The URL can be used to link to this page

9011 SW GREENING LANE cD U �D fD r d d I it 1+ i 9011 SW Greening Lane CITY OF TIGARD BUILDING INSPECTION DIVISIONV MSl V, s � ' 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 RUP Date Requested__ A,MPM BLD i Location_� .St,> P�.� .� L„- _ Suite MEC. Contact Person Ph �� '"m 7- PLM Contractor E rZ Ph SWR BUILDING Tenant/OwnerELC Retaining Wall - -~ ELR FootingFoundation FPS Fig )rain - - SGN Crawl Drain Inspection Notes. -- - --- Slab -----_ ------ - - _ -_ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -- -- Framing -- Insuletion Drywall Nailing ------- _-- - -- ----_-_ - --- -__-- Firewall Fire Sprinkler --------------------- Fire Alarm Susp'd Ceiling Roof Misc Final � -- �ASS PART FAIL ----- - -- --- --- - --- FLUMBING Post& Beam _- Under.Slab Top Out Water Service Sanitary Sewer — Rain Drains Final ----- —�_�_ PASS PART FAIL_ MECHANICAL — - Post& Bearn - - - - -------- Rough In Gas Line I - ---.. _- --- - - --- ---_. Smoke Dampers Final - --- ---- - -- - - ----- --- - PASS PART FAIL Service Rough In ---- --- _.- UG/Slab Low Voltage - - - - --- ASS ART FAIL ------ ------- ------ --____...------- --SITE Backfill/Grading --_ — _--__-------_-..- -- -_— -__-_--- Sanitary Sewer Storm Drain f ]Reinspection fee of$ _rerrtired before next inspection. Pay at City Hall, 13125 SW Hall Blvd BasiB Catch n ''" Fire h Basi pplyLine [ )Please call for reinspection RE -_� __� [ 1 Unable to inspect-no access ADA Approach/Sidewalk Date / 1 L� Inspector Z C Ext Other her --- Final PASS PAr.T FAIL 00 NOT KEMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 633-4175 Business Line: 639-4171 MST BU' _ Date Reqt cued, ----- AM PM ----- BI_n 46,1) --- Locations -71.L Suite MEC Contact Person —__ Ph _ � � PLM Contractor Ph_ Ph — SWR BUILDING Tenant/Owner ELC Retaining Wall - EL R Founldalion Access: i{ �'` I` L >�;_ +�(�Lc w FPS Ftg Drain Crawl Dra;,; Inspection Notes. SGN — slab ---- -- ___ -- --- - SIT Post& Beam - ---- Ext Sheath/Shear Int Sheath/Shear - Framing - - - - - 'nsulation ---��` ---- ` -- - Drywall Nailing Firewall _--- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: - -- - ---- -_ -. - -- - --- Final —• ---- -- --- --_ PASS PART FAIL - - -- -- - -- -- - os 8. Beafn - -- - - Under Slab Top Out - - - - - Water Service Sanitary Sewer R ' PART FAIL IWECHANICAL Post& Beam -- - ---- _ ---- -- - ---- --- -- -- -- Rough In GasLine - . .-- - ----- - - ..._----- ---- - - - 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 [ ]Reinspection fee of$_ required before neyt inspection Pay at City Hall, 13125 S'+N Hall Slvd Catch Basin Fire Supply Line I J Please call for reinspection RE: _ — _ Unable to inspect-no access ADA L / ZU /Approach/Sidewalk Date ! CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-flour Inspection Line: 639-4175 Business Line: 639-4171 --- ' / BUP _ —_Date Requested_ AM-----PM BLD --- --- - - Location_ U/1 ,5 w �i`/...-/•-y G.., Suite MEC Contact Person Ph 0/ 3 PLM Contractor _ _ Ph SWR % X11 Tenant/Owner — — E.LC —"'Retaining Wall EI_R Footing Access'. ------- FoundationFPS Fig Drain CrawlDrain Inspection Notes SGN -- Slab SIT Post&Beam ---- - ------ Ext Sheath/Shear Int Shealh/Shear Framing losulation -- —-- Drywall Nailing ---- ---- -- - - -- - - -- --- Firewall Fire Sprinkler -- --- _.. -- -- - -- -------- - ------- --- -- - - Fire Alarm - Susp'd Ceiling Roof Misc: -- -- ---...----- - -- — ---- - --- -- - - - — -- - -- - - AS -P'ART FAIL. -. --- - - -------- - --- ----- PLLIMBIN Post& Beam - -- - - Under Slab Top Out - - Water Service Sanitary Sewer Rain Drains Fina! - - - PASS P T FAIff L CHANIC --- _ ------ Post& Beam - ---- ----- ---- Rough In Gas Line - -- Smoke Dampers PART FAIL ELECTRICAL Service Rough In - --- _ ...__----- --- - UG/Slab Low Voltage _ Fire Alarm Final PASS PART FAIL SITE _ .r ._.._.-----------, Backfill/Grading - -� Sanitary Sewer Storm Drain f I Re,nspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Edi•.(f Catch Basin Fire Supply Line ( ] Please call for reinspection RE' _, ( ]Unable to Inspect n ar ADA Approach/Sidewalk a �� Other Date �/- ?�- / Inspector_ �_ _�� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. c C O � O t H L' a V � a 1 W6 o� NrZ V 'v 1�� CCS C uu L c > C t r U LL C� B E 1 j 3 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 titin IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VALLEY HWY S ALOHA, OR 97006-1248 qQ� Electrical Signature Form Permit #: MST2000-00527 Date Issued: Parcel: 2S111 DA-17300 Site Address: 09011 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 166 Jurisdiction: TIG Zoning: R-7 Remarks: SIF PATH 1 Your companN, has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN. Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: MATRIX DEVELOPMENT CORP GARNER ELECTRIC 6900 SW HA.INES ST STE 200 21785 SW -i UALATIN VALLEY HWY S TIGARD, OR 37224 ALOHA, OR 97006-1248 Phone #: Phc ne #: 591-1320 Req #: L.ic 121159 SUP 3707S EL.E 34-305C AN INK SIGNATURE IS REQUIRED Of THS ORM r/ _x Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 316 CITY O F TIGARD __ MASTER PERMIT PERMIT#: MST2000-00527 DEVELOPMENT SERVICES DATE ISSUED: 12/18/00 13125 SW liall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09011 SW GREENING LN PARCEL: 2S111DA-17300 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 166 JURISDICTION: TICS REMARKS: S/F PATH 1 BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 74 FIRST. 911 of BASEMENT. at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF I LOOR LOAD: 40 SECOND i sl GARAGE: 479 e1 FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FfNBSMENT sl RIGHT: 5 VALUE: S 197,64700 OCCUPANCY GRP: R3 DORM: 3 BATH: 3 TOTAL: 7 154 0o d REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS- 1 WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS: OTHER FIXTURES: MECH/,NICt L FUEL TYPES FURN<100W BOIL/CMP<314P VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN>a100K: 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 CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 omp: 0 - 200 amp WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'l.500SF: 4 201 400 amp: 201 - 400 amu 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOU3: LIMITED ENERGY: 401 600 oma: 401 600 anm EA ADDL DR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVC/FDR: 601 • 1000 omp: 601-amps-1000v MINOR LABEL 1000+amphioll PLAN REVIEW SECTION Reconnect only: »RES UNITS: SVC/FDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT: BURGLARALARM: OTH BOILER: HVAC* LANDSCAPEIIRRIG: PROTECTIVESIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,813.40 MATRIX DEVELOPMENT CORP LEGEND HOMES CORP This permit is subject to the regulations contained in the Tigard Municipal Code,Slate of OR. Specialty Codes and 6900 SW HAINES ST STE 200 12755 SW 69TH AVE all other applicable laws All work will be done in TIGARD,OR 97224 TIGARD,OR 97223 accordance with approied plans This permit will expire H work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centor. Those rules are set Reg a uc 1550561 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 PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Sewer Inspection Underfloor Insulation Mechanical Insp Framing Insp Gas Fireplace Electrical Final Footing Insp Crawl Drain/Backwater Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Foundation Insp Footing/Foundation Dr; Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Post/Beam Structural Plm/undslab Insp Electrical Service Low Voltage Water Line Insp Final Inspection Issued ey: Q" t-�`— Permittee Signaturs �" _ Call (5A) 6394175 by 7:00 p.m. For an inspection needed the next business day CITYOF TIGAP J SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00362 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 12/18/00 SITE ADDRESS; 09011 SW GREENING LN PARCEL: 2S 111 DA-17300 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING R-7 BLOCK: LOT: 166 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 permit for new single family residence. Owner: — - FEES _ MATRIX DEVELOPMENT CORP Type By ^Date Amount Receipt 6900 SW HAINES ST STE 200 _ _-- TIGARD, OR 97224 PRMT CTR 12,18/00 $2,300.00 27200000000 INSP CTR 12/18/00 $35.00 27200000000 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 Unif;ed Sewage Agency The permit expires 180 days frorn 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 flet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm.t and the Agency will install a lateral ATTEN-1ION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued b �' /_Q__ Permittee Signature::Y >l YL�1 9 -L Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 7, pfr vF 4 Building Permit Application Date received: i 1 ! Permitno.:r/i',� r�- City of Tigard — ' Address: 13125 SIN'Hall Blvd,Tigard,OR 97223 Project/appl.no.: - Expire date: ('lryr,Jrga,d Phone: (503) 6394171 Date issued: By: I Receipt no.: Fac: (503) 598-1960 Case file no.: Payment type: Land use approval; I&2 family:Simple Complex: _ TYPE OF PERMIT lel&2 family dwelling,or accessory U Commercial/industrial U Multi-family 2rNew construction U Demolition U Addition/al teratiotdreplacernent ❑Tenant improvement U Fire sprinkler/alarm ❑Other: 1 SITE IN FORMATION Job address: IO(( 41110&atELW6- GIi-' Bldg.no.: - Suite no.:-- I.ot; _ Block: Subdivision: A& Tax map/tax lot/account no. Project name: W Ct'>(1 14/ fL K_ Description and location of work on premises/special conditions:-2,11) 1:011 SPECIAL INFORMATION, Name: _ _ ' ' ' c� Y Mailing add ss: /a 73-5 74 ile _ 1 &2 family dwelling: —City:::-V1�6 Stater 'LII': Valuation of work ) G 7 6 CI l ......................... 3r Phone. Faza -mail: No.of bedrooms/baths................................. +� �- Owner's representative: Total number of floors........................ ........ Phone: Fax: E-mail: New dwelling area(sq.ft) .......................... _cam/ 514 Garage/carport area(sq.ft.)......................... Name:::: a Covered porch area(sq.ft.) ......................... `--- Mailing add ss:1o1 _ Deck area(sq. ft.)....... ................................ Cit Statep ZIP: Other stnicture area(s .ft.)......................... y: _ Phone: Fax 1,5 2'5r) E-mail: CommerclaUlndmtrial/multl-family: Valuation of work..................... .................. $ Business name Z.Lr�� Existing bldg. area(sq.ft.) .......................... -- -------- --- New bldg.area(sq. ft-)................................ Address:J 7J� {.> s - �- Number of stories........................................ Stated ZIP:`!.7a�- -City:� , - Type of construction.................................... `---_- Phone: D c9 ) Fax:,V Email: Occupancy group(s): Existing: CCB no.: (c O }`(� 3 - New: City/metro lic.no.: e:All contractors and subcontractors are required to be ARCIlITEC71DESIGNER licensed with the Oregon Construction Contractors Board under Name` y' �� , u, J` �- provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is bein„performed. If the applicant is Cit '� -y�{p StateC� Z1P: exempt from licensing,the following reason applies: City: / v� /a tea/ ___ 97 Contact person: �_ $dc,171 Plan no.: Phone:4'.)o . O v hax:,3- E-mail: Name: -� ,,E1 _�- Contact person: Fees due upon application ........................... $_-�- Address:��var) oft Date received: — City: er' Stated ZIP: f Amount received ........................... ............. $ Phi ne: -Lqs' Fax: E-mail: - Please refer to fee schedule. hereby certify 1 have read and examined this application and the Na all iuridictiom axepr it cads,please call imidiction Fr more information. attached checklist. All provisions of laws and ordinances governing this U Visa U MastmCard work will be complied with,whether�ifred he in or no C"rA"cud name-- -- - ---- Expires Authorized nature: il. � v ate: �!_ --Name of cartlholdef as shown on credit card — Print Cardholder sittrtature �_ S Amount— Notice:This permit applicat• n a pires if a permit is not obtained within ISO days atter it hes been accepted as complete 440-4611(t„aaroM) Electrical Permit Application Date received: Permit no.:Lt ;�,�5 �- City of 'Tigard Project/appl.no.:_ Expire date: J Cir o ri and Address: 13125 SW Hall Blvd,Tigard,OR 97223 y Date issued: By: I Receiptno.: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: &2 fancily swelling or accessory Cl Commercial/indusuial U Multi-fancily 0 Tenant improvement New construction ❑Add ition/alteratiott/replacement ❑Other: U Partial Job address: � w :[��(� Bldg,no.: I Suite no.: Tax map/tax lot/account no.: 1101: Blocker_ Subdivision: � � j7AV_ _Project name: --=Description and location of work on premises: y� Estimated date of coin letion/ins ction: KII Job no: _ _ FK M„t Business name: (Op DescriptionQt (ea) Total no.Insp � New residential-single ormulti-family per Address: ��5 l- dwelling wilt.Includes attached garage. City: State;o!q I ZIP: q; � Service-lncluded: Phone -/(3 1000 sq.ft_or less _ 4 : �— Each additional 500 sq.ft,o:portion thereof CC a.: S� Elec.bus.lie.no: 3 37�-j L Urniredener - — - -7 energy, 2 -fly 3 / Urnitedenergy,uon-r_siden6al 2 _ _ s Gu O t? Each manufactured home of modular dwelling un luresu s gel gtrician(required) Date Service and/or feeder _ _ 2 Sup.elec!_ rn name(print): Ucenseno: Services or feeders-istallation, aIteration or relocation: Its)III old MW I"Ab"A 0 ransom 100 amps or!ess 2 Name(print): 6 201 amps to 400 amps 2 --- --- Mailing address: 401 amps to 600 amps 2 J- f'l g 601 snips to IOOO amps _ 2 City; Staters ZIP: %j� Over 1000 amps or volts 2 Phone: 6,40 4f'a Fax:sj '- E-mail: Recon.ectonl — i I Owner installation:The installation is being made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,■Ilenllon,orrelocation: ORS 447,455,479,670,701. 200 amps or toss 2 /� 201 amps to 400 amps _ 2 Owner's sit nature: ✓ o / 4� Date: �� _ 401 to fi00 amps 2 Branch circuits-new,alteration, or ertenslon per panel: NamC: A. Fee for branch circuits with purcha-e of AddreS"v isr p. O�lL_ service or feeder fee,each branch circuit _ 2 City:`,.C"'a 11,511 State J zlp-/l , B. Fee for bunch circuits without purchase of service or feeder fee,fitst branch circuit: 2 Phone: - Qn Fax: E-mail: Each additional branch circuit: Mlsc.(Service or feeder not Included): U Service over 225 amps-entnmereiai U Health-care facility Each pump or irrigation circle V 2 U Service over 320 amps-rating of 1&2 U Hamrdous location Fach sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energ! panel. U System over 600 volts nominal more residential units in one structure alteration,or extension' _ 2 U Building over three stories U Feeders,400 amps or ore •bescri tion: m - U Occupant load over 99 persons U Mahufactured structures o•RV park Each additional Inapctn.n Over the dlrwahle In any or the strove N U F_gress/lightingplan U Other ___ ___- Per inspection Submit___sets of plans with any of the nbov-. Investigation fee 71re above are not applicable to temporary construction service. other — — Not all)udwficnoro incept crmN carols,place all iuriutictlnn far maze Information. Notice:"Ibis permit application Permit fee..................... LJ Visa U MasterCard expire!,if a permit is not obtained Plan review(at __ %) $ Credit card number: within 190 days after it has been State surcharge(85',) ....$ Expires accepted as mplete. TOTAL .......................$ _ Narne of cadholrier as shown on credit card Cardholder si`rtuure Amount 4404615 440-1615(60WMM) 4. Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY _ Number of Inspections per permit allowed -Restricted Energy Fee............................� $76.00 Service included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Wog*Involved: 1000 sq.fl.or less _ $147.15 _ 4 Each additional 500 sq.ft.r• i ❑ Audio nod Sterec Systems portion thereof $:13.40 1 Limited Energy �^ _ $75.00 ^ ^_ LJ- Burglar Alarm Each Manufd Horne or Modular Dwelling Service or Feeder $90.90 2 --- - - ❑ Garage Door Opener' 4b.Services or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and i.ir Conditioning System' 200 amps or less _ $80. 0 2 201 amps to 490 amps _ $106.8.5 _ � ❑ Vacuum -stems- 401 amps to 600 amps - $160.60 _ 2 601 amps to 1000 amps - $240.60_ 2 ❑ Other Over 1000 amps or volts -- - 5454.65 _ 2 -- Recom,ed only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders - ---- Installation,alteration,or reloc-ilion - Fee for each 200 amps or less $6685 2 201 amamps systertl............... =75.00 s to 400 am - (SEE OAR 918-260-260) P P� $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. ❑ Aud;o and Stereo Systems 4d.Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circults Wily purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 _ 2 b)The fee fir branch dradls Data Telecommunication Installation without purchase of service or feeder fee. Fire Alarm Installation First branJi drali: $46.85 Each additional branch circult _ $6.65` _ _ ❑ HVAC 4e.Miscellaneous ❑ (Service or feeder not incl ded) Instrumentation Eadh pump or irrigation circle _ _ $53.40 _ Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circutt(s)or a limited energy -- --_- - panel,alteration or extension $75.00 -_ Landscape Irrigation Control' Minor Labels(10) _ $125.00 4f.Lach additional Inspection over i� ❑ Medical the allowable it any of the above Per Inspection _ $62.50 Nume Calls Per hour _ $62.50 In Plant __- -� $73.75 ❑ Outdoor Landscape Lighting' 5. Fees: ❑ Protective Signaling U.Enter total of abov'2 fees $ _ 8%Surcharge(.08 X total fres) 5 ❑ Other Subtotal $ _ 6b.Enter 25%of line Sa for - -Number of Systems Plan Review it reg uircd(Sec.3) $ Subtotal $ __ No licenses are required. Licenses are required for all other In3tallations j ❑ Trust Account 0,- _ FEES: Total balance Uue $ ENTER FEES 8%SURCHARGE(.08 X TOTAL ABOVE) $ rOTAL $ _-`- Mechamcal Ptrmit Application "Daleccived: Permitno.:hl l b7�Gu' City of Tigard Projecdappl.no.: z Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Dateissued: +-- By: __ Receiptno,; Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: .t'l k 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other Job address j'(?(tJ�l'1tTJ rl�i" L fflll �.� Indicate equipment quantities in boxes be:ow. Ind+icue the dollar value of ail mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: ( Biock: Subdivisiot��_ *See checklist for important application information and Project name: A o,14 c,, >� -r jurisdiction's fee schedule for residential permit fee. City/county: "r ZIP: .2-._3 Description and loeau� on of work on premises: aig� Fec(ea.) Total Est.date of completion/inspection: - - De9crl Ion Qt • Rcs.only I{es.only Tenant improveme r change of use: A�' Air handling unit _. _CFM Is existio space heated or conditioped)U Yes U No irconditloning(site p an reyu-an Is e • tng space insulated?U Yes U No A terauoi. )iexisu- ng VAC system_ _ of et comprersors State boiler permit no.: Business Warne: Lr� __,-- HP Tons BTU/H _ Address: l e2j- '--- _ * -mo� k-ci ai pRrs/ductsmo- ke3etectors City: p Stat , � ZIP: 97,1 f�� mat pmnp(site pan required) Phone: -7 ) Fax: 7(,y Email: nsta vrep acc furnac u� /f J --- Including c uctwork/vent liner ❑Yes U No CCB no.: f f ,1lnsta�replac rrlocate eaters-suspended. City/metro lic.no.:,__1 Q7 wall,or floor mounted Name(please print): 170/) ent ora ianceot et tan fu e gerA 6p: 1010 Absorption units �_ BTU/H Name: / ��C Chillers _ ,. HP ,- Address: ' � i Compressors__ HP J __ _r ;nr ronmenta exhaust an ventlTa�on: City_P'-'t& e- State: !��ZIP. f Jul 3 Appliance vent _ Phone•^ Faxiy' 7G ->' E-mai fftyrr ex asst i s, ype / res.kilche caamat hood fire suppression system _Name: p ,� � p/j"] S Exhaust fan with single duct(bath fans) --Z LIK IT"system a art from eats or C Mailing address: „2 J _ �wT p pp ng-�d).st rtt on(up to outlets) City: y � _ Stalea^j,0 ZIP:97i�,j ^7-T-El Type: LPG NG Oil Phone: p [� Fax; - Q� E-mail: t g carr additional oveiTo-utt ets - t Kmp p ng(schematicrequired) Numtxr of outlets Name: � /: h t er�st, app -no-e or equ pment: Address: —�� _ 5--sen Decorative fireplace _ City: .� t�j _ State: 71 P: 5--sen--type� � - Phone: fd?! - Gb Fax: F,mail _ stov Fx letstcve� ` , t, Other: Applicant's_signature: at Name (print): a i Na all Jurisdictions accept Redd curt'.PI call Ju6selicdun fa more InformYlon n fee. ................$ _-- _-- Notice•,This permit application Minimum fee ................$ U Visa U MmterCard expires if a permit is nor obtained Plan credit cord number. - _�L_ Ian review(at � �) $ c __._. Expires within 180 days aper it has been State surcharge(8%)... $ ---- accepted as complete.Name of cardhulder u Showa t>tt cteAit cud $ p P TOTAL. .......................$ — i holder sisrtatoro Amount 4404617(6MCOM) Commercial Schedule t 18172 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE - Description Furnace to 100,000 BTU Table IA Mechanical Code Oly Price Total including r1t.rls R vents 955 1) F-�maoe w 100,000 BTU- - Q Including duds&vents _ _- 14.00 Fumace>100,000 BTU 2) Furnace 100,000 BTU• inrlud duds&vents 17.40 including ducts&vents 1,170 3) Flora Furnace floor furnace -- kdih ring vent 14 W _ 4) Suspended heater,wall heater Including vent 955 «Moor mounted heater 14.0° suspt,nded heater,wall heater 5)Vml nal hduded N appllanca permH 6 e0 or floor mounted heater _ _ 955 s Pepak unea 12.15 Check as that apply •ender Heal A I Vent not included in appliance permit 445 For Meme 1.10,see of Pump Cond O(y Price Total 1&2tnotes 1,2 Comp .. Repair units 605 7) 3HP;absorb unit W <3 hp;ahsorb.unil 1L1!)M-6TU ---- 8) to 100k BTU 955 1i H5Wabsorb erU une 25.60 3-15 hp;absorb unit g)15-30 HP;absorb unit.5.1 and BTU 35,00 101k to 500k BTU 1700 10)30.50 tip.absorb - -- unit 1-1.75 ma BTU 52.20 15-30 hp;absortb.unk 11)>WHP.absorb unit 1,75 mil BTU-- 501 k to 1mil BTU 2310 __ 8710 _ 12)Air handling rmd to 10,000 CFM 30-50 hp;absorb.unit _ ----- 10.00 13)Air handling unit 10,000 CFM♦ 1-1.75 mil.BTU 3400 17.20 >50 rip;absOrt).Unit i 1t)Hon-portable evaporate cooler --- - 10.00 > 1.75 mil.BTU 5725 15)Vent con connected to a single dud 6.eo Air handling unit to 10,000 ch n 656 16)Ven albosystem not 4nchided inappliance permit 10.00 Air handling unit> 10,000(.fm _ 1170 17)Hood served by mechanical exhaust Non- ortable evaporate coller 656 - 100 ~ P P _ tit)Domestic incinerators vent fan connected to a single dud 446 --- _- -. 17.40 -- Vent syst.not included In appliance permit _ 656 1q)Commercial Industrial type Incinerator 69.95 Hood served by mechanical exhaust 656 20)other units,trndudiry wood stoves 1000 Domestic Incinerator 1170 21I Gas piping one to iota outlets s.4o Commercial or Industral incinerator 4590 22)Moro than 4-per outlet(each) 1.00 Other unit,Including wocd slaves,Inserts,etc. _656 Minimum PWr;Fait f72.50 - AU8TOTAL Gas piping 1.4 outlets_ 360 ex SURCHAncr Ead i additional outlet 63 PUH R"U-W 25%OF SUBTOTAL Required nor ALL commercial permits only TOTAL -jW- -- Ou.,Nupacslona snit fele: r d"µ+"] ankle M normal"ineaa t--I"*--*--d.'"Mo I.-I V2 per hour 2 Mnp*Cwm hr wtri no ke M rMcMkath In"Wd(er+a+Kdn cnaR"NM rami a c- 112 so per h- Total Total uadon 3.-._�._._ .-�_- C_ - A4datr rat plan mvjM m4uked W chwW•.addd.ma a re.M1uon,b ptam lrr*4 an ctwpeor**,af hu)1r2 3o per nnu __ _ •slab car**cim brier CoWwAriun requked �'.Cb to$5,000.00 -- - - Minimum 5'12.50 _ -- Ite.ida did An"Ants we pian 0-vk°paremnM a tarn I 55,001.00 to SlO,I?00.00 - $72.50 for the first 55,000.00 and 51.51.for each additional S 100.00 or fraction thereof, to and including$10,000.00 510,001.00 to$2,^00.00 $148.50 for the first$10,000.00 and$1.54 for each additional S100.00 or fraction thereof,to and including 525,000.00 i $25,001.00 to$50,000.00 5379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction theteof,to and including 550,000.00 550,040.00 and up -� $742.00 fnr the first$50,000.00 and$1.20 for each additional S100-00 or fraction thereof Plumbing Permit Application 7Projject/appi. permit no.: City of Tig`.. permit Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 o.: Expire date: Fax: (503) 598-1960 Date issued: By: Receiptno,: Land use approval: _ Case fiie no.: Payment type: 1 &2 family dwelling;or accessory 0 Commercialrndustrial O Multi-family O Tenant improvement UNew construction O Addition/alteration/replacement ❑Food service O Other: 1 Job address_ f/.& [_At,) Dercriptlon e!. Fee>a.) Total Bldg.no.:_ Suite no.: — ` Netr 1-and 2-family dwellings only: Tax map/tax lot/account no.: (includcs 100 ft.for each utility connection) SFR(t)bath Lit: V,?V Block: Subdivision: � �'AOLSFR(2)bath - Pmject name: w�£ , p {>�V21�._ SFR(3)bath City/co_untY ,/ r C zIP:_f_) — Each additional bath/kitchen Description and lokation of work ole promises: SheutUitles: Catch basin/area drain East.date of completion/inspection: Orywelis/leach line/trench drain NIEW Footing drain(no.lin. ft.) Business name: Manufactured home utilities —��C� 12_ Manholes Add-!-sq: Z G 3 o VO 1 b7 Rain drain connector S'ate:� aLIP:c� 7034 Sanitary sewer(no,lin.ft.) Storm sewer —�L'- Phom!: (,H3YIZ7_1 ax:(,G 7-'� E-m�.tl: _ (no.lin.ft.) CCB n-r.: _ Plumb.bus.reg.no: ?6,20 Water service(no,lin. ft.) City/hneti o lic.no.: ['Ixture er item: CoKmctol's representative signatu ✓ �n Absorption valve Print name DatC~ _Back flow preventer — Backwater valve 1 1 Basins/lavatory Name. ��,� Clothes washer Address: o g e y-j_'j e2p J — Dishwasher nking fountain(s) City: ��jo� Statco ZIP: 2JIctars/sumP Phone:/ Fax: E-mail: Expansion tank Fixture/sewer cap Name(print) _-_ p��O� Floor drains/floor sinks/hub r�:a�i:n address: Garbage disposal g 7'3' � G— Hose Bibb ty: v� a State:o�, i Z[P_97�;ti3Ice maker Phone: _ o Fax: ! E-mail- [nterce for/grease trap_ _ Owner installation/resider.tial maintenance only: The actual installAtion Primer(s) - will be made by me or the maintenance and repair made by my regular Roof drain(commercial) enrployt,e on the.property I own ks per ORS a ter 447. Sink(s),basin(s),lays(s) Owner's signature: /� _ Sum Tubs shower/shower pan _ Narrre: po WateUrinal — Addrrss: — r closet Wptcr heater City g��/ Stated ZI Other — — �Pltone: G _ pd� _ E-mail_ Total tour all Jurisdictions.roep aetncards,nk.,e call ii.tsdc,ion for mme In[nmwiq, Notice:This permit application Minimum fee................$ .--- ❑visa Q MasterCard Plan review(at -__ %) $ cndn o�d number expires if a 1N:rntit is not obtained --- -- ---- --- —L L within 180 days after it has been Slate surcharge(8%).... r .___N,amof crfil� own an cnit ctd ---- accepted as complete. TOTAL ..••.•••••......••.....$ Cardhotdu signature —-- —� - Amount- -'---'-- ----- 4144616(6AW01.! pLEAUMMPLETE: FIXTURES (individual) City Price' Tota! - Future Type-- uentityb Work Performed Sink _ - 16.60 - New Mova d Raplacad Removedldappu t avarory 16.60 Sink Lavatory -- Tub or Tub/Shower Comb. 16.60 Tub or Tub/Shower Combination Shower Only - 16.60 Shower Onlyi - Water Closer 18.60 Watei Closet _ Urinal kin - 16.60 Dishwasher _ Dishwasher - 16.60 Garbage Di�sal __ _ Lau Room Tray --- Garbage Disposal 16.60 Washing Machine Laundry Tray Floor DraiSink 2' - � 1G.60 NFloor,-_ .i. Washing Machine 16.60 --- - 4• - - - ------- Floe DraiNFloor Sink 2" 16.60 Water Heater _-_ - -- 19.60 Other Fixtures 3" -- 4" 16.60 Water Healer O conversion O like kind 16.60 --- ~ Gas ipin9 requires a separate mechanical permit. -- MFG Home New Water Service 46.40 - - MFG Home New San/Storm Sewer 46.40 Hose Bibs COMMENTS REGARDING ABOVE: � 16.6U Roof Drains- ------ 16,60 _ -- Drinking Fountain 16.60 - - ------- Other Fixtures(Specify) --- 21.75 Sewer-1 sl 100' - 55.00 Sewer-each additional 100' 46.40 Wafer Service-tsl 100' 55.00 Water Service-each additional 200' 46.40 Storm 3 Rain Drain-1 at 100' 55.00 Storm 6 in Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device46.40 Residential Badc6ow Prevention D(:vice' 27.55 Catch Basin 18.60 - i1 Insp.of Existing Plumbing or S f eclally Requested 72.50 In.:pecilons _ _rthr Rain D(airr•sk(gte family dwelling 65.25 !Grease Traps 16.60 QUANTITY TOTAL Isometric.or rises diagram Is required I Quo Ary Total Is >9 "SUBTOTAL ^� 8%SURCHARGE ..PLAN REVIEW 25%OF SUBTOTAL Requr_e_d onry r future qty.total is>9 _ TOTAL *Minimum permit Its Is$72.50+e%swcharge•except Reskler"9addlvw Prevention Device,whkh Is$56.25+e%uetturye. '•AN New Commercial Buildings requke plans wki Isametrlc or rtur diagram and plan review. May-10-00 10:22A Wolcott Plumbing 603 667 9891 P.02 ,WOLCOTT 6UN.W.Brett Mei.Box drsu 2050 N.W.Burnside P.O.Box 2007 Grsthm4 Oregon Gmshsm.OR 97070 PLUMBING (M)M7.1781 Pax(503)507•ee91 cce s"1147 CONTRACTORS, INC. May 10,2000 Building Department City of Tigard 13125 SW Hull Blvd. - Tigard,OR 97223 Wolcott Plumbing Contractors,Inc. docs hereby authorim a representative of Le vend Homes to represent this Arm when applying for plumbing Permits inside the jurisdiction ornic City ofTigard. Wolcott Plumbing Contractors, Inc. realize thh*,should the agreement with Legend Homes terminate, we have the right to withdraw our consent. Name Title Signature Duce 26.208PO 4281 State Plumbing License City License PLOT PLAN LOT 01(oro , APPL.EWOOD PARK R71 PD 251 11 DA TAX LOT 011300 9011 SW GREENING LANE S.E. 1/4 OF SECTION 11, T.2, R.IW, W.M. CITY OF TIGARD WASPINGTON COUNTY, OREGON LEGEND N HOMES16Dms 106 omce (503) 620-5050 TIGARD, OR. 9722 ►AI (602) 696-8900 CCB/ 80660 2075' LOT 1165 O U' I N89'S4'25"E U 2 15' ' CJ WATER METER t0A 1_ 111– ------- WATER I-INE Ss-- --—— SANITARY SEWER lU ' �OT 166 , ' — STORM DRAIN tLn o 4, '111 SQ. FT. �� ,nl - - -- 4 of STREET I I"�' 1 HQRCOURT 11�►; MANHOLE ~ ' i FIN. FLR. 208.1',_:4111 `I O ® CATCH BASIN , GARAGE FLR. 206 6' �9 -4 PROPOSED } { STREET TREE'S i) STREET LIGHT - lL � I FIRE HYDRANT i L/k ?ta65' I 8' UTILITY EASEMENT \ SIDEWALK PROvIPE EROSION I ,� 4 •00' ' CONTROL FENCE I I CURB -` PER COMMUNITY r N EROSION PLAN •.----tSS-------._, --S5----------T— --E}^� --SS--- U, —w- 1 5w GREENLING LANE