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12895 SW BLUE HERON PLACE — -....a4.�.,M.i�...,...w._......�....�..w.,M.....�...,,..�w�n.+.....,........._,�........,wrv.r..«..,,.......w,w..,:.a,�o..»4.Y�,....k.,U4Mw..4,.,w...w�:....MxW.,�,..W+..wW...,...w..�,..,.�,..,,..:...�..,... ,... .�... _,,.Y�,�µ i 1 a I 12895 SW Blue Heron Plane CITY OF TIGARD 24-Hour BUILDING Inspectior. Line: (503)639-4175 INSPECTION DIVISION Business Lines (5C3I 6:s9-3171 MST BUP _ Received _— Date Requested PM BUP -- Location --_-�Z �� t�L{�!—YL Suite_-----s- MEC --- - Contact Person __._ L_( . _ — _--_ Ph(__---) —_�I q-"U�.o 7S PLM --- ----- Contractor Ph( ) —_ SWR - UIL Tenantlowner _._.—__ ELC Footing F-undation �- ELC I=tg Drain Access: / . ELR _ — Crawl Drain Slab Inspection Notes: 4 SIT Post&Beam Shear Anchors - - - — Ext Sheath/Shear Int Sheath/Shear --- - - Framing ---- _, -- - ----------_ .._ --- - --- - - Insulation Drywall Nailing ---- ---- -- -_---- -- - --- - ---- -- Firewall Fire Sprinkler ---- -_--- --- ----------- --- ---- ---- - Fire Alarm Se 1sp'd Ceiling ----- ----- — — - - ---------- -_ -- -- Roof Othe ---- n ASS PART FAIL -- ------ --- - - ----- ------- — _..----- L MBINO Post 8 Beam _` ---------- - - ---- -------------- Under Slab Rough-In ------ ------------- -_.--- — Water Service ------ ---- -----— ---- _- — - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Ot er: F' / PA RT FAIL ��_ --- -- — -- _- AL Post& Beam -^--` Rough-In -_- - _-- Gas Line Sm ,Dampers _ ---- -— Final S RT FAIL _ - -- - L Rough-In eUGISloART FAIL Reinspection fee of s. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _--- _ �� Please rail for reinspection RE:_. ❑ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk � - �1_- - Inspector - —__- _---------Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGAR® MASTER PERMIT PERMIT#: MS12002-00368 DEVELOPMENT SERVICES DATE ISSUED: 9/19/02 13125 SW Hall Blvd.,Tigard, OR 37223 (503) 639-4171 SITE ADDRESS: 12895 SW BLUE HERON PL PARCEL.: 2S103BC-BHP13 SUBDIVISION: BLUE HERON PARK ZONING: R-4.5 BLOCK: LOT: 013 JURISDICTION: TIG 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: 12 SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 951 of GARAGE: 400 of FRONT: 20 PARKING SPACES: I TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: VALUE: b 155,876 00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,69000 of REAR: 30 _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP• I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K• 1 BOIL/CMP<3HP: Y VENT FANS: 5 CLOTHES DRYER: I GAS FURN>2100K: UNIT HEATERS: HOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 _ ELECTRICAL RESIDENTIAL UNIT _ _SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: __-_ 0 200 amp: WISVC OR FOR: 1 POMP/IRRIGATION. PER INSPECTION: CA ADD'L 5005F: 3 201 - 400 amp: 201 - 400 amp: let W/O SVC/FDR: 00 SIGNIGUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVC/row 001 - 1000 amp: 601-amps•1000v: MINOR LABEL. 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: '--- >-4 RES UNITS: SVCIFDR-225 A. >600 V NOMINAL: CLS AREA/SPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM AUDIO R STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC I.T. BURGLAR ALARW 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: IN'. '';I1'NTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,741.07 This permit is subject to the regulations contained in the WINDWOOD CONSTRUCTION INC WINDWOOD HOMES INC Tigard Municipal Code, State of OR Specialty Codes and 12655 SW NORTH DAKOTA 12655 SW NORTH DAKO[A all other applicable laws All work will be done in TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone. Phone: 780-4375(M) Oregon law requires you to follow rules adopter]by the Oregon Utility Notification Center Those rules are set Rep A: LIC 50196 forth In OAR 952-001-0010 through 952-001.0060 You may obtain copies of these rules or direct questions to OUNC by calling,503)246-1987 REQUIRED INSPECTIONS Erosion Control;nsp& Post/Beant Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltaae Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By alg—.�d��r�,1 Permittee Signature : ��;_ -d If 1 ✓Y` Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT r,- DEVELOPMENT SERVICES PERMIT#: SWR2002-00245 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED: 9/19/02 PARCEL: 2S103BC-BHP13 SITE ADDRESS; 12895 SW BLUE HEI<ON PL SUBDIVISION: BLUE HERON PARI: ZCNI'JG: R-4.5 9LOCK: Lar: 013 _JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW OWELLINC. UNITS: 1 TYPE OF USE: SPA NC. OF BUILDINGS: INSTALL TYPE: L.TPSWR IMPERV SURFACE: Remarks: Sewer connection for new S'F Owner: -- ( _ -� e --- FEES WINDWOOD CONSTRUCTION INC I T B Date Amount Receipt 12655 SW NORTH DAKOTA. ' Yp e- y - - - IIGARD, OR 97223 PRMT CTR 9/19/02 $2,300.00 27200200000 INSP CTR 9/19/02 $35.00 27200200000 Phone: 503-625-6526 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This, Aprilicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the scorer is not located at the measurement given,the installer sha!I prospect 3 fee, in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit ar.d the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopkad by the Oregon Utility Noti'ication Center. These rubes are set forth in OAR 952-001-0010 through OAR 952.001-0080. You may obtain c j Ps or these rules or direct questions to OUNC by calling (503) 246-1987. J 1 Permittee Signature: G / � Issued by: �� 7, g -. C,�. .�lu �-�— Call (303)639-4175 by 7:00 P.M.for an inspection reeded the next business day " Building Permit Application City Of Tigard Datereceived: Permit nn.: Address: 13125 SW Nall Blvd,Tigard,OR 97223 Project/appl.no.: tExire date: CiryofTigard Phone: (503) 639-4171 Date issued: O _ Receipt no.: Fax: (503) 598-1 Q60 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: Y { ,J21—ZRt 2 family dwelling or accessory U Commercial/industrial U Multi-family 0 New construction Q Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinklerialarm U Other. Oti Job address: X'p fp,q �P _ _ Bldg.no.: Suite no.: Lot: /,3 1 Mock: Subdivision: NC n _�,��_ Tax map/Ltx lot/account no &3si Project name a /r,.1 U/` Description and location of work on premises/special conditions:— 'Olt SPECIAL INOORMATION, Name: I.Ar4XZ 610MO e,1AJS _ � Mailing address: C w Albr,cA ofz 1 &1 family dwelling: City: &a_ Stat ZIP: Q7 Valuation of work........................................ $ Phone: ! F L E-mail: No.-of bedrooms/baths........... . Owner's representative: LDX/ Total number of floors..........a-.................... Z iPhone: Wax: E New dwelling area(sq. ft.) ..... ..6 -mail: y ......... Garage/carport area(sq. ft.).....�/f.9.Q.T.��.......... Name: 5am< Covered porch area(sq. ft.) ......ryt............ Mailing address: Deck area(sq.ft.) ........................................ — City: _ State: ZIP: Other structure area(sq.ft.)......................... Phone: (.�� F. mail: CummercinUindustriaUmulti-family: 1 : Valuation of work....................................... $ Business name: Existing bldg.area(sq. ft.) ..................... .... Address: - New bldg.area(sq.fl.) .......... City: State: ZIP: Number of stories..................... ........ ...... Phone: Fax: E-mail: Type of construction...................... ......... CCB no.: Occupancy gmup(s): Existing: ----— New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: � � provisions of ORS 701 and may be required to be licensed in the Address: �/ �i,r jurisdiction where work is being performed. If the applicant is Ci 1 Stated'x ZIP: Q exempt from licensing,the following reason applies: Contactperson: a/\ I Plan no.: — - Phone: FazDJ5' E-mail: --- — Name: 1r Contact person: Ad Fees due upon application ........................... Address: �v r Date received: City: JEW Stat ZIP:!92,l14 Amount received ......................................... $ _ Phone: , Far: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all luds6ctioes wcgx wwfit cards,pkast call.iudadicdon for roam informarlma attached checklist.All provisions of laws and ordinances governing this ❑visa 0 Mastercard work will be complied with,whether s ecified herein or not. cmd1l card mmbn —_—._ Authorized signature ----"'Date: -- Now of cadhoWu as shown on credit card Expims x m ^amC: — Cardholder sit=u -- Amoon soplieation expires if a permit is not obtained within 190 days after it has been accepted as complete. uo-un3(daacom) Plumbing-Permit Application City of Tigard _ Datereceived: p PC no.:1 y� Q Address: 13125 SW Hall Blvd.Tigard,OR 9723 IRL Sewer permit no.: Building g permit no.: CiryofTigard phone: (503) 639-4171 Ptoject/appLno•: Expire date. Fax: (503) 598-1960 Date issued: 9y: Receipt Land use approval: _ Case file no.: Payment type: =�1 &2y dwellinp or acc:ssory O Commercial/industrial 0 Multi-family U'renant improvement uction U Addition/alteration/replacement U Food service U Other: Job address: �" Q bescri don Qtv. Fee(ea.) 'total Bldg. no.: _ Suite no.: New 1-and 2-family dwellings only: Tax map/tax lot/account no.: 7-S� 1j L c - (Includes 1110 R.for each utility connection) ` -�---- � �-� SFR(1)bath Lot: Block: Subdivision: 6P SFR(2)bath �- --- _-- - _Project name: 0111 SFR(3)bath -. - -_ — City/county: IP: Q 7� Each additional bath kitchen Description and��-72,rn,ses: Site utilities: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/ircnch drain_ Footing drain tno. lin. ft.) Business name: S. Manufactured home utilities -- Manholes Address: P U _� / Gj U _-__-- Cit _ Rain drain connector Yv- 1�c�-_ StateG/Z "LIP: 7�j� Sanitary sewer(nn. lin. ft.) Phone: 6 Y yG Y FFax � V3,2E-mail: � Storm sewer(no. lin. ft.) _ � - CCB no.: Plumb. bus. reg. no: 3 y-/bWater service(no. lin. ft.) City/metro lie.no.: /685 _ Fixture or item: Contractor's representative signature: T- Absorption valve Print name: t �� Date:v Back flow preventer - RYE 13ackwa.er valve -- Basinsrlavatory - Name: Clothes washer Address: -- Dishwasher Cit .: Dunkin fountain(s) - y State: ZIP: - Ejectors/sump Phone: Fax: E-mail: Expansion tank -- Fixture/sewer cap rNamTcprint): (Lr/}��t,LlcciO -1,</$/ ?7 L Floor drains/fl0or sinks/hub Mailing address: S,V A1 -^r41(i -` d�� Garbage disposal - _City: - Hose bibb -�� - Ice maker Phone: �; Fax:G.)S X E-mail: Interceptor/grease trap Owner installatiortiresidential maintenance only: The actual installation Primer(s) -' will be made by me or the maintenance and repair made by my regular Roof dmn(-•ommercial) employee on the property I own as per ORS Chapter 447, Sink(s),basin(s), lays(s) Owner's signatu e: Sump Tubs/sh0wer/shower p-r1 Name: Unnal _ _Address: Water closet �- Water heater - `— City: - tate:-- ZIP (,then. �- - Phone: -- - rax: L-m T _ otal T Na all ludadlctiom ameq«veal cards.*am call juriutiction fm more iarwn rim. Minimum fee................$ — Notice:This permit application U Visa U MuterCercl expires if a Plan review(at _ %) $ _ rre�ir cRt �_� p permit is not obtained 1- within 180 days after it has been State surcharge(8%)....$ _ h>grea TOTAL Name ar aadbolaccepted as de:u droaa on verHt card � P complete. -- Cardholder ripurm V A Amami — 410-4616(~OM) Mechanical Permit Application Date received: t17 p� permit no.: T _ City of Tigard Project/appl.no.: _ Expire date: City of Tigard Addre3s: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: 1 ❑ 1 &2 family dwelling or accessory U Commercial/industrial ❑Multi-family 0 Tenant improvement 0 New construction O Addition/alteration/replacement ❑Other: t Job address: ��/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.: 5/ d C rL- 3 900 Lot; Block: Subdivision: (! r ,4 *See checklist for important application information and Project nam �rar jurisdiction's fee schedule for residential permit fee. e: lit' City/county: U ! t Zip: P/71.:L Y im Description and location f work on premises: Fee(ea.) Total Est.date of completion/inspection: IDeacri an Res.onlRea.only Tenant improvement or change of use: Air handlin unit _ CFM Is existing space heated or conditioned?U Yes U No Air conditioning(site p an required) Is existing space insulated?O Yes U No terauon o existing A system oiler/compressors State boiler permit no.: Business name: /p __ HP --Tons BTU/H Address: D( G it ct Fire/smoke c amper usmo a electors City: rY �l QM State: IP: Q X13 eat pump(site plan required) Fax: E-mail: nsta rep acc luinac umer— B, Phone: - including ductwork/vent liner O Yes U No CCB no.: 1/ _ nsta rep ac re ocate heaters-suspende , City/metro lic.no.: wall,or Floor counted Vent for appliance o er an furnace Name(please pony: f► $�'1 a era n: Absorption units B-rum �� C Chillers Ftp Name: Compressors HP Address: nmeota ex tut ao ventilation: City: State: I ZIP: Appliancevent Phone: Fax: Email: ryerex aust — Hoods, ypel/ Urei.kiitchentha7mat hood fire suppression system Name: l+-1V,Q U,064 GGw sExhaust fan with single duct(bath fans) �� -Exhaust system a art from catin or AC Mailing address: ue p p t3 a on(up to 4 outlets) City: State:Q/'` ZIP: Type; LPG NG Oil Phone: Fax: ruel pipinaeacfi a ttiona aver 4 OutleProcen piping ts ems crequire ) Number of outlets Name: -7GjfiWffiRW_*j"iUasce or equipmeat: Address: Decorative fi race ype City: State: Zt?: Insert-t tove/ -- ---- pe et stover Phone• I Fax: E-mail: er: Applicant's signature: Date: t Name( tint): - aeced . tlt' tl° car mearaa Permit fee.....................$ Not as Notice:This permit application -- Minimum fee................$ O"ise O MasterCard expires if a permit is not obtained Plan review(at _ %) $ credo"M wurber: dthin Igo days after it has been State surcharge(8%)....$ _ Now aex opted as complete. dwin CFO*"W = TOTAL .......................$ 4404617(bo000W I Electrical Permit Application Will Date received: r 10,aPertnit City of Tigard Project/appl. no.: Expire date: ClfvafTlgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 6.39-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 1 Case file no.: Payment type: Land use approval: O 1 &2 family dwelling or accessory O CominerciaUindustrial O Multi-family O Tenant improvement O New construction O Addition/alteration/replacement O Other: O Partial Job address: &ZU9 AUBldg.no.: Suite no.: ITax map/tax lot/account no.: Lot: / Block Subdivision: — — Project name: -------:--- I Description and location of work on premises: Estimated date of com letion/ins ection: Job no: Fee Mu Business name: Metzger Electric, Inc.— Description ea Total 0o.101 Address: 8780 SW Lehman St. New residential-single or multi-famllyoer dwaltinguall.Includes attacked garage. City: Tigard StateOR ZIP:9 7 2 2 3 Servlcelncludsdt Phorg:032449025 Fax: same E-mafECOUrt@att 000 or.ess 4 CCB no,: 96805 Elec.bus.tic.no:3 4—16 7 C Each additional SIX)sq.R.or portion thereof United eumgy, residential 2 City/metro tic.no-:1 0 3 4 United cuerity, non-residential _ 2 8/6/0--2 Each manufactured hone or modular dwelling Signature of su ervtsin etacEician (required i Date Service and/or feedar 2 Sup.elect.name(Print): Hollis Court Liccnse uo: 31305 Smvices orfeeden—Installation, alteration or retocallom 200 amps or Ins 2 Nrtme(print): 201 apps to 4IX1 anps 2 Mailing address: -�---— 401 amps to b(K)amps 2 601 apps to 1000 anps 2 City: State: ZIP: Over 1000 wnps or volts 2 Phone: Fax: E-mail: Reconnect oral (hurter installation:The installation is being made on property I own Temporary services or feeden- which is not intended for sale,lease,rent,or exchange according to Installation,slierstlon,orrelocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 ams 2 Owner's 91 attire: bate: 401 to 6(10 tunpi 2 Branch circuits-new,alteration, Name: or extension per panel: A Fee for branch circuits with purchase of Address: _service or feeder fee,each branch circuit 2 CItY: State: ZIP: B. Fee for branch circuits wahout purchase Phone: Fax: E-mail: or service or realer roe,fins branch circuit: 2 Each additional branch circuit: Mist.(Service or feeder not Included): U Service over 225 ampseanpserdal O Health-case facility Each putnp or irrigation circle 2 U Service am 320 ampmdng of 1&2 O Hazardous location Each sign or outline lighting 2 nnnuy dwellinp U Building over 10,000 square feel four or Sigtsl circuit(s)or a limited energy pane;, O System over 600 volh nominal tnone neslrlential units in one snuaure alteration, or etleosion• 2 U Budding over three stories U Feaden,400 loops or more *Description O Occupant long over 99 persons O Other:Manufactured swaures or BV cask Each addltlonal Inspection over The allowable le any orlheahov it U F_ytmsAighlirng plan U Other: -- I'cr inspection Submit_seta or plana with any of the above. Perlovinspecti fee The above are not applicoble to temporary construction service. Other Na 811 jurtsdi*ios accept*edit ands,please call jurisdiction for more information. Notice: This pemtil application Permit fee ......................S U visa U MasterCard expires if a pemut is not obtained Plan review(at_ %) S tMlh Ord number. L_. within 180 days aper it has been State surcharge(8°i6).....S spier accepted Its complete, TOTAL. S _ Name o cardholder as own on f card .. ................... __ S�-r:-{�� tArdho gar a Nora Amouni_ 4404613(N(xVCOMI ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee..................................... $75.00 Number of Inspections per EerrnIt allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check yp)of Work Involved: Residential•per unit 1000 sq.ft,or les= $145.15 4 ❑ Audio and Stereo Systems' Each additional 500 sq,ft.or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 _ Each Manurd Hone or Modular Dwelling Service or Feeder $90.90 2. ❑ Garage Door O,,ener' Services or Feeders ❑ Heating,vent,atlon and Air Conditioning System' InsfWation,alteration,or relocation 200 amps or loss $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to WO amps $160.60_ 2 601 amps to 1000 amps $240.60 2 ❑ Other_ Over 1000 amps or volts $454.65 2 Reconnect only $66.85_ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or loss $66.85 2 (SEE OAR 918.260.260) 201 amps to 400 amps $100.30_ 2 401 amps to 600 ornpe _ $133.75 2 Check Type of Work Involved: Over 600 amps l0 1000 volls, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or f❑ Clock Systems feeder fee. Each branch circuit $6 65 I ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder ha. First branch circuit $4685 Each additional branch circuit $6.65 �❑ HVAC Miscellaneous ❑ instrumentation (Serwce or h+eder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circull(s)or a limited energy panel,alteration or adension _ $75.00 ❑ Landscape Intgatlon Control' Minor Label%(10) 5125.00 Medical Each additional Inspection over ❑ the allowable In any of the above Per inspection $62.50 ❑� Nurse calls Per hour _ $62.50 In Plant $73.75_ ❑ Outdoor Landscape Lighting' Fees: El Prolective Signaling Enter total of alive fees $ ❑ Other 8%State Surcharge $ __Number of System- 26%Plan Review Fee Seo"Pian Review"soction on j, ' fie licenses are required. Licenses are requiredfor all other installations front of application --' -- -- Fees: Total Balance Due $ Enter total of above foes f _._ LJ Trust Account N_ _�_ 8°,,6 Stale Surcharge — - Total Balance Due All New Commercial Buildings require 2 sets of plans. I:\dsts\fonmxelc•fees.doc 01!0310? I i L-Wr- i3 ri �I ` L-L n� i ?,J0 i IIA. :73, oQt bin i f CITY OF TIOARD .Residential Certificate of Occupancy Permit No.: ?C2� �J 57 t'p Address: Owner/Contractor: ��w' `"�OS��2__ Date of Final Inspection: -3-1-1*t-(33 Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling Specialty Code and is I,..aby approved for occupancy._— _