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13310 SW NAHCOTTA DRIVE ?ikl V L.L03HVN MS OI££I a a C�~ CL ^ c W � 3 M M w•l 13310 SW NA14COTTA DR u 3 u � G U 0 V � o 0 a g o o 146) u L p� o CL CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICESPERMIT#: PLM2004-00021 DATE ISSUED: 1116/04 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 t 3 3 PARCEL: 2S105DA-16600 SITE ADDRESS: -44�rW NAHCOITA DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 054 JURISDICTION: -f IG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF" WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: P,3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residential backflow prevention device. _ Owner: FEES --- Description Date Amount D.R. HORTON INC 4386 SW MACADAM AVE #102 IPL.UMD] Permit Fee 1116/04 $36.25 PORTLAND, OR 97201 ITAX] R"%State S��rch�rl 1/16/04 $290 Total ;39.15 Phone : 503-222-4151 Contractor: TRADEMARK LANDSCAPES, INC. 18478W WALKER RD. OREGON CITY,OR 97045 REQUIRED INSPECTIONS Phone : 503-631-3890 RP/Backflow Preventer Final Inspection Reg#: PLM 6796 a a N F0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 0 Specialty Codes and all other applicable laws. All work will be done in accordance with approved J 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 Issued By: C'�tiU Permittee signature: �. Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day Building Fixtilres Ogg �/G � CD Plumbing Permit A n IVED City of Tigard JAN 1 0 2004 Received 66 13125 SW Hall Blvd.,Tigard,OR 97223 Date/[) : ' /(' C 3 Permit No.: _U0&i?� Phone: 503.639.4171 Fax: 503.598 I Y OF TIGAH Plan Review Dote/By Other Permit No. 24-Hour Inspection Line' 503.639.4 1L0ING D1Y1S � 1712i Date Reedy/Hv: )urs ® See Pate 7 for Internal. www.ci ligard.cr.us Notified/Medwd: I Supplemental Information TYPE ON WORK FEE* SCHEDULE New construction - ❑Demolition Fors eclallaLrmadon use checklist - Descri tion -r t Ea. Total Addition/eltantion/rcplacement ❑Other: _ New 1-2-family dwellings(includes 100 11.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.20 I-and 2 family dwelling ❑Commercial/industrial SFR(2)bath _ 350.00 - n Accessory building ❑Multi-fancily SFR(3)bath 399.00 Each additional bath/kitchen 45.00 Master builder ❑Other: Fire sprinkler(__sq.ft.) Page 2 .Op:kLL-j�y�-FORMATION AND LOCATION Site utilities dd ------ -- � Job site aress: la t- S, 1� �R Y►LpT"1`CL Catch basin or area drain 16.60 City/Slate/Zip: "r t �� ©✓� ,� cl 1 2_Z3 Drywell,leach line,or trench drain _ 16.60 Suitefbtdg./apt.no.: Project name: Footing drain(no.linear ft.: ) Page 2 �e,��� � ✓�f Manufactured home utilities 110.00 Cross street/directions to job site: .Mt�nt 1 `'tet Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ft.:_� Page 2 Storm sewer(no,linear ft.: ) Page 2 Subdivision: Lot no.: Water service(no.linear ft.: ) Page 2 -- Fixture or Item Tax map/parcel no. Absorption valve 16.60 60CRittio V & WORK _-� Backflow preventerPage 2 Backwater valve - 16.60 Clothes washer 16.60 Dishwasher 16.60 ROPERTY OWNER TENANT Drinking fountain 16.60 - -- Ejectors/sump 16.60 Name: _��v�L�� - Expansion tank ).60 Address: �,(,J O �� a, �L 5�(�t ��Z Fixture/sewer cap 16.60 City/State/ZIP: "L-1 L-.#-r.-4 Q 0��"n 9-72-.5-11 Floor drain/floor sink/hub 16.60 Phone:(56�)'2A Z_Li5 fj Fax:( } Garbage disposal 16.60 Hose bib 16.60 �'' Ice maker 16.60 Business name: rLer1c '4't _ X4 , 1..'meptor/grease trap 16.60 Contact non -pT[UC- b_L 1'S Medical gas(value:S ) i Page 2 IL Address: _YLI-d Primer 16.50 cc Roof Roof drain(commercial) 16.60 City/Stale/ZDP: C �'� 1 O -- Phone:( ,3) SL,t _ Z ' Sink/basin/lavatory 16.60rJ 13 137 Tub/shower/shower pan 16.60 E-mail: Furimll 16.60 m CONTRACTOR Water closet 16.60 WBusiness name: - VhA0EAAad r• � c _ Water heater 16.60 _j Address:Address: «`�I s (�<<�{yr City/StatelZIP: a q ) &-( S Subtotal Minimum permit fee: 572.50 Phone:(S(3 ) c,��-Lv l� J Fax:( ) Residential backflow minimum permit fee: 536.25 CCB Lic.: Plan review (25%of permit fee) t} I l f 3 {M c t►2C�Q03 m ing Li PluE.no. -__ State surcharge(8%of permit fee) p1, Authorized signature: TOTAL PERMIT FEE (Print name: d T C Ut, C-L Lt�- Date: This permit application expires If a permit Is not obta.nes within 190 days after It has been accepted as complete. "Fee methodology set by Tri-County Building Industry Service Board. i\Auildina\PmrnftelP1XF-Pern*App.doe 17/07 M0-4616T(IMa7/(7OM/WE9) Plumbing Permit Application - City of Tigard r" '" V n j,-t Page 2 -Supplemental Information Fee Schedule: Residential Fire ft I ression Systems: Site,Vtilif3es` Qty. Fee(es) Total Sia'-r ermit Fee: Footing drain-I"100' 55.00 0 to 2, ji 1111500 - Footing drain-each additional 100' 46.40 - 2,001 to 3,600 $160.00 ` 3,601 to 7,200 $2220.00 Sewer-1 at 100' 55.00 7,201 and gresler $309.00 Sewer-each additions 46.40 - Water Service- Iat 100' 55.00 Medical Gas S stems' _ Water Service-each additior al MK 46.40 Permit Fee: _ _ � �aivatiou, _ Storm&Rain Drain-Iat 100' 55.00 $1.00 to$5,000.00 _ Minimum fee 572.50 Storm&Rain Drain-each additional 100 46.40 $5,001 00 to$I O,rm.00 $72.50 for the first$5.000.00 and$1.52 for each nNMI s;'„ 11(illl).I i,Total. additional 5100.00 or fraction thereof,to and is - includin $10,000.00. Cott inweial Back Flow Prevention Device \ 46.40 510,071.00 to$25,000.30 $148.50 for the first 510,000.00 and 51.54 for Residential Backflow Ilicvention Device each additional$100.00 or fraction thereof,to minimum permit fee 536.25) 5 and including$25,000.00. Rain Drain,single family dwelling 65.2 $25,001.00 to S50,000.00 $319.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. specially requested inspections-per hour 72.50 S50'001,00 and u $742.00 for the first$50,000.00 and S 1.20 for Subtotal: IL` each additional$100.00or fra ice thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to - accurate) rY eporl,fixtures could result In increased sewer fees. - uanfl. b Akfure W6A Perrormed Fixture Type: Replat* Nmv MovA Ealetlug Capped w Comments regarding fixture work: -Baptistry/Font -- ---- --- _ -.�- - _ _ Bath -Tub/Shower J -Jacuzzi/Whirlpool Car Wash -Each Stall -Drive Thry ----- Cu idor/Water Aspirator Dishwasher -Commercial -Domestic -Drinking Fountain _ -'�--- -Eye Wash Floor Drain/sink -2" _ -Y - -4" - Car Wash Drain IL Garbage -Domestic Disposal -Commercial *Note: If the fixture work under this permit results in nn -industrial N Increase of sewer EDUs, a sewer permit will be Issued a_id ice Separator(G Drains oil Separator t,as station) fees assessed for the sewer increase must be paid before the Rec.vehicle Du Station plumbing permit can be issued. m Shower -Osng raa -Stall _ J Sink -Bar/Lavatory uantitV Total Bradley Isometric or riser diagram is required if fixture quantity -Commercial total is>9. Service -Swimming Pool Filter Washer-Clothes Water Extractor _ Plan Review Water Closet-Toilet _ _-_ Plan review is required if fixture quantity total is>9. Urinal _ Other Fixtures: i.\nuildina\ramht\PI.M-PernritApp due 3103 CITY OF TIGARC 24-Hour BUILDING � Inspection Line: (503)639-4175 � MST INSPECTION DIVISION Business Line: (503)09-4171 /� 8UP -- Received '"Date Requested___. � _ ZC� � AM-----PM--- BUP Location 1 - Suite_ __. MEC Contact Person - J Ph(—) PLM Contractor --___--- _ _ Ph(- ) --.- ___-- SWR --- BUILDING Tenant/Owner -._-__-- ELC Footing ELC Foundation Access: Ftg Drain ELR --- - Crawl Drain _ Slab Inspection Notes: SIT — — Post&Beam ---. _--.-- Shear Anchors --- - Ext Sheath/Shear _. Int Sheath/Shear Framing - --- --- - -- Insulation Drywall Nailing - - - - Firewall Fire Sprinkler - - - Fire Alarm Susp'd Ceiling - -- - Roof Other: PART FAIL IYCTMBING Post&Beam- Under Slab - - Rough-In Water Service - - - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - - Shower Pan Other- - -- n SS PART FAIL - _ICAL — Post&Beam Rough-In - - a. Gas Line Smoke Dampers -- F- N SS PART FAIL - -- - ,CAL - Service W Rough-In - -- --- ---- ---------- ---- ---- W UG/Slab .J Low Voltage Fire Alarm Final ❑ Reinspection fee of$ required before next inspection. Pay at City Hall 13125 SW Hall ON ' PASS PART FAIL MITE Please call for reinspection RE Unable to Inspect-no access Fire Supply Line ADA r20/ Approach/Sidewalk - - ---- --- Other: Final -- DO NOT REMOVE this Inspsstlon Irmmrd from tho job she. PASS PART FAIL CITY OF TICARD 24-Hooir BUILDING � Inspection Line: (503)639-4175 40 MST 3 INSPECTION DIVISION Business Lina: (503)6394171 BUP — Received 13 3/a Date Requested— r �"` _ AM__—_—_—_ PM BUP Location __ _._____ _ Suite�. _—_—_ MEC Contact Person — — Ph( ) S-1 JI '—'13 ce! PLM Contractor, — — Ph(— ) -- SWR — BUILDING Tenant/Owner —_ EL.0 _ ----- Footing Foundation � PLC ------_—__-- Access: Ftg Drain ELR —_— Crawl Drain Slab Inspection Notes: SIT — _--.— Post&Beam -- I Shear Anchors Ext Sheath/Shear 4— _ Int Sheath/Shear Framing -- -- -- ---- -- — Insulation Drywall Nailing — -- — — — - Firewall Fire Sprinkler --- - — Fire Alarm Susp'd Ceiling ---- — — Roof Other: -- —----- — Final — PASS_ PART FAIL PLUMBING _ Post 8 Beam -- -- ----- — Under Slab — --- ---- — Rough-In Water Service — — — ---- — Sanitary Sewer Rair,Drains — -------- Catch Basin/Manhole Storm Drain - — -- — Shower Pan Other: --- Final PASS PART FAIL -- — MECHANICAL Post&Beam Rough-In --- - Gas Line CL Smoke Dampers -- — — p� Final to FAIL J e , RI -- – --- Rough-In _ — UG/Slab � W � -- --- - -a Fire Alarm *Sz �[ t PART FAIL ' Relnspection fee of$_ _—required tmiore next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE:_ _— — Unable to inspect—no access Fire Supply Line ADA Z. � Approach/Sidewalk Daft �I:t--_ Other: _ — Final DO NOT REMOVE this Inspeatian record from the jab site, PASS PAP_T FAIL CITY OF T I G A R,© _ MASTER PERMIT I DEVELOPMENT SERVICES DATIF ISSUED: J/3 03 00264 03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 SITE ADDRESS:7iWW NAHCOTTA DR PARCEL: 2S105DA-16600 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 054 JURISDICTION: TIG REMARKS: New SF detached, Patti 1. BULLDINL DRH3902 STORIES: 2 FLOOR AREAS REQUIRED SETBACKB REQUIRED (,LASS OF WORK: NEW HEIGHT: 35 � FIRST: 1.552 of BASEMENT: 924 of LEFT: 5 SMOKE DETECTORSY rYF2 OF USE: SF FLOOR LOAD: 40 SECOND, 1.426 of GARAGE: 7% or FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 THIa) of RIGHT: 5 OCCUPANCY GRP: RJ ODRM: 4 BATH: 3 TOTAL: 1VALUE: 388.344.40 .970 of REAR: 15 PLUMBING SINKS. 1 WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS. 5 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKrLW PREVNTR: GREASE TRAPS- Of RAPSOf HER FIXTURES: MECHANICAL _ FUEL TYPES FURN<100K: BOILICMP<3HP: VCNT FANS: 6 CLOTHES DRYER: 1 CAS y FURN>»10011: I I-IT HEATERS: HOODS: t OTHER UNITS! 7 MAX INP: btu FLOOR FIIRNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: , -_ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amps 0 -100 anp: WISVC OR FUR: PUMPIIRRIGATION: PER INSPECTION: EA ADU'L 500SF: 8 20, - 400 emp: 201 - 400 snip: tat WO SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 0 401 - 800 amp: 401 - 800 sip EAADDL BR CIR: SIONAIJPANFL; IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: E01 yam pa-1f10pv: MINOR LABEL: 1000♦cmplVOP: PLAN REVIEW BE:;TION Reconnect only: '— >-4 RES UNITS: SVCIFDR»,225 A.. >800 V NOMINAL: CIA ARF-AtSPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMWAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: At.L-ENCOMP BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: 1OTAL 0 SYSTEML. Owner: Contractor: TOTAL FEES: $ 8,992.47 This permit Is subject to the regulatlons contained in the D.R.HORTCN INC D.R.HORTON INC Tigard Munk 1pal Code,State of OR. Specialty Codes and 4386 SW MACADAM AVE#102 4386 SW MACADAM AVE. all other applicable laws. All work will be done in PORTLAND,OR 97201 SUITE #102 acoordance with approved plans. This permitwill expire lf PORTLAND,OR 97239 work is not started-.vithln 160 days of Issuance,or if the 4, work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the t— Pion.: .`03.222-4151 ,loon.: 503-222-0151 Oregon Utilty Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Roo 0: LIC 130859 may obtain copies of these rules or direct questions to OUNC by catling(503)246-1987. m REQUIRED INSPECTIONS f� JErosion Control Insp 8, Posl/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Water Se-Ace Insp Sower Inspection Post/Beim Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwfk Insp Fr oting Insp Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Froting Insp Crawl Drain/Backwater Electrical Service Low Voltage Storm drain Insp Mechanical Final Foundation I Footing/Foundation Dr; Electrical Rough In Gas Line Insp Water Line In3p Plumb Final Issued �� Permittee Slgnatu;a Call (503) 9.4175 by 7:00 p.m. for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00.197 13125 SW Hall Blvd., Tigprd, OR 97223 (503)639-4171 GATE ISSUED: 9/3/03 SITE ADDRESS; t'"W NAHCOTTA DR SITE 2S105DA-16600 SUBDIVISION: PACIFIC(TEST ZONING: R-7 BLOCK: LOT: 054 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: Rernarks: Sewer connection for new SF Owner: FEES _ D.R. HORTON INC Description Date Amount 4386 SW MACADAM AVE #102 - -- - [SWINSP] Swr Inspect 9/3/03 $35.00 [SWINSP]Swr Inspect 9/3/03 $0.00 Phone: [SWUSA]Swr Connect 9/3/03 $2,400.00 [SWUSA]Swr Connect 9/3/03 $0.00 Contractor: Total $2,435.00 Phone: Reg#: Required Inspections IL R m This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The pemtit expires 180 W days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantale the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the;,istaller shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perrn Issued Permittee Slgnature�3— Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next buslne:ss day a7-C--;li 44-10V 3 -00 1 Building Permit Application Received Building Dale/py V1Ztit\bll i Permit No.�t3••UD City of Tigard Date/Planning Other Date/D Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By.dn �5 -�7-0 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 Juris. See Page 2 for \ 24-hour Inspection Request: 503-6394175 Name/Method: Su l!mental Information S opi D b l yd- 3'l 3 5 3<1 3 7 TYPE OF WORK REQUIRED DATA: New construction _Demolition 1&2 FAMILY DWELLING c, , Addition/alteration/replacement M Other: X01` CATEGORY OF CONSTRUCTION Note: Permit fees•are based on the total value of the work performed. Indicate I & 2-17amily dwelling Commercial/industrial the vrlue(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on This application. Accesso Buildin Multi-Famil Master Builder Other: Valuation.................. .................................. .. S–y� ��-M6 — JON SITE INFO TIO a d LOCATION No.of bedrooms: No.of baths: Job site address: E] Total number of floo s..................................... New dwelling area(sq.ft.).............................. 1/ Suite#: /'v'J/0 Bld ./A t.#: Gars a/ca ort area(sq. ft. Project Name: _ Covered porch area(sq.ft.)............................. Cross street/Directions to job site: Deck area(sq. ft.)........................................... Other structure area(sq.ft.)............................ \ — -— REQU r D UATA — COMMERCIAL-USE CHECKLIST Subdivision: #: -- ---_.__.----- Tax map/parcel #: Note: Permit fees•are based on the total value of the 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.R.)......................... --._--- New building area(sq.ft.)............................... Number of stories............................................ _ ['NPROPERTY OWNER TENANT Type of construction....................................... ame: — - N� �1 /� i Occupancy group(s): Existing: New: Address: _ 4 dY' Cit /Stage/Zi : �( ' l Fax: 93 • ,P122~,�1f l? NOTICE: All contractors and subcontractors are required to be Phone:rJ� -,W APPLICANT CONTACT PERSONlicensed with the Oregon Construction Contractors Board tinder El 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: D from licensing,the following roast it applies: Address: ? CL —City/State/Zip: ett ? -- --� OC Phone:- Fax: 3- V ' 5-7/7 — BUILDING PERMIT E-mail: Please refer to fee schedule: J CONTRACTOR _ ap Business Name: t7. k. 111elt 017 IOq e " !-" Fees due upon application............................ wAddress: ��L S J�'XC� Or Amount received........ ................. ................. S_------ -, Cit /State/Zi Q Phone: -q/57 I Fax:eP '�a '�? l? Date received:_____ CCB Lic. #: /: a _ — — -- Authorized //',�n Notice: This permit application expires if a permit Is not obtained within Signa — '/ Date:-I� +�'r 190 days ager It has been accepted a complete. Nry��C r/U �01 f "Fee methodology set by Tri-Counly Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 Mechaoical Permit Application ' Received Mechanical Dates Permit No.: Planning Approval Building City o Tigard Date/By: — Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 1 Datc/Bv Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/BL_ Case No.: Intemet: www.ci.tigard.or.us Contact Juris.: CD See Pag. t for 24-hour Inspection Request: 503-639-4175 NameWethod: — Sur lementol Information. TYPE OF WORK COMMERCIAL FEE*WHEDULE-USE CHECKLIST New construction I'lr.molition Mechanical permit fees'arc based on the total value of the work Addition/alteration/replacement H ��t}ter: 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: $ See Page 2 for Fee Schedule Accessor Buildin Multi-Family RESIDENTIAL EQUIPMENT/SYST S FEE•SCHEDULE Master Builder Other: Description t Fee e,. Total Heatia Caplin JOB SITE INFORMATION and LOCATION Furnace-add-on air conditionin •• 14.00 Job site address:- Gas heat um 14.00 Suite#: !i'�3 Bld ./A t.#: Duct work 14.00 Project Name: ` A N dronic hot waters tem _ 14.00 - — Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Flue/vent for an of above _ 10.00 Subdivision: (/_f' Lot#:- Repair units 12.15 Other Fuel Ap illances Tax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace _ 10.00 Flue vent water heater/ps fireplace) 10.00 _ --1-— Log lighter(gas) 10.00 Wood/Pellet stove10.00 Wood fireplace/insert _ 10.00 Chimne /liner/flue vent 10.00 PROPERTY OWNER _ TENANT 14 Other:_- —V 10.00 Name: _ Environmental Exhaust 6r Ventilation Range hood/other kitchen equipment 10.00 Address: , Clothes dryer exhaust 10.00 f)f City/State/Zip: h Single duct exhaust — rPhone: -) - Fax: - j7y- (bathrooms,toilet compartments, APPLICANT Gff CONTACT PERSONutili rooms) 6.80 Name: Attic/crawl space fans _ 10.00 Fuel Address: & D�—, Other: Piping to.00 City/State/Zip: WnRpt — `•(55.40 for nrst 4,SI.00 each additional - Furnace etc. (L Phone: - Fax: -I T' l Gas heat pump '• E-mail: Walvsu, ended/unit heater " U) CONTRACTOR Water heater '• Business Name: Fireplace •F ��f'LI A'V Range Address: 0o Beq_ - �� --- Cit /Stat('/Zi Q Clothes dryer as Phone• - Fax: Other: CCB Lic. #: Total: — Mechanical Permit Fees` Authorized - -- Subtotal: S Signature: Date:_ _ _Minimum Permit Fee$72.50 S _ Plan Review Fee 25%of Permit Fee $ (Please tin 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 i ri-County Building Industry Service Board. 180 days after it hal been accepted as complete. "Site plan required for exterior A/C volts. i\DSiS\Pcrmil Forms\MecPcrmitApp.doc 01/03 02/20/2003 15:15 5935422909 PASS Ei_ECTPIC PAGE 01. 02/20/2003 15:10 503-222-2675 DR HORTON PDX CONST PAGE 02 Electrical Permit Application Received BIPMcal _WcM-Y- Ptamlt p.: Ci of Tigard I'``""`"g"ppra"i Sto City N%/Sy: f_"7 it Na.: -- 13125 SW Hall Blvd. Piro Review — otnrr Tigud.Oregon 9'223 Doors : Permit^to. Phone: S03-6394121 Fax: 503-598-1960 Pat-Renew t.andvaa faterne- www.Ci.fi and or.aq thre/B . Case No-: g Cettbet luri..: See Page 2 for 24-hour Inopection Request: 503-639-4175 TlartrrJ4tethod: 9u lemesthl Lrforbtatiors tf _, �__77�jr r. rn rl� s' i71rU :'t''7<,o;s�'t'.. K «a;New construction Pemolition o LrVI, °"or 7aS'mPt- 14"10 Yee NOWN Addition/allmdon/re lacement, Other: CO""ne'°la Q Ilavardoor rr 10on _ ❑Sorvite owe]20 arnpa•ra11nF of [�13uit1ind over 10,00D sgturo fee:, !tai �ji"i,;"-)ra'f't Y.O 'q, '''o''iiI:yr:r Sa i!'. _t h 2 firmly e1wtllm� Taut nr mare evidential unlit its I &Z-Family dwell' Carrmteteial/Industrial Sysram over 690 volm rits6rul acv_ImKtwe LJ A%Iding a-or three stweles 0 Ceedms.AM amp%or mmso ACcc95or Building Multi-Faml] �___ Y pOeetrpant load aver 49 pea�ons ❑Manu6iotured rove!uree a Rt/p4rk Mastsr Bui)dor ���Uther: Ca Egress.1100;n2Pier p odwr- aAl:h Submit_ws of plane with any of tho above. Joh site add^tss: The above are not s e�liicaab�ble�Ct�/o}}�wr ra t straMlov terviec. SL11tE#: 'epi '"' :i•:,.:1[t:'i." f:'i 11 .. I ._7'��. ��ire—. •�.r: L;A r / $1QKJA tp #�- Number of inspectious per permit allowed Project Name: //i(if7(/�f YCfif` _ Aac*I en Qq era(oa,t I rent New rMidwdaH4gM or mull family per Cro99 street/Directions to job s)te: daeuin exit.IaeMdcs aasehed garaga, sw-lae iadededr 1000 sq.R,or letS 143.15 4 Fuah !aero 5no ft or n ehermf 13AO 1 Subtiivi5itn1 C `� e"` s.00 1 yi *LYt +�lre�+l 7S,00 f z Tax map/parcel#: Fwsh menufaebtred Noma at modular dweilittR_ ':�'.N �:L9Ge.h�t'���1�•L VRYL_WY/J11f,V VVALti '11'r� �"t•���.•N. �,, �!r"lM Incyor I%edw 9W 2 .N Sorvicec or feeder!.laatellltion, alteration or relocation: 20 am r.or lest 811.90 2 201 ro 4M 6.93 2 401 empa A 600 amp/ 50.60 2 _ lfln) i'i l:, •' art I�!a:v •L't # '''Y 601 101 _ - 60 1 t7vg 10U9 arnp�g m' 454.63 — 2 Nau1e: ,14'q H3�I2Ii1� ���> � > anneatool 66.95 z Address_: ierviecs or fnaden-Instwobeq cttV/5tattl dtcratNn,or relocrttian: oft � _, 200 amps or kss 66 RS 1 P}1one: F lx2 -37i 2 aro 1a 400StoR I00Jo >•>� Tt";' �:;,i;,,,:, �C(3t�tg` L ' >aS J i`jt?1` 401 b o a 113.75 z Eraneb eirtnits-weer,alteration,or Name: e _ etteaslonRrrpanels Address: "'r•eerorhxwhcirer,;owtthpurchmof tetvicc or Noder Lar,"cls brarteh euh 1 1 6.65 1 2 Clt /,r]t2tC/Zl ' - 97 j/ A.Fee 1br branch Loaukm without p uzhaas of !Fite or saver lb--fric bench cimuft a6 f S 2 Phone: ax:62 Y r'1 Eachaddtttooalbnndickoult 665 2 E-moil: Miro,(9tr 1cc ar NW"oat rnctumi l; ' 'IS"►4��IG�}i.. "F�,ft•';ice• ( 7:.r'Mrtwrd:Yl„•.%IdirV tfr vrllnti0n cirolt 17.10 1 j�+ + • .s: 4 $ph.• of outline U1071i" _ 53.40 2 0- JOb No: SiRrutl cvcrtK,q or i�iTmrted.n�+Sy Retire, — Business Name: G Cj altemilarr.ar n`ror.'rwm t t � Address:�5�rt o 5 w 0 I C.*1 oeccrlpoore 'Ci /State/zi . Hi 115 rvo I-D , p/ Each additional Itrsp Gori tnr tkt ollowiMe its pff of the abe"-. J� Phone;QY 7- Z.8 ac3 lac Sea-(. L-S� l ta"v�a'Nstiob �r mm.t tow _ CCB Lic, FS o1 I Lic,*: 3G C. o U' knee .fie ti�lJ ""��;•;R i I A ''itlu'!Ur`tide W Supemaing ele fXiciwn Subtotal -S VF -J si flat rC uireld; Xi- Plat!Review 75'ti of Is Fee S Print Name:5tZv-C Kos 5 1 Lic.#: -13 X.5 I _5tue suroharge(8%Of PM it Peel ,1 Authorized TOTAL FERMT FEE S //�, Notice! ?Itis permit nppliatlea aplras it a permit if net nbtsl"d.virbin Sipnaturtt `� G-1te' IN days after it has beta ateeptod as camplete. 'Fee mathedde sM Tr!Cssys /► /f�/� ���„ ��,� Rr r�r npr 1furld;ag xttdreet!"yServiec RawrA. (P irateprim 02jre)� r:_rvstOern-it parr"\Etc?wrrutApp.doc 01/03 FEB-?0-300 16:15 5036.422900 97% P.02 02/'21/2003 06:53 503-544--5993 CPAFTWOW PLJMBIr1G PAGE 02 02/20/2003 1E:n 503-222-2575 DR NORTON PDX CONST PAGE 02 Building Fixtures Plum bin Permit ApplicadongeNyee Plutnhlna Planning Approval 9�er City of'Tigardnt>l�ar• Perret;t No 13125 SW Hall Blvd. r''''' o paxBv- Pcrmtt No.• Tigard,Oregon 97223 Pote.P ter tend Use Phone: 503-639-4171 Fax: 503-598-1960 DapdB Case No.: _ intemet www.G1."9Rrd.Cr.U1 ctattact lu[v.: S.a Pact lit Z4-hots Lnspeetloa Roquest. 503-639 3175 Nxna+Medmd: BuPPlem•atal inroraulbn .'�,ul'.'iu �i:ir,•+,",i�: ,'VitU %�vl' i ..r. df'i+ Tial +� Demolition Dmerl tiort Qfy- 6ae(a) New ronstnuaon ---X11 qty �yy-Ir, rLJJ Addition/altefationl laaeme:nt Other: cF�'k 1 barb _ 249.20 y 1 &2-Family dive lina C'ot=ercial/industrial SFR(2)bA 350.00 Access_vey Buil Of Multi-Family �qFlR bath 399.00 Master Builder _Other: tach add tionaI bath/latchen__ 45.00 QlilY[.4T[C11V + "^"' Fire 6 rtnkler-29.R: Pee 2 Y Job sial address: Catch baaiNarea drain 16.60 Suite#: 1 r Bldg/A t. p clI/leaoh line/trt nch drain ~ 16.60 Pr,'eot Name' Lf Cl Grp Footing drain nA.lines a. p3EC 2 Cross strect/DirectionS to job si!e; Manufactured home utilities 110.00 Manholes _ 16.60 P,rin drain connector SWitar sew no.lipear t3. P 2 I of Storm sewer(no.linear ft) Pa e 2 Subaivision. Q(/1 �/ �5 t relater service no.linear ft. Page 2 Tax map/parcel#: l' n.4; ,,K 1 _ld� rif" P RBYfr lip s' , M, .:t,"11-1 t, Ab4p tIn va1V! 16.60 Bank)ow orevcatrer _LW 2 Bacicaaw Valve 16.60 Clethec crasher 16.60 Dishwember 16.60 Drinking fountain _ _ 16.60 _ 16,60 -_- ame: � Vf7lY1-_ t�i9n+41 Ex amlm tack 16.60 � t7� FlxritrtJeewa cap - I G,60 Ad&ess. Floor draWRacr tinkAlub 16.60 Ci Stat Zi DY Garb,a c�dla osal 16.60 Phone: }- Fax: } 7-` 371 ? Hose bib 16.60 C mak r, p a*u et 16.60 ' .(�l'1T1i.I Yn �;•c,,, _ �� lee amc: u Interc- tiv ease ua _ 16.60 Medical -value; S Page 2 Address: Priuur 16.60 Ci State/zip: N 17"LL. coemnercial 16.60 7, Fax: S+nkfb•-_Mn av 16.60 a Phone.` TLblshowcrlshower. 1 G.60 p� E-mail: _ 16.60 •.,p' ri,�fCfr�fS�:G'w.:ii�l!_rt 0 tt'r,�,"1 S"'�;to ht Urinal 60 U) c Watts elaSK 16. Business Name: Witer MAW 16•x' _ Address: 77 Z SWI' orbs m Ci /State/Zi O q 700 C, Other 5� %, �� .. ♦ttt� 1� ,'CS1i".� tom:_: Phone: + -PC,9 Fax -f"9P�' (j Subtotal S CCB Lie. #: '� G L Plumb. 1 ic.#:.2p�y Pis Minimum Perrrdt Fee 572.50 S Authortrcd Residential Sackflo.v Minimum Fec 336.25 _ 3lgenrttrc Date. Plan Review 2 ]E 5' �od Pmnit Fee 3 ��,f� �� Staea Stuch >l%of Permit Fee S +este print name) l OTAL PERMIT FEE S Settee: nit per'elt oppllentlen eMiret if*porrait It not ahtslncd withla Atl nm euntniorelat brildlep req.tire 2 of,of plane-Wh 1"Met'lt ne 180 dwt after k has here aeeeptcd at mmplcte r1trr diagram for plaa review. 'Fet methadalatr+ret by W-Comfy ltaitdlnt 1n#vv1?y Sen'1ee 14aard. i•�PsltV'ee-nit FatmslPlmPmnitApp.doe 01107 FEB-21•-2003 06:49 503 644 598'3 96% P-112 PACIFIC CREST SUE3DIVISIC3N LCiT - 54 CITY rJF TIGA.Ft0 nn RECEIV 500054' 00 w f��- JUN 26 2003 r FL-445' ! CITY OF TIGARD 8 Y2 BUILDINC DIVISION 19 fi, ' ' 30 / � 12( EL 1146rF8�N, S FT' e-.et / IJ;'Fy EV .,q T41*1p.4RAVEL DRI)F_W41e i 1 t,r► i i i i ;7WE A ROACH SH}1LL'BE /A MIN 1M OF W X12140' OF C4EAN PIT GR.�VEL o ,, , , i, ! ,� i' ; ,, i �\\ "N ry W LAT 11/1' ruluw STOP., l l WATER l; -4e3' `\\ IL SHALL BE FINISHED OR THE LOT SURROIJNCED BY EROSION CONTROL -.. . ... .�, PRIOR TO BREAK OUT OF C!7h'R'1UNITT EROSION CONTROL. FINISHED SLOPES i ' t•. SHALL BE LESS THAN 2 TO I CD w j 4 �` �. SETBACK REaUIREMENTS I.ROOF DRAIN$ TO STORM LAT. IN-STREET. FRONT YARD TO GARAGE 20' 7 ' 5 1. FOUNDATION DRAINS TO SIDE YARD 5' BACKYARD SOAKAGE TRENCH REAR YE4RD 15' ADDRI155,14510 eW Nllhdoltl Dress PLM,3„Wc INN . ... ortor Homes OCALE,I•.10. .. * t:� IG.� t. DAT:611e/03 5125 S.W. Mecaddlm Aveneue 19dC.T,503711.4151 Portland Ora on PAX,eo»123111 CITY OF T GAR[) - SITE PLAN REVIEW F .IILI)IN(, Pf RMI"T NO.: 5TGGtl�= F'I.d1NNINt_+ 1.)IVIS111N: 'lpproved Not Approved Rvfluircd i -:'kqk /—.e_ -'Ov S I?v S t�arue�. � I�et�t•: �: I r„n�. .l Q Nur Approved Alp�u•:�d 1 vl.�xintum Nuit�linp Hetght tett Y „ (]flu orc,vidrr I.Citet' Re�Iutrr�i: F.V(iINI.F,li1Nt 111:11 An 1 lwed Q No Approved Actuul ShTc: % L rAI P of Apptov�ed Site 111811: I� ApprttveJ R lute: •3 �t�l[�� T►•t..el.,. it n a m W a