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13646 SW LEAH TERRACE O O _ 61252 S. 6 BOO S. O \ - PATRICK SCHM 7r \� .-'• n� � � ��- designer Inc. CU.torn►loot Owen,Planning 6 Conk*" � ' 1 MITIG,4TION T 5120 SWWNW SUnt.0 j 2 - IL _ Portland Orfpon 97219 I lT� PER DEV. PL AN5 Tat(D09)7E5 4D77 —�---.— —. _-t l LC) ^ .rnML.chm�oWPorloom I ' I ,Zten dimension an these drawl -hall how 1 I - I /� II ` 10 2� ar.c.donc• ow -cried dlfnansl0na. Conlroetor 11 1 2-& / (/ 1 ands o.euT.rnPOM261:fy for ol: d. "Sion. I / 1 �+ 1/,�.^/ lt♦/ ,� end condlt�on. on Ina I" PATRtCN SCHMITI, 2 1 — Q? .1 JL�TBACK ^ `/�'�'� I L^\A\I '/+�� d..IQ n.r Ind mea o. ndilp.d anti ddn..n, Id .,1" jp `\V' _5 I �'E -F L,4 ` NOTE 5 on/ o,ln,:on from dlman.io.... e.l Id,lh h.,Mn. L INE y, �\` --_— — de.bneru-t and lea'orr he to of onlyl orrr or.* MITT, i (-� ," )0 1 T— y 1.�� " ° J j) ) � / sproa.rl.ork n any form is ollo.ed .Rhout the ' \ '4 J V p.clflc P•c)ect a. ,611.6 0e ow No raw$. of % eaNpnar ane N89 58 40 E 00. 00 LEGAL DESCRIPTION 6.Pfef. r.:11tM consent at PATR CK SCNMITT, W --tt�-- W----Eli JK�/ x�, ♦ \,` \,��,�\�; ♦�\ \,;\,;\�.` ,\\`♦�♦ f U' .. SITE ADDRESS \\ Nx 1 •�. • `� ''• \'\ \ \ \ \ ♦ \\\\;'`':�' �` 1 �—_ L1&46 e1Ll LEAN TEwQACr ♦ ( ;k II /,• / /%j j��Ji; \ \\\�\\\\\ ..'� '\\` \\\\ \`♦ ♦\\\'�\\, \\`\ O TIGARD,0PduACN 91714 16. 01 R= 40. 00 \ ' �� \ L- 62. 83 \; \ LOT covER,aCsE NN I ; Q ` 8 :;`, .♦ ••,♦, ••�\\\\ ,\�.\ \\ • < j © LCT AREA . S.'14a V j ^♦ 1\ k '\' ♦••`\\ \\ ♦ t `., \ r WILDING AREA - 3A01 d' I O \ �\�•�' (INCLUDING F•AVEW ' V \ ` `. \:` \*`,. \ `\ _ RAG! 14m2 D, 4s 'IM) 41.1% \lk \. \ � \ •\\, \\\ \.,,\ TOTAL LOT COPE . , 1 . fin c 1ROSION CONTROL NOTES: • "N., \ \ •\\ �\ 1)REFER TO I.:E CITY OF PORTLAND •EROSION C.ONTIlOL MANUAL \ '' \, \ . FOR AVOITI04AL DETAILS AND EROSION CONTROL REQ'E. \'.\ 1-4 2)COVER ALL G'STI�ED GROUND AREA CETLLEEN OCT. I TO n ♦ \ �\� \\\ ♦ \ \ \\ \` `, ♦ APRIL W.COVEK WITH MULCH,80D,GRAW PLASTIC OR I O 2 V O OTFER A:•PROVED MATERIALS A8 BPECIFIND IN THE 'IROSION j✓J ,a.ra�rl w-p•r110 wren urr.11u..a I..-w / .\ \' �♦\ \ ♦,\ ♦ ♦ HL. !^\I GCNTROL MANUAL' ^ 40 rem IWO fJ t' d D)SEDIMENT BARRIER TO dE INGTALLED PRIOR TO EARTHWORK. ., EL..6�TD I\ 7 I REMOVE CNLY AFTER GROUiIID COVER ly ESTABLISNED. X89 58 40 E 65. 4)NO SOIL ALLOWED TO ERODE OR OR TRACKED OFF SITE. '•�• • ,iL•:;:. _ s-pa r°.� � � •.�.��,rVit"`', � CL LEGEND tr f•fM b aiewr•YIIar � v �'•� r'C GRAVEL CONSTRUCTION - i DE L ENTRANCE SEE bF) 4`•.. GRAM �` IM.Lt MCC OF % PORr�A 'AE�lO81ON C.OwTROL F1IAmrUAl' t wry•.+rw`\ fl rwwr r am 'i �� (J ' `��J C COYIRED STOCKPILES FFF CONSTRUCTION Ei1T16W�E •'k00D]d CURB U!lJAP �� � \ I \ WOIEC STAGING 'MATERIAL STORAGE AREAS ,..,... 4 e.erreaw.4+•.• �, �� CONSTRUCTION arae•.. -rrna, 1 -- 16) 79 5 S. F-. 9, 3 9 2 S. F. WOODEN CURI5 RAMP - SEE DETAIL 4JA AT N e-�.IYM 1LEFT OR IN E G Y OF PORTLAND 'EROS— CONTROL U"IAPAIAL' .\`Y '.,. .w� K' ~ ._��'.' -,nor"fir,•. I ( I: WRAP AND PROTECT ALL CATCH 846INS PER w0 SFLOIALK SIS-al p ` I I I DETAIL 42W IN THE CITY OF PORTLAND ---------_-- - 'EROSION CONTROL .fANUAL' 9 DETAIL DRAWC- IA - GRAVEL CONSTRUCTION ENTRANCE I I I! Date: February 5,2003 O a SPDiMNT FILTER FENCINI3 rn f+ , _rse mrwGm I a ❑ Plan: Custom SFR a v' Sacs f I"e'v'�� I ! I ' C� w e WATER LINE - Jab No.: PS-1262-02 (USE I PYC LINE FROM METER TO HOUSE) LSO - STORM SEWER LINE • Revision: O (UN 9' ADS LINE PROM LATERAL TO HOUSE) by I iv I __ C /. SS ■ SANITARY SELLER LINE - • I . ._ ! \ �"- (USE 4'PVC LINE FROM LATERAL TO HOUli) -- ',t PUB - PUBLIC UTILITY RAMMENT Sleet Title. T . �Mr I O a WATER METER \ S I IC Plan 4voM , 1 r cc r ATS , -- of — 1!'•A/i7lCfli'MIM7C � W DETAIL DRAWING A2A - TEMPORARY SEDIMENT PENCE! �— I__ COPYRIGHT20f12 - AT7U SC1IM , dea,Qfl.r ne. _ �NOTIG.-: IF THE PRINT O.P. I j ( _. I _ I IIIII111 111 1 1 ' illlTYPE ON ANYIII III -r -rIirl_I ,r1T� rr I I-� Tr ) .T L I � ) I LI .l_IIIII _II I I f f._`_i 11 I I I tI ( �1 -I 11 �� 11 I I IL. Ii f� r -11-r1 1 Il I I IIll I l I Ill ' fi IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 �1_ 4 6 7 8 - 1� 11 12 IT IS DUE TO THE QUALITY OF THENo.36 ORIGINAL DC)CUA ENT £ 6Z 8Z LZ 9Z Z � Z EZ Z � Z OZ 6i 8I LT 9T 9T fiT EI ZT TT i 6 I i I ll . II III IIII I I) III�II I :IIIIIIII IIII I I II I I Il 11 l it Il Illil it Llll illi ..U11�1�►i1 IIII IIII Illi IIII dill IIII IIII IIII IIII IIII illi ►.ill Illi 11.11 �11�.�Ill IIII. I 1 Il ll Il I illi I l II IIII III I III I I I III I ill ll I I - 1 . -, r^..,...,.an-."•. ,.., .:`5:».Y.n B.'.,.t...WTI/AA'�i^P�M�n.M,:I.P:'!.'.�M�F!4NY'... .._...-.-..wwir.lA� r ` W G) r m n m ,1 l 13646 SW LEAH TERR CITY OF TIGARD 24-Hour BUILDING Inspection Line• 175 MST DS _ INSPECTION DIVISION Business Line: )639-4171 BUP Received _ Date Requested_ -__ AM PM BUP Suite_ MEC -- Contact Person --_ �- _ Ph (--).V g / 7 - - PLM Contractor-----_--______..-- -- Ph(—) -------_—_- SWR _ DN Tenant/Owner _ --- — -. ELC _— oattrig— Foundation ELC Ftg Drain ACCeS:': -` -- -- Crawl Dram ELR _-_- Slab Inspection Notes: SIT Post& Beam Shear Anchors __ _� _.--.-------------___-.- - Ext Sheath/Shear Int Sheath/Shear 1 , Flaming � _� _ Vl -i Ir �Z��_ Y) Insulation L , - -- --w -111 Drywall Nailing �`� 7- �- r�'V� G� vv� rJaC r La Firewall Fire Sprinkler -- Fire Alarm -- Susp'd Ceiling Roof Other: ------ --- - PASS PART AI - - — --- Post Beam �A C' �" \ Underr Slab \> l Rough-in Water Service ---_— -_ _ - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan 1 t, Other: — final SASS PART FAIL --- �ECHANi Post& Beam �/ --- -- - -- -- - Rough-In Gas Line S Dampers PART FAIL ()Uc, - rTRICAL Service----- � ---- -- -- ---- Rough-In UG/Slab ----- --- ----------- ------ - Low Voltage Fire Alarm - Final Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: �� U ble to inspect-no access Fire Supply Line ADA Approach/Sidewalk DatA__ _ Inspector Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF :r'IGARD 24-Hour BUILDING Inspection Line: 39-4175 MST 3 INSPECTION DIVISION Business Line- -4171 U BUP Received -_ Date Re ested____-�--� AM _ PM BUP _ _ Location -L _ Suite ,, _ A MEC _ Contact Person __ _--_ Ph(_—) a01 -- it-7 9 PLM Contractor Ph(---__-) - - SWR _-- BUILDING Tenant/Owner _-__._-__ f--- ELC Footing �- A ELC Foundation Access: Ftg Drain ELR Crawl Drain IWT3 - Q0D ) 2-- Flab Inspection Note! j SIT _ _. -. Post& Beam Smear Anchors 1 ` - Ext Sheath/Shear Int Sheath/Shear Framing --- - -- Insulation Drywall Nailing - Firewall Fire Sprinkler - ---- ---- -- Fire Alarm Susp'd Ceiling r Roof Other:- -- 0A, S l S .--Lam_->-'\. `_. q , 7 rn• � _ AS./PART FAIL < �5�- _46111ABING - - --�1 --- -.-. --- - Post& Beam Under Slab ---- ---�._ ---- -----.. Rough-In Water Service ----- - - -- - - --- Sanitary Sewer Rain Drains - - --- - -- --� ---- Catch Basin/Manhole Storm Drain ---------^ --___-- - Shower Pan TKMAin PART FAILNICAL _.._.-_._.---.-_-- ------ -- - ---- Post& Beam Pough-In --- - ------ - Gas tine Smoke Dampers ----- --- -- -.- -- - -- -- ---- - - Final PASS PART FAIL_— ELECTRICAL a -- ----------- Service Rough-In - _ --- ------- - --- -_-_---------- UG/Slab Low Voltage _------ - Fire Alarm Final Rrinspection fee of$_-_.__-__-_-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - - L] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line �)�� ADA I/t D ' Approach/Sidewalk Date ------ - Inspector - -1 ^_-_- ------ _ Ext _ Other I inai DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD MASTER PERMIT PERMIT#: MST2003-00054 DEVELOPMENT SERVICES DATE ISSUED: 3/14/03 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 SITE ADDRESS: 13646 SW LEAH TERR PARCEL: 2S10913A-08100 SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 007 JURISDICTION: "I'M REMARKS: Construction of new SF detached residence. BUILDING 7EISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1.524 of BASEMENT: of LEFT: 5 SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,454 of GARAGE: 844 of FRONT: 'n PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: t rHan of RIGHT: 5 VALUE: 29n.9 t 5 40 GRP: R3 BDRM: 5 BATH: 7 TOTAL: 2.910 of REAR- OCCUPANCY t5 PLUMBING SINKS. 1 WATER CLOSETS. 3 WASHING MACH: 1 LAUNDRY TRAY1 t RAIN DRAIN: TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: t SF RAIN DRAINS. 1 CATCH BASINS: TUB/SHOWERS. 4 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: i BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1 as FORN—100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: hip FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp. 0 -200 amp. W/SVC OR FDR PUMrIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp 201 - 400 amp. 1st W/O SVC/F DR. SIGNIOUT LIN LT- PER HOUR LIMITED ENERGY: 401 600 amp', 401 - 600 amp. EAADDL BR CIR SIGNAL/PANEL: IN PLANT: MANU HWSVCIFDR: 601 1000 amp. 601•amps-1000v MINOR LABEL: 1000•amWvolt PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS SVC/FDR>=225 A. >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM. INTERCOMIPAGING. OUTDOOR LNDSC LT' BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER, CLOCK: INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CAL LS, TOTAL 4 SYSTEMS Owner: Corltr--ctor: TOTAL FEES: $ 7,686.04 This permit is subject to the reoulations contained in the HEIGHTS CONSTRUCTION HEIGHTS CONSTRUCTION LLC Tigard Municipal Code,State of OR. Specialty Codes and 1 PO BOX 91249 all other applicable laws. All work will be done in PO BOX 91249 PORTLAND,OR 97291 accordance with approved plans This permit will expire If PORTLAND,OR 97291 work is not started within 180 days of issuance,or if the work is s ispended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone X03-291-2550 Phonn: iO3-291-2550 Oregor,Utility NotiFlcaticn Center. Those rules are set forth Irl OA 13 952-001-0010 through 952-001-0080. You Reg a. 1 1(. i 3 175 may obtain copies of these rules or direct questions to OIJNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, PosUBeam Mechanica Plumb Top Out Exterior Shea,',ing Inst Rain drain Insp Mechanical Firal Sewer Inspection Underfloor insulation Electrical Service Low Voltaae Water Line Insp Plumb Final Footing Insp Crawl Drain!Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp PostJBeani Structural Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Issued By : _� �'7�-- _ Permittee Signature : i'� Call (503) 639-4175 by 7:00 p.m. for an inspection deeded the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S -00051 ' DATE ISSUED: 3/14/0314/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 109BA-08100 SITE ADDRESS; 13646 SW LEAH TERR SUBDIVISION: DAFFODIL 1111.1, ZONING: R-7 BLOCK: LOT: 007 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 detdched residence, Owner: FEES HEIGHTS CONSTRUCTION Description Date Amount 1 PO BOX 91249 SWUSAI Swr Connect 3/14/03 $2,300.00 PORTLAND,OR 97291 (SWUSAI Stir Connect 3/14/03 $0.00 Phone: 503-291-2550 ISWINSPI Swr Inspect 3/14/03 $35.00 1SWINSI l SN%r Inspect 3/14103 $0.00 Contractor: _ Total $2,335.00 Phone: Reg#: Required Inspactions This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 net 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" Perm �__,______ Issued by: _ 'V *tt`�E__ Permittee Signature: -1,z Call (5 03 639-4175 by 7:00 P.M. for.an inspection needed the next bus ness day To 4J-3_63 ^A" Buildlllg Permit/ Application Received B uilding _ --- Datc/6 ������ I,:-� nnit No.i; _ Planning Approval City of Tigard RE�Ew�D Date/By: Pernut_No.13125 S`N flail Blvd, Plan Review t tthcr Tnte/B :igard.Oregon 97223 D _ Pcnnm N,, - Phone: 503-639-4171 F ROAMM" {" Post-Review Land I fisc [- (i �W✓ Date/By: Case No hiterriet: www.cLltgard.or.u5 Contact — --- It-,I-Is See Page 2 for - — 24-hour Inspection Requojq 1033 63"MD I Name/Method: saww o tc list Information c1lJIL.DWC DIVISION TYPE OF WORK REQUIRED DATA: New construction Demolition t ' 2 FAMILY DWELLING Add ition/aIteration/re lacement Other: _ CATEGORY OF CONSTRUCTION 'tFF Note: Permit fees*are based on the total value of the work performed. Indicate I & 2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,matcricis,labor, -- overhead and profit for the work indicated on this applicatiar.. Accessory Building_ Multi-Family Master Builder ❑Other: Valuation......................................................... $'0? 0 JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:__-- Job site address: ` �. Total number of floors..................................... 3 �e_—� � '- New dwelling area(sq.ft.)........ ....-.1............. 4 Suite#: I31dg./Apt.#: Garage/carport area(sq.ft.)............................ Project Name: PAPNpi,tr %N%LA, Covered porch area(sq.ft.)............................. Cross street/Directions to job site: neck area(sq. A.). .......................................... Other structure area(sq.ft.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Tax map/parcel#: /a i r U Note: Permit fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,I.hor, overhead and profit for the work indicated on this application. �•1"- Valuation......................................................... S-_-_- _ Existing building area(sq,ft.)......................... New building area(sq. ft. ' _ Number of stories............................................ PROPERTY OWNER TENANT Type of construction....................................... Name: ( H'I'S �'r )et(LuLt,o>tJ Occupancy group(s): Existing: ( / New: -- Address: P d _ Cit /State/Zip: T0JA1PAp _v Phone:�,,j '(��\• �� b Fax: L� C.91'� NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under __N APPLICANT CONTAC'1 PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: ?WJ0-1q._Se 1,1 w.1 - ,� �► ±_ vJ jurisdiction where work is being performed. If the applicant is exempt Contact Name: TOrr(Ltgc, : W _ from licensing,the following reason applies: Address: 5Q to 9M V­P4A h 5'T. _ - - ---- - ----- - City/State/Zi , tZ Phone: 5e3-JUS-4c,'1 _—__- E-mail: tck%mtt-r LO TVf�Ot BUILDING PERMIT FEES* Please refer to fee schedule. CONTRACTOR --- -- --- -- Business Name: Fees due upon application........................ ..... Address: (O Sow '11,1401 �-O''r� p ti 91 VI( - Amount received............................................ S__ City/State/Zip: Phone: %,3 .11i -ISSa Fax:Lj l LA(Z Date received: CCB Lic. #: 13�1A S — - - --- - - Authorized �� Notice; This permit application expires if a permit is not obtained within Signature: _. Date: y) J_ 180 days after it has been accepted ac complete. P!�TPCAL_ Sak►"1(TT ,- *Fee methodology set h,y Tri-County Building Industry Service Doan:. (Please print name) i:\Dsts\Permit Forma\DldgPcrmitApp.doc 01/01 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City(I.igurd city of Tigard U Electrical U I'lumbing U Mechanical Address: 13125 SW Ball 1110,TiYmd.OR 97223 UOther: Phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLOWING 41TEWS ARE REQUIRED FOR PLAN REVIEW I band use actions completed.See jurisdiction criteria for concurrent reviews, 2 Zoning.Hood plain,solar balance points,seismic soils designation,historic district,etc. I Verification of approved plat/lot. 4 Fire dfstrlct a_pproval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _- 7 Water district approval. - 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and state building codes. Lateial design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. ------ I I Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft,elevation differential,plan must show contour lines at 2-ft.intervals);location of casements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. -- — 13 floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross seelion(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub floor, wall construction,roof construction.More than one,cross section may be required to clearly portray construction,Show details of all wall and roof sheathing,roofing.roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. I' Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elf-vations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any bcam/joist carrying a non-uniform load. 20 Manufactured floortroof truss design details. — 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. - 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof tnrss)shall he stamped by an engineer or architect licensed in Oregon and shall he shoe+n to he applicable to the project under review. 23 Five(5)site plans are required for Item I I above. Site plans must he R-112" x I I"or I I" x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale, 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 4404614(6fi0rc•oM) Mechanical Permit Application -�-- i� --� — Date received: Permit uo.:'t ��,l� )f-; j'� ,Ll City of f ri lgard Project/appl.no.: Expire date: CilynJTirnrd Address: 13125 SW Hail 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.: �1 18r 2. fa Wily dwelling;or accessory U Commercial/industrial U Multi-family U Tenant improvement U New constnrction U Addition/alteration/replacement U Other:'d JOB SITE iNFORNIA11ON COMMERCIAL VALUATION SCHEDULT'l----- Job address: jZj(Q LeP _V ZTe1V1A%iLA,.. Indicate equipment quantities in boxes below. Indicate the dollar _Bldg.no.: ,Suite no.: m value of all mechanical materials,equipment.Intx)r,overhead, Fax map/tax lot/account no.: profit. Value$ Lot: 71 -jBh ck: -VTSubdivision: 'See checklist for important application information and Project name: �ff,7 V �u/ iurisdiction's fee schedule for residential permit fee. City/count ' Description and to ation of work oil remises:_^ __ 1Xi) 5f: Ftc(ea.) Total Est.date of completion/inspection: _ Ikurlption Qt . Res.only Res.only Tenant improvement or change of use: AtrhandlinEunit __ CFIv1 Is existing space heated or conditioned?U Yes U No Air can ttitming(sue p reegmre�required) Is existing space insulated?U Yes U No Alteration of existing IIVAC system nog er/compressors -- _Business name: NN'''',� �. �C P4 State boiler permit no.: —LI!l�i � �+A — - _ --- --- lit' —Tons—BTU/1-1 Address: ( M S, M,A"' Firc/smt)Fam ers u-Td ctsmoke�7cctectors City: t4 r� Stat n. ZIP: -7150Ilcaipum (site anrequir�- _ Phone: --AO3 Fax: '13 q 1 E-mail: nsta rep ace urnnce urner - - Including ductwork/vent liner U Yes❑No _ CCB no.: jS�ej _ nstal replace/relocate enters--suspen c , City/metro He wall,or floor mounted Name(please Address: 1 print): 11C_ AS t' (; nt fJ vel fora lance other than furnace Refrigeration: Absorption unit; _ BTUBTU/14Name: Chillers--------- _ _-_-__.. HP .daft-�G U '� Compressors -.! Fli' �r._��_- -SU�.__..� n roonsenta exhaust a ventilation: City_ - �-{4jo _ Stawdn. ZIP: T71 Appliancevent Phone: '1; Fax:— ars E mail: G ( )-I ryerexhaust� - flood- stype TT/rc�.s.Tiichcn�imnt hood fire suppression system Name: '41 �A1V-L, - _ Exhaust fan with single duct(bath fans) _Mailing addttss: fn, Exhaust s stem a artfrom heathor A`�C CityState: f, Fuel pipingand distribution(up to 4 outlets) Tym _ L('(i -__ NG Oil -_ Phone:ILI I-Z b Fax: E-i!i '1 mel rn 1nln cacTi a Lionel over outlets Process pi (schematic required) Number of outlets Name: 1tICloiequipaieatc- -- - - ----- Address: - Decorative fireplace City_ State: ZIP: _ ert-tyle Phone: -- F --- E-mail: - -- _ o stov pellet stove Applicant's_signature: Date: 01h, ,. Name -- Nd all juricdictirru accept credit cards,pkare call iurldkdon for more tnlormolion A` --------------_....___. Permit fee.. ................. Niall U om accept credit Notice:This permit application Minimum fee................$ _ ('relit r nd number M expires if a permit is not obtained Plan review(at %) $ _ ------ ---- -_L_--L Expin., within 180 days after it has been State surcharge(8%) ...$ _ Name of� o� n,:moo on creat cant accepted as complete. - ----- --- - - c'ardWder elpature Amount 4404617(~-OM) Electrical Permit Application Date received: — Permit no.: Ai City of Tigard Project/appl.no.: Expire dale: CitynjTigard 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: _ 1 �(I St 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/allegation/rt.placement U Other: U Partial 55B sin INFORMATION Joh address: C�4j >k j�Ing� Bldg�no.: Suite no.: -Tax map/tax lot/account no.: Lot:_ Block: Subdivision: 94p(�pIV�Lk-__ Project name: A F� It, I�� Description and hxation of work on premises: iistintated date of completion/inspection: —CONTRA(IOR Job no: Fee Max Business name: 2.P'. jg�� t� �I�E�Zn-te. — Description Qty. (ea) Total no.trnsp — New rvrdrler►tird-ehtGk ar muNi-family per Address: -7 _ dwellinguair.InchAmmusel"garar- City: t-cam State:0ti IZIP: 11113 Seiriceinchtded: Phone: jrax:[^ j} E-mail: 1000 sy.R.or less 4 --- Each additional 500 sq.ft.or portion thereof CCB no.: 3Cf►o51 Elea bus.tic.no: 3q - L, _ Limited energy,residential 2 City/metro Ilc.no.: Limited energy,non-residential Each manufactured home or modular dwelling ---__-_-- _.__ __.._...-----.--------- Service and/or feeder 2 Signature of supervising electrician(required) Dat _ Sup.elect.name(print) F7tu-1(6 (N .1Z p License no:Z Senlcesorfeeden-invlallatlon, alteration or relocation: 200 amps or less I 2 Name(print): Qil4(i�3 i PS-�- 201 amps to 400 amps _ - - _ 2 -��-- --- 401 amps m 60f1 amps 2 Mailing address: Pp k �j� -q ' - _ t 601 amps to 1000 amps 2 City: Statct7L I ZIP_g7Z_� Over I Ono amps or volts� 2 Phone: Z j I-Z S U I Fax:-'Of I- (P) E-mail: Reconnect only -_-__ cs Owner installation:The installation is being made on property I own Ternporaryservlcorfeedns which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479,670,701. 201 amps or less - - 2 201 amps to 400 amps 2 Owners si nature: Date: -__ 401 to 600 amps 2 101ft 10 Branch dnrolts-new,alteration, or extension per panel: Name: —_. —__ A rec for branch circuits with purchase.of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: R. Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: I ax: E-mail: --- —Each additional branch circuit: _ PLAN 111EVIIIEW'(Please check all that apply111 Me.(Service or feeder not included): U Service over 225 amps-commercial U Health care facility Each pump or irrigation circle -_--- 2 U Service)ver 320 amps-rating of 1142 U Haaardouxlocation Each signor outline lighting _- _ 2 - familye Wellings U Building over 10,0(x)square feet four or Signal circuit(s)or a limited energy panel, USyztemover 600volts nominal more residential units in one structure alteodion,orextension• 2 U Ruilamg over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured stns:unes or RV park Each additional aopeellon over the allowabk N any of the above: U Ggreas/lightingplan U f)dnrr __ -__ f'erinsprction - —-- Submit sets of plans with any of the above. Investigation_fee _ lite above are not applicable to temporary construction service. Other _--- J�- -- — — -- Not all Jurisdictionsplease call accept credit cards,pleacall jurisdiction for more inftxmstlar. Noliee: nils permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at_%) S Credit card number _ ___ __ _ ___�� within 1811 days afler it has leen Siatc surcharge(8%)....$ Expires accepted as complete. TOTAL $ Name of certlrotrkr asdrown on credit card Cardhohtet siFnanue Amoum 440 4615(/v IWOMI °altr.ck Schmitt, d*zj,;rmr, ,-,c. c503`246-3659 01/14/04 02t10P P.002 Plumbing Permit Application A41 City of Tigard Date received: I Permit no.� Aft7s_ b.'f Sewer permit no, ~Building permit no.:/i7 3 iYt i Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ciryof7idard Phone: 00)639-4171 Prujeet/appl.no: -` Fxpire date- Fax: 501) 598-19N) I Dateiisued', By: P.cceiptnu: (J Lund use approval: - -_-- case ale no.: I pavment type- 0 w J I &2 farnily dwelling or eccessory Ll CommerciaL'industrial ❑hfulh-fanuly U Tenant improvement ^C U New construction Q Addition/alteration/replacement U Paod service U Other: N Job address: - ���-4.. Desrlr�aD . Fee eta. Total 0 Bldg.no- Suite no.: we-"t-a 7 dn� � --- --. --- --- -- fladedes190ft.for each vWhyconzardorrl pn -1 Tar. _ map/taa(J lot/account no: _-._ SFR(1)bath e Lor.- _-Vlfx k.-- -1Subdtviaicxr -- --- SFR(2---- - -- i - -I_ (\ Project name. City/county. _ 7.IP: Each additional hei JFitchen Desdate of compledon/inspecuom: �'svelcription and location of_wk on premises: _ sltentWths: I rs1 Gatch bwsitt/ama drain F' Est. -_ - ls/lh Iineitrertt:h dritr, - ew-_ Footing drain(no.lin.fl.)Not r Marnrfacturehome Udes pn `1) Business name: lJr f<,� Address. 4-V C r 4�. ��. Rain drain connector _ City: j .q t s. . i State:Q/Z ZJP: S y 3J Sanitary sewer(no. Iia.ft.) ---- - --- - - Phone: r -r^G-z fr' Frrlt: I E-mail:: Skim sewer(no.lin.ft.► CCB nom g 8a Plumb.btu.reg.no:2 7 7 7 r1cl Watei service(no,lin. .1 Fhrttrre or Nem: City/metro I:c.no.: _- - 1s O Contractor's representative signature: I-IL_ Ahsor'ticm valve `vBack Ilcrvr reLt venter ___- ___ - Print name ] i ,. Date: ----- Backwater valve Basin0avatmy _ Name, Clothes washer - ------- Dishwasher Address, Drinking Countain(s)_ City: _ - Stale: ZIP_ ---- F.•Ccw . sump Phone: Fax. E-mail: x ansion tan _-- -- Fimum%sewer cap - ----- - ---- ------ Name(print): - Floor drains/floor sinks/hub Mailing addrtiss -- - ---- - - Uarbeisposal - -.-- - -- - Hose bl- bb City ._--- T�lte: Z.IP: _ - --- _Ice maker - - --- - t Phone:-._ . __�ax - - Email Interee or/ mase trot _ - r Owner inftallationlresidental maintenance only: The actual installation Printers) will be made by me or the maintenance and Tpair made by my regular Roo drain(commercial) employee on ftpr)perty I own as per ORS ChAp er 447. Sink;a),basin(s), lays(s) — Owner's signature: Dam Surip Tub-shhowertshower pan NarmOrin_-- -_--- Water closet Address: Water heatery - _City_ _ _ State: ZIP: t-��- - Phone: Fax: Email: CoW Nd cl)uidelirm rttq eve&cis"k please chit hinvfkrtcn for nrxe iermniUoa. Notice: bus permiti application Minimum fee.................S Plan rzvit:w lel 'f� t :]Vise 13Masitcalu expires if a permit is not obtained --- ) ---i- Credir urd mrnle- -L�- within ISO days afIrr it has been Stair,surcharge IA%1 $ Esp;ree TOTAI. .................. 5 -- - accepted az onntpkte. ------- Kanto of wdnolder tochmvnon aedh care f Cwidh Aden r1aavWC -------- —�Amowt 41-M-016(60WIM) ELECTRICAL PERMIT- CITY OF TI GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00149 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 6/2/03 SITE ADDRESS: 13646 SW LEAH TERR PARCEL: 2S109BA-08100 SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 007 JURISDICTION: TIG Proiect Description: Install all encompassing Low Voltage. A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: HEIGHTS CONSTRUCTION QUADRANT SYSTEMS 1 PO BOX 14833 PO BOX 91249 PORTLAND, OR 97293 PORTLAND OR 97291 Phone: 50.1-291-2550 Phone: 234-555K Reg #: NW-1-29I E>i!I M2466 SUP 1211.11.1. LIC 06806 FEES ELI: FUqWl�bInspections Description Date An,,unt Low Voltage Inspection LI-I'RMTj F.L,R Permit 6/2/03 $75.00 Elect'I Final IA X I K"i,State Tax 6/2/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by /f � `;�� [ , �� t, Permittee Signature e71-) \ c (_ 1l� LT _ OWNER INSTALLATION ONLY The installation is being made nn property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 05/30/2003 16: 16 5032362322 QUADRANT SYSTEMS PAGE 01 Electrical Permit Application Received , Electrical �`� Date/e i,. • . Permit No A C•„3 !"a 4 �} Platming Approval Sign City of Tigard � �� �' Datc/B�_ _ Permit No., 13125 SW Hall Blvd, Plan Review Otlicr Date/[i Permit No i'igard,Oregon 97223 Post-Revicw land Use Phone' 503-639-4171 Fax: 503-598-1960 Date Case No. _ Intemct: www.ci.tigard.of.us Contact Juris.. Sec page 2 Por 24-hour Inspection Request: 503-639-4175 Namc/Method supplitmental information. OF WORK _ PIAN REVIEW. Irtli?d.cHealth-care edk till,that'facility" New COl1RtlUCti0t1 _ Demolition ❑Scrvten over Y2�amps- Health-careocation comtncrciel Hazardous location Additionlalterabon/re lacenie]30ther' ❑service over 370 amps-rating of Building over 10.000 square feet. C�1 - bF_CON5TRUCTif}rj _ 1 &2 family dwellings four or marc re,idcntial units in ❑Sys+cm over 600 volts nominal one structure 1 & 2 Fami}dwelling -[�ContmerCial/indUstrial Puilding over three stones (]Fccdets,400 amps or more 1V-cessory Buildin Multi-Family occupant load over 99 persons ❑Mmntfacturcd structures or RV park Other: Pgress/Iighting plan ❑Other.___ Master Builder - Submit sets of plans with any of file above. 10B'ST'h1E1:INFORM If3N ifnd'LUCAT1nN_ J The above are nota Itcable to temporary conatruetion service. Job site address: 10 a h Suite k Bid t:� Numher of ins ectiona er perMR allowed Description Qry Fee(ea.) Total Project Ct Name; New rtnidentlah+lnpk or muttl-famlly per Cross street/Directlons to job Site: dwelling onlL includes attached garRgt. n `1 1 ty Service Included:or l 4 s - X. 1 (000ss�ft.or less 145.15_ Each additional 500�R.or rtion thereof _33.40 _ I __Limited cncrgY!residential 2 SubdlVislon: slot# r l.imitcd once ,non rssic or Ml Tax map/parcel #: tach manufor fcc d home or modular dwelling service and�or feeder 90.90 1 u - ES-MR11ji RX - Servkes or feeders-Installation, -I - _ alteration or reletelinn: - 200 ams or less 80,30 2 201 arros to 400 am sem__ I OG•85 -- 101 amPto 600 amps 160.60 _ 2 l�ilElvil '' — 601 amps to 1000 amps 240 G0 _ 2 over 1000 amps or vola --- _ 454.65 — 2 Name.: _ _ __ Rcwnnect oral _ 66.85 2 �ddICSS: _-- Temporary fervIces or feeders-Installation, -- — alteration.or r►location' City/State/Zi 200 amps or Icss 66.85 1 ------- --- 100.30 2 - 201 smQs to 4(10 amEs - Pbone' Pay -- 401 to 600 amps 13,175 MOIL ii' -- C'01�1 iKC7 E'FiRSON _ Branch cimt-;n new,alteration,or Name: OkWAVk t + ,1 l•,I�w ��` extension per panel: _ '�`0- i A.Fee for branch circuits with purchase of Address: _ yr!icc or feeder fee,Each branch circuit G 65 _ � Cit /State/Zi - -_ _ s.rcc rot branch circuits without purc - �_ p: hase or 46.85 2 service or fecdcr Cee,first branch circuit F,ach additional branch circuit 6.6 2 E-mail: - - Mtvc(Scmce nr feeder not included)• M i t Each or irti ation circle S3 A0 2 '`gr _ - Foch sign or outline IiRhtina 53 40 m1 2 Job No: _ Signal circuit(s)or a limit--d energv panel, ' P, 2 altcruion,or cxlcnsitm -Business Namey AddfPSS:_tJ- _1<--�_ __-___ — Each Rddltinnal Inspection over the all In"of the above: - city—/'State/zip 7Penne coon ,mac hour min. 1 hour) Phone: I�3�3�1 �8 Fax: . j3 Z 3LQ 23zz _-- tnvcstiaalion tic ___-- — -- CCB Lir,. #; 'p�L2iv tic. #: ZL�5L5 CEI otl+sr IcctiLLdj `, SupErvistng eleclriclan /� _ Sublotal _- 5 Plan Review(25%of Yct•mit Fec) S ---'�-----�� State Surchar c 8"/a of permit Fee) Print NRMCAR &i A. (r Lic.#: I A _ _— -.—-- �i– T_OTAL PERU?iT PEE S A.uthoNted Notice: This Perm11 application owfilres If a permit ie not ohtRlned within Signature: _ k Dete_2 ?) 1St,days after it has been ateepted as complete. •Fee mMhodnlolty set by Trial ounty flullding Industry S. Janrd• _— (PIML print name) is�Dsta\PermitFomis\ElcPcrmitApp.dne 011113 CITYOF T I G A R D SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2003-00012 13125 SW Hall Blvd.,Tigard, UR 97223 (503) 639-4171 DATE ISSUED : 5/1/03 SITE ADDRESS: 13646 SW LEAH TERR PARCEL : 2S109BA-08100 SUBDIVISION: DAFFODIL HILL ZONING : R-7 BLOCK: LOT: 007 JURISDICTION : TIG CLASS OF WORK: OTR PAVING ?: RESO. NO: TYPE OF USE: SF GRADING ?: VALUE: IM) EXCV VOLUME: cy LANDSCAPING?: 0 aSvo — FILL VOLUME: cy SITE PREP ?: ENG FILL?: STORM DRAINS?: SOILS RPT REQD?: IMPERV SURFACE: sf Remarks: Owner: HEIGHTS CONSTRUCTION FEES --- 1 Description Date Amount PO BOX 91249 Ilit tII.UI Print Fre-Valu 5/1/03 $72.10 PORTLAAD, OR 97291 1lit 1'PLNI Pln Uk-Valu 5/1/03 $46.87 Phone: 503-291-2550 1 I'AXj 811s,St I ux-Valu 5/1/03 $5.77 Contractor: i Total $124.74 HEIGHTS CONSTRUCTION LLC PO BOX 91249 PORTLAND, OR 97291 Phone: 503-291-2550 Reg #: LIC 133745 Required Inspections Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than '180 days. ATTENTION: Oregon law regoires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)24F-6699. Issued By: Permittee Signature: --------- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Site Work Building Permit Application ' S Received Building Dale/By: -G Permit No., 7:r- U (�(� i-- Cit Of •h�Oai'd Planning Approval —� Other Y g Date/By Permit No.: 11125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Dalc/B Permit No Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land use Uatc/By: Case No. Internet: www.ci•tigard.or.us Contact Juris. tier Pagc 2 for 24-hour Inspection Request: 503-639.4175 Name/Method: Su Plemcnlal Informatlon TYPE OF WORK _ _ REQUIRED DATA: _New construction Demolition 1 &2 FAMILI'DWELLING Aldition/alteration/re laccment Other: CATEGORY OF CONSTRUCT' ON Note: Permit fees*are based on the total value of the work performed. Indicate 1 &2-Fai'Mily dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, — Accessory BuildMulti-Familyoverhead and profit for the work indicated on this application. b c Master Buil ier in Other: valuation......................................................... $a U� JOB SITE INFORMATION and LOCATION No.of bedrooms. No.of baths: - ^-- Total number of floors..................................... _ Job site address_J�1� 0. f�� -O New dwellingareas ft. Suite#: Bld r./A t.#: ( s ))..........,•..•.,.....•..... - -- --- " f Garage/carport arca(sq.R.).....................•...... Project Name: _ -' 1! -- Covered porch area(sq. R.).......•..................... Cross street/Directions to job situ: Deck area(sq. .,.)............................................ L� �� � /L��L ✓oe� Other structure area(sq.R.)............................ REQUIRED DATA: � T COMMERCIAL-USt CHECKLIST Subdivision: 24 ---- TaX map/parcel#: Note: Permit fees'are based .n the total value of the work pertiunied Indicate �F.SCRIPTION OF WORK_ the value(rounded to the nearest dollar)of all equipment.materials,Inhor, overhead and profit for the work indicated on this application Valuation..............•......................................... — — —- Existing building area(sq.ft. New building area(sq.fl.)..................•....•....... _ Number of stories............................................ PROPERT OWNER TENANT _ Type of construction....................................... Name: Occupancy group(s): Existing: A*J`Y J _ -- New: Address: op. , ,dam_ City/State/Zip. . ��'11 NOTICE: All contractors and subcontractors are required to be PhOn /� Fa � licensed with the Oregon Construction Contractors Board under AI'1'LIC I' _ NTACT PERSON provisions of ORS 701 and may he required to be licensed in the Business Name:_ � � jurisdiction where work is being performed. If the applicant is exempt Contact Name: `rTT— , /I✓ � from licensing,the following reason applies- Address: -;b.- pplies• Address: % . , �_ 9f — — --- Cit /State : t 00 - — -- — Phon Fasp _ E-mail: ��UILDINC P�'1f2MIT 09 '��lease refer it !lee scfleditife. CONTRACTOR Business Name: q► Fees due upon application.................•............ Address) L*� _ City/State/ lAmount received.............••.•............................ s Pho :$a /- Fa r• Date received: I CCB •c. #: _.13 ._� ------ —. Authorized � Notice: This permit application expires If a permit Is not obtained within Signature: Date: ItiO clays after it has accepted as complete. • 2� •Cee methodoloRv set... .'rl-('ounly Building Industry Service Board. (Please print name) i:\Dsts\PcrmitFomis\BldgPemiitApp.doc 01103 SITE WORK PERMIT CHECK LIST Commercial, Multi-Family (R-1 occupancy) and Residential: Please complete all items below, unless otherwise noted. Excavation Volume_ _ _... . Cu. yds... Grading Volume: (Soils report T uired for >5,000 cu ds� J�i1 cu. yds. Fill Volume: — (Fill exrQediny If 2" in depth shall be compacted to 90% of --maxi,num density) _R cu. yds. Retaining structure? (Check one)` Rock ❑ CMU ❑ Concrete ❑ Other *Total new impervious area including all buildings, sidewalks, andpavin Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities Plumbing Work' Plans Required: See"Site Work Permit Application - Flan Submittal Requirements" attached. The following must accompany this Site Plan with Vicinity Map showing *Parking (incluuinhd _ ADP.compliance Lighting Plan Grading Plan and details _ *La ds - ii Plan Erosion Control Plan and details Soils Fie-tart if required Retaining Structures._ _--- *Does not apply to 1 and 2-family dwellings. TYPE OF SUBMITTAL , , (Includes New, Additions or Altel996 3�' • ,�y Commercial 4 Multi-Family R-1 Occupancy -4 . . One- & Two-Family Dwelling d . NOTE: r1an review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact thg applicant.to request additional sets of plans for distribution purposes (for Contractor,'City.o'F Tigard, Washington County, and Tualatin Valley 7Ire & lkescue). 1\dsts\forms\FIT-checidist.doc 01/29/03 EC;E C -�l � a � I 88 0 88 xtl X00 88 II Wco i icyi- E i I N e <�qw 88 88 1t oc zc Ln as ciao da Ms -- - - a or o, } —- --8 - g-- -- NOd I I � ®r k �s � �z I I i t g r I - I M 88ci id . Ln t 8 o J 88 I I r- �pPrw.0d...................... ulditionally Approved....... �r only the wor as c�stnb�d i t'F RMIT NO. _--_ �. f S(le I Otte. t0' Ffjll, U Jut)Aruf 'rf BY, ._ . 17ale: t- ' OF IIL )' GARD NG inspection Line: (503)639-4175 MST INSPELTION DIVISION Bus�ss Line: (503)639-4171 BUP — — Received ____-_-__.T-- Date Re kisted__ ___-Q a — AMS — PM_ BUI; — Location — __-.�_3 � J —Suite _ MEC Contact Person _ ___ — P) l- ) �� y 1 Y T" PLM ContractorPh( ) —_ _ SWR --- BUILDING Tenant/Owner ELC - Footing - ELC ----- Foundation Access: _ Fig Drain ELR -� --- Crawl Drain SIT Slab Inspection Notes: — 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 S Beam __ Under Slab ---- - - -- --- -- Rough-In Water Service ----- - - Sanitary Sewer ---_-- / -__- Rain Drains Catch Basin/Manhole Storm Drain - - Shower Pan Qekf t - - AS PART FAIL ---------- NCE HANIr AL ---- Post 8 Hearn------------- 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 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:-_— -- _ n Unable to inspect-no access - - --- Fire Supply Line ADA Date__ �2-� 3 -- _-- Inspect�rr -�* r•\�'�^�- __ ___ _ Ext Approach/Sidewalk Other: Find DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TI GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00402 13125 SW H-1li Blvd., Tigare. OR 97223 (503) 639-4171 DATE ISSUED: 8/5/03 SITE ADDRESS: 13646 SW LEAH TERR PARCEL: 2S109BA-08100 SUBDIVISION: DAFFODIL HILL ZONING: R-7 BLOCK: LOT: 007 JURISDICTION: TIG CLASS OF WORD:: OTR 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 CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Install residential irrigation backflow. Owner: FEES —' Description Date Amount HEIGHTS CONSTRUCTION 1 H 1 H IN11i 1 Pcrmit Pec 8/5/03 $36.25 PO BOX 91249 1 ]AXI V6 state Tax 8/5/03 $2.90 PORTLAND, OR 97291 Total $39.15 Phone : 503.291_2„tt Contractor: THOMAS CONSTRUCTION P.O. BOX 91283 PORTLAND, OR 97291 REQUIRED INSPECTIONS Phone : 503-690-4925 RP/Backflow Preventer Final Inspection Reg#: LIC 6161 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended For more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon / Y• l fl 1."f."f' �-� Permittee Signature: Issued B Alz'e- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Ply mbing Permit Application Received Plumbing. Date/I3Permit No. 71 . Planning Approval Sewer City of Tigard Date/By: Permit No.: 13125 SW Ilall Blvd. Plar Review Other Tigard,Oregon 97223 Date/© : _ Permit No.: Post-Phone: 503-639-4171 Fax: 503-598-1960 Date/1 y. Land Ilse Date/13y. _ ('ase No.: Internet: www.ci.tigard.or.us Contact v Juns: ® See Page 2 for 24-hour inspection Request: 503-639-4175 Narnc/Method:_ I Supplemental Information.- _TYPE OF WORK FEE'SCHEDULE forspecial Information use checklist Nc�c construction I 1LJ1 i)emolition _ Description Qly. I Fec(ca.) 'rota) Addition/altt:ration/replacement ❑Other: New r-&or each u dwellings CATEGORY OF CONSTRUCTION Includes 100 R.for each utility connection 71-1 — SFR 1 I bath 249.2 1 & 2-Famil d'NCl� Commercial/Industrial SFR(2)bath _ 350.00 Accessory Buildi�_ Multi-Family SFR(3)batt, 391.00 Master Builder M Other: Each additional bathAitchen 45.00 s— JOB SiTE INFORMATION and LOCATION— Firesprinkler-sq, fl.: Pae 2 Job site address: / 6 �� f .lz �P✓v. - Site Utilities _ Suite#: Bldg./Apt.#: Catch basin/arca dram 16.60 f /�/� _ Diywell/leach:ine/trench drain 10.60 Project Name: Footing drain(no. linear(l.) Pae 2 Cross street/i)irections to job site: Manufactured home uliiitics _ I I0.00 U►% rbC'«� Tr✓ Manholes - 16.60 Rain drain connector _ 10.60 Sanitary sewer(no. linear(l.) _ Pae 2 Subdivision: - Lot#: Storm sewer(no. linear tt.) Page 2 Tax map/parcel #: 'Nater service(no. linear n. Page 2 Fixture or Item DESCRIPTION OF WORK _ Absorption valve 16.60 1 — - - ---- --- -- Backflow p rep venter Backwater valve _ 16.60 -- - --_-- Clothes washer 16,60 ---- - -- - Dishwasher _ 10.60 ___ Di inking fountain W60OW PROPERTY NK[i -- JEJTENANT _ Ejectors/sump _ _ 16.00 Name: Expansion tank __ 16.60 Address: Fixture/sewer cap_ 16.60 Cl /State/Zip' Fluor drain/floor sr rkihub G.G _ty-- - - ---- --- -- - Garbage disposal -- 16.60 Phone: _ Fax: _-- Ilose bib _ 16.60 APPLICANT i CONTACT PERSON_- Ice maker 16.60 Name: _ Interceptor/grease trap 16.60 Address: Medical as- value: $ Page -- - - - - Primer 16.60 _—Cit /S_ta_t_e/Z�p --_-__ -__ Roof drain(commercial) - 16.60 Phone: — Faxes- Sink/basinAavatory 16.60 E-mail: Tub/shower/shower pan 16.00 CONTRACTOR Urinal _ 16.60 � Water closet 10.60 Business Na me: x�;Trc�lsc+�r __— Water heater _ _ 16.60 - Address: Other: City/State/Zip_ 04 7 `�/ other: Phone: sZ3 G - �' J- Fax: Plumbing Permit Fees" Plumb. LcA /.2Q.Z7 — Subtotal $ _ CCB Liu. #: i / Minimum Permit Fee$72.50 $ Authorized �� Residential Backflow Minimum Fee$.36.25 Signature: 12,-i✓-_ _ srJ�AG Date: �1 J Plan Review 25°/a of Permit Fee) $ ��fC� -- State Surchar a S%of Permit Fee $ (Please print name) TOTAL PERMIT Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or 190 days after It has been accepted as complete. riser diagram for plan review. *Fee methodologv set by Tri-County Building Industry Service Board. i\Dsts\Permit I-omrs\PlmPermitApp.doc 01/03 Plumbing Permit Application -City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: — Footing drain- 1" 100' 55.00 0 to 2,000 _ $115.00 — — Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 — 3,601 to 7,200 $220.00 Sewer-1st 100' 55.00 7,201 and greater–-- – $30900 Sewer-each additional 100' 46.40 Water Service- Ist 100' 5500 Medical Gas Systems: Water Service-each additional 100' 4640 Valuation: Permit Fee: Storm&Rain Drain- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain[)rain-each additional I(V 4640 $5,001,00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total _ including$10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to$25,000.00 $149.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 and including$25,000 00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000,00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing orand including$50,000.00, s ciall requested ins ections-per hour 72.50 $50,00 1.W and up $742 00 for the first$50,000.00 and$1.20 for Sublotal: each additional$11x).00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing,fixtures". 11• "yes;.,please indicate work performed by fixture. Failure to accurately, report fixtures could result in increased sewer fees*. uentitY b Fixture work Performed Comments regarding;fixture work: Fixture Type: Replace _ New Moved Existina Cap ed Baptistry/Font Beth -Tub/Shower -Jacuzzi/Whirlpool — Cor Wash -Each Stall -- -Drive Thru _ Cuspidor/Water Aspirator — — --- Dishwasher -Commercial --- -Domestic _ Drinking Fountain — -- -- —_ – -- — ----- Fl c Wash — Floor[)rain/sink 2" 4„ Car Wash Drain — *Note: If the fixture work under this permit results in an Garbage -Domestic Disposal -Commercial -- increase of sewer EI)Us,a sewer permit will he issued and Industrial fees assessed for the sewer Increase must he paid before the. Ice Mach./Refer .Drains _ plumbing permit can be issued. Oil Separator Gas Station Rec.Vehicle Dump Station — Shower -(fang _— — -Stall _ Sink -Bar/Lavatory -Bradley —_ -Commercial -Service Swimming Pool Filter _ Washer-Clothes Water extractor Water Closet-Toilet _Urinal i Other Fixtures — is\[)sts\Permit Forms\PlmPcrmitAppl'g2 d(x 01103 CITY OF TIGARD Q 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE cft��\,� DAVID JEROME ELECTRIC ;00111y \��v� PO BOX 751 1 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2003-00054 Date Issued: 3114103 Parcel: 2S109BA-08100 Site Address: 13646 SW LEAH TERR Subdivision: DAFFODIL HILL Block: Lot: 007 Jurisdiction: TIG Zoning: R-7 Remarks: Construction of new SF detached residence. 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 Division. No electrical inspections will be authorized fintil this completed form is received OWNER: ELECTRICAL CONTRACTOR: HEIGHTS CONSTRUCTION DAVID JEROME ELECTRIC 1 PO BOX 751 PO BOX 91249 HILLSBORO, OR 97123 PORTL# ND, OR 97291 Phone #: 503-291-2550 Phone #: 648-5144 Reg #: 1JC 36051 SUP 28775 FIT 34-1190 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 24-Hour BUILDING Inspection Line: 4175 INSPECTION DIVISION Business Line: 60.!-4171 MST BUP _ Received __-_—___..__.-- Date Requested__ __—___ AM--- PM ___—_— BUP \ Ce 3 4 _]r �- -r- Location — -Q-rSuite_-- — MEC Contact Person — _..—.__.-.____._------_------_-- Ph PLM Contractor _—_ Ph( _) _____ __ S;NP, — BUILDING Tenant/Owner _ . _ ELC — — Footing ---- Foundation ELC Access: Fig Drain ELR -- _ Crawl Drain Slab Inspection Notes: �— 00 O I Z. Post& Beam -- ---- '� -------.._ Shear Anchors -----� — Ext Sheath/Shear Int Sheath/Shear Y— Framing �i ------- - — -- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Sucp'd Ceiling - - —.. _— — ------- -- -----_—.- - Roof Other: Final -------- PASS PART FAIL PLUMBING Post& Beam _--- - - --- - —._,—.- _--------- , Under SlabRough-In Water -- Water Servico Sanitary Sewer Rain Drains ---- -- 00 — Catch Basin/Manhole Storm Drain — - - -- — - - Shower Pan VW 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 Fin;il ] Reinspection fee of$..--_ _—_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P S P#.RT FAIL Please call for reinspection RE: —__-- Unable to inspect- no access Fire Supply Line ADA \ //1 � (� � Approach/Sidewalk Date / -_ - Inspector � _ Ext Other: 1 ,na —) DO NOT REMOVE this Inspection record from the job site. S PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5031639-4175 MST r��S INSPECT ION DIVISION Business Line: (503)639-4171 BUP Received Date Requested _ �- AM- PM__—_-_ BUP Location -----. 1 �L ` '%� ��' �-' 7`�lJV'v Suite MEC _ Contact Person . --_-.. __ —____ Ph ( ) c) % PLM Contractor ._ _.--._---- Ph (—__-) SWR BUILDING Tenant/Owner __ _____—__.__._ _ __ ELC Footing — ELC Foundation Access: Ftg Drain / ELR Crawl Drain V Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - --- ------ -- - - -------- Insulation Drywall Nailing ---- - - ---- __ -- ----- Firewall Fire Sprinkler - --- — - -- — -- Fire Alarm Susp'd Ceiling -- ------- ---------- __...------ --- -- Root ----_-_ Other. --- - ----- - - --- -- - Final PASS PART FAIL -- ---__._ _ - - ------ --------- --- eam Under Slab - - --- --- ---- - --- — -- -- Rough-In Water Service -- — — Sanitary Sewer Rain Drains - - - - ---- -- Catch Basin/Manhole Storm Drain - -- ----------______- -------------- Shower Pan - --- -- If i nal _-- -�S PART FAIL MECHANICAL ----- Post& Beam Rough-In ------ - ---- --- ---- - --- Gas Line Smoke Dampers ----- -- — - ---- Final PASS PART FAIL _ELLCTRICAL �L� << �/ �. 4 Z-2 Service --�- __— Rough-In UG/Slab Low dbTfEtg -- f"Alarm a ;1i PART FAIL ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. cjW SITE -- Please call for reinspection RE: Unable to inspect- no access Fire Supply Line DA A Approach/Sidewalk Date %/ l'�" - _ ____. Inspoetor h !-";1* Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIT_ MAt,MAMASAIL AM AM . Alk Am -------------- i ► ► v I ► O i � � o ► i o ► i o 0 ► ` \\ ► •, V � - a bn 1-i i o o w w ► 2 ► apollQ Q � � '-4-4 oil ► i u U Q ppqq iaj 4-J b a ► � Q H tW,� ► i � Q O � ► �IvvvvvvvvvvvvvovvvvvvvvvvvvvvvvvvvvvvvvvvvvvI