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f*WCASILL• 110tiLS, Ilk-l " 1100 e- Jo ,159 11010) 011 9/ I1 r ►-- i�A..s Sd•�-�d�-r5�1� tlx: st1��6b�-t1G� f c:1:If: �;!►rc;T �►�,�����rd�n►� �� t L W () o- 10 � SCT N_ Ndltt�: I��w,{11potlls m0 cI;1w1s1'ItcC tkm11•l.Il) gIIre1, ,Skip.walks,arrrl. bIveway.;Ippltl:Vall-Ito 041y'CtltjA; W P 1e) 0 k~ L To_........�..._...��...�.a��.mow.....�w........�.�..._.�.��..w.. _..�_._.... .._�.....��. /y. _.rte....._..._... I i/ .331 r'L Jrl� .1��.. w•i� 10 Vol �dS I�`n --.. � � 120��•, �. C i' o,6�, t Co CD , , • � -J T t I t'• 1 �W �I � I I -r It j 1 . NOTICE: IF THE PRINT OR TYPE ON ANY -r�-i ! Ir il � � I ! � I � IiI � � I � i � ! Ali ! l ! ! I ! ! I ! ! I ! ! I ! ! 1 � i � 1 ! ! 1 ! ! li ! 1 ! tl ! ! I ! ! l ! ! l ! ! I ! ! I ! � ! l ! ! 1 ! ! ! ! � ! ► ! ! I ► t i t 1 f i ► ! ! I ( f i � i I- I ► I tJ l I t i ► ! ! ! r- i I I I I I . 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R 10460 SW Amanda Court CITYOF TIGARD MASTER PERMIT PERMIT#: MST2001-00542 DEVELOPMENT SERVICES DATE ISSUED: 11/1:1/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS•. 10460 SW AMANDA CT PARCEL: 2S1 11BB-BW003 SUBDIVISION: BRIE WOODS ZONING: R-3.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: Construction of new single family detached residence.Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT. 22 FIRST: 1,052 of BASEMENT: of LEFT: B SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAM: 10 SECOND: 1,208 of GARAGE: 473 0 FRONT: 24 PAnKING SPACES' 2 TYPE OF CONST: ,r, DWELLING UNITS: i FINBSMENT: of RIGHT: 8 VALUE: S28996;)40 OCCUPANCY GRP: Hl BURM: 4 BATH: 4 TOTAL: 3,000.00 of REAR: 50 PLUMBING SINKS: 1 WATER CLOSETS. 4 WASHING MACH: 1 LAUNDKY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVr,rORIE! a DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 1Cn SF RAIN DRAINSI CATCH BASINS. TUBISHOWERS. 5 GAPSAGE DISP: 1 WATER HEATERS: I WATER I..INES: VjO BCKFLW PREVNTR: I GREASE TRAPS: MECHANICAL OTHER FIXTURES FUEL TYPES FURN<t00K:W BOILICMP<3HP* VENT FANS: - CLOTHES DR iER: I ,!AS FURN>n100k 1 UNIT HEATERS: HOODS. 1 01 HER UNITS' 1 MAX INP: blu FLOOR FURNANCES: VENTS: 1VOODSTOVES. GAS OUTLETS: 1 ELECTRICAL _PESIDEN1IAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS_ MISCELLANEOUS _ADD'L INSPECTIONS 1000 SF OR LESS' 1 0 200 amp: 0 200.mp. WISVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'1-SJOSF: r 201 400 amp, 201 400 amp: tai W/O SVCIFDR. 00 SIONIOUT LIN..T: PER HOUR: LIMITED ENERGY: 401 600 amp: r01 800 amp: EA ADDI_BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVCIFDR: 001 - 1000 amp: 601.amv%-1000v. MINOR LABEL: 10004 amp Noll PLAN REVIEW SECTION Reconnect only -- »4 RES UNITS SVC/FDR-225 A.: >300 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDrNTIAL B.COMMERCIAL AUDIO 8 STEREO. VACUUM SYSTFM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC IT: BURGLAR ALARM. OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK-. INSTRUMENTATION: MEDICAL: OTHR: HV.IC: DATA/TELE COMM: NURSE.CALLS: TOTAL 8 SYSTEMS: TOTAL FEES: $ 8,319.91 Owner: Contractor: This permit is subject to the regulations contained in the NEWCASTLE HOMES INC NEWCASTLE HOMES Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 230459 PC BOX 230459 TIGARD,OR 97281 TIGARD,OR 97281 all other applicable laws. All work will be done In accordance with approved plans. This permit will expiny H 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 Utill!y Notification Center. Those rules are set Repe'. LTC 59667 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)245-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final l Grading Inspection Post/Beam Structural Mechanical Insp Shear Wall IT sr Insulation Inop Plumb Final Sew%,r Inspec,ion Post/Beam Mechanica Plumb Top Out Exterior Sheathing Insf Rain drain Insp Final Inspectir, Sewer Inspection Underfloor insulation Flectrical Service Low Voltage Water Line Insp Footing Insp_ -- Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final Issued f Permittee Signature : �G�f cnl/ - — Cali (503)839'-4178 by 7:00 p.m. for an inspection needed the next business day CITYOF TI GARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00292 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/8/01 SITE ADDRESS; 10460 SW AMANDA CT PARCEL: 2S111BB-BW003 SUBDIVISION: ERIE WOODS ZONING: R-3.5 LOCK: LOT: 003 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE. SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new single family residence. Owner: FEES NE`.NCASTLE HOMES INC Type By Date Amount Receipt PO BOX 230459 - TIGARD, OR 97281 PR MT CTR 11/8/01 $2.,300,00 27200100000 INSP CTR 1118/01 $35.00 272.00100000 Phone: 503.684-7543 Total $2,335.00 Contractor: Phone: Reg#: _ Required Inspections II Sewer Inspection it This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 clays 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 distances given. If not so located, the installer shall purchase a"1 o and Side Sewer" Perm � � �,� � Signature: Is�ue'ci! by: L� �,CL'.��/1�"c>!-r2 Permittee Sign re• I Call (503) 68(f-4175 by 7:00 P.M. for an Inspection needed the next bcsiness day jt Building Permit Application City of Tigard Date received: Permit Address: 13125 SW Hall Blvd,Tigard,OR 97223 Pmject/appl.no.: Expircdate: Cityofngard Pyrone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Idt2 family:Simple complex: ,. I &2 family dwelling or accessory 13 Commercial/industrial 0 Multi-f.roily ,M New construction 0 Demolition 0 Addition/alte.ration/replacentent 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other. JOU SITE 1 Job address: o n W C Bldg.no.: Suite no.: Lot 3 1 Block: Subdivision: t,' , W UoC S Tax map/tax lottaccount no.: Project rutme: Description and location of work on premises/special conditions: INFORMATION. odplain.scot It capacity,solar,etc.) Name: M4 ailing ddress: - S 1 &2 family dwelling: City: State:p 10,1 ZIP: 972.`) Valuation of work........................................ Phone: Fax: E-mail: No.of bedrooms/baths................................ j Owner's representative: IJJA ITIO(�1 _ Total number of ,ors 2-- Phonv Fax: E-mail: _ New dwelling area(sq.ft.) .......................... 30!a 0 :—:Vc- Busineasnarr-t. aragetcatnort area(sq.ft.)......................... *19 N overed porch area(sq.ft.) ......................... �© Name: � � — Mailing address: eck area(sq. ft.) ........................................ City: State: ZIP: ther structure area(sq.ft.)......................... Phone: Fax: E-mail: ommerciaUlnduorial/nmltidamily: aluation of wont........................................ $ N f y7uS 1 j)v • xisting bldg.arca(sq.ft.) .............. .......... CtJ�lIS LC Address: New bldg.area(sq.ft) ...... .. .............. CL State: ZIP: Number of stories............... .................. Type of construction....... ................ Phone: Fax: E-mail: CCB no.: Occupancy group(s): Existing: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be — Malt"Karl 11 IMEW11 0 licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to be licensed in the Address: jurisdiction where worst is being performed.If the applicant is City: _ State: ^ exempt from licensing,the following reason applies: �Ilf.,. Contact person: Plan no.: Phone: Fax: E-mail: — — Name: Contact person: Fees due upon application...........................$ Address: _ Date received: City: State: 'LIP: Amount received.........................................S 1lrone: Fax: E-mail: ---� Please refer to fee schedule. I hereby certify I have read and examined this application and the Not as)trh M-1 a=pt aeda Cabs,(ANN wl Imt.atedon fa rode►nrenmtlon. attached checklist.All provisions of laws and ordinances governing this Cl Visa UMotercard worst will be complied wito.whether specified herein or not. credtreab w., / / Expim Authorized signaturet. -& Date: L. ' •3 D•r Nam of mrdbordar U on;WM cab Print name: KrA-F i (A C 1%. — _ s ifpntois Amount Noti,x: Iris permit application expires if a permit is not obtained within 180 days after it hay leen accepted w complete. 4401617 t60 WCOW One-and Two-Famfly Dwelling �11� Building Permit Application Checklist Reference no.: �+ Associated permits: cirynfTigard City of Tigard`� O Electncal U Plumbing O Dlechar ical Address: 13125 SW Hall Blvd,'Tigard,OR 9'1223 a Other: Phone: (503) 639-4171 -- - Fax: (503) 598-1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,hi?toric district,etc. 3 Verification of approved plat/lot. 4 Fire dhMct_ __approval required. - 5 Septic system permit or authorization for remodel.Existing system capaci%y — 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 U plan U permit required.Include drainage-way protection,silt fence design and location of —^— catch-basin protection,etc. 10 3 Complete sets of legible plana.Must he drawn to scale,showing conformance to applicable local and state building codes, lateral design details and connections must be incorpotnted into the plans or on a separate full-size sheet attached to the Flans with cross references between plan location and details. plan review cannot be completed if copyright violations exist. 11 Slte/rlot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements,red driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot area;building coverage area;prrccntage of coverage;impervious area;existing structures on site;and sutt'ace drainage. 12 Foundation plan.Show dimensions, anchor bolts,any hold-downs and reinforcing pads,connection defruls,vent size and location._ 13 Floor purrs.Show all dimensions,room identification,window size,location of smoke detectors, water he:ter, _furnace, ventilation fans,plumbinb fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and detalls.Show a21 framing_membcr sizes and spacing suc.,as floor trams,headers,joists,sub-floor, wall construction,roof constru,;ion.More than one cross section may he required to clearly lxortray construction.Show detains of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,tootings and foundation,stairs, _fireplace construction, thermal in.-ulation,etc. _ 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations:rust-,cf]ect the actial grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendnms shawing foundation elevations with cross references are acceptable. _ 16 Wall bracing(prescilpave path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specific tons and calculations to engineering standards. 17 Floortroof 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 Ream calcalatlotts.Provide two sets of calculations using current code design veli,"for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof tiyas design details. - 21 Energy Code compliance.Identify the proscriptive 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. 23 Five(5)site plans aie required for Item i I above. 24 75 26 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 i-k is reserved for department use only. 4+0-4614(6MICor) Electrical Permit Application -- - Date received: /C J/ r/ Permit rte.: 1,f- A, City of Tigard Project/appl.no.: Expire date: CityofTigard Address: 13125 SW Flail Blvd,Tigard,OR 97223 Date issued: By: Phone:Phone: (503) 639-41"1 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ �1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant improvement 5 New construction U Addition/alteration/replaccment U Other: U Partial Job address: f -5K) Bldg. no.: Suite no.: Tax snap/tax lot/account no.: Lou Block: Subdivision: ! 'e. N/Dp c `� 7o Project name: Description and location of work on premises: Estimated date of cons letion/ins tion: IL2BriLxmKl]rMM*NLMV hum Job no: FxMax Business name: p � j Defcrj tion . (ea.) total no.hasp New reardaHial-single or onllUdamily per Address: f'/) 8rX f oZ3 dwelling uniLluchtdesattacliedgaraffe. City: State ZIP: 173011 Servirelneprdeaa: Phone: Fax: E-mail: 1000 sq.ft.or less a Each additional 500 sq.ft.or portion thereof' CCB no.: �S Elec.bus.Ile.no: Limited energy.xsidenUal 2 City/metro lic.no.: LimrtedencrRY'.rano-residential Fach manufactured horn or modular dwellinp Signature of supervising electrician(required) `v Date Service and/or feeder 2 Sup.elect.oame(print): I.icenseno: Ser'vicesorfeeders-Installation, Alteration or relocation: 200 amps or less 2 Name(print): ti'k.v' (Ca 5 i LE tflJr7lB 5 /1i_ '01 amps to 400 amps 2 �1 - 401 amps to bOo amps ? Mailing address: 80 23045 hU I amps to 1000 amps City: 74 C State:/ ZIPq_72-$1 Over IU(10 amps or voits Phone: -1-5q Fax:l��St ►1 E-mail: Reconnectonly 1 Owner installation:The installation is being made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,or relocation: ORS 447,455, 479,670,701. 100 amps or less 2 2U I amps to 4UU amps 2 Owner's si nature: Date: 401 to 600 amps 2 Branch circuits-new,alteration, or extension p-r panel: Name: _ A. Fee for oranch circuits with purchase of Address: service or feeder fee.each branch circuit 2 City: State: ZIf: R. Fee for branch circuits without purchase — of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: trach additional branch circuit: Mbc.(Service or feeder not Included): •Service over 225 amps-commercial QHealth-care facility Each pomp orimgauoncircle 2 U Service over 320 amps-rating of 1&2 13 Hazardous location FAch sign or outline lighting 2 famiiydwellings U Building over 10010square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 0 Building over three stones U Feeders.400 amps or more *Description:_ U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above U Egressnightingplan Q Other. _ Perinspection --r— Submit—sets of plain with any of the above. Investigation fee The above are not applicable to tempora ry construction service. Other NM all junAictiorn accept credit trim,please call jubd- on for rare information. Notice:This permit application Permit fee.....................$ U Visa Cl MasterCard expires if a permit is not obtained Plan review(at — %) $ _ Credit card nuniNg., / / within 180 days atter it has been State surcharge(11%) ....$ �Nama �wdi�ider as shown ur cro�tlt card Expires accepted as complete. TOTAL .......................$ _ ` S c olrt rirmw, Amount 410-4615 tr>MCOMI Electrical Permit Fess: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restric}ed Energy Fee........................_ $75.00 Num::er of Inspections per parmit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check T _ ype of Work Involved: Residentia:-per unit 1000 sq.ft.or less $145 15 _ 4 ❑ Audio and Stereo Systems f_ach additional 500 sq.ft.or portion thereof _ $33,40 —^� t Burglar Alarm Limited Energy $7500 _ Each Manurd home or Modular a Dwelling Service or Feeder _ J $9090 �! 2 I varag' Door opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or reloc:atiun 200 amps or less _ $80.30 �M 2 r� 201 art+ps to 100 amps _ $106.85 2 Vacuum Systems' 401 amps to 600 amps $160602 2 m $240.60 2 r 601 amps to 1000 aps t� Other Over 1000 amps or volts $454,65 _ 2 Reconnect only $6685 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 918-2.60-260) 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. ❑ Audio and Stereo Systems, Branch Circuits ❑ New,alteration or extension per panel Bader Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6 65 ' ❑ Data Telecommunication Installation b)The fee for branch Circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46 85 _ Each additional branch circuit $665 — ❑ HVAC Miscellaneous F�] Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 _ ❑ F n sign or outline lighting $51,40 Intercom and Paging Systems Signal circuits)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irngation Control' Minor Labels(101 _ $125.00 Each additional inspection over _ ❑ Medical the allowable in any of the above ❑ Per inspection __ $62.50 Nurse Galls Per hour _ $62.50 _�_ in rlant $73 75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of shove foes $ ❑ Other 8%State Surcharc.e $ �w --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 --- -i�""" Fees: Total Balance Due --- — Enter total of above fees — ❑ Trust Account 0 8%State Surcharge Total Balance Due P1dsts\fonrisklc-fces.doc 10/04/00 Plumbing Permit Application City of Tig�nd -Datereoeived: is arc Address: 13125 SW Hall Blvd.Tigard,OR 9722.. permit no.: Building permit no.: Cky of r'gaM Phone: (503) 639-4171 Pmject/appl.no.: Expire date: Fax:(503)598-1960 Dawissued: By: Receipt no.: Land use approval: _ Can file no.: Payment type: 61 ml I I 722,tNew family dwelling or accessory ❑t',,mmer�udlindustral J Mu1ti-lamily l.]Tenant improvement construction U Additiaiv'altrrationirtvlacemcrt ❑F("] srrvice 0 Other Job address: /(j (p --))k) C i-- Deicription Fee ea.) 'Total Bldg.no.: Suite no.: New 1-acrd 2-family dwellings only: Tax m4dtnx.lotiaccount no.: (loclude+IOU R.for each udlhy connection) SFR(1)bath 1,0LBlock: Subdivision: /,'e Ul&, L SFR(2)bath --- Project name: SFR(3)bath City/county: -1" (, ej - btict S ZIP: q 7 2 Z ft Each additional—bath/kitchen — -- Description and location of work on premises: SEteutillties: Catch basin/area drain U.date of completion/inspection: Firywellsileach line/trench drain 111.1 NIIIIN(I t Footing drain(no. lin.ft.) Manufactured home utilities Business name: tJif1 b t-') Manholes Address: P 2- Rain drain connector r-l"T T' aa id jsta!eLjzlP:]-1;-3 ) Sanitary sewer(no.lin.ft.) h�5b3 2 Fax: E-mail: Storm ewer(no.lin.ft.) _ CCB no.: / 50 Plumb.bus.reg.no: Water service(no lin.ft.) City/metro lic,no.: F7xttsre or item: Contractor's representative signature: Absorption valve Print name: Back flow reventer i W Dam' Backwater valve Basins/lavat�_ Name: Clothes washer Address: Dishwasher Drinkingfountain(s) City: State: ZIP: E'ectors/sum Phone: Fax: E-mail: j Expansion tank Fixturetsewer ca Name(print): Floor dmins/floor sinks/hub Mailing address: ---- _ Garbage disposal City: State: -1 OF Hose bibb ` Ice maker Phone: Fax: I E-mail: nterce or/K c trap Own..r installa'ion/residential maintenance only: The actual installation Primer(s) will ue made by r.ie 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) Ownters ' Date: Sum Tubs/shower/shower pan Name: Urinal Address: ater closet ater Oth City: State: ZIP: er. Phone: Fax: E-mail: Total "01'ajwMftmamp auk csid'pWwcaRlwbfflA Ot0rimom Notice:This permit application Minimum (2vis cimsewCMd expires Wit permit is not obtained Plan review(at_9b) S t�end ` within 180 days after it has beenState surcharge(8%)....S _ ted a compfete. TOTAL .......................S Naas w slows-oe1► P t: C mare Amw't 440461e(tiAM:onn PLUMBING PERMIT FEES ICE �IIAtNtt�']WavelllnZ rUQ-Jahnit1nitln�byli!ierttie'ffwQ-TOTAL' '��E fu , i r4Na1atl9innUu1p0rserfsTo.i,nn Sin16.60 ( Lava�Y 18.60 011trly,i yg�Ta•tY,`tP r;;eifC fi ` Ona(11 bath 5249.20 �,� �• i Tub orTuWShower Comb. _ry 16.Fi0 _ Two 2 bath � 5350.U0 Slower Only 16.60 Three 3 bath 5399.00 Water Closet 16.60 SUBTOTAL Urinal - 18.60 _ 8y.STATE_SURCHARGE " -- iDish•,vasher 16.60 PLAN.1EVIEW 25%OF SUBTOTAL Garbage Disposal 16.1`0 _ -- TOTAL Laundry Tray - 16.60 Washing Machine - 16.60 Floor DrairVFkxa'Sink 2' 16.60 - Y 16.60 PLEASE COMPLETE: 4 16.60 - Water Heater O conversion O like kind - 16.60 _ quanti 4 Work Performed Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced.. Removed/permit. __ Ca Ped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.50 Lavato _ ---- Tub or Tub/Shower- Hose Bibs - 16.60 Combination Roof Drains 16.60 Shower Ong-_ - - Drinking Fourtain 117.60 Water Closet Other Fixtures(Specify) 16."o Urinal - -- Dishwasher _ Garbage Dis osai- -� Laundry Room Tra - -�-- - -' _Washing Machi,te _ -- k:2" Sewer-1st 100' 55.00 Floor Drain/Sin -- Sewer-each additional 100' 46.40 q" - Water Service-1st 100' 55.00 Water Heater Water Serv"-each additional 200' 46.40 Other Fixtures -I{ Storm&Raft,Drain-tat 100' 55.00 S eci -- Storm&Rain Drain-each additional 100' 46.40 _ Commercial Back Flow Prevention Devine 46.40 Residential Backflow Prevention Device" 27.55 -- - Catch Basin - 16.60 - --- Inspection of Existing Plumbing or Specially 72.50 - - -- Rt>queated Inspections r- rrhr COMMENTS REGARDING ABOVE: Rain Drain,single famihr dwelling 65.25 Gr,"se Traps 16.60 -.-- - QUANTITY TOTAL - - Isomeetc or ris or dlaarem is required M - Quantity Total Is �9 'SUBTOTALt�2' - yi 6%STATE SURCHARGE f*PLAN RE`JIEW 25%OF SUBTOTAL f z r Required orrty If rlxlure et total Is>9 TOTAL .Mrnlmi-m permit fee is$72.50-8%state surcharge,except Reskientlal Bndrfknv Pr, erglorr Dovlce,which Is tw10 75«ax stat"surcherps. MAB New parunasctsf Bulldlrigs rernrinr plans with Iscerrrrlc or rber diagram arvr pion mule.. I:WstsVonnMpIru-feea.dor, 1000/00 '• t Mechanical Permit Arplication �1 �� "DaEcrwei•.ed:/P b/ �/ ffmtr' City of Tigard Proect/appi.no.: Expiredate: Cityrl'-,ar.1 Address: 13125 uW Hall Blvd,Tigard,OR 97223 Phone: (503) 539-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.- Paymenttype: Land use approval: — Bonding permit no.: U &2 family dwelling or accessory U Commerciai/industrial (U Multi-family ',J'Tenant im;vovement l�,New construction C:U.'fid tition/altemtion/repincern^nt U Other:. 6 Job address: ! j j W A rot l i '- f- Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Block��Subdivision: ��t' plfS `See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit tee. City/county: (, LVLLLL. v - N ZIP: C-7 A,2 t Description and location of work on premises: _ Fee(ea.) Tota Est date of completion/inspection: _ lkscti�ltlon Q Res.otJ Res.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No 7handling unit _ CPM Air conditioning(site plan required) Is existing space insulated?U Yes Q No Alteration of existing HVAC system - oi er comps cssors --- Business narrti': i1S _ a-�/,G - State boiler permit no.: T• VH Address: 1 y ,� t-" I{l' P_Tons A _ �irelsmoke ddam er-s�uct smoke detectors _ Pity: F - I Stawc,// ZIP:k-j-y Heat pump 1 site plan require ) - - Phone: "i .5 1 c Fax: _ E-mail; nsta replace furnace.urne-r-_=B�'lT7F� CCH no.: � cc � Includine ductwork vent liner U Yes U No �Z1L:,.� ____-_ nstal replair re(3 atcTicaters-suspended, City/metro lic.no.: __ _ _ wall,or floor mounted _ tNae(please print):~ _ ens orappliance other than furnace - e Brat on: Absorption units e: I '.l Chillers y HP ..roll - '1C �1L+/ ) ress: Com ressors HP Cit _ State: ZIP: - rommeu-a ex n rt an vent ton: Y� _ � A;)pliancevent Phone: Fax: E-mail: erc_xTiaust — �- s I pe f%fUres. aschery iazmat hood frte suppression system Name: _ _ Exhaust fan with single duct(bath fans) Mailing address: _ -Exhaulst sy-tem a la�Trom theatin or AZ~ --- - x,rifiing an 1'- wt on(up to outlets) City. State: ZIP�� — Phone: Fax: E-mail: Type' -LPC —_ NO Oil ue�i.in cac additional over outlets rocess piping(ic:heinatic regmret) Name' Numberofoutlets _ _^ 'aTxr—lfa ap�or ptaent: Decorativefireplace City: State: LIP: Insert-type_ Ifiona ~� Fax: E-mail:— — siov•pe et stove — - Applicant's Signature: _ Data 1t er Name(print): —^ -_ .... Nd an rrudayiatr anxpt credit-a%6,,rd.,plenr call iwiwfMction r-mae ird�xmatkre Notice:This permit npplication Permit f;e................. $Minimwn tee................$ t U Jya U MasterCard expires if a permit is not obtained — Creeut1._ Plan review(at __%) $ -"- Nspi� within 1130 days after it has been State surcharge(8%) ....$ _— (if des u obmv on cralit cant accepted as complete. $ TOTAL .......................$ Cardtwlder 0MROme Amauw 440461716OW"C M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VAL IATION: FEE: Description: Price I ?oral $1.00 to=5,000.(10 Minimum fee$72.50 Table 1A Mechanical Code City (Ea) Amt $5,001.00 to$10 000.00 $72.5 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 therenf,to and including 2) Furnace 100,000 BTU+ _ 5101000.00. indildinaducts&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 fluor mounted heater _ 14.00 525,001.00 to 550,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appllancs permit $',.45 for each additional$100.00 or _ 6.80 fraction thereof,to and Including 6) Repair units 550000.00._ 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For"ems 7-'1,see or Pump Cand traction thereof. footnotes below. Compo •• 7)<3HP;absorb unit AS:iUMED VAL.UATIONS PER At-3PLIANCE: ] to 1005 BTU 14.00 8)3-15 HP;absorb Value-` Total unit 100k to 500k BTU 25.60 Descrpdon I Q Ea Amount - - - 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU I 35.00 ducts&vents __ -• - 1U)30-50 HP;absorb Furnace> 100,000 BTUIncluding 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 CFN4 '-- floor mounted heater_ 10.00 Vent not included in applicance 445 13)Air handling unit 10,000 CFM+ --_ _mtlf _ _ - - 17.20 Repair units 805 14)Non-pu,table evaporate cooler <3 hp;absorb.unit, 955 _ 10.00 to 100k BTU - 3-15 hl„absorb.unit, 1,700 15)Vent fan connected to a single duct 101k to 500k BTU 6 80 15-30 hp abscti.unit,501k to 1 appliance 2,310 16)Von n system not Included in mil.BTU a IpP lancermft _�- 10.00 30-50 hp;absorb.unit, - 3,400 17)Hoot served by mechanical exhaust 111.01) 1-1.75 mil.BTU ---- 18)Domestic incinerators - - >50 hp-abso&unit, 5,725 _ 1La0 >1.75 frill.BTU -_- unit l0 10 000 cfrn - -- 19)Commercial or industrial type incinerator i Alr Handling , 856 _ 69 95 Air hanctlino!ill>10,000 Jim 1 170 �20)Other units,Inducting wood stoves v Non�sortal�le ev.e22 le cooler _ 656 __ _ Vent fan con°teclyd to a single duct �- _ 446 10.00 -_- Vent system not incitAed in 656 -- 21)Gas piping one to(our outlets a Ilance writ 5.40 - ----;- -- - -- 22)Moir,then 4-per outlet(each) Hood served b mecha_nice exhaust _ 656 LMmestic inclnerator - 1,170 _ Minimum Permit Fee S77.50 SUBTOTAL S Commercial or industrial incinerator 4,590 Other unit,including wood stoves, 656 8%State Surcharge insefis,etc. Gas piping 1-4 outlets 360 - 25y plan Review Fee(of subtotal) Each additional outlet 63 - $ Required for ALL,commercial permits only TOTAL_COMMERCIAL $ TOTAL RESIDENTIAL.PERMIT FEE: $� char tapmt :to�i-vinsLIF-m: I 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 ner hour 3 Additional plan review,required b angrrs,additions or revisions to plans(minimum chorg"ric holt hour)$72 50 pr r I,,ur *State Con',actor Solley Cor tMestion r"ul.ed for units v2OOk BTU. '*Rasidrndai A/C requirve site riles showing placement of unit I:k1stslforms4nech-fees.doc 10/11/00 SEE 35MM ROLA, #2 0 FOR OVERSIZED DOCUMENT iCIT'i(OF TIGARD 13125 S.`a✓U. HALL BLVD. TICt.Rr*, OR 97223 IMP'ORT'ANT PERMIT NOTICE NOP.THW"EST PREMIER PLUMBING P.O. BOX 23338 TIGARD, OR 97281 Plumbing Signature Form grit #: MST2001-00542 `ale ,ssued: 11/8101 Parcel: 2S1-1 1 BB-BWO03 Site Address: 104t•0 SW AMANDA CT Subdivision: BRIE WOODS Bleck: LOL: 003 Jurisdiction: TIG Zoning: R-3.5 Remarks: Construction of new single family detached residence.Path 1 Your company has been indicated as the plumbing contractor fnr 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 inspe-tions will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: NEWCASTLE HOMES INC NORTHWEST PREMIER PLUMBING PO BOX 230459 P.O. BOX 23338 TIGARD, OR '.7281 TIGARD, OR 97281 Phone #: 503-584-7543 Phor.e #: 503-624-0582 Reg #: I it 135022 PI M 34-348PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber- If lumberIf you have any questions, please call (503) 639-4171, ext. # 310 i CIT`f OF TIGARD 131:'5 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTHSIDE ELECTRIC A CE--�''✓[_D PO B DX 12323 NO V o 2001 SALEM, OR 97309 N"iH31DE ELECTRIC Electrical Signature Form Permit #: MST2001-00542 Date Issued: 11/810'1 Parcel: 2S111 BB-BWO03 Site Address: 10461 SW AMANDA CT Subdivision: BRIE: WOODS Block: Lot: 003 Jurisdiction: TIG Zoning: R-3.5 Remarks: Construction of new single family detached residence.Path 1 Your company has been indicated as they electrical contractor for the permit indicated above. In order for the electrical permit tc be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below arid return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No alec.trical inspections will he authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: NEWCASTLE HOMES INC NORTHSIDE ELECTRIC PO BOX 230459 PO BOX 12323 TIGARD, OR 97281 SALEM, OR 97309 Phone 11: 503-684-7543 Phone #: 503-585-4879 Req #: sIJP 22235 �Ic 8059-s ELE 24-14C AN INK SIGNATURE IS REQUIRED ON THS FORM X Signature of Supervising E=lectrician If you have any questions, please call (50" ) 639-4171, ext. # 310 CRY OF bGARD Residential Certificate of Occupancy Permit No.: 2o-o C2 C3 5-U Address: o fimeH 0/�' C T Owner/Contractor: Date of Final Inspection: U Id 310-Z Inspector: � This structure W been found to he in subsedntial compliance with the provisions of the State of Oregon One& Two Family Dwelling S eriall -Code acid is hereby approved for occupancy. CITY OF TIGARD 24-Hour BUILDING Inspection Line: 1503)639-4175 MST li-SPECTION DIVISION Busines"s Line: (503)639-4171 / BUP deceived .. Date Requested _ -- � l a 3 AM _PM BLIP — Location . L" 0 _����%YVL_ L Z Suite MEC —— _ Contact Person -----__-_-- 1�J'� '-__-.-- Ph( —) _ ! q L_�' PLM Contractor -------- ------.._ .-_—.----------_______ Ph(----) _. SWR ---- - BUILDING Tenant/Owner Footing Foundation Access: ELC Fig Drain f �t' - - - — Crawl Drain ' �- I'\ Q�OA ,� F..LH - Slab Inspection Notes: SIT - __— Post& Beam Shear Anchors ExtSheath/Shear Int Sheath/Shear - '/v,Q Framing Insulation Drywall Nailing -------------_---- - - Firewall Fire Sprinkler --- - ---- --- ----- - --- ---- - - ---- - - _ Fire Alarm Susp'd Ceiling - -- --- ---------- --- - Roof Otherz_ - _—- -- - -- --- ---- -- --- - --- ----- __ RT FAIL ---------------_ - --- I Post&Beam Under Slab -------- - ------ ----- - Rough-In Water Service -- Sanitary Sewer Rain Draint. -- Catch Basin/Manhole Storm Drain - — -- -- - - ---- --- ----- - -- Shower Pan Other:—_ _ ---- - ASS PART FAIL - - ---- - - -- ------ MEC:HANICAL Post&Beam IRough-In --- -- - --- -- vas Line SmgkeDampers RT FAIL—ftEC — --- ---- --- - TRIC Rough-In — — UG/Slab - ---- --- - Low Voltage — -- - - - Fire Alarm 19 PART FAIL Reinspection tee of$ __ required before next inspection. Pay at City Hall, 13125 S N Hall Blvd. _ Please call for reinspection RE: — Unable to inspect-r o access Fire Supply Line 1 / ADP. Dab_ sem �3 r 0`L-ilispeat '~ Approach/Sidewalk Other: Final -- 9W) NOT REMOVE this !nspectIon record from the job site. PASS PART FAIL