Loading...
10650 SW FAIRHAVEN STREET i d 10650 SW FAIRHAVEN STREET CITY OF TIG�4R0 MASTER PERMIT PERMIT#: MST2001-00224 DEVELOPMENT SERVICES DATE. ISSUED: 4/24101 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 SITE ADDRESS: 10659 S'�N FAIRFIAVLN ST PARCEL: 2S103DD-00435 SUBDIVISION: FAIRHAVEN COURT ZONING: R-3.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: 528 sq.ft. shop IIUll DING REISSUE; STORMS, I _ FLOOR AREAS REQUIRED WETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT 16 FIRST `2H of BASEMENT: of LEFT: 5 SMOKE DE'rECTOR3: TYPE OF USE: SF FLOOR LOAD: 5u SECOND el GARAGE. of FRONT: 5 PARKING SPACES: TYPE OF CONST: SN DWELLING UNITS FINBSMENT if RIGHT: 5 VALUE: 5 11,585.00 OCCUPANCYGRP: Ul BDRM: BATH. TOTAL. 52HOu of REAR: 5 PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS RATA DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS. SEWER LINES. SF RAIN DRAINS: CATCH BASINS: TUBISHOWFRS• GARBAGL LISP: WATER HEATERS: WATER LINES, BCKFLW PREVNTR. GREASE TRAP;: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP�3HP: VENT FANS: CLOTHES 714YER. FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTr)VES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS_ 1000 SF OR LESS: 0 200 amp: 1 0 - 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L F00SF: 201 400 amp: 201 400 amp: tot W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERIY: 401 600 amp: 401 • 600 amp' EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 omp: 601+amos•1000V: MINOR LABEL. 1000+amp/volt: PLAN REVIEW SECTION Reconnect or.iv: >-4 RES UNITS: 9VrIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL•RESTRICTEC ENERGY A.SF RESIDENTIAL _ a.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 9 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: 0TH: ALL ENCOMR BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLUCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAlTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FETES: $ 540.54 Owner: Contiat tor: This permit is subject to the regulations contained In the STEVENS,WILLIAM A OWNER Tigard Municipal Code,State of OR. Specialty Codes and 10650 SW FAIRHAVEN ST all other applicable laws. All work will be done in TIGARD,OR 97221 accordance with appmved plans. This permit will ex;)ire If work is not started within 180 days of issuance,or if the work Is suspended for more than 180 days ATTENTION Phone: Phono: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Ron N: forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. ,-o5REQUIRED INSPECTIONS Erosion Control Ins�Exterior Shoalhing Inst Final Inspection Footing Insp Low Voltage 5la'a Insp Rain drain Insp Framing Insp Roof Nailing Shear Walt Insp Electrical Final ICY \ Issd By : �•�Q Permittee Signaturq : Cal! (503)839.4175 by 7:00 p.m, for an inspection needed the next business day ddress' o&5z, w � 70ZL", ., Issu Date: 41ye Statement: Information Notice to Property Owners About Construction Responsibilities Note. Oregon Laty. OR,, -01.(05(4), requires residential consttwciion permit appli- cants irho are not registered with the C'ons'truction Contractors Board to sign the follotring statentent belbre a building permit can be issued T his s7atement isrequired ,litr residential building, electrical, mechanical, and plumbing permits. '_icensed architect and engineer applicants, exempt.fi-om registration under ORS 701.0/0(7), need not submit this stalement. This statement will he filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A o 38: $,v l. 1 own, reside in, or will reside in the completed structure. 65�2. I understand that i must register as a construction contractor if the structure is sold or offered for sale 1 before or upon completion. a ?A. MN general contractor is -----------.-- (Name) - - Contractor regis. # i w0l instruct m' general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR r ^ B. i will be my own general contractor. If I hire subcontractors. I will hire only subcontractors registered with the Construction Contractors Board. it'I change my mind and hire a general contractor. I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the naine of the contractor. I hereby certiF'th,lt the above information is correct and that I h::►e read.aid do understand dic Information Notice to Prod t3 Owners about Constru tion Rvs►ionsihilitic�- on the reverse side of thiN form. dP (Signature of permit applicant) Mate) 01'hite copy to issuinc,>agent,t-permit JUe, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities `.r,la. 11r+, c' 11; Ifs it iil �„ ri llr;(1ih �I t.'i' .Ill. .t, I!li!:-.1- ',�'�Il! . It•� � !il! !: 1,'I I� t� il7�'I 11:.. '. �II!ill, • �;��� :II11'�J1 ;111,1 , �IIL;!{ i, �il�. I ',- fll,: ll':. t 'I' ..III l'+'. � t'111111i111'1 Itl''�11�"! O1 I)l'lllr,.111dr1 �'t L]It +,�Ii�NA Illi IY -I!'.,'ll-Ilfl�lill'�dll�alt;J' � I �.1'll4�l ll. EMPLOYER RESPONS181LITIES. ,. � �! � �i� ui � _ . .I t'.J:I illt , •Il ,ii i,�ill .i I Ili, '. � � , 11�. I,li' �I , � �.I'.il�, , , II.11l i, II II :'! Iii Ilii: I 'li �I'Iti. ,' i�. i`r�'.'IIIlIi1,•,t:� , ,II�� •�I!115 I��•,:f. .,u.l '1111•I , I!ITk ,1 ;II., ( 111;,t,11'',vvHI+i111111in�!1,1': 1:1vt• A. .;111,711}111,,.1'1 vI,�tltl!r.it'-'itl'It-Ills! �,„,, �,!�:,' ItIH'rrltll,l�,l��rttnllt,;:!i ;il•In '.I�-�1,1�,1 'ILII 'I,I{1IIl, ;Ini,1,• I��:'111:'l�t\ I1%Jl'1111`111 : 1'1t.`11I(� .n11 .1l1t1'ta�, lli:i!1' �',I11111111'1111(' ta'. 1�11``1111n11liypl,��n . III! !+n :ii 'll ill llr. r I 1. Pt lit ui irt' :_^IIU,';11 ')I .kll4� t'tIY 111111111111 f'I!1 Y11 X161:I IfI ;.,, . . ,Ill t'I11�:��” , I! .Ill '��'ll:: - � �I '.11..!:1 .� .�,rl , 'I: .�. I,II'•.- I' '. Il ll•�. %lel"1,t t•, I I !olf i;.;1(1 r'1 1'I - - .., , 1, !:1!,d ,:! ,Jil U. �„ )ll 'll '�% , 11•t l .1111111' �,� .`1�1•.,I ( u!17�,I � '� ;I II. ! I II! :I �( i + 1, II . I , Irl -,� ��, .�. 11111'l�11:11 lll'V1.'11111' I,�1 ,It 1 1, 11^, .� ., :II i !II, :�I! ;.i..• II I!I�I� ., L � : ,�, !I. i��. 11�It'�l.'II-1(�tlll'I:.IV I)il\Il)l'lll t,'. !� I;AILII Iilllllll� !I'.IIII, '�.AII�IIr!Itl;�i;i.l � "!I 'I. 1111^;U!:1!I,III.I"1111�11' llll, l'1'a�l'',_A � "' t•.I�-I„ ,ll I iil�ill-R�11•i11•�(1 OTHER RESPONSIBILITIES AND AREAS OF CONCERN. nt11'cum111i:url•c: .A .111 '� � � 111,1�. � ., I, ! � ��! � , ,: a �,!: I I• 1' 'Ir. I ,:i� !.•11,� I , 111:i1 rir l\ 11r` Ilfnus'lll I,..\„111 I11. !u', 111 Ihl,`•u�If 111. Iu.1 711111. Li7111111t\ nod 11711117!!!1'11111111111t't: 1 IIIIJ.:l 11'111111,111,f: ;) 11rt!]Li' I- ,1'. l,�tl;ll. fl'.!II,il1_ it,I.Il]clIts alit]oulI"t,II.;ll.ti su'.11 a, lit II[fit,toll]',,pail11 l+\I,'!'.t111';1�. \\:1111 I idVI ll'C 114)111 171111'11111111..II C.S. (1rl' Itl \\I'fI. 11 ,1 tl;ll-I I'C-dolic Ti to till pen ise emplo.,l vv%: c ,11I.0\I'll hitt l"111ItICICI)l Illlit' I,I,III,.;r,i,I,' \1'111 (111Ill 111'C- F.XI)l'ttlVl': 11k11C':111't'\11111;111'I�11'1'k1)l'i'II I'11ra1t:1,11!!11t1',1114!l'IRI 111.11111,111111,11'Ct`kII'd1IMiV1111'\\(Ill.t'11011 '.11 If' Iil1II!II �; tr�F('eS�`611d tt1 ililti�t� hui111irm t1('Frc1^Iie'at the N�f1t•rt�.rilt4"lilttr�.r�Ihhv r:m 1u!rfi�rlll thr rclllurl�ll in,1lrctilln: 11 v 11U 11a�C J<l('1111I)IIIII 11U1° troll .. vv f Ill:1!f c7111 1110 l k"I'tfllCtioll( Ililt!X11.ilrl'S BI)ard I Ill l Bov 1.11 1f1" salllll,( 11t 4 ;(+Il-•li'” 50.1/3794021).4021). 00 N l mulct tit. SL Suitt, ;f1 - it: `all'in. trop-omi ptio I'9•! Buildi City of Date received: ' P"llnilyd.t _ Address: 13125 SW;tall Blvd,Tigard,OR 97223 F'rojecUappl.no.: f.xrlrcd;r:e Cityq�Tigard Phone: (503) 639-4171r I I Date issued: 9y: Receipt no: Fax: (503) 598-1960 D 1' -� ? Case file no.: —_ Payment type: Land use approval — I&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family alq 7 construction U Demolition U Addition/alteration/replacement U Tenant imnroveinent U Fire sprinkler/alarm U Other: Job address: G5-0 S W jCAle 6• %i o Q `y Bldg.no.: Suite no.: Lot: I Clock: Subdivision: tx map/tax lot/account no.: project namerJ� — Description and location of work on premises/special conditions: Name Mailing address: G e OF I &2 family dvrelling: q �jj l' c City: Re Slate: ZIP: Z Valuation of work............�.�. L..�l..:?...... Phone: r — - Fax: E-mail: No.of bedrooma/baths..........�..... Owner's representative: 'Total number of floors ............................... Phone: .-mail: New dwelling area(sq.ft.) MolGarage/carport area(sq.ft.)......................... Name: ( Covered porch area(sq.t.) ......................... _ '/- Mailing address: /t1 !4' r'gt/E7-1 Deck area(sq. ft.) ........................................ City: State L.I P: a Other structure area(sq. ft.)..,�'GJ,G, ........ d Phone: — Fax: I E-mail: t'c,mmrrcialllndustrlal/multi-family: Valuation ol'work........................................ $ — Business name: r' Existing bldg.area(sq.ft.) .......................... Address: New bldg.area(sq. ft.) ............ ................... Number of stories........................................ -- City: State: ZIP: Type of construction _ Phone: o ° c flax; E-mail: E. New: _ CCB uo. � — i� — Occupancy group(s): Existing: City/metro lie,no" Notlee:All contractors and subcontractors are required to he I icensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: iurisdiction where work is being performed. if the applicant is City: State: 7.IP: exempt from licensing,the following reason applies: Contact person: -[Plan po.: I'Ittxtr Fax: — I n;;ul Name: Contact person: Fees due uptm application ........................... $ Address: Date received: -- City: _ —� _ mate: _ZIP: _ Amount received ............................... $— Phone: Fax E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the. Not all Jurisdictions accept credit cards,please call jurisdiction rat more mfortnanon. attached checklist. All provisions of laws and ordinances poverning this Uvsa U MasterCard work will he complied with,w ethers 1 d herein or not. Credit card number --- — / / - rtpireo Authorised slgnature:� f te: 3 /a/ Name of cardholder as shown on credit card - Print name: _ Cardholdet signature $ A--r. J Notice:This permit application expires if a perruit is not obtained within 180 days after it has leen accepted as complete. 44,0-46111(MCOM) Lt1U�-� � ► (9 One-and Two-Family Dwelling Building Permit Application Checklist "Rcf�crcnce .: City n(Tigard City of Tigard Assoc 'edpermits: Address: 13125 SW 111111 Blvd.Tigard.O12 u'," U L•ler:iwal U Plumbing U Mechanical Phone: (503) 639-4171 U Other: NIX: (503) 598-1960 -- ._- IIII A* _ I Land use actions completed.Sce jurisdiction criteria for concurmoreviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. — 3 Verification of approved plat/lot. 4 fire district_ approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Solis report.Must carry original applicable stamp and signature on file or with application. 9 Erosion colrtrol 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 pians.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 del:uls. flan review cannot he completed if copyright violations exist. I I Site/plofppplan drawn to scale.'rhe plan mutt show lot and building setback dimensions:property corner elevations(if there is more than a 4-11.elevation differential,plan must show contour lines at 2-11' in(ervals);location of easements and driveway;footprint of structure(including decks);l cation of wells/seplic systems;utility fixations;direction indicator;lot arta;building coverage iioLn;percentage of coverake;in an a;existing 12 structures un site;and surface drainage. sire and location,foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent _ 13 floor plans.Show all dimensions,r(om identification,window size,location of smoke detectors, water heater, _ furnace,ventilation rims,plumbing fixtures,halc(mies and decks 30 inches above grade,etc. 14 Cross section(s)and details.Show all franiing-rnemixr sizes and spncnig such as floor h ams,headers,joists,sub-n«)r, wall construction,nx)f construction.More than one cn.)ss section may he required to clearly portray construction.Show details of all wall and roof shea(hing,rofing,rof slope,ceiling height,siding material,footings and foundation,stairs, finpince construction, thernurl insulation,etc. 15 Elevation views.Provide elevations for new constnrction; mum of Iwo elevations for additions and remodels. Exterior elevations roust n fleet the actual grade if the change in grade is greater than four foot at building envelope, roll-site sheet addendurns 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-prescriptive path analysis provide �ci(ications and calculations to engineering standards i Floor/roof reaming. Provide plans for all hours/r(of assemblies indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining halls, Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam caieulatlans. Provide two sets of calculations using current code design values for 1111 ho:ums and multiple joists ` over 10 feet long and/or any beam/joist carrying a non-uniform load 20 Manufactured floor/roof truss design details. _ ?.1 Energy('ode compliance. Identify the proscriptive pail or provide calculations. Agas-piping schematic is required for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall Ix stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project nn,lri ride(( MWAM 23 Five(5)siteplans are required for Item I 1 above. Site plans must he 8-1/2' 1 I I to i I"x 17' 24 Two(2)sets each are required for Items 16_19 20&22 above, 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will be accepted. 27 --- 28 —-- - — Checklist must be completed before plan review start date. M°nor changes or notes on submitted plans may be in blue or black ink. Red ink i s reserved for department use only. 440-4614(6AXA M) Electrical Permit Application Date received: 1'crmtt no City of Tigard Project/appl.no.: Expire date. –_ CiryojTigard Address: 13125 SW Hall Blvd,,rigard,OR 97223 Dow issued: By: Rmeiptno.: Phone: (503) 639-4171 _ Fax: (503)598-1960 Case file no.: Paytncia iyi e: Lind use approval: U f14s 2 family dwelling or accessory U Commercial/industridl U Multi-family U Tenant improvement L"fVcw construction t]Addition/;iltcratinn/rt-Itlarcntrnl U Other- _ U Parlial 0911 SITE INFOIIMATIO� Job address: /Q V y Iiltlg. no. SU11C no.: fax nutp/tax IoUarcnunl no.: Lot: BhLr,k: �Sub!LiviQsion: _ Project name: Description and location of work on Inemises_ Estimated date of corn lotion/ins Lection: .lob no: Fee max Business name: V/1/44L1f 1)4�ctiruion _ qty. (ca.) Tolal no.Ins I Newreshlenlial singleormulti-famllrper Address: 1065--Z 0-1 tt- dwelling unit.inchu ei artaclwd garage. City: )( State:O2. ZIP: ServGrinsludcrl: Phone: ? E-mail: l(XX)sq It.or lc!,s 4 CCB Ito,'/Og'j 5 [Elec.bus. IiC.no: — Fach additional 500 sq.ft.or pion thereof _ Limited energy,residential 2 City/metro lic.no.: _ Limiled energy.non-residential 2 FAch manufactured home or modular dwelling Signature of supervising electrician(required) Date - Set-vice and/or feeder 2 Sup.elect.name(print): License no: Servlcea orfeeden-Installation, alterationor relocailon: 200 amps or less 2 Name(print): ;�{, ft,, 54i./d'PIS 201 amps to 400 ams 2 401 amiss to 600 amps 2 Mailing address:/u S } 5W /ot 2�LquGt^ 601 zrnpsto I(Wanips --- 2 City:!"'V4 Agg 17State:Cyt_I ZIP: 7.2 3 Over 1000 amps or volts - - 2 Phone: :t' I E-mail: Recoonectoniv _ I Owner insta atior.:The installation is being made on property I own Temporary services or feeders- -� which is not intended for sale,lease,rent,or exchange according to InMaunuon,alteratIon,octelocaion: ORS 447,455,479,670,701. 2(x)amps or less `^ 201 amps to 400 amps Owner's si�nature:Z[ {( )ate: _f / �� 401 to 60)nm s Branch circuits-new,alteration, or extension per panel: Name: — —- --- A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: I/I I' B. fee for branch circuits without purchase Plume' I a f Ituti I of service or feeder fee,first b,onch circuit: 2 Each additional branch circuit: Mlec.(Service or feeder nol Incloded): U Service over 225 amp,commercial A Health-care facility Each pump or irrigation circle _ 2 U Service over 370 amps-rating of l&2 U Hnr:ardc ur I•ration Each sign or outline lighting 2 fandlydwellingi UBuilding over l0,000square feetfouror Signal cirruit(s)or a limited energy panel. USystem over600vilia nominal more residential units in one structure alteration,at extension* _ 2 U Building over three stories U feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park Fweh additional Inspection over the allowable In any of the above: U Fgrese/Iightingplan U Other. _ Perins ction F_T_ _T Submit sets of plans s4th any of the above. Investigation fee The above are not applicable to temporary construction service. Other ---- Nd all juriadietlona accept credit cards.please call)risdiction for more infcrnuo,;xr Notice:This permit application Permit fee.....................$ _ U Viae U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: ^—_ (— within 180 drys after it has been State surcharge(8%)....$ "plfe" accepted as complete. TOTAL . Name ca so r as shown on u c —` _ S _ Codholder rignarure _ - Amount 440.1615(&Oa nivI) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY l B l h S F Complete Fee Schedule Below: --------- — ---- p Restricted Energy Fee........................................ ............. $75.44 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total _- Check Type of Wo* Involved: Residential-per unit 1000 sq.ft.o,lees $145.15_- _ 4 ❑ Auc .and Stereo Systems Each additional 500 sq ft or i portion thereof $33.40_ t ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder — _ $90.90 Servicos or Fe3ders ❑ Heating,Ventilation and Air Conditioning System` Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps _ $106.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ $240.60 2 ❑ Other_ Over 1000 amps or volts $454.65 2 Reconnect only _ $66.85 2 Temporary Services or Feeders 'TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system......................................................... $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30_ 2 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems fender tee. -_ach branch circuit _ $6.65 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit 58.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $.3.40 _ ❑ Each sign or outline lighting _ $53.40 Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension _ $75.00 _ Landscape Irrigation Cootrol' Minor Labels(10) $125.00 Medical Each additional inspection over T e ❑ the allowable In any of the above ❑ Per inspection $62.50 _ Nurse Calls Per hour _ _ 582.50 _ _ In Plant _ – _ $73.75-- ___ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enver total of sbo,:;fees $ ❑ Other 8%State Surchar go $ _Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses aro required Licenses are required for all other Installations front of application - – -- Fees: Total Balance Due 5, Enter total of above fear ❑ Trust Account# 8%State Surcharge = Total Balarrec Due f Odst.02mm\cic-fees doc 10•'0911)0 �_----�_'—_.�---��----- MECHANICAL CITY OF TIGARD PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEGA- 0560 13125 5W Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 12/16/98 PARCEL: 25103DD -00435 SITE ADDRESS. . . : 10650 SW FAIRHAVE_1'4 ) SUBDIVISION. . . . : FAIRHAVEN COURT ZONING: R--3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: TIG ------------------------------------ CLASS OF WORE;. . :AL7 -- FL.00R FURN. . . . : 0 EVAP COOL-EPS: 0 TYPE OF IJSE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPF_S----.---------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVE'S. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYP RS. . : 0 NO. OF UNITS-•----•----- AIR HANDL.T NG UNITS OTHER UNITS. : 0 FURN ( 100K BTU: 1 (= 10000 cfm: 0 (QAC OUTLETS. : 1 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remarks: Install a new gas furnace and gas piping. Owner: -- _.___._----._-__-.____._______________ FEES ---------------- WILLIAM ------_--_-__-. WILLIAM-STEVENS �_---- type amoi-tnt by date recpt 9920 SW SCOTT CT PRMT $ 05. 00 GEO 12/16/`39 98-311570 TIGARD OR 97223 5PCT $ 1. 25 GEn 12/16/98 98-311570 Phone #: Contractor: -____-- COMPLETE HEATING & COOLING, JAMES YOL.IN[3 ----------------- •-----_._ .._ 4500 WEST ROAD 26. 25 TOTAL LAKE OSWE:GO OR 97035 Phone #: 684-6513 Reg #. . : 000694 --------- RE•:OU i FLED INSPECTIONS - _------ This perait is issued subject to the regulations contained in the Gau Line I n s p — Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be done in accordaice with Final Inspertion approved plans. This perait will expire if work it not started r -------- - within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon 'tility Notification Center. Those rules are _.-.--•-- set forth in OAR 952-MI-0010 through OAR You Bay --- obtain copies of these rules or direct questions to OK by calling (503)246-9187. —.— — — -- IssI_te By : �L Permittee Si gnats-tre +++4•++++++++++++++++•r•++++4...++++++++++++++.+++++++++++++++ ++ +++ + ++-.+(, ++++++ Call 639-4175 by 7100 p. m. for inspections needed the t b► Hess day +++++++++++++++++++++++++++++++•+•+4++++++++t•++++++++++++++i +++++++++++++++++•4•+++ CITY OF TIGARD Mechanical Permit Application Plan check# Pp RecA By ---- 13125 SIM HALL BLVD. Corry-.i('rcial and Residential Date Recd TIGARD, OR 97223 Date to r.E _ (503) 639-4171, x304 Date to DST_ Print or Type / Permit#,y/f,;' Q$ t55G� _ Incomplete or illpoible applications wil;_not Le accepted Called Name of Development/Froject Description Table 1A Mechanical Cede _ O Price _Amt Job Straea Address -J SunMl A Permit Fes 10.00 Address % �ii ri0 SW/'jJ/kNN✓ems 1) Fumace'.o 100,000 BTU BtdgM city/state zip includin j ducts&vents 6.00 2) Furnace 190,000 BTU+ 17-/'4/,M1I�Q 9 7 72 Including ducts&vents—__- 7.50 Name for n m'of business) 3) Floor Furnace Owner S V10,W including vent E 00 Melling Address e / 4) Suspended heater,wall heater 9 J O SW SGOTT C _or floor mounted heater_— 6._00 —` 5) Vent not included in appliance permit Cny/State Zip Phone 300 n Q 9 7 2.2,3 CHECK ALL *Boiler Heat —Air Na for name of business) THAT APPLY: or Pump Cond Qty Pricl Amt Cont __ •"_ 6)<3HP;absolb unit to Occupant MamrI Addrer's 100K BTU _ _ 600 7)3-15 HP;absorb unit Cny/State Zip Phone 'i 00k to 500k BTU _ 11.00 8)15-30 HP;absorb Contractor Name unit.5-1 roll BTU 15.00 /'� ,( / 9)30-50 HP;absorb unit 1-1.75 mil BTU 22.50 Prior to permit MaII1ng PMdre r• , 10)>50HP;absorb unit issuance,a copy S r 65 >1.75 mll BTU 1 37.50 of all licenses Cnyf ate ZIP Phone 11)Ali-handling unit to 10,000 CFM are required if Z_ s.;0ad OV 035 ','n- -1-, _ 4.50 e.pired in COT Oregon Conrrt.Cont.Board Lic.0 -- Exp.Date 12)Air Irendling unit 10,000 CFM+ database -1.rf L 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 Or Meiling Address 14)Vent fan connected to a single duct 3.00 15)Ventilation system not Included in Engineer Cny/State_ Zip Phone appliance permit _ 4.50 16)Hood served by mechanical exhaust Describe work to be done 4.50 �i 17)Domestic incinerators New'$ Rep it O Replace with like kind: Yes O No O 1 g)Commercial or Industrial incinerator _7.50 Residential r Commercial O type 30.00 _ Additional Information or description of work: 19)Repair units _ 4.50 20)Wood stove 4.50 21)Clothes dryer,etc. - - ---- 4.50 _ Type of heel: o110 natural gas LPG O electric O 22)Other units _ 4.50 I hereby acknowledge that t have read this application,the;the Information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of _ 2.00 the mer,that plans submitted are In compliance with Oregon State laws 24)More than 4-per outlet(each) 50 SIg tire of Owner/Agent Date n / ! Minimum Permlt Fee$25.00 SUBTOTAL T5%SURCHARGE i C ct Person a Phone — PLAN REVIEW 25%OF SUBTOTAL l R_e uiq red for ALL commercial permits onl e 18. ( �vCL_L-_��� I — TOTAL �ir� 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit Ianechperm.doc rev 0'7/20/98 CIT`( CSF TIGARD F'.UMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97-@:,,04 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 07/"7:.19/97 PARCEL : 2SI03DD-004-,5 ST TE AI)DRE:-i:.i. . . t065-0 SW F()1 RHH VLN 5 I SUBDI.VISION. . . . FAIRHAVEN COURT ZONING: R- 7. 5 BL_OC1<. . . . . . . . . . .. L..OT. . . . . . . . . . . . . :3 JURISDICTION. TIG --------------------------------------------------------------- - :ARBA1iE DISPOSALS. � . MOB I I._F HOME SF'AC:ES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BnCKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :R3 FLOOR DRATNS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BriSINS. . . . . . . : 0 FTXTURC .____.__. __.____ . I. AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 S J NKS. . . . . . . . . . 0 URINALS. , . , . . . . . . . : 0 GREASE T RAF's. . . . . . . . 0 L.AVATORIEC',. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 100 WATER CLOSET S. : 0 WATER I-INE ( ft ) . . . : V.i DISHWASHERS. . . . : 0 RAIN DRFIIN (ft ) . . . : 1,71 Remarl(s : Lay sewer 1 i.np re SWR97-0289 Owner; - - -- _---.._._-------.___...-----......_____._.__.____.__._.___.______________.__ FEES �IELEN COOK type arna,.rnt by Batt- recpt 10650 SW F.,1 RHAVEN PRMT $ 30. 00 JSD 07/29/97 97--297669 I' TOARD OR 9722 3 SPCT $ 1. 50 JSD 07/29/97 97--297669 P(3Y. A FX^AVATION INC JACGIUES POIRI17R 19230 5E_ TILLSTROM SC1RING C]R 97O09 G'lrone #: 503-618-0129 $ .31. `J0 TOTAL_ Reg #. . . 118372 ---- - -- REDU 1 RE:D INSPECTIONS -- - - This permit is issued subject to the regulations contained in the Mi 5r, Inspect ion Tigard Municipal Code, State of Ore. Specialty Codes and all other Final T n s peat i ori ___. _ _ __•____„�_, applicable laws. All work will be done in accordance with approved plans. This permit will expire if wo k is not :'.anted ___ _y__�___. ___,_•�___._._._Y___,� within 180 days of issuance, or if work is suspended for more �__� ��__�___-_• than 180 days. ATTENTION: Oreqon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-00A0. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. Tssd ByPermit,tee Signatut-e:� . .+++++4 4+++4-++4.t+-+++.++•+•++•a-4+++-F++++++++++•t•+++++++++-t•+-4+++a+t4++4-++++++++++++++•f Call 6759--4175 by G-.00 p. m. for an inspertion needed the next bl.rsiness day f-I•4-+++++•+•+-!+++++-F++++•F+-I•++++y++•t++-t+++i++-F++++•F+-4•++-t•++++++++++++++++++t :ITY OF TIGARD Plumbing ,Application _ 3125 SW HALL BLVD, IGARD, OR 97223 Recd ey___ - Commercial and Residential Dan Recd M) 639-4171 Data to P E. Date to DST Print Or Type Permit! '� / (!' Incomplete or illegible applications will not be accepteiit caned Name of men ndh' Job °'�.IoP vPm,ea rtEs;n dwl? � + GTU' - R!11Y1T �u Address Strnef Address _- Sfale Lavatory �- `� W ' 9.00 P Tuba Tubdshawer Comb. 9Wp City/ JSP shower ony 9.00 Narrr� / 1 9 A i. I _ 9.00 Water Closet ,�./t!R ��� /C" 'Odanwaahar 9.00 Owner -"ii;Address - S9.00 wta Ga►>.spe Dbpoaal 1 r. LJ ','w {l,� a N Wanhing Machine - -- 9.00 cityistate rp 9.W Floo,,Drain 2- ---- - _ 9.00 Name �, 3- 9.00 4- 9.00 Occupant Ma*V Address Suite Vi'ater Heater 9.00 GtylState �- Zi Lrnxfdry Rao-Tray ---- P Phone Unnar - 9.W- --_-___.-._ -.-_' Naima 900 OtfNr Furt�rss(S Y1 - F9.00- ,t „� S!'V C '-- Contractor µ•+sq Addrnsa - - 9.00 afar I r .' -- r l 15'>'y U 4/\- 9.00 Prbr to isu,anda (WI-Mao -�_� Phone - 9.00 applicant mastFr6✓ ©Ir a 7bUt < r - prowde all Qr; .Cfuft 9oifd Lla tt --- 9.00 ��ymkerme Exp.Data Information Uc t �' ExI Date __- ---- 9.00 tat i0a' 3a.00 hx COT COT 81q+nees Tax 0r A?afrb tSewer•ear31 additional 1DU' .--" 23.00 database). A-- - % Wa W Service•ISITOO pq' -36-00 Name Water Servrcn•each additional 200' ioo architect _ 2s.00 Storm 6 Ram Oran-1st 100' - 30.00 Of Manny Addrnsi u each a' nal t00' -- 23.00-_- Moble Home ,ace.ngineer Cityrstw- Zip Flow P svenuon Deviceor gntl 2300 esuitM Woak - Pokrtion New U hddltioO AJ- h�rattpn pResidential Bad}lowreventbn sidPpevrce. - i be none. Reential O Non-residential O __ 15.00 - +dddional desvlpfhn of work - '-- - My Trap or Wasta Not Connected to a F xture - 9.00- --- Catch Basin -- 9.00 Inap of F-tkq Pkrmbing 40.00 EmstinQ use of -- -• Soeuany Hec{rested Inspect)pns per/hr uddinQ or property 40.00 Orcin,singgle rami,dwellhp �� Proposed use of - 30.00 budding or G - ._-.-..�-_-_�-� 9.00 Araou ra-P - QUANTITY T1TY TOTAL Y P . a replacing any dtxtures? Yes❑ o❑ 90 � M"t or user did9ran u rsoured d Ousno Tura)a (if rs eee back k off form) N -_ • .-:• r s-,. I hereby adcnowk!dge that i have read fhb applkatbn,that the,njortnanon 'SUBTOTAL iven is correct•that I am:he owner or 4dihonzed agent of the owner.and ---- "i t plans pibmitted are n compilanob with Oregon Laws. 5Y.SURCHARGE +gnats of OwnerlAgant - - - ID PIAN 4EVIEVU 25`A. 0:-3-LTB-TOTAL ►� �j Y�^_-t_, ra>9Co tPa rite ne TOTAL Pleven 011111-Mu-permit fee is SsS* S%surcharge,except Residential 8"ftw ^ - Prevention Device.which is S15*SX surchargei1plmapp.doc 12,96 (dsi) J EAaE-C-QMFJXJ-LAS APPRQPRIATE TO PROJECT: aures to be capped, moved or replaced Qty Sink _ Lavatory Tub or Tub/Shc%ver Combination Shower Only Water Closet _ Dishwasher _ Garbage Disposal _ Washing Machine Floor Drain 2" 3" Water Heater Laundry Room Tray _ Urinal _ Other Fixtures (Specify) .OMMENTS REGARDING ABOVE: I^phapp doc 11`96 (dst) CITY OF TIGARD SEWER CONNECTIMi DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : SWR97--0Q_'8'3 DATE ISSUED: 07/28/97 PARCEL: 251037)D-00435 1'17. ADDRESS. . . . 10650 SW rA T RHAVEN S"T S"JBP I V I S ION. . . . :FAIRHAVEN COURT 7ONTN(3: P1 0 C K. . . . . . . LOT. . . . . . . . . . . . . :3 JURISDICTIONS TIG -1 r--Nnt\IT NAME. . . . . :HELEN COOK n mo. . . . . . . . . . : FIXTURE UNITS. . . : 0 t')55 OF WORK. . . :NEW DWELL I NO UN T Ts,, . i j ",'PE OF USE. . . . . ..9F NO. OF BUILDTNGS: 0 15TALL TYPE. . . . :LTPSWR It';PERV SURFACE: L71 S f P­P,:�Wks : Connecting to sewer,. Mi-ts,t have septic tank p�_tmpedj f i 1 1 -11, x i i! FEES 11FI.FN COOK type amol.tnt by date recpt SW 128TH AVE PRMT $ 2200. 00 S 07/28/97 9'1--297611 ) IGARD OR 97223 INSP $ 35. 00 1.1 07/8/`.97 97---297611 MISC $ 450'5. 88 B 07/28/97 97-297611 F'110ne #I .' ,ntr-Artot-.. jNER 6740. 88 TOTAL REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewpi Inspection of the Unified Sewage Agency. The permit expires 188 days from Septic Tank Fill the date issued. The total asuunt paid will be forfeited if the permit e4pires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement g'yen, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ------ ATTENTION: Oregon law requires you to follow rules adipted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0081-8080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. Permittee SignatlWe : ++4 +-+44+4.............t-+4...........4-++..............4.+4•...............4-+++++++++ +•r Call 639-4175 by 6:00 p. m. for an inspection needed the next bl..Isiness day ......�++++++ ....................4-4...4-+++4++4 ++++++t•++ .................4-++-1-+4 4 CITY OF: TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Liri: 639-4171 BUP Date Request-dY -----AM--PM ___ AMPM ._. _ BLD C , Location �G �L' __� �'lt���Gti"44 Suite MEC—_ Contact Person ___ Ph PLM _ Contractor Ph/---�— SWR — BUILDING v Towner ( t.P1�- ELC Retaining Will EL.R Foot;ng Access, FPS Foundation ` Ftrl Drain SIGN Craw.drain Inspection NotesPJ3�. r17 Slab SIT _ Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing _-- Insulation 1p�t,l Drywall Nailing �"-' T-- Firewall Fire Sprinkler -- Fire Alarm ' �.1 -C� Susp'd Ceiling 1 Roof Misc: nal Vit��` - Final PART FAIL " PLUMBING _ Post&Beam Under Slab I op Out Water Service ---- Sanitary Sewer Rain Drains _ -_- Final PASS PART FAIL MECHANICAL Post&Beam Rough In ------ Gas � , ti~ Smoke Dampers Final PASS PART FAIL ELECTRICAL '� ---- -- -- —- - Service -- ---�' Rough In -- UG/Slab Low Voltage Fire Alarm -- Final ._._ PASS PART FAIL -_----- --__-_ -_ ----- -- �� SITE [iackfill/Grading -- SanReins action fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd orm Brain` I ] P Catch Raw I ]Please call for reinspectlon RE: ]Unable to Inspect no access Fire Supply Line ADA / Aacj1(S,dev,alkL Date - Inspector y _ _Ext -- mal i' r ---'-C PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. I"PITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 6.,9-4171 MST ---- _Date Requested !��� ��-/ AM PM BLIP Locations In 67 IS �r,�(/� IJl _ °llI )&- BLD Suite � Contact Person 7110-)wt a _ Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC _ Retaining Wall ELR Footing Access: FoundationI I ) n FPS U Fig Drain J - Crawl Drain Inspection Notes: SGN -- _ Slab SIT Post&Beam -- — Ext Sheath/Shear Int Sheath/Shear +-- - -- Framing Insulation - --_"W-- - - Drywall Nailing Firewall -- �--' -- ----- -_-- - Fire Sprinkler ---.-_---Fire Alarm Alarm Susp'd Ceiling ----- ---------- Roof __._._---------------_.- I final --- ------- PASS PART FAIL PLUMBING - Post& Beam Under Slab Top Out JVater Service Sanitary Sewer -- "-- - ---- -" Rain Drains - Final ---- BASS^-RT FAIL Po s am -- i as Lin' - -- -- - - -- ampers ,PART FAIL RICAL --- - - ------ --- _ Service Rough In --. ----------- __,� UG/Slab Low Voltage --------- -- _�- - Fire Alarm Final _.— -------- _------------- - — PASS PART FAIT_ SITE Backfill/Gradiny - -- -� Sanitary Sewer Storm Drain [ ] Reinspr-;tion fee of$ _ requited before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _ [ ]Unable to inspect-no access ADA , Approach/Sidewalk U Other _- — Cate �' > - Inspector `Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 24-Hour BUILDING Inspection Lin- (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested 7 AM__ PM BUP Location -- — Suite MEC Contact Person Ph —7d a PLM Contractor Ph _j(vS'�- SWR BUILDING-____- Tenant/Owner ELC -- Footing Foundation Access: ELC FIg Drain C/ ELR Crawl Drain Slab Inspection Notes: SIT' Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: AS RT FAIL �A� Tteff -- NG .. - --- - Post& Beam Under Slab Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Dmin — Shower Pan Other- --------- Final PASS PART FAIL MECHANICAi. P­0Sti­BeaM_­_ Rough-in Gas Line Smoke Dampers Final PASS_ PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Heinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITt- F Unable to inspect-no access -_ - j Please rail for reinspection RE:.— Fire Supply Line ADA Date F_Xt Approach/Sidewalk Inspector -)ther: DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL