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14205 SW 131ST PLACE 1420r, SW 131" Place CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUN Received __+ — Date Requested— -71t q —_ AM —_ PM - -- BUP - Location _ �— 5 -� ..lil>t f��' Suite MEC Contact Person ___.-._ Ph(_ ) _ 3 PLM - Contractor __—__ Ph(._ ) _ SWR BUILDING Tenant/Owner ELC Footing ELC - Foundation Q(GeSS: Fig Drain ELR Crawl DrPL, Slab rInvpection Notes: SITPost& Beam -- --- --- -- -- - Shear Anchorr Ext Sheath/Shear - Int Sheeth/Shear Framing - -- ------ Insulation _ Drywall Nailing Firewali Fire Sprinkler --- Fire Alarm Susp'd Ceiling Roof Other: Final -- �_ —_-�--- --- --- PL_P_AS`S PART FAIL UMBING Post& Beam— + Under Slab ------ ---- - - -- -- - - ---- IRough-In Water Service - Sanitary Sewer Rain Drains - - --- - -- - Catch Basin/Manhole Storm Drain -- Shower Pan LOar: _- FL - - PART FAIL _ N_ICAL _ - --- Post&Beam Rough-In - --- --- _.- Gas Line Smoke Dampers -- --- - _. -- - --- Final PASS PART FAIL ELECTRICAL Service Rough-In __— IJG/Slab Low Voltage —-- - -— Fire Alarm _ Final Reinspection fee of required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - [� Please call for reinspection RE:__ — - [`� Unable to inspect-no access Faire Supply Line � I Cl/ , ADA // Approach/SIi lewalk Dsts ��. —_ Inspector - Ext--_.__--- Other: Final DO NOT REMOVE this Inspection record from the Joh site. PASS PART FAIL CITY OF TIGARD 24-Hour / BUILDING Inspection Line: (503)639-4175 MST ��O '�7 G� INSPECTION DIVISION Business Line: (503) 63e-4171 BUP Received Date Requested— I 1 `l AM._-`--PM_ _ BUP Locat;on —_...___._..1 "� �► �Suite_ MEC Contact Person _—__ 't-�`"- Ph(_—) - r' � 7 �-�� PLM Contractor _ Ph (—) ____ SWR BUILDING Tenant/Owner ELC Footing - ---- Foundation ELC Ftg Drain Access: EI.R Crawl Drain Slab Inspection Notes SIT _ Post& Beam Shear Anchors -- --- - --- - Ext Sheath/Shear Int Sheath/Shear Framing --------- - —_�.—� __ Insulation Drywall C Drywall Nailing 1�-- - Firewall Fire Sprinkler - -- ---- ---------- Fire Alarm Susp'd Ceiling ------- Roof Other: - --- --- ---�_-.. Final PASS PART FAIL -- PLUM13IN_G - Post& Beam--� --- Under Slab ___-- -- -_--- Rough-In -- Water Service P-anitary Sewer Bain Drains -- - -- - ---- Catch Basin/,Manhole Storm Draii, - Shower P..n Other: - - - — Final PASS PART FAIL - -- - - MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers -. Final PASS PART FAIL - -- ELECTRICAL Service -- ---- _- ---- ___._..----- ----- Rough-In UG/Slab Low Voltage - Fire,Alarm ASS PART FAIL Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW hall Blvd SI L Please call for reinspection RE:- C� Unable to inspect-no access Fire Supply Line � ADA �- r- ✓ CU .--.. _I�,�� Approach/Sidewalk DateT_. InspectoriC_ Other Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. — o —' FAR E- Ift TIGARD, OR 97223 Z'ft V E IMPORTANT PERMIT NOTICE AUG 1. 6 2001 UHYLH & SUNS ELECTRIC CO. DRYER + SONS 5:36 SE WOODSTOCK BLVD PORTLAND, OR 97206 Electrical Signature Form Permit #: MST2001-00401 U,,te Issuea: t;n 5/01 Parcel: 2S109AB-08700 Site Address: 14205 SW . 31ST PL Subdivision: RAVEN RIDGE Block: I_ot: 016 Jurisdiction: TIG Zoni5g: R-7 Remarks: New SF detached. Path 1 Fire sprinkler are required Install as per code Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is rcquired. 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 =1r' 'rgss above, ATTN: Building Dept No eiectrical inspec_ , will be authorized until this completed form is received OWNER ELFCTRICAL CONTRACTOR: SHARONE O'MARA DRYER + SONS 2 OSWEGO SUMMIT 5536 SE WCODSTOCK BLVD t_A,KF 0SvvFrn, nr7 47nis; F'i1RT1 tNfl. OR 972n r, Phone #: 503-697-4385 Phone h`: 774-1606 Req # LIC 00001114 SUP 23115 ELE 26AIC AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervi ing Electrician It you have any questions, please caA (503) 639-4171, ext. # 310 O O a � o co� JNI a ° c d' a H. � C o y .,, rll \ , rt± � n \v o c, It G � o o o �i� O a �e ti x 0 O �o FROM OMPPA TOI,JNPHOM6S FAX N0. 503 697 4533 Jun. 24 2002 10:03AM P1 n z� a) o n d m p m t„ m q m 22 (�q Q t7 n i� C m 03 t'11 o cc„ m M m rri D rn �1 LA m -{ b 0 law or— r1i r— r rn O 0 .� r- ; 0 -0 0 Q m m a l yC') � z O „? o TjL t4 23 I r CITY OF TIC��R® MASTER PERMIT PERMIT#: MST2001-00401 DEVELOPMENT SERVICES DATE ISSUED: 8/15/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14205 SW 131ST PL PARCEL: 2S109AB-08700 SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT:016 JURISDICTION: TIG REMARKS: New SF detached. Path 1 Fire sprinkler are required Install as per code BUILDING _ REISSUE: !� STORIES: 2 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,.70 of BASEMENT: sf LEFT: 5 SMOKE DETECTORS: ✓ TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 922 if GARAGE: 430 sf FRONT: 20 PARKING SPACES - TYPE OF CONS1: 5N C WELLING UNITS: 1 FINBSMENT: at RIGHT: 11 VALUE: S 212,025 00 OCCUPANCY GRP: R3 BURM: 3 BATH: 3 TOTAL: 2,29200 sf REAR, 22 PLUMBING SINKS: 1 WATER CLOSETS 3 WASHING,MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHER-. 1 FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: IUBISHOWERS: 3 GARBAGEDISP: I WAIERHEATERS 1 WATERLINES: 100 BCKFLW F REVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN�100K: 8011 ICMP<3HP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN>•100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: ' MAX INP: btu FLOOR FURNAfICES: VENTS: I WOODSTOVES: GAS OUTLETS, 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _BRANCH CIRCUITS - _MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: CO SIGNIOUT LIN LT: PER HOUR. LIMITED ENERGY: 401 600 amp' 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 601 • 1000 amp: 601 4amps•1000v: MINOR LABEL. 1000♦amplvolt PLAN REVIF'W SECTIO;I Reconnect only: >•4 RES UNITS: SVCIFDR>•226 A.: >6L0 V NOMiNAI: CLS AREABPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B,COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO a STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArrELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,83U.96 This permit is subject to the regulations contained in the SHARONE O'MARA SHARONE O'MARA Tigard Municipal Code,State of OR Specialty Codes and 2 OSWEGO SUMMIT 2 OSWEGO SUMMIT all other applicable laws All work will be done In LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 accordance with approved plans This permit will expired work is not started within 180 days of Issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adorted by the Oregon Utility Notification Center Those rul 3s are set Rets 0: LIC 1^4527 forth in OAR 952-001-0010:hrough 952-001 0080 You may obtain copies of th6se rules or direct qu tstions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Sprinkler Final Grading Inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Electrical Final Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Mechanical Final Foundation Insp Footing/Foundatlon Dr1 Electrical Rough In Gas Line Insp SDrinkler Rough-In Plumb Final Issued By : R4rmittee Signatu R Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYTIGARD SEWER CONNE^TION PERMIT' DEVELOPMENT SERVICES PERMIT#: SWR2001-00202 )ATE ISSUED: 8/15/01 13125 SW Hall Blvd.,Tigard, OR 97223 (5v3) 639.4171 PARCEL: 2 S 109At3-08700 SITE ADDRESS; 14205 SW 131 ST PL SUBDIVISION: RAVEN F.iDGE ZONING: R-7 BLOCK: LOT: 016 — JURISDICTION: TIG rENANT NAME: USA NO: F:XTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached. Owner: -- i FEES_ SHARONE O'MARA Type By JDate Amount Receipt 2 OSWEGO SUMMIT — — LAKE OSWEGO, OR 97035 INSP CTR 8/15/01 $35.00 27200100000 PRMT CTR 8/15/01 $2,300.00 27200100000 Phone: 503-697-4385 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections _ This Applicant agrees to comply wild all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the 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 Sid,s Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law regUires you to follow rules adopted by Ir-e G�^on Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: ref_ f�' s Permittee Signature:F��. _ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application City of Tigard -� 777:enttypc: Perm7" .�r,n,q/'7igard Address; 13125 SW Hall Blvd,Tigard,OR 97223 -- Expire date:Phone: (503) 639-4171 By Receipt no.: �Fax: (503) 598-1960 1 Payment type: Land use approval' _ 1&2 family:simple Complex: I &2 family dwelling or accessory U Commercial/industrial U Multi-family VNew construction U Demolition U Addition/crltcration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: t ' t Job address: + � l �Subdivis Bldg,no.: Suite no,: Lot: �(p Block: ion: RA 2! Tax map/tax lot/account no.:�S/099 Project name: ��,4 _ T�Ih�P Ear 15� FK.12- Description �c zoo 0 3s - anu;-)cation of work on premises/special conditions: HA e-A Mailing address: l &2 family dwelling: City: AL/ State: ZIP: Q�- Valuation of work Phone _ $lq 3. 74 9 4 r:tx: _ E-mail: No.of bedrooms/baths................................. 2.r Owner's representative: �j. (,�•{p _ Total number of floors Z Pham" !;�, Zq - IZD I n,ai! - --- New dwelling area(sq. ft.) .......................... ZZgS Garage/carport area(sq.ft.)......................... Q D Name: Covemd porch area(s ft.) Mailing addr ss: - - flick .. ......................... I arca(sq. ft,)........................................ City: State: ZIP: Oth,•r structure at1 . _ -- area(sq. It ........................ Phone: Fax: E-mail: - ('em nereinUindu;trial/multi-family: 1 Valuation of work........................... ...... ..... Business name: -Q_Lt Existing bldg.area(sq. ft.) ......... ... ........... _ Address: S New bldg.area(sq. ft.) ........... CU Number of stones Y _. State:Q ZIP: _ Phonc:(eG;r7_4 A Fax -4 E-mail: Type of construction....................I............... _ CCB no.: IZ4;Z' (kcupancy group(s): Existing: Cilyhnelro lir no. New: --- Notice:All contractors and sutx:ontractors are required to be licensed with the Oregon Construction Contractors Board under N"""' `J• `JC O� 1✓IFl�„�_ - TJ s( ,�/ provisions of ORS 701 and may be required to 1••licensed in the Address: jurisdiction where work is being performed. If the applicant is itv: State: ZIP:.ideql 701,S exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Tax: — Fi-mail: — — ---- Name: JT[Ej� �(i Contact person: Cie Fees due upon application Address:� on ....... .................. $ Cit Date received: Y: Slate: ZIP. 10/ Amount received ....... ................. ,� Phonc, ail: $— Fuz: E-mPlease - 1 Kase refer to fee schedule. I hereby certify 1 have read and examined this application and the Na all Judodichaao anew crctlii cods, _ attached checklist.All provision;,of laws and ordinances governing this U visa U MasterCard coil Juddkdar r��w �„t,„,,,,u,a, work will he complied wi'4 whether s •if• herein or not. crcdlt cod number Authorized sigraq!!e _ ate: ,7 D/ --irm-W'If id"as n — ' on c r c _ Print name: Fsptre� $— ro t "ilpurure Ammi Notice:This permit Application expires if a permit is not obtsioed within 190 days after it has been accepted as corm Ictc. P 1+ 4404613 tdna+LnMr One- and Two-Family Dwelling Building Perini-): Application Checklist Rcferenceno.: --� —_ - Associatedpermus: t�ily of Tigard City of Tigard O Electrical U Plumbing, U Mechanical Addi rss: 13125 SW Hall Blvd,•i igard,OR 97223 U Other: _ Phone: (50S) 639-4171 Fax: (503) 598-1960 1 1I I M1 I Land use actions completed.See jurisdiction criteria tier concurrent reviews. 2 Zoning.Flcoxf plain,solar balance points,seismic soils designation,historic district,etc. 1 Verification of approved plat/lot. 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 or with application. t) Erosion control U plan U permit required.Include drainage-way protection,silt fence design and locution of catch-basin protection,etc. - l0 ce al 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable Iand,tate building codes. Lateral dC..'gn details and connections must b e Incorporated into the plans(Pr on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if co myright violations exist. ---- --- - -- — s;property comer elevations(it I I Sitelplot plan drawn to scale.The plan must show lot and building setback dimension there is more than a 4-ft.elevation differential,plats must show contour lines at 24t,intervals);location of easements and driveway; ilprint of stnictutr(including de,cks);location trot'wells/septic systems;utility locations;direction indicator,lot area;b+•:+(ling coverage Brea;perenta cge of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolls,any hold-downs and reinforcing pads,connection details,vent _ sine anti location. 13 _ --— - — Floor plans.Show all dimensions,room identification,window sire.location of smoke detectors,wart', lister, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross sertlon(s)and details.Show all framing-member sires and spacing such as floor beams,headers.linsts,soh-Ilotlr, wall construction,rout'construction.More than one cross section may he required to clearly portray cons)rut u()[, tihow details of all wall and rcmof sheathing,roofing,rool'slole,ceiling height,siding,material,footings anti foundation,stairs, fire lace construction, thermal insulation,cmc. 15 Elevation views.I mvide elevations far new construction;minimum of two elevations for additions and remcxlela. Exterior elevations must re'lect the actual grade if the change in grade is greater than four foot at building envelope. Full-sire sheet addendums showing foundation el 2vations with cross references are acceptable, Ih all hraring(prescriptive path)andlor lateral analysis plans.Must indicate details and locatitn+s;for non-prescri1tivcatm h analysis provid�wcifications and calculations to cnginccnng standards. 17 Floorlroot framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and Fearing locations.Show attic ventilation. _ — 18 Basement and retalning walls.Provide cross stolons and details showing placement of rebar. F it engineered systems,see iten122 "Engineer's calculations," 19 Ream calculations.Provide two sets of calculations using currc:nt cook design values for all beams and multiple joists aver I l)feet lung and/or tiny beam/joist carrying a nun-uniform load. — 20 Manufactured floor/root truss deal ng details.-- _ 21 Energy Code compliance.Identify the prescriptive path or provide calculations. Agar-piping schematic is rryuire0t for four or more appliances. _ _ — 22 H:nglneer's calculations.When required or provitocd,(i.e.,shear wall,roof truss)shall fix stamped by an engineer or ur.hitr'I it in Oregon tool shall he shown to Iv applicable to the prol-I nndrr n irw 21 five(5)•site plans tore required for Item 11 ahovc. Site plans must he 9-1/2" x 11"or I V x 17••. 24 Two(2)rets cacti are required for Items I6, 11),20&22 above. 25 Building plans shall not contain red lines or tape:-ons. _ 26 No rolled,reversed or mirrored building plans will be accepted. 27 — —-- 28 — Checklist must be completed before plan review start date. Minor changes at' notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 4404614(Wilt JM) Mechanical Permit Application Date received: Permit no. c�Ofl l-C)oq{ s�:{li7t�'II� City of rl lgarti Project/appi.no.: Expire date: C(ry of Tigard Address: 13125 SW I lal I Blvd,Tigard,OR 97223 Date issurd: By: Receipt no.: Phone: (503) 639-4171 Payment Fax: (503) 598-1960 Case file no.: Y YPe I Land use approval: Building permit no.: 1 I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replicement U Other: 7 1 1 ' 1 '11"1111110 15110111M Us VIA Job address: Su;'•J..')( �I I" 1 C1f Indicate equipment quantities in boxes Ixhtw. Indicate l.he dollar Bldg.no: Suite no.: value of all mechanical materials,equipment,labor,overhead. profit,Valu $ Tax map/tax lot/account no.: Lot: Block: Suhdivision- V.A,Tt1 K//l'.t C *See checklist for important application information and jurisdk,ion's fee schedule . residential permit fee. Project name: I - o IL - 1 City/county: T Z.IP: 7 ' 7 . i t MMI Description and location of work on premises: Fee(ea) Total I)esr•ription (?l'. Res.only Res.ouly Est.date of completion/inspection: — Tenant improvement or change of use: Air handling unitCFM Is existing space heated or conditioned?U Yrs U No Air con iuoning(site p an require ) Is existink space insulated?U Yes U No teration of existing H A system Boiler compressors State boiler permit no.: Business name: 7 ' '�� HP Tons BTU/II __ Address: > E C l tr'smo a amper. uct smoke etectors Slate: ZIP: cat pump(site pan require ) City: /( nsta /rcp acc furnace/burner— Phone:ej Cj 3-'J _? Fax' 3 Email: Including ductwork/vent liner U Yes U No CCB no.: 11 Insta rcp ac re ocate caters-suspen e City/metro lie.no.: wall,or floor mounted — Vent for a lance o cr t an furnace Nanta(please print): )t,_'1 At! ' %/ 'A b a gerat on: 'IM UM14611 Absorption units__ BTU/14 _ Chillers__._ HP Name: _-- -- Compressors _ HP Address_: ,nv ronmenta ex ust an vent iV on: City: tate. ZIP: Appliance vent --_ Phone: Fax: E-mail: )ryerex oust _ o1.1.18 751f FE, res. tc a azmat hood Lire suppression system Name: Exhaust fan with single duct(bath fans) ext:71tst system a an rum cat ng or Mailing ar,dresa: — aaepTpieg and distribution up to 4 out ets) City: ZIP: Ty x; — LPC; __ NG Oil — T one: Fax Email: uc iltin enr6 arc itiunal over out eta t roeevs piping(sc emat c required) Number of outlets Name: _ t itir st rpp rnce or equ pment! Address: _ Decorttiv e t itepl ace —_ --- Slate: ZIP: rt-ty e _ CIIY• ove It etslove _ Phone: Fax: E-mail: -rn ec Applicant's signature: Date: Name (print): — — .:i ztfee.....................$ Nol•Il judedicaons accept MAP cpleae cell jurladiction for mute lnfttmuaon Notice:This pennit spplittaw Minimum fee................S U vise U MasterCard expires If a permit is not obtained Plan review(at --_ %) $ �— Credu card nomber _— - --- -�t pi� within 180 days after it has been $ — Stair.surcharge(89F) .... Ntttnr ed crt�ol tn n on ct u c - accepted av complete. s $ ' - C der dpwum Atttamt 110-M11 0010C'OM) MECHANICAL_ PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: _ _ _ OeScrip.. ri: Price Total $1.00 to$5,000.00 -- Minimum fee$72.50- Table 1A Mechanical Code _ oW (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1 52 for each additional$100.00 or including ducts&vents 14.00 frat'lon thereof,to and including 2) Furnace 100,000 BTU+ $1C 000.00. including ducts&vents _ 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and includi,i; 4) Suspended heater,wall heater $25,000,00, or floor mounted heater 14.00 $25,001.00 to$50,000,00 $379.50 for the first$2500.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.8C fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the firc,t$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereoffootnotes below. Comp* 7)<3HP;absorb unit 0 1._:VIED VALUATION: PER APPLIANCE: to 100K BTU Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 E_tptlon: Ott_ Ea Amount 9)15.30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts✓x vents 11)>50HP:absorb Floor furnace including vent 955 unit>1.75 mil BTU _ 87.20 Suspended heater,wall heater or 955 1::)Air h:ndling unit to 10,000 CFM Floor mounted heater 10.00 Vent not Included In appllcance 445 13)Air handling nit 1G,On0 CFM+ permit _ 17.20 Repair units 805 14)Ncr-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 10&BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,7('J 6.80 _ 101k to 500k BTU - i6)Ventilation system not included in -30 hp;absorb.unit,501k to 1 2,310 appliance permit _ 1u.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, -� 3,400 1000 1-1.75 m!I.BTU ___ _ ----1 -- -- >50 hp;absorb.unit, 5,725 18)Domestic Incinerators 17 40 >1.75 mil.BTU --- 19)Commercial or Industrial type Incinerator Air her dling unit to 10,000 cm 656 69.95 Air handling unit>10,000 cfnl 1,170 20)Other units,Including wood stoves Non- ortable eva�orate cooler 656 10.00 _ Vent fan connected to a single duct 446 Vent systern not Included In 658 21)Gas piping one to four outlets 5.40 _ appliance permit - 22)More than A-per outlet(each) Hood served by mechanical exhaust _858 - _ _ 1.00 Domestic Incinerator _ 1 170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerator 4,590 Other unit,including wood stoves, 656 8%iltate Surcharge $ Inserts,eto. Gas iN ping 1_4 outlets _ 360 25Y.Plan Review Fee(of subtotal) Each addilloral outlet _ 63 Required for ALL commercial permits only --- - Y TOTAL COMMERCIAL.- $ TOTAL RESIDENTIAL PERMIT FEE: VALUATION: Other Inspections and Fee 1 Inspedions outside of nnrmal busuiess hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee Is specifically Indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-ono-half hour)$72.60 per hour 'State Contractor Bolla Certification required for units}200k BTU. "Residential AIC requires site plan showing placement of unit. I:\dsts\formslmech-fees doc 10111100 Plumbing Perin','Application n — - - - Datereceived: Permit no.:h(S�-;?t;v/-00 V0 City of Tigard Sewer permit no.: Building pear. no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 EFEI_ : Eire date: Phone: (503)639-4171 Ft .: (503)598-1960 Receipt no.: r''ype: L.%:nd use approval: _.--thjl�� - U ! ,t 2 family dwelling or accessory U Commer,nlli indt..,trial UMulti-family U Tenant improvement J N&, family d.we U t,ddition/alterat.ion/replacement U Food service U Other: Uotal ! ACE 1}(-`tiCl"1 111111— �y„�' Job address:jQ 65 ` �!. (",% L ACE New 1 and 2-fami1y'dwellings oniy: Bldg.no.: Suite no.:, (Includes 100fi-G)reachuIlHO connection) Tax map/tax lot/account no.: SFR(1)bath --- F,ot: BIk: Subdivision: ?A✓0J IPI 6_ SFR(2)bath — SFR(3)bath Project name: -T�-! 7-l�AU2 Each additional bath/kitchen City/county: 71 f1 D ZIP: 01 7' 2 Site utilitles: Description and location of work on premises:, Catch basin/area drain D wells/leach line/trench drain Est.date of completion/inspection: Footing drain(no.lin.ft.) Manufactured home utilities Business name: T/K Hie-R 10144 /�./ nholes _ Address: me Rain drain connector — — --- State: ZIP Su„it.ry sewer(no.lin.ft.) -- City: — --- Storm sewer(no.lin. Phone: Fax: E-mail: Wat;r service(no.lin.ft.) CCB no - _ Plumb.bus._reg.no: Fixture or item: City/nittro lic.no.: Absorption valve Contractor's representative signature: Back flow preventer r _— -- Date:TZ`1 G�1 Backwateraive Print name: I��nl 1,�/A7"r� -- -- Basin. avato - Clothes washer —— Name: - Dishwasher Address: Drinking fountain(s) City: State: ZIP: __ Ejectors/sump Phone: Fax: E-mail. Expansion tank -- Fixture/sewercap _ _— Floor driiins/(loor sink, b — Namc(print): _ Garbage dis sal _Mailing address. Hose Bibb — City: __ State ZIP: Ice maker Phone: Fax: E-mail: Interce tor/ reale tra Owner installatiniv ce!acr.:i.=! maintenance only: The actual installation Primer(s) will be made by m-or the mainwriance and repair made by m; regular Roof dmin(comnirrcial) _— employee on the proper,'t„Ir r ,Is Ix•r ORS Chapter 447. Sink(s),basin(s),iays(s) Date: , _- Sum — — Owner's signature: Tubs/shower/shower awn_ Urinal Name: Water closet -• -- Address: _ _ Water heater City: State: ZIP`--. Other: Phone: Fax: E-mail: nta Minimum fee................$ �_--- Not dl jMikficam�ocredit c"._pten.e cdl jurisdkuon ror rrwxe information. Notice:'This pennit application Plan review(at — 9i) $ _------ J Vita xpires if a permit is not obtained Slate surcharge(8%) ....$ Cm".it cud number -- 1--�-- within 180 days eller it I--aa peen TOTAL----- Expires .......................$ .— accepted as�.ompletc 44r- (60tlocom) —Nunn of cardholder as shown one it card ' __ C•udholrkr dRnamre — -- Electrical Permit Application Datereceived: Permit no.:IV41p), OU Gt A City of Tigard Project/appl.no,: Expire date: Cttyu(Tigar.d Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: �•1 & 2 lannly dwelling or accessory U Commercial/industrial U Multi-family U•tenant improvement �fl New construction U Addition/alteration/replacement U Other. — U Partial ;ob address: 14 1 'C& Bldg,no.: Suite no.: Tax map/tax lot/account no. Lot: I f, Block: Subdivision: Project came:'-rN. ------F r'•_!i Description and location of work on premises: - ----- lalinnat:d dare of romhlclion/incl.,ctuun: ---- - -- --- Job no: — fee Max Business name: D IZ Yr DeWrlpuno Qty. bra j rural no.Ins t New rrshlenrial-sink-or mum-family Iwo- AddrC55! dwelling unit.Include-.attached garage. City: SlalC: ZIP: Servlceinclmtrrl: Phone: __=Fax: E-mail: I(Xx)sq It.or less 4 CCB no.: Elec.bus.lic.no: Each additional 500 sq.ft.or portion thereof — Limited ener ,residential 2 Gly/metro Ile.no.: Limitcd energy,non-residential 2 Each manufactured home or modular dwelling Signature or supervising electrician(requited) bate Service and/or feeder 2 Sup.elect.name(print)-,f/1! " 1 1,r;a/IV License nu Services or reeden—Installation, AWalteration or relocation: 2W amps nr less 2 Name(print): 201 amps i o 400 amps 2 Mailing address: ----- �— 401 amp%to600amps`-- 2 -- 601 amps to IWO snips 2 City: _ _—State: ZIP Over IWO amps or volts — -- 2 Phone: 7 1 E-mail: Itrconnertonty - - I Owner installation:The installation is icing made on pruper'ty I own I'emporary services or feeders- which is not intended for sale,lease,rcpt,or exchange according to Installation,alteration.or relocation. ORS 447,4`5,479,670,701. 2txn amps or less __ _ 2 201 amps to 400 amps 2 Owner's sipnatttre: Dale: 401 to W)runris -- — 2 Brach circuits-new,alteration, Name: or extension per panel: -- -- --- --- -- A. Fer for branch circuits with purchase of Address: service at feeder fee,each branch circuit 2 Cif Y: _ Slate: 1.11': -� H. Fee for branch circuits without purchase — �-------- ---— of service or feeder fee,first branch circuit: 2 1 hoar: Fax. 1? mail Mach additional branch circuit. M lit.(Service or feeder not Included): U Scrvice ovrr 225 angos conuurrctal U I Iealth care flu tltfy Each pump tit irrigation circle 2 U Service over 320 amps-rating of 1&2 U Ihaxarrlous location Each sign or outline fighting 2 familydwellingsU Huilding mer 100H)square ken four or Signal circuit(s)or o limited energy panel. U.System over 600 volts nominal noon residential wo'a in one stmctute alteration,or extension' 2 Building over thin stories U I-ceder,,4(9)amps or more *Description: U ltccupant load over 99 persona U Manufactwed structures or RV park Each additional Inspection over the allowable In any of the above: U Egr,•salligldingplan U Other --_----__-- Per tnspection Submit sets of plans with any of the alcove. Investigation fee The shove are nal applicable to temporary construction serrrce. Other Not all Jurrwildions W Viol credit coda,plew call judvdlctiun for m xe.nifo amid Notice:This perinit application Permit fee.....................$ _ U Visa U INasittfarl expires if a permit is not obtained flan review(at _ %) $o Credit card number. -__ _ L— within ISO days alter it has been State surcharge(8%) ....$ spires accepted as complete. TOTAL .......................$ None or earirin _, .,,hown on rre3it carr3—— �_ s i udholder dRnnurc -- — Amount 440-4613(60"M) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections n permii allowed (FOR ALL SYSTEMS) Service included: Items Ccst Total Check Type of Work Involved- Residential nvolvedResidential-per unit 1000 sq.ft.or less _ $145 15 _ 4 Audio and Stereo Systems Each additional 500 sq,ft or portion thereof _ $3340 1 F❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular _.__.._ Dwelling Service or Feeder $9090 2 ❑� Garage Door Opener' Services or Feeders �❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $90.30 _ 2 201 amps to 400 amps $10685 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 2 -' - 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts $45465 _ 2 Reconnect only _ _ $6685_ _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................................................... ...... $75.00 200 amps or less $6685 2 (SEE OAR 918 260-260) 201 amps to 400 amps °102 30 7 101 amps to 600 amps _ $133.75_ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extens'un per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch ci,cuit $6 65 _ ❑ Data Telecommunication Installation b)The fee for branch circuits without purr,rase ofservfce �❑ or feeder fee. Fire Alarm Installation First branch circuit $4685 Each additional branch circuit $665 ` ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each primp or irrigation circle _ $5340 Each sign or outline lighting S5340 Intercom and Paging Systems Signal circult(s)or a limited t,•�,ergy panel,alteration or extension __ $75.00 E❑ Landscape Irrigation Control' I Minor Labels(10) $12500 Each additional Inspection over F-1 Medical the allowable In any of the above ❑ Per Inspection _ $62.50 Nurse Calls Per hour _ $62.50 _ In Plant $7375 _ 1❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%Slate Surcharge $ of Systems 25%Plan Review Fee See"Plan Review"section on g No licenses are required Licenses are required for all other installations front of application _ __— __�__ Fees: Total Balance Due $ r--� Fnfer Total of above fees :_ _ LJ Trust Account p 8'/.State Surcharge $ Total Balance Due f i\tsts\lonits\elc-fees doe 10/09/00 SIS yzT c)()14C)I 10 JI Fl— L I-A III I I II NF.WRE IrENGE II T MAIN I,F OJ 114 ENTRY PORCH I WArry ')02-- A5P'HAj-f 1)00- iYl VRIVEWA, 4%. T T FFO". COWROL FE" 152.0a c�iW-I N L-Wt IDN t N-1 R APXt Lt Nc. . 'dw "'a"E O.W. 131,st PLACE 14205 5.W. 131ot. Fliacc Tigard, Oregon Lot 16, Raven Ri6jec Book 136, Page 12 Lot, 9ize: 52 x 97.36 = 5,062.72!5f Coverage: 2,012of (39,74"/o) 51TE fLAN NOMI CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received Received DatePon uested__-_____-7 �;� AM— PM .._-_____— BLIP — Location �� rZ� r ��-- Suite — MEC Contact Person d)n,.2A_ Ph( ) -_�- _ PLM Contractor- Ph BUILDING tenant/Owner -_- _-..._ ELC Footing Foundation Access:, ELC -------_-_ -.__.._-_ Ftg Drain ,y(J ELR Crawl Drain --- ------ ---..__ Slab Inspection tes: u SIT Post&Beam - -- -- -- -- - -- ----I , --- - Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear - " ------ ---- Framing ----------------- In;;ulation Drywall Nailing -- _ - ---- ----- -- -- - - --- --- ------ Firewall Fire Sprinkler -- - - - -. - - - -- --- -- -- ----- - Fire Alarm Susp'd Ceiling -- - - - --- - - - - Roof Other: - - - - _ --- - - - -- - Final -PASS PARTFAIL - PLUMBING---- - Post& Berm - - - 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 Q, _- Gas Line ' 1 Smoke Dampers - ---- - - AS PART FAIL - - - --- - - - ------------ CTRICAL Service ----- Rough-In UG/Slab ----Low Voltage ---- -... _-- - - — ----- -- Fire Alarm Final Rein on fee of Sro uired before next ins PASS PANT FAIL spectl - q Inspection. Pay et City Hell, 13125 SW Hell Blvd. SITE_ _ �-] Please call for reinspection RE: _ F� Unable to Inspect-no access Fire Supply Line ADA Approach/Sldewalk pato ,k Inspector / _ Ext Other: Final 60 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HA.'.-L BLVD. TIGARD, OR. 97223 IMPORTANT PERMIT NOTICE NORTHWEST PREMIER PLUMBING P.O. BOX 23338 TIGARD, OR 97281 Plumbing Signature form Permit ;t: MST2001-00401 Date Issued: 8115101 Parcel: 2S109AB-08700 Site Address: 14205 SW 131ST PL Subdivision: RAVEN RIDGE Block: Let: 016 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached. Path 1 Fire sprinkler are required Install as per code Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN-. Building Dept. No plumbing inspections will be authorized until this competed form is received OWNER: PLUMBING CONTRACTOR: SHA.RONE O'MARA NORTHWEST PREMIER, PLUMBING 2 OSWEGO SUMMIT P.O. BOX 23338 LAK` OS NEGO, OR 97035 TIGARD, OR 97281 Phone #: 503-697-4385 Pllone 0: 503-624-0582 Reg #. I Ir 135022 PI M 34-348PB AN INK SIGNATURE IS REQUIRED ON THIS FORM ignature of Authorized Plumber If you have any questions, please call (503) 639-4 i71, ext. # 310 CITY OF TIGARD 24-Hour — BUILDING Inspection Line: (503)639-4175 _ ST INSPECT N DIVISION Business Line: (503)639-4171 ---Q �f-yj SUP Received Date Requests Z J LqM PM BLIP Location - '� _ / ��. Suite MEC Contact Person ph( ) CD 11 7- 3�'S"- PLM Contractor------ - --- ---- - Ph ( ) _-- SWR e09Tenant/Owner -- _ . ELC -- - Footing - — — — Foundation ELC Ftg Drain Access: - --- Crawl Drain ELR �- 8lab Inspection Notes: SIT Post d Beam ---—------ IShear Anchors Ext Sheath/Shear _ --- _—`- - -- —T-- --.--- Int Sheath/Shear _ Framing -- Insulation ---- Drywall Nailing — Firewall — Fire Sprinkler — Fire Alarm Susp'd Ceiling — Roof Other: - Z Z SLIPART FAIL --- GING Post& Beam --- - Under Slab _ Rough-In — Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan - - — - -- --- Other: Final __— PASS_ PART FAIL _ MECHANICAL — - Post&Beam - -------. Rough-In Gas Line - - --- Smoke Dampars -- incl - - ---- PASS PART FAIL ELECTRICAL-- - -- Service - - - - -- -- _ Rough-In UG/Slab Low Voltage — Fire Alarm Final n PASS PART FAIL LJ Reinspection fee o}$ - required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE [-I Please call for reinspection RE:_ ❑ Unable to Inspect-no access Fire Supply Line ADA Approach/Sluowalk Data _ y Inspector -�, 2 Other:_ _ _ �'y` Ext2� Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL