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Permit : ',■ ' • q/F/O ? CITY OF IGARD M ASTER PERMIT ` a COMMUNITY DEVELOPMENT Permit #: MST2009-00076 T I G f \ R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/10/2009 Parcel: 25111 BAl2400 Jurisdiction: TIG Site address: 9577 SW MOUNTAIN VIEW LN Subdivision: Lot: Project: JONES Project Description: Garage addition with unfinished storage above. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: sf Basement 0 sf Left 5 Parking Spaces: Height: 20 Bathrooms: 0 Second: sf Garage: 1225 sf Front 20 Smoke Dwelling Units: 0 Third: sf Right: 5 Detectors: NO Total: sf Value: $0.00 Rear: 15 PLUMBING Sinks: Water Closets: 1 Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: 1 Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: Garbage Disp: Water Heaters: 1 Water Lines: Bckfw Prevntr: MECHANICAL Fuel Tvpes Air Conditioning: Vent Fans: Clothes Dryers: Heat Pump: Hoods: Other Units: Fum <100K: Vents: Woodstoves: Gas Outlets: 4 Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 1 0-200 amp: W/ Svc or Fdr: 5 Ea add'I 500 sf: 20 1-400 amp: 201 -400 amp: 1st W/O Svc./Fdr: Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'I Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All Y Other: Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD Single Family Attached VB R - 3 1225 Owner: Contractor: Required Items and Reports (Conditions) DREW JONES MASTERPIECE CONSTRUCTION INC 9577 SW MOUNTAIN VIEW LN 13849 SW MISTLETOE DR TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503 -432 -9565 PHONE: 503 - 750 -5549 FAX: 503 -524 -4371 Total Fees: $1,341.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 10 through'OAR 95 1 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 699 or 1.80. 32.234 . Issue y: ) 024 " Y' Permittee Signature: • CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2009 -00076 J ` 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/10/2009 TIGARD Parcel: 2S 111 BAl2400 Jurisdiction: TIG Site address: 9577 SW MOUNTAIN VIEW LN Subdivision: Lot: Project: JONES Project Description: Garage addition with unfinished storage above. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First. sf Basement: 0 sf Left: 5 Parking Spaces: Height: 20 Bathrooms. 0 Second: sf Garage: 1225 sf Front: 20 Smoke Dwelling Units 0 Third: sf Right: 5 Detectors: NO Total: sf Value: $0.00 Rear: 15 PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Other Fixtures: Tubs /Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Bcktlw Prevntr: MECHANICAL Fuel Types Air Conditioning: Vent Fans: Clothes Dryers: Heat Pump: Hoods: Other Units: Furn <100K: Vents: Woodstoves: Gas Outlets: 4 Furn > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 1 0 -200 amp: W/ Svc or Fdr: 5 Ea add'I 500 sf: 20 1 -400 amp: 201 -400 amp: 1st W/O Svc /Fdr: Limited Energy: 401 -600 amp: 401 amp: Ea add! Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: Security Alarm Vaccuum System: Garage Opener: All Other: Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD Single Family Attached VB R -3 1225 Owner: Contractor: Required Items and Reports (Conditions) DREW JONES MASTERPIECE CONSTRUCTION INC 9577 SW MOUNTAIN VIEW LN 13849 SW MISTLETOE DR TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503- 432 -9565 PHONE: 503- 750 -5549 FAX: 503 -524 -4371 Total Fees: $1,341.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 throu h OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling k 46.669• . .800 32.2 4 Issued By: GI CPA .'' K. cz iivz Permittee Signature: L__•41 4 wir CITY OF TIGARD ST 2.605 - -006 . 76, BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: Phone: (503) 639 -4171 ��� @��ii�11 •�lil 4„ r Inspection Requests (24 Hrs.): (503) 639 -4175 -�±i __.. INSPECTION WORKSHEET FOR DATE: i / ( a /03 TIME: PAGE: SITE ADDRESS: G J (' 77 frity v‘....10 . (/ - ) Lrj CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: — 1 ¶ b - C S CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: 5 Code # Inspection Description Confirm # Contact # ssag�'� � - f fr0 (0 o `p er O / -0 Corections /C mments /Instructi ns: ,_ 9 , ' 4 1 #4. " ' ` PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS H FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED - 1/t 6/D Inspector: Date. Phone #: (503) 718 1 • Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received B Date/By: Permit No.: gtit F? _.et,07 V 13125 SW Hall Blvd., Tigard, OR 97223 Pl 0 Phone: 503.639.4171 Fax: 503.598.1960 an Review Dan Other Permit No.: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: luris: 61 See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00 ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: cz: S $ Lv /alt, U (e w p /L Catch basin or area drain 16.60 City /State /ZIP: i ¶ ,g24.1 r d - 9 7 i 2 3 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: I Project name: 9 0.-$.424.4.7- Footing drain (no. linear ft.: ) Page 2 9 Manufactured home utilities 110.00 Cross street/directions to job site: r, t� Manholes 16.60 ct T � 7- 6 f5t - ti ? Rain drain connector 16.60 __are'. Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ❑ PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 Name: f T u 1t/�i'- Expansion tank 16.60 Address: q s--- S Lk./ PWr ()Le w Fixture /sewer cap 16.60 City/State/ZIP: 1- ( L p / l,0 1Z °L 2 2---5 Floor drain/floor sink/hub 16.60 Phone: ( ) 1- Fax: ( ) Garbage disposal 16.60 ❑ APPLICANT ❑ CONTACT PERSON Hose bib 16.60 Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City /State/ZIP: Roof drain (commercial) 16.60 Phone: ( ) Fax: : ( ) Sink/basin l�avato / 16.60 Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet / 16.60 Business name: P-4(o' /d/i"e-, Water heater / 16.60 Address: Other: City/State /ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) State surcharge (12% of permit fee) Authorized signature: U TOTAL PERMIT FEE Print name: 6- , ;? l„,-I A.,W(Z(f Date: 41_9 -u 1 I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits\PLMF- PermitApp.doc 12/27/06 440 -4616T(10 /02/COM/WEB) 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 - I st 100' 55.00 7,201 and greater $309.00 Sewer - each additional 100' 46.40 Water Service - I st 100' 55.00 Medical Gas Systems: . . . Water Service - each additional 100' 46.40 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 55.00 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty. Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 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 Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Commercial Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower El Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool El Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" - 4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach./Refrig. Drains - Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service fees assessed for the sewer increase must be paid before the Swimming Pool Filter plumbing permit can be issued. Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures: i:\ Building \Permits\PLM- PermitApp.doc 12/27/06 --- - y -p 1 ``-' 74 l d y .. 1774 .-a�r( 7 t ..2.,, r; / 54°--/a-4—, tc -k9i CITY OF TIGARD MASTER PER * COMMUNITY DEVELOPMENT Permit #: MST2009 -00076 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date issued: 03/10/2009 Parcel: 25111 BAl2400 Jurisdiction: TIG Site address: 9577 SW MOUNTAIN VIEW LN Subdivision: Lot: Project: JONES Project Description: Garage addition with unfinished storage above. 5/6/09, adding (1) 400 amp service and (20) additional branch circuits. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 0 First: sf Basement: 0 sf Left: 5 Parking Spaces: Height: 20 Bathrooms: 0 Second: sf Garage: 1225 sf Front: 20 Smoke Dwelling Units: 0 Third: sf Right: 5 Detectors: No Total: sf Value: $0.00 Rear: 15 PLUMBING Sinks: Water Closets: 1 Washing Mach: Laundry Trays: Rain Drain: Catch Basins: Lavatories: 1 Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Other Fixtures: Tubs /Showers: Garbage Disp: Water Heaters: 1 Water Lines: Bckflw Prevntr. MECHANICAL Fuel Types Air Conditioning: Vent Fans: Clothes Dryers: ' Heat Pump: Hoods: Other Units: Fum <100K: Vents: Woodstoves: Gas Outlets: 4 Fum > =100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 -200 amp: 1 0-200 amp: W/ Svc or Fdr: 25 • Ea add'I 500 sf: 20 1-400 amp: 1 201 -400 amp: 1st W/O Svc/Fdr. • Limited Energy: 401 -600 amp: 401 -600 amp: Ea add'i Br Cir: 601 -1000 amp: 601 +amp- 1000v: 1000 +amp /volt: ELECTRICAL - RESTRICTED ENERGY SF Residential Audio & Stereo: HVAC: Security Alarm: Vaccuum System: Garage Opener: All Y Other: Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet ADD Single Family Attached VB R - 3 1225 Owner: Contractor: Required Items and Reports (Conditions) DREW JONES MASTERPIECE CONSTRUCTION INC 9577 SW MOUNTAIN VIEW LN 13849 SW MISTLETOE DR TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503 -432 -9565 PHONE: 503- 750 -5549 FAX: 503 - 524 -4371 Total Fees: $1,609.82 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 • _ . NTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0c -0010 through 'AR 9 •-, 01 -0100. You may obtain a copy of the rules or direct questions to OUNC by 503.246.6699 or 1.800.332.2344. Ns =d By: . — - /�- ' / ' Permittee Signatu !� /i ' electrical Permit Applicati FOR O USE ONLY City of Tigard CEIVED Received f � ' y�Q /,. City g Date/B : ' ♦ I ne? 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598M 0 5 2009 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: iw 0 See Page 2 for Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: / . Supplemental Information TYPE BUIMNG DIVISION PLAN REVIEW ❑ New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans whims checked below): ❑Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural > - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ". "E", "1 - 2 ", "1 - 3 ", Job no.: lob site dress: "77 , 1 �Q IOO or more. cy _ � I ' / %/ 1 (2 ❑ Six or more residential units. • ❑Recreational vehicle parks. City / State/ZIP: ID Health - care facilities. ❑ Supply voltage for more than l� /��p' ( 1 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: J l Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: . »rte 1 4n. I Fee. I Total I • New residential single- or multi - family dwelling unit. . - ' / Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential • / DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 9 9,4L �y, y `` / iC 1 w Limited energy, multi - family 75.00 2 residential (with above sq. It) to irI'l(i Services or feeders installation, alteration, and/or relocation 200 amps or less J 80.30 2 ❑ P lei OWNER I ❑ TENANT 201 amps to 400 amps 1 106.85 2 _ Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/ State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) [ Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps - 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: _ Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON r above service or feeder fee, eqg 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit _ 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) 1 Fax: : ( ) Reconnect only 66.85 2 E -mail: . Pump or irrigation circle 53.40 2 . • i NTRACTOR Sign or outline lighting 53.40 2 • Business name: f 1 A/ , r Signal circuit(s) or limited - _ energy panel, alteration, or Address: ��� extension. Describe: Page 2 2 City/ State/ZIP: � �� ' Each additional inspection over allowable in any of the above IV/ � 1 �/ Per inspection 62.50 Phone: -C� f , - �/7 7 ax: (.._ � 7:?:. - /I' '4 Investigation per hour (I hr min) 62.50 CCB Lic.: p Electrical Lic.: a75 75 Suprv. Lic.: `— Industrial plant per hour 73.75 i / '� G �[ L ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): !I State surcharge (12% of permit fee): Autho zed sign lure: I,_ � TOTAL PERMIT FEE: ' �� This permit application expires if a permit le not obtained within 180 Pri name: r �� Date: days after it has been accepted as complete. , I B ijiding,Permit Application RECEIVED Commercial FEB 4 2009 FOR OFFICE USE ONLY ' \ , e n � /� City of Tigard DateB Receivd • 01 4 d fS�J Permit No.: ✓ /�69 —e/d 7, ' 13125 SW Hall Blvd., Tigard, OR 9722 OF TIGARD Plan Review ' I II �' Other Permit: Phone: 503.639.4171 Fax: 503.598. ' �t Date/B : ��LJ , Il 1 1NG D IVISION `• � TIGARD Inspection Line: 503.639.4175 Date Re. �_ `7 61 See Page 2 for Internet: www.tigard - or.gov Notified/Method: / cp, Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 1ddition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ . El 1- and 2- family dwelling ❑ Commercial /industrial .®cessory building ❑ Multi - family Number of bedrooms: Q 'Rc El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors. - t Job site address: 9 -7 ,SL lik T, 0 I L 4J New dwelling area: 4115Zi square feet City/State /ZIP: 1 1 i 0 it,.( l U , / ") .2_1-y Garage /carport area: 53 L square feet Suite/bldg. /apt. no.: Project name: C, ,d �pc ` Covered porch area: square feet Cross street/directions to job site: .C..._ b% ,, io 1 7- o 5*') I Deck area: square feet T Y&T. U t t' l..' Other structure area: 545() square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: p `.t. y,/ 7",,u/ / C ( -' lt,7 1 Lot no.: e l Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the G] gg C DESCRIPTION OF WORK work indicated on this application. • I i'7 ['1 (I— 04 A tTi l I ' T v rp f. l2 o b Ol/ l2 Valuation: $ l- I I u iv C/ w t d ik eel Existing building area: square feet 3 120- ( '� & -? Cox/weQ/ 1 ' go 44 � u v � New building area: square feet la OWNER ❑ TENANT Q �. Number of stories: Name: 7 C ( t.. J TO , 0 S Type of construction: Address: l it i c t...J M,'r_ ( )1 C L../ Occupancy groups: City /State/ZIP: -t- 1 e tp a- '7 7 ,Z 1-`( Existing: c( Phone: (513) 9 31_9. se. S Fax: ( ) New: N alPLICANT - El - CONTACT PERSON N. NOTICE (`c Business name:M A. IT 2 . 3 „„ Q , t ,....,, , / w All contractors and subcontractors are required to be ti; Contact name: �- I ` k) D ri ,,, F0 ��� licensed with the Oregon Construction Contractors Board �('� under ORS 701 and may be required to be licensed in the Address: / 3 c f L ( 9 U M (.S 7/ L, ? C re D 1 jurisdiction in which work is being performed. If the City /State /ZIP: T (O( 16-r-- 'I , o e-- et 3 .L..:1-_3 apply: is exempt from licensing, the following reasons apply: Phone: ( f 3) 5 ` I Fax: : (; 10) j 2(- ( 3'7 / E -mail: 2 CONTRACTOR Business name: BUILDING PERMIT FEES* 4 Address: /�� 7/ (Please refer w fee scheduled F J ► k Structural plan review fee (or deposit): 6 1141. 3 City /State /ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): .-l 699, O I Total fees due upon application: /67. 3 y CCB lic.: t V Amount received: /j 7, ?9 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 6,1‘ 1k) D tq W (c i2" Date:, 3_ Q 7 • Fee methodology set by Tri -County Building Industry '\ Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 2/23 /07 440- 4613T(l1/02 /COM/WEB) I Building Division a: Accessibility: Barrier Removal Improvement Plan TIGARD REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ I: \Building \Permits \BUP -COM PcrmitApp.doc 06/25/08 Mechanical Permit A t t lica ,' 4 , 1 CEIVED FOR OFFICE USE ONLY IN • City of Tigard p Date/By: �.k(O / am Permi K GJ � gn�C?- °°7 , 13125 SW Hall Blvd., Tigard, OR 9722FEB 4 2009 (�tW C D Phone: 503.639.4171 Fax: 503.598.1960 an Review Other Perm Ins ection Line: 503.639.4175 Date it: Re T I G A R D Internet: www.ti ardor. ov CITY OF TIGAR Date Ready /By: Juris: ® See Page 2 for g g BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ TI RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2- family dwelling ❑ Commercial /industrial Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling S w ^�. Air conditioning or heat pump Job site address: 51 \ . V % e t _,./ DR_ (requires site plan showing placement) 14.00 City /State /ZIP: T 1 1 amt 1 >� ) _ .9 • •L -1.1+ Furnace 100,000 BTU (ducts/vents) 14.00 1 1 Fumace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: G1 , , O Cj , - Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 11 Hydronic hot water system 14.00 1 `Q Qk k Ll 51 T () M� • U ( (5w Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision :_ z r pl 1 tt - Flue /vent for any of above 6.80 C L, 1 Lo t no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 A e- - f_ It z- '-1-- 0-0 r` -1 C -f-- '- g e_(z cW Flue vent for water heater or gas (( r fireplace 10.00 Q" U PJ F 1 wt c k ,--7--A Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Name: I) rz.. Environmental exhaust and ventilation Range hood/other kitchen Address: 9 5 ' S LcJ vv. . U ( C L.✓ equipment 10.00 City/State/ZIP: 'T I L� Z2., Clothes dryer exhaust 10.00 !el./A_ V Single -duct exhaust (bathrooms, Phone: ('3 Cft 4 JZ - 1 5' } (S Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 � Other: 10.00 V A Business name: 1 tp . T- lot j el a� C N a 7 I h/ C • Fuel piping 1 L''l Contact name: fi`, k \2 1u A IAJ F 6 l ez l T i, $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 4) L'✓ rr V \\ i%\ i S ?- I l.'` �` 0 4 - 2 Gas heat pump City/State /ZIP: r t a,il el 0 R C -) 1_.- Wall /suspended/unit heater I V Phone: (VI) .1 - " 5-- \kax:: (--ON :S k r heater / _ t41 1 / Fi epl ce E -mail: Range CONTRACTOR Barbecue Business name: (,c d rc . i r/ \ 4 K.. r / -c Clothes dryer (gas) r �� Other: Sel�1i,he� <::_Z IQ- C vZ UIi^- Address: / (4 csY rS t-.,,_/ (c- ceft.. , J d r ' MECHANICAL PERMIT FEES* City/State/ZIP: 1 , 4.�- a 1 ` � ? 2-3 Subtotal v Minimum permit fee ($72.50) - 77, i50 Phone: (5143 ) S 2y / _ s 1:7 Fax: ( ) Plan review (25% of permit fee) CCB lic.: � (- 0 L 2- t • li , (t State surcharge (12% of permit fee) ' TOTAL PERMIT FEE e', k • ZCI Authorized signature This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: IA, 1 l lj 0 A iX . Date: 2...53_ ol • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 01 /19/07 440- 4617T(11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 • $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. • $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • • 1:kBuilding\Permits MEC- PermitApp.doc 01/19/07 2 9 Elect ric l Permit ApplicatioA CEIV FOR OFFICE USE ONLY City of Tigard j(�• R eceived © 09 �� Permit No.: Ne F- 49 7 Date/B ,, ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie ' C Phone: 503.639.4171 Fax: 503.598.1 B 4 2 Date/By: Other Permit: TI G A li D Inspection Line: 503.639.4175 Date Ready /By: Juris: RI See Page 2 for Internet: www.tigard -or.gov CITY OFTIGARD Notified/Method: Supplemental Information TAP oagibillINCI DIVISION PLAN REVIEW ❑ New construction pAddition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ❑ Commercial/industrial Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", y� 2 t.✓ 1001 -IP or more. occupancy. Job no.: Job site address: 7 1 " v�• 1 ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: 1 � g,41 / ❑ v R Cu ' ' ' 9 ❑ Health -care facilities. ❑ Supply voltage for more than Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Q N e,. st,,? ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: - �' � � ✓ tB i� �, 1 Q � , ' `" Description I Qty. I Fee. I Total I • � -C �r New residential single- or multi- family dwelling unit. T v Includes attached garage. Subdivision: 1 V v ptti T U .) \•}rs-- 1 Lot no.: („f 1,000 sq. ft. or less 4 + Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential , 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 6(1 ,p , ° !, , Limited energy, multi - family - �Vii U 1"-- \ a 1 v - ' 18 L t V e CT t r_ "4 residential (with above sq. ft.) 75.00 2 Uti( 1/ k3 Lc ez_ wig.∎{ Services or feeders installation, site ation, and/or relocation I 200 amps or less ! 80.30 8 `0 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 1) F ` t. J . b kJ GS 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 ^ Address: '\ s S kJ MA U ( L ('— ) Over 1,000 amps or volts 454.65 2 City/State /ZIP: '` VIj %- t 11 L1M Temporary services or feeders installation, alteration, and/or relocation Phone: (fca) 411.- q 51.) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: / A. Fee for branch circuits with lag ' APPLICANT I El CONTACT PERSON above service or feeder fee, each branch circuit J 6.65 ??J Z� 2 Business name: r" A ST \ R p ( co c. C Alt,i I . L B. Fee for branch circuits without service or feeder fee, Contact name: Yk \ \ �• w \J ft. w ( 0 its first branch circuit 46.85 2 Address: / t ((''( ,s w M I s T I t✓ 'to D te� Each add'I branch circuit 6.65 2 I Miscellaneous (service or feeder not included) City/State /ZIP: T1 C '1 tr . j / 0 i2-- i ' 1-2-3 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: 1 ( 1) Fax: ) Z J � � V ASS �� F �,� � 4 — 1 3 Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: -^ A t wq �` ( �� u �� Signal panel, or alteration, or limited- ( T energy panel, alteration, Address: () ` if ff exe;sion. Dese{ibel r ' Page 2 2 City/State /Z1P . 5. O & t b h 3 .. Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: fit7p1 63 Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lic.: /1 3 Lt Y Electrical Lic.: C Suprv. Lic.: j • S Industrial plant per hour 73.75 - ( kQ • (O v ELECTRICAL PERMIT FEES Suprv. Electrician signature, (required: -7 • l' 1 k ( O t - ( Subtotal: I (.2, , 55 Print name: ,o�) 1 1 ` D k 00 Date: ) _ 3 -.0 Plan review (25% of permit fee): V State surcharge (12% of permit fee): ( j , t 3 Authorized signature: �f1 G \1�x.A,,,, TOTAL PERMIT FEE: ( 2.7. Ij 0 .1 This permit application expires if a permit is not obtained within 180 Print name: \ k e IN D A r./ cp Date: '� days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermitApp.dcc 05/23/06 440- 4615T(11/05 /COM/WEB y)ZT CO c(. Cr> Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: I t Fee for all residential systems combined .. $75.00 Check Type of Work Involved: El Audio and Stereo Systems* El Burglar Alarm E l Garage Door Opener* • ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 . system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems El Boiler Controls • El Clock Systems ❑ Data Telecommunication Installation El Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems • El Landscape Irrigation Control* ' ' El Medical El Nurse Calls rr • El Outdoor Landscape Lighting* ' ' . ❑ Protective Signaling , 1 • El Other _ . Total number of commercial systems: _ *No licenses are required: Licenses are required for all other installations • I:\Building\Pennits\ELC- PermitApp.doc 03/23/06 Plumbing Permit Application Building Fixtures RECEIVE ■ FOR OFFICE USE ONLY City of Tigard FEB 4 2009 DateiByd © o , �, /,� H ! ` a) 7/„ ■ Plan Review `/ Permit No.: Ow 5 � 13125 SW Hall Blvd., Tigard, OR 97223 Iii Plan Review C Phone: 503.639.4171 Fax: 503.598.19 Other Permit No.: ITY OF T Date/By: Inspection Line: 503.639.4175 t�D Date Read ethoB runs: ® See Page 2 for TI G Is D Internet: www.tigard or.gov BUILDING DIVISIO Notifie Supplemental Information TYPE OF WORK FEE* SCHEDULE ❑ New construction ❑ Demolition For special information use checklist Description I Qty. I Ea. ( Total a i rddition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 249.20 ❑ 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 350.00 .ccessory building ❑ Multi- family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler (- sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address: 9 ,S t,v PAT U t✓ C Catch basin or area drain 16.60 City/State/ZIP: 1- 6, C ) Q_ 9 '. - . . 4 Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: [ Project name: q 0 C / Footing drain (no. linear ft.: _) Page 2 C 0 ` Manufactured home utilities 110.00 Cross street/directions to job site: J t 0 V ( c - 0 Manholes 16.60 5 ^l' �) � . U 1 w Rain drain connector 16.60 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision :1 - C M (pl k) 'f 00,/ 1-1- S I Lot no.: ({ Water service (no. linear ft.. ) Page 2 Tax map /parcel no.: 1 Fixture or item Absorption valve 16.60 DESCRIPTION OF WORK Backflow preventer Page 2 (� - p.- �,,k-c- L L�.. & - t.(; C/-P . Backwater valve 16.60 ( Q p r - 2..-....., w t ` u fZ 1 y -. (�,t"( Clothes washer 16.60 /`r ,p Dishwasher 16.60 PROPERTY OWNER I ❑ TENANT Drinking fountain 16.60 Ejectors /sump 16.60 T Name: V R (' , S t,.J1.-s Expansion tank 16.60 Address: S'1 ,S 4.-cJ ` U l,L ‘-%-/ Fixture /sewer cap 16.60 City/State /ZIP: 't-- tcl I 7 (S 0,_ c7 -L.).--- -) Floor drain/floor sink/hub 16.60 Phone: (70) 4 3 z Ck SS. C Fax: ( ) Garbage disposal 16.60 APPLICANT 8 PERSON Hose bib ' 16.60 Ice maker 16.60 Business name: 1),tior a c3 K. t o L. Qk C - 'r o- L Interceptor /grease trap 16.60 Contact name: A \ � ( r y ,�..., 1) A re_ 0-AN Medical gas (value: $ ) Page 2 Address: 1 3 6- y c c- L.4 _, Yv\ Le ]-l 4 C "n a Primer 16.60 City/State/ZIP: T � a,- ,, , (' 2 .. 1' . i 2 3 y Roof drain (commercial) 16.60 Phone: VD 7S S'c• 9 I Fax: : (�ri ) r`L y q 31 Sink /basin/lavatory 16.60 I Tub /shower /shower pan 16.60 E -mail: Urinal 16.60 CONTRACTOR Water closet 16.60 Business name: reoVikt Iv\ ` k ( e I V 6 I t"-)°, Water heater 16.60 Address: `l.), 3 , 13 Irt..... a 0 Other: I City /State /ZIP: a t9w \.-S r 0 y e__ Ci 1 i 0 lo Subtotal Minimum permit fee: $72.50 Phone: (5Q'3) 3 i 0 -51 `l S Fax: ( ) Residential backflow minimum permit fee: $36.25 �72 CCB Lic.: 1 07. s 3 3 ‘, • 1- co Plumbing Lic. no.: '64 . an Pt, Plan review (25% of permit fee) /� State surcharge (12 %ofpermit fee) 8.7o Authorized signatur .l_e,- 0.__(,)„.,, , 11 TOTAL PERMIT FEE 8( Print name: A, \ ‘ ` . pi4 t'-- (' Date: 2 _)- V C This permit application expires if a permit is not obtained within �/ 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\ Building \Permits\PLMF- PermitApp.doe 12/27/06 440-4616T(10/02JCOM/WEB) • 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 $309.00 Sewer - each additional 100' 46.40 Water Service - 1st 100' 55.00 Medical Gas Systems: Water Service - each additional 100' 46.40 Storm & Rain Drain - 1st 100' 55.00 Valuation: Permit Fee: �� $1.00 to $5,000.00 Minimumfee $72.50 Storm & Rain Drain - each additional 100' 46.40 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each Fixture or Item Qty Fee (ea) Total additional $100.00 or fraction thereof, to and including $10,000.00. Commercial Back Flow Prevention Device 46.40 $10,001.00 to $25,000.00 $148.50 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 11% 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 Inspection of existing plumbing or each additional $100.00 or fraction thereof, to and including $50,000.00. specially requested inspections - per hour 72.50 Subtotal: $50 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Fixture Work: Plan Review for Plumbing Installations Are you capping, adding or replacing fixtures? If "yes", Plan review is required for any of the following. please indicate work performed by fixture. Failure to Please check all that apply. accurately report fixtures could result in increased sewer fees *. ❑ Any new commercial building with water service 2" and Quantity by (Fixture) Work Performed • greater, except systems designed and stamped by licensed Fixture Type: Replace engineer. Previous Capped Added Existing ❑ New exterior plumbing site utilities for any complex structure Baptistry/Font as defined in OAR918- 780 -0040. Bath - Tub /Shower ❑ Medical gas and vacuum systems for health care facilities. - Jacuzzi/Whirlpool ❑ Any multipurpose fire sprinkler system. Car Wash -Each Stall ❑ Any complex structure as defined in OAR918- 780 -0040. -Drive Thru • Cuspidor/Water Aspirator Submit 2 sets of plans with any of the above. Dishwasher - Commercial - Domestic Drinking Fountain Isometric or Riser Diagram Eye Wash ❑ Isometric or riser diagram is required for new buildings Floor Drain/sink - 2" that meet the qualifications above. -3" 4" Car Wash Drain Garbage - Domestic Comments regarding fixture work: Disposal - Commercial - Industrial Ice Mach. /Refrig. Drains • Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower -Gang -Stall Sink - Bar/Lavatory - Bradley *Note: If the fixture work under this permit results in an - Commercial increase of sewer EDUs, a sewer permit will be issued and - Service • fees assessed for the sewer increase must be paid before the Swimming Pool Filter • plumbing permit can be issued. . Washer - Clothes Water Extractor Water Closet - Toilet • . Urinal Other Fixtures: - i:\Building'Permits\PLM- PermitApp.doc 12/27/06 16:_ide:Dirpe: FEB 4 , .wRcErn, COEFTA: EG 2 ARD 009 i D , ,....._ .. , F 6X2.7% "WhSaMNIfflifirA ffiii!4%/0/-iSi2k4a" ' ffiVieLiiklar ' --' '' ' " aggpsnwswimersammingir , 1 .-5i t ' \I , ,.._ „„. r ../=Wili 1.3 , - -- s - Niiip'• Wr/ 9 9\h. , 3 1 i _ - PROPERTY LINE , • ---- _ \j \ ,- VW ■ i' 1 T - _ ..__ SETBACK\ ------- _ --14117\* , 3 111110 1 B UILDING 3U yR I ve... 1.. sc, D e iv d " ISI 0,_ < C) 011 - --_ _ -- __] 1 \ 1 -.) \ 1. \ T L / \ 1 \ 1 , , / ' ", SITE INFORMATION IN VIEW DR 1 \ i , I C — — — --*-, — — - 9577 SW MOUNTA, Z \... 7 ----- _ ,,21,-,- ..E,,s - t ill 1-- - lilt 1 (-P.), „ , _ CITiii OF TIGATRI: Z \ SITE PL up 9r ?e:AIONT_REVIEW < , --- 4- _ ' --, ,* TIGARD, OR 97224 \ / I g 1 - . I -.7 , R V NI 1 S I N ? . : Al 0_ . \ / L , --,---- i II 4 \ i I \\\\ .."-: eiN D N i i N N G: . -; .. e / I l e ‘ q i Set e k s : • 1 ) I r r , , _ ....... ......„._. ,. i I rosent,:vice H , ' AMIN :a eparance: ( 1 ''''' SED ION I A pprov . x p oeu. N0 0 :: : p P o ro : v ./.4 ; 141111 : CD(D.cca< , r I ' me ria)!im um Buildin ir■ . , r LE \ EXISTING ' i_ i7litgi limf . 1 p L ro i t ter fl I mil I vi LLI \ • I I CI Rear: .../..1 = U I F— co ff col POND I 41giA ` 4.' litorIP I ENEERIN \ I la AA:r:::: 0 Not Approved Agb g ,. ; 4 Wil Pk' 6 VD JAPANESE 110.- - ccj _ I x112 E x igi - - _ STYLE GARDEN RIIIIIIII E'1:413 - det.181P- n§§ 4 WALKWAY i I IP neli 'A % 1 , , , 6 '' lti A calla' Slope:_i_% )5) gOtib Po 2 i ll : 1 i t i 1 1 2 1; 0 1 4 1 hia ti 1.--1 ,‘ (--) I , ::. ',din s‘, i mum S it • Pia, : - I w--. l' i I ( i "--1- .4 B j_ , I k45 ::::IG4ART:43 id — :: clAio Ap.r Si AN RE , tgif=a f NONS: i BUILDING PERMIT NO: 21 III ghlgi XkOiti 6- 22'-07. 1.11 -.. . I /11111.- agOlgtatAil 0 s z I LLI I b c P DRIVEWAY CL ov.red : p Ao:rd...- 0 Not Approved Milgirlehlig a L — I 0 i Approvied r;a11# f o-t A7prov ' el' ©Ljc°P---/-nlYPIGH-FIC:°1997-15L _ a_ — I I , J c 1 MIR _ I I I Approved / I r _ I 1 street Trees: -- -4-_, I i I , ---x--7.4_ / ,,,_ ----- --,... all I Prote r ./ ----, / / -4. 1 B :-et, Te - ----,_-__ 7 -,,, Date: / I NOtes 1 ( 6 . ._, re 1 - -S - TBACK I I M ----- i 716 er 411!— ---\ - / I W ......... . , , \ - Ill t_ .,. I PROPERTY LINE \ I I I D g ' \ \,....■■■ ■-.......„../ I . , N I Iii 1 ' LT Fut,, c _____, , s A I 16865 BOOMS TERRY ROAD SUTTE 202 \.„,. \ i reap — LAKE OSWEGO, OR 97035 \ I < ---,,,, \ ■., I PLAN Nik 112 \s, SHEET eap SITE m_AN Joe I _ I NAP& GARAGE DAM 1 / 200 'S ' / i -..\\ N I I / / REv.MNT. VIEW LN. SHEET Wr A NORTHWEST DESIGN PLAT IITORMATION RECIEVED FROM SR DESIGN