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�5 DELIGATION � � � u t, ill. I� 4) 14' W TViFwm� �rEE I AI.NU r RRA, C: E • - _ } - .. - ...-rte'. i i { PO1► UNIT SW*1t*14R �0' 8' / )m' FIR$ FFI .r— 9 'As UNITS 1154 SQ. FT. 3 BEDROOM ;' E W r 34 B UNITS �38ro SQ. FT. 2 BEDROOM 2 E 24 'BUNITS' UNIT � -700 SQ. FT. I BEDROOM I E FT. I �3DROOM 1 E 'C' UN(T +c S EXIST. SQA TOTAL DWELLING UNITS M8. BLDG. I OFFICE 8 1212 SG?. FT. LU/LOUNGE t LUT.2T 33 GROUND FLOOR UNITE ■ 33 X I/ , 13 ACCESSIBLE UNITS A �8 ' 1 .54 RE Pf?OviDED WHER! ' INDICATED LUITH 'HC' ON THE 51TE PLAN 5T l 3T 3co 10/0 X 20/0 GARAGE STALLS Mg 38 v 21 Im/O X 18/ , TANDEM STALLS �E � 3 'B' H � �5 S/D X 1 ' g 8/O STANDARD STALLS F V ARC /CR �C SIC 48 8/O X 14/0 COMP U' O� ACT STALLS r V v •-'K ! 'R 180 TOTAL SPACES PROVIDED INCLUDES & H 2( v ' 3 IC' ANDICAP STALLS INCLUDES 55 CARPORT STALLS 1.c� ,14, E K" �- SDE ' A ' • (- ! (5 ) 1m' OAK TREES (,- A ISLt 3 T3' CR OSS / 3 "Bv H ---- ' ,.t'tl`;;' I�,' 1�•3 t:3r t f !� 5 •� ' E 3 . WALKS - _v 3 C __ . .:_ _ _ - - v 3 Tp ..___ � :_y �_ - :=�.` . _ COLD WINTER UJIND3 v _ i _.. _ r_-- ._._"....---- WARM SUMMER BREEI AMoi-5 ' CITY OF T; I%RA i r- r ��' ••• .•....•.••.•.••..........ago*@sees*. .N '• - -q• 'ht C Ale gal V 3 'A� .........•• ..•........•........................[ .�. ................................................ S ob PO IIT - - - - - 1C - V _ \ v L. C MAIL STATION W/QUANITY AS INDICATED ISLE IC SANITARY DROP BOX AND ENCLOSURE vi. INTERNATIONAL HANDICAP SYMBOL - - CONTOURS * 2' INTERVALS i *%.� CONTOURS a 1(d' INTERVALS 4 STALL HOOP STYLE QIIGE RACK 1 f EXIST, RI new NOTICE-. IF THE PRINT OR TYPE ON ANY ,1r11 1 1 1 1 1 ' 1 1 1 1 1 1 1 1 1 l l I l 1 1 1 III + III IIII 1 1 ► l I t ( l 1 ► I I I I 111 I I I I I I I III 11 III III III III I ( I I ( I III I I III III 111 I I 1 i l i 111 III fl , f 1 ( 111 11 I I I I I IIII111 I I I I I I I I I I I I I ! I I 1I I 111 1 1 II IMAGE 'S NOT AS CLEAR AS THIS NOTICE, 1 a 8 IT IS DUE TO THE QUALITY OF THE — --- --- - ORIGINAL DOCUMENT III! Illl Il6il ZIIII IISII ZIIII IllLi�iZllll 11U11 ZIIII ilSZ � Z ZZ TZ UZ I4I �3t LT 9T � t � T t ZT ,TT I 9.. No. o--.3— E l1 11111111EII IIlI{ II . T Jig"" Ig"" I I(�I t • a1'-m• �'-m• 25'-09 21°-�• 21'-®• 2m'-®. 9'-QJ` 3'-6a' b'-4' '-If 4'-�!' 9'-P>' '-®' 9'-Q1' b'-4' 3'-0' 9'-fa' 9'-®' 3'-?J' b'-4' '-8 '-dIla' 6'-4' I HR. FOR 5' A. SIDE WITH �' GYP. 31N Cs. ON EXT, X 4 %a TYPE ' ' GY`P. ON EXT. -- DECK '' 42' H IGH G � t _ DECK !; ' t =mama I DECK I DECK , { DECK . , � DECK UNIT 'B' , UNIT 'C' UNIT "B' UNIT 'C ' UNIT 'C' — UNIT 'D ' 1 t' lU cA ►- DN 1 DN U n � DN - 2 k AREA I S�P. WALL U HL U 2 NR. AREA i SEP. WALL U Fr CIA sm C14A) � 4x12 f � , 4X12 % v ,� r XB C14 4X12 i --- 4X8 I � '-b' 8'-m' S'-b' d 4'-2 12'-0' 4'-8' S'-m' 1?'-O' 4'-2'd IT S'-b' 8'-m' 3'•8' '-4' 8'-m' S'-b' '-4 8'-D' 3'-8' V.01 20'-109 21'-2' 8'-m' M-2' YN t SECOND FLOOR BUILDING 11 ,4" ALL EXT. WALLS TO BE �2" GYP. EA. 51DE W/5d • 'T' GIG EXCEPT UJHERE NOTED OTHERWISE NOTICE: IF THE PRINT OR TYPE ON ANY l^�� IIf lllilll Illllll llfllll 1111111 II111 (T f (Tj1�T f�'TIIII -T�`I-11 �-rTf ( IIIII 1 ( 11111 Illjf ( I I � III ( I I ( Iflll Illflil I+� f1 ► I_l. fi�r11� 1 � flf1f _�fr�_� j_r_ I.�III�.l_ _ r �FCrrlrlllf 1111111 I ( iJill THIS I 1 2 3 4 I II II I 12 IMAGE IS NOT AS CLEAR AS NOTICE, ___ �� �5 _ g 9 - 101, 1. 1 _ IT IS DUE TO THE QUALITY OF THE "0.36 ORIGINAL DOCUMENT E� 6Z SZ IIIIIlllIIIIlIollIlliIIIILZ 5Z fiZ EZ Z OZ '~6i`I81 L 1 ll6 IIIi aNil" IIll Ili141IIIIZIIIIIl9lill11Z11ItIIliiIIITIIIIIIIIIIIIIIIIIIIIIIIII1111 ( 11F,,,,,i,,TnT,,i,,,, 1 t J ` ° � w r I I J� a� i 11396 SW BULL MOUNTAIN RU BLDG 7A V` °""T"°!`'���, JARMER ELECTRIC, INC. limit 1"M 5105 S.W. 45TH AVENUE F C PORTLAND, OREGON 97221 Mum" Serving the Northwest Since 1964 _- MEMBER: MEMEER. ASSOCIATED INDEPENDENT BUILDERS ELECTRICAL AND CONTRACTORS CONTRACTORS OF OREGON, INC. January 4, 1996 CITY OF TIGARD BUILDING DEPARTMENT 13123 SW HALL BLVD. TIGARD, OR 97223 ATTN: Jim Funk RE Fire Alarm Plan Review Property address: Hillview Terrace 11400 Bull Mt. Road Tigard, OR 97224 Note#1 - Application submittals "'--- Note #2 - Battery calculations Note #3 - There are no "handicap" units on this project. Note #4 - Unit smoke detectors will be installed as per UBC Section 1210-4. SincereI 4im m er or BUSINESS PHONE 503.246-5391 FAX PHONE: 503-244.9037 February 22, 1996 CITY OF TIGARD OREGON Jarmer Electric, Inc. 5105 SW 45th Avenue Portland, OR 97221 Re : HILLVIEW TERRACE 11400 SW Bull Mountain Road PC1-29-31C BUP96-0035 The fire alarm plans for apartment buildings 2A--4A and 7A have been reviewed for conformity to applicable codes . Please submit the following information: 1 . Provide the manufacturer' s detail and specifications for the PEZO, HORN, and Pull Station equipment . 2 . The battery calculations for each system were not included in your last submittal, as we discussed. Please provide . 3 . The cover letter of January 6, 1996, for buildings 4A and 2A incorrectly state that they are not accessible units . Ground floor units have been designed for adaptable, accessible units in these two buildings . 4 . Explain why type "A" buildings are required to have an evacuation system as stated in your October 23 , 1995, communication. If you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Examiner bup96-0035\pcl2931c 13125 SW Hall Blvd., Tigard, OR 97223 (;iO3) 639-4171 TDD (503) 684-2772 ------ MASTER PERMIT CITY OF TIGARD DATPERMIT . MST-96-0360. EISSUED: 07/10/9L� COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (¢03)63��FR71 P�� PARCEL: �S 1 10AC-01200 113�Jb n, L� M7 a 1 TE: ADDRESS. . . : SW *No A DRESS!CRT v SUBDIVISION. . . . : ZONING: C--P E;L00". . . . . . . . . . .1 1-01.. . . . . . . . . . . . . . Remarks: ACS/NEW CARPORT 8 SPACES NEAR 11.396 -----------------------------------•---------------------------- BUILDING -------------------------------------------------------------- -. REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REDUIRED SETBACKS---- REWIRED----------- CLASS OF WORK.:ACS HEIGHT........: 9 FIRST....: 12296 if GARAGE.....: 0 sf LEFT..........: 0 SMOKE DETECTRS: TYPE OF USE...:MF FLOOR LOAD....: 0 SECOND...: 0 if FRONT.........: 0 PARKING SPACES: 8 ;Y[E OF CONST.:2N DWELLING UNITS: 0 FINBSMENT: 0 if RIGHT.........: 0 OCCUPANCY GRP.:S4 BERM: R BATH: 0 TOTAL---- 1296 if VALJE..1: 14956 REAR..........: 0 ----------------------------------------------------------------- PLUMBING ------------------------------------------------------------- SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS........1: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOk DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 T1_111/SHOWERS... 0 GARBAGE DISP..: 0 WATER 1-iCATEFS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURESt 0 -------------------------.----------------------------------- -- MECHANICAL -- ----- ------------------------------ ------------------ FUEL TYPES----------- FURN l 100K ,.s 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR. FURNACES: 0 VENTS.........: 0 WOODSTOVES....1 0 SAS OUTLETS...: 0 -- -- ------------------------------------------------------- ELECTRICAL -------------------------------------- ----- -- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP ERVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- i000 SF OR LESS: 0 0 - 200 alp..: 0 0 - 200 aap..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 �A ADD'L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 -IMITED ENERGY,: 0 X01 600 amp..: 0 h01 - 600 amp... 0 EA ADDL BR CIR: 0 SIGNW./PANEL...: 0 IN PLANT......: 0 MANE HM/SVC/FDR: 0 501 - 1000 amp.: 0 60i+amps-•10W v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 -------------- -------------------- PLAN REVIEW SECTION --------------------------------- Reconnect -----------------..---- ------.Reconnect only.: 0 )■4 PES UNITS..: SVC/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -------------------------------------------------- T.LECTRICAL - RESTRICTED ENERGY --------------------------------------------- ----- �. SF RESIDENTIAL--------------------------- B. COMMERCIAL- -------------------»--------------------------------------------------- iaUDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO I1 STEREO.: FIRE ALARM....... INTERCOM/PAGING: OUTDOOR LNDSC LT: t+URGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: ARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL....,...: OTHR: :: .")x.......I...: DATA/TELE COMM,: NURSE CALLS,...: TOTAL N SYSTEMS: 0 Groner: -- ---------------------------------Contractor: ----------------------------- TOTAL FEESO 274.96 uNDREWS MANAGEMENT MCH CONSTRUCTION CO 4000 KRUSE WAY SUITE 270 COLUMBIA EQUITIES INC 8235 SW OLESON RD STE C i-AKE OSWEGO OR 97035 PORTLAND OR 97(-23 hone M: 699-8645 Phone A: Reg N..: 043267 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done :n accordance with approved plans. This permit will expire if worn is r.ct started wither 180 days of issuance, or if work is suspended for more than IB0 days. --------------------------------------------------------- REr,. IRE[ INSPECTIONS --- - - Footing Insp --- -- - Erosion Control PIN/undslb Insp rraoing Insp Building final f r m t t e e S i g n a t u r- s _ I.3 sue d D y : Call for inspition 639-4175 4.�: '.4�°�':;' . F' its '.. . 'S� �i �.(;f�. �F'"1 -. "4i, `•�. Commercial Building Permit Application City of Tigard 13125 SW Hall Blvd. l Tigard, OR 97223 ( ) (503) 639-4171 91 Jobsite Address: IVo A D,Q Q.E SS ' TeR I?A�E Office Use Ony Tenant: Sui e# r Planck/Rec Valuation V,' VL) — . Permit# r Owner. Inge c- 1 s M.¢ c M c A-1 i L12 Map&TL# Address: (Dao {<R v-5,E 60.4 t- Approvals Required ,CAKE ©S ca : 08— Planning Phone: G 9 8 6 `(5 Engineering Other Contractor. Address: r aO _1L.A 3.3 Type of nanst Occupancy class: Phone: Sprinklered? Yes i No Contractor's License #_ (attach copy of current Oregon ficense) Sq. R of project 1 Contact name & phone: © `f 9 1 r. 7 Story (1st, 2nd, etc.) _• Proposed use: _ Architect/Engineer: R G am_ ' Previous use: Address: _l8 6 `l ( S.GIJ• Qr_.��i:=�_ ✓F Note: Plumbing & mechanical plans ___AAAA>< 5 wE 11>02 710 must be submitted at time of building permit application. Phone: i39- �Q "f JOB DESCRIPTION, _ CA R F_ &T _ Applicant Sig ature & Phone num r �z- I Received by: - ��` Date Received: �� _ Permit 0 Account Description Amount Amt. Pd. Bal. Z-4 � Bldg. Permit (BUILD) � Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) L c < Bldg: Plumb: Mech: Plan Caeck (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF MF-R) Mass Transit T1F (TIF44M Commercial TIF MF-C) Industrial TIF (TIF-1) ------- ----- -------- Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) all- Erosion — �. Planck/COT (EROSN) TOTALS: I 7�,3 C) �., / -3 Mounting Options A 0 &AFEe FLUSH fl� Pliz 41_Rl� i re KC3 60 11100" 0 rill �11 Q= WOOF .-C 1-1 AW. WC -r. Oil 4 U;FACE MQ FLUSH NO F FLUSH MOL.'Ii NG M17 ME n oi�N 0 1"cd) I M I r0_0 F_?q LOS k_ 'A 1100" A.0 #I$ AVIC i'li AOF A'. Ari' #13 S 6-1 1.4 All Ill "I 11P awr 1 4 11 V? Architects and Engineers Specifications The notification appliance shall be a Wheelock MIZ Series audiblelvisual device or equivalent. Notification appliance shall be ele0cmic and use soild state components. Electromechanical alternatives are not approved Each s!Iur`id pressure neasu,emr.nit at 10 feet shall be 90 dBA minimum at 24VDC and 88 dBA minimum at 12VOC,Operating voltages sha!l be either 12VDC or 24VDC using filtered power or unfiltered power supply(full.wave-rectified).All rrodsis shall have provisions for Stindard reverse polarity type supervision and IN OUT field wiring using terminals that accept N12 to 0'0 AWG wiring Combination audible/vIsual signals shall incorporate a Xenon flashtvbe enclosed in a rugged Levan lens or evottalent with solid stale clr,ulir,, Strobe shall meet UL 1171 and produce a flesh rate of one 1111461 per second minimum Over Ile L,steel input voltage (20VDC. 31 VDC) range. The strobe intensity shall be rated per UL 1971 for 15, 30. 75 or 110 Candela The LSM Series 15,71 camdela strobe shall be specified when 15 candela UL 1971 Listing with 75 candela intensity near-axis is requi-ed All UL 1971 Listed strobe appliances shall be verified to meet FCC Part 15, Class 8 and incorporate low IeMpC:atljrQ Corljoet)331,on to Insure the lowest possible current consumption. The appliances may be installed indoors for sur4ace or flush mounting They shall be mounted to standard e'ec!riral hardware requiring no additional trimplate or adapter. Wheelock products Must be Lied within their published specifications and must be PROPERLY specified, arip1ma, inslalled, operated, maintained and operationally tested in accordance with their installation instructions at the time of installation and at least twice a year or more often and in accordance with local, slate and federal codes. regulations and laws Specification. application, installation, operation, maintenance and testing must be performed by qualified personnel for proper operation In accordance with all of :he latest Nalioral Fire Protection Association ('NFPA), Underwriters' Laboratories (UL), Nallonal Electrical Code (NEC),Occupational Safety and Health Adminis. tration(OSHA), local. state, County, province, district, federal and other applicable building and fire standards guid0nes, regulatons, laws and codes including,but not limited to,all appendices and amendments and the requirements of the local euthQ01ty having jurisdiction(AHJ). ANY MATERIAL EXTRAPOLATED FROM THIS DOCUMENT OR FROM WHEELOCK MANUALS OR OTHER DOCUMENTS DESCRIBING THE PRODUCT FOR USE IN PROMOTIONAL OR ADVERTISING CLAIMS, OR FOR ANY OTHER USE, INCLUDING DESCRIPTION OF; THE PRODUCT'S APPLICATION, OPERATION, INSTALLATION AND TESTING IS USED AT THE S,.)LE RISK OF THE USER AND WHEELOCK WILL NOT HAVE ANY LIABILITY FOR SUCH USE. Due to oomillnUOUS development of our products,specifications and offerings are subject to change without notice in accordance will',Wheelock Inc. standard forms and conditions, NATIONAL SALES OFFICE Distributed By: 1.000.631-!140 tMM-) Canada 909 79111-4126 MEMBER W14EILOCK INC.'273 BRANCHPORT AVENUE a LONG BRANCH, NJ 07740'(901111)222.6800 FAX:908-222-8707 61,100 9v:,7,i nHii 96-H-03a P 1 r ar .01 AGENCY APPR0 VALS U(Std 38) F,Ic S24(i5 Fhi (x15.2, %IsAks) 013A9.AY!12990 C.S.F.Xl. (MS-2, ;SIS-6) 71 SU-0694:10' (MS-Vl'S) 71 V-0604:136 NVC BS&A (MS-2.. NISAVS) 960-SI-SA NYC-NIF.A (MS-6) 103.93-L SPECiFICATiONS Material (MS-1.MS-61 F\trudcd 0001i5 al.iminum Doors (MS-2,AIS-6) C Ica,anoditc Switch t)pe MS-2 Enclosed tngglc \ MS-6,VIS-WS Enclosed pu<h butttIn \ Contact material Silver plated bronze or corper Contact ratings MS-2 6 amp. mar. Qi 30 VDC (resisti%e) AIS-6 0.5 amp.max. Qi' 30 VDC(resistive) MS-WS 3 amp. @t 30 VDC (resisti\c) Dimensions(oserail) AIS-2,MS-6 5" 1'1 x 3 4" W x 2.8" D MSAVS g.8" H x 1.5"W x 2.75"D ORDERING INFORMATION Part No. Model Description 1100.0615 `iS-2 Double action Are alarm statlon 1100.0634 MS-2H DoWe a(tion station with "FIRE.SI;PPRESSiON SYSTEM RELEASE"x markings 1100-0619 `IS-2P Presignal Are a!arm station 1100-0621 MS-2L Institutional fire alarm station 1100-1096 MS-2LP Institutional presignal fire alarm station 1100.0617 MS-2-D Double action station With DPST switch 1100-0632 MS-6 Single action station,wire lead: 1100.06ii MS-6T Single actiun 4itation,terminale 2520-002: BB-2 Surface back bvx for NIS-12. MS-6 statins 1120-0206 Package of twn replacement breN:glass rods ror ms-2 station 120.1312Ct IMS-A'S %leatherproof station with surface hackbux A,500-0.147 GR-I Replacement glass rod fear NISAVS 269 GROVE ST. NEWTON, 'MA 02166.2295 LISA TEL; (617)065.2010 TELEX: 94-R2)2 FAX- 16171965-0659 2 of 2 t.0.11z5A 90 'd 9NI Ak 9641-AG I MIT CITY OF TIGARD �aTI1IISSUED:#... . . �I.MST96-•03 . 1 7/10/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 07223i813<1 9199 (503)930-4171 ,ARC1_ ;_ 1 i 0(�C _0 1 clZlljl 11 a l� ��J r.�(�( MTIJ ) :'.)UBD I V 15 I ON. . . . : ZONING: C-•F' 1t_[a[:K. . . . . . . . . . .I LOO.. . . . . . . . . . . . . . Remarks: ACS/NEW CARPORT 8 SPACES NEAR 11396 --------------------------------------------------------------- BUILDING -----------------------------------------------------------"--- REISSUE: STORIES.......: 1 FLOOR AREAS----------- BASCMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----------- CLASS OF WORK.:ACS HEIGHT........: 9 FIRST....: 1296 sf GARAGE.....: 0 sf LEFT........,.: 0 90E DETECTRS: +P'E OF USE...:MF FLOOR LOAD..,.: 0 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: b PE OF CONST.:5N DWELLING UNITS: 0 PINBSMENT: 0 sf RIGHT.........: 0 ',:.'L'PANCY GRP.:S4 BDRM. 0 MATH: 0 TOTAL------: 1296 sf 7ALUE..t: 14956 REAR..........: 0 ------------------------------------------------------------- PLUMBING --------------------------------------------------------------- :NKS......... : 0 WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAPS.: 0 RAIN DRAIN ft: 0 TRAPS.,.......: 0 -'i4T7RIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..; 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0 -B/SHOWERS...: 0 GARBAGE D1SP..: 0 WATER HEATERS.: 0 WATER LINE ft: P BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 MECHANICAL --------------------------------------.-----------------------.. kL TYPES----------- FURN ( INK ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 FURN i=1()01'. ..: 0 UNIT HEATERS..: 0 HOODS........... 0 OTHER UNITS...: 0 AA INP.: 0 BTU FLOOR FURNACES: 0 VENTS,........: 0 WOODSTOVES....: 0 GAS OUTLETS... : 0 -------------------------------------------....---------.-.._..--- ELECTRICAL ----------------------------------------------------------- RE51DENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIUNS-- :r"00 SF OR LESS: 0 0 2W asp., : 0 0 - 200 asp..: 0 WlSVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECT;ON: 0 .4 AWL 500SF.: 0 201 400 asp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 -:MITER ENERGY.. 0 401 UOO asp..: 0 401 - 600 asp..: 0 EA ADDL BP CIR: 0 SIGNAL/PANEL...: 0 IN PLANT,...... 0 4i4611` HM/SVC/FDR: 0 b01 - 1000 asp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0 10004 asp/volt.- 0 .... . ._".----- -•-- ..--------------- PLAN REVIEW SECTION ----------------------------.----. Reconnect only.: P. )=4 RES UNITS..: SVC/FDR)=225 A.: ' 600 V NOMINAL: CLS AREA/SPC OCC: .------------------------------------------- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------- -. SF RESIDENTIAL---------------------------- B. COMMERCIAL-------------------------------------------------------- ------------------- "JDIO d STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.,...: INTERCOM/PAGINE-: OUTDOOR LNDSC LT: _�JRGLAR ALARM.,: 0TH: :: BOILER.........: H'VAC...........: LANDSCAPE/IRRIG: PROTECTIVE S1GNL: :ARAGC OPENER.,: CLOCK.......... . INSTRUMEN'ATION: MEDICAL......,... OTHR: :. AC...........: DATA/TELE COLI.: NURSE CALLS....: TOTAL t SYSTEMS: 0 Ener: ------------------------------------Contractor: -"---- --- - __..____._.__-- TOTAL FEES:$ 274.96 oNDREWS MANAGEMENT MCH CONSTRUCTION CO ,M, KRUSE WAY SUITE 270 COLUMBIA EQUITIES INC 8235 SW OLESON RD STE C AKE OS'WEGO OR 97035 PORTLAND OR 97223 -'bone t: 699-864° Phone N: Peg N..: 049267 )is permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other -pplicable laws. All work will be done in accordance with approved plans. This permit .ill expire if work is not stsrted within 180 flays of issuance, or if work is suspended for more than 180 days. -- REQUIRED INSPECTIONS ------------..-------------------------------------•---- ooting Insp _rosion Control - rraming Insp -- --- —- Building Final nI-Initisee `.Jigncdtui F d By : [ LA i f o, 1(, ct ion - 639--4175 ,fir a` KZ,. Commercial Building Permit Application City of Tigard _ r..,. ,... . ;,.�+ •�a�,� r ,Ew, �, - , 13125 SW Hall Blvd. Tigard, OR 97223 C t ' ( ra .t r ' - ` •� - (503) 639-4171 Jobsite Address: A/o 4 t7 0 Q_ESS - I&RRMC .` ° : zB oAt tts Only ' Tenant: Suite 1 I ) PlancWRea*" T Valuation: ' J i2 Permit# f Owner. Ayykrl,�ws j//YI.��✓�4to�H1�.yT�Tfl R A �X 4 Map&TL R' Address: q000 Aearovals Required IAKE h&Planqutg, Phone: Contractor. ALL9 _l_n�vs� Rv2TroJ #' Address: _�� ' _ ���Sd.J RIO ( r, Type of const2 -7 3--3 Occupancy class: Phone: H ;�. I:, ,1 .�•t Sprinklered? Yes No ' r Contractor's License # i, - .»r `— (attach copy of current Oregon license) Sq. R of project Contact name & phone: �l 9 - Story (1st, 2nd, etc.) _ Proposed use: _ Architect/Engineer: ��. t�. /UA FF , Previous use: Address: Note: Plumbing & mechanical plans —I AA.L - - >Q 470 3 must be submitted at time of building permit application. Phone: _AS 12- D O `f S 'a• .i r t JOB DESCRIPTION: _CA 9 F0 24, L av Lf-0 4 1 Applicant Sigrfature & Phone num>lAr Received b ! �^ y: _ Date Received: ,_,_, I Parmit# Account Description Amount AML Pd. Bal. Due Bldg. Permit (BUILD) j t2 Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) J'�J Bldg: Plumb: Mech: Plan Caieck (PLANCK)+ �J Bldg: -- Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TiF (TIF-MT) _ Commercial TIF (TIF-C) Industrial TIF (TIF4) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) _ Fire Life Safety (FLS) _ 4�l, Z L Erosion Cntri Permit (ERPRMT) 0t, Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) ) TOTALs: ,�.,,.,..,.., ..��., S3,. �'.: c _,,1Y/ . CITY OF TIGARD MEPERMCHANICAL- IT #. . . . . . . : C9-0-.90 COMMUNITY DEVELOPMENT DEPARTMENT DATE PERMIT ISSUED:• 0111ME211)(:�'j 13125 SW Hall Blvd.Tigard,Oregon 97223981199 (503)639-4171 PARCEL : 25110AC-01200 11,139C, '1_3W LAULL_ MOUNTAIN RD ')UBDIVISION. . . . - ZONING: R-25 (LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . "I-ASS 'IF WORK. . :NEW F1_0OR rURN. . . . 0 FVAP COOLERS: 0 !'YPF OF USE. . . . :MF UNIT HEATERS_ : 0 VENT FANS. . . :C-,4 ICCUPANCY GRP. . :R3 VENTS) W/O ADPL: 0 VENT SYSTEMS. 0 ;TORIES. . . . . . . . : 0 BOILERS/COMPRESSORS3 HOODS. . . . . . . : 0 -UEL TYPES--------- ------ 0-3 HP. . . . : 0 DOMES. TNC) N- 0 3-15 HP. . . . : 0 COMML. INCIN: 0 1AX INPUT : 0 BTU 15--310 11P. . . . : 0 REPAIR UNITS: 0 F1 RE DAMPERS% 30-50 HP. . . . : 0 WOODSTOVEc-). . : 0 GAG PRESSURE. SO+ HP. . . . ; 0 CI-0 DRYERS. . : il NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 FURN < 1017114% 137U: 171 101-1)00 (:fm . V1 GAS OUTLETS. - 0 FURN ) =100K BTU: 0 > 1121000 c,fm : 0 Rilmai,k B I do 7A does not i n 1 1.tcle any gas am-il ianczes. fkAr-nates or- water-, heater Uwrier,. FEES ONDREWS MANAGEMENT LTD t vpe ao,ol.tnt by date r-e c:r3t 41211710 KRUSE WAY PRMT t 82. 00 JDA 01/12/96 95--87490,", 41 JDA 01 / 1.2/9G 95-2749111- I-AKE 0F3WEGO OR 970 35 5PET 6 4. 10 JDA 01 /12/96 95-27490,-, F-'Bone #. 699-8643 '!.H CONSTRUCTION CO 13LUMBIA LQUITIES INC '135 SW UL-F-'S(.)N RD GTI-" C ORTLAND OR 97223 I(ITIP 4. $ 106. 60 TnTAL e ri #. . ! 049267 is Dervit is issued subject to the r-Ppulations contained in the REOUIRED INSPECTIONS Fivial Insciection �aard Municipal Code. State Of (Ire. Specialty Codes and all other Mechanical Iriso ,inalicable laws. Ali work will be done in accordance with Shaft Inspect iars �moroved olAns. This pereit will expire if work is not started Misc. Trispprtion .,ithin IN days of issuance, or if work is suspended for sore .in 180 days. S.:s;Lt e d /7- Call fat' inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATION Permit # Tigard, OR 97223 . �],4 �)�y'� (503) 639-4171 �� Id Table l IM 0 IY.bpnM CBM m0,� �ffescnpnon Table 3A Mechanical Code QTY PRICE AMT Jot) I� 1, %J) �-� �� 1) Permit Fee -0- -0- 10.00 Address L) Supplemental Permit 3.00 "'"'"' ""•" •""• Furnace to 100,600 STU 1) incl. ducts &vents 6.00 e ° N. Furnace 100,000 Owner f � 1� . r 2) incl. ducts &vents 7 50 Floor Furnance -�:1�1 / ',r n 1 ,• 3) incl, vent 600 ,""'«"•"•° ••• Suspended heater, wall eaFi—tee 4) or floor mounted heater 600 Vent not inc n Occupant 5) appliance permit 300 Repair of heating, re oy _ 6) cooling, absorption unit 600 Boiler or comp, heat pump, air cond. i + 7) to 3 HP, absorp unit to 100K BTU 600 ° f Boiler or comp, neat pump, air con 8) 3-15 HP, absorp unit to 500K BTU 11.00 CUrltfaC:Of -- oyer or comp, heat pump, air con 9) 15.30 HP, absorp unit 5-1 and BTU 15.00 offer or comp, heat pump air con 10) 30-50 HP, absorp unit 1-1 -5 and BTU 22.50 herey acknowledge that I have read this application, t at t ;,- Boiler or comp, heat pump, air con information given is correct. that I am the owner or authorized 1 1) > 50 HP; absorp unit 1 75 and BTU 37 50 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 450 Board. that the number given is correct (If exempt from State ------A-ir-Faindling unit registration, please give reason below) 13) 10,000 CTM + 790 Non portable —' 141 evaporate cooler 450 Vent Tan connect- 15) to a single duc-, 300 �•� — 7 7 --- enh ation system not y r f / 16) included in appliance permit 450 oo serve y 17) mechanical exhaust 4 50 Describe work new addition i,_ a teration 7 repair lJ Commercial or industrial to be done residential (D non-residential L) 18) type incinerator 30.00 7,sung use Other i.e, woodstove. water building or property P2. _ 19) heater solar, clothes dryers. etc 4 50 Proposed use of 201 Gas piping one to four outlets 200 building or orooerty 21) More than 4-per outlet (each) 200 Type of fuel -oil O natural gas Q LPG Q electric - PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fe- $25.00 SUBTOTAL — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE iJ IF CONSTRUCTION OR WORK IS SUSPENDED OR -- ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME FLAN REVIEW 2596 OF SUBTOTALU r AFTER WORK - — _ TOTAL Special Conditions Date Issuea 1 t. ELECTRICAL PERMIT CITY OF TIGARD DATEPERMIT #; ELCIK,/0-0061 ISSUED: 021/9( COMMUNITY DEVELOPMENT DEPARTMENT 1.3125 SW Hall Blvd,Tigard,Oregon 97223901199 (503)839-4171 PARCEL_. 2S 1 10AC--0 1 400 RD '.UBD I V I G I ON. . . . ZONING: R--j.15 . . . . . . . . . . . . . . . . . . . . . . Di oJect D#�,sclliptiun. 131.lildii-ig 7---A Residential to 18, 000 sq -Ft. - RESIDENTIAL UNIT- -- S)RVC/FEEDERG_._ 1000 SF OR LESS. . . . : 9 0 — -00 -IMp. . . . . . . : 0 PUMP/IRRIGATION. . . . CnCH ADD' L 50073F. . . : 9 201 4.00 amp;. . . . . . . : 4.1 SIGN/0U iT LINE LTG. . 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 ivIONF. HM/ SVC/r'DR. . - 0 ("b I 4-:Alnps --1000 volt s. : 0 MINOR LnSEL ( 10) . . . 0 --SERVICE/FEEDER----- .------BRANCH CIRCUITS----- _---ADDIL INSPECTIONS---- 0 NSPECTIONS——0 L�00 tamp). . . . . . : 0 W/Sr-.PVICIZ- CIR FEEDUR: 0. PER INSPECTION. . . . . : V1 O.'L 400 amp. . . . . . : 0 1st W/O SRVC OR f-DR. : 0 PER HOUR. . . . . . . . . . . .. 0 401 600 amp. . . . . . : 0 [_"A ADD' L_ BRNCII CIRC: 0 IN PLANT. . . . . . . . . . . : 0 y1 1000 amp. . . . . : 0 _—________.._____.._._._PLAN REVIEW SECTION 000.1 �-,in p/,,,a I t. . . . . : 0 ) =4 RE'S UNITS. . . . . . . . ) 600 VOLT NOMINAL. . : '.'cOnne(2t only. . . . . : 0 SVC/FDR 225 AMPS. CLASS AREA/SPEC OCC. 411pr : _. _._._.__. - . . 1.- ... . - . ._ ____ -- - - f-EEG ibRLWS MANAGEMENT type amol.int by date r,ecpt "T00 RRUSE WAY PRMT $ 1980. 00 CJS 02/01/96 962795E'l .-I')G 1 #270 5PCT $ 39. 00 CJS 02101/96 96--:`75570 )KE OrSEW00 OR 970"15 Altractcit-: il'iMrP ELECTRIC INC t 1].'079. 00 TOTAL 1.05 SW 45TH REQUIRED INSPECTIONS JPTLAND OR D7,221 Ceiling Cave), Clect" I Arne It: Wall Cover- Elect' l Final .�g #. . . is permit is issued subject to the regulations contained in the y&,,d Muricipai Code, State of Gre, Specialty Codes and all other Permittee Signati.tv-e ..plicable lams. All work will be doi,e in accordance with ,.proved plans. This permit will expire if work is not started thin 180 days of issuance, or if work is suspended for more rr IN days. Iss--ted By -C)WNt*P INSTALLATION ONL',e ie installation is being made on property I own which is not intendrr:, .a I e, ) ease, or rent. ,,'NE P 1 S S I GNATURL: DATU -c.oN-rr?ACTOPN INSTnLLAT ION ONLY ..13N(41URL OF UU1,R. F..LLLtN: L P L 1-4 U Call for inspection — 639-4175 L Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 9E -,�?-; ;-,7c,, Permit # ELC9C, noca Phone (503) 639-4171 Date Issued 7 yb CITY OF TIC3AR[1 FAX (503) 684-7297 Issued by Chc riej TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: M o 4. Complete Fee Schedule Below: Name of Development I 3 I 1 Number of In_,.ecti ms per permit allowed Address ��u t I r^l 7 A: _ Service included Items Cost(ea) Sum City/State,/Zi4a. Residential- per unit /7�� A 1000 sq It or lose I"✓ $11000 Farh Name (or name of business) portion add 1 po rlian there Soo An II or thereof $2500 Commercial❑ Residential❑ Elach d Energy 92500 Each Manuf d I tome or Modular 2 Dwelling Sorvice or Feeder 588 00 2a. Contractor installation only: Jb.Services or Feeders �L_� r Insttdlation alteration or relocation 2 Flectrical Contractor ,:(-j( I �,1 _.L Y1c 200 amps or less $6000 _ 2 Address r n 5 � � — 201 amps to 400 amps $8000 _ 2 401 amts l0 800 amp's $12000 2 State_ _ Zip oZ 1 01 amps to 1000 amps $18000 2 Phone No. L4 L. Over 1000 amps or volts $34000 2 Contractor's License No. I' IG Reconnect only $5000 Contractor's board Reg. No. 4c.Temporary Services or Feeders Installation alteration or relocation 2 Signature of Supr. Elec'n, ! ' 200 Amps or lees $5000 _ 2 License No. S Phoh 0. c 201 amps to 400 amps $7500 ? _ �1 — 401 amps to 800 amps $10000 Over 800 am Its to 1000 volts 2b. For owner installations: BB0'b'Above 4d. Branch Circuits r,rint Owner's Name Now etlaration or eeteneion per panel Address n)The Ise for branch circuits with cityState Zip purchase of service or IsoAor too. _.� p Eads brarrh circuit $500 Phone No. h)The fee for branch crcwts without The installation is being made on property I own which is purchase or service or Aeodor lee. 2 Firer branch not intended for sale, lease Or rent. E$500 5 00 Fnrh additional al bbranch circuit r $5 00 Ownsr's Signature _ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or migafion cnrle $4000 2 Fach sign or outline lighting $4000 Signal cimu4(s)or a limited energy Please check appropriate item and enter fee In section 5B. panel alteration or extension $4000 4 or more residential units to one structure Minor Labols(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over ~_ Classified area or structure containing special occupancy the allowable in any of the above as descrihed In N E C Chapter 5 Per inspection $]5 00 Per hour $55 00 I 'n Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction servicers. 5. Fees: NOTICE5a Enter total of above fees $ _ — 5%Surcharge(05 X total lees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 31 $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account 0 $ Balance Due $ CITY OF TIGARp BUILDING :KBIT f-''ERMI1` #. . . . . . . : BUP96-0035 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/01/96 13125 SW Hall Blvd.Tigard,Oregon 9722308199 (503)639.4171 PARCEL: 2S110AC-01200 3I I E HUDRESS. . . : 11396 SW BULL MOUNT Al N RL SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE`: c� FLOOR AREAS--_._.--.-.-_-- EXTERIOR_ - WALL CONSTRUCTION-- GLASS OF WORK. FIRST. . . : 0 s N: S: E: W: TYPE OF USE. . . :MF SE C'OND. . . : 0 s f PROTECT OPENINGS'?------.- - _ TYPE OF' CONST. :5N . . . : 0 s f N: S: E; W , OCCUPANCY GRF'. : R1 TOTAL------: 0 sf ROOF CONST: FIRE RET'? : (JUCUPANC:Y LOAD: 0 BASEMENT. : 0 s f AREA SEP. RATED: 3TOR. : 2 HT: 0 ft GARAGE. . . ; 0 s f OCCU SEP. RATED: BSMT?:Y hIEZZ?: REOD bETBACKS-------- REQUIRED--_-.-_____-----_ F"L.00R LOAD. . . . : 0 ps f LEFT; 0 ft RGHT: 0 ft FIR SPKL:N SMOK DF_T. . :Y DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMF' SURFACE: 0 PRO CORR:Y PARKING- 0 VALUE:. t; 2660 Remarks : Bldg 7A: Fire Alarm System Owner-: ------------------------------------------------------- FEES ONDRLIAS MANAGEMENT type amount by date recpt 4000 SW KRUSE WAY PRM•T E 38. 50 JSD 07/01/96 96-261182 FIRE f 15. 40 JSD 07/01/96 96-8811821 LAKE OSWEGO OR 97035 5PC1 $ 1. 93 JSD 07/01/96 96--281182 Phone #; 503--699-8643 I;ontractor; IARMER ELECTRIC INC .;105 SW 45TH AVE PORTLAND OR 97221 ------------------------------------ Phone --------------------------.-------- Phone #: 246.-5381 t 55. 83 TOTAL 006924 ------- REQUIRED 'INSPECTIONS This perei+ is issued subject to the regulations contained in the Fire A 1 ar^m l igard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection appli:able laws. All Mork will be done in accordance with Smoke detector i approved plan•. This permit will expire if work is not started Misc. Inspection within 180 days of issuance, or if work is suspended for more than 180 d„ys, 1 e r m i t t e e S i y n a t i.1 r e; i s s 1.1 e d B,y:' "= ,L r —_..,.�'.._ _,�- Vie. Call fur inspection 639-417".: City of Tigard Commercial Building Permit Application �t o� 13125 SW Hall Blvd. Tigard, OR 97223 �- L (503) 639-4171 Jobsite Address: T„�tJ S� .Ti, Tenant: _ Suite# Office Use Only Valuation: Planck/Rec # SILL Permit # .1 04 Owner: y\L�r EJS "A,\AWinn-tA Map & TL # Address: Approvals Required Planning Phone: Engineering _ Otter _ Contractor: �Rvv Lu– ! C e j�Address: Type of const: cc ??CC 0^cupancy class: 1AA f-- Phone', -Phone: — Sprinklered? Yes Contractor's License # L1�-- (attach copy of current Oregon license) Sq. ft. of project: I U S Contact name & phone _ Story (1st, 2nd, etc.) Z `� J F��.•�c�� Proposed use A(chitectlEngineer: �, (-t KI l A � W,_ — Previous use: Address Note Plumbing & mechanical plans must be submitted at time of building permit application. Phone Jr)B DESCRIPTION _J-' Applicant Signature & Phone number Received bC, ^ Y �_ _ Date Received: Permit ax Account Description Amount Amt. Pd. Bal. Due -7 -V Bldg. Permit (BUILD) i Plumb. Permit (PLUMB) Mach. Permit (MECH) _ State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: _ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) — --- Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) _ _- Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck]USA (ERPLAN) Erosion Planck/COT (EROSN) o TOTALS: � � 1 i , . February 22 , 1996 CITY OF TIGARD OREGON Jarmer Electric, Inc. 5105 SW 45th Avenue Portland, OR 97221 Re : HILLVIEW TERRACE 11400 SW Bull Mountain Road PC1-29-31C BUP96-0035 The fire alarm plans for apartment buildings 2A-4A and 7A have been reviewed for conformity to applicable codes . Please submit the 1 following information: Provide the manufacturer' s detail and specifications for the PEZO, HORN, and Pull Station equipment . � 2 . The battery calculations for each system were not included in your last submittal, as we discussed. Please provide . 1 The cover letter of January 6, 1996, for buildings 4A and 2A incorrectly state that they are not accessible units . Ground floor units have been designed for adaptable, accessible units in these two buildings . I4�. Explain why type "A" buildings are required to have an evacuation system as stated in your October 23 , 1995, communication. If you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Examiner bup96-0035\pc12931c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — - -- SEE 35MM ROLL# 22 FOR LARGE DOCUMENT CITY OF TIGARD Aw DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 CE_RTIFILATE OF OCCUPANC Y P,E RM I T #. . . . . . . : 8UP9 5-0,:343 DATL-^ 1SSUEDe 06/2'8,196 PARCEL : 281 10AC-01.00 LTE ADDRF_SG. . . t 11,396 5W BULL MOUNTAIN RD .jUBDI V I GI ON. . . . : ZONING:C—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : CLASS OF WORK. :NEW TYPE OF USE. . . :MF' TYNE OF CONSTR: N OCCL FANCY GRP. :R 1 OCCUPANCY LOAD: 48 TLNf)N r NAME:. . . :H I L L V I E:W COMMONS Rpm.;arkw : Bldg 7r=4 owner . s4NDREW G MANAGEMENT LTD 4000 KRUSE WAY LAKI-_ OSWE(730 I_;R 97035 Phone #: E•99--8643 MCH CONSTRUCTION CO COLUMBIA EQUITIES INC 8835 SW OLE.SON RD GTE C; 1-'ORTI-14ND OR 9722-33 t'hone #m 224- 7410 keg #. . 1 049267 Lhtis Certificate Wrarite orcuparncy of the above referenced building ar purtiui, thereof and confirms that the huilding has been inspected for compliance with the State of Orgon Spec ralty Codes for the group, oc' upancy, And use under which the referenced permit was issued. 1 r 1 I I_1711N. G i N 9 P _TOR 8 TIi_D I NG OFFICIAL J POST IN CONSPICUOUS PLACE BUILDING PER01IT TT ISSUED: . 79Q4, ,CITY OF TIGARD DATE �2/2 / COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8108 (503)830-4171 PARCEL: 2S 1 10AC•--01200 396 SW !�! fi-I._ MC)UNTAIN RD �:3UBDI VI SIGN. . . , . ZONING:R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTIONy« CLASS OF WORK. :NEW FIRST. . . . : 4679 sf N: S: E: W: TYPE_ OF USE. . . .-MF SECOND. . . : 4679 sf PROTECT OPENINGS?-----._...--- TYPE OF CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :R 1 TOTAL-----.--: 9358 sf ROOF CONST:AFIRE RET? : OCCUPANCY LOAD: 48 BASEMENT. : 4679 sf AREA SEP. RATED:c'HR STOR. : 2 HT: 0 ft GARAGE. . . : O sf OCCU SGP. RATED. 1HR SSMT?:Y MEZZ.?: REQD SETBACKS---------- REQUIRED------------__-. I=L OOR LOAD. . . . : 0 ps f LEFT: 0 ft RIGHT : 0 ft FIR SPKL:N SMOK DET. . :Y DWELLING UNITS: 18 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:N HEDRMS: 24 BATHS: 0 IMF SURFACE: O PRO CORR: F+ARKING: vi VALUE. $: 767834 Hemarl(s : Bldn 7A Owner: ---------------------------------------------------------- FEES IiNDRE.WS MANAGEMENT LTD type amount by date recut g11100 KRUSE WAY PLCH $ 1366. 95 JSD 08/10/95 95—P69095 FIRE $ 641. 20 J51) 08/10/95 95269095 LAKE OSWEGO OR 97035+ PRMT $ 2103. 00 JSD 12/27/95 95-274307 Phone #: 699-•8643 5PCT $ 105. 15 JSD 12/27/95 95-274307 EROS $ 208. 00 JSD 12/27/95 95-274307 Contractor: -------------------____.. _____..._Ef2RC $ 67. 60 JSD 12/27/95 95--274307 MCH LONSTRUCTION CO ERF+C $ 67. 60 JSD 12/27/95 95274307 COLUMBIA EQUITIES INC 6235 SW OLE:SON RD STE C PORTLAND OR 97223 ___-.______.._----------------------._._. Phone #: $ 4759. : 0 TOTAL Rev #. . # 049267 --_-- - — REQUIRED INSPECTIONS; _.-- This permit is issued subfeet to the regulations contained in the Footing Insp Tioard Municipal Code, State of Ore. Specialty Codes and all other Foundation Insp anolicable laws. All work will be done in accordance with Post/Beam Insp approved plans. This permit will expire if work is not started Slab Insp within 188 days of issuance, or if work is suspended for more Framing Insp than 188 days. Insulation Ins:) Shear Wall Insp Firewall Insp L ^ Gyp Board Insp r^mittee Sid.n: Appr/Sdwl k Insp Cy-� ___aminal Ins>pect i n-, sued Sys C"a 1 1 for r ri a pect i on 639-4175 ,f -Commercidl Building Permit Application .City of Tigard t o'bi� 13125 SW Hall Blvd. �� �"" ' r 7,4 �'` y Tigard, OR 97223 d I (503) 639-4171 (� 1 11316 1 Jobsite Address: -'- G'1�?t ; "''�/�� hE�''-" Office Use Only Tenant: ,' _ Suite# „ Planck/Rec Valuation: 1 j%�'� Permit# C 'i> D 3�� Owner: .1=dlIJ�N i:�:/%. - /�.1�17i'• �;'�U. Map & TL # /� Address: t V4 Aparovals Required Planning Phone: Engineering Other 'J-� Contractor: Address: Type of const: U Occupancy class: Phone: 7-1 In Sprinklered? Yes %No Contractor's License # " ^ I Ic (attach copy of current Oregon license) Sq. ft. of project: l� Contact name & phone: �`.�� Story (1st, 2nd, etc.) f ' Proposea use: Architect/Engineer: Previous use: L t Address: �'�+�.�y-�l !.J�C'. ��Al"l �<:1:' .�ac2: vY Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone: JOB DESCRIPTION: Applicant Signature & Phe umber i Received by. Date Received: �� 10 ��� Permit;$ Account Description Amount Amt. Pd. Bal. Due 5'-4dg. Permit (BUILD) Plumb. Permit (PLUMB) Mach. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) r. ^11) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF !TIF-IS), Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) "- Erosion PlanckAJSA (ERPLAN) e� C a Erosion Planck/COT (ER OSN) C. ? TOTALS: CITY OF T I GARD F'E-RM I T PERMIT # GWR95-0,---.,2 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 13125 SIN Hall Blvd.Tigard,Uregon 9722398199 (503)839.41171 ,11L 1139- 6 SW BULL MOUNTAIN RD PARCEL: SUBD I V 1 E31 ON. . . . : BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ZONING: R-25 --- — I-ENANT I\1AME. . . . . :V4T[-LVIFW COMMONS SLDG 7A ---------------- ---- USA NO. . . . . . . . . . a -------- ,LAGS OF WORK. . FIXTURE UNITS. . . 762 IDWELL I NG UN ITS. . 1.8 TYPE OF USF. . . . . :MF NO. OF BUILDINGS: 0 INf3TALL. TYPE. . . . :BUSWR I141--'CRV SURFACE: 10 S f Bldq 7A i-)NDRFW5 MANAGEMENT LTD FEES --------------- RRI)qF WAY tvpe aniol.int by date c o t PRMT $ 59600. 00 JqD 12/27/95 9!r,—P747,07 iiKE 05WEGO OR 57033 1 NSP $ 45. 00 JSD 12/27/95 95-274,7171., : ,hone *: 699-8643 ONTRACTOR NOT ON FILE 'htin e $ 39645. 00 TOTAL FREQU I This Applicant agrees to coaniv with all the rules and regulations Sewet- Ins,pectionFREE) INSPECTIONS of the Unified Sewage Acency. The nereit exoires 180 jays- frog the date issued. The total amount paid will be forfeited if the liermit exoires. The Agencv does not nuarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement Given, the installer shall ornsPect 3 feet in all directions from the distance olyep. If riot so located-_4 1:,r shall out-chase a "Tat) and Sidi Sewer' Permit and yericy Mil stall ajalerail Per'm i tt Pe Si onat iwe 7— Issi-ted l3 v : C-F Call for inspection 639-4175 -7 Accumulative Sewpr Tally Address: 1171 1to S'° R " ��` Q '{ • This PLM#:T;LIV Fixture Value Previous Previous Credits Capped Fixtures Fixtures No-,v New # Value Capped off value added # added total #s total Count off #s count value values Baptistry/Font 4 Bath - Tub/Shower 4 - Jacuz/Whol 4 Cuspidor/Water Asp 1 Dishwasher Commer 4 Domest 2 r Drinking Fountain 1 Floor Drain 2 inch 2 3 inch 5 4 inch 6 Garbage Disposal 16 Dom Ito 3/4 HP) Comm Ito 5 HP) 32. Ind lover 5 HP) 48 Oil Sep (Gas Sta) 6 Shower Gang 1 Stall 2 Sink - Bar 2 l Bradley 5 Commercial 3 Service 3 Washer, Clothes 6 Water Ext 6 _ Water Closet 6 Urinal 6 TOTALS Total fixture values: _ divided by 16 = EDU HISTORY PI-M# EDU# SWR# PI.M# EDU# SWR# PLM# EDLI# SWR# PLM# EDU# SWR# PLPA# EDU# SWR# PLM# EDU# SWR# L PLPV1#---- EI)U# SWR# –��– ------ PI,M# —_ EDU# _ — SWR# _—_�— PLUMBING PERMIT CITY OF TIGARD DATEIISSUED: X2/27/99 9 0, COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)639-1171 PA RCEL s c S 1 10AC-01.='OtZt ITC:: AI:DRE�ia. . . : 1 1 396 SW DULL MOUNTAIN RD UBDIVISION. . . . : ZONING: R-25 i.-OCK. . . . . . . . . . . L01.. . . . . . . . . . . . . . LASS OF WORK. . :NEW GARBAGE DISPOSALS. : is MOBILE= HOME: SPACES. : 0- - VPE OF USE. . . . :MF" WASHING MACH. . . . . . : 18 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FI- OOR DRAIN . . . . . . s '1 RAP!-,. . . . . . . . . . . . . . . 0 STOP I ES. . . . . . . . s 0 WATER HEATERS. . . . . s 18 CATCH BASINS. . . . . . . : 0 FIXTURES-•-.--__---______..._--- L_OUNDRY TRAYS. . . . . : 0 SF RAIN TRAINS. . . . . : 0 S,I NKS. . . . . . . . . . : 18 UR I NALS. . . . . . . . . . . 0 GREASE T RAPS. . . .. . . . . 0 LAVATGRIES. . . . . .9_4 OTHER F�XTUt�CS. . . . 0 TUB/SHOW I RS. . . . : 24 SEWER LINE (ft ) . . . s 0 WPTER CLOSETS. . :24 WATER LINE (ft ) . . . :300 DISHWASHERS. . . . : 1£3 RAIN DRAIN (fit ) . . . : 200 Rhmar l<s s Ekldg 7A Owner,: - - _..___.______._ _._____..._________.___------._.____.--.----_-•_-- FFFS ()NDREWS MANAGEMENT LTD tVL)e amount by date r,ec_pt 4000 !',RUSE WAY PRMT $ 1595. 00 JED 12/27/95 95-2,7430(-- PLCI, $ 398. 75 JSD 12/C27/93 95--274:sO( LAKE OSWEGO OR 97035 5FICT $ 79. 7n JSD 12/27/95 95-274306 Contractors T ArDAN T PLUMP 1 Nr-; INC :'1707 NE POF.-TH AVE:. P(7 sn)( 1,498 BATTLE GROUND WA 98604-0000 Phone #: 206 6 B 7-31)1,x, f 2076. 50 TOTAL. F7era #. . 60958 --- ---- REQUIRED I NSPECT I ONIr' This oertit is issued subiect to the regulations contained in the Sewer Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other Water I- :irne Insp aonlicable laws. All work will be done to accordance with PL.M/Under,fIoor• aoproved pians. This oertit will Mire if work i . not sfirted Toa--ul-it Insp within lAQ' days of issuance. or if wore is susoended for tore Storm Drain Tnsl, than 180 days. Rain Drain Insp Mi 5c. Insper_t ion / Final Inspection P e f m i. I t err C Cc,1 I for in spec't i o11 — 639--4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125,SW Hall Blvd. Permit # Tigard, OR 972234 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Single Family Residences Only AOOi' 1 El BATH HOUSE$140,00 ❑ 2 BATH HOUSE $195.00 ;rib %��r (x.� ! �` " I 1CU ❑ 3 BATH HOUSE$225.00 Address an 91.1. no Fee includes all plumbing fixtures in the dwelling and the first 100 feet rr of water service, sanitary sewer and storm sewer. Sae fees below. FIXTURES QTY PRICE AMT i% 0 Sink 9.00 M."°Ads... PM1w Lavatory 9.00 i IGx. Owner / . 4— Tub or Tub/Shower Comb, 9,00 0Nj M"' nr Shower Only_ 9.00 Water Closet 9.00 , x«n.T.of m"""'i Dishwashex 4., 9.00 ( .xGarbage Disposal , 9,00 —, Occupant M""Afton Washing Machine �. 9,00 Floor Drain 9.00 `J"i91i1i " Water Heater I e9.00 1 _ Laundry Room Tray 9.00 win. — ) Urinal 9,00 Other Fixtures (Specify) 9.00 M..np Ad&... Ph-. Contractor / p 9.00� 9.00 Gh191a1. n" 9.00 r I Y �T 1 Ul / ` � Sewer 1st 100' 30.00 91.1.R.G.D.—w cow&. r•.a. Sewer -ea. Addit. 100' 25.00 r — 2 r5/ Water Service 1st 100' 30.00 ; I hereby acknowledge that 1 have read this application, that the Water Service ea. Addit. 200' 25.00 Z S information given is correct. that I am the owner or authoriz?d agent of -- the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 3000 -'D I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 Back Flow Prevention J T/ Device or Anti-Pollution Device 9.00 Mo. Any Trap or Waste Not Connected to a Fixture 900 scribe work new 0 ofaddition O alteration tj fel5a'ir U— Catch Basin 9.00 to be done residential L� non-residential Q Ir.sp of Exist. Plumbing 40 00/hr Existing use of Specially Requested Inspections 40.00/hr building or property Rain Drain, single family dwelling 30.00 Residential backflow prevention devices 1500 Propose) use of -- building or property �,.1 i�_.4.jrT *(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL I<�' I` l"1133 i PERMITS BECOME VOID T WORK OR CONSTRUCTION , AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% S11RCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED / FOR A PERIOD OF 180 DAYS AT ANY TME AFTER WORK IS CCo COMMENCED PLAN REVIEW 25`. OF SUBTOTAL Soecial Conditions TOTAL C)tZ U�,t -I-- _ ___ Date ssued — _by CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Bosiness Line: 639-4171 MST BUP Date Requested 10 _AM PMS 3v BLD on S L� . �/ y4 J.✓ i�l� Suite _ r�� MEC tact Person l^/'G�► �— (�u3�h _ ���- so PLM Contractor Ph SWR BUILDING _ Tenant/Owner ELC Retaining Wall - - ELR Fool ng Access Foundation FPS Ftg Drain Crawl Drain Inspection Notes. SGN Slab --- - ----- --- - ------ -- SIT Post&Beam - Ext Sheath/Shear _ In,Sheath/Shear - - Framing --- - ------ -- ------ - -- Insulation - — Drywall Nailing - ------__-, -- --__._.__�--- ----_-_- _----_._-. Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - --- - ---- - .... -- ------ _- --- -- Roof Misc:-- - ------------ Final PA -PAR FAIL UMBIN Post R Beam -- -..-. ----- ------- ,_ ._-- ---- --- Under Slab TopOut ---------- ----- - ---.. ----- ----- --- —. Water Servicr Sanitary Sewer -----_.._.-- rain PART FAIL MFMNICAL Post& Beam Rough In G,-.s Line ---- - -- - S poke Dampers Final --- --- - -- - -- - ---- -------- - --- - PASS PART FAIL. ELECTRICAL — ------- - --- --- ------ - Service Rough In -- UG/Slab Low Voltage - --- - ----- ---- --- Fire Alarm Final - ---- — - - ------__----_....__----------`—. PASS PART FAIL SITE Backfill/Grading --- i -- - - --- Sanitary Sewer Storm Drain ( J Reinspection fee of$_ - -required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE _— - _- -__ [ J Unable to inspect-no access ADA e7- Approach/Sidewalk Other Date � Q � Inspector �- Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. `• "ri, OF TIGARD PLUMBING PERMIT dD♦EVELOPMENT SERVICES PERMIT#: PLM2001-00485 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 10/5/01 SITE ADDRESS: 11396 SW BULL_ MOUNTAIN RD 7-A — PARCEL: 2S110AC-01200 SUBDIVISION: HILLVIEW COMMONS ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS O'' WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 18 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of(18)water meters on cold water side of water heaters. _ FEES _ Owner: Type By Date Amount Receipt ANDREWS MANAGEMENT LIMITED PRMT CTR 10/5/01 $298.80 27200100000 11336 SW BULL MOUNTAIN RD #103 5PCT CTR 10/5/01 $23.90 27200100000 TIGARD, OR 97224 Total $322.70 Phone 1: Contractor: ROTO ROOTER SERVICE + PLUMBING HOFFMAN SOUTHWEST CORP 4248 NE 148TH AVE REQUIRED INSPECTIONS PORTLAND, OR 97230 -- ---- Phone 1: 682-9774 Rough-in Insp Final Inspection Regi #: LIC 13989 PLM 37-76PB This permit is issued Subject to the regulations contained in the .I-igard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through O aR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. l � f 1 Issued By:`� ,1 ( y ��K- — Permittee Signature: ��L><�� G( .;;' y (1 Call (503) 639-4175 by 7:00 P.M. for an inspection neaded the next business day Plumbing Perm;*. AnrV' 2atian Date received:1 Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 11125 SW Ilall Blvd,"Tigard,OR 97221 City of Tigard Phone: (503) 639-4171 ProjecVappl,no.: F.xpiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: LQ 1 &2 family dwelling or accessory U C�onlrnercial/in urinal I)�Multi-family O Tenant improvement New construction JU Food service U Other: .1191111 SITE INFORMATION Job address:11,3e26 I J ,1�f� Descrlptioa _ . Fee(est.) Total Bldg.no.: Suitt. no.: New I-and 1.-family dwellings only: (includes too ft.for each utility connection) Tax map/tax lot/account no.., SFR(1)bath Lot: Block: Subdivision: ---- ---- — _ SFR(2)bath Project name: �' t Acolf2ltc SFR(3)bath City/county: T , ZIP: q 12 2 y Each additional bath/kitchen Description arrifloctificin of work o�p premises: Sheuttlities: Mc fey nn C �&V Lr ,de �, T Catch basin/area drain Est.date of completion/inspection: Drywe Is/each line/trench drain CONTRACTOR Footing drain(no. lin. ft.) 14111 N1 RING Manufactured fiome utilities Business name: Manholes Address: -q q Ci Rain drain connector City: art;(VM vt I le I State: ZIP: Sanitary sewer(no.lin.ft.) Phone: .3^3b JFam4,aS. E-mail: Storm sewer(no.lin. ft.) _ CCB nu.: f Plumb.bus. reg.no: .76 P water service(no.lin.ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve Back flow preventer _ Print name: „ wren 5 Date: Backwater valve + sins/lavatory-- Name: , ��n f 5 _ Clothes washer Name: --- — Dishwasher Address; S�zl�l ��' 9 S _ Drinking fountain(s) City: h v,«e State:QQ ZIP: _7D7jf Ejectors/sump Phone: )•j^" Fax: z 7 E-mail: Expansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hub Mailing address: Garbage disposal — _ Hose,bibb City: _ State: ZIP: Ice m-Ler _ Phone: - -Rax: E-mail: Interceptor/grease trap — Owner ' 1lation/residential maintenaice only: The actual installation Primer(s) will be made b;me or the maintenance,vid repair made by my regular Roof drain(commercial) employee on the property 1 own as per OAS Chapter 447 Sink(s),basin(s),lays(s) _ Owner's signature: Date: Sump Tubs/shower/shower pan Urinal Name Water closet _ PhoneAddress _ Water heater : itState: ZIP: Other:Fax: E-mail: Total Ntw all jurisdictions accent credit cards,please call jurisdiclim for more inforsnan,N, Nntice:This permit application Minimum fee................$U Visa U MasterCard expires if a permit is not obtained Plan review(at _ 96) $ Credit card number _ _�L� State surcharge(896; ....$ Espires within I g0 days after it has been -7 - Name of cardholder u shown on credit car - -- accepted as complete. TOTAL .......................$ S Cardholder sipaiure Amount W-1616(fimcUM)