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13188 SW RAPTOR PLACE 00 CA au a 0 m m 13188 SW Raptor Place CITY OF TIGAF D 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received Date Req sted � `� —_ AM r PM r._._—_ BUP Locatiun _� � Suite —_—_- MEC Contact Person — —___ Ph( ) ' S 3 � PLM Contractor Ph(_ ) --_—__ SWR BUILDING Tenant/Owner _ -- — ELC Footing ELC Foundation Access: Fig Drain ELR - Crawl Drain - Slab Inspection Notes: SIT _ _— Post&Beam Shear Anchors Ext Sheath/Shear _- Int Sheath/Shear Framing --- - ------ --- ----- -- ------ --J..._ -- Insulation Drywall Nailing - ---- - -----�.�.- _—__--_ .._-.-------------- Firewall Fire Sprinkler --_--- —---- �.- - - ------- Fire Alarm -- Susp'd Ceiling __ _j. ___-- Roof Other: ------ - --- -------•----. -__....------ --_. Final ---- PASS PART FAIL PLUMBING — Post&Beam Under Slab ---- -- -- -- - -------------- - - - Rough-In Water Service --- ---- - --- ----- ---_-- ----- - Sanitary Sewer Rain Drains - ------- ----- --- - -- ----- -- - - Catch Basin/Manhole Storm Drain ---- - -- - ------ - _ ---- - Shower Pan Other: ----- ---- - ------ — -- ---- 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 �n [�PART _FAIL Reinspection fee of$_-.--__required before next inspection. Pay at City Hall, 13125 SW Hall Blvd ASS _ SITE -_ Please call for reinspection RE: --- _ _ Unable to inspect-no access Fire Supply Line ADA Approach/SidewalkE` _ �Z--- IMspacftor _ Data - - - ---- ._— -- Other. Final DO NOT REMOVE this Inspection ree- d from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 MST — INSPECTION DIVISION Business Line: (503)639,-11'71 BLIP Received Date Re ested �- - AM �} _- _ PM BLIP _— Location - ---._L.L - Suite— MEC Contact Person � ('��,_ -_—) -7 3 PLM Contractor — Ph(---._- ) SWR BUILDING Tenant/Owner ____ ___ -- ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Nates: SIT Post& Beam --_- Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear 1 &4- �-- .� •- � Framing �'p - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ` Foot Other: Final l _-� ( •`f C_. �•�..�` —— _PASS PART FAIL PLUMBING Post&Beam Under Slab - -- -- -----_--- - Rough-In Water ServiceSanitary Sewer Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan I Fin :------ _- AW PART FAIL MTC_HANICAL -----_ _ Post&Be, n Rough-In ------- --.--.� ---- Gas Line Smoke Dampers Final PASS PARTT_ FAI _ ___ ---------- --- ELECTRICAL_ Service Rough-In �-- - UG/Slab Low Voltage Fire Alarm Final Reinspection tee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [] Please call for reinspoction RE: _ _, Unable to inspect-no access Fire Supply LineADA —=1 Z-I- ` Approach/Sidewalk Dots Inspector _ _ E1tt Other: Final —� DO NOT REMOVE this inspection record from the job site. PASS PART FAIL A or ® ► A c ► IN. ► t9poll _� ► n V ► A poll ton • ;� ► r i i A lip w p r'v a 7 ••� ry C O• `� Lon O Q' r, J n � a � O cr 0 c (V a �+ �e Q CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 (9i�e_/ D 016 INSPECTION DIVISION Business Line: (503) 639-4171 BUP ----- - Received - ____—Date Requested___'� � AM_1 i An PM __ BUP Location _.___A-1-_iL -_ _ Suite _-_ MEG Contact Person _ —.- -- _ Ph PLM Contract Ph( ) . - SWR - - LtILDI Tenant/Owner .__-_ ELC _-- Footing ELC Foundation Access: Ftg Drain ELR _- - - Crawl Drain - Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/shear Framing - - -�- Insulation Drywall Nailing -- -----— - --- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - ---- - .r----- -------- — Roof Other: -v_— S _PART FAIL PGAING _— Post&Bearn Under Slab Rough-In Water Service - — Sanitary Sewer Rain Drains - ------ - Catch Basin/Manhole Storm Drain Shower Pan Other: 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 U Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE— — l _I Please call for reinspection RE:____ Unable to inspect-no access Fire Supply Line t /� Approach/Sidewalk Date `Q I T/ Z'� inspector Other:.- -- [-trial DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6025 EAST 18TH STREET VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2001-00163 Date Issued: 10130101 Parcel: 2S104DA-05800 Site Address: 13188 SW RAPTOR PL Subdivision: QUAIL. HC)L!_,^..W - WELT Block: L(-)t: 044 Jurisdiction: TIG Zoning: R-4.5 Remarks: New �:: detached rowhouse in Building #2. Setbacks as per shoot A10.10 Plan A-N Your company 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: BROWNSTONE HOMEES STREAMLINE ELECTRICAL 12670 SW 68TH PKWY 4200 6025 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #- 360-993-5080 Rflq #. uc X16514 EI.E 34-432C SUP 4081S AN INK. SIGNATURE IS REQUIRED ON THIS FORM X � Signature of Su ervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 � CITY OF `T I G,A R D ____ MASTER PERMIT PERMIT#: MST2001-00163 DEVELOPMENT SERVICES DATE ISSUED: 10/30/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SI'''= ADDRESS: 13188 SW RAPTOR PI- PARCEL: 2S104DA-05800 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 044 JURISDICTION: TIG REMARKS: New SF detached rowho,jse in Building#2. Setbacks as per sheet Al0.10 Plan A-N BUILDING RFISSUE: STORIES: 3 FLOOR AREAS REQUIRFD SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 113 of BASEMENT: of LEFT. SMOKE DETECTORS: Y 'TYPE OF USE: SF FLOOR LOAD: 5u SECOND: 735 of GARAGE: 541 of FRONT: PARKING SPACES: TYPE Or CONST: 5N DWELLING UNITS: I FINBSMENT 580 of RIGHT: VALUE: $141,590.00 OCCUPANCY GRP: R3 BORM: 3 BATH: 2 TOTAL: 1,48000 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: t FLOOR DRAINS: SEWER LINES: 100 ,F RAIN DRAINS: 2 CATCH BASINS: TUMSHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES _ FURN<100K: 1 BOIUCMP<3HP: VENT FAN is 3 CLOTHES DRYER: 1 GAS FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS: I MAX INP btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL _ RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1' 0 - 200 amp: 0 200 amp: WISVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 800CF: 3 201 400 amp: 201 400 amp: ict WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 an.p: 401 600 f.mp• EA AODL BR CIR: 1 SIGNALIPANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amp: 6014ompo-1000y: MINOR LABEL: 1000�amplvnit PLAN REVIEW SECTION _ Reconnect only: >•4 RES UNiTB: SVCIFDR>•225 P_: >600 V NOMINAL: CLS ARL.JSPC OCC: ELECTRICAL•RESTIUCTED ENERGI' __ A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM. AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT BURGLAR ALARM OTH: ALL ENCOMB BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GAnAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC' DATA/TELE COMM: NURSE CALLS. TOTAL N SYSTEMS: Contractor: TOTAL FEES: $ 5,696.13 Owner: This permit is subject to the regulations contained In the BROWNSTONE HOMES BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR. Specialty Codes and 12670 SW 68T1l PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This permit will expire 9 work is not started within 180 days of issuance,or if the work is suspended for more than 190 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Ren N: 1 Ic z4e27 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, Underfloor Insulation Electrical Service Low Voltage Firewall Insp Electrical Final Sewer Inspection PIIn/undslab Insp Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line Insp Plumb Final Foundatlon Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Service Insp Final Inspection Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Appr/Sdwlk Insp Issued By -.1�& Permittee Signature It r Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITE' OF TIGARD _ SEWER CONNECTION PERMIT _ DEVELOPMENT SERVICES PERMIT#: SWR2001-00105 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/01 SITE ADDRESS; 13188 SW RAPTOR PL PARCEL: 2S 104DA-05800 SUBDIVISION: QUAIL HOLLOW -WEST ZONING,: R-4.5 BLOCK: LOT: 044 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE. UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: ---- -- — ___ FEES_____ _ BROWNSTONE HOMES Type By Date Amount Receipt 12670 SW 68TH PKWY#200 PORTLAND,OR 97223 PRMT CTR 10/30/01 $2,300.00 27200100000 INSP CTR 10/30/01 $35.00 27200100000 Phone: 503-598-7565 Total $2,335.00 Contractor:. Phone: Reg #: Required In!;pections I This Applicant agrees to comply with all the rule ind regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC;by calling(503) 246-1987. Issued by: � � � Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i Building Permit Application t Date received:_ zd 0/ Permit no.:/!!��'UO/7,0/(r 7• City of Tigard`, b Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By:1 Receipt no.: Fax: (503) 598-1960 Case file no.: _ Payment type: Land use approval: 1&2 family:Simple Complex C'f1 &2 family dwelling or accessory 0 Commercial/industrial O Multi-family New construction O Demolition O Addition/alteration/replacement O Tenant improvement O Fire sprinkler/alarm O Other: Jolt Sll,-.E INFORNIATION Job add Bldg.no.: Suite no.: Lou Block: Subdivision: tM►t L uw } `T Tax—map/tax lot/account no.: Project name: I lu w Description and location of work on premises/special conditions: PPDlt(At rt} S -- i Name: :2l11CTNl; (-iL3nMts Mailing address: I'UVID 4ti" lo$t—l` 2"t ' UO I dr 2 fatally dwelling: City: 7 �90,o ate: ZIP: 72Z3 Valuation of work........................................ $ Phone: Fax: I E-mail: — No.of bedrooms/baths......................... Owner's representative: m IZ- C,ArDtS Total number of flours............ .............. Phone: 5� `I Fax:57r��19'L E-mail: New dwelling area(sq.ft.) .....l.-`5 Garage,/carport area(sq.ft.).......Loe. .••••.•.. Name: E A��G • Covered porch area(sq.ft.) ........... ............ Deck area(sq.ft.) ................q(?5`.'. F�..... Mailing address: State: ZIP: Other structure area(s .ft.).........':............. -- City: -- ('ommerclaUindu9trial/multl-family: Phone: Fax: F;-mail: $ Valuat'on of work.......................... . Existing bldg.area(sq.ft.) .......................... — Business name: New bldg.area(sq.ft.) ••••••.••••••.• Address: Number of stories........................................ _ City: State: ZIP: Type of construction .................................... Phone: Fax: E-mail: Occupancy group(s): Existing: CCB no.: New: _ City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: C-, 1 d provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed. If the applicant is Address: \\�\ ""ChPY� t. V5� exempt from licensing,the following reason applies: Cit State:W ZIP: %VI I - P Contact person: Plan no.: Phone:'jab- 40_ Fax:'�pE e7- Email: lost Name:�,1 Q E61C�� Contact person:11 FN Wi 11,MA Fees due upon application ........................... S Address: Su�� 1iht3U Date received: City: Stnteflr'" ZIP Amount received ......................................... Please refer to fee schedule. Phone-, -1633 I'�: E-mail: — -- — I hereby certify 1 have read and examined this application and the p Vista U MuteNot aljuri%&c6om�iC.d G carn< i"r«,n.u�, attached checklist. All provisions of la sand ordinances governing this work will be compli whe iPled herein or not. c��au era nomtxr - Fxpifrt Date: C _ - NIm of Cltri dna shown on eredii cW Authorized signature: $ Print name: r 1V� A D t. Crdhorder tidnuure— Amount Notice: Mis permit application expires if s permit is not obtained within 190 days after it has been accepted as complete. 44&4613(6MrOM) Mechanical Permit Application —' pate received: Permit no.:�57 � City of Tigard Project/appl.no.: _ � Expire date: City ofTigard Address: 13125 SW Hull Blvd,Tiraid.OR 97223 Date issued. Hy. pt no.: Plione: (503) 639-4171 -- - Fax: (503) 598-1960 Case file no. Psyment type: Land use approval: Building permit no.: 1 ' ,i-&2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addititm/altenttiort/replacement U other: tVALUATION .1 1111 Job address: , j G�) r t v A_ C- 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$ 3U " (gat: �N Block: Subdivision:C,ZOAtI 1lallow W65r *See checklist for important application infionnation and Project name: (;_ 4\ jurisdiction's fee schedule for residential permit fee. City/county: 1C-IA'tx' c ZIP: 22 r Description and location or work on premises: u� t 1 t s Fee(ea.)I Tow Est.date of completion/inspection: __ thxrilNiutt_ Res.onl Res.onl Tenant improvement or change of use: Air handling unit __CFM�22 Is existing space heated or conditioned?U Yes U No tr con tt on ng(site p an requtr ) Is existing space insulated?U Yes U No Alteration of existing HVAU system tBoiler/compressors Businc•s name: Ull EA` �-1 t A 11 }Cot r n>r State boiler permit no.: � HP Tons BTU/H Address: U to(tv FirdsmokedomperE uci smoke detectors _ City: v(L 1P" ZIP:Gam]Zf)U eat pump(site plan required) _Phone: eJ_ a rep ace urnac urner S5 Fax: )Iq) E-mail:E-mrul:y'j� -- Including ductwork/vent liner U Yes U No CCB no.: 2 nsta Vreplacelrelocate heaters-suspen City/metro he.no.: ISD DO 110 Vwall,or floor mounted _ Name(please print): Mn}1t�ty - eat ore iancen other an urnace e e Absorption units BTU/H `1 Chillers HP Namc: -�l" krQ — Compressors, HP Address: Z � a♦ronmenta ex ust andyen ton: City: State: 7,IP: Appliancevent Phone: Fax E-mail: Dryer exhaust I �_ 155R.s, 'ype I/111res, itc a azmat hood fire suppression.rystetn Name: C-7- t� �(}�; r Exhaust fen with single duct(bath fens)Fr__ Mailing address: _ �x ausi s sterna art rom pcaun or State: ZIF: tie p p nR• st on(up to ou ets City: Ty LPG NG X_.Oil Phone: Fax: F mail: ve Linn eac a itiona over out ets rocea+�ng(schematic require ) Number of outlets _ Name: ter n app a or equipment: Address: _ Decorative fireplace City; - — State._ ZIP: nsert-type _ -stove Fax: .-mail: c v�pclTet I _ Phone: Other: Applicant's signature: Date: Name (print): Permit fee- Nal it,(wimWom accept reedit carts,please can)utmoction fir more IMmmaacn. ................$ Notice:This permit application Minimum feeee................$ O Visa U MasterCard expires if a permit is not obtained card number__-- -- ---�--L Stan review(at _,._ 96) $ Ct"I c _ within IRO days after it hes been e.riret y State surcharge(896) $ u anovrn rxt credit cry--- accepted as complete.— time c $ tTOTAL .......................$ d�oattre �— Amount 440-4617(6R)WCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Ami $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100 00 or Including ducts&vents 14.00 fraction thereof,to and Including 2) Furnace 101`,000 BTU+ $10,000.00. including ducts&vents __- 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25000.00. or floor mounted heater 1400 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or �_ 6.3G fraction thereof,to and Including 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 Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. _ footnotes below. 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00 Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 Des_cfl tlon: Gly Ea Amount 9)15-30 HP;at orb Furnace to 100,000 BTU,Including 955 unit.5.1 roll 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+ _Rn lit 17.20 Repair units Bob 1 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10,00 to took BTU 15)Vent tan connected to a single duct 3-15 hp;absorb.unit, 1,700 Q- a 8o 101k to 500k BTU 16)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit mll.BTU 17)Hood served by mechanical exhaust 3050 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 mill.BTU 19)Commercial or industrial type Incinerator Air handling unit to 10,000 ctm 656 = _ 69.95 AIr handling unit>10 000 cfm 1,170 20)Other units,Including wood stoves Non-portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 _ 21)Gas piping one to tour outlets Vent system not Included In 6S6 5.40 appliance permit - 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic Incinerator 1,170 Minimum Permlt Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4 590 �2 Other unit,Including wood stoves, 656 8%State Surcharges w Inserts,etc._ tc. _ Gas iping 1-4 outlets _ 360 25%Plan Review Fee(of subtotal) 5 -� Each additional outlet _63 -� Required for ALL commercial permits only TOTAL COMMERCIAL f TOTAL RESIDENTIAL PERMIT FEE: VALUATION: har n.Mtians an4 fees: 1 Inspections outside of normal business hours(minimum rliarge-two hours) $72.50 per hour 2 Inspections for which no fee Is specifically Indicated (minirwm charge-half hour) $72.50 per hour 3 Additional pian review required by changes,additions or revisions to plans(minimum charge-one-heh hour)$72.50 per hour 'State Contractor Boller Certification required for units+200k BTI(. "Residential A1C requires site plan el owing placement of unit. iAdsIs\fomtsVnech•fees.doc 10/11/00 Electrical permit Application QaUtrooelrnf: hrrMtra.:/`1�T�' -DO/ '1' City of Tig2rd t'ro►ect splr;rr,. - RIP"date: r IrrA�71t(erd Address: 1312!9W Hail Blvd,Tipm,')R 97:23 Date)►nxA: By. CtarelPtrso. ..._ Vtww-: (501)639.4171 -- Paz. (9)3)59&1960 1Can bte W, PalRnent tyye Land use approval: =A2 dwelliaj or aocueory U Com"rcial/huhnulal U Muld-family U Tenant irnproverrwAr wtion U A6dit1WslrerntimVVlacwtww 0:)titer. U Psmal Jnh rtWtsae: ) �'( f]Id .nn :,k !iuite nu. ?A M tn• IrwUeca(Val Do.: _ l cx ; c Bock: rutdivis{Oo a %L H++I lvw w e%r _ 1'rrned tt�IM: Vl9M� Ne I I t t.� �_tDc!ctiptlon and Imsuon of work on rmises' N ELN WhIlLA ri*J -^- I timaed dile of t' 960W U t,on: JN so M m- �I�ra,�.� taty 6aalnew m uTid' r T P.d rn I l11 �F'1 C r ;�. �_~✓ •a►a,Rll{FwMf per r E. 18 1 h t'1 _ _ Iwr�w�Ir�dwMRrMn/ws�a chr V n c o u v r Stat w A ZIp 9 8 6 61 �^ +� phwre: 993-528 1 paantsil: _— Iouoeft orIM 1 CCR t,o.: 1 b 5' 4 paec.bw.ut.nn: 34-4.120 nwm .l soot n� o� 2or ..�._- Clot rlRstnm Ilc.r1D.: _�-^.`_ Lt7titar.rner� hne realdnwttnl __ fllenh rn•m0(AM QY10 lk to Of 941,10 dWel Iiaa W..rue.O(•yd�/M 1/1��! 1M�U�,--__ Urle �VP�'�YI[ULR IMA.I 2..__ •!tl .--don_.apr47'_- -)—:a-•`—` t.ke�ntt ro iw�i+/ Ian-••••TnA'iTMrIMa, -- egrnrlrlr K nleeMtew' 3n 200 ung.n►kr• r i Mom 1��1 - 1 1j,"104 M arses — 1 L -» 101 1 b 600 rrM 2 Mal thddreu_ _� v I"("y8f. — SIAt o— up q3, ,r CR Molb _ 7 phoAlr - fan b F nwl. R?,t .. (itivtlHt'Invalletieri' Installation a inp meth•on pngwsrty 1 own �i E;—M o0• whirl►It,pot Inwr►ded;O sale.1 1.tx eachww acconllns t4 001- Ao,611"S war r" oet/ow fAS 417,4111.179,�K'o l ti.!,.�p •np 3 Ow~nwsDann _ 4 0 I iul w iii aseaMSlrlra FM ptrku � N/ss2e A Fre ror btwwh(,traits Mt%pnRohower Addrsae: rr viae or kodw-ba,Vwh t.raaeh dn4h 2 City: 5uer: 2'.IP: w ror M+sKh dvcr wihMe` nl srr+toa or I"dew rr rww brow h clivot 2 E-mail; B:dtedQYlosli�i�dtrinur, ^'. - - - «wJim mill, W�WMINMIMW p aansan.e►ris rwQeto�wasrrW t7 Nedth-C"Wait, at e�ta4 0� lar click I Q ferny,ow Sw an reutt6 M I R2 O Ilsssdour 1wMlat a evdlrx t Radt,ArrellMt/s p e•1 sdrtr ow 10 oon«vers Aet t>7trr a Its)a s n+wa r MMINY O hisnrmr600 rNt•0wNW141 Rrsr rorManal rrxte In one NfsOWr r:tetwlow,a rsteaden• !_ --2 C]Owttbp e�orre teeNre O trw on 400 W"w MwN .( U Orolpd►w Wd rrer e0,4w'ti t:!Mmormrsrrd 90"trrY w RV►e* 6K! I •rrr rod•1 a n p4m&wllsmi"pur R Orr+ - _- MiWpanoa lltssrestlr- _._.am of pkw v*b myof IM abo". L�.esH�iUota re -_ _v T►a a" ars 11141011 We M"M IN 11 nr4raMla esiv 4". 0#0 _ Pannit fee......... .......... S o �Ma rr4'croar tet►herr�IJanrtee•Ibr nor Ydwntaeea. NtrtioeThls pern1lt e)spllratlrn bMw OMnswCerl expiry If a livmlr is not eboi»d fan review(at crst.w...Rwrr1 wldttn t s0 days atter it tier bmi Staa surchwp(M.. _. .x« _ am" w-c at 7 0TA1r, ...._...._.... ..i _ _1&,1_4s? rrr r w TO/TO 39etd 01810313 341'IWV38.LS ZE0GE6E09E 5C )CT 100 'SO.-'Eo Mar-06-01 03:05P Walcott Plumbing; 503 667 9891 P-02 0:1.'06/01 '1'U^ 14•41 PAX 503 599 1960 .'1 1-Y OF TICARn (Oj 0 U 2 Plu11111bing Permit Application Gate received: P.rtN1 no.. City of Tigard nddrrr.h 13125 SW Nall Blvd,')tgat t,oR 972.3 Sever,permit no.. Dwldinjpermit no.. C1ryof71rarE Pltune. (!S(13)b19-4171 Ru1ec✓ay(Lro: Ha rteQete: I.Ax: 110.1)SNR 1900 Du(r issued By: Re"—Pt. r -- Lw)d ase approval: Lrsc rile nu Na menu �- --- ----- --- _ r type U I k 1 family dwchtng ur aece,gc" U l omrn dclal/IndaIII J 7 Mu'.L•(arndy CJ Temam improverrultt U New tuactrucuon Li 4J4jttir n;dterannu/tcpiacement U H'Ajd acrvic.E Q dater' I Nil Jobaddreas: 04. f 106 Urscr! tloo Qty: Fee(as. taMl 81d .av,: 9tsito no,: New 11.aut�2 Lail r we to only Tau matp/tax loNeecouue ao- (h AICIr s 100 ft_for Ofth rr1llity eo4pPrtloe) SFR(1)beth Wt. c t4 8hxk _- SuMli�ialon: � Ober - Ptbjccc cayicoun : w� ZIP: Na`ch,iJ itiona ila n Description and locatirrn or work on pmmisea: �IIar+Ulllieat e'etch bnsialarea dmot Est,date of ccxn lcuonnospeettcm tywc Fw Reacline7G nc�i nwd i nC nb �dratnnu. n. 1 Bwincsa uarne: t+)o_lC p` w t„� nroccuNMI red home uniiu— e-` Addlvar. 2007 -R41n drain connector Clty: e�l,e�snr. _ _ 91akQ ;1f >,nji ower(tno Morte:503-60-11,61 f.0' 4tl x) (r Mall:§Zivox-a.nv corm sewer(iso. in,n.L CCB no 1,3141 Plumb.bo.tag,no.7.2, 20 V pp Un It' — Cr ltyimetm lic no.: Ebttwe er hee l Cvotrat;Wr's represemtladvc at oahue: Ab aoa valve ;sve-ate r print namnc P et IDAONckwaiii valve -- Name' ahes wuhcr Addrcsa is wns er - --- -(� tt �n luunun(sl City. ISULe _J '1P, G.cc --—_ Phone: Fat E pearl ipenu`m conic �ittu� i �' --- -- Name(print,. Flare tst Ll sin /huh_ MrrilttK.vddu .- -- ur a;e�tiptxt'T,�4�� ----- -Hose brbb C,ty, - State Up: Geier Mile. Fax: E tttul _ nlaceptor/grea_uyap Ownct tnetallahuNreatdentin) marntenwwt only: The acluA installation 11nrner well be mute Fy tneor the maintenance ma repaireasde Isy my reguiat ou rut,(erxnmerctal - --- - emp)oyrrr on the pmperty 1 vwa as per URS Chapter 447 in s - ( baaM(s;,)aV1(1 Owner's sl nature: per. _ SMP Tu IIS rrwcr awnr pan None: stet c obel -_ A,7Jress, neer a:cn City tpr Plumed fe,, -- Etna i1 Total '"�"1 A"in mum res.... M+MIjreuraCU+MltrrMttedrurdr,nlnr+eedl�urfrUttrael«nwr.n«m••.... *b:ix This prrmitmppllcat.,m U/Ila O Masta+t+re ,�_ • rl,ml it a ma reit nut obtained Plan review(at _RSt6_! alar;• S CreLirWedre/er .__� �._ Sla,le�Vi�itat ( Far,r,w within 180 Jeys aRrr it has heen � t4� ar ��` ncr�Deed wcompk;eTOT,%I _. ...... . . .S S ' — � WV010 aWC�:N; 1 11 ,t • Mar-06-01 03 :05P Wo lc_gt.t. P lUrnb i ncT 503 667 9891 P . 02 03!08/01 TCL 14 1: 1'.1.0 SUT SflA 19G� CITti OF 'CICAHU :JouJ PLUMBING PERMIT FEES: RI r' T Al New s an12-0Amlly dWeMinps v►+ly, -1 FIX71�Rti 1(nlllvldwl) t,._ Am 1 �0 AMOIN (I)chrdes all pturnb;np'fixtures in P014 TOTAL !-6mk 8.61 b the dwell(na and the llrtRlDO ft,' QTY I41U' AMOUNT Lor eLchvlli tyorinecll n Lev"e1oi/ rL 10.8) �- Y__ ;. - Ono1l�bab Ilr v124B ID dub or'u0/Shower numb ^/ 18.81 41 wa rie,h - 380.-o $flower Only - 6.ei TMvef3)paa_ - 11399.00 PV asarGlaN 1e�) ___ 1 -1'l - e r �SCIIAL - r �`8%S�ATC9URCIIAk GF. � ^� C'isnwa�hcr 18 fj /d PLAN RLVIIEW 45%OF 3U9'_VAL I1-Garbage Cispatsl i La�ndryFray 1880 4►%r4 Mach,no 1 How Or-1irV gor31,k•� I` _�- redo PLEASE COMPLETE- 4- 1810 Wyle'Hueter O conveys on Ots wendtet Quanli bWolkP'wfonned Cas p1pm0 regw;es a+cpareu mT.herrut ' //� Fixture Type New 11Aovdd Replaced RemAV-4 MFG I+arra Now Wr11M Service 46-0 1 Sink _ Mo U H40—fiew Saws(orm ewhfr A6,0 lavatQr - Nose H Gs 10�q u or utx3hower CombinsUor• _ Rod Deme 10,1.0 navor-Sni- CtenK'np Faunlein 16ir0 Wolof Closet r Oflx!urit ISWcIy) 18.110 .,� _ iehwaehcr __ _� Gaiba o Cie o�ii r �__ Lound itoahh Tr `---- -- - Washing Ma ne _ 9ewn-1x1 10a' S7 i0 p faor rain! 3' ;owtr•ese addilka,el 100' A8 t0 Weler 3ary co-III i0o WaIn Heater _ Wster ydnaice•Tech acdltons 200 +e to other rcures ,,tam 8 Rain gram• ''p 100' 1S5, _ Stam b Fain 5/air-each� a o al 1 8' d6.10 ^� Commorci 8ech Flow rewntbn 044 o - 48 10 - keeidanlisl exxncw Prevent ovrce' 27 05 GDteh 9aun inspection ul Existln9 PWmatRq or specicly 77 tto Ro uesledIn�ectiolls Del M' COMMINTS PCOARDINGI ABOVE: Ren oisi+,singis bmAy dwelling es 25 tirr•aserop* -- QUANTITY TOTAL �eomelnc o�» elegem n•pved It i 'SUBTOTAL 8%STATE SURCHARGE - -PLAN REVIEW 156A OF SLSTOTAL r R.q.YT4nr, lyirfulureyr'�.rcl�'h�5 1 TAL _ s 'Mrtnima m p.nrfl he 1r$12 et•3%e111#0 sk"hw9r,e�df>•Read m111 Dec+rar G4v.rq n t)cvwr c,wn c n s 13f NJ r PAero wnrhafee. "ql1 New cemm.rcui aubdinge rwqu«e p1Tns wllh lepgyt•Ir ah a llaenr,u o I\datgvormslptnl•ke.+doe I W OM