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14230 SW 132ND TERRACE _ _= - _ -.. -J T r Great Room 114 Vaulted a,I ,Master Bedroom 77 8'-8 3`-2; 4'--31 N 11'-71 ----_. M Bedroom 3 _t — ---- 1 � 1 Dining N 2'-711 1 = - _ __ --_� --= - - 10'-2Y 6'-51 5'-3 2'-3 04 �' ` -1 3-11 Fomily Room _- -- T-4 -� 108 dsJas. '„ � ' , , � -; M Bath CLOW0 y VTO W,Kai -- �y D28 161-0 - . ---- ta- V Utility Y T IGtchen VTO -7 �� TO CQ O - 1/2on to W C giros,as7 9 6-9\ 41- 1 I --- ---✓ �- ___J --- 1 --- REFIER---- �� "' I-•�i Bedroom 2 M _ - ------ — � _--� - - -_ ----- - ,� 4-11 Bedroom 4 �.�'- } } 1'-0 �2'-6 _ 1 C\' 1 1 1 5-11 .� 51-91 ^z'-i0 '-111 7'-42 b'-32 4. aascr a06ErMCWT N •, Hobby Room rh 10 \+ O CruWspace 1 1 - ?-2 8'-92 --- -. _--- ---� ~ N } (No sprinklers per WPA 131)) 6_9 _ Ent rY �.� + -- Den/Bedroom � o LOWER FLOOR PLAN SCALE: 1/4' =1'-0 Meter_2_5 psi loss city supply - MAIN FLOOR PLAN Residual: 551 SCALE 7"T1'-0" Flow:-_300gpm CITY OF l IGABD . . . . . Approved................... ........... .... . ,.......( ]� Conditionally approved.................. For only the work as described in: PERMIT 11ow............................. .............. See Letter to:Fo , Atta�r� 4-- r 1 � Job Address:- 30--�=' 3 �„ �G-' pate: B NORTH Revisions 3 bol Head Count Standard Symbols Standard Symbols Sprinkler Head Symbols _ Inspections i �/ /^� 0— General Intallation Notes Sprinklers Model De nee ptd -PostlndicatorValve � -AlarmCheci<Valve -o- -Upright On 1/2"Outlet ML1LLEN PLUMBING L All F,iping is Pi:X lupe as approved by Oregon State Plumbing hoard. ' - - -- - � - Star Miza.5210 Semi Recessed 155 Z� - - 2. Install han ger per'pipe manufacturer recommendations. r Key Operated Valve Thrust Block ♦ Pendant On 1!T Outlet - 24470 S.W. Rainbow Ln. hangem fM P Pe __ � �_ - Public Hydrant Backflow Preventer Upright On 1"Stubt-u Hillsboro, OR 3. Add hangers as necessary to ensure that there. is a hanger within 6" of each sprinkler drop. - _-_- -�__-- - _-- _ -- __. -� - Y D1Q�I�Dt4- -6�. - P . 4. Sprinklers must be 8/-o"mai from any wall,8'-0"minimum from any other sprinkler. °`P Fire Dept.Connection Pendant On 1"Drop _ e to mum spacing between any two sprinklers in the same room. p(d O S&Y Gate Valve $ Pend. On 1"Drop Below Ceiling Job No. Lot 23 Raven Ridge ___ 5. All pipe locations are to be field measured print to It>stallatlon by(ontractor. / -__- __-_ - --- --- -- --- _ -._ __. -- -._----.---Lo-t I _ 6. All pipes and hangers are to be installed per NFPA 131). IV Check Valve ;� _ _. _ _ -0- -upgrignt And Pendant on Drop ate 09R0/Ol Raven Ridge Subdivision - - - - J. Lamb Tigard, OR 1 of 1 . Hangers are to be U.L. Listed and M'.M.Approved. � �New Underground SZ -SideWall On 1/T Outlet n r. TOTAL TMS PACE 24 1k _ -ExistingUnderground Sidewali On 1"Outlet �� Noted NOTICE: IF THE PRINT OR TYPE ON ANY r�rlll III III III IIS i�ili iili�i ISI lel ill�l Ill Iii ISI I�IIIt�I Int ill tLI i�i�l�i�i�l ISI Iii ISI ill ILLI��III I�IIIII IIII ISI ISI ISI I I ISI Iii ISI I I ISI Ill ISI ISI tai !�I I LI L I I l i I - - --I I i a I I-41 I I -� SI I �� -I- I 17L I + 18I , ��' � I i2 (MAGE IS NOT AS CLEAR AS THIS NOTICE, � � 11 IS DUE TO THE QUALITY OF THE Na se -t_x- ORIGINAL DOCUMENTJ.-j- ZI��►II�IIII�IIII IIII�II�I�Il�►�I llll�lll►►III�IIII III ►I►llll��lll►III►SII►Illl�l►I�I�II��I�II�IIII►I�I�IIu��l►,�IIIII��I�1�II��II►III�1��►►I it llllli►IIWl�lll,'I►�II�IIWIII►�l(ll�I►I�►1ll �11��1111 Illlll —___ - u iiII�NiI c 14230 SW 132li Terrace CITY OR TIGARD 24-Flour BUILDING Inspection Line: (503)639-41750( INSPECTION DIVISION Business Line: (503) 639-4171 MST Received , , BUP L,Iie Requested I AM PM Location ) �, BUP _ Suite MEC Contact Person — � Contractor PLM - - - -- Ph( ) SWR rFraming DING TenanUGwner -- -- — g ELC ation - - ain Access: ELC -- - Drain .0 �g�J,.P�, - L�c� ELR ►t - - Inspection N s Beam SIT - ---- nchors / .J ath/Shear ? Intath/Shear - -- - - Insulation Drywall Nailing -- Firewall - - -- - - Fire Sprinkler - - Fire Alarm Susp'd Ceiling Roof Other: - Final _'_A_SS_ _ T _FAIL_ -- LUMBING Under Slab - -- Rough-In Water Service sanitary Sewer - Rain Drains - -- Catch Basin/Manhole --_ Storm Drain - — Shower Pan Other:_ - ART FAIL --- M _ CAL _ Post& Beam �--- - - --- Rough-in Gas Line - Smoke Dampers — Fina.l - PASS PART FAIL - ELECTR ACI L - Service - - -- - - liough-In I IG/Slab - I ow Voltage I ire Alarm --s- --- --- -_ - - �. i incl --- -- PASS--PART FAIL �- I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. SITE _ [j Please call for relnspection RE Fire Supply Line e _ E] Unable to inspect-no access ADA O Approach/Sidewalk Date Other: Inspector I_" I _ Final PASS PART FAIL DO NOT REMOVE this inspect!on record from the job site. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPEC710N DIVISION Business Line: (503) 639-4171 BLIP Received Date Requested 1G & - AM -__PM BUP Location -2) l�� -ems._--_Suite—_ _ MEC Contact Person . _ Ph( ) �'— -� �} PLM Contractor ____ Ph(_ _____ ) _ SWR BUILDING TP,nanK)wner _ ESC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspec o Notes: ` SIT Post&Beam _r Shear Anchors - - - Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler - -- Fire Alarm Susp'd Ceiling - Roof Other: Final f l r PASS PART FAIL -- PLUMBING Post& Beam - - Under Slab Rough-In Water Service ----- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: _ ---- Final PASS PART FAIL - MECHANICAL _ Post&Beam Rough-In —_--_-- Gas Line Smoke Dampers -_ Final PASS PART_ FAIL - - ELECTRICAL ^ Service -- -- Rough-in - UG/Slab Low Voltage Fire Alarm �tja�)PART _FAIL Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE:- Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dots Ir+itpector � Ext Other: _ _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OFTIGARD 21-Hour N1 C IC // BUILDING Inspection Line: (503) 639-4175 MST � 0 G ,3_ INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received _ -_ Date Requested _7 2 ! -- AMPM -__ BUP --- - -- Location _. _i u Z 1�Uw / /Z, ,'-v_✓ _ - _-Suites — MEC --m_ --- Contact Person _ ___ � U �� Ph (__ ) � 2113 -- PLM Contractor -- _ — Ph (-- ) SWR _BUILDING Tenant/Owner _ - ELC - - _— Footing ELC Foundation Access: ELR Ftg Drain -Z- ------ Crawl Drain — SIT Slab Inspection Notes. -- Post& Beam -- Shear Anchors Ext Sheath/Shear J� T Int Sheath/Shear Z Framing Insulation Drywall Nailing - Firewall �l ire Sprink'cr� �- - arm Susp'd Ceiling - Roof _ Other: ina P, / 4'A'SS PART`�FAII:� PLUMBING l-- - Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole - Storm Drain Shower Pan Other: Final -- - S5 PART FAIL - - Post&Beam Rough-In - --- 3as Line --- S EPARTC mpers -- �- Fin — __— FAIL -� -- - _ CA -- - — Service ---�- - - Rough-In - UG/Slab Low Voltage -- ---- - - Fire Alarm Final Reinspectlon fee of$-_ required before next inspection. Fay at City Hall, 13125 SW Hell Blvd. PASS PART FAIL SITE — Please call for reinspection RE:--- Unable to inspect -no access Fire Supply Line ADA Date d/Z_ ��' Inspector �' - - - - Approach/Sidewalk - Other: Final DO NOT REMOVE this Inspection record from the join site. PASS PART FAIL CITY OFTIGARD 24-Hour �� / Inspection line: (503) 639-4175 MST L G 7 �� INSPECT*IUN DIVISION Business Line: (503)639-4171 BUP _ Received _ --- Date Requested r 3 — AIA -- PM BUP / 7� ,Sc� /3z �-_.-/ ��n� Suite _ MEG Location _13U 7/ ) PLM -_ Contact Person _ - _ �l_G /1---_ Ph( ) - - ---- Contractor —__ --- -- _, Ph SWR ---- . Tenant/Owner -- EL -- - �, BUILDING - - Footing ELC - Foundation Access: / Q I- -1 ELR Ftg Drain • Crawl Drain SIT Slab Inspection Notes: Post& Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear _ - Framing Insulation -- - Drywall Nailing Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling JLi Roof r: Fina --- - - _ - --PAS PART FAIL / PLU�BING _ - -- -� ------ Post& Beam- Under Slab Rough-In Water Service - -- --- -- -- ---- Sanitary Sewer Rain Drains Catch Basin/Manhole ---- Storm Drain Shower Pan Other:_- Final - -- -- _- PASS PART FAIL MECHANICAL Post&Beam --- - Rough-In -- -- -- - --- Gas Line - Smoke Dampers ---- _--- -- - Final -- -- PASS PART FAIL - ----------- ---- ELECTRICAL - - ----- -- - Service Rough-In — ---- -- - UG/Slab Low Voltage ----..-_--- ------ _-_—._ ---- Fire Alarrn Final F] Reinapertion fee of$_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL [:] Unable to inspect-no access Please call for reinspection RE:_- Fire Supply Line ADA r ��Z �� ? Insrsector ---- Approach/Sidewalk Date--- "'- Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL AAAAA,AAAAAAAAAAAAAAAAAAAAAALAMM.s%®,&sALMd,n,a►aAL anter C) ti C w m 000. � i N _ ► (b 71AS N r CL Q. C p ; lop. d 'o ► e'•f ► t (7 , 9 ► t d -, pr' p arrvD ► J O O 1 V + fb �j PJ ► t y � au ► � i 0 m a 0 1 o Co� R R � N EL . ° o Q a ~ rD a ^ \ J t 0 1 A O ��1 Y C) � �1 r� Q S A City of Tigard Washington County Oregon Voluntary Compliance Agreement and Temporary Certificate of Occupancy For: Charles Yett Bethany Group Construction, Inc. 4888 NW Bethany Blvd., Suite K5 #163 Portland, OR 97229 Re: Temporary Certificate of Occupancy You, Charles Yett, are the reponsible person for 14230 SW 132`x" Ter, Tax Map 2S109AB, Tax Let 09400, agree to the following conditions: A temporary Certificate of Occupancy is hereby issued on a conditional basis for a period not to exceed 30 days from this date, by which time the following conriitions must have been met and approved by inspection by the City of Tigard Building Department: Permit MST2001-00436 must be completed and approved, including all outstanding corrections, ancillary permits and fees. Specifically, the corrections listed on the inspection report dated 10/29/02. It is understood that the City will withhold action until Nov 2.8, 2002. Upon compliance with all above conditions, this case will be closed and the Certificate of Occupancy will become permanent. I further understand that if these conditions are not complied with fully, I may be served with a Summons and Complaint without further notice for violation of requirements set forth in the Oregon One and Two Family Dwelling Specialty Code (Final approval required prior to occupancy) Signed: Date 100j1 (Res on ible Party) Signed:/At 1 i4f't 9 ( ��,{%� Date '�Z CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST `_�'�• `' v' G INSPECTION DIVISION Business Line: (503) 639-4171 � BLIP _ Received -- ____--_Date Requested�-1 Z -- AM ` PM_--- BUP --_ Location 3(1 >`�' -1 '+ r Suite MEC Contact Person _—__ - �'� ' �! ph( -Jr1 3-7! >_ PLM _ Contractor --- Ph(-- ) - — SWR BUILDING _ 'Tenant/Owner ELC Footing ELC Foundation Ftg Drain ELR _ Crawl Drain SIT Slab rnspectionotes: Post&Beam ------ - - - Shear Anchors Ext Sheath/Shear -----�— Int Sheath/Shear (< ti I Framing - Insulation Drywall Nailing r - Firewall Fire Sprinkler - - - Fire Alarm or Susp'd Ceiling Roof a �aPART *AIL/NG am Under Slab - Rough-In Water Service -- Sanitary Sewer Rain Drains ------- - — -- Catch Basin/Manhole _ Storm Drain -- ----` - Shower Pan Other: --- Final !fuu- PART F --- A9CN N--- - ---- ------- Post& Beam Rough-In - - -— 4010 Gas Line momw" Dampers - Fill JIM-Ld A" n 1 1fASS,PART FAIL - -- - ELEC-TRICAL �6i Service Rough-In -- - ------- 4spectio UG/Slab Low VoltageFire Alarm Final Reinspection fee or$ _required before next iPay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE:__- ___ Unable to Inspect-no access - . Fire Supply Line ` r Y. f, -ADA 1;, I t _ Ext Approach/Sidewalk DAb Inspector - - Other:- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL PLUMBING PERMIT CITY OF TIGARD PERMIT#: PLM2002-00431 DEVELOPMENT SERVICES DATE ISSUED: 11/12/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S109AP_-09400 SITE ADDRESS: 14230 SW 132ND TERR ZONING: SUBDIVISION: JURISDICTION: BLOCK: LOT: — - T� GARBAG DISPOSALS: MOBILE HOME SPACES: CLASS OF WORK: OTR WASHING MACH: BACKFLOW PREVNTRS: 1 TYPE OF USE: SF FLOOR DRAINS: TRAPS: OCCUPANCY GRP: R3 WATER HEATERS: CATCH BASINS: STORIES: SF RAIN DRAINS: FIXTURES LAUNDRY TRAYS: GREASE TRAPS: -------- SINKS: URINALS: OTHER FIXTURES: LAVATORIES: TUBiSHOWERS: SEWER LINE: ft WATER LINE: ft WATER CLOSETS: ft DISHWASHERS: RAIN DRAIN: Remarks: Installation of residential backflow prevention device for ingation system. FEES Owner: Description Date Amount BETHANY GROUP CONSTRUCTION 1I'LU�1141 I'crnnl Fee 11/12/02 $36.25 4888 NW BETHANY BLVD I I I'lIfvlltl 1'crnut Fee 11I12IO2 $0.00 PORTLAND. OR 97279 1 AXI H°s,Stets I ax 11;12/02 $2.90 1 ANI R",Slab I ax 11/12/02 $0.00 Phone 1: Total $39.15 Contractor: TRUSCAPESINC 2095 NW ALOCLEK STE 1101 HILLSBORO, OR 97124 REQUIRED INSPECTIONS — RP/Backflow Preventer Phone 1: 503-531-9216 Final Inspection Reg #: I W 6722 This pernlit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All work da Is of is��nceaor f workne in �is slususpeth nded forroved pmoSe This permit will expire if work Is not starter] with 180 Y than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon I.Jtility Notification Center. Those rules are set foltlr in OAR 952-0001 -0010 through OAR 952-0001-0100. ) 246-6699 You may obtain gopies of these rules or direct questions to OUNC by calling (503 j Is ued B �' c � 1'�^ Permittee Signature: By: ' - Call (503) 63 -4175 by 7:00 1`% for an inspection needed the next business day Building Fixtures Plumbing Permit ApplicationFFIr,,E USE- ONLY Date received:// /% Lf ' Permit no.: whop–GC ? isity ild Tigard z. Address: 13125 SW Hall Blvd,Tigard,OR 97223 _Sewer permit no.: Building permit no.: Cfry of n9ard Phone: (503) 639-4171 Prnject/appl.no Expire date: Fax: (503) 598-1960 Datc issued: By: I Receipt no.: Land use approval: — case file no. Payment type: U I &2 family dwelling or accessory UCommercial/industrial U!v1ulti-family J Tenant improvement .ANew construction U Adrlition/alterationlreplacen,ent J Food service J Ocher t i i Job address: t- c r Description Qty.I Fee(ca.) 'I utal Bldg. no.: Suite no.: Nell i-and 2-family dwellings oil}: Tax map/tax lodaccount no.: (ill 0ude%100 ft.for each utility connection) SI R (1) bath Lot: Block: Subdivision:equcn r; -i= SFR(2)bath -- Project name: - -- - SFR(3)bath City/county:�l ,/t i A54), I ZIP: Each additional bath/kitchen Desai tion and location of work on premises: — Site utilities: ^'1?i Catch basin/area drain Est,date of completion/inspection: ( y Drywells/leach line/trench drain Footing drain(no.lin.R.) Manufactured home utilities Business name: �� t a Manholes _- Address: I zoo j Rain drain connector City; t'qi Ij State: ZIP: Sanitary sewer(no. lin.fl.) Phone: (-rt ( Fax: &1 E-mail: Storm sewer(no.lin. R.) CCB no.: A ' JPlumb.bus,reg.no: I Water service no,lin. fl. City/metro lic.no.: Fixture or item: Contractor's representative signature: Abso tion valve - Back flow reventer Print name: �l r,��' Date: I ( l Z U Z Backwater valve Basins/lavatory Name: r Clothes washer Address: 2I L - 41� I� , - Dishwasher Cit Drinking fountain(s) Y: Stat, . r, ZII'�27t Ejectors/sump Phone: 7 G Fax: I E-mail: Expansion tank Fixture/sewer ca -- Name(print): /7.T Tp�t7 Floor drains/floor sinks/hub S osa Mailing address: -Gar-a a dis1LI_ _ City: Hose ibb ___ _ State: _aiZIP: Ice maker Phone: Fax: E---i Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercia) employee on the pwoperty I own as er ORS Chapter 4471' Sink(s),basin(s),lays(s) Owner's si nature: -_-___�= ` Date: I�Z Sump Tu s/shower/s ower pan Name: Irina Address: Water closet Water heater City: ZIP: other: Phone: Total Not all Jurisdiction+aceto eredli cards,pleas call jurisdiction far more informsuon Minimum fee..... .......... $ `� U Via U MasterCard Notice This permit application expires if a permit is not obtained Plan review(et _ %) $ Credit card number. s ire. within 180 days after it has been State surcharge(� 'o).... S �. 910 Name of cardholder as shown on crc It—card -- p accepted as complete TOTAL....... ......... ...... S Csrdho der+iaturorc -- Amount 110-4616 tartxur:OMl 1 � CITY OF TIGARD _ MASTER PERMIT PERMIT#: MST2001-00436 DEVELOPMENT SERVICES DATE ISSUED: 8/21/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14230 SW 132ND TERR PARCEL: 2S109AB-09400 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT:023 JURISDICTION: TIG REMARKS: New single family detached. Grade 21%. Path 1. NFPA 13D sprinkler system required. BUILDING REISSUE: STORIES: 2 FLOOR AREAS RcQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 29 FIRST: 1,686 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y •YPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,398 of GARAGE: 497 of FRONT: 15 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: $291J,•.'.°6t, OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3.084.00 of REAR: 15 PLUMBING _ SINKS: 2 WATER CLOSETS: 3 WAS141NG MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 3F RAIN DRAINS: 2 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP. 1 WATER HEATERS: 1 WATER LINES. ,'.KFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: I MECHANICAL FUEL TYPES FURN<10OK: BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN�-100K: 1 UNIT HEATERS: FIOODS. 1 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: WISVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION; EA ADD'L 5009F: 6 201 •400 amp: 201 400 amp: let W/o SVC/FDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: 1 SIGNAL/PANEL: IN PLANT: MANU HM1SVCIFDR: 601 • 1000 amp: 601•2mpe•1000v: MINOR LABEL: 1000•amplvoll: PLAN REVIEW SECTION Reconnect only: a.4 RES UNITS: SVC/FDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: LITH: ALL ENCOMB BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,147.82 This permit is subject to the regulations contained in the BETHANY GROUP CONSTRUCTION BETHANY GROUP CONSTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and 4888 NW BETHANY BLVD 4888 NW BETHANY BLVD K5#163 all other applicable laws. All work will be done In PORTLAND,OR 97279 PORTLAND,OR 97229 accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance,or If the work is suspended for more than 180 days. ATTENTION: Phone- Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg 0: LIC 141903 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions t0 OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Slab Insp PLM/Underfloor Framing Insp Gas Line Insp Roof Nailing Grading Inspection Post/Beam Structural Mechanical Insp Shear Wall Insp Gas Fireplace Water Line Insp Sewer Inspection Post/Beam Mechanica MFG Home Electric-il! Exterior Sheathing Inst Insulation Insp Water Service Insp Footing Insp Underfloor InsL'lation Electrical Service Low Voltage Gyp Board Insp Sprinkler Rough-In Foundation Insp Crawl Drain/Backwater Electrical Rough In Special Insp.required Rain drain Insp Sprinkler Final Issued "D Al )Cj� Permlttee Signature Call(503 8 9-4175 by 7:00 p.m.for an Inspection needed the next business day PLUMBING PERMIT FEES: -- PRICF TOl'AL New 1 and 2-family dwellings only: — FIXTURES individual Q1 mea AMOUNT tincludt.s all plumbing fixtures in PRICE TOTAL Sink V3 60 iV the dwelling and the first100 ft. QTY (ea) AMOUNT 6.60 1for each utility connection) Lavalory — _— One(1)bath $249.20 �- Tub or Tub/Shower Comb 16.60 Two 2 bath $350.0_0 Shower Only J 16.60 !— 'three 3 bath__ _ $399.00 _ Water Closet16 60 -- --- - -- — — _ _ SUBTOTAL Urinal 16.60 B°/.STATE SURCHARGE Dishwasher 1660 PLAN REVIEW 25%OF SUBTOTAL -- -- . Garbage Disposal 1660 _ Laundry Tray — — — 16.60 Washing Machine 1660 �FIOOr Dreln/Floor Sink 2"--` 16.60 PLEASE COMPLETE: 3" —16.60 4• 1660 --_ — Water Heater O conversion O like kind 16.60 Uuantit b Work Performed Gas piping requires a separate mechanical Fixture Type: flew Moved Replaced CapapRemoved/ ed permit. ---- — MFG Home New Water Service 46 a0 MFG Home New San/Storm Sewer 46 00 — Lavato _ Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 — Shower Only Drinking Fountain 16.60 Water Closet —— pthor Fixtures(Specify) 16.60 Urinal_ DL, &asher _ Garba a Disposal Laundry Room Tray Washing Machine Floor Drain/Sink: 2" Sewer .11057 ___ 55.00 3" -_ 1 Sewer-each additional 100' 46.40 4" -- 1 Water Service•1st 100' 55.00 Water Heater — Other Fixtures Water Service-each additional 200' 46.40 S eG Storm&Rain Draln-1st 10U' 55.00 Storm&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 rwitwed if Quantity Total Is >0 *SUBTOTAL - -_-- ---- 81/6 STATE SURCHARGE - -- "PLAN REVIEW 25%OF SUBTOTAL Required only if future qty total Is>A TOTAL S °Minimum permit tee Is$72 50+B%state surcharge,except Residential Backflow Prevention Device,which Is$ag 25+8%state surcharge f°All New Commercial Buildings re,ulre 2 sets of plans with Isometric or riser diagram for plan review. 1:\dsts\forms\plm-fees.doc 12/26/01 MASTER PERMIT CITYOF T I G A R D PERMIT#: MST2001-00436 DEVELOPMENT SERVICES DATE ISSUED: 8/21/01 13125 i;W Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14230 SW 132ND TERR PARCEL: 2S109AR-09400 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 023 JURISDICTION: TIG REMARKS: New single family detached. Grade :'1`;5,. Path 1. NFPA 13D sprinkler system required. BUILDING REISSUE. STORIES: 2 FLOOR AREAS REQUIPED SETBACKS REQIhRED CLASS OF WORI.: NEW HEIGHT: 29 FIRST: 1,686 st BASEMENT: sf LEFT: ., SMOKE DETECTORS: ✓ TYPE OF USE: SF FLOOR LOAD: 4" SECOND: 1,398 sf GARAGE: 497 sf FRONT: 15 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sl RIGHT: 5 VALUE. S 799,788.60 OCCUPANCY GRP: R3 BORM: 3 BATH: ) TOTAL: 3,OF14 00 sf REAR: 1`� PLUMBING SINKS: 2 WATER CLOSETS: WASHING MACH- LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES' S DISHWASHERS- FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS 2 CATCH BASINS: TUBISHOWERS: GARBAGE DISP: I WATER HEATr.RS: 1 WATER LINES: 100 BCKFL W PREVNTR GREASE TRAPS: 0 rHER FIXTURES: MECHANICAL _- FUEL TYPES FURN<100K: BOIL/CMP<THP: VENT FANS: 3 CLOTHES DRYER: I ,Ag FURN>=100K: i UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: hlu FLOOR FURNANCES. VENTS: I WOOOSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 2'0 amp: 0 200 amp: WISVC OR FOR: 2 PUMP/IRRIGATION: PER INSPECTION: r:A ADD'L 500SF: 6 201 400 amp: 201 400 amp: 1 al WIO SVCIFOR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: 1 SIONAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 801+8mpa•1000v: MINOR LABEL: 1000+amolvolt PLAN REVIEW SECTION Reconnect only: >0 RES UNITS: SVCIFDR>•225 A.: >800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&S1EREO`Y VACUUM SYSTEM: AUDIOS STLREO: FIRE ALARM WTERCOMIrAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH. ALL ENCOMB BOILER: HVAC: LANDSCAPEIIRRIG PROTEr''VL SIGNL: GARAGE )PENER: CLOCK: INSTRUMENTATION- MEDICAL. OTHR: HVAC OAT 4RELE COMM: NURSE CALLS TOTAL p SYSTEMS: Owner: Contractor: TOTAL_ FEES: $ 7,147.82 I3E 1 HANY GROUP CONSTRUCTION BETHANY GROUP CONSTRUCTION This permit is subject to Lne regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and 4888 NW BETHANY BLVD 4088 NW BETHANY BLVD K5#163 nORTLAND,OR 97779 PORTLAND,OR 97229 all other applicable laws. All work will be dune it accordance with appro%ed plans. This pelt will expire if work Is not started within 180 days of Issuance,or if the work Is suspended for more than 180 days. ATTENTION: Phone: Phone. Oregon law requires you to fallow rules adopted by the Oregon Utility Notification renter. Those rules are set R90111: LIU WIUO,I forth In OAR 952-001-0010 througt 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, Slab Insp PLM/Underfloor Framing Insp Gas Line Insp Roof Nailing Grading Inspection Post/Beam Structural Mechanical Insp Shear Wall Insp Gas Fireplace Water Line Insp Sewer Inspection PosbBeam Mechanica C,1F0 Home ElectriLal; Exterior Sheathing Inst Insulation Insp Water Service Insp Footing Insp Underfloor Insulation Flectrical Service Low Voltage Gyp Board Insp Sprinkler Hough-In Foundation Insp Crawl Drain/Backwater Electrical Rough In Special insp.required Rain drain Insp Sprinkler Final Issued By ,4 - r b ( t Permittee Signature i Call (503) 699-4175 by 7:00 p m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT _ ~� DEVELOPMENT SERVICES PERMIT#: SWR2001-00221 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/21/01 PARCEL: 2S 109AB-09400 SITE ADDRESS; 14230 SW 132ND TERR SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 023 ,JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new single family residence. Owner: � FEE..__ BETHANY GROUP CONSTRUCTION Type By _ Date Amount Receipt 4888 NW BETHANY BLVD -- PORTLAND, OR 97279 PRMT CTR 8/21/01 ?;2,300.00 27200100000 INSP CTR 8/21/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sc Ner is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001-0010 through OAR 952-001 .0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued b Y'` � � Permittee Signature: Call (503) 639-4175 by 7:00 P M. for an inspection needed the next business clay 7 l ) Y7 l D 'cv� Building Permit Application City of Tigard Datereceived: ,� �'/ Permitno.: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9 Project/appl.no.: Expiredate: Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 f 1l Case file no.: Payment type: R / 6• Land use approval: _ =family. imple Complex: 1 trddition/alici-ation/replaceizicnt 2 family dwelling or accesson ❑Commercial/industrial J Multi-family �New construction ❑Demolition J Tenant improvement U Dire sprinkler/alarm 0 Other: 1 Job address: I : Bidg. .lo.: Suite no.: I ot; -' Block: Subdivision: , p-j�j ,�l)�%r. Tax map/tax loJaccount no.: Ny Project name: ---- Description and location of work on premises/special conditions. Name: ,n ,�, , �_Tl rnr (Floodplain,septic capacit solar,etc.) Mailing it I ALU i d;- •O I &2 family dwelling: City: State:/r1 ZIP: ; Valuation of work............................. . Phone: Fax: j� 21 E-mail: No.of bedrooms/haths.......................... Owner's representative: v( _ Total number of floors................................. Phone: ^' Fax- IF, mail: _ -— New dwelling area(sq.ft.) .......................... Garage/carport area(sq. ft.)......................... Name: Covered porch area(sq.ft.) ......... ............... _-_--- Mailing address: D Lck area(sq.ft.) ........................................ -----___ Other structure arca(s ft.)........... •.. . City: State: _ ZIP: q• • ••••••• Phone: I F'—mail: Commercial/industrlal/multi-family: Valuation of work................... ................... $ Business name: Existing bldg.area(sq. ft.) .......................... Address: y - -- New We.area(sq.ft.)................................ __ ....- Number of'stories City: State. ZIP: — es........................................ - - - Type of construction Phone: Fax: E-mail: .................................... _ -- Occupancy group(s): Existing: CCB no.: - - -- New: City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contracto•s Bom•d under Name: �_�jr provisions of ORS 701 and may be required to be licensed in the Address: Co .'; r — jurisdiction where work i,being performed. II•the applicant is City: E12 k State: ZIP: (j) ., exempt from licensing,the following reason applies: Contact person: / Plan no: - Phone:• _ n-. I SX: Nam 101 P Name: ISI l t; I,eltion: Fees due upon application ........................... $_ Address: Date received: City: State: ZIP: Amount mceixed ................................. ....... $ Phone: Fax: —_E-mail: Pleasc refer to fee schedule. hereby certify 1 have read and examined this application and file Ned all jurisdictions a W credit carts,please call jurisdiction lot near InfonrsUon attached checklist. All provisions of laws and ordinances governing this U Visa U Mattarcard work will be compiled with,whe r specified herein or not. credit card mother I.><pirea Authorized signature: ) _ Date: > -- Nmw of cadholder ou shown on credit card Print name: - s -- Cerin homer dpWure Amount Notice:This permit application expires if a permit Is not obtained within 110 days afler it has been accepted as complete. 440.1613 ftMnacoM 14 One-and Two-Family Dwelling A, ik Building Permit Applieatifil Checklist Refere i CiryofTigard —` 1{llSt ncenu.; City 01 :igard ;1cl,lress; 1.3125 SW Hall Blvd, Associaredpermits: I'hone: (503) 639-4171 Tigazd,OR 9722 7 U Electrical U Plumbin Fax: (503) 598-1960 8 OMechanical U Other: ITA I�ase actions comp_�et ,_See jurisdiction criteria to c_,tl,urrrnt reviews, 2 Zoning.Floud plain,solar balance po nt5 S�ismic soils designation,historic district,etc. 3 Verification of approved, 4 Fire district_— - - - 5 Septic system approval required, I emit or authorization for R'mcxlcl.Existing system capacity 6 �r permit. _ 7 Water distric pt as p or val. - —_ 8 Soils report,Must carryori final applicable stamp and signature on file or with application. 9 Erosion contra) ❑plan V _ --- catch-basin protection,etc, permit required.Include drainage-way protection,silt fence design'and of -- 10 3. Complete sets of legible pl na s Must be drawn to scale,showing conformance t building codes.Lateral design details and cunncctions must hr incorporated into the plans or on sheet attached to the plans with cross references hetwcrn plan location and details. Plan ns or on a local and state if co r;ght violations exist, a Separate full-size I I Slte/plof plan drawn to scale.The plan must show lo— I;gid nuilding setback dimensions;Properly cannot he completed there is more than i t'sl elevation differcnual,plan must show contour lines at 2-R.intervals);laatio driveway;footprint ag nJcturr(including decks);location of wells/seil systems;utility locations;ion o elevations(if - arr�;building coverage rirea; n of'eaeemrnts and g Percentage of coverage;impervious area;existing struclures on site;and swihce dnlicator 2 Foundation plan,Show dimensions,anchor bc,lts,any hold-dvwnS and rrinforein direction indicator;lot size and location. 13 floor plans,Shaw all all drsions r— oc n dcntiticaitf� G pads,connection details, vent ''urnacr, ventilation Ins,plumbing window size,location ol- smoke drteslors,water h:atcr, 14 t rpgq section(, and details.Show all 1'r;nsing�mslcormhc r sizes a s spa 30 inches has fluor wall amstructicnr,narf construction. More than one truss section may Ix,required toclearly lt` details of all wall and roof shruhing,nx,fin1x ams,headers, joist fireplace construction rJ sub-floor, hrrn al insulation,s`n>„I'slopc.ceiling tier hl,siding material,fa Ira tray construction.Show 15 Elevation views,provide elevations for new construction;minimum of two a gad foundation,stairs, Exterior elevations must reflect file actual grade il'the change in grade is greater than four feint u _ oss references 11 Bull-size sheet;rddcndurns showin� atrons for additions and remodels. - - Ir� Wall Lra inc g(p--.11tive path)and/or,lateral analysis pleaselevations with e Must nd cote dre ei acceptable. t building c nvrlupc, nc_�n-Irescri five ash analysis provide s 17 Floor/roof framing,prr,vick plans for all floors/roof assemblies,indicating menlails and k>cations:for - ---- Plans and calculations to engineering standards, location.Show attic vcntilatiun. 18 Basement and retrrining walls,pto le cri sections and details showingr izing,spacing,and hearing syslcnls•sec itrr124 2 "L.-lRincer's calculations." 19 Beam calculations.provide c Placement of rebar. For engineered wa sets of calculations using current code desi n v over I(1 Icer long and/or any heam/Il ist ca I „ 21 Manufactured floo`-r/roof truss)design detailec a n°n•uniform load. g aloes fire all hsttms and multiple joists 21 Energy Code Ceo ompliance. Identify the prescn� p�ivc push or Provide calculations. -�-i for four or inure appliances. _ 22 Englneer's calculations. When required or A gas piping schemuti�Isere uy oii architect licensed int)erica and shall fx shul�n lu tK upplicahlc to the project under re i,•„ provided.(i.e.,shear well,axil'truss)s—hull�hr s�ancprd by an rnieinrrr or U-1—Five(5)site plans a�yt�irc_d Ior I above. Site Plans must br 8 I/2"x I 1"or III,24 Two(2)sets each are required for firms 16, 19,20&22 alx,ve. x 17" 25 Buil plans shall not conlai►I red fines or to 26 No mlled,reversed or mirrored building lens �-ons. ---"'------- - - 27 g p will he accepted. —-- --- 28 Checklist must he completed before 1 --_ p an �cvlew start da��r _ Minor changes or notes an submitted plans may he in blue or black ink. Red ink is reserved for department use only. 44a-4614 Mechanical Permit Application C — Datereceived: a e) Permitno.: Yy%�I-cam City of Tigard PmjecVappl.no.: Expire date Ciryq(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: Hy. Receipt oo: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — Building permit no.: W 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement 0 New construction U A(I(liti(,n/alteration/replacement U Other: Job address: V,J rr f rC/i;. Indicate equipment quantities in boxes below. Indicate.the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: V? Block: Subdivision: Ej J { r_. -See checklist for impotent application information ani Project name: jurisdiction's fee schedule liar residential permit fee. City/county: ZIP: t WRAW Description and location of work on premises: t011-01-11 M —— hee(ea.) Total Est.bate of completion/inspection: Description Qty. Res.only Res.only Tenant imptovernent or change of use: v Is existing space heated or conditioned?U Yes U No Air handling unit — _CFM Air conditioning(silt p an rejuire ) �— ls existing space insulatcil'?U Yes ❑No llalalllA ter�tion of existing HVAC system oiler/compressors - - Business name: State boiler permit no.: Address: '7 ��-- - If' -_Tons BTU/H Fire/smoke ampers/duct sino a detectors State:PPZIP: eat pump(site plan require ) - —— Phone: O ' Fax:{r/'i !� E-mull: nsta rep ace furnac urner -- CCB no.: It/ Including ductwork/venl firer U Yes U No 1 nsta replac re ocate caters--suspeen ed,, — City/metro lie.no.: wall,or floor mounted Name(please print): 1 t A rJ e'l(_/'n /V h Vent forappliance of cr than furnace mot e igerat on: WIN Absorption units_ —_ BTU/IF Name: 3 SIT Chillers--- HP - —� Address: — rAppliance Mors _ 11P tnenta ex gust tin ventilation: City: Slate zip: vent Phone: ' Fax: E-mail: ausif tHoods, ype res. dtc ten ha7mal ho,)d fire suppression system Name: 1er_-rX/A-y J- " tv �' y-J Exhaust fan with single duct(hath fans) _M_ailing address: _ < r. x aunts stem a an from heati,r or ACC— City: State• 'IP: "n , r ue Piping tin st ut ion(up to 4 out ets) Type. ---LPG __ NO Oil Phone: ,^ "i Fax: E-nail: l�uc piping each a bona over nut ets - roeerpiping(schematic regwre ) Name: Number of outlets -------- — tT1fM�nce or equipment: — — Address: _ -- Dwerative fireplace City: _ Sta:c: ZIP: nsert--type — - Phone: --- -- - I ax: F'_mail: o stove,lxTlelstovc -- AJill Iicant's signatarcOt er. — --- --- Dule: ter. Nance (print): --- - - NN all Jurisdictions accela credit rude,Pleme call jurikactiarr -.1mae i.r';; iroa Perrot fec.....................$ ^_ U Visa U MasterCard Notice:11tis permit application Minimum fee................$ -- — credit card Lumber: expire:;if a permit is not obtained _ - - F IA within 180 days eller it has been Pla d review(at — 96) $ Name Lir r u n r n rr�e a cr3� accepted as complete. State surcharge(8%)....$ _ _ S 'Cardholder A TOTAL .......................$ d�naiin ttroum 4404617(60WOM) MECHANICAL PERMIT FEES l;C7MllAERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: — Price Total Description: pty (Ea) Amt TOTAL VALUATION: _ FEE: — Table 1A Mechanical Code — ^$1.00 to Minimum fee$72.50 — 1) Furnace to 100,000 BTU 14.00 _ 35,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents $1.52 for each additional$100.00 or z} Furnace 100,000 BTU+— 17.40 fraction thereof,to and including includin ducts&vents $10'000,00. -- 3) Floor Furnace 14,00 $10,001.00 to$25,000.00 $14 .50 for the first$0,000.00 and includin vent _ -- $1.54 for each additional$100 00 or 4) Suspended heater,wall heater 1400 fraction thereof,to and including or floor mounted heater _ $25,000.00. —1 5) Vent not included in appliance permit 6.80 _ 6f rand $25,001 $50,000.00 $1745 for eacth addit onalfirs $25,0 .00 to $00 ing 0Repair units 0 or fi) fraction thereof,to and includ _ $50,000_00. Check all that aPPIY: Boiler Heat Air 12 15 $50,001.00 and up $742.00 for the first$50,000.00 and For Items 7-11,see or Pump Cond $1.20 for each additional$100.00 or footnotes below. Cour fraction thereof..__ - - - 7)<3HP;absarb unit 14.00 __ ----- to 100K BTU -- ASSUME_.D VALUATIONS PER APPLIANCE. _ 8)3-16 HP;absorb 2560 Value — Total unit 100k to 500k BTU Q Ea Amount 9)15-30 HP;absorb 3500 Description: 955 T- - unit.5-1 mil BTU — Furnace to 100,000 BTU,Including _ 10)30-50 HP;absorb ducts&vents 'z z0 Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil ducts&vents -- 11)>50HP.absorb 87 20 _ Floor furnace including vent 955 —___-- unit>1.75 mil BTU 955 12)Air handling unit to 10,000 CFM 10,00 Suspended heater wall heater or — floor mounted heater — Vent Dot included In applicanc:e 445 13)Alr handling unll 10,000 CFM+ _ 17 20 ermit -- 805 _. — — 14)Non-portable evaporate cooler 10 00 Re air units <3 hp;absorb.unit, 955 to 100k BTU 1.700 Vent fan connected to a single duct 6 80 f 3-15 hp;absorb.unit, --- 1,700 101k to 500k BTU 16)Ventilation system not Included In 10.00 15 30 hp;absorb.unit,501k to 1 2,310 a d y mil.BTU — 17)Hood served by sermechanicalxh exhaust 10.00— 10.00 _ 3,400 30-50 hp;absorb.unit, 1-1.75 mil.BTU — 18)Domestic incineralo s 17 40 Q>50 absorb.unit, 5,725 >1.75 mil.BTU --- 19)Commercial or industrial— type inclnerat�r 69.95 Alr ha--nd'in unit to 1_ U 000 cfm 656 Air handling_unit>10,000 ctm 1 170 20)Other units,including wood stoves 10 00 Non-portable eva orate cooler 658 Vent fan tonne;led to a sin le duct 446 21)Gas piping one to four outlets _ 540 Vent syatern not Included In 658 --- af(trlance permit _ 22)More than 4-per outlet(each) 1.00 Hood served-b mechanical exhaust 856 __ Domestic ed-bincintato, 1 170 Mlnimum Permit Fee 672.50 SUBTOTAL: Commercial or Industrial Incinerator 4590 , - 5 856 B•/.Stale Surcharge t�tht r unit,including wood stoves, _._ Insert, etc._-- — -- 380 —� 25•/.Plan Review Fee(of subtotal) E Ges piped 83 Required for ALL commercial permits only Each additional outlet _—__.. _ — _ S TOTAL COMMERGIAL $ ?OTAL REST El)NTIAL PERMIT FEE: VALUATION: __._. - _ Other Inspe Ionnd Fee -two hours) I Inspections outside of normal business hours(minimum charge $72 50 per hour 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $72 50 per hour 3 Ad,litionel plan review n,auired by changes.additions or revisions to plena(minimum charge-one-half hour)$12 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "Residential AIC requires site plan showing placement of unit. I\dsts\formsVnech-fees.doc 10/11/00 Plumbing Permit Application "Datereceived-: 8 A D/ Permit no.:1� j- City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.Tigard,OR 97223 Project/appl.no.. Expire date: t'�rt,l7'lRard phone: (503) 639-417: Fax: (503) 598-1960 Date Issued: By: Receipt no.: Land use approval: Case file no.: Payment type: _ _. qI I &2 family dwelling or accesson, U Commercial industrial U Multi-family U'1'enani improvement (�1 New constnactioo ❑Addition/alteratiort/replacement U Food service J(Other: D",ri tion _ Qty. Fee(ea.) Total Job address: NP& ;h." �3� %z�� New 1-and 2-family dwellings only: Bldg.no.: Suite no.: (includes loo it.for each tdilityconnectiou) Tax map/tax lot/account no.: SFR(1)bath Lot; � Block: Subdivision: ' F/ SFR(2)bath Project name: _ SFR(3)bath _ City/county: - TIP: Each additional bath/kitchcn Description and location of work on premises: Site utilities: Catch basin/area drain _ Drywells/leaclf line/trench drain Est.date of completion/in,pection: Footing drain(no.lin,ft.) Manufactured home utilities Business name: t_ anholes -- Address: 7 r VJ Rain drain connector City_( _ t Stater ZIP: - Sanitary sewer(no,lin.ft.) _ J— Fax: %� E-mail: Storm sewer(no.lin.ft.) Phone: ,- Water service(no. lin.ft.) CCB no.:, '11r Plumb.bus.reg.no: Fixture or item: City/metro lie.no.: Abso tion valve Contractor's representative signature: Back(low preventer _ Print name: ' Date: Backwater valve Basins/lavatory Clothes washer _ Name: _— Dishwasher Address: Drinkin fountain(s) City: State: ZIP: Ejectors/sump—_ phone: I Fax: E-mail: Ex ansion tank Fixture/sewer cap _ Floor drains/fl(wr sinkslhuh _ _Name(print): f-�¢r _c�� )tj"f ` Garbage disposal Mailing address: /� Hose bibb City: 'r?rz_ State:e041 IP: 7. Z Ice maker _ Phone:2 I "I Fax: Email: Interco torlgrea4e trap _ O"vner installation/residential maintenance only: The actual installation Prirner(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature' _ _ Date Sump Tub s/shower/shower pan Urinal - Name: Water closet Water heater (.'ity: State: LIP - Other: —� Tota Phone: Fax: E-trail: Minimum fee............. ..$ Noi all jurisdictions accept credit cards.pleae cell jurisdiction rat oxwe inro,mation Notice:Phis permit application Plan review(at __ %) $ O Visa 0 MasterCard expires if a permit is not obtained State surcharg. (8%) ....$ —L--�-- within 180 days after it has been -- ('refil crud number:_- ---- ----- Y $ _ Expires TOTAL ..................... . accepted as complete —-"---- Nerve nr cvdholdrr as shown on credit c fi --- t'11rdMslder slKnanur Amouni 4*Y4616161n1Y('0M1 PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: --� FIXTURES individual QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT for each utllity connection)._ _ Lavatory — _ ( ___ One 1)bath — _ $249.20 Tub or Tub/Shower Comb 16.60 Two(2)_bath $350.00 Shower Only — 16.60 Three(3 b) ath _— $399.00 Water Closet 16.60 J —SUB70TAL Urinal — — 1660 _ 8%STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 ----- -_.---- __ —_. -_TOTAL Laundry Tray 16.60 — Washing Machine 16,60 Floor Drain/Floor Sink 2" _ 1660 - PLEASE COMPLETE: 3 16,60 _F. ........4' 16 60 __ _ Water Heater O conversion O like kind 16.60 _ Quantihb 1 Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ Capped—, MFG Home New Water Service 46.40 Sink -- — —_ — MFG Home Now San/Storm Sewer 46.40 _ Tub or Tub/Shower Hose Bibs 1660 Combination—___ Roof Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closef — 16 60 Urinal Other Fixtures(Specify) Dishwasher -- Garbage Disposal -- '— — Laundry Ruorn Floor Drain;Sink: 2" — Sewer- 1 st 100' 55.00 3^ — —_— Sewer-each additional 100' — 46.40 4" — Water Service-1st 100' — 55.00 _Water Heater _ Other Fixtures Water Service+-each additional 200' 46.40 — (Specify) — _ Slomt_&Rain Drain-1st 100' _— Storm 6 Rain Drain-each additional 100' 4640 — Commercial Back Flow Prevt.nlicn Devinm Residertial Backflow Prevention Device' 27.55 --` -- — —_ Catch Bash - 16.60 -- — Inspection cf EExisting Plumbing cr r ecially 72.60 Requested Inspections — er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 — Grease Traps 1660 -- — --- QUANTITY TOTAL — Isometric or riser diagram Is required it Quantity Total Is >9 'SUBTOTAL 8%STATE SURCHARGE --- -- — `-- "PLAN REVIEW 25%OF SUBTOTAL _ Required only If Oxtureqt total Is>B TOTAL 5 'Minimum permit tee w$72%+9%state surcharge.except Residenlial Backfl"w Prevention Devi-e,which Is$30 75.B%state surcharge "All New Commercial Buildings require plans wsli Isometric or riser diagram an' plan review i:\dsts\forrns\pIrn-feesdoc 10/10/00 Electrical Per Wt Application Date received: O Permit no.: j City of Tigard Projecl/appl.no.: Expire date: City nfTigard Address: 13125 SW Halt 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: U i &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New constniction U Addition.talteratio::trepiace nacnt U Other: _ U Partial Joh address: jq23e, �tJ j K BIJg. no.: I Suite no.: ITax map/tax lot/account no.: Lof: "'._ _I Block: ISUu..vision: Project name: _ Description and location of work on premises: Estimated date of completion/inspection: FEEM111EDULE JOB not Pcc Max Ik».crlplion Qh'. (ca.) Total Business name: =c1 e L_R-1 C l L 11 fns New residential-single(.r mulli-family per Address: "'a ". �V !t C dwellingstil.Includesatach dgar'age. City: State:OK ZIP: CtU p Servlcr+ncluded: • s-. e-e-- IWOsit 11mlcs+ 4 Phone: 4,a.t4.�...h Fax: E-mail: _ CCB no.: Elcc.bus.tic.no: Each additional Sw sq.ft,of pmuon thereof / i — Limited energy,residential 2 City/metro licl no.: U, \G Limited energy,non-residential 2 Each mawfacturecl home or modular dwelling ti iuic of s2rvising electrician(required) Date r Service aniUor feeder 2 SupelecLnnna+(print): rp, _ysQ('` Lncensenu: jtlr"h Services or feeders-installation, alteration or relocallon: 2W amps or less 2 Name(prin(); 201 amps to 400 limps _ 2 401 amps to 600 an.ps 2 Mailing address: i t 601 amps to 1000 amps -� -- 2 Cily: f v t1G_ tC',1 stale:(."YZIP: Over 1000 amps or volts2 Phone: 2,",'). i i Fax: ! "I"I ,I E-mail: Beconnectonly -- — — I owner installation:The installation is Wrig made on property I own Temporary services(or feeden- which is not intended for sale,lease.rent,or exchange according to Installation,alteralion,orrelocation: ORS 447,455,479,670,701. 21x)anq,s or less - --_—--- — 2 201 amps to 4W amps 2 Owner's sl nature: Date: "'A '' 401 to bat amp, 2 Branch circuits-nen,aheralion. or extension per panel. Name: A. bee fitt hrauch carcuus with pun h;asc nt Address: I service or feeder fee,each branch circuit 2 City: -- TState: LIP: B Pee for branch circuits without purchase - 1 -�— of service lar feeder fee,farmc t hrali cocuil 2 I�: mail: — - Eoch additional branch circuli Misc.(Service or feeder not Included): U Service over 225 apps-nmmnnerciul U Ileallb clue facthty Each PUMP or nrignuon made 2 U Service over 320 amps-rating of 1&2 U Harardouslocation Each signor outimefighting 2 fatilydwellings U Building over 10,11111)square feet four or Signal circuit of a limited energy panel. U System over 61111 volts nominal more residential units in one structuir alteration,orextension• _ 2 U Building aver three stories U Peeders,41x1 amps or more •I'lescri tion: _ U Occupant Iola)over 411 per:o.is U Manufactured structures or kV park Eich idditlonal inspection over the allowable In any of the above: U Egress/hghtingplan U ONlrer: .----_,.- --- per inspection r:— Submit_- sets of plans wifh am,of the strove. Investigation fee The above are not applicable to temporary construction seMce. Other Not all uriadictions occe ciedic cards. lease call aaiahcaola for More anfarruruai Permit fee......... ........... I Is r i Notice:if permit i application plan review(at — %) S U visa U MasterCard expires if a emit is not obtained within 180 days eller it has been State surcharge(8%) ....$ — `plfe" accepted as complete. TOTAL . $ Nairn of cardholder as shown onct�e i card S --` Cardholder signature Amarum 4141613((100t)(101 17011,11) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete FeE! Schedule Below: Re(FOR ALEneYSTEMS) Number of Inspections oer ermit allowed S�icencl.Lded: Items Cost Total Check Type of Work Involved: Resr unit $145.15 4 L 1Audio and Stereo Systems 1000 sq ft or less _— --Each additional 506 sq It or $33.40 _ 1 C� Burglar Alarm portion thereof --- $75.00 Limited Energy — - - Each Manufd Hone or Modular ❑ Garage Door Opener' Dwelling Service $Q�90 or Foede� --- [� Hee:ing,Ventilation and Air Conditioning System' Services or Fr:eders Installation,alhiration,or relocation $80.30 2 200 amps or less vacuum Systems' $106.85 2 El 201 amps l0 400 amps _� 2 401 amp,,to 600 amps $160.60 Other $240.60 2 601 amps l0 1000 amps $454.65 2 Over 1000 amps or vrlts $66.85 2 Reconnect only TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system................ ......................................... $75.00 fnstallarion,alteration,or relocation $66.95 2 (SEE OAR 918-260-260) Zoo amps or less $100.30 2 201 amps to 400 amps $133.75 2 Check Type of Work Involv6d: 401 amps to 600 amps _ Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"3Love. Branch Circuits ❑ Boiler Controls Now,alteration or extensicn per panel a)The fee for branch circuits CJ Clock Systems with purchase of service or feeder fee. $6 65 ❑ Data Telecommunication Installation Each branch circuit -- h)The fee for branch circuits CJ Fire Alarm Installation without purchase of service or feeder fee. $4E A5 First branch circuit `. —-- HVAC Each aduilional branch circuit $6 65 Miscellaneous Instrumentation (Service or feeder not included) $53 40 n Each pump or irrigation circle Intercom and Paging Systems Each sign or outline lighting _ $5340 Signal circuit(s)or a limited energy $75 00 ❑ Landscape Irrigation Control' panel,alteration or extension -- Minor Labels(l0) _ $12500 — - Ej Medical Each additional inspection over the allowable in any of the above $6250 Nurse Calls Per inspection — $62 50 --- Per hour — $73 75 - - � Outdoor Landscape Lighting' In Plan) Fees: C� Protective Signaling Enter total of above fees Other 8%State Surcharge $ _- - _Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other installations See"flan Review"section on _ front of application ----- . Fees: Total Balance Due $ __ --- - $ -- Enter total of above fees trust Account p 9%Stale Surcharge $ ---- - Total Balance Due i:tdsts\formslelc-fees doc 10/09H)0 eAUJ -1-0 6,14 4 r MAIN UIL. J750 VA i F PQ-,t oir 1360 to ,Loolt -50 0 I r (a - 'tk)A v +O.M— lift lar 5( 2S;' vt,w INC. PU4 t,itn� OR 97)29 A) AAAAMANY 11,VV,SUj%Kj fl&] zt CITY OF TIG/ARD 24-Hour BUILDING Inspection Line: (503) 639-4175 ;NSPECTION DIVISION Business Line: (503) 639-4171 MST __--_-___ BUP Received Date Requested—. ( — AM__,.___ PM _ _ BUP � Location — �3 � Su'e MEC Contact Person Ph( ) G �v PLM v J43( Contractor--- . Ph( ) Svl,R BUILDING _ Tenant/Owner - _- _ ELC Footing — - - -- Foundation ELC Ftg Drain Access: - Crawl Drain ELR Slab Inspection Notes: SIT Post& Beam - - - Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - Framing Insulation - -- Drywall Nailing -- Firewall - - -- - Fire Sprinkler Fire Alarm %% 7 -- - Susp'd Ceiling Roof - — - Other: Final PASS_PART FAIL LU PMBING Post 8 Beam ..__- Under Slab Rough-In - - - - - Water Service Sanitary Sower - -- Rain Drains Catch Basin/Manhole -- Storm Drain Shower Pan r" -- Other: / SS PART FAIL. ANICAL Post&Beam --- _. Rough-In Gas Line ---- --- - Smoke Dampers Final --- PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab - - ----- ----- - Low Voltage Fire Alarm — -- -- - _- -- Final PASS PART FAIL Reinspection fee of S_-_.- required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE Please call for reins ion RE: _ ❑ Unable to inspect-no access Fire Supply Line - ADA - Approach/Sidewalk Date -%v lespeotOr� '� Other: Ext Final DO NO REMOVE this Inspection record from the job site. PASS PART FAIL S TA E 35MM ROLL # 21 FOR OVERSIZED D.. oCUMENI-