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11587 SW ELTON COURT I t ' 0 VCA,v� kin 1 � Fdp i -� _ .. - ,�• ; Off/ 61, JL 14,X L4 V ✓�JCC.. �. � ..� � LO _ ✓N� Eg F i Y n NOTICE: IF THE PRINT OR TYPE ON ANY T �1-� II � III �TI � III � lII � Il � l�li Ill � llff lll � I �Tjf T�T 7 - TTT1-17TTII I III 111 111 I'� f III III I � I III III III lit III 111 111 TIf llf f Ijl � l I I ( I I I 1 111 I I I I I I I ' I IMAGE I I 1 I I I I I I III - SNOT AS CLEAR AS THIS NOTICE I i '� � � � I 4 5 6 _ _--- --- _ _- --_ - _ 8 - 10 11 IT IS DUE TO THE QUALITY OF THE ____. __.___ No.36C:...- ORIGINAL DOCUMENT �iflll;l I ' Z � ^ 0Z6T 8t G� 9i9T fiI ET ZT TT I 71zll �Illl SII III'. IIII illlillii IIII IIII IIII II!I ll�l 1111 Ohl II!I !III 111 I � � I � � � s G Til l Ill. 11llllllllllllllllll lllll IIII 111111X1111111 .1111IIIIilr�I! � V O C 11587 SW Elton Court CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 - -- - BLIP Received —� Date Requested AM__ ._.__ _ PM BUP Location `2 � �11Y�. K! - --- SUItB-- __.-._ MEC Contact Person --- "�vc Ph( ) '� � -'.�lCi ry PLM - - Contractor Ph( ) SWR BUILDING Tenant/Owner ELC — — Foundation Access: ELC Ftg Drain ELR Crawl Drain —_ Slab inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear - — Framing Insulation Drywall Nailing FiSprinkler \T-` P �� ►� - -- 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: — Final PASS PART FAIL ---- - MECHANICAL Post&Bearn — — Rough-In Gas Lin( - -- Smoke Dampers — —.- -. .. -- .------- -- - --- — Final — PASS PART FAIL ELECTRICAL Service Rough-In ------ Rough-In UG/Slat, -- Low Voltage Fire Alarm — -- --------- -- — _ PART FAIL Reinspection fee of$ required before next inspection. Pay at Gity Hall, 13125 SW Hall Blvd. SITE Plerise call for reinspection RE: _—_ _ — Unable to inspect -no access Fire Supply Line ' ADA �i �' Approach/Sidewalk onto-Q----'E—'� - Inspector Ltt Other: Final PASS PART FAIL DON NOT REMOVE this Inspection record from the)bb site. PERMIT NO.Ln� ?ooZ^Oo�9f EROSION CONTROL INSPECTION REPORT ,. DATE INSPECTORp�,%�.�_ ,_ CleallWater Services OWNER/PERMITEE Aime l)iir , niuiiiiurnl a I, ar, SUBDIVISION---Hu 4,, c -�Ad- LOT SITE ADDRESS- / SD7 Soi F /4al Ci APPROVED FINAL INSPECTION' THIS SITE MEETS THE POST-CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST-CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NE%%,' OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER _ __ THANK YOU FOR YOUR COOPERATION! INSPECTOR <( /2�"`_- GC�H'`�, PHONE ey�"�9G a a ► a ► a ► a ► � Q ► a w a x ° low- 4 a a 71 1 1 ► CA o o � �. a Q : a o 4J kl W ► t4-400 ► a ,4 '� Q ► c� ► O rA N00. a ' N � z r a W o q) o ► a •., ► A lop, oili v � C ► Poo. Nt t ` ► iIP a ENO ► i (� w ► Al Md a Q y CD GGG s cr L �. r C v7 G Nl r O � ti � J CL n., n Rr a O � a co O o � z 0 a 0 F �0 3 7O I —�— CITY OF TIGARD 24-Hour BUILDING Inspection line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BUP - -- Received __ - Date Request d_ �'%+ q��Z-� ' � AM PNS: BUP Location -� 7 _ -- -- - 5ui,e MEC - --_ Contact Person __- Ph(� � - - _ PLM Contractor - - -- - ---- Ph(— ) SWR ILD Tenant/Owner Footing - ELC Foundation ELC Ftg Drain FAccess: Crawl Drain ELR _ Slab spection No-tes: --�- SIT' Post& Beam Shear Anchors ---- - Ext Sheath/Shear -- - - Int Sheath/Shear i Frami ig < - Insul.,tion - - - - -- Drywall Nailing --_--_- - -- - Firewall - _- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot r: PASS PART FAIL M — _ Post 8 Beam _ Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole - - Storm Drain Shower Pan - -- Ott r in AS _PART FAIL MECHANICAL Post& Beam - - -- - --- --- Rough-hi Gas Line - ------ - — - ----- Smoke Dampers _ Final -- PASS PART FAIL --------- ____--_� - ELECTRICAL - — - Service --------- __— Rough-In UG/Slab _ - -- Low Voltage _ Fire Alarm e - --- Final PASS PART FIFAIL El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITEL� Please call for reinspection RE: Fire Supply ------------- ❑ Unable to inspect-no access ADA �j r Approach/SiDate IS Z� Inspector Other: _ - Final DO NOT REMOVE this IfISPection record from the job site. PASS PA e /� MASTER ?ERMIT CITY O F 71�•• R D PERMIT#: MST2002-00191 DEVELOPMENT SERVICES DATE ISSUED: 5/1/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11587 SW ELTON CT AS SHOWN ON PLAT PARCEL: 2S10313D-09900 SUBDIVISION: HUNTER'S WOODLAND ZONING: R-4.5 BLOCK: LOT: 011 JURISDICTION: TIG REMARKS: New SIF detached, Path 1. BUILDING REISSUE: _ STORIES: 2 FLOOR AREAS REQt.,rtt,,SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,126 st BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1 248 sf GARAGE: 400 of FRONT: 24 PARKING SPACES: 2 TYPE OF CONST: SN DWELLING UNITS: 1 FINSSMENT: of RIGHT: 10 VALUE: S 225.959,20 OCCUPANCY GRP: RJ BORM. 3 BATH: 3 TOTAL: 2,37600 st REAR: 21 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWEPS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: SOIL/CMP<AHP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>-100K: I UNIT HEATERS: HOODS: t OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS, I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F: 4 201 - 400 amp: 201 400 amo: 1st WtO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITEV ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIA: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 60142mpa•100ov: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION _ _ Reconnect only: >-4 RES UNITS: SVCIFDR»226 A.: 600 V NON'INAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK INSTRUMENTATION MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: TOTAL FEES: $ 7,095.03 Owner: Contractor: This permit Is subject to the regulations contained in the LEGACY HOMES LLC LEGACY HOMES LLC Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 446 PO BOX 446 all other applicable laws. All work will be done in SHERWOOD,OR 97140 SHERWOOD,OR 97140 accordance with approved plans. This permit will expire H work is not started within 180 days of issuanoe,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 Rep N: LIC 64667 forth In OAR 952-001-0010 through 952-001.0080. You play obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erasion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Fop ation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp AKI1 Iss ed By : / / Permittee Signature : L Call (503) 6343"4175 by 7:00 p.m, for an inspection needed the n65't busine4s day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00135 13125 SW Hall Blvd., Tigard, OR 97223 (50) 639-4171 DATE ISSUED: 5/1/02 SITE ADDRESS; 11587 SW ELTON CT AS SHOWN ON PARCEL: 2S103l3D-09900 SUBDIVISION: RLY1►JfCER S WOODLAND ZONING: R-4.5 BLOCK: LOT: 011 JURISDICTION- TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 T1 PE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: L f PSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: FESS LEGACY HOMES LLC Type By Date Amount Receipt PO BOX 446 SHERWOOD, OR 97140 PRMT CTR 5/1/02 $2,300.00 27200200000 INSP CTR 5/1/02 $35 00 27200200000 Phone: 503-925-0506 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 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. 4 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" Perm Issued Permittee Signature: ifrA4l Call (503)639-4175 by 7:00 P.M.for an inspection needed the next business&Y t wilding Permit Application City Of Tigard Da ' !/4.�- Permitno.:f�%jZ;2-(��; Ciry u(Tigard Address: 13125 SW Hall ti!vd,77gard,OR 97223 ProjecUeppl.no.: Ex ire date: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approviil' _ 1&2 family:Simple Complex: P- U 1 &2 family dwelling or accessory U Commercial/indusinal U Multi-larnily New construction U Demolition V Ad(Iititm/altereiion/replacement U Tenant improvement U Fire sprinkler/alarm U Other: ti Iuh address: 115 7 t71-� L_rO d - -- Bldg.no.: Suite no.: T Lot: I Block: 1 Subdivision: HIJIIjTE:R5 W�00 pt Ai jr) Tax map/t x lot/account no.: Project name: 5 / I_ I Description and location of work on premises/special conditions: Mailing address: V & I & 1 family elNclling: dN / -/F3 5 L - .r City: 2)HE State: are ZIP: ' 1 � O Valuation of work........ Z .. ..,............... $ 1 / r Phon:: 11r (j p(, f ax: "12 S. E-mail: ...No.of hedrooms/baths....................... ....... Owner's representative: _ %; tUCC K Total number of floors................................. 2-,___ Phone: Fax: 1;-mail: New dwelling arca(sq. ft.) .......................... r Garage/carport area(sq. ft.)......................... __- Name: ZAME A5 o i.okirr Covered porch area(sq.ft.) .... .................... Mailing address: Deck area(sq. 11.) ........................................ _ City: State: ZIP: Other structure area(sq. It.)..... ... . .... ....... Phone: Ivtx: E'-mail: Commerclal/indu+trial/multi-fare y: Valuation of work Business name: Existing bldg.area(sq.1't.) ......XNew — City/metro . .. �4�NtF (`)h)►JF �- New bldg.area(sq. ft.)............ ..... Address: �-_-- State.: ZIP: Number of stories........... ... .... ... City: Type of construction _Phone: Fax: E-mail: ................ ... . CCB no.: (f Q� — Occupancy group(s): ng: w: City/metro lic.no.: Notice:All contractors and subcontractors are re uired to he licensed with the Oregon Construction Contractors Board under Name: (� r� I l_l , ii _ provisions of ORS 701 and may he required to be licensed in Ow Address: - - - jurisdiction where work is being performed.If the applicant is Cit : State•" LIP: - exempt from licensing,the following reason applies: Contact person: Plan no.: Name: _ Contact person: Fees due upon application ........................... $ Address: Date received: _ _ City: State: ZIP: Amount received ....................................•.... $-- Phone: Fax: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all Jurisdictions accept credit code,please call luri"clinn for mete infornution attached checklist.All provisions of laws and ordinances governing this o wso U MasterCard work will be complie witkt,whether sKr ifie herein or not. Credit card number .eplree Authorized Sign2),J;wev : (Vfte: 3 2_ u Z Nune or cardholder u shown on credit card — Prif name: Cardholder signature $ Amouni Notice:This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. 440-4613(~'Ohl i One- ant''hvo-Family D'Velling Building Permit Application Checklist ►tefereneeno Associated penults r'u,of l igard (pity of "1 fgard J 1:Ic oleo' U Plumbing J'lcchaniral Address: 13125 SW Hull Blvd,Tigaiil.1 tit 97221 J 1((lura Phone: (;01) 639-4171 Fax: (511 599-196(1 PENNE� yes No NIA OEW ,m accent n.,, I Land use actions complete('.Se( 'unsd . ,"'ll criteria fol -- — - 2 `honing.hlxtd plain,solar bill:lice points,seismic Soils(I, nation,hi 1 u n 1 �� 1. 1i. 3 Verification of approved plat/lot. — - - 4 Fire district -_ approval required. 5 Septic system permit or authorization for remodel. fixisting syatrnt capacity _ _ 6 Sewer permit. —� 7 Water district approval__ K Soils report.Must carry original applicable stamp and signature on file r with application. 9 Erosion control U plan U pennit required.Include drainage-way protection,silt frier design and locution of catch-basin protection,etc.___ 10 -3 Complete`sets of lgibleep tans.ails rM nd er a rt•Wn to scalust hr uncWrlx�tatedoni cin toltile plans or on n wparate lull-size building code.. design sheet attached to the plans with cross references between plats luca,loll and dclatl�. Platt review cannot hr completed it'copyright violationyexim.. 1 I Site/plot plan drawn to stall- must show Int and building setback dimensions;pn,prrty earner rlry:tuon�(if then is more than a 4-Il.elevation differential.plan must show contour lim ut _ ti uurr�alti):I k atinI c ion uld•nls and driveway;fcx,tprinl oi'strtcturr(including decks):location of wells/sepue sy�trnt� uulin kxau m . li retiun indirnnr.lot area:building coverage area:percentage Ott coverage:impervious area;existing slrurtures on silt..and tiurfarr drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-clowns and reinforcing pads,connection details,vent 1y 11ocation _ _ -- -- I i-` oNt plans.tihow all dimrnsic,ns,room identification,window sl/e,Iocalinu II trn,l r drtrcaors.water heater. furnace,ventilation fans,�tlutttl)my, fixtures.h:ticunirs and decks 311 inches uhovr f rade.etc. la (Tosssections)and,details�n�uwoilunIltonct,nrrcr�ssssrcltoncntl,yhPaCierryuilredtl�clearlyrpollrn>d�rn`Ini'Unntht��r wall construction, details mf all wall and root"hrathing,roofing,root slope,(-citing hcighl,siding muteal.fouungs:end foundation. fireplace construction, thermal insulalion,etc. 15 Elevation view's.Pruvide elevations for new cot greater minimumf tgreater thaowo iter thanfor additions and remodels. Exterior elevations must reflect the actual grade it the change in grad(' tc n four foot at building envelope. Full siz.c sheet addcndums showing foundation elevations with cro trlcrenecs arc acceptable. 16 Wall bracing(prescriptive path)andlor lateral analysis plans. nIu.t indicate details and Incatiuns;for nun-prrscriptive path analysis provide specifications and calolhl-ns to engineering standards. 17 Floorlroof Iraminj.Provide plans Io' all (lours/root assert blies,indicating member sizing.spacing.and hearing locations.Show attic ventilation. p!,cement of rebar Fur cnginccrrd 1S Basement and retaining walls.Provide truss sretinns and details showing -- s stems,see item 22,"EnRincer's calculations." 19 Beam calculations.Provide two sets of ca culanons using current code design values for all tx ams and multiple µlists over 101'ect long and/or any hc;uli/juist carrying a non-uniforn load. 20 Manufactured inoorlroof truss design details. 21 Fnergy Code compliance.Identify the prescript putt,or provide calculations. A gas-pining s,chernatir is required for four or more app.,ances. 22 Engineer's calculations.When required or prop ufrd,(i.c ..b :n , :II.roof tru,,)shall be stamped by an engineer or architect licensed in Oregon and shall he show's to be ahI'll,:rhlr 1, li IV nn ler review, 21 Five 15)site plans an required for Item 11 above. Site plans must he R. I/. I I"or 1 L x 17". 24 Two(2)sets each etre required for Items 16, 19,20 K"2 above. 25 Building plans shall not contain red lints or tape-ons, "Mirrored"building plans will be not accepted. t. 26 "Reversed"building plans must meet criteria outlined in the Perntit System Development lees dctcumcn� 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree site,type&location per approveroject street tree pl n(if applicable),and GOT Street Tree List. d p 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. 4614 Plumbing Perinit Applicatiion Date received:y / d y Permit no.:1,�r";L-Gt9 City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97723 Pro ect/a I ire date: city ofTigard Phone: (503) 639-4171 1 PP no.: Expire Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval Case file no.: Payment type: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Truant improvement New construction U Additiolt/alteration/replacement U Food service U Other: Job address: 7 .- -C/(,N L f _ Description Qty. Fee(ea.) Total Suite no.: New 1-and 2-family dwellings only: Bldg.no.: (includes loo R.foreach utility connection) Tax map/tax lot/account no.:,25 03 DOq OO "� ) SFR(1)hath Lot; Block: Subdivision: 5 - SFR(2)bath Project name: q SFR(3)bath City/county: g ZIP: e1-122.3 Each additional batlt/kitchen Description and location of work on premises:_ _ Siteutilities: Catch basin/area drain - -- - Drywells/each line/trench drain I:st.date of annl lctiun/inspccti"t'' Footing drain(no.lin.ft.) _. Manufactured home utilities _ Business name: - _ ___ Manholes Address: VDITT Rain drain connector City: O V h tale ZIP Sanitary sewer(no.lin.ft.) Phone:25cl SO Fax: 59- 1 E-mail: Storm sewer(no.lin.ft.) CCB no.: l2 Plumb. us.rcg.no: ater service(no.lin.11.) Fixture or Item: City/metro lic.no.: Absorption valve Contractor's representative signa Back flow preventer Print name: p► Date: -21 OZ Backwater valve Basins/lavatory Clothes washer Name: 13(ZAO "I 1 Dishwasher Address: Po E2,gy,4 4 CP rinkin fountain(s) City: �N Q Alt��' Q_.State ZIP: E'ectors/sump Phone: ZS• Fax: 5 G-nuiil: Ex ansion tank ixturelsewcr ca Floor drains/floor sinks/huh Name(print): 'SwE S Garbage disposal _ Mailing address: Hose hibb _ City: State: ZIP: ice maker Phone: Fax: E-mail: nterce tor/ cease trap Owner install ation/residential 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 signature: Date: Sum Tubs/shower/shower pan Urinal _..._ Name: — Water closet _ Address: Water heater City: State: ZIP: Other: Phone: Fax: _ E-mail: ota Minimum fee................$ _ Not all jurisdiction&accept credit cards,please call jurisdiction for more information. Notice:This permit application plan review(at _ %) U visa O MasterCard expires if a permit is not obtained State surcharge(8%) ....$ _ Credit card number --- within 180 days after it has been ares TOTAL .......................S acct.,ted as complete. Name or c older u shown on credit card S Canlholder dEnature -�� I/Qdblb(60QaCOM) I 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. (ATY (ea) AMOUNT Lavatory 16.60 �qreaOne 1 h u�ttiillit connection) ___ $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 hath _ $350.00 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" -- 16.6 3" 16.6 00 PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kine: 16.60 Quantity b t Work Perrormed 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 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16,60 Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ Dishwasher Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Sink: 2" Sewer-1 at 100' 55.00 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 S eCl Sloan b Rain Drain-1 at 100' 55.00 Storm d Rain Draln-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 21.55 Catch Basin 16.60 inspection of Existing Plumbing or Specially 62.50 Requested Inspections r/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 WUANTITY TOTAL Isometric or riser dingidm is require'If Quantity Total Is ,B _ "SUBTOTAL 8-/s STATE SURCHARGE - - - "PLAN REVIEW 25%OF SUBTOTAL _ Required only If fixture gly.Malls>9 ^_ TOTAL a -Minimum permit fee Is$72.50+8%slate surcharge,except Residential Backsnw Prevention Device,which Is$36.25+8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. is\dsts\forms\plm-fees.doc 17/26/C1 Electrical Permit Application - �- Dale received: / c;__1 Permit no.: -i- City City Of Tigard Project/appl.no.: Expiredate: City of Tigard Address: 13125 SW 1 fall Blvd,Tigard,OR 97223 Date issued: By: Receit no Phone: (503) 639-4171 p_ _ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: "&2chn, y dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement uction U Addition/alteration/replacement U Other: U Partial Joh address: /56.7 bw ei revs C.�C• Bldg..nu.: Suite no.: Tax map/tax lot/acc Dunt no.: B q Lot: 11 1 Block: Suhdivision: OODL AWC.) �0 Igt Project name: Description and location of work on premise: Estimated date of cons letion/ins ction. — -- DULE Jol►no: 'ON I It ACI Oil A 111111LICATION .FEE .1011E 'Fdr Max Business name: J E~ �T 1 lk-wrirtion Qt . (ea.) 7btal no.Ins Nr"midential sln�leormuhl-familvper Address: Z d"elling unit.Includes altached garage. City: 15ALEM js(ale: ZIP: 9-1-30-6 - lrrrhrinrluddtil: Phone: 5c13.723Fax: E-mail: t CCB n : Elec,bus,lic.no: Each additional 50O sq.ft.or portion thereof Limited energy,residential 2 Clly/ lro ic.nof-.,/ Limited energy,non-residential 2 ? ' y Z Each manufactured home nr mudular dwelling 5 gran ure of su rvisi electrician(required'. Date Service and/or feeder 2 Sup.elect,name(print). License no: S,rvleesorfeeders—Installation, ■Iteration or relocation: 200 amps or less 2 Name(print): LE L • C 201 amps to 400 amps 2 Mailing address: PQ '&)e s� 401 amps to 600 amps)e _ 2 601 amps to 1000 snips 2 Ci(y:_ I Slate: ZIP: ry Over 1000 amps urvolts -- — 2 Phone: Fax: I E mail: Reconnect only --- I Owner installation:The installation is being made on property 1 own Temporary services or feeders which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2(x)amps or less 201 amps l0 400 amps Owner's sl nature: _ _ Dale: 201 ampsto to 4 s -- Branch circuits-new,alteration. Name: or extension per panel: ------- -----------.- _. A. Fee for branch circuits with purchase of Add . service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase _ of service or feeder fee,viral broach circuit: 2 PII(,ne: rax: E-mail Each additional rfeederfcircuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facihiN Each pump or irrigation circle 2 ❑Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 faniVy dwellings U Building over 100)0 square feet four o, Signal circuit(s)or a limited energy panel. ❑System over 600 voltiq nominal more residential units in one structure alteration,or extension' 2 U Building over three stnries U Feeders,400 amps or more •lkscrition: U Occupant load over 99 persons U Manufactured structures or RV park Each additional hrspedlon over the allowable In any of the above: U Egress/lightingplan U Other —�-_. Perins ection Submit__xets of plans with any of the aMnr• Investigation fee L The above are not appHcrble to temporary,construction service. Other -- Not all jurisdictions accept credit earls.please call juriadlction for more Information. Notice:This permit application Permit fee.....................$ U Visa ❑Mastercard expires il'a permit is not obtained Plan review(at _ %) $ Credit card number:___ _L / - within 180 days after it has been State surcharge(8%)....$ _ spires accepted as complete. TOTAL .......................$ Name�c r u shown one It c -- __ S 17— Cardholder sikiature Amount -- — 440*01(fv XWOM) ELECT!t;CAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: L ONLY Cahn lete Fee Schedule Below: TYPE OF WORK INVOLVED - E .. A _. CompRestricted Energy Fee...................................................... $75.00 Number of Inspec!tons per permit allowed) (FOR '-L SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Pasidential-per unit 1000 sq.It.or less __ $145.15 4 Audio and Stereo Systems' Each additional 500 sq it or portion thereof _ $3340 i 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 Heating,Ventilation and 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 $160.60 2 O 601 amps to 1000 amps �i $240.60 2 Other Over 1000 amps or volts _ $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $76.00 200 amps or less $66.85 _ 2 (SEE OAR 918-260.260) 201 amps to 400 amps $100.302 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. E] Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of servire or Clock Systems feeder fee. Each branch circuit $665 Data Telecommunication Installation I))The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 HVAC ❑ Each additional branch circuit $6.65 - MI tcellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 Each sign or outline lighting $53.40 E] Intercom and Paging Systems Signal cirru8(s)or a limited energy panel,alteration or extension _ S75 U0 _ Cl Landscape Itrigation Control' Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable in any of(fie above r, Per inspection $62.50 u Nurse Calls Pet hour $62.50 In Plant $73.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees S _ Other R%State Surcharge $ , Number of Systems 25 Plan Review Fee See"Plan RevieH section on $ ' No licenses are required Licenses are required for all other installations front of application Fees: Total Balance flue $ '--"— Enter total of above fees $ — El Trust Account ft 8%State Surcharge $ - Total Balance Due $ — All New Commercial Sul!dings rogt0ro 2 sects of glans I Ad%t5VIomL4\CIC-ICc%dec 08 '00 1 Mechanical Pe: mit Application -- I)ate received::::: tx/ �' 1 Pcrmjt no.:/f ! �-l17 City of Tigard Project/appl.no.: Expiredate: City ofTigard Address: 13125 SW Hall 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: _ Building permit no.: TYPF OF ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New const UClion U Addition/alteratioiVi-epl:icemcnl U Othcr: .1011 SI I F.INFORMATION COMM EXCIA 1, VALVAlION SCIIEDULL Job address: t'-T9 Indicate cgUipnictit 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.: 1 D3BD617 ADO 2 profit. Value$ Lot; Block: Subdivision: •See checklist for important application information and Project name: jurisdiction's fee schedule for n al permit fie. City/county: FEMUn I'l.IP: ZZ7 — -- Ij 1 Description and location work on premises: 7rh,,�dlmg, 1I ee(ca.) Intal Est.date ofcompletion/inspection: Dmriplion (h v. Itm.onh Re%.00h Tenant improvement or change of use: unit CFM_ Is existing space heated or conditioned?U Yes U No r conditioning(sue plan require ) Is existing space insulated'?U Yes U No Alteration of existing li VAC system i of er compressors Business name: Slate boiler permit no.: ` dP Tons BTU/H Address: SE Z I' Fire/smoke amper uctsmo a electors City: RI G St, e: ZIP''.e Uo cal pump(s to pian required) Phone: Fax: E-mail: nsta /rep ace urnac umer Including ductwork/vent liner U Yes U No CCB no.: Cv03 _. ___ nsta rep ace%refocatene— atm ors-susp_ e , City/metro lic.no.: wall,or floor mounted Name lease print): 70 E 1 � �ent�or appliance other t)an urnace e Million! Absorption moits BTU/H Name: 1 I LLE ` Chillers _ _ HP Com ressors HP Address: v ronmenta exhaust an vent at on: City: Stale: ZIP: C) Appliancevent Phone,71 t Fax:el 2 rJ' E-mail er ex 'us Hoods,Type res. itc a aamat hood fire suppression system Name: Ane , n Uhf TgGT Exhaust fan with single duct(bath fans) Mailing address: Exhaust system a art from ticatinit or AC Fuel piping an sir ut on(up to 4 outlets) City: State: II' Type: —LPG NO —_ Oil -uel plipingeach additional over out els i Process piping(schematic require ) Number of outlets Name: Other listed appliance equ pment: Address: Decorative fireplace City: _ I State: ZIP: nscrl-type Phone: Fax; E-mail: Cot stov•pe I I etsIoNc Ot cr. Applicant's signature: Date: ter: Name(print): -- Nrn all jur+arfictinns accept credit cards.piens,colt jurisdiction rm more infnmtation Permit fee ................$ _ Notice:This permit application Minimum fee ...... .........$ U Visa U MasterCard expires if a permit is not obtained Credit caro number: _-�_�.__ Plan review(tt ,_ 9F) it --- r:.pirer, within 190 days after it has been State surcharge(11%)....$ ---Name of ca,&older&sshown on creJlt card---�-_ $ accepted as comple!e. TOTAL .......................$ Cardholder signature Amomn440.1617(61001COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHELULE: `I & 2 FAMILY DWELLING FEE SCHEDULE: I---- Uescrlptl0n: ------- -- - Price Tidal TOTAL VALUATION: PERM,f FEE: $1.00 to$5,000.00_ Minimwr.fee$72.50 Table 1A Mechanical Code Uty (Ea) Not $5,001.00 to$10,000.00 $72.50 for the first 4F.J00.06 and 1) Furnace to 100,000 BTU $1.52 for each switional$100.00 or including ducts&vents - 14.00 fraction theront,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 fes;the first$10,000,00 and 3) Floor Furnace $1.54 Sur each additional$100.00 or Includingvent 14.00 fractiun thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted healer 14.00 $25,001.00 to$50,000.On $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 $50000,00. 12 t5 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply, Boller 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)<31-111;absorb unit to 100K BTU 14.00 8°/ 8)3-15 HP;absorb .State Surcharge $ unit 100k to 500k BTU t5.8o 25%Plan Review Fee(of subtotal) $ 9) t.5-1 HIP,s absorh 35.00 _ _ Required for ALL commercial purmIts only unit.5-1 mil BTU TOTAL COMMERCIAL PERMIT. FEE: a unit3-1.7 mi absorb 52.20 unit 1-1.75 mil BTU 11)>50HP;absorb - - - -T unit>1.75 mil BTU 1 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: d Ea Amount 11.20 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&vents 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 by mechanical exhaust Vent not included in appliance 445 10.00 permit 181 rJomesbc Incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU _ 69.95 3-15 hp;absorb.unit, 1,700 20;Other units.Including wood stoves 101k to 500k BTU _ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas 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, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ 21.75 mil.BTU Air handling unit to 10,000 cfm 656 8%State Surcharge 5 Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 658 TOTAL RESIDENTIAL PERMIT FEE $ Vent fan connected to a single duct _ 448 Vent system not Included In 656 a Ip ianceep rmlt _ _ Hood served by mechanical exhaust WS gthar Inspections and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic incinerator 1 170 $62.50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically Indicated (minimum charge-hall hour) Other unit,Including wood stoves, 656 $62 p1 per hour Inserts etc. 3 Additional plan review required by changes,additions or revision$to plans(minimum Gag piping 1-4 Outlets _360 charge-one-half hour)$62.50 per hour Each add;Jonal Outlet _A 63 •S'ale Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL E "Residential A/C requires site plan showing placement of unit. VALUATION: All New Commerclal Buildings require 2 sets of plans. I:\dsts\forms\mech-fees.doc 02/11/02 SEE 35MM ROLL #2 0 FOR uVERSIZED DOCUMENT