The URL can be used to link to this page

14499 SW 128TH PLACE i n 14499 SW 128"' Place r. . . .+f a uJ Lti'r'iUltr BUILDING Inspection Line: (503)639-4175 MST- %':"u=C i"ION DIVISION Business Line: (503) 639-4171 BLIP t r �Q�Hivi -_ PM _. --- BLIP - -- --- - Received __Da.e �,equ6Sted-_—�7�� _1 _ �'_ _Suite -- -- Location -�.,.: �y — _._---- - - MEC Coni act Person Ph( --) ___.. -_- PLM ---- -- Contractor_ _ Ph; i __-- SWR ---_- ---------.--- LDINGi.) Tenant/Owier - F g - EI_C - ---- -- Foundation AcCdPd: Ftg Drain ELR Crawl Drain — - SIT -_._-- Slab In-o ction Notes: - Post&Beam --- --- Shear Anchors Ext Sheath/Shear _ - -- Int Sheath/Shear Flaming -- Insul,11on _ Drywall Nailing Firewall fire Sprinkler Fire Alarm Susp'd Ceiling - Roof anal - - --- _ _�._ •— SS PART FAIL _ l3IN *.- _ i Under Slab --- �--- Rough-in ' Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan -- Other. n PAPT FAIL - MEC -------- -- - m Rough-In Gas Line S Damuers i Inal SS 'PART FAIL - L TRIC — ---- - --- Rough-In - UG/Slab Low Voltage - 5MAlarm Xkulij [� Reinspertion fee of$ - required before next Inspection. Pay at City Hall, 13125 3W Hall Blvd. SS PART FAIL G Please call for reinspection RE:- —_ Unable to inspect-no access Fire Supply Line ADA Date_. �/�� Inspector Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PAP.T FAIL PAUL R. CARN EY, INC.; FG3?_9t39r361 ; FE6-13-03 9:33AM; PAGE 1l2 i February 12,20tq Paul R. C 'rncV 1480 NW i02"`� Ave. Portland, R 97229 Telephone 50.3.297-9406(iffice; 503-216-9681 fax a City of Tid Bureau of uildings Tigard, U . 97224 FAX 503- 4-7297 Re: Fina.. edge Estates.otechnical Report 14499 SW 128' Eik I;orn Place,3i'19erd OR 97224 aka [got g Final site g g and erosion control are it) place. The silt:has been fully landscaped; surplus soi have been trl.tcked from the site. Two rockery walls have been constructed along the nt slope. Each wall consists of interlocked boulders at a height of less than four fee(. c walls were back filled with a minimum two) feet of drain rock and each has perforated al u ON with a filter cloth to insure proper drainage. All roof and surface waters are `rected away from the structure. The grope improvp:ment was constructed and final graded along the standards imposed by the City f Tigard. The existing condition of'the property meets these criteria. With considerati of the above and halted on a final visual cxamivation,it is my opinion that the current ndition of' S Elk Horn Ridge F,states is in gene eonfvrmance with Appe•.,di� I aptci 33 of the 1997 Uniform Building Code, the building grading permit may be off and closed. V you have rther comments or questions please feel fret tele-phone n her. to e contact mat the above Very tnily urs, • 1.L, e7 CAAVQV Paul R. Can 6y, CEO#E1046 ILI- ING nt~ 4 hLAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA loo. � ON. M b ► 01. + ► � o •I O ► Ln 4 � � ? ► d C a .�, �:r o o ► r1 M M U t. i.. rb lot. y � � ► 10. 1 `J N o G y ► (DFI Old fD ►� r T ► Q` . `� G ► . I p '� ► 4 L3 '� n i ► i ► �P♦�V��Vr♦!'VVVVV7VVVVSVVVVVVVV'7V!'VVVVIVO'�i"rVV\, F5 ; � 2. o o a � n m V w �' n o NZ Q o � O o �J 0 d s �o l_ SENT BY: PAUL R. CARNEY, INC. ; 503 298 9691 ; MAR-14-02 9:27AM; PAGE 112 March 11, 2(02 Paul R. Carney, Inc. .. l 1480 NW 102nd Ave. Pceland.OR 97229 503.297-9406 Re: Building Permit #'s MSC'2002-004'41 i Lot 5 Elk Horn Ridge Estates Tigard, OR Excavation inspection Final*e excavation and erosion control are in place. Uncompacted and surplus shits have lien trucked from dw site. The building lbotprint cons;sts of.1 thin veneer of firm native Portland Hills Silt. No %v:yter seepage wws observed within the excavation. The ckistit suits are compatible for spread iboting/ foundation design up to allowable bea6*prc:)src up to 2000 p.s.f. ifyotphave further questions or comments, please do nut licsitate to convict this office. props'ies. Very ruly Your, OREGON y, CEG 4 1046 E1044 ti i 1 i i i 1 i i �° MASTER PERMIT CITYOF 1 I G A R D PERMIT#: MST2002-00149 DEVELOPMENT SERVICES DATE ISSUED: 3/7!02 13125 SW Hall Blvd.,Tigard, OR 27223 (503) 639-4171 SITE ADDRESS: 14499 SW 128TH PL PARCEL: 2S109AD-07900 SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 005 JURISDICTION- TIG REMARKS: Construction of new SF detached residen::e.Path BUILDING ._ FLOOR AREAS REQUIRED SETBACKS ---" REQI' IED REISSUE: STORIES: 2 -- --• CLASS OF WORK: NEW HEIGHT: 30 FIRST: 1,J45 at BASEMENT: 90 00 of LEFT. SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,546 of GAR,411: 1,000 at FRONT Z9 PARKING SPACES. 2 RIGHT: 8 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. of VALUE: $-+• '671'I' OCCUPANCY ORP: R3 BDRM: 3 BATH: 3 TOTAL. 3.29100 at REAR 51 PLUMBING RAIN DRAIN: 100 TRAPS: SINKS: 1 WATER CLOSETS: 7 WASHING MACH. I LAUNDRY TRAYS: t LAVATORIES: 4 DISHWASHERS 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOW6RS: 4 GARBAGE DISP. WATER HEATERS 1 WATER LINES: 10n BCKFLW PREVNTR: 1 GREASE TRAPS. OTHER FIXTURES: MECHANICAL _ FUEL_T_YPE8 FURN<1100K: BOILICMP<3HF' VENT FANS: 5 CLOTHES DRYER: FURN 3•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: OAS MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: ELECTRICAL PESIDENTIAL UNIT SERVICE FEEDER 1EMP SRVCIFEEDERS BRANCH r:IRCUIT3 M!SCELLP,NEOU$ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp' 0 200 amp: W'SVC OR FDR. 1 PUMPIIRRIGATIOW PER INSPECTION: EA AOD'L 000SF: 1 201 400 amp: 201 400 amp! tat WIO SVC!FDR: 00 SIGNIOUT LIN LT'. PER HOUR: LIMITED ENERGY. 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPNNEL: IN PLANT: MANU HMISVCIFDR: sol • 1000 amp: 601+em09•1000v: MINOR:ABEL: 1000+amplvolt: PLAN REVIEW SECTION R connect only: ,-4 REI UNITS. SVCIFDR>•225 A.. >600 V NOMINAL. CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY — B.COMMERCIAL _A.SF RESIDENTIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER HVAC: LANDSCAPEJIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK. INSTRUMENTATION• AIEDIC AL: O T HR: HVAC: DATA!TELE COMM: NU113E CALLS: TOTAL 0 SYSTEMS: TOTAL_ FEES: $ 8,183.45 Owner: Contractor: This permit is subject to the regulations contained in the PAUL CARNEY PAUL R CARNEY INC Tigard Municipal Code,State of OR. Specialty Codes and NW 102ND AVE 1480 NW 102ND AVE. 1480 all other applicable laws. All work will be done in PORTLAND.OR 97229 PORTLAND,OR 97229 accordance with approved plans. This pErmit will expire I work Is riot started within 180 days of Issuance,or if the work is suspended fo, more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rog#: LIC 5695; forth in OAR 952-001-0010 through 952-001-0000. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Framing Inrp Insulation Insp Electrical Final Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall;nsp Gyp Board Insp Mechanical Final Plumb Top Out Low Voltage Rein drain Insp Plumb Final Sewer Inspection Underfloor Insulation Fooling Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Water Line Ins P Final Inspection Foundation Insp Footing/Foundation Or; Electrical Rough In Gas Fireplace Appr/Sulk Insp Issued By .41 u L- Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day I�� - SEWER CONNECTION PERMIT PERMIT#. SWR2002-001 U3 DEVELOPMENT SERVICES DATE ISSUED: 3/7!02 IM 1j125 SW Hall Blvd., Tigard, OR 97223 (503) 6<9 -4171 PARCEL: 23109AD-07900 SITE ADDRLSS; ;4499 SW 128TH PL SUBDIVISION: ELK HORN RIDGE ESTATES ZONING: R-7 BLOCK: LOT: 005 _ JURISDICTION: TIG TENANT NAME: US , NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer Connection permit for new SF detached residence. Owner: _ FEES PAUL CARNEY Type By Date Amount Receipt 1.180 NW 102ND AVE. -- — PORTLAND, OR 97229 PRMT CTR 3/7/02 $2,300.00 27200200000 INSP CTR 3/7/02 $35.00 27200200000 Phone: 503-297-9406 Total $2,335.00 Contractor: _ Phone: Reg#: Required Inspec!ions___ This Applicant agrees to comply witn all the rules and regulations of the Unified Sewage Agency. The pen-nit 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 t' Permittee Signature: Issued by: - Call (503)839-4175 by 7:00 P.M. for an Insneciion needed tie next business day Building Perinit Application "Date0*17 UZ Permitno.: City of Tigard Address: 13125 SW Hall lilvo. Ilgard,OR 97223 Prolect/appl.no.. Expire date: City of Tigard Phone: (503) 639-4171 Date issued: By: YjYl Receipt no.: Fax: (503) 598-1960 r- Case file no.: Payment type: Land use approval: _ __— I&2 family:Simple Complex: OFPE T —�dI & 2 family dwelling or accessory U C'ummercial/ridusuial U Multi-family U New construction U Demolition U Add ition/niteration/replacement U Tenant improvement U Fire sprinkler/ala- : U Other: 'AM SITE 1 ' Job address: / �/' S /.:I- `6'~ f' .�e� T/b e-AP Bldg.no.: Suite no. Lot: I Block: Suhdivision: S•//< F,7-1 Tax map/tax lot/account no.: Project name: -7 _ - G !N 1 Description and location of work on premises/special conditions: t_J Ili �,r 1l a,_i [_ Zf r c.it _ 0%%IN114 FOR SPECIAL 1 (Flood0fuln,septic capacify,solar.etc.) Mailing ad cess: e.1 N tom-- o z I $ 2 family'I"elling: City: Stater ZIP: `1�;za7 y` Valuation of work............................. ... $ X73 Phone:Z Y - 51 V6 6 1 Pax: E-mail: No.of bedrooms/baths................... ..... 3 X Owner's representative: T W_ <'-, Total number of floors................................• 2- Phone:,, 1 1, ) tj Fax: E-mail: New dwelling area(sq.ft,) .......................... _ 22 Garagelcarport area(sq.ft.) Name , % .011 -tF S Covered porch arer Esq.ft.) ......................... _Mailing address: J A �� Deck area(sq. tt.) .... ................................... City: ;tate: ZIP: Other structure area(sq. ft.).......... ............. Phone: Fax: E-mail: Commerclaiiindustrial/multi-fatolly: Valuation of work....................................... $_ — Existing bldg.area(sq.ft.) ........................� -- Business n::me: � } New bldg.area(sq. ft.) _ Address: City: State: ZIP: Number of stories.................................. .. Type of construction.......................... ........ Phone: Fex: E-mail: -} Occupancy group(s): fisting: CCB nom F��',-5 ` -2 Now: ---- City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: - - - — -- - jurisdiction where work is being performed. If the applicant is Cit State: ZIP: exempt from licensing,the fallowing reason applies: Contact person: Plan no.: — Phone: Fax I E-mail: - --' - _ Name: Contact person: Fees due upon application ........................... $_ Address Date received: -.,__ _. City: Stntc: LIP: Amount received ......................... ............... $ Phone: Fax: - E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na an iurirdkdom accept credit cads,please call)wiedicaon for m n infamwioe. attached checklist. All provisionso laws and ordinances governing this as U MuterCaM yu w? 6Ey lo*? work will be campli wTIR e el cified herein or not. Cfedit cwd nullrer: Yf" 3 Z 6O WX `''` Authorized signatup� ��Date: . "_ Z — �tah�aer� Waw-C3rCs`-.-- Print name: 1 '='c ` — Crdholder eiRwwem_oum — Notice:This permit application expire-if a permit is not obtained within 190 dsv,after it has been accepted as complete. 443-413(6MCOM) One-- and Two'-I� roily Dwelling Building Perinit Application Checklist_ Reference no.: —. ------ Associated permits: City(!f Tigard City of Tigard Q Electrical Q Plumbing Q Mechanical Address: 13125 SW Fall Blvd,Tigard,OR 97223 Q Other: Phone: (503) 639-4171 Fax: (503) 598-1960 A 1 1 Land use actions completed.SeeJtuisdret10n criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verillication of approved plat/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 U plan U permit required.Include drainage-way protection,silt fiance design and location of catch-basin protection,etc. — 10 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 hetween plan location and details. Plan review cannot he completed if co yright violations exist. I 1 Sitelplot plan drawn to scale.The plan must show 1, 'and building setback dimensions;property corner elevations(if there is more than a 4-ft.elevation differential,plan r,.,rst show contour lines at 2-ft.intervals);location Of casements and driveway;footprint of structure(including decks) , ation of wells/scptic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervirot . %existing structures on site,and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolls,any hen..-uowns and r.tnforcing 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 ('roes sections)and details.Show all framing-memlx r sires and spacing such as floor beams,headers,joists,sub-Iloor. wall construction,roil construction.More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,mating,rx�f slope,ceng height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. — I S Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendurns showing foundation elevations with cross vAcrences are acceptable, _ 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all fhxrrs/roll assemblies,it,dicatinl member sizing,spacing,and hearing locations.Show attic ventilation. I8 Basement and retaining walls.Provide cross sections and details showing placement of rehar.For engineered _ systems,see iterm 22,"Engineer's calculations." __ — 19 Beam eairulations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 icer latt,, and/or any beartdjoist carrying a nun-uniform load. 70 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the pirscriptive 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 be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the proicct under review, 23 Five(5)site plans are required for Item I 1 above. Site plan.mint he 8-1/2" x 11"or 1 I" x 17". 24 Two(2)sets each are required Irn Items 16, 19,20&22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit&Sy,1tcm Development Fees document. L-4_r __ 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. wo-4614(enrvr•ont' Mechanical'Permit Application �. -- --- Date received: permit City of Tigard Project/appl.no.: Expiredate: ('ityuf l ignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: r;eccipt no.: Phone: (503) 639-4171 paymcnttype. Fax: (503) 598-1960 Case file no.: _-1_ ' _ Building permit no.: Land use approval: �I &2 family dwelling or accessory U C-9iniercial/industrial U Multi-family U Tenant improvement ❑New conswction ,I(Iition/alteratioti/replacement U Other: 1 i 1 Job address: Indicate equipment quantities in boxes hrluw. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor.overhead. profit.Value$ Tax map/tax lot/account no.: Lot: Bl(owk: Subdivision: *See checklist for important application information and �w Y 7Ay jurisdiction's fee schedule for residential permit fee. Project name:5, t , IVENWHwill 1 City/county: _ 0 Z►P: 1 1 1 1 Description and locatkn of work on premises: Fee(ea) Total Ilpsr'i fon (p). Res.onl Res-only Fist.date of completian/inspection: Tenant improvement or change of use: Air handling unit CFM Is existing spare heated or conditioned?U Yes U No Air conditioning(site plan WT—e-d—) _ Is existinR spn,e insulatetl?U Yes U No A tcradon o existing .sysleln _ — oi er compressors State boiler permit no.: FAddress: ess name: L /N � )- lip Tons _BTU/H atr smo a amper. duct smo a electors Stole:(Ip, ZIP: ' I cat pump(site p an require ) nsta rep nccfurnac urner�e:/f)� ' ��{' �tf Fax: _--- Including ductwork/vent liner U Yes O No CCB no.: 1O q t; 177 — _ Install/replace/re ocute eaters-suspen e C — will►,or Horn mounted City/metro tic,no.: ent tor ap :ante of er i an furnace Name(please print): MIN a Reral on: Absorption units ` — BTU/H _ (_ ( `� Chillers,__ __ HF Name: ��t - Com ressors __ lip Address: C N�-� /� '�- 'r onmenta exhaust an vent at on: City: •,) el c State:0 ZIP: 9 � _ Appliar tevent Phone:5'°T y�' Fnx:2 ( , E-mail: lryerex oust 0o s, ype. res. tc c armnt hood fire suppression system Name: �— �``' lixhausl fan with single duct(br'-fans) x roust s stem a art from licating or AL Mailing address: _ - ul p p ng and Istribullon up to 4 outlets) City: Stale: ZIP: _ Ty LPG „ NO Oil Phone: Fax: L-mai!: uc T(n caTe�dit Dna over out ets iiip p (schematic require ) Number of outlets — Name: 1 el 1 tttpp ante nr equipment: Address: DecorALe fireptacc _ �/'I— E-mail: �Ir ZIP: nsert-type - City: o slovt-.aelletstove — Phone: Applicant's signal e: Z- t v t +-- Name Permit fee.....................S Not tll JudadIctireu seep ctedit canh.please call)urldlction for trtomEmiion. Notice:This permit application Minimum fee................ t3 vies U MasterCard expires if a permit is not obtained plan review(at _-_. %) $jai yr o 03tl� �/�7 �C within ISO days alter it has been' State surcharge(896) ....l;a thowo an t e accepted as complete. TOTAL f $ 1 uture - _ 4144617(6xOVOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FA_WILt� DWELLING FEE SCHEELiLE: TOTAL VALUATION: PERMIT FEE: Description: - -� Price Total -1 $1.OU 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 1) Furnace to 100,000 BTU $1.52 for each additional 5100.00 or Including ducts&vents _ _ 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts; vents 17.40 $10,001.00 tc$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 healer,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 $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units M-0.1-0-00 9R.__ 12.15 $50,001.00 and up $742.00!or 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 Gond fraction thereof. footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: 7)<3HP;absorb unit $ to 100K BTU 14.00 8%State Surcharge $ 8)3.15 HP;absorb unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb 35.00 Re uq Ired for ALL commercial permits only unit.5-1 mil BTU TOTAL COMMERCIAL. PERMIT FEE: $ unit 1-11.7.75 mi 30absorb unit BTU 511.2.0 _ 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 Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents _ 10.00 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 perml, 10.00 floor mounted heater 17)Hood served by mer;tanical exhaust Vent not included In applicance 445 10.00 rmit - 18)Domestic Incinerators Repair units 805 _ 17.40 <3 i1p;absorb.unit, 955 to 100k BTU 19)Commercial or Industrial type Incinerator 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 ?.1)Gas piping one to four outlets mil.BTU 5.40 _ 30-50 hp;absorb.unit, 3,400 122)More than 4-per outlet(each) 1-1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU AIr handling unit to 10,000 cfm 656 !- 8%State Surcharge $ AIr handling unit>10,000 cfm 1,170_ Nortable evaporate cooler 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 448 _ Vent system not Included In 656 _ applianceermit _ Hood serveed banical exhaust 858 Other Insoer:t p n Fee Domestic _n y mechator 1 170 1 Inspections outside of normal business hours(minimum charge-two hours) $62 50 per hour Commercial or Industrial incinerator 4,590 2 Inspections for which no fee is specifically Indicated (minimurn oharge-half hour) Other unit,Including wood stoves, 656 $et 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-0ne•half hour)$62 50 per hour Each additional outlet u 63 'State Contractor Boller Certification required for units>200k BTII *"Residential AIC requires site plan showing placement of unit. TOTAL COMMERCIAL + ; s VALUATION: 4+rf All New Commercial Buildings require 2 sets of plans. 11dsls\forms\mech-fees.doe 12/26/01 Plumbing Permit Applicatien Datereceived: Permit no.: City of Tigard Sewer permit Po.: Building permit no.: Address: SW Hall Bl,d,Tigard,OR 97223 Project/appi.no.- Expiredate: City of Tigard Phone: (503) 639-4171 — Date By: Receipt, Fax: (503) 598-1960 — Case file no.: PayR.•.nt type: Land use approval: ---- U Multi-family ❑Tenant improvement c �&2.family dwelling or accessory ❑Commerciat/industrial ❑Other. — U New c onsuliction U Add ition/alteraUon/replacement U Food service 1411,R1am ; f r 7j V-scrip[ion Qt p' Fee(.a.) -_Ictal Job address:/ of C' S t'�-' �'� '`F New 1-and 2-family dwellings only: Bldg.no.: Suite no.: (includes too ft.iforeach utilityconnectIon) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: Subdiviston: SFR(2)bath _ — Project name: ,(., T S/k /yy �� c SFR(3)bath — _--- City/caunty: T/�AiL� ZIP Each additional bath/kitchcn Site utilities: Description and location of work on premises:__:-- Catch basin/area drain _ - -—-- Drywells/leach line/trench drain Est.date of completion/inspection: Footing drain(no.lin. - ' Manufactured home utilities Business name: 2 - Manholes _ Address: vL _ Rain drain connector _ City: State:0 ZIP: 70 Sanitary sewer(no.lin.ftJ - -_ Storm sewer(no.iia.ft.) _ Phone:A— _ (n 1 '-1. Fax: E-mail: Water service(no.lin.ft.) CCB no.: t-/( t I`r Plumb.bus.reg.no: 3 '' Vim' Fixture or item: City/metro lic.no.: ' v Absor tion valve Contractor's representative signature:_ Back flow preventcr Print name: Date: Backwater valve - Ba:ins/lavatory C ` Clothes washer Name: Dishwasher -- Address: N�"'' v Z"^ `' Drinking fountain(s) - City: r'.1 State: ZIP: 9 :22 Ejectors/sump Phone: 443 ;2y7-9V(,6 Fax: 2p6 -ft$1 E-m ' Expansion tank Fixture/sewer cap _ —.- Floor drains/floor sinksNwb _ Name(pri,it): �,f- ��- �� ` c Garba a dis sal Mailing ad;iress: Ilose bibb City: Sate: ZIP: Ice maker Phone: Fax: E-mail: nterceptor/grease trap Owner installation/residential maintenanc-_ only: The actual installation Primer(s) _will be made by me or the mains ante and repair made by my regular Roof drain(commercial) _ employee on the proy I o pt Chapter 447. Sink(s), asin(s),lays(s) Date: _;?d " d Sum — Owner's signature: -- Tubsishower/shower an Urinal — -- Name: -___ Water closet - Address: Water heater —- - State: ZIP: Other: City: ---- — Fax: E•"ail. Phone: °V -- --- Minin,urn F R $ Na dl)uriodictiont accept credli ends,Tease call jurisdiction rot mate Inran, on Notice:This permit application Plan review,at — %) $ --- 6/ - expires if a permit is not obtained p Viae ❑Maalercar s_ p o 3 Z G u�ta State surcharge(8%)....$ - or�r card number _._ VMS within 180 days atter it has been _ accepted its complete. TOTA1 .......................$ _ — or • r u rhown on ctedl,erd" s molder tlEn►�ure__ — � ")A('16(b001C'OM PLUMBING PERMIT FEES: ° PRICETOTAL N Y. ew 1 and 2•family dwellings only: FIXTURES Individual QTea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink Y ` _ 16.60 the dwelling and the first100 ft.- QTY (ea) AMOUNT 16.60 for each utllity connection) Lavatory One 1)b th $249.20 Tub or Tub/Shower Comb. - 16.60 _�-- Two(2)bath - _ $350.00 hree 3 _ Shower Only ` 16.60 Tbath _ $399.00 - Water Closet 16.60 - I SUBTOTAL Urinal 16.60 8a- STE SURCHARGE Dishwasher 10.60 PLAN REVIEW 25°/.OF SUBTOTAL 16.60 Laundry ---- TOT L Garbage Disposal -- Laundry Tray 16.60 Warhing Machine 1u.60 Floor Drain/Floor Sink 2" 16.60 - 16.60 PLEASE COMPLETE: 1s.so Water Heater O conversion O like kind 16.60 Quantity b Work Performed T Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ Capped permit. - --- - - MFG Home New Water Service 46.40 Sink _ MFG Home New San/Storm Sewer 46.40 Lavato -_ - _ Tub or Tub/Shower Hose Rihs Z 16.60 Combination - Roof Grains 16.60 Shower Only______ - Drinkin-j Fountain 1660 Water Closet _ Urinal C Fixtures(Specify) 1660 - Dishwasher _ Garbage Disposal -- _ -- Laundy Room Tray WashlMMachine _ _ Floor Drain/Sink: 2" Rr _- Sew -1st 1l 5-5 00 _-- Sewer•each additional 100' L) 46.40 4" Wale(Service-1st 100' 55.OU Water Healer -_ Uth __ __ „r Fixtures vValer Servi,a-each additional 200' �_ 46,40 _- (specify) _ Storm&Rain Drain-1st 100' 55.00 Storm R Rain Drain-earh additional 100' 46.40 -- - - -- Commercial Back Flow Prevention Device (J 46.40 - �- Residential Bark11ow Prevention Device' % 27.55 Catch Basin - Inspaction of Existing Plumbing r: bp'�cially 62.50 Re nested Inspections er/hr _ COMMENTS REGARDING ABOVE: Rain Drain,single far,ily dwelling j 65.25 --- Gmase rraps 13.60 - - -------- -- --- - -- QUANTITY TOTAL Isometric or riser diagram Is required It Quantity Total Is >9 _ "SUBTOTAL - • STATE SURCHARGE -- - - "PLAN REVIEW 25%OF SUBTOTAL Requlied only It fixture qty total Is>9 TOTAL. 5 "MinImum permit fee!s$7'50•8%state surcharge.,except Residential Bacl flo,, Prevention Device,which Is$30 25•996 state surcharge ""AIL New Commercial Buildings requvr 1 sets of plans with Isometric or riser diagritr^.for plan review. [VJsts\fonns\plm-fees.doc 12/21/01 Electrical Permit Application. - Date received: Permit no.:, City of Tigard Project/appl.no.: Expire date: City of Tigard Addrefls: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: �-- HY' Receipt no.: Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: -— TVPE OF PERMIT 1 &2 family dwelling or accessory U Commercial/industmd U Multi-family U'Tenant improvement New construction U Addition/alteration/replacement U Other: U Partial WIFFMI "A 101 M= Juh adaress: — Bldg.no.: Suite no.: ('ax snap/tax Ictt/account r.o.: —_ I.(x Block: Subdivision: --- -- -- — Ihu.cc: n;tlne: - Description and location of work on premises: _ — la;tintatcd date(if completion/inspection: dee Max .lob Ito: Description Qty. (ea) 7b1a1 no.Insp Business name: '1 §�Lr�a �' Ne"residential singk or multi-fantlly per Address: /r - _ /� dwelling unit.Includesattnowdvarage. ZIP: (� ticrvlceincludcd: City: Y I 1000 s .ft.or less 4Phone: L('S' -2f(�r Fax: ll: Each additional 500 sq.ft.or onion thereof CCB no.: /`1(J jO Elec.bus.tic.no: (-, -- C Limited energy,residential 2 City/metro ticno.: Limited energy.non-residential _? Each manufactured home or modular dwelling - —"- Service an.1/or feeder _ 2 signature of su ry_r electrician(required) Datc License no: Z Servlcesorfeeders installatlrn, Sup.elect.name(print). alteration or relocation: 200 amps or less _ 201 amps to 4W amps -- Name(print): -- 4ul amps to 600 amps _ _ ` Mailing addreti:. -- 601 amps to 1000 amps — 2 State: I%I I' Over 1(x)0 amps or volts 2 City: _ -- -- -- I f'ax: E-mal1. Reconneclonl Phone: 'rernlmrary-_ Ices or feeders- Owner installation:The installation is being made on property 1 own hretallation,alteration,or relocation: which is not intended for sale,lease,rent.or exchange according to 200 amps of less _ 2 ORS 447,455,479,670,701. 201 amps to 400 ams 2 Owner's signature: Dale: 401 to 600 ams 2 Bnnrh circuits-new,altentlon, or extension per panel: Name: A. Fee for branch circuits with purchase of service or feeder fee,each branch circuit 2 Address: _ _ State: ZIP: 13. Fee fur branch circuit+without purchase City: of service or feeder fee,first branch circuit: Phonc: rax: 1'. trail: F.achadditinnal:raochcircuit: UZWEZOMINITIMUllua Misc.(Service or freskr not Included): Each pump or irtigation Jrcic 2 U Service over 225anq,l u�nunc10:11 J Il ahh care facility Each sign or outlinelighting 2 U Service over 320 amps-rating of I A2 U I lazarduus location Signal circuit(B)or a limned energy panel,familydwellings UBuilding over 10,0(xlsquwe feet four or t1u! oreztenaion• 2 *System over 600 volts nominal mon:residential units in one stmcture U Building over three stories U Feeders,4W amps or more on: _—U I kcupwt load over 99 perams rU Manufactured structures or RV parktional Inspection over the allowable in say of the above: U Fgressllightingplan U():h�•i ----- trn:Submit—__setb of plans with any of the above. ion feeIV above are not applicable to temporary construction service. -- -- ___ Permit fee... .................. Not all)urlsdicUar aceq credit cant,please cell I nAction fix Huse infnmuu,m Nnfice:this PcMlil appli aline flan review(al __ rlF) — - - — C]Visa U MasterCard expires its permit is not obtained —- — xvithin IHO days atter it has been State surcharge(936) ....$ Credit cad number: zplrea TOTAL accepted as complete. .......................� --� —�-_-- Nime aTca�r -wTdrr u�hnwn oa c t cartT-� $ — u(rans(nntvcurtI (' solder aiprature __ Amount ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below; TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Restricted Energy Fee...................................................... $75.00 'Number of lnseectlonsper permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit - 1000 sq.ftor less $145.15 / = 4 Audio and Stereo Systems" Each additional 500 sq.ft.or portion thereof $33.40 — 1 limited Energy � $75.00 Burglar Alarm F:ach Manufd Homo or Modular Dwelling Service or Feeder $90.90 2 Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less � $80.30 2 201 amps to 400 amps $10685 _ 2 Vacuum Systems' 401 amps to 600 amps _ $16060 2 601 amps to 1000 amps $24060 Ej Other Over 1000 amps or volts _ $45465 2 Reconnect only _ $66.85 i 2 Temporary Services or 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 918-260-2r0) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and.±tereo Systems Branch Circuits Now,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or L� Clock Systems feeder foe. Tach branch circuit $665 2 ❑ Data Telecommunication Installation b)1 he fee for branch circuits without purchase of service ❑ Firs�,drm Installation or feeder foe. Fust branch circuit _ $4685 __ Fach additional branch circuit $665 _ ❑ 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 circuitt,)or a limited energy panel,alteration or extension _ $7500 _ ❑ Landscape Irrigation Control' Minor Labels(10) $12500 Each additional Inspection over C� 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 1 Enter total of above fees $ Other 8%State Surcharge $ — _Number of Systems 25%Plan Review Fee See"Plan Review'section on $ No licenses are required Licenses are required for all other Installellons front of application Fees: Total Balance Due $ EWtc 1 of above fees = ❑ Trust Accountfill ---- 8%State Surcharge = All New Commercial Buildings require T sets of plans. Total Balance Due s i:\dsts\fomu\eIc-fees doc 08/30/01 2ENT BY: PAUL R. CARNEY, INC. ; 503 296 9681 ; MAR-1 -02 12:21PM; PAGE 1 /1 RAI 7 , rn J4 DvUfw• lov, ;D 1. 5 •