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13757 SW 130TH PLACE 13757 SW 130'h Place CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)539-4175 S rJ INSPECTION DIVi:ION Business Line: (503) 639-4171 `M r./ BLIP ---- --- - Received -----Date Requested �_ r . AM_--�_ PM — BLIP --- --- _—_ Location J. ___ :�_C� �l`—__Suitep----_. _- --- MEC ----._--_-_-- _-- Contact Person __ GQi2 _ Ph( _ —) .��c - _ PLM Contractor _— __..----- -- Ph (— ___-) SWR BUILbING TenanJOwner _ _ — ELC Footing Foundation Access: ELC Fog Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam _-_-- e Shear Anchors - -- - -- ---- Ext Shcath/Shear Int Sh 3th/Shear - - -- -_ Framing Insulation Drywall Nailing Firewall Fire Sprinkler - -- - - �..- --- -- ---- - - --- --- Fire Alarm Susp'd Coiling --- - Roof I nal, -- ------__- S PART FAIL -___ -------- _ - —_.-------- `_ BINa- •-•�— _. ..Post&Beam - - ------------------ - --s—.-_� _---- Under Slab -- --- --- -- -- ---,.- ----. -__. ----- Rough-In Water ServiceSanitary Sewer Sewer Rain Drains - -- ------- _- -_.-_.._---_--_ Catch Basin/Manhole Storm Drain - Shower Pan Other:-- ------- --- ` -. -- _. __ Final PASS PART_ FAIL - --- ---`- -- - MECHAN'CAL Post&3ea ----- -- •-- ----.-.-. -_-� -- - - Rough-In - -— -- ----- - - - Gas Line Smoke Da-if ars --------- -- -- ---- - - -.- - -- Final PASS FART FAILService .- E_LECTRI��Ai. _ Rough-In Low Voltage Fire Alarm - -- ^- -- Final f--J 1 p Reins ection uired before next inspection Pa fe-of$ a ins at Cit Hall, 13125 SW Hall Blvd. PASS PART FAIL q p y y WTE _ --- [-] Please call for reinspection RE: -__-_ _ Ll unable to inspect -no access Firs Supply Line ADA / W /U 3 Approach,Sidewalk Date ___ _._ __-____ Inspector - _ Ext__-__-- Other. _ Final DO NOT R"VIOVE this Inspection record from the job site. PASS PART FAIL CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 �G � _ INSPECTION DIVISION Business Line: (503)639-4171 MST T—'�- Received 411 7 W/ C� BLIP Date ReQuest 5r AM PM BUP Location _ �L��T —' -- ,— Suite — MEC _ Contact Person — Ph(_ Q 71 3Z— PLM Contractor _ Ph(_— ) _. SWR BUILDING -- Tenant/Owner —_- _ ELC -- Foundation - ELC Access: -- ---- --- Ftg Drain - Crawl Drain /'' > 1`�� ELRSlab Inspection N s: �,, J � SIT Post a Post RBen —�V 'VG -----� --- Shear Anchors Ext Sheath/Shear I �— Int Sheath/Shear Framing Insulation --� — Drywall Nailing Firewe" — -- — Fire Spy inkler Fire Alarm ---- Susp'd Ceiling — — Roof -------- — --- Other: — --- Final `- - ------ — —__— PASS PART FAIL --- — ----- ---t— _ _ Post&Beam---- ^——_�_ — --- ----- - — --- Under Slab Rough-In — — Water Service Sanitary Sewer —— Rain Drains ---- _ Catch Basin/Manhole - - Storm Drain Shower Pan Other - ------- PA PARI FAIL - ---- --- --------- __ _ _-..____ .-- AN AL - am ----- --- --_ -- --- - - -- Rough-Ire -- -- -- - Gas line -- Smoke Dampers --- S PART FAIL RI Service - _ - -- ---- - --- Rough-In --_----_— -__ UG/Slab _ -_ __--_._ -- ------- -- - -- - Low Voltage Fir ,(alarm _--- iWIL) [] Reinspection fee o1$__- ____- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS- PART FAIL_ Please call for reinspection Unable to inspect-no access Fire Supply .irie - - ADA Approacti/Sidewalk Date �� _� Inspectort -_ Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OFTIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVIS;ON Business Line: (503)639-4171 BUP Received ______--___Date Requested AM--- PM BUP _ — Location32 Suite__-- MEC Contact Person _^ Ph ( _) F F6_-7 32 PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: .'-'tg Drain ELR Crawl Drain ,'lab Inspection Nc t,.s: SIT Post&Beam -- ------- ---- - ----—--- Shear Anchors A - Ext Sheath/;hear —� Int Sheath;Shear Framing _ C�/l/]i`1 /��' , 1 Insulation Drywall Nailing Fi rewa'i Fire Sprinkler ---- --- - ------------- -- Fire Alarm SusF d C:eilino ��------- -- ----- - Roof Other: - Final PASS PART PLUM_BINGl _ Post&Beam Under Slab --- -- - - - Rough-In Water Service - - - - - - - Sanitary Sewer R3in r)rains - - - Catc .Basin/Manhole Storm Drain - - --- - - - _ - Shower Pan Other: - -- - Final PASS PART FAIL ------ ---- - -- — -- - - ----- - MECHANICAL ---- --.___ Post&Beam Dough-In --- __ Gas Line - ---- - _ ---- Srnoke Dampars ---------__ Final PASS PART FAIL ELECTRICAL Service ------ - Rn;:gh-InUG/!')lab 7 Low !oltage Fire Alarm Final 1 PART FAIT. �- Reinspection fee of$__—_ - _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call 1)r reinspection RE: Unable to inspect-no access Fire Supply Line ADA � Approach/Sidewalk Date' -�j ---- IMpoift _. _ k Ext--�— Other: -�f=;Z —- -- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL o y � � G � C � J G S � n O O w Q o � G O. O w w n r o � ro C a O w O � V 0 0 d x �e 'a' CITYOF T I GA R D MASTER PERMIT DPERMIT#: MST?_002 00493 DEVELOPMENT SERVICES DATE ISSUED: 1/3/03 13125 SWHall Blvd.,Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 13757 SVV 130TH PL PARCEL: 2S104DD-01000 SUBDIVISION: MOUNTAIN HIGHLANDS ZONING: (:-i.� BLOCK: LOT: 009 JURISDICTION: I It REMARKS: Bum. Re-build house. BUILDING REISSUE: STORIES FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK. REP HEIGI,T. FIRST, 1 404 sf BASEMENT LEFT: SMOKE DETECTORS: Y TYPE )FUSE: SF FLOOR LOAD: SECOND: 1.0,4 sf GARAGE: 51 FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: THRs sf RIGHT OCCUPANCY GRP: R3 BDRM: f BATH: 3 VALUE: 1 10Tl L: "lA2q sf REAR: PLUMBING _ SINKS: 1 WATER CLOSETS: ) WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES. 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES SF RAIN DRAINS. CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS, 1 WATER LINES. n BCKFLW PREVNTR. GREASE TR;PS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<TOOK: BOIL/CMP<OHP. VENT FANS: 5 CLOTHES DRYER: LPI' FURN>-TOOK: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAK INP. blu FLOOR FURNANCES: VENTS: 1 WOOOSTOVES, 1 GAS OUTLE rS: S ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 angr 0 200 an,p': W/SVC OR FOR, PUMP/IRRIGA770N: _ PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp. 1 201 - 400 amp: 1st W/O SVC/FDR: SIGNIOUT LIN LT. PER LOUR: LIMITED ENERGY: 1 401 800 amu: 401 tion amp; EA ADDL.BR CIR: SIGNALIPANEI.. IN PLANT. MANU HM/SVC/FDR. Got • 1000 amp: 001+amps-1000r MINOR LABEL 1000+amplvoll Reconnect rndv: PLAN REVIEW SECTION -4 RES UNITS.. SVCIFDR> 225 A. >600 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL-RES rRICTEO ENERGY A.SF RESIDENT IAL B COMMERCIAL AUDIO a STEREO: x VACUUM SYSTEM.. h AUDIO&STEREO FIRE ALARM INTERCOM/PAGING. OUTDOOR LNDSC LT BURGLAR ALARM. x OTH: ALL ENCOMP BOILER. MVAC: LANDSCAPE/IRRIG. PROTECTIVE SIGNI. GARAGEOPENER: h CLOCK INSTRUMENTATION. MEDICAL: OTHR HVAC x DATA/TELE COMM NURSE CALLS TOTAL.a SYSTEMS Owner: Contractor: TOTAL FEES: $ 2,224.635 WALKER, TIMOTHY E+ LORINA B FIRST CHOICE HEATING 8 COOLINCThis permit is subject to the regulations contained in the 13757 SW 130TH PL 10305 SW CLYDESDALE TERR Tlgard Municipal Code,.hate o OR Specialty Codes and TIGARD,OR 97223 BEAVERTON,OR 97008 all other ce with a laws. All work will be done it accordance with approved plans. This permit will expire K work Is not started within 180 days of issuance,or if the work is suspended for mr,a than 180 days. ATTENTION: Phone: Oregon law requires yqu to follow rules adopted by the Phone: 503-579-8848 Oregon Utility Notlfica,ion Center. Those rules are set forth In OAR 952-00'-0010 through 952-001-0080 You Reg 0: I IC 138321 may obtain copies of these roles or direct questions to OUNC by calling(503)248-1987 REQUIRED INSPECTIONS Footing Insp Electrical Service Exterior S' eathing Insl Gyp Hoard Insp Plumb Final Slab Insp Electrical Rough In Low Voltarlr Rain drain Insp Building Final Mechanical Insp Framing Insp Gas Line Insp Water Line'nsp Mechanical Incp Shear Wall Insp Gas Fireplace Electrical Fir at L. Plumb Top Out Shear Wall Insp Insulation Insp Mechanical final Issued BY : � '� � �iIf""t ,, Permittez Signature : V Call (503) 639-4175 by 7:00 p.m. for an inspection needed tl-,e next business day OWng Permit A ' ation City of T>tgA>!'d % M Date received: p2 p1 Permit no.: City of Tigard Address; 13125 SW Hall$1vd Ti$arda0�2 Projecdappl.no.: Expire date: Phone: (503) 639-4171 0T, `- Date issued: By:�j Receipt no.. Fax: (503)598-1960 CITY OF TIGA N� Case file no.: Payment type: Land use approval: - It III-DING L)IVISI f&2 family:Simple Complex: IX U� 1 &2 family dwelling or accessory 0ommercial/industrial U Multi-family U New construction U Demolition I UAddition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: t � 1 Job address: " S 4J /30L r K. Bldg.no.: Suite no.: (J Lot: Block: Subdivision: J ,v7-n Tax map/tax lot/account no.: J Project name: Il- Description and location of work on premises/special conditions:-RE( t-t7 f4 Narnc: T"1/1A2 A IC z t 1 1 \ Mailing address: 03 S .5W CC. 'ES LAC_r �CA-4f. 1& 2 family d»elliug: V► City:-IFA 6.rL727 N State:a,r ZIP: ?UD$ Valuation of work.... ................................ $ Phone S 7 . TS 3 Fax:,5'79.8848 E-mail: No.of bedrooms/bath (� Owner's representative: --- .......•. J Total number of Garr. . 3 Phone: t Fax: E-nla;l: I New dwelling arca(sq.ft.) .......................... `. Garage/carport area(sq, ft.) Name: FrcL Covered porch area(sq. ft) Mailing address h V it Deck arca(sq.ft.) ...... ...... ....... _ Cit : y -- State:_ ZIP: Other stnrcture area(sq. ft.)......................... _ Phone: Fax: C-mail: Commercial/industrial/multi-family: UIfa Valuation ol•work........................................ $ Business name: /L5 I p I 1 Existing bldg,area(sq. ft.) Address: 1 D ZpS SU e-L r DA Th;tK. New bldg.are•i(sq. ft.) ...................•.......•.•.. Ci[1U� city: ZLdc. Stnte:a,r IZII': •7peg Number of stories........................................ Phone:S -3S•-eg Fux.S - pq� E-mail - •typeofconstruction.. ................................. -- CC3 no.: 3 Z - Occupancy group(s): Existing: Cit y/metro lic,no.: r/ New: _ Notice:All contractors and subcontractors are required to be licensed with dw Oregon Construction Contractors Board under Name:�e�/Yl /Y1cJrClzI's U AJ provision:of ORS 701 and may he required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: — State: _ alp: exempt from licensing,the following reason applies: l'untnct person: Plan no.: — Phone: E-nim __ --- - - Name: cC�vFIfT e (nus t 1xcrsoll: / Fees due upon application Address /�_ .� ...........•............... $ City: —� Date received: _ Y I State: Z1P: _ Amount received .......... ......I...•......... •....... $ Phone: 0 Fax: E-mail: Please refer to fee schedule I hereby certify 1 have read and examined this application and the Not all iurisdictioae accept cmill cert,pleme call Jurisdiction for more information. attached checklist.All provisions of laws and ordinances governing this Uvisa U MasterCard work will he complied with.w eth'et s citied herein or not. rmdil card number Authorized signature; 'iTi � Cl +re l Date: Print name: y[�'�1�LGja✓t ^Name of carerwldrr u dawn on cmdN card C older eipmure _ Amount Notice:This permit applicatici.expires ire permit is not obtained within 190 days cfter it has been accepted as complete. _ -4611(caNuc OM) One-and Two-Fainily levelling Building Permit Application Checklist Reference no.: - Urvoffigardof TiaAl'I� Associated permits: City b U Electricail U Plumbing J Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 FOLLOWING REQUIRED 1 ' PLAN-RVVIEW Ves No N/A 1 Land use actions completed.See jurisdiction crit,.na for umcurarna reviews. _ 2_Zoning.Flood plain,solar balance points,seismic soils designation,historic district,ctc, T_ 3 Veri(lcatiou of approved plat/lot. 4 Fire district v _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 signa ure 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 y3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details, Plan review cannot he completed if copyright violations exist. I 1 Site/plot plan drawn to scale.The plan must shoo lot and building setback dimensions;property comer elevations(if there is more thmi a 4-11.elevation differential,plan must show contour lines at 24 intervals);location of casements and driveway-,footprint of structure(including decks);location of wells/septic systems;utility locations,direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchnr halts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,locataor.of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show till framing-member sizes and spacing such as fluor teams,headers,.joists,sub-floor, wall construction,roof construction, Moat than one cross 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 construction, thennal insulation,etc. _ 15 Elevation views.Provide elevations for new construction;minimum of two elevations fir additions and remodels. Exterior elevations must reflect the tactual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references tare acceptable, _ 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations; for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. _ 18 Basement and retaining walls.Provide cross sections and details showing placement ol'rebar.For engincewd systems,see item 22,"Engineer's calculations." 19 Beam calculations, Provide two sats of calculations using current code design values for all heams and multiple joists over 10 feet long and/or any heani/joist carrying a non-uniform load. 20 Manufactured floor/roof truss desi ng details, 21 Energy Code compliance.Identify the pres--riptive path or provide calculations. A gas-piping schematic is required for four or more appliances. 22 Engineer's-calculations.When requilId or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall hu III he;aphlia able fn thv pnljecf under rrvirw 23 Five(5)site plans are required for Item I I above. Site plans must he 8-1/2"x 11"or I I"x 17 24 TWO(2)sets etch are requi ^d for Items 16, 19,20&22 above. 2.5 Building plans shall not contain red lines or tape-ons. "Mitrored"building plaits will he not accepted. 26 "Reversed"building plans must meet criteria outlined in the Puma&System Development Fees document. 27 "brawn to scale"indicates standard architect or engin_cer scale. 28 Site plan to include tree size,type&location per nppr,iv•d project street tree plan of applicable),and COT Street Tice List. _ Checklist must be completed before 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. ")4614 arsxucoM) Mechanical Permit Application Date received: Permit no.: City of Tigard`� g Project/appl.no.: Expire date: City fTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: 1 Payment type: Land use approval: _ — Building permit no.: 1 dt 2 family dwelling or accessory U Commercialluidustrial U Multi-funnily U Tenant improvement U New construction U Add ition/alteration/replacem-nt U Other: Job address: $ S f.J 130'Tti1 �L. Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanniicc�allJ(matt�s,equipment,labor,overhead, Tax map/lax lot/aceount no.: profit.Value$ r-- Lot: Block: Subdivision:M7v, ,qI641 tlruo S "See checklist for important application inf'nrmation and Project name: _ jurisdiction's fee schedule for residential permit fee. City/county: T/64-M ZIP: 7 2z.3 r Description and locatiod of w rk on p imses: c t 1Vltt.,) F�Rx-r A � Auc�' Est.date of completion/inspection: 31110 Description Qty. Res.onh Rcs.nnl> Tenant improvement or change of use: At Is existing space heated or conditioned?U Yes U No Air handl m unit —I __CFM f Li.L i it condii on ng(site Vlan require Is existing space insulated?U Yes U No Alteration o existn ACs stem u o War WMILILI o er/compressors State boiler permit no.: Business name: i257 Gf4lCz k C _ HP Tons BTU/H tl Address: /U OS 5 t-,) a aS,04te_ M KR• Fire/smoke damper&Tduct smoke detectors - -- City: 77y a 20 State:o,Z ZIP: 7 Z Z 3 Heat pump(site plan require ) - Phonc:S74-0944 Fax:S7? 0&t E-mail: nste rep ace urnac urnerloe_ Includingductwork/vcni liner Yes U No CCB net 138311 Instalrep ac re locate eaters-suspen e- City/metro lie.no.: S wall, . floor mounted Name(please print): T-l/'YI b/414riL cnt ora lanceof erttan furnace91110111 WIT I - e gent oe: Absorption units �— BTU/11 Name: ��Ir1,J (�A ,� Chillers_ HP Address: rt r Corn rectors_- HP 4 hT-f-�- -- nv ronmenta exhaust an ventilation: City: Slate: ZIP: — A plianccvent 1 Phone: Fax: E-maii: -ex gust ----- t� Hoods,Type res. itche mzmat hood fire suppression sys em Name: / )4 k.ev C Exhaust fan with single duct(bath fans) $ Mailing address: s �✓ x aust system art from heating or_nC u City: aSlate: ZIP: Fuel piping ng art str ut on(-up to 4 outlets A_ Phone: Fax: E-mail: Type _A _ LPG —_ NOoil - . vel pill-111 car.t additional over 4 outlets rocesspiping(sc ematicrequire ) Name: _Number of outlets Address: ter listedapp ace or equipment: D ecorative fireplace I City: State: ZIP: of stov et stllov`cPhone: Faz: E-mail: �11c.�- - Applicant's signature:Zoo/ �.� Nl�._ Date: Other. - Namc (ptint): T lrrr A I_Q.v -- - Nnt all lurisdirtione amvo credit cards,pleaw card Jtuidictim fax mare inforttutiao. Pennit fee.....................$ U Visa U MasterCard Notice:This permit application Minimum fee................$ Crmlit card number expires if a permit is not obtained Plan review(at _ %) $ _ as re. within 180 days after it has been State surcharge(8%)....$ Name or cardboolder as a on cmd1icmWaccepted as complete. --- _-- C der�lauture Amtwnt 4404617(WWOM) 0111 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description:-- Price notal $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oly (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 dusts&vents 14.00 tat/ fraction thereof,to and including 2) Fumace 100,000 BTU+ $10,000.00. Including ducts&vents 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 healer 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80_ fraction thereof,to and Including 6) Repair units $50,000.00. 12.15 $50,001,00 and up $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 Cond fraction thereof. foo;rotas below. Comp •• Minimum Permit Fee$72.50 SUBTOTAL $ 7)<3hP;absorb unit to 100K BTU 14.00 State Surcharge $ B i6 8)3-15 HP;absorb unit 100k to 500k BTU _ 25.60 _ 25%Plan-Review Fee(of subtotal) $ 9)15.30 HP;absorb Required for ALL commercial permits only unit.5-1 mil BTU _ 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;abs ti unit 1.1.75 mil BTU 52.2) L----- __-__..�----- 11 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM- - ---------------- - ,o.00 � Value Total 13)Air handling unit 10,000 CFM+ Description: _ Q (Ea) Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents _ 1000 Furnace> 100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents �+ Floor furnace Including8.80 vent 965 18)Ventilation system not Included in Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater - 17)Hood served by mechanical exhaust Vent not Included in appliance 445 permit 10.00_ - Repair units -805 -- 18)Domestic Incinerators <3 hp;absorb.unit, 955 1740 to 100k BTU 19)Commercial or Industrial type incinerator 3-15 hp;absorb.unit, 1,700 � 69.96 101k to 500k BTU 20)Other units,Including wood stoves 15-30 hp;absorb.unit,501k to 1 2,310 10.00 mil.BTU 21)Gas piping one to four outlets -- 30-50 h5.40p;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU I >50 hp;ll.BTU nim.Bort,unit, 5,725 too >1.75 milMinimum Permit Fee$72.50 SUBTOTAL: Air handling unit to 10,000 cfm _ 658 -` B•/.State Surcharge I $ Air handling unit>10,000 cfm -1,170 Non-portable evaporate cooler 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a Bingle duct _ 448 Vent system not Included In 658 a Iience ermlt __ �• Ho--P-- r Hood served b mechanical exhaust 858 �he1nspectionsnd- --1-•-Esit: �))� Domestic Incinerator 11170- 1 Inspections outside of normal business haws(minimum charge• o hofirs) Commerclal or Industrial Incinerator4 590 $e2 50 per hour -i_ 2 InspectionT.for which no fee Is specifically indicated (minimum chsrgo-half hour) Other unit,Including wood stoves. 856 $62.50 per hour Insert.etc! _- _ _ ? Additional plan review required by changes,additions or revisions to plans(minimum Gab piping 1.4 outlets _ 360 r.harge-one-half hour)$62 50 per hour Each additional outlet 83 / - -- �- _ -"- -- - :State Contractor Boiler Certification required for units s200k BT Ii �-� 1 Residential A/C requi•es site plan showing placement of unit. TOTAL COMMERCIAL = 1 111( VALUATION: All New Commercial Buildings require 2 sets of plans. I:WstslformsVnech-fees.doc 02/11/02 P'umbing Permit Application City of Tigard Date received: Permit no.:Address: 13125 SW Hall HIvd,Tigard,OR 97221 Sewer permit no.: Buildin gpermit no.: City njTigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land use approval: _ Case rile no.: Payment type: %1 &2 fatnily dwelling or accessory U Commercial/indusu r.)l U Multi-family U Tenant improvement U New construction U Addition/alteratio►dreplacenient U Food service U Oth,�r: Job address: S 7 5 I /.:SOr`` iU Description _Qty. hee(ea.) 'fatal Bldg.no.: Suite no.: ew 1 and 2-family dwellings only: Tax map/tax lot/account no.: (Includes 100 ft.for each utility connection) SFR(1)bath Lot: 1L Block: [Subdivision: k/G.ifUINI�S -- ---- ,FR(2)bath Project name: SFR(3)bath City/county:TI ARA /„�q Zlr: 77 Z Zs Each additional bath kitchen Description and location nr work on premises: Siteutilltles: tU Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no. lin.ft.) Manufactured home utilities Business name: ��ISI)} �-�1a i r j; ,, I r 11 L• Manholes — -- Address: ?_(� S W SU Y}T U.C f !.CT 9 Rain drain connector City: t LU State:O(t I ZIP: 9-7-2 L 3 Sani sewQr(nv.lin. ft.) T �c Phone: Z 99-,?;2-7 t I Fax; F,-mail: Storm sewer(no.lin. ft,) l,-y CCB no.:12 6 „t.�5 F3 Plumb.bus.reg.no: 34 -1- h Water service(no. lin. ft.) I _ City/metrolic.no.: I j Fixture or Item: Contractor's representative signature: , t Absorption valve Back flow preventer Print name: Slii )~ 6"t-C71kI t t IBackwau-r valve Basins/I xvato Name: �'F i �,CM P kEjectors/sump asher Address: 'j z S ) er r (( QST fountains) City: !� State:pi ZIP:<' ' - Z~zPhone: �1 Fax: --- E-mail: n tan Fixture/sewer cap Name(prinly Floor drains/floor sinks/hub Mailing address ( Garbage disposal _ — City: _ _ iState: 'LIP: Hose bihb— Ice maker — Phone: �ax: Email: In tcrccptor/grcase trap Owner instal lationiresidential maintenance only: The actual instn'"min Primer(s) �will ho,Wade by me or the maintennn.e anal repair made by my regular Roof drain(commercial)_ eprployee on the property I own as per ORS Chapter 447. Sink(s), jasin(s),lays(s) Owner's signature:----- __ Date: Sum Lill 0 11 Tnbs/s ower/shower pan Name: Urinal Address: I ----- --- Water closet Water heater City_ _ State: Z1P: Other: Phone: ` Pax: E-mail: total Not all jurisdictions Ac epa credit rude,plew call Jurisdiction rot Mw Inhanstion. Notice:7Ili3 unit a t - Minimum fee................$ _ �J Vise U MasterCard expires if a en Pp Plan review(at _— %) $ -- Credit card number: — ---- P penalil i i o,.utr e res leas been eft,, ,a State surcharge(9 ) ....$ within 180 ditys ` Nsmeuci- r u IVOWn on M&crd accepted as complete. TOTAL .......................$ cruolder demure s-AnMW_` 4441616 t6RlarCOM) I PLUMBING PERMIT FEES: PRICE TOTAL New . and 2-family dwellings only: FIXTURES (individual) QTY ea AUNT MO_ (Includes all plumbing fixtures in �PRICETITOTAL Sinl. 16.60 the dwnliing and the first100 ft. QTY (ea) MOUNT Lav>,rory 16.60 for each utility,connection _ — One bath $249.20 Tub or i'.hlShower Comb. 16.60 Two(2)bath __ $350.00 Shower Only 16.60 Three(3)bath �_ _ $399.00 Water Closet 16.60 _ Urinal 16.60 SUBTOTAL8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 1 2" 16.60 �3- 1660 PLEASE COMPLETE: 4- 16.60 Water Heater O conversion O like kind 16.60 Quantity b I Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ ermit. _ Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16 60 Comhination Roof Drains 16.60 Shower Only Drinking Fountain ;16.60 Water Closet Other Fixtures(Specify) 16.60 Uriral Diuhwasher _ Garbage Disposal _ Laundry Room Tray _ Washing Machine Floor Drain/Sink: 2" Sewer-tat 100' 55.00 3„ Sewer-each additional 100' 46.40 4- Water Service-1a 100' 5500 Water Heater Water Service-each additional 200' 4640 Other Fixtures Stone b Rain Drain-tat 100' 55 70 3 ecl .) Storm 6 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumt.ig or Spcclally 62.50 +! Requested Inspections erthr COMMENTS REGARDING ABOVE: Rain Drain,single family-dwelling 6525 _ Grease Traps 16.60 — QUANTITY TOTAL — Isometric or riser diagram Is required It -- — — Quantity Total Is >a _. "SUBTOTAL -- 8%STATE SURCHARGE +Y� "PLAN REVIEW 25%OF SUBTOTAL ?squired only If fixture qty total is>g TOTAL s Minimum permit fee Is$72 so+a%stale sur;hargo,except Res.dential Backflow Prevention Device,which is$3e 25 4 a%elalb surcharge "All Now commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan revlew. 1:1idsteU. -isWlm-fees.doc 12/2EV01 Dec 10 02 11 : 110 METZLER 5035902302 p. ] ElechicalperndtAoHmdon Chy Of Tigard _ D,*.o4 v4d _ Plltraitata Pt.,(aeVappl no BttpaetNa: ,'n vf*(u,d Addrea 13125 SW stall Bit I Tigard.OR 97�i _ - f'hrne' (503)639 41 I baeiuuaC. sy liecciptao: Fax. ?V)1.,548.106( Cae fde era. 1'aytalentry- �1 R i.fimiiy dwelling Of acccs"r O CoctimeirialAndusrriii Mule-family O Taunt impanvttmeat U New cotratructiao O^AthuaNal:rfateavmptaccmcnt O Utltct d r rtadl 1JULMISIMATI INS laC addTacs : ? Sty 1 e1 Pr-, B n Suite aa: I T&A mlilWtax fnU aceottnt ae ta' 11 gloCk Subdivitim: j� Rcgeu nirne -- f)<acrip(k-m and kA:wI n of work tm premfle"-V Es4niatcC daft ut corn ctionitrr! U)11 ,�T-70-:3 .W rase swims none, r i - . lEc ►,` tka few OL Adan. I 5 �) .` ouprtAd +Kiri ra City 5taeeprL ?JP: �aslaiwtM.leAaiwalYaird�ettaa Minot; 0-5^q 7:11 St.lnidetloR y�{ Fa>,: FrtDYI: 7000 t orlar CCB 20 5 3 Bloc but.lit.no: 6ch itm11 p Owraltt a 4 _ �O I/ouwdaus reidrtlid /laett9 Ye.no.: 1 - t at..aC .nm-emtluald =1.1•i O'0 3 CKa seta rotor ur m lar M afhn� iwna w a-itK (rlau ed u6a �atwahry S dace neve = (Pltail: 2 i i er a frl a i I C vLkaaraao'3 y ) farr.atwaerfae�eri= eirraHaa as r rl.oatiaa Name i rrtet). 200atrorallan i �JArKt1C m—w-4,a,aav� 2 Mulin6.ddnta:/0305 SW C/ pts rev -- "wt,rgbeor►irrr(. —! ' �f!<AH�'I�1D Sate od ZII' ilr—.� iono n,ro. - �� IOUs u•.olu 4onc:59^•.) J 8 Fttc:$ E null• Pcooaacclwtl - .__� - (11mtcr inlatlhluun Thladnn Ia befal madr as ptoptttr I own a tipamaw,In'.atredln- - �•lerh a not inten1a4(nr ale.leave.terK.or eatilaiape w ondtng:r) erMsaaar�tlwt�a.•arvshowirc ORS 441.455.4".670,701. 'Win" r ksc 1 Qwou't st ratan: p ta.Orlrrpa 2 - t�1�e►rirhim•caw, �. Wore N.al.eiae pr Part A c..Iq►ra.M clrratu ritM NRYUr�i -- Irrmrra a feadr lee,r n:It!um*"Ka, r CI $isle. - ff" ;raadi t,:7,-u-About pufth.ee PIIOIIe' / fill, of 16r%Ice a f""u ler.f.rtt re"IcA circuit. B-nIa1L• .elweaai orietTi iTrwu— — ()a.v+so..nl.en�.+etntniteW 13 WWI%~farm O 9wv.e over)20 arrtpl radad of 1&2 U Huw ml l omn dt►t��s ow iso heMuM = fawtivdw'Yrtet O SaibYne w a l o.w0 swar,urn hear c. lie";;e.11)w a bwadlZar`v parwl, 05yatraover a00volts rntrnd amnswka:Wed0inonclwawr akwlrti.rea_wn ,a• ( 2 U awwo l aver tht*acmta Q PYadpa.400 ort w rom . L Ecu R r U rkeuporfnwovereupaamr O Mraahff*,WMucatnaofa\'p! Gp - 0 AIu Wtif app 3 CMv worm, 0111 Sir . my at.a.er Par M1 ra i- __"rte',—-- 1aLok_ael.of►VM w"ars of of11160'" � — . "Wekeaeserea"a/plkasMt• cease.wnUo> ttatAea 0dw Nal 1a M.Itacrbw tanner W,*eareM71"X i rata iaea rasa Nott err Thu pamlt switadw Permit The .... U vk. U ha"werd eltpaaa"a patmlt b oa'ahlained Pilo rovieta.(at * S video I I I day!Aw k hat ben stem sutdmp(196)....S wallb ail acceptadisoermkin. TOTAL .....,...... 3 WYi!I64aR1U1rl '7f-' WHOP:I I CMFV IKE '^nN BN89 5.!S £BS 'ON xH i SJtttyj lgitj ; I.gt1j ERMIT CITY OF TIGARD BUILDING BP2002- PERMIT#: BUP2002-00465 DEVELOPMENT SERVICES DATE ISSUED: 10/23/0 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PANCEL: 2S104DD-01000 SITE ADDRESS: 13757 SW 130TH PL SUBDIVISIC+.': MOUNTAIN HIGHLANDS ZONING: R-4.5 _ B'_OCK: LOT: 009 JURISDICTION: TIG REIS:,UE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION __ CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE- SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY CRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FiRF RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP RATED- ^ BSMT?: MEZZ?: _ REQDS_ETBACKS _ _ REQUIRED_ _ FLOOR LOAD: psf LEFT: ft RGHT: It FIR Si'KL: SMOK. DET: DWELLING UNITS: FRNT: ft REAR. ft FIR ALRV. : HNDICP ACC: I BEDRMS: BATHS: IMP SURFACE: PRO C;ORR: PARKING: VALUE: Remarks: Demolition of fire d amageo ;czidence of approximately 2428 square feet. Foundation to remain. Sewer line is to be capped and all oemolition debris is to be removed. SDC fee credits available towards new construction. Ownar: Contractor: WALKER,TIMOT HY E+ LORINA B ABLE CONTRAC.TOPq !NC 13757 SW 130TH PL 12820 NE 172ND AVE TIGARD, OR 97223 BRUSH PRAIRIE,WA 98606 Phone: 360-2u0-4809 Phone: 360-260-4809 Reg #: LIC 136250 FEES _ REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846-8 jltlll.DI PYrnut Fee 10/23/02 $62.50 Final Inspection I1'AXJ 8 Siatr Tax 10/23/02 $5.00 I FT IIRM'I I Frosion 10/23/02 $26.00 FRI'LNI Fro Pl.k-USA 10/23/02 $8.45 (additional fees not listed ".are) Total $110.40 rhis permit is issued subject to the regulations contained in tho Tigard Municipal Code, State of OR. Specialty Codes and 711 other applicable law. All work will done In accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, o, if work is suspended for more than 160 days. ATTENTION: Oregon law requires YOU to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set foith in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-80,0-332-2344. Issued By: Permittee ✓ ,/ ) Signature: Call 639-4175 by 7 p.m. for an Inspection the next business day Building Permit Application Uaterecctved: /D/%3 4i` Permitno.: uP-evy�^ �;ity of Tigard Projecl/appl.nr.. Expt date: f'uvot hgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date is,ued: B Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: __— ___� __-__ 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial industrial U Multi-family U New construction Demolition U Addition/alteration/replacement U Tenant improvement !J Fire sprinkler/alarni U Other: O1 SITE INFORMATION Job address- Imo_ _ - Bldg.no.: :iuite no.: Lot: ; c 64)c n: Sutxlivision: Tax map/tax lot/account no.: _- Project name: Description and locatit,n of work on premises/special conditions: Name: (IY 1 W Al ir~C Mailing address: 3C5 _ I &2 family dwelling: 1i TSt it, 1/.I I' Valuation of work......•..............•.....•............ $ City: -- city: No.ofbedrooms/baths..............•.......•.......... Owner's representative: - .r Total number of floors............................•.... Phone: Fax: IF mall New dwelling area(sq. ft.) .......................... Garage/carport area(sq.ft.)......................... Name: Covered porch area(sq.ft.) ........................ Mailing address: Deck area(sq.ft.)..........•..........•.................. City: i State: ZIP: Other stmoure area(sq.ft.)......................... Phone: F:tx: E-mail: commt:rclaUindustrial/multi-tamlly: Valuation of work............ ................•.......... $ CONTRA.Cf Oil 1 Business nameExisting bldg.area(sq.ft.) ..............•...•...•.•. : its _ = r y.= �2` ' ' --��_ New bldg.arca(sq.CL).•....•.................•..•.•.. — - Adrlress: _ ---- Number of stories........................................ City: ai� � .�f F?/U � State-C-.i. � ZIP: Type of conswctiun,...•..•.......•..............••..•. --•-- Pho: . ?t ,put,(71i I - E-moil: Occupancy group(s): Existing: CCB no.: I New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be lit 2 171firilloM ES01 licensed with the Oregon Construction Contractors Board under Nome: _ provisions of(QRS 701 and may he required to be licensed in the - jurisdiction whet•work is being performed.if the applicant is Address: - exempt from licensing,the following reason applies: City: -_ state: ---- Contact person: - Plan no.: —�-- P one: hon6e , Name: ('ontat't person: Fees due upon application ............ .......•.•.... $ Address: Date received: _ City: State: "LIP: _ Amount received .•...•.•......••...•............•........ $. Phunc; Fax: E snail: - Please refer to fee schedu'c, - - -- hereby certify I have read and examined this application and the Not all jutiadicilons accept credo cardn,please call judediclKn for more information attacheu checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will fx complied with,whether specified herein or not. reedit card number -- p tx .spit•, / Name of cardholdet u shown on credal card Authorized signature:`"T h Dale: _l __ $ Print name:—_. 110l L.: +l I(1'k --- — -- c—.rdnaiae�siptatwe - Amount— Notice:This permit application expires if a permit is not obtained within I80 days alter it has been acceptedlts complete. 440461.(6AW'0M) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: City of Tigard City of Tigard Associated permits: Address: 13125 SW Hal' Blvd,Tigard,OR 97223 Electrical U Plumbing U Mechanical ❑Other: Phone: (503) 639-4171 - -- - - -- Fax: (503) .598-1960 FOLLOWING ITEMS AYE, REQUIREDit LANREVIEW I Land use actions completed.See jurisdiction criteria for concurrent reviews. - - 2 Zoning.Flood plain,solar balance Points,seismic soils designation,historic diNn,_o.cis 3 Verification of approved plat/lot. - - -- Fire district _approval required. Septic system permit or authorization for remodel. Existing system capacii 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 I(x:ation of catci: hasin protection,etc, 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicablu local and state building codes.Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if them is more than a 4-1t.elevation differential,plan must show contour lines at 24t.intervals);location of ettsements and driveway;footprint of stnu:tore(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of co.^,rage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan.Show dimensions,anchor holts,tiny hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Croc-section(s)and details.Show all framing-member sizes and spacing such as floor txams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,rool'slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc, 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade it'the change fn grade is greater than four foot tit building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for nun-prescriptive path analysis provide specifications and calculations to engineering standard%. 17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member siring,Spacing,anti hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar, for engineered systems,see item 22,'Engineer's calculations." I Q Beam calculations. Provide two sets of calculations using current code design values for all hearns and multiple joists over 10 feet long and/or any bennt/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. -- 21 Fnergy Code compliance. Identify the prescriptive path or provide calculations, A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When req uIred or provide(1,t i r..shear wall.roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall Ix shown ru l,, ,,i idwable toil! project tinder revives, JURISDICHONAL SPECIFICS 23 Five(5)site plans arc required for Item I I above. Site plans must he 8-1/2" x I I"rn i i i 24 Two(2)set; cacti are mclulie_d for Items 16, 19,20&22 above. 25 Building plans shall not contain;red lines or tape-ons, "Mirrored"building plans will he not accepted. 26 "Reversed"b. (ding plans must meet criteria outlined in the Pennit&System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. ?a Site plin to include tree size,type&location per approved project street tree plan(if applicable,),and COT Street Tree List C'heekl,it must he completed before plan review start date. Minor changes or n,,tcs on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 44046141fiAX •OM) 1 ! • J �' 9 I ll zv , �` tr ✓l �_ -„ 1 fin' �I "� ��'�✓ ! } "� '�� =,k � K 4 1 v "V A ,Ok ' t4 •�• 44 .III 'Al ! p•�J r' •'�r4 � ." yyp�� t" OL rl m p C a A W O ` a i, �, � � 2► irk Se