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13640 SW SANDRIDGE DRIVE 13640 SNti Sandridge Drive CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 r INSPECTION DIVISION Business Line: (503) 639-4171 MST BUP Received __ _Date Requested—_ -_� AM _ _ PM, _ BUP Location �' 1 L � —Suite._ MEC Contact Person (e((_—) �/ > —L3 �l PLM Contractor _ Ph( ) SWR BUILDING Tenant/Owner —_ _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes: SIT Post&Beam --- ------ Shear Anchors Ext Sheath/Shear Int Sheath/Shear \ Framing - — Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — ---- Roof Other: __ ---------- _ ZW6_0 PARTFAIL GG -- Post&Beam -'_—_--- ------------ -- - ----W�. Under Slab --------------._._._ Rough-In Water Service --- --- -- Sanitary Sewer Rain Drains --- Catch Basin/Manhole Storm Drain Shower Pan Other Final PASS 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 fee of$�_-_._ required before next ins PASS PART FAIL p Q inspection. Pay at City Hall, 13125 SW Hell blvd SITE _— Please call for reinspection RE:— Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 -2_d-)D 30,5--"INSPECTION DIVISION Business Line: (503) 639-4171 MST —_ ` BLIP Received _ _ Date Requested AM PM BLIP Location MEC -- • _Suite_ Contact Person � _ ph(_ � _„��'•— �7�G/ PLM Contractor �' =. k4Ph(-- l — --_ - SWR - BUILDING Tenant/Owner ELC Footing Foundation Access: FLC Ftg Drain Crawl Drain ELR 3 y. Slab Inspection Notes: ✓ + e �` SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear — Framing - -----� __ Insulation - - -- --- Drywall Nailing Firewall — Fire Sprinkler _ Fire Alarm — ----- Susp'd Ceiling Roof — ---- -— Other: Final -- ---_—._ ------- PASS PART FAIL - --- -- — — _-_—_ PLUMBING Post&Beam -- --__ --- -- ------ Under Slab ------------- Rough-In - Water Service Sanitary Sewer - -- --- — ----- Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other -- -- - Final --._.---- -- PASS PART FAIL -- ---- _ MECHANICAL Post&Beam Rough-In Gas Line — Smoke Dampers -- Final — -- PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab —. Oiri rgAlwrn --- -' — ASS PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE:_ _ — Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab -1 Qom_ Inspector — � —_Ext 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 INSPECTION DIVISION Business Line: (503)639-4171BUP Received . S 7 Date LquestedAm PM BUP - — -- Location / 3 (v _�' __.—Suite _ MEC Contact Person _ _. Ph( 6/_ PLM Contractor _--_— __-- —_-- Ph(--) _ SWR -- -__—_-- IBUILDING Tenant/Owner __-_.._—__—__ ____ — ELC - Footing ELC --__- Foundation Access: Ftg Drain ELR Crawl Drain 04 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 P 5_ P RT FAIL PLUMB - Post&Beam Under Slab - - -- - --...- -- - --- Rough-In Water Service --------- _ - - Sanitary Sewer Rain Drains -- - - - - - - - Catch Basin/Manhole Storm Drain ------ -- - ._ - - Shower Pan tOthePART FAIL AN_KC AL 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 5VV Hall Blvd PASS PART FAIL 8I E- Li Please call for reinspection RE: -.- 0 Unable to inspect-no acces Fire Supply Line wi l.1 ADA Orth a\?�_aInspector Approach/Sidewalk -- -- Other: _ Final T DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL ��.♦aeeeeeeaeeseeeeee� eeeeseeeee�,eee��essei� poll ► v ► o poll i -� N ► fD ► 44 10. q P r-i l J ► 44 14 u> U'Q ► ► 44qrb ► rD r; �°°� ► n .-- a rb C w ► -4vip o ► 44 ~ ► s � ► � R• F V V V V V V V.V V V V V . f V v v v v V V V V V V V V V N V V V V V S V v V V V V, tZ n " o o S E. N � 0 4 a ro a n � a � y ro ro O OQ � ` J ro x � a T 'y c 0 A CITY OF TIGARD 24-Hour _ BJILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISIOM Business Line: (503)639-4171 BUP - Received _— Date Requested _ AM PM- BUP Location 31/ LA Q Suite —__ MEC Contact Person Ph( )5�� g3�' PLM Contractor.._—____—__ Ph( ) SWR A—USHW - _ Tenant/Owner _.__.__ ___.. __ ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing S,� L�Y� 7 f / ' v _ 2 '9 -�_�� Insulation S Q T�,� ,Ct'.yL'e-ki - I>'/1k�0"z I/0, Drywall Nailing Firewall, l.1-K.�C.��✓1_��T��.�u•'1') - ��,�2 � a v ��1 Fire Spinkler Fire Alarm Susp'd Ceiling Roof Other PASS PART AI - PLUMBINR Post&Beam Under Slab — Rough-In Water Service — Sanitary Sewer �--- Rain Drains -- Catch Basin/Manhole Storm Drain - - Shower Pan Other: - -- Final PASS PART_ FAIL --- - — - ` — AN Rough-In Gas Line SM9ke Dampers -- --- -- - /FASSJ PART FAIL - - - - ---- ----- RICAL -+ Service -- ------- ---------------------------- Rough-In _ UG/Slab Low Voltage Fire Alarm �-- ------- — - Final Reinspection fee o1$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART_FAIL SITE - — Please call for rein3pection RE:-___�_._-____.______-___..__. - E] Unable to inspect- no access Fire Supply Line G ADA Date__' Q 2� In�+pwcM. - Y� Approach/Sidewalk Ext , - - Other: Final — — DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF T I G A R D ELECTRICAL PERMIT- RESTRICTED ENERGY ^ DEVELOPMENT SERVICES PERMIT ELR2002-00191 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 SITE ADjt2ESS: 13640 SW SANDRIDGE DP, PARCEL: 2S105DD-04700 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 023 JURISDICTION: TIG Proiect Description:All-encompassing low voltage. A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: i 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: D R HORTON HOMES AZIMUTH COMMUNICATIONS INC 5125 SW MACADAM AVE STE 145 P.O. BOX 508 PORTLAND, OR 97201 WILSONVILLE, OR 97070 Phone: 503-222-4151 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312&E LIC 145828 FEES Required Inspections Type By Date Amount Receipt _ Low Voltage Inspection PRMT CTR 9/24/02 $75.00 2720020000 Elect'I Final 5PCT CTR 9/24/02 $6.00 2720020000 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 worts is not started v4.ithin, 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires,Y66 to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0T-00 throu h OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1 87. Issue by ' ' � �n Permittee Signature ' !. M .111 OWNER INSTALLATION ONLY , The installation 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 DAZE: L ICFNSE NO: —-- �---�------- --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application ----T7—, ,,,_ Datereceived: c'/ Permitno7t, :I, 47 Project/appl.no.: Expire da City ��f Tigard � (��1 - —�,bli'y ri l Date issued: By:,C o.: Cityof'I'igard Address: 13125 SW Hall Blvd,�`�tfg -- Phone: (503) 639-4171 t Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: 1 U Multi-family U Tenant improvement 7V&2 family dwelling or accessory U Commercial/industrial �;,U partial w construction U Addition/alteration/replacenu„I U Other: 1 . Job address: Q Bidg. nu.: Suite no.: Tax map/tax lot/account no.: _ Lot: 1, Block; Subdivision: - ---- - Project name: Description and location of work on premises: -- ,_ Estimated date of completion/inspection: i 1Ing al roij I I 1 (,.,. Max Jo10110: tkscriptian Qly. (ca.) Tolal no.Ins Business name: Z Mu (C'J)ll1V►^ 1L t} T/L'��S Newrerideotial-singleOrnudli-familyper Address: 1f k/ dwellingunit.Inc•ludes a(l""hed{nrnhe. L_S_S Slah.�^, ZIP: c7C�L' Service included: 4 City: t •M+rl LL E 1000 sq.ft.or less Phone:56-k C 1/U Fax: L 3 Lff Oil., mail: Each additional 5(10 sq.ftor portion thereof n lie bus.Elec. u . . o: E CCE 2 CCB no.: ElLimitedencrgy,residenlial 2 City/m ro lie.no.: 13mitedenergy,non-residential t7l Each manufactured home or modular dwelling 2 — I)ute Service and/or feeder signa urc of su ervisin elect (rc uircd) y lion, elect. 11,rw Clio:�J ?ZC alteration or relocation: Sup.elect.name(print): L/�t F 2 1 200 amps or Icss 2 201 arnps to 40.1["lips 2 Name(print): ' l W�`•� _- 401 amps to 600 amps 2 Mailing address: f��•1/s _ 601 amps to 1000 amps 2 OLD-- Slate: LIP: � Over 1000 amps or volts I City: _ ---— Iteconnectonl Phone:IAL- 1 Fax: E ["nil: Temporary services or feeders- Oa�ner installation:The.installation is being.�ade on property I own installation,alteration,or relocation: 2 which is not intended for sale,lease,rent,or exchange according to 2tNl OInpS of less ___—. 016 447,455,479,6 201 amps to 40()amps 2 Date: �741111o61N)loops Oaener's si tutturr _ — — Branch circuits-new,al(eration, or extension per panel: Nance: A Fee for branch circuits with purchase of service or feeder fee,each branch circuit Address: — li. Fee for branch circuits without purchase State: ZIP: City: -- of service or feeder fee,first brunch circuit: I'aK I:, .nail Eachuddltionalbranchcircuit: Phone: Mile.(Service or feeder not Included): 2 U Health-care facility Each um or irrigation circle 2 U Service over 225 coups-commercial Each sign or outline lighting U Service over 320 amps-rating of 1&2 U!hazardous location8 Si nal circuits)or a limited energy panel, family dwellings U Building aver!(1,000 square feet four or more residential units in one structure alteration,or extension" U System over Glx►volts nominal U Feeders 400 amps or more •(kscri tion: U Building over three stories U(kcupalu load over persons U Manufactured structures or IAV park Each addllMQ inspeclion over the allowable In any of the above: U Epress/IighUngplmr d Other — 1'erins etion Submit_sets of plans will(any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee............. .......$ accept credit cards,please call jurisdiction far mom inAxmaucsa Notice:Tbis permit application Plan review(al _ %) $ Neu all)urisdicticwas U vasa U MasterCardacceptc expires if a permit is not obtained within IRO days after it has been State surcharge(8910....$ c te,m card namtwt ---.------------ 1 TOTAL .......................$ F'f c GrjL accepted as complete. Nome of cardholder u shown nn credo card S _ 440.I615(6K1(N('0M) c'erdhol r sl(tnature Amount TY OF i I G A R D ------- M. ER PERMIT PERMIT#: MST2002-00305 DEVELOPMENT SERVICES DATE ISSUED: 8/5x02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13640 SW SANDRIDGE DR PARCEL: 2S105DD-04700 SUBDIVISION: PACIFIC CREST Z014ING: R-7 BLOCK: LOT: 023 JURISDICTION: TIG REMARKS: New SF detached, Path 1 BUILDING REISSUE: Y STORIES: 2 FLOOR ARLAS - REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,552 of BASEMENT: of LEFT: 12 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.540 of GARAGE: 778 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: $311.400.80 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,14200 of REAR: 37 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES. 5 DISHWASHERS: 1 FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUSISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 10014: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•1100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: blu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS -ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATIOW PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: tel WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIA: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601♦amps-1000v: MINOR LAB!-'L: 1000•amp/wall: PLAN REVIEW SECTION Reconnect only: >•1 RES UNITS: 9VCIFOR>•225 A.: >800 V NOMINAL: CLS ARENSPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO B STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM. 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TEI.E COMM: NURSE CALLS TOTAL a SYSTEMS: Owner: Contactor: TOTAL FEES: $ 8,197.44 D R NORTON HOMES D.R.NORTON INC This permit Is subject to the regulations contained in the 5125 SW MACADAM AVE STE 145 5125 SW MACADAM#145 Tigard Municipal Code,State OR. Specialty Codes and PORTLAND,OR 97201 PORTLAND,OR 97201 all other applicable laws. All work will be done In accordancecewith approved plans. This permit will expire B 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 Rep 0: LIC 130889 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 Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Undarfloor insulation Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Building Final Foundation Insp Footing/Foundation Drl Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : < <T' Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00212 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/5/02 SITE ADDRESS; 13640 SW SANURIDGE DR PARCEL: 2S105DD-04700 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT. 023 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 Owner: - — ---- -�-- -- _ FEES _ D R HORTON HOMES Type By Date Amount Receipt 5125 SW MACADAM AVE STE 145 PORTLAND,OR 97201 PRMT CTR 8/5/02 $2,300.00 27200200000 INSP CTR 8/5/02 $35.00 27200200000 Phone: 503.222-4151 l 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. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the?nstaller shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: �/_�_1"y__W"yPermittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day TT dsr7Zy, tz 9l Building Permit Application City of 'Tigard -- Date received: ef- Permitno.: q, Address: 13125 SW Nall Blvd,Tigard,OR 97223 Project/appl.no.. Ee date: City u/ftgnrd x ir—`- Phone: (503) 639-4171 Date issued By Receipt no,: Fax: (503) 598-1960 ase file no.: Payment type: Land use approval: t 1&2 family:Simple Complex: A-- ' TYPk OF.PERMIT ti O I &2 family dwelling or accessory ZI Commercial/industrial J Multi-family >rNew construction ❑Demolition ❑Addition/alteration/replacement U Tenant improvement 0 Fire sprinkler/alarm Ll Other: r ; siTE INFORMATIONt Job address: Bldg. no.: JSuiteno..7 Lot: kb JBlock: Subdivision: Tax map/tax lot/account no.: Project name.: VA6,41 Description and location of work on premises/special conditions: OWNER I.-Oil SPECIAL INFORMATION, USE CHECKLIST V N-�►�t-a f h Name: capacity, , Mailing address: !U.y�_ I &2 family dwelling: A , City: State:oft JZIP:JJZ4J Valuation of work.........,.. ... , 31 V66, Phone: - +� Fax: - -JJ7 '-mail: No.of bedrooms/baths................................. Owner's representative: N11W Total number of floors............... .. .............. Phone: JW. l 3 I nx: Email: New dwelling urea(sy.ft.) ... .!s17r., APPLICANT Garage/carport area(sq. Name: p• tiZ . �_"r"In Covered porch area(sq. ft.) Mailing address: t_ AS a k O V-fi Deck area(sq. ft.) . . . ............... .. . ... .. City: I State: I ZIP: Other structure arca(s( ft.)............ CommerciaUlndustrial/nettltl-family: : ItiLlmirelpi Phone: Fax: E-mail: ................... Business Valuation of work................ Existing bldg.area(sq. ft l ....... ......... _ Business name: V h New bid area(s , ft.) .... Address: S �a� City: State:D ZIP: Number of stories .................................. Type of con ction. ................................. _ Phone: 15 Fax: E-mail: Occup Y group(s). Existing: CCB no.: p — ew: -- N City/metro lie.no.: tiee:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: a provisions of ORS 701 and may be required to be licensed in the Address: 'j;V ^S A k7,4 —� jurisdiction where work is being performed. If the applicant is city: State: ZIP: exempt from licensing,the following reason applies: Conutct person: 14 f Plan no.: Phone: _qjgrl .Ili Fax: I E-mail: — Name: .L� GNU ontact person: tJL&rZ_ Fees due upon application ........................... $ Address: 1 >'h Date rtceived: City: Statc:d)Q- ZIP: p/ Amount received ......................................... Phone: Fax:&,Vf' -Jy E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not alt lunuhctions accept credit cordo,plena roll iunutrction for nwre mfonnstinn. attached checklist. All provisions of laws and ordinances governing this ovisa O MasterCard work will be complied wit, whether specified herein or not, credit card number. _ __1_L_ Cxpircr Authorized signature: �_ Date: _ �j�— Name of cardholder u shown an credit card— — Print name: I DN — S Cardholder eiiinature4moum Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "a-M131 , Electrical Permit Application �- --�-- Date received: G)a Permit no.: - City of Tigard Project/appl.no.: -Expire date: Cityq/'Tigun/ Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By _ Receipt no.: Phone: (503) 639-4171 —4 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ... . 1 U 1 &2 family dwelling or accessory 0 Cummercial/industnel 0 Multi-family 0 Tenant improvement New construction 0 Addition/alterttion/replacement 0 Other: ❑Partial JOB SITE INFORMATION Job address: LOlin L-. l31dg. ru,.: Suite no.: Tax map/tax lot/ACCount no.: Lot: Block; Subdivision: Project name: �C�4�" Description and location of work on premises: Estimated date of completion/inspection: C)ONTRACIrOR.APPLICATIONi Job no: _ tee stat Description (1ty. (m) Tolal no.insp Business name: 6�1j-_ T I . `- Newresidential %ingleormulti-familyper Address: dwelling unit.Includes altached garage. City: V State: ZIP: ;2, Service included: Phone: UA&- Fax: E-mail: 1000 sq rt.nr less _ 4 CCB no.: �0111:.bus. lic.no: Each additional S(N)sq.ft.or portion thereof CCB no.: Elec.bus. lie.no: ._ Limited energy,residential City/metro lic.no.: 7,,Ej" Li inited energy,non-residential 2 Fach manufactured home or nodular dwelling Smart oLsVrrvcsing electrician(required) Date Service and/or feeder 2 Sup elect.namc(print): Licenscoo Services or feeders-Installation, alteration or relocation: PROPERTY 200 amps or less 2 Name(print): Q 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: Q -41 601 mops to Iw)o amps z - City: State: ZIP: Over 1000 amps or volts 2 Phone: Fax: 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 according to Installation.alteration,or relocation: URS 447,455,479,670,701. 200 amps or It,, 2__ 2 201 amps to 4' ! 2 "Name: ' siture: _ Date: _ 401 to 600 am- s 2 Branch circuits-new,alteration, 5 V or extension per panel: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: Q B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: fax(//f I:-mail' Each addnnrnalbranch circuit, PLAN RFVIEW(Please clieck all flint apply) Misc.(Service or feeder not Included): O Service over 225 amps-comrnerut al U Henith care factlity Each pump or Irrigation circle 2 O Service over 320 amps-rating of 1 del U Hazardous location Each sign or outline lighting2 familydwellings U Building over 100)0 square feet four or Signal citcuit(s) r a limited energy panel__ n System over 600 volts nominal more residential units in one structure alteration,or extension' 2 •Building over three stories U Feeders,400 amps or mote •Desch+tion O Occupant load over 99 persons U Manufactured structures or RV park PAch additional inspection over the allowable in any of the above: O Egress/hghungplan ❑Other: Per inspection —�— Submll vers of plant with anv of the above. Investigation fee _ 7 In,alws a are not applicable to temporary con,truetlon serylee. I Other Not all jumdictiona accept credit cards,please call jurisdiction for more information Notice:This permit application Permit fee.....................$ O Visa El MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: within 180 days after it has been State surcharge(8%) ....$ "p1fe' accepted as complete. TOTAL .......................$ Name of cardholder as shown on credit cord S Cardholder si/nature Amount 4404615(6100lCUMI Mechanical Permit Application \ — Date received: o' Permit no.: City of Tigard ProjecVappl.no.: date: -- - - City o(Tigord 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 PERMIT O I &2 family dwelling or accessory O Commercial/industdal O Multi-family O Tenant irnprnvement U New construction U Addition/alteration/replacement O Other: -IOR SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: 46 Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax snap/tax lot/account no.: profit. Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: t Description and ocation of work on premises: _ I 1 t 1 I Fee(en.) Intal Est.date of completion/inspection: _ Dw•ription Qty. Res.only Rm.only Tenant improvement or change of use: AC: Is existing space heated or conditioned?O Yes O No Air handling unit CFM 1s existing space insulated?U Yes -1 �'. Air conditioning(site plan required) _ _ _ teration of existing C system MECHANICAL 1 Fioi er/compressors Business name: (� �" State boiler permit no.: Fi Address: HP Tons—BTU/11 V r snlo adampers/duct smo a detectors City: State: ZIP: pQ -beat pump(site plan require ) --- Phone: VU 4 1 Fax: E-mah: InstalUrcplace urnac urner__ CCB no,: Including ductwork/vent liner O Yes O No Instal rep ace/re ocate heaters-suspended, _ City/metro lic.no.: — _!T wall,or floor mounted Name(please print): enc for appliance other than furnace CONTA(*Y PERSON Refrigeration: Absorption units BTU/H Narne: N/10 le S p Chillers HP Address: S —� 7 �y Compressors--- IIP - ZIP. • onmenta ex ust an ventilation- City: _�� Appliance vent Phone 22Z- / Fax.-503-;t(,, E-mail: Dryerexhaust Hoods,Type U Ithes. itc ten/ armat hood fire suppression system _ Narne: L7. Exhaust fan with single duct(bath fans) Mailing address: y r/ ExTust system apart from heating or AC --- Cit re_ . -Turfpiping anddistribution(up to outlets)s)yr State:O( ZIP: Type: NG __ OilPone: / Fax: / 1: Fuel piping each-additional over 4 outlets — Process piping(schematic required) Name: eo flee C1,Y, 111 f Number of outlets -- --- - ter listedappliance or equipment, Address: y �' Decorative fireplace City: 6 d4. 1 State: ZIP: f''Jp/5 nsert-type Phone: - Fax: WA 4iVFz 1 E-mail: wooastove/peiiet stove -- Applicant's signature: otliFr Date: 1 er: Name (print): Not all lunsdicuntu accept credit cants,please call lunsdtctton log more ttdnrmatton Permit fee $ p visa U MasterCard Notice:This permit application Minimum fee................$ Credit cord numherexpires if a permit is not obtained Plan review(at _ %) $ Expires within ISO days after it has been State surcharge(8%) ....$ Name of cardholder as shown on credit card accepted as complete. TOTAL .......................$ Cardholder signature Amount 441(}.4617 INMCOW Plumbing Permit Application C Date received: ptk Permit no.:�Ir &r ity of Tigard - Address: 13125 SW Hall Blvd,Tigard,OR 972-11 Sewer permit no.: Building permit no.: City n(Tigard Phone: (503) 639-4171 Projecb/appl.no.: I„xpire date: Fax: (503) 598-1960 Date issued: B rt Receipt no.: Land use approval; Case file no.. Payment type: TYPE OF PERMIT 0 I &2 family dwelling or accessory ❑Commercial/industrial ❑ Multi-family J Tenant irnpruvenient New construction 1-1 Addition/ahcration/replacement 0 Food service -1 Other: II 1 1 r IT ifay-1 Job address: Desert tion ..Qty. Fee(ea,) Total Bldg.no,: Suit.:it New I-and 2-family dwellings only: Tax map/tax lot/account no.: — (includes 100 fl.for each utility connection) SFR(1)bath �I Lot: Block: Subdivision: !S4' SFR(2)bath --� - -- --- -- Project name: �-- SFR(3)bath City/county: A k-A I ZIP- _ Each additional badVkitchen Description and ItIcation of work on premises: Siteutilitles: Catch basin/arca drain Est date of completion/inspection D wells/leach line trench drain t Footing drain(no.lin.ft.) — — Business name: Manufactured home utilities S Pl�nmbiVl Manholes Address: a Z, -- Rain drain connector City: State: ZIP: pp Sanitary sewer(no. lin. ft.) Phone: 0134 1 Fax: E-mail: Storm sewer(no. lin. ft.) CCB no.: Plumb.bus,reg.no:'.3 -( Water service(no. lin. ft.) City/metro lic. no.: Fixture or Item: Contractor's representative signature: Absorption valve --- Back flow reventer Print name: i,/ Date Backwater valve CONTA(711'PERSON Basins/lavatory Name: Clothes washer Address: S/xs � �C — Disl was er Drinking fountain(s) City: '��hd StateD,� LFP: Phone: 11Z F;tx: Ejectors/sum E-mail: Expansion tank Fixture/sewer cap 7_Nwme(pnint), J�. f f�T¢y�, /f-a�y/�S Floordrains/floorsinks/hub s: �'/ ,atfia a dis sal Hose bibb State: ZLP: / ice maker Phone: - Fax: Z 7/JE-mail: Interceptor/grease tray___ Owner instal lation/residential maintenance only: The actual installation Primer(s) will be 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),basin(s), lays(s) Owner's signature: Date: Sum Tubs/shower/shower pan - Narne: ! (/U` Urinal L�— �� Water closet - Address: Water heater City: l State: ZIP: Other: Phone: Fax:�.V7 E-mail: oral Not all junsdicuons accept credit cards,please call iuniaicuon rn<more nror,nnlion. Notice:This permit application Minimum fee................ Q Visa ❑MasterCard Plan review(at _ %) $ expires if a permit is not obtained - --- Credit cud number �_- _ Expires within 180 days after it has been State surcharge(8%)....$ _ p ecce -- ted as complete, TOTAL Iete. $ Name of cardholder a shown on nedu card p p S Cardholder signature Amount 44114616(&MCOM) PACIFIC CRES-1- SUBDIVISION LOT - 23 CITY OF T'[GARD THE APPROACH SHALL BE A MINNMUM OF 8"x12,10' 1 OF CLEAN IT GRAVEL 1 EL-57+' AND5CAPING FOR TWE ENTIRE LOT N Q°5 4'Q 0" "E EL•STB• WALL BE FINISHED OR TWE LOT URROUNDED BY EROSION CONTROL OPERTY CI RIOR TO BREAK OUT OF COMMUNITY 67. 10 0' ROSION CONTROL. FINISHED SLCPES SHALL BE LESS THAN 1 TO I SETBACK L E ------- -- I t I I O 1 I 1 I NOTE: 0 0 i I.ROOF DRAINS TO STORM LAT. IN STREET. I 2. FOUNDATION DRAINS TO �-- i BACKYARD 5OAKAGE TRENCH 3: SEE ATTACHED DETAIL I^ O ^ C� I PL N : 3O69C l O cD O SQ T. 2918 O FIN • 511' O O ri M co z i ARAGE FT. . 183 FI EL • 516' ri I � I � i ry~ I e� TEMP. AvEL DRIVEL c 0' EL•SSS' �---- _ /1 21/2- M fARI WA R �I El•S7A' MAPLE STC)Pl't L SAN At S F SETBACK REQUIREMS ENT SCALE 1.2S-o' 2 J7 FRONT YARD TO GARAGE I5' SIDE YARD 5' 71206 REAR YEARD 15 4 K AN,S,OiaO SW SANOIlID68D D.R. Horton Homes PtiAN 306x SCALE.I- .20' DATE 6/2002 5125 S.W Macadam Aveneue rWCNE.D03722.4I51 PCrtland Ore Cn PAX.5077223111