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12975 SW PRINCETON LANE N tD V Cn n �D O d 7 ID 12975 SIM Princeton Lane CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-41 —Q O v y� MST --{- INSPECTION DIVISION Business Line: (503) 639-4171 BUP — Received Date Requeste — , AM—1 '-- PM BLIP -- _ Location ___-_ a' -= Suite_—_ _ MEC — Contact Person s _ Ph( _) 723 —s--3 J- - PLM - Contractor__ -- —_ Ph( _-) _ SWR -- - BUILDING Tenant/Owner __ _ ._ ELC - Footing -- — ELC Foundation Access: Fig Drain `� f "?� • ELR Crawl Drain Slate, Inspection Notes: SIT -- Pout&Beam - — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - - - --- -- Insulation Drywall Nailing ---- - - - _- - - - Firewall Fire Sprinkler — l=ire Alarm Susp'd Ceiling - Roof Other. -- - -----_--_— -- Final PASS PART FAIL -- -PLUMBING - - -----"-- ---- --- — Post&Beam Under Slab - - - - - -- -- Rough-In Water Service Sanitary Sewer Rain Drains - - - - --- - -- Catch Basin/Manhole _ Storm Drain --V -"---------- - - Showor Pan _ _ —___-- Other: A _ PART FAIL HANICAL ___ — —_— -- ---- - ----"— 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$—_—. —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ [� Please call for reinspection RE:--------- —_ F-1 Unable to inspect-no access Fire Supply Line _ ADA Date Ire"pector .L.1 Ext Approach/Sidewalk - Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business k-ine: (503)639-4171 BUP --- Received Date Requesteee��_ � /.;-� _ AM ___ PM __ BUP Location _ _ �L�'y'��- Suite MEC Contact Persons /'� _ Ph(— ) . _ 3 �3 PLM Contractor �-f3Yi,�ils- 1C— P� ---) SWR BUILDING Tenant/Owner -- __ ____� ELC Footing .� ELC Foundation Access: Ftg Drain ELF! Crawl Drain Slab inspection Notes: SIT Post& Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing — Firewall Fire Sprinkler � - - ---3- - — Fire Alarm / Susp'd Ceiling — Roof Final PASS PART FAIL - - PLUMBING Post&Beam Under Slab — - Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PAPT FAIL MECHANICAL Post&Beam Rough-In --- -- - - Gas Line Smoke Dampers Final PASS PAgT FAIL - --- - ELECTRICAL Service - Rough-In - - UG/Slab Low Voltage -----------_-. - Fi!a,Alarm PARTFAIL EJ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd... Please call for reinspection RE:__ ___ C� Unable to inspect-no access Fire Supply Line ADA Do% �� inspector__�'� , r' Mr�l Ext ApproachiCidewalk a =i3 Other cinal DO NOT REMOVE this Inspection record from the joh site. `ASS PART FAIL CITY OF TIGAiRD 24-Hour BUILDING I Inspection Line: (503) 639-4175 MST _6 INSPEC ON DIVISION Business Line: (503) 639-4171 BLIP Heceived - __ Date Reque ted_L� /a AM PM �/ BLIP Location 1 7 5— �.(1Y11d.. V�--� _—Suite _ --__ MEC Contact Person —_-- _.. _ Ph ( ___--__) _` _s- S PLM Contractor -- -— Ph SWR UILDI Tenant/Owner _ --- --_- -- - ESC noting E LC Foundation Access: ,,,/) Ftg Drain i t vyI�C-s`' / �ry� . ELR - - - - Crawl Drain _ Slab Inspection Notes: SIT Post&Beam -- Shear Anchors Ext Sheath/Shear Int Sheath/Shea, Framing — -- Insulation / C O — Drywall Nailing Firewall Fire Sprinkler ---- ---- -- - --- Fire Alarm Susp'd Ceiling Roof Oth r: D All, nal t!(�/_�_tf'iU� L_:_ dAn _ -- ART — _MBING ----- Post&Beam Under Slab _ ----- - -- --- Rough-In Water Service — — -- - --- Sanitary Sewer Rain Drains Catch Basin Basin/Manhole �• r Storm Drain -�'� - ---- -- — — -- Shower Pan Other: ------- ----- ----- - _—_. Final PnNIC FAIL Post& Beam Rough-In - —• --__-- —__ __---_— -- -- Gas Line Srnoke D rARTICA C'rIaL Service Rough-In UG/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: A _ _._ Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Date Ext ..... Other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL Main OHl^e salern Olflce Bend Office P.O.Box 2381 l -)0 Hudson Ave.,NE P.O.BoA 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Carlson E 1 n Inc• Ptione 1503)684-3460 Phone(503)589.1252 Phone(541)330-9155 FAX(503)684.0954 FAX(503)589-1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER October 31, 2002 T0009300.0 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8'199 Attn Building Departmer:t Re Quail Hollow South — Lot #50 12975 SW Princeton I n — Tigard, OR Permit No.: 2002-00109 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code arid Chapter 2,4.20, Title 24, we have performed special inspection of the following ite, !s) per our inspection reports only Installation of Epoxy Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work,was in conformance with the approved plans and specifications, approved change orders and applicable workmanship proviFions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. i Respectfull/submitted. CARLSOESTING, INC. A m s F. Hletpas Qu lity Assurance Manager H/Is cc: Kerry Becker Concrete Co Froelich Consulting Engineering GGLO Architecture & Interior Design I"NmRDARFPURT51FINI IRIT070PIM, t nCITYOF TIGARD — ELECTRICALPERMIT GY — T RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002 00168 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8!2.8/02 PARCEL: 2S104DA-22400 SITE ADDRESS: 12975 SW PRINCETON LN SUBDIVISION: QUAIL_ HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 050 JURISDICTION: TIG Pruiect Descrintion: Limited energy for audio/stereo. A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR 1_ANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL. INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: -Owner--��— —� — -_ --- Contractor: BROWNSTONE QUAIL HOLLOW LI-C AZIMUIH COMMUNICATIONS INC 12670 SW 6bTH PKWY P.O. BOX 508 STF 200 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: 503-598-7565 Phone: 503-639-0110 Rag #: ELE 36-94CLE SUP 2312JLE LIC 145828 _ FEES _ Required Inspections _Type By Date Amount ReceiptLow Voltage Inspection PRMT CTP. 8/28/02 $75.00 2720020000_ Flect'I Final 5PCT CTR 8/28/02 $6 00 2720020000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throe h OAR 9 ?-0 1-0080. You may obtain copies of these rules orict questions to OUNC at (503) 246-1987. / =slued by �'1 f�l /'%_ Permittee Signature `tet. Xy OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE:______ __ CONTRACTOR INSTALLATION ONL.,Y______ _ SIGNATURE OF SUPR. ELEC'N _ __,__ _. DATE:______ LICENSE NO: --- Call 639-4175 by 7:00 P.M. for an inspection needed the ne..` husiness day Electrical Kermit Application —`-- Datercccived: P O% it no.: 6� City of Tigard Projecl/appl.no.: fApq date: City nfTigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Date issued: y:,. Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 MSri(oOa'd0%9 Case file no.: Payment type: Land use approval: _ 1111 1611 1 U I &2 family dwelling or accessory U Coonncicial/indutiu ial i.]Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: lU Partial WFORMATION Joh address: GAJ Bldg.no.: Suite no.: Tax map/tax loVaccaunt, _: Lot: ) Block: Subdivision: i&lLLQLJ Project name:Q L Description and location of work on premises a e Cliv//&—o Estimated date of com letion/inspection: Job no: Fee Max Business name 2lrN "A)iM(70t) Drscri lion Qty. (ea.) Total no.Ins 6' New reshlential-single or multi famiiv Iwr Address_ �r y ,�'i. F�G 40 dwellingunil.htcludes ntlaclxrl garnge. City: /t q/✓!��[ State:(&* ZIP: )76 Servi-elnctuded: Phone: , ' r;t Fax:5agfit elf E-mail: Indo�y rt.or less a Each additional 500 sq.ft.or portion thereof CCB no.: i $1 Elco.hos.Hc.no: 3� rraffY� Limited energy,residential 2 City/metro lic.no.: Q /�. _ kroitedenergy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electr n(required) fate Service and/or feeder _ sup.elect.name(print); w License nn: Services or feeder—Inslnllatlon. p °T C CYE. �� alteration or relocation: PROPERTY OWNER 200 amps or less 2 Name(print): (3/<'U�/n/S l�l�� 201 amps to 4(x1 amps 2 401 amps to 6W amps 2 Mailing address: _ 601 amps to IWill amps 2 Clly: _ SlafC: ZIP: over 1000 amps of vols 2 Phone: Fax: E-mail: Reconnectonl 1 0%Nner installation:The installation is being made on property I own Temporary see slcesorfeeders- which is not intended for sale,lease,rent•or exchange according to a tipson,alteralIon,orrelocalton: 2W ORS 447,455,479,670,701. 2(N)amnips or less _ 2 201 amps to 41NI amps 2 Owner's si mature: Date: a01 to 6(N)auis 2 Vi 10 Branch circuits-new,alteration, or extension per panel: Name: _ A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit. 2 Phone: I'aX. F.-mail: Each additional branch circuit: Mlsc.(service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each signor outline lighting 2 family dwellings J Building over 10AX)square feet fouror Signal circuit(s)or a limited energy panel. U System over 600 volts nominal nmre residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,4 amps or more •Ik:scri lion: U occupant load over 99 persons U Manufactured structures or RV park Each additional inspection over the allowable In any of the stove: U EgreWlightingplan J Other - peinspection Submit--_sets of plans with any of the above. Investigation fee lite above are not applicable to temporary construction service. I Other 0Not an Jurisdictions accept credit cards,please call jurisdiction for more information. Notice:This permit application Plan fee................. ) $ 7;J• U Visa U MasterCard expires if a permit is not obtained Plaan review(al _ 96) $ Credit card number: -�_-- within 180 days after it has been State surcharge(896)....$ 4 •T Expires accepted as complete. TOTAL $ `r� Name of cardholder u shown on credit card f Cardholder signature Amount 440-4615 16XOCOMt ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY t l f Compee Fee Schedule Below: - -- Restricted Energy Fee...................................................... $75.00 I Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total y Check Type of Work Involved: ResidentI per unit 1000 sq ft or loss $145.15 ❑ Audio and Stereo Systems' Each additional 500 sq.ft.or portion thereof $23.40 _- 1 ❑ Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular ❑ Garage Door Opener" Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or loss _ $80.30 2 ❑ Vacuum Systems' 201 amps to 400 amps $10685 _ 2 401 amps to 600 amps _ $160.60 _ 2 601 amps to 1000 amps $240.60 _ 2 �J Other Over 1000 amps or volts _ $454.65_ 2 Reconnect only _ $66.85 2 TYPE OF WORK INVOLVED COMMERCIAL ONLY Temporary Serv!ces or Feeders Ir.tailatlon,altera',lon,or relocation Fee for each system............................................... $75 00 200 amps or less $66.85 2 (SFE OAR 918.260-260) 201 amps to 400 amps $100.30 2 401 amps l0 600 amps $13.'.75 _ :heck Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above, Audio and Stereo Systems Branch Circuits ❑ Boller Controls Now,alteration or extension per panel a)The fee for branrh circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit $665 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 HVAC Each additional branch circuit $6.65 Y` __ _- ❑ Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 -.._ - ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy panel,alteration or extension $75.09 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional inspection over — ❑ Medical the allowable In any of the above Nurse Calls Per inspection _ $62.50 T__ ❑ Per hour $62.50 ❑ In Plant $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $_ — ❑ Other — 8%Slate Surcharge $ — _—Number of Systems 25%Plan Review Fee ' No Iirenses are required Licenses are required for all other Installations See'Plan Review"section on $ front of application - -- _ Fees: Total Balance Due _ — I Enter tots'of above fees $__ ❑ Trust Account# _ _ _ - _ J 8%State Surcharge $___ Total Balance Due $.--- All New Commercial Buildings require 2 sets of plans. i:�dsts\fermskic-fees.doc 08/30/01 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2.002-00109 Date Issued: 616102 Parcel: 2 S 104 DA-QHS 50 Site Address: 12975 SW PRINCETON LN Subdivision: QUAR- HOLLOW - SOUTH Block: Lot: 050 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 50,Bldg 11, CS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS 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 autl-iorized until th;s completed form is received O�NN[I1 PLUMBING CONTRACTOR BROWNSTONE QUAIL HOL LOW LLC WOLCOTT PLUMBING CONTRACTOR' 12670 SW 68TH PKWY PO BOX 2007 STE 200 GRESHAM, OR 97030 PORTLAND. OR 97223 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: I Ir. 23847 FSI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of thori d Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF T I G A R D MASTER PERMIT CITY PERMIT#: MST2002-00109 DEVELOPMENT SERVICES DATE ISSUED: 6/6/02 13125 SW Hall B!vd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12975 SW PRINCETON LN PARCEL: 2S104DA-QHS50 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 050 JURISDICTION: TIG REMARKS: SF rowhouse,Unit 50,Bldg 11, CS plan with deck. STRUCTURAL FILL., REQUIRES GEO-TECH INSPECTIONS AND REPORTS BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NEW HEIGHT: FIRST: 320 al BASEMENT: of LEFT: SMOKE DETECTORS: Y 1YPE OF USE: SFA FLOOR LOAD: tr, SECOND: 744 of GARAGE: 412 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 732 of RIGHT; OCCUPANCY GRP: R3 BDRM VALUE 5173,30560 2 BATH: 3 TOTAL: t,796 00 of REAR: PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: t LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: t WATER HEATERS: t WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN c 100K. 1 BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: t LPG FURN>•100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp 1 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 - 400 amp: 201 400 amp: lot W/O SVCIFDR. SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 10004111p: 601-amoo-1000v: MINOR LABEL: 1000•amplvoll: Reconnect only: PLAN REVIEW SECTION a-4 RES UNITS: SVC/FDR>•225 A: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO 6 STEREO. VACUUM SYSTFM AUDIO&STEREO. FIRE ALARM- INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH BOILER: HVAC: LANDSCAPEARRIG PROTECTIVE SIGNL• GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: DATA/TELE COMM: NIIRSF CALLS TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES' $ 5,599.33 This permit is subject to the regulations contained In the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC Tigard Municipal Code.State of OR Specialty Codes and 12670 SW 68TH PKWY 12670 SW 68TH PKWY STE 200 PORTLAND,OR 97223 all other applicable laws All work will be done in PORTLAND.OR 97223 accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep M: LIC 124627 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 Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Plumb Final Footing Insp Electrical Rough-in Insulation Insp Rain Drain Insp Mechanical Final Foundatlon Insp Mechanical Insp Shear Wali Insp Water Line Insp Building Final Slab Insp Plumbing Top Out Exterior Sheathing Insl Smoke Detector Final inspection Pim/undslb Insp Framing Insp Firewall Insp Electrical Final Issued By : .�' Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business� / CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES DATEE ISSU #: SWR2002 00084 �---�� 1317.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SSUED: 6/6/02 PARCEL: 2S104DA-QHS50 SITE ADDRESS; 12975 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 050 —_ JURISDICTION: TIG TENANT NAME: USA NO' FIXTURE UNITS: GLA;S OF WORK: NEW DWELLING UNITS: 1 TY?E OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE- LTPSWR IMPERV SURFACE: Remarks: Sewer connection for SF rowhouse. Owner: --- --_ FEES --- ---- -- - BROWNSTONE QUAIL HOLLOW LLC Type By Date Amount Receipt S 12670 W 68TH PKWY --- 126 0 S PRMT CTR 6/6/02 $2,300.00 27200200000 STEPORTLAND,OR 97223 INSP CTR 6/6/02 $35.00 27200200000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Rey #: - Required inspections _ __- This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the 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' Permit and the Agency will install a lateral. ATTENTION: Oregor law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 througp OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1,887. Issued by: �J i ' Permittee Signature: h. j�! [� _(� [ — Call (503) 639-4175 by 7:00 P.M. for an inspection needed th next business day Building FKQ-4yfaion ^F City of Tigard FDereceived: _- Permitno/fA�Tpo.2 � ll Address: 13125 W H ,g �J J Ill�7 l Project/appl.no.: _ Expire date: City of Tigard phone: (503) 639-417��Z1 T y .G� p t3iJILDINO DIMON Date issued: 8 � Recei t no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family-Simple Complex J TYPE.OF U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replaccment U Tvw-nl improvement U Fire sprinkler/alarm U Other: JOB SITE INFORMATION Job address: _ -5 S �.�' �Li /1 C �__-1.L1_1 �' Bldg. no.: // Suite no.: Lot: '' I Block: Suhdivision;�4L,/L ,c am ; i Tax map/tax IoUaccount no.: Project name: Description and location of work on premises/special conditions: Name: ,f . In MrM (Floodplain,septic capacity,solar,etc.) - Mailing address: t n 1 .k 2(Atrnlly dwelling: City: o v �? c State:(7R ZIP: Valuation of work.......... ............................. $_ Phone - IF x: E•tnail: No.of bedrooms/baths................................. Owner's representative: P.0 ' Total number of floors..................•.............. 11u11r - -r) l,F' I;jx b-7^ I mailI New dwelling area( q• ft.)) .......................... — _— APPLICANT Garage/carport area(sq.ft.)......................... Name: C ji5c` L3a, Covered porch area(sq.ft.) ......•...... ........... Mailing address: Deck area(sq.ft.) ........................................ City: Statc: ZI . Cj 1-3 Other structure area(sq. ft.)......................... Phonc: Fax: I:-mail: CommerciaUindustriaUmulti-fandly: 1 1 ft Valuation of work........................................ $ Business uamc: Existing bldg.area(sq.ft.) .......................... r � New bldg.area ;sq.ft.) L�-� �"� r _ a ............................... Address: City c. State4 Z! Number of stories........................................ -- --- Phone• - _ ' Fax:(;�.d-��E-mail: Type of construction.................................... - - - Occupancy group(s): Existing: CCB no.: I 1 4 6 .2 -------- New: - City/metro lie.no.: Notice:All contractors and subcontractors arc required to he� I licensed with the Oregon Construction Contractors Board under Name: �� provisions of ORS 701 and may be required to be licensed in the Address; v C. -.54, l< C) jurisdiction where work is being performed.If the applicant is Cit State Z1P: exempt from licensing,the following reason applies: Contact person:,p,�H Plan no.: - Phone: , x: 13-nonan: Name: ,,,, t welu L 4 vc lContact person: Fees due upon application ...........................$ Address: 69S lu 4,r c c.4 Date received: City: ' tate: ZIP: 3 Amount received .•................... ................... $ 4 Phone: ,� p 1 Fax: E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and Ute No all jurisdicaom awW aodk cards,please call jurisdiction for more iaformnion attached checklist.All provisions of laws and ordinances goveming this O Visa U Mastercard work will be compliedP:.whelhg�hercinr not. Cteair card aumba Esplres Authorized sign tire: : Name d cardlaider a shown on credit cue} Print name: � ,_ ---- Cuda tip au ____ $ Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - 1441617(60"M) PlumbingPe .. ••�� e� Date received: 1'amit no.:'/S-rzoo!/00/ e ok City of Tigard Sewer pcmtit no.: lluildiny,pemdt no.: Address: 13125 SW Ball Blvd,Tigard,OR 972.23 -- Cltr'oJ7 qwd Phone: (503)639-4'"I 1 Project/appl.no.: —_ Expire date: _ Fax: (503) 598-1960 CITY OF '11UMW Date issued: By: Receipt no.: BUILDING EIMSSION Land use approval: Case file no.: Payment type: ❑ 1 &2.family dwelling or accessory ❑CommerciaUndustrial ❑Multi-family U Tenant improvement U New construction U Addition/alleration/replacentent U Food service U O lu•r: -- j6D*MTE INIF6101ATION FEESCHEDULE-4for Job addrm:I ZrJ' J 4, L Description Qt . Fee(ea.) I Total Bldg.no.: I Suite no.: New 1-and 2-family dwellings only: Tax map/tax lot/account no.: �- (tDcludes100fLrereachutility conn«lion) SFR(1)bath _ Lot: !r Block: Subdivision: SFR(2)bath -- --- Project name: — SM(3)bath City/county: — ZIP: Each additional baddkitchen --- Description and location of work on premises: 5iteutulties: Catch basinlarca drain Est date of t:ompletionrnspection: Drywells/Irach line/trench drain r r Footin drain(no.lin.ft.) PLUMBING Manufactured home utilities Wolcott Plumbing Manholes PO Box 2007 Rein drain connector Gresham OR 97030-0594 Sanitary sewer(no.lin.ft.) 503-667-1781 Storm sewer(no.lin.ft.) CCB:23847 PI-M 11:26-20,1-'1,1 Water service(no.lin.1") Fixture or Item: Contractor's representative signature: — Ab tion valve _ Back flow preventer _ Print name: 1 l�i1i' Backwater valve CONTACT a Basins/lavalory -�-_ Name: Clothes washer _— -- - --- Dishwasher Address: —_--. -_---_. —_ Drinking fountain(s)City: State: ZIP: Ejetxors/sum,i - Phone: I ar F.mail: Expansion toAk _ t+ I--uturds•:wer cc-.p — '— Name(print): -Moor drainshloor sinks/hub Mailing address: -�--- -- — Garbage disposal — -- _.— Hose bibb City: --- State: ZIP: _ Ice maker --- Pholic: —11-,ax: E-mail: Interco todgrease trap Owner instal lation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on Ute property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's a nature: _ Dale: Sum T11 10 11 Tubs/shower/shower pan Urinal Name: ----- Water closet Address: --- ---- --- Waterheater --^— City: State: 71P: Other. Phone: Fax: 1✓mail: T' _ —•— — Na all kvisd ctlam accelK credit c",pka+e call jiciu krion fu ever ra oa Notice:This permit application Minimum fee................$ , n Visa U MasterCard expires if a pernlil is not obtained Ilan review(at —%) $ c zr&card armbw within 180 days after it has been State surcharge(8%)....$ - m trodit card accepted as complete. TOTAL........................$N fine d wt4roldcr u tha�r° = — — Cordholda tlR.urtrte Ama®1 440 4616(fitYYGIKI Mechanical'Pcn Ua:ereceived: ------- Pern►itno.: ! Zpp - City of Tigard r-r R I ?fln.) 1 jeer/appl_no: I'.xpurdate: CityojTigard Address: 13125 SW Hall Bl2 pate issued` By: Receipt no.: Phone: (503)639.4171 dffld Fax: (503)598-1960 B'A'D Nr MMO Case file no.: Payment type: — Land use approval: Building permit no.: 7�133 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ew construction 1-1 Addition/eJteration/rcplacement U Other: —_--__--__— ! t 1 Job address:j-Z F' $W C .. Indicate equipment quantities in boxes below.Indtcatc the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ .___ —____--- �(; > Block: Subdivision: 'Sec checklist for important application information and Project name: - jurisdiction's fee schedule for residential permit fec. City/county: ZIP: SaIE1 Description and location of work on premises: 1 _ hcc(ea) Tail Dev7i ion (Ay. Res.only Res.ouly. Fist.date of compleaon/inspection: - _— I U -- Tenant improvement cr change of use: Air handling unit ._CRN Is existing space heated or conditioned'!U Yc U No Ali conditioning(site p an requi is existing space.insulated?U Yes U No I A terationo7eisting ACSsystemNIECHANICAL t 1 3oiler/compnxsors — State boiler pemlit no.: HP Tons—__BTII/11 _ Four Seasons HeatingS: ��,l Scrt ice Inc i Brno edam uctsrnerkr,dcicxtors PO Box 66409 eat pump(sue p an rcquircc3)�_ -Portland OR 97290-6409 rnI stalUrepacefumace/burner—�i47'U/fi 503-775-5919 Including ductwork/vent liner U Yes U No CCB: 4R2R? nsta rc.(t ac�ocat-e teasers-suspended.-- wall,or floor ntounted -- - - Namc(plcas. printf Ventfnra tan �othcrthanfurnacc e � - — FF Absorption units 11TU/l l --__ HP -- Name: _ - --- -- - Com ressrns Til' Address: _ - — av�nment�ust an vmtilat on: City: Sour: _[Appliance vent _ Phone: - Fax: 1 start: Drycr ezltauit — ;dais,l ypr res. ttc iT eii—zmat hood Circ suppression system Nance: - -__ Exhaust fan with single duct(hath fans) - ---- - -- — gusts stem s�mm heatik-r or AC Mailing address: f _ _ - p p a wiion(ut,—to 4 nutlrasl City: fitatc: 7.11': T IJ'G NG cat_ __ _ —�____------ yp�: -- --- _- Phone: pax: l: mail. 1•_Le i—ingeacTiaddilionai1ev- era outlets 'rocenpiping(schematic requIurdt Number (outlets Name. e�iist�p a or equTpmenl: —_ - — — Address: _ _ fkcorativeGreplacc _ _ - City: — - _ _- State 7.1P: - -� rt-type - _ - : � tov pe let stove — - 1'Ilonc: I'ax: -mail: ( F Applicant's ,ignaturc: f Date: Name (print): a--- - — --- — — -- Permit fee:....................$ _ Na tut hrridicti«u$Dow ctedh cards.t Notice:This pertnit application Minimum fee....... ........$ ._ U Visa U MasterCard expires if a pemrit is not obtained Plan review(at _ %) $ _ c raft card oumtw: — --.._._-_._----- within IEO days after it has peen State surcharge(8%)....$ ---- — accepted as complete. .oe of ardlsotde+., o--o aeda ccard = 'TOTAL ................ - CatdLdda uRaatmr -- _ Anowl 446-41517(60)RN.n Electrics',JRE Q- FLbVion Date received. Ptxrtnit no.: . -0 tat. City Of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall YTQW4l* W Date issued: By: Receipt no.: Phone: (503) 639-4174MDfNV DMMON Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TVPE OF PERMIT ❑ 1 & 2 family dwelling or accessory U Commercial/industnal U Multi-family U Tenant improvement 7 U New construction U Addition/alteration/replace mt-nt U outer _ U Partial 11 SITE INFORMATION Job address:I1 r g Wr',tict �, �,.�_ {31dg. no.: Sartre no. ITax map/tax loUaccount no.: Lot: sion:Block: Subdivi — "-` Project name: _ Description and lcx:ation of work on premises: — Estimated date of completiorthnspection: — 1 I Job no: -----,� Fre Max DruAlitlon Qty. (ex) t nu.lns Streamline Electric New residential-sinrzkoraadti-famihper DBA LaVolleyCorporation dwelling unit.Includes attacirrdgaragr 6025 East 18"'St Senicrkactuded Vancouver WA 98601 VXX)tg n orless __ _ 4 360-993-5080 Each addniona1500 sy ft.or portion thereof CCB:116514 ELC#: 34-432CSIIPN: Limited energy.residentH 2 Urnited energy,non-residential -- 2 [jch manufactured home or modular dwelling Signature of supervising electrician(required) Une Service and/or feeder 2 Sup.elect.name(prinq: license no se►Heesorfeeders-linerslatlon, alterafien or relocation: OWNER, 2(10 amps or less Name(print): 201&trips to 400 amps — 401 amps to 600 amps — — Mailing address: 601 amps to 1000 amps -- —2- City: SlalC Over 1000 amps of volts 2 Phone: Fax: _ E-mail: Reconnectonl --- — t Owne:installation:The installation is being made on property I own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to Insitaltatiomalteration,orrelocation: ORS 447,455,479,670,701. 200 amps or leas 201 amp!to 400 amps — '- Owner's si nature: Dalc: 401 to 6fastrips _---- 2-- Branch circuits-new,alteration, Name: or extension per panel: -- ----- A Fec for branch circuits with purchase of Address: serrvice or feeder fee,each branch circuit B. 2 City: State: ZIP: for branch circuits without purchax Phone: f��ax: E-nwil: of service or feeder fee,fent branch circuit: _ 2 tach additional branch circuit "PLAN RrV1 FW(Plente check all 11 Misc.(Service or feeder not included): U Service over 225 amps-commercial U Health-cue facile v Each punt or irrigation circle 2 O Service over 320 amps riling of I&2 U Hazardous logia bor Por sign or outline lighting _ 2 family dwellings U Building over 100kr: uarr feet four or Signal chcuit(s)or a limited energy panel, U System over 6(x1 volts nominal more residential units in neer stn,rturr alteration,or extension* 2 •Building over three sone_ U Fendtxs.400 amps or more *Description __ _ U Occupant load over 99 persons U Manufactured structures or RV park Finch additional Inspection over the allowable in any of the above: — — U EgressAightingplan U Ocher: _- Per inspection Submit^sets of plans with any of the above. Investigation fee �—�— The above are not applicable to temporary construction service. (Mier A-- 'W,7911 jurisdictions wcrr creed,rWs.please call jurisdicdon lot rnae idorinw- Notice:This permit application Permit fee.....................S _ ❑Visa O MasterCard expires if a permit is nit obtained Plan review(at —,. %) $ _ Credit card numhv:____ ---___ —.1x _ within ISO days after it has be-:n State surcharge(8%)....$ Name d eaMholder u shown on credit end -- accepted as complete TOTAL .......................S s CardhdJer siterut a Arnoual' 440-4615 tti+otYcoM► CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE JUN 1 STREAMLINE ELECTRICAL CII. Y ur IPjAf— DBA LAVALLEY CORORATION liuIL };NC 6025 EAST 18TH ST VANCOUVER, WA 98661 Electrical Signature Form Permit ##. MST2.002..00109 Date Issuerl: 616102 Parcel: A19104DA-QHS50 Site Address: 12975 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lct: 050 Jurisdiction: TIG Zoning: R-4.5 RE:marks: SF rowhouse,Unit 50,Bldg 11, CS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS 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 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, AT-1-N- Building Dept. No electrical inspections will be authorized until this completec' form is received OWNER: ELECTRICAL CONTRACTOR: BROW14STONE QUAIL HOLLOW LLC STREAMLINE ELECTRICAL_ 12670 SW 68TH PKWY DBA LAVALLF_Y CORORATION STE 200 6025 EAST 18TH ST ORTLdNND -5pR 97223 VANCOUVER WA 98661 hone .5098-7565 Phone 1# 360-03-5080 Req #: LIC 116514 ELE 34432C SUP 4601S AN INK. SIGNATURE IS REQUIRED ON THIS FORM 1 _X_ Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00484 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/02 PARCEL: 2S 104DA-22400 SITE ADDRESS: 12975 SW PRINCETON LN SUBDIVISION: QUAIL HOI.I-OW - SOUTH ZONING: R-4.5 BLOCK: LOT: 050 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: _BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: i DOMES. INCIN: 3 15 HP: COMML. INC'N: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP. GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: ---- > GAS OUTLETS: 10000 cfm: Remarks: Installation of exterior AC unit. Cannot be placed in the required set backs. Owner: FEES BROWNSIONF QUAIL HOLLOW LLC Description Date Amount 12670 SW (Mit i PKWY STE 200 [MI'.('llI Permit I rr 10/30/02 $72.50 PORTLAND, OR 97223 [Mi.t'II1 I'enuit Fee 10/30/02 $0.00 ITAX 181 StateTax 10/30/02 $5.80 Phone: 503-598-7565 [TAX 18",,Suite]u\ 10/30/02 $0.OU Contractor: Total $78.30 FOUR SFASONS HEATING & A/C I'O BOX 66400 PORTLAND, OR 97290 REQUIRED INSPECTIONS Phone: 503-775-5911 Cooling Unt Insp Final Inspection Reg#: 48283 EXPIRED This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law raquires you to follow rules adopted in the Oregon Utility Notification Center. Tho rules are set forth in R 952-001-00 Issued By: ' "i �. Permittee Signatur�: Cali (503) 639-4175 by 7:00 P.M. for inspections neeZfed the next business day Mechanical Permit Application Date received Permit no.:s1m �Gtt� 7a l/ City of Tigard Project/appl.Do Expiredate: CiryofTigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Date issued: By:60 Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use al-7roval: Building permit no.: 1 , U I &2 family dwelling,or accessory J t't,nunrrcr,tl/uidu,utal U Multi-family U Tenant improvement U New construction U Addition/altcratmon/replacenmenl U Other: JOB SITE INFORNIA] I Job address: 0 - ,,.i x Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ _ W: I Subdivision: , v Glti' ) 'See checklist for important application information and Project name: _ inri,+(Iiroow,� fel• !,chedide for residential permit fee. 110 9 D1111111111111111 City/county: ZIPc t r Description and locati,ln of work on premises: II Evil Fj 10111I Pcc(ca.) focal Est.date of completion/inspection: I)euriptivn ____ ptm• Rrw.onh Rry.nnlm Tenant improvement of change of use; Alt handling unit CFM Is existing space heated or conditioned?U Ycs U No it con iuonmg(site plan require ) _ Is existing space insulated'?U Yes U No Alteration cf ex sting HVAC'system !—I compressors State boiler permit no,: Business name: r c �1�.- HP Tons BTU/H Address: ? ,i Fire/smoke ampere uct smoke detectors City: State: ZIP. eat pump(site an rcyu re ) Phone: ax: E-mail; nsta rep ace urace urner _ 3 Including ductwork/vent liner U Yes U No CCB no.: = nsta rep ace/re ocate heaters-suspended, City/metro lic.no.: wall,or floor mounted Name(please print): Vent for a t lance other than furnace Refrigeration: t Ahsorptionunits___—._ Nano,: Chillers —..... ------- Com mressors III' Addrv�,s; nv ronmenta exhaust an ventilation: Oily; State ZII' Appliance vent I'honc. I ax: E-mail: Dryerex taust _ 0o s, 'ype res, ilc a hazmat hood fire suppression system -- Nance: Exhaust fan with single duct(hath fans) Mailing address: Exhaust system a an from wating or AC — City: _ talc: 711 Fuelpiping,andistribution(up to outlets) _-_ Type. LI'l i NO Oil _ Phone: I-ax: I tn,til -ue i in enc additional over outlets Process piping(schematic required) Nunihci of outlets Name: — ter listed appliance or equ pnient: — — Address: Decorativefi.eplace _ City; State: ZIP: Insert--type Phone: - Fax: — E'-mail: o stov pc et stove Ot er: Applicant's signature: Date; — `t� ter: Name. (print): ' r Permit fee.....................$ VA,Nta all jurhdictions accept credit cards.please call liltisdiction fur mae inftxntation Notice:This permit application Minimum U Visa U MasterCard expires if a permit is not obtained ran review e(at _ %) $ Credit card number. —______ - within IRO days after it has been :sptres State surcharge(896) accepted as crmrn Iele. ....$ Name-of cardhol3er ns shown on credit card s p p TOTAL ......................$ --- — Cardholder signature — Amount 4404617(MA/COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: _ Price Total $1.00 to$5,0.00.00 Minimum fee$72.50 Table 1A Mechanical Code _ oty (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 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. includingducts&vents 17.40 $1n,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 including 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$25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units $50 000.00. 12.15 $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 Comp " _ fraction thereof. footnotes below. " Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit to 100K BTU 14.00 8%State Surcharge $ 8)it 15 absorb 25.60 unit 100kk t to 500k BTU _ 25%Plan Review Fee(of subtotal) $ - 9) HP;absorb 35.00 Requlred for ALL commercial permits only unit .5-1.5-1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ unit 1-11.7.75 mil 30 l BTU absorb 52.20 unit _ _ _ 11)>50HP;absorb 87.20 unit>1.75 mil BTU ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount _ 17.20 Furnace to 100,000 BTU,Including 955 14)(Jun-portable evaporate cooler ducts&vents 10.00 _ Furnace>100,000 B rU Including 1,170 15)Vent fan connected to a single duct ducts&vents _` 6.80 Floor furnace Including vent _ 955 -- 16)Ventilation system not included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included In appliance 445 10.00 permiI. 805 18)Domestic Incinerators 17.40 Repair units __- _ <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU _ 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb,unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 540 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU __- Air handling unit to 10,000 cfm 656 8%State Surcharge $ Air handling unit>10,000 clm 1.170 _ Non- op rtable evaporate cooler 856 _ TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 448 Vent system not included In 656 appliance permit Other Inspections and Fees: Hood served by mechanical exhaust 656 _-_ t Inspections outside of normal business hours(minimum charge-two hours) Domestic incineralur 1.170 $62 50 per hour Commercial or industrial Incinerator 4,590 _ 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,including wood stoves, 656 $62 50 per hour Inserts,etc. __ 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas I In 1.4 outlets 360 _ charge one-half hour)$62 50 per hour Each addltional outlet 83 -- 'State Contractor Boller Certification required for units>200k BTU. -- - TOTAL CO ""Residential AIC requires site plan showing placement of unit. MMERCIAL f VALUATION: All New Commercial Buildings require 2 sets of plans. IAdsts\forms\mech-fees.doc 02/11102 1,5.56 r� 161 \ ✓"� ?y'. r�� • S ! •e i y �. y S• �' 1.E23 F �. .: 0 L 9.0 l' 1 �b S46' 2'02"E 162 .50, S46' 2 02T\ -1 0• 125 SFJ \ -.4.5 t;69_ 2,082 1 9S Id 164 r\ �,� ,�' . ;a 17. - . j 1,420 ° / V 1.698 SF � 65 SF S, 6 � 1,250 sF'' �.y r= 1 C 10 v ti 5 SF 166 ,�� ;,c►1 ,� t �� / F \ 1,239 61 SF \ 1 167 N51'33 53 E 2 2 p 1WV l' ' �L' �/, , 41 VV �j7 L1 SF 91, 1,701 T 170 . 1,503 SF � Ov w 171• " ` •�"�. 14 '`��s,. ^�• /`� 1.47.5 SF � mot FY 0" 1,469 Sf Z374 �1 7 IN IN � t � CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTIO.� DNISION Business Line: (503)639-4171 BUP -- _-- — Recoived �__c_�_h_ _-__ Date Requested BUP - — Location �_�-1-1��-�.� 2 fi nc�f1L�-t' Suited MEC Contact Person ____- - Ph PLM Contractor___ �� m�'�'! ) 3C' _ SWR BUILDING -- -- Tenant/Owner -- ------ wZ :JrLtF Footing ELC Foundation Access: ELR Ftg Drain Crawl Drain ----- -- SIT _ Slab Inspection Notes: Post R Beam --- - Shear Anchors / ` Ext Sheath/Shear LA Int Sheath/Shear _ Framing Insulation Drywall Nailing Firewall Fire Sprinkler --- — Fire Alarm Susp'd Ceiling - -I Ica� Roof Other:_--- -- Final _PASS PART FAIL PLUMBING - Post A Boam Under Slab — Rough-In Water Service Sanitary Sewer — Rain Drains Catch Basin/Manhole Storm Drain Shower Pan -- Other: - - -- - Final _ PASS PART FAIL MECHANICAL _ - - --- - Post Rough-In Gas Line Smoke Dampers _--- Final PASS PART FAIL ELECTRICAL — - -- - - — Service — Hough-In — ------- UG/Slab FireFire Ara-rm 4�2 Reinspection fee of _� required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. S�PART FAIL Please call for reinspection RE: [j Unable to inspect-no access Fire Supply Line f ADA Dates a3- Inspector Ext--- C � _Q�_ _-� Approach/Sidewalk Other: - Final DO NOT REMOVE this inspection record from the Job site. PASS PARI FAIL ®►.eeeeeee�eeeeeaeeeeeee�eeeeeeeeeeeeeeeeeseee.�� ► rD C-t CD �^ N � -+, '•�I d -� y O ► � Y ►� 1 ► ► C ► 4 � ► '� r ,� r� ► ► �I i ° '41 ► 4 I► ► 4 ► rvvvvv v vss v vvvv*-VVTVvvvIFv♦ ♦I r�o�e�i��r� Ell- CL cr 0 tl CL o � Q. cn � a n c J Er I IL s n v I d a 7 ti I � e a �O F I i I