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15100 SW 107TH TERRACE • 1 I CENTERLINE .sous S ,I�FiVEY0,P,';, WILL PIN ALL EXIW&W MUNDAT ' ' 3NERS AND PROVIDE EROM CONTWL $EQUEN'r MORTGAGE SIAM ��I�IIa �1�M�1TMic�c oot�at��o�. I K12AS =. 4 W o S 89'47'54" W 108.24' • Z ,p •.� 6 - 21.5 �.ao• � I ,00'9 rxi 'Q0•Z ----- N ,..,� I —� 77 16.0' o� v a 001 y1 Lt ,00' M � � lip t 4 4SCALE 1" = 20' ' GI Cil 0 ,�£•a� N • w faLOT 32 0_ �`�ZL V'6.1 z 5rtLil r�}tet• ,z AKEOUT ERICKSON HEIGHTS '° � S 89'47154" W 108.29' �t --------� .11"�- S.E. 1 4 SEC. 10, T.ZS., R.1 W., W.M. �� O� �,, 1 " F-9 ,o 1 7 75CITY OF TIGARD 7C. WASHINGTON COUNTY, OREGON �{ -- A 2.5' LANDSCAPE EASEMENT SHALL EXIST ALONG JUNE 27, 2000 Centerline Concepts Inc. ALL STREET FRONTAGE AND A 7.5' UTILITY eEASEMENT AWN 6Y: MSG CHECKED 8Y: WGDIII SHALL EXIST BEHIND THE LANDSCAPE EASEMENT --- HOUSE MOVED f0 THE LEFT SCALE 1 "=20' AG�;OUNT 115 2 64082nd Drive Gladstone, Oregon 97027 PER CLIENT, 7/16/01 MSG. M: \MLI\L32ERICK 503 650-0188 fax 503650-0189 ..._.._. _ _._ .... ... .....�.. .. . .Jw..,.u�.... _._. -. _ ... - r +.._. n _.... ...r_..Aw. . w..... �� . . .._. _r.r . � .N NOTICE: IF THE PRINT OR TYPE ON ANY �I� IIf li � llil Iilllil lilllll ► lil � lil lilll ( � lilllil I (�1 (TrT i�lfl (T I ( III ( I I ( III ( I 1 ( I I ( I If ( I � I I ( I I" i I ( I I ( I �� r f� �� r � ( r If l III I ( f �.��. 11illil TrT Irl- i�7f If I ! f I If I If if If I ,� I II II II II I I I f 1� a IMAGE IS NOT AS CLEAR AS THIS NOTICE 1 2 3 4 `7 � 10__ _ iT IS DUE TO THE QUALITY OF THE _ _ � No.36 CC em- ORIGINAL DOCUMENT �IIIIIIIIIII (IIIIIIIIIIIIIIIIIIII(Illll_illll (lIIIIIIIIf( (I(IIII IIIII1111111ff111111111111111111f�1111fill :Ilill111111111111TEIIi6Z Z 6 8I L11 91 ill4T1111I11i1111 �11� I( 11 T1ll�LllllliL a-— Q 11111 1 .11 �l • � S. w, LADY MARION D VE I (S fnr Qv S 89"47`54" W 108.24' T 20.0 ss .00 a Ir o ► Cil °s ----------- ,ao•ti� 32.3 0 19.0' 17.5, - - M q m O 0 p p SCALE 1 " = 20' C or D o -� C7 �' CL m LOT 32 $ _ SCALE DRAWING ERICKSON HE;GHTS 89-47"514" , C:, 29' �+ 1 j.� SEC. 17 T.2S 1_ , am _ _ Z CITY OF TIGARD C� WASHINGTON COUNTY, OREGON � . -- A 2.5' LANDSCAPE EASEMENT SHALL EXIST ALONG JUNE 279 2000 Centerline Cance t s Inc . ALL STREET FRONTAGE ANDA 7.5' UTILITY EASEMENT DRAWN 8Y: MSG CHECKED 8Y: WGDIII P SHALL EXIST BEHIND THE LANDSCAPE EASEMENT SCALE 1 "=20' ACCOUNT # 115 E40 82nd Drive Glcdstone, Cragcn 97027 M: \MU\L32ERICK 503 650-0188 fax 503 650-0189 NOTICE: IF THE PRINT OR TYPE ON ANY rl-I_.� 111 ► 11 III III III III 111 111 111 I I I rp F[ TIT-9 i- T 11-T 1 11 111 11 i 111 111 111 111 111 11 11-1 I III III 111 �1 III > 1 ( I I 1 III ` III 1__C� 1 1� 1�1 1,r1 1 rl i �_1 � � � � I '� TF � � � � I � ( �` � 1 IMIIII IMAGE IS NOT AS CLEA _._ 1 _ _ 2 3 4 5 6 7 8 9 10 11 RAS THIS NOTICE, _ _ _ -- -� - -_- -- 12 IT IS DUE TO THE QUALITY OF THE _ _ _ _ No.36 CC, ORIGINAL DOCUMENT ou�6Z 8Z LZ 8Z 5Z � Z EZ Z TZ OZ I fiTBT LT 8T 9T i� T ET ZT Ti T 6 8 L 8 IIII I II IIII II IIII IIII IIII IIII IIII IIII IIII 111 11.1111.1.1 Illi 1111. .1111 IIII_ IIIL 11111111 IIIIIIIII IIII 1111 Till Ilii IIII IIII Ilii IIII III► IIII 11II IIII till IIII IIII fill « llll 111111 lil.11ill �i� ll 11 L1U1111�111 CA 15100 SW 107"' Terrace CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00350 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 15100 SW 107TH TERR PARCEL: 2S110DA-07100 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3 5 BLOCK: LOT: 032 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. Owner: __ FEES - - Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES PRMT CTR 08/15/2001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR. WEST LINN, OR 97068 5PCT C1R 08/15/2001 $2.90 27200100000 _ Total $39.15 Phone 1: 509-557-8000 Contractor: MOODY ENTERPRISES INC PO BOX 713 ESTACADA, OR 97023 REQUIRED INSPECTIONS Phone 1: 503-630-5532 Final Inspection Reg #: LIC 5973 PLM 11717 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 law 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 copies of these rules or direct questions to OUNC by calling (503) 246-1987 1 Issued By: )1. _y I ((e < Permittee Signature: I � ,'c L _ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day a Plumbing Permit Application City of Tigard Datereceived: &A2_1_01_ Permit no,: .�4et do 50 Address: 13125 SW Hall Blvd,Tigard,OR 9722; Sewer permit no.: Building permit no.: Citygffigard phone: (503) 6394171 Project/appl.no.: Expiredate: Fax: (503) 598-1960 Date issued: BReceipt no.: Land use approval: ease file no.: Payment type: TVPE OF PERMIT O, -&2 family dwelling or accessory U CununcrLial/industnai U Mulli-fiunily 0 Tenant improvement 13 New construction U Addition/alteratiorl/replacement U Food service. U Other: JOB SITE INFORMATION Job address: I100 /r'''i Description Oty. Fee(ea.) Total Bldg. no.: I Suite no.: �-— New 1-and 2-tamlly dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lodaccaunt no.: SFR(1)bath Lot: -L Block: Subdivision: — SFR(2)bath - - -- - - - - Project name: c. / SFR(3)bath _-- - -- - City/county: , ZIP: Z Z.1 Each additional bath/kitchen Descripdon and Ilicalion of work on premises: s,zz7..t,41efs Siteutilities: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin.ft.) PLUMBING CONTRACTOR Manufactured home utilities Business name: cYt.ivManholes Address:Pk '71Y Rain drain connector City:F cI,4 Slate:Q ZIP: 77c'23 Sanitarl sewer(no, lin. ft.) — Phone: o'Y .pv. $le E-mail Sturm sewer(no. lin. ft.) Plumb.bus.re no: J. -Y'! Water service(no. lin. tt.) CCB no.: 1�7 � B• S City/metro lic.no.: Fixture or item: Contractor's representative signature: i Bacot luun valve Print name: /; V Back flow prevcnter /yJ Date: i �'l Backwater valve Basins/lavatory _ N�e,: , , �� •,� l Clothes washer --- -_- Dishwasher Address: /,[ 7/? c Drinking fauntaln(s) City: r-514 t Ott staler,/', ZIP: '•'Z3 �. ctors/sum Phone: jc Sa�: ► r Eje E-mail: Expansion tank Fixture/sewer cap Name(print): �� Flour drains/floor sinks/hub Mailing acldres �� Garbage disposal City: (, _ _FSate: 7.1 P: a Ice makeHose r Phunc. Fax: li-moil: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by n(e q ne (intenance and repair made.by my regular Roof drain(commercial) — employee on the r ext I w as per ORS Cll 1pter 447. Sin (s), asin(s), nvs(s) 0%Nl1Cr's signalurc. _ Illalr: I'I Sump Tubs/shower/shower pan Name: Urinal - —._—. Address: Water closet _ ----- --- _ Water eater City: State: ZIP: -- — - - Phone: Fax. __—'-TE-mail: A-� Total Not all)utimdlcaont eve(M credit cant,please call Judrdiction Ra more Intmnunon. Minimum fee................$ _.,�� Notice.'Ir+s;nerrstlt application U visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $ Cmdll card number within IOU days after it has been State surcharge(9%) ....$ , 9 J p accepted as complete. Name of c n der as ahnwn nn ere (t c� lete. TOTAL .......................$p p Cardholdet signature ---- s Amount — 44(W 16(6rt com) AAAJ MASTER PERMIT TY OF T I G A R D PERMIT#: MST2001-00402 DEVELOPMENT SERVICES DATE ISSUED: 7/16/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15100 SW 107TH TERR PARCEL: 2S110DA-07100 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 032 JURISDICTION: TIG REMARKS: New SF detached. Path 1 BUILDING REISSUE. STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK. NI.I': HEIGHT'. 24 FIRST: 1,291 sl BASEMENT-. sf LEFT: 5 SMOKE DETECTORS. i TYPE OF USE: til FLOOR LOAD: 40 SECOND' 1,723 sf GARAGE: 708 sl FRONT: 21 PARKING SPACES TYPE OF CONST. SII DWELLING UNITS: I FINBSMENT: at RIGHT. 5 VALUE: $269,91880 OCCUPANCY GRP. P3 BDRM: 3 BATH: 3 TOTAL: 3,014.00 ef REAR. 68 PLUMBING _ —_ SINKS: 2 WATER CLOSETS: WASHING MACH- 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS 1 CATCH BASINS: TUDISHOWERS. 3 GARBAGE DI5P: I WATER HEATERS I WATER LINES: 100 BCKFLW PRFVNTR. 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILlCMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1 pg FURN a000K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AOU'L INSPECTIONS 1000 SF OR LESS 1 0 200 amp: 0 200 amp: WISVC OR FDR. 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F a 201 400 amp: 201 400 amp: 1e1WI0 5VCIFDR: 00 510NIOUT LIN LT: PER HOUR: LIMITED ENERGY, 401 - 600 amp: 401 000 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: Bot - 1000 amp: 601-amps-1000v: MINOR LABEL! 1000+amplvoll PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: 9VCIFDRa.225 A.: >600 V NOMINAL CLS AREAISPC OCC. _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL. B.COMMERCIAL AUDIO d STEREO VACUUM SYSTEM. AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANO5CAPEIIRRIG: PROTECTIVE 5IGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATA.TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,853.35 This permit Is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR Specialty Codes and 1672 SW WILLAMETTE FALLS DR all other applicable laws. All work will be done In WEST LINN,OR 97068 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 then 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rea N: forth In OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final Grading Inspection Post/Seam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Footing Insp Crawl Draln/Backwater Electrical Service Low Voltage Water Line Insp Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Issued By : _ __ _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD SEWER CONNECTION PERMIT PERMIT#: SWR2001-00204 DEVELOPMENT SERVICES DATE ISSUED: 07/18/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-07100 SITE ADDRESS; 15100 SW 107TH TERR ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS BLOCK: LOT: 032 JURISDICTION: TIG TENANT NAME: FIXTURE UNITS: USA NO: CLASS OF WORK: NEW DWELLING UNITS: 1 NO. OF BUILDINGS: 1 TYPE OF USE: SF INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: _ FEES RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR. — ---- WEST LINN, OR 97068 PRMT C f R 07/18/2001 $2,300.00 27200100000 INSP CTR 07/18/2001 $35 00 27200100000 Phone: 509-557-8000 Total $2,335.00^ Contractor: Phone: Reg #: Required Inspections 1 his 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 riot 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 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 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day iv j5F 7- /1 Building Permit Application �QX) City of Tigard M Date receivcd:''-+ Permit no.: CityofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: 7 Phone: (503)639-4171 Date issued: Byr Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: - 1&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tewitit imhnr�rm nt U Fire sprinkler/alarm U Other: 1 Job address: Lot: Z-- Block: Subdivision: Bldg,no.: Suite no.: Tax map/tax IoVaccount no.: Project name: � Description and location of work on premises/special conditions: Name: E N E Mailing address: L ,1&2 family dwelling: city: WE State: ZIP: Phone: FaxValuation of work...............�:...... .,.... .. ... $ can- owner's representative; : E-mail: No.of bedrooms/baths.......:......................... y__ 3 �-�� -.L1� Total number of floors Z Phone: 6, Fax: I nr,nl 2' New dwelling area(sq. ft.) ....,...,...A.X:I�,T, Garage/carport area(sq. 11.)................7�� Name: Covered porch arca(sq. 11.) —Z Mailing address -- - - `-'- - Deck area(sq. ft.) . .................. City: State: ZIP: Other structure area(s . Il .'...............•.......... _ ..................... Phone: Fax: F.-mail: CommerciaWild list rialhnultf-in rnil): Valuation o1 work.............................. $ Business name: Existing bldg.area(sq. ft.) ........................ 1 Address: - New bldg.area(sq. ft.) ................ ......... City: State: ZIP: Number of stories.......................... Phone: Fax: E-mail: Type of construction...................... ... ....... CCB no.: ---�- -- Occupancy group(s): Exisu : tit City/nietr•u lic. no,: —-------------------- New: _ Notice:All contractors and subcontractors are required to he '101' licensed with die Oregon Construction Contractors Board under NM '-�� L' � J Ll N provisions of ORS 701 and may he reyuirrd to be licensed in the Address: aS W jurisdiction where work is being performed. If the applicant is ` Cit Statc:Q ZIP: Z exempt from licensing,the following reason applies: { Contact)x rson: Plan no.: ----- _ 1'hunc:Z2. -1 l fi( Fax:2't •C7q � 1:-mail: - ('"rn''rt Berson: PA Fees due upon application Address: 2 N Date received: City: N Stale:C* ZIP: #1 2.110 Amount received $— Phone: 19L Fax: 1 E-mail: Please I(case refer to fee schedule. I hereby certify I have read and examined this application and the Nd all Jurisdictions accept crnht cards,pleas call Jurisdiction ror muse inrmwunn attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will he complied i whether specified herein or not. credit card number Authorized signature: Date: 2 O - - -- --- r .M�w�� NwrW or ccardhcldrr as shown on c It c Xpirel Print name:_�✓ rL� �_� - S Cardholder siviture i Amount Notice:'this permit application expires if a permit is not obtained within IRO days afler it has been accepted as completeear-u,l t tr,nrtvt.t inti One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: City of Tigard Associated permits: Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Electrical U Plumbing U Mechanical Phone: (503) 639-4171 U other: Fax: (503)598-1960 I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.3 Verlfication of approved plat/lot. 4 hire district-___approval required. 5 Septic system permit or authori1'a"on for remodel.Existing system capacity 6 Sewerpermlt. -- 7 Water district approval. -- 8 Soils report,Must carry original applicable stamp and signature on file ur with application. 9 arch-barosion control ti plan U permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans. Mus'be drawn to scale,Showing confprmlanCC 10 applicable local And Slate building codes, Latrrtl 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 he completed if copyright violations exist. I I Site/plot plan drawn to scale.The Air must show lot and building sr'hack dimensions;property corner elevations(it' there is more than a 4-ft.elevation differential,plan must show contour lines At 2-ft.intervals);location of casements and driveway;footprint of structure(including decks);location Orwell s/septic systems;utility locations;direction indicator,lot -�_ area;building coverage Fin imensions, 'of aoveragc,impervious area;existing structures on site;and surface drainage. size and location. plan.Show dimensions,anchor Iwlts,any hold-downs and reinforcing pads,connection details,vent size and location. - — 13 Moor plans.Show all dimensions,room r—anon.window sirs,location ol'srnoke detectors, water heater, furnace,ventilation fans, lambing fixtures,balconies and decks 30 inches above grade,etc. 14 Goss section(s)and detalls.Show ill framing-mcmher sizes and spacing such as floor heams,headers,joists,suh-floor, wall construction,root construction. Marr than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,r o ing.rxol'slope,ceiling height,siding material,footings and foundation,stairs, fire lace construction, thernal insulation,etc. IS Elevation ulcus. Provide elevations or new construction;minimum of'two for additions umd remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four loot at building envelope. _ Full-sire sheet addendums showing foundation elevations with cross references are acceptable. 16 Wail bracing(prewcriptive path)and/or lateral—inalys�s plans. Muni indicate details a locations;for nonprescriptive path analysis provide specifications and calculations to engincering standards. 17 1oorh•oof framing.Provide plans for all floors/rxof assemthlies,indicating memher sizing,spacing,and hearing Iocilions•Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rehar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current axle design values fur all beams and over M feet long and/or any Ixam/joist carrying a non-uniform loadmultiple joists. 20 Manufactured floor/roof truss design details. 21 Ir"nergy('ode compllanee.Identify the prescriptive path or provide calculations. A gas-piping schematic is required —2 for four or more appliances, 22 Engineer's calculations, When required or provided,(i.e,,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and s1;111 he shown to he applicable to'luc project under review. 23 Five(5)site plans are rvquired for Item I I above. Site plans must he 8-1/2"x I 1"or I I"x 17", 24 Two(2)sets each are required for Items 16, 19,20&22 above, 25 Building plans shall not contain red lines or'ape-ons. 26 No rolled,reversed or mirrored building plans will he 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. Fled ink is reserved for department use only. 440-4614 fbtl[LC'oMl Electrical Permit Application Datereceived: Permitno.:h11Ail� y -vc,c�C1 City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Ifall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax.: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Adclition/alteration/replacement U Other:_ U Partial { SITE INFORMATION Job address: Istirp *) (d 11 17ALIL. FBldg.nu: Suite no.: ITax map/tax lot/account no.: Lot: JP2.. Black' Subdivision: EJT5 _ Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRACIROR APPLICATION FEE SCHEDULE Job no: l e'e Max Business name: G C �LQ�.ty� 1C -- Description _ Qty. (ell.) total no.incp G Cf✓lt+'l , - 2 New residential-single or mulli-family per Address: IPC7 %PVX, _ _ dsvellint,unit.lnclorksallnclsstillnra�e. City: Slide:F%�- i I I' •-� L. S Se nice int lurkvl: Phone: •V Fax:(/Jj. GrnaiI — IWO!.y it orless Each i nonal 500 sq.ft.or portion thereof CCB no.: Q Elec.bus.lie.no: (�� — — - Limited energy,residential 2 City/metro Iic.no.: _-- Limned energy,non-residential Inch manufactured home or modular dwelling Signature of supervising electrician(requit-i) _ Date Service and/or feeder 2 Sup.elect n:nn tlninii I urn cmc- -- Ser vices or feeders-installation, alteration w relocation: PROPERTY1 Nx)amps of leas 2 20I amps to 4W amps 2 Nance(print): NG - -- 401 rtmps to 600 amps 2 Mailing address:1'2_W-W I M, 601 amps to INV amps- -- _ 2 City: 14W �IN Slate: ZIP: 41104111V over l(Xioamps orvolts _ 2 Phone: Fax: mail: Reconnectonly I Owner installation:The installation is being inade on property I own 7emporarysen fees orfeeders- which is not intended for sale,lease,rent,or exchange according to hwallalinm.Mori alion,orrelocallom ORS 447,455,479,P . 2amps to 2 I) 701 — 20011 amps to 4WW -_amps 2 ( Owner's si�naturc: 'J Date: 1110101 401 to 6W aril s 0M 10 a 2 Branch circuit%-new,aller,tllon, or extension per panel: Name: �� .�. � , —__ A. Fee for branch circuits with purchase of At service or feeder fee,each branch circuit _ City: 1POILIUWD Istate:AL /.I I': ��; ' B. Fee for branch circuits without purchase -- of srrvice or feeder Phfee,first hi inch circuit 2 anc:2'�{•(�21'j, lax •4'141 I:-nslil: — -- Each additional branch circuit: PLAN RUVIIIIA11 (Illea%e check tall thal apply) Mime.(Service or feeder of Included): UService over 225amps-commercial Ullealdrcale lacility Bach uruporirrigation(irde - 2 U Service over 320 amps-rating of 1&2 U Hazardous location F.ach signor outline lighting _ 2 family dwellings U Building over 10,0(x)square feet four or Signal circuitls)or a limited energy panel, U System over 6(x1 volts nominal more residential units in tine strocture alteration,of extension* U Building over three stories U I-m-ders,4Wamps(it more •11ik•scn tion. U Occupant lond over 9Y persons U Manufactured structures or RV pall, FAc h additional impeclion over the allo"able In any or the alrrrve: U F.f!tess/lightinkplan U(ether _ Per u:s x•cuoti Submit_%el%of Phan"lilt any of the above. Investigation fee _ The above are not applicable to temporary construction service. Other -- Not an)miuhctiunv accept crnlit rNd.,psr lrecall iurivslicntat ha more inftattWlat. Notice:This permit application Permit fee..................... �--`-- U Visa U MasterCard expires if a permit is not obtained Plan review(at .___. %) S — (•redn caid number: _ within 180 days alter it has been State surcharge(8%) ....$ zplres accepted as complete. Name of cardholder u shown on credit c S --- Vardholder siltnamre -- ktnount 440.4611 ttY011lt'OM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Compete Fee Schedule Below: ---- - _ Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Residential-per unit Check Type of Work Involved: 1000 sq.ft.or less $145 15 _ 4 ❑ Audio and Stereo Systems x Each additional 500 sq.ft or portion thereof _ $33.40 t Limited Energy $75.00 ❑ Burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $9090 2 ❑ Garage Uoor Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $10685 2 I ❑ Vacuum Systems' 401 amps to 600 amps __ $160.60 2. 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fe,)for each system....................................... .................. $75.00 200 amps or less $66.85 ___ 2 (SEE OAR 918-260.260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, — see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder lee. Each branch circuit $6.65 _ ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service or feeder fee. Alarm❑ Fire AlaInstallation First branch circuit _ $46 85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each purnp 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 _ F-1NurseCells Per hour _ $62.50 In Plant $73.75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%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 : ElTrust Account# I — 8%State Surcharge $ l Total Balance Due $ 41s1s\fnmu4lc4"x dor 10/09/00 Mechanical Permit Application haterecefved: Permit no.:Ars,7,.;loo City of l igard Project/app%no.: Expire date: City gfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 hate issued: By: Receipt no.: Phone: (503) 639-4171 —• Pax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ — Building permit no.: 1 1�1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement tg New construction U Addition/alteration/replacement U Other: 30111M]E INF,0RMA'I ION 1 Job address: 151OC7 16pW (0-1'IH '[�R - _ Indicate equipment yuanuties in boxer:below. Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: '57„ Block: Subdivision: a f-jj f,�l HTS . *See checklist for important application information and Project name: ioritidiction's fee sCl)cdulc for residential permit fee. City/county: TkAAW ?.IP: 1 2 FAM I LY DWItUING PERM IT FEE SCIIEDULE' Description and location of work on premises: LE FIWY t E _ l cc(ra.) 9 oral Est.slate of completion/inspection: NOVEM15EIL _"- Dewripdon Qt). It es.nnh Re%.oi l}I Tenant improvement or change of use: Is existing space healed or conditioned?U Ycs U No Air handling unit —CFM— IsAir conditioning(site:plan require-&)— Is existing space in".id:itrd'J Y , 'J No Alteration of existing HVAC system CONTRACTORHoi er/compressors Business name: Pl6N HF.A IQ(A State boiler permit no.: --- __ IIF ---Tons—BTU/II Address: 2.1 V—SF— 2A V Lorr Fire/smoke dampers/duct smoke detectors City: OILL62gMy I State: ZIP; 411 Heat pump(site p an required) Phone: 2. . 02A 2.-1 1 1 E-mail: nsta rep ace furnac urner CCB no.: I)12Z.0'i — Including ductwork/vent liner U Yes U No _ nsta rep ace/rc orate heaters-suspended, City/metro lic. no.: wall,or floor mounted Name(please print) Vent fora lance other t an furn CONTACT ace e getnl on: Absorption units BTU/14 _ Name: J Vprav N Chillers lip - -- ('nm ressnrs_ [IF' Address: - atv R,re ex ust stn vent At on: City: Tt,tic 1 IP: Appliancevent Phone I)ryerex gust _ — — 1 a, I loods,Type res. itc fen m rmal hood fire suppression system Name. wrOA K--.156E- GV 61VM VWMf6ii Isxhaust fan with single duct(balk fans) F11J !, x taust system apart front isatin or C Mailing address: Cit �( - Slate: 7.If p��. Fuel piping andistribution(up to• outlets) y' __..._ _ I'ylx: LPG N(i Oil Phone: . I ,t f?-trail: -tie piping each additions u%ct a idcv. Process piping(schematic retimied) Number of outlets Nome: rf:dd. Ems! _ __�,__—"( ter listed oppllsnre-nr egTnt: Address: 9_ 1 Z MV _ hccoiauvefifeplace — City: Slater I ZIP:&j-j2-44,, nsert-type --- 1'hone: ax 1 -snail: oo stove/pe etstove (ri ce Applicant's signature: — — Date. D ter: Name (print): Not all Jurisdictions accept credit cwds,please call Jurisdiction f,r mitre Inhxtnohun Pennit fee..................... U visit U MasterCard Notice:This permit application Minimum fee................$ ._ Ordll twd tnttnher expires Kit permit is not obtained plan review(at _ %) within IRO days after it has been State surcharge(896) ....$ Name of cardhoWt u shown on credit cut — accepted as complete. Uardholder signoturr -- Amoum - 4404617(69XWCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: _ Price Total TOTAL VALUATION: FEE: - Description: Qty (Ea) Amt Table 1A Mechanical Code $1.00 to$5,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and Includina ducts&vents 14 00 _ $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including including ducts&vents 17.40 _ $10,00000. 3) Floor Furnace $10,001.00 to$25,000,00 $148.50 for the first$10,000.00 and Includin vent _ 1400 $1.54 for each additional$100.00 or 4) Suspended heater,wall heater fraction thereof,to and including or floor mounted heater 14 00 $251000.00. 5) Vent not Included In appliance permit $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 6.80 $1.45 for each additional$100.00 or 6) Repair units fraction thereof,to and Including 12.15 $50,000.00._ - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or footnotesr items 7-11,belosee or Com Pump Cond fraction thereof. _- - 7)<3HP;absorb unit 14.00 _ - to 100K BTU - ASSUMED VALUATIONS_PER APPLIANCE 8)3-15 HP;absorb 25.80 Value Total unit 100k to 500k BTU Description: Qt Ea Amount 9)15-30 HP;absorb 35.00 Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU ducts&vents 10)30-50 HP;absorb 52.20 Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU _ -- ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU _ 87'20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM 10.00 floor mounted heater _ _ -- Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+ 17.20 permit - - Repair us 955 14)Non-portable evaporate cooler <3 hp;absorb.unit, 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310 a (lance ermit 10.00 _ mil.BTU -- 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU -- 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm 656 89.95 Air handling unit>10,000 cfm 1,170 -__- 20)Other units,Including wood stoves Non-portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 _- 21)Gas piping one to four outlets Vent system not Included in ebb 5.40 appliance ermit -- 22)More than 4-per outlet(each) Hood served by mechanical exhaust 856 110 _ 1.00 Domestic Incinerator 1 -- Minimum Permit Fee$72,50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 Other unit,Including wood stoves, 656 8%State Surcharge $ Inserts,etc. - - Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet - 83 _-_ Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ _VALUATION: - - Uther Insnectignj and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically Indicated (minimum charge-half tour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour'$72 50 per hour 'S!alc Contractor Boller Certification required for units>200k BTU. "Residential AJC requires site plan showing placement of unit. iAdstslformsUnech-fees.doc 10/11/00 Plumbing Permit Application Date received: Permit no.: c f •QO City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: TVPF OF PERMIT U 1 &2 family dwellinp or nccctisory U Commercial/industrial U Multifamily U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Ocher: _-- It SITE INFORMATIONinformation Job address: �S�dd iej(it) (Q�a Description Qty. Fee(ea.) 'Total Bldg.no.: Suite no.: New I-and 2-family dwellings only: Tax map/tax lot/account rto.: — — ------ (includes 100 fl.for each utilityconncction) SFR(1)bath Lot: '�, Block: _ Subdivision: SFR(2)bath Project name: SFR(3)bath _ City/county: q 2 Each additional hath/kitchen Description and location of work on premises: Siteutllilles: '5W! ,(Z FAM 1 VY _P_&%.£, Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain 1 1 Footing drain(no.lin. ft.) PLUMBING Manufactured home utilities Business name: (*"T k2"*- — _ --- - --------- Manholes Address: -1119-7(0 S} N VS Rain drain connector City: _(�� _ I Statc:M I'LIP: 01100tp Sanitary sewer(no.lin.ft.) Phone4A4• I-ax: I E-mail: Storm sewer(no. lin.ft.) CCB no.: Idl(e(p�j — Plumb.bus.reg,no:%D•14*F5 Water service(no.lin.ft.) _ City/metro lie, no.: Fixture or Item: Contractor's representative signature: Aliso tion valve Print name: fji4�l —� fate:"� �. O I Back Ilow reventer — Backwater valve 1 Basins/lavatory -- Name: [.- Clothes washer -- — _- --- - Dishwasher Address: Drinking fountain(s) City: Slate: ZIP: Ejectors/sump - - I'hone:7.41M•2A 21 1 Fax! E-mail Expansion tank Fixture/sewer cap _ Name(print): MWA1 AMCF. Fluor drains/floor sinks/hub ��W1� Mai lint!nrirt�.ss: Garbage disposal — Ilose hihh City:Vjf6T LLNr1 I State: OIL V'"0040VIce maker Phone:5 51- 41�WFax: I E-mail: Interceptor/grease trap_ Owner installation/residential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Rool drain(commercial) employee on the pnrpcC�,wn as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: _Z_ t� Sump Tubs/shower/shower pan Nanie: "W, EW4 Urinal Address: NDS — -- Water closet —_ Water heater City: _ ( - I State�L ZIP: 01 Other: Phonr�..GZ42, Fux:ANT • [: mail: ota Not all prrisdiclime accept crnlil cards,pleaw call Jurladictlrm for rnme lnfo mwion. NMinimum fee................$ otice:This permit application Plan F U visa U MasterCard expires if a permit is not obtained Ilan review(a( —_ %) $ Credit card number: within I SO days after it has been Slate surcharge(8%) ....$ — as lett. TOTAL .......................$ Name of car iorl mown on credit caul accepted complete. S -----� Car oder oisnalure - — Amount aan 4h If,ttu(gl(r)N1t PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-famlfy dwellings only: FIXTURES individual QTY ea AMOUNT (Includes all plumbing fixtures In PRICE JAMOUNT 16.60 the dwelling and the fimt100 ft. QTY (ea)Sink for9ach utllit connection)1660 t1no11�bath $249.2016.60 Two(2)bath $350.00 Tub or Tub/Shower Comb Threebath $399.00— Shower OnlyWator Closet 16.60 -- SUBTOTAL Urinal 16 60 8Y"STATE SURCHARGE - 16.60 PLAN REVIEW 25Y.OF SUBTOTAL -- ____ Dishwasher Garbage isposal � — 16 50 D _ -- --- Laundry Tray 15.60 -- Washing Machine 16,60 _— FloorDrain/FIOorSink r' 1660 PLEASE COMPLETE: 3„ 16.50 4„ 16.60 — -- _ Quantit b Work Performed _ Water Heater O corvorsion O like kind 16.60 Fixture Sink Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical lapped oI—nnim46.40 _ MFG Hoe New Water Service Lavatory __ MFG Homo New Sar/Storm Sewer 4640 Tub or .Tub/Shower. Huse Bibs 16.60 Combination 1660- Shower Only — Pool Drains _ _ Water Closet Drinking Fountain — 16.60 Urinal __— Other Fixtures(Specify) 16.60 _ Dishwasher - -- — — Garbage Dis osal — Laund Room Tra — _ — Washing Machine — _ -- Floor Drain/Sink: 2" Sower-1st 100' 55,00 3"4" "4 ----- A6.40 ., - - Sower•each additional 100' Water Heater Water Service•1s1 100' 55.00 _ — Other Fixtures Water Service-each additional— l 200'- 4640 S self — Storm 8 Rain Drain•1st 100' _ 55.00 — - — Storm 8 Rain Drain-each additional 100' — 46.40 Commercial Back Pr Flow evention Device 46.40 Residentlal Backflow Prevention Device' 27.55 _— Catch Basin --— 16.60 Inspection of Existing Plumbing or Specially 750 Re uq r/hr COMMENTS REGARDING ABOVE: ested Inspectionse — -- Rain Drain,single family dwelling 6525 Grease traps _— 16.60 -- -- QUANTITY TOTAL _ --_--. ------ -- —— Isometric or riser diagram Is required it Quantity Total is_, --� -- 'SUBTOTAL --, _ _------- 8%STATE SURCHARGE -- --— PLAN REVIEW 25%OF SUBTOTAL — Required only If fixture qty _total Is>9 C _ TOTAL i "Mlnlmmn permit fee Is$72 so+a%state surcharge,except Residential 3acl,flow prevention Device,which Is$36 25 4 a%state surcharge "All New commercial Buildings require plans will,Isometric or riser diagram and plan review I'\dsts\forms\plm-fees+doc 10/10100 SEE 35MM ROLL # 2 1 FOR OVERSIZED DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON. OR 97008 Plumbing Signature Form Permit #: MST2001-00402 Date Issued: 07/18/2001 Parcel: 2S110DA-07100 Site Address: 15100 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 032 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. Path 1 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, A"rTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR. RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR. 7736 SW NIMBUS AVE WEST LINN, OR 97068 BEAVERTON, OR 97008 Phone #: 509-557-8000 Phone #: 644-8698 Reg #: I Ir 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X J _ Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #: MST2001-00402 Date Issued: 07/18/2001 Parcel: 2S110DA-07100 Site Address: 15100 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 032 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF detached. Path 1 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, ATTN. Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES 1672 SW WILLAMETTE FALLS DR. GAGE ENTERPRISES INC PO BOX 1429 WEST Llivis, OR 97068 CLACKAMAS, OR 97015-1429 Phone #: 509-557-8000 Phone #: 503-657-0142 Req #: SUP 618s LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST G e) / C6 �0 Z— iNSPECTION DIVISION Business Line: (503) 639-4171 BUP Received —_ Date Requestedfir- AM__-- ____ . PM _ BUP Location —__.�?/15 & ,9. / 1,�- z 104, /� N ---Sukeej_ MEC _- Contact Person Ph( 3/0 Z PLM Contractor ....-----------____-_ _ _ -- -- Ph( ) SWR BUILDING Tenant/Owner ELC Footing- - ELC Foundation Access: Ftg Drain ELIR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- - Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Other: na ASS PART FAIL PEMING _ _ -- - - -- ----- - - _ Post& Beam Under Slab ------ ----- Rough-In Water Service ------ - - - - — -- - Sanitary Sewer Rain Drains --- - - - - — Catch Basin/Manhole Storm Drain ------- Shower Pan Other: - — -- — ------ Final PASS PART FAIL MECHANICAL Post&Beam Rough-In --- -- - - ----- Gas Line Smoke Dampers -- — -- __—___ _--. —_-- ,-- ---_—- -- SS ) PART FAIL --- E RICAL— - - — - - - -- -- ---- -- -- -- 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 _— [J Please call for reinspection RE:__ _-_--.__ - E] Unable to inspect-no access Fire Supply Line _ ADA Approach/Sidewalk Date .. Inspector Other: Final —� DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUII DING INSPECTION DIVISION MST ?700 24-Hour Inspection Line: 63; 175 Business Line: 6394. — BUP — Date Requested_ �S C —__AM.— PM —__ BLD Location i'S i c c ic.' 7 r� /�+'� —_— Suite _—�— MEC _— Contact Person —_ — Ph _——_— — PLM _ —_- Contractor — _— Ph —_^ SWR BUILDING — Tenant/Owner v�— ELC Retaining Wali ELR Footing Access: FPS Foundation Ftg Drain SIGN Crawl Drain Inspection Notes: Slab ------- -_-----__ I ----- ----_ Post& Beam Ext Sheath/Shear ------- ----- Int Sheath/Shear Framing ----- ------ ---- _. -- ------- -- .. -_- - Insulation Drywall Nailing ----- ---- ---- - - --- ---- - - --- --- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling ------ Roof Misc: -- - ---- - - ------- - ._ - -- Final ---..—_ ---- PASS PART FAIL - - ---- - --- ---- -- --- — PLUMBING llo%t& Beam Under Slab -- --- --- -- ---- Top Out Water Service �_____-- - -- --- .-- - - Sanitary Sewer Rain Drains ------ PART FAIL_ 'IMECHANICAL Post& Beam - Rough Inas Line - -- --- -- Smoke Dampers Final - -- - -- - -- PASS PART FAIL ELECTRICAL Service - ---._. Rough In UG/Slab -- Low Voltaq. Fire Alarm - Final PASS PART FAIL - - -- - _ SITE - -- - ------ - Backfill/Grading - Sani'ary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin __ ( ] Unable to inspect-no access Fire Supply Line ( j Please call for reinspection RF - ADA Approach/Sidewalkpat$ �- —� Inspectdtl�_ Ext Other Y_ � - --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUIL nING INSPECTION DIVISION 24-Hour Inspection L`ne: 639- 'SMST Business Line: 639-41, Date Requested_ / BUP _ AM, PM BLD Location_ / 5 /UU /C- ] �1 l Suite Contact Person (�`� Ph J MEC Contractor — — PLM Ph — SWR BUILDING _ Tenant/Owner Retaining Wall ELC _ Footing ELR -- Foundation Access: Ftg Drain FPS Crawl Drain Inspection Notes: SGN Slab Post& Beam -- --- SIT ` Ext Sheath/Shear - Int Sheath/Shear 17 ---- - ramrng Insulation - - -- Drywall Nailing - Firewall Fire Sprinkler - - - Fire Alarm --- Susp'd C piling - Roof -..._ Misc: Final - - PASS PART FAIL PLUMBING — Post& Beam Under Slab Top Out - -__---_ Water Service Sanitary Sewer Rain Drains Final L.!jASS PART FAIL_ MECHANICAL - - - - - - Post& Beam Rough In - --- -----__-. _ Gas Line Smoke Dampers tfinal P FAIL CTRICA Ice Rough In UG/Slab – Low Voltage - Fire Alarm in SS.\ PART FAIL ITE- 1akfill/Grading TE_ackfill/Grading - Sanitary Sewer — Storm Drain ( J Reinspection fee of$ Catch Basin _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Fire Supply Line [ J Please call for reinspection RE: ADA [ ) Unable to inspect-no access Approach/Sidewalk Final Date a _- Inspector Ext _ PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. jz AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA x ► rD j r CD ► d u CD t ► t � o � ► / ► c �, ► q Y,. y � F � ► t .j y t ,rte �, ► t ri M v' ► y N G pool CD ~' `�' i 44 plo. n � ► . o ► .4 ► A ► CITY ®� TIGARD __ MECHANICAL PERMIT' DEVELOPMENT SERVICES #: MEC2002-00231 6/5/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSU ISSUED: 2511 PARCEL: 2S110DA-07100 SITE ADDRESS: 15100 SW 107TH TERR SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 032 ,JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _BOILERS/COMPRESSORS _ HOODS: FUEL TYPES _ 0 - 3 HP: DOMES, INCIN: LPG 3 - 15 HP: COMML, INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING_ UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gasline for bar-b-que. Owner: _ FEES LAURIE HATHAWAY Type By Date Amount Receipt 15100 SW 107TH TERRACE PRMT CTR 6/5/02 $72.50 272002000C TIGARD, OR 97224 5PCT CTR 6/5/02 $5.80 272002000C Phone:503-319-6349 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line Insp Phone:620-5643 Final Inspection Reg #:LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00140080. You may obtain copies of these rules or direct questions to OUNC by calling Issue 1 ` Permittee Signature: Call (503) 60-41175 by 7:00 P.M. for Inspections needed the next business day May ��9 02 01 : 00P Spec i a 1 ty Heating 503 598 0718 Mechanical Permit Application 0's- Permit n2,( �— LlAlr rrr.eivcd- '- / Cit of Tigard City g Projtt:Vappt.no,. F,aplre date: Ci4'ofTbward Address: 13125 SW Hall Blvd,Tigard,OR 97223 t'hone: (503) 639-4171 Date issued:- Qy: _, Receipt l o.: Fax: (503) 598-1960 Case file no.: Payment type; Land use approval: _ Building permit no.; DEC A,t S.2 fiunily dwelling or accessory o f nmmercial/industrial 0 Multi-farilly 0 Tenant improv:men;doliar N.w construction ddition/altcratiolt/rrpla%ement ❑Other. JOB INFORMATION 1 1 Job address: /� -) JL ' I cit 1 1G{- Indicate equipment quaiuities in boxes hrin.v. indica r the no.: _ value of all mechanical materials,equipment,labor, Iveritead. Tax ma tax lotlaccount no.: profit.Value$ Lot: 131ock: Subdivision: i 'See cheukliyt fut important application information ;aid Project name: jurisdiction's fee schedule for residential permit fee. Pity/taunt :T C<1 S ZI .2-A I a t Desert t on and location of work on premises:— �iM 727 ► ' a t t tyR Pee otal Est.date of cnrn letion/inspection: r5 3/ O 2. Description Qry. lies s.only Tenant improvement or change of use: Airhandling Unit CFM Is existing iparta heated or conditioned Yes 0 No Air conditioning(site Ian require Is evicting space insulated. es d No A teratiano exisun A s stem MECHANICAL CONTRAC101t of erlcompressors -- Business name yQ (� 4 State bolicrpermrt no., HP _ Puny BTU/14 Addtrss. 5 S(.t> t 1 ST _ ire/smn c om crs/auctomo=e etectory City: F Ccq 4 State:04- ZIP: ��2 3 ��u este an requured) Phoney (,.fps Fax59F��/ Email naee furnac burner_ CCB no.: S including ductwork/+-ent liner Cl Yes O No Lista ieplace/re ocate eaters-su pen ea, City/metro lie.no.: _ -� wall,or flour mounted Naine(please print): �trA j� cnt ora lance other t an rnuce CONTACT PERSON e getnunn ��•• � Absorption units BTU/H Nalue: �.TV LZe ' M ��e/� 17 P 19. Chillers HP Address. 0!.1 �'"/- ,t v Compressors HP ty �' to e:G ZIP a-•a or ronntcnt r. Curt and rent Nun. Ci a��' Appliaticevent Phone643 GAO SC,r rac:a y'p-Jlg' C mail: Dryer exhaust mac --- nn s, ype Fes. Utc el aZnlvp al hood fire suppression system Nttnte. Q� / _ Exhaust fan with single duct beth fans) Mailing addrem l G ton SC_l x ousts stem apart froin-Fca-ting or AC C_fty time. ♦ gyp; 9-7-1-2-3-- uc P P uk au ]stsi u=u(up to ou ew) ---- -- Tvpe: __LPG NG Oil Ph��m.'3 J" . I }:ct E•m iil:� -Tuel piping each additional over 4 outlets Foettapip g(schematicrequit ) Name. NUInbel ut outlets -- -- - �Rher IWO app tact pments - Adlirass; Auther: orativc fireplace �- - State ZIP'PhoneE tnaiL Applicant's $rgm Lire' Name(print): ---- . .....$ .. NoyAI jWIrdlouons:xcrpl emlil conit,please calf jurlvLcuon fog Permit fee.............. mae IN�unuWan. WV V., v M. rt:ud Notice This permit application Minimum fee.. . $ Cmd1t,:yd nunlbec eNpirce if u permit to not obtained Plan review int + .n,e1 within 110 davs after It has been -- — State surcharge(8%) ,...$ Date o d iho»n on ne r coni accepted u completr. • Ay m� i TOTAL 8 Ad(j6 15 fes_` C1 _----- Luuh„Ider+ip,murc AMuuut - _--� w)-Nit tdNWCOMI CITY OF TICaARD 24-Flour BUILDING Inspection Line: (503)639-4175 '` MST INSPECf;ON 01VISION Business I-ine: (503) 639-4171 -- 6j BUP Received Date Requested ~� �� AM PM _l BUP _ Location -_ I <_/O r] �� 61,t/ ZO 7i Suite MEC L (�✓ _r��j� Contact Person - _ s:4 �(Q Y Ph( ) �j1-2-G r PLM Contractor - Ph( ) _ SWR BUILDING _ Tenant/Owner ELC Footing Foundation Access: ELC Fig Drain ELR Crawl Drain - --- ----_- Slab Inspection Notes: ^ Q L� SIT Post& Beam Shear Anchors _- Ext Sheath/Shear Int Sheath/Shear - - Framing 1%� Insulation Drywall Nailing Firewall Fire Sprinkler - --- - -- Fire 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 - - ---- -- --- --- - ---- Shower Pan Other: Final P S PA�tT FAIL -- CH ICAL Past& Beam --- Rough-In Wn , ampers AS _ PART FAIL _�_ ---. --- ---- - ...--- ----.. - -- - — _de CTRICAL 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 1 Please call for reinspection RF _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dote - --�- Inspector /- _ Ext Other: _ Final — DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL n y 5 rr y O ^ ~ o N n. o � o � rd.-ra �. a ^ \ , F R T r V r; a � �v � � n � 7�, _• O o ( a � o a O o � o -lot v Q 0