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13009 SW ROCKINGHAM DRIVE J44 362 160 /4t iN 6" "1 foo 116 no 1►4 DO 130 176 fir, 2i[x �.�-•' I 16aoo' N S�'35' 36' E VOTI"IILDUT*"PAIN ---- ------ ------ - -- --- -- ------ ----- --- ----- - --- ---- - -- -- ----- ---- ----- ---- ; x � 1 • I 1 1 1 xl $4100' 10!6m 10.00' A%PROMf WWKT —___ _______ r____ _____ _..___ ..r___ ___ ___ _ ,��,,, \ \ 6lT pet X 16 P � Aj \� 1 \ / 1 \ 1) X MAX 21NOr/ c /, >, ,r \ 9 PATIO 1 1 �-� - PROPMT)362204 FT W 6TORT HOU" T \ MAN 1L WR R"AT10N 14440' 1 1 MCK \ 1 11 ` 1 LOT 30 ( PT W 336 1 1 %16 \ 1 C ,�Tu RAN O4tA*M TO POID 1 \ w 4•PYG Y10RM ` 1 W \ P*AN L#2 \ 1 !�0 \ 4200 ~1100' PLAT RESTRIC11ONS:ERE ,,,,,. 1 II 1 m 1. THSHALL BE NO STRICTURES, FENCES, OR GATES WITHIN THE PUBLIC I, 1 PEDESTRIAN ACCESS EASEMENT OVER LOTS 12 AND 30. BUILDING SETBACK FOR LOTS 12 AND 30 SMALL BE MEASURED FROM SAID EASEMENT LINE, NOT \\\ FROM THE LOT LINE. THERE SHALL BE NO VEHICLE PARKING WITHIN SAID no \ EASEMENT. \ %D-- 2. THE EMERGENCY VEHICLE ACCESS EASEMENT OVER A PORTION OF LOT 46 \ 114 g 1 SMALL NOT BE USED AS ACCESS TO LOT 46. f30 1 ; 3. THERE SHALL BE NO STRUCTURES. FENCES, OR GATES WITHIN THE PUBLIC a STORM DRAINAGE AND SANITARY' SEWER EASEMENT AND PUBLIC FACILITIES N 1 MAINTENANCE ACCESS EASEMENT ACROSS A PORTION OF LOT 40. THERE 140 SHALL BE NO VEHICLE PARKING WITHIN SAID EASEMENT. BUILDING SETBACKS Poi FOR LOT 40 SHALL BE MEASURED FROM SAID EASEMENT LINE. in 1 >w � Iola LK ART 11 I I� 1 ,µ 1 -0• r c rm !6240' 36O 1 JD 61ATpl L6i 4f62 V-0 11 1 NORTH 11 1 F. Front yard determination. The owner or developer of a flag lot may determine the location of the LOT 30, 'AMESBURY HEIGHTS' front yard, provided no side yard setback area is less than 10 feet andp rovided the re uirements of LOCATED IN TWE 6.E. V4 Of SECTION 4, Section 18.730.010C, Building Heights and Flag Lots, are satisfied.■ 9 TOWNSHIP 2 90UTW, RANGE I WEST, WILLAMETTE MERIDIAN, CRY OF TKrARD, WASHINGTON COUNTY, OREGON z 13009 6.W. ROCKINGNAM DRNF. 1 1 7 vo r �5`D TAX MAP •25104DB TAX LOT •3000 1 1 ZONING, R-LS 1 1 1 1 SITE PLAN 1 �I `�,, 1 to r-01 wIrTART KUIt � I/16"•r-0' LAtIMAL D-$A' ! ( 11AMIR 1 � rlErt,e 1 , APPLICANT 1 1 RIC4ARD EI6ENNA1rER DESIGN Im �•� Ot PO BOX 6625 1 •4 np0 BEAVERTON, OR 91006 R >r (503) 642-1205 !2140' 10 le,f 4•TRK ro11c1erT� 1 SVOIALK•PE2!city OF MA110 6TAWAR06 a>� 1 �GNpt� OR�YE 1 lb-0 ROCK r:4a NOTICE: IF THE PRINT OR TYPE ON ANY -rl_�-I � I � � I � I � I � � I � I � I � � I � � ili � I � � ! � ilI fr f_�TT�.1 11� T . IIIA- 'll Ili IlI Ili III 111 .�� I,�1 11IlIrj1 111 -1 [1 rl11Tf1 11I I 1 1-1J-11'r I 1 li i t ! il l ! ! lil IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 �. I I I i NOTICE, .__ -1----_ ---- -------__._-- -� ---- � __4 _--- -8 �. 1 12 r � Cz DUE TO THE QUALITY OF THE IT IS No.36 ORIGINAL DOCUMENT — 6Z NZ LZ 9Z 5Z bZ £ Z ZZ TZ 0Z 61 8T GT I fly � I t' T ET Zi ii Oi 6 8 L 8 S3 E Z — IIII 1111111 II IIliiIIIIIIII illi IIII Iill III! ll1J 111! Ull IIIL 11 1 J 1lll IIII Jill IIII IIII illi IIII IIII IIII IIII IIII III!Ilill II!I II!I ilii IIII IIII IIII 1!II ilii IIII I I �'IZI I111I ll ►►1 � I L n 13009 SW Rockingham Drive /\ CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00322 13'125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7124/02 PARCEL: 2S 104DB-03000 SITE ADDRESS: 13009 SW ROCKINGHAM DR SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5 BLOCK: LOT: 030 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORSHOODS- FUEL TYPES_ 0 3 HP:: 1 _e DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP. WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR_ HANDLING UNITS -- ------ -- OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install exterior AC unit. Cannot be placed within the required setbacks. Owner: s FEES RAWLY DICKMAN Type By Date Amount Receipt 13009 SW ROCKINGHAM PRMT CTR 7/24/02 $72.50 2720020000 TIGARD, OR 97223 5PCT CTR 7/24102 $5 80 272002000(: Phone:503-579-8683 Total $78.30—--- Contractor: ABODE HEATING AND A/C 6151 SE HACIENDA STREET HILLSBORO, OR 97123 REQUIRED INSPECTIONS Mechanical Insp Phone:649-2440 Final Inspection Reg#:LIC 0076115 r-XPIRE1) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by cleilling4503)246-9189. Issue By: Permittee Signature: i Call (503) 639-4175 by 7:00 F.M. for inspections needed t e 8 Hess day Mechanical Permit Application IDaic received:" ) Permit no. City of Tigard Project/appl.no.: Expire date City of"Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.. - Phone: (503) 639-4171 ---- - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _-_ Building permit no.: TYPE OF PERMIT I &2 family dwelling or accessory U t'ununcrc al/utJustnal U Multi lan,ik U Tenant improvement U New construction U Addition/alteration/replacement U Other: JOB SITE INFORMATION !rOMMERCIAL VALUATIONSCHEDULE Job address: ,300 �� ,�� , � - Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.:'- value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: 'See checklist for important application information and Proiect name: .jurisdiction's fee schedule for residential permit ice. City/county: ZIP: -_- I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE I)cscription and location of work o premises: tr rr(ea.) total Est,date of completion/inspection: Ih�criptinn (lty. Ites.only Rm.only 'Tenant improvement or change of use: �'0 Airhandlntf,unit CFM Is existing space heated or conditioned?U Yes U No Air conditioning(site plan required) Is cxistinp spare insulated?U Yes U No Alteration ofexisting AC system Ifoi er compressors - Business name: State boiler permit no.: _ A1�` ------ - - - HP Tons BTU/14 Address: / "/ "J %:tf Vire/smoke, ` � amper uct smo a detectors City: d/)// G' Stale ZIP: J/2 ITcat pump(sue an required) --- Phone: E-mtul,�� Install/replacefurnace urner 7 / Tr - --- Including ductwork/vent liner U Yes U No CCB no,: nstal replace/re ocatc!caters suspen c , City/metro lie. wall,or floor mounted - --� Naniv(pleam. Itrinl) Vfor a t iancc of cr(ban furnace r aces-�- ent t —i CONTACFPFRS g of gest on: Absorption units BTU/H Name: _ % .�;t 5 Chillers— HP Address. `' 5' Com ressors _ HP m ronmenta exhaust an ventilation: Slatty ZIP: Appliancevent Phone f"; 1 E-mail: Dryerexhaust _ Doris, Type res. kite ten/tazmat hood fire suppression system Alf" //. l= a.e Exhaust fan with single duct(hath fans) _ Moiling address: ix rpt systema artfrom hcatin or C Cily: t Stttt _ ZIP. Fuel piping an str ►ut on top to 4 outlets) Type LI16 NG Oil I'honx F.-nutil: fuel 1;int,viich additional over 4 outlets Process piping(�Owinaticrequiret) Number of outlet Name: ter listedappliance or equipment: Addry s: Decorative fireplace City: -- Stttte: 'LIP, - Insert -type --- Phone: Fax E-mail: oo stove/pe et stove _ l t tet Applicant's sit,'llatlIre: Date, Name (Print): - Nor all)udsdictirms accept credit card!„please call iuri0clion for more mhumatloa .....................$ OVisa LJ MasterCard Notice:'Phis permit application Minimum rmit fee fee................$ expires if a pennit is not obtained plan review(at — 191 $ Credit cant number: -- V.Xpirrit within 190 days after it has been State surcharge(8%)....$ Name of cardholdn as shown on credit c s accepted as complete. TOTAL .......................$ _ Cardholder signalwe Amount 440-4617(fMA'r tki MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72..50 Table n Mechanical Code Qty (Ea) Amt 100.00 and ) Furnace to 100,000 BTU 14.00 $5,001.00 to$10,000.00 $�620fo�eachr-the first addi$t additional$100.00 or includin ducts&vents fraction thereof,to and Including 2) Furnace 100,000 BTU+ 1740 $10 000.00. Including . ducts&vents _ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace 14 00 $1.54 for each additional$100.00 or includin vent - traction thereof,to and including 4) Suspended heater,wall heater 14.00 $25 000.00. or floor mounted healer $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included In appliance permit 6.80 $1.45 for each additional$100.00 or - fraction thereof,to and Including 6) Repair units 1215 $50,000.00. Air $50,001F0 and up $742.00 for the first$50,000.00 and Check all that apply: Booller P hip Cond ot $1.20 for each additional$100.00 or For Items 7-11,see Comp fraction thereof. footnotes below. $ 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: to 100K BTU 8•/.State Surcharg a 8) 15 HP;absorb 25.60 $ unit 10n,to 500k BTU 9)15-. tP;absorb 35.00 '/.PlanReview Fee(of subtotal) $ telt.F-1 ,nil BTU -�- 25 - Reoulred for ALL commercial permits only 0 50 HP:absorb -- - 2.20 TOTAL COMMERCIAL PERMIT FEE: $ w„I 1-1.75 mil BTU 5 _ 11)>50HP;absorb 87.20 unit>1.75 mil BTU _ 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: - -- --- Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount 17,20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler 10.00 ducts&vents _ Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 _ Floor furnace Including vent 955 16)Ventilation system not included in Suspended heater,wall heater or 955 a Ilance ermit 10.00 floor mounted heater17)Hood served by mechanical exhaust Vent not Included In appliance 445 10.00 ermit 5 16)Domestic incinerators Re air units 80 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU 89.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k l0 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets 5.40 ill.BTU - 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 hili.BTU Air handling unit to 10 000 cfm 8%State Surcharge $ NMRW- 00 cfm 1,170 -te cooler656 -_- - TOTAL RESIDENTIAL PERMIT FEE: $a sin le duct 446 _ Vent system riot included in 656 appliance permit Other Insp c Ions an Fee Hood Served by mechanical exhaust 656 t Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 - $62.50 per hour Commercial or industrial incinerator 4,590 Inspections for which no fee is specifically Indicated (minimum charge-hall hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$62 50 per hour Gas piping 1-4 outlets 380 Each additional outlet y 83 'State Contractor Boller Certification required for units>200k BTU. _ -- "Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL $ VALUATION: - All New Commercial Buildings require 2 sets of plans. ildstsUormsUnech•fees.doc 02/11/02 j ��0 l �C.c.s �c� , t <<t� ,tet__L CITY OF TIGA.RD BUI' 71NG INSPECTION DIVISION MST 24-Hour Inspection Line: 639 . 475 Business Line: 639-41. . BLIP _ Date Requested �� 1 AM PM . BLD — Location [��UC c� j D C ��c1.G�-tilt- Suite MEC Contact Person 44 ` Ph �� l-�� i'�1 PLM —.---- Contractor — ___ _ Ph SWR BUILDING _ L� Tenant/Owner ' �—� ELC _-_-�_- Retaining Wali ELR Footing Access: FPS FoundationfN� __._._._.__ Fig Drain '' SGN �_..----�____------ Crawl Drain Inspection Notes Slab ___ _ _ -- - __ SIT Post&Beam Ext Sheath/Shear --- Ink Sheath/Shear Framing - Insulation Drywall Nailing - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- --- Roof Misc: Final —� PASS PART FAIL PLUMBING Post&Beam Under Slab 1 op Out Water Service Sanitary Sewer *Ranns ART FAIL_NICAL eam g (.Jas Line Smoke Dampers I ilial PASS PART FAIL ELECTRICAL ',Clvice — - - _ Bough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL --- --��----- —� SITE (backfill/Grading --__...-- Sanitary Sewer Storm Drain ( J Reinspection fee of$ _required before next inspection hay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to Ins Pct no access Fire Supply Line f J Please call for reinspection RE: ( J p ADA o71t i Approach/Sidewalk Date `% _ Inspector, ex r �✓er Ext Other — ___��__..— Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-hour Inspection Line: 63S 75 Business Line: 639.41 BUP _Date RequestedG, AM_ __PM BLD Location ' r'! -4�1 ��'!� Suite --� MEC Contact Person Ph �D�_ PLM Contractor t.l �_�'/Sci`ic: Ph BUILDING Tenant/Owner - ELC Retaining Wall ELR Footing Access: FPS Foundation ---- -—---- Ftg Drain SGN Crawl Drain Inspection Notes - -- Slab - --------_-___�-----_____. _ _ SIT Post 8 Beam --------_._.___� Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing - - - - - - -- Firewall Fire Sprinkler - - - - -- -- Fire Alarm Susp'd Ceiling —, Roof Misc: -- --- Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out — — - Water Service — Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam — Rough In GasLine —.—._ .- ------� __ �—.___._---------_--- ----- -- __- Smoke Dampers Final PASS PART FAIL ELECTRICAL -------_.-____— Service _ -------- Rough In UG/Slab Low Voltage Fire Alarm n S PART FAIL — Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:� ( j Unable to inspect-no access ADA Approach/Sidewalk Date _ _ / —Inspector � ' _ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISIOI" 24-Hour Inspection Line: 63 175 Business Line: 639•4*1, 1 MST �/ BUP _Date Requested 1,y '�J AM PM BLD LocationSuite MEC Contact Person Ph S R-R( PLM Contractor Ph SWR BUILDING Tenant/OwnerELC Retaining Wall w ELR Footing Access, FPS Ftg Drain _ Crawl Drain Inspection Notes SGN Slab - SIT Post$Beam --- --- -- Ext Sheath/Shear _ Int Sheath/Shear - Framing _ Insulation - Drywall Nailing Firewall - - - Fire Sprinkler - Fire Alarm --- Susp'd Ceiling Roof Mise _-�.�--- -------- - -_ __ -- - - -- -- -- -- - PASS I PART FAIL --- - - - - --- - - - - - - --- PLUVOING Post& Beam _ - - ---- - - ---- -- Under Slab Top Out — ------- Water Service Sanitary Sewer Rain Drains Final -- - --- - _ - PASS PART FAIL _ MECHANICAL Post& Beam - ------- -- Rough In Gas Line Smoke Dampers Final — PASS PART FAIL ELECTRICAL Service Rough In - - --- —•— UG/Slab __- Low Voltage Fire Alarm Final PASS PART FAIL — SITE Backfill/Grading -- __ -- -- ----- --- -- ---- Sanitary Sewer Storm Drain I ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I r ll frireinspection RE: Please call rens Fire Supply Line p _ [ J Unable to inspect no access ADA Approach/Sidewalk Date w_� E x t Other Irrspectnr -- -- Final ---_T- PASS PART FAI:. DO NOT REMOVE this inspection record from the job site. \AAAAAAA AAAAAA. 1AAAAAAAAAA A&AA. AAAAAAAAAAAAA � 7h ay ry ► n O`� d ► M M44 M ► d �'' ► -- ► t 1 ► r " r ► 44 n ► J� rD (r M 1 r; �D r 44 d �; � ► Q n �' ► A44 `� ► z, ' ► d Uq' ► a � O a+ Rte- ► V tA Poo. --i �j LA 0Z 0. rTl rrl �� ry ► ,fit � Uq ► 4 p A,' ► h � 4,4 ► a M� ► 44 o ► a b ► rl ► 41ol ► ' � ► O O O a � � f � O Or o COD "1 n _ 0 F3 y ^„ CL rb r o o O J z .a' �o CITY OF TIGARD 'GARD T MASTER PERMIT PERMIT#: MST2001-00298 DEVELOPMENT SERVICES DATE ISSUED: 6/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13009 SW ROCKINGHAM DR PARCEL: 2S104DB-03000 SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5 BLOCK: LOT:030 JURISDICTION: TIG REMARKS: Construction of new single family detacheu residence. Path 1 WILL NEED GEOTECH REPORT BUILDING REISSUE: STORIES: .1 FLOOR AREAS - REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1.573 of BASEMENT sf LEFT: 10 SMOKE DETECTORS v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 959 of GARAGE: 684 of FRONT: 33 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 100 of RIGHT: 10 VALUE: $245.73740 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.63200 of REAR: 40 PLUMBING _ SINKS: 1 WATER CLOSETS: :1 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS. LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: LUu SF RAIN DkAINS: 1 CATCH BASINS- TUB/SHOWERS, ASINSTUB/SHOWERS 4 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<AHP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 snip: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 •400 amp: tat W/O SVCIFDR oo SIGN/OUT LIN LT: PER HOUR: LIMI rED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 6011.8mpe•1000v: MINOR LABEL: 10004 amp/volt: PLAN REVIEW SECTION Reconnect oniv: >_4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC: FLECtRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO. FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: MVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR. HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,017.84 SUMMIT CREST PARTNERS LLC DALTON CONSTRUCTION INC This permit is subject to the regulations contained in the 8465 SW HEMLOCK ST 8465 SW HEMLOCK ST Tigard Municipal Code,State OR Specialty Codes and TIGARD,OR 97223 SUITE A all other applicebs laws. All work will be done in TIGARD,OR 97223 accordance with approved plans This permit will expire If work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rego: LIC 6779- 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 :1EQUIRED INSPECTIONS Erosion Control Insp 8, Wtr Proofing Bsm't Wa Footing/Foundation Dn Electrical Service Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Fireplace Electrical Final Sewer Inspection Post/Beam Mechanica Ftng Drain Bsrn't Walls Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Underfloor Insulation Mechanical Insp Exterior Sheathing Insl Rain draln Insp Plumb Final Foundation Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Water Line Insp Final Inspection Issued by : TL-,c-1 __ Permittee Signature Call (503 639-4175 by 7:00 p.m. for an inspectior. needed the next business day _ SEWER CITY OF TIGARD � 121/01 DEVELOPMENT SERVICES PERMIT#: oc�1�,9 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6`� 2.1 01 PARCEL: 2S l04Dl3-0:{i00 SITE ADDRESS; 13009 SW ROCKINGHAM DR SUBDIVISION: AMFSBLIRY HEIGHTS ZONING: R-4 5 BLOCK: LOT: 030 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NJ. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection parmit for new single family re.,idence. Owner: _ _ FEES SUMMIT CREST PARTNERS LLC Type By Date Amount Receipt 8465 SW HEMLOCK ST TIGARD, OR 97223 PRMT CTR 6/21/01 $2,300.00 27200100000 INSP CTR 6/21/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Cregon 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 by: Permittee Signature; �lC Call (503) 39-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application �- Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall 111vd.Tigard,OR 97223 CiryafTigard phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: hy: Receipt no.: Land use approval: _ Case file no.: Payment type all I ❑ I &2 family dwelling or accessory U Commercial/industrial ❑Multi-family U'fenant improvement U New construction U Addition/al(ersttion/replacement U Food service U()ther. JOB S I'l F I N 11-10111 NI A'11 I ON FEE SUIEDULF(for special information use clieckli7st) jot)addic."S: so RO-KI') 11 escrlptlon (ll Y. 1'ee(ea.) Total -z'�J --C�' New I-and 2-family dwellings Duly: Bldg.Ito.: Suite no.: (includes 100 A.foreach utility connection) Tax map/tax lot/account no.: _ _ SFR(1)bath Lot: 3 0`1 Block: J Subdivision: AMF:0,a ja_q SFR(2)bath _ Project name: SFR(3)bath City/county: 1 fawn D 'LIP: :-, ditional batt/kitchen Description and lavation of work on premises: lities: asin/area drainEst.date of completion/inspectionls/leach line/trench drain _ Footing drain(no.lin. ft.) J_ Manufactured home utilities Business name: _ -1 (Z Q __ Manholes Address: _ Rain drain connector City: State: 'LIPSanitary sewer(no.lin. ft.) - �_ --- Phone: Fax: Email: Storm sewer(no.lin. ft.) _ CCB no.: O Plumb.hos.reg.no: Water service(no.lin.ft.) Fixture or item: City/metro lic.no.: _ _ Absorption valve Contractor's representative signature: Back flow preventer Print name: I)-tit'. Backwater valve ON I'A(I'PLRSON Bas n-0a-vatory Clothes washer Name: - - Dishwasher Address: Drinking fountain(s) City: tilatr /II' Y _. � �_- Ejectors/sump Phone: Fax: Expansion tank -- Fixture/sewer cap F1amr drains/floor sinks/hub Name(print): f -. Garbage disposal _ Mailing address_ _ _ Huse bibb City: State: 7_IP _-- - Ice maker -- -- -.--- - — - -- Phone: hax: E-mail: Interceptor/grease trap Owner instal Iation/residential maintenance only: Tire actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Ramf drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s).lays(s) _ Owner's signature: __ Dale: _ Sump Ttibs/shower/shower pan Urinal Name: 7Water closet Address: Water heater _ City: State: ZIP: Other: Phone: Fax: �E mail: _ Total _ Minimum fee................$ NM all Iurisdicli-HGs seem credit cants.please call iudrA iction for mare id—nannn Notice:This permit application Plan review(at %,) $ U visa U MasterCard expires if a permit is not obtained credit canm number:_. —_— __ within ISO days afler it has been State surcharge(8 ) ....$ Expires accepted as complete. TOTAL .......................$ _ - Name W14—t,—Ick'as shown an credit card $ Crdlraldet signatum Amount 44()-4616(6t0arC0M) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individually _QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT for each utilit1r conn Lavatory — 16.60 One(1)bath _ $249.20 ---- ------- Tub or TublShower Comb. 16.60 Two 2 bath $350.00 '�Shower Only"- 16.60 Three �bath -. $399.00 - -- ---- Water Closet 1660 -- SUBTOTAL — Urinal 16-60 -� 8%STATE SURCHARGE Dishwasher - 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 16.60 Laundry Tray 16.60 Washing Machine 16.60 FtoorDrain/Floor Sink 2" - _ 1660 �- PLEASE COMPLETE: 3" 16.60 4" 16.60 - Waler Healer O conversion O like kind 1660 _ Quantity by Work Performed Gas piping requires a separate mechanical Fixture Type: NewMoved Replaced Removed/ permit. _ - Capped MFG Homo New Water Service 4640 — MFG Horne New San/Storm Sewer 46.40 Lavato -_ -_ _ Tub or Tub/Shower Hose Bibs _ 16.60 _ _ Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet _ 16 Urinal Other Fixtures(Specify) 60 Dishwasher --- - - Garbage Disposal Laundry Roomi Tray -- WashinMg achine -, - Floor Drain/Sink: 2" Sewer-1st 100' 55.00 _ 3^ - Sewer-each additional 100' 4640 _4_- -- _- Water Service-1 st 100' S5 00 _ Water Heater Other Fixtures Water Service-each additional 200' 46 40 (Specify) _ Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 4640 Commerciai t3ack Flow Prevention Device 46,40 I- - --- -- -- -- Residential Backflow Prevention Device- 27.55 --- - Catch Basin 1660 Inspection of Existing Plumbing or Specially 72.50 _Requested Inspections er/hr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 --- Grease Traps 1660 -- QUANTITY TOTAL Isometric or riser diagram is required If — _ Quantity Total is >9 ---"— - 'SUBTOTAL �- 8%STATE SURCHARGE -- — •'PLAN REVIEW 25%OF SUBTOTAL Re uired onlYd lixluro c l total is 9 _ �--_ _._-___1.x.-TOTAL � Minimum pennil fee is$72 50*8%state surcharge,except Residential Back1low Prevention Gevire,which Is$36 25 4 8%state surcharge *"All New Commercial Buildings require plans with Isometric or riser diagram and plan review i:\dsts\forms\plm-fees.doc 10/10/00 Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: �— Cirynf7igard Address: 13125 SW Hall Blvd,Tigard,OR 97.'?; pate issued: By: Receiptno.: Phone: (503) 639-4171 – Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1111111113911 Zia A 111011 U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteralinn/replacenurnt J Other. U Partial 361111 Silt E INFORMATION Joh addicsti: 1 3p0 SvJ e K ra Bldg.nu.: Suite no.: ITax snap/tax lot/account no.: Block: SubAdivision: — _Project -- name: Description and location of work on premises: Estimated date of rtnnplclion/inspcclinn CONTRACUOR Job noc14A; 7 v z l yL,Q – I 11.4, ntAt Business name: Description 04. (ea.) Intal no.insp _ - -- NeNmsitlentiml single ornclhi-famih per Address: dwelling unil.ill(itltl(Y Al1Ae'lled�nfH(;1`. City: State: ZIP: servir-included: Phone: FIX: _ E-mail: IWO sq.ft.or less , CCB lin.: -- Bach additional 500 sq.ft.or portion thereof lace.bus.Ile.no: _ Limited energy,residential 2 City/metro lie no.., Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of!upervising electrician(required) nate - Service and/or(ceder 2 Sup elect.name(print): -� �- ucuseno: Services or feeders-Installation, WNW alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 401 atnps to 600 amps 2 Mailing address: 601 amps to IINN)snips 2 City: State: ZIP: _ Over I INN)amps or volts 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is hLing made on property I own Temporary wrsices or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS S 447,455,479,670,701. 2tN)amps or less 2 201 amps to 400 amps 2 Owner's si,nature - ---- Date: 401 to(tx)am s - 2 Branch circuits-nerv,Alcraiion, or extension per panel: Name: or Fee For branch circuits with purchase of Address: service of feeder fee,each branch circuit 2 City: l Slate: ZIP: 0. Fee for Manch circuits without purchase Phone: -mail. -- of service or feeder fee,first branch circuit: 2 Tach additional branch circuit Misc.(Service or feeder not Included): U Service over 2251 trips-cnnlntereial U llealth-cnrefacihty Each puraporirrigation circle 2 UService over 320a.ips-raring oft&2 Uliatardouslocation Euchsign oroutline lighting 2 familydwell ings U Building over 10,(XN)square feet four or Signal circuins)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration•or extension* I2 U Building over three stories U Feeders,,11W amps or more •Descri tion U Occupant load over 99 persons U Manufacturer)structures or RV park Each additional Inspection over the allowable In anof the above: U F.gres4lightingplan U y Other: _ _ -d 11cr inspection _ r— Submit---__-sets of plans with any of the above. Invesngation fee The above are not applicable to temporary construction service. Other NrA nil judulictions accepr credit rands,pleas"call iurimliction f«nalre informatinn Notice:This permit application Permit fee.....................$ _ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit can)number: A _ �._-� within 190 days alter it has been Slate surcharge(8%)....$ I_xpirea accepted as complete. TOTAL $ Netne of cardholder as ehewn on c it ceryl S -� Cs; derdRllature ---- Amount 440.4615(tiW"M) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY - --- ---- - ------- /� Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed)I (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved. Residential-per unit 1000 sq,ft or less $14h 1 4 Audio and Stereo Systems f.ach additional 500 sq ft or portion thereof _. _ $33 40 1 ❑ Burglar Alarm Limited Energy $11)00 Each Manufd Home or Modular u Garage Door Opener' Dwelling Service or Feeder $90 90 Services or Feeders lu Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ _ $80.30 2 Vacuum Systems' 201 amps to 400 amps _ _ _ $106.85 2 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.60 ? Other Over 1000 amps or volts _ $454,65 2 Reconnect only $66.85 2 TYPE OF WORK INVOLVED - COMMERCIAL ONLY Temporary Services or Feeders Installation,alteration,or relocation Fee for ea.h system.............................................. .... $75 00 2.00 amps or less _ $66.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 _-__ 2 Chock Type of Work Involved. Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit $665 _ ❑ Data Telecommunication Installation b)the fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder lee. First branch circuit $4685 ❑ Each additional branch circuit $6.6,5 _ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) [Each pump or Irrigation circle $5340 ❑ Intercom and Paging Systems Fach sign or outline lighting $5340 Signal circuits or a limited energy panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control` Minor Labels(10) _ $125.00 _ _ Medical Each additional Inspection over ❑ the allowable in any of the above ❑ Nurse Calls Per inspection _ $6250_ Per hour $6250 In Plant $7375 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ -- _--_ ❑ Other 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"section on g front of application - — -- — Fees: Total Balance Due �- 1 _ Enter total of above fees = LJ Trust Account#_—______ _ 8%State Surcharge : Total Balance Due = r 4lst.%\f6mu\cic-fees dnr 10/090) Mechanical Permit Application Dale received: Permit no.: Tigard City of I igard Projectlappl.no.: Expire date: City(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR `)'2 2 Z Date issued: By: I Receipt no.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: _ --- fill 611 Hui a 421watiIIIII U 1 &2 family dwelling or accessory U Commercial/industrial J N1u11t (.tinily U Tenant improvement U New construction U Addition/alteration/replacement _1(Alwi -- ilium lob address: �O .SvJ ex.h,vJ �n Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overheat], profit. Value$ Tax map/tux lot account no.: Trt; lot/account Subdivision: T 'Sec checklist for important application information and Project name: _ ,jurisdiction's Ice �,chrdule for residential permit Ice. City/county: _ LIP: -16111111 t Description and location of work on premises: ____ f Ftr(ea.) ]oral -- Uest on Qlv. Res.only Res.only Est.bate of complction/inspection- Tenant improvement or change of t, Air handling unit CFh1 Is existing space heated or conditioned?U Yes U No Air conditioning(site plan require ) Is exis(ing space insulated"U Yes U No A teration o existing IIVAU systemfill _ of er compressors State boiler permit no.: Business nanwC 1r HP Tons_.�BTU/H -- - Address'- _ __ Fire/smoke ampers/—duuctsmoke detectors _ ZIP: _- eat pump(site plan require ) Phone. -- a City: State j F mail- Install/replace furnace/ urner__ 'i F Including ductwork/vent liner U Yes U No nsta rep ac•re ovate eaters-suspen e , City/metro lic.no.: wall,or fluor mounted vent for appliance of er than furnace Nante(please print): e r gerat on: Absorption units-. BUM Chillers IIP Name: Com iressors HP Address: A iron 10=0112111"t 01 est an vent rrt on: City: State: ZIP: Appliance vent Phone: Fax: Email: )ryerex gust _ -- ot s, ypc res. itc ten/hamnat hood fire suppression system Nance: Exhaust fan with single duct(bath fans) xhausl systema art from heating or A Mailing address: -- 1e piping andistribution(up to outlets) ity: tte:Cpc: NG oil _ Phone: lax: E-mail: U i m eac a Jtiona over outlets rocevspiping(sc ematicrequire ) Number tituullels Name: ___ _ t call ted app nnce orr equ pment: Address: Decorative fireplace City: State: - ZIP: nsett type a_ stov pc et stove Phone` Fax: Email: -(►t cr. Applicant's signature: Date: (itheir: Name (print): Permit fee.....................$ No all Jurisdictiom ace's credit cards,please call Jurixiiction for nxxe information Notice:This permit application Minimum fee................$ U visa U MasterCard expires if a permit is not ohtained Plan review(at _ %) $ _ Credit card number - Expitts - within IRO days alter it has been _ State surcharge(896)....$ ._ Name of cardholder as shown on crewt card accepted as complete. TOTAL .......................$ S C siptaure Amount 1404611(MUCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: ----- -- - Description: Price Total ---- TOTAL VALUATION FEE: --- - Table 1A Mechanical Code _ oty (Ea) Amt $1.00 to 551000 00 Minimum fee$7?•�.0 1) Fumace to 100,000 BTU $5,001.00 to 310,000.00 572.50 for the first 55,000.00 and including ducts&vents 14 00 $1,52 for each addi(ional$100.00 or 2) Furnace 100,000 BTU+ - fraction thereof,to and including includina ducts&vents 1740 I _ $10,000.00. _ 510,001.-00-to-V-5,060-067-. $148.50 for the first$10,000.00 and 3) Floor Furnace includin vent 1400 $1.54 for each additional$100.00 or 4) Suspended heater,wall heater fraction thereof,to and including or floor mounted heater 14 00 _ $25,000-00. _ - $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 680 $1.45 for each additior al$100.00 or - fraction thereof,to and ins uding 6) Repair units $50,000.00_ _- 12,15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Neat Air $1.20 for each additional$100.00 or For items 7.11,see or Pump Cond fraction thereof. _ footnotes below. Comp* 7)<3HP;absorb unit _ to 100K BTU __ _ 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb -� Value Total unit 100k to 500k BTU 25.60 Descri tion: Qt (Ea� _Amount g)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 ducts&vents - 10)30••50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1••1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace including vent 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ �emlit 17.20 Repair units 955 �- - 14)Non-portable evaporate cooler <3 hp;absorb.unit, 10.t>D to 100k BTU15)Vent fan connected to a single duct 3-15 hp;absorb.unit_ 1,700 6.80 101k to 500k BTU - 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310appliance permit 10.00 mll.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU _ 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU 19)Commercial or Industrial type Incinerator 69 9� Air handling unit to 10,000 clot 656 Air handlin unit>10,000 cfm 1,170 20)Other units,Including wood stoves Non-portable evaporate cooler 656 10.00 Vent fan connected to a sin Ig a duct 446 21)Gas piping one to four outlets Vent system not Inrluded in 656 540 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1,170 Minimum Permit Fee$72.50 Y SUBTOTAL: $ Commercial or Industrial Indnerator 4,590 Other unit,including wood stoves, 656 8%State Surcharge $ inserts,etc. - Gas piping 1-4 outlets _ 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: S VALUATION: --- -' - Other Inspections and Fen: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour State Contractor Boller Certification required for units>200k BTU ""Residential AJC requires site plan showing placement of unit. 1:\dsts\formsUnech-fees.doc 10111/00 SEE 35MM RILL # 20 FOR OVERSIZED DOCUMENT