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15122 SW 107TH TERRACE NOTE: CENTERLINE CONCEPTS ST-37 - Ss 7 g r r, a SURVEYORS, IbILL PIN ALL EXTERIOR FOUt!DATION CORNERS AND PROVIDE G SUi -3L-UUFNT A?OHTGAGE SURVEY S 9'47'54" W 108.24' 3 7/ v' STORM DRAINAGE EASEM rn _ 43.00' 6j ------------- r I N j �"'---F —� 0. 0 m —————————— 4.00' ..� !t wr" _ I.- � 04 ,ter-� 3��. s V , d 93.0 w T 50 N 6.00' � O O N —2 j a ;,�e x.50 Cr 4 2ro33.00 � r1 RIF , S 89'47'54" W 165.24' A3 < N > sdl Feocc EROSION CONTROL: 36/ .0 or 1. PROVIDE & MAINTAIN 8"(min) THICK GRAVEL PAD& DRIVE UNTIL PERMANENT CONCRETE DRIVE IS IN PLACE, 2. PROVIDE & MAINTAIN SOIL SEDIMENT FENCE AS INDICATED. �SI Z Z S(i✓ 07 �PrvGtG�° SP �ac/�f side m / LOT 31 � SCALE DRAWING ERICKSON HEIGHTS —z -Aecl r2 �. _S' S.E. 1Z4 SEC. 10, 12S., RAW., W.M. - - 00VED HOUSE RIGHT TO 4.5' PER WENT, 9/14/01 MSG CITY OF TIGARD pug -- MOVED HOUSE BACK 8' PER CUENT. 9/10/01 MSG WASHINGTON COUNTY, OREGON -- MADE GARGAGE LEFT 8/29/01 MPW. FEBRUARY 22, 2001 Centerline C o n c e i s Inc . -- NEW l USE PER WENT P -- A 2.5' LANDSCAPE EASEMENT SHALL EXIST ALONG -- Mav� HOUSE To 6' ON LFFT G. DRAWN BY: MPW CHECKED BY: WGDIII w EMAIL WWW.CCIEMAILCHEVANET.COM ALL STREET FRONTAGE AND A 7.5 UTILITY EASEMENT PER CUE:NT, 3/07/01 MSG. SCALE 1 =20 ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027 SHALL EXIST BEHIIJD THE LANDSCAPE EASEMENT -- MOVE HOUSE BACK 5' To 20' PER WENT, 2/25/01 MSG. M: \MLI\L31 ERICK 503 650-0188 fax 503 650-0189 ,+ +nen+ewwiW r�r,�pwrurAnq�Yob +ry kv' m "Mall .. w s. .,,nn..ww'..ri.....�.rr.rr+�--.-.Y.—..��.......�........_�_.__ ....�-_.J._..�....+.i..au...-......�.........,........ - ............._....ur..u........... .. . .._..........�.... .,. .......-...- "�� .n�M.r..... �.... �.Yih ....�. ....w. ...,........ ....-....r.00n.......�. ., ...._....._...... ...�....r .. ..,r......www • .i �e 7M1 ala K .- NOTICE: IFTHEPRINTORTYPEONANY �� Ir Illllll 1111111 IIIII� i lll � rll IIt � IrTVlfijT1T � i17rT�. 11.TIllf 111 � 1 � f III ( IIi II1 IIf III I �f 111 ► IIi 111 1Ii t� 1 111 III 1II III III III 111 11111 ( ► fI1T�I 1111111 III Ili iIIIIII II II I I I I l 1 1 2 3 i 4 5 6 7 8 9 10 __ 11 y IMAGE IS NOT AS CLEAR AS THIS NOTICE, _ ._ _ __ __ __^ _--_, _ IT IS DUE TO THE QUALITY OF THE _ _ _ _ _ _ No.36 � ORIGINAL DOCUMENT E 6Z S Z Li 9 Z 5 Z i' Z E Z Z Z i Z i IIII III) IIII IIII IIII IIII IIII IIII IIII (III►illi 11_�l 11111111 IIII III. IIII►1111. IIIL Illi I,II IIII IIII illi Jlil IIII IIII IIII IIII :1111 IIII Ilii IIII IIII IIII IIII IIII IIII Ilii l loll 111 Illi Llll Illi ll.11 ll 111 IIIIC111 c� 15122 SW 107"' Terrace CITY OF TIGARD BUILDING INSPECTION DIVISION / 24-Hour Inspection Line: 63 .175 Business Line: 639-4 I MST -_ Date Requested--- 3-/J' BUP AM Pki - Location 1fJP f S/zZ SW �(J'1 GS f�ry Sui:e MEC BLD - -----.� _ Contact Person _ _- — Ph _y�_ 3/O L — PLM _ Contractor_ _ �`_-_-- Ph SWR ---�- BUILDING N Tenant/Owner _ ELC Footing ELR Foundation Access: Fig Drain FPS _ __— Crawl Drain Inspection Notes: SGN Slab Post&Beam ---- SIT Ext Sheath/Shear - —----- Int Sheath/Shear Framing — —`N�— Insulation _ Drywall Nailing --" Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ---- - _ Misc: �- Final -- — —- ---- -- PASS PART FAIL Post& Beam Under Slab Top Out - - -- - _ Water Service - -- Sanitary Sewer - Rain Drains -- ma - - - - -P SS ART FAIL. - — - — CHANICAL - - --- -- — — Post& Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL - — --- —.__—_—_-- Service Rough In - UG/Slab Low Voltage - Fire Alarm --- Fin� - - ------ �AS PART FAIL Backfill/Grading Sanitary Sewer --- Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pa at City Hall, 13125 SW Hall Blvd Catch Basin P y Fire Supply Line [ ]Please call for reinspection RE: [ J Unable to inspect-no access ADA --- Approach/SidewalkVlybll Other Date CC// � Inspector� _Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received .-------Date Requested .. 3_c;Z _ AM_ M PM BUP Location S / Z Z /y 7(41 Suite MEC Contac!Person —_ � Ph( ) _ d Z- PLM Contractor _____.._ _ _ Ph(__ ) -- SWR _- EUILDING_ Tenant/Owner - - - ELC Footing ELC Foundation Access: Ftg Drain ELR 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 O er. din ASS ART FAIL PLUMBING_ 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 ina SS ART FAIL -- —......-- --..-- --- -- - - TRICAL Service --- --' -- Rough-In UG/Slab Low Voltage Fire Alarm Final I j Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE I Please call for reinspection RE: — �� Unable to inspect-no access Fire Supply Line ADA _ 2 0 _ D Approach/Sidewalk Data _._ _Z Insp Mer _ Ext Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL ►.aaaaaaeaaaa�aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa�� t ;� � r y ► n d ► ! r C7 ► ► ! ! ► Q. M ! O - ► ! r t rD r ► d 44 Poo. ► t rL ► afD y � ► �3- ro ► ! M ` Ti o Poo. tTl t ! M �: ► .14 x ► ! ► ! ,� ► Street Tree Planting Requirements Community Development Code Cil v Ti aril 18.745.040 Street Trees Y' l - - - - C. Size and spacing of street trees 1. Landscaping in the front and exterior side yards shall include trees with a minimum caliper of two inches at four feet in height as specified in the requirements stated in Subsection 2 below; 2. The specific spacing of street trees by size of tree shall be as follows: a. Small or narrow-stature trees under 25 feet tall and less than 16 feet wide branching at maturity shall be spaced no greater than 20 feet apart; b. Medium-sized trees 25 feet to 40 feet tall, 16 feet to 35 feet wide branching at niatuntN shall he spaced no greater than 30 feet apart; c. Large trees over 40 feet tall and more than 35 feet wide branching at maturity shall he spaced no greater than 40 feet apart; d. Except for signalized intersections as provided in Section 18.745.040 H, trees shall not be planted closer than 20 feet from a street intersection,nor closer than two feet from private driveways (measured at the back edge of the sidewalk),fire hydrants or utility poles to maintain visual clearance; e. No new utility pole location shall be established closer than five feet to any existing street tree: f. Tree pits shall be located so as not to include utilities(e.g.,water and gas meters)in the tree well; g. On-premises utilities(e,g.,water and gas meters)shall not be installed within existing tree well areas; h. Street trees shall not be planted closer than 20 feet to light standards; i. New light standards shall not be positioned closer than 20 feet to existing street trees except when public safety dictates,then they may be positioned no closer than 10 feet; j. Where there are overhead power lines,the street tree species selected shall be of a type which,at full maturity,will not interfere with the lines; k. 'rrees shall not be planted within two feet from the face of the curb;and I. 'frees shall not be planted within two feet of any permanent hard surface paving or walkway; (1) Space between the tree and the hard surface may be covered by a nonpermanent hard surface such as grates,bricks on sand.paver blocks and cobblestones;and (2) Sidewalk cuts in concrete for tree planting shall be at least four by four feet to allow for air and water into the root area. i\dste\form'%treetiteeCode.doc 08/30/01 n_ H � D n H Off-+ f) E S. p O a. N S D y a \ , N � s. t� ? o ry � o � 0 o O 00 13, / l� .7 R 5 C 3 i� d X i Street Tree Planting List i Land Ilse & mvetopment Standards City of 7i gard Ash, Green;fraxinus pennsylvanica Asti, Raywood; fraxinus oxycarpa 'Raywood' Ash, White, fraxinus americana Beech, American; fagus grandifolia Beech, European, fagus sylvatica Birch, Whitespire, Japanese White; betula platyphylla, var.japonica Blackgum; nyssa sylvatica Cherry, Flowering; prunus sp. Coffeetree Kentucky; ,gymnocladus dioicus Dawn Redwood; metasequioia glyptostroboides Dogwood, Kousa; cornus kousa Elm, American, IiImus americana Elm, Lacebark or Chinese; ulmus parvifolia Ginko, ginho bit ' I Goldenrain Tree; koelreuteria paniculata Hackberry, Common, celtis occidentalis Hawthorn; crataegus Honeylocust; gleditsia triancanthos, 'var.inermis' Hophornbeam, American; ostrya virgiana Hornbeam, American; carpinus caroliana Hornbeam, European; carpinus betulus Japanese Snowbell; styrax japonicus Katsura Tree, cercidiphyllum japonicum Lilac, Japanese Tree; syringa reticulata Linden, American; tilia americana Magnolia, Cucumbertree; magnolia acuminata Magnolia, Star; magnolia stellata Maple, Black, ace►nigrum Maple, Hedge; acer campestre Maple, Paperbark; acer griseum Maple, Red, acer rubrum Maple, Sugar; acer saccharum Maple,Tatarian; acer tataricum Maple,Trident;acer buergeranum Oak, English; quercus robur Oak, Northern Red; quercus rubra Oak, Oregon White; quercus garryana Oak, Pin, quercus palustris Oak, Sawtooth; quercus acutissima Oak, Shingle, quercus imbricaria Oak, Shumard; quercus shumardli Oak, Swamp White; quercus bicolor Oak,Willow; quercus phellos Pagodatree (a.k.a. Scholartree); sophora japonica Pear, Callery;pyrus clleryana Redbud, c:ercis Serviceberry; amelanchier Sweetgum, American; liquidambar styracillua Zelkova, Ielkova serrata I.\dsts\forms\StreetTreeList.doc 08/30/01 CITYOF T I G A R D MASTER PERMIT PERMIT#: MST2001-00491 DEVELOPMENT SERVICES DATE ISSUED: 9/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15122 SW 107TH TERR PARCEL: 2S110DA-07000 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 031 JURISDICTION: TIG REMARKS: Construct new single family detached residence.Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS_ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 19 FIRST: 1,646 of BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,529 at GARAGE: 711 a( FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS. 1 FINEISMENT: at RIGHT: 4 OCCUPANCY GRP: R7 BERM: 7 BATH: 3 TOTAL: 3,77400 at VALUE: S 307.909:0 REAR: 93 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS, LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<100K: BOIL/CMP<7HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 000SF: 6 201 400 amp. 201 400 amp: tat WIO SVCIFDR: 00 SIGN/OUT LIN LT: p`:R HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNAIJPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+ampe•1000w MINOR LABEL: 1000♦amplvoll: Reconnect only: PIAN REVIEW SECTION >'•4 RES UNITS: SVCIFDR)•220 A.: >000 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM, INTERC^MIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTPUMENTATION MEDICAL: OTHR: HVAC DATAITELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor TOTAL FEES: $ 7,991.00 This pet Ind Is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code.State of OR. Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done In WEST LINN,OR 97068 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 than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg N 1 V. 0-1,,,1 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& Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Ins[ Rain drain Insp Plumb Final Footing insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr, Electrical Rough In Gas Line Insp Appr/Sdwlk Insp r r Issued By : _ - _ — _ Permittee Signature : Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S21/01 -00258 DATE ISSUED: 9!21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-1171 PARCEL: 2S110DA-07000 SITE ADDRESS; 15122 S'Y'J 107TH 1-ERR SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 031 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: FEES _ RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW Wlt-LAMETTE FALLS DR -- WEST LINN, OR 97068 PRMT CTR 9!21/01 $2,300.00 27200100000 INSP CTR 9/21/01 $35.00 27200100000 Phone: 503-557-8000 Total $2,335.00 Contractor: CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Phone: 644-8698 Reg #: LIC 79666 PLM 20-148PB Required Inspections__ This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date Issued. The total amount paid will be forfeited If the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm Issued b Permittee Signature: Call (503) 639-4175 by : "M. for an inspection needed tie xfbusiness day LA-)2 Building Permit Application City of Tigard /Application- Date 9 /'/�/ Permitno.: sj�/_6Vyp � c Projecr/appl.no.: Expire date: C�ity(ffTigard Address: 13125 SW Hall Blvd,Tigard,OR )1223 Phone: (503) 639-4171 Pq_,��/, 3 S Date issued: By: Receipt nn.: Fax: (503) 598-1960 Case file no. • Payment type: h� Lana use approval: _ IRc2 family:simple Complex: TWE OF I &2 family dwelling oraccessory U Commercial/indusinal J Multi-family ew construction U Demolition ~ Add Ition/al terat ion/replacement U Tenant improvement U Fire sprinkler/alarm U Other: tt SITUINVORMAT16N Job address: S/ /o l i Trt Bldg. no.: Suite no.: - .�Lot: 3/ Blcrck: Subdivision r� Tax map/tax lot/account no.: ) >� mject name: Description and location of work on premises/special conditions: HM U maam Name: "��u 3 fG�r�� w �, ,.. r QMailing address: /( 7-Z {'j,- J (• rn l r 1 & 2 famll} dNcllinf;: City: Statc: ZIP: �7�,' Valu utionofwork........................................ $ 0 Phone: 1•- neral: No.of bedrooms/baths................................. Owner's representati,v I /,,,_ Total number of floors } Phone: � I ,�. —.. I niatl: - -. ....... New dwelling area(sq. ft.) .......................... APPLICANT Garage/carport area(sq. It.) ........................ _ '7// Name: i . ;,t Coveted porch area(sq. ft.) ......................... Cc' -------- ---- — Mailing address: Deck area(sq. ft.) ........................................ /s'm City:_ State: ZIP: Other structure area(sq. ft.)......................... Phone: I,tr I?_nt;nl• ('ommercial/Industrial/multi-family; CONTRACTOR Valuation of work........................................ $ Business name: L Existing hldg.area(sq, ft.) ........... ......I...... bldg. r New Address: _ - g.arca(sq. fl.) ......... ................ City: State: "LIP: Number of stories................ ..................... — Phone: Fax: E-mail: Type of construction...............•.... .............. CCB no.: 7.^ Occupancy group(s): isting: -- — City/rnett•o lic.no.: 1 Z drl, New: 7Notice: contractors and suhLonirttctors are required to he th the Oregon Construction Contractors Board under Name: / of ORS 701 and may he required to he licensed in the Address: jurisdiction where work is being performed. If the applicant is City-, Stater , ZIP: exempt from licensing,the following reason applies: Contact person: I'lan no.: — —� Phone: I aY -- F.-mail: Name: lContact person: (�a� fees due upon application •.......................... $_ Address: Date received: city: /.: State ZIP: Amount received Fax:?,„ >s E-mail: Please rater to tee schedule. --- I hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cant+,please call luri+dicnr n ror nuxe:nfornurunn attached checklist. All provisions of laws and ordinances governing this U vtaa U MasterCard work will he complied with, whether spccilied herein or not. Credit Lard number _ Authorised signature: / / t spires -_< _-�_ Date; 7 r� fV(1me of cardholder u shown on credit c Print name:_ li _ S y —(`edholder dRrtature Amoum — Notice:This permit application expires if a permit is not obtained within I go days after it has been accepted as complete. 4404611 teaun•OM) One- and'I'wo-Family Dwelling Building Permit Application ClIeeklist Referenceno,: ---- — - -- — Associated permits. City of Tigard City of Tigard J Electrical U Plumbing U Mechanical Address: 13125 SW Ifall Blvd,Tigard,OR 97223 JOther: Phone: (503) 639-4171 Fax: (503) 599-1960 'I'11F FOLLOWING ITEM.� ARE, RE 1 ' PLAN REVIEW N c-, No N/A I Land use actions completed.See_jurisdiction criteria for concurrent rc%WDA ti. 2 Zoning.flood plain,solar balance points.oust tic soils designation,historic(lislil. i 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel.Exist^^.system capacity_ 6 Sewer permit, 7 Water district approval. 8 Soils report.Must carry original applicable st imp and signature on rile or with application. 9 Erosion control U plan U pemiit required.Irclude drainage-way protection,silt fence design and location of catch-hasin protection,etc. 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building axles. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet a,..,ched to the plans with cross references between plan location and details. Plan review cannot he completed of copyright violations exist. _ 1 I Shelplot plan drawn to scale.The plan must show lot and,building setback dimensions;property comer elevations(if there is mory than it 4 It elevation diflerenual,plan must show contour lines at 241.intervals);location of easements and driveway;footprint of'structurc(including decks);location o-.'wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impen ious arca;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anch r bolts,am'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 gale,etc. 14 Cross section(%)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 be required to clearly portray construction.Show details of all wall and roof sheathing,rooting,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. I S Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect tha actual grade if the change in grade is greater than lour foot at building envelope. Full-size sheet addendum%showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive pally)and/or lateral onaly%i%plans.Must indicate details and locations;for non-prescriptive path analysis provade sprctlicaUons and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member siring,spacing.and hearing locations.Show attic ventilation. 19 Easement and retaining walls. Provide cross sections and details showing placement of rehar. F-or engineered systems,ser item 22,,.Engineer's calculations... 19 Ream calculations.Pmvide two sets of calculations using current code design values for all hearts and multiple joists over 10 fret long and/or any lxatn/.joist carrying a non-uniform load. 20 Manufactured noor/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 apphancvs. 22 Engineer's calculations. When required or provided.(i.e.,shear wall,roof taus)shall he stumped by an engineer or architect licensed in oregon and shall he shown to hr applicable to the paowi.1 under rc%iew. 23 Five(5)site plans are required for Item I I abe►ve. Site plans must be 9-w"' x I I"or 11" 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 tape ons. 26 "Reversed"building plans must inert criteria outlined in the Pemtii& System Development Fees document. 71 27 No"mirrored"building pins will he accepted. _ 28 "Drawn to scale"indicates standard architect or engineer scale. 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. "10,14 try XYCO r Plumbing Permit Application Date received: Permit no.: ,ftp / -oc y9/ City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9722 Sewer permit pe 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: TVPE OF PERMIT I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ew construction U Adclition/allerruion/replarenu•nt U Food service U Other: JOB S1111.1.' INFORMATION ll,'EE SCIIIED1 TL(for special lufo�ylatioik use checklist) Joh address: /S/a;L 6u) /0 7 � 714 , Descrl lion Qtp. Fee(ea.) Total Bldg.no.: Suite no.: Ne" I-and 2-family dwellings mal}: - - - (includes 1001i.foreachutilit_vconnection) Tax map/tax lot/account no.: SIR(1)hath Lot: ?/ Block: I Subdivision: .- �c y a^ ,�•, SFR(2)bath — — -— Project name: E,fC ( ► - SFR(3)bath City/county: -" Ah.AA ZIP: Each additional bath/kitchen Description and location of work qn premises: A.trf.� _- _ Siteutllitles: Catch basin/area drain Est.date of completion/inspection: Drywells/leach linc/trench drain _ 1 Footing drain(no.lin. ft.) _ -- Manufactured home utilities Business name: (� Wo(L R Manholes Address: Rain drain connector City: State:x I Zip: Sanitary sewer(no.lin,itJ — Phone:to3 6yy Fax: I E-mail: Storm sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no. lin. ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve - Back flow preventer Print nam „/ Date: y 3 m/ Backwater valve Basins/lavatory — Name: Clothes washer — Address: Dishwasher Drinking fountain(s) Ciel: State: ZIP: Ejectors/sum Phone: Fax: E-mail Expansion tank Fixturclsewcr cap - -- Name(print): �e /�+�,ri noor drains/Iloor sinks/huh _ N�rs rM<< C'r.c��, Garba�c disposal • Mailing address: 16-7 _-� , e `//r .r%/�- Hose Bibb City: 1, " _ State: ZIP: 7 0 Ice maker _ Phone: Sal 6 r,,,.� Fax: I E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The act!:al installation Primer(s) will he made by me or the iwtintenancc and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sin (s),basin(s),Iays(s) Owner's signature: Datc: Sum Tubs/shower/shower pan - - Name: Urinal -- -- - -- — -- --- - Water closet Address: �Water heater --- - City: _ _ State: LIP: Other: FA Phone: X: J E-mail: — TRA Not all Jurisdictions ec"rot credil ctmds.Please call Jurisdiction fa nears InfontnnonMinimum fee................$ _ Nolicc Phis permit applicnlion --- U Visa U MasteK.ardPlan review(at _ %) $ _ credit card nwnnn: expires il'a permit is not obtained ---- --- — Expifee within 180 days after it has been Sante surcharge(896)....$ ---- accepted as complete. TOTAL. .......................$ None d cardholder u shown nn credit card P P — cardholder signature Amount 4104616160Y('()MI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY ea AMOUNT (in:ludes all plumbing fixtures in PRICE TOTAL Sink _ 16 60 -- tht dwelling and the flrst100 ft. QT.' (ea) AMOUNT] Lavatory 16 60 for.each utll�t r connections --- -- -- One 1 bath Tub or 1Lb/Shower Comb 16 60 ---� $249.20 Two2�bath 16.6 - Shower Onl -Three(bath---. -- -_ _ $350.00 Y � 0 $399.00 Water Closet 16.60 --- ---- -- Urinal16 60 — — - _SUBTOTAL — 8%STATE SURCHARGE — Dishwasher _ 16.60 PLAN REVIEW 25%OF SUBTOTAL G _ -- arbage Disposal 16 60 _ __ TOTAL - Laundry Tray 16.60 - Washing Machine 16.60 Floor Drain/Floor Sink 2"� 16.60 3"-- - 1 660 -- PLEASE COMPLETE: 4., 16 60 Water Heater O conversion O like kind 16 60 Quantit b _Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ �orG Cared MFG Home New Water Service 46.40 - Sink _ _ "--- MFG Home New San/S'orm Sewer 46 40 Lavalor�—— — Hose Bibs 16.60 Tub or Tub/Shower — —Combination Roof Drains— 1660 — Shower Only -- Drinking Fountain 16.60 — _Water Closet _ Other Fixtures(Specify) 16.60 - Urinal ---- - _- Dishwasher -- _ Garbage Disposal - — —"- -_ Laundry Room Tray_ _ - -- Washing Machine -- Sewer-1st 100' _55_00 -- Floor Drain/Sink: 2" -- - -- Sewer-each addilio^al 100' 48 40 -- - --- 4„ Water Service--1s1 100' 55.00 Water Heater --- — Water Service-each additional 200' 4640 Other Fixtures (Specify) Storm 8 Rain Drain-1st 100' —5500 -- Storni&Raln Drain•each additional 100' 4640 _ --- Commercial Back Flow Prevention Device 4640 Residential Backflow Prevention Device' 2755 Catch Basin .660 —. Inspeclion of Exislinq Plumbing or Specially 72 50 -- ---..Requested Inspectlons per/hr _ COMMENTS REGARDIM 3 ABOVE: Rain Drain,single family dwelling 6525 Grease Traps --- -- 16.60 ---- -—� QUANTITY TOTAL -- - ---_— --- --— -- -- —_ Isometric or riser diagram Is required It -----_--_— ___ O_unntity Total is >8 _ 'SUBTOTAL _ 8%STATE SURCHARGE --- "PLAN REVIEW 25°/a OF SUBTOTAL —Re aired on�l fixture gly total is>9 TOTAL Minimum permit fee is$72.50+8%state surcharge,except Residential Backflow Neventlon Device,which is{9815+8%state surcharge **All New Commercial SulMings require 2 sets of pians with Isometric or riser diagram for plan review. I:\dsts\fonns\plm-fees doc 08/29/01 Mechanical Permit Application Date received: Permit no.: 9 city of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ Building permit no.: OF PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement `�KKew construction U Additiotl/altcrcdion/rcplacement U Other: - 1,16 Ell 1 1 1 1 Job address: 15 l l' �«� 07& / f XL. Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: I --- _TSw_tc no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: _ profit.Value$ Block: Subdivision: !J 1, *See checklist for important application information and l ot: 3 Fa��ti^nom ri t— Projectname: _ � ,, n J turiticlii:;ion's fee schedule for residential permit tee. 10 I14_9_;iI1l1l1l1l1 City/coun(y: ZIP: _-- t l Description and location of work on premises: Fr•e(ca.) Intal Est.date of completion/inspection: — Ilk-wription Qi). Rrw.only ltes.ouh 11 Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?U Yes l J NI I Air conditioning(site plan regwred) _ Is existing spare insulated?U Yes U No A lerauonofexisting ACsystem oler/comp essors State boiler permit no.: Business name: M Al f HP ___Tons B•rl)/Il Address: Z 73 S r'7'� E -ire/smokedampers/ductsmo a etectors City: / // /,wv Slate: X ZIP: !Install/repla nt pump(site 1i an require ) �� Fax: E-mail: cefurnac urner—_ i' /Phone: luding ductworldvent liner UYesUNo CCB no.: ta rep ace re ovate eaters-suspen c , ll,or floor mountedNttme(please rint): nt for a p iance of ler than lurnacc 1 gerat on: Absorption units _..__� It]11/11 / Chillers__ _ � III' Name: Com pressors --- Address: 54"0J —Environmental exhmuit and ventilation: City: Stale: I'LII': Appliancevent Phone: Fax: I E-mail: )ryerex aust L Type res. its leRh_azmat� e suppression system - Name: ��n:r�a.+�t ' J �,�, �Ja. fan with single duct(bath fans) �� s stem a ati from heating or C Mailing address: / y Z !.� / ` �' p ng an st ut on(up to out ets) Cityri , Stale:� ZIP: 7p Lt't; NG OilPhone: 'S I:;1X F mail: ing cac a itiona over out ets H 101 DIN Process p p ig(schematic requ re ) — Numbet td outlets Name: _ _ ___ Other Jappliance or equipment' Addm.ss: Decorative fireplace Cloy: State: I'ZIP_ nsert-type — oo slov pc et stove Phone: Fax: Email: (Jt ler Applicant's %ienaturc: _- -- I Date: ter: Name(print): — Permit fee.....................$ Not all puidlcthru accept credit cards,please call)addiction for more infortnati m Notice:I'hi5ermit application p PIp Minimum t'ec................$ U Visa U Master0ttl expires if a permit is not obtained plan review(at _ %) $ —. Credit card numher: --1—L within 180(lays it has been Lxpirea y State surcharge(8%) ....$ _ —Name o0 C (11 r as a own on credit c accepted its complete. s 1 oTAL .......................$ ^__ - -� t'at--- JholTii6nalure Amoum 44114n171!yr1fN't1Ml MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: ---� Description: Price focal $1.0_0 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code oty (Ea) Arnt $5,001.00 to$10,000.00 $72.50 for the first$5.000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00-Fog-5-0,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units __ $5000000. 12.15 $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 For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Com " 71<3HP;absorb unit -- Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU _ 14.00 8)3-15 HP;absorb 80/6State Surcharge $ unit 100k to 500k BTU 25.60 9)15-30 HP;absorb 25%Plan Review Fee(of subtotal) $ unit.5-1 mil BTU _ _ 35.00 _ Required for A_LL commercial permits onl 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU _ 52.20 _ 11)>50HP:absorb -v unit>1.75 mil BTU 87.20 -t -- 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: _ O Ea Amount 17.20 Fumace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Fumace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace including vent 955 _ 16)Ventilation system not Included In Suspended heater,wall heater or 955 appliance permit 1000 floor mounted heater 17)Hood seried by mechanical exhaust Vent not Included In applicance 445 10.00 permit 18)Domestic Incinerators Repair units 805 _ 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type incinerator to 100k BTU __ _ 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU _ 10.00 _ 15-30 hp,absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mll.BTU 5.40 30-50 hp;absorb unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mit.BTU Alr handling unit to 10,000 cfm _ 656 8%State Surcharge Air handling unit>10,000 cfm 1,170 _ Non- ortable eve orate cuoler 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a sin le duct 448 Vent system not Included in 656 _ _ appliance permit Other Ineasctlons and Fees: Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $72 50 per hour Commercial or Industrial Incinerator 4,590 1 Inspections for which no fee Is specifically indicated (minimum charge-hall hour) Other unit,Including wood stoves, 656 ,.72 50 per hour Inserts,etc. 3 Additional plan review required by changes.additions or revisions to plans(minimun Gas I In 1.4 outlets__ 360 charge-onn-half hour)$72 50 per hour Each additional outlet 63 'Slate Contractor Boller certification required for units>200M BTU. "Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL a VALUATION: I:\dsts\forms\mech-fees.doc 08/06/01 Electrical Permit Application Date received: Permit no. / -0649V City of Tigard Project/appl.no.: Expire date: Cify of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case filr,no.: Payment type: Land use approval: ,fI &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: ..— U Partial Joh address: / /,07 - tom' Bldg, no.: Suite no.: Tax map/tax lot/account no.: Lot: :31 Block: Subdivision: �,,,c sect - - - - Project name: u e„ /,a, I Description and location of work on premises: Estimated date ol'completion/ins ectitm: SUIEDULE Job no: _ free Max Business name: Qty. (ea.) Total m,.Ins - - NewreaMkelist singleorondii-familyprr Address: dwellingunit.Includes attached garage. City: State: 'LIP: Servlcelmludrd: Phone: S'o3.6f 7.dV V I Fax: E-mail: 1000 sq.ft.or less I Ruch additional SW sq.ft.or portion thereof CCB no.: Glee.bus.lie.no: 1-j'Z 8 Limited energy,residential 2 City/nictmlic.no.: 3 Limited energy,non-residential ___ _ Each manufactured home or modular dwelling Signal re of supervisinj electrician(requited) Urate Service and/or feeder -2 Sup.elect.name(print): �or/c �, Licensernr 6/ff S Services or fteeders-Installation, alteration or relocation: 2(x1 amps or less Name(print); t ��4 j �40 amps to 400 amps amps to 600 amps 2Mailing address: 6 7Z It (, //c rNc fr � ;: mps to IM)amps City: Stoic: 7F ZIP: 7C-74.,-.K Over I(xx)amps or volts Phone: Fax: [:-moil; Reconnectool Owner installation:The installation is being made on property I own Temporary seri lce%orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration.orrelocallon: ORS 447,455,479,670,701. 2041 antpt,n Irss -' 201 amps to 4011 amps — - -- 2 Owner's si nature Date: 401 to 6(xl amp% - Branch circuits-new,alteration, Nanor extension per panel: Add e;ress: _ \ I rr for branch circuits with purchase of Addvice or feeder fee,each branch circuit 2 City: 1 tilalr 1 i I!' 1i bee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: I ax: I: m:ul liachadditional branch circuit [law I Mixc.(Service or feeder not Included): U Service over 225 nmps-conutwivial LI Health-earl•facthty Piech pump or irrigation circle 2 Li Service UHu."clouslUeation Each sigh(aoutlutclighting fnmilydwcllings UBuilding over 100)0syuatrfeet four or tgnalcitcuu(s)orulintitedenergy panel, USystemuver6txlvoltsnominal more residential units in onestmcmre alicration,orextension• U Building over three dories U Peeders,41x1 amps or more U Occupant load over 99 persons U Manufactured structures ar RV park Pesch additional Inspection over the allowable In any of the above: U EgIress/lightingplim U Other 4ohmhsrls of plans with ant of the ahoy_ Investigation fee he above are nol applicable to temporary construction vervic•e. Other Not all jurisdicnonr accept ctttb,,,ud please call juriuh.u„n frn uv,nr 1116amation Notice:This permit application limit fee.....................$ _ U Vigo U MasterCard eanires il'a permit is not obtained Plan review(at _ %) $ ('"if card number - _. / within 180 days after it has been State.surcharge(8%)....$ Nerve cardhah'r�shown m c In tar Expires accepted as complete. TOTAI, . $ --- ('ardholder afanatur--- S Amount 440-4611 tfv(xlR'oM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Number of Inspections per pemiit allowed Restricted Energy Fee... .......... ............................ $75.00 Service included: Items Cost Total (FOR ALL SYSTEMS) Residential-per unit Check Type of Work Involved: 1000 sq it or less $145.15 a Audio and Stereo Systems' Each additional 50o sq it or — portion thereof _ _ $33 40 1 Limited Energy $75.00 ❑ Burglar Alarm Each Manufd Home or Modular � -- Dwelling Service or f=eeder $90.90 2 ❑ Garage Door Opener' Services or Feeders Installation,alteration,or rekxaaon ❑ Heating,Ventilation and Air Conditioning System' 200 amps or less $60.30 2 201 amps to 400 amps ,_ $106 85_ 2 El 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 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation.alteration,or relocation Fee for each system.............................................. . $75.00 00 amps or less __ $66.85 :� (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 401 amps to 600 amps _ _—_ $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,allocation or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or feeder fee. ❑ Clock Systems Each branch circuit $665 ❑ b)The fee for branch circuits 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 circull(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 E:] Nurse Cells Per hour $62.50 In Plant $73.75 D Outdoor Landscane Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ ___ Number of Systems 25%Plan Review Fee See"Plan Review" ,o(tion rnr $ ' No licenses are required Licenses are required for all other Installations front of application Total Balance Due $ Fees: Enter total of above fees $ El Trust Account q 8%State Surcharge $ All New Commercial Buildings require 2 sets of plans. total Balance Due $ 0dsts\forms\elc-fees,doe 00/3o/o! SEE 35MM #21 ROLL FOR OVERSIZED DO ,"*ICU MENT