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13455 SW NAHCOTTA DRIVE l � 13.455 SW Nahcotta Drive Cf i ' OF TIGARD 24-Flour .;UILIJINO Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)f;' -4171 MST ' 2 BUP _- Received ____—___Date Requested ✓ _... AM____-____ PM OUP Loc,ition - �1 ✓ S L Suite _ MEC --------------------- Contact Person ---------- - -__-- Ph( ) SI q 9 /- P. M --- ---- Contractor _- - -_ —._-- - Ph(--) —__-- - -_- swR BUILDING _ Tenant/Owner Footing Foundation ELC _ Access: Ftg Drain FLR ------ Crawl Dain Slab Inspection Nate,: SIT --_- --- -- ------ -_-- Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear F,aming -- -_ Insulation Drywall Nailing Firewall 'orinkler - - - ---- -- _ ;arm d'd Ceiling ------- of Other: l — - — 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_ - - _-- MECHANICAL Post&Beam - -- Rough-In Gas Line Smoke Dampers ----- Final PASS PART FAIL — ELECTRICAL Service Rough-In UG/S'abFi— - - -- - - OYV V0-Jfa� ��►'� � re Alarm - --- - _ �l PA PART FAIL Lj Reinspection fee of$---- _required before next Inspection. Pay at Cly Hall, 13125 SW Hell Blvd. Please call for reinspection RE:_ __ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Other: _ Final OO NOT REMOVE this Inspee lon recor from the job site. PASS PART FAIL r ._ter J Geopacific 17700 SW Upper Boones Ferry Road,Ste. 100 Portland,Oregon 97224 Tel(503)598-0445 • Fax(503)598-8705 March 25, 2002 I GeoPacific,.lob No. 99 OR 2791 D.R. Horton 5125 SW Macadam Ave. Ste. 145 Portland, OR 97201 Fax No. (500222-3717 Attention: Mike Loomis SOIL ENGINEER'S SUMMARY AT CONCLUSION OF EARTHWORK PACIFIC CREST CITY OF TIGARD, OREGON GeoPacific Engineering, Inc. conducted on-call testing and construction observation services for the above-referenced residential development during the development construction portion of the project The purpose of this report is to provide a summary of the information generated from our services and to make general conclusions regarding the adequacy of the earthwork for single-family home development. This report does not supersede any actual soil observations made during single-family home construction. SITE PREPARATION AND FILL PLACEMENT Based on our site observations during construction, after clearing of trees,adequately stripping vegetation and topsoil and root removal and picking as necessary, engineered fill was moisture-conditioned, placed in lifts and compacted to a maximum depth of 15 feet on the following lots: Portion of Lots 2, 6,22,28 through 65 and Parcels A through D GeoPacific reviewed the depths of stripped subgrade, ItE !ion for engineered fill and keyways and subdrains as necessary. The contractor checked hori:. iiwits of the work areas. Based on our density tests, the fill on these lots placed by Excel Excavation was adequately compacted in lifts to a minimum of 90 percent of the maximum dry density obtained from the modified Proctor. A summary of our test results for the project is attached, including tests for streets and utilities. ROCKERY RETAINING WALLS Several approximately 4 to 8 foot tall walls were constructed by Greg McCloud, an experienced rockery retaining wall builder. The walls were constructed on Lots 5, 10, 12 through 15, 17 through 19,23, 53, and 57. GeoPacific observed the walls Intermittently during their construction. In our opinion, the walls were constructed in general accordance to our design and in accordance with local standards of cr struction practice. It should be noted that boulders walls, like many flexible wol! systems, should be expected to move slightly before the retained soil reaches equilibrium. Bouldc:walls are highly dependant on the skills of the builder and properly constructed bouloor walls should have a very low probability of requiring localized future maintenance. Footings for homes should not be constructed on soils supported by a boulder retaining wall. We recommend a minimum horizontal setback distance from its face equal to Pacific Crest Project No.99-2791 Page 2 the vertical retained height of the wall plus 5 feet. Footings closer than this distance will likely nee-J to be deepened and should be reviewed by a geotechnical engineer. SLOPES Based on site observations and the grading plan by Westlake Consultants Inc., many of the lots are on sloping ground, either naturally occurring or as a result of fill embankment. The fill embankments were generally constructed per project specifications and the geotechnical engineer's recommendations. The fill slope on Lot 54 is currently slightly steeper than 2H:1V, but need not be corrected because the future home is expected to retain the slope. ;The following lots should be reviewed for footing-to-slope setback issues: Lots 28 through 66 t These lots are on sloping ground and many will likely be planned for daylight basements or tall crawispaces. Excavation of a minimum of four feet is to be expected on sloping ground to reach adequate bearing soils. BUI1 DING EXCAVATION Foundation excavations should be carried through any rain-softened fill or loosely compacted excess soils placed over the surface of the lots, and any soft or organic native soils. Based on our hand probing obsurvations and discussions with the contractor, the above listed engineered fill areas have generally received an average of 12 inches of uncompacted fill on their surface, but other lots also may have existing topsoil and some disturbed soils. Because of the difficult geometry of the site and the fact that a good portion of the construction occurred during the winter months, some localized areas of lesser compact and inadvertent fill can be expected to be encountered and are likely Inevitable. Our final site review did not discover any of these areas. For prolonged wet weather conditions, we expect that some mucking of rain softened soils, or placement of a thin layer of compacted rock fit; may be necessary for improve J spread foundation support and protection of the subgrade. FOUNDATIONS The proposed residential buildings will most likely be founded on shallow spread footings bearing on competent native soils or engineered fill. Spread footing design and construction is expected to conform to the Oregon One and Two Family Dwelling Specialty Code. For protection against frost heave, spread footings founded on medium stiff, low organic native soils, and engineered fill on the above listed lots. Spread footing embedment should have a minimum embedment depth of 12 inches below e•,,terior grade and have a minimum width of at least 12 inches for single-story 15 inches for two story, and 18 inches for three story homes. Minimum steel reinforcement should consist of two horizontally continuous No. 4 bars in continuous footings and one In the stem wall. Based on our observations and the recommendetions In the above-referenced report,competent native soils or engineered fill are considered suitable for support of foundations to a maximum allowable bearing pressure of 1,500 Ibs/ft2 and a maximum column load of 40 kips. For greater loads, a Soil Engineer should be consulted. The coefficient of friction between on-site soil and poured-in-place concrete may be taken as 0.35 (no factor- of-safety included). The maximum anticipated total and differential footing movements (generally from soil expansion and/or settlement) are 1 inch and 3/. inch between two adjacent footings, respectively. A sufficient crawlspace low point drain should be provided and may outlet at the back of the lot. Paye 2 of 3 Pacific Crest Project No.99-2791 Page 3 CLOSING AND LIMITATIONS Our reports pertain to the materials and locations tested/inspected only. This letter should be made available to each housebuilder in the development. This letter should not be construed to relieve or lessen the responsibility of the earthwork contractor or owner for site work, but is provided to meet the minimum required governmental assurance in accordance with local engineering standards of practice. Our services were provided on an as-requested basis. If conditions are encountered during foundation excavation, which differ from this report, then the developer, the earthwork contractor, and GeoPacific should be allowed to review the condition before corrective action is taken. Corrective work performed by the builder without notification of the above parties will be considered as an acceptance of the conditions encountered. It is the housebuilder's responsibility to educate homeowners for reasonable expectations on foundation performance and standard levels of acceptable concrete cracking. Density tests taken on public improvements are provided, however, GeoPacific provided no inspection or design of public improvements. We trust this information meets your needs. If you have any questions regarding this report, please call. Sincerely, GeoPacific Engineering, Inc. .XI- U-PH FFS �MGINEfq 14743 / OREGOk v O ✓gA��S23.1L` 03 James D. Imbrie, P.E., C.E.G. Geotechnical Engineer Attachments, Field Soil Inspection Summary Summary of Soil Field Density Tests Site Plan with Lot Numbers Summary of Field Asphaltic Concrete Ter,!s CC: City of Tigard—Matt Harrel Westlake Consultants—Pat Tortura Excel Excavation—John Townsend Page 3 of 3 a 7d � t'-' � ► m I - - - = � ► a M O ► 4 ` M ►► a by � Va 7� � ► a a � N � � ► I; I► `n a � l a rD . ► ► a rD a s rDCD N �, • a00, 7 ► a a� G oil,D' ra- ► ► > r N o ► ~ ► a r� M � o �. ° ► •9 (� ° U ► � G 0 0 ► ® TylrD =p ► rD p ?� *! ,� o ► i X I I aloo- r..� � � Fes• � ► ► a O I► a M � ► a a ► `�i�vvvv�vs�iiv . �vvr�si�svveivv♦ ivvv�i��v�•s�;►. �qq pp 0 Q � 'F6 o N 71 � a EL r, 3t ►•. T T 5 w b � � rt Q Q O � r�.�, x 0 a O �► N T CITE( OF TIGARD 24-Hour � BUILDING Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 c� BUP - - — Received - _ Date Requested.-_— � � l AM PM_ M BLIP Location _- —Suite_ MEC -_--------_ __ -PLM .— �_ 3 '� — Contact Person _ _ — Ph( ) _---- Contractor___ -____-- Ph( ) SWR BUILDING Tenant/Owner ______—_____--_ __ _ ELC Footing- E LC _-- Foundation Access: Ftg Drain ELR _. Crawl Draln Slab Inspection Notes- SIT _ Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - ---- - ..a Alarm Susp'd Ceiling ----- ----- - -- --- Hoof (F,n — - - _ -------- --- -- — ---- S ART FAIL Post&Beam Under Slab --------- —---_ — ---- Roilgh-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 Smoke Dampers F iS SS ART FAIL ETMTRICAL - Service -- Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE F] Please call for reinspection RE:— —_—_ Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk DateIns�sctot - 3 Other: Final DO NOT REMOVE,thi:. Inspection re 'rd from the job i1te. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP Received __ Date Requested 3 _� AM_._- PM BLIP _ location Suite-- --_------ _ Mac Contact Person Ph( ) PLM Contractor_ -- — Ph(--) — - SWR -- — ---r BUILDING Tenant/Owner EL.0 Footing - ---------- ELC Foundation Access. Ftg Drain ELR Crawl Drain Slab Inspection Notes: - SIT Post&Beam Shear Anchors ---- --- Ext Sheath/Shear Int Sheath/Shear - - Framing Insulatiun Drywall Nailing 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 Other: Final -- -- -- PASS PART FAIL MECHANICAL _ Post&Beam — Ruugh-In __- Gas Line Smoke Dampers ---- -.._.. - - - -- -.. -- - ---- --- Final PASS PART FAR ELECTRICAL— Service — Rough-In UG/Slab Low Voltage Fire Alarm -- -------__-.- ---_—. V1-1Reins x1lon fee of$ _—_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd S . PA_RT FAIL SI __ F-] Please call for reinsp,action RE:------- ❑ Unable to inspect-no access Fire Supply Line ADA - G�Js�L� SlJ_. Approach/Sidewalk ��--- Other: Ext ---- /� Final DO NOT REMOVE this hispection record from the job site. PASS PART FAIL �\ CITY ®F T I GA R D `— MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00124 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/18/03 PARCEL: 2S105DD-0350G SITE ADDRESS: 13455 SW NAHCOTTA DR SUBDIVISION: PACIFIC CREST ZONING R-7 BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: — TYPE OF USE: SF UNIT HEATrFRS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/C_OMPRESSORS HOODS: FU_EL_TYPES0 3 HP: 1 DOMES. INCIN: LLF — 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: GAS PRESSURE: 50 + tip: COD : CLO DRYERS: FURN < -100K BTU: AIR HANDLING UNITS _ OTHER UNITS: FURN >-100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install exterior AC units. Cannot be placed in the required setbacks. Owner: _ — _ —FEES ---_—_�—_-- D R NORTON Description Date Amount 5125 SVV MACADAM #145 - --- PORTLAND, OR 97201 x%11 111 Permit fce 3/18/03 $72.50 1 StateTa.x 3/18/03 $5.80 Phone: 244-5322 _ Total $78.30 Contractor: HVAC BY TERRY 6630 SW 207TH AVENUE ALOHA, OR 97007 REQUIRED INSPECTIONS Phone: 503-649-3458 Cooling Unt InspFinal Inspection Rey #: LIC 54970 This permit is issued subject to the regulations contained in the Tigard Municipal 'Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved pia-s This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 190 days. PTTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules ate set forth in GAR 952-001-00 ii Issued By: ;l Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day FOR OF IC'L'IJSF N/liechanical Permit Applicatiop RC11��.,, me'JinnicalONLY Date/B /r e : r io, Pertnit No.A i(:. Planning Approval Building City of'Tigard Cate/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 )ate/Bview Land o.: '�'� Uate/B Case No.: Internet: www.ci.tigard.or.us r Contact Jun! : See Page 2 for 24-hour Inspection Request: 503-639-4175 LNarne,Mctbod: Su IemeMet Information. TYPE OF WORK COMMERCIAL FEE"SCHEDULE-USE CHECKLIST 19 New construction 7_Q Demolition _ Mechanical permit fees*are based on the total value of the work Addition/alterati!, /re 1�acenient I D Other: performed. Indicate the value(rounded to the nearest dollar)of all CRUmechanical materials,equipment,labor,overhead and profit. CATEGORY OF GNSTCTION 1 & 2-Familydwelling Commercial/industrial Value: S See!'age 2 for Fee Schedule ----� - RESIDENTIAL E UIPMENT/SYSTEMS FEE*SCHEDULE Accessoij Building _[ Multi-Family _ ueserlpuon qtv Fee ea. Total Master Builder ❑ Other: lleatln &O 111111 — JOB SITE INFORMATION_ and L�—O�CAAT�ION Furnace-add-on air conditioning" 1 14.00 Job site address: I �j1/IJ R,//rL►"A_ Gas heat pump _ _ 14.00 Suite#: BDuct work � !4.00 ! dronic hot waters stem 14.00 Project Name:—� Residential boiler Cross street/Directions to job sifor rauiotor or h dronic system) 14.00 _ Unit heaters(fuel,not electric) (in wall,in-duct,suspended,etc.) 14.o0 Flue/vent for any of above 10.00 Repair units 12.15 Subdivision: i1�1 G G_ L _ Lot#: �� Other Fuel A s illances Tax map/parcel rY: Water heater _ 10.00 DESCRIPTION OF WORK _ __ Gas Fireplace. _ 10.00 A D All, ` Flue vent(water heaters es fire lace) 10.00 —-- - Log lighter as 10.00 — - Wood/Pellet stove _ 10.00 _ Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY OWNER — M TENANT Other: 10.00 Environmental Fshaust do Ventilation Name: IAL!J* .W 1 Range hood/other kitchen equipment 10.00 Address: "10 Sw _ DA>m Clothes dryer exhaust 10.00 City/State/Zip: Single duct exhaust Phone: Z.12• Fax: _ _ (bathrooms,toilet compartments, APPLICANT CONTACT PERSON utilityrooms 6.80 _ CANT_ - - Attic/crawl space fans F 10.00 Name: ------_-.. - — Other: l o.00 Address: City/State/Zip ••(S5.40 for Ors(4,$1. each additional - - Furnace,etc. Phone: Fax: Gas heat pump " E-mail: _ _ Wall/suspendedlunn heater CONTRACTOR Water heater " ireplace " Business Name: F _ G _ _.___— Address: 5(/�� i�r Ran e BB " Cit /StatP/Zi : •_ � Clothes d Phone: Fax: Other: " Total: CCB I,iC. #:44 Mechanical Permit Fen* Authorizedi _ Subtotal: $ _ Signature: _ ___ Date: I rI7 _ Minim(.. ermit Fee$72.50 S Plan Review Fee(25%of Permit Fee) $ (Please print name) State Surcharge(8%of Permit Fce S TOTAL PERMIT FEE S _ Notice: This permit application expires If a permit Is not obtained"Ithin *Fee methodologv set by Tri-County Building Ino.:<<ro Service lioard. 180 days after it has been accepted as complete "Site pian required for exterior A C units. ODst0ermil l:orn�a\Mecl'crmitApp doc 0103 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 $5,001.00 to$10,000.00 $72.50 for the first$5,05).00 and$1.52 for cacti additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$25,000.00 $149.50 for the first$10,000.00 and $1.54 f;reach additional$100.00 or fraction thereof,to and including $25,000.00. $25,001.00 to$50,000.00 $379 501'or the first$25,000.00 and $1 45 for each additional$100.00 or Faction thereof,tc and including _ — $50000.00. $SO,rxil tx)unJ up $742.00 for the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof'. Assumed Valuations Per A (lance: Value Total Description: Qty (ES) Amount Furnace to 100,(x))BTU,including 955 ducts&vents Furnace>100,000 BTU including ducts 11170 &vents _ Floor furnace including vent 1 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Re air unite _ 905 <3 hp bsorb.unit, 955 to I Onp BTU -- 3-15 hp;absorb.unit, 1,700 101k to 500k BTU 15.30 hp,absorb.unit,501k to I mil 2,310 BTU 30.50 hp;absorb.unit, 3,400 1.1.75 mil,B'rU 40 hp;absorb.unit, 5,725 >1.75 mil.BTU Air hgndi;t-.i unit to iu.GCw)cfm 656 Air hani. 9 unit I0.000 cpm _ 1 170 Mon-portable evaporate cooler 656 Vent fan connected to a sinjll,duct v 446 Vent system not included in appliance 656 rtnil _ -- I food served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit,including wood stoves, 656 inserts,etc. Gan i in 1-4outlets 360 Each additional outlet 63 _. 77TAL COMMERCIAL $ , VALUATION: ` i ADstsV'orrnit Forma\Mecpert 'AppPg2.doc (11/03 L.O1' I rm6T 2001• (Vill THE MATISSE W) f'H DAYLIGHT BONUS (f�-*55 6W. NA14=PRA Bedroom 4 Master Suite 71 a•.n i, i.. ------------ Desk --s-. ��i... 11,1111 1 O 1 i �_li • ~+ Nook Illl In./e: I;+n+ilv Room \ I I �:7 61m1� Kitchen Ilydnunn: 14rdown 4 All, 773 9XIhoilli; Room ri III, I,F R I I. I, f I �1 w eyioc. y��o «'V� � r arage Lmn 1 ird Cat Garage/ Loving Rcmm ' flpnonal Den `. Dells r � Redroom5 MAIN LEVEL Bonus R1Mm Is L7 Smragr I• IN : 91iEb DAYLIONT DONt19 Room Renderings tnd floorplans Aire orll.ts conceptions and are not intended to be an actual depiction of the builc:ln,,n, fencing,walks, driveways or landscaping. Square footages approximate.Windows vary per plan. In the inttreat of continuous product improvenr,nt, D. R. Horton reserves the right to change pricing and specifications without prior notice or obligation. 5/�4/a2 \ CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00142 DEVELOPMENT SERVICES DATE ISSUED: 3/18/03 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 2S105DD-0350(1 SITE ADDRESS: 134551 SW NAHCOTTA DR ZONING: F2-7 SUBDIVISION: PACIFIC CREST BLOCK: LOT : 011 JURISDICTION: TIG Project Description: Install 1 branch circuit to AC unit. _ __RESIDENTIAL UNIT __TEMP SRVC/FEEDERS _ _MISCELLANEOUS 160-0—S F OR LESS: 0 200 amp: PUMP/IRRIGATION— EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG' LIMITED ENERGY: 401 - 600 amp.: SIGNALPANEL: M.ANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ T— A' "L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPI -ION: 201 - 400 amp: 1st W/O SRVC OR FDR 1 PEh )UR: 401 - 600 amp: EA ADD'L BRNCIi CIRC: IN PLANT: 601 - 1000 amp: __ - — PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ SVCiFDR>= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: D R HORTON 5125 S1h'MACADAM tt W PORTLAND,OR 97201 Phone: 244-5322 Phone: Reg #: FEES Description Date Amount Re(,,.!ired Inspections [FLPRM1') IiL('Permit 3/18/03 $46.65 —+ — ----- ----__. [TAX]8%Statc Tax 3/18/03 $3 75 Rough-in Elect'I Final ial $50.60 This Permit is issued subject to the regulations contained in the Tigard Municloal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with apr -,/ad 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: Or pgon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0100. You may obtain t;opies of these rules or direc uestions to OUNC at(503)246&699 or 1-800.332-2344. Issued By: ;,�,� ;,J.>- �� Permit Signature. �__— OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EL F C'N: DATE: LICENSE NO: _�—�. _ --- -- ---- — Call 639-4175 by 7:00p►rr for an inspection the next business day �rElectrical Permit Apmlieatiun Itecciye,, i:,ectrncal Datc/D Permit Not -d 1) Planning Approval Sign city of rigard 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 Date/By: ICase No. Internet: www,ci.tigard.or.us Contact Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Namc/]Vlcthod I I Supplemental Information. TYPE OF WORK PLAN REVIEW(Pie ase:beck all that apply NeW COtl;truction _ 10 Demolition El Service ove, 225 amos LJ Health-care facility ----- commercial ❑hazardous location Addition/alteration/replacement I Ej Cather: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I &2 family dwelling: four or more residential units in 1 &2-Family dwelling Cotnmercial/Industrial ❑System over 600 volts nooainel one structure ❑Building over three stories ❑Feeders,400 amps or more Accessory Building Multi-Fant occupant load over 99 persons ❑Manufactured structures or R'✓park Master Builder Other: ❑Rgressnignting rlan ❑omen _____-� JOB SITE INFORMATION and LOCATION Submit—sets of plans with any of the above. The above are not licahle to temporary construction service. Job site address: Ifilill 40W— FEE*SCHEDULE Suite#: Bld ./A L#: _ _ Number of ins�ectlons per pe mit allowed _Pro'eet Name: Descrl tion — 1 Qb Fee(ca.) Total'- New residential-simile or multi-fancily per Cross street/Dlrec tons to Job Site: dwelling unit.Includes attached garage. Service Included: 1000 sq.Ill.orless 145.15 4 Each additional 500 sq.II.or portion thereof' 33.40 1 Limited energy,residential 75.00 2 Subdivision: IMMIL Lot#: 11 Limited en er ,non residential 75.00 2 Tax map/parcel#: Fach manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 D E--PTIO Services or feeders-Installation, AVD A — alteration or relocation: 200 ams or less 80.30 2 201 amps to 400 ams -— 106.85 2 401 amps to 600 amps 160,60 2 PROPERTY OWNER TENANT---- 601 am to 1(x)0 am 240.60 2 _-- N ,n ,/�y — ----- over 1000 amps or volts 454.65 2 ame: 1'�L"'• V 11., Reconnect only 66.85 2 `` Temporary services or feeders-In%tallation. Addt'eSS: — �` A&�yY alteration,or relocation: City/State/Zi :_ -_l W 1 200 amps or less _ 66.85 _ I PhonFax e: : 201 amps to 400 amps 10030 2 2 401 to 600 ams 137.75 2 APPLICANT I U CONTACT PERSON Branch circulls-new,alteration,or Name: extension per panel: -- — A.Fee for branch circuits with purchase of Address: _ service or feeder fee oath branch circuit 665 2 C,icy/StatE/ZI B.Fee for branch circuits without purchase of ------- -- servicc or feeder fee,first branch circuit 46.85 2 Phone: _ I Fax: _ Fach adddinnal branch circuit 6.65 2 ]✓-m811: - Misc,(Service or feeder not included)' k ach Lump or irrigation circle 53.40 2 CONTRACTOR -- 53.40 2 _—_---_ Each sign or outline lighting Job No: Signal circuit(s)or a limited energy panel. aiwration,or extension Pa e 2 2 Business Name: - i r ' IL Fi,-wription: Address: _ {N — Each additional Ingectlon over the allowable In any of the above: City/State/2 I 16L Pct ins tion per hour(min. I hour) 62 50 Phone: Fax: Investigation Ice -- - - Other. CCB Lic.#: Jic. #: _ r _ Electrical Permit Fees* Supervising electrician e ¢ J —__ _ Subtotal S l signature required: _ __ Plan Review(25%of Permit Fee) SL=1 Print Name: L1C.#_ — State Surcharge(8%of permit Fee S ' l'O'rALP T FEF. S Authorized -- I Notice: This permit application expires if a permit Is not obtained within Signature: 0";I� I).itc 311 180 class after It has been accepted as complete. �y� 77 "Fee methodology wt by I*H-County Building Industry Service Board. - Y/[�r n I'lease print namerov Forrtts\FlcPermitApp.doc 01103 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY 13FRma FEES: RESIDENTIAL N'0121i ONLY: - — — ----- ------ -ee for all systems............................................................ $75.00 ('heck'I ype of Work Involved: DAudio and Stereo Systems* burglar Alarm DGarage Door OpLnet U I Ieattng,Ventilation and Air Conditioning System* ElVacuum Systems* Other COMMERCIAL. YORK ONLY: Fee for ggib system..................................... .................... $75.00 (SCF OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems 130iler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation f •' Y�.., IIVAt t Instrumentation Cj Intercom and Paging Systems IJ Landscape hrigation Control* ❑ Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling r J ()thet —� —__Number of Systems * No licenses arc required. Licenses are required for all other installa(ious i:"ts\Pemnt Forms\ElcPermitAppPg2.dr i 01/03 CITE OF TIGARD MASTER PERMIT PERMIT#: MST2002-00421 DEVELOPMENT SERVICES DATE ISSUED: 10/16/02 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 13455 SW NAHCOTTA DR PARCEL: 2S105DD-03500 SUBDIVISION: ZONING: R-7 BLOCK: LOT: Ill 1 JURISDICTION: I Ili REMARKS: Construction of new SF Detached residence. Path 1 BUILDING REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1.454 at BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLUOR LOAD: 40 SECOND: 1,133 Of GARAGE: 744 Of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS 1 FINBSMENT: at RIGHT: 5 OCCUPANCY GRP: R9 BDRM: n BATH: i TOTAL: 2,587 at VALUE: 257,118 00 REAR: 37 PLUMBING SINKS. I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LWES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DIGP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMp<3HP: VENT FANS: 5 CLOTHES bRYER: 1 �n'• FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR I ESS I 0 200 amp: 0 •200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F: 5 201 400 amp: 201 400 amp: ts1 WIO SVCIFDW CO SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 •500 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 501 1000 amp: 5014amps•1000v: MINOR LABEL: 10004 amplvolt PLAN REVIEW SECTION Reconnect only: - >•4 RES UNITS: 9VCIFDR>•725 A.: >BOC V NOMINAL: CL3 AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.Sr RESIDENTIAL G.COMMERCIAL AUDIO d STEREO: X VACUUM SYSTEM: X. AUDIO 6 STIEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL GARAGE OPENER: X CLOCK. INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA7TELE COMM: NURSE CALLS TOTAL N SYSTEMS. Owner: Contractor: TOTAL FEES: $ 7,832.31 U R NORTON D R NORTON INC This permit Is subject to the regulations contained In the ADAM#145 4386 SW MACADAM Tigard Municipal Code,State of OR Specialty Codes and 5125 SW MAC PORTLAND, A M# SUITE#102 all other applicable laws. All work will be done in PORTLAND,OR 97201 accordance with approved plans This permit will expire if work Is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Phone: 244-5322 Phone: 503-222-4151 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080 You ROD N: LIC 130859 may obtain copies of these rules or iirect questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Plumb Final Grading Inspection F'ost/Beam Mechanica Mechanical Insp Shear Wall Insp Gyp Board Insp Final inspection Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Appr/Sdwlk Insp Foundation Insp / Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final Issued By : l_- �,t .�C� - -- -- -- Pormittoe Signature : % �i�L L�Cl( T Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00277 Wit, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/1(;/02 SITE ADDRESS; 13455 SW N,AHCOTTA DR PARCEL: 2S105DD-0.3500 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: I_TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached residence Owner_ ---- ---- FEES D R HORTON Description Date Amount 5125 SW MACADAM #145 PORTLAND, OR 97201 [SWUSAJ Swr Connect 10/16/02 $2,300.00 [SWINSPI Swr Inspect 10/16/02 $35.00 Phone: 244-5322 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total arnount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 teet in all directions from the I stance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Peanh, and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification 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 (503) 246-6699. �-r ' 1 7� Permittee Signature: � — Issued by: _��_ 1.�, , —_ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Buil inn Permit Application `-- Dale received _ `" Permit no.: i City of Tigard I'rojecUappl.no.. Expire date: Cin, fTi,t;anf Addres-.. I;125 SW Hall Blvd,'Fig ard,OR 97223 Phone: 003) 639-4171 Date issued: By: � � Receipt no.: Fax: (503) 598-1960 - ' +"" 1 Case file no. Payment type: Land use approval: tmpic Complex: OF PFRMIT O 1 &2 family dwelling or accessory U Commercial/industrial l] Multi-family New construction O Demolition U Additiott/alteration/replacement ❑Tenant improvement J fire sprinkler/alarm ❑Other: _ JOBSITE INFORMATION Job address: A.CrZ C%A j Y - Bldg. no.: Suite no.: Lut: Block: Suhdivlsiun: 700ft,, I ax map/tax lot/account no.: 'T'j Project name: VJACI _lL- �� - - `r G'" y - - I z. Description and location of work on premisesApecial conditions: 0WNEK FOR SPECIAL INFORMATION, Name: f� HIH-b C�� .. (Flo--- t dplain,septic capacity,solar,etc.) Mailing address: r2l2.ry3AI &2(amok d"ellin}: City: State: LIF': �— Valuation of work..................................... . Phone: -; y( Fax: - -� ' mail: No.of bedrooms/baths................................. Owner's representative: l p H,, likul I Total number of floorsZ» ................................. Phone: 17j 71 . E-mail: New dwelling area(sq.ft.) .......................... APPLICANT Garage/carport area(sq.ft.) .........•.......•...... '74 _ Name: Covered porch area(sq.ft.) ......................... Mailing address: 4-yytt Q1 G(Vj O V t'� Deck area(sq. ft.) ........................................ _ City: I I State: I ZIP: Other structure area(sq.ft.)......................... Phone: Fax: E-mail: Commereiallind I/multl-family: (ONTRACrt , Valuation of work...,........,.;...............•......... $ Business name: H1 y-tl h Existing bldg.area(sq. ft.) ................... .. —_— Address: G- S New bldg.area(sq.ft.).......... -- -- -- Number of stories .... . �... City: State:p ZIP: \ — Phone: - lc Fax: Zy-- E-mail: Type of const ton................I............•......... CCB no.: p "---` Occupapey group(s): Existing: \ - — --�— New: City/metro lie,no.: Notice:All contractors and subcontractors arc required to 1 licensed with the Oregon Construction Contractors Board under Name: D. f-a h - —_ provisions of URS 701 and may he required to be licensed in the Address: 15M ; jurisdiction where work is being performed. If the applicant is City: State: Zip, exempt from licensing,the following reason applies: Contact person: &Ig k1 F&V1 Plan no.: Z Phone: / t lax: E-mail: Name: .( ontact person: Fees due. upon application ........................... S Address: $E /y(p fh_ _ _-- Date received: City: State:p)e— ZIP: —/ Amount received ......................................... $ Phone:6j�3- Fax:&As� 44( E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all)unsdtcbons accept trait cares,please cell iunsdicbon lot more tntotmatton. attached checklist. All provisions of laws and ordinances governing this :I visa 7 MasterCard work will be complied wt , whether specified herein or not. Credit card number Expires te_ .Zl/-d�____, Authorized signature: Gate: flame ul urslholder u shown nn credit cera Print name:—ko- �— 7ardholder slpatttre Gmounl Notice:This permit application expires it a permit is not obtained within 180 days alter it has been accepted as complete. 440.461 i(6MCOM) Electrical Permit Application Date received: Permit no.: /- R` Jim k City of Tigard Project/appl.no.: Expire date: Ciry,�rrigrrrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receipt no.; Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE.OF ❑ 18r 2 family dwelling or accessory U Comn ercial/industrial U Multi-family U Tenant improvement New construction J Addition/alteration/replacement ❑Other; ❑Partial INFORMATIONJOB SITE Job address: llldg. nu.: Suite no.: ITax map/tax lot/account nu Lot: I Block: Subdivision: f Project name: G ��/'��,� Description and location of work on premises: Estimated date of comirletiaJinshrr Linn -- –� –CONTRACTOR 1SCHOULE Job no: _ Fee Max - f)essriptiun _ oty. (ea.) rotaf no.cusp Business name: ��, (� Newresidential-single ormuhi fanulyper Address.: dwellinguait.Includes attached garage City: State:D ZIP: Service includ-;. Phone: Fax: 6j,PVVj E-mail: 1000 sq.ft.or less _ 4 CCB no.: Elec.bus. tic.no: �jh�- Each additional 500 sq.ft.or onion thereof Limited erergy,residential _ _ 2 City/metro lic,no.: �7 ��' Limited energy,non-residential f Each manufactured home or modular dwelling S electrician(reuired)J! Date Serviceand/orfeeder — 2 tiup elect.nnn+e(pnntI License no: Services or feeders-inetallallon, alteration or relocation: PROPERTYOWNER200 amps or less Name 1 nut): Tl 1�� 201 amps to 400 an _ 2 p _r1([ `--'� S 401 amps to 600 amps 2 Mailing address: Q N57 601 amps to 1000 amps �- 2 City: f"174 a I State: ZIP: Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnectonly I Owner installatic .The installation is being made oar property I own Temporary services or feeders which is not int• -r^d for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,41Y),670,701, 200 amps or less 2 _ 201 amps to 400 amps Owner's signature: _ Date: 401 to 600 amu SESSION!NOL11 101 a 01 Branch circuits-new,alteration. Name: r�� C (/, K A. Pee for branch circuits A. Fre for branch circuits with purchase nF Address: —eg- /Z(j f2i 47el service or feeder fee,each branch circuit 2 City: State:4K I ZIP: B. Fee fur branch circuits without purchase Phaxof service or feeder fee,first branch circuit: 2 one: P (/�f tit Ii-mail: Each additional branch circum: PLAN IIEVIFW(Ples.se check all Iliat apply) Misc.(Service or der not Included): U Service over 225 arnps-comrnercial J I Icaith-care facility Each pump or irrigation circle 2 17 Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuafs)or a limited energy panel. ❑System over 600 volts norrunal more mudenhal units in one structure alteration,or extension* i U Building over three stories U Feeders,400 amps or more •Descn uon: U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: 0 F-gress/lightingplan Q Other. —_ Per inspection Submit__sets of plans with anv of the above. Invesugauonfer. Ile above are not applicable to temporary construction aerviee. +)cher Not all)unsd¢uons accept credit cards.please call runsdtcunn for more information Notice:This permit application Permit fee.....................$ — U Visa U MasterCard expires if a permit is not obtained Plan review tat — %) $ Credit cud nurnber. _ _ within I80 days after it has been State surcharge(9%) ....$ Expires accepted as complete. Name of cardholder as shown on credo cud _ S cirdhoider signature Amount_ 440.4615 16MCOMI Plumbing Permit Application City of 'Tigard Date received: Permitna/�t�j( Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Cui-ofl'iburd Phone: (503) 639-4171 hroject/a I.no.: PP Expire date; Fax: (503) 598-1960 Date issued: BY� Receiptno.: Land use approval: — Case file no.: Payment type. OF ❑ I &2 family dwelling or accessory 0 Commercial/industrial J Multi-family O Tenant improvement New construction 0 Addition/altera!ion/replacement ;0 Food service ❑Other: "-a lei 111jory r , lob address: f2J& Desch tion Qty. Fee .) Tatal Bldg, no.: Suite no.: New I-and 2-family dnellints only: Tax map/tax lot/account no.: (includes 100 ft.for each utility connection) SFR(1)bath _ Lot: ItBlock: Subdivision: cue' SFR(2)bath -� Project name: e 1 15�'- _ SFR(3)bath City/county: y4 ZIP: Each additional bathildtchen Description and I cation of work on premises: SlteutWties: Catch basin/area drain Est.Jate of completion/inspection Drywells/leach line/trench drain PLUMBING CONTRACTOR Footing drain(no. lin. ft.) — �—ply Manufactured home utilities Business name: Manholes Address: 19 8 - - -�- — ��' ._�� Rain drain connector City: State: ZIP: p Sanitary sewer(no. lin, ft.) Phone: Fax: E-mail: Storm sewer(no. lin.ft.) CCB no.: 1 I bb Plumb.bus.reg,no:"3 - Water service(no.lin. ft.) City/metro lie.no.: Fixture or item: Contractor's representative signature'. ��. , _ Absorption valve — Print name: '� Back flow reventer Date: Backwater valve Basins/lavatory Name: Clothes washer - Address: /Z 914) Dishwasher Drinkingfountain(s) City: r fJ�Qy StnteD,( "LIP: Phone: -71t—l/ Fax: --7 1: ectors/sump mall: Expansion tank 011 t� Fixture/sewer cap Name(print): IC . J-f Vr./-yk? It7ol-eS Floor drains/floor sinks/hub Mailing address: - Garbage disposal City: — Hose hibb Y dJ' State: ZIP: Ice maker Phone: Z- Fax: E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Pnmer(s) will be made by me or the maintenance and repair made by my regular Rauf drain(commercial) employee on the property I own as per ORS Chapter 447• Sink(s), basin(s), lays(s) Owner'! signature:_ Date: Sump _ T ibs/shower/shower pan Name: 6 G }U/�H Unna) — /�yS _�� / — Water closet Address: Water heater City: •fI State: ZIP / Other: Phone: .Z Fax:40v -1 E rnal;: TOIAI Not all jurisdictions accept credit cards,please call jurisdiction for owm mlormation Notice:This permit application "Ainlmum fee................$ U Msa J Mastercard / expires if a permit is not obtained Plan review(at _ %i $ _ Credit card number. —� _t_ within 180 days after it has been State surcharge i 896) ....$ _ Y TOTAL --- acct: ted as complete. •••• $ Nona of cardholder u shown on credit r-ud p P e• """""""" ' S Cardholder signature Amourt 440-46 16 16AN('OM) Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date. City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: _ Building permit no.. ❑ 1 &2 family dwelling or accessory :1Commcrcial/induscrial ❑Multi-family ❑Tenant improvement ❑New construction _J Addi';on/all".,,tion/replacement ❑Other: 1 1 1 - Job address. Indicate equipment quantities to boxes below. Indicate the dollar Bldg. no.: _ Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: _ -See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP; I &ZfAMILY DWELLING Description and ocation of work on premises: F•rrfea.) Total Est.date of completion/inspection: Description 'qty. Res.only Reti.only 'tenant improvement or change of use: cc Is existing space heated or conditioned?U Yes ❑No Air handling unit CFM Is existing space insulated?U Yrs !J Nu Air conditioning(site plan required) A teration of existing HVAC system MECHANICAL CONTRACTOR Bot er compressors Business name: �� State boiler permit no.: HP Tons BTU/H Address: _ ire/smv a amper uctsmoked eteciors City: State: ZIP:0 eat pump(site plan require ) -- Phone: Fax: E-mail.- nsta Urep ace urnac urner CCB no.: Including ductwork/vent liner ❑Yes O No nstB replace/re ocateheaters-suspende , City/metro lic.no.: wall,or floor mounted Name(pleaseprint): Vent for appliance other than furnace _ (ONTACT PERSON Refrigeration: Absorption units B7 U/11 Name: N t D/G S p Chillers HP --- — Address: Gj S ly C'om ressors lip City: y State: ZIP: nv roomental exhaust an vrnt at on: Appliance vent _ Phone 1�_y y- / / Fax - 3yl F-mail: ryerexhaust Hoods,Type t res. 'tc en/ azmal hood fire suppression system _ Narne: �. rfi ,l _ �_ _ _ Exhaust fan with single duct(hath fans) Mailing address: y � x Busts stem a art from hea:u, or AC Cit Q/( ZIP: are piping and (up to outlets) Y l Q State: Type: LPG NO Oil Phone: /f Fax: /7 E-mail: Fuel pipin each additional over 4outlets ii Process piping(schematic required) Name: Number of outlets Address: ter listedappHance or equipment: _ �— L�IL �� Decorative fireplace _ City:ezf ( _ State: ZIP: "JO/� risen-type Phone: zg Fax: tosP 4 W-1 I E-matt: oo stove/pet el stove ffOle r:Applicant's signature: Date: er: Name (print): Nor all junsdicuom accept credit cards.pleue call jurisdiction for more mfomtatton Permit fee....................$ ❑Visa O MasterCard Notice:This permit application Minimum fee................$ Credit card number expires if a permit is not obtained within 180 days after it hes been Pla l review fat %) $ State SUrCharg..(896)....$ Name of cardholder as shown on credit card -- accepted as complete. _ S TOTAL .......................$ Cardholder signature Amount 4164617 WMCOM) P/NCIFIC CREST SUBUIV ISION LOT - 1 1 CITY OF' TIG/-\RD THE APPROACH SHALL BE A MINNMUM OF 5"xl2'x2O' OF GLEAN PIT GRAVEL 5T LHIE '"^'� LANDSCAPING FOR THE ENTIRE LC" — — SHALL BE FINISHED OR THE LOT SURROUNDED B`' EROSION GONTRC- OOT ELS o' PRIOR 70 BREAK OUT OF GOMMUN ` EROSION CONTROL. FIN15WED SLOPE6 - SHALL BE LE55 THAN 1 TO I EMF GRAVEI. DRIVEWAY NOTE: ARAGE I.ROOF DRAINS TO 5TOR'~ LAT, IN STREET. FT 1 F EL 40' 2, FOUNDATION DRAINS '0 • PsAGKYARD SOAKAGE TRENCH SEE ATTACEIED DETAIL CD C� •� r� cQ O PL N 2551115 C) C SQ CD FIN EL • 541' 0 71 I \I Soo°5 " W ELSse' ` e�.s.a �X ti 60 . 0 11 SETBACK RE0UIRF-lENT5 SCALE �'•m'-n I FRONT YARD TO GARAGE 20 510E -ARD 6- 604 REAR `"EARD .4E 55 olo HomesD.R Horton :eie :- -_ w. ""8G808T''I -�4v'Bneu6 wE sn:zzrie, GOA?,anCJ '�'G�Cn cnx scn�zz_„ CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -------__._.. INSPECTION DIVISION Business Line: (503) 639-4171 (/ BUP _— Received Date Requested _1�- �a — AM_ ___ PM_ BLIP I_oca'ion __._______�_.3 L/SS_—_ - - Suite_ MEC Contact Person . _—____— _ Ph(_ _) -7' TIP PLM Contractor _ (— ) - -- I --- SWR --- - ----- -- BUILDING Tc-..nant/Owner _ _._ _— ___ ELC footing-- ELC i oundation Access: Fty Drain ELR Crawl Drain �- slab Inbpection Notes: SIT - ---- Post& Beam — _ �+�- - -- Shear At Ext Sheath/Shear Int Sheath/Shear Fraining - -- - -- -- Insulation Drywall Nailing ----- --- _ - ---- Firewall Fire Sprinkler Fire Alam -- Susp'd Ceiling Root Other:----_--_ . Final PASS PART FAIL. PLUMBINGiT�!�/1.Li.. d]�_ �L� ✓" - - Post&Beam Under Slab ---:�__ Rough-In Water Service ------------_ ---_.-_--. ----._ - __ . Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain Shower Pan Ot r. ie. - - -- - --- PASPART_FAIL --- ANICAL Post& Beam ---- - Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL ELECTRICAL Service _ Rough-In UG/Slab Low Voltage Fire Alarm Final LJ Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART_ FAIT_ SITE Please call for reinspection RE:—_ __ _-_ ___- L Unable to inspect-no access Fire Supply LineADA / App oach/Sidewalk Dato ( " _�,� Inspectors Ext Other: VV Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL