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12860 SW FONNER POND PLACE f N co C/)c C .n O 7 7 m 'YJ O 3 M v d m I ''lace 12860 SW F^nner Pond C iTY OF TIGARD 24••Hour BUILDING inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received ._ Date Requested_ AMS�_— PM_-_- _ - BUP Location 4 Suite (2MEC Contact Person -- Ph( ) 32'1 ( ` /`� 1S— PLM ------- - _- --— Contractor__ —_ _ Ph(—) -__ SWR BUILDING Tenant/Owner _ _- _ ELC Footing ------ ---- Foundation ELC Access: __ Ftg Drain ��0 I �� EL^ Crawl Drain Slab Inspection Notes: SIT - Post& Beam, - ------- -- ---- -- Shear Anchors r-.,t 0heath/Shear ii it Sheath/Shear Framing - - - Insulation Driwall Nailing Firewall Fire Sprinkler - - - -- Fire Alarm 3usp'd Ceiling Roof Other: - - Final — PASe PART FAIL - PLUMBiNQ Pust&Beam Under Slab Rough-In Water Service SaniWy Sewer Rain Drains Cef:h Basin/Manhole Storm Drain Shower Pan Other:_ Final PASS PART FAIL MECHANICAL Post& Beam Rough-In --- -- _ - - - - - - - -- _ Gas line Smoke Dampers - -Inal PASS PART _FAIL ELECTRICAL - {i Service - Rough-In _ - UG/Slab - Low Voltage Fire Alarm ,KnjP ❑ Reinspection fee of$__.— _`required Nnfore next inspection. Pay at City Hall, 13125 SW Hall Bhyd. PART FAIL Unabl spec -no access sm-_ ❑ Please call for reinspection RE: .. �� ❑ e � Fire Supply Line ADA f� I Date nspe^tor - Ext Approach/Sidewalk D - `J Other: -_ Final DO NOT REMOVE this tnspocdon rej:red from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour Inspection Line: (503) 639-4175 BUILDING MST - INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received .;7'�T1�p /--�D�ate Requested - A,M�__- PM BUP Location — — j%4) � ' Suite--__ MEC Contact Person Ph ( 1�_) �� PLM - Contractor ---_---- Ph ( ) SWR BUILDINGTenant/Owner _- --. ELC ELC FoundationEL ACCHSS: �/� /� X �� FtgDrain � '"> I Crawl Drain '-` SIT' slab Inspection Notes: Post&Beam Shear ---- --� -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -------_------ Insulation Drywall 11 710 Firewall Fire Sprinkler _ Fire Alarm - Susp'd Ceiling �- Roof — -- Other:---------- - Final - - P ART FAIL LBINA 1. Post&Beam _ Under Slab Rough-In - Water Service ,�---i— Sanitary Sewer - -- Rain Drains Catch Basin/Manhole -- Storm Drain - Shower Pan O - A S PART F IL fl - - HANICA - Post& Beam Rough-In --- ------ Gas Line - Smoke Dampers - ----- Final — - - PASS PART FAIL - - - ----- E'LECTRICAL _—-_ -- --- _ Service _ Rough-in UG/Slab - Low Voltage -- - - - -- — Fire Alarm Final Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW He Blvd, PASS PART FAIL SITE Pleae,call for reinspection RE: UnablA to inspect-no access Fire Supply Line ADA ` `� Inspector Ext -_ Approach/Sidewalk Other:-_____. Final DO NOT REMOVE this Inspection record from the Job s te. PASS PART FAIL I CITY OF TIGARD 24-Hour BUILDING Inspection Line. (503)639-4175 MST :2 INSPE(:TION DIVISION Business Line: (503) 639-4171 - BUP Received ----.-- Date Requested__. �0 - _- AM - PM __-- 13UP _ Location - . _ � jc� 'f�yQY1d P�.. Suits. ---- MEC Contact Person ph( ) ��1- �. .� PLM - Contractor _._. _.. Ph ( ) _ _ SWR BUILDING Tenant/Owner ELC -_ - Fouting -- Foundation -� ELC Ftg Drain Access: 1 �,_, Y Crawl Drain ELR_ _ L. /_,' O •�- -- - -- ----- Slab Inspection Notes: Post&Beam - - - - - -- ear Anchors Ext Sheath'Shear Int Sheath/Shear - -- - Framing Insulation -- Drywall Nailing - Firewall - - - --- Fire Sprinkler Fire Alarm -----"-- Susp'd Ceiling -- Roof - -- Other: Fin SS Pf,RT _FAIL ---- PLUMBING — Post& Beam - -- Under Slab Rough-In -- Water Service Sanitary Sewer -- Pain Drains Catch Basin/Manhole Storm Drain - Shower Pan -- Other: - - - -- ---- Final PASS PART _FAIL -- MECHANICAL Post& Beam - Rough-In _ Gas Line Smoke Dampers - Fln4 - PART FAIL _ RICAL Service ---- --_`—. Rough-In UG/Slab - -- Low Voltage Fire Alarm - - - — ---- -- Final ❑ Reinspection fee of$-__— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART FAIL SITE - Ll Please call for reinspection RE: Unable to inspe,;t-no access Fire Supply Line - ADA Approach/Sidewalk nt1tA-��!,/ / Inspector Ext__...----- Other: Final _ - DO NOT REMOVE this inspection record from the job site. PASS PART FAIL AAAAAAAAAAAAAAAAAAA.AAAAAAAAAAAAAAAAAAA,LAAAA,A 4 lop, 4 O C7 ► 4 � d � ► 4 cn � ► 4d ► 4 ► A \J 4 T" lo.. 00, 4 fD ► 4 d ► ► i 4 N ► 4 O o, 7 a ►� I ► i � �- ► C C ► 4PL Z R � 4 d d � o ° ► 4 POO M ro p p ► 4 ► ` ro �J 4 N ► A ► 4 o ► i44 � �4 y ► it ► lop. 44 4 i ► j I► rvvvvvvvvvvvvvvvv`vvvvvvvvvvvvvvvvvvvovvvvvv\ m H H coo G n - a 0 C� w 'b LL rt 0 rA DO o ti a e o CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE SUPERIOR PLUMBING LLC 830 JOHNSON STREET WOODBURN, OR 97071 Plumbing Signature Form Permit #: PLM2002-00176 Date Issued: 5/23/02 Parcel: 2S103AC-OFP02 Site Address: 12860 5W FONNER PW�D f-L Subdivision: ON FONNER POND TOWNHOMES Block: l-ot: 002 Jurisdiction- TIG Zoning: R-4.5 Remarks: Water Service as a condition of SUB2001-00002, Install a minimum 1 114" water service. 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 your company sign below and return this Plumbing Signature Form prior to the start of the work . No plumbing inspections will be authorized until this completed form is received 0WNLR PLUMBING CONTRACTOR: NUPARK DEVELPMENT LLC SUPERIOR PLUMBING LLC PO BOX 230414. 830 JOHNSON , 'REET TIGARD, OR 97281 WOODBURN, OR 97071 Phone #: 503-297-6551 Phone #: 503-982.2517 Req #: LIC 133461 PLM 24-373PB SUP 5819JP AN INK SIGNATURE IS REQUIRED ON THIS FORM Siqnature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF T'I%GARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WESTERN CASCADE ELECTRIC INC 11867 SW WILTON AVE TIGARD, OR 971.23 Electrical Signature Form b 2003 Permit #: MST2002-00431 CtSY Of: TIUAF�U Date Issued. 11/26/0211tl )ING nt�tSln� Parcel: 2S103AC•OFP02 Site Address: 12860 SW FONNER POND PL Subdivision: ON FONNER POND TOWNHOMES Block: Lot: 002 Jurisdictio,i. TIG Zoning. R-4.5 Remarks New SFA attached, Path 1. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate Individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this comp!'-*-J 'Jrm is received OWNFR ELECTRICAL CONTRACTOR NUPARK DE4ELOPMENT WESTERN CASCADE ELECTRIC INC PO BOX 230421 11867 SW WILTON AVE TIGARD, OR 97281-0421 TIGARD, OR 97223 Phone #: 5u3-504-1998 hone #: 503-521-0000 Reg #: ELE 34-6161 SUP 40255 Lic 153.11(, AN INK SIGNATURE IS REQUIRED ON THIS FORM X -- Sign r pervlsing Electrician If you have any questions, please call (503) 639-4171, ?xt. # 310' MASTE CITY OF TIGARD PERMIT PERMIT #: MS1-2002-00431 DEVELOPMENT SERVICES DATE ISSUED: 11/26/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12860 SW FONNER POND PL PARCEL: 2S103AC-OFP02 SUBDIVISION: ON FONNER POND TOWNHOMES ZONING: R-4 5 BLOCK: LOT: 002 JURISDICTION: 116 REMARKS: New SFA attached, Path 1. BUILDING REISSUE: STORIES: / FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NLW HEIGHT. FIRST: 656 at BASEMENT. of LETT: 5 SMOKE DETECTORS: e TYPE OF USE: SFA FLOOk LOAD: •u'. SECOND. 914 of GARAGE: 311 of FRONT: 77 PARKING SPACES . TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENV of RIGHT: VALUE: 156,615 20 OCCUPANCY GRF: R3 BORM! 4 BATH: TOTAL: 1,630 of REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TR4PS: LAVATORIES: 3 DISHWASHERS: t FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 SOIL/CMP<AHP: VENT FANS: CLOTHES DRYER: I GAS FURN>•100K: UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP: btu FLOOR FJRNANCES: VENTS: 1 WOODSTOVES: SAS OUTLE"S: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTION:/ 1000 SF OR LESS: 1 0 700 amp: 0 200 amp: WISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION: EA ADD'L 50OBF: 2 201 •400 amp: 201 400 amp: tet WIO SVCfFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 r,mp: 401 •600 amp: EA ADDL OR CIR, SIGNAL/PANEL: IN PLANT: MANU HMIBVCIFDR: 601 1000 amp: 601+arnpe•1000v: MINOR LASE/.: 1006+amplvolt: PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: 9VCIFDR,-226 A.: >600 V NOMINAL. CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A SF RESIDENTIAL B,COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATArTELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: TOTAL FEES: $ 6,019.60 Owner: Contractor: This permit Is subject to the regulations contained in the NUPARK DEVELOPMENT INTERLOCKING ENTERPRISES INC Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 230421 10740 NW CORNELIUS PASS RD. all other applir.able laws. All work will be done In TIGARD.OR 97281.0421 PORTLAND,OR 97231 accordance with approved plans. This permit will expire If work is not started within 180 days cf Issuance,or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-504-1998 Phone: 503-531-3635 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Rep e: LIC 90272 may obtain copies of these rules or direct questions to OUNC by calling(50:11246-1987. REQUIRED INSPECTIONS L•oslon Control Insp 8, Post/Beam Structural Underfloor Insulation Plumbing Top Out Exterior Sheathing Inst Rain Drain Insp Sewer•Inspection P09t/Beam Mechanica Electrical Service Framing Insp Firewall Insp Water Line Insp Footing Insp Plm/Underfloor Electrical Rough-In Gas Line Insp Gyp Board Insp Appr/Sdwlk Insp Foundation Insp Crawl Oraln/Backwater Mechanical Insp Gas Fireplace Fire-proofing fir,l repo Smoke Detector Erosion Control Ftg Drain Bsm't Walls Low Voltage Insulation Insp Engineered grading fin Electrical Final ISSLIed By : , ,r�:,� r .;; :: %� _ __.. Permittee SicJnature r � Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00284 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/26/02 SITE ADDRESS; 12860 SW FONNER POND PL PARCEL: 2S103AC-OFP02 SUBDIVISIO14: ZONING: BLOCK: LOT: JURISDICTIGN: TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO, OF BUILDINGS: INSTALL TYPE: !TPSWR IMPERV SURFACE: Remarks: Sewer connection for new SFA. Owner: FEES NUPARK DEVELOPMENT PO BOX 230421 Description Date A Amount TIGARD, OR 97281-0421 ISWUSAISwrCoii�iect 11/26/02 $2,300.00 IS"'INS111 S�Nr Inspect 11/26/02 $35.00 Phone: Su3-504-1998 — — Total $2,335,00 Contractor: Phone: Reg#: Required Inspections 1 his Applicant agrees to comply with all the rules and regulations of the Clean VV Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit ext., es. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm Permittee Signature: - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day L f Building Permit Application - Clatcreccived: / /� r"i Permit City of regard ,1 CirynfTigarrl Address: 13125 SW liall Blvd,"figard,OR 97223 I'rojccUappl.no.: E iredatc: - Phone: (503) 639-4171 Date issued: Ity:t_ Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ I&2 family:Simple Complex: v p U 1 &.2 family dv,cling or accessory U Uomnlc Gaal/industrial J %111111 I,unil r` « <„n,u u, inn J Demolition Ll Addition/al(era?ionhchlacement J Irnanl imhrrncnloyft U I 1, 1'1114 h I',IhlIII .J t ltln i r. t r Bldg.no.: Suite no.: Joh address: �} ry -- — -- I i� ma /lax lot account -' Lol; Block: Subdivision::: �. —_ I _ p Project name: ri, Ixt 1.1 — Description and location of work on premises/special conditions:__ ----- — a — -- isms 01%NI It I Olt SPE.CIAL INI-OICNIM ION, USE CIIE- 'KIT Name: r � � Mailing address: ' > t I &2 fandl) dMelling: Stalc:C k_ ZIP: Valuation of work ............. $ ui - Fax: l:-mail: No.ofbedrrxnns/baths................................. 1 ) L1J2 fcaner' represcnU►tivc; _ Total nunlher of floors................................. _ e; 7 _ r fax: Gnutil: New dwelling area(sq. fl.) ..... ..S..y..�l....... ` ,FS Garage/carport area(sq. ft.)........ fin....... . FT Covered porch arca(sal. ft.) ........_k.......... C Name: IN?68L A'GFJVT6I RIMSINL. _ ( F Mniliu address: Deck area(sq.It.) .................. ..................... __�k l — 10740N,W(>I�NFIJUSPf�SSROAU Other structure area(sc. It.l.•....................... City; _ PORVANA 01 01147231 1972,41 ZIPS CommerclaUindustrirllmultl•family: Valuation of work........................................ — Existing bldg.area(sq.ft.) ..................... .. _ __---- business name: GffiTUPWSESINI. N^w bldg.area(srl.ft.) ::. ......... Address: W LC4('NFIJUSiSROiAD Number of stories................... 1011 ,O d! 'LIP: .I,Y1x of construction....... .......... ............. -- —_._— City r.� _ -- ---- _� Phone:�a' I' _31,7y” �C_� �j _ mniL Occupancy )!mup(til: Existing: -- CCB no.: New: City/metro lic.no. Notice:Ah contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Huard under Name: (164-1 v 11, provisions of OILS 701 and may he required to he licensed in the .jurisdiction where work is being performed. If the applicant is Address: Lu. 1 1' AV-Le exempt from licensing,the following reason applies: City: State; ZIP: C C -Cot person: I Plan no.: -- ion . o ax: iLq 7A E-mail: Name: c' �_ Contact person: ( (_I SIJ*due upon application . Address: Date received: CiState: 'LIP: Amount received ......................................... Phorie:rj ;Z Fax: Email: Please refer to fee schedule. hereby certify I have react and examined this application and the Not all jurisdictions accept credit cards,fleaae call jurisdiction for more infonnann11. attached checklist.All provisions of In s and ordinances governing this U Viso U Mmterfard work will he complied wl whet e - c fled herein or not. Credit card number ( :spinet Authorized signature:�' r Date: r None of car older o flown on creditredit csgd - S Prire t nam Cardholder Uputure Amount,J Notice:This pemfit application expires Ira permit is not obtained within 190 days after it has been accepted as complete. 440461 t'MV0M' Y Commercial Plan Submittal Requirement Matrix Cit,{ of'Tigard F_____ ___ TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building t Fire Protec System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washing`on County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:W9t9\form9\C0%,•matrix.doc 9124101 I Plumbing Permit Application _ Datereceived: j r..' ,, j / Perm!o.: City of Tigard Sewer permit no,: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Gry of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: I By: Receipt no.: Ladd use approval: — Case file no.: Payment type: TVPF OF PERMIT &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New constru;tion U Addition/alteration/replacement U Food service t111IN1101 Jobaddress: �) / r Description (1ty. Fee(ca.) 'hot II Al", New 1-and 2-family dwellings only: w+ Bldg.no.: Suite no.: (Includes 100 It.foreach utility connection) S. Tax map/tax lot/account no.: _ SFR(1)bath _ Lot; Block: Subdivision: SFR(2)bath Project name: p SFR(3)bath Cily/county:" ZIP: Y Each additional bath/kitchen Description and1obatiob of work on premises: Siteutllilies: Catch basirdarea drain Est.dale of completion/inspection: Drywells/Ieach ine/french Jrttin Footing drain(no.lin.ft.) t Manufactured home utilities Business name: ` an Address: t) I - ti Rain—drain connector — rit ; Stat . P. Sanitary sewer(no.lin.ft.) ?' Fax: E-mail: Storm sewer(no.lin. 11.) CCB no.: Plumb.bus.reg.no:3 Water service(no. lin.ft.) Fixture or item: City/metro tic.no.: Absorption valve Contractor's representative signature: Bac flow reventer Print name: � „ ", Date: O' Backwater valve 1 Baslavatory Name: Clotl►es wa her _ __{ #Rr9gtRN8/J1,lCP�i1t Dishwasher Address: ar�3�nn� Drinking fountain(s) Ci ;tate: Z1P: Ejcctors/sum Pht c: 7 ' Fax: - -mail: Expansion lank Fixture/sewer cap _ Floor drains/floor sinks/hub _ Natne(print): QLl�6 DoVe k0hkicL - Garbagk disposal Mailing address: ?" Hose bibb State: ZIP -CAaA Ice maker p c I Fax: E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) _. will be made oy me or the maintenance And repair made by my regular Roof drain(commercia) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: _ Date: Sum Tubs/shower/shower pan _ Urinal Name: > > l _ Water closet _ Address: _ Water eater City: State: ZIP: Other: Phone: _ Fax: E-mail: otal Minimum fee................$ Not all Jutladictim a xeM credit cW&,please ca11)urisdiction for mcwe infarmaaon. Notice:This permit application Plan review(at _ %) $ U visa U MasterCard expires if a permit is not obtained ExpiresCredit cad numFer:____—_ — s within 180 days after it has been State surcharge(896) ....$ TOTAL .......................$ --- accepted as complete. Name of ter..olt lder uihcwn on credit card S Cadhold:r slatum Amount 440-4616(6100/COM) "PLUMBING PERPA1T FEES: PRICE TOTAL New 1 and 2 f" )fly dwellings only: PRICE —TOTAL FIXTURES individual _, QTY. ea — AMOUNT (Includes ai, robing fixtures Irt 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Sink -- for each utility connection — 16ne�—.60 O 1 bath____ 5249.20 _ lavatory ---- $350.00 l ub or Tub/Shower Comb 16.60 Two�2)bath _ --- $399,00 --- 1660 Three_-bath —___ — SY'ower Only _ Ulater Closet 1660 SUBTOTAL 660 STATS SUR611KRGE — --- Urinal - -- PLAN REVIEW 25%OF SUBTOTAL __-- 16.60 _-- `TOTAL Dishwasher _ -- -- - 16.60 --- - Garbage Disposal __ "-- 16.60 Laundr) Tray — __-- Wasitin;,Machine 16 60 --- Floor DminlFloor Sink 2" 16.60 PLEASE COMPLETE: Y — 16.60 4" — 16.60 ---- — Cuantit b Work Performed ] Water Hoater O conversion O like kind 16.60 Fixture Type: New Moved Replaced Removed/ 11 Gas piping requires a separate mechanical _ Ca ed permit 46.40 Sink — MFG Home New Water Service __ _r Lavato ---- MFG Home New SanlStarm Sewer 46.40 — Tu't or Tub/Shower Hose Bibs — 1660 — Combination — IP,,CO konl Drains Shower Only — -- -76 60 Water Closet Drinking Fountain _ Urinal — Other Fixtures(Specify) 16 60 — Dishwasher —Garbage Disposal Laund Room_•a — _ Washing Machine - ----- —_ Floor Drain/Sink. 2° Sewer-1 sl 100' —— 55,00 3" —_ — -- 46,10 4., — Sower_each additional 100' Water Heater Water Sservice 1st 100 55,00_ — Other Fixtures Water Service•each additional 200' 46.40 rvi Storm 6 Rain Drain-1s1 100' -- 55.00 Storm&Rain Drain-oach additional 100 46.40 Commorcial Hack Flow Prevention Device 4640 -- — _ Residential Backflow Prevention Device'— 27.55 _ _ -- 16.60 1� Catch Basin — Inspactlon of Existing Plumbing or Specially 62.50 peMir — COMMENTS REGARDING ABOVE: Requested Inspections 65,25 ------- — Rain Drs, single family dwelling -- —— — — 16.60 Grease Traps _—_----- -- QUANTITY TOTAL ----------- _` Isometric or riser diagram Is required It —_---_— _— Quantity Total --'--- *SUBTOTAL —---------^---___--- ---- 8%STA E SURCHARGE "PLAN REVIEW 25%OF SUOTnTAL Roqulred only 11 fixture 3Y total Is TOTAL S 'Minimum permit lee Is$7:.io+u%stats surcharge,except Residential Backllow Prevention Device,which Is$16 25.P'%,state su,charge "Alt New Commercial Buiidinas require 7 sets of plans with isometric or riser diagram for plan review. I:\dsts\fomla\plm-fees.doc 12/2.13/01 Mccha-aical Permit Application ` ----- UatcrccetveJ: Permit no.: / city Of Tigard PrgiceUappl.no.: Expire date: Address: 13!25 SW I fall Blvd,Tigard,OR 97223 'Date issued: By: Receipt no.: Cit-'oJ'1'igurJ - _ Phone: (503) 639-4171 Payment type: Fax: (503) 598-1960 Case file no.: Y _ Building permit no.: Land use approval: _ U Multi-family U Tenant improvement I &2 family dwellint or accessory U Coutistrial A(ldiUtut/atterition/replacement U Other: . — New construction 1 Jab address: Indicate equipment quantities in boxes below. Indicate the dollar �' - value of all mechanical materials,equipment,labor,overhead, Bldg.no.: Suite no.: . profit. Value$ ._.— Tax map/tax lot/account no.: ' .• Subdivision: *See checklist for important application information and jurisdiction's fee schedule for residential permit I'M Project name: a a DI D4 K=I Nt City/county: ZIP: _ FIR I 1 Description and location of work on premises: - I:rr.lcr•) Intal Ikreriidirns lJly. Rss.only Rcs.onN Est.date of completion/inspcetion: Tenant improvement or change of use: Air handling:unit CFM-- Is existing space heated or conditioned?U Yes U No it conditioning(site p an require ) Is ex istin)t space insulated?U Yes U No fetation of extstin system Boiler/compressors state boiler permit no.: Business name: _ ' _ lip 'Pons BTUAI ampers uctsmo a electors Address: i ' eat umsto p t pan req""fired) - Slatc: , City: ns la rep ace urnacethurner Phon - �-`, 0 Fa0 C marl' Including duct% irk/vent liner U Yes U No CCB no.: , Instalep ace rc ocate caters-suspen e . wall,or flour mounted City/metro tic.no.: ( )� cot orai furnace Name(please print): -WArligeration.. Ahsorptionunits.—___.--- yTll/11 __-- Chillers Hh Name: llVl'HR1tx;RING bI►7RRPRI,«S IN( _ ('oat rressors — Address• nv ronmenta ex ust an vent o1 on: -"?OR1T1grD ate: ZIP: _ Appliancevent _ it : _) -=�-- .--- -- � )ryerex taunt Phone:`' t z I Fax: mail; on s, ype res. tic c azmat hood fire suppression system -- . Exhaust fan with single duct(hath fans) Name: - ;xhausl s stem a it! from le tin,or AC Mailing address: (r1 , r •ne p p ng on §11t ut on(Up to out cls) Cil ; �''_�r State ? - ZIP. _�• I'Type: ---I,PI;ucl ti linCJ NO Oil _ Ph ri . Fax: --mail: g cac t a it ona over out ets — rocessp ping(sciemalicrcyuircd) MW Numhcr of outlets _ Name' t er s1 opp once or equ pment: _ mcmativeIireplace _-- AddnIss: _ — State: ZIP: — nsert-type ----- City_.__-__ oo slov Ix' el stave Phone: ax: r 'il: (_)t cr: _ Applicant's signator . Date: ,' ! ' Nance(print): permit fee.....................$ -- Not all jurisdictions ss:cept credit cards,pleaw call Jurisdiction for Ira,"informartion Notice:This permit application Mini Tum fee................ U Visa U Mastercard expires if a permit is not obiiincd flan review(at — %) $ -- Cteeh card numtx. ____ ------ — „ptfe, within 180 days atter it has been State surcharge(896)....$ _ —„-_-`hler— accepted ascompletc. TOTAL .......................$ -- Name s,i cardhou shown on ere it..ar�- : _ 4104617(6RUCOM) Cudholder dptitwe Amount MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: PdCTotal Table 1A Mechanical Code _ _ _ Q (�) Amt $1.00 to$5,000.00 Mlnlmum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.0( $72.50 for the first$5,000.00 and including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including $10,000.0including ducts&vents 17.40 _ 0. $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 $25,001.00 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'W1100.00 or 6.80 fraction thereof,to and including 6) Repair units 12 15 $50,000.00. - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Bolier Heat Air $1.20 for each additional$100.00 or For Items 7.11,see Or pump C.ond fraction thereof. footnotes below. Comp 7)<3HP;absorb unit Minimum Permit Fee$72.50 u SUBTOTAL: $ to 100K BTU14.00 6`/.State Surcharge $ 8)3-15 HP;absorb J ` unit 100k to 500k BTU 25.60 9)15-30 HP;absorb 25%Plan Review Fee(of subtotal) $ 35.00 Required for ALL commercial permits only unit.5-1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 10)30.50 HP;absorb unit 1-1.75 mil BTU 52.20 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 10.00 Value Total 13)Air handling unit 10,000 CFM+ Desai tion;_ _ Qty Ea Amount 17.20 Furnace to 100,000 BTU,including 555 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTU including 1,173 '15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace includinu vent 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 appliance.permit _ 10.00 floor mounted healer 17)Hood served by mechanical exhaust Vent not Included in applicence 445 10.00 ermit pair u005 18)Domestic Incinerators 17.40 Renits <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU 89.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets Vrh _ 5.40 absorb.unit, 3,400 22)More than 4-per nutlet(oach) l.BTU r 1.00 bsorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ .BTU n unit to 10,000 cfm 656 6%State Surcharge $ ng unit>10,000 cfrn 1,170 _ Non- ortable evaporate cooler 858 TOTAL RESIDENTIAL PERMIT Vent fan connected to a single duct 446 Vent system not Included in 656 -MR-118 permitOther Ins ectlone and Fees: Hood served by mechanical exhaust 656 t Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $62 50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is ape cilicallt �diceted (minimum charge-half hour) Other unit,Including wood stoves, 656 $62.50 per hour Inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$62.50 per hour Gas piping 14 outlets 360 Each additional outlet 63 'Slate Contractor Boller Certlficatlon required for units>200k BTU. "Residential A/C requires site plan showing pl3cemenl of unl!. TOTAL COMMERCIAL $ vALUartoN: All New Commercial Buildings require 2 sots of plans. I WrtsVormslrnech-fees.doc 12/26/01 Electrical Permit Application Date received:/V /�'% PermItno.:hy/ -mac 3 City of Tigard Project/appl no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: _ By: Receipt no.' frit of Tigard ------ Pameat type Phone: (503) 639-4171 Case file no.: Y Fax: (503) 598-1960 Land use approval: -- J Multi family U Tenant improvement ��I dk 2 family tion dwelling or accessory U AddII n/altleiation/replacement U Other: U Partial New construction INFORMATION Joh;ltldress: 5tEbdivision: Bldg.net.: Suite no.: Tax map/lax louaccuunt no.: "K3 ICA Lot. -- Block: Description and Icxation of work on premises: k'I'n,{cCt nantea-f�1� .�Y listunated date of Curti lehun/itis ection: l ftK Mai Job no: _ I)escriptfon Of . (ea) 7ulal no.Ins t Businessname: olm;� IS - Newres{dentist-singkurmultl-fandlypet el r F , I. i dwellingunit.locludtana Address: _, schedgarage. .�c�l -�— Slule:p(7 71P:�; �,3_ tiervltrincmdtrt: 4 City: 1( IWOs .n.nrleas Phone: fit C,� Fax:`�G' ' > E-mail: Each additional 500 a .ft or Portion thereof Elec.bus.lic.nit: -�fO r7�- Limitedenergy,restdenlial 2 CCB no.: ( �^ �/ �='��_• 2 y Li rot led energy,non O'it /metro tic,no.: -- Each manufactured home or modular dwelling ` _ / -�-•� --- --' Service and/or feeder Stgnntutr ul %UK.I , c1cc II'IIIO(rrgldredj Dale —�� , Services or "� C- C- -_(, 'IA -A LlLIV,I%01 alteration or relocation: Su, e.lect,name(pruul 2 200 am s or less 2 201 amps to 400 amps 2 �a..k_ — (_. Nuntc(print): �.�ll � t�---- 401 amps to 600 amps Mailing address: Q, r 6b , lis to IOW amps C�r 4L State'�1`,_ 7110 ove, itx10 amps or volts ,it r _r H. mail: Reconnect onl Ph( n Fax: 1,i poran services or feeders- O,snrr in,tallntion:'ihe installation is being matte on property I own Insrallatiun,alteratiun,orrehiti oo: ` ss titch is nut intended for sale,lease,rent,or t'rchange according to 2ttu all ur less ()KS 447,455.479,670,701. 201 tops to 400 amps nate: 401 to 600 am a Oss ner's si gnaturc: branch circuits-new,alteration, or extension per panel: Name: A Fee rot brallch cltculls with purchase of service or fee,each branch circuit br Address: B Fee for anch ctrcutts without purchase CiIY; S ale: ZIP' of service or feeder fee,rust branch circuit _ Thune: Fitx: f mall F.ach addittonal branch circuit Mlsc•(Service or feedernot btcluded): Each pump or irrigation circle U Service over 225 amps-commercial U Health-can ,, W Euch sl nor outline li hila U Service over 320 amps-rating of 1812 U Hazardous locato,lSl nal circuiUs)or s limited energy panel, ` ftmtlydB wellings U Building over 10,000 square feet four or U System over 6(x)volts nominal more residential units in one structure alteration,or extension* -- J Building liver three stories U Feeders•400 amps or more 'I)cscn itici _ J Occupant load over 99 persons U Manufactured structures or Rv pork {'ach add{Ilonal{aspectlon oiler the allowable In any of the abuse, J F.gresslhghungpLln J Other --- -- I'el u,spcctioa — tiobm{1 %els of plans w11h any of the fbove. Investigation fee _ - -- tither _ he above are not applicable to temporary condruction service. v pemtit fee.....................$ Na all junadicuons accept credit cards. ,e11 aw call jurisdiction fa more Information Nollee:'filis permit application plan review(at _ t�) $ _ —- U visa U MasterCard expires if a permit is not obtained Stale surcharge(8 /L_- within 180 days after,It has been TOTAL1 AL .................. . $ Ci card number lixpires accepted as complete. -"- -Nulx u�cardllo—d-er es—fa rown on credit rod s J•kl-k.I 1 I MJLVI'l.t`1 Cardhol r d`nuute Amount ZL L st:lt)tt F#(44r •rope,„ P4;7 t-rc. _— r?t�le s�irM LOT 1 39•_6. BUILDING 1 i utt--co GRAL T UNC (T YPJ LOT 2 27•-4' 12$fcsv BUILDING 2 d o n T 3 w 1s.00, -----1?700' - iLDING 3 --i ;--5 00 LOT 4 I�] BUILDING Ch -7T.00' AUT 5v 15.00' BUILDING a l �- s.00 LOT 6 � I 11 Z IZ1356_ 1Z9 ars ;t,4.) f-OvAt4P- nrper Rauf BUILDING SEMAGKS ,ghef.p, Inc. ON f ONNF_R POND TOWNNO .N4ee...OWN-ftftwLwamwm MES 1 CITYOF TIGARD _ PLUMBING PERMIT n DEVELOPMENT SERVICES PERMIT#: P23/02 00176 DATE ISSUED: 5/23/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AC-OFP02 SITE ADDRESS: 12860 SW FONNER POND PL SUBDIVISION: ON FONNER POND TOWNHOMES ZONING: R-4.5 BLOCK: LOT: 002 __JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS- FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: JRINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 227 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Water Service as a condition of SUB2001-00002, Install a minirnum 1 1/4"water service. FEES Ow,ier: _ Type By Date Amount Receipt NOPAPK DEVELPMENT LLC PRMT CTR 5/22/02 $101.40 27200200000 PCS BOX 130421 PLCK CTR 5/22/02 $25.35 27200200000 TIGARD, OR 97281 5PCT CTR 5/22/02 $8.11 27200200000 Total $134.86 Phone 1: 5(3-297-6551 Contractor. _ SUPERIOR PLUMBING LLC 830 JOHNSON STREET WOODBURN, OR 97071 REQUIRED INSPECTIONS Water Service Insp Phone 1: 503-982-2517 Final Inspection Reg #: LIC 133461 PLM 24-373PB CUP 5819JP 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 stared within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth iii 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: - i c U.�YL _^ Permittee Signature: Call (501) 639-4175 by 7:00 P.M. for an inspection needed the next businegs day Plumbing Permit Application Date-received: -1 2 1 O L Permit noy�l�a�,�.CV; City of Tigard Sewer permit no.: fluiWinp,ermit no.: Address: 13125 SW Hall Inver,Tigard,OR 97223 - — — -- — Cirynl7'ipar'I Phone: (503) 639-4171 Projt.-Wappl.no.: Expiry .ate: —_ Fax: (503) 598-1960 Date issued: Ry: I Receipt no: C Case file no.: Pati mcot type Land use approval: _ , �401 -bo`o-v 1-_ — 61 (1d 1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New con5lniction U Addilion/alts ation/replacenicnl U PtwcJ service U Other: JOB SITE INFORMATION (hormation I Description (J1y. Fee(ea.) 'folal Job address: Q L4) Ao d4 t WC N�4� Bldg.no.: Suite no.: Nen 1-and 2-family dnellinRs onl): (Includes 100 ft.foreach udillyconnecilon) Tax map/tax lot/account no.: SFR(1)bath Lot:1p-t � Block: Subdivision: pw rvN,yi/t V110 k SFR(2)bath - — Project name: pvts,vN oit or.) _ S17R(3)hath _ City/county: I ZIP: Each additional bath/kitchcn — Description and location of work on premises: a_" Sfi✓i e-- Siteutilities: Catch basin/area drain Est.date of completion inspection _ Drywells/Icach line/trench drain PLUMBING 1` Footing drain(no. lin.ft.) Manufactured home utilities Business name: Gr wt hl�.!' Manholes _ Address: eap AJ S Rain drain connector —_ City: kljod 4n I State: oLtj ZIP: Sanitary sewer(no.lin.11.) Phone:Sp3 7t; Fax: E-mail: Stomi sewer(no.lin. ft.) CCB no: Plumb.hos.reg.no: Ir V- 3 Water service(no.lin.ft.) City/metro lic.no.: r�' Fixture or helm: I To Contractor's representative signature: Absorption valve Back now preventer _ Print name: , Ne'ne, 17 OZ Backwater valve _ 11HISON Basins/lavalory — Name: Clothes washer - - - --- Dishwasher Address: Drinking,fountain(s) City: State: _ LIP: Ejectors/sump Phone: 'I,ax. -- 1:-mail: Expansion tank EmFixture/sewer crap _ — Name(print):/,. __ �- ��.—II L L� _ Garbnooge dig. sat sinks/hub — — Mailing address: —V Garbage dis sal Hose bibb City: State: ZIPS fee maker _ Phone: Fax: 1 E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Primers) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),hasin(s),lays(s) 0 ncr's signature: Date: _— Sum Tubs/shower/shower — Urinal Name: Water closet Address: --- --�--- -- --- Water heater City: Slate: 'LIP: — -----—— -- — -- t)thcr: I'lione: -- - Fax: E-mail: - - — Tota Na all juriedictinm wcept credit cult,plew call jurledkaon for more info" olon Minimum fee............ ) g _ Notices This e permit not obldi t plan review(al a 96) $ U Viso U MasterCard expires if a permit is not obtained Crniit cud nund�rr W within 190 days aper it has been State surcharge(8%)....$ t Nenr of -cardholder n Chown on ereeu curl- — occepled as complete. ......................$ S 7-6 -r-�q� / Cardholder tipwure Alawmi__ t 1 1 16(6100/C0 1