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13193 SW RAPTOR PLACE Cn w O 1 w 1:193 SW Raptor Place CITY OF TIGARD BUP DING INSPECTION DIVISION MST F7 24-Hour Inspection Lone: 639 . r75 Business; Line: 639-41. B[1P _ Date Requested—._ �� - � T AM �I PM -- BLD ---- j� Location 3 j GjT�C — Suite _ MEG Contact Person _ Ph '3>&D 7 7 Z— PLM Contractor Ph SWR 6UILDING Tenant/Owner ELC - ----- --- Retaining Wall ELR Footing Access FPS Foundation ------------ _—--- Ftg Drain SGN Crawl Drain Inspection Notes: _--�— Slab _ _— __ SIT Post& Beam ------.__--�_� Ext Sheath/Shear Int Sheath/Shear Framing ' Insulation _ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- --- — Roof Misc --- - ---- _ -�--a- L J - - Final PASS PART FAIL -- PLUMBING Post 8 Beam — Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Bean, •--- Rough In Gas Line - --- _ - --- -- Smoke Dampers Final -'- — - PASS PART FAIL ELECTRICAL — Service -- Rough In UG/Slab -- Low Voltage Fire Alarm --- -------- - -- `+ S PART FAIL -- Tt' BacklilllGrading "`-'- -"--`-----'- �- — a Sanitary Sewer Storm Drain [ ]Reinspection fee of$_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Date _ _ M Other _: __ Inspector -_ '1'c.;It,,�_. "j r _ Ext Fina' PASS PART FAIL DO NOT REMOVE this inspection recc A from the job site. CITY OF TIGARD BUILDING INSPECTION DIVIO-ION MST 2CP=A-a 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested \2 C- AM -_PM BLD Location- 1"751 `fid, Suite MEC _ Contact Person - -_- Ph --_ - PLM Contractor _-! Ph SWR BUILDING Tenant/Owner ELC --_ ----- ._.--------_..------ Retaining Wall EL.R Footing Access: Foundation FPS Ftg Drain - Crawl Drain Inspection Notes --- SGN Slab ------------ - -__----------- SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear - Framing Insulation ----------- --___._ ___ - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - - ---- - - -. - Roof - - - Ip,SS ' PART FAIL - _ _ ---- - -- -. PLUMBING Post& Beam -- -- --------- -- Under Slab Top Out --------- Water Service f Sanitary Sewer I ---- - Rain Drains - -. Final .,- ---- ------- ---- PASS PART FAIL ( _ MECHANICAL — - Post&Beam -- --- ------- ----- - Rough In Gas Line - - - --- ----Smoke Dampers FAS6 P/`'tT FAIL -------- � - --- ELECTRICAL --__�.._----_.-- -------_�__-� Service Rough In -- _- - - ---- UG/Slab Low Voltage --- Fire Alarm Final -- PASS PART FAIL SITE Backfill/Grading -- - -- Sanitary Sewer Flown Drain [ Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Gatch Basin Please call for reinspection RE: Fire Supply Line I 1 P -� [ ]Unable to inspect-no access ADA Approach/Sldewalk 2 `T Other Date Inspector- Ext Final � — PASS PART FAIL DO M07 REMOVE this inspection record from the job site. CITY OF TIGARD BUII DING INSPECTION DIVISION MST 24-Hour Inspection Line: 63. .175 Business Line: 639-4. r BLIP _ Date Requested_ —AM _PM BLD Location i �/ �� ____--_ Suite � ; MEG Contact Person Ph /7; PLM Contractor _ Ph SWR BUILDING Tenant/Owner — _— E LC _...-- ---- -- — --' Retaining Wall __. ELR Footin 1 Access FPS Foundation -- — ----- Ftg Drain ----- SGIN --_--__ Crawl Drain Inspection Notes --- --- - Slab - Past& Beam --- ---`---� -- - - Ext Sheath/Shear -- - -- Int Sheath/Shear Framing ---- - - - - - Insulation Drywall Nailing -- Firewall Fire Sprinkler -- - ---- - -- -- T- ----- ----__._T - - Fire Alarm Susp'd Ceiling --- Roof Misc: - ----- ---. - - - Final PASS PART FAIL ---- ---- _ - - ... - -- - PLUMBING Post& Beam Under Slab - --- Top Out Water Service ---- --.�.-- —_ Sanitary Sewer Rain Drains PART FAIL MECHANICAL Post .& Beam Rougt. In Gas Line Smot a Dampers 1=nal - PASS PART FAIL ELECTRICAL Service. -- Rough In LIG/Slab _ --_----- - - ----__ Low Voltage Fire Alarm --- ----- -- -- _— ... Final PASS PART FAIL. SITE - ----_ __-- _- Back9lUGrading -_- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I )Please call for reinspection RE: -_ [ )Unable to inspect no access Fire Supply Line ADA /' Approach/Sidewalk Date/ - ,77 G Inspector_ � C ✓� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 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 #: MST2001-00187 Date Issued: 816/01 Parcel: 2S104DA-09400 Site Address: 13193 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot- 080 ,.jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #3. Setbacks as per sheet A10.10 Plan B-S 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. Pleasz 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 OVVNER ELECTRICAL CONTRACTOR: BROWNSTONE HOMES STREAMLINE ELECTRICAL. 12670 SW 68TH PKWY #200 6025 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 Reg #: LIC 118514 ELE 34-432C SIJP 4081S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Sup rv� ising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 R pool i cn � ► R i � A.. b ► i ro r t i ► Cz� ~ o b i N a pra. CD y �, i 44 44 o i ► ► n ! r ► 44 i44 N - , IQ ! I n p ilk- Opt.► � 4 ► 44 itrvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvI I I s � o n F 6 N C b o � Ad A A S 1 r CITY O F T I G A R D MASTER PERMIT PERMIT#: MST2001-00187 DEVELOPMENT SERVICES DATE ISSUED: 8/6/01 13125 SW Hall Blvd., 'rigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13193 SW RAPTOR PL PARCEL: 2S104DA-09400 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT:080 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building #3. Setbacks as per sheet A10.10 Plan B-S BUILDING _ REISSUE: i STORIES 3 FL.-wR ACEAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 428 of FRONT PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBBMENT: 580 of RIGHT: VALUE: $118,030 00 OCCUPANCY GRP: R3 BDRM 3 BATH: 1 TOTAL: 1,488.00 of REAR. PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS. RAIN DRAIN. Iiia TRAPS: LAVATORIES ^ DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES. 100 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN<100K: 1 SOILICMP c 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAB OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ADD'L INSPECTIONS 1000 8F OR LESS: 1 0 200 v mp: 0 200 amp: WISVC ON FDR: 2 PUMPIIRRIGATION. PER INSPECTION: EA ADD'L 500SF: 3 201 406 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 800 amp: 401 800 amp: 1EA ADOL OR CIR 1 SIONAUPANEL: IN PLANT: MANU HMISVCIFDR: Bill • 1000 amp: 801+0moo•1000v: MINOR LABEL: 1000+amolvolt: PLAN REVIEW SECTION Reconnect only: 1.4 RES UNITS:� SVCIFDR>'•228 A.: +600 V NOMINAL: G_.:AREAISPC OCC: ELECTRICAL•R'STRICTED ENERGY _ A.SF RESIDENTIAL S.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC Ll BURGLAR ALARM: OTH: ALL ENCOM13 BOILER: MVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DAl'AITELE COMM: NURSE CALLS. TOTAL#SYSTEMS: Contractor: TOTAL FEES: $ 5,683.49 Owner: This permit is subject to the regulations contained in the BROWNSTONE HOMES BROWNSTONE HOMES LLC Tigard Municipal Code,Stale of OR Specialty Codes and 12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in PORTLAND,OR 9722'. PORTLAND.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 Rep 0- LIC 124827 forth in OAR 952.001-0010 through 952-001-0080. You may obtain copies of these ruler or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp& Underfloor Insulation Electrical Service Low Voltage Firewall Insp AppNSdwlk Insp Sewer Inspection Pim/undslab Insp Electrical Ruugh In Gas Line Insp Rain drain Insp Electrical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final Slab Insp Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Water Service Insp F a action r Issued By : '-�� ^_ Permittee Signature :_ — Call (503) 639-4175 by 7:00 p m. for an inspection needed the next business day /A CITY OF TIGARD _SEWERCONNECTIONPERMIT - DEVELOPMENT SERVICES PERMIT#: SWR2001-0012A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/6/01 SITE ADDRESS; 13193 SW RAPTOR PL PARCEL: 2S104DA-09400 SUBDIVISION: 01-JAIL HOLLOW-WES-! ZONING: P,-4.5 BLOCK: LOT: 080 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 new SF detached rowhouse Owner: - -- -------------FEES_____ BROWNSTONE HOMES 12670 SW 68TH PKWY#200 Type By Date v�Amount Receipt -- PORTLAND, OR 97223 PRMT CTR 8/6/01 $2,300.00 27200100000 INSP CTR 8/6/01 $35.00 27200100000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: keg #: Required Inspections I 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 laterel 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 copie f these rules or direct questions to OUNC by calling (503) 2987 Issued by: Permittee Signature: '`'--- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application Date received: -- i;,; '��/ Permit no./tJS BQ/ Cit of Tigard Y g F'rnjecUappl.no.: Expire date: ctry of Tigard Address: 13125 SW liall Blvd,Tigard,OR 97223 -- Phone: (503) 639-4171 Date issued: — By Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ 1&2 family:Simple Complex: t Ufl k 2 family dwelling or accessory 0 Commerciallhndustnal _1 Multi-family New construction O Demolition 0 Add jtion/alteration/replacement O Tenant improvement O Fire sprinkler/alarm O Other: _. Job address: :) /�l. _ 1 1-41 Bldg.no.: Suite no.: Lot: j Block: Subdivision: ^j L ova *QST Tax map/tax lot/account no.: - Project name: Q A L. %c to — Description and location of work on premises/special conditions:tj =I a rTm rp=04"I Mailing addreA: I'L4610 Sµ' mtLLA'e 1 2 family dwelling: _City: 7 A^yp State: ZIP: 70-3 Valuation of work....................................... Phone: Fax: 5 got I E-mail: No.of bedrooms/baths..............L............. _ Owner's representative: IZ, GAVt`� Total number of Moors............... .............. Fax:57q�19'l. E m -- New dwelling area(sq.ft.) . �.. Q4�.. ... Phone: 57 5 .... — Garage/carport area(sq. ft.)...... ......... — Covered porch area(sq.ft.) ............. _ — Name: ` 1 A`�---A4(�5�► f r Mailing address. Deck area(sq.it.) ............._.........� ........ -- --- Other structure area(sq.ft ) ... ......,.... City: State: 7.IP: `—` E-mail: CommerclaUindustrial/multi-family: Vali•+tion of work Phone: .......... $ � t .............................. Existh,g bldg.area(sq.ft.) .......................... Business name: 56t AY"'G New bldg.area(sq.ft.)................................ Address: - Number Number of stories........................................ City: State: ZIP: Type of construction.................................... Phone: Fax: E-mail: Occupancy gmup(s): Existing: — ECB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors art:required to be licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may he required to be licensed in the Name `� �� ` d - - -- jurisdiction where work is being performed.If the applicant is Address: 1L exempt from licensing,the following reason applies: Cit State:WA ZIP: fol _ Contact person: WM Plan no.: Phone:76b 4(oj- Fax:V* I- E-mail: -- --- Name:W Q0, 'DE51 W_ Contact person: M) Lot 111 Fees due upon application ........................... $ Address: St�� 1iH�115 Date received: _ (Z _—_ 91223 City: �" State:Ot" ZIP. Amount received ......................................... $_ Phone �1p -116 33 Fax: E marl: Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the uverenn OnMesercl r CAM 0011(1101041 for MM inra,rwlon attached checklist. All provisions of Is a and ordinances governing this cwt cera nMa --- work will be compli ,who Gifted herein or not. Authorized signature: Date: /c t None or cu>riolder n shown on cndii cod $ Print name:_�r IMS ( A 0 t c.rahotaer dpwure --._ Amoot— Notioe:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-413(60WMM) Mechanical Permit Application Datereceived: Permit no. Sr7ve/-e City of Tigard Project/appl.no.. Expire date: City of ngard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 pate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: t &2 family dwelling or accessory U Commerciai/industrial U Multi-family O Tenant improvement New construction U Addition/alteration/replacement O Other: INFORMATION r Job address: / _i �, 1._�I [`c 1 -7 L 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$ Q `- Lot: , () IBlock: Subdivision:Q Ail Pollow tye5r *See checklist for important application information and Project name: Q#j EU t.� `T mwyicy AkF jurisdiction's fee schedule for residential permit fee. City/county: I(-Ipk .0 WflSI-1 "LIP: q�12'L rI &2 IIX rSCHEDULE Description and location o work on premises: ="t..0 _ ree(ea.) Tow Est.date of completion/inspecdon: I)e9criptIon Qty. Res.only Res.only Tenant improvement or change of use: ` o Air handling unit --CFM Is existing space heated or conditioned?O Yes O No Air conditioning(site plan required) Is existing space insulated?U Yes U No Alteration of existing system Boler conlpressorS c State boiler permit no.: Business name: oU 12 's 22, t A 11-Yh A Cc01nKt HP Tons BTU/14 Address ?,0 —(o�-01irel�smokee dampers/duct smo a detectors City: �,5—w1 A Statet--r tr. ZIP:C17 Z'9Q eat pump(site plan require Phone-:-"�5 5`I� Fax:775 114) E-mail: nsta rep ace urnac umcr-- H Z — Including ductwork/vent liner O Yes O No 4 � CCB no.: nsta rep ac re ocate eaters-suspen Ci(y/metrolic.no.: DODO 1,0?-S wall,or floor mounted Name(please print): yl /VI)1}°tC?Av Vent fora iance other than furnace e era . `, Absorption units BTU/H Name: �I ytN1 Chillers_ — HP < �� Compressors HP Address: Environmentalexhaust a ventilation: City: State: EW Appliance vent Phone: Fax: E-mail: erex austMUM 1 Hoods,Type res. uc a roll azmat hood fire suppression system Name: E- Ali � 8n , — Exhaust fan with single duct(bath fans) Mailing address: aunts stem apart tont eat ng or AC City: State: 'LIP: Fuel piping oo up to 4 outlets) T —LPG NQ X_Oil Phone: Fax: E-mail: Fuel pipingeach additional over 4 outlets Proem piping(schematic requ ) � � d , Number of outlets S Name: PA M �� : �' , ler IrRed app ante or equ ptaent: _Address: _ Decorative fireplace City: I State: ZIP: Tri-ty - _ Phone: I Fax: LE-mailtme�Tletstove Other: Applicant's signature: Date: MCC Flame (print): Na all Juridicdoau a>ecept credit card..pkaae can Juriadkdon for more infamaadon. Permit fee ................$ url Notice:This permit application Minimum fee., $ O Visa ❑MastarC expires if a permit is not obtained Plan review ' credo esti manner: — -- FRIRL— within 180 days after it has been (at _ %) $ — r' ., a,—�e,M — accepted as comi•'efe. State surcharge(896)....$ Name $ TOTAL. .......................$ _ C atria al AmarM 4104617(BAM.'()M) MECHANICAL PERMIT FEES COMMERCIAL FETE SCHEDULE: 1 &r 2 FAMILY DWELLING FEE SCHEDULE: --r -- Description: Price Total TOTAL VALUATION: FEE: Table 1A Mechanical Code oty (Ea) Anil $1.00 to 55,000.00 Minimum fee$72.50 1) Fumace to 100,000 BTU $5,001.00 to$10,000.00 372.50 for the first 55,000.00 and Including ducts&vents 14 00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including including ducts&vents _ _ 17.40 . . $10,005{).00. 510 $76for he first 510,000.00 and 3jFloor Furnace , o , _ vent '4 $1 54 for each additional$100.00 or 4) Suspended heater,wall heater 00 fraction mereof,to and Including or floor mounted heater 14.00 _ $25,000.00. 5) Vent not Included in appliance permit $25,001.00 to$50,000.00 $379,50 for the first$25,000.00 and 6.80 $1.45 for each additional$100.00 or 6 Repair units fraction thereof,to and including ) 12.15 $50000.00. I Boiler Heat Air 550,001.00 and up 5742.00 for the first 550,000.00 and Check all(hat appy: $1.20 for each additional$100.00 or For items 7-11,see or Pump Cond fraction thereof. footnotes below. comp.* -- - T 7)<3HP;ab5orb unit _ to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU - 25.80 Descri bon: Q E® Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5.1 mil BTU 35.00 _ ducts 6 vents 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 955 11)>50HP:absorb Floor furnace including vent unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Alr handling unit to 10,000 CFM floor mounted heater 10'00 Vent not Included In applicance' 4q5 13)Air handling unit 10,000 CFM+ _perrrtll � 17.20 Re air units-^ _ 1115 -- - 14)Non-portable evaporate cooler <3 hp;absorb.unit, 1000 to 100k BTU ---- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 4 6.80 101k to 500k BTU - 16)Ventilation system not Included In 15.30 hp;absorb.unit,501k to 1 a i{ance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30 50 hp;absorb.unit, 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit,, 17.40 >1.75 mil.BTU_ 19)Commercial or Industrial type Incinerator Afr handling unit to 10,000 c(nt89.95 Alr handling unit>10,000 Cim 20)Other units,Including wood stoves Non-portable eva�ata cooler 858 10.00 - Vent fan connected to a single duct 448 �. 21)Gas piping one to four outlets Vent system not Included In 656 5.40 a (lance eml t 22)More than 4-per outlet(each) Hood seryed b me anical exhaust 658 _ 1.00 _ Domestic Incinerator 1 170 - Minimum Pmlt Fee$72.50 SUBTOTAL: s,Z er Commerclal or Industrial Incinerator 4 590 - _ Other unit,Including wood stoves, 656 8%State Surcharge ; Inserts etc. ---- Gas pipinp 1 4 outlets _ 360 _ - 25'/.Plan Review Fee(of subtotal) $ Each odditlonal outlat 83 Required for ALL commercial permits only 3L TOTAL COMMERCIAL F $ TOTAL RESIDENTIAL PERMIT FEE: VALUATION: �- t?thar ln+)petftions ^d feta: 1 Inspections outside of normal business hours(minimum charge-two hOUfs) $72.50 per hour 2 Inspections fry which no fee is Ipedfically indicated (minimum charge-hail hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum (lrargo-one-haff twur)$72 50 per hour State contractor Boller Certification required for unite>200k OTU. "Rasldentlal AIC requires slur plan showing placement of unit. 1\dsts\formstrt-ie(ei-fees.doc 10/11/00 Electrical Permit Application Dau neuived. r4„wt _kik- City of Timed FITO)OWIP,t.tw Clryq/71�.rtf A 1drul: 1312$SW Hall Blvd Tuned,OR 9722.1 Dtt'cimed: 13y: R..ebcuo.. Phone: (505)639-4171 — - — Pax: 0 03)598.1960 c••t file no.: Payvnem type. [.and uae approval: 2 family dwrllia16o e or ce••ory (lu D CommeroialAnstrial U Multi family U renkm improvement "PLA cotMmmul-V J Additicrl/•IterawiOmplt►went U other. _ U Partial lob Wdnm: Bld ao. r.J Suite no.. Yrut rn r Int/acoeunt no.: int: k: Suhdivj#W- u�l L g611wo we%r t;ef-1 name' (17 Ml we I or.) 1. •cr9 tlon led location of wwalt011 protnlscs• N�L�I f o►riTN.�K na1J C•amwed dn(e d c(xn letion/ltu on: jet SSW �i�Q r•• n+� OwshwwsrOmn: S� treaml_-ng Rlgjc *'ic .ArM« I TOW_._.._ 'wr�" .rh-rd /1�dla•edw.">dr bdWoOftefu.l�nry. t1 : V n c o u v Sate: WA 9 8 6 61 urlh+rrtAN' " Phorrn: 9 9 3- moil: 1000«�n M 1•p— Plno.bw.1k.1or 34-432C n ical�txw sv0 .n.of fr _ cilyhrom lie.no.: Lultad ewls ,nrin re•Wenwr _ t�mtuwrocw�+tNoit a modulr dw•Ihq Doe _ lervld�rc1Art IerOer 2 IMI gem ) 1-4mwr■1 �►t�Mt iZINIM, N6rnc(pMa►: iur�r— w■ ] Mal ltddtt•s; Y� 7— Tewqorwy 2L—�111 CI T Np SUste:tJr•' Zll'' f wornFnu1. 1� o F.matl.frvmttt Inoioilaeen ' im•tallati(It1 • inp mod.(xr pmputy 1 ownrar�i.w�w wbxh b w.iMCM 16d fat.ale.I .fa erch"according to ILMi a'.ku rttn.nom,r�+Imo, _ ] OKS 447,453,470"Og � I :ll for a ■tap■ , — ] Qvrnrt'• of �; 7Ml ral wiOE�_y .•� _ _,. ...:tttrllrulr r■rtlrlt, A.t,./ror IRanth f rrr t■wrrA rurrnrrr�r Addr*M: wa.oe a Ind•r o.rn b tmoh tlreulr Z 9u� ilA: w rttr rnw-+��trce ..;�t,n,n� City -- - _.• ---- F� of"mice ooffrlow" �fr My Mom h cv*t 2 tT100M: �rlAtuoW!Cr.na��ircYlt: ( M valliw 16M Q Mr"w W#w 171 antVa�oAl16t•fwr Q NrM�w�.6rut4 W►'Pew a f .tion�vcle _ 2 2 Q tMr+ieemal20Mtp na tt] '�ttas�ultauMlen «euwrx. 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ZEeGE66096 6Z:4T 100,-' Mar-06-01 03:05P Walcott Plumbing 503 667 9891 P.01 U1 00/01 TU^ 14-41 VAX 503 598 1960 Cl*ry ov 'riC:1RA fQ�0U2 Plumbing Permit Application City of Tigard n.re moelv,d: ESUIldint ndldrtrrr. 11125 SW Mall Dlvd,7itar 1,OR 97221Sewer permit no.. permitt+ry t,rTigard Phone: (501)0539.4171 ho x✓ Ino1 tte: Fix-(Ni.9) 199-1960DuteiacuedK. LwW uses approval: Ccse file no.. ype, J I At 1 family dwelling ur xcer,ory Q Comrmacialftndustn,J 7j Mu.u-ra-n.l Q New cuastrucuo+t Y Q Ter.anr tmprovencnt O Ad4,4in4 e✓.dtennrwln;pixrrnent U Food rcrvice q Uther Job addtWs: 1)rearIL an Qty Fre(n. Tool Joe no.: 1Ver I-au 1-Lally dwe Re o y: Ttu:nwhaa lothecouut tro -" (lecl adee 100 A.for war-b ubl;ty coneeertoe Wt. Black Subd(vts(ont SFA Ill bath _l'rojecttlame; - -- (2brth__ --- ("+tyicauntty: —?up., iiionaT6attyk,tchen -- - Ueunption and IocWoft of work on prentiaes: Sflta al!llllea: Cetch buicluea drain Est date of compledon/tuspection '�— tyacll I> a lite trenc 4gorl its 'noon dram n0 bu+iacis_u:u WC.) �o� �ufocivie omeunhua - y 7�. an u erAddreaa 'P'5 O; -top.) n rainc� onnezanutewePIt01te'So3-iL7 Il I -AV. (.L'7-9/I s I E-moth. -OW-1 torm sewerline. Cc'B no.: 2'g 1 plumh.bus.reg.ao:2l.-2 P(3 —ator no.linLC--- Cityrtnetra lie no.: ~— - Future or Itew Cuotnctor's representadvc signature: Ab doa valve - ack ow preveatet print nnatne: a.' 1.: o�+. U ----. x avatar v vt -- t asinN avattxy - Nantts' IothCr wt♦sFtCt __._ Address: - _ .._ is was er it in tuun vn(il State "TP; _ ec 'C-um I i Phoneme Fax B tnril. -- aissioa 6tn s illu sewn ca, - ` '- _Name(p' ',,: Florn 400131 hlatling le S. Gty. -�.� Stetc' ----SIP, -_ Host bibb _ -- ce",let Pburte. Fax: I E-Mal nlsxce tor/ naw trap -- Owttet InstalIMILWttstdentia Muntenarwe unly: Tht actual installation will be matte fy me ar the maintenance lad repair rtu Je I,y,ny regullu ItDofdrulli 1cornmerctal _ emp)uyre an the pmpcny I own as per URS Chapter 147 Ownet's signature; Gtste. AEMP _`- u s/e nwc ower pan NLttaI.nnT- --- stet a tsHl uer star City -- --- _--_—_ SUIe i1p. Plwne: rNx:^—� E trtarl--^ — oh -- mo"t i,awtcurr w o vrda,wd4.PIP—cal'ed■uet m for mwt.n ormorm N010e:This permit swieauen Mmrmum ret... ... . ..f �d U`Aua amostwcard Plannview(at S exp+rcs if a petmh b out obteGsed - CRt.. -.,-_ wlthln 110 days after it hw been SVIe muharge(9%) _ QI'm iedmao lett D trio 1'OT4LL ............... ... w _ —___ y —T',rde ufi,Itnrlvn All w,M � MluOle�AtlyCI W� U ) (L) 1 �°10, Mar-015-01 03:05P Wolcott Plumbing 503 667 9E91 P.02 13'05 ,o; 1'r_"G 11:42 FAX 501 59A 1969 CITI OF 't'1C.�kp 4003 PLUMBING PERMIT FEES: t RI j.'T,OTAL' Ntw 1 and 24.&rnlly dWsPi f pnly': FI%7URE8 Ong LY "' C7TY eat ; ^MOUNT (IwItAdes all Ofumb!n '(Irtur•!In PI�Iti�t TOTAL On_R_ -. pp 6 61 'Ike ftetllny lend the Alikloo til', .GTY. ;(LIQ• AMOiINT Lsvelo,, � —1ee1 tor•>telvu TH gonn.ol( n ' Tub or uas►wwer ,C, te.s i two 'moi ' 412.20i - o(21 ba m MOM 7 czb-- shmor Only 10.8) Tn�e(3)beth 139�Q0 - at•r Clae1 _ 106TOTAL llrtnal e' S eY►STA9URCIIARCfr. -77I Gtahwa,na ME— w PLAN RtVIffW 25%Of SUS'OTAL _r,_ �J Garbage Disposal 1 �aL Laundry ray_`"._�. tet9 Floor 04 mur rf ktt0 ,. PLEASE COMPLETE! e1 water ti•atar O convert on IIKa Mind ..,' CIUAnt1 6 Work P•rtonned _ Ces pip ng requires a seporals hwhsrwcal fixture Type: ''• kew 1tAeved Replaced I R•movdf capFed MFG NOmO NOW ter Service 45-0 $i0 Mko Hgff a New SeNgtorm OWa! 4e t 0 lout Nqs•d be �— u or UtySho+rer tolALV Combi suor ROu10-Ynr6 teJO hotvOr ntx,�^_� _ 0411KA9 Fojntsin teJA water Closet Ty -- nra -�� O a Fb!ur•G IeYacl(y) 1Q"0 Istlwasher Garbe e D1e wa1 __ Leundry Room r -- Washing M• a loot ralnl i 9ewer•1u 100' 55io e 3 ` :,ower each addiliUlrt•OD' a6 IO 4' v1•Ir 3vrve� o— pit - 5. Wal Nea1•r _ —__.. Wn:er•erv,rr•eachi.d7on3l100 4e f0 Other natures .,lam 6 Riln Oraln' ' at I 00' S. Sloan d Rain (air -each adorn anal tOC' at to Cw—wnef Back FIOW 46 W I1 Resldsnl O1 K9cR!1cw Pieven1Im LOv,,c:' 21 55 A 1 I:JRh Basin !nspectiun dI E.ulIng Ptumbinq or peCaey 71 bq HOQUesiOd Im�•a�lone IM' COMMENTS REGARDING ABOVE! �eM+Of ar single ter ly dwelinq C5 2S QUANTITY TOTAL t` � Iaofrw•ncfar�uretapnm+a•sgvfwn i 'SUBTOTAL A%STATE SURCHARGE - ! "PLr AN REVIEW 2591 OR SLBTOTAL 1(57T FAL S 'Min•Mfam po""44e is N:So•P4,staff,1%_rz fge,aac•pf Rrr,A!n 181 Oeoatwo PVvM4on Ocr!r r,wn.t.h a las 15•P%atft tYRh•tae f'AA Now COfMtMarolal aullelrpe rwgYNe dela V'"rapnrr"C W f%if*agfsm Jrd pian•r,`.aw, I\jatnttormstplrn.k:e+doe 'U10130