13665 SW 124TH AVENUE 13665 SW 124"' Avenue
CITY OF TIGARD 24-Hour _
Inspection Line. (593)639-4175
BUILDING
INSPECTION DIVISION Business Line: (563)639-4172= MST
BUP
Received r to 3L9P Date Regjeste'd/ ? — I L ---_ AM_-- ------ PM-- --- BLIP
i "wion __1 l/r! S� l� 7 _ Suite MEC
Contact Person /� I�LrC — Ph( ) PLM ---.--
Contractor_ Ph( ) —_ —__ SWR
UILDIN _— Tenant/Owner - ELC - _--_---_-- --- -- -
Footing ELC
Foundation Access:
Ftg Drain EL R
Crawl Drain
Slab Inspection Notes: Sll — —
Post&Beam 6 _
Shear Anchors Y_ o
Ext Sheath/Shear _ —
Int Sheath/Shear _
Framing --- - ------- —
Insulation --
Drywall Nailing -- - --
Firewall J
Fire Sprinkler -- - - - -
Fire Alarm
Susp'd Ceiling -- ----- --- - ��-7- -
Roof
Other:-- - ----- `
PASS PARTFAI
�i PLUMBING
Post&Beam
Under Siab -- - - --
Rough-In _
Water Service - -z- ,� -----
Sanitary Sewe•
Rain Drains �- - --- —
Catch Basin/Manhole — )
Storm Drain
Shower Pan
Other:_- _ -- —
Final
PASS PART FAIL /
RRES"ge
am-In -
Gas Line
S e Dampers ---- -- -
rn
ASS �!'JART FAIL _ — --
_ TKICAL
Service -— -
Rough-In
UG/Slab
Low Voltage —
Fire Alarm
Final Reinspection fee of a —._._required j store next Inspection. Pay at Clty Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE n Please call for reinspectlen ct:— - Unable to inspect-no access
Fire Supply Line r `�
ADA Do%
Approach/Sidewalk _—_. - .._-_ Inspector
Other:
Final T DO NOT RF..MOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION business Line: (503)639-41 i 1
3��
BLIP _--
Received �G� I Z� - �
Date Requested _ AM_�__-__ PPM_ _ BLIP
Location _ r Sf �2� Suite------ MEC
Contact Person
�.a2 __-- --- rah( -) LS PLM ------
Contractor Ph(__ ) SWR
BUILDING Tenant/Owner
- - - - --- -- - ELC
Footing
Foundaf.on Access: ELC
Ftg Drair, ELR
Crawl Dra'n -- -
Slab Inspection Notes: SIT _ _-
Post&Beam
Shear Anchors - --
Ext Sheath/Shear
Int Sheath/Shear --- -- - - ---
Framing
Insulation
Drywall hailing -- --
Firewall
Fire Sprinkler - - -- - - =
Fire Alarm
Susp'd Ceiling — v
Roof
Other: ---- --- -
Final ._--
P0"3S PART FAIL ` -
Post& Beam �-
Under Slab
Rough-In
Water Service
Sanitary Gower
Rain Drains -
Catch Basin/Manhole
Storm Drain ----- - -- -
Shower Pan
Othax.. `--
i PA PART FAIL
' HAWICAL
Post& Beam
Rough-In
Gas I.ine
Smoke Dampers --- -_
Final
PASS PART FAIL ------- ---- ---- -
ELE_CTRICAL
Service ---
Rough-In
UG/Slab --- - - ------ --- -
Low Voltage
Fire Alarm
Final L� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL_
SITE _ ❑ Please call for reinspection RE: _ Linable to Inspect-no access
Fire Supply Lino
ADA
Approach/Sidewalk Date Inspactor - --.—_ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS FART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business tine: (503) 639-4171 MST
BLIP --- -- -- ----
Received -----__.-_.-�Date Requested -5���- AM.-----__ PM-- BUP -----__.__
Location 1.��_(Q a� Y li`-E> Suite------ - MEC - ---- -- - -
Contact 119rson _ _ _ Ph PLM
Contractor --- -- — ---- Ph( ) _ NR - ------------
BUIL.DING Tenant/Owner ELC
Footing - ELC -- ---- --- -
Foundation
Fig Drain Access:
Crawl Drain ELR
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - - --- --- -
Ext Sheath/Shear i
Int Sh�eath/Shear
Framinq -
Insulmion
Drywall Nailing
Fiiewail
Fire Sprinkler - ---- __ -- -_.--- - -- -
Fire Alarm
Susp'd Ceiling - - - -
Roof
Other - - -
SS ART FAIL - -
PL BINGT �-
Post&Beam
Under Slab - - — -
Rough-In -- -
Water Service
-anitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drein
Shower Pan
Other:
Final
PASS PART FAIL - ---- -
MECHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final _ --- —
PASS PAPT FAIL
ELECTRICAL —
serv:^.e
Rough-in
-
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next Ins
PASS PART FAIL ---•— q pectlon. Pay at City Hall, 13125 3W Hall Blvd.
SITE ( ] Please call for reinspection RE: m_ Unable to inspect-no access
Fire Supply Line
ADA. 3
Approach/Sidewalk bate ----- ------ Inspector (_,_
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OFTIGi4RD — _ MASTER PERMIT
PERMIT#: MST2003-00013
DEVELOPMENT SERVICES DATE ISSUED: 2/20/03
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639.4171
SITE ADDRESS: 13665 SW 124TH AVE PARCEL: 2S103CC-05900
SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5
BLOCK: LOT: 006 JURISDICTi-)N: TIG
REMARKS: NEbo S
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT. 2C, FIRST: 1 614 sf BASEMENI: sf LEFT: SMOKE DETECTORS: V
TYPE OF USE* SF FLOOR LOAD: 41) SECOND: 1 163 sf GARAGE: 602 sf FRONT: PARKING SPACES:
TYPE OF CONST: 6N DWELLING UNITS: I THRD sf RIGHT:
OCCUPANCY GRP: R3 BURM: BATH: .i TOTAL: 7,7 at VALUE: 327,244.00 REAR:
PLUMBING _
SINKS: 1 WATER CLOSERS: 3 WAStIING MACH: I LAUNDRY TRAYS: RAIN DRAIN. IDU TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFL.W PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K I BOIL/CMP<]HP VEN�FANS: 5 CLOTHES DRYER: I
11`6 FURN>-100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP, hlu FLOOR FURNANCE& VENTS I WOODSTOVES: OAS OUTLETS: 6
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -200 amp: 1 0 206 amp: WISVC OR FOR PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF 5 201 - 400 amp: 201 - 400 amp: 1 St WILT SVC SIGMIOUT LIN LT: PER HOUR:
LIMITED ENERGY. 401 600 amp. 401 - 600 amp: EAADDL BR CIR: SIONALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp: 601.nmrs-1000v: R+INOR LABEL:
1000•snip/volt
PLAN REVIEW 9ECTIUIJ
Reconnect onlV: a•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAISPC OC.:.
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,664.60
This permit Is subject to the regulations contained IIT the
DON MORISSETTF HOMES DON MOR13SETTE HOMES Tigard Municipal Code,State of OR. Specialty Codes and
4230 GALEWOOD ST#100 4230 GALEWOOD STREET all other applicable'aws. All work will be done in
LAKE OSWEGO,OR 97035 SUITE 100 scLmrdance with approved plans. This ponnit will expire If
LAKE OSWEGO,OR 97035 work Is nct started within 180 days of issuance,or If the
work IS susp 111Jed for more than 180 days. ATTENTION:
Oregon taw requires you to follow rules adopted by the
Phone; 503-3R7-7538
Phone: Oregon Utility Notification Center. Those rules are set
forth in OAR 95:!-001-0010 through 952.001-0080. You
Reg 0: �(� 3I3737 l rTlay ribtah-c:;Nles of these rules or direct questions to
OUNC b%, -ell Ing(503)246-1987.
REQUIRED INSPECTIONS
Frosiun Control Insp 8, Post/Beam Machanica Plumb Top Out Exterior Sheathing Inst `Nater Line Insp Plumb Final
Sewer Inspection Underfloor Insulation Electrical Service Gas Line Insp Water Service Insp Building Final
Fouling Insp Crawl Drain/Backwater Electrical Rough In Gas Fireplace Appr/Sdwlk Insp
Foundation Insp ^LM/Underfloor Framing Insp Insulation Insp Electrical Final
Post/Beam Structural Mechanical Insp Shear Wall Insp Rain drain Insp Mechanical Final
Issued By : �`.L kJJ�� w� l -- Permittee Signature : __ _---
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
SEWER PERMIT
CITY OF
TIGAR®
DEVELOPMENT SERVICES PERMIT 4: S -00016
• 13125 SW Hall Blvd., 'rigarct. OR 97223 (503) 639-4171 DATE ISSUED: ?_/220/030/03
PARCEL: 2S 103CC-05900
SITE ADDRESS; 13665 SW 124TH AVE
SUBDIVISION: WHISTLER'S WALE: 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:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: S*:wast C— t�F-e-r iofJ
Owner: 4ok nJ p-W 5c -- ---
- FEES
DON MORISSETTE HOMES Description Date Amount
4230 GALEWOOD ST#100 --------- - — --
LAKE OSWEGO,OR 97035 [SWUSA]Swr Connect 2/20/03 $2,300.00
1 SWUSA]Swr Connect 2/20/0 $0.00
Phone: 503-387-7538 [SWINSP]Swr Inspect 2/20/03 $35.00
[SWINSP]Swr Inspect 2/20/03 $0.00
Contractor:
----- Total $7.,335.00
Phone:
Reg #
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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 thF measurement given, the installer shall prosper,
3 feet In all directions from the distance given. If not so locatud,the in;.alter shall purchase a"Tap and Side Sewer" Perm
Issuaa by• . J1 _ Permittee Signature: '
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application
Date received:
City of 'Tigard ® Permitno. A', pLMO/3
t:x
C;rynjTigani Address: 131':.5 SW Hall Blvd,Tigard,OR 97223 Projeet/appl.nire date:
Phone: (503) 639-4171 Date issued: �, Receipt no.:
:ax: (503) 598-1960
Cast fileno.: Payment type:
Land use approval: —�_ I&2 family:Simple Complex
1
U I &2 family dwelling or accessory ❑Cornmercial/industrial ❑Multi-family >CNew construction ❑Demolition
❑Addition/alteration/replacement ❑Tenant improvement U Fire sprinkler/alarm ❑Other.
11110 Lillis
Job address: I Bldg.no.: Suite no.: _
Lot: Block: Subdivision: t„ Lr , v"-_ \j& Tax map/tax lot/account no.:
Project name:
Description and location of work on premises/special conditions:
Name: Y�
Mailing address: �,' , I &2 family d.velling:
Cit State 'LIP: '
Y� al. - Valuation of work........................................ $
Phone:. - c5- Fax: ' -7 mail: No.of bedrooms/baths................................. ?1.
Owner's representative: I Total number of floors.................................
Phone: Fax: Gmail: New dwelling area(sq.ft.)
Garage/carport area(sq.ft.).........................
Name: lv 14 Covered porch area(sq. ft.) ...........I............. _
Mai lin—dal Deck area(sq. ft.)...... _
City: State: ZIP: Other structure area(sq.ft.).........................
Phone: ► :�, E-mail: Commercial/indmtrialimulti-family:
1 Valuation of work........................................ $
iness mune: m ft 10110111111111111
Existing bldg.area(sq. ft.) ..........................
Aucu-in ss: Z r New bldg.area(sq. ft.) ...............................
City: State: ZIP: Type
of stories........................................ _
Type of construction....................................
Phone: Fax: E mail: Occupancy G e s Occupancy group(s): Ex;sdng:
CCR _
City/metro lic. no.: Notice:All contractors and subcontractors are required to be
ilia 111117 10 r licensed with the Oregon Construction Contractors Board under
Name: LI i, lav_ provisions of ORS 701 and may be required to be licensed in the
Address: � ��(�,� W L jurisdiction where work is being performed. If the applicant is
Cit State: ZIP: exempt from licensing,the following reason applies:
Contact person. Plan no.: -- --
Phone: Fax E-mail: ---_— ---
.
Name: Contactperson: Fees due upon application ........................... $
Address: _ _ Date received: _
City:. State: _
— ZIP: Amount received ......................................... $_
Phone: __ax: _ E-mail: Please refer to fee schedule.
1 hereby certify I have read and examined this application and the Not all Jurldwdons accept credit curia,please call Jundiction for mom InfomWion
attached checklist. rovisions of I ws and o dmances governing this ❑visa ❑Maslercam
work will be comp) wl ,whether ified�ereifr t. Credit cad number.._
1.. I >tpirca
Auth.)rized s natu t��� � None of lcet m drown on credit card
Print name:. 4 z fX' ', ILy.`_ _ — ra"Molder sigulury �� $ Amount
Notice:This pemlit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404813(64XKOM)
One-and Two-Family Dwelling ;
Building Permit Application CheeldiSt R,1'.-...no.:
Grvof7igard City of 'Tigard Associated permits:
�J U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall siva,Tigard,OR 972123 U Other:
Phone: (503) 639-4171 —
7ax: (503)598-1960
,
_I Land use actions completed.See jurisdiction criteria for concurrent review,,.
_ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot.
4 Fire district. approval required.
5 Septic system permit or authorization for remodel. Existing systern canacity —
6 Sewer permit. -
-! Water district approval. -
8 Soils report.Must carry original applicable stamp and signature on file or with application.
9 Eroslon control Q plan ❑permit required. Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 _3 Complete sets of legible pians.Must be drawn to scale,showing conformance to applicable local and state
building codes. lateral decivn 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�e completed k/
if copyright violations exist. J`
11 Sit dplot plan drawn to scale.The plan must show lot and building setback dimensions:property comer elevations(if
there is more than a Oft.elevation ditTerendal,plan must show contour lines at 2-11.intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator,lot
area;building coverage.'ma;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 beams,headers,joists,sub-floor,
wall constriction,roof construction.More than one cross section may be required to clearly portray construction.Show
details of sul wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings rnd foundation,stairs,
fire lace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction;rninimom of two elevations for addition's and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums::howing foundation elevations with cross references an:acceptable
1 e Wall bracing(prescriptive path)and/or lateral analysis pi
ans..Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to eng;neering standards.
17 I1oor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations.Shaw attic ventilation.
18 Basement and retaining walls.Provide cross sactions and details showing placement of rebar.For eneineered
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 bearn/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required
I'or four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an envia%;er or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
23 Five(5)site plans are required for Item 1 I above, Site plans must he 8-1/2"x 11"or I I"x 17". x
24 Two(2)sets each are required fnr Items 16, 19,20&22 d6ove.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will be accepted.
27
28 -- —_�
Checklist must he completed before plar 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. 4404614 t,urvr nMt
• Application ,~
Mefchaiucal Permit
Nate received: Permit no.:
City of Tigard Pv ijecr/appl.no.: Expicr date:
Ciry offigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639-4171 Payment type:
Fax: (503) 598-1960 Case file no.:
Land use approval: Building permiapproval: - ----
0 1 &2 family dwelling or accessory 0 Commercial/industrial J Multi-family ❑Tenant improvement
X,Iew construction C] Addition/altetation/replacement 0 Other. -
It 0 ' t 1 t 1
F
dress: �j t r U� value
equipment quantities in boxes below.Indicate the dollar
Job ad
Bldg.address:
no. Suite no.: of all mechanical materials,equipment,labor,overhead,
profit-Value$
Tax ma tax lot/account no.:
Lot: Block: Subdivision: � L el ,.f'See chcck!ist for important application information and
jurisdiction's fee schedule for residential permit fee.
Project name:
ZIP: t r
City/county: � ,,� I 1 1 m « t�t
Description and location of work on premises:
Fee(ea.) Total
Description Qty. Ra.only Res.ody
Est.date of completion/inspectiott: _ HVAC:
Tenant improvement or change of use: Air handling unit CFM _
Is existing space heated or conditioned?O Yes O No Air conditioning(site plan re )quire
Is existing space insulated?IJ Yes C1 No A ieration of existing kiVACsYstem
Boiler/compressors
State boiler permit no.:
Business name: I7 _ lip Tons BTUM
Address: irdsmo c ampers/ductsmokedetectors
City: L� State• 7_IP: eat pump(site pan required) —
nstal replace umac urner U/
Phone: Fax: E-mail: --__— Including ductwork/vent liner O Yes Q No
CCB no.: __ nsta Ureplacdre ocateheaters-suspen ed,
City/metro lic. no.:N/A wall,or floor mounted
ent�a tante o er than furnace
Name(please print): [J'' (-- �-- e 'gesat on:
Absorption units BTUM
Name: `O 0-_ I-L__ Chillers---- HP —
Com ressors HP
Address: C�. v lonmental exhaust and vent at on:
City: State: ZIP: Appliance vent
Phone: Fax: E-mail: ryere gust oods,Type res. tc a azmat
hood fire suppression system
Name: dl
' Exhaust fan with single duct(bath fans)
— Exhausts stem apart from heattn or A
Mailing address: ) 01 _ uel piping ao distr .-'out(up to d outlets)
City' State• ZIP Type: _LPG NG Oil _-
Phone: 7- Fax: E-mail: rI ingeachad itiona over outlets
Process piping(schematic required)
Number of outlets
Name; —_ ter appliance or equipincnt:
Addres,: - -- Decorativefiteplace
City - —_ - `--- - State: ZIP: nsert-ty — -
stove/pe et stove
Phone: Faa: 1 -mail: Other:
Appllcant's signatu' Date. ter. --
Name(print): _Nair,- I
'i Permit fee. $
Not all iuris&ctions accept credit cards,ple"call iunxLcuon to mat inturnutlun. Notice:This permit application Minimum fee................$ —_
0 Visa O MasterCard expires if a permit is not obtained Plan review(at _ `7b) S —
Cttdit card number ---- !Expires within 180 days after it has been State surcharge(8W) ....S ---
---t7une of ur�r u sho-a on ctrdtt card accepted as complete. TOTAL .......................S __--
Cardlroltlet signature _ = Amount 4ad.a611(WWOM)
Piumbing Permit Application
Date received: Permit no.:
City of Tigard Sewer pcmdt no.: Building permit no.:
Address: 13125 SW Hall Blvd,3•pard.OR 97223 Project/appl.no.: Expire date:
City ofTigard Phone: (503) 639-4171
Fax: (503) 598-1960 Date issued: i;y: Receipt no_
Cue file no.: ?ailment type:
Land use approval:
U CommtrcraUindustrial U Multi-family U Tenant improvement
1] 1 &2 fa;dwelling or accessory ew conU Addiuon/alterauon/rrplacement U Food serviceU Or};er:
kvfDescription Qty. Fee(ea.) Total
Job address: < <7� �` `--1—' New i and Z-fatuily dwellings only;
Bldg. no.: Suite no.: _—_— (includes too fl.for each WRAYconnectioo)
Tax map/Lu IoUaccount no.: SFR(1)bath
LotBlock: Subdivision: l SFR(2)bath
Project nae: 1 ,� SFR(3)bath
m _
'LIP: Each additional batlt/kitchen
City/county:
Description and location of work on premises: Catch
basiti/
Catch Dasirt/area drain
Drywells/leach line/uench drain —
Est.date of completio�nspect on: Footing drain(no.lin. ft.)
Manufacnired home utilities _
Business name' �j !,� Manholes
Run drain connector -
Address: Sant sewer(no.lin. ft.)
Stat,:• ZIP: —
City: Storm sewer(no.lin.ft.)
Phone: -�' Fax: E-mail: Water service(no.lin.ft.)
CCB no.: [ "��- Plumb.bus. reg.no: Flxttue or item:
City/metro lic, no.:NIA Absorption valve --
Contractors r'presentauve signature Back Clow reventer
Pnnt name: U Bacl.water valve_ -
Basins/lavatory
Clothes washer
Dishwasher
Address. CL1c V - Drinking fountain(s)
City. I State: L1Y E)ectors/sum
Phone: Fax: �E-mail Expansion tank
Fixture/sewer ca —
Floor dr-tuns/floor sinksthub
Name (print): �'► _ Garbage disposal
Mailing address:- Hose bibb
City: 1 .
State ZIP: Ice maker
Phone: - Fax: G1 Email. Interco too/grease trap
Owner instaUation,'raidentia/maintenance only: The actual installation 'rimers)
will be made b% me or the maintenance and repair made by my regular Roof.train(commercial)
employee on the property I own as per ORS Chapter 447 S mist,basln�sl,lays(s)
Owner's si nature: Date _
TLbs/shower/shower pan
Unnal
Name: _ Water closet
Address: Nater heater
City State: ZIP' Other a —
Phone. _ Fax:
-1E•mail. Toll
Minimum fee................S
Nar dl 1unrlicrioru zxepr credn rvrdt,plrve till lun"cuon for mxe information Notice:This pennit application Plan review(at _- %) S
O visa U MasterCud expires if a permit is not obtained State surcharge(8%) ....S
Ciedu card number — EFp—�--�— within 180 da)5 after it has been TOTAL ......... S ---
accepted as complete
Now tit cardhalder L rhoen,-It"Bard
_ 4jo-x616(&UW UM1
ll'ardh_�du uenai+rc Amount
Electrical 1Pern it Application
Date received: Permit no.:
City of Tigard Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By. Receipt no.:
City of Tigard
Phone: (503) 639-4171 Case file no.: Payment type:
Fax: (503) 598-1960
Land use approval:
t
❑ multi-family 0 Tcnant improvement
;C3 I &2 family dwelling or accessary D Commercial/industrial y ❑Partial
New construction O Addition/altetation/replacement 0 Other._ _
1 1 1
address: 1f `i°, Bldg.no.: Suite no.: 'fax map/tax lot/account no.:
(At:— lock: Subdivision:
Project name: Description and locauon of work on promises:
Estimated date of t ompletion/inspe cdon: LEWE t
11
Fa Mrs
Job no: _ tx«:ipdon Qty. (m) lotal no.irip
Business name: New rsaidential-sirlgk or multi-fandly per
Address: dwelling unit.Includes attached garage•
Sery
000
City: State: "LIP: 1s included:
-_�
1000 sq.ft.or less 4
Phone: Fax: E-mail:
�j ' ( Each additional 500 sq.ft or portion thereof
CCB no,: Elec. bus.lic. no: rgy,residential 2
C:
Limited energy,non-residential 2
r
Each manufactured home or modular dwelling 2
Date Service anNor(ceder
aaureo/su ervrsm electrician(required) Services erfeeders-bu Motion,
Sup elect name i print 1 V License no alteration or relocation:
200 amps or less 2
201 amps to 400 amps 2
Name (print): 1 a01 amps to 600 unps 2
Mailing address: �1) 601 amps to 1000 rim s z
City: / State LIP: Over 1000 amps 7f Volta I-
-s F- _ -mail: Reconnectonly
Phone: Temporary services or feeden-
Owner Installation:The installat on is being made on property I own uutalladon.■Iterstion,orteioadon:
which is not intended for sale, lease,rent,or exchange according to 200 amps or less 2
z
ORS 447,455,479,670,701. 201 amps to 400 amps — 2
Owners sl nature: Date: 401 to 600 amps
I Snnch circuits-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of 2
--
-vice or feeder fee,each hrancl circuit
Address:
Stale: ZIP: 8. Etx for branch circuits without purchase 2
City: of service or feeder fee,first branch circuit:
Phone: fax: E"mall' Each addiuonal branch circuit:
Mise.(Service or feeder not Included): 2
U Health-care facility Each pumpor imgation circle 2
7(3f�an_.ij
rvi a over 2.3 amps•commemial Each urn or outline lighting
i«over 320 amps rating of Ide2 U Harardoguslocauon sae feet four or Signal circuit(s)or■limded energy paned.
Iydwellmgs U Bwldin ova IO,000sy 2
stem over 600 volts norninul more residential units in one suuctum alteration,or eatensinn• -
❑Feeders,400 amps nr mere *Description
—
❑Butldingovertiveestanes --
U Occupant load over 99 persons U Manufactured structures or RV parte Fach additlorwl Inspection over the allowable In anyr_e_
U FgrrssAightingplan U Other Permapecuon ' I_—�_—►-
Submit_sets of plans with any of the above. Investigation fee _The above are not applicable to temporary construction service. otter
Permit fee.....................$ —
Not dl junWicuons accepr credit cads,please call jurisdkuoo rot ruse information Notice:This permit application Plan review(at .— %) S
U Visa O MasterCard expires if a permit is not obtained State surcharge(8%` —.•
Credit card numbr within ISO days after it hos been
Expires accepted as complete. TOTAL ........ ...... .....$ ----
Hank d urdlwldtr u sbosva an c 1 essd -� _
Cardholder liptauro
- Anwum "04615(b00iCOM'
CC
Lair
February 14, 2003
Don Morissette Homes
4230 Galewood Street #100
Lake Oswego, OR 64035
Attention: Dena Fitzpatrick
Subject: City of Tigard—Residential Plan Review— 13665 SW 124'1' Avenue
CLAIR Project No.: 1069-008
Permit No.: MST2003-00013
CLAIR has completed the plan review on the above-mentioned project on behalf of the City of
Salem (COS). CLAIR recommends approval of the project for permit to construct. CLAIR
has reviewed the reference documents attached and found them to be in general compliance with
the attached reference standards and codes.
CLAIR requests that the permit applicant/designer respond to each comment in the checklist.
This response should he forwarded to the inspector prior to construction.
Should you require explanation and/or clarification of any of the items noted in the attached plan
review document, please do not hesitate to contact me at (541) 758-1302, or by email at
aclair(ihclairaompany.coni.
Respectful lylubmitted,
om/
N
Ah,,m J. Clair, CBO
Pl. Examiner
Cc: Gary Lampells, City of Tigard
Gayland Forsberg, Don Morissette Homes
CLAIR project file 1069-008
Attachments. Attachment #1 -Codes and Standards
Attachment #2 - Submittal log
Attachment #3 — Plan Review Document
Attachment #4—Application Checklist
•BUILDING CODE CONSULTANTS -ARCHITECTS • ENGINEERS • INSPECTION+TESTING SERVI''.ES
pi www Oils,comb,uiv 1.0111
Lair City of Tigard—Residential Plan Review
February 14,2003
1069-008
Page 2
ATTACHMENT#1 —CODES AND STANDARDS
State of Oregon 2000 ed One and Two Family Dwelling Specialty Code(OTFDSQ
ATTACHMENT#2—SUBMITTAL LOG
Our plan review comments are based on the following submitted construction documents:
Dated EL I
duic
1/24/03 1/10/03 City of Tigard 1000 1 N/A Building Permit for residential single family
dwelling.
1/24/03 1/7/03 City of Tigard 1001 4 2/14/03 Lot coverage drawing.
Fireplace Information,energy path,vertical
1/24/03 7/18/02 City of Tigard 1002 4 2/14/03 calculat.ins,truss calculations,lateral
calculations.
Full size drawings Including exterior .levation,
2/14/03 main floor plan,upper floor plan,foundation
1/24/03 1/6/03 City of Tigard 1003 4 Partislly plan,cross section plan,details,floor framing
5uperceded plan,floor framing details,roof framing plan,
sheer dotails general requirements.
2/7/03 2/5/03 Don Moricsette Homes 1004 1 N/A Designer comment responses.
2/7/03 United Engineering 1005 4 2/14/03 Holdown at floor joist details and drawings.
Full size drawings Including exterior elevation
2/10/03 1/6/03 Don Morlseette Homes 1006 4 2114/03 option 2(page 1 ✓f,2),main floor plan,upper
floor plan,foundation plan,cross section plan,
roof framing Ian and floor franiina plan.
2/11/03 2/7/03 Don Moris-iette Homes 1007 1 N/A Plan,roview comment responses.
2/11/03 2/7/03 Don Morlssette Homes 1008 4 N/A Garage portal&hold downs at Interior walls.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 �y
INSPECTION DIVISIONBusiness L;,.c (503)639-4171 MST
BUP
Received —Date Req jested l �—/ _.---- AM PM BUP
Location 7. 1 `Suite v,v MEC
Contact Person. Ph( ) �� r] o yS� PLM
Contractor Ph( ) WR
BUILDING Tenant/Owner _ _. ELC _
Frlotrng -.------
Foundation ELC _
Ftg Drain Access: �—�
17
Crawl Drain
_ '"ry --�-C1
Slab Inspection Notes: SIT
Post& Ream — --�
Shear Anchors //
Ext Sheath/Shear :'�/ / J
Int Sheath/Shear —
Framing _
In;ywalon O N,
Drywall Nailing IO
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -�_-- --
Other: -- - ---
Final -
PASS_ PART FAIL
PLUMBINGi--_ ---
Post Beam -
Under Slab
Rough-In `
Water Service
Sanitary Sewer /
Rain Drains _
Catch Basin i Manhole
Storm Drain
Shower Pan
Other: - ---- -
Final -+-
PARS PART FAIL -
MIECHANICAL
Post 8 Bearn -
Rough-In
Gas Line - -—- ------------ - -
Smoke Dampers
Final
PASS PART FAIL
ervice -----
Rough-In
UQLSlab
w.ko-I.RiED
Fire Alarm
7jinj� Reinspectionleeof$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PAR_T FAIL
S L_ Please call for reinspection RE: _ C� Unable to inspect-no access
Fire Supply Line
ADA CJ
2)
Date Approach/Sidewalk f Inspector Ext
Other: --- - -- -
Final DO NOT REMOVE tale Inspection record from the Jt site.
PASS PART FAIL
CTRICAL
CITYOF TIGARD R STRIC EDEN RIGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00091
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 3/26/03
SITE ADDRESS: 13665 SW 124TH AVE PARCEL: 2S103CC-05900
SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5
BLOCK: LOT: 006 JURISDICTION: TIG
Proiect Description: All encompassing low voltage.
A.RESIDENTIAL _ B.COMMERCIAL
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL #OF SYSTEMS: _
Owner: — � Contractor: v ��
DON MORISSETTE HOMES QUADRANT SY&TEMS
4230 GALEWOOD S1 #100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503-387-7538 Phone: 234-5558
Reg #: MET 00002466
SUP 1211.1 LF
LIC 96800
-- _ FEES ELF, 0604f71ekiInspections
_Description Date Amount Low Voltage Inspection
I ITRNITI LLR 1'l'ntI1I 3/26/0 $7500 Elect'I Final
J 'AX I R State Tax 3/26/03 $6.00
Total $81.00
Phis Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001 0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699.
Issued by til 1ct_ 111-1 r"t� Permittee Signature eLJUL(1�l
OWNER 114STALLATION ONLY
rhe installation is being made on property I own which is not intended for sale, lease, or rent.
OWPiER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
03/2 /2003 '6:02 5032362322 QUADRANT SYSTEMS PF GE 0'-'
Electrical PerndtApplication
- - -- Drtcnceivcd:3 - -p3 ; prrnvitno:,��j.3 'x)
City of Tigard Project/appl.no.: Expire riste:
rjryof?'igard Address: 13125 SW N211 F31vd,Tigard,OR 97223 D,teissued: Bv;_J Receipt no,:
F hone.: (503) 639-4171 ---
Fax. (503) 59.4 1900 Case file no.: Paymenttype
Land use approval:
e
--U 1 &2 family dwelling or accessory Q Comntercial/industriA U Multi family ❑'Tenant improvement
--W New construction J Addition/alteration/replacement iJ 0thcr: U Partial
INFORMATIONJOB SITE
Job addtr-":13 L S,_, 7 ( dg.no.: Suite no.' T'ax ma /tax lot/account no.:
Lot Block — Subdivision: 1.u1�tS+LEtt:s Wr>iL,
Project name: Description and location of work on premises: b _
Estimated date of cnmpletioldinspectinn: N
Job no: Fee Max
9usiness name:LLL��� ,t � s? De.r melon (ea) Tbtal no:lns
��-_--�}-�— -- fVewrrsidesrtlel-dapJeorasnitl-hnrllyper
Addresca �, I 53 __ _ dwe�mM.lncludesrttwchedptrage.
City:— State: f)` 'LIP: T��� Smloe�rcOW:
Phone: 3�l-9u' Fax;,�3b �� F mail: _trxa sq.a or less _ a
— j Each&dditiond 500%It erportion thereof
f`C1R ruo._- - pec.bus,lie.no:2l� �v� -� Urnitodenergy,residential 2
City/metrolir•. n AlxY] QNlle`f Limitrdn ,non-m-idential 2
-,L t M e,33 Each marmfacrwtd home or modular dwelling
sl attire of supervising clectriciao(trquired _ Date Service and/or feeder _ _ _ 2
Su ,elect nae print); �� _ Ucerrsen 1 SetAmsorfeedrra-luitallatlen,
mc
alteration or relocation:
200 amp or kat 1
.�. /t j C/•• (,$I %%r'� 201 ampr:to 401)arnpi 2
Name(punt): — -
Mailin address• 401 amps to 6(a)amps -_ 2
g _ 601 arr:ps toIDon r-ps 7s
01r. Stat- 71P` Over low amps or VOILA
Phone: Fax. E-mail; Reconowtonly
- — 1
owner in_stallation:The,inglallation is Twing made on pmpcM, I own 7'emponrysetrices orteeden-
which is not intended for gale,lease,rent,or exchangr.according to `eDeli't'^affnvflon,orrrtr>AMon:
ORS 447,455,479,670,701. WAmpseclesa -
201 amps to 400 amps 2
Owner's signature: Date:` 401 to 6W am
Arrant el"ift new,+Itentlom,
ur ntrmlun per panel:
_Name: A Fer farhrsnch cirrulu with pwrlunn of
Address: aovicr.ur feeder fee,each brs"- circuit 2
City: Slade 71P -- -- 11 Foe for branch circuits without purchase
-- o!tttrite nr feeder fee,fint bench circuit_ 2
Phone: Fax: E-mail: Each additional branch cimmit:
Mbc.(Stake or feeder not Mcin.W):
Servirr aver 225 amps mmrnervid ri Hrdtir-carefaeility 8aelt pump or irrigation circle _ 2
11 Service over 320 ar pra-ming of 1 d!2 C1 Hr[ardous lor:acn FJCh sign of outline lighting _ 2 —
sHlydwellings d6uildingover 10.00square Poatbnror SI`nglcirrati(s)oralimited enertlyprtnel,
U: 'estem over6W volts nominal more residential units in one structure dleruion.orextettalon• 2
O building over rlurr%imirs 9 Ferxlea.400Amps ormom •Dao_-i�tl�on•--_ --
U Occupant load nvrr 99 p-mina U Manufacturrel atructurrs or RV park Farb sad Minna)hWetlon nvrt Ihn ellnw+rtar In env of fhr alwvr:
U FArrta/Iightingplsn U 0dim. -------- Perinspection
Submit sets of plan+vdilb ao2 of the■bore. Investlggtlon lee
'Che above eine not applicable tofent�oeat7 eonsumctlon ttenice. <x1,er
Na all Jadsdlet,ena a-rapt twilt Buds,pence call turldedoe for more IntorraMM. Notice This permit application Permit fee-. -. ..................$
U Via& U Masircard expires if it permit is not obtained Plan rev few(Rt _ %) $
credh Card euietwe. — t uhthin 190 days afar it has been State sumhulle(13%) ....$
"pin• screptedsscomplete CO1fAI. St—
-Nuns—eT r u senrrn an Cmili erd
---——C orT okler sip atme �- - Assent— 41J4f 15(N%rVM)
CITYOF TIGARD PLUMBING PERMIT
003-00172
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED:PERMIT#: 5/2/03
PLM2PLM2
PARCEL: 2S 103CC-05900
SITE ADDRESS: 13665 SW 124TH AVE
SUBDIVISION: WHISTLER'S WALK ZONING: R-4.5
BLOCK: LOT: 006 JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES.
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 9
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CA"rCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Install irrigation backflow preventer.
_ FEES
Owner_
Description Date Amount
DON MORISSETTE HOMES ---"-
4230 GALEWOOD ST#100 li-LUM611'ernut Fee 5/2/03 $36.25
LAKE OSWEGO, OR 97035 ITAX] 8"i State Tar 5/2/03 ___$2.90
Total $39.15
Phone :
Contractor:
LANDSCAPE OREGON, INC
12200 SW MYSLONY RD
TUALATIN, OR 97062 REQUIPED INSPECTIONS
RP/Backflow Preventer
Phone : 503-692-5945 Sprinkler Final
Reg #: 111_M 7804
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mole
than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001 -0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By:
7 i �, Permittee Signature:_�
�� `�, r.,._/1� �_1-IL � ,_ ----
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
riaj O1 03 12: 21p dan edmands 503-G92-0768 p.. 2
PlurnhsnL Permit Application FOR OFFICE
--- Receivedi �` Plumbing
Date/B V Permit No.:
Cityof Tigard Planning Approval sewer
b Date/By: Permit No.:
13125 SW Mall Blvd. Plan Review Other
Tigard,Oregon 97223 Dotc/Qy: Permit No.:
Phone: 503-639-4171 Fax: 503-593-1960 Post-Review Land Use
Date/By: Case No
Internet: ��ww.ci.tigard.orfor
contact i cis.: see rage�
24-hour Inspection Request: 503-639-4175 Contact
tip tlemcntaIInformation.
TYPE OF WORK W PEE"SCHEDULE(for s- ecial information use cbeckli t
New construction Demolition 1)cscri tion t2ty. I Fce(ea.) I Total
Addition/alteration/re lacement [j Other: New 1-&2-fatally dwelrings
CATEGORY OF CONSTRUCTION includes 100 ft.for eoch utility connection
-
l &2-Family CommeSFR(1)bath 249.20
rcial/industrial SFR 2 both 350.00
ccessoty Building Multi-Famil SFR (3)bath 399.00
ff [� Master Builder Other: Each additional bath/kitchen 45.00 _
JOB SITE INFORMATION and LOCATION Firesprinkler-sq.ft.: pa-Re 2
Job site address:13L Site Utilities
Suite #: Catch basin/area drain 16.60
D vell/leach line/trench drain 16.60
Project Name: i6fiCf S U,'0_C.�. 1.OT Footing drain no. linear t1.) Pae 2
Cross street/Directions to job site: Manufactured home utilities 110.00
_S LL.; 141 'r,r th'L ,� �rt.Ls Lli 41 I S}�l j 1 t_ r7 t, Manholes 16.60 _
c AA: 4a.?hlLl l`CLLR SA I� I a c/ 'til t� Rain drain connector 16.60
_
Sanitary st.wer no, linear ft. P e 2
f Subdivision: W �cst(� U1.1 f L Lot#: Storm sewer(no. linear fl.) Page 2
•Tax map/parcel#: Water service no. linear fl. Na e 2
_ DESCRIPTION OF WORK Fixture or Item -
� Abso tion valve 16.60
oyo Cl E-L 1 Cee. Huckflow preventer Page 2
Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.6+0
Drinking fountain 16.60
J3jROPERTY OWNER _ Tr.NAN'I' E ectors/sum 16.60
Name: DC-n mC7'l SJ�� C` Expansion tank - 16.60
Addres3��5LC' �QCE'•lL!G GGG Fixture/sewer cap 16.60 _
Cit /Staff:/ZI : �(,[k_r ,t t OR_ ;v' -T Floor drain floor simk/hub 16.60
-- Garba c disposal 16.60
Phune: _ Fax: Floss bib 16.60 _
APPLICANT r CONTACT PERSON _ Ice maker 16.60 -
Naine: F}6/] Intercc tor/ reale trap 16.60
Address: ��=�5-CU �C)�L Mcdieal gas-value: $ Nae 2
Cit /State/Z1p ( G k- 9X41 Primer _ 16.60
Roof drain(commercial) _ J 10.60
Phan .SZ3 _S-�ry' Fax: Sv3 q7tolf Sink/basiNlavato 16.60
E-mail: Tub/shower/shower pun _ 16.60
CONTRACTOR- Urinal 16.6u
Business Name: / � ,,�I Water closet - 16.60
Address:JaJ1tCC- 14V 11ni- -f/� Water heater I6.60
} Water
--
Cit /State/7 i��L�I I Other
r _ %�1)C,tel Other:
Phone cod - S-Yy 5i_ Fax -0!?k, Plumbing!Permit Fees*
CCA Lir, #: rMb Plumb. Lic.#: Subtotal s
Authorized
Mivirrium Pennit Fee$72.50 S
Cisnatur •3� ��
le:/ ��f� Residential Hackflow u.Minimum Fcc�1 t t!et) bate:��L�I �`
------- Plan Review(25%of Pemtit Fee) S
C) State Surcharge 8%of Permit Fee 5 O
(Please print nameI TOTAL PERMIT FEF,
Notice: This permit application expires If_permit Is not ohsalned within All nen commercial buildings require 2 sets orpions with Isometric or
190 days after It has been accepted as complete riser diagrain for plan review.
*Fee nsethodology set by Trl-County Building Industry Service Huard.
i\UstsWermit Ferro\PlmPermltApp.doc 01/03
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