 72.50 550,001 00 and up $742.00 for the first$50,000.00 and 51.20 for
Subtotal: (� each additional$100.00 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixture±.. If
"Yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result In increased sewer fees".
Quandl r by Mztgra Wort tterflareM Comments regarding fixture work:
Fhtare Type e
Now IMara1 1tfds4kilaCafteill —Baptistry/Font
Bath Tub/Shower _
-lacuzzi/Whirl 1
Cat Wash -Each Stall
-Drive Thru
—Cuspidor/Water Aspirator --
Dishwasher -Commercial
-Domestic
,—Drinking Fountain
Eye Wash
Floor Drain/sink .2"
4•'
Car Wash Drain }Note: If the fl=t�1t w k under this permit results In an
Garbage -lkrmestic � �
Disposal -Commercial increase of sewer DUp,a sewer perm(t will be issued and
4• -industrial _ fees assessed fbr nit.sewer increase must be paid before the
ice Mach.,'Refri .Drains _ plumbing permit can be issued.
N Oil Separator Gas Station
Rec.Vehicle Dump Station
Shower -(fang
-Stall
Sink -BariLavatory
t; -Bradley
W -Commercial
-Service
—Swimming Pool Filter
Washer-Clothes
Water Extractor
Water Closet-Toilet
Urinal
Other Fixtures:
0Dsts\Permit Forms\PlmPerrmtAppPg2.doc 01103
CITY OF TIGARD 24-Hour
BUILDING Inspection L;ne: (503)634.4175 •
INSPECTION DIVISION Business'Llne: '(503)634.4171 MST - raod ,
OUP
Received Date Requested�� �'4 6. AM PM OUP
Location / f b -_ e_ MEC
Contact Person _ �o Ph(-) _�' t�- PLM _
Contractor _ _ Ph( ) �_ SWR
BUILDING Tenant/Owner __ ELC
Footing ELC
Foundation Access: -
Ftg Grain ELR
Crawl Drain
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing JAA4 _
Firewall -
Fire Sprinkler
Fire Alarm /
Susp'd Ceiling
Roof
Other:
na
RT PLUNDIN FAIL
�
Post Beam
Under Slab � �� �•ll �_hQ �K'?�V��� �-{�V
Rough-In
Water Service
Sanitary Sewer G1
Rain Drains
Catch Basin/Manhole
Storm Drain _—
Shower Pan (A
Other: —
fwu
SS ART FAIL — -- —
MECHANICAL
Post&Beam ---- ----
Rough-In
Gas Line
Smoke Dampers (- --_—
Final
MPART FML
Service ��— -----
5951
UG/Slab —
Low Voltage _
Fire Alarm
Reinspection fee of$ required before neat n ectlon.
PART FAIL P Pay at City Hall, 13125 SW Nall Blvd.
SITE _ [� Please call for reinsEj Unable to inspect-no access
Fire Supply Lino
ADA
Approach/Sidewalk tbft
ether:
=final DO T
REMOVE this IlespooMoln r000rd OM stllib.
PASS PART FAIL
FROM :JACK CORMAN PLUMBING, INC. FAX NO. :5037866949 Mar, 25 2004 10:44W P1
T MAR-24.2004 WED 12:24 PM DARK NORSE COMICS FAX N0. 6098549440 P. 01/0.
CITY OF TIGARD
18120 S.W. HALL. BLVD. RECEIVED
InGARD, OR 97333
APORTANT PERMIT NOTICE MAR 2`) 10Q4
CIT` OF TIGAF~U
JACK CORMAN PLUMBING, INC SUILDING 1)1%41S�ON
7483 SE JOHNSON CREEK BLVD
PORTLAND, OR 97208
Plumhing Signature Foran
Permit#.- M8T2004-000:1
Date Issued: 1123104
Paroel: 1813400-07400
She Address: 11202 BW NORTH DAKOTA ST
Subdivision: PP1997-018
Black: Lot: 001
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Garages remodel. Partial conversion to living, space. Other plumbing fixtures
Include elector pump.
'our company has been indicated as the plumbing contracbr for the permit Indicated above. In order for the
dumbing permit to be valid, please have the appropriate Ind lvidual from your company sign below and return
ala Plumbing Signature Form prior to the start of the work to the address above, ATTN. Building Division.
4o plumbing inspeetlons will be authorised until this completed form Is received
OWNFR: PLUMBING CONTRACTOR:
I.APOUNTAIN, DALE ,LACK CORMAN PLUMBING, INC
11202 SW NORTH DAKOTA 740 ac JOHNSON CREEK. SLmJD
TWARD, OR 41213 PORTLAND, OR 97206
Phone#: 803-6042448 Phone 78"947
Reg#: MET 00003724
Lie 88311
PLM 3.198PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Sig re of Authorized Plumber
It you have any gkiestlons, please call 503.718.2433. /�
CITY OF TIGARD SITE WORK
DEVELOPMENT SERVICES PERR'IT
13125 SW Hall Blvd.,llgard,OR 97223 (303)6394171 PERMIT #. . . . . . . : SIT 97-0009
DATE ISSUED: 05/12/97
PARCEL: 1S134DB-074eO
'-TTF ADDRESS. . . : 11202 SW NORTH DAKOTA ST
SUBDIVISION. . . . : MLP96-0016, PREY. MLP94-0005 ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :01 JURISDICTION: TIG
-----------------------------------------------------------------------------------
CLASS OF WORK. . :NEW PAVING?. . . . . . . . . : Y RESO. NO. :
TYPE OF USE. . . . :SF GRADING?. . . . . . . . : Y VALUE. . . t: 10000
FXCV VOLUME: 60 cy LANDSCAPING?. . . . : N
FILL VOLUME: 0 cy SITE PREP?. . . . . . : Y
ENG F TLL.?. . . . . . : N STORM DRAINS?— : Y
SOILS RPT REVD?: N IMPERV SURFACE: 5857 sf
Remarks: Site and grading permit fi,r IlpWr4i16. Constructing a private road
which must meet IFC requirements for fire apparatus access also serving 11M 14
11229 SW Torland Street.
01.vner: ------------------------------------------•---------- FEES ---------------
I'-)M 14ENYON type amount by date recpt
N(=10 SW MAPLE TERR PL.CK f 0. 00 JH 04/01/97 97-292556
WEST LINN OR 97068 SWM $ 399. 34 JSD 05/12/97 97-294435
SWM f 221. 86 JSD 05/12/97 97-294435
Phone #: PRMT $ 80. 50 JSD 05/12/97 97-294435
PLCK t 52. 33
Contractor: --------------------------------5PCT f 4. 03 JSD 05/12/97 97-294435
NOSTALGIC HOME INC EROS $ 80. 00 JSD 05/12/97 97-294435
11232 SW NORTH DAKOTA ERPC $ 26. 00 JSD 05/12/97 97-294435
TIGARD OR 97223 ERPC $ 2.6. 00 JSD 05/12/97 97-294435
----------------------------------------
Phone #.- 656-2947 890. 06 TOTAL
Req #. . : 0011.09
---- -- REQUIRED INSPECTIONS ------
This permit is issued suoject to the regulations contained in the Erosion Control
Tigard Municipal Code, Slate of Ore. Specialty Cedes and all other Grading Insp
applicable laws. All Mork will be dere in accordance with St rm Drain Insp
approved plans. This permit will expire if work is started San Sewer Insp
within 1911 days of issuance, or if Mork is sus for mere Final Inspection
than 19e days.
� �-e r m i t t e e S i g n a t+a .e• _ `—'--T" --_ _
TgSkIPCI By : /
.J
m Call for inspection — 639-4175
W
r
a
CITY OF TIGARD Site Permit Application XR'ec Beck+M
13125 SW HALL BLVD. Private Grading, Paving, Site Accessibility \ Date Recd I
TIGARD, OR 97223 Retaining Structures, Utilities and Related Work Date to P E. y�sy�1
(503) 639-4171 x304 _ vZ/ ,-� n Date to DST ,It
Permit 0I ,
Called 5-z-01-7
Print
-
Print or Type ��� 7� c
Incomplete or illegible applications will not be accepted
JAddress
ject Name Utilities(Complete all that apply)
Job
Address ` Storm Sewer /�
6tJ Linear Ft.
Name Sanitary Sewer
Linear F!.
Owner M#qin_q A dress F11,1_101Z19' 4&-Awkresh water
�`� Linear Ft.
ity/State V Zip Phone Catch Basics l
e Clein Outs
General
XX ay
Contractor Mailing Addrifts Describe work to be demon%;
is1111mir to
suance Newer'ndditiono Alterationo Repairo
l Te,ri C--->
apptieant must ity/State Zip Phone Additional Description of Work:
probe all e, t pd r 4 1I
a'i ^"ate+ State Const nt. Board Lic.aY Exp. Date �1l.IJ�(.Q_ �
lignae S"
nformation in J r
COT Business ax or Metros Exp`. ate
COT aataoaael
Name Prosect ; /n a,
Valuation
Architect Mailing Address Plan Submittal: (3)Wo containing each of the
following,must accompany this a Iication:
City/State Zip I Phone Site plan w h Vicinity Map Parking;including
%ovifing A compliance ADA) Li htin Plan
e G an and details dscaping Plan
t �. �t C t! IL �
Engineer ailing Address 80sion Co! Plan and Retaining Structures
2v I f1 a �� ails including calculations
City/State Zip Phone S.te UtilityPian del Soils Report
(showing can ton to tread)
46 approved I
Excavation Volume t hereoy a Vol go that I have read this application, that the
d Soils report t r :ed for>5.000 cu. Yards nform ti '9iv is Correct.that I am the owner or authonzed
Dcu.yds. agent . e r and that plans submitted aro in compliance
on tat aws.
N 1 'I `,olume natur of ner/Agent
rCt Zcils report required for>5.000 cu. Yds.) 1 6
in ,'ill the ill suppor,a structure Co t P o ame one
5 (E^gineer required if answer is yes) YES❑ NOO
LU S �
,3etaining structure?(check one) nRock t V FOR OFFICS SE ONLY J
's�e' It Q CMU Nom:
pConcrete t--
��o�'����/'"�/ _,'Other �� 7-31
l�
Total new impervious area incluoing ell r Land Use C712e s Map/TI-1111
�I:Ljildings. sidewalks. and pavingJ 7 Sq. Ft. �P 6 t6l
1:csts Wteapp.doc 2 �,,/ ,� C
3/96 e�� �Cp�¢ lJu�iti- 1 S 1 3_l b� �L
r
Permit # Account Descriphon Amouns Amt Pd. 4aL..Q.ulQ '
�! Build. Permit (BUILD) rpy
Plumb. Permit (PLUMB)
• Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg: __ 1
Plumb: I
i
Mech:
ELC/ELR:
Plan Check
Build: (BUPPLN) 5r�• 3 __
Plumb: (PLMPLN)
Mech: ( CPLN
CDC Review (LA U
Sewer Connection (SWU
Sewer Inspection (SWI P
Parks Dev Charge (PK DC,
Commercial TIF ( F-C)
Industrial TIF (TIF-I) _
Institutional TIF (TIF-IS) _
Office TIF (TIF-O)
Mass Transit TIF (TIF-MT) _
Water Quality (WQUAL) `�
Water Quantity (WQUANT) 2-
m Erosion Cont Permit (ERPRMT) �y
Erosio lanck/USA (ERPLAN) )4 (�J
osion Planck/COT (EROSN) _ �-6 ✓
Fire Life Safety (FLS) p p
TOTALS: 0 /D�DLJ5a. X57, 73
ssb D�
CITY OF TIGARD
April 8, 1997 OREGON
Tom Kenyon
2010 Maple Terrace
West Linn, OR 97068
RE: Kenyon Partition Site Plan Review
11202 SW North Dakota
PC#: 4-21R SIT#p: 97-0009
Submittal documents for the above referenced project have been reviewed for
conformance with the applicable 1998 Oregon Specialty Godes and other applicable
codes and standards. The following comments ars noted:
0.
Submit a copy of the road use and maintenance agreement.
A. How does Parcel 1 access 112th Avenue? Is the vacated right-of-way
dedicated to Lot 3?
!� Provide the total cubic yards of each of the following:
A. Excavation
B. Fill[structural and non-structuraq 4
Shade the area of parcels receiving 811 from placement of road cut
' material.
If. Specify depth of fill.
Provide compaction reports prepared by a geotechnical engineer
a� If the fill Is to support any portion of a structure.
J Provide details and specifications for erosion control. Include a gravel driveway
m approach, storm drainage protection and location of sift fencing. Contact
Washington County Unified Sewerage Agency, at 799-1639, for their technical
guidelines.
13125 SW Hall Wd., 1lgard, OR 97223(503)639-4171 TDD(503)664-2772
Kenyon Partition Ske Plan Review
Pt #: 4-211 SIT#: 97-0009 .
Page 92
Show detail and construction specifications of the private drive that meets the
standards for fire apparatus access.
Contact Tualatin Valley Fire and Rescue at 526-2489 for an acceptable
design or provide a licensed engineer's design capable of supporting
50,000 lbs. per square foot (live load) and is capable of supporting not
less than 12,500 lbs. (point load)[UFC, Section 902.2.2.1].
Please submit four copies of revised submittal documents and a otter indicating your
response to the above comments for review. Please call me at (503) 639-4171 If you
have any questions.
Sin IYI
1
Jim Funk ter
PLANS EXAMINERS ,:,•. �`. r
a
_J
_W
W
J
Led CM
Cal ,es L a
12.
V r' E $ aj
` L � � . � a
... :ILE
e
Lo
66 10 AR
N � a �
cb� ,.
� •m cr
.-
� EU .q y
F a
C a � � � oma .. > -
�O $ N n N
�■ F- •�► N 3U F— YO H g IV I"L
ION
O
it
z
cli
� ; 9 Q � f N N y � V
N 1 � ^
i � ® tIt
d
,,� � -�` 1 o
0 � 1
W
' N �—
ce
O 1 N _ in Ltt
cm
Z 1 I r
04/22/97 15:47 V503 528 2538 TV FIRE NARS$AL +y-o CITY TIGARD Q002/003
w
fA
H
z
u
J J
La- <
_ O
Z '
Ll d W
cl � _Q
o z � a
J O
w 4 b Q
cr U a ` oZ
C) H I O IL
0 J
W d
< < U Q
W �
N
f UO
� U K
• 1 �Li
oz
e
W m 40 t�_
�
Ow
Z
04
N
O
O
Q
O W ^
v F 1�1
• < z O
• C7 �1
OIL 0
vs
G4
H01I0 .� z
r 39VN I V210 a
LU 0
nu vItol
04/22/97 15:47 0508 528 2688 'V FIRE KARSAAL CITY TIGARD QD008/008
r
N
H
z
U
CL
<
< a
O =
V m 4 W
� O F Q
< V -
W �
_ < F IZW
3 W a x
V O < OV Z
I z
O 0:O .J
LLa
ci � O
< < W d
Q�,ZE N
Co
fri 0 <
F O`a
J ?
z n ; d `I h--W
p o >- N v
Z OG w u M m ttr)W
0. N in
3 Q a in
N
v O Z
p a w OK
> w iu .0n
a o
U W
ty
ac A � y
W 0 o a z o
o0u H o
.X uZ VJz
LL Z <
02 d = d
v1 w : � i <
q�+ ' 4 < d
H�11A�� aaw3uow =
39vM I Y210 U. 'j a W V
ricol e
00. u CL
Ne:4nU > < m < wJ
r
J2K Engineering
207 S.B. Oak Street Billaboro, Oregon 97123 (503) 640-6808 Y11 (503) 693-7596
April 18, 1997
Mr. Jim funk, Plans Examiner
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
PROJECT: Kenyon Partition at 11202 SW ]North Dakota
RE: Site Plan Review
Job No. 96 - 133 - D
Dear Jim;
Submitted herewith is the information requested in your April 8th
correspondence to Mr. Tom Ken7on. The item numbers coincide with the
numbering in the referenced letter.
1. The road use and maintenance agreement will be furnished by the
Applicant, Tom Kenyon.
1.a Parcels #2 and #3 gain access to 112th across the easement area owned by
Lot 4 as shown and noted on the "Construction Drawings" prepared for the
Public and private improvements (copy attached) . This access and
ownership information is also shown on the Minor Land Partition and
documents of record file at Washington County.
2. There will be approximately 60 CU YDS of excavation and no fill required
for constructing the driveway. The probable areas of disposal are
indicated on the attached Site Plan. The noted areas are within the
boundaries of the sediment fence previously detailed for the site.
3. The erosion control information is shown on the "Construction Drawings"
in the form of inlet barriers at the existing catch basins on 112th and
the Site Plan notes sediment fences around the dwelling construction
areas. Per my review of the Erasion Control Standards (and as approved
by the City of Tigard' s Engineering staff) these provisions sre
satisfactory.
-- -
A. the "Conion rawings" specify 2. 50" of Class"C" A.C. wearing
surface of 3/4"-0" coolPacted crushed rock base. Per my
n conservatt el J�ff� valley Fire District, this
section seet the needs of thei9, equipment. There are no site
�( conditions which would warrant additional materials beyond those
a t typically used, and if soft areas developed from construction traffic
1 {� they would be repaired to a satisfactory state.
N k1� r►� The driveway section proposed is compatible with many "Minimum"
JStandards established by local Agencies, including Washington County,
}�N City of Beaverton and the City of Tigard. The A.C. should be compacted
S �� to 92% density per ODOT TM306 and the rock base should be compacted to
W �' any 95% relative maximum density per AASHTO T99.
Please contact me if this material doev not satisfactorily address your
questions . 1 K iU uJ , rk
Sincer. ly, e)
je V" 7i1�L -a • s " 013 f
Kevin N. Clemo, P.E. Yvan °!'�f �f ; LG; �7;; �� `�
April 3, 1997
CITY SOF TIGARD
OREGON
Tom Kenyon
7
2010 SW Maple Terrace
West Linn, OR 97068
RE: Plans Check Number: 4-2R
This letter is to confirm receipt of your building plans which have been routed to the pans
examiner.
As a reminder, the associated land use case(s) is/are: MLP96-001
Please be aware you are responsible for satisfying the conditions of the land use case(s)
and must submit plans directly to the appropriate staff person(s) indicated on your final
order.
Your building plans Are not routed to the planning or engineering departments; you must
satisfy the land use permit conditions independent of the building permit plans review
process_
After the building plans review process has been completed, your building permit will
not be issued without approval from the engipeedag and planning dioartrnanta.
If you have any questions regarding this notice, please feel free to telephone me and I will
be happy to explain further.
ac
f-
Bonnie Mulheam
Development Services Technician
J_
m cc: Building file
U rc: Planning Department
-� cc: Engineering Department
I:%DSTSXSUPLUC DOT
13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171 TDD(503)684-2772
April 25, 1997
CITY OF TIGARD
OREGON
Tom Kenyon
11202 SW North Dakota
Tigard, Oregon 97223
Dear Mr. Kenyon:
The following permits are pending:
Permit Address Type of Permit Balance Due
11202 SW North Dakota Site Work $837.73
11222 SW 'Torland Street building/sewer at Parcell $69636.51
11228 SW Torland Street buildin /sewer at Parcel 3 56,656.72
Following approval of the storm drain plan (by David Scott, Building
Official), a condition of the Minor Land Partition (MLP96-0016), permits
would be made available. The building plans have been approved subject
to final approval of the case mentioned above.
These permits are now in the "HOLD" section of Development Services.
Please feel free to contact me or any of the Development Services
Technicians if you have further questions.
Cordially,
CL r
Jean Heitschmidt
°�— Community Development
c�
505-6394171, extension 361
H:/JEAN/ENYNMLP.DOC
13125 SW Hall Blvd., Tloard, OR 97223 (503) 639-4171 TDD (503) 684-2772
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc:639.4173 Business Phone: 639-4171
Date Requested: .S ALJ A.M. Pb- "&BUP:
MMST:
Location: t' _
Tenant: Suite: BWL- MEC: —
Contractor: � Phoria: 3PLM:
Owner: Phone: _ �- //d rna EW:
ELR:
Srr: q 7-0
BUIIDING BLDG(con't) PLUMBING MICHANICAL tLRCTRICAL
Site Post/Bean' Pod/Beam Pod/Beam Cover/Service toren
Footing Roof UndFI1Slab Rough-In Ceilinj Line
Slab Framing TMJDIA Gas Line Rough-In Uta Sprinkler
Foundation Insulation Hood/Duct Reconnect Vault
Burnt Damp Drywall Storm Furnace Temp Savice M13C.
Masmry Ceiling Rain Drain A/C Ud Slab
Shear/Sheath Fire Srkir/Alm Crawl/Found Dr Heat Pump Low Volt 5 W
Approved Approved Approved Approved
Appr/Sdwlk Not Approvedved Not Approved Not Approved Not Approved
FINAL FINAL MAI FINAL FINAL
a
o�
N _
J_ —
L11
W
J
O Call for reinspection C3 Reinspection fee of$ required before next inspection O Unable to inspect
Inspector _ Nte:� Pase_.of�_