Case File Mu NEWCASTLE 1101VIES, INC.1`0 BOX 230459 1 IMM) OR 91201
1
a
TEL: 503-6E'.4-7543 FAX: 503-604-6671 CCB: A667
P 1 E
0 D
Lot S u b u i v I s l o t i
Op 4 7 W A M A H D A_. .�'
Addrvo3 - ..- All _ . ____.._ ....r..r..._..� .�.
Scale 1/0" Notes: Dawns outs and crawls pace dr ai )
3oW.96) A53 , 0 a ,
c00.0
C GYM rG
vi Jov I
NCO
Q-aSf� met T
0010\
IL
3 '
1 /10
oo
01
r/, / , A
x )�
40
\O
ts
I 317
,
1 '
s� r-WAI INS' Rl. IMfd
SW C&nW Book 40 Pop+ AM
M p'•Mir f !1lQ? M iiv,w�s` r tssur1R►
mor
I / rim pow Am. Afar 371 `
00
jjZ 8p jr [wcss ti9owo►vi' �� /
Ir t f s a►•,o•.rr
ir'
s Sr4W'.
h� ,aao i � raoo &sm
A-"N \r N if/?
i 1 / A-d?I
1 l i9e�'1'
i � ; •..,� / rape �\ �10•�
s .1,wvr,,r dr, it
1 1A r/1J M a ; 1 Y `44;
0 (40
or
,p.. �� '.r,i,� ?/d I i. ��� �',tl,� �ih• A •� �'It
' ,�ti��•. 1 •.M�rNv�I�r r`r�YMMM'r .�.r11.^... w:sq '
NOTICE: IF THE PRINT OR TYPE ON ANY
I' ll
( III1I 1 I! ! � '
IMAGE IS NOT AS CLEAR AS THiS NOTICE 1 3 4 7 I I 21
IIII IIII IIII IIII11cnw• rZcar•, — — - ) — — ---,
I1iS DUE TO 1-NE QUALITY OF THE No.38
Am
rT �i�i3w �
�rl ,
ORIGINAL DOCUMENT TOZ 61 Si
II1IIIII11IIII IIIII,-- I — . I1IIIIIII1111111 lfIIII,IIL11L 111t.111illi
�
1►IIIII�i�11I
r
h
0
J
ti
7
A.
d
0
O
C
10479 SW Amanda Court
i
CITY OF TIOARD
Residential Certificate O f' Occupancy
Permit No.: - Q (, 5r1�:2 i7 Address:
Owner/Contractor: _ ---
Date of Final Inspection: L Q Inspector:
This structure has been found to be in substantial compliance with the provisions of the State of Oregon One.Sc Two Family Mvelling
S eeial�Code and is hereby-Hproved for uccu ancy.
1
CITY OF TIGiARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST ��' Ud 6 G7
INSPECTION DIVISION Business Line: (503)639-4171 -
BUP
Received —___. gDate Re nested—_ -"a AM _._PM BUP
Location ^ ! d .�L_—-- �'j Z1 _ �suite MEC ------ —
,ontact Person ----- C Ph( ) ?gq'" a--- PLM ------ - —
ontractor
-- ------ --- PhSWR
-- Tenant/Owner _. _ ELC
1=oundation ELC
ACCESS: �.. (,tf ru✓
Ftq Drain y,�7 u fr u o�� l.:�'
Crawl Drain vim` ELR
Slab Inspection Notes: SIT _
Post& Beam —
Shear Anchors
Ext 5he3th/Shear
Int Shea,h/Shear
Framing --_----- _
Irsulation —
Drywall Nailing
Firewall --- -
Fire Sprinkler ---- _- -------------_—_---
Fire Alarm
Susp'd Ceiling -- ----- -- - -- --------- --
Roof
Other: _---�.--
PART FAIL
4fte!,
Under Slab
Rough-In
Water Service --- -_
Sanitary Sewer
Rain Drains — --- - - -
Catch Basin/Manhole
Storm Drain -- - --
Shower Pati
Other: -- - - -- - - -
FAIL
kwean,
Rough-In _—_--- _
Gas Line -
Smke Dampers --
RT FAIL —�— ------ -
Rough-In
(;G/slab
I ow Voltage
Fire Alarm
ti iii-'
SS PART_FAIL -� Reinspection foo _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SI_E -- -- u Please call for reinsNeciirm HE:_ — L J Unable to inspect-no access
Fire Supply Line
ADA
;',nproach/,Sidewalk Dets ` �� .5 Inspoeter
Other:
I Final DO NOT REMOVE this Inspection record from the job site.
L- PASS PART FAIL
CITY OF TIGARD MASTER PERMIT
PERMIT#:DEVELOPMENT SERVICES DATE ISSUED: 2/2 1 -00567
6/01
.3125 SW Hall Blvd.,Tigard,OR. 97223 (503)639-4171
SITE ADDRESS: 10479 SW AMANDA CT PARCEL: 25111 BB-02200
SUBDIVISION: BRIE WOODS ZONING: R-3.5
BLOCK: LOT:001 JURISDICTION: TIG
REMARKS: New SF detached residence. Path 1
BUILDING
REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: I IF'N HEIGHT: 23 FIRST: 1,700 at BASEMENT: At LEFT: 31 SMOKE DETECTORS: Y
TYPE OF USE SI- FLOOR LOAD: 40 SECOND: 1,390 at GARAGE: 670 at FRONT: 23 PARKING SPACES: 2
TYPE OF CONST: 544 DWFL.LING UNITS: 1 FINBSMENT: of RIGHT: 9
VALUE: $296,67P.00
OCCUPANCY GRP: 10 BDRM: 5 BATH: 4 TOTAL. 3,09000 at REAR: 15
PLUMBING _
SINKS: 1 WA7ER CLOSETS: 4 WISHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN. :10 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FL7oR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUSISHOWERS: 5 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAP3:
OTHER FIXTURES:
MECHANICAL.
_+FUEL TYPES FURN<100K: SOIL/CMP<3HP: VENT FANS: 6 CLOTHES DRYER:
GAS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS- 1
MAX INP: btu FLOOR FURNANCF.S VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
_ ELECTRICAL _
RES IDEN IAL UNIT SERVICE FEEDER TEMP SRJCIFEEDERS 3RANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WIF dC OR FDR: I PUMPIIRRIOATION: PER INSPECTION:
EA ADD'L 8009F: 6 201 •400 amp: 201 •400 amp: lot W10 SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HWSVCIFDR: 801 • 1000 amp: 8014ampa•1000v: MINOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION _
Reconnect only:
>-4 RES UNITS: SVCIFQR>•228 A.: >800 V NOMINAL: CLS AREAlSPC OCC:
ELECTRICAL•RESTRICTED ENERGY
_A.BE RESIDENTIAL S.COMMERCIAL
AUDIO B STEREO' VACUUM SYSTEM: AUDIO B STEREO: FIRE ALARM: INTERCOWPAGINO: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEARRIG: PROTEC rIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR
HVAC; DATArtELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 8,388.53
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 PO BOX 230459 all other applicable laws. All work wall be done In
TIGARD,OR 97281 TIGARD,OR 97281 accordance with approved plans. This permit will expire If
work Is not starter:within 180 days of issuance,or if the
work Is suspended for more than 180 days. ATTENTION:
Prone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those nl:es are set
Reg N: LIC 5966/ forth in OAR 952001-0010 through 952-001-0080. You
may obtain copies of these rules or rtirect questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Begin Structural PLM/Underfloor Framing Insp Gas 1:Ireplace Electrical Final
Grading Inspection Post/Beam Mechanics Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Sewer In,pection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection
Foundatlon Ina Footing/Foundation Dr; Electrical Rough In Gar Line Insp Appr/Sdwlk Insp
\ :�
Permittee Signature :
Iss(edBy: 9 ..a4UL!is�,
Lal) 03)639-417 y 7:00 p.m.for an tnspe�Aloo needed the next business day
/ SEWER CONNECTION PERMIT
CITY OF
•f I GARD
DEVELOPMENT PERMIT#: SWR2001 00319
NT SERVICES
DATE ISSUED: 1 L/26/0 i
931",5 SW Mall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111BB-02200
SITE ADDRESS, 10479 S\•!AMANDA(-,T ZONING: R-3.5
SUBDIVISION: BRIE WOODS JURISDICTION:
BLOCKS _ LOT: 001_ -
TENANT NAME: FIXTURE UNITS:
USA VO:
CLASS OF WORK: NEW NO.
UNITS 1
NO. OF BUILDINGS:
TYPE OF USE: SF 1
INSTALL TYPE: LIPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new SF residence.
Owner: _ _ FEES _
NEWCASTLE HOMES, INC. Type By Date Amount Receipt___
PO BOX 230459 PRMT CTR 12/26/01 $2,300.00 27200100000
TIGARD, OR 97281 INSP CTR 12126/01 $35.00 27200100000
Phone. ':03 684 7549 Total $2,335.00
Contractor:
Phone:
Reg #:
Requires Inspections_
This Applicant agn!F:s to comply with ell the rules and regulations of the Unified Sewage Agency. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directons from the distance given. If not so located,the installer s�iall purchase a"Tap and Side Sewer' Perm
C_�'�rz,►t�.,>a� Permittee Signature: ��,��.:.�� � ��
Issued b : ---
Gall (503) 639-4.175 by 7:00 P.M. for an Inspection needed the next business day
Building Permit Application
��– 7Date
receive
d! I Permit no.:City of Tigard TICS �Address: 13125 SW Hall Blvd,Ti and 9 3 t/appExpire date:
City of Tigard 8 , I
Phone: (503) 639-4171 ssued: B Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type: F:
Land use approval: 1&2 family:Simple Complex:
A 1 &2 gamily dwelling ur accessory U Commercial/industrial U Multi-lanuly XNew construction U I7cnuthtion
U Addition/alteration/replacement �l Tenant improvement U Fire spripkler/alarm U Other:
10LIMM fill I I--
Job address: c /) F Bldg.no.: Suite no.:
Lot: / Block: Subdivision: � w0 Tax map/tax lodaccount no.:
Project name: .. ?� '" �. l`.�✓l 1 lj�> t��c'�O
Description and location of work on premises/special conditions: _ _ 127 - 1 ,_'7 —
lU��Ie,
F 1 �rnF�vf� -
Name: It,�e c�CQ Sf"L� th)lyu s ").
Mailing address:
3 1&2 family dwelling: v
City: p State:p 2 ZIP: 7_$/ Valuation of work........................................ $ 70.
Phone: S Fax:(o$ 9(p7 E-mail: No.of bedrooms/baths................................. S
Owner's representative: Au I L.tt r Total number of floors................................ 02
Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... _ g0
Islidill Garage/carport area(sq.ft.)......................... __ja7_
Name: K cA ty); Cl C/L�--�_ Covered porch area(sq.ft.) ......................... COO _
Mailing address: Deck area(sq. It.) ........................................
City: StatedI ZIP: Other structurearea(sq. ft.).........................
Phone: Fax: E-mail: <'ommercial/hrdustrial/multi-family:
Valuation of work................................. ..... $
Business name: Existing bldg.area(sq.ft.) ......... —
_ /1/e.i�C�S7-L FjtsYna S inU New bldg. ft.) �•.
Address: area(sq. ................ ..........
City: _-- State: ZIP: Number of stories...................
Phone: Fax: E-mail: Type of construction....................................
CCB no.: �_ Occupancy group(s): Existing:
New:
City/metro lie.no.: Notice:All contractors and subcontractor.are required to be
licensed with the Oregon Construction Contractors Board under
_Name: provisions of ORS 701 and may he required to be licensed in the
Addttiss: jurisdiction where work is being performed.If the applicant is
Citv: State: 7.1P: exempt from licensing,the following reason appiies:
Contact lwtson: Plan no.: -- --
Phone Fax: E-mail: -- -----
Name: Contact person: Fees due upon application ........................... $
Address: _ Date received:
City: State: ZIP: Amount received ......................................... $
Phone: Fax: Email: Pleave refer to fee schedule
I hereby certify I have read and examined this application and the Not all juri.dictions accept credit cards.please call jurisdiction for more in(min.mion
attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard
work will be complied wi ,whether specified herein or not. cndii card number
Authorized signature( e__A Dale.: /2-0f.01 - None of cardholder as shown at credit cad
Expires—
Print name:_ i 'Et ld t.iU/ _ C&dhotder siprsum $ Amount—
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. W-4611(6MK'OM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.: --_ —
CirygfTi,gard City Of Tigard Associatcdpermit
Address: 13125 SW Hall Blvd,Tigard,OR 97223 O Electrical U Plumbing U Mcchanical❑ether:
Phone: (503) 639-4171 -- ---- —.
Fax (503) 599. ;960
1 laud use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.r,(K4 plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved platlot._ --- - — - —
4 Fire district_— approval required, —- -
-5 Septic system permit or authorization for remodel.Existing system capacity
6 Sewer permit - --
7 Water district approval. —
8 Solis report.Must carry original applicable stamp and signature on file or with application. —
9 Erosion control U plan U Kermit required. Include drainage-way protection,silt fence design and location of
;etch-basin protection,etc. _
10 . Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be cumplcted
_
if copyright violations exist.
1 I Sitetplot plan drawn to scale.The plan mart 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?4 intervals);location of easements and
driveway,footprint of structure(including decks);location of wells/septic systrms;utility locations;direction indicator;lox
area:building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size a id location.
13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
__ furnace,ventilation_fans,plumbing fuxtums,balconies and decks 30 irnthes above grace,etc.
14 Cross section(s)and details.Show all frarmo f-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,mof construction.More than onf,cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling heighu siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflcrt the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral snalysis(plans.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof frruming.Provide plans for all Iloors/rtxtf assemblies,indicating member sizing,spacing,and beating
locations.Show attic ventilation.
18 Basement and retaining walla.Provide cross sections and details showing placement of rebar.For engineered
systems,sec item 22,"Engineer's calculations."
I 9 Beam calculations.Provide two sets of"Iculations using current cafe design values for all beams and multiple joists
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof trues design details._ - -
21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required
for four or more appliances. —
22 Engineer's calculatfor.ts.Whee -equired or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon ano shail he shown to he applicable to the project under review.
23 Five(5)site plans are required for Item I I above. ,
24
25
26
27
28 — - '-
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink
Red ink is reserved for department use only. 440-4614(rMWMM)
Mechanical Permit Application
rDatereceived: L7 /,• --1)) Permit noCity of TigardAddress: 13125 SW Hall Blvd,Ti ard,OR 97223 ppl.no.• Expire date:
City of Tigard g -
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503)599-1960 Case file no.: Payment type
Land use approval: — Building pern,itno.:
I & 2 famify dwelling or uccessory U('ommercial/industrial C!Multi-family U Tenant improvement
New construction U A(Idition/alteration/replacement _j Other.
Job address: ;ndicate equipment quantities ir,boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: pmfit. Value$
I-ot: / Block: Subdivision , U/ *See checklist for important application information and
Project name: jurisdiction's fce schedule for residential permit fee.
City/county: W4 S h;n n ZIP: G�72LZ44
Description and location of work on premises: tEmm
1
t
Est,date of completion/inspection: 1'�(�•) Total
_ De'scription (11�. ft(x.onh Rcs.only
Tenant improvement or change of use: AC- — -
ls existing space heated or conditioned?U Yes U No Air handling unit CFM
Is existing space insulated?U 1 es U No irconditionmg(si(e plan re- ire )
Alteration of existing H system —--
ol er compressors --
Business name; �pUI �C�(S Or S State boiler permit no.:
Address: o � HP Tons __BTU/H
Filit smo a amper uct smo-a electors
City: r�" State: ZIP: q]a p Ffr.at pump(s to p an require ) -
Phone: 77,3. 5e3 19 Fax: E-mail: nsta rep aceTurnac urne7�er
CCB Including duetwork/veni liner U Yes U No
City/nteiro tic.no.: — nsta rep ac re ocateTieaters=-suspen e
wall,or floor mounted
Name(please print): _ ent forap iance of er t an furnace
Relkigeratiow
Name: JjM Absorption units BTU/H
N�-ham Chillers—__ — Hp
Address: _ Compressors_ _ �— Hp
City: Slate: ,'I IEnvironment—Tex list an vent at on:
Appliance vent
Phone: Fax: EDryer ex alis(
-Tioci s,Type res.kite a armat
Name: hood fire suppression system
_____ Exhaust fan with single duct(bath fans)
Mailing address: _x h dust system a an tom uaun or
City: Stale: ZIP: ue P p ng a t onTup to out e�4)
Phone: Fax: E-mail: Tyr' •-U� NG Oil
ucl i In cac a itiona Ductout cis —
rocessppng(schcmaiicrequtre
Name: Number of outlets
Address: Of er sf appTlance or eqo pma — —
Decorative fireplace
City: State LIP: Insert-type____
Phone: Fx: E-ma;l: lu stcivelpclletstove
Applicant's signat��re: vale. Other: ----
Name(print): — Other.,
N
Not all jnddictlam accept credit cordo,Please crll jurimictim.for tT"r inftxrnatlon. Permit fee..............
Notice:This permit application '•"'•'$
❑Y,Sa LI MasterCardMinimum fee................$
Credit card number:____ / expires if a permit is not obtained Plan review(at %) $
F%pims within 180 days after it has been
Name of car&io'Ider ax shown on credit card accepted as complete. State surcharge(8%)•...$
-- Cardholder A
—---- s TOTAL .......................$
aitnattae mouni --
--
440d6 17(WWOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUAVON: FEL. Description:Description: price Total
$1.00 to$5,000.00 Minlmum fee$72._5.] Table 1A Mechanical Code ___- Oty (Fa) Amt
$5,701.00 to$10,000.00 V2.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or I _ Including ducts 8 vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. Including ducts 8 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 9100.00 or ir.:;luding vent _ _ 14 00
fraction thereof to and including 4) Suspended heater,wa!I heater --�
___ $25,000.00. or flour mounted heater _ _ 14 00
$25,001.00 to$50,000.00 $379.5r1 for the first$25,000.00 and 5) Vent nut included in appliance permit -
$1.45 tar each additional$100.00 or _ 6.80
fraction there.:f,to and including 6) Repair units -
_ E50,000.00_ - 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air
$1.20 for each additional$100.00 or For Items 7-11,sae or Pump Cond
_- fracfi:,r thereof. footnotes below. Com " •*
7)<3HP,absorb unit -
A3SUMED VALUATIONS htR APPLIANCE: to 100K BTU_ _ - 14.00 -_-
�
Value Total 8)3-155 HP;absorh� unit 100k to 500k BTU 2560
Descrption: Qt I Ea Amount y)15-30 HP;absorb -
Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ 35.00
ducts&vents 10)30.50 HP;absorb -
Furnace> 100,000 BTU including 1,170 unit 1-1.75 mil BTU 5220
ducts 8 vent, _ -
Floor furnace Includingvent 95� - - 11)>50HP:absorb
-- ------ ---- ---- unit>1.75 mil BTU 87.2.0
Suspended heater,wall healer or FJ55 -- --
flop mounted heater 121 Air handling unit to 10,000 CFM
Vent not included in applicance 445 - _ 10.00 _--
permit _ -� T 13)Air handling unit 10,000 CFM+
17.20
R±jalr units-_ _ _ 805 __._. F-1 Z)Non-portaule evaporate cooler -
<3 hp;:•bsorb.unit, '155 ___ _ 10.00
nit
to 100k OTU_ 15)Vent fan connected to a single duct
�-
3-15 hp;absorb.u , gu
--- ---- --1,700 _ 6.80
101k to 500k BTL' ---- 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 12,310 appliance.permit 10.00
mil.BTU _ -�---�-
30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust
_ _ 10.00
1-1.75 colt.BTU_ _ _ - - - _-.
>50 hp;absorb.unit, 5,725 - 18)Domestic incinerators
>1.75 mil.BTU _ _ 17 40 _
Air ng unit to 10,000 cfm 656 19)Commercial or industrial type Incinerator
-----� _ _ _
Air handling unit>10,000 cfm 1,170 20)Other units,including wood stov_es_ _69.95
- -
Non-portable ev�orate cooler _ 656 g
_ _
Vent tan connected to a single duct _ 446 10 00
----- ---
Vent system not Included in 656 21)Gas piping one to four outlets
appllance permlt _ - 5.40 --
Hood served b mechanical exhaust 656 - 22)More than 4-per cutlet(each)
---� 1.00
Domestic Incinerator _ 1,170 Minimum Permit Fee$72.50 SUBTOTAL:
Commer.-'al or l _
�dustrial Indnerator -4,5k
-
Other unit,inciudrng:vccd stoves, 656 ---�` 8%State Surcharge $
Inserts,etc. _ _
Gav_pjp ng_1•d ouCQts -- - 36_0 - --^" 25%Plan Review Fee(of subtotal) --
Eauh additional outlet 63 $
- - -- ---- _ ---- Required for ALL commercial permits only
TOTAL COMMERCIAL s TOTAL RESIDENTIAL PERMIT' FEE: r- $ -
VALUATION:--- ---�-- - -- ------ --- -- --..
Other In ectlons and Fat t:
1 Inspection,outside of normal business hours(minimum charge-two hours)
$72 50 per hour
2 Inspt,ctions for M Nch no fee is specifically indicated (minimum charge half hour)
S 72 50 per hour
3 Additional plan t aiaw required by change,-,additions or revisi,1, to plans(minimum
charge-one-half hour)$72 50 per hour
"State Contracwr Moiler Certification required frit mils>200k BTU
"Residentia'WC requlres elle Man showlvg placement of unit.
I\dstS\forms\mech-fees.doc 10/11/00
Plumbing Permit Application
Daterec^ived: '1o.:/ � ,
City of Tigard
Address: 13125 SW Hall Blvd, rigard,OR 97223 Sewer permit no. Eulldmg permit no.:
A k
City of Tigard Project/appl.no.: Expire date:
Phone: (503) 639-4171
Fax: (503)598-1960 Date issued: By: Receiptno.:
Land use approval: _— — Case file no.- Payment type:
i 1 &2 family dwelling or accessory Q Commercial/industrial U Multi-family U Tenant improvement
�3New constr-tion a Addition/alteration/icpl icemcnt ❑Food service ❑Other:
Job address: :,t) 1}MG,'lll'4 C Description "y. Fee(ea.) Total
Bldg.no.. Suite no.: New T_--and 24mmily dwellings only:
Tax map/lax lot/account no.: (lnclut es 190 ft.for each utility connection)
SFR(1)bath
Lot:_/ Block: Subdivision: j e_ k)0661_5_5 SFR(2)bath
Project name: SFR(3)bath—
City/county rC l aSE ZIP: 172 2:4— Each additional bath/kitchen
Description and ovation of work on premises: _ Siteutilities:
Catch basin/area drain _
I-st.date of t ompletion/inspection: D wells/leach line trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: NLLj -r- PrX1n�) Manholes
Address: F'U BDX 2.3338 Rain drain connector
City: Tq/61— Statc:pk_I ZIP: Ci 7 2_'A 1 Sanitary sewer(no.lin.ft.)
Phone: Fax: E-mail: Storm sewer(no.lin.ft.)
CCB no.: / p Plumb.bus.reg.no: Water service(no.lin.ft.
City/metro hc.no.: _ Fixture or Item:
Conttacior's repres,ntative signature: — Absorption valve
Back flow prevenler _
Print na:,tc: I'•ttc: Backwater valve
KIM Basins/lavatory -- --
Name: f Q!� �1/q } S — v_ —_ — Clothes washer _
Dishwasher
_Addr^ss: Drinking fountain(s) —
City: --__ °i'ltc ZIP: — Ejectors/sump--- _
Phone: Fax: E-mail: Expansion tank
Fixture/sewer cap
Name(print):
Floor drains/floor sinks/hub Garbage disposal
JJ
— _
Mailing address: {lose bibb —
City: _ State: ZIP _ _ —
_ _ Ice maker
Ph me: Fax: E-mail: Interceptor/grease trap
Gwner installatio.-Jresidcuiiai maintenance onh: The actual installation Primer(s)
will be mad_.by me or the mainten u.(.e and repair made by my regular Roof drain(commercial) _
employee on the property I own its fer ORS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signn':,re: Date: _ Sump J
Tubs.'bhower/shower pan
Urinal —---
Name: --_— _-- Waxer closet --
Address: _ atec nate _
Cit_y:' State: ZIP: _ Other: — --- —
Fhone: _ Fax: — E-mail: Total_
Not alt jurist ieNom ae--epi credit cards,pb•ase call jurisdiction rM more mfomtntilmn Minimum fee................$ _
Notice:This permit application
❑vias ❑MasterCard Plan review(at _ %) $ _
expires if a permit is not obtained State surcharge $%
Credit ern number: __— _ within 180 days after it has been g ( ) ""$
Expires --
Name of colder as shmm on credit cord accepted as complete. TOTAL .......................$
_� Cardholder signahsre�� �� Amount 440.v,v,(rvri)A'ono
PLUMBING PERMIT FEES:
(- PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES (individual) QTY ea I AMOUNT (Includes all plumbing fixtures in PRICE TOTAL
Sink 1 16.60 the dwelling and the tirst100 ft. QTY (ea) .AMOUNT
- -- 16„� - for each utilf connection - _-
Lavatory �--"----'�---
_ One(1)bath __- $249.20
0.0 3
Tub or Tub/Shower Comb. 16.60 Two 2 bath $ 5 0
Shower Only 16.60 Three 3 bath - $399.00
Water Closet 16.60 _SUBTOTAL --
Urinal - 16.60 8%STATE SURCHARGE _ J
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbage Disposal - 16.60 TOTAL
Laundry Tray - 16.60
Washing Machine 16.60
Floor Washing
aMachine 2” --- 16.6° PLEASE COMPLETE:
_ 16.60
4" 16.60
Water Heater O conversion O like kind 16.60 _.- Quantity by_Work Perfonned
Gas piping requires a separate mechanical Fixture Type: New Moved 7 Replaced Removod/
permit. _ -_ _ ____ - Capped
MFG Home New Water Service 46.40 Sink
MFG Home New San/storm Sewer 46,40 �- Lavato
- - Tub or Tub/Shower
Hose Bibs_ 16.60 _ Combination
"not Drains - -- 16.60 ShowerOnly
Drinking Fountan 16.60 Water Closet
s(Specify) 60 -" Urinal
011ier Fixtures
16_ Clshwasher
Garba a Dis osal -
_ - - Laundry Room Tri _
---- -- - Washing Machine
Floor Drain/Sink'
Sewer-1st 100' - 55.00 - 3" - --
Sewer-each additional 100
Weter Sorvico- ?st 100' - - 55.00 - Water Heater
Water Service-each addit onal 200' 46.40 Other Fixtures
_
Storm&Rain Drain-1st 100 - - 55.00
Storm&Rain Drain-nach additional 100' 46 40
Commercial Back Flow Prevention Device 46.40 --- -
Tasidengal Backflow Prevention Device' 27.55 - - -
�i Catch Ba�sin - - 16.60 -
Incl pection of Existing Plumbing or Specially 72.50
Requested Inspections __ per/hr _ COMMENTS REGARD{NG ABOVE:
Rain Drain,single family dw-illing 66.25 _----
Grease Traps - 16.60 ----._- ----------- - ---
QUANTITY TOTAL
Isomctr'c or rser diagram Is required if V _
—
*SUBTOTAL ---- `-" -
- 8%STATE SURCHARGE - ---- --
"PLAN REVIEW 25%OF SUBTOTAL
Required onl�l 8xlure t .total Is>9 _ --_ _____
TOTAL 5
"Minimum permlt fee is 172 50-8%slate surctwge,except Residential Backflow
Prevention Device,which Is 138 25*8%state surrharge
"*All New commercial Bulldingi require plans with Isometric or riser diagram and
flan revk:w.
i:\dsts\forms\plm-feels doc 10/10/00
Electrical Permit Application
Datereceived: Permitno. y
CityCit of Tigard — — '
g ProjecUappl.no.: Expire date:
City gTigord Address: 13125 SW Ball Blvd,Tigard,OR 97223 Date issued: Bo
y: Receipttr -
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
I &2 family dwr.iling or accessory LI Commercial/industrial U Multi-family U Tenant improvement
)(New construction U Addition/alteratic,n/replacement U Other: _ U Partial
Job address: /O 6 Suite no.: ITax map/tax lot/account no.:
Lot: Subdivision: 'r tt UJUOiJS _
Project name: Description and location of work on premises: _
Estimated date of corn letion/ins ection: --
Job no: Fee Max
Business name: / ,1)C t.YI�) Descri tionQt . (ea Total no.hasp
a�� New residential-single or multi-faselly per
Address: „C dwellingualt.Includes attachedgairage.
City: State r ZIP: ,0Se:vievincluded:
Phone: 5 ,_ $ Fax: I E-mail: l(W sq.it.or less 4
CCB no.: ap c 9 Elec.bus.lic.no: i r additional 500 sq.ft.or portion thereof
.1mited energy,residential 2
Cit}/I11Ctro IIC.00.:
Limited energy,non-residential 2
Eamor
tured home or modular dwelling
Signature of supervising electrician( wired) Date r feeder 2
Sup.elect.name(print): Liceuseno: eders-Inatailatlon,
alteration
relocation:
ss 2
Name(print): 1AA3201 t. amps to 400 amps 2
Mailing address: Z 5 - 401 amps to 60f1 amps 2
-- 601 ams to 1000 amps 2
City: ((- Steten� ZIP: r^ Z$f Over 1000 amps or volts 2
Phone-I '] Faxa o$y t7(a7 E-mail: Recennectonll
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:
ORS 447,455,479,670,701. 200 amps or less
201 amps to 400 strips -- - —;-�—
Owner's ai lure: Date: 401 to 600 ams
Branch circuits-new,alteration,
Name: or extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: _ State: IIP: B. Fee for branch circuits without purchase
Phone: Fax: E-mail:
-- — of service or feeder fee,first branch circuit: _ 2
Each additional branch circuit:
Misc.(.Service or feeder not included):
U Serv:ce over 225 at cortimei cial J Health-care facility Each pump or irrigation circle 2
U Service over320rmps-rating of 1&2 U Hazardous location Each signor outline lighting 2
family dwellings U Building over I0,000.squore 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 J Feeders,400 amps or mom *Descridon: _
U occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
U EgmartAightinfplan U Other. Per inspection —
Submit sets of plans with any of the above. Investigation fee —
IMe above are not applicable to temporary construction service. Other --
Nat all Jurisdictions accept asst cards,please cal!Jurisdiction for more informr,tlon. Notice:This permit application Permit fee.....................$
U visa U MasterCard expires if a permit is not obtained Plan review(at — %) $
C edin card number. 8
me
-- xplrcswithin 180 days after it has been State surcharge(8%)....$
—
--Na : ar.drawn on crcr beard--- accepted as complete. TOTAf. ................. .....$
Cardholder itirr+nturc s Amount
'� 440.4613(6100ICOM)
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Bellew: i TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
RestrictedEnergy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service Included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq.ft.or less $145.15 4 ❑ Audio and Stereo Systems
Each additional 500 sq.ft,or
portion thereof $33.40_ 1 ❑ Burglar Alarm
Limited Energy $75.00
Each Manurd Home or Modular ❑ .lavage Door Opener'
Dwelling Service or Feeder _ $90.90 _ 2
S*rvlces nr Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteratlon,or relocation
201 amps or less $80.30 2 ❑
201 amps to 400 amps $106.85 2 Vacuum Systems
401 amps to 600 amps $160.60 2
601 snips to 1000 amps $240.60 2 ❑ Other
Cver 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Servlcbs or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Foe for each system.......................................................... $75.00
200 amps or less $06.85 2 (SEE OAR 918-260-250)
201 amps to 400 amps $100.30 2
401 amps to 600 amps o,ob.ib�_ 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 ❑ boiler Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock S,:stems
feeder fee.
Each branch circuit $6.G5 — 2 Dats Telecummunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fie.
First branch circuit $46.85
Each additional branch circuit $6.65 ❑ HVAC
Miscellaneous ❑ !nstrumentabon
(Service or feeder not hdUded)
Each pump or irrigal,•m circle _ $53.40
Each sign or outline I ghting $53.40 r _ ❑ I�ttercom and Paging Systems
Signal circuit(s)or a I,mited energy
panel,Oterstion or extension $75.00_ ❑ Landscape Irrigation Control'
Minor Labels(10) $125.00 —
Medica!
Each additional Inspection over ❑
the allowable In any of the above ❑
Per Inspection — $62.50 Nurse Calls
^er hour $62.50
Ir r�%nt $73.75 I ❑ Outdoor Landscape Lighting'
1`t�dS: I ❑ Prolective signaling
Enter total of above fees $ II C_j Other
8%Stato surcharge $ _ _Number of Systems
23%Plan Review Fee
See"Plan Review"section on $ No licenses are required Licences aro required for all other Installations
front of application. — ---
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account N_ 9%State Surcharge $
Total Balance Due i
i 4dsts\farmsklc-fees.doc 10,10%00
f
SE. .,E 35MM
ROLL # 20
FSR
OAdERSILED
DOCUMF.NT
C;TY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
f NORTHSIDE ELECTRIC
PO BOX 12323
SALEM, OR 97309 �;rCVi_D
U E C 2 2001
Electrical Signature Forra N0F1'1HS@E ELFC;kIf,
Permit #- MST2001-00567
Date Issued: 12/26/01
Parcel: 25111 BB-02200
Site Address: 10479 `W AMANDA CT
Subdivision: ERIE WOODS
Block: Lot: 001
,Jurisdiction: TIG
Zoning: R-3.5
Remarks: New SF detached residence. Patti 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.
. 9 p g Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to t"t address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
NEWCA-''LE HOMES, INC. NORTHPIDE ELECTRIC
PO BOX 230459 PO BOX 12323
TIGARD, OR 977.81 SALEM, OR 97309
Phone #: 503-684-7549 Phone #: 503-585-4879
Req #: SUP 2223S
LIC 80593
ELE 24-14C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have ony questions, plcase cal' (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
NORTHWEST PREMIER PLUMBING
P.O. BOX 23338
TIGARD, OR 97281
Piu:rlbing Signature Form
Permit #: MST2001-00567
Di.,te Issued: 12126/01
Parcel: 2S111 BB-02200
Site Address: 10479 SW AMANDA CT
Subdivision: BRIE WOODS
Block: Lot: C01
Jurisdiction: TIG
Zoning: R-3.5
Remarks: New SF detached residence. Path 1
Your company has been indicated as the plumbing contractor for the permit indicated � bovo. !n order for the
p Y
plumbing permit to be valid, please have the appropriate individual from Yo
r 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
O\h'NF.R: PLUMBING CONTRACTOR:
NEWCASTLE HOMES, INC. NORTHWEST PREMIER PLUMBING
PO BOX 210459 P.O. BOX 23338
TIGARD, OR 97281 TIGARD. OR 97281
Phorie #: 503-684-7549 Phone #: 503-624-0582
Reg #. 1 IC 135022
PI M 34-348PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310