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12745 SW BUGLE COURT z ._ ... ..e..oar«w...r-w.......w�.e.��...........�+......��.............-,.:—.:.wc..,.4Kf.r.u......arwa...rw�w.....s...r+.w.r.w,w..Www:.r.,.......w+w..«w.wrra.......w,.w.iwWw`M.�r.wr.:�..<..v-.,:,w......:..... ..;,.w+lwkr�is.•w.. C U3 Q C V i f 9 i i f i 12745 SW Bugle Court fy W. �A CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)6394175 MST INSPECTION DIVF"')N Business line: (;03)639.4171 / BLIP Receivr:d __— Date Requested U ` L '� AM_ PM /�^� BLIP Location 3 -Sc✓ k +9 Suite MrcC _--- ---- Contact Persun Ph( ) 7 7 :'s _ PLM __-- Contractor _ . Ph( ) _ SWR -------- UILDI lenant/Owner -';noting ELC Foundation Access: ELC IFtg Drain ELR Crawl Drain - - Slab Inspection Notes: — SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firawall Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Other: - __PART _FAIL LU Post& Beam Under Slab - —_ Rough-In r Water Service - -- r- -_ --- -- Sanitary Sewer Rain Drains - -- -- -� ------ ------ -- Catch Basin/Manhole \ Stone Drain - - - - - - ----Shower-Pan Other: RT FAIL FAIL ------_._- - - ------- EC t'ocE$Bear'.,— --- - - - -- Rough-In - Gas Line -- Smoke Dampers - _-- - -- PART FAIL - -- ervice Rough-In UG/Slab Low Voltage Fid Alarm Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PART FAIL Please call for reinspection RE:---. __ _— _ U Unable to inspect- no access Fire Supply Line ADAApproach/Sidewalk Date -� 4_ —O Inspector _ ------. -----_ - -- Other: -�--• — Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL kAAAAAAAAA►AAS.ASSAAAAAAA®AAAAAkA/9►AAAAAAAAAAAAAA � C 0 x< a� •� hn (U -4r. "I � 0 0 / a o N •a J ► v p � 1 ® W4 J F-4 O o oil► pill Q pool ► / - c ► b 44 i M �_ Q ► � p p w t► No. , /rvvv Tvvvvvvvvvv vvvO*-vvvvvvvvvvvvvvvvfwvvvo\ i� O � n z rD CDN 7 r � O a � � R E rJ a n c �• � cep � 0 o � � O � c s " �� �I ��� —_ MASTER PERMIT CITY G PERMIT M MST2002-00223 DEVELOPMENT SERVICES GATE ISSUED: 5/23/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12.745 SW BUGLE CT PARCEL: 2S109AD-08700 SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 031 JURISDICTION: TIG REMARKS: New SF detached, Fath 1. Geo-tech to view and approve the footings, foundation and the clig-out before calling for the footing inspection. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NFW HEIGHT: 25 FIRST: 1180 of BASEMENT. .If LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.618 of GARAGE: 576 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: of RIGHT: 15 VALUE. $:88,468 60 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL '2.998 DO sf REAR: elll PLUMBING _ SINKS: I WATER CLOSETS: 3 WASHING MACH' I LAUNDRY TRAYS 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES. 'n(I SF RAIN DRAINS. 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP. 1 WATER HEATERS: 1 WATER LINES: 1nQ BCKFLW PREVNTR• I GREASE TRAPS: OTHER FIXTURES: MECHANICAL - FUEL.TYPES FURN c 100K: BOILICMP a 1HP: VENT FANS, 5 CLOTHES DRYER: I GAS FURN>-100K: 1 UNIT HEATERSHOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOOD4TOVES: GAS OUTLETS: 1 _ ELECTRICAL RESIDENTIAL Ut•_ SERVICE FEEDER TEMP SRVCIFEEDFRS BRANCH CIRCUITS — MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 ^200 amp: W1SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 400 amp, 1st Wl0 SVCIFDR. 0(, SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 411 900 amp: 401 800 amp: rA ADDL FIR CIR. SIGNALIPANEL. IN PLANT: MANU HMISVC.PDR: 901 1000 amp: 801-Amos-1000V: MIP40R LABEL: 10004 amplvoll PLAN REVIEW SECTION Rer•nnnact on1V: »I RF.9 UNITS: SVC'FDR>=215 A. 900 V NOMINAL: CLS AREA'SPC OCC' _ ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO R STEREO: VACUUM SYSTEM. AUDIO 8 STEREO, FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH. BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL'. GARAGE OPENE14: CLOCK. INSTRUMENTATION: MEDICAL! OTHR: HVAC: DA1 A/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES- $ 7,814.28 This permit is subject to the regulations contained in the PAUL R CARNEY INC PAUL R CARNEY INC Tigard Municipal Code,State of OR. Specialty Codes and 1480 NW 102ND AVE 1480 NW 102ND AVENUE all other applicable laws. All work will be done In PORTLAND,OR 972.29 PORTLAND,OR 97229 accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or if the work is suspended fo, 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 Rep#: LIC 59852 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to 0UNC by calling(503)246-1987. REQUIRED INSPECTIONS Froslon Control Insp 8' Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insf Rain d,aln Insp Plumb Fin 3l Footing Insp Crawl DralnlBackwater Electrical Service Low Voltage Wa'er Line Insp Final Inspection Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp App,-/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : �'' Y fi. r, .' Permittee Signature :�� Call (5031639-4175 by 7:00 p.m. for an Inspection needed the next business day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00153 '13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/23/02 SITE ADDRESS; 12745 SW BUGLE CT PARCEL: 2S109AD-08700 SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 _.. BLOCK: LOT: 031 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE. Remarks: Sewer connection for new SF. Owner: _ PAUL R CARNEY INC — _ FEES — 1480 NW 102ND AVE Type By Date`— Amount Receipt PORTLAND, OR 97229 PRMT r!R 5/23/02 $2,300.00 27200200000 Phone: 503-297-9406 -- INSP CTR 5/23/02 $35.00 27200200000 Total $2,335.00 Contractor: -- Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sev age 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 riot located at the measuremant given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm 11< Issued by: i_ ):�-�- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Buiiding Permit Application City of Tigard Date received: /1�;{ Permittno.: ., ��• City ojTigarJ Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: T11) 598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:Simple Complex: [i/ &2 family dwelling or accessory L3 Commercial/industrial U Multi-family ❑New constntction U Demolition t U Add ition/alteration;replace.nem ❑Tenant imhrovenwilt U Firu spfinHer/alarn ❑Other: 3011 SITE INFORMATION Job address: V2 q S S C'., -7-P 7, .4 ot V.7;2;24 Bldg.no.: _ Suite no.: Lot: I Block: Subdivision_ �F, . Tax:nap/tax lot/account no.:A5/G9/W -0 ? Project name: .7 Description and location of work on premises/special conditions: OWNFIR FOR Nil I I N FORM ATION, (, Name: c Z :, C. ' SEE ` Mailing address: g _ N.C...; /u'Z.•, Xc 11 &2 family dwellln : Q /- City: 741 State*p Z.IP: Valuation of work.... A.�!j.. IP,fL'.4..�... $ 4) r•.o^� _9 yo(6 1 Fax: z - 6 E-mail: No.of bedrooms/baths................................. z--5- o, Owner's rtpresentative: C 4,. A-_>S Total number of floors................................. _ �1 Phone: '- Fax: e- tS / E-mail: New dwelling area(sq.ft.) Gariige/carport area(sq. ft.)......................... 5`7 to Name: /9j A ot,< Covered porch area(sq ft.) ......................... r1O -- - Mailing address: -` Deck area(sq.Il.) ........................................ City: State: ^ ZIP: Other structure area(sq.ft.)......................... N _ Phone: Fax: _ t. mail. Commercial/industriaVmuiti-famlly: MAIN Valuation of work......................... .............. Business name: 6 t Existing bldg.area(sq.ft.) .. .... ................ Address: New bldg.area(sq.ft.) ........ ............... City: State: ZIP: Number of stories............. ........ ..... —— Type of construction....... .................. ....... _ Phone: Fax: E-mml: Occupancy group(s): Existing: CCB no. New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be Wimmlicensed with rhe Oregon Construction Contractors Board under Name: MW-7 1� „$moi'�•- v1 � P_sJ provisions of ORS 701 and may be required to be licensed in the � Address: / 5(•, -5 t -i:(',* jurisdiction where work is being perfomWd. If the applicant is Cit State:0k ZIP: 06'z� exempt from licensing,the following reason applies: Contact person: /-7?r%.4 /r` Plan no.: Phone: ' s'- 3 ] Fax:5-77-V13? E-mail: Name: Contact person: Fees due upon application ........................... $ .Address: ---� Date received: City: State: ZIP: Amount received ......................................... Phone: _ Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not at iurisdirHurs accept credit rarde,ptesse call jurisdiction for more inrormaaon. attached checklist. All provisionpilf laws and ordinances governing this *aa Ll Maste�rrc�ard �- work will he complie sIr cified in or not. y$s/ 2 6�y� �/ C t card�nu v / /T C xplrrt Authorized signatureDate:`�-7 �=v�' dery shown credit card Print name:_ ` - $ — �'r'� ~ �,�.. der d Amount Notice:This permit application expires if a permit is riot obtained within 190 days after it has been accepted as plete. 440-4613(6AW'OM) r�,r'•i� fl 2 y-b L One- and Two-Famil- y Owelleng Building Permit Application Checklist Referenceim.: C'r ° Ir ar Clt Of TI (� Associatedpermits: y 8 y Tigard U Electrical U Plumbing CU Mechanical Address: 13125 SW Ifall lilvd,Tigard,OR 9722; UOther: Phone: (503) 639-4171 Fax: (503) 598-1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platilot. _ 4 Fire district---approval required. 5 Septic system permit or 6 Sewer permit. authorization for remodel. Existing system capacity s 7 Water district approval, _ 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location ol' catch-basin protection,etc. 10 _L Complete sets of legible plans.Must be drawn to scale.showing conformance.to applicable local and state building codes.Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright vio!ations exist. _ l l Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations of there is more than a 4-Fl.elevation differential,plan must show contour lines at 2-fl.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor. wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material.footings and foundation,stairs. fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescrip(lVe path analysis provide specifications and calculations to engineering standards. - 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member siring,spacing,and bearing locations.Show nttic.ventilation. 18 Basement and retaining Ovalis.Provide cross sections and details showing placement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beanvjoist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or r^-ire appliances. 22 Engineer's calculations.When required or provided,O.e.,shear wall,roof truss)shall be stamped by an engineer rr architect licensed;in Oregon and shall be shown to he applicable to the project under review. 23 Five(5)site plans are required for Item i I above. Site plans trust he 8-1/2" x I I"or I I ' x 17". 24 Two(2)sets each are required for Items 16, 19,20&22 above, 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,tyre&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must be completed before plan review start date. Minor changes or notes on submitted tans may be in blue or black ink. Red ink is reserved for department use only 440-4614(WWOM) Mechanical Permit Application Date received:,', Permit no.JI/! City of 'Tigard Projecvappl.no.: Expire date: CityofTigard Address: 13125 SW Hall Bl,,d,'f'igard,OR 97223 Date issued: By: Receiptno.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _— Buil-ng permit no.: '>Wd&2 family dwelling or accesscry U Cunuucrcial/industrial V Multi•faniily U Tenant improvement lj New construction U Addition/alteration/replacement U Other.____ _ Talumfill IN Job address: f 'Z 7 y S'- ' C Indicate equipment quantities in boxes below.Indicate the dollar Bldg.Po.: Suite no. _ value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ _ Lot: 3 1 Block: Subdivision: f //F 'See checklist for important appliration information and Project name:#'''S„c C jurisdiction's fee schedule for residential permit fee. City/county: w.4y Z : _77 2 2 Descriptio a locatio of work n premises: / Fee(ea.) Trrtal Est.date of completion/inspection: o 'Z DeKr1pd0a qty. Res.only Ret.only Tenant improvement or change of use: Ismussling space heated or conditioned'UrYes U No Air handling unit __ CFM — Air conditioning(site plan require ) Is tt►%Wiap space insulated? Yes U No Alteration of exist,-' g WAC system _ ofer compressors Business name: Y �_ State boiler 1 1111 -t no.:oTons BTU/H Address: Z G/,S,w. F e-, 7Z Fhelsmoke dampers/duct smo e_etectors _ City: 6 c� state: ZIP: 7 eat pumid(site plan require ) Phone: 71- 2u Fax:Q of e E-mail: nstal rep aces furnace�r_—� U/ 1 I Including ductwork/vent liner U Yes O No CCB no.: U 7 Insta rep ac re ocate heaters-suspen e- , City/metro lic.no.: _ —_ wall,or floor mounted Name(please print): .v i Vent for�a_��lian_cee other than furnace Refrigeration:-- Absorption units._ BTU/H Narne: PI-1- .y �� c c'hillera �_ IIP � �— Com ressors III' Address: 7 "U �.J /U'2 w � ��, -- - :nv ronmenta exhaust and ventilation: Ci v,7/*- State:C Appliance vent _ Phode:� — 9yo Fax: 2 6” 61f1 E-mail: yerexhaust _Tro s, ype reams.kit�c ien7haimat / hood fire suppret sion system Name: —_ U 0 ` �`'^^�+�7 E•'j,%,\ Exhaust fan with cinul,-duct(bath fans) _ Mailing address: Exhaust system apart from hea"ting or AC City: State: ZIP: Fuel piping ant istr u,on(up to 4 outlets) Type: __LPG NG Oil _ Phone: Fax: E-mail: 70 piping each additional over 4 outlets Process piping(schematic required) Name: Number of outlets _— OfFwr lIdR appliance or equipment: Address: Decorative fireplace State: ZIP: nsert-type — — _-- Phone: Fax: E il: stov pe et stove (Nhcr. Applicant's signatur Dat Y O Z (mer: Name(print): •t -•— ___ __ ;.W'I)udodictims accept c"I em*,jAme call)udkdlruon rnt in infrnmaian, M rlllll fel fee ................$ tan u MastetC rd 6 yo C//-/ Notice:This permit application Minimum fee................$ _ '14 o Z 6 expires if a permit is not obtained ceadit a -v 0 3 _ 06! __L' Plan review(at — %) $ M, R s� r.,pirc� within 180 days after it has been State surcharge(8%)....$ r a,. 4 nn c^•t crd� — accepted as complete. Ider a --^-- --Anmitl 440-4617 IhAxUI'1 pA1 I MECHANICAL PERMIT FEES COMMERCIAL FEE SCH'DULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _PERMIT FEE: 1 Description:-`-� - - - Pr1cr, Total $1.00 to$5,000.00_ _ Minimum fee$72.50 � Tdole 1A Mechanical Code _ Qty (Fa) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents - 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent _ _- 14.00 - fraction thereof,to and including 4) Suspended hedrer,wall heater _ $2 , 5 00_0.00. __ _ _ or floor mounted heater __- 1414^00 $2.5.001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) `lent not included in appliance permit $1.45 for each additional$100.00 or _ 6.80 fraction thereof,to and including 6) Repair wilts _ ___ $50 000 J0. 12.15 _ $50,001.00 and up $74200 for the first$50,000.00 and Check c1l that apply: ©oiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. _ footnotes below. romp Minimum Permit Fee$72.50) __._- -._----SUBTOTAL: - 7)<3HP.absorb unit to 100K BTU 14.00 8%State Surcharge $ 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 - -- 9)15-30 HP;absorb -- 25%Plan Review Fee(of subtotal) $ Re ulred for ALL commercial ermlts onl unit.5-1 mil BTU 35.00 _ � __- ---- - F_ _ -Y - _ -- 10)30-50 HP;absorb ^_ TOTAL.COMMERCIAL. PERMIT FEE-1$ unit 1-1.75 mil BTU 5220 - - - - - - - -- 11)>50HP;absorb unit>1.75 mil BTU 87.20 W.___...� 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIA CE: 10.0, Value Total 13)Air handling unit 10,000 CFM+ Desai tip on: - __ Qt Eo _ Amount _ 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.00 _ Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 ---- Sus ended heater,wall heater or 955 18)Ventilation system not included in Pmounted heater appliance permit 10.00 floor Vent riot included In applicance 445 17)Hood sewed by mechanical exhaust 110.00 emit Repair units -- 805 18)Domestir,Incinerators _ 17.40 <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, ------ 1,700 1011k to 500k BTU 20)Other units,including wood stoves 10.00 15-30 hp;absorb.unit,501k to 1 2,310 - - trill.BTU 21)Gas piping one to four outlets 5.40 30-50 hp;absorb.unit, 3,400 _- - 1-1.75 mil.BTU 22)More than 4-per outlet(each) -- -- 1 AO >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: a >1.T5 mil.BTU Air handling unit to 10,000 cim _ _ 658 -- Air handling unit>10,000 chn 1,170 _-_ 8•/.State Surcharge $ Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct _ 448 Vent system not Included in 658 appliance permit _ _ Hood served by mechanical exhaust 656 er Ins +ctlo;rs and Fees: Domestic Incinerator _ 1,170 1. Inspecfwns outside of normal business hours(minimum charge-twc hours) $72 50 per hour. Commercial Or Industrial Incinerator 4,5W 2 Inspections for which no fee Is specfically indicated (minimum charge-half hour) Other unit,including woad stoves, 656 $72.5('per hour Inserts etc. 3. Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1-4 outlets _ __ _ _ 360 charge-one-half hour)$72 50 per hour Each additional oUtlel __- - 63 "State Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL - "'Residential A/C requires site plar.showing placement of unit. VALUATION: All New Commercial Buildings requirr 2 sets of plans. iAdstsVorms\meclt-fees.doc 08/29/01 Electrical Permit Application Dale received: ^G 02 Permit no.: City of Tigard ProJect/appl.no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 -- _ Fax: (503)598-1960 Case FiIv^o.: Payment type: Land use approval: "-t &2 family dwelling or accessory Ll Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial Joh addicss__L_� j �, __. 9 (rBldg.no.: Suite no.: Tax map/tax lot/account no.: Coir Block:_ Subdivision: J'//C ,y%,., f T57*r`t Project name: I Description and location t f work on premises: 0- T- ,,, /s .t►4 Estimated date of cons letion/ins tion: 7/6" NJ by 0 INN Ell ImImm Mang 0 Job 110' _ Fee Max Business name: ir/^x /� x— Cts i c _ _ Ikwcriplion Qty. (ea.) Tolal no.ins i QQ T New residential-single or mtd0-family per Address: C, T 1✓�' dwellirg unit.louludes attached garage. City: 5JyJfw,�, State:0 ZIP: off! Service Included: Phone: Z_qt_-/ Fax:6C ,2 935 E-mail: IM sq.n.„i Icss _ _ .1 CCB Each additional 500 sq.ft.or portion thereof h Elec.bus.tic.no: Limited energy,residential 2 Cit e — .no.: Li mi led energy,non-residential 2 Euch manufactured home or modular dwelling Sl nat 0"W-4n e I:istt�Caquirl�� —Date Service anti/or feeder 2 - Services or feeders-Installation, Sup.a ect,name(pant): (.rcense no: alteration or relocation: 0 amps or less 2 Name(print): 77401 1 amps to 400 amps 2 (P ) 4 V Z- c' r z s am s to 600 amps 2 Mailing address: d 1 amps to 1000 amps 2 City: T i _ Stale:CJLZ 'LIP: ver 1000 amps or volts 2 Phone:2 0 Fax:1>'6-hQY 4 E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporaryserricesorfeeders- which is not intended for sale., ase,rent,or exchange according to �llation,alterstion,orrelocation: ORS 447,455,479 ) 200 amps or less__ 2 _,27 d 201 amps to 400 amps _ 2 Owner's si natu Date: 401 to 600 ams 2 Branch circuits-new,*iteration, or extension per panel: Mune: A. Fee fo,branch circuits with purchase of Addlwss: service or feeder fee,each branch circuit 2 City: State: ZI P: R. Fcc for blanch circuity without purchase of service or feeder fee,fiat branch circuit: 2 Phone: Fax: F-mall: Fach additional branch cir vit: Me.(Service or feeder std included): U Service over 225 amps-comm,i,,:I U I1.;dih�m' I:,.u,1 v Each pump or irrigation circle. 2 U Service over 320 arryn-rating of 1&2 U Hazardous location Fach sign or outline lighting 2 familydwellings ❑Building over IO,000 s<ivare fed foutor Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alterutiun,or extension' 1 1 2 ❑Building over three stories U Feeders,400 amps or mom *Description: U Occupant load over 99 persons U Manufactured structures or RV park, Each additional Inspection over the allowable In any of the above: U F-gressAightingplan U(xher _ Per inspection Submit_ sell of plans with my of the above. Investigation fee The above are not applicaile to temporary construction service. Other �- -- -- — -- — Permit fee..... ...$ Nd all jurirdicdnra wcehn credli cards,please call jurirNction for talar in orn; ai Notice:This permit application """"""' Viae U MasterCard expires if a permit is not obtained Plan review(rat %) $ o Z 6a�lv6ii7 p Credit card numher:`�$�_ 3 _ _ within 180 days after it has been Slate surcharge(896).... F.spire� L._ accepted as complete. TOTAL .......................$ ofdholder ns Showa on creitil cad S _ Card do ian�— -- _Amount 440IS(MM'OM) q 4, " ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: -- --- -"— TYPE OF WORK INVOLVED -RESIDENTIAL ONLY —�—_ Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per peninit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Type of Work Involved: Residential-per unit $14 5 15 4 Audio and Stereo Systems` 1000 sq ft.or less Each additional 500 sq.ft.or 1 r� portion thereof _ $33.40 LJ Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular $90 90 2 Garage Door Opener' Dwelling Service yr Feeder _ -- Heating,Ventilation and Air Conditioning System' Services or Feeders Installation,alteration,or relocation $80.30 200 amps or less --___ — — 2 Vacuum Systems' 201 amps to 400 amps _ $106.85 $160.60 2 401 amps to 600 amps ❑ - — 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65.— 2 Recrmnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders ......... $75.00 fee for each system................................................. Installation,alteration,or ndocation $66.85 2 (SEE OAR 918-260-260) 200 amps or less — $100.30 2 201 amps to 400 amps __—_ 2 Check Type of Work Involved: 401 amps to 600 amps _ $133.75_ Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for brach circuits Clock Systems with Fturchase of service or feeder fee. $6.65 2 Each branch circ[. ___— — Data Telecommunication Installation b)The fee for branch circuits without ❑purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 — _-- - ❑ HVAC Each additional branch circuit $6.65 -- Miscellaneous Instrumentation (Service or feeder not included) _ Each pump or irrigation circle $5340— _ $ 53 40 ------- ❑ Intercom and Pagin,Systems Each sign or outline lighting Signal circull(s)or a limited enemy $7500 Landscape Irrigation Control' panel,alteration or extension —.— — $125 00— — Minor Labels(10) — ----- Medical Each additional Inspection over the allowable In any of the above $62 F0 Nurse Calls Per inspw tion $62 50 Per hour $73 75 Outdoor Landscape Lighting' In Plant - -- - Fees: ❑ Protective Signaling Enter total of above fees $ F-1 Other —___—-- ------ - e%State Surcharge $ -_ Number of Svstems 25%Plan Review Fee g l ' No licenses are required tj onses are required for all other installations See"Plan Review,section un -- front of application - Fees: Total Balance Due t $— Enter total of above fees ❑ Trust Account N — — 8.1e State Surcharge $ Total Balance Due $- All New Comrismial Buildings require 2 sets of plans. i:\dcts\forms�el_fees.doc 09/10/01 Plumbing hermit Application , �— pDa�tercccived: �? 9,1. Permit no.:YSf0,64P--e 'J-ice City of Tigard Sewerermit no.: Building g permit no.: Address: 13125 SW Hall Blvd,'rig•trd,OR 97223 — — C'irvn(Tignrd phone: (501) 639-4171 I Project/appl.no.: Expiredat:: Fax: (503) 598-1960 [Date issued: By: Receipt no.: Land use approval: _ _ Case file no.: Payment type: 71 7fa.m(ii'ly rJwclling or accessory ❑Commercial/industrial U Multi-family ❑Tenant improvement U Ntction - Addition/alteration/replacement U Putxl service U Other: Job address: � Z y,5" ��-c_, [�� (c �r nescri)Ltiou Qly. I�ee(ca.) "1•otal —_� New I-and Z-family dwellings only: Bldg.no.: Suite no.: (includes 100 tt.for each utility connection) Tax map/tax lot/account no.: SFR(1)hath ltx: _,2ZBlock: I Subdivision: SFR(2)bath Project name: _ SFR(3)bath — City/county: i� u/Q ZIP: Each additional hath/kitchen Description and location of work on premises: Slteutilitles: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin.ft.) _ Manufactured home utilities _ Business name: p��i.S r1 _7„� Manholes _ Address: // $ /&' `' ��t• r— _ Rain drain connector City: a,t /r .3 State: o,( ZIP: / Sanitary sewer(no.lin.ft.) --- _— Phone:5*67 3/6-17 Yr- Fax: I E-mail: Storm sewer(no.lin.ft.) _ CCB no.:/q x r _I— Plumb.bus.reg.no: P8N3 4-.776 pa Waters rvice(no. lin.ft.) City/metro lic.no,: Tixture or Item: Contractor's reo_resentative signature: — Absorption valve _ Back now preventer Print nater: , - �" ,t, Date: -Z 7- oZ Backwater valve Basins/lavatory _ Namr,: ,rte ,r ,�, Clothes washer__ Dishwasher Address: /V L'_ /O Drinking fountain(s) - — ---- City: /_�' I State:oa I ZIP: 7 72 2 Ejectors/sump _ Phone:' F,�x:;l i(-9(0-/1 E-mail: I Expansion tank Fixture/sewer cap _ Name(print):_ �_ G.r �t, Floor drains/floor sinks/hub — Garbage disposal Mailing address: o 011tv /o"z-+,,,; Huse bibb City_P-IT(,*.. State:02 ZIP: )22 Ice maker _ Phone:'19 7 -Y V06 I Fax.-2 9[ 96 J/ I E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) _ will he made by me or the mai9pHance and repair made by my regular R(x)f drain(commercial) employee on die pro o per ORS Chsntei 447. Sink(s),basin(s),lays(s) Owners si natur Date: `/'^�T Z Sum _ Tubs/shower/shower pan _ Name: Urinal — -- Water closet _ Address: Water heater _ City: State:_ ZIP: Other: Phone:_ Fax: _ JE-mail: Total Not all juriu kdom weeps credit Garda,plow call jurisdiction for ince information. Notice:This permit application Minimum fee................$ _ <isa U MasterCard c 6p 7 expires if a permit is not obtained Plan review(at _ %) $ di card muni r:YSISI __ _.__ 0 / / within 180 days ager it has been State surcharge(8%) Z7*.�/ 7L. !v►.vC Expires TOTAL r shown — accepted as complete. .......................$ of �olu': ae ehoan oar radii card Cef.nio igaaturc 'L s Amount 4404616(6NMUM) PLUMBING PERMIT FEES: FIXTUe�ES individual) PRICE A1., 4iOw t and 2- --Family tamily dwellings only; 'LI71( s NT : (includes all plumbing fixtures In PRICE TOTAL sink --- ---- � , 16.60 t4#10111ngand the firsts00ft. QTY (ea) AMOUNT Lavatory 16.60 for ibeh utilico_nnec 16.60 tion Tub or Tub/Slwwer r,mb. One bath --` Shower Only - Two 2 $399.00 bath_ $350.00 16.60 7hreeL bath _ Water Closet � 16.60 -- — � -- Urinal 16.60 -- SUBTOTAL Dishwasher - _ 8%:# ATE SURCHARGE _- 16.60 PLAN REVW 2541.OF SUBTOTAL 'v Garbage Disposal_ 16.60 Laundry Tray — TOTAL - 16.60 Washb,g Machine -- 16.60 - Floor Drain/Floor 31nk 2" 16.60 3" 16.60 PLEASE COMPLETE: _ _ 4 16.60 Wales lieater U conversion O like kind 1 - Gas piping requires a separate mechanical lAl4kintit b' Work Performed ermit. i IXtUIe T ype New Mdved w 'Replaced Removed/ MFG Home NeWater Servk;e 4640 Sink -- — Ca ad MFG Home New SarVStortn Sewer gg-40 Lavato _ - — Hose Hibs 16.60 Tub or Tub/Shower -- Boor Drains 16.60 Combination Drinking Fountain Shower 9T!y 16.60 Water Closet__ Other Fixtures(Specify) 18.60 _ Urinal - Dishwasher - -- -- __ Garbage D osal — Laund Room Tra -- Washin Machine -- Sewer-1st 100' _ 55 00 _Floor Drain/Sink: 2" - -- Sewer-rac:h additional 100' �46 40 ---- -- 3" - Water Service-1st 100' -4" 5,5.00 Water hleater --- Water Service-eaci,additional 200 46.40 Other Fixtures_ -- --�- Stonrl&Ra'n Draln-1st 100' Sect 55.00 -----•- Storm&_Ra1n Drain-each additional 100' 46.40 ----— - __ Commercial Back Flow Prevention Device 48:40' - -- ---- Residential Backflow Prevention Device`— 27.55 -Catch Basin -16.60 --- - --_- - Inspeclion of Existing Plumbing or Specially 7-2'50 ---.-. Re uested liLspeclions per/hr 65.25 -- Rain Crain,single family dwelling - COMMENTS REGARDING ABOVE: _ Grease Traps 16.60 _ -- QUANTITY TOTAL - Isometric or riser diagram Is roquir"d if -- -Quantic *SUBTOTAL - --- 8%STATE SURCHARGE ,"PLAN REVIEW 25%OF SUBTOTAL -- A- --� — - C_ -_it oqulred N I flxlure qly.total TOiAL �— LL *Minimum permit fee Is$7Z50.8%state surc;have,except Residential Backflow Prevention Device,which R$38.25+8%state surcharge **All New Commercl+:Buildings require 2 seta of plans with Isometric or riser diagram to:plan;eview. t:\dsts\forms\plm-fees.doc 08129/01 -- --- -- -- y SW ,- OT P C E 5, 103 sqft. LOT 30 Now— i R� xlz 51040 sq.