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13299 SW 129TH AVENUE R` .a y to N tD a N tD s C 13299 SW 1291x' Avenue CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503.) 639-4175 MS'r — __2 1_1f-- INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _ ____ Date Requested I AM —PM _ BLIP Locr.aun A-(/ Suite — MEC - - --- --- - Contact Person _ — _ Ph( ) `? L Z 'a SCS PLM Contractor------ ----- - — Ph(—) - --- SWR - -- - - — -- IBUILDING --- _ TenaaJOwner ELC 1 Footing _ ELC ------ -----.._---- Foundation Access: � i) I Ftg Drain - El°R ---------- I Crawl Drain ` SIT Slab Inspection Notes: — Post& Beam --- -----.. ----- _____ _-- Shear Anchors Ext Sheath/Shear -- - Int Sheath/Shear Framing -- -- - - Insulation Drywall Nailing -- _ Firewall r Fire Sprinkler _ -- --r---r ` Fire Alarm Susp'd Ceiling - Roof __-- -- --- - -- - Other. Final _PASS PART FAIL --- Post&Beam Under Slab -- -- -- Rough-In Water Service - -- -- - Sanitary Sewer Rain Drains - - - Ca, )Basin/Manhole _ Storm Drain Shower Pan - Other: --- Final -_-_- PASS PART FAIL -------------- MECHA_NICAL --- - - - - - -- - -- --- — - Post& Beam - Rough-In _ -------------- - ------ - - Gas Line --�---- Smoke Dampers --_ -- - ----- Final TFAIL - --- --------- ---------------- - - --------- e Rough-In ---- ---- - -_ -_ -- ---- UG/Slab �w ea�r�, —--- Fire —__--- „c l� Reinspectlon fee of S-__-_ required before next inspection. Pay at City Hall, 13''.'.SW Hall BlvdriR . P SS PAPT FAIL g — - Please call for reinspection RE:-_ _ —__—_ [-1 Unable to inspect-no access Fire Supply ._ine ADA -- Approach/Sidewalk asb _. � I � � Inspector Ext Other: Final — 1)0 NOT REMOVE this Inspection record from the job site, PASS PART FAIL i ► 'd by ► kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA PF ITI ► OX pol. CL ► •,II O rD °, �t ► ;v > o a ► „� tTl Cr'1 , � � � � U � ► ► fDIrrD p ► 4 *q •1 �' �� lob. m '� F■� ► pol- 44 I x � ► s ;� ► IVVVVVVVVVNVVVVVVvvvvVVVVVVVVVVVVVVVVVVVVTVVI, y �� a O M ►� w 5' � o a s � Q 0 o n 0 x CITY OF TIGARD 24-Flour J�t BUILDING Inspection Line: (503),639-4175 � t INSPECTION DIVISION Business Line: (,E j3)639-4'71 MST BLIP Received ____ _D to Requested_ a- AM PM — BUP Location r Suil'� —. MEC Contact Person _ _ Ph( 3� =a S c-. PLM Contractor___— _ Ph(—) _. SWR _ BUILDING Tenant/Owner _ ELC Footing Foundation ELC _ Ftg Drain Access: - Crawl Drain L � '7 ELR _Slab Inspection Inspection Notes: SIT Post& Bearn -------- ---� �.�_ Shear Anchors Ext Sheath/Shear Int Sheath/Shear -- --- Framing (�/ii �t� -.Q I7 < Ll. - Insulation ---- - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - ----- -- _ Roof Other: ----- Fina --..--------- -as PART FAIL - ---- --- PLUMBING _ Post& Beam -- '- Under Slab Rough-In -- - Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: - - -- - -- ------------- _ Final PASS PART FAIL - ---- - -- -- - - MECHANICAL — Post&Beam ---- -` - — - Rough In Gas U-e ------ ---- Smoke Dampers - - -- - - - - - FFrI XJ ' PART FAIL ---- CTRIICAL ----- Servi•.e -- ---- - Roughin UG/Slam -- Low Voitoge Fire Alarn - - Final Reinspection tee of$ PASS FART FAIL -----.. required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. SITE Please call for reinspection RE:---, __ E] Unable to inspect-no access Fire Supply Line ADA Dates -�1 `Z.` Inn Ext -- Approach/Sldeweik prOtOr-_ Other: Final — DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ___ MASTER PERMIT DEVELOPMENT SERVICES PERMIT#: MS00146 UATE ISSUED: 3/211102/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 1299 SW 129TH AVE PARCEL: 2S104DA-04600 SUBDIVISION: QUAIL HOLLOW -WEST ZONING: R-4.5 BLOCK: LUT: 032 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1250 if BASEMENT: sf LEFT: 0 SMOKEDETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,100 sf GARAGE: 1,002 sf FRONT: PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sl RIGHT: OCCUPANCY GRP: R3 BORM: 3 BATH: 3 TOrA.L: 2,35000 sl VALUE: $241,09340 REAR: PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS; LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWF.RS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFI.W PREVNTR: 1 GREASE TRAPS: MECHANICP OTHER FIXTUPES: FUEL TYPES FURN<100K: BOIL/CMP<OHP: VENT FANS: 5 CLOTHES DRYER: 1 L'oAS FURN>-100K: I UNIT HEATERS HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD1 INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: o 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADDT 500SF: 5 201 400 amp: 201 400 amp: 1s1 WIO SVCIFDR: 00 SIGNIOUT LIN LT- PER HOUR LIMITED ENF'`GY: 401 500 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVCIFDR: $01 • 1000 amp: 501•ampe•1900V MINOR LABEL: 1000•amplvolt: Reconnect only: PLAN REVIEW Sr.CTION >■4 RES UNITS: SVC/FDR),-225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL e.COMMERCIAL AUDIO A S5 EREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL, GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,986.39 ECK CONSTRUCTION INC ECK CONSTRUCTION INC This permit is subject to ,he regulations contained In the PO BOX 204 PO BOX 204 Tigard Municipal Code,State of OR. Specialty Codes and SHERWOOD,OR 97140 SHERWOOD,OR 97140 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 the work is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Ran e: LIC 114755 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direc'questions to REQUIRED INSPECTIONS OUNC by calling(503)246-1987. Erosion Control Insp 8, Post/Seam Structural PLM/Underfloor Framing Insp Gas Fireplace Appr/Sdwlk Insp Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Electrical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Mechanical Final Fooling Insp Crawl Drain/Backwater Electrical Service Low Voltage Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Drl Electrical Rough In Gas Line Insp Water Line Insp Final Inspection Issued By Permittee Signature : � �- �_ �• ,,,�_ Call (503) 639-4175 by 7:00 p.m, for an Inspection needed the next business day A CITY OF TIGARD RD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR.2002-00101 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 LATE ISSUED: 3/21/02 SITE ADDRESS; 13299 �SW 175+TI1 AVE PARCEL: 2S104DA-04600 SUBDIVISIC J: OUAIL NOLI.OW - WEST ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG TENANT NAME: USA NO. FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS- INSTALL TYPE: IMPERV SURFACE: Remark,: Connection for new SF detached residence. Owner. - --- --- - ---- FEES ECK CONSTRUCTION INC Type By Date Amount Receipt PO BOX 204 _ SHE-RWOOD, OR 97140 PRMT CTR 3/21/02 $2,300.00 27200200000 INSP CTR 3/21/02 $35.00 27200200000 Phone: Total $2,335.00 Contractor: Phone: Reg #: ?equired Inspections This.Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If nct so located,the installer shall purchase a "Tap and Side Sewer" Perm Issued by: Permittee Signature- Call (503) 639-4175 by 7:00 P.M.for an Inspection needed the next business day Building Permit Application City ofTigardDate received: I(� G Z Perm Ito.: Cky of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projecl/appl.no.: Expire date: Phone: (503) 639-4171 Date issued: Fax: (503)598-1960 gY Receipt no.: Case file no,: Payment type: Land use approval: I&2 family:Simple Complex: I & 2 family dwelling or accessory U Commercial/indus(rial U Multi-family )4 New construction U Demolition U AdditiorJalteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: l lob address: 1. �t: .,,?z Block: Subdivision; Bldg.no.: Stnce no.: Project name: Or of Tax map/tax lot/account nu.; Description and location of work on premises/special conditions: 1217 Mailing address: Y family d"elling: © State: ZIP: 2 �l �'`1 j• y t. Valuation of work.. Ph one ,, �?�/- Q Fax: any mail: - No,of bedrooms/haths................................. Owner's representative: ,ff�-vim Gc� Total number of floors................................. y�j�'? s Fax: —• ___._ -- I E-mail: New dwelling area(sq. ft.) Ciarage/carporl area(sq.ft.)....IUU..1.:...... - y� Name: Covered porch area(s ft. Mailing address: q ) I� Deck area(sq, ft.)..................•.• _ City: _ Stat: ZIP: Other structure area(sq.ft.)................... ..... _$- ,, Phone: Fax E-mail: — Commercial/in duetrhtl/multi-fAmlly: 1110111 Valuation of work.....................•..•............... S Business name: G Existing bldg.area(sq.ft.) .......... Address: ��''ff �� -•�' C• ....r:..,.. _ 01 New bldg.area(sq.ft.)......... ./.......... _ State- ZIP• �'F Number of stories..........•......... Phone: - ZV-- Fax J2 :-mail: --� Type of construction .....•..... ........ CCB no.: -r„ Occupanc, bnaap(s) xi.s t lic.n . .'.'.e..w..:(ity/ntrEi .. ---- Nolice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Nance: yam. - 'ter �r / - �� provisions of ORS 701 and may he required to be licensed in the Address: L/ f^` - �� ar+ ltii G, jurisdiction where work is being performed. If thea 'cant is Cit exempt from licensing,the following reason applies: S utc: ZIP: � 27 P g� g Contact son: D Plan no.: Phone ' c O �' ax: Name: a Contact rm,.n: a::' Fees due upon application ........................... S _- Address: 1, Date received: it _ ,y State- ZIP; 1'TL Phone: `f' Amount received ......................................... S_ E mail: Please refer to fee schedule, I hereby certify 1 have read and examined this application and the rvd altiadsaic,lon„ac attached checklist.All provisions of laws and ordinances governing this U visa U MassterCrud�l)cartlr plea+e call Jurisdictionfor MWr infurma)fon work will be complied with,whether specified herein or not. Cmdn card numhe, ____ Authorized signature:r i#-'W-a: --__ Date: �- l Q -^ _ --� -4.F-4- Name of cardholder ae shown on ttedh cid-- Print name: _S �» . --- - - S Cardhull6nnure A mounr Notice:This pcnnit apphration expires if a permit is not obtained within 190 diys after it has been accepted as complete. 440-411(61xYCnM) One-and Two-Family Dwelling Building Permit Application Checklist Referencero.: City of Tigard City Of Tigard � — Associated permits: Address: 13125 SW I lall Blvd,'rigard,OR 97223 U Electrical O Plumbing U Mechanical Phone: (503) 639-4171 U Other: Fax: (503) 598-1960 1 Land use actions completed.Sec jurisdiction criteria for concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,ctL - 3 Verification of approved plat/lot._ 7-7 4 Fire district__ approval required. -- 5 Septic system permit or authorization for remodel.Existing system capacity_ 6 Sewer permit. 7Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-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 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 if copyright violations exist. I I Site/plot plan drawn to wale.'fhe plan must show lot and building setback dimensions;property comer eiwations(if -- —- there is more than ft,a Oelevadon differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septfc systems;utility locations;direction indicator;Int area;building coverage area;percentage ol'coverage;impervious arca;existing structures onsite;and surface drainage_`J 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size a►.1 location. 13 Floor plans.Show all dimensions,room identification,windt-w size.,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc._ 14 Crow sections)and details.Show ah framing-member sizes and spacing such as floc►r beams,headers,jo.fists,sub-Ilnr rr. wall construction,roof construction.Mc re than one cross section may be required to clearly portray construction.Shoff details of all wall and roof sheathing,ro.►fing,roof slope,ceiling height,siding material,footings and foundation.!.,urr,, fire lace construction, thermal insulation,etc. is Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. — Exterior elevations must reflect the actual grade lythe change in grade is greater than four foot at building envelope. _ Full-size sheet addendums showing foundation elevations with cross references arc acceptable. 16 Wall Sracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- rescritive ►ath analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/txx►f assemblies,indicating me--abe,sizing,spacing,and hearing _locations.Show h:lic ventilation. 1 x Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"li�inecr's calculations." 19 Begin ealculatiotu.Provide,two sets of calculations using current axle design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 21 Energy Code compliance.Identify the pu..:riptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Euglnreer's calculations.When required or provided,(i.e..shear wall,roof truss)shall he stamped by an engineer or architect licenv.-d in Oregon and shall be shown to he applicable to the projcct uno.•r rr%icw. 23 Five(5)site plans are required for Item I I above. Site plans most be 8 1/2" , I t " x 17' 24 Two(2)sets tach are required for Items 16, 19,20& '22 above. — 25 Building plans shall not contain red lines or tape-ons. 6 No mile(],revertwd or mirrored building plans will he accepted. 27 - — 2b - - --- 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. 4104614(tKXWoMt Mc tchanical Permit Application -- Date received: Permit no.: City Of Tigard Project/appl.no.: Expire date: Cite ofTigard Address: 13125 SW Nall Blvd,Tigald,OR 97223 Date issued: Ry: pt no.: Phone: (503) 639-4171 Fax: (503)598-1960 Calc file no.: Payment type: Building perm;t no.: Land use approval: —_ _- 1 7X;Ncw family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant improvement construction Li Addition/alteration/replacement U Other: ' Indicate eouipn:^nt quantities in boxes below. Indicate the dollar Job address: /,62 IVY .s % �y11 : Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, _ • Tax map/tax lot/account no.: profit.Value$ Lore - .Z Block: Subdivision: Sec checklist for important application information and _�� jurisdiction's fee schedule for residentia' permit fee Project name: City/county: ZIP t WIM Description and location of work o premises: t t A t ecl •) total Description Qt). Res.only Rcs.oni) Est.date of completion/inspection: - Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U Nu ,err conditioning(site plan required Is existing space insulated'?U Yc U No A tcration of existing 1TVAC! stem _ of I cr ecl:rpressors ` Slate boiler permit no.: Business name: HP Tc BTU/H Address: F-jr e/smo a amper:duet smo a a etcct0rs City: --�L State:- .1P: cat pumpmp(sllc�n requirc�- 7j/°f E-mail:rE-maimato rep ace Grrnace/burner-` Phone: trx.—�- Inch,.ling duetwork/vent liner U Yes U No CCB no, rep ac•re ocatc heaters--suspen , City/metro lic.no.: _ - wall,or floor mounted Name(please print): em fora lance other than furnace e erat on: Absorption units_ BTU/H Chillers_-_ _ __ HP Name: _ Compressors_____ HP Address: n�torments ex suet en went al on: City: Slate: 7.1 P: Appliance vent Phone: t n� F.-mail: rycrrx gust t o s, yperes. itc a armat hood Are suppression system - Nnntr: Exhaust fan with single duct(hath fans) _ — - sx 1111Ms stem a gait fromTieat n or C Mailing address: - tie p p nq an sir ul on(up l.t outlets) City: State: 7.IP: _ I ypc: LIrCi Na Oil (a. Email: -Tun 1 in cac a icons over out eta rocessp p ng(sc cmal crequire 1 _ Number of outlets Name: t r listedappliance or equ pment: Address: Decorative fireplace State: ZIP: nsert-type City: -Vvt stov pe etstove - Phone: Fa I's-mail: t cr: Applicant's signature: Darr: - Name (print): — -'"- Permit fee.....................$ Nnl all tuttadlctionq a vepl cm111 emits,pleav C 1 jr1mBclkm I,N next infamnuun Notice:1ilk permit application Minimum fee................$ U Visa U MmtetCard expires if a permit is not obtained Plan review(at _ %) $ -- Credit can!nninw: ---- -- -i;*nlre-1 within IAO drys atter it has I en State surcharge(8%)....$ — _._ accepted as complete. Namr nal „ •r...own on r u c $ TOTAL .......................$ — —- — ntJhol kl dRnnure --� Amnum 4M)J1517(6W"oMI MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: - - Description: `------- $1.00 to$5,000.00-" ---- --------- Minimum fee$72.50 fable+A Mechanical Code ��-Pr'ce Total $5,001.00 to$10,000.00 $72.50 for the first$5,000AO and 1) Fuma a to 100,000 BTU G,y (Ea) Ant $1.52 for each additional$100.00 or ff-la tn ducts&vents fraction!hereof,to and Including ce 100,000 BTU+ 14 G0 $10,001.00 to$25,000.00 $10 000 in ducts&vents $148.50 for the first$10,000.00 and Furnace 17 4_0 $1.54 for each additional$100.00 or including vent fraction thereof,to and including nded heater,wall he.ler _ 14.00 $25,001.00 to$50,000.00 $250 00.00_ r mounted heater $379.50 for the first$25,00000 ad not In ,+in appliance permit1400 $1.45 for each additional$100.00 or fraction thereof,to and including ir unit< 6.80 $50,001.00 and u $50 000.00. p $742.00 for the first$n '$0.00 and rCheck all thp,apply�Boililer I{eat Air 12 15 $1.20 for each additional$100.00 or For Items 7-11,see I i - fraction thereof. or Pump Cond footnotes below. Com ' •• ASSUMED VALUATIONS PER APPLIANCE: 7)LOOK brorb unit _ to 100K BTU 8)3-15 HP;absorb 14'00 Descrp8on: Value Total unit 1JOk l0 500 Furnace to 100,000 BTU,Including Q Ea Amount k BTU 25.60 ducts&vents 9)15-30 HP;absorb unit,5-1 mil BTU Furnace>100,000 BTU including 1,170 - 10)30-50 HP;absorb - 35.00_ ducts&vents snit 1-1.75 mil BTU Floor fum- ace Including ventat _ 11)>50HP:absorb 52.20 Suspended heater,wall heer or 955 floor mounted heater 955 unit>1.75 mil BTU 12)Air handling unit to 10,000 CFM 87.20 Vent not Included in applicance 445 Remit 13)Alr handling unit 10,000 CFM+ 10.00 Re air units_ to loon 13TUrb.unit, 955 141 Nnn-portable evaporate cooler 17.:0 3-15 hp;absorb.unit, 1,700 15)Vent fan connected to a single duct 1000 101k to 500k BTU 15-30 hp;absorb.unit,501k to f-- 6.802,310 16)Ventilation system not Included in _ mil.BTU 30-50 hp;absorb.unit, a Iiance permit3,400 17)Hood served by mechanical exhaust 10.00 1-1.75 mil.BTU >1. 1 hp;absorb.unit_ _, 8)Do10.00stic Incinerators 10' >1.75 mil.BTU 5'725 - Air handlln unit to 10 000 cfm 858 �- 19)Commercial or Industrial 17.40 Air handling unit>10,000 cfnt 1,170 type Incinerator - Non• ortcble ect orale sin Is 656 20)Other units,Including wood stoves 8995 Vent fall connected to a:loots duct 448 ._ Vent system not Included In 656 21)Gas piping otto -- 10.00 a liance peernit ne o ur outlets Hood served Ly mechanical exhaust 656 22)More Ilan 4-per outlet(each) 540 Domestic incinerator 1 170 - Commercial or industrial Incdl rotor - Minimum Permit Fee 572.50 1.00 Other unit,-Including4 590 SUBTOTAL: $ Inserts,etc. wood stoves, 658 Gas piping 1 4 outlets 8%States Surcharge E Each additions_ I outlet 361) 83 28•/.Plan RevlRw as(-- ,btotal) TOTAL C R IAL Required for ALL commercial pe„nits only VALUATION: $ OT TAI_ RESIDENTIAL PE(`MIT FEE: $ 40-Or1n}geytlons and F991 r 1 Inspections outside of narrnal business fxrurs(minimum;/;anu:,,, I:aurs $72 50 per hour ) 2 Inspections for which no fee+s specifically indicated (munmum charge•half tour) $72.50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour *State Contractor 601101'Certification required for units 3-200k BTU. "Residential A/C requires site plan showing placement of unit. tldsts\formslmech-fees.dx 10/11/00 / Plumbing Permit Application � r� �• -- —_ Uat�received: ,. City of Tigard ►11„Ir"° Address: 13125 SW I bill Blvd,Tigard,OR 9722a Sewer permit no.: Huildingpermit no.: City of Tigard Phone: (503) 639-4171 l'roject/appl.no.: Expire date: Fax: 1503) 598-1960 Date issued: By: Receipt no.: Land use approvzI: _— Case file no.: Payment type: I h 2 family dwelling or accessory U Commercial/industrial i UMulti-family U Tenant improvement New construction U Addition/alteration/replacement U Food Service U Other: 04 lei MIX Jim i 1 1 Job address: _I)e.cription _ 9 -? Iy. Fee(ea.) Total Bldg.no.: Suite no.: Ncn I-and 2-family d1li lings only: --, Tax map/tax lnt/account no.: (inc{udes 100 f�.for r ach ulriil�coonr ctinn) Lot: Block: Subdivision: — SH?(1)h:uh SFR(2)bait - - —� - Project name: _ SFR(3)bath - — City/county; ZIP: _ Each additional balh/kitchea Description and location of work on premises:-- - _ Siteutllitles: _ Catch basin/arcu drain Est,date of completion/inspection: Drywells/1r—ach Hne/trench drain t Footing drain(no.lin.ft.) — Business name: Manufactured home-Zi 6 ties Addre _ U Manhole; - ss: '^ _ Rain drain connector — City: State ZIP: / Sanitary sewer(no.lin.ft.) �- Phone- Z _ f ax: E-mail: Storm sewer(no, CCB ria Lie' Q Plumh.hus.reg.no: — Water service no.lin. Ci(y/mctro lic.no.: - Fixture or Item: Contractor's representative signmurc:: Absorption valve Print name: Back flow revenler 1'it` Backwater valve Bnsins/Ir ata Name: Clothes washer — Address: - Dishwasher - — CityI I ,1i, -- Drinking fount afn(sj -- Phoney— Ejectors/sum —_ x ansion tank Fixture/sewer cap Name(printf Fluor drains/Iloor sinks/Itub -- Mailing add,,._.,, —-- Qarba a dis disposal — City_ ZIP: — Nosc bibb_ -- — — — -- _—_ _ Ice mer -- Phone: Fa+ — — E-mail: akIntcrcep, rease trap — — owner instal lation/residentiai maintenance only: The actual installation hrimerks)will be made by me or the maintenance and repair made by my regular Roof orain(commercial) -- employee on the property I own as per URS Chapter 447. Sin (s;, ,TuQin(s),lays(s) Owner's si nature: Date; SunJl — I un!/shower/shower pan — — Name: Urinal Address: -- at cr closet Cit Merl cater _ Y,_ _ State: ZIP: Other: Phone: —�Fnx: -- - E-mail: — ora -- Not all judadiePoxn_reap_rnrht cards,pleati;cell judedicdon fa mae informrHan. Minimum fee................$ U Visa U Mastercard Notice:11iis permit application Ctedit card numht•r__ expires if n permit is not obtained Plan review(at _ %) $ - within 190 days after it llaa been State surcharge(8%)....$ _ TOTAL anptnr u Ahown on credit—ca-7— acreptr d a complete. •.••................... Nome of -- Ca_ho-1der signatute _ s Amount PLUMBING PERMIT FEES: TAMOU _ New 1 and 2-family dwellings only: I PRICE TOTAL FIXTURES (individual) QTY ea' (Includes all plumbing fixtures in AMOUNT t6 60 the dwelling and the first100 ft. CITY (ea) Sulk _ for each utilit connection ---- 1560 ___ One(1)bath $249.20 16 60 1wq bath $350.00 _ Tub ort TublShower Co, b. — --- Three(3)bath $39�:00 __ J 16.60 Shower Only — ----- Water Closet — 16.60 CUBTOTAL _ _ -- 1660 8%STATE_SURCHARGE — __ Urinal — v _ — 16 60 PLAN REVIEW 25°/.OF SUBTOTAL — Dishwasher — TOTAL Garbage Disposar 16.60 -- — 16.60 Laundry Tray 16.60 Washing Machine Floor Drain/Floor Sink 2" - ,s.so PLEASE COMPLETE: 3" 16.60 47---- " - 16.60 _ _ _ — Quantity V Work Performed Water Healer O conv.rsion O like kind 16.60 Fixture Type: New Moved Replaced Removed. Gas piping requires a separate mechanical Capped ermit' 46.40 Sink MFG Home New Water Service Lavatory MFG Homo New San/Storm Sewer 46.40 Tub or Tub/Shower Hose Bibs 16.60 Combination _ Roof Drains 1660 Shower Only —_-- 16.60 Water Closet Drinking Fountain Unnal -- Other Fixtures(Sp city) 16.60 Dishwasher -- -- 3arba a Dis oral Laund Room Tra Washin Machine Floor Orain/Sink: 2" — Sewer-1 al 100' 55.00 3" —__ 4" Sewer-each a46.40 dditional 100' Water Heater Waley Service-1st 100' 55'00 Other Fixtures Water Service-each additional 200' 46.40 S evil Storm&Rein Drain-1st 100' 55.00 _ -- Storm 8 Rain f)raln-each additional 100' 46.40 Commeiclal Back Flow Prevention Device 48.40 Residential Backnow Prevention Device' 27.55 _ atch Basin 16.80 C Inspection of Existing Plumbing or Specially 72.50 Re9uestocl Ins actions army COMMENTS REGARDING ABOVE: _ Rain Jraln,Bingle family dwelling 65.25 Grease Traps 18.80 _ QUANTI—TY TOTAL -- Isom,iric fir riser diagram Is roqulred if — — �urntN *SUBTOTAL 8°/.STAtE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only It fixture t total le>Q TOTAL S *Minimum permit two Is$12 50•8%state surcharge,except Resklential Backflow Prevention ocviee,which Is$36 25+8%Stale surcharge "All Now Commemist buildings require plans wNh Isometric or riser diagram and plan review is\dsts\forms\plm-fees,doc 10/10/00 Electrical Permit Application Date receivad: Permit no.: City Of Tigard Project/appl.no.: Expiry date: City,ffTjj o,/ Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Recctpt no.: Phone: (503) 639-4171 _ Fax: (503)598-1960 Case file no.: Payment type: Land use approval: OV PERM 11- IN &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ew construction ❑Additinn'altcratirnt/replaccnunt _3 Otltrr ❑Parti�l 1 Job address: �` i ,� C 13!dg.no.: Suite no.; Tax map/tax lot/account no.: Block: Subdivision: Project name: Ikscription and location of work on premises: Estimated dale of rotnplrtitnthnspccUun: —^--- 1 1 Job n0. _ Fee Max Business nama: IMscriptiuu Q4. (ea.) lbtal no.hap Address: o,o � ew rrsidenlial-single or multi-fatuity per 1= s.!� li dwelling unit.Includes attached garage. City: e1,/c/ei --_^e-rse StilleirjIr I ZIP: Servlceincluded: Phone: p y Fax;d,�z� •-email: -- IIx)0 sq.fl.or less 4 CCB no.: d��/�` Elec.bus.lic.no:.7LF 9r Each additional 500 sq,fl.or portion thereof -- --— Limited energy,residential 2 City/metro hC.n0.; Limited energy,non-residential 2 Fach manufactured home or modular dwelling Si nature of supervising electrician(required, Scrvicr an,/or feeder Sup.elect.name(print): 1 t,.,.r,s,•n„ /� Services orfeeders-•installation, r'. alteration or relocation: 200 maps or less 2 Name(prim): 2111 amps to 4(x)amps 2 -- 401 snaps to 6110 amps 2 Mailing aridrrss: 601 amps to IIxN)amps 2 City; Stale: LIP: — I Over 1(100 amps or votes 2 Phone: IFax: 1 E-mail: Rmonnrctonl i Owner instrllation:'The installation is being made on property I own Temponryservices orfeeden- which i•,m.tt intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ()RS 417,455,479,670,701. 200 annps or less 2 201 amps to 400 amps 2 UN't1C1''S Sirwilt re: _ Dam: 4011.)6W ams --- 2— Branch circuits new,alteration, Nanta: or exlension per panel: -- A. Re tun branch circuits with purchase of AddrC9s• service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without pu chase of service or feeder fee,first branch circuit: 2 Phone: I;,, E-rtuul _ Ilnch additional branch circuli: Misc.(Betula or feeder not Included►: U Serv,:cover 225 amps w,nn rn ,d U Health-care(ac 11111 !.:tete punnp or intgation uncle 2 U Seryice over.320amps-rating of 1&2 U Hazardous location Each sign or outline fighting 2 fonillydwellings U Building over 10.000 square fcetfour or Signal circuit(s)oralimited energy panel. U System over 6W volts nominal more residentia!units in one structure alteration,orextension' 2 U Building over lhrcrstorics U Frcders,400annpsorIncur I1lescn sum U Occupant I-ad liver%perso-is U Manurectured structures or RV park perch additional Inspection over the allowable In any of the abort U i:gmasAi,•hlingpl:n U other. Per inspection — Submit___sels of plans with onv orthe above. Investigation fee The above are not applicable to temporary conorucliun itmice. (ether j,wl all Judsdicnuns accept credit cards,pleaw call jurisdiction for roma Information. Notice:'Illis permit application Permit ice.....................$ U Visa U Mastercard expires If a permit is not obtained Plan review(at — '9') 11 Oedn card number__— _ ---/-- within 1811 days after it has been State surcharge(81A) ....1i ns accepted as complete. TOTAL 4 Nerve n car I"pi r as s wn on crrr It can ---- ----- l'm Iho�Jer sisnrlurr --�� s Amount-- -— 44,461 s IWWOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: — _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY --- - --- Num' of tnspecrinn;per permit allowed --- Restricted Energy Fee...................................................... $75.00 ' (FOR ALL SYSTEMS) Service ;ncluded: Itenis Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less `_ $145 15 4 ❑ Audio and Stereo Each additional 500 sq ft or portion thereof $33.40 1 Limiled Energy $7500 ❑ Ourylar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $9090 _ 2 �❑ Garage Door Opener' Services or Feeders — ❑ Heating,Ven6iation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.302 201 amps to 400 amps $106.85 ^ 2 El Vacuum Systems' 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts _ $454.65 2 Reconnect only $66.85_ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,of rolocation Fee for each sysiem.......................................................... $75.00 200 amps or less _ _- $66 85 2 (SEE OAR 919-260-260) 201 amps to 400 amps _ $100.30_ 2 401 amps to 600 amps _ $133 75 7 Check Type of Wt rk Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audi. and Stereo Systems Branch Circuits Now,alteration or extension per panel ❑ Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder foo. Each branch circuit —__— $6 65 2 Data Telecom munlcatlon Installation b)The foe for branch circuits without purchase of service or feeder fee. F-1 Fire Alarm Installation First branch circuit $46.85_ Each additional branch circuit —v $6.65 ❑ HVAC Miscellaneous ❑] Instrumentation (Service or feeder not included) Each pump or irTigatioii circle _ $53.40 Each sign or outline lighting _ $53.40 _ ❑ Intercom and Paging Systems Signal circult(s)or a limited energy �— panel,alteration or extension _-! $75 00 ❑ Landscape Irrigation Control' Minor Labels(10) $12500 Each additional Inspection over ❑ Medical the allowable In any of the above Per Inspection $62.50 Nurse Calls Per hour $6250 --- -In Plant _ $73.75 ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees ❑ Other BN State Surcharge $ - --- _Number of System,;; 2511,Plan Review Fee See"Plan Review"sect,,w on $ No licenses are required Licenses are me,,,nred for all other Installations front of application Fees: Total Balance Due $ Enter total of above fees $_ ElTrust Acr ount#—_.--_ 8%State Surcharge $_ Total Balance Due $ 0d%tslfer•m0elc-fees.doc 10AYAM g o _ 15.00' _ -- � I � SOT # 32 I 0784 SQ FT �- I I f I I 1 I - 1i� I � CC' I PAr>ri PROPOSED 1 10 7ESIDENCE FLAN 1624% RCH WALK ` I � A' MGN l^� oa E h�L (/___ /b -45.42' Q 0 SW 129TH AVE. S"/Or1 Dom-&Wvo i-Z 5uN'Ci DESIGN,PK:.is NC}I Er OP tR PRY FORW O If S F [ SOI F.I*SPC>tJ9IlAITY OF T}4: 1041. DfJ 71�X1 CODE?t0 .t#A Alt SIZE 10 9E ATli -ED 06 CC7rLDiR�hS.tVGLUDINC ANY FL rl PLA OQNF THE Srtt.AND hF((4ODD ?A110 y POTBYTIAI , /�o,r- CITY OF TIGARD 13125 S.W. HALL BLVD. i IGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING 1445 SE OREGON STREET SHERWOOD, OR 97140 Plumbing Signature Form Permit #: MST2002-00146 Date Issued: 3/21102 Parcel: 2S104DA-04600 Site Address: 13299 SW 129TH AVE Subdivision: QUAIL HOLLOW - WEST Block. L-ot: 032 Jurisdiction: TIG Zoning: R-4.5 Remarks: SIF Path 1 Your company has been indicated as the plumbing contractor r ltrrr�ompardiy sign belowran'dfretuhn te plumbing permit to be valid, please have the appropriate individual fromYo this Plumbing Signature Form prior to the start of the work to the address above, ATTN Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER. ri.l. MBING CONTRACTOR: ECK CONSTRUCTION INC NORTH STAR PLUMBING Phone #: Phone #: 625-2679 Reg #: I Ir. 00090697 E3lIM 34-255PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sign ure Authorized Plumber of If you have any questions, please call (503) 639-4171, ext. # 310 ELECTRICAL PERMIT- RESTRICTED ENERGY C[T Y O O G,AR D DEVELOPMENT SERVICES PERMIT#: ELR2002-00084 131[5 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/14/02 PARCEL: 2S104DA-04600 SITE AL)DRESS: 13299 SW 1291-H AVE ZONING: R-4.5 SUBDIVISION: QUAIL HOLLOW - WEST JURISDICTION: TIG BLOCK: LOT: 032 Proiect Description: Low voltage. All encompassing. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER.: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDCOR t_ANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL,#OF SYSTEMS: Owner: —� Contractor: ECK CONSTRUCTION INC ECK CONSTRUCTION PO BOX 204 PO BOX 204 SHERWOOD, OR 97140 SHERWOOD, OR 97140 Phone: Phone: 503-62.5-1305 Reg #: LIC 114755 FEES _ Required Inspections Type By __Dato Amount Receipt Low Voltage Inspection 5PCT T-R 5/14/02 $6.00 2720020000 Elect'/ Final C PRMT CTR 5/14/02 $75.00 272000000 'Total $81.00 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 it work is not started within 180 days of issuance, ,r if work is susnpnded 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 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 2.46-1987 Issued by I a>L ��_ Lia_ 1r/ __ Permi'tee Signature OWNER INSTALLATION ONLY _ The Installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: — _— --_ - -----_ __ _ DATE:___________ CONTRACTOR INSTALLATION ONLYSIGNATURE OF OF SUPR. ELEC'N DATE:^ Y__ LICENSE NO: - _._—_ --_.---- . .------- - — -- - Call 639-4175 by 7.00 P M. for an inspection needed the next business day ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: -- --J—� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: !-- Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less _ $145 15 _ 4 Audio and Stereo Systems' Each additional 500 sq ft or portion thereof v_ $3340 1 Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular El Garage Door Opener' Dwelling Service or Feeder �^ — $90 90 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps nr less _ $80.30 2 Vacuum Systems' 201 amps to 400 amps — $106,85 2 y 401 amps to 600 amps $16060 2 Other 601 amps to 1000 amps $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only $66 85 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or releeder Fee for e�,•h system.................................................... .... $75.00 200 amps or less $6685 _ 2 (SEE OAR 918-260-260) 201 amps l0 400 amps _ $tr'n 30 _ 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, r see"b"above. l� Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension per panel El a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder lee. f � Each branch circuit $665 _ _ 2 L_ l Data Telecommunication Installation b)1 he fee for branch circuits without purchase of service Fire Alann Installation or feeder lee. First branch circuit $4G W' ---.—.--- HVAC Each additional branch circuit $665 __. Miscellaneous `— Instrumentation (Service or feeder not Included) I_ Each pump or irrigation circle ___ $53 40 _-� Intercom and Paging Systems Each sign or outline lighting _ $53.40 _ Signsl circutl(s)or a limited energy panel,alteration or extension �^ $7500 Landscape Irrigation Control' Minor Labels(10) _ $12500 f , Medical additional Inspection over ❑ the allowable In any of the above Nurse Calls Per Inspection J F $b2 EO Per hour $6250 __ In Plant $73 75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Other 0%State Surcharge $ - Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other installations Sen 'Plan Review"section on $ front of application Fees: Total Balance Due $ _ -7 Q ) Enter total of above fees f � — -_ ❑ frust Account ft _ 8%State Surcharge $ Total Balance Due S i\dsts\fomu\elc-fees doc ON07/01 Electrical Permit Application Datcreceived.: /d (j2 Permitno.;t-' rPLb -d0 ,g City of Tigard Project/appl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,(JR 9 { Date issued: g ; Phone: (503) 639-4171 Y' Receipt no.: Fax: (503) 598-1960 ')� Case file no.. Payment type: Land use approval: _ TNOE 01; PERMIT rgJ &2 family dwelling or accessory U Commerciai/industrial U Multi-family U Tenant improvement 54 New construction U Addition/alteration/replaccnu•ml U(flier: U Partial JOB SUIT INFORMATION Job address: J %<'_ l� �, ftldg. no.: tiuuc no.: Tax map/tax lot/account no.: Lot: block: Subdivision: �. Project name: Description and ocation of work on premises: - Estimated date of completion/inspcclion: �y — Job no: CONTRACTOR APPLICATION IIEL' SU111111"PULE Mas Business name: Ile,cription Qlh. (ea.) Total no.in,p Address: d C*j - Ne"rr,itknrial-,intik•or nudii-launih IWr dtsrllinl; mlr unit.Incls altaviwil gArage. CIIY: State ZIP.- �/ Senitrincluded: Phon• f'.- :7Ol" Faxly'< — s"' mail: 1(xx)sal h „r less 4 CCB no.: / face.bus,tic,no: Each additional 500 sq.fl.or onion thereof LI limited Crlefgy,residential City/InClro tic.no.: 2I.nnnedenergy,non-residential 2 per_ Each manufactured home or modular dwelling Signature of sit rvising electrician(required) bale Service and/or feeder 2 Sup.elect.name(print): License no: Services or feeders-Installallon, alteration or relocation: 1111,1151011 Eta 200 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to I(XX)amps 2 City: Stale: ZIP: 7,own Over 1000 amps or volts 2 Phone: Fax: Email: Iteconnectonly i (caner installation:The installation is being made on property Temporaryservicesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installatlon,alteration.orrelocation: URS 447.455.479,670,701. 21x1 amps or less -- 2 201 amps as 4(1)amps 2 Owners sl nature: 1):nr 401 to O(NI ant s ---- - Branch circuits-nee,alteration, Name: or exlension per panel: --- ._— A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit CItY: _ Slate: 111' n fee for branch circuits without purchase Phone: Fax: F-mail: of service or fr-:der fee,first branch circuit: Lich additional branch ctrcuil: -- M lac.(Service or feeder n.-I Included): U Service over 225 amps-commercial U 11-111, .n i., l n I ach pump or anigauun circle U Service over 320 amps-rating of I&2 U Hac:udous laKuuuu Lach sign or onGine lighting -� family dwellings U Building over 10.000 Rjuare feet four(it Sirnal circwpsl or a limited energy panel, U System over6W volts nominal mato•residential units Inone+tmdtue alteration,orextension• U Building over three stories U Feeders.411(1 amps or more •I escn ttion: U Occupant load over 4t)peram U Manufactured structures or BV park Fich additional Inapecllon over the allowable In any of the above_ U F.grr s/lighaingplan J n 4hi _ ---- Perins cction — Submit.___ ,rt,of pian,sslth am of the stove InveF11 alion fee -_Tire above are not applicable Io temporsr)construction trerrlce. Other Not all Juristaeanns accept crcdir cauls,please call Jurisdiction fa trasr.Information Notice:This permit application Pernlit fee............... .....$ U Visa U MasterCard expires if n permit is not obtained Plan review(at _ %) $ Credit card number �_�_- within 180 days after it has been Stale surcharge(8%) ....$ —_ I.eplrrs - -�,- - -- accepmpete. .......................$ f �1 Name of cep o r u s own tut c fl r ted as colTOTAL )- _ Cardholder Amount 4104015(bt10ICOM) CITY OF TIGARD 24-Hour y` z BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST u _ BUP Received --,._Date Requested_ � � tKA _ PM -______ BLIP Location j 3 ZSuite_ MEC Contact Person _— .�— _ _ S ✓ Ph(—) 7- z PLM _ Contractor _ _-. Ph (_ ) -__ SWR BUILDING t,mnt/Owner - _ ELC Footing ELC Foundation ---— _-- Ftg Drain Access: ELR E- _Z51L)U �� Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - -- — Firewall , Fire Sprinkler - --- ---- Fire Alarm Susp d Ceiling - v Roof Other: Final PASS _PA_RT FAIL PLUMBING_ Post&Beam -- - ---- — Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers =incl PASS PART FAIL EC - Sere ce Rough-In _—�-- —� --� UG/Slab FireAlarm �------------ ------------ ---------------- ---.—__— —_ WIN [1 Reinspection fee of$ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSA PART FAIL Please call for reinspection RE: — Unable to Inspect-no access Fire Supply' 'ne ADA / Approach/Sidewalk Date / ! �� Inspector , Ext Other: Final �— DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL