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12933 SW 113TH PLACE N �D W W Cn s W s n m 12933 SW 113"' Place CITY OF "TGOARD 24-Hour BUILD!NG Inspection Line: (503) 639-4175 MST 006 IIJSPECTION DIVISION Business Line: (503) 639-4171 BUP Received .__ - Date Requestled__�r� 0____ AM PPI_- BUP ---_ - --- Location — 1 3 ` ' 3 tv L� Suite MEC - Contact Person Ph( ) PLM ----- — — Contractor -.-- Ph( ) SWR ---- BUILDING Tenant/Owner - ELG Footing —` - ELG Foundation Access: Fig Drain ELF! Crawl Drain — SIT Slab Inspection Notes: - Post&Beam Shear Anchors Ext Sheath/Shear — - - Int Sheath/Shear Framing - — -- —_ Insulation Drywall Nailing ---- loo, _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ----- --- - Root _ Other:—-- - --- Final PAS . PART FAIL PLUMBING_---- - --_-. Post& Beam Under Slab — Rough-In v Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pen - Other:---- ----- A PART FAIL _H_A_NICAL Post& Beam Rough-In - Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In -- UG/Slab Low Voltage - Fire Alarm Final Reinspection tee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — E] Please call for reinspection RE: F-1 Unable to Inspect-no access Fire Supply Line ADA Dete _6 Inspeeter Approach/Sidewalk Other: ----- -- —.- Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL i � ► ► i q J ► i �■In i A a ► o Q ► u 7j .� � an N ► A, v' ► 5, o �, oil. U y Q ► v v b ► � � Q � M N ► cu A r ► � N A ► t A O V ► � d ►� as a� ► n �rD rAO ? A rJ o con a � 0 Fr �� • 3 � s o W � x a 3 a r CITY OF TIGARD 24-Hour �f BUILDING Inspection Line: (503) 639-4175 MST - do0, r U INSPECTION DIVISION Business Line: (503) 639-4171 BLIP _ Received _ _ Date Requested__—�d/. --_AM_. PM BLIP 1 71- l l lJ V12 �_�—Suite MEC - - -- - Location _ Contact Person _ _ r-L,4 Ph( ) �- ' ( Pt.M Contractor — — Ph(_ —) SWR -_- BUILDING TenanUOwner --_ ____-_.—_ -_ ELC Footing ELC Foundation L _ ,c Ftg Drainer "X" ELR _ Crawl Drain - SIT Slab Inspection I ldt2s: - - - --- Post&Beam - - __- --- - Shear Anchors — — Ext Sheath/Shear Int Sheath/Shear /17 Framing - - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ----- "- "---' - Roof Other: in PART FAIL ING — Post& Beam Under Slab ----- Rough-In Water Service - --� - Sanitary Sewer j — Rain Drains �— - - Catch Basin/Manhole Storm Drain -- Shower Pan Other: Final P FAIL_ _ --- -- - --- L Post& Beam Rough-In Gas Line Smoke Dampers 1ASSPART FAIL E_CTRICA_ L Service _—� ---- Rough-In r UG/Slab Low Voltage -- Fire Alarm Final Ll Reinspection fee of$___--- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd _PASS PART FAIL SITE ❑ Please call for reinspection RE: — — _— Unable to Inspect-no access Fire Supply Line ADA ^� Approach/Sidewalk Date - J U Z" ` Inspector _----� —*� _ -.__ Lit ---- Other: Final W DO NOT REMOVE this Inspection re:ord from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 _ 0 MST INSPECTION DIVISION Business Line: (503) 639-4171 _- BUP Received ___ Date Requested. �2:.-7- — AM___ PM - BUP Location r a- � L� �� yfL Suite MEC Contact Person Ph( ) — 39 PLM ------ Contractor Ph(-_xjZj-) SWR - - - -- BUILDING Tenant/Owner aSo' __-- ELC Footing EI_C Foundation Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing -- ---- -- - --- Insulation Drywall Nailing - - --- -- Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling -�- Roof Final PASS PART FAIL PL ----UMBIN--- G------ _-.._ -_-_-------- Post&Beam Under Slab - Rough-In Water Service - --- ----- .__...._ - -- --- — Sanitary Sewer Rain Drains -- — -- - ---- --- ---------- Catch Basin/Manhole Storm Drain Shower Pan Other. Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL --- -- -_ ELECTRICAL Service Rough-In - ---- — UG/Slab Low Voltage Fire Alarm nn , PARI FAIL Reinspection fee of$ 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 Llne ADA ut Approach/Sidewalk Data _. Inspector `C ��r� Other:.--.--- Final ther:, ____Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL '!' MASTER PERMIT _ CITY V F T I V A R® PERMIT #: MST2002-00040 DEVELOPMENT SERVICES DATE ISSUED: 3/12/02 13125 SW Hall Bivd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12933 SW 113TH PL PARCEL: 2S103AC-06900 SUBDIVISION: FONNER WOODS ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG REMARKS: Construction of new SF detached residence. Path 1 BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 27 FIRST: 386 31 BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 4.) SECOND: 1,334 sf GARAGE: 805 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: 1.166 at RIGHT: 8 VALUE: S 2E2,610 30 OCCUPANCY GRP: R3 BORM: 3 BATH: 4 TOTAL: 2.88600 at REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 4 WASHING MACH: I LAUNDRY TRAYS: t RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN t 100K: BOILICMP t 3HP: VENT FANS. 6 CLOTHES DRYER: 1 GA,, FURN>-100K: 1 UNIT HEATERS, HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES. GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF 6 201 400 amp: 201 •400 amp: tat WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER 1-101!1: LIMITED ENERGY: 401 600 amp 401 •600 amp: EA ADDL BR CIR: 31GNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp601-amps-1000v: MINOR LABEL: 1000.amplvplt: PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFDR>-226 A.: >600 V NOMINAL. Cl S ARFAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIONL. GARAGE OPENER- CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEES: $ 8,481.09 Owner: Contractor: This permit is subject lu the regulations contained in the S.R TURNER CONST. SR TURNER CONSTRUCTION Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 85816 P O BOX 25216 all other applicable laws. All work will be done In PORTLAND,OR 97225 PORTLAND,OR 97225 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 followrules adopted by the Oregon Utility Notification Center. Those rules are set Rag a: uc 1;1'91 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, Footing/Foundation Dr; Plumb Top Out Framing Insp Exterior Sheathing Inst Water Line Insp Grading Inspection PLMiUndertloor Plumb Top Out Framing Insp Low Voltage Water Line Insp Sewer Inspection Mechanical Insp Electrical Service She�r Wall Insp Gas line Insp Appr/Sdwlk Insp Footing Insp Mechanical Insp Electrical Rough In Shear Wall Insp Insulation Insp Electrical Final Foundation Insp Mechanical Insp Framing Insp Exterior Sheathing Inst Rain drain Insp Mechanical Firal lisued BY : 6<</1�aC�.�i Permittee Signature : -1 � Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business day June 17, 2002 City of Tigard Building ,Department ATTN: Darrel. Plans examiner RE: MST2002-00040; Home located at 12933 SW 1 13" PI. As per your request, I have the following information regarding the questions that were raised regarding the construction of my home. 1. The water proofing system that was installed on the outside of the foundation is manufactured by Owens-Corning and is called a"Tough and Dry" system. A factory-licensed subcontractor operating in the Portland area for 17 years called Dowers Water Proofing installed it. The system carries a 10-year warranty. Three inch diameter ADS perforated footing drains with a filter sock, were provided at the bottom of the footings around the perimeter were provided. Gravel was used to backfill several feet over the ripe then native soils were installed w reach grade. Portions of the Tough and Dry system are still visible fror, .he exterior of the house at all sides. 2. The slab floor was installed over a minimum of 12 inches of crushed gravel. A six mil black plastic vapor barrier was provided directly under the slab prior to placement of the concrete. The slab thickness is 4 112 inches and is 3500 PSI concrete was used. Footings for the point loads were placed and inspected prior to the slab floor, (at the time the footings fir the walls were placed) Sincerely, Steve R. 'urner Owner. home builder. CITYOF TI GAR® SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00022 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/12/02 PARCEL: 2S103AC-06900 SITE ADDRESS; 12933 SW 113TH PL SUBDIVISION: FONNER WOODS ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG TENANT NAME: LISA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: Sr NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new SF detached residence. Owner: FEES S.R.TURNER CONST. Type By Date Amount Receipt PO BOX 85816 PORTLAND, OR 97225 PRMT CTR 3/12/02 $2,300.00 27200200000 INSP CTR 3/12/02 $35.00 27200200000 Phone: 503-789-3P.49 Total $2,335.00 Contractor. Phone: Reg #: Required Inspections This Applicant agrees to comply wit;, 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 a_ Issued by: � Permittee Signature: l4- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Cr C- wilding Permit Application ( qty of Tigard "Date Pcrmit no.: received: 9 Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: CirynfTigard phone: (503) 639-4171 Date issued: By:, I-' Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: �\ I&2 family:Simple Complex: O Land use,approval: _;LUJ &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolitionddition/alteration/rcplacement U Tenant improvement U Fire sprinkler/alarm U Other:NI-ORMATItNI ddress: / - �� Bldg.no.: I Suite no.: Lot: Block.: Subdivision: —FTax map/tax lot/account no.: -L Project name: / --V&1 r Description and location of work on premises/special conditions: NI FOR SPECIAL. INFORMATION, USF ('111111'ChUIST Name: �• �1 Mailing address: , ' J , 1 & 2 family drellir►g: l City: - StateGy ZIP: Valuation of work....:!.(. Phone: 5 9Ylj Fax: - - E-mail: — No.of bedroom-thaths................................. Owner's representative: Total number ut floors........................ ........ Phone: 7,0,5- #q IFax: I m;ul: New dwelling area(sq.tt.) .......................... Z� Garage/carport ,rea(sq.ft.)......................... /2 70 Name: <- = Covered porch area(sq. ft.) ......................... — Mailing address: — Deck area(sq. ft.)........................................ F City: State: ZIP: - -- Other structure area(sq. ft.).............. ......... N Phone: Fax" ('ommercial/industrial/multi-family: Keiji :51" t , t nci l Valuation of work....................................r. $_ Business name: Existing bldg.area(sq,ft.) ......1.........../ Address: -- New bldg.area(sq.ft.).....................:.......... City: State: ZIP: ------ Number of stories......................./.:.............. —` --- Phone: -$y zG Fax: -{yZ &niuil: Type of construction...............:✓ ...........,�.. _1----- CCB no.: Occupancy group(s): Existing\ New: City/metro lic,no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Consin,ction Contractors Board under Name: ALC/r provisions of ORS 701 and may be required to he licensed in the Address: ( / jurisdit"tion where work is being performed. If the applicant is City: State: ZIP: from licensing,the following reason applies: Contact person: I Plan no.: -- — — -- Phone: Fax: E-mail: —- -- Name: "�E,(,t` .. Contact person: Fees due upon application ........................... $ _ Address: Date received: City: ct� � Stale:, ' ZIP: '' L _, Amount received ......................................... $ --- Phone: Zj�;y-6ax: --(" /- E-mail: Please refer to fee schedule. hereby certify 1 have read and examined this application and the Not all jurisdictions accept credit cent,pleat r.an jurisdiction for more Inrormarion attached checklist.All provisions of laws and ordinances governing this U vita U MmteWtird work will be complied Witk whetter pecilled herein or noo�tt.. fcredit rant number —."---- /Papim Date: .7 elAuthorized signature: Nemn(r derushwnongyica Print name: �� Canthalder signature S Amount Notice:This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. 410.1613 tMxYCOM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: — Ciryuffigard City of Tigard Associated permits: O Electrical O Plumbing O Mechanical Address: 13125 SW liall Blvd,"figard,OR 97223 LIOther: Phone: (503) 639-4171 Fax: (503) 598-1960 111EYOLLdWiNG ITEMS-ARE REQUIRED O. PLAN-kIEVIEW Yes No N/A 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 Verification of approved plot/lot. 4 Fire district_� _approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. _ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. lu 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. -- 1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions:property comer elevations(if there is more than a 4-ft.elevati(n)differential,plan roust show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage,impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, _ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor heams,headers,joists,sub-floor, wall constntctiun,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing.roof slope,ceiling height,siding material,fix)tings and foundation,stairs, Fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at buddinp envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. I(, Wall bracing(prescriptive path)and/or lateral analysis plans.Must indi(.ate details and locations; ['or non-prescriptive path analysis provide specifications and calculations to engineering standards. _ 17 Floor/roof framing.Pro,ide plans for all floors/ro(t'nssemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. _ 18 Basement and retalninR walls. Provide cross sections and details showing placement of rchar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured noorlroof truss design details, I Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required I'm 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 shall be shown to be apphcahle to the project under review. 23 Five(5)site plans are required for Item I I shove. Site plans must he tt 112" K I I"ur I I 11". 24 Two(2)sets each are required for Items 16, 19,20&22 abuse. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit& Systcm Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. _ 28 Site plan to include tree sire,type&location per approved project street tree plan Of applicable),and COT Street Tree List. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. "14614(NUK'(1M) Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl,no.: Expire date: City(?f 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: TYPE OF ❑ 1 &2 family dwelling or accessory U C onunercctl/oulutiu i:ll U Multi-family U Tenant improvement ❑New construction ❑Addition/alteration/replacement U Other: U Partial JOB SITE INFORMATION Joh address: 113 Bldg.no.: Suite no.: Tax map/tax lot/acCOUni no.: ! -- Lot: _ Bleck: Subdivision: Project name: Description and location of work on premises: _ I{stim;tlrd dale r,f rnntrlrlirm/insrrrliun: CONTRACTOR 1 IULE Fee Job loo: Mai ---- IA ' - Description Ut). (ea.) 701111 nu.insp Business name: yV _ NeNrrsidential-sitrt;knrm"IlLfamih 1wr Address: NW d"ellinRunit.Includes atta(-Iwd knrafle. City: Slate: ZIP: Seniceincluded: Phone: „Z Fax: I E-mail: 1000 sq.ft.or less 4 Each additional SW sq.fl.or portion thereof CCB no.: Elec.hus.lic.no: _ Y I.nnitedenc-gy,residential 2 City/metro lir:.no.: Limited energy,non-residential 2 Each manufactured home or modular dwelling Signalutcoll'supervising electrician(requn, pate 0 Service and/or fceder E - License no: Services or feeder-installation, Sup.elect.name tpnnt 1 alteration or relocation: 1 1 WNI It 200 amps or less 2 Name(pent): 201 amps to 4(x1 amps 2 401 amps to 600 amps Mailing address: 601 amps In 10011 amps 2 City: Slate: ZIP: Over IWO amps or volts 2 Phone: Fax: E-mail: Reconnectonly I Owner installation:The installation is being made on property I own Temporary sereea or feeder- which isnot intended for sale,lease,rent, Installation,alteration,or relocation:or exchange according to 200 amps or less 2 URS 447,455.479,67(),7f)1. 201!m stn 400 amps 2 Owner's si nature: Date: 401 to 600 amps Branch circuit%-nen,alteration, % or eatemlon per panel: Name: _ A. Fee for branch circuits with purchnse of Address: service or feeder fee,each branch r acuit City. 5tatl. __jzIP: _ , K. Fee for branch circuits withwit purcha+e of service or feeder fee,first L•,%nch circuit _ 2 Phone: Fax: E-mail: Each additional branch circuit:.(Service or feeder not included)t O Se,,ice over 225 unp%-commercial U Health-care facility Each pump or irri !tion circle 2 n II O Scrvrecaver 120 amps-rating IdC2 U HarnrduuslncnFoch si or outline lighting tlnn g g g 2-- famil dwellin % U 0uildin over 111,01111 square feet four or signal circuit(q)or a limited energy panel. Y g P s4 2 U system over 6W volts nominal nx,re residential units In one structure alteration,or a%ten%ion' _ i J Building over three stories U Feeders,41K1 amps at more sikscri tion U Occupant load over 44 persons U Mnnufacuued structures or RV park Fi ch additional imperilon over the allowable in any of file above: U Egreasrliphlinpplan U other __� porins cu00 Submit seta of plans with any of the above. Invests ntion t!c - The above are not applicable to temporary construction service. Other -- Permit fee.....................$ -- Na dl jundicuoru accept credit cont%.please call jurisdiction rot none infmmflon. Notice:This permit application Platt review(at U Visa J MasterCard r%pires if a permit is not obtained Credit cant number —_�_�--_ _ within ISO days alter it has been State surcharge(8%)....S -- "p' iR' accepted as complete. TOTAL .......................$ - N onto o-T carMo r o shown on c u e Catdhdder Bi" unt Amo - 440.4615 16KWOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: -- -- --- --------- Retrictod Enerqy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL S',,ITEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 100C sq ft.or less $ +5.15_ 4 ❑ Audio and Stereo Systems' Each additional 500 sq.ft or portion thereof _ $3340 _ 1 Limited Energy $75.00 F-] Burglar Alarm Each Manuf d Home or Modular Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener' Services or Feeders ❑ Heafing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 2 �1 601 amps to 1000 amps $240.60 2 I Other Over 1000 amps or volts $454.65 _ 2 Rc,onnect on',, $66.85~ 2 Temporary Services x Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee 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 Involveu: 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 fee. Each blanch circuit _ $665 7 ❑ Data Telecommunication Installation b)The fee for branch circuits 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 $5340 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 _ $6250 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $— L—J Other 8`✓i State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licensee are required Licenses are required for all other Instellelionc front of application — - Fees: Total Balance Due $ -` Enter total of shove fees =_ ❑ Trust Accnunt M - 89e State Surcharge = All Now Commercial Buildings require Z sots of plans. Total,Balance Due 1 I ktsts\rormsklc-fees doc 08.130101 Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ciryrrfl'igard phone: (503) 639-4171 Projecdappl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: 1 &2 family dwelling or accessory U Commercial/industrial J Multi-t';unily U Tenant improvement U New construction U Addition/alteration/replacement U l ood servwe 7 Other: Job address: Z �J�j /l 11 Description "y. Fee(ex.) Total Bldg.no.: Suite no.: New 1-and 2-family dwelling•(only: Tax n /tax lot/account no.: (Includes m 100 ft.foreachutilityci rection) P SIR(1)bath Lot-. S Block: Subdivision: SFR(2)bath — -- _----- Project name: wt. SFR(3)bath City/county: ZIP: y'7 Z 3, Each additional hath/kitchen— Description and location of work on premises: A65i $112,!S_ Slteutilltles: Gv - I __ Catch basin/area drain -_ Est.date of completion/inspeciion: Drywells/leach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities Business name: "e►_ tn.1rn-.1 LLC_ _ Manholes Address: Q. t C.. Rain drain connector 1 City: State: ZIP: Sanitary sewer(no. lin.ft.) Io6 -- Phone: -S-174 Fax: ZgZ•{,,29 E-mail: Storni sewer(no. lin.ft.) �- Water service(no. lin.ft.) CCB no.: ZI �-( Plumb,bus.reg.no: -Z,5�0; City/metro lie.no.: f. Ci fixture or Item: i .Ignaturc: Absorption valve Contractor's represen - - - -- Back(low preventer Print name: Date: Backwater.valve Inswil Basins/lavatory Name: ��" Clodios washer_ r - Dishwasher Address: F1S 6 __ Drinking fountain(s) City: State ZIP: — --- -_� Ejectors/sump _ Phont.. ' Fax: ' Z lf'l' E-mail: Expansion tankii Fixture/sewer cap Nance(print): � ,ll� Floor drains/floor sinks/hub Mailing address: -- Garbage disposal _— Hose bibb City: State: ZIP: Ice maker - - Phone: Fttx: 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 Rlxrf drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Own,z's si mature: Date: Sump Tubs/shower/shower an Urinal Name: — N /s --- Water closet _ Address: Water heater City: State: ZIP: Other: - Phone: Fax. E-mail: oto all psidcept iclioru accrest cards,pleas.call jurisdiction fa mNot rnme'mfntz" Minims fee............ ) $ Nd _- - -` U Visa U MuletCard expiice This permit application flan review(at _ %) $ res if a permit is not obtained State surcharge(8%)....$ ctedu card numtne xr _ I _L within 180 days ager it has been - 11,11r,i Noof cudholder u shown nn credit card I --- accepted as complete. TOTAL .......................$ _ S Cardhdder dputtue Amount 4404616 1NtMv('OM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 _ tha dwslting and the first100 ft. QTY (ea) AMOUNT for eact;utility connection t_avatory 1660 $249.20 _ One(1)bath __ -J_ Tub or Tub/Shower Comb. 16,60 Two(2 bath — $350.00 —-- -- 16 60 Three 3 bath- _ $399.00 _ Shower Only Water Closet 16.60 SUBTOTAL _- Urinal 1660 8°/s STATE SURCHARGE 16.60 PLAN R-EVIEW 25°/s OF SU DishwasherBTOTAL _ _ —_-- TOTAL -- Garbage Disposal 16.60 Laundry Tray 16.60 Washing Machine 166016.60 FloorDrain/Floor Sink 2"- - 1660 PLEASE COMPLETE: 3" 1660 ,tom 16.60 _ __-- -_ quanta b Work Pertormed Water beater O conversio O like kind 16.60 Fixture Type: New Moved Replaced Removod/ Gas piping requires a sepan1 mechanical _ Ca ed ermit Sink - MFG Home New Water Service 46.40 -- 46 40 Lavat2g — -- MFG Hama New SanlStorm Sew- _ Tub of 'Tub/Shower Hose Bibs — 15.60 -- Combination — Roof Drains _ 16.60 Shower Onl 16.60 Water Closet ---- Drinking Fountain -- Urinal— Other Fixtures(Specify) 16.60 _ Uish_washer -- - Garbage Disposal -- -- LaundryRoonl Tray.____ _ Washin Machine _ Floor Drain/Sink: 2" -- Sewer-1st 100' ---- — 55.00 3" Sewer-each additional 100' 4640 - 4 — 55,00 Water Heater Water Service-1st 100' - Other Fixtures Watnr Service-each additional 200' 4640 Sed -- Storm&Rain Drain-1s1 100' 55.00 -- -- -- Slorm&Rain Drain-each additional 100' '40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device- 27.55 Catch Basin 16.67 — Inspection of Existing Plumbing or Specially 6 Requested Drain Inspections erlhr COMMENTS REGARDING ABOVE: - - Rain Drain,single family _ dwelling _ 65,2F; ------- Grease Traps 1660 QUANTITY TOTAL ----- — Isometric or riser diagram is required If -- Ouantily Total Is >9 ----- "SUBTOTAL -- ___ --- ---- ---- — 8%STATE SURCHARGE "PLAN REVIEW 25°/a OF SUBTOTAL — - Rrquiied only If rnllire qty total Is>9 __—. -- TOTAL $ "Minimum permit lee Is$72 50.e%stale surcharge,except Residential Bactflow Prevention Device,whir-h Is$QA 29•6%stele surcharge ..All New Commercial Bulldings require 2 sets of plans with Isometric or riser diagram for plan review. I:\dsts\lorins\plm-fees doc 12/26/01 Mechanical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: 1 Payment type: Land use approval: Building permit no,: TYPE 01: PERM I'll I & 2 family dwelling or accessory U Commercial/industrial U Multi-family J Tenant improvement J New runsiructiort U Addition/alteration/repl:tcemcnt J Other: __—- - - -- --- — � 1 tub address: Z �j j L.1 Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: n ,4 Suite no.: - value of all mechanical materials,equipment,labor,overhead, g profit.Value$ Tax map/tax lot/account no.: ��J; Block: Subdivision: 'See checklist for important application information and jurisdiction's fee schedule fur residential permit fee Project name: . City/county: ZIP: Description and location of work on premises: Pee(ea.)I Total m-scri ion cpy. Res.only Riy.only Est.date of completion/inspection: VAC: Tenant improvement or change of une: Air handling unit CrM Is existing space heated or conditioned?U Yes U No Air con itioning(site plan required) Is existing space insulated?U Yes U No A teration of existin i(�A system of er compressors State boiler permit no.: Business name: �ti� C-- IIP _Tons BTU/H Address: Fir smoke dampers/duct smoke detectors City: State:ClJf� ZIP: '(27� catpump(sitepanreyuire ) Fax: Z9Z--G2R E-mail: nsta I rep ace urnac turner 1 Phone: 2 Z' Z Including duclwork/vcnt liner U Yes U No CCB no.: 19 b.. Install/rep ace re ocateheaters-suspended, City/metro lic.no.: wall,or floor mounted vent fora mance uI er t an furnace Name(please print): a gerat on: Absorption units_—_____ _— BTU/" IIP T Name: -- Com ressors lip Address: env ronmenin exhaust and vent at on: City: State: ZIP: Appliance vent Phone: Fax: E-mail: )rycrex nust 00 s, 'ype res. tc en nzmat hood fire suppression system Name: �" r1 tb Exhaust fan with single duct(bath x iausi ,1,stem apart from eatin or C Mailing address: - ue p p ng on St ut on(up to 4 out cts) City: State: ZIP: Ty,e: _ `I PG NO __ Oil Phone: Fax: E-mail: I plielpiping each aclartional over out ets rocesspiping(scematicrequire ) Number tduuticts Name' f/1 _U1 erl d app once or equ ptnenl: Address: Ih�:orativc fireplace City: State: ZIP: Insert-type— E mail' oo slov pe etstove Phone: 'ax (R cr: Applicant's signature: Date: - -021, t - Name (print): j Permit fee.....................$ -- NM all Jurisdictions acrepl ctedlr cards,please call Juriodictim fix more INortntlion. Notice:Thistcrmil a ppliealitnl Mini mum fee................$ U Vise U Muteward expires if n permit is not obtained Plan review(at __ %) $ rredil urd aamner:— — -- res within Igo days after it has been State surcharge(8%) ....$ accepted as complete. TOTAL utte c o u n an c I c ..........•............$ $ ---C to cies d uwt Amt 4104617 Iti/00K'oM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1.00 to$5,000.00__ Minimum fee$72.50 Table 1A Mechanical Code _- Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and I) Furnace to 100,000 BTU $1.52 for each additional$100.00 or includin9 ducts 8 vents _ 1400 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 to$50 000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 8 $1.45 for each additional$100.00 or - 6 60 fraction thereof,to and including 6) Repair units $50,000.00. 12 1�' $50,001.00 and�N $742.U0 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 Coen ___ fraction thereof. footnotes bele.+. Comp Minimum Permit Fee$72.50 SUBTOTAL: a 7)100<31K absorb unit to 100K BTU 14.00 8%State Surcharge $ A)it 15 k t absorb 25.60 unit 100k to 500k BTU _ _ 25%Plan Review Fee(of subtotal) a 9)15-30 HP;absorb 35.00 Required for ALL commercial ermits on unit.5-1 mil BTU _ g- ------- P_ - 10)30-50 HP;absorb TOTAL. COMMERCIAL PERMIT FEE: E unit 1-1.75 mil BTU 52.20 _. 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM _ 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: _ Ot E( a) Amount 17.20 _ Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 1000 Furnace>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 served by mechanical exhaust Vent not Included in applicanc,3 445 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 mil.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 >1.75 mil.BTU Minimum Permit Fee$72.50 SUBTOTAL: a Air handling unit to 10,000 cfm 658 _ 8°/.State Surcharge I a Air handlingunit nit>10`000 dm 1,170 _ Non table evaporate cooler 658 --1 vent fan connected to a single_duct 448 TOTAL RESIDENTIAL PERMIT FEE: $ Vent system not Included In 656 appliance permit Hood served by mechanical exit ust 656 _ h r Inspections and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1 1,170 $62 50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-halt hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1 4 outlets _ 360 charge-one-half hour)$92 50 per hour Each additional outlet 63 'State Contractor Boller Certification required for units 400k BTU. TOTAL COMMERCIAL ; -Residential AIC requires site plan showing placement of unit. VALUATION: _ All New Commercial Buildings require 2 sets of plans. I:\dsts\forms\mech-fees doc 12/26/01 01 Aug 31 15:11:43 R:Vt\1t5fw.dwg MRR t � i 100 -~.` —`' .._S @9'55'05, E 100 )`t MAIN FLOOR 8 9� EL :100 0' GARAGE: —F — \�.�� EL .900' +J_? --1 I I \ ` ` DECK o ^ 11 / 9Y EL_9954" CONC r.• \ n DRIVEWAY a—. 13500 PSI 1 9 lb + - - 5641' . \\\ i/A` eg6 go 01 P U E. S W 113TH PL A CE nA 10,1f1 - -SCA = 2 0 F 1 " _ 0._ kM WASCOM IMIM ASIOCMr[l. i / / Kwtuptwow�t■rrgraol,trnt�r•t.rclawe t t�ace r 1Ic 4 001 CITY OF TIGARD Ill rr,10 rpNNCR WOODS 5016A "m NO wn ru hAao oK 1`4 11itt 00 Ngrs. nt l01 5 OWM"a ror.rarrNrw rao WMCAhM qY OR TURNER CONST Ar w r.�cano aMgr Anocw,na.�e 07J S0 Fl) »YIN�� • »»I.N.»ll FROM : OWENWEST ELECTRIC FAX NO. 5032976375 Mar. 1B 2002 12:07PM Pi CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RECEIVED IMPORTANT PERMIT NOTICE 1 OWEN WEST ELECTRIC Gli . t�ti.lihYlU 8310 NW REED DR I3 -I?1NG I3MSbQN PORTLAND, OR 97 229 Electrical Signature Form Permit#: MST2002-00040 — T1a!e Issued- 3/1-192 - -- Parcel: 2S103AC-06900 Site Address: 12933 SW 113TH PL Subdivision: FONNER WOODS Block: Lot: 005 Jurisdiction: TIG Zoning: R-4.5 Remarks: Construction of new SF detached residence. 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 .ippr opriate individual from your company sign hcl(.m 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 forty) is received OWNER. t-I_FCI RICA[_ CONTRACTOR: S.R. TURNER CONST. OWEN WEST ELECTRIC PO BOX 85816 8310 NW REED DR PORTLAND. OR -97225 PORTLAND, OR 97229 Phone #: 503-789-3849 Phone #: 297-6375 Reg #: uc 29492 sur 2005S F.LE 26 '19PIr AN INK SIGNATURE IS REQUIRED ON THIS FORM XCoPI Sig ature of Supervising Electrician If vnri have any questions, please call (503) 6,39-4171, ext. # 310