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A ► 44 10 AP.- 44 ► a ► CITY OF TIGARD 24-Hour BUILDING o Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received ---Date Requested_--- AM PM. — BUP Location _- 3 2 3 .C.- Suite MEC Contact Person Ph(— ) _�13G� PLM _— Contractor Ph(—) -_ SWR __— BUILDING Tenant/Owner _ ELC Footing ELC _ Foundation Access: Ftg Drain ELR Crawl Drain l---- Slab Inspection Notes- SIT Post&Beam Shear Anchors -� -- --- Ext Sheath/Shear Int Sheath/Shear --� — - Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - --- — ------- Hoof Other. ---- - --- Final .__-- PASS PART FAIL - - — — PLUMBING Post&Beam Under Slab Rough-In _-----_.— ------ Water Service Sanitary Sewer Rain Drains -- ----------- -- _—_ Catch Basin/Manhole Storm Drain -- -- Shower Pan Other: --- - Final --_ --� PASS PART FAIL ---- ME_CHANICAL �LWA — Post&Beam Rough-In -� Gas Line IL Smoke Dampers - — Final 1- PASS PART FAIL -- - — N ELECTRICAL Service - �- -e Rough-In LO UG/Sl9PART b -_- - Reins ion fee of$ _ required before next ins FAIL l Inspection. Pay at City Fall, 3125 SW Hell Blvd. SITE U Please call for reinspection RE: -� �� linable to Inspect-no ac:cass Fire Supply Line ADA ? Appronch/Sidewalk Dates IIEt;t _ Other: Final DO NOT REMOVE this InepwMen record from UW jeb PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6394175 � MST 3-60 �?.7 INSPECTION DIVISION Business Line: (503)639-4171 BUP Received -_-� Date Requested. - AM --PM _ BUP Location -3 3 S- Suite _ MEC - Contact Person Ph(--) _6 C1�1 - �� PLM Contractor _ Ph( ) SWR BUILDi.JG _ Tenant/Owner -_ _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors ---_--_----- --- --- -� --- - - Ext Sheath/Shear Int Sheeth/Shear -- Framing --- -- -- - -- --Insulation Drywall Drywall Nailing Firewall Fire Sprinkler _- Fire Alarm Susp'd Ceiling ---- -- - -----— -- - ----- _ - Roof Other. --- --------------- - - Final PASS PART FAIL PLUMBINn -_ _ -- --- ---__--_. Post&Beam Under Slab Rough-In - -�-_ -- ----- Wnter Service --.--- - -.-___-- ---_ -__. Si; Mary Sewer Rain Drains Catch Basin/Manhole Storm Drain - --- - --_ -__ Shower Pan ri 4in ASS PART FAIL - - -- ---- MECHANICAL -_-- -� Post&Beam Rough-In - -- - --- ----- Gas Line 4. Smoke Dampers ---- - _ _ it Final CO)~ PASS PART FAIL ELECTRICAL - J Service m Rough-In UG/Slab — - J Low Voltage Fire Alarm Final Reins pectlon fee of required b03re next ins PASS PART FAIL IJ I --_ R4 pection. Pay at CityHall, 13125 SW Hell Bivd. SITE Please call rv�reinspection RE: Unable to inspect-no access Fire Supply Line ADA Dab Approach/Sidewalk Other: il Final DO NOT REMOVE thle Ingmctlon record from tho job she. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 +y SUP Received !74'2-Go lC Date Requested.4/��� AM —_..PM BUP Location .�—� � .�__�C L u-. Suite L & Z MEC Contact Person Ph( ) 5714 _ PL",I _ — Contractor O?LS_ --__ Ph( _) --- SWR _ _— BUILDING Tenant/Owner ELC _ Footing ELC — Foundation Access: — Ftg Drain ELR _ Crawl Drain Slab Inspoction Notes: SIT — Post&Beam Shear Anchors _ -- + Ext Sheath/Shear Int Sheath/Shear Framing — - --- - - Insulation Il(Jailing Firewall - -- - Firewf311 AcG Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Other: - Final PASS PART FAIL — PLUMBING Post&Beam Under Slab - - --- - Rough-In Water Service — -- — Sanitary Sewer Rain Drains _ — Catch Basin/Manhole Storm Drain Shower Pan her:Ff� -- -- , W --- SS PART FAIL - - _�-- ---� — - - _ HANICAL ------------------- ------- _ — ��-- --- Post&Beam Rough-In �,--- ----- -- -- --- ---- Gas Line IL Smoke Dampers -- - ------- - ---- - Final F- PASS PART FAILCO) ELECTRICAL -! Service -j Rough-In - --_ — m UG/Slab Low Voltagetu _ J Fire Alarm — �- Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hal!Blvd. PASS PART FAIL SITE Please call for reinspection RF:--- ___- -_—_ _ F] Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Doto - Inspoet4r ut Other: Final DO NOT REMOVE this Inspection record from the J"sib. –ii-ASS PART FAIL CITY OF TIGARD 24-Hour BUIL.UJNG , Inspection Line: (503)639- 7a �M .� �-�. INSPECTION DIVISION Business Line: (503) 171 �1 / SUP Received — _—_Date Re ,3sted���� _ AM - /� BUP Location — f 3 Z �� �`�/ -- _Suite 41` l MEC Contact Person _ � _ Ph(--) _ � 0 PLM Contractor-_ --- Ph(— ) __ -_ ___ SWR - _— BUILDING Tenant/Ownar ELC _V Footing Foundation Access: ----- ELC 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 Sprinkier Fire Alarm Susp'd Ceiling ---- — — - ----- — ___ Roof F PART FAILNOam - Under Saab Rough-In — Water Service -- --__.--- -- __-- -- Sanitary Sewer Rain Drains ----- — — -- ------- ---- -- — — Catch Basin/Manhole Storm Drain Shower Pan Other: --- ---- -- ------ Final -------� PASS PART FAIL ----- ----- --- ��� — MECHANICAL Post&Beam Rough-In Gas Line p, ?DampersFinalPART FAIL NICAL — J Service m Rough-In L7 UG/Slab W Low Voltage -� Fire Alarm — Final Reins ection fee( required before next ins PASS PART FAIL p - -- pection. Pay at City Nall, 13125 SW Hall Blvd. SITE _— Please call for reinspection RE:-- _- F_I Unable to InsperA_-no access Fire Supply Line ADA D 4­3r Approach/Sid9walk --- Iwssleelet_ --- _Ed Other: _ Final DO NOT REMOVE this Inspection record trete Me job aft PASS PART FAIL 1 � ���� �� ����R� MASTER PERMIT PERMIT#: MST2003-00427 DEVELOPMENT SERVICES DATE ISSUED: 10/7/03 13125 SW ball Blvd.,Tigard,OR 97223 (503)6394171 SITE ADDRESS: 13235 SW NAHCOTTA DR PARCEL: 2S105DA-17300 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 061 JURISDICTION: 'TIG REMARKS: Construction of new SFdetached residence. BUILDING REISSUE: ORH3075 STORIES: 2 FLOOR AREAS REO'TIRED SETBACKS REQUIRED CLASS OF WORK: NEW UEIGHT: 32 FIRST: 1,130 of BASFMENr: 639 of LEFT: 5 SMOKEDETECIORS: Y TYPE OF USE- sr '..'OR LOAD: 40 SECOND: 1.096 if GARAGE: 580 of FRONT: 15 PARKING SPACES: TYPE OF CUNST: 5N DWELLING UNITS: 1 THNn +f RIGHT: 5 VALUE: 301,24520 OCCUPANCY GRA: R3 BDRM: 4 BATH: 3 TOTAL: 2,25 of REAR: 15 PLUMBING _ M SINKS: 1 WATEn CLOSETS: 4 WASHING MAC": 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: S DISHWASHERS: 1 FLOOR DRAINS: SFWFR LINES: 100 sr RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OT 4FR FIXTURES: MECHANICAL _ FUEL TYPES FURN<100K: BOIL/CMP<3HP: VFN-i FANS: 9 CLOTHES DRYER: 1 GA', FURN>•100K: 1 UNIT HEATERS: HUOD:,: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNA14CES: VENTS: 1 wonDs' GAS OUTI_F73: 5 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER— TFMP SRVCIFEEDERS BRANCH CIRCUITS — MISCELLANEOUS ADD'L INSPECTIONS_ 1000 SF OR LESS: 1 0 -200 amp: 0 100 amp: WIS VC OR FDR: FUMPBRRIGATION: PER INSPECTION: EA ADD'L 5009F: 6 2D1 400 imp: 201 - 400 amp: /N WAD 8VC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 temp: 401 Wn amp: EAADCL OR CIR: SIGNALIPANEL IN PLANT: MANU HM/SVCIFDR: 601 1000 amp: 601*•mpg-100ov: MINOR LABEL: 1000•amplvoK PLAN REVIEW SECTION Reconnect onIV: >•1 RES UNITS: SVCIFDR>•22S A.: >600 V NOMINAL: CLS AREA/sPG OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTFRCOM/PAGING: OUTDOOR L.NDSC LT: BURGLAR ALARM: OTH: ALL-ENCOMP BOILER: HVAC: LAHDSCAPEAPRIG. PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,480.86 This permit Is subject to the regulations contained in the D R HORTON D.R.HORTON INC Tigard Municipal Code,State of OR. Specialty Cortes and 4386 SW MACADAM AVE.,STE 102 4386 SW MACADAM AVE. all other applicable laws. All work will be done In PORTLAND,OR 97239 SUITE#102 accordance with approved plans. This permit will expire M PORTLAND OR 97239 work is not started within 180 days of issuance,or If the work Is suspended for more than 180 days. ATTENTION: IL Oregon law requires you to follow Giles adopted by the GG Phone: 244-5322 Phone 503-2.22-4151 Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through 952-001-0080. You Rep M: LIC 130859 may obtain copies of these rules or direct questions to OUNC oy calling(503)246-1987. REQUIRED INSPECTIONS M 0 Erosion Cnntrol Insp 8, Post/Beam Mechanica Mechanical Insp Exterior Sheathing Insf Rain drain Insp Electricr+l Final W Sewer Inspection Underfloor insulation Plumb Top Out Low Voltage Storm drain Insp Mechanical Final Footing IU3p Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Loundation Insp Footing/Foundation Dr; Framing Insp Gas Fireplace Water Servi Building Final f/Bet, Structural pLM/Underfloor Shear Wall Insp Insulation Insp Apr/SdYA I p Issued By : �` Permittee Signature : kA6A,- _ — T Call (503)6394175 by 7:00 p.m.for an Inspection needed the next business dav CITY OF TIGARD rSEVYERCONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00322 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 10/7/03 SITE ADDRESS; 13235 SW NAHCOTTA DR PARCEL: 2S105DA-17300 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: OGI_ JURISDICTION: TIC, TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer conne0on for new SF dwelling. Owner: _ FEES D R HORTON _ 4386 SW MACADAM AVE., STE 102 Description Date Amount PORTLAND, OR 97239 [SWUSA]Swr Connect 10/7/03 $2,400.00 [SWUSA]Swr Connect 10/7/03 $0.00 Phone: 244-5322 [SWINSP]Swr Inspect 10/7/03 $35.00 [SWINSP]Swr Inspect 10/7/03 $0.00 Contractor: Total $2,435.00 Phone: Reg#: Required Inspections d a r- J m This Applicant agrees to comply with all the rulez, and regulations of the Clean Water Services. The permit expires 180 (� days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee W 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 Issued by: �� �� ziaA&-d- Permittee Signature: Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next business day 7" i q- A7-01 V -"- w Building,Permit Application Rcceived � Building Dale/B : 7-� '� Permit No.f W-•1 9003ra j 4(.;) Planning Approval Other City of'rigard e,v Date/By: Permit No.. 13125 SW Hall Blvd. Plan Review Other �t "" Uatc/B : � Permit No: Tigard, Oregon 97223 - Phone: 503-639-4171 Fax: SU3-$9�-19601 ;l Post-Review Land tree � Nib Date/By: Case No. Internet: www.ci.tigard.or.us Contact 1 Ste Page 2 for Q� 24-hour Inspection Request: 503-1 9�s1115. 1V r` Narne/Method: Su lemenld Information 1 P q 1\pc >il]ILQINC� TYPE OF WORK REQUIRED DATA: New construction Ll Demolition I &2 FAMILY DWELLING Addition/alteration/replacement 0 Other: - CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate C 1 & 2-family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, �\ overhead end profit for the work indicated on this application. Accessog Buildin Multi-family Master Builder Other: valuation......................................... ......... JOB SITE INFORMATION and LOCATION No.of bedrooms: Na.of baths: _ ~ Job Slte address: Total number of fto rs..................................... Nrw dwelling area(sq. ft.).............................. — \ Suite #: Bld ./Apt.#: _ Garage/carport area(sq.ft.)........................... PiO CCt Ivanle; = Covered porch area(sq. ft.)............................. Cross stree►/Directions to job site: Deck area tur area ............................ ...............••.......... Other structure area(sq. .). ...... _ �1 D DATA: . . COMMERCIAL=USE CRP:CKLIS`C Subdivision: G �/ Lot#: _ 'l Tax ma / arcel #: f r'(J Note: Permit fees*are based on the total value of the work performed ate ! DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,mat abor, —• overhead and profit for the work indicated on this appli Valuation.......................................... ........... -- ---- ~ Existing building area(sq.ft. New building area(sq. Number of storie ......................................... PROPERTY OWNER TENANT - Type of co coon....................................... N/' �1 k Occu y group(s): Existing: Name: tl New: Address: Cit /State/Zi NOTICE,: All contractors and subcontractors are required to be Phone:OP -; - / Fax: V:3 17-77 V/7 licensed with the Oregon Construction Contractors board under APPLICANT D&CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: _. k(ABY jurisdiction where work is being performed. If the applicant is exempt Contact Na.meC� 0% from licensing,the follow;ng reason applies- IL Address: o� City/State/Zip: 0/111h _ Phone: - Fax: - 2Z '3 / _ ��BUILDING PERMIT FEES* E-mail: - - Please refet to fee schedule. tl,;`, •:`:' CONTRACTOR m Business Name: L7• Fees due upon application.............................. S U Address: y` SII/ , �1��iLt f1'Wi /07-- Cit /State/Zi � Amount received............................................. S Phone: 'y/ Fax. ���'37 /7 Date received: CCB Lic. #: /3o�5�I_ -- Authorized — 'n n 2 Notice: This permit application expires If a permit Is not obtained within Signa lure: J �� Date: l�uJ 190 days after It has been accepted as complete. `A_dLe- _�f`S _ -Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is Dsts\Permit Forms\B1dgPermitApp.doc 01/03 02/20/2003 16:15 50:16422900 PONS ELECTPI,: PAGE 01 02/20/2003 15:10 5fJ3-222-2675 9P HORTONl PDx CONS7 PAGE: 02 Electrical Permit ApOO EI\/ eivcd Bletvrcai Wr_M_v _� PmnitNv.:ll'�� 7 Ci of Tigard Ptamring Approval Sial) ry � AU ' �) / ��� rho PemtitNo.: 13125 9W Hall IIlvd Flan er+ler OMcr Tigard.Ort:goa 97223 C! U HGAHI Vammy: Pirmi No. _ Use Mom 503-6394171 Fax. 503-598-1960� t-ie .ReLura akNao, IVIS , . : [nlemer www.ei.t;gaxdor.tu Contra ,tail.: See F-ITO 2 for 2R•how Inlpecboa Request: 503.639-4175 NamtlM4thod: 911 emrrreal Inlbrtnstlorr iiy s �Y1 D14::;:G 1 yF)S.QPN YQ ::t 721 d" wtiKi' ra "1 4a' . •i' " �61TL, TEWcf_le lir !Pl:ji•.4M.'1; New construction Demolition Service over 225 asnpa- uee:0;-tae am+uty - y� ommemiat C7 HWAVO+urn loatlon Addltlonlalt=atlun/f l_ uacement Otrlt:r: [3gamesover 320 ampa-nrine or ❑Bu:ndind over 10.00D 3gtum far.,, i •4;;t1C �'°iy ice;lC1t IE dIi aF t.&2 family dwellinp f••ar or snore reeRkntial unlit to I &2-Family dwell Ct3t33mert:ia dustz'ial Sven"over boo volt:nomirul one m ichae -- t Bu,Idi q o,cr duce mler Far�denl do0 arrrpa a mm3 L1ccosory Building multi-Family Occupant Inad over 99 peons []MIrActimd imuctuer or RV park Mastteir Builder i J_JOt:her: Fgrm/1106na Plan C7 other Submit m5 or plans w•Itb any of the above. The aba"an Ill—etsitilkable to temporary a hdreedolt tervire. Job site address: Suite Al. _ Bld ./Art.#: Number of Motuper peit allowed Project Name: Ancrl en 4� Fee(ole.) Tafel (:P099 92PP.Ct/Di(LCtiOd^i t0 Ob Site law rotlde.thikingre or mahl-AmV•per 3 dwelliae anK laetede4 artaUhpd eonRa Sw+tee iaelededn 1000 1q.It or M.3 145.13 4 Penh tdon 500 ft a irh}ted ,_ a1 Cn theme33.40 i SubdivisiMM � l hal a �Ix maplpftrccl It: I Nrok mmufaehutM home or Modular dwatlintt ,en �.. «„ savfca Sodic nodar 9(L" 2 ;d W.14M, �� .r . 1b.E5: t ,2DF.WOSIC � � ��� _ ~ Senkn or("den-laeteW-W-1, _ sJuratioa or relocation: 2 rm t cr ien an.30 2 201 Ilm to 400is Io6185 2 401 ampe m Ii00 vnya 140.60 2 Re amlpy�a•R„wltr 466.Q5 2 Addrms: Q ''� � �c /��- Temporary 3ervite4 or fosdrrm-bctallatiear City/stat i after•atleFN or relocation: 200 ampT or kcs 66 E5 I Phone: F -j 7,7 '3'71'7 201 amps In K4 haps 10010 : 40110 wo s 113.75 2 oraacb airetiln-new,attaratien,or Name: 1 4P le ertent,oa Per p,neb A.ree for bl%nch otmuitt wits mochrre of ��5' C AW '�2"' a orthader na sub bah 'cult 6.65 2 Cl /StatC/Zl r ,ID B.Fee br branch c4rauim-Itheut purchase of fff%Vc or Rata 6,_ t br:rab Nmuit 46 B Phone: a3:: y 1'l Each ieahtood branch citoalt E-j[�j]; :NMo.(9er�fcc e►fE•�c�r Pot tnctudaQJ; ,' !Gi;N}alp i;1 l ,1!' i,r NIy71:HY M r r t•:; Eget+ or iM _,ion elmle S9ao 2 (LRlhsin ar indbod u _ Sl4a 2 Job No: iiRro;.-9nn1(n x z 1 roiled�nr6Y panrt, Business Name: aitemdan,or srwdiort z 7 oecerlphore Addrmss- Z Seto S w 0 I L c.•N 'Ci /IStete/ZI : 1-h 115(;0 1'"D , Q/ Each additional in eatiee aver the Avaerble is atry of Ike abatis; er tM.Per ha ntln.I hour) an 00 Phone:4Y z- 2-fracFax:Sb3-Gi(L-5715 Ltvud lmm OW -- CCB Lic. #: t 9 a I Lic. N:-3 &C- W W Supervising electrieitun _ 11 ft' ll1 h +a mit, , _J Subtotal S signature required; Plr,a Rayiew•(25%of Porttti..-Fee S Print Neme:5t e Wt R05 5 Lic. ? ; q-23 X FWe Suralixge(8%Of PtTmt Fee)^ TOTAL I'RRMMIT IME S Authotizcr5 Netke: rkir permit applimden etpiret:f o permit it not obtdnod Aitbln Sigtrnntre: pater kill deyr after it N49 beta aeeirpted at arnmPlete. IF nrnRhedalolp ee4 tly Tri Cmntrpr 11uildiaR iadseetry Servnee hoard. (Pk--prim note) i;SDs"\PermitF3rmshEicPatritAFp.dcc O1t03 FEB-20-2003 15: 15 5036422800 97% P.02 02 21/2003 06:53 503-baa-5399 CPAFTWOPK PLUMBIrIG p4rE 02 02/20/203 16:08 503-222-2675 DR HORTON PDX CONST PAGE 02 Building Fixturess Pluanbin� Permit A >lcatioal Rmely d plunbn` Ev D Plaan /1p�MV 9Sewerm City of Tigard plan Sav,d- Other 13125 SW Mill Blvd. r«t_Pvcm+tt No.• Tiprd,Oregon 97213 AUGax: 1 03 °""'D - [.Ana uMM ,�e W Phone: 503-639-4171 F503-598-1960 °sem ; CweNa.: .ie _t Iurtt.: see pi[or Internet a v—CiAigard.ar.us NAm�MN+od: BupX}etn sal(nforuutan 24-hma Inspection Request-. 503-63q-44WLD N �•:.. ui'. zi "fit' 'w,�'r�7"R :VRUBIC'"p,,,. ! SuF;'1�'°T" V4. —De»21 ti Vty. 6Ac(a.) Tial 1 rr- _t oa New constructionDetaolitiOn ' Addition/slttralion/ lacement Other:CiRr,'t r I',�1'h �•xd 'tl o" F 97R C �:.u" rt SFR 1 bath 249.30 ✓ti GYq(� ' _ ' ' 1 &2- l,.n Commercial/tnduotrial S R(2l bath 350.00 _ Multi-Famil _SEE3)bath 399.00 ❑Accessory Building_ �]� flash Additional haatlltchcn 45.00 Masterilde; Other: Au , N Fire s rinkler- ft. Pae ��:.u,4►Q8o5CCE ,F(31p..1P[Gl�.iu1't1 ti:�iu. [f'x�N ' 'i lob sits address: Catch batiNares,:Main 1 16.50 suite A ld �[tpi•tt: — D vcll/leV line/Hench arm C 2 F'ro'eot Narne: QGI G Footia drain(Ila.liacu ft.) Pa c 2 C".ro6S street0irections to job site: Ivtarlufecturt?d home u01.1hes t Wlolea 16.60 arth Rain drain Wmector 14.60 Smit sewer no.linear Storm sewer 110.linear ft Po e 2 Subdivision: QU I'ot plater Static¢ no.UP=R. Pa a 2 Tzx ma arcel�: ,. „ : �«t,,J14� �.Y.• �' #lin � "' .''' fan. ill:w sr �1 i J`1011'•4NEYRKc�; ,•.fit,'l-� A .on valve 16.60 Baoltflmapretelter _ _ _ P4 2 Back+nerr valve 16.60 Clothet wMher _ 16.60 �— Dtshwushar _ 16.60 _ Dtinkin�Fountain _ 16.60 16,60 g ectnrs/� �- Ex V151"I tmk 16.60 ame: _ 16.60 _ Fixtum/eewct cap Add,'ess: ' Fluor dtan/flaor nnklhvb 16.60 Ci /St8t Zi Dr 1!_ CI Garba dla osal �_-__ _ 16,60 r ex: y 3 ' 37r 7 Hose bub 16.60 . ,i ..�.•,w t v.:r 4 CMR _ O "�w° Ice maker � 16.60 Interc tor/ ease trap 16.60 " ame: Medical-Yu-value: S Page 2 Address: �' Primer 16.60 Ci IState/Zi 1421L Root drain eoertanalL 1660 v i . Fax: Sink/basi _n/lavlrory 16.60 IL Phone: ---t T1tWthower/shower art I6.60 E-mail: Urinal 10 taa�.r'•a: I .;tip P' 6.616.60 hco Walcr closet~ Business Name: n 1A jkd Wit'T heaxr 16.60 Address: 17 1- SW i' Other Ci �$tatC/Zi M'M: m � i Phon4—P,9 Fax u _ Subtotal s 0 J CCB Lie, 0; 9 (� Plumb. Lic.#:.:0- y P1' Minimum Perrrti►Fee S-,2.50 S Authorttcd O I^'`3 Residentl.+l eMkllow Minimum Fee 936,25 9lgnarttrc Date: K 1116- Plan Rsvirw(25%of Pctinit Fee 3 Stott Surch 9%of'eUNt Fee S OTAL PERMIT (pk><te porno nerve) _ : FELT L . Notlee: rblt pMrnelt MP111eee6n erttllret if s permit it not obtained-1thle Alt etea cornmert At trwildin regwirr 2 fMM n{p1Aat.>2h •.tisane or rys A&tt has been Aeeeptrd n enmplete, plum meinttr rA: plea y Tr... 196 d •F�t vnthMdeUtt,+tet byTr;-Co.nty Rnllrflne IneaetrySrrvteetlnsrd. istDs��'>'errrttFnrmetPlmPetmiVlpp.doe DIM FEB-21-2003 06:49 503 5a4 'F999 96': P.02 Mechanical Perm;.t Application Received Mechanical CEJ\ j Date/By Permit No: 1-&_v5 Cit of Tigard RE V Plan P.pproval Building Y b Date/By: Permit No.: 13 i 25 SW Hall Blvd. { Plan Review Other Tigard,Oregon 97223 AUG Date/By: Permit No.: Phone: 503-6394171 Fax: 503-598-19 Post•Revir%4 Land Use DaWB . Case No.: Internet: www.ci.tigard.or.us �'� Contact Juns.: See Page 1 for 24-hour inspection Request: 503-63,' AltSi-Ul Name/Method: _ Su lemental Information. TYPE OF WORK COMMERCIAL FEE*Sf HEDULE--USE CHECKLIST New construction Demolition Mechanical permit fees'are based on the total value of the work Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. i & 2-Family dwelling Commercial/[ndustriai value: S See Page 2 for Fee Schedule Accesso Building _ Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE Description -i` I Qty Fe.ea. Total Master Builder Other: — Hentin conlin _ JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning** 14.00 Job site address: _ Gas heat pump 14.00 Suite #: )ice""At. _ Duct work 14.00 Project Name: r Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: for radiator or hydrunic system) 1400 Unit heaters(fuel,not electric) in wall in-duct,suspended,etc. 14.00 Flue/vent for any of above 10.00 Subdivision: G� �j S Lot#: �j Repair nits 12.15 Other Fuel A illances Tax map/parcel #: Water heater _ 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 Flue vent water heater/ as fireplace) 10.00 Lo Ii hter as 4_ 10.00 _ Wood/Pellet stove 10.0(01 Wood fireplace/insert 10.00 _ Chimney/liner/flue/vent 10.00 PROPERTY OWNER TENANT Other: _10.00 are: ✓yx� g/,r� Environmental Exhaust&Ventilation LLI� +mob Range hood/other kitchen equipment 10.00 Address: Clothes dryer exhaust 10.00 City/Statduct exhaustSingle ------ Phone: -fin- y Fax: �7J —�j71 (bathrooms,toilet compartments, El APPLICANT JZCONTACT PERSON utility rooms —6. 0 Name: K, 0K fffAsm Attic/ctawl space fans 10.00 Address ,Or. ocher: � 10.00 Foel Piping- City/State/Zip: M **($5.40 for first 4,$1.00 each addlgonal Phone: %- 7?J-q, Fax: -';17 —M/ Furnace etc. •° Gas heat pump j E-mail: Wall/suspended/unit heater '• CONTRACTOR Water heater •' Business Name: 014 Fireplace ____ •" Address: —"-`M Ran a •• — _ B13 .: WCit /State/�: p 0 Clothes dryer as —� Phone• - — Fax: Other: CCB Lic. #: Total: — Mechanical Permit Fees* Authorized — Signature: _ Dater Subtotal: S —_ Minimum Permit Fee 572.50 S I S _ Plan Review Fee(25%of Permit Fee) S (Please ria name) State Surcharge 8%of Permit Fee S TOTAL.PERMIT FEE S Notice: This permit application expires If a permit Is not obtained within *Fee methodology set by Tri-County Buitding industry Service Board. 180 days after it had been accepted as complete. "Site plan required for exterior A/C units. i\hstsTermit Forrns\MecPermitApp.doc 01103 - PACIFIC CREST SUB)DIVISIOPj +' r L(D-r - 61 CITY OF "T'IGARD i r)UA s ,„�rlclll ., �gnla�ln T1; m ' '�c `� mvluT. 2 1/2• TATARIA4 ,--k i I 1 ( MAPLE ✓ j 1 It I I 1 11 11 I i TEMP.C,sRAvE{. DRI WAY 11 \ 1 I 1 THE APPROACH 5H LL BE P MI MUM OF't8'xl2'x EL.Joe'I `d 11 AN 36ir 1 �aEi 54f ,'CLEAN PIT', 1 ' FT. 3010 i , 1 IN FL EU . 41S 0 •1' 441 11 11 I I IN' I. 0181 I \ 1 I It It (.-j\ I ooM 1 1 )o1, 1 I V”1 Co I I� �f• I j 1 11 � '� I 1 ✓ I 1 1 I '1 ....✓✓JJ I I I SHALL. BE FINISHED OR THE (_OT 4' SURROUNDED BY ER03ION CONTROL 1 \ PRIOR TC BREAK OUT OF r_O!• IUNITY 1 1 I 1 EL-39 ' 1 61 1 ( 1 Wig i EROSION CONTROL. FINISHED SLOPES m V) 11 I, 2 7 2 5 SHALL BE LESS THAN 2 TO I 1 SETBACK REQUIREMENTS scuE 1'.20'-0• I STORMROOF DRAINS TO STORM ' LAT. IN STREET. FRONT ' TO GARAGE 20' ' ' 2. FOUNDATION DRAINS TO REAR YEHr2D I6' I BACKYARD SOAKACsE TRENCH =StU rW� D. . ��orton domes 5125 S.W. r-1a cade- Aveneue rw+oNe �0)]22.aroi Portland C•egon PAX,903JUJIT1 CITY OF TIGARD•S[TE PLAN REVOEW F LDING PERMIT NO.:NNING DIVISION: Not Apprnvrd uired Setbacks: Approved❑ Side: Street Side: Garet Z Rear: Front. �_ Approved ED Visual Clearance: Approved C] Not PP R v Maximum Building Height' X- feet 3 CWS Service Provider Letter Required. 3 yes ve rao v TIGARD e : All- Date: 0 CiT ' O� DIVISION ENGI EERING DEPARTMENT': I l!1!_DINC Actual Slope:s&..% ��proved ❑ Not Approved Site Ilan: Approved Q Not Approved B Uate: Notes: L J I i� i Q M m