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13327 SW 129TH AVENUE w w N N �D s D C fD C t9 13321 SW 129"' Avenue CITU' OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 �( 1 ' 3up - - L/ Received ___ — Date Requested-. ~� _ AM/6 PM Blip -- --- Lucation _____ V Suite MEC — —_ - ----------- /tom — ®e gvw lzst Contact Person Ph(--,) ---- Contractor. _— -- Ph( 1 __.-- -. -- SWR - BUILDING Tenant/Owner ._-.__._.--__ _- - ELC Footing Y ELC Foundation Access: Fig Drain ELR - Crawl Drain SIT Slab Inspection Notes: -- Post b Beam - - - Shr a Anchors Ext;heath/Shear - -- = Int S%jath/Shearhear Framing - -- Insulation Drywall Nailing - ----- - _ ` -�- Firewall Fire Sprinkler ----- --- Fire Alarm _ uspd Ceiling - -- --- - ---- - Roof Other. Final PASS PART FAIL - PLUMBING - -- -- - Post& Bsarn Under Slat -- ---- -- ---- Rough-In Neater Service - ---- - - Sanitary Sewer Rain Drains -- - ---- "---- - Catch Basin/Man.Je Storm Drain ------ -"- ---- Shower Fan Other: - ' _ . -- ---- - - SS PART FAILMMIR ---- -------- - - ---- _ANICAL ------_,....---- - - - - Post&Beam - Rough-In -------- --- ------ - -- - Gas Lire Smoke Dampers ------.. --- -- ---------- --- - Final PASS PART FAIL_ ------ ----"_.---- - - - -- - -J ELECTRICAL --- Service Hough-In ---- - -- -- - - UG/Slab Low Voltage - Fire Alarm Final ❑ Reinspection fee of$- required before next Inspection. Pay at City Hall, 13125 SW Hall BK- PASS PART FAIL SITE Please call for reinspect`on RE:-. n Unable to inspect-no access Fire Supply Line DAoach/Sidewalk 00%.(A 14-�- a' lM - Inep4or A PP Other: Final - DO NOT I!ltMOVI thlo IftePootlon r000rd fro111 the jolt She. PASS PART FAIL 4 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST _ --- -- INSPECTION DIVISION Business Line: (503) 639-4171 L_iP - - �^ Date Requested � — BUIP AM-------- PM— Received— -. Suite MEC Location —_! —_ Ph(—) '� �U�� PLM Contact Person _ _ SWR — Contractor- — Ph(_ ) ELC - — BUILDING Tenant/Owner _ — — ELC Footing _ Foundation Access: ELR Ftg Drain —_ Crawl Drain SIT Slab inspection Notes: Post&Beam Shear Anchors _ Ext sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall — — Fire Sprinkler — Fire Alarm Suspd Ceiling Roof _ -- Other: _— Final _ `— PASS PART FAIL _ PLUM13INGi -- -- Post 8 Beam — t Inder`;iab ----- `-- Rough do Water Service --- Sanitary Sewer Rain Drains ---—�— Cawh Basin/Manhole _ --- Storm Drain — Shower Pan — Other:,_—_--_- Final — —— - —--- — PASS_PAR_T FAIL _ MECHANICAL_ ---- ---- ---- - -- --- — Post&Beam — -- Rough-In —---------_ .—_ ------- Gas Line -- Smoke Dampers —--—— '---- Final ----.----- — ----- PASS PART FAIL — ELECTRICAL -- Service Rough-In UG/Slab - UG/Slab — o Volta -- ------ — Ire arm FI Reinspection tee of$_ required before next Inspection. Pau at City Hell, 13125 SW Hall Blvd. PASS PART FAIL Unable to inspect-no access S Please call for reinspection RE:__ - Fire Supply Line �,. IKxt ADA �__Z= Inspector" —9' -- Approach/Sidewalk t 0OW 2 — Other: ___ DO NOT REMOVE this Inspection record from the Job 61te. Final PASS PART FAIL CITY OF TIGAND 24-Hour BUILDING Inspection Line: (503)639-4175 MST IINSPECTION DIVISION Business Line- (503)639-4171 BUP — — Received _Date Requested_ AM— PM _ BUP Location . —T—2) 1 —`� r�� — Suite_ MEC Contact Person —__ Ph(--) 2 S-G G PLM _ Contractor Ph SWR BUILDING _ •fenant/Owner -- ----- _ Ei.0 Footing ELC Foundation Access: ELR L Fig Drain Crawl Drain SIT Slab Inspection Notes: Post&Beam -------- --- —_-- --- Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof _ — - Other: .� Final PASS_PART FAIL - -Post&Beam p�r,)N 1�1�, 0 �^1'ALI � CA" Under Slab Rough-In Water Service — - -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Yt Other:.. -— -- — -- Final PASS PART FAIL MECHANICAL Post _ _. ------ ----- Post&Beam Rough-In -- - —_--' Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In w VOlte as Fire n [] Reinspection fee of$._ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FALL SITE Please rail for reinspection RE: Unable to inspect- no access Fire Supply Line ADA �`--` Ext Approa ch/Sidewalk _ — IllipeOtOi`�L - Other: Final DO NOF REMOVE this Inspection record from th ob site. PASS PART FAIL ! 414 V � ► ! '4 �' ! 0 . ! Eoil- ►�- O p 7 O ► .44 rb 44 S�5 tr1 M o O � 1 ► I\4 pill C� ! 44 ► _ __ _ nG z 0 0 a w O a p� ro 4 5r H "h O � O � J 0 CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested AM--- PNI BUP Location — j_:;L -suite—__ MEC — Contact Person ._ f�1Ph(--) _2 �. ? '� PLM -- Contractor_ _ _ —_ Ph(-- ) SWR — BUILDING Tenant/Owner _ _ ELC Footing _ Foundation Access: ELC Ftg Drain Crawl Drain - rjti��T��r ELR Slab spection Notes: SIT Post&Beam --- -- Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear - -- - Framing - Insulation - - Drywall Nailing - Firewall - - Fire Sprinkler ---- --. _-- _ _ Fire Alarm --- Susp'd Ceiling - ----._--- -__ _--- Roof -- --- Other:---- - - -- -- ---- ------------ --- ---- �inal PASS PART FAIL �-`--- ----- - -- __ PL04BING Post& Beam ---- ----- ----------- -- - ___-_ Under Slab Rough-In -- - ---- - -- Water Service -------- Sanitary Sewer - - Rain Drains Catch Basin/Manhole _ -- Storm Drain ---- - - - --- _------ ------ Shower Pan - - -- Other: ---- - --- -- - -- mah MEMPARTFAIL -- --- -------- - - - ----- A—NICAL--- Post&Beam --- -- -- --- -------- - Rough-In Gas Line -- --- - ----- --- ---------- Smoke Dampers ---__ _-- Final --------_-_._--- PASS PART FAIL ---- -----------_-,.---__-_-- v- ELECTRICAL Service -- --- -- - - Pough-In UG/Slab ---- _ -- ----- ------- Low Voltage Fire Alarm - ----- - -__.-- ----__ Final EJReinspection fee of$�- required before next Inspection. Pay at City rlall, 1,1125 SW Hell Blvd. PASS PART FAIL SITE _ i___I Pleess cell for rainspection RE:—_____ __ ❑ Unable to inspect-no access Fire Supply Line ADA ; - ? L Approach/Sidewalk Oats .d--_ Inspector /� _ yam- - ut Other: - Final —_ DO NOT REMOVE this Inspsetion record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 1 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP — Received -__ Date Requested -- 3 AM PM _ BUP I.ocation �_�Suite MEC Contact Person ph r 7 '2 L '�� PLM — - Contractor-_ r- Ph (— ) _ SWR _— BUILDING - TenantlOwner _ __- _ ELC _ _-- Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain — - - Slab Inspection Notes: SIT Post R Beam Shear Ar^.hors --— --- --- - ---- -- -- --- Ext Sheatn/Shear Int Sheath/Shear �- -- -- Framing -- ---- --- _ _ _ -------- - Insulation - Drywall Nailing ------ __- _�-__--_ _-- ---------__--. Firewall Fire Sprinkler --- - -------- --- - -- ----- - - - -- Fire Alarm Susp'd Ceiling ------------- ----- ---- - - -- ------ ----- Root er. ------ ..._ ----- ---------- F LOOK PA PART FAIL -- ---- - -------- ---- -..------------- ----FAIEUMBING Post&Beam Under Slab ------- - _ --- - -------- -_ ---- Rough-In Water Service Sanitary Sewer _---Y- --- ---------- Rain Drains --- --- --- ------ -- --- -- - - - ---------- Catch Basin/Manhole Storm Drain -- ---- - -- --- -------------- _- ---- - -—__-. Shower Pan Other: -- `__ ------- - - -- -------------- Final PASS PART PART FAIL - -----MECHANICAL Post&Beam Rough-In Gas Line Sp4e Dampers --- ------ ----------- --- - Fn -- --- — ------ ------ - - PART FAIL ELECTRICAL Service -- -- ------- - Rough-In UG/Slab -----— -- -- - - - -- -.._—_ Low Volta f v Fire e.!:,im --- -------------------- — ---- -------- Final r PASS PART FAIL C] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE LJ Please call for reinspection RE:_- _ --_ Ll Unable to inspect-no access FIre Supply Line �,�� ADA2 y10 •� n Approach/Sidewalk Date L Inspector -- _ _-- Ext -___-. Other: Final DO WH REMOVE this Inspection record from the jab site. PASS PART FAIL CITYOF 1 I GA R® PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00184 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/23/02 SITE ADDRESS: 13327 SW 129TH AVE PARCEL: 2S104DA-04400 SUBDIVISION: QUAIL 'IOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 030 JURISDICTION: TIG CLASS Vi:"'IORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF ;ISE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GR?: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH LASINS: FIXTURES �— LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS- GREASE TRAPS- LAVATORIES: OTHER FIXTURES: rIIBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of residental backflow preventer. Owner: — — — FEES_ --_-- ECK CONSTRUCTION INC Type By Date Amount Receipt PO BOX 204 PRMT CTR 5/23/02 $36.25 27200200000 SHERWOOD, OR 97140 5PCT CTR 5/23/02 $2.90 27200200000 Total $39.15 Phone 1: 503-625-130: Contractor: GROVER'S LANDSCAPE SERVICES 26485 S. MERIDIAN RD. AURORA, OR 97002 REQUIRED INSPECTIONS Phone 1: 503-678-1796 RP/Backflow Preventer Reg #: LIC 11807 Final Inspection This permit is issued subje,-t 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 its not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law rerluires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987, Issued By: f y, << Permittee Signature: s,f I - Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day PA Sl 200 -00 SG� Plumbing Permit Application City of Tigard � Datereceived: Per nit no.: Address: 13125 SW Hall Blvd,Tigard,OR 9722- Sewer permit no.: Building permit no.: Cirynf77gard phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax. (503) 598-1960 cr'? Date issued: Ry:g Jb Receipt no.: Land use approval: Case file no.: Payment type: U 1 &2 family dwelling or accessory ❑Commercial/i,ldustrial 0 Multi-family .f�J:Ncw construction U Addition/altcratiori/rcpluccment U Food service U Tenant improvement U Other: t ; t L, —n ress: r �' 1 !`Cts Descriesion ' .: Fee ea. Total __ Suite no.: — Ne" I-and 2-family dwellings only: p/tax louaccount no.: (Include,#1000.foreachutilityconnection) Block: SSFR(1)bath ame: SFR(2)bath• — SFR(3)bath nty: r A'Jt , ZIP: Eion and location of work on premises: —tit Slteulllltles: /1 � � Catch basin/area drain of completionhwq •coo n: - Dr wells/leach line/trench drain 4141 t , Footing drain(no. lin.ft.) Business name: > Manufactured home utilities ��(7t/`t'iVc� �A'x�tJE� Address: �{ylanhulcs — — C+�Y 2Ur2•¢ Rain drain connector State(�/L ZIP; UGC ` Sanitar sewer(no.lin.ft.) Phone:50; 6 78'-/7y6 Fax: E-mail: / Storm sewer(n(I.lin.ft.) CCB no.: // Plumb,bus.reg.n Water service no.lin. ft.I -- City/metro lic.no.: Fixture or Item: Contractor's representative signature: Abso on valve Date: Back llow reventer — - Backwater valve -- — Basins/lavatory --- Name: / �TZIL)1/�/Z Clothes washer Address: KV1„r71 l t 11 Dishwasher City: L-�U/Z State: ZIP; Ot7 Z Drir.kin�founlain(s) Phone: < r Fax: E-mail: E cctors/sump Expansion tank Fi;ture/sewer cap Name(prinq:_ /4 �15� floor drains/Iloor sinks/hub Mailing address: ��/ ? — Garbage dis sal City: i ( 1Stater'!C ZIP: Hose hibb Phone: Fay: e ma er E-mailE ntatl: nterce tor/ rease trap Owner installation/re�idential maintenance only: 1 he actual installation will he made by me or the maintenance and repair made h m regular Primers) employe on Ute property I own ds per ORS Chapter 447.Y Y re g Roof drain(commercial) Sin (s),basin(s),lays(g) Owner's si nature: Date: Sum - Tubsishnwcr/shower an — Name: Urinal _Address: - — Iter closet — ('ity: State: I ZP- Water heater — _ Other; Phone: Fax: E-mail: Ntx all iudadicti ms accept credit cnrdr,pleat call jurisdiction ror nae Inronnatlon. ❑V1 Is U MasterCard Notice:This permit application Minimum fee................$ Credit card nunher. ' expires if a permit is not obtained Plan review(at _ %) $ _ - �/ within 180 days aver it has been State surcharge(8%) ....$ Name of cardhohkr u shown on credit 5W-- accepted as complete. TOTAL $ — t'ardholder dgnalure s Alrbunt 410-4616 IMM-OM1 PLUMBING PERMIT PEES: PRICE TOTAL New 1 F d 2-family dwellings only: FIXTURESindividual _ __ _ QTY 'ea AM_O_UNT (Incl, es all plumbing fixtures in PRICE TOTAL Sink - 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT -- for each utility con 10 Lavatory 16.60 One(1)bath _ 0249.20 Tub or l ub/Shower Comb. 16.60 Two 2 bath - $350.00 Shower Only 16.60 Three 31 bath $399.00 Water Closet 16.60 - _ SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage r)i5nr`sdl 16,60 TOTAL -L Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" - - 16.60 PLEASE_ COMPLETE: 4" 16.60 __ Water Healer O conversion O like kind 16.60 r Quantic by_Work Performed - Gas piping requires a separate mechanical Fixture Type: New M(,%-d Replaced Removed/ permit. MFG Home New Water Service 46.40 Sink MFG Homo New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only - Drinking Fountain 16.60 Water Closet _ Other Fixtures(Specify) 16.60 Urinal Dishwasher _ Garba a Disposal _ Laundry Room Tray___ -�-- Washing Machine _ Sewer•1st 100' 55.00 Floor Drelti/Sink: 2"- 3" ------- :,ewer-each additional 100' 46.40 _ 4" Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200 4640 Other Fixtures Storm&Rain Drain-1st 100' 55.00 (Specify) `-- Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 - - Residential Backflow Prevention Device' 2755 Catch Basin 16.60 - -- Inspection of Existing Plumbing or Specially 62.50 Requested Inspections or/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 -- Grease Traps 16.60 QUANTITY TOTAL -' Isometric or riser diagram Is required If -�- Quantity Total Is >B 'SUBTOTAL -- - - -- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>0 r7 TOTAL 5 *Minimum permit fee Is$72 50+B%Mate surcharge,except Residr•rtlal Bac"ow 1-evention Device,which Is fie 25+0%state surcharge "All New Commercial SWIdings require 2 sets of plans with Isometric or r or diagram for plan review is\dsts\formMplm•fees.doc 12'26/01 TY OF 1 A ----- ELECTRICAL PERMIT- CIRD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00,"d 13125 SW Hal; Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 5/17/02 PARCEL: 2S104DA-04400 SITE ADDRESS: 13327 SW 129TH AVE SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4 5 BLOCK: LOT: 030 ,6RISDICTION: TIG .'roiect Description: All encompassing low voltage. A. RESIDENTIAL _ B.COMMERCIAL ---- AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LAN DSCA('E/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC 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: 503-625-1305 Phone: 50"'-625-1305 Rey #: LIC 114755 --_---- _ FEES Required Inspections - - _Type _By Date Amount Receipt Low Voltage Inspection PRMT CTR 5/17/02 $75.00 2720020000 Elect'I Final 5PCT CTR 5/17/02 $6.00 2720020000 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 if work is not started within 180 days of is wance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requifesyou b fonft rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -001 0010 through OAR 952 1, 80. You may obtain copies of these rules or direct questions tr OUNC at (503) 46-1987. sued by I\ T Prrrnittee Signature . OWNER INSTALLATION ONLY The installation Is being made on property I own which Is not Intender, for sale. I^ase, or rent. OWNER'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 husiness day Electrical Permit Appl-ication „ate received: - �� o� Yermitno.: -t �, I'rojecUappl.no.: Exp a date: city of Tigard H Receipt no.: Address: 13125 SW 11,111 Blvd,Tigard,OR 97223 1)ate issued: ) ('ir1 )I Tigard type: meal Pa t e' Phone: (503) 639-4171 ('ase file no.: y Fax: (503) 598-1960 + Land use approval: M all r�l T13 A I Multi-family Tenant improvement fa I lk 2 family dwelling or accessory 0 Commercial/industrial Partial 7A New construction U Addition/alteration/rcplaccntcltl J Other: — ( I Bldg.no. Sulk nu,: Tax 111:111/,;Ix lot/account no.: -- Joh address: Lot: Block: Subdivision: -- Project name: Description and locution of work on premises: Estimated date ill'cun,plt•tion/inspection: 1 1 ' Fee Max p _ _hescriptiun Qtv. (en.) Total no.ins Job 0: _.+' L�s,JY�^ �•�l Gl Ne”n•cidential-single or north-Iaillih III l` Business nam : s-�h/ dncllint;un±r.In!lurks attachtvl I;ara{;e. Address: ,. Service In,lolled: — TSIatc ZIP . 7/�i'> 4 City: I(IlNlsq It .0 I,-th _ x: E-mail: PIA,Ite' Each additional SnO s ,fl.or purlirnr lhercul 2 CIC no.: l"10r' Elec,bus.hc,no: I.inutedenI, y.residential _ - 2 Limited energy,tion-resident±al City/metro lie.no.: Eachmmnufacturedhomeormorlulurd'aching 2 ��_•- ,lr_,..---sem At A Service and/or feeder Date Serrlca or feeder-Indallal Ion, 51 nature of i+upervising electric±nn(required) License no:— -- alteration or relocation: Sup.elect.name(print); _ ( 2 , � 1 2W amps or less 2 201 amps 1114! 2 Name(print): - 401 amps u,h(xI nmp�__ 2 Mailing,address: (sol umPsto Itxx)amP% 2 _ Over 1(0)amps or volts •– slate: ZIP: —. City__ Reconnect 11111 Phone-. Fax: E-mail: 'Temporarygcrrlca or feeder- 0 ner installation:The installation is being made on property I own Ing(nllation,alterstion,orrelocation: 2 which is not intended for sale,lease,rent,or exchange according it) 2(xl amps or less _ 2 ORS 447,455,479.670.701. 201 amps a,41x)amps _ 2 Date 401 111000 am s Owner's si inature: Branch clrcuits-neer,aherallon. "Fill I or extension per panel: A Fce fill branch ctrII with Purchase of 2 Name: service or feeder fee,each branch circuit Address: - R Nrr for hrnnch circuits without purchase 2 City: Stale: zip:-__. service ur feeder fee,first branch circuit — I:i I in,i11 EacIadditionalhranclleirm -- Phone.: �.(Service or feeder not IncludiI hill, Mach purr or irrignhon circle -;_- J Ilrulth-aur Iunln) F.uch 51 n or outrule It htin U Service over 225 amps•cuting octal U Iiatard11us location U Service over 12(1 amps-rating of INC=. Si nal circuiu s i or n I±roiled energy panel. 2 fnmilydwrllings U Building over I0.(HHlsW"nefeet raw or allrratlon,nrcitlension• U System over Gtxl vnhs nom±nal mote rrsidenna:units in our srtttcinn �_ --- U systding over thea stories U Feeders.4(10 amps or mon •Desert non' U Ckcupano over over to persons U Manufaclund structures it RV Park—-- Fich addltional Inspection over the allowable In any of above: U(xher _.__- III Inspection U EgnsnllightingPlI'll - -- Submit gets of plans with any of the above. InvesUgnUnn fee ------- construction service. other The above are not�ppl�cahle to temporary — Permit fee..................... ---•— Not all Juriulrcnctu r cel,1 rr:dU rarrU,please call iunxllrurx,fat ruse Inllnn,aliun. Nolicc '11tt..permit applicallon plan review(at expires if a permit is not obtained State surcharge (8%) •••.$ U Visa U hlnstet('ard L_ ,t"I'll" I Hl)days alter it hit sett TOTAL . F..pneit ---- Credit card nwnher ___.-------- -- acrrplCd as COmpICte. one cgrr n r as lihown on coli cud s J a,Jh l 5 1 r In Vl'r IM I ----- (•ardhol r r±Rnature ��— N�nt ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT rE'ES: TYPE OF WORM INVOLVED - RESIDENTIAL ONLY Fcom lete Fee Schedule Below: — .p Restricted Energy Fee...................................................... 575.00_ Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cast 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 it or portion thereof _ $33.40 _ 1 Burglar Alar Limited Energy $75.00 Each Manufd Home or Modula, Garage Door Opener' Dwelling Service or Feede $00,5u_ 2 Services or Feeders ❑ Heating,Ventilation and F it Conditioning System' Installation,alteration,or rek(.ation 200 amps or less ___ $80.30 2 Vacuum Systems' 201 amps to 400 amps — $106.8:; _ 2 401 amps to 600 amps _ $160 60 _ 2 601 amps to 1000 amps $240.9,0_ 2 LJ 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,or relocation Fee for each system................ .. .... ................ ........... .... $75 00 200 amps or less $6685 2 (SEE OAR 918-260-2E0) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $13075 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Ej New,alteration or extension per panel Boller Controls a)The fee for branch cii;;uits with purchase of service or ❑ Clock Systems leerier leo. ——Each branch circuit $6.65 F_� Data Telecommunication Installation b)The fee For brandi arruits without purchase of service Fire Alarm Installation or feeder feu. First branch circuit $46.E5 EDEach additional branch circuit _ $6.65 HVAC Miscellaneous ❑ instrumentation (Service or feeder not Included) Each pump or irrigation circle __ $53.40 _—- Intercom and Paging Systems Each sign or outline lighting —_ $53.40 Signal dreuit(s)or a limited onr,rgy panel,alteration or extension $75.00 Landscape Irrigation Control Minor Labels(10) _ $125.00 Each additional Inst ection ovor ❑ Medical the allowable In any of the above Per tnspecrlon $62.50 __ �f tiurse Calls Per hour $62.50 In plant — $7375 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8•/Stale Surcharge $ ___- __ __Number of Systems 25%r, Review Fre See i'an Review"section u i $ No licensee are required. Licenses aro required for all other Installations tart of application _ - --'—� Fees: Total Balance Due Enter total of above fees ❑ Trust Account p 8%State Surcharge $ Total Balance Due $- - i 41sts\fornn1-elc-fees.doc 06/07/01 C!TY OF TIGARD ',3125 S.W. HALL BLVD. TIGARD, OR 97223 0 VWA. EN r: IMPORTANT PERMIT NOTICE NORTH STAR PLUMBING �rv�c,tr�t� 1445 SE OREGON STREET SHERWOOD, OR 97140 Plumbing Signature Form Permit #: MST2001-00566 Date Issued: 12/31101 Para:!: 2151nAnA n1,100 v � rv � yvv Site Address: 13327 SW 129TH AVE Subdivision: QUAIL HOLLOW - WEST Block: Lot: 030 Jurisdiction: TIG Zoning: R-4.5 Remarks: Construction of new single family detached residence.Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from - our company s,gn below and return this Plumbing Signature Form prior to the start of the wor'< to the address above, ATTN: Building Dept. No plumbing inspections will be aut ,orized until this completed form is received OWNER PLUMBING CONTRACTOR: ECK CONSTRUCTION INC NORTH STAR PLUMBING ISO BOX 204 1445 SE OREGON STREET SHERWOOD, OR 97140 SHERWOOD, OR 97 140 Phone #: 503-625-1305 Phone #. 625-2679 Reg #: i ir. 60090697 P1 M 34-255PB AN INK SIGNATURE IS REQUIR DON THIS FORM C7, Sign tore of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITYO F TI GA R D MASTER PERMIT DEVELOPMENT SERVICESPERMIT#: NIST2001-00566 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/31/01 SITE ADDRESS: 13327 SW 129TH AVE SUBDIVISION: QUAIL HOLLOW - WES-r PARCEL: 2S104DA-04400 SLOCK: ZONING,: R-4.5 LOT: 030 JURISDICTION: TIC; REMARKS: Construction of new single family detached residence.Path 1 BUILDING REISSUE .STORIES 2 —_ f-LOUR AREAS REQUIRED SETBACKS_ �— CLASS OF WORK; NEW REQUIRED HEIGHT: 14 FIRST: "'.36' sf BASEMENT: of TYPE''F USE: SF LEFT: SMOKE DETEC igRS. Y FLOOR LOAD: 40 SECOND. of GARAGE: 672 sf FRONT TYPE OF CONST: 514 DWELLING UNITS. 1 - PARKING SPACES FINBSMENT: of RIGHT: OCCUPANCY GRP: R3 BERM: 2 BATH: tVAt.UE. 4 232,25560 TOTAL. 2.38700 of REAR: <0 �' -- PLUMBING SINKS: i WA,-RC �,6ETS: 3 WASHING MACH LAUNDRY TRAYS: RAIN DRAIN. ur, LAVATORIES: a DISHWASHERS: t FLOOR DRAINS. -- TRAPS: SEWER LINES: 100 SF RAIN DRAINS. t CATCH BASINS: TUBISHOWERS: GARBAUE DISP: 1 WATER HEATERS t WATER LINES: 100 BCKFLW PRF.VNTkGREASE TRAPS: MECHANICAL OTHER FIXTURES- FUEL TYPES FURN�100K. BOILICMP<AHP: VENT FANS: 4 CLOTHES DRYER I FURN>e100K: 1 UNIT HEATERS: H0003: 1 OTHER UNITS , MAX INP: btu FLOOR FURNANCES: VENTS: t WOODSTOVE3: GAS OUTLETS. , ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEE -R8 BRANCH CIRCUITS MISCE'LANEOU9 ADD-L INSPECTION" 1000 SF OR L E`S: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: III W/O SVCIFDR: OD SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: Ant 60o am,): EA ADDL OR CIR: 91GNALIPANEL: MANU HM/SVCIFDR: 601 • 1000 Sino: IN PLANT: 60 i•ampe•t000v: 1000•amp/volt: MINOR LABEL; Reconnect only PLAN REVIEW SECTION >.4 RES UNITS: SVCIFDR>e225 A.: >,X0 V NOMINAL. CLS AREA/SPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ AUDIO B STEREO: VACUUM SYSTEM B.COMMERCIAL AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING BURGLAR ALARMS OrH Ol1TDO0R LN09C LT: BOILER: HVAC: LANDSCAPEIIRRIG: GARAGE orENFR CLOCK; INSTRUMENTATION: PROTECTIVE SIGNL: HVAC: MEDICAL: OTHR: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner; Contractor: TOTAL FEES: $ 4,871.97 ECK CONSTRUCTION INC ECK CONSTRUCTION INC This permit is subject to the regulations contained in the PO BOX 204 PO BOX 204 Tigard Municipal Code,State of OFt. Specialty Codes and SHERWOOD,OR 97140 SHERWOOD,OR 97140 all other applicable laws. All work%III be done in accordance with approved plans. Thi.,permit will expire if work Is not started within 180 days of issuance,or If the Phor.o: Phone: work is suspended for more than 180 jays. ATTENTION: Oregon law requires you to folio N rules adopted by the Rep N: LIC 114755 Oregon Utility Notification Cerier. Those rules are set forth In OAR 952-001-0010 through 952-001-0080, you may obtain copies of these rules or direct questions to REQUIRED INSPECTIONS OUNC by calling(503)246-1987. FSewer n Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Ins Inspection Underfloor Insulation Plumb To Out h Mechanical Final P Exterior Sheathing Inst Rain drain Insp Plumb Final Insp Crawl Drain/Backwater E' Arlral Service Low Voltage Water Line Insp Final inspection tion Insp Footing/Foundation Dr; Electrlwl Rough In Gas Line Ins eam Structural P Appr/Sdwlk,nsp PLM/Underfloor Framing Insp Gas Fireplace Electrical Final (StiUed By : _ e Permittee Signature : _ c� �• ��. Call (503) 639-4175 by 7:00 p.m for an inspection needed the next business day SEWER PERMIT CITY OF TIGARD _ D12EVE!^ DATE ISSUED: 12/'31/01rMENT SERVICES PERMIT#: S /31/01 00318 135 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL.: 2S 104DA-04400 SITE ADDRESS; 13327 SW 129TH AVE SUBDIVISION: QUAIL HOLL-OW - WEST ZONING: R-4.5 BLOCK: LOT: 030 JURISDICTION: TIG _ TENANT NAME: USA 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 for new single family detached residence. Owner: _ FEES_ _ ECK CONSTRUCTION INC ^Type By Date Amount Receipt 4 O PO BX 20 -- PO BO J 04 97140 PRMT CTR 12/31/01 $2,300.00 27200100000 INSP CTR 12/31/01 $35.00 27200100000 Phone: 503-625-1305 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unifi3d Sewage Agenc;,. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does riot guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so l ncated, the installer shall purchase a "Tap and Side Sewer" Perm Issued by: _ _ Permittee Signature: •�� "'� Call (503) 619-4175 by 7:0) P.M. for an inspection needed the next business day 8 Building Permit Application — - "Daterr,ceiv1e"Wd:/,'7 (.-"City of Tigard ---- Address: 13125 SW Hall Blvd,Tigar,4,011-517223 ProlecVappl.no.: Expire date: City of Tigard - Phone: (503) 639-4171 Date issued: By: Receipt no.: Pax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: 1 XI &2 family dwelling or accessory U Commercial/industrial U Multi-family •' New construction U Demolition J Addition/alteration/replarement U Tenant imptovement U Fire sprinkler/alarm U OI'.er: �• Job address: /3' ,$""fc r Bldg.no.: Suite no.: Lot: I Block: Subdivision: Tax map/tax lot/account no.: S Project name: e Description and location of work on premises/special conditions: Name: '`� / r '► ,'� .i (Floodplain,seplic eapacity,solar,etc.) ► - Mailing address: ) -::77"07 1 &2 family dNelling: City: r' p Slate - ZIP 7 ! Valuation of work........... $ Phone - _ 1 ax: I E-mail: No.of bedrooms/baths................................. _ Z�- Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .1:33'7 Garage/carport areas ft. Name: vered porch area(sq. ft.) ......................... Mailing address: ck area(sq.ft.) ........................................ 7City: titatc: 1.11': her structure area(sq. ft.)......................... Phone: I ax: li-ntuil: -� mmerclaUindustrial/multi-family: 1111111 Ell I Valuation orl work ...................... $ Existing bldg.arca(sq.ft.) ... ..•....... ........ — Business aurae: �;�•�� c'/J„f��.�y'�r'I.; 1'�c' New bldg.area(sq,ft.)............. . .............. Numhe o f stories................... ....... City: _ �^ State: LIP: �� - ---- --- - Phone: '',J= Fax: •-mail: Type of construction.......... .................... ----- - - Occrtpancy group(s): Existing - New. _ C Ity/h'ictu"lie.no.: - Notice:All contractors and subcordractors are required to he licensed with the Oregon Construction Contractors Board under Nance: � d//� /� %/� provisions of ORS 701 and may he required to he licensed in the Address:,?f)e': „Qin' !i /� jurisdiction where work is being performed. If the applicant is City: I Stat ZIP: exempt fir.nn licensing,the following reason applies: Contact person: Plan no.: ,iZ.,C ---- -- - - I'honc: ,� Fax: Em - ail: --- - --- --- Name: ��'/i !� — ontact person: Fees due upon application ...........•............... Address: Date received: City: _ State: 7.IP: Amount received ......................................... $ Phone: Fax: E-mail: - Pleuse refer to fee s-hedule. herrby certify I have read and examined this application and the Not all Jutiadictlona accept cmlit card•,pleaw call lurisclicti n far nxxe infixnwunn. attached checklist. All provisions of laws and ordinances governing Utis U vise U Mastercard work will he complied with.whether specified herein or not. Credit cud number _ .A Authorized sigltatur _,,..---=4!!��-ate Date: � /� -- -Name of canmoldei u wn on cre l iff-d - Print name:__ Y i�� c f/ -_ -_-- S a��i cardholder alputure^ Amount Notice.This permit application expires if a permit is not obtained within 190 days after it hie been accepted as complete. 4144611(600 oM) One-and Uw®-Panjily Dwelling Building Permit Application Checklist Reference no.: 'e "-- - -T-- Associated permits: CityCitynfTigurrl of Tigard g U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Itl%d. I!Yard. ()1Z 97223 UOther: Phone: (503) 639-4171 -- — Fax: (.503) 598-1960 THE FOLLOWING ITEMS ARE RFQI lith) IlOR' PLAN REVIEW Ves No. NIA 1 Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved platllot. 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 fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state — building codes. Lateral design u,tails and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 1 I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if their is mon than a 44t.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;foolptint of structure(including decks);location of wells/septic systems:utility locations;direction indicator;lot area;building coveruge area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent Si/.V 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 alcove grade,etc. _ 14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beans,headers,joists,sub-floor, wall construction,roof construction. More than one cm-,r,section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace cons(ruction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. F.xtefor elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. _Full-size sheet addenrlums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non- rescti►five path analysis provide specifications and calculations to engineering standards. _ 17 Floor/roof framing;.Provide plans for all f oor4rool'assemblies,indicating member sizing,spacing,and beating locations Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered Systems,see item 22."Engineer's calculations." _ 11) Beam calculations.Provide two sets of calculations using current code design values for all heanrs and multiple joists over 10 feet long and/or any beam/ioist carrying a noon-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 for four or more ap tImaces. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect Lcenscd in t tregon and shall he shown to he applicable to the project undet review. 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x 1 I"or 11" x 17". 24 Two(2)sets each are required for hems 16, 19,20&22 above. 25 Building pl:ms shall not contain red liner,or tape-ons. 26 No rolled,reversed or mirrored building plans willbe accepted. 27 V y � -- ^- 28 —-------- -- -------- Checklist must he completed beton! plan review start date. Minor changes or notes on submitted plans may he In blue or black Ink. Red ink is reserved for department use only. .404614 te+ 'Wi Electrical Permit Application —` -- —" Date received: !i, // Permit no.: City of Tigard Projecl/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigtrd,OR 9721 Date issued By: Receipt no.: Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: - 1 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ;`New construction U Addition/al!cration/replacement U Other: _ U Partial Job address: / ,fw �� /f�/t Bldg, Suite no.: jTax map/tax lot/account no.: LAX: Q Block:-- Subdivision: - Project name: Description and location of work on premises: Estimated date,of completion/inspection: - - —- 1SCHEDULE Job no: _ Fee Max Business nanlc: Ikscriptiun Qty. (ca.) 7411.11 no.insp Nrwrrsirh•nliul singkornudll-familcper Address: ,lwell inRanir.Includes nitacIN41 garage. City: Stele: %IP: Seniceincluded Phone: r., 21 fax: E-mail: 11101, 1 u CCB no.: r ;i_.. %: ;-, I Elec.bus.lie.no: brach addtonml 5(x1 sq.fl.or portion thereof - Limited energy,residential City/metro lie.no.: iG'(- T.' Limitedenergy,non-residential Each manufactured home or modular dwelling Si nature of supervising electrician(required) I)me Service and/or feeder Sup.elect.name(print): License no: Services or feeders-Installation, alteration or relocation: 200 amps or less 2 Name(print): 201 amps l0 400 amps 2 ,<. r 401 snips to 6W amps 2 0 Mailing address: 1 amps to I000.1mps 2 City: c'w Stal 71P:� cher 1000 amps or volts _ 2 Phone n Fax: E-mail: RCL'Onneci only I Owner Installatlon: 1,- InSlallat1-i is being made on property I own Temporary services or freders- which is not intended for sale,lease,rent,or exchange according to installalion,alteration,orrelocation; ORS 447,455,479,670,701. 2(x1 amps or less _ 2 201 amps to 41x1 amps 2 Owner's si'nature: Dale: 401 to 600 ams - 2 'circuits-new,allernflom 41r %loll per panel: Name:____ � - A. Fee for branch circuits with purchase(if Address _ service or feeder fee,each branch circuit 2 City: __— Stale: 7.1 P: H. Fee for branch circuits without pmrhase Phone: Fax: I F-mail: of service or feeder fee,first branch urcuit 2 Foch additional branch circuit Mise.(Service orfeeder not Included►: t•t Service over 225 amps-commercial U Health-care facility Each pump or irngunou Lit Lit: 2 U Service over 320 maps-raiing of Ide2 U flnaardouslocation Foch sign nr outline lighting 2 family dwelling$ UBuilding over lQl M.Nuarefeet four or Signal circuit(s)oralimitedenergypunel. U System over 6110 volts nominal more residential units in one structure niterdtion,or extension* 2 U Ruildiug over[thee stories U Feeders,4(x)amps or niore •Ikscri tion U Occupant load river 91 persons U Manufactured structures ter RV park F-ach additooal Ingwutinn tiler the all41wable in any of the above: U Fgress/ligWingplan U other I'M utspe 1 o11 Submit sets of plans with any of the above. hwestigntion fee- The above are not applicable to temporary construction service. other - - — - --- hermit fee..................... No NI Junau ar adirtircela credo reds,please call Jurixa �m ctfin mare Inlorrnauan Notice.phis pefnllt application -- U Visn U MuterC'ard expires if a permit is not oblained Plan review(at —_ %) $ t'redir card nunrher: _ _ crithin INTI days eller it haus been State surcharge(8%) ....$ 1 _ accepted as complete TOTAL . $ �— --xnxrtlrr�ic c o�crc+�tcrd _ f Cud Toil der sip it_u_m -- Amuun2 ._ 410-I61 S IfAM41'I.IAt l Electrical Permit Fees: Limited Energy Fees: --- ------- 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 y Check Type of Work Involved Residential-per unit q ❑ Audio and Stereo Systems 1000 sq ft.or less —_ $145 15 ___-- Each additional 500 sq ft or ❑ portion thereof $3. 40 —__-- 1 Burglar Alarm Limited Energy _ $7! 00 Each Manufd Home or Modular2 L� Garage Door Opener' Dwelling Service or Feeder $9090 —f ❑ Heating,Ventilation and Air Conditioning System' Services or Feeders Installation,alteration,or relocation -- -- 200 amps or less $80 30El Vacuum Systems 201 amps to 400 amps $106.85 _ 401 amps to 600 amps $160 60 2 F] _ $24060 _--- 2 I Other 601 amps to 1000 amps --- Over 1000 amps or volts $45465 2 Reconnect only $66.85 _ ? TYPE OF WORK INVOLVED -COMMERCIAL ONLY Ternporn.y Services or Feeders Pae for each system................... ...................................... $75.00 Installalio.i,alteration,or relocation (SEE OAR 918 260.260) 200 amps or less —�Y, $6685 201 amps to 400 amps — $100.30 _ 2 Check Type of Work Involved: 401 amps to 600 amps $133 76 2 Over 600 amps to 1000 volts. ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or feeder fee. Each branch circuit $665 _ _ 2 ❑ Data Telecommunication Installation b)the fee for branch circuits wlthou purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $4685 ❑ HVAC Each additional branch circuit $6 65 Miscellaneous ❑ Instrumentation (Service or foeder not included) Each pump v,irrigation circle $5340 -- ❑ intercom and Paging Systems Each sigr outline lighting $5340 Signal ch.uil(s)or a limited energy El Landscaoe Irrigation Control' panel,alteration or extension _ $7500 _ Minor Labels(10) $12500 ❑ Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per inspection $62.50Per hour _ $62.50 i ❑ In Pint $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _ ❑ Other — --- --- 8^i State Surr harge $ __—Number__Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses ere required for all oCier installations see"Plan Review"sedlon on front of application __- Fees: Total Balance Due $ Enter total of above fees s ❑ Trust Account 0 8`:State Surcharge : -- _ Total Balance Clue i:ldsls\forms\cic-fres doc 10/090) Plumbing.Permit Application Date received: t / �, Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Rlvd.'1'igard.(tit 97223 City of Tigard Phone: (503) 6394171 Project/appl.no.: E?xpiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: — Case file no.: Paymenttype: 1 ,1Q 1 &2 family dwelling or accesarry U('onuncrcud/industrial J Multi-family Li Tenaw improvement P,)New construction U Addition/alteration/replacement J Food service U Other: JOB SITV INFOWMATON Job address: ;�' jee/ /1fJ/�t' %� Description 01y. I�ee(ea.) 'Total Bldg.no.: Suite no.: Ncr,I-and 2-family dwellings only: (includes 100 ft.Ibr each utility connection) Tax map/tax IoUaceount no.; SFR(1)bath _ Lot: Block: Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of work on premises: _ Siteulilitles: Catch basin/area drain Est.date of completion/inspection: D wells/leach line/trench drain CONTRACTORVITIVIRING Footing drain(no.lin. ft.) - -- Business name: G�/1lf �,, 4.� 1��4P_�Manhome utilitiesManholesAddress: Rain drain connectorCity: State: ZIP: Saniary sewer(no.lin. lt.)Phone• j "` Fax: E-mail: Storm sewer(no.lin. It — CCB no.: Plumb.bus.reg.no: Water service(no. lin. ft.) Ca,hnetro lic.no.: i . Fixture or Item: _ Contractor's representative signature: Absorption valve— Back Ilow�reventer _ Nat name: � Date' Backwater valve � -�— Basins/lavatory --- _ Name: Clothes washer Address: Dishwasher Drinking fountain(sl City: _ State: ZIP; ---- -- --__ Ejectors/sum Phone: —� Fax: Email: Expansion tank V — Fixture/sewer cap -- Name(print): _ Floor drains/Iloor sinks/hub -- Mailing address- Garbage disposal — City: _ Slate: LIP: _ Ilosc Bibb Ice maker PI) Fax: Email: Interco torfgrease trap —! Owner installation/residential maintenance only: The actual installation Primer(s) will he made by nie or the maintenance and tv.pair made by my regular Roof drain(commercial) employee on the property I own its per ORS Chapter 447. Sin (s),basin(s). lays(s) Owner's signature: _ Date: _ Suntp Tubs/showcr/shower pan Name: Urinal _ Water closet Address: Water heater City: `- Swte:- ZIP: _ — Other: — �— Phone: Fax: E-mail: Tolsl No all huidicaom ecefs credo ends,please roll i,madkaon rm mw into mitran. Notice:"Ibis permit application Minimum fee............•...$ r— --_ U Visa U Mutercmd expires if a permit is not obtained Plan review(at %) $ Credit crd number �— within ISO dnvs after it has been State surcharge(8%)....$ _ afdree TOTAL $ —mune o(csr&nlder ss shown on ciedir cid — accepted as complete. t'rdTialder�I`nuure s Amnunl 4104616(60"M) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 24a:^'!a dwellings only: — FIXTURES �'ndivir±rr^!; _QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT 16 60 _for each utilityconnection) Lavatory _ One(11 bath $249.20 _ Tub or Tub/Shower Comb. 16.60 Tw9A2)bath $350.00 Shower Only 1G 60 --- Threes bath- —_ $399.00 yJater Closet 16.60 — SUB_TCT_AL Urinal 16.60 8%STAT'.SURCHARGE Dishwasher — 16.60 PLAN REVIEW 25%OF SUBTOTAL —__ Garbage Disposal 1660 TOTAL Laundry Tray 16.60 Washing Marhine — 16 60 Floor Drain/Floor Sink 2" 16.60 _T___'_16._601__- PLEASE COMPLETE: q^ 16.60 ---- — — -- Water Heater O nversion O like kind 16.G0 Quant—iib Work Performed co Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ _permit, _ _ - -- --- Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer — 4640 Lavatory Tub or Tub/Shower Hose bibs 16.60 Combination Roof Drains 16.60 Shower Only — -- Drinking Fountain— 1660 Vater Closet — 16.60 Urinal Other Fixtures(Specify) Dishwasher -- -Garbage Disposal -- -- — — Laundry Room Tray -- — — -- Washing Machine Floor Drain/Sink: 2" Sewer-1 st 100' 5500 3" Sewer-each additional 100' 46.40 _ 4" _ Water Service 1st IQO' --- — 5500 Water beater_— -- _ ---- Other Fixtures Water Service-each additional 200' 4640 Storm 8 Rain Drain-1st 100' 55.00 — Storm 8 Rain Drain-each additional 100' 46.40 _— Commercial Hack Flow Prevention Device 46.40 — -- --- Residential Backfiow Prevention Devine 2.7.55 ---"— -- Catch Basin 16.60 — inspection of Existing Plumbing or Specially 72.50 --' _RequestedIns�ectlons — _perRlr _--_ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 1660 v --- -- ---- — _ QUANTITY TOTAL Isonwtric or riser diagram is required It _ — — Quantity total Is >9 --"` -- "SUBTOTAL - - --__- 8%STATE SURCHARGE _ --- — - •'PLAN REVIEW 25%OF SUBTOTAL Re aired only II fixture qty total Is>9 TOTAL S� kMinlmum permit fee Is$72 50•6%state surcharge,except Residential eackllow Prevention Dovirs,which Is$36 25+8%state surcharge "All Now Commercial Buildings require plans with Isometric or riser diagram and Plan review 1:\d09\forms\plm-fees.doc 10/10!00 Mechanical Permit Application �DatcTe=ceived: /� (� Cf T—itno.: City of Tigard Project/appl.no.: Fxpire date: City of Tigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payrncnt type: Land use approval; _ Building permit no.: 7ANew2 family dwelling or accessory U Commercial/industrial rJ Multi•famiiy ❑'fcnant improvement construction U Addition/alteration/replacement U Other: Job address: �.1 .f'�'!- /�v �-< Indicate equipment quantities in boxes below. Indicate he dollar Bldg,no.: Suite no.: _ value of all mechanical materials,equipment,labor,overhead, profit. Value$ Tax map/lax lot/account no.: _ Lot: x Block: Sutxlivision: ` "See check01— list for important application information and jurisdiction's fee schedule for rc,•idvnti;ll prrruit fce Project name: City/county: LIP: SCHEDULELING PERMIT FEE Description and location of work on premises: _ t Feelca.) holm Est.date of completion/inspection: Desert ion city. Rcx.onh R,w.onh Tenant improvement or change of use: Air handling unit _ CFM is existing space heated or conditioned'?U Yes U N Air conditioning(site plan required) Is existing space insul:lied?U Yes U No A tcratiunol existing IIVAC.system lioi er compressors State boiler permit no.: Business name: lip HP tons BTU/H -- -- Address: _ Fire/smoke dampers/duct smoke electors City: ,Z Sr•lte: ZIP: Heat pump(site plan requlred�— — nsta rcp accfurnn�ner H110711- Pho:de: -mail' including ductwork/vent liner U Yes U No CCB no.: lnstafFrepTac rc ocate heaters-suspen e , City/metro lie.no.: wall,or floor mounted _ ant for a h iance other than turnace Ntune(please print): a gest on: Abrorptionunits__— . BTU/H Name: Chillers---- 1117 Com ressors _ III, Address: v ronmenta ex au,t allor ventilation* City: State: ZIP: — Appliance.vent—---_ _-- Phone: Fux: F-mail: )ryci ex aust not s, ypc res. itc eri/haemat hood fire suppression system --- ,� Name: Exhaust fan with single duct(bath fans) - x oust system a art from heating or C Mailing address: ae p ping and distribution(up to 4 outlets) City: — Slate: ZIP: Ty - __ NG Oil Phone: Fax: I E-mail: -uel pipingeach additional over 4 outlets roceis p p ng(schematic require ) Nuntbel of outlets Name: applianceorequpmenl: Address: - Decorative fireplace — —_ City: — State: _ ZIP: -Tnscrt,type _ — o stov pe let stove EE Phone: _ Fux: F-mail: -- Applicant's signature: --- Name(print): — "' Permit fee.....................$ .-- Ncrl all Jurisdictions nrcel>t credit card,,please call jurisdiction fox more infix tutu t Notice:•thisrmit application� t r Minimum fee................$ - U Visa U MasleWard expires if u pemhit is not obtainecl rid nutnter, _ _ ..___--._ -- /_ Plan review(at — 96) $ Credit c — a R, within 180 days after it ha,Meer State surcharge(896) ,...S Name of canlhnl r a,s o,rn oo cn�it said --- accepted as complete. s TOTAL .......................$ _ — -C holder silawlistre Amrwnt 4441611(60YCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SC-IEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: - Price Total $1.00 to$5 000.00 Minimum fee$72.50 Table 1A Mechanical Code _-_- Oty (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$100.00 or including ducts&vents - 14 00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts&vents _ i- - 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14 00 -� fraction thereof,to and including 4) Suspended heater,wall heater __ $25,000.00. or floor mounted heater _ 14 00 $25.001.U0_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 $50,000.00. 12.15 $50,001.00 and tip $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For items 7.11,see or Pump Cord I fraction thereof. _ _ footnotes below. Comp* v 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 BTU 1400 - Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 Des9rip02n: Qt Ea Amount 9)15-30 HP;absorb - Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 _ ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU _ 52.20 ducts&vents 11)>50HP:absorb _ Floor furnace Including vent 955 unit>1.75 mil BTU _ 67.20 _ Suspended healer,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ 10.00 Vent not Included In applicance 445 _ ermlt 13)Air hand,t ng,.nIl 10,000 CFM+ -- - _ 17.20 Repair units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00 mil.BTU _ - 30-50 lip;absorb.unit, 3,400 17)Hood served by mechanical exhaust 10.00 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 18)Domestic incinerators 17.40 _ >1.75 mil.BTU ----- 19)Commercial or Industrial type incinerator Air handling unit to 10,000 cfm _ 656 _ 69.95 _ Air handling unit>10,000 cfm 1,170 20)Other units,Including wood stoves Non-portable evaporate cooler 656 _- _ 10.0_0 Vent fan connected to a single duct _ 448 21)Gas piping one to four outlets Vent system not included In 658 5.40 -appliance permit _ - - --- Hood served by mechanical exhaust 656 22)More than 4-per outlet(each) -_ 1.00 Domestic Incinerator 11170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4.5110 Other unit,Including wood stoves, 658 -� 8Y*Stale Surcharge f Inserts,etc, _ _24"21N 1.4 outlets _380_ 25%Plan Review Fee(of subtotal) S Each additional outlet 63 _ Required for ALL commercial permits only TOTAL COMMERCIAL S TOTAL RESIDENTIAL PERMIT FEE: _ VALUATION: Other Inspections snd.Em: I Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half tour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one halt hour)$72 50 per hour *Stale Contractor Boller Certincatlon required for units>200k BTU. **Residential PJC requires site plan showing placement of unit. 1 ldstsUormsUnech-fees doc 10/11100 NUV-20-2001 TUE 02:57 PM PARTIN HILL 5036408552 P. 02 L: lvlST / 005d-- r O �+ r J'S Cl �Y b i ,• ,,.� , err '4k `.'