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14070 SW 131ST PLACE c a� 14040 SW 13151 Terrace CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — 063 en —1 INSPECTION DIVISION Business Line: (503)639-4171 — BUP — Received —_.—_ Date Requested AM__—._.—. PM _-- BUP --- Location —__.� 3� -- -----Suite ME . Contact Person __ _ ____ _ - -___— Ph — _` PLIUI Contractor _ --- —_. --_ _-__-.__ Ph( __-) —_--- _ _ — SWR --_—- _ BUILDING Tenant/Owner ____ __ _.--____—____._._--- __ ELC ___-- Footing _ ELC - -.___- __-_-- Foundation E cceSs' Ftg Drain / �� -j ELR Crawl Drain Slab I Ts-p-ection Notes: SIT Post&Beam ------Shear Anchors - Ext Sheath/Shear - --- Int Sheath/Shear Framing ---- Insulation Dryv pll Nailing -- ----- --- _ --_- _------- ----- ----_.__-- Firewall Fire Sprinkler ----- Fire Alarm Susp'd Ceiling - Roof ---- ------ Other.-- - ----- _ _.- -- -- - --- ASS PART FAIL PLUMBING _ -- ---- -.-- -- - ------ --------- Post&Beam Under Slab - - -- ---- ---- -- -- - Ruugh-In Water Service -------------- - --- ------- --_ - --- -- Sanitary Sewer Rain Drains - ---------- -- - -_- ---_--._- Catch Basin/Manhole StormDram ----- --- ---- _---____---__...-_-- -- --------- Shower Pan Other: -- --- -- ----------- ------- --- --- - - Final _PASS_PART FAIL _ -_------- --_____ --_ --_ -----_.-.------------------__ MEC_HANlA_L _ _ -- - - - ------ ----- - - --- --- - - _ - - Post& Beam -� hough-In --------__.. - --------. ----------- ----- _ __ _-- Gas Line Smoke Dampers - - ---- ----------- - ------_------- ---------- --- r PART FAIL --- ELECTRICAL. Service Rough-In _.- -- ----- _.--_ -_ --------- - - _-- -- UC/Slab LowVoltage ------ ---- -- - --- --------- -- --- --------------- ---- - - - Fire Alarm Final Reinspection fee of$ ____. - _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE:-_-_____ __________ --____._ unable to inspect- no access Fire Supply I'ne ADA _�-jr,? Approach/S,lewalk Date --- --__,_. Inspector ... Ext - -__ - _ _ ---- - Other: Final DO NOT REMOVE this Inspectlo;a record from the job site. PASS PART FAIL M CITY OF TIGARD 24-Hour c� BUILDING Inspection Line: (503)639-4175 "2MST INSPECTION DIVISION DP.ciness Line: (503)639-4'171 --�— BLIP — _ Received —_—__Date Requested_— ___ AM--..--- PM BLIP — Location . yj:n Suite___— — MEC Contact Person —__— � �. r Ph (_—__.) . ��-r1^�� PLM _ Contractor _ :------------____-- PFS SWR _ BUILDING _ _ Tenant/Owner —_.._.._—�__� —_ ELC _- Footing — Footing on ELC Ftg Drain ACc tl3e ELR -------------- --- Crawl Drain lL.. ,� Slab Inspection FJoteS: SIT Post&Beam Shear Anchors -- - -- �- Ext Sheath/Shear Int Sheath/Shear Framing -.- Insulation Drywall Nailing - --•-- Firewall i Fire Sprinkler ��' 1 � -- - ------- - - -- --- -- - - - Fire Alarm Susp'd Ceiling --- -— — ---- --- - Roof Other: Final —---- --- PASS_PART FAIL — --- ---- -_--- --'�'—_ -- - PLUMBING Post&Beam Under Slab - --- -__ I'.ough-In — -- Water Servic,. --- - - - Sanitary Sov ,r Rain Drains ---------- Catch Basin/Manhole Storm Drain Shower Pan AS _ PART _FAIL _ _HANICAL Post& Beam Rough-In Gas Line Smoke Dampers -- - - - Final PASS PART_ FAIL - E�.ECTRICAL -_ - --- Service --�------ Rough-In ----------- UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ _ _required before next inspection. Pay at City Hall, 13125 SW Hall 9'vd PASS _PART FAIL SITE _— j Please call for reinspection RE: _ __-- ___ Unable to inspect--no access Fire Supply Line ADA 7, Approach,'Sidewalk Date _ _ .-T...-.___- Inspecto 1�r Ext Other:_ Final r DO NOT (REMOVE t, -s Inspection record from the fob site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISIONMST c7 t9 Business Line: (503)639-4171 Recei,red - Date Requested AM —.'"s --- � — .._ PM BUP r-,.— Location BUP Suite_ MEC Contact Person _—.— — — ,.z-�— ---- -- Ph� -) -- _--_— PLM _ Contractor __-- — -- _ Ph�-----) ---- -- SWR BUILDING TenanUOwner --- --- - -- - --- ----— ELC Footing Foundation i Ftg Drain FAccess: ELC Crawl Drain = ELR Slab tes: - - Post& Bream SIT Shear Anchors --�--/----- -.-- Ext Sheath/Shear /� �/-C k ---- __ Int Sheath/Shear Framing — - --- Insulation Drywall Naiiing Firewall -- -- --.. ------ -_ Fire Sprinkler Fire Alarm ---- - — ----`_.—-- -- Susp'd Ceiling - ---- -_-- RoofOther: Final — Final -- --- - -------- — --- PASS_ PART FAIL ---- ----- -- PLUMBING---- e �-Y ----- --.----- Post 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 - —--- PA; --WT FAIL - - - ECTRICA - _ ---- - -- -- -- ry e- ---- - - ---- Rough In — - UG/Slab - Low Voltage --_ --- - ------ --- -ire Alarm PART FAIL 0 Reinspection fee of$_ _ required before next inspection. Pay at City Nell, 13125 SW Hall Blvd. -� Blease call for reinspection RE:_ Fire Supply Line ---- Unable to inspect-no access ADA Approach/Sidewalk Date- S,/�,U �__ lnspscto► Other - __... - - -- Ext --- - Final 00 NOT REMOVE this Inspection record from the job site. PASS PART FAIL ki,AAAAAAAAAAAAAAAAAAAAAAAAAAAAAI.AAAAAAAAAAAAAA i o e ► ► d � r ► r c" �'" y ► t d � 'T, ° V ~ H ► ( �� O10. H : ► ► O �' ► o (D Fas, n z 15. �, U a 7. 4 o O � o c., ro � V W ; � o w` IVI C. ^ Er ` "." 0 =r 1 N JA y � O p v a O�e � r � C� 3 d s Cl"' OFTIGARD 24-Hour c3UILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4.171 — -- "Weived _ BUP Date Requested _�_AM` PM B U P - Suite - -- -- MEC "intact Person _ L t' -- _. Ph /. _YfY4 C PLM antraator 5_. Ph( _ � - SWR Tenan✓Owner .__---- �cu�tinc E L C _ - �oundabon Access: ---- ELC =;raw Dram 1p Dram L/�5 L) - - —_ — ELR Star Inspection Notes: - — Pow 8 Beam SIT f Shear Anchors I EK'Sheath/Shear Y^ rTA In;Sheath/Shear Framing ------ insulation -- Drywall hailing Firewall - -- Fire Sprinkler Fire Alarm - Susp'd Ceiling Root - - O:her. -- - r ASST Pa RT FAIL PLUMBING_____ - Post a Beam - Under Slab Rough•In - - - --- -- Weter Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final PASS PART FAIL MECHANIC_A_L Post 6 Beam Rough-In Gas Line Smoke Dampers Fina; PASS PART FAIL ELECTRICAL-- - — — Service - ---- - RoUrih-In UC-',/Slab Low Voltage Fire Alarm Final rr—�� --�----�- -- — PASS PART FAIL u Reinspection tee of$ required befor,. next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ _SITE -- F] please call for reinspection RE:____ Fire Supply Line — [1 Unable to inspect-no access ADA Approach/Sidewalk Date S 7 — Inspector Other: - ---- -.. _.- _ iE xtt --- Final _ DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL MASTER PERMIT CITYOF T I G A R D PERMIT #: MST2002-00399 DEVELOPMENT SERVICE: DATE l�5UED: 10/22/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S 109A6-07800 SITE ADDRESS: 14040 SW 131ST TERR "ZONING: R-7 SUBDIVISION: RAVEN RIDGE LOT: 007 JURISDICTION: TIG BLOCK: REMARKS: New SF detached, Path 1. BUILDING —'— STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED REISSUE: SMOKE DETECTORS: CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,752 of BASEMENT: 21u.50 of LEFT: 5 PARKING SPACES: 2 TYPE OF USE: SF FLOUR LOAD: 40 SECOND: 1,352 o1 GARAGE: 450 of FRONT: t2 RIGHT: 5 TYPE OF CONST: 5N DWELLING UNITS: i FINBSMENT. at VALUE: 412,470.20 REAR: 22 OC:UPANCY GRP: R3 BDRM: 5 BATH: 4 TOTAL: 3,104 of PLUMBING TRAPS: SINKS: 2 WATER CLOSETS: 4 WASHING MACH, LAUNDRY TRAYS: i RAIN DRAIN: 100 CATCH BASn�S: LAVATORIES: 6 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: too SF RAIN DRAINS: 1 TUBISHOWERS: 4 GARBAGE DIS t WATER HEATERS: t WATER LINES: iGG BCKFLW PREVNTR: t OTHER FIXTURES' MECHANICAL FUEL TYPES FUKN-100K: BOIUCMP<3HP: VENT FANS: 9 CLOTHES DRYER: 1 45 FUKN110014:110014: S.: 1 UNIT HEATER HOODS: 1 OTHER UNITS: 1 �, MA%INP: btu FLOOR FURNANf,E3: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDERTEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONb WISVC OR FDR: t PUMPIIRRIGATION: PER INSPECTION: 1000 SF OR LESS: t 0 •200 amp: 0 200 amp: EA ADO'L 500SF: 8 201 - 400 amp: 201 - 400 amp: tat WIO SVCIFUR: OU SIGNIOUT LIN LT: PER HOUR: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: LIMITED ENERGY: 401 • 600 amp: 401 600 amp: MINCR LABEL: MANU HMISVCIFDR• 60t • 1000 amp: 6014ampa•1000v: 1000+amplvolt: PLAN REVIEW SECTION — ------- ReconnBct only: 4 RES UNITS: SVCIFDR>•225 A.: >Brio V NOMINAL: CLS AREOISPC OC'. _ELECTRICAL•RESTRICTED ENERGY B.COMMERCIAL A.SF RESIDENTIAL AUDIO 6 STEREO: VACUUM SYSTEM AUDIO lL STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT OTH: BOILER: MVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNL: BURGLAR ALARM. MEDICAL: OTHR: GARAGE OPENER: CLOCK: INSTRUMENTATION: DATAITELE COMM: NURSE CALLS: TOTAL.0 SYSTEMS: HVAC: TOTAL FEES: $ 8,930.24 Owner: Contractor: This permit s suhject to the regulations contained In the OVE PETERSEN SCANDINAVIAN GENERAL Tigard Municipal Code,State of OR Specially Codes and OVE SW OAK ST CONTRACTING(OVE PETERSEN) all other applicable laws. All work will be done in 7761 SWRD,OR 97223 7521 SW OAK 5T accordance with approved plans This permit will expired TIGPORTLAND OR 97223 day a of woork Is suspended fork is not started within more0than 180ldaysnceATTENTIe A Oregon low requires you to fallow ru!es adopted by the Phone452-9457 Oregon Utility Notification Center. Those rules are set Phone: 503-452-9457 forth In OAR 952-001-0010 through 952-001.0080 You aa0 M' LIC 00037046 may t,btain 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 kinal Ins p Grading Inspection Post/Beam Insp Insulation Insp Beam Mechanics Mechanical Insp Electrical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain I isp Mechanical Final Electrical Service Low Voltage Water Line Insp FrZ�i�,lisp Crawl DralnlBackwatel Sprinkler Rough-In Plumb Final 1r1n# -th§9p Footlrlg!Foundatlon Dr Electrical Rough In Gas Line Insp I e Permittee Signatflre Issue y Call (503) 6 -4175 by 7:00 p.m.for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2002-00260 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/22/02 SITE ADDRESS; 14040 SW 131 ST TE RR PARCEL: 2S109AB-07800 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: TENANT NAME: USA NO: FIXTURE UNITS- CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS- INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: --_ _ FEES ---- - ----- OVE PETERSEN ---- 7761 SW OAK .T Description Dale _ Amount TIGARD, OR 97223 I SWI ISAJ Swr Connect 10!22/02 $2.300.00 ISWI NSPI Swr Inspect 10/22/02 $35.00 Phone: 503-452-9457 Total $2,335.00 Contractor: Phone: R'eg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is net located at the measurement given,the installer shall prospect 3 feet in all directions from U,e distance given, If not so located, the installer shall purchase a"Tap and Side werI'-Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by a Oregon Util otlfication Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. Y u may obtain copse&of these rules or direct questions to OUNC by calling (503) 246-6699 sued by: Permittee Signature:, Call (503) 633-4175 by 7:00 P.M. for an inspection needed the next business day '4wole Poe P -e Building Permit Applicabon "Daterec"eived: i" "./Q2 Permit no.:j{l�j W' .Ll City of Tigard Project/appl.no.: date: City o18 Tigard Address: 13125 SW I lall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date rss sed: By: Receipt no.: Fax: (563) 598-1960 Case file no.: Payment type: Land use approval: l&2 family:Simple Complex: O 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improveme,il U Fire sprinkler/alarm U Other: JOB SITE INFOLRMATI[ON Job address: Q U SW S _ Bldg no.: Suite no.: Lot: Bloc k: Subdivision: RVt VIS Q _ Tax map/tax lot/account no.: Project name: _ — Description and location of work on premises/special conditions: — Name: ��E PETeR'Sc1J Mailing address: '7761 SW DA u Sr. 1 &2 family dwelling: City: _t-1bA XP state:Q ZIP: 72 Valuation of work $ �12 y70 v Phone:156 S7-gq% Fax: E-mail; No.of bedrooms/baths................................. 3 �2 Owner's r presentative: Total number of floors................................. 3 Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq. ft.) ........................................ �` _— City: S►atc: LIP: Other structure area(sq.ft.)......................... _ Commercial/industrial/multi-family: Phone: Fax: Email: Valuation of work........................................ $-- — Existing bldg.area(sq.ft.) ......................... f Business name: S`Q ndt r Av to n G,:vU r A co'll f nt f N New bldg.area(sq.ft.)..............................,. Address: -7-2 b I S� k Number of stories............................ .......... City: Ti nr Stater ZIP: 7Z 2 Type of construction Phone: 52• S Fux: c,a w%i Email: Occupancy group(s): Existing CCB no.: CrS 7 Cl'4 b _�— New: _ Cily/metro hc. nor.: 7Notice: ll contractors and subcontractors arc required to be with the Oregon Construction Contractors Board under Name: s of ORS 701 and may he required to ire licensed in the Address: on when work is being performed. If the applicant is State: ZIP: exempt from licensing,the following reason applies: City: _ Contact person: Plan no.: _ Phony: I Fax: I E-mail: Name: ('ontact person: Fees due upon application ........................... $_e Address: Date received: — City: State: 7.11': Amount received ................................:.;..... ihonc: Fax; E-mail _ — Please refer to f« schedule. 1 hereby certify I have read and examined this application and the Nnt all Jurisdictions accept credit cards.please call iwivh,lion for nawe intorrnaiion attached checklist. All provisi ns of I Rnd ordinances governing this U W.4 U Mastercard work will Ix complied with v�te 'ified herein or ut t're•1it card numler ,____�_—_ _ _.-�_I �u Capims Authorized signature: .v"` Date: Z Name ur cardho:der as►gown nn credit card Print O Ft—,fy—1,' Si r J - cardrrolder atErtni.- _Amount— Notice:this pennit application expires if a permit is not obtained within 180 days allcr it has been rccepted ns complet:. 4v►461t(r0WOM) One-and Two-family Dwelling Building Permit Application Checklist Reference no Associated permits: CiyofTigard City of Tigard G Electrical ❑Plumbing ❑Mechanical Address: 13125 SW Hall Blvd,'rigard,OR 97223 ❑Other: _ Phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLOWING . REQUIRED FOR PLAN RMEw Yes No I I and use ;completed.Sec jurisdiction criteria for concurrent review,- 2 Zoning.Flood plain,solar balance points,seismic oils designation,historic_district,etc. 3 Verification of approved platllot. _ 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _ 7 Water district approval. -- _ 8 Soils report.Must carry original applicable stamp and signature on file cr with inplication. 9 Erosion control ❑plan ❑permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 _L Complete sets of legible plans.Must he drawn to scale,showing conformance to applicabac focal and state building codes. Lateral desiga details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed if copyright violations exist. 11 Sitelplot plan drawn to scale.The plan must show lot and building setback dime inions;property comer elevations(if there is more than a 441.elevation differential,plat.must show contour lines at 2-I1.intervals);location of casements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot arca;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _ 1.1 (Toss section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof constriction.More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,rooting,rool'slope,ceiling height,siding material,footings and foundation,st-irs, fireplace construction, thermal insulation,etc. _ 1s Elevation views.Provide elevations for new construction; minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade il'the rh;uage in grade is greater than four foot at building envelope. _ Dull size sheet addendums showing foundation clevatiow,\kith cross references are acceptable. I a, Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-prescriptive path analysis provide spe.ifications and calculations to engineering standards. 17 I loorlroof framing.Provide plans for all floors/roof as.sernblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. is Basement and retaining walls.Provide cross sections end details showing placement of rchar. For engineered syntcros,see item 22,"Engineer's calculations." 19 Ileam ealculatlens. Provide.two sets of calculations using current code design values for all hymns and multiple joists over 10 fret long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations.A gas-piping schematic is required for(our or more appliances 22 Engineer's calculations. When required or provided,(i.e.,shear wall.roof truss)shall he stamped by an engineer or vchitect licensed in Oregmn;and .ball hr �h„v.n t(1 In 11'1 1 1(;111Ir h'the III„I,•,t undca ar%iew. 23 Five(5, ate plans arc required for Lem I I above. Ste Flans most he x-I12" x I I"or I I" x 24 Two(2)sets each an!required for It.-ins 16, 19,20&22 above. 25 Building plans shall not contain red lines av tape-ons. "Mirrored"Kidding plans will be not accepted. _ 26 "Reversed"building plans must nice,criteria outlined in the Permit k System Developmer document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree sire,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must he completed hcfore plan review start date, Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. raa)er,tace XWONr) Eledricgl Permit Application -- •••-- - - Date recc,,,ai Partnit no.��-�•� City of Tigard ` r 1'ro;«tl.ppl.rw. Expltalate: - Cityoj7-i'Card Addrmss: 13125 SW Hall Blvd,Tigafd,OR 97223 I?ate issued: By: iteeeiptao.: Phone: (503)6394171 Fax: (503) 599-1960 Case file na.: Psymersttypt ^ Land use approval: — VPE EJ 0 l &7.family dwelling or acccmry U Cornmemial/indu,trial 0 Multifamily ❑Tenant impl=ement *New coustntction la Additionlalterationhteplacement Cl Other-- V Partial Soh Bklg no Supe no.: TAx tall 101 A000ullt DO.: Lot IBlack-� Nubdivlsiat' Nrulmt name: _ Ikscnpuaa and location work on psemises: Fstiusated dafr of completioithospection: Kqjj 11,311 a 1 Job Boa Ea Mart RUsinest DatIlE: (�- rte) Total oo.tne► -�'^�-.1/ ryrwrtyldeatW-eteriexrnWd•tamW't:t► AdGtP.a3: , t ,-,t,,, dwel�tslt-Inrkdeeanacbtd (`jty Slate: "7 5-rinite►tttrat Phone: ' '1 � }rax: i" 1000�n t,r k;aa 4 Eath additional Soo ft.or - on Ilsmeor (X0 no.: r filtic.but.tic.no: � �- � 1,1m axlctsr ,rraiddrid _ Cirylmetm lie.no.: ur tedeturty,naoraidendd �-- 2 - ) 7_ 6ad1 mwu(aClvrod home or module dwelling �naturo o . dnt a e rleian( irtd ala J Soviet utNor ferder - 1 SenkeaorfdNrn baalladea, Sup.elev.namd(prinl): no aderstionorredoesstow 200 umpf or last 2 201 smpd to duo amps _ _ 3(mj&=It 601 amps w1000amps -- -_ -�- _ 2 5 e: �__ over 100(►wp:nr vahs _ I E-Mail. Tow"rary srrvlete or leaden- ner installation. rftst�11at5oo It being made on lxopcKy 1 own lagleveliae.attrnHaa,orrtlarabstr which i,nut intended for sale.lease.tent,or exchange according to 200 Amps or less 2 ORS 141,455,479. 670,701. amptto ...' 2 U vncf's 51awtC. Date: 401 to f,00 smpt 2 - ■ttrtch alrerits•ne.,a gaol -casctriart par pared: Narnet _ _ ------_-_ A. tl-efor btu+e-Samuluwith purchrucof Address: servict or fesddr fee,each Irasch cimuit 2 C __ --+�— �- State' 7 x t- for toreneircOuwlthovtpumbws ity: - - -— of rovice of faeeer(ee-fiat branch ctrcuilt 2 Phone 1-ex. Q mail Pxhsddttw bruchciravit: Ml�c.(Sn"erorlivd rmot kdadro DSet vier vvmMan1PP-tanrmat CNedthcarrfadhrn Ea.hrump utttnran�u-s-eltae 2 nrpw OService ever 320arilit"ofIR2 ❑lfuardousloadm Eat. norod0nc 1uN— hndlydw2tilep U Balldint over 10.000 square f1w rov, Sig sal artutt(s)or a Iimittd oust r Ja�ae. *Synantever6011 veto minirnl rraaresidential units tsone lim-Ue alta,auon,oraeknnon• -- - 2 Q Brrldins ever rbter stories o Frwdr n.duel smpt a rr orr -DwerVilom-- OOeeapaarloedever 99pataotu UNWwt?-:nrndt.rocturrstoikvpata Fiekst ifisralitareetlossenvth,oM=C="I 0p4msnithdntplan nMirr --------.. isr,trwpseulor, Sabtott_stoU or plana with my of do above tnve.0 .don las �� 11e above we not appquble to ttrapntasrp costattscllera I'm A e_- Ober --- f'eratit fee................ .., Not oil re 1p.udknwasYpa.dlrc.rat.vwc.ulW drArrfa..telrra,w.a. Notice-This pvtn!tapplication Manrevl6w(Et_rl♦) 3 O Vtaa 0 MrltttCard expires If a permit it not obtained Crerr cod-dtda:,.--- --�.�-. withinISO days after it tom been State eruehaw(9qS).,..S �^ Etre+ soeapled a ouroplete. TOTAL ........... ...........S -- aA—f�M tIM1�T w R,�1.t alb pram Ar�Iam_- � AANaI 4d0.d41S l'��l zoo® "•IVJII do A113 0991999009 XVd 604T zolic/40;oT 1 •d 131029 00C F.OS OWI O I M.L33 1.:4 Hl I HA d01 t EO en LD aoa Building Fixtures PlUtnl•ing Permit Application --- -� Date received: Permit no.: ` City of Tigard Sewcr permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projcct/appl.lto.: Expire date: City of Tigard Phone: (503) 639-4171 Date iso cd: By: Receipt no.: Fax: (503) 595.196(1 Case file no.: Payment type: Leind use approval: C3 Multi-family ❑Tenant improvement 7UNew amily dwelling or accessory L3Cornmercial/industrial onstruction V Adoition/alteration/replacementNORM Im J Food service J Other: Description , Qt :`E ,,1 Tutal Job address: 0 S� f 31 T6A New iLhomeutilities 2-family dwelling%only: Bldg.no.: Suite no.: (includl ft.for each utility connection) Tax map/tax lot account no.. __•_ SFR( th — Lot: _ Block: Subdivision: SFR( th SFR( th - Project name: —City/county: Z(P Each onal bath/kitclteltSiteus:Description and location of work on premises: Catch /area drain Drywach line/trench drain Est.date of completion/inspecun14 Footiin(no.lin.fl.)Manured home utilities Business name: HKX MEM PLU rA S I N 6 Manholes Address: _ Rain drain connector State: ZIP. Sanitary sewer(no.lin.ft.) City: ---- Storm sewer(no.lin.ft.) Phone: — Fax.: E-mail: - - b,7e8— Water set vice(no.lin. It. CCB no.: p 32 Plumb.bus.reg.no: '1 t t� Fixture or item: City/metro lic.no.: _ Absorption valve _— Contractor's representative signature: ,;,� Back now preventer Print name: 1)It Backwater valve — a7, Basins/lavatory Clothes washer Name: Dishwasher Address: _ — Drinking fountains) City; State: _ Ejectors/sump _ Phone: I n G Mail: Expansion tank —r 011111111111111111 Fixture/sewer cap Floor drains/floor sinks/hub _ Name(print): — Garb cis oseT— Mail g address: _ I lose bi b _City: State: ZIP: Ice maker — Phone: Fax: f mail: interceptor/grease trap —_ Owner installatiolt/residential maintenance only: The actual installation Primer(s) w1ii be thud-by me or the maintenance and repair made by my regular Roof rain cotnmercieiL _ ,•mployee on the property I own as per ORS Chapter 447. 5ink(s),basin(s), ovs(s)— Owner's signature: _ _—_Date: Sump Tu s/shower/shower pan — hJrinal _ -- Name: _ Water closet — Address: _ Water heater State: ZIP:— _ Otiier: Phone:- --�Fax: E-mail: oa _ Minimum fee................ S _ �,Mool all juritdlctlom mcceps credit cards,please call pnisdlclioe for mare mfU mAtum Notice. This hermit application Plan review(at ,— "1o) Vlas 0 MasterCard expires if a permit is not obtained State surcharge(R°/a).... S _ Croda cud number____�-- — — a 1r I within 180 days after it has been 1 � accepted as complete. TOTAL........................ S _ _ of car n r u a war an cr it card S — 4404616(61MCOM) Amount CNd O tt/i�MtUR PLUMBING PERMIT FEES: PRIOE TOTAL New 1 and 2-family dwellings only: FIXTURES individual) QTY ea AMOUNT I (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility conae_ctioel One 1 bath $249.20 Tub or Tub/Shower Comb 16.60 Two(2)bath $350.00 ----------- --- Srtcwer Only 16.60 Three(3)bath $399.00 Water Closet 16.60 - - - - - __�--__ - SUBTOTAL Urinal 16,60 a _ 8/.STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal - T 16.60 TOTAL �- Laundry Tray 16.60 Washing Machine �w 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water rreater O conversion 0 like kind 16.60 - Quantity b Lwork Performed _ Gas piping requirob a separate meche-tical Fixture Type: New Moved Replaced Removed/ moped_ M=G Home New Water Service 46.1. Sink _ ` NrG Home Now San/Storm Sewer 46.40 Lavatory --. I Hose Bibs 16.80 Tub or Tub/Shower Combination Roof Drains 18.80 Shower Only _ Drinking Fc untain 16.60 Water Close; Other Fixtures(Specify) 16.60 - Urinal - - Disnwasher _ Garba a Dis osol _ Laundry Room Tray _ -- Washing Machine Floor Draln/Sirrk: 2" Sewer••1st 10Y 55.00 3" Sewer-each additional 100' 46.40 4" Water Serrlce-1st 100' 55.00 Water Heater Water Service-each additional 200' - 46.40 Other Fixtures (Specify) Storm&Fain Drain-tsl 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial hack Flow Prevention Device 46.40 - -- Residential F;ackllow Prevention Device' 27.55 -- Catch Basin 16.60 -- --- -- Inspection of Existing Plumbing or Specially 62.50 Retiesla Inspections er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 _ Grease Traps 16.60 _ QUANTITY TOTAL - - Isometric or riser diagram Is required It ---- oust 2LTotal is >B - *SUBTOTAL -- 8%STATE SURCHARGE - --- "PLAN REVIEW 25%OF SUBTOTAL Requircd onip J fixture qly tole/Is>B TOTAL $ Minimum permit lee Is$72 150•84,state surcharge,except Residential Sackilow Prevention Device,which Is S38 25� 8%slaw surcharge "All New Commerclsl Sulldings revu'-e 2 sets of plans with Isometric or riser diagram for plan review. I:Asts\forms\plm-fees.doc 12/26/01 Mechanical Permit Application Date received: Permit no.: 26 44► Citi Of Tigard -� P ProjecUappl.no.: Expire date: CI 7 icon/ Address: 13125 SW Hall Blvd,Tigard,OR 91223 ' Date issued: 13y: Receipt no.: Phone: (503) 639-4171 --- — Fax: (503) 598-1960 Case file no.: Payment type: -_ Land use approval: - Building permit no.: 'I I PE OF PERM IT U 1 &2 family dwelling or accessory U Coin mercial/industrial U Multi-family U Tenant improvement 19 New construction U Addition/alteration/replacenrent U Other: .1011 SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: yU40 S vJ 11t 7C:R Indicate equipment quay itics in boxes below. Indicate the dollar Bid,,.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot&,.;ount no.: profit.Value$ ._ Lot: Block, Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: t I fors 4 p 0 Description and location of work on premise:,: Fce(ca.) 'rola) Est.date of completion/inspection: — --- _ _ Description Qty. Res.only Res,only Tenant improvement or change of use: C: Is existing heated or conditioned?U Yes U No Air handling unit CFM _ �space��tce. reconditioning(site plan required) Is existing space insulated?U Yes U No Alteration of existing HVAC system o N1 ECIIANICAL CON]IRACI Oil er compressors U6 Business name: Fid K E SSf vC 1 f.' Slate boiler permit no.: _ HP ,_Tons BTU/11 Address: ire smokcarnpers uct smoke detectors City: o� TLN ZIP: Z eapmn ( nrequrrc )T Phone: 03 �i 3se. Fax: E-mail: nsta rep ncelurnac use 6 rncr --— Including ductwork/vcnt liner U Yes U No CCB no.: — Instal rep ac re ocate healers-suspended, City/metro lic. no.. wall,or floor mounted Name(please print i crit fora Tanee oTit erTian furs;cc - — e germ on: Absorption units - IiTU/H - Name: Chillers_ _ IIP Address:--- --- --- - Com mssors— IIP - _ mv.ronniental exhaust and ventilation: City: State: 'LIP: _ Apaliancevent Phone: Fax: F-mail: Nxercx oust oofis,Ty-pe-171T/res. itc ten naamat hood fire suprression system — Name: Exhaust tan with single duct(hath fans) Mailing address: -- - xhnust systemaart rom neatin g or AC Stake: ZIP: - u�pipping an ate u1 on(up to outlets, City: ' Type: LPG _ NG —_ oil Phone: rax E-mail: Zc� inn�cac i a uiiion7 over 4 outlets roeesapiping(schematic required) Number of nutlels _ Name: _ _ _-0-1hr-r stedtip-ifance or equ pmem: Address: _ _ Decorauvetireplace City: Slate: ZIP: Insert type - -`-— oo stov et stove Phone: vtx I{ mail: cri etc r: Applican(', signature: e 11utc:_ t. I L h2 ter: Name (print): d VL`'Pe T&V SC Ni all iudsclicllons accept credit came please call bniallcilou Rx nuke Informatim Permit fee.................. ..$ _— U Visa U Mastercard Notice:This petmit application Minimum fee................. r'rcdil cord number expires if a permit is not obtained Plan review(al J 76) $ ---------. --- _ _ within 180 days alter it has been State surcharge(876)....$ Name of nrdhok r u shown on c II cry-- s accepted as Complete. TOTAL .......................$ _ — —Cudholder r+`nature — _— Amount Na 1617 JW"M) ,NL iiiiiiiij MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total - Table 1A Mechanical Code oty (Ea) Amt _$1.00 to$5,000.00 _ Minimum fee$72.50 - $5,001.00 to 810,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU 14.00 $1.52 for each additional$100.00 or including ducts&vents fraction thereof,to and Including 2) Furnace 100,000 BTU+ _ $10,000.00. includingducts R vents 17.40 $10,001.00 to$25,000.70 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,00(.00; or floor mounted heater 14.00 _ $25,001.00 to$50,000.00 $379 90 for the first$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units 12.15 _ $50000-00. $50,001.00 and up _ $742.00 for the first$50,000.00 and Check all that apply: Boiler Hoal Air $1.20 for each additional$100.00 or For Items 7-11,ser, or Pump Ccnd fraction thereof. footnotes below. Comp 7)<3HP:absorb unit Minimum Permit Fee$72.50 SUBTOTAL: to 100K BTU _ 14 00 85:State Surcharge $ 8)3-15 HP;absorb - unit 100k to 500k BTU _ 25.60 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb unit.5-1 mil BTU _ 35.00 Required for ALL commercial permits only 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mll BTU 52.20 11)>50HP;absorb -- unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 1 3)Air handling unit 10,000 Description: Qt Ea Amount L6.8O Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts 8 vents _ � _ Floor furnace Incuding_v_ent 955 16)Ventilation systerr not Included In Suspended heater,wall healer or 955 appliance ermit 10.00 floor mounted heater 17)Hood served by mechanical exhaust -Vent not inclurted in appliance 445 10.00 �erml[ _ -• 805 18)-Domestic incinerators 17 40 Repair units <3 hp;absorb,unit, 955 19)Commercial or industrial type Incinerator 89.95 to 100k BTU 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU _ _ 10.00 15-30 hp;absorb.unit.501k tc 1 2,310 21)Gas piping one to four outlets mil.BTU _ 5.40 30-50 hp;absorb,unit, e,400 22)More than 4-per outlet(each) 1.1.75 mil.BTU 1.00 >5011p;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1,75 mil.BTU Air handling unit to 10000 cfm 658 E°:State Surcfrarge $ Air handling unit>10,000 cfm 1,170 _ Non-portable evaporate cooler 656 _ TOTAL RESIDENTIAL PERMIT FEE: s Vent fan connected to a srsrnple duct 448 Vent system not Included In 656 --- a pliancepermit Qlher�+n pg.�lon�nd Faes: Hood served b merhanioal exhaust 658 �!i_ 170 - 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1_ $ez 50 per Hour Commercial or Industrial Incinerator 4,590 _ 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 plans(minimum 360 clierg3 one•half hour)$62 50 per hour Gas piping 1-4 llet3 Each additional outlet 83 "state Contractor Boller Certification required for units>200k BTU. COMMERCIAL "Residential A/C requires site plan showing placement of unit. TOTAL S VALUATION: All New Commercial Buildings require 2 sets of plans. IAdstsVorrns\Inech-feos.doc 02/11/02 ........... '7 lv. J SILT FC/JCE I_SC, 22-0'• � (J / - ~ , 1$'8"\ C7 ` 22Lo'• SST' SA C i ♦_� _moi- — C3^ckvnQ� ' Padfi ykZ, �78 4N ;,F CoGiztDT LwAYLIGHGA.5EmN��«„ 00►+c^i .r FIAI, EL6ytihTiarJ 1551 ' oNW lu (.{i a I L-T P&Ivr q{ y MJ11N F�dp� FIN. F�tVATIoN � L�qp' "ray 4 42' 51 DRlvewnv S�StTli�c 3/� F/xJ, ELEVAT,9A '4�9 MIN�Iru�S „ � �. 1 iir. YO S LJ s L,OT "7 kAVeoj' i.'I r7GG Z bl,lED R--7 5310 SCa, FT, T�Ac� 'N \ r/12EDHCID i CWT VAoW Pe1VATE adlut � - =V R�caPer \ �U�LD�rJGCOVeTi/�G� ZS�a��t ,� I-voaZq 490' SCANDINAVIAN GENERAL CONTRACT INU Y%V .' 7761 S.W.oak St. 2 S.1 S w 131 sr Pgand,OR 972231f_ ► M k� —i-f --� ScgLE :-1 1010 EL S.W. ST.7AmES wi. N8� 1 52'21 Ul t DJ.D/ . 1 .1— �l 6532'36' E 55.57 12 S 56'25'44' W 185.98' NORTH 1 '4 CORNER SECTION 9, -�• 13 S 00'09 7 E 3.38 FD 3-114" ALUMINUM DISK U.S.B.T. BOOK 5. PACE 454 N� co J ca� �o - a N 00005'57" W 381. 74' 1N1T1AL POINT N z 5 18'I.R.F. Nilo 11.(.P\ I G7 � } 5' P.S.O.E. 9200'- - - -- ?1.00' 1.00' --- - -- --- - - O 5' RS.O.E. ' 134.74 -- - -- m Co w 5,152 S.F. $ $ `� oqx� m Z 6,7J2 S.F. � w � 10.00' f—� o'� � �� J1 N UD'05'S1' W 91.00' ------ va Z N W'05'57' W 134.55'z Ln I 1O (n Ix oo k' I $ m , v 3 9 m 5,723 S.F. m 111 $ 5,152 S.F. $ 115' ? I� I. 7 w_N00'05'.57' W 92.00' 8 NOG"05'57" W 134.36' N-1 _ �O W $ 3 IN� 00 + �' w ) �r 38 w 8 5,152 S.F. 8,055 S.F. Im Q „ N (X1'05'51' W 92 UO' -_ nNi �( N 00'05'51° W IJ4.14' I I �C) g ti II $ 4,1141 S.F. � g X4.98' 7,954 S.F. i 8 CJI /� l• N 00'05'57 W I IJqc .91' I „G� S.W. 131 ST' 1,.00TERRA' �, , (j) w 15'57' W I: t.37' ?S �1 '�s5S CA 5 J 7,JJ 6 S.F. 00 ��r N 00'05'57'4 60.00' 43.37' I �' '�, °a• �"--- T'_� U25.00UIN 400, '1 z r C, N UO'U5'97' W 15' S.0.E. — A .! I Irl q V 1 m 5,2 61 S.F. h, ' $ 7 Sys 6 Y �: , SEE NOTE S,J01 5.F. I I. � o � # NO, 3 185,310 S.F. 7,249 S.F. e to 5' 15 S.S.E. I 10' S.S.E. GU.(XJ' 93.11' 25001 J� 81.41 J ' "p) —' (81.46'—P 74,74.1► 18.87' HELD ,i (,4.14 —P) (78.82'—P) 3.07' ��, 5'0 7 W 697.85 ' SHEET 1 OF 2