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15920-15950 SW GREENS WAY I W b� r a ' t•jNoo I� F3 bC 0 ; W ftJ 'A � W bd--4 H l� H �h mo r F 3 C=i N o o >c a oy `' ►03 0 ► 1710 � z d i x g t-4 t ;lj H tl tr.1 Lin H \ Lk H H d N � -.-r $r: 0 � yr r-� r _ t2j L J �1 "21-3 brir k'* U. o H Cn 7t7 " �tl r t2j O tri tj x r o cn o d o r-4 t-+ �r- t?. - n Hd 0 cif L�1 H a Uo W L rn 0 ►3 �l ►y { t rn Ga M M W 1-3 10 OQ Z k � v y„ �„ V j r r�, t.•i 1-3 con 15920, 15930, 15940, & 15950 ( Yn _SW GREENS WAY CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: Business Line: 639-4171 BUP 639-417x -_—_-------- L AM-- PM BLD _ Cate Requested_-____� •-- — ---— �--G 3 J f .-,f..!�U'�GG' Suite -- Location _ f 7 ` ��s PLM _ Ph � Contact Person � SWR ------ Contractor ek ekGc.Ge4 __----- ELC BUILDING Tenant/Owner �__._ –� ELR --_ ---- Retaining Wall ------ � FPS __ -- --- - Footing Acc ass. Fo,�ndation SGN ------ -- Fig Drain _ SIT r,rawl Drain Inspection Notes' - --------,-_ — ---- :_,lab post&Beam Ext Sheath/Shear Int SheathlShear -r --- --�� '`� Framing Insulation Drywall Nailing Firewall - Fire Sprinkler Fire Alarm -- - -� Susp'd Ceiling _ --- Roof Misc:_--__-- Final PASS PART_ FAIL PLUMBING _ -- ---_ ---- Post&Beam Under Slab - - Top Out — - Water Service ----- _ Sanitary Sewer - -_ Rain Drains -- - Final - PASS PART FAIL _ — r�-r--- MECFA CAL. - post&Beat n --- Rough In �- Gas Line i Sm Dampers, -- - - PART FAIL - CTRICAL - Servire ---� — Rough In - UG/Slab - Low Voltage ---- Fire Alarm --- Final -- --`--_— PASS PART FAIL -- SITE Backfill/Grading Sanitary Sewer [ j required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Reinspection tee of$ Storm Drain [ ]Unable to inspect no access Catch Basin ( j Please call for reinspection RE: Fire Supply Line Ext AD � �-- - A Approach/Sidewalk Inspector _ Date _c Other Final UA NOT REMOVE this inspection record from the job %i O- PASS PAR_____T__FAIL CITYOF T I GA R D ____MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00129 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/20/01 SITE ADDRESS: 15930 SW GREET` S WAY PARCEL: 2511 ODD-0 1200 SUBDIVISION: SUMMERFIEL_D ZONING: R-12 BLOCK: LOT: 088 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: Y EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _BOILERS/COMPRESSORS _ MOODS: _ _FUEL TYPES --__ 0 - 3 HP: DOMES. INCIN: I_PG 3 - 15 HP: COMML. INCIN: MAX INPUT BTU 15 -. 30 HP: FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN , =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUT LETS: 1 F'•-marks: Gas piping for water heater conversion Owner: ---- ___----- _ FEES -- --- —i CURT ELSNER Type By Date — Amount Receipt. 15930 GREENS WAY PRMT CTR 4/20/01 $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 4/20!01 $5.80 272004,0000 Phone:503-968-8015 _ _Total $78.30 Contractor: SERVICE NOW OF ORE 404 S. BEAVERCREEK RD OREGON CITY, OR 97045 REQUIRED INSPECTIONS Gas Line Insp Phone:503-655-7558 Final Inspection Reg #:LIC 110214 This permit i, issuE"I subject to :he regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be o,:ne in accordance with approved plans. This permit will expire if w-!rk i!s not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENT ION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR c152.001-0010 throuah OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by catli b (503)246-9189. Issue By: - Permittee Signature: Call (503) 639-4175 by 7:00 P.M for inspections needed the next business day Mechanical Permit Application Uatereceivcd: �/ >i' '/ Permit no.:��^%'""/'CD . City of TigardProject/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 (try uJ 1 igurd Date issued: R!: Receipt no.: Phone: (503) 639-4171 Fax: (503) 198-1960 Case file no.: Payment type Land use approval Bui. Ig permit no.: U I &2 fami:dwelling of accessory U Commercial/industrial U Multi-family _31'enant improvement U New constJ Addition/alteration/replacctic III U Other: _- 11 16 L11 Itum Job address: i '.11A _ -- Indicate equipment quantiucs in brrxcs below. Indicate the.dollar � Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, _ Tax map/tax lot/account no.: prom.value$ 1 cdt: Block: Subdivision: *See checklist for important application information and jurisdiction's Ice. Schedule for residential permit Ice. Project name: i r 1;City/county: ) , Zlp: t I Description and location of work on premises: t 1 t / i)L' [ 1, %3 nF H1(; 11 Fee(ea.) Total Est.date of completion/inspection: Itr,crip(ion _ Qty.I Res.only Rex.only 'tenant improvement or change of use: Air handling unit CPM Is existing space heated or conditioned'U Y-, U No ircon itioning(sitep an require ) Is existing space insulted?U Yes U No Alteration of existing HVAC system of e Fjcompressors State boiler permit no.: Business nant, _ + F , HP Tons BTU/H Address: i(} I i I'• ' t ' f ', �" �y RRA�'. lt� it smo c dampers/duct smo a detectors City: 3-1' r+ pump(site plan required) taler' ZIP Fax E-mail: Install/replaceturnac umer BTU Phone: Including ductwork/vent liner U Yes O No CCB no.: nsta rep relocate eaters-suspen c City/metro lie.no.: wall,or floor mounted Name(please print): Vent for a r dance oftFer t an furnace Refrigeration: Ahsorption unit,,. __ BTU/H Name: Chillers___ �— HP Com ressois IIP Address: _ _ ,nv ropmenta ex uM an ventilation: City: Stale: ZIP: Appliance vent Phonc:� Fax: E-mail: )rycrcx Bust oo s, ypc /res. nchen azmat hood fire suppression system N�111e; [�� - ' (.. ' Exhaust fan with single duct(bath fans) x Faust s stem a Qart from hearingor C Mailing address: I•- ' (' t' t ' t`"� ue p p ng an st ut on(up to outlets) City: - - State:f 7.IP: ' L Z` fNpc _1.Pcl _ NG oil Plume: --- I ;ie I` nrtil Duel piping eacha Ilona Duct I ouzels Process piping(schematic require ) Number of outlets _ Name: terst app ance or eq—u p ent: Address: _ __ 1),corative I n eplace City: State: ZIP: nsert-type or slove/pe et stove Phone: 'ax: E-mail: t)tdcr: Applicant's signature: pate: do-�`'.„lL' Name(print): t ' \r.> * _-7 f't •J — _ Permit fee.....................$ Not all Jutlidicllons accept credit cards,plena call jurisdiction Im mme Inrormnlirm Notice:11tisrmit application Pc pp Minimum fee.............•.•$ U Visa U MasterCard expire fires if a emit is not obtained Man P P I Ian review(al 9b) $ —_ Credit card numl>cr Fxpirea within 180 days alter it hits been State surcharge(896)....$ -- TOTAL $accepted as complete. Nanrc nr cardltoldru shown on c n r card S i ` � Cardholder signature Amtwtn 440-4617(M ICOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: Description: Prise Total TOTAL VALUATION FEE: _- Table 1A Mechanical Code Qty (Ea) Amt $1.00 to$5,000.00 _ Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 tc$10,000 00 $72.50 for the first$5,000.00 and including ducts&vents 1400 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including including ducts&vents 1740 _ 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent 14.00 _ $1.54 for each additional$100.00 or 4) Suspended heater,wall healer fraction thereof,to and Inc.iding $25or floor mounted heater 14.00 ,000.00. _ -- $25,001.00 to$50,000.00 $379.50►e the first$25,conal$1 0. and 5) Vent not included in appliance permit G 80 _ $1.45 it each additional$100.00 or 6) rtlpair units fraction thereof,to and including 12 15 _ $50,n0o.00. $5Q001.00 and up $742.00 for the first$50,000.00 andr Chedl all that apply: Boller Heat Ali $1.2n for each additional$100.00 or For Items 7-11,see or Pump Cond L _ _ fraction thereof. footnotes below. comp* ')<3HP;absorb unit .00 to 100K BTU 1 - ASSUMED VALUATIONS PER APPLIANCE: -6 )3.15 HP;absorb -� V clue Total unit 100k to 500k BTU 25.60 Des(ription: Qt __LaAmount g)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 ducts&vents - 10)30-50 HP;absorb Furnace> 100,000 BTU including 1,1 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Indudin vent 955 M unit>1.75 mil BTU _ 87.20 rn Suspended heater,wall heater or 955 12) It handling unit to 10,000 CFM 10.00 floor mounted heater Vent not Included in applicance 445 13)Air handling unit 10,000 CFM; _permit 17.20 Repair units 80_5 14)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 - 8.80 101k to 500k BY) 1b)Ventilation system not Included in 15-3( hp:absorb.unit,50to 1 2,310 appliance 1k permit 10_00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU 18)Domestir,incinerators >50 hp:absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or Industrial type incinerator Air handlin unit to 10,000 dm 656 _ 69.95 1,170 _. 20)Other units,including wood stoves Air nanulin unit>10,000 chn Non-portable evaporate cooler 656 10.00 Vent tan connected to a single duct 446 21)Gas piping one tc four outlets Vent-;ystem not Included in 656 5.40 a Ifatice ermit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1 00 Domestic Incinerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL: 5 Commercial or Industrial incinerator 4,590 _ Other unit,Including wood stoves, 656 8%State Surcharge 5 Inserts etc. _ Gas in 1-4 outlets 360 25%Plan Review Fee(of subtotal) 5 Each additional outlet 63 lloquired for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: 5 VALUATION: `- her Inspections nd Feas: 1 Inspections outside of nnrmal business hours(minimum charge-two hours) $72.50 per hour. 2 Inspections for which no fee is specifically indicated (minimum charge-half Your) $72.50 per hour 3 Additional plan review required by changes,addition%or revisions to plans(minin.vm charge-one-half 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.\dsts\forms\mech-fees.doc 10/11100 CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT PLM2001-00162 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/20/01 SITE ADDRESS: 15930 SW GREENS WAY PARCEL: 2S110DD-01200 SUBDIVISION: SUMMERFIELD ZONING: R-12 BLOCK: LOT: 088 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES- WATER HEATERS: 1 CATCH BASINS: FIXTURES _ ' AUNDRY TRAYS: SF RAIN DRAINS: SINKS_-- URINALS: GREASE TRAPS: LAVATORIES- OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Change out of electrical water heater to a gas water heater. _ Owner: ---FEES --------------- --- – - Type By Date Amount Receipt CURT ELSNER — -- - 15930 SW GREENS WAY PRMT CTR 4/20/01 $72.50 27200100000 TIGARD, OR 97224 5PCT CTR 4/20/01 $5.80 27200100000 Total $78.30 Phone 1: 503-968-8015 Contractor: SERVICE NOW OF OREGON, INC PO BOX 551 WEST LINN, OR 97068 REQUIRED INSPECTIONS Phone 1: 655-7558 Final Inspection Reg #: LIC 110214 PLM 3-304PB ELE 265LHR This permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all ot'ier applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for 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 copies of these rules or direct questions to OUNC by calling ( 03) 246-1987. Issued By: Permittee Sigrature: Call (503) 639-4175 by 7:00 P.M. for an inspection need?d the next business day Plumbing Permit Application Date received: 2 City of Tigard Sewer permit no.: building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City ofTigaro phone: (503) 639-4171 projccUappl.no� Expire date: Pax: (503) 598-1960 Date issued: By: cccipt no.: Land tine approval: Case file no.: Payment type: U 18r.2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New constnictiun U Add it iori/afteration/replacement U Foul service U Other. .1011 S11 FINfOR'NII"]ON FEE Job address: Description air Y. 14�e(ea.) 'Total New I-and 2-family dwellings only: Bidg,nf),: 0 -- Suite no.: _ (Includes too fl.foreachutilityconnection) Tax map/tux lot/account no.: SFR(1)hath Lot: Blo-k. Subdivision: _ SFR(2)bath Project name: InJ I TL'/? } `�'(� t. _ .4 SFR(3)bath City/county. 7•(0.eak u t.a ZIP: 11 17-? Lf Each additional batli/kitchen Description and location of work onnrem�: _ Siteutilitles: IIt } I Ys>� AtJ� It -- Catch basin urea drain Est.dale of completion/inspection: Drywells/leach line/trench drain Y Footing drain(no.fin. ft.) -_ l I ILI Manufactured home utilities Business name: .J I k' 1)jr I 0U _ Manholes _ Address: l �� V C; Z Rain drain connector City: f State:dtt. uary sewer(no.lin.ft.) Phone:br } Pax: Iva:: PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual) Q'fY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.67 the dwelling and the flrst100 ft. QTY (ea) AMOUNT 16 60 for each utilityconnection) _ Lavatory -- _ One 1Lhath _ _ $240.20 Tub or Tub/Shower Comb. 16,60 TNo 2 batti $350.00 — Shower Only 16.60 Three33_b_ath __ $399.00 Water Closet 16 R° Urinal 16.60 _ 8%STATE SURCHARGE —_ Dishwasher — 16,60 PLAN REVIEW 25%OF SUBTOTAL __ — TOTAL Garbage Disposal 16-65— Laundry Tray 16.60 — Washing Machine 16.60 FloorUrainlFloorSink 2" 1660 - PLEASE COMPLETE: 16.60 q 16.60 antit-- _ Water Healer O conversion O like kind 16.60 — --Qub Work Performed W Gas piping requiro;a separate mechanical Fixture Type: New Moved Replaced Removedl permit, MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 _ _ Combination_ _ Roof Drains — 16.60 Shower Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbe Dispos I— Laundry Room Tra — ---- Washing Machine _ _. Floor Drain/Sink: 2" Sewer-1st 100' 55.00 - 31, Sewer-each additional 100' 46.40 4" Water Service-1st 100' 5500 _Water Heater Other Fixtures Water Servire•each additional 200' 46.40 (specify) Storm 8 Raln Drain-1st 100' — 55.00 Storm 8 Rain Drain-each additional'100' — Commercial Bao Flow Prevention Device 46.40 -- -- -- Residential Backflow Prevention Device' 27.55 _ Catch Basin 16.60 _— Inspection of Existing Plumbing or Specially 72.50 Re nested Inspections perlhr_ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 __ -- ------- Grease Traps — 1660 -- QUANTITY TOTAL Isometric or riser diagram Is rogmrnd if _ Quantity Total Is >9 -- 'SUBTOTAL _— — -- 8%STATE SURCHARGE -- "PLAN REVIEW 25%OF SUBTOTAL. Re aired only if xlure qt- OL is_`9 _ TOTAL *Minimum permit lee i•�$72 50•B'%slate surcharge,except Residential 9ackilow, Prevention Device,which Is$16 25•9%slate surcharge -All New Commercial Buildings require pians with isometric or riser diagram and plan review I:btsts\forms\plm-fees.doc 10110/00 CITYOF TIGARD _ MECHANICAL PERMIT f DEVELOPMENT SERVICESPERMIT#: P1EC20C0-00370 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DA'Tc ISSUED: 2114/00 PARCEL: 2S110DD-01200 SITE ADDRESS: 15930 SW GREENS WAY SUBDIVISION: SUMMERFIELD ZONING: R-12 BLOCK: LOT: 088 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR I URN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: — DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE_ DAMPERS?: 30 - 50 HP: WOODSTOVES. GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: TURN >=100K BTU: <= 10000 cfm:—� GAS OUTLETS: > 10000 cfm: Remarks: Replacement of existing furnace with like kind _Owner: _ FEES COLE, MADGE W Type By Date _Amount Receipt '5930 SW GREENS WAY PRMT CTR 9/14/00 $72.50 272000000C TIGARD. OR 97224 5PCT CTR 9/14/00 $5 80 2720000000 Total $78.30 Phone: — -- -- Contractor: SERVICE NOW OF OREGON INC 404 SE BEAVERCREEK RD 4228 OREGON CITY, OR 97045 REQUIRED INSPECTIONS Heating Unt Insp Phone:655-7558 Final Inspection Reg #:LIC 0110214 ELE 2.65LHR EXPIRGP This permit is issued subject to the regulations contained in the Tigard {Municipal Code, State of Ore Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952.-001-0010 through OAR X52-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (803)246-9189. 1N_ Permittee Signature: Issue �y: �� ..� a�k r �11.1 � - -- Call(5031639-4175 by 7:00 P.M. for inspections needet4 the Fiext business day Plan Ch ckl\ CITY OF TIGARD Mechanical Permit Application Recd 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E _ (503) 639-4171. x304 Date to DST------ Print or Type Permit#_N£t' -odj70 Incomplete or illegible applications will not be accepted — called Name,of Development/Project Description _Table 1A Mechanical Code _ _ Oty Price Amt sbeetAddress` Sone# -_ A) Permit Fee .lob 1) Furnace to 100,000 BTU Address including ductE&vents see footnote 1,2 F�l 65 / 6idg# coy/state Zip 2) Furnace 100.000 BTU+ Jl � 01 41 includinj ducts&vents ser footnote 1,2 00 — — Name(oi name of business) , / 3) Floor Furnace Com Owner �� `� / C including.vent see footnote 1,2 Mailing Addre s — A) Suspended heater.wall heater or floor mounted heater see footnote 1,2 965 GlL� /fit f' 5) Vent not included in appliance permit 4 75 - CRyrState Zip Phone Check all that apply: "Boder Cleat Air For Items 6-10,see or Pump Cond City Price Art.+ - Name(71meofbusiness) _footnotes 1,2Com C 6)<3HP,absorb unit to 100K BTU _ 965 Occupant Mailing Address 7)3-15 HP,absorb unit 100k to 500k BTU 17.65 CRY/State Zip Phone f)) 15-30 HP, absorb unit 5-1 and BTU 24.15 _ 9)30-50 HP;absorb Contractor N�an unit 1-1 75 mil BTU ^� 36.00 fD L rV '�' G 10)>50HP,absorb unit Prior to permit Mailing Address / >1.75 mil BTU 60.15 issuance,a copy C Y E'NL i '��L 11 Air handling unit to 10,000 CFM of all licenses R State �• / Zip Pb to'� _ 7.00 _ are required it > f f I �!j[� 11 f 12)Air handling unit 10,000 CFM+ expired In COT Oregoq Cofstr qr�t�9oa Lie# Exp Dole 11.85 oatabase / / i�� r 13)Non-portable evaporate cooler Architect Name _ 7.00 14)Vent fan connected to a single duct 4.75 or Mailing Address — 15)Ventilation system not Included in _ _ appliance permit 7.00 Engineer 16)—Zip Pnone 16)Hood served by mechanical exhaust 7.00 : 17)Domestic incinerators Describe work to be done 12.00 New O Repair O Replace with like kind Yes No O 18)Commercial or industrial type incinerator 46.25 Residential Commercial 19)Repair units Additional information or description of work — -- 8,40 20)Wood stove/gas FP/other units/clothe dryer/etc. 7.00 NOTE: For Commercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets structural gas calcs. See footnote 1 3 75 22)More than 4-per outlet(each) Type of fuel: oil O naf al gas O LPG O electric O --.--- ---- i Minimum Permit Fee$10=00 __7a.s,-ZPy13TOfAL - — I hereby acknowledge that I have reed this application,that the information 7%SURCHARGE _ given Is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOI AL Required for ALL commercial permits only tht ier,that plans submitted are in compliance with Oregon State laws. TOTAL r--tZ&AVi Signature of Owner/Agent Date— '- - - - -- Other Inspections and Fees: �j� (�ZI r. C '1. Inspections outside of normal business hours(mininum charge-twa --- x ' L - hours) $50.00 per hour �Con�tacteioln Nam Phone 7 Inspections for which no fee is specifically indicated (minimurn l �,� _ S_S - 7S charge-half hour) $50.00 per hour 3. Additional plan review required by changes,additions or revisions to Foonotes for co mercial projects only: plans(n.Wmuni charge-one-half hour)550.00 par hour 1 Provide full schematic of existing and proposed gas line and pressure 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units ---- -Residential A/C requires site plan showing placement of unit I:lfnechperm.doc rev 7/1P/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-I1our Inspection Line: 639-417.5 Business Line: 639--41771 BLIP _ Date requested _ �� _�P BLD j�,✓ Location GrP�s w _ Suite MEC d;101'l-vC, /Zci d 5�1� -- Contact Person — -- Ph i 7� U PLM Contractor — Ph SIN _ EL BUILDING Tenant/Owner Retaining Wall El_R Footing A :cess: 1 `„QJ lk r ✓.,1 �- FPS --- -- Founoatlon Q> / � t�,y., c - Fig Drain SGN Crawl Drain Inspection Notes SIT _— Slab ----- --- ---- -- Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing -- Firewall Fire Sprinkler - - — Fire Alarm Susp'd Ceiling - -- Roof Misc --- - - Final p PART FAIL - eam- Under Slab _ - Top Out Water Se-vice Sanitary Sewer Ra' rains --- -- PART FAIL Post& Beam Rough In - — -- --— --- .. mo7ce Dampers Fi ASS PART FAIL E CTRICAL — Servi,_:e - - Rough In — UG/Slab - Low Voltage Fire Alarm Final PASS PART FAIL SITE — Backfill/Grading Sanitary Sewer Storm Drain Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd [ ] Catch Basin —_ [ ]Unable to inspect-no access Fire Supply Line [ ]Please call for reinspection RE: _.. — ADA Ext Approach/Sidewalk Date Inspector �, ier Final DO NOT RF.IVIOVF this inspection record from the job site. PAQ3 PART FAIL 1 CITY ITY O F ' !G A R a -- MASTER PERMIT PERMIT#: MST2002-00115 ?mss DEVELOPMENT SERVICES DATE ISSUED: 2/20/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15920 SW GREENS WAY PARCEL: 2S110DD-01300 SUBDIVISION: SUMrgERFIEL.D ZONING: R-12 BLOCK: LOT: 087 JURISDICTION: TIG REMARKS: Entry enCIOsure. _ BUILDING REISSUE: STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED GLASS OF WORK: Al I HEIGHT: FIRST: If BASEMENT: sf LEFT SMOKE DETEC I ORS: TYPL OF USE: SF FLOOR LOAD: 4n SECOND. sf GARAGE. sf FRONT: PARKING SPACES! TYPE OF CONST: SII DWELLING UNITS: FINDSMENT sf RIGHT: OCCUPANCY GRP: Rt BDRM: BATH: TOTAL: 000 nl VALUE: $2,00000 REAR: PLUMBING _ SINKS: WATER CLOSETS: WASHING MACH: LAUNDP.Y'I RAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS TUBISHOWERS: GARBAGE nlsP: WATER HEATERS: WATER LINES BCKFLW PREVNTR: GREASE TRAPS. MECHANICAL OTHER FIYTURES: FUEL TYPES _ FURN<100K: BOIUCMP c JHP: VENT FANS. CLOTHES DRYER: FURN-10014: UNIT HEATERS: HOODS: OTHER UNITS: MAX IN,': 110 FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amu: 0 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'l.500SF: 201 400 amp: 201 400 amp: 1a1 W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED LNERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601*amps-1000V: MINOR LABEL: 1000.amp/volt: PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RESTRICTED ENERGY _A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROT ECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR- HVAC: DATA/TELF COMM NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 161.63 VADA LEE TIM DOUGLAS CONST This permit is subject to the regulations contained In the 15920 SW GREENS 5424 SW RED LEAF ST Tigard Municipal Code,State of OR. Specialty Codes and TIGARD,OR 97224 LAKE OSWEGO,OR 97034 all other applicable laws. All work will be done In 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 Conter. Those rules are sat Reg e: LIc nonasns' 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 Footing Insp Insulation Insp Foundation Insp Electrical Final Electrical Service Final inspection Electrica!Rough In Framing Insp Issued BY : :"( �, /r_ �/ Permittee Signature Call (503)639-4175 by 7:00 p.m. fir an inspection needed the next business day One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: --- -. Phone: (503) 639.4171 Fax: (503) 594-1960 t I Land use actions completed.Sce jurisdiction criteria for concurrent reviews. _ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plattlot. ---- - - 4 Fire district_.______approval required. — - 5 Septic system permit or authorization for remodel. Existing system capacity -- _6 Sewer permit. -- - 7 Water district approval. -- -- 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and lx ation of catch-basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-sirs sheet attached to the plans with cross references between plan location and details. flan review cannot he completed if copyright violations exist. —CI Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elet ns(if then:is more than a 4-0.elevation differential.plan must show contour lines at 2-ft.intervals);location of ents and driveway;footprint of structure(including decks);location of wells/sepuc systems;utility locations-,directioicator;lot arca;building coverage arra;percentage of coverage:impervious area;existing structures on site;and surfainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection d ,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,watter, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 ('toss sections)and details.Show all framing-member sizes and spacing such as floor beams,headers, ,sub-(loot. wall construction,roof(:(instruction. More than one cross section may he required to clearly portray conson.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and fouon,stairs, fireplace construction, thermal insulation,etc. I S Elevation views.Provide elevations for new construction;minimum of two elevations for additions anodcls. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at builnvelope. Fu l size sheet addendums showing foundation elevations with cross references are ace.eptable. —bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations; or non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing 1�canons.Show attic ventilation. I H Basement and revaluing walls.Provide cross sections and details showing placement of rehar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design value:.far all beams and multiple joists lation _over IO feet lung and/or any beam/joist carrying a non-uniform load. — 20 M1lanufactured(floor/roof truss design details. ive path or provide calculations. A gas-piping schematic is required 21 M:nergv('ode compliance.Identify the prescript fur lour or more appliances. 22 Engineer's calculations.When required or provided,1 i.e.,sheer wall.roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall he shOwn Iu hr applic:Ihle to the pmjecl under review. 23 Diva (5)site plans are required for Ilam 1 I above. Site plans must he R-1/2" x I I"or I I"x 17". 24 Two(2)sets each are required for Items 16, 19,20& 22 above. 25 Building plans shall not contain red lines or tape ons. "Mirrored"building plans will he not accepted._ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale" indicates standard architect or engineer scale. _ 28 Site plain to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. _ Checklist must he completed before plan review start date. Minor changes or nates on submitted plans may be in btu 440-4black 4(&WCOM) Red ink is reserved for department use only. Electrical Permit Application —' Date received:: Permnno.:r/�,r City of Tigard Project/appi.no.: — hxpiredate: Addre!ts: 13125 SW Hall 131vd,Tigard,OR 97223 Date issued: By: Receipt no - City ujTigard Phone: (503) 639-4171 Case file no.: i'aymcnt type: Fax: (503) 598-1960 Land use approval: 0 Multi-family U•Tenant Improvement U I &2 family dwelling or accessory ❑CommerciaUindustrial �_ U partial U New co U Addition/alteration/replace nnvnl U Other: -_ O (� Bldg. no.: Sw1e tit Tux map/tax lot/account no.: Job address: -_-_- Lo(; Block: Subdivision: Description and location of work Project name: on premises: Estimated date of compiction/inspection: Fee Max Job no: —.- -- nescripliun "Y. (�) total no.ins r Business name: ---- Nen residential-simleormulti-family per Address: dwellingunit.Includes attached garage• Stale: ZIP: tir•nicclncluded: 4 City: - II)L)sIt 101 Phone: Fax: Email_- c'.titi.rial 5(10 sq.ft.ur portion theregf — Elec.bus,lic.no: Limited energy,residential 2 CCB no.: _ 2 City/metro Ilc.no.: Limited energy,non-residential --- Each manufactured home or modular dwelling Date Service and/or feeder Signature of su rvistng electrician(required) _ - - Services orfeeders-Installation, I.ic nsc n, alteration or relocation: tiup ciccl nann•IPnnli 2 200 amps or less 2 t 201 amps to 4(Hl amps _ 2 Name(print): 401 amps to W Damps Mailing address: ) _ 601 amps to I(KX)amps 2 Cit ^_{ t State• ZIP: t over IRio impsorvolts I E-mail: ccormect nal R PI I In - �'� Fax: Temporaryservice or feeders- Owner installation:The installation is heing made on property I own installedon,alteration,orrelocation: N hich is not intended for,�ale,lease,rent,or exchange according to 2tx)amps gr less —_ ORS 447,455,479, V 70 �(J 201 amps to 400 amps �. Owner's signature � _ [)ale: G G 401 to(0)ams 2 � Branch circuits-assn,alterallon, or extension per panel: Name: — A Pce for branch circuits with purchase of service or feeder fee,each branch circuit Address _ Stale: IP: H. Fee for branch circuits without purchase ( yb,ll( 2 City: _ � -- -- of service or feeder fee,first branch circuit: Phone: it tr I'. It)all: Each additional branch circuit Misc.(Service or feeder nol included): am I Kiwi lJMMMME1Q3Q1"�W Each pump or irrigation circle _. __ 2 U Service over 225 maps-conuoercial U licalth-care facility Each signor outline lighting U Service over 320 maps-rating of 1&2 U iiaznrdouslocetion Signal circuitts)or a limited energy panel, family dwellings U Building over ld residential unity in one stntcture or alteration.or extension• U System goer rtxl volts nominal O Feeders,41x1 amps or more -- U 3uilchngoverthrcestories •Ixscri liar. ,_�__ l.,t)ccupnnt load over 99lrersons U Manufactured structures ar RV park Each addlFl-t I Itu pectlon over the allowable In any of the abort: lJj)cc pantlondo over LI Other. -- Perin E!!!cin an Submit—_sets of plans with any of the above. Investigatit n fee ___— --- The above are not applicaOtherble to temporary construction service. permit fee.....................$ Not all iaiulictioru accept credit cards,please cell lurisdictim nx t.-rr utfmn u ion Notice:This permit application plan review(al _ %) $ ----- U Viso U MasterCard expires if a penal►to not obtained state surcharge(8%) ....$ ---- _L�-_ within I RO days efts;it has been Cmdit teal number'_------. - — expires TOTAL ....................... -- acccptcd as complete. Name of oder as shown on ct dit card S - Cardholder signature Anwunl_ 44a 4615(rypn (W) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Cornplete Fee Schedule Below:. Restricted— Energy Fee.................... $75.06 Number of Ins ctiona per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit $145 15 4 l J Audio and Stereo Systems' 1sq ft.or less — -- - Each adiitional 500 sq ft or $33 4p 1 C� portion thereof Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular $90 90 2 Garage Door Opener' Dwelling Service or Feeler _-- Heating,Ventilation and Air Conditioning System' Services or Feeders Installatior,alteration,or relocation $8030 f— 1 200 amps or less — 2L J Vacuum Systems' 201 amps to 400 amps $1 f,0 6 2 2 401 amf s to 600 amps $1E.0,60 Other 601 amps to 1000 am2ps — $240.60 Over 1000 amps or volts $454.65 2 Reconne.t only $66.85 2 TYPE OF WORK INVOLVED -Cr 'NIERCIAL ONLY Temporary Services or Feeders Fee for each system............... $75.00 . ........... Installation,,dleralion,or relocation $66 85 2 (SEE OAR 918-260-260) 200 amps or less - 2 201 amps to 400 amps — $100.30 $13375 2 Check Type of Work Involve 401 amps to 600 amps d: Over 600 amps to 1000 volts, ❑ Audio and Stareo Systems see"b"above. Branch Circ ilts Boiler Controls New,alteratio i or extension per panel a)The fee for branch circuits Clock Systems with pw0ase of service or feeder fou. $6.65 2 Each branch circuit —_- Data Telecommunication Installation b)The fee for branch circuits _. without purchase of service L Fire Alarm Installation or feeder fee. First branch circuit $46.85 _ HVAC Each additional branch circuit $6.65 Miscellaneous ❑ Irstrumentation (Service or fearer not included) Each pump or $53.40 i rigation circle — Intercom and Paging Systems Each sign or of dine lighting _ $53.40 Signal circuit(s)or a limited energy $75,00 F] Lanri;cape Irrigation Co-':it* panel,alteration or extension Minor labels(10) — $12500 C� L. Medical Each additional Inspection over the allowable In any of the above $62 50 ❑ Nnrse Calls Per inspection — $62.50 Per hour ----- Outdoor Landscape Lighting' In Plant _ $7375 _ Fees: Protective Signaling Enter total o l above fees $ n Other--_- ---- --- 8%State Swcharge $ --�-- _Number of Systems 25%Plan Ri view Fee $ No licenses are required Licenses are required for all other installatiu, — See"Plan Review"section on front of or plication -- Fees: Total Bahnce Due $ ---- Enter total of above fees $-- - ❑ Trust Arcount#,_.-. - 8%State Surcharge Total Balance Due $ All New(:omrnercial Buildings require 2 sets of plans. i\dsrs\fonm\elc-fees doc 08/30/01 Permit #; iY.lT�00� — OD// Address:/s$"j�?U f� � _ `cEi✓s �i�5/ Itisucd by Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon 14iw, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can he issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. licensed architect and engineer applicants, exempt fro►n registration under ORS 701.010(7), need riot submit this statement. This statement will be filed with file permit. Dill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313: I own, reside in, or will reside in the completed structure. 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. �(� 3A. My general contractor is 'ti� (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR { 313. 1 will be my own general contractor. If i hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. if I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. 1 hereby certify that the above information is correct and that 111-1%v read and do understand the Information Notice to Property l)wne about Construction l4sponsihilities on the re%erse side of this form. (Signature of permit applicant) t Datil (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property Owners About .,'unstructiop. Responsibilities Pro", W �i 1" flee! IV N. (JI.51I 5j,4 1 � . ..111 � .,;,:� l.ifly .•.lc, I� ,,i�':.i;�alb ll:; J. '�:.� 1',)ih.ltitilli�' t„,4;1.'i1�1cJl�llle::J.IiU rllt',: '!� �`4.1� :141 E:NrPLOYEA RESPONSIBILMES. : i1('{��llt11711° h;1 I I,. �, II ,l „ .. c. :,I,I., 1 :r .. II •)! �1�'1 •� � •1 I�1, r ,�. '�� I'll• It.t( i (�..r .11.• Lle fr.l� t.1a�ltil, r•;, 1 1( ,1.,ri1,111�'_ 1r:il(l t4 r111111 �1( 111 'I:ri 111tH' ,I,rr)'rnlnl: , 1 : � I� ,,,1 �I. 1� I. li, ,. 1 ' .1 1 , ,111' ,. 311 ,1,. � i. , I i,Irrl, '1 int •1 ,1'':_1 t. IWit 1'14al n it:4- 111CZ`it^i'7F jt^(': -As .,') 1.''1,) .. illll! .l; 1_Ij, :,( ,i , ii, 1 I'Ir 11 •Il.t Ir, 1 \ tht+� �luli �5rli�'IK X11((' I•i yl'tfil'tiik �1�t1'T�1!.111 f lu 111'1 II. �'1. .I D'll114'. , .. F! itJ;7 ,AEWAS OF CONCERN: t •vi �t, :11' 1I. ! �. .t _. .t. , . I,,I1l. ill.:a,�'.11' J1 � �:.',Ill,, llliel''.'I .'111Ci1':(;111� Itt.'fl'.. t.luhilUy and prope rkv chill!;ige ii1511ralkcv. Collt.lk l j1111i Y1'11 j),tt1. JLik: g11H41' 111,A11i1111a n.Odclas a111I falling look,I)111111Ni,l(l'I 1+11) vfpc vt111i1.Imes' fire. 1,1 t 1114 Ihx 11111`.1 1,I' T 1111e If, cllil('1'i iw e!'ili/i(1)'('l" "III(!,'wni him, V1111t ('1'111)Ilri'1 it k(,:rrii�,e: '�9�Ike�llr't:y1w 11��.�1�the c';I)r_rtit��Iu ala�,,yr)urnu'11 m�nrrsi ceryhutllr,tl,(1)�r�+ilr<lt:'thl°�cllrk 1�f 1'e,tt�h-ill,lnd fn)illl, It`.11�s,'�•. 1i11r1 1[111�111(<<hlll�('liltf�ftil��ril�l�¢ Itl 1hl` 'I�)I'rf?tr+'I�flt"tllilt`5 Sd1 tlhel' C'1!1) I)c'(IO17Y1 still'1'f`1�I711:`(a Itl�(k'�111111�. (( wil Ililv'!,addItIC11111 quat111t1`., A,I I tic(.11 lAl tllae l011,011,III'11 41 ollual uls 111Qhld WO Ro.v, 11�/t -4h'.11. 'fh�' t311a111 I� 111cs11c,1 ilt 7(1115u1nn1,'1 '�i ''�r Smie 100, ill Salem. plop 111t'n.pnlA I!9d CITY OF TIGARD 24-Hour BUILDING Inspection Lire: (503)639-4175 MST - ("6--i I INSPECTION DIVISION Business Line: (503)639-4171 BUp ------ — Ileceived .----_ Date Requested_ __--. AM PM BUP Suite _ _. MEC -------._--_ Location _— --�-- �- - X42- tom = __. Contact Person __— Ph (— ) -----.—.—_----,—_ PLM - ._ --------_ Ph 1--- ) ---- - SWR Contractor.— _— _- — — 0 , Tenant/Owner _ � ._, , ELC BUILDING — 3� --- -� [ �,tl '� ELC —_.--— - rooting - - -- Fourclatlon [Ins ceSS: ELRFtg _.--_-------- Cr Drain Crawl Drain SIT ------_------------ Slab pe6oh Notes: Post& Beam - Shoar Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation -- Drywall Nailing --- - Firewall _ -- ------- - Fire Sprinkler ------ Fire Alarm - - - - Susp'd Ceiling - Roof - -- PASS RT FAIL - BING Post&Beam -`- --- - Under Slab - -_- --- -- Rough-In -- Water Service -- Sanitary Sewer -- Rain Drains - --"-- - Catch Basin/Manhole Storrs Drain - Shower Pan _ Other: Final ----- --_ - - -- - - --- -- ---- PASS PART FAIL MECHANICAL -_-- Post&Beam Rough-In - - — Gas Line - - - _-- --_- Smoke Dampers - Final PASS PART FAIL -- ELECTRICAL Service Rough-In --- ----- ---- -- -- UG/Slab - Low Voltage ---- ----- -._--- -- Fire Alarm Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ART FAIL r Unable to inspect-no access - - n Please call for reinspection RE: - - l-� Fire Supply Line ADA 1 / 0 Inspector _ Ext App roach/Sidewalk Date _�--- Other. Final DO NOT REMOVE this inspection record from the job site PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM PM BLD _ Location I)fyEZ Suite pp 11 MEC Contact Person `'ICI✓l- ' Ph PLM _ Contractor Ph SWR _ _— ILD Tenant/Owner ELC — Retaining Wall ELR _ Footing Access: ( Std ��il FPS Foundation - ----- 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 -- -- - - --- -- -- -- -.. - - ---- — - - - �ASPART FAIL - -_------ - - -- - -.----- -- - - IPMBING Post&Beam Under Slab T up Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Ibst & Beam - - - - - - --- _ - -- --- - - --- Rough In GasLine _- - --_ _ - ----- - - _ ---------- ---- --_ - Smoke Dampers Final - ---- - - -- - --- -..� -----.._ __ _ ---__- PnI;S PART FAIL_ I::LECT4ICAL ----- - - --- - --- ._ -- -- ----- - - -- Service Rough I i UG/Sr:,b -- -- - - -- -- ---- Low Voltage FireAlarm - ----------._------ --------.-.-._-----__..__------_ _-__�.._ __- Final PASS PART FAIL SITL BackfillrGrading ---- _ _ ----------- ----___ - --_.-- --- ----------�------------ Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect -no access Fire Supply Line [ j Please call for reirsper tion RE _ __-_—_--___. [ 1 P ADA Approach/Sidewalk � Inspector______- x Other Date ._. _�� 1L_-_-- - Ip - Et —_ -- Final PASS PART FAIL DO NOT' REMOVE this inspection record from the job site. BUILDING PERMIT CITY OF TIGARD PERMIT M BUP2000-00113 DEVELOPMENT SERVICES DATE ISSUED: 04/07/2000 .L"' L 13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171 PARCEL: 2S110DD-01300 SITE ADDRESS: 1592.0 SW GREENS WAY SUBDIVISION: SUMMERFIELD ZONING: R-12 BLOCK: LOT: 087 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTf l_ICTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Reroofing of 5 unit condominium. Removing existing roof down to the sheathing. Owner: Contractor: MILLER,WILLIAM N JR + BILLIE PACIFIC WEST CONSTRUCTION INC 19065 SW GASSNER RD PACIFIC WEST ROOFING BEAVERTON, OR 97007 PO BOX 44444E(; pp Phone: L�PFionOe ` '' &5 R 97034 Reg#: LIC 54111 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Roof naiing Insp PRMT KJP 04/07/2000 $110.00 0001248 Final Inspection 5PCT KJP 04/07/2001. $8.80 0001248 Total $118.80 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Statd 6t OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon l.►tility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these niles or direct questions to OUNC by calling (503)246-1987. i Pe rm itee 1 ignature: k/ Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business de)y CITY OF TIGARf) Plan Check#- 13125 SW HALL BLVD. Rec d By. TIGARD OR 9722.3 RE-ROOFING PERMIT APPLICATION Date P,ec'd: u V-503-639-4171 X304 Date to PE: Date g F-503-598-1960 Permitit#:: uLx;z�-�53 Incomplete or illegible applications will not be accepted Called: Name of DevelopmentiBusiness N My-&-AN Q 8S B S,, ��_F •�� _ n: mom Street Address Ste# Please fill out applicable section and attach copy of roofing Job Site t5gzo �,2Swgy specifications. Bldg# city/state zip Listed-Assembly . (Circle&Complete A,B or C , " 3'r 'I,vweo m2 OVIZZy A. Name 1 Specification F,(ZI ASI J f,�n,✓l 5 Applicant Mailing Address �. 2. Manufacturer: P.0. govt qN`4 City/State Zip Phone `3a UL Classification. _ t.nVE oS L Ot,103 L41035- P 7(No Roofing Name Listed LII.Building Materials Directory, Page#: _ Contractor IZuGF- ,-Jy (OR) (Prior to issuance Mailing Address '3b Warnock -Jersey applicant must P Ci. v;) < t-{y V provide a copy of City/State I zip Listed Warnock Hersey Directory Page all contractor L e-OZ OE os w C by (i?_ °t'�o 3`-I 'COPY OF ASSEMBLY REQUIRED licenses if Phone# Fax# expired in COT �o,3 to 3 _ F-1 ;.0 3 `�I 12-0 B. ICBO Nesearch#: database) State Constr Contr Bcaru# Exp. Date l l 1 t° I`i OATED._ — BUIt ANG INFORMATION ` "' sl` C. SPECIAL PURPOSE ROOFING, WOOD SHAKES Bui,ding-Type Of Use: (circle one) (review required by plans examiner) SF SFA COM-___ - _ Building- Type of Construction VALUATION OF PROJECT $ ?t F_� ,,, ,..,, �,-,KQ C-7 .f _ _ sq. ft. of roof area Existing Deck T;pe: Permit fee based on valuation` Combu;tible Non-Combustible ( ) ' see chart on back $ IpEhI.,. jam.,:, 1. NJ"�R.. ,rp 1n►ork�:" , IItion,r' r,; . City use only: WACO: U REPAIR (MAJOR)(review required by plans examiner) _ _(BUILD) _ (UBUILD) _ Permit required ONLY when spaced sheathing is covered by �� q C solid sheathing. Changes to roof line require Building Permit 8% State Surcharge $ r' ' Application. City use only: WACO: SUBMIT TWO(2) SETS OF PLANS SPECIFYING. Tt(TAX) I AUTAX) A Roof area&nearest street "Required for major repairs of Residential B Attic vents- Provide 1 sq.ft. for each 150 sq. ft of attic or"C" above 65% Plan Review $ _ space. Vents shall be located in the upper 1/3 of the roof. City use only: WACO: Provide 1 sq ft. for each 300 sq ft when eave 8 attic i(BUPPLN) (UBUPLN) _ J venting is provided. TOTAL $ t' STEP 1, COMMERC I acknowledge that I have read this application and that the Class of Work: Repair 7 information given is correct, that I am the owner or authorized Describe work to be done: (check appropriate box) agent of the owner, and that the plans (if applicable) are in LJ RE-ROOF (circle A ,B or C) compliance with Oregon State law A Existinq built-up roof covering to be REMOVED and deck ^_ repaired- Signature of Owner/Agent Date B Fxisting built-up roof covering to REMAIN. note applicant must submit an engineer's review of the roof structural (p Zc elements. Review shall bear the seal(or stamp)of the architect or engineer licensed in Oregon. 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