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Permit EXPIRED /a / ^ Sub 2. i s J Building Permit!, 'T 11��' L +h t - Ell F K,. r =FOR OFFICE USE ONL't ' ` � t � h) n ' - ; r - t ,.. , = d .�. � ., . .. .' W ,• ..3 tit ,- ,\ s 0 e, .� �,. � . a � .1.; }..I .,t T. ti , ,,' City of TIgdr Rcccl, c( ri mil 4 A ' t 2007 I)aIC'Il, "M— --200 , VISS 71 n 13125 `.)1/,' !fah BISIER_:2l 41Z20073 Plan Re \le,\ Other PCin hUne /�� OF ul �f /)I'�.�. '7 e 5q i 639 -I i(1 i �y ' 1960 ci I OF I �.. ...... ® Ihnc'll, `1 • 2 • _ .1. �L�' TIC7 l RD • il�) t e 'C i1 1111 I IIi e fii !Ole Redd\ IIN - rr�j� 1' / / I-�r^ E l ',re 'ttached ' heckIi.t fa, -...• ur ,5� Internet \\\\\\ r' i i : .`��'V4'1- IVlSlR' Nnulied;Mcl d / /./ O? � I 776r Supplemental Information `A f..- TYPE OF WORK dr REQ RED DATA: I- AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit Fees* are based on the value of the \\ork performed 1 Indicate the value (rounded to the nearest dollar) of all ❑ Add ition /altelatiOn /replacement ❑ Other equipment. materials. labor. overhead. and the profit la the CATEGORY OF CONSTRUCTION \ \ork indicated on this application psi Valuation S ' - 43 08 I - and 2- Lmmil■ d,\elling ❑ Con ine'cial /industrial ❑ Accessor ■ building ❑ Multi- Famil■ Number of bedrooms ❑ Master budder ❑ Other Number of bathrooms y 1 JOB SITE INFORMATION AND LOCATION Total number oh floors Job site address 4 B 1-2._c) S3 LativiorkrcL., f New dwelling area Any square feet Crt\ /Slate /L_IP tu . • r2 '; 2 , ' - Garage /carport area .. 7y‘ square feet Suite/bldg /apt no - Protect name e, 1 ,� _ Covered porch area , y - square feet Cross street /directions to job site Deck areal square feet 14 tA-LU L..t V1 -1yte. c2-. Other structure area square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision 6,_ .. -,5CA (J( Lot no Permit lees* are based on the value of the \\ork crfornled lei:. U�St �-7 P l ax map/parcel no Indicate the value (rounded to the nearest dollar) of all equipment. materials. labor. overhead. and the prolit Ior the DESCRIPTION OF WORK work indicated on this application Valuation: S Existing building wen squale feet Ne\v building area square feet \, 10 PROPERTY OWNER ❑ TENANT Numberot stories --- Name. L / '/\ ii , PIA. 0 _. I) pe of construction ' Address. 'vs 6(,! Vj i pl.-1/{,1 3 k J /_J77 Oecupanc3 groups. CIt \!State /LIP T16,,1/1 -y,pi V' / c.7-72.„4, Existing. ('hone (C 3) 1..e J'1 ._ 31 01 4 Fax: ( 5 c/" [ 0 . qO 0 p I New ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name• ctI m ILL'r-DlJon hDVn -9 i LL( All contractors and subcontractors are required to he Contact name: " . y � 5 VIA ,V f 6 &-) under with the Oregon Construction Contractors Board under ORS 701 and may he required to he licensed in the Address: I Ili 7 5147 to S he\ I!} Vel Su I k- ilk jurisdiction in \\Itch work is being performed If the 8 City /State /ZII':T� �. ( n 2 g-72-2-3 applicant is exempt from licensing. the following seasons ^ c� a ,I). Phone. ( r 'W D 3) _ 31 D LI I ax ( 503 511 - ODE/ J E -mail. `L, /�J1 � CONTRACTOR Business name. C.edr,> { m I L'U n)/l)V\Vt prILS _ 1 / BUILDING PERMIT FEES* Address r 7 r 5 ■ 8 A , ^ (Please refer to fee schedule Structural plan review fee (or deposit) Cit)/State /ZIP; T76 02 cr ZZ 3 FES plan review fee (if applicable) Phone. ( 50 ) 1a 3q . 310-1 Fax (5P3 .�-t R . CCB he . ' 7 Z 5 (P Total lees due upon application Amount received Authorized signature This permit application expires if a permit is nut obtained — — within ISO dad's after it has been accepted as complete. t I t'nnt name `rt Vy'1 +-71,1/1,%1A4 1/Y) Date q / ( g w-7 • I cc methodoto set bt I ri-C ount_y I3uildinu Industr\ V 1 f ',mice Board I' Iilnldiurq'cim,ltiVllUP- Peimn_pp,do, iii' -Imo .440 --1b 111111 '02 OAIlw'i Ill 08/29/2007 14:24 5036425815 ROSS ELECTRIC INC PAGE 02/02 1 a r .. Electlri : � t ,Lid ��t� , ' � 2 i. . � � s f Hall t s r. ' E P 2007. Received D ER g _ Da7 • o� 5 J l mttN° _. - : _ ,,..,,, 0,..,.. 1 riNiA • • - • • , City �; az, Phone: 503 639 417 I? 5 5 • B p Plan Review Inspection Line: 4.:, �� i C i 1 Y • I i !z l + ' Date/B : > r • a 71 ` = Other Permit r _ _ Date Ready/By. ; N. 1 i El gee Pa • Infarct: •' Ji s + . a � ,, - s. 8 7 • • . `' i�i 1 D V, Notified/Method' Supplemental information � '� Ih11,e'„_ .. f� � �� .. n ci ," 7 '+�. �'Y.`. =� �+�. �� {�'�' r � P71 , T.s .,i_ „ `.� v o F7.LtL',._ 3'.Ja}tr:Vag! 1' " I: ' 1s �'L,.AR r .: -∎-' I _P „�Ir i� y ..� 1 4V 7111 54 New construction ❑ Addition /alteration/replacement Please check all that apply: ❑ Demolition ❑ Other ['Service over 225 amps, �tnm'I ❑liazeraoas location i ( ° u1r +p �*w ❑Service over 320 amps - rating ❑ 6 Baiidng over 10.000 sq. ' t'•:,- .(iu �..... t` i� ",.0 i� ,� of 1- and 2- family dwellings 4 or more new residential ] -and 2- family dwelling ❑Commercial /industrial ❑ Accessory building ['System over 600 vole nominal units in one structure bp Multt-fam' ❑Master builder ❑ pe r: ❑Building over three stones ❑Feeders, 400 amps or mor ` -i 4 �, � y C, GT I w Y � r ❑Occupant load over 99 persons ❑ structures Manufactured structures 0 f �i7 - � ' ❑fisresslligfititrgglan RV perk Job no.: Job site address: 2 3, ( 5t,0 LA netinG y 01ealth -care facility ❑other Submit 2 sets of plans with any of the above. City/State/ZIP: $ • i j p, of - Z The above are not applicable to temporary construction service. Suite/bldg. /apt- no Project name: Pro CI S n / . sft + , ,i )r` ? S �I F ; i =( '4 iy9 ` j ! IL[/ .� � �.," -NSF? ,rte, � -iFrii ; t4 � - Descrlpttoe Q4- P. Total n ' Cross street/directions to job site: New residential single- or multi - family dwelling unit. includes attached garage. /ail A WI _4uI1 ..t L d 1,000 sq. ft. or less 145.15 4 Subdivision: Gar _Asp ( f , 4 0 , J Lot no.. / Ea. add'i 500 sq. ft. or portion 33.40 t Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 I;,_�r +31 r 1 g4 c:ac �n , ire , y , F �n'.4,:{,'tT �ciTtd ,n l!: t�Jti.2 de ;)• t (t a wadl;r„a.,..r-»�,.ii ,�L. -.N'1+ _ ;'.,,;+, q l�?.,'S 'rtt Each manufacauedormodular yu �- dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocatio 200 amps or less 80.30 2 w`,!' .., mce' al ` ter, 4 ° s ` T - `i'- .; :nve! 81 x aE T.- 201 amps to 400 amps 106.85 2 nti, r:,, ;;a�aa G'" 401 amps to 600 Name: C ( Mt t,t, P maps 140.60 2 TnU�r�►� 7C L(.,�.- 601 amps to 1,000 amps 240.60 2 Address: . 2L17D SG,0 ,,'-tvs- .. H y ^, Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 Ciry/State/ZIP: (_.) j D (xZ 67 L�3 Temporary services or feeders installation, alteration, and /or Phone: il 3 � b (50 ) ' • p relocation ( ) r . 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, • exchange, according to ORS 447, 449, 670, and 701. Owner signature: 401 amps to 600 amps 133.75 2 ` D ate: _ , ^ Branch circuits , new, alteration, or ex tension, per panel ��,, ^rr.- D- n P- rs7 : w� ?ri. :y+''. v P • .1 - bra ch circa .i�a �.:; ::..�.�tr.�c ,,, =L =;� �.�h.i' 1 ' _ �, A. Fee for circuits with � serv or troed fee each C t° AA I / m t w ■,,,�13I2 ' � = branch circuit 6.65 2 Business name: me: ■ �� t �� B. Fee for branch circuits Contact na �� z nar ;or without service or feeder fee, 46.85 2 Address: r 0 • • - } r` At • hp _ each branch circuit Each add'l branch circuit 6.65 2 City/State/ZIP: 16 v y17 r '7 Miacellan uu9 (service or feeder not included) 0 Pump or irrigation circle 53.40 2 Phone: ( ) , ei - i� Fax: :( --,, mob - D ; Sign or outline a.l� / I� Signal circuit(s ll or limited- 53.40 2 '; ; ` E- T t M F - 1 energy panel, alteration, or Business name: Rp SS ste oil -Ft, i'1 G extension. Inscribe: Page 2 2 Address: a g 70 se' 7 S •e_. x.263 Each additional inspection over allowa in any of the above Per inspection 62.50 City/State /ZIP: Hi) 1 5(op7,Gj o r g 7 ra "5i Investigation per hour (1 it min) 62.50 Phone: (5b3 ) I t ii- 2 ' Z too Fax: ( '3 ) G q z $1f tS Industrial Cant per hour 73 75 CCB Lic. 5-76.7 l c {'y3lo c Suprv. I i z r .� •;" AW i . %` 4 , � E'`�` e , „a,?' Electric Lie.: 3 . 5 Subtotal Suprv. Electrician signature, required: _,90,../ ,2 Plan review (25% of permit fee) Print name: r5- "•2P - x g0 S S Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature: Th,s permit applivtion fires if o ' p permit is not obtained within 180 day a fter it ex has here a ccepte d as complete V /I Iii V I Datc: t 0 7 • Fee methodology set by Tri'County Building Industry Service Board * * Number of inspections per permit allowed. muileisosrmors -C -P rmiApp.doc 12103 440.4617 T(10/02/COMM'EB ■ _. 1 4y�_- 77 51 • Plumbing Per ; �4 ,,' Ir. ; ,,• 1, , d" - I_JP-,f =-1 FOR OFFICE USE ONLY 2 4 2007 S E P 2007 Receis City of Ti � , / ,I Permit No y e.�-2 - /Q� Y 13125 NW 1 tall3 , vvd . Tigard 2 3 O t 2 Dale /E3� �,)J_.Ld..(,[�— tdJ�V� : : Phone 503 6QY1 � 19 0 �, e' � n � Plan Re,ie„ ...0 - .. �� ! �� v C Odle! Pei ion No ■ g nr f �. Daici[3 TIGARD InspecllOn � ∎_ I I „ �z2u� $ 0 I),tle Reach 13� w. 8 See Pae liii Internet v,5151 lit, - or °_oA Noulied'Melhod �..."76 Su pplemen K Lil lnliirmatwn TYPE OF WORK FEE* SCHEDULE New construction ❑Demolition For special information use checklist. Description Qty I La Fotal ❑ Addition /alteration /replacement ❑ Other New 1- 2- family dwellings (includes 100 ft fir each utility connection) CATEGORY OF CONSTRUCTION SFR (I) bath 249 20 cz I- and 2 -lamil) dwelling ❑ Commercial /industrial SIR (2) bath 350 00 ❑ Accessory building ❑ Multi-family SFR (3) bath 399 UO Each additional bath /kitchen 45 00 ❑ Master builder ❑ Other - Fire sprinkler ( sq It ) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities Job site address $ 17 Q) 5(..,,.. Le4. V1-4--a-6....- Catch basin or area drain 16 60 City /State /ZIP I IlJ'74j ) t DE_ G/ Drywell. leach line. or trench drain 16 60 V Footing drain (no linear ft ) Page 2 Suite /bldg. /apt no. Project name: NW:17(2,)(2..6cj.1— Manufactured home utilities 110 00 Cross street /directions to job site: 1 1 • r V Manholes 16 60 u/r41 / sl- Rain drain connector 16 60 Sanitary sewer (no linear ft —) Page 2 Storm sevter (no linear It ) Page 2 Subdivision c 1 1 4 ..t (// Lit no Water service (no linear ft ) Page 2 Fixture or item I ax map /parcel no _. Absorption valve 16 60 DESCRIPTION OF WORK Bachllovs preventer Page 2 n -AA J ()_o / 1_, �J (f 1- 14T- Backwater valve 16 60 I ' L Clothes washer 16 60 Dishwasher 16 60 gl PROPERTY OWNER I ❑ TENANT Drinking fountain 16 60 Electors /sump 16 60 Name a C k i t i r « w — 1 - 191.0V% w)t,5 5C / (,(// Expansion tank 16 60 Address 1, u -10 , LA7 tc / - Sim -k_ LIvD Fixture /sewer cap 16 60 City /State /ZIP. n7+ [ 7 0 0 ; Floor drain /Iloor sink /huh 16 60 Phone ( 5p2 2 ) ( J 31 D( , Fax (� sa g. dog / Garbage disposal 1660 ❑ APPLICANT t ❑ CONTACT PERSON Hose bib 16 60 Ice maker 16 60 Business name CPtr rn 1 U i D,.l)��nYYI�& u(2 Interceptor /grease trap 16 60 Contact name' a l rv' '..p0Avi Medical gas (value $ ) Page 2 Address 12 D r 5t) r L ( 6 4 4 5 -40 iPO Primer 16 60 City /State /ZIP -n vr� ( ( ) Q _ � 1ZZ3 Roof drain (commercial) 16 60 /� Sink /basin /lavatory 16 60 Phone.( ) IA50)- ";101_1 l'ax (�y3) sq /o8( 1 R ” °/ 1! Tub /shower /shower pan 16 60 E -mail. 1 SWL5 - r 1.4l(nk F��I- (Q1t'1 Urinal 1660 � CONTRACTOR Water closet 16 60 Business name Th Li p(11/11.41/1/\, ( ,ej yt t Watei heatei 16 60 I u D 1 5 `�� ryyt - zoo __ Other Address: �L ✓ C� �� V f , 1� 7 � �l�t 0u. City /State /ZIP 1__h U -s D� � h /z3 Subtotal i Minimum permit fee $72 50 Phone ( %2) lag0 —o( ( 3 Fax. ( 503) (AD _ Lpig 3 Residential backflow minimum permit fee $36 25 // Plan review (25 %ofpemut fee) CCB Lie q �� ri Plumbing Lie no.: 3 L�D NI State surcharge (8% of permit tee) Authorized signature g 1 01 PERMI I I E I. _ J Print name I 1 w` S � l ' ty [ t V, Date qil, U V/ t This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Fri- County 13uiIding Industry Service Board I , nuddmg , Pei nnal'LsI- Perms App doe 06g6N6 4 10 -4* 161(10 /02r( O, \1/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 - 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 - 1st 100 55 00 Medical Gas Systems: Water Service - each additional 100 46 40 Valuation: Permit Fee: Storm & Ram Drain - 1st 100 55 00 $1 00 to $5 000 00 Mlnlmmll 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 each additional $100 00 or fraction thereof to Inspection of existing plumbing or and including $50.000 00 specially requested inspections - per hour 72 50 Subtotal: $50.001 00 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 ❑ Any new exterior plumbing site utilities Baptistry/Font ❑ Medical gas and vacuum systems for health care facilities. Bath - Tub /Shower ❑ Any multipurpose fire sprinkler system. - Jacuzzi/Whirlpool ❑ Any complex structure as defined in OAR918 -780 -0040 Car Wash -Each Stall - Drive Fhru Submit 2 sets of plans with any of the above. Cuspidor /Water Aspirator Dishwasher - Commercial Domestic . Isometric or Riser_ Diagram Drinking Fountain ❑ Isometric or riser diagram is required for new buildings Eye Wash that meet the qualifications above. Floor Drain /sink - 2 3 Comments regarding fixture work: - 4.. g g Car Wash Drain Garbage - Domestic Disposal - Commercial - Industrial Ice Mach /Refng Drains Oil Separator (Gas Station) Rec Vehicle Dump Station Shower -Gang *Note: If the fixture work under this permit results in an -Stall increase of sewer EDUs, a sewer permit will be issued and Sink - Bar /Lavatory fees assessed for the sewer increase must be paid before the - Bradley Commercial plumbing permit can be issued. - Service Swimming Pool Filter Washer - Clothes Water Extractor Water Closet - Toilet Urinal Other Fixtures \Bolding \Permits \PLM•PermuApp doe 09/22/06 Mechanical Permit Application r T p� - `F, , I '' 101t OI FI(F t O \I'1 + ^ z' - } ` t trd, City of Tigard , Received a i c Pei m n No /�� 1 �(�� ' t , F . - 60 Ep. DateBy" �� f/ �''' —_`.' /- +- lf�'-- ' " 131 > S W Ifall Blvd Ti i )h 1Z_ L Plan Revieli Phone 503 639 4171 f av 503 598 1960 L �� Date/B) � . - ' Othei Penn, Ins L 503 , 39417 SEP ' y1 7 �t I — 2,i',:-.',,.1.,1•1,:t. T1 G 1RD Date ReadyB) / te r 0 See Page 2 for _.; Internet t< WW t lgard - or gm ' (�� ,' Noiified/e Mth 'War" Supplemental Information cap e 0 �.� ( - - - I — TYPE OF W • -• ` ' DING �� — i COMMERCIAL FEE* SCHEDULE - USE CHECKLIST W Nevi 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 $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* I - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other. Description Qty Ea 1 Total JOB SITE INFORMATION AND LOCATION Heating /cooling �j t o �, 5,„0 Au wndumnmg or heat pump Job site address. U � s t (requires site plan showing placement) 14 00 l Lit City/ State/ZIP i L71p'2 D I 0 c2,.. '� /, �� i 1 , -7 j Furnace 100,000 BTU (ducts /vents) 14 00 J �% ' , l Furnace 100,000+ BTU (ducts/vents) 17 90 Suite/bldg /apt no Project name (AAse9 4 V k 1 - Gas heat pump 14 00 Cross street/directions to job site Duct work 14 00 _ _ - /( rtv [ rb^ � Hydronic hot water system 14 00 -.41R04/ / /'�' r' l Residential enti al boiler r (radiator or hydronic) 14 00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc 10 00 Subdivision C.tr(.r�� coil 1 A i 1 t. t D v Lot no 1' 7 Flue /vent for any of above 10.00 t • ) XJ� / Other _ 10 00 Tax map /parcel no - Other fuel appliances DESCRIPTION OF WORK Water heater 1 1000 y � / � y Gas fireplace 1 10 00 i t i -6ti (.•o _ I ,4 ( O Flue vent for water heater or gas fireplace 10 00 — Log lighter (gas) 10 00 _ Wood /pellet stove 10 00 Wood fireplace/insert 10 -00 cg PROPERTY OWNER Chimney /liner /flue /vent 10 00 ❑ TENANT Other 10.00 Name Cali r (11 l til :TO !ivy\ho jS 1 L J , Environmental exhaust and ventilation Address (2e- - 0 -� Le g -,- A , c 5> � / _ r /� Range hood /outer kitchen i equipment 10 00 City/State/ZIP: -rv, pect,D all-- 0"-W- Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone: ( ) ( 1 . 3 ! D LI Fax: (50 c1 g . q D + toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10 00 Business name: C l / ,/1/1 i 'tO WAN �� _ -- f -) Other 10.00 � piping Contact name. 3-1 W1 SAt `r v I $5.40 for first four; $1.00 for each additional Address: t 2-. if P1 7 s 9 -}t"-- � V t 5i 1 4.6_ '1 (/ 110 n Furnace, etc ! Gas heat pump city/state/zip:-r7.6 ! /) iO � ZZ3 � Wall/suspended/unit heater Phone: (3 � I / ) Le . 3'D Fax. (5)3) a /ADS / Water heater S 1i1) �, , an 0 I / Fireplace E -mail , v `i" r ,� �( C(� C rr rvu/ Range CONTRACTOR Barbecue Business name. - ,° I / , �10 Clothes dryer (gas) Other. Address. - 7 Z 31._e_ 5 JLA,1✓hit o, F A l SLL ik IM MECHANICAL PERMIT FEES* City/State /ZIP: 1 o (1-1 at/14 I on_ 6112-214 LC/ Subtotal Minimum permit fee ($72.50) Phone ( 5 l, - S3 3 y3 Fax: ( j ) " 70 - Ct DLP�f 1 Plan review (25% of permit fee) / CCB lie. 5 ! 5 5 (}� State surcharge (8% of permit fee) 1 r / TOTAL PERMIT FEE Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - j(n f ) , yak- q//,012 r , ,, _ . cr 11 . q Building Division One & Two - Family Dwelling r rG A K o Fees Checklist .. _ t.., { . ._. i 11. 04ti t �•'� - A_e n'MI�;�i`,f� :'•T�.�'m KrZif4"f} ,.:�'+�,�"' a��'V -`,+ Permit #: r('‘ . C; - ` , S Plan #: r r � S yC —C..? R Date: (Q -1 Z G' Site Address: Iaq 1--,u3 Lo ,,-, v .e « -\ Parcel #: Subdivision: n 'F= a A `-.' Lot #: ( Zoning: Jurisdiction: 1 i c .,‘-' Setbacks: Front: c ) Rear: Left: Right: rj Class of Work: ---1,)eup Stories: First Floor: G D t Type of Use: .(= Height: y ' Second Floor: 11 5C q e r Construction: j/`) Floor Load: ° ;.w Third Floor: �; Y P Occupancy Grou , % "= Dwelling Units: Bonus Room: 1�._ Valuation: ��c ( �l ( Q (n4 Bedrooms: 4 Total Floors: 0 (6 14 Bathrooms: Basement: (.7„ 2: Decks: -) Garage: 07 `r" Porches: 43 115- Other: .. 'I� .��.� -4K 6 . as r Q � g >.? tOltA �' ; : 'J. Q . ' k,,,, ` 4fi V !? n ,.'''F g etf " ®� 31.k.,...; Plan Check: Building: )C1 , t.� ( 0 . a f ,1- Extra Set: � ( ` Permit: Building: ' :). . - D5 Tax: 1 (,] c- , - , Metro CET: r' ,. c Mechanical: V? -, . - 1 n Tax: & , . ,C Plumbing: - " ,' , Tax: Electrical: .?%. `?S Tax: `� . 30 Low Voltage: - 7 .0r Tax: r7t SDC: CDC LRP Fee: r, ,- C.N G CDC Ping. Rev.: L. k (0 , ()C) Parks: : . TIF Res.: ;_ .0G TIF MT: c- 1 Li D, 00 Erosion Permit: (-56 Erosion CWS: c"2 rt, () ^, Erosion COT: c r( • C 0 Water Quality: Water Quantity: C SUB - TOTAL: 1 I cOL, .a I t L 1 4 . _ Sewer: Permit: Inspection: SUB - TOTAL: TOTAL MST & SWR: I \ Building \Forms \ResPlanCheckFees.doc 01/19/07 Page 1 PLUMBING FEES (for special information use checklist) MECHANICAL FEES (residential equipment/systems) Descri stion Qty. . Fee(ea) Total Description 1 Fee(ea.) t Pte, P .{ '. -Y •r -� r a. s L - gay'•' '� tm a Ohi Qty 1 Fee( �.AS -K 1 YMMs. -2 , a ��.� t � �`� ,E�� ,' �- � � i� i ty`'�'��e k ��,"ki;�;��a;•��. '�.�� I R "•-a : : " �� Total 'r. �+t+�' i ha. L • ' , ° ,, . :11 1 >� a�l � ` ,G. r t`, Air conditioning or heat pump 14.00 SFR (1) bath 249 20 Furnace 100,000 BTU (ducts /vents) 1 4.00 SFR (2) bath 350.00 Furnace 100,000+ BTU (ducts /vents) \ 17.90 SFR (3) bath f 399.00 Gas heat pump 14.00 Each additional bath/kitchen 45.00 Duct work 10.00 Rain Drain, single family dwelling 65.25 Hydronic hot water system 1 14 00 Fire sprinkler - sq. ft. 0 to 2,000 115.00 Residential boiler Fire sprinkler - sq ft. 2,001 to 3,600 160.00 (for radiator or hydronic system) 14.00 Fire sprinkler - sq ft. 3,601 to 7,200 220.00 Unit heaters (fuel, not electric) Fire sprinkler - so. ft. 7,200 and treater 309.00 (in wall, in -duct, suspended, etc.) 14 00 s } , l.�� a y 1.l . z & aig Flue /vent (for any of above) 6.80 Catch basin/area drain 16.60 Repair units Y ' + ;� 12.15 x` Drywell /leach line/trench drain 16.60 �� 3 F' ) Footing drain - 1 55.00 Water heater 10.00 Footing drain - each additional 100' 46.40 Gas fireplace 1 10.00 Manufactured home utilities 110.00 Flue vent (water heater /gas fireplace) 10.00 - Manholes 16 60 Log lighter (gas) 10 00 Wood/Pellet stove 10.00 Rain drain connector 16 60 Wood fireplace /insert 10.00 Sanitary sewer - 1 100' 1 55.00 Chimney /liner /flue /vent 10 00 Sanitary sewer - each additional 100' 46.40 Other: 10.00 Storm sewer - 1 100' 1 55 00 ,�, 1 , 'gF' ±4otili;; ,- .l: '.' -1.4 .•` et Storm sewer - each additional 100' 46.40 Range hood/other kitchen equipment 1 10 00 Water service 1 100' 1 55.00 Clothes dryer exhaust 1 10.00 Water service - each additional 100' 46.40 CB/ .- �.�.,r� + ,,'! j Z E. Single duct exhaust Absorption valve 16.60 (bathrooms, toilet compartments, I Backflow preventer 27.55 utility rooms) 6 80 Backwater valve 1 16 60 Attic /crawl space fans 10.00 Other 10.00 Clothes washer 1 16 60 -� y >�; T,w�,r ,� P.:-� .:t.�Gn��• �' <a��•..�= : :i�F; qtr, ��'?" �u4lpiptnR�� .�:s��t��,�."'�_, it Dishwasher 16.60 * *($5.40 for first 4, $1.00 each additional) Drinking fountain 16.60 Furnace, etc. t ** Ejectors/sump 16 60 Gas heat pump ** Expansion tank 16.60 Wall /suspended /unit heater ** Fixture /sewer cap 16 60 Water heater \ ** Floor drain/floor sink/hub 16 60 Fireplace I ** Garbage disposal 1 16.60 Range i ** Hose bib 16.60 BBQ ** Ice maker 1 16.60 Clothes dryer (gas) Interceptor /grease trap 16.60 Other ** Primer 16.60 Total: Roof drain (commercial 16.60 -.14 3 ,.'. , =rk : ' .iii' .,1t1fF? eel - 6 :,.Q'K :, W :ice Sink/basin/lavatory { /1 /y (, 16.60 Subtotal: $ 7 .,- ") C) Tub /shower /shower pan .3 ? 16 60 Minimum Permit Fee $72.50 $ Urinal 16.60 Plan Review Fee (25% of Permit Fee) $ Water closet 3 1 16.60 State Surcharge (8% of Permit Fee) $ C • "7 i'''; Water heater 1 r 16.60 TOTAL PERMIT FEE $ Other: Other 4 �t.;� �s3 . r : ELECTRICAL FEES (residential single- or multi- family) t��. -`u..>i mi:':e�� ni ' � ' :.!g al:X!.l Iref ,.M.: ��"a'.. M �r6`.!,.75 Subtotal $ Description Qty. Fee Total Insp Minimum Permit Fee $72.50 $ 1,000 sq. ft. or less f 145.15 4 Plan Review (25% of Permit Fee) $ Ea. add'I 500 sq. ft. or portion 4 33.40 1 State Surcharge (8% of Permit Fee) $ Limited energy, residential 1 75.00 2 TOTAL PERMIT FEE $ Each manufactured or modular dwellrn • , service and /or feeder 90.90 2 Subtotal: $ . Q' . 7 5 Plan review (25% of permit fee) $ State surcharge (8% of permit fee) $ c a . 3 0 TOTAL PERMIT FEE $ 1 \Building \Forms \ResPlanCheckFees doc 01/19/07 Page 2 Y ' t 4 ~ • , • i 1 oity 5 I, , - t. ..- 1 *:. i .�fZ� 3-1 STREET TREES MUST a Z007 MARK STEWART HOME DESIGN — - -- - — LOT 11 ------ , - --� -- - BE PER APPROVED i ` - DEVELOPMENT TREE PLAN `` ; ` `` t " ` � _ I 3,115 I •" E- � u Tualatin. S W. E 97062 I SETS —' S ETS 1 1 1 SETS . 5 03) 8858377 P I - I / (503) 579.4132 F ; ; , 1. •>¢/df'i ,Zj Ye-Pi g-� j ",--, -/i , /9 - ' , o' +:�� • "f' : J www.markstewort.com I -GR 1 i HAM FLOOR 1009' i L , /S�`y s J G• .;>•.".; -/ °° ' G f' '!` � e , el A i r-i i of ;� �` b in; ia� j I a� •► 1 col VI CITY OF TIGARD - SITE PLAN REVIEW �. ' _ ; B ILD UING PRMI ET N O.: rft -)2 ) - ��S \ - 1 1 GARAGE • 100.0. PLANNi :G DIVISION: ` It i :- I Required Setbacks: cg, Approved ❑ Not Approved Side: . Street Side: 10 1 I 1 Front. .41_ Garage. ._ Rear: Visual Clearance: "a A ved ❑ Not Approved SEreA - I 1 T '1� 5 Maximum Building Height feet Stock Home Plans i _ ' - 0' 1� 1 CWS Service Provider Lettr Required: ❑ Yes ,/15 No ❑ Received Custom Design - _ ` I Builder Marketing _ —` � I - � I Design f w r � I 0 9. 0_ \< I r�� 1 D - I' - - ' - B .2� �� C ryr Date: . � S• C� Since 1982 `, J n ' • DItlYlWAY - . • ' 1 `� _, a 9 I ENGINEERING DEPARTMENT: , + y - N 0 ! tv 1 Actual Slope: _% ❑ Approved ❑ Not Approved 7ht« p a nd N. e.av�• nosh a _ . 1 1 I 1 ti...r S ite Plan: ❑ 0 A pproved --- "" . Stowo d 1 �a By: 5t¢- �1 Date: 1.�? - L3 - � 1 Important Otsdosurs c Notes: Please Rood: . _ \ ��TRAC r 1 _ • LOT ° 4 C — C1R GAGE FOIRE ST a. t�.arar.o.,m oe of har. my. UnOar NO Y x t. pd t. E.. •ar. tlr yar ma• ,,.. IVATE ST ...d..... Yak d.. . . .t Y -d x t.. dd.xa a f.E..d eopy yit I. to reproduce • r tti r. ruet th x et t d..are.d hart*, a. .,y pates .x. Om oenfnoo of the 9‘..ornbp end t t I No mi ry b tlr fo. ..a.e '.q pbn b My ..d. - My G'.Mp CITY OF TIGARD - SITE PLAN REVIEW `% BUILDING PERMIT NO: , O D OMES ROTH CCONSrrru TOUCHSTONE TOWNHOUSES Street Trees: X Approved ❑ puw r LOT #17 4C—GR Approved GAGE FOREST Protected Trees: la Approved ❑ Not Approved lemsexk AUG. 3, 2007 BY: 1-no` d Qrn.4 Date` to • R - 0-1 o� N SITE nres: U a 1 . • AEIVED SEP 2 4 2007 13. _ -: 2 -- ' N4 : sEP 007 Erosion Fence MARK STEWART - -.�- 1 1(�\ ence 3�1.SL/fU� ,O`I � ^__' �� HOME DESIGN tt �' ' I 3,1"15 SF 0 I 8137 SW. SENECA EXPIRED 7:13 :tit �� - i - - -- I Tualatin, Oregon 97062 1 5' -0' i - 1 SETBACK (503) 885.8377 P I i I w tewort.com 4C-GR I I MAIN FLOOR • 100.5' 1 r i nn '- al PO MI , ° i I S • , All sidewalks, drivewa s, a roach to be 4" . } . p y pp gravel min e I N o slope to site -no erosion fence N. 411 P �I i Mill ,i�( —� ; y i e • All catch basins to be protected j i \� - GARAGE • 100.0' I \� I ll_n 3 ■ SSETBACK' • 5' -0' Stock Home Plans ' i SETBACK Custom Design Builder Marketing -- — i — `� ' . — 1 I Interior Design Hedge A .I PRO DO =t - -�- ' Since 1982 M ill : — di �� GItlYNW1Y 9 1 c1 1 , ,Ni i i , ,,,... ice» e" Q 1 ; 1 .1., dd ud_ Fwd lw • • -- ° r. • ✓ f ro. �.>, �+ 4 i a A btu Y e 2006 Ig$ important Disdosure t . Please Rood ''TRAC _ .. LOT fl 4C-GR GAGE FOREST . � IVATE ST. a:d.r-e. . of e dd pjsd I... a a. W R&M mp l bn la d.t SCALE: 1" - l'-if)" � *lam al lb drvt.d souk m coy Preka..,t. end lehle So \\ y a rY m�r�' 4 .<a. v ids 11D b tlr , P ASP 7 A•• \ "� \ \ alDIC T 1ND HOME \ J.T. ROTE CONSTRUCTION TOUCHSTONE TOWNHOUSES PUN t LOT #17 4C —GR GAGE FOREST moo* AUG. 3, 2007 • PACE SITE III II