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7983 SW CAROL ANN COURT m 00 CA) 0 m o_ D n 0 c 7 i 7983 SW Carol Ann Court CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — - -yBUR Date Requested_ ��z� AM_ PM _ BLD _ I-ovation_ Suite MEC _ Contact Person —__ — Ph -Z,7 y y FILM _ _-- Contractor Ph SWR BUILDING Tenart/Owner ELC — Retaining Wall -- -- ELF? Footing - - Foun:letion Access: FPS Ftg Drain j r ko 011 �^ f' -- SGN — Crawl Drain Ins ection Notes Slab --- --___-.___-.- _ --_ —_ SIT Post& Beam -- -- Ext Sheath/Shear _ Int Sheath/Shear -`-- Framing Insulation --- Drywall Nailing ----- ----------- -- ------- --- - Firewall Fire Sprinkler Erre Alarm -- -------- ----- -----___-------- Susp'dCeiling --- ---- - ---------- Roof ------ ---.�---------- rincl ---- — --- - ------ - -------------- PASS PART FA!L ----- - --- ----- ---------- r' Post& Beam Under Slab TopOut -- ------------------------- —• Water Service Sanitary Sewer --- -- - Rain Drains SS PART FAIL _ WrCRANICAL -— Post& Beam -- -- ----- ----- - --- Rough In A -- Gas Line - ..- ---- ------- --. -- Smoke Dampers Final ---- - - - -- --- PASS PART FAIL ELECTRICAL -------- -__- _ Service Rough In -- ---- ---_—_ UG/Slab ---------- Low Voltage --_-- -- - ------------ F ire Alarm Final ------- --------- ----------------------- - ----------- PASS PART FAIL ------ --- -_. --- --- --SITE Backfill/Grading -- - --- ----- -- -- — --- -- ------ ----------- Sanitary Sewer _,torm Drain I J Reinspection fee of$_— required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ] Please call for reinspection RE._-- _ — l Unable to inspect-no access ADA Approach/Sidewalk J- 1 Other _— Date z U__" �,� i _Inspector // Z-er`a,"'e. _ Final PASS PART FAIL_ DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 639-4175 Business Line: 639-4171 -- c/ BUP Date Requested �' Z ( AM PM — BLD Location 7 r -3 37 td CGyal a,, -. Suite _ MEC — Contact Person - _ - Ph ��= _ PLM - Contractor _ —, Ph _ SWR --- —. BUILDING Tenant/Owner ELC Retaining Wall ELR - ----- Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes. ------ Slab �. _ --_.--_ -.- _— _--� SIT �— Post&. Beam I — Ext Sheath/Shear Int Sheath/Shear Framing _._-� - ------- ------- -- --- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --------. --..._--. ---_ _._-- ---- Roof Misc: --- -- - --- --- -- - -- - I inal -- -------- PASS PART FAIL PLUMBING PostR Beam �_._-- ---.___- — .-------- -----__----- - .--- Under Slab --_- -_- Top Out Water Service Sanitary Sewer __a_..__ -------------_--.--___--- -- -- --- -- -- RainDrains --------_------------_-- - -_-_ _-----.--�_Final PASS PART FAIL MECHANICAL Post& Beam ------ - _ - -------- ---- Rough In / Cas Line Smoke Dampers Final - - - - ---- - ---- PASS gART FAIL_ Service RoughIn �_--- ------ -..--------- ------ -- __--�.- - - UG/Slab Low Voltage Fire Alarm ASS PART FAIL _-,_..�^- -- ----- --. -- ---- S Backfill/Grading ---- - -------------- -- -_—_--------- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE _ - [ ] Unable to inspect no access ADA Approach/Sidewalk Other Date _ —_ 4�_ Inspector —Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST vZC / –CX�U BUP Date Requested , 3 G% AM PM BLD Location —T ( s� h-" 6Y– Suite MEC _ Contract Person .� A 64i-� Ph PI-M _ 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 (' t'U-'jV Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: AS$. I PART FAIL - - --------- --- -- -- PLUMBING Post& Beam - -- ---- -_-___— _ - Under Slab TopOut - —_---------------__------------- Water Service Sanitary Sewer -_--- Rein Drains Final _-- - PASS PART FAIL MECHANICAL i - Post& Beam --- _ -- -------------- _ .. .—.-_-_._..— --- Rough In Gas Line S e Dampers ma --- SS PART FAIL ELECTRICAL - -- --- --- -------- ._ Service Rough In UG/Slab --- -- - - ----- - Low Voltage Fire Alarm Final PASS PART FAILSITE Backfi!I/Grading --- - - - - -� Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reinspection Fire Supply Line I I on RE: --- _ I 1 unable to inspect no access ADA Approach/Sidewalk Other Date -7- - Inspector - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. � 1 w a 8 Q /V o (� 2. . t ' y � Q I +, Xk o o O o � � o � � F C� fi \ O � 00 t 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 #: MST2001-00046 Date Issued: 02121/2001 Parcel: 2S112CD-08400 Site Address: 07983 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 018 Jurisdiction: TIG Zoning: R-12 Remarks: Construction of new single family detached residence, Path 8. 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, A'TTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER- PLUNIRING CONTRACTOR: HERB HOFFART & CO CRAFTWORK PLUMBING INC 4632 SW VERMONT ST 7736 SW NIMBUS AVE PORTLAND, OR 97219 BEAVERTON, OR 97008 Phone #: 503-244-0876 Phone #: 644-8698 Reg #: 1 it 79666 P1 M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber If ;lou have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. r _3Y TIGARD, OR 97223 l� IMPORTANT PERMIT NOTICE EASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 206 PORTLAND, OR 97220 Electrical Signature Form Por, ,i+ 44: RRQT,)nni 0n0Aa .1 11 lvf�Date Issued: 02/2112001 Parcel: 2S1 12CD-09400 Site Address: 07983 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 018 Jurisdiction: TIG Zoning: R-12 Remarks: Construction of new single family detached residence, Path 8. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, 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 1512S AN INK SIGNATURE IS REQUIRED ON THIS FORM x Sig ture ofSLj`pervigfng Electrician If you have any Questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMITPERMIT PERMITM MST2001-00046 DEVELOPMENT SERVICES DATE ISSUED: 2/21/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 07983 SW CAROL ANN CT PARCEL: 2S112CD-09400 SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 018 JURISDICTION: TIG REMARKS: Construction of new single family detached residence, Path 8. BUILDING REISSUE, STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 636 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 798 of GARAGE: 400 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: E 132,634.00 UUUUPANUY UHF: IW dullm. J BATH. J TOTAL. iA4 4 Ju of RCA^' ... PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 2 GARIIAGr DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL \ FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>000K: UNIT HEATERS: HOODS: 1 OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 amp. 201 •400 amp: 1st WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+ampo•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW 9EC1.-IN! _ Reconnect only: >-4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 s rEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,097.79 This permit is subject to the regulations contained in the HERB HOFFART&CO HERB HOFFART Tigard Municipal Code,State of OR. Specialty Codes and 4632 SW VERMON I ST 4632 SW VERMONT all other applicable laws. All work will be done in PORTLAND,pR 97219 PORTLAND,OR 97219 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg NLIC 34247 forth in OAR 952-001-0010 through 952-001-0080. You may obtain codes of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Sewer Inspection Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Fooling/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final PosUBeam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp /Mechagical Final Issued By : (� i Ii. /� _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next busini4 day CITYOF TIGARD SEWER CONNECTION PERMIT ' DEVELOPMENT SERVICES PERMIT#: SWR2001-00032 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/21/01 SITE ADDRESS; 07983 SW CAROL ANN CT PARCEL: 2S112CD-09400 SUBDIVISION: DURHAM SCHOOL_ PARK ZONING: R-12 BLOCK: LOT: 018 JUI(ISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 iNSi ALL I TF't: L f PSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: --�-�- ^- FEES HERB HOFFART& CO 4632 SW VERMONT ST Type By Date Amount Receipt PORTLAND, OR 97219 PRMT CTR 2/21/01 $2,300.00 27200100000 INSP CTR 2/21/01 $35.00 27200100000 Phone: 503-244-0876 Total $2,335.00 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 loc�ited, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a I3teral ATTE14TION 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) 246-19,87. Issued by: � i✓ (r i. � +- �•• Permittee Signature: Call (503) 639.4175 by 7:00 P M. for an inspection needed the next businesy(day Building,,Permit Application City of Tigard Date received:a O/ Permit no.: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate: Phone: (503) 639-4171 Date issued: Byi Receipt no.: Fax: (503) 598-1960 I �' Case file no.: Pa nt t Ype: Land use approval: l&2 family:Simple Complex: l-� all 111 WO &2 family dwelling or accessory ❑Commercial/industrial O Multi-family XNew construction ❑Demolidon Addition/niteration/replacement ❑Tenant improvement 0 Fire sprinkler/alarm ❑Other. Job address: Bldg.no.: Suite no.: A Lot: - Block; A/W Subdivision �Du.hprn 5�_hocl ,aRK Tax map/tax lot account no�r.iA Project name: -1>„.,htj r ,-VU - Description and location of work on premises/special conditions: >J C.w Ac tr, Name: 14f?b ale{LIE ` IAC? Mailing address: Gt' (i z0 71 1 &2 family dwelling- 7-77-7 , /q R City: rsn> State:e( ZIP: r%`7 ` o of work.... .LJ.S..4s:. ........ $ 21 Valuation Phone: /y Fax; Owner's representative: ,{IA/-04,'7'1 E-mail: No.of bedrooms/baths................................. c ( f c{/r+h% Total number of floors......................•.......... Phone: iiilmllli6 F-mail: New dwelling area(sq.ft .......................... 60.) — Garage/carport area(sq.ft.)......................... y� U Name: ,F) Covered porch area(sq.P.).........•.............. Mailing address: Deck arca(sq.ft.) ........................................ City: State: ZIP: _Other stricture area(sq.ft.)......................... Phone: Fax: [;_mail; Commercial/lndustrlal/multl-f,omlly: Valuation of work•................................ ..... $ Business name: a i Existing bldg.area(sq.R.) ... ......... ......... Address: New bldg.area(sq.ft.) ............. ........... City: State: ZIP: _ Number of stories.................... ....... ....•.. Phone: i-ax: E-mail: Type cf construction.................................... __-- _CCB no.: 2 „1 y' Occupancy group(s): Existing: _ _ city/metro lit:,no.: <' �.- �� New: _ Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under r-:j 4 aci,c , provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed.if the applicant is City: 7, ti if State:vf�,_ ZIP: exempt from licensing,the following reason applies: Coptact person: / c r'c,t Plan no.: i ��, Phone: ,�'s�y- 4� Fax: I E-mail: Nene: frrr( 45��(k�i (Contact person: Fees due upon a licadon Address: Date mcei d: pp $ City: State: ZIP: Amount received .........................................$ _ Phone: Fax: E-mail: Please refer to ttv schedule. I hereby certify I have read and examined this application and the Not all luduacdom MMVM creastt code,please cW1 ittriadicdon for attached checklist.All provisions of laws and ordinances governing this ❑vis■ ❑MutetCard e work will be complied wi ,whetherf s i ed'ttrein or not. Credit card number: Authorized signature:, Date Exp res __ --Name of c,rdhot u drown on credit card Print name:- •t K L _ C a ptaturo Amount Notice:This permit application expires if a permit is not obtained within 190 days atter it has been accepted as complete. 4404613(60t)(IMM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Tigard Associnred pertnits: t pry n(Tigard Cit or •1 Il y g� ❑Blcctrical U i'Iwnbing U Mcchannal Address: 1312`SW hall Blvd,Tigard,01 97223 Ll Other: Phone: (503) 639-4171 Fax: (503)59R 1960 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. _ 2 'Zoning.Mood plain.solar balance points,seismic soils designation,historic district,etc. 3 Verification of sppror ed plat/lo:. _ 4 Fire district ,approval required. — 5 Septic system permit or authorization for remodel.Existing system capacity _ 6 Sewer permit. 7 Water district tioprovai R Soils report.Must carry original applicable stamp and signature on file or with application. _ 9 Erosion control O plan 0 permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc, 10 _ Complete sets)f 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 rhe plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is mole than a 4-ft.elevation differential,plan must show contour lines at 24 intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility lu aGoi,..;d lion indicator,lot area;building coverage lura percentage of coverage;impervious area;existing structures on site;and,urface drainage. i Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads.connection details,vent size and location. 13 11nor plans.Show all uiu6;: bions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fat.jlumbing fixtures,balconies and decks 301tic,ii,%above 1,lade,etc. 14 Cross sections)nil deur;rs.Show all framing-member sizes and spacing such as fluor beams,headers,joists,sub-floor, vrdl construction,roof construction.More than one cross section may he re.luired to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, f eplace construction, thermal insulation,etc. — 15 Elevation views.Provide elevatinns for new construction;minimum of two elevations for additions and remodels. Exterior elevations mast reflect the actual grade if the change in grade is greater thon four foot at building envelope. Pull-site sheet addandunns showing foundation elevations with cross references are accel, ,hle. lu Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and 16,cations;for inn• rp escriptive cath analysis provide specificat;-ms and calculationsto en ineerin stand-i, is. I i Floor/roof fran;ng.Provide plans for all floomhoof assemblies.indicating member sizing,sparing,and hearing locations Show attic ventilation. _ I S Basement ane retaining walls.Provide cross srrlions and details showing placement of icbar.For engineered — _ systems,see item 22,"Engineer's calculations.'' 19 beam calculations.Provide two sets of calculations using current code design valw,ti for all beams and multil; over 10 feet long and/or a,v heam/Joist carrying a non-uniform load. 10_Manufactured floor/roof truss design details. 1 i Energy Code compliance.Identify the prescriptive path or provide calcul t tions.A gas-pipu,g schematic is required For four or more r lq Barn rs. _ '? F'nglueer's calculations.%'I+,!n required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in the cat nd!,ball be shown to Ix applicable io the project under review. JURISDIC71171110NALSPECIFICS 23 Five(5)site plans are required for Item I I above. 23 25 26 27 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 unserved for department use only. 440-4610(&IOW.Ohl Plumbing Permit Application Date received:,> el Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City(if Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land use approval: Case file no.: Payment type: APE OF PERMIT O 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement U"New construction 0 Addition/alteration/replacement U Food service 0 Other: Job addrtss: ,1jpr p j Descr' tion Qty. Fee(eA.) 'Total Bldg.no.: Suite no.: Ah New 1-and 2-family dwellings only: (includes 100 R.for each utility connection) Tax map/tax lot/account no.: /( SFR(1)bath Lot: Block: Subdivision: 5c hu ria SFR(2)bath _--- Project name: - .i„ , Sr. ti LC I f'rt l;,K SFR(3)bath City/county: ?, l�.i,v,t ZIP: <' 7 7 5 Each additional bath/kitchen Description and l6cation of work on premises: — Siteutilitles: 4't_ctr;c7?C- Catch basin/area drain Fst,date of completion/inspection: - Drywclls/leach line/trench drain tNTRACt011 Footing drain(no.lin.ft.) ' � Manufactured home utilities Business name: (_rAfl leek Jet n/. _ Manholes Address: Rain drain connector City: q - State:e I ZIP: 9 7oC Sanitary sewer(no.lin.ft.) Phone: S c } yy y"y�� Fax: E-mail: Storm sewer(no.lin.ft.) CCB no.: Water service(no.lin.ft.) Fixture or Item: City/metn)lic.no.: Absa tion valve Contractor's represr:ntative signature: a ar Back flow preventer Print name: �/ Date: '' Backwater valve Basins/lavatory Name: /95 A) r , Clothes washer Dishwasher Address: Drinkingfounts n(s) City_ — State: ZIP: Ejectors/sump Phone: Fax: E-mail Expansion tank Fixturcisewer cap Name(print): %��/�(� /.��.��i f'D Floor drains/floor sinks/hub -- - Garbage disposal - - - Mailing address: -/4,3 ' tr.! L'c 1-Inetc(' Hose bibb City: c y ,,( d State:, k ZIP: <' ice maker Phone: (, t t 7C IFax: ,'. /t,';,1:-,'/j E-mail: Interce tor/ rease 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 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: _.._ Sump Tu hs/showerAhower pan Urinal Name: - Water closet _ Address: /f,;),f, : L !'�_ _ Water heater City: State:_ ZUP: --- Other: Phone: --rFax: I E-mail: Total Net all Jurisdictions accept credit cards,please call Jurisdiction for more Information.' Notice:this permit application Minimum fee.................$ U visa U MoterCard expires if a Plan review(at _ %) $ p permit is not obtained a(896; ....�surcharge Credit card number: _ —L L within 190 days after it has been State g Name of cardholder as shown on credit card --- Expires accepted as complete. TOTAL ....................... _ S Cardholder signature Amount 4464616(601WOM PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-famllydwellings only: FIXTURES (Individual) QTY ea AMOUNT (Includes all plumbing fixtures'In PRICE TOTAL Sink 16.60 the dwelling and the 1first100 ft. QTY (ea) AMOUNT I Lavatory - 16.60 - for each utllt_connectlon _ One 1)bath _ _ '49.20 Tub or Tub/Shower Comb. 16.60 Two(2)bath $350.00 Shower Only 16 up Three(3)bath $399.00 Water Closet 16,00 -— SUBTOTAL Urinal 16.60 -- g, ;•4 TE SURCHARGE_ Dishwar•her - 1660 PLAN REVIEW 25%Oh SUBTOTAL Gp- �14osal - ---- -- 16.60 - --- - ---TOTAL .;T"I - - ------ ----- L nundry Trav --�— - 1660 --- Washing Machine 1660 Floor Drain/Floor Sink 2" 1660 — 3" 16.so -� PLEASE COMPLETE: 4 16.60 Water Heater O conversion O like kind 1660 uantity b Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ Capped MFG Home Now Water Service 46 40 Sink _ MFG Home New San/Storm Sewer 4640 Lavatol -- ` - Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 1!5 60 Shower Only _- Drinking Fountain — 16,60 Water Closet ---- Other Fixtures(Specify) —^ 16 (!final Dishwasher Gare Disposal ---- _ Laundry Room Tray —— _ -- - Washing Machine _ Floor Drain/Sink: 2" f.uwcr-1st 100' ---- - 55 OU - - - 3" - xar-each—additional 100' 46.40 4" - ,_—-` --- —_ - — tler 5,J1 vice-15: 100' 55Water I haler.00 - _—_ Water Service-each additional 200' 46Sp .40 -- - er Fixtures rSpecify) _ &ittiin Drain-1st 100' 55,00 „rrr&-Rain Drain-each additional 100' - 46.40 --- _ -- — !;• iden !'.act.I'Iow Prevention Device 46.40 ------ - ------------ ---_ I nal Bact•flow Preven!.on Device' 27.55 — etch Ndsln 16.60 - — pncliun-f Existing Plumbing or Sper,ially 72 50 - - k::,nested I fians _ _ er2u - -�- COMMENTS RCGARDING ABOVE:- ---�-� Frain Drain,single family dwelling _-- 65.25 T r.cTraps -- - -- 16 60 QUANTITY TOTAL - —�--- --`- Isometri•_or nser dhgrem is required if -- Quantity Tot9 — —r- �.__ ------- -- - - - al I-e ' •P-!IBTOTAL 8%STATE SURuHAKGE — -�_- _-__-- --- -- —.- ---- "PLAN REVIEW 251/6 OF SUBTOTAL - - - nr��fred only II fixture qty.total is>D _. TOTAL a .Minimum permit lee Is$72.50•8%state surcharge,except Res dentlal Backflow Pievenllon Device,which Is$ae 25•8%elate surcharge **All New Commercial Buildings require plans whh Isometric or riser diagram and plan review 1:ldstslforms\plrn-fees,doc 10/10/00 Electrical Permit Application r ►�+ Date received: on•" -0/ Permitno.: City of Tigard and J PP Expire date: `J g Pro ecUa I.no.: City(if Tigard Address: 13s25 SW Hall Blvd,Tigard,OR 97223 - Phone: (503) 639-4171 Date issued: _ gy=K_ ipt no: Fax: (503) 598-1960 Case file no: Payment type: Land use approval: 1 7U�'New ly dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement uction U Addition/alteration/replacemciit U Other: ❑Partial JOB SI FE INFORNINriON Joh address: Q x,141 s1 !7 Illdg. no.: '_j Suite no.: /L'/? Tax map/tax lodaccount no.: f/Q Lot: r- Block: Subdivision: I�aehgm `:)cklc A Ir P K _ Project name:^l;u,hAm 11Cnl izk Descri tion and location of work on premises: — Estimated date of cont letion/ins ction: Job no: ilm loll 0 til 10 Fee Mau Business name: �,f 5 �� ,(_A 2• Description ea Total no.les Address: 1'q111 A - /04." New residential-single or mufti-family per dwelling unit.Includes attached garage, City: ,R N State:ok ZIP: Service Included: Phone: ti fiiiU Fax: I E-mail: IWOsq.It or less 4 CCB no.: p / Elec.bus.lie.no: - ;cls(� Each additional 500 sq.ft.or portion thereof t.imited energy,residential Cit /metro lie.no.: t3� 2 Limited energy,non-residential 2— Each manufactured home or modular dwelling Signature of supervising eleetn:fan(required) X'_ Date � 5 e,— Service and/or feeder 2 Sup.elect.nanre(print): Jcha, C„•• i ,' 1 i License no:/S•I e.!5 Services or feeders-Installation. — alteration or relocation: 200 amps or less 2 Name(print): 4 K E o A I r s 4) 201 amps to 400 Amps 2 Mailing address: - '3 ' SW l�� mc�t 401 amps to 6(K)ampn 601 amps to IWO amps 2 City: y>,7 /� StateeK ZIP: ()verItXX)amps orvolts 2 Phone: 2Y0 c,F^7 t< Fax:•2V4-CU 77 1 E-mail: Heconnectonl —� Owner installation:The installation is being made on property 1 own Temporaryservices or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORE 447,455,479,670,701. 2tx)amps or less 2 Owner's si ature: 201 amps to 400 snips 2 DatC: 4tlI to 600 ams , Branch circi,!:s-new,alteration, Name: or extension per panel: Address: L' G A. Fee for branch circuits with purchase of service or feeder fee,each branch circuit I .-City- Stale: ZIP: B. Fee for branch circuits without purchase Phone: Fax: E-mall: of service or feeder fee,first branch circuit: 2 Duch additional branch circuit: – Misc.(Service or feeder not Included): UServfceover225Amps-eommeMal UHealih-carefaciliry Ear',pump or irrigation circle 2 U Servs«over 320 amps-rating of l&2 U Hazardous location Each sign or outline lighting 2 familydwellings U Building over 10001 square feet four or Signal circuit(s)or a limited energy panel, U System ever 600 volts nominal more residential units in one st.acture alteration,or extension, 2 U Building over three stories U Feeders,400 amps or more Ufkcu ant load over 99 I-kscri tion: Occupant persons U Manufactured structures or RV park Foch additional Inspection over the allowable In an above: ❑Egressllightingplan U Cllr, � Y of the a - — Per inspection Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not @11jurisdictiont acceta 11rr6t cards,please call jurisrlicGun for m«e inf,nmmion Notice:This permit Application Permit fee.....................$ U Visa U hiasle�card expires if a permit is not obtained Plan review(at _ %) $ _ ----Credit cud mantle, _L,.__ within 180 days atter it has been State surcharge(8%)....$ _ i,pire: -- accepted as complete. TOTAL Nmne d cardholder as clown on credit card acce �� - •••••••••••••••••••••••$ Cardholder denature -- -- Amount 44(1-461 t trvo0A'()M i Electrical Permit Fees: Limitad Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Ins ctlonsep r perrr It allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total J Check Type of Work Involved: Residential-per unit 1000 sq,h.or less __ $145.15 _ 4 ❑ Audio and Stereo Systems Each additional 500 sq 11 or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manuf d Home or Modular ElDwelling Service or Feeder $9090 2 Garage Door Opener` S,rvlcr!s or Feeders �., Heating,Ventilation and Air Conditioning Syslern' lostdllalion,alteration,or relocation 200 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 amps to 1000 amps _ $240.60 —_-- — 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 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 V $66.85 2 (SEE OAR 91 B-260-260) 201 amps to 400 amps $160.30 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 ❑ Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6.65 — _ 2 n 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 _ $6.65 0 HVAC Miscellaneous instrumentation (Service or feeder riot included) Each pump or irrigation circle _ $5340 __ ❑ Each sign or outline lighting _ $5340 Intercom and Paging Systems Signal circuit(s)^r a limited energy (�1 panel,a4sration or extension $75.00 LJ Landscape Irrigation Control" Minor Labels(10) $125.00 _ Each additional Inspection over E] Medical the allowable in any of the above ^r inspection $62.50 ❑ Nurse Calls Per hour _ $62.50 'n Plant _ $7375 ❑ Outdoor Landscape Lighting' Fees: ❑ Proteclive Signaling Enter total of above fees $ (�� Other 8%State Surcharge $ _-... _I'Jurnber 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 — --- — Fees: Total Balance Due $ r--� ---�-- Enter total of above fees $ lJ Trust Account# 8%State Surcharge $_ ��—_._.___�._"---- -- ------�---�- Tota!Balance Due $ — i\dsts\forms\elc-fees.doc 1009/lin 1 Mechanical Permit Application Date received: :2 Permit no:: 9V City of Tigard Project/appl.no.: Expiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 13uildingpermit no.: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement Qf4ew construction ❑Addition/alterntion/replacement U Other. Jolt SUI F INFORNIA'I ION CONINII-110AL VALUATION SCHEDULE Job address: ;'!,C`,i � `� l r' Y/ Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no: I Suite no.: 1_14 value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: 'R profit. Value$ Lot: F" Block: Subdivision: 4u,I Nw clru,•1 ;tr/C "See checklist for important application information and Project name: tir.L"ot t na.K jurisdiction's fee schedule for residential permit fee. City/CoUrlty: yr UJf15{ ZIP: 1??'223— onammummil Description and lot:ation of work on premises: Est.date of completion/inspection: Deactiptlan !"R Res.onl Tenatu improvt!if r.,or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit — ..FM-- Fee Air conditioning site p an requtr ) Is existing space insulated?U Yes U No Alteration of existing system ofer compressors Business name: - om 021 Tons BTU/H State boiler permit no.: __- _ HP Address: L' S.IA, CC,171 ✓>` = L.t'L C Fire/smoke dampers/duct smoke detectors _ City: Lt ; 14= State:eu ZIP: 9 cat pump(site p an regwre UT Phone: ;r3 /yFf, Fax: E-mail: _1nst�eplace urnac umer__ Including ductwork/vent liner U Yes U No CCB no.: /6'(;, 2 Instal rcp ac re ovate heaters-suspended, City/metro lic.no.: wall,or floor mounted _ Name(please print): 'j�u , c )f �enl7nr n lance of er t an urnace Refrigeration: Absorption units BTU/li Name: �aHpr( ff. /f�k:G Chillers HP Address: Com r:ssors FIP --— - nv ronmeota exhaust and veal1 oa: City: — State: ZIP: —_ Appliancevent Phone: Fax: E-mail: Dryerexhaust o s, ypc res. its a azmat hood fire suppression system Name: i r A! ofu `. Exhaust fan with single duct(bath fans) Mailing address: �.lt It, 4ffi—er-Fst-W—appliance haust system a art mn m eaten o",� . �=rmcr..t City: z :t State:c� ZIP: r/71_ 1, e pipg an t ul on(up to outlets Type.: LPG _ NO Oil Phone: 4(/ !E'1 x:: Fa ?y<<-G tJ E-mail Fuel piping eac additional over outlets 1101'a 101 Process piping(sc ematic required) Ntutle: umber of outlets or equipment: Address: ; ri.fu I�'E C/ '/' - ' Decorative fireplace City: tate: ZIP: Insert-type _ Phone: Fax: I E-mniL Woodstove/pel let stove — Ut ice Applicant's signature: ' r + Dale:/- s''3 ('% ter: Narne (print): [)yup _— - Na all Jurirdictiory seep credit Gorda,please call jurisdiction for more informationPermit fee.....................I — U visa U MasterCard Notice:This pcnnil application I` itltuufn fee................$ credit card number: expires if a pcnnil is not obtained Plan t'eVlevv(at_96) $ Expires within 190 ddN s after it has been State surchaf p(8%)....$ Name of cardholder as shown on credit card accepted as camnlete. TOTAL.......................$ CardhOler signature Amount 1101617 i(SWCOM) MEC�iANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: able1ADescription: Price Tot T $1.00 to$5,000.00 Minimum tee$72,50 Table 1A Mechanical Code Qty (Ea) Am'. 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU Including ducts&vents 14.00 $1.52 for each additional$100.00 or � BTU+Furnace 100,000 2) fraction thereof,to and including including ducts 0 vents 17.40 _ _ $10,000.00. 3) Floor Furnace 10,001.00 to$25,000.0J $148.50 for the first$10,000,00 and Includina vent 14.00 $1.54 for each additional$100,00 or fray+Jon thereof,to and Including 4) Suspended heater,wall heater _ $25,000.00. or floor mounted heater 14.00 - $2t;,001.00 t $$50,000.OU $379.50 for the first$25,000.00 and 5) Vent not Included in aopllance permit 6.80 $1.45 for each additlunai$100.00 or fraction thereof,to 2nd'-._:Aing 6) Repair units 12.15 $50.00 .00. Check all that ripply: $50,001.00 and up $742.00 for the first$50,0!0.00 and f !081"4Cond $1.20 for each additional$100.00 or For Items T-11,seas _ [OQ� iractlon thereof, footnotes below. 7)<3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE:-- 8)3-15`iP;absorb !� Value Total unit 100k;n 500k BTU 25.60 Description: t]t (Ea) Amount9 9)15-30 HP;bbsorb Furnace to 100,000 BTU,Inrluding 955 unit.5-1 mil BTU 3500 ducts&vents - 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 will BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Including vent _ 955 unit>1.75 mil BTU _ 87.20 Suspended heater,wall healer or 955 12)Air handling unit to t0,0uU CFM floor mounted heater _ 10.00 nl not Included In appllcance 445 13)Air handling unit 10,000 CFM+ rormit _ _ -�- 17.20 _ Repair units _805 - 14)Non-portable evaporate cooler 3 hp;absorb.unit, 955 _ Y 10.00 to 100k BTU - 15)Vent fan connected to a single dud 3-15 hp;absorb.unit,_ 1,700 6.80 101k to 500k BTU 16)Ventilation;ryslem not included u, 15.70 hp;absorb.unit,501k to 1 2.310 a INp lanc3 r,ermlt _^ 10.00 mil BTU 17)Hood served by mechanical exhnu!l d0-5n hp;absorb.unit, 3,400 10.J0 1.1 IS mil.BTU 18)Domestic incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mill.BTU 19)Commercial or Industrial type Incinei ator Ali handling unit to 10,000 rfm _ 656 69.95 air ha�dlin�unil>10,OOfi cfm - _ 1t.- 20)Other units,Including wood stoves N.•n•portahle evaporate rc;oler 656 - 10.00 Veal fan onn_.did to a_sit�la duct 446 21)Gas piping one to four outlets int system not Included In 656 _ 5.40 p f+IlarCe permit - 22)More than 4-per outlet(each) Hua sorved by mechanical erh_aust _ 656 _ _ 1.00 - ImesUc indneratnr X170 _ Minimum Permit Fee$72.50 SUBI OTAL: ,.�. $ Commercial or Industrial incinerator 4 590 _ Olhor unit,Including wood stoves, 6F,) 8%State Surcharge s Inserts,etc. __ �. Gas�iping 1 4 outlets 360 _ __� 25%Plan Review Fee(of subtotal) "h-additional outlet 63 Required for ALL commercial pennit.a only ITOTAL COMMERCIAL a - TOTAL RESIDENTIAL PERMIT i-EE: S V' ALIIATION: _ Other Inspections and Fees: I Inspediors outside of normal business houot fminlnium charge-two tours; $72 50 per hour. 2 Inspections for which no fee is specifically Ind�cated (minimum charge-half tour $72.50 per hour 3 Additional plan review required by charg- addilions or,revisions to plans(ndrnrn charge-one-half hour)$72 50 per Mur 'State Contractor Boller Certification rr o for units 2,200k BTU. "Residential A/C requires site plan 1111, • ,g placement of unit. i:\dsts\foimslrnech-fees.doc 10/11/00 SEE 35MM ROLL# 22 FOR LARGE DOCUMENT