Permit ' OF TGARD MASTER PERMIT
PERMIT #: MST2002 -00408
*ilk, DEVELOPMENT SERVICES DATE ISSUED: 10/2/02
A
;-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13600 SW BULL MOUNTAIN RD PARCEL: 2S109BD -00300
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
REMARKS: Interior remodel, demo existing detached garage and build new attached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 685 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sf RIGHT:
VALUE: 150
OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 0 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALJPANEL: IN PLANT:
MANU HMISVCIFDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,020.81
This permit is subject to the regulations contained in the
SCRIVNER, JAN T OWNER Tigard Municipal Code, State of OR. Specialty Codes
13600 SW BULL MTN RD SIGNED RESPONSIBILITY and all other applicable laws. All work will be done in
TIGARD, OR 97224 FORM IN FILE 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: Oregon law requires you to follow rules
Phone: Phone: adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through
Reg #: 952 - 001 -0080. You may obtain copies of these rules or d
,n0,_ cg 4/ 844/4/ REQUIRED INSPECTIONS
Erosion Control Insp 8' Underfloor insulation Electrical Service Low Voltage Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Final inspection
Foundation Insp Footing /Foundation Dr Framing Insp Insulation Insp
Post/Beam Structural PLM /Underfloor Shear Wall Insp Electrical Final
Post/BeaamMe Mechanical lnsp Exterior Sheathing Insr Mechanical Final •
Issued y • >'. p a1�'(j/Z�j Permittee Signature : V I `t ` .1�1�C�V\-�J
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Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the t business day
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MASTER PERMIT
Y 1 TIGARD PERMIT #: MST2002 -00408
s,,���1�'. DEVELOPMENT SERVICES DATE ISSUED: 10/2/2002
Z
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 13600 SW BULL MOUNTAIN RD PARCEL: 2S109BD -00300
SUBDIVISION: ZONING: R -7
BLOCK: LOT: JURISDICTION: URB
REMARKS: Interior remodel, demo existing detached garage and build new attached garage.
9/2704: Reinstated, for bldg, electrical, plumbing & mechanical finals.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ALT HEIGHT: FIRST: sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: SECOND: sf GARAGE: 685 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: THRD: sf RIGHT:
VALUE: 150
OCCUPANCY GRP: R3 BDRM: BATH: 1 TOTAL: 0 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 1 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 2 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 • 200 amp: 1 0 - 200 amp: W/SVC OR FDR: 00 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amp3- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,270.81
OWNER This permit is subject to the regulations contained in the
SCRIVNER, JAN T
SCRIVNER,
SW BULL T RD Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in
TIGARD, OR 97224 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.
Phone: Phone: ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8' Post/Beam Structural Underfloor insulation Mechanical Insp Exterior Sheathing Insr Mechanical Final
Footing Insp Post/Beam Structural Crawl Drain /Backwater Electrical Service Low Voltage Plumb Final
Footing Insp Post/Beam Structural Footing /Foundation Drs Electrical Rough In Gas Line lnsp Final inspection
Foundation lnsp Post/Beam Mechanical PLM /Underfloor Framing Insp Insulation Insp
Foundation Insp Post/Beam Mechanical PLM /Underfloor Shear Wall lnsp Electrical Final
Issued B y . 1/ -C�i_. Permittee Signature : OtAll ld, 1_ 1
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne't business day
Permit #: MS[' .DOg..— 00 4o
Address: V 0 SCATI LL. kl/ i h
Issr edby: I / /, /L/ Date: /e/ VA
Statement: Information Notice to Property Owners
. About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not register ed with the Construction Contractors Board to sign the
_following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration under ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
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Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
r I,'' 1. I own, reside in, or will reside in the completed structure.
_ i111 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale
I before or upon completion.
3A. My general contractor is
(Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors.
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
lit ( .)\),(P\lA) /0 - -0 Q
I (Signature of permit applicant) (Date)
(White copy to issuing agency permit file,
pink copy to applicant)
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U |bon . - ce:to 'Pro Property Owners . .
• ,AboufC������������'¢»������U�C)�2��'�~'K
. . Responsibilities
8�� 78
ibnzn/c/in/8oaponv/bilit/es
• xusuono/o/l/0'472 Loz\/r//c//on Cnnruc/o/x �/x With cWith ORS 701.0701.055(5). 0j���
l[ you are oc:bgor your own c cTorroconylmczo ncphoneormukeusuhsmxtiu|improvcmcnttounexioting structure,
you can prcvcu//nanyy�ob|cmsbY�huin�owor�ohhcfoUqaingpcspvn>ihi|bicsaod areas obnnccrn.
, IVIPL�E
��� ���������[1�i��:
' -
![ von hire persons, not registered with, the Consirueton Contractors Board to do labor io constructing ur assisting inthe
construction orim ' vomen|o{onuiJ/hoimruciure,youwiUin/vom|instuoccs,bcru|odto be an eM p|uyur and the people
you hire will hccmp}n!res� As/h�emp|*vcc yen, must oompk/vxhtbc'k�|o"/iog:
.`,
Oregon's withholding tax law: Azan employer; you mut withhold in me taxes From eMployee wages b\/hxiimoemployees
• arc paid. You will bcliable for<hctux !mcntscr*nifyoodoh'r actually Withhold the tax your c p)nyres. For more
information, call the Oregon Dept. mf Revenue /u945'-8091. /
Unemployment insurance tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the
nzgcs all .12m p|oyees. For more jn[bnno/inn.cuUdhc Department*378,3524L
Worko»a' compensation insurance: As an . cmplover, you are subject to the Oregon yorkers'cotalpensation Law, and must '
obtain workers' compensation insurance for your ump(oyrcs. /fyuu fail to obtain xOrkecs'o.mpcnso( ion Mouronc .ynumoy :
be liable for aUclaim costs i[ one o[ your employees is injured nn,hu|yh.Fnrme,cinfonnotion
call'the Workers' Compensation DiVision at thc Department of ConSumer and Business Services 'at 945-7888.
U.S. Internal Revenue Service: /\sou employer you must withhold federal income tax froo\ employees' wages. Von wib be
liable for the tax payment even if you didn't actually withhold the tax. For more information, call the internal Revenue Set •
at i'800-820ciO4O:
• ' - � , ' `,�. • . . � `' ` '
OTHER RESPONSKB[L|T!ESANOAREAS•CDF CONCERN:
{}deconmyUxnco: 4s the permit holder for this project, yoomeocspous(.|eGorresn|viogunyhoik/rctoMuctcadcoqxirunuo$
that mav he hroutht 10 your attenton through inspecuons.
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Liability and property damage insurance: Contact your insurance o�cork/ see if von have adequate insurance corcrao,cfor
accidents and ,om Is, paint ovcopmy, water domage,6nn! pipe poxcturctinc,or. work that must 6c
re-done. ,
.` .
, . . � '
Time K4okc sure you have »uf5u�nihn6�iosop�n/isvyour eniployees.
Expertise: Make sure vou have theexpernsetoaetasvourown general contractor, tu coordinate the xnrko[nnogh'innudDobh
irade9,mnd/onnd[vhuiNiogo[li
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/f you have uddi\ionx\ questions, write orcall the Construction Contractors Board (PO Box |4\4O, Salem, Ok973O9'50j2
50JG78'462))._l1hr Board b located o| 700 Summer St. N6 Suite 30(\inSa}cm.
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• . B un ld ing permit Application , 'yy �� � � „ Y ti � �x � ,, � ,� f , ,„ 1 : 1 ,� .
�" .�'�A.'ralF�?'u J+1�'� �.� } ir��r li r�n� N i i r � .... -. ..'. , � 'r ' , �� � i. i�� , ri 1 "'il
Date received: 9 /7 p2. Permit no : }%5/; s.. _� p�
ii'_ ��'�y� City ®f Tigard -
Project/appl.no.: Ad li i h k date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223
Phone: (503) 639 -4171 Date issued: `'2 r Receipt no.:
Fax: (503) 598 -1960 p . Case file no.: Payment type:
Jr r
Land use approval: 1 &2 family: Simple Complex: ./�
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;11' ! -?3`"`t� ^`n ;t t W, A .g h , - f �, c . .."' r l r f 4 i 3 .' 4- ;t ' y t ..' "cf 4 .+" i' " ` ro 3 .
., „ ,s.,av, <,., a", ..4 `.. t ,e + / :4--.+ .^N.' F �t TYPE OF PERMIT # �+ �+ '
w M d t '+LL 1
. _ : -,.- . ,.. ..: .,.. +_d r' . !. r!Y.+,a,. ,.��.,� . ,. .- . R�'k;. ,�t.T }?r!% ,, '"'a0.5 ' fax. `A t r, ! �' .� m �+ + l+r.' h.. 1 ?�+1 J,.
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi - family 0 New construction ❑ Demolition
: Addition/alteration/replacement 0 Tenant improvement 0 Fire sprinkler /alarm 0 Other:
,'± ^raV ! .5 rc , ''h ,s'W g.` i ` 9 cW 4 F5 +� r 3i '+` l - A -� , � a- , _ - k § I �.r
� .:. ;, �f ” ,r y'y.4 ° .,r; ,' rs:>E'ri. - :'`l'a : b p , . A1 4. , t « JOBtSIT..INFOR1VIt1T10Ne, a '.", :,,i - � �y P... x i7�s..c $ .�t:....,.,,� or` ir ;
Job address: 12DD ,,,a., .� 1; � min Bldg. no.: Suite no.:
Lot: Block: Subdivision: I Tax map /tax lot/account no.:
Project name: / ( a
Description and location of work on premises /special conditions: 4,+rlrk-l�' ✓4P, -d/�I /' " , �frur - :04r,e.i�.c -'A
?'* 01' {far i 7' .{ ... 4'� 5 - r . r r )t fr `4r ' ?' dTh.) 1 >,Y 'fa r - �a ,..S., Y A
t ? r �' r,.� .,, O�YNER r iYC ft. . ia°. �!SPECIA ORMATION ,, SE CHECKLIST c7
4 . } ti ,1 'Y. sC4.., tG ' c., t -,:c xr. ..0..-A.-. , , ;,r Y " nK r w r . & FOR y yn ,�
g t1V. �' 3 `Y5`�t.LT Y >'.� Yy ��� ,,•k !1F f }� 1� Y
.. ` .. 0 e 4, �_) "', . /0(Floodplam septic capacity solar, efc`)ir„ ftT � A , S
Name` A, ) �, 1 'F _ " 4 &, 4 ..0 . : r.. 4. rd+ . , ►R_ T.n. T >. , ,Ik .:sq . ,...fs. ,
Mailing address: t ;)pby N'_., l� A Q oat , I - 1 & 2 family dwelling:
kr
City Tie.k' State: Ill, ZIP: II k Valuation of work $ 75D r CO d ?
Phone: nia g�i1 is Fax: E -mail: No. of bedrooms/baths 1_ '
Owner's representative: Total number of floors
Phone: Fax E-mail: New dwelling area (sq. ft.) _
r .3'l .144 ` Tr: of r� '4. Pr+ '��,r-tl,r J 1 1 1 ; f It f !yat.
.v. ? -` t .�, ,,,,or -, 5,.. ' K EIPPLICANT N m ,v � .Y, a t s w t , as Ga ra ge /carport area (sq. ft.) ��
Name:,J13,_ r e_,1 \) n Covered porch area (sq. ft.)
Mailing address: 13100D 5ki) 4. M9. M,
Deck area (sq. ft.)
City -11 h State:+ ZIP: ,' Other structure area (sq. ft.)
r , Commerciallindustrial/multi- family:
Phone: 70.4 Fax E-mail:
fy p v . x µ t rr a 4Y fIS ° d� 1p�
rkte: � i4ARR/. �,Ys' e{� ,CONTRACTORp�y �f, ' i k ^a Valuation of work $
,_l r .tr,.3c t_,..,.'' 1...,. LcF,qu!Mt + as a+5
G�11) 11�� Existing bldg. area (sq. ft.) Business name: New bldg. area (sq. ft.)
Address: 1, ,D) `" \ 1 , tki • to
y � 1 � Q , Number of stories
City: ZIP:
Type of construction ...
Phone ''‘I s -ql•- . I Fax: E -mail:
Occupancy group(s): Existing.
CCB no.: U' V �,^9�x`t c-- New:
City /metro tic no / `� Notice: All contractors and subcontractors are required to be
.a
;,0 c` *.,a `gy ;� ARCHITECT/DESIGNERM a"'�a ri.,',,�`7F' licensed with the Oregon Construction Contractors Board under
Name: ,.� \) provisions of ORS 701 and may be required to be licensed in the
Addres , z J � L9 - 4( - ). jurisdiction where work is being performed. If the applicant is
City: ) Stater, I ZIP: (47Q—D-4- �� 1 ,� I exempt from licensing, the following reason applies: ..
Contact person: Plan no.:
Phone 5n a3 L)L Fax E-mail:
1 4.r0 - a y . ; :. � " o,
1 / §? ' r y; `. �. , ; ykr ; ,-- k ,�..� f, 1i :t f 1 e •> .w .` .� i+ '''"j 4F `�� � ;a'ki s ¢�. {h , "i
, r, a << t Or a� E t i -:. l r. i >'( 1 r ", i ,,x l 'r' ` ". "'` 5 : .' ,,,, , t , .;; l,d ;,
tia. •t�� �'' ,.. r�.. k � .ri�.tk 87<4.. M.. .�..� .. , �,......., x _r.a.;Nr. n.. i'.: 'a� , n �i;�'.,i Cl. .r�i �trh �.,< ru�.?�1i __ . �'L'tt5.;4� �� n . �rt.. :N. ��7r :axe #1 .�': -
152311=1. Contact person: s AIMI Fees due upon application $
Address: 1 r 1 4 w ► i. �l i .► ��: a� Date received:
y k �� ZIP: k , ME Amount received $
Phone: t � 11y3_ C)() Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with, whether specified herein or not. Credit card number: / /
r Expires
4 Authorized signature: SALA A . _ ' 1 Date: q - / 7-- D ( 2) Name of cardholder as shown on credit card
Print name: SQ.i\ l t . ��c" ,e n 'p ,A p Cardholder signature $ Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6r00/COM)
One- and Two- Family Dwelling f; �a r �Y, a� �� { ; �w r ; , ,
it r1 I i g t Y r 7 r ; ,,, 1 a d:Yi f ,._ „ 74 A ka:
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��, Building Permit Applicati ®n Checklist Referenceno.:
_..0
Associated permits:
City of Tigard City of Q
❑ Electrical ❑ Plumbing ❑ Mechanical
Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other:
Phone: (503) 639 -4171
Fax: (503) 598 -1960
3 THE FOL'LOWINGtITEIVIS AREfRE1
■ 4 REVIEW x Wes No,' NIA
h r � 1 ��-. �rY.., n_' R. A',��.n..�,.an:.�....nww.� -e... ... ,�.. M,..�n .1.,. ,�G�. ....�..�.�.. %....nY .r __. . ...
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc.
3 Verification of approved plat/lot.
4 Fire district approval 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 ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of
catch -basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state
building codes. Lateral design details and connections must be 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.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements 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 section(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.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels.
Exterior elevations 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 bearing
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 beam/joist carrying a non - uniform load.
20 Manufactured floor /roof 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 truss) shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
` AU M Z c �' t ` j 44ISDICTIONMIWOIFICS V t` " "
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" 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 be 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. 440 -4614 (6f00 /COM)
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460 I i ` si r i / p
. - - Mechanical a imt Apphca�i ®Yl �' i + i !� di f� 1 I Si n rt 1 i . h 1 m i V '' , I o ! r? i I v ,
Date received: 1 /7 . 02-- Permit no.: )4, ,, .0 0
,,%1 ' Y I I' City of Tigard Project/appl. no.: Expire date:
Ciry of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9722
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
;s ,,? x . ` -M TRIV ` c Y,StiV, ,YVPE?OF PERMIT, '474:1 l ' ', •" 4, , . ' o . . % oo ta
y... Ili
* '
iA .Ty � M
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial Cl Multi - family 0 Tenant improvement
0 New construction . • ddition/alteration/replacement ❑ Other:
` ` JOB SITC NFORIVIAfkilA IMn + 5 ? VIBIll ERCI'Ali ALU MISS' SCHEDULE;' ai_
Job address: : , b. p�\y) l g lug x,11 S ) Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: 1 value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ , .
Lot: 'Block: I Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: ZIP : 11 &1 l PERMIT FEE'SCHEDULE .i
AND` COMMERI EQ U IPME N T SCHE
Description and location of work on premises: t 4F44k.,; ,, 7 ,. e . ,, q ,, , ,,,r „ ,, •,t,, ,sorgvhr o,-,11 , 4.wm i* *.v,;.
Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM
g P Air conditioning (site plan required)
Is existing space insulated? 0 Yes ❑ No Alteration of existing HVAC system
1VIECIIANICAL CONTRACTOR `�, . Boiler/compressors
k" Boiler /com
� ressors
Business name: o(� ) N €._ State boiler permit no.:
HP Tons BTU /H
Address: Fire/smoke dampers/duct smoke detectors
City: I State: I ZIP: Heat pump (site plan required)
Phone: I Fax: I E -mail: Install/replacefurnace /burner BTU /H
Including ductwork/vent liner ❑ Yes 0 No
CCB no.: InstalUreplace /relocate heaters - suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): Vent for appliance other than furnace
1 ',y * jx e, . M `� "`�CONTACI'wiNt N'" ' s" ; Refrigeration:
,�f0. rr *' - Absorption units BTU /H
dt�l4�i 5, J; ,Ya.. �.�a rce �..,� h . , F. tl: a R f
Name:..ZYC,I, T, SG ,1 \? {) -0,t., Chillers HP
�-{---
Address: 1310 DD �� 1R t D� u --20 Compressors HP
Environmental exhaust and ventilation:
City'' i (a.pp 1 . , I Stater)' ZIP: Q 7c.„,)4 Appliance vent
Phone „ , �1 - la Fax E-mail: Dryer exhaust
,� . , p/ t& a Hoods, Type I/ IUres. kitchen/hazmat
` "� ' ' - "�' '� ' "'. — - " hood fire suppression system ,
Name ka \) v) e _ Exhaust fan with single duct (bath fans)
Mailing address: `.,,, h0 D ,S, \ 9� CR1, t \�( 'm ),11, , P 1 Exhaust system apart from heating or AC
City:""r .. • t,UU I State:DX I ZIP: Q7 Fuel pipmg and distribut (up to 4 outlets)
Type: LPG NG Oil _
Phone ati- 0- 10 Fax: E -mail: Fuel piping each additional over 4 outlets
i. �` 1 , ,, � 440 :,40,-;-7,41. T ENGIN0' ER{ 8 � 4 rr {6 t piping (schematic 4
,_.. a k ,ti _ „ ''' Process i in schematic re wired )
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace ,
City: I State: I ZIP: Insert - type
Phone: I Fax: I E -mail: Woodstove /pellet stove
Other:
Applicant's signature: I Date: Other: .
Name (print):
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
Not Th permit application Minimum fee $
❑ Visa c ❑ MasterCard ard number: / / expires if a permit is not obtained
Credit c Plan review at %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount 440 -4617 (6/00 /COM)
FA
•
MECHANICAL PERMIT FEES . •
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code CRY (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Fumace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00 .
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Co d
fraction thereof. footnotes below. Comp
Minimum Permit Fee $72.50 SUBTOTAL: $ 7) <3HP; absorb unit
to 100K BTU 14.00
8% State Surcharge $ 8) 3-15 HP; absorb 25.60
unit 100k to 500k BTU
25% Plan Review Fee (of subtotal) $ 9) 15-30 HP; absorb 35.00
Required for ALL commercial permits only unit .5 -1 mil BTU
TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 -50 HP; absorb 52.20
unit 1 -1.75 mil BTU
11) >50HP; absorb
unit >1.75 mil BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12) Air handling unit to 10,000 CFM
10.00
Value Total 13) Air handling unit 10,000 CFM+
Description: Qty (Ea) Amount 17.20
Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler
ducts & vents 10.00
Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct
ducts & vents 6.80
Floor furnace including vent 955 16) Ventilation system not included in
Suspended heater, wall heater or 955 appliance permit 10.00
floor mounted heater 17) Hood served by mechanical exhaust
Vent not included in appliance 445 10.00
permit 18) Domestic incinerators
Repair units 805 17.40
< 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator
to 100k BTU 69.95
3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves
101 k to 500k BTU 10.00
15 -30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets
mil. BTU 5.40
30 -50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each)
1 -1.75 mil. BTU 1.00
>50 hp; absorb. unit, 5,725 $
Minimum Permit Fee $72.50 SUBTOTAL:
>1.75 mil. BTU
Air handling unit to 10,000 cfm 656 8% State Surcharge $
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 446
Vent system not included in 656
appliance permit
Hood served by mechanical exhaust 656 Other Inspections and Fees:
Domestic incinerator 1 170 1. Inspections outside of normal business hours (minimum charge -two hours)
$62.50 per hour.
Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Other unit, including wood stoves, 656 $62.50 pet hour
inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum
Gas piping 1 - 4 outlets 360 charge -one -half hour) $62.50 per hour
Each additional outlet 63 * State Contractor Boiler Certification required for units >200k BTU.
TOTAL COMMERCIAL $ * * Residential NC requires site plan showing placement of unit.
VALUATION: All New Commercial Buildings require 2 sets of plans.
is \dsts \forms\mech- fees.doc 02/11/02
•
Building Fixtures
. , 4 F 1 � _ r t , •r' N� f 1 r U - :lif r :' + i+
Plumbing Permit Application 1r� '� ,� � �o , ��, OFFI FUSE 'Oy LY' r v,: , ,s
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dk
Date received: 9 /7 /O- Permit no.: /74TA:e ...64 p �
hell' 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:
r ✓ s �l�i r. r TYEIOFPERMT *Pnr
�'j� - ",�' ,';i�rfAdS ii;�+�,'°'�✓ R" r� ,' €G,,..st r :s + ,.: P...�,.,uM �ercvI. , � J r! .: , .Y,:. t �' � ..r. , Vim_ '�'j?
❑ 1 & 2 family dwelling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction .Addition /alteration/replacement ❑ Food service ❑ Other:
SI
r '�'_ +�'' S dOBI TE °INFORMATON I ? ' t r ' F E SC L E (for s information' use chec klist)
t rs.5��� , ..y _..c.�.�.�......��, ,..... _...y,, , E HEDU -.. ..� � , .
Job address:13b0D .S !'mil _W `��C ) Description Q y. Fee(ea.) Total
vv New 1- and 2- family dwellings only:
Bldg. no.: I Suite no.: (includes 100 ft. for each utility connection)
Tax map /tax lot/account no.: SFR (1) bath
Lot: Block: I Subdivision: SFR (2) bath
Project name: SFR (3) bath
City /county: I ZIP: Each additional bath/kitchen
Description and location of work on premises: Site utilities:
Catch basin/area drain
Est. date of completion/inspection: Drywells /leach line /trench drain
x«b , , y . r :�tY Footing drain (no. lin. ft.)
OiNgf I tIx AIlliLUMBISIG,ISC .. , - - , q - Manufactured home ut
Business name: (t e i Manholes
Address: Rain drain connector
City: I State: I ZIP: Sanitary sewer (no. lin. ft.)
Phone: I Fax: I E - mail: Storm sewer (no. lin. ft.)
CCB no.: I Plumb. bus. reg. no: Water service (no. lin. ft.)
City /metro lic. no.: Fixture or item:
Absorption valve
Contractor's representative signature: Back flow preventer
Print name: Date: Backwater valve
1104 ; t M' - 4 _ ` COI fi TACT PERS ; �, ,�' _ . ' ".'. ' ` Ba sins /lavatory
Name: , , ark ¶, .Sc �,\� Qj Clothes washer
Address: _Dishwasher
� ?J 2 O � �� ' � r Drinking fountain(s)
City:1T State:(, I ZIP: -7,Da 4 Ejectors /sump
Phone -5q0 3W , Fax E-mail: Expansion tank
.r; � -r` i �` uP ,..41 ' Via.xr � { . C. ' ' g ` '.-'` Fixture /sewer cap
Name (print): Ti - T, � (�� 1 U �'� ( Floor drains /floor sinks /hub
g ' to \�� sR , ritIA Ho bi disposal
Mailing ad dress: Hose bibb
City State: �, I ZIP: 1a Ice maker
Phone " - f)- 3D01 Fax: E -mail: Interceptor /grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
will be made by me or the maintenance and repair made by my regular Roof drain (commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s), lays(s)
Owner's signature: Date: Sump
' r ')' Kati A wa dry" " 'ENGINEER f gd '" " X .': ','`: T /shower /shower pan
Urinal
Name: Water closet
Address: Water heater
City: State: ZIP: Other:
Phone: 1 Fax: E -mail: Total
Minimum fee $
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
❑ visa
Cl 0 MasterCard _
expires if a permit is not obtained Plan review (at %) State surcharge (8 %) .... $
Credit card number: / / within 180 days after it has been
Expires TOTAL $
Name of cardholder as shown on credit card
accepted as complete.
$
Cardholder signature Amount 440 -4616 (6 /00 /COM)
PLUMBING PERMIT FEES:
•
PRICE TOTAL New 1 and 2- family dwellings only:
FIXTURES (individual) QTY (ea) AMOUNT (includes all plumbing fixtures in PRICE TOTAL
Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory 16.60 for each utility connection)
One (1) bath $249.20
Tub or Tub /Shower Comb. 16.60 Two (2) bath $350.00
Shower Only 16.60 Three (3) bath $399.00
Water Closet 16.60 SUBTOTAL
Urinal 16.60 8% STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25% OF SUBTOTAL
Garbage Disposal 16.60 TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain /Floor Sink 2" 16.60
3" 16.60 PLEASE COMPLETE:
4" 16.60
Water Heater 0 conversion 0 like kind 16.60 Quantity by Work Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit. Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San /Storm Sewer 46.40 Lavatory
16.60 Tub or Tub /Shower
Hose Bibs Combination
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 Water Closet
Other Fixtures (Specify) 16.60 Urinal
Dishwasher
Garbage Disposal
Laundry Room Tray
Washing Machine
Floor Drain /Sink: 2"
Sewer - 1st 100' 55.00 3 .,
Sewer - each additional 100' 46.40 4"
Water Service - 1st 100' 55.00 Water Heater
Water Service - each additional 200' 46.40 Other Fixtures
(Specify)
Storm & Rain Drain - 1st 100' 55.00
Storm & Rain Drain - each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device* 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 62.50
Requested Inspections per/hr COMMENTS REGARDING ABOVE:
Rain Drain, single family dwelling 65.25
Grease Traps 16.60
QUANTITY TOTAL
Isometric or riser diagram is required if
Quantity Total is > 9 ,
*SUBTOTAL
8% STATE SURCHARGE
* *PLAN REVIEW 25% OF SUBTOTAL
Required only if fixture qty. total is > 9
TOTAL $
* Minimum permit fee is $72.50 + 8% state surcharge, except Residential Backflow
Prevention Device, which is $36.25 + 8% state surcharge.
** All New Commercial Buildings require 2 sets of plans with isometric or riser
diagram for plan review.
i:\dsts\forms\plm-fees.doc 12/26/01
•
O • 7 ta 7�1 i e "A � X
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' Electrical
�, i i i 11 iI p u. I -�d , � 1 , , ,
�I�C CSI ��� ����� cation LI vl 11 , r'Vc'' , Sl 1 1, , ' i,13 I NI: g!. t ,�.' t � ! 1;q,•,1 I ,. '' I ,ce .h 'i t `,1,1 ,
n Date received: 9 /7 O 2, Permit no.: ST��� -� , A
}ri'l'l City of Tigard Project/appl.no.: Expire date:
City of Tigard 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:
�,�• ! , 4 t i'��t }fir `•x' '' TYPExOF, PERMIT - tqs
�`�'�P ��iK'� �h n. � YF T. �7�i ,. �a., Y ��. � ,.. M... .�:�`�S'g0
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction - o ,Cddition /alteration/replacement ❑ Other: ❑ Partial
�`�?``Y r `� a . t' r ,, '''5 i
' . . ».. a - — S- - - ..�.,, . ,,-
Job address: 0 r 6 _ \. Wm WWI Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: Block: Subdivision: I
Project name: I Description and location of work on premises:
Estimated date of completion/inspection:
� xr'N ire ' �+ EE S FCIIEDU E
�'aH�"�`���,�'+' �CONTRr1CTOR�APPLICATION ,t�k?�� `-'' ..�k �. At
Job no: Fee Max
Business name: OGO ll) ' rL Description Qty. (ea.) Total no. insp
New residential - single or multi- family per
Address: dwelling unit. Includes attached garage.
City: I State: I ZIP: Service included:
Phone: I Fax: I E -mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: I Elec. bus. lic. no: Limited energy, residential 2
City /metro lic. no.: Limited energy, non - residential 2
Each manufactured home or modular dwelling
Signature of supervising electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): License no: Services or feeders — installation,
alteration or relocation:
WOMP4,400 OWNER * ; y? 200 amps or less 2
� ' 201 amps to 400 amps 2
Name (print):.�Qt j -- T, ( : (� (� 401 amps to 600 amps 2
Mailing address: I3 t (')O \ �U b ' . ) 1 4\ , _ 601 amps to 1000 amps 2
City! T' A Stater ZIP: • a, Over 1000 amps or volts 2
Phone,,' -5(1). --Do Fax: E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders -
which is not intended for sale, lease, rent, or exchange according to installation, alteration, or relocation:
ORS 447, 455, 479, 670, 701. _ 200 amps or less 2
11 201 amps to 400 amps 2
Owner's signature 4,k 1A \A m 7T�Q �) Date: 401 to 600 amps 2
�� MO Branch circuits -new, alteration,
' .. _ , . . n ,, .. .- , . GINEER ;1 o : t� .-
"`' or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
PLAT J REVIE Ple e
a s e ",
tr ( • tChec a pp l y ) " � ! s, , M .(Service or feeder not included):
❑ Service over 225 amps - commercial ❑ Health -care facility Each pump or irrigation circle 2
❑ Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting 2
family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2
❑ Building over three stories ❑ Feeders, 400 amps or more *Description:
❑ Occupant Toad over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lightingplan ❑ Other. Per inspection 1 1 1
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions kept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $
Expires accepted as complete. TOTAL $
Name of cardholder as shown on credit card
Cardholder signature Amount 440 -4615 (6/00 /COM)
ELECTRICAL PERMIT 'FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
/� Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total 4, Check Type of Work Involved:
Residential - per unit
1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular n Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or Feeders ❑ Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less - / $80.30 C' 2
201 amps to 400 amps $106.85 2 n Vacuum Systems
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $240.60 2 n Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see "b" above. n Audio and Stereo Systems
Branch Circuits n
New, alteration or extension per panel Boiler Controls
a) The fee for branch circuits
with purchase of service or n Clock Systems
feeder fee.
Each branch circuit S $6.65 3 2-,2_ 5 . 2 n Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service n Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 �
Each additional branch circuit $6.65 I 1 HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40
Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 n Landscape Irrigation Control*
Minor Labels (10) $125.00
Each additional inspection over n Medical
the allowable in any of the above
Per inspection $62.50 F Nurse Calls
Per hour $62.50
In Plant $73.75 ❑ Outdoor Landscape Lighting*
Fees: n Protective Signaling
Enter total of above fees $ n Other
8% State Surcharge $ Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations
front of application.
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account # 8% State Surcharge $
Total Balance Due $
All New Commercial Buildings require 2 sets of plans.
i:\dsts\forms\elc- fees.doc 08/30/01