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13675 SW BENCHVIEW PLACE 01 May U3 ^9:57:14 R:\LT\LT17BE.dwg MRR r. r a. i ,rZ1 N 1056'32" E 48 68' I I r 1 124 �.. +I + 1 I L............ . ............ I ............ N ........ ..... ................ 1 o F o I. �. . i Iz { � I r p 110 I + o l a r I I __.__...... .................... + rn l �. I i ,DO co I log 10 9� 1.......... 00 { 4 .•............................... ............. ...... 6 I t 1 I p r Z { I MAIN FLOOR Co it sl rn " I 1 I EL--:100.0, ............_......... �,.�.. . rn p o Iv r? 1 It w { I --- -- 5' Bco 10 ' = I n I I •• GARAuE + I 9�. 81.42 I IL I.,XAi �` go zy I 1 I a» CONC. z I { DRIVEWAY � 1 13500 P.S.11 N� 4p ♦ � + I1I . I _ � ♦ p1I WATEn ._ X x"X X"X" METER ob 8' -- P U.E. SM. BENCHVIEW PLACE CE r' PROPOSED TREE TO KEEP -X-X-•X-X Sll T FENCE CONC. RETAINING WALL / / 05 02 01 MRR ��----- S C A L L 1 - 2 Q 0 ALAN MASCORD DESIGN ASSOCIATES. INC IS NOT CITY OF TIG.4RD LIABLE FOR THE ACCURACY OF THE TOPOGRAPHY IBLKDEATION IT IS THE SOLE RENDITIO S. IN LU THE NG BENCHVIEW ESTATES 2263E BUL.UER 10 VERIFY ALL SITE CONDITIONS. INCLUDINGANY FILL PLACED ON THE SITE AND NOTIFY TNF E0T 1 OWNERS OF ANY POTENTIAL FIELD MODIFICATIONS ALAN UAacaro oESM ASSOCIATES NC. B Y WEST 1.A K E HOMES ,J95 NW gem AV( POR,lANO ON 9?700 10 4.3f>' SQ. FT) eo]i77s I'M' TAX 97/7)50977 5nnp//w..mnn5.5 nam r NOTICE: IF THE PRINT OR TYPE ON ANY Tri I I III III III III III 1 11 I I III III I �T 1 r T 1�T I I III i . _ � + , � � r � I l i i 1 1 l 1 1 1 ( I � ( � illlllllll � illrilllilllllll � l IMAGE IS NOT AS CLEAR AS THIS N � OTIICE, 2 � IT IS D�J E TO THE L---- - _ ------ - __ __----g - - l O 1 oU E UALI f Q fY OF THE __- �___ 1� ORIGINAL DOCUMENT __ _ ___ _ N i.36 91-0. ..,��..... E f3Z 8Z G �' 9Z 5Z �► Z EZ Z I tZ 0Z, 6i 8I LI 8i � i � i Ei�--Z 1: , -UT -rs G- 9 i E Z� 1 I �--�_____'_ III.�Ili� 1111IlilIIIIIIiIiIIIII�1li�i� l!IIILII �.LJ. 1111 1111 Ilia �N13MI Ill�llllllllillllllAI�IIIill.11111!IIIIIIIIIIIIAIIIIIIIIIIIiIIlllli� lLlllllillllll�l, lllllll! IIIIILIIIIIII!lllll� Ili! llll!!1111.11!a.11.11111 �. L l Il!11111�l�II z Y+ww.wYMeb�Y.AY YY .—:,:_...... _.,r:.i.Y1Wy.�rY .._,.,:.:d.��:.............i......H1Y4wnn+iWrww�...«w1nw«.w.__•+`."...=+u nw+�w+wi�Y1W W 13675 SW Benchview Place CITY OF TIGARD 13125 S.W. HALL BLVD. "I TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE j' LITE-RITE ELECTRICAL_ CON!MUNiIv OFVFIOti'I�Eyi 28820 SW BURKHALTER RD HILLSBORO, OR 97123 Electrical Signature Form Permit#: MST2001-00263 Date Iss►aed: 716101 Parcel: 2S104DC-01700 Site Address: 13675 SW BENCHVIEW PL PVT Subdivision: BENCHVIEW ESTATES Block: Lot: 017 Jurisdiction: TIG Zoning: R-4.5 Remarks: Construction of new single family detached residence.Path 1 Y(,iir company has been indicated as the electrics! contractor for t,-ie permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspecti4_EiS will be authorized until this completed form is received OWNER. ELECTRICAL CONTRACTOR: WESTLAKE HOMES INC LITE-RITE ELECTRICAL PO BOX 69326 28820 SW BURKHALI ER RD PORTLAND, OR 472011 NILLSBORO, OR 97123 Prone #: 503-675-0495 Phone #: 503-648-9744 Req 4- LIC 89854 SUP 4041S ELE 34-3580 AN INK SIGNATURE IS REQUIRED ON THIS FORM Si nater of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECFIVFD IMPORTANT PERMIT NOTICE JW. 1 : 2001 COMMUNII<Y DEVEIUYMENI TIMBER VALLEY PLUMBING PO BOX 34 CAN BY, OR 97013 Plumbing Signature Form Permit #: MST2001-00263 Date Issued. 7/6/01 Parcel: 2S104DC-01700 Site Address: 13675 SW BENCHVIEW PL PVT Subdivision: BENCHVIEW ESTATES Block: Lot: 017 Jurisdiction: TIG Zoning: R-4.5 Remarks: Construction of new single family detached residenc,e.Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. Inorder for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN-. Building Dept. No plumbing inspections will be authorized until this completed forrrn is received OWNER: PLUMBING CONTRACTOR: WESTLAKE HOMES INC TIMBER VALLEY PLUMBING PO BOX 69326 PO BOX 34 PORTLAND, OR 97201 CANBY. OR 97013 Phone #: 503-675.0495 Phone #: 2156-4300 Reg #: I IC 42031 PI M 3-166PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X_ �� Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext # 310 r CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2G02-00021 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/22/02 PARCEL: 2S101DC-0"700 SITE ADDRESS: 13675 SW BENCHVIEW PL PVT SUBDIVISION: BENCHVIEW ESTATES ZONING: R-4.E BLOCK: LOT: 017 _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. FEES Owner: — Type By Date Amount Receipt WESTLAKE HOMES INC PRMT CTR 1/22/02 $36.25 27200200000 PC? BOX 69326 5PCT CTR 1/22/02 $2.90 27200200000 11 PORTLAND,OR 97201 — —� Total $39.15 Phone 1: 503-675-0495 Contractor: JOHN DARBY LANDSCAPE INC 13867 SW BENCHVIEW TERRACE TIGARD, OR 97223 REQUIRED INSPECTIONS Final Inspection Phone 1: 579-5290 Reg#: LIC 7110 PLM 12319LCL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All viork will be done in accordance with approved plans. This permit will expire if work is not started within 1130 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopt(A by the Oregon Utility Notification Center. Those rules are set forth in OAR 'j52-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. IssuedBy: / Permittee Signature: "W, Call (503) -4175 by 7:00 P.M. for an Inspection needed the next b iness day Plumbing Permit Application . Date received: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 --- City ofTigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 599-196,,) Date issued: ByL Receipt no.: Land use approval: .--- -- Case file no.: I'aymel"type: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U1'eiratnt improvement U New construction U Addition/alteration/reelace[Ile III U Food service U(filler: 1 101 Job address: /��o�,$ �) /�E_ '-t/Lrry�//�,c(J De9cri tion (?t l�ee(ea.) Total Bldg.no. _Suite no.: New I-and 2-family dwellings only: Tax map/tax lot/account no.: (includes 100fl.for each utility connection) SFR(1)bath Lot: Block: Subdivision: SFR(2)bath -- - - Project name: _ _ _ SFR(3)bath -- - City/county —__ ZIP: Each additional bath/kitchen Description and location of work on premises: — Site utilities: Catch hasin/area drain _ Est.date of•completion/inspection: ^^ Drywells/leach lineltrench drain Footing drain(no.lin. ft.) Manufactured home utilities Business name- Aff' 4 Manholes _ Address: .S a -Rain drain connector City�r" __ State /�� 7.IP � Sanitary sewer(no. lin. ft.) -�-- --- --- Phone: �ax: E-mail: - Stomi sewer(no. lin. ft.) CCB no.: /a Plumb. bus.reg,no: Water service(no. lin.ft.) --- --- " ---- - Fixture or item: City/metro lic.no.: _ Contractor's representative signature: s+�� Absorption valve — -_ Print name: Date: Back flow preventer __-_- Backwater valve Basins/lavatory Name: Clothes washer - - — Address: '�Cu�jA-u 5Dishwasher Drinking fountain(s) City_ — _ State: LIP: _ Ejectors/sump Phone: -- Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): Floor drainstfloor sinks/hub Mailing address: - -- Garbage disposal - -------- — ---- Hose bibb City: _ State: ZIP: _ ice maker __ Phone: Fax: _ E-mail: Interceptor/grease trap- Owner installation/residential maintenance only: The actual installation Primer(s) _— w,ll be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s) — Owner's signature: Date: _ -Sump _ Tubs/shower/shower pan_ Name: Urinal - -_ --- - - -- - - Water closet Address: Water heater City: _ --- _- State: ZIP_ _ Other: -- �- Phone: Fax: E-mail: _ Totd Not Wt Jtrtatlic"s wcelt aedlt cues,pleie call)ort diction for mare irdormatlon. Notice:This permit application Minimum fee.................$ o Vita Of Mastercard __flan review(at %) $ expires if a permit is not obtained a CSoa;t card d,ro6ec_.- _.._- ____L_L - within ISO days after it has been State surcharge(8%)....$ E.xptre' TOTAL ^ —-- -Name� r6own on aedn cad accepted as complete. ....................... S _ strain --Amomi 410-4616(60(VC0tM) t CITY OF TI GA R D —MASTER PERMIT DEVELOPMENT SERVICESPERMIT M MST2001-00263 13125 SW Hall Blvd., 'rigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/6/01 SITE ADDRESS: 13675 SW BENCHVIEW PL PVT SUBDIVISION: BENCHVIEW ESTATES PARCEL: 2S104DC 01700 BLOCK: ZONING: R-4.5 LOT:017 JURISDICTION: TIG REMARKS: Construction of new single family detached residence.Path 1 BUILDING REISSUE: STORIES: .1 FLOOR AREAS _ REQUIRED SETBACKS_ REQUIRED CLASS 0rWORK: NEW HEIGHT: 2> FIRST: 1,620 at BASEMENT: 16200 el ` LEFT: 7 SMOKE DETECTORS. v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.270 of GARAGE: 632 of FRONT: 20 PARKING SPACES: , TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of VALUE: $396,069 50 RIGHT: 7 OCCUPANCY GRP: n3 BORM: 3 BATH: 4 TOTAL: 3,090.00 of REAR: 72 PLUMBING SINKS: .1 WATER CLOSETS: 4 WPSHING MACH: t LAUNDRY TRAYS t RAIN DRAIN: 100 TRAPS: LAVATORIES: f, DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS I CATCH BASINS: TUB/SHOWERS: 4 GARBAGE DISP: I WATER HEATERS: t WATER LINE-S: 100 BCKFLW PREVNTRi GREASE TRAPS: - MECHANICAL OTHER FIXTURES FUEL TYPF-S FURN<100K: BOIL/CMP<JHP: VENT FANS: 5 CLOTHES DRYER: I ,,AS FURN>-10014: I UNIT HEATERS: HOODS: t OTHER UNITS t MAX INP: blu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLET: I -- ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS -- 1000 3FOR LE53: I 0 - 200 amp 0 200 amp: MISCELL_AN.EOUS __ADD'L INSPECt10NS_ W/SVC OR FDR: PUMP/IRRIGA'ION: PER INSPECTION FA ADD'L 500SF: 9 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR 00 SIGNIOUT UN LT: PER HOUR. LIMITED ENERGY: 401 - 600 amp: 401 60o amp: EA ADDL BR CIR: SIGNAL/PANE_: IN PLAN f. MANU HM/SVC/FDR: 501 1000 amp: 601+8mpa•1000v: MINOR LABEL. 1009+amplvolt Reconnect only PLAN REVIEW SECTION >a4 REQ UNITS: SVC/FDR-225 A.: --- >600 V NOMINAL: CLS AREA/SPC OCC>. ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL -- _ -- _ B.COMMERCIAL AUDIO d STEREO: X VACUUM SYSTEM. X AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING. OUTDOOR LNDSC LT BURGLAR ALARM X OTH: BOILER: HVAC LANDSr.APE/IRRIG. PROTECTIVE SIGNL. GARAGE OPENER: X CLOCK: INSTRUMENTA-ION: MEDICAL: OTHR: HVAC. X DATA/TELE COMM: NURSE CALLS: TOTAL/SYSTEMS. Owner: Contractor: TOTAL FEES: $ 8,569.92 WESTLAKE HOMES INC WESTL.AKE HOMES This permit is subject to the regulations contained in the PO BOX 69326 PO BOX 69326 Tigard Municipal Code.State of OR Specialty Codes and PORTLAND,OR 97201 PORTLAND,OR 97201 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 the Phone work is suspended for more than 180 days A-T-TENTION Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set y Raplr: :Ic rnoss�;4 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to F ./G REQUIRED INSPECTIONS OUNC by calling(503)246-1987 [Foundatiorinsp rosion Control Insp 8" Wlr Proofing Bsm't Wa Footing/Foundation Dr; Plumb Top Out Exterior Sheathing Inst Rain drain Insp rading Inspection Post/Beam Structural Plm/undslab Insp Electrical Service Low Voltage Water Line Insp ewer Inspection Post/Beam Mechanlca PLM/Underfloor Electrical Rough In Gas Line Insp A ooting Insp r- ppr/Sdwlk Ins;; Underfloor Insulation ring Drain Bsm't Walls Framing Insp Gas Fireplace Electrical Final Crawl Draln/Backwater Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Issued By : 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#: SWR2001-00160 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/6/01 SITE ADDRESS; 13675 SW BENCHVIEW PL PVT PARCEL: 2S104DC-01700 SUBDIVISION: BENCHVIEW ESTATES ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: L.TPSWR IMPERV SURFACE: Remarks: Sawer connection permit for new single family residence. Owner: FEES WESTLAKE HOMES INC Type By Date Amount Receipt PO BOX 69326 PORTLAND, OR 97201 PRMT CTR 716/01 $2,300.00 27200100000 INSP CTR 7/6/01 $35.00 27200100000 Phone: 503-675-0495 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days froi i the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy ol, the side sewer laterals If the sewer is net 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 purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct quer, ms to OUNC by calling (50 3) 246-1987. h1fUAdb _ Q Permittee Signature:i 4j_ ° Call 1,503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building Permit City of Tigard TW/ �.ft .: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: _ Expire date: C,itynf'TigarA r�\ Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: I 1&2 family:Simple Complex: L� �'t &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Add;tion/altcratiordreplacement U Tenant improvement U Fire sprinkler/alarm U Other: _ Job address: / t �� Bldg.no.: Suite no.: Lot: Block: Subdivision: v4CH VIS7w E 7-Ar&_X_ Tax map/tax lot/account no.:,x f,10410,e -G/ a Project name: Description and location of work on premises/special conditions 1�tNeYYIE ,3 �-S'T ]E'L Mailing address: -fo 1&2 fatally dwelling: City: TL% State: b ZIP: 97?_01 Valuation of work........................................ $ J 9(, Phone: • - Fax: Email: No.of bedrooms/baths................................. 3 Owner's representative: W04 Total number of floors................................. _ ? Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... (!Z L Garage/carport area(sq.ft.).......I................. Name: Covered porch area(sq. ft.) ............... ......... Mailing address: Deck area(sq. ft.) ........................................ 5 c/ _ City: State: ZIP: Other structure area(sq.ft.)........_.............. Fhone: Fax: E-mail: ('ommerclaUindustrlal/multi-family: Valuation of work.............................. ........ $ Business name: [r•�E3"TZ�tY� its Existing bldg.area(sq. ft.) ..... ...... ........... _ Address: - - New bldg.area(sq. ft.)....I......... ............... _ City: fTt.J4tµf> State: b� 'LIP: 7Z.01 Number of stories................... ... .............. _ Phone$ Fax: E-mail: Type of construction....................... ............ CCB no.: (2S3Z4 Occupancygroup(s): Existing: - - Ncw: _ 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 30Y K%..1 0-- _ jurisdiction where work is being performed. If the applicant is city: State: ZIP: 4j2ZT>9 exempt from licensing,the following reason applies: Contact person: Plan no.: ZZ—&l C �-- - Phone: UJr-4)j&I IF= I E-mail: - — Name:" Contact person: Fees due upon application ........................... $ Address: nate received: _ _ City: State: ZIP: Amount received ........................................ $ Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have mad and examined this application and the Na all jwisdicti m weep credit cards.please can jurisdiction for utore infonnuiar. attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard work will be conLWkW with,wbether specified herein or not. Credit card iatmber: _ _. _-LL_ r_spires Authorized slgnatu, Date: S'q—�) _ Name of carAroider as diown on credit cord Print name:''(1fs.i (� F_t.(, �(_! --i' r'C— Cardhddet d -- s Amnuat Notice:This permit application expires if a pertnit is not obtained within 190 days after it has been accepted as oomplete. 44c-4613(froaroMI One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: City„(Tigard Associated permits: City or Tigar Ll Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 I Land use actions completed.Sec jurisdiction criteria fur concurrent reviews. 2 Zoning. flood plain,solar balance points,sAismic soils designation,historic district,etc. 3 Verificatlon of approved platllot 4 Fire district _—approval required. 5 Septic system permit or authorization for remodel. Existing system capacity _ 6 Sewer permit. 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. _ 9 F,rosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 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 fixation and details. Plan review cannot be completed it copyright violations exist. _ I I Site/plot plan drawn to sale.'fhe plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 241.in(ervals);location of casements 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 to atica. _ 13 Floor plana.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-membra sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof constniction.More than orae cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,moflng,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. _ 15 Elevation views. Pnrvide 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 fart at building envelope. i Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)aml/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floss/roof assemblies,indicat"ng member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.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 cafe design values for all beams and multiple joists over 10 feet long and/or any bcam/joist carrying a non-uniform load. _ 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. n gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i e.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall be shown to he applicable to the project under review. "21five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x I 1"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. 26 No rolled,reversed or mirrored building plans will be accepted. 27 _ 28 Checklist must be completed before plant review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 44 4614 tbMOICOM) Plumbing Permit Application Datereceived: S H e I Permit no.: 6 City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- CiryojTigard phone: (503) 6394171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: 0 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Ocher. 3011%111 IN[,0l(N1%Il0N FEE SCI I 1-1)l LL(for special Information u%e checklist Y Job address: l 3 L7 HY t �l— _ De.criptlon kn . Fee(ea.) 'Total Bldg.no.: _ Suitc_no.: New 1-and 2-family dwellings only: lot/account no.: (includes 1100 H.foreach utility connection) Taxn map/taxSFR(I!bath Lot: -7 1 Block: Subdivision– V1 SFR(2)bath Project name: ►" SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of work on premises:_ Site utilities: _ Catch basin/area drain Est.date of completion/ins tion: Drywells/leach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities Business name: Manholes Address: Rain drain connector City: C tj I State:04 ZIP: 7 7D/,� _ Sanitary sewer(no.lin.ft.) Phone: I E-mail: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no.lin.ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve Back flow prevcnter Print name: Date: Backwater valve _ Basins lavatory Name: Clothes washer Dishwasher Address: — Drinking fountain(s) City: State: ZIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): Floor drainstfloor sinksthub Mailing address: — - Garbage disposal Hose bibb City: _ZIP: Ice maker Phone: Fax: E-mail: Interceptor/grease trap Owner installation/rasidential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sin (s), asin(s), ays(s) Owner's si ature: _ Date: _ _ Sum Tubs/shower/shower pan Name. Urinal -- Water closet Address: Water heater City: State: ZIP. Other: - Phone: Fax: -mail: Total Na w jm)s&cdom accept cm uo earth,pwe tali MsdWan rrr nae lnfwma im Notice:This permit application Minimum fee................$ ❑Viae UMasterCaniPlan review(at _ %) $ — expires if a permit is not obtained t7wdt cant tamber-___ —1. / – within 180 days after it has been State surcharge(8%)....$ Named cudm**r to dawn on cmdh card E,pira accepted as complete. TOTAL .......................$ Cardhorder tip sttae Au xW - 44G-4616(6A1 WM) ' PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24amily dwellings only: FIXTURES Individual) QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the ffrst100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utllconnection) Tub or Tub/Showei Corrb. 16.60 One 1 bath $249.20 Two..-(2)bath _ _ --------- ---... 3350,00 _ Shower Only 16.60 Three 3 bath_ _ $399.00 _ Water Closet 16.60 __ SUBTOTAL - Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 ___� _TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 1660 3„ - 16.60 PLEASE COMPLETE: 4" -- 16.60 _ Water Heater O conversion O like kind 16.60 Quantity b_Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ emrit_ __ _ Capped MFG Home New Water Service- 46.40 _Sink MFG Home New San/Stone Sewer 46.40 Lavatory Hose Bibs 16.60 Tub or Tub/Shower Combination _ Roof Drains 16.60 Shower Only. _ Drinking Fountain 16.60 Water Closet _ Other Fixtures(Specify) 16.60 Urinal Dishwasher _ - Garbage Dis osal Laundry Room Tray Washing Machine Sewer-1st 100' 55.00 ---Floor Drain/Sink: 2"3„ - - Sewer-each additional 100' 46.40 4" --- Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures - 5tattl&Rain Drain-1st 100' 55.00 (Specify) Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 _. Residential Barknow Prevention Device' 27.55 -- --- Atch Basin 16.60 -r�R spection o;Existing Plumbing or Specially 72.500equested Inspections ETI, _ COMMENTS REGARDING ABOVE:ain Drain,single family dwelling 65.25 Grease Trans 1660 QUANTITY TOTAL Isometric or riser diagram Is required if --- - -- _ Qua_ntHy ToWI is _9 'SUBTOTAL - 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL _ Regulred only If fixture qty total Is>9 _ TOTAL S *Minimum permit fee Is$72 50-8%slat,surcharge,except Residential Backflow Prevention Device,which Is$ae 25+8%stale surcharge. **All New Commercial Buildings require plans with Isomelec or riser diagram and plan review 1:1d0;\fes\pIm-fees.doc 10/10/00 1 I Mechanical Permit Application Date received: 5 d Permitno.: / p0I'Ooa�3 City of Tigard Projec:t/appl.no.: Expire date: City nfTignrd 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: Building permit no.: 0 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family O Tenant improvement U New construction U Addition/alteration/replacemeni 0 Other: Job address: 1 3 7 S SIs e u V I Ew 9 t_ Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: VEw *See checklist 1'or important application information and Project name: y: �Tjurisdiction's fee schedule for residential permit fee. City/cuunt __ ZIP: Description and location of work on premises:_ Est.date of completion/inspection: Fee(ea.) Total 1DeKd ply Res.only Rts.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No 7Airhandling unit Cpm Is existing space insulated?O Yes U No r con itioning(site p an re ut R) -Alterationo exist ng s stem _Boiler/compressors - Business name: _ State boiler permit no.: Address: HP Tons BTU/H smo a dampers/duct smoke detectors _-- City: L Am p, Slate: ZIP: eat pump(s to p an re w ) - ---- Phone: L50-c,01 Fax: E-mail: Instal Ifteplacerurnoci%umer CCB no.: `7/g in ductwork vent liner U Yes U No City/metro lic.no.: n istalureplaccirelocate heaters-suspen e , _ wall,or floor mounted Name(please rint): _ C- H L_ ens tora iance other than furnace - -" Absorption units __ liTll/H Name: Chillers Address: Com reasors_ IIP City: State: ZIP: v rontnenta ex must an ventilation: --- Appliance vent Phone: Fax: E-mail: Appliance Hood ---" --- s, ype res. tc a azmal -- hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing address: Exhaust systema art rem heaun or -- City: _ State: ZIP: _ ruel pisnit and fd on(up to 4 outlets) - Phone: Fax: E-mail: — Type LPG NO Oil due i m eac additional over outets Process piping p p ng(sc ematic requ re ) Name: Number of outlets - Address: Other l6ted appliance or equ pment• - -- _ Decorative_fireplace C 11Y: _ State: Z1P: insert-type - — Phone: I Fax: E-mail: Woodslove/pellet stove -- Applicant's signature: Date: Other: Name(print): Other. _.— Nd all juridictloru weep credit card,,pleas call jurisdiction ror more inrorm ilm.' Permit fee.....................$ U Visa U MasterCard Notice:This permit application Minimum fee................$ Ordir card number: expires if a permit is not obtained Plan review(at ifel within Igo days after it has been 96) $ a —— cerdholdrr a^s-._ho — ( _ Name d wn an credit ward accepted as complete. State surcharge 89E)....$ ----- _ f TOTAL ......................1$ ----- --- Cardholder Nanature _ Arnoartt _ 4104617(6A&MM) WXHANIGAL PERMIT FEES ii .MERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUA_TIU_N: FEE: Description: Price Total 31 f�0 to 35,300.00 Minimum fee 172.50 - Table 1A Mechanical Code _^ Qty (Ea) Amt $5,001.00 to$10,000.00 _T $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 _ 1400 fraction thereof,to and including 2) Fumace 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 heater,wall heater ____ 325,000.00. or floor mounted heater 14.00 525,001.00 to 350,000.00^ $379.50 for the first S25,000.00 and 5) Vent not included in appliance permit 31.45 for each aduitional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50,001 00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air 31.20 for each additional$100.00 or For items 7.11,see or Pump Cond fraction thereof. footnotes below. C0m2' " -�- ------" V - 7) :3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 11101<BTU 14 00 8)3-15 HP;absorb Value Total unit 100k to 5001•.BTU 25.60 Description- Oty Ea Amount 9)15-30 HP;absorb Fumace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 _ ducts&vents 10,30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 _ ducts&vents _ _ _ 11)>50HP:absorb Floor furnace uding vent 955 _ unit>1.75 mil 87 20_ _ Suspended healer,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater_ 10.00 Vent not included In applicance 445 13)Ah handling unit 10,000 CFM+ <Permit__ _ 17 20 Re air units 805 14)Non-portable evaporate cooler hp;absorb.unit, 955 10.00 _ to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU16)Ventilation system not included In 15-3011p;absorb.unit,501k to 1 - 2,310 appliance permit 10.00 mill.BTU - --- 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU -- >50 hp;absorb_unit, 5,725 18)Domestic,incinerators 17.40 >1.75 mil.BTU 19)Commercial or industrial type incinerator Air handlinR_unit to 10,000 circ: 656 Air handling unit>10,000 efrin _ 1,170 s-- 20)Other units,including wood stoves Non-portable evaporate cooler _ 656 i_..__. 10.00 Vent fan connected to a single duct _ 446 _ 21)Gas piping one to four outlets Vent system not included in 656 5 40 appliance permit 22)More than 4-per outlet(each) Hood served byrnechanical r 5aust 656 1.00 Domestic incinerator _ _ 1 170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerator 4 590 Other unit,including wood stoves, 656 - 8%State Surcharge $ Inserts,etc. _ Gas piping 1-4 outlets _ 360 --�" 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 _ Required for ALL commercial permits only TOTAL COMMERCIAL f TOTAL RESIDENTIAL PERMIT FEE: $ VAiUATION: _ L____ Other Inspections and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 par hour 3 Additional plan review required by changes,additions or revisions to plRns(minimum charge-one-half hour)$72 50 per hour State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. I:klsts\forrns4nech-fees.doc 10/11/00 Electrical Permit Application Date rcce i ved: Ir 1 Perron no.:/ City of Tigard ProjecUappl.no.: Expire date. OrvofTigard Address: 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: =New y dwelling or accessory U Commercial,industrial U Multi-family U Tenant improvement ction U Addition/alteration/replacernrnt U Other:_ U Partial Job address: � (e'7 r,L-z Lmlr-n1dYrFw Bldg.no.: _ Suite no.: ITax map/tnx lot/account no.: l.ol: 1 'I Block_ Suhdiviaion: vrn.- em-e 1'er Project name: Description and lavation of work on premises: Estimated date of con lelionhns ctiow Rings ,lob no: Fee Max Husincssname: � �- L *Description try. (en.) Tohl no.lns it News"ilial- woe or rmdti-family per Address: \"1 Z—tel, dwelNngunit.Includes anactedgni1w. City: 141 State: C, ZIP: 2/Z j 9ervicrinchided: Phon(:G4g,_'�7 Fax: E-mail: ION sq.It.or less — '- y'r3 Each additional 500 sq.ft. portion thereof _ CCB no.: `L j's�" Elec.bus,IiC.no: Limitedenergy,rcsidenti AU. ff _ City/metro lic.no.: Limited energy,non-reside tial _ 2 Each manufactured home or modular dwelling Si nature of supervising electrician trician(required) Date Service and/or feeder _ 2 Su .alae.frarnn nt): License no: Serrates or feeders Installation, P alteration or relocation: 200 amps or less _ _ 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: State: ZIP: — Over 1000 amps or voits 2 Phone: Fax: Email: Reconnectonl I Owner installation:The installation is being made on prof erty I own Temporary services or feeders which is not intended for sale,lease,real,or exchange according to Installation,alteration,or relocation• 2iNi amps or less 2 ORS 447,455,479,670,701. _ _ 201 amps w 4(1(1 amps 2 Owners sl nature: Dale: 401 to 600 am s — 2 Branch circuits-new,alteration, or extension per panel: Name: — A. Fee for branch circuits with purchase of Address: set-ice or feeder fee,each branch circuit 2 City: Stale: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Photic: Fax: Email: Each additional branch circuit: Misc.(Service or feeder not included): ❑Serviceover 22Samps-commercial U Health-care facility Each um or irrigation circle 2 O Service over 320 amps-rating of I R2 U Hazardous location Each sign or outline lighting —2 fmnilydwellings U Buildiag of er 10.000 square feet four or Signal circuit(s)ora limited energy panel. U System over 600 volts noininal more residential units in one structure ahcration,or extension' '-_ U Building over three stories U Feeders,400 amps or more *Description U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in arty of the alcove: U EgressAightingplun U Other — — -- perinspection Sabmit —sets of plans with any of the above. Investigation fee _ The above are not applicable to tempora ry construction service. Other Nnt all jurisdictions we M credit tarda,please call jurisdiction for more information.' Notice:This permit application Permit fee.....................$ U Visit U MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit cani nutntwc — _ —_L�l__ within 180 days after it has been State surcharge(8%)....$ Expires accepted as complete. _—Name of cil I a shown on rrrvlit rant f --c'rdholtkr signature Arntwm 440AM(6MKOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: ��-- -� Restricted Energy Fee...................................................... $7500 Number of Inspections par permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved. Residential-per unit 1000 sq fl.or less _— $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 Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 _ _. 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 Vacuum Systems 201 amps to 400 amps $106.85 2 401 amps to 600 amps $1,60.60_ 2 r-1 601 amps to 1000 amps _— $240.60 2 LJ Other_ Over 1000 amts or volts —_ $45465 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY altarice or relocation Fee for each system...................... ................................. $75.00 Installation, 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 _ — 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits F-1 Boiler Controls New,alteration or extension per panel a)The fee for branch circuits F-]with purchase of service or Clock Systems feeder fee. Each branch circuit _ $6 65— Data Telecommunication InslaCation b)The fee foi branch circuits witaout purchase of service F-1 Fire Alarm Installation or fender tae. First branch circuit $46.85 [] HVAC Each additional branch cucwl $6.65 Miscellaneous El Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 _ L1 Intercom and Paging S,rstems Each sign ur outline lighting --�. $53.40 Signal circutt(s)or a limited energy El Landscape Irrigation Control' panel,alteration or extension — $75.00 _ Minor LSJels(10) $125.00 Medical Each additional Inspection over the allowable In any of the above F-1 Nurse Calls Per inspection _ $62.50_ Per hour _ $62.50r- In Plant $73.75 u Outdoor Landscape Lighting` Fees: Protective Signaling Enter tctal of above fees + F-] Other 8%State Surcharge $ _ _ --_-_Number of Systems 25%Plan Review Fee No licenses are required Lrenses are ,nulred for all other insrallati.ins See"Plan Review'section nr, $ front of application _ _ Fees: Tote/Balance Due — Enter total of above fees $ ❑ Trust Account q- 8%State Surcharge $ Total Balance Due -- I vISISAromtsAelr Ive,do, In 01)00 ttif.,.'u5;!V79�1 t � � ft 4i?V . i __.�.�..._____� _.�._�......_..Y......_.. CITY OF TIOARD L� Residential Certificate Of OccuP Icy Q Permit s Address: _! Owner/Contractor: �, Inspector: Date of Final Inspection: '� �------- - Thts structure has been found to he in substantial compliance with the provisions of the State of Oregon One& Two FamilyDµ'Plii"R 5pecial►v Code and is hereby approved for i CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639,4175 / aO.-AL/93, INSPI}CTION DIVISION Business Line: (503)639-4171 BLIP _�- Received ._— _—Date Requested__ � �AM.-___-- PM--____-- BLIP \ ---Suite -- -- MEG -- --- Location -� �_�____-��_s�`��— Contact Person --__. _____ Ph( _) - PLM Contractor -- Ph( ) - __-_ _ SWR ----_-__—_-- Tenant/Owner _._ — ___-- ELG --------- --- Footing ---- ELG Foundation Access: Ftg Drain ELR __— Crawl Drain SIT Slab Inspection Notes! _ Post&Beam ---__ _ --- --- - -- Shear Anchors Ext Sheath/Shear - --- Int Sheath/Shear Framing - Insulation Drywall Nailing — �- -- T--- --Firewall Fire —_— Fire Sprinkler - - - \� Fire Alnrm l Susp'd CPlling Roof amal . -- ----------------- :�- � ._ 5S PART PWVDINa FAIL - -- — -_-- --- Post&Beam Under Slab --- ---- - � AIN WaterRoug Se / Water Service ---- --- -"�--�j' Sanitary Sewer Rain Drains - --------- - - --- - v Catch Basin/Manhole Storm Drain -- ----- ---- - - Shower Pan Other..-- ---------- ----------------------- Final PASS PART FAIL ---------------�- --- -- MECHANICAL __ -----__--� -- --- Pos!& Beam Rough-In -- --- - - -- - - Gas Line Smoke Dampers --- -- - -"` Final PASS PART FAIL - ------ -----"- -_----- ---- --_ __ELECTRICAL - --- ----_-_-- ----- - - --- -- Service Rough-In - -----_._ __ —_. --_-- -- -_--_-_ UG/Slab Low Voltage - _�- -- ----- - _--- ------ - Fire Alarm Final Reinspection fee of$_-------_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 1 Please call for reinspecticn RE:_- -_.—___ Unable to inspect-no access Fire Supply Line �j / _ ADA Date '"1 I f '6� Inspector I ApproachlSidewelk Other:__- Final DO NOT REMOVE this Inspection record)front the Job site. PASS PART FAIL f _ _ Street Tree Planting List Land Use & Development Standards Cit o Turd-- -----__ — — --- -- --�� - Ash, Green;fraxinus pennsylvanica Ash, Raywood; fraxinus o.xycarpa 'Raywood' Ash,White; fraxinus americana Beech, American; fagus grandifolia FILL Beech, European; fagus sylvatica Birch, Whitespire, Japanese White; betula platyphylla, var.japonica CXrsi G Blackgum; nyssa sylvatica ----,�- Cherry, Flowering;prunus sp. Coffeetree Kentucky; gymnocladus dioicus Dawn Redwood; metasequioia glyptostroboides Dogwood, Kousa; cornus kousa 0[4 Elm,American; ulmus americana 8- Elm, Lacebark or Chinese; ulmus parvifolia Ginko, ginko biloba Goldenrain Tree; koeireuteria paniculata Hackberry, Common; celtis occidentalis Hawthorn; crataegus Honeylocust; gleditsia triancanthos, 'var.inermis' Hophornbeam, American; ostrya virgiana Hornbeam car American; inns caroliana P Hornbeam, European; carpinus betulus Japanese Snowbell; styrax japonicus Katsura Tree; cercidiphyllum japonicum Lilac,Japanese Tree; syringa reticulata Linden,American; tilia emericana Magnolia, iCucumbertree; magnolia acuminata ,� Magnolia, Star; magnolia stellate Maple, Black; acer nigrum Maple, Hedge; acer campestre Maple, Paperbark; acer griseum Maple, Red; acer rubrum Maple,Sugar; acer saccharum 1 Maple,Tatarian; acer tataricum L�, \ Maple,Trident;acer buergeranum Oak;,English; quercus robur Oak, Northe.n Red; quen,us rubra Oak,Oregc n White; quercus garryane Oak,Pin; quercus palustris Oak,Sawtooth; quercus acutisslma �J Oak,Shingle; quercus imbricaria c1 Oak,Shumard; quercus shumardii - Oak,Swamp White; quercus bicolor 4 Oak,Willow; quercus phellos M Pagodatree(a.k.a. Scholartree); sophore japonica `�- -- Pear, Callery;pyrus clleryana 'ffFi3;cercis Serviceberry; amelanchler Sweetgum, American; liquldamber styracitlua Zelkova; zelkova serrata 3 l:\dstsVom`s\Sb"fTreeLlstdoc 08J;MI C _- - _ 6.AAAAAAAAAAAAA 1AAAAAAAAAAAAAAI ' AAAAAAAAAAAA�r ► Ono ► q f ► Vi CL CD n ► (� l ► U° G ► CL � ► ® u� �- loo.2, °`' T ° , o Ono ► d 0 ► 44 0 �' ► e y ► s ► AL rvvvvvvvvvvvviivvvvvvvvvvvvvvvvvvvvvvvvvvvvvI CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)6394175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received —_ -_Z� Date Requ sled— ��-- AM— PM BUP Location _ I_ >�2�_ _ Suite MEC Contact Person —_ _��_. Ph(--) S 1wQ fy PLM Contractor -- - _. Ph(_------) —_—.—. —_ SWR BUILDING _ Tenant/Owner ELC Footing ELC Foundation Access: � _ -�- ---' Ftg Drain A' �) 'a' Crawl Drain _ E N ELR Slab Inspection Notes: tT IT Post&Beam Shear Anchors --- ----- -- - Ext Sheath/Shear Int Sheath/Shear Framing s - ---- - -- — —_ Insulation Drywall Nailing - ----_-- _-- ------_-_-------- _ _ _-- Firewall Fire Sprinkler — - -- `--- - -- --- -- -- --- -- Fire Alarm Susp'd Ceiling - -- - - - -- - - --- — ---- - Roof Other: _ __ -- -------- --- — ---- - - Final PASS PART FAIL - -- - ---------- --- - - -- - - --- _--- --._..._..- --- PLUMBING W -_ Post&Beam Under Slab Rough-In ---- Water Service ---- Sanitary Sewer Hain Drains Catch Basin/Manhole Storm Drain ------- --- -------�_ - -------- - --- -- Shower Pan Other: - ---- Final ----...------ ---- PASS PART FAIL -- --- ---- -- - --- ----- - - --- ------ MECHANIr:AL Post&Bear: -- -- Rough-In Gas Line Smoke Dampers Final PASS PART FAIL — --- —-- ------ — - --- ELECTRICAL Service Rough-In _ UG/Slab Low Voltage Fire Alarm 6W)-\Al' -- - -- SSS PART FAIL U Reinspection fee of$----__—_required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. SITE _ [—1 Please call for reinspection RE:_- -- — _ Unable to inspect-no access Fire Supply Line App L�J�✓�J� ApproachlSidewalk Date rt� ` SIL - C1 7� --- Inspect �-- � - Ext Oth3r: Final DO NOT REMOVE this Inspection record from tlwi b site. PASS PART FAIL I � -..Mh.�..a....+r...r..�...waa�.wr.,•w'r.w+:.w.�Wa .w.w,ar.w.+.u+r��rrr�w1WW�M1Y.hMawourwrarwcan�w�wr..«.w..vwr..w..u...�. _. .. CIYY OFTICARD 24-Hour BUILDING Inspection Line (563)639-4175 # �G 0/ �� 4 3 INSPE00TION DIVISION Business Line: (503)639-4171 J MST c— BUP Received — —_._Date Requested. _> AM PM— _ BUP --_ — Location �_ f 3(0 Suite MEC — — -- Contact Person .__ �__—_ .�ri..r Ph( ) ` 3�U._ PLM Contractor._ _— Ph(—.) ______— SWR BUILDING _ Tenant/Owner ELC _.— F;,oting - I rwndation ELC Access: ELR Ftq Drain Crawl Drain Slab Inspectio"ot�e �U� r c SIT Post&Beam Sheer Anchors ��y ------- Fxt Sheath/Shear Int Sheath/Shear Framing `-� ---- - - InLulation Drywall Nailing —---�� - Firewall Fire Sp,inkler -- Fire Alarm - e 770x,( C / le- .fi r Susp'd Ceiling - --� - Roof Other: -- Final POD—RART FAIL — --- .Po UMBING _ -- — Under Slab -- - - Rough-In Water Service - -- - - Sanitary Sewer Rain Drains ----- --- - -- Catch Basin/Manhole Storm Drain ---------- - - Shower Pan i A9�NICAL PART FAIL -` - -----_-^ --- --- -- -- -- --- -- - Post&Beam Rough-In - --------------- GasLine -------------------------- --- Smoke Dampers - ------ --- -- --- ----------- - Final PASS PART FAIL --- --- - - - - --- - ---- ---_ ELECTRICAL Service ---_----- ------------- - -- Pough-In __ -.-_-_-.��- ------- - ---------- --- UG/Slab Low Voltage Fire Alarm Alarm Final ❑ Reinspection fee of$ required before next inspection. ray at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL_ SITE __- Please call for reinspection RF -_ __-_-____.__._._-____—�_ Unable to inspect-no access Fire Supply Line ADA Dates - -- inspector_ -.- -�.__- - Ext Approach/Sidewalk -- - �/�- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-41,'5 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP Received __ Date Requested_ A PM BLIP - Location e_ _ MSEC ----- - -_ Contact Person _- _- Ph(_--) PLM Contractor-_ _ - Ph( ) _ _ Swil BUILDING_ _ Tenant/Owner : _5 7 r� --�� l.� E L C 0 Footing % Foundation EU' Ftg Drain Access: ELR Crawl Drain - - Slab Inspection Notes: G� �VLI. SIT Post&Beam - -_ -- -- ---- �' Shear Anchors - Ext Sheath/Shear Int Sheath/Shear ----..--- - -___n_ Framing ------- --- - -- --- - - Insulation Drywall Nailing --- ---- --- - _.Firewall Fire Fire Sprinkler -- -------- - - - -- Fire Alarm Susp'd Ceiling _— Roof Other: --__._.._------- -- ------- - - Final PASS PART FAIL-- PLUMBING AIL_PLUMBING Past 8 Beam------- -- Under Slab -__._ ------- Rough-In - Water Service -- - -- ---- - - -- - -- Sanitary Sewer Rain Drains - --- - ----- - — -- - Catch Basin/Manhole Storm Drain - - -- - ------ _.��---f - ---- Shower Pan Other._ — Final PASS PARTFAIL --- - - - --'�-- _----- MECHANICAL - --_� - --- - -- Post R Beam Rough-In Gas Line Smoke Dampers Final PAS& FAIL -- --- - ---- ------ ECTRICA sarcic4----� Rough-In Low Voltage -------- -. ..--- - -- -- - —---_ - _-- -- ---- Fire Alarm rn PART_ FAIL_ El Reinspection fee of$- -required before next inspeo n, Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE:__ __ F Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk D�to --y-=-�41-r U Inspector Ext Other. Final - DO NOT REMOVE this Inspection record from the Jot site. PASS PART FAIL 1 -TIGARD 24-Hour ._.,;NG Inspection Line: (503)639-4175 MST _ INSPECTION DIVISION Business Line: (503)639-4171 j BLIP Received —Date Requested _ AM-- PM— BUP Location Suite— _ MEC Contact Person — Ph( ) fir._ PLM Contractor Ph(__—) SWR BUILDING Tenann -2 ZC ELC — — Footing EI_C Foundation Access: � , � ELR Ftg Drain ld Crawl Drain SIT Slab Inspection Notes:,{ -- Post&Beam lZ` [Ll.�•µ - — _ _ Shear Anchors Ext Sheath/Shear — — Int Sheath/Shear Framing --fz�- �_��a - --- - - Insulation Drywall Nailing - Firewall Fire Sprinkler — Fire Alarm 1-i[I --�— Susp'd Ceiling Root Other. Final — ��— _- PASS PART FAIL PLUMBING — - ------- Post Beam Under Slab -- Yv\c, - — Rou h-In �^ ��` l - Water Service - Sanitary Sewer ✓� X1/1 1 �. 1� Rain Drains - ----"- — - - Catch Basin/Manhole Storm Dram =---- Shower Pan Other. -- --�---�-----�-'�- ^� - ---- - Final PASS P T FAIL NIECIiAN — — -— --- ---- ---—--- —_—— --beam -- flee Rough-In tt Gas Line Smoke Dampers — N]-- r ✓1 0 P'fiia ' ,rA S. PART FAIL - ` I--- -- — -RICAL — ------ ' v � \S�'l�`'—� Zip Service / Rough-In _�..� UG/Slab C Low Voltage17 FinalFire Alarm `' Final [j Reinspection fee of$--- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F] Please call for reinspection RE: Unable to inspect-no access Fire Supply Line Approach/Sidewalk Dante _- ._ t ADAO v _ Inspector -=v' --- ---��L- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00186 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/02 PARCEL: 2S104DC-01700 SITE ADDRESS: 13675 SW BENCHVIEW PL PVT SUBDIVISION: BENCHVIEW ESTATES ZONING: R-4.5 BLOCK: LOT: 017 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: Y <= 10000 Cf m: u OTHER UNITS: > 10000 Cf m: GAS OUTLETS- Remarks: Installation of 2 A/C Cannot be placed within the required setbacks. Owner: _ FEES_ _ WESTLAKE HOMES INC Type By Date Amount Receipt PO BOX 69326 PRtv1T CTR 5/7m2 $72.50 272002000CPORTLAND, OR 97201 5PUT CTR 5/7/02. $580 272002000C Phone:503-675-0495 _� _ Total _ $78.30 Contractor: A-TEMP HEATING+ COOLING 16000 SE EVELYN ST CLACKAMAS, OR 97015 _ REQUIRED INSPECTIONS__ Mechanical Insp Phone:650-5014 Cooling Unit Insp Reg#:LIC 71878 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State o' Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuancF., or if work is suspended for more than 180 days. ATTENTIONS Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: �u.-ec,�lJu/ -C. Permittee Signature: r I/ ..lc �- Call 503 639-4175 b 7:00 P.M. for inspections needed the next bu4inetss' da ( ) Y P Y APP.-30-2002 14:48 A TEMP HEATING 5035572990 P.02%03 Mechanical-PermitApplicsfi= ` Datefeceivod:`' p i Pramlt no. City of Tigard Project/appl.no.: Expire date: City of Todard Mz'.c;": 13125 SW I•lall Blvd,Tigard,OR 97213 Date issued: By: ,(-t Receiptno.: Phone: (503) 639-4171 , Fax: (503) 598-1960 Case rile no.` — Paymenttype: _ Umd use approval: _ Building pr:rmit no.: ;X;Ll 1 &2 family dwelling or accessory U Commercial/industrial CJ Multi-family U Tenant improvement Newconstruction Cl Addifion/alteration/tepiacement U Other:adders: Indicate equipment quantities in boxes below.Indicate the.dollar Bldg.no.: _ Suite no., value of all mechanical materials,equipment,labor,overhead, Tax mapitax 1002CCount no.: _ profit.Value$ Block: ubdivision: 'See checklist for important application information and d jurisdiction's fire schedule for residential permit fee., Project name: City/county: 'Z"t Gp(w ZIP: i a Descri 'on arra location of work on premists: Fee(m) TON Res.od Res.ool Est. ate of complelio nspection: 7 Tenant improvement or change of use: Air handling unit CF�N Is existing spare heated or conditioned?U Yes U NoAir con tuoning(site plan required) 1s existing space insulated?U Yes 0 NoIerAlion of exattngHVAC system WMIN Boner compregsors Stout bnilet permit no B trainees name: IIP Tons Wait" 1�1 ` ce dam _duet smoke detectors Address: - tate: Z1P: eat pump(site p- a�T n rcgwred"�j S ns Vreplscc urn umcr U/ Phone: D Fax: E-mail: including duetwork/vent liner 0 Yes U No CCB no.: l�She meta reply ro oCetr, eaters-suspen City/metm tic,no.: \ __ wall,or floor mounted w _ �� ant fora liancc oft+ec than furnace Name(pleaseprint): rr f 0—re' L.�+J Ire era ea: Abeorptlon unitsBTWH • ` Chillers—__-, HP Name: Com rsHP Addiess: a extiowt OW Wenumdon. oName: State: ZIP: f Appliance vent e: Fax: E-Mail: llryerex�iaust Dods,Typo rex.kitche atmmt hood fire zuppresaion system Bxhsust ran with single duct(bath fans) must a stem" ut mheating or A Malting address: - up to q out ets City State: 23P; Type: LPG NO 011 Frhone: Fax: R-mail: Pus p to ea r on over ou eta rroempiplilig achernaticrequi ) - Number of outlets Name: her 11idgrappirmce or 04 pmud: Address: Decorative fireplace _ C _ State: ZIP: nsett-type city: F mail: tov pc etstove phone F a: Applicant's(print):si tut ' Date' Name • --" Permit fee...................... oe dl}rradleet ee.M �+'.per°em 1° '6`w"rw wn Wwpwda Notica:This it a liestion r Pte^ PP Minimum foe........•.......S sa U Moste1g r expires if a permit is not obtained plan review(at _ 96) S c,dat erd nomt t" within 180 days after it bas been !Y J --� eooepted as complete. State surcharge(8%)...,S 1 ..- 4 ee a t ■a TOTAL ......................S _1--�.-�- u ✓ � _J �- — 4&*17 tttroateoan �70°d ldldl 1�w Q T�- CE W G� �1 (A ` t I l � t_ £0iM°d LSS£0S EJN I IU3H dW21 d 8t°:17 CITYOF TIGARD _ ELECTRICAL PERMIT – PERMIT#: ELC2002-00184 DEVELOPMENT SERVICES DATE ISSUED: 4/24l02 13125 SW Hall Blvd., Tiqard. OR 97223 15031 639-4171 PARCEL: 2S104DC-01700 SITE ADDRESS: '13675 SW BENC;HVIEW PL PVT SUBDIVISION: BENCI]VIEW ESTATES ZONING: R-4.5 BLOCK: LOT : 017 JURISDICTION: TIC; Prosect Description: Install 2 branch circuits to 2 A/C units. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LI G: LIMITED ENERGY: 401 - 600 anip: SIGNAL/PANEL: MANF HMI SVC/FDR: 601-amps - 1000 volts: MINOR LABEL 1101: SERVICE/FEEDER BRANCH CIRCUITS — _ ADr,°L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INCAECTION. 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'I- BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: --� >=4 RES UNITS: > 600 VOLT NOMINAL: L Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WESTLAKE HOMES INC LITE-RITE ELECTRICAL PO BOX 69326 28820 SW BURKHALTER RD PORTLAND, OR 97201 HILLSBORO, OR 97123 Pho7ie: 503-675-0495 F h one: 503-648-9744 Reg#: LIC 89854 SUP 4041S ELF 34-358C _ FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 4/24/02 $53.50 2720020000( Wall Cover Elect'I Fina) 5PCT CTR 4124/02 $4.28 2.7 20020000( Total $57.78 l his Permit is issued subject to the regulations contained i„ ,he Tigrrd 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 ff 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 952-001-0010 thmugh OAR 952-00' 3080 You may obtain copies of these rules or direct questions to Permit Signature: Issued By: J OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ C NT ACTOR INSTAL LATIO14 ONLY SIGNATURE OF SUP1d. ELEC'N: E� __ _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day EIcctr`gal Permit Application Date received: Perm C 2:1'J.,;2-•-UU� City of Tigard Project/appl.no.: Expire date: City(?f Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: V Phone: (503)639-4171 Fax: (503) 598-1960 ��ll Case file no.: Payment type: Land use approval: - - --_.-._..mss a LD - t f - 1- &2 family dwelling or accessory U Commercial/industrial U Will fa1111k U Tenant improvement U New construction U Add ition/alteration/replace mcn! U 011ier: U Partial t Job address: 7 - limp, n.. `:ulh [p'', ____ Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: Description and location of work on premiges- — Estimaled date of m�leiion/inspection: .lOb d0: Pec Mat � � D scripdon 01v. (ea.) Total no.insp Business name: � r ---- New residentW-single or multi-famli f per Addt'esS: dwelling unit.Includes allacired garage. City: Slltl zip Service included: Phone: �' i Fax' E-mail:'- 1000 sq.ft.or less _ 4 Fach additional SW sq.W or portion thereof - CCB no.. Elecbus,lie,no: Limited energy,residential 2 Cit ( telco IC.tdo.: .O'3 �C -/ - �� Y Limited energy,non-residential 2 Fach manufactumd home or modular dwelling f supervising elcurn ren(required) 14,- Date / - "� Service and/or feeder 2 Serrices or feede n-Instal latinn, Sup. 1.name(print) l/ / License no: alteration or relocation: ' 20'9 amps or less 2 - - Name(print): _— 201ompsto4Wamps _ _ _ 2 - - 401 amps to 600 amps Mailing address: _ 601 amps to 1000 amps 2 City: State: ZIP: Over 1000 amps or volts _ 2 Phone: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services oc feeders- which is not intended for sale,lease,rent,or exchange according to installation,alteration,orrelocation: ORS 447,455,479,670,701. 20 1 amps or less 2 _ 201 amps to 400 amps ' Owner's Si nature: Date: 401 to 600 amps Branch eirculls new,alleration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feed-fee,each branch circuit i CII Slate: 71P: B. Fee for branch circuits without purchase y' of service or feeder fee,first branch circuit Phone: Fax: L'-mail: Fach additional bunch circuit: Mlsc.(Service or 1 ceder not included): U Service over 223 amps-commercial U Health-care facihty Each pump or irrigaw,n circle— _ ' n lighting '- ❑Service over 320ampsaEach sign or outline htinatingof l�; U Hnzardouslocation g g g - -- familydwellings UBuilding over 10,000squarefeet four or Signal circutl(s)oralimited energy panel, U System over 60o volts nominal more residential units in one atructure alteration,or extension• U Building over three stories U Feelers,4W amps r more *Description: — U Occupant load over 99 persons U Manufactured structures or I,V park Each additional Inspection over the allowable In any of the alcove: U Epressiliphling plan J Other Perinspection Submit sets of pinns with any of the above. r Investigatior fee The above true not applicable to temporary construction wrvice. I Other Not all juddictianv accept credit cards,please can jurisdiction for mat infamatiat. Notice:This permit application Permit fee.. ............. $ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number -- within 190 days after it has been Slate surcharge(8%)....$ _ y Expires accepted as complete. TOTAL .......................$ 7- 7PJ Name d o o r a shown on c 1 S _ Cardhd�eriipnalure Amount 4404615 IMxlft'1M1 i IL ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: `— —_---- ----� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY icted Energy Fee................ Complete Fee Schedule Below: ...................................... $75.00 Restr Number of Inspections per permit allowed (FOR ALL.SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved; Residential-per unit 1000 sq ft or less _ $;45 15—_— 4 Audio and Stereo Systems' Each additional 500 so.It.or portion thereof $33.40_ 1 C� Burglar Alarm Limited Energy $75.00_`_ Each Manufd Home or Modular ❑ Dwelling Service or Feeder $90 90 2 Garage Door Opener' Services or Feeders t_J Heating,Ventilation end Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 _ 2 ❑ 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps _ $16060 2 601 rmps to 1000 amps $24060 2 F_1 Other Over 1000 amps or volts $454.65 2 Reconnect only _ $6685 2 Temporary Seivices or Feaders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocal;on Fee for each system.......................................................... $75.00 200 amps or less $66.85_ 2 (SEE OAR 918-260-2.60) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ Now,alteration or extension per panel Boiler Controls a)The fee for branch clicuits with purchase of service or ❑ Clocr,System, feeder fee. Each hranch circuit _ $6.65——__ r L_J Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fir Alarm Installation or feeder lee. First branch circuit $46.85 1! p ❑ Each additional branch circuit / $6.65 (Cup HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 __ Each sign or outline lighting —_ $53.40, ❑ Intercom and Paging Systems Signal circull(s)or a limited energy panel,alteration or extension $75.00 n Landscape Irrigation Control' Minor Labels(10) $125.00— Each additional Inspection over ❑ Medical the allowable In any of the above ',er inspection _ $62.50 ❑ Nurse Calls Per hour _ $62.50 _ In Plant _ $73.75 —� ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _>��,`,�.� �� Other 8%State Surcharge $ � y' of Systems 25%Plan Review Fee See"Plan Review"section 00 $ No licenses are required Licenses are required for all other installations front of application - --- -- - Fees: Total Balance Due $ r, Enter unlet of above fees LJ Trust Account k _.____- _-_ 8%State Surcharge $, Total Balance Due All New Comm, clal Buildings require 2 sets of plans. i ldsts\forms\elc-fees doc OF/30101 w; Lk Q 1 . -loL. I • w �r A rr t -moi•��Ill�,n "`.ix` 00,tilts -