13705 SW NAHCOTTA DRIVE I
1 705 SW Nahcotta Drive
J
MASTER PERMIT
\, CITY OF TIGARD PERMIT#: MST2003-00140
DEVELOPMENT SERVICES DATE ISSUED: 5/8/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417.1
SITE ADDRESS: 13705 SW NAHCOTTA DR PARCEL: 2S105DO-02600
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 002 JURISDICTION: "TI(i
REMARKS: Construction new SF detached residence.
BI IILOINr. _
REISSUE: DR2732WA STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NLVV HEIGHT. FIRST: I38- at BASEMENT: at LEFT: I SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: SECOND: 1,352 at GARAGE: 645 4f FRONT: 15 PAFIONG SPACES:
TYPE Or CONST: 5N DWELLING UNITS: THRD of RIGHT: 5
OCCUPANCY GRP: P.3 BDRM: 4 BATH: 3 TOTAL: 2,732 of VALUE: W69189 30 REAR:
PLUMBING _
SINKS 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 Si RIdN DRAINS: 1 CATCH BASINS:
TUWSHOWERS •1 GARBAGE DISP: I WATER HEATERS: I WATER LINES 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER r!xTURES:
MECHAN.,AL
FUEL TYPES FURN<tOOK BOIL/CMP<3HP, VENT FANS: CLOTHES DRYER: 1
GAS FURN—100K: I UNIT HEATERS HOODS I OTHER UNITS: I
' MAX INP: btu FLOOR F"URNANCES: VENTS: 1 WOOOSTOVES: GAS OUTLETS: 4
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEUER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 1.00 amp: 0 - 200 amp: WISVC OR FDR: PUMPARRIGATION: PER INSPECTION:
EA ADO'L 50051': 5 201 400 amp: 201 400 amp: tat WIO SVC/FDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 600 amp: EAADDL OR CIR: SIGNAL)PANEL: IN PLANT.
MANUHMISVCIFDR: 601 1000 amp: col+amps 100ov: MINOR LABEL:
1000+amolvolt: PLAN REVIEW SECTION
Reconnect only:
>-4 RES UNITS: SVCIFDR>•225 A.: 600 V NOMINAL: CLS AREA/SPC OCC.
ELECTRICAL-RESTRICTED ENERGY
_ A SF RESIDENTIAL r B.COMMERCIAL
`AUDIO&STEREO: VACUUM SYSTEM: AUDIO$STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: ALL ENCOMP BOILER: HVAC, LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS
Owner: Contractor: 'TOTAL FEES: $ 7,984.22
This permit Is Subject to the regulations contained In the
D R NORTON DR HORTON INC Tigard Municipal Code,State of OR Specialty Codes and
5125 SW MACADAM#145 4386 SW MACADAM AVE all other applicable laws All work will be done in
F'ORTIAND OR 9'201 SUITE 0102 accordance with approved plans This permit will expire If
PORTLAND,OR 97239 work Is not started within 180 days of issuance,or If the
work is su+pended for more than 180 days. ATTENTION.
Oregon la'I requires you to follow rules adopted by the
Pnona: 244-5322
Phone 503-222-4151 Oregon Wility Notification Center Those rules are set
forth in OAR 952-001-0010 through 952.001.0080 You
Reg"' I I(' 130859
me obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTION
Erosion Control Insp 8, Post/Beam StrUCtUr-�l MBChanivai insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Grading Inspection Post/Beam Mecnanlca Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final
Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Roof Nailing Mechanical Final
Footing Insp Crawl Dralo/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final
Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace star S Ice In Uildlrlg Final
Issued By Permittee Signature
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#: SWR2003-00118
13125 SW Hall Blvd., Tigard, OR 37223 (503) 639-4171 DATE ISSUED: 5/8/03
SITE ADDRESS; 13705 SW NAHCOTI•A DR PArRCFL: 2S105DD-02600
SUBDIVISION: PACIFIC CREST' ,ZONING: R•7
—BLOCK: LOT: 002 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 dwelling.
Owner: ----- —
FEES
U R NORTON
5125 SW MACADAM#145 Description Date Amount
PORTLAND, OR 97201 1SWUSAJ Swr Connect 5/8/03 $2,300.00
IS WUSAJ Swr Connect 518/03 $0.00
Phone: 244-5122 ISWINSPJ Swr Inspect 5/8/03 $35.00
Contractor: ISWINSPJ Swr Inspect 5/8/03 $0.00
Total $2,335.00
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the u!es and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amc,unt 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 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sewer' Permit 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 tfirough AR 952-001-0100
You may obtain copies of these rules or direct questions to OUNC by calling(503)C246 599.
Issued by: Permittee Signature: \n
Call (50:,) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application Received/ , , BuilditNoY�l%l.
Date/B .
`l I Planning Approval Otter
City of Tigard 1 " Date/By� Permit
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 "^-r'1 Date/B : A✓ 5' J-'- Permit No.
Post-Review Land Use
Phone: 503-639-4171 Fax: 503-598-1960 Date/B Case too.
Internet: www,ci.tigard.or.us Contact Juns.: See Pale 2 for
24-hour Inspection Request: 503-639-4175
Name/Method: Su lemon :,l information
� 1 t
TYPE OF WORK REQUIRED DATA:
Ncw construction Demolition 1 &2 FAMILY DWELLING
Addition/alteration/re lacement Other-
Note:OF CONSTRl1CTH� Note: Permit fees*are based on the total value of the work performed. Indicate
the value(rounded to the nearest dollar)of all equipment,materials,lubur,
I &2-Famtl dwellin Commercial/Industrial overhead and profit for the work indicated on this application.
Accessory )3uildin . Multi-Family —
Master Builder Other:
Valuation................. ........•............................
_ No.of bedrooms: No.of baths:____
JOB SITE:INFORMATION and LOCATION Total number of floors..............I.......I.............
Job site address: New dwelling area(sq.ft.).................. ... ......
Suite#: 1d t.#! Garage/carport area(sq.ft.)............................
Pro'ect Name_ Covered porch area(sq. ft.)....................
Cross streettDirections to job site: Deck area(sq. area(sq,...
Other structure arca(sq, ft.)............................
REQUIRED DATA:
COMMERCIAL-USE CIIECKLIST
Subdivision: 1 Lot#:
Tax map/parcel #:_ Note: Permit fees•ore based on the total value of the w.xk perfo Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment, talc,labor,
overhead and profit for the work indicated on this sinpWation.
Existing building area(sq.R
New building area(sq. . ............................... -
-- Number of stories........................................... -
TENANT Type of consfTliction..... .................... ........... --
ROPERTY O'1VNER �_ -- OccupurcEy group(s): Existing-
_P ,—
Name: L 6, r41 h — New:
Address: � )kV - –
C it /State/Zi Q
-- Li2 NOTICE: All contractors and subcontractors are required to be
Phone:OV3_y��_�' / Fax: yD3 Jn'�17 licensed with the Oregon Construction Contractors Board under
APPLICANT CONTACT PERSON p,ovisions of ORS 701 and may be required to be licensed in the
Business Name: 12.erk7 W jurisdiction where work is being perfomwd. If the applicant is exempt
from licensing,the following reason applies:
Contact Name:-Ad U
Address` -
CitV/State/Zi :_& 0A '17;0/
_PhonFax: 03- " -717 BUILDING PERMIT FEES*
E-mail: Please refer to fee schedule_--
- _CONTRACTOR
B
usiness Name_'. /fir���[i C Fees due upon application ... . .__. Z, —_—
Address: q3P
Amount received......... .. .............. .... ... --
City/State/Zip: -- 7W
Phone: - 1��/ Fax: h't'3. 2d '3111 Date received: —
CCB Lic.
Authorized ''/I// Notice: This permit application expires if a permit is not obtained within
Signature: LI � Date:�JC� 180 days after It has been accepted as complete.
/O/G -50 *Fee methodology set by Tra-County Building Industry Service Board.
(Please print name)
is\Dsts\Permit Forms\Bldgl rrmitApp.doc 01/03
02/20/2003 16:15 50364229913 ROSS ELEt1TPI,: P4GE 01
02/20/2003 16:10 523-222-2675 DR HORTON PDX CONS P43E 02
Electrical Permit Application I ltaee+Ved Eiectrlcal
Dawstr Ptah •p,
City of Tigard Ptarotslims Approval sli
N12L.— Fqnil No.:
13125 SW Nall Blvd. Plan Rrvle- Other
Tigard.Oregon 97223 Datoll3 : Plermil No.
se
Phone: 503-639-4171 Fax: 503.598-1960 Pat-Fen Land C+le
i.parcJB . 7 D No.:
rntemet www-6.t]patr:Lor.w cotlteet luri .: ® Sce Pana 2 for
21-hotir Inspection Request: 503.639-4175 r' NamrJMethod: 9u�plrmeotal rntormaGon.
TYPE'.iOF vU 1?I:AD11LFs'�
New CornStruc7on D-einolition_ savice over 225 a,rtpt. HWM-camrseftity
COMMM111 C Nastrdout loc irdon
Addition/alt==L,on/replaom- quit Other. ❑senate curs 120 empornflng of Q Building om 10,000 squ Am nae:,
u r!tl!lr•11';41":'1:1 1�,'..CATEGORY 0r C0 R rCh i, t&2 family dwalIiT%p roar or more retiderA41 unlit tit
1 &2-Pacaily dwell' Cw=eroial/lndustrial ®System over 600 wits normrtat and sttuchce
Building over three atones ❑Feeders,400 nmpt or mora
Acccssorj
$Ulldln Multi Fat*1i] Occupant load over 9�pcsons a Msnu6tctured strve!ures tx R�'pork
FJ Master Builder Other: sgresslllght n3 pw+ E other _
=071- Jl7Bl'SIiEI<NFDRMAtI Nt�itd:LOG�1T'fGITQ Gu 9obrnit_sets of plant w4tb any or the above.
The Aovr are not Melietbleto q onparary c ndraelloe sor-.ire.
Job site address: G
Suite#: Bld ./ t.#: Number orins ectioull per Permit allawtd'
Pro'tct Nance: Dvscrl ten 4h I m(ci.) Teal
Cross street/Direcdon5 t0 job site: " oolismdimWHUab or multi-hnI-Are.
J dwellie}t oalr,laelndcs antrhre garage
Seevlae ieclededt
1000 so.R or less 113.15 4
PR6h teen 700 .ft.or pprStOn 33AO 1
Subdivision' PQG4�°Ifi C�
Lot#: imrra s.00 2
—_—•- - m, Tet rJ n nidpe i t er75.00 2
Tac tna / arucl#• each lnanuPi tted itnme a Kfodutar dun?Ii it
;7�',i'''''�Ill.';�' UP SC"EUSyT l"i Ol°.WOBn.L d!;►A' „ ',' service and/or r edw 3ti90 2
— - semket or keders-IestelUtlon,
alttrstion or rebcaenn:
200 LMIC Or le'l an.3o 12
1(1 ,mea tt so 5t>r!amps 190 ep 2
too`oerr, 9.60 z
1 1000ampLar,"atta 454.65 1
Name: '/1 ieawsecoalr 66.63 1 a
Address: 1,f�,Ia4) MA Temporary te►ricec or fw!der-,-Instillation,
alterstlen,or rdersutien:
C itv/Stat&Z d _� 200 am +or IV's 66.85
Phone: �L_ Fax;�L` X122 -5�► 20 to n ,m 133.2p 2
401 to 0 e 137.75 2
,7lPp1JtC' •ro, +'RRM oraac6 airtula-new,alteration.or
�TgtYtg; aeteasloo per panels
A.Gee for+,ranch Crtwts with
pmenc�n of
A ddres5: C 4WrAye= ,��"' +!+vice or Made for,tech tmurah 8Ircuil
Cit r/Sta1C/Zl : &ree roe ErmKh Nrauit:.without purchase of
finite or(Ifto fee t btuteb a nett 46,85
Phtme: `/ Fax: - ��?'3'//1 EtchImitloo4]branchcroup 6cs 2
F 1T1811; Mlxc.(1crAc&err f edcr not includedL
Juh'�iu, it+'L'i".I>"_° i 17:__ GT�3R.. - ',"'!N;Sl�il'�•; rnp of LM"tion circle 33.40 7
;' -- Ranh or outline 11 —" S3.44
Job No: SrRnol cirnrifft)or o urnitrd tranrRy pn r
Business Nainc / ti alteruloaoramnniun 2I 1
Deterlpnorr i
Address: z 3el o s w Q 14L C-N
Asch additional Inn —vi liver the allmmble let of the sbove:
-City/State/Zip: Fh I 1 5(v o i^O , 0 l2err,u t r hely fm n.l hear, es so
Phone:4Y z- LffgC�
ax: 5"t)3-Lye— 1 f$ tnYesef a000 tyre•
other. _
CCB Iris. 9. /L�; d I Lie.0: -5j &C. 1•r.;a?w` :',�a!i;.�:r'�:', ;dpE�Tetsrltf ll �I�ult'FEo4l'+Gly, ja_" !.,1 �:�,:w�
Supervising eltectricicul Subtotal ' S
si IQ 1 i+lTe requited; tPL Plsfl RAV's.-W(7.5°x,of Permit Fee) S
Print Name:5tf-v- . M05 1 Lits.M Y-23 State Surohttrp(911/ o(Ptrtrlt Ptd
TOTAL PCRWIT ME I S
4!
Authonzcd `at Ice! this permit applicrdoo"Phot:f o parmtt is cot abhd"PA stAln
S1QitnnlrN_ Due: tan dnyt ager it has bete accepted at tampleta
•Fen mr,,hodWoo trs by Tri-Cennty 11uildieR taduttty Servlet board.
le
(IF ICM print nim—)-
FEB-20-2003
ame)FEB 0-21303 1 z: 15 503%4228010 '37
02/211/21003 06:53 503-644-5999 17AFT!aOW PLUMBS IG PAGE 02
02/22/20123 16:08 503-222-2675 DR HORTal PDX CONS' PAGE 02
BuildingFixtures
Plumbin Permit AMAMI!" 7Dveg
'se
77i"40..
City of TigardA04o•:
13125 Sw Full Blvd,Tigard,Oregon 97223 U04
Phone: 503-639-4171 Fax: 503-598-1760 �t�p _ CaieNo..
r See Pagr 2 for
Internet: warw.cr.ttgard.ct.u! Ij�J"._ �Su icm«ntKl Informntieq.
24-hour lnaoearon Rcquest: 503-639-4175 �lameMethod
M ;,•' =i .TTuF,,•.f5r„ �'1'tlf.`i 1@dSGf�ulbrm�Y',�►"c k1S!!i. '"1 ''
�•.-,«!1111' w6 Alt .,WIi.;Tlfi�' „VN(91ttC''rvt"� : i�st __ qty. Wes.) rout
ttan Deet:rlption
New consWictiOn , ?,�:t�t
dm
A,ddidon/niteratlon! ' Qa lact;rrmt Other: „I)� r�'."u � I�Q '8 !d'.►,61 in
kap
+ !1 SFR;1)',ath —. - 244.20
: :,".• . "�. ;,i,'CrITE60 rlwdF,., t�Dt97R C �"
&2-kamrly_dwellln CotwierciaVlndustriel ,Flt f2 bath .11)w
9 .00
❑Acoeas Buildin MultiF3Ttul SFR(3 bath _ — 199.00
Eael+addlr,onall batt►/lclehea 45 110
[�'L Q Other: —~-
Vlostcr$ail'' ' ,.w Fire S nnkter•a ft _ PaPt 2
•fl'1tr<rGttTl :4 ah'ti, Gly 1t)1�
.'.:,,.%•:• tTti.S r'.' �, r 11I�,y,..,i tYC.j,��l
Job site address: Corcb bantvurea draln
Suite#: Bid .'Art-ft: — D vclUrgax line/trsnch drain _ _ 16.60
Pm'ect Namc: gG( G �r Footin drain na.lioc¢r t3. Pa.c 2
cross streCt/Dlrectiolis to job Site: Manu{tctured home utilities 110
16.60
y{atthole�
Rain drain woriector 15.60
switu sevrer(nn.litiratft P3.c7.
7� Stour eew4r no.linear ft Prpr 2
ision fit ? IWater Pare ZSubdivt a
Tax ma areal#: url'ra'n
;,..,y ;'I:ai I�,p°Irye,�b� vi! r{fkCl "iill�' ,±rglli�'�4;
IM,,, 1�1U 16.60
- r;I,,. 1l;',�c;' Fra'CIaN OWORf .ar:i;R ,:,•r�,��..,1 A^ bean valve -
Backflow etrt7lI _ Pa 7
Bacl-aver valve 16.60
Clathec washer 16.60
-- Diahw�.het 16.60
Minkin fountain _ 16.60
17—ame:
AddIe58: --1Floor dtaWtloot arnkMub ?6.60
Ci /Stat Zi DY _ Garbo dlapccsal_ 16,60
Phone: r
Fax y y 37r ? Ho4e bit, u.51
C
16.60
h"fftip'WWOtVr2, Ice maker 16 60
amc.- y— Interc tor/ ease tra
Medical M--value: 5 Poe Z
Address: , etc? pats 16.63
Ci State/ :�-- Root drain corrat+ercml) 16 60
Fax (i�1�.. Sink(basirl/tavato�r 16.60 _
Phone: Y i- ��3 tx/show er nom+ 16.60
E-mAi 1: Urinal 16.60
".t!..G01'1'f ?OH:` r...,° Ct'e!' — 16 60
Business Name: 11R .fL,Jbl r, water heater'atct Case :6 60
Aesdtir s: 77 IL SW /r�� ^ oU,n' --�---
Cl /Statelzi f/4t✓ tJ 9 7w
Ci ot�r h1n ►�";1
Phone: 4-FCi9 ax: -S"9P '� : .. ^p �tV1h-
F Subtotal S
CCB Lie, 0 n (�(, P iamb. Lie.#:.�!)�y P1'! i h{;runum P�rrvr Fec l"2.50 S
Awhcrtred - �iden"?eael�ow Mlnirnum rte S16 25 _
9!gbnrtuc
Date* Plan ltrv,ew t25'Ye;F6I Fee) S
Straa Sur:har_ emsNee of Ft Fee 3
(p'ruu print rimTOTAL,
ItaMetrle or
TOTAL.{'ERMn FEE S
Notiet: rbh panelt■pplicatlee e*Iree Y■perrait lr not ebutned withla All RR tontnrcrelfl Wildlner rtgaire 2 vee n{l,aat w
199 days aper It has beep aerepted as templatk, rltrr dlttgnm for plin rf�iew.
4Fer mrtbodeltir;•tt by Tr;•Cornry Dulldtnc tndustry Sert'tte tluerd.
i.tDlUtf'cr'nit Fo"Mr pIrnrermierNpp doe 01.103
FEB-21-.2-001 06:,49 503 6.414 5999 =- F.0.1
NIA
Mechanical Permit Application Received Mechanical' OFFICE-USE '
—� Date/By: Permit No
Planning Approval Building
City of Tigard Date/By: Permit No.:
13125 SW Hall BW6. Plan Review other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post/Review Land Use
Date/Post-Review
Case No.:
Internet: www.ci.tigard.or.us contactJuns.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/M:thod: Supplemental Information.
TYPE OF WORK COMMERCIAL FEE*SCHEDULE_ � ,:HECKLIST
New construction i Demolition Mechanical petmit fees'are based on the total value of the work
Addition/alteration/replacement ❑Other: — performed. Indi:ate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead and profit.
CATEGORY OF CUNSTRUCTiUN
1 & 2-Family dwelling Commercial/Industrial Value: S_ See Page 2 for Fee Schedule
Accessory Building _ Multi-Family _ RESIDENTIAL E UIPMENT/SYSTEMS FEF,'SCHEDULE
Description I QtyFee ea. Total
Master Builder Other: Heatin Cnolin
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00
Job site address:' 3 V Gas heat um — 14.00
Suite#: Bld*./A to Duct work — 14.00 —
Project Name: H dronic hot waters stem 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 any of above 10.00
+
Repair units 12.15
_Subdivision; _��'�C,�-' �`�_
�� LOt#; Other Fuel A [lances
Tax ma / arcel #: Water heater 10.60
DESCRIPTION OF WORK Gas fireplace _ 10.00 _
Flue vent(water heater/ as fireplace) M _ 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 TENANT _ Other: 10.00 _
Name: L1 --� Environmental Exhaust&Ventilation
Range hood/other kitchen equipment 10.00
Address: Clothes dryer exhaust 10.00
Cit /State/ZiSingle duct exhaust
Phone: J Fax: (bathrooms,toilet compartments,
APPLICANTCONTACT PERSON utility rooms) _ _ _6.80
Name: Attidcrawl space fans___ 10.00
Usher. 10.00 _
Address: GIC _ -0 Fuel Piping _
Cit /State/Zij "(S5.40 for first 4,$1.0 each additional
Furnace etc. " _
Phon"A yi Fax: 6rel Gas heat pump
E-mail: _ Wall/suspended/unit heater
CONTRACTOR Water heater
Business Name_ �� - Fire ►aee "
Ran e "
Address: _ _ — BBQ _
C:ty/State/Zip:f)'f Q _ Clothes d Eye
Phone - t� - Fax: other:
_
CCB LIC. #: Mechanicalcal Permit Fees*
AuthcrizedDate: Subtotal: S
Si
B►tature: ��j�!�-- Minimum Permit Fee S72.50 S
A/ — Plan Review Fee(25%of Permit Fee) S —
I
"(Pleasename) __State Surcharge(8%of Permit Fee S
TOTAL PERMIT FEE S
Notice: This permit application expires if a permit Is not obtained within *Fee methodology set by Tri-County Building Industry Service Board.
180 days ager It ham been accepted as complete. "Site plan required for exterior A/C units.
i Npsts\Permit FormsWeePermitApp doe 01/03
PACIFIC CRES"r SUBI71V1S10N
LO"I, - 2
CI'r"Y C►F 'TIGARD
O O
00
!t LINE NOTE:
WA P.
LAT I.ROOF DRAINS TO STORM
EL-380' r / EL-59o' LAT. IN STREET.
2.FOUNDATION DRAINS TO
i/ / 00' BACKYARD 50AKAGETRENCH
/ f f SEE ATTACHED DETAIL
r
( / i LANDSCAPING FOR THE ENTIRE LOT
! r TEMP. GFRAVEV 7 SHALL BE FINISHED OR THE LOT
/2 • TATAP14 DRIVELIJAr SURROUNDED BY ER05ION CONTROL
r i PRIOR TO BREAK OUT OF COMMUNITY
it r EROSION CONTROL. FINISHED SLOPES
C3
SHALL BE LE55 THAN 2 TO i
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T1 A MINNMUM CF 8"XI2'40'
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EL-586' S 0 0 0 5 I jj O O tY V EL-590'
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2 SETBACK REQUIREMENTS
scuE I•.Z0_0• FRONT YARD TO GARAGE 20'
7 , 1 �0 SIDE YARD 5'
REAR YEARC 15'
AD131050WNUDr
PLAN.213
25WN ppolS L•��. Horton HonieS
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6GALE, I" . 70'
5125 S.UJ. Macadam Aveneue
DATE 4.310!
FF.CNE 9C317141gPortland Oregon FAY gCl171�' `�
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CITY OF TIGARD 24-Hour
BUILDING Inspection Ling:: (503)639-4175 MST. � Q D 1�O
INSPECTION DIVISION Business Line: (503)639-4171 BUP
Received 2 .—Date Regquested— qL/ AM _ PM BLIP --
Location 7/2 f-5 .w a. r' u!^ Suite----- --- MEC _ --
Contact Person -e- SIA Ph(ffla-) --75V - l PLM --.
Contractor_ 4--4 ---- Ph(----) --- SWR - - -
BUILDING _ Tenant/Owner _ _ _ ELC - —
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: /�. . SIT - -
Post&Beam 0
Shear Anchors
Ext Sheath/Shear me G a V C C
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - -- -
Fire Alarm
Susp'd Ceiling
Roof
'Fina -- ---
PAR_T FAIL_ - ----
BING —---- — __.—_ - -- - - - -
Post&Beam
Under SlabX z
----—-- -- —
Rough-In
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole _
Storm Drain - -- —
Shower Pan
--
Final ----------- _____ _ _
PASS PART FAIL —
MECHANICAL -- —._-----__ ---
Post&Beam
Rough-In
Gas Line
$nitLl' Dampers -- - -- - -- _. —
SS PART FAIL — —
EL T�.ICAL _ —
:)ervice ---
Rough-In -
UG/Slab
Love Voltage —
Fire Alarm
Final F-1 Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE _ [] Please call for reinspection RE:_ _ —_-_ Unable to,nspect-no access
Fire Supply LineADA
—
Approach/Sidewalk Data�LL_-� i /v - Inspector � -- ----�---
Other:—
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (50
INSPECTION DIVISION Business Line: (5
BLIP --- ---
Received y7__Z Date Reauested !Z AM—_ PM BLIP
LocationZ-� 7,/)__S_ Aio-h CQ f4_.��I'' --Suite______ _-_ -_ MEC
Contact Person Y11A Or _ Ph(_,S — ��-l���01_ PLM
Contractor _—__ Ph(._ ) _ - _ SWR
BUILDING Tenant/Owner __ _ _ _ ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR _
Crawl Drain _
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing —
Firewall
Fire Sprinkler ---
Fire Alarm �' t►��1--- Q Lvi�'d't '�.l' C�
Susp'd Ceiling - --
Roof
Other: -
Final _
PASS RT FAIL
_ MB
eam
Under Slab
Rough-In
Water Service --
Sanitary Sewer
Rain Drains - -- - --- - - --
Catch Basin/Manhole
Storm Drain --
Shower Pan
aPA
RAI.
Post&Beam
Rough-In
Gas Line
Smoke Dampers - - ------ --- - -----
Final
_PASS_ T FAIL -�---�-_--�- - -- --
ERV L
Service ------ - -- --
Rough-In A6 —
UG/Slab Alike
Low Voltage
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naf r e E'�
i PART Reinspection fee of$�__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
NJRVW _ �0_- ❑ Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line c,n
ADA Date - -- _7_ ___ Inspector
Approach/Sidewalk
Other: \,
Final DO NOT REMOVE this Inspsctio record from the job•Ite.
PASS PART FAIL