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Case File 00 cD D U! S O 9 CL N Ct � l. 8952 SW Ashford Streit CITY OF TIGARD BUILDING INSPECTION DIVISION MST -vim 24-Hour Inspection Line: 639-4175 Buainess Line: 639-4171 BUP Date Requested Z-I .S AMy PM BLD Location —z-- .S L., Af.44"•-m Suite _ MEC Contact Person Ph _ FLM Contractor Ph - SWR — BUILDING Tenant/Owner __ ELC Retaining Wall ELIR Footing 4CCeSS: Foundation FPS Ftg Drain - -- SGN Crawl Drain Inspection Notes: Slab _. M - - SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling I — - Roof Misc: Final PASS PART FAIL -- -- ��- PLUMBI (Post& Beam Under Slab __.--—.---- --------- �._� -- Top Out Water Service Sanitary Sewer R 'a Lrains -- - -- F PA' PART FAIL_ - - ------------___.___ -- _ CHANICAL Pont&Beam Rough In Gas Line - - -----------��T_—_ Smoke Dampers Final PASS PART FAIL Service Rough In UG/Slab - Low Voltage F11M Alarm - --- — -- - Final , ASS, PART FAIL _------ -.-. - Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspect;in Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Inspect-no accsss Fire Supply Line ( J Please call for reinspection RE:_ _ ( 1 ADA Approach/Sidewalk Date �( . Inspector Ext i Other - Final PASS PART FAIL DO NOT REMOVE th9s, inspection record from th,.� job site. CETY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection J,ie: 639-4175 B isine-us Line: 639-4171 � / BUP --_Date Requested %� ' —_ AM v ,PM _ BLp Location_ ,2 i ?-z Ce,5,4 �t�—r� _ Suite MEC Contact Person _ Ph —_ Pl_hl _ Contractor Ph SWR Tenant/Owner FLC Retaining Wall — ELR _ Footing Access: Foundation FPS Fig Drain Crawl Drain Irspection Notes: SGN --- Slab -- ---- -------- -------- _ SIT Post& Beam E>t Sheath/Shear Int.3heath!Shear -- Framing Insulation — Drywall Nailing Firewall ---------- - Fire Sprinkler __-------_-----------------_-- Fire Alarm Su sp'd Ceiling —.--_---- __-_-- RoY Mise _.—._, -- -- -----,—.— - --- - -- — --- - 65 PART FAIL ------ - ----_�_— — — PLUMBING Post& Beam ---- —_._.— ----- ---- — Under Slab Top Out __--_—._— Water Service Sanitary Sewer Rain Drains Final T FAIL ECH AL _ Post& Beam - - Rough In Gas Line Smoke Dampers _PART FAIL ELECTRICAL Service Rough In ------- ---- - -- UG/Slab Low Voltage — - Fire Alarm Final PASS PART FAIL ----------- -- --- -- -- - - _ SITE Backfill/Grading _-- — -------- - ----- Sanitary Sewer Storm Drain [ J Reinspection fee of$—�_— required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: Unable to inspect-no access ADA Approach/SidFwalk i Other Datef_ �`� �' _--- inspector S _ Ext Final �w PASS PART FAIL DO NOT REMOVE this inspection record from the job site. y � G ro t� C7 1 y y O � � N O l� 5' CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALA'TIN VALLEY HWY S ALOHA, OR 97006-1248 Electrical Signature Form Permit #. MST2000-00461 Date Issued: 10!24!00 Parcel: 2S111 DA-17000 Site Address: 08952 SW ASHFORD ST Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 163 Jurisdiction: TIG Zoning: R-7 Remarks: Construct a new single family detached residence, Path 1. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATT N- Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: .,TOR: LEGEND HOMES GARNER ELECTRIC 12755 SW 69TH AVE 21785 SW TUALATIN VALLEY HWY S PORTLAND, OR 57223 ALOHA, OR 0 700 6-1 248 Phone #: 503-620-8080 Phone #: 591-1320 Req #: LIC 121159 SUP 3707S ELE 34.3050 AN INK SIGNATURE IS REQUIRED ON HI F M i Signature of SLTervising Electrician W If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOT:CE WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2000-00461 Date Issued: 10/24/00 Parcel: 25111 DA-17000 Site Address: 08952 SW ASHFORD ST Subdivision: APPLEWOOD PARK NO. 3 Block: I_ot 163 Jurisdiction: TIG Zoning: R-7 Remarks: Construct a new single family detached residence, Path 1. Your company has bee,i indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the a; propriate 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: LEGEND HOMES WOLCOTT PLUMBING CONT. INC 12755 SW 69TH AVE PO BOX 2007 PORTLAND. OR 97223 GRESHAM. OR 97030 Phone #: 503-620-8080 Phore #: 667-1781 Reg #: 1 it 00023847 PI M &`w-208PB AN INK SIGNATURE IS REQUIRED ON TI-dS FORM Signatufe-ofAu'thonzed Plummier If you h we any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ e,,C'44 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP Requested 1 _ 7 I AM PM BLD Location Suite _ MEC _ Contact Person — — Ph 3'! y 3U _ PLM — Contractor — _— —_�--__ Ph — SWR BUILDING -tenant/Owner _ ELC ____ __.• __ Retaining Wall ELR Footing Access: FPS Foundation ---- --- - Ftg Drain --- SGN Crawl Drain Inspection Notes - Slab ---- ---- ------ ----------- SIT -—- ----- Post& Beam Ex:Sheath/Shear ----- Int Sheath/Shear Framing _- - ---- --- - - --- -- -- Insulation Drywall Nailing ---- - - _-_—--- --------- - ---- Firewall Fire Sprinkler - ------ -- -- - --- - -- -- ----- Fire Alarm O k To Po yr - Susp'd Ceiling --- --- -- ------------ Roof Mise _ _ _ _ ------- - -- ------ - - Final PASS PART FAIL - -- - ----- `- - - PLUMBING —_ cost& Beam -----------._— Under Slab - Top Out Water Service -___-_ - ---- -- Sanitary Sewer - Rain Drairs - Final PASS PART FAIL __ _---- --- -- --- -- -- MECHANICAL Post&Beam - - Rough In - `_--_- GasLine - ----------..-... -------------- --- Smoke Dampers -_ _ ...._ _ Final -------------- --_-_- ___ PASS PART FAIL - _ __- ELECTRICAL ------_------_-__ - .-----.-__-- Service ---- -- ------ ------- ---- ------- --- - Rough In UG/Slab -- - Low Voltage Fire Alarm -- --- -- ------- - -- -- -- ---- Final PASS PART FAIL -_ ----- --- -- ---f---- 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 jA pproachlSidewalk> Date l_�- �� -, Inspector -� � -Ext .L- er ------ - F i •qr OASJ PART - FAIL DO NOT REMOVE this inspection record from the job site. A►R© MASTER PERMIT CITY OF TIG PERMIT#: iAST2000-00461 DEVELOPMENT SERVICES DATE ISSUED: 10/24/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADrRESS: 08952 SW ASHFORD ST PARCEL: 25111 DA-17000 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 163 JURISDICTION: TIG REMARKS: Construct a new single family detached residence, Path 1. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIkEO CLASS OF WORK. NEW HEIGHT: 23 FIRST: 1,034 at BASEMENT: of LEFT: 4 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,286 of GARAGE: 495 of FRONT: 23 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 4 VALUE: $211.453.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2.320.00 of REAR: 20 _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 HCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 5 CLOTHES DRYER: I GAS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICA, RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp: 0 200 amp: WISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD't 50CSF: 4 201 400 amp: 201 400 amp: lot WIO SVCIFDR: 00 SIGNIOUT LIN LT: -R HOUR: LIMITED ENERGY: 401 500 amp: 401 •900 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 901 • 1000 amp: 901+amps-l000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: 9VCIFDR>-229 A: >900 V NOMINAL CL9 AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIn: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHP: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,111.57 LEGEND HOMES LEGEND HOMES CORP This permit is subject to the regulAtions contained in the LEGE D O 69TH AVE LEGE D O 69TH AVE Tigard Municipal Code,State of OR. Specialty Codes and PORTLAND,OR 97223 TIGARD,OR 97223 all other applicable laws. All work will be done 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 riles are set Reg fl: LIC 00060563 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fi:9place Electrical Final Sewer Inspection Underfloo•Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Foundation Insp Footing/Found° nn Dr: electrical Service Low Voltage Water Line Insp Final Inspection Post/Beam Structural PLM/Underfloor f_lectrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Issued 9y rf %-� Permittee Signatur Call (503)639-4175 by 7:00 p.m.for an inspection needed the next busi ess day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERViOES PERMIT#: SWR2000-00315 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/24/00 SITE ADDRESS; 08952 S�V ASHFORD ST PARCEL: 2S 111 DA-17000 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 163 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW GWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: -- --- __ _FEES LEGEND HOMES -- — — 12755 SW 69TH AVE Type By Date Amount Receipt PORTLAND, OR 97223 PRMT CTR 10/24/00 $2,300.00 27200000000 INSP CTR 10/24/00 $35.00 27200000000 Phone: 503-620-6080 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This .Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies QLthese rules or direct questions to OUNC by calling (503) 246-1981. Issued by: ^� ?-t- Permittee Signature;____&.L t-1Lell _ -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application Datereceived: /d. � � Permit no.: City of Tigard - Project/appl,no.: Ex ire date: Address: 1312 v -- _ City of Tigard 5 SW Nall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: by:/ / Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type:' i Land use approval: _ _ _ 1&2 family;simple Complex: TVPE 60 PERMIT, &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family l ew construction ❑Demolition ❑Add ition/al teration/repIacement ❑Tenant improvement ❑Fire sprinkler/alarm ❑Other: 1 1 Job address: 95.E ' y S r Bldg.no.: Suite no.: Lot: 14p 3 Block: Subdivis on: ;�f>f�/ J�� �a Tax map/tax lot/account no.: r I-111-4L 1-nU Project D-scription and location of work on premises/special conditions:_ e�%` 1J2. 1 Name: S Mailing add ss: / s s � q dwelling: Crt State ZIP: Valuation of work........................................ S Phone: G„ZCJ- o� Fax �d E-mail: No.of bedrooms baths 2 ................................ -� Owner's representative: ')P j Total number of floors................................. Phone: Fax: T -mail: New dwelling area(sq.ft. d Gare elc rt at.�a(sq. ft. Name: Covered porch arer.(sq. ft.) ......................... Mailingadd ss: - Deck area(sq. ft.) ........................................ _ --- City: Stated ZIP_ / Other stricture area(sq.ft.)......................... Phone: G� t7- ) t'axLj E-mail CommrrelaUindustrfal/tnultf family: Valuation of work........................................ 5 Existing bldg.area(sq. ft.) .......................... Business name: L .�� c•�r� --- Address:j,Z 7J:SGt> �r 19,t�_� — New bldg.area(sq. ft.) ................................ C:ity_: LaL Stated ZIP:17,;2atNumber of stories........................................ Type of construction.................................... _ Phone: d Fax S Elmail: -_ no.: Occupancy group(s): Existing: CCB O(���-(p � _ City/metro lie.no.: G New; 7 _ Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Flame; y .,/ L/y- � f provisions of ORS 701 and may he required to be licensed in the Address:/ 3-- � I?E -A jurisdiction where work is being performed. If the applicant is Cit exempt from licensing,the following reason applies: Y r, o Breeden ZIP: 97 Contact person: " �do9 Plan no.: ----- - - ----- Phone:6Q0 - e e) Fax:S-a 1LU Name:-6- 1 Contact person- Fees due upon application ...........................$ Address: ��i(� '�g f, 0 1_ Date received: �o `(-UCS City: a� ;rated Q ZIP_�! 7.__._.�_ Amount received ......................................... $ c2i 0 - PhonE-mail: _- Please refer to fee schedule. I hereby certify I have read and examined this application and the Not art lrutadir:tian accept cunt caids,pkase uti urirdicdon for r"artrutloa attached checklist. All provisions of laws and ordinances governing this ❑Visa o MasterCard %kork will be complied with,whether sJXcified het to or not. credit card number. L Authorized 110 �� - - '�-t_y Expires name: nature: �/ O atC: _ Name of cardholder as rhewn on credit Print rS Canitholder riaruthrre— — s Amount Notice:'Idris permit applicat'.n expires if a permit is not obtained within 190 days after it has been accepted as complete. Nl MI3(t OWMM) Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: _ Expire date. CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: . _ Building permit no.: .15-1 &2 family dwelling or accessory U Conimcrcial/indust►ial U Multi-family U Tenant improvement r New consirtu:tion U Addition/alteration/replacement U Other. - 1 Job address: 7� , / } � Indicate equipment quantities in boxes below. Indicatt:the dollar value of all mechanical materials,equipment,labor,overhead, Bldg.no.: uite no.: Tax map/tax lot/account no.: — proftt.Value$ Lot: /12 I" Subdivision: 'See checklist for important application information and Project name: / G y( __ jurisdiction's fee schedule for residential permit fep. City/county: ZIP: �-L _ Description and loAtion of work on premises: I t __ Fce(ea.) Total Est.date of completion/inspection: —^ Description QWy- Res.onlyRes.only Tenant improveme r change of use: Air handling unit __ CFM Is existi space heated or conditioned?U Yes U No Air con U� to g!-i P.en require ) _ T Is e5'gfing space insulated?U Yes U No Aherauon o exlscng HVAC system EMSMMMM of u tiampressrrs State boiler permit no.: Business name: l HP Tons__--BTU/H [ " _ Address: 1G`j _ — ire smo a dampers/duct smoke detectors _ Cit _�Stattg. '� ZIP: `77o�J(p meat pump site plan regw Y a —' Phone - 7 7 Fax: 7G9 E-mail: nT�sta Urep ace urnacdhurner Including ductwork/vent liner U Yes U No CCB no.: _ nsta replac re ocateheaters—suspended, City/metro lie.no.: j — wall,or floor mounted Name(please print) p cZ. ent ora Lance other than furnace Refrigeration: t Absorption units— BTU/H Name: T 7� Chillers._ HP _sly! Com ressors Adrlress: / - v Limen exhaust an rent ton: City: 'w �/ �State:OR_ ZIP: /7,4,Z Appliance vent tN one E-mail: ere�austs, ype ! res. ache iazmat hood fire suppression system me: f -PCf�7l /"�Z) ; Exhaust fan witha ingle duct(bath fans)ailing address: J J �- — gusts stem a.,ait from eatin or C �_— piping an� ut on up to ou ets) C, rt G Statty ZIP:?,7,W--? Type: _ LPG —. NG Oil —� _�__ "i" p e Fax: �' E-mail: ue tin cac a atonal over iTI is eeasp (schematic required) Number of outlets Name: Other Nied app ace or equ pment: Address: Decorative fireplace City: State: State: ZIP: sWoodto Phone: fo?l - G>n Fax: E-mail: pr la stove er. Applicant's signature: J 7 a Other. — Name (print): �esr Nat all iuridktiaro accept crtdit cards,p all jurisdiction for rrore infartnatim. Permit fee.....................$ Notice:This permit application Minimum fee................5 U visa U MasterCard expires if it permit is not obtained number— ---- —L—�—._ Plan review(at A ) 3 Condit cord num Etptrn within 180 days after it has been State surcharge(9%) ....S - Name of cardholder u shown on credit card s accepted as complete. TOTAL .......................$ -- Cardhalder signature--- — Arrwwn_ 440-4617 MMC.OM) Commercial Schedule 1&2 Family Dwelling Sch .dole ASSUMED VALUATIONS PER APPLIANCE Descration - Fumac t to 100,000 BTU Table 1A Medunlul Code _ oly Price Total includingducts&vents _ 955 1; Furnace to 1W,000 DTu YxW.dr duds b veno 1400 Furnace> 100,OOC BTU 2) Furnace 100,000 BTU* including dud$6 vents _-- 17.40 including ducts&Yen's 1,170 3) Flow Furnace flrxx furnace 4 Ni1 dinl�nt u.00 Suspended heater,wax heater Including vent 955 or flax mounted heater - 14.00 suspended heater,wall heater 5 Vent not kMuded Yn■ nrx .m,x _ 6.50 or floor mounted heater 955 6) Repair units ,2.15 Chedr a1 that apply- 'Boiler Heat Air Vent riot included in appliance permit 445 For items 7.1o,sae or Pump Cond Ofy Price Total Repair units 805 footnobs 1,2 Com " - �._ 7)-3HP;absorb unit to <3 hp;absorb.unit 100K BN x)3-15 HP,absorb unit to 100k BTU 955 100i 10 500r STU 25.60 M 9)15-30 HP;absorb -- 3-15 hp;absorb.unit unit.5.1 mit BTU 35.00 101 It to 500k BTU 1700 10)30.50 HP;absorb unit 1-1.75 mit BTU 52.20 15.301 ip;absorb.unit 11)>50HP;absorb unit>1.75 mit B!U 509 to 1 rnil.BTU 2310 5710 _ 12)Ale handing unit l0 10,000(,FM 30-50 hp;absorb.unit - t000 13)AY handling unit 10,000 CFM. 1-1.75 mil.BTU 3400 - 17.20 14)Non-portable evaporate cooler >50 hp;absorb.unit 10.00 5725 15)Vent ran connected to a single dud - > 1.75 mil.BTU 6.e0 Alr handling unit to 10,000 cfm _656 15)Venuation system nd Yndu lad in Air handling unit>10,000 cfm 1170 17)Noon�sen"srved byx1000 medhonlcal exhaust Non-portable evaporate ooller 656 - 1000 _ � P - 15)Oortheslk Yndnenlon vent fan connected to a single dud 446 17.40 -- 19)Commercial a Yldust fel type Incinerator Vent syst.not Included In appliance permit 656 69.95 - Hood served by mechanical exhaust _ 656 201 other units,Y,d1,dYq wood slows 1000 Domestic Incinerator _ 1170 21)Gas Pidn9 one M lax outlets 5.40 Commercial or Industral Incinerator 4590 22)More than 4ger outlet(each) 1.00 Other unit,Induding wood stoves,Inserts,etc. 656 Minimum Parmx Fact-$72.50 SUBTOTAL Gas piping 1-4 outlets 360 - ex suacHARct: Each additional outlet 63 PLAN REVIEW 25%OF SUBTOTAL -_ Required for ALL commerclaf Permits only TOTAL ornar InapMbna ate rasa: 1 Mpe -of:k of mmol lmkN .hove(n+kYrran duuya-two Mural $72.50 Pa hoe 2 Mspacfts ler vrhkx-ke is.0W-#k-.@y b.*.W(r.WrkrnRn&-"-N-1 Valuation Par tw '7' •OW Valuation Fee 5 AddOMW PW.11W- nuke l Or why.,.adddbna r avhabna ti Phare(mkvnaan dwpaawfiM heel$72,90 Per hour 'Slate GnHcb reser CwrySe.6i raqukad S 1.00 to S5,000.00 - Minimum 572.50 "Raul Arc awker ea.PLW 0-*V pt 1°ra a rrw 55,001.00 to 510,000.00 572.50 for the first$5,000.00 and$1.52 for each additional S 100.00 or fraction thereof, to and including 510,000.00 S 10,001.00 to S25,000.00 S148.50 for the fust 310,000.00 and S 1.54 for each additional S1100.00 or fraction thereof,to and including 525,000.00 $25,001.00 to 550,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fiacdon thereof,to and including$50,000.00 $50,000.00 and up n $742.00 for the fust$50,000.00 and S 1.20 for each additional S 100.00 or fraction Humbling Permit Application -- Date received: Permit no.: P6,7anzl- City of Tigard — Sewer permit no.: Building permit no.: Addres 13125 SW Hall Blvd,Tigard,OR 97223 -- — City ojTigard Phone: (503) � 19-4171 Project/appl.no.: Expiredate: Fax: (503) 1198 1960 Date issued: By: Receiptno.: Land rise ai,t,.oval: _ _ Case file no.: Payment type: TYPE OF PE1011T,- 1 1 i &2 fi.mily dwelung or accessory 0 Commercial/indusuial 0 Multifamily 0 Tenant improvement I�t New construction U Add ition/altcmtiott/replacement U Food service Cl Other: THOWT)EINFbRMATION WE -SCIIEDULL(forApeclifl,inforination Jeb Address: '7s c" 4z,) c,/ i/ „—�-- Description _2q. Fee(ea.) Total Bldg.nc _ _ S--',,c no.: New 1-and 2-family dwellings only: (includes 100 ft.for each utility connnilon) Tax map/=lot/account no.: SFR(1)bath Lot Block: Subdivision: SFR(2)bath —�-Project name: -,J SFR(3)bath —� City/county:T C2k ZIP: - Each additional bath/kitchen Description and I._ atl 'on of work on premises: Site utilities: _ Catch basin/arca drain Est.date of completion/inspection: Drywe:lls/leach line/trench drain _ 1 Footing drain(no.lin.ft.) / Manufactured home utilities Business name: t j,)e j Co fj;��.�' _ Manholes - _-- Address: C7 o DD / v Rain dnin connector_ _ City:6,rajA& _�STte:p "LIP: Jp� Sanitary sewer(no.lin.ft.) - Phone: (,7- / Fax:6b 7-9 E-mail: Storm sewer(no.lin.ft.) CCB no.: — - Plumb.bus.reg. no: p. -` Water service lin.ft.) City/metro lie.no.: Fixture or Item: Absorption valve Contractor's epretntative signature:_ o ✓f Back flow preventcr Print nitre: al d !1/) Date: Backwater valve PERSONCONTACT asins/lavatory --- Name: /ort ct __- _- Clothes washer Dishwasher Address: pcq 8 o 670 7 Drinking fountain(s) City: py Statep ZIP.. 2 �30 E'ectors/sum Phone: c Fax: E-mail: Expansion tank _ Fixturelsewer cap Name(print): L.p Q ld. #0 Floor drains/floor sinks/hub Mailing address: ,7 j-- _cfz� l G H� disposal b'bb _- City: oaf cr / State:a R- 'LIP: 971�t�' Ice m er _-- Phone:(_ . -,Ko RD i Fax: - E-mail: Interceptor/grease tragi _ Ovmer instal Iation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenrnce and repair made by my regular Roof drain(commercial) employee on rite Property I own P per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: r�o /�V1144 Sump TubG/shower/shower par. Urinal Nam '� _ _ Wates closet _—__ - -- — ---- Address:/,V6 - Water heater -- _ - City: --�' Stated ZIP: :7 - Other. Phon �3 Fax: — E-mail: _- _ Total Not all lrutadictlom ccep ucdil cards,playa call iurirdcdon to mum idomurlon. No•iU.:This permit appliealion Minimum fee................$ O visa Cl MasterCard expires if a permit is not obtained Plan review(al _ %) S —_— Credit card numbs: __--_____--.__- —/�_- State surcharge(8%) ....$ - Expires within 180 days after it has been Name a(wdhol—Trf rlwvrn on credit card--— acrepted as complete. 1'OTA[. .......................$ _ Crdhnldu tianarure _� — — Amcmnl 44G4616(60"M) PLEAE CQ.MPLEIE rIXTURES (individual) Qty ;Price:':. Total Sink Fixture Type — -_ _ 166.6.60 QuanUt b Work Performed _ New Moved Rerrroved/Cap Replaudper Lavatory 16.60 Sink �— — Tub Dr Tub/Shower Comb. 16.60 Lavatory - Tub or Tub/Shower Combination -- ---- Shower Only 16.60 Shower Only- Water Closet 16.60 Water Closet - - Urinal - Urinal 16.60 Dishwasher Dishwasher 16.60 Garbage Disposal - Laundry Roorr,Tray GarbageDisposal 13.60 Washin Madi _ ine ". Laundry Tray — — 16.60 Floor Drs rVFloor Sink Washing Machine Floor Drain/Floor Sink 216.60 Water Heater Other Flxturea(Specify) - 4' - 16.60 Waley Heater O con rer;ion U like klrid 1660 -- - _ Gas IP ping requires a separate mechanical permit. MFG Home New Water Service 46.40 ---- - MFG Home New San/Slonn Sewer 46.40 Hose Bibs 16.60 - COMMENTS REGARDING ABOVE: Roof Drains 16,60 Drinking Fountain 16.60 Other Fixture:(Specify) 2.1.75 - ---�- --'---_ Sewer-1 st 100' - — --- 55.00 Sewer-each additional 100' 46.40 Water Service-i st 100' - — — 55.00 - Water Service-each additional 200' 48.40 Storm R Rain Drain-1st 100' 55.00 Storm 6 Rain Drain-each additional 100' 46.40 Commerdal Eiack Flow Prevention Device 46,40 Residential Backflow Prevention Device' _ 27.55 Cc'ch Basin 16,60 Insp.of Ex ling Plumbing or Specially Requested 72.50 Inspections _ nerlhr Rain[rain,single famliv dwelling 65.25 �'rease Traps 16.60 QUANTITY TOTAL A ) isomelrto or riser dlagrpm Is required If Quantity Total Is >a 'SUBTOTAL Wuxi 8% SURCHARGE —PLAN REVIEW 25%OF SUBTOTAL — R. ured only/Wure qty.Wal Is>9 TOTAL_ -- 'Minimum permit fee Is$7250♦a%surcharge,except Reside-Mial Baeldlow F'nwenUnn DtAce,which Is$36.25 :%surcharge, -AIL New Commercial Buildings require plans with hornebic or ricer diagram and plan review. Electrical Permit Application — Datereceived: 104-00 Pemlitno.: MifAato -cY1S/ � City of Tigard i projeet/appi.no.: ly '_ [late: Cityof'/igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rreiptno.: Phone: (503) 639-4171 Far: (503)595.1960 Case file no.: Payment type: Land use approval: $1 & 2 family dwelling or azcessory 0 Commercial/industrial U Multi-family U Tenant improvement O New construction U Add ilion/alteration/replacement U Other: U Partial �Jobadd�ress::: Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdi rsion: _Project name: Descri tion and location of work on premises: Estimated date of cot etion/•tns ction: J'3 no: Fee Max Business name: p� Description (see) Total no.Ire — New residential-single or multi-family per Address: �t5 dwelling unit Includes attached garage. City: Statep ZIP: Service included: Phone - Fax:G �%jj .mail: 1000 sq.fl.or less _ — 4 3 Each aiditional 590 sq.ft.or portion thet, C o.: tS Elec.bus.lic.no: 3 UrnitLJ energy,residential 2 ity 3 7075 Limited energy,non-residential 2 _ Each manufactured home or modular dwelling gn lure supervts gel trtcian(required) Date `-� Service and/or feeder — 2 „g, License na Q Services or feeders-Installation, Sup.elect.name(print): alteration or relocation: 200 amps or less 2 Name(print): er 201 amps to 400 amps --- 2 401 amps to 600 amps 2 Mailing address: IJ GtJ t'7-_-4z'JL_ 601 amps to 1000 amps — 2 City: a jstatcoZIP:7742--? Over 1000 amps or volts _ 2 Phone: 6dj0- ,0f6 Fax:sI - E-mail: _ Reconnectonly I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: 200 amps or leas 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner'ssi nature: �o /tom a '.-Date: __ 401 to 600 ams 2 Branch circults-new,alteration, or extension per panel: Name: r / A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit — 2 City:'',, p stateQ ZIP`}'/J 's B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: E-mail: Fach additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U IWArdous location Fach sign m outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units In one structure alteration.or extension* 2 U Building over three stories ❑Feeders,400 amps or more •Desc ri tion: U Occupant load over 99 persons U Manufactured structures or RV park Eich additional Inspection over the allowable In any of the above: U FgressAigh.ingplan U Other. -.—_-- Per inspection —E--L_ Submit__lets of plats with any of the above. Investigation fee Ile above are t•a not applicable to tempory construction service. Other — --- — --- — --- Not all judsdictiorr"I credit cards,please all Jurisdiction for more hrfonnmhoa. Notice:This permit application Permit fee..................... U Visa U MasterCard expires if a permit is not obtained Plan review(at __ %) $ _ Credit card number within 180 days after it has been Slate surcharge(9%) ....$ �_---- B Name o/cardholder o shown on credit codaccepted as complete. TOYtl, .......................$ --- ---- S _ Cardholder signature ---�— Amount 4404615(6r4XOM) 4. Complete Fee Schedule Below: jallo"d rePE OF WORK INVOLVED-RESIDENTIAL ONLY Number of Inspections Restricted EnergyFe....Service included: ;7s00 Items COSI (FOR ALL SYSTEMS)4a. Residential-per unit Check Type of Work Involved: 1lX hs! iorless - i/47.15Each addtional 500 sq.fl,orportiontheeofAudio and Stereo Systems ;33.40Limited Energy _ ;75.00Each Manufd Home or Modular - -- ❑ Burglar Alarm Dwelling Service or Feeder $90.90 4h.Services or Feeders Garage Door Opener' Installation,alleralion,or relocation 200 amps or less ;80.30 2 ❑ Heating,Ventilation and Air Con&,lioning System' __ 201 amps to 400 amps _ $106.85 - 2 401 amps to 600 amps -' - ❑ Vacuum Systems- 601 5160.60_ 2 601 amps to 1000 amps v - ;240.60 -___ 2 �� Over 1000 amps or wits $240.65 - 2 Other _ Reconnect only �- _ 454.65 2 - -- TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Fr�ders Installation,alleralion,or relocation ------._ 200 amps or Mss $66.85 7 Fee for each system............................................... 575.00 -- 201 amps to 400 amps $100.30 -- 2 (SEE OAR 91B-260-160) 401 amps l0 600 amps ;133.75 2 Over 600 amps to 1000 volts, --- Check Type of Work Involved: see"b"abova. 4d.Branch Circuits El Audio and Stereo Systems New,alteration or exdension per panel ❑ a)The fee for branch circuits Boller Controls with purchase of service or fecderto^ ❑ Clock Systems Each bi 1,clrcui( _ $6.65-- 2 f--� 6)The fee r, ;h circuits -- - lJ Data Telecommunication Installation without purr,hase of service or feeder fee. L� Fire Alarm Installation Firs(branch clrarit !" 85 Each additional branch circuit -_ 5- - L� HVAC 4e.Miscellaneous (Service or feeder not included) Instrumentation Each pr:mp or Irrigation circle _ $53.40 _ Each sign or online fighting ;53.40 ❑ Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) - $125.00 _ 4f.Each additional Inspection over ❑ Medical the allowable In any of the above Per Inspection ___ $62.50 _ ❑ Nurse Calls Per hour $62.50 �_ In Plant -- _ $73.75__ ❑ Outdoor Landscape Lighting- 5. Fees: ❑ Protective Signaling 5a.Exner total of above fees $ 8%Surcharge(.08 X total fees) $ ❑ Other Subtotal $ - - - -- 6b.Fn(er 25%of line 6a for ----- Plan Review if requited(Sec 3) $ Number of Systems Subtotal $ No licenses are required. Licenses are required for all other installatiaxs I r- j ❑ Trust Account 07EES: -� - ------- Total balance Due � $ ENTER FEES $ -- - 8%SURCHARGE(.08 X TOTAL ABOVE) $� __- TOTAL $ May-10-00 10: 21A Wolcott Plumbing 603 667 9891 P-O2 8treMAddress MNIIngAddress WOLCOTT 2050 M.W.Burnside P.O.Box 2007 Gresham,Oregon Greshem,OR 97070 PLUMBING (503)887-1781 Pax(503)647.9891 CONTRACTORS, INC. CC8 A►Z3it7 May 10,2000 Building Department City of Tigard 13125 SW Hull Blvd. -- Tigard,OR 97223 Wolcott Plumbing Contractors,Inc, docs hereby authorize a repre-sentutive of i,egend Homes to represent this firm when applying for plumbing permits inside the jurisdiction of The City offigard. Wolcott Plumbing Contractors, Inc. rcal�zc that should the agreement with Legend Homes terminate, we have the right to withdraw our consent. Name Title n G1z - aft ignaturc Date 26-208P13 _ 4281 State Plumbing License City License r'� FL OT FLAN LOQ' *11631 AFFL E WOOD R4RK RlPD 251 11 DA TAX LOT 011000 89x2 &W ASHFORD STREET S.E. 1/4 OF SECTION 11, T.2, RJW, W.M. CITY OF TIGARD W45H INGTON COUNTY, OREGON LEGEND HOMES 12755 SR 69th AVENUE SUITE 100 OAICE (503) 020-6060 TIGARD, OR. 97223 FAX (503) 596-6900 CCB/ 60569 5W ASHFORD STREET _-ss=--- ---------T---ss---_- i I uRql I, _ i SIDEWALK -- I S 89' 54' 25" W 8 j ' UT11_ITY 5 I I.. 2O6.4' EASEMENT WATER ME'ER 4?>' W---- --- WATER LINE SS-—-- — SANITARY SEWER 206.5' 2063' e)p –^--- STORM DRAIN 40 Q OF STREET / Lor X63 / �/ • MANHOLE 41 116 SQ. FT. REGENT //A CATCH BASIN Q `A FIN. FLR. ■ 207.8'/ / PROPOSED 10 b1 10 `,/� .9 STREET TREES z / GARAGE FLR 2063 / z STREET LIGHT 4.0' – 4,0' FIRE HYDRANT 20 .2' 206N I O 0Lo _ PROVIDE EROSION 7 - CONTROL FENCE PER COMMUNITY N89'54'25"E EROSION PLAN 62?0 �p 0r 0 0