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13475 SW SANDRIDGE DRIVE 13475 SW Sandridge Drive CITY OF TIOARD 24-Hour _ BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received ___._ ____ Date Reque ted 3�a' AM-_ PM __ BLIP Locution Suite _.-__ MEC 3? - . --- - Contact Person ____—__ (___ ___-) ._ _tel ' �- PLM Contractor Ph ( j -_- _ SWR BUILDING Tenant/Owner __ ELC Footing ELC Foundation Access: _ a� Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT -- Post&Beam _ Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing -- - Insulation Drywall Nailing — Firewall Fire Sprinkler - -- Fire Alarm Susp'd Ceiling --- _ --- Roof --- \ Other:.— Final ther:_Final PAS PART FAIL TLUMOM --- ------- _ _ — Post& Beam —r ` Under Slab -—-- ------.-- -.— - Rough-In Water Service -- — — - Sanitary Sewer Rain Drains -- - --- Catch Basin/Manhole Storm Drain --- ------ ---- — Shower Pan Ot �IPART_ FAIL NOWAA - �____ - Po srT Beam Rough-In _— - -- - Gas Line Smoke Damper,; — Final PASS PART FAIL --_ - ---- - — -__-_--ELECTRICAL Service Service Rough-In UG/Slab of re armr. in ` ��c t�cv Reinspection fee of$ _ required before next Inspection, Pay at City Hall, 13125 SW Hall Blvd. ;�� PAHT FAIL SIT_ — [] Please call for reinspection RE: ❑ Unable to Inspect-no access Fire Supply Line ADA 3-/��j `8 3 Approach/Sidewalk De1� — _-_ j l - ---_- Inspector -.- -. ----_---- 1�7(Q- -_ Other: Find DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL. FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 08:34AM P2 Plumbing Permit Application City Tigard U)tc received: � � I Permit no.: - v D 2 35 g Sewer permit no.: Building permit no,: Address: 13125 SW Hall blvd,Tigard, OR 97223 `-- City of Tigtird I'I+one: (503) 639-4171 project/oppl,no.: Expire dote: Fax (503) 198.1950 ►'.:,e Issued: BY. Receipt ne.- Lund USC approval: Cne RIc 110,: payment type �NCQII"2finnilly dwelling or ncccssory U Commercial/industrial 0 Multifamily 0 Tenant imprnvernont 0 New construction LIAJdition/nitcration/replacement 0 Fond Nervice 0 Other: EK11116awl iimtinowiffnummm 11,1111 FIRM Job address: 4'7 Deecrl tin" t . I�Pe(en.) Tutn) Bldg,no.: uite no,: New 1•and t fellings only: Tax map/tax lot/account no.: (Include)loll n.fnreach ullli+y cmmectiun) SFR(I)bath Lot: Block; Subtlivfslnn: I'M(2)bath Ih'njecl name: _ ^� SPR(3) City/county: ZiP: Each additional bathrkitc Ficin Description and location of N urk on premises: , ^_ Site utllitlea _ Catch basin/area drain Est.date of coin talion/utspecrinn: _ we Is/Icuc me trench+roan Footin d;nin(no. ln. .) Manufriztured home utilities Uusiness li nefa, ,� _..�F �_� C- les AJdross: '7 y A 5LV^Wjob t y� !fair.drain comtectnr Clty; Cav� State; GIP: 5onitaty sewer(nn.hri,�t) Plronc 6tt ,e�jj' Fnx yq, Email: + 'torr sewer no.lin. t.) c-09 no-,; rj Plumb. bus,reg,no:�Q�P' � arservice no. in.ft.) City/metro lic,no.: a,� FixAbsotion valve or vve ve Contractor's representative signature: Back Ilow prevcnter Print W / ''ate: —§ cTcwater v&&Walve asins/lavator Name: Clothes washer Address Dishwas cr City: State: _ zip; T)nnktng ountain(s) ejectors/sump Phone: IFax: Il:-mail: •xpansion tank fixture/sewer ca Name(print): Floor rains/floor sinks/hub Mallin address: Garbage is osa _ l; I lose hi b City: _ State: : P: Ice maker Phone: Fax: E-mail: Interco for/grcaso trap Owner installntion/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roo drain commercin) employee on the property I own as per ORS Chapter 447. Sink(c),basin(ti), ays(s) Owner's si nature: Date: Sum Tubs/s mowerAhower pan - Urinal Name: —_ Water clow Address: Water heater City: State: Z I Ot mer: Phone: Fax: E moil: ala Not all juriedietlona accept credit onnis,plena call tunarcunn ror come Inrarmi;` Notice: This permit appimition Minimum fee ..... _ at /n U Viut G MnatetConl expires if n permit is not nhtainPlan review od ( � ) Credit 0414 number) --/ / within 1BO days cite it has been State surcharge(R/n) S 1141.. .) T(ITAL . ... ................ E � Nnnit el cur n t e/nr ehnwn un uredit emit lecepltd eS complete. r +el er Il nature �� '�Ahtount 441)461A(6ogNC0Ml CITYOF i I G A R® MASTER PERMIT PERMIT#: MST2002-00285 DEVELOPMENT SERVICES DATE ISSUED: 9/18/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171, SITE ADDRESS: 13,175 �)'1AI SANDRIDGE DR PARCEL: 2S105DD-06600 SUBDIVISION: F'ACIf IC ORFS[ ZONING: R-7 BLOCK: LOT: 042 JURISDICTION: TIG REMARKS: New SF detached dwelling. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST. 1,1,52 of BASEMEN r: 924.00 at� LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.590 at GARAGE: 746 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 5 VALUE: $404,848.60 OCCUPANCY GRP: R3 RDRM: 4 BATH: 4 TOTAL: 3.142.00 at REAR: 40 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 6 DISHWASHERS: i FLOOR DRAINS SEWER LINES: t00 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 6 GARBAGE DISP: 1 WATER HEATERS I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIUCMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1 GA:, FURN>•100K: I UNIT HEATERS. HOODS: 1 OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD't.INSPECTIONS 1000 SF OR LESS: I 0 200 amp: 0 •200 amp: WISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION: EA ADD'L 600SF: 8 201 400 amp: 201 •400 amp: tat WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 •600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+ampn1000v: MINOR LABEL: 1000♦amp/volt PLAN REVIEW SECTION Reconnect only: >x4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUL;'4 SYSTEM: AUDIO 4 STEREO: FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNOSC LT: BURGLAR ALARM. OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR: HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,973.75 This permit is subject to the regulations contained in the DR HORTON HOMES D.R. HORTON INC Tigard Municipal Code,State of OR Specialty Codes and 4386 SW MACADAM AVE 4386 SW MACADAM all other applicable laws. All work will be done in SUITE 102 SUITE#102 accordance with approved plans. This permit will expire if PORTLAND,OR 97201 PORTLAND,OR 97201 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION: Phnna: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg N: LIC 130659 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, Wtr Proofing Bsm't We Footing/Foundation Dr; Electrical Rough In Gas Fireplace Electrical Final Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp insulation Insp Mechanical Final Sewer Inspection Post/Beam Mechanica Mechanical insp Shear Wall Insp Rain drain Insp Plumb Final Footing Insp Underfloor insulation Plumb Top Out Exterior Sheathing Insl Water Line Insp Final inspection Foundatlon Insp Crawl Drain/Backwater Electrical Service Low Voltage Appr/Sdwt Issued By : � �P'`t :. <__ _ Permittee Signature :___ � wti�► Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day \\ CITY OF TIG,AR® _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2002-00189 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9118/02 SITE ADDRESS; 13475 SW SANDRIDGE DR PARCEL: 2S105DD-06600 SUBDIVISION: FACIFIC CREST ZONING: R-7 BLOCK: LOT: U42 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 detached dwelling. Owner: — -- ---. ,_ - - __ _ FEES D.R. HORTON HOMES Type By Date Amount Receipt 4386 SW MACADAM AVE SUITE 102 PRMT CTR 9/18/02 $2,300.00 27200200000 PORTLAND,OR 97201 INSP CTR 9/18/02 $35.00 27200200000 Phone: 503-222-4151 Total $2,335.00 Contractor: Phone: Reg M Required Inspections i This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all direntions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 t h OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (! 3) 6-198 Permittee Signature: 1 �� Issued by: i, _ ...... --- — —— V-Y- — --- Call (503) 639-4175 by 7:00 P.M. for an inspection nec 'ed the next business day Cc Building Permit Application � ' 4 if)- of Tigard Date received: S C L Perm�`�1t i.-1C Gn•�� Address: 13125 5W}loll }ilvd,'I'i acrd,OR 97223 Project/apprfm ��. Expire date: Ciry q ffigard g Phone: (503) 639-4171 Date issued: By:�;�' Receipt no.: Fax: (503) 59$-1960 1 I( r Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: `jam TVPE OF Piriamn U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family XNew construction U Demolition Ll Addition/alter,,ttion/replacement U Tenant improvement A Fir, sprinkler/alarm U Other: INFORMATIONJOB SU11E Vlob address: �� j Bldg, no.: Suite no.; Lor, ock: Subdivision: i'ax map/tax lot/account no.: Project name: .I G - Description and location of work on premises/special conditions:_ Name: 7 R-• C tj / %1.'.� I l r Mailing address: f &2 family dHelling: City: `' �, Slate:0 ZIP_: Valuation of work.... ��lU ..p„ ,4i $ Phone: - 1 Fax: - -aJ7 '-mail: No.of bedrooms/baths.......... ................... ;...................... Owner's representative: (, Total number of floors.......................... _ ,, . phone: 13 Fax: G-mail: New dwelling area(sq. ft.) ......Y�?lr . .... _ (Garage/carport area(sq. ft.)......................... Name: D• 1'ta r i"e In Covered rch arta s ft. Mailing address: Gi��iit�VF , Deck arca(sq. ft.) ........................................ 3 City: IP: Other structure area(s . ft.)......................... Phone: _ Fax: Cummercial/industrlal/multi-family: CONTRACTORValuation of work........................................ $ Business naine: yG Existing bldg.area(sq.ft.) . ............. .. New bld area s ft. Address: G S _ g ( q ....).............. . ........ Number of stories City _ State:p ZlP: �.,::.................•.... Pham,: - IS Fax: -tot 31j] E-mail: TYIx of const _ CCB no,: �n —' Occup an roup(s): Existing: City/metro lic.no.: T - New: _ Notice:All cont actors and subcontractors are rt.quired to be licensed with the Oregon Construction Contractors Board under Name: . � - t}-7/t, �•-i provisions of URS 701 and may be required to be licensed in the Address: ZV fps jurisdiction where work is being performed. If the applicant is City: State: Z}p; exempt from licensing,the following reason applies: Contact person: sto_ &Wl4jk11plan no.: , phone: / I Fax: E-mail: Name: // - C ) • UJ( 7 untact person: ` Fees due upon application ............•.•.•.......... $ Address: fy��h Date received: City: State:p/� ZIP: p/ Amount received ...........................•............. $ _ Phone:�v '2 T Fax:t'WX ffq, E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all junsdico nu accept credit cards,please call junsncction for more tniornuuoo. attached checklist. All provisions of laws and ordinances governing this U%isa Uhtastercard work will be complied witb, whether specified herein or not, Credit card number / / Authorized signature: Date: ___.[_ Nam of cardholder u shown on credit card Expires Print name: / _ s Cardholder signature _ Amount Notice:This permit application expires if a permit is not obtained within 190 clays after it has been accepted as complete. 4404613(60tcoM) Electrical Permit Applicatium Date received: — Permit no.: 5 City of Tigard Project/appl.no.: Expire date: CiryofTigdrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date lssued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ TYPE OF PERMIT ❑ 1 &2 family dwelling or accessory U Commercial/industrial ❑Multi-family ❑Tenant improvement Ncw construction ❑Aclditiordalter ition/replacement 1(WI-1 J Partial { SITE INFOR!"TION Job address: Bldg. nu.: Swtc no.: Tax map/tux lot/account no.: Lot:, Block: Subdivision: Project name; c,r" Description and location of work on premises: Estimated date of completion/insp 1 o CONTRACTOR 1 Job uo: Far Max Business name: G�!] �� (� Description qlv. (ea.) Total no.lns Address: New residential-single or multi-family per dwelling unit.Includes attached Lar age. City: State: ZIP Service Included: Phone: Fax; E-mail: 10(10 sq.ft.or less 4 F.ach additional 500 sq.ft.or onion thereof CCB no.: j Elec,bus, lic,no: Limited energy,residential 2 CllyltnClro 11C.no.: �� ' Limiledenergy,non-residential 2 1r.er�� Each manufactured home or modular dwelling Sig supervlstn8 elecrrieisn(requtredl Date Service and/or feeder Sup elect name(print): I,iccnsenu Services or feeders—Installation. alleration or relocation: 1 200 amps or less 2 Name(print): S 201 amps to 400 amps 2 /�� 401 amps to 600 amps 2 Mailing address: e01 amps to 1000 limps 2 City: State: ZIP: Over 1(l0o amps or volts 2 Phone: - Fax: E-mail: Reconnecton�, _ 1 Owner installation:The installation is being made on property I own Tempuran services or feeder- which is not intended for sale,lease,rent,or exchange accordinh to installation,alteration,at relocation: ORS 447,455,479.670,701. 200 strips or less 2 201 amps to 400,m_ps 2 Owner's si mature: Date: 401 to 600 ams --2 Branch circuits-m c,alteration, -- ,f. or extension per panel: Name: S V 11 K A. Fee for branch circuits with purchase of Address: _ __ _ service or feeder fee,each branch circuit 2 _City: State: Z.IP: �Q � H. Fee for branch circuits without purchase -- of service or feeder fee,first branch ct•cuil: 2 I'hnne: _ Fax(l� 1 mail: Each additional branch circuit. PLAN REVIEW(Please check all flint apply) Mlsc.(Service or feeder not included): U Service over 225 unfits awunuctal LU Health-care facility Each pump or irrigation circle 2 ❑Service over 320 amps-rating or 1&2 U Hazardous location Each sign or outline hl;hting 2 family dwellings U Building over 10,00 square feet four or Signal circums)or a limited energy panel. System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over ti ier stories Q Feeders.400 amps or more •L)escn hon. O Occupant load over 99 persons U Manufactured structures or RV park Fitch additional Inspection over the allowable in any of the above: U Egress/lightingplan U Other: _ Flet inspection Submit_sets of plans with any of the above. Invcsu_tauon far Ilse above are not applicable to temporary construction service. Q ,er Not all jurisdictions accept credit cards,please call jurisdiction fat more inftamsmon Notice:This permit application Permit fee....................$ ❑Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit cud number __� / / within ISO days after it has been State surcht.rg•-(8%) ....S _ E"ptres accepted as complete. TOTAL . $ None of cudholder as shown on r it cud Cmdholdet signature Amount- -- 44fr015 nbMR'OMi Mechanical Permit Application •� lDat!ereccived: Permit no.:0,,l- City rrCity 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.: Payment type: Land use approval: _ Building permit no.: TYPE OF PERMIly ❑ 1 &2 family dwelling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement U New construction U Addition/al teration/replacement U Other t9- L t t t Job address: I? ! _ Indicate er.,lhrncnt quantities in 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 S Lot: _ Block: Subdivision: /((4 *See checklist for important application information and Project name: 11a6l _jurisdiction's fee schedule for residential permit fee. City/county: ZIP; 1A Description Description and ocation of work on premises: ^� r s I sI WIN r Isy(ce.) 'Total Est.date of completion/inspection: IN-wription 11.14y. Res.only Res.only Tenant improvement or change of use: AC: Is existing space heated or conditioned?U Yes U No Air handling unit Is existing space Insulated?❑Yes ❑No Air conditioning(site plan requited) MECHANICAL CONURA.(-11011 b P� Ahcratum o exisung system Boiler/compressors Business pante: State boiler permit no.: Address: _ HP Tons BTU/H -- 7�irVsm-o-k-e-la—mpers/d uctsmo edetectors City; State: ZIP: D0 I Heat pump(site plan require-J)— Phone: Fax: E-mail; Installtreplacefurnacelburner CCB no.: Including ductwoik/vent liner Ll Yes O No nsta rep ac re ocateheaters-suspended, L.City/metro lic.no.: __ wall,or Moor mounted Name( lease print): Vent for appliance other than furnace CONT A(T, PERSON c gerat nn: Absorption units BTU/H Name: NiD/G D Chillers HP Address: 6 - Compressors HP —� v omenta a ust an vent Intion: State: ZIP: Appliance vent Phone -2 Z- / Fax: - . J/ E-mail: lryerexh gust - ��fil 011111 Hoods,Type res, itc en/hazmat hood fire suppression system Name: f k �s Exhaust fan with single duct(bath fans) Mailing address: y xhaust system a art from heating or AC _ CiIY: 21U-jqr Q Statc:000 7,1 P:/�:o/ ue piping andistribution(up to outlets) Phone: /,f- Fax: /� E-mail: Type: LPG NG oil uel i in each additions over outlets rocesspiping(schematicrequire ) 7Ad me: (rte/ f Number of outlets ress: -- ter listedapp iance or equ pment: 5r= /lfi f� Decorative fireplace : State: ZIP: ''Jp/� nsert-type ne: I ax: t Email: oo stovdpel et stave Other:signature CL-! Dale Other: Not All jurisdicuotn accept credit cmx4,please call Iunsdtcuon fat more mfomunon. Permit fee..................... O Visa ❑Mastercard Notice:This permit application Minimum fee................S Credit card number expires if a permit is not obtained -- Ell—/ plr 6 within 180 days after it has been Plan re.iew(at � 96) S _� State surcharge(896)....S Name or cardholder es shown on c a card accepted as complete. _ s TOTAL .......................$ Cudholdei signature Amount—' H611 i[rt1(YCOMi 1 'AC::IFIC CRSS"I' SUBL7IV 1SION L.(D-r - 42 CITY C)F TIGARD THE APPROACH SHALL BE A MINNMUM OF 8"xl2'x20' OF CLEAN PIT GRAVEL LANDSCAPING FOR THE ENTIRE LOT LAT SHALL BE FINISHED OR THE LOT SURROUNDED BY EROSION CONTROL PRIOR TO BREAK OU- OF COMMUNITY 60O , WA R EROSION CONTROL. FINISHED SLOPES EL EL-531• SHALL BE LESS THAN 2 TO I EMP. GRA I VEWAY 1/2- WARIAN ry --------------- I I ------ _ NOTE: - 5 I.ROOF DRAINS TO STORM GARAGE LAT. IN STREET, CN -� SQFT. _ 146 2. FOUNDATION DRAINS TO w �L FIN EL 5315 BACKYARD SOAKAGE TRENCH \ SEE ATTACHED DETAIL f�L`A 39028 LIVING = FIN EL 532.5' C}' 7 I I I 1 I I _ I I I I I I I I r Al PROP RTY LINE EL-500' 0=59 42 E --- E1-512 e 6 0. SET54CK REQUIREMENTS SALE 1.20._0. 4 2 --- - - ; FRONT YARD SIDE YARD TO GARAGE 5 61796 j REAR YEARD 15' ADDRE05, 1!„5 5W SANDRIDC=E GR D.R. Horton Homs PLAN,l�O2DSCALE: I”.2U' DATE.5.15-02 5125 S.W. Macadam 4�/ereue RE.IeED a-5•o2 P*40NE:503:224151 Fcrtl,,id Ore cr PIAX ELL PERMIT- CITY OF T I G A R® RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00260 13125 SW Hail Blvd.. Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 12/4/02 PARCEL: 2S105DD-06600 SITE ADDRESS: 13475 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 042 JURISDICTION: TIG Proiect Description: All Encompassing Low Voltage. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: iINTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP x HVAC: PROTECTIVE SIGNAL: INSTRUMENTA,ION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: D.R. NORTON HOMES AZIMUTH COMMUNICATIONS INC 4386 SW MACADAM AVE P.O BOX 508 SUITE 102 WILSONVILLE, OR 97070 PORTLAND, OR 97201 Phone: 503-222-4151 Phone: 503-639-0110 Reg #: III 36-94CLE 11 2312LEA I I(' 145828 FEES Required Inspections Description Date Amount Low Voltage Inspection I1'1.1'lwvl ul,R Permit 12/4/02 $75.00 Elect'I Final [TAXA 91%State Tax 12/4/02 $6.00 Total $81.00 This Permit is issued subject to the regulations 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 is not started within 180 days of issuance, or if work is suspended for more than 180 days. .ATTENTION. Oregon law requires you to follow rules adopted by the Oregon 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 at (503) 246-6699. J Issued by , ^ '/(' I _ Permittee Signature t J I C7 OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale, lease, or rant. OWNER'S SIGNATI IRE: ` — DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N I i �. _� �' DATE: LICENSE NO: – L-L= /1 -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Apylication V1_V Date received: : ) p�_ Permit City of Tigard ProjecVappl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,T' 91 Date issued: Phone: (503) 639-4171By: r Receipt no.: Fax: (503) 598-1960 CITY OF TIGARD Case file no.: Payment type: Land use approval: 3UILDING DIVISION TYPE t ;K I &2 family dwelling or accessory O Commercial/industrial ❑Multi-family U Tenant improvement ( New construction U Addition/alteration/replacement U Other: U Partial JOB SITE,INFORMATION Job address: 1,3 -] 5'a,hl z L Bldg. no,: isuite no.: Tax map/tax lot/account no.: Lot: ¢ Block: Subdivision: t— Project name: Description and location of work on premises: Estimated date of completion/inspection: _ -- CONTRACIrOR APPUCATIONI LE Job no: — _ Fee Max Business name: billLLTO Cot-m11 .7 ,t),. Description Qty. (ea.) Total no.Ins Address: y- �' ' J, 1/I r!'G r I) New residential-singleormuld-famtlyper dwelling trait.Includes attached garage. City:W L ,41 c'1U(= State:e7, I ZIP:C•?)�L, Service Included: Phone: 13II ello I Fax• -_!i 1i /fS -mail: 1000 sq.ft.or less 4 CCB n0.: r -- Each additional 500 sq,ft.or portion thereof /'�55 -b Elec,bus.lie.no: • �. r,'q CL'f Limited energy.residential 2 ( Icy/filet! Ile.n0.: 00's;1 f 5 Limited energy,non•residenlial // (Cr C1,J Each manufactured home or modular dwelling Signnture of supervising elec inn(required) Date Service and/or feeder 2 Sup.elect.name(print). :71 C!r�je.�'L• License no:Z Jf,2.LC /I Services orfeeders—Installation, alteration or relocation: XUV OWNER 200 amps or less 2 Name(print): 14G)I'Ft'"L; 201 amns to 400 amps 2 401 amps to 600 amps 2 Mailing address: ?7 y WI amps to 1000 amps 2 City: O State: ZIP: y� � Over 10(10 amps or volts 2 Phone0i)0 -41111 Fu. . `' q-37J E-mail: Reconnectonly I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange accot ding to Installation,alteration,or relocation: CORS 447,455,479, ' ,701. 200 amps or less 2 I t /f� 201 amps to 400 amps 2 Owner's signature: _ Date: I v a^ 401 to 600 am 5 2 ENGINEIER Branch circuits-new,alteration, or extension per panel: Name. _ _ A. Feb for branch circuits with purchase of Address: _ _ _ service or feeder fee,each branch circuit 2 City: State: LIP: B. Fee for branch circuits without purchase E-mail:rwr of service or feeder fee,first branch circuit: 2 Each addi,ional branch circuit: Misc.(Service or feeder not Included): U Service over 225 nmps•comtrtercial U Health-cure facility Each pump or litigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lightly__ 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,of extension* 2 U Building over three stories O Feeders.400 amps or more *Description; _ U Occupant load over 99 persons ❑Manufactured structures or RV park Each additional Inspection mer the allowable In any of the allose: U Egress/lightingplan U Other — Perins ection Submit—sets of plans with any of the above. Investi scion fee — The above are not applicable to temporary construction service, Other Not all Jurisdictions accept credit cards,pleore call Jurisdiction for more information Notice:This permit application Permit fee................. ❑Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Credit card number:_ _ L / __ within 180 days after it has been State surcharge (8%) .... $ Of 0 t as shown Oh C11 C Expires accepted as complete. TOTAL $ ams $ Cardholder signature Amount aro 4615 16rt4UCOMi ► 19 kA-iAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA • r-L aCD ► rD ► o ► rD W ? � � Poo. � I � Pvvvvvvvvvvvvvvvvvvvvvvvvvvviiivvvvvvvivv -vvvv� n EL y ? � n p, O O \ C a n n o � 0 J CITY OF TIGAIRiD 24-hour BUILDING Inspection Line: (503) 17 ��-' INSPECTION ®IVISI )N Business Line: (503 171 -- Received ._ _-Date Requested Z- -__ AM _1 6 PM BLIP Location J V _/'-i _Suite_ ,�- _. MEC Contact Person . ��/�t� h( ) PLM Contractor ---_��.t> Ph( - ) - -- - -- ---- SWR _ TenanUOwner _ ELC Footing ELC Foundation Access: s, -- -• Fig Drain r `,�i �,�L7 _ �W 11' ELR Crawl Drain _ - - Slab Inspection Notes: T Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear (� � (1 - Framing �� `T L'Vl Insulation Drywall Nailing -�JQ__t - Firewall Fire Spi inkler Fire Alarm Susp'd Ceiling - Roof Other: - i"na a S ART FAIL _ ING Post 8 Beam --•--— � Under Slab -_ ___ _- --------_ Rough-In Water Service _._ ----.-----_--_-__ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - - - - ---- - ---- --- Shower Pan Other. _ --- --- --- Final PASS- PART FAIL fi CHA L os eam Rough-In Gas Line Smoke Dampers Fin S PART FAIL- - -- --- - —_� �^ TRI16 S@rVICe Rough-In UG/Slab �^ -- Low Voltage Fire Alarm - Final F] Reinspection fee of$_�__�____required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE _ a Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dib Z T�� _ inspector_ yA�-- - Ext - -- Other: Final _ DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF TI GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00439 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/'+8/03 SITE ADDRESS: 13475 SW SANDRIDGE DR PARCEL: 2S105DD-06600 SUBDIVISION. "ACIFIC CREST ZONING: R-7 BLOCK: LOT: 042 JURISDICTION: TIG CLASS OF WORK: 01"R GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTR3: 1 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: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: of backflow prevention device for irrigation. FEES Owner: �- -- Description Date Amount KEITH SADAUSKAS - 13415 SW SANDRIUGE I I'LllMlil I'cnnii I cc 8/18/03 $36.25 TIGARD, OR 97223 I1'AXJ 8%,Stuir I'a.r 8!18/03 $290 Total $3915 Phone : 5n1-997-9874 J Contractor: ESEQUIEL ROBLES LANDSCAPING 7076 RIDGEMONT CR N KFIZER, OR 97303 REQUIRED INSPECTIONS RP/Backflow Preventer Phone : 503-390-4353 Final Inspection Reg #: III %1 7784 This permit is issued subject to the regulations 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 is not started within 180 days Of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Issued 8 r: `, T Permittee Signature: C r CLI l _ _�� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next Lsinpss day Building Fixtures Plmnbinp, Permit Application ' ' Received ((� , FFICE Plmnbing Date/B b �'J Permit No.: CX- Planning Ap roval Sewer City Of Tigard 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-Rcvicw land Use Case No,: Internet: www.ci.tigard.or.us Contact Juris.. See Page 2 for 24-hour Inspection Request: 503-639-4175 Namc/Method: Supplemental Information._ _ TYPE OF WORK _FEE"SCHEDULE(for special information use checklist New construction _ Demolition nescripttnn Oly. rce(ea.) I Total -H Addition/alteration/replacement Other: New t-&2-rcac(ly dwellings Includes 100 fl.for each dwellings ronuectlon CATEGORY OF CONSTRUCTION SFR(I)bath 249.20 1 &2-Family dwelling Commercial/Industrial SFR(2)bath J 350.01) Accesso Building Multi-17amiL_ SFR 3 bath 399.00 - Master Builder Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Firesprinkler . fl.: Page 2 Job site address: r 7', Sltc Utilities Suite#: Bldj./Apt.#: Catch basin/area drain 16.60 Ur well/leach line/trench drain 16.60 Project Name: Footing drain(no. linear fl.) Page 2 Cross street/Directions to job site: Manufactured home utilities 110.00 Manholes 10.60 Rain drain connector 16.60 Sanitary sewer no.linear fl. Page 2 Subdivision: Lot#: Storm sewer no. linear fl. _ Page 2 --- - Water service no. linear ft. Pa c 2 Tax ma / arcel #: Fixture or Item DESCRIPTION OF WORK _ Absorption valve 16.60 _ a C-1Backflow preventer Page 2 -- Backwater valve 16.60 Clothes washer 16.60 -------- ---- Dishwasher _ 16.60 _ Drinking fountain 16.60 PROPERTY OWN- R �TO TENANT Ejectors/sum 16.60 Name: 11 t V r C' S (I C►4� - 5 Expansion tw,k 16.60 Address: 3 q► cap Fixture/sewer ca 16.60 City/State/Zip'. �" Y Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 _ Phone::,p j . ,�I ', FaX: Hose bib 16.60 _ APPLICANT CONTACT PERSON Ice maker 16.60 _ Nanlc: Interco tor/ tease trap 16.60 Address: Medical gas-value: S Page - ----- - - Primer 16.60 -- Cit /State/Zi _ Roof drain commercial 16.60 Phone: Sink/basmilavato 16.60 _ E-mail: 1'ub/shower/shower an _ 16.60 CONTRACTOR Urinal 16.60 Water closet 16.60 Business Name: ` Sq ;E�1 ) ' rte_ Water heater 16.60 _ Address: Other. __ Cit !State/Zi : Z r S^ 4� ?'730 other: Phone:T5 7. W? Fax: PlumbingPermit Fees" CCB Lic. # Plumb. Lic.#• -77 subtotal s _ Minimum Permit Fee$72.50 S Authorized Residential Backflow Minimum Fee 536.25 Signature: �� 1L ) Date: t C 3 Plan Revicw(25%of Permit Fee $ State Surcharge 9%of Permit Fee S 'i 1. _ `^ (Please print name) _ _TOTAL PERMIT FEE S ? . / Notice: This permit application expires if a permit It not obtained within All new commercial buildings require 2 sets of plans with Isometric or 1110 days after It has been accepted as complete. riser diagram for plan review. *Fee met iodology set by Tri-County Building Industry Service Board. i 0st0crmit rornvOliml'ermitApp.doc 01103 Plumbing Permit Application - City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential fire Suppression Systems: _ Site Utilities Qty. Fee(ea) Total Square Foota e: Permit Fee: Footing drain- 1" loo, S` nn 0 to 2,000 $115.00 (rooting drain-each additional 100' 46.402 001 to 3,600 $160.00 3 601 to 7,200 $220.00 Sewer-1st 100' 55.00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-1st 100' 55.00 Medical Gas Sys-teMs: Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain-I st 100' 55.0(1 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Ruin Drain-each additional 100' 4040 $5.001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ca) Total including$10,000.00 Commercial[tack Plow Pievention Device Jo 4u $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Back0ow Prevention Device each additional$100.00 or fraction thereof,to (minimum permit fee$36.25) 27 55 and including$25,000.00. item Drain,single family dwelling 65 25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 rot Inspection of existing plumbing or each additional$100.00 or fraction thereof,to and includinit$50,000.00, specially requested ins ections-per hour 72.50 $50,001.00 and up $742.00 for the first$50,000.00 and$1 20 for Subtotal: each additional$100.00 or fraction thereof. Fixture NV mak: Are you capp ;,moving or replacing existing fixtures". If "yes",please indicate work perfor•nted by fixture. Failure to accurately report fixtures could result in increased sewer fees*. uatltlt by Fixtured Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved Existing Capped — -- lia tistr /Pont Bath -Tub/Shower -- --V -- —� ---- -Jacuzzi/Whirl ool — Car Wash -Each Stall -Drive Thru Cuspidor/Water Aspirator — Dishwasher Commercial -Domestic Drinking Fountain E c Wash v ----- --- Floor Drain/sink -2" 4" _ ('at Wash Drain *Mote: It the fixture work under this permit reculis is an Garbage Alonicstll' [Disposal -Commercial increase of sewerEUUs,a sewer permit wilt be issued ono -Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Ref'ri .Drains plumbing permit can be issued. Oil Separator Gas Station L. Rec.Vehicle Dump Station Shower Gang _ -Stall Sink -Bar/Lavatory -1lredley -Commercial -Service Swimming Pool Filter `. :.cher-00hes \'toter Gxtracto! _ Water Closet-Toilet _ Urinal Other Fixtures: is\Dsts\Permit Forms\PlmPermitAppPg2 doc 01103 CITY OF TIGARD 24-hour BUILDING Inspectiun Line: (503) 639-4175 MST �— INSPECTION DIVISION Business Line: (503) 639-4171 SUP Received _.. Date Requested -- AM --- -- PM --_ BLIP Location 1 : Y Suite MEC Contact Person - - —.. _._ Ph(--._. _ ___) —_-- _ PLM Contractor _-- Ph( C&U ) `1' Y 7` ly 7 SWR — BUILDING Tenant/OwnerELC -_ Footing ELC ___— Foundation Access: Ftg Drain ELR Crawl Drain — ------ Slab Inspection Nates: 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: ljASii PART _FAIL �--�- MECHANICAL Post&Beam Rough-In - - ----- —-_-- Gas Line Smoke Dampers —' --` Final PASS PART FAIL_ ELECTRICAL Service Rough-In -- --- - -- UG/Slab Low Voltage - Fire Alarm Final Reinspection tee of$..__� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL ----- - _..- SITE-- [__j Please call for reinspection RE:__ Unable to inspect-no access Fire Supply Line ADA 1_- Approach/Sidewalk 00% }� t� -- Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL