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7977 SW CAROL ANN COURT .�.. SITE PLA LOT: 19 BLOCK: N/A SUBDIVISION: DURHAM SCHOOL PARK SECTION: SW 1/4 12 T-2S R- 1 W W.M. CITY: TIGARD COUNTY: WASHINGTON STATE: OREGON SCALE: 8' TAX MAP AND TAX LOT No.: TAX MAP 2S 1 -12CD SITE ADDRESS: 7977 SW CAROL ANN CT. OWNER- HERB HOFFART do Co. 4632 S.W. VERMONT ZONING: R — 12 PORTLAND, OREGON 97219 TELLEPHONE: 244-0876 S 88042 ' 32 " E- 76 , 6 34. 00 ►� �o N C`I - - - - SETBACK LINE - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- W E ' S ' 5' 24. 00 51 LOT 19 F. F. 165 LOT AREA : 3355 S. F. 0 In o0 00 N (.0 o m 00 ►� oo 0 (D N 0) 6 CO � o �- 0-) 0 T_ cry o 4. 00 o I ' P U . Q � 20. 00 w ;z CIO : I _jo a Q o Cb * 0 �-- CD c , \ tK f- . H . 3q . 0 S 88 °42 ' .5 2 E I � i ,IS CAROL T. � _ N NOTICE: IF THE PRINT OR TYPE ON ANY I � I � � � � � I � � I � � I � SII ! I � � I � ! I ! � I � ! fir .r (� r1� rlT �, r.(.r r ( � ► iii r�i il ! ! I � ! � ! ! � ! ! � i i i ! � ! ! � i r � � i ( t i � � rir iii � ! i 1 � � t ( > > 1t � i � t ! � ! ! � ! i � � � ! � ! i � ! i � ! ! � ! � ! I . I I I I I T l 1 I I 111111111 I IMAGE IS NOT AS CLEAR I I A� THIS NOTICE, 1 2 3 4 5 6 8 9 ! 10 11 12 ITIS DUE. TO THE QUALITY OF THE r,�.s ��;.�, .... ------ -_ ORIGINAL DOCUMENT E ' 6Z ��►� ��►� � �� S Z L� Z 9Z 5Z Z EIZ Z TZ 07, F�I jlLl I -._-_ - - �- - I - �- T- - --- - _ 5 � � � ll El —_ 1_._11i ► l . ilITIII �I,lllRiill IlllaIl �Ul [l IIali�df ii3wl l m V V cn n 4) "7 O D n 0 c A M 7977 SW Caiol Ann Court our Date Requested t AM —PM _ BLD _ Location �7 Suite MEC Contact Person C� L�-C - Ph _ l 7 PLM Contractor — Ph SWR BUILDING Tenant/Owner ELC --_--_ Retaining Wall ELR - _- Footing Access Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: - -- Slab __-______--- --- ----- SIT _ Post& Beam Ext Sheath/Shear __-- Int Sheath/Shear Framing --- ----------------- — ----- Insulation Drywall Nailing --..-N_-_---- -----,_-__.--_,_-------- ------- -- ---- Firewall Fire Sprinkler -- -- - --- - ------ --- --_ Fire Alarm Susp'd Ceiling Roof Misic. zi - -- - ------ ---- _.__.._._ ------ -- - ASS_.) ART FAIL - ---_____ _.--- ----------_-_--- ---- - - --- MBING Post& Beam -- T Under Slab Top Out --------------- Water Service Sanitary Sewer __-- Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ------- Rough -- -Rough In --- --� Gas Line ------- _Smoke Dampers Clampers Fina --- ------ ----- ---------- - - -- PASS PART FAIL. ELECTRICAL - CA Service Rough In - --------------- UG/Slab Low Voltage Fire Alarm ---------------- ___-- Final PASS PART FAIL _._..------- ----------- -- - -- -SITE Backfill/Grading - -- - --- ------ _�__ - _ _ Sanitary Sewer Storm Drain [ ]Reinspection fee of$ ___---required before next inspect°un Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_-_ [ ]Unable to inspect no access ADA r� Approach/Sidewalk _ other Data �' ___-- Inspector___/ - _.— Ext Finai PASS PART FAIL DO NOT REMOVE this inspection record from the job site. bur- —Date Requested �l AM PM BLD Location_ Suite� MEC Contact Person —_ Ph �� PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR _ Footing AccesF: Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes: -- — Slab Post& Beam � ---- ------------------ SIT Ext Sheath/Shear _ Int Sheath/Shear Framing - - - — -- Insulation Drywall Nailing _ _ � C- zr'z C!�-' Firewall Fire Sprinkler - _- ---_ - Fire Plarm Susp'd Ceiling — Roof Misc: ---- -- -- - Final PASS PART FAIL PLUMBING Post& Beam -- -- Under Slab Top Out - -- -- Water Service Sanitary Sewer - — - Rain Drains Final - ----- ---------- - PASS PART FAIL MECHANICAL Post& Beam - --- Rough In Gas Line -_ _. .------- --- - -- Smoke Dampers Final ---- -- ------- - - PASS PART FAIL Service Rough In -------------___ -------- UG/Slab ------- --- -- - _- --- ----- L ow Voltage Fire Alarm ASS PART FAIL Backfill/Grading --- ----- - ---- - - -------- - Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( Please call for reinspection RE _ [ J Unable to inspect-no access ADA Approach/Sidewalk Other Date r� r!� Inspector _ Ext Final - PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. _ Date Requested Z3 AM PM BUP BLD Location_ -76/ -7 -7 C?�:z;)—�. (6n/n. ld't- Suite MEC Contact Person ph -77 PLM Contractor— _ _ Ph - — SWR BL'ILDING — Tenant/Owner _— ELC Retaining Wall — _ -- Footing ELR Foundation Access: Ftg Drain 4 r. FPS - Crawl Drain Inspection Notes: SGN Slab - -- Post 8 Ream --- ---^------- - SIT _ Ext Sheath/Shear - Int Sheath/Shear _ Framing Insulation -- -- --- -- --_---- _ Drywall Nailing Firewall ----- - —- - —_--- --- Fire Sprinkler Fire Alarm - ---- ------ - -- - —__—_-_ Susp'd Ceiling Roof -- — -- ------ Misc: Final ---- ------- —._.- _ - ---- PAS;3 PART FAIL --------- ------—.. --- PLUMMNG -- "ost& Beam Under Slab — `-- Top Out --- ----- -------- --- - - _ _ _ Water Service - Sanitary Sewer ---- - ---- -------- Rain Drains -_--- --- — ----- AS PART FAIL ANICAL -------- ---- — Post& Beam —..-----_----------_--- Rough In ---- ------ .------ ----- - -- — - Gas Line - ----- --- —_ —_. _ Smoke Dampers T-- -- -- Final -- ---- --- ------ — _ PASS PART FAIL — - ELECTRICAL -- ---- - — ---_�—_ Service — Rough In - - ----- -------- — -------..--- - — UG/Slab Low Voltage -"----- - -- --- __ Fire Alarm Final ------------ _--_-w- - -- --- PASS PART FAIL SITE --- — �— --- --- Backfill/Grading _--- Sanitary Sewer ------ Storm Drain ] Reinspection fee of$-- required before next inspection. Pay at City HP11, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspectiro RE: - [ J Unable to inspect - no access ADA --- — Approach/Sidewalkn Other _ Dat L 3 O / _ Inspector l/ L-p ��►�{- Ext Final — -- — PASS PART FAIL DO NOT REMOVE this inspection record from the jots site. ►AAAAAAAAAAAA,SAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA d N . ► td ► 44CL Poo. ► U � �> ► o. 44 p d r a ► C (D �► (b ► t o u ► -4 �44 rl\ ► t 7 �� t �► CL ► ' crQ ► d � � S r O p ► M M44 O ► q 1 1 rD G 44 ° ► (D ' ► 44 ► Poo i `J ` n G ► 44 ION. !� 44 � Y 44 ► 44 Ill. 4 pop. t � �reeiiee�ieeesee�iieeeei`eeeeeeeeeeeeeeeeeeee�► � � W n n Lw a By �• ry ---1 0 =r r, :1 I �ti rb 7 ,i A fit v � O O O r. 1- r � 3 J � � O' i. d S CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97713 IMPORTANT PERMIT NOTICE E.ASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 206 PORTLAND, OR 97220 Electrical Signature Form Permit #: MST2001-00047 Date Issued: 0212112001 Parcel: 2S1 12CD-09500 Site Address: 07977 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 019 Jurisdictiom TIG Zoning: R-12 Remarks: Constniction of 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 bp 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, ATTN: Building Dept No electrical inspections will be authorized until this completed form is received OWNER ELECTRICAL CONTRACTOR: HERB HOFFART & CO EASTGATE ELECTRICAL INC 4632 SW VERMONT ST 1410 NE 106TH PORTLAND, OR 97219 SUITE 206 PORT AND, OR 97220 Phone #: 503-244-0876 Phone Req #: LIC 43701 ELE 26.340C SUP 15126 AN INK SIGNATURE IS REQUIRED ON THIS FORM x Sig, lure ouper✓i ng Electrician 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 NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00047 Date Issued• 02/21/2001 Parcel: 2S112CD-09500 Site Address: 07977 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 019 ,Jurisdiction: TIG Zoning: R-12 Remarks: Construction of new single family detached residence, Path 1. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR- HERB HOFFART & CO CRAFTWORK PLUMBING INC 4632 SW VERMONT ST 7736 SW NIMBUS AVE PORTLAND, OR 97219 3EAVERTON, OR 97008 Phone #: 503-244-0876 Phone #: 644-8698 Reg #: I it 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o Authorized Plumber If you have any questions, please call (503) 639-4171, ert. # 310 CITY OF T I G A R D MASTER PERMIT PERMIT#: MST2001-00047 DEVELOPMENT SERVICES DATE ISSUED: 2./21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 07977 SW CAROL ANN CT PARCEL: 2E112CD-09500 SUBDIVISION: DURFIAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 019 JURISDICTION: TIG REMARKS: Construction of new single family detached residence, Path 1. BUILDING REISSUE: STORIES: 2 rLOOR AREAS REQUiRC)SETBACKS REQUIRED CLASS OF WORK. NFW HEIGHT: 22 FIRST: 636 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: 929 el GARAGE. 400 of FRONT: ;:o PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS. I FINSSMENT: el RIGHT: 5 VALUE S 144,14000 OCCUPANCY GRP: R3 BDRM: a BATH: I TOTAL: 1.56500 of REAR: PLUMBING SINKS: 1 WATER CLOSETS. 3 WASHING MACH: I LAUNDRY TRAYS. RAIN DRAIN: I,.in TRAPS. LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES. 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS. GARDAGE DISP: I WATER HEATERS: I WATER LINES. 100 BCKFLW PREVNTR. I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: I BOIL/CMP c]HP: VENT FANS: 4 CLOTHES DRYER: I AS FURN>=100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP. btu FLOOR FURNANCES: VENTS: 1 WOODSI'OVES, GAS OUTLETS: ELECTRICAL RESIDENTIAL-UNIT _ SLRVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPEC fIONS— 1000 SF OR LESS. 1 0 200 amp: 0 200 amp: WISVC OR FOR: I PUMPIIRRIGATION: PER INSPECTION. EA ADDY 500SF 201 - 400 amp: 201 400 amp. 1st W/O SVC'FDR w SIGNIOUT LIN LT PER HOUR: LIMITED ENERGY. 401 - 600 amp: 401 600 amp: EA ADDL HIP CIR: SIGNALIPANEL: IN PLA,NI: MANU HMISVCIFDR: 601 • 100021"P: 601.amps.1000v: MINOR LABEL: 1000•amp/volt PLAN REVIEW SECTION _ Reconnect only: >=4 HES,1NIT6: SVCIFDR-225 A_ >600 V NOMINAL. CLS ARENBPC OCC' ELECTRICAL-RESTRICTED ENERGY A,SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOM/PAGING: OUTDOOR LNDSC LT. BURGLAR ALARM OTH: BOILER: HVAC. LANDSCAPFPRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATICN. Mr_:;;:1L-. OTHR: HVAC: DATNTELE COMM. Nt,RSE CAt LS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,179.55 This permit is subject to the regulations contained In the HER3 HOFFART 8 CO HERB HOFFART Tigard Municipal Code,State of OR Specialty Codes and 46?2 SW VERMONT ST 4632 SW VERMONT all other applicable laws All work will be done to PORTLAND, OR 97219 PORTLAND,OR 97219 accordance with approved plans This permit will expired work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rego: uc 3474/ 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 Shear Wall Insp Insulation Insp Mechanical Final .fewer Inspection Underfloor insulation Plumb Tap Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Fooling/Foundation Dr Electrical Rough In Gas Line Insp Apprr$dwlk Insp Building Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By A Permittee Signature Call (503) 639.4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00033 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/21/01 SITE ADDRESS; 07977 SW CAROL. ANN CT PARCEL: 2S112CD-09500 SUBDIVISION: DURHAM SCHOOL PARK ;0NING: R-12 _ BLOCK: LOT: 019 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR 1MPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: — FEES _ HERB HOFFART & CO Type By Date Amount Receipt 4632 SW VERMONT ST _ _ PORTLAND, OR 97719 PRMT CTR 2/21/01 $2,300.00 27200100000 INSP CTR 2/21/01 $35.00 27200100000 Phone: 503-244-0876 Total $2,335.OU Contractor: Phone: Reg #: Required Inspections 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 of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspe,:tion needed the next business day Bt in ,,tt City sell ><llba,ru Date received: Gtn4;''` Permit no.:M rper, vim/ ` City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no: Payment type: Land use approval: I&2 family:Simple Complex: ❑ &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family )<New construction O Demolition (JAddition/alteration/replacement ❑Tenant improvement ❑Fire sprinkler/alarm . C)Othw. ' 0=7 Job address: rJ ,�, ; ( �i?� !'; (j Bldg.no.: 19 "Suite no.:Ah' Lot: Block:IV,4 Subdivision: icL I Tax map/tax lot/account no.: Project name: t f, t t t'c Description and location of work on premises/special conditions: rw' Name: Mailing d:revs: 1 dr 2 family dwelling: City: � ,4State•' ZIP: �,7:/i"`1 Valuation of work........................................ S �J Phone: I Fax: Vit/'! Off 7'7 1 E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floats................................. /- Phone: Aix'; Fax: -4i 6 E-mni! New dwelling area(sq.ft.) .......................... I r,t! WWR Garage/carport area(sq.R.)......................... N U > Name: u IL N; ire'(-- Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.)........................................ _City: State: ZIP: ()ther structure area(sq.ft.)......................... 7 Phone: Fax: E-mail Commercial/indastrial/multi-family: Valuationof work........................................ $ Business name: — Existing bldg.area(sq.ft.) ............. ........... a t�� '� /�. c New bldg.area(sq.ft.) Address: — .............. ... ......... City: Ef_State: ZIP: -- Number of stories.............. .. ............... Typeof construction........ .......................... Phone: Fax: F mail: CCB no.: 3 y Occupancy group(s): � Existing: New: City/metro lic.no.: '/K. Notice:All contactors and subcontractors are required to be. licensed with the Or•_.gon Construction Contractors Board under Name: jurisdiction of ORS 701 and may berequired to be licensed in the Address. jurisdiction where work is being perUir•med.If the applicant is City: ,, State: , ZIP:' ",� �= exempt from licensing,the following re-tson applies: Contact person: ,r,, i Plan no.: Phone: Fax: I E-mail: Name: Contact per�gn: Fees due,upon application ........................... $ Address: Date received: CitState: ZIP: Amount received ......................................... $ _Phone: Fax: I E-mail: _ Please refer to fee schedule. I hereby certify I have road and examined this application and the tva ;a,udictlons accept crvWt cards,please call jurisdiction for rode inrartrtstlon. attached checklist.All provisions of laws and ordinances governing this o Visa U MasterCard work will be complied witlp whether 4peci is terein or not. Credit card numba: Expims Authorized signature:,,f` %�- ""` Date: wme of cardholder u ahawn en credit card Print name: < - "' $ Cardhd r s sere Amount Notice:This permit application expires if a r.rmit is not obtained within 180 days after it has been accepted as complete. 44G•4613 tbuofc'oMr One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: -� City of Tigard Cit of Tigard Associated permits: City ❑Electrical L3 Plumbing Q Mechanical Address: 13125 SW 11 dl Blvd,Tigard,OR 97223 UOther: Phone: (503) 639-4171 — — Fax: (503)598-1060 VJ A EI&I1 1 1W WN1 13 pill 19 _i_.Land use actions completed.See.jurisdiction criteria for axicurrcnt reviews. 2. Zoning.Floud plain,solar balance points,seismic soils designation,historic district,etc. — 3 Verificatlon of approved plattlot, l ✓4 1,Ire district__approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report. Kinst 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 luc:ation of catch-hasin protection,etc. Irl __ Complete seta of legible plans.Must be drawn to scale,showing conformance to applicable local and state building odes. 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.flan review cannot be completed if copyright violations exist. I I She/plot plan drawn to scale.The plan must show lot and building setback dimensions;pr%,erty comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-fl.intervals);fixation of casements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot arca;building coverage arra;percentage of coverage;impervious area;existing structures on site:and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent _ size and location. 15 Floor plans.Show all dimensions,room identifcation,window size,location of smoke detectors,water heater, furnace,ventilation fans,phimbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and detslls.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, - wall construction,roof constriction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,rixafing,roof slope,ceiling height,siding ma crial,footings and foundation,stairs, fireplace construction, thermal insulation,etc. ;5 E'llevallion views.I'iov;de elevations for new construction;minitnuni of two elevations l I'r aductions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. full-size sheet addendunis showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescripu\ path analysis provide specifications and calculations to engineeringstandards. 17 Floor/roof framing.Provide plans for all tloors/ruof assemblies,indicating member sizing,spacing,and bearing _locations.Show attic ventilation. 18 Basement and retaining wally.Provide cross sections and details showing placement of rebar.For engineered __systems,see item 22,"En inea,'s calculations," 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. _ :0 hinnufactured floor/roof taus design details. v 1 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping scnematic is required 1 _ for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall F.:stamped by an engineer or architect licensed in Oreton and shall be shown to he applicable to the•project under r:,iew. 1 a 23 Five(5)site plans are required for Item 11 above. 24 25 26 27 28 - _Checklist must 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. 4404614(aaxu70rvi) Plumbing Permit Application Datereceived: A-,.2r'/ Permitno.:N�j1rw�/-�Oy City of Tigard Sewer pertnit no.: Building permit no.: wa;ML Address: 13125 SW Hall Blvd,Tigard,OR 97223 City u/7'igard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 1 Date issued: Py: [Receipt no.: Land use approval: -^ I Case file no.: Payment type: -- U'I &2 family dwelling or accessory I]Commercial/industrial U Multi-family C]Tenant improvement 'l,Q New construction U Adilitioii/alteration/replacement U Food service U Other: 1 { SITE INFORMATION r c eoct`% lhtv"" (J. Dsscti"Ption . Fee ea. Total Bob address: / J'` -- - New I-an-d-2-family dwellings only: Bldg.no.: i� Suite no.: /L'fi" (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: Aille SFR(1)bath Lot: i Block: A4,4 I Subdivision: 5. SFR(2)bath Project nam SFR(3)bath City/county: , ZIP: a Each additional bathAdtchen Description and Vocatitin of work on premia s: Sheutllitiea: Catch basin/area drain Est.date of completion/inspection: //,r 2 Drywells/leach line/trench drain Footin drain(no.lin. ft.) PLUMBING 1 Manufactured home utilities Business name: E,v!' 1 - '4",o Manholes _ Address: y $. �. /hiisl 605 Rain drain connector City: e t-r o0-1 State:els I ZIP: q jn- Sanitary sewer(no.lin. ft.) Phone: yS I Fax: E-mail: Storm sewer(no.lin, ft.) CCB no.: Plumb.bus.reg.no: p_�y Water service(no.lin.ft.) City/metro lic.no.: ,/,Sp FlxUrre ur hem: Contractor's representative signature: /,� Absorption valve Back flow reventer Print name: �' / ,N, bate: -,�5 -C Backwater valve _ Rasins/lavato _ Name: 5Ar17C fie-) q ,C Clothes washer Dishwasher _ ;address: _ _ - -- Drinking fountain(s) _ City; State: ZIP: Ejectors/sump Phone: Fax: E-mail. Expansion tank Fixturc/sewer cap Name(print): EiCfJ //rQ Floor drains/floor sinks/bub� - - Garbage disixosal _ Mailing address: Nose bibb City: % 1111A If State: ZIP: !IBJ _ Ice maker _ Phone: n�i_ Fax: E-mail Interceptor/grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sum lo Tubs/shower/shower pan Urinal Name: _ — Water closet _ Address: v r Water heater City: _ Stale: ZIP: Other; J Phone: Fax: I E-mail: Total Not all Jurisdictions attpi credit cards,please call Jurixdiction ror mere Infornuumn. Minimum fee................$ Notice:This permit application U Visa U MasterCard / expires if a permit is not obtained Plan review(at _ %) $ _ Credit card number:_—_ -- __l_i— within 190 days atlas it has been State surcharge(8%) ....$ Expires TOTAL ......................$ -- -- Name of cardholder as shown on credit care — accepted as complete. Cardholder signature Amount 4401616(WWOM+ PLUMBING PERMIT FEES: PRIC1E TOTAL New 1 and 24amily dwellings"only: — FIXTURES (Individual __ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling rr1 I the fir st100 ft. QTY (ea) AMOUNT Lavatory —�- - — 16,60 for each utilit, onnectlon Tub or Tub/Shower Comb One 1 bath ^_ _ $249.20 16 60 Iwo 2 beth $350.00 Shower Only 16.60 Three(3)bath $399.00 V�'alor Closet 16.60 - .� _ SUBTOTAL 1 I„nal 11360 8%STATE SURCHARGE _ r.hor 16.60 ALAN REVIEW 25%OF SUBTOTAL -----� r,aibage Disposal - 16.60 _-_' TOTAL - - - Laundry Tray 16.60 Washing Machine 1660 Floor Drain/Floor Sink 2” 16,60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 Quantity b _Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. MFG Home New Water Servictt 4640 Sink _ MFG Home New San/Storm Sower 46.40 _Lavatory _- - Tub or Tub/Shower Hose Gibs 16.60 Combination _ Roof Drains — 16.60 - Shower Only _ Drinking Fountain 16,60 Water Closet nth(+r Fixtures(Specify) 16 60 Urinal - - ---_.� -.----__-- _- Dishwasher Garba '.Disposal - _---- t aundry Room Tray - ------ --- - --- \Vzs-hi n, Vick ine — - _- -- i lnvr Drnln/Sink• 2" ^•r:wnr- 151100, - Scxer each additional 100 413.40 q" -- i!w bervice- 1st too - -- bb.UU _ wdlut Healer Water Service-each additional 200' 4640 Other Fixtures m6 Raln Draln-1st 100' 55.00 ----" Storm 8 Rain Drain-each addd.;nal 100' 46.40 �' �n anaal Bzck Flow Prevention Device 46.40 — - — ' , '.lackflow Prevenllon Device' 27.55 „h h isin -_�- 16.60 petition of Existing Plu-0 ing or Specially 72 50 -- - nun Ind Inspections — -- erRv - COMMENTS REGARDING ABOVE: ,in,single family dwelling 6525 -'s --- 16 Eli — QUANTITY TOTAL - - --- - -- --- -- Isometric or riser dogram is required If -- --- --—-- auantMy Total is �,9 ------ --- — 'SUBTOT At- 8%STATE SIJItI,HARGE ii-'vV 25%OF 4U' TOTAL — Ncgwred only.1 fixture_gty total is`> TOTAL S --- .+4Inlmum permit fee Is$?2 50.6%state surcharge,except Residential Backflow Prevenlwn Device,which Is$36 25•8%state surcharge ..All Now Commercial Bulldings regvtre plans with Isometric or riser diagram and plan re•dew is\dsts\forms\plm-fees.doc 10/10/00 Electrical Permit Application -- - Do".received: of-;d _G Permit no.:NSTATZ-04011 )I Ll ;km k City of Tigard Projecl/appl.no.: Expire date: City of/'ignrel Address: 13125 SW Nall Blvd,Tigard,OR 97221 Date issued: g Phone: (503) 639-4171 y Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF U I &2 family dwelling or accessory U Commercial/industrial D Multi-family U Tenant improvement 4,^ew construction U Addition/alteration/replacenmcnt U Other: _ U Partial JOB SITE INFokMATION Job address: 17y , t(0_) Q- Bldg, no.:/ & ite no.: Tax map/tax lodaccount no.: Lot: Block: Sttndivision: Project name: 0 ,, /' Description and location of work on premises: u hnrn Sc hcc�4'p rzK Estimated date of completion/inspection: CONTRACFOR APPLICATION FEE SCIIEDULL Job oo: Fee Mar Business name: C JEG r _ Ikscripllon _ rev. (ea) Ictal no.incp Address: ( = Q �/ - - Ne"midential-sinRk or multi-family per dnrllint;mall luclales altaclNvl Raraee. City: Zi C�1 State' 111': (j'� 0� Sen iceinclarlsd: Phone: pi/t) Fax: E-mail' I000mlIt.orless 4 CCB no.: , 6 Elec,bus.lic.net: Lr Hach additional 500 sq.ft.or portion thereof _ r Limited energy,residential , City/metro lic.no.: Umitedenergy,uon-residential --" 01 Each manufactured home or modular dwelling - Signature or supervising lriclan( aired) Date Service and/or feeder i Sup.elect.name(print): /, r� L , Services or feeden-Installation,i `]i IIROPVRTV OWNER alteration or relocation: 200 amps or less 2 Name(print): We, /r( 201 amps to 400 amps 2 Mailingaddress: 401 amps to 600 amps aZ'Ck'r►1C>•Ul _ 601 am s lL o 10()0 amps 2 City: `l n �yC Slale:��u' ZIP:c�J ,I Over IOOO amps or volts 2 - Phone: ,yU ( �';' ? Fax: f/V_ E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary wrilces or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,allerallon,orrelocation: ORS 447,455,479,670,701. 200 amps nr less 2 201 amps to 4(10 omps -----_- - 2 Owners sl nature: _ Date: 401 to 600 amps — 2 Branch circuits-new,alteration, Name: or extension per panel• +--- _ A. Fee for branch circuits with purchase of Address: i < < - ��•- � _ __ service or feeder fee,each branch circuit 2 City: Stale: ZIP: H. Fee for branch circuits without purchase Phone: lax: I -mall: of service or feeder fee,first branch circuit. Each additional branch circuit: Mise,(Service or feeder not Included): U Service over 225 amp,.,.nunrn 1;d U I lealih-cnre facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 fomilydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. O System over 600 volts nominal more residential units in one structure i liciation,orextensinn• U Building overthree stories U Feeders,400 amps or more U fkcupont loot]over 99 persons U Manufactured structures or RV park Ach additional tion - U Egtrsx/lighting plan U Other: Fochspecti —Inspection over ttnz allowable In any of the above: - -- -- [let inspection Submit__sets of plans with any of the above. Investigation fec - The above are not applicable to temporary construction service. other -� Not all judadicdons accept credit cards,ptrase caul itimctiction for more information. Notice:'"'is permit application Permit fee.....................$ U Visn U MasterCard expires if a permit is not obtained Plan review(at __ 4h) $ Credit card number _ /xplrca/ within 190 days alter it has been State surcharge(R%) .... 8 --------- -- Name of cardholder as a own on c it-c-- accepted as compleie. TOTAL. .......................$ s — Car holder danstura Amount 41n-x615(60WOMI I Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: —-- --- ---_- -- Rrtricted Enemy Fee...................................................... S75.01 _- Number of Inspections per permit allowed (FOR ALL 5`STEMS) Service Included: Items Cost Total Check Type of Work Involved. Residential-per unit 1100 sq.ft or less _ $145 15 4 Audio and Stereo Systems I ;trh additional 500 sq ft or - -- portion thereof $3340 1 u�Itrid Fnergy $75.00 Burglar Alarm i i.ianurd Home or Modular Garage Door Opener' j Dwelling Service or Ferdar $9090 _ 2 "'vires or Feeders Heating,Ventilation and Air Conditioning System' ILilion,alteration,or relocation 200 amps or less $80.30 2 �•OG 201 amps to amps $106.85_ 2 L_� Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 �_� Other Over 1000 amps or volts $45465 2 Reconnect only _ _ $66 85 2 r,xnporary Services or Feeders W TYPE OF WORK INVOLVED -COMMERCIAL ONLY tirstallat;on,alteration,or relor-Aion Fee for each system............. ............................................ $75.01 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30_ _ i 401 amps to 600 amps $133.75 2 Check Type Of Work Involved: Ovor 600 amps to 1000 volts, _ see^b"above. [] Audio and Stereo Systems Blanch Circuits ❑ Boller Controls l-,w,alteration or extension prr p,net ,t rhe lee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. r ach branch circuit $6.65 2 ❑ Data Telecommunication Installation Tho fee,for branch circuits wifhuut purchase of service or feeder lee. ❑ Fire Alarm Installation 1 rret branch chcull _ $46.89_ Each additional branch circuit $8,65 ❑ HVAC Miscellaneous ❑ Instrumentation (nervkP or feeder not included) Fach pump or irrigation circle $53.40 Intd Paging stems Each sign or outline lighting $53.40 Elercr.m ang g S y S,,nal rrrcnn(s)or a limited energy _-- -- pary ration or exter,••n $75.00 Lant'r-ape Irrigadon Control' k4mur l tnela(10) $125.00_--—_- trach Additional Inspection over ❑ Medical the allowable in any of the above Per Inspection $BP.50 ❑ Nurse Calls Per hour $62.50 In t-•Iant _—_ $73.75_ Outdoor Landscape Lighting' r-ecs: ❑ Protective Signaling t rder total 01 above fees $ ❑ Other State Surcharge $ ___Number of Systems i 21%Plan Review Fee See"Plan Review"section on $ No licenses are required. Licenses are rewired for all other installations front of application Fees: Total Balance Due $ _ Enter total of abo•re fees $ UT,ust Account# 8111.State Surcharge $ —�� Total Balance Due S� i Ad.%s\fonns\ele-fees doc 10,01),U) Mechanical Permit Application Date received: Permit no-.: 1a71,?rt� GYJd y-� City of Tigard Project/appl.no.: Expiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case fii:no.: Payment type: Land use approval: Building permit no.: 1 U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement O'New construction U Addition/alteration/replacement U Other: VALUATIONJOWSITE INFORNIA][ON COMMERCIAL Job address: "Ic/ ` ' Cvr ('.a�'r.! ,ytihJ L/j. Indicate equipment quantiues in boxes below.Indicate the dollar t -LL value of all mechanical materials,a ur me nt,labor,overhead, Bldg.no.: !/ Suite no.: A? 9 P Tax map/tax lot/account no.: ,21A profit. Value c _ Lot: !`j Block: AiO4 I Subdivision: 4Q.6 'See checklist for Important application information and Project name: i. :a i1ct f t;t'O., jurisdiction's fee schedule for residential permit fes. City/county ZIP: !7_;1,,?5- Description and •ation of work on premises: l 1 f 1t /Vc W ,' YI'C - Fee(ea.) Total Est.date of completion/inspection: Desert on Qty. Rrs.onl Res.onl Tenant improvement or change of use: Is existinspace heated or conditioned?U Yes U No Air handling unit ---CFM e Air conditioning(site plan required) F existing.space insulated?U Yes lU No Alienation of cxisting�NA�system17— MIK(1111ANICAL CONThACTOR jjo- ilcr compressors State boiler permit no.: Business name: !, i c', 111.L _ HP —Tons BTU/H _ Add-ess_ 4 ai pc9 rc t lir smo c ampers/ uctsmoke ctectors City: JJJ /5' &(11 /Jiz I State: t_) I ZIP: c '70 ffi at pump(snr reyurre ) Phone: ,� � -/cj�` Fax: E-mail: nsi�Il7repTace urnac urner_� Including ductwork/vent liner U Yes U No CCB no.: ,2/Pc/J lustal 1hepac reocatolicalerit sus--pended, City/metro lic.no.: j Z/F will,or floor mounted Name(please print): ranco other t an furnace e t geral on: Absorption omits 9Tt1/H Name: Chillers—_ Air" /9S Arttx f'C" Chillers__ HP _ Address: Com 11,11011 _ HP Envir;-171-11(xl exhaust and ventilation: City: State: ZIP: Appliance vent _ Phone: Fax: E-mail: Drycrex aust _ ao s, ype res. licilenjiliumat _ hood fire suppression system — Name' Exhaust fan with, duct(bath fans) _ Mailing address: i'."i. ! ir,'�,vc :x aunts stem a rrt ram eaun or AC Fuc p p ng aT—�distribution up to 4 outlets) City: State:-+A ZIP: Type: LPC, NC Oil _ Phone: -t ' iY Fax: I E-mail: '-ucl piping each additional over 4outlets Process piping(schematic'7q_U_-1cTJ _ Number of outlets Name: ter listed appliance or equipment: Address: ��I( �C r t. _ _ Decorative fireplace _ City: State: ZIP: Insert-type =_. Phone: I Fax: E-mail: —ow,ove/pel,t stove �^ to Applicant's signature: Date: ! ter: Name (print): Nd all Judsdic-ions acct"credit cards,please call jurisdiction for mate Information. Permit fee..................... ._ U Visa U MoaterCard Notice:i fa ennipertii snot obtain Minimum fee................$ Credit cad numb": expires if a per it is not obtained Plan revicw(at _. %) $ Expires within Igo days ntirr It has been State surcharge(8%) ....$ Name of cardholder iishown on credo cam— accepted as complt ir, $ TOTAL .......................$ - -� Cardholder signature _ Amount "j'-M17 n~*0M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: ! T_Ol AL VALUATION: FEE: Description: Price Tota j_-$1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oh- (Es) An. $5,001.00 to$10,000.00 $7, 50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $I.�2 for each additional$100.00 or Including ducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10,000.00. Inrludin 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$100.00 or Including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater _ _ ___ $25,000.00. or floor mounted heater 14.00 $25,001 00 to$50,000.00 - $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units $50,000.00. 12.15 $40,001.00 and up $742.00 for the first$50,000.00 and Check all that,�l ply, ,•;• Air $1.20 for each additional$100.00 o, For Items 7,f ��, • p vzo�ttp, Pond L fraction thereof, footnotes b•�oiNk � co f a 7)<3HP;absorb unit A ' ;UMED VALUATIONS PER APPLIANCE: to 100K BTU _ 14.00 8)3-15 HP;absorb ValueTotal unit 100k to 500k BTU 25.60 r4 crtptlon: _ _ QtL if d)� Amount 9)15-30 HP;absorb nate to 100,000 BTU,I,,,.ruumy 955 unit.5.1 mil BTU _ 35.00 ducts&vents _. 10)30-50 HP;absorb - IFurnace>100,000 BTU Incl;,ding 1,170 unit 1-1.75 mil BTU _ 52 2� fducts&vents 11)>50HP:absorb Flown iiimac,a including v 955 unit>1.75 mil BTU 87.20 Giv pondod heater,wall heater or 955 12)Air handling unit to 10,000 CFM firor nwunted heater __ 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ permit __ 17.20 nnpair units 605 14)rJon-portable evaporate cooler �� 3 hp:absorb.unit, ^ -- 1155 10.00 to Wok IJTU 15)'pont fan connc,_led to a single duct ' d 15 hp;at�sorb.unit, w - 1,700 10 l k to 500k BTU _ 6.80 _ :14 3U hp;absorb.unit,501k to 1 2,310 16)Ventilation system not Included In m4.BTU sppliance permit 1000 1 - 550 absorb.unit, 3,400 17)Hood served by mechanical exhaust I � 7: mil.BTU 10.00 U hp;absorb.unit, m 5,725 - 18)Domestic Incinerators � >1.75 mil.BTU 17.40 Air h-4ndliN unit to 10,00q cfm 656 - 19)Commercial or Industrial type Incinerator - `-- 69.95 e 4,.m(tiing unit>10,000 cfm 1,170 - f ; ratable evaporate rooler 656 20)Other units,Including wood stoves -- 10.00 _ Jest tin connected to:i tingle duct 446 21)Gas piping one to four outlets Vent system not included In 656 5.40 appllancepermit 22)More than 4-per outlet(eacF) HCnn served mecha,fral exhaust 656 1.00 ca _ T, - r,incinerator _ _ 1.170 Minimum PeRnFee lt F $72.50 SUBTOTAL: n nercial or lndu�inal orator 4,Un _ 5 ata un including wood stoves, 656 81,16 State Surch,4rpe r::,s ripir4g 1 4 outlets 360 - E:aa,additional cutlet 63 �- 25%Plan Review Fee(of subto%,ij $ - -- Required for ALL commercial permits only TOT AL COMMERCIAL_ $-� TOTAL RESIDENTIAL PERMI? FEE: E- VALUATION: Qther Ingpe Ict ens and Fses; 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by,`-nges,additions orrevisions to plans(mirirr rhargeone-half hour)$72.50 per hour State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site r tan allowing placement of unit. i:\dsts\forms\rnech-fees.doc 10/11/00 SEE 35MM ROLL# /mm2 FOR LARGE DOCUMENT