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12890 SW BLUE HERON PLACE I 12890 SW Blue Heron Place CITY OF TIGARD 24-1-lour _ BUILDING Line: (503)639-4175 MST c INSPECTION DIVISION Business Line: (503)639-4171 BUS` Received �2 u — Date R q steel �� S� AM _PM _— BUP -_ -- I-ocation �2 ✓� �•'�` Suite MEC �7� Contact Person _ --_ 4f,&< Ph( ) d� PLM c'ion tr{yi01�-- - - — Ph( ) SWR UILD Tenant/Owner _. - ELC ---- -_-. -- Footing --- ELC _ Foundation AcCA88: (� /� /� x, n ELR - - Ftg Drain Crawl Drain Slab Inspection Note s: SIT Post&Beam -- ---------- -- - -- Shear Anchors _--- -------- ---.___ Ext Sheath/Shear int Shsath/Shear Framing - - ._.._-. Insulation Drywall Nailing ---- - - - - ---—---- ---- - - --- - - Firewall Fire Sprinkler ---- Fire --Fire Alarm Susp'd Ceiling - --- - — - -- - - Roof Other: 'S PART FAIL - - - ---------_ -- ------ --- _ _ ------------ eam Under Slab -- - - — - Rough-In Water Service ----- Sanitary Sewer Rain Drains -- -- __ -- --- --- Catch Basin/Manhole Storm Drain - — — - Shower Pan Other: •---- ---- -- P PART FAIL ---- ---__ ._ - - — - --- _ _ANI L -- earn Rough-In -— — - -- Gas Line Smoke Dampers -- - --- —.— --. TTnT P T FAIL -- -- RICL- Service Rough-In Ut,Slab o aoe R*m - E] Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PARI" FAIL - -- _SI Please call for reinspection RE:___-. _ _ -- -- Unable to inspect-no access Fire Supply Line ( *L Approach/Sidewalk Oab InsInspector _ _---_____-_ f- ADA -- ____ Ext _ Other:_ Final DO NOT REMOVE this inspection (record from the job site. PASS PART FAIL CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00366 DEVELOPMENT SERVICES DATE ISSUED: 10/3/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12890 SW BLUE HERON PL PARCEL: 2S103BC-BHP11 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: REMARKS: New S/F attached, Path 1. BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 739 of BASEMENT. of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 4n SECOND: 951 of GARAGE: 400 of FRONT: 20 PARKING SPACES: 1 TYPE OF CONST: 5N DWELLING UNITS: 1 FINDSMENT: of RIGHT: 0 676,00 OCCUPANCY GRP: H3 BDRM: 3 BATH: 3 TOTAL: 1,690 of VALUE: 165. REAR: 17 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 Sr RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNT 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOILICMP<3FIP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _ TEor SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: FA ADD'L SnOSF: 3 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU IAMISVCIFDR 601 - 1000 amp: 601+amps•1000v: MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION Reconnect only: 3•4 RES UNITS: BVCIFDR>•225 A.: >6110 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: VIROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,116.07 W INDWOOD CONSTRUCT!ON INC W INDWOOD HOMES INC This permit is subject , the regulations contained In the 12655 SW NORTH DAKOTA 12655 SW NORTH DAKO•rA Tigard Municipal Code,State o OR.k w Specialty Codes and TIGARD,OR 97223 TIGARD,OR 97223 all other ce with laws. All work will be done it accordance with approved plans. This permit Will expire N work Is not started within 160 days of Issuance,or if the work Is suspended for more than 180 days. ATTENI ION: Oregon law requires you to follow rules adopted by the Phone: 503-625-6526 Phone: 625-6526 Oregon Utility Notification Center. Those I ABE are set forth In OAR 952-001-0010 through 952-001.0080. You Rep N: 1,117 50196 may obtain copies Of these rules or direct questions to OUNC by calling(503)246-1987. I— REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanlca Mechanical Insp Shear Wall Insp In3ulation Insp Mechanical Final Sewer Inspection Post/Beam Mechanlca Plumb Top Out Exterior Sheathing Inst Rain drain Insplumb GI11aI Footing Insp Underfloor insulation Electrical Service Low Voltage Water Line Insp Fb} Ins �n Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwik Insp PostfDeam Structural PLM/Underfloor Framing Insp Gas Fireplace Ele rival nal Issued : •� 7L� _ Permittee Signature : Call (503) 639.4175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00243 13,125 SW Hall Blvd.,Tigard, 074 97223 (503) 639-4171 DATE ISSUED: 10/3/02 SITE ADDRESS; 12890 SW BLUE HERON PL PARCEL: 2S103BC-BHP11 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPER'r SURFACE: Remarks: Sewer connr:ction for new S/F Owner: — FEES WINDWOOD CONSTRUCTION INC Description Date Amount 12655 SW NORTH DAKOTA TIGARD, CR 97223 [SWUSA] Swr Connect 10/3/02 $2,300.00 [SWINSP] Swr Inspect 10/3/02 $35.00 Phone: 503-625-6526 Total $2,335.00 Contractor's Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 sewor is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall ptyofiaa'k9p and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you I r s adopted by the Oregon Utility Notification Center. Those rules are set forth in-DAR 952.-001-0010 ro R9 -001-0100. You may obtain copies of these rules or direct questions to OUNC by calling(503) 24P-6 r _� Permittee Signature, \� Issue � _�.�.-ru.�� . Call (503)6394175 by 7:00 P.M.for an inspection needed the next business day Building Permit Application r d r �.11 O Tigard Datereceived: > -7 Permit no.: •� •g Project/appl.no.: E ire date City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 , Phone: (503) 639-4171 Date issued: By} ,� Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: r ,JalT&2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition O Addition/alteration/replacemenr. U tenant improvement U Fire sprinkler/alarm Q Other. Job address: y k �� r P Bldg.no.: Suite no.: Lot: Block: Subdivision: ue map/tvt lot/account no. / 3y Project name: blk Description and location of work on premises/special conditions:— EN 1111,24111111 r Name: -I 61�4 edtris7-0LX_A__ M=Q1111,Z1111141172 Mailing address: W /( b , d/c I &2 family dwelling: City: airet Stat ZIP: Valuation of work �-� Phone: %� G F G E-mail: No.of bedrooms/baths..........3.................... Owner's representative: 0XIc A?t ,t Total number of floors..........a.ok................... Phone: Fax: E-mail New dwelling area(sq. ft.) .. ../.610......... Garage/carport area(sq. ft.).....Y .......... Name: <L2/n.>! Covered porch area(sq. ft.) ......r'�!4............ Mailing address: Deck area(sq.ft.) ........................................ City: State: ZIP: Other structure area(sq. ft.)......................... Phone: Fax F;-mail: Commerciallindustrlal/mulli-family: Valuation of work........................................ $ Existing bldg.area(sq. ft.) .......................... Business n1une: _ — — --- � New bldg.area(sq.ft.) Address: Number of stories ........................................ City: State: ZIP: Type of construction........................ Fax: E-mail: """""" Phone: CCB no.: — Occupancy group(s): Existing: -- New: City!metro lic.no.: Notice:Ail contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: a provisions of ORS 701 and may be required to be licensed in the Address: �/iv�1 — jurisdiction where work is being performed. If the applicant is Cily: 02 1 Stated-r ZIP: Q?.Arf)l1' exempt from licensing,the following reason applies: Contact person: a n I Plan no.: - — ----- Phone:7.1S 714/ Fax�I E-mail: — — — — — Name: Contact person: 6 Fees due upon application ... ...... ................ $_ Address: = `�:�.d� Date received: —-- City: PH61 StateLIe ZIP: ,2 4 Anicunt received ......................................... $ Phone: Fax: E-mail: Please refer to `ee schedule. I hereby certify I have:end and examined this application and the Not ids iurt-Aictions w W credit cads.Pim card Jud,aietion for MGM mf«noti- attached checklist.All provisions of laws and ordinances governing this ❑v=+a U MastetCard work will be complied with,whether specified herein or not. Credit card number: __— _._ — / / Expim Authorized sigttatttrrr' Date: _ Nam-of cardholder or shown on credit cord — Print name:_ S — - s - Cordhorder dpWore Amount Notice:We petinit application expires if a permit is not obtained within 180 days after it has been accepted as complete. as AU(t trotc'ot) r • Plumbing-Fermiit Application 71D)ater-e!ce_-!ived!::: 7 /+2 Perntit na.: !sT:�Y � •k-�' City of Tigard permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ciryofgard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: . a - Case file no.: Payment type: t .0011 &2 family dwelling or accessory U Coinn!ercial/industrial U Multi-family LI'I enant improvement U New construction U Addition/alteration/replacement U Food service U Other: TIO;N FEE SCIII'DI'LE(for special in11 WWII use checklist / t Job address: kS iu l �)a�F" Description (2t . Fce(ca.) Total -' Nrw I-and 2-family dwellings only: Bldg.no.: SuUe no.: (ivcludes100ft.for each utilltvcounection) Tax map/tax lot/account no.: 7-5/ 01- i 3 O _SFR(1)bath Lot: Block: Subdivision: f P,�kro� SFR(2)bath f- -- — -- Project name: ,e u _ SFR(3)bath --�- - City/county: C4 ZIP: Q Each additional bath/kitchenDesciipfion and loeation of work on premises: -_� Site utilities: _ _Catch basin/area drain Est.date of completion/inspcetion: — Drvwells/leach line/trench drai^� Footing drain(no. lin, ft.) t RAVUOR Manufactured home utilities - Business name:=w\ Manholes Address: P C) ��U Rain drain connector City: Sta �Z.IP: 7�te Sanitary sewer(no. lin. ft.) Phone: y -l�u�y Fax -�63� Email: Storm sewer(no. lin. ft.` -- - CCB no.: p Plumb.bus.reg.no: j( - �(, - Water service(no. lin. ft.) City/metro lic.no.: &19 - bsor Aa or item: bso tion valve Contractor's representative signature: 13 - Back Bow Print name: 7--- reventer -- _Backwater valves Basins/lavatory - Name: �[At< Clothes washer ----- - _ -- - Address: Dishwasher ____ ---- Drinkin fountatn(s) City. �--_ ------ State: ZIP: _ Ejectcrs/sump Phon�_ Fax: E-mail: Expansion tank Fixture/sewcr cap Name(print): 6•-1 Floor drains/floor sinks/hub --- - - � Garbage disposal Mailing address: - Hose hibh City: 7_IP: -a-� - Ice maker ---- - Phone:¢� a� 'Fax:(i_)� E-mail: Interceptor/grease trap - Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the ainlenance and repair made by my regular Roof drain(commercial) employee,on the property I own is�ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signatu • 5tc: Sump Tubs/shower/shower pan Numr Urinal -- -- - - - --- Water closet City: : Water heater - City: -f` tate: ZIP: - -- � �•--�- � �- Other. Phone_ - I'ax_ i�}� �,-- 70-6d � _- Not dl jarie"atr wcept(Rilt cede,pkw all jutirdkuan for more iw'amrion. IJoti lce: tris ppermit epplicaticn Minimurn fee................$ _ Q visa U MuteWrd expires if a permit is not obtained Plan review(a. _- %) $ emelt card number: _�-L- State surcharge(84b) ....S widrin 180 days after it has been _ E.apiret acc: ted ascomplete. TOTAL .......................$ -_-._-- Nm d eatd6i.kfer u ttorvo am credit rad P S C.,ma"dim riymuue --- Amonnl 4404616(&MOCOM) Mechanical'PerWt Application -- Tigard Uatereceived:'+ 7 0? Permitno.:jl,,' City Of 1 lgard Project/appl.no.: Ex ire date: Addrefs: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: y )I Receipt no.: City ofbgard Phone: (503) 639-4171 Payment Fax: (503) 598-1960 Case file no.: Y type: Building permit no.: Land use approval: ---- — ❑Multi-family ❑Tenant improvement 790 1 t&2 family dwelling or accessory ❑Commercial/industrial Y Nconstruction ❑Addition/alteration/replacement 1]Other:_ t e tt Job address: C �C /�,r �4/C Indicate equipment quantities in boxes below. Indicate the dollar Suite no.: value of all mechanical materials,equipment,labor,overhead, Bldg.no.: — profit.Value$ Tax map/tax lot/account no..__Q_5/ d G rL 39w U Block: Subdivision: [I *See checklist for important application information and Lot: jurisdiction's fee schedule for residential permit fee. Project name: 4r kw u t City/county: u- a ZIP: 4172 L4 NAIRINE[Irmt Description and location I f wor on premises: Fee(ea,) Total Res.onl Res.only ILI 10 1 Est.date of completion/inspection: UVAC: Tenant improvement or change of use: Air handling unit CFM Is exi:ting space heated or conditioned?❑Yes ❑No Air con itioning(site pan require ) Is existing space insulated?❑Yes U No Cera ion o existing AC system t oile��compressors MMMMMU State boiler permit no.: FAddress: e: r 4 HP Tons BTU/14 _ ire/smo a dampers/ uct smo a etectors Stale:t' I1P: Q 7l'/3 eat pump(sitep anregw ever �S AA'M nste rep aceB '- � Fax: E-mail Including ductwork/vent liner ❑Yes❑No b L/.�. �/ _ nsm rep ac re ocateheaters-suspende . City/metro Iia no.: - wall,or floor mounted ent ora Bance of ei t_an furnace Name(please print): A %► Sd'1 a era on: Absorption units_ _ BTU/H Chillers lip Name: .�G Com ressors HP Address: maea exhaust ventilation' City: _ �— State: ZIP: Appliance vent _ Pax: E-mail: erexhaust Phone: Hoods,Type res. itc a azmat hood fire suppression system le�c Exhaust fan with single duct(bath fans) Name: }ly Q wt"kJ_�L — x gust s stem a art trom heatm or Al Mailing address: �J dr ne P P i t on(up to out ets) City: Im-to State:Q/" ZIP: Ty ; LPG NO oil Phone: -PT-6'S;'.)e_ Fax: b. E-mail: ue pineac a conn over ou ets esspip (sc ematicrequire 1 Number of outlets Name: ap a or eq pm 0t: Address: Decorative fireplace Stater Zip: nsert-type - City: - tov pe et stove Phone: Fax E-mail: er: J Applicant's signature: Date: _ Name(print): Permit fee ..........$ — Na.a Jar{dklim aoxpr assn eaidr,pmts all Juii.&dan for x:Thisit plication p� application Minimum fee................ ❑visa b MuterCard expires if a permit is not obtained Plan review(at %) $ -- DWR Md number:_ — within Igo days atter it has been State surcharge(896)....$ '—'dam d a accepted as complete. TOTAL .......................$ _�� 440-4617(6OWMM) Electrical Permit Application Date received: " ? "r Permit Aria City of Tigard Project/appl. no.: ExBire date: CIty njligord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: H ,%,,%i Receipt na,: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: ❑ 1 &2;fan�lydwelling or accessory ❑Commcreial/industrial O Multi-family O Tenant improvement ❑New tion ❑Addition/alteration/replacement ❑Other: ❑Partis! Job addreg Bldg.no.: Suite no.: Tax map/tax 1ot/account no.: Lot: Block: I Subdivision: Project name: I Description and location of work on premises: Estimated date of cons letion/ins ection: Job no: Fm Max Business name a Zger-Tie r1Cr Inc. Description d Total oo.la sp Address: Lehman Now residential-single oruultl-faollyper City: !gar State�R• ZIP:97223 Serstiiceecud�clesatuchedgarage. Pno . 4 025 Fax: same E-ma lmcourt 0(I or less 4 CCB no.: 9 6 8 0.5 Elec.bus.lic.no: 3 4-16 °c' "nonal 300 W.1.or poniwu!hereof Lunil-d eacrsy, rcsidemial 2 City/metro lic.no,:10 3 4 Limited energy, nota-residential 2 tr - 8/6/02 Each mamlactumd home or modular dwelling b1pature Of sat eryisia eleceltx-tr�ic an r uirod) Date Service and/or reciter 2 Sup.elect.none(pdnti, Hoo- s (,spurt License no 31305 Senlceverfeeders-Installation, alteration or relocation: �iunps 2 Name(pent): 2 Mailing address: - uinps — 2 t I unf:f to 1000 amps 2 City: $tate: ZIP: Over 1000 unps or volts — 2 Phone: I Fax: I E-mail: Reconnect olil I Owner installation:The installation is being made on property 1 own Temporary services or feeders- /hirh is not intended for sale,lease,rent,or exchange according to Installation,alteratloo,orrelocation: ORS 447,455,479,670,701. 200 amps or las _ 2 201 amps lO 400 amps 2 Owner's at .itUrC: Dale: 401 kn 6.('0 xnn s 2 Branch circuits-new,alteration, Name: or extension per i anel: A Fre fo,brunch circuits with purchase of Address: service o: feeder fee,each branch circuit 2 City: State: ZIP: li.—Fee bench circuits without purchase Phone: Fax: E-mail: of service or reefer fen.,first brunch circuit. 2 Fach addition:I branch circuit: N1bc.(Sen ice or feeder not Included): O Service over 223 amps-ootmnucial O Health-cam facility Each pump or Irrigation circle 2 O Service over 320+nips-rating of I&2 O Hasasdous location Each sips or outline lighting2 family dwellings O Wilding over 10,000 square fat four a Signal circuil(s)or a(united energy prnel, O Systern over 600 volts nominal more residential units in Oise structure allerstion, or extension, 2 O Building over three stiries O Foedon,400 amps or mos 'Description: O occupant load over 99 persons O Manufactured structures or I(V park "ch additional inspection over the allowable ioa nyofthe above: ❑EgraUlighlmg plan O Other. _ per inspection _ Submit_seta of plans with any of the above. Imesti alioo fee The above are not applicable to temporary constructlon service. Other Not atljerisdidiexu accept credit aNa,pleas all jnrladiction for mort inbrmatba Notice: This permit application Permit fee ......................S O visa O MasterCard expires of a pertil is not obtained Platt review(at_ %) S _ Credit card number.__- r1_ witjmin 180 days alto;it has been State surcharge(8%).....$ --- - — xr-ire ___ accepted as complete. TOTAL.........................S Name o rardhoider n oana *"on mrd S Ca ho nil n�lun ---- Attxwm 4404613(MXWOMI ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Number of Inspections per permit allowed RestrictedEnergy Fee..................................................... $75.00 .__ (FORORALL SYSTEMS Service lor.luded: Items Cast Total ._..�..�._ Check Type of Work Involved: Residential-par unit 1000 sq.fl.or less $"45.15_ 4 ❑ Audio and Stereo Systems' Each additional 500 sq.It or portion theraof $33.40 1 ❑ Burglar Alarm Limited Energy _ $75.00 Each Manufd Hone or Modular Dwelling Service or Feeder _ $90.90 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System" Installation,aiterabnn,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 ampe to 1000 amps $240.60 2 ❑ Other Over 1000 amps or wits $454.65 _ 2 Reconnect only _ $66.85 2 Temporary Services or Foedera TYPE OF WORK INVOLVED-COMMERCIAL ONLY Instailaticn,aitorabon,or reiocahon Fee for each system......................................................... $75.00 200 amps or less $66.85–.— 2 (SEE OAR 918-260.260) 201 amps to 400 amps $100.30_ 2 401 amps to 600 amps $133,75 r 2 Check Type of Work Involved: Over 600 amps to 1000 voila, cos"b"above. ❑ <,udio and Stereo Systems Branch Circuits New,alteration or extension per pane ❑ Botlor Controls a)The foe for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 __ '—y – — ❑ Data Telecommunication Installation b)The fee fur branch circuits without purchase of service ❑ or leader foe. Fire Alarm Installation First branch croup $46.86 Each additional branch circuit $6.65 er ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 _ Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuii(f)or a limited energy panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control' Mina labels(10) $125.00_ Fach additional Inspection over __ ❑ Medical the allowable In any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In''ant $73.75 L� Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 0 State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"sec:iwr,on $ No licenses are required. Licenses are required for all other installations front of applicatirxr, Fees: Total valance Due $ _ Entar total of shove foes $ Trust Account it 8%State surcharge $ All Now Commercial Buildings requlre 2 sets of plans. Total Balance Due I:Wspllbrptf le4err.doc 02103/02 Rr W I - h , Lf231 Fl X31 O r�30�� 1.Ir �►�� CITY OF TIOARD Residential Certificate of Occupancy Permit No.vCCt)-;�"_U .3�o Address: /C249, 9 Owner/Contractor: / - Date of Final Inspection: a /�� inspector: This structure has been found to be in substantial compliance with the provisions of the State ref Oregon One& Two Fantil),Dwelling Spec ilty Code and is hereby approved for occupancy.