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8996 SW GREENING LANE
00 co co rn N 0 3 m 7 as a c� S l , 8996 SW Greening Lane CITY OF TIGARD BUILDING iNSPCCTION DIVISION MST 24-1-lour Inspection Line: 639-4175 Business Line: 639-4171 --- -_____Dote Requested_ _ Ll� Z —AM�`"� PM BLD Location_ tr Suite MEC Contact Person Ph 33 U PLM — - --- - --tet-- - ------- Contractor Ph SWR UIL Tenant/Owner ELC Retaining Wall —^ ELR Footing Access: - Four.iation FPS Ftg Dram SGN -------.—._,_._— Crawl Limin Inspection Notes: -------- ------ Slab Post&Beam — --- --- SIT �_----- --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --- -- �_ ----------------- -- _.._____ -----_—-- Firewall Fire Sprinkler ------ --- -- Fire Alarm J— Susp'c.'Ceiling I _ Roof Mf c: Fin -- ASS' PART FAIL PLUMBING Post& Beam ---- --- ---- - Under Slab Top Out — -- Water Service Sanitary Sewer Rain Drains Final --- ---- --- ------ PASS PART FAIL Post& Beam -- -- Rough In ----- —__.-_— Gas Line - - -- ---- Sm a Da+rapers ASS' PART FAIL ECTRICAL ------ - -- --- Service r _ Rough In _ UG/Slab -- _ --- -- ------ Low Voltage Fire Alarm Final ------------ PASS PARI FAIL �__-- -----SITE BacKfill/Grading - - - - —-- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ —required befmi irext inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE Fire Supply Line _ [ j Unable to Inspect-no access ADA Approach/Sidewalk Date ate -� 7- ��i _� Inspnraar _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISIONMS),�GU_GUS-3 G 24-Hour Inspection Line: GU-4175 Business Lite: 639-4171 --- BUP _ T Date Requested--_q'L —AM_!// PM -- BLD _ Location -Sw Ali -�-�- �- —� — Suite ---- — — MEC ---- - Contact Person —jph -2y 17 . 3? 7D PLM Contractor Ph SWR - UI—LD INv Tenant/Owner —� -- —^ ELC Retaining Wall ELR Footing ------ --- - Access: Foundation FPS Fig Drain --- _ Crawl Drain Inspection Notes: SGN Slab Post&Beam - -- ----- SIT Ext Sheath/Shear Int Sheath/Shear Framing -------- ------- Insulation - - -_- - -- - ----- Drywall Nailing Firewall --- -- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: --------- _ -- --- --- - Final - -- -- PASS PART FAIL --- -- - - -- -- - ------- LUMBI-R Post& Beam - ----- - ---- _ _ --- Under Slab Top Out - -- ----- - — --- Water Service Sanitary Sewer - Rairl-oins PART FAIL - - -- MECHANICAL — - Post& Beam __-- Rough In Gas Line -- ----- Smoke Dampers Final -------- - --- - ___ PASS - PART FAIL <VLECT --- Ser✓ire _ - -- -__ - - -----_--.----------------- Rough In UG/Slab Low Voltage Fire Alarm P S5\ ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ Reinspection fee of$ i required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for refnspectio RE _ r -. J Unable to inspect-no access ADA ' - Approach/Sidewalk Date L Inspector - l ~ Other P ��- - Ext - Final PASS PART FAIL-- DO NOT REMOVE this inspection record from the job site. H a � y cr a � o q, R �+ N V A a' M Olt O IV ` O � l 0 �0 3 s '� CITY OF TIGARD 13125 S.W. HALL 3LVD. TIGARD, OR 9722 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VALLEY HWY S ALOHA, OR 97006-1248 Electrical Signature Forrr Permit #: MST2000-00536 Date Issued: 12/28/00 Parcel: 2S I'l1DA-136v-0- Site Address- 08996 SW GREENING LN S,,bdivision: APPLEWOOD PARK NO. 3 Block: Lot: 129 Jurisdiction: TIG Zoning: R-7 Remarks: SIF Path 1 Your company has been indicated as the electrical contractor fer the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the app.opriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, AYTN. Building D,�pt. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: MATRIX DEVELOPMENT CORP GARNER ELECTRIC 6900 SW HAINES ST STE 200 21785 SW TUALATIN VALLEY HWY S TIGARD, OR 97224 ALOHA, OR 97006-1248 Phone #: Phone #: 591-1320 Req #: LIC 121159 SUP 3707S ELE 34.3050 AN INK SIGNATURE IS REQUIREQ ON THI CORM Signature of SG-pervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2000-00536 DEVELOPMENT SERVICES DATE ISSUED: 12/28/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08996 SW GREENING LN PARCEL: 2S111DA-13600 SUBDIVISION: APPLEWOOD PARK NO 3 ZONING: R-7 BLOCK: LOT: 129 JURISDICTION: TIG REMARKS: �/F Path 1 BUILDING REISSUE STORIES: FLOOR AREAS REQUIRED SETBACYS REQUIRED CLASS OF WORK: NEW HEIGHT: 75 FIRST: 927 sf BASEMENT at LEFT: 1 SMOKE DETECTORS TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1.227 a1 GARAGE- 479 of FRONT: 22 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. at RIGHT: 4 VALUE: S 197.66200 OCCUPANCY GRP: R) BDRM: I BATH: 7 TOTAL: 2,154 00 at REAR: 3; PLUMBING SINKS I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: o RAIN DRAIN ton TRAPS: LAVATORIES: 4 DISHWASHERS I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BAS)NS: TUWSHOWERS: l GARBAGE.DISP- I WATER HEATERS: 1 WATER LINES: 100 BCKFI.W PREVNTR I GREASE TRAPS: OTHER FIXTURES MECHANICAL FUEL TYPES FURN<100K: BOILICMP c SHP: VENT FANS: 5 CLOTHES CRYER. I --^ GA'; FURN—100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: hlu FLOOR FURNANCES. VENTS. I WOOOSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT FcRVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS —_MISCELLANEOUS ADD'L INSPECTIONS ^- 1000 SF OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGAI'ION: PER INSPECTION: EA ADD'L 500SF 201 400 amp: 201 400 amp. Is(W/O SVC/FDR: 00 SIGN/OUT LIN LTPER HOUR: LIMITED ENERGY: 401 600 amp: 401 BOD amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU H'AISVC1FDR 601 1000 amp: 601-amhs•1000v: MINOR LABEL 1000•atnplveit: PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS. 9VCIFDR-225 R.. >600 V NOMINAL. CLS AREAISPC OCC' ELE.;TRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL --_ AUDIO 8 STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER HVAC. LANDSCAPEIIRRIG PROTECTIVE SIGNL: GARAGE OPENER. CLUCK: INSTRUMENTATION: MEDICAL OTHR. HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL X SYSTEMS: TOTAL FEES: $ 3,989.51 Owner: Contractor: This permit Is subject to the regulations contained in the MATRIX DEVELOPMENT CORP LEGEND HOMES CORP Tigard Municipal Code.State of OR Soecialty Codes and 6900 SW HAINES ST STE 200 12755 SW 69TH AVE#100 all other applicable laws All work will be done In TIGARD,OR 97224 TIGARD,OR 97223 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 Rep M: I 60563 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 Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr, Elechical Service Low Voltage Water Line Insp Final inspection PosUBearn Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr" dwlk Insp Building Final Issuer; By Permittee Signature- Call i nature_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#: SWR2000-00366 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/28/00 SITE ADDRESS; 08996 SW GREENING LN PARCEL: 2S111DA•13600 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 129 _ _ JURISDICTION: -IG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUIL111NGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for ne v SF detached. Owner: — –�— _ FEES _ MATRIX DEVELOPMENT CORP Type By Date Amount Receipt 6900 SW HAINES ST STE 200 _- TIGARD. OR 97224 PRMT CTR 12/28/00 $2,300.00 27200000000 INSP CTR 12/28/00 $35.00 27200000000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required I—pections 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. ATTENTION Oregon law requires you to follow -ules 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 copies of these rules or direct questions to OUNC by calling(503) 246-1987 Issued by: Permittee Signature t" -- Call (503) 639-1175 by 7:00 P.M. for an inspection needed the next business day /G V5 1' z '1 r!0 U 1- Building Building Permit Application Datcreceived: PemuC,o.:��'�i[�• 00 5.3 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjxUappl.n.: Expire date: Ciryof'figard Dale issued: B Recei t Phone: (503) 639.4171 Y� p nc._ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: WNE11011 will lull &2 family dwelling or accessory O Commcrcial/industrial U Multi-family 2rNew construction U Demolition ;Job di6on/alteratiori/replaccment ❑Tenant improvement ❑Fire sprinkler/alarm O Other. dress: l�} L .t Z h-� N C` L f�llt Bldg. .a.: Suite no.: Lot: _ Blmk- Subdivision: t+,.3 c_z_t-) 'FAIL( Tax map/tax lot/account no.: _ Project name: Description and location of work on premises/special conditions:— _ Z Name _ p Mailing add ss: /A 2,s-3 q - 1&2 family dwelling: 7 6 3 City: C,1 tl oma✓ State:v ZIP: 9�_. �, Valuation of work........................................ $�.. 4 _ - - � Phone: 4�0- r,�)� Fm - � E-mail: No.of bedrooms/baths................................. _ 2 _ 3 Owner's representative: 'PP67- J-I Lel t �N`-1 Total number of floors................................. Phone: C),4C-5`; ^ Fax: S` ,(,) E-mail: New dwelling area(sq.ft.) .......................... _ S Garagc/carport area(sq.ft.)......................... 1 Name: Covered porch area(sq.ft.) ......................... .S Mailing add ss: /c.1 f`s_ f�� - Deck area(sq.ft.) ........................................ _ CitStatep ZIP_:r _Other structure area(sq. ft.)......................... Phone: G1 Faxt� E-mail: ('ommerdalllndustrlrtl/multi fAmily: Valuation of work.................... ;S Business name: Existing bldg.area(sq.ft.) ..... ................... Addref ,�, '— New bldg.area(sq.ft.)....:ss: _ /aL 7J� -- Number of stories........ .......... City: v Stated "LIP:9'7.?,t .........:....... _ D Fax�9 - Type of construction .... ............................... Phone: E mail: Occupancy group(s): Existing: CC'L' no.: �_F'© }"`(� _ New: City/metro lic.no.: 7 Notice:All contractors and subcontractors are required to be IRS 11111111K licensed with the Oregon Construction Contractors Board under Name_`/ r� ,T provisions of QRS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is City: �i7 I statccolZ ZIP: 97 exempt from licensing,the following reason applies: Contact person: " $delq I Plan no.: �� —' --` --- ---' Phone:( Q . 91 e) Fax:3E-mail: Name: Contact person: Fees due upon application ........................... $ Addfess: ' Date received: City: ':r� Statee' ZIP: 6/2.2J3 Amount received ......................................... S __ I'll one: ,,� Fa E-mail: Please refer to fee schedule. _ I hereby certify I have read and examined this application and the Not all)wJ"crions accept cfrAt cards,please call jurisdiction formare infarmatro, attached checklist. All provisions of laws and ordinances governing this 0 Visa ❑MasterCard work will be compiied with,whether s cified Ire in ar not. c"t card number— -- Expires Authorized nature: ate: t ��"_, Name of cardholder ss shown on credit card - :- Print name: _ Cardholder slanatruc —Amount Notice:This pennit applicat' n expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-4613(66r MM) Plumbing Permit Application Date received: Permit no.,/,,It�^ D City of TigardSawer erntit no.: - Building permit no.: P Address: 13125 SW Hall Blvd,Tigard,OR 47223 - City of Dgard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: fay: Receipt no.: L;nd use approval: -� Case file no.: Payment type: 1 &2 family dwelling or accessory U Commercialrndustrial Cl Multi-family U'1•enant improvement fd 1`Iew construction U Addition/alteration/replacement U Food service L3 Other. -nowiiflmil 10AWA01 1 r Job address: pyj l ii*e I N G Lf 1 rV�� Description QtY. _ec(ea.) Total Bldg.no.: _ Suite no.: New I-and 242mily dwellings only: (includes 100 ft.for each utility conriecdots) rax map/tax lot/account no.: SFR(1)bath Lot` Block: Subdivision: SFR(2)bath — - --- _Project name: ��'c_ C-VD �1�-' SF' (3)bath T— City/county:''( ZIP- �•�, `,{ ._-- Each additional bath/kitchen - Description and hkationork on premises: - S1teuNlltleA: Catch basin/area drain Est.date of compledon/inspection: — Dry-;Wells/leach line/trench drain—PLUMBING CONTRACTOR — Footing drain(no. lin,ft.)Manufactured home utilities Business name: Manholes .Address: d B o f, r2 eV 7 Rain drain connector _ -- City:CqrAjACV11M I Stato:p a-IP:Q-p� - Sanitary sewer(no.lin.ft.) Pt e: (,7-17,111 Fax:61.2-7 E-mail: Storm sewer(no.lin. ft.) -A CCB no.: 3 �- Numb,bus.mg.no: p — Water service{no.lin..ft) City/metro lic,no.: Fixture or Item: Contractor's representative signature: _ Q, Absorption valve i ��' o7t Back flow preventer Print name: ��r osJ Date: f t--v Backwater valve asins/lavatory _ Name: /c� -a T-- -- Clothes washer _-^�— Dishwasher Address: d 6 e f i--,t 00 7 Dcinkin�fountain(s) -^v--- - City: O7 - State ZIP: jtJ Ejectors/sump Phone: Fax: F mail: tpamion tank _ Fizture/sewer cap -' Name(print): /k ms Floor drains/floor sitt"iub (P • ) I•Pcf'!a a �-.�5-- --- Garbage disposal Mailing address: 7j3' G l Hese bibb City: ,�� d, State:�+� ZtP: 97�:.r-� Ice maker -'�-- Phone: o -- Fax:d E-mail:----- Interr-etitor/ mase trap --� - — Owner installationlresidential maintenance only: The actual installation Primers) will be made by me or rhe maintenance and repair made by my regular hoof drain(commercial) employee on the property I own per ORS Cha gter 447. Sink(s),basin(s),lays(s) Owner's signature: %I u c ` Sun-_�-- - - 21"111M I Tubs/shower/shower pan____ _ Urinal _ Name: r , Water closet Address:G 96,g ' / _ � Water heater City: _ Stately ZIP: - Other. Phone: _ I Fax: E-mail: Total Not all iwistlictiorts.caps ciedlt cads,please call)udulkilon(or a wre ldm wiaa Minimum fee............... $ Notice:This permit application U Visa to MasterGrd expires if a permit is not obtained Plan review(at .— %) $ Cr-di;card mmnber - --.— --C�L_ within f 80 days eller it hes been State sui charge(8%) ....$ p TOTAL .......................S _ ------ n Jwwn to credit eed'�-- accepted a5 complete. S _ ---- C"older sleuatute -i - --Auwunt — —--- -- 4104616(6A(K'QM) P.1.G`BE�QLNP_LEIk: FIXTURES (individual). ';; y ;Qty ' t;e '•Total Sink V 18.60 Fixture'type Quanta r b :York Performed - _ New Moved Repla Rrmowd/C�ppN Lavatory , � 18.80 sink �`-"-"-'- -- Tub or Tub/Shrnver Comb. 16.60 -- Tub or ToblShower Combinalion ` - Shower Only 18.80 Shower Only - - Water Chisel 16.60 WaterC�oset - Urinal 16.60 Dishwasher - Dishwasher 16.60 GarbageDlspoeal --- --- -- Laundry Room Trey�- Garbage Disposal 16.60 Washln 1 Machine Laundry Tray 16.60 Floor OrairvTlocr Sink 2' ----- Washing Machine 16.60 -- 3 -- --- -- - __ 4• - -.-_ Floor i_IWT_loor Sink 2- 16.60 WVer-Heater _-_- 3' 16.60 Other Flxtures S - �. -- 16.60 ---- - Water tieater O conversion O like kind - 16.60 -- - _-- _ Gas I ip rig rAuires a separate mechanical permit. MFG Home New Water Service 46.40 MF=G Home New San/Storm Sewer 46.40 - `- ---- I lose Bibs16.60 COMMENTS REGARDING ABOVE- Roof Drains Drinking Fountain ,-16.60 -- ----! - Other Fbdures(Specify) - 21 75 '- _�' -- ---- Sewer-1st 100' -� 65.00 -�_-_-.- Sewer-each additional 100' 46.40- Water Service-1st 100' - 55.00 Water Service-each ndditional 200'- 40.40 Storm&Rain Drain-1st 100' 55.00 Storm 6 Rain Drain-each additional 100' 40.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* 27.55 Catch Basin -_-� 16.60 Insp.of ETt_1r g Plumbing or Specially Requested 72.50 In.�j-;,llons rfir Rain Dralu,single family dwel ing 65.25 Grease Traps - _ 16.60 - QUANTITY TOTAL Isorm*t or deer diagram N required it Quarymy Tatw is >9 *SUBTOTAL 8% SURr,HARGE -- �N ' PLAN REVIEW 25•ti OF SUBTOTAL Rcluked onlf a►LNure qty.kxN Is>9 DOTAL N 'Minimum permit fee Is$72.5G♦a%surch",except ResldenNal Bacldbw Prevent'.in Device,whi ti Is$76.25♦E%surctwpe All New Commercial Buildings require plans with h~dr or riser diagram and plan revkw Mechanical P'ernut Application Date received: Permit no.;fJS77�/jJ��1(! -2,4„ City of Tigard Project/appl.no_— Expiredate: City of'figurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: _Z &2 family dwelling or accessory U Commercial/industrial 0 Multi-family O Tenant improvement �ew construction G Addition/alteration/replacement ❑Other.. _. Job address: (. C,LJ Z�/N('- -�`yt�': Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical n serials,equipment,labor,overhead, Tax map/tax lot.'account no.: profit Value$ Lot: ' /, _ -Block: Subdivision: *See checklist for important application information and Project name•. An r)��1 aa/ c _ - jurisdiction's fee schedule for residential permit fee. City/county: �"r _ ZIP: �.1 Description and Iku tion of work on premises: — _ Fee(e&) ToW Est.date of completion/inspection: - _ Description Qty. Res.only Aea.anly Tenant improveme r change of use: Alr handling unit CFM__ Is existi space:heated or conditioned?0 Yes LJ No lr conditioning site FrcZ) Is e ' Ing space insulated?U Yes 0 No A terauon oTextsunngHVAC ayaiem ollerrccomrxssors Business name: State boiler permit no.: ��- lip --Tons^_BTU/H _ Address: z/ _,S'�/pS - �' u smo aampers7duetsmoTce detectors _ City p St.atgV ZIP: �'7dj Heat pump alro p an rcqu re - Phonc: -7 7 Fax: '� -7Gy E-mail: Tnstn rep ace urnac umcr / Including ductwork/vent liner la Yea O No CCD no.: f _ nsutflTp acT elrrelocete caters-suspen e , City/metro lic.no.: i wall,or floor mounted Name(plcize print): a ens for lance otTic Tt furnace e era ow. Absorption units__ BTU/H Name: /�O/ /7 C( _ -- Chi!lera HP _Address: f - Co ressors— — HP �— - nr ance vela exhaust aro ventilation' City:_ poi- State:O� ZIP: 9 JJeI2 Appliance vent _ E-mail: l�iyu'x y; t -- -- �i sTypc /111 es kittc a razmat hood fire wppreasio�i system r/ Exhaust fan with single duct(bath fans) _ Name. `�q,>7n� ! C��'S — suss s stem a art m caun Tor Mailing address:' J�y({ ✓�- P p g '�-idTon(up to outlets) G r - Staty3 7dP: -� Ty _LPC3 NG Oil -- Phone: - p Fax; F-nudl: ue PP, sac a itiena over�ooticts Process PrPmL ac emauc req to ) _ Number of outlets _ Name: ste�applrinc`e or e,,iu eC Address:W�7 _ Decorative fire. lace City: - State: ZIP: nsert-type - Phone:W - � Fax: Email atov pe et stove _ Other; Applicant's signature: ' _at : 1 L e L L ter; — Name (print): e c Nd VI ludidlctiatu accep audit can1�, cell JwidicOm to more infornwlon Permit fee.....................$ ❑Visa U MasterCard Notice:This permit opplication Minimum f-e.. $ expires:f a oetmi•.is not obtained plan review(at 91) $ _ Credit c.rd number.. --.__. within till days e tier it has lien — FAP rr� - y State surcharge(8%) ...$ - --- --- cud -- complete. - Nurm of cudholder u drown oa credit s accepted as Amount_ 1144617(6A ICOM) Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE oe+aauon ' FI mace to 100,000 BTU Table 1A Mechanical Crab oty Price Total 1) Furnace to 100.DDO BTU LrGuding ducts&vents 955 M,eucftd„ds a vents 14.00 Furnace>100,000 BTU 2) Furnace 100.000 BTU+ lndudN duds&vents 17.�•� inuuding ducts&vents 1,170 3) Floor Furnace - - floorfurnaceIncluding vent -- 14 VO �) Srnpended Mater,Irak heater Including vent_ 955 or 4,or mounted healer _ 14.00 suspended healer,will healer 5) vent B.80 or floor mounted heater 955 sRepair unity 12.16 Vent not Included Ina appliance 445 chadh a$Ib.I apply. 'Bober lea( Air PpPnnit- p• For Items 7.10.see 1W Pump Coed Oly Price Total Repair units 805 root"°(''1.2 - - - 7)<3HP;absorb unk to <3 hp;absorb.unit 100K BTU 14.00 @13-15 HP;eb+orb urha -to 100k BTU 955 100k to soar BTU 25.60 3-15 hp;absorb.unit _ °►1s 3o HP;2bac76 -- unk.5.1 mit I 1 -�35.00 1101k to 500k BTU _ 1700 10)30-50 RIFITaX»on; - rmk 1-1.76 mit BTU 62.20 15-30 hp;absorb.nnit 11)1)>50HP;absorb unit x1.75 mil BTU 501k to 1 mil.BTU 2310 -- 5720 12)Ar handknq un*to 10,000 CFM 30 50 hp;absorb.unit t0.00 -- 1-1.75 mll.BTU 3400 13)AJr hanrlilnq unit 10,000 cFM+- 17.20 >50 hp;ab•;orb.unit i41 Non-pglable evaporate cooler - - 10.00 > 1.75 mil.B k U _ 5725 11.5)Vent ran conrwded to a sigle dud Air handling unit to 10,000 cfm 65610`)verhulatkhn system not ircirded i, Nr handling unit> 10,000 chn 1170 --�F"anCD ----------- 10.00 g 17)Hood se-md by mechanical exhaust Non- 10.00 Non-portable evaporate collar - 656 Is)DoraeftlaLhtiieralors -'--- -- vent fan connected to a single dud 44617.40 19)Camrertal a ihdwlrlal type rales Vent syst.not inducted In appliance pens;lt 656 _ (49.95 Hood served by rriechaniml exhaust 656 201 Oliver units,Including"roodstoves 1000 Domestic Incinerator 1170 211 Oat piprp one to low aeIsta - 5.•o Commercial or Industral Incinerator 4590 n)More than 4 Par anis+(each) 1.00 Other unit,Including wood stoves,Inserts,etc. _ 656 Minimum Parma Fee$72.60 SUSTOTAC. Gas piping 1-4 outlets _ 360 6%suacfuaor _ Each additional outlet �� 63 MAN REVIEW 25%Or SUBTOTAL Required for ALL commercial permits only TOTAL Other I-p-d. Md F- 1. a.pecam*ad.Na 6,nonnw buiw-rrhhr(n*%i-cww t o noun) $72.'50 pw h-0 2. irmwecams b vo*>h m be is s(rtlhaM WVVIad(^tea^dumb he nous 'r��,�� $7] ora 60 pw f T44a1Valuation FSS _- -- 2. Aldawnarplan-4"nWA by dhwpar.'64476,,1ormortem.nPlant ta+�+•^ -• du V"10h00 h-I I72.60 par h- __ •ala-.C..***.15046,e.rewaaan-quYad S I.00 to$5,000.00 - - -- Minimum 572..50 ----�- -- -R"4L*"Mc req,* +aa pian w"" 0-nar"durr 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional 5100.00 or fraction thereof, to and including 510,000.00 $10,001.00 to$25,000.00 $148.50 for the first S 10,000.00 and$1.54 for each additional S 100.00 or fraction thereof,to and including S25,OW.00 S2S,001.00 to$50,000.00 $179.50 for the first$25,000.00 and$1.45 for eac`1 additional S 100-00 or fraction thereof,to and including 550,000.00 $50,000.00 and up .- 5742.00 for the first S50,000.00 and S 1.20 for each additional$100.00 or fraction thereof Electrical PerinifAppiicafion Date received: Permit no.:tiSr :. City of 'Tigard Project/appl.no.: _- Expire date: CityojTrgard Address: 13125 SW Flail 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: el &2 family dwelling or sccessory El Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/re.placement U Other._ U Partial Job address: Bldg, no.: FSw�e ! 'i ax map/tax lot/account no.: 1.ot: I f 81ock: Subdivision: L _ _L_ 3p,1Z — Project name:_ ___Description and location of work on prnrnises. Estimated date of completion/inspection: Job no: Fee Max Business name: �j/)� t tom_ Phew resldmdal-shale IkorUon fes) Total no.hop � r orrhl-family per Address X17�b - dwelWr neft.tnchaksattachedgarage. w City: StateL+r ZIP: q Servieelescluded r/�__y9�j y 1000s ,ft.orless _ Phone Fax:G -r IE-snail• _ 4 Each additional 500 sq.ft.or portion thereof C o.: 1 44 S Elec.bus.lic.no: 3 _3 C Linvtedenerpy,nesidentid 24 icy r 3 7a Limited energy,non residential y F.achrnrnufacturedhonw.ornxrdulardwelling _n lureV su rvrs .3 el trician( uirod) Date Service and/or feeder 2 Servicta or feeden-installation, Sup.elect.name(print): �{ „tti, Uarme tro: Q alteraAan or relocation: 200 amps or less 2 Name(print): ,�� 201 amps to 400 strips ---- 2 —� 5 40' amps to 600 amps 2 Mailing - - - FJI amps 10 1000 amps 2 Cit e 4 SURC0 ZIP: ,4-A& Over 1000 amps or vola 2 Phone:LoIU- Orta Fax:-5-g - O E-mail; Reconnectordy - h Owner installation:The installation is being made on property 1 own Temporary senates or feeders- which is not intended for sale,lease,reM_,or exchange according to Inrtatlatiotr,alteration,orrela ytion: 200 amps or less _ 7 ORS 447,455,479,670,701. 201 amps to 400 amps 1 - Owner's si mature: (' rr %'' Date: I �r /C ` 4oi to 600.mpr ----� _ __T_ Illmock _`- 6r*uch circuits-new,alteration, or extension per panel• Name' A. Fee for branch circuits with purchase of ,dICS3: — service or feeder fee,each branch circuit 2 $tales ZIPa}'7' B. Fee for branch circuits without purchase --�f of service or f7-ter fee,first branch circuit: 2 Phone: - Fax- E-mail: Fxh additional branch circuit ---- 0-to 9111UH 177MMMV101-1Mbe.(Service or feeder not Included): (.1 Service over 225 amps-commen-ial U Health-care facility F,erh pump or irrigation circle 2 D' '"cover 120 amps-rating of 1&2 U Huan"s location Bach sign or outline lighting - 2 ..roily dwellings U Building over 10,(M square fed four or Signal circuits)or a limited energy panel, U System over 600 volts nomind more residential units in one structure alteration,or extension* —_ 2 U Building over three stories 0 Feeders,400 amps at more *Description: U(kcupitm load over 99 pe.-sons U Manufactured structures or RV part Fach additional hupection over the allowable In anp if the above: U h:grvssnightingplan U other. _--- -�-_-_ Per Inspection Submit -eels of plaai with any of the above. Invatig.tion tee __ The above are not applicable to temporary consttaction IftAire. Other Not rl'Jurisdictions accept cmdlr cards,phew call)ariut'kaon for mace Informarlm Notice,This permit application Permit fee.................... U Visa U Mastercard expires if a permit is not obtained Plan review(at _ %) $ _ C-redit card numbrc1�L_-_ within 190 days afler it has been State surcharge(8%) ....$ on Expires accepted as complete. TOTAL .......... ..S -- '— cr sho - - - Name d older u svo edit card ----CanlLolder siansitre __Amount 440 4613(&UX-C'M) 4. Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Number of Inspections per permit al,owed Restricted Energy Fee............„. ...................... $76.00 Service includ ad: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Work Involved: 1000 sq.R.or less :147.15 4 Each additional 500 sq.fl.w Audio and Stereo Systems portion thereof $33.40 1 Limited Energy $75.00 ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 Garage Door Opaner' 4b.Services or Feeders Installation,alteration,or relocation Ej HesEng,Ventilation and Air Conditioning System' 200 amps or lees $80.30 2 201 amps to 400 amps $10v.85 2 LJ Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 _ 2 Other Over 1000 amps or-.,-Jts $454.65 _ 2 Reconnect only - $66.85 2 TYPE OF WORK INVOLVED-COMMERCIAL ONLY 4c.Temporary Services nr Feeders _ Installation,alteration,or relocation Fee for each system......................................_,„.,. $75.00 200 amps or less M :06.85 2 (SEE OAR 918-260-260) 2.01 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work involved: Over 600 amps to 1000 volt;, see"b"above. Audio and Stereo F;,stems 4d.Branch Circuits New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purthsse of service or Clock Systems feeder fee. Each branch circuit ^� $6.6.5- _ 2 b)The fee for branch circuits Data Telecommunication Installation without purrhate of service or feeder fie. Fire Alarm Installation Firs(bron(lc cirarN $40.85 ^ Each add.11onal branch occult _ $6.65 I I ! HVAC 4e.Miscaltaneous (Service or keder not kx*xled) Instrumentation Each crump or Irrigation circle _ $53,40 Each sign w outline fighting _ $53.40 intercom and Paging Systems Signal rJrcult(s)or a limited energy �^ parcel,alteration or extension $78.00 Landscape Irrigation Central' Minor Labels(10) $125.00 Inspection over 4f.Each rAditlonal Ins er l_J Medical NA allowable In any of the above Per inspection $62.50 f lurse Cally Per hour $62.50 In Mot $73..'5 Outdoor Landscape Lighting' a, Fees: Protective Signaling ta_Ertor total of above fees S _ 8%Surcharge(.08 X total fees) $ Other^ a� sablolal $ _ 5b.Enter 25%of One Sa for _ Number of Systems -tan Rrview M required(Sec.j) $ -- Subtotal $ No Nonnses am required. Lkenses are required for al otter Instahatlons jC Tnrst Account N-�_ FEES: Fetal balance Due $ . ENTER FEES -� 8%SURCHARGE(.08 X TOTAL ABOVE) $ TOTAL $ PLOT PLAN LOT 0129, APPLE MOOD PARK RIPD 251 11 DA TAX LOT 013600 89ro�o SW GREENING LANE S.E. 1/4 OF SECTION 11, T.2, RJW, W.M. CITY OF TIGARD WASHINGTON COUNTY, OREGON LEGEND HOMES ' 12766 6q 69th Avenue 6Ufl'e 100 OMCs (669) 620-6066 "GARD, OR. 97U3 FAX (609) 698-8960 CC@/ 60669 SW GREENING LANE --------------T---------- ' CURB I" 20'-0" 889'54'25"W IDEWALK 62.00'_ 1045'/ I 8' UTILITY 105 4' EASEMENT \204.4' WATER METER I % ��5.11' 153'WATER LINE I -•-� � j I � '1mA 55—--- SANITARY SEWER SD-- - - - STORM DRAIN 3 �- ¢ OF STREET - • MANHOLE (('� 4,161 SGS. FT. ® CATr:H BASIN '1 �/ MARCiau r IIA/ 0 �9 FIN. FLP. • 20 6.0' 61 PROPOSED Q z I I� GARAGE FR. 205' V Z] 1 STREET TREES STREET LIGHT I I FIRE HYDRANT m 1LAI 1�2 J Lo PRO✓IDE EROSION ' CONTROL FENCE 1� PER COMMtfNI fY 1 S 89' 52' 0@" W PIAN --- - -�- 6100'