Loading...
8886 SW GREENING LANE i 00 00 07 rn N cD c� U3 r m c� i i i 8886 SW Greening Lane I CITY OF TIGARD BUILDING INSPECTION DIVISION MST V/ Z-- 24-dour Inspection Line: 639-4175 Business Line: 639-4171 _ - -- BUP Requested_ AM _—PM --- BLD I oc<atlon_ r�0 SI.J P�°r i�-X_----- r Suite _ —__ _-- — MEC (,ontact Pelson _ -- Ph 72�� PLM Contractor Ph SWR BUIL ID HG - Ter-ant/Owner EL(% Reta;onng Wall _ - --- --- --- ELR Footing Access: — Foundation FPS Ftg Drain � �----- ---i SGfV Crawl Drain Inspection Notes �! Slab Post& Beam I �- --__ _._-� _-----._-_._-__-_- ---__---- SIT _ -- Ext Sheath/Shear — Int SheathiShear Framing Insulation -- ---------- - --------_.__._. Drywall Nailing Firewall - _ _----------------- _-----. __ Fire Sprinkler ------.-.------ Fire Alarm Susp'd Ceiling — �_.--------_--- — -_—__-- Roof Final _ PASS PART FAIL -- ----T_-.__-----.-. PLUMBING Post& seam - -- --.._--- Under Slab Top Out ---- — — — - -- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL y _� MECHANICAL Post&Beam -- — - Rough In Gas Line -- -- --- Smoke Dampers Final - -- PASS PART FAIL. Service Rough In - -- - - UG/.ilab Low Voltage F" Alarm Ila SS PART FAIL SITE Backfill/Grading - Sanitary Sewer Storm Drain [ )Reinspection fee of$, required before next Inspection. Pay at Clly P911, 13125 SW Hall Blvd Catch Basin lease call for reinspection RE Fire Supply Line [ [�' p ----_, [ I Unable to Inspect- no access ADA /Approach/Sidewalk Other Date 6 Inspector Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST CJCi 24-Flour Inspection Line: 639-4175 BUSIneSS Line: 639-4171 BLIP --Date Requested ASA _PM BLD Location__ `� 'i.�� L � Suite MEC ^_--'i—_— Contact Person Pn - r `j 3,376) PL Jt Contractor Ph SIVR BUILDING Tenant/Owner ELC Retaining Wall ELR Focting Access: -- Foundation FPS Ftg Drain GN — - Crawl Drain Inspection Notes. --.-_-._-__-_-- Slab -- ------------- ---_.---------�----. -- SIT Post&Beam —_ ----- ---- Ext Sheath/Shear Int Sheath/Shear - Framing Insulation — -- - -- - Drywall Nailing Firewall - -- - -----.�_-- --—. Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Misc: Final PASS PART FAIL PLUMBING Post&Beam -- �-''- ----� Under 31ab Top Out --- Water Service Sanitary Sewer ~- - ---- -- Rain Drains Final _._-- - - ----- - PASS PART FAIL MECHANICAL Post& Beam - - — — Rough In Gas Line ----- __-- Smoke Dampers Final _ ----- -. ------- -- ----- -------------- PASS PART FAIL ELECTRICAL - - -- --- - .. —-------- ---- Service Rough in - - - UG/Slab Low Voltage Fire Alar ASS PART FAIL Backfill/Grading - ---- --'------ —� - - Sanitary Sewer Storm Drain [ ]Reinspection fee of$--_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE' [ Unable to inspect- no access Fire Supply Line -------- - P ADA Approach/Sidewalk Date �_ i lnspeCtor 5 % Ext Other - — Final PASS PART FAIL_J DO NOT REMOVE this inspection record from the job site. ary OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-417.1 BLIP _ Date Requested -3 ( AMPM BLp ,ation --ct _- Suite _ MEC Contact Person �,,!/vL� _ Ph �� � `j --3 3---76) PLM ------- Contractor �-- Ph SWR -- — — ---- BUILDING - 'tenant/Owner — _ EL C Retaining Wall EL R _ IFooting Access ------- Foundation FPS Fig Dra,*n _____.----_--- Crawl Drain Inspection Notes. �[�, SGN Slab ---- ------ --6-' .J[1cTL.O-� �-Cr' if>�y� Z'IT Post& Beam - -------------- Ext Sheath/Shear Int Sheath/Shear ---- - -- -------.-__.._ Framing Insulation -- --- --- -- -- Drywall Nailing -___- Firewall --- - -- - --- -- Fire Sprinkler Fire Alarm Susp'd Ceiling - -__ - — ------- Roof Misc ---- -- --- ASS.! PART FAIL - ------ - -- -- __ — I°LUMB;NG Post& Beam -- - - - ----- ---- - Under Slab Top Out - ----------- Water Service Sanitary Sewer Rain Drains Final ------ PASS PART FAIL MECHANICAL � —.---______ ---.----------__r Post& Heani - -- -- - -- --- - --- __ _ Rough In Gas Line - - _ . - -------- --__ - -- ------ - Smoke Dam rs P f�'+ ----- -- -_ ---- -- ------- ---- -- PAS~ PA T FAIL ELECTRICAL - -- ---- -------------- --- Service Rough In --- UG/Slab Low Voltage -- - - __--- -- ---- - ----_____ --- ---- - Fire Alarm Final _ PASS FART FAIL ----- --- —.�.-^---- ---- ------_ -- ---_.-. SITE Back MUGradiny - -------------- -- —_ -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ —�required before next inspection. Pay at C;+y Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:- ^— -_ [ ]Unable to inspect- no access ADA Approach/Sidewalk Date s Inspector ' —� Ext Final PASS PART - FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF YIGARD 13125 S.W. HALL BLVD. TIGARD, OR 57223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VLY HWY #C ALOHA, OR 97006-1249 Electrical Signature Form Permit #- MST2001-00122 Date issued: 3127101 Parcel: 2S111 DA-13900 Site Address: 08886 SW GREENING LN Subdivision: APPLEWOGD PARK. NO. 3 Block: Lot: 132 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above. ATTN.- Building Dept. No electrical inspections will be authorized until this completed form is received OWNER; ELECTRICAL_ CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 12755 SW 69TH AVE 21785 SW TUALATIN VLY HWY #C PORTLAND, OR 97224 ALOHA, OR 97006-1249 Phone #: 503-620-8080 Phone #: 503-648-4552 Req #: uc 121159 SUP 17075 ELE 34.305C AN INK SIGNATURE IS REQUIRED O THIS FO M x _ i S1 nature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 E ll o, � C ` O O � � a t o V b o � yv � O Z U w 8U a o A i CITYO F T I G A R D __MASTER PERMIT PERMIT#: MST2001-00122 DEVELOPMENT SERVICES DATE ISSUED: 3/7.7/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08886 SW GREENING LN PARCEL: 2S111DA-13900 SUBDIVISION: APPI_EWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 132 JURISDICTION: TIG REMARKS: New SF detached. Path 1 BUILDING REISSUE STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 971 of BASEMENT: at LEFT 4 SMOKE DETECTORS' TYPE OF USE: Sr FLOOR LOAD: 41) SECOND: 1,750 of GARAGE: 479 of FRONT. 22 PARKING SPACES: .. TYPE OF CONST: SN DWELLING UNITS: 1 FIN13SMENT: of RIGHT, 5 VALUE: S 204,617.00 OCCUPANCY GRP: R3 BDRM: :1 BATH: 3 TOTAL: :745 Un at REAR: 32 PLUMBING SINKS, 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS. RAIN DRAIN: 100 TRAPS. LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 10!! SF RAIN DRAINS: 1 CATC4 BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: tan BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: _ MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER! 1 GAS FURN-100K: 1 UNIT HEATERS: HOODS 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT _ SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp: 0 200 amp: WISVC OR FDR: I PUMPARRIGATION: PER INSPECTION EA ADO'L 500SF. 4 201 400 amp: 201 400 amp: Tal WIO SVC/FDR of, SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY, 401 600 amp: 401 600 amp: EA ADOL BR CIR: SIGNAUPANEL: IN PLANT MANU HM/SVC/FOR 901 • 1000 amp: 601+ampe•100ov: MINOR LABEL. 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: — >-4 RES UNITS: SVC/FDR,-225 A.. >400 V NOMINAL: CLS AREA/SPC OCC ELECTRIC .•RESTRICTED ENERGY A.SF 4ESIDENTIAL S.COMMERCIAL AUDIO 6 STEREO. VACUUM SYSTEM. AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC L1 _ BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE7IRRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,064.33 This permit is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code,State of OR. Specialty Codes and 12755 SW 69TH AVE 12755 SW 69TH AVE#100 Tigard other applicable laws. All work will be done In PORTLAND,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 stt Rep 0: LIC 60563 forth in OAR 952-001-0010 through 952-001-0080. Y :u may obtair,copies of these rules or direct questions to OUNC ijy calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp Bt Post/Beam Mechanlca Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain draln Insp Final Inspection Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Building Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final Post/Bearn Structural PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final Issued By : 1'1 _ Permittee Signaturd, Call(804 639-4175 by 7:00 p.m. for an inspection needed the next bu iness day CITYOF TIGARD► SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00069 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 SITE ADDRESS; 08886 SW GREENING LN PARCEL: 2S111DA-13900 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 1:32 JURISDICTION: TIG _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: i TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: — �_� -� FEES LEGEND HOMES — --- 12755 SW 69TH AVE Type By Date Amount Receipt PORTLAND, OR 97224 PRMT CTR 3/27/01 $2.300.00 27200100000 INSP CTR 3/27/01 $35.00 27200100000 Phone: 503-620-8080 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the pertnit 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 di:,tance 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.L .J Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b siness day Building Permit Application Datereceived: - 1/ Permit no.:/'1��04/-�^/_ 1 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolect/appl.no.: — Expire date: City aJTigard t no.:Date issued: B ! Recei Phone: (503) 6393171 _ Y� P Fax: (503) 598-1960 Case file no.: Paym-nttype: Land use approval: _ 1&2 family:Simple Complex: TYPE-OF &2 family dwelling or accessory 0 Comme~ciaDindustrial 0 Multi-family eNew construction 0 Demolition 0 Addition/alteration/mplacement 0 Tenant improvement 0 Fire sprinkler/alarm 0 Other. JO[ISliFINFORNIATION Job address: Eta " 0 [-nJ1N( L ) Bldg,no.: Suite no.: Lot.. I��___ Block: Subdivision: �{�(���,.��4 (� k 'AA. Tax map/Lax lot/account no.: ' Project name: Description and location of work on premises/special conditions: OWNER FO1l(SPECIAL IN FORWATION, USE CHECKLIST NameQ _ solar, Mailing addriss: 11 &2 family dwelling: City: State:p ZIP: j) Valuation of work......... Phone: G,ZO- o�� Fax - G0 I E-mail: No.of bedrooms/baths................................. Owner's representative: F�"C 6 " �1 CL t--101-.1 _ Total number of floors................................. Phone: fc;J-C> `'-F� � ax: -&JC() E-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.)......................... Name: Covered porch area(sq. ft.) ......................... Mailing addr6ss: 2,�t __L z % — Deck area(sq.ft.)........................................ structure area(sq. ft-) City: - Stated. ZIP: Other s Other ..................... ... Phont O_ o Faxt> E-mail Commerclal/industrlal/multi-family: 1 Valuation of work........................................ $ Existing bldg.area(sq. ft.) .......................... Business name: 1, _erg Address:/Q2 New bldg.area(sq.ft.)................................ yv State Z11': Number of stories..... City: ................................... ^---___-- - Stat �'177J� Type of construction. -__ Phone: D o ) Faz _ E_mail: " Occupancy group(s): Existing: CCb no.: _Q(r,p�ra�_ — New: City/metro Iic.no: G '� Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Boatel under Name: L p y yy � y,yt� Jr. provisions of ORS 701 and may be required to be licensed in the Address: T3 jurisdiction where work is being performed. If the applicant is f J 4J !�1 exempt from licensing,the following reason applies: City: ?.,,a ISUU&kziP 9J Contact person: Xce Plan no.: — Phone:6,ZO FaxE-mail: --- -- ---� Name: r,-,,e Contact person: Fees due upon application ...........................$ Address: — � 1+_ © _ Date received: City: ai StateL7� ZIP: fT= Amount mc:-ived ........................................ $_-- Phone: p Fax: E-mail: — Please refer to fee schedule. I hereby certify I have read and examined this application and the Na sll jurisdi Linn accept credit card+,piety can jurisdicuon for more informsam attached checklist. All provisions of laws and ordinances governing this ❑Visa U MasterCud work will be complied with,whether s cified he .in or notcrertit c. t number:--- —_ - / F.zpira Authorized nature: None of r_u lder u shown on cmdh cud -:. $ Print name:I_g ---__--- -- Cirdhoidu signature — — — Amount Notice:This permit applicat6<expires if a permit is not obtained within 180 days after it has betn accepted as complete. 440-4613(60WOM) Mechanical Permit Application, Date received: Permit no.: City of Tigard Project/appl.no.: Expiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-196C Cast file no.: Payment type: Land use approval: _--_` Building permit no.: ~ e &2 family:dwelling or accessory ❑Commercial/industrial ❑Multi-family 0 Tenant improvement Neew constru ❑Additionialteradon/replacenient O Other. —� UM its Job address: '1 `A-C LLT V-)t1-� I.I%- Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax iot/account no.: profit.Value$ `-- Lot: i 7 �/r-- Block: _Subdivision: "See checklist for important application information and Project name: A.)LQ Ljurisdiction's fee schedule for residential permit fee. Cily/county: �-t � ZIP: .2..1 "1#0112 Jimaall Ma"I AM Description aid ion of work on premises: -_ 1 1 i Jig Lim NA �- - Fee(ea.) Total Est.date of completion/inspection: Description .Res-on] Res.onl Tenant improveme r change of use: Is existi space heated or conditioned?U Yes ❑No Airhandlingunit CFM - Air con-7c ttion'ing(sue p an require ) Ise ' ng space insulated?0 Yes U No _ATterauonT o-TcxistinnggRVAZ`system -- -' of er compressors _ - Business name: �� State boiler permit no.: HP _ Tons BTU/FI i Address: /p - - e/sy l rmpect smo a detectors City: o Stnt� 7.IP: 97Q? _TrR pump sue p an require ) - Phone: ; L'-mai►: I nsta I theplace urns- timer 1 - Including ductwork/vent liner U Yes U No CCB no.: _ nsia re`plac r-e?clocateheaters-ruspen e , City/metro lic.no.: J 7 _ will,or floor mounted Name(please print): Dv/) a. �^ ant ora lanceo cr and uacern -Refrigeration: --- - Absorption units BTU/14 Name: Chillers cam:{��,,� -------� grillers _— IIP Address:.I/�� f of Compr.,;,aon HP i-Owoent eAstufand ventilation: City: Pot&2" Slate:oQ I ZIP; f Appliance vent Phone- -7 ZP7 I Faxes' ~7L .>' E-mail: Dryerexhaust +— tocas-Type res. tc m>7Fa mat --_- hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: J_� 7-,�j '- -7 - �4_- FitTiius1 systema an m heatin or -` Citue piping a iib on up to outlets) y_• State, ZIP: — Ty ___LPG NO Oil Phune: 6 D— Fax - �'I E-mail: ^ — -- Fuel ii m�e,.ac�a tuuna over ets Process piping(schematic required) Name: Number of outlets - _ /' ----- baler +t to p IN cc or equ---Tpmentc Address:4,�74 Gs� _ _ _ _ Decorative fire lace City: � a')o1 � State: ZIP: — Insert,tyke _ — _- Phone.W - Gb Fax: E-mail: Wo�ro stov pelTe_t_sto've -fes---- — ---- —� Applicant's signature_. ate: ( Other. — - Name(prin.t, Na VI)unullcd�acmpt cmdii cardr,pk&4 call Juriedlcdan for more Information. Permit fee........... .........$ otice:This permit application O Visa U Mas.ecoid Minlmutn fee................ expires if a permit is not obtained Credit card number: _ —_L_.-L– Plan rc,.iew(at %) Fsplm} within ISO days after it has been State surcharge(8%)....$ None of cudhokei u dwwa on raedit cid accepted as complete. ---- _ S TOTAI. .......................S _ Cardholder iltnam a Amaw 440-4617(6lOa"M) 1a1 Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE ---- Furnace - _Furnace to 100,000 BTU Tabh 1A Mechanical code _- oty Price Total Including ducats&vents 955 1) Fumacs to 100'000 BTU 1pdudN ouch&vents 14.00 Furnace>100,000 BTU 2) Fumam 100.Warts.--"- kK4WhN duds&vena 17.40 Including duct,&vents _ 1,170 3) Floor Fumaa floor furnacel� kididhQ Meft -- - 1400 _ 4) Suspended healer,well healer Including vent _ 95.5 or Boor mounted heater -_-_-- 1400 suspended healer,wall heater 5 Vent not hduded In apptianaepermit 6.60 or floor mounted heater 955 6) Repel,um*, 12.15 Check PP P For Kamm that - «f Pump coonnd Oly Price Total Vent not included Ina Ilance permit 445 Repair units 805 rooerm tee 1,i corrip -_ -- 7)<3HP;absorb and b <3 hp,absorb.unit 100K BTU 14.00 II)3-15 EP;absorb unit to 100k BTU 955 100k to 500k BTU 25,60 3-15 hp;absorb.unit a)1530 HP;ahr b unit.5-1 m6 BTU 35.00 101k to 500k BTU _ 1700 10)3450 Hp;,ib - unit 1-1.75 m7 BTU 52.20 15-30 hp;absorb.unit 11)-WHP absorb unit>1.75 mY BTU 501 k to 1 mil.BTU 23,0x7.20 _ -- 121 Ak fundanp unit b 10,0(10 CFM 30-50 hp;absorb.unit io'oo 1.1.75 mil.BTU 3400 tJ)Air handArq unit 10,000 CFM+ 1720 >50 hp;absorb.unit 141 Nonyortable evaporate cooler �- 10.00 > 1.7j roll.BTU 5725 i 5)Vent tan oonneded b.aldol.due - Air handling unit to 10,000 cfm 656 -1 if),VenWlion system"Nduded In -- Air handling unit>10,000 dTT)� 1170 -&WRAnce Penn*17)Hood served by..wd sn"I exhaust 10.00 Non_-portable evaporate culler 656 io.00 -- 16)Domestic Irecinerslon vent fan connected to a single dud 446 _ 17.40 Vont cyst.not Included In appliance permit 656 19)commercial or Mdustrlal type in irwrator 69,95 Hood served by mechanical exhaust 656 20)Otter units,Inclu&V wood staves _ 1000 Domestic Incinerator 1170 21)oo pk*V one to tarts Donets _-- 5.40 Commercial or lndustral Incinerator 4590 22)mom stn 4-per ewe+(each) Other unit,Including wood stoves,Inserts,etc. 656 Minimum Pprmk Fee 72-60 SUBTOTAL t.00 _ Gas piping 1-4 outlets _ _ _ 360 _ -ex suRCHAaOe _ Each additional outlet 63 PLAN R"FW 25%OF SUBTOTAL _- Required for ALL commercial permits only TOTAL other Inapaetlema and Fees: t. YepsclbrM eMalda d remW heerelneaa ha.en(rrsnensrm rT wpelwe hon) $72 so Par twee 2. aM1alodm a aY MYH,-M e tap dht.ay k"-r d(rrwl►aurn Mut' Y'aal �,,I, 172-54.�hreer .TQ1a1)W9AtL9r _.�..--_a ec _ a. Ia9a...er pun nrlw+et W wee.aafa�ms a wyl.lo+la to P..n PnWn•'^ decile Jae Are hen„f 72.50 per It01a 'SUN Cawffex Bow Cr1s4aaon`0*~ S 1.00 to 55,000.00 - Minimum$72.50 i $5,001,00 to 510,000 00 T $72.50 for the first 55,000.00 and$1.52 for each additional$100.00 or fraction thereof, to and including 10,000.00 $10,001.00 to$25,000.00 5148.50 for the first 510,000.00 and.%1.54 for each additional$100.00 or fraction thereof,to and including 5250000.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction I thereof,to and including 550,000.00 S50,W0.00 and up 5742.00 for the first 550,000.00 and S1.20 for e.:ch additional 5100.00 or fraction thcrcof Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: — Expire date: City of7igard Address: 1_125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 — Fax: (503)598-1960 Case file;ho.: i Payment type: Land use approval: 1 &2 tamily dwelling or acc,..,sory O Commcir ial/industrial CI Multi-family O Tenant improvement New construction ❑Addition/altemtion/replacement O Other. ❑Partial Job address: g,'_�(Ci �? (l (i,_I.1rJ"- UWL Bldg.no.: Suite no.; Tax map/tax lot/account no.: Lot, _ Block: Subdivision: — Project name: Description and location of work on premises: Estimated date of compietionrinspection: Job no: Fee Max Business name: fkscNpNor , (ea.) Total no.kit Address: 5 —`-- New residential-sh4kormnlli-ftinfiyper City: S ep LIP: Seerviceinclude ludestaltachedgarase. Phone —1.3.0 IFax:6 -�9,;j m9i1: 1000 sq.fk or less t Each additional 500 sq fk or portion thereof r C ' o.: S� _Flee,bug.hs.n0: .3 _ 1J C _ Limited energy,residential _ 1 —'Z ity 3 7Q 7S United energy,nnn-residential 2 1,01 .Lech manufactured home or modular deieiNng n lure BUpervts_ g el tricion(required)_ Service and/or feeder_Date � _ 2 Services or feeders-trut,tllallon, Sup.elect.nance(print)�(i „�, License no:ii alteration or relocation: 200 amps or less 2 Name(print): d i ��— 201 amps to 400 snips _ 2 Mailing address: 401 amps to 600 amps 2" •7,�— GsJ ft �.Q_ 601 amps to 1000 amps � T — 2 City: o Statei'3 ZIP: ,j�3 Over 1000 amps or vola — -� 2 Phone:G.iO- elfe) I Fax:S - E-mail: Reconnecton�_ 1 Owner installation:The installation is being made on propetty I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479,670 701. 200 amps or less_ —_— 2 201 amps to 400 amps 2 Owner's si nature: �p /f a•' Date: j < < 401 to 600 !njrr - 2 ®rvrelr clrvolts-new,alteration, or per panel:exteroion Name: — ' ti Fee for branch circuits with purchase of Ad ss:�1 1 J -10A service or feeder fee,each branch circuit _ 2 c:ty:.Vr"„ �� Stmco ZlpeyJ - B. Fer,for branch circuits without purchase -- -� of service or feeder fm first branch circuit' 2 Phone: — G� Far: Email: Each addid-nalbranch circuit: Misc.(Service or feeder not Included): U Service ova 225 ampacommercial U Health-care facility Foch purrT or irrigation circle_ — - 4 2 U Service over 320 amps-rating of Idr2 U HazardausloA6on Each sign oroutiinelighting _ 2_ fancily dwellings U Building over 10,000 squat feet four or Signal dmuit(a)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building aver three stories U Feeder,400 amps ur more *Description: — U occupant load over 99 persona U Manufactured structures or RV part F&A additional Inspection over the allowable In any of the above:— — U Egress/liahtingplan 1.3 Other, Per inspection ��— Submit__sets or plans with any of the above. Investigation fee_ The above are not applicable to temporary construction service. Other —' -- Not all jurisdictions aaeQt reedit cents,please eau jurt fact fQ mr>R Imfor matron. Notice:This permit application Permit fee.....................$ U Visa U MasizhGrd expires if a permit is not obtained Plan review(at _— %) $ Credit cud numbs, _ —.L � . within 180 days after it has heen State surrharge(8%) ....$ Exp'mr accepted as complete. TOTAL. ....... S Name or cardbofda u oo cmdit char �— Cadbalder s1g, Ua e_ Amount 4"15(IS ICOM) TYPE OF WORK INVOLVED -RESIDENTIAL ONLY 4. Complete Fee Schedule Below: _ _ Number of Inspections per permit allowed Restricted Energy Fee................................. $75.00 Se,-vICe Included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit check Type of Work Involved: 1000 sq.8.or less $147.15 4 Each additional 500 sq.M.or ,-�~ Audio and Stereo Systems porlion thereof _ -` $33.40 Limited Energy _ $75.00 V Burglar Alarm Each Manul'd Home or Modular Dwelling Servi a or Feeder $90.90 2 ------ ----- U Garage Door Opener• 4b.Services or Feeders inslaffation,alteration,or relocation Heating,Ventilation and Air ditioning System' 2G0 amps or less $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems- 401 amps In 600 amps $160.60 _ 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts -�_ $454.65 2 Reconnec!only $66.85 ` 2 TYPE OF WORK INVOLVED-COMMERCIAL ONLY 4c.Temporary Services or Feeders _� __ -- Irslallation,akeration,or relocation Fee for each system............. $75.00 200 amps or less _ $66.85 _ 2 (SEE OAR 918-260-260) 201 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 volts, see"h"above. Audio and Stereo Systems 41.Branch Circuits New,alteration or extension her panel Boiler Controls a)The fee for branch circuits with purchase of serv!ce or Clock Systems feeder fee. Each brand circuit ^_ $6.65 _ 2 r-, b)The fee for branch circuits L J Data Teleu�mmunic:rtion Installation without purchase of service or feeder fee. Fire Alarm Installation First branch dreult _ $46.85 Each additional branch clrarlt $6.65` __ _ �� HVAC 4e.Miscellaneous L-1 (Servloe or k.eder not Included) L Instrumentation Each pump or inigation circle $53.40 Each sign or outline fighting --AJ_ $53.40 `� intercom and Paging Systems Signal tarcutt(s)or a limited energy f_� panel,alteration or exlenslon _ $75.00 _ LI Landscape Irrigation Control' Minor Labels(10) _ $12.5.00 y 4f.17ach additional Inspection over Cl Medical ti+a allowable In any of the above. rer Inspection $62.50 Nurse Calls F!rr hoc• $62..50 In Plant $73.75 Outdoor Landscape Lighting' 5. Fees: Protective Signaling Sa.Enter total of above fees $ __ _ 8%Surriharge(.08 X total fees) $ _-T n "her Sublofal $ Sb.Enter 25%of line Sa for -Number of Systems Plan Review N tee _aired(Sec.31 $ Subtofal $ '� No Ncenses are required. Licenses are required for all oUher Installations j El Trust Account _. _ FEES: f! To<3l balance Due $ _a ENTER FEES �_.__._-_ 8%SURCHARGE(.08 X TOTAL ABOVE) TOTAL $------.__- --_ Plumbing Permit Application 1D,&t!em=!c!eivcd: Permit no.: City of Tigard — Address: 13125 SW Hall Blvd,Tigard,OR 977_ Sewer permit no.: Building permit no.; City of Tigard Phone: (503)639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Datt issued: By: Receipt no.: Land use approval: _ � lase file no.: Payment type: 1 &2 family dwelling or accessory ❑Commereialfindustrial O Multi-family O Tenant improvement 2fiew construction U Addition/alteration/replacement O Food service O Other. _ .1011 SITE IN FORAIA I[ON I.-I.:L ktic-DULE(for special information use checklist) Job address: ,Q , r,t,l ( jll�(l' G�1+rC'' Description Q Fee ea. Total Bldg.no.: Supe no.: New 1-and 2-firmly,dwellings only: (Includes Tax map/tax lot/account n (Includes100 R.for each utility connection) I SFR(1)bath Lot: i. Block: Subdivision: SFR(2)bade Project name: C C)Cll PP� F. SFR(3)bath - City/county C zx I ZIP: 41 Each additional badVEtchen Description and lotation of work on premises: SiteutWtles: Catch basin/area drain Est,date of completionlinspection: DryweIIsile.ach it drain - Footing drain(no.lin.ft.) Manufactured home utilities_ Business name: o Manholes Address: VO 6,9k a DO 7 _ _ Rain drain connector City: O�h �m— _ Stater �Z.IP:!2 703iF_ Sanitary sewer(no.lin.ft.) Phone: Pax:GG 7-9 Email — - Sturm sewer(no.lin.ft-) CCB no.: 3 7 Plumb.bus.reg.no: Water service(no.lin.fQ City/metro lic.no.: ~- lilxtum or Item: --�— Absorption valve, Contractor's representative signature: � 4)-f c" Back flow preventer Print name: 41f I Date: Bak:kwater valve IL IBasins/lavatory Name: Clothai washer _ ---�---- Dishwasher Address: 0 00 7 Dg fa►ntain(s)� Crty � j --- State ZIP: 9 W,3d Ejectors/sump Phoae: Fax: Email: Expansion tank Fixturelsewer cap _ Name(print): L.p Q nd f f cq�1ps Floor drains/floor sir►ks/trub - c Garbage disposal Mailing address:/ 7J-3- G( � G Hose bibb City: /d _ I State.d Zip: Ice maker Phone: m Faxx:J E-mail: _ Interre�rease trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(cunurercial) employee on the property I own per ORS Cha ter 447. Sink(s), asin(s),lays(s) Owner's signature: � / > l Sum _ Tuower pan _ Namellrinal . , _ Water closet _ - Address: q�,q. 4,4�) -,"y) 0 el _ Water heater City: ® J� a.eo ZIP:__ 1 Other. - - Phone- _ OZ'S Fax- E-mailTotal _ Not all juriadk-dons accept eedr cants,pkaae call pr Wktk-e nor maa tnrmwt.. Notice:This permit application Minimum fee................ O visa ❑Master d expims if a permit is not obtained Plan review(at ^ %) $ _. Cmdh cad mim6er: within 180 days after it i1it9 been State surcharge(8%) ....$ Es tea TOTAL .......................S — - —on-c' accepted as c omulete. Name of u�7 u—*.own rerlh card _� i -Cardholder sIRnarure_ - __Amount 4404616(MA MOM) PLEASE COMPLETE: FIXTURES (indlvldual) ;Qty 'PrLcef,, Tofal Fixture Type- Sink 16.60 Quantl b Work Performed Lavatory 16,60 Sink New I Moved Replaced RemovedlCappei _ Lavatory Tub or Tub/Shower Comb. - 16.60 --- Tub or TublShower Combination Shower Only 16.60 Shower Only -- Water Closet 18.60 %Mer Closet Urinal -- Urinal 16.60 Dishwasher Dishwasher 16.60 Garb a Disposal - -- Laundry Room Tray Garbage Disposal 16.80 Washing Machine L:undry Tray 16.60 Fbor OraF7-1.r Sink 2' - Washing Machine 16.60 4. Floor Drain/Floor Sink 2' 16.60 Water Heater 3' 18.60 - Other Fixtures_0 Ci L, -" - 4' 16.60 Water Heater O conversion O like.kind 16.60 Gas plpin req�Ires a separate mechankal permit, _ ^ MFG Home New Water Service 46.40 - MFG Home New San/Stonn Sewer 46.40 Hose bibs 18.80 COMMENTS REGARDING ABOVE: Roof Drains - 16.60 - Drinking Fountain 16.60 Other Fixtures(Specify) - 21.75 Sewer-1 at 100' Sewer-each additional 10C' 46.40 Water Service-1st 100, 55.00 Water Service-each additional 200' 46.40 Storm 6 Rain[rain-1 at 100' exam Storm b Rain Draln-each additional 100' 46.40 Commercial Back FI 3w Prevention Device 48.40 Residential 8ackNow Prevention Devke' 27.55 Catch Basin 18.60 Insp.of Existing Plumbing or Specially Requested 72.50 Inspections_ _ rlhr Rain Drain,single family dwelling 65.25 Grease Traps �- 16.60 QUANTITY TOTAL _Isometric at rea dtsgram a required t OusnUty Tow Is >9 'SUBTOTAL 8%SURCHARGE i -PLAN REVIEW 25%OF SUBTOTAL Required only IF Wure qty.Iota!Is>9 TOTAL 'Mlnlmum permit fee is$72.50+0%surduw",except Reslderdw 8scldlow Prevard m Device."kh Is 17025.r 0%surdw9e. "All Now Commercial Buildings require r ars with IsomeMc or rear diagram and Plan review. f=L_ 07 FLAN L07 #132 AFFL_ EWOOD FAR< Rl f=D 251 11 DA TAX LOT 014000 WATER METER Baa& 5W GREENING LANE W------- WATER LINE SS— — — — SANITARY SEWER S.E. 1/4 OF SECTION 11, T.?, RJW, WI-1. SD— - — STORM DRAIN CITY OF T IG,4RD -- — — Q of STREET WAO-HINrTON COUNTY, OREGON � MANHOLE CATCH BASIN PROPOSED STREET �I1_J G E J� �d DSTREET LI ES �� GHT HOMES SIF := HYDRANT � 12766 9W 60th AVENUE SURE loo ' 0►FICE (603) 620-6060 TIGARD, OR. 97223 FAA (603) 696-6900 cce/ 60663 II . _- - - - - - -SS- -j - - - - - - - - -- - - T T 1 15.W. GREENING LA>�E a- -� -�------------------ ---- - --- ----d ----L -L-1----------------W---�---Q---- �--------203 CURB (j) 2 C3 SIDEWALK --—--—--—-- - - -- --— 8' UTILITY it----�- EASEMENT II i In 203.5' i 203.4' i 11 6� N N 202`9' 1 p r- E EROSION ;. CONTROL FENCE PER COMMUNII Y I 1 _ - 4.61 cn __ EROSION PLAN 1(' L )7 132/ 31 0' /4,253 60. Ft. it►; ;n m 1 .q N LOT 131 N,4RGUuRT If �,/ s 1 / FIN. FL R. • 204�'�I � t�1 - / GARAGE FLR ■ 2030 �? { 1 2018' 201.6'- �O{ LOT 133 i 1 _ 10' UTILITY EASEMENT 72.00 ----- IIL LOT 24 ' LOT 25 i LOT 26