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10510 SW HOODVIEW DRIVE 1 S. W. HOODVIEW 0 GRAV&PAD&DRNE UNTIL PENMENT CONCRETE DRIVE IS IN PLACE. • 341 N 89'59'54" E 104.8.3' eLF 2 PWVM&MUTTAW Sties, R .05 .NCE AS INDiC117Ep, 0 or 11.50' 32.00' 15.0' I—• $ ELVOW W a W z �' 3 1 P ' 335 of 3%-16.1 q 'I V) �.------------ N(JTL. CONCEPTS o $ 3�r1. 5 ` �10.0(r SURVEYORS,WILL PIN ALL EXTERIOP Li.l " am 1 N 3 1 FOUNDATIM OORNE.RS AND PROVIDE > i �1► RT13AC�E SURVEY Li �3t� Q � 41.1' %4 16.00' 21.00' O 3 vo � `jidIMMI — <% N S 89.45'10" W 122.44' 3Z� SCALE DRA WING LOT 13 ERICKSON RRIGHTS CHANGE RIGHT SETBACK TO 15' PER S.E. 1/4 SEC. 10, 12S., RAW., W.M, 1961 p `,W HV00V I SW PILI N ---- CLIENT, 7/17/01 MSG. -- NEW HOUSE, 7/16/01 MSG. _, CITY OF 1�GARD WASHINGTON COUNTY, OREGON ---A 2.5' LANDSCAPE EASEMENT SHALL APRIL 27 2001 EXIST ALONG ALL STREET FRONTAGE Centerline Concepts Inc . ----A 7.5' UTILITY EASEMENT SHALL EXIST DRAWN BY: MSG CHECKED BY: WGDIII ABUTTING THE LANDSCAPE EASEMENT ALONG � r EMAIL www. CCIEMAIL4AOL. COM SCALE 1 =20 ACCOUNT 115 ALL STREET FRONTAGE. 640 82nd Drive Gladstone, Oregon 97027 M: \MLI\L13ERICK 503 650-0188 fax 503 650-0189 _ ....- ' WtC�.{�F.�:.4w8• '«:1.'wvi:.k` I.��4S' �t'� : �:'. ;, ��, ,�'" .i 91'�"`"��r9[�,P17^m"'� - NOTICE: IFTHEPRINTORTYPEONANY r�I�Ilr � IIIIII Illllll 1111111 III � III III I �Tf (�TII III 111 1-�1 1 � T l � t Ilf 111 I ! I I � Ill � f Ill 111 111 111 III Ill I ! I ( IIl III IIf I ! I III 11111T 1111-rj.l. T_r �1_ .� Iillll III IIIIIIIIIII , J,. IMAGE IS NOT AS I I I I I I I � I I I I I I / CLEAR AS THIS NOTICE, 1 3 cj 7 s �,2 1T IS DUE TO THC 01 IALITY OF THE — _--1-.-_�_�_ No l, •.I,,.��µ. _ '1 ORIGINAL DOCUMENT ,01:16Z' 8Z 9Z � Z � Z EZ ZZ TZ OZ 6i ST Gt 9I 5I fii ET ZT l: i i 6 8 L 8 � � E Z � T ��d13w IIII III) IIII ►I,I 1.111 IIII Illi�llll Ill IIII 1111 -1111 llal Illi .Illi 11!!.-fill L!1 11111111. fill Illi IIII IIII fill Ilfl !III IIII IIII .IIII IIII IIII IIII IIII IIII IIII III. . . � � �I �� - I I l l 1.1 fill U.l� l,� ll 1.1 ll 1 1 1 1 1 1 l.l.l1 ll ll � !11 ..11 ll I I I I I�I I , r 0 s 0 2 0 0 Q cD' f v 10510 SW doodview Drive CITY OF TIGARD BLIII.DING INSPECTION DIVISION MST -2 24-Hour Inspection Line: 6S 4176 Business Line: 639-4.. 1 BUP _ Date Requested AM PM BLD ��J �� i r�c'�� 1 Suite 'AEC Location ti Contact Person O.c�-�- Ph �_� l ✓ ' PLM - Contractor Ph SWR-_- ELC BUILDING Tenant/Owner _ __._—_-- +— ELR Retaining Wall FootingACcPss: FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes _ ______._— SIT Slab ---- --- - - - ---- Post&Beam -�--- -- - Ext Sheath/Shear _ Int Sheath/Shear Framing ----_- -- . . --- iri^ulation Drvwall Nailing - ----- - -- Firer-all Fire:Sprinkler --- ------- --__ Fire Alarm Susp'd Ceiling -__�_..--_�_�---- _— ------ -- Roof ---- Misc: - - Final - -- PASS PART FAIL -------_—_--_-_---__--_ PLUMBING ---------— -- ------ ---- -- Post&Beam Under Slab -- Top Out _ Water Ser,ice Sanitary Sewer Rain Drains - --- — PART FAIL - --- HANICAL Post&Beam - - -- Rough In Gas Line Smoke Dampers --- Final PASS PART FAIL — -- - - ELECTRICAL Service -------------_____._ Rough In - UG/Slab -- -- — Low Voltage _ -- Fire Alarm --- - - Final _.-- —--- ---- PASS PART FAIL - SITE ----- backfill/Grading Sanitary Sewer required before next inspection Pay at City Hall, 13125 SW Hall Blvd Storm Drain ( Reinspection fee of$ Catch Basin ( Please call for reinspection RE: __-_._-_— [ ]Unable to Inspect-no access Fire Supply t ine ADA . Ext Approach/Sidewalk Date /~ I— Inspector _ -- Other — Final PASS PART r AIL DO NOTREMOVE this Inspection record from the jib site. CITY OF TIGARD BUILDING INSPECTION DIVISION MSTc ( y l Z 24-Hour Inspection Line: 6? 175 Business Line: 639-4 BLIP _Date Requested �� AM PM BLD Location Suite MEC Contact Person _ �-L�-� Ph L >>/ (f)Z— PLM _ Contractor-�t -� -,�� PhOj%;Z SWR _ BUII.DII•fG Tenant/Owner _ ELC _ Retaining Wall ELR Footing Access _ Foundation FPS Fig Drain — ---� Crawl Drain Inspection Notes: SGIN Slab SIT Post& Beam -- - ------ Ext Sheath/Shear Int Sheath/Shear - ---- "- - —__- Framing Insulation --- Drywall Nailing Firewall R_ -- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof _ Mises--- - --- - - - -_ -- - Final PASS PART FAIL -- PLUMBING Post& Beam -- — - Under Slab Top Out - Water Service Sanitary Sewer ��----- Rain Drains Final -- _ ---- PASS PART FAIL MECHANICAL Past& Bearn _-- -- - Rough In Gas LineSmoke Damper, Dampers Final ---- PASS PART FAIL a ELECTRICALService Rough In jV UG/Slab Low Voltage Fire.Alarm — in S PART FAIL 15111 t: Backfill/Grading -- - - -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspectinn. 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 Other i Date �".��__.� Inspector ,O Ext Final PASS PART FAIL DO NOT REMOVE this icispection record from the joh site. CITY OF TIGA.RD BUILDING INSPECTION DIVISION MST �py r oo �{ "7 24-Hour in%Dection Line: 639-4175 Business Line: 639-4171 BUP _—�-Date Requested ` / AM PM ^� BLD Location _ 1 L �1 � , Suite MEC Contact Person :�C.A.- Ph ��i-�� 1: PLM Contractor Ph _ SWR -- - -_— -- --- E L C BUILDING Tenant/Owner _____-_---.._-_--....... Retaining Wall i ELR Footing A,;cess: Foundation FPS -- Fog Drain SGN Crawl Drain Inspection Notes Slab ------ - SIT Post&Beam ----.-___ Ext Sheath/Shear Int Sheath/Shear Framing _ _ - ------ ----- Insulation Drywall Nailing - - - -- ---- ... ----- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - --- - Roof Misc,�__ - ---- ---- — ASs t PART FAIL -- -- -. -- - - - PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS-- PART PAIL - -- CCNANICAL Post& Beam Rough In Gas Line Smoke Dampers PART FAIL EL CTRIC_AL Service - -- - Rough In UG/Slab --- -- - - ------ --- Low Voltage Fire Alarm -- --- - - - - --- - Final PASS PART FAIL - ----SITE - ----- Backfill.4 trading - - Sanitary Server Storm Drain f 1 rZemS:pechnn fee of$ _ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch BasinUnable to inspect-no access Fire Supply Line f ] l'le se can for reinspection RE: - ( 1 ADA Approach/Sidewalk Date Inspector - _ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD MASTE_: PERMIT PERMIT#: MST2.001-00417 DEVELOPMENT SERVICES DATE ISSUED: 8/8/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10510 SW HOODVIE`^J DR PARCEL: 2S110DA-05200 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 013 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING _ REISSUE: STORIES: FLUOR AREAS kEQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 18 FIRST: 1,744 01 BASEMENT. of LEFT: 15 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: I. of GARAGE: 7.27 of FRONT: 20 PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS. I FINFISMENT. of RIGHT: 41 VALUE: S 279,398 80 OCCUPANCY GRP: R3 BURM: 3 BATH: ! TOtAL: 2 840 00 111 REAR: 23 PLUMOIN" _ �^ SINKS 2 WATER CLOSETS ] WASHING MACH I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS. I FLOOR DRAINS: SEINER LINES. 10U SF RAIN DRAINS: CATCH BASINS, TUSISHOWERS: 3 GARBAGE DISP: I WATER HEATERS I WATER I.INES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER F!XTURES: MECHANICAL _FUEL TYPES FURN�t00K. BOILICMP<3HP VENT FANS: CL OTNES DRYER: t 1ti FURN—100K. i UNIT HEATERS: HOODS: I OTHER UNITS: MAX INPblu FLOOR FURNANCES, VENTS. I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUI rs - MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp 0 200 amp: WISVC OR FUR: 1 PUMPIIRRIGATION: PER INSPECTION. EA ADD'l5005F. r., 201 - 400 amp 201 400 amp' tet Vu0 SVCIFDR. �� SIC NIOUT LIN Lr: PFR HOUR: . LIMITED ENERGY: 401 600 amp: 401 800 amp: FA AODL OR CIR. SIGNAUPANEL: IN PLAN r MANU HMISVCIFDR: 601 • 1000 amp: 601-ampa-1000x. MINOR LABEL: 1000-amplvolt: PLAN REVIEW SECTInN_ Reconnect only: >600 V NOMINAL: CLS AREA/SPC OCC: >=4 RES UNITS: SVGFUR>r22S A.•. ELECTRICAL•RESTRICTED ENERGY A.Sr RESIDENTIAL — BCOMMERCIAL INTERCOM/PAGING OUTDOOR LNUSCLt AUDIO&SI FRED: VACUUM SYSTEM. AUDIO&STEREO': FIRE ALARM: : BURGLAR ALARM: OTW BOILER HVAC-. t.ANDSCAPEIIRRIG'. PROTECTIVE SIGNIL L. GARAGE OPENER CLOCK: INSTRUMENTATION. MEDICAL OTHF, HVAC DATAITFLE COMM NURSE CALLS TOTAL 0 SYSTEMS: TOTAL FEES: $ 7,804.50 Owner: Contractor: This permit is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws All we rk will be done in WE 'T I-INN,OR 97068 WEST LINN,OR 97068 accordance with approved plans This permit will expire if work Is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Raga Hc 049951forth 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 REQUIRED INSPECTIONS Erosion Control Insp 81 Wtr Proofing Bsni't Wa Fooling/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp C— Fireplace Electri,;al Final Sewer Inspection Post/B-am Mechanica Mechanical Insp Shear Wall Insp Insulahn Insp Meohanical Final Footing Insp l Inaerfloor Insulation Plumb Top Out Exbrrlor Sheathing Insl Rain drain Insp Plumb Final Foundation Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insn Final inspection Issued 2By : _ sem-.rL -t- Permittee Signature : — Call 1'503) 639-4175 by 7:00 p.m. for an inspection needed the next businesw d.iy CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00216 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 OATS ISSUED: 818101 PARCEL: 2S 110DA-05200 SITE ADDRESS; 10510 SW HOODVIEW DR SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 013— JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLINt, UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer aconnection permit for new SF residence. Owner: _ _ — � FEES RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR -- - WEST LINN, OR 97068 PRMT CTR 8/8/01 $2,300.00 27200100000 INSP CTR 8/8/01 $35.00 27200100000 Phone: 557-8000 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the acuurGcy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in aid directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Ager z;y will install a lateral ATTENTION: Oregon law regUires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 052-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: ;,:! Permittee Signature: Call 1,503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day 1 / ljzc Building Permit Application -� - i Datereceived:_J r ,(; cityof Tigard� ProjecUappL no.: Expire dale: � Address: 13125 SW(fall Blvd,Tigard,OR 97223 ur Y of T.,,'and Phone: (503) 639-4171 Date issued: By: Receipt no,: Fax: (503) 598-1960 Case file no.: Payment type: 1&2 family:Simple Complex: Land use approval: TYPE OF Pj1RM IT I &2 family dwelling or accessory U Commercial/industnal U Multi-family New construction 0 Demolition ? Addition/altcratic,n/replarcmcnt U'I'cnan►improvement U fine �Prinkacr/alarm U Other: c. 1 1 Job address: FBIock (� SW f MOVE Bldg.no.: Suite no.: Lol: ; — Suhdivision: E4, -� _ Tax map/tax lot/account no.: unt n Project name: Description and location of work on premises/special conditions- �� FIM 177 �J�•fir"` "` s Mailing address: ti S W1 1 do 2 family dwelling: r 7 c City: N State: 'LIP: Valuation of work.................................... .:.. PhoncA.4J7 Fax: E-mail: No.of bedrooms/haths......................... �- Owner's representative: f Total number of floors................................. Phone Fax: I mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... _- Covered porch arca(sq.ft.) ......................... _Name: —_ ----- Deck area(sq.ft. Mailing address: Other structure arca(sq.ft.)....................... . _ City: stalC: ztr:-_ ___ ---- — ('onrrnercial/industrial/multi-family: Phone. Fax: E-mail: Valuation of work........................................ Existing bldg.area(sq.ft.) ......... ................ _-- Business name: — New bldg.area(sq.ft.)............................ ... — - Address: �— Number of stories........................................ City: ��E ZIP: Type of construction Phone: Fax: ail Occupancy group(s): Existing: New: City/metro lic.no.: Notice: All contractors and subcontractors are required to he 1 licznsed with the Oregon Construction Contractors Board under provisions of ORS 701 and may he required to be licensed in the. Name: -- jurisdiction where work is being performed. If the applicant is Address: — _ V. ��e exempt from licensing,the following reason applies: City: St Contact persrm: Plan no.: -- --- — Phone: _•� I:ax.21 l mail: Name: N .. _ Contact person: Pecs due upcm application ............... ........... Address nom-' Date received: _ -ity: _ State: ZIP Z1` Amount received ......................................... $ Phone: •(�� L Fax; E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the N��VI jurlKtictions accept credit earde.please cell Jurisdiction ern more infortnauon 0 Visa U MasterCard attached checklist. All provisions of laws and ordinances governing this Credit card number_— ---- - work will be complied w' whether specified herein or not. c/.Rpt e Date: �� Name of cardholder u shown on credit cad Authorized signature: s _ Print name:_�'1�../."' — Catdtwlder aitnamre — Amount Notice:This permit application expires if a permit is not obtained within 190 days afler it has been accepted as complete. 146461)INOtNCOMI One-and'Two-Family Dwelling Building Permit Application Checklist Reference no.: - Associated permits: ('1V of I igard Cit of Tigard City U Electrical U Plumbing U Mechanical Address: 13115 SW Hall Blvd,Tigard,OR 97223 UOther: Phone: (503) 639-4171 Fax: (503) 598-1960 1 HE FOLLOWING ITEMS ARE REQt�IRFD FOR PLAN REVIEW Ves No 'N/A I Land use actions completed.See jurisdiction criteria for concurrent revs %�S. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verifleation of approved plat/lot. 4 Fire district_ approval required. 5 Septic system permit or authorization for remodel.Existing system caoacity_` ` 6 Sewer permit. 1 7 Water district approval. 8 Soils report.Must carry oripi Al applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design acid location of catch-basin protection,etc. 10 _ Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a keparate<ILII-site sheet attached to the plans with cross references between plan Irac:ation and detAils. Plah•reviewcannot be completed if copyright violations exist. I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-11.elevation differential,plan mast show contour lines at 2-ft.intervals);location of easements and~ ' driveway:footprint of structure(including decks);location of wells/septic systems;utility 1i catons:directicIn indicator;lot arca;building coverage are~;percentage of coverage;impervious arca;existing structures on site;and surface drainage, 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 13 Floor pians.Show all dimensions,room identification,window size,location of smoke detectors,waierheaterk furnace,ventilation lams,plumbing fixtures,balconies and decks 30 inches above grade,etc. I I Cross section(s)And details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor. wall construction,owl construction. More than one cross section may be required to clearly lxirray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and fou-idation,stairs, fireplace construction, thermal insulation,etc. 155 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building enveldpe. Full-size sheet addendums showing foundation elevations with eros,references are acceptable. 1(, Wall bracing(prescriptive pa(h)and/or lateral analysts plans.Must indicate details and locations;for non-prescriptive ath analysis provide pecifications and calculations to engineering standards. TT floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show attic ventilation. IS Basement and retaining walls.Provide cross sections and details showing placement of rehar.For engineered systems,see item 22."i?nkineer's calculations." 19 Beam calculations.Provide two sets of calculations using current axle design values-for all beamis,and multiple oists� over 10 feet long and/or any lwani/joist carrying a non-uniform load. • . .. 7.0 Manuractured floor/roof truss design details. 21 Energy Code compliance.Identify.he prescriptive path or provide calculations.A gas--pipinpischematic is required for four or more appliances. - ' 22 Engineer's calculations.When required or provided.(i.e.,shear wall.roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall he shown to be applicably tOthe pro e ct ander rrN is e JI RISDIU1 IONAL SPECIFICS 23 Five(5)site plans are required for Itcnn I I ahx,ve , s �- 24 --- 25 26 27 28 Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 440.4614(sarxo+t) Electrical Permit Application - -- Date received: Permit no.ry($� City of Tigard Project/appl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Blvd,'figard,OR 97223 Date issued: By. Receipt ntt. Phone: (503) 639-4171 - - Fax: (503)598-1960 Case file no.: Payment type: Land use approval: mulls111111111 W =&2 y dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement vction U Addition/alleration/replacell U Other: U Partial Job addres:l: QIL WP Y11W I Bldg.no.: I Suite no.: jTax map/tax lot/au'ount no.: [Alt: L5 BI(xk: Subdivision: Project name: -- I Description and location of work on premiscs.___bLllr Estimated date of completion/ins ction: Job no: Fee Max — Ilescriplion Uiv. (ca.) total no.insp Raciness name: Gj - ¢ ��___— Newrrsldential-single ormultl familvper Address: Ve�br—Y. I dwcllinQunit.hlclurk•s attactx4l QaraRe. City. State SIP: %erviceinclurk•I. Phone •Q L Fax: Email: Itxx)sq n ..r I ' - Each additional 300 sq.ft.or portion titer,of CCB no.: Elec.bus. tic.no: Limiledenerp,y.res±.!n0sl _ 2 City/rnetio lic.no.: _ Limitedenergy,non-residential _ 2 Fach manufactured avow or modular dwelhnr Signature ol'supervisit electrician(required) I)ate Servitc add/tr feeder 2 Sup.elect.name(print) License trw Services or feeders-Installation, alteration or relocation: -,(K)amps or less _ 2 '01 amps to 400 amps 2 Name(print): •� -M 401 amps to 690 amps 2 Mailing address: -Y.2!0 0-n01 amps to 1000 amps 2 City: A Slate: ZIP: ,� over 1000 anps or volts 2 Phone: Fax; Email: Rccmnnecto l Owner installation:The installation is being made on property I own Temporary sererativices;o,orrelo- which is not intended for sale,lease,rent,or exchange according to Insta amps ofn.alteration,orrclocaunn: ORS 447,455,479,( Ol. ztxl amps or Irs; 2 2U I amps to 4(N)amps 2 Dale: �� 401 t. 6(Al ani 2 Owner's SI nature: P` Branch circults-new,alteration, or extension per panel: Name: vtq-� __ _ A Fee for branch circuits with purchase of Ad SS., service t,,:+eder fee,each branch circuit • /I I' B. Fee for b mch circuits without purchase 9 � !P - - of cervi;e or feeder fee,first branch circuit: ily; .Statt.: I'htnn I ,tt G-mail: Iachaddi rotalbranch circuit: Misc.(S:rvice or feeder not Included): 7Systeni 'et 215 amps conuncn ral U Hcallh-carr lactln� Fach pump or irrigation circle e 2 cr320amps-rating of 1&2 U Harsrdouslocation Eochsignoroutlinclightingllings U Building over I00H)square feel four or Signal circuits)or a limited energy panel. er 600 volts nominal more residential units in one structure alteration,or extension" _ 2 U Building over three stories U Feeders,4W amps or more *Description: _— U fkcupanl load river 99 persons U Manufactured structures or RV park Foch additional inspection ow-r the allowable In any of the above: U Fgress/lightingplan U Other: -- --- Per inspection Submit—sets of plan with any of the above. Investigation fee The above are not applicable to temporary coustruction service. other Not all jurisdictions accem credit cards,picrcall jurisdiction for more information Notice:This permit application Permit fee ........ ......... ic 5 U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ credit cad numtwt ____�-- -_ � within 180 days after it has been State surcharge(8%)....$ _ xpi1Cf accepted as complete. TOTAL .......................$ Name of cnrdhol r u shown on credit rand $ l -- Cardholder at nature Amoratd 110-4615(M)WOM) ELL.:CTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit $145 15 e 4 ❑ Audio and Stereo Systems' 1000 qq.ft.or less �. -Each additional 500 sq.ft.or $33.40 1 ❑ Burglar Alarm portion thereof $75.00 Limited Energy _ ❑ Each Manufd Home or Modular $90.90 _ 2 Garage Door Opener' Dwelling Service or Feeder Services or Feeders ❑ Healing,Ventilation and Air Conditioning System" ' installation,alteration,or relocation $g0.30 ❑. .Mems'. !,•� Z 200 amps or less •4 201 amps to 400 amps $106.85 401 amps to 600 amps $160.60 • 't''�lr_ -- t �54.65 40.60 Over 1000 amps or volts $66 65 _ ? Reconnect only _ TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders $75.00 Fee for each system......................:...., Instillation,alteration,or relocation 7 (SEE OAR 9t�;7fi0,260) 200 amps or less _ $66 85 $10030 _ 2 •' ! 7 ' 201 amps to 400 amps $133.75 2 Check Type of Work Invol fled^-� 401 amps to 600 amps __ ---- f,.• ,1,,&% Over 600 amps to 1000 volts, }LtJ� Audio�r{�1 Stereo Systems �•; C q�:• see„b.'above. •'l�• r..Mp Branch Circuits ♦ � •$oiler Controls r'•• r •, ~� New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase of service or feeder fee. $6(3, 2 ❑ Data Telecommunication Installation Each branch circuit -------- b)1he tee for branch circuits ❑ Fire Alarm Installation without purchase of service or feeder fee. $46.85 s • -� t First branch circuit -- ►�'. �' H�AC a t Each additional branch circuit $6.65 :r• •.l •r• t :r+ r•. Miscellaneousy;,•s� Instrfruentauon -�Z r• !!r�'t\)' (Service or tender not Included) • r ~ $53.40 ❑ Intercom and Paging Systems Each pump or irrig,tion circle $53.40 Each sign or outline lighting - - Signal circuits)or a limited energy ❑5-00 Landscape Irrigation Control' panel,alteration or extension $1125 00 Minor Labels(10) __— _ r F I Medical' l Each additional Inspection over ❑ the allowable In any of the above I $62,50 Nurse Calls •` -i ;1rJ:•�Per $62,50 Per hour $73 75 ❑ Outdoor LIMscaVe gifhting`1! r•-. In Plant _. -- — { `h.•i ' Protective Signaling • 1 4 . r Fees: •ti ' $ ❑ ----"- Enter total of above fees -- other- 8%State Surcharge $ -- Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other installations See"Plan Review"section on front of application - Fees: Total Balance Due $ ---- Enter total of above fees $ ElTrust Account 8%State Surcharge $— L_.I # ___ - -- -- - -- Total Balance Due $-- i:Wsts\fornvklc-fces.doc 06/07/01 Mechanical Permit Application -- -- —�-- )ate rccetvcd. Permit no.t Q City Of Tigard Project/appl.no.: Expire date: City nif Tigard Address: 13125 SW Hall Blvd,Tigard,Oil 97223 Date issued: By: Receipt--.: Phone: (503) 639-4171 Pa merit ty Case file no.: Fax: (503) 598-1960 Y P' Budding permit no.: Land use approval; -- J Multi-family U'I'enant Improvement 7%New &2 family dwel,inn or accessory O Commercial/industrial construction U A(I(Iiti(m/alteration/replaccnlctu _i Othee: --- Indicate equipmHill ent quantities Ili boxes below.Indicate the dollar lob addrf s: 1051 Q ) �p --- _� - -��11 Suite no.: value of all mechanical materials,equipment,labor,overhead, Bld no.: ` - profit.Value$ _---- Tax map/tax lot/account no.: _ Lot: ��-lock: �3utxlivision: ER—�,(- � _ 'ties checklist for important application infitrrnation and _ jurisdiction's Ice schedule for residential permit fee. Project name: I t rDLscription y/county: A M V ZIP: — t andluc:rtion ofwork on IYyal Description,date of completion/inspection: nant improvement or change of use: Air handling unit CFM _ Is existing space heated or conditioned?U Yes U Nor conditioning(site p an require ( Is existing space insulated?U Yes U No A legation of existing C system t iloi er compressors State boiler permit no.: Business name: I�/J �_' �-- -- -- III' ,-Tuns- BTU/II Address: it•s m o a amperrd uct smoke electors titatT LII': 1 �aipump(sjtc p an rc II& ) City: L Instalrep ace umac burner Phone: '�. Fax: E marl' Including ductwork/vent liner U Yes U No CCP no.: tY�ZZ _._.___--.— Install replac re create eaters-suspen e(, wall,or flour mounted Cflylmetro tic.no.:,--- ant fora r iance of er t an urnace Name(please print 1 e r gerat on: Absorption units H�UlH Chillers -- Nme: W& JV - - Clam ressors__ J NP rAddress: ;nv ronmentrt ex ust an vent at on: ty: State: ZIP: ApplianccventI:tx; f; moil: Dryer ex Bust one: oo s, ype res. itc a hazmat hood fire suppression system Name: ��lsIr1✓try Exhaust fan with single duct(hath fans) x laust s stem a mgt from tcatin or Ac' Mailing address: -'L sJln� w - -� ue p p ng an st ut on(up t. outlets) City: Stale:�. "LIP: tD Type: LP(; NG -- Oil Phutte: flax'• E-mail: Duel pi gin each a itiona over out els — rocessp p ng(sc ematicrcqulredl Number of outlets _ — Name: sl Wapp once or equ pment• -� Address• Decorative fireplace State: 7.IP: aster-ty c _ oo stew pc ctstove -- 1'honc: F:t . Email rpt er: - Applicant's signature:_ Date: dI ter: Name (print): �- — Permit fee.....................$ Nor all judrdiclicm accepr credit cards,pteaee telt jurisdiction Gx nvxr information Notice:'Phis permit application Minimum fee................$ U visn U MasterCard expires if a permit is not obtained Plan review(at __ %) $ .------ cledii card numner --_-- f•..p within I80 days after it t as been State surcharge(8%)....$ - accepted as complete. TOTAL Netne ref ce of r to own on credit cera """""""""""' '— $ 44D-4617(61001COMl — -- Cerdhol r td�reture Amount MECHANICAL PERMIT Z=EES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: - -- TOTAL VALUATION: FEE: Description: Price Total - - -- --- -- Table 1A Mechanical Code Qty (Ea) Amt $1.00 to$5 000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 T $72.50 for the flrsl$5,000.00 and includin ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including including ducts 0 vents 17.40 $10,000.00_ - 3) Floor Furnace $10,001.00►o$25,000.00 $18.50 4for the first$10,000.00 and includin vent t4.0o $1.54 for each additional$100.00 or 4 Suspended heater,wall heater fraction thereof,to and including ) p t4 00 $25 000.00. or floor mounted heater $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)f +Rep�r•ygl�s 12 15 $50,000.00. _..^_ --- $50,001.00 and up $742.00 for the first$50,000.00 ind Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond traction thereof. foo otos low.. Cum. • --� ---�_. 7)<3HP;absorb urflt _ to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3.15 HP;absorb '�- Value Total unit 100k to 500k BTU 25.60 Description: Q Ea _ Amount__ g)15-30 0Pf pboorb • t • Furnace to 100,000 BTU,Including 955 unit.5-1 mll BTU 35.00 ducts&vents -- 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1.1.75 mil BTU 5:.20 ducts&vents -- 11)>50HP•absorb Floor furnace includingvent 955 __� unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 _ Vent not Included In applicance 445 13)Air haftd�rtg•unit 10,000 CFM44 . ermit ----- 17. 0 Repair units 805 14)Nor-portable evbpbrate cooler . <3 hp;absorb.unit 955 1Q.00 to 100k BTU -- 15)Vent fan connected to a single duct . ti 3-15 hp;absorb.unit, 1,700 '6.80 101k to 500k BTU ---- 16)Ventilation system not included In 15-30 hp;absorb.unit,501k to 1 2.310 appliance permit _1000 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 _ 10.00 1-1.75 mil,BTU - 18)Domestic incinerators >50 hp;absorb.unit, 5,725 a 17.40 1.>1.75 mil.BTU 19)Commercial or Industrial type incinerator' Air handling unit to 10 000 drn 656 69.95 Air handling unit>10 000 cfm _ 1,170 Non- ortabl_eurate cooler 658 --- 20)Other units,Including wood stoves 10.00 _ Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not Included in 656 5.40 _ appliance.permit22)More than 0-per pytlet(eaeh) A Hood served b mechanical exhaust 656 ' 100 Domestic Incinerator 1,170 MilnnuM It ee=72.60 3UBT TAI.: 5 Commercial or Industrial Incinerator 4,590 _• Other unit,including wood stoves, 656 - 8•/.state surch, rf�4 S inserts,etc. _ - Gas piping 1-4 outlets �- 360 25%Plan Review Fee(of subtotal) � Each additional outlet_ 63 Required for ALL commer,ial•permits only, TOTAL COMMERCIAL a TOTAL RESI TIAL PERMIT FEE: E VALUATION: _ _ - Ot or In ec Ions and Fees: I Ins ectmns outside of norrnal.business hours(nNdmum charge-two hours) $72 50 per hour ` 2 Inspections for which no fee Is specificatly wi!ated(minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. I\dsts\forms\rnech-fees.doc 10/11/00 Plumbing Permit Application ITateeceived: ' Permit no.: hrw _ b City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Nall Blvd,Tigard,OR 97223 Cm,of Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Dale issued: By: Receipt no.: Land use approval: Case file no.: Payment type: I &2 family dwelling or accessory U CommerciaUindustrial U Multi-family U Tenant improvement P((New cons(ruction U Addition/alteration/replacement U Foal service U Other: JOB SITE INFORMATION FEE SCHEDULE(for special information use checklist) Jobaddress: 10SIV 5w ASW ChlVF Description Qty.Ihee(ca.) I Total Bldg.no.: Suite no.: —_ New 1-and 2-famlly dwellings only: (includes 100 ft.foreacll utility connecti(ln) Tax map/tax lot/account no.: SFR(1)bath Lot: Block: I Subdivision_€ SFR(2)bath --� --- - Project name: SIR(3)bath City/county: T� ZIP: '� - E.ach additional badi/kitchen Description aild location of work onpremises: tiilc utilities: Catch basin/area drain Est.date of completionhnspeclicln: Drywells/leach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities _ fis sin,e-ss name: _ Manholes Address: Rain drain connector City: I Statc:mZ111: d_ Sanitary sewer(no.lin.ft.) Phone AN11?ax: E-mail: Storm sewer(no.lin.ft.) CCB no.: 0116 _ Plumb.bus.reg.no: ( ► Fater service(no. lin.ft. City/metro tic.no.: _-. Fixture or hem: - Absorption valve Contractor's representative signature: Back flow rcventer Print nano. Date: Backwater valve CONTACT t Btlsins/lavatory _ Name: Clothes washer PES — - 'a - Dishwasher _ Address: _ Drinking fountain(s) City: State "lll . gjcctars/sump _ Phone: Fax: E-mail: Expansion tank t Fixturc/sewer cap Nantr (piml): kysb W Garbage disposal sinks/hub -- Garbage dis wsal Mailing address: 1&41•- � L ' ;lose bibb City:WF LIMP State:M 'LIP: t 3AP Ice maker Phone: Fax: E-mail: Interceptor/grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commert-ral) employee on the props v I vn as per ORS Chapter 447. Sink(s),basin(s),lays(s) owner's signature: Date: 1 1401 Sum _ Tubs/shower/showeran �� Urinal Name: _ _— Water closet Address: 'j Water heater City: '� !� - - State: LIP: 'l'L Other: Phone: J07A 1.1 Fax: f;-mail: �'otal Nm all jurisdicaans accept credit cards.please call jurisdiction rot rrom Inromatlon Mltlllli➢m fee................$ Notice: gamut application Plan review(at _ %) $ U visa U MasterCard expires if d permit is not obtained Credit cad nurn1wr - _" — __ —/— within 180 days atter it has been State surcharge(8%) ....$ Itspircs i Name 0(c"Oldef as drown on credit cad s accepted its complete. TOTAL ....................... Cardholder d uturc Amount 440.4616(hMICOM) &EASE COMPLETE; FIXTURES (individual) Qty Price Total Fixture Type uantity b V work Performed 16.60 Now Navod Replaced Remov@_ appe Lavatory 16.60 Sink vot Tub or Tub/Shower Comb 10.60 rub or Tub/Shower Combination Shower Only 16.60 Shower Only Water Closet Water Closet 16.60 Urinal Urinal 16.60 Dishwasher 16.60 Garbsp Disposal Laundry Room Troy Garbage Disoosal 16.60 Washing Machine Laundry Tray 16.60 Floor Drain/Floor Sink 2" 3- Washing Machine 1660 4- Floor Drain/Floor Sink 2- 16.60 Water Heater qqpr fixtures(SlygrIlItu __VT 3' 16.60 4- 16,60 Water Heater 0 conversion 0 like kind 10.60 Gas piping requires a separate mechanic.PI permit. MFG Home New Water Service 46.40 MFG Home Now San/Storm Sewer 46.40 C0MdF.N1&rT-tARD1NG ABOVE: JON f". Hose Bibs 16.60 Roof Drains 16.60 Drinking Fountain I&W Other Fixtures(Specify) 21.75 Ile Sewer-1st 100' 55.00 Sewer-each additional 100' 4640 Water Service-1st 100' 55.00 -Water Service-each additional 200' 46.40 Storn&Rain Drain-1st 100' 55.00 Strom&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 1660 Insp.of Existing Plumbing or Specialty Requested 72.50 _IEK2SIion,_ perthr Rain Drain,single family dwelling 65.25 Grease Traps 16.60 QUANTITY TOTAL Isometric or riser diagram is required N Quantity Total is ,9 *SUBTOTAL 8%SURCHARGE ..PLAN REVIEW 25%OF SUBTOTAL _R�tj td only 9 fixture city.Mal Is>9 TOTAL 14A 14A i 'Minimum permit too Is$72.50 4 8%surcharge,except Residential Rack1low Prevention -.V Device,which Is$36.25 4 8%surcharge -All New Commercial Buildings requke plans with Isometric or riser diagram OW plan reyi,-w It 11,- SFE 35MM ROLL # 20 FOR OVERSIZED IaOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00417 Date Issued: 8/8101 Parcel: 2S11 ODA-05200 Site Address: 10510 SW HOODVIEW DR Subdivision: ERICKSON HEIGHTS Block: Lot: 013 Jurisdiction: TIG Zoning: R-3.5 Remarks: SIF Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above In order for the Plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN Building Dept. No plumbing inspections will be authorized until this completed form is 1 eceived OWNER: PLUMBING CONTRACTOR. RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN. OR 97068 BEAVERTON, OR 97008 Phone #: 557-8000 Phone #: 644-8698 Reg #: I Ir. 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X fyllkloll Signature of Autnorized Plu ber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CL.ACKAMAS, OR 97015-1429 Electrical Signature Form Permit #: MST2001-00417 Date Issued: 818101 Parcel: 2S110DA-05200 Site Address: 10510 SW HOODVIEW DR :subdivision: ERICKSON HEIGHTS Block: Lot. 013 Jurisdiction: TIG Zoning: R-3.5 Remarks: SIF 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 arid return this Electrical Signature Form prior to the start of the work to the address above, ATT N: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES !NC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015-1429 Phone #: 557-8000 Phone #: 503-657-0142 Req #: sup 6185 LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician i� you have any questions, please call (503) 639-4171, ext. # 310 � 5 o � o v� N Z o � 71 O C7,N A IZ b O ' ^ R Q '~ I b z LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA,AAA,A ► ► pool rt s n b Ir- 44O ► 44 /� rD 44 to � 00. , n 4 ro G No. CD ON. 4 �- l M n e 44 oil. 44 \ b ► �I � 1 V" ! � I ► � I No. ► �TTTTTfTT'7-VV TTTr'TTT �TT� TTTTTTTTTTTTTTTT 'TTTTT\