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8939 SW GREENING LANE ccs w co cn C) ro ro a cn r o� ro fr, . I �y i 8939 SW 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 Ele,;trical Signature Form Permit #: MST2000-00493 Date Issued: 11120100 Parcel- 2S111DA-17600 Site Address: 08939 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 169 Jurisdiction: TIG Zoning: R-7 Remarks: SIF PATH 1 Your c,)mpany has been indicated as the electhcal contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrici;in is required. Please have the appropriate individual from your company sign belew and return this Electrical Sic'Jn;3ture 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. E'L ECTRICAL CONTRACTOR: MATRIX DEVELOPMENT CORP GARNER ELECTRIC 6900 SW HAINES ST STE 2or 21785 SW TUALATIIN VALLEY HWY S TIGARD, OR 97224 ALOHA, OR 97006-1248 Phone #: Phone #: 591-1320 Req #: "c 12115£ SUP 37076 ELE 34-305C AN INK SIGNATURE IS REQUIRED THIS FORM r X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITE' OF TIGARD PIASTER PERMIT#:: MST2 MST2000-00493 DEVELOPMENT SERVICES DAZE ISSUED: 11/20/00 -e 0 13125 SW Hall Blvd., Tigard, OR 9721.1 (503) 6:39-4171 SITE ADDRESS: 08939 SW GREENING LN PAR :EL: 2S11'IDA-17600 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 169 JURISDICTION: TIG REMARKS: S/F PATH 1 BUILDING REISSUE STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT .'6 FIRST: 1103:1 Sf BASEMENT aI LEFT: 4 SMOKE DETECTORS: TYPE OF USE: SI FLOOR LOAD: 40 SECOND: I:'I f of GARAGE: 490 of FRONT 24 PARKING SPACES: .. TYPE OF CONST 5N OW'E.LING UNITS: I FINBSMENT: of RIGHT VALU':. 5 704,867.00 OCCUPAN fGRP: 143 BORM- 3 BATA: - TOTAL: 134500 of REAR. ::4 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: IOU TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAIIIS' I CATCH BASINS: Tt WSHOWERS: - GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 SCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<IOOK: BOILICMp<3HP VENT FANS: CLOTHES DRYER: 1 OAS FUPN>-I DOW I UNIT HEATERS: HOODS 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETO: I _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER I EMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADOT INSPEC IIONS 1000 SF OR LESS: 1 0 - 200 amp 0 700 amp: WISVC OR:DR: I PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 5005F: 4 201 - 400 amp: 201 400 amp: lot WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR LIMITED ENERGY: 401 500 amp: 411 Bn0 amp: EA ADDL SR CTR: SIGNALIPANEL: IN PLANT MANU HMISVCIFDR: 601 1000 amp: 601,ampo-t000v: MINOR LABEL: 1000+amplvalt: PLAN REVIEW SECTION Reconnect only: =4 RES UNITS: SVClFDR>e225 A.: >600 V NOMINAL, CLS AREA/SPC OCC: > _ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ S.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: SU vLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Contractor: TOTAL FEES: $ 4,064.33 Owner: 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 all other applicable laws. All work will be done i TIGARD.OR 97224 TIGARD,OR 97223 accordance with approved plans This permit will expired work is not started within 180 days of issuance,or if the work is suspended for more then 180 days ATTENTION Phone: Phono: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set 1111*94: LIC 03060563 forth in OAR 952-001.00101hrough 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 Inap Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; ElecPrical 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 - �,e '�L _ Parmittee Signatlut Call (56) 639-4175 by 7:00 p.m. for ,I,1 ,rlspection needed the next bust/ness day CITYOF TIGARD _SEWER CONNECTION PERMIT r DEVELOPMENT SERVICES PERMIT#: SWR2000-00341 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/20/00 SITE ADDRESS; 08939 SUV GREENING LN PARCEL: 2S111DA-17600 SUBDIVISION: APPLEWOOD PARK NO, 3 Z 7NINu: R•7 BLOCK: LOT: 169 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 detached. Owner: --- -- — FEES MATRIX DEVELOPMENT CORP _---- - --- — 6,400 3W HAINES ST STE 200 Type By Date Amount Recelr, TIGARD OR 97224 PRMT CTR 11/20/00 $2,300.00 272000 J00 INSP CTR 11/20/00 $35.00 27200060000 Phone: - --- — Total $2,335.00 Contractor: 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 daie 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 frorn the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATT ENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Thosu 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: T ( = Permittee Signatu Call (543) by 7:00 P.M. for an inspection needed the next business day Building Permit Application XONNE10iftiW Datereceived: �� <Q Permit no.: City of Tif-Ard Projecdahrl.no.: Expire date: CiryoJTiga�d Address: 13125 SW flail Blvd,Tigard,OR 97223 - �. Phone: (503) 6394171 Date issued: By: Receipt no.: Fax: (503) 598-1960 /� n-��j Case,file no.: Payment type: tr /-( 1&2 family:Simple Complex: Land use approval` _ / � TYPIE OF PERMIT Nf'I &2 family dwelling or accessory U Commercial/industrial U Multi-family QrNew construction Lh'Demolition U Add ition/altet ation/replacement U Tenant improvement U Etre sprinkler/alarm U Other. PNEW FrITIVIUA lei Job address: y �; D ,. Bldg.no.: suite no.: Lot: ( _ Block: Subdivis� =ax map/tax lot/account Project narnc 2cy Z2 e 14 --- —-- _-4 Description and location of work on premises/special conditions: 1FOR SPrXIIAL INFORNICATION, Mailing add ss:lA 2A-'3- � t # i 1 &2 family dwellhig: City: p E Stater ZIP`J2,2 7 Valuation of work....................................... $ Phcnc: E-mail: _ No.of bedrrrims/baths................................ Owner's representative: - Total number of floors............................ ... Phone: Fax: E-mail: I New dwelling area(sq.ft o3L Garage/carport o,a(sq.ft.)......................... r— Name: Covered porch arra(sq.ft.) ......................... Mailing ndd ss: ,u Deck area(sq.ft.) ........................................ - — City T Statep ZIP — Othet structure area(sq.ft.)......................... Phone: (' a I ax:� Email: CommercialllnJusttial/multi-famlly: 1 Valuation of work........................................ $ _Business name: Z a ti2S Existing bldg. area(sq.ft.) .......................... G�_ Address:/ � 7J�L� New bldg.area(sq.ft.) ........... .................. ---�—= --- Number of stories City: p Stited ZIP:9 T az .................... Phone: O o ) Fax:�" - E-mail: — Type of construction.........,1....�.................. Occupancy group(.): / Existing: CCB no.: __.-- ��_�_��- -- New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be� ARCHITEMDESIGNER licensed with the Oregon Construction Contractors Board under Name: 9�� y��p ( provisions of ORS 701 and may be required to be licensed in the Address: / 3'y �--�i— T� jurisd;ction where work is being performed. If the applicant is - City: , ,� � v. Statcln 'LII: 1.2.2-Aa? — exempt from licensing,the following reason applies: Contact person: )kjOL71 Plan no.: - Phone:4, p - o v I Fax:S- E-mail: -- - -- -- ------ Name:_�=�,� _ _Contact person: _ _ Fees We upon application ......................... . $ Address: 9� r/aYl o Date received: City: IState;c�� ZIP: y 71� _ Amount received ......................................... $ f'Itone: �nCZS Fax: E-mail: - _ Please refer to fee schedule. I hereby certify l have read and examined this application and the —N,;,]l*,dictiow wcept credit raid.pie"call jundiction fa mcxe infomutloa attached checklist. All provisions of laws and ordinances governing this U Visa U Masste,cam work will he complied with,whedt�spectfied�hhein or not, creast care(number: ��- Expires Authorized nature: - )ate: — Name of cardholder tx shown on credit card Print name:_1 y _ (u�tolder signature -- _ Amo im Noticr,:'fllis permit applicatdm expires if a permit is not obtained within ISO days after it has been accepted as complete. +amu(t WOW) Mechanical Permit Application --- Dare received: Permit no.: City of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Address: issued. By: Receipt no.: Phone. (503) 639-4171 --- Fax: (503) 598-1960 Case file no: Payment type: Land use approval _—_.__ Building permit no.: A'I &2 family dwelling or accessory U Commercial industrial U Multi-family U Tenant improvem-it U New construction U Add ition/alteration/replacement U Other. Job address: _ Indicate equipment quantities in boxes below. Indicate the dollar _Bldg.no.: Suite no.: value of all mechanical ma-rials,equipment,labor,overhead, Tax map/tax lot/account rn.: profit Value$ Lot: Block: _ Subdivision; •See checklist for important application infutmatio i and Project name: eye' jurisdiction's fee schedule for residential permit fee. _City/cou�nty � ZIP: �7?_L _ Ill K 111%,hill ti Ell Wil hol 11 11141111 1)[11 Description and IoAtiun of work on premises: _ _ FMFerjrat.) Total Est.date of completion/inspection: V I)escriptlon lit • Rc+.only Res.only Tenant improvemef r change of use: AC Air handling unit _CFM Is existig space heated or conditioned?U Yes U No Air conditioning(site plan required— _ Is cog6g space insulated?U Yes U No A tcrauon o existing HVAC system otter compressors State boiler permit no,: Business t am_e �q ay�(, _ HP Tons BTU/H Address: �1:" OS--�_— it smo edampers/ductamoke_etectors _ City: C - 1 statty LIP: 701 eat pump(site planrequvatt, Phone: -7 7TF4�ax: 7G9j E-mail: nsta�lace furnace/burner � y Including ductwork/veni liner 3 Yes r7 No CCB no.: f psis rep:acdre ocate3reaters-suspen e City/metro lic.no.: v alt,or floor mounted Name(please print). eato�is rant ceoihert a timate e gern on: Absorptionunits _ BTU/H _ Name: /O/J��t Chillcrs��_ _-- IIP Address: < <-�' COre3sors Hf �7 �,�, J ,n ronmeuta exhaust and ventilation: City: j>v tL State:0,_ 'LIP: 9JJ.s~ Appliance vent Phone -7 J 'Fax; -"!G Email: oors,x ypet! 1Ts. •itchen/Itazmat hood etre suppression system Name: E��,f�� Ne p C Exhaust fan with si igle duct(bath fans) Mailing address:// , -= -}- -�tt� _ tiaust systema�a ;.. m eatingor C City: ' �-- ILtat - Z[P:9 � tie p p ng R'"""" '''ut oa up to out ets�- Tyf)e: _ L.PG ___ NG __ Oil Phone: (J I'ax il: furl l m eac aaditiona over riot ets arempiping(sc(schematic c quired) f Number of outlets ` Name` /-r �:� �. �iTie'r�lLat app ec•�r equTj,.tinent: Address: Decorative fireplace _ City' State: 'LIP: _ ___ peen ty�ppce —��_ -�— cxistov PCletstovc [hone: Fax: E-mail Other: l Applicant's signature: ' _ j�. .rhe tries. Na (print): me 1L7 Not all junxtictions r"e canthi tutu,pl call jurisdiction fn more informuioa. Minimum fee fee ................$ Notice:This permit application Nlinimum fee........ ..... ❑Visa ❑MmterCard $ expires if a permit is not obtained Plan review(at %) r_redlt cad"""'ter.--------_--- - Fsp/ i/ within Igo days after it has been State surcharge(8Rb) .... ---- -- - - accented as complete. Name of cudholder u shown on credit cud s TOTAL. .......................$ _�L 4 Cudholder ti6mlure --�� - Arna ni W-4617(6MCOM) Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE --- __ --- Description - Furnace to 100,000 BTU Table 1A Mechanical Code Oly trice Total includin duras 8 o�ntu 955 1) Furnace to 100,000 BTU - g including duds&ver Is 14 W Fumace> 100,000 BTU 2) Furnace 100,000 BTU- Including duds&vents 17.40 including ducts&vents 1,170 3) Floor Furnace floor furnace including-vent - f4 o0 4) Suspended haste(,wall heater including vent 955 of Pow moonnlled heater - -- - 14.00 suspended heater,wall heater 5) Vent not krduded in appaaflea Point" 6.50 of floor mounted heater 955 e Repair units 12.15 CheVert not Included Ina appliance ermit 445 Fordra$lh-1apply: 8or ileal on --- PP P Far Mena 7-10,aaa « 'Pump mond Oty Price Total Repair units _ 805 footnotes 1,2 comp 7)OHP;absorb unit to <3 hp;absorb.unit look 81111 14.00 E)3-15 HP;absorb unit to 100k..BTU 955 look to 500k STU _ 25.60 3-15 hp;absorb.unit 9)15.30 HP,obaoro un1 5.1 mll BTU 35.00 101k to 500k BTU 1700 to)30.50 HP;absorb -- -- unit 1-1.75 ma BTU 52.20 15-30 hp;absorb.unit 11)>WHP;absorb rme 11.75 mil BTU 501k to 1 mil.BTU 2310 $720 _ _-, - 12)Air hsrWlinq unN l0 10,000 CFM 30-50 hp;absorb.unit - -- 10-01)I3)ar handling unit 10.000 CFM* 1-1,75 mil.BTU 3400 17.29 >50 hp;absorb.unit 14)Non-po"ble evaporate cooler 10.00 5725 15)Vent fan conneded to a skpb dud -- > 1.75 mil.BTU 6.80 Air handling unit to 10,000 cfm _ 656 t6)VenWlbn system not Jnduded ki appliance permit 10.00 Air handling unit> 10,000 cfrn _ 1170 17)Hood served by mechanical exhaust- -- - Non-portable evaporate ooller 656 1 e)O«neslkcktknlors-- 1000 -- vent fan connected to a single dud 44017.40 - - -19)Commerdal or industrial type incinerator Vent syst.not Included In appllance permIt 656 69.95 _ Herod served by mechanical exhaust 656 20)other unks,including wood stoves f0.00 Domestic Indnerator 1170 21)Gas Pk*N one to lour outlets 5.40 Commerdal or Industial Incinerator 4590 22)Mon lion 4-per outlet(each) Other unit,Including wood stoves,Inserts,etc. 656 Minimum Porrik Fee$72.50 SUBTOTAL Gas plping 14 outlets 360 �A a%suacHARGE Each additional outlet 63 Pt.W REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only _ y TOTAL Other Inapectlnna Arid F-*: 1. k p.CW_rx4rkla of nrnur twnhess hers(rr,YWrum aurga-Fido h-) 177.50 pe hour 2 kupedrxn kx WA*:h m M N Wader-xM WauNM(nwr xn i dwaefiax Iwxr1 $72.50 par her Total Valuation Fee 3 Addab uI OW raw.raprkad b1 dvupas add-, k i ptaro(M*%4 n+ -' --"- d"Of""lWl hots)$72.50 fret her c n"dor Rite GNeuuon a0ukad S 1. S00l. Sto�,000.00 Minimum$72.50 """"`""''A'0 eQ a'""'p'a^''O1*p ow-.a"or one 55,001.00 to S10,000.00 572.50 for the first$5,000.00 and$1.52 for cacti additional S 100.00 or fraction thereof, to and including 510,000.00 $10,001.00 to 525,000.00 V - S148.50 for the first 510,000.00 and 51.54 for each additional$100.00 or fraction thereof,to and including$25,000.00 525,OOL00 to 550,000.00 � S379.50 for the first 5'25,000.00 slid S1.4S for each additional$100.00 or fraction thereof,to and including$50,000.00 $50,000.00 and up $742.00 for the first S50,000.00 and S 1.20 for each additional S 100.00 or fraction thereof Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer ermit nc.: Buildin Address: 13125 SW Hall Blvd,Tigard,OR 97223 p g permit no.: C'irynjl'ibard Phone: (503) 639-4171 Project/appl.no.: E xpiredatc: Fax: (503) 598 1960Date issued:o.: By: Receipt rio.: Land use approval: _ — Case Glc nPayment type: 1 1 &2 family dwelli:oract.--s.sory ❑Commervial/industrial 0 Multi-family ❑Tenant improvement 2ZNew construction ❑Addition/alteratien/replacement ❑Food service ❑Other:1 1 1 Job address: 5,01J3 Descriptlor Qty. Fee(ea.) Total — New 1-and 2-family dwellings only: Tax ax map//tax lot/account no.: Suit Y (includes 100 ft.for each u(ilkyconnection) Tma Lot: ) („ Block: Subdivision: SFR(1)bath—_____ SFR(2)bath `- Project name: ��, 1 — SFR(3) City/count- y ��,�1�°-c'�,_ _` ZIp:�7 ai Each additional bath/kitchen Description and lotation of work on premises: Siteutilitles: Catch basin/ama drain _ Est.date of completion/inspection: -i Drywells/leach line/trench drain _ Footing drain(no.lin, ft.)PLOIBiNG _ CONTRACTOR Manufactured home utilities _ Business name: ] Train les _ Address: 1P G i3 app convertor _ City:[,j�/�q,m State:p ZIP: Jp36) y sewer(no,lin.ft.) Phone: '(,7.- / Fax:Gb 7-cf c E-mail: sewer(no.lin.ft.) CCB no.: 7 Plumb.bus.reg.no: p. Water service(no,lin.ft.) - City/metro lit.no.: Fixture or Item: Contractor's representative signature: p opt Absorption valve — ---�=------ $ack flow prevanter Print name: -di/ Date: Backwater valve Basins/lavatory Name_(/pr !,x Clothes washer _— Dishwasher Address: pe eYQ 0a 7 Utinkin fountains) City: - . sf►�n- State ZIP: W 30 Ejectors/sump -- Pttone Fax: E-mail: Expansion tank _ Finture/sewer cap Name(print): � � f{G^��S Floora-ains/floorsinks/hub _Mailing address: �a 3- �� G - `- Garbage disTosal Hose bibb City_ 10 State:a.-,, I'LIP: 9 Jam: PhrceI _-- one: 6 Fax:a re maker E-mail. Ice makeor/grease 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(commercial) — employee on the propetty I own p per ORS Chapter 447. Sink(s),basin(s), lays(s) Owner's signature: Jo /I� L� �,�Datc: Sump Tubs/shower/shower pan _ — Urinal _ Name: � � — 'Water closet Address: ,l6Water heater City: SinteOVl ZIP: 7 Total — Phone: G pd3� Faze E-mail: Total ------- — No are puisdictiau accept credit tarda,pkw call jurisdiction for mar h ronnation. Notice:This permit application Initnum fee................ p C1 visa Q MasterCard expires if a permit is not obtained Plan review(at — %) $ Gedii card number: ,�L within I80 days after it has becn Stale surcharge(8%)....$ acceptedas complete. TOTAL .......................$ -_ -- —-None of cardlMl r u drown on crit� Expires —� _- Cardholder tiparure Amnunl _� �_ 44O-4616 ibp(K'OW _ PLEASE COMPILETF,1 FIXTURES (Individual) � Qty Price; Total Sink .60 {xture Type 16Q�rahtb Work Performed _ New Moved Replaced RemovedrCa Lavatory -- - -16.60 Sink ppe� -- - Lavato - ---- Tub or Tub/Shower Comb. 1$.60 Tub or TubiShower Combination - -- - Shower Only 16.60 Shower only -"-' Water Closet ` --� 16.60 - Water Closet -- --- Urinal ---- Urinal 16.60 Dishwasher --- Dishwasher 16.60 Garbe Dispooal _ - - - - Laundry Room Trate --- -- - -- - Garbage Disposal 16.60 Washing Machine - -- Laundry fray 16.60 Floor DraiNFloor Sink 2' - -- Washing Machine - �- - 16.60 4. Floor DrairVFloor Sink 2' 16.60 Water Heater - -- 3" 16.60 --- Other Fixtures(Specify) - ------ --- 4. Water Heater O conversion O like kind - 16.60 Gas piping requires a separate mechanical permit. MFG Home New Water Service 46.40 MFG Home New SarVStorm Sewer _ 46.40 - -- COMMENTS REGARDING 30VE: Hose Ebbs --� 16.60 Roof Drains - 16.60 _ Drinking Fountain 16.60 Other Fixtures(Specify) 21.75 Scwer-1st 100' ` 55.00 Sewer-each additional 100' 46.40 Wager Service-1 sl 100' 55.00 Nater Service-each additional 210' 46.40 Storm 3 Rain Drain-1 st 100' -� 55,00 Storm 6 Rain Drain-each additional 100' 46.40 Commercial Bade Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch 8a51n 16.60 Insp.of Existing Plumbing or Specially Requested 72.50 Inspectionsrliv Rain LRain,single family dwelling - 65.25 - Gmase Traps F " - 16.60 QUANTITY TOTAL Ixmretrk a nsa dLlgram Is mquh_M t O.a219y Total �^ 'SUBTOTAL - 8%SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL � R uttd on y future qt totalis>a __ _ '�, TOTAL � 'Minimum permn reg Is$12.50♦s%surcharge,exrxpt ReskientA Dad1low Rvvention Oev ,'ahkh Is$90.25 r s%su chwge All Nov Commercial Bulldlnys require plzns wfth is vnetrk or riser diagram wrd plan rrvlew Electrieal Fermat Application Date received: Permit no.: 4. ICity of Tigard Project/appl,no.: V Fxpirc date: -- City of Tigard Address: 13125 SW ball Blvd,Tigard,OF 97223 Date issued: i' By: Receipt no.: Phone: (503) 6394171 ----- Fax: (503)598-1960 Case f"i'.e no.: Payment type: Land use approval: h1 I&2 family dwelling or accessory U Com icrciaUindustrial Cl Multi-family U Tenant improvement U New construction U Addition/aiterad(,,n/replacement U Oth%r:__ U partial lob address: Bldg.no.: Suite no.: ITax map/tax lot/account no.: Subdivisi Project name: , i Description and location of work on premises: _ Estimated date of com ion/'inspection: --` - .lob no: 7 ,;;I Fee Max Business name: of _ Description Qt • (ea.) Total no.tm Address: - IvcWreddentW-single ormulti-famllyper l � do 4 ft unit.Includes atUched garage. city: St:rteQ ZIP: Serrlalncludcd Phone' /- Fax:G -79.rj '-mail 1000 sq.ft.or less 4 S Bach additional 500 s ft.or onion thereof 4VYn Elc Lirnitedenergy,reslA ntial p 2 3 7a Limited energy,non-residential _ 2 Eachmanufactured home or modulm dwelling ure super0s g el trician(required) Date service and/or feeder 2 ect name f rim): Services erferders-installation, p � - .t License no: 4 aherellOA Of relocation.- no r 2100 amps or less 2 Name(pont); �, ��rl 0 5 201 amps to 400 nrnps _ 2 401 amps w 600 amps 2 Mailing address: 7LILr lti 601 amps to 1000 empr - 2 city: 1 Stateta ZIP:fj j Over I(N>U snips orvolts - '- 2 Phone:GAG did Fax:,S-,9 - F,maid: Reconnect only - I Owner installation:The installation is being made on property l own Temporary services ur feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orreio"lion: ORS 447,455,479,670,701. 200 amps or less_-` 2 201 amps to 400 amps 2 Owner's signature: �� or < ' 4t-Datr: _ 401 to fi00 ants Branch circuits-new,alteration, or extension per panel: Name:- - A. Fee for branch cirr-if with purchase of Address:611O�_ service or fee;er fee,each branch circuit 2 City:,. p Statep ZIP41 � B. Fee for bmich circuits without purchve of service of feeder fee,First branch circuit: 2 Phone: v- 1 1 Fax: E-mail: Each additional branch circuit:PLAN 11L.fill-11 (I'lease.check all (hal apply) y _ - Miac.ok"ice or feeder not Included): U Service over 225 amps-commercial U Heald-care facility Each pump or irrigation circle 2 O Service over 320 amps-rating of U Ilanrdouslocation 3achsign oroutline lighting �— 2 family dwellings UBuilding over 10.000so,rarefeet four or Signal circuit(s)oralimited energy parrel, U System over 600 volts nominal more residential units in one structure alteration,at extensinq' 2 U Building over three stories 0 Feeders,400 amps or more •Descri tion: --- --_..-' - U :Lupant load over 99 persons U Manufactured sngrtures or RV park �-`�--'-'- -`_-`- =- - Each additional Inspection Duce thee allowable N any of the above:~ U Egress/lightingplan U Other. per inspection Submit___,aeLv of plans with any of the above. _Invesugauon fee 17he above are not appllcable to temporary robodnwillon service. other — f^----` — Nt .t,rurisdictiom accept credit cards,phase can Jurisdiction rot more hrrostr on. Notice This permit appliLation Permit fee..................... U Visa U MasterCard expires if a permit is not ohtained Plan review(at ___ %) $ �_- Credit card number: within 180 days after it has been Starr.surcharge (8%) ....$ Expires -- Hama of cardho�hown on c it ears accepted as complete. TOTAL ... ..... .... ........$ ~� Catdhuldes signature Amo-nt Orn tm5(rvrxLt'r M) --` TYPE OF WORK INVOLVED -RESIDENTIAL ONLY 4. Complete Fee Schedule Below: _ _Number of Inspections per permit allowed Restricted Energy Fee..... 576.00 -- Service included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Work Involved: 1000 sq.R.or less _ $147.15 _ 4 Each additional 500 sq tt,or Audio and Stereo Systems portion thereof _ _ $33.40 1 Limited Energy $75.00 Burglar Alarm Eacti Manufd Home or Modular Dwellin y V Service or Feeder $90.90_ 2 Garage Door Opener' 4b.Services or Feeders Installation,alteration,or relocation Heating,Ventilation and Air Conditioning System' 200 amps or less $80.311 _ 2 201 amps to 400 amps $106.35 C7 Vacuum Systems- 401 amps to 600 amps _ ;100.60 2 601 amps to 1000 amps _ $240.60 2 Ej Other Over 1000 amps or volts $454.65! 2 Reconnect only _ $66.85 2 FYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders Installation,alteration,or rela,a(ion �^ Fee for each system.............................................. =76.00 200 amps of less y` $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;evolved: over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems 4d Branch Circuits New,alteration or exters;on per panel Bolier Controls a)The fee for brancn circuits wfilh purchase of service or C] Clock 5ysterns feeder fe-. Each Lranch circuit $6.65 + 2 Data Telecommunication Installation b)The fee for branch circuits wkhouf purchase of�rervke Fire Alarm Installation or feeder lee. First branch Nrcult _ $46.85 Tach additional branch r.lrcuit $6.65 HVAC 4e.Miscellaneous O Instrumentation (Service or Hader not Wtided) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 _ Intercom and Paging Systems Signal drcutt(s)or a limited energy panel,alteration or extension $75.00 Lands^ape irrigation Control' Minor Labels(10) _ $125.00 4f.Each additional Inspection o.er Medical the allowable In any of the above �� Per inspection $62.50 Nurse Calls Per hour $62.50 _ In Plant $73.75 _ U Outdoor landscape lighting' 5. Fees: ❑ P,rtective Signaling Sa.Enter total of above fees $ _ 8%Swcharge(.08 X total fees) $ __- - Other Subfofal $ 615.Enter 25%of line 6a for Number of Syslem5 Plan Review If regained(Sec 3) $ Suhfofa! $ _ No licenses are requlred. Lkxnses are required for all other Installations j U Trust Account 0 FEES: Total balance Due $ ENTER FEES = _ -�- 81A SURCHARGE(.08 X TOTAL ABOVE) $ TOTAL $ i May-10-00 10:21A Wolcott Plumbing 603 687 9891 P.02 WOLCOTT &t N.W. i ss ► ,mQAddmss �.! 2050 N.W.Bumsida N.O.Box 2007 PU �r T7�Tl� Omham,Omgon Gmsham,OR 97030 LU1►1BI1�l� (813)Bal-17e1 Fax(503)887.9881 CC9 04647 CONTR.ACTORS, INC. May 10,2000 Building Department � City of Tigard 13125 SW HalI Blvd. Tigard,OR 97223 Woluott Plumbing Contractors, Inc, docs hereby authorim a representative of legend Homes to represent this firm when applying for plumbing permits inside the jurisdiction of The City of"figard. Wolcott Plumbing Contractors, Inc, realize that should the agreement with Legend Hom-.s terminate, we have the right to withdraw our consent. Name Title ignature nate 26-208PB _ � 4281 State Plumbing License City License r, FL OT FLAN LOT #leo 9, A1~'FLEWOOD "'ARK R-IPD 251 11 DA TAX LO"r 011(oOO 8939 Sly GREENING LANE S.E. 1/4 OF SECT ION 11, T.2, R.lW, uJ.M. CITY OF TIGARD WASHINGTON COUNTY, OREGON BigLEGEND HOMES 12755 SII 09th AVENUE SUITE 100 OFFICE (1503) 020-0000 TIGARD, OR, 97223 FAX (503) 598-0900 CCA/ 00503 LOT 163 LOr 162 LOr 161 AT TIBa'54'25"E `I Lor 16al 62210' 206 1012)' 41o7' r 521' -73 Lor 149 , 4, 311 5Q FT,, tfl NARGO>�;er �r o e FIN. FLR. - 206.7': ® WATER METER � A / GARAGE LR. 105.2' z t+l------- WATER LINE © Lor �7E SS—--—— SANITARY SEWER. z STORM DRAIN - v_ 4 '1' lrp� Jb — --_--__._ t OF 5TREET — • MANHOLE ® C:ATCP BASIN 8' UTILITY 204 ' PROS . '..:D EASEMENT STREET TREES _ _ - STRCET LIGHT SIDEWALK S 89' 54' 2'Y" W 6200, FIRE NY"DRQNT CURB ! PROvIDE ER05ION �- a___—_—_— --------- —�--= -- CC?NTROL FENCE5D r�-- - - - - - " -5DPER C.OI`V'iUNITl ` EROSION PLAN _ ----- --S�J-C--i1� NINC� L�4NE---W--------- CITY OF TIGARD BUILDING INSPECTION DIVISION MSTAI_� 'GV`/i7 24-Hour Inspection Line: 639-4175 Business Line: 639-417' BLIP ___ Dat<; Requested -" '�6) _AM /! PM _ BLD Location61410,. Suite MEC — — Contact Person Ph /-Y. 3 U PLM Contractor _ Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR -- Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab _-_ ^--------------- -- SIT _— Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler ------- Fire Alarm Susp'd Ceiling -- - -— -------- --- Roof Final PASS PART FAIL - --- PLUMBING Post Beam N L r� Underr Slab _ 7 Fop Out � L� I' J IC Water Service —_ �'1il f}"J�{�-L � Sanitary Sewer .Main Drains _ — -- `in al PAS, PART FAIL ----- MECHANICAL. Inst& Dearn --—--- — - Rough In (;as Line - ---- - — -. — -- Smoke Dampers Final ---- --- -- — — PASS PART FAIL ELECTRICAL ---— Rough In U G/Slab ----._-._.--_-.-_-- — — Low Voltage File Alarm ----- - --- - ---- — Final SS ^ART FAIL ---_.- -- — - Backfill/Grading ----------- --- -- -- ------- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Rlvd Catch Basin Fire Supply Line [ ]Please call for reinspect n RE: --_ ( )Unable to inspect-no at:cess pproach/Sidewalk Ext AD Date �3i� D Inspector — ` 1 PASS] PART FAIL] 00 NOT EMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST' 'ti��' 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �/ BUP _ —__--—Date Requested 3 r AM PM BLD Location f'Qr _`~ Suite MEC _ — Contact Person — _ _ Ph _ PLM Contractor _ Ph _ _ SWR UILD — Tenant/Owner ELC Retaining Wall ELR — Footing /Access: Foundation FPS - _-- Ftg Drain - SGN Crawl Drain Inspection Notes: — Slab __-_---- - SIT _ Post& Beam - Ext Sheath/Shear - __-- Int Sh^ath/Shear Fra:niny -_-_--- - ---- _ — Insulation Drywal!Nailing -_----_-------_--- ---- - - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -----_—_--- - —. - - --- Roof F'PASSI PART FAIL ----- - - - — - --- --- PLUMBING fast& Beam -- ---_—.------ -------- -- ----- Under Slab TopOut .�------ ---- ------ --- ------- --------.- Water Service Sanitary Sewer ---- ----- - -------- -- -_— Rain Drains -------_ _---_-- --_--- -_-- -- -_ Final PASS PART FAIL _---- --_--- -_-_--. - --- IC Post& Beim --- --- -- _ _ -_-..-------- --- -- -�- Rough In Gas Line ---- --- --- --_ --_ ------- --- Smoke Dampers P SS) PART FAIL ELECTRICAL ----- --- - ---_—____- _—._.--�- ----- Service W.-� ----- - ------ -- - - Rough In UG/Slab Low Voltage Fire Alarm --_- -- --_- _ -- -- Final PASS PART FAIL __.- _ -- - -- ---- --- --- --- SITE Backfill/Grading —"- ---- - — Sanitaiy Sewer Storm Drain [ ', Reinspection fee of$-, required before next inspection Pay at City Nall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I [ Pleas a call for reinspection RE: _--_• [ j Unable to inspect no access ADA �( - Approach/Sidewalk Date _ - i Y - [,/ _—Inspector. \ Ext Other L ----- -- - -- Final - PASS PART y FAIL DO NOT REN,OVE this In! pection record from the job site. o� �i V � � Z4 o O ti Ile- Ln Ln O � o (� °1' ti Q cu L w y � Lnro v ° r, C ro c � I � w � e s O y++ •H 0 0 a.r 1., `� � •3 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � ` BUP __J �� Date Requested �1J7 AM PM BLD Location qc, -3 �_0, 'Ut +��►tc_ �ti� Suite MEC Contact Person — Ph _ PLM -- Contractor _ — Ph _ SWR — [BUILDING -- Tenant/Owner ELC _ 1letaining Wall ELR I ooting Access: FPS Foundation _ 1 tg Drain SGN Crawl Drain Inspection Notes: — Slab _---- __--_ - __---.- -- SIT Bost& Beam Ext Sheath/Shear - Int Sheath/Shear Framing - Insulation Drywall Nailing ----- - ------------ - ---- -- - Firewall Fire Sprinkler _ -_-- ------__- - - -_.-- -_-__-- Fire Alarm Susp'd Ceiling __- --___ ---- -- - Roof Misc: --_ ----- ----- _---- -- Final -- PASS -#*KT FAIL - -----.-_-------- --- -- -- _ N Under Slab ------ - - -- - -- — I op 01 it Water Service Sanitary Sewer ____---- ---_--- ---- -.-- RaiW16Qins - --- ,------- ------- -- - S:' ART FAIL M HANICAL Post& Beam ----- - -- - --- ---------------------- Rough In Gas Line -- --- -- -- - --- - Smoke Dampers Final --- _.-- -- - --- --- P 'MET FAIL Service -- -- ----- -- -- - - -- Rough In UG/Slab ---- ------- - - -------- I ow Voltage ;r�a.r --- ---- --- --- i�lna' SS PART FAIL ---- - -- ----------- - - ----- Backfill/Grading ---�-- ---- -- - - - Sanitary Sewer Storm Drain ( ]Reinspection fee of$ - required before next inspection. Pay at City Hall, 13125 SW Hall B'vd Catch Basin [ )Please call for reinspection RE: —_ [ ]Unable to inspect-no access Fire Supply Line ADA G� Approach/Sidewalk Date — �� —Inspector Ys- Other Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.