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12985 SW 116TH PLACE 00 Cn .a rn m 12535 SW 116"' Place CITY OF TIGARD DUILDiNG INSPECTION DIVISION MST o.e-i 24-Hour Inspection Line: 639-4175 Business Lin 639-4171 BLIP _ Date Requested _ 2_ `"/ -Z --.AM_— -I'M BLD - --- 1��- .� /llo �L Suite MEC _ Location,_ - Contact Person _ Ph / ��:��.Z P L nig ---—_----- Ph � / Gl �� z�._ SWR --- _---- Contractor —__ -- - ELC BUILDING —� Tenant/Owner —__ ELR Retaining Wall - Footing FAcc : FPS Foundation Ftg Drain SGN C 'NI Drain ion Notes: _ _ SIT S:aa Post&Ream - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---- - -- Firewall - Fire Sprinkler --"--- — �`" Fire Alarm - Susp'd Ceiling -- — Roof ----- fftc: — ---- - - � ..7A*'.qPART FAIL PLUMBING Post& Beal" Slab - - -fop Out Water service Sanitary Sewer Rain Drains - - - Final PART FAIL PAS' - - - MECHANICAL -- Post 8 Beam Rough In I Gas Line Smoke Dampers --- ma PART FAIL ELECTRICAL Service -M Rough In -- UG/Slab -- Low Voltage - -- Fire Alarm Final PART FAIL _--SITE Backfill/Grading Sanitary Sewer uir_Ad before next inspection. Pay at City Hall, 13125 SW Hall Blvd Storm Drain I I Reinspection fee of$ - - _re4 Catch Basin )Unatle to,,ispect-no access 1 Line I I Please call for reinspection RE: _ Fire Supply 1 ADA Apprusch/Sidewalk 2 12. Inspector EXt Other Date Final PASS PART FAIL _ 00 NOT REMOVE this inspection recordfrom the job site. CITY OF TIGARD BUIL "'ING INSPECTION DIVISION —� MST LUG/ 66 Y6 24-Hour Inspection Line: 639-- 5 Business Line: 639-417 BUP _ Date Requested. / ` _3 _AM_- PP/I `_ BLD Location / Z�' S , , Suite MEC Contact Person Ph ! �/ "? :2- I PLM __-- Contractor -C c�-�� C if �c Ph �- ^U�3 L SWR �._. _ _ CFs-► x h��hrt c�j ELC BUILDING_ Tenant/Owner - ----- Retaining Wall ELR -_-- Footing Access: Foundation FPS - Ftg Drain sGN Crawl Drain I lospection Notes: Slab - - -- SIT Post&Beam Ext Sheath/Shear �. ----- - - — Int Sheath/Shear Framing --- Insulation Drywa'I Nailing Firewall Fire Sprinkler - - --- Fire Alarm Susp'd Ceiling —. _-__f1--� --f•--�-�� � Roof Misc: Final _ PASS PART FAIL — --- -- —- PLUMBING Post& Beam ----- Under Slab ----------- __ --- - --- --- _�- - ---- Top Out Water Service -_-- __ �. ----- - - -- --— Sanitary Sewer Rain Drains Final — PASS PART FAIL - MECHANICAL Post&Beam Rough -- Rough In Gas Line -- -- - --- ----�— - Smoke Dampers Fin,.l - ;= - -- - --- -- PASS PART FAIL ELECTRICAL ---�— Service - Rough In UG/Slab - Low Voltage --- 4 PART FAIL -- 81t Backfill/Grading -- - - Sanitary Sewer Storm Drain [ J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE —_- _ ( ]Unable to inspect" no access AnA _ Approach/Sidewalk t , "c nspecor— -�1�c Other Date � IExt Final �_ �— PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site. CITY OF TIGARD BUII TING INSPECTION DIVISION 24-Hour Inspection Line: 639--, ,75 bLJSinesMSTs Line: 639-41, . BLIP __ Date Requested_ f I AM PM _ BLp Location 2 `? r�S !�� ` ��� Suite MEG Contact Berson Ph I/ L172- I PLM Contractor Ph SWR BUILDING Tenant/Owner ELG Retaining Wall ELR Footing ACC@SS: --------.-__ .�_---- Foundation FPS Ftg Drain -- SGN - W� Crawl Drain Inspection Note -- Slab -- - - - --— SIT Post&Beam -- -- Ext Sheath/Shear Int:;heath/Shear > " Framing / < C N -� Lvluf•� P Insulation Drywall Nailing Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: __.- -----..-� Final PASS PART FAIT_ PLUMBING Post& Beam "- Under Slab Top Out Water Serv;ce Sanitary Sewer Rain Drains PAS PART FAIL HANICAL Post Beam Rough in Gas Line ---- ----_ _ _ __..�._� - -----• Smoke Dampers Final - --- - - -- PASS PART FAIL ELECTRICAL -- +'---� - - -`- Service Rough In —.---- UG/Slab _•-___ _._______ �_ Low Voltage Fire Alarm Final PASS` PART FAIL SITE Backfill/Grading — -- --' ------ Sanitary Sewer Storm Drain I ]Reinspection fee of$_ required before next inspe(Jon Pay a!City Hall, 13125 SW Ha!I 51vd Catch Basin Fire Supply Line I I Please call for reinspection RE ( ]Unable to inspect-no access ADA Approach/Sidewalk1 ��'�� C4 F Other Date _ ) —,Inspector_ _ _�'e• _Ext Final PASS—PART FAIL DO NOT REMOVE this Inspection record from the job site. MASTER PERMIT CITYOF TIGARD PERMIT#: b',ST2001-00405 ®E`,/ELOPMr:INT SERVICES DATE ISSUED: 7/24/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 251036D-09400 SITE ADDRESS: 12985 SW 116TH PL ZONING: R-4.5 SUBDIVISION: HUNTER'S WOODLAND I-OT: 006 JURISDICTION: TIG BLOCK: REMARKS: New SF detached. path 1 BUILDING REQUIRED STORIES: 2 FLOOR AREAS _ REOUIREU SETBACKS REISSUE: LEFT: 6 SMOKE DETECTORS: Y CLASS OF WORK: NEW HEIGHT: 23 FIRST: 960 sf BASEMENT: at PARKING SPACES: 2 TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 960 of GARAGE: 444 sf FRONT: 23 RIGHT: 6 TYPE OF CONST: 5N DWELLING UNITS 1 FINBSMENT: sl VALUE 5 105.245 00 REAR: 36 OCCUPANCY GRP: RJ DORM: 4 BATH: 3 TOTAL: 1,92800 sf PLUMBING _ RAIN DRAIN: 100 TRAPS: SINKS: 1 WATER rLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: CATCH BASINS: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 LAVATORIES: 4 GREASE TRAPS: TUBISHOWERS: 2 GARBAGE DISP. 1 WATER HEATERS: t WATER LINES: 100 BCKFLW PREVNTR: I OTHER FIXTURES: MECHANICAL FUEL TYPES Fl1RN<70UK: 1 BOILICMP a 3HP: VENT FANS: 4 CLOTHES DRYER: I �,�` FURN-100K: UNIT HEATERS ' ODDS: 1 OTHER UNITS: 1 btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS. 1 MAX INP: ELECTRICAL RESIDE LTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDER9 BRANCH CIRCUITS MISCELLANEOI _ADD'L INSPECTIONS WISVC OR FOR; 1 PUMPIIRRIGATION: PER INSPECTION: 1000 SF C R LESS: 1 0 •200 amp: 0 200 amp:291 400 amp: PER HOUR: 201 400 amp: ts1 W/O SVCIFOR: 00 SIGNIOUT LIN LT: EA ADO'l 500SF: 3 gIONALIPANEI: IN!SLANT: 401 •600 amp: 401 . 601 amp: EA ADDL BR CIR: LIMITED ENERGY: MINOR LABEL: MANU HMISVCIFDR: 601 1000 amp: 601•amps•1000v: 1000•amplvolt: PLAN REVIEW SECTION Reconnect only: ,-4 RES UNITS: SVCIFDn-•225 A.: 600 V NOMINAL: CLS AREA/SPC UCC: ELECTRICAL•RESTRICTEU ENERGY B.COMMERCIAL A.SF RESIDENTIAL AFIRE ALARM: INTERCOMIPAOINU OUTDOOR LNDSC LT. AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: BOILER: HVAC: LANDSCAPEIIRRIU: PROTECTIVE SIGNL: BURGLAR ALARM: OTH: OTHR: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: DATAnELE COMM: NURSE CALLS: TOTAL N SYSTEMS: HVAC: TOTAL FEES: $ 6,699.4 Owner: Contractor: This permit is subject to the regulations contained in the MIRE MELVIN VIAYMIRE Tigard Municipal Code,State of OR Specialty Codes and MEL WAYPO BOX 231 164 all other applicable laws All work will be done in P O.BOX MIRE TIGARD,OR 164 TIGARD.OR 97281 acnordence 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 Phnna Oregon law requires you to follow rules adopted by the Phone: Oregon Utility Notification Center. Those rules are'jet Rag#: LIC 35876 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 Shear Wall Insp Insulation Insp Mechanical Final Erosion Control Insp& PosUBeam Mechanics Mechanical Insp drain Insp Plumb Final Sewer Inspection Underfluor Insulallon Plumb Top Out Exterior ageathing Ins{ Water Line Insp Final inspection Footing Insp Clswl DralnlBackwater Electrical Service Low VGitsge Electrical Rough In Gas Line Insp ApprlSdwlk Insp Foundation Insp Footing/Foundation Dr; Gas Fireplace Electrical Final Post/Beam Structural PLMAInderfloor Framing Insp r �Issued By Permittee Signature'��'`/�l Call (503)639.4175 by 7:00 p.m.for an inspection needed the next business day a>t�r. CITYOF T1GARD __SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00206 13125 SW Hall Blvd., Tigard, OR 97':23 (503) 639-4171 DATE ISSUED: 7/24/01 PARCEL: 2S 103BD-09400 SITE ADDRESS; 12985 SW 116TH PL SUBDIVISION: HUNTER'S WOODLAND ZONING: R-4 5 BLOCK: LOT: 006 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL'rYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached Owner: _ -----_ FEES_W-�- -------- MEL WAYMIRE Type By Date Amount Receipt UX.U 231164 P. H — P OI B D, 97281 PRMT C I R 7/24/01-- $2,300.00 2720x1100000 INSP CTR 7/24/01 $35 00 27200100000 Phone: 503-521-9092 Total $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 not guarantee the accuracy of the side sewer latero Is. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. / r,J 10 ,i Issued by: Permittee Signature: 4r' � C "�'i:"►-/ _ – - Call (503) 639-4175 by 7:00 P.M. for an inspection needed thrrnext nu ass day Building Permit Application /r^ 1 Date received: % G / Perm no.: City of 'Tigard �? •Go c s5 g CitynfTigard Address: 13125 SW Hall Blvd,Tigard,OR 9 r3--'� Project/appl.no.: Expire date: J \- Phone: (503) 639-4171 Date issued: By Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: T Land use approval: 1&2 family:Simple Complex: r. l jc 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U D,!molition J ddi!ion/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U I' her: ---� Job address CY — G � /—to Bldg.no.: Suite no.: r Lot: Block: Subdivision; /t�urr �,,'s � Tax map/tax lot/account no.:24/d3/ 0yyc, 4�. Project name: / �•S �°.� /- -y &";— Description and I(x.ation of work on premises/special conditions: � � —— Name: '� lit it t Mailing address: F; 1 &2 fat III'V'dn n of work r` offing; City: r State: ZIP: ` Phone: _.. Valuat,� .�-'.;.t.`�.P.......•.. $ r--� C� ' Fax: E-mail: No.of bem,nms/baths...............................•. .t' Owner's representative: — -=-2- 1 vr.. •r— _ Total number of tt(,..-s ;�, Phone: C •, -- --— 5 / 6 r• fax: — r-mail: New dwelling area(sq. ft.) /�Z Jr Clarage/carp(rrt area(sq.A.)......................... Name: — `�? �i .� Covered porch arca(sq. ft.) ......................... Mailing address_— Deck area(sq.ft.) ........................................ ---City: State: ZIP: — Other structure area(sq. f(.)......................... Phone: Fax: — E-mail ('ommerei>tUlpdustrlallmultl-ft illy: Valuationof work....................................... $_ !Business name: a:rt►,� Oe L Existing bldg•area(sq. f.) ...h.......J.. ......... — Address: New bldg.area(sq,ft.) ........•... ............. City- State: 7,IP: Number of stories...................!...�,............ Phone: -- Fax: B-mail; Type of construction................................. .. CCB no.: s y� - Occupancy group(s): Existing: — City/metro lie.no.: —_- -- New: _ TNodoe:All contractors and subcontractors are required to be LA ed with!!w Oregon Construction Contractors Board under Name:• f� ions of ORS 701 and tray be required to be licensed in the Address: '� / r' jsction where work is being performed. If the applicant is Cit : R State: ' 7.IP: , exempt from licensing,the following reason applies: Contact porson: ,.r __ Phooe. 't c Fa"U 5 <7Z G•nuti1: --- — POLM 10 Nu►nc:he, OU of// .,� .�,�.,�. .' Contact person: o« . / Fees due upon application ........................... $ Address: 14 f L ti _ � Date received; c Scate: ° ?.IP: ,Z Amount received ...•.. Phone -���' 6�7�x:ZSY t ti`I r:-mail: --- --- Please refer to fee schedule. _ hereby certify I have read and examined this application and the No all jurist ictiom rcep credit cards.please call jursdicuon fa rrtcxe inrormatit n. attached checklist. All pruvirions of laws and ordinances governing this U visa U Maatercant work will he complied W' h,w Cher specified herein or nag credit cant numt : g — Authorized,signature !L'A Dalt': �' I ane nrr u mwn on credit card spires J }K� — S Print ame. � CrdWd"signature — -- Anwtiai Notice:This permit application expires If a permit is not obtained within 190 days alter it hs_s been a,cepted m complete. 4,1046 13(retxp OM) One-and Two-Family Dwelling Building Permit Application Checklist Associate pe _-Associated permits: City q1 Tigunl City of Tigard U Electrical U Plumbing U Mechanical Aatf ,s 13i25 SW Hall Blvd,Tigard,OR 97223 UOther: Phone. ;IM) 639-4171 Fax. (50 , ,98-1960 t I land ukie actions completed.See jurisdiction criteria t, concurrent reviews. ✓ _ 2 Zoning.Flood plain,solar balance points,seismi:soil~ Irsignation,historic district,ctc. 3 Verification of approved plat/lo!. — 4 fire district approval required. _ — 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. ✓ — 7 Water district approval. _ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan ❑permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ 10 3 Complefe sets ref legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details.Plan review cannot be completed i _ if co yright violations exist. i 1_Sitelplot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if them is more than a 441,elevation differential,plan must show contour lines at 2-ft.intcrvalc);location of easements ar ' driveway;footprint ofstructure(including decks);location of wclls/septic systems;utility locutions;direction indicator;lot area;building covernge tinea;perecnuage 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 r size and location. _ _ — 13 Floor plans. ;how all dimensions,room identilication,window size,location ul'smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-flan, wall construction,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:iiaterial,footings and foundation,stairs, fireplace construction, thermal insulation,etc. --d 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations muni reflect the ao tual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable _ 16 Wall bracing(prescriptive path)andlor lateral analysts plans.Must indicate details and locations-,for ✓, nom-prescriptive path analysis provide specifications and calculations to engineering standards. 17 floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. — -- 18 Basement and retaining walls.Provide cross sections and details showing placrnrent u.'r har.dor engineered systems,see item 22,"Engineer's calculations," 19 Beam calculations. Provide two sets of calculations using cumin code design values for all beams and muftiple joists )yct 10 feet lung and/or any heani/joist carrying a non-uniform loud. 20 Manufactured floor/roof truss design details,___ 21 Energy Code compliance.Identify the prescriptive path or nlovide calculations. A gas-piping schematic is required / for Eur or more appliances. V P 2 I nglneer's ralculatlous.When required or provided,a �1 ir,ar wall,roof truss)shall tie stamped by an engineer or architect licensed in Oregon and shale tic shown to be,alil Iit alilc to the project unaler reg ie N+ 23 Five(5)si Iaus are required fur Item I I above, Site plana nuts be H 1/2" v I r' ur 1 I" 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 No rolled,reversed or mirored building plans will be accepted — 27 --- - Checklist must be 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. 440 4614 rrrtWOMr aAAAA.SAA.,AAAAAAAAAAA.AAAAAAAAAAAAAAA LAAAAAAAAAOF I - ! 4 M O d No. 4 ► i ► P 4 - 4 _ ` A-. ► J • ► 4 d i! a I■ d C7 � P QItr• 4 'b `� ► 4 ^ cm r' O ► 4 Q. P '•' ► 4 v ► ! > o ► 4 ! 4 rri p o ► r• 4 � � G 4 4 o 4 t ► j �' M 4 ► j ► 4 I '� I► i! A f �L_ O O c � � w O O H n n o � a CL 1 ro ic , r or � F t t Og 3 7' d t ti ao Plumbing Permit Application rDatercccived: Permitno../yST�p/00 ��City of Tigard permit no.: Building permit no.: Address: 13125 LW Hall [3lvd,'I'igard,OR '172�3 City of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land use approt,al: Case ft levo.: Pa)mentt)pe: ffN &2.family dwelling or accessory U Commercial/industrial U Multifamily U reliant improvement amstnictir,n U Addition/alteration/replacement U Food service U Other: 1 � - Joh address: ! y 6 ��� ��6 a c Description Qty. Fce(ea.) 'Lot al no.: I Suite no,: Ne" I-and 2-famih dricllings only: Tax Wrap/lax lot/account no.: ---- (include;100 ft.for each utility connection) SI'R(1)bath Lot:_ Block: Subdivision - - - -��---_.- >/7't/ti fyS Rh SFR(2)bath Project name: SFR(3)bath — City/county: — r ZIP: Each additional bath/kllchen -- Description and Icklation of work on premises:__ — Siteudllties: _ Calch basin/area drain Est.date of complction/inspcction- Drywells/leach line/trench drain__ Footing drain(no.lin. ft.) _ Manufactured home utilities Business name- Ch h vM i Manholes —' Address: GJ Q Rain drain connector City: VZL14, _ -_ State ZIP: G §alit sewer(no.lin.ft) -- _--i CCB n p3 6y4 S'96(, Fax: E-mail: Storm sewer(no,lin. ft.) _ -'- -- CCB no.: a;2. ) Plumb.bus,reg,no: Water service(no. lin.ft.) — City/metn+lic,nn.: 1 747 u + '�l c,t Fixture or Item: Contractor's representative signature: Absorption valve Back Oow reventer — Onnt name: Date: Backwater vr-,ve -Bas ins/lavatory Name: vl^-C_ washer Address: �) O r --- sher fountain(s) City: �2 4 Sta Z ''Z1P: /_tPlton o3 ,z Fax: E-mon tank Fixture/sewer cap Name(print): _ _- door drains/floor r'nks/huh— — Mailing address:Aq Garbage dis sal _ City: ,- — State ZIP:9 Hose hihb Ice maker Phone Fax: _ F.-mail: Interceptor/grease trap Owner instal lalion/residential maintenance only: The actual installation Primer(s) Will be made by aineic m ni•lance and repair made by lit n: ular Roof drain(commercial) employee on they vn s per ORS Chapter 447. — Sin (s),basin(s), lays(s) owner's si natDat �.��� Nu1.tV _ 7'ubs/showedchvwer pan -- Name: Urinal — — �— -- -- Address: ---- ater_C10—set atcreater City: _ _ _ State: ?.IPS __ Other: Phone: Fax: B-mail: -� Tota Not dl)urisdktions accept credit cord,,please cat jurisdiction more Infornmaon. Notice:This pennit application Minimum fee................$ _ U VIA- U MAAreWard expires if a pemilt is not obtained Plan review(at _ %) $ seed.card numb": lrc4_ within 190 days after it has been State surcharge(8%) ....$ Now of cardholder u shownnn. aTcr�-- accepted as complete.. TOTAL ....................... $ Crdhd e�rslRnuure '— Amcum- 440-41116(fiW/(_)M) PLUMBING PERMIT FEES: ( -- ""-- PRICE TOTAL New 1 and 2-family dwellings only: I FIXTURES indivlduai QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL 111 Sink - 16.60 the dwelling and the firs1100 ft. QTY {e�) AMOUNT 16.60 for each utility connectfo1-__-__ Lavatory - i _ One 1 bath - -___, $249.20 - 16.E0 Two 2 hath Tub or Tub/Shower Comb $350.00 LZ _- - ----- -- Three 3 bath $399.00 Shower Only 16.60 -- - - - ----- - - - Water Closet -- 16.60 SUBTOTAL - - Urinal 16.60 8%STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW?6%OF SUBTOTAL Garbage Disposal -- - 16.60 -------TOTALL__ Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16-60 PLEASE COMPLETE: 3^ 16.60 4- 16.60 - _ _ 4uanti b Work Pe_rfonned_ Water Heater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ Gas piping requires a separate mechanical ennit. MFG Home New Water Serv,,o 46.40 Sink - --- Lavatory __-- MFG Home New San)Storm SStwor 46.40 Tub or Tub/Shower Hose-Bibs 10.60 Combination Roof DrainF 16.60 _- Drinking F wntain 16.60 Water Closet --� �- 16.60 Urinal Other Fixtires(Specify) _ Dishwasher _ _ --- Garbs a Dis osal _ Laundry Room Tray _ Washln Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3^ Sewer-each additional 100' � 46.40 4" - Wator Service-1st 100' 55.00 Other Heater _ --- ther Fixtures Wt;ter lierviCe_-each additional 200' 46.40 _ specify) Storm 8 Rain Drain-1st 100' 55.00 _ Storm 8 Rain Drain-each additional 100' 46.40 Commercial©ack Flow Prevention Device 46.40 _ - Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 - Inspection of Exlsting Plumbing or Specfafly 72.50 - Requested Inspectionsper/hr - _ COMMENTS REGARDING ABOVE: Rain Drain,singie family dwelling �- 65.25 - ------ Grease Traps 16.60 --- -- '-- QUANTITY TOTAL Isometric or riser diagram Is required If Ouant Tot9l Is >9 "SUBTOTAL _ 8%STATE SURCHARGE ---- _ "PLAN'<EVIEW 25%OF SUBTOTAL - - - _Required only if fixture qty total Is>9 TOTAL $ *Mlnimum penrit fee is$72 5p r 8%slate surcharge.except Residential Backflow Prevention Device,which Is S719 25•a%state surcharge. "All New Commercial Buildings require plans with Isometric or riser dlepram and plan review i:\dsts\forms\plm-fees.doc 10/10/00 Electrical Permit Application !hue received: Permit no.: City of Tigard Project/appl.no.:-— Expire date: Cityof"Jigard Address: 13125 SW 1 jail Blvd,Tigard,OR 97223 Hate imuwd — By: Roctipt no.: Phone: (503) 6394171 Fact: (503) 598-1960 Case fide no.: ,1 t'evnx,c aJpe: Land uwapproval ZNevLnsuuction dwelling or accessory 11 Commcrciol/industrial 1] Multi family '1 '1lnsant improvement i 1 Add ition/alteration/replaceu,-nt U Other: U Partin) 1uh a . 12985 S W 116th Place f-ity die t1g no.: I suite no.. rat nup/tax lot/account no.2_S 1)3131)0'300 Lot: Blocdt:N/A Subdivisio_n: Fh!::,c r'S Woodland Pro'ect name: — r�escription and location of work on premises: Estimated date of rom letion/in. ctisrr: Job no: _ 03-2001 ><''a M,. Tiusniessname: ideal Electric Coman °r"91«'"' _ r )moi. ](AS[[ nala"p New rawkri.l +ki& w as"imiy pa Address: 18888 S Ter Michael Drive �r clot t�Imr, �a"r+1s. Ciry_ Oregon City State: OR ZIP: 970 5 servimindeth Phone:307 1 Fax: F,mail: 1000 aq.fL or less - 110 4 CCB no.: 87 bk, bas.lie.no: -w 1! talditiorW aW sq Il a plsden Oletaor 30 City/metro lie.no N/A Limited onerg,I h 2 Fundy _ 30 _ 2 * Limited energy,Muhi-Family 47 Oq 2 a .., �`�v — Fart!manufac[urod h mr or axxlulw dwelling —urr of rm�r►x dit ritarki-r�rrlq _---�-�- t>rle Q7�Q 1— Service and/or lkeder 75. 2 Cup elml I.+e.."%i1, : Li0"W rio 161 IS wrvw" or feeder-lwasiladoo, a14dnNos or relecatlos: 200 amps or less 650 2 Name(print):Mel Waymire 201— to Mall add a m: 110 Box 231 164 401 anp in 600 otr — 1300 2 601 w1 t� 195.01 2 City:'Figard _ _ State: ZIP:97218 Over ID00amps or vola 365. 2 Phone:503 521-9092 Fax: >+•mail: Reconnttonly 's5 Owwr butwililioilloov 11te insullation is being citedp on prtnerty I own 'Ferpur.r7 wrvkefl or*t&n- which is not intended for sale,Iertir,rrnt,or exchange according III im"atme,aberatins,or140ndo": 1109 447.455,479,67r-, 701. 2!-np rw�! _ - ------ ____ 55 01 _2 701 amps to 4;X1 amps !f0 2 Owneeq Hi attire: _ _ 1flail+- 4, I,.<d10— -- 110 as�ec►rlrrlldb-r*w,albraaea, or eview"m per pa nd: Name: ----- i` A fee fro Manch cocaih with parehose of Address. __ .avice ne fodkr lee,tali twauh circuit 6 0 2 C'it N ha lin branch cncarib whMyt ,y V~'-- State: T.IP: p�+ate -' l: - -' nr uaviet nt feeds file,rsmt - -a" circuit 40 2 iiiiiiiiinililliminillin Email: h"�r teasel O CR& 6. 001 MW.Mn ike or War no' I 11d) 1 Server ours 2)4 amps aannrn ud I I Ileal h(wr fiv ili v Pah nT or irrilow cimle 11. 2 Savior rswr 170 amprsatisa fit I Al 11 1lararskxn kxats(vl Eads!V!j outline Ii ttthl4 —� 45. 2 flimily dwelhnp I I Nuking over I0,I10n Square kr!Cons or Sipa)cneings)or a finiAnd&we land. — —._ I System ever 600 vola nominal uaar mmilt aid one+In lar Nnrctme new,atwrMina,at ci m unef 43. 2 11 NusiAiuR over ease sharer I I Frcalem 400 at,pa or aase 013mcription _ 1 t ccuper�"yke��d over 99 pemin [I ManufLchned�taaalO u RV pork FIv1f"rYae4ral,wgentba rmrr r►►dlarriee to sap polis ahwr. t-car-1140"it plan 11 INher Submit 2 with ad pleas wfth may 4tfthea*be". 6sve1t eras he The above are not applitmibta to temporary comitnetioa ar nils. Odw, Newtw:Thk peINo ej rpc'Ww P'rrnn ftr .....................S II YIu 11 Madscwd mom if s p r"*h mw Prnn revit W(at 25%)....S crelhr cad rlwrlher _ j o16mriwA4 I.ithiw !RI)*v,sfler 6 Si.;e surcharge(8'r6).....Y - .iipun A".A.vrw Am Arbri R cn.oq+frrts TOTAL .......S ... . ----- 9i _. 444461 r ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY oo Reslrkaed Energy Ewe...................................................... Complete Fee Schedule ®Flow' Number of Ina cions permit allowed (FOR AI.L SYSTEMS) Service included: Items Cost Total l Checks Ty„a or work(nv0lvt I Rlhhsidentlal-per unit 4 l 1 Audio and Stere Systems' 1(X10 ski ft.or less _-- Each additional 5(10 sq ft a 1 Burglar Alarm portion iheroof $75.00 -� LWOW Energy Garage Door Opener' Each Manurd Home or Modular $90.90._ 7 owc1lkh9 Service or Feeder _-_-- — Heating,Ventilation and Air Conditioning System' Services or Feedom Installation.al:erallm or mtocatior $8030 -- 2 n Vocl', Systems' 200 amps or less - - 5106.65 201 Snips 10400 amps -- $160.60 — --- 401 amps to 60o amps _— 2 CJ Other------ ----- 60,amps to 1000 amps $240.60 2 Over 1000 amps or molts 5454.65 ..,conned only ----- $86.85 -- 2 rypE OF WORK INVOLVED-COMMERCIAL ONLY ST5.00 Temporary Services or Fit odors Fee for each systs',1.....•..................................... InsLillation,alteration,rx miucation $66.85 2 (SEE OAR 918-260 260) 200 amps or lass -- $100 30^----- 2 201 amps to 400 amps _ 2 l,heck I vpe o1`�:ork Involved. 401 amps 10600 amps 5133.75r —_ Cher 000 amps b 1000 Wits, Audl(i and Stereo Systems Ll see"b"adovr Branch Circuits LJ Boiler controls New.oheratim 0 exlerhsion per panel a)The foe for bmnch arruits Ej C:IOcc Systems with purchase or seMce or haler lee. $(.165 _ 2 Data TelecommunicalOn Installation Foch branch ciroud _-___-- b)Tho lee for branch circuits lJ Fire Alarm Installation without pl rehaae of%Wyk* or foeder he. S4685 First txanch arwit - L 1 HVAC Each additional branch arson - -_-- Insinlmenla6on Mlscelleneous (Sery a or Feeder rx1l hnckxlad) $53.40_ _ Intercom and paging Systems Each pump or ligation circle -- Falih 5lUn or outline lighting $53.40 _`— — Slurhal cinwit(s)or a limited erM�rVv $7500 �, Landscape Irrigation Control' panel.alteration o-�xtansim _._- _-- $125 00 - Minor lAws(10) --- �,� Medical Each additional inspection over rM allowable In any(rf the abo-T U Nurse falls Per khapecUar ------ $62!><1 --_-- Per twos T� $6250 _— f 1 Outdocii Landscape Ughtin� In r hour lant -- $7375 -- l__1 ploteitive Signaling NQS: ovier ------------ Etebar tool ul above fees - $ _______-Number of Systems e%State dun:tharW --- 25%Plan Review Fee 5 No ikxxnes are tequued Lice roes are r 04111md to(oil otther instaMUM" See'Plan Revlev!W*xh on - - -- ----------- Irrxtt of rA*katk)n -- FeeS' Total Balance Due ------- Enter total of above ff" Trust Account 0 _-___—. 0'1.State Surcharge 5--�---'�--� --- - Total Balance DUO 1 hdNr\rcxnrhrlc-frrt dnx r1N'n7101 Mechanical Permit Application -- Date recei A Permit no.:R51001-,&yos J a ift City of Tigard Project/appl.no.: Expire date: City oJ7'igard Address: 1312.5 SW FlalI Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case+ile no.: Payment type: Land use approval: — Building permit no.: TYPE OF PERM.IT- El-r&2 family dwelling or accessory U Commercial/industrial U Nluiti-Imnily U Tenant improvement "' w constriction U Add ition/al teration/replace memt U(Wicl _ .0011 SI FE.INFORNIA]ION 1 ON SUREDULE Job address:_ S e t� Indicate equipment quantities in poxes below. Indicate the dollar Bldg.no.: ISuite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: 2 6 Cj 9 ori profit. Value$ LOC 6 Block: 5ubdivisian;,S/u,, w� *See checklist for important application information and Project name: jurisdiction's ice schedule for residential permit fec. City/county: ,k v Z.1 P: ' Z? _ t Description and I ation of work on premisrs: — / t Fee(ea.) Total Est,date ofcompletion/inspection: Desert on Qt}. Res.only Res.onl) Tenant improvement or change of use: Is existing space heated or conditioned'?U Yes U No Air handlin unit CFM 'p`ce Air conditioning(site plan required) Is existing space insulated?U Yes U No Alteration o existing AC system Boer compressors State boiler permit no.: Business name: h'�/-� 3/vf HI' _—Tons BTU/II _ Address: i I ��—' S Hr smo cdampers/duct smoke detectors City: /�j r q,m di I statooZIP: Q eat pump(site pan require ) - Phonc: ,3Z O i Fax: E-mail: -Tnsta rcp icefurnace76urner B 0/IT Including ductwork/vent liner U Yrts U No _ CCB no.: LJ .2� l"r fl%) (-,12 L Inslafflrcp ac rc ociiteFicatcrs-auspen ed. City/metro lic.no.: I wall,or floor mounted Name(pleaseprint): Vent fora Dance other than Murnacc tet ger'al on: Absorptionunits —__ BTWIl Name: - -,r , Chillers Address: t tJ S°j < Com ressors 7nMr—onmentall exhaust end vent at un: Oily: StateLT LIP: 7 AI lppliance vent Phone. 1� rip Fax: [i-mail. --_-. hyerex iaus7 t _ ou s, ypc res. itc en az17Fi nat hood fire suppression system - Name: tet Exhaust fan with single duct(bath fans) Mailing address: J , 01Z3//�v 3x laud wsletig or AC City: �,- State: Z1P: q Fuelpiping adistribution(up to outlets) —_ __ 0 Tylw:__ _LI'[3 _ NC; Oil 1'honc: f 'r.21 -, 't . Fax: I. mail: - ti ici i in each additional oVct 4 outlets rocrospiping(schematic require , — Number of oullcls Name: —_, --s---- -- Other Hoed app once or equ]pMent: — — Address: _ Ikcorauvefireplace City: _ State: ZIP: Insert--type — Phone: Fax: F:-mail: _ oo stov pe et stove Cri mer: Applicant's signator ,, Date: 1 0 Name(pent): , ,, _ v _ Not ell juridicUane accept cmtit ca dA,please cnit luridictim rot more infammtionPemlit fee $ U Visa U MasterCard ' Notice:'this permit application Minimum fee............. $ t'redit card number _ — L.1_ expires if a permit is not oh(ained Plan review(at _ 9h) $ r-Rpire, within 180 days oiler It has been State surcharge(11%) ....$ -^Name ore Ider u own on err it c - accepted as complete. y TOTAL .......................$ _ _ Cardhotderii`nature —`_�__ Amouni 40MI7ifiWCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 8 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: - Description: p- Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A klechaliical Code -_ __ Qty (Ea) Amt 1) Fumace t $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 107,000 BTU d $1.52 for each additional$100.00 or including ducts 8 vents 1a o0 fraction thereof,to and including 2) Furnace 100,00: BTU+ _ ___ $10,�J0.00. including ducts 8 vents _. 17.4 $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 1a 0u �- fraction thereof,to and including 4) Suspended heater,wall heater _ $2.5,000.00. or floor mounted heater _ 14 00 $25,001.00 0,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit to$5 $1.45 for each additional$100.00 or -- 6 80 - fraction thereof,to and including 6) Repair units $50000 12 15 - $50,001.00 and up $742.00 for the first$50,000.00 and Check all b.dt apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp* -� 7)<3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb - Value Total unit 100k to 500k BTU _ _ 25.60 Description: Q (Epj_ Amount 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ 35.00 _ ducts&vents _ 10)30-SQ HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&venLq 11)>50HP:absorb Floor furnace includiavent 951 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ _ 10.00 Vent not li,ciuded in applicance 445 13)Air handling unit 10,000 AFM+ ermit _ 17.20 Repair unilb 805 14)Non-portable evaporate cooler <3 hp;ab:orb.unit, 955 i _ 10.00 to 100k BTU -- 15)Vent fan connerted to a single duct 3-15 hp;absorb.unit, 1,700 6.80 __- 101k to 500k BTU 16)Ventilation system not Included in 15-3011p;absorb.unit,501k to 1 2,310 appllance permit 10.00 mil.BTU - 17)Hood served by mechanical exhaust 3,4 30-50 hp;absorb.unit, 00 1000 1-1.75 mil.BTU 18)Domestic incinerators >50 hp;absorb,unit, �^ 5.725 17.40 >1.75 frill.BTU 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm 656 6995 Air handling unit>10,000 cfm 1,170 20)Other units,including wood stoves Non-portable evaporate cc ler 656 __ 10.00 _ Vent fan connected to a jingle duct 446 21)Gas piping one to four outlets Vent system not Included In 656 540 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 __ _ 1 00 Domestic Incinerator 1,170 _ _Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 Other unit,Including wood stovev,,, 656 i 8%State Surcharge $ Inserts,etr Gasaping 1-4 outlets _ 360 - 25%Plan Review Fee(of subtotal) $ Each additlunal outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL _ $ - TOTAL RESIDENTIAL PERMIT FEE: _ $ VALUATION_ - Othrjr InsneclliM and Foes: 1 Inspections outside of normal business hours(minimum cheige-Iwo hours) $72 50 per hour 2 Inspections for which no fee is spacificelly indicated (minimum charge-halt hour) $72 A per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour Slate Contractor Boller Certification required for units>200k BTU. "Residential AIC requires site plan showing placement of unit 1:\dsts\forms\rttech-fees doc 10/11/00 MEL WAYN11IRE, BUILJDER F. 0. BOX 231164 z TIGARD, OR 97281 503521 9092 til_., ti240IN) F..I(OSION CYINUOL FENCE 0024)W so 111) 2417 W 2440000 , �. . . — � ..I .. x x x x LOT 5442 SF Ri 11 H)l NC IIA 1)I J N F i 24600000 i 6 W 1 IX�Ki, ,.n i 00 240 W I• 1 In,.1'00 • 00242W I I y2„oo W AV 146(111 '111242(11 ' I • I i I I ti:neul 231 Kl OARACN 40 SF Ia I I EIEC A(IASIINF II'1mlJTY rA6EMFN1Or I WAYFR LINE. — �-I— -DRIVEWAY ,� I RAINbRAIN 2SO m y • .. • �. I e`,l 1002494o n'SIbFWALK ' • '�^� ` PRO".FD SUPT MFF . INFb(IF MAR.I'1 y 2811111 GRAVEL[MIYEWM'R AprylOAr'll 12985 S. W. 11611-1 PI.A(T, AS PHI FROWN MWIM(R i 1 A X 1.01'2S10381xrAM 12(95 S. 'A' 116-411 P1 ACE I O f 6. 111 INTER'S WMI)LAND ZONI 1) 14.5(FRO N'I I '-IE 5', S"IU1 1 I SII)E AR 15'. RI I ,1ND 20' DR I V I VAI)