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13285 SW ESSEX DR.
a�
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4,171
BUP _^
Date Requested / Z--61 __ANPM BLD _ __—
Location Z F'i S Gv SSS ✓ Suite _ MEC —_—
Contact Person Ph 0}� �5� PLM
Contractor l.'� '`f6 _ Ph _ _ SWR
BUILDING Tenant/Owner — —__ ELC
Retaining Wall ELR
Footing Access FPS
Foundation
Ftg Drain _ -. - S G N
Crawl Drain Inspection Notes
Slab - -- ---- ----_ SIT
Posl &Beam
Ext Sheath/Shear _____- -----`--- -
Int Sheath/Shear
Framing - ----- -- --- - -- -
insulation
Drywall Nailing - --- --- -- - - _ --
Firewall
Fire Sprinkler --- -
Fire Alarm
Susp'd Ceiling - -- - - -
Roof
Misc._ __ _ -------- --- - -
Final
PASS PART FAIL -___ _- --- - ---- -
PLUMBING
Post&Beam -
Under Slab - -_
Top Out
Water Service
Sanitary Sewer
Rain Drains - -
Final
PASS PART FAIL -
MECHANICAL
Post 8 Beam
Rough In
Gas Line - - - ---- --
Smoke Dampers
Final - - ---- -— ---
p PART FAIL
ELE �- - _ --- - -- ---- -- - -
Service --- - - _ - -
Rough In
UG/Slab - -- -
Low Voltage
51T
S PART FAILE
Backfill/Grading
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before ne spection. Pay at City Hall, 13125 SW Hall Blvd
Catch ( J Please call for reinspection RE. __ _ ( J Unable to inspect-no access
Fire Supplypply Line
ADA
Approach/Sidewalk -"ExtDate /`'_ InspectorOther
/
Final
PASS PART FAIL 00 IN107 REMOVEthis inspeclior� rer.ord from the job site.
CITY OF TIGARD BUILC•ING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 13UP
Date Requested Z --AM_PM —_-._--- ELD
ti� 5w SSI
Locatioil X �I� Suite MEC
� � --"
Contact PersPh .5 7L__ PLM
Ph _ SWR
Contractor - ELC _
BUILDING Tenant/owner -
_ ELR -
Retaining ad'
Footing Access FPS --
Foundation SGN
Ftg Drain
Crawl Drain Inspection Notes: SIT — -- -
Slab —- --- _---_
Post&Beam
Ext SheathiShear
Int Sheath/Shear _ -
Framing -------------- --
Insulation - -
Drywall Nailing -------
Firewall --
Fire Sprinkler - `--
Fire Alarm
Susp'd Ceiling _---
Roof _
Misc: - — — - -
Final -- — -
PASS ART FAIL
Post&Beam
Under Slab
Top Out _
Water Service --
Sanitary Sewer - —_
Rain Drains
PART FAIL —
HANICAL
Post&Beam _—
Rough In —_—
Gas Line - —
Smoke Dampers -
Final
PASS PART FAIL -
ELECTRICAL
Service --
Rough In
UG/Slab ---- -- �`"
Low Voltage _
Fire Alarm - - -- _
Final --
PASS PART FAIL --SITE -Backfill/Grading
Sanitary Sewer required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Storm Drain I ]Reinspection foe of$ 4
Catch Basin —_ [ ]Unable to inspect-no access
Fire Supply Line
( ]Please call for reinspection RE:
ADA Ext
Aporoach/Sidewalk I►ispector Data - ---
Other _
Final
pA83 PART F.41L DO NOT EMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Flour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested- �� _AM +PM BLD
LocationT,3 Z h'S 5 w E55,0 K _ Suite MEC
Contact Persor. Ph 057y PLM
Contractor Ph SWR
8 � Tenant/Owner _ - ELC _
Retaining Wall ELR
Footing Access' �!
Foundation FPS
Ftg Drain -.------_ --
Crawl Drain In,section Notes: SGN
Slab SIT
Post& Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framiny
Insulation -
Drywall Nailing
Firewall - _-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -- - ------.� -- —- -
-in
ASS I PART FAIL _
PLUMBING
Post& Hearn
Under Slab
Top Out
Water Service
Sanitary Sewer -- - --- -- _
Rain Drains
Final -- - -- -- - -
PASS PARI FAIL
MECHANICAL - -- ---- -.��---- -._
Post S E earn - - -- - -
Rough n ----- -----...
Gas Line -
Smuke Dampers _
Final - -
PASS PART FAIL
ELECTRICAL - - - --- ----—-
Service
Rough In -
UG/Slab
Low Voltage -- -- - _- -
Fire Alarm
Final ----
PASS PART FAIL
SITE
Backfill/Grading �- -- ---
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _required before next inspection. Pay at City Halt, 13125 SW Hall Blvd
Catch Basin RE reinspection ll f
Please call reins
Fire Supply Line [ p [ ]Unable to it sped no access
ADA
Approach/Sidewalk 2 _ �,�� r
Other Date / n..pectnr - Fxt
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record front the job site.
OF �■1 G�R® �--- MASTER PERMIT
•fY O
PERMIT#: MST1909-00419
DEVELOPMENT SERVICES DATE ISSUED: 2/3/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13285 SW ESSEX DR +>/,O PARCEL.: 2S104CA-00900
SUBDIVISION: HILI-SHIRE _ P' ZONING: R-7
BLOCK: LOT:009 /JURISDICTION: TIG
REMARKS: New SF - Path 1
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 1,416 at RASEMENI: s1 LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,100 of GARAGE: 440 at FRONT: 20 PAR✓.1NG SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: s1 RIGHT: 5
VALUE: f 180,779 72
OCCUPANCY GRP: R3 BURM: 7 BATH 3 TOTAL: sr REAR: 15
PLUMBING _
SINKS: 1 WATER CLOSETS: 3 WASHING MAC14: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
TURISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c 10014: BOIL/CMP a 3HP: VENT FANS: 3 CLOTHES DRYER: 1
CAS FURN+-100K: 1 UNIT HEATERS: HOODS: OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L 11,3PECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L BOOSF: 4 201 400 amp: 201 400 amp: tet WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT.
MANII HMISVCIFDR: 601 • 1000 omp: 601+amps•1000vr MINOR LABEL:
10004 amp/volt
PLAN REVIEW SECTION
Reconnect only:
»0 RES UNITS: 9VCIFDR>•225 A.: >600 V NOMINAL: C1.3 AREAISPC CCC'
ELECTRICAL•RESTRICTED ENERGY
y A.SF RESIDENTIAL B.COMMERCIAL
AUDIO d STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM: OTH: BOILER: MVAC: LANDSCAPEARRIG: PROTECTIVE.SIGNL.
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: uATAITELE COMM: NURSE.CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,032.20
ALLEN DEVELOPMENT INC ALLEN DEVLOPMENT(RAY ALLEN) This permit is subject to the regulations contained in the
1925 SW PENDLETON ST 1925 SW PENDLETON STREET Tigard Municipal Code, State OR Specialty Codes and
PORTLAND,OR 97201 PORTLAND,OR 97201 all other applicable pews All woo rk will be done
accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules adapted by the
Oregon Utility Notification Center Those rules are set
Roo a 1 u.. 1 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 844-8444 Slab Insp PLM/Underfloor Framing Insp Gas Line Insp Appr/Sdwlk Insp
Grading Inspection Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Backflow Preventor
Sewe-Inspection Post/Beam Mechanical Plumb Top Out Exterior Sheathing InsF Rain drain Insp Electrical Final
Footing Insp _ Underfloor insulation Electrical Service Special Insp.required Roof Nailing Mechanical Final
Founda!lKlnsp Crawl Drain/B water Electrical Rough In Fireplace Insp Water Line Insp Plumb Final
Issued y : / Permittee Signature
Call (503) 639- 175 by 7:00 p.m.for an inFpectioll needed the next busin ss day
CITYOF T'GAR' lr � SEWER CONNECTION PERMIT
DEVELOPMENT SERVICE!S/`.' Pxj PERMIT#: SWR1999-00274
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639- DATE ISSUED: 2/3/00
SITE ADDRESS; 13285 SW ESSEX DR PARCEL: 2S104CA-00900
SUBDIVISION: HILLSHIRE �"� ZONING: R-7
BLOCK: LOT: 009 JURISDICTION: TIG
TENANT 'NAME: ALLEN DEVELOPMENT INC
USA NO: FIXI URF UNITS:
CLASS OF WORK: NEW DWELLING UNITS. 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL.TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection
Owner:
--
ALLEN DEVELOPMENT INC FEES
1925 SW P1=NDLETON ST Type By Date Amount Receipt
PORTLAND, OR 97201 PRMT DEB 2/3/00 $2,300.00 00-321579
INSP DEB 2/3/00 $35.00 00-321579
Phone: 503-245-3376 Total $2,335.00
Contractor:
Phone:
Reg M
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and ;�qulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid wili 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" Pem iit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain vopies of these rules or d' ect questions to OUNC by calling (503) 24 -1987.
Issubjl by: ��' Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed t e next busir .sr day
c iPlan(,oeRec'dBy�'
CITY OF TIrARt� Residential Building Permit Application
13125 SW HALL BLVD. Nevi Construction Date Rec'd' '
TIGARD, OR 97 223 Singl,-� Family Detached Date to P.E. 12-Z3 93
V 503-639-4171 Date to DST l _t -no J
F 503-684-7297 Permit# tvASi111-co-alq
Print of- Type I r/ Called e oek rn
Incomplete or illegime: applications will not be accepted
-- --- - ---------------
Name of Project Namen
Job LS5P1C dk, J 4
Address qd Architect Mailing'�dress LJ VL
o i,,
SLofdrTg IIISkire V �'
--- / Ciwstate , Z4 Phone
Name /I
V 10 On f/-L� C. - t ' 6"" � 0 iY
lin Ad res I Name aA ?, S��Y Q �►
Owner r�a� ��ehd�L� S� ,V ----
/ ii Phone Engineer Mailing gddresa
it
it A 4 d l •?yt'337 Fj t f11o�r15a>1 S
ity/ a�te� Zip Phone
�
Ge neral e ter- W fI I/ 17-3o• ft
Con tractor �i 1 �� . Describe work New§e AddRion O Alteration O Repair O
kOregon
are to be done:
Prior to permit Additional Description of Work: r i
Issuance,a copya e zip Phone
of all licenses jf-.o 7. - 14
are required If Const Cont. Board Exp. Date PROJECT
expired in COT // 1// r�f7 VALUATION � 17 ► 1 _-
_ _ database T 7 77
Mechanical yamg i NEW CONSTRUCTION ONLY.
Sub- Iri4014 f4l Sq. Ft. House: S Sq. Ft. Garage 1�O
Contractor MaiNn Address �7
�J
CQ�k��1l�s kW,,hr. Indicate the restricted energy Installation by the electrical
Prior to permit
issuance,a copy ity tate Ip Phone o subcontractor in the followin areas
of ail licenses r (/ U 70y 5 S Zd Restricted Audio/Stereo
are required If Ore n Const nt.Board Exp.Date Energy stem Alarms
expired In COT Lie.# Installations ✓ Vacuum Irrigation
database _ S stem stem
Plumbingme (check all that Other:
SUb- �ee' IVA bht & -K11t
,
Contractor Mailing Address_ S In Number of Units in Building Unit Number Desl-cation
� �q SE 74,61 0 Has the Subdivision Plat recorded? N/A YE$ NO
Prior to permit Ity to Zip Phone
issuance,a copy Q uu. -of all licenses are Oregon ronstCont.Board Exp.Date j
required If Lie.#
expired In COT
database Plumbing Lic.# Exp.Date I hearby acknowledge that I have read this application,that the
information given is correct,that I am the owner or authorized ar ant
of the ownqr, and that plans submitted are in compliance with
Name f Oregon to aws.
Electrical W' i-'o /C r�L Signa r e n pa e
Sub- Mailing Address JJ p I # /
f�s Y SI,J r4 YC�o KAA �� - Consa c gr n Narpe• i� �S e S 3 7
Contractor X /`�
,,CAy/State Zip Phone V 0 Y
Prior to permitr�}�r
Issuance,a copy 1 w/ ' / J / dJ' FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp. Date Plat#: Map(TL#:
requlied If Lie#
expired In COT
database Electrical Lie.# Exp ate Sellb 4: (] j Zone:
Electrical Supervisor Lig,.# Exp.Date Engineering Approval: Plannl g Approval. TI
�.►p ilea 1'1� ���
• �6� ,� "y1 � i\dsts\forms\sid new doc 1112UI98
70,56,
LEGAL DESCRIPTION I I I
LOT 9 SUBDIVISION, 13265 S.W.ESSEX DRIVE
MAP 25104CA OK)00
ZONING;R7
APPLICANT:ALLEN DEVELOPMENT CO. (245-3:176)
S V�
I, '�•, I EXIPTNG GRADE; 49600
J/0 VERFV FMSH GRADES
~� MIH t7EO—IEUi ENGrgEER
I
�1?R�raSED RES(DE.(rIC
I\ F COG?FF HNF SH Ev
I I 510
cv
EXISTNG GRADE; T + TNG G1?A�E: 512,00'
FINISHED GRADE, 52100 I I �j FLASHED 3RADE 52100'
I � \� � tQ a• � �I XI
iX
'9 417
I WOVE
U
! J
Cfi 1.
S.�y .,,sSe,�
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
I'MPORTANT PERMIT NOTICE
WEBER ELECTRIC INC
14524 SW CHARDONNAY AVE
TIGARD, OR 97224
Electrical Signatum, Form
Permit #: MST1999-0041 9
Datta Issued. 2;3/00
Parcel. 2S104CA-0Ij' -0
Sita Address: 13285 SW E:JaFX DR
Subdivision: HILLSHIRE
Block: 1_ot: 009
Jurisdiction: TIG
Zoning. R-7
Remarks: New SF - Path 1
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, ATfN: Building Dept.
No electrical inspections will he authorized until this completed form is received
OWNER. ELECTRIC;AI_ CONTRACTOR:
ALLEN DEVELOPMENT INC. WEBER ELECTRIC INC:
1925 SW PENDLETON ST 14524 SW CHARDONNAY AVE
^OF:TLAN^, OR 47201 TIGARn, nR 47224
Phone #: 503-245-3376 Phone #: 579-5168
Req #: LIC 44087
SUP 4028S
ELE 34-442c
AN INK SIGNATURE IS REQUIRED ON THIS FORIV
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2000.00437
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/1/00
PARCEL: 2S 104CA-00900
SITE ADDRESS: 13285 SW ESSEX DR
SUBDIVISION: HILL-SHIRE ZONING: R-7
BLOCK: LOT: 009 JURISDICTION: TIG
CLASS OF WORK: PL T GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS.
FIXTURES LAUNDRY TRAYS. SF RAIN DRAINS:
SINKS: URINALS: GREASE rRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of back flow preventer
FEES
Owner: _-�
-- Type By Date Amount Receipt
ALLEN DEVELOPMENT INC PRMT CTR 1211/00 $36.25 27200000000
PORTLAND, OR 97720201
1925 SW PENDLEST 5PCT CTR 12!1/00 $2.90 27200000000
Total $39.15
Phone 1: 503-245-3376
Contractor:
JOHN DARBY LANDSCAPE INC
13867 SW BENCHVIEW TERRACE
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 579-5298 RP/Backflow Preventer
Reg #: LIC 7110
EXPIRED
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved dans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended ic,- more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain -opies of these rules or direct questions to OUNC by pattlffg (503) 246-198
( W
Issued By: 2 k,r. _ Permittee Signature:
Call (50.) 639-4175 by 7:00 P.M. for an inspection needed t next busIlless day
Plumbing Permit Application
rDateeceived: Permit no.: C.
(pity of Tigard )ewer permit no.: _ Building permit no.:
Address: 13125 SVA' Hall Blvd,Tigard,OR 97223 -
Ciry a(Tifamrd Phone: (503) 639-4171 Project/appl.no.: Expire date: _
Fax: (503) 59$-1960 Date issued: — By: I Receipt no.:
Land use approval: Case file no.: Payment type:
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Food service J Ocher:
t , Ali, r4T7n=j
Job address: Descri(tion Qtr. Fee(ea.) "hotal
Bldg..no.: Suite no.: New 1-and 2-family dwellings only:
f;• _ (Includes IOOft.for each utiIII yconnect lon)
Tax map/tax lot/account no.: SFR(1)bath
Lot: Block: I Subdivision: SFR(2)bath
Project name: SFR(3)bath
City/county: ZIP: Each additional bath/kitchen
Description and location of work on premises:.__ Siteutilltles:
Catch basin/arca drain
G-t.date ol'complGion/inset c tion Drywells/leach ine/trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: a� Man oles
Address: Rain rain connector
City: ` State: ZIP: Sanitary sewer(no.lin. It.)
Phone: Fax: E-mail: Storm sewer(no.lin.ft.)
CCB no.: Plumb.bus.reg.no: Water service no.lin.ft.)
Fixture or item:
City/metro lic.no.: Absorption valve
Contractor's representative signature: Back now preventer
Print name: cetj it ee ol/I Date: / 0 Backwater-alve
//�� Basins%lava 3ry
,f�a KK("_S
Clothes washer
Name: /�¢ s/
. c1 �f. tvDishwasher _
Address: . 3
_1�_ ��C" Drinking fountains)
City: t."/a 0 ✓� State:JV- ZIP: �?70 Y 4/ Ejcclr-s/sum
Phone: - -s,;� Fax: Email: Expansion tank
ixturelsewcr cap
Nnmc(print): {, llrc. _ Floor drains/t�wr sinks/hub
Garbage disposal
Mailing address: Hose bibb
City: State: ZIP: Ice maker
Phone: I E-mail: Interce tor/ rease trap
Owner installation/residential maintenance only: 'rhe actual installation -Primer(s)
will be made by me or the maintenance and repair made by tiny regularRoof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sink(-), asin(s),lays(s) _A
Owner's signature: Date: SumL_�_
Tubs/shower/shower pan
Urinal
Name: Water closet
Address: aterseater
City: - State: ZIP: Other:
Phone: Fax: E-mail: 0-
tar-Minimum fee................$
Fall}uriediotions accept credit cants,please call jurisdiction for more lnromWion. Notice:This permit application plan review(at — %) $ _
Visa U Mastercartl expires if a permit is not obtained
Credit cord number: _-- --1 —L— within 180 days after it has been State surcharge(896)....$
Expires accepted .......................$
Name of cardholder as shown on credit card accepted as complete. -
CardhOlder 61(narare $ Amount EXPIRED 410x616 OAK,,(1 '•t
PLUMBING PERMIT FEES:
- --�^----------- -
PRICE TOTAL Now 1 and 2-family dwellings only: -- -----T-�-- -i
FIXTURES (individual)-___ OTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL
Sink 16.60 the dwelling and the f(rst100 ft. QTY (ea) AMOUNT
Lavatory 16.60 for each utility connectic_n)
One 1 bath _
Tub or Tub/Shower Comb 16.60 �� _ $3O.J0
_ Two 2 bath _ --
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 26%OF SUBTOTAL A
Garbage Disposal 16.60 _ TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60
3" 16.60 PLEASE COMPLETE:
4" 16.60
Water Healer O conversion O like kind 16.60 uantity be 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 46.40 Lavatory
Tub or Tub/Shower
Hose Bibs 1660 Combination _
Roof Drains 16.60 Shower Only
Drinking Fountain 16.60 Water Closet
Other Fixtures(SI ec(fy) 16.60 Urinal _
Dishwasher
Garbage 011 osal -
-Laundry Froom Tray
Washing Machine
Sewer-1x1 100' 55.00 Floor Drain/Sink: 2"3" -
Sewer-each additional 100' 46.40 4"
Water Service-1 at 100' 65.00 Water Heater _
Water Service-each additional 200' 46.40 Other Fixtures
S eci
Sloan 8 F.,, Drain-let 100' 55.00
Storm d Rain Lraln-each additional 100' 46.40
Commercial Back now Prevention Device 46.40 - -- _
Residential Backflow Prevention Device' 27.55 - -- -
Catch Basin 16.60 -
Inspection of Existing Plumbing or Specially 72.50 �- -
Requested Inspectionsper/hr COMMENTS REGARDING ABOVE:
Rain Drain,single fat.-lly dwelling 65.25
Grease Traps 18.80 -
QUANTITY TOTAL - -'
Isometric or riser diagram Is required If --- - ---
Quantity Total Is >s
'Sl'tsTOTAL -----
-� 8%STATE SURCHARGE
"PLAN REVIEW 25%OF SUBTOTAL �> --
Required only If fixture qty.Mtal Is>g
TOTAL s
Minimum permit tee Is$72 50+8%slate burcharge,except Residential Backilow
Prevention Device,which Is$30 25+8%state surcharge
"'All New Commerelsl Buildings require plans with Isometric or riser diagram and
plan review
1:ldsts\forms\plm-fees.doc 10/10/00
West Coast Geotpch, Inc. Job No. W-1493
w Geotechnical Consultants
P.O. Box 388 MEMORANnUM
West Linn, Oregon 97068
(503)655-2347
To: File Tuesday y Date 91122000
I._xJ Field Report Page 1 of 1
Project: 13285 SW Essex Drive
Attn:
Arrived 1:OOpm per Contractor's request
Sunny, mild
I understand that the driveway (about 18ft long by 20 feet wide, more or less)will be a stnjcturally
supported concrete slab that is attached to the hcuse on one side and a slab-on-grade at the other
street sine.
I understand that your Engineer (who will design this slab/ pier system.)plans to support the middle of
the slab by means of concrete piers.
We recommend that the concrete piers be augered about 4 feet into the native soil that is known to be
present beneath tho fill. Since the slab is about 16 feet above the base of the wall footing,the pier
should be on the order of about 20 feet long, more or less.
For that portion of the pier above the ground, the pier will need to be formed with a "sonny tube".
Our recommendations assume that we will be present during drilling of the piers to confirm soil
conditions and pier depth of ombedment. The piers should be spaced no closer than 3x pier
diameter.
For de.; gn purpcs3s,%:.c rc..c^lr....,.. 'hcf.7117Vii�l� alit--viable loads 'Jr til is cG^Cri.'c II:Gr� :.5 a
function of diameter (assuming the piers are installed as per the previous paragraphs):
12"Diameter- 2.4 kips of vertical load
18" Diameter- 5.3 kips of vertica: load
24" Diameter- 9.4 kips of vertical load
We also recommend that we be allowed to review the Design Engineer's plans for geotechnical
comment prior to coil structionof the piers
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By
Michael F. Schrieber, P.E.
FORM MEMO2 2192
Geotechnical Engineer
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