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13245 SW NAHCOTTA DRIVE an V1IODHVN MS SKU 0 a a � � I v s z co "'! N M 13245 SW NAHCOTTA DR ♦AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA w ► x ► A o Po. ► A Poo. d. ► I� n 4 PIP. cp." �) pop. V � JON ► N ► oV lip, i ►, / ► A Q 0 > ► a / �- ► ► ► q U ► A P a� � �S u 3 V 3 V � V � f n 0 3 U Qj D o t o MCL d to00 ._ Z U w � CITY OF TIGARD 24-Hour . BUILDING ,� Inspection Line: (503)639-4175 3 e© Z(P INSPECTION DIVISION Business Line: (503)639-4171 C1NS� ,. . � BUP Received �_t.,X Date Requested 31,31,050Z AM PM _ PUP Location Suite L t MEC Contact Person _ _ Ph( ) 51Z "9 3 PLM Contractor — Ph(--) _ SWR v� BUILDING Tenant/Owner — _ ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - - - Ext Sheath/Shrar Int Sheath/^.near — --` Framing Insulation Drywall Naling ---- _ ----- -- Firewall 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 Fi PASS PART PART FAIL --- ANICAL Post&Beam Rough-In _ Gas Line IL Smoke Dampers Fe Final PASS PART FAIL ELECTRICAL Service Rough-In - � UG/Slab W A 0 - -- -- - -r Fire ar na ion fee of$ required before next in A PRAT _FAIL Reins� � - q epection. Pay at City Hall, 13125 SW ball Blvd. r] Please call for reinspection HE:A __ �Y� Unable to inspect-no access Fire Supply LineADA .� Approach/Sidewalk D ?,n- 8"-' 0 y__ lm*eetor-- -_ � _ N L ut -_ Other: Final -----T-- DO NOT REMOVE this inspection r•co from tion fob site. PASS PART FAIL CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST �06 Ze INSPECTION DIVISION Business Line: (503)639-4171 OUP _ Received ___-- Date Requested __� r ,__ _—AM ___PM__ BUP _— Location _— �•� _�� Suite 2� MEC Contact Person _ iljf 2Ph(_--.) �_ JT+1 PLM — Contractor-- _ _____— Ph SWR — BUILDING Tenant/Owner ___- — _ — — ELC — 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 Sprinkler ----- --- -_ --- - __ _. --____-- Fire Alarm Susp'd Ceiling - _- - -- -- ----- - - Roof Ot - - ------ --- --- —__ PAS PART FAIL - ---�------------ --� -- -- PLUMBINGS - Post A Beam Under Slab ------------- - ---- -- ---- 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 IL Smoke Dampers N - ASS PART FAIL -- ---- -- ,:CTRICAL -- Seryce Rough-In (� UG/Slab ----_-_ ----------- WLow Voltage --___-•- --_-- -- ---- r-Ire Alarm F'nal Reinspection fee of$___.__-_-_required before next inspection. PASS PART - FAIL �-I p Pay at City Hell, 13125 SW Hail Blvd SITE U Please call for reinspection F,r=_: -__,- -._ -_- n Unable to Inspect-no aecem Fire Supply LineADA .� Approach/Sidewalk Dry iewrtt Other: Final DO NOT REMOVE this Inspection record fr011ii UN job site. PASS PART FAIL CITY ITY O F T'G A R D —_ MASTER PERMIT PERMIT#-. MST2003-0022.8 DEVELOPM NT SERVICES DATE ISSUED: 8/15/03 13126 SW Hall Blvd., flgard, OR 97223 (503)639-4171 SITE ADDRESS: 13245 SW NAHCOTTA DR PARCEL: 2S105DA-17200 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 060 JURISDICTION: TIG REMARKS: New SF detached, Path 1. BUILDING REISSUE: DRH3562 STORIES: 2 FLOOR AAEAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIP.ST: 1,380 of RASEMENT: 830 of LEFT: 5 SMOKE DF.TECTOR9: Y TYPE OF USE St FLOOR LOAD,. 40 SECOND: 1,352 of GARAGE: 645 of FRONT: 15 PARKING SPACES TYPE.OF CO"I 5N DWELLING UNITS: I THRI) of RIGHT: 5 OCCUPANCY GRP it, BDNM: 4 BATH: 4 TOTAL: 2.732 of VALUE: 365,584 50 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TKAYS. RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWAS4ERS. I FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBBHOWER9: 5 GARBAGE DISP 1 WATER HEATERS: 1 WATER LINES: 100 SCKFLW PREVNTR: GREASE TRAPS: OILIER FIXTURES: MECHANICAL —FUEL TYPES FLIRN<100K: ROILICMP!3HP: VFNT FANS: 6 CLOTHES DRYER: 1 GAS FLIRN>00011: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAS OUTLETS: 4 ELECTRICAL -- _ RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDER3 BRANCE CIRCUITS MISCELLANEOUS_ _ ADD'L INSPECTIONS 1900 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: WISVC OR FOR: PUMPARRIGATION: PER INSPECTION: EA ADD'L 5009F: 7 201 400 amp: 201 - 400 wnp: 1Pt WOO aVcIF DR: SIGNIOUT LIN LT: PEP.HOUR: LIM!TED ENERGY: 401 600 Prop: 401 - 400 amp: EAADDL BR CIR: , , ' 'PANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 401+amPP-1000x. MINOR LASt- 1000•amph,olt PLAN REVIEW SECTION Reconnoct only: >=1 RES UNITS: SVClFDR>-228 P.: *800 V NOMINAL: CLS AREAA3PC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL — S.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMMAGING: OUTDOOR LNDSr LT: BURGLAR ALARM: OTH: ALL ENCOMP BOILER: IWAC: LANDSCAPEIIRRIG: PROTECTIVE 91GNL: GARAGE OPENER: CLOCK: INSTRUMENT; PON: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL A SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,791.33 D R NORTON INC- PORTLAND D.R. NORTON INC This permit is subject to the regulations contained in the 4386 SW MACADAM AVE#102 4386 SW MACADAM AVE. Tigard Municipal Code,State Specialty Codes and all other applicable laws. All woo rtk,will will be done in PORTLAND,OR 97201 SUITE#102 accordance with approved plFins. -n.is permit will expire if PORTLAND,OR 97239 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION LOregon law requires you to follow rules adopted by the Phone: Phone: 503-222-4151 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Rog 0: LIC 130859 may obtain copies of these rules or direct questions to OIJNC:by catling(503)246-1987. r REQUIRED INSPECTIONS (� Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp W Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final r Footing InEp Crawl Drain/Backwater Electrical Service Low Voltape Storm drain Insp Mechanical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace WT Servvl Final Issued By : Permittee Signature Call (503) 6394175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00178 13125 SW Hall Blvd.,Tigard,OR 97723 (503)639-4171 DATE ISSUED: 8/15/03 SITE ADDRESS; 13245 SW NAHCOTTA DR PARCEL: 2S 105DA-17200 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 060 JURISDICTION: TIG 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 connection for new SF. Ow,,er: FEES D R HORTON INC- PORTLAND Description Date Amount 4386 SW MACADAM AVE #102 PORTLAND, OR 97239 [SWINSP] Swr Inspect 8115/03 $35.00 [SWINSP) Swr Inspect 8/15/03 $0.00 Phone: 503-222-4151 1SWUSA]Swr Connect 8/15/03 $2,400.00 [SWUSA]Swr Connect 8/15/03 $0.00 Contractor: Total 52,435.00 Phone: Reg#: Required Inspections IL F- Chis Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date isstiec'. The total amount paid will be forfeited if the pe,mit expires. The Agency does not Wguarantee the accuracy c` ,side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in alp -tions from the distance given. If not so locate;, the installer shall purchase a"Tap and Side Sewer" Permit and It ncy will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notifica ;un Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (P03) 76-6699. k_- Permittee Si Issued by: nature:'i1 1 i� '` , ���� gkAAN e - Call(503)6394175 by 7:00 P.M. for an Inspection needed the next business day Building Permit Application rReceived Building /B 05 Per ut _2_ RECEIVE) Planning Approval Other .` l City of Tigard Date/By: Permit No.:0wkko5-w 17 eU+ 13125 SW hall Blvd. Plan Review Other Tigard,Oregon 97223 _���,1+� I Datc/By: MAV �-S-CJ Permit No, Phone: 503-639-4171 Fax: 503-55fa� 960 Poet-Review Land Use Date/By: _ Cue No. _— Internet: www.ci.tigard.or.us 1 1 OF T1 Contact J See Page 2 for 24-hour Inspection Request: 503-63R}�nlN ; DIVISION Name/Method: Supplemental Information TYPE OF WORK REQUIRED DATA: �. New coristruction _ Demolition i 1 &2 FAMILY DWELLING _Addition/alteration/re lacement Other. CATEGORY OF CONSTRUCTION Note: Permit fees'arc based on the total value of the work performed. Indicate I & 2-Family dwellinm U 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 Buildi� Multi-Family --_. Master Builder M Other: Valuation........................................................ 1;_ �� I _ JOLT. L'FI INFOR TION and LOCATION _ No.of bedrooms: No.of baths:--f-- Total aths: --- ---— Total number of floors..................................... _ Job site address: ! rZIFF New dwelling area(sq.ft.).............................. __a—ATUA, Suite#: _ Bld ./A t.#: Garage/carport area(sq. ft.)............................ Pro'ect Name: L �re�,� Covered porch area(sq. ft.)............................. Cross street/Dircetions to job site: Deck area R.).... ................................... -- - ..— Other structure (sq.area(sq.ft.)............................ it [ll SIS DATA: COMMERCIAL;-USE CHECKLIST Subdivision: ����CS�—_.�=Lot - ---- Tax map/parcel #: Now Permit fees*are based on the total value of the work performed Indicate DESCRIPTION OF WORK the value(rounded tc the nearest dollar)of all equipmcnt,materials,labor. overhead and profit for the work indicated on this application. Valuation......................................................... S Existing building area(sq.ft.)........................ -- New building area(sq.ft.)............................... Number of stories............................................ PROPERTY OWNER — ELrENANT Type of construction....................................... Name: m - In-6- rql �� Occupancy group(s): New:Existing: _ Address: — — Cit NOTICE: All contractors and subcontractors are required to to Phone: ' W-��' Fax: 3 0 licensed with the Oregon Construction Contractors hoard under APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Nanie: aLr'// 1146 - jurisdiction where work is being performed. If the applicant is exempt Contact Name: NI 1 D 1( h%AcV P, from licensing,the following reason applies: IL Address: _ 5W ly(�.!� fiJ_& — p� City/State/Zip: "ppj —� If IP/ Phone: - / Fax: - A;,_- � r, E-mail: `fee, skd CONTRACTOR fa0 Business Name: V. - h /he �rf10G� Fees due upon application.............................. W Address: L 5/ In [j� i 07-- City/State/Zip �p/ Amount received.......... ..... . ..._ .. .. ._ .. S Phone:. -.yam Fax: 03" k,?p-31 11 Date received: CCB Lic. #: p !` --- Authorized Notice: This permit application expires If a permit is not obtained within Signature: Date:_— 180 days after It has been accepted as complete. N1 "Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Ds!s\Permit Forms\BldgPermitApp.doc 01/03 02/20/2003 16:15 5935422990 POSS ELECTRIC Petl-,E 01 e 02/20/2003 16:10 503-222-2675 DP NORTON P17x CONST PAGE 02 Electrical Permit ,app canon ;Ucelv<d & a oi, wt eit`al : ss S, t'lannfng Appmva sin City of Tigard D,„ aril No.: 13125 SW Hall Blvd. pian Review otter Tigard.Oregon 97223 '_S!!y: pamtilNo. Pbono: 503-639-4171 Fu: 503-598-1960 Pat-Rewew Land vac Internet evwn.ci.tiattLor.ua Dar . Case No.: — cenw, ler; ® see ra1!o 2 for 24-hour Insp^ction Request: 503-639-4175 NarrrlMattWd: 9u lemmtal lnflrnnation 1:j:k"iC1yn'.d►'' TXPE:flI?i U -."11 JW' ''iJ," Rt14F►taVt{ I "+' New constriction Demolition 0 service over 225 ampa- xaahr-cm Notlity Addition/altcmtior/r lacemenc I I I father: C0mmerola O}la>ardour lomion ❑Sorvtes ovrr 320 amps-mine or Q'9uilding over 10,000 square kr•, l:}IN11'r'ii i;''":C�71TEY OrAl". j'y ''+" +;'S +` i�!4!. 1 aL 2 ramlly dwelling+ Cour arrtnte mt dential units in 1 &2-Family dwell Carnmematlndustrial Systam over 600 volts normnal one tttueuae ®Building over three Rbrles ❑reedTrs,a0D ampw or nlom ACCCSS29$W1c1171� Multi-FaTni1 []Occupant load over 99 p1mons ❑m3ru6 mored wuclues or RV Park Ma6Uor Buildor �Othe-r; [_j F6ress/110 ng pun []oNt' tL9;ir '' fU IS 1ATIl N<<fid,'LO4 f4Ti0114':>•:�•s I:+' ';@;� Stlbrnit_ws of plans with any of the above. The lbovs Are not a r fGe.r le to m rat a tedrael100 ferviee Job site add3rss: — - j e+ , tJ fK;;)ft-4(n► ' '�E ,. J'��5'J� J��uL�r� _ :�,.1(4+ suite#: Bld�/Apt.#; — ►Yumber din. ertwua er ennit alkwed Project Name: �i( �j GYM Descrl an Qq Foe(os.) Telor ranitimtkilibtfte or saabl-hrtu'ly per Ctv99 s�eet/Dlrecttion5 to job site: dwellhrt adit Iatttedes artatltrd earaRa $ammo 409dedi 1000 sq.R.or lens _ 145,IS 4 __ Ea ^on 1a�00�jQ�R orpffion�thrr'fat 33.40 I Subdivision: C Lot#: - tf s.00 3 Tarr.map/parcel 0: Mtar Y al 7s o0 1 euwk manu5+ceaed fwnm er nletlu►v dwoninQ "n' "Atm 1 t+, ,a, servk-a=Yor reeder 9fL90 •.D,E9t`'Rt7ca,�_ul�_�7i7,�'.WOB$i' ,!." SerOces er reederr-IaatNlitlon, altervion or relocation: ro!g unpr.or less __�_ 80.90 2 to 400;tater_ 106,85 2 �p�t� s 10 no _ 40.b0 1 L„`_ I!I^( +i 1� :' .�1( I�''':i�q'+i 31'''I�';.,. :".. V W 1000 pn 60 2 Narne: ^1�1(11��/ � t000 a,r�a�l� 454.65 r_ 2 T t Reeatnaatonlr 6685 2 Address: Temporwy nerviree of reeders-Iattallause, CIh1/$t3tP�1 alteratls n,or relocation: 1 Q� /7�� 200 amp?or lea 66.85 1 Phone: Fax -��l '371 10 m „n — 100.30 : - C('1L5aTdjlS i(: .• 401 b 600 amps i 113.75 2 G $reach efreolts-new,alteration,or Name: ateasleo Par PINAr AddrC65: 2 ��CCt & Ave #1 Q2-- ti rte!viic or t ode rf2 .:sen bane Scoarrt C,t�Statt:�Zlp: B.Fee FM b"Wh chnuhs without p+rrehaaa of tNVicc or Dodo fbr ure btb uit /6.85 3 Phone: ��( 'j' fJf' /'1 Each additiocalbrambcirault 6GS 2 E-mail: NILW.(3crvfc or flt+odcr tuft mchfdolfl: ul'ri SSS IIQ1110 I MY:. _ y 0r ifrtlatM elMle J3,� 2 IL -1C Blah w outline I — 53.40 ��qz Ix Job No: Silml circrnt(g)to a I mited eenrBY panel, N Business Name: G Uar a.nsena;an 3 AddJ( :-2 31/0 s w o ► c.N Ci �State�l �}!�i Stop V't9 r Q/ Each additional imrfeetioa ever the oUr-able ie of the airvre: itt ho min.(hoW) m Phone:W/2- 2-VOC) PaX:Sb3-r.yL-5-af s Io.ari rWoo ear CCB Lic, N: W K a l Lit:.a: _y Omer: -1114 - W �,.e1! t`S�i`IE'f 1 Rrt J supervising electriOnn si ttye required; c Plan Review 7st of P subtOtnl S errtlit Pee S Print N&me:5ttK Kos 5 LUC.t/: Y-13 X State surohar&C(§'%0(-PMMt Pee I— A -` TOTAL PtRmT FEE , S AdthOriaCd NOW*! Tkis permit applieatle■MIM:f a permit k not nhhlnod wirNn Sfattemre: it Dater-a LOA days of crit hae acea oteeptod at.nmplele- All 610/� - •far ntelheAeleity tri by Trs.Cearrty Ilu3dio6 9adetst-y servlet Ooard. c (rleaeoprint oaWe) ! t i:lDst0ertrritPormslE10an Orp.dar DUO FEB-20-200 16:15 50.364J2900 97:: P.02 92/21/2993 OG:53 503-644-5399 CPAFTtdOPkPLUMBIH13 PAGE 92 02/20/2003 16:09 503-222-2675 DR HORTal PDX CONST PAGE 02 I Building Fixtures P1unnUin Permit A UCAfiOn �ptannine tved � 7 PI��m3 / ��AI City of Tigard !-D"k/$y:, - p�itNo: P1.n Rewe otlxc 13125 SW Elan Blvd• Dax/D rnrmt!No. Tigard,Oregon 977.23 Pnt.PM ew Lena vee Phone: 503-639-4171 Fax: 503-598-1960 Dotyp ; I Ca+eNo.! hitt,.: 7s.o r.t♦e I res Internet vfww.ci tigard.tx.u! Narr Mrshod: Ru lea,antal Tnformetien 24-hot1rInspection R cqucsr. 503-639-4175 - �--^- _ ,� ,,r.�,•� ,ryG,,rr,�.,.5.ti : , A'CO`11r f." .�.��p :/'��,• ��/ Dnseri five lrr• te(n. Tenl J•.• It'•tl) l't't'�t�/d:��i J[RIYJI' Rl�. VI f t tl New construcnan _ Dt*molitinit n Other: arns 'till Addiio /sltt ;r f+�� �Yp'r j't1 ;� Jnr• '' Ear EGr3R:S*1�E. 97R'C t:I s ? SFR I bath 149.10 1 &2-Famil dw+tll:n [j Commercial/lndustrial 5FR(2 beth _ 350'00 399.00 AccessoryBuildin Multi-FaTrO SFR 3 bath Each additional b■tldlotehrn s5 n0 Master 13uildcr [�Other: Pae z Q1>"1IP[ayrIC11V, ai I01• +I!""""`' Fire c rW(h>- ft: 1:1.,::,;:J.;4 oul E , mt. Job site address,: Gated batirVum drain suite 0: Bld 'A t•t+: p c11/leaoh fine/trench titein 16.60 Fro'eot Name: Gi C/ G�' _ FooMa drain t1o.linter @. _ Pa 2 Manufactured borne utlllties 110.00 _ Ctv6s stTect/Direetions to job site: 16.60 Manholes 19.60 pain dfaln cotmrctot Satlitar sr•�tt nn.lister @� Pa c 2 _ S+onn sewn tto.linear R Pate 2 subdivision: AU Lot ' Water 5ervlee no.lincat n. Pa 42 Tax ma arccl#: ,� 1�o+�r L. " 1 :r RS 'N. ,�t'r"h e:r '` AbtcMtivn valve �.-_� 16.60 !-Backflow ptevenrer P 7. -- Back-Vista valve _ __�__ __ _ 16.60 Clothes washer _16.60 DL�ttwaaber 16.60 Drinkingfoumtin ^� i6-60 �" n ', �;.,�1- y�, r � .!�i1 ,Ypl�nir,.ir'• ' E ectur5hftrtn 16.60 amt: �'��t 1 Ex anion tank 16.60 16.60 Addrs : Flewcr cr 16.60 'JA� oordrnRoh city/stat Zi DY �J Garbx dl�-- 16.60 Phone: - r Fax: y j- 321 '1 Hoge bib 16.60 iy• C S 5012' �*�'; 1,p molt ---_-_ 16.60 Int tor/ else rM 60 ame: ( _ _ Medical value:S__ J PHAP 7 Address: t6.6o Ptin+ct Ci istate/Zi H Boat;drrn(� __ _ 16.60 a Phone: 7 Fez: Sink/basiru<<v 16.60 jL'b/showp;ahoWn ire:+ 16.60 E-mail: urinal16.60 "';; flCCo t r0'.I f"d s ilia• 16.60 VJ arcs rt 16.60 Business Name: water heatcr Address: 77 1 S w r other J City/ V 9 7Gb C tx�er m �L ,. �1' .�, „. y.��..ax: ",,. f'i 111eifi" r++�0 -S 9Q'q` " - c7 Phone: C4 Mo F _ subtotal- s w CLg Lig. N; (�G Plumb. Lic.#:-2p- yPJs wn� im`umPermit Fee S72.50 S J Authorized 3/d Residet>tfal 9atkllo+v Nltnrtnum Fee 336.25 _ 9l8naturc Dater Plan review 25%of Pcnnit Fee 3 Star Q 5archar (9%of Perrot Perrot Pee E - +case prise nerve) TU'EiL PERMIT FELE S ttint{tt: tbit perwtlr■pPllc■Wt11 etplrrs if a p@r1njt is not eonlncd wltble rAll'etasnD ferip1 b,ndicn.rrFI 2�h e(print w"h t»Afelrlt er- 190 dsrt sAep tt hill Deem seeeptr<d as mmplcta �Eer methertel�C!xt br Tri-Co+ny Arrllding IMeetry servile lsserd. i,\DtUipctmlt FotrttslPlmrcmitApp,doc 01/03 FE13-21-2003 06:4? 503 644 5999 96% P.02 1Vleelianieal Permit ApplicationReceived // Mechanical V Date/By: 05 Permit No.: Cit of Tigard Planning Approval Building Y g Date/By: ?cnnit No.. 13125 SVA,'Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: — Phone: 503-639-4171 Fax: 503-598-1960 Post-Review I-And Use DatcfB : Case No.: Internet: www.ci.tigard.or.us2i k Contact Juris.: 0 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. _ TYPEOF WORK _ COMMERCIAL FEE*SCHEDULE-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/Industrial Value: S _ See Page 2 for Fee Schedule Acccssory Buildin Multi-Family RESIDENTIAL EQUIPMENTISYSTEMS FEE*SCHEDULE Description LQtY I Fc (ea.) I Total r Master Builder 0 Other: Heating/1cooling JOS SITE INFORMATION And LOCATION Fumace-add-on air conditioning•' _ 14.00 Job site address: Gas heatum _ 14.00 Suite#: Bld ./A t.#: Duct work �� 14.00 PTo eCt Name: Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: for radiator or h dronic system 14.00 Unit heaters(fael,not electric) (in wall,in-f,uct,suspended,etc.) 14.00 Flue/vent(for any of above) 10.00 Subdivision: Lot#: Other Fuel Appliances Repair units 12.15 Tax map/parcel #: _ Water heater 10.00 DESCRIPTION OF WORK " _ __. Gas fireplace 10.00 Flue vent water heats/ as fireplace) 10.00 Log lighter as 10.00 ---- Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/line flue/vent _ 10.00 PROPERTY OWNER TENANT T;'' �""' Other: _ 10.00 am e: & Environmental Exhaust&Ventilation Address: Range hoodlother kitchen equipment 10.00 �# Clothes dryer exhaus+ — 10.00 City/State/Zl 1' Y n_1— Single duct exhaust Phone: �1?3- Fax: - l�j-��l (bathrooms,toiletcornprrtments, APPLICANT CON'T'ACT PERSON .` utility rooms) 6.80 Name: Attic/crawl.space fans 10.00 Address: & D� _ Other: 10.00 - Fuel Piping _ Clt tate/Zip: j1 ,� _ ••(35.40 for first 4,$1.00 each additional) _ Phone:X221 "FaX - r — / Furnace etc. •• Gas heat pump " E-mail: Wall/suspended/unit heater '• CONTRACTOR fy, Water heater •' Business Name: 0/11� /.1 _ Fireplace •• .J Address: ��� Range •• m� BBQ City/State/Li 7 Clothes •. d�er�g>u�!_ Phone - — Fax: Other: _ •• Tntal: Authorized - Mechanical Permit Fea• Signature: DaterSubtotal: S Minimum Permit Fee 572.50 $ Ali Flan Review Fee 25%of Permit Fee) $ har a 8%of Permit Fee S _ (Please min State Surc name) _ TOTAL PERMIT FEE S Notice: This permit application expires If a permit Is not obtained within *Fee methodology set by Tri-County Building Industry Service Board. Igo days after It has been accepted as complete. **Site plan required for exterior A/C units. is\Dsts\Permit Forms\MecPermitApp.doc 01/03 PACIFIC CREST SUBDIVISIC)'N CI'T-Y C)F'..';'IGARD fitt 1') WA 7E tt+ I ✓ �• ; ,1 411• IIIA :fl f'I•)1I1f�7��� -- di O 1 I 1 �1 I 1 I / j "1 `�2• T� ,R 6ML LAT. I i APLE ' 1 11 1 ' 1 I I 1 / 11 •� 1 t 1 I 1 i i i 1 TFhi�. L DRIVEWAY THEi'1A CN SyALL BE PLAN : 62 A MUM ;P<J2'x2O' EL-39,k) jS41NT.135 L I ` O OF CLEAN Py GRAVEL 1 1 I I i i G-'Q`�R�AGE 1 I i 5QFT. 62P li li i , 1\\ 11 �I 11 II FIN SEL 4� + +" EL 419• 1 1 1 + + \ 1 1 1 I 1 t + \ It �� 11 11 S+� ,•.i I 1 I 1 1 1 � I SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL \ PRIOR TO 151REAK OUT OF COMMUNITY EROSION CONTROL, FINISHED SLOPES SHALL BE LESS THAN 2 TO I J 6 O SETBACK REQUIREMENTS scut 1•m o' I.ROOF DRAIN STORM LAT. IN STREET, FRONT YARD TO (SARAGE 20' Q c 2. FOUNDATION DRAINS TO SIDE YA,�` 5' 5 1 7 O F BACKYARD SOAKAGE TRENCH REAR YEAS 15, APLAN.36245 OW N•hGoltsDrew D.R. Horton Homes PLAN 35r7D Or-ALE,1'.20' DATE:50/03 5125 5.11. Macadam Aveneue PHONE,503222.4151 Port land Oregon I•A,x,5031"„11 C,Tv OF TIGARD- SIT Ply K�-VIEW r;CA- PERMITNO•: ING DIVISION: N�,t A paned d Set s: Approved Q re: Street Side: .--Garage: �.(3Reitr:. -J..5-. A ruv`d ❑ Not Approved Clearance:um Building Ilei it L=`feet ('\SVS Service Provider Letter Required: Q❑ Yes No {i�: J2.rP�l�«^a--1 Date: 7 { f`�t►I f_ERIN(i )L•PARTMLN'1: Nut A timvt'd Actual Slnpe: e19 % fAPproved n Approved Approved roved ❑ Not Approved Site I Ian: D 1 [' [lv: Notes: F- C7 J