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Permit
It. • CITY OF TIGARD MASTER PERMIT PERMIT #: MST2001 -00009 DATE ,� ' DEVELOPMENT SERVICES E ISSUED: 2/7/01 ---' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 13477 SW 129TH AVE PARCEL: 2S104DA -03900 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 025 JURISDICTION: TIG REMARKS: New SF detached dwelling. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,446 sf BASEMENT: sf LEFT: 6 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,419 sf GARAGE: 660 sf FRONT: 16 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 266,727.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,865.00 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 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 +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: $ 4,634.32 This permit is subject to the regulations contained in the ECK CONSTRUCTION, INC. Tigard Municipal Code, State of OR. Specialty Codes and P.O. BOX 204 all other applicable laws. All work will be done in SHERWOOD, OR 97140 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg #: 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 & Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final . Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insf Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr; Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final Issued B : ' ` ' i Permittee Signature - .. �� _ Y g Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day .� 1 LLhJ Air .. ScvR,200/ —000/0 ,Date received: / / /BVD / Permit no.: J% ZOD -moo- Buildi ¢1,0„ � City of L - - - - - - , "= - Projecdappl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 • Date issued: By:21 , Receipt no.: Fax: (503) 598 1960 _ Case file no.: Payment type: �� Land use approval: 1 &2 family: Simple Complex: Q ` TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other: :. JOB SITE INFORMATION • Job address: / y777 s'_.," /...? 9 7;1 ,,--C Bldg. no.: Suite no.: Lot: . 2,5" -- I Block: ISubdivision: erpeed'avlZ l/�J I Tax map /tax lot/account no.:a5 /gcfp Project name: &e/' l�‘;-: r /30 — 4 /a, 4 /3, `/Y yS, VA. Y7, %,P) Description and location of work on premises /special conditions: OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: � 1'T‘.•c.`t �,� ( Floodplain, septic capacity, solar, etc.) ... Mailing address: a ..7a ' 1 & 2 family dwelling: 7Z City:_- ,..x., ,,e, tate:'ZIP: ��l Valuation of work $ 7. . r1• �� �JZ� /f�xS7.� ' Phone• a all: No. of bedrooms baths .7 Owner's representative: Total number of floors .2 • Phone: Fax: E -mail: New dwelling area (sq. ft.) Z & 6 • • - - - APPLICANT Garage /carport area (sq. ft.) i ® - Name: Sf5W7"C Covered porch area (sq. ft.) y-_ � . Mailing address: Deck area (sq. ft.) I ®1�� City: I State: I ZIP: Other structure area (sq. ft.) Phone: Fax: E -mail: Commerciallindustriallmulti- family: CONTRACTOR Valuation of work $ Business name: ,��j �f .- Existing bldg. area (sq..,.) New bldg. area (sq. ft.) - Address: City: I State: I ZIP: Number of stories Phone: I Fax: I E -mail: Type of construction . CCB no.: /V ©7.J17, Occupancy group(s): Existin_. New: City /metro lie, no.: Notice: All contractors and subcontractors are required to be ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under. Name: / 011011./ ' ��� Q/'lJ provisions of ORS 701 and may be required to be licensed in the �°�'"� lit #./4"" jurisdiction where work is being performed. If the applicant is Address: / ®_r 77 City:. �+ State: ZIP: 97 exempt from licensing, the following reason applies: y:' �/C�,/p i Contact person: Plan no.: �j* Lam% Phone: f ,�.� a ax: _— E -mail: — . ENGINEER ' • Name: Contact person: Fees due upon application $ Address: Date received: City: 'State: 'ZIP: Amount received $ Phone: I Fax: J 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 or4inances governing this ❑ Visa ❑ MasterCard work will be complied with, whether specified herein or not. Credit card number: / / / /� Expires Authorized signature: . — Date: / T Name of cardholder as shown on credit card Print name: • �-e." — � , $ C ardholder 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 (6 /00 /COM) /ys 6 - 2 9, 9 / • c .2 /3a %y3,sW.. A One- and Two - Family Dwelling ti 61. 1 ' Building Permit Application Checklist Reference no.: Associated permits: City gfTigard City f Tig y b ❑ Electrical ❑ Plumbing ❑ Mechanical Address: 13125 SW Hall Blvd, Tigard, OR 97223 ❑ Other: Phone: (503) 639 -4171 Fax: (503) 598 -1960 THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 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. d._�___ • 4 1' ll C U�JIl l�.l app. V Sal i ,quiians. 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 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. JURISDICTIONAL SPECIFICS 23 Five (5) site plans are required for Item 11 above. 24 25 26 27 28 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 (6100 /COM) Mechanical Permit Application Date received: / / / /)/ Permit /ysj�jp / —Qioaj an My,`•rn City J J ' .,.I �� City of Tigard Project/appl. no.: Expire date: • City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By:49 Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Paymentlype: Land use approval: Building permit no.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family • ❑ Tenant improvement S ir New construction ❑ Addition/alteration/replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: Air 77 _ O, /2----- z7"C/ -e Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: 1 Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: Z „s``' I B1ock: I Subdivision: C76 � *See checklist for important application information and � Project name: ct!�i/ Pro j f �cp' CU�rrrL. jurisdiction's fee schedule for residential permit fee. City /county: , . � . ..,., ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: AND COMMERICALIINDUSTRIAL EQUIPMENT SCHEDULE 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? CI Yes ❑ No Air handling unit CFM space insulated? ❑ Yes ❑ N o Alt conditioning rati o of exi existing plan required) Is existing P Alteration of existing HVAC system MECHANICAL CONTRACTOR • Boiler /compressors Business name: y�� t_ �/y� 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 / / ; 7 /f—� , I E -mail: Install/replace furnace/burner BTU /H , Including ductwork/vent liner ❑ Yes ❑ No CCB no.: a.594-27- Install/replace/relocate heaters— suspended, City /metro lie. no.: wall, or floor mounted Name (please print): Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU /H Name: Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type 1/I1/res. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets Process piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert — type Phone: Fax: E-mail: Woodstove/pelletstove Other: Applicant's signature: . I Date: Other: Name (print): Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa ❑ MasterCard Notice: This permifapplication Minimum fee $ Credit card number: / / expires if a permit is not obtained 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) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (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 Furnace $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 , .,,,Boile ,. ,Heat , i. Air" ' , -- .' ,,, . $1.20 for each additional $100.00 or For itemsi7 1.1; see • or. - Pump , ' fraction thereof. :footnotes below �, =,_;` ',Comp_ ° , ,, : - . • 7) <3HP;absorb unit to 100K BTU 14.00. ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb Value Total unit 100k to 500k BTU 25.60 Description: Qty (Ea) Amount 9) 15 -30 HP; absorb Furnace to 100,000 BTU, including 955 unit .5 -1 mil BTU 35.00 ducts & vents 10) 30 -50 HP; absorb Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20 ducts & vents 11) >50HP: absorb Floor furnace including vent 955 unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not included.in applicance 445 13) Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 14) Non - portable evaporate cooler < 3 hp; absorb. unit, 955 10.00 to 100k BTU 15) Vent fan connected to a single duct 3 -15 hp; absorb. unit, 1,700 6.80 101k to 500k.BTU 16) Ventilation system not included in 15 -30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00 mil. BTU 17) Hood served by mechanical exhaust 30 -50 hp; absorb. unit, 3,400 10.00 1 -1.75 mil. BTU _ 18) Domestic incinerators >50 hp; absorb. unit, 5,725 17.40 >1.75 mil. BTU 19) Commercial or industrial type incinerator Air handling unit to 10,000 cfm 656 _ 69.95 Air handling unit >10,000 cfm 1,170 - 20) Other units, including wood stoves Non - portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 21) Gas piping one to four outlets Vent system not included in 656 5.40 appliance permit 22) More than 4 -per outlet (each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator 1,170 , � "A - '• °,' " "° $ Minimum Permit Fee $72.50 SUBTOTAL: ' �,; Commercial or industrial incinerator 4,590 : . , � Other unit, including wood stoves, 656 8% State Surcharge ;, '''., x $ inserts, etc. .1 Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) " ,''r' C .° $ Each additional outlet 63 , Required for ALL commercial permits only 4t% ` " °w TOTAL COMMERCIAL r4' ': ' $ - TOTAL RESIDENTIAL PERMIT FEE: 1 ;^M "1z F, ";,may . $ VALUATION: ;`� . E Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge -two hours) $72.50 per hour. 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour 3. Additional plan review required by changes, additions or revisions to plans (minimum charge -one -half hour) $72.50 per hour * State Contractor Boiler Certification required for units >200k BTU. ** Residential A/C requires site plan showing placement of unit. is \dsts \forms\mech- fees.doc 10/11/00 . • Plumbing Permit Application Date received: /a /g / Permit no.: j jsTZd o/ .10Q0.0 .� , g City of Tigard -... City Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd, Tigard, OR 97223 City ofTigard Phone: (503) 639 -4171 Project/appl. no.: Expire date: Fax: (503) 598 - 1960 Date issued: By•L 9Receiptno.: Land use approval: Case file no.: Payment type: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family Cl Tenant improvement New construction ❑ Addition/alteration/replacement ❑ Food service ❑ Other: JOB SITE INFORMATION FEE SCHEDULE (for special information use checklist) Job address: /59 y 7 5 /2,0V. -r Description Qty. Fee(ea.) Total Bldg. no.: I Suite no.: New 1- and 2- family dwellings only: (includes 100 ft. for each utility connection) Tax map /tax lot/account no.: '� SFR (1) bath Lot: I Block: `� `` - SFR (2) bath Project name: 4'�7, /,27 SFR (3) bath City /county: -Tj.1 1 ZIP: Each additional bath/kitchen Description and locIfion of work on premises: Site utilities: Catch basin/area drain Est. date of completion/inspection: Drywells / leach line /trench drain PLUMBING CONTRACTOR Footing drain (no. lin. ft.) Manufactured home utilities Business name: "0flq, p/• /� �j/�j / - Manholes Address: r � ✓ Rain drain connector City: 'State: 'ZIP: Sanitary sewer (no. lin. ft.) ,- , Phone: e .5 ax: E -mail: Storm sewer (no. lin. ft.) ����� � CCB no.: re, 69 7 'Plumb. bus. reg. no: Water service (no. lin. ft.) City /metro lic. no.: Fixture or item: Contractor's representative signature: Absorption valve Back flow preventer Print name: Date: Backwater valve CONTACT PERSON Basins/lavatory . Name: Clothes washer Address: Dishwasher Drinking fountain(s) City: 'State: 'ZIP: Ejectors /sump Phone: Fax: E -mail: Expansion tank OWNER Fixture /sewer cap Name (print): Floor drains/floor sinks/hub Garbage disposal Mailing address: Hose bibb City: [State: i ZIP: Ice maker Phone: I Fax: 1E-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 ENGINEER Tubs/shower /shower pan Urinal Name: Water closet Address: . Water heater City: 'State: 'ZIP: Other: Phone: I Fax: 1E-mail: Total - Not all jurisdictions accept credit cards, please call jurisdiction for more information. Minimum fee $ Notice: This permit application Pl review (at % ❑ Visa ❑ MasterCard ( %) $ expires if a permit is not obtained Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ Expires TOTAL $ Name of cardholder as shown on credit card accepted as complete. $ Cardholder signature Amount - 440-4616 (6/00 /COM) PLUMBING PERMIT FEES: . • . • RICE , .itle:w711;003;4001 . 0% - ,coiierpfro'oilly: , ; FIXTURES (individual) - .7QTY " motilhg PRICE *""';'2!;':" Sink 16.60 AMOUNT Lavatory 16.60 ioreibftifility.'conriection) "; • 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 . I atmdry 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 ° Quaritity'liYwdek'BeilOrrried:, Gas piping requires a separate mechanical Fixture T ype New - -'MoVed; • permit. MFG Home New Water Service 46.40 Sink MEG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 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 Other Fixtures • Water Service - each additional 200' 46.40 (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 72.50 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 plans with isometric or riser diagram and plan review. i:\dsts\forms\plm-fees.doc 10/10/00 Electrical Permit Application Date received: / /d / r/ Permit no.:/te Za X0009 a �L .•i �� City of Tigard Project/appl. no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: . Receiptno.: Phone: (503) 639 -4171 Y/ Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: • TYPE OF PERMIT_ ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement . YNew construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION • Job address: / 77 4 37 %9l/ Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: '7 Block: I Subdivision: )Zoo -7 J � e o� y G Project name: Qc, /7 I Description and location of work on premises: Estimated date of completion/inspection: CONTRACTOR APPLICATION FEE SCHEDULE - • • Job no: Fee Max Business name: / �C7Z�� e - /����T�� 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: Phone7,07- Fax: I E -mail: 1000 sq. ft. or less 4 CCB no.: �,�y /Z Elec. bus. lic. no: Each additional 500 sq. ft. or portion thereof 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: r- • - • • PROPERTY OWNER . 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: I 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,orrelocation: ORS 447, 455, 479, 670, 701. • 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 - ENGINEER Branch circuits - new, alteration, Name: • or extension per panel: , 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 Phone: Fax: E -mail: of service or feeder fee, first branch circuit: 2 Each additional branch circuit: _PLAN REVIEW (Please check all that apply) . Misc. (Service or feeder not included): U. Service over 225 amps - commercial ❑ Health- carefacility 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 load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lighting plan ❑ Other: Per inspection Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not -all jurisdictions accept 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 Fees: • Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY p Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: , Residential - per unit 1000 sq. ft. or less $145.15 4 n Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40. 1 n Burglar Alarm Limited Energy $75.00 . Each Manufd Home or Modular ❑ Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders n Heating, Ventilation and Air Conditioning System* ! a ti cr .,!te re oca V 200 amps or less v V V V $80.30 2 201 amps to 400 amps $106.85 2 ❑ ,Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ 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 l � New, alteration or extension per panel i l Boiler Controls a) The fee for branch circuits with purchase of service or n Clock Systems feeder fee. Each branch circuit $6.65 2 n Data Telecommunication Installation • b) The fee for branch circuits without purchase of service or feeder fee. I I Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous n Instrumentation • (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 El 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 n Nurse Calls Per hour $62.50 In Plant $73.75 n 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 $ i :\dsts \forms \elc- fees.doc 10/09/00 • CITY OF TIGARD A9A/1C n \A/ I IAI 1 r]1 \ /I1 IJ ILO J.VV. MIL �LVLJ TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON ST SHERWOOD, OR 97140 Plumbing Signature Form Permit #: MST2001 -00009 Date Issued: 2/7/01 Parcel: 2S104DA -03900 Site Address: 13477 SW 129TH AVE Subdivision: QUAIL HOLLOW - WEST Block: Lot: 025 Jurisdiction: TIG Zoning: R Remarks: New SF detached dwelling. Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: ECK CONSTRUCTION, INC. NORTH STAR PLUMBING P.O. BOX 204 1445 SE OREGON ST SHERWOOD, OR 97140 SHERWOOD, OR 97140 Phone #: 503 - 625 -1305 Phone #: 625 -2679 Reg #: LIC 00090697 PLM 34 -255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sig e .ture of Authorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 STREET TREE CERTIRCATO I , OWNER /AGENT FOR .c� C ��� �L s (PERMIT HOLDER) DO HEREBY CERTIFY THAT THE FOLLOWING LOCATION MEETS CITY OF TIGARD LAND USE AND DEVELOPMENT STANDARDS FOR STREET TREE INSTALLATION. 3 s ADDRESS: /J '7 % S) 7A 11 ,k/e /F' 41�� LOT: 23 SUBDIVISION: ao' / /. ‘}-r--- BY: DATE: r--- ZA 6 / SIGNATURE 1 RECEIVED BY: l!; DATE:1 ) SIGNATURE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested L I AM PM BLD Location 1 3 4 / 7 7 94 - Suite MEC Contact Person . Ph `, 6 3 < U PLM Contractor Ph SWR BUILDING Tenant /Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: �pA PART FAIL • PLUMBING . .. Post & Beam ' Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers AS PART FAIL ELECTRICAL . r. Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date Inspector Ext Final PASS PART FAIL - DO NOT REMOVE this inspection record from the job site: J CITY OF TIGARD BUILDING INSPECTION DIVISION MST 6 I P00 °? ■!24 4-lour Inspection Line:_ 639 - 4 Business Line: 639 -4171 _ BUP Date Requested F - a'"I AM PM BLD . " $ Location / 3 f D--, IA-- ,, -Q__, Suite MEC Contact Person I - T .u-- ? , Ph '7 9 3) PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: • Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm f /'e / fc-----/ )4 'gy p, Susp'd Ceiling i 9 Roof I Misc: Al i : Q- - 0 Final 7 • PASS PART FAIL PLU,MBING Post & Beam :/4:: Under Slab 4 5 /�J� Top Out - Water Service Sanitary Sewer _ Rain Drains Final ' �� PASS PART FAIL _ \` MECHANICAL / __ __ N� Post & Beam / Rough In // /pro (-ia(e � } Gas Line Smoke Dampers r Final • \ PASS PART FAIL /- ELECTRICAL Service a �� Rough In UG /Slab Low Voltage Fire Alarm "PASS FART FAIL SITS Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ . required before ;iv vection. Pa - ity Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ Unable to inspect - no access ADA Approach /Sidewalk Date . ^ 0 Inspector ` L Ext Other p Final NMI PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 00(- eo ore) g 24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _ BUP Date Requested ' �� AM PM BLD Location / 3 LI 7 /� /r" �- p rZJ- Suite MEC Contact Person Ph % 9 -63 ?d PLM Contractor Ph SWR BUILDING . Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear � Framing V' J � _ � A &M T Insulation • Drywall Nailing PcQ__ L.1J 7y Fire wall Fire Sprinkler \L� �� — �� t 11'aTv v LS Fire Alarm Susp'd Ceiling Roof Misc: PASS PART FAIL PLUMBING - Post & Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART . FAIL MECHANICAL Post & Beam - Rough In - Gas Line Smoke Dampers 420 PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA � Approach /Sidewalk Date la2__ Ins ector ar Ext Other p Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION . MST < - OdO d cf 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _ BUP Date Requested Z I AM PM BLD Location /3 7 7 ic?-1 14- /3-0-e-- Suite MEC Contact Person Ph �� F 6 3 5' PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation f ( / FPS Ftg Drain 40 (� � � t�� S 14. ' SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains ASS ART FAIL ICAL,. Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL • ELECTRICAL Service Rough In UG /Slab ' Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk 2 / Other Date Z f / Inspector l e re_7I,z Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • • CIT`4pF TIGARD BUILDING INSPECTION DIVISION = ©v040 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 (ST VDU J • • BUP Date Requested AM PM /��" BLD Location / I - 7 7 / -9 Suite MEC Contact Person Ph 7— 4 L PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain I , SGN ` ) Crawl Drain Inspection Notes: 0 Ir'� �^1lT -e Slab t� �✓( �' , , SIT Post & Beam Ext Sheath/Shear (2 ` th /Shear 5 4 ✓`t .YY � C�t '`/ N u Int Sheath /Shear ° Framing Insulation i� 1 Drywall Nailing tiT (. GAS 5 L� � --�,�) �� !v `� r <-.&(L7\ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 1( Roof Final P ASS PART FAIL ' 1 � �--• —� PLUMBING . Post & Beam ��� Under Slab � --�.` Top Out Water Service Sanitary Sewer ge,(YyNgs.---K\ f or Rain_ rains PASS PART FAI ' MECHANICAL ���� Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service_ Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk ) � Other Date 1� 1(01 Inspector Ext=� l Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY,QF TIGARD BUILDING INSPECTION DIVISION ` MST .� oO -- 24 -Hour Inspection Line: 639 -4175 Business Line: 6394171 • - „ BUP • Date Requested AM PM BLD Location � 7 7 / 2 - 34 1- Suite MEC Contact Person Ph '(„ 9- 6 4zo PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing FirewaII ���� � Fire Sprinkler G1 / "'� == - / Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING . Post & Beam Under Slab Top Out Water Service Sanitary Sewer • Rain Drains Final PASS PART FAIL /YD r e / ca !/PY Dp MECHANICAL Post & Beam Rough In e / ` C - n 7) I Gas Line Smoke Dampers C_on yP c_i „er, ho ,7( — Final PASS PART FAIL ( 7 YIi - �_ yie._ -C ELECTRICAL . Service Rough In UG /Slab Low Voltage Fire Alarm aVifi ' AR Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line Please call for reinspection RE: )<nabl e to inspect no access ADA Appro ach /Sidewalk Date F'/ -D / Inspector �� ! /ht ( Ext • Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. "CITYOF TIGARD BUILDING INSPECTION DIVISION. MST rG 610 6 •74 -hour Inspection Line: 639-4175 Business Line: 639 -4171 "r ii BUP� Date Requested 7--3 AM PM BLD Location % 3 4" 77 Y /Or e Suite MEC Contact Person Ph 7P-37 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear - Framing Insulation Drywall Nailing Firewall I Fire Sprinkler / 5Pa c e J, a /e_ c. 4P « 5 Fire Alarm Susp'd Ceiling Roof 2 ,) C i( it r lee - `n y� Qi& Misc: Final a —� PASS PART FAIL • ,PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains • Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers • Final PASS PART FAIL ELECTRICAL a` Service Rough In UG /Slab Low Voltage Fire Alarm . . Final PASS PART FAIL . SIT Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA oac i ewa Z 0� Ext �/i Date Inspector Final PASS AR FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 6 1 .'24 = Hour Insp ec tion Line:_ 639 -4175 _ _ Business Line: 639 -4171 BUP Date Requested — " O AM PM BLD Location / 3 c( 7 7 54t1 / 2 Suite MEC Contact Person Ph ?f4 39/ / PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: I Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing .ailing Firewall Fire Sprinkler Fire Alarm . Susp'd Ceiling Roof Misc: • aI PART . FAIL fttniirBING _ • Post & Beam - Under Slab Top Out Water Service Sanitary Sewer Rain Drains ' Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL ° Service Rough In UG /Slab Low Voltage Fire Alarm Final . PASS PART FAIL SITE BackfilllGrading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date S 6 Inspector ' Ext - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' ' 'CITY. OF TIGARD BUILDING INSPECTION DIVISION MST 0 2e1 o / —&O •24 -Hour Inspection Line: 639 -4175 _ Business Line: 639 -4171 BUP Date Requested AM PM BLD Location / 3 5/ 7 - 7 Suite / MEC Contact Person Ph ?� -� 3 g/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final • PASS -PART FAIL PLUMBING Post & Beam Under Slab Top Out . Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL A NI AL Post & Be am o • 46 11T - Smoke Dampers A 2 11 1$ '15 Final • PASS PART FAIL ELECTRICAL Service Rough In • UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date � Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. f iz•/6 - - • CITY.,OF TIGARD BUILDING INSPECTION DIVISION MST Ur e-0 G•G 24 =Hour Ins pection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location / 77 S e4/ f Suite MEC Contact Person Ph 7 f PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear - in. ation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: • SS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL y;L;1► Post & Beam Rou.h — Cah jV.C.CT tN.UAI3S ' 5 t moke Dampers v 1 1 • Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm . Final PASS . PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall. Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date 5 s Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 5 p 'CITY OF TIGARD BUILDING INSPECTION DIVISION MSTCV 0 a 24 -Dour Iw'ispection Line:, 639 -4175 Business Line: 639 -4171 . BUP Date Requested AM PM BLD 5 � /Z Cl Suite Location / a � 7 � MEC Contact Person Ph 7 � , U PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: s Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing � 7'G7 C Firewall Fire Sprinkler AecJ,, h /),) „— Fire Alarm Cd i /r�� f // Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL V ET-MAL u h e Ro � L d ugh In UG /Slab Low Voltage Fire Alarm • MAL PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Date S - 1 - 0 �! e/ Inspector I �, � / �./ E x t Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the.job site. I 2, (./ 3p i • 'CITY OF,TI,GARD BUILDING INSPECTION DIVISION M ST v : • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • / BU P Date Requested c - ' s AM PM) . BLD Location 13 (1 71 5 w / Z9 Suite MEC Contact Person Ph 7616 3 q / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ,,I-; � / ` Framing (/1f V 4/73/61 C�3) t SS +S Insulation %V\--e p k. SCA —e-S 1 4- - 7 Drywall Nailing �� C/ � �J `� Firewall Fire Sprinkler Fire Alarm - 1/e- .,1 SA'r/V" er5 &s &s; Susp'd Ceiling Roof i Misc: — i(.�' Q1 '' <<k Final PASS PART FAIL (LOMB c _ 0 /` _ ,. . Post & Beam • \ i Under Slab /t-. C %rsr \.- c.......- "--es- 40 , ,..0.41 ma " rater Service Sanitary Sewer Rain Drains F PART [ HANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL . ELECTRICAL Service / Rough In UG /Slab \/ Low Voltage Fire Alarm Final - PASS PART FAIL SITE , . Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable, to inspect - no access ADA Approach /Sidewalk 4/ 101 1 (` 3 19 Other Date 4/ I nspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. / . • r • CITY, OF T,IGARD BUILDING INSPECTION DIVISION ` ��� . 410 24-flour Iri pection Line: 639 -4175 Business Line: 639 -4171 d • / 1 1 s BUP , Date Requested `f - z3 AM 11 1 `-f' PM BLD • Location / 3 `i 77 Sk.-) / Suite MEC Contact Person Ph 7, � PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear >; Framing b I' Jr a - L (.p Cl Insulation 1, , Drywall Nailing V� / t Firewall Fire Sprinkler Fire Alarm 1 �� • A —�{ Susp'd Ceiling (��� S Roof Misc: �A I -.9_4. �. Final PASS PART FAIL ' _ 1 � • Pos eam Under SlaV, .3. NW/x.t 1,L \o[Aj i (/),/4. `J (3 •--.ti ate Service Sanitary Sewer Rain Drains 4 ,1 5, L j Final l // PASS PART 0eA4 4- 7-‘..- ' , ° -- 1 MECHANICAL a j� & � au - ti � Post & Beam " Rough In /�/lI 22 - Gas Line Smoke Dampers VU _ -/ U; TA Final i, 1 1 .- A r - __AL IF 4 PASS PART FAIL " __L1 x___ V� f SA/v �� t--�r C— 4. n ELECTRICAL Service Rough In UG /Slab _. Low Voltage Fire Alarm Final PASS PART FAIL r SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for.reinspection RE: [ ] Unable to inspect - no access ADA App Date roach /Sidewalk 4/ 7;5 / 0 1 Inspector \Z: EXt3 1 Final 11 PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF- TIGARD BUILDING INSPECTION DIVISION MST 260/_... # 24- Hour'ins p ection Line: 639 -4175 • Business Line: 639 -4171 BUP I. Date Requested /42 —4( AM :° PM BLD • Location J 7 Y 7 2 S'=-- /z_ 9'L s 7 . Suite MEC Contact Person 4 t _ S sr O Jz-'' Ph 92. 5 v' 3 PLM Contractor 5 7.......-t_ ...,/‹.__ Ph SWR BUILDING Tenant/Owner - ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath/Shear Int Sheath /Shear /� Framing �,-t� ia Ss vr� e &"' // c7 L di Insulation Drywall Nailing �j2re�S3 u2 e A.--e)'- r ...� U DC �. i�� �C�c .., t .2. - e- Firewall Fire Sprinkler ` ,�� ``') A , ..e._ .X' dJa e_ -�+ -- G rL--4., o Fire Alarm Susp'd Ceiling 4,/,.0 7-c'` "' G "`� `e. Roof Misc: Final JJ'"z,,��12 1 /li+9 '< I ' .✓ C2/l ,4' PASS PART FAIL l 44 '" 1 / PLUMBING 11.. p-e , Go :: 6 .„... e:),, <post & Be 1 Under Slab t To nia er Service? 1- U►¢ --�• e i c ,, •G - i 3 /le.c - ,<-o -:.-1 Sanitary Sewer Rain Drains -- 40 ilW Aigt Post & Bea Rough In t. ,/ �j� Gas Line 7 Smoke Dampers ,jar•• 41.4 9 4. 74 G 4 Final AIM ..7 — i m PASS PART FAIL m q �� /% ELECTRICAL L e / �/ x � ©�� S 111P 1111.r.' / ervice G'� Rough In - UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL • SITE Backfill /Grading Sanitary Sewer • Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA a . ,� z / 5,22:: Approach /Sidewalk •� Other Date 4/ / G ' v / Inspector A l e Ext Final OV7A. PASS PART FAIL DO NOT REMOVE this inspectio ecord from the job site. ` GITY OF TIGARD BUILDING INSPECTION DIVISION * rviST . 7. a ° • - 24 -Hou, Inspection Line: 639 -4175 Business Line: 639 -4171 ,/ BUP Date Requested / AM PM BLD Location / 3' 7 7 5 4,/,2-f `'` Suite. MEC Contact Person Ph 9 65 9 / PLM Contractor Ph 42g)? (— 60 /0 BUILDING Tenant/Owner ELC ./2 D/ 6 Retaining Wall ELR ' d Footing Access: Foundation FPS . Ftg Drain SGN (# Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear • Int Sheath /Shear 1 (> 2 ,, ( ( - v Framing 1 V 0 c c.4- i o C VE0 -�1/lA \, LLAAA, n. -" o Drywall Insulation Nailing `/� /t L> d Dywal � 'T Fire wall C'e'- 1 9 \ ^ �� v � Fire Sprinkler v . Fire Alarm V T ( _��� Susp'd Ceiling ' � � - Roof 1 3r1A--12_. ekiL.A...i.,%,.. misc: Final (I ` V\ �, /� ( ` J�1 _ n PAS PART- FAIL ` �[� � � PLUM, - _ (�`� /� C � e ___c_z,..,.x_...___s2., -., Post & Beam i ( LL1V\ Under Slab K04. /n L S f op 0 1 -- Tater Service • ob./ Sanitary Sewer 0,1J 1.1-Z) a C • / Rain Drains Final � PASS PART FAIL dp am r \A LA-- e q - L.e_ MECHANICAL 31--1/\_.-+Z Post & Beam s G S Rough In L) Gas Line Smoke Dampers �A r ..\ �� ��- Final �'"� v 5 PASS PART FAIL ELECTRICAL; = : ," Service Rough In UG /Slab . Low Voltage Fire Alarm Final PASS PART FAIL SITE. _ ° " Backfill /Gradirig Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA / /J �. Approach /Sidewalk Date 4/ ` 2 Inspector Other " �' Ext \ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site • . CITY Or TIGARD BUILDING INSPECTION DIVISION .. • • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST "oof� a f BUP • Date Requested 4 U AM PM BLD Location /3 y 9 7 /21 Suite MEC Contact Person Ph r � 0 PLM Contractor Ph SWR UILDIN Tenant/Owner • ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain ` SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheat Shea Int Sheath ear Framing Insulation Drywall Nailing Firewall Fire. Sprinkler Fire Alarm - Susp'd Ceiling Roof Misc: F - ASS PART FAIL PLUMBING. Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL w Post & Beam Rough In Gas Line - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fii Alarm. Fina`I PASS PART FAIL SITE • Backfill /Grading Sanitary Sewer Storm Drain - [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ' [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date Its Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • C�T.Y.. 9F,TIGARD BUILDING INSPECTION DIVISION - j • 24- ii�ourI Line: 639 -4175 Business Line: 639 -4171 MS - `/ � (5) � c7(./L3 BUP Date Requested 3 �( AM PM BLD Location /3f 7 7 5 `v /- Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear C-6 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL Post & Beam - Under Slab Top Out '3 i ary Sewer Rain Drains I. Final PASS PART A MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage a, Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk I Other Final Date 3 r 6 Inspector C� E xt' 5.1 1 PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 'C �Y•6F TI.GARD BUILDING INSPECTION DIVISION ' ST ' M - , 24- Hour'Inspection Line: 639 -4175 Business Line: 639 -4171 • • I BUP Date Requested 2- - 1-4 AM t 41 PM BLD Location /, V 2 7 $ -' / Zi ni Suite MEC Contact Person 1 Ph ?g 6 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear / L Framing L Insulation Drywall Nailing Fire wall I i— ""n 4 5 t— Fire Sprinkler t Y v l� Fire Alarm 1 Susp'd Ceiling Roof Misc: Final PASS PART FAIL Post & Beam Under Slab Top Out Sanitary Sewer Rain Drains Final PASS PART 421 MECHANICAL Post & Beam - Rough In Gas Line Smoke Dampers Final - PASS PART FAIL ELECTRICAL Service Rough In UG /Slab • Low Voltage Fire Alarm Final PASS PART FAIL SITE • Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk -� �i Other Date (�t1 Inspector E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • QITY sOF TIGARD BUILDING INSPECTION DIVISION " : • , •24 Inspection Line: 639 -4175 Business Line: 639-41 MST U I)d O • j � BUP • • Date Requested Z•' 2 7 AM PM / ��"� BLD Location /3I( 7 7 '(Ai / Suite MEC Contact Person Ph f69 3f PLM Contractor Ph SWR Tenant/Owner ELC ing all ELR Footing Access: Foundation FPS Ftg Drain SGN Inspection Notes: Slab SIT Post & Beam Ext Sheath/Shear 1 UL— Ina Sheath /Shear �', " V ' / Framing �/�J Insulation Drywall Nailing daYL`-*-- Firewall n l \ Fire Sprinkler t W Gib l 1 '" Fire Alarm L4 , Susp'd Ceiling Roof liL■ �c V14) "� C ce5, arSP Misc: _ V (J�. t PAR i;);' U t )%∎I ` 14` Post & Beam Under Slab • Top Out :r„n, n�s �_"r,11wIlati--, � 5 Fin _ -� PART A� - - • NICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final ' PASS PART FAIL SITE ' Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date 2� Inspector 6 I ector � Ext l Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. C9Tv off' TIGARD BUILDING INSPECTION DIVISION MST 2041'— ® , AA ' ' 4LHour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP + • 61/ Date Requested �� AM PM BLD Location I X4- 7 7-4 CL-J /2--+(-4 Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC e aining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab • SIT ost & m Bath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler. Fire Alarm I �� LL �� . W Susp'd Ceiling � ^� � �A ON\ Roof Misc: Final PASS PART CFA!) PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PA T FAIL • �II • ECHANIC s e g n • Gas Line Smoke Dampers F . =ASS PART /alb -- TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE - Backfill /Grading Sanitary Sewer - Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Z 16 Inspector Tjj6 Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site CITY QP T1GARD BUILDING INSPECTION DIVISION '' MST ?z 794, • ., 24, i-Iour Inspection Line: 639 -4175 Business Line: 639-4171 794,6k) • ,, BUP Date Requested' - ' AM PM BLD Location / 3 7 ? S / 2 9 & Suite MEC Contact Person Ph f s 3 7 3 PLM Contractor Ph SWR BUILDI� Tenant/Owner ELC Retaining Wall ELR Fo. ' • - Access: ou . • FPS g Orin Crawl Drain Inspection Notes: !� r f ,� y G /2.,' 3G, SGN Slab / SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm 7� 1 ).X i . V ^C ' t 2E' Susp'd Ceiling Roof Misc: N3D Ltr IBS PART FAIL PLUMBING : Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL • 1" Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS. PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Z Inspector Ext Other Final • PASS PART FAIL DO NOT REMOVE this inspection record from the job site. F. i . . • • ^ .0 • .., . .f a MST — Master Permit . 1 I Inspection Description Date Passed By Notes . Gradin • Footin: /Setback - I Foundation walls Slab ' Footing drain Waterproof basement walls is Plumbing underslab Crawl drain 2 70 i WS Post/beam • lumbin . II Post/bearn mechanical Underfloor insulation NI Post/beam structural linIMMINES II Shear walls /anchors IMMESIIIMMI • Exterior sheathin: 4 1° cs\ • Plumbing top -out I Gas line & test Y � O� _ I Mechanical rough -in Electrical rough -in Al Electrical service 0 pi, P Low voltage ' Sprinkler rough -in Backflow preventer `t Roof nailing I. Firewall �� it Framin: L +] _ _ MFG -Home set -up �..�.....i Insulation 7") lb I , Drywall nailing '' w -a-- -e Masonry /Reinforcement �i Rain drain 2727/c 7 • Sanitary sewer 2 -1.-7 /o i Water service , i . )o 07 Pump /fill septic tank )I Approach /sidewalk Grading final ii Mechanical final 51 Io t Plumbing final ,r -2 -0 / Electrical final R ! Z j`11 �c3.4 Final inspection B 111: , �. Special Reports )1 SWR - Sewer Permit 'I Inspection Description Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD - MST (MASTER) PERMITS i .. <d " 4 ,. ( � ` r. • 1".. ' 4 / A C MASTER PERMIT ® _ !` r. PERMIT #: M ST2001- . 0 0009 • � r,, DEVELOPMENT Tigard, ) 639 -4171 DATE ISSUED: 2/7/01 SITE ADDRESS: 13477 SW 129TH AVE PARCEL: 2S104DA -03900 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5 BLOCK: LOT: 025 JURISDICTION: TIG REMARKS: New SF detached dwelling. Path 1 . BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,446 sf BASEMENT: sf LEFT: 6 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,419 sf GARAGE: 660 sf FRONT: 16 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 266,727.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,865.00 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAW DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 q GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL ____•, _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS - 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: ' 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MP NU HMISVC /FDR: 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: Contractor: TOTAL FEES: $ 4,634.32 Owner: This permit is subject to the regulations contained in the ECK CONSTRUCTION, INC. Tigard Municipal Code, State of OR. Specialty Codes and P.O. BOX 204 all other applicable laws. All work will be done in SHERWOOD, OR 97140 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: n law requires you to follow rules adopted b Phone: Phone: Oregon q y p by the 1 Oregon Utility Notification Center. Those rules are set Reg #: forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to `'I OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final irktill i Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insf Rain drain Insp Plumb Final ritik Foundation Insp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final c*V Issued B --(- _ Permittee Signature _:___— - ,�_ ` Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 4114114