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13660 SW SANDRIDGE DRIVE 13660 SW Sandridge Drive CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 Qv 3 2-3 INSPECTION DIVISION Business Line: (503)639-4171 r�1. L1 BUP Received/*x 7 s-7 Date Requested 7/0 2-AM___ _ PM BUP Location __ 0(a Suite MEC Contact Person — y Ph( -2 3 �� r'1� " 34 1 PLM Contractor 7_ Ph( ) - SWR BUILDING Tenant/Owner ____- -- ELC Footing ELC Foundation Access: Ftg Drain �-- 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 - ----� -- _�-� A►R--FAIL_ _UMBIN0 - Post& Beam Under Slab - Water Service --------------- _ - ----- --------- Sanitary Sewer Rain Drains -- --- - - ---- ------__- Catch Basin/Manhole Storm Drain - --- _ - - ---- - -- -.. Shower Pan Other: / _.- --__-- - -- -------------- --- in _. A PART FAIL EAHANICAL ---- ---- --- --- Post& Beam Rough-In --- - - --- - ---------------- - - ---- - -- -- ---- -- Gas Line Smoke Dampers - -- ------ ---- ---- - ---- ..._`. Final PASS PART FAIL --- ------ --- -- ------ ------- ------------------------ LECTRI L Rough-In ---- --------- -------- w olta irear - - - --- ------- -__—.-�-�-_ ----- _ _ -- PART FAIL Reinspection fee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. [� Please call for reinspoction RE:-` Unable to inspect-no access Fire Supply Line ADA Inspector Date "� � r . Cit""� Ins Approach/Sldewalk -��. P � --- Other: Final DO NOT REMOVE this Inspection rec -rd from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST — Do32 INSPEC'i-iON DIVISION Business Line: (503)539-4171 BLIP _— Received —___ Date Requested / _.__.___ AM PM_ BLIP Location ��' —_ 'e_ ___ _Suite MEC Contact Person ��,_y��,,� ____ Ph( ) _g3 G_ _ PLM Contractor ___ _ _ Ph(—) _ SWR PC p G Tenant/Owner ELC Footing Foundation ELC ACCESS: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear /tQ u_5QSa��- j Framing +v ��1� � / 7� Z.- Insulation 7_r�C C��1 C.G'Yj l �1 ��d 2 (E Drywall Nailing 1(J') _ / ��, � � �y Firewall (. ''r f'� G�ECa C.G� 1 l/l �/a z_ Fire Sprinkler ►'� Fire Alarm Susp'd Ceiling - Roof Other: --- d='final--� PASS PAR_T A PLUMBING dz C CL.,V- Post&Beam ? p n Under Slab Rough-In Water Service -------- -- Sanitary Sewer Rain Drains — ----- Catch Basin/Manhole �\ ` Storm Drain � - Shower Pan Other: . - Final PASS PART FAIL - -� —_ - -- -- - ly Post A Beam Rough-In _ ---- — Gas Lite Smoke Dampers — - ---- - — AS ') PART FAIL -- CTPICAL Service — - Rough-In _ - --- -- ---- --- UG/Slab Low Voltage - Fire Alarm Final Reinbpection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE Please calf for reinspection RE:_-..._ _ --_ Unable to inspect-no access Fire Supply Line ^� ADA Inspector D Approach/Sidewalk awte -- - ._V �✓ ___ t1rl -- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL �►A AAAAAAsAAAi 4.AAAAAAAAAAAAAAA -- AAAAAAAAAAAAA,A i ► O ► x V L3► �, N ► an � a a � ► 1° otA H H '4° N J Q i ,u `i 4 ► �-+ -cl ► v O ► U0-4 y Vi ► t ..o 0 5 10.► t U > ► 7v ► i qy s y ► W ► i �}- � ct Q � i Q H w i Q O w ► �� ..a as oG ► nA � � o � O M n � � n 1 o C7 vJ � R � N c d• C ti. W N n � n O =, O p n c � n F t 1 `l ao CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 539-4175 r, INSPECTION DIVISION Business Line: (503) 639-4171 MST SUP Received _ Date Requested_ . ZU AM-_PM SUP Location -� t!.�C> � �� Suite L' MEC Contact Person __ Ph( ) J y " 34( PLM Contractor Ph( ) SWR_ BUILDING _ Tenant/Owner _ ELC Footing Fnundation Access: ELC 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 'j Other -- — - - PART FAIL - — B-IN a___ _ 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 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 Ins PASS_ PART FAIL q pection. Pay at City Hall, 13125 SW Hell Blvd. SITE Please call ft r reinspection RE: Unable to inspect-no access Fire Supply Line ADA loy_J Approach/Sidewalk Date Inspector _—V�,vZ-------- - � Other:_ - Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL. I�� _ ELECTRICALPERMIT- R►:STRICTECTED ENERGY DEVELOPMENT SERVICES FFRMI; #: E:LR2002-00192 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 PARCEL: 2 S 105DD-04800 SITE ADDRESS: 13660 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 021 JURISDICTION: TIG Project Description: All-encompassing low voltage A. RESIDENTIALB.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: — INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: 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_ J Owner: Contractor: D.R. HORTON INC AZIMUTH COMMUNICATIONS INC 5125 SW MACADAM AVE SUITE 145 P.O. BOX 508 PORTLAND, OR 97201 WILSONVILLE, OR 97070 Phone: 503-222-4151 Phone: 503-639-0110 Reg #: ELE 36.94CLE SUP 2312JLE 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 9124/02 $6.00 2720020000 Total $81.00 This Pennit 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 952-00,1-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issu6d by / r -(fi lam __ Permittee Signature x;.'. _z(1-161 (�� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S S7IGNATURE: _ _ _-- __ __ 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 P'erntitA pplica.tion "Datercceived: t?//,e/"Jx- Per,!mni!t100 JUL, ---------------------- City of Tigard Project/appl.no.: Expire date: City(if Address. 13125 SW IlalI Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ew constnaction ❑Addition/alteration/replacement U Other: _ U Partial 1 1 1 Job Address: , ItIdg.no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: _- Project name: Uescriptioil and location of work on premises:__ 1� Estimated date of completirm/inspection: l l 1 1 1 Max Job no: _Description _ (.Hy. (r'a) Total no.ins Business name: 2►IMu' Cf}r'rWt rl T/I� Newmsidmri,d +imieormaki family per Address: ,F I d dwellinrurir.Includes momi"garaff City: LL1jLkil.MLLC State{) I ZIP: U Servirr.included: 4 Fax: 1)Uproll -mail: 1000 al.n.or Phone: `3 V Each additional 500 sq ft.or portion thereof CCB no.: - Elec.bus.tic.no: - "CE Limitrdenergy,residential 2 City/m to tic.no.: V� .S _Limited energy,non-residential 2 Each manufactured horse or modular d-selling _ Service and/or feeder 2 Signa urc of au rvisin elrxl_ (rr ulRd Date License no 2 232 fierrices or feeders-Installation, Sup.elect.name(print): - ( alt"lon or relocatlon: PROP11trYOWNCK 200 amps or less 2 - ` 201 amps to 400 amps 2 Name(print):_�"" N _ -- 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 at � _ 2 City: Slate. ZIP: Over 1000 am2 Phone:'L1L- Fax: Reconneclo�Temporary seers- Owner installatirn:Ttte inslallAdun is being made on property 1 own Insta1Mr11ots abcation:which is not intended for sale,lease,rent,or exchange according to 200 amps or le _ 2 ORS447,455,479,6 '+ 201 amps to 4Owner's si nature: Date: 401 to 61N)amatloa" nr extension per panel: Name: A. Fee for branch circuits with purchase of — --- 2 Address: service or(ceder fee,each branch circuit - State: ZIP: B. Fee for branch circuits without purchase airy; of service or feeder fee,first branch circuit: 2 Phone: FAX; E-mail; Eoch ttddiliona!broach cirwit Mlw.(Service or feeder mot Incladed): Eh pump or irrigation circle 2 ac O Service over 225 amps-commercial U Health-can:facility Each si n or oudirre lighting__ Z ❑Service mer 320 amps-rating of 1 R2 U I larardrws locxtion Signal circuits)or o limitedenergy panel, familydwcllings U9uildingoverl0,(Msquarefeet fourm g *System over 600 volts nomte nominal more r"identiel units in nor structure alteration,or exnsion• — — 2 U Building over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 merman U Mamrfaciured structures or RV park Fitch addilhrnsl hrspection over the allowable M any of the above: UEgress/lightingpiart U(Nher _— ...__— Per inspection —��- Submit_gels of plans with any of the above. Investigation fee The above are not applicable to temporary construction servke. Other -- Permit fee................ ....$ 7 5, rt7) Na all jurisdktlau accept crnfit carat,&"'all priadIctim fa mese infrrmarion Notice:This permit application Plan review(at 96) S U visa U MasterCard expires if a permit is mot obtained Mate surcharge h (896) .... ) Crcdlt ctail number --- — —� within 180 days after it has been --+' tBaplret accepted as complete. TOTAL .......................S •F_ - —'Num of co4holdef as shavn Onrefill e29 -- s -- 410.4615(6100/rbM) _----Catdholrkr slxnatwe Amamr ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: --- -- —- -- --— - TYPE OF WORK INVOLVED ••RESIDENTIAL ONLY Complete Fee Schedule Below: -Restricted Energy 17e*................ ••••••••••••••••••••••• .. $75.09 Number of Inspections per permit allowod (FOR ALL SYS' IAS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 Sri,ft or less $145 15 4 14 ,Audio and Stereo Systems' Each additional 500 sq.ft.or '�� portion thereof $33.40�_-•— l Burglar Alarm Limited Energy $75.00 __- Each Manufd Homu or Modular Garage Door Opener' Dwelling Service,of Feeder $90.90 — Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 2 200 amps or less $80.30 __ Vacuum Systems' 201 amps to 400 amps $106.65 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or voles $454.65 2 Reconnect only �_— $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Feefor each system.......................................................... $7500 Installation,alteration,or relocation (SEE OAR 918-2b0-260) 200 amps or less _ $66.85 201 amps to 400 amps $100.30 401 amps to 600 amps T,— $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch dreuils Clock Systems with purchase of service or feeder fee. Each branch ci cull $6.65 LJ Data Telecommunication Installation b)the fee for branch cirrwits without purchase of servicej Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 _ HVAC Each additional branch circuit $8.65 Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 0 Intercom and Paging Systems Each sign or outline lighting —_, $53.40 Signal circult(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $75.00 _ Minor Labels(10) $125.00 ❑ Medical Each additional inspection over the allowable In any of the above Nurse Calls Per Inspection _� $62.50_ Per hour $6250 _ Outdoor In Plant --- $73.75 Landscape Lighting' Fees: Protective Signaling Filter total of above fees $ 8`X State Surcharge $ Number of Systems 25%Plan Review Fee No licenses aro required Licenses are reoulred for all other installations See"Plan Review-snchon 0.1 $ front of application Fees Total Balance Due $ ._ _�. •7s Enter total of above tees v0= ❑ Trust Account N 894 State Surcharge $ � - Total Balance Due All New Commercial Buildings require 2 sets of plans. iAdosqorms\e1c-fees,doc 09/30/01 ! ��R D MASTER PERMIT_ CITY OF PERMIT #: MST2002-00323 DEVELOPMENT SERVICES DATE ISSUED: 8/7/02 13125 SW Hall Blvd , Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13660 SW SANDRIDGE DR PARCEL: 2S105DD-04800 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT:024 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING _ REISSUE: STORIES: 2 FLOOR AREAS —REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.454 of BASEMENT: of LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.133 at GARAGE: 750 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: E 257,283.80 REAR: 4' OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,58700 at PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DkAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TU31SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR I GREASE TRAPS: OTHER FIXTURES: MECHANICAL — FUEL TYPES FURN<100W BOIIJCMP<3HP: VENT FANS: 5 CLOTHES DRYER: I FURN r.100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP: btu 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: I PUMPfIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: let WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 amp401 800 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 801 - 1000 amp: 801+amps•1000v: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: a•4 RES UNITS: SVCIFDR-225 A.: >800 V NOMINAL: CLS AREA/SPC OCC ELECTRICAL•RESTRICTED ENERGY — A.Sr RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INl ERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS TOTAL N SYSTEMS: TOTAL FEES: $ 7,751.31 Owner: Contractor: This permit is subject to the regulations contained in the U.R.HORTON INC D.R.HORTON INC Tigard Municipal Code,State of OR. Specialty Codes and 5125 SW MACADAM AVE SUITE- 145 5125 SW MACADAM#145 all other applicable laws. All work will be done In PORTLAND,OR 97201 PORTLAND,OR 97201 accordance with approved plans. This permit will expire If work is not started within 180 days of issuance,or If the work is suspended for more than 180 days. ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg M: 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)248-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Under®oor Framing Insp Gas Fireplace Electrical Final Grading Inspection Post/Hearn Mechanics Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp ,Footing/Foundation Dr; Electrical Rough In Gas Line Insp App Sdwlk Insp lssL d B wAAJ YPermittee Signature : y'" � � Call (503) 639-4175 by 7:00 p.nt. for an inspection needed the next business day CITYOF TIGARD _ SEWr-R CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00224 13125 SW Hall Blvd., Tigard, OR 97223 (.503) 639-4171 DATE ISSUED: 8/7/02 SITE ADDRESS; 13660 SW S.ONDRIUGE DR PARCEL: 2S105DD-04800 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 024_ _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: 1 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Owner: -- FEES D R HORTON Type By Date Amount Receipt 5125 SW MACADAM AVE SUITE 145 PORTLAND, OR 97201 PRMT CTR 8/7/02 $2,300.00 27200200000 INSP CTR 8/7/02 $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. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If riot 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 thro h OAR 952-0010080. You may obtain copies of these rules or direct questions to OUNC by calling (50N 24 1987. a Issukd by: / n -L?; Permittee Signature: _ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day P c 1ST T` Building Permit Application City of Tigard — Date received: 7 Permit '�]..i�Z... . 3 irv'IfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: l&2 family:Simple Complex: (� f r U I &2 family dwelling or accessory U Commercial/industrial U Multi-family *New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: INFORMATIONJOB SITE V Job address: Bldg. no.: Suite no.: Lot: - ` ock: Subdivision: A 1 yaml'ax m,tp/tax lot/account no.: — Project name: I ? 7 M Description and location of work on premises/special conditions: 1 -INFORMATION,USE CHECKLIST Name: 17. Mailing address: 2g 1 &2 family dsvellim�: City: State: p ZIP:11to I Valuation of work........................................ Phone: 1 Fax: -'Jj -mail: No.of bedrooms/baths................................. Owner's representative: •( Total number of floors.. .. .................... Phone: 13` Fax: F-mail: New dwelling area(r%I ft.t .......... . ............. 7� APPLICANT Garage/carport area(sq.ft.l.... ..... .. . ocrearea(s r ) . ----_---- Name: [7. �• • �r "V.l C - d porch rc.h q , Mailing address: C GI Gl 0 V Deck area(sq.It.) ............. ... .. City: I I I State: ZIP: Other structure area(sq. It.)......................... Phone: Fax: E-mail: Commerciallindustriallmulti-family:it Valuation of work........................................ $ Business name: H,V i"o h Existing bldg.area(sq. ft.) ............... Address: S New bldg,area(sq. ft.) ...��........................ — City: State:p LIP: Number of stori ......`.............................. n Type of sttvction.......................:a.,,.... Phone: - /S Fax: y=• 17 1 E-mail: CCB no.; p Occupancy group(s): Existing-� -- -- - - --- New: -IN City/metro lic.no.: 71 Notice:All contractors and subcontractors are required to be ARCUITECTMESIGNER licensed with the Oregon Construction Contractors Board under Name: k,, provisions of ORS 701 and may be required to be licensed in the Address: '5P �1S _�� jurisdiction where work is being performed. If the applicant is City: 41 State: ZIP: exempt from licensing,the following reason applies: Contact person: I Plan nu.: Phone: - ! ,l Fax: E-mail: Name: ontact person Fees due upon application ........................... $— Address: , ZDate received: City: tate p� ZIP: p/ Amount received .................... ........ $ _ Phone: Fax:6o 4E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all funsdfcuons accept credit cud&.pleue call)unsdtcuon for more mtnrmauon. attached checklist. All provisions of laws and ordinances governing this .3 Visa O MtuterCard work will be complied wi ,whether specified herein or not. t-redo card number _ _ Expires s Authorized signature: Date: Name of cardholder u shown on credit cud Print name: Cardholder signature S Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4164613(6oan_oM) Electrical IDernnit Applicsition Date received. Permit no.. City of Tigard Project/appl.no.: Expire date: City ofTibn,J 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 ❑ I &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: U Partial JOB SITF,INFORMATION Joh address: Idg. no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: %1� Project name: 'V 4./lt;,f— J Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR f Job no: Fee Max Business name: L Description Qty. (ea.) Twat no.ins New residential-single or multi-family per Address: ". IM dwelling unit.Includes attached garage. City: 4 Slate:OF I ZIP: Serviceincluded: Phone: Fax: E-mail: 1000 sq.ft,or less _ 4 CCB n0.: _j Elec.bus,tic.no: Each additional 500 sq.ft.or umun thereof Limited energy,residential 2 City/metro lic,n.t. Limited energy,non-residential 2 Each munufactured home or modular dwelling Signurut'e o ruptrvuin ecerrrician ire aired) Date -- Service and/or feeder 2 Sup elect.name 1p11w l.icenseno: Services or feeders-installation, alteration or relocation: PROFERTY OWNER 200 amps or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps _ 2 Mailing address: �� Q � _ 601 amps to IWoamps 2 City: Dista: ZIP: _ Over 1000 snips or volts 2 Phone: I Fax: E-mail: Reconnect only 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 Installart-m,alteration,or relocation: ORS 447,455,479,670,701. 202 2011 a s,�+u;.1-a00W gasps 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-new,*Iteration, or extension per panel: A. Fee For branch circuits purchase of Name: f�.�r CpNs �/ Address: service or feeder fee,each branch circuit 2 C i Y-W State: ZIP: Q B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 MOM: Fax4/Af E-mail: Each additinnal branch circuit. 111Ise.(Service or feeder not included): O Service over 225 amps-commercial O Health-care facility Each pump or irrigation circle` •Service over 320 amps-rating tilU2 U Hvardous location Each sign or outline lighting _ 2_ fnmily dwellings U Building over 10.000 square feet four or Signal chcuitts)or a limited energy patiel. •System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or mote 'Description, u Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: O Egressllightingplan U Other — Penns ectiun Submit__sets of plans with any of(he above. Investigation fee _ The above are not applicable to temporary construction service. Other _ Not all Jurisdictions accept credit cards,please call jurisdiction for more mfmnanon Notice:This permit application Permit fee.....................$ U visa Q MasterCard expires if a permit is not obtained Plwi review(at __ %) $ Credit cant number _1 within 180 days after it has been State surcharge(8%)....$ _ Expires accepted as complete. TOTS $ Name of cardholder u shown on credit c S Cardholder signature Amount 440-s61S(6x)WCOM) Mechanical Permit Application Date received: Permit no.: City Of Tigard Project/appl.no.; Expire date: City oJ7'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - ---- Phone: (503) 6394171 Date issued: By: Receipt no Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT O 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family _j Tenant improvement U New construction U Addition/aJteration/replacement U Other.JOB SITE INFORMATION COMMERCIAL t -SCHEDULE Job address: _ Indicate equipment quantities in boxes below.Indicate the dollar Bldg. no.: Suite no.: f value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: I Block: Subdivision: A "See checklist for important application information and Project n jurisdiction's fee schedule for residential permit fee. City/county: ZIP: _ _ tSCHEDULE Description andlocation of work on premises: t t t t I i 1's yea.) Iolai Est.date of completion/inspection: IArsciiption Qty. Res.only Res.only Tenant improvement or change of use: l Is existing space heated or conditioned'?U Yes U No Airr handling unit ___,CFM Air conditioning(site plan required) Is existing space insulated?U Yes U No teraaun o existing HVAC system MECHANICAL CONWACTOR W—oT er/compressors Business name: State boiler permit no.: HP __Tons. BTU/H Address: ire/smo c dampers/duct smoke e- t�ectors City: State:6)9?- ZIP:!M-700 I Heat pump(site plan required) Phone: Install,treplace fumacelbumer / CCB no.: Including ductwork/vent liner U Yes U No Instal rep ac re ocate heaters-suspe_nde City/metro lic.no.: wall,or floor mounted Name(please print): Vent for a ianceotherthanfurnace e gena!on: COWACF PERSON Absorption units BTU/H Name: N1 i-ellG MtdSp Chillers HP Address: 5 ,7 7 Sf N5- Compressors _ HP Environmental a u+t an ventilation: City: H� ` ,v State: ZIF' D/ _ Appliance vent _ Phone --k / Fax: - 31/ E-mail: Dryerexhaust Hoods,Type /Wres.kitchen/hazmat hood fire suppression system Name: /W Exhaust fan with single duct(bath fans) _ Mailing address: Exhaust tip system art from hcatin or AC epCity: r State:pA- ng andistribution I up to ou t outlets) Type: LPC; NG Oil Phone: Fax: / E mai!: tie i ing each additional itional over 4 outlets rocessp p ng(schematicrequired) — Name: G° fG Number of outlets Other Iloed appliance or equipment: Address: �/>/' Decorative fireplace City: �F ate: < I '0/CInsert-type Phone: Fax: L4V E-mail: Other:oot stove/pe et stove Applicant's signature: _ Date: - � ter: Name (print): Not all jurisdictions accept credit cards.pteau call jurisdiction rot more information. Notice: Permit fee.....................$ Visa U MasterCard This permit application Minimum fee................$ expires if a permit is not obtained Credit card number: _ 1�_-.__ Plan reV1CW(at _• %) $ Expires within 180 days after it has been State surcharge(8%)....$ Nuns of cardholder as shown on credit cud accepted as complete. s _ TOTAL .......................$ Cardholder sgrriuure Amount 41041517 INOrYCOMI Plumbing Permit Application Date received: Permit no.: IF—!I Ilium City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case file no.: Payment type: TYPE OF PERMIT Q I &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Food service U Other: JOB SITE INFORMA'FION1 Job address: Description Qty. Pee(ea.) 11Total Bldg.no.: Suite no.: - New I-and 2-family dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath Lot: & jBlock. Subdivision: e'i SFR(2)bath _ Project n e: Zjt+ SFR(3)bath City/county: -72 /4)/d ZIP: Each additional hath/kitchen Description and ItIcation of work un premises: Siteutilities: Patch basin/area drain Est.date of completion/inspe,_w w t Drywells/leach line/trench drain t 1 Footing drain(no. lin. ft.) PLUMBING CManufactured home utilities _ Business name: }� Manholes _ Address: ( $Z J Rain drain connector City; State: ZIP: pp Sanitary sewer(no. lin. ft.) Phone: - t; _ Fax: E-mail: Storm sewer(no.lin.ft.) _ Water service CCB no.: Plumb.bus,reg.no:'3 -� m City/metro tic.no.. Fixture or Item: lin.ft.) m: Absorption valve Contractor's representative si6marure: Back flow preventer Print name: Date: Backwater valve CONTACT PERSON Basi is/lavatory Name: Clothes washer Dishwasher Address: /Z Q Drinking fountain(s) City: /'f jolt StateD� ZIP: Ejectors/sump Phone: -&I / Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): f�. IC . J-f-Dl'�h / --Awte s Floor drains/floor sinks/hub Mailingaddress: Garbage disposal Hose bibb City: State: ZIP: Ice maker Phone: Fax: 2' 91� E-mail: Interceptor/grease trap Owner instal latiun/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per QRS Chapter 447. Sink(s),basin(s), lays(s) Owner's signature: _ _ Date: Sum Tubs/shower/shower pan Name: Unnal Lk G1L-f�f1�r Water closet Address: S-q _ Water heater City: l State: CK I ZIP: Q/f:� Other: Phone: Fax: _7 E mall: Total Not all iunsdicuons accept credit cards.please call junsdiction for more inforoution. Notice.This permit application Minimum fee................$ O Visa O MasterCard expires if a permit is not obtained Plan review(at , %) $ Credit card number within 190 days after it has been State surcharge(8%) ....$ Expires __ -- accepted as complete. TOTAL ....................... Name of cardholder as shown on credit cud S Cardholder signature Amount 410.4616(W/COM) PACIFIC CREST" SUBDIVISIC)N LOrf-- 24 CITY OF TIGARD ....... N00054' �It' 0"C ELs78 LANDSCAPING FOR THE ENTIRE LOT V `I, C SHALL BE FINISHED OR THE LOT 62.0 SURROUNDED BY ER051ON CONTROL PRIOR TO BREAK OUT OF COMMUNITY EROSION CONTROL. FINISHED SLOPES SHALL BE LESS THAN 2 TO I --------- ------- ---------- I � 1 � I I 1 � I � I NOTE: I I.ROOF DRAINS TO STORM LAT. IN STREET. I i 2. FOUNDATION DRAINS TO I BACKYARD SOAKAGE TRENCW O i SEE ATTACHED DETAIL I O O � cc O PLAN : 258 0 CD �-- I $0 FT. 2581 00I FIN EL • 514' z 00 I z I v I I I GARAGE SQ FT - 528 FIN EL - 514.5' `{ I I I u I (� TEMP. RAVEL DRIVE Y wA R THE APPROACH SHALL BE A MINNMUM OF 8"xl2'x2O' EE. M LE' tArApl --�` 78' OF CLEAN PIT GRAVEL !t LIE ti LAt w S F 24 — SETBACK REQUIREMEN75 SCALE I'•10'-0' 61824 FRONT YARD TO GARAGE 15 SIDE YARD 5 REAR YEARD 15' 4DDRE'SD� U6�0 EIU>s•.NDAIDO{D D.R. Horton Homes PL4N.799�4 SCALE . :0 DATE. 1/1,02 5125 S.W. Macadam Aveneue PHONE 503222 A15,1 Portland Cre on eAx 9,03277311'