11415 SW ESAU PLACE �� M� S CaS7-
� THE INFORMATION ON TNIc PLOT PILIN NAS aEtN PRUYIDED AND
REVIEWED BY THE PRO' .OWNER ViHO, BY SIGNVIG' BELOW: 1.1
ACKNOWLLD]ES AND AL,. 7S FULL REMNSIRILI7Y FCR ITS ACCURACY
A14D COMIOLLTENESS: 2.) IS RESPON IGI.L' TO r►VSURE YHAT THE
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11415 SW Esau Place
ADAIR HOMES INC .
1
0i 111'V 1111' /�J
BEAVERTON Wednesday, April 09, 2003
1111 SW 170"' AVE.
BEAVERTON, OR 97006-4220 Jim Castile
SALES (503) 645-3547
CONST (503) 645-1156 8100 S.W. Durham Rd.
FAX (503) 645.5986 Tigard, Or. 97224
BEND
63309 NELS ANDERSON RD.
BEND, OR 97701-5743
SALES (541) 382-4068 Re: City Of Tigard Building Dept-Permit#2002406 and Adair Hcmes,
(541) 382-6924
FAX (SAII) 382 8989 Inc,, 1111 SW 170111 Beaverton, OR 97006
FAX
OLYMPIA
2303 93"" AVE sw Dear Jim,
OLYMPIA, WA 98512-1028 Adair Homes Inc. has completed its contract obligations with your home
SALES (360) 352-8571
CONST (360) 352.7641 building project.
FAX (360) 943-0701
MEDFORD There are other items remaining for you to complete before the City Of
541 BUSINESS PARK DR. Tigard Building Department will perform the final inspections and issue
SUITE A
MEDFORD. OR 97504.4191 ccu the required OPermit. It is essential to the building dept. that this
Occupancy
SALES (541) 732.1560 inspection and permit be obtained promptly.
CONST (541) 774-8995
FAX (541) 774.8847
CAI-DWELL When you call (503) 639-4175 for and receive the final inspection there
1904 E. CHICAGO Srmay be corrections required in Adair's work. In this case notify us before
SUITE C . you take occupancy_ and it will be promptly completed.
CALDWELL, ID 83605
BUS (208) 459.8274
FAX (206) 459-82Aq Keer) in mind that occupancy of the home in a Jvance of these permit
BUSINESS CENTER steps would be a violation of the building laws, and that an additional
1111 SW BEAVERTON, OR 97006 42 0 permit fee could be imposed upon you if the current permit term is allowed
PHONE (503) 645-4730 to expire.
FAX (503) 645-9715 p
OR CCB#593
WA#ADAIR H#262RZ If we can be 01'further help to you. please let us know.
Sincerely,
Tom Carey Adair Honies Inc. Beaverton Branch
CC: City 0111gard 141 lcling Dept.
CITY OF TSG RD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP ------
Received _ Date Requested .__ _ AM _ PM ___ BUP
Location �.�!�-- ---�1L- Suite —_ _ _ MEC -
Contact Person _j Ph (_S5 3 ) ,i l3 2- 2ZL PLM
Contractor — _. __ Ph (----- _) --- SWR --
BUILDING Tenant/Owner _ _ ELC
Footing ELC --
Foundation
Access:
Ftg Drain 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:
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab —
Rough-In
Water Service
Senitary Sewer
Rain Drains --
Catch Basin/Manhole _
Storm Drain
Shower Pan
Other: ---- --
Final
PASS PART FA_ IL ____----
MECHANICAL
Post&Beam
Rough-In —
Gas Line
Smoke Dampers ------
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In -
UG/Slab
Low Voltage — _-_ --- --� —
Fire Alarm
tPASSPARrr��T FAIL L] Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
S _ L� Please call for reinspection RE: _ El I lnable to inspect-no access
Fire Supply Line
ADAApproach/Sidewalk OWN Q . Iris Or 7 �~ ---- ---
Other: __ --
Final - DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (50 - 75 MST �
INSPECTION DIVISION Business Line: (5,� 1 --
c� c, BUP
Received _ Date Requested __—_L ( AM- PM _ - SUP
r
Location _. - L - Suite _- --_- MEC
Contact Person Ph (_ ) - f_✓ PLM
Contractor - --- - -- . Ph
BUILDING Tenant/Owner
Footing
Foundation Access:
Ftg Drain �LG%C 2 ��s __ ELF!
SlabDrain 0� EL -
Slab Inspection N teS' - - SIT
Post&Beam
Shear Anchors -- - -_
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation � 1
Drywall Nailing --- _
Firewall / f
Fire Sprinkler -- ` , �'"�� Ste' _
Fire Alarm
Susp'd Ceiling
Roof 3
Ot�K: -
PART FAIL
ost& Beam —
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole s r
Storm Drain ��
Shower Pan
al
PASS PART FAIL --- - —
MECHANICAL -
Post& Beam
Rough-In --`_-
Gas Line
Smoke Dampers
r ial
A�a8 PART FAIL -- --- —_
ELECTRICAL.
Service ---- - ----- --- - -- _ -
Rough-In
UG/Slab
Low Voltage _
Fire Alarm -
Final n Reinspection fee of$_, required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:. _._ Unable to Inspect-no access
Fire Supply Line
ADA --��
Approach/Sidewalk Data_.___ 6 �� Inspector
P Ext
Other:
Final �- n0 NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPEt,TION DIVISION Business Line: (503)639-4171
BUP _ --
Received _ Date Requested-� -'> AM_____._ PIA _- BLIP
Location �'_��� 4,fSuite MEC
Contact Person - --- Ph(-) -- PLM -
Contractor - _ -- Ph(- - ) - SWR --------
BUILDING _ Tenant/Owner ELC - -
Footing _ ELC -----_ r
Foundation Access:
Ftg Drain ---
EL -- -
Crawl Drain --- -
Slab Inspection Notes SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear - - --
Int Sheath/Shear
Framing - - -- - —
Insulation
Drywall Nailing -- -- _
Firewall
Fir,-Sprinkler -
Fire Alarm _
Susp'd Ceiling -- -- --
Roof
Other:
Final _ --
RT FAIL -
Post& Beam
Under Slab �—
Roudh-In
Sanitary Sewer _
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
r.
Fi
A S PART FAIL
CHANICAL
Post&Beam
Rough-In --—
Gas Line
Smoke Dampers --- _- --- --------
Final
PASS PART FAIL - -�
ELECTRICAL
Service --
Rough-In -
UG/Slab
Low Voltage _-� -_ --- - - -- --
Fire Alarm
Final L] Reinspection fee of$ _ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - Please call for reinspection RE- __ —_ - __ [] Unable to inspact-no access
Fire Supply LineADA
Approach/Sidewalk Dsb )� Inspector /-_- -- �_----Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
J
CITY OF TIG ARD 24-Hour
BUILDINGInspection Line: MST(503)639-4175 n O 4o
�� "--.---
INSPECTION DIVISION Business
Line: (503) 639-4171 BUP
Received Date Requested _ AM PM BUP
Location R -- - -Suite MEC -
- ---- --—
Contact Person � _ Ph ( 1-` ) - d, PLM - - - - -
Contractor------ Ph ( - ) SWR - -
BUILDING Tenant/Owner -_ ELC
Footing ELC -
Foundation Access:
Ftg Drain ELR -_ - - -
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam ----- - - -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -
Insulation t4-71\d'Azria
Drywall Nailing
Firewall --
Fire Sprinkler - -
Fire Alarm
Susp'd Ceiling - — --- _-_- - -_---
Roof
��Oth��er: ---
C'_I___
ZsA PART FAIL
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Showei Pan
Other:^_ _
Final
PASS PART FAIL
MECHANICAL _. ----- - - ----- ---- - --
Post& Beam
Rough-In ------- -- -----------
Gas Line
Smoke Dampers -
Final
PASS PART FAIL
---
Service
Rough-In
UG/Slab
Low Voltage - -
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Nall Blvd.
PASS PAR_T FAIL
SITE �_� Please call for reinspection RE: - __ [] Unable to inspect-no access
Fire Supply Line
ADA -Ext
Approach/Sidewalk Date __- G - G1_ _ Inspecftor_
Other:
Final — DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD -- MASTER PERMIT
PERMIT#: MST2002-00406
DEVELOPMENT SERVICES DATE ISSUED: 10/9/02
-- 13'125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11415 SW ESAU PL. PARCEL: 1S 135CA-EEUU4
SUBDIVISION: ZONING: k 1
BLOCK: LOT: 004 JURISDICTION: 1 I:,
REMARKS: Model dome- New SF attached, Path 1.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NLW HEIGHT: 20 FIRST: 676 or BASEMENT: at LEFT: 0 SMOKE DETECTORS: 'r
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 794 of GARAGE: 280 of FRONT: 30 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 4
VALUE: 751,132.80
OCCUPANCY GRP: R3 BDRM: J BATH: 2 TOTAL.' 1,472 of REAR: t5
't.UMIJING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
IUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICA,
FUEL TYPES FURN<100K: 1 BOIL/CMP<OHP: VEN"FANS: 3 CLOTHES DRYER: t
GAS FURN>-100K: UNIT HEATERS: 0 H]ODS: I OTHER UNITS: 0
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODST OVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER9 BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 •200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 400 amp: 201 400 amp: lot WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT:
MANU HM/SVC/FDR: 601 - 1000 oma: 601+2mpo•1000v: MINOR LABEL:
1000♦amplvoll
PLAN REVIEW SECTION
l4w;onnect only:
>•4 RES UNITS: 9VCIFDR>•225 A.: >800 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM: OTH: BOILER: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS' TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,763.30
JIM CASTILE ADAIR HOMES This permit is subject to the regulations contained in the
Tigard Municipal Code,State of OR. Specialty Codes and
8100 SW DURHAM RD 1111 SW 170TH AVE all other applicable laws. All work will be done in
TIGARD,OR 07224 BEAVERTON,OR 97006 accordance with approved plans. This permit will expire If
work Is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTEN, ' •N:
Oregon law requires you to follow rules adopted by lhb
Phone: S03-645-7512 Phone: 503-645-1156 Oregon Utility Notification Center. Those tyles are set
forth in OAR 952-001-0010 through 952-001-0080 You
Rea w: I I(' S�' may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Post/Beam Mechanics Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Final
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Firewall Insp Mechanical Final
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Dr: Electrical Rough In Gas Line Insp Water Line Insp Final inspection
Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Appr/Sdwlk Insp
Permittee Si --
Issued By : �, Q� .,�f-�.1..^.1f � . �,.. Signature : -},
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next bfisinass day
CITYOF TIGARD ___SEWER CONNECTION PERMIT
PERMIT#: SWR2002-00265
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 10/9/02
PARCEL: 1 S135CA-EE004
SITE ADDRESS; 11415 SW FSAU PL
SUBDIVISION: ZONING:
BLOCK: LOT: _ JURISDICTION:
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: I
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection foi new SFA _ ��—
Owner: — - - --- �- FEES
JIM CASTILE Description Date Amount
8100 SW DURHAM RD -
---
TIGARD, OR 97224 ;\VtISA ISwrConnect 10/9102 $2,300.00
ti\l'INSP) Swr Inspect 10/9/02 $35.00
Phone: 503-645-7512 Total $2,335.00
Contractor: _
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall 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 952-001-0100
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
issued by: Permittee Signature: 7
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next bus(ne s day
Building Permit Application
City of Tigard Date received: % Permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date:
c'it n/'I igrrrd Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case riiteno.: Payment type:
CLand use approval: _ 1&2 family:Simple Complex:
�j U 1 &2 family dwelling or accessory U Commercial/industrial J Mulls 1.111111y U New construction U Demolition
t� U Addition/niteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
JOB SITE INFORMATION
.A0 Job address: T U I0/1 au Place Bldg.no.: I Suite no.:
Lot. 0 Block: Subdivision: Tax map/tax IoUaccount no.: 1402/1403 IS
Project name: Jim Castile / Adair Homes, Inc. 1W(*I) _35
new, 2stor 3hd /2hfor location
Description and location of work on premises/special conditions: + Y+ _ rm n - see map
Name: Jim Castile
Mailing address: 8100 SW Durham Road 1 dr t family dwelling:
City: Tigard State: OR 'LII': 97224 Vnluntion of work........................................ $ /S /J 2 OV
Phone: )20-7 )i2 Fax: C-mail: No.of hcdmoms/baUts.................................
Owner Is representative: Adair llomes I nc. Total number of flours................................. —2
_
Phone: 645-1156 Fax: f: mail: New dwelling area so ft. 1561
Gar►ge/cnrport wren(.sq. ft)) ........................
Name: Jim Castile / Adair llomes Covered porch area(sq.ft.) .........................
Mailing address: (same as above)
Deck area(sq.ft.) ........................................ ---
City: Slate: ?..IP: Other structure area(sq, ft.)......................... _-
Phone: G7 n-7 rt 1? I'nr: r mail: Commercial/industriallnndti-fancily:
Valuation of work........................................ -
�. ` Existing bldg.area(sq.ft.) ...................... .. -- -- —
Business name: Adair Homes, Inc. New bldg.area(sq.ft.) _
Address: 1111 SW 170th Avenue
City: Number of stories........................ .......
Beaverton State: UR lll': 7 U6 Type of construction. _-
Phone: 645-1156 Fax: 645-598 1 C-moil:
Occupancy group(s): Existing:
CCB no.: 593 _ New:
City/metm lic,nn.: Notice:All contractors and subcontrtclors are required to he
NIV117= licensed with the OreF:nn Construction Contractors Guard under
�Q Name: Adair Homes !nc provisions of URS 701 and may be required to he licensed iii(lie
t Address: (same as above Jurisdiction where work is being performed.If the applicant is
V City: Stale: L1P: exempt from licensing,the following reason applies:
J` Contact person: Chuck I)aY Plan no.: ?q69
Phone:
Name: Adair Homes 1contact person: mauty llo e Fees due upon application ...........................S
N) Address: same as abut/ Date received:
City: State: ZIP: Amount received ......................................... $
Phone: Fax: Email: Please refer to 1•ee schedule.
hereby certify I have read and examined this application and the Nnt all jutidicrinns accept credit cods,plena can jurisdiction fm more intotrnallon.
attached checklist. All -9visions of laws and ordinances governing this U Visa U Mastercard
work will be compli w�i hether ci(ied herein or not. credit card"umbo —1.�--
Expires
✓ __ _
Authorized sign @l e: _
Date: 7 Nome of rerdhnldrr n shown on ere It to _
�p Print name: Cudholder signature S llmounl
Notice:lltis permit application expires a permit is not obtained within 180 days after it has IMen accepted as complete. 4141613(NrMOM)
U
,,IF=
One-and Two-Family Dwelling
Building Permit Application Checklist Itctucnceno
Associated permits:
CiyalIi ant City of Tigard
Ll Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other:
Phone: (503) 639-4171 - - -
I-ax: (503) 599-1960
FOLLOWINGTIIE 1 1 ' i NIA
I Lund use actions completed.See jurisdiction criteria lift concurrent reviews.
2 Zoning.Blood plain,solar balance points,seismic soils designation,historic
3 verification of approved plat/lot.
4 Fire district approval required.
S Septic system pertnll or authorization for remodel. Existing system capacity
6 Sewer permit.
7 Water district approval.
8 Soils report.Must carry original applicable stamp and signature oil file ok with application.
9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 �1 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state
building codes.Lateral design details anti connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans will)cross lefererlces between plan location and details, Plan review cannot be completed
_if copyright violations exist. _
I I Site/plot plan dralsn Io scale.]I,,,Iii tri mii,t~Inti lot and building setback dimensions;properly rornrr rlr\,Iliuns(if'
tflcrI'is mule Ulan a 4 11.elevauunl I I I I ICIL'IIt1,ll,plan must show contour lines al 24l.intervals),It h atil m ul caw ments laid
dl iveway;footprint of structure(int.Iwhng decks);location of wells/septic systems;utility locations,(1nccuolt indicator;lot
urea;building coverage arca;percentage ol'covera�}c_impervious area;existing structures on site;and suiface drainage. _
12 Foundation plant.Show dimensions,anchor bolts,1111)'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,halconies and decks 30 inches above grade,etc. _
14 Cross section(s)slid details.Show all it aming nicink i si,:cs and spacing such as floor beams,headers,joists,sub-floor,
wall construction,root'construction, More than one cross section may he required to clearly portray consiniction.Show
details ol'all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
lire glare construction, thennn)insulation,etc. _
I5 Elevaliou views.1110vide elevations for new construction;minimum of two elevalions I'm additions and renuIdrls
Exterior elevations must reflect the actual grade if the change in grade is greater than lour loot at huilkl)ng cnvrlope.
_ hull-si/c sheel addendums showing foundation elevations with cross references are acceptable_
I6 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for
non-prescriplivc lialli analysis providt`specilicalhpns and calculations w r11.vii rormg,standards. ---
17 Floor/roof framing,I'I'uvide plans fin'1111 11ools/1 )III a,wnihhcs,illtIit;limp IIwinIIt:i sizing,spacing,and hearing
locations.Show attic ventilation. _
19 Basement and retainlug walls.Provide cross sections and details showing placement of rebar. For engineered
systems,see nein 22,"Engineer's calculations."
11) Begin calculations.Provide lv.o sets of calculations using current code drsign values for till heams and npulliple joists
over 10 feet lung and/or any bearn/joist carving a non-unifoun load.
20 Manufactured floor/roof truss design details.
21 Vitergy Code compliance.Identify file prescriptive path or provide calculations. A gas-piping schematic is required
for four or rnme appliances.
22 rnghneer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to he applicable to the project under review.
23 five(5)site plans tire required for Rein I I above. Site plans must he 8.1/2"x I I"or I I" x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted.
26 "Reversed"building plans must meet criteria outimed in the Permit&System bc:cfopment lees document.
27 "brawn to scale"indicates standard architect or engineer scale.
28 Site plan to Include tree size,type&location per appiow!d project street Iree plan(if applicable),and COT Sl reel Tree List.
Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 4404614 tr KWOM)
Ulectrical Perinit Application
FDatereceived:
City of Tigard Project/appl.no.: _ Expire date:
City of Tigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.; Payment type:
Land use approval:
TYPF t
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteratinn/re place nunl U Other: U Partial
INFORMATION
Joh address: TBD (//,1/l Esau Place t)Idg,no.: Suite no.: 3'nx neap/tax lot/account no.:1402/1403
Lot: cf Block: Subdivision: IS 1 W WM�—
Project name: Castile / Adair IDescription and location of work on premises: new 2 story, 3bdrm/2ba
Estimateddntr(if rontplrtion/intipcclion: – :sec M11IQ for Inrnt Inn
/CONTRACTOR
Job 111110:2969 ter afar
nosiness name: Interstate ElecL-ric _ Ilerl Uon day. (ca) Total no. ns
—---_�-------- New rrsldenNnl-slnRk or multi-family per
Address: pO Box 7342 _ _ rlwcll6at!nnit InrhrdesdlaclredRarage.
City: Salem Stale: OR 7.IP:97303 tirrvlrrlocuttkd:
Phone: 393-2223 Fax: 393-97221 Email: I WO rul.ft.or less 1 4
CCB nU.: 117121 ls1eC.bUx. IiC.no: Bach nddilimml 5(10 eq.ft.or portion thereof 1
Llnuted energy,residential 2
Cily/n'(t)•lic.no.: Limitedenergy,non-residential 2
8/27/02 rnch manufactured home or modular dwelling
S ture of supervising electrician [)me – Service and/or feeder 2
na
Sup.elect.nnme(prin): Arl{n AdhmSnn Liccnseno; Serrlcesorfeeders-Installation,
alteration or relocation:
1111111191 a LM 200 amps or less 2
Name(print': Jim ( 201 snips to 400 amps 2
401 snips to 601 amps 2
Mailing address: 8100 SW Durham Road 601 snips to 1000 amps 2
City: Tigard State: OR ZIP: 97224 Over 1000 strips or volts 2
Phone: 620-7512--Tr,_RX- I E-mail: Reconnect only I
Owner installation:The installation is being mnde on property I own Temporary services or fredrn-
which is not intended for sale,lease,rent,or exchange according to installation,alteration,orreloralloo:
200 onaps or Ices 2
ORS 447,455,479,670,701 -
201 amps to 40)amps 2
Owner's si nature: I fair: 401 to(0)roo s -- -- 2
Branch circulls-new,alteration,
or e%tenslon per panel:
Name: Adair Homes Inc: A. Fee fnrbronchcircuits with purchase of
Address: 1 1 1 1 SW 170th Avenue service or feeder fee,each branch circuit 1 2
City: Beaverton Sta1e:OR ZIP: 97006 B. Fee for branch circuits without purchase
Phone: 645-1156 Fnr: 645-19f3 nl mail
of service or feeder fee,first branch circuit: 2
- —
liach additional brooch circuit•
Mbc.(Service or feeder not Included):
U Service over 225 amps-commercial U Health-care facility Bach pump or Irrigation circle 2
O Service over 320 amps-rating of 1&2 U liwardous location Each sign or outline lighting 2
family dwellings U Building over KIM square feet four or Signal circuit(%)or a limited energy panel,
❑System nver600volts nominal rnore residential units Inone stnrctore alteration,at extension•
O Bulldinj over three stories U Feeders.400 amps or more *Desert tion:
l3 Occupant load over 99 persons U Manufactured structures or RV park FAcha aria fpectlon mer tire-elionable In any of the alcove:
U Egres-Aightingpinn U"'her Perin% ecli m _j—T—�—�—
Submlt sets of plan+with any of the ipbove. Investi anion rcr
The above are not applicable to temporary construction service. Other
Not all jurisdictions-crept credit cants,please cell iurirdiction rot more Inrrnmenion Notice:This permit application Pennit fee.....................$ _
U visa U Mastercard expires it'a permit is not obtained Plan review(at — %) $
credit cord nombn: within I RO days alter it has been State surcharge(11%)....$
ep m accepted as complete. IOTA h .......................$
- amt c afcF u-s rTown on ere�it coir
S _
--- Cord r slputnre -- Amount 4404615(6ANY OMI
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
—�— -- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee...................................................... $15.00
Number of his Eecttons er permit allowed (FOR ALL SYSTEMS)
Service included: Items Cast Total I Check Type of Work Involved:
Residential-pot unit
1000 sq It or loss $145 15 _ 4 ElAudio and Stereo Systems'
Lach additional 500 sq.it,ur
portion thereof _ $3340 _ 1 Burglar Alarm
t imited Energy _ $7500
I-ach Manurd Home or Modular Garage Door Opener'
Dwelling Service or Feeder u $90.90 2
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 2 I J Vacuum Systems'
201 amps to 400 amps $10685 2
401 amps to 600 amps $160.60 2
601 amps to 1000 amps $24060 2 Olhnr _ —Over 1000 amps or volts $454.65 2
Reconnect only _ $60.85 2
Temporary t o or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Feefor each system.......................................................... $15.00
Installation,attention,or relocation
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps --T $100.30 2
401 amps to 600 amps $133.75 _-_ 2 Check Type of Work Involved:
Over 600 limps to 1000 volIS,
see"b"above. Audio and Stereo Systems
Branch Circuits L� Boiler Controls
ttew,alteration or extension per panel
a)1 he fee for branch circuits ❑
wlfh purchase of service or Clock Syslems
fecdor lee.
Lach branch circuit $665 ��_—_-- Data Telecommunlcalion Installation
b)The lee for branch circuits
wlfhouf purchase of service Fire Alarm Installation
or foedor fee.
First branch circuit $46.85 HVAC
Lach additional branch circuit $665
Miscellaneous ❑ Instrumentation
(Service or loader not included)
Each pump or irrigation circle $53.40 Intercom and Paging Systems
Each sign or outline lighting _ $53.40
Signal circuit(s)or a limited energy
panel,alteration or extension _ — $7500 �� Landscape Irrigation Control'
Minor I abols(to) $12500�
Medical
Each additional inspection over
ore allowable in any of the above Nurse Calls
Per inspection $62.50
Per hoer $62.50
In Plant _ $73.75 J Outdoor Landscape Liyhling'
Fees: Protective Signaling
Enter total of above fees $ Other
8%Stale Surchaige $ Number of Systems
25%Plan Review Fee ' No licenses are required Licenses are required for all other installations
See"plan Review"section on $
front of application _ —
Fees:
TWO Balance Due $
Enter total of above fens
❑ Trust Account N 8%Stale Surcharge S
Total Balance DueAll Now Commercial Buildings require 2 sets of plans.
0dSI3\fomuklc-Ices ooc 08/30701
Mechanical PermitApplicatiun
— � IDate.eceived: -'�/ � Per�n,..
City of Tigard ProjecVappl.no,: Expire date:
City ofIcgard Address: 13125 SW Ifall lllvd,'I igard,OR 9722.1
Phone: (503) 639-4171 Date issued: By: IReceipt no.:
Fax: (503) 598-1960 Case file no.: Payment type,
Land use approval' Building permit no.:
AMM
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family LI Ti-nant improvement
U New construction U Adclition/iiltcratiort/replacemeni _)I ul ,
Job address: TBD(411t) Esau Place Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax mapAax lot/account no.: 1402/1403 IS 1 W(WM) 35 profit. Value$
Lot: Block: Subdivision: "See checklist for important application Information mid
Project name: Castile Ad jurisdiction's fee schedule for residential I crani fcc.
City/counly: Tigard/Was hinto P: 97223 r
Description and location of work on premises: new, story r r
3bdrm/2ba Is
Irr(ca.) total
Est.date of completion/inspection: Dess-ri rlion (p). It es.old) Itcw.ortlr
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U Na Air handling writ CFM
-
Is existing space insulated?U Yes U No Air conditioning(sitc innrcyuir.terns on of existing[IM'system -
o cr compressors
business name: Adair Homes, Inc. State boiler permit no.:
III —Tons—131'U/11
Address: 1111 SW 170th Avenue _ r smo c arnper uctsmo a detectors
City: _Leaverton I Stile: OR I ZIP: 97006 Ifentpump(site plan required)
Phone: 645-1156 FRA:645-598 6 1 E-mail: Instniltrepince furnacelbutner
CCB no.: Including ductwork/vent liner U Yes U No
593 nstn rep ace re ocate enters-suspen suspended,
City/metro lic.no.: wall,or floor mounted 10
Nanrc(please print) --_iii f,r n(r nnceot crtran furnace
CONTACT PERMON Mr acral on:
Absorption units_—_- -_ BTU/11
Name: IKit t y Hoye Chillers HP
Address: t, lme as above. Compressors HP
- --- ---�"=_ Environmental exhaust and ventilation:
Cily: Slate: ZIP: Aphlianccvent
I'hrnrr: I ac: I E-mail: Tycrcxhausl
�liiod s, 'ypc res. to ren lnzmat - 1
hood fire suppression system
Naive: Jim Castile Exhaust fnn with single duct(hnlh fans) 2
Malling address: 81 UU SW—Durham Road x musts stem n part from licaling or AC
City: l'1 and Slate: Uq 7_IP: 97224 'ue piping an str ul on(up to out cls)
- — — Type. LIX, NO Oil
Phone: 620--7512 Fax: --mail: Fuelaria each additional over outlets
rncess piping(sc emat c rcqu red)
Name: Adair Homes, Inc. Number of outlets
Other sle appliance or equ pment:
Address: (same ate above) _ Decorative fireplace
City: State: ZIP: Insert-type
Phone: x: —AL—mail: not stov pc c1 stove
t er:
Applicant's s I Date:8/27/02
Name(print): ristine Perry Adair Homes
NM all Iuddictiom accept crnlit cants,please can pnidktiun r«mune lnexmarinn Notice: Permit fee.....................$
ir _
Uvisa UMasterCard a permit application Minimum fee................$
Cmdii card number:_ expires a permit is acct obtained Plan review(at _ %) $
xp rn within I g0 days alter it has been
-- Name of CK&OIdel as aTtdwn nn c Slate surcharge(8%)....$it cud s accepted as complete. '�'OTAL $
.......................
Cordholder albnature Amount-.--, 4"11(rSibtl/COMI
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: Price Total
_ Table 1A Mechanical Code Ory (Ea) Amt
$1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and Including ducts d vents 14.00
$1.52 for each additional$100.00 or Furnace 100,000 BTU+
000.00.
fraction thereof,to and Including 2) Furnalce duels R vents 17.40
$10, -
$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 Includin vent 14 00
fraction thereof,to and including 4) Suspended heater,wall heater
$25000,00, or floor mounted 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 6.80
$1.45 for each additional$100.00 or
fraction thereof,to and Including 6) Repair units
_ 12.15
$5U�000.00,
$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 Cuiid
fraction thereof. footnotes below. Comp '
Minimum Permit F100K
ee$72.50 SUBTOTAL: $ 7) absorb unit ^
to 100K BTU __ 14.00
-- _ 8•/.State Surcharge 8)3-15 HP;absorb 25.60
unit 100k to 500k BTU
T 25%Plan Review Fee(of subtotal) $ 9)15.30 HP;absorb 35.(0
_ _Regulrod for ALL commercial permits only unit,5 1 mil BTU
TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb 52 0
unit 1.1.75 mil BTU
11)>50HP;absorb
unit>1.75 mil BTU 87.10
12)Air handling unit to 10,000 C
ASSUf:ED VALUATIONS PER APPLIANCE: 10.00
Value Total 13)Air handling unit 10,000 CFM+
Descrl tlon;� Ct Ea Amount 17.20
Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler
ducts&vents 10.00
Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct
_ducts 8 vents tr
Flonr lurnace In q?:In vent 955 _ 16)Ventilation system not Included in
Suspended heater,wall heater or 955 appliance permit
floor mounted healer 17)Hood served by mechanical exhaust
Vent not Included in appliance 445
permit 805 18)Domestic Incinerators
L!_e r units _
<3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator
to 100k BTU 6995
3.15 hp;absorb.unit, 1,709 20)Other units,Including wood stoves
101k 0 500k BTU 10.00
15.30 hp,absorb.unit,501k to 1 2,910 21)teas piping one to four outlets
mil.BTU __ _ 5.40
30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each)
1.1,75 mil.BTU 1.00
>50 hp;absorb,unit, 5,72 Minimum Permit Fee 172.50 SUBT AL: _
>1.75 mil.BTU
Air hand!!n2 unit to 10,000 cfm_ 658 - 8%State Surcharge $
Air handling unit>1u 000 cfm 1,170
Non-portable evaporate cooler 658TOTAL RESIDENTIAL PERMIT FEE:
Vent fan connected to a single duct 448
Vent system not Included in 656 --
a Manceep rmit Other Inspections and Feed:
Hood served by mechanical exhaust 658 1 Inspections outside of normal business hours(minimum charge two hours)
Domestic Incinerator 1 170 $62 50 per hour.
Commercial or Industrial incinerator _ 41590 - 2 Inspections for which no fee is specifically indicated (minimum charge-half hour)
other unit,Including wood stoves, _ 656 3 Additional per
hour
lan review required by changes,additions or revisions to plans(rnlnimurn
Inserts A1C. -
(3es -(ping 1-4 outlets 380
chargeame half hour)$82 50 per hour
Each additional oulle' _ _ 83 'Stale Contractor Boller Certification required for units>200k BTU.
TOTAL COMMERCIAL a "Residesnial A/C requires site plan showing placement of unit.
VALUATION: All New Commercial Buildings require 2 sets of plans.
I:\dsls\forms\mech-fees.doc 02/11/02
Plumbing Permit Application
Date received: 7 O2' Permit no,:
41, City of Tigard Sewerermit no,: Building g permit no.:
Address: 13125 SW Hall Blvd,'Tigard,OR 97223 --
City ofTigard phone: (503) 639-4171 Project/appl,no.: Expire date:
Fax: (503) 598-1960 Date issued: By Receipt no.:
Land use approval: _ ease file no: irnyment type:
TYPE OF PFRMIT
U I k 2 family dwelling or accessory U f'onunrrcinlhnrlusl wl U Mulli-Gamily U Tenant improvement
U New cominiction I lilion/oltrr:ltinn/replacement U Food service U 0111cr:
JOB INFORMATION 41FF SCIIIEDULF,
Joh address: TBUQ/,I/ 1 P.,.au Place
Description _ 111 . Fcc(rtl.) total
Bldg.no.: _ Suite nu.: Ne" -and 2-laniih dciellhlga only:
(InclTax map/tax lot/accounl m' 1402/1403 1S 1W WM 35 Sl,-R (l)des ha0n.rorenchulflltpcorwcclinn)
�— SI'R(I)both
Len: Block: Subdivision: --- - -�
Project name: Castile Adalr Ilames_ SFR(3)hath _
City/county: Tigard / Wamh ZIP: 87223-- --- ell a iti��nillit.tl In ti
Descriptionqnd location of work on premises:_new, 2�ory, fiileulllhit±s:
4bdrm/2 ba - see map for loc.l(don Cnlchhasin/areadrain
1`.el.slate of c•otnpletioa/hnspe_clion: Drywel s/lenc 1 linehrelich drain
1 r
Fooling drain(no.lin, ft.) _
Business nalnc: _3-T Plumbing Manufactures home utilities
_ alh 10 e9
Addres.,: 1890 Lana Avenue _ Rain drain connector
City: Salem State: OR I ZI P 9730.3 _ Sanitary sewer(no.fin.
I;.)
Phone: 371-9300 Fax: 588-223 E-mail• Storm sewer(no,lin. ft.)
CCB no.: 147077 Plumb,bus,reg.no: 24-379PB Waterservice(no, lin.ft.
City/metro lic.no.: _584JJI
_- Fixlore or ilem:
Contractor's representative sig► lure,, �.w� Ahsorption valve — —
�-- --- Back flowrevenler
Print name: Tom Farrand„ Date: 8/27/02 Backwater valve
Basins/avalury
Name: Tom Ferrando Clothes washer
Address: (same as above) Dishwasher
City: -_ _ 'TStatc: J 1.11': Drinking founlnin(s)
Cjcctors/sump -_-
Phone:--`--— I'a.X: F-snail: Expansion tank
aix�ewer cap _
Name(print): Jim Castile - 1R rains/floorsinks/ihu
Mfdling address, 8100 SW Durham Road Garbe
i is osa
ase hib
City: Tigard Slate:UR 'LIP: 97224 Icemaker
Phone: 620-7512 Fax: I Email: Interceptortgrease trap _
owner instnllation/residential maintenance only: The actual installation T,baled(,)
will be made by me ur the maintenance and repair mnde by my regular Roofdruin(commercial) _
employee on the property I own as per ORS Chapter 447. Sink(s), asin(s), ays(s)
Owner's signature: Date: Sump
_-_ Tu bs/shower/shower_pan
Urinal
Name: Adair Homes, lac, WaterClow
Address: 1111 SW 170th Avenue Water heater
City: Beaverton I State: OR ZIP: 97006 OIT,CC •
Phone: 6 3-1156 11'nx: 645-5986 G-mail: I Total
Not all jurisdictions accept reedit cards,pleas call Jurisdiction for marc Infrxmalinn Minimum fee................
NoUcc:'lhis permit application plan review(at �_ r!6)
LJ viae U MasterCard expires if a permit is not obtain:d
t rrdit cud number: ______. _ _.
— — —Ji within IRO days after it Im.been State surcharge(876)....
aplrea
_._ Nle of a nt r U shrwn nn ae n_i ci accepted as complete. TOTAL .......................E
$
Cwdhol&f signature - — Anrounl — /1416101 WCOM)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES Individual OTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL
Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT
.60 for each utility connection
16
Lavatory _One(1 Z bath $249.20
Tub or Tub/Shower Comb. 16.60 $35000
Shower Only
1660 Three(?Ibath $399.00
Water Closet 1660 --- —- SUBTOTAL
Urinal 16,60 8a/a STATE SURCHARGE
Dishwasher 1660 PLAN REVIEW 26%OF SUBTOTAL _._-
--- — TOTAL I I —
Garbage Disposal 1660
Laundry Tray 16.60
Washing Machine 1660
Floor Drain/Floor Sink 2" 1660 PLEASE COMPLETE:
3" 16.60
4" 16.60
uantity b f Work Performed i
Water Heater O conversion 0 like kind 16 60 Fixture Type: New Moved Replaced Removed/
Gas piping requires a separate mechanical r_ Ca ed
pe.rmit —
MFG Home Now W.ter Service 4640 Sink
MFG Home New San,Sturm Sewer 4640 l.avalory _
Tub or Tub/Shower
Hose Bibs 16.60 Combination --
Roof Drains 1660 Shower ON
Drinking Fountain 16 60 Water Closet
Urinal
Other Ft res(Specify) 1660 _W Dishwasher —___--
Garbage Disposal
Laund Room Tray
— Washin Machine
Floor Draln/Sink: 2"
Sewer-tsl too' 5500 3"
Sewer-each additional 100' ET46 40 4„
Water Service-1 at 100' 55,00 Water Heater
Other Fixlures
Water Service-each additional 200' 46.40 5 ecif
Storm b Rain Drain-1st 100' 55.00
Storm Q Rain Drain-each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40
Residential Backnow Prevention Device' 27.55
Catch Basin 16.60
Inspection of Existing Plumbing or Specially 62.50
Requested Inspections per/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps 16.60
QUANTITY TOTAL --
Isometric or riser diagram Is requ red d
Quantity Total 13 >9 _
*SUBTOTAL
8%STATE SURCHARGE — —
"PLAN REVIEW 25%OF SUBTOTAL
Required only it axlure 9ty 1014111112-9
TOTAL $
'Minimum permit its is$72 50.a%state surcharge,except Residential Backnow
Prevention Device,which Is fie 25•5%stale surcharge
"All New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan review.
1:\dots\forma\plm-fees.doc 12/26/01
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