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9675 SW ELROSE STREET 91 , 00 7-7 4=dm O C v- O CL Fji 11.4 LLJ O CL J00cn �--- N ! D } l , , Ln --� $. j Q m V) rn N' - � , _ e1- C-0 I 1 Q r 011 '0 O i Ln 1 crim�, 11J ti WC LAp ' .. qqt zLu 0.10, ANNE Avowo 10 ! S NOTICE: IF THE PRINT OR FYPEONANY TII� IIfI � � ! + III 11 , 111 , Ill + lll 1111111 Illfil r�Tjr�1 rC-�� r 1lrlllr Tf1T7I 1fi il.f I-11-11 I fll 111 1111 IIIJill illIll Ili11T" 119' ' i12' I c I !) IIIIII I Jill I MAGE SNOT A,� CLEAR AS THIS NOTICE 1 �, I�_ --- 4 5 � -- --- 7 --- $ - 10 11 IT I DUE TO THE QUALITY OF THE _ _ No,36 _l ORIGINAL DOCUMENT -- E 6Z 8Z LZ -- 9Z� 5Z fiZ` EZ `^ Z-- � Z OZ 6t '8I LT 91 91 1 Vi EI Zi iTT 6 8 L 8 fi ( r Q S Z T ��ai3w IIIIIIIiIIIIIIIIf'IIIIIIIIII (IIIIIIIIIIIIIIiI(_111111111111111 .IIIIIIIIIIILIIIIIIII ' �' � '� +�ililli � I��i �• llll �lll�illlillli�llilllilil.Il��lliil��I .....Iillilllllllllllllllllll I II IIII IIII l LllI .IIII 111.11.111 Ill, ,l��.l�..11 r' ca rn y cn N C M 0 N cn P+ "7 A 1 9675 SW Elrose Street CITY" U"F TIGARD BUILDING INSPECTION DIVISION NIST Zv-4-60/3 s 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _Date Requested AM PM BLD Location- ��/ 7y Suite MEC Contact Person _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner EL.0 _ Retaining Wall - ELR Footing ---_------ ACCZSS: Foundation / - FPS Ftg Drain --- SGN Crawl Drain Inspection Notes: -- - Slab --- -- ------. -- SIT Post&Beam - -- Ext Sheath/Shear Int Sheath/Shear ------�-- - Framing ,- Insulation -_. ----- - -"----- Drywall Nailing - -- - - -- ---„ -_- ---- - --�_-�. ----- ----- Firewall Fire Sprinkler Fire Alarm _--- _---_-_____----- -- - Susp'd Ceiling Roof '- Mise ---- --- --- - -- ----- ----- -- -- Final PASS.- PART FAIL -- - -- ----- --- -- ---- - ---- -- LUMB J Post&P1,69M - Under Slab Top Out - ----- - -------_-- ----- Water Service Sanitary Sewer Rain ins SS PAR? FAIL MICHANICAL Post&Bearn ------ - --- ______ 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 Storm Drain ) )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line 1 Please call for reinspection RE:-__ _ [ J Unable to inspect-no access ADA Approach/Sidewalk pate O 1 �1 - Other �_-- Inspector - _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job -Alto. � rJt --- - CIT OF TIG.ARD BUILDING INSPECTION DIVISION MST 24-Hour Inspectiga Lire: 639-4175 Business Line: 639-4171 �— BUP Da',e Rt;quested_�� Z -3 _AM PM BLD Location_ Y 75� �� /i'�� Suite MEC Contact Person _ __— Ph _ � �! Z PLM Contractor _ Ph SWIR i �L Tenant/Ciwner __ -- ELC Helntff—inq Wall ELR Footing Access: Foundation ` FPS — Ftg Drain SGN Crawl Drain Inspection Notes: ------ -- Slab - -__.___ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing / Cl G��L��'.d L r:,-,&xAL CA,,,,,') Insulation Drywall Nailing 0 N4".2- �anl.�i.�t c C!� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof c: _ Fina "-, SS PART //FAIL, --- PLUMBING Post& Beam -�— Under Slab Top Out �— Water Service _ Sanitary Sewer Rain Drains Final PAS RT FAIL CHANIC L eam - -- - Rough In Gas Line ---- --- ----- — Smokja Dampers A�S PART FAIL ECTRICAL -- — ---- --- Service —_�-- Rough In UG/Slab Low Voltage Fire Alarm - -- -- Final PASS PART FAIL -SITE Backfill/Grading --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _ [ ]Unable to Inspect-no access ADA Approach/Sidewalk Date 7— 2-7— Inspector � � Ext Other — -- -- — Final _e PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /4 2%,X - CITY OF TIGARD BUILDING '.NSPECTION DIVISION FIST ur�y/-�� 173- 24-Hour 1-ispectian Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM PM _ BLD / Location �� 5�✓ �I h — Suite MEC Contact Person -- Ph �� y 7 PLM Contractor Ph SWR BUILDING Ter ant/OwnerELC Retaining Wall — — ELR Footing Access. _ Foundation //1 , FPS _-- Ftg Drain 1 SGN Crawl Drain I Inspection Notes: ----- - -- Slab SIT Post&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 — MLCHANICAL Post&Beam Rough In Gas Line - - -- - -- - Smoke Dampers Final -- --- - PASS PART FAIL ELEC599 -- ---• -- - --- ----- Service - - — — -- -- - Rough In UG/Slab Low Voltage --------- ---.—,--.—_. ._— -- — Fire Alarm -------------__-- —.. —_ __ ,-- S ART FAIL_STTF- Backfill/Gradinging --—�—_�— ----�-- --—_--� Sanitary Sewer Storm Drafn ( ]Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RE. —__-_ ! j Unable to inspect-no access ADA Approach/Sidewalk pate �"-/ e / Ins ector _ Ext Other --_ ��-_l—_—_— P .3107 KI Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CIT i OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST i BUP -Date Requested Z S __ AM PM BLD — Location Ce Ei& - Suite _ MEC Contact Person — Ph �Qc�� Z� PLM Contractor —_ PhSWR n LI] Teant/Owner _ -----_� ELC — Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain -- SGN -- ----�..._ Crawl Drain Inspection Notes: - --- Slab SIT Post&Feam —� _- - ---- - -- ------ Ext Shaath/Shear _ Int Sheath/Shear - -- Framing - --- -- -- ---- - Insulation Drywall Nailing Firewall Fire Sprinkler f`gl—bc�) gil:7p- Firee Alarm Susp'd Ceiling Roof Misc: 'P SS, PART FAIL -- --- PLUMBING Post& Beam _ _- Under Slab Top Out — Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL_ _ NZ� MECHANICAL LL — Post& Beam -- --- _ Rough In Gas Line - - Smoke Dampers Final - PASS PART FAIL ELECTRICAL - - Service Rough In --- -- -------- - UG/Slab Low Voltage ----i— Fire Alarm _ Final PASS PART FAIL SITE Bar.Pfill/Gradiny --- ------ Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE: [ )Unable to inspect-no accsss ADA Approach/Sidewalk Other Date 2 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ♦♦AAAAAAAAAAAAAAAA♦AAAAIAAAAAAAAAAAAAAAAAAA,A o b ► M i Poo- 44 _ ► N �"� ► * ► 0Z 414 iCD > ► ) o ° p loo.i d t > > L ►� IBJ ► 47 a , rD ► o ! 0 o ! , lip ► P. 44 1 ► Ilk i 001.4 P,.44 10.4 ► 4 ► 0> 4 ► 4 ► �/��TTTTT7TTT7TTT777TTTT777T7777T7T7TT♦'�7T7TTa J n z =+ o c d o � H r Er 0 � M a � n o � o � � 1 � F 0 O O x �o S' �o CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTHWEST PREMIER PLUMBING P.U. PDX 23338 TIGARD, OR 97281 Plumbing Signature Form Permit #: MST2001-00135 Date Issued: 412101 Parcel: 21'11 GA-10700 Site Address: 09675 SW ELROSE ST Subdivision: LAUTT'S TERRACE Block: Lot: 001 Jurisdiction: TIG Zoning: R4.5 Remarks: Construction of new single family detached residence. Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept No plumbing insper `:ons will be authorized until this completed form is rt.^eived OWNER: PLUMBING CONTRACTOR: NEWCASTLE HOMES INC NORTHWEST PREMIER PLUMBING PO BOX 230459 P.O. BOX 23338 TIGARD, OR 97281 TIGARD, OR 97281 Phone #: 503-684-7543 Phone #: 503-624-0582 Reg #: 1 Ir 135022 PI M 34-348PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber It you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE INTERSTATE ELECTRIC INC PO BOX 7342 SALEM, OR 97303-0068 Electrical Signature Form Permit #: MST2001-00135 Date Issued: 4/2/01 Pdr cul. 25111 BA-1 100 u t Site Address: 09675 SW ELROSE ST Subdivision: LAUTT'S TERRACE Block: Lot: 001 Jurisdiction: TIG Zoning: R-4.5 Remarks: Construction of new single family detached residence. 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 " orm prior to the start of the work to the address above, ATTN: Building Dept. No Electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: NEWCASTLE HOMES INC INTERSTATE ELECTRIC INC PO BOX 230459 PO BOX 7342 TIGARD. OR 97281 SALEM. OR 97303-0068 Phone #: 503-684.7543 Phone #: MBL 393-2223 Req #: LIC 117121 SUP 1479S ELE 24-3540 AN INK SIGNATURE IS REQUIRED O�j -THIS FORM x Signature of Supervising Electrician it you have any questions, please call (5031 639-4171, ext. # 310 CITY OF TIGARD MASTERPEI2MIT PERMIT#. MST2001-00135 DEVELOPMENT SERVICES DATE ISSUED: 4/2/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 09675 SW ELROSE ST PARCEL: 2S111 BA-10700 SUBDIVISION: LAIITT'S TERRACE ZONING: 01-4.5 BLOCK: LOT:001 JURISDICTION: TIG REMARKS: Construction of new single family detached residence. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS `_ REQUIRED CLASS OF WORK: NEW HEIGHT: 15 FIRST: 1,768 of BASEMENT: of LEFT: 20 SMOKE DETECTORS: Y TYPE OF USE: SF FLJOR LOAD: 40 SECOND: 352 of GARAGE: 484 of FRONT: 20 PARKINU-^PACES: 2 TYPE OF CONST: SN DWELLING UNITS. 1 FINSSMENT: of RIGHT: 9 VALUE: $195,059 00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 2,120.00 of REAR: 15 PLUMBING - SINKS: 1 WATER CLOSETS. 2 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 D15HWASHERS 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP 1 WATER.HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN>•10014: I UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: 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 500SF: 4 201 400 amp: 201 400 amp: tat W/O SVCIFDR: 00 51GNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp. 401 -600 amp: EA AUDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR. 601 - 1000 amp: 6014ampe•t000v: MINOR LABEL: 1000♦amplvolt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•226 A.: >600 Y NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 9 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: $ 6,547.75 This permit is subject to the regulations contained in the NEWCASTLE HOMES INC NEWCASTLE HOMES Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 230459 PO BOX 230459 all other applicable laws. All work will be done in TIGARD.OR 97281 TIGARD,OR 97281 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 adopted by the Oregon Utility Notification Center Those rules are set Rego: 11C 59667 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling;503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Focting Insp Crawl Draln/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final POs m Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issue I ^T L�IW A144 Permittee Signature : �-f_- Call (503)639-4175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00080 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 4/2/01 SITE ADDRESS; 09675 SW ELROSE ST FARCEL: 25111 BA-10700 SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LUT: 001 ^_ `JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: --- -' NEWCASTLE HOMES INC FEES — PO BOX 230459 Type By Date Amount Receipt TIGARD, OR 97281 PRMT CTR 4/2/01 $2,300.00 27200100000 INSP CTR 4/2/01 $35 00 27200100000 Phone: 503-684 7543 Total $2,335.OU 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. 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. ATTENTIONS Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule-, are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: Permittee Signature: Call (503) 63944`175 by 7:00 P.M. for an Inspection needed the next business day 9'- l Ruilding Permit Application City of TigardDatereceived: r U/ Permit no.: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate: - Phone: (503) 639-4171 / Date issued: By: I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - I&2 family:Simple Compinx: = 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family la(New construction U Demolition U Addition/alteration/rcplacemcnt U Tenant improvemcnl U Fire sprinkler/alarm U Other: _ Job address: S W E/ s-e S i Bldg.no.: Suite no.: Lot: Block: Subdivision: L Q,r/ff 's Te r ra cA_' Tax map/tax lot/account no.: -/p Project name: zl1 Description and location of work on premises/special conditions:_11` Name: N2 W C[>t 5tL2 tb rn o� . Z n L (I loodlilain.%eptic capacity,solar.etc.) Mailing address: ti or, 2 30 1&2 family Owelling: City: &Y-CJ IStalci,2of, ZIP: 972,F) Valuation of work........................................ $ SUSS Phone:,;,$ 3 117ax:( b y•6(o 7/ E-mail: No.of bedrooms/baths................................. - 2 Owner's representative: ' Total number of floors................................. 1-- Phone: S�mR ) Fax: E-mail: New dwelling area(sq.ft.) .......................... _ 2 )7-.C Garage/carport area(sq.ft.)........................ _ Name: jK0.1"� (�(j C/t,t4' Covered porch area(sq. ft.) ......................_ _-- Mailing address: q - Deck area(sq. ft.) ........................................ 77 City: State: ZIP: Other structure area(sq. R.)......................... Phone: Fax: --mail: Commercial/industrial/mul(i-family: 9 11 Valuation of work.................X ........ $ --- - Business name: ca.5/ (Q Iin �� Existing bldg.area(sq.ft.) ... ... ..... ,— Address: Sq,/n.Q New bldg.area(sq.'ft.)......... ......... City: State: ZIP: Number of stories................. ... ..... Phone: Fax: E-mail: Type of construction........ .... . ..... .CCi3 no.: - (kcupancy group(s): sting: ' (c_Co 7 New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to he licensed in the Address: - jurisdiction where work is being performed. If the applicant is City: — State ZIP: exempt from licensing,the following reason applies: Contact person: _ Plan no.:lli _ Phone rl,tx 1' nstil - Name;01 i ILL./ L/t i ,, r r"�'n� t_'"uuact pelsrm: c_J. Fees due upon application ........................... $-- Address: Date received: — City: State: ZII': Amount received ......................................... $ Phone: Fax: 1 E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Nos all Jurisdictions accept credit cards.please call jurisdiction for more larontWion. attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied with,whether specified herein or not. Credit card number._ _ spires Authorized signature: Date: —� — Name of cardholder as shown on credit card _ $ Print name: _ _ — Crdholder signature Amount Notice:This permit application expires if a permit is not obtained within :90 days after it has been accepted as complete. 44a4611(tvaaCOM) One-and'Two-Family Dwelling Building Permit Application Checklist Reference no.: City nfTigardCi of Tip 1 d Associated permits: rb U Electrical U Plumbing U Ntr,harm,,l Address: 1312'SW Hall Blvd,Tigan/,OR 97223 U Other: Phone: (503)639-4171 - - _ Fax: (503) 598-1960 I HE FOLLOWING ITEMS ARE REQUIRI-1) I-Olt PLAN I es 1 1 NIA In use actlons completed.Sec jurisdiction criteria for concurrent reviews. 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,atc. 3 Verification of approved plat/lot, 4 Fire district approval required. — 5 Septic system permit or authorisation for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Solis report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Inclade drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design derails and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed _ if copyright violations exist. I I Sitelplot plan drawn to scale.Tlx:plan must show lot and building setback dimensions-,property comer elevations(if there is more than a Oft.elevation differential,plan must show contour lines at 24L intervals);location of easements and driveway;footprint of structure(including decks);location of weiWseptic systems;utility locations,direction indicator;lot _ area;building coverage area;percenuage of coverage;impervious area;existing structures on site;and surface drainage. _12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent site and location. 13 Floor plans.Show all dimensions, room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing;fixtures,balconies and decks 30 inches above grade,etc. _ -14 Cross seetiou(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may he required to clearly portray construction.Show details of all wall and root.Neathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc, I Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 10 Wall.bracing(prescriptive path)and/or lateral analysis pians.Must indicate details and locations;for nonprescriptive path analysis provide specifications and calculations to engineering standards. 1 7 Floor/roof framing.Provide plains for all fli.x)rs/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. IS Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered s7stemc,see item 22,"Engineer'.,,/calculations." 1'►Beam ealeaalions.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any heant/joist carrying a non-uniform load. _ 2G Manufactured floor/roof truss design_details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be app.icahle W the project ander revi•:w. 23 Five(5)site plans are required for Item t i .:'--v(, 24 25 26 27 28 Checklist must be completed b.-fore plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 44o461e(60DWOM) Fillectrical Permit Application Date received: d' ,ty Permit no.: /'ATAWI-Odl. City of Tigard Project/appl.no.: Expire date: CitygTigord Address: 13125 SW Hall 131W.Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Cast file no.: Payment type: Land use approval: ._ N I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement X New construction U Addition/alteration/replacement U Other: U Partial JOB SITIr INFORMATION Job address: 1 7 S W --f y 62 1 Bldg,no.: I Suite no.: ITax map/tax lot/account no. Lot: I Block: Subdivision: La,t�tts ?t✓✓Q.GC, Project name: Description and location of work on premises: Estimated dale of completion/inspection: — CONT Job no: ' rrr Mat Business name: 1-,-)te".5LatC.r Ie.-t✓t-y;e, lk-scriplion QI)'. (ea.) Intal no,inrp -- New resldential-single or multi-family per Address: p0 l36X 73q2 dwelling unit.Includesatraclieclgarage. City: Salt m Slate:oR ZIP: q 7 30 3 Servlceinchsded: Phone:3 43.2 Z Z Fax: I E-mail: 1000 sq.ft.or lesti _ I CCD no.: / 17/Ly EIeC.tills.I1C,not Each additional 500 sq,ft,or portion thereof Limited energy,residential City/metro lic.no.: Limited energy,non-residential 2 Each manufaruired home or modular dwelling Signature of supervising electrician(required) Date Service and/or(ceder 2 Sup.elect.name(print): I License no. Services or feeder.-Installation, ��witu VA Alteration or relocation: 200 amps or less 2 Name(print): /V e,m/Ca.st4 No/Ms IA C 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps -- 2 X 2-30 5 9 — 601 amps to 1000 amps City: T,' ta_r'( State:o R Z1P: 972-2) Over 10(1(1 amps or volts ? — Phone:68 q-'7,511-3 Fac 68 •D E-mail: Reconnect only - Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Insrallation,alteration,orrelocation: ORS 447,455,479,670,701. 2W amps or less _ 201 amps to 400 amps 2 Owner's signature: _ Date: 401 to 6t>n amps -- Nranch circuits-new,alterannn, u or extension per panel: Name: oI t r ll e t" �/7��12Q/;/!� A. Fee for Nranch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: D/t 1 Zn—d State:r7 ZIP: B. Fee for branch circuits without purchase Phone: of service or feeder fee,first branch circuit: _ 2 E-mail:Fay Fach additional branch circuit: MIse.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irigation circle 2 U Service over 320 amps-rating of I&2 U Hautrdous location Each sign or outline lighting 2 family dwellings U Building over 10,(1,70 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,or extepsion' 2 U Building over three stories U Feeders 400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the•Ilowable In ar•,of the abos,-. U EgressAightingplan U Other: _ Perinspection — ,%limit_sets of plans with any of the shove. Investigation fee --The above are not applicable to temporary construction service. Other _ Not all juriscbcu,ms accept crrtm cants,please call judsdictino fa male information. Notice:This permit application Permit fee.....................$ _ U Visa U MasterCard expires if a permit is not obtained Plan review(at __ %) $ Credit card number:_ _-�_ _- _—/ / within 180 days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL Maine - of r u shown on credit card Cardholder signature Amount 4404615(6i0arCOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED_RESIDENTIAL ONLY p - Rest•Icted Energy Fee.................. ................................... $75.00 _Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: I*ems Cost Total r Check Type of Work Involved: Residential-per unit 1000 sq It or less $145.15 — 4 Audio and Stereo Systems Each additional 500 sq it or portion thereof $3340 _ 1 L_.J Burglar Alarm Limited Energy $75.00 — Each Manurd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 _ Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ "0-30 _ _ 2 201 amps to 400 amps —_ $10685 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 _ 2 Other Over 1000 amps or volts _ $454.65 2 Reconnect only $6685 7 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for eachsystem.......................................................... $75.06 200 amps or less $66 Fri 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 2 401 amps to 600 amps $133.75-- 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit - $665.---- 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 Each additional branch circuit T $6.65 HVAC Miscellaneous Ej Instrumentation (Service or feeder not includad) Each pump or irrigation circle _ $5340 _ r-1 Each sign or outline lighting $5340 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $15 00 — Landscape Irrigation Control' Minor Labels(10) $12501) _ N ediral Each additional Inspection over ❑ the allowable In any of the above Per inspection $6250 _� n fJurse Calls Per hour $62.50 ^_ In Plant $7375 Outdoor Landsrape Lighting' Fees: L] Protective Signaling Enter total of above fees $ lJ Other_.___ 8%State Surcharge $ _ _ _ ----,--N umber of Systems 25%Plan Review Fre See"Plan Review"section nn $ ' No licenses are required Licens+s are required for all other installations front of application — — — Fees: Total Balance Dun ------ Enter total of above tees �J Trust Account At 81A State S,ircharge s — Tota;B,ilance Due S i:\dstsvormsktc-fees.doc 10/09/00 Mechanical Permit Application hatereceived: G' !/ Permit no.: City Of Tigard Project/appl no: Expire date: Cifya/'Tigard Address: 13125 SW Hall Blvd,'Tigard,OR 97223 bate issued: By: ReceipUto.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: ltd I &:2 family dwelling or accessory U Commercirl/industrial U Multi-family U Tenant improvement X New constructiop U A(ldition/alteration/replacement U Other:_ .1011 SUIT INFORM A1I0N COMMERCIAL VALUATION SU11111:11111111,11 Job address: _ Indicate equipment yuantitles in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, 'Tax map/tax lot/account no.: profit.Value$ Lot: / Block: I Subdivision: p, *See checklist for important application informal,on and Project name: .jurisdiction's fee schedule for residential permit fee. City/county; Ti wel / K uSh ZIP: 97�L ZT- conTlo Description and location of work on premises: _ I Uee(ea.) 'Total Est.date of completion/inspection: Description Qty. Res.only Resi,,nly Tenant improvement or change of use: ��' Is existing space heated or conditioned?U Yes LI No Air handling unit --CFM--,__ Air iug(site plan requie ) _ Is existing space insulated?U Yes U No teration of existing-UyA system oiler compressors _ Businessnne: FOU/ RLL.'Uf1S t}ea �t State boiler permit no.: tu _ HP Tons BTU/H Address; c)Q 6X 4,(o 4 d 9 Firc/smoke dampers/duct smoke delectors City: P61f-laAd StatcOR ZIP: q7 2.q p lleat pump(site plan required) Phone: 7 75, 5 7 19 1 Fax: Email; nstal Ureplare umac urner__BTUM CCB no.: 14 a y, $3 — Including ductwork/vent liner O Yes U No nstall rep�ocate (caters-suspen e , City/metro lie.no.: T wall,or floor mounted Name(please print): Vent for appliance other t an furnpce e era(on: Absorption units RTU/14 _ Name: i'M n�aha� Chillers_ _ HP Compressors — Hl' Ad(1ress�_(S ! nvironmenta ex ust an vent at on: City: State: ZIP: Appliancevent _ Phone: Fw, E-mail: Dryer exhaust BA" Hoods,Type res.kitcc en/hatmat hood fire suppression system _ Name: Exhaust fan with single duct(bath fans) _ Mailing address: -xhaust system a art from heating or ACC City: Stale: ZIP: Fuel piping andistribution(up to mil 1lets) Type: LPG NG __ Phone Fax: Email: uc i in eac aiona over suttees roeessppng(schematic reyuire ) Number of outlets Name: —_ ter steidapp—fiance or equipment:— Address: _ _ Decorative fireplace City: ---� _ State: ZIP: Insert-type Phone: Fax. L' mail: o stovelpe leI stove J other: Applicant's signature: _ bate: _ Other: _ Name (print): --� Not all jurisdiction%accepr credit cards.please call jurisdiction fer mom infornuv oo Permit fee..................... UVisa UMastercard Notice: r. peril application iMinimum fee................$ expires `a permit is not obtained Plan review at _ % _ ('rrdit cab number:_ — —�(__ . ( ) $ — Expirrs within 180 days after it has been State surcharge(8%) ....$ Nance of cardholder as shown on credit c = accepted as complete. TOTAL .......................$ -- - Cardholder sijnattue Amount 440-4617(6+0WOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VAL_UATIO_N: FEE: _ Description: Price Total _$1.00 to$5,000.00_ Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt $5,001.00 to$10,000.00 _ $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or includingducts&vents 1400 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. _ including ducts&vents -- 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14 00 fraction thereof,to and Including 4) Suspended healer,wall heater �- $25,000.00. 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 $1.45 for each additional$100.00 or _ 6.80 fraction thereof,to and including 6) Repair units $50,000.00. _ _ _ 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump] Cond fraction thereof. footnotes below. Comp* --- � -- -- 7)<3HP;absorb unit ---�- ASSUMED VALUATIONS PER APPLIANCE: to 10oK BTU _ 14.00 Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 _ Description: Ot Ea Amount 9)15-30 HIDabsorb - Furnace to 100,000 BTU,including 955 unit.5-1 Frill BTU 35.00 _ ducts&vents i J)30-50 HP;absorb Furnace>100,000 BTU including 1,170 .mit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor fumace including vent _ 955 _ _ unit>1.75 mil BTU87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM ___ -- -- floor mounted heater__ - --- - 10.00 _ Vent not Included in appltcance 445 131 Air handling unit 10,000 CFM+ _ermit _ --- -- 17.20 Repair units 805 --- -- --- - ------ 1t)Non-portable evaporate cooler <3 hp;absorb.unit, 955 _ 10.00 _ to 100k BTU ---_._ 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU -- 15-30 hp;absorb.unit,501k to 1 2,310 - 16)Ventilation system not Included in mil.BTU a Ip tante perrnit -` _ MOO 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 10.00 1-1.75 mil.BTU _ >50 hp;absorb.unit, 5,725 18)Domestic incinerators 17.40 _ >1.75 mil.BTU 19)Commercial or industrial type Incinerator Air handling unit to 10,000 cfm 658 69.95 Air handlin unit>10,000 cfm 1,170 - ----� ----- Non-portable evaporate cooler 656 20)Other units,including wood stoves _ _ 10.00 Vent fan connected to a single duct 446 �- 21)Gas piping one to four outlets - Vent system riot Included in 656 _ 540 an lip ante Permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 _ t.Co Domestic incinerator _ 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or industrial Incinerator 4,590 Other unit,Including wood stoves, 656 -` 8%State Surcharge $ Inserts,etc. _Gas piping 14 outlets _ 360 _ 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other Inspections end Fees: 1 Inspections outside of normal business hours(rm charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically Indicr,,ed (minimum charge-half hour) $72 50 per hour 3 Additionaf plan review required by changes,additions or revisions to plans(minimum charge-one-halt hour)$72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. i:\clsts\forms\mech-fees.doc 10/11/00 Plumbing Permit Application pDatc received:�JJPC�-01 Permit no.:J-/ Cit of Tigard '— City g Address: 13125 SW' Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land use approval' _ _ Case file no.: Payment type: 1 7)WANv,w unily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement mstruction U Addition/alter ilion/replacement U Food service J tither:1 °s: 9(k-75 5W_E/YU 5.1 3+ Description (?t Fc°c(ca.) 7'otai Bldg.no.: Suite no.: Nen' I-and 2-family dwellings only: (Includes 100 R.toreach utilihl connection) Tax map/tax lot/account no.: SFR(1)bath _ last: j Block: Subdivision: 3 SFR(2)bath Project name: SFR(3)bath City/county: k,6 zrl n c�fz�n 7_,IP: 7 Z Z y Each additional bath/kitchen Description and location of work on premises: Slteutilitles: Catch basin/area drain _ Est.date of completion/inspection: Drywells/leach line/trench drain _ Footing drain(no.lin.ft.)PLUMBING CONTRA(1011 _ Manufactured home utilities Business name: t(/ t �I`f.M'Q/ PIUMbiAg Manholes Address: P 6 6OX z333? Rain drain connector City: /d _ State:69 1 ZIP: q 77,8) Sanitary sewer(no.lin.ft.) _ Phone: °'7 qZ Fax: I E-mail: Storm sewer(no.lin.ft.) CCB no.: 1,3 5 0y,2 Plumb.bus.reg.no: Water service(no.lin.ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve Back flawreventcr Print name: Date: Backwater valve _ ffewl Basins/lavatory Name: KP_/t We#t s Clothes washer -- Dishwasher Address: Drinking fountain(s) City: State: Zll': Ejectors/sump Phone: Fax: E-mail: Expansion tank Fixture/sewer cap Name(print): Floor drains/noor sinks/hub Mailingaddress: �^ Garbage disposal Hose hibb City: State: ZIP: Ice maker _ Phone: I E-mail: Interceptor/grease trap Owncr installation/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 pet ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's si nature: Date: _ Sumn Tubs/shower/shower pan Urinal Name: Water closet Address: _ Water heater City: State: ZIP: Other: -- Phone: Fax: E-mail Total Nd cc_pt all jurisdictions acredit cards,please call Jurisdictia,for mac information h Minimum fee................$ Notice, Ibis permit app.lcation - Plan review(at 9F1 $ U Visa U Mastercard expires if a permit is not obtained State sure (har a 896 $ - Credit card number: _ within 180 days alter it has been 8 )"" expire. TOTAL _ 11___�5w__woF_c"_o1deru —_____ accepted as complete. .......................shown nn credit card S Canlhdder isnature Amount 4"16(iSU"M) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) _ QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utility connection Lavato _ n _ — One 1 bath _ $2.49.20 Tub or Tub/Shower Comb. _ 16.60 Two 2 bath J _ _ $350.00 Shower Only 16.60 Three 3 bath _ $399.00_ Water Closet — 1660 ----� — __ SUBTOTAL Urinal _ 16.60 8%STATE SURCHARGE Dishwasher W 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 16.60 Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2° - "'60 - PLEASE COMPLETE: 3^ 16.60 4^ 16,60 _ -Water O conversion O like kind 16.60 Quantity by 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 dome Now San/Storm Sewer 46.40 T ub or Tub/Shower Hose Bibs 16.60 _ Combination Roof Drains — 16.60 Shower Only __ _ 16.60 Water Closet Drinking Fountain — 16.60 Urinal — Other Fixtures(Specify) _ Dishwasher C,jrbage Disposal _ — �— —� Laundry Room Tray -- —Washing Machine Floor Drain/Sink: 2" Sewer-1 st 100' 55,00 3^ Sewer-each additional 100' 46.40 — 4" _ Water Service-1st 100' 5500 Water Heater Other Fixtures Water Service-each additional 200' 4640 _LSpecify) -- Storm&Rain Drain-1st 100' 55.00 Storm 8 Rain Drain-each additional 100' 46.40 — Commercial Back Flow Prevention Device 46.40 — — — Residenlial Backnow Prevention Device 27.55 -- Catch Basin— 16.60 — Inspection of Existing Plumbing or Specially 72.50 Y Requested Inspections perthr COMMENTS rEGARDING ABOVE: Rain Drain,single family dwelling 95.25 Grease Traps _--� 1660_ — _—------ �_— — QUANTITY TOTAL Isometric or riser diagram Is required if Quantity Total Is >g 'SUBTOTAL — -- ---� 8%STATE SURCHARGE -- "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total Is>g _ TO1AL 5 *Mlnimum permit fee Is$72 50-81A state surcharge,excep'Residential Backflow Prevention Device which Is$38 25-8%state surcharge. "All New Commercial Buildings require plans with I-ometri-or riser diagram and plan review t:\dsts\forms\pim-fees doc 10/10/00 SEE 35MM ROLL# 22 FOR LARGE DOCUMENT