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11245 SW 84TH AVENUE I I� 11245 SW 84t" Avenue CITY OF -TICaARD 24-dour BUiLDING Inspection Une: (503) 639-4175 INSPECTION rh!1.1:SIhN MST t3usiness line: (503) 639-4171 - - BUP _ Received Date Requested_ AM— - __PM BUP - -_ Location f L �2 _4._�; Suit, MEC Contact Person Ph( — ) i W pLM Contractor _ -- Ph( ) --_-- SWR - - BUILDING Tenant/Owner — __- - _ _ ELC Footing ------ ELC _ Foundation Access -- Fig Drain E ELR Crawl Drain Slab Inspection Notes: ;SIT Post&Beam __—_ --_----- _ Shear Anchors �— — -- - Ext Sheath/Shear Int Sheath/Shear — — Framing - - --- ------- —. — — — Insulation Drywall Nailing - - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 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: Ina SS PART FAIL NICAL Post&Beam Rough-In _ Gas Line Smoke Dampers ----------- ------------- — _—. —_—.—__ —_ _ Final PASS PART FAIL ELECTRICAL Servico Rough-In UG/Slab Low Voltage Fire Alarm Final ❑ Reinapection fee of$_ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE [� Please call for reinspection fry Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �7=1 z_.____.,__ Irnfal)ocior _ �y-' _ --Ld _—_-_— Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST .ZJ%� 3 INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _�. 1_� Date Requested ' — AM PM —_ BUP Location Suite --__ MEC _— Contact Person _ _— Ph(_ ) — PLM Contractor_ __ Ph( ) �' // SWR BUILCING '1 Tcnart'Owner 1 -' —La_�t�L_— EL C Footing ELC Foundatiun Access: Ftg Drain �. ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear.Anchors �- Ext Sheath/Shear �- Int Sheath/Shear Framing - - ---- -- ---- -------- insulation Dr;v.dil Nailing --�- - rirewall Fire Sprinkler ---- - ------ Fire Alarm _ Susp'd Ceiling - --- __ - Root Other: _. —.--�--------- - -- --- — — Final PASS PART FAIL ---i -- --�--- - i--- -- PLUMBING — Post&Beam Under Slab -- Rough-In Water Service ---- ---- -- -- Sanitary Sewer Rain,Drains _...----- -------- - --- -- Catch Basin/Manhole Storm Drain -- Shower Pan Other: ---- Final -- -----P ----- PASS ART FAIL -- SS PAIRT MECHANICAL -- Post& Beam Rough-In -- ---- - ---- — Gas Line Smoke Dampers -- Final PASS PART FAIL _—._— ELECTRICAL __ --- ------ - — _ — —_— - - Service Ru,igh-In UG/Slab LowVnitage Fire Alarm — - ASS P/�R'� FgIL F] Reinspoction fee of$ _ ._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. �_—_ Please call for reinspection RE: _ ___ .— Unable to inspect-no access Fire Suppl o Line ((� ADA xt �� cJ s2" 4. /t'�-!l E __. Approach/Sidewalk r Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARC 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ _Date Requested __ St_,�,.� AM_______PM __ BUP _ Location _�LL�'�Li �,. 7 _9� Suite_ MI:C Contact Person Ph( ) `t J T� PLM Contractor_ — - Ph(—) __ S1i11R BUILDING Tenant/Owner _- ELC i'oc ging ELC — — F wi dation Access: FY Drain ELR Crawl Drain SIT SlaL Inspection Notes: Post&Beam ---- -- -- - —— — - Shear Anchors Ext S.ieath/Shear ----- Int Sheath/Shear Framing Insulation C'rywai:Nailing — Firewall — rire Sprinkler --------__-__- --. _--------------- -- — Fire Alarm -- Susp'd Ceiling — Roof — Other:— 4r�ii - — --- �jp 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 _ MECH_A_NICAL Post&Beam Rough-In ----- ------- - _— _ Gas Line Smoke Dampers -- - Final PASS PART FAIL -- — ---- - — ELECTRICAL _-- 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 _ Please call for reinspection RE: Unable to inspect-no access Fire Supply Line _ ADA Date �j" – "�___ Ihspoetor Approach/Sidowalk Other: . Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL �LAAAA A AAAA Aee.♦sAAeAAAAAAAAAAAAAAAAAAAAAA,&.Ai CTl I✓ cn ► Ar9 0 Qh y ► = ► P d ► N �s � ° ► d Co a n POO. �' `` ► C ► o 7 v4 (pol. p— � � C ON. t '1 rD ° P' p rQ y ► crQ ► ► p y ► rvvvvvvvvvvvvvvTvvvvvvvvvvvvvvvvvvvvvvvvvvvvI i ® i i ► t R �I ► 43 co CL 5 eo e � a co� o ? � t 0 rz � a ^ f rp a � � o o � � � � n 0 'a' CITY OF TIGARD - PLUMBING PERMIT DEVELOPMENT SERVICES FERMIT#: PLM2002-00156 -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 5/8;02 SITE ADDRESS: 11245 SW 84TH AVE PARCEL: 1 S136CI3-10700 SUBDIVISION: ASH CREEK MEADOWS "ZONING: R-12 BLOCK: LOT: 011 JURISDICTION: TIG CLASS OF WORE: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: 'TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP': R3 FLOOR DRAINS; TRAF :j: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAVS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURE`;: i�'!?/SHOWERS: SEWER LINE: it WATER C:Lv=TS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of backflow preventer. --.__--- Owner: FEES — Type By Date Amount Receipt ESLINGER BUILDERS INC 11575 SW PACIFIC HWY. PRMT CTR 5/8/02 $36.25 27200200000 PMB 160 5PCT CTR 5/8/02 $2.90 277.00200000 TIGARD, OR 97223 Total $39.15 Phone 1: 503-620-9515 Cor tractor: ALL OREGON LANDSCAPE INC 85"5 SW SOROENTO RD REAVERTON, OR 97008 REQUIRED INSPECTIONS RP/Backflow Preventer v Phone 1: 646-6426 Reg #: LIC 6667 Final Inspection This permit is issued subject to the -Qqulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work iF, not started within 180 days of issuance, or I work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cernar. 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 to COUNC by calling (503) 248-1987, i Issuer♦ By: .�t�. ZL 't-� Permittee Signature: Call (503) 639-4175 by 7:00 P,M. for an Inspection needed the next bq* ness day i Plumbing Permit Application - -/ Date received: � d� Permit no.: - I71,aI:�p,'� � City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By:74t Receiptno.: Land use approval: Case file no.: Payment type: U 1 &2 family dwelling or accessory U Commercial1industrial Le Multi-family U Tenant improvement New construction U Addition/alteration/replacemcnt U food ser-ice J Other: JOB SI'I L IN FM(MA'I]ON FLYSVLE(fors0eclafinforruallon use checklist) UIED Job address: S / 1)CtiCrlph—I _ Qty. 1•ee(ea.) Total Bldg.no.: Suite no.: New 1-and 2-family dncllinR.only: Tax ma /taxlot/accountno._ (Includes 100ft.forrac•hutilitycnnnccrionl p _ SFR(1)bath _ Lot: I Block: Subdivision: SFR(2)bath Project name: SFR(3)bath _ City/county: ZIP: Each additional bath/kitchen Description and location of work on premises:_ __ Siteutilkties: T , i�ic e Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin.ft.) _ Manufactured home utilities Business name: die tom. L -C. Manholes Address; jr5-74{ :5vppEhIV fucF U Rain drain connector City:_ 3 "C4'q4 _ j Slate:Bl. ZIP: 7CZ7 Sanitary sewer(nn.lin.ft.) — Phone �>3 fe'A/(,"-�y,, Fax: S?5 — E-mrli1: Storm sewer(no.tin.ft.) Water service(no.lin.ft.) -- CCB no.: — Plumb.hu .reg.no: /r Fixture or k t- City/metro lie.no.: hm: Abso tion-alve Contractor's representative signature: Back t ow preventer _ Print name: '1..Pf7 6 Prew Date: Backwater valve Basins/lavato _ —__— Name: Clothes washer —_ Dishwasher _ Address: — Drinking fountain(s) Cityv _ State: E•ectors/sum Phone: Fix: E-mail: Ex anion tank Fixture/sewer ca _ Y _ Name(print): I r 41 �j —Floor drains/floor sinks/hub _ - Garbage dis"oral Mailing address: r( jvv l 'Cc Hose Bibb -- ---- C'ity: T') CG^ C v ''j7 L State: ZIP: re maker Phone: `/c- '` Fax: E-mail: Interco tor/ rcase trap Owner instal lation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s) _ Owner's signature: Date: _ Sum Tubs/shower/shower pan Urinal - - - -- Name: _ — -- Water closet — Address: Water Fcater City: State: ZIP: M_ O er: Phone: Fnx: _ E-mail Total _ Not at' Aidicnom wceo credll cards,slew call)urlsdicuon for more Information. Notice:This permit application Minimum fee................ tWiea O MasterCard expires if a permit is not obtained Plan review(at u %) S _— Creast card numbs within 180 days after it has been Slate surcharge(8%)....$ x Irca rlune of crdh'-Ter as aMnvn on iiWit card accepted m complete. TOTAL ....................... f Amount ")14161MXYCOMI PLUMBING PERMIT FEES: - - FAZE TOTAL New 1 and 2-family dwellings only: i FIXTURES individual QTY (ea)__ AMOUNT (includes all plumbing 7ixtures In PRICE TOTAL -Sink 16.60 the dwelling and the first100 ft, QTY (aa) AMOUNT for each utility connection` Lavatory 16,60 -_ -- _- -- One(1)bath - $249.20 Tub or Tub/Shower- Comb 16.60 Two 2 bath $350.00 Shower Only - -- 16.60 Three(3)bath _ ---$399.00 Water Closet 18.60 SUBTOTAL _ Urinal - 16.60 8%STATE SURCHARGE _ T_ Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 -__ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 - PLEASE ICGMF'9.ETE: 3" 16,60 4" - 16.60 Water Heater O conversion O like kind 16.60 _ Quantity b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. - Ca�Ped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sower 46.40 Tub orr . Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16,80 _. _ ( p "�') Dishwasher Garbage Disposal Laundry Room Tray Washing Machine _ Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3^ Sewer ach additional 100' 46.40 4" Water Service-1 a 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures S eci _ Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 -- Commorciai Back Flow Prevention De,tice 46.40 - Residential Backnow Prevention Device' 27.55 - Catch Basin 16.60 _ Inspection of Existing Plumbing or Specially 62.50 Re ueat,1d Inspectionsper/hr COMMENTS REGARDING ABOVc�; Rain Drain,single family dwelling 65.25 Grease Traps 16.60 - - QUANTITY TOTAL Isometric or riser diaoram Is required If Quantity Total Is >6 _ - *SUBTOTAL 8%STATE SURCHARGE - - - "PLAN REVIEW 2F%OF SUBTOTAL Required only It fiXture qty total Is>a TOTAL 5 Minimum psimlt fee Is$72.50•a',,.%Ote surcharge,except Residential Backflow Prevention Device,which le$30 25 4 s%state surcharge "All Now Commeralel Buildings require 2 tits of plans with Isometric or riser diagram for plan review, 1.\dstsHuimslpim-fees.doc 12/26/01 CITY OF TIGARD __ MASTER PERMIT' PERMIT#: MST2001-00563 DEVELOPMENT SERVICES DATE ISSUED: 12/31/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11245 SW 84TH AVE PARCEL: 1S136CB-ACM11 SUBDIVISION: ASH CREEK MEADOWS ZONING: R-12 BLOCK: LOT: 011 JURISF)IC'TION: TIG REMARKS: New SF detached residence. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 709 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 905 of GARAGE: 413 sf FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 F:NBSMENT: 6f RIGHT: 10 VALUE: S 156.057.80 OCCUPANCY GRP: R3 BDRM: 3 PATH: TOTAL: 1,61400 sf REAR: 19 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HE,`TERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL rUEL TYPES FURN<10OK: 1 BOIL/CMP<]HP: FENT FANS: 4 CL t.•MES DRYER: 1 GAS '— FURN>•100K: UNIT HEATERS: HOOUS: 1 OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIaENTIAL UNIT SERVICE FEEDER ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMPIIRRIGAVON: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIW SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp: 601+amp9•1000v: MINOR LABEL: 1000♦amp/volt PLAN REVIEW SECTION Rscnnnect only: >•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREIVSPC OC4 ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B,COMMERCIAL AUDIO B STEREO: VACt M SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: 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: $ 6,936.32 This permit is subject to the regulations contained In the ESLINGER BUILDERS INC ESLINGER BUILDERS INC Tigard Municipal Code,State of OR. Specialty Codes and 11575 SW PACIFIC HWY, 11575 SW PACIFIC HWY all other applicable laws. All work will be done in PMB160 TIGARD,OR 97223 accordance with approved plans. This penult will expired TIGARD,OR 97223 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION: Phone: Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rey N: LIC: 52363 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechaoica PLM/Llnderfloor Electrical Rough In Gas Line Insp Water Line In1:p Sewer Inspection Underfloor insulation Ftng Drain Bsm't Walls Framing Insp Gas Fireplace Appr/Sdwlk Insp Foot rig Insp Crawl Drain/Backwater Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Foul lalion Insp Footing/Foundation Dr; Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Mechanical Final PosUE,-am Structural Pim/undslab Insp Electrical Service Low Voltage Rain drain Insp Plumb Final G� .0 Permittee Signature : ` Issued By : �� 9 A—, Call ' Call (503) 6313 75 by 7:00 p.m. for an Inspection needed the next business day ` CITYOF TIG R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SINR2001-00316 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DkTE ISSUED: 12/31/01 SITE ADDRESS; 11245 :.W 84TH AVE PARCEL: 1S136CB-ACM1, SUBDIVISION: ASH CREEK MEADOWS ZONING: R-12 BLOCK: LOT: 011 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL. TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF residenc(: Owner: -- — - -- _ FEES ESLINGER BUILDERS INC Type By Date Amount Receipt 11575 SW PACIFIC HWN'. PMB160 INSP CTR 12/31/01 $35.00 27200100000 TIGARD, OR 97223 PRMT CTR 12/31/01 $2,300.00 27200100000 Phone: 503-620-9515 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit 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 t�ie 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 Issued by: ,, lt- le? 'L. Permittee ftnatUire: J� +p Call (503) 09,4175 by 7:00 P.M. for an Inspection needed the next business day Building Permit Application City of 'Tigard -';1611 Duicreceived: I j . .0 1 Pernlil Ito.: F' Address: 13125 SW Ilull Illvd,Tignrd,OR 97223 1110jecl/upPLnn.: pxpircdmc r ln'11/li�;lnr1 I I I):aeissued: Il hone: (503) 619-1171 y: '�� I Itccclpl1111.: Vim (503) 598.1960 (;Ise lilt Ito.: I'uynlcnl type: I..illl(I use approval: __ 1&2 fiunily:Simple C'unlplex: f�-- 1 U I & 2 homily dwellinl;sir accessory LI('fifiunc.rciul/indusUial 1.1 Mulli lamily Ncw cfinsrincliun U I voimlulnn U Addition/ullcluliunhcplueenlenl U'1'enanl impmvelncnl U Dire spiinklcl/eb .. U 011ier: __•---.-�__ 1 1 1 Job address: 11 ILI 5 ej W tAiT� c22.1 1111(18.no.: 3uile nfi.: Lot: 1! llluck: �Sohdivision: �� (�rPl!- n{f�C)rr�Otr1r�'1'ax map/Ulx 1111/nccounhw_:� � , I'm ccs llnnle: Description um' '•tcillion of work 1111 pre III ises/spec!III conditions: 6�,1 �[ 1 1 1 if Name: LEI �!'1C�_l0 Mailing address:1/_ U '' � �1,1 •({ ' � (.rU(—y�+�/l ] ��jj1 1 &2 fnml11y dwcllln(;:/ G Z Z�' N d City: � � 51n1e: 1.1111" '/ ' y' �L��.Sr � .��_� �li��,�.� V+dunlictn ul wink..........7............................ 9� I'hfinc: �I'ilx'G 7 1 y h nulil: Na.of liediOmw,imus................................. Ownel's nyneseoialive: Yip et.)_m_ l� Twill 11urllbl•I 111 114 fill ................................. I'hfinc: �j I fix: µl,� fs nu►il: — Ncw dwclliug aic.i (sq. 111.) .......................... -- (ialill;ch alpoll Oren(ml It.)......................... - N:u Iv: ('uvcicd pull II :uca(fill. fl.) ................... ..... f\ --- /�� ` Ih1k mv;i(•, 11 ) ............. Mllnl nhhctie ( .r I ) /C I .... .. . Illy iU11Ct 1.11'. I)11111 ',Inn Inlr :111;1 It11 II 1 I'hnne; I�ax: IS-Illnll; - -- -- ('21nnn1•I 11111/i)UIINII sal/lllfilll l:uully: Valuetiuu of wall. .......................................CONTRACTOR $ / Exislini;bldg. algia(sq. fl.) ......... ... .......... 11uriness nanlc: tr.'!l�('C' ,��J�13�_✓ _ ,>�rrl�=' Anil ----- I r Ncw bldg, nrcu(sq. It.) . Address: t, .........."..... ............ _-_ -.Y��f' C�.� ,�L! ' Numhel of simics City: Slnlc• ZIP _— x - 'Type ul•construction........ ............... .. ... Thune: fvlI?-mail: . Occupancy groop(s): Existing: C no.: �2_� _. _. _. _ New: 1i 11�Y!Jlv I Ifi til'. nfi : �1 Nollce: All cmilim Int'; mid%Olimi om)firs alt•. requited Ifi br ARCUITIECTIDIESIGNER licl•nel•d wills the lhcl,un('unsrlm line Colitin11111s 11niml un11r1 Nnnlc: �• p111v1.lune Of ORS 7(11 illltl 111Ay hr 1111ni1 d lu In hrrn I d nl 1111 \1ldlcss: ' I �— -- I1m%ilu non Where wmk iH living prllulnn•11 11 Ih1 ;111111; 1 _. 1._1 ? ��tL �� I rnl 11 ImIll Iiccnshl l the lulluwill fcllsun :1 1 Ilu '.. __ r _ I I I I Icy- '-igd'��l_ _ .,t��1 1 fi 11'11,11112111 ILM Fl;uur h«p t I +�(t.,Yr1 ty Y. 1 nnlncl p11' 1.11. 1 \ I'1r',due upon appUe111ifin -....._ r111�1n••.•. Alt 1 S'1 r. f.1.� Lt >(�G)�_.�--_. 11111 11vvivcd. 11111 (ti1.11c I:'11 Anlnunl 1111 rvl d . ... . 1, I'llnnc 111-.1x I I': Imill I II n I kit's lu ll.c sl Ilrllnll I Ill'll'by 1'1'1111 y I Ilim.Aty"�"—L It'd Illis 11114Ical lilt%illltl Ille. low sill pniwliclluat sil'rclN rwdil twill,hleUte tall p111,dn11„1,I..,.nisi..... nl,nun imat hc11 checkhsl. Allit inunlc% povelniul;Ibis UVigil U klaticl('ald work will be 1'Omp11P11 Is 1 cleill Ill Ilul. Ord11 ewd 111111d,v. I. --- --Atlllll111Ze111 S11'llalul l lie: IZ o 1 Nrn1r of tru�w'I ri thnwu untie'—"�fi�l tyiull ' I�'�l_l.� 0f . InI 11;11nnl; C r _ _�.i'a;irl/, ;�an;la 111,111 c '1 his perinio 111,11111❑linrl cxphc%il'it pclmtiil nal ublnined wilhiu I Nil d11ys'dlct it lilt%heel►ltceepled 114 enagtlele, I n1 u,l 1 0,4140 1nn 1"11111111W11119 PCIheuit:Application City of `I'i�,'ard T uatereceived: I'umii no: Address: 13125 Fly flail Blvd,Tigard,Olt 97223 Sewer pcnnit no.: Building permil no.: CirynjTrdnrd Phone: (503) 639-4171 Pru ccda r rl.no.: ^- j If L'xpircdalc: Fax: (503) 598-1960 palclsauul: fly; Itccciptnn,; I_awl USC apps-ov.11: - Case file no.: Payment lype: --- 1 U I &2 fancily dwelling or accessoly U Crnnnrc►cial/indusllial U Mul!i•famil jlk.Ncw conslnlctioll U Additinn/atleralioll/replacenlenl U flood service U I'cuam inrlrruvcnrcrl( U OIhcr. t 1 1 _lob addlcss: 1 LI.I r5 tLl.. Z23 llcscrllNlon ( _ hce(c Total rax no.: _ Suite no.: Nctr 1-and 2 faudly threllin[s cn11y: fax moll/lax lot/accouI I no.: G �J anC� - (Includes 100 A.forexcltu11111yconnection) l.cli: Illcx k: -Subdivision: Spit(1)bmh Project,rlama: ��1, ('r e e A Sf -�- `W-- Spit(2)balk Cil /counl �"`�� Sl P(351ruh - Y Y Tiwc.rr� rn 711' �7 )5 — .achnldtOlin l Imll%kiicren -" Ucsc.nplloto and 1 .aliou of work on plcnlises: Slleulilltlm -� -rte-ll�''�{ CalcIt basirt/alca drain Ist.dale of cenrplctirnl/inslleclion: _ 1 D we I eac 1 lin UETI-6111 in - fronling drain(no. lin. fL) Business nnmc: OM(-- 1L,,. �}fir►.,. C Mnnufaclurccl hontc utilities - Address: -- ( Its to ran connector Chy: �l�lt�r�l)/ _ Slntc:C ZIP:rI llqu Sol sewcr(no.lin.fl.) 1'honc:(G,�y• (hK� Fax:l,L`;•IA-A Mmail: Siormsewer(Ito. iTriR.) M1 no.: (o' [(� Plumb.bus.rag.no: 11 ( - Water sery cc(off t(t f1 City/nte( o lic.no.: C) �- future or Item: COMM I's mpresenlativc signahlrc: Absorption valve [l[lack flow plcvcnler 1 1 pnckwnlcr valve Q Uasins/lavato ��Name; 1._L1L1 lr►( C Ol IC9 washer – --'— Addtess` -- - _15Tsrwas i - it �� I)iilikin f�ounhnil,(s) - -- I'I,I,nc I In X: Is atoll Itieclor suns/ ip -�:xpnns an tan 1'1x11111 6—�Ca 1 _Narnc(prim): C t)11 xtr lira I�(lcror sin 6/ I 1 Mailing address: ' �' (lnit)a le cdis xisa -ilose IF FF -� --_-_!'Inlet, 7,11; 1W Icc Irtn cr I'honc:G o_ Pax: 1 d-t'' f? ntniL --- nicrceplor grease Trap Owncr insla111111 tlt/rcvidenllnl ntafntcnancc nnly: The actual (usiallailo,I III Iller(s) — will Ile m;1de by me or the maintenance and repair mntle by my regular Itlwf l�rnjit(commercial) etnployec on the plullcrty I own as per OItS t:haplcr 447. (1,vncr's ;ii;nuhlrc: 11 (x , Ins II(a , ays(s Date: -Siuigr - -� I'll I. a towel x xIWCr Ilan '-- Nall I � I nn �IIIIICss; riilil!1'C 11xC1 t.U)•:i ._... ..� -- - ---- -- - Oil _ -- — -_ 'hone: — Irax - rel: - - I I' 111,111: '1'nlal Nal all lwlalldlmt 6oerl,l crnar cud,pleue cdl Jwl.h u-. 1„ •w•.I,I d wl Mi11i1t111111 I've................ — UVis• UMuletCud Notice:'Ihlspcnnilappllcelioll Cmtil cod numt,u: —/ ! expires If it pent,it Isnal t►Mnined I Inn Icview(ni .� %) 3 wilhln IRO days nnrr it has Bern Slate sun:harge(8710 ....$ -'r�irn'e n cul Iii ri�i ri strewn mriic�l7cii3- —" r accepted as colllph•1,• •1'01 A 1. ............ 6 1linunw 4la 4616(M )ATAII �I��c it;inic;il Permit Applicatimi Date Iccciveil: 1'w'n►il 11w: City of Tigard Address: 13125 SW Ifall Ulvd,'1'i 'ard,()It 1)722.1 1'1°jccUappLllt'• lixpircdltlt: City of fibtu,r b - - I'honc: (503) 639.11171 [)file issued: Ily: Receipt m, ax: (503) 59H.1960 Comic file 1111.' Payment Iylle: 1,7111tl Ilse approval: Ifuitdinl;permilnrl.; - - U I &2 family dwelling or accessory U conuuereial/indmll ial U Multi-limlil New conslruclloll U Addition/allclaliu11/rcplaccnlcIII U OUler: y U'I'enanl in►pnlvenlcnl )tlll addless: I 1 '-I 5_j w $I �` /� Ti w R� Intlicale.cllllipillmil Ihlalltllles III poxes IIeIUw. 11,11,Ci11C(IIL'Ilpllill' 11141;,nu•: L1Snile no.: value of all IIIet:I1r,111Cid Ilnllel'In15,cquipnlcnl,lilbor,ovelllcad, I'»x map/Ulx fol/account no.: prolil. Valle 1.111. lilock Subdivision' x41 1 d1 fPC.IL t I'rulecl nolle; ._ _l l° c,(,�� Sec t liccklist fur in111011nnl npplicalimi jnli►rmalion and f .J L l t i juri;di,lion's nix schedule fur lesidcnlhil pelmil lee. ('jly/cuunl'y � l'Y[' ._ WA -- I)cst S1 llil►u and I/Sciltinn t 1 work on premisex: I&KIMMINA&AM Oil2r V.,1111 ' Iist.dale of couyllclioll/insl►�.clion 5- _ I ccira.) 1'ulnl rl2 I)rstr{plior' 111 . Iles.only Rtw,olll� I'ennul inylrovenlcnl or chnngc of usc: r-- -'-11 VAC: -_ Is existing space llcilled Or cnlld111011ed?U Yes U No Air handliulplall ('I'M Is existing space insulated?U Yes Cl No Alii cr`onditiaII l g`(silt II»n regoiir,li — _ lernl oil n e`xisln�fiV7CC sysit',�I�- --_-- 1 Tlirc?complt ears _ liusincss n,lnlc: T� 1 State bodcl peunil no.: �IS ��. At Ll�t III' --- ftm; IIIIt/II Address: ) r_�_._ LL_+:�_�S_--� I'i,t�,mi Ir,lalnl cls taut I ,In ,Lr,l,i,,lu,� - _ Ilca�pnn,p(�.ilr pl:lll Icrluin'd) - ln,lallhr ,lacrin,nitee IIr11Cc _ � I'ux: I I�, nmil, 1 ---- - - Inta11dull;duclwolk/vent liner U Yes U No I'1'll 1111.; 'r, -- -" - - Tnsln lijii,lcchc ocnle tcnlrnx-sllspcnl iT - 1'lly/metro lic. no.: ? - . _ wall,lit(lrlm mounted Nnnle(please pr{1::\ /t I l -•tr '�'r'l) _ cn=l w njil,iiniit c of ler I inn ul nit c — -_ -' 1 1 r l l;crsll nn: Ab•,taplionunils__ _ 11111/II Nnnlc: rgar�. m��ri! _-q().� 1'lldtels ln' Addles: -�' �f �" 1, - 5GL Y11._�__C�' -' !S.�?O v tnnpussul s __ -- III' Cil -- h;l i o41111en N cx I»nsl nrll Ven! nl nu: City: lime '1.11': ----- Appllan,c will I�11r I� n,;ul �{hs�'tciiluiiitii-`- — 1 �i�""Is,�l'ype � CCS. IC ILII It17.11n11 Name; t Il�lr'F? r .- t halalliresupplessiunsystem .�• _ t� jL( F-1 5 C,..., I:xInt11S1l»II WilliRlI1l1iCd11C1(!1011falls) Mailing nddrrssl F`� � (�� It i 0��`cijllUll �I��(� -jTxjinlist s slcol n►nil CoIT,c»I n,of Ate-— _- ll�_ t _._1l 1',1y'" l.0 Slnlc: yrj nc p p ng tlnl tIsle ul ou(up to 41111 cls) — - -•T�ic1-i�'i IT 1 cncii,i1i)t nu» uvt�l�lilill cIs — L110 NO (Ijl tnccs�pfiling(50lemaleIc(uilct) IJ;unr —ll ) / mmil)crfor u1111cis Addicss r�F -- 111hcrll+Tri)nlipllnoccntegttpmn i : - - - - I h ,n.,ln'c In,plate CO Y: I.'iliUc .-11 'Id: ---• \\''�,�I.In�- /lu act'•lu�r ____ — �\I�I,hc:nll'• 1 / Vhdc:IL/j/ �llllrl: ll,nnc (lunill /� 1. (t c-y Il"d all tu...llln'1lit cmill.plrMr full IINl all/ohlit 1N IINNf IIIIM IIInlllhl 1'c111111 lee....... Nuittc:'IIli%permit applienliun ......... 1 1 Visa 1.1 Muslrlr ,ltd ---- cspites if n pclmil is Iml nbininell Miniuunu fee................ � ".1.1 can)uuudKl ---•--- _ wilhin I Rll days nllcr it lilts heeu Ilmn'en7rnnilro, t-�f jijuwndil"elctTllGritl e. So ale Sol ulmIIte(RIM,) ... 'I'OTA I. .............. ........f 1'nn{ittddrr N unNne ___ Electrical "I.IlermitApplictation Dnlercccivcd: -- Permit no.: r' r , Ll� City Of T ig ird Project/nppl.no.: � Iixpircdalc: l'IIyo/hg a 1.1 Address: 13125 SW IIall Blvd,Tigard,Olt 97221 Date issued: Y Ily: Receipt Ito.: I'llonc: (503) 039.11171 — Fax: (503) 598.1960 Case file no.: I'aynlcnl type: L.allll lose approval: TYPE OF"PERNI IT IJ I &.2 family dwelling III accessory U('onnuen:ial/indusrii;11 l_I Multi family U Tenant imptovemeat KNew conssroclion U Addition/al lerasioll/replaccotenl U Ulhcf: U Pailiul 306-SIlE INFORMATION ' Job nJdress: H20-IT Ittif l_t'._F� -� T' csr0172 l Ifldg.no.: S11ile no,: fax asap/sax slot/account na.:1515GCD 900_ 1.01: 11 1 Block: subdivision: 0i5h crt-tK Mir j1owj Project nti11lc: A i ts-A I 17rscriplion now location of work on premises: NtiAl SI`o,tJ1L Fpq•S-tAu Listitnated date of completion/inspection; St `CON]1103'011 APPLICATION Job no; Fre RUX Illlsiticss hassle: Q . A . Jerome E l o c 1,r i; Ilescl 1pllon Qly. (cn.) 'total loo.lnsp AtldreSS: hU QOX 759. Newmildendill-shtgkormilli-fandlyIter Ihsellingwdl.hlclwleso11nclwdgarage. City; Hillsboro '11tc01, Zll' 97123 Sa.lr•elncluded: 1'linile: 6411-5144 I"Ox: 6 _ r:-mail: loon sq.t1.or less _ 4 CCII no.: 36051 "t- "'IS- lie.110: Eachnddilionfl ol 500 aq .or politort Ihcreof - ___3" 11.�_C Limited cncrgy,rcridend_nl 2 Cily/nielrolie._no.: 1063 ^� Limia:dcnergy,nou-Icaidrmitd _ — - 2 knelt nunufacluled Illltlle lir modular dwellilq: - - Sicaalure of sol KlvisiLil;a eclririnn(rrr a toll) I rn, Selvice nodlot Irrder 2 Stip,elect•rinvile(lit im): fLrt�Lj1 it rmr Im •, I Tet 111 r%ofLo- Ierdrlf-Irlslnllnlluti, dlrinllollof Irhictilloll.' PROPERTY 1 1WNE'It 2(111 nmps or Ir%% 2 Name(print): r l_ I wA I -t r Ito C- 2111 ilius IU 4011.nips - — -- -- _ 2 401 nmps 10 600 pulpa 2 M,liliug nr4dlc_ss_`15.7�__S_W_(�u5'1S r��>s �I f�1C�SJ I,nl nlnpttn IIXN)a1(Ips -- 2 City: ' _uYd —! SNlle_��llII':4117 � ovrl I(XX!napsorvciha 2 I'llol :(7 C7 .4 4 I ix:(;,1 CI C11I75li-Ionil: J (teconneclonly 1 Owner installati0n:'[lie inslnllalion is being made on pr•opelly I own Temporally serrlres or feeders- which is not Intentled (-or stile,lease,rent,of exchange accoldilig to luslrllllllon,dlertdlovi,orrrlocallou: OILS 447,455,419,670,701. 2110 align or less 2(11 pages Iti 411(1 anryts _1 - Uwnct's si nnituC: Date: 401 to 600 atom—,i 2_ Drarch circuits-view,alleraflovi, or exleaslon per panel: A, I'rr r,.1 1,1 n,t,b 11.1111%wim pmrhnau or Adds-css: %r•lvir r a1 Irrvlrl Irt•,earl.htalleh ahcoil 1 City: �SInIC: /.I I': II. ser.fol blallrh cnculls willloul 111110101C ----- - ----- - — --- ------ of service or feeder see,fit sl brunets e'Icuil: r.h ) Thune: I ax: 1? mail - -- ---- — - hnpddiliooal brulch circuli: _ _ PLAN ItEVkEW t Mlsc.(8erllet or feeder not lurloded): USelvimcivet I)SunpsInotittcttial UIlrnhh(mc.failllly IlnchLfualpnohllgallollClock — - U Sri vice over 120 nngts tabic of I A 1 U IIarmdous IIa alion Bach alga of Ilulllae Iiglllhlg _) h imly dwellillp U Mudding civet 10,1111)(11squmr fert him of S!gaal rFirull(%)tit a lindled energy pnlel, LISysirrttuvei61X1Vo11%nunthnd naocwollf-nlla)tinllain1nu•%llurocil. n11r1atimi'mI'I.m.i,m' ) l)Iltilldiol;ow1 hu•cslnlu•% I I Irr,Ln,•IiXlnnlpsm loon,. ,Ir,.•, , Iirr,n, .-.._.-._ ..... --' --- - -- - -'-'---- -.----"- ._. IIIklolr;wlload o. 11)11IN,11% IIIA.,, Ij.Illicit hit wtill.%fit 1(Vpall, Ialhrddilloonlht•,pr,bon ..11ln•n11utu,l.l.r1,t 1.1 llh,•nbn%r•-- ll fgtcsa/hgbliugpino I 11)11.v ____ Put I'r1 nr.l,r,uun HIIIII1111 %rl%of 1111111% tillpoly of Ilse above. Invttirlgnoonfee - 'I Ile allovr III r vinI applfl able Ito IrulporOil y I�oash 11CIlon eervlce. l►tlu 1 __—-_�_ _ --^ _ -- - Nd all J.—OwItlint's.eines,,r.1,1141.1t,plrav r all imlullrilat(M Ilton hlftwinalital Notice:11118 permit nllplicnllon Permit 11'c................... U Vi%a U hlaslelCnd expiles if'n pcimil is licit cibinincd 1'1111 review(til •__ '%,) 5 1.1rdil t41d nu1111wtwilhi11 190 days nllet it has beell State surchnrne(11%) .... ilei—" 'f OTA II .... . 1' .__ _ _. accepted us annplclr .........•,..•... ►iMIW til IM,ii 1,lr1 41 drown nn ur,lit,MIT 4-In 46111(641N'1)a1) ti 46.38 r- ,y a�ar►o HbUS E 1O � F.4=. all.5 r` ,� F.F. Z-1110 �'_ ^ x2AL_L_: ,,,_ W Q 3 -0 oawtwaY a W a° N 0 40.00 �5'JIDmw,&,L_K. 112 +5 .. \/V, f3�- t—h AVE, LOT 11 ASII CREEX MUADOWS WASHINGTON COUN'T'Y MAP 15136CB-900 ZONING R12 LOT SQ. FT. 3617 11245 SW 84Ti I AVT:. TKYARD, OR t:SI.INGI.;R P11ILDERS, INC. (503-620-9.515) I I--75 SW I'M]FICIIWY. I'm 11 160 11.1GA'W, OR 97223 EROSION CONTROL PLAN 1. Silt fence to he instilled pit low side of lot 2. Driveways & sidewalks to he graveled