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8421 SW ROSS STREET f=L OT f=L LOT �� i, HAMPTON COURTQ LEGEND HOMES/ � � fii i0m aw eon AVIM20-eO sorra 9 TEMP. LES TRAILER orrica (aoa) ago-eoao nc�n, oR arra FAX (cwa) sae-e000 CW eoaea Rl 2S1 11 D,4 amm To4X LOT #- - - - - - - - - - - - - - aw 8421 SW R.CSS STREET x S.E. 1/4 OF SECTION 11, T,2, R.1W, WTI. uj CITY OF T IGARP i WASHINGTON COUNTY OREGON STREET DEDICATION W-02162 (- r — — — -- — — r- — ------- I� - - I �' FUTURE RIGHT-OF, •WA,'t' VACATION ` " -. .�►. ! INITIAL POINT 'B' I a• Jv I c,0 ! J • , • JN— I N$9' ANDICAP 20'lm"E - - -------- -�\--^- PARKRJG I I / 1a52m' LOT 27LLI b to /. c i Ocis 0 -�- -1 RAMP CL UL 0 :5 O Irk. � • , �� U � �-�.� O -- \ � /- --\ I CL uj Q (> LL. Q- R. OF W. 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Ilii IIII IIII IIII II(I 111119 I 1!!1 .1111 IIII IIII III! IIII IIII IIIIIiIII IIII Ill l ' I " �� l l l l l l l l l l l i l III 1 Ill lI�.I I I I I I1I 11.I114W 111 1U I I I IIII I I ,j M LOTFLAN 6 N 00#39'50" W 5. 92' N 89 '20'10" E LT O -22. 34 HAMFTON COURT WAT T _ '- ER METER �R LU------- WATER LINE ^ 3� 09 � 2�1 11 I�� ' ; �c', �t « �� ss-- — SANITARY ►EWER ' , X23 • ' p0 �' SD STORM DRAIN `- It. OF STREET SSU ROSS STREET MANHOLE ACCESS EASEMENT G � � ® CATCH BASIN (6 2 S. F. ) .,,.E. 1 O SECTION 11, T.2,, .1 UJ, UJ.1``'1. PROPOSED R� FOR THE BENEFIT OF ADJACENT Ci I TY OF T IGARD STREET TREES ® STREET LIGHT PROPERTY OWNER TO THE NORTI- WASHINGTON COUNT`', OREGON FIRE HYDRANT , DETAIL A SCALE. 1 -= 30 -- - N89.20'10"E � lig 219.58' ZZ ACCESS EASEMENT . . I I SEE DETAIL B ABOVE) 00107 I _ / , • / ° .10 rrr _ ! —w— I ! STREET ACATION (00 NO. 99-91338, 8/4/99 ' lu ell 0.15 AC. 9 FIN. FLP, 2073' I � , I --w—•'__ GARAGE FLR '2101k' < 01 k' , � ng�I a ° � ,/ ,.�' N m ire i 0��41� ,t••11 F ��` ;--o • ,�'� FIN. FLR 20 ' _.._,,,� G-amp � / * a . \�\\ L� /, 14 GARAGE FL}Z. 01 ' , t / MONO "SS— ..�� -. / s / \ 1 X 1 C/Sf ° loo,/ , ,� ` 2. 50 ' } ° ° �� - W ft N89 '20'10"E 80. 2. 4' • 4�4' ,��:�� - ; 0 JAN 0 _ L. ° • .4sIDEIIJA�K% "J / O t3 DIVISICI ,�4 0 389.20 '10 "W 78. 70' c PROVIDE EROSION CONTROL FENCE ACCESS EASEMENT r � PER COMMUNITY / i-/ / 2 •� • EROSION PLAN I � �'- ,�' (2046 S. F. ) FOR THE BENEFIT OF PARCEL 1 DFTAII A SC;AI_ F: 1 '= 30' NOTICE: IF THE PRINT ORTYPE ONANY -rrljl � r I � � II � I � � Il � i � � � III � r I � � II � I i � � l � �r r�r�r � r 1 � II1 �� lrTr I � III � I Ill ( 1 � 1 ► i � ili � ► I � III � I `r� lil � � i � ilr � i r� ► � � T� � IrI7� T. � � i.lif rlt III- rliltll i ( � ir� � i � � � i � i IIIJi � l 1111111 :f I 1 2 4 5 6 7 � IMAGES NOT AS CLEAR AS THIS NOTICE, ITIS DUE TO THE QUALITY OF THE _ _ No. 6 ORIGINAL DOCUMENT E fZ 8Z LZ 9Z � 5Z fi� Z E1Z ZZ IZ UZ 6I 8t LT 9I ��T fii Ei ZIt ii Oi ---`- 6 i 8 L -- 8 ' 9 - � -. E Z 1 �ai3w � ►��► ►��i ►�� 11 iii viii ii i ��iI i��i i i �i.i�ii iii �i►i�ii,i iii ii��. i�,i ilii �iiiliiii ilii ilii ilii iiii1iiii ; iii ii� iii 1iilhi�i iii 11�i iiia iiia 'IS ssoa ms �zveo CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00117 13125 SW Hall Blvd., Tigard, OR 97223 (503) 635-4171 DATE ISSUED: 04/24/2000 SITE ADDRESS: 08421 SW ROSS ST PARCEL: 2S112CB-HCO27 SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT: 02.7 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BA.31NS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: vp SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: 1 WATER LINE: 1 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing for temp sale trailer. Install one sink, one water closet, water heater, sewer and water lines and backflow prevention device. FEES Owner: Type By Date Amount Receipt LEGEND HOMES PRMT BON 04/24/200C $142.50 0001633 12755 SW 69TH AVE 5PCT BON 04/24/200C $1 1.40 0001633 PORTLAND, OR 97220 Tota! $153.90 Phone 1: Contractor: WOLCOTT PLUMBING CONT INC PO BOX 2007 GRESHAM, OR 97030 REQUIRED INSPECTIONS Phone 1: 667-1781 Sewer Inspection Reg #: LIC 00023847 Water Line Insp PLM 26-208PB Rough-in Insp RP/Backflow Preventer Final Inspection EXPITTn ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other appli:,able 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-00'10 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By. :�,J i- Permittee Sign ktur7s { Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next usiness day ('.ITY OF TIGARD Plumbing Permit Application Plan Check#_ 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P E Print or Type Date to DST _ Incomplete or illegible applications will not be accepted f'eunit#A/07 oz0&0 -Do Related SWR#�ODO'Ute 73 Called__ Name of Development/Project [!SIIFIX��T_U RES (individual) CITY PRICE AMT Job c � �(��f/1�✓ __ 11.50 Address St r .t Addr6ss Suite Lavatory — T 11 I I Z3 Tub or Tub/Shower Comb 11.50 Bldg# City/State Zip Shower Only 11.50 Water Closet 11.50 Name / Urinal � 11.50 OWnei Mailing AcIdress Suite Dishwasher 11.50 /r) /) Garbage Disposal 11.50 CAyltate Zip G h Laundry Tray _ 11.50 O zr Name Washing Machine 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 _ 4 11.50 City/State Zip Phone Water Heater O conversion O like kind / -11 50 Gas piping requires a separate mechanical permit. _ Name `C)0 MFG Home New Water Service 3200 Contractor MailinAAd ress Suite MFG Home New San/Storm Sewer 3200 /tJ�*! )Qa7 Hose Bibs 11.50 Pr or to permit —City//15tate /1 Phone Roof Drains 11.50 issuance,a copy 125 Drinking Fountain 11.50 of all licenses are O egon Const.Cgpt Board Llc.# Exp.Date _ 15 00 required if 1U - � Other Fixtures(Specify) _ expired in CO I Plum in L c # E .Date databaseOd'� -- - Nam ;# Architect sewer-1St 100' ,% e—oo or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1st 100' 38.00 Engineer City/State Zlp Phone 32 00 0 Water Service-each additional 200' I inscribe work to be done. Storm S RFdn Drain 1st 100' - 38.00 Now O Repair O Replace with like kind Yes O No O Storm 6 Rain Drain-each additional 100' 32.00 Residentialommercia � commercial O --- Commercial Back Flow Prevention Device 3200 Additional description of work �> Residential B,-ck0ow Prevention Device' 19.00 �r -�C��_'✓ /� Catch Pasin 11 50 Are you cap ng,rnovi g or replacing any fixtures Insp of Existing Plumbing or Specially Requested 5000 Yes O No 0' Inspectionsper/hr If yes, see back of form to indicate work performed by Frain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50 WORK COULD RESULT IN INCREASED SEWER FEES. __dUANTITY TOTAL 1 hereby acknowledge that I have read this application,that the information Isometric or riser diagram Is required 6 Quantdy total is ,9 yyven is correct,that I am the owner or authorized agent of the owner,and *SUBTOTAL that lans submitted are in compliance with Oregon State Laws. Sigryt�u 9f gen I DA1 `S_�d S% SURCHARGE hon® con ?fie / e �,1<• 4 � ••PLAN REVIEW 25%OF SUBTOTAL Required only 0 fixture qty total Is,9 1 BATH HaUBE 5778.W - -— To-2 BATH DOUSE$250.00 I 3 BATH HOUSE$285.00 _ i (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum permit fee is$So+8%surcharge,except Res4enllal Backflow Prevention 100 toot of sanitary sewer storm sewer and water service) Device,which is$25+8%surcharge All New Commercial Buildings require pans with iwrnetrIc or riser diagram and plan review I tdstsklormslplumapp doc I N17199 PLEASE COMPLETE: Fixture Type Quantity by Work Performed _ New Moved Replaced Removed/Capped Sink - --- .— - --- _Lavatory—_---- ---- - ----� - — -- Tub or Tub/Shower Combination Shower Only _ — Water Closet Urinal ----___— --___-- Dishwasher Garbage Disposal Laundry Room Tray Washing Machine — Floor Drain/Floor Sink 2" _-- �— _Water Heater _ _ _— Other Fixtures (Specify) COMMENTS REGARDING ABOVE: 11de1sVormsV1umepp doc 12117M CITYOF T I C A R D _BUILDING PERMIT DEVELOPMENT SERVICES DATEEISSUIED: 04/24/20000119 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 SITE ADDRESS: 08421 SW ROSS ST PARCEL: 2S112CB-HCO27 SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: T!G REISSUE: FLOOR AREAS � EXTERIOR WALL CONSTRUCTION__ CLASS OF WORK: NEW FIRST: 528 sf N: S: E: W: TYPE OF USE: SFV SECOND: 0 sf PROJECT OPENINGS? _ TYPE OF CONST: 5N 0 st N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 528 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 4 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 9 ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ.?: REQD SETBACKS _ _ _ _REQUIRED_ FLOOR LOAD: psf LEFT: ft RGHT: Tft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,000 l;0 Remarks: Temp sales trailer. Owner: Contractor: LEGEND HOMES OMES LEGEND HOMES CORP 12755 SW 69TH AVE 12755 SW 69TH A'E #100 PORTLAND, OR 97223 TIGARD, OR 9722.3 Phone: Phone: 620-8080 Reg #: LIC 00060563 FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Electrical Permit Required SPCT BON 04/24/200C $18.80 000'1633 Plumbing Permit Required Foot/Found Insp MISC BON 04/24/200C $3000 0001633 Final Inspection PRMT DEB 04/05/200C $192.73 1171 PRMT BON 04/24/200C $42.27 0001633 Total $283.80 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pemiitee i .'� �� Signatur Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day CIT" OF TIGARD Commercial Building Permit Application Pian Check 13125 SW HALL BLVD. New Construction and Additions Redd By k -T10 Date Rec'd —G Od0 I iGAR,D, OR 97223 Dale to P.E. (503) 639-4171 Date to DST Zlji04" Print or Type Permit UMAOOO Incomplete or illegible applications will not be accepted Related SWR* Called - Name of Development/Project l Job m n L' C Existing Building [T14ew Building ❑ Address Street Addreig Suite '�Y) l ps54- __ Building f0dn# City/S ale ip Data �t l _ Fxisting Use of Building or Property. ----- N me Property � *n�. Proposed Use of Building or Property: Owner Mani address suite p 9 Cit /Stale Zip Phone Na Of Stories: Occupant Name Sq. Ft. Of Pte' cY --- -51 Name Occupancy Class(es) Contractor 6,44,,1461e/ Ile Prior to permit Mailing Adress Suite Type(s)of Construction Issuance,a copy of all licenses are requ'•ed If City/State Zip Phone Will this project have a Fire Suppression System? expired in C.O.T. Yes ❑ No ❑ _ database Americans with Disabilities Act(ADA) Oregon Const.Cont.Board Lic.# Exp.Date Valuation X 25% =$ Participation �3 Complete Accessibili Form Name Project $ 7 Architect Valuation el Mailing Address Suite Plans Required, See Matrix for number of sets to submit City/State Zip Phone on back Engineer Name I hereby acknowledge that I have read this application,that the information gven is correct,that 1 am the owner or authorized agent of the owner,and Mailing Address Suitl that plans submitted are in compliance with Oregon State Laws Signature of Owner/Agent Date City/State Zip Phone •P4""e - 3 J- — Contact Person Naple Phone Indicate type of 1kaik. New O Addition O Demolition O Accessory Structure O Foundation Only O Alteration O _Repalr 0 Other O FOR O ICE USE ONLY - Description of work: Map/TL# Land Use _ 6-14 In l-7 .97"17 SO/CD„S �/•^G�L.(J Notes: Parks: Estima!ed a of Employees TIF' If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parking spaces --- Note: Site Work Permit Application must precede or accompany Building Permit Application L 8 p G I\fists\fonns\comnew doc 5/10/99 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of GOTH plans AND a COMPLETED application. For an electrical subr.,ittal, the application rinust Uontain the signature of the supervising electrician before plan review will be conducted After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL. Plans KEY: Submitted __...-. .----..----____..._....-� S (Private) 1 I S _ Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) Y 1 P = Plumbing P (New, Add, or Alt)___2____ E = Electrical B & rO_& P (New or Add) 2 New = New Building E (New, Add, or Alt) _ 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ ^� Building *B or B & M (Alt) 1 *B & M *B & M & P & E(Alt) 3__.... "B & M & P & E & F(Alt) v 3 NOTES: *Shaded areas designate ALT submittals only. I',dsts\forms\matrxcom doc 10/30/98 SEE 35MM ROLL # 20 FOR OVERS IZED DOCUMENT CITY �F T I�A R D _ ELECTRICAL PERMIT _ PERMIT#: ELC2000-10170 D'EVELOPMERT SERVICES DATE ISSUED: 04/24/2000 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL.: 2S 112CB-HCO27 SITE ADDRESS: 08421 SW ROSS ST SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT : 027 JURISDICTION: TIG Proiect Description: Install a 200 AMP temporary service/feeder for sales trailer —� RESIDENTIAL UNIT TEMP SRVC/FEEDERSMISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL. (10) SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS_ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: u _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Ownev: Contractor: LEGEND HOMES GARNER ELECTRIC 12755 SW 69TH AVE 21185 SW TUALATIN VALLEY HWY S PORTLAND, OR 97223 ALOHA, OF, 97006-1248 Phone: Phone: 591-1320 Reg #: LIC 121159 SUP 3707S ELE 34-305C FEES Required Inspections _ Type By Date Amount Receipt Elect'I . arvice PRMT BON 04/242000 $53.50 0001633 Elect'I Final 5PCT BON 04/24/2000 $4.28 0001633 ORIGINAL Total $57.78 This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in acoordance 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 Orf..gon 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 ordirect questions to OUNC at(503) 246-1987. PERMITTEE'S SIGNATUREC/ ' �� / ISSUED BY: In , OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE:_ _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _!t 'tlQ 047 "� _" DATE: LICENSE NO: _— — -.-- --- — Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check p 1312E SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd Date to P E. _ Phone(503)039-4171, x304 Date to DST Inspection (503)639-4175 Print of Type Permit u ft t"ROt�O Fax (503) 598-1960 Incomplete or ille ible will not be accepted Called- 1. Job Address: V--'- �l//`` Complete Fee Schedule Below: 1.C7 Name of Development�' �.r' ail Ur Number of Inspections per permit allowed Name(or name of business) c' c2s2713 Service Included: Items Cost Sum Address _ _ 4a. Residential-per unit City/State/Zip _ _ ��f Oss 1000 sq ft.or less $ 117 75 �! 4 Each additional 500 sq.N.or • portion thereof $ 2675 1 Commercial ❑ Residential fJ Limited Energy $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data hAse)r �� Installation,alteration,or relocation Electrical Contrac r 200 amps or less Y $ 64.25 _ 2 Address" �!=(.c TG' Gti 201 amps to 400 amps $ 85.50 _ 2 401 amps to 600 amps _ $ 128.50 2 l <> Zi J 7 City i State P__.� 601 amps to 1000 amps _ $ 192.50 2 Phone No. 21-/ / 1(4�1 Over 1000 amps or volts $ 363.75 2 ,lob No. Reconnect only _ $ 53.50 2 --tet Elec. Cont. ice No.�-75 C Exp.Date_ (. / 4c.Temporary Services or Feeders OR State CCB Reg. No./ „5 V Exp.Date c Installation,alteration,or relocation COT Business Tax or Metro N .'0 // � Exp Date. 200 amps or less $ 5350 -.3• 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n ---� - 401 amps to 800 amps _ amps to 1000 volts, $ 100.00 z Over 600 lts, License No.3 » Ex Date ��/ see"b"above. _- P 4d.Branch Circuits Phone No. �- _5_`� _ _.. _._ New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder lee. Print Owner's Name Each branch circuit _ $ 5.35 _ Address b)The fee for branch circuits without purchase of service City __ State __Zip�., _ or feeder fee. Phone No. _ _ First branch circuit _ $ 3750 i� Each additional branch circuit $ 5 35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42 75 Owner's SignatureEach sign or outline lighting $ 42.75 Signal circult(s)or a limited energy f required):* Mipanel,alteration or extension $ 60.00 3. Plan Review sectioni _ � nor Labels(10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50 00 _ -- er how $ 5000 System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as i F described in N E C.Chapter 5 5. Fees: 6a.Enter Intal of above fees $ _ 15 G", * Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 x total fees) Not required for temporary construction services. Subtotal $ 5b.Enter 25%of line Ba for NOTICE Plan Review if re uired(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A VERIOD OF 180 DAYS ❑ Trust Account It AT ANY TIME Al-TER WORK IS COMMENCED I Total balance Due i d.r.Inn.rlcclric.doc CITYOF TIGARD SEWER CONNECTION PERMIT w DEVELOPMENT SERVICES PERMIT #: SWR2000-00073 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/24/2000 PARCEL: 2S112CB-HCO27 SITE ADDRESS; 08421 SW ROSS ST SUBDIVISION: HAMPTON COURT ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: TIG TENANT NAME: LEGEND HOMES USA NO: FIXTURE UNITS: 1 CLA iS OF WORK. NEW DWELLING UNITS: 1 -YPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for temp sales trailer. Owner: FEES LEGEND HOMES Type By Date Amount Receipt 12755 SW 69TH AVE —--- — PORTLAND, OR 97223 PRMT BON 04/24/2000 $2,300.00 0001633 INSP BON 04/24/200C $35.00 0001633 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection ORIGINAL This Applicant agrees to comply with all the riles 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 pen-nit 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) 2.16-1987 Permittee Si natur �- Issued by: n(. L�_1��' �--- �-- g �—_.�'`' ��'�=��-�. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business CITY O F T I GA R D MASTER PERMIT i PERMIT #: MST2002-00005 DEVELOPMENT SERVICES DATE ISSUED: 2/27/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639•4171 SITE ADDRESS: 08 7t SW ROSS ST PARCEL: 2S112CB-HCP02 SUBDIVISION: HAMPTON CT-MLP20�0�00;� ZONING: R-7 BLOCK: i�`� 7 I :5 L OT: Cz'9- JURISDICTION: TIG REMARKS: Construction of new SF detached residence.Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 902 at BASEMENT: st LEFT: 6 SMOKE DETECTORS: v TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.268 st GARAGE: 480 of FRONT: 15 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: sl RIGHT: 10 VALUE: S 208.919.20 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,17000 s1 REAR: 30 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS. LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHnWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c TOOK: BOIUCMP<3HP: VENT FANS: 4 CLOTHES DRYER 1 GAS FURN>-10OK: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 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: WI5VC OR FDR: 1 PUMPIIRRIGATION, PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp. 201 400 amp: 1 st W/O SVCIFDR: 00 SIGNIOUT UN LT: PER HOUR: LIMITED ENERGY: 401 600 snip: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANY HMISVCIFDR: 601 • 1000 amp: 001-amps-1000v: MINOR LABEL: 1000+smolvall PLAN REVIEW SECTION Recom,ect only: >•4 RES UNITS: SVCIFOR>=225 A.: >800 V NOMINAL CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIA: AU010&STEREO, VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOM/PAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAJTELE COMM: NURSE CALLS TOTAL 0 SYSTEMS Owner: Contractor TOTAL FEES: $ 7,522.97 �r on) This permit Is subject to the regulations contained in the GENERATION DEVELOPMENT GENERATaM DEVELOPMENT Tigard Municipal Code,Slate of OR. Specialty Codes and 12.19 SE IVON ST. 1219 SE I S= IVeN 5r ail uther applicable laws. All work will be done in PORTLAND,OR 97202 PORTLAND,OR 97202 accordance with approved plans. This permit will expire If work Is not started within 180 days of issuance,or if the work is a uspended 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 N: I�T4 I a(p toy forth in OAR 952-001-0010 through 952.001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246.1987. REQUIRED INSPECTIONS Erosion Control Insp 8- Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Meche tical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line insp Appr/Sdwik Insp Post/Beam StructuralPLM/Underfoor Framing Insp Gas Fireplace Electrical Final : 1 � � Issu d y 8 Permittee Signature Call (503) 639.4175 by 7:00 p.m. for an inspection needed the next business day _ SEWER PERMIT CITY OF TIGARQ DEVELOPMENT SERVICES E ISSUED: S27/02 2 00004 13125 SW Pall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/27/U2 ( ' I PARCEL: 2S112CB-HCP02 SITE ADDRESS; 08475 SW ROSS ST SUBDIVISION: HAMPTON CT-Mt-P2001-00009 ZONING: R-7 BLOCK: LOT: QG2"00 f 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 permit for new SF residence Owner: FEES GENE=RATION DEVELOPMENT Type By W Date Amount Receipt 1219 SE IVON ST. PORTLANC, OR 97202 PRMT CTR 2/27/02 $2,300.00 27200200000 INSP CTR 2/27/02 $35.00 27200200000 Phone: 503-233-9443 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" Perm Issued by: V� �d � Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business d'y 07 Building Permit Application • — Hate i,ccived./' Permit no.: City of Tigard _ Address: 13125 SW Hall Blvd,'ri card,OR 97223 ProlecUappl.no•: Expire dale: City of Tigard � Phone: (503) 639-4171 hate issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - hQ 41111}. Stmldv Complex: TYPE OF PERMITR U I &2 family dwelling;or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U'I'cuant impl-menirm Fm- �ptml.ler/alarnl U Other: JOB SITE INFORMATIlu address: I3hKk: Suhdi�t m: c _ Illdg.no.: Suite no,: LcH: _I �' { ��t'(C. v <c•� t 1 Tax mapha.x lot/account no.: Project name: Description and location of work on premises/special conditions: 66 ;f['c< <'�'/.+ •,i /� rr• Vii,,�;� FX.4t 1 i' 1 Name: f ., .��, (�, {c - �) . (Floodplain,septic edpaegy,solsir,etc.) Mailing address:J I l IIP: I K 2 gamily dneliing. ,_ .mac. 'tic: City:' Stale:; y' 14 it_e1 � � _ .f 7 �r,<<, _ Valuauonofwork... . .... . ..........._....... ..... $ Phone: • F ,� I ax:( .. �' Haul: No.of hedrooms/hath. _ — 3 09 Owner's representative: j,,t,� l 1 . 1 �— 'Total number of floors 2— Phone: �, F'ax: c�I t i_.. !.-mail`. New dwellin,t arca(s fl.) ;C 17 y. .......................... Uarage/carlwut area(sq.ft.)......I.................. 60 Name: ( ( l G �t ,a t 11,.u�`„ ( .. 1 7yot-, �- Cuv r g Ixn•ch area(sq.ft.) ... .....................Mailing address: 17 y I"1 (t I� ►> r)1 ( Dec area(sq.fl.) .....•...................•.............City + ,J i r' State:;"f LIP: Other structure area(s . 11.)......................... Phone: 7 'r,' ax: _ f?-mail: ('ommercial/industrial/mull{-family: CONTRACtOR Valuation of work........................................ $_ Existing bldg.area(sq.ft.) ..........1.......... ... Business name: a ,, � --- : _vL 1 it • ! New bldg.area(sq. ft.) Address: —_ -- Number of stories.......................... ...... ..... City: State: ZIP: Type of construction....... ............................ Phone: 11 �I mail: --- - -- -- Occupancy group(s): Existing: CCB no., � _--_.------ City/metra lie.m+ Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: i , l; ,i, provisions of ORS 701 and may he required to he licensed in the Address: jurisdiction where work is being performed. If the applicant is City! , . Static:r I•IP., exempt from licensing,the following rrason applies: Co,itacl person: t ' ! �^ J Plan no.: Phone: go 111 IN IN, Name: ('ontact lxrson Fees due upon application ........................... _ Address: —�- Date received: Cit Photic: _ Fax: — —�- [i maiL IP. Amount received ....................................... $ � State: Z_-- Please refer to ice schedule. _ I hereby certify I have read and examined this application and the Nru all Jurisdictions accept credit cards.please call jurisdiction for nu"information attached checklist. All provisions of laws and ordinances goveming this U Visa U MasterCard work will be complied with,whether specified herein or not. credit card number l:aplres Authorized signature: Date: Name of cardholder as shown on credit cad Print name — — _ S CaMholder signature Amount Notice:1 his permit application expires it'll permit is not obtained within 180 days after it has heen accepted as,complete. .404611 MWCOM) One-anti Two-Family Dwelling Building Permit Application Checklist Reference no Cit,of l igard �- Associated permits: City of Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,'Figard,OR 97223 r unci Phone: (503) 639-4171 Fax: (503) 59H-1960 THE FOLLOWING 0 1 FOR PLAN REVIEW lc% No N1% I Land use actions completed.See jurisdiction criteria for concurr'mt re",W ws. 2 Zoning,.Flood plain,solar balance points,seismic soils desiprat n n li i 'ne district,etc 3 Verification of approved plat/lot. 4 Fire district---`approval required. 5 Septic system permit or authorization for remodel. existing system capacity 6 Sewer permit. _ 7 Water district approval R Soils report. Must carry original applicable stamp and signature un file or with application. 9 Erosion control U plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 _,L Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and c'onnec'tions must he Incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and detail. Plan review cannot he completed if copyright violations exist. I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dhnemion�.laolx-rty comer elevations lit there is more than a 4-ft.elevation differential,plan must show contour lines at 2-11. inh•n alp i.location of easements and driveway;footprint of structure(including decks);l t-ation of wells/septic systems:utility locations;direction indicator:lot area.building coverage area;percentage of coverage;impervious area;existing striv-1ures on site;and surface dminag.. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumhing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross sections)and detach.Show all fraining-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall constniction,roof constretion.More than one crass section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,rol'slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, lhemial insulation,etc. 15 Elevation views. Provide elevations for new construction:minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. full-si/c sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-prescriptive path anaiysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/rof assemblies,indicating member sizing,spacing,and hearing locations. Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rchar. For engineered systems,see item 22,"Engineer's calculations." lt) Beam calculations.Provide two sets of calculations using current code design values for all beams anti multiple joists over I(1 feet long and/or any heant/ioist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. _ 22 Engineer's calculations.When required(n provided.(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect iii eased in l►regon and s1a11 he sloven to he ahpheahle to the project under re\dew. .1111RISDIC111ONAL SPECIFICS 23 rive(5)site plans are required for Item I I above, site plans must he s-1/2" x I I"of I I" x 17". - 24 Two(2)sets each are required for Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Feta document. 27 "Drawn to scale" indicates standard architect or engineer scale. 28 Site plan must include street tree size,type& location per City of Tigard Street Tree List booklet. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink Red ink is reserved for department use only. 440 4614(O,torco,t, } Mechanical Permit Application Datereceived: Permit no City of Tigard Project/appl.no Expire dart Address: 13125 SW Hall Blvd,Tigard,OR 97223 _ - CiryrtfTi/,arzl � Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: 7 I &2 family dwelling or accessory U Commercial/industrial U Multi Jamik U Tenant improvement �kiVew construction J Addi I ion/al te rat ion/replacement 1 Other VALUATION Job address: • S Indicate equipment quantities in boxes below. Indicate the dollar Blrig.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, fax map/tax lot/account no.: profit. Value$ Loc Block: I Subdivision:tk0,V,t01(, (r, ,[t 'See chei i.list for important application information and Project nan isd clion'r, fee schedule for residential permit fee City/county: d C0 Cv 4`I ' 7I P: 7 Z Z116011 liallso Description and location of work on premises: L'� -- - 61310 rM,(ea.) rt,tal Est.date of completion/inspection: 1"-rif4ion Qty. Itis.only Res.Dolt Tenant improvement or change of use: Air handling unit CFM Is existing i space tce heated of conditioned'?U Yes U No ,ir con iuonin�,(site plan require ) _ Is existing space insulated?U Yes U No Alteration of existing HVACsystenn _ oiler/compressors r Business name: State boiler permit no.: • ^t�`�`t--x `��l'� _ Hf' Tons BTU/H Addrc�ti� L k"i -ir smo a dampers/du..(smoke detectors It 'r Slate:(' ' 7.I_r '(/ / - eat ump(stte p an required) Phone: . % Fax: E-mail: Install/replace furnacurncr__ CCB no.; � ,'��,J Including ductwork vent liner U Yes O No _ nsta rep ace/relocate heaters-suspen e City/metro lic.nte.' _ _ will,or floor mounted Name(please print): Vent for appliance other than furnace -- ersl-- Ions Absorption units HTU/I1 Name: Chillers, -- Compressars HI' Address: .or ronmenla exhaust an ventilation: C_ity� State: LIP-- ------ Appliance vent _ Phone: Fax: G-mail: INrycrex aust �— floods,Type / /res.kite a azmat hood fire suppression system-Name: ystemName: _ Exhaust fan with single duct(bath fans) Mailing address: cost system a art from ieatin or AC netpiping an d ul on(up to outlets) City: _ State: ZIP: 1ytx: i_t'c; _ _ NG _ Oil Phone: Fax: E-mail: fuepiping each additional over 4 outlets _ roce9,piping(sc ematicrequire ) Nnoibei of pullets Name: — i6er listed appliance or equipment, Address: _ Decorative fireplace City: _ _ Stale: ZIP_: — Phone: Fax: E-mailer:stov pc et stove Applicant's signature: _ Date: Name (print): _ _ Nd dr)uri"ctiewn weep ctedit cards,please cali)udsdiction few mese hafartr;im. Perron fee.....................$ Notice:This permit application U Visa t]MitsterCa,o expires if n permit is not obtained Minimum fee. ..... ........$ Credli card numM Plan review(at ` %) $ ----_ ----- — rspim within IRO days after it has been State surcharge(8%) ....$ - A Name elf cartitiold a ifimvn on c i--" t card s accepted as complete. TOTAL .......................$ Crdholder dptinov ^Amount — — 4004617 16iU0/('0M I MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: -_-^T Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Qty (Ea) Amt $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 100,000 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 heator,wall heater $25.000.00. or floor mounted heater 14.00 $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 6.80 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. Comp Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit a to 100K BTU 14.00 _ 6•/.State Surcharge 8)3-15 HP;absorb 25.60 _ unit 100k to 500k BTU 25°/.Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb 35 00 _ _Required for ALL commercial permits only. unit.5-1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 10)30. absorb unit 1-1..77 5 mmil BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU 8720 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM ^ _ 10.00 Value Total 13)Air handling unit 10,000 CFM+ ns Descr tioQty _IEa Amount t 7.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents _ _ _ 10.00 Furnace> 100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts&venLg 6.80 Floor furnace Including tent _ _ 955 16)Ventilation system not included in Suspended heater,wall heater or- 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included In applicance 445 10.00 ermit18)Domestic incinerators Repair units - 805 1740 <3 hp;?hvorb.unit, 955 to 100k BTU 19)Commercial or Industrial type incinerator - ---- - t5.40 3-15 hp;absorb.unit, 1,700 _ 20)Other units,Including wood stoves 101k to 500k BTU 15-30 hp;absorb.unit,501 k to 1 2,310 21)Gas piping one to four outlets mil.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 mil.BTU _ Air handling unit to 10,000 cfm T 656 _ ----- --- - ` Air handling unit>10,000 cfm - 1,170 5%State Surcharge Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: f Vent fan connected to a single duct 446 Vent system not Included In 658 ao�llance permit _-_ Hood served by mechanical exhaust 656 Other Inspections and Fees: Domestic Incinerator 1,170 1 Inspections outside of normal business hours(minimum charge-two hours) $62.50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour) Other unit,Induding wood stoves, 858 $62.50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gag Piping 1-4 Outlets _ 360 charge-one-half hour)$e2 50 per hour Each additional outlet 63 ------ "'itate Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL $ "Residential AIC requires site plan showing placement of unit. VALUATION: T _ All New Commercial Buildings require 2 sets of plans. I:\dsts\forms\rrtech-fees.doc 12/26/01 Electrical Permit Application DalerecCived: Pet 11111 nu City of Tigard Project/appl.no Expire date: CilyofTigard Address: 13125 SW IlalI Blvd,Tigard,OR 97223 Date issued: By: I Receiptno.: Phone: (503) 639-4171 Case file no Payment type: Fax: (503) 598-1960 Lancs use approval: _. 1 42 I &2 family dwelling or accessory U Commercial/industrial J Multi-family U'I'enant irrlprtwetile[it OrNew construction U A(hlition/atteration/replacciiicilI U 011ur: - -... J Partial MEMEMEMM Joh address: ' }�'$ �� ,.�� Bldg.no.: Suite no.. Tax map/tax lotlaccount no.: — Lot: JBIock: Subdivision: 41 til ,. e_ Project name: Description and location of work on premises: - --- Estimated date of completion/inspection: 1 1 fry 11at Job no: nescription c?ly. (ca.) 'final no.lns Business name: WrI tLTl'1C NeNresir)rrdwl singkornudli family per Address: IV dk� H _7 dwellingurdt.lm rdesatfachedgarage. Cit States(/ ZIP:' l- '- '% imr y' /( I(xH)sy.ft.or less — 4 Phone:' %�� J7;U Fax: __ E-mail: Each additional 500 s .ft.or portion thereof CCB no.: , Elec.bus.lic.no: - 7 -qof (✓ Limited energy,residential 2 City/metro lie.no.: Limited energy,non-residential 2 Each manufactured home or modular dwelling _ Service and/or feeder 2 Signature of supervlsmf:electrician(required) Services or feeders–installation, Sup.elect.name(print i License no; alteration or relocation: PROPERTY 200 amps or less 2 201 anips l0 400 amps Name(print): — 401 amps to 61x1 amps T 2 Mailing address: 601 amps to I(11x)amps City: State: ZIP: Over 1000 amps or volts 2 Phone: =Fax. E-mail: Reronnectrndy 1 1 emporary services or feeders- Owner installation:'('he installation is being made on property I own Installation alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 2(H1 aillps of less 2 ORS 447,455,479,670,701. 20I amps io W)amps i (late: 401 m 6(1O ams 2 (Dance's si mature: — Bram"circuits-new,alteration, or extension per panel: Nitme: A Fre for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ City' SInIeF7,.7,1 P: H. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 PphonC: ax: maiEach additional branch circuic Misc.(Service or feeder not Included): f nch pump or irrigation orclr _ 2 U Service owes 225 amps-eonunerciul J I lealthrarc lacdnp Each sign aroutline lighting 2 U Service over 120 amps-rating of 1112 U Hazardous location Si not circuitls)or a limited energy pnn(I. fantilydwellings UBuildingoverl0.(xx)syuarefeetfouror R 2 U System over 600 volts nominal more residential units in one stmcturc alteration,or extznsion" _ U Building over three stories U Feelers,400 amps or mem *Description -- U occupant load over 91 persons U Manufactured structures or KV park Each additional Inspection over the allov,able In any of the ove: _ U Fgtr.wlightingplan U Other -- _ Pet tspection Submit__sets of plans with any of the above. Investigation fee The above are not applicable to temporary constructlon service. Other _ Permit fee.....................$ on Na all lurisdicdons accept credit cards,please call jurisdiction for more information. expire:TRIS pedals not obtain Plan review(al _ %) $ _ ❑Visn ❑MasterCard expires if a permit is not obtained �— --- — —L_ (_ within I80 days after it has been State surcharge(8%)....$ Credit card number Explrcr accepted as complete. TOTAL .......................$ None of ciudholdrf a shown on credit card $ Cardholder alanattue1401615(Cr00PCOM1 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES- Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY --- - - - RestrictedEnergy Fee...................................................... $75.00 Number of Inspections por permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total _ Check Type of Work Involved: Residential-per unit 1000 sq ft or less $145 V) 1 ❑ Audio and Stereo Systems' Each additional 500 sq ft or portion thereof _ $33.40 1 ❑ Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $9090 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or IRss $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $16060 2 601 amps to 1000 amps _ $240.60 2 ❑ Other Over 1000 amps or volts _ $454.65 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75 00 200 amps or less $6685 _ (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030 401 amps to 600 amps $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. C Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase o/service or ❑ Clock Systems feeder fee. Each branch circuit –_ $6 65 z ❑ Data Telecommunication Installation b)The foe for branch circuits without purchase of service ❑ or feeder lee. Fire Alarm Installation Firs;branch circuit $4685 ❑ Each additional branch circuit $665 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Each sign or outline lighting _ $5340 i ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension _�— $7500 ❑ Landscapn Irrigation Control' Minor Labels(10) $12500 Each additional Inspection over ❑ Medical the allowable In any of the above Per Inspection $62.50 ❑ Nurse Calls 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 See"Plan Review'sedion on g ' No licenses are required Licenses are required for all other installations front of application Fees: Total Balance Due $ �-1 Enter total of above fees s 0 Trust Account N — 8%Slate Surcharge s All New Commercial Buildings require 2 sets of plans.N Total Balance Due $ i klsts\fonns\elc-fees doc 08130,01 Plumbing Permit Application Date received: Pt unit no.:N�r � ; City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- CiryojTigard phone: (503) 639-4171 ProjecUappl.na.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case file no.: Payment type: 40 I &2 family dwelling or accessory U Cununcrcial/industrial U Multi-family U Tenant improvement aNew constr u•lit,n U Addition/alterzuion/replacement U Food service U other: 1FEE SCIIIIEDUffifort4pe �.� - Descrip:ion t1ty. Fee(ca.) 'I MR `�a� Joh address: J" U KC Bldg.no.: Suite ria.: New I-and 2-family dwellings only: (htcludes 1110 p.for each utilih tonnecti•m) Tax map/tax lot/account no.: _ SFR(1)bath Lot: 1 Block: Subdivision: .-= -e7 SFR(2)bath- _ Project name �E'E SFR(3)bath City/county:' r [ ZIP: Each additional batlt/kitchen Description and locatfonof work on premises: Slieutilitles: Catch ba::ir>/arca dr 011 Isl.date of completion/inspection Drywells/leach line/trench drain Footing drain(no. lin.ft.) Manufactured home utilities Business name: I&J641071TI LxL3C) r— t-CLk 19" Manholes Address: 19 Rain drain connector _ City: { �,t:� State:/ ZIPS) /(i -'110 Sanitary sewer(no.im. ft.) Phone: Fex: E-mail: Storm sewer(no.lin. ft.) Water service CCB no.. ;t (t°y Plumb.bus.reg.no: �G - �)s ---- Fixture or Item: lin.ft.) City/metro lie.no.: -- Absorption valve Contractor's representative signature:_ Back flow t,�•,•enter Print name: Date: Backwater valve Ba%iis/lavatory _ Name: Clothes washer — Dishwasher Address: — Drinking fountain(%) city: �— - State: lll' `-- - ------.._---- Ejector�Jsump — — Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _. Floor drains/floor sinks/hub _ Name(print): Garbage disposal Mailing address: _ Hose bibb _ City: State: LIP: Ice maker Phone: I E-mail: Interco tot/ reale tray owner installation/residcntial maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature, Date: Sum Tubs/shower/shower an Urinal _ Name: _ _ Water closet Address: Water heater _ City: �Fax- tate: ZIP: Other: Phone: Y E-mail: Total jurisdiction W�d- — c accept red,t crds,pteue call diction row more inronntlion. Minimum fee............ i $ Not all juris&tlow _ Notice:This permit application plan review(at — 96; U Vise U MasterCard expires if a permit is not obtained Credit crJ number_-_ / within ISO days after it has been State surcharge(8%)....S Espircs Nrne of cardholder u shown—on cwed►t card accepted as complete TOTAL ....................... _--.�— Crdtrolder siEruttut Amount _ 4404616 101AIKK )M! PLUMBING PERMIT FEES: PRICE TOTAL ew 1 and 2-famlly dwellings only: FIXTURES (individual) QTY _(ea) AMOUNT tInclUdes all plumbing fixtures in PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT - — --- for each utility connection)_ Lavatory Lavatory 16 60 - ___— One(1)bath $249.20 Tub or Tub/Shower Comb. 16 60 -�-- -� Two bath $350.00 Shower Only 16 60 —! Three(3)bath $399.00 Water Closet _ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 _ TOTAL Laundry Tray 16.60 Washing Machine 1660 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 _ Water Heater O conversion O like kind 16.60 uantity by Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit _ _ Capped MFG Home New Water Service 46.40 Sink — MFG Home New San/Storm Sewer 46.40 l_avatc — — Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ _ Dishwasher _ Garbage Disposal Laundry Room Tray — Washing Machine Floor Drain/Sink. 2' Sewer-1 st 100' 55 x0 3.. Sewer-each additional 100' 66.40 4" Water Service-1st 100' 55.00 Water Heater Water Service-each addlllonal 200' 46.40 -— Other Fixtures (Specify) Storm 8 Rain Orain-1st 100' 55.00 Storm 8 Rain Drain-each additional 100' 46.40 — Commercial Back Flow Prevention Device 46.40 — Residential Backflow Prevention Device' 27.55 -- Catch Basin - 16.60 Inspection of Existing Plumbing or Specially 62.50 -Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 ----- ------ ---- QUANTITY TOTAL _— — — Isometric or riser diagram Is required If — -- '—�— -- — Quantity Total is ,9 — *SUBTOTAL --- 8%STATE SURCHARGE --- - - "PLAN REVIEW 25%OF SUBTOTAL Required only if IlAture qly total Is>9 TOTAL a *Minimum permit fee is$72 50•8%state surcharge,except Residential Backflow Prevention Device which is$3e 25+8%state surcharge **All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i:ldstslforms\plm-fees.doc 12J26/01 �LAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAA AAAA � o E� ► � y 0 1 ► p O ► a a rbrD ► r- oil.I �- � o 4 ID . � rY .�� is ► 111 � - p ► y Crj nl r+ 0 Sar o ► L �'P O O y ► I, ► O r ► � ` ► rooz INMO I3A3d 0I,LMN39 Tess ccz cos XVA Li :7T NOR Zo:So:eo c o � b N c F' a w i 71 p � n � ry vi''VnnI O Q ^ 1 � 3 77 C �c CITY OF TIGARDI 24-Hour BUILDING Inspection Line: (503) 639-4175 MST .-c5r)(r)CJS INSPECTION DIVISION Business Line: (503) 639-4171 / BUP .___.. Received _- _-------.—Date Requested I — AM PM SUP T Z4 Location --- �- -� -� Suite MEC Contact Person z�� Ph( PLM Contractor Ph(. _-_-) -- ��y� SWR _BUILDING Tenant/Owner ELC Footing — ELC Foundation Access: Fig Drain ELR Crawl Drain Stab Inspection (votes: SIT Post& Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------ - - --. —� — - - - - Firewall /-yL ��Vic.Ss CeS S Ley Fire Sprinkler - - - - -- - - -- Fire Alarm Susp'd Ceiling ------ ---- 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:-� A? ! $ AAT FAIL -- -------- — -- - c ►MICAL ---— Post& Beam Rough-In Gas Line Smoke Dampers rn �' 04AL T FAIL Service Rough-in UG/Slab Low Voltage _-- Fire,Alarm final Reinspection fee of$__ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SS ART FAIL _ - Please call for reinspection RE:-- -..®__.__ __.__ Unable to inspect-no acces! Fire Supply Line ADA '7 f 1 •1 /0 �, 7� Approach/Sidewalk Date ! Inspector_____ - Ext Other: Final DO NOT REMOVE this Inspection record from the Jobs site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PRAIRIE ELECTRIC INC x000 NE 38TH STREET VANCOUVER, WA 98665 Electrical Signature Form Permit #: MST2002-00005 Date Issued: 2127/02 Parcel. 2S112CB-HCP02 Site Address: 08475 '.!'VV ROSS ST Subdivision: HAMPTON CT-MLP2001-00009 Block: Lot 002 Jurisdiction: TIG Zoning: R-7 Remarks: Construction of new SF detached residence.Patti 1 Your company has beer, 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. Pease 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 OWNFR El-ECTRICAL CONTRACTOP GENERATION DEVELOPMENT PRAIRIE ELECTRIC INC 1219 SE IVON ST. 6000 NE 88TH STREET PORI LAND, OR 972.02 VANCOUVER, WA 98665 Phone #: 503-233-9443 Phone #: 360.573-2750 Req #: sure 3562s LIC 60178 ELE 37491C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o Supe ising Electri an If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONT. INC PO BOX 2001' GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00005 Date Isbued. 2i2 i iO2 Parcel: 2S112CB-HCP02 y j&�. Site Address:_08475 SW ROSS ST Subdivision: HAMPTON CT-MLP2001-00009 Block: Lot: 002 Jurisdiction: TIG Zoning: R-7 Remarks: Construction of new SF detached residence.Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: GENFRATION DEVELOPMENT WOLCOTT PLUMBING CONT. INC 1119 SE IIVON ST. PO BOX 2007 P0RT, LAND, :;f: 972102 GRESHAM, OR 970301 Phone # 503-233-9433 Phone #: 667-1781 Reg #: I Ir. 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X. . Si(j11;1tL1i6'-01WLjthoVdff Plumber It you have any questions, please call (503) 639-4171, ext. # 310 / CITY Ca F T I C A R D ____ SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : 2 '13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 041 04/24/12000 0-00012 PARCEL : 2S1 1 2C13-HCO27 SITE ADDRESS: 08421 SW FOSS ST SUBDIVISION: HAMPTON (COURT ZONING : R-7 BLOCK: LOT: 027 JURISDICTION : TIG CLASS OF WORK: NEW PAVING ?: RESO. NO: TYPE OF USE: SFM GRADING ?: Y VALUE: $10,000.00 EXCV VOLUME: cy LANDSCAPING?: FILL VOLUME: Cy SITE PREP ?: Y ENG FILL?: STORM DRAINS?: Y' SOILS RPT READ?: IMPERV SURFACE: sf Remarks: Site work for temp stiles trailer Owner: --- —--FEES LEGEND HOMES Type By Date Amount Receipt 12755 SW 69TH AVE PORTLAND, OR 97223 PLCK GEO 04/05/2000 $80.60 0001170 5PCT BON 04/24/2000 $9.92 0001633 PRMT BON 04/24/2000 $124.00 0001633 Phone: 503-620-8080 Total $214.52 Contractor: LEGEND HOMES CORP 12755 SW 691.11 AVE #100 TIGARD, OR 97223 Phone- 620-8080 Reg #: LIC 00060563 Required Inspections Grading Strm Drain Insp San Sewer Insp ORIC 1 n f Final Inspection f v r This permit is issued subiect to t"e regulations contained in the Tigard Municipal Code, State of OR Specialty odes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire n work is nct 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 by the Oregon Utility Notification Cen„r. Those rules are set forth in OAR 952001-0010 through OAR 952-001-0080 You may obtain copies of tinese rules or direct questions to OUNC by calling (503)246 1987 1--- Permittee Signahi A Issued By: '�Vw T Call (503) 639-4175 by 7.00 P M. for an inspection needed the next business day CITY OF TIGARD Site Permit Application Plan Check# '•� C. 13125 SW HALL BLVD. Commercial and Multi-Family: Complete ENTIRE form Recd By 1c: 3 � Date Recd - U<'U TIGARD, 4R 37223 Residence: Complete SHADED areas D,to to P.E. -C-o (502)' 639-4171 X304 Date to DST `�_1�xlk; Permit#51 ri?DAO"d do/.Z Print or Type Related GWR# Incomplete or illegible applications will not be accepted Called Project Name + , 7 Utilities(Complete all that apply) Job ,,, 1,>/ Address Add s' I Storm Sewer Linear Ft Nam �, Sanitary Sewer ✓)J /�j�_^/Yl �� Linear Ft. Owner Mailing s r 1f,� Fresh Water Linear Ft_ Cit tate Zip Pnope ;n Catch Basins General Name//- #6 �1 Clean Outs Contractor /- Il GT�r .-46 `� # 11nor to permit Mailing Address Describe wort:to be done: copy all �c A4- */00 New❑ Addition[] Alteration❑ Repair licenses are City/State _ 7ip of a (� Additional Description of Work reyui1' It _7rd�1,?,� C)/� F7i2aa expired In COT State Const. Cont. Board Lic.# EXp. e database ' /�-_rl) �1�)Y) Name Protect ` 1 Valuation Fs _ Architect Mailing Address J Plans Required: See Matrix on back The following,must accom an this application: City/State �A �Zip Phone — Site plan with Vicinity Map Parking(including Showing ADA_compliance— ADA)& Lighting Plan Name Grading Plan and details t_andscoping Plan Engineer Mailing Address Erosion Control Flan and Retaining Structures _ details including calculations CitylState _ Zip Phone Site Utility Plan and details Soils Report (showing connection to (if requuad) approved system) Excevation Volume T _a 1 heroby acknowledge that I have read this application,that the Information g'../en Is correct,that I am the owner or authorised cu. yds. agent of the owner,and!hat plans submitted are in compliance with Uregon State laws. �^ Grading Volume Sigalture of O /Agent Date (Soils report required for>5,000 cu Yds,) ,' 7 r - ds __ . r Fill_VO lurne _ Con ct Person Name Phone (Fill exceeding 12"in depth shall be compacted To 90%of Maximum Density) ;�1 � . bo cu. yds. Retaining structure?(check one) 4_ ❑Rock !� FOR OFFICE USE ONLY ❑CML' Notes: _ ❑Concrete ❑0ther Total new it pervious area including a!I ry T Land Use Case# Map(TL# buildings sidewalks,and_paving vtGCt" I\dsts\fonns\slte-app.doc 12/2/99 4. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) ��- Total # of TYPE OF SUBMITTAL Plans KEY- Submitted S (Pn:,ate) � 1 S _ Site Work B (New or Add) �_-- ��— -�-- 1 —_-�- f3 = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 1A = Mechanical B & M (New or Add) 1 _ P = Plumbing P (New, Add, or Alt) _ v 2 E = Electrical B & M & ' (New or Add) 2' New = New Building E (New, Add, or Alt) J 2 Add = Addition B & F & MRP & E 3 Alt = Alternation to Existing (New , Acid) _ Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 'B & M & P & E & F(Alt) � 3 NOTES; *Shaded areas designate ALT submittals only. I\fists\Iorms\matrxcom doc 10/30/98