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14190 SW 131ST PLACE , ri»amu u+ueb_ I 1 I I W'Ji( 16-0 g'75 - N I✓7 1 I Family �; 1 Br. 3k) 9r.4 \ 3'-6 1/2" Dn ~ i 4'_ ~ Q �, - to W.C. Garage IJo Sprinklers per IPPA 13DC41.) 7'�3 4'4 1 F7 0 r-' i l ❑ + —-- Clan' 4 � 10 M - 1I Bonus to t%I ~ 1'-11' - 5'-6 �. � Dinir7) ng 1 .� ------------- 6' -00 111110- 11 1 91-10 � J 1-4 --- 5-6 4 1/2" Dn in 2'-8 3'-10 r '" ,,# — I loMon of Sprinkers to w•c• 5'-6 �'-6 Den Q Sprinklers sh,0:be installed in all areas. 1 1 _ — Q / in Fdyltr 2'- 2'-1 _ 1Exception No 1: Sprinklers are not required in bathrooms 55 sq It(5.1 rr�)and 5,-4 er i less. --I - - M E Exception No.2: Sprinklers are not required in clothes closets.linen closets,and - — v— - ❑ Parlor ^ pantries where the area of the space does not exceed 24 sq ft(2.2 rr�)and the �' 2 ' least dimension doss not exceed 3 n(0.9 m)and the walls and ceilings are sur- cV + faced with noncombustible or limited combustible materials as defined in NFPA 220, 1 Q Standard on Types of Building Construction. Q 38 ~ V-6 $ ~ I Exception No.3: Sprinklers are not required in garages,open attached porches, ❑ carports,and similar structures j Exception No.4. Sprinklers are not required in attics,crawl spaces,and other con- cealed spaces that are not used or intended for living purposes or storage. Exception No.5 Sprinklers are not required in entrance foyers that are not the onl,, ( means of egress. LVLM�t�r: 6.5 p$1 �0$SI Selective omission of sprinklers from certain areas raises concern That a `u _J T reduced or insufficient level of protection is being considered. NFPA 13D does indeed recognize the presence and availability of the"levels of protect- K tion"concept that spans most fire protection codes and standards.Areas men- tioned in these exceptions are not selected at random but instead represent UPPER FLOOR PLAN / �� those areas in which fires do not result in a high percentage of fatalities.Table C� Sll i A-1-2(a)shows statistics for various fire deaths and their relation to the arca ell ` of fire origin. In addition,the following is noted: Static: SCALE: 1/4" =1'-0 (✓ StaICI1. 0551 0 Exception t.'o. 1. Combustible fuel loading in most bathrooms is typically Reslox,. Flow 30owm •Exception No.2.Small closers are usually unpractical places to install sprin- klers because of their relatively small size. (It should be noted,however, // j MAIN FLOOR PLAN that the use of the closet is then limited.When heat-producing equipment i,"Llerw_ 4)1..i/'E1J IS &91-d t/1'0oV1 is contained in the closet, the exception is no longer valid.) / / • Exception Nos.3,4,and S. Mandatory sprinklering of these areas would /,Y1`feaC jnSfq//� UlIGC7LQ i='/p�. swr00i necessitate the use of dry pipe systems in areas where freezing weather is LL SCALE: 1/4" z V-0" encountered. This would detract from the rapid response of the system //OI�iZ DN�Nt! fns'/�itQ3 D/1� within t'ie occupied ireas of the dwelling and thus detract from, rather U LJ fthan enhance, life safety. The added cost re cover these areas must also be considered.A dry pipe system would be more costly.Furthermore,most ><iirlviY �l�r'h �o �¢ Albuilding codes require a 1-hr fire rued separation between garages and // A& eY > other portions of the dwelling. 4✓�'Frdlt �`i,4// A),W Lx'. 'ar4( li 44, 1994 AUTOMATIC SPRINKLER SYSTEMS HANDBOOK CITY OF TIGARD ... ( 1'. CondltionaNY APPfOg�'ge�ed In: cs For only the xro —may PERMIT NO'.��...... ( ): ... See Le r .Follow..... ... �tt�h � j .X . Job A r Date: Fly NORTH R�ovisions Symbol Head Count Standard 8 mbois Standard Symbols Sprinkler Head Symbols Inspections General EX type Notes Sprinklers Model De ree Qt j Post lndlr,ator Valve Alarm Check Valve Q Upright On 1/2"Outlet ■ ■�J �arC mbOn ---- -- ---- I. All piping is PE\ type as Approved by Oregon State Plumbing Board. filar Stealth 5240 conct.4led ISS 24 !'Qv'_,perated Valve Thrust Block Pendant On 1/2"Outlet P.O. Bim( 2. Install hangers per pipe manufacturer recommendations. -- - -- -- - -- - _ 9063 3, Add hangers a!, necessary to ensure that there is a hanker within 6" of etich sprinkler drop. ___ __ __ _ ___ _ _ _ Public Hydrant ( j-Backflow Preventer Upright On BEAVE 1"Stubo-up RTON OREGON 97075 4. Sprinkklers must be ti'-0" max from ally wail,8'-0" minin)um from Any other sprinkler, _ �..A Fire Dept.Connection �- Pendant On 1"Drop 16'-0" maximum spacing between any two sprinklers in the same room. — - - p _ g, All pipe locations APP 10 be field measured prior to InSiNlla110n by( (rI11PNC101' - - -- — -- O.S.&Y.Gate Valve -C)- Pend.On 1"Drop Below Ceiling _ Job No _---- _ - —L(lt 12 haven Ridge - 6. Ali pipes and hankers are to be installed per NFPA 13L. / ., _ r Chei.k Valve Upgright And Pendant On Drop ate 02111102 141190 SW 131 Place 7. Ilangers arr to be 1'.I.. I,isted and F.M.Approved. -New Underground S SideWall On 112"Outlet nor ` Nt .Lamb ` Tigard, OR I of I 1Piping shall be protected front freezing. - -- _ TOTAL'CHIS PAGF 24 a = a -Existinu Unde round ~V Sidewall On 1"Outlet cele Noted NOTICE: IF THE PRINT OR TYPE ON ANY III I f 1 1 1 IIII i 1 1 III III I I III III III I ' III I I I'I I I I h I I I I I l l III I I I I III III III III III III I I III 111 11 1 II I III III III I I III III IIII III III 'I! 1111111 'I I III I I i t 1 IMAGE IS NOT AS CLEAR AS THIS NOTICE, II I 11 I I I L I I II I I 1 4 I I � j) I I + I I I �I I I I I LII I (1' II I � L _. 1 -_-� _ l � _ _-. Sl_. __-y1_ -__-- lU1_ _-_-11 L_---._ IT IS DUE TO THE QUALITY OF THE _ _ No�e -•�,-- ORIGINAL DOCUMENT � + t1l if �lll�lllllllll�llll IIII�II IIIIII�IIIIIIIII1IIIUTIIIIIII1lIIII1IIIIIIIII�IUllllll lllllllll�lllllllll1lllllll�lllulllll�lllIIIII! IIII11.111�11111111Uttlllilll 9� y s L I� Fr] 14190 SW 131`' Place CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ Date Requested. 71�-L__ PM—_ -- BUP _-- Location q 6 --�L —Suite—�1 _ MEC Contact Person —_ _ h( ) _c1_� �'_ _. PLM — Contractor __ _— Ph(._ ) _ _ SWR — BUILnING Tenant/Owner ___ -- ELC -- Footing ELC _ — Foundatinn Access: p �- Ftg Drain L t�i �r C ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Sneath/Shear Int Sheath/Shear Framing - — -- ---- - — - Insulation Drywall Nailing -- Firewall Fro Sprinkler Fire Alarm Susp'd Ceiling Roof — —_ Othe r: Final PASS PART FAIL M PLU_IING ost& _ _ — — — -- - - PBeam Under Slab — -- --_ -- ----- Rough-In Water Service — —- ---- -- -- Sanitary Sewer Rain Drains ---- —- -- — Catch Basin/Manhole Storm Drain - — - --- - ---�-- Shower Pan Other: - — --- ASS PART FAIL— 'MCCAANICAL _ Post&Beam Rough-in — -- -- - -- Gas Line Smoke Dampers ------ ---- -- --- — - Final PASS PART FAIL -- --- ----- -------.---- -.--- ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$_ —__ required before i toxi inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE _ Please cell for reinspection RE:— __-__--- —_ Unable to inspect-no access Fire Supply Line— ADA I I Dats ` —._-- Inspect -_ Approach Sidewa k Other- nal thernal DO NOT REMOVE this Inspection record ff'Nlllil the Jeb Oft MASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST ..-. BLIP Received _Date Requested-, AM_-- r-M BUP Location —_- ; `T U ( ��"�---- Suite- MEC Contact Person _ ��.�� _— Ph( -_) `J UZ_- 5�9�' PLM v — Contractor ( ) SWR BUILDING __— Tenant/Owner ELC Foohng - -- - --- -- Foundation Access: ELC _ Ftg Drain -_-- ---- _ Crawl Drain f- ; 9 ELR _ Slab Inspection Notes: SIT Post&Beam Shear Anchors --- Ext Sheath/Shear - - Int Shoath/Shear Framing - Insulatierl f --- - - Drywall Nailing 1^` Firewall - Fire Sprinkler Fire Alarm - - Susp'd Ceiling - - Roof --- - Other: Final PASS PART FAIL - PLUMBING Post&Beam Under S'ab _ Rough-In ---- -- Water Service Sanitary Sewer ----- - Rain Drains --_ _- Catch Basin/Manhole Storm Drain -- Shower Pen - -— --— - Other: -- Final - - - - PASS PARTAIL _ FAIL Post& Beam - Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab - ---- - - --- ---- - Low Voltage Fire Alarm — -- ----- - - - - jSjS� PART FAIL Reinspection fee of$----- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ i Please call n,r reinspection RE: Unable to inspect-no access Fire Supply Line --; — ADA Approach/Sidewalk Date - �- Inspect r Ji p ew Other: --�--11LSt--- Final ' PASS PART FAIL J DO NOT REMOVE this inspection record from the Job site. o d CL ro Al 1 a ►� o Q. rD rb CD CD O \ \ 0 �-q . 7 PL p\. ► CL CD ► d d � ,_,_, �r � cro � ► p p �, 444 OA o �C CD �' ► o \ rD414 ►� ry ► ,1 p ► 44 ► 44 10.► 44 44 ► � r rvvvvvvvvvrvvvvvvsvvvvvvvvvvvvvv-rvv viiivv-I! o n � Oil = o y � U Z, c Vi Q a. � a o � aQ 3 I� O r t �e x *%ITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 -�- INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP ---- --- - ---- Heceived -_-__ Date Requested -. ..__� AM_ .- PM -- BLIP Location ------ -� - .> „� /��- Suite -- - MEC Contact Person . - - Ph(_ ) PLM Contractor -- Ph(— __) _ 4�_ �'o `>L2 SWR ----- - BUILDING Tenant/Owner ELC Footing ----- Foundation ------- ELC - Ftg Drain Access: - - -- - Crawl Drain ELR Slab Inspection Notes SIT - - - - - Post 8 Beam ------ _ --- Shear Anchors Ext Sheath/Shear Int Sheath/Shear � -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- - Fire Alarm / Susp'd Ceiling Roof Other: R FAIL - MEMEW- PL MBING -_ Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - ower Pan Other: Final - - PASS _PART FAIL- MECHANICAL AIL _ MECHANICA_L Post&Beam - Rough-In Gas Line - Smoke Dampers PAFIT FAIL - ---._-_ EL CTRIC/�L - _ ._----�- -- "-- --- Service -- -------.- - Rough-In - UG/Slab Low Voltago _ �— Fire Alarm Final lA Reinspectlon fee of$_ re uired before next ins PASS PART FAIL - q pection. Pay at City Hall, 13125 SW Hall Blvd. SITE Fire Supply Line Please call for reinspection RE: _ I Unable to inspect-no access ADA -7 Approach/Sidewalk Date / Inspector / , -IIIIxt Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL J SEE 35MM ROLL #21 FOR R - OVESIZED DOCUMENT CITYOF TIGARD _- MASTER PERMITPERMIT PERMIT#: MST2001-00551 DEVELOPMENT SERVICES DATE ISSUED: 1/9102 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14190 SW 131ST PL PARCEL: 2S109AB-08300 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 012 JURISDICTION: TIG REMARKS: Construction of new single family detached residence. Path 1 FIRE SPRINKLER are required BUILDING REISSUE: STORIES • FLOOR AREAS REQUIRED SETBACKS REQUIRED , CLASS OF WORK: NEW HEIGHT: FIRST: 1.300 sf BASEMENT: sf LEFTSMOKE DETECTORS: 'r TYPE OF USE: SF FLOOR LOAD: 41 SECOND: 1,367 of GARAGE: 529 sf FRONT PARKING SPAC ES z TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT! of RIGHT b VALUE: S 258,751.90 OCCUPANCY GRP: R3 BERM: 4 BATH: 3 TOTAL: 2,67500 of REAR. 26 PLUMBING _ SINKS: 1 WATER CLOSETS: 3 WASHING MACH LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES, DISHWASHERS: I FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS. . GARBAGE DISP: I WATER HEATERS t WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL �- FUEL TYPES FI IRN<TOOK BOILICMP t 7HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN-100K I UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP. btu FLOOR FURNANCES VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 mmp: WISVC OR FDR: I PUMPIIRRIGATION PEP INSPECTION EA ADD'L 500SF: 4 201 400 amp: 201 400 amp. tat WIO SVCIFDR: 00 SIGNIOUT LIN LT PER HOUR LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL IN PLANT MANU HMISVCIFDR: 601 • 1000 amp: 601•2mpa•1000v: MINOR LABEL 1000+amplvolt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: 9VCIFDR>•226 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL e.COMMERCIAL AUDIO 6 STEREO VACUUM SYSTEM A 1DI0 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC L�: BURGLAR ALARM OTH BOILER: HVAC: LANDSCAPEIIRRIG PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION. MEDICAI OTHR: HVAC: DATAITELE COMPS: NURSE CALLS TOTAL 0 SYSTEMS: TOTAL FEES: $ 7,270.55 Owner: Contractor: This permit is subject to the regulations contained in the HARVEY CONSTRUCTION ARTHUR HARVEY CONSTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 506 PO BOX 506 all other applicable laws. All work will be done in BEAVERTON,OR 97075 BEAVERTON,OR 97075 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: Poona: Oregon law requires you to follow rules adopted by the Orepan Utility Notification Center. Those rules are set Rag N. LIC 00103955 forth in OAR 952-001-0010 through 952-001-0080. You may t 1tain copies of these nlles or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp& Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Sprinkler Final Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Misc.Inspection Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Electrical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Gae Line Insp Sprinkler Rough-In Mechanical Final 1 d B ' L Permittee Signature ' .�ti� Issued y ' Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00301 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/9/02 SITE ADDRESS; 14190 SW 131ST PL PARCEL: 2S109AB-08300 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: 012 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 permit for new single family residence. Owner: _ FEES HARVEY CONSTRUCTION Type By Date Amount Receipt PO BOX 506 BEAVERTON, OR 97075 PRMT CTR 1/9/02 $2,300.00 27200200000 INSP CTR 1/9/02 $35.00 27200200000 Phone: 503-848-8042 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 dues 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 purchaie a"Tap and Side Sewer' Permit and 'ne Agency will install a lateral ATTENTION O-egon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-00 1-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 i Issued by: k �<<_ tr, 4 ,� !'( Permittee Signature: .,(« Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application -- Date received: Permit no.:///,,, City of Tigard -- City f'�7gard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecVappl.no.: Expire date: u Phone: (503) 639-4171 Date issued: By: Receipt no.: Faros: (503) 598-1960 Case file no.: Payment type: Land use approval M2 r:.)»1, s i,i Complex: t� TYPEOFPERMIT f l &2 family uweiiing or accessory ❑Commercial/industrial U t`lulu f:untiy U Nc\� ,,m�in,(iwn j i)rn)ufliti(u) U AJdition/alteration/replacement U Tenant improvement U Fire sprinkler/alann U Other: 3013 SI*I F.INFORMATION Jab address: ' y Bldg. no.: Suite no.: Lot: Bock: Suhdivision:� �/i r N y_ �� Tax map/tax lot/account no.: A I apA6-C�83c Project name: 4-7 Description and location of work on premises/special conditions: INFORMATION, (Floodplain,septic capacity,solar,etc.)Mailing address: - z:. Rcle 5el, 1&2 family dwelling: d u Citee W IState;Q/7,, ZIP' Valuation of work............. ..... i /...7...'.�.... Phone: - L Fax: , Email: No.of bedn>ons/haths........��,....a,...... Owner's representative: Al Total number of floors..............K........... ... Z— Phone:: Fax: E-mail: New dwelling area(sq. ft.) ....Z./u../pA...... 1; Garage/carport area(sq. ft.)...$2.61 s� Name: ' i , '.� Covered porch area(sq.ft.) .....L0.4 ........ Mailing address: Deck area(sq. ft.) ....................12-1....... City: State:p' Z P: �� Other structure area(sq. It.)......................... Phone: k'- ,( i I-ax: fi nutil: t'ommereieVindmtriallmulti-family: Valuation of work........................................ �L— Business name: Ii t77 Existing bldg.area(sq.ft.) .... ..................... _— New bldg.area(s ft. Address: ; y. ) ........ —- --- City: late: ZIP: Number of stories...................... ............... Phone: Fax: E-mail: Type of construction tkcupancy group(s): l- �Ex CCB no.: _;t�� `_�� New: City/ntetrr lie,no.: Notieet All contractors and subcontractors are required to he t licensed with th.Oregon Construction Contractors Board under Name: _ z, 1/ , provisions of ORS 701 and may he required to be licensed in the Address: r ;y i jurisdiction where work is being performed. If the applicant is City: ? State: 7.1 P: exempt from licensing,the following reason applies: Contaci person: i ,^,+ Plan no.: Phone: Name: t•(intact person:-4LFees due upon application ........................... $ Address: V 5T S, 1::7, , Date received: City: r' , Stutc: "+ 7.IP: Amount rer•cived ......................................... $ Phone: Fax: I E-mail: _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Nd at iurirttcuao accern credit cants please cats Jurisdiction our more mrormauon attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will he complied w/th,wheher specified herein or not. (edcard number signature: 4 �4/0� Dane: —L, Nmofcardt,olderusho�wn aciv r cad Print name: L —�a res ('rdholder signature y sAmount Notice:This permit application expires 4/8 permit is not obtained within 180 days after it has been accepted as complete. wn 41611(&MCOM) COMMERCIAL PLAN SUBMITTAL REQUIR"EMENT MATRIX Plan review is dependent upon submittal lexamine will PlcondtactpPhie applicanion dt trans. After plan review approval, the Plans requestadditional plan sets for distributio Valley Fee (for o tr actor, City of Tigard, Washington County, and -- — _ Total # of TYPE OF SUBMITTAL Plans KEY:Submitted_ S = Site WOfI< must include S (New, Add or .Alt) 4 locstion of all accessible parking) B (New, Add or Alt) 1* B = Building ** F = Fire Protection System F (New, Add or Alt) 3 2 M = Mechanical M (New, Add or AI,I _ - - — 2 p = Plumbing P (New, Add or Alt) =-2_ E = ElectricallE (New, Add, or Alt) _ _ -- ---- --- New = New Building Add = Addition Alt = Alteration tc existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I\dsts,forms\matrxcom.doc 10127100 Mechanical Permit Application reccived:�j /5 Permit no.: Tigard City of ..bard ProjecUappl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,Ok 97223 pate issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ __ Building permit no.: TYPE OF !�1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New con.stniclion U Addition/alteration/replacement U Other:RL - - --- 1 I � Joh address: _ ' ,/ - Indicate equipment quantities in boxes below.Indicate Ile dollar Bldg.no.: Suite no.t value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: Subdivision;r' /(,/,/,.f r /_ *See checklist for important application information and --- jurisdiction's fee schedule for residential jwtnili I Project name: City/county: ry ZIP: Description and location of work on premises: t 1•ce(ea.) 7ulal Est.date of completion/inspection: Description Res.only Rer.onl C: l 1'erI improvement or change of use: Air handling unit _ CFM Is existing space heated or conditioned'!U Yes U No it con itionfng(site plan require is) Is existing space insulated'!U Yes U No Iteration of existing C.system 16 oiler compressors State boiler permit no.: Business name: 11 / .'L /i��i/ �% FIP Tons---13TU/H lddress: c ��` y i—re/snlo a amper uct smo e-detectors City: Stale: ZIP:r%<! cat pump(site p an require ) Phone: /-' / Fax: Email: Install/replacelurnac hurncr H• Including ductwork/vent liner U Yes U No CCB no.: � q q Insta rep ace re ocateeaters-susper cc, City/metro lic.no.: wall,or floor mounted "T Vent for applianyc other than furnace Name(please pont): i 1 9 Refrigeration: Absorption units�.__ BTU/11 Chillers___ — WP - ' ^ — Name: ,� 1. �/S'/,'��. — Com ressors_-_ WP Address:�� y �_ _ ��T_ ;m ronmenta ex urs an vent Wt Fon1 ZIP: Clly_ �yL ��alt•: Appliance vent — __— Phone: Fax: E-mail: )rycrcx aus► — Hoods,Type I/Tffr7sVi_cFct7WFazmat hood fire suppression system Name: / / , Exhaust fan with sing!c duct(bath fans) _ Mailing address: ix lausi s stem a art 1'ront icatin or AC ue piping an slr wt on(up to out cls) City: State: 'LIP: 1'y�x: LI'U __ NU Phone: t" ` ' I':it: 1? mail ue ti do cac h ad d i ff.n al over fout letgin s rf►c7%p p ngtsc ematicrequirrc) Nunther of uuUets Name: / //--�1 ' /, 11/ �. __— ter app ance or equ pment: Add 7 �' ' /-1 IkCorali"filCplacc City: �/ State: 'LIP: c—�--' nsert ry c _ — Fa mail oo stov pc et stove -- Phon t er: Applicant's signature: - Date:/ r. e Name(print): ` Permit fee.....................$ _ Ntx all iudidictinnk n sept o dlit cards,please call iudsdicaon fix nu-sr larortwtian. Notice: fibs permit appllcatiurl Minimum fee................$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ - — Credit card number .apirca within Igo days after it has been State surcharge(896)....$ Ntune of car n t a a non ere it cud accepted a9 aimplele. s TOTAL .......................$ --� Carttnolder slRnalure — Amount Ali 16MCOM MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & - FAMILY DWELLING FEE SCHEDULE: Pnce Total _-- - --- - TOTAL V_AL_UATION: FEE: -- - Table 1A Mechanical Code _ Qty (Ea) Amt Description: _ $1.00 to$5,000.00 _ Minimum fee$72.50 1) Furnace to 100,000 BTU Y $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents _- 14 00 _ $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ traction thereof,to and including includingducts&vents 1 '�0 _ 31Q,000.00. 3) Floor Furnace 000.00 a �I $10,001.00 to$25,000.00 $148.50 for the first$10, nd including vent114.00 $1.54 for each additional$100.00 or 4) Suspended heater,wal,heater -TI fraction thereof,to and including or floor mounted heater E4OO _ $25,000.00. $25001 00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not inr luded in appliance pernit s.eo $1.45 for Qach additional$100.00 or - fractian thereof,to and including 6) Repair units 12.15 _ $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Com ' 7)<3HP;absorb unit U K 100BT - 14.00 ASSUMED VALUATIONS PER APPLIANCE: l0 to 100 BT absorb Value 1 otal unit 100k to 500k BTU 25.60 Description: Ea' Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mi!BTU 35.00 d/cts&vents - 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents _ - 11)>50HP:absorb Floor furnace Includingvent 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 _ Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ permit _ 17.20 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 lip;absorb.unit, 1,700 - 6.80 101k to 500k BTU16)Ventilation system no!Included In 15-30 hp;absorb.unit,501k to 1 2,310 apliance permit 10.00 mil.BTU 17)Hood served by mecttaniral exhaust 30-50 hp;absorb.unit, 3,400 10.00 1.1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 x1.75 mil.BTU ,q)Commercial or industrial type Incinerator Alr handlin I unit to 10 000 cfm 656 69.95 Alr-handl in10,000 cfrtt 1,170 gunit!_ __ - 20)Other units,Including wood stoves No 656 -- 10.00 Vent fan connected to a single duct _ 448 21)Gas piping one to four outlets Vent system not Included in 656 5.40 appliance Permit 22)More than 4-per outlet(each) Hood servecf by mechanical exhaust 656 1 00 Domestic Incinerator 1,170 _ Minimum Permit IF $72.50 SUBTOTAL: $ Commercial or Industrial incinerator 4,590 Other It,including wood stoves, 656 6%State Surcharge $ Inserts etc. _ --- - as piping 1-4 ouflets -,Y 360 25%Plan Review Fee(of subtotal) $ Each additional outlet__, 83 Required for ALL commercial permits only TOTAL COMMERCIAL $ =RESIDENTiA-L PERMITVALUATION: - ------- - triher Inseectlone snd Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour Inspections ter which no fee is specifically Indicated (minimum charge-half hour) $72 50 per hour t Additional plan review required by changes,additions or revisions to plans(minim jill rhaipn-one half hour)$72 50 per hour State Contractor Boller Certification required for units>200k BTU. -Residential A/C requires site plan shnwing placement of unit. Odsts'iformsVneeh-fees doe 10/11/00 Plumbing Permit Application Datereceived: r Pc,mitno.: City of Tigard Sewer permit no.: Buil ling permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CityofTigard Phone: (503) 639-4171 Projcct/appl.no.: Expire date: Fax: (503)598-196(1 Date issued: By: Rmciptno.: Land use approval: _— Case file no.: Payment type: ja 11 I k 2 family dwellillp or acccssory U Commercial/induslria UMulti-family U Tenant improvement U New construction U Addilion/alteration/replacement U I ood service U Other: on Job address: l 'E7/ Description (jty. hec(ca.) Total Bldg.no.: _ Suite no.: New 1-and 2-family dwellings only: Tax map/tax lot/account uo.: (includes IOOG.foreachutility connection) —. SFR(1)hath L,oBlock: Subdivision: / ' �^ SFR(2)bath Protect name: _ _ _ SFR(3)bath City;count� '/.IP: t Each additional bath/kitchen Description and location of work on premises: SlIeulilltles: Catch basiniarea drain Est.date of completion/inspection: ? / _ Drywells/Ieach line/trench drain — Footing drain(no. lin,ft.) Manufactured home utilities Business name: q L 1/1 G Manholes Address: Z d7Lam/ 3 _ Rain drain connector City: Statc:� IP: 7 p Sanitary sewer(no.lin. ft.) -- — - Phone: Fax: E-mail: Storni sewer(no.lin. Il.) CCB no.: p Plumb.bus.reg.no: Y7TTe Witter service(no,lin.ft.) City/metro lic.no,: Fixture or Item: Contractor's represerrtative signature: Absorption val N e Back flow preventer Print name: tc: - -( ' Backwater valve — - aiiii Basins/lavatory---��— -- — Name: i �j Dishwasher Clothes washer Address: yDrinking fountain(s) — City: gState: ZIP: Ejectors/sump �- Phone: ' ._ j Fax: E-mail: Expansion tank Fixture/sewer cap _ ' Floor drains/Iloor sinks/hub Name(print): X / r0 A/ S / Garbage disposal Mai Hug address: t'> ? g' I - — City: State: ZIP: i I lose hihh yL Ice maker Phone: 4 Fax:_ Email: Interco for/;,reale trap Owni:r maintenance only: The actual installation Primer(s) will be made by air or the maintenance and repair made by my regular Roof drain(commercial) - _ -A— employee on the piolx nv I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: _ _ f)use: _ Sump ___ Tuys/shower/shower an .! — — ---- - Nam �✓ / u l✓%% L 4- --- Urinal Address: Water closet __ - --"-- �� Water heater City: -) ,-I r State: 1 l_IP: G l ' _ - — � 1 Other: Phone:^ V41FOX: E mail: Total Not all jurisdictions accept credit ranU,please call Jurisdiction for rtuxr inforrrmtion Minimum fee................$ _ Notice:"is permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: _ within 180 nays afler it has been State surcharge(8%) ....$ ted as com Name of cardholdrr es shown on credit card 6splres Dees p pIctc. TOTAL .......................$ l Cardholder signature —� — s AnKWI 4404616(60UWOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: --' FIXTURES individual QTY _ ea /►.MOUNT (includes at, anbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory — 16.00 fo;each utility connection Ore 1 bath $249.20 - Tub or Tub/Shower Comb. 16.60 ----- -- _ Two ?)bath $350 110 Shower Or ly — 1660 _Three @1 bath ,— 33_99.00 _ Water Closei 1660 _ Urinal 16WO— - _ SU_UT ITAL `-- _ 8'/.STATE SURC�11A�RGE - Dishwasher 16.60 PLAN REVIEW 25'/.OF SUi Garbage Disposal 1660 —Laundry Tr.�Y 16.60 -- Washing Machine W 16.Gu Floor Drain/Floor Sink 2" 16.66---- --16-bo 6.60 16bo - PLEASE COMPLETE: — Water Heater O conversion O like kind 16 60 Quantit b Work Performed _ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. - _ Capped MFG Home New Wate.Service 46,40 Sink MFG Home New San/Storm Sewer 4640 Lavatory - _ --- Hose Bibs — 16.60 -- - Tub or Tub/Shower — Combination Roof Drains - — --_ 16.60 Shower Only_ Drinkinn Fountain 16.60 Water Closet _ Other Fixtures(Specify) 16.60 !- Urinal — Dishwasher - - - --- Garbage Disposal — -- - --- Laundr�Room Tra -_ - -- -LL_ Washing Machine sr'wril 1st 100' 5500 —�- Floor Drain/Sink: 2" 3., Sewer-each additional 100' 46.40 4" - - - Water Service-1st 100' 55,00 Water Healer -- — Water Service each additional 200' 46,40 - - - Other Fixtures - -- �S�eCI �— Storm 8 Rain Urr:in-1st 100' 55.00 -- --- -- - Storm&Rain Drain-each additional 100' 45.40 - - -- Commercial Back Flow Prevention Device 4ti.40 Residential Backflow Prevention Device' - Catch Basin — 16.60 — Inspection of Existing Plumbing or Specially 72,56-- Requested 2.50Re uested Inspections _ per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 --- Grease Trips — — -- 1660 .-- QUANTITY TOTAL -- — — — Isornothr Of riser diagram is requirad It — Ouanlity local Is >9 'SUBTOTAL 8%STATE SURCHARGE — "PLAN REVIEW 25%OF SUBTOTAL — --- -- - - Required onlyd fixture 1 total iFA -- -�—-- -`ly --J{ TOTAL a Minimum permit fee is$12 50+8%state surcharge,except Residential Aackllow Prevention Device,which is$11125+8%state surcharge **All New Zomirerclal Buildings require plans with lenmetric or riser diagram anj plan review I:ldstslforrnslplm-fees,doc 10/10/00 Electrical Permit Application "eived::: _Iry City of Tigard Project/appl.no.: Expiredate: Cirvn(Tigara Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land!l-,p approval: TVPE OF PERMIT IN 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Additioidalteration/replacement U Other: U Pdrtial Job address: C 4r ( Bldg.no.: Suite'no.: Tax map/tax lol/accou+l no.: Lot: j ISubdivision: Project name: _ _ Description and location of work on premises Estimated date of cam Iction/ins ction: - Job no: Fir Max Business name: -gam / > IMscriptlun Qly. (ea) total no.ins Address: > New residential cinRkormulti fandlvper dweWntunM.lnclud4m attnciarl garage. City: _ - y State:e 7IP: 9 " l Serviceincluded. Phone;jo ._ Fax: E-mail: I(ext sq.ft.or less 4 Each additional 5W sq.ft.or portion thereof CCB no.: Glee.bus.tic.no: Lin tMenergy,residential 2 City/metro lic.no.: Lionted energy,non-residential 2 Uch manufactured home of modular dwelling Si nature of to Onalae r is (required) rate Service and/or feeder 2 Sup,elect name(print):t�/ ' License no. S Services or feeders-Installation, alteration or relocation: 2W amps or less 2 Name(print): ' C r ' y�'-' 201 amps to 400 amps 2 — 401 amps to 6W amps 2 Mttiline address: _, _� — -- 601 amps to 10(x1 amps 2 City: + / Stale:,/ t 7.IP: � Over IOW amps ser volts 2 Phone: Fax: I E-mail: Reconnect onlyI Owner installation:The installation is being trade on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 2041 amps or IL•SS — 201 amps to 400 amps (hvncr's si nature: -- -- Date: -4in u,�,nn;,,r pt - ----- -- --- -- - in Branch clrculls-ne",alteration, or extension per panel: Name: , i s A Fee for hranch circuits with purchaseof Address: , C service or feeder fee,each branch cir.uit City: /,�C/►% /,l Slate: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit. Phone: "' ? 7 Far: V mail: — -_ -------.. _.__ t?ach additional branch circuit: Misc.(Service or feeder not Included): U Service over 225an,p�a„nnrercud U Hcajth uuclacjjity Each pump orirrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 familydwellings U Building over 10,000 square feet four or Signal circuit(O or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,orextension' _ _ 2 U Building overthree stories U Feeders.400 amps or more •Ikscn tion: U Occupant load over 99 persons U Manufactured structures or RV park F ach additional Inspection over the allowable in any of the above: U Egress/lightingplm, U Other: --- ----�— - 11ct uspc.uon 3ubtnit^_sets of plans with anv of the above. Invcsttgatjon fee The above are not applicable to tempos ai y construct lon stMce. Other Not all Icridictiom accept credit cards,pjenw,,all jurisdiction for tsar intotowi , Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is rot obtained Plan review(at _ %) $ Crudit card numtaH —___ __ _ within ISO days alter it has been State surcharge(8%)....$ Name Wcardholder as shown on credit card ap1e' accepted as complete. TOTAL . $ __ S Co dholder rignsture Amount 440.4615 iNtYCOMi ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: -- - �— TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00- Number of Inspections por n^_rnit allowed (FOR ALL SYSTEMS) Service included: Items Crest Total Check Type of Work Involved. Residential-per unit 1000 sq ft or less $145 15 4 ❑ Audio and Stereo Systems" Each additional 500 sq It or 1 ❑ portion thereof $33,40 -- Burglar Alarm Limited Energy _ _ $15.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder _ $9090 Services or FeeJe s n Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 2 200 amps or less _ $80.30 ❑ Vacuum Systems" 201 amps to 400 amps $10685 __. 2 401 amps to 600 amps $160.60 2 Other _ 601 amps to 1000 amps _ $240.602 Over 1000 amps or volts $45,165_ 2 Reconnect only _ $66.85 _ 2 Temporary Services or Feeders _ TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temapora,alteration,or relocation Fee for each system.......................................................... $75.00 Ins4 200 amps or less $66.85 2 (SEE OAR 918-26U-260) 201 amps to 400 amps $10030 -- 2 Check Type of Work Involved. 401 amps to 600 amps $133 75 2 YP Over 600 amps to 1000 volts, Audio and Stereo Sy items see"b"above. Branch Circuits ❑ Boiler Cont-ols New,alteration or,xtension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or leader lee. — ❑ Each blanch circuit $O G5 2 Data Telecommunication Installation b)The fee for branch circuli without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 Each additional branch circuit $665 HVA(;_ �–� Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or irrigation circle $5340 _ ❑ Intercom and Paging Systems Each sign or potline lighting $5340 Signal circwt(s)or a limited energy L� Landscape Irrigation Control" panel,alteration or extension _ $1500 Minor labels(10) $125,00 ❑ Medical Each additional Inspection over the allowable In any of the above $62 50 ❑ Nurse Calls Per inspection _Per hour $62 50 ElIn Plant $73.75 �. Outdoor Landscape Lighting' Fees: ❑ Protective signaling Enter total of above fees $ Other e%State Surcharge $ _ -- Numoer of Systems 25%plan Review Fee No licenses are required Licenses are required i u all other installations See"Plan Review"sertiun on a frait of application --.__ Fees: Total Balance Due $ - -- - Enter total of above fees $_ _ LJ Trust Account#—_ _ __ 8%State Surcharge $ -- Total Balance Due i vtsts\rormsklc-rces doc 06/07/01 i iI O 4ti I I I \ I tt� q1 .I GAPAGF y I t too u 1 I In[cnacA� 17500 P511 I BOX ell S W 131s► PLACE i RIDGE 222 WB n. .. t.t,Mom KAIiDM4 At AN YASCOPD DESKA A4310dA119 rQ