Loading...
9220 SW O'MARA STREET IS VkiVW,o SAS 0ZZ6 a N Q oc a co C4 N 0 a� 9220 SW O'MARA ST CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DMS ELECTRIC INC 2820 NW 8TH WAY CAMAS, WA 98607 Electricai Signature Form Permit #: MST2003-00155 Date Issued: 2118/04 Parcel: 2S102DC-00300 Site Address: 09220 SW OWARA ST Subdivision: EDGEWOOD Block: Lot: 016 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached, Path 1. Your company has been indicated as the electrical contractor for the permit indica±ed above. iii 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 Sig,iature Form prior to the start of tha work to the address above, ATTN: Building Division. No 31ectrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: DAVID LEWIS DMS ELECTRIC INC 7500 SW BARNES RD 2820 NW 8TH WAY PORTLAND, OR 97225 CAMAS, WA 98607 Phone #: 503-297-7074 Phone #: 360-833-2088 Req #: LI 118073 si1N 4s42s a FILE 27-7420 a t~ AN INK SIGNATURE IS REQUIRE ON THIS FORM t X Signature of Supervising Electrician If you have any questions, please call 503.718.2433. Ser 13 04 05: 49% `iRRSHRLL ::FOOT 503 650 8212 P. 1 00/10/2004 14:13 FAX $038041060 CITY OFMarl 111001 31OF TIGA 25 S.W.H RLQ BLVD. RECE!VED 1'It3ARD, 17R&7223 SEP 13 2004 IMPORTANT PERMIT NOTICE CITY OF TIGARD THI7`7121700T PLUMBING 8UILD")DIV1810N AO BOX 274 WEST LIA:1I, OR 97068 Plumbing Signature Form Permit* MST2003-00155 Date Issued: 2118/2004 Parcel: 2SI02OC-00300 .Site Address: 09220 SW O'MARA ST Subdivision: EDGEWOOD stock: Lot: 016 Jurisdiction: TIG Zoning: R-4.5 Rermeft: New 6F detached, ft% 1. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, piei se have the appropriate individual from your company sign below airO. return this Plumbing Signature Fomi prior to the start of the work!o the address above, ATTN: Building Division, No plumbing Inspections will ba authorized until this completed form Is received OWNER: PLUMBING CONTRACTOR: DAVID LEWIS THREEFOOT PLUMBING 7500 SW BARNES RD PO BOX 274 PORTLAND, OR 97225 WEST LINN, OR 97068 Phone#: 103-297-707! Phone#. 503-557.7585 Reg#: LIC 103792 PLM 3-259PB a AN INK SIGNATURE IS REQUIRED 1N THIS FORM ��- X a�/pit J S ribilure of i ariz umber ED (3 If you have any quettbna,Pivese call 503.718.2433. i w��esssss�sr CITY OF TIGARD► 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 Bt1P _ Received _____ _,Date Requested AM— _PM_ __ BUP Z .Z M Suite._. MEC Contact Person __ Ph Z SZ) PLM Contractor — _^ Ph( ) _ SWR BUILDING _ Tenant/Owner �_ _ ___ __ ELC _ �^ Footing ELC — Foundation Access: fj Fig Drain ELR _ Crawl Drain Inspection Notes: ,Its IT _ F -i&Beam Shear Anchors ---- Ext Sheath/Shear Int Sheath/Shear/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Other: -- -- --- Final PASS RT FAIL PLUMBING Post&Beam Under Slab _ Water Service "Sanitary Sewer Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: — -S. _, pART FAIL - 3I _ANICAL _ Post&Beam '— Rough-In _- Gas Line O. Smoke Dampers Hrn PART FAIL -- Sery c - F0_ Rough-In _ Uta/Slab Low Voltage . Fir Alarm —` ART FAIL Rein-1,wtion fee of$ required before next Inspection, PAY At CITY Hail, 13125 SW Hall Blvd. SITE ❑ Please call r reinspection RE: _ 0 Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Deft —_ Imp ^� �— Other: Final - _- — DO NOT RFMOVE diiln InspeWon (record 4M two ohm. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING 0Inspection Line: (593)639-4175 ( MST INSPECTION DIVISION Business Line: (60 )639-1171 BJP Received Date Requested_ �' �G M---PM _ BU!" Location �i Z C) -Suite MEC — Contact Person _ Ph( L) -��✓`� PLM Contractor_-- _ _—_ Ph ) SWR -- BUILDING Tenant/Owner _ __ ELC w_ Footing ELC Foundation Access: Fig Drain ELR Crawl Dram Slab Inspection Notes: f/ SIT - Post&Beam �� _ Shear Anchors Y — Ext Sheath/Shear Int 3heath/Shear Framing © n. Drywall Nailing ---- — - Firevrall Fire Sprinkler - - -- — Fire t 'arm Susp'd Ceiling — Roof ASS PART FAILIstUM — BING — Post A Beam Under Slab a —� --~- Rough- In Water Water In - - Sanitary Sewer Rain Drains — -"-" Catch Basin/Manhole Storm Drain -- Shower Pan _ Other: _ —Final PASS PART FAIL MECHANICAL -- Post A Beam Rough-In -- — Gas Line a Smoke Dampers --- A: Final PASS PART FAIL — —— --— ELECTRICAL J Service M Rough-In C9 UG/Slab W Low Voltage Fire k,larm --- -- --- ----- ---___._ Finel Reinspection fee of$� required befor4reeo Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection E:---- Unable to impact-no access Fire Supply Line ADA Approach/Sidewsik psi �`J' �� _IIItIKt — Other: Final DO NOT REMOVE this Inspectie the Job site. PASSPART FAIL --� CITY OF TIGARD _ MASTER PERMIT PERMIT#: MST2003-00155 DEVELOPMENT SERVICES r)ATE ISSUED: 2/10/04 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 09220 SW O'MARA ST PARCEL: 2S102DC-00300 SUBDIVISION: E-DGEWOOD ZONING: R-4.5 BLOCK: LOT: 016 JURISDICTION: TIG REMARKS: Nev, SF detached, Path 1. 13UILDING _ REISSUE C.U370M STORIES: 2 FLOOR AREAS _REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,270 e' )ASEMENL of LEFT: SMOKE DETECTORS: Y TYPE OF'1SE: SF FLOOR LOAD: 40 SECOND: 1,454 of GA'-AOE: 623 of 7RONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 THIO of RIGHT: 5 OCCUPANCY ORP: H3 BORM: 3BATH: 3 TOTAL: ?,724 H VALUE: 210,554 00 REAR- 20 "LUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: i WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTP, GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN<10dK: BOIL/CMP<3HP VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANC JS: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER _ 3EMP SRVC/FEEDERS DVANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • AM amp: 0 -200 amp: WISVC qt FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400•np: I of WPO SVC IF DR: SIGNIOUT LIN LT: PER HOAR LIMITED ENERGY: 401 • 600 amp: 401 - 600 amp: EAADDL RR COR: SIGNAL/PP.NF.L: IN PLANT: MANII HMISVCIFDR: 601 1000 amp: 50142MPR-t000V: MINOR LABEL: 1000.amplvoll PLAN REVIEW 9FCTION Reconnect only: >-I RES UNITS: BVCIFDR­225 A.: `$00 V NOMINAL: CLS AREAlSPC OCC- ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.CO'AMERCl/LL AUDIO 6 STcREO: VACUUM SYSTEM: AUDIO E STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDS-:LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE%IGNL: GARAGE CPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: !# 1,634.88 DAVID LEWIS HOMES WITH STYLE INC This permit Is subject to the regUlatlons contained in the DAV S W BARNES RD HO SE F WITH S DR Tigard Municipal Code,State of OR. Specialty Codes and PORTLAND,OR 97225 PORTLAND,OR 97236 all other with a Th laws. All work be done In accordancece with approved plans. This permit wal expire k work is not started within 180 days of issuance,or If the work is suspender)for more than 180 days. ATTENTION: Orman law requires you to follow rules adopted by the Ph°ne: 503-297 7074 Photo: 503-563-7509 Oregon UtIllty Notification Center. Those rules are set forth In OAR 952-001-0013 through 952-001-0080. You LIC 81800 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. .J REQUIRED INSPECTIONS W Erosion Control Insp4 L Post/Beam Mechanica Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final t Sewer Inspection Underfloor Insulation Electrical Service Low Voltage Roof Nailing Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Fireplace Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Flaming Insp Gas Line Insp Water Service Insp Building Final Po '' rel Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp IS ued By : _ Permittee Signature Caul(SO 6394176 by 7:00 p.m.for an Inspection needed the next business day CITY OF TIGARD SEWE R CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00150 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/18/04 SITE ADDRESS; 092.20 SW O'MARA ST PARCEL: 2S102DC-00300 SUBDIVISION: EDGEWOOD ZONING: R-4.5 BLOCK; y OT: 016 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO.OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for r-.-. SF. Reimbursement dist. #23 to be paid. Owner_ FEES FISHER HOMES Description Date Amount 1300 GLENMORRIE DR - -- _ LAKE OSWFGO,OR 97034 [SWINSP]Swr Inspect 2/18/04 $35.00 [SWINSP]Swr Inspect 2/18/04 $0.00 Phone: 503.710-0687 [SWUSA]Swr Connect 2/18/04 $2,400.00 [SWUSA]Swr Connect 2/18/04 $0.00 Contract,)r: Total $2,435.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited If the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so!ocated,the installer shall purchase a"Tap and Side Sewer" Perm Issu b Y: Permittee Signature: _ — Call (503 39-4175 by 7:00 P.M.for an Inspection needed the next business day ftil_dln); Pernl�Aption Received Building Ds Ry. Permit No.:NtorArS-SYS_ Planniog Approval Other .q . City of Tigard , Date/By: PermitNo.:prfU,Q r�3-e�e_•c> 13125 SW Hall Blvd. A( rt �, ii.i Plan Review Mer Date/By:: -�U-61 Permit No.: Tigard,Oregon 97223 i r -)i= � — N< Phone: 503 639A 171 Fax: 503y5 } Pott-Review [and Use Date/By: Cue No.141 S Pas 3 d O� Internet: www.ci.tigard.or.us Contact loris: See Page 2 or 24-hour Inspection Request: 503-639-0175f�1i t' 4�� Name/Method: Su lemental informalion New construction Demolition Addition/alteration/Ie laccrnent Other: r—r .r rO Nnie: Permit fees•a'e based on the total value of the work performned. Indicate c' 1 &2-Famil dwellin Commercial/Industrial the value(rounded to the^wrest dollar)of ull equipment,materials,labor, overhead and profit for the work indicated on this application Accessory Building Multi-Family Valuation... Master Builder Other: ............................................... .... w No.of bedrooms: No.of balms: A Job site address: Total number of floors..................................... _ New dwelling area(sq.MI.)........ .�..."...�. ... Suite M Bldg./A�#:— Garage/carport area(sq.ft.)E �e11... d. _ Project Name: .f Covered porch area(sq.ft.)............................. _ Cro stg.a/Directions to b �(� �li`la Deck area(sq.ft.)............................................ ........---?__7--- u A V. Other structure area(sq.ft.).. Su?,division: -,lot#. . � Tax ma arCCl#: Note: Permit fees''aro based on the total value of the work Imrf'ornted. Indicate FRX r -, _ the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for th- :^*k indicated on this application. 1V Valuation............................................ .. ..... $ Existing building ai ea(sq.ft.)..... 1.. _ New building erea(Nft.)........... _ Number of stories............................................ Typeof construction....................................... � Occupancy group(s): Bxisft: t� are: �� New: _ Address: '_? rS4u to r/Ie-V'/ City/State/Zi : r / ¢2 / NOTICE: All cot tractors and subcontractors are required to be Phone•�.�' 7 tJ ax: v 7 y licensed with thr,Oregon Construction Contractors Board under ' provisions of OF.S 701 and may be required to be licensed in the Business Name; 565--GX- jurisdiction ivh.:,work is being performed. If the applicant is exempt Contact Name: 3 from licensing,the following reason applies: Address: - Ci /State/Zip, — — Phone E-mail. C - Business Name. - Fes due upon application.............................. $_ Address: Cit /State/Zit dyt— _ ? Amount received............................................. $_ Phone': 3 '73V'l VR'K: ~r'�rsf -(v 3v Date received: CCB Li # S h_ -^� tv Auth Notice: This permit application expires If a permit Is not obtained within Slgnatu / OLA, Date:. 190 d:ys after it has been accepted as complete. L i-11A5 ' �Fer methodology tet by Tri-County Building Industry Service Board. \l (Please print name) l:\Dsts\Permh For.. \BldgPermitApp.doc 01/03 Qv' One-and Two-Family Dwelling; Building Permit Application Checklist Reference no.: a City ojTigard C1 of Tigard Associated permits: `J g O Flectrical O Plumbing O Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 9722:' ❑Other: Pl,one: (503) 639-4171 -- Fax: (503) 598-1960 QUIRIJ) FOR lig"k 11'1% 7Aistrict se sections completed.See jurisdiction criteria for concurrent reviews. g.Flood plain,solar balance points,seismic soils designation,historic district,etc. ation of approved plat/lot. _ approval required. 5 Septic system permit or authorization for remodel.Existing system capacity _ 6 Sewer permit. _ 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with applicati n. _ 9 Erosion control O plan ❑permit required.Include drainage-way protection,silt fence dksim mW location of cat 1-basin protection,etc. I _ 10 1 3 1 Complete sets of legible plans.Must be drawn to scale,showing conformance t applicable local and state ding codes.Lateral design details and connections must be incorporated into the p s or on a separate full-size v sheet attached to the plans with cross references between plan locatien and details.PI n review cannot be completed if copyright violations exist. I I Sitelplot pion drawn to scale.The plan must show lot and building setback dimensionO,property comet'elevations(if there is more than a O4 e!avation differential,plan must show contour lines at 24 intbrvals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;u'ity loLations;direction indicator,lot area;bti ' g coverage area;percentage of coverage;impervious area;existing s res on site;and surface drainage. 12 Foundation n.Show dimensions,anchor bolts,any hold-downs and minfo Ing pads,connection details,vent size and location. 13 Floor plans.Show a mensions,room identification,window size,locati96 of smoke detectors,water heater, furnace,ventilation fans, bing fixtures,balarnies and decks 30 incho bove grade,etc. 14 Cross section(s)and details. all framing-member sizes aed spacin uch as floor beams,headers,joists,sub-Boor, wall construction,roof construction. ore than one cross section may be quired to clearly portray construction.Show details of all wall and roof sheathing, g,roof slope,ceiling heigh iding material,footings and foundation,stairs, fireplace construction, thermal insulation,e 15 Elevation views.Provide elevations fnr new co cd n;minim of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if change in rade is greater than four foot at building envelope. V Full-size sheet addeadums showing foundation eievatio wit ross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis ns.Must indicate details and locations;for non-prescriptive path anal sis provides ificatior,.and cAculw4ons to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roofas mblies,i eating member sizing,spacing,and bearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross secti s and details showin lacement of rebar.For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calcul ons using current code design u for all beams and multiple joists over 10 feet long and/or any be carry' g a non-uniform load. 20 Manufactured floor/roof truss design dejAh. 21 Energy Code compllaner,Id mtify the scriptive path or provide calculations.A gas- ing schematic is required for four or more arpliances. 22 Engineer's calculations.When fired or provided,(i.e.,shear wall,roof truss)shall be st by an engineer or architG.t licensed in Oregon an hall be shown to be applicable to the pmject under review. `/ 724 .pe te plans are uired for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ts each required for Items 16, 19,20&22 above. l all not contain red lines or tape-ons. "Mirrored"building plans will be not accepter. 26 "Reversed building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree Lis Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink Is reserved for department use only. 44D4614(GMWCO+t Plumbing Permit AiDpHcation Received Plumbing �1w,� Date/By: y/� Permit No.:MO-0;b0or—'50/ms, Ci of Tigard Planning Approval Sewer 6 Date/By: Permit No.: 13125 SW Hall Blvd. Pian Review Other Tigard,Oregon 97223 Date/By: I Permit No.: _ Phone: 503-639-4171 Fax: 503-598-1960 Post-keview land Use Date/ByInternet: www.ci.tigard.or.us Contact Case No.: _ B Contact Luria.: I Cg S dor 24-hour Inspection Request: 503-639-4175 Name/Method: I saPt, information. I_ TYPE OF WORK _ _ FEE*SCIIEDULE Slor special Inforniallonuie"i klistj New construction I El Demolition Descrl tion Qty Fee(ea.) TWA� Addition/alteration/re lacement other: New t-&2-family dWeilings RY OF CONSTRUCTION ndudes 100 ft for eec`�i utility connect o SFR(1)bath 249.20 1 &2-Family dwellingCommerciaUIndustrial �--( -- _ SFR 2 bath _ 350.00 Accessory Buildin Multi-Familit SFR 3 bath J99.0(1 Master Builder LJ Other: Each additional bath/kitchen_ _ 45.00 OH SITE INFORMATION and LOCATION Fire sprinkler- ft.: Page 2 Job site address: �j ST-, Site Utilities Suite#: _ Bldg./Apt.#: Catch basin/arca drain Project Name: D ell leach line/trench drain 16.60 Footing drain no.linear ft. �P3 e 2 Cross street/Directions to job site: 'Vl Manufactured home utilities 0.00 � r KaYeL 5 Lo Manholes 16.60 Rain drain connector 16.60 1'L Sanitary sewer no.linear ft. _ Pa e 2 Subdivision: , #: Storm sewer no.linear ft.) — Pa e 2 Tax ma /parcel#: p (O d �.. Water service l;.Iear fl.Fixture of Italy DESCRIPTION OF WORK _ -_� iijuha Absorption valve �J�� 16.60 Backflow pteventer Pae 2 Backwater valve 16.60 Clothes washer 16.60 - -- - - - - - - Dishwasher _ 16.60 Drinking fountain 16.60 WROPWNER TENAIr1 , - r Ejectors/sump 16.60 acne: ` Expansion trek _ 16.60 Address. r Fixture/sewer cap _ 16.0 City/State/zip: LCl Q q Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone:60 -710-- Fax: Hose bib 16.60 ADPLICANT I M CONTACT PERSOIF Ice maker 16.60 Name: Intetceptor/grem _ 16.60 Address: 0 Wel -- — Medical gas-value: a _ Pae 2 City/State/Zip: 4rimer 16.60 Roof drain commercial) 16.60 Phone Fax: Sink/basin/lavatory 16.60 E-mail: Tub/shower/shower pan 16.60 _ CONTRACTOR Urinal Water heatUrinal 16.60 Business Name TR ,(F&YT- ual, q�•+�((� Water heater 16.60 r� er 16.60 Address: -616! '1 Other: City/State/Zip: MIST- QAAI o 2 Other: Phone: ,,1 Fax: _ P umbing Permit Fea+ CCB . #: 1 b. Lic.# _ Subtotal $ -- Minimum Permit Fee$72.50 S Autho '.ed Residential Backflow Minimum Fee$36.25 _ S c: Date:y3 Plan Review 25%of Permit Fee f �eh'"Llll 10a Ll _ State Surcharge 8%of Permit Fee S (Please print name) TOTAL PERMIT FEE S __ Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isome'Ac or 180 days after It has been accepted as complete. riser diagram for plan review. •Fee methodology se•by Tri-County Building Industry Service Board. is\Dsts\Permit Fortns\PlmPermitApp.doc 01/03 Plumbing Permit Application -City of Tigard Wage 2-Supplemental Information Fee Schedule- Residential Fire Suppcession Systems: SiteUtllitles Qtr. Fte(eti) uta1 Square Footage: Peruilt Fee: _ Footing drain- 1" 100' 55.00 .9—(22.2-00— � ,- $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 3 601 to 522, 0.00 gre. S-wcr-Is IUO' 55.00 7,201 and .stem 5309.00 ;ewer-each additional 100' 46.40 Water Service-Ist 100' 55.00 Medical Gas S steals' Water Service-each additional 100' 46.40 Valuation: Permit Fee: — Storm&Rain Thain - Is(100' 55.00 $1.00 to 55,000.00 Minimum fee$72.50 _ Storm&Rain Drain-each additional 100' 46.40 $5,001.00 to 510,000.00 $72.50 for the first 55,000.00 and S1.52 for each Fee eel Total additional 5100.00 or fraction thereof,to and Fixture or Item CtY• (, including$10000.00. Commercial flack Flow Prevention Device 46.40 $10,001.00 to$25.000.00 $148.50 for the first S10,000.00 and$1.54 for Residential Backflow Prevention De c each additional$100.00 or fraction thereof,to minimum permit fee 536.25) 27.55 and including$25,000.00. [r 5 525,001.00 to$50, .00 _ Rain Drain,single family dwelling i 5379.50 for the first$25,000.00 and 51.45 for each additional S100.00 or fraction thereof,to Inspection of existing plumbing or 1 _ and including$50,000.00. _ specially requested inspections-per hot* 12.50 550,001.00 and up $742.00 for the first 550,000.00 .nd 51.20 for Subtotal: each additional S100.00 or fraca, thereof. Fixture Work: Are you capping,moving or replacing existing fixture,? If "Yes",please indicate work performed by fixture. Failure to ac?urateiv report fixtures could result in increased sewer fees*. ouantlt b (Fist re)Work Performed Comments regarding fixture work: Flxwre Type: Replace New Moved- AX-12-ft Ca --- -- Ba tistry/Font _—_— Bath -i uo/Shower -Jacuzzi/Whirlpool - Car Wash -Fach Stall — _-[hive Thru _ Cuspidor/Water Aspirator — _ -`-- Pishwasher -Commercial -.-- -Domestic Drinking Foui,tain Eye Wash -- Flax Drain/sink.- 4" - J Car wash Drain *Note: If the fixture w under this permit results in an Garbage -Domestic Disposal Commercial increase of sewer EDUs, er permit will be Issued and -Industrial fees assessed for the sewer ease must be paid before the Ice Mach./Refii .Drains dumbing permit can be issued. Oil Separator Gas Station Rec.Vehicle Dump Station Shower -Gang -Stall _ Sink -Bar/[avatory -Bradley -Com nercial -Service Swimming Pool Filter Washer-Clothes Water Extractor _ W ateret-Toilet res: _ is\Dsts\Permit Formns\PlmPermitAppPgl.doc 01/03 Electrical Permit Awfleadon TReceived Electrical e/B • /7 Permit N ; -'d'i Planning Approval Sign City of Tigard Date/By: _ Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Dste/B : _ Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Lased Use Date/By: Case No.: Internet: wWwtr.ci.tigard.or.us Contact �! Juris.: I N See Page 2 for 24-hour Inspection Request: 50J-639-4175 Name/Method: _ Supplemental Information. _ TYPE OF WORK : -- PLAN REVIEW Please c a hltpplilY) New construction Demolition Service over 225 amps- _ Health-care facility commercial []Hazardous location Additiotr/alteration/re lacement Other: Service over 320 amps-rcting of 0 Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I do 2 family dwellings four or more residential units in 1 &2-Family dwellin Commercial/Industrial O System over 600 volts nominal one structure Building over three stories ❑Feeders,400 amps or more Aeeesso Building Multi-Family ❑Occupant load over 99,persons Manufactured structures or RV park Master Builder Other: ❑Egress lighting plan Q other: ___— JOB SITE INFORMATION and OCATIl3N Submit—sets of plans with ani of the slave. The above are not aDDIlcable to temporn construction service. Job site address: ZL_- 3 Suite M Bldg./Apt.#: Number of Iota ectlona er ermit allov ed Project Name: Description __ Qty Fee(ca.) Total New rrvldential-singk or multi-family per Cross street/Direetions to job sitte- l V� �JQlA, dwelling unit.Includes attached Rarese. L. V CR)", (J� Of B o t Servke Included: t�UUCV "7tJl J� Now Service n or less 145.15 4 Each additional 500 sq.It.or ion thereof 33.40 1 Limited energy,residential 75.00 2 Subdivision: Lot#: Limited endr ran residentizi 75.00 1 Tax map/parcel�� Each manufactured home or modular dwelling t 1 " . I_O_N OF VVO service and/or feeder 90.90 2 - -— Services or feeders-InAsKallon, alteration or relocation: 200 am or less 06.30.95 2 2 201 am to 400 am 106 401 amps to 600 amps 160.60 _ 2 T NAN 601 amps to 1000 amps 240.60 2 over 1000 amps or volts 454.65 2 tame: 'Reconnect only 66.95 2 Address: ( i Q/ / Temporary services or feeders-Installation, alteration,or relocation: City/State/Zip: 200 amps or less 66.85 I X: 201 am to 400 sm 100.30 2 Phon r" u C 133.75 2 401 to 600 am APP " I r. Branch circuits-new,alteration,or Name: �' extension per panel: A.Fee for branch circuits with purt4se of Address: - service or feeder fee each branch circuit 1 6.65 2 City/Stat iB.Fee for branch circuits without purchase of service or feeder fee first branch circuit 46.85 2 Phon a4Each additional branch circuit 6.65 2 V Misc.(,ervice or feeder not included): E-mail: irrigation a C_ ONT ACTOR Each or irri tion circle 53.40 2 Each sign or outline lighting 53.40 _ 2 N Job No: J'ZZv Ste,► (;ti,4AWR Signal circuit(s)or a limited energy panel, — attention or extension P 2 2 Business Name: M a6CT9tC1VLDescription: Address: �So S • C 5r. Each additional Inspection over the allowable In tiny of the above: m Cit /State) I : l 1.7/ Per it tion hour min. I hour ;62. ::4 Phone: �- q Fax 5r3- 25;-G4 f1 rnvesfi tion ftt _CCB Lie. M 'p Lic.#: 4other. Supervising electrician --�-� _ Subtotal $ si ature re ui:-d: Plan Review 25%of Permit Fee $ _ Print Nam Lic.#: State Surch a 8%of Permit Fee $ _ TOTAL PERMIT FEE S Authoriz i✓ Notice: This permit application expires If a permit Is not obtained within Si elute: Date: 180 days after It has been accepted as complete. (( Vee methodology set by Tri-Conety Building industry Service tbard. a Ke (Please print name) i:\Dsts\PerrWtForffis\McPenHiApp.doc 01/03 Electrical Permit Application -City of Yigard Page 2 - Supplemental Information ILIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor oil systems................................... ................... . $75.00 Check Type of W1*Involved: Audio and St co Systems* Burglar Alarm ElGarage Door Opener Heating,Venmation and r Conditioning System* Vacuum Systems* ElOther ----- –-- COMMERCIAL,WORK ONLY: Feefor each system............................................ ............. $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: \ Audio and S!, o Systems / Poiler Controls El Clock Systems El Data Telecommunication Ins on ❑ Fire Alarm Insts 0—"�w�r, Instrumentation Intercom end Paging Systems ElLandscape Irrigation Control* Medical Nurse Calls LJ Outdoor Landscape Lighting* Protective Signr'ing Other ,__Number of Systeme * No licenses are required. Licenses Are required for all other installations is\Dsts\Permit Forms\Elct t-mitAppPg2.doc 01/03 Mechanical Permit Application Received tlechanical —_ Dste/H : Iq /7l0 Permit No.: f $-60 I�It of Tigard Planning Approval Building City g Date/By: Pemrit No. 13125 SW;call Blvd. Plan Review other Tigard,Oregon 97223 DatemB : I Permit No.: _ Phom: 503-6394171 Fax: 503-598-1960 Post-Reviewnd Use L Date/By: Case No.: _ Internet: www.ci.tigard.or.u; Contact luris.: N see Page 2 for 24-hour Inspection Request: 503-6394175 norm/Method: J Supplemental Information. TYPE OF WORK " CW MEItCIAL FEE"Sr I.I_)ULE-USE�CKL7ST New construction Demolition Mechanical permit fees*ex based on the total value of the work Lj Addition/alteration/replacement Other: ! performed. Indicate the value(rounded to the nearest dollar)of all ATEGORXbF CONSTR"CTION mechanics materials,equipment,labor,overhead and profit. I &2-Family dwelling Commercial/Industrial Value: S — Ser Page 2 for Fee Schedule Accessory Building Multi-Family DDes� ISYS�� DULE. ];Master Builder Other: tion Fre ea. Total Hatin ling _ JOB SITE tNiFOR-MATION and WATION Furnace-add-on air conditionin '• 14.00 Job site address: a W. 0, Gas heat u 14.00 _ Suite#: i Bld ./A to Duct work 14.00 Project Name: Hydronic hot waters em 14.00 s treet/Directions t jobsite' 4 Residential boiler (( �� �.. ''''ll '`,�` for radiator or h ronic system) 14.00 � IrUtlY� S,w, - U- . ,W. 01"ltl Unit heaters(fuel,not electric) in wall in-duct,suspended,etc. 14.00 Fluelvent(for any of above 10.00 Subdivision: Lot#: Repair unite12.15 Tax map/parcel#: - Other Fad tancerr Water heater _ 10,00 _ DESCRIPTION OF WORK Gas fireplace 10.00 Flue ventweter hesy!os fireplace) 10.00 -- Loll lighter as 10.00 Wood/Pellet stove 10.00 _ Wood fireplace/insert 1 10.00 Chinmey/liner/flue/vent 10.00 Other: 10.00 eITle: avlronmenUl Exhaust k Ve"01400 Range hood/other kitchen equipment 10.00 Address: Clothes dryer exhaust 10.00 city/state/zip: QK CM34 Single duct exhaust l5ione:S �(0 -DLft Fqx- U (bathrooms,toilet compartments, APPLI _ CONTACT PE ON utility rooms 6.80 JUMP taV Attic/crawl space fans 10.00 Other: 10.00 Address: A ( Pad�'Otift City/State/Zip: Y1 **($3.40 for first 4 $1.00 each additional Furnace etc. '• Phone.5 -b5jV-4[)W J .Fjn2gaSO - - Gas heat pump •• E-mail: 4 I C� Wall/su ded/unit heater •• —CONMCTOR ._ Water heater •• — Pusiness Name: AIR, CoMFOU -fit Fireplace Address: !O 6 1Z _ Range •� Cft /State/Zi Clothes l bRTZA'A 1) t d Clothesd (gas) '• _ Phone: 51 3-2 —,1frbbj Fax: Other: •• CCB Lic. S-Vk3 — Total: lVifthrnieal Penult Ria• Authori Subtotal: S Signatu b _ Dt e: -- Minimum Perr�ut Fee 572.50 $ ..an Review Fee ^5%of Permit Fee) $ (Please print name) State Surcharge 8%of Permit Fee S TOTAL PERMrr REE S Notice: This permit application expires If a permit not obtained within *Fee methedobp set by TN-County 8uttdln/,Industry Service Nr�ard. 190 days after It has been accepted as complete. "Site plan required for exterior A/C units. ,\nsta\Permit Frnms\MecPermitApp.doc 01/)3 Mechanical Permit Application -City of Tigard Page 2 -Supplemental Int�:-mation ) t Commercial Pee Schedule: _ Total Valuation: __ Permit Fee: $1.00 to$5,000 00 Minimum.cc$72.50 S5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and S1 52 for each additional$100 00 or fraction thereof,to and including$10,00_0.00. _ $10,001 00 to 525,000.00 $148.50 for the first$10,000 00 and 51.54 for each additional$100.00 or fraction thereof,to and including _ $25,000.00._ $25,001.00 to S 000.00 $379.50 for the first$25,000.00 and $1.45 for es ch additional$100-00 or fraction the-eof,to and including _ $50,000w $50,001(K)and up $742.00 for the first$50,000 00 and $1.20 for each additional$100.00 or fraction the cof. Assumed Valuations Per A liance: _ _.._� —— 'vaiae Total Description: G Amount Furnace to 100,000 BTU,including 955 ducts&vents _ Furnace>100,000 BTU including ducts 1,170 &vents Floor furnace including vent 955 .— Suspended heater,wall heater or floor 935 mounted heater Vent not included in appliance permit Repair units _ 8 <3 hp;absorb.omit 95 _ to 100k BTU 3.15 hp:absorb.unit. 1,700 101k to 500k BT _ 15-30 hp;absorb unit,501 k to I mil. 2,110 BTU 30-50 hp;absorb.unit, 3,400 1-1.75 mil.BTU _ >50 hp;absorb.unit, _—� 5,725 >1.75 mil.BTU Air handiill unit to 10,000 cfm 656 Pair Ica_n u-uit>10,000 cfm 1170 Non taole evaporate cooler 656 Vent fan connected to a sin le duct 446 yVent system not included in appliance 656 omit Ilood served by mechanical exhaust 656 1 \ Domestic incinerator I I 70 Commercial or industrial incinerator 4 590 _ Other unit,u.Auding wend stoves, 656 w inserts__,etc. Gas piping 14 o0lets 1 360 �— Each additional outlet 63 RI? TOTAL COMMFRCIAI VALUATION: J a w ._s I is\Dsts\Permit Forms\MecPermitAppPg2.doe 01/03 Fisher Construction & Development, Inc. j jW Qknmorrie Q va L k Oeivgao.QR 97034 ao169Z 5617 CCH: 143749 R CEI D NU nn CIT OF ARD March 10, 2003 eUI ING DI RECEIVED Nov 1 b 2003 CITY OF TIGARD City OF Tigard RUtjt,tNG otv1810N Planning and Permit Department Please consider this letter as my statement releasing the use of construction plans, engineering and permit approval previously submitted by me to your department for 9220 SW Ornara Street in Tigard, to Mr. Mike Bettis and Mr. David Lewis. They have purchased the property from me. Should you have any questions or require further clarification, please contact me at 503.710.0687. Thank you. /'V\, V)f_ `t g i-11 5 (A/,JL4 SMF Sincerely 5C 7, - 74o �'o 9- c+ )o n3 Fis er 'It: M*5•raoo6- ao rs5- Td wdW:ee 2002! F3t •e"aN ON Xld-i : w� Rg�r RECEIVED � MAY 0 h NO CITY OF TIGARD t "� rn ?� %A z o rn oo CL. w � 1 Q, � • � ..__ _._ -- --...�. __.�._.__ ---•----... _ �. �"� .:.. �--.moi?' �'�'�e +� M r s•� f p f s 7.0 3 [ w G C� 4120 EJ Tis W v v.L ' Cj N u �' J 1 Q u v a C t -6� N ,i Q J._ M ,n o � ON a 40 Q W �, N 1— ® z LLJ Q U Z fn a lr rr^^ v iQNi < �f 4 +C V/ wi Lu uii .� cr �- a 10 � O M! a w T < C;I su LI LU s . . L Z s � — .� o � �Ic a � g c, 4 . a cy— W V BigLLJQ Td Wti£Z:60 £00Z C0 'Fe41 ££b£LZBAH'ON � u8Is2p U21fiu;.WOHJ '. i 2S 2Y ++ 3 AM' DOW/OC a 4' (c7An SEA HILL NO V ! I't NI=S/E'LR. NrRrC CHELSEA HILL C•Jr�MILL °`2] (CHELSEA HILL NO ?] NO-2 LOT 38 LOT 39 LOT 46 1 ro o,' (t m o0'�2 �T 4 s ersa•ar E 7J 9s(74,c o• � LC 0i BASIS Or KARNM x'20 '1N 027903'I — -— s Enver c (CO. RD. N0. 587) (fea4.42'� Lot 111 WAOR L—Jo.ar s•W Q'M suer(at2.78'n1 •'E""' 904 "- $�� _ 1040494 , •____�_.,�. - S 879x'xr r '-'" 182.ss' - - _20.00' it sans'}r w &00, 3.38 3.W- ' ' 3.W- DOC NO N 4414'47 E 2-11 2000-0725J7 3.01' Nor" NY Arc OOC.Na I 4414'43•E (S N. 902-OA4D12 21.94'1 / J AO.AiSI£0 N X72.05.E �t TRACT 1 t 9'TALL 71000 L n� 7.520 3.F. FENC(O.t'RST ADJI)SIED E OF PROs LK KWTKIN W 21 2.W S.F. .l1' 82.10' a M- Ila 807V53-[ 44.37 1011-07mO� � TRACT 2 EA7smc 21.927 S.F. bAff PROpR7Y ; oi»7 f TALL ROOD \ 6'TAU WOOD !tS Im0.0'To !/9'LR. a 03'EAST (s 8911136'r 262 EJ')st &I in ADJUSTED a4'RST Or h PORTION PROP,LINE OOW az' 100.00'(1001 DI S r 247.73' +� 4.092 S.F. (SN. 14233 0/0i 0. 100.00' 142.7x• G. / 11 �71. DOW 231111J( K d (CN. I+TJAj E/V"LR.FLUSH PtO++ERIv 209.M' �G' S?87.775"C. 0.19' l T TAU CHAIN UNc (S N. 149.78) ADJUSTED 1$ FENCE 0.2'TO OX S TILL 01'.l t9N PORTION W11H OF IN as'RS? +~.a us TO as 1.7x5 S.F. a tilt 90011,or IN t ' t EAST UNE LOT 1 $? s'TALL CNNN LM( "EOOEWDOD" NEST ONE LOT 19. RIKT TV TO 4.0' "EDGEWOOD" b�y EAST a L4[ "'C' 01� DOC NO t S AO.A/9140 041'WEST 49-0;16539 _ PROPERTY TRACT 3 OF WE x'TALL ONAN LNY Lmt 22,494 N.T. {�' LOT rtr(ct o r ro 01" NT Or PROP LINE Ly 13 \ "EDGEWU LOT 16 1ALL CH. 2S Lf Uw FM R H 44'70 4 S' 4 EAST OF 1NE R � � CC DOC.poll F- 94'-1.10574 t0 w Pis 3 l,sR4 m 5/E•LR. /LUSH C7 N 02'47'49'G 0.70' EENT Q/E'LR.. WtN Ut >r as RST (SN. /4938) AN0 SNOT IRON ROD Q LM(142-1WrNfl GR 7 N 07'48'03'E. 0.83' � 4' 4 72')57 [x N. 142m] V 42.80'(82.84')041 RN..1' 100.00' (40.00'n1 3/8'IR. RUsv (SN IN J S 17'1211'E t )81 (40.07391 N 0275.94'f 0_08' (S 88-32-50- S. �} 4O.W 40.00' (SN f423P) h - �II� w 431.58')97 QZ'!'�'+�•�. -• n 14 /ti•'� --.-9 8712 MI.". V 4 EE 1 �J,y,(// NN 03, (CO R0. NO. 907) i3 8711148"E !2711,107-- � (1041.48' 127E.08')S4 f. 954" F on c 3 V � v o v q Ln 0 � N a 0di U Ln V O V ►� ed O N a � k a � A AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAir a � ► Q ► froo ► i (CDC ► LIJpopl A 4- ,o U ► A 4-J pop A ► 0 0 �� r ► i H p q v ► i 1.© `- o 4 ► i `}' Q ► a ► i ~`* ► 0 Poo. ► i � � o ► C14 oil. v cu vi i � � .b � pQa ► i � J Q � � ► A EMM4 3 ► i A