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15286 SW 107TH TERRACE �l v ✓C ,y�. S ' .r IEC a 167a . . ------------ hermit Heat Pump - N 89'47'54" E 126.63' ,it (l1Ln • 43.00' • �.S Z .�. �•✓Imo,/. G/t1tJ�d 2.. c—SJ�f�L-� 0 0 N f N I aSol --------------� 20. eq • ^ /,� o CA • �t4 a' 54.3 -----------._— � s � mo ci 33.00 ierator 10 LED 4 ECr 1 1 589 52 07 W 77.07 I �� ,3TOTAI.. 'o S i .ttC ��rrCh:.rKl�1 � � .li S. W . K LE STREET � ��.>� D DEI�TIAI. NUT FEE; urs(rainimurn f ..� .vindicated (mi+ bCALE DRAWING LOT 26, ERICKSON HEIGHTS es, additions or; S.E. 1Z4 SEC. 10, T.2S,, R.1 W., W.M. �. R quired for unit CITY OF TIGARD wing ptacemelo WASHINGTON COUNTY, OREGON equire2sed DECEMBER 3, 2001 Centerline Concepts Inc. LANDSCAPE EASEMENT SHALL DRAWN BY: MPW CHECKED BY: WGDIII L STRET FRONTAGE. SCALE 1~=20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027 �UBLIC UTiLiTY EASEMENT LANDSCAPE EASEMENT M: MU L26ERICK 503 650-0188 fax 503 650-0189 NG NOTICE: IF THE PRINT OR TYPE ON ANY - - � -- -- --- -X-1-1-I1-' T71 ' - r 1-► . 7`17tll1 I111 -1_1 -� ill ili I1 1 11 ! 11i i { i 1i { i _1j*1� -�) i-irjT-1r r�MGE IS NOT AS CLEAR AS THIS NOTICE 10 i i � IT IS DUE TO THE QUALITY OF THE ----� - --- . 12 No-38 ,:°..'.. ORIGINAL DOCUMENT I . E 6Z �Z LZ 8Z 5Z � Z � Z Z TZ OZ Eii 8I LI 9T 5T � T EI ZI Ti 01 b �L 9 4 E Z To 13" I{IIIIII 1111 1111 1111 Illi 1111 1111 1111 llil 111 1111 1U111111111111�.LL1l 111L111.111111111. 111i 1111 Illl 1111 IIII IIII 1111 III) IIII I11111111lII !i!I II!I llll�illl ! ONE 1111111 �i�lllllllllLl111lllll.11l 11.1 1111.111��11 h 15286 SW 107'x' Terrace CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP _--_-.--- Received ----.-- Date Requested__ r^ ___ AM —_._ PM-- BUP _ Location — ( S 8(o 67 41- .�Li_Suite _ MEC Contact Person Ph (— —) r� 4�� A Do, PLM Contractor— __. __ -- _ _ Ph( _) _. SWR BUILDING Tenant/Owner - -- - - _�._ ELC Footing ELC _ Foundation Access: Ftg Drain r, ELR Crawl Drain LZ Slab Inspection Notes. — - SIT Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear - Framing Insulation Drywall Nailing - Firewall - c Fire Sprinkler — — -- - - — Fire Alarm S,usp'd Ceiling -- — ,J Roof Other: - -- --- -_ Final PASS PART FAIL _ --- __--. —_ PLUMBING Post&Beam Under Slab - -- Rough-In Water Service ------------- -- Sanitary Sewer Rain Drains __..___._._-------------_-_-_ ---- Catch Basin/Manhole Sturm Drain -- Shower Pan Other: Final — PASS PART _FAIL -- ----- — -- MECHANICAL Post&Beam Rough-In ----___--- — Gas Line Smoke Dampers ----- — — -- Final PASS PART FAIL -- --- ----- — ----ELECTRICAL Service Service — Rough-In — UG/Slab /, kOW oltal — ��s'- 8S PART FAILF1 Reinspection fee of$____ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE �� Please call for reinspection RE:—_ _ Unable to inspect-no access Fire Supply Line ADA ' ZApproach/Sidewalk Date L f v Inspector-- Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST 7 INSPECTION DIVISION Business Line: (503) 639-4171 --- BLIP Received ___- _-__- Date Requested AM - _ -_ - PM-------- _ BUP ---_-- Location1 - - �� A. T , r _. St.;tP -- MFC - ------_--.— Contact Person _-- ---- __. _- _ Ph ( _._.) �`�l �- 3�G PLM --- Contractor -- --- - Ph (- -- -) --- SWR BUILD Tenant/Owner - _ _. ELC TNZng --- ELC _ Foundation Access: _ Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors -- - - Ext Sheath/Shear Int Shcalh/Shoar Framing - - -- Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - - --- Roof Other._nauL FASS PART FAIL P --- ---- Post& Beam Under Slab _ Rough-In Water Service — Sanitary Sewer Rain Drains -. Catch Basin/Manhole Storm Drain - — - Shower Pan Other: - - - Final - _ _ T FAIL - - -- — Post&beam ----------- ----------.--- Rough-In Gas Line Smoke Dampers --- - - - - -- - _- - -- eS PART FAILRICAL Service Rough-In _- -_—` _ ---- 1.G/ lab Low Voltage Fire Alarm - - --�---- Final Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE - - n Please call for reinspection RE:_ _--_ _. - Unable to inspect•-no access AIDAre Supply '_Ine e Approach/Sidewalk Date _- -- Inspector Other: Final _ ~ D9 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL 14kAAAAAAAAAAAA.AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA i ✓ I i a ► .. , oil- 0 o I ► a o ► tj a 5 d ► a _� `_ � ► i u a �� ► b I y J . 7 � U v p ► � I pop- Poo. 0. r ! ► ,I rI1 A F J ► �ITYTTVVVVVVVVVVVVVVVVvvvvvvvvvvvvvvvvvvvvvv• CIO r, 4 .c �i e O r r .1 O a 3 O G t � O � y y v Vb .b a ►� ¢ ^ril u W r F 0 w � � o � � CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)639-4175 MST -2- INSPECTION INSPECTION DIVISION Business Line: (503)639-4171 BUP -- Received Date Requested AM -- PM BUP _— Location _—— ��a 7 �� Suite MEC Contact Person _ — ��- — Ph( _) — - �' ;2= PLM _ Contractor Ph( ) _ SWR _ BUILDING Tenant/Owner ELC Footing ELC -_ - Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: Post&Beam ------- ---- - - -- Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear Framing --- -- Insulation Drywall Nailing - Firewall Dy _. ---- --- ---- -- -- Fire Sprinkler --- Fire Alarm - ___-- Susp'd Ceiling -- - ---- Root ------- --- ---- - --- 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: --_ --- ---- -- _-�._. ------ ASS ART FAIL ---MERMANICAL ---- -- ---- -- -- --- Post 8.Beam Rough-In ------- - ---- ---- Gas Line Smoke Dampers - Final Lt PASS PART FAIL � - f� - �- -- --- ---------- ELECTRICAL Service Rough-In _ _._ UG/Slab r k Low Voltage -.._ --� - - -----� - Fire Alarm Final [] Reinsppction fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART _FALL_ SITE _ [� P'aase call for pecti E:- Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ Z_. inspector . - ----------- (ext - Other: - Final DO NOT REMOVE this Inspection record from the Job site. PASS P4AT FAIL CITY OF TIGARD 13125 S.W. MALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLWABING INC 7736 SW NIMPvS AVE BEAVERT,N, OR 97008 Plumbing Signature Form PerrY,it #: MST2002-00183 Date issued: 4/3/02 Parcel: 2S110DA-06500 Site Addi,ess: 15286 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 026 Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F 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 froin your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized unt;l this completed form is received OWNER: PLUMBING CONTRACTOR: RENAISSANCE HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FAl LS DR. 7736 SW NIMBUS AVE WEST LININ, OR 97068 nEAVERTON. OR 97no8 Phnrie #: 503-557-8000 Phone #: 644-8698 Reg #: I Ir 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Xir' Signature of AkAhorized Plumber If YOU have any questions, please call (503) 639.4171, ext. # 310 CITY OF TiGARD 3125 S.W. HALL BLVD. TIGARD, OR G7?23 IMPORTANT PERM!T NOTICE GAGE ENTERPRISES I"'C PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #: MST2002-00183 Date Issued: 4/3/02 Parcel: 2S110DA-06500 Site Address: 15286 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 026 ,Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F 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 corripleted farm is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR. PO BOX 1429 WEST L1NN, OR ^70E3 , .4AS, OI: 97015.1423 Phone # 50,.1-55.7-8000 Phone #. 503-657-0142 Req #: SUP 818s LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUP`ZED ON THIS FORM Signature of Supervising EI ctrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY O F T I G A R D MASTER PEF'!VlIT PRM T. LEVELOPMENT SERVICES DATEESSUIED: 4/;;/02002-aa1s3 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 15286 SW 107TH TERR PARCEL: 2S 110DA-0650r,, SUBDIVISION: ERICKSON HEIGHTS ZONING: R-:1.5 BLOCK: LOT: 026 JURISDICTION: TIC; REMARKS: S/F Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 23 FIRST: 1,646 of BASEMENT: at LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1.528 at GARAGE: 711 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: SN DWELLING UNITS: 1 FINBSMENT: at RIGHT: 16 VALUE: $307.336 70 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3.174'10 at REAR: 54 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 10G SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: + WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN--100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP. btu 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: WISVC OR FOR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 •400 amp: 201 4n0 amp tat WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HWSVCIFDR• 601 - 1000 amp: 601•ampa-1000v: MINOR LABEL: 1000.amplvolt: PLAN REVIEW SECTION Reconnect only: --4 RES UNITS: SVCIFDR--225 A.: 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B COMMERCIAL -_ AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM INTERCOWPAGING: OUTDOOR LNDSC LT BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIU: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA(TELE COMM: NURSE CALLS: TOTAL M SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8.030.00 RENAISSANCE HOMES RENAISSANCE CUSTOM HOMES This permit Is subject to the regulations contained In the 1672 SW WILLAMETTE FALLS DR. 1672 WILLAMETTE FALLS DR Tigard Municipal Code,State OR Specialty Codes and all other applicable laws. All woo rk will be done WEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans. This permit wilII l expired work Is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION- Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rep 0: LIC 049955 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by L3IIIng(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, 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 Inst Rain drain Insp Final Inspection Footing Insp C,awl Drain/Backwater ElLclrical Seralce Low Voltage Water Line Insp t 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 d4c1 e CITY OF TIGARD SEWER CONNECTION PEF;MIT DEVELOPMENT SERVICES PERMIT#: SWR2002-001:31 13125 SW Hall Blvd.; Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/3/02 SITE ADDRESS; 15286 SW 107TH TERR PARCEL: 2S110DA-J6500 SUBDIVISION: ERICKSO'J HEIGHTS ZONING: R-3.5 BLOCK: LOT: 026 JURISDICTION: TIG TENANT NAME: -- USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF Owner: RENAISSANCE HOMES _ FEES 1672 SW WILLAMETTE FALLS DR. Type By Date Amount Receipt WEST LINN, OR P7068 —PRM T CTR 4/3102 $2,300.00 27200200000 INSP CTR 1/3/02 $35.00 27200200000 Phone: 503-557-8000 Ictal $2,335.00 Contractor: -- — - Phone: Reg #: 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 lot guarantee the accuracy of the side server 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 n � Issued by: Permittee nature: Si -�' C. 9 _ Gall (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �- -CIO/ 3 Building Permit Application -- !— Drrec, : ' Permit no.:) City of Tigard � Project/appl.no.: Expire date: City oJTigard Address: 13125 SW Hall B1vA,"figard,OR 9722 Date issued: Y:i Py:q g �;/ Recei tno.: Phone: (503) 639-4171 n Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF PERMIT 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction ❑Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Bldg.no.: Suite no.: Job address:,, r Tax ma /tax lot/account no.: Lot; ,,. ;, Block: :�uhdivision: p�1�e��5a�,�bl'f� P ----- Project name: Description and location of work on premises/special conditions:. / 1 ' (Flooidplain, Name: / X4 CM Z.S011111111 �Ml Mailing address: /6?Z•• 1 &2 family d"elling: , b u City: - State:O IP: � Valuation of work........................................ �V/Z Phone: '•�G2�0 Fux E-mail: No.of bedrooms/baths................................. -- Owner's representative: �/ _ _ rota)number of floors................................. 3 I'hone: /A y''1'ax: 6 ¢+Gh 3 I I New dwelling arca(sq.ft.) .......................... All Garage/carport area(sq.ft.)......................... — Covered porch area(sq. ft.) ......................... _— Name: A-*''' —— Deck area(sq.ft.) ................................ ...... �1 Mailing address: Other structure area(s ;.ft.)...... .................. —_ City: State: 'lll': Commercial/Ind ustrial/multi-family: Phone: Fax: E-mail: / Valualion of work........................................ r.---- 1 1 Existing bldg.area(sq.ft.) . _ -- Business name: New bldg,area(sq.ft.) ........•• - Address: Number of stories......................... ...... — _City: Slnle; ZIP: Type of construction Phone: r Fa�- _ E-mail: Occupancy group(s): Existing: CCB no.: New: —_ City/metro lic.no.: Notice:All contractors and subcontractors are require)to be t licensed with the Oregon Construction Contractors Board under -� provisions of ORS 701 and may be required to tx licensed in the Name.: dt�t,f/'r4,4_ jurisdiction where work is being performed. If the applicant is Address: f v c�-� P — errmpl from licensing,the following reason applies: City: Statc:O 'LIP: LL - Contact person: Plan no.: bb PC y 44 Name: _ Contact person:4 fees due upon application ........................... $_-- AJJress_ ZI Date received: City: v7 Stated 7.IP: Amount received ......................... Phone: Z 3 %L Fax: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept crrdit card,.please call juriedlction far more infonnatlon _ attached checklist. All provisions ofwU Vlsa U MasterCard /1 la s and ordinances governing this t•1eau cud narnrrer ._ - work will be complied With,w 'i to or not. -— tispiree Authorized signature:_ — D — —Name of cardholder ut shown on cmdit cmd S Amount rint name: Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete .wr4613 t010uct rnt I One-and Two-f ainily Dwelling Building Permit Application Checklist Iteferenceno.: - City,of Tigard — ocia(cd permits: City of Tigard J Electrical l]Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 9'.'.'+ U Other: Phone: (50:3) 639-4171 Fax: (501) 598.1960 tIj 1111111' m I Land use actions completed.Sec jurisdiction criteria fur concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. - - — 4 Firc district__ approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sower permit. _ - - -- 7 Water district approval — - 8 Soils report.Must carry original applicable stamp and signature on file or with application. _ 9 Erosion control U plan U permit required.Include 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 applicahlc local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-site sheet attached to the plans with cross references between plan location and details. Plan rrvicw cannot he completed if copyright violations exist. 1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if' tacre is more than a 4-h.elevation differential,plan must show contour lines at 24t.intervals);location of easements and driveway;footprint sprint of%Inucture(including decks);location of wells/septic systcins;utility locations;direction indicator:lot area;building coverage area;percentage of coverage;impervious area;existing structures on silo:;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 19 Floor plans.Show all dimensions,room identification,window size,location of smoke delectois.water hcater,_ furnace, ventilation fans, plumbing fixtures,balconies and decks 30 inches above grade,etc. _ 14 Cross xection(s)and details.Show all framing-member size andspacing such as Il000r heanas,headers,joists,sub-Ili wall construction,roof construction.Moir than one cross section may he required to clearly portray construction.Sit(.%k details of all wall and roof sheathing,roofing.roof slope,ceiling height,siding malcrial,faotings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for addilions and remodel%. Y — Exaerior elevations must reflect the actual grade if the change in grade is greater than four fool at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. Iii Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;liar nun-prescriptive path analysis provide spec ifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all flours/roof assemhhes,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placcnunt of rehar. For engineered systems,see item 21,"Engineer's calculations." 1 y Beam calculations.Provide two sets of calculations using cut rent code design values for all heams and multiple joists over 10 feet lung and/orany hcam/jois(carrying it non-uniforni load. J 20 Manufactured floor/roof truss design details. -- �) 21 Energy Code compliance. Identify the prescriptive path or protide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,te, ear wall,roof Iris%)shall he stamped by in engineer or __TT archiw,.t licensed in Oregon and shall he shown to he applicahlc to the projo•cr undo review. 23 Five(5)site plans are required for lien I 1 above. Site plans must fn 8-1/2"x 11"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20 cid 22 above. - — 25 Building plans shall not contain red lines ar tape-ons. "Mirrored"building plans will be nut accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit& Svstern bevels ment Fees document. 27 "Drawn to side"indicates standard architect or engineer wale. — 28 Site plan to include Ire size,type&location per approved project street tree plan(if applicable),and COT Street Tree List 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 riot department use only. a41 4044 0rYC( %a Mechanical Permit Application v— Date received: 77ctlt-)Ipc: tno.:� nCity of Tigard Project/appl.no.: edate:r h li;,rd Address: 13125 SW flail Blvd,Tigard,OR 97223 Phone: (503) 639-4171Datc issued: Receipt na.: Fax: (503)598-1960 Casc file nn.: ty Land use approval: Building permit no.: t ((4&2 family dwelling or accessary U Commercial/industrial U Multi-family U Tenant improvement U New construction U ;dditwiu'ali:-ratioti/replacemeiit U Other: JOB SITE INFORMATION COMMERCIAL VALUATION S('_K'i I Job address: 1�Z$t7 y (,J 1 _f. Indicate equipment quantities in boxes below. Indicate file dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Z•C? Block: Subdivision: *See checklist for important application information and Protect name: innisdiction's Irl .ch tlulr 10i residential permit fee. City/county: IP: loiy Description and location of work on premises: taiEst.date of completion/inspection: IN- riplion Qty. Re Tenant improvement or change of use: C: Is existing space heated or conditioned'?U Yes U No Air handling unit Air con itroning(site plan required) Is existing space insulated?U Yes U No terp:ion of existing HVAC system T - o er compressors Stale boiler permit no.: Business name: " IL-7 _ HP Tons BTU/H Address: •ir smo a dampers/duct smokedetectors— city: 0.4f-36>/ State1:2 ZIP: eat pump(site p an r,:quirc h+— Phone: 2d,6 / ?_ Fax:2663447 E-mail: nsta rep acelurnac wrnei__ CCB rto.: -L-q 0 0 Including duetwork/vent liner U Yes U No nsta rep ace re ocatc heaters-suspcn e , City/metro lie.no.: _ wall,or floor mounted Name(please print): f Veni f,,r- r lancother than furnace - Itefrigeral un: Absorption units_ BTU/H Name: `J (, - (I�- Chillers HP Address: Compressors HI' •.nv ronmenta ex 0 and ventilation: City: State: LIP: Appliance vent Phone_ y'S(D Z-- Fax:6 To c666 JrE-mail; Dryer exhaust —Hoods, -- Type res, tC eft a- zinat- flood fire suppression s)stem Name:ddrmessj�72_ Fxhausl fan with single duct(hath fans) Mailin ( J / x ousts stem a art fmmtTcatin orAC City: t_I !� Slate:Op� 7_IP:") p 6 p p an d dr rut nn(up to out els) Type: LI'(i __ NG __ Oil Phonedoe o I,i �,t/ Email: tic i in each additional over 4 outlets rocess p p nJt(sc %mane require ) — Name: � Number of outlets - �— — 1 er listed app ance or equFpnient: Address: Ikcointive fireplace City: State: ZIP: Tn7qe-rt type _ Phone: Fa .-mail: — ao stov•pe et stove2. Applicant's signature: e Date: ' o t �: Name (print): c `�J-r _._ _-_ Not nil Jurisdiction%crept crecilt cards,please call jurisdiction for more infnrmanon. Permit fee.....................$ U Visa U MasterCard Notice:This permit application Minimum fee................$ Cmdu cad nu ntwu -- - �� expires il'a permit isnot obtained Plan review(at _ %) $ _-- .pires within 180 days atter it has been State surcharge(8%)....$ -- .-A me of cardholder a r u shown on Redit c $ accepted as complete, TOTAL .......................$ Codholdef signature Amount 4"17(fYUa+COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: -� -- Price Tvtai $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Uty (Ea) ,pmt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 10C,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 e3rh additional$100.00 or includina vent 14 00 fraction thereof,to and Including 4) Suspended heater,wall hater $25000.00 . or floor mounted heater 14 00 $25,001.00 to$50,000.00for the first$25,000.00 and 5) Vent not Included in appliance permit each additional$100.00 or 6.80 hereof,to and Including 6) Repair units $50000.00. 12.15 $50,001.00 and up for the first$50,000.00 and Check all that apply: Boner Heat Air -"- each additional$100.00 or For Items 7.11,see or Pump Cond hereof. footnotes below. Comp •• Minimum Permit Fee$72.50 SU8T0T4L: 7)<3HP;absorb unit to 100K BTU 14.00 8%State Surcharge'- 8)3-15 HP;absorb --- _ unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) $ 9)15.30 HP;absorb Required for ALL commercialpermits only____ unit.5-1 mil E i U 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb unit 1-1.75 mil BTU 52.20 - -- --- 11)>50HP;absorb unit>1.75 mil BTU 1 87.20 ASSUh1ED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM A L&vents -- 10.00 Value Total 13)Air handling unit 10,000 CFM+at Ea Amount 00,000BTU,Including 955 17.20 ts 14)Non-portable evaporate cooler 00,000 BTU including 1,170 10.00 s 15)Vent fan connected to a single duct oor furnace including vent 955 --- 6.80 Susponded heater,wall heater or 959 16)Ventilation system not Included in floor mounted heater appliance permit 10.00 Vent not Included in appliance qqg 17)Hood served by mechanical exhaust permit 10.00 Re air units 805 18)Domestic incinerators <3 hp;absorb.unit, 955 17.40 to 100k BTU 19)Commercial or Industrial type Incinerator 3-15 hp;absorb.unit, 1,700 _ 69.95 101k to 500k BTU 2.0)Other units,including wood stoves 15-30 hp;absorb.unit,501k to 1 2,310 Y10.00 mll.BTU 21)Gas piping one to four outlets 30-50 hp;absorb.unit, 3,4005.40 1.1.75 mll.BTU 22)More than 4-per outlet(each) >50 hp;absorb,unit, 9,729 1.00 >1.75 mll.BTU Minimum Permit Fee$72.50 SUBTOTAL: $ Air han I I ng unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1,170 -- 8%State Surcharge 3 Non_portable evaporate cooler 656 Vent fan connected to a single duct 446 TOTAL RESIDENTIAL PERMIT FEE: $ Vent system root Included In �ggg a Hance permit - Hood served by mechanical exhaustIII-- * Other Inspections and Fees: Domestic incinerator t Inspections outside of normal business hours(minimum charge-two hours) Commercial or Industrial Inclnerstor $62 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Other unit,including wood stoves, $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gag i In 1.4 outlets charge-one-half hour)$62 50 per hour Each additional outlet _ State Contractor Boller Certification required for units�-200k B1 U. TOTAL COMMERCIAL "Residential ArC requires site plan showing placement of unit VALUATION: All New Commercial Buildings require 2 sets of pians. kWilltslforrnelmech-fees doc 02/11/02 Electrical Permit Application �� Uutcrccctved: ��,. Permit no .. City oto' 'Tigard Project/appl.no.: Expire date: City of"/'ibard Address: 13125 SW Ifall Blvd,'Figard,OR 97223 Phone: (503) 639-4171 Date issued: yU Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ Y'1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Addition/alteration/replacement U Other: U Tenant improvement U Partial Joh address: Z-ae !;Uj o 2a Bldg, no.: Suite no.: ITax map/tax lot/account no.: Lot: Block: Subdivision: ,yam, k, Project name: Description and local—ion ofwork on premises: Estimated date of completion/inspection: �'�'^r ��MZ_ _ F`. CONTRUTOR'11111111 Jim Job no: Business name- Fee Max 6 �- i3�Ct"'fllSCs /.tel(-' t)rscril,tion Address: , , ZQty. (ea.) total no11-11,NlrtresderlHlsingorn.adr-famdh per City: dwelling unit.Includes altached garage. ale: IP:�a Phone:GS' o t �_ — 9 Servlceiti m 1Yl: L4 Fax: ;S3 E-mail: I(x)Oay t� ,��yetis � CCB no.: Elec.bus.lie.no: Fach additional 500 ac.rt.or onion thereof - -- City/metro lic.no. Limited energy,residential 2 Limited energy,non-rcsiJential Si nature of sit rvisin electNcinn Ree uimd) - -- Fach manufactured hnme or modular dwrlling - 1 Date Service and/or feeder 2 Sup,elect.mune(print): License no: Servicesorfeeden-installation, alteration or relocation: 2(x)amps or less 2 Name(print): �, 201 amps to 4W amps Mailing address: 401 amps to 66(1 amps 2 601 amps to 1000 amps ` City- l..S L 1 N�-J StatC00— ZIP: 6 68 Pz Phone: -�a$tl as u I:a%: f)ver 1666 amps or volts 2 fel E-Ptail: Reconnect onlyi .--- Owner installation:The installation is being made 'm preperty I own Temporary wnices or feeders- which is not intended I'orsale,lease,rent,or exchange according to Install■tlort•alteration,or relocation: ORS 447,455,479,670,701. 21x)amps or less ()s tier's si mt.lure: 201 amps to 400 amps Late: 4t1!._6t)tl_mr5 --- -- lei to Bench circuits-new,allerstion, Name: or extension per panel: Address. A. F'ec for branch circuits with purchase of -CII _ service or feeder fee each branch circuitZIP: B Fee for branch circuits without purchase Phone: Fax: r-mail: __of service or feeder fee,first bratch clrcuir , !?ach additional brunch circuli: ICE 14&11 n1jan Mist.(Semler or feeder not Included): U Service over 225 amps-commtercial U Health-care facility Fnch um or Irrigation circle U Service over x211 amps-raing of I&2 U I Itvadous location liech sign or outline IighUn , — familydwellings U Building over 1(1,01()square feet four or ` peal circuitls)or n linthed energy panel, U System over(0)volts nominal more residential date in one structure alteration,or extension• U Building over three shores U Feelers,460 amps or nacre _ 2 U(kcupan load over 99 persons U Manufactured structures or RV park I keen num _ U Fgtess/lightinp plan U t)cher Each addlllorwl Impecllon over the allowable In any of fire above: Submit_`sets of plans with any of the above.–`-- per inspection The above are not applicable to temporary construction service. Other ugaUon Not all jurisdlcilom accept cmilt earls,Pleaw call)uriuticoon fon moor hd,nmntiroi Notice:'This permit application Permit fee.....................$ _ — U Visa U MaaterC:rd expires it-a Plan review(at -_ % t'tedlr crud number: p permit is not obtained ) $ ---- --�l L within IRO days after it tins been State surcharge(8%) ....$ — time c o r a e own nn—cie h e p accepted Pted as com plete. TOTAh .......................$ ('erdholokr NRrtaturc S Amoutn 440-4615(tUtxl/r'(lM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ---- TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 1 Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ $145.15 _ 4 Audio and Stereo Systems' Each additional 500 sq,ft or portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00Each Manufd Home or Modular Garage Door Opener" Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 Vacuum Systems" 201 amps to 400 amps $106.85 2 401 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 Fee for each system..............._ ........................................ y75.00 Installation,alteration,or relocation 200 amps or less _ $66.85 — 2 (SEE OAR 916-260-260) 201 amps to 400 amps $100.30 ' 401 amps to 600 amps _ $133.75 2 Check Type of Work Involved: Over 600 amps 10 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits Boller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or Clock Systems feeder lee. Each branch circuit $665�_- –_ Data Telecommunication Installation b)The foe for branch r.ircuii!, without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $46.85 HVAC Each additional branch circuit $6.65 ❑ Miscellaneous instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 _ _ Intercom and Paging Systems Each sign or outline lighting $53.40 __- Signal circuit(s)or a limited energy panel,alteration or extension $75.00 Landscape Irrigation Control' Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable In any of the above Per inspection _ $62.50 nurse Calls_ _ �� Per hour $62.50 _ In Plant $73.75 _- ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ _– Other e%State Surcharge $ _ Number of Systema 251'.Plan Review Fee ' No licenses are required Licenses are required for all other Installations See"Plan Re,4ew-section nn $ front of application — — Fees: Total Balance Due S Enter total of above teas S_ ❑ Trust Account q 8%State Surcharge Total Balance Due -All New Commercial Buildings require 2 sets of plvns. i.\dsts\forms\elc-fees.doc 08130/01 Plumbing Permit Application Permit Uatereccived: L City of Tigard Scwcr permit no.: Building permit no.: �+ Address: 13125 SW iiall Blvd,Tigard,OR 97223 Project/appl.no.: _ Ex iredate: - City olTlgard Phone: (503) 639-4171j- Receipt no.: Cfile no.: Pa Fax: (503) 598-1960 ate issued: a e Case le noyment type: Land use approval: t — U Multi-family U Tenant improvement_ U I &2 fami:y dwelling or accessory U Commercial/industrial ❑Fond service U Other: --- U New construction U Addition/alteration/replacement M111;151�mjjl 111171 Desrri tion Qty.I Fee(ea.) Total Job address: 2 13 5 7 NcN ! and 2-family dh'ellings only: Bldg.no.: Stiletto.: (includes 100ft.foreachutililyconnectfun) Tax map/tax lot account nomSFR(1)bath Lot: Block: Subdivision: eK - (' .5 SFR(2)bath SFR(3)bath - Project name: ---- Each additional batlr/k—ilclicn - City/county: r'/ __ ZIP: - �- Sfteutillties: Description and location of work on premises: Catch basin/area drain _ - Drvwells/leach line/trench drain _- Est.date Of completion/inspection: Footing drain(no. --- Manufactured home utilities Business n_amc: f�o __ Manholes --e - - -- - - Rain drain connector Address; 2 5 W M VS Sanitary sewer(no.lin.ft.) - Z Statc:a/L1P: bo$ -- City: Storm sewer(no.lin.ft.) Phone: gieLf S69% - Fax:s `� E-mall; Water service(no.on. 1 J .: b CCB no.: b Plumb.bus.reg.no: -- Fixture or item: City/metro lie.no.: Absorption valve _ --- Contractor's representative signature: Back flow preventer _ -- Print name: Date: Backwater valve Basins/lavatory — Clothes washer - Name: v j r g."a'- �` `' Dishwasher - Address: - Drinkin fcR �untain(s)- — City: - State: LIP: Ejcctors/sump _ - Phone: q 3(o E-mail: Expansion tank - Fixture/sewer cap Floor drafns/flaor sinks/hu- l - Name(print): ��.Yd't SS�t��. S - Garbage dis sal Mailing address: / 7Z._ S t.1 lr l - p Hose bibb State IP: a6 Ice makerCit dA-4 0-OV-J ---- Phone: y�74 JOC Fax,6,Q'A 0 1 E-mail: Interceptor/ reage ttr� - residential maintenance only: The actual installation Primer(s) Owner iustallation/ -_- will owner made by m/ Or the maintenance and repair made by mry gular Roof drain(commercial) - - employee on the property I own as per ORS Chapter ate: Sutk(s),basin(s),lays(s) -- Owner's si nature: 11_ __ Date: _ - 'I ubslshower/shower pan Urinal - Name: _- -_ --. Water closet- - --- Address: -- - - Water heater - -- City: -- -- State: ZIP: _ Outer: - E mall: '1 Will Phone: Fax: _ -- Minimum fee................$ .-- Not ell Jurl"di %accept cmfit cords,pteue Celt lurisdictlon for"uxe tnrrnsnni"�+ Notice:This permit application Plan review(at %) $ __----- U visa U Mastewarl expires if a pe mit is not obtained State surcharge(8%) ....$ L_ within Ifl0 days after it has been 'f OTAI. ....................... Credit cud number _---_-- I'.splros $ -- _.. ncccpted as complete. Nine of :u1moldri u shown nn credit cud 44G.4616 OMWOM) >fdersll<n--��R -- Anon' CudM PLUMBING PERMIT FEE=S: - PRICE TOTAL New 1 and 2-family dwellings only: PRICE TOTAL CITY ea AMOUNT (includes all plumbing fixtures In AMOUNT FIXTURES Individual- - 1 16 60 - the dwelling and the first100 ft. QTY (ea) Sink _ for each utility con_r ion_L 1660 OkSUB 1 bath _ $249_20 Lavatory 1ath — $350.00 _ Tub or TublShower Comb 16.60 -- $399.00 16.60 __-_- - Shower Only _ - -_-- - - - -I ------ - i6.So TOTAWaler Closet -_ _— ATE SURCHARGE16 60 25°/.OF SUBTOTALDishwasher TOTALGarbage Disposal 16.60 - - -_ 16.60 Laundry Tray - Washing Machine-- 16.60 FluorDraln/Floor Sink 2"-- -- _ 1660 PLEASE COMPLETE: 16 60 4•• 1660_ Quantit b Work Performed Water Heater O conversion O like kind 16,60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical ^- _ Capped erElt -- 46,40 Sink _--_- - MFG Home New Water Service 46.40 �-— MFC,Horne Now SanTterm Sewir - - Tub or'I ublShower Hose Bibs 16.60 ^ - Combination -_ -- -- -- 16.60 _Shower Only ra - Roof Dins Water Closet -- ---- 16.60 Drinking Fountain Urinal --- Other Fixture ) - 16.6° _— Dishwasher - - -` Garba a Dis coal -- __-_ ----- Laundry Room Ira - --- _- Washing Machine -- __ Floor Drain/Sink: 2" _ -- Sewer•1st 100' - 55.00 _ - 46.40 4 -`- Sewer-each additlooal 100' ___ -- Water Heater ---- Water Service-1st 100' 55.00 - _ Other Fixtures Water Service.each additional 20_0 J - 46.40 S ecif - -- -- Storm 8 Rain Drain-1st 100' - 55.00 - _ ----- Storm RRain Drain-each additlonal 100' 46.40 - - -- - --- -_ Commercial Back Flow Prevention Device - 46.40 -- Resldenlfal BackfiowPrevention Device' 27.55 -- Catch -- Inspection of Existing Plumbing or Specially 62.50 per/hr COMMENTS REGARDING ABOVE: Requested Ins ecp_tions-- 65.25 ------- _ __--- _G A----- - Rain Dralr,single family dwelling _ __-__-- '- 16.60 -- Grease traps _--- - QUANTITY TOTAL _ ---_. --- - Isometric or riser diagram Is required If —.---- ---"-- Quantity.Total is g _.——_.------ --- —'—----- — — ----- --- "SUBTOTAL -- ----- -- — 8 STATF SURCHARGE - — PLAN REVIEW 25%OF SUBTOTAL Required only If(l.dure qY.t26d Is>9 - TOTAL 'Minimum permit fee Is$72 50•If%stale surcharge,except Rosidentlal Backflnw Prevention Device,which is$36 25 4 H'Yo state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. I:\dste\forms\pim-fees.doc 12/26/01 SEE 35MM ROLL #21 FOR- 0 VE '.R S lz D DOCUMENT