13535 SW SANDRIDGE DRIVE r
13535 SW Sandridge Drive
FROM :CRAFTWORK PLUMBING FAX NO. :5036445989 Nov. 01 2002 08:34AM P2
Plumbing Permit Application
Date received:
City of Tigard
Sewer perrmit no.: Building pcmilt no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
Cay u(Tigard )+hose: (503) 639-4171 Project/appl.no.: Expire date:
Fax (503) 598-1960 Date Issued: By: Receipt no.•
Land use approval: _ Cane file no.; Payment type.
0 1 Rc 2 fannlly dwelling or neccssory U Commercial/industrial 0 Multi-f.roily -1 Tenant imprnvemont
O New construction U AddiN-n/alteration/replacement O Food 4c,v,ce )Other
Y
Job address: 5 Dew�crl t�ion._ f1t I rV(en.) 1 otnl
Bldg,no,: Suitt•no.: - t•ien tt•and l fnm. >_dt�lfnt c'"Ily
Tax map/tax lovaeeount no.: -- -�' (Ineiudax 100 ft.for each utility connection)
SPR(1)bath _
Lot: __ Block; Subdivision: _ (2)bath
Project name: SFR(3)bath
Cit /coup ZIP: Each add itional bath ttclncn
Description and location of Work on premises: _ — Site utilitiev
Catch basin/area drain
wells/leach line/trench ira nEst.date ofcaro tatoo/ins ectfnn;
Foot in
drnin(no. m )
Manu natured humc utilities
Business names
Addross: �x- s j�v lVim b r yV Rain drain connector
City; �— Stnte:Q LIP: �� Sanitary newer(no.lin.ft.)
Pbonc Oft- L�r Fft , gy-4g E•mall: + conn sewer(no. tri.ft.)
CCR no.: qG _ Plumb.bus.reg.no:,4i P' ater service nu. tri. tt,
City/metro lir.,nn.: — Fixture or Item:
Contractues repre6enumiignature; A sn mon valve
vc s
-- back flow rcvcnter�
Print name; / Date: _Backwater valve
assns/lavot- i���
Name: of es washer -
Address- — Dishwas cr
Cit r Srntc; 71p; Drin ing fountain(g)
Y: f ectots/sum
Phone: Fax: E-mail: xpansion tank
fixture/sewer ca
Name(print): Floor rains/ oor oinks/hu
Mai lln address; Gar a c is oaa
6 Inose bibb
City: State: ZIP: Ice maker _
Phone: Fax; E-mail Interceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Primers)
will be made by me or the maintenance and repair made by my rcgulnr Roor drain commercitt )
employee on the properly I own as per ORS Chapter 441, Sink(c),basin(s),lays(s) —
Owncr'b Si nature: Uale; um
'Cubs/showerlchnwer
Name: _ Waterclosct
Address: Water heater
City: State: _ Zll'! Ot ter:
Phone: Fax; TE-mail:
Nol all)urledletinnt note, unlit oenU,pteaaa eau pnietuninn(er mere hAnnsline, Notice: This permit eppllcation Minimum fee..........1.... S
O Vial U MaatercaM expim-t if n permd is not nhtnined Plan revlCw(at . /n) S _—
Credit amtt nomboe anul ee within 180 days alter It has been State surcharge(RIA)....S _
-ai- n r e--_-
ar ahnwu,uncr tem -- - accepted os complete. TOTAL...... ............. . S
'—�01 r
vAntevni //O.4618(Ronnicomi
CITY OF TIGART_ _MASTER PERMIT
[�
PERMIT#: MST2002-00276
DEVELOPMENT SERVICES DATE ISSUED: 9/12/02
13125 SW Hall Blvd , Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13535 SW SHNDRIDGE DR PARCEL: 2S105DD-06300
SUBDII'ISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 039 JURISDICTION: TIG
REMARAS: New SF detached dwelling. path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1,552 or BASEMENT: 924 00 of LEFT: 5 SMOKE DETECTORS: v
TYPE JF USE: Sr FLOOR LOAD: 40 SECOND: 1,590 of GARAGE: 746 of FRONT: 20 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 5
VALUE: S 405.511.40
OCCUPANCY GRP: R3 BDRM: 6 BATH: 4 TOTAL: 3,14200 at REAR: 40
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES! 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS
TUB/SHOWERS: 5 GARBAGE.DISP: 1 WATER HEATERS: 1 WATER LINES: 100 SCKFI.W PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<WOW BOILlCMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1
G�5 FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL _
_ RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: tot WIO SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADOL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HM/SVCIFDR: 601 1000 amp: 601+ompo•1000v: MINOR LABEL:
10004 amplvolt:
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: SVCIFDR>.225 A.: >600 V NOMINAL CLS AREAISPC OCC
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO d STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCOPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 9,080.30
D.R.NORTON HOMES D.R. NORTON INC This permit is subject to the regulations contained in the
D.R. O MACADAM AVE D.R. O MACADAM Tigard Municipal Code,State of OR Specialty Codes and
SUITE 102 SUITE W M#102 all other applicable laws. All work will be done in
PORTLAND,OR 97201 PORTLAND,OR 97201 accordance with approved plans This permit will expire H
work Is not started within 180 days of issuance,or if the
work is suspended for more then 180 days. ATTENTION.
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
RegM LIC 130859 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 Wa Footing/Foundation On Electrical Rough In Gas Line Insp Appr/Sdwlk Insp
Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing Insp Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rein drain In Plumb Final
Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltagetar Line In ction
Issued B �� .l.4�•'1"�1% � l 1 lL:,ca..44 Permittee Signature :\XA\M
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2002-001632
13125 SW Hall Blvd., Tigard, OR 97223 (503) 63c! 4171 DATE ISSUED: 9/12/0?
SITE ADDRESS; 13535 SW SANDRIDGE DR PARCEL.: 2S105DD-06,:00
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 039 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: _ vFEES
D.R. HORTON HOMES Type By DateAmount Receipt
4386 SW MACADAM AVE.
SUITE 102 PRMT CTR 9/12/02 $2,300.00 27200200000
PORTLAND,OR 97201 INSP CTR 9/12/02 $35.00 27200200000
Phone: 503-222-4151 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 permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. Tho Agency does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the rneasuremen'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
S;de 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 thro OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(50 ) 24 1987. .
E /
Issued by: OA
�,� �'��� P�( I(, I _ �� Permittee Signature:
Call(503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Bui1din.g 1'erinit Application
City of Tigard ---- Daiereceived: 4,/72 I ,( Permit no
City(if Tigard 1L t. CC
Address: 1'4125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate:
�
Phone: (5U:') 639-4171 Date issued: By: Receipt no.:
Fax: OW) 598-1960 Case file no.: Payment type.
Lanai use approval: IR2 family:Simple Complex:
1
❑ 1 &2 family dwelling or accessory ❑Commercial/industrial iJ MultiIstrtuly ,1"New construction CI Demolition
U Addition/alteration/replacement ❑Tenant improvement �l Fire sprinklerhilaiin U Other:
INFORMATION.101111 SITE
Job address: .�! '' Bldg. no.: Suite no.:
�U I.ot: Block: ubdivision: _— Tax map/tax lot account no�S
Project na e: A I
Description and location of work on premises/special condi u,ms:
Y 1 1
Name: Q.� f' D1'�7, CLi
Mailing address: l�5 1 &2 family dNcllinl!:
CitZIP: i ...............
y: 1 '� State:p Valuation of . . . ._. ...': $ '•
Phone: - 5I Fax: - -5J -mail: No.of bedrooms/baths....................
Owner's representative: • Total number of floors.................................
Phone: • I�j. Fax: [ -mail: New dwelling area(sq.ft.) .......' .G.. ........I m"101 _—
Garage/carport area(sq. ft.)......................... 7 _
Name: (�• 1'1'�Y �i Covered porch area(sq.ft.) .........................
Mailing address: t Ol a�0 V t� q �—
Deck area(s ft.) ........................................
City: State: ZIP: Other structure area(sti ft.).........................
Phone. L UK110111filuffill I I Fax: E-mail: CommerciaUlndustriallmultI-family:
Valuation of work........................................ $
9uslrrss name: y"fia h Existing bldg.area(sq. ft.) .................
Address. New bldg.area(sq,ft.)........ .........,..
Number of stories...ice _
City: State:p ZIP: . .....•................:............
Phone: — �, Fax: y�'��lZ E-mail:
Type of co ction.................................... _�.
CCB no.: Oc�uptincy gmup(s): Existing:
C' New: \
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
l ' licensed with the Oregon Construction Contractors Board under
Name: tf t n ��_ provisions of ORS 701 and may he required to be licensed In the
Address: �7ffi1 V}•t fi !S - jurisdiction where work is being performed. If the applicant is
Cit State: ZIP: exempt from licensing,the following reason applies:
Contact person: 6 1,41 Plan no.: 3e, —
Phone: - / t ,I I:ax E-mail: --
Name: .0 C(M&u untact person: &4tZ_ Fees due upon application ........................... $
Address: j%t Date received: _
City: State:0)2. IZIP.. 701 Amount received ......................................... $
Phone: Fax: E-mail: Please refer to fee schedule.
hereby certify 1 have read and examined this application and the Not all iunsdreitans accept credit cardsplease call lunadicoon for more mlormnton
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
work will be complied wi ,whether specified herein or not. Credit card number ,_ _/ _L
Esplrer
Authorized signature: Date: '� Name of cardholder as shown on credit cud
Print name:/V/LCA �H Cardholder signature $
Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "DA13(trofvCOW
o,
Building 1'erinit application
___ received:gate S 7 1 i CI"L Perm t 7(L'>%
City of 7":gard
Address: 13115 SW Hall Blvd.Tigard,OR 97213 � Project/appl.no.: Expire date:
Cm of phone: (50') 639-4171 Date issued: By: Receipt no.
Fax: (50?) 598-1960 Case file no.: Paymenttype:
Lanai use approval: ___ 1&2 family:Simple Complex:
t
U I &2 family dwelling or accessory U Commen i ikindustnal J Multi-lamily ((New construction U Demolition
U Addition/alteration/replacement U Tenant impruvemcnt J Fin-sprinkler/alarm U Other:
.110111 WE INFORMATION
Job address: ?i' r Bldg. no.: Suite no.:
Lot: Block: Subdivision: 1 Tax map/tax lot/account no;.:S Cl rl,,d _/Con
Project ria e: rJACIfltl
Description and location of work on premises/special conditions:
Name: .? - f'jlyrb t:G7 oloodplain,septic capacity,War,Wc.)
Mailing address: IZS i &2 lantily unellinp
Valuation of work
Siete: pZIP: )�
f...................... .;t1f "
Phone: - 11 Pax: -122-171R.-mail: No.of hedrooms/haths................................. j
Owner's representative: WW, ft&bvi Total number of floors.................................
Phone: 13 F;', E-mail: New dwelling area(sq.ft.) .......'{..«.4!+......
Garage/carport area(sq. ft.)......................... _ -741-
Name: p• 1W- • t",( i-r v t Covered porch area(sq. ft.) ......................... ,_--
Deck area(sq. ft.) .................. ` ,
Mailing address: t Ql a V!0 V t✓ ....�.....��.......
City: I I State: I ZIP: Other structure area(sq. ft.)................. ....... -
Phone: I-ax: E-mail: Commercial industrial/multi-family:
Valuation of work........................................ $
Business name: Y {�p Existing bldg. area(sq. ft.) ..............
S New bldg.area(sq. ft.) ....... ':.............
AddState:p ZIP:
Address. Number of stones„y�-�............................
Phone: -
Type of co ction....................................
IS Fax: Z�Z2�_ Email:
Oc• cy group(s): Existing:
CCB no.: pNew:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
ARCHITECTMESIGNER licensed with the Oregon Construction Contractors Board under
fCName: -Z� fip h provisions of ORS 701 and may he required to he licensed in the
ddress: �jiJ `js �, jurisdiction where work is being performed. If the applicant is
it State: ZIP exempt from licensing,the following reason applies:
ontact person: Ff�� Plan no.:
Phone: -t'/ i I . • E-mail:
Name: ,1 _ontact persons Fees due upon application ........................... $.
Address: , <•r Date received:
City: State:p� ZIP: p/ Amount received ......................................... S _—
Phone: `G� - Fax:(/tlf4y E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all runsdtctions accept credit cards,please call runrdiction for molt mtornution'
attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard
work will he complied wt ,whether specified herein or not. credit card number .. --L- I
P P r Expres
Authorized signature: Date: � , Name of cardholder as shown on credit card
$
Print name: of3 __ Cardholder signature — Amount
Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.461.1 iihatcoM)
Electrical Perm.t Application
Date received: Permit
City of Tigard Project/appl.no.: Expire date:
Ciryo(Tigrard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no..
Phone: (503) 639.4171 _
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _
TYPE OF PERMIT
LPIlamily dwelling or accessory ❑Commercial/industrial ❑Multi-family 0 Tenant improvement
construction ❑Addition/alteration/replacement ❑Other: ❑Partial
.1101111 SITE INFORMATION
Job address: l 1HIdg. no.. Suite nu.: Tax map/tax lot/acanmt no.:
Lot: Block: Subdivision: f1A /Ii/il41_
Project name: e, Description and location of work on premises:
Estimated date of completion/inspection: tu
CONTRAU'll'0111 APPLICATION FEE i
as
Job no: tsr M
G Description UNY. (ea.► Total no.ins
Husiness name:
New residential-single or multi-famih h-r
Address: dwelling unit.Includes altacised garage.
City: State:Qt ZIP: %rviceincluded:
IWosq,ft.or less _ 4
Phone: Fax: Email: Each additional 500 s .it.or porvor.thereof
CCB no.: Elec.bus.lic.no: 10 Limited energy,residential
City/metro lic.no,: Z j _ _ Limited energy_non•residennat '-
r� ^_� Each manufactured home or modular dwelling
Service and/or feeder 2
sDl nantre c s ptrvisin electrician(required) _ Date Services or feeders-installation,
Sup elect.name(frint): License nu alteration or relocation:
t t ' 2W amps or less _
201 amps to 400 amps 2
Name(print): q1t fz� 1 _ 401 amps to 6W amps '-
Mailing iddress: st 601 ntnps to 1000 amps _ 2
City: I State ZIP: Over 1000 amps or volts 2
Reconnectonl I
Phone: - Fax: - E-mail:
Owner installation:The installation is being made on property I own Temporary services;ti or feeders-
installation,alteration,or relocation:
which is not intended for sale,lease,rent,or exchange according to 200 amps or less _ 2
ORS 447,455,479,670,701. 201 nmps to 400 amps 2
Owner's signature: Date: 401 to 000anips 2
tin a Branch circuits-new,alteration.
or extension per pan-l:
rNan"ie: 7�-Iyr eons VI&ul A Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit _ 2
City: Slate: 7_IP:_{ ,-' B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuitas. '-
Phone: _ Fa flit I m:n l Each additional branch circuit
Mise.(Service or feeder not included);
O Service over 225 amps-commercial U llealth•care tocihn Each pump or irrigation circle _ 2
U Service over 320 amps-rating of 1&2 U Hu zebus location Each sign or oeaine lighting _ 2
familydwellings U Building over IOdxxl square feet four or Signal circn:,(e)or a limited energy panel,
C3 System over 600 volts nominal more residential units in one structure alteration.or extension* 2--
•
❑Building over three stories 0 Feeders.400 amps or more 'Description.
O Occupant Inad over 99 persons U Manufactured structures or RV park Loch additional inspection over the allowable In any of the above
•EgresAightingplan U Other — Per :,specuon
Submit__sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Permit fee.....................$ - ---Not all jurisdictions rapt credit cards,please colt iunsdtcuon tit:more information. Nutice:This permit application plan review(at — %) $ _
U Visa U MasterCard expires if a permit is not obtained
Credit card number / / within 180 days after it has been State surcharge(896) ....$
Expires accepted as complete_ TOTAL _..................... -
Nertv of r al r u shown on credit card
S
-�Cardholder signature '-- - Amount 440x615 tdIxNCOMI
Mechanical I"ermit Application
Date received: Permit no./'ST -Q r
City of Tigard Project/appl.no.: Expire date:
CirynfTigara Address: 13125 SW Hall blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Lancs use approval: Building permit no.:
t D1'
0 I &2 family dwelling or accessory ❑Commercial/indusmal J Mule-tainily J Tenant improvement I
0 Naw construction 0 Addition/alteration/replacement 0 Other:
.1011 SITE INFORMATION COMMIAWIAL VALUAMON SCHEDULE
Job address: i; L5 , 'i Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: I Suite no.. value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Black: Subdivision i(Gf 'See checklist for important application information and
Project name: 1 jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: t t
Description and ovation of work on premises: r i r r t t
ltY(ea.) low
Est date of completion/inspection: Dewlipttoo Qty. Res.only Res.unly
Tenant improvement or change of use: 11r A(
Is existing space heated or conditioned?❑Yes 0 No Arr handling unit CFM
it condtuomng(site plan requiro )
Is existing space insulated?LI Yes 0 No I Alteration of existing HVAU system
MECHANICAL CONTRAUTOR L"'UTFicompressors
Business name: `/` State boiler permit no.:
HP Tons HTU/H
Address: ire/smo a ampers/ uctsmo adetectors
City: A IiMA, Tstate: ZIP: VQ cat pump(site plan required)
Phone: Fax: E-mail: Instalureplace furnac umer
CC$ Including ductwork/vent liner U Yes O No
nu.:
nsta rep ac re ocateheaters-suspen ed,
City/menu lic.no.: wall,or floor mounted
Name(please print): Ott ora Lance other than furnace
Refrigeration:
Absorption units BTU/H
Name: NlD f!G S p Chillers —_-__ HP
Com ressors_— HP
Address: Gj 7 �y ;nv ronmenta exhaust an vent at on:
City; State:ek I ZIP: D Appliance vent
Phone' y y' / / Fax: E-mail: ryer!x aust
S.Type res. itche hazmat
hood fire suppression system -
Name: /)'►( Exhaust fan with single duct(bath fans)
--
Mailing address: 51.Z6 _4 JV rVExhaust system apart from—heatsnor AC
kils',
CitY State:p( Fuelpiping andistribution(up to ou
t ets)
f�rQ ZIP:
-
Type: LPG NO Oil
Phone: 7,' - /S" Fa' : /'f E-mail: Fuel piping each additional over 4 outlets
roves piping(schematic required)
Name: q.&e _C / fU Number of outlets
rtnent
q
other appliance ore t.
ti
Address: 1V!5-4/ _��/L 7✓' Decorative fireplace
City: State: ZIP: 7,0/iF nsert-type
Phone: Fax: E-mail; oodstoveipe et stove
V ter.
Applicant's signature: Date: T ter:
Name (print):
Not all jurirdtcuotu accept credit cardx.please call;rmschcuon foe more mlonruurm Permit fee.....................$
U Visa U MasterCard Notice:This permit application Minimum fee................$ _.
expires if a permit is not obtained Phan review(at _ %) $
wits a
Credit card numlKr ___ - --- - within 190 da after it has been _--
rxt'neS y State surcharge(8%) ....$
Name of cudholder u Chown on credit cord
""- accepted as complete.
—J Cardholder sitinature Amount "o.*17 16mcomi
1'�C 11-AC IC CREST SUB01 V IS IOM
LOT - 39
CITY O1' "i'IGARD
THE APPROACH SHALL BE
A MINNMUM OF 8"xl2'x2O'
_ M 11 LIE OF CLEAN PIT GRAVEL
LANDSCAPING FOR THE ENTIRE LOT
SHALL BE FINISHED OR THE LOT
9AK AT SURROUNDED BY ERO'sION CONTROL
PRIOR TO BREAK OUT OF COMMUNITY
EROSION CONTROL.FINISHED SLOPES
SH,uLL B= LE55 THAN 2 TO I
WA 11R IN
EL-543' 6 -- ' EL 5'
dO \ TE
D VEWA*T
I/1" iAIARIAN •� NATE:
LE
.......
------------ -----__ _ I.ROOF DRAINS TO 57pR
' LAT. IN STREET,
I 2. FOUNDATION DRAINS TO
GKYARD SOAKAGE TRENCH
C�1 GARAG- SNATTACHED DETAIL
Ln SQFT. = 14
IN EL 54 .,
I
I
� I
I
I
I
I
I
\P'",LAN02AG 02
N EL 54 .
I I
13
I
I I
I '
I I
I I
I '
I '
I '
I '
'
PRO ERTY LINE
T---
ETBAGK REQUIREI'IENTS
SCALE 1'•20'-0' 39 FRONT YARD TO GARAGE 15'
SIDE YARD 5'
6 ' 871 REAR YEARD—--- i5
4R LAN 95�. U5]5 5W 5MIDRICGE DR D.R.
Homes
PLAN !9024
SCALE I" .20' �-1/`
DATE:5.15.02 5125 51u. Macadam Aveneue
1 �.2 PWGNE:5037224151 Portland Ore Onl FAX,50I22231n
CITOF TIGARD _ RESTRICTED ENERI
1 GY
DEVELOPMENT SEPVICES PERMIT#: ELR2002-00257
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 12/4/02
PARCEL: 2S105DD-06300
SITE ADDRESS: 13535 SW SANDRIDGE DR
SUBDIVISION: PACIFIC CREST ZONING: R-7
BLOCK: LOT: 039 JURISDICTION: TIG
Proiect Description:All encompassing Low Voltage.
A.RESIDENTIAL Y B.CO_MMERCrAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & 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:
INSTRUMENTATION: OTHER:
TOTAL# OF SYSTEMS:
Owner: _- --_-- Contractor: �Y--
D.R. HORTON 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#: E1,E 36-94('1,1-'
slip 2312LEA
LIU 145828
FEES Required Inspections
Description Date Amount Low Voltage Inspe.•:tion
I I I'ItM 1 I I1.I.lz Prnnrr 12/4/02 $75.00 ElecH Final
IAX 8 ~rare"fax 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 �' A---_, r� Permittee Signature
OWNER INSTALLATION ONLY
The instailation Is being made on property I own which Is not Intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ DATE:
LICENSE NO: --
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Datereceived: 6)1,- Permitno.:
City of Tiga44ECE1`!Pb (-Gf Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd,Ti ard,OR 97223 r
City of Tigard 1 2Date issued: By: Receipt no.:
Phone: (503) 639-4171 `� 0 U --
Fax: (503) 598-1960 40 " 7- .1 Case file no.: Payment type:
Land use approval: '�%i T�,p D
TYPE OF PERMIT
1 &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement i
(XNew construction U Addition/alteration/replacement ❑Other:_ U Partial
JOB SITE INFORMATION
Job address: 1' 3 �fz F31dg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: 3q j('0
Project name: I)ascription and location of work on premises:
Estimated date of complction/inspection:
CONTRACTOR1 E' Int
Job no: Fee Max
Business name: ?-/,15 idTf f '/1 ,11 i4 .7��)�' Description Qty. (ca.) Total no.Ins
New rrsidential-single or multi-family per
Address: , ' r j '>u r(, r L1 dwelling unit.Includes anachedgarage.
city:i /_ 4I,-teLl(- State:Q_ I ZIP:`� ;7 Cj Service Included:
Phone:fw3 3-1 01/y jFax it -mail: 1000 sq.ft.or less 4
Each additional 500 s4.ft.or portion thereof
CCB no.: / j$ Elec.bus.lic. no: 4. rr y C'( f
Limited energy,residential 2
City/metr lic.no.: , �I4:;L r��l! Limited energy,non-residential 2
Each manufactured home or modular dwell!
Sjgnnture of sit ervising e!cc ian(required) Date Service and/or feeder 2
Su elect.name(printf I �r License no:2 jf 2 L31 Services or feeders—Installation,
Sup, �'` t alteration or relocation:
PROPERTYOWNER
200 amps or less _ 2
Name(print): y� r- qrrl�'re"V 2U amps to 400 amps 2
Mailingaddress: - 401 amps to 600 amps 2
_r-T 601 amps to 1000 amps 2
City: Q State: R ZIP: et 1 Over 1000 amps or volts 2
Phone0'd3) • Fa . " : -37! E-snail: Reconnect only I
0%vner installation:The installation is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation:
ORS 447,455,479, ,701. 200 amps or less 2
__�� ' 201 amps to 400 amps 2
Owner's signatw e: _ Date: g v h 401 to 600 ams 2
all'i 10 Branch circuits-tiew,ellerstiou,
or extension per panel:
Na1ttC: _ A. Fet for branch circuits with purchase of
Address: _ service or feeder fee,each branch circuit_ 2
City: i J State: Tap: B. Fee for branch circuits without purchase
-- of service or feeder fee,first branch circuit. 2
Phone: Fax: Email: Each additional branch circuit:
Mise.(Service or feeder not Included):
U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2
O Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting _ 2
familydwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel.
O Systemover600 volts nominal more residentia]units inone structure alteration,orextension• 2
O Building over three stories ❑Feeders,400 amps or more 'Description:
U Occupant load over 99 persons ❑Manufactured structures nr 16'park Each additional Inspection over the allowable In any of the above:
O Egress/lightingplan U Other Perins ection _
Submit __sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards,plane call Jurisdiction for more information. Notice:This permit application Permit fee.....................
❑visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) S
Credit card numhec L J within 180 days after it has been State surcharge (8%)....$
Expires accepted as complete. TOTAL ..... S
Name of cardholder as shown on c-rcpt card
Cardholder signature Amount ")-4615 16rYJQ,i-
CITY OF TIGA RD 24-Hour
BUILDING Inspection Line: (503) 539-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BIJP
Received Date Re uested_ Ahi_._ _- PM BLIP
Location . / 3 -3�— `
Suite M E C
Contact Person —_ Ph( ) S11 23!PT_ PLM
Contractor_ Ph( ) _ SWR
BUILDING Tenant/Owner _ ELC
Footing - -- -� --
Foundation Access: ELC
Ftg Drain
Crawl DainELR _ _(
Slab Inspection Ncth s:— - 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 --- - - —
I-
UMBI
Post tam ^-_--- --—
Under Slab
Rough-In -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
0th -
PART FAIL-
JdfielfANICAL
Post&Beam -
Rough-In
Gas Line -�
Smoke Dampers
Final
PASS PART FAIL -------- -- --.. _ __
ELECTRICAL
Service
Rough-In
UG/Slab_ -- --
Fire Aiarm ---ZASS PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE:---____._ F] Unable to inspect-no access
Fire Supply Line
ADA Z�� �/� .3 Inspoator
Approach/Sidewalk Date
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
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CITY OF TNOARD 24-Hoar
BUILDING Inspection Line: (503)639-4 75 MST
INSPECTION DIVISION Business Line: (503)63W -
BLIP
Received _ -- _ _ Date Floquested >__ AM _-_ M �_- _ BUP —----
Location l/
Suite_�.L__ MEC -
Contact Person - __.-� P ( ) -Q `[~ �3�e( _ PLM
Contractor _- _ - _ Ph SWR
Tenant/Ovener ELC
Footing ELC _
Foundation Access:
Fig Drain ELR
Crawl Drain -
Slab Inspection Notes: SIT ---
Post&Beam _
Shear Anchors -
Ext Sheath/Shear
z
Int Sheath/Sheer
Framing 'y /=- S 6s ) : t 'S S
Insuintion t `, � VVA"t
Drywall Nailing Y " Y - di W. _
Firewall
Fire Sprinkler -- -
Fire Alarm
Susp'd Ceiling --- --
Root
O --- —
S PARTFAIL4�S
I_NQ--�- ' G rf — ` a/�1 +I� d ��S •
Post& Beam
Under Slab
Hough-In -
Water Service ---- ---
Sanitary Sewer
Rain Drains - -
Catch Basin/Mannole
Storm Drain -- - - ----------�-
Shower Pan
Other:
Final
PA _ RT FAIL — - —
CHAN L _
Post&Beam
Rough-in
Gas Line
Smoke Dampers ��---
PART FAIL - - - --
40
ELECTRICAL -
Service _._
Rough-In
UG/Slab
Low Voltage - - ----- --- - ._ -- ---
Fire Alarm
Final F1 Reinspection fee of$_ __ required before next inspection. Pay at City Hall, 13125 SW Hall F
PAS; PART FAIL
SIT _ F] Please call for reinspection RE —__ _ F] Unable to inspect-no e
Fire Supply Line
AOA
Approach/Sidewalk oate=��f c Inspector C Ext
Other•
ina - DO NOT F1 E:MOV'E this Inspection record from the job site.
SPART FAIL