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10555 SW LADY MARION DRIVE ESE EILE S46Id 3�to ,�t �o�oi000Na�: �.PAo�twuNlr�Mae'�TWd� m ORAVL PAD i DERIVE UM POWNWIl Y CONCRE E DRIVE 13 W KACL 2 PFI MIRE t MAINTM OOLIED111111W FENCE AS NDICAITD. 7.00' ALA - o O NW.- CEN lNEO©H( Tti, _ . SURVEYORS,WILL PINALL EXTERIOR w 18.00, 3 ":QUNQATIM00 WNW Mo PROVIDE (0LmS.Z tD N -----r N oe pr 11 .0( ¢ *-- n ,� ;� N u6E. g Z pF 1 �5 N G!►M4f 3 Le 20.50' �- 911.5010 �g 912.00' 'Pe O O 1 O „ 4wep Y/ N tN. — _ /E►R- MOVED HOUSE BACK TO 21.5' FROM FRONT .� wx PER CLIENT, 6/21 /G1 MSG. 303 N 89#58 34 60.00 � :#. S. W. LADY MARION DRIVE i S TAKrv_, O UT LOT 37 ERICKSON RNGHTS S.E. 1/4 SEC. 10, 12S., R.1 W., W.M. jP956 SW LAPY l"Afo 10 1 CITY OF TIGARD WASHINGTON COUNTY, OREGON --A 2.5 FOOT PUBLIC LANDSCAPE EASEMENT SHALL JUNE 18, 2 01 Centerline Concepts Inc . EXIST ALONG ALL STREET FRONTAGE. DRAWN BY: MSG CHECKED 8Y: WGDIII SHAL.L7.50 EXISTOOT ALONGBUC UTILITY THE LANDSCAPE EEANEME SCALE 1"�20 ACCOUNT 115 E"''A '�- wv�w• cciEMA1L�At'�IL.coM EASEMENT.NT 640 82nd Drive Gladstone, Oregon 97027 L_ M: \MUJ L.37ERICK 50.3 650-0188 fax 503 650--0189 r ,pK NOTICE: IF THE PRINT OR TYPE ON ANY I� � I � III � III illfi � i iIIIIIi IIIIcII III I �r1Il III i1r —rl� r� III 1� rel � � I -1 J41 11-ITI! 1 � 111 11f III Ir: T � f�fi plil-T11�1 � I i � I (-11 1111111 III iI1 1I1I1I1 1 i IMAGE SNOT .4S CLEAR AS THIS NOTICE, _ l i 2 3 4 5 6 � � 10 11 12 Ay C-&Z,5 IS DUE TO THE QUALITY OF THE No.A ,�� ..• ,,,, ,� f ,left_ ORIGINAL DOCUMENT -� E 6Z SZ L7., 9Z Z fiZ EZ Z TZ OZ 6T gT LT ST 4I i� T ET ZT TI T 6 8LL 91111111111111. 1111. 1111111111 IIIIIIII 1111 IIII II II llllfl,l�ll i 1 l' 0 cn M w N r d CL 3 o� o' v 10555 SW Lady Marion Drive CITY OF TIGARD BUI' DING INSPEC I ION DIVISION MST 24-Hour Inspection Line: 639--.175 Business Line: 639-41, r _ BUP Date Requested -- 2 �-' AM PM BLD Location & vL- Suite MEC Contact Person Ph �' 1 3 / G Z PLM Contractor — Ph SWR BUILDING Tenant/Owner ELC Re'aining Wall ELR Footing Foundation L cre S: S4s. FPS Ftg Drair r 'ri Crawl Drain Inspection Notes: SGN Slab Post& Eeam SIT Ext Sheath/Sheni Int Sheath/Shear Framing _ Insulation - -- — -- Drywall Nailing Firriwall - - Fire Sprinkler Fire Alarm — Susp'd Ceiling Roof —� Misc: _— Final --- --- ---- -- --- PASS PART FAIL ----------- ------ ---------- --�_.__ PLUMBING Post&Beam - - - ----- -- _—_— _ ---- --- — ----- ---- - Under Slab Ton Out - - -- ------- -- --- -- .+acer Service Sanitary Sewer -- - Rain-,grains PART FAIL CHANICAL - - Post& Beam - - --- -- - ------ -- - - — -- — Rough In Gas Line _- Smoke Dampers — Final - - - ----- - — - - PASS PART FAIL ELECTRICAL - Service Rough In _. . - - ---- --- -- -- UG/Slab Low Voltage --- ----- - ----- --- - — --- Fare Alarm Final _ -- - ---- -- --- _-- .,— PASS PART FAIL SITE -- -- -- --____ --- Backfill/Grading -- -- - -- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: — _ ( ]Unable to inspect-no access ADA /^� Approach/Sidewalk Date ✓ G - �� d Irtls ector�/ L-�a�-�e► _Ext Other —_.___ L.— p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION u MST Zcr_ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested i AM _PM _ BLD Location cR �� 5 _� L� L� � Suite _ MEC r Contact Person Ph j C' Z PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall w ELR _ Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab Post& Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- Drywall Nailing Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -_---- - PART FAIL -- - ---- - --- -- --- PLUMBING Post& Beanr --- __-- - - �- Under Slab I op Out --- --__ - _------------ Water Service Sanitary Sewe ------�-- -- M- -- -- -- -- Rain Drains Final ------------ - -- ----- -- - PASS PART FAIL Post& Beam -- ----- ------- ----- --- Rough In Gas Line - - - - --- -_ _---- ---- ---- tpo�oke Dampers PART FAIL - - ---- - --- - -- --- ELECTRICAL - —- --— -- --- ---- -- ---- Service. Rough In --- --_---- -� -..-- UG/Slab - _,. ------- ---- ----- - Low Voltage Fire Alarm Final --- -- -- -- --- - -- -..-.- PASS PART FAIL SITE — Backfill/Grading - -- - -- -- - - - -- Sanitary Sewer Storm Drain [ ] Reinspection fee o'$,___required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: [ J Unable to inspect no access ADA ` ll Approach/Sidewalk Date 12- 2-t Inspector ` _J Ext Other Final --_--_ , ---- -- PASS PART FAIL. DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUI,' r)ING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 75 Business Line: 639-41 BUP Bate Requested / — 1 3 -AMPnM BLD Location C <; �, -f-r?A13 , �� Suite MEC Contact Person #�.��-ePh 2 _ — PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall Footing ELR Foundation Access: Ftg Drain FPS Crawl Drain Inspection Notes: SGN Slab Post K Beam — - SIT Ext Sheath/Shear Int Sheath/Shear - - Framing Insulation - - - - ----- Drywall Nailing Firewall _- ----------- —-- --- - Fire Sprinkler Fire Alarm - �__.._ - ------------- - - Susp'd Ceiling -- Roof - ---- Misc: Final ---- �___---------- -- -----__ - -- PASS PART FAIL PLUMBING Post& Beam -- _ - Under Slab Top Out Water Service Sanitary Sewer -- ------ - - Rain Drains Final - PASS PART FAIL MECHANICAL Post& Beam ----- Rough In Gas Line - - - -- - Smoke Dampers Final PASS PART FAIL ELECTRICAL - --- Service Rough In UG/Slab 'kWVo toy'' - - ----- i arm S PART FAIL - Backfill/Grading -- -- - -- _ Sanitary Sewer Storm Drain I j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW,-18II Blvd Catch Basin Fire Supply Line f ] Please call for reinspection RE: _ — [ ]Unaule to inspect• no access ADA Approach/Sidewalk Date �� Other Inspector___ _ I � _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. VAAAAAAA`AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA� m Q ► q � cn ► � d ► • �� , I ' ► rD ► ydrDrD ► ro ► ► CD � ► tA' c ► o � ► 1 p ` ► vaC) 0 pop ► .44 ,\ �_ ► N w loo.44 1 .a N � M ► t y ► . x �' 44 44 . ► CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00355 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 10555 SW LADY MARION DR PARCEL: 2S1 1 ODA-07600 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLCSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. Owner: FEES --- Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES PRVT CTR 08/15/2001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR 5PCT CTR 08/15/2001 $2.90 27200100000 WEST LINN, OR 97062 _ _ Total $39.15 Phone 1: Contractor: MOODY ENTERPRISES INC PO BOX 713 ESTACADA, OR 97023 REQUIRED INSPECTIONS Phone 1: 503-630-5532 Final Inspection Reg#: LIC 5973 PLM 11717 This permit is issued subject to the regulation:, 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 mare 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. issued By: _ �1 f �LcyL-y Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection nPedel the next business day • `J`T;-:= Ori -�;._1/� Plumbing Permit Application City Datereceived: F' / I Permit no ty of Tigard Sewer permit no.: Building permit no.:CrrVoJTigard Address: 13125 Ste' Hall Blvd,'rigard,OR 97223 Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: Bye/ Receipt no. Land use approva' Case file no. Payment type: 2 family dwelling or accessory 0 Commercial/industrial O Multi-family O'renant improvement New construction O Addtuon/alterationimplacetnent O Food service J Other. Job address: Deacridon Fee(ea.) Total New 1•end 24mily we ga only; Bldg.no.: _ Suite no.: I Tax map/tax IoUaccount no.: - (includal00ft.for each utility connection) �- --- 7 --- SFR(1)bath - Lot'. --�Block: Subdivision' SY!t(2)bath Project name: �Z)/;Sc ti• t,_<�b f5 F 1t O bath - -�—~ City/county: ���,�.�I IP: r'4 z 2 Zac additioni1 bothMtchen Description and location of work on premises SlteutWtla: Catch basin/area drain -4 t - 4 Est.date of romplenorvinspecuon: rywe , eac nisch ooun�rain(no.lin ft.) i Manufactured home utilities Business name: 1 Alf ,s rN�• Manholes _ Address: .b,6t 7/3 Rain rain connector r Cit < < State: ZlP: ` 7C'Z amt sewer(no.lin.fQ Fax f-q.„e ,E-mail: Storm sewer(no, lin.ft.) CCB no.: 1f j r Plumb. bV 7 - Water service(no.lin.ft.) L__� � us.reg. no. ' Fixture or hem: City/metro tic.no. Contractor's representative signature: ( 7 1;- Absor tion valve ack ow roventer � Print name !� e,wl,�- Date: �i �;/ - nckwater valve Basins/lavatory - - -�-- Clothes washer Name: Address c• ''/J ishwasher -�.- 1x -----1--- - - Drinkirg ountaints) City: �S' gc�r�r -_ State C.f ZIP: � - E sere Imp -� Plione: c`.? Esc $%{, Fax s moi.lir E-mail: x .ansfon tank F-iixture/sewer rap Name( rint): Floor drains/floor sinks/hub Mailing address: �I4`44"A - Close c di sal Ma � Muse bibb City - State: ZIP Ice_maker __ _- - --_ _Y I'hore Fax: E-mail: Interco tor%reale trap _ Owner inslallation/residential rr.a wenance only, The actual installation will be made by me Orilie Itunienance and rep&r made by my regular Roof drain(commercial) __ employee on the port I w as per OR5 C pter 447, tr,krs)Ziast'�'n(sj. ays(s Owner's si rtat,ue: Date: r um Til shower/shower pan Urinal Name: acct closet �� - _ - -�-�— Address: ----_---- ----- -T- Water heater ---W_—_-_--- City: _. ..^_(_Ctate. ZIP tiler: _ Fax: E-mail: ---- Total —1 ....., ...... z Na.dI)uriec:lcdans steers undli cud►.pkou roll jurladinlua f«mese vJorn+eiloe Notice:This permit application 'viinimunt fee 5, U Via, 0 MuterCrd expires if a permit is not obtained Plan review(at -_ 9E) $ (11%) ....$ 2 9 C,eau cud numbs within 18U days after it hie been State surcharge - � - -- - accepted as completeTOTAL .. •... ”' N�.me of cu.:tialder u shown on tredir cud _ S _ __ Cardholder rilnitUre — v—Amount a•44blli(6MICOM' CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFT 'ORK PLUMBING INC 7736 ' 'MBUS AVE BEAV OR 97008 Plumbing Signature Form Permit #: MST2001-00414 Date Issued: 7125101 Parcel: 2S 110DA-07600 Si« Address: 10555 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 037 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the aimropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97062 BEAVERTON, OR 97008 Phone #: Phone #: 644-8698 Reg #: I it 79666 PI M 20-148PB AN INK SIGN ATURE IS REQUIRED ON T FORM X � � ignature of Authorized Plumbe I f you ha any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CL.ACKAMAS, OR 97015-1429 Electrical Signature Furm Permit #: MST2001-00414 Date Issued: 7/25/01 Pd rcel: 2 S 110 DA-37600 Site Address: 10555 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 037 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST '_INN, OR 97062 CLACKAMAS, OR 97015-1429 Phone #: Phone #: 503-657-0142 Req #: suP 818s LIC 345" ELE 3-128C AN INK SIGNATURE IS REQUIRED ON 'CHIS FORM x � - - Signature of Supervising Ele rician If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF T I G A R D MASTER PERMIT DEVELOPMENT SERVICES DATEEISSUIED: 7/25/01 00414 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10555 SW LADY MARION DR PARCEL: 2S110DA-07600 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 037 JURISDICTION: TIG REMARKS: New SF detached. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 - FIRST: 1,842 of BASFMENT: of LEFT: 5 SMOKE DETECTORS. Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.028 of GARAGE: 496 at FRONT: 21 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 5 VALUE: $271,82700 OCCUPANCY GRP: R3 BURM: 3 BATH: 3 TOTAL: 2,87000 of REAR: 68 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 2 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS I WATER LINES 100 6CKFLW PREVNrR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES rURN c 10OK: BOIL/CMP�3HP: VENT FANS: 6 CLOTHES DRYER: 2 ,;AF, FURN>-100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF LTR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: FA ADD'L 500SF: 6 201 400 amp. 201 400 aclp 1st WIO SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 $00 amp: 401 600 amn: EA AODL BR CIW SIGNAUPAN`3L: IN PLANT. MANU HM/SVCIFDR: 601 1000 amp: 601•amps•lotlow MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: - >=4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL CLS AREA/SPC OCC. ELECTRICAL-RESTRICTED ENERG f A.SF RESIDENTIAL B.COMMERCIAL AUDIC 8 STEREO: VACUUM SYSTEM: AUDIO R STEREO: FIRE.ALARM: INTERCOM/PAGING OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER. HVAC: LANDSCAPEIIRRIG PROTEC'IVE SIGNL: UARAGE OPENER: CLOCK: It'STRUMENTATION. MEDICAL: OTHR: HVAC: DATAJTF.LE COMM: NURSE CALLS: TOTAL N SYSTEMS Owner: Contractor: TOTAL FEES: $ 7,849.65 This permit is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all othar applicable laws All work will be done in WEST LINN.OR 97062 WEST LINN,OR 97068 accordance with approved plans This perm i;will expired 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 0: 1 iC "IWA, 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 BFm','.'Va Footing/Foundation Dr; Electrical Service Gas Fireplace Electrical Final Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final Sewer Inspection Post/Beam Mechanics, Fing Drain Bsm't Walls Exterior Sheathing Inst Rain drain Insp Plumb Final Fooling Insp Underfloor insulation Mechanical Insp Low Voltage--- Water Line Insp Final inspection Foundation Insp Crawl Drain/Backwater Plumb Top Out Gas Line Insp Appr/Sdwlk Insp Issued 6y : _�,_ ��tY�- �_ Permittee Signature Call (503) 639-4175 by 7:00 p m. for an inspection needed the next business day SEWER CONNECTIONION PERMIT CITY OF TIGARD s DEVELOPMENT SERVICES PERMIT#: s25/01 -ooz,o 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUEf-`: 7/25/0 PARCEL: 2 S,10DA-07600 SITE ADDRESS; 10555 SW LADY MARION DR SUBDIVISION: ERICKSON HEIGHTS ZONING: R .5 BLOCK: LOT: 037 JURISDICTION: T11., TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE- CF NO. OF BUILDINGS: 1 INSTALL TYP : LTPSWR IMPERV SURFACE: Reri.arks: Sewer permit for new single family resident. Owner: FEES RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR WEST LINN, OR 97062 PRMT CTR 7/25/01 $2,300.00 27200100000 INSP CTR 7/25/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the i ales and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amours 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 not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires yo+_i to follow rules adopted by the Ore n 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: IJ14, C_��( ,a.►tj ___ Permittee Signature: 02An!�—= � Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day UJ Tv y SSSO/ 'mow tJ Buildi Date received: 7 if�c/ Pennit no.: City of ProjecUappl.no.: Expire date: Cityn(Tigard Address: 1311.,irr awirL,-u. Phone: (503) 639-4171 Date issued: By: Receipt no_ Fax: (503)598-1960 Case file no.: Payrncnt type Land use approval: _ 1&2 family:Simple Complex: ' 1 TA2 far,ily dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition d:tion/nitr ration/replacement U Tenant improvement U Firc sprinkler/alamr ❑Other: 1 ' SITE INIVRNIATION Job a,idress: 170.0" 4W LAVY MAI-It7N MIM Bldg.no.: uitc no.: Lot; Block: Subdivision���_ __ Tax map/tax lot/account no.�s//Q - '/roe Project name: — Description and location of work onremises/special conditions: mom - -S+uA _ +ri1t�Y rwl __ -- 1 1 1 Mailing address: W& T_ w� �D 1 &2 family dwelling: City: State: - 7.11'.-1�� Valuation of work.................: ..7.1.�..t�.� 1 $ 1_ Phone. - Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: 'Total number of Boors................................. ll / ---�— Fax: 1:1 mail: -- - - New dwelling area(sq.ft.) ...... 5 ' � — Phos � .;:.. .,jj.... Garage/carport area(sq.ft.)..........� •47•.... 7 Name: Covered porch area(sq.ft.) ......................... — Mailing address: - -- Deck area(sq.ft.)........................................ Cit - - State: ZIP: Other structure area(sq.ft.)......................... City: Commercial/industriallinultI-family: Phone: Fav E-mail: Valuation of work....................................... Existing bldg.area(sq.ft.) ........... ............ _ Business name: New bldg.area(sq.ft.) -- --- - .. ................ Address: Number of stories City: State:_ ZIP: Type of construction Phone: - Fax: E-mail: -- Occupancy group(s): Lxisting: CCB no. _ _ - -. New: City/metro lie.of Notice:All contractors and subcontractors are required to be ARCHITUTIDESIGNER licensed with the Oregon Construction Contractors Board under Name: WELL C'1LImprovisions of ORS 701 and may be required to be licensed in the ---- - jurisdiction where work is being performed.If the applicant is Address: exempt from licensing,the following reason applies: Cil St;1c: GIP: AM Contact person: flan no Phe(, c:�4V ll;av - Name: {)1� Contact person: �dW� - Fees due upon application ...........................$ - uc, --- ,� ^j, Date received: LAd�d_rcss: Fil "Ii,VG L�L tate: :4�� Amount received ......................................... $ e: Hx�� l'-mail Please refer to fee schedule. I hereby certify I have read and examined this applicat on and lite Not all Jurisdictions accept credit cards,please call Jurisdiction for more infamtation. attached checklist. All provisions of laws and ordinance. governing this UVisa ❑MasterCard / / work will tw-complied%YN1,1mbether specified herein or not Credit card number: ---� F.><pirca Authorized signature: F Date: �L Name of caniholder as shown on credit icard _ s Print name: c aiinaturc Amount Notices This permit applicatien expires if a permit is not obtained within 180 days after it has been accepted as complete. 111-4613(MWOM) Mechaii-tical Permit Application Date", 7 /.7 D/ Permit no.:/Argoa- City of Tigard Project/appl.no.: Expire date: City of Tigard Addres3: 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 U 18c 2 family dwelling or accessory U Commercial/industrial U MUlti family U Tenant itupruvement U New construction U Additiurdalterati(in/rcplacenient U Other:JOUMTE INFORMATION COMMEROAC VALUATION SCHEDULE Job address: M .!_ _ _ Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no. t value of all mechanical materials,equipment,Lhnr,overhead, Tax map/tax I-)t/account no.: profit.Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential hermit tee. City/county: _ __Z1P: 223 ___�_ , 1 Description an to, bol�l,o�ll w��o��rk o�m/prctnis,c�s�:��cr--- t 'Total Est.dare of completion/inspection: Description Qly. Res.oniy Iter.only Tenant improvement or change of use: handling Air handling unit _-_ CFM Is existing space heated or conditioned?U Yes U No it con itioning(site plan require ) Is existing spa,.e insulated'1 q Yes U Nn I Alterationofexisting NVAC system t of er compressors p L State boiler permit no.: ! Business name: G� 1 l f��N Lt HP __Tons__BTU/H _ Address: it sma cdampers/duct smo a etectors — — -- Cit Stale:Y Zll'� eat pump(site plan,:,quired) City: - - Phone;4+42A Fax: E-mail: neludisult rep ace fur k/viact line a__-Ze including ductwork/vent liner U Yes 0 No CCB no.: VV t t nstall/rep ac re ocateheaters-suspended, City/metro lic.no.: -_ wall,or floor mounted Name(please print): rat fora chance other than furnace efr genal on: Absorption units - __ BTUAI ,(� � Chillers Name: — - - oL Address: ?nv roninenlal ex gust and ventilation: City: Slate: ZIP: Appliance vent Phone: I ax: I E-mail: )ryerex taust 111101 N [foods,Type /11/res.kite en/hamnat bF:,xhaust fire suppression system Name: 1 fan with single duct(bath fans) Mailing address: -- /�, ust system atrt fr�rrr $aria or A--- ppg and Nutbulrnrt(up to out ets) Slxtr: Q7J(, 711': �1� : __LPG . 'JG Phone m Fa. • V f'',ina'I: Fuel i each adds—771 n ri i"et out.ets rwesspiping(schematicrequired) Number of outlets �1►1(A_ ___- ter sle�ppilanceorequipment: Address: 'L �LvvL •- Decorative fireplace City. dALIVALIW istate:m�ll1, #1Insert-type Phont, I a, E ,tail: oodstov pe et stove _ ()(her: Applicant's signature --�--� I_)at� . 1 I� (�) _ Other: Name (print): , -- — Not all jurisdiction$accept cMht cards,please call juri"olon for more Inronnalon. Permit fee.....................$ — Notice:This permit application Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained Credit card nwn'xr �. Plan ICVICW(at — �(u) $ Expires within 180 days after it has bet•i State surcharge(8%) ....$ Name of cardholder as shown on credit cud acrepted as complete. $ TOTAL .......................$ _ — Cardholder signature Amount 440.4617(6011(111-1 Electrical Perinit Application pate received: /a C/ Permit no.:Nom// jj_ewf/joe CityCit of Tigard �/G -- g Project/appl.no.: Expire date: City ofT•igard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Phone: (503) 639-4171 bate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: payment type: Land use approval: 1 &t 2 family dwelling or accessory U Commercia.Uindustnal U Multi-family Q Tenant improvement New construction IJ Addition/alteration/n'hlarrnunt U(I'ller U Partial O' SITE INFORMATION' Job address: �7W —_ 131dg. no.: tiuilc no.: Tax map/tax lot/account no.: l ot: _ Block: Subdivision: - - Project name: _ _ —� — Description and location of work on premises: _— I stinlated dale of completion/inspection: Job no: ----- --- Fee Max Business name: ( ` — - De%cription tpy. (ea.) Total nn.ins r Address: p �yy Zq - --- New residential-singleornntltl-fantilyper _1-Q vl�--- rhrellingunit.Includes attached garage. City: ♦w State E 7.II. -- - i�M.� ''-�17b3 - rvice Included: Phone: ,0141. Fa -• E-mail: 1ool)sll li urless - 4 - �" Each additional 500 s ,ft.or onion thereof CCB no.: Elec.bus.lie. no - P — Limited energy,residential 2 City/metro IIC.no.: _ Limited energy,non-residential — 2 E^ h 1,mnufact ured home or moduIardwr Iling Signature of supervising electrician(require_d) Date Ser i:eenll/orfeeder Sup.elect,mmic(print i. License no: Services or feeders-Installallor, - — alteration or relocation: 200 amps or less 2 Name(print �. �� � Gjyy��(, 201 amps to 400 amps 2 Mailing adt.:ess: •` � I� - 11�__�� 401 amps to6(l0amps 2 • 601 amps to I(1(x1 uutps 2 City: LI ►.I State:i LIP. Over IOW ampsor volts 2 Phon,1%j Fax' —!:-mail: Reconnect only 1 Owner installation:The installation is being it .rule on property I own Temporary services orferders- which is not intended for sale,lease,rent,or xchange according to Installation,alteration,or relocation: ORS 447,455,479, 701, 21H)amps or less " 0111 201 amps to 400 amps — ;-- Owner's s nulure: hate: 401 to 6011 am s _ '-_ Branch circuits-new,alteration,_ Name: EV N�11J• E.V nr extension per panel: A Fcc for branch circuits with purchose of Address: - L 0 service or feeder fee,each branch circuit 2 City d3jL"4 N Slate: ZIP: n. Fee for branch circuits without purchase P of service or feeder fee,first branch circuit: 2 I hone •J• Fa 3j• I?-mail: PLAN r Each additional branch circuit: --- 11-111 W(Please check'all that nppil.) Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or imgatioa circle _ UService sv,!r320amps-rating oft&2 U Hazardous location Each sign or outline lighting 2 fandlyGwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, C'.System over 600volrvnorninal more residential units in one structure alteration,orexir•nsion• _ U Building over three stories U Feeders,40)snips or more •hcscli Barr U(keuparn load over 99 persons U Manufactured structures or RV park --- '-` U E ressAi hon Ian Per i additional Inspection over the allowable In any of the above: g g gp lJ(Ith�:: _�_`_ Per inspection r--'�--- -- Submit—sets of plans with any of the above. Investigation fee The above are not applicable to tempurt ry construction service. Other -- ---— - Not all jurisdictions accela credit cards,pleam call jurisdiction for motr information Notice:1r1/is petnlil application Permit fee.....................$ U Visa U MasterCard expires it'd fcnnit is not obtained Plan review(at _ %) $ Credit card number _ within 180 days atter it has been State surcharge(8%)....$ ^- "P fej accepted as complete. TOTAI, ....................$ Name of car alder v shown on credit card S Cnnfbolder signamro Amount 4-011 41,1'i I6 MIC M I Plumbing Pcrinit Application - -_ City ov Tigard Dale received: � ���'� Permit no.:/y�T Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: CiryofTigard 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-OFPERM'U' 1 &'L family dwelling or aec:ssory U Commercial/industrial U Multi-family O Tenant improvement ' New construction U Addition/alteration/replacement U Food service U Other:Klux 'JOB S111 INFORMATION 1 t t Joh address: IPS41'K SUIJ � � - ��.► Description Qty. hee(ca.) 'Total Bldg.no.: -- Suite not: - New I-and 2-family dwellings only: Tax map/tax lot/account no.: (includes 100 A.for each utility corm-Aioo) SFR(1)bath Lot: Y7 1131ock: Subdivision: - - - - ----- %. Ifft SCR(2)bath Project name: ---�-Project name: SFR,.�)bath City/county: 3141(" ZIP: - - Each adwl ionn.!I)ath/kitchen Description and location of work on premises:_ __ iiteutilitips: 5_IM14 E. - FAYA IL.Y � ` Catch hasin/area drain Esl.date ol't.ompletion/inspection: Drywells/leach line/trench drain _ Foolin drain(no.lin.ft.) CONTRACTORIAUMBING G Manufactured home utilities _ Business name _ _ Manholes - T WGA -._. - Address: ' � ------- ---- ti �1. _N� Rain drain connector City: tate: ZIP: q'7 Sanitary sewer(no.lin.ft.) - - Phone, 11 ax: E-mail Storm sewer(no.lin.ft.) - ---- CCB 4144",no.: . 414144", Plumh. bus.reg.no: Water service(no.lin. ft.) City/metro lie.no.: - Fixture or Item: Contractor's representative signature: -- Absorption valve - ----- Back flow prevenler Print name: Dole_ Backwater valve CONTACT. 1 Basins/lavatory Name: Pr-TL POLC.*D Clothes washer - -- Address: City: State: ZIP: - Drinking fountain(s) 1-- --� 6jectors/sump _ Phone: Fax: _ f mail: Expansion tank EMS= Fixture/sewer cap _ Name(print): �WA I*e L0/ �1'� abm��j nor drlins/flcx►r sinks/hub �- Mailing address: IAL IkAl WU,(,t�1f1 `f —p� _Garbage disposal Hose hihb City: LAN - stale: ZIP: Ice maker PhoneW, 41M I Fax: I E-mail: Interceptorr%greuse trap Owner inst111atior0esidential maintenance only: The actual installation Idinea(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the pro I own as per ORS Chapter 447. Sink(s),b isin(s),lays(s) _ mner's signature: ��_---� �_ Date: Ir_ ��_ Sumn Tubs/shower/shower pan _ Name: f t(i NW• we,1N16R.� I1RA - Urinal '�";'L, Water closet Address: '�, y _ __D_ N• Water heater City: State /�- ZIP:_ 1)! - Other: --- - Phone: Fax:*jj_ D E-mail: Total Not all jurisdictions accep credit cards,pleau call jurisdiction For more inromiawn Minimum fee................$ Notice:71ria permit application U Visa U is astetf.ard expires if a permit is not obtained Plan review(at -- %) $ credit cad number -_ _ — / - wiihin 180 days ager it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL .......................$ -- Ne of cardholder u shown on credit cud p p S _ �— Cudhoider signmure Amount 44ndsi16 IMMICOMt MEMORANDUM CITY OF TIGARD, OREGON DATE: July 11, 2001 �J 1ti (� r TO: Engineering Department V Community Development Department Public Works Department FROM: Brian Rager, Development Review Engineer ` RE: Building Encroachments in Public Easements 0 ,,/')rc "REVISION" This revision to the above operational procedure reflects recent discussions among Staff concerning the issue of eaves and cantilevered decks. The Staff opinion is that eaves and cantilevered decks can encroach into an easement provided the clearance height between finish grade and the bottom of the eave or deck is 12 feet or greater. Therefore, the procedure has been mcdifted and is as follows: New Procedure: The following procedure elements arP to be followed from this date, forward: 1. There shall be no architectural projection encroachments into public utility easements, except that eaves and cantilevered decks will be permitted to encroach into easements, provided the height between finish grade and the bottom of the eave or deck it: 12 feet o.r greater. 2 The practice of allowing a footing to encroach info a public utility easement will be continued, with a maximum encroachment up to 4 inches. Therefore, the refErence point shall be either the foundation wall, or the structure face, whichever extends the far`hest. 3 In practice, this operational procedure should also apply to private utility easements. Ntig3331usr\deptsleng\brlanrWepartment issuesleasement encroachment memo doc REVISION: 07111101 i p• V, � n n G W s ►�. W IV ! CL 1 +` CL rD f � N a ry a J r0 .l��yyV f o � O o it r A 0 o � 'Tt A 5 ro