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14185 SW 131ST PLACE ,p ao ro 14135 SW 131St Terrace J CITY OF TIGARD 13125 S.W. HALL BLVn. TIGARD, OR 97223 IMPORTANT PERMIT NOTIC E JIM'S PLUMBING PO BO:: 7160 ALOHA, OR 97007 Plumbing Signature Form Permit #: MST2.002-00169 Date Issued: 3121102 Parcel 2S109AB•10700 Site .Address: 14185 SW 131 ST TERR Subdivision: RAVEN RIDGE Block: I-r-)t: 036 Jurisdiction: TIG Zoning: R-7 Remarks: SF ?ath 1 With fire sprinkler Your company has been indicated as thu plumbing contractor for the perr7lit 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 OWi;FR P[ UMBING CONTRACTOR: LARRY BARNUM JIM'S PLUMBING 7053 LOLA LANE NO BOX 7160 TiGARD, Or nom-,-, r. 0 Phone #: 503-213-0759 Phone #: 649-4034 Reg #. I Ir. 71860 P1 M 34-1860) AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Atrized ra�h r - If you have any questions, please call (5031639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE AMP ELECTRICAL CONT;.M,.3u xS INC 1573 SE HOLMAN AVE #3 DALLAS, OR 97338 Electrical Signature Form Permit#: MST2002-00*i 69 Date Issued. 3i2 i162 Parcel: 2S109AB-10700 Site Address: 14185 SW 131ST TERR Subdivision: RAVEN RIDGE Block: Lc,t: 036 Jurisdiction: TIG Zoning: R-7 Remarks: SF Path 1 With fire sprinkler Your company has been indicated as the elE.ctrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections vii-1 be authorized until this completed form is received OWNS-R: ELECTRICAL CONTRACTOR LARRY BARNUM AMP ELECTRICAL CONTRACTORS INC 7053 LOLA LANE 1573 SE HOLMAN AVE #:s Thal?::, ^1`: '07223 OR 07'11A Phone ##: 503-213-0759 Phone #: 503-831-0585 Reg #: LIC 117422 ELE 27.65C SUP 4703S AN INK SIGNATURE IS REQUIRED ON THIS FORM X 12 iojz c Signa ure of Supervising Llectrician It you have any questions, please call (503) 639-4171, ext. 4 310 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2002-00169 DEVELOPMENT SERVICES DATE ISSUED: 3/21/02 13125 SW Hall Blvd.,Tigard, OR 91223 (503) 639-4171 SITF ADDRESS: 14185 SW 131ST TERR PARCEL: 2S109AB-107�:) SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: U36 JURLSDICI ION: TIG REMARKS: SF Path 1 With fire sprinkler BUILDING REISSUE• 1TORIES, FLOOR AREAS REOUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 2.3 FIRST: 1,729 of EASEMENT: of LEFT: 5 SMOKE DETECTORS. Y IYPE OF USE: SF FLOOR LOAD: au SECOND: 1,446 of GARAGE: 1,007 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: of RIGHT: 20 VALUE: S 323.957 60 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3.175.00 of REAR: 3U PLUMBING SINKS: WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATFRS: 1 WATER LINES: 100 DCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIL/CMP<311P: VENT FANS. 6 CLOTHES DRYER: I GAS FURN>-100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP^•R' -?DERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 u W/SVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADO'L 500SF: 7 201 400 amp- 201 - Lot WIO SVCIFDR: W SIGWOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 Bmp: 401 - 600 amp: EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMI!VC'FDR: 601 - 1000 amp: 601•ampe•10oov, MINOR LABEL: 1000•amplvolt: PLAN REVIEW SECTION Reconnect only: >,4 RES UNITS: SVC/FDR>-. A. >600 V NOMINAL CLS AREA/SPC OCC: . ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO. x VACUUM SYSTEM: x AUDIO&STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR U USC LT: BURGLAR ALARM: x OTH: BOILER: HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIGNL: GARAGE OPENER, X CLOCK: INSTRUMENTATION: MEDICAL: OrHR: HVAC: x DATAITELE COMM: NUR'E CALLS: TOTAL 0 SYSTEMS: TOTAL FELS: $ 8,115.59 Owner Contractor This permit is subject to the regulations contained in the LARRY •ARNUM VINTAGE HOMES NW Tigard Municipal Code,State of OR. Specialty Codes and 7053 L ILM LANE 7053 SW LOLA LANE all other applicable laws. All work will be done Ir TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans. T11is permit will expire If work is not started within 180 d3yP.of Issuance,or If the work Is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep M: LIC 15766 forth In OAR 952-001-0010 through 952.001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Sprinkler Final Grading Inspection PosUBeam Mechanl.a Mechanical Insp 1,hear Well Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspectlon Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Water LineI p Mechanical Final Foundation Insp Footing/Foundation 11r; Electrical Rough In Gas Line Insp Sprinkler f�6 h-In Plumb Final Issued BY ILILI Permittee Signature : t A, �._.. Call (503) 639-4175 by 7:00 p•m. for an inspection needgdAh6 next bu noms day CITY OF T I G A R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00120 DATE ISSUED: 3/21/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S109AB-10700 SITE ADDRESS: 14185 SW 131ST TERR ZONING: R-7 SUBDIVISION: RAVLN RIDGE JURISDICTION: TIG BLOCK: LOT: 036 _ TENANT NAME: FIXTURE UNITS: 1 USA NO: CLASS OF WORK: NEW DWELLING UNITS: 1 NO. OF BUILDINGS: TYPE OF USE: SF INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF residence. Owner: FEES _ VINTAGE HOMES NW LLC Type By Sate Amount Receipt 7053 SW LOLA LANE PRMT CTR 3/21/02 $2,300.00 27200200000 TIGARD, OR 97223 _. Tonal $2,300.00 _ Phone: 503-312-0759 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sutirege Agenry. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm Permittee Signatrlifa: Issued by: P �A_�/�l�L-L� Call (503)639-4175 by 7:00 P.M.for an Inspection needed ext sinvss day est—, 3 �� (7,�j ? / Building Permit Application / Per -- Date received: _3I Iy.J- ---1 ProjecUappl.no.: Expire date: City of 2Tigard al Receipt nn.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By' i City'n(Tigard phtme: (503) 639-4171ilex:payment ty Pax: (503)598-1960 pe: Case file no.: Com N3 1&2 family:Simpic I Land use approval: — - - --- t dwelling or accessory U Commercial/industrial U Iti-family New construction 1.1 Demolition — 1 &2 family g U Other: ILI Addition/alteration/replacement ILI Tenant improvement 9 ire jn�nkjer/alarm Bldg.rto.: Suite no.: — Jub Tax map/tax IoUaccount no.: _ - Block: Subdivision: j-'Avg -- Lot: Project name: r' — Description and location of work on premises/special conditions: NMI, r Name:!_A c'',r t' F< i &Z family drelling: S� �� Mailing address: i Ic.7 ? J�'u r `" .323 p— Suite: �,r :61 P: bedrooms/baths............................... , , � � Valuation of work........................................ City: No.of .. f Pax: E-mail: phone: ! Total number of floors................................. Owner's representative. _-_ New dwelling area(sq.ft.) ..,......I................ Fax- Email: �Q�__---- Phone: Garagc/carport area(sq.ft.)......................... - Covered porch arca(sq.ft.) Ae d P Name: Deck area(sq.ft.) ........................................ _ — _-- Mailing address: Other structure arca(s t.)......................... State: I'LIP: ('ommerciallindostrialltnult{-tamlly: City: : — Phone: Fax: E-mailValuation of work........................................ -- Existing bldg.area(sq.ft.) .......................... _ Business name: cJl ki I/;, , ! l New bldg.area 04.ft.) .............................. \ — � �-� Number of stories............. Address: .'......... ---- _ — State:n 71p: Type of construction................. ....... —�`� City:_ _ —_ , Email: group( ): Existing: -_—`-- Phone: Fax: , ,� _ Occupancy g p Ncw: ____-_-- --- CCB no Citylmclro tic.no.: Notice:All contractors and sutxontractors are required to he licensed with the Oregon Construction tContrarequired to lirs censed d n the rd under provisions of ORS 701 and may rfomed.If the applicant is Name: 1 _ — �--- — jurigd.4.ction where work is being pe Address: ate: Cit — exchlipt from licensing,the following reason applies: St , e1ZIP.� ' ,. � Plan nu.: ' , _ Contact person_ — E-mnI—I Phone; Fax: Pees due upon application .......................... Name: Date received: _ Address: .................. .I.......... $ State: 7if __ Amnunt received ....leas Please refer to fee schedule. City: E-mail: - Phanc: Fax: Nit VI lotidlctluta W-M credit coda,please call iutirvtirtlnn frn mule inrntntat an. 1 hereby certify I have read and examined this application and the U Yiaa to MQetetcud attached checklist. All provisions of laws and ordinances governing this c redlt h speciiel herein or n�ot. work will br complied with, occ $Date: Authorized signature: Amount— 'f ,, r A� 1.,1....'x._+----- {�IUI)lfJOaK'UMI Print name: __ Notice:This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. One-and Two-Family Dwelling Building Permit Application Checklist Associate pe —' Assnciatedperrr..ts: 0 1).rTigard Cit of Tigard City g U Electrical U Plumbing U Mechanical Address: 13125 SW I fall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLORE1 I 1 ' PLAN RVIEW I es No N/A I Land usea.:aons completed.Ser jura,,( triwn rmena Im L,)itcurrent reviews. 2 'Zoning.ilood plain,solar halanre pom1s,s{asnu:soils desaynation,historic district,01 — -- 3 Verification of approved plat/loot. 4 mire district--_approval required. 5 Septic system permit or authorization for remodel. I ,i tolg system calls,.rly - 6 Sewer permit. — - 7 Water district approval. H Soils report.Must carry original a,•plicable stamp and signature on file or with application. ' 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location o! v" catch-hasin protection,etc. 10 _.L Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate N11-sine t/ sheet attached to the plans with cross references between pla• location and details. Ilan review cannot he completed if copyright violations exist. I I Site/plot plan drawn to scale.The plan must show lot and building setback dmivn� w, pmperty corner elevatium,11 there is more than a 4-11.elevation differential,plan must show contour lines at 1 It uaen al%);location of easements and driveway;foo(prml of stnacture(including decks);location of wells/septic!.ystrm,.uubly locations;direction indicator;lot area;building coverage area;percentage of'coverage;impervious area;exwmv ,true tares on site;and suHhce drainage. 12 Foundrolon plan.Show dimensions,anchor holes,any hold-downs and remtorring pads,connection details, vent v size and locution. 13 Floor plans.Show all dimensions,room identification,window sire,location of sma kc detectors,water heater, furnace,ventilation fans,plumbing fixture,,balconies and decks 30 inches above grade,etc. _ 14 Cross seetiou(s)and details.Show all framing-menht er secs and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction. More than one crass section may he required to dearly portray construction.Show details of all wall and mof sheathing,rooling,roof slope,ceiling height,siding material.Riolings and foundation,stairs, lirelace construction, thermal insulation,etc. 15 Elevation views. Provide elevations I'or new construction;minimum of two elevations fir additions and remooels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. I'vtll-sine sheet addendums showing foundation elevations with cross references are acceptable. _ Iii Well bracing(prescriptive path)and/or lateral analysis plans.Must Indicate details and locations;liar non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/root framing. Provide plans for all Iloor%hool'assemblies.indicating member sizing,splicing.and hearing locations.Show attic ventilation _ 18 Basement and retaining walls. Provide cross sections and details showing placement c,(rehar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design vcddrs fur call hears and multiple joists over 10 1'ect long and/or tory bcam/joist carrying a non-uniform load. 20 Manufactured floor/roof wit-i design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gats-piping schematic is required 1'or four or more appliances. - 22 Engineer's calculations.When required or provided,(i.e.,shear wall.turf buss)shall he stamped by in engineer or architect licensed in Oregon and shall he shown to he applicable to the project under review. 0 1 LN U 111111210 111"M 23 Five(5)site plans are required for Item I I above, Site pl n%must be 8-1/2"x I I"or I I"x I 24 Two(2)sets each are required for Items 16, 19,20&22 above. -- 25 Building plans shall not contain red linea or tape-ons. "Mirrored"building plans will he nct accepted. _ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 27 "Drawn top scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type& location per apptoved ptojeet street tree plan(if afrplicabie),and COT Street Tree List Checklist must he completed belihre plan review start date. Minor changes or notes on submitted plains may he in blue or black ink. Red ink is reserved titer department use only. out 4614(~'Okh Electrical Permit Application Date received: Pennit no.: City Of Tigard Project/appl.no.: Expire date: City oy77gurd Addre3tt: 13125 SW !-fall Blvd,Tigard,OR 97223 Dateued: By: Receipt no.: Phone: (503) 639-4171 ---- -- — -- Fax: (503) 598-.J960 i'X.t•tilt TI Paymew type: Land use approval: OF'PeRMIT U—r. 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement l:�-1Qew construction U Addition/alteration/replacement U Other:_.. U Partial JOB 1 ' .lob address: c /� ,� ,t_, _ _ Bldg.no.: Suite no.: Tax map/tax InUaccount no.: Lot! Block: Subdivision: r j �' -- Project name: 1 Q ND - 140,,?,(_ rl tcwtiption and locati o to premises: Ad _� , r/ Estimated date of complete m/inspec•tirnt: CONTIlt Aq0R APrL I CA117110NI 701y: Max Descri tion Ob (ea.) Total no.imp nantc: rP, i r' t , , — Newresidentlal-sin�:eor multi family per . dwelling unit.Includes attached garag..4 Slate:o,, , ZIP: Service included: Phone: rax: r-mail: IIN1(1 sq.ft.or less a CCH Ito.: — Elec.bus,hc.no: Vach additional W)sq ti P,niou thercut r Limited energy,residennal 2 City/metro lic.nit.: Lonitedenergy,non-residential _ 2 Each manufactured home or nodular dwelling Signature of supervising electrician(re aired) Uate _ Service and/or feeder 2 Sup.elect.name(prinl): License no: Services or feeders-Installation, allerallon or relocation: 2(x1 amps or less 2 Name(print): 44.(e' Y t�A Gt LI ,t 201 wraps to 400 amps — — 2 -- 401 amps to 60(1 amps 2 Mailing address: 1 2 , i 2 14J s r _ 11 i 601 amps to I(NNl amps -- -- 2 City: .i AR-0 State '/I V:_, + 7 t Over I(W at» s or volts -- Phone: �� 7 Fax: e 1; E-mail: Recomwo milI Owner installation:The installation is being made on property I own IndTempornry sensheses or feeders- which is not intended for sale,lease,rent,or exchange according to 200 a ationr less n,orrelocrtlon: 2W Drops rayless 2 ORS 447,455,479,670,701 201 loops to 4ot)amps 2 Owner's si mature: _ Date: 401 to 600am a —-- — 2 71110111 t� Branch circuits-new,allerallon. Nantc or extension per panel: A. Fee fur branch circuits with purchase of Addics.,. service or feeder fee,each branch circuit 2 4Ur';,,,.� Stale: 7.1P: B.Fee for branch circuits without purchase of service or feeder fee,forst branch circuit 2 rax: E-mail: Lisch additional branch cir,uit Mime.(Service or feeder nol Included): over 225 amps-comonercial U health care facility _Each pump rt irrigation circle 2 vicc.over 320 amps-rating of 1&2 U Ijtvardous location teach sign or outline lighting - _ 2 family dwellings U Building over 10,110()s<lutur feel four or Signal circuit(s)or a fimiled energy panel. USystem over 600volts nominal more residential units in one structure alteration,or extension• 2 U Building over three storlee U Feeders,400 amps or uatre *Description. 1 t h cupa,u load over 99 persons U Matuorn+•t.red structures of RV park Fach addhtlonal Inspection over the allowable In any of the Above: J FriessIlightingplan U rte+."; -- _---_ Permspeowll Submit J sells of p"•' r.ah any of the above. Investigation fes• ser - The above are not applicable to temporary construction vice. Other — No all pairsctlons accept cmdlt catdr,please call jurisdiction for more Information. Notice:This pemlil application Permit fee.....................$ _ U visa U MasterCard expires if a permit is not obtained Plan review(al -__ %) $ — ('rrdit+ud number: within 180 days after it has been Stale surcharge(8%)....$ xMft1 accepted as complete. TOTAL . $ Name of can3hoT�-u ahowr one II c _ s _ -- — cardh�ttae Amount — IML a61 s INOCYC(t�t ELECTRICAL. PERMIT FEES: LIMITED ENERGY PERMIT FEES: -�--"--`l TYPE OF WORK INVOLVED 'RESIDENTIAL ONLY Complete Fee Schedule BelOW: Restricted Energy Fee...................................................... $75.00 Number of Inspections per perm,t allowed Ii (FOR ALL SYSTEMS) Service included: Items Cost Total �� I Check Type of vVork Involved: Residential-per unit $14515 if a I L�� Audio and Stereo Systems' 1000 sq ft.or less — Each additional 500 sqft.orJ $33.40 ("i 1 Burglar Alarm I thereof $75.00 1_imited Energy Gare-,e Door Opener' Each Manufd Home or Modular $g0 90 1 Dwelling Service or Feeder _ Heating,Ventilation and Air Conditioning System Services or Feeders Installation,alteration,or relocation I $8-1,30 c' 2 Vacuum Systems' 200 amps or less $106.tw 2 201 amps to 400 amps — $160.60 2Other 401 amps to 600 amps $240.60 _ 2 --- 601 amps to 1000 amps $454.65 2 Over 1000 amps or volts — $66.85 -. 2 Reconnect only TYPE OF WORK INVOLVED .COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.................. _... _ ... .. $75.00 Installation,alteration,or relocation $66.85_ 2 (SEE OAR 918-260-260) 200 amps or less -- $100.30 2 201 amps to 400 amps $133.75�_ 2 Check Type of Work Involved: 401 amps to 600 amps ❑ Over 600 ampe to 1000 volts, Audio and Stereo Systems see"b"above. ED BBoiler Controls Branch Circuits New,alteration or extension per panel t-1 flock Systems a)The fee for branch circuits lJ with purchase o/service or feeder fee. $6 B5 2 ❑ Data Telecommunication Installation Each branch circuit b)The fee for branch circuits Fire Alarm Installation without purchase of service or feeder fee. $46.85 ___ HVAC First branch circuit $8 85 Each additional branch circuit Instrumentation Miscellaneous (Service or feeder not included) $53.40 __ Intercom and Paging Systems Each pump or Irrigation -,icle - - $53.40 Each sign or outline 1:ghtiny - ❑ Signal circuits)or a limited energy $75.00 Landscape Irrigation Control" panel,alteration or extension $125.00 Minor Labnls(10) _ Medical Each additional Inspection over Nurse Calls the allowable In any of the above $62.50 _ Per Inspection - $62.50 ❑ Per hour $73 75 Outdoor Landscape Lighting' In Plant - Protective Signaling Fees: -- Enter total of above fees " $ _ - _Number of Systems BY.State Surcharge - -'- 25•/.Plan Review Fae ' No licenses are required Licenses are required for all other Installation=— $ See"Plan Review"section on _ front of application - - Fees: Total Balance Due $ Enter total of above fees $— - - ❑ Trust Account# _ -- 8%State Surcharge = ---- Total Balance Due =— ' All New Commerclal Buildings requl-,e 2 sets of plans. i ldsts\fnmv\eIc-fees.doc 08/30/01[ Mechanical Permit Application Date received: Pennit no.: City of Tigard Prgject/appl.no.: Expirc date: City of Tigard Addret.s: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503)598-196() Case file no.: Payment type; Building p Land use approval: crnit no.: '4 I &=familyelling or accessory U Commercial/industrial U Multi-family U Tenant improvement :r7 Newn 'J Addition/:dteration/replaccmcnt U Other: t Job address: /c ,� / Indicate equipment quantities in boxes t•^_low. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Value$ Lot: Blot k: Subdivision: l�AVt�� t 'See checklist for important application information and ry n1_e jurisdiction's lee schedule for residential permit Ice. Project name: f, ( City/county:`", ZIP: o ' 2 q 111111 Description and locatio6 of work on preens: 1 l e r s/7 ! _ Fee(ea.) Total Est.date of crmpletion/inspt:ction: -� Description _ 0". Res.only Res.onit C: 'Tenant improvement or change of use: ��Atrc',n r andling unit CFM Is existing space heated or conditioned?U Yes U No itioning(siteIs existing space insulated?U Yes U► tertit n o existing HVAC system Boiler/compressors State boiler permit no.: Business imme: n c HP Tons BTUM Address: it smo c amper. uctsmo a deter.tors Cit �,v, Statyt i 2d P: eat pump(snc'�Tri require ) City, nsta re•r ace urnac urner Phone: Fax: E-mail: Including ductwork/vent liner U Yes U No CCB no.: __ nsta rep ac re ocale heaters-suspen c . City/metro hc.no.: wall,or floor mounted Name(please print): ant for a arca other than furnace e gest.on: CONTACT PFIRSON Absorption units— _— STU/11 Name: _ ChillerstillCorn�ressrrrs� ---- HI+ Address: Jnr ronnsenta ex must�n vent ton: Envll City: Slate ZIP: _ Appliance vent _ st Phone: mail )ryercx gu Hoods,Type res. itC is azmat hood fire suppression system -- Name: Exhaust fan with single duct(hath fans) _ Mailing address: — T _ Exhaust s stem a art from heatingor AC State ZIP: Fuelpiping n at til on(up to MUM) City: ------.L' Type: LPG — - NG Oil Phone: I E-mall: ue i m I each add itiona over out ets recesspiping(schema.ticiequire' - - Number of outlets Naitx: _ t eriic�cdnppH nee or egtipment: Address: Decorativcfireplacc - City: 3tatc: ZIP:— nsert-type _ 00stov pc et stove M.onc: I a Es mail: Applicant's signature: Date: "'- Name(print): _ � — Permit fee.....................$ Nd wtl juNdktioru steep creditcr+1F.plrner Intl lurinclictlat�fa"X"inforttutlan. Notice:This permit application Ix PP Minimum fee................$ U Vias U MasterCard expires if a permit is not obtained stil nomher —_�—_ _ Plan review(at _ 96) $ r,edtr c _ within 180 days after it has been r`•Mrc� y State sun:harge(896)....$ fjmm ur will,'09,u own on c N cry--� accepted as ecrmplete. i TOTAL .......................$ ---Crdhol�e,tlpulwe —xioounl 4404617(MCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 7 & 2 FAMILY DWELLING FEE SCI;EDULt:: - Desuiption: Price Total TOTAL VALUATION- _PERMIT FEE: _ _ Table 1A Mechanical Code oty (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 2) inGudin Fuducts&vents 1 14.00 - $1.52 for each additional$100.00 or rnace 100,000 BTU+ fraction thereof,to ano Including F rnac ducts 0 vents 17.40 _ $10,000.00. Furnace F Floor 3) F 49 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and Incur vent 14.00 _ $1.54 for each additional$100.00 or 4 Suspended heater,wall heater fraction thereof,to and Including ) or floor mounted heater 14.00 $25,000.00. $25,001.00 to$5_0,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or fraction thereof,to and including 6) Repair units 1215 $50000.00. Boiler Heat Air $50,001.00 and tip $742.00 for the first$50,000.00 and Check all that apply: or Pump Cond $1.20 for each additional$100.00 or For items 7-11,see Comp fraction thereof. footnotes below. _ 7)<3H 3;absorb unit 14.00 111ni��,:m Permit Foe$72.50 SUBTOTAL: $ to 100K BTU 8)3-15 HP;absorb 8/State Surcharge $ unit 100k to 500k BTU 25.60 9)15-30 HP;absorb 35.00 25%Plan Review Fee(of subtotal) S unit.5-1 mil 81 J Rembred for ALL commercial permits onl 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb 87.20 - T - unit>1.75 mil BTU 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VALUATIONS PER APPLIANCE: -- --- I Value Total 13)Air handling unit 10,000 CFM4 Descri tion: Qt Ea Amount 17.20 Fumace to 100,000 BTU,including 955 14)Non-portable evaporate cooler 10.00 ducts&vents 170 Furnace>100,000 BT1U Including 15)Vent fan connected to a single duct 6.80 duclL&vents Floor furnace includingvent _ 955 _ 16)Ventllatlon system not included in Suspended heater,wall heater or 955 a liance ermlt 10.00 floor mounted heater 445 17)Hood served by mechanical exhaust 10.00 Vent not Included in applicance permit 805 i 181 Domestic Incinerators 17 40 F3-15 air units hp:absorb.unit, 955 Tv 19)Commercial or Industrial typo inr.Inerator 00k STU 89.95 hp;aL,;orb.win, 1,700 20)Other units,Including wood stoveskto500kBTj 1000 30 hp;absorb.unit,501 k to 1 2,310 21)Gas piping one to four outlets 5.40 BTU _______- 30-50 hp;absorb.unit, 3,400 22)More thar 4-per outlet(eaGi) 1.1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 EMInlmurn Permit Fee$72.50 SUBTOTAL: S` >1.75 mil.BTU _ Air handling unit to 10,000 cfm 658 8%State SurchargeAir handling unit>10,000 cfm 1 170Non• artabie eva orate cooler 656 _- L RESIDF�tTIAL PERMIT FEE: Vent fan connected to a sltgle duct 446 - Vent system not Included In 656 - aQpliance permit _ - 56 Qy'(g►InfDpCtlons And��ts: Hood served�mechanicel exhaust t Inspections oulsirie of normal business tours(minlrnum charge-two hours) Domestic Incinerator1,170 _ $62 50 per hour Commercial or Induatrlal Incinerator4,590 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour) $unit,Including wood stoves, 656 d Other iso per hour 0 Additional plan review required by ctangea,additions or revisions Ic plans(minimum Inserts etc. 380 charge-one-half hour)$62 50 per ho,It Oas 11�Iny 1.4 outlets - - Each edditlonal outlet 83 "State Contractor Boller Certification iequirPd fur 'n'.►d lU. ~Residential NC requires site plan rhowmij placement of unit TOTAL COMMERCIAL $ VALUATION: All Nov Commercial Buildings require 2 sets of plans I:\dst9\form9\mech-fePsdoc Plumbing Pelrnut Application _ --— Date received: Permit no.: City of Tigard Sewer pir-i'tno.: Building permit no.: Address: 13125 SW hall lilvd,"Tigard,OR 97223 project/appl.no.:_ Expire date: —_ Circ of Tigard Phone: (503)639-4171 B Feceiptno.: Fax: (503) 598-1960 ate issued: y' Case file no.: Payment type: Land use approval: -- e 0 Multi-family U Tenant improvement 1 &'2 family dwelling or accessory 0 Commercial/industrial 0 Food service lJ Other: — ---- �, l w construe tion J Addition/alteration/repl,i(:c"+"ot r e : ' e 1 Fee(ea.) Total _1lcscri lion Q V' fob address: /' �.;, i-:;u Ne IIand2-family dnellings only:Bldg.no.: ite no.: (Include%too ft.for each utility connection) SFIZ (I)hath Tax map/lax lot/account no.: Lot: G_. Block: - subdivision: �� U v iu SFR(2)bath / — SFR(3)both Project name: �+n Each additional bath/kitchen City/county: ZIP: 1. ? Siteutilities: Descripti�ocation f work on premises:— Catch basin/ared drain — - Drywells/leach line/trench drain Est.date of completion/inspection: Footing drain(nu.lin.ft.) 7D U1 Manufactured home utilities - Manholes _ Business name: �1-7 H i ''` Rain drain connector _ Address: P. Sanitary sewer(no.lin.ft.) City. �d Stata�3(Z — -- Storm sewer(no.lin.ft.) Phone: Fax: E marl: — Water service(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Fixture or item: City/metro lic.no.: Abso )tion valve - Conlractur's representative signatwc Back(low weventer Date: Backwater valve Print name: e Basins/lavatory / Clothes washer / Name: _ __ Dishwasher Address: Drinking fountami(s) - --� Mr..: ZIP:_ E'ectorslsum _._ City: — i Phone: F:(s: f?-mail: Expansion funk Fixture/sewer ca oor draina/tloor sinksthub — — Ntune(print): ,arhngc din sal Mailing address: — _ Ilose bibb _ -- City: _ r State: ZIP: _ __ Ice maker Phone: Fax: E-mail: Intercc tor/ reuse tra Owner installation/residcntial maintenance only: The actual installation Primers) will be made by me or the maintene ace and repair made by my regular Roof drnin(commevs ) _ employee on the properly I own a,-per ORS Chapter 447. nn(s),basin(s), nvs(so Ownces signature: Date: _ — Tuhslshower/shower pun — rinal Name: —_—_- ---- ater closet Water enter Address: State: ZIP: Other: City: _ — E mall: _ -- Phone: Fax: Minimum fee................$ __.---- Nd dt iurisdkaau �creel+,crdr•pte0'r��+lurld+cuon information. Notice:This permit application Plan review(at — %) S U visa U MasterCard expires if a permit is not obtained State surcharge(8%)....$ --------- cmd+t crd number:. _ -- — within 180 days after it has been TOTAL .......................$ -- xpina accepted as complete. Nems ai c�rdbolder u�bav+n on ire s IWIUI6(dOWC'OMl — ('ardholde �16ru+ure Amaarrr PLUMBING PERMIT FEES: r PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual)_ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAI „Ink ; 16.60 - the dwelling and the first100 ft. QTY (ea) AMOU for each utility connection) _ Lavatory -- :i — Ones bath $249.20_ _ Tub or Tub/Shower Comb 16.60 Two(2Ibath _ _ _ $350.00 Shower Only 16.60 — Three 3 bath $399.00 Vater C oset - = 16.60 _ SUBTOTAL _ Urinal — 16 60 814 STATE SURCHARGE Dishwasher 1660 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16 60 TOTAL Laundry Tray ----+ - .--16.60 -�— Washing Machine / 1660 F,00rDrainlFloorSink 2- - ”--- 166° PLEASE COMPLETE: 3^ 16 b0 q^ — 1660 ------ _ Water Heater O conversion O like kind 16.60 Quantity b Work Periornled Gas piping requires a separate mechanical Fixt.: Type: New Moved Replaced Removed / permit. - MFG Ilorne New Water Servl:.d 46.40 Sink _— MFG Homn New San/Storm'.ewer 46.40 Lavatory Tub or Tub/Shower L Hose Bibs 16.60 _ Combination _— - Root Drains _ 16.60 Shower Only Drinlang Fountain 16.60Water Closet Urinal Other Fixtures(Specify) 16.60 - Dishwasher Garbage[lisposal 4- ---- Laundry Room Tray —_ - Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 — 3^ Sewer-each additional 100' 46.40 4" —. Water Service-1st 100' 55.00 - Water Heater - - Other Fixtures Water Senice-each additional 200' 46.40 (Specify) Sl,;rry 8 Rain Droin-1st 100' 55.00 _ -- Storm&Rain Drain-each additional 100' 46.40 --- Commercial Bock Flow Prevention Device 46.40 --- -- �Rosidontial Backflow Prevention Device' 27.55 Catch Basin 16.60 — — —_ Inspection of Existing Plumbing or Specially 62.50 Re uestbd Ini --lions _—_ per/hr _ COMMENTS REGARDING ABOVE: Rain Drain,sir mlly dwelling 65.25 -- Grease Traps — ---- - 16.60 ---- ---- --� QUANTITY TOTAL IsomeUic or riser diagram Is required It _- -� Quantity-Total is r,g _- •SIJBTOTAL --- -- - 8a/e STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL _ _ —_ Requlred pn y Ir nrli re t total Is>g _ TOTAL $ *Knimum pernit Nee is S72 50•A%state surcharge,except Residential Backflow, 11,evention Dc Ice,whom Is$ere 25•a%slate surcha•ge "Alt New Curr me,rlal buildings require 2 sats of plans with lsomr AC or riser diagram for elan review. l:\dsts\fvrms\plm-fees dor: 1212rr01 Feb 26 02 01 : 27p Hrlen D. StambackT03- 244-7714 p• e- L!J 6,ur l M/N'5 r cr c � h U Z � bre A �b 1 N L 1 QN hc, i `I L J Ip I W LM I , I 1 1 ri I s n !— CI'T'Y OF TIGARD 24-Hour BUILM11.1G Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST �— BLIP _ Received - - Date RequestedAM PM_ BUP Location �L _ 1 � �Q�" yZ��Suite ---- MEC Contact Person 1 �, - Ph( ) --?-z- -1-� PLM ---- - Contractor Ph SWR _ BUILDING Tenant/Owner ELC Fi n g - Foundation Access: ELC - Fog Drain Crawl Brain ELR --- Slab Inspection Notes: SIT Post& Beam _- - ShearAnchors -- --- __- Ext Sheath/Shear Int Sheath/Shear - ra Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- Roof Other. - t=inal. NG --?SART FAIL -- I " - Post& Beam Under Slab Rough-In Water Service Sanitary Sewer - Rain Drains Catch Basin/Manhole Storm Drain --- Shower Pan Other: - Final PASS PART FAIL _M_ECHAN_I_CAL Post&Bearn+ - ---" Rough-In _ Gas Line _ - Smoke Dampers - rna, - — — - bS PART FAIL -- ----�---- _. - _—_ ELECTRICAL Service - --_-- -- -------- - - - Rough-In UG/Slab ------�_-� _- - -- - — Low Voltage Fire Alarm --- - Final U Reinspection fee of$ re uired before next ins _PASS PART FAIL --- g pection. Pay at City Hall, 13125 SW Hall Blvd. SITE - . [] Please call for reinspection RE:_— _ Unable to inspect.-no access Fire Supply Line ADA Approach/Sidewalk (Deft-__Z=1-9- `� �-_ Inspector _ ..,� Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL td d ► a �•. d �c ► d ► �, ► d ► 4 ION. d d n n ► o_ j poll ,� I � Q. U- rr p ► 4 -4 d C7 0, o_ p ► d N U ° -*, ► rD LM lot. rJ J rDrD ° ► d c, �; ► b ► d ► n ► d ► � r d ► n N r p• N � � n 'ij n 0. l� O• Q � T a y r Sr of fit v N 0 0 0 n o ly n o !V 6 a 00 i CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received / Date Requested I i /� AM PM BUP Location _ — e-- - �iie MEC Contact Person --- Ph(_—_—) I� — �� {.3� PLM — Contractor _ Ph(__ ) — ___.-- SWR _ --- BUILDING Tenant/Owner —. _ ELC -- Footing _ ELC __-_- Fc undation Access: !� Ft3 Drain //�-'C� - y ELR ---- C,awl Drain y Slab Inspectio otes: SIT G Post&Beam - ----- __ Shear Anchors Ext Sheath/Shear --. Int Sheath/Shear Framing -_ -- --- - -- - Insulation Drywall Nailing --- ------------__ ------.- -- -- Firewall Fire Sprinkler - ---- - ------ - _ --- Fire Alarm Susp'd Ceiling _---------- -— -- ---- Roof Others -----._.-- Final - ----_.---- PASS_ PART FAIL_ - ---------- -----------__ ----- -- PLUMBING -- Post& Beam Under Slab - ._- ---. -- --- -- - ---- Rough-In Water Service - -- --- -- -_-- -- ---- Sanitary Sewer Rain Diains - ----- -- -- --- ----- ----- ---- -- Catch Basin/Manhole Storm Drain --- ---- --- - -------- --- Shower Pan Other -----------_...-._ ----- -� ---- ------ -------- d PART FAIL,-,. --- ----- ----------- --- ------- CHAN_ICA_L -- -- ------- - - ----- - --- - ---- -- ---- - �._ -- i Post& Beam - Rough-In - -- __._- -- --- ---- ---- -- - ---- Gas Line Smoke Dampers Final PASS PART FAIL --- -- ---------__ _--_ _.--.--_._._.._ ELECTRICAL Service Rough-In UG/Slab - - --- --- -- ------_.._- Low Voltage -- -- -- -- ------ ------ -- - ------- - Fire Alarm Final U Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS__ PART FAIL _ SITE - --- Please call for .elnspection RE:- Unable to inspect-no access Fire Supply line ADA Approach/sidewalk Data __ - Inspector- --- - - Ext --- _ Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST _ BUP Received _— _—Date requested_ � � L AM PM--__ BUP Location T,2wlsuite--_____ MEC - Contact Person . — __— Ph(— ) -"T --I- - C-.4 '' PLM — _ Contractor W-1 ,�,.,� �J�L..-- Ph(- G- ) - SWR BUILDING Tenant/Owner — _ _— _ ELC Footing --- -- Foundation ELC Ftg Drain Access: - ---- Crawl Drain ELR _ Slab Inspection Notes. SIT Post& Beam - Shear Anchors _ Ext Sheath/Shear Ii Int Sheath/Shear Framing Insulation - - -- Drywall Nailing - ------.---_--------^SSSS.__.____--- Firewall -- Fire Sprinkler --------- __ Fire Alarm ----- -" Susp'd Ceiling -- --- ------- - Roof --- --- - - Other: ---- Final PASS PART FAIL ---- _ _ PLUMBING -- Under Slab Rough-In - ..-- - --- ---- -- - ---- - Water Service Sanitary Sewer -- - -- -- -- -- Rain Drains Catch Basin/Manhole -- ---------- Storm Drain Shower Pan _ -- - Other: --- -------- -__ Final _--- - _------ ----------- ----- - PASS PART' FAIL --�--4--- - --- - --- -___--- SSSS MECHANICAL __ _ Post&Beam - --- -- _ -- - --- --- - ---- Rough-In Gas Line ,---- Smola Dampeis _ _ _- Final __-__- - ------- _--- - --- PASS PART FAIL ELECTRICAL-- - - Service - --- --_.__ -------__-_— - _ Rough-In -- UG/Slab ----- - ---- - -- -------- Low Voltage F' .Alarm - -- - -- -- - - ------ --- in i PART FAIL Relnspectiorn fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd ' SITE - _ Please call for reinspection RE:_ _ Unable to inspect- no access Fire Supply Llne ADA Approach/Sidewalk Date - _ � __ IMter _ -_�, c��,/ �j-� Oth3r:-- -- Ext Final PASO PART FAIL-- DO NOT REMOVE this Inspection record from the job site.