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8889 SW GREENING LANE !S; ap 00 (O cn C 7 (Q r as m i i 8889 SW Greening Lane OF TIGARD BUILDING INSPECTION DIVISION MST Ze,e010 5-4e v - 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ ---- Date Requested _S_/ _�A1 PM — BLD - Location�� �,5� ��r�°.�-•� _—_-- Suite ` -- MEC Contact Person _— 4 Ph 3 -- PLM Contractor Ph SWR BUILDING -- Tenant/Owner ELC Retamin,l Wall y ~- —v.— ^— --- ELR ----1- Footing Access: Foundation FPS Ftg Drain --- -�-- Crawl Drain Inspection Notes " ' SGN Slab Dost& Beam — -- — -- .,IT Ext Sheath/Shear Int Sheath/Shear — Framing Insulation _-- Driwall Nailing Firevrall -- Fire Sprinkler — —�-� -----�—---�--� Fire Alarm — Susp'd Ceiling _---_--- -- ^ _ Roof Mise ------ — — --� � / � • Final LPASS PART FAIL --------- _ ,-----�---- _ rLL MBING Post& Bearn�� — Under Slab Top Out - ------�__-- _-- --— -- Water Service Sanitary Sewer — Rain Drains Final - ------- -- __------_ -- PASS PART FAIT_ MECHANICAL - -- - Post& Bean .---- Rough In Gas line ------ --- - - - — _ __ Smoke Dampers Final - -- - - _ P RT FAIL Se!rvice Rough In UG/Slab Low Voltage — — F ire Alarm ASS PART FAI►. - -- — --- — —------------ — - -- Bckfill/Grading Sanitary Sewer Stony Drain [ ]Reinspection fee cf$— �—required before next inspection Pa;at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE [ ]Unable to hspert- no access ADA / OtherApproach/Sidewalk Date V 1 ^D / Inspector �� ' — Ext --- Final PASS PART FAIL- 00 NOT REMOTE this ;rspection record from the job site. CITY OF 'TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 3usiness Line: 639-4171 -- - BLIP Requested - / _A AM PM _ BLD _ Location G fw �f/ cc, ,a J G,, , _� — Suite —� MEC - Contact Person �— y P11 S v _ ?LM Contractor ^� — --_ P11 SWR BUILC ING Tenant/Owner ELC Retaining Wall _ FLR Footing ------------- Foundation Access: // FPS Fig Drain !T�` <_ 6 7d -5,4 7T"L.- c .-� j'v �'?arU Cr,N --- ----- Crawl Drain In;pection Notes: SGN - - Slab SIT Post&Beam -- ------- Fxt Sheath/Shear Int Sheath/Shear f raminy ---------- -- - -- Insulation - Drywall Nailing F;rewall Fire Sprinkler ---- - ----- -----— -- _Fire Alarm —�-- -- -- - Srrsp'd Ceiling ----._.._.--------___.,..-------___---_-__-- _ Roof Misc Final PASS PART FAIL --- ------- --- _ ----- -- - ,-- ---- r st& Beam Under Slab op Out Water Service Sanitary Sewer Rain Drains Fi AS PART FAIL - MECHANICAL Post& Beam -- Rough In ,as Line -- ---- - -- - - - --- ------ --- ----__._� ---- - - Smoke Dampers Final - -- -- _- - - _ PASS PART FAIL ELECTRICAL - -- --- -- ------------- ---- --------- -- - -- - Service Rough In - UG/Slab I ow Voltage Fire Alarm --- ------------------------ Final PASS PART FAIL _------•__-- SITE - - -_--_- Backfill/Giadiny — --- -- --- -- - -- ---- Sanitary Sewer Storm Drain ( j Reinspection fee of$— -required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( (Please call for reinspection RF _..... - ( ]Unable to inspect no access ADA o L , 5-,e, Approach/Sidewalk Other Date =��— _ Inspector ' _ Ext Final — PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSIPECTION DIVISION MST 24-11our Inspection Line: 639-4175 Business Line: 639-4171 - ---- — BUP --.---Date Requested -5 Y_ AM` _PM BLU _~ _ Location Pji�i S�✓ �sr�-w�.l Suite _�- MEC Contact Person _ Ph _3 7U PLM Contractor Ph _ _ SWR Tenant/Otn,ner _ - ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain -- Crawl Drain Inspection Notes SGN Slab - _ . ._- ------ - - - --------- - ---- _ - --- SIT Post&Beam -- — Ext Sheath/Shear Int Sheath/Shear --------"-`-- --- - - Framing Insulation --- ------ _--- ------------ --�r.._._.—�-------.—____.__._----- Drywall Nailing Firewall _. .---------._...------ Fire Sprinkler Fire Alarm Susp'd Ceiling __--..- Roof Misc: AS _/PART FAIL -- - -- ----- --- -- --- --- - _.-- -- - - PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer _---- Rain Drains Final PASS PART FAIL C- Post& Beam - ------- - Rough In Gas Line - --- - --- - Smoke Dampers _ASS ' PART FAIL ECTRICAI. -- - --- - Service Rough In - UG/Slab - Low Voltage - - - ----- Fire Alarm ---- ---------------- Finai PASS PART FAIL SITE Backfill/Grading — Sanitary Sewer Storm Drain [ Reinspection fee of$ required before next inspection. Pay at City Hall 13125 SW I iall Blvd Catch Basin Fire Supply Line ( I Please call for reinspec►ror RE: _ I Unable to inspect no access ADA Approach/Sidewalk Other Det@ �� C 1 Inspector Ext Final - --- --- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD Residential Ce rtifieate of Occupancy Permit No.: ZdOC,- & ,¢o Address: cu ►n! �.� Owner/Contractor: !)ate of Final Inspection: 5'/to- Cl/ Inspector: AZ4i , This structure has been found to be in substantial compliance with the provisions of the State o(Oregon One& Two Family Dwelling S malty Code and is hereby approved for occupancy. CITY OF TIGARD 'GARD _ MASTER PERMIT PERMIT#: MST2000-00540 DEVELOPMENT SERVICES DATE ISSUED: 1/5/01 1312,', SW !call Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08881) SW GREENING LN PARCEL: 25111 DA-17800 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 171 JURISDICTION: TIG REMARKS: S/F PATH 1 BUILDING REISSUE: STORK,, 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 642 sf BASEMENT: st LEFT: a SMOKE.DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.00" st GARAGE: 465 s1 FRONT: .'!, PARKING SPACES TYPE OF CONST: 5N DWELLING UNIYS: I FINSSMENT: st RIGHT: 4 VALUE: $169.693 00 OCCUPANCY GRP: R3 DORM: 3 BATH 3 TOTAL: 1,644.00 sf REAR PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING,MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: Tori TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS CATCH P FINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR. CEASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN-c 1001t: BOILfCMP-�3HP: VENT FANSCLOTHES DRYER- t GAS FURN>■100K: I UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ _RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 10011 SF OR LESS: 1 0 •200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRR:GATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: 1 sl W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 000 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 801f8mps•1000v: MINOR LABEL. 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC/FDR,-225 A-- >BOD V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTCM. AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT. BURGLAR ALARM: 0TH: BOILER: HVAC: L ANDSCAPEARRIG: PROTECTIVE SIGNL. GARAGE OPENER: C.7CK INSTRUMENTATION: MEDICAL: OTHR HVAC: DATA/TELE GOMMNURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,764.54 This permit is subject to the regulations contained in the MATRIX DEVELOPMENT CORP LEGEND HOMES CORP Tigard Municipal Code,State of OR. Specialty Codes and 6900 SW HAINES ST STE 200 12755 SW 69TH AVE#100 all other applicable laws. All work will be done in TIGARD,OR 97224 TIGARD OR 9722? 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: Oregor law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg#: UC 60561 forth in OAR 952-001-0010 through 952.001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inst Rein drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Low Voltage Water Line Insp Final Inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final ;.� Issued By : Permittee 5ignahrre : t Call (50 ) 639-4175 by 7:00 p.m. for an inspection needed the next business day \ CITY OF TIGARD SEWER CONNECTION PERMIT \ DEVELOPMENT SERVICES PERMIT#: SWR2000-00367 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/5/01 SITE ADDRESS; 08889 SW GREENING LN PARCEL: 2S111DA-17800 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 171 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK. NEW DWELLING UNITS: 1 TYPE OF USE.: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF dwelling Owner: FEES` T LEGEND HOMES —` 12755 SW 69TH AVE Type By Date Amount Receipt PORTLAND, OR 97223 PRMT CTR 1/5/01 $2,300.00 27200100000 INSP CTR 1/5/01 $35.00 27200100000 Phone: 503-62(-8080 Total $2,335.00 ('ontractor: Phone: Reg#: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules ad-)pted 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: _ rl2. r�-- _ Permittee Signature; / �! 4 Call (603) 639-4175 by 7:00 P.M. for an inspection needed the next bu ness day Building Permit Application '!c wed, , o.IDatereceived: dt _ D City of Tigard Project/appl.no.: F_xpiredate: Ci. of Tigard Address: 13125 SW Ilall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Dare issued: By: — Receipt no.: r Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ___ 1&2 family:Simple Complex: I` TYtE-OF &2 family dwelling or accessory U Commerciallindustrial U Multi-family lirNcw construction U Demolition U Additionlalteration/replacement U Tenant improvement O Fire sprinkler/alarm U Other. JOB SITf.INFORMATION Job address: St J �LiC��l {� t L� 1 /tl N C _ Bldg.no.: Suite no.: Lot: 1'1 Block: Subdivision: P )?LJC t,I CC-0 fax map/tax lot/account no.: Project name: — Description and location of work on premises/special conditions: - Z 1111014 1 it Name: Mailing add ss: / 73,S" ,� 1 &2 family dwelling: {01 S?i? City�tUs i/o- "ay __ State:p ZIP: r Valuation of work........................................ $ I --� Phone: GHQ~ o� Fax: �� E-mail: No.of bedrooms/baths................................. _ _ _ Owner's represe riive: Total number of floors................................. _2- _____ Phonc: Fax: Email New dwelling area(sq. ft.) .......................... _M4 _—_. GarageJcarport area(sq. ft)......................... 410 Name: � Covered porch area(sq.ft.) ......................... Mailing addrbss: of ""-rte _ �p Dcck area(sq. ft.)........................................ City: Statep ZIP: Other structure area(sq.ft.)......................... Phone: (,_ CJ Fan-) E-mail: Commerciallindustr[allmultI-family; Valuation of work....... ................................ $ _ ��J �tExisting bldg.area(sq.ft.) .......................... _—^-- Business name: z aj�Ile ,.- —____-_ New bldg.arra(s ft. _ /•of �_ q...................................... _— Number of stories. City: a State:6r Z[P:`7 7� _� ---1 Type of construction.................................... _ -�_— Phone: D Fax:'y' Email: Occupancy group(s): Existing: CCB no.: New: City/meta tic.no.: G �� No&o- All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: J �Z� { A _ provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed. if the applicant is Address: / S y' �� - City: t f/c, State ZIP: g� exempt from licensing,the following reason applies: _Contact person: Xa -$40,7 flan no.: --� Phonc:,�_) ' - e 'c- Fax:S- ' E-mail: - — Name. / Contact person: Fees due upon application ........................... $ Address: �ti�«r► rl Date received: City: c A� Statee?� 2.IP: �/7a_1�, Amount received ......................................... $----- Pone: pps Fax: E mail: Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the Na all jurisdictiom aorept credit cards,please call jutiuliction for mom information attached checklist. All provisions of laws and ordinances governing this U Visa U MastejCard work will be complied with,whether s I led he. in ar not, Credit card number: _ _—ExpiresL ' Authorized7nature: ate: rr ` — 'lame of cardholder u shown on credit cud Print name:( p Crdholder signature —^-- s Amount Notice:This permilapplicatii n expires if a permit is not obtained within 190 days after it has been accepted as complete. 4411-4613(6VNCOM) Mechanical Permit Application Date rcecIved: Permit no T City of Tigard I'roject/appl.no.: Expire date:City of Address: 13125 SW[fall Blvd,Tigard,OR 97223 Date issued: >3y: Receipt eo.: Phone: (503) 639-4171 Pax: (503, 598-1960 Case file no.: Payment type: Land use approval: _ _ Building permit no.: -d'I &2 family dwelling or accessory U Commer6al/industrial U Multi-family U T;.aant improvement New construction U Add ition/alterauoidreplacement U Other: `- Job address: f� tL*TZ N_ltUfs LA& : Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax IoUaccount no.: profit. Value$ Lot: mil Blork: Subdivision: *See checklist for important application information and Project nnrne: jurisdiction's fee schedule fcr residential permit fee. City/county: ��Q;�/ ZIP: 1t1 oil Description and lorAtion of work on premises:_ Fee(ea) Total Est.date of completion/inspection: v Description_ Qt . Ra.only Res.only Tenant improvemel -dr change of use: C. Is existi s ac a heated or condiGoned�U Yes U No Air handling unit _CF7- P' c Air con-�Tiuo ing(site p an require )) _ Is a mg space insulated?U Yes LI No Alteration of exisung HVAC system of er compressors State boiler permit no.: Business name: HP __Tons`_BTU/H _ Address: [, �'"7L"p-S—may _ u smo a amptr ductsmoke etcctors City: �(, Stag 7.I P: 17 7dj eat pump site p in requ-tee _ Phone: 7 7 Fax M3�7Gy Email y Tstal replace turnace/burner Including ductwork/vent liner U Yes U No CCB no.: __. -�_____ [nsta rep I ac re locate heaters-suspen ed, City/metro]i,.nrr.: J _ - wall,or floor mounted Name(please print): pn/ 2 enc ora lance otfier�Ii tan urnace e era on:Rio V� AbsoRrtiununiBTUAI ChillersName: Cm -o-rs___-... ___ VIP PP Address: J s _ snta _ - exhaust and rent ton: City: PC> t Uir1_ _ _ State:o/z ZIP: 9),t<,1� Appliance vent - PhoneFax;�o" -:-7)/. ? E-mail: hyPrex oust Iaaas, TlIllres. itc en/hiLi at AIM hood fire suppression system Name: �� �ur� /J Fxhaust fan with single duct(bath fans) Mailing address: ExTiaust s stem a arum coon or C Cit Statyg Z�[P:q7 Fuelpiping an ut on up to outlets Y YAG _ l - Type Lt'G NG _ Oil Phone: - o G-) Fax' - Email: u�tii-in each t as itiona ove_rT-Outlets tocem p p nR(schematic required) Number of outlets - Name: r�/; _ ter Rd ed app c_i oirequ pm-T ent: Address: fo Decorativeftre lace City: State: ZIP: nsert-type �� V stov pe let stave Phone: Wv L- � Fax: E-mail: tom. Applicant's signature: ale: (1 b C) ITier __ Name(print): ?& Or IJor all Jurisdiction rapt cPermitfee re(it cards,p";1 call jurisdiction for more infomtatlon M ................ _ Notice:This permit application Minimum um feeee $................$ U visa U MasterCard I 1 expires if a permit is not obtained Plan review(at �) $ Credit card numr.lK �_ _ _ --------- Expires within 190 days after it has been State surcharge(8136) ....$ _ ------- ----- ---- `--- '-` Name of cardholder asshaccepted as complete.nwn on credit card s f TOTAL. .......................$ _ —'Cardholdet.isnaum �— Ammm 44o­%17(6nnCOM) Commercial Schedule 1&2 Fartilly Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE rr)esalptkm Furnace to 100,000 BTU table IA Mechanical Code Oly Price Total 1) FUmaceto100.0006TIJ including ducts vents 955 including ducts Swants 1400 Furnace>100,000 BTU 2) Fumaos 100,000 BTU- including duds&vents 17.40 including ducts&vints 1,170 3) FkxxFurnaca --� -` Including vent _ 14.00 Floor furnace 4) Suspended heater,wait beater Including vent 955 w Mrx mounted beater 14,00 suspended heater,wall heater s1 vent not Included in appliance permit 6,50 _ or floor mounted heater 955 6) Remak units 12,15 Crock sit that apply. 'Boller Heal Air Vent not included in appliance permit 445 For Mems 7-10,see or Pump Cone Oly Price Total Repair units 805 Lootnotes 1,2 Com _ �-_ 7)<3HP;absorb unit to <3 hp;absorb.unit IOOK Biu +4.00_ B)3-15 HP;absorb unit to 100k BTU 955 100k to 50%BTu 25,00 3-15 hp;absorb.unit 9)15 ao i+P;. buorb unit.5-1 mit 13TU 05.00 101k to_5QOk BTU 1700 fol w-50 HP;absorb --"- it 1-1.75 mit BTU 52.20 15-30 hp;absorb.unit _LR s5011P;absorb unit>1.75 mil BTU 901k to 1 mil.BTU _ 2310 12)Nr handling unit l0 10,0011 CFM 30-50 hp;absorb.unit 10.00 13)AM handling unit 1U,Ooo CFM 1-1,75 mil.BTU 3400 _ 17.20 14)Non-po{lable evaporate caokr - - >50 hp;absorb.unit toxo > 1.15 mil.BTU 5125 15)Vent Ian cohneded to a sIngle dud 6.80 Alf handling unit to 10,000 ctfn 556 16)Ventilation system not Included In Air handling unit> 10,000 Cfrt1+ 1170 m,a 10.00 .r 17)Hood served by mechanical exhaust Non-portable evaporate culler 656 low ,e)nomestic I ndneralom vent fan connected to a single duct 446 _. 17.40 Vent syst.not Included In appliance permit 6561 +91 commercial or industrial type Incinerator 69.95 Hood served by mechanical exhaust 656 20)Other units,including wood stoves 1000 - Domestic Incinerator 1170 211 Gas piping one to four outlera - 540 Commercial or industral Incinerator _ 459022)tiloue mau 4-per outlet(each) Other unit,includingwood stoves,Inserts,etc. 656 100 Mlnlmum PsrmN Fee f72.50- 9UBTOT'AL Gas piping 1-4 outlets 360 8%SURCHARGE Each additional outlet 63 PLAN REVIEW 25%OF SUVTOTAL Required for ALL commercial permi!!only TOTAL Other fnsp«tkl a and Fna: 1. Wpntlbm odmkta d Mmol ll ekrou h-Imink-dhrpe-Mo leve) 512.So per hour 2. k%pacnwu f.whirl+no In n U-111 4y kdk2*d Imnknen ct,a,pe has Mhn� 172 50 per hae Fee 5 Addakn*p4nH.+ew,equeadMvvroes,AMM or 1-40-1 b, wnln+vrn,n -- ch&,,s paha hev)s72.5n pix has 'SIaie r **lar BMr.Cenireskw,mqukai $100 to$5,000.00 Minimum 572.50 `neskJCMan tin,nq rn,sm pcan sno.*V pranenre.d Wood $5,001.00 to S10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional S100.00 or fraction thereof, to and including$10,000.00 S 10,001.00 to$25,000.00 S 148.50 for the first S 10,000.00 and S 1.54 for each additional$100.00 or fraction thereof,to and including 525,000.00 $25,001.0 to$50,000.00_ S379.50 for the first 525,000.00 and$1.45 for each addit;,.nal 5100.00 or fraction thereof,to and including 550,000.00 $50,000.00 and up _ 5742.00 for the first$50,000.00 and 51.20 for each additional$100.00 or fraction thereof a1r Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 1311.5 SW Hall Blvd,Tigard,OR 97223 --- City of Tigard phone: (503) 639-4171 Project/appl.no.: F_xpim date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ — %a3e file no.: Payment type: t 1 &2 family dwelling or accessory ❑CommerciaUindustrial U Multi-family U Tenant improvement G3 ew construction U Addition/alteratiorL/replacement U Foul.service U Other: SCHEDULEJOB SITE INFORMATION FEE 1 1rnV- Job address: - 4' �j W ( , I/i f LAN Description Q Fee(eA.) Total Bldg.no.: Suite no.: New I-and 2-tiamily dwellings only: - -- (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: SFR(1)bath _Lot: ('j( Block: Subdivision: � j_Q(j�. -SF7t(2)bath Project name: SFR(3)bathe —� City/county: 2ZIP: Each additional badulitchen Description and lokation of work on premises: _ Siteutilitles: _Catch basitdarea drain list.bate of compleriolvinsixctiop: -- - - �v Drywells/leach line/trench drain — Footing drain(no.lin. f.) _ t CONTRACTORING Manufactured home utilities Business name: /L".n<� Manholes —' Address: G i o oe _ Rain drain connector _ City:("[Q 5 h Lif/rn I Stater Z1 P:q 70 3U Sanitary sewer(no.lin. ft.) -- -� Phone: /,7Fax:66 7-9 E-mai 1: Storm sewer(no.lin.ft.) CCB no.:—Y7 Plumb.bus.reg.no. ,�2p� Water a or It (no.lin.ft) - City/metro tic.no.: Future or Iters: AhTTtion valve _ Contractor's representative signature: U _ Back flow reventer Print name: P�%fid di) Datc: (Z 1. LC ---Backwater-valve t Basins/lavatory Name: Clothes washer �o lei- i`d- _ Address: �d d�vj p0 7 Dishwasher - nking fountain(s) City: rn 7 _ Stated ZIP: V,3,;l DriEjectors/sum Phone: Fax: E-mail: Expansion tank Fiztun:/scwer cap -- Nano Floor drains/floor siitks/hub _ (print): L fp G,, i7 �S Garbage disposal Mailing address: 7,3-x' rf� G ---�— HQse hibb City: i0akF,_= State:Ok 1;C.fc^.Phone: E-mail: [nterceitodgrrnse trap -` Owner installation/residential maintenance only: T.ue actual installation Primer(s) will be made by me or the maintenance and repair made oy my regular Roof drain(commercial) employee on the property I own per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: /� �� CC Sump Tubs/shower/shower pan _ Urinal Name:- _ Water closet - -` -- Address: - — ---C� sl� �o�L Water heater City: ZIP_ -- Other. Phone: G _12eQS� Fax -- E-mail: Total Nd all)urintictiau rcep credit canis,please can)uric&im for mac tnlamakn Notice:This permit application Minimum tee................$ U Visa U Mestr,Card expires if a permit is not obtained Plan review(al —_ %) $ cteeh cad numtx,. L ___ within ISO days after it has been Slat surcharge(8%) ....$ p - ---- --- accepted as complete. TOTAL .................... Num d s ...S Naw, al u etwwn on credit card I P S --- – Cadhntdeuiignalute -- — Attaunl— PLEASE CQMELETE: FIXTURES (Individual) i Qty <Piicel Total — Fixture Type --quanta b Work Performed Sink 16.60 — New Moved RepISC.ed Removed/Capps L.uvatory 16.60 Sink Lavatory _ Tub or Tub/Shower Comb, 16.60 Tub or TublShower Combination Shower Only 16.60 Shower Only Water Closet Water Closet 16.80 _ Urinal _ Urinal — 16.60 Dishwasher — Dishwasher v 18,60 Garbe Disposal G__ _ Laund Room Tray arbage Disposal 16.60 Washing Machine — —` 18.60 Floor Drain/Floor Sink 2' — Laundry Tray - 3' — _--. Washing Machine 16.60 `—q• - Floor Drain/Floor Sink 2' 1r3.60 Water Heater -- - Other Fixtures8�Lfy) 3' 16.60 — --- --- -4- -- 16.60 Water Heater O conversion O like kind 16.60 — Gas piping requires a separate mechanical — MFG Home New Water Sendce 46.40 — MFG Home New SarVSlorm Sewer 46.40 _ — COMMENTS REGARDING ABOVE: Hose Bibs 16.60 Roof Drains _--� 16.60 -- Drinking Fountain 16.60 — ---- --- Other Fixtures(Specify) 21.75 Sewer-71—st100' 55.00 — Sewer•each additional 100' 46.40 _ Water Service-1%1100' 55.00 Water Service-each additional 200' 46-40 storm d Rain Dvaln-1st 100' 55.(10 Storm 6 Raln Drain-each additional 100' 46.40 Commercial Baa Flow Prevention Device 46.40 Residential Backnow Prevention Device' Catch Basin _ 16.60 lnsp.of 5x1sling Plumbing or Specialty Requested 72.50 Inspe tons _ — r/hr Rain Drain,single family dwelling 65.25 Grease Traps 18.60 QUANTITY TOTAL lu mett or riser diagram Is required II Quantity Total is >9 "SUBTOTAL B% SURCHARGE c "PLAN REVIEW 25•/.OF SUBTOTAL. ! Requied m tf t!!lure ofy.Mat Is`9 TOTAL '•� "Mlnlmum permit fee h$72 50"916 turdurge,except Reslderttlal BaciAm Pfevemtkxt Device,which is$.'6.25♦0%turcharge "Aa New Commerclal Buildings require plans with hornelrtc or rtser diagram WW plan review. Electrical Permit Application IDatereccived: Permit no.: City of Tigard Project/appl.no.: Fxpiredate: City ofligard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued By: — Rcceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: "'.18&2 family dwelling or accessory U CommercipUindustrial U Multi-family U Tenant improvement 6JNew tU Ad iition/alteradon/replacement U Other:____ U Partial 1 Job address: S0 &(Z;WAXII�Lpj Bldg,no.: Suite no.: T it;.,)/tax lot/account no.: f.ot: I j Blak: Subdivision.- is _ atltwZl-�, Project name: D ewription and I(xation of work on premises: - Estimated date of completion./inspection: "Bunam err ti1ax ----- Description Qty. (ea.) Total no.lira e: p/ — New reIdendal-single of multi-randiy per Address: _?I _- __ dwelling unit.Includes utactredgarage. city:hloh StateQ ZIP: Servicelncluded. Phone Fez' — Fcx:G _�9dj matt: — -- I OW sq.n_or less__-- 4 C o.: S Elegy.bus.tic.no: 3 Bach additional 500 sq.R.or portion thereof _ C Limited energy,residential 2 itY .3 70 i Limitedenergy,non-mside-Wal - -2 Each manufactured home.hr modular dwelling I —-T n tura supervts gel .Wcian(re uited) Date Service and/or feeder_ _,-_- _ 2 esSup.elect.name(print): Services or feeders-installation, „ x alteration or relocatlon: 200 amps or less 2 Name(print) B,� 5 201 amps to 400 amps i 2 401 amps to W-1 r.mps 2 Mailing address:yA 73 f Ly L f'l .¢ 601 amps to 10(NI amps A^ — -- — —Z City. G Stateo' ZIP:f7_22,A2 Over IWO amps or volts Phone:Gd(- O,Fa Fax:s'? - E-mail: R �onncctonly `--- -- I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479,670,701. 200&nips or less `— 2 ,/ 201 amps to 40(1 amps 2 Ownc.0s signature t/ O� "date: � BV 401•o600amps 2 Branch circuits-new,alteration, A or extension per panel: Name:",,,c - A- Fee for branch circuits with purchase of Address: p) 00 servicr.or feeder fee,each branch circuit 2 City:,. "y Stated ZIP.y'7?. B. Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fat,first branch circuit. 2 Each additional bran.:h circuit: Misc.(Service or feeder not included): U Service over 225 s a,,f ..mmemial U Health-care facility Each pump or irrigation circ is __- - 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square fete four or Signal circuit(s)or a limited energy panel, ❑System over 600 vols nominal more residential units in one structure alteration,or extension• _ ❑Building over three stories U Feeders,400 amps or more •Dmicripnon: CI Occupant load over 99 persons U Manufactured structures or RV park Each additions I Inspection over the allowable In any of the above: U EgressAighting plan U 011ier: — Per inspection Submit___sets of plam with any of the above. Investigation fee _ r The above are not applicable to temporary corMr action service. other r Not all jurisdiction,.reap credit cards,please all jurisdiction rot mutt tnrfarmadan. Notice:Thais permit application Permit fee.....................$ U Visa C,Ma-lsrCard expires if a permit is not obtained Plan review(at -___ %) $ Credit card numbs: __ within 180 days after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL .......................$ Name of cardholdef ar shown on credit cud - S __ `Crrdlrol5cr risrrat ue -- Arnoum 4401615(6001CY)M) TYPE OF WORK INVOLVED-RESIDENTIAL ONLY 14. Complete Fee Schedule Below: _ Number of Inspecdons per Permit allowed Restricted Energy;ee........................ 676',00 Service included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Work Involved: 1000 sq.A.or less $147.15 4 f_ach additional 500 sq.It or ❑ Audio and Stereo Systems portion(hereof _ $33.40 1 Limited Energy $75.00 ❑ Eurglar Alarm Each Marwfd Horne or Mcdular Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener' 4b.Servicea or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and Air Conditioning System' 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps _ _ $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 _ 2 _TYPE OF WORK INVOLVED-COMMERCIAL ONLY 4c.Temporary Services or Feeders Installation,alteration,or relocation Foe for each system............................................ $75.00 :'0o amps or less $66.85_ _ 2 (SEE OAR 918-260-260) 701 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°b"above. ❑ Audio and Stereo Systems 4d.Branch Circuits New,al(erathon or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of servke or ❑ Clock Systems feeder fee. Each branch circuit _ _ $6.65 2 Ej b)The fee for branch dru,is Data Telecommunication Installation without purchase of:ervice ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 _ Each additional branch circuit $6.65--,� ❑ HVAC 4e.Mtscellarnous (,ervion or feeder no(included) Instrumentation Each pump er inigalion circle $53.40 Ead,sign or outline fighting $53.40 F-1 Intercom and Paging Systems Signa(circult(s)or a limited energy panel,alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 4f.Each additional Inspection over ❑ Medical the allowable In any of the above ❑ Per Inspection _ $62.50 Nurse Calls Per four $62.50 f�1 In Plant $73.75 LJ Outdoor Landscape Lighting' 5. Fees: ❑ Protective Signaling Sa.Enter total of above fees $ _ 8%Surcharge(08 X total fees) $ ❑ Other Subtotal $ _ 6h.Enter 25%of line Sa for ^ Number of Systems Plarh Revi±w If required(Sec.3) $ _ Subtotal $ No licenses are requlrAd. Licenses are required for all atheh Installations Trust Account N v FEES: Total balance Due $ ENTER FEES -- -'- -�--- 8%SURCHARGE(.08 X TOTAL ABOVE) TOTAL $ FLOff' FLAN LOT 0111, AFFLEWOOD FAR< RIFD 251 11 DA TAX LOT *11800 8859 5W GREENING LANE S-E. 1/4 OF SECTION 11, T.2, RJW, W-M, CITY OF TIGARD W 45P INGTON COUNTY, OREGON LEGEND HOMES 12755 SW 89th AVENUE SUITE 100 OFFICE (503) 820-8080 PORTLAND, OR, 97223 Bill FAX (503) 598-8900 CCB/ 80583 LOT* /61 LOT* 160 0 N8S'54'25"E ?05.5' 1rd5.0' 2©4.E' 4.0' i N �5 (LOT* /71 ,0 0 '4,371 50. FT.' t 4RONW00V B 0 WATER METER r FIN. FLR. • 205V 9 Q g GARAGE FLR �fd49' G r s Uj--- ---- WATER LINE SS———-- SANITARY SEWER 4.0' SD— - - -- STORM DRAIN - Z©4 — — -- 4 OF STREET Z(a4ly' o O 203.1' • MANNOLE r. I ® CATCN BASIN 8' UTILITY 203.6' ( 2sa3.5' PROPOSED EASEMENT STRFET TREES ^s ' 4125 SIDEWALK -- �— STREET LIGHT 5 89' � � _ 2•mm' A FIRE HYDRANT CURB i I � I PROVIDE ER05ION CONTROL FENCE PER COMMUNITY ER05ION PLAN ----- - --W-- —.. — -- - -------- ---------- -- uF- — - -- 5W GREENING LANE CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VALLEY HWY S ALOHA, or 97006-1248 Electrical Signature Form PFrmit#: P4ST2000-00540 Date Issued: 115101 Parcel: 25111 DA-17800 Site Address: 08889 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 171 Jurisdiction: TIG Zoning: R-7 Remarks: S/F 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 Ele,;trical 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: MATRIX DEVELOPMENT CORP GARNER ELECTRIC 6900 SW HAoNES ST STE 200 21785 SW TUALATIN VALLEY HWY S TIGARD, OR 97224 ALOHA, OR 97006-1248 Phone #/: P III o^c #: 591-1320 Req #: LIC 121159 SUP 3707S E L E 34.305C AN INK SIGNATURE IS REQUIRED O TCS ORM x � Signature of Supervising Electrician If you have any questions, please calf (503) 639-4171, ext. # 310