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8817 SW GREENING LANE 00 00 V cn C G) t0 7 0) t9 r 4 f i i i a 3 r t I 8817 SW Greening Lane CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Busioess Line: 639-4171 -- G BUP ._-_ Date Requested o ! -2- L' AM PM -- BLD _ Location— "X' R /-7 / �1 Q-P�2 41 Suite _ MEC Contact Person Ph _ PLM Contractor _ — _ _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS F tg Drain Grawl Drain �,' =G1 s ion~Notes. SGN Slab _ - ---- -__.----------____—_--- Post& Beam SIT - - Ext Sheath/Shear nt Sheath/Shear -------- _ — Framing Insulation -- --. --__-.__.-..-----.-----___--- Drywall Nailing ------ Firewall T --- --- -- -----_—____--,- ----------__--- Fire Sprinkler Fire Alarm - _ __---_.--------------------- - Susp'd Ceiling Roof ------ ---- - Misc -Final -----�----- PASS PAP� FAIL --- --------------- - — - -- ------ ---- PL_UMBING Post& Beam ----- --- -- Under Slab Top Out (� ----------- ---� _ _ Water Service Sanitary SewM -- Rain Drains 3S PART FAIL IMMANICAL. -- _� _ Post& Beam Rough In �- Gas I_inP -- ---- ---- Smoke Dampers Final ------- - PASS PART FAIL_ ELECTRICAL - - --------- ---- Service Rough in ----- - -_ ------- -- - -- UG/Slab Low Voltage --- -- -- -_-s- ------.___ _-- f; Fire Alarm Final -.__- ----- -- __---- -- PASS PART FAIL - --_ --------- _-- _--- - --�— ^— _ _ SITE Hack ill/Grading -- --- — -- -- - - Sanitary Sewer Storm Drain ( I Reinspection fee of$ -_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Calch Basin Fire Supply Line ( ]Please call for reinspection RE:_ _- [ ] Unable to inspect-no access ADA Ap Broach/Sidewalk other I Date 2 ` d Inspector i 1-E' ��,w•� - --_�—Ext Final PASS PART FAIL J DO NOT REMOVE this inspectiuc-. record from the job site. TY OF T O C�"9 R® MASTER PERMIT PERMIT#: 'iMST2001-00029 DEVELOPMENT SERVICES DATE ISSUED: 2/13/01 E ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08817 SW GREENING LN PARCEL: 2S.11 DA-18000 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 173 JURISDICTION: TIG REMARKS: New SF detached. BUILDING REISSUE STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 977 st BASEMENT. at! LEFT ° SMOKE DETECTORS: v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,266 sf GARAGE •1'[I sl FRONT. 30 PARKING SPACES. .- TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSME.NT: at RIGHT: 10 VALUE. $,'o-361700 OCCUPANCrGRP: R3 BDRM, 3 BATH: 3 TOTAL: 2.245 n0 sf REAR: 17 PLUMBING SINKS: I WATER C,OSETS: 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVAI DRIES: 4 DISHWASHERS: I FLOOR nRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: _I GARBAGE DISP: I WATER HEATERS: I WATEk LINES: 100 BCKFLW PREVNTR. I GREASE RAPS: OTHER FIXTURES. MECHANICAL _ FUEL TYPES FURN<t00K: BOILICMP<3HP: VENT FANS. CLOTHES DRYER: I FURN—100K: I UNIT HEATERS, HOODS. I OTHER UNITS. MAX INP. bit, FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS' I ELECTRICAL _ RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELI ANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS 1 0 200 amp: 0 `200 amp: wISVC OR FDR: I PUMPIIRRIGATION: -ER INSPECTION EA ADD'L 500SFF. 1 201 - 400 amp: 201 400 amp tet WIO SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR, LIMITED ENERGY 401 - 600 amp 401 600 amp: EA ADDL SR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR 601 1000 amp: 6014amps-1000v: MINOR LABEL: 1000+amplvoll PLAN REVIEW SECTION Reconnect only: i> . CLS AREAISPC OCC. >-4 RES UNITS SVCIFDR>=225 A.: 600 V NOMINAL ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO FIRE ALARMS INTERC OMIPAGING. OUI DOOR LNDSC LT BURGLAR ALARM, OTH: BOILER. HVAC: LANDSCAPE/IRRIG, PROTECTIVE SIGNL. GARAGE OPENER CLOCK. INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contra:tor: TOTAL FEES: $ 4,064.33 This permit s subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code State of OR Specialty Codes and 12755 SW 69TH AVENUF#100 12755 SW 69TH AVE#100 all other applic.,ble laws All work will be done in PORTLAND,OR 97224 TI GARD•OR 97223 accordance w th approved plans This permit will expire if wolk is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: P110.1e Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules ere set Rev► 1 n' ore 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, PosUBeam f1echanica Mechanical Insp Exterior Sheathing Insl Raio drain Insp Final inspection SEwer Inspection Underfloor insulation Plumb Top Oul Low Voltage Watel Line Insp Building Final Footing Insp Crawl Drain/Backwater Electrical Rough In Cas,-ine Insp ApprlSdwlk Insp Foundation Insp Footing/Foundation Dr; Framing Insp Gas Fireplace Electrical Final Post/Beam Structural PLM;Underfloor Shear Wall Insp Insulation Ins.T Plumb Final Issued By : --�'YL 4- _ Permittee Signature : . __ ',t >a.r ; Call (503) '39-4175 by 7:00 p.m. for an inspection needed the next bLlsiness day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00021 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/13/01 SITE ADDRESS; 08817 SW GREENING LN PARCEL: 2S111DA-18000 SUBDIVISION: APPLEWOOD PARK NO, 3 ZONING: R-7 _ BLOCK: __LOT: 173 i .JURISDICTION: TIG TENANT NAME: US, NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF (ISE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: I_TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: -- FEES MATRIX DEVELOPMENT CORP Type By Date Amount Receipt 6900 SW HAINES ST STE 200 _ TIGARD, OR 97224 PRMT CTR 2/13/01 $2,300.00 27200100000 INSP CTR 2/13/01 $35.00 2.7200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required inspections This Applicant agrees to comply with all the rules and regulations of the ' Inified Sewage Agency The permit expires 180 days from the date issuM The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. I"the seer 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 rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: Permittee Signature: - - c c t • ___ �:(r_ Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next husiness day v no/- ooa Building Pern Permit no.:f1.��-�•pO/��4(1�9 City of Tigard Address: 13125 SW Hall Blvd.Tigard,OR 97223 Project/appl.no._ Upiredate: City of Tigard Phone: (503) 63914171 Date it sued: By: .' •f Eteceiptna: Fax: (503) 598-1960 Case.ile no.: Payment type: Land use 'approval: — — 1&2 family:Simple Complex: r, OF PERNilT &2 family dwelling or accessory U Commercial/industrial U Multi-family OrNew construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkier/alarm O Other. _ 4011 SITE 1 Job address: Bldg,no.: Site no.; Lot: I Block: Subdivision i.J I L0 PAdL � I Tax map/tax lot/account no.: '.)"i//L• Project name: Description and location of work on pmmises/special conditions: 1 Name: p �S - — Mailing add ss: S c. I &2 family dwelling: CitY: Gr&I"/2p✓ I State:(, ZIP: f 7 L. Valuation of work........................................ $c Phone: Q- Fax , 5 E-m _,_„ ail: No.of bedroornsibaths................................. Z_ Owners� L� -representative: �'t Cs NDL t_ N�� Total number offloors................................. -�_� _ —.�,. Phone: ( 1C. `64_ 1 iFox. +=1f U Ir meal: r ' New dwelling art a aq.h.( ) .......................... _ ,�/ Garagelcarport area(sq.ft.)......................... — Name: l py�l �1✓x/11 OS Covered porch algia(sq.ft.) ... ..................... -' - Deck area(sq. ft) _ Mailing add ss: /,�1. - f t .yr,Ji>�0 �-�; ....................... ................ `—'— — Other structure area s fr_ City: �� Statep ZIP: _ )......................... __.. Phone: (a_ o: Faxt� E-mall: - Comm^rcialAndtutrlal/mtrlti-family: Valuation of work........................................ $ 1 Busirns dame: L �- c ) Existing bldg.area(sq.fl) .......... .............. Address: Q - New bldg.area(sq,ft.)............ ..t............. let.7�f'S -- --- City: p Stated ZiP: 7��,L�� Number of stories............... .........:�.,......... Phone: O- c' Fax y" E resit: _-_ Type of conswction.................................... T-- CCB no.:--�(p `fp Occupancy group(s): FxiNew: - Cityimetru lie.no.: G 7 Notice:All contractors and subcontractors arc required to be licensed with the Oregon Construction Contractors Board undet _Name: G��z f,� _� provisions of ORS 701 and may be required to l:e licensed in the Jurisdiction where work is being performer If the applicant is Address: j�(�. Y _ � — exempt from licensing,the following reason applies: City: '�� o —_,— Sta_ _— "I.IP: Contact person: �1 lt„la Plan no.: Phone: po e) IFax;y- '- E-mail: Name: �, L� Contact person: _ Fees due upon application ........................... $ Address: lr - Date received: _------_ —. City: a� State Z)P: �,1, Amount received ..............I.......................... $ _-- Phone: p� Fax: E-mail: V Please refer to fee schedule. - I hereby certify I have read and examined this application and the Na an juriwktians wow ardit cads.plow call jurisdiction for more larormaion, attached checklist.All provisions of laws and ordinances governing this t]visa U MastuCard work will be complied with,wheth�Ihe Credit cant nembm.. . ��"Expires Authorized ' nature: �S _Nv of 7arelholder u shown no credit card S Print name: — -- cardholder signature _--Amount Notice:This permit applicat n expires if a permit is trot obtained within 190 days after it has been accepted as complete. 440-4613(WO/COM) Plumbing Permit Application Datereceived: Permitno.:' Y� (,ity of Tigard - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Cityof igard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receiptnc.: Land use approval; _ - -- Casc file no.: Payment type: 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family ❑Tenant improvement U New construction ❑Addition/altemtion/replace.ment U Food service U Other r Job address: i'YI 7,.1.CeiAIM `_ Uescrl tion Qt , ree(ea. Total Bldg,no.: Suite o.: Herr 1-and 2-family dreWngs only: _ Tax map/tax lot/account no.: — (Includ"100 it.fur each utWtyconnectlon) SFR(1)bath Lot: a Blook-� Subdivision: SFR(2)bath - Project name mj_c Wt r)c-> 4-W SFR(3)bath - City/county: C -_ ZIP. T ) Fach additional batli/kitchen _ Descripti,n and la•ation of work on premises:__ _ SitetrtWtles: Catch bmin/area drain Est.date of c:ompletlotdinspection: Drywells/leach line/trcnch drain Fooling drain(no.lin.ft.) Manufactured home utilities Business name: / -----_ _ - � L1L��7 ;i7d Manitales Address: d �, Qee — -- Rain drain connector _ _Cit l_4U Jp,n S1 7a,3a Sanitarysewer(no.lin.ft.) Phone: Fax:61,7 9 E mai! - Storm sewer(no.lin.ft.) . ~ —'— CCB no.: 3 Plumb.bus.reg no: p Wat,r sservice(no.lin.ft.) ---1 -�— _ _—�� City/metro lic.no.: � klxtute or Item: Contractor's tepresentative signature: p� I'JJ a,� Absorpticm valve Print dame: D J`- Back flowreventer e d,i) Date: Backwater valve -ifasinshava:ory Name___,/c, Clotheswasher—_,�� Address: jocq �ii2l 00 7��'�- — Dishwasher _ City: 22V - Drinking fountain s (nr•�,� ---�Statcp ZIP: ,? Ejectots/sump ( ) Phone: Fax: E-mail: Expansion tank - Fixtu�sewer Name(print): Z p Q�,� {{� floor drains/flcxir sirks/hub _`�'��P.S Garbage disposal Mailing address: 7J` - G Hose hibh -- City: r,f State:0A,' ZIP: 9 Jam. Ica ma!er Phone: _ m Fax:d "�- E-mai l: .nterc o to a trap Owner instal Iall on/residential maintenance only: The actual installation primer(s) _ will be made by me or the maintenance and repair made by my regular hoof drain(corrunerciai) - employec on the property I own ps per ORS Chapter 447. _ Sink(s),-Ras in(s),Iays(a) _ Owncr's signature. l _ Sump TubsfshowCr/shower pan Name:_ , Urinal Address: -- - Water closet Cit : 2-- — Water eater Y Statc;�,�Z p Otter. Phone: ��pj I'ax: E-mail: Total IJa it juriadlctlau aecep uedit cardr,pk»e call jurtdktic�fa mom fnfmnariva� Minimum fee................$ Notice:This permit application U Visa U MasterCard expires if a permit is not obtained Plnn review(al _ %) $ Cmrlt card number. _—� within 180 days after it has been State surcharge (8%) ....$Fxpiml Accepted as com TOTAL ....................... Name of cardgl n Jwwn rwr crrdll card P plCte. $ __�_ Crdb du alp'narutc '— S Amount 410461!(tilOaCOM) PLEASE COMPLETE; FIXTURES (individual) ti ;Qty Total -Ft:tur,l T - ype Quantl b Wark Performed Sink 16.80 New Moved Realidd W.moved/Capp« I_avalory 16.60 Sink- ' Lavt tory Tub or Tub/Shower Comb. 16.60 Tub or Tub/Shower Combination _ - Shower Only 16.60 Shower Only Walel Closet 16.60 Water Closet - -' _-, Urinal _ Urinal 16.60 Dishwasher - Dishwasher 16.60 - GarbNe Disposal- r a Dis osa1 - 16.60 La Washing Room ne - �_-__ y Garbe 9 P Washing Machine Laundry Tray 16.80 Floor OrairVf'ioor$ink 2' _ - 3- Washing Machine 16.60 4• Floor Drain/Floor Sink 2' 16.60 Water Heater _ 3' - 16 60 Other Fixtures S cl - - 4' 16.80 Water Heater O conversion O like kind 16.60 - -- s Gas I In re vires a separate mechanical permit. ~- MFG Home New Water Service 46.40 - MFG Hc.to New Son/Storm Sewer 46.40 -' (lose Bibs 18.60- COMMENTS REGARDING ABOVE: --�- - Roof Drains - --- - 16.60 ---- - _ Drinking Founhiln -,-� ^- 16.60 - Other Fixtures(Specify) 2.1.75 --- Sewer-1st 1 i)0' -- --�- 55.1;'` Sewer-each addhional 100 46.40 Water 5lrvire 1s1 100'_-`- - 51;.00 Water Service-each additional 200' - 40.40 storm 3 Rain Drain-tat 100' 55.00 Storm 6 Rain Drain-each additional 100' 46.40 Commer Al Bade Flow Prevention Device 48.40 Residential Backflow Prevention DeArA* 27.55 Catch Basin �- 16.60 Insp.of ExIstirlg PlPlumoing or Wclally Requested 72.60 - Inspeciions _M^- /hr Rain L4aln,single family dwelling 65.25 Jrease Traps - - 16.60 QUANTITY TOTAL Ism Ark or itser diagram Is required C Quantity Taal Is >9 �- 'SUBTOTAL. 8•�G Sl1RCHARGE **PLAN REVIEW 25%OF SUBTOTAL Required only I flxtur^qty.total Is)�9 TOTAL *Minimum Permit tea M$72.50•a%surdiarpe,evcoo PeskferNLl Nacldbw Proven tan Devloe,which h$36.25•a%surcharge, An New Cmnnremlal Buildings requke plans with lso - is er riser diagram and plan review Mechanical Permit Application Datereceived: Permit no.:,yr�-�'re/ - "or0� City of Tigard Project/appl.no.: EApire date: City ajTigard Address: 13125 SW Hall Blvd,Tigard,OR 97L 3 Date issued: By: Receipt no.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _, Building permitno.: N&2 family dwelling or accessory U Commerciallindustrial U Multi-fami!y U Tenant improvement ew construction U Addition/alteration/replacement U Other. lab address: f/ J `I,.,,/ ;' ; — Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: _ Suite value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: - - profit.Value$ _ Lot:iJIFtlock: I Sub(;ivision *See checklist for important application information and ?9229,P_mJect n ^- jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: Description andtiun of work on premises: 111mmirltill 11110111011 y Fee(en.) ToW Est, date of completion/inspection: Descri oo Qty- Res.on! Res.only Tenant impmveme r change of use: Is existi space heated or con&tiuned7 U Yes U Na Air handling unit _____CRI_ -• -- Ai conditioning site plan required) _ is e • ng space insulated?U Yes U No Alteration aiexixung HVAC system oi�piessors - --- - -- Business name: r State holler permit no.: �r HP 'fans—-_BTLIM Address: I/��'Z- )3 �' _ �� it smo a damperr&WL cis'mo]_ei - - City: �r�phd Stat; ZII': �7_0l eat pump site pTan require _:3tr�ccor - - E mail: nsta rep ace urnac-e7 urner_ b'T Phone: -7 ) => ;7(,y3 Including ductwork/vent liner f]Yes U No CCB no.: f _ nstTlViepTac-re sealers-suspended, City/metro lic.no.: / Wali,or floor mounted _ Name(please print): Dj)� � -Dent hug a--iianc`e o ert�i a�Ft t n fumace _ e era on: _ Absorption tin its —�-_ BTU/H Name: Chillers--,----_-�---- IIP Com ressors_ HP Address: ) f — Enviroamentail exh:,ust ancient ton: City: &" _ tate:4Q ZIP: f.2;.42 Appliance vent Phone -7 7 rax•tJ F.-mail: -erex auTst- �"oods.]yperets. itcTt hens t3 ezmat - /�` hood fire suppression system Name: -e �)"I llewwExhaust fan with single duct(bath fans) Mailing address: j ) A- sunt a stem a iart r ,-Nil n o- rr A-c -L �-- �- Fuelp p and distst trt on up to outlets) City: r�d _ Statte ZIP:9 Type ___LI'G NG Oil Phone:~ _ �. C�^ pt x — E-mail: Fuel•piping each a miona over cut ets 1 1113101 m p p nR sc cmatic required) _Name: e/; f Num`xrofoutlets �-��_ --_ ter appliance or equ promt: Address: `4 ;!ell l Decorativefire City: �-�o -� State: ZIP: _ Insert-,ty Phone:W - 71 `Fax: Email: — WtovrJ�po etstovr er: Applicant's signatu ) Name(print): �e — Na all Jwia Gula s accept ctedii earth,pk call Jwiraction for mrxe Infonnatirxr PC!init fee.....................$ U Visa U MasterCan( Notice:This permit application Minimum fee................S _ Credit earl oumlrr:._ expires if a permit is not obtained -- - E, within 180 days aNer it has txen .Ian review(at — %) e — Nune of cudholder u atkiwo oa credit ewd — accept-d as complete. Stam surcharge(896)....„ ---- Cudhold r a:,puture _Amount _J 440-4617(6MC:Ot) Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE _ Description --- Furnace _Furnace to 100,000 BTU Table IA Mochankcal Code -i Oly Price Total Including durts&vents 955 1) Form-ce to 100,000 BTU - �._� rrd.&vents 14.00 Furnace>100,000 BTU 2) drltr'rry du Fumaca 100.000 BTU. kxWkry dues&fonts 17.40 Including ducts&vents 1,170 ]) FkzR! mam floor furnace - - wrdud�vent _ -- +4.00 4) Suspended heater,wall heater -- Including vent 955 or nOw mounted heater 14.00 suspended heater,wall heater 51 Vera nal krdlded in. isjou a mx 0.e0 or floor mounted heater 955 a R r ural, Cheas(hat apply- 'I Choc* r fles( Air Vent not Included In appliance permit 445 For Items 7.+0,see « Pump Cond O1y Price Tout Repair units 605 footnotes 1,2 Cort Q 7)�311P;absorb unk to - <3 hp;absorb.unit look Btu 14,00 e)0-1s HP;■b.orb unY - to 100k BTU _T� 955 look fowk sBTU 2660 3.15 hp;absorb.unit 9)15-30 HP;absorb - - - unk.5-1 mit Biu 35,00 191k to.500k BTU_ 1700 10)30-60 HP;absorb - unk 14.15 ml BTU 62.20 15-30 hp;absolb.unit 11)>50HP;absorb unk>1.75 mk BTU 501k to 1 mil. 10 BTU _ 23 --- 6720 -� --- tz)Ar IuMwry una to 10,000 CFM 30-50 hp;absorb.unit 10,00 131�lurdllrq unk 10,000 CFM• -_ 1.1.75 mil.BTU 3400 _ 17.20 >50 hp;absorb.u111t 14)Norr-p"blo evaporate cooler +o.ao > 1 75 mil.BTLI _ 5725 1sT Lent*occnn:ded 10 a ar,oa dun e.e0 .Air hanriling un t to 10,000 cfm _ 656 1e)Vemuiw`n system to(kwkWed in - - _- Alr handling unit>10,000 citn 1170 "Imnon Permit 10.0017)Hood eerwd by nechaakol"hese(--- Non- ortable evaporate culler 656 - - 1000 -- _.__ 16)Oornaslk Indnenlon v nt fan connected to_a single duct _ 446 17.40 19)Cammerchl or Indusblel type Incrrenl« V„nt cyst.not Included In appliance permit_ _656 69.95 Hood served by mechanical exhaust 656 201 Other unk$,kr WkV wad stoves 10.00 - Domestic Incinerator '1170 21)ou parry one to four owau 6.40 Commercial or Industral incinerator__ 4590 22)Mora tura i--p-of("AM(each) 1.60 Other u.It.Including wrMd stoves,Inserts,etc 656 Mlnlmum PamrIt TI-Lid--,-SUBTOTAL SUBTOTAL Gas piping 1-4 outlets _ _ 360 ex SURCHARGE Each addltlonal outlet `�_ 63 rnv+REv1Ew zex OF sue7oTAr_ "red for ALL commercial permits only TOTAL odd krp--tlo s seal reee: 1. aaeka M rormal eueirrue Iran(rrrYrYrearr rharpaa«o nara+rl a72 tae Per Iran 2- k.4Wlaaa to 1441h ro+ae is eporJlluar Y.4-Lod(mnar-cfur9ehas rrau} 172 bo Per My 2 Addlb-M Plan-im mw*vd by dNwV e.oddelam or r-40me Io learnt(m*n avr9e-e-W 1-)1172.tart Per Mu rnrfacv Nota ewwryaar rpJred S 1.00 to$5,000.00 Minimum$72.50 - - ------ --Poskiord'.M Fe "I""'as view 0roa*V phw+mwW of uM 55,001.00 to SImoo.00 $72.50 for the first$5,000.00 and$1.52 for each additional 5100.00 or fraction thereof, to and including$10,000.00 510.001.00 to$25,OW.00 $148.50 for the first 510,000.00 idid 51.54 for each additional$100.00 or fraction thereof,to and including$25,000.00 $25,001.00 to$50,000.00 S179.50 for the first$25,000.00 and 51.45 for each addi Tonal S 100.00 or fraction thereof,to and including$50,000.00 $50,%1.00 and up - ---"k $742.00 for the first$50,000.00 and$1.20 for each additional S100.00 or fraction thereof Electrical Permit Application Date received: _ r'artnit n 0 City of Tigard Project/appl,no.: Expire date: City of 77gard Address: 13125 SW lJall Blvd,Tigard,OR 97223 Date issued: By _TReceipt no.: Phone: (503) 639-4171 -- Fax: (503).`,98-1960 Case file no.: Payment type: Land use approval: _ =&r y dwelling or accessory ❑Commercial,'industrial 0 Multi-family U Tenant improvement uction ❑Addition/aiteration/replacement I7 Other y p pial Job address: _ ,� i Bldg no.. Suite no.: Tax riap/tax lot/account no.: [cot: / / �Block; Subdivision: --- Project name:_ fkscription and location of work on premises: Estimated date of completiontinspection: -- Job no: Fee Max Business nameDescription New rerlderdial-dngm leorrlti-larinlyper ems) Total no•ln�p Address: -' `5dtvdWrgunit.Includesattachedgarago- City: StateQ ZIP: servlcehtdnded Phone — Fax:G —�glJ mail: l l)D0 s .h or less _ 4 C Mcc.bus.lic.no: ,3 �C Each additional SW eq.ft.or portion thereof ---- -- ---• Limited energy,residential 2 ity 31 7075 Limited energy,man-reaidenUal 2 _ s Each manufactured home or modular dwelling — I _n tura aupervis q el triciin(required) Date-- -- Service and/or feeder 2 Sup•elect.name(prinq: Ucense no: �Q Services or reeden-Installation, :,=ion or relocation: 200 amps or leas 2 Flame(print): 201 amps to 400 amps M 401 amps to 600 amps 2 elling address: 7 3- jv fey Q_ 501 amps to 1000 amps — 2 — City: o Sta o zip: ' ' ? — — — ---L_1� _ ,rte Over I000 amps or vnht 2 Phone:Lo2U� Faxes q - E-mail: Reconnectonly ---- ` I Owner installation:The installation is being mate on property I own Temporary service-or reeden- which is not intended for sale,lease,rent,or exchange according to lrataUadon alteratkm,orrekrcatkrn: ORS 447,455,479,670,701. 200 unpr or less 2 201 amp to 400 amps -— — 2 A Owner's si nature: �� -Date: _ 401 to 6,](i amps -?- Brsin,A ctrcults sew,alteration, - or exterulon per pend: Name: r A. Fee for branch circuits with purchase of Address: i ,', service or feeder fee,each branch circuit 2 city-VI". '_ - `$tgte0 zip-17 ]�-- B. Fee for branch circuits without purchase -• Phone: -- of service or feeder fee,first branch circuit: 2 4� Fax: Email Each additicnal branch circuit: Y -- — Misc.(.Service or feeder not included): U Service over 225 amps-ort imercial U Health rare facility Each pump or litigation circle_ 2 UService over'1Oamps-ratingof1&..2 0Harardouslocation FAchsign oroudinelig hting_ ~� 2 family dwell U Building over 10.0)0 square feet fcur or Signal circuits)or a limited rnergy panel, U System over 600 volts nominal more residential units In one structure alteration,orextension• 2 1 U Building over three stories Cl Feeder,406 amps or more aikscnprion. U Occupant load over 99 perantu U Manufactured structures or RV park Each ad4lNonrl Inspection over the allowable In any of the above -— UFgre-WIightingplan 00the -_._._---- Per inspection F. 1171lt_____sets of lees with re of the above. _ — P 7 Inver,gation fay 71re above are not applicable to tempornry coesl,ructlon service. Other ` -- -------- - - 1 sceep p jurisdiction fQ more irdaerrutim. Notice:This permit application Permit fee..... ............... Na all urledicUom cr It wdb, lease call $ _- U Visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ - -- c icd,l card number:—_-_ _LL within 180 days after it has been State surcharge(8%) ....S -- Nuae d r as ebownr on t e Expires accepted as complete. TOTAL ............... ......$ Cadholder signature Amount 44x4615(tiMC.'OM) f r4. Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Number of Inspections per permit allowed Restricted Energy Fee........ 575.00 Service included: Items C.)St Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Worn!evolved: 1000 Sq.11.or less $147.15 4 Each additional 500 sa,ft.or - -� ❑ Audio and Stereo Systems portion thereof _ $33.40 _ 1 Limited Energy $75.00-�_ ❑ Burglar Alarm Each Manufd Home or Modwar Dwelling Service or Feeder $90.90 2 ❑ Carage Door Opener. 4b.Services or Feeders Installation,alteration,or relocation ❑ Healing,Ventilation and Air Conditioning System* 2.00 amps or leas $80.30 2 201 amps to 400 amps $106.85 2 U Vacuum systems- 40t amps to 600 amps --�-- $160.60--�- 2 601 amps to 1000 amps 5240.60- 2 U Other Over 1000 amps or volts -- �-- $454.65 _-- 2 ---- -__ - Reconnect only , $66.85 _ 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c..Temporary Services or Feeders ' Installation,alteration,or relocation Fee for each system.. -- ................_.................._...... $76.00 200 Amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps �_ $100.30 _ 2 4111 amps to 600 amps - $133.75 2 Check Type of Work Involved: 0,ter 600 limps to 1000 volts, see`b"above. ❑ Audio and Stereo Systems 4d.Branch t;irrults New,alteration or extension per panel T, ©oiler Controls a)Tito fee for branch circuits with purchase of service or 1 feeder fee. CJ Cfu(*:;ysterms t ad,branch crcft $6.65 2 Data T j b)The I!ee for branch circuits ~-�-- ❑ leoommuMcatbn Installation vdfh-otd purchase of service or feeder fee. Fire Alarm Installation Fkst branch ckf.cit $46.85 Each additional branch circuit _^ $6.65- �� HVAC 4e.Miscetlaneous (Service or feeder not Included) ❑ Instrumentation Each pump or Irrigation circe _ $53.40 f Each sign or outline lighting .! $53.40__ _`_ Ll Intercim and Paging Systems Signal drautt(s)or•NnhNed energy - pancl,alteration or extension -_ $75.00 �- Landscape Irrigation Control' Minor Labels(10) $125.00--- 4f. 125.1x1___4f.tich additional inspection over ❑ Medical the allowable In any of the above Per inspedion -_-�T $62.50 ❑ Nurse Calls Per hour $62.50 _ In Plant -T, $73.75 _ - - ! ❑ Outdoor Landscape Lighting' I Fees: ❑ Protective Slgnallnq 6a.Enter total of rhove tees $ _ 8%Surd.ar-e(08 X total fees) $ _-_ - ❑ Other Subtotal 6b Fnler 25%o(fine Sa for - _Number of Systems + Plan Review If m9ulred(Sec.3) S -- $u��fofal $ �' _ " N,kenses arr required Lkxnses are required for all other installation-t I C. Trust Account p -- -- _ FECS: Tota!balance L1ur. $ ENTER FEES 8%SURCHARGE(.Ob X TOTAL ABOVE) $ TOTAL PLOT PLAN LOT #113, r4PPL E WOOD 04RfG R7F'D 251 HDA TAX LOT #180OO SS1`1 SW GREENING LANE S.E. 1/4 OF SECTION 11, T.2, R,!W, W.M. C I T1' OF T IGARD WATER METER WASHINGTON COUNTY, OREGON W— ------ WATER LINE SANITARY SEWER LEGEND5�-- + — STORM DRAIN -- ----- �& OF STREET • MANHOLE OMES g CATCH BASIN `+� 12755 SW 89th AVENUE SUITE 100 PROPOSED Iu mil OFFICE (503) 620-8080 PORTLAND, OR. 97223 STREET TREES FAX (509) 500-0900 CCD# 80503 STREET LIGHT FIRE HYDRANT 74-34 7Ef3 1� Lor 204.2' i58 201.6, II N89'54'25"E - C1 � I I — ' 203.0' I" = 20'-0" /4168I sem. Fr e NARCOURT IIA ee /I I ( w` n r FIN. FLR. = 204.4' pLn (I I v� J GARAGEjFLR. 2040 ' z PROVIDE EROSION w CON-T ROL FENCE PERCOMMUNITY EROSION PLAN , , Lu 203 (P 8' UTILIT'r 203.4' EASEMENT N I w SIDEWALK r 5 89 54 ?5" y U 48.50' 3 CURB so I I ?e 7 ' E —r_ r--ss—_—___—______LANE _s� SW C�REENIi':C� ----------W---;,------�, CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VLY HWY#C ALOHA, OR 97006-1249 Electrical Signature Form Permit #: MST2001-00029 Date Issued: 2113101 Parcel: 2S111 DA-18000 Site Address: 08817 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: '173 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached. 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 conlr iy sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building DE!pt. No electrical inspections will be authorized until this completed foil m is received OWNER: ELECTRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 12755 SW 65TH AVENUE #100 21781 SW TUALATIN VLY HWY #C PORTLAND, OR 97224 ALOHA, OR 97006-1249 Phone #: 503-620-8080 Phone #: 503-646-4552 Req #: LIC 121159 SUP 3707S ELE 34-305C AN INK SIGNATURE IS REQUIRED O THIS F RM Signature of §upervising Electrician If you have any questions, plea-sa call (503) 539-4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 19e 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —_ Date Requesr gid _ AM_ PM BLD �/1 C Location U O l -��, _ C // �'r % —L rS„ _ MEC — Contact Person _ Ph �) �_ 3 PLM Contractor Ph _ SWR _ Tenant/Owner ELC _ Retaining Wall ELR _ Footing Access: Foundation FPS Ftg DrainSGN Crawl Drain inspection Notes: Slab _ _-�-- SIT Post&Beam Ext Sheath/Shear — Int Sheath/Shear Framing Ao�A7 - Insulation Drywall Nailing � �-=� ri •�rG+tvl�t _— Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc. -- rn — AS,S PART FAI --- -- — PLIjMBIN Post 8 Beam ---�_--'-- --- -- Under Slab 1 up Out - -----—----- _.------ — -- Watur Service Sanitary Sewer Rain Drains Fina' PASS PA FAIL <WECHAKJQkL -- Post&Beall) --____.-- Rough In Gas ---------- Smo ipers in a I ----------- — PASS PART FAIL ELECTRICAL --- -- -- - — Service -----_---------------- ------ Rough In U 3/Slab __--- Lr lw V ltage Fire Alarm _-- Final PASS PART FAIL --.----- —_ . _— ---- —.—._ ------------------SITE HackfilUtTradmy -----------------... .-------- ---._- ----- ----- ----- --- ------------__ 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 reinspectior RE __-_._ — [ j Unable to inspect no access P DC, llpprcach/Sidewalk )they �� - ;� l Date ---- _cam- <<' i Inspector Ext ' - ---- - ------ ----- --•- Final --- _—�. PASS PART FAIL r 0 NOT REMOVE this inspection record from the job site. CITY OF TIGARD PUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. 639-4175 Business Line: 639-4171 — BUP Date Requested �'' Y AM— PM BLD Location— Suite MEC Contact Person Ph 5 v Z 5 _ PLM Contractor Pig — SWR _ — BUILDING Tenant/Owner ELC — Retaining Wall ELR _— Footing Access. FPS Foundation -- - --- Fog Drain SGN Crawl Drain Inspection Notes: Slab —_- ___. — -- SIT Post& Beam Ext Sheath/Shea. Int Sheath/Shear Framing Insulation — Drywall Nailing —__--- -----__-- Firewall Fire Sprinkler _--__--- —_-- ----- -- ----------- Fi,a Alarm Susp'd Ceiling ----- - --- -- — Roof Mise ' /~ ✓ - — ---- -- Final — PASS PART FAIL —___---._— PLUMBING _---- — --- ---------- Pc st 8 Beam Urder Slab Tcp Out Water Service _— Sc nitary Sewer -------�_T Rain Drains Final PASS PART FAIL MECHANICAL - -- Post& Beam Rough In Gas Line - Smoke Dampers Final — — PASS PART FAIL -E7T-R-1C'XE — --- Sr rvice — --- ------ Rough In UG/Slab -- Low Voltage lFkaLAlarni --- —------ -------- --- --- ------ ---- _ --- Fi PARI_ FAIL __ ----- ------ - — — ------ -- -------- Backfill/Gradin j-- -- - --` --- _--- ------ Sanitary Sewer Storm Draio [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Bled Catch Basin ( ]Please call for reinspection RE [ ] Unable to inspect-no access Fire Supp;y Line ADA / Approach/Sidewalk Date I _� Inspectof � Ext Other ---— -- Final PASSPART FAIL DO NOT REMOVE this incpectinn recoR-d from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date RequestedAM PM _ BLD Location- / 7_�� r`/ ;L �- _ Suite _ MEC _ Contact Person _ Ph .5 - Z PLM _— Contractor Ph SWR _— BUILDING Tenant/Owner EI.0 -- Retaining Wall ELR - - Footinq Access: FOUndatlon FPS Ftg Diain SGN Crawl Drain Inspection Notes* -- "lab ----- ------ - SIT Host& Beam _-- E„t Sheath/Shear - Int Sheath/Shear Framing --- - --- - -_— -- - -- Insulation Drywall Nailing Firewall Fire Sprinkler _ __------ _— _-- - --- Fire Alarm Susp'd Ceiling - - ---- --- --- Roof Misc: ---- - -- - - --- ------ Final -- -- PASS PART FAIL -- ---- --- --- - - -- ---- - --- �. Post& Beam ---------------------____-.- - ----.-.-__-�__-_ -.- ----_. -_ Under Slab TapOut --- ----_-_.�---- ---- -- --- -----------__------- Water Service SanitarySewer —�---------------------------- - ------_--.------ Rai�Drains __---__-- - __-- SS PART FAIL WWANICAL Post& Beam -- - --- ---- - - Rough In Cas Line - -- - -------- — - - Smoke Dampers Final ------ -----` ---- ----- PA3S PART FAIL ELECTRi:AL -----._-__ -- - -.--- -- -- ---- Service --- ------ - - --- - - Rough In UG/Slab - ---- ----- - —----- --- --- Low Voltage Fire Alarm _ _ -..-..----_ ---- -- _.-----_---- Final PASTPART FAIL ----_ ------ --_...-.--- --- - - _ -- __ ------------- - ----- siTE �- Backfi I/Grading ------_.. - Sanitary Sewer Storm Drain [ j Reinspection fee of$ _- _.required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE: -_- _-- ( J Unable to inspect no access P.D --- Approach/Sidewalk I / /-(� Ext Other _ D-te _� _—Inspector Final PASS PARI FAIL DO NOT REMOVE this inspection record from the job site.