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8995 SW GREENING LANE ca sa N fD fD cn o� (D 8995 SW Greening lane CITYOF TIGARD MECHANICAL PERMIT DEWS-LOPMENT SERVICES PERMIT#: MEC2002-00174 1312.5 SW Hall BlvJ., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/30/02 PARCEL: 25111 DA-17400 SITE ADDRESS: 08995 SW GREENING LN SUBDIV;SION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 167 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OC:;IIPANCY GRP: R3 VENTS W/O APPI.- VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FEEL TYPES 0 - 3 HP- 1 DOMES. INCIN: ELE — 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 504. HP: WOODSTOVES: FURRY < 100K BTU: AIRHANDLING UNITS CLC) DRYERS FURN >-100K BTU: <= 10000 cfm: N OTS iER UNITS: > 1000C c1m: GAS OUTLETS: Remarks: Install heat pu q . Cannot be placed within the required setbacks Owner: —� FEES_ JEFF LIIXA Type By Date Amount Receipt 8995 SW GREENING LANE PRMT CTR 4/30102 $72.50 272002060C TIGARD, OR 97223 5PCT CTR 4/30/02 $5.90 272002000C Phone:503-620-1695 — —Total -- $78.:0 ---- Contractor: SPECl/,LTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone:620-5643 Cooling Unt Insp Reg #:LIC 66578 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules aocoted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (5507`3)246-9189. Issue By: zk )'�r_ / t Permittee Signature: --- Call (503) 639-4175 by 7:00 P.M. fir inspections needed the next business day Apr 25 02 01 : 29p r;%Vec-ialtti Heating 503 598 0718 p echalniical Pern>litApplication �Daetrootei777 .;nq - ' . CSD/7 City of Tigar[� Pro}sees Addtess: 1.3125 SW Hall Blvd,Ti ard,CT7 22_i Pc;Ciq�oiTigard B Datc issuePhone: (..403)6394171 �C=1Receipt,w,. Fax: (303) 598.1960 Case file nyment type: Land use approval - _ [!fiuilding�pernrlt no.: t l I &2 fa�'lily dwellinm or accessory O t:r;mrnerr.ta!iin lnsttt;il J vluln-family Tenant►ulprt)v:meat ❑IYcw conetn,t ion !A.!�irnnnldlreratron/tYplact meat ❑Other' I1 t I I t Job address:S 5 kf !, ��i- q p q the dollar QCT va7 Q_ Indicetc G ui u,enc unnuties►n boxes below, Indica c ) _ 5 ice no* value of all mechanical materials,equipment, labor,(verhead. Tax map,I Wt lovaccount no.: v profit.Value$ Lot: _ - Block: Subdivision: _ •SCr checklist for important application Information [lid Pruje,zt name: �j(- X A jurisdiction's fee schedule for residential permit fee. City, r.2d ZiP; �-� 7 d y(/ t I " t Description an locrtrion�)f work on premises:�tti0 t a' 9111:111s t o M I t I Fee(.u.) Total E;t,dote of compleNon/insPection: S/ T q O y - Description qty, Ret.r Mt Row.pal? Tenant itnhrcivement or change of use � Is existing spier!heated or conditioned7V,Yes O Nt Air handlin unit _ C7I-'M Is existing space insulatrd't tr con iuon ng(site plan require ) 'Y. es q No Iters on tit exlsUn_E_9VAM':y.atcm t t o er campressors - Business nartt State bolter permit no.: ��EiC �/M9 t- v � !� HP Tons_ BTU/H Address: �U> / t (l7 YsT ,r amo a awirers/ uctsnto edetecotx Cit : u/1 Q' State:d,� ZIP:C_ 5'3 Heat pump(site pian ra9uire ) Phone�3e�,_ Fax;59r r%1 1; mall; nT siail)r-t'p'arse—furna urner i CCB no.: 4,5 T Including ductwork/vent liner ❑Yes O No nsta i'epTace/relocate raters-suspends . City/matte lac.no.: wall,or floor mounted Name(pleaseprint,- vent ora u tT nce o cr U'iuntuniacc rhtgsrntitun: Absorption units _ B'1'u/H Name: t71 Lee/y h 1 117 Ille Address: C ressors HP �`�. Stti' S/ City ��I� Sta e:cQ ZIP: G� ad ? n�tvome4tn e. ust and ventlisl on: Appliance vent PhoneLcoj G,jo_ Fax:j 80119,I E.mau: lryercxtraust nods. ype ; ria tc en/hazmat hood fair suppression system Name: // _ Exhaust fan with single duct(bath fans) Mailing a di f3'gr6 ",A ,�,p y EXI, list s stem a ter om he ttin g or AC _ -L----- zr; - - C'it • State: � ZIP: �7a�'y lir:p p ng stw lit on(up to out ets Type; —_LPG , NO oil Phone: /L+"i.� Fas f? aisle lice y pui rac t-'(a3 t3'u al ovcr'f out cts soup IQjA= Pma"pipiug(schcmatir.required) Name. Number of outlets -- - - -�-- — t er >t app croreq ew tnptap ot: Address; _ Decorative frre lace. City; -- State; ZiP: -- newt- Ne — – Phone; - — _ ax E-mail: o�e)lctstuve Applicant's sten arc_ J Date: �( 5 0 Other. _ -- Name !,t,41]urirdlcdau Atxeq credit canes,pteme call jun diction for more iruormratm.) Permit fee.............. ...... Notice This permit application Viva O Mpstet�:arrf " Minimum fcr.................$ W Lz 2 f, 4_11 a cDtre�it'."rrrmit Is not obwined Plan review(at _ %) $ C;edu card aumt�cr ` h► rer within 190 days after it has been ° State sun:harge(8%) .,..$ Name at c she a an t care - accept,er!as complete• —7^ Cardholder slFtottut _ A_mwnt aro-w -(aroa/COM) I Hpr 25 0�: 01 : P5p Specialtj Heating 503 598 0718 P• 3 SITE PLAN T" j> I � STRET,T Specialty Healing & Cooling, Inc 9528 SW Tigard Street 'Tigard, OR. 97223 Phone 503.620.5643 Fax 503.598.071. 8 Millsboro Phone 503.640.3607 Fax 503.681 .0793 A\ CITY OF 1 I G A R D --ELECTRICAL PERMIT PERMIT#: ELC2002 0190 DEVELOPMENT SERVICES GATE ISSUED: 4/30/02 13125 SW Hall Blvd.,Tigard, OR 97223 (50 3) 639-4171 PARCEL: 2S111 DA-17400 SITE ADDRESS: 08995 SW GREENING LN SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT : 167 JURISDICTION: TIG Proi�ect V-3scription: Branch circuit to A/C. I RESIDENTIAL UNIT TEMP SRVC/FEEDERS �— MISCELLANEOUS i 1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATIO.is EACH ADD'L 500SF: 201 - 400 amp: SIGN/OU r LINE LTG. LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FUR: 6014amps - 1000 volts: MINOR LABEL (10i: SERVICE/FEEDER_ BRANCH CIRCUITS — _ .— _ _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION L10004• amp/volt: v >=4 RES UNITS: — > 600 VOLT NOMINAL: —Reconnect only. SVC/Ff7R >= 225 AMPS: CLASS AREA/SPEC OCC:----- Owner: CC:_ __Owner: Contractor: JEFF LIIXA SHARPE ELECTRIC INC 8995 SW GREENING LANE 22.605 SW RIGGS TIGARD, OR 97223 BEAVERTON, OR 97007 Phone: 503-620-1695 Phone: 642.-7937 Reg #: LIC 81518 SUP 3344S ELE 34-217C FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 4/30/02 A $46.85 2720020000( Wall Cover Elect'I Final 5PCT CTR 4/30/02 $3.75 2720020000( Total $50,60 This Permit is issued subject to the regulations contained in the Tigard Municipal Cc de. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-0010080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344 i Permit Signature: Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE. —_ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ ,._— —________ DATE:___ _ LICENSE NO: __—__--- v 4 i t—Q – — -_--- Call 639-4175 by 7:00pm for an inspection the nest business day Hpr 25 02 01 : 29, P Spec i a 1 tq Heat•i ng 503 599 0719 p . 4 Electrical Permit Applicatio► � -- - D;.terr,;,,,ived: Pomdtno.; t cit ' of Tigard Projcct/appl.no.: Expiredetc: Cityofl7gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued Ay. Receipt no.: — Phone: (503) 639-4171 Case 171e no. Payment type: Fax: (503) 598-1960 _ -- — -and use approval. _ ._- 1 a IJA 1140 10 "&2 fan ily dwelling or ur ccssory 0 C ommercial/industrial 0 Multi-family 0 Tvnnnt improve count G Now conbuuuOun )4 Addilion/alteritinn/replacement 0 Other: 0 Partial JOB SITE INVARMA'"ON !0b Address: `� 95i'_< W �/1P.A-1��f 4�ma"� Pldg,no.: Suite no.: Tax map/tRx lot/account n0.: Lot: Chock: ISubdivision' project narttc. Lit D seri ton and location of work on premises: Estimated date of cum letiorlhnapection: VIf I1 1 1 Job no: :21 I Fre Min -- Description Lt�'y• (rr.l I Dial ., insp Buaiswss natal. /� �' _ Newresidenial-single ormalli-rath0yt,er Address:," 05 ®.�(lt �r dwetWlgunit.lnclWesattached ganwc. l�r��-i�r rL tr,te 7 %erviccincluded: Cit}: 4 Pltan�yc j 4 Har, E-mail• tlxJo 5q.n or lebr Each additional Sul)aq 4.ul Orti011 IhCtCO( CCB no.: / Sj Cleo.bus.lit.no: 3� -eZ t;� Limited enc ,reltWilual 2 City/rIetrolle.no.: 'As.-W Limltede2 p2— Fachmncturedhumenrmudulardwrilinn Sign lure n(suparvisl Lei rctriclml(ICquIRd) —pate Serviceand/crfeeder ---� i-- Services or f0ders-installation, Sup,elect,nail)e(prinU L-i alteration urrelocation; 1 1 Z0U con s ur las 2 � '-01 ampsto 400 not s 2 NName(print): >r // f —in i,unos x...00 a,nPo _ � 1 Mallin+addl�aa: ,5 ) / 601 amps to 1000 amps 2 City. r State: Z1P: IdA Over 1000an,nr,xvolt` 1 Phone.' l�O q, Fax: E-mail; Reconnect onlyI i'enlpoMry services or feeders- nwnev hlswilutiun:The installation Is being made on property I own InsWllullon,aheRtllun,orrelocAllont which is not intended for sale,(else,rent,or Exchange according to 200 amps or lesb _ 2 OMS 447,455,479,670,701. 201 am t�to 400 empt z (lwuct'a ai couture Date; 401 to 600 amps 1 Branch circelts-new,alternans, or extension per panel: rs Fee for march circuits with purchase of Addn service or reeder fee,each branch circuit 2 C State; ZIP, b. Fee for branch circFrm, rchase ' _ arlervrce or rccdcfee, branch circuit 2 Fa< f.-rttnil' EichaddiTonalbranc Misc.(Service orfcc ►: Glitch amp or ini+ae2 Q Ser.lacover225amps-aon+mercicJ J Health-carelucditp i Each c,Fn uruudinc U I�hli,t J 5ervictsuver.120 ampr-ratins of I Vr t Cl N,,xardouc leom,on SI nan cin:roudi r a limited energy panel. Innlilydwellinyr O Suildia�uvet In,0o0squamreetfour cr p t syslem„vcr 0W vnitlt ovnlinal more rebidential units in one savetum altermion,urexterWone U Handing aver three stones tJ Fenuent.4011 amps or move •lh ani u t s 7(lrrupa,H lead war Jo pun•enn Q Matul•.+�1wcJ ntructorCs or R V paM1; eh addttlonal Inspectiotl over the allowable is qtly of the alwcr i U F,yn dliphtinppt,m d Other: Nrmspecuon Submit see%of plass with any of the above. Invcsti urian rec __ 1"hc ubtfve are hot applicable In tr ns rsrY concttuction service. Ower hCflltlt fee.. . ..........•. .. Nol 111 luntalioillm h,cept crnlll Cants,please call jwndtchon for maty mtannaual. Notice!This tionnit application Plan review tat _ qel $ cx If ennit is not obtaincd 7 Visa ]Mnsterf ail Ims a p p State surchar c(8%) „•.S _��..�.`�--- within hill derv,s atter it has been � JeCepl.ed ns colnpictc. TOTAL ................... Nanw o Ca luhkr es s own r,n c it earl � $ �. Cardhaldar sIr}tawne --� Amowa J.Ir1..H i ltiKWICOM) CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 MSS --- ------ -- — INSPECTION DIVISION Business Line: (503) 639.4171 BUIJ Received __ Date Requested -__-A' !--- -_ _-- AM -_ PM _— BUF c- CM EC- �G.rd Z'e-21 Location C �� J•r=1L L J f -r ; d-1 —Suite Contact Person -- __ ,� Ph _ —) ' PLM -- Contractor. _-- -- -- - -_ Ph SWR BUILDING TenanVOwner __-_ ELC Footing _ ELC —_— Fuundalion r ccess: Ftg Drain `� � � ELRCrawl Drain ._ — '�— Slab Inspection Notes: SIT Post& Beam y --- - — Shear Anchors /Vy� Ext Sheath/Shear ( ----- Int Sheath/Shear Framing - - Insulation Drywall Nailing --- Firewall Fire Sprinkler -- — _— - - - Fire Alarm Susp'd Ceiling - --- - --- - -- - Roof — Other: - Final _ PASS PART FAIL PLUMBING _ _ _ —_ — - Post&Beam Under Slab - Rough-In Water Service Sanitary Sewer Rain Drains - --- - _ --- - - - i Catch Basin/Manhol / J Storm Drain .' Shower Pan Other: Final -- -/ P _ •-PARh�FAIL ECHANICAL Rough-In - --- - Gas Line Smoke Dampers - '1"ng EAU FAIL -_.__----- - - -- Se Rough-In - - UG/Slab Low Voltage --- Fire Alarm 1409L [� Reinspection tee of$___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL Please call for reinspection RE: — Unable to inspect-no access Fire Supply Line ADA Data I L��__�spoctor -- _'� Ext Approach/Sidewalk Other:__ Final DO NOT REMOVE this Inspection record from the job site. PASS FART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST�G 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested��—_ ---_—�M�/r'M —. BLD -- I-o^ation �'^� '�'r'' �✓ Suite _ —_ MEC _ Contact Person -`_ ----_-__—_-_ —_ Ph -- —_ PLM ---- Contractor __.,-,_-- —. Ph _ SWR _ ELC E3LIILDING _ Tenant/Owner --_- - Retaining Wall ELR Footing ACCeSS: FPS Foundation Ftg Drain --- 3GN Crawl Drain Inspection Notes Slab ------ ------ ----- -__ --- SIT -- ----- Post&Beam Ext Sheath/Shear --- Int Sheath/Shear Framing _-_ .._----- - Insulation Drywall Nailing - Firewall Fire Sprinkler -- - - Fire Alarm _ Susp'd Ceiling — - Roof L�/✓t /nJ !T A� L- -- / 5S>J r � Final PASS PART FAIL BIND z e14- - " tC�r c..! S� .►J�� _-- ost&. Beam Under Slab - Tap Out �� _ /a Waterr S Service /�[j Sanitary Sewer Rain Drains mal PASS PART FAIL. -- MECHANICAL Post& Beam -� Rough In - Gas Line --- - - -- -- _---- Smoke Dampers Final --_ - - PASS PART FAIL— Service All_Service — - -- Rough In UGISIab — — -- Low Voltage Fire Alarm - -- Wn -) PART FAIL _ -- --— - Backfill/Grading — Sanitary Sewer required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain [ ]Reinspection fee of$_ _ Catch Basin [ ]Please call for reinspection RE _— [ ]Unable to Inspect-no access Fire Supply line / ADA (�hpproach/Srdewa,k Date � Z Inspector Ext Other ___ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CI►Y OF TIGARD BUILDING INSPECTION DIVISION Msr0;�—' �S° 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested -A .--Pm Pm __- BLD Location_-��%'''> Sw t..e�j-�, - _--- Suite MEC _— Contact Person _ _ —� Ph -- PLM Contractor -- -- -- — Ph --- SWR BUILDING Tenant/Owner - _ -- ELC Retaining Wall ELR Footing Access: FPS Foundation --- - ---- Fig Drain SGN Crawl Drain Inspection Notes: ---- - - - Slab - — S!T -------- --- Post&Beam Ext Sheath/Shear ------------------ Int Sheath/Shear Framing - - -- ------ --- - - - - Insulation Drywall Nailing - - -- ---- --- -- -- -----— -- - ---- Firewall Fire Sprinkler - ---- ------- --- -- ---- -- - - Fire Alarm Sus I'd Ceiling - - ------ - - _-- . -- -------- - -- Roof Misc: Final PASS PART FAIL - -- ------ ------- ---- -------- -- - - Post X Beam Under Slab Top Out Water Service Sanitary Sewer plaaMnIns-1% Fi _ PART FAIL WeHANICAL Post&Beam -- -- -- - --- -- --- - - Rough In - Gas Line ------ Smoke Dampers -_ Final -- - - - - - --..--_ ----- --- PASS PART FAIL ELECTRICAL Service - --- -- __ - - Rough In UG/Slab -- - - - - Low Voltage Fire Alarm — Final PASS PART FAIL -- SITE Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before ne.-O inspertion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RE: [ j Unable to inspect-no access Fire Supply line ADA Approach/Sidewalk Date -?-MInspector_ —__ Ext Other -- Final PASS PART FAIL [DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST24-Hour Inspection Inspection Line: 539-4175 Business Line: 639-1171 BUP Date RequestFd 4 -27- 01 _Afk PM BL 7 _---__---,__-- Location��I cl S ��' � � c� ,_,� ��u' -- Suite ---- ----- MEC ontact PersolPh PLM. Contractor Ph SWR -- --- - -- — — � --- BUILDIN� Tenant/Owner — ELG Retaining Wall ELR _---- _-- ---___—_.. Footing Access'. FPS _-_-T—__--_—_-- Foundation Ftg Drain --- SIGN Crawl Drain Inspection Notes: SIT Slab _.___—._ Post&Beam Ext Sheath/Shear Int Sheath/Shear ♦ „ _ c's�ni.= /1 S Framing Insulation Drywall Nailing — Firwivall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Anal P PART FAI PL. BIND Post& Beam Under Slab Top Out Water Service Sanitary Sewer 1 Rain Drains -- Final - - PAW-.^ART FAIL - - - - —- MECHANIC — Post 8.Beam/ _ Rough In Gas Line S oke Dafnpers OASS' PART FAIL Vt&TRICAL - ------- Service - --- --- ----- — ------- Rough In LIG/Slab --- Low` c!tage Fire Alarm - Final PASS PART FAIL _SITE _ - — BacktilllGrading Sanitary Sewer Stone Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please .all for reinspection RE: _ ( ]Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Dats Inspector Ext Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. i Ia y o -n C C� N G MEE tw. �• V � n zi � v o � J r� n 0 a� n o � Q b f 00 MASTER PERMIT / \ �VITY OF TIGARD PERMIT#: MST2000-00509 DEVELOPMENT SERVICES DATE ISSUED: 11/29/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 539-4171 SITE ADDRESS: 08995 -12W GREENING LN PARCEL: 2S111DA-17400 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 1%7 JURISDICTION: TIG REMARKS: S/F PATH 1 BUILDING _ STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED REISSUE: -- CLASS OF WnRK. NEW HEIGHT: 23 FIRST: 1.034 at BASEMENT-. at LEFT 4 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,280 of GARAGE. •191, sf I,RONT: 2 5 PARKING SPACES: 4 TYPE OF CONST: 514 DWELLING UNITS: 1 rINBSMENT: of VALUE: S:l I'1"i RIGHT OCCUPANCY GRP: R3 aDRM: 7 BATH: 3 TOTAL: 2,32000 of REAR- PLUMBING CRAPS: SINKS I WATER CLOSETS: 3 WASHING MACH: i LAUNDRY TRAYS: 1 RAIN RAINS: 100 LL'.VAI DRIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SP RAIN DRAINS: I CATCH BASINS: TUBISHO tiEr.S: 7 GARBAGE DIC?: WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNI R: t GREASE TRAPS. OTHER FIXTURES: MECHANICAL UEL TYPE9 FURN<100N: BOIL/CMP DHP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FUP,N>•1DOK: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL -- RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CT.CIIITS MISCELLANEOUS—_ ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 200 amp: 0 2011 amp: W/BVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: tet WIO SVCIFDR. 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 Amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: E01 1000 amp: 601+8mpa•1000v: MIN JR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR>=225 A.: >000 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY '— B.COMMERCIAL A.SF RESInENTIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO$STEREO: FIRE A!.ARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH' BOILER: HVAC: LAN03CAPEIIRRIG: PROTECTIVE 91GNL: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: GARAGE OPENER: DATA/TELE COMM: NURSE CALLS: TOTAL N SY3TEM9: HVAC: TOTAL FEES: $ 4,111.87 Owner: Contractor: 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:.JV 69TH AVE 12755 SW 69TH AVE all other applicable laws Allwork will be done in TIGARD,OR 97723 TIGARD,OR 97223 accordance with approved plans. This permit will expire d work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION. rhone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rao N: LIC 00080583 forth In OAR 952-001-0010 through 952.001-0080, You may obtain copies cf these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8j Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Inso Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwoter Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr; Electrical Service Low Voltage Water Line InRp Final Inspection Post/Bearn Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building'Inal Perrnittee Signature :��'� �� Issued By : � X�L�---.-- - ,,// Call (5 ) 539-4175 by 7:00 p.In. for an inspection needed the next busltleas day CITY OF TIGARD SEWER C014NECTION PERMIT PERMIT#: SWR2000-00351 DEVELOPMENT SERVICES DATE ISSUED: 11/29/00 1312.5 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1 11DA 17400 SITE ADDRESS; 08995 SW GREENING LN ZONING: R-7 SUBDIVISION: APPLEWOOD PARK NO. 3 JURISDICTION: TIG BLOCK: _ LOT: 167 — TENANT NAME FIXTURE UNITS: USA NO: CLASS Or WORK: NEW DWELLING UNITS: 1 NO. OF TYPE OF USE: SF BUILDINGS: 1 INSTALL TYPE: L'TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: _ FEES MATRIX DEVELOPMENT CORP Type By Date Amount Receipt 6900 SW HAINES ST STE 200 PRMT CTR 11/29/00 $2,300.00 27200000000 TIGARD, OR 91224 INSP QTR 11/29/00 $35.00 27200000000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rt.!fes -nd regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued The total an.uunt paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance give-,n. If not so located, the installer shall purchase a"I ap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. C 7i Issued by: ,TPermittee Signature L next bus' ess day Call (5 3) 639-4175 by 7:00 P.M. for an inspection needed the Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no: Expire date: City n 'i j•18and Address: 13125 SW[fall Blvd,•Tigard,OR 97223 Date issued: By: Receipt no.. Phone: (503) 639-4171 - -� Fax: (503) 598-1960 Case file no.: Payment type: - Land use approval: Building permit no.: TYPE OF PERMIT k 2 family dwelling or accessory J Commercial/industrial U Multi-family U Tenant improvement "New construction U Addition/alteration/replacement U Other: �_— .11011111.44 I-E IN FOR-MA I ION CON611F-RU'All, VALUATION S01111111111' JIndicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite roc' value of all mechanical matetials,equipment,labor,overhead, profit.Value$ Tax map/tax lot/account no.. _ hat, e I Block: Subdivision: 1o�c�oa� *See checklist for important application information and Protect nacre: C.YC — jurisdiction's fee schedule for residential permit fee. City/county:- "4,W r� — ZIP: 9 71 � _ Description and l ation of work on premises: --_—_ 7 _ _ Fee(m) Total Est.date of completion/inspection: [�esrri rUon CM Res.only Res.only C: Tenant improveme r change of use: Air handling unit _ CFM�^ Is existi space heated u ..,r.Litioned?U Yes U NoAu con itto ingcit plan required) is e ' ng space insulated?U Yes U No Alteration or existing-WAZ`system v _ of cr compressors Stata boiler permit no.: Business name: Grp _ lie __Tons_ BTU/1-I Address[/ -- — _� tr smo i 3ampersA uct smoke_etecto_rs p �7 g ZIP: 9 71 cat pump(site pian re City: Sta qucre�i)-- Picone: -7 7 Fax: S � E-mail: _ Tnstal rep acefurnac urner_—3�T __ -�(, Including ductwork/vent liner U Yes U No _ CCD no.: ' _ -Fn stal replac rc oc:teheaters-suspen ed, City/metro lie.no.: �2 wall,or floor mounted _ Name(please print): L,On Y �t ora farce o et Nan furnace MR gena ffon: Absorption units _ BTUAI Name: � __ --- -- Corn ressors _ HP _Address: Cf S' _ nv rm►menta ex ust an vent ton: City: 'pw t State:OQ_ ZIP: �7A L2 Appliance vent Phone- �J ` Fax 7G y E-mail: yerex aus! — -_ ocxisc Type HT1 res. ache azmat hood fire suppression system Name: —�Pl p/ p __ Exhaust fan with single duct(bath fans) t� ausi system a-- crtTrom heatin or Mailing address: „�lJ;� uei plplog an tr ut on up to• outlets) City: y G state�g ZIP:�ioL3 Tyles: LPG NO _ Oil — Phone:/ G, Fax E mail: Fuel pipm enc c a da ctiona overt els spiping(schematicrequred) Number of outlets _ Name: �-eeb C A TriTieriCcte-lapp nce or iqu pment: Address: "LL _ _ Decorative fireplace City: State: ZIP_ nsert-type _- y - ooc tov pe let stove _ Phone: fob!- Gb Fax: Email: CXher - Applicant's signature: '.4J J-1nte_,_ Name (print)r��o c. -�-- ------__ - Permit fee.....................$ Not sit Juriulieti mr accept credit tads,phase cal:)uriadiction roc Inure Intorno iunl i!mice:This permit application UVisa ❑MasterC'artl I Mintr+rum fee.................$ expires if a permit is not obtained Plan review(at --- %) $ Cmdit cud numbu: - days - - - --- within ISO da s after it`las been rtpitet y' State surcharge(896) ....$ _ - accepted as complete. None of cardholder u shown on credit cud t TOTAL .......................$ --- — Cudholdcr sc6ttautre�-- -- Amnunt j 440-4617(fiR WOM) Commercial Schedule 18x2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE Description Furnace to 100,000 BTU Table 1A Mechanical Code my Price row Including ducts 8 vents 955 t) Furnace o 100,100 cru - - IL g !nauairq guao a vents 1400 Furnace>100,000 BTU 2) Furnace 10u,000 BTU. Mdud_ jucts a vents 1;.40 including ducts 8 vents 1,170 1) Floor Furnace -- floor fumacn Suspend vent- 4) Suspended heater,wait healer Including vent 955 or Mor mounted neater 14.00 suspended heater,wall heater 6) Vrm n o. uded n appliance permit _ 6.50 or floor mounted heater _ 955 5 air units _ 12.15 Check at that appl)r, Boiler Haat Air `- Vent not included in appliance permit 445 For Kama 7.10,aaa or Pump Gond oty Price Total Repair units 805 food ---1,2 Como - 7)<VP,absorb unit to <3 hp;Bbsorb.uiil 100K BTU _ 14.00 3-15 HP;absorb to 100k BTU 955 510ok oSMSBTU rntl 25.60 3-15 hp;absorb.unit N)unit 15J0 HP;absorb _ .5-1 ma BTU 15.00 101k to 500k BTU 1700 10)1050 HP,absorb --- unit 1-1.75 mit BTU 62.20 15-30 hp;absorb unit 1�)>saHP;abs mb unit>1.75 mil BTU - - 501 k to 1 mil.BTI12310 __-_ 57.20 _ - 12)/�.r handling unit l0 10,000 CFM '40-50 hp,absorb.unit ----- 1000 171 Ar handling unit 10,000 GFM+ 1-1,75 mll.BTU 3400 17.20 >50 hp;absorb-unit 14)Non-portable evepon!e cooler- 10.E -- > 1.75 mil.BTU 5725 15)vent ran connected to a single duc-"-- 6.80 Air handling unit to 10,000 clm 656 f(j)VenWation system oar rpcuded In 10.00 - Air handling unit>10,000 chn 1170 17)Hoodserved by mechanical exhaust - - Non-portable evaporate roller 656 PO P _ 1E)Dorrlesllc Incinerators vent fan connected to a single duct 446 - 17.40 - 19)Commercial or rtcera! Irdu+trial type nor Vent syst.not Indu_ded In appliance permit 656 C9.95 Hood served by mechanical exhaust 656 20)Other units,including wood stoves 1000 Domestic Indnel 310r 1170 21)6u piping one to our Outlets_- �_ 5.40 Commercial or;ndustral Incinerator 4590 22)More than 4-per outlet(each) Other unit,Indiding wood stoves,Inserts,eta. 656 Mlnlmum PermK Fee$72.50- 9UB-To TAL Gas piping 1-4 outlets 360 _ 5%SURCHARGE _ Ea H additional outlet 63 PLAN REVIEV4 25%OF SUBTOTAL Requlrad for ALL commercial permits only TOTAL otur kwp-u.I ant fees: I ins"dbm aaskle n/roman buslnnt hays Imhwnum dilute-twn haasl t•).W Ps hMR 2 Woe"'"b vdadn-I"•s aoecft*NV Infl"Wd(moi um rt aM-hall h-1 ST.gap.hats 19taLVAWafion Fee _ _ t of N WPW'rev*w Qgve. bydunaes adddbnsa evlsbnlbPumlNnlrtssn --�`--- --- - -" durge h&V lsur)112.50 Por has ___ __ •stab Cana.dm Solis Cwtaicadm requied $1.00 to$5,000.017 --"- Minimum$72.50 -��- "RoadenaNac panrhawV PI&M-A Ofwo 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional 5100.00 or fraction thereof, to and including$10,000.00 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$25,000.00 525,001.00 to$50,000.00 5379.50 for the first 52.5,000.00 and$1.45 for each additional S 100.00 or fiaction thereof,to and including$50,000.00 550,400.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional S 100.00 or fraction thereof Plumbing Permit Application r r Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: _ — Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City ofTigard Phone: (503) 639-4171 -- -- — Fax: (503) 598-1960 Date issued: By: Receipt no.: Case file no.: Payment type: Land use approval: - ---- TU*"uction y dwelling or accessory ❑Commerciallindustrial"Waal O Multi-family Ll Tenant improvement ew constr ❑Addition/alteration/rcplac:ernent ❑Food service ❑Other: _ 1rMIM nesscrl tion Qty. Fee(ea.) Total bTaxmap/tax : k��5 �t" L ��'`y New 1-and 2-lamfly dwellings only: Bldg. _ Sumo•: (Includes 100 R.for each utility connection) lot/acrount nom _ SFR(1)bathBlock:_— Subdivision: SFR(2)bath ' SFR(3)bath Projectname: I•f,ex) tach additional bath/kitchen City/county:Tr �— ZIP: Site utilities: Description and lotation of work on premises: --- Catch basin/ama drain -- ---- — Drywells/leach line/trench drain _ Est.date of completion/inspec ion Footing drain(no. lin. ft.) PLUMBING CONT111ACT0111 Manufactured home utilities Business name_ #� Manholes — - Address: 0 3c�� Rain drain connector _ State:r� ZIP70 3�' Sanitary sewer(no.lin.ft.) Ctty: &t-ti _),_Y Storm sewer(no.lin.ft.) Phone: L I- / Fax:(,L>-`� Email Water service(no.lin.ft.) CCB no.: —c Plumb.bus.reg.no:r W!� � Fixture or Item: City/metro lic.no.: _ _ Absorption valve _Contractor's representative sign M: - e-ZI _— Bach.flow preventer Print name: ri) Date: Backwater valve _ CONTACT Basins/lavatory— _ Clothes washer _ - Name: a -- Dishwasher -- — Address: Po d G'G' 7 _ Drinking fountains) _ _ City: r'�� 5tat e� 7_IP: ��3d E jectors/sutro _ Phone Fax: E-mail: Expansir.�tank —_ Fixt.iclsewer cap — Floor drainslfloor s_irilcs/tiub _ Name(print): L P 0,-dS --- Gartrage ddisposal kue, :1 —_ — Mailing address: 7,3- - c _ Hose bibb City: State:n.Q ZIP: 17 7..2_K--? ice m er — - Phone: o Fax:•f? ; E-mail: IntereeV!or/grease trap --- — Owner installation/m idential maintenance only: the actual inst111ation Ptimer(s) _ ---- will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own p per ORS Chapter 447. Sink(s),basin(s),lays(s)_—.__—_.— I Sunk Owner's signature:)o < Tubs/shower/shower panOEM 16,1410 E� r— Urinal _ --- — Name: a __ Water closet �— — Address: �q��i�' Water heater — State, 'LIP: Other. — City: cTotal onc: Phpaw Fax: J E-mail: ---- --- �- - —. Minimum fee.............. .$ — Nd al )I'�uri�dit i,�+�.rceq comfit�>Ru•Pk1°�t jwimscuon r«m +nro�m,u�n. Notice:This permit application Plan review(at _�_ %) $ --- --- U Visa ❑MasterCard expires if a permit is not obtained Stale surcharge(8`%) ••••$ —----- cm ii card number____._ ------ —�— -" within 1 RO days ager it has been accepted as complete. i J--Name of wdlw'+��«mown on credit cud Cardholder tisrtatme --- S Amount t4n-u,,6((AxwnKi) at EAsE COMPLETE; FIXTURES (ind!vidual) Qty "p, If Total - - _ fllrturo Type (�uanlit b Work Performed 16.60 Now Moved Replaced Reinov.dlCappw Sink 1. vat --- - 16.60 Sinn _ Lavatory_-_ Tub or TublShower Comb, 16.80 Tub or 7ub/Shower Combination 16.60 Shower Oft___--- Shower Only Water Close( 18.60 - --- ------ - - Water Ciosel Urinal 16.60 Dishwasher 16.60 Dishwasher Laundry Room Trate Garbage Disposal - 16.60 Waahin Mg achlne Launlry Tray 18 60 Floor praiNFloor Sink 2' 3' _ Washing Machine 16.60 4' 16.60 _- Water Heater _ Floor DraiNFloor Sink 2' - OLier Fixtures(Specify) - 16.60 4•---p _ 16.60 - - Water Healer O Conversion O -kind 16.60 - Gas pipinq requiresa separalo mechanical permit. MFG Home New Water Service 46.40 MFG Home New San/Storm Sewer - 46.40 _ COMMENTS REGARDING ABOVE: Hose Bibs 16.60 Roo(Drains 16.60 Drinking Fountain 16.60 Other Fixtures(Specify) --- _-- 21-.75 _----• - -- -"- Sewer-1st 100--- Sewer-each addillonal 100' 46.40 .. ater,Service 1 s1 100' _ 55.U0 W Water Service-each additional 200' 48.40 Storm 6 Rain[Nein-1 sl 100' 55.00 Storm&Rain L atm-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Reskfenlial Backflow Prevention Device' 27.55 Catch Basin Insp.of Existing Plumbing or Specially Requested 72.50 Inspectors -._ -�mr Rain Drain,single family dwelling 85.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or deer fiagram Is required it Quantity Total 1s s 9 'SUBTOTAL --- l�Fd•�4; -- 8% SURCHARGE 'PLAN REVIEW 25%OF SUBTOTAL Requked onlYll rvd.r.city.Idol I-,t 9 -- TOTAL 'Minimum permit fee Is$72.50+e%surcharge.except Residential Bacldlow fieventlon Devloe,wfrkih is$76.25+a%uadurge. "An Nevi Commercial Bullding+require plans with lsarnetric or,tsar diagram lard pian review. Electrical Permit Application Date received: Pernut no.: City of Tigard Project/appl.no.: Expire date: CityojT'igard Address: 13125 SW Hail Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 -- —_ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: "Newfamily dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement U construction U Addition/alteration/replacement O Other:_ p Partial 4011 SH E INEORMATION lob address: 1 i Bldg.nu.:_- Suite no.: Tax m /tax lot/account no.: Lot: Block: Subdivision: - Project name: _ Description and location of work on premises: Estimated date of com lelion/ina ction i — [lik2lilLiEffellmL,lLiiil Ilk]its Job no: //(�- Fee Max Business name: O/ �fi�r L_ — — Description �• (ea) Tutsi no.Ina Address:_ 7J05' New residential-sbgkormuhf-famllyper dwelling unit Includes attached garage. Citv• Qha StateQ ZIP: Serviaincludeik Phone /— I(M sq.ft_or less _ 4 —�ys� Fach additional 500 sq.ft.or portion thereof C to.: ��_ _!- Flec.bus.tic.no: 3 Jam' L.irrdtedenergy,residenwd 2 -,ity _ 3707,S __ Limited energy,non-residential 2 Fach manufactured home or modular dwelling n s gel Service ntrVor feeder _ _.. cure su rvltrician(required) � Date _ 2 — Sup.elect.name(print):CAawf _l ,` L.icenac nes: 70S Services or feeders—Installation,alteration or relocation: III a[I hill 11,1111010 1 2,1 to or less 2 Name nn!) 201 mps to 400 amps _ 2 (p— B — -- —— 401 at ps to 600 amps _ 2 Mailing address: 7�}S' ,f/y G 2 601 amts to 1000 amps 2 City: Stater; ZIP 77,4.)j Over 100`or. .s o:volts 2 Phone: Gam- pfd Fax:�q '-- E-mail: Reconnectonl�— -- -- I--- Owner installation:The installation is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation.alteration,orrelorydon: ORS 447,455,479,670,"101. 200 amps or less 2 �/ 201 gimps to 400 amps —�- _ 2 Owner's signature: �0 �� a Ln' Dale: 401 to 600 amps 2 Branch circuits-new,alteration, or extension per panel: Name' - 'cam_ ``7 / A. Fee for branch circuits with purchase of Address: C- O _ _service or feeder fee,each branch circuit _ 2 City:/r. Staley ZIP�}'7 B. Fee for branch circuits without purchase -- of service or feeder fee,first branch circuit- 2 Phone: �, - Fax: Email: Each additional hranchcircuit: LAN 1ILVII-11, (Please check all flim appl�) Misc.(Service or feeder not Included): •Service over 225 amus-commercial U firaldr-cue facility Foch pump or irrigation circle —.---2 U Service over 320 amps-rating of 1&2 U Har-ardouslocation Fach sign or outline lighting 2 family dwellings U Building over 10,000 square feel four or Signal circuit(s)or a limited energy panel, U System over 6(ln volts nominal mote residential units in one structure alteration,or extension• 2 O Building over three stories U Feeders,400 amps or more *Description: v _ 11 Occupant load over 99 persons U Manufactured structures or RV prA Fich additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other: Perinspectian Submit____sets of plans with any of the above. Investig■uon fee L The above are not applicable to temporary construction service. _ Other Not all juriaracdam aagx credit cora,plwe call jurisdiction res mese infannatim. Notice:7 his permit application Permit fee.....................$ L?Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card numher: -_�___ within 180 days after it has been State surcharge(8%) ....$ Fxpirrs accepted as complete TOTAL, .......................$ _-- Name of cardolder as shown on cretlit card S Cudholrfer signalure i_—Amount 4404615(bU(YCOM) TYPE OF WORK INVOLVED -RESIDENTIAL ONLY 4. Complete Fee Schedule Below: _ Number of Inspections per permit allowed Restricted Energy Fee........................................ $76.00 Service included: Items Cost Total (FOP,ALL SYSTEMS) 4a. Residential-per unit Check Type of Work Involved: 1000 sq.ft.or less _ $147.15 _ 4 Each additional 500 sq.R.or - El Audio and Stereo Systems portion(hereof _ $33.40 1 Limited Energy s $75.00 Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder _ $90.90 2 Garage uoor Opener' 4b.Services or Feeders Installation,alteration,or relocation Heating,Ventilation and Air Conditioning System' 200 amps or less _ $80.30 _ 2 2.01 amps to 400 amps - $106.85 -_ 2 Vacuum Systom�' 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 Fee for each system................... $75.00 ........................... 200 amps or less $66.85 _ 2 (SEE OAR 918-2.60-260) 201 amps to 400 amps $100-30 2 401 strips 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,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit __- $6.65 ---__ 2 Data Telecnmmunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation Vim(branch circuit $46.85 _ Each additional branch drcuit ` $6.65 HVAC 44-..Miscellaneous r� Instrumentation (Service or feeder not included) f adh pump or Irrigation cirde __ _ $53.40 Each sign or orAtine lighting $53.40_ - Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension _ $75.00 Landscape Irrigation Control' Minor(.abets(10) _ $125.on _ 4f.Each additional Inspection over ❑ Medical the allowable In any of the above f'er Inspection --__- $62.50 Nurse Calls Ile(hour $62.50 _ In Plan( - $73.75 --� n Outdoor Landscape Lighting' 5. Fees,• ❑ Protective Signaling Sa.Enter total of above fees $ _ 8%Srxdharge(.08 X total fees) $ _---,. Other Subtotal $ _ �- fib.Enter 25%of line Sa for - _Number of Systems Plan Revi •v If required(Sec 3) $ -. Sub(ota, $ No kenses are required Licenses are required for all other Installations I� Test Account p FEES: Total balance Due $ ENTER FEES - - --- ---- 8%SURCHARGE(.08 X TOTAL ABOVE) TOTAL $ May-10-00 10:21A Wolcott Plumbing 603 667 9891 P.02 diew OLCOTT 50 N.W.Burnsdreas M.UIng Ad2007 2050 N.W.Burnside P.O.Boz 2007 Gresham,Oregon Greahwn,OR 87050 PLUMBING (603)687.1781 Fax(503)667.9891 CONTRACTORS, INC. ccs rzM7 May lo,2000 Abkj7/ �o Building Department / City of Tigard 13125 SW Hull Blvd. - Tigurd,OR 97223 Wolcott Plumbing CentructoTs,Inc. docs hereby authod7z a repre..-lentative orLegend Homes to represent this firm when applying for plumbing permits inside the jurisdiction of'llte City o('Tigard, Wolcott Plumbing Contractors, Inc. realize that should the agreement with Legend Homes terminate, we have the right to withdraw our consent. t- wne Title Signature nate vu 26-208PI3 4281 State Plumbing License City License l.O I FJ-. AN LOT #1(o l , AFFLEWOOD FARK R-11=D 251 11 DA TAX LOT 011400 8995 6W GREENING LANE S.E. 1/4 OF 5ECT ION 11, T.2, R.IW, W.M. CITE' OF TIGARD W,45N INGTON COUNTY, OREGON ]LEGEND HOMES TE 100 12766 911 99th AVENUE OFFICE (603) 920-8000 PORTLAND. OR. 97223 FAX (603) 696-8900 CCHO LOT 165 LOT 164 LOT 163 N 62 @@ LOT 168 Z �1.4' c f` 2012' 206.8' ■ �@ @" LOT l66 40 4, 3-11 SQ. FT.' .n REOE 0 FIN. FLR. 2@1B' WATER METEE R � r GARAGFLR. �?�6,m' � ,/. r w__-------- WATER LINE 4.2' — 55--—— — SANITARY" SEWER Z SD— — — — STORM DRAIN -- — -- t OF STREET • MANHOLE 1 ® GATCN BASIN2@52' 8' U'fILITY 204.4' PROPOSED EASEMENT STREET TREES _-- ® " �— S 89' 54' STREET LIGHT 15" ��— SIDEWALK 62.@@'W I FIRE HYDRANT — —� (PY CURB I I u' ll ' -j-65—------ PROVIDE EROSION -- CONTROL FENCE = -�- -��' — — -- - -- - - --— - ----SD —- - PER COMMUNITY EROSION FLAN --ul-------- SW (SREENING 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 Permit #: IlPIST2000-00509 Date Issued: 11129100 Parcel: 2S111 DA-17400 Site Address: 08995 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 167 Jurisdiction: TIG Zoning: R-7 Remarks: SIF PATH 1 Your company has been indicated as the electrical contractor for the pQrmit 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 12756 Svw 69TH AVE 21785 SW TUALATIN VALLEY HWY S i IGARu, UR ALOHA, OR 97006-i248 Phone #: 503-620-8080 Phone #: 591-1320 Req #: LIC 121159 slip 3707S EL E 34.305C AN INK SIGNATURE IS REQUIRED ONHI FORV X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION MST -2e �•- z `_ 24-Hour Inspection Line: 639-417!, Business Line: 639-4171 BUP — _ Date Requested_ . Z AM PM _ FILD _- - Suite MEC Location_ Ph 7-- Contact Person _S' / G e)L) PLM ---__-- Ph SWR --._— —. Contractor — ELC BUILDING Teriant/Owner ELR Retaining Wall Footing Access: FPS -- ------- Foundation SGN — Ftg Drain -'-- Crawl Drain Inspection Notes: SIT _ _--- Slab ------ ----- -- Post&Beam --- Ext Sheath/Shear Int Sheath/Shear —___—_��___----------- Framing -- ------- -- insulation _-- Drywall Nailing —_-------- — -- Firewall Fire Sprinkler -- Fire Alarm --._-_---___--------- Si.sp'd Ceiling — ------- Roof - Misc 7 Final ------ PASS PART FAIL PLUMBING — —- — --_ Post& Beam Under Slab - 1 op 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 Alarm -"-------- -----J--- Final ___ — -- ---- --- PASS FART _FAIL -----—__.---- --- SITEZ�_ ---- — —.------ --- ------------ — Backfill/Grading Sanitary Sewer re uired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain I ]Reinspection fee of$ _ 9 �.atch Basin — ---—_ _ ( ]Unable to inspect - no access ]Please call for reinspection RE Fire Supply Line Ext ADA ___._.-.____,- ►�l. it - - r ach/Sidewal Date :;L -j i _C ( _Inspector -- — Other Fir* PART FAIL DO NOT REMOVE this inspection record from the job site.