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Y I I 14980 SW 103RD AVENUE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24• lour Inspection Line: 639-4175 Business Line: 639-4171 — - BLIP --� Date Requested_. �G AM PM — _ BLD _ Location�� O S u �_rl „�� Suite MEC Contact Person Ph _ P!.M Contractor Ph SW R BUILDING Tenant/Owner E L C Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN -------- Crawl Drain Inspection Notes: --- ----- Slab SIT Post&Beam - -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - Fire Sprinkler A Fire Alarm - _� Susp'd Ceiling _� '' Roof Misc: Final - -^— PA _ RT FAIL - UMBING Pposit, r �� _._- -- -- - -- ----- ----- - - - - __ Under Slab Top Uut ---- Wa!er Service --- aia ��- Rain rairs Final -- -- PART I AIL WC ANICAL Post& Beam P.ough In Gas Line ---- ------- --- ---_ _ Smoke Dampers Final - ---- - ------- ------------- - _ ----- PASS PART FAIL ELECTRICAL __--- Service Rough In ---- ------ ---- ---- - UG/Siab Low Voi:4;p ---------------------------_ ----- Fire Alarm Final PASS PART FAIL _ SITE Backfill/Grading --' --- Sanitary Sewer Storm Drain ( J Reinspection fee of$ _ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RF- Fire ( J Unable to inspect-nn n„ ADA Approach/Sidewalk Other _ Date !�' _Inspector—Py? "Q Fxt ? Final PASS PART FAIL. DO NOT REMOVE this inspection record from the job site. Cr TY OF T i G A R D _ PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2000•00107 13125 SW Hall Blvd., Tigard, OR 67223 (503) 639-4171 DATE ISSUED: 04/05/200" SITE ADDRESS: 14980 SW 103RD AVE PARCEL: 2S1111—B-01000 SUBDIVISION: DEL MONTE SUBDIVISION ZONING: R-3.5 BLOCK: LOT: 009 JURISDIC Kr N: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRA'!S: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: T'JB/SHOWERS: SEWER -INE: 100 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of new sewer service. Does not require reverse plumbing, less than 100 ft of line. _ Owner: FEES SHERIDAN, DANIEL J + Type By Date Amount Receipt -- JOZSA, MARGARET ANN PRMT KJP 04/05/200C $50.00 0001157 14980 SW 103RD 5PCT KJP 04/05/2.000 $4.00 0001157 TIGARD, OR 97224 I Total $54.00 Phone 1: Contractor: CANTRELL &SONS CONTRACTING 6860 SW NORSE HALL RD TUALATIN, OR 97062. REQUIRED INSPECTIONS Phone 1: 503-638-0800 Sewer Inspection Reg #: LIC 97005 Final Inspection ORIGINAL 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 work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon lav: requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain c ies of these rules or dirE;ct questions to OUNC by calling (503) 246-1987. Issued By: 1r Permittee Signature:�'T �.f d 2V."4 Call (803) 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARU, OR 97223 Date Recd (503) 639-4171 Date to P.E. _ Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit# PL til zcpL-Ou a7 Related SWR# '20LIO-C00 fie/ Called Mame of Development/Project FIXTURES (individual) QTY PRICE AMT Job Sink 11.50 e ddress Street Address Suite Lavatory 11.50 J �� c Tub or Tuu/Shower Comb. 11.50 Bldg# I CItX/Slate, Zip Shower Cnly 11.50 me 7 Water Closet/Urinal (Specify) 11.50 Uishwasher 11.50 Owner Mailing AddressSuite Urinal 11.50 Garbage Disposal 11.50 ,ly/ tate,t Zi hone_ Laurel Tray 11.50 Z I �-- Laundry y Na Washing wtachine/Laundry Tray (Specify) 11.50 Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 4" 11,50 City/State Zip Ph-jne Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit. e MFC;Home New Water Service 28.00 Contractor ailing Address Suite MFGHome New San/Storm Sewer 2800 Hose Bibs 11.50 Prior to permit Jty/St a Zi Phon Roof Drains 11.50 issuance,a copy r ') Drinking Fountain 11.50 D of all licenses are Oregon Con t.Cont.Board Llc.# Exp. to required If r' Q Other Fixtures(Specify) 15.00 expired In COT Plumbing Lic.# Exp.Date database Name Architect _ sewer-1st 100 38.00 Or Mailing Address Suite Sewer-each additional 100' 32.00 Engineer City/State Zip Phone Water Service-1st 100' 38.00 Water Service-each additional 200' 32.00 Describe work to be done: Storm 8 Rein Drain-1 st 100' 38.00 New O Repair O Replace with like kind. Yes O No O Storm d Rain Drain-each additional 100' 32.00 Residential O Commercial O Additional description of work: Commercial Pack Flow Prevention Device 32.00 Residential Backflow Prevention Device' 19.00 Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No O Inspections er/hr If yes,see back of form to indicate work perfurmed by Rain Drain,singlo.family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application,that the Information Isometric or riser dingram ie required If Quantity Total is >9 given Is correct,that 1 am the owner or authorized aOPnt o,the owner,and ------- that plans submitted are In compliance with Oregon State Laws. "SUBTOTAL i 3)gnatu� Owned t^ mate n� - 8%SURCHARGE or& 79111a one "PLAN REVIEW 26%OF SUBTOTAL �. r.,� BATH HOUSE .00 Required oil 0 fixture t total Is,9 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$285.00 -- - - (This fee Includes all plumbing fixtures In the dwelling and the first *Minimum pemdt fee is$50+8%surcharge except Residential Backflow Prevention 100 feet of sanitary sewer stomt sower and water service) uevlce which is$25+8%surcharge -All Now Commairiel Buildings requlre plans with Isometric or riser diagram and plan rev ew 11dsblfotniMplumapp doc 1011199 PLEASE COMPLETE: Fixture Type _ Quantity by Mork Performed Moved Replaced Removed/Capped Sink Lavatc:ry _Tub or Tub/Shower Combination Shower Only _Water Closet Dishwasher _ Urinal_ _ _ Garbage Disposal Laundry_Room_Tray Washing Machine Floor Drain/Floor Sink 2" Water Heater _ Other Fixturc��; (Specify) COMMENTS REGARDING ABOVE: CITYOr �I��R� SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00061 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/05/2000 PARCEL: 25111 CB-01000 SITE ADDRESS; 14980 SW 103RD AVE SUBDIVISION: DEL MONTE SUBDIVISION ZONING: R-3.5 BLOCK: LOT: 009 A JUR;SDICTION: TIG TENANT NAME: USA NO. FIXTURE UNIT.,': CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSSI-ALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Connection to sewer lateral as part of Reimbursement District#16. Reimbursement fee of $8000,00 paid on 4/5/00. Septic tank to be pumped, filled or removed and inspected. Owner: FEES SHERIDAN, DANIEL J + Type ay Date Amount Receipt JOZSA, MARGARET AN14 14980 SW 103RD PRMT KJP 04/05/200C $2,300 00 0001 160 TIGARQ, OR 97224 INSP KJP 04/05/200C $35.00 0001160 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires i 80 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accar?ry 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 inst-iller shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law recuires you to follow rules adopted by the Oregon Utility N tification Center. Those rules are set forth in OAR 952-001-0010 thr ugh OAR 952-001-0080. You may obtain copi s o these rules or direct questions to OUNC by calling (503) 246-1987. Issued by: 41e-&4,,U-•, Permittee Signature: Call (803) 639.4175 by 7:00 P.M.for ani Inspection needed the nexlb,, i ess day CITY OF TIGARD CbMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 972230199 (503)639.4171 PLL-111MLING PERMIT 6 3')-W.41-/1 DATE issmirj: TTE ADDRESS— . 14980 SW 103P0 AVE 5LIDDIVISION. DEL MONTE SUBDIVISION 700.NG. R LOT. . . . . . . . . . . . . ... BAG t C -AL. MOBILE HCAC. SPACES. WoRr. , P,r A" 1PICS TYPE OF USE. . . . tGF WASHING MACV?. . . . . . . CAUtr"LOW PREVNIMS. C]Pr-'s. . : R:7, r-LCOR DRrirNC,. . . . . . . . 7,R f It'*'I":. . . . . . . . . . .. . . . . GTORIES. . . . . . . . t WATCR HCATERS. . . . . . .1 CATCH LIPS I M3. f-TX1*URV---)- L.rqLJ1?qnRy TRA','S. . Sr" R A.1 N D R P I N I m<s. . . . . . . . . .. . URINALS. . . GQCACC TRAP1,;. . . . . . . U-)'NITCRICS. . . . . OTI 1r-rk i-T TUB/SHOWERS. . . . 15-EMER LINE fft ) — . WATr«P CLOC-TS, , WATCR, 'LINIE ( ft, ; 1)1 5'H WA S HE R,�.') » » r R(41"4 DRAIN (ft ) . FEES) :!i fit o'.I n t L)y (1 11 V e C 49CIO SW tO3RD PRM17 11 1, 00 Jnr! 0`/30/11 Or; OR mtr-ia :toy OLUMPTA i r,--ATJt4r5 .0 1--IQX 2130397 OR 97i28,t IL00i. 4a 612'4-8704 4. . - '76,J39 As Pe wk,'t it issued subject t,- t7e rqu].Akrs Con'.ained in the Wt.- to t- 11 o ri gird MUNCipal COV, Stitf of Iripecioltv Cages and all Other G, :' i'. i,n e luli,�oble loot, Pl! nork Mill be d;ne in wordance with F i ri a I T r s ri c.t:-t. ri %arnytd plans. This aireit will emoirt if work It not startpe t thin 180 e4yt of iWjdme, 01, if wo-4 is ii vapmoded for oore An da,''t. lul veli 7 LA- C a,I I E'er i t, i c,m - 6"l'.) x'41 .,JIM City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 1312 SW Hall Blvd. Permit # _EL Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N 1OFr"IOp"1.111 New Single Family Residences Only A0'— O 1 BATH HOUSE $140.00 P 2 BATH HOUSE $195 00 Job '� J 1 I G ❑ 3 BATH HOUSE 5225.00 Addr essze Fee includes all plumbing fixtures in the dwelling a0 the first 100 feet car+ywu. f^Q 4 of water service, sanitary sewer and storm sewer. See fees below NW4!jnW"#19U&W"jFIXTURES - QTY PRICE AMT r!- 1 _ ' Sink. 9.00 J&"Aftm Pilau lavatory — 9.00 Owner Tub or Tub/Shower Comb 900 Shower Only 900 Water Closet I 9.0 - Dishwasher — 90Oil nllfy� / Garbage Disposal 9.00 Occupant M",,,Q Ad*� � L�{ P,,,� Washing Machine _ 3.00 Floor Drain 9.00 zip Water Heater 900 c c. _ Laundry Room Fray 9.U0 Urina; 9.00 I ) r /I Xf Other Fixtures (Specify) 9.00 MMy Aftm -- Contractor 9.00 Bc X �3uy)-1 9.00 `"a.... zip _ 9.00 I ;Z_ Sewer 1 ct 100' 30.00 31"1" prone"No. /`'/`"`s' '"N. Sewer - ea. Addit. 100' 25.00 '( I !� ��"V Iv'3 f/ Water Service 1st 100' 30.00 —v I hereoy acknowledge that I have read thid application, that the Water Service ea Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm & Rain Drain 1st 100' 3000 1 am registered with the Construction Contractor's Board, that the Storm & Rain Dram AodR. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 900 Any Trap or Waste Not \� � t � �) ' �'1� �_• rl ` Connected to a Fixture d 9.00_ Describe ork new addition (J alteration 0 repair 0 Catch Basin 9 00 to be done residential Q non-residential Q — -- Insp. of Exist. Plurnoing 40 00/hr -- Existing use of Specially Requested Inspections Y 40.00/hr — building or property — _—_ Rain Drain, single family dwelling 3000 Residei tial backflow prevention devices 1500 Proposed use of building or property — _ '(Except residential backflow _ prevention devices) NOTICE "Minlmum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION — AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSF_NDED OR ABANDONED ------ _ FOR A PERIOD OF 180 DA'r S AT ANY TIME AFTER WORK IS COMME14CED PLAN REVIEW 25% OF SUBTOTAL TOTAL Special Co Idlfions — — —1 -_- _-- Date issued _ —by — -- --^ ((t;!TY OF T!BARD J-rIERMI�"" 40; PERM 1 T #. . . . . . . .. ME' COMMUNITY DEVELOPMENT DEPARTMENT 7SU70; 05/70/ 13125 SW Hall Blvd,Tigard,Oregon 97223.8190 (503)639.4171 —17 51W 10.7,r%r. 'USD 1111 SION. . . . t T. MONTE SUBDIVISION ZONING. 11-3. 5 -,W-33S OF rLOOR PURN, . . . l Y,117 OF LJ5E— . - ASF UNIT HEATERS. . : V r N7 ,-ANS. . . -1, T Y ;)r.NTS W/O rIPPL.. V C. -1 1 C- '- ,7r- BOILERS/COMPRESGORS HOODS. . . "- ;-117,. Onsl ,Ax IN'1.11, r TU 71 el I RE D e,4 M r,17 R, "? 30 -50 1-47% W00DS;T0VL:'r. . PRE!',)UPC. HPV b 6 C.L. r)51 A I R t-,ANDL I NGi UNITS OTHER UN 17 'URN 104 S T U t I A'000k. :flm : GIs (DIJIP "-T— URN --10121K BTU: 0 Q,0 c-f III r')TU -01F f. EEL'? 'l-)N `11h•,I'7OAN 11'.- t, by sw 103pri PROIT 1; -75. 00 70;1 P IF 11 1 1(3APr, OR r, it, t 4A c-,t o BOX a3O397 OAK) 0R T7 madt., r4 ate of D.,v,, SpicWtV ttdfirl all AtIV p ;t City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # [11tiC 9S' DISC Tigard, OR 97223 X503) 639-4171 escrn on Table dA. Mechanical Cude CITY PRICE AMT Job ) _Ll 1) Permit Fee M -0- 0- 10.00 Address - (J��ZL(_ 2) Supplemental Permit 300 Furnace to I 00,00GITI U r 1) incl. ducts& vonts 1 6.00 umace , X= 0-ner 2) incl. ducts 8 vants 750 Floor urFa-c - _ 3) incl. vent 6.00 p--T�w�" �uspen heater, wa eater 4) or floor mounted heater 6.00 Occupant 5) appliance permit 300 ° repair n eating, re ng. _ _ 6) cooli-g, absorption unit 6.00 C IU —moi er or or comp, a-Ti t pur�p,air con . I T. 7) to 3 HP;absorp unit to 100K BTU 6.00 wy� r Boiler or comp, eat pump, air con -- - Contractor �(J ( 8) 3.15 HP; absorp unit to 500K BTU 11.00 RAIL i e-T r or comp,Faa p--t ump,au con - --- li� 3) 15-30 HP;absorp unit 5 1 mil BTU 1500 i er o�comp-Tie.3t pur„p,air con . 10) 30 50 HP;absorp unit 1-1.75 mil BTU 22.50 sere y ac owe ge a ave read -m app ica ion, a e 13357 or comp, heat pump,air cond-. — infurmatio, given is cnrrect, that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 3750 of the owner, that plans submitted are in compliance with Stata Air hanciling unit to laws, that I am registered with the Construction Contractor's Boarr+, 12) 10,000 CFM 4.50 tf,at the number given is correct. (It exempt from State registration, Air i}an3rinp ung - please give reason below.) 13) 10,000 CTM . 7.50 Non porta e 14) evaporate cooler 4.50 vent ran connec 15) to a single duct 3.00 enu aT-T-u'on system not -- 16) included in appliance permit 4.50 7 -----Trood served y - � 17) mechanical exhaust 4.50 U"Cfffi Work new qp andition Ua tera on repairommercia o�inin us riT"--- to a done residential 0 non-residential Q 18) type Incinerator 30.00 Existing—-U14-0-OT— Other i.e.,woodstovo,water building or property 19) heater, solar, clothes dryers,etc. 4.50 Proposed use of building or property 20) Gas piping one to four outlets 2.00 (!! Type of fuel-oil Q natural gas(9 LPG Q electric O 21) More than 4-per outlet NOTICE Minimum Fee$25 00 SUBTOTAL PERMITS BECOME VOID IF WORK OR r 'NSTRUCTION AUTHORIZED IS NOT COMMENCED H IN 180 DAYS, OR 5%SURCHARGE IF CONSTRUCTION OR YORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL A-1 Special Conditions — —L Date issued by b MECH°Mi �ddYmMMr WASHINGTON COUNTY ELECTRICAL L PER 11/1 IT Department of Land Use & Transportation /'1 Electrical Inspection Section 155 North First Hillsboro, Oreg nvenue97124 350 -12 APPLICATION inforrnat en: 503 640.3470 Fax: 503 693-4412 C a S'00Lfr� PfEM;t-PRINT 1W Project/Permi Please Number _ Date • . through 1. Location of 7Stallation 1 4. Complete Fee Schedule below o Address / / f -71 � �' ( .) �LtC Number of Inspections per permit allowed Building Service included: Items Cost(ea.) Sum City :,t C Suite No._ Tenant Na a A. Residential-per unit (if commercial) —— _ 1000 sq.ftor less $110.00 q Tax Lot Ma NOtiLL=_ V Each additional 500 sq.it F , or portion thereof $25.00 _ t Thomas Map Book: Page:,- Sect;O.^. : Limited Energy $25,00 Each Manuf'd Nome or Modular DlreCtlOnS—___ __— __��__. Dwelling Service or Feeder __ $66,00 2 B. Services or Feeders Commercial L Residential Installation,alterations or reloce•tion 200 amps or less -- $60.00 — 2 liation o ly" 2f I amps to 400 amps _ 580,00 2 2a. Contractor In fa t •001 amps to 600 amps ,_ $120.00 _ 2 Electrical Contractor C 1 til_ �. .C. ,1 L�{Y C0Iamps to1000amps —._ $180,00 2 AddreSS —4 L IL 4L-»ti Oval '000 amps or volts $340.00 Date & �► I r L:- ob Number Reconnect only $50.00 2 p Property Owner /L' Contractur's License No. C. Temporary Services err Feeders Contractor's Board Reg. No. _�' Installation,alteration or relr-ation ---- 200 amps or loss $50,00 r-=� 201 amps to 400 SMpe 2 Signature of Su r, Elec n Taft ��' < p p s75.00 2 401 amps to 6rnl amps $100.00 2 License No. [ - one No. c over 600 e,,lps to 1000 volts sae's'above 2b. For owner Installations: D. Brrnch Circuits Nov,tAoration or extension per panel Isnnt ner's ams P one o. — a) ,he fee for branch circuits with _ purchese or service or feeder lee. Each branch circuit $5.00 2 o) The fee for branch circuits without purchase of service or feeder fee. �r`� First branch circuit f $35.00 2 The installation is being made on property, / own Each add'nl branch circuit $5.00 2 which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 2 Owner's Signature _ Each sign or outline lighting $40.00 _ 2 Signal circuit(s)or a limited 3. Plan Review section (if required) energy panel,alteration Please check appropriate Rem and enter fee In section 5B, or extension $40.00 2 1 &2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable 4 or more residential units in one structure in any of the above _ s or more Per inspection i $35.00 Service over 225 amps; feeder 400 amps Per hour $55.00 System over 600 volts nominal In Plant $5500 _ Building over 3 stories in height _ Building over 10,900 sq. ft. 5. Fees — Occupant load over 99 persons A. Enter total of above fees $ ,� L' Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ Vehicle Park; new, addition or alteration Subtotal $ i >b Classified area or structure containing special B. Enter 25 of line A for accupancy as described In N.E.C. Chapter 5 Plan Review if required (Section 3) $ Submit 2 sets of plans with application where any of the Subtotal $ „ above apply. Not required for temporary construction Less Bulk Label Fee $ services. Balance Due $ ,, -'_'T; For ,nspectlons call this Pum"be<omos null and void If the work authorltad by the perms is not oommenced 640-3561 or 693-4415 within IW days Irom dela of laausnce of such perm"at P the work sulhorlted is suopended •r abandoned of shy time after work 16 commenced for a period of 190 days, 24-hour recorder,one working day In advance of need CIO l'Ir"l,erm"s ars non-refundable and non-IranNerable. 5193 zons September 23, 2001 City of Tigard Building Official Hand Delivered Subj: Permit #MST2001-00486 Dear Building Official, SLS Custom Homes Inc. requests modification in rain drain system disposal in accordance with section 108., of the 1 & 2 family structural code. We are building a remodel of the residence at 14980 SW 103Ave, Tigard, and the approved plan calls for tis to use existing drainage method for new work. We have discovered that the existing structure was draining into the sanitary sewer system and because that is not allowed, we are asking to be allowed to construct a"dry-well" in accordance with specifications given by the city of Tigard plumbing dept. We canne, achieve gravity flow to street, nor is there any public greenway to the rear of property, a drywell is the apparent best choice of water control. Respectfully submitted, ven L. 017 , pres. Ze F."). BOX 1091 • Tualatin, OR 97002 I'ho ne 5113.601 .0878 • Fax 50'3.692.7483 wwwAshonles.cmil • cch 91577 CITY OF TIGARD 24-Hour BUILDING Inspection '503) 639-4175 MST INSPECT' N DIVISION Business 003)639-4171 BUP — Received — , !--Date Requested -3 —/,Z__ AM_ PM BLIP Location 4C•3 Ae� Suite MEC — Contact Person _ __ Ph (_ ) s, �Z y PLM — Contractor _____. _ Ph ( ) SWR HILDINO Tenant/Owner ELC ELC Foundation Access: Ftg Drain ELR .— Crawl Drain SIT Slab Inspection Notes: Post&Beam S C e c"0 `-__--- S)ear Anchors Ext Sheath/5 hear -- nt Sheath/Shear Framing -- -- --- Insulation _ Drywall Nailing — ---- — - Firewall _ Fire Sprinkler ----- Fire Alarm Susp'd Ceiling ---- - - Roof Other: ----- - ---- - --- -- --- T FAIL --- PL BINE -- ------ --- --- - i eam Under Slab --- ------- _ - - -- Rough-In Water Service -- Sanitary Sewer _ Rain Drains ------- Catch Basin/Manhole Storm Drain ------- ------- - -- -- -- Shower Pan P _ PAR FAIL -- ---------- EC_HANIC _-----. -- -_-- _ os em Rough-In ---- - - Gas Line Smoke Dampers -- - -- --- - — i PA -PART FAIL -- - - `- — Rough-In — UG/Slab Low Voltage _----. -- -- -- — - — Fira+Alarm �iReinspection tee of$ S PART FAIL —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Ifftp- - --^- ❑ Please call for reinspec fon RE: Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Date __ _� C� -�� Inspector_- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY O F T 'G A R D ELECTRICAL PERMIT- (�+' RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EL.R2001-00301 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 DATE ISSUED: 11/26/01 SITE ADDRESS: 14980 SW 103RD AVE PARCEL: 2S1 11 CB-01000 SUBDIVISION: DEL MONTE SUBDIVISION ZONING: R-3.5 BLOCK: LOT: 009 JURISDICTION: TIG Prosect Description: Installation of home theatre and sound system. Job No. 2001014 A. RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: f /AC: DATAITELE rOMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL_# OF SYSTEMS: Owner: Contractor: GERRY HOWE 14980 SW 103RD DR TIGARD, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 1112 ;iJ1 $7500 2720010000 Eiect'I final 5PCT CTR 11 X6/01 $6.00 2.720010000 Total $91.00 This Pemlit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. vork 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0Q80. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Zz • I/ Issued by _r_ _ � � Permittee Signature OWNER INSTALLATION ONLY _ The installation is being made on property I own which is riot intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: --- CONTRACTOR—INSTALLATION ATE:CONTRACTORINSTALLATION ONLY SIGNATURE OF SUPR. ELFC'N _ _ _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an Inspection needed the neAt business day -Electrical Permit Application t - Date received:// BG �'/ Permit no.: City of Tigard Ilroject/appl.no.: Expire date: City gfTigard 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: - TYPE e U 18c 2 family dwelling or accessory U COMMCIL l:ll/inulu,tllid U Multi-family U1'enant improvement U New construction Addition/alteration/replacement U Other:— U Partial 14011sITE INFORMATION Joh address: I t{Q�n !v' /0_�: y Z y Bldg. no.; Suite Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name:/Ja/,ti� / 5.neW e Description and location of work on premises: 1{10 M� T 4eA,7eyt t s„„.� S" Estimated date of completion/inspection:CONTRACUOR APPLICATION FEE SCHEDULE Jobno: tool Uly Fe,• naafi Business name: /?o.D FE..1 Ikscription Uty (ea) notal no.imp �i¢Li, -5 y Y T> >v r s Cr U - -- Nen residential-single or m illi-famih pet - Address: lu,, F �, _ ahvcllingunit.Includrsaltuclaedg"ntge. City: )t ! ' Slat . ZIP: 9 7 Z t Sa rHrrincludcal: Phone:Soy -s-5-1( Fax: s,r,� E-mail:k.nw.k1w.k 1000 sq.fl,or less l �- Fm h additional 5(x)s ft.or onion there'll CCB no.: SSS Elec.bus. lic.no: <�«yah ,t.r q p I.unurd energy,residential 2 1 City/metro lic•no.: Limitedenergy,non-tesidentia) 2 _ Bach manufactured home or modular dwelling Signature or supervising electrician(requited) Date Service and/or feeder 2 Sup.elect.name(print)' License no: Services or feeders-installation, 1,01 ill I if alteration or relocation: 21x)utnps or less 2 Name(print): 7�N t/z. /-(o L 201 amps to 4(x)amps - 2 -- 401 amps to 6(x)amps - -- - -- -_ 2 Mailing address: q 9? p ,../ p j /�1�, 601 atilps to 1(x)0 alllps -- 2 City: 'T)C,I" A StatC:pt'Z ZIP: 47172-7V Over I000 amps or volts — -- 2 Phone: FuX: E-mail: Reconnect only 1 Owner installation:The installation is being made on property I own Temporary services orfeeders- which is not intended for sale, leasr.rent,or exchange according(o installation,alteration,or relocation: ORS 447,455,479,670,701 21x)°nips ret less 201 amps to 4(!n amps s -- - Owner's signature: 401 to 6(x)om x Branch circuits-new,alteration, Nome: or extension per panel: A I ee for branch circuits with purchase of Address: %ervice or feeder fee,each branch circuit 2 City: _ Slate; 7.11' It Fre for branch circuits without purchase 1 ']I-- - of service or feeder fee,first branch circuit: 2'holll': E-mail: Foch additional branch circuit Misc.(Service or feeder nol Included): U Service over 225 amps-commercial U Hcalnh-cmc iacdrt� l:nch pump or irrigation circle 2 U Service over 320 unnps-rating of 1&2 U Haiardous hwatioll Foch sign or outline lighting family dwellings U Huilding over I00H)square feet font or Signal circuit(s)or a limited enclgy panel. U System over 6(x)volts nominal more residential units ht time structure alteration,of extension* J Ituildingover three Rif ries U Feeders.4(x)aipstit more •lkscriptior J l kcupant load over 99 persons U Manufacturer)structures or RV park U Fgress/lighlingplan U()thrr aadditional itch addnal Inspection over the allowable In ,;of the above: _ T—T--T- _ Submit sets of plans"11h■m nTeras ditt11!rc above. Investigationfee The above are not applicable to temporary construction service. Other —Not all)uNxllrlionr accept credit call*,please call Jurisrliclion fro"fixe inG rntauot Notice:'Phis permit application Permit fee.....................$ U visa U Mastercard expires if a permit is not obtained Plan review(at _ %) $ t'tedn card numtter - within 190 days atter it has been Sta:^surcharge(8%)....$ _ Tina of cardholder a shown on c It carr accepted as complete. TOTAL .......................$ 71- cordholder &lure Amount 440 46 15 W00ICOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below:� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost 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 of portion thereof _ $33.40_ 1 Limited Energy $75.00 E] Burglar Alarm Each Manufd Horne lir Modular Dwelling Service or Feeder $90.90 �❑ Garage Door Opener' Services or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and Air CorJitioning System' 200 amps or less _ $80 30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $16060 2 601 amps to 1000 amps _-� $240.60 2 ❑ Other Over 1000 amps or volts $45465 7 Reconnect only $6685 7 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL. ONLY Installation,alleralion,or relocalion Fee for each system.......................................................... $75.00 200 amps or less $66.85 _ (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 7 401 amps to 600 amps $133.75 Check Type of Work Involved: Over 600 amps to 1 ono volts see"b"above. ❑ A A Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boiler controls a)The fee for branch circuits with purchase of service of �❑ Clock Systems feeder fee. Each branch circuit $6.65 b)The fee for branch circuits E] Data Telecommunication Installation without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 _ Each additional branch circuit $6.65 ❑ HVAC Miscellaneous (Service or feeder not included) ❑ Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension _ $75.00 __ _ ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional inspection over ❑ Medical the allowable In any of the above Per inspection ^_ $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other `— 6%State Surcharge $ ^� ----_Number of Systems 25%Plan Review Fee See'Plan Review"section on $ ' No licenses are required Licenses are required for all other Installations front of application _ -- Fees: Total Balance Due $ �+ Enter total of above fees = ❑ Trust Account N State Surcharge : All New Commercial Buildings require 2 sets of plans. Total Balance Due = i:\dsts\fbnru\elc-fees.doc 08/30/01 FROM BRUNEP1PLUMBING FA",' IIra, : 6242173 Nov. 02 2001 06:08PM P2 -' I I Vr' r I(.UAkD .U.,,,.. 13125 S.W. HALL BLVD, TIGARD, OR 97223 IMPORTANT PERMIT NOTICE `S BRUNER PLUMBING P FSC :1X 33985 C7 ir� 7110ARD, OR 97281 Plumbing Signature Form Permit#: MST'2ool.oa4$s Date Issued: 9121101 Forcei: 28111C13-01000 Site Address: 14980 SW 103RD AVE Subdivision: DEI. MONTE SUBDIVISION Block: Lot 009 Jurlsdiction: TIa Zoning: R-3.5 Remarks: R"odal exiling resldonca. Rarnovo oxistin bedroom, Replace existing decks Path 1 9 garage, add new garage and Your company;las been indicAt©d as the plumbing W"tractorforthe permitabove. plumbing permit ,�� be valid, pietas& have the appropriate individual frons y Ur (Irnpany sign beilowrondfrelurn rn the this Plumbing Signs'ure Form prlor to the start of the Work to the addreis above, A7TN: Rug F lldin Dj pt No Plumbing inspections " P ns will be authorized until this completed form is recelved OWNER: DERRY HQWE PL-UMBING CONTRAC70R: 148$0 SW 103RD DR BI;UNER PI,l-'MBItvC, 710AR,D, OR 97223 P6 90X 239&j TIGARp, OR `)7281 Phonn N: PhonA t1 Rep 4: 1_Ir. 01837 PI.M 26.445PB AN INK SIGNATURE IS REQUIRED ON THIS FOS Slgrlature of Authorized Plummier If you have any qL;0stiona, plvc:srj caN (503) 639.11 CITYOF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2001-00477 DEVELOPMENT SERVICES DATE ISSUED: 9/26/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CB-01000 SITE ADDRESS: 14980 SW 103RD AVE SUBDIVISION: OEL MONTE SUBDIVISION ZONING: R-3 5 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Inotallation of temporary service. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 • 400 at-no: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: N1ANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ADD'I- INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR- PER HOUR: 401 • 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPE(: OCC: Owner: Contractor: SI-S CUSTOM HOML=S RANDALL HILL ELECTRIC INC PO BOX 1093 14819 SW BELL RD TUALATIN, OR 97062 SHERWOOD, CR 97140 Phone: Phone: 625-5606 Reg #: LIC 56501 SUP 3051S ELF 3-257C FEES Required Inspections _ Type By Date Amount Receipt Elect'( Service PRMT CTR 9/26/1 $66.85 2720)10000( Elect'( Final 5PCT CTR 9/26/01 $5.35 2720010000( Total $72,20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and- ether 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 requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. Y-00-in ay obtain copies of these rules or aired questions to r Permit Signature: �. �?!.j � �l � •�./.'_ Issued By:OWNER INSTALLATION INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNAL JRE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —V4LI2_ �-[� �- DATE:— I (CENSE NO: Call 639-4175 by 7:00pm for an Inspectlon the next busineerr day F lectrical Permit Application — Dattrrcerved: 9X 1/ Pcrmdn0 7 City of Tigard Pm2rcVappl no• Expiredafc. 1 -rTieurd Address: 1312)SW Hall Bkd,Tigard,OR 9721.3 Duteissued- By. Eiecetpinn. Phone- (503)639.4171 Pat r303) 59A-1960 Call file no Payment type. Land use approval: 1 et' final, die l nf,of aLce%t0r)1 O Commercialltndusinal 7 Multi-f tmily U Tenant ttnprmrmamt -j Nt•w coni,nt,:'t AddlUonlalLeratioNrcplrcrment 0(Xhr.r U Parlial t ")(bdre, //�, / ��t��' BidFno_ Suitt no.. lax ma /tyP x luVaccount no- Lor —_� Bltxk Subdivision. __ _ _'c'IecI name —_ -scnpuon and location of work on premises4dau)EL Esumated date of Job dOt Fee I tits �:l l �_ ptycnplion 0(y. 701al no.Ins BuRinrss nsmc: e fWs taidtntW•*%&Of snukl-f+tttlly Fair �cidrost1.t�.�7�_�! 6 ' d�cuule Wit.tncY,er.rn.rh.d ar►+�e Sate ZIP 11 7L# ¢ SorNcelndudc6 Phone $ O Fax (0 e+ ISE E•rrlail: loon, tt •xtrss _ 4 �-- ---_----- Firnad_Jinonsl WUiQ- r�erpun.a�rnctcvf 2i B nu, l Etc. bus.llc.no: +1 _ -- �p��_ ___ -___ _ L,S.a.- LvNtcdtne� rcaiden,tal — C.Ity'ntcuo Lnnrtedcrergy non rea,'enntl T _ 2 J rush ntsnufscturad boric or roUdulen dwelling l Smi.e anWor Judet 2 Ri ntIYIC Jl 1u Il las taOCUle 1611(reQYlredl _ Ut4' _-�•�'C(.y ---- - -r-...._...___.F Sup ACM aurne(pnnlr " 1,;cnseno�pc •J Serskeaort� Inatrlladnr, allarelton or relocstron: fill 014 0 200 Nrrt+y or leis j 201 ams to 400 amps -- Name(print), t _ pct arrtlrf to 000 a s __ _ Cur 81itteQ ZIP. 1 C,Icr,� U tr l�Or VOW � _ _• 1'Imne _ (lit: _ E•mail- RcconnevorJ) Owner imstallatinn,The instillation is being rnadc on property I own —view orreeiem- � whwh t,not intunde i for sale. Irase,rent,or exchmVe aewrding to 1""'l1aM°°,•nerrtloo,ernloativn: 42' , 00 un a nr kis ORS 441.455,479,00 7W. 2 I aapewatxt:..-. f)Wner'* Si matutc: date: 401 a&W am a stint eircrin ru w,iiIeratiun, or exeeMlon per Parish L Name -_ _ A Fu to btalch t;iNut7 with putef,aso of Address: service or reader kr.etch bianch circuit ^� BM#clsFhce.s(d.drrusvorknwa.:abhrafnrcchua,del kcuWtp�uer/cIh, e 0q. State: --1— 1Mof qnim or kcdaMIlnt hrenchornuj ovrun _ lenw over 225 Uri tommerat. O Heaah-cue feritity Fr•h Pump or initiators circle L - QUrvioro+er320tifirs•rrrryfUl'IA2 UHruerlousleo•uon L tli Aorouulncp htlnS rtrnll)dwellings 0 Buldtnaover 10,00 purr tett four n, itinsl eucuu�s)w 111vutsd r c'9y;mnel•— U 3)stenn.ve 600 vdlK ntnm,ul more rcatdenhei uniu'n one ON,fuw alteration,oreatens nn• QBu,Wmta�ertMteatoria 7Foeirlen,400art,Pt(Ktrt" 'Uteri tion — J l keut•an I adever G,:rrtn of i)Manufsuured utr'acilim M 9"1,ru•k tech a4 tiehal Inspection ever the allowable In mety of tine above J ta,t,.',ghun;Ul-tn ]t4hu Fir,in,petnnn Sltbeak vten orplan•with anv ortbe alm,ve. Im•cau4msontee _I ht abstvt art not applicable to Irroperary t uusuuction service✓ Odtu �,.titivnidirti:m►cep:nLwdr.rr.« �ipewcoxfanr+erlw++iucu PetmUtet Wulf M'%p:rmnapplication Isis.$ UV,t U MmtnrVbtd 1 expires.t s ptrnut n,not obtauw0 Stale vuichiV�+Plan PUts u (.rt (b 71) 5 within 190 da)s after it has been e(b%) $ ... .Z_ aarptal as mmple a 1107•AL +a`w et+tar r�rl 0 t ""tM t-aid �•• .. -. tld oltltr n n +�.•—___... Amoart NILAAH,auraa,r r i -M1 'CICII 64t1 FF�Q ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: — — - _TYPE OF WORK INVOLVED RESIDENTIAL ONLY _ _ --.... $75•oo Compete Fee Schedule Selow ResIVOR d 5yS Fee ................ .•..............._..... Number of Irte ctlons r " allowed1 fFQR ALL SY5TEMS; Service Included: Items Cost Motel Check Typq of work Involved. Rssidendal-Per emit $ufi 15 4 Audio and Stsreo 501emi j ,Cw,W fL o lea cav,awit4miiil 500 sq.f1 0, 333 4u �- 1 p Butplaf aam. V~thrill" ------ 37500 Llmdeo Frwegy - r ❑ tarn Marwfd Hume Q(tAudulW Ganye Door CKwflar� 39C so D«cibrtq gvviw Or Feeder � e .— � Hesurlq VsnblJUon and Ail Con4;ti0mrlq System' San�cea or fwtssn (1.ttaMetan,sIls,110 t,Or(NIO itiOn $60 10 �_ n 7Uar o +tps Or Iss9 _ - Vacuum Systems' 2o1 amps to 400 elrps $106.85 �— Z 401 arrive eD 510 amps - 5160.60 2 C Oliver '-01 amps to 1000 Ornos $240.60 2 over 1000 snips of volts $454.65 Kewnrlect Onb $66.5" _ 2 ---- TYPE OF WC'Jt INVOLVED-COMMERCIAL ONLY77 00 TsrrtPOWV 50-100s Or FNWrs Fes for each system....... ................ i i w,conabo,) slbratgri w nioasorl $6B 6� 1pQ. ,� (Seg OAR 316.260•Z60) ZCC.ripeorless s100.X Z 2r.1 arms to 400 emv __. 5137 7s 2 Chock Type of IA'OR Involved: ;�F?Ips toG.er Goo rasps to IoW volts. ❑ Auc10 and 51141`00 Syytsrns ese 110"above. ttranch CIMURta ❑ B011er cons vew aueralbl a extdnswr per ps,>dl �'-`� aj IM fee Ior**MW UMA4s I tJ Clock Systsm% We purl het#of Ulrvk v Of feeder fee. $6 65 2 p Data TeleoomMu"'AUon InStallab(Yl Each bAnOh Got Will ---- b)The leo k+Orsneh c"I'll p Fos darn+Inatallatov trtfhout pwichaae of serylte or feeder lee. First branO WOW $48•a5 _-- � H'/AC LlaU ad0i1i0nal bromm W Wtt $060) I' M►40el1rr11e0ua I � InlWrrwn:abun (ye,v,oe rteebr rat Irwucedl $55.40 Fw pump a 1"WWII 01f0» Intercom %no Paging Systems ra : n son Or outllne Ilgnbnq --, $t5)40 _ — $qUJ utrgwR(t)Or a limned anargy $75 00 ['J Landscape IrngaUon Gc,rtv0' par*.al4(adon Or ercten1-411 _.._._ $1:500 Mint Labels 00) ----- C Medical Each additional I11sP0441 o„er Nuns Cells allowable m any of tM 81.4ve _ S62 50 Ll aer lnspedrort $6Z.l0 [-] r) Pe hour --- I N1C001 Landscape Llghtlrlq' Ir Vld,d , Fees: U orotect,w SSIZratitiL truer tutel ul above fws E3$V,state suicnalge `' � $ J NumUer Of 5y5tsm5 25%lien Rev**FOO 5 ' No h6 %ee re rwwled LNensee are,e7wre4 for e 1 o11w instate+Ions Cee'Plan RevMvv”eewon 411 twl eaP'A0w .- --- Fees: Total Balance Due : —� Entw total of above tees 8%stats surohar'Os �- Total Aalanoe Due druJorrua:c toes Joe 0607K,1 MASTER PERMIT OFTIGARD PERMIT #: MST2001-00486 / CITY DATE ISSUED: 9121101 DEVELOPMENT R 97223 )SERVICES 639.4171 13125 SW Flall BI 9 PARCEL: 2S111CB-01000 SITE ADDRESS: 14980 SW ZONING: R-3.5 103RD AVE JURISDICTION: TIG SUBDIVISION: DEL MONTE SUBDIVISION LOT: 009 garage and bedroom. Replace BLOCK: garage, add new ga REMARKS: Remodel exising residF-nce. Remove existing ---_ existing decks Patn 1 BUILDING �IRED REQUIRED SETBACKS ._ FLOOR ARIAS SMOKE DETECTORS: Y STORIES: ------ " sf LEFT: REISSUE: FIRST' L570 sf BASEMENT PARKING SPACES HEIGHT: GARAGE: 1,378 sl FRONT: CLASS OF WORK: ADD SECOND: SI FLOOR LOAD: 41) RIGHT: TYPE OF USE: SI FINBSMENT: sl VALUE: S 196.750 00 DWELLING UNITS: REAR: 4" tYPEOFCONST: 5N TOTAL t Gn''i`) sl OCCUPANCY GRP: N3 BDRM'. 4 BATH: PLUM "��— ?RAPS: RAIN DRAIN: WASHING MACH: I LAUNDRY TRAYS: CATCH BASINS 3 . WATER CLOSETS: `� SEWER LINES: SF RAIN DRAINS' I SINKS: FLOUR DRAINS, � GREASE TRAPS' DISHWASHERS: WATER LINES: 13CKFLW PREVNTR: LAVATCRIF.S'. � 1 WATER HEATERS: OTHER FIXTURES: I GARBAGE DISP'. TUBiSHOWERS� -' MECHANICAL VENT FANS: 6 CLOTHES DRYER: I BOILICMP<3HP: I OTHER UNITS: 2 -- FURN<100K: HOODS: FUEL TYPES UNIT HEATERS: GAS OUTL.TS: I FURN>=100K: VENTS: 1 WOODSTOVE51 �.�•. �----� t FLOUR FURNANCES: MAX INP: b ELECTRICAL ADD'L 5 MISCEI LANEOU TEMP SRVCIrEEDERS _BRANCH CIRCUITS PER INSPECTION•. —� SERVICE FEEDER WIgVC OR FDR: 1 PUMPIIRRIGATION: RESIDENTIAL UNIT 0 . 200 amp: PER HOUR: - mu: 910NIOUT LIN LT: 1000 5F OR LESS: 0 200 still) 201 . 400 amp: 1st WIO SVCIFDR: .Ot A00 anm: 910NAIJPANEL: IN PLANT: EA ADD'L 500SF: 4 401 600 amp. EA ADDL BR CIR: 401 600 amp: MINOR LABEL: LIMITED ENERGY: 001.ampa•1000v: 801 • 1000 amp: MANU HMISVCIF UK: PLAN REVIEW SECTION 1000•ampfvoll >80U V NOMINAL: : GLS AREAISPC OCC. __�--- Reconnect only: r-4 RES UNITS' SVCIFDR>+225 A.: ELECTRICAL•RESTRICTED ENERGY B.COMMERCIAL INTERCOMIPAGINO: OUTDOOR LNOSC LT: A.SF RES tIE:'f;A`. FIRE ALARM: PROTECTIVE SIONL: -- _! AUDIO 6 STEREO: LANDSCAPEIIRRIG: AUDIO&STEREO: 'JACUUM SYSTEM: HVAC. BOILER: MEDICAL: O1HR: : INSTRUMENTATION. BURGLAR ALARMDTH : CLOCK: NURSF.CALLS TOTAL M SYSTEMS: GARAGE OPENER' DAWELE COMM'. HVAC' TOTAL FEES: $ 3,080.4 Contractor: This permit is subject to the regulations contained in the Owner: SLS CUSTOM HOMES INC Tigard Municipal Code,State of OR. Specialty Codes and DERRY HOWE p0 BOX 1093 all other applicable laws. All work will be done in 14980 SW 103RD DR TUALATIN,OR 97062 accordance with approved plans. This peale.or it the will expire it 1 IGARD,OR 97223 work is not started within 180 days of(days. ATTENTION: work is suspended for more fthlowlru as adopted by the Oregon law requires you Phone: Oregon Utility Notification Center. Those rules are set Phone: forth In OAR 952.001-0010 through 952-001-0080. You Reg N, LIC 91',/ may obtain copies of these rules or direct questnns to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Mechanical Final Shear Wall Insp Insulation Insp plumb ?cal Underfloor Insulation Mechanical Insp Board Insp Einal rosion Control Insp 8 Exterior She Ins'. GYP Final inspection Crawl Drain/Backwater Plumb Top Out Low Voltage Firewall Insp Fooling Insp Electrical Service Rain drain Insp Foundation Insp Footing/Foundation Dr+ Electrical Rough In Gas Line Insp PosUBeam Structural Plmlundslab Insp Framing Insp Gas Fireplace Elef�hical Final posUBeam Mechanica PLM/Underfloor 1 Per`Ttittee Signature _..� Issued By inspection needed the next huslll@SS By Call (503) 639.4175 by 7:00 p.m,for an One-and Two-Family Dwelling Bnilding Fcr=.;sit Application Checklist Reference no.: -- City a/'Tigard City of Tigard Associated permits: U Electrical U Plumbing U Mechanical Address: 13125 SW hall Blvd,Tigard,OR 97_'"' UOthcr. Phone: (503) 639-4171 — — Fax: (503) 598-1960 1111-1 FOLLOWING 1 1 FOR PLAN REVIEW Yes No iN/k I Land use actions eomplet%:d.See jurisdiction criteria for cuncuruell[reviews. plain,solar balance points,seismic soils designation,historic district,etc. 2 Zoning.Flood 3 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. 9 Erosion control U plan U pennit required.Include drainage-way prosection,silt fence design and location ul catch-hasin protection,etc. 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable kcal and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed if copyright violations exist. I I Site/plof plan dranm to scale.The plan must show lot mid building setback dimensions;property comer elevations(if their is more than a 4-It.elevation differential,plan must show contour lines at 24t.intervals);location of casttnents and driveway;footprint of structure(including decks);location of wells/.spfic systems;utility locations;direction indicator;lot area;building coverage arca percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent _ size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade.etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may he required to clearly portray construction.Show details of all wall and roof slmcathing,roofing,nx)f slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the nctual grade if the change in grade is greater than four foot at building envelope. Full-size shect addendums showing foundation elevations with cross references are acceptable. 16 Wall braving(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for 11011-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Door/roof framing.Provide plans for all floors/nxmf assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 19 Basement and retaining walls. Provide cross sections and details showing placement of rehar. [-or engineered _ systems,see item 2.2,"Gngincer's calculations." leu Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any heam/joist carrying it non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required of provided,(i.e.,shear wall.roof truss)shall he stamped by an rnginecr nr architect licensed in Oregon and shall he .I -,%�n io he applicable to the pniiect under review. 23 Five(5)site plans are required for Item I I above. Site plans must be 8-1/2" x 1 I"or I I"x 17". 24 Two(2)sets each are required for Items 16, 14.20&22 above. 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 he completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink. Red Ink Is reserved for department use only. 4104614(MAYT I)MI Building Permit Application City of Tigard Date received: Permit no.: Address: 13125 SW Hall Blvd,Tigard,OR �^ i'rojecUappl.no.: Expire date: d Ciry nJ"17,�arr1 � Phon.:: (503) 639-4171 A Date issued: By: Receipt no.: Fax: (503) 598-1960 �� R� Case file no.: Payment type: Land use approval: _ 1&2 family:Simple Complex: IN ;1lil I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition Addition/alteration/replacement U Te•nanl iml1roventenl 'J Fin- qu-inkler/alarm U Other: It INFORMATION Job address: $U p Bldg.no.: Suite no.: Lot: Block: Subdivision: I Tax map/tax IoUaccount no.411/le4f-0� Project name: yyt,;.0tzL_ Description and location of work on premises/special conditions: v L'�,,t%ZI� nte,r 1r?I /,,j:,4 rn 4" — 1 Name: �- Mailing address: I &2 family dwelling: City: 'T!D/wo (OU State: fr2 ZIP: q-)i z Valuation of work.................. ..................... $ Phone: Fax: E-mail: No.of bedrooms/haths................................. Owner's representative: �' j mt,c,., ,Jc.J 17JJI0In r,tvm j Total number of floors................................. _ Phone: t -mail: New dwelling area(sq.ft.) .....h�.1;{1�.,.... - s�.�- L APPLICANT Garage/carport areas ft. /. 1 3-71 Name: LS C_'V�ium i t✓,�f im L Covered porch area(sq. ft.) ......40#......... _ t� Mailing address: Pv O S J Deck area(sq.ft.) ........................�3,1-,,,,,. — City: >�tsn-j� � State- ]ZIP: ri l0,,L Other structure area(sq. ft.)......................... _ Phone: l-tiB•ly Fax: t,ya iic?} "-mail: Commerciallindustrial/multi-family: EMWEMMat Valuation of work........................................ $_ Business name: Existing bldg.area(sq. ft.) .......................... _ SLS Ly s m o,-, l 1� n�;� t rJ L_ Newbldg.area(sq.ft.) ............................... City: b�n o Staret;,t ZIP: c,�o,.`• Number of stories......................................... Type of construction....................................Phone: L`l, yg tb' rux:X,� iy h� E-mail: CCF3 no.: Cl 16-11 Occupancy group(s): Existing; -- -- -- '-..---- ey nU New: ic.no.: Notice: A 11 contractors and subcontractors are required to be — Iicenseu with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: Sea 6 vS„a N,n�,� rr,. r".k Jurisdiction where work is being performed. If the applicant is Cit �,, State: �, ZIP: exempt from licensing,the following reason applies: Contact person: 'u n I Plan no.: e kj — Phone: ,3 t, Fax: ti 3 m E-mail: –--- --- -- Name: M n:p n, Contact person: "..-I Fees due upon application . Address: Date received: City: 1 j_L, . State:LA !ZIP: Amount received ......................................... $ Phone: l ••rtioy I'ax. E-mail: I'Ieuse refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept crrda cards,please call jurisdiction for mrxr inrormation. attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will be compliednh,whet er specified herein or not. credit rant numhet _ _[__1— _ Expires Authorized slgnaturc: A _- Date: 9of --iv,me�f cvdho der u rhown tm credo rant Print name: t.u.,a L • J. PiL^ _ -- c.rdnnt r�iinaarc—_ s Amour Notice:lois permit application expires if a permit is not obtained within IRO days alter it hes been accepted as complete. 410-4611(~'OM) Sep-04-01` 12: 18P Raybrn' s Plumbing, Inc. 15036912328 P.01 r P- 2 P1=bin9Permit Application City of Tigard I>aereoaived: 9' o Poaratao.: ti rgre y. Aftm. 13125 SW HaU Blvd,Tigard,OR 97223 Scwcrparrut to. Building pamitno.: �ihM7stent Ntoeo: (503)639-1171 1%'o7OMhr*l.eo• Expiredate -- Fax: (303)S9&1960 Deteissued: 9) Raccipttao.. Land use approval -- Case file no.: Paymrnt type: -� JAI&2 fairuly dwelling or at:assory 0 COtw)ctclal/InduSQlAI 71 Muld-ramily 3 Tenant impmvnment U New ennatrwhott U Addition/alterationlreplacemrui ,.)`-ood service 'A Other Job nddtess' / 3 a F« .a total Bte .no.: 1.ria . f _ Suite ta.� y ; r• Tax ma tax kwwountno.: - p--- (hw)edln 11911.ForeambtdWycoewcdoo) SFR(1)bath SPR 2�tai City/cAinty-- L addtta "ba&Tiii:Wn DR pUoe ayed on f�w0 on ptemf»a SitraUlitfes: _ 'i f'rir► Catch baudavca drain Eu.date of completiodin coon: - -brywrAWACE_liaduelich drain o(no.lw.Iia Btati,pKt eaau. an acturrdhwx u6hui_s -- - - ___. Adiltcsa. '�- 1., T–- 'vim---- � un G�:/lr1Ld t N _ j Srate D=�', anitai se*v^t(oo lin. )- Pfnee:�p',,' IF E-mail: Oc8 no 17��i 4 Numb.bus.ro _- /tneao tic.no.. / r _ - FU[twe or krW.. Co�s - Ab boor valve gacl[_Ilowl,v_cmer Ptsal eaew6.& 113xlc _ gickwuer valve - aat - Nartsec�ics avaslkt --- Adt$eaa' --_ - —� --- tM rtj fountain({) City Stair ZIP hlsotte: Fax Email aoo tank - Narne(ptinrl oar aor ddtttAatb - —'—" - Hm bibb City' Stan Ill• -- Ffiaoe: Fa>t - ` Email fn Ownstetre � installadontaidentui mal wire only 'Ibe artual installation unser(s) m will br made by tee or the maimentuwe and rcpwr made by my reaialar oo ruo ax>trtmexiaT) - araptuvax in the lropt"V I own as per ORS Chapter 4`7 - Ovma s WR: late. _ um -- t110wCt an 1----- Name. ---- -- -- Wit claw - _ - W�aser C State: Mtate: Fa z f>-ttaail: - tw d 1.laaaas.awa7a aiwaY amt paaae ni A aaaw Wwv wi. N cNloe Thu t I IcMlaan Mtn ltTlll[n foe 3 OKaa D Mua„Cad caepim if a purirT itau ppl culorobuibd Nan review(ar. %) s naau°~aawiAar — within I t0 day t aMr iT has tx- Stan aturJaatxc(01%) Y tea – KclplaA a[cvfrtlptck TOT - - AM= .nits Naawwt Sep-04-01 12 : 18P Rayborn' s Plumbing , Inc . 1 503691 2328 `P. 02 �-YJa LVJt31 11 -4'SA?1 P"I PLUMBING PERMIT FEES: LAVftwl ---- 1660 + Tuba Tuwsww aft, +0.60 e0.00 .qo- WaterCbsN T 1G.Ei0 EU6T lAL ,,.,. -.✓s + e%STATE SYRCIIAROE ••, �R_ -- - _-- + PLN REVIEW 2S%OF SUB TCTTAL TOTAL ~'`posy I�Iandr>•Twr --..----- 1 . 7nlaePaYaOIl.vtirr levo 1B` - PLEASE COMPLETE: 16.60 nut Gas vo quk"a w'r�its W-w:w rr '6,60 / 00 R,d..Typ.� r y1w�rAr .16ewe .w T6 tlamec Nrw sectio. -- - salt -wu►wlne crow siwsdaala asw.r Hee. _._. t ' �`►�° c,on+DM►bbort Poor on" — _ Oar+arw fua/rAwn VNttrr cbm- ovw we* Maaxflrle sill. ist+oo — ' - - 1D Warr 4"tM ist 7 b6'00 V;7w Ssnkx wan 1700 4&40g Dnln-lel loo'soom lRaln Dram-sect, b6.0G _-- 1 46-40 — Be&— 41140 - -- - ____� —IN,- --__ _ Rs.111saleN ,-A1Dw PIIelMlren Dobe' " - ------ — Barin 16.60 -- J1dt __--- ---- laaq.ebn IyraeMte a„SOetlarY - _ �°�. Derow COMMENTS Rklj/►itpfNO A9OVi FYI Dabin.s Mei AweMnO _ wig OVA1417TY TOTAL "Rwm w nw aYet.8 r rwbT r �ex iTAT!3lIRCMARfs! - =�uw Re JEW ii%of ausTa�rAL TOTAL P40WOM DMw.~V*1025-.%MOM OWWww al —Y a-Co--6wedI"P ft Wn Yley.an 4P NOW a ftW Mquw Ona PIM wA.r 17d.istltOna.lP�r7*tec.dnc I U�7 O177C1 SEP-04-2001 V I A TEMP HEATING 50355729% P.01/0-- Melebanical Permit Application Dau:rtxcivod:9 d Permitna..�'•; t City of Tigard PrutccVappl.no.. Cupitcdatc CtryorT,g4f Addnas- 13:25 S'v�'Jiall Blvd,1:yard,OR 4722'+ e -- Phone: (503; 639 41'11 Dateissued BY' Pe---t no• — Pax: !5U3) 598 1960 Caac file no.: Puyrtrcnt type irap.d use approval: - Building perms no U I &7 family d-elling or aceetsory U Commercial/rndu.trial U Mulu 16MIly r3 Tenant improverncnt ,Rt'Ncw cutssduc-IM O Addtuunlalttrati, /mplacerneru Q Chher. ��timmTmmlcmmcms3zm Job a, ii ):>,r- Indicate equipment quamtitru in boxcz lwlu.c lndicatc the dollar i WIdg.-eo.: Suite no. value of all mechanical mate,•ials_equipment,libor,ovcrtwad- TaA map/tax lot/w-o am no: profit.value S -- L,ot; Block. Subdivision: 'See checklist for important appl"tion informalion and Project namc jurisdiction's foe schedule far t4dential pe mir for Ciry/county �__ __ Z(P: Dcx np4on end Icxapon of Walk on fttem,sea --_-- a r ta[ due of coniletaonlitupection: —� - --�V_� __ OIY• Yeto�ly ltet ottl) Tenant imptavement or chutac of use. vx D No M[h.a+Ainguert U existing sp>,ex heated a condiuoned'r U l es ---�_•� - -- At[t:0ed1lr0nlil (Seta liar wrcr Is exiAtingtpacx in"Aaled)O Yos CJ r xo tattsrm of eluting HVAC system _ tloucr oomprttcs[rt Slate boiler Penni:no Buaiacas name: _LC Yi ) 2 l41 LCr�1 11 11P �r Rau�- 9TU/tl Adtlssaa: —`- — Frtt7stlxtkcdar�duUsaotcddecttxs Cary /,"I CL State, ZIP: Ql� Heatpump(srscplan uuTro_d) Yl ns4lUrepliu[utnacrlDumu Uri U/M Phone: / Pax:-)-- �7�mai1: -- Includi ductwarhlvent line U Ysa O No —_- ---. Date rcplauirN�_tueueiters-sutptndctl. (;Ily/Mao bc.too.: wall.or nor•aa7untod -- Name(plisse int). r �� r t� - �cnt3arsaliance oUYY:Dan futLate _ FWckW Ahterpr,onunits _ 6TUM Name: Chillm __. HP _ HP Atkbeta: Q law.aa peat-i tr�rt City: r— _ _—Ts,CC: ZIP: iaootstatt __.. ITaue: Fan: —,Ja &UNW: ercxharut hoods,Type ! Ihrs.knrben/haztrut heo'hTe 7urg94Ite,00 systCW - Narsr Bzbatan fan W,d,un k duu(batll� — Mailine Pieauu system am czu, it or AC: Fad:ley. State: Z1I' .. ► ft d"w`p to 4� lu -- Phone. Fax: P:quil t c dilio.al over♦outlets lot(arWast-k rtquitoa Numbcr of outlet, Addnsa UnxxzuVIE fir ..cry !� City - - State: 7.fP — - iosrr7--iy� ,, mroms=mw Phone ^- J ax L I: woonnn.•dpc let+rovc - _ �C.61 vert sP4 No,an,,.wAr,wa ni+p rn8r.ww d� silt is i.� t,etr.y..A. ,N�hr..rM. pltp:lf foe ............ S p vsr U N�MsCzrtl Notice Ih,^pemut applauatton pl nimum fix ... S _ _ lsapi"i r a permit is not obbincd Pla ri Mvicw(at _76) s L within 1811 days afler it Iw beon State wirharr.(8961 . x "N�rsrfuq!*YY « .ars - .ttcptaat complete _ t:rattasiet saim ��—�— 4AS417(Meetcoat� '-,F-p-_u aA TEMP HEATING 5035572990 P,02/0 MECHANICAL PERMIT FEES COMMERCIAL. FEE SCHEDULE- 7 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL�1%ALUAT40N: .�.FRERMIT�F�' '-w.; ;,- r- ---- - $5.00 to 55.000 00 MrnknUm tse 577.50 y 7 e -� .,.t., ) Q� I 55.001. aq 1 571.50 for the omit 55,000.00 and--i t) Fumace Iv 100.000 BTU $1.52 fOr each arldlhonaa 5100.00 or Indudl ducts l verb _ _ 14Ap tramm(hereof,b and Indudlnp l) Furrtam 100.000 U• -- - 410 000.00. trrduC duds 6 veno$ IT.4Q 510.001.00 to 525.000,D0 - $148.50 for the 6r!j 310,000. Mand 3) Floor Furoate --� - $1.S4 fOr 19th addltlonal$100.:x)cw InC�nnt 14.00 ft=%-Otertof,tO end Indudinp �l SusDMtd*d V>♦aLr.will Re9ter ZJ.000_00. 0. _ _ ex floor mot,ntctd heater 14.00 525,061 00 fo 150.00 9.50 Ftx Vie fret 125.000.00 and S) vent not included in --� 31.45 far 94th additional$100.00 or aliplianae pe)))st fractionu 91meof.b and ,dudin 8.f!0 550 000.00- 4) RrP71r urnb 150 ,J1.00 a _JT-Drano uP 3742.00 for tote t rat 5,0,000.00 and _. 1115 31.20 km each aw 1wnal Si00.00 W � -', 1 Wt Nr. �r,;r r �. --- hlfe`on ltterepf r• y, . i,? tr,rttp C:CriO •> Mlnl our"Permlt Fee 577.;0 - sURTOT s r c'. 7)<3HPMbscxb un:, lout a 101- BTU " 14.00 - a'K Styts Surchar➢e 8)3.15 HP aaxim $ unit 10(1 5001)BTI; 25.W - -- - 9)1530 1PiDsorb -- - 25% Rwlew FN(otiubso-wy-- R ulred for Alt.Mr rnoml.!pwm l� : __ 15.00 TOTAL COMMERCIAL PERMIT F=EE: s � 10)3050 HP-atreme -'- wilt 1.1.r5 ml DI U 520 .....J 11)>SOpP at>f0►b un">1 15 rm BTU 87.20 'A sum t ± 12)Air halndlinp unix to'.0.000 CFM eD`ilI1�L.UAT10 SfP-ER� _Ut9Cn bon: value i moo _. +;j)A,r unu 10.000 CFM; 10.00 Fumacr to 100,000 U,Indudlrq 955 mount _ 1720 duo%i vents 141 Non-o-tive ewtpomin coder -" Furtuoe>>100,060 R U In�duId ng 1.170 _ 1C.00 - JJOs d vMrb 15)Vent tan 0DnnoMd to a:Irtple dud -- Flptlt turfs Ilx Inoludin4 v�n� O65 - 6.90 Suipanded hgttr,wall Feasor a - . 1N)VeY"tllation System nac lndudwd 4. II00r mounted hater 95R a I 10.00 venr not Indudad In apoltm6w 11)Flood sewed by ms&.anaa+l wOt7us, t 445 10.00 R it units - - �� 118)Clome6pc Irrd+snttOrs 3 hp'abecYp.unit, - 17 40 u�1ooX Tu T1s ifriaohtrix+�+al ex iitrtusotal�prpev,antxalor-- ..-- 3-15 hp•abv)fb.und, 101 k to SO( c JTtl 20)CMhcr urtitt.iKiud stores 15.710 hp;eheerb unit 5011 to i 2,310---�--- tct nO rail.9111 ?1)�omi 1p tow ouUets x450 hp:sMo�r um--� 4 . _ *AV1 1.75 mll.BTU Z2)Mor_oaian ouOM(each) �-� - >b0 hp:aoc&b.uqq. t,Op s.r -------- 1 75 Ina.ignr mum f''ernrk Fee 572.50 RUBTOTAL _-- ( Ali handl urni to 1Q00o e!m Air hwcUi unll>i C>�lr�j�+ 1 17Q S'I%9h1e SuretlM9e Non bbb evapaBlt oa - - _ Vans �nn*sled b a einaM _ T�7TAL RFSIDEKT►Al. PERI,�IT FEE: s - Venl llyat4rrt riot Inducted In 96ri -_- fbod Iaer�ed_t�'nfeelaetyeltl raallMa<ef --- .. �1t11>M�eMem�q jam, Wm:spt:tndnerator _ 1 1 0 - ---- +. Ir�1er'aO'�oa+wioe M rar,nea buc.reec hours Irnewrail,o,ery.*.o rAX^ Gonm-rwl0rmVtalrntxronlbr - t>9,e0oar-air Ortsr Nit.r,dudinp worms cores. 4 --- a i"`yodfoi s for.0.,A rp rM sa> y j Wc%W rThrnuT ch.rp.wr mv, eae S M 60 Per tour In- I e;G_ _ .1 AaaeCrw a.n n.q.r,r.Qulrla t�v Cita Erl r 1.4 0ullsb - - - dMrt7sar>♦MKn 17'9 e0 pw dopers sedlgrw n'rlvlii0tu b plain f nnnri rny, ,o,- i _ - - ytab Centrac4pr eNYrr Corlir"tbr rvgv4 d for urnlr*IBM 1"U.TOTAL COMMERCIAL "A"'w'^nta AK MittA wr 414M ultra IM Ano raa.,.e%fal M Gott VALUATION: i rlftsJomisvmed,fer7da: per08rol TUTAL P.02 69/21/2001 07:46 50362544,5 -a� 31 7 PRO„ HILL ELECTRIC INC PAGE 01 P 3 Flectricxl PernAt Application A;A City of Tigard oaa raa.� ru,n+t lin I t»/Tlrwd Adelreat 13125 SW Hall Sj.d Tigard.OK 97+2) Pnoeetlapp, no � �p+red.w — _ _ PAooa (5()3)639-41-,l Dolt ruued _ 6y Rectae r.n FM 1303) S9A•IV60 CauAkno YLind use appro� ayme�l rypc ]1 di:liamll)'dKt,ling�r u:cecfpry O r'ommercial/lr+duMrtx! Naw cV`»aurtln0 0 Mule-hrrlily O Te ml lmproi,emoal ,�.AddlUon/alterarlwJaplacement ;]Other At addrrsl Ui $Ulla ( � � d C.J � 7 T�--�-•k=--''.,...^__ 10.: nV.. fax 8kickStabdlVlallra. _._- all Wt/actloltllt rq h ou llarrl[. ,,� ��;�, .,a-� R_ernr'ltal eM Ioca4oa d work on prcmieae / ESUNSWIl amilt;of t; !rPI-tivn/lopcotlon.111,11011111. - J Dtuuleu�Wltr MI fT�G �- -j�arw,t;.. I � Mrw �u - QO� N TiW lw. cIly State. -- - Ow�twi►rt!•rr. PW Phone CCB nu bi2T-5" yY :rrlalf I r�l,_ t.rr _..- Elle:.1>vr.Ilc.t10: +J- 7 ti aRAewC+n.u1 SQpp fl e;ron•on+reroor, ';lty.'orcttoGc nu. - -- - ---�-- U ,ua.ner - _ft_�_'''" WW.non reeeenra )� nelrc of`y sue eMc-k;paval c tli+rr•Aw�fbarRq raw or wulrlr d"tala/ >e tal win xda-kcda )j - Lkcaecnc p r ImaallWeri, _ N4eeriOka re/re'um Narwu w ICU IV - ' ear M 1000 eeJr Z Phtxu 1/tiJ Silelc u l IP. q�2. Cher .oW—- �Pa� lrnui� �etme_n.,w�t���_ _. UwM►IrvWletJcro The jr, 4willuun 11 OarE made nn property 1 uwn Tieder.- which b nlr loa--,%ded fU►ralr, It arc,rcet,Iv e�ayr +�+rdwl to �MaMeweMMMlce.«reLealyeb I R _. ORS 447 453,4)9,670 7L11 JW atoYr a Mry 0-nC llNtUK: �1att, -aw r to 4W 3 _— Wlk> t r - F.-_._-_..._� _ _-. e4ea e1rw,■ j AAQtt1i - ---�--•--- A 11t DNA*a tmName I l,s..cN u cluM of `CI rrnwv rr larder be awn lratil=Pcvl �e fz r..*M.maU -.ice--- drenra«rwiteetbtrinneMlaepeuvv.. ' , 7 t...gee r+Yr I17.�or�nr,.....1 the O Ilra101 cseAtMlly react. `�Se�v�orvwrrljOanrlAuop„IUN.44gtovewoo. (r+n111dWUtnv UOei a ADO Lac$s rt or ardent Mlrr� l7 Jrwr+oNe OW Wk noww+i+ Mau v ID ep %"hm Wv n: I$ c+rtv Il)er r llnale/enc ty wrtl, B.M. weRTs1deMleleta --row"" te1f14+ea.aef.IW,ka� {1•etlMrea>arlee U FeaAen 611D :]t rcrr.n:1•'adcrrr W MWl a elotr tf lWw ~tet UNrvfw✓d+rmtvmotRvp�M ktur` i do 7 trtv -_ talt+r cMrs ever Ib atirwe r w■4 atwq M_ Wth or Pkalr W"easy of 111e evo*m - re Mt nnn _ 7lekatreettRt;la1 In•nk wuelrt. ___._ -- -- .�,._�.___�'.. �. Nlw�encew4+r�awNr•1ce. -- - � __ O v,a t Mw«Clre R"r'Y°k P17111111NmKe Itis YcTI MWkauv„ Rrnw In _ rlleel+..A er*eer �_ Ty-Pit".1 a Pe}ryvl o RC1 ab%'.dqr Inv d ny been Shit nnchrr=a(11%1 Yhrtl favley (at �� s wllkA 100 d ..S �..r. --Ptd a ownplrle VOI AL eo4eu INrlw'pq 41d L) 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 per permit a!lowed (FOR ALL SYSTEMS) Service included: Items Cost 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 ft or 1 portion thereof $33.40 _ Burglar Alarm Limited Energy $75.00 Each Manuf d Home or Modular 2 Garage Door Opener' Dwelling Service or Feeder — $90 90 _ Services or Feeders F-1 Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 2 200 amps or les; _^ $80.30 _ — Vacuum Systems' 201 amps to 400 amps _ $106.85 2 E] 401 amps to 600 amps $160.60 2 ❑ Other 601 amps to 1000 amps —_ $24(.60 2 Over 1000 amps or volts $45465 _ 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100,30 _ 2 401 amps to 600 amps $13375` __ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits F-] Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clod Systems with purchase of service or feeder fee. Each branch circuit _ $665 2 L� Data Telecommunication Installation b)The lee for branch arujits without purchase of service Fire Alarm Installition or reader fee. First branch dreult _ $46.85 f L] VAC Each adoltional branch circuit — $6.65 -1 Miscellaneous Instrumentation (Service or leader rvht included) Each pump of Irrigation circle ___ $53 40 _ L Intercom and Paging Systems Each sign or outline lighting A_ $53 40 Signal circutt(s)or a limited energy C i nr!;scape Irrigation Control' panel,alteration or extension $7500 Minor labels(10) $125.00 _ Medical Each additional Inspection over the allowable In any of the above Nurse Calls Per inspection $62,50 _ Per.hour — $62 50 In Plant �i $73 75 _ _ Outdoor Landscape lighting' Fees: [] Protective Signaling Enter total of above fees $ .___ _ Other 8%State Surcharge $ �_ Number of Systems 25'x.Plan Review Fee No licenses are required Licenses are required la ill ott>Ar installations See"Plan Review"section un $ front of applicaticxh _— — - Fees: Total Balance. Due $ Euler total of above fees = E] Trust Account p _ _ --- I 8%State Surcharge s ---- J Total Balance Due s h hdsuVormshelc-fees doc 06/07/01 •7 ! .4 a . 1 Il I s r �h Al. eL 19 CA 8 P.O. BOX 1093 TUALAIIN OR 97082 Y6 !( a N H � O s A t�9 O C 71 G C TT `v H O� a Z`J R � � a CL fit s � n y c?� � O ro � O Q 0 O r h O O 1V c � 3 no l CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling :Plumb Post/Beam Mech. Shear/Sheath Framing PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwik Reins. Other: Date: A.M. P.M._._ Entry:_ Address: L' Tenant: Ste:—_ MST: Con/ t2�s-n5_� ___ MEC: PLM: _ EL.1 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: In ectov _ Date 3 .—DISAPPROVED/CA LL FOR REINSP. CF CO APPROVED 0R'VALL T. CARE JOE INVOICE dYER'S SEPTIC TANK SERVICE i P.O. BOX 549 OREGON CITY, OREGON 97045 CUSTOMERS ORDER NO DIE ERF� (503) 656.332E 654.9785 -�-11C: 655-6412 ORDER TAKEN BY DIE PriSED 0 A M. Grace ({ 7j 13PM. BILL TO Dan Sheridan — P4-8358 ADDRESS MECHANIC 14980 S.W. 103 rITV HELPER Tigard JOB NAME ANC LOCATION DAY WORK ❑CONTRACT DESCRIPTION OF WORN ORder Dean 638-0800 ❑ E.TMA QUANT DESCRIPTION OF MATERIAL USED PRICE AMOUNT i > _ I j Tank Pumping— � r1f rURSLAROR AMOUNT -- TOTAL i MECHANICS MATERIALS HELPERS a TOTAL uNOR I hereby ecknowlMge the satisfactory TOTAL LABOR TAX romplelion of the above described work 91DMAiUHI= TOTAL