14226 SW 132ND TERRACE . . 0000•. 0000.. . .
..
00.0 0000
• • 0000 • . 0060
0060.. 0000..
•• "• •44.0 00•.• •.000 000• Y• 0Y
too
I
.':e.
• • 6000•• ••.••
•
•• • •••• •N•0
•r•s• 0660•" " 6 • •, •. '
•"• •• ••" •• 00.06• 0000•• •• "•• "" •"• l
0006 0 •+.•
I ••Y••• 00• 0006•• 0000•. " • • " y. +• • `
►• •• 0000.•
to to
••••ei •••• 0000"• 0000•• 0•I• :••1 N
• • •r••♦ 0000• "
6000• • • • • 0000 0000
•I••• 0000•
4'-0
1 NOOK 1 I
M 3'-1 2'41
1 1 [�--
9.
Recreation Room -
.0 1 "
6 Q 16 0 — I 18'-
110'-5 MASTER
in
Family T-1
-
1'4$ 1 1 1 1 1
41
rn -9 -
m
T-1 1' 7-2 T-1 4-9}
rn —---- -
10
00 1?
ACV
o ;0,A L 4 1/2"Dn to W.C.
14'-7} 4'-1 - o d +a -- --- 7'-2 i +h
DES
or, �� I �' 1'-7} 8'-7} 12' is,— s� 2'-11
+ _ -
-, 1 r• rn A I 1/2' On to W.C.
Cn
1 `+ rn 2'-2 i-�,-Z - rn 1 -- - I --- v i ---
- !
4 if -- _' b $ F ----_ — — --
• •••. _ `--Ll "l" �' 1 ... • � � Nlchr
1/2"Dn to W.C. its
4- R'"t'Y I .«.. • _ 3,-
Lk
- L_ -
: MECH.ROOM 1 N ., .. .« ,, ,- 0000. '0000
. • I ) ,
0.00 0000 z
..
•r •" _ 3' �IJhlity , • 1 ° 1? •'":"• 1 R&5
• •e
r•
0
— ._ r "
.. • . . . .. . 0000•. .. - �o _` _
..
n --
• 0.00. Lj64
� .
0000. .. «,0000 .•. ..
00:00' �...:•
.. 0000
•• •• • 0000 « • 0000• 1 1 (V
•
0060•• DD ° _
r•.•' • • "� •« r • .•, 0000 0060,• ._
• 0000 .� rn
C?
4
8 4- 6000 I
C8r.3 0000
• r8YV1� � .r., • 6000." � O L--_—_ —. lV ... fV •
aD) 3'-6 7-0
_ Dining Room
-
1-1
r6'-4 5 61^� )
o Unfinished No Sprinklers Per 13D Protected from Above 10 Dining Beloow�Room
° (Protect From Freezing)
storage 1
No Sprinki rs Per NFPA 130 I T-11 ,W41 10'-0 --
1 1 1
Living Room '-11 p 6'-6 Q
x30_1 71. _1;11
iu S1 f
Access,- [SXKY T-6 �
Crawl Space r0
I - .-I
I M
14 Cr Fold
-Follow Slope Down
to Flat Ceiling Below
j ` 1
1
4'-0 r` I
P' Meter: 4.0 psi loss
Main Level Floor Plan Upper Level Floor Plain
1/4"=1'-0 IMP-F-0
i n I City Supply
Static: 60psi
Residwl: 55
Flow: 3009pm j
Lower Level Floor Plan
v4"=1'-0
CITY OTIGAR
Approved................ F..................... D....
......
CondflionallyApproved................_ ............I )
For only the work as d scnLwd m 8L
PERMIT NO
See Letter to:Follow......... _.........................t J
,r1 Attacn.......................................1 I
Job
Cato:
NORTH Revisions Symbol Head Count 'standard Symbols Standard Symbols Sprinkler Head S mbois Inspections
I General Intallation Notes —�--�--1 — EVERGREEN
S r)nklers bindel De ree I Uly ��j post Indicator Valve �J Alarr^Check Valve a Upright On 1/2"Outlet EVERGREEN HOMES
I, All piping is I'EX type as approved by Oregon Stale I'lumbiag Board. - Star SicA;th 52411 Concealed IS5 - .13
2. Install hangers per pipe manufacturer ret onunendations. -_-_- _ Key Operated Valve / Thrust Block Pendent On 1l2"outlet 15890 BULRUSH LANE
3, Add hankers as necessary to ensure that 'here is a hanker w ilhin 0" of e•:%h sprinkler drop. _ I i Public Hydrant l�l�rv�) Backflow Preventer � -Upright On 1"Stubb-up - TIGARE), OREGON
4. �prinklers must be 8'-1)" max Irony any Nall,8'-II" minirnunr fro►n any othersprinkler. Fire Dept.Connection -(0- Pendant On I"Drop
IW-0" maxunun) spacing between am two sprinklers in the same room. 1 O.S.&Y.Gate Valve -
5, All pike locations are to be field measured prior to installation by ('ontractor. - ------- _ 1 Pend. On 1"Drop Below Ceiling - Job No. -^_ - - _Lolf_22 poyen's Wdge
6. All pipes and hankers are to he installed per NFI'A 131). ! - -- hl Check Valve -0- Upgright And Pendant On Drop ate0®/11/02
7. Ilangers are to he U.I.. Listed and F.AI. Approved. \ - ------- 14226 S.W 132nd Temce
�__� -New Underground -Side Well On 1'2"Outlet _ _ n r. AU" Tigard, all
Existing Unde round -V Sidewall On I"Outlet 1 of 1
8. Piping shall be protected from freezing and 1t minimum temperature of 40 degrees shall lie maintained TOTAL THIS PAGE JJ r _ a _ --- vale
- --- _ hblyd - 97:23
-
- ..�� ..-,+vv....cn.w-,...,.-."iw..n...ga-x.aavwMa'mNCneAa.4.."•�,a 15
•�.rJ'.+ �1,W ..''l,ro'ciuY;:w,r'r�r'°r
NOTICE. IF THE PRINT OR TYPE ON ANY III Ill III III III 1 1 1 1 1 1 1 1
1!1 I-I—II I-I-II WTIffIIIIII-ri-fl-11111►II Jill11 1I t 1l l_1_1—(1_(I I_III 111 1111111. 111_I-14.III -1_1_1 I1�l I 1_1_1-fI 111
IMAGE IS NOT AS CLEAR Aa-THIS NOTICE, 4 5 6L fIll l u l l 111 Ijl f 1 11 1 1 1 1 1111111 III III I I I I I �_-
IT IS DUE TO THE QUALITY OF THE ((IIIdI�IIIIIJI�IIIIIII�IIIIII�I IIIiW11111i 1111-1114 —�.�
r Now
ORIGINAL DOCUMENT L
181-111(11 II _911 I�III
-
30X .1I111H1!
LOT 4
U 0 —01
Ln
77" m
I V ta C
I
W."
LOT 16 ;i";l I - Ty Gz
LOT 15 Mw
0.4mv. AV
� -, : : t?
!Ie
v
ir
bUBJE,
vast u fl.
<, ?� 0 11
'I
512.0
4.9,
515�0 53.51'
NLO
C.M v t fl Yl ti
N ..16,N I
fJE�
SETBACK if
BUILDING S INE R w
EROSIO4
FENCE w
ENT °RAVEN RIDGE 51JE3DIV11510N
pip
N CONTROL
STORM DRAIN EASE
�_�DICK
SCALE: NONE
LOT 23
MAP TAX LOT #:
PROJECT NAME: RAVEN RIDGE LOT 22
LOT 21 LOT 22 51TE ADDRE55. 5W 132ND TERRACE
7 5" TiGAP\D, OR 97223
0
0
(6 ZONING: R-7
cp
APPLICANT: EVERGREFN HOMES, INC
503-307-71 17
GARAGE MAIN FLOOR
FFE: 533.5
6.0
Wj LOT AREA: 5 , 2 1 G _9F
3� �a, BUILDING COVERAGE: 1 ,878 5f
PERCENTAGE Of COVERAGE: 3G% eq
IMPERVIOUS AREA: 2 ,346 5f cl
DRIVEWAY
BUILDING SETBACK
_��GRAVEL
CONSTRUCTION
532.5 ENTERANCE MAIN FLOOR: 15395 51'
23.00" UPPER FLOOR: 1 , 280 5f:
R=62.0
L=31.89' 2 ,G75 5f •
7' 534.0 5UD-TOTAL:
S�Av' A132ND TERRACE -LOWER FLOOR: 802 5f (Unfinished)
TOTAL LIVING AREA: 3 ,477 5f
GARAGE: 483 5f
. ....... MECH . ROOM : 81 5F
TOTAL BLDG. AREA: 4,041 5f=
"100SITE
PLAN
SCALE: I / I G" = 1 1_01'
0
NOTICE: IF THE PRINT OR TYPE ON ANY 7 I ( I ► T-11- 1111111 [fri-IT[I 1-1-
IMAGE IS NOT AS CLEAR AS THIS NOTICE 5
7I f I I l1 _ 81 - 10' 121 /L �. y
IT IS DUE TO THE QUALITY OF THE -o)
No.36
ORIGINAL DOCUMENT -
E 6Z 119 L Ll 01 6
LEI, 8
111111111
N
N
c'
C
W
N
C
CL
cD
-1
0
CD
14226 SA 132'"' Terrace
CITY OF TIOARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00296
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/26/02
SITE ADDRESS: 14226 SW 132ND TERR PARCEL: 2S109AB-09300
SUBDIVISION: RAVEN RIDGE ZONING: R-7
BOCK: LOT: 022 JURISDICTION: TIG
CLASS OF WORK: ALT GARBA(tE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: rLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Installation of back flow preventer
Owner: — _ FEES +T� -
-- Type By Date Amount Receipt
CHRIS LEE --- --
15890 SW BULRUSH LN. 5PCT CTR 7/26/02 $2.90 27200200000
TIGARD, OR 97223 PRM-1 CTR 7/26/02 $36.25 27200200000
—_ Total $39.15
Phone 1: 503-524-7372
Contractor:
DMS PLUMBING INC
12602 NE 28TH STREET
VANCOUVER, WA 98682
REQUIRED INSPECTIONS
Phone 1: 360-254-4539 RP/Backflow Preventer
Reg #: LIC 80744
PLM 37-.-171 PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set torth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: �.tY� Permittee Signature:
Call 503 675 b 7:00 P M. for l
( ) y an inspection needed the next bulli ss day
Jul 24 02 11 : 19a Chris 1-FP 503-579-0775 P . 1
Plumibing Permit Application
„ty of TigarI�atercceived: Permit no.
ft fi��� •_. p 4 ��_a� _ PL7]d�a
Address: 13125 SW Hall Blvd,Tigard,OR Q722"( Sewer permit no.: Building pelmiino.:
CirynjTigard phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503)598-1960 Bate issued• By: Receipt no.:
Land use approval: ,-_ _ _ Case file no.: payment type
1
r
2.family dwelling or accessnry O Commereial/industdal O Multi-family J 7'en:uu inipfovement
construction J Addition/alteruiott/replacctnent ❑ Ford service
Joh address: 2,7,6 15�+d _66WACt. Descrition Q ±2c(ea-) Total
Bldg.no.: Suite no.: New f-and 2-Gamily dwellings only:
Tax map/tax lot/account no.: (includes 100 fl-foreac•h utilitycnnnectlon)
SIR(1)bath
Lot: ti"Y Block: --
_jc�L SFR(2)bath
Project name: SFR(3)bath — - -
City/county: i4 q V- ZIP: _ Each additional haat/hitel cu — --
Description and location f work on premSjs_ess: r _a Siteutililies:
&,CZ60,0 j r t et_ 1✓`� F uCatch basin/area drain,
Est.date of completion/in c, o D wells/leach line/trcnch drain --- "
t 1It Footing drain(no.lin.ft.) _
Manufactured tome utilities
Business name: '��-{���(�til " / C Manholes
Address:
Rain drain connector
City: Il-MA State:W ZIP: 2 Sanitary sewer(no,lin.ft.)
Pilo '360 1 3 Fax: SA M C- I E-mail: Storm sewer(no.lin.ft.)
CCB no.: Plumb.bus. reg,no: 317-2"71 PB ater service(no,lin.ft.
City/metro lie.no.: 2 --
--- Llxture or Item:
Contractor's representative signature: -� —' rsnso tiotion valve
-- Back flow preventer
Print name:DoW I SW oA - � I�rttr: 7-�l�B 2- Backwater valve --
Basins/lavatory _ —
Name: Cho 5 L Clothes washer
Address: IWAU LAY) - Dishwasher - — ---W`- -
Drinking fountain(s)
City: �,- State: I'LI Z1P: 7T.2-� — lectors/sump -- --
Phony. 3 _ Fax: f -retail: Expansion tank - --
1Fixture/sewer cap 7Namc(print): tom,6L . t/►l 1't L Moor drains/floor sinks/hub
ailing address: Irx4�. 3Carbo,p disposalHose bibtState: h. 7.IP: 2L[ Ice maker
one: �I Fax:S -v77 E-mail: p grease trap Y"
:�� Intercc tor/
Owner installatiun/residential maintenance only: The actual installation Primers)
will he made by me or the maintenance and repair made by my regularRoof drain(commercial)
employee on the property I own as per ORS Chapter 447. Sink(s), basin(s),lava(,)
Owner's signature: Date: Sum
Tubs/shuwerlshower pan
Name: Urinal
Address: ^- i ter closet _ —
Water hertcr
City: —- - State: ZIP:
Phone: -- -- Fax: E-mail: A oval
No all luriadlcdnm accept credit cards,Plew caa iuriadtction for mm Information. Notice:this permit application Minimum fee................$
U Vis• ❑MasterCard expires if a pennil is not obtained Plan review(al -_ %)
Cmd1i card number: - -1 / within IRO days after it has been State surcharge(8%) ...$
�tpt.e. y' TOTAL .......................s
ne
Noof ce►dholder to a own on�i car
Amount�
accepted ac complete,
-- l'nrd—moi ilrnetnre 4404616(GIl10ACOM)
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171 BLIP
Received —Date RequestedA/M_-- - PM _ _ BLIP
Location G � c��1� -----��-__}-Suite _._ MEC _--
Contact Person _.._._ _ -—--� -- Ph( ) _3 Q �L�Z__ �,
Contractor_ — — - Ph SWR —_
BUILDING Tenanb'Owner _ _ ELC —
Footing - ELC
Foundation Access: `
Ftg Drain / 2 c -1"oELR ------- __
Crawl Drain G-
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 ---,�- — - - ---- - -- - ---- --�__.
Roof
Other: ---
Final
PASS_ PART FAIL - ------- - -- --- - -----__�_.._
PLUMBING
Post& Beam
Under :lab - --
Rough4i
Water Sorvice - -
Sanitary Sewer
Rain Drains - - --- - - -
Catch Basin/Manhole
Stcrm Drain
Shower Pan
Other:
0na
_PART FAIL
�CHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage --
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Fall Blvd.
PASS PART FAIL _
SITE Please call for reinspection RE __ -_-_- n Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk DN-I/) .
1 . -- - Inspector --
Other:
Final D NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUiLDING Inspection Line: (503) 639-4175 MS
INSPECTION DIVISION Business Line: (503) 639-4171
�
/ / BLIP - -- -_
Received ` '/�5`h2 ..Date Requested. /'Z�«�2 AM--- - - _ PM BLIP
41
Location ��,�c�� `��� — s Suite_ MEC -- - - -
n PLM
Contact Person `apt. ��f — Ph
-- -
Contractor -- Ph( ) — SWR -_ -
BUILDING Tenant/Owner ELC _- - .---_ -
Footing — ELC -- ---
Foundation Access: Y)
Ftg Drain ELR
Crawl Drain SIT
-
Slab Inspection Notes: -- -
Post&Beam
Shear Anchors
Ext Sheath/Shear - -- _
Int Sheath/Shear
Framing - --- - t
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler -- -
Fire Alarm
Susp'd Ceiling
Roof
Other: _-
Final
PASS PART FAIL /
- -
Post&Beam
Under Slab --
Rough-In
Water Service
Sanitary Sower --- -1 �—
Rain Drains
Catch Basin/Manhole
Storm Drain --T
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 �cy�,.
Fire Alarm V(,7 ',T
fab [j Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAI'_
SITE E] Please call for reinspection RE _-- Unable to inspect-no access
Fire Supply Line
AGA / i
Approach/Sidewalk SMG_i6 Inspector -. Ext -----
Other: —---- ------
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
ELECTRICAL PERMIT-
CITYOF TIGARD RESTRICTED ENERGY
DEVELOPMENT SERVICES
PERMIT#: C 2RL 0 20 -00061
4/5/02
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATEPARCEDL: 2S109AB-09300
SITE ADDRESS: 14226 SW 132ND TERR ZONING: R-7
SUBDIVISION: RAVEN RIDGE JURISDICTION: TIG
BLACK: LOT: 022
Project Description: All encompassing low-voltage for new SF construction. Job No. 2505
A. RESIDENTIAL _ B.COMMERCIAL — — -
DI & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
AUDIO
& ALARM: BOILER: LANDSCAPE/IRRIGAT:
BURGLAR
CLOCK: MEDICAL:
GARAGE OPENER: NURSE CALLS:
HVAC: DATAITELE COMM:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
HVAC: PROTECTIVE SIGNAL:
OTHER: ALL ENCOMP : X INSTRUMENTATION: OTHER: J
TOTAL# OF SYSTEMS:
—� — Contractor:
Owner: QUADRANT SYSTEMS
CHRIS LEE PO BOX 14833
15890 SW BULRUSH I.N. PORTLAND, OR 97293
TIGARD, OR 9=223
Phone: 234-5558
Phone: 503-524-7372 Reg #: sun 1211A.E
LIC 96806
ELE 26-565CLE
FEES — Required Inspections
----- Low Voltage Inspection
Type By Date Amount Receipt
Elect'/ Final
F'RMT CTR 4/5/02 $15.00 2720020000
5PCT CTR 4/5/02 $6.00 2720020000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Munidpal Chs permit te fORwi I ec,arte i work is
y Codes
aid all other applicable laws. All work will be done in accordance with approved plans T
n-)t started within 180 days of issuance, or if worts is suspended fc. more than 180 days. ATTENTION. Oreg-)n law
ity
952- 01 you to followthrough
AR 952es -001-00ed by 180(OYouomaylobtainntcopiesrof these rules Those direct les questionne set sltorOAR
OUNC at (503)
952-001 0010 throug
246-1 87. � I '
Issue by e
_ � �/ Permittee Signature_,&cam-
__ OWNER INSTALLATION ONLY — —
The installation is being rnade on property I own which is not Intended for sale,. lease, or rent.
DATE:
OWNER'S SIGNATURE: —_—__ --.--- - -----
CONTRACTOR INSTALLATION ONLY — —
-----�. —
SIGNATURE OF SUPRDATE:. ELEC'N ----- _.-
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
-2002 2:49PM FROM QUADRANT SYSTEMS S03 236 2322 P. 2
Electrical pernut Application
"Datareuce"ived! - n}. Permitno.:
City of Tigard 1'rojecdappl,no.: Expiledate:
CiryofTibard Address: 13125 SW Nall Blvd,Tigard,OR 97223 patcissucd:
Phone: (503) 639.4171 By Receipt no.:
Fax: (503) 598-1960 Casefileno.: Payment typo;
Land use approval:
rNew
amily dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement
nstruction 0 Addition/alteratiori/rcplacement ❑Other: ❑partial
308 SITE INFOWNIATION
!ob address: t-le�1(� Sw 13�t,G-7-F ttXR(,-A- Bldg.nu. Suite no.: Taz map/tax 1oUaccountno...
Lot; Block`_ Subdivision; --�
Project name: _ Description and location of work on pre-_ �w Y'r Q f
Estimated date of completiorr/iij.-Nction: � .T-LtA1f
t
>toh no: Q 1 FK M1ta�
Business name: an v -- TMscriphan thy, (r y) f oral no.iusp
C S Ne rexirfrtrtial•si k ar multi-fantil)per
Address-To1 V&3 -�-- nr
dwelling unit.Includes attached garage.
City: 44 0.1State Oft�?lp; .�q3 serviceincluded
Phone �;..►�( tax �3to-aJZ'� F-inail: I(W s,l It or icss 4
P � v� djt . Ufor onion diereofCCB RO.: [Ice. his tic. nEach a
City/ntetroliC.noa Limitedenery,y,ttsidentiol
I 2—
Limited energy,non-residential 2
Gr' ' Cuch manufactured home or modulardwelli.X —"
Signature of supervising electrician
required) Dite ej r�'r Z Seryice and/or feeder
Sup elect name(pnrrq: �' �- Serum or teeder -Itrrtallation,
1 Lr r'Ir /i,- t.lcenscPROPERTY nu.
OWNER alteration or relocation•
200 amps or less -_- 2
Name(print): V t.� S 201 amps to 400 s�ripa 2
1\4ailing address — -- 401 amps to 600 amps 2
City:- 601- 601 am1X1
ps to 10 amps 2
Stale; 211: _ pverlo0o■ntsorvoIts
PhoneSJ3_ 3_:,'? ITT Fax: E-mail; Reconnectonly
Owner installation:The installation is being made on property 1 own Temporary trmicaorftreden-
which is not intended for sale,lease,rent,or cxcliangc according to Installation,alteration,or relocation!
ORS 447,455, 479,670,701. 200 amps or Ie 2
201 Amps to 100 s_mpa
Ownces si nature: _ Date _ 4 m
01 to 600 a •a 2
-- -
�ilit eran+ch Circuits-ne n,alterntion, 2
Name: or extension per panel:
Address:____
--- A Fee for branch eireults with purchase of
service or feeder fee,each branch circuit 2
City. State 21p B. Fee for branCh Circuits without purchase
Phone: rax: r mail: of service or feeder fee,tint bnrteh circuit: 2
Each additional hranch circuit
C.(Santee or feeder not Included):
7fairni
crvic�over 725 amps commercial O Health-care facibiv rarh pump of!rrnt�ati�m,it,Ir 2
C3rene over 720 amps-raung of 1&2 U Huadous location Caeh sign nr outline lighung -- 2
lydweRings O Building over 10,000 square feet four or Signal clrcun(x)or a limited merit)panel,ystem over 600 volts nominal more residential uniu in one structure slteretion.or extension* `
U Building over tree atones Q feeders,400 set s or more 'Lkscn ono:- -
U Occupant lad over 99 persons U Manufactured ructures or RV park ------ _
U EgressAighungplatt O tither _ I'Jch addihnn if Inspection over the silmvable in any of the above!
- henna+ jj,n _�'--1--- --
Stthnit_sells of plans with any of the above. Irrveauption ice -
The abate are not applicable to temporary ronsttumlon tervicc. Other —
Net all lunadrentw,x accept credit male,pl c rjurisdicn ,ra mo •nMhM Nntfce:1-h(s permit application Permit fee .................. . �S• _
visa O Mu expires if a permit is not obtained Plan review (at
'! "" within ISO days alter it has been State surcharge(8%) .,,,S (1•V d
of a r a s r-c accepted as complete. T01 AL ................I...... $ W_d3—_-
s d'1•tt�
holder. to meant
4e0�/iIS(r�R-OM1
SEE 35MM
ROLL #21
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
DMS PLUMBING INC
12602 NE 28TH STREET
VANCOUVER, WA 98682
Plumbing Signature Form
Permit #: MST2001-00582
Date !ssued: 118/02
rarcol: 20100AC-00300
Site Address: 14226 SW 132ND TERR
Subdivision: RAVEN RIDGE
Block: Lot: 022
Jurisdiction: TIG
Zoning: R-7
Remarks: New SF detached residence.Path 1 NEED FIRE SPRINKLER PERMIT BEFORE
FRAMING INSPECTION
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:
CHRIS LEE DMS PLUMBING INC
15890 SW BULRUSH LN. 12602 NE 28TH STRaET
TIGARD, OR 97223 VANCOUVER, WA 98682
Phone #: 503-524-7372 Phone #: 360-254-4539
Reg #: I Ir 80744
PI M 37-271 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized Plumber
If you have any questions, please r:all (503) 639-4171, ext. # 310
CITY OF TIGARD MASTEP PERMIT
^ERMIT it: MST2001-00582
DEVELOPMENT" SERVICES DATE ISSUED: 1/8/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 14226 SW 132ND TERR PARCEL: 2S109AB-09300
SUBDIVISION: RAVEN RIDGE ZONING: R-7
BLOCK: LOT: 022 JURISDICTION: TIG
REMARKS: New SF detached residence.Path 1 NEED FIRE SPRINKLER PERMIT BEFORE FRAMING
INSPECTION
_ 13UIII DING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 33 FIRST: 1.328 at BASEMENT: 883.00 at LEFT: 5 SMOKE DETE:,TORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,347 at GARAGE: 483 at FRONT: 20 PARKING SPACES .
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 7
VALUE: $341,874 20
OCCUPANCY GRP: R3 BORM: 4 BATH: 3 TOTAL: 2,67500 at REAR: 27
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: I .AUNDRY TRAYS: 1 RAIN DKAIN: 100 TRAPS.
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS.
TUB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRFVNTR: GREASE TRAPS
MECHANICAL OTHER FIXTURES.
FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: 5 CLOTHES DRYER: i
GAS FURN-10014: 1 UNIT HEATERS: HOODS: I OTHER UNITS: '
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT _ SERVICE FEEDEr1 TEMP SRVrIFEEDE.RS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 20L amp: WISVC OR FDR: I PUMPtIR91GATI, N: PER IK: PECTION:
EA ADD'L 500SF: 7 201 400 amp: 201 400 an.-I: tat WIO SVCIFDR: 00 SIGN/OUT LIR LT: PER HOAR.
LIMITED ENERGY: 401 600 amo: 401 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT.
MANU HMISVCIFDR: 601 - 1000 amp: 601+ampa•t000v: MINOR LABEL:
10004 amplvolt:
PLAN REVIEW SECTION
Reconnect only: --
>•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC.
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM. AUDIO fL STEREO: FINE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0`11 BOILER: HVAC: LANDSCAPEAPRIG: PROTECTIVE SIGNL:
GARAGE OPENER CLOCK. INSTRUMENTATION. MEDICAL: OTHP:
HVAC DATA/TELE COMM: NURSE CALLS TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 7,978.54
This permit is subject to the regulations contained in the
CHRIS LEE EVERGREEN HOMES, INC Tigard Municipal Code,State of OR. Specialty Codes and
15890 SW BULRUSH LN. TIGARD,
D, R 972 3 LN all other applicable laws. All work will be done In
TIGARD,OR 97223 TIGARD,OR 97223
accordance with approved plans. This permit wi" .xpire If
work is not started within 180 days of Issuance,or If the
work is suspended for more than 180 days. ATTENTION.
Phone: Phnne: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg Ir: LIC 143735 forth in OAR 952-001-0010 through 952.001-0090. 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 Structural PLM/Underfloor Framing Insp Gas Fireplace Sprinkler Final
Grading Inspection Post/Beam Mechanica Mechanical!nsp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp
Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain draln Insp Backflow Preventor
Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Electrical Final
Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Sprinkler Rough-In Mechanical Final
Issued y : ,` `���w� Permittee Signature E_"
Call (503) 639-4175 by 7:00 p.n1. fo an inspection needed the next busine s day
CITYOF T'IGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#. SWR2001-00333
53125 SW Hal! Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/8/02
SITE ADDRESS; 14226 SW 132ND 1 ERR PARCEL: 2SI09AB-09300
SUBDIVISION: RAVEN RIDGE ZOVING: R-7
BLOCK: LOT: 022 JURISDICTIGN: 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 permit for new single family residencs.
Owner: — -- -----
-- FEES
CHRIS LEE: — — — --
15890 SW RULNUSH LN Type By Date Amount Receipt
TIGARD, OR 97223 PRMT CTR 1/8/02 $2,300.00 27200200000
INSP CTR 1/8/02 $35.00 27200200000
Phone: 503-524-7372 Total $2,335.00
Contractor: ^
Phone:
Rey #:
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 sower is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distances given. If not so located, the installer shall purchase a "Tap and Side Sewer' Perm
!ssu�d by: Permittee Si 1' g
nature: L
X,
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nexf busln@94 day
CITY OF TICaARD
c�aEGON
INTENT TO HAW_ '_:., CAVATION
(LOTS STEEPEN THAN 24%)
I, ;� �;, Yce�t� �� :�,4c,, (print name), hereby certify that ALL excavation
miaterial on'the subject property will be removed from the site and not be placed as fill,
except for that amount necessary to back-fill the foundation ONLY. I understand
that failure to remove the excavation material will result in the requirement to re, ove
the material or obtain a grading permit by submitting grading plans prepared by a
licensed engineer accompanied by a geo-technical report regarding the placement of
the excavation material as fill.
I further understand that my footing inspection will be denied if that inspection i
reveals that excavated material has not been hauled, anu that work will be
stopped and no further inspections conducted until the City has received and
approved a plan and report from a gec-technical engineer regarding placement of
the fill material.
Signature Date
Permit #: 'H 5-F6(0Cl GY�58a __
Job Address: ---
Subdivision: —PIX Lot:
I haul doc(DST)7198
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503) 684-2772 ------
Building Permit Application
City o, Tigard _FI r-> Date reccocd:�a-�yl I'rrinil no.:lil t�) —�S
Ci1)'(Of Tigard
Address: 11125 SW Ilall Blvd.Tigard.(W '1 "+ I'rolecl/appl.no, li\pircdale
—
11WIIt•: (SI)1) 6;9-4171 IT,ucltiulyd li\�� kc.riptno..
I•,I\: (51)11598-I'/hl) Idrfit) --
I'a\111('I I I)pe' p�
Llll)t.r 11"o approval: IA?lanul\ Sunplc
TYPE OF PERMIT
Yl & 2 fanlily(kc1linc or accrss )I\ J('Innnlcrr1,11hmlll ul,ll _1 ! J Nr\\cuusUUCtlon J Iknuduuul
V Addition/altrrauun/rcplacrnlenl J tclianl 111111111\rnlrnl J I rm J Other: _
1 1 1
Joh a 1 lrc•ss:/t /. 5W (32 na 'Te"► C_ \ rA OR. Bldg. no.: Sour no.:
Lot: 22,. Block: Subglit'isioll: Rat.vele Rt t I ax map/lax lot/account no,: ?� w09�-n93q C
I'roir:t none: — ��-4-I
I)rscripuon and fixation of work on prrmiscs/special conditions:
Mailin!-g address:
� ( O N1t•►tGIA UI . ! X 2 family drellint;:,
('ity: T a State: %II':C? Valuation of a lu k ... . spa,. .y.�:...........
I'honc: I,Ix: '�7�5 Ii•nulil: No.of hedroonrs/hauls.... ....... 2�
w ler s rrplrscntal1w: 1•otal nunlhrr of 11oors.... .
I'honr: I New dwelling area(sq. It.) .267_ s
Garage/carport arca(sq. h.)........ . . . _ 093 ,SI
Name: re" /,ds . �C: Co\Vrc\I porch,ora I„l 11 I�/�yl
. . ��' �
-
Mailing address: Qp ,rpw AA (i� I)r.k arra Isy. It.) _......
City: +j�rpt Slate:( Y.II': q 7?,2 3 ( th('I su
u' :IInV arra(sll
Phony: _ I a\: I n1;nl ►''–balani CommerclmWild ostrialhnultI-fa Ili I%:
Valuation(11 walk...................... ............ ti
Business name: l:\istinc l,ldg.area ISJl. I1.) ..... ............ .
Address: —-- Nrw bldg.Ara( tI. B.) .............
.... ..........
--- tiumhrrofslluir. ....... . ... ..... ... ..
.. _......
('u\: Ti r� Slatr: l912 7i1': nf7LL3 ------
I'honc;le I;Ix: I:-nulil type of construction...... . ...... ..........
Orcu1i1mcy}grou,(sl: I:\Isunc. --
no
Cily/metro lic. no.: New -----__-_--
Notirr:All contlactors:old suhconlractols an I('yuu('dARCHITECF/ tl,hr
I licensed Nath the()recon Collshticnon('onit.101111, Illr,lyd under
Nf
e: ic, ren_ y, ��, _ Ino\Islons of O16 7111 ;Ind 111,1\ hr Irywlyd to hr lirrnsrd In the
ess: J [,� B4,I�u iunsdlrulm \\herr uotk Ishrlu1t p1•II„rinrd. 11 the;Ipph..Int Is
�1 titatr 0�2, 711'— 72t3 ('x('111111 Inlnl lu'rnshlg.Ihr lulln\\nl reason appllrs:
_—
I'lunlr: ____.---_---_----
Nam(': ya jk # gR�lniM; i I .n 1 prl” n Mj 1�, ITV',till('upon AIIIIItc.au,[I , ,z
Address --
- �574t�. BUr/1f!1��_�t - Oate Ir.ri\r,l
9`7244 �InI,1Inl rr('1'I\ell _- -
Phonr: "J oe_gll I'k•.1w Irlrr it, Inc sLhcdulr.
Ilrfrh\'l('IIII\' I ha\r I('RII Jlld r\,IIIIIII,'d tll'.,IppIN,111„11;111,1 IlU' Vu11111 putalh-twil"k,rpl'w,hi,,11,l. 111110,
.Illarhrll rhe�'kllsl. All I;1\\ .,Illd,IIdIIIaIIrC�1.'u\('1111111'III1ti _j\'I,.[ J A1d.lrtl',n,l
mill, \\Ill hr IIIIIIIIIIrd \11 11 Ilya ("I +ml d ll,'It'III,II 11,11H n,hl,.ud uund•I I I
I ,Imr.
AIIIIIf I,rt1 ♦11.'llJllll; _ �
1'11111 Ian,• �Vvr - t LS 117 ehr(r6
' I t'.ndludd, �Iue1m" 1ul.nnu
��II�IC1 rltlCd.1"�ulllpl,1�� IA,J,I, nnwPl 11\1
One-and Two-Family Dwelling
Building Permit Application Checklist Referenceno.:
Citvoffigurd City of Tigard Associated permits:
Address: 13125 SW Ifall Blvd,Tigard,OR 97223 U Electrical U Plumbing U Mechanical
Phone: (503) 639-4171 U Other:
Fax: (503) 59Y-1960 -�
I Land use actions completed.See.jurisdiction criteria for concuncnt reviews.
-2 Zoning. I-lood plain,solar balance points,seismic soils designation,historic district,etc. --
3 Verification of approved plat/lot. —
4 Fire district---approval required.
5 Septic system permit or authorization for remodel.Exi:ting system capacity
6 Sewer permit.
7 Water district approval. - --
8 Soils report.Must carts original applicable stamp and signature on file r.r with application.
9 Erosion control U plan U permit r-quired.Include drainage-way protection,Of fence design and location of
r:uch-hasin protection,'!tc.
111 _3_ Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Flan review cannot he completed
if copyright violation.,t•srst.
I II Site/plot plant drawn ar scale.'rhe plan trust show lot and building setback dimensions;property conierelevations(if'
there is more than a 4-11.elevation differential,plan must show contour lines at 2.0.interval);location of easements and
driveway;footprint of structure(including decks):location of wclls/sePtic systems;utility locations;direction indicator;lot
area;building coverage area;per emage of coverngc;impervious area;existing structures on site;and surface drainage.
12 Foundation plan.Show dimension;,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
_ si/e and locution,
13 Floor plans.Show all dimensions,room identification,window sine.,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures,balcouies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,
headers,joists,suh-floor,
wall construction,roof consnuctimn.More than one cross sectton may he required to clearly portray construction.Show
details of all wall and roof sheathing,rxifing,rxol'slope,ceiling height,siding material,lxHings and found.dion,stairs,
fireplace construction, thermal insuliuon,etc.
15 Elevation views. Provide otos,tons for new construction;minimum of two elevations 1',• additions and remodels.
Exterior elevations must -,,fleet rbc arcual grade if the change in grade is greater Than four foot al building envelope.
I`1111-si/e sheet addendunts showuiL lumndation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)mndlot lateral analysis plans. Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 1•loorlroof framing.Provide plans for all floors/rtxof assemblies,indicating member siring,spacing,and hearing
mations.Show attic ventilation.
18 Bacrntent and retalning walls. Provide cross sections and details showing placement of rchar. For engineered
systems,see item 22,"Engineer's calculations.,.
19 Beam calculations. Provide two sets of calculations using current axle design values for all hearts and multiple joists
over 10 feel long and/or any bean/joist carrying it non-unil'orrtr load.
20 Manufactured floorlroof truss design detalls. - --
21 Energy Code compliance. identify the prescriptive path or provide cidculatfons, gar-piping schcmmic is reyuirrd
for four or more appliances.
22 Englneer's calculations.When rrynimd or provided,(i.e.,sheat wall,roof Truss)shall he stamped by an engineer or - --
arclikecl licensed in Oregon and,holl he shown 141 by applirahlr it,flit, 111 ,1cd mndrr rrvicw.
JURISDUTIONAL SPECIFICS
23 five(5)rile Plans ar-required I'or hent If above. Site Pliuts mull bx K-I/?"x I I"or 11" x 17".
24 Two(2)sets--,'left are required for Items l h, 19,2O Ra 22 above. --- -
25 Building Plans shall not contain red lines or Iapt-ons.
26 No rolled,reversed or mirrored building plans will Ile accepted. _
27
28
Checklist must he completed hr•liire plan review start date. Minor changes or notes on submitted plans ma% fn in blue or black ink.
Red ink is reserved lin•department use only 4-0141,1.1,,niin,inm
Mechanical Permit Application
Uatereceived: Permitno.: )cT
2iii �
City of Tigard Projccl/appl.no.: Expire date:
CiryofTigard Ade-,ess: 13125 SW Hall Blvd,Tigard,OR 9722.5
Phone: (503) 639-4171 Date issued: By: 7 Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
1
&2 family dwelling or accessory U t',rtnrnt trial/inrlutirre,rl U Multi-family U Tenant improvement
U New construction J Addilvm/alteration/replacement U Other:
INFORMATIONJOB SITE 1 1
Job address: i 2 rpt c C Indicate equipment quantities in boxes below Indicate the dollar
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax ntap/tax lot/account no.: profit.Value$
LAW .22 Block: Subdivision: (4yeM "See checklist for important i pplication information and
Project name: jurisdiction's Ice schedule for residential permit Ice.
City/county: i ck- ZIP: If 9 =
Description and location of work on premises: (.!'.I LuU010111111111L a 1111,11 to 111KI I H ra 1111 1911 11 Gill
Fee(ea.) 'Total
Est.date of complelion/inspeclion: Stn. �c v.o- DeurilNion "y. Rer.otdy Res.onIy
Tenant improvement or change of use.
Is existing space heated or conditioned'?U Yes U No Air handling unit CFM
Air conditionmg(so pan require )
Is cxltilinr spact msulalcd7 U Yes ❑hlo Alterationofexlsting FIVAC system Boiler/compressors -- ——
Business name: µpaxT iv►�1 State boiler permit no.:
Address: �, ,�/�, .,r.y r HP Tor, _ BTU/H ---
ire smo a umper uct smo�eleclors
City: Dior 4, Stmt:[��' 'LIP: 417/2 3 ea{t pump%sue plan require ) -�—
Phone: 6� ) Fax Email mato rep ace fwnacurncr__ 1'I'
CCB no.: '7 x 4a-- Including ductwork/vent liner U .'es U No —
nslafi7rcp ace rC ocate eaters-suspe�Te ,
City/metro!ic.no.: wall,or floor mounted
Name(please pnnt):-- e,,�, i'h Vcnlfor app ianceof crt an furnace
e gest on:
Absorption units H I 11/11
Name: ellf i5 LC a Chillers
Address: ---- rT
/S'fjv kZ li t,yknv ronrnenta ex aust an vent at on:
City: ;rj 016 State:r)F, ZIP: y71•243 ppliancevenl
Phone: �-r?_`i'l17 I:tx E-mail: iycrex gust -
oods,Type res. itc en/hazmat
hOod fire suppression system _
Name. Own -1,)tm ,K (C, c k `,w Exhaust fan with single duct(bath fans)
Mailing addressk�H r s k V yt Exhaust s Siem a an from heating or AC
City: rat State: IP �j 2 j ue piping andistribution(up to outlets)
Type: LIK; __ NG __ oil
Phone: �Iu -1,3 7-x- I I'ax: E-mail: ve f in each additional over 4 outlets --
Process piping(sc ematicrequirc )
Name: Number of outlets
t er slWopp ance or equ ptnent: -- -
Address: Dccu,ative llreplace
City: Slate: ZIP: ^ Insert-type
Phone: Fax: E.-mail: Wrxidslovelpelletsiovc
Applicant's signature: Date: 1 ;et:
c --
Name
Nor all juriarfkatxra accept credit crdi.pleae call juri•dkNon for mat Information Permit fee.....................$ _
U Visa U Mastercard Notice:'rh:s permit application Minimum fee................$ _
Credit cud number:.---_--..
expires if a permit is nal obtained Plan review(at __ %) $
aplrer - within 1110 days after it has been
- ame of atT,Fi shtr*n on�re�i card — accepted as complete. State sun barge(8 ).,..$ _
_ S TOTAL .......................$ _
-- Crdholdec tdpurure Amoum
4441617(t WCOM
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: ----- Price Tutal
$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 _ 1400
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 includina vent 14 00
fraction thereof,to and Including 4) Suspended heater,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 680
fraction thereof,to and Including 6) Repair units -
_ $50,000.00. '215
$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 of Pump Cond
_ fraction thereof, footnotes below. Comp
Minimum Permit Fee$72.50 v SUBTOTAL: I; 7)<3HP;absorb unit
to 100K BTU _ 14.00
8%State Surcharge $ 8)3-15 HP;absorb
unit 100k to 500k BTU 25.60
25%Pian Review Fee(of subtotal) $ 9) '.30 HP;absorb
Required for ALL commercial permits onl unl 1 mil BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ 10) ' 50 HP;absorb
unit 1.75 mil BTU 52.20
--- -- --------- _.._ ___ 11)>50HP;absorb _
unit>1.75 mil BTU 1 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM
Value Total 10.00
Df,scri tion: Q Ea _A_mount 13)Air handling unit 10,000 CFM+
Furnace to 100,000 BTU,Including 955 17.20
ducts&vents 14)Non-portable evaporate cooler
Furnace>100,000 BTU Including 1,170 10.00
ducts&vents 15)Vent fan connected to a single duct
Floor furnace Includingvent 955 6.80
Suspended heater,wall heater or 995 16)Ventilation system not included in
floor mounted heater appliance permit 1 10.00
Vent not included In applicance 445 17)Hood served by mechanical exhaust
permit _ 10.00
_Repair units _ 805 18)Domestic incinerators
< hp;absorb.unit 955 17.40
to 100k BTU 19)Commercial or Industrial type Incinerator
3-15 hp;absorb.unit, 1,700 69.95
101k to 500k BTU _ 20)Other units,Including wood stoves
15-30 hp;absorb.unit,,501k to 1 2,310 10.00
mil.BTU 21)Gas piping one Ir,four outlets
30.50 hp;absorb.unit, 3,400 5.40
1-1.75 mil.BTU 22)More than 3-per outlet(each)
>50 hp;absorb.unit, 5,725 1.00
>1.75 mll.BTU Minimum Pel mit Fee$72.50 SUBTOTAL: $
Air handling unit to 10,000 dm _ 656 -
Air handling unit 010,000 cfm 1,170 _ 8%State Surcharge $
Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent
tan connected to a single duct __ 448 _ _
Vent system not Included In 656
appliance permit _ - -
Hood served by mechanical exhaust 656 Other Insuectlons and Fes:
Domestic incinerator 1 1,170 - 1 Inspections outside of norma.business hours(minimum charge-two hours)
Commercial or industrial Incinerator 4 590 $62 s1 per hour
_� 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour)
Other unit,Including wood stoves, 656 $62 50 per hour
Inserts,etc. 3 Additional plan review required by changes..additions or revisions to plane(minimum
Gas piping 14 outlets 360 charge-one-half hour)$62 50 per hour
Each riddltlonel outlet 63
"State Contractor Boller Certlflrntlon required for units>200k B1U.
TOTAL COMMERCIAL
�: "Residential A/C requires site plan showing placr ment of unit
;:; � ;f
VALUATION: All New Commercial Buildings require 2 sets of plans.
i1dsts\forms\mech-fees doc 12/26/01
Electrical Permit Application
Datereceived: Permit no.: t o 1o0
City of Tigard Project/appl.no. _ Expire date:
C'rtyn/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171 -
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
T\kK1 &2 family dwelling or accessory U Commercial/industrial tJ Multi-family U Tenant improvement
w construction U Addilion/altcrnlion/rcpl:tcrtncnl 'J Other: _ _ U Partial
11 INFORMATION
Job address: 7010`41,ct Bldg. uo.: ti ''I" n, Tax map/tax lot/account no.
Lot: J.X Block: subdivision: PAV Vj lZ - -
Project name: — Description and location of work on premises:
Estimated date of cunthlcuamhnspeclinn: ;Ti. e t cc,
CONTRACYOR APPLICATION, "-"—N FEE SCHEDULE
Job no: _ _ _ I v
Business name:
_ De%criplion 01t. (ca.) Total oo.imp
ta1t 1" �[ i L _
- - Ncwresidcntial-sin{lkormultifnmilvlK•r
Address: - SW cX�t `� - _ dwelling unit.Include%allat hed garagc,
City: 7ti -,it State
StateV 'LII' 3 Serv(ceincluded:
A Ph011e: S FGnlall: 11x 0 sy.ft.nr Ics�
j'� FAX: 1
— Each additional 51x1 sq.ft.or porrtion thereof
CCB no.: ilk f,c.t Elec.bus. lie,no: CL t!-/67 --
Limited energy,residential 2
City/metro lie.no.: Lnmitedenergy,non residential w 2
Each manufactured home or modular dwelling
Signature of supervising electrician(required) Date — Service and/or feeder 2
Sup deer name(prino f( 1 of I.icrnsr w LR il'445 Serrationorvices or a relocation:Installation,
alteration or reloratlon:
200 annps or less 2
Name(proal): C CACVM-4 rny Kcok <C ?alt amps to 400 amps 2
- —�-- --- ,oI amps to 600 amps 2
Mailing address: d ;w Plit Alk Lit i n1 amps to 1000 amps 2
City: —r titer State:G/t Z( -' 7s;3 over 1000 amps or volts 2
Ph( I E-mail: It:cnnnectonly I
Owner installation:The installation is hLing made on property I own Temporary smicetorfeeders-
which is not intended for sale,lease,rent,or exchange according to Installation,alleratlon.ornlorntion:
20()amps or less 2
ORS 447.455,479,670, 01• 201 amps to 4W amps -- - - 2
�- �— --
1 hvnrr's signature: DAtc: j 1 �) 401 m 61x)am ns 1
Branch circuits-nen alteration,
or extension per panel:
Name: A. fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
ZIP: B. Fee for branch circuits without purchase
City: Slate:
of service or feeder fee,first branch circuit 2
Phone: I,u I: 171:111: Iiach additional branch circuit - —
Misc.(Service or feeder not Included):
U Scivice over 225 nngrs-conunencud U Health-carr larility Each pump ur irrigation circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location fiach sign or outline lighting 2 —
familydwellings U Building over 1000 square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 oohs nominal more residential units in one structure alteration,or extension• __ 2
O Building over three stories U Feeders.400 amps orniore •Ikscn non
U(kcupau load over 99 persons U Manufuctured structures or RV purl: Itch additional Inspection over the allowable in anv of the above:
U F:gress/lightingplan U Other .. Per inspection _ —
Submit .env of plaits wllh ant'of the alcove. Invesligation fee
I lie vhov-are not applicable to temporary corotruction service. Other
Not all Jurisdictions sdrept credit cards.please call)un diction fm name Infannation. Notice:'Phis permit application Permit fee.....................$ —,
U Visa U MasterCard expires il'a permit is not oblaincd Plan review(al ,_ 110 $ —_
Credit card number _ within 180 days atler it has been Stale cutch"age(8%') ....$
f.apires a:cepled as complete. 'TO'TAL . $
Name of rardhol r arasi down on credit card—
S __
—�-- Cardholder signature -- Amount 440461sar YWOM,
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
TYPE OF WORK INVOLVED -RESIDENTIAL _
Complete Fee Schedule Below: -- - --
Restricted Energy Fee...-................................................... 875.00
Number of Inspections per per fit allowed) (FOR ALL SYSTEMS)
Service inr-luded: Items Cost Total t Check Type of Work Involved.
Residential-per unit
1000 sq.It or less $145 15 _ _ ,t � Audio and Stereo Systems'
Each additional 500 sq fl or
portion thereof $33.40 1 Burglar Alarm
Limited Energy $75.00
Each Manurd Home or Modular Garage Dour Opener'
Dwelling Service or Feeder _ $9090 El
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less __ $80 30 2 El Vacuum Systems'
201 amps to 400 amps $10685 2
401 amps to 600 amps _ $16060 _ _ 2
601 amps to 1000 amps $24060 2 Other
Over 1000 amps or volts _ $454.65_ 2
Reconnect only _ $6685 - _ 2
TYPE OF WORK INVOLVED -r'UMMERCIAL ONLY
Temporary Services or Feeders
Fee for each system........................................................ . $75.00
Installation,alteration,or relocation
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps _ $100.30 _ 2
401 amps to 600 amps $133 71 _ 2 Check Type of Work Involved.
Over 600 amps to 1000 volts, ❑
see"b"above. Audio and Stereo Systems
Branch Circuits Boiler Controls
New,alteration or extension per panel
c)The fee for branch carcuils
with purchase of service or U Clock Systems
feeder too.
Each branch cir(:uit $6 65 _-_ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of ser vice Fire Alarm Installation
or feeder fee.
Firs branch circuit $46.85 _ O HVAC
F,ch additional branch circuit $6.65
Miscallaneous ❑ Instrumentation
(,':,at vice or feeder not included)
Each pump or irrigation circle _ $5340 — Intercom and Paging Systems
Each sign or outline lighting $5340 _
Signal circuit(s)or a limited energy
panel,alteration or extension _ $7500 ❑ Landscape Irrigation Control'
Minor Labels(10) $125.00 _
Medical
Each additional inspection ever
the allowable in any of the above Nurse Calls
Per inspertion _ $6250
Per hour __ $6250 _
In Plant $73 Y5 — Outdoor Landscape Lighting'
Fees: Protective Signaling
Enter total of above fees $ - �� Other
9%State Surcharge $ -__ Number of Systems
25%Plan Review Fee
See"Plan Review"section or $ No licenses are required Licenses are required for all other installations
front of a,tplication - -- -�-
Fees:
Total Salar:e Due $
- -- - - Enter total of above lees f
❑ Trust Account ff 8%State_urcharge $
Total Balance Due s-- —
i 1dsts\fnmulelc•t'ees dcx 06/07/01
Plumbing Permit Application
Date received: Permit no.I 1 F:,c _(X),q
City of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tipard,OR 97223 ectla Ino.: Expiredatc:
CigofTigard Phone: (503) 639-4171 pro J pp
Fax: (503)598-1960 Date issued: By: Receipt no.:
Land use approval: L Case file no.: Payment type:
Id I &2 family drvelliny,or accessory U Commercial/industrial U Multi-family LI Tenant impiovenu•nt
U New construction U Addition/alteration/replacement U Food service U Other:
JOB SITE INFORMATION F11-1, SCIJEDULE(forspecial
Description Qty. Fee(ea) 'Total
Job i.
address: �( )( `L �,iw�'< Tr'r 1'.^G --__ New I-and 2-fandly dwellings only:
Bldg.no.: Suite no.: (includes lo9it.loreachutililyconnection)
Tax in lot/account no.: _-�-- SFR(1)bath
Lot: : � Block: Subdivision: c�..1 ivt t A E. SFR(2)cath
Project name: _ SFR(3)bath
City/county: '[i A,�r�—�Z1P: �J Z _ 5ch additional bath/kitchcn
Description and loca``ton of work on premises:
SiteutllltleFi:
/tJGcJ C ten 'i to r ` i v'n Catch basin/area drain
Est.date of completion/inspection: Drywells/leach line/trench drain
Footing drain(no.lin.ft.) —_
Manufactured home.t'ilities _
Business name: N'1 L) r,t_Y✓t Manholes —_
Address: 12 c,y 1JE z1 �11 5 _ J Rain drain connector
City: U t,,,Crl,t v6 r State:Ur ZIP: Sanitary sewer(no.lin. 11.)
Phone:30 2 S Fax: E-mail: Storm sewer(no.lin. It.) —
CCB no.: 9-r7 Plumb.bus,reg.no: 3 -7 -.T'/I P Water service lin.ft.)
Fixture or Item:
City/metro lie.no.: Absorption valve —
Contraoaor's representative signature: Back flow pmventer
Print name: v,: Date: Backwater valve
Basins/lavatoiy
Clothes washer
Name: — Dishwasher
Address: Drinking fountain(s)
_City: State: 7.1 P: Ejectors/sump
Phone: Fax: E-mail. Expansion tank —_--
Fixture/sewer cap
Moor drains/floor sinks/hub
Name(print): �'�t�2 -r,)rm �i V_1ok Le Garbage disposal - --- _
Mailing address: 1 1'')U �_M? taw I✓N'��- L n llose hibb _
City: ( �9 hr�Il State:UR_ ZIP: 72 t 3 Ice m er —
Phone: fix j y •7J7 Fax: E-mail: Interco tor/ rease trap
Owner installation/residcntial maintenance only: The actual installation Primer(s)
wEl be made by me or the maintenance and repair made by my regular Roof drain(commercial) —
entployee on the.properly I own a ,r )RS Chapt^_r 447. Sink(s),basin(s),lays(s) _
Date: l2, 3r�a 1 Stm
Owner's signature: =rL —
Tubs/shower/shower pan �—
Urinal _
Name: --.__-------_ Water closet —�
Address: _ Water heater
City: Other:
Phone: Fax: Tota
No dl Jur+sdictona wcert credit cards,Meue cat Jurisdiction rar mole informatlunNotice:'this permit a
Minimum fee................$ -----
pplication —Plan review(at _ 7F•) $ --_._—
U Visa U MasterCard ex,ures if a permit is not obtained Slate surcharge -_(11% ,) $
Credit cod number. _ l� within 180 days after it has been --
_ ° accepted as complete. TOTAL .......................$
Name of cardholder u shown on it c � _
`_r CardM�lder danuure Amount 4444t,16(611
PLUMBING PERMIT FEES:
PRICE TOTAL Ne-1 and 2-family dwellings only: --� --
FIXTURES tindividual) — QTY ea AMOUNT_ (includes all plumbing fixtures in PRICE TOTAL
Sink 1660 the dwelling and the ffrst100 ft. QTY ,(ea) AMOUNT
for each utility connection
Lavatory � 16.60 —L
Ones bath $249.2_0
Tub or Tub/Shower Comb 16.60 Two(2)bath_ - $350.00
Shower Only 1660 Three(3).bath - $399.00
Water Closet 16,60 -- ---_
_ _ SUBTOTAL _
Urinal 6.60 _ 8%STATE SURCHARGE
Dishwasher 16.b0 PLAN REVIEW 25%OF SUBI UTAL
Garbage Disposal 16 60 _-___ --�- --TOTAL `_-- -
Laundry Tray — 1660
Washing `.lachine 16.60
Floor Drain/Floor Sink 2' 16.60 -
3" 16.60 PLEASE COMPLETE:
4" - - 16.60 --
Water Heater O conversion O like kind 1660 - _ Juanti b Work Performed
Gas piping requires a separate mechanical Fixture Type: NowMoved Replaced Removed/
permit _ - _ - Ca ped
MFG Hcme New Water Service 46.40 Sink _
MFG Home New San/Storm Sewer - 46.40 Lavatory _
Hose Bibs 16 60 —- Tub or Tub/Shower
Combination
Roof Drains 16.50 Shower Only _-
Drinking Fountain — 16,60 Water Cl(,,-et - -
Other Fixtures�. -O ify) 1660 Urinal
Dishwasher
Garbage Disposal _ — -
Laundry Room Tray
-- ---`- - Washinq_ achene - -�
---- Floor Drain/Sink 2"
Sewer_1 at 100' 55.00 -3„ - --Sewer-each Pddilional 100' 46 40 - 4^
Water Service-1 at 100' 55.00 Water Heater
Water Service-each additional 200' 46.40 Other Fixtures S ecv
i
Storm 8 Rain Drain-1st 100' 55.00
Sturm 8 Rain Drain-each additional 100' 46.40
Commercial Back Flow Prevention Device 46.40
Residential Backflow Prevention Device' 2755 - - —
Catch Basin 16.60 — ---- ---
Inspection of Existing Plumbing or Specially 62.50
Ruguested Inspections _ _ _ per/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps --- - 16.60 -- ---- �- -- -_-v --
- QUANTITY TOTAL -- ----- ------ ---- -
Isometric or riser diagram is required if -- ----- -- ---
Ouantity Total is >9 ---.—_-
"SUBTOTAL ---- — --
8%STATE SURCHARGE
"PLAN REVIEW 25%OF SUBTOTAL —
fRo ulred only If fhlure gy_totai is,9 -
I--_ -- --- TOTAL - ---- E --
*Minimum permit tee Is$72 50•8%state surcharge,a 4cept Residential Backflow
Prevention Device,which Is Yee 25•8%state surcharge
*.All New Commercial Buildings require 2 sets of plans with Isometric or rigor
dogrem for plan review.
I:\dstsVorms\plm-fees.doc 12/26/01
SEE 35MM
ROLL.. # 21
FOR
OVERSIZED
DOCUMENT
CITY OF TIGARD
1312; S.W. HALL BLVD,
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE RECEIVED
JiaN 15 2002
METZGER ELECTRIC INC CITY OF IWA 1.0
8780 SW LEHMAN ST AUMT)INGDlVIN,I'm
TIGARD, OR 97223
Electrical Signature Form
Permit #: MST2001-00582
Date Issued: 1/8/02
Parcel: 2S109AB.0031?0
Si -- Address: 14226 SW 132ND TERR
Subdivision: RAVEN RIDGE
Block: Lot: 022
Jurisdiction: TIG
Zoning: R-7
Remarks: New SF detached residenc.eJlath 1 NEED FIRE SPRINKLER PERMIT BEFORE
FRAMING INSPECTION
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical oermit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this F_lecLical 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.
CHRIS LEE METZGER ELECTRIC INC
15890 SW BULRUSH LN. 8780 SW LEHMAN ST
TIGARD. OR 97223 TIGARD, OR 977-23
Phone #: 503-524-7372 Phone #: 244-9025
Req ##: LIC 96805
SUP 3130S
ELE 34-1670
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received __ Date Requested_ - � -__ AM-- -- PM -_ - BUP
--
Location -_ Z Z(o Suite
-- - � -- -- - - MEC ------
Contact Person Ph ( ) - -_- PLM ---_ - _
Contractor ----------- — - - – Ph(-- -- ) - --- SWR -
BUILDING Tenant/Owner _ ELC
-
Footing
Foundation ELC -
Ftg DrainG CCAS.
--- � -- j E LR
-- ---
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 - -
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 -- - --—
_MFCHANICAL
Post&Beam
Rough-In --- - -
Gas Line
e Dampers _------- - — —-- — - -— ----- -- - --- --
PART FAIL ------- --- ------- - -------------
A
CTRICAL
Service - -- - -- - ---- —_...------ ------ -- -
Rough-In
UG/Slab ---- -.—..------
Low Voltage -- _ — -
Fire Alarm —i-------- --- ---`— -
Final Q Reinspection fee of$_-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS_ PART FAIL
SITE_ 0 Please call for relospection RE:—_ — _- U Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date- `^ -� - Inspector _Ext
Other:
Final DO Ntlr REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 BLIP
Received _ - Date Requestf d- SJ AM_— PM -- BUP
MEC
Location �-
Contact Person Ph(--) �,C _�=--�1��- PLM _
Conoactor ._ �'' � Ph( -) _.. -- SWR
BUILDING Tenant/Owner -- _ —_ _ ELC
Footing ELG
Foundation r,CeSSj ELR
-_
Ftg Drain _
Crawl Drain ~� / l`'� SIT
Slab Inspection Notes: ---
Post&Beam - -- —- -- - -
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing - -
insulation - -
Drywall Nailing
-
Firewall
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:
Final
PASS—PART—FAIL --
MECHANICAL - �- - ----- -- --- ------ -
Post&Beam —
Rough-In -- - -- — -- ---
Gas Line
Smoke Dampers -- --- - -- — - -
Final
PASS PART FAIT_ -
ELECTRIC_AL ---
Service
Rough-In -
Low Voltage
dire Alarm
rin [ l Reinspection fee of$ -required before next inspection. Pay at City Hall, 13125SW Hall Blvd.
,Fire
FAIL
L] Please call for reinspection RE:_ Unable to inspect-no access
Fire Supply _ineADA /
Approach/Sidewalk
Date-�' 'f Inspector
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILT' sire Inspection Line: (503)639-1175 MST-
INSPECTIOI\ JISION Business Line: (503)63914171
BUP
Received _—_ Date Requested _0 AM PM BUP —
Location . �- J . 11 s"_Suite MEC —
Contact Person (2- Ph ,7- 7/7 PLM
Contractor Ph(_ ) SWR
BUILDING Tenant/Owner ELC
Footing ELC _
Ft undai ation Access: J // QQ'cc,,,
Crawl Drain L "..L�__L_ ELR
Slab Inspection Notes: SIT —_
Post&Beam 4,9,7
Shear Anchors _
Ext Sheath/Shear _
Int Sheath/Shear
Framing - --- -- — —
Insulation
Drywall Nailing --- - ------- -- ---
Firewall
Fire Sprinkler --- ---- ----- --- -- -----
Fire Alarm
Susp'd Ceiling — -- - — --
Roof
Other: - -- - --- ----_
-6PART FAIL
vmh
-_ - -
ING _ - ..__... -------- - -- --------- —
Post&Beam
Under S!ab
Rough-In
Water Service - -- -- - -
Sanitary Sewer
Rain Drains -- --
Catch Basin/Manhole
Storm Drain -- —- -- -- ---- —
Shower Pan
Other:
Fic al
PASS—PART FAIL
MECHANICAL _
�—
Post&Beam
RAugh-In --- - -- -_ ------ - -_._—.- - ------
Gas Line
Smoke Dampers --- ---- - ---- - -
Final
PASS PART_ FAIL -- - ----- -- ---- --------
EL_ECTRICAL --
Service --
Rough-In -- — _-- — — ---— — ---
Ua/Slab
Low Voltage ---- - ----- -------- -- --
Fire Alarm
Final n Reinspection fee of$ __—_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: --. — J Id _— Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Data `------- Inspector_ L Ext--_-
Other:
Final — DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
;0 po r D —
m O
rn J
rri U) O
m
m
R1 fi
;J O
NMI
y
m
b < _ z O_
\ Cn W Q T
m -
z
zO N --im n9
� m b R
z c) n
�, > -�'i o C) z ITI
rn
m O
> D
m m
--� ," � O ctm
. . rTl
t Cn
m rio
Rl m
Cn
�1
r
I
1
r y•
ti ti
° n
G
� o
rl
V)
00
r � n
:on
tr
Nod
I
a �
a h
v
o
4 O
a
A
0-° I
i ,