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11105 SW ERROL STREET O O m 0 r v: -A m m br 11105 W ER OL STREET CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone:6394171 Date%%fuested: ? A.M. _ P.M. MS'C: Location: I I 1 b S CJ Q , BUP: Tenant: Suite: ,_—Bldg: � MEC: 7 ��'� Contractor. Phone: PLM: -i---u-�- Owner: �-Z p ��-�-�-��' _Phone: /6 .39 - 4 f,5 -�3.�. ELC•_ 7tJ 2-Z +��1�1�P'tELR: �t' %% ,t _ SIT: BUILDING BLDG(con't) � � EC!I - `TRIC'A� SITE Site Post/Beam -►'�s)ntvatn Post/t3eatn Cover 'ce Sewer/Story. Footing Rcof UndFl/Slat' s Rough-In Ceiling �„�� Water Line slat) Framing Top Chit �Q•� Gas Line Rough-In 7� ' I JG Sprinkler Foundation Insolation Sewer Hoodoict Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain brain UG Slab Shear/Shceth` Fire Spklr/Alta Crawl/Found Dr I feat Lo Approved _ Approved Appr/Sdwlk Not Approved o roved opA proved Not tAApproved Not Approved 1rINAL - AL FINAL FINAL Cl Call for spec 0 Reinspection tee of S.. rey ' ed before next sp inspectitm D Unable to inect inspecioc Date: Page -of-- CITY OF TIGARD 24-Hour BUILDING Insper};nn Line. (5,J3)639-4175 MST INSPECTION DIVISION Busir ess Line: (583) 639.4171 ---- -_- _.. - BLIP Received - /---Date Requested / AM_ PM _, BLIP Location LJ C . ti = Suite MEC �1 - Contact Person �'--"A — Ph( ) 3 ! ��S� PLM Contractor _—_— _ _ Ph(_ ) ___ . _ SWR BUILDING Tenant/Owner �_. ELC Footing EI, Foundation Access: Ftg Drain r r Iv�IN� - Il ? ' �, l ELR Crawl Drain Slab Inspectlbn Notes: SIT __- Post&Beam Shear Anchors - - - - Ext Sheath/Shear _ Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- - - Fire Alarm Susp'd Ceiling - - - -- Roof Other: - ---— - Final PASS PART FAIL -- PLUMBING_ Post&Beam Under Slab Rough-In Water Service - - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - Shower Pan Other: _ - - na = S PART FAIL_ ANICAL Post&Beam Rough-In - Gas Line Smoke Dampers Final PASS PART FAIL - ELECTRICAL Service Rough-In UG/Slab Low Voltage _ Fire Alarm Final lPART FAIL Reinspection fee of$ required before next inspection. Pay at Cigi Hall, 13125 SW Hall Blvd. PASS­SITE j Please call for reinspection,HE: Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Darts .5-- �6 7. Inspector ,C6Z i ✓f Er,t Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL Cl"Y OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST - q g INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _. —Date Requested_._ /`' /`.: AN PM BUP �� l7 .r �� - _Suit _ Location e MEG_ - - Contact Person _ ----- Ph( ) -� — '_PLM Contractor -- _ Ph( ) _ SWR — BUILDING Tenant/Owner ELC Footing ELC - Foundation Access: Ftg Drain ELq _ Crawl Drain Slab Inspection Notes: SIT - --__- Post& Beam �-- Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing - Insulation � r� /� r_11ILC e -q � rJA41 Drywall Nailing Firewall t?U ��_-���1.:� p'����Q,Lezg Fire Sprinkler Fire Alarm Susp'd Ceiling ---- -- — -- Roof Other: Final --- PASS PART FAIL PLUMBING Post -- Post&Beam Under Slab Rough-In _ Water Service Sanitary Sewer Rain Drains --.- Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam _ Rough-In Gas Line Smoke Dampers --- - _-� Final P RT FAIL 1 - Rough-In UG/Slab Low Voltage - - F -A arm _ in- [__jReinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS RT FAIL 0 PleaRe call for reinspection RE: Unable to inspect-no access Fire Supply Line p , ADA p <._ Inep® � , _ _ Ext Approacl JSidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour k3UILDING Inspection' Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received Oate Requested_�? OOL.- PM— BUP Location ��— 1 G �/L —Suite _MEC Contact Person _ �-C...�n -- Ph(—) —6 qs-�5 PLM Contractor Ph 1—_) _ SWR BUILDING Tenant/Owner --- ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT — Post&Beam — Shear Anchors -- Ext Sheath/Shear Q -d Int Sheath/Shear / 1,,_ /G L. Framing �6✓U _ .—.. i Insulation Drywall Nailing ---- ---— — Firewall Fire Sprinkler ---- Fire Alarm Susp'd Ceiling ----- - — Roof Other: ------ -- PASS PARFAIL -` PLUMBING Post 8 Beam Under Slab _____----_-_ Rough-In Water Service -- Sanitary Sewer Rain Drains --- ---- --- ---- Catch Basin/Manhole Storm Drain ----- -- -------_ _ Shower Pan CIther: Pinai PASS_ PART FAIL --- —`- --------- -- -- — M_ECHANIC_A_L Post& Beam Rough-lo Gas Line Sqjulke Dampers ------ _ -----..... --- ------ -- ART FAIL ---- _ -- -- --- ---- -- __ ICAL Service - _W_ ----------- -----�---_— -- — - nough-In -- ----_-- — ---- --- UG/Slab Low Voltage Fire Alarm Final F�] Reinspection fee of$ PASS PART FAIL l_ p - required before next ins ection. Pay at City Hall, 13125 SW Hall Blvd. SITE u Please call for reinspection RE:_ —_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab- � -- - WomorExt - Other: Final DO NOT REMOVE this Inspeelon record from the Job *It*. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING ( Inspection Line: (503)639-4175 MST INSPEC"TION DIVISION Business Line: (503)639-4171 BUP _ Reced ived Date Requested 1,2 3' AM PM_ BUP Location r1 d �/2�1-�-� U� _ �l_ _Suite.- MEC Contact Person �-�x) Ph PLM -_ Contractor _ Ph( } __ SWR __— BUILDING Tenant/Owner - ELC Footing - ELC Foundation Access: ~� — Ftg Crain ELR Crawl Drain - - - Slab Inspection Notes: SIT _ Post&Beam Shear Anchors ---- ---- Ext Sheath/Shear Int Sheath/Shear - — Framing __ Insulation Drywall Nailing - - - ---- -- —_ -._ Firewall Fire Sprinkler --- ----- (✓ - -- --- - - Fire Alarm Susp'd Ceiling - ----- - Root Other: - — --- — - ------- --- rl ap S PART FAIL - — --- - -- --------- —--- - BIND ----- _ -- - ------ ---- Post&Beam Under Slab Rough-In Water Service -- ----- -_ Sanitary Sewer Rain Drains - -- -----— — Catch Basin/Manhole Storm Drain — — - Shower Pan Other_ __ -- --- - ---- — Final _PASSPART FAIL --� `- - MECH_ANICAL Post&Been, - _--- ---- --- - — Rough-In Gas Line Smoke Dampers --- ---------- -- _- Final PASS PART FAIL - ---- -------_ _ ELECTRICAL _ Service— .-- _---_--_ -_-- _-_ -- -- Rough-in —_ UG/Slab Low Voltage Vire Alarm Final Rains on fee of$ PASS PAA.r FAIL required before next Inspection. Pay at City Hell, 13175 SW Hail Blvd. SITE —_ ❑ Please call for reinspection RE:. _ L Unable to inspect-no access Fire Supply Line ADA Dato -,�r- C t_ to or Approach,'Sidewalk - - oP� -Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT 'IOTICE METZ_GER ELECTRIC INC 8780 SW LEHMAN ST TIGARD, OR 97223 Electrical Signature Form Permi' #: MST2002-00148 Dais: Ise, Cu. 3/4iG2 Parcel: 2S103AC-02700 Site Address: 11105 SW ERROL ST Subdivision: ECHO HEIGHTS Block: Let: Jurisdiction: TIG Zoning: R-4.5 Remarks: 400 sq.ft. addition Your company has been indicated as the electrical contractor for the 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 inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: SCOTT HOLTER METZ.GER ELECTRIC INC 11105 Stix ERROL ST 8780 SW LEHMAN ST TIGARD, CR 072'" -rrr_ARn (.)p 972.'3 Phone #: 503-639-4583 Phone #: 244-9025 Reg #: LIC 96805 SUP 3130S ELE 34-167C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Sup vising Electrician If you have any questions, please call (503) 639-4171 , ext. # 310 CITY OF TIGARD ___-_-_MASTER PERMIT PERMIT#: MST2002-00148 DEVELOPMENT SERVICES DATE ISSUED: 3/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11105 SW ERROL ST PARCEL: 2S103AC-02700 SUBDIVISION: ECHO HEIGHTS ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REMARKS: 400 sq.ft. addition BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: 24 FIRST: of BASEMENT: at LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 404 of GARAGE: of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT: 1 I VALUE: b 45.000.00 OCCUPANCY GRP: R3 BDRM: 1 BATH: TOTAL! 404.00 of REAR: PLUMBING --^ SINKS* 1 WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: GARBAGE DISP, 1 WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: CLOTHES VRYER: GAS FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SkVCIFEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp: 1 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 400 amp. 201 400 amp: tot WIO SVCIFOR: :NGNIOUT LIN LT: PER HO!IR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp: 601+3mpo•1000y: MINOR LABEL: 1000+amolvolt: PLAN REVIEW SECTION Reconnect nnly: >•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RERTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM. NURSE CALLS: TOTAL K SYSTEMS: TOTAL FEES: $ 1,235.65 Ownsr: Contractor: This permit is subject to 'he regulations contained in the SCOTT HOLTER MORNING STAR CONSTRUCTION INTigard Municipal Code,S!:,!3 of OR. Specialty Codes and 11105 SW ERROL ST 11180 SW ERROL ST all other applicable laws. All work will be done in TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. This penTlit 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: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg 0: HC 00050597 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 84 Plumb Top Out Exterior Sheathing Inst Mechanical Final Footing Insp Electrical Service Low Voltage Plumb Final Foundation Insp Electrical Rough In Insulation Insp Final inspection PLM/Underfloor Framing Insp Rain drain Insp Mechanical Insp Shear Wall Insp Electrical Final t .r n Issued By 'c-L Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day Building Permil.- Application Date received: �,��,,, PermOrW�U .- _D � City of Tigard ProjecUappl,no.: Expire date: City(�fTigard 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 ap—oval: ---- 1&2 family:Simple Complex:_ U,1 &2 family dwelling or accessory U C.or.imercial/industrial U Multi-family U New construction U Demolition Addition/alteratiott/replicement U Tenant:mprovrmcnt U mire sprinkler/alarm U Other: 308 SITE INFORMATION -4 Job address: 7705 'S• Lgi E r ro i S --I -Qp fd Lot: I Block: Subdivision: - 71ax map/tax lot/account no.: $z(Q j ' ' 4 Project name: Description and location of work on premises/special conditions:_ l io e Y Natne: pfflondplain.septic qp9cItY,solnr� Mailipg address: (((()�' S, il, ,rte 1 & 2 family d"elling: City: — i _ Statr. ZIP: Valuation of work........................................ $ T1s LbU -_ Phone: -U q 11931Fax: I E-mail: No,of bedrooms/baths•................................ __-- Owner's representative: Total number of floors................................. _ Phone: Fax: E-mail: New dwelling area(sq. ft.) q6q — Garage/carport area(sq.ft.)..•...........I...•...... Covered porch areas ft. Name: po ( q. ) ......................... Mailing address: E Deck area(sq.ff.) ..•.................................... Othet «I�Mire areas fl.)_ City: State: r ZIP: (.q. ....................... Phone711 lax g rri;til: i on m rcj lli`ndustrial/multi-family: a��ualtion o work.....................................•.. $ _ Existing bldg.area(sq. ft.) ......... Business name: r 1LY_ New bldg.area(sq.ft.) . '. ... ................. A res�I[ED S(wJ fru Number of stories •.............. .... ................ - - City: Stater ZIP: q j Type of construction........ .. i'honc Fax. 71 E-mail: a, �lei� y group(s): Existing: CCB no.: 5 0 W New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: n' a L�n provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is Cit State: exempt from licensing,the following reason applies: Contact person: -" Plan no.: - Phone: -,— � l Name: Contact person IQ ' Ices due upon appticati n ................... .. .... $ N Address Date received: _ go/.--e- City: City: r nState: d>r ZIP: 005 Amount received .... ................. .................. Phone:5709 Fax: I E-mail• eng)n 'nAaol on Please refer to fee schedule hereby certify I have read and examined this application and the "tNot all j-urisdichone ascan credit cardt please call Jurisdiction for mtxe inRmnattnn attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will ha complied with, whether specified herein or not. Crcdil card number1— __ Expires Authorized signature: Date: Nime of cm1holder u shown on credit card �1F'kO r- --- $ Print name:-- C'mdnolder signature Amount-_ Notice: mntmt— Notice:This permit application expires if a pennit is not obtained within 190 days after it has been accepted as complete. 440-461.3(6tiaCOM) One- and 7hwo-Family Dwelling Building Permit Application Checklist Reference no.: City of Tigard Assuciate�permits: Address: 13125 SW Hall Blvd,Tigard,OR 97223 O Electrical U Plumbing U MechanicalOtmer Phone: (s03) 639-4171 Fax: (%�) 5')8-1960 TRE FOLLOWING-ITEMS t 1 ' I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain.solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district_ approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer hermit. 7 Water district approval. ti Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of cutch-hasin protection,etc. (c' 10 3 Complete sets of legible plane Must be drawn to scale,showing conformance to applicable local and stale ^^ building codes.Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details.Plan review cannot he completed if copyright violations exist. I 1 Site/plol plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(it' there is more~man a 4-R.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks;;location of wells/septic systems;utility locations;direction indicatoa;lot area;building coverage area;percentage of coverage;impervious area;existing Structures on site;and surface drainage. 12 FouWation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace, ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. III Cross section(s)and details.Show all framing nember sires and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may be.requirud to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and renidcls. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- resc .ptive path analysis provide specifications and calx:dations to engineer standards. 17 Floor/roof framing,Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Shoff allic ventilation. 19 Basement and retaining walls.Provide cross sections and details showing placement of rehar, For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calcAtuions. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof trues)shall he stamped by an engineer or architect licensed in Oregon and shall he shown to be appllcahIc r,,f1w luwrrrt under review. m 11 1 21 Five(5)site plans are required for Item I 1 above. Site plan~must hr 8-1/2" x I I"or 11"x 17". 24 Two(2)sets :ach arc required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will tx not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document. _ 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan must include street tree size,type&location per City of Tigard Street Tree List booklet. Checklist must be completed before plan review start date, Minor changes or notes on submitted plans may be in blue or black inl,. Red ink is reserved rix department use only. 440-4614 t(xx>muM) Mechanical Permit Application 7Dateissued: ed: Permit no.; rd �j, ('-V)q City of Tigard l.no.: Expiredatc: City ofTigard Addrelts: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 By: Receiptno.: Fax: (503) 598-1560 rasc file no.: Payment type: Land use approval: Building permit no.: ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant improvement ❑New construction VAddition/altetiiti(m/replacement U Other: JON SITE 1 Job address: U� 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: 'See checklist for important application information and Projes t name: _ jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 7Z23 1I 111 D�sc ' ti and I 'ation of wo on pre ises: Fec(ea.) Total Est.date of completion/inspection: ; Deu'rlpdon Res.only Res.only C' Tenant improvement or change of use: Air handling unit _CFM Is existing space heated or conditioned?U Yes U No it con ning(site plan require ) Is existing space insulated?U Yes U No Alteration of extsting� A-C system o er compressors State boiler permit no.: Business name: p c er"ti-vigHP --Tons_ BTU/H Addirss: _ _ 'ir smoke amper uct smo c_etectors City: _ State: L1P: eat pump(site plan required)—' - Phone: Q��q ! 2� Pak E-mail: -Install/replace urnace sorrel_._ / ____�p--A _ — - Including ductwork/vent liner ❑Yes U No _ CCB no.: nsta rep ac re ocate eaterssuspended, C it /metrono.: - wall,or floor mounted riot): Vent fora lance of er t an furnace e allot on: Absorption units_ BTU/H _ Name: ti - NorA4 S air (Dei5t• Chillers— Y HP �- Com lessors Hp Address: gO 5 W Ev 1 5T. Environmental ex tauvt�rnT-veni at ow City:` d, State:CV ZIP:7Z Appliance vent Phone: y Fax:clbg ZZl I Email: Dryerex aust-ff M oo s, Type res.rtcltonfhazmat Htee hood fire suppressions em ( rd I Nanic: r ! I ��., Exhaust fan_with single duct(bath fans)l_ ,�'K J C01A-- L _l t��' ;x aust s stem a tart from cath OrAC Mailing address: -C-7fi, Fuelpiping an st ut o (tip to outlets) City: State: ZIP: Type: LPG NG Oil _ Phone: Fax: is nuld: Fueli in each additional over 4 outlets rocesspiping(schematic required) _ Number of outlets Name: Other listed app ac nr equ pm4ent: Address: _ Decorative fireplace _ City: _ State: Z[P: nser-type Phone: Fax: E-mail: stove pal et stove — cr: T Applicant's signature: Date: other. Name(print): Na all iuddictirru accev credit cards,please call Jwisdiction for more Information Permit fee............. .......$ Notice:This permit application Minimum fee................$ ❑Visa U MasterCard expires if a permit is not obtained credlteramamber:�__..— ___ Plan review(at 9F) $ _ Expires within ISO days after it has been State surcharge(8%) ....$ acne of cardholder as drown on credit card - Saccepted as complete. TOTAL .......................$ ardh ._ Colder dtnature Amnum 44DW,17(6RI"M) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description:-- - -- Price Total $1.00 to$5,000.00 1 Minimum fee$72.50 Table 1A Mechanical Code _^ Oty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and +� 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Including ducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) r!oor Furnace $1,54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00, or floor mounhd heater 14.00 _ $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$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 $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit a to 100K BTU 14.00 _ 8%State Surcharge $ 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb Required for ALL commercial permits only unit.5-1 mil BTU 35.00 TOTAL COMMEpCIAL PERMIT FEE: $ 10)30absorb �t 1.11.7.7 5 mmil BTU 52.20 _..^_ 11)>50HP;absorb unit>1.75 mil BTU 1 87.20 ASSUMED_ . ._UATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM Value Total 10.00 Description._ _ _ Ot ValalAmount 13)Air handling unit 10,000 CFM+ 17.20 Fumace to 100,000 BTU,including 955 ducts&vents 14)Non-portable evaporate cooler 10.00 Fumace>100,000 BTU Including 1,170 15 ducts&vents )Vent fan connected to a single duct 6.80 Floor furnace Including vent _ 955 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served mechanical exhaust d by ht Vent not included In applicance 445 10.00 permit Re air units 805 18)Domestic incinerators 17.40 <3 hp;absorb.unit, 955 to 100k BTU 19)Commercial Industrial or inustratype incinerator 69.95 3-15 hp;absorb,unit, 1,700 101k to 500k BTU 20)Other units,including wood stoves 10.00 15-30 1p;absorb.unit,501k to 1 2,310 J mil.B'fU 5.40 21)Gas piping one to four outlets 30-5;1 hp;absorb.unit, 3,400 1-1.75 mil.BTU 22)More than 4-per outlet(each) >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Minimum Permit Fee$72.50 SUBTOTAL: $ Air handling unit to 10,000 tfm 656 -- �- Alr handlingunit>10,000 cfm 1,170 8%Stale Surcharge a Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: S Vent fan connected to a single duct 446 __ Vent system not Included in 656 appliance permit Hood served by medtan'cal exhaust 656 Other Inataectlons and Fees: Domestic incinerator _ 1,170 _ 1 Inspections outside of nnnnal business hours(minimum charge-two hours) Commercial or industrial Incinerator 4 590 SO2 5o Per hour _ 2 Inspections for which no lee is specifically indicated (minimum charge-half four) OtF,er unit,Including wood stoves, 656 $62 50 per hour Inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1.4 outlets 360 charge-one-half hour)$62 50 per hour Each additional outlet 63 - -- State Contractor Kollar Certification required for rmib>200k BTU. TOTAL COMMERCIAL— _ a - °°Residential A/C requires site plan showing placement of unit. VALUATION: - All New Commercial Buildings require 2 sets of pians. lAdsts'SormMmech-fees.doc 12/26/01 Plumbing Peru set Application Date received: Permit no.: S' -b01 City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Cityrf'!'igard phone: (503) 639-4171 Project/appl,na: Exjtiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Ladd use approval: C:.se,file no.: Payment type: NEEMMMM U I &2 family dwelling or acc•essory U Conunercial/industrial U Multi-family 1_11'enant iniprovoment ^'. U New construction U Addition/alteration/replacement U Food service U Other. 1 1 ' 1N 4 i Job address: , E } Atd Description _ Qty. Fee(ea.) Fbtal renNew 1-and 2-family dwellings only: W Bldg.no.: Suite no.: (inclufleslUOtt.foreachulliltycotmection) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdivision: �—_ - -- - — SFR(2)bath Project name: _ SFR(3)bath City/county: ZIP: u Each additional battvkitchen D s n tion and I ation of work o rjmises: VDrywells/leach ities: i'tiArx rE-gr O in[�tt SP _ sin/arca drain Est.date of completion/inspection: line/trench drain drain(no.lin, ft.)9 Kim 111 1tured home utilitiesBusiness name: 7- s Address: ( �(„' - T_ Rain drain connector City: ' Inj I State: 1 ZIP: Sanitary sewer(no.lin.ft.) _ Phone: _,r Fax: I E-mail: Storm sewer(no.lin.ft.) CCB no.: — Plumb.bus.reg.no: �. Water service(no.lin.ft.) City/metrolic.no.; q 7.C i �� , ��-_ _) Fixture or Item: Contractor's representative signature: Absorption valve Print name: Dale: - Back flow preventer Backwater valve _ 1 1 Basins lavatory Name: 1 ►rntt't_��r= ►�Df/lt t Clothes washer Address: Dishwasher State ZIP: q ?� Drinking fountain(s) city: 6Lf� Ejectors/sump Phonc: (o VS Fax: (DQ 91ZT I 1--mail: Expansion tank Fixturelsewer cap _ Name(print): :5Lectt AnItey, Floor drainstfloor sinks/hub l�� my .f- Garbage disposal Mailing address: Hose Bibb City: dfJ _ State: ZIP_ C� t - maker Phone: Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) ,ill be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ ,mploy"on the property I own as per OV Chapter 447. Sink(s),basin(s).lays(s) Owner's si nature:-"-7— Datc: l_ Sump _ 7'ubs/shower/shower pan Name: Urinal — -- Water closet Address: Water heater City: ---- State: --- "LIP�T _ Other: "hone: I E-mail: Total Not all 1--isdictiom rrcc r4 c dit ands,please call Jurisdiction for more informath t Minimum fee................ J_ Notice:This pcnnit applicaUor U Visa U MasterCard expires if a permit is not obtained pian review(at — 95) $ _ Credit cord number — _�_� within ISO days after it has been State surcharge(895)....$ F.xnlres Name of cardholder u shown on credit etrd accepted as complete. TOTAL. .......................$ S -------Ca ft4der sip store �Y Amount - 440-4616(6g"hi) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink • 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 — for each utilityconnection OnelI— ath � _ _ $249.20 — Tub or Tub/Shower Comb. 1660 Two(2 bath _$350.00 Three 3 bath $399.00 Shower Only 16.60 �1 _ _ Water Closst 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 FioohDran/Floor Sink — 2" 16'60 PLEASE COMPLETE: 3" 16.60 4" 16.60 Water Heater O conversion O like kind 16.60 uantity la j Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit Capped MFG Home New Water Service 46.40 Sink_— MFG Home New San/Storm Sewer 4640 Lavatory_ __�_ ---- Tub or Tub/Sh.)wer Hose Bibs (6.60 Combination Rcwf Drains i 16.60 Shower Onl _ Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher Ga-ha a Disposal _ -- Launury Room Tray _ --- — — Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 -- 3" — Sewer-each additional 100' 46.40 4" Water Service-1 st 100' 5500 Water Heater _ Water Service-reach additional 200' 40.40 Other Fixtures _ (Specify) — Storm&Rain Drain-1sl 100' 55.00 — Storm 8 Rain Drain-each additional 100' 4640 _ - Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 -- Inspection of Existing Plumbing or Specially 6250 Requested Inspections _ erlhr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.2.5 Grease Traps — QUANTITY TOTAL Isometric or riser diagtam Is required if — Quantity Total is >9 ^*SUBTOTAL 8%STATE SURCHARGE — -- — "'PLAN REVIEW 25%OF SUBTOTAL Requited only it fixture rity total is>9 _ TOTAL .Minimum permit fee Is$72 50 4 9%stale surcharge,except Residential 9ackllow Prevention Device,which Is$36 25•8%slate surcharge "All New Commorclal Buildings require 2 sets of plans with Isometric or riser diagram for plan review. LWsts\forms\plm-fees.doc, 12/26/01 Electrical Permit Application Date received: Permit no.:,, . �� City Of Tigard Project/appl.no.: Expire date: City,yfigard Addrefs: 13125 SW Ilall Blvd, l'ip; (W ')7223 Date issued: By Receipt no: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: I.ar ' e approval: U I &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement U New construction A(lclition/alteration/replaccnurrnt -1 Oth"T U Partial INFORMATIONJOB SITE Job address: - Err6i g.nu.: Suite no.: 1'ax map/tax lol/account no.: Lot: I Block: Subdivision: 5Z I0 O 00 Project name: 4ouer IDescription and location of work on premises: Estimated date of completion/inspection: LIT Job no: Fee Max Business ntu ` L f E le VtL Description Qty. (ea.) total no,fns _-4v1 T ' �– New residential-single or rmrhi-family per Address: dwelling,mlt.Includes atlaclterl garage. City: State: ZIP: Serviceindudcd: Phone: z t/_ U Fax: E-mail 1000 sq.ft.of less I 4 Each additional 500 sq,ft.or portion thereof CCB no.: Elec.bus.lic.no: Limitedenergy.residential 2 City/metro lic.no.: Limltedenergy,non-residential _ 2 Each manufactured home or modular dwelling Signature of supervising electrician(required) date Service and/or feeder Sup.elect.name(print i License no: Services or feeders–Installation, alteration or relocation: 200 amps or less _ 2 201 amps to 400 amps 2 Name(print): S C 401 amps to 600 amps _ 2 Mailing address: . Friol St. 601 amps to 1000 amps _ _ 2 City: A State: Or ZR': 9M-L-5 Over 1000 amps or volts _ 2 Phone: Fax: I E-mail: Reconnect only i Owner installation:The installation is Ix ing made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or excb:,nge according to Indallation,alteration,orrelocation: ORS 447,455,479,670,701. 200 amps or less 201 amps to 400 amps 2 owner's s', nature: Date: 401 to 600 ams - — - -- Branch dr-alts-new,elleration, or extension per panel: 7city: A. Fee for branch circuits with purchase of service or feeder fee,each branch circuit _ — Stale: 7,1 P: B. Fee for branch circuits without purchase -- - of service or feeder fee,first branch circuit: 2 Phone: I'ax: I mail Each addaional branch circuit: Misc.(Service or feeder not Included): UService over 225arnps-commercial UHealth-care facility Each pump or irrigation circle_ 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting ------2— family 2family dwellings U Building over I(1,(xxl square feet four or Signal circuit(s)or a limited energy panel, O System over 600 volts nominal nurre residential units in one structure alteration,or extension*_ 2 U Building over three stories U Feeders,4(x1 amps or more *Description: •occupant load over 99 persons U Manufact ured structures or RV park Each additional Inspection over the allowable In any of the above: •Egress/lighungplan U Other per inspection Submit__—sets of plant with any of the above. Investigation fee The above are not applicable to temporary construction service. other — Vm r ot all lurisdictiocepi credit tarda pleas call jurisdiction for more information96) Plan review(at __Notice:This permit application Permit fee................. ) $ $ U vise U MasterCard expires if a permit is not obtained Credh end number ---_ -- _.__-- --�-_L within ISO days after it has been State surcharge(8%)....$ _- Exphd accepted as complete. TOTAL ....................... None of cardholder n shown on credit card Carr�liolder signature _ --- W 4404615(600WOM1 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ------ ��- -- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq It or less / $145.15 _ _ ; 4 Audio and Stereo Systems' Each additional 500 sq It or portion thereof A $32 40 1 Burglar Alarm Limited Energy $75.00 Each Manuf d Home or Modular �� Garage Door Opener' Dwelling Service or Feeder _ $90.90 2 Services or Feeders t_1 Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less 1 $80.30 " ? ' 2 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 ar ips $16060 2 I 601 amps to 1000 amps $240.60 2 L� Other_ Over 1000 amps or volts $45165 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 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 5ysterns Branch Circuits F-] Boiler Controls Now,alteration or extension per panel a)The fee for branch circuits 1 with uurchase of service or CJ Clock Systems feeder lee. Each branch circuit — $6 65 2 Data Telecommunlcafion Installation b)The fee for branch circ-As without purchase oI service �� Fire Alarm Installation or feeder fee. First branch circuit _ $4685 r, Each additional branch circuit $665 L] HVAC Miscellaneous Instrumentation (Service or feeder riot included) Each pump or irrigation circle _ $53.40 _ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circud(s)or a limited energy panel,alteration or extension _ $7500 _ _ Landscape Irrigation Control' Mino"Labels(10) $125.00 __ Each additional Inspection over Medical the allowable In any of the above Per inspection _ $62.50 Nurse Calls—_ _ L Per hour _ $62.50 In Plant $73.75 Outdoor Landscape Lighting' Fees: LJ Protective Signaling Enter total of above fees $ 7-?-5. t!1 n Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"sr_r;Ii(,n nil $ front of a2plicaticn — Fees: Total Balance Due $ - Enter total of above fees $ LJ Trust Account p _ 8%State Surcharge $—_ Total .— Total Aolance Due $ All New Commercial Buildings require 2 sets of plans. i-\dsts\fornuklc-fees.doc 09110101 x -10.17 A 1 EL.4.17 I \ 1 \ TAX LOT 52103A602100 21,lg4 S.P. 1 I � N 1 I I� e%.•►.a I I d0 � � 1 a — _ EL.-q.17 1 I I I 1 EXISTIW7 DEK 1 EL -2.17 -- — -- - - - -- - - -- -- - _ NEWT 1 �� I STINCL ° EXI EL 60'1 I / I FINISH FL EL 0.17 �..�N -w l — — I EL..4:17 I 1 vmVEvvwr 1 X iI EL.-1.17 52.S© EL 417 , A 11105 S. W. ERROL 5T. c O NO SCALE CITY OF TIGARD ELECTRICAL FIERMI T DEVELOPMENT SERVICES PERMIT #: ELC97-042 13125 SW Half Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/01./97 PARCEL: 2S103AC-02700 SITE ADDRF"_'SS. . . : I11015 SW ERRi:L- I- SUBDIVISION. . . . :ECHO HEIGHTS ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . JURISDICTION: URB Pr-o,ject Descr,ipt ion: add first branch circuit ------------------------------- -RES I DEN T I AI__ UNIT------ ----TE MF! SRVC/FEEDERS------ -----M I SCEI_.I_ANE.OLJS---_._.. 1000 SF OR L_ESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' I_ 5009F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps--1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDE;R------ ------BRANCH CIRCUITS---.--_ _.-_.ADD' L. INSPECTIONS_..__. 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 - 600 imp. . . . . . : 0 EA ADD' L_ BRNCH CIRC: 0 IN Pl._AN'r. . . . . . . . . . . : 0 601 - 1000 camp. . . . . : 0 ----------- REVIEW SECTION­------------------ 1000+ ECTION-._..----_-___----_-1000+ amp/volt. . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . Reconnect only. . . . . : 0 SVC/FDR > = 2:25 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -_____-____-- --- ----___.___.__.._-----.--_-----______._._..___.__....__._.___ FEES SCOTT WOL.TER t ype amol.cnt by date r-ecpt 11, 105 SW ERROL STREET PRMT $ 39- 00 GEO 07/01/97 97-1::...96655 TIGARD OR 97223 5PCT $ 1. 75 GEO 07/01/97 97-296653 Plione #: f,39-498,3 Contractor: WESTSIDF ELECTRIC 36. 75 TOTOL 7518 SW MACADAM AVE - - --- - REQUIRED INSPECTIONS •- PORTLAND OR 97219 Rot.cgh--in Elect' 1. Service Phone #: i2'45-3385 Under-grol_md Cove Elect' 1 Final Reg #. . : 000133 This permit is issued subject to the regulations contained in tip: Tigard Municipal Code, State of Oregon Specialty Cods and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rales are set forth in OAR 952-MI-NII through NR 952-801-1987. You may obtain a ropy of these rules or direct questions to VC by calling 150- 246-1987. I �i mid-i.c�e Signati_cr'e : Issued By : _-- ----------------------------OWNER INSTALLATION ONL.Y----_-__----------------____-- The installation is being made on property I own which is not intended for- sale, lease, or- rent. OWNER' S SIGNATURE: DATE a _ TOR INSTAI__I..ATION ONLY- _-- ---- - ---p- --- I T GNATURF OF SUPR. ELEC' N: _ - DhJDATE: T C'ENSF N0: .!G S .....++t+-F........+.++.......#-++-#•+i+.++.+++.....+.++.++++.....-F+.++++++-F... (:all 639-4175 by 6:00 p. m. for an inspection needed the next bi-csiness day rd � CITY OF TIGARD Electrical Permit Application Plan Check it 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Rec'dDate to P.E. Phone (503) 639-4171, x304 Date to DST_ Print or Type Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit#&4� Fax (503) 684-7297 Called_v__ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development__ Nurnber of Inspections per permit allowed Name(or name of business)- 1101k1 �f" - Service included: Items Cost Sum Address I' �2i ` C7/ 4a. Residential-per unit /y• 1000 sq.ft or less $11000 4 City/State/Zip ic _��� f� Each additional 500 sq.It.or Commercial ❑ Residential E portion thereof $2 x.00 _ t Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder ___ $68.00 _ 2 2a. Contractor installation only: (Attach copy of all current ll ns s) � 4b.Services or Feeders Electrical Contractor ti� Z t ; Installation,alteration,or relocation Address- -/ ,f - 200 amps or less $60.00 2 F� 201 amps to 400 amps $80.00 2 City r t - _State Zip- t/7Z-/7 401 amps to 600 amps $12000 2 Phone NO. 601 amps to 1000 amps -_ $190.00 2 Job No. /-- ? `1- V( Over 1000 amps or volts $340.00 _ 2 Elec.Cont. Lice. No. Fxp.Date__ 1G _ Reconnect only $50.00 2 OR State CCB Reg. No. _S C G Exp.Date _-__. 4c.Temporary Services or Feeders COT Business Tax or Metro Nc Exp.Date, Installation,alteration,or relocation � 200 amps or less $50.00 2 Signature Oi Supr. EIeC'n / ��' �'�P 201 amps to 400 amps Y $75.00 2 r g p - 401 amps to 600 amps - $100.00 2 Over 600 amps to 1000 volts, License Nr �S S _Exp.Date see"b"above. Phone N( Z` _ 4d.Branch Circuits New,altorahon or extension per panel 2b. For owner installations: a) 1 he Icc Inr branch circuits with purchase of service or Print Owner's N-ime feeder fee. Addre93 Each branch circuit $5.00 _ 2 b)The for,for branch circuits City State Zip without purchase of Phone N0. _ service or feeder fee. First branch circuit 535.00 _ %!_ 2 The installation is being mole on property I own which is not Each additional branch circuit^ $5.00 2 intended for sale,lea3e or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle $40.00 _ Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circutt(s)or a limited enorgy panel,alteration or extension $4000 2 Minor Labels(10) $100.00 - Please check appropriate Item and enter fee In section 5B. 4 or more re-Adential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above _._System o%or 600 volts nominal Pnr inspece,,r, _ $3500 Classified area or structure containing special occupancy Per hour - $55 00 ----- as described In N.E.C.Chapter 5 In Pant $55 00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ --•L=-- NOTICEI Subtotal $ 5b.Enter 25%of line Se for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Revie H reaulydd(Sec 3) $ NOT COMMENCED WITFiIt-4 180 DAYS.OR IF CONSTRUCTION OR WORK Subt $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Trust Account 8 -_ $ Total balance Due i0STSELC96,APP RevWN ---- CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC97-0174 13125 SW Hall Blvd.,Tigard,OR 97203 (503)639-4171 DATE ISSUED: 06/05/97 PARCEL: 2S103AC-02700 51TE ADDRESS. . . : 11105 SW ERROL ST SUBDIVISION. . . . : ECHO HEIGHTS ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: URB CLASS OF WORK. . :ALT FLOOR FURN. . . . 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF' UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 sTOR I ES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . - 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . - 50+ HP. . . . : 0 CL.O DRYERS— : 0 NO. OF AIR HANDLING UNITS OTHER UNITS. : 0 TURN ( 100K BTU: 1 10000 cfm : 0 GAS OUTLETS. : I FURN ) =100K BTU: 0 > 10000 c f m : 0 Remarks : Furnace and piping Owner: FEES SCOTT HOLTER type amol.int by date reept 11105 JW ERROL ST PRMT $ 25. 00 JSD 06/05/97 97-295529 TIGARD OR 97223 5PCT $ JSD 06/05/97 97-2955c-'9 Phone #- 639-4583 Fontractor: (-'(A.UMBIA HEATING & COOLING INC P0 BOX 230397 TIGARD OR 97223 Phone #: 624-2704 $ 26 25 TOTAL Reg #. . : 000763 ------- REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp T-gard Municipal Code, State of Ore. Specialty Codes and all other Fin& ! Inspection applicable laws. All wor4 will be done in accordance with approved plans. This permit will expire if worth is not started within 180 days of issuance, or if wor4 is suspended for more than 180 days. Permittee Signature 1- Issi-ted By - Call for inspection 639--4175 Plan Check p CITY OF TIGARD Mechanical Permit Applicai:un Recd By -� 13125 SVV HALL BLVD. Commercial and Residential Date Recd ctse TIGARD, OR 97223 Date to P (503) 639-4171, x304 Date to DST ,-= Print or Type Permit n rte Caned Incomplete or illegible applications will not be accepted 1 Name at Deve!opm' uProl}p-q}; Description "I �_ / Table 1A Mechanical Codex_ 011 PRICE Wont Job Street Address 5uitea A) Permit Fee -0- -0- 1000 Address ////fj/ ,tel WL S r aidga �C yrState Zip 1 ) Furnace to 100.000 BTU 6.00 /l �a� ,t including ducts 8 vents mama for name of tusinessl 2 1 Furnace 100 000 BTU+ 7 50 Owner � / c )J(l_ Including ducts&vents Marling Add,ess 3 1 Floor Furnace 600 oicluding vent _ Cny,state Zip Pnone 4) Suspended heater,wall heater 600 1 or floor mounted heater Name ror name of businessi 5) Vent not Included In appliance permit 300 Occupant Mailing Address 6) Boder or comp,heat pump,air Gond 600 to 3 HP absorb unit to I OOK BUT" +rtyiStats up Pnone 7) Boder or comp,heat pump,air Gond 11 00 _ 3-15 HP:absorb unit to 500K BTU" Contractor nOre 1r I , 8) Boiler or comp,heat pump,air cond, 1500 (Prior to (� ((r )(�, al�)/1a 15-30 HP,absorb unit.5-1 mil BTU" Issuance " t ? a iling Address n 9) Boder or comp,heat pump,air Gond, 22.50 applicant I- 4v I 30-50 HP,absorb unit 1-1.75md BTU" must pfovrde all Cgyrstate 1 Zip n-nne 10) Boller or comp,h it pump,air cond. 3750 contractor i -)•1 x 14,r r >50 HP:absorb t,. t 1 75 and BTU" license ore n Const cant ggerd!.ic a exp une 11 ) Air handling unit tt, 0.000 CFM 4 50 information �J�: 3 5'y' for COT COT Business Tax or Mew a Exp Ome 12) Air handl!r,g unit 1 J,000 CFM 750 database) 3 .�1 /,� 31- Architect Name 13) Non-portable evaporate soler 4 50 _ or Marling address 14) Vent tan connected to a single duct 300 Engineer CrtyiState '.p Pnone 5) Ventllatx,i system not included in 4,90 appliance pennd �Descnbe work New O ",ddilion O Alteration O Repair O 16) Hood served by mechanical exhaust 450 !1 he done Residential 0, Non-residential O (j tional Description of work Y 17) Domestic incinerators 7 50 18) Commercial or industrial type 1010 Incnerator _ _ Ex stag use of 19) Repair units 1150 budding or property_ 20 1 Wood stove 4 50 Proposed use of 21 I Clothes dryer.etc 450 budding or property 22 ! Other units 4 50 Type of fuel-oil J natural a=.s 3 LPG O electric O 23) Gas c ping one tc four outlets / 20 1 hereby acknowledge that I have read this application.that the 24 i More than 4-per outlets teach) I I 50 information givens correct.that I am the owner or authonzed agent of the owner that plans submitted are in compliance with Oregon State OTY SUBTOTAL laws _ -17- Signature of Owner/Agent,--_ Date 'SUBTOTAL _ - 5%SURCHARGE i Cor1t1sLqWMon Name Phone PLAN REVIEW 25916 OF SUBTOTAL !- � TOTAL Rleel r 6­2( dstvnechpmt doc frev 9 'Minimum permit fees S25+50o surcharge —Residanhal AC requires site plan showing placement of unit CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : FILM97-0211 e 66. & 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: Q16/05/97 PARCEL: 2S1O3AC-02700 SITE ADDRESS. . . : 11105 SW ERROL ST SUBDIVISION. . . . : ECHO 14E I GHT S ZONING: R-4. 5 DLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: URB CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 1171 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING=; MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 S I INKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : Iz+ OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . 0 Remarks : Water heater- Owner: _.-------_._.____._.___.__.-------- ----___._____._____-___._.___.—_ FEES ------ --- ---- - SCOTT HOLTER type amol.rnt by date reept 11105 SW ERROL ST PRMT 25. 00 JSD OG/05/97 97-295529 TIGARD OR 97223 SPCT $ 1. 25 JSD 06/05/97 97-295529 Phone #: 639-4563 Contract or----------------------------_—._.__--_ COLUMBIA HEATING PC) BOX 230397 89O0 SW BURNHAM ST STE E-110 TIGARD OR 97281-0397 Phone #: 624-2704 f 26. 25 TOTAL Reg #. . : 000763 -------- REQUIRED INSPECTIONS -This permit is issued subject to the regulations contained in the Misc. Inspection figard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be d•,ne W accordance with approved plans. This permit will expire if work is riot started __._.....-..- within 180 days of issuance, or if work is suspended for more than 180 days. Permittee Signature" Call for- inspection — 639-4175 Recd By. CITY OF TIGARD Plumbing Application - ' / 13125 SW HALL BLVD. Commercial and Residential Date Recd O&e-`; `/Date to P.E. TIGARD, OR 97223 Date to DST (503) 639-4171 Permit# �•'9.-1 )CIt Print or Type Related SWR# _ Incomplete or illegible applications will not be accepted Called-_r, Name of DevelopmenUProiect FIXTURES (individual) QTY PRICE AMT Job ` ( Sink — _ 9 00 Street Suite Laval .-y9.00 Address rub or Tub/Shower Comb 900 � Bldg# Ci /state Zip Shower Only 900 -t=yd �� ?.�v�3 _ Water Closet -- 900 -- Name I — — �( Dishwater — _ 9,00 _ Owner [7Mad;n,Address Suite Garbage Disposal 900 Washing Machine 900 _ ate 7ip Phone Floor Drain 2" 900 1 & 3'Y 41--r -3 3.. 900 Name 4" 9 00 Occupant Mailing Address Suite Water Heater 9 00 ,(p Laundry Roam Trav 9 00 City/State Zip Phone Unnal 9 00 900 Contractor Other Fixtures(Specify) 900 Na Contractor Mailing Address Su to 9 00 �Q 15 it c:)3 3 '7 900 —� C /State Zip Phone 9 00 _ I ,on('.on<r r:,-,,; ,u ,, d Lic# Ext: 900 Attach Copy of 7635? 'r �J 9.00 Current Plu o,un'yua — /� `�_ Sewer- 1st 100' 9,00 Licenses ��'_ Z. i/l 3 _9"7 rJ,� Sewer-each additional 100' 30.00 COT Business Tax or Metro# Exp Date Water Service- 1 st 100 2.5 00 Name Water Service-each additional 200' 3000 Architect Storm&Rain Drain- 1st IOU 25 00 Storm 8 Rain Drain-each additional 100' 3000 or Mailing Add•ess Sudo Mobile Horne Space 25.00 Engineer City/Slate Zip Phone Commercial Back Flow Prevention Device or Anti- 2500 Pollution Device Describe work New O Addition O Alteration O Repair O Residential Backflow Prevention Device'— 15 00 to be dcne R%sidential C- Nen-residential O Any Trap or Waste Not Connected to a ture 9 00 Additional description of work Catch Basin 9.00 j Insp,of Existing Plumbing � 4000 � _ per hr Existing use of Specially r, quested Inspections 40 00 per hr building or property_ ___�_ Rain Drell ,single family dwelling 3000 Proposed use of Grease Traps 9 00 budding or property_ __ QUANTITY TOTAL Are you capping any fixtures' Yes O No[] Isometric or riser diagram.s mouirea if Quan.ty Total„ >9 I hereby acknowledge that I have read this application,that the information "SUBTOTAL given is crrrect.that I am the owner or authorized agent of the owner,and — — — ' that plans stimitted are in co ance with Oregon State Laws. 5% SURCHARGE I ,�4-- SIyn9 wrier/Age Date PLAN REVIEW 25% OF SUBTOTAL J P'eawred only iffixiwe cty total.s 9 r.2D a(non Name ,. Phono TOTAL ,Q 'Minimum permit fees S25+ 5,1�surcharge.except Residential BactFlcw i`,dststplmapp doe 8/96 Freventhcn Device,which is$15- 5%surcharge