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14202 SW 132ND TERRACE 1 14202 SW 132"" Terracc ELEVATION CERTIFICATION PER SECTION 710.1 of the OSPSC CY OF T iGARD 3510.1 of the OTFDSC OREGON THE UPSTREAM MANHOLE RIM APPEARS TO BE ABOVE SOME; OR ALL OF THE FIXTURE, SPILL IDMS IN THIS STRUCTURE. INFORMATION IS NEEDED ON THE ELEVATION DIFFERENCE FROM THE MANHOLE TO THE LOWEST FLOOR CONTAINING PLUMBING FIXTURES TO ESTABLISH THE NEED FOR A BACKWATER VALVE(S) AND TO DETERMINE WHICH FIXTURES NEED TO BE PROTECTED FROM BACKFLOW. OBTAIN AND SUBMIT WRITTEN DOCUMENTATION TO THE CITY OF TIGARD BUILDING DEPARTMENT WITH THE FOLLOWING INFORMATION: LOT NUMBER �c SUBDIVISION ADDRESS 1-y7 A 2 <,. PERM[T#�lC�l�l7/ A TRANSIT SHOT ON (DATE)_ 0? HAS VERIFIED THAT THE FIRST UPSTREAM MANHOLE SPILLRIM IS rI CIIG"F�-fpft LOWER(CIRCLE ON THAN THE LO EST 1F�INISH LOOR ELEVATION. PLUMR_'.. Z"L DATE BE Tc- JOB SUPERINTENDANT ` DATE _V ABOVE INFORMATION ACCEPTED AND APPROVED BV: INSPECTOR BATE 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 ._J 24-Hour -7 Inspection Line: (503)639-4175 MST o�=�,��7� ...v Business Line: (503)639-4171 � BUP -- Receive d� Date Requested �' AM PM BLIP Location � �� Suite—_ MEC _— Contact Person — — Ph(—) � � '�' PLM Contractor--- -. ---- Ph(.-- —) --- SWR --- — Tenant/Owner —.._— ELC — Footing E — Foundation Access: q Ftg Drain f� � J -ew -- — Crawl D in SIT Slab Inspection Notes: Post&B --- Shear Anc rs Ext Sheat ear ------ -- ----- Int Sheat Sh r Framing — -- -- —--- --- ati Drywall ailing — -- -- Firewal Fire S nkler --- — �iJ.4��.--- — QV•A —� -- --- Fire Alarm - Susp'd Ceiling — Roof Cllbfic ----PA§S PRT FAIL. Post B UndeS --- _ -- -- - ----------- — -----_..�_— -- ----- - Roug Water ervice __--- Sani Sewer Rai ins - _.—._- ------ -- — --- - - C .h sin/Manhole ower n r _ _ _ II—III-_._... - - ---------------- ina_ _ -- PASS PART FAIL. R N - -- — _ -- - _ ---- _ - ----- — B mpers T FAILTR a'L3 --- — Rough-In — — --- - - UG/Slab Low Voltage C) - — -- -- —.. ------_.__.— ----- — - - FWLAIarm IFAS PART FAIL Reinspection fee of$___-__._-- required before next inspection. Pay at City Hail, 13125 SW Hall Blvd $ LJ Please call for reinspection RE: _ --_e72?, Unable to inspect-no access Fire Supply Line e Approach/Sidewalk ADA Dote�_: :. 3 inspector _ Ext _— Other: Final DO NOT MOVE this Inspectse job Ao. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5 -4171 INSPECTION DIVISION Business Line: ( 306., MST BLIP Received -- Date Requested_ — S'6;L-7 AM - PM Z° - BUP _ Location -- / O �� - Suite MEC ` Contact Person _—_ Ph( ) PLM _ gFoundation Ph (— ) _ SWR Tenant/Owner _ _ ELC —` —/-c�esss: ELC ELR Inspection Notes: SIT — Post&Beam —. -- I�� • %-- � __—_ — Shear Anchors Ext Sheath/Shear Int Sheath/Shear ._� Framing Insulation Drywall Nailing Firewall c i Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof _/ - Other: -_- ---- ,� V1.liV41 AS PART FAIL ----_ PL MBINa �( _ / — Post& Beam `-- — — . Under Slab � � Rough-In -- - - Water Service Sanitary Sewer -- — - Rain Drains Catch Basin/Manhole - - —� Storm Drain -- -- —_ --. Shower Pan —�� ------ —� Other: --------- ina -F'ASS PRLT AIL Post& Beam Rough-In Gas Line — _ -------- -- Smoke_Dampers FCSPART FAIL ELECTRICAL --T--_-__—_ _�,-- — —�— - Service - ---- ----_,._ — Rough-In ------��-- -- UG/Slab Low Voltage Fire Alarm - ----J--- - ----- - _____ _ Final rr-�-� PASS PART FAIL u Reinspection fee of$__ required before next inspection. Pay at City Nell, 13125 SW Hall Blvd. SITE _ l_.: Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line —�-`— ADA `� Approach/Sidewalk Daft— ta___ lespretor---�y_ '— _ — Ext_. Other: ---. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Flour BUILDING Inspection Line: ( 363►9- 75 6 71 INSPECTION DIVISION Business Line: ( 0 9.4171 MST BLIP Received _— Date Requested AM '' PM BUP Location _ 3a' 7"..vvt Suite _ MEC Contact Person _ '�V -� ph( ) a -54 6 _ -- PLM Contractor _ -- Ph( ) _ SWR BUILDING Tenant/Owner ELC Footing — Foundation Access: ELC _-- Ftg Drain ..�G � awl Drain ELR Slab Inspection Notes: - SIT Post&Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear �' cl 2, 4 Framing ming Insulation --- Drywall Nailing Firewall , A �— Fire Sprinkler ,---- _ Fire Alarm - Susp'd Ceiling - Roof Other: - - _— -- — - - A PART FAIL. - — --- - ---r--- GING i Post&Beam Under Slab Rough-In tai Water Service Sanitary Sewer Rain Drains -- - - --- ----- - ---- �---r — -- Catch Basin/Manhole ' Storm Drain - -- --- -" Shower AS PART FAIL --—- - - - --- MHANICAL - - --- --- Post&Beam -- --- -Rough.In In - -- -- - -- -- Gas Line Smoke Dampers - Final -- _ PASS PART FAIL ELECTRICAL ------- ,---- Service Rough-In UG/Slab Low Voltage Fire Alarm - - - Final 38_ PART FAIL El Reinspection fee of$—_______ require,.)before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA_ _ __§_1T It — ❑ Please call for reinspection RE _ Unable to inspect-no access Fir Supply Line ADA L _ Approach/Sidewalk Date - �_ Inspedoir L - Ext Other Final DO NOT REMOVE this IntsPOW0e r000rd from the fob she. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALT_ BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE fjECEI V ED PREFERRED PLUMBING 3251 SW BARNET ST Gli Y Ur iiuh-Ku FOREST GROVE, OR 97116-8651 13M DING DMSION Plumbing Signature Form Permit #: MST2032-00171 Date issued: 3i20iU2 Parcel: 2S109AB-09200 Site Address: 14202 SW 132ND TF_RR Subdivision: RAVEN RIDGE Block: Lot: 021 Jurisdiction: TIG Zoning: R-7 Remarks: SIF Path 1 KEEP FIRE SPRINKLER PLAN WITH MASTER PLAN Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNED: PLUMBING CONTRACTOR: PALACE HOMES INC PREFERRED PLUMBING 27975 SW COX ROAD 3254 SW BARNET ST COLTON ' v v� , JS97�+01-f GvREvT v�7- -D - . . - -- . Phone #: 503-816-5664 Phone #: 503-359-0560 Reg #: I it 132604 PI M 34-340PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X S 6m6iGre f Au ;rind Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITE' OF TIGARD MASTER PERMIT PERMIT#: MST2002-00171 DEVELOPMENT SERVICE'S DATE ISSUED: 3/20/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14202 SW 132ND TERR PARCEL: 2S109AB-09200 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT:021 JURISDICTION: TIG REMARKS: S/F Path 1 KEEP FIRE SPRINKLER PLAN WITH MASTER PLAN BUILr,NG REISSUE.: STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS RE,UIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,535 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: TYPE OF UqP: rF FLOOR LOAD: 40 SECOND: 1.010 of GARAGE: 410 of FRONT: 21 PARKING SPACES- 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: $247.023 70 OCCUPANCY GRP: R3 BORM: 4 BATH: 3 TOTAL -,51300 at REAR. 23 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: BOIL/CMP<3HP: :ENT FANS: 5 CLOTHES DRYER: 1 GAS FURN�000K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS. 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 20C amp: 0 200 amp: WISVC OR FOR: I ruMr IRRIGATION: PER INSPECTION: EA ADD't.500SF: 4 201 400 amp: 201 400 amp tet W/O SVCIFDR: 0o SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: tol •600 amp. EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+8"105-11000w MINOR LABEL: 10004 amp/volt PLAN REVIEW SECTION Reconnect only: �•4 RES UNITS: BVCIFOR>=225A s 600 V NOMINAL CLS AREAISPC OCC: ELECTRICAL•RESTHIC TED ENERGY _ A.SF RESIDENTIAL _ B.COMMERCIAL. AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK. INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATAfTELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,433.86 T his permit is subject to the regulations contained in the PALACE HOMES INC PALACE HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and 27975 SW COX ROAD 27975 S COX ROAD all other applicable laws. All work will be done in COLTON,OR 97017 COLTON,OR 97017 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: Phone Phone: 503.615.5664 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Ree6: LIC 125633 forth in OAR 952.001-0010 through 952.001-0080. You may obtain copies of these rules or direct qunstlons to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Past/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Sprinkler Final Grading Inspection Post/Beam Mechanlca Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Mechanical Final Foundatlon lnW Footing/Foundation Dr; Electrical Rough In Gas Line Insp Sprinkler Rough-in��P FI Issued By : Permittee Signature : �.�Q , — i Call (503) 63-9-4175 by 7:00 p.m. for an Inspection needed the next business day CITE' OF TIGARD i SE WERCONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00122 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/20/02 SITE ADDRESS; 14202 SW 132ND TERR PARCEL: 2S109AB-09200 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 021 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: 1 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 Owner: PALACE HOMES INC _—_FEES_ 27975 SW COX ROAD F;PRMT e By Date — Amount Receipt t COLTON, OR 97017 CTR 3/20/02 $2,300.00 2.7200200000 P CTR 3/20/02 $35.00 27200200000 Phone: 503-816-5664 _ Total $2,335.00 Contractor: Phone: Reg#: Required inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The pen-nit expires 180 days from the date issued. The total amount 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' Perm by: 'lssue� G it �k X11 _L¢ Per Siy►iature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day -- Building Permit A ppfimtaop City of 'ikwdl Dakreceivrd: 3 A02ndt '.: I . Address: 13125 SW Hall Blvd,Tigard,OR 97223 �U!PPl'no.: Expuedate: City arTl�ard \ Phone: (503) 639-4171 Data WWW: By: Receipt no.: Fax: (503) 598-1960 �. A L Care file no.: Payment type L.arid use approval: -_ _—__ 1&.2 fsemily:Si nple Complex: t jtl dt 2 fsmily dwelling or accessou' U Conunetrialfiedustnal U Multi-family IwNcw c mgrucdon U Demolition O AdMorWalteratimtreowenient U Tenant imMvt nxu U Nur Vdakledalarm U Odw. Job address: - ('r. Bldg.no, SmW 00.: Lot ,'{ j Block Sgbdlvieion: pat:3 ��►a Tax tax lWaccount no.: ` _Fh4ect Sam: Description and location of wort on ptenusedspecial coalitions: Name: o. S. C�altS�nC mailinsaddress: o —� c�--..— II d t 6rty dwdiw. o U�-e•. 9 daP valasti m of welds....................................... $ $ ?b - _ . beaooa�albathe................................. — �"...":' M Tow tst>I I "�V •$�- .. ams..........................New dwWWg.WW4@9.f.) ........................ S.S� t tMrnyeloeirport l9q.IQ......................... l 4• Name: `��.t� a�S 0.b • i Coverod porch area(sq.ft.) ........................ !J _ l� Mrtiling address: De rA area(eq.M)........................................ Oder tuutxure Yea C1 dembidholddValuation of worts........................................ t Existing bid area 1t lAteinaaa Deme: Sa-�t f CX1% C.b W >; (� ) .......................... A/�eaa - New bW&areas(sq.ft.)............................. S ---- Number of varier......................................Cky: � P6oac: _�...�� Faxesmail: Type of Goruuttctlaa.................................... _--- - Occupancy grarp(s). Existing: CCB no.: ( New:Cky/mmo tic,tato.: `^ r&lWmwd coetraetors and subt�orttrscton err eegttired tx,be th the Oregon Construction Contrwcsms Bond under }fie mr 04?S r n fORS 701 acrd may be required to he Ikxaw�d in the where wort is beins perfarmed. If the applicant is '3trae: ZIP: g..7 o enemp frau hcenidiiP.the following mason&*let: Fax. B-Mw: ;=Addrm! Peat date upon spOicaWm .........................�l (O,l" tante n%xived: Cky:r1 o r T l o State: rzT1P '7 a((o AmouN received .........................I............... S. Plfroeae �� Pax �s�!G / B-OtMI: Ple�eae eater b fee rrlredula 1 hereby certify 1 have read wd eandned this eppiiestion sod the me s IaNP as*Conk M—ad lin ora WMMW W attached checklist.All prvvi o Uftmd oediggp=governing this U vtra O AlumC and watt willbe oampibd w e a ex rot anew Cod 6006W Rha+rams: C t�r a�_ .- — 3 WARM Tbie permit swiartim earpitea If a peanak it trot abodow wM6is 180 days alter k hes bow aoaepaed ae compiew woerorten r r , 1 lumbi ng P'eratit Applleation City of 'Fig'am Datereceived: Permit no.: Addrese: 13125'W Hall Blvd,Tigard,OR 9722.1 SewerPernut W. _ Building permit no.: City cj77gard Phone: 5U? 639-4171 Pro' tl I no f ) !a +tpP Expircdate: Fax: (503) .598 1960 — ' Date isstted: By Receipt no.: Lmid use approval: —`__ Case file no.. Payment type: "1 & ly dwelling or accessory G Commerci�ndustrial U Muiti-family U Tenant improvement uction U Addition/alterationlreplacernew U Food service U(Aber: EMIMIROIRW Jab address: el yvI�j c>)n c t 1.Yf. I to es. Total Bldg.no Suite no.: — ---- New -� " y#"enk�only: Tanmap/tax lot account _ �_-- (4ts;lts/es IS**-for teadi stMv coetaect!") , no _ _ _ —— -- — SFR(I)hath — I,ot: _ Block: Suixlivisioo: a SFR(2)bath Krowt name: _ _ SFR(3)bath - — - -- City/county: _ LIP. - Ach conal bath/ 'schen - `--- - Description and locati(xi of work on premise-1: Sketslllu": Caich basin/ama drain -Est.deft of completion/inspection. - - well each i trench tarn Tooting drain(no.lin.IG) - ;Riun ufactured home utiltiles - -Business nun..name. ' ,�)rte" �drsin Address _ connector City: ( + Vc_ Slate: Zip: Saai sewet(na.tin.fl.) - -- Phone: _ Fax. E-mail: Storm sewer(no.lin.R.) _ C(B�.: 32(p04umb.btu.rt8.no:34 _ O Water service(no.lin. t.) `-- f`it /metro lic.no.: _ Fhtstreor kew Contraaoes�esentative signature: on valve ac ow venter Prim none: ,.TE; Dde: Backwater valve IIIEWINIKIN Batin& av ' �-- Name: Pp_�G.rr Ciothes waslie - Address: c)7 9 -7 x � DishwasFrer - t�inlcin _city: [•rfmmtain(6j �l}.� .__.� -- i _ scare:p�, zrn: 9 )o E'cctota/atun Phone;6a� (v-5W Fax:_103- - E-mail: st -- on _Fixtureloewer cam - -- Name(print): kk&u- E%V'Y Fix dnuns/f loon sink.-%Ituh- - - Maiai address: 4 ' Cox R Garbitge disposal Hose bibb City:OL,I{ i\ State: 7,1 P: JIce mAer Phone: iSSllr S trG� Face: .� t pq Email: Intence Owner insttdlation/residential maintenance only: The wttul installation Primer(s) --will he mark by me or the mai and repair crude by my regular Roof drain(commercial) — employee on the propert a1n00447. ink(s), in(s), ays(s) Owner's s `� Date: _� Sump - Tubs/Ntower/shower Ntune: rival - - - -- sten c osel Addmas: S fz J GSL — ater er City: State: Zip: ��_ outer. Phone: Faxp E-mail: jr riot A IN 1 -tar NWW asap cads.Fkaw cam pts&om to om hien om Minimum fee................S Notice:This permit application U Visa U Mastercard expires if a ptxruit is not obtained Man review(al — %) S (*M aM ww6w ---I----- within ISO days alter it has been State surcharge(8%)....S _N�7 mag cN&co ' occepted as cmp".ete. TOTAI. .......................S _ i Asap 404616 trvaatnMt Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: latpire datc. C av of Bard Address. 13125 SW Hall Blvd,'Tigard,OR 97223 Date issued: By Receipt no. Mone: (503) 639-4171 - -- 1,ax: (503) 598 191)0 Case file no.: Payment typei Land use approval: Irl 2 family dwelling or accessory U Commercial/induc,rial U Multi-family U Tenant Improvement .New construction U Addition/allern ioWreplacemcn. O(filter. U Pattiai 6 Job address: i l yl Bldg.no.: Suite no.: 11ax map/tax lot/account no.: _ I cu: Block: Subdivision: 1999O � Project name: _ — I Ekscription turd location o ork on premises: Estimated date of com ledon/ins c.uon- Job tae: Rhe Mia ea) Tout oo.lnsL Business name: t` L Newradi� aalagFawrmatl�faaelf� Address: (.tq 0✓) I � � City:T state: . 7 a 1 Ssvlceb ow f Phone: _Sib Fax: E-mail: 1000 fl.c leas _a CCB no.: yU Elec.bus.tic.no: _ C Bach additional foo mg h-or portion thereof Wilted enny,residential 2 Cit /metro lic.no.: United energy.noir-rokkintial 2 Bach manufadue F mor modular dwelling She of atpaviaing etaxtrician(reqs ired) pate - Service cuVot feeder 2 Sup elea.naroe(print) -- Ueatseno Sevieworfenlers-brtatbmdoa, alteration w mloe stiew HimmaLmaws 1 l 200 amps or kgs 2 Name( t): i.t.ht-C-1-�►a ` tot amps to 400 amp. 2 Motilin address: 401 amps to 600 amps _- _ Mailing j �t 7�> >_ 6'0l to 1000 no 2 Cit : 1 State: 71P:'M/ over 1000 snip of volts 2 Phone: yj le. '(oc.*y 1 Fax: 3D 30'j 1 15-miail: Reconnect only i Owner installation:71te installation is being made on property I own Tempwary aaervlen or females- which is not intended for sale,lease,rent,or exchange according to boaWsoloWshunedWer'elevatka URS 447,455,479,670,701. gnu amps in leas -- 2 201aoVs to 400 2 "Nam: ' ' tre: Date: 401 to 600 ams y 2 IMMUNE MUwb rbYds-trmw,alters Iles. 1 W 4rst�a par PUM: 4"1 %Z 0 0) 3f_, Fee fns hranch circuits with purchase of At1dff.a' a: < <�C 1 r t C1 service or feeder fee,each branch circuit 2 City: Id� R Fee lot branch ciranu wittow purchase Phone:,5y-�A,y Fax:, -t,,7E mWl: at advice or reads fee.fins branch cun_tit 2 bath additional mich dreuir MIK.(9ervkew astioctded): U Service mar 225 ampa•aonea dal Cl Health-carehcility t!"pump or itrigatlott tide _ �(Saviex over 320 amps-)ming of I A 2 U 1I1wdous locnlnn Bach air or outline Iighuun - 2 Gtnily dwellings l l lluihfing ova)IrJ,ll(I(I square toes foe)cs Signal circuit(s)or a limned energy prowl, — U Syswm over 600 vole nomanal nure residential onus in nese atru<yure altamion,aextension• -- -- 2 U AuilAing tiler duce ahurita U lereden,400 amp of iron •t)eKri on U lkcvpwx land over W pinna n s U Mrnufwurrd strwimrs nt RV park Fweb adrM1laW l I ever dw eNOwSW is My el rhe-aabeNe U lgirrss/lighrrtagplan U(Idler ---- Per 9araaM�-_-alta of plea wkb stay of the above. Invtytigwoo fee Ile abnre are am appUcsW to tcupwwry caaatrtcilm stertor me as}tlsaieaaa WnW craft atilaaa t,pbtea Jlatadtetlt•ter alta ldaarala.. Notice:This permit appimmion Permit fee.... U Visa U MaataCard expires if a permit is not obtained Plan review(at i S rival cod server _ _ ----L._/__ within 190 days after it has been State surcharge(8%) accepted as complete TOTAL ................ armor n thowo ata - 3 _ -__.raidMM�a d/rwwa - AsoaM - 4*-O 1*1516MV0M1 ,1 MeMechanicalPerra�it Application 5 - - Datereceived: Parmit W.: City Of Tigard PM)Myappl.no.: Expire date: — City,,f-ngard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Due issued: By: Rccciptno.: Fax: (503) 598-1960 raw filen.: Paymenitype Land use approval: BuiWingpcmitnc.: 1 &2 family dwelling or accessory U Commercial/industrial u Multi-family U Tenant improvement New conanie ion O Addition/alteration/mplacement U .)thea. Job address: q 2 c,L VICI Ttlr ,, Indicate equipment quantities to boxes below Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor.overrivad, Tax mapit x lodac mnt no: profit.value$ - - Lot: j JBIt,ck: Subdivision. (,n'�� 'Sae chtxJtlist for important application information and Project n.urte: jurisdiction's fee sche4ule for residential permit fee. City/county: Descripliat and location of work on premises: -_ _ Fee(ea.) Tam Eat..date of empletion/inspection: Qty. Res. Ras Tenant improverne it or change of use: 7._4-1fW_QifioninJ(%i1e Is existing space heated or conditioned?U Yes v Noit CFMR�Mln Is existing space insulated?U Yes U Nc �'—� extatia —� Boilerkompremm Btlsiteess ttatrre: Y M State boiler permit no.: HP Tons B11M Fistno ud taro c detectors CI State' ZIP: in a ae Phone: Fax: I E-mail: Rita' rep 1ce n J t �� - Incluctirill�lacrA OCSIA t liner (]Yea U No CCB no.: nae ac�eTaler�-su 0ty/metro lic.no.: _ wall of floor mounted _ Now(please ): -- -- vent Mir app awe as furnace Absorption units BTU/H Nacre: P�CJ�.t��1 _ _ C]tillen HP Address: z)-111 -1-3 't,• fbt sacra HP ei �t S� 71 PIR 20! ) — A liancevent Phone: V(a-5t04C/ Fax:(e-40-.by E-mail: sex-'a _ s.Type res iazinal rod fire Wppreaainn system ._ Name: OLL. ACJ`_ Rib"fan will IM&duct(hath fans) sMlilmn: t ek>,e nes &a" r AC ` CI o tate: ore ?1P t w 4 outlets)S .� LPKl _ N(3 ()fl PIWW: Fax. B-toa31. ova _ mat.raga ,�_ Norte: Pew 's 2pA: t lambs of outlet, _ _ Ali ' .. Address: _ DecoraUve_�+aoe - ci : j St a : ZIP: a neat type Plwm: - F E-fiudl: Woodmovelpellmonve alta: "Mai aoorN naaM cs6�Yw as J.wr+ls res�eae teri�rllaa Permit fee..................... rtrt "M a O MasretCaM Notice:This permit swication Minimum fee................_ expires if a pawn isnot obtdwail Plan review(at epppp+pd 0vWk(aa.we. -- --_ -. - - __- moi--- within ISdays ager it lw be-13N otxnpleas Sate Surcharge(9%)....: _ T aTe��io7�-ir iw� eaT�. _ ...: _ TGfAL .................... MG�N1�OaCpOs11 LAkAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA pr a n d (� ► rri i a ► H ► O b ] Poo- IN b ► ► ► arD �loo- J pr y ► a! d d (� o � o e ► •� �� r' n �► �—., W ° .\ a Poo- Poo ► ► pool F� ► CA Ill. I♦T7TTTTTTTTTTTTTTTTTTTTTTTTTTITTTTTTTTTTTTT�1 n °c do N ~ I' ".04 rr � v F T� S CD ^ fin �i y r � y oa , J 0 h� �, u•u r, ',� � h`h -- — -n a r1 J(jo 1 I 1 L___.1 I � r- �t.-L SJO I '1 hti� I I I„I LOWER FI.00R I EL :524 25' 1 MAIN FLOOR j 3 O EL :533 25' I c o chC3 o cc al i ' I GARAGE II EL :532 25 1 � I DRIVEWAY t 13500 PSI) nl i _ N o•os 51 W y7` 5200' 4 S.W. 132nd TERRACE 14102 1rw r - `2 C A L E t yM".uaw asro. """T�j ASHINGTON COUNTY us!.a rti.CCU1A[.a rN raouMn. • ommIT°u ry 1al"twoo 6"'a" 11Y QF TIGARD .Aw"ro MonCl AND mo F 1.4AVEN RIDGE 4 ��• 1 21M/.n.AKIO 1*rLrt MID.grrr rNa A.1.►ortMlyrl r[r0 MVC.aa K...ASOM a..„ 1.992 So FI.J ”"'•� BY PALACE )COMES INC CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WEBER ELECTRIC INC PO BOX 231154 TIGARD, OR 97281 Electrical Signature Form Permit #: MST2002-00171 Date Issued. 3120/02 Parcel: 2S109AB-09200 Site Address: 14202 SW 132ND TERR Subdivision: RAVEN RIDGE Block: Lot: 021 ,Jurisdiction: TIG Zoning: R-7 Remarks: S/F Path 1 KEEP FIRE SPRINKLER PLAN WITH MASTER PLAN Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR- PALACE HOMES INC WEBER ELECTRIC INC 27975 SW COX ROAD PO BOX 231154 COL T ON, OR 970 17 TIGARD, OR 972811 Phone #: 503-816-5664 Phone #. Req #: LIC 44087 SUP 4028s CLE 34-442c AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: FLM2002-00092 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/18/02 SITE ADDRESS: 14202 SW 132ND TERR PARCEL: 2S109AB-09200 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 021 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 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: 20 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of approximately 20' sewer line. _ Owner: — --- — Type By Date FEESAmountReceipt PALACE HOMES INC 2.7975 SW COX ROAD PRMT CTR 3/18/02 x/2.50 27200200000 COLTON, OR 97017 5PCT CTR 3/18/02_ $5.80 27200200000 Total $76.30 Phone 1: 503-816-5664 Contractor: PALACE HOMES 2797E S COX RQ COLTON, OR 97017 REQUIRED INSPECTIONS Phone 1: 503-816-5664 Sewer Inspection Reg #: LIC 125833 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicab:;: laws. All work will be done in accordance with approved 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 follo%,v rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions co OUNC by calling (503) 2.46-1987..* Issued By: Permittee Signature:,% <<, Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application City Of Tigard Datcreceived: 4 op Permit no.: L Address: 131253W Hall blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: City of Tigard phone: (503) 639-41"1 Pro'ect/a) I.no.: ,. 1 1 P Expire daft: Fax: (503)598-1960 �,fr jpp GC l7 Date issued:_ By; Receipt no.: Land USC approval: - Case Glc no. Payment type: 1 Xc 2 family dwelling or accessory U Commercial/industrial UMulti-famil New construction U Addition/alteratior/replicement U Food ser7lice U Tenant improvement U Other: EMPLII;LlymFIT'71M1 1I _Job address: /�%��c� $(,� i"` _ Descripflon (pfv. Fee(ea.) 'Total Bldg.no.: Suite no.: New I-and 2-family dwellings on-,: Tax map/tax lot/account no.: --- --- (includes IOOR.foreachutility connect ion) Lot: I Block: Suion: ---_- SFR(1)bath v' FR Project name: �, - - S (2) a -- City/county: 71p: � _ SF7t(3)bath Each -- additional tiath/kitchen --- Description and location of work on premises: Siteutilltles: Catch basin/arca drain Est.date of completion/inspection: - D wells/leach lin-/trench drain — 1 Footing drain(no. lin. ft.) - Business name: Manufactured home utilities -- - - < < , � y►� C - Manholes EE Address: - - -- Rain drain connector — City: State: 'LIP: Sanitary sewer(no, lin.fFax: E-mail: Storm sewer(no.lin. ft.) -- CCB na.: Plurnb,bus.reg,no: Witter service(no. lin. ft.) —'— City/metro lic.no.: - Fixture or Item: Contractor's representative signature Absorption valve Print name: — Back flow reventer - 1 Backwater valve Basins/lavatory -- Name: - Clothes washer - Address: _- Dishwasher - City:_ -- State: LIP -- Drinking fountain(sj _ -- -�-- Fax: E-mail: - - E'cctors/sump -- Expansion tank_ Fixturc/sewcr cap Nantr{print): _ _ hIWr drafns/floor sinks- - — Mailing address; -- -- (3arhagc disposal -- City: --- - - Slate:— LIP: Hose hrbb -- Phone: -----__ Icc maker Fax -- : 1 E-mail: Intcrt a tor/ rcnse tea Owner installation/residential maintenance onl 1 he actual installation _2 will be made by me or the maintenance and repair made.b m re 11lar Primer(s) — em to ee on Ute property I own a� ORS p y Y R Rtx)f drain(commercial) — - P Y' I Ix I>Lr RS f'haplcrate: Sin c(s), asin(s),lav—s(s) — - Owner's signature: Dote: — Sung_ — - - — Tubs/shower/shower pan --- Name: WateD 4 < � U-Fe r Address: r closet ''- --- City: _ _ State: LIP: Water heater — Phone: Uthcr. Fax: E-mail: oral Not all Juridictlrxu accept ctrdit code,pteae cell Jurl.allctlta rut mmr wrnrra.lion. Minimum fee................$ U Visa U MasterCard Notice:Phis pern)it application Credit cord number: expires it's permit is not obtained Plan review(at — %) $ -`-- — s�- within 180 days after it has been Stale surcharge(8%)....$ '�-�—�U� Name trf c order u shown rm credo crd accepted as complete. TOTAL .......................$ —5— F) Cart alder oiartatum r "GA16(140 rom) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) pTY mea AMOUNT (includes all plumbing fixtures in PRICE TOTAL_ Sir,k 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory -^-- 16.60 for each utility connection)_ One(1)bath $24920 Tub or Tub/Shower Comb -- 16.60 -Two(2)bath ---- $350.00 _ Shnwer Only 1660 Three 3)bath $399.00 _ Water Closet - 16.60 _ Urinal - 16.60 SUBTOTAL— — 8%STATE SURCHARGE _ Dishwasher --i 1660 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 1660 l_.-___— __TOTAL - Laundry Tray — 16.60 Washing Mach ne 16.60 Floor Drairifluor Sink 16.60 3° -- 1-6.60 - PLEASE COMPLETE: 4" 1660 _ Water Heater O conversion O like kind 16.60 — Y Quantit b Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ hermit MFG Home New Water Service 46.40 Sink__ MFG Home New San/Sloan Sewer 4640 Lavatory-�— Hose Bibs - 16,60 ----- Tub or Tub/Shower _ Combination Roof Drains — 16.60 Shower Only - Drinking Fountain 1660 -- Water Closet Other Fixtures(Specify) 16.60 _ --- Urinal -- --- _ Dishwasher varba a Disposal _ Laundry Room Tray --- - `— _W_ashi_n Machine - Floor Drain/Sink: 2" Sewer-1st 100' ------- -- 55.00 - 3" Sewer -- — --- Sewer-each additional 100' 4640 4^ — - Water Service-1st 100' 55,00 - Water Heater_— _ Water Sep rvice-each additional 200' 46.40 (Ser Fixtures S ecity) Storm$Rain Drain-1st 100' 55.00 - -- Storm&Rpin Drain-each additional 100' - 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 -- - Catch Basin --- - 16.60 --- ---- -- — ---- Inspection of Existing Plumbing or Specially 62,50 Rogues ed Inspections _ per/hr COMMENTS REGARDING ABOVE- Haiti Drain,mingle family dwelling 65.25 Grease Traps - - 16.60 ------ QUANTITY TOTAL - ----- -- - Isometric or riser diagram Is required 1f — — — - -- _— Quantity Total I >g -__-- ----------_--- —_— -- 'SUBTOTAL --- - - - - -- ----- ---- ------- -- ------ ---------- ---- -- 8°:STATE—SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL — Required only If nxturrI total Is`g — — TOTAL - a Minimum permit fee is$72 50#656 stale surcharge except Residential Backflow Prevention Device,which Is$36 25+8%stale surcharge "All New Commercial Buildings require 7 sets of plans with Isometric or riser diagram for plan review. 1ldsts\forms\plin-fees doc 12/26/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Received Date RequestedBUP !.ocation /4,/ ?C) 2 r -- - - - AM----- — PM-_ - SUP Contact Person _ -- MEC Contractor - _-)_Suite------ -- -- PLM ZQI2 -CU07L ----------____ -- - Ph(---) --- BUILDING Tenant/Owner SWR Foot --- - ing - - - -- — ELC Foundation -- - - Ftg Drain Access: ELC _ Crawl Drain ELR _ Slab Inspection Notes: — - Post R Beam SIT _ Shear Anchors - - - -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - - Firewall - - - - Fire Sprinkler Fire Alarm -- - Susp'd Ceiling - -- - - Roof Other. - - - - -- - - - Final - - - PASSFART FAIL PLUMB_ING _ Under Slab Rough-In Water Service Sanitary Sewer - - Rain Drains -- _ Catch Basin/Manhole Storm Drain - Shower Pan - 1Ll@r: PART FAIL - - - - -- -MECHANICAL -- -- - Post& Beam -- Rough-In _ Gas Line Smoke Dampers Final PASS PART_ FAIL -- ELECTRICAL - - Service - Rough-In I.IG/Slab - ---- Low Voltage - -. Fire Alarm - -`------- ----- Final PASS PART FAIL -� Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE—� __ Please call for reinspection RE:__ Fire Supply Line -- F] Unable to Inspect-no access ADA p Approach/Sidewalk Date 3 0 2 Inspectors Other. Final DO N01 REMOVE this Inspection record from the Job site. PASS PART FAIL.