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13676 SW Hall Blvd Bldg. 6
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13710 SW HALL
FOR
ADDITIONAL
INFORMATION
Correspondence
Plans
Reports
CITYOF TfGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES -� PERMIT#: BUP2003-00138
13125 SW Hall Blvd., Tigard, OR 57223 (503) 639.4171 DATE ISSUED: 05/16/2003
PARCEL: 2S102DD-FP6-1
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 13675 SW HALL. BLVD BLDG 6
SUBDIVISION: FANNO POINTE CONDOS
BLOCK: LOT:001
CLASS OF WORK: NEW — --
TYPE OF USE: MF
TYPE OF CONSTR: 5-1 HR
OCCUPANCY GRP: R1
OCCUPANCY LOAD: 22
TENANT NAME:
REMARKS: BUilding #6-6 unit condominium
Owner:
FANNO POINTE LLC
109 EAST 13TH STREET
VANCOUVER, WA 98660
Phone: 360-695-7700
Contractor: 360-695-7700
FANNO POINTE LLC
109 EAST 13TH ST
VANCOUVER, WA 98660
Phone: 360-695-7700
360-693-4442
Reg#: I,lu 154993
This Certificate issued 12/10/21)113 grants occupancy of the above referenced
building or portion thereof and confirms that the building has been inspected for
compliance with the State o Oregon Specialty Codes for the group, occupancy,
and use undor which tW- f enced permit w,8#. -'s ed
i
BUILDING INSPECTOR BUILD{ 3 OFF CIAL� -`--
POST IN CONSPICUOUS PLACE
crry OF TIGAfRD 941-Eini!r
BUILDING (� Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 ? �,
rel UP
Received _ Fx Date' lequeste AM _ ► M BUP
Location _ Suite MEC
Contact Person C a/— -- Ph(____) _7Z PLM
Contractor >< l Z _ Ph( ) ---- SWR
BUILDING Tenant/Owner __ -T— ELC
Footing ELC
Foundation - - -
Ftg Drain Access:
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 --
Roo}
Final , J
SS PART FAIL
11311MING -- --- _- --
Post& Beam ---
Under Siab __-
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: -----.— -. __—.
Final
PASS PART FAIL - - - — -
MECHANICAL
Post&Beam
Rough-In
Gas Line
SFR
ampersPART FAILICA_ L
Service
Rough-In _—
UG/Slab
Low Voltage
Fire Alarm
Final U Reinspection fee of$-`____—__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PANS PART FAIL
SITEPlease call for reinspection RE:__- _ - — Unable to inspect-no access
_.
Fire Supply Line
ADA
Approach/Sidewalk D�/W` ---- Inspector
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAiL
CITYTY ®c TIG /� R D _� F I FCTRIrAI PFRNlIT
`DEVELOPMENT SERVICES tf: ELC2003-00270
DATEE ISSUESSUED: 5/13/03
~- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP6-1
SITE ADDRESS: 13676 SW HALL BLVD BI.DG 6
SUBDIVISION: FANNO f OINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 .JURISDICTION: TIG
Project Description: Temporary electrical service for construction trailer.
__ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: I PUMP/IRRIGATION:
EACH ADD'L 500SF• 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 1U1 - 600 amp: SIGNAI /PANF.L_:
MANF HMI SVC/FOR: 6011+amps - 1000 volts: MINOR LABEL (4):
` SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: est V'//O SF'VC OR FOR: PER HOUR:
401 - 600 amp: F.A ADG'L BRNCH CIRC: IN PLANT:
b01 - 1000 amp: ---,-------,PLAN REVIEW SE_.C1-ION_
1000+ amp/volt: > 4 RES UNITS_ >600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR—225 AMPS: CLASS_AREAISPFC OCC:_
Owner: Contractor:
FANNO POINTE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 26�J NW 8TH WAY
VANCOUVER,WA 98660 CAMAS,WA 98607
Phone: 360-695-7700 Phone: 360-833-2088
Reg #: LIC 118073
�- SUP 45425
FEES --�-- ELE 37-742c
Description Date Amount
[fiLPkM'I'] liL(' Required Inspections Pcrmit 5/13 nt n66.85 - - -- _—
[TAX]8%State Tax 5;I i o; $5.35 Elect'I Service
_ Elect'I Final
Total $72.20
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codas and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or 9 work is suspended
for more than-.1 80 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth AR 952-KI-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-8 -332 2344.
Iss d B
Y ,1_44Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which its not intended for sale, lease, or rent.
OWNER'S SIGNATURE: — _ DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _. DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application '
-.-- — Received F.!cctrical y
Date/By: Pcrmit No.:
Planning Approval —�^ Sign —
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/B): Permit No.: _
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By: Cage No.: _
Internet: www.ci.tigard.or.us Contact Juris.: 0 See Page 2 for
24-hour inspection Request: 503-6.39-4175 Name/Method- Supplemental infornnatioa.
TYPE OF WORK _ PLAN REVIEW Please check all that apply) —
NcNN, construction [ I I)C111 Clition ❑Service over 225 amps- health-care facility
commercial ❑Hazardous location
_
Add ition/altCraliOtl/rCplaeC111Cnt 011ier: _ ❑Service over 320 amps-rating of ❑Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION Y _ I&2 family dwellings four or more residential units in
i &2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure
rl ACces,O Buildin Multi-Family ❑Building over three stories ❑Feeders,400 amps or more
1Y _�_.� Y� _ pp Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑Egress/lighting plan ❑Other:
JOi2 SITE INFORMATI N and LOCATION Submit_^.sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: 13 b '7 b S I✓ H N 1.L t31y FEE*SCHEDULE
Suite#: I Bldg./Apt.#: Number of It ections per permit allowed
Project Name: TAN/bO A9/ni'rE CqNDOS Description Qty Fee(ca.) Total
Goss Stl ee1�I�ICCCtlOnS to job site: New resldential-single or multi-faintly per
dwelling unit.Includes attached garage.
Service Included:
1000 sq.0.or less 145.15 4
Each additional 500 sq.ft.or portion thereof 33.40 1
T I,ot#:
Limited energy,residential 75.00 __ .'
$UbdiVlStOn:
__. Limited energy,nonresidential 75.00 � _
Tax map/parcel #: _ Each manufactured home or modular dwelling
DESCRIPTION OF WORK - service and,'or feeder 90.90 2
Services or feeders-Installation,
w P S E12 V I(L _ /t)r2 (Oh S I , J�'q alteration or relocation:
y^7� 201 amps or less 80.30 2
201 amps to 400 amps ----- 106.85 2
401 amps to 600 amps 160.60 2
PROPERTY OWNER I El TENANT 601 ams to 1069 amps __ _ 240.60 1
Over 1000 amps or volts __ _454.65 2
Name: 7/ ^/Q (bt M 7 E �,�-,( ' _ Reconnect only 6685 2
Address: 101 C A,,-T 134— -t vteJ Temporary services or feeders-Installation,
itheralion,or relocation: J�
city/State/Zip: V4N(DuVE 12 wA�t�6) 200 amps or less 66.85 D 1
Phone: Fax: 201 amps to 40(1 amps _ IW.30 _ 2
APPLICANT CONTACT PERSON — 401 to 600
— Branch circuits
s 133.75 2
-new,slier atiun,or
Name: f"ANNo Po//V7 C l L,C extension per panel:
A.Fee for branch circuits with purchase of
Address: I T J 3 4' �j t�r--T _ _ service or feeder fee,each branch circuit_ x_65 2
—^ ' B.Fee for branch circuits without purchase of
City/State/Zip: V,4 AM C OU��W4 , �isl b U P
service or feeder fee first branch circuit _46.85 2
Phone:��0 3 'z z l -1ri 2�' T Fax: 36o 69 3 ti'yN? Each additional branch circuit 6.65 2
L'-snail: Misc.(Service or feeder not included)
CONTRACTOR, Each pump or irrigation circle _ 53.40 ?
—_ Lach sign or outline lighting _53.40 _ 2
Job No: Signal circuit(s)or a limited energy panel,
Business Name: i� 5 LEf 7R-I(A L alteration or extension _Page 2
__.. Uescriptiorr.
Address: 1W L S 1,,-) 5 7A IZ K
-- ,7 - Each additional inspection over the allowable In an of the above• _
Cit /State/ZI : i�-t t_q N D t t F, —f_CI 1 2.i(P __ Per inspection per hour min. I hour 62.50
Phone:5L)3_Z Z- -3'I6 7 Fax: 50 3 25 7--&,k,11 Investigation fee-
CCB
ee CCB Lie. #: 11 90 7 3 Lic. #: " 7-7 W 2 L Other:
-- - Electrical Permit Fees*
Supervising electrician ' Subtotal 1 $ to
si ature required: 2�ii _ Plan Review(25%of Perm t Fee) S
Print Name: V c i • v LiC.i#: s Z Mate Surcharge(R"/"of Pc::nit Fcc
_ TOTAL PFKMIT FEE I S
Authorizixf ' NoCce: This permit application expires if a permit is not obtained within
Sign ure: : ._ Date: 180 days after It has been accepted as complete.
•F,re methociolop,•set by Tri-(ounty Building Industry Service Hoard.
PA'VC IDT — --pi � �I A C� r
(Please print name) Jai r 1 �Q
i•\Dsts\Permit Forms\McPermitApp.duc 01/03
Electrical Permit Application - Cily of Tigard
Page 2 - Suppielliental Infol-ntation
1.1MITED F,NERGY PERMIT FEES:
RESIDENTIAL.WORK ONLY:
Yee for all systems............................ $75.00
Check Type of Work Involved:
LI Audio a„d Stereo Systems*
Burglar Alarm
DGarage Door Opener*
F] Heating,Ventilation and Air Conditioning System*
ElVacuum Systems*
❑ Other------ — --__ .--
_COMMERCIAL WORK ONLY:
Fee for each system........ ............. $75.00'
(SEF.OAR 918-260-260)
Check Type of Work Involved:
u Audio and stereo Systems
QBoiler Controls
Clock Systems
Onto Telecommunication Installation
L_.J Fire Alarm Installation
HVAC
F] Instrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
pNurse Calls
Outdoor Iandscapc Lighting*
C Protective Signaling
Other
_ —Number of Systems
* No licenses are required. licenses are required for all
other installations
i\1 sts\Permit Forms\ElcPetmitAppPg2.doc 01/03
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP _
Received e_ _ nate Requested - l - AM ' PM _- ____ SUP
Location �� '� r 0-) i ,PZI JaSuite MEC --- -__ -
Contact Person Ph PLM
Contractor_-- --_ Ph( _—) — _---. .-_ SWR
BUILDING Tenant/Owner ELC cj el
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain - — -�
Slab Inspection Notes: SIT
Post& Beam "X ►L5
Shear Anchors - --- -- - —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -----___- -
Firewall
Fire Sprinkler -
Fire Alarm �4
Susp'd Ceiling
Roof
Other: _
Final
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab
--- -----------------
Rough•In --
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manholes
Storm Drain --- -- _
Shower Pan
Other -
Final
PASS PAF IT FAtL
MECHANICAL
Post&Beam -----
Rough-Ir, — —
Gas Line
Smoke Dampers
Final
_ PASS PART FAIL
!�LECTRICA '
—__
ou �. —
UG/Slab
Low Voltage
Fire Alarm
Fi Reinspection fee of$ required before nerd ins
PAS PART FAIL p — — 4 inspection. Pay at City Hall, f 3125 SW Hail Blvd.
SITE — — ❑ Please::all for reinspection HE: Unable to inspect-no access
Fire Supply LineADA
/
Approach/Sidewalk Date 1� Inspector s� ���`*^� _ti xt
Other:
Final DO NOT REMOVE this Inspection record from the ob site.
PASS PART FAIL
CITE' OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERSUED: E -OQ180
DATE ISSUED: 5/1161036/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S102DD-FP6-1
SITE ADDRESS: 136376 SW HAI_l. BLVD BLDG 6
SU13DIVISION: FANNn POIN IE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
Projc ct Description: Building/t6- Electrical work for 6 unit condominium.
_ _ __ RESIDENTIAL UNIT TEMP_SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 0 200 amp Pl1MPlIRRIGATION:
EACH ADD'L 500SF: 114 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 12 401 - 600 amp: SIGNAI_1PANEL:
MANF HM/SVC/FOR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _A �— BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
2C1 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: 1 EA ADD'L BRNCH CIRC: IN PLANT:
601 - ir1nn amp: _ PLAN REVIEW_SECTION_
1000+amp/volt: -4 RES UNITS: v >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPSCLASS AREAISPEC OCC:
Owner: Contractor:
FANNO POINTE LLC DMS ELECTRIC INC
109 EAST 13TH STREET 2820 NW 8TH WAY
VANCOUVER,WA 98650 CAMAS,WA 98607
Phone: 360-695-7700 Phone: 360-833-2088
Reg#: LIC 118073
- -- ---- SUP 45425
FEES ELF 37-7420
Description Date Amount` Required Inspections
IFLPRMI1 ELC Permit 5/16,03 $1,673.35
I1'.I.PLCK) ELCPln Rv% 5/16/03 $418.34 Rough-in Elect'I Final
[TAX]8%State Tax ;/16/03 $133.87 Rough-in Elect'l Final
_ - Rough-in Elect'I Final
Total $2,225.56 Low Voltage Inspection
Low Voltage Inspection
Low Voltage Inspection
Elect'I Service
This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of 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 In OAR 952-001-0010 through OAR 952.001.0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or
1-800-332-2344.
Issued By: _ Permit Signature:
OWNER INSTALLATION ONLY
1 tie installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE: _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application _
=cd Electrical
Permit No.: rL� 3 -t 1
Planning Approval Sign
City of Tigard 1"'6U t t_ti,til,�, -11- (, Date/B . Permit Na: i
13125 SW flail blvd. __...-- Plan Review Other _ —
Tigard,Oregon 97213 — Date/11y: _ Permit No.:
Phone; 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Date/By: Case No.:
Internet: www.ci•tigard.onus Contact Juris See Page 2 for--,--
24-hour Inspection Request: 503-639-4175 Name/Method -— Supplemental Information.
shii
TYPE OF WORK PLAN REVIEW Please check all thatApply)
ew construction Demolition Service over 22',amps- health-care facilitycommercial ❑Ilazardous location
Addition/alteration/ )laccmcnt Other: _ ❑Service over 320 amps-rating of ❑Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION _ I &2 family dwellings four of more residential units in
I Bf. 2-Family dwelliq Coil'nlercial/111dustrlaI � ❑System over 60i)volts nominal one structure
Buiiditig over three stories Fecdc-s,400 amps or more
AccessoryBuildin Multi-Pamil
��'_- —� y Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ligress/lighling plan ❑Other:
JOB SIVE INFORMATION and LOCATION Submit_sets of plans with any of the above,
The above are nota Ir�r noble to temporary construction service.
Job site address: %36 1,6 1A16 a<VP _ FEE*SCHEDULE _
suite#: ,e'-/ -1hro t �- b I Bld ./A toNumber of lens ectlons per permit allowed
Project Name: Y1iNN0 P01 Al T E Description_ - Qty I ree(ea.) Total
Cross street/Directions to Ob site: New residential-Slagle or mulls-famlly per
dwelling unit.Includes attached garage.
Service Included:
1000 sq,fl.or less 145.15 1 H y,15 4
Bach additional 500 sq.f.or portion thereof ,7- 33.40 4411 d.4 I
Limited energy,residential _ 75W 2
Subdivision: _ _
Lot#: Limited energy,non residential _ 75.00 1 ?vel.00 2
Tax ma /parcel#: Fach manufactured home or modular dwelling
DESCRIPTION OF WORK service and/or feeder 9090 2
- --- Services or feeders-Installation.
- 19Ltx CONDa 5 _ alteration or relocation:
-- 200 snips or less 8030 2
201 amps to 400 ams 106.85 2
401 amps to 600 ams 160.60 O,bv 2
R
TENANT 601 am to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 1
Name: FAV/Vv PO/NTE (-,i-.0 1 Reconnect onl66.85 2
Address: 1 v 9 EAST- /3-I w ST R E C T Temporary services or feeders-Installation,
200 a
City/State/Zip: 1`1 CVLlA 12-,(,0451 07966 7 ` amps
less 66.85
_
2W amps or less 6G.85 I
Phone: :A,c) 6qs-`r70c' Fax: J60 - 6413 -ytis/Z 201 amps to 400 amps _ 100.30 2
CA_N1 _ CONTACTJPERSON� 401 s 133.75 2
----- Branch
circuits
uits-new,alteration,or
NSme: �NNC �D//Y?E L,G (, extension per panel:
l_______ — ---
A Fee for branch circuits with purchase
Address: /0y 15f.57- /.3 0G 57AC Er 0.65 2
_ service or feeder fee each branch circuit
City/State/Zip: V44M C OtW L 12 , INR S H . 9 56 o B.Fee for branch circuits without purchase of
---- service or feeder fee,first branch circuit 46.85 2
Phone: 60129 S" -71 n Fax: 3- 121Wy Z Earh additional branch circuit 6.65 2
E-mail: Misc.(Service or feeder not included):
_ OR Each pump or irrigation circl. 53.40 2
CONTRACT
---------- — -- Each sign ar outline lighting 53.40 2
Job N0: Signal circuit($)or a limited energy panel,
Business Name: PM 5 ELG ,Q/eA L � alteration,or extension _ Pae 2444c:?
Description
Address: $,5.02, S E �f,4eK.
Cit /State/Zip: GRT Lr4 h►� , 0 0— q 6 Each additional Inspection over the allowable In an of the above:
Per inspection Pet hour(min__l hour 62,50
Phone: 501-2-57 -3416"1 Fax: TOI -V52-bfo 11 Investigation fee: _
CCB Lic. At: I 1 SrD-1 �� Lic. #: '3l �}Z C Other;
�__ IeMrlcal�Plr�li; � _
Supervising electrician 01 , _ Subtotal $
signaturrequired
e : -`r` _
c".�r.'�L- Plan Review 25%of Permit Fee S
Print Name: 1 ic. #: ___ State Sunhat a 8%of Permit Fee) S
TOTAL PERMIT FEE S _
Authorized / Notice: This permit application expires If a permit is not obtained within
Signature: _ _- Date:?1L�3 180 days after it has been accepted as complete.
*Fee methodology set by Trl-('aunty Building Industry Service Board.
IA16 rte.----- --
(Please print name)
i:\Dsto\PermitForrm\ElcPetmitAppdoc 01/03
Electrical Permit A-P.plication - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL,WORK ONLY:
Feefor gll systems........................................................... $75.00
Check Type of Work Involved:
Audio and Stereo Systems*
Burglar Alarm
F1Garage Door Opener*
Heating,Ventilation and Air Conditioning Systcm*
EJVacuum Systems*
lJ Other
COMMERCIAL WORK ONLY:
Feefor each system.......................................................... S75.00
(SFF OAR 919-260.260)
Check Type of Work Involved:
Audio and Stereo Systems
Boiler Controls
Clock Systems
Lista 1'elecommunication Installation
Fire Alarm Installation
HVAC
Instrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
Nurse Calls
❑ Outdoor Landscape Lighting*
Protective Signaling
Other ------
Number of Systems
* No licenses are required. Licenses are required for all
other installations
013sts\Permit Fornv\FlcPermitAppPg2.doc 01103
CITYOF TIG. � RD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#- MEC2003-00149
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5116/03
PARCEL: 2S102DD-FP6-1
SITE ADDRESS: 13676 SW HALL BLVD BLDG 6
SU`3DIViSION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: E'✓AP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: I
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS/COMPRESSORSHOODS: G
FUEL TYPES _ 0 - 3 HP:: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR S:
ODSOYES:
GAS PRESSURE: 50 + VIP: DRYERS:
C
FURN a 100K BTU: AIR HANDLING UNITS CLO DRYERS: 6
OTHER UNITS: 6
FURN >=100K BTU: <= 10000 cfm: -
GAS OUTLETS: 6
> 10000 cfm:
Remarks: Building#6-Mechanical work for 0 wit, m-lomma n
Owner: _ FEES
FANNO POIN'rE LLC Description Date Amount
109 EAST 13TH STREET [MEC'HJ Permit lee 5/16/03 $193.16
VANCOUVER, WA 98660
[Ml✓CPLN] flan Itcv 5/16/03 $48.29
[TAX] 8`o State fax 5/16/03 $15.45
Phone: 360-695-7700 Total $256.90
Contra.;tor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE.
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone: �n -598-4798 Gas Line Insp
Mechanical Insp
Reg#: LIC 152736 Duct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 drays. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.. ,
Issued By;, ,, , .' � Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
JIL
Mechanical 11 ,'��) I—fic,111iO" Received a
��t'i n1iVi6Cha/11181
Date/B : d0/ / Permit No.: Nit:ew'r''-X
Planning Approval Building
1! o 1 19"11'(1 �l+e.`[7 �b Dam' ____---- Permit No.: _-- —_-
13125 SW hall 1310. Plan Review Other
1)ate/By. I'emiit No.:
Tigard,Oregon 97223 -- Post-Review T land Use
Phone: 503-639-4171 Fax: 503-598-1960 Dete/13y: Case No.:
InternGf: www.ci.tigard.or.us Contact _ J See Page 2 for
'l4-hour Inspection Request: 503-639-4175 Name/Method _ - Supplemental Information.
TYPE OF WORK COMMERCIAL FEE*SCHEDULE,USE C'_ CKLIST
New construction Demolition_ , Mechanical permit fees"are based on the total value of the work
HAddition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all
mcchanica' o<iterials,equipment,labor,overhead and profit.
CATEGORY OF acemeCONSTItUCTION
1 & 2-family dwellingCommercial/Industrial Value: S _- -_ Sec Page 2 for Fee Schedule
— RESIDENT lAL EQUiPMENT/SYSTEMS FEDI DULE
ACCCSSOry Buildint, Multi-Family DescrlpNon Qty Fee(ea.) Total
Master Builder Other: _ Ileatin linit
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" _ 14.00
Job site address: t3&-Z '"�� A" &JVPr Gas heat pump 14,00
g� #: 6-/ AfVJ w 6_-,0 Bld .JA t.#: Duct work 14.00
�
_ `_�ANNO PD(,NTE NTC R dni hot waters stem 14.00
Pro act Name: Residential boiler
Cross street/Airections to job site: (for radiator or hydronic system) 14.00
Unit heaters(fuel,not electric)
in wall,in-duct,suspended,etc. 14.00 _
Flue/venLIPor any of above) 10.00
- - - - - — Repair units 12.1 S
Subdivision: _ _ _ Lot#: Other Fuel Ap illances
Tax map/parcel #: Water heater 10.00
1DE6CRIPTIOTN OF WORK — Gas fireplace I u,00
P1, LUN D� S Flue vent(water heater/ as fireplace) 10.00
- - --
-Log li hter as _10.00 �—
�.-_—_--�--_ Wood/Pellet stove _10.00
Wood fireplace/insert 10.00
Chimne /liner/flue/vent 10.00
TENANT. Other 10.00
_—Environmental Eihisuat es Ventllatlo6
Name: F410VO A INN- LLC' _-_- Range hood/other kitchen equipment 10.00
Address: 109 E/+5T 13+c' S7 Kt C T_ ____ Clothes dryer exhaust 10.00
City/State/Zip_ ANC OU UE V- ASH. q�d 66 O Single duct exhaust
Phone: 3ho - 69s-7700 Fax: 3bo-6q3-'4u Z (bathrooms,toilet compartments,
E-1 utility rooms 6.80
Name: FA NNO PO 11v7'_c- L.1_6, Attic/crawl space fans _ 10.00
Other: 10.00
Address: /Oy �_IT /-3 f <74CE y" Fuel Pintna _ ^
City/State/Zip: AN[OLA VEE- W,45H . 9V66 0 '•55.,0 for Orsi 4,$1.Of tach addltlona�
Phone: 3bo-('/s--'7 70_ Fax 3 60- 69'3 yZ Furnace etc. ,_ _ •'
Gas heat pump
E-mail: Wall/suspended/unit heater
Water heater
Business Name: C 5T. J14Fire lace E C 14 N f c A L•
Address: J L 3 0o d✓ 6Ba •"
_City/State/Zip: /GA IZD /0 _97 Z23_ Clothes dryer as
Phone: 503-Sqg- 7Fax: 3-6 39•0,919,Y Other:
CCB Dc- #: i 5 .73 b - - call Pe
'�.iechaatcal Permit tLa• —
Authoriz Subtotal: S
Signature: x-. ``� Dater/ 21 Minimum i'ermit Fee$72.50 _S
Pl !_
—_^-_ an_Review Fee 25%of Permit Fee S
r 12
(Please rrint name)— State SurcharTOT°AL Ei
_RMrr FEE S
Notice: This permit application expires if a permit Is not obtained within •Fee methodology set by Tri-County Building Industry Service Board.
IRI(days after It his been accepted as complete. '•Site plan required for exterior A/C units.
I'.I)stsd'errn+t I orrns\MecPermitApp,doe 01/03
Mechanical Permit AppVcation - ('fly of Tigard
Page 1 - Supplemental Informntion
Commercial Fee_S_ched(ile: _
Total Valuation: Permit Fee _
$1.00 to$5,000.00 _ Minimum fee S72.50
55,001.00 to$10,000.00 $72 50 for the first$5,000.00 and$1.52
for each additional$100.00 or fraction
_ thereofl 'd,to and inc $10,000.00. _
$10,001.00 to$25,000.00 $148 50 for the first$10,000.00 and
$1.54 rot each additional$100.00 or
fraction thereof,to and including
$25,00000. _
$25,001.00 to 5501000.00 $379 50 for the first$25,000.00 and
$1.45 for each additional S100.00 or
fraction thereof',to and including
_
$50,000 W.
$50,001.00 and up $742.00 for the first$50,000,00 still
$1.20 for each additional S i M 00 or
fraction thereof.
Assumed Valuations Per Appliance:
Value 'total
Description Qty (Ea Amount
Furnace to 100,000 BTU,Including 955
ducts&vents
Furnace>100,000 BTU including ducts 1,170
&vents
Flour furnace including vent 955
Suspended heater,wall heater or floor 955
mountrd heater
Vent not included in appliance pennit445
Repair units r ,805
<3 hp;absorb.unit, 955
to 100k BTU
3.15 hp;absorb.unit, 1,700
101k to 500k BTU
15-30 hp;absorb.unit,501k to I mil 2,310
BTU
30-50 hp;absorb.unit, 3,400
1-1.75 mil.BTU _
>50 hp;absorb.unit, 5,725 ^
>1.75 mil.BTU
Air handling unit to 10,000 cfm_ 656 _ W
Air handling unit>10,000cfm 1,170
No rt able eval cooler 656 _
Vent fan connected to a single duct_ Tly 446 l.-N by
Vent system tint included in appliance 656
permit
Hood served by mechanical exhaust _656
Domestic incinerator 1,170
Commercial or industrial incinerator
Other unit,including wood stoves, 656 / 6
inserts,etc.
Qas pi tp rg 1-4 outlets 360 A0_
Each additional outlet 63 I
TOTAL COMMERCIAL $
VALUATION:
i:\Nts\PerfnitFomu\MecPerinitAppPS2.doc 01/03
_ BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2003-00138
DEVELOPMENT SERVICES DATE ISSUED: 5/16/03
' - 13125 SW Hall Blvd..Tiqard. OR 97223 (503) 639-4171 PARCEL: 25101.DD FP6 1
:SITE ADDRESS: 13676 SW HALL BLVD BLDG 6
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: NEW i FIRST: 2,210 sf N: 1 HR S: 1 HR E: 1 HR W: 111P
TYPE OF USE: MF SECOND: 3,864 sf _ PROJECT OPENINGS? _
TYPE OF CONST: 5-11IR sf N: N S: N E: N W: N–
OCCUPANCY GRP: R1 TOTAL AREA: 6,074 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED:
STCR: 2 HT: 25 ft GARAGE: 1,544 sf OCCU SEP. RATED: lHR
BSMT?: MEZZ?: READ SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SHKL: Y SMOK DET:Y
DWELLING UNITS: 6 FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: 11 BATHS: 10 IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 535,587.00
Remarks: Building#6 -6 unit condominium TIF DEFERRED
Owner: Contractor:
FANNO POINTE LLC FANNO POINTE LLC
109 EAST 13TH STREET 109 EAST 13TH ST
VANCOUVER, WA 98660 VANCOUVER, WA 98660
Phone: 360-695-7700
Phone: 360-695-7700
Reg#: LIC 154893
FEES REQUIRED INSPECTIONS
Descriptwn Date Amount Erosion Control Insp 846-8 Drywall nail/screw
(Bul'I'LN] Phi kv 3/21/03 $1,579,76 Footing Insp Gyp Board Insp
Slab Insp Smoke Detector
(F1.S]FLS Fln Rv 3/21/03 $972.16 Framing Insp Appr/Sdwlk Insp
1131-1IL.D] Pen nit Fee 5/16/03 $2,430.40 Insulation Insp Final Inspection
ITAX1 8%)Slate'Fax 5/16/03 $194.43 Shear Wall insp
(additional fees not listed here) Exterior Sheathing insp
-- __ Firewall Insp
Total $11,081.15 Drywall nail/screw
- -- — --' Dr all nail/screw
This permit is issued subject to the regulations contained in the Tigard 10,inicipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Centur. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
Issued By:
Permittee /
Signature:
Call 0314175 by 7 p.m. for an inspection the next business day
Bi>lilding Permit Application
--- ---- Received ?x Ruildine n
D A ; t
� J
CitOr.' 1 i81'(� �l l L INS � �� Planning Approval Other
y Datc/B : _ Permit NuS�,Jeowj
13125 SSV Hall Plan Review Other -
Tigard,Oregon 97223 bate/By: I Permit No-
Pho(fe: 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Datc/B : Case No.
Internet: www.ci.tigard.orms Contact luris.: 9 Sec I-Inge 2 for -
24-hour Inspection Request: 503-639-4175 Name/Method _—L Supplcnuntal Informallon
TYPE OF WORK --- - ----------
REQUIRED DATA:
New construction I D DCI))olllttnt I &2 FAMILY DWELLING
AdditioNalteration/replacement Other: - — --�
_CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of'the work performed Indicate
I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dolim)of all equipment,materials,labor,
-----�- u Accessory _ Mu;ti-Famt•ly overhead and profit f'or the work indicated on this application.
Building
Master Builder Othef: Valuation... ......................... ........... ........... $Y
3013 SITE INFORMATION mild LOCATION Na of bedrooms: _ No.of baths: _
Job site address: 136-'76 3i l f 141.1. fAUP' Total number of floors.....................................
New dwelling area(sq.ft.).............. . .........
-State#: 6-/ //Iru'-,k Bldg./Apt.#: __— Garage/carport area(sq, (t.)............................ -—
Pro ect Name: FA N UD U 1 N-V C Covered porch area(sq.R.)............................
Cross street/Directions to job site: Deck area(sq. ft.)............................................
Other structure area(sq.(t.)..........................
REQUIRED DATA: __--
____ COMMERCIAL-USE CHECKLIST
Subdivision: _ Lot#: — — --
Tax map/parcel #: — Note Permit fees*arc based on the total value of the work performed. Indicate
" DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
------ `— - overhead and profit for the work indicated on this application,
_ - LEx FLgy 5 ._ 587
Valuation............................... ..................... ... $ 35,
+
fii 4Ng building area(sq.R.)............U..'...... -5,qq
- - ----- ---_ ---- .- - — New building area(sq. R.)..................A-.1,.... 60 7t+
of stories...... . ................................. Z
PROPERTY OWNER TENANT Type of construction...................................... V 1yok
Name: FANAo Po I N TC 4-j-, c , Occupancy group(s): Existing:
Address: -- New: -
._fa4ST 1 {` Srt R-fT
City/State/Zip: VA14 (OLIVEfL OWAS►A. gKb_bo_ �--- --- –"
Phone: 3k)-W--7100 Pax: 36o - 6 9 3 y Citi 2 NOTICE: All contractors and subcontractors are required to be
A CONTACT PERSON licensed with the Oregon Construction Contractors BoardEl aJo,
provisions of ORS 701 and may be required to be licensed in the
Business Name_:_FAN NO ()-0 C, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing,the following reason applies:
Address: ly J EAS-f (3 R C ET
City/State/Zip: VA N C 0 u V F NNZ ,W A S H , I %b 6 — — ------ ---- —
Phone: 360-645--7700 Fax: 360 - 69 3 A44 Z ---- —
E-mail: IJUII.DING PERMIT FEES*
CONTRACTOR '']past refer to tee siheddle.
Business Name: FAN,-40 PD I N T` _ L.L.0. Fees due upon application.............................. S 5 51.q 2-
Address: 109 6As i - Wk- SJvee-E --
City/State/Zip: VANLOUVE Q , L,t/A5N . q$bb O Amount received..... .. . . ........................... S _
Phone: 3_60-695 - T7001 360- 6 13-"-17- Dr, -received:--
CCB
received:
-
CCB Lic. #: - -. --
Authorized �� ,-- '�- Notice: This permit application expires If a permit Is not obtained within
Signature: �.� Fate:�-M�-.FV 180 days after it has been accepted as complete.
l��
L lisµ-_I`�E� *Fee methodology set by Tri-(`aunts nuflding industry scrsice Board.
(Please print name)
i\bsts\Permil Forms\CildgPermitApp.doc 01/03
i
Plan Submittal Requirement Matrix
('omnrercial & Mtill i-Family
cifr of n-gant New, Additions or Alterations
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
I
Plumbing - Site Utilities 2
Building 1*
Fire Protection 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,
Washington County, and Tualatin Va!ley 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.
\dstsNforrnsW1anSubMatrix.doc 2127103
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00110
13125 SW Hall Blvd., Tigard, OR 97213 (503) 639-4171 DATE ISSUED: 5/10/03
SITE ADDRESS: 13676 SW HALL BI_\/D BLDG 6
PARCEL: 2S 102DD-F P6-1
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: 6 MOBILE HOME SPACES:
TYPE OF USE: MF 'HASHING MACH: 6 BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS:
STORIES: 2 WATER HEATERS: 6 CATCH BASINS:
_ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 20 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 6
TUB/SHOWERS: 10 SEWER LINE: 100 ft
WATER CLOSETS: 10 WATER LINE: 100 ft
DISHWASHERS: 6 RAIN DRAIN: 100 ft
Remarks: Building #6 - Plumbing work for 6 unit condominium. _
FEES
Owner: — --
Description Date Amount
FANNO POINTE LLC ��-
109 EAST 13TH STREET 11'1 UN1141 I'rrmit Fee 5/16/03 $1,30800
VANCOUVER, WA 98660 II'I.MPLNI I'lan Review 5/16/03 $327.00
11 AXE 8%,State Tax 5/16/03 $104.64
Phone : 160-695-7700 _ Total $1,739.64
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE.
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone : 503-598-4799 Sewer Inspection
Water Service Insp
Reg #: LIC 152736 PLM/Underfloor
I'LM 34-356PB Top-out Insp
Storm Drain Insp
Rain Drain Insp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit v;iii expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Issued By: �� +,._ _ Permittee Signature: G '^. 2—
_'z T
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
- RcrxivedPlumbing
Date/B Pertnil No.:
µ uPlanning Approval Sewer
City Of Il igarll 1 ,,, i r�, V Date/By Permit No.:
13125 SW hall Blvd. Plan Review Other
Tigard,Oregon 97223 patently: -- Permit No. —
Phude: 503-639-4171 Fax: 503-59$-1960 Post-Review Land Use
lntemct: www.ci.ttard.or.us Date/By: Case No.:
g Contact 1 see Page 2 for-`
24-hour Inspection Request: 503-639-4175 Name/Methods / Supplemental Information.
TYPE OF WORK ^FEE*SCHEDULE;(for apeclil'Ipformatlo use checklist)
New construction __ 15—CM oThtIon Description Qty. Fec(ca.) -'total
Addition/alteration/replacement� Other: New I-&2da,�111Y dwelfings
Includes 100 ft.for,eMMulilit c6 inection _
CATEGORY OF CONSTRUCTION SFR 1 bath _ 249.20
II &2-Family dwelling Commercial/Industrial SFR 2 bath _ _ 350.00
CJAqces!M Building Multi-Family SFR 3 bath _-_ 399.00
LJ Master Builder I M Other: _ Each additional bath/kitchm 45.00
JOB SITE INFORMATION and LOCATION Firesprinkler- sq. fl. Pae 2
Job site address: 31,7b g L.• !7L_y0 Site Utilities
%itr#: (,,-/ thro,, Bldg./Apt.#: Catch basin!area drain 16.60
Project Name: FA NNp 00 1 N'T U- b well/leach line/trench drain 16.60
Fooling drain(no. linear ft.) __ Pae 2
Cross street/Directions to job site: Manufactured home utilities 110.00 _
Manheles 16.60
Rain drain connector 10.60
Sanitary sewer(no. linear fl.) Pae 2 _
Subdivision: _ � -TI,ot#:
Sturm seALa(no. linear R. —_� Page 2
Tax map/parcel#: Water service no. linear fi.) Page 2
DESCRIPTION OF WORK_
JLLA� S ------ Absorption valve 16.60.
Backflow preventer I Pae 2
Backwater valve 16.60
Clothes washer 16.60 q9,&V
-- -- Dishwasher —^ - 16.60 17q,b 0
Drinking fountain 16.60
tai_bW ICER °Y. 7'ENAN'f
Ejectors/sump 16.60
Name: flANNo POIN It: L•L•C _ E; ansioetank 16.60
Address: (0c( EAST 13' STQt El- (-Ft-r-turr9sewer cap _ 16.60
City/State/Zip: VAN(O u 0 FV— /�S H %(660 ' Floor:Train/floor sink/hub 16.60
-- ---- --
---- -Garbage disposal 16.60 b0
Phone: lip -6qs- 7700 Fax: 36V 693- -1,9qZHosc bib 16.60 qq,60
WIL -;: 16,6b--
Name:
6t6o Name: �A N ts, 20 1 NT E: L•1-,d , Interceptor/grease tragi 16.60
Address: 10q E/15T 131 5T it E ET Medical gas-value: 5 _ Pae 2
priCity/State/Zip _C O QE , WAS 14 , 9Z6 6 0 Roof r 16.60
Roof drain(commercial) 16.60
Phone:AQ-61S -T? �( -613 Sink/basin/lavato� 16.60 irz•an
E-mail: Tub/shower/shower pan p I6.60 jkb.v O
11 '' p' ,- QR Urinal --- - - 16.60
Business Name: 1 C6 Np N l C A L- i Water closet _ p 16.60 _
Water heater 6 IG(i0 ,f—C,Zo
Address: 12-3t70 4 - M, _ O.her: —
City/State/Zip: I IGh 12p 0 R. 1 -7 Z-Z3 other:
Phone: y07- Sq$- 119 g Fax: Sat- J,31- 04 4--?, _rttttnt
CCB Lic. M 152' 3(-> P u b. LicA3J-W6P6 subtotal s
— --- Minimum Permit Fee S72 50 S
Authorized Residential Back6ow Minimum Fee$36.25
Signature: bate: ' Plan Review(25%of Permit Feed
16 T _We Iz- - State Surcharge 8%of Permit Fee) S
(Please print name) TOTAL PERMIT FEE $
Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plana with Isometric or
180 days after It has been accepted as complete. riser diagram for plan revlew.
*Fee methodology set by Trld'ounty Building Industry Service Board.
,\D%ts\PermitI'orrm\PlmPermitApp.doe 01103
Plumbing Permit Application - City of 7`i{;ar d
Pale 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utiikles Qty. Fee(ea) Total Square Footages Permit Feer --
Footing drain- 1" 1M' 55.00 0 to 2,000 _ S11500 _-
Footing drain-each additional 100' 46.40 2,001 to 3,600 $ - _
3,60) to 7,200 __ 20.00
Sewer- I st 100' 55.00 7,201 and cater -� S 1
Sewer-each additional 100' 4640 ---- -- --
Water Service- Ist lou' 55.00 Medical Gattems:
Water Service-each additional 100' 46.40 Valuation:_ Permit Fee:
Storm&Rain Drain- I st 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50
Stomi&Rain Drain-each additional 100' 46.40 $5,001.00 to$10,000.00 $72.50 for the first$5,00000 and$1.52 for each
additional$100.00 or fraction thereof,to and
Fixture or Item Qty. Fee(ea) Total _ including$10000.00.
Commercial Back Flow Prevention Device 4640 $10,001.00 to$25,000.00 $148.50 for the first$10,000 00 and$1.54 for~
Residential iiackflow Prevention Device — each additional$100.00 or fraction thereof,to
minimum permit fee$36.2 _—^ 27.55 ,_ __ and including$25,000 00.
I Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the firs($25,000,00 end$1.45 for
each additional$10000 or fraction thereof,to
Inspection of existing plumbing or _ and including$50,000.00. _
(
specially requested inspections-per hour 72.50 550,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
Subtotal: each additional$100.00 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
-accurately report fixtures could result in increased sewer fees*.
r- wQuantity b Fixture)Work Performed It Oniments regarding fixture work:
Replace
w' New Moved ExIstinj Ca ed -- — ---- — --- ----—
Baptistry(Font - !�
Bath -•1'ub/Shower _
-lacuzzi/Whirl ool -
--�—
C'arWash -Rech Stall
-Drive Thru _
Cuspidor/Water Aspirator _ --- -------� --`�- --
Dishwasher -Commercial --
-Domestic
Drinking FountainEye Wash Wash -- --------�- --- —
Floor Drain/sink 2" _
3"4" --- ---_—��---
4 _
Car Wash Drain _ *Note: If the fixture work under this permit results in an
Garbage -Domestic increase of sewer F.DIIs,a sewer permit will be issued and
Disposal -Commercial — -
-industrial fees assessed for the sewer increase muFf be paid before the
Ice Mach./Refrig.D r• f.ns plumbing permit can be Issued.
Oil Separator Gas Station _
Rec, Vehicle Dump Station
Shower -Clang _
-Stall _`—
Sink Bar/lavatory _ —
.Bradley
-Commercial
-Service
Swimming Pool Filter
Washer-Clothes
Water Extractor
Water(Closet-Toilet
Jrinal
Other FixttiMI __.
i\Nts\Permi,vomu\I,jmPcrmitAvpPg2.doe 01/03
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00110
13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 5/16/03
PARCEL: 2S102DD-FP6-1
SITE ADDRESS; 13676 SW HALL BLVD BLDG 6
SUBDIVISION: FANNO 110INTI. ('ONI)OS ZONING: k-1?
BLOCK: LOT: furl JURISDICTION: I'1(,
TENANT NAME: FANNO POINTE CONDOMINIUMS
USA NO: FIXTURE UNIT'S:
CLASS OF WORK: NEW DWELLING UNITS: 6
TYPE OF USE: MF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Building #6 - Sewer connection for 6 unit condominium.
Owner: _ FEES
FANNO POINTE LLC Description Date Amount
109 EAST 13TH STREET _ —
VANCOUVER, WA 98660 SWUSAI Swr Connect 5/16/03 $13,800.00
�SWUSAI SwrConnect 5/16/03 $0.00
Phone: A00-095-7700 ISWINSPI Swr Inspect 5/16/03 $45.00
JSWINSPJ tier Inslmct 5116/03 $0.00
Contractor: Total $13,845.00
COMPLETE COMFORT SYSTEMS INC
12300 SW 69 FH AVE.
TIGARD, OR 97223
Phone: 503-549-4798
Reg #: LIC 152736
PLM 34-356Pt3
Required Inspections T
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days frorn the dale issued. The total amount paid will be forfeited if the ;permit expires. 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
Issued by:
Permittee Signature:
�_,���-.--=f f--- � ._—. g ---- -
Call (503) 6394175 by 7:00 P.M. for an inspection needed the next business day
CITY OF T I GA R D -- BUILDING PERMIT
PERMIT#: BUP2003-00339
DEVELOPMENT SERVICES DATE ISSUED: 6/17/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP6-1
SITE ADDRESS: 13676 SW HALL BLVD BLDG 6
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: MF SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 5-1 HR sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNI'S: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BAT;IS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,680.00
Remarks: Building#6 - FPS
Owner: Contractor:
I ANNO POINTE LLC JND FIRE SPRINKLER INC
109 EAST 13TH STREET 12155 SW GRANT
VANCOUVER, WA 98660 STE D
TIGARD, OR 97223
Phone: 360-695-7700
Phone: 968-5200
Reg #: LIC 64395
FEES REQUIRED INSPECTIONS
Doscription� Dato Amount r Sprinkler Rough-In
Ihl!ILD1 Pcrnut [-cc 6/9/03 $139.30 Sprinkler Final
TAX] 896 State Tax 6/9/03 $11.14
1 FLS] FILS Phi Rv 6/9/03 $55.72
Total $206.16
This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
ca,ling (503)246-6699 or 1-800-332-2344.
Issued By: )b�
Permittee _ A
Signature:
Call 639-4175 by 7 p.m. for an inspection the next business day
14'ire Protection system
OR OFF14tE USE ONLY
Ntuild�htg_Permit Application uildm
_ Received lig
— Dalc/By: O _ — Pcrniit Na
Planning Approval Other -- --—
City of Tigard Date/By: Permit No -
13125 SW Hall Blvd. Plan Review Over
'Tigard,Oregon 97223 Date/B : 4.6�Q3 Permit No.
PostPltoDate/B ne: 503-6394171 Fax: 503-598-1960 ^* Date y: land Use
Case No.
Internet: www,ci.tigard.or•us Contact _JArA 0 See Page 2 For-
24-hour Inspection Kequest: 503-639-4175 L Name/Method: JAC I Supplemental Information
TYPE OF WORK REQUIRED DATA:
Jew construction Demolition 1 &2 FAMILY DWELLING
Addition/alteration/replacement _Other: --
CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate
1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
_ -- ovethcad and profit for the work indicated on this application.
AccessoryBuildingulti-Fa_rnily
_ Other: valuation........ ................................................
Master Builder -
- 74011 SITE INFORMATION and LOCATLON No.of bedrooms: No.of baths:
3�0�(�: J �(� Total number of floors.....................................
Job site address:
New dwelling area(sq. R)... .._......................
Suite#: Bldg./Apt.#: CP Garage/carport area(sq. ft.).......... ................. --
Project Named Covered porch area(sq.R.).............................
Cross street/Directions to job site: Deck arca fur area(sq.
. . ........................ -_
Other structure area(sq.R.)..... ... ........ .........
REQUIRED DATA:
CONIMI;RCIAL-USE CIIECKIAST
Subdivision: Lot#:—�- -------��" -------"------ ,
Taxneap/parCCl #: Note: Permit fees*are based on the total value of the work performed Indicate
" DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- —------ overhead and profit for the work indicated on this application.
- - - Valuation....................................... .................
-- -- -—� Existing building area(sq.R.)...... ..................
-- - New building arca(sq. R.)........ ......................
—._�-
Number of stories............................................ -- -- --
---------- -
PRD RTY.`OWNER;- TENANT - Type of construction....................................... -
Occupancy group(s): Existing:
Name: —Q0Ih1 L.C.., C - ---- New: -
Address: �C-, 15T _5T
City/State/Zip: \487 G ko ___
7 Fax: NOTICE: All contractors and subcontractors arc required to be
Phone:3(00 -7 0 licensed with the Oregon Construction Contractors Board under
APPLICANT CONTACT PERSON` provisions of URS 701 and may be required to be licensed in the
Business Namc: jurisdiction where work is being performed. If the applicant is exempt
Contact Name: from licensing,the following reason applies:
Address: —_- ----_- -- -
City/State/Zip:- ---- ---__ -- � -- --- _ ^ -
Phone:
E-mail:
CONTRACTOR,-- -- ----
Business Name: JL4D_F1 S�� R_1L roes due upon application
AddressA.L 15 J M_— AVE- S cJ I TZ-_D_
Amount received... ._.. ................._ . _- g
City/State/Zi k_-_13 72-3
phone:5a ^q(ap Fax: 3-�6b�-�92a Date received:
CCB Lic. #: y315 _ �_ ----__--- -
Authorized Notice This permit application expires if a permit is not obtained v:ilhin
Signatu.e: _ y--_—�/ _ Date:G —l_ 180 dat's after It has hcen accepted as complete.
SE /�� _--_—_—T •Fee methodology set by i rl- ounh Building Industri Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPcrmitApp.doc 01/03
Fire Protection Permit Check List
Addition Alteration Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:.
Additional description of work: � 13� S,14—e( 15
Type of System Com tete A, B or C as applicable):
A.
Sprinkler Wet _ Dry� Sp — — —
Standpipes
Additional Hazard Group_
Information Density
Design Area
K. Factor `'�• ___________
Sprinkler Pro ect Valuations $ �
B. Type I - Hood Ffre Suppression System -
Hood Project Valuation $ _
Fire Alarm --
Submittal shall Battery Calculations__ Yes �]
include: Individual Component Yes
Cut Sheets
Fire Alarm Pro ect Valuation: $
Project Valuation subtotal JA, B & C : $ _
Permit fee baon sed__ valuation see chart): $ _
8% Stato Surcharge: $
FLS Plan Review 40% of Permit: $ -
TOTAL: $ _.
Plan review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
hdsts\Ionns\FPSc:hecklist.doc 11/21/01
CITY OF TIGARD _" PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT M PI.M2003-00415
13125 SW Hail Blvd., Tigard, OR 97223 (5013) 639-4171 DATE ISSUED: 818/03
SITE ADDRESS: 13676 SW HALL BLVD BLDG 6 PARCEL: 2S102DD-FP6-1
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 .JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
_
FIXTURES _ _ LAUNDRY'TRAYS: SF RAIN DRAINS:
^�» SINKS: URINALS: GREASE TRAPS.
LAVATORIES: OTHER FIXTURES: r3
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Submeters _
----- FEES
Owner: -
-- Description Date Amount
FANNO POINTE LLC
109 EAST 13TH STREET I'Lli51BI Permit 1'ee 8/8/03 $99.60
VANCOUVER, WA 98660 I AXJ Vi,titate"Lax 8/8/03 $7.97
Total $107.57
Phone : 360-695-770O
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE.
TIGARD, OR 97223
REQUIRED INSPECTIONS
Phone : 503-598-4798 Final Inspection
Reg #: 1.1C 152736
I'I.M 34-356PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspendea for more
than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Wility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699.
Issued By: Permittee Signature:
Call (503) 639-4175 by 7'00 P.M. for an inspection needed the next business day
V l a V 1. h111/
Building Fixtures \.1 1 1 tit l l V
FOR OFFICE USL 0NI,1'
P11 wbing Permit ApOcation
—•�' Rlxeived QC`.l b Plumping
Uate/13 : 0 Qtr � _ PctTnitNo ��Nv�— 0�3-„�0�
CI of Tigard Planning Appmval 1_ r Scwcr
DaDrIB_��..�__ Ptrmil Nn.:
13125 SW Hall Blvd. Plan Review ott,rr
Tigard,Oregon 97223 DatrA3 ----------..___ Pmutt No.:
Phone: 503-639A171 Fax; 503-598-1960 Post-Review [and Ilse- -
Caec No
Internet: www.ci tigard.or.us Date/8Contact hris.: Sc e Page 2 for
24-hour inspection Request: 503-639-4175 _Narrx/Mahod: _- _ Soppletnental information.
;PT_New construction y_ __ Mmolition Description Qty. Fee(ea.) 'Ental_
Additaon/alteration/r lacement~ her:
roil` 025Lg—
Fl-
UCC O7Sl', „' �. r, OEllydesflsOcflt�lOY,i4i�4Ml,it ' dncltidu LLy
1 &2-Fartul dwelling CorrunerctaVindustiial SPR l' bath 249.20
SF
_ R�2)bath _ 350.00
�AMe so BuildingJMult,i-Fanii1y______ � SFR 3 _ath 399.00
Master Builder _ Other: Each additional batiAitrhen 45.00
� el ErII!li 37R '�)(ODl aii i 1p Firc sprinkler it ------ page 2 -
Job site address 3676 5W 1 4GL 'I e N -
-- r -- �I`. 'ti A����err:'u u:u1;1i1J' -�l G,t'�'-” rq��4ki.r.111aNab�•��1,
Suite#:_ Bld /A t.#: Catch basin/area drain _ 16.60 _
1___�i P--- ----- — -
Pro est Name: i�-Ar��O/Nre 17 _ ol1Aeach line/trench drain 16.60
--.___ ___-- Footing drain(no linear fl.) Pa c 2
Cross 9treet/Direcfion5 to job site: Manufactured home utilities 110.00 _
Manbo,es 16.60
Rain drain connector 1660 _
_ Sanitar✓sewer no.linear ft. _ Pee 2
Subdivision: r_ Lot#;� Stormsewer no.linear ft P C2
x
Ta ,map/parcel#: rcmtuu -__ Walter service no.linear ft. Page.2
',i^ w •I i 'nnlvR[{:S,.119 ,ra1•.
fJ M 1 ' AbwrpHon valve 16.60
5 B _ _ �'L Rackflaw preventer
Backwater valve 16.60
Clothe!:washer16.60
-- -- Dishwasher _ 16.60
dt�i. V , •., Urinkiu fountain 16.60
E ectom/surrip 16.60
ameiUrUQ� A0/it/Tf G -- Expansion tank — _ 1660 - -
Address:ZO ,E tNrj Fixtura/sewer cap 16.60 -
Cit /State/Zip: ✓)i/Ar `tJ/9 9 �6Q Floor daaht/floor sink/hub 16.60
60-6 770 Fax: 3,40 2�9�' �!�/�i'1- Ciarba;c disposal 16.60
P ne: 9 Hose bib _ 16.60
Icc triaker 16.60
tl:
AY, �- 0 Intctceptor/¢reabo trap—--- - - 16.60
Address: medical-Jus-value. $ - 1 2
City/State/,Zip' -- -- Primer 16.60_
— Roof drain "commercial' 16.60 —�
Phone: Fax: �' —�- —
Sink/basitt/la_ vatory ----_--- 16.60
E-mail: Tub/sh_uwet/shower pan 16.60 -
. W,R } _i`i Urinal —� 16.60
Business Name: ON&f_rL 00,4fordAr _Sv5 Water closet 16 60 _
-� Water heater _ 16.60 f
Address: /'2.-3 olio 5 w 6 7 TO/ A 141� —_ [_ether: /L L
City/State/Zip: Z/GAS 04 111-7 ZZ'� other:
Phone: —W Fax: 50'3-639-0"
Subtotal b
CCB Lic. #: Plumb. Lic.#: -___. ---_- -. -
Authori2ed Minimum Pcrnnt Fee 572..50 � - - -
A attain: /i'Z i� - Date: B 7 Q� 'tesidentiel Backflow Minirnurn Fee$36.25
Signature. - Plan Review 25°/a of Pernvi Fie $
(i'/tf1 State Surchatge(8%of Permit Feel S
(Please print name) T — --- TOTAL_PERMIT FEE s 1
Notice: Thin permit application egAres If permU Is not obtained within All new commercial bulldlop require 2 sets or plana with laometfic of
IRO days*tier It has been accepted as complete. riser diagtnm for pian review.
•Fee methodology sed by Tri-County BttlldlnR Indnctry 5ervtre Post d.
i:\lrst9d1ermit FomisTlmPctmitArpAw. 01103
A CITY OF TIGARD ELECTRICAL ENER -
RESTRICTED ENERvY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00219
13125 SW Hall Blvd„ Ticiard, OR 97223 (503) 639.4171 DATE ISSUED: 8/5/03
SITE ADDRESS: 13676 SW HALL BLVD BLDG 6 PARCEL: 2S102DD-FP6-1
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
Prosect Description: Building#6 - Limited energy for fire alarm.
A.RESIDENTIAL B.COMMERCIAL___
AUDIO &STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
FANNO POINTE LLC T& L COMMUNICATIONS INC
109 EAST 13TH STREET PO BOX 87387
VANCOUVER, WA 98660 VANCOUVER, WA 98687-7387
Phone: 360-695-7700 Phone: 160-737-9725
Reg #: I IC 67787
I I F 37-428CLE
FEES Required Inspections _
Description �i Date _ Amount Low Voltage Inspection
(ELY[2-M"r1 IiL,R ['ernut 7/24/03 �- $75.00 Elect'/ Final
[TAX[ 8%State Tax 7/24/03 $6.00
Total $81.00
This Pen-nit 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 clone in accordance with approved plans This permit will expire if work is
not started within 180 d&ys of issuance, or if work is suspended for more than 180 days. ATTEN'ION Oregon law
requires you to follow rules adcn-.cd by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR J52-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699
Issued by XJ <�c� [L«�Z Permittee Signature_ r l ti -Lg ;�
OWNER INSTALLATION ONLY —
The installation is being made on property I own which is not Intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONL '_.
SIGNATURE OF SUPR. ELEC'N _ LiATE:
~--
N O: --- ----- — - -. m - - ----- --
LICENSE _
Call 6394175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Ftexived , 4
f--fdi !, d 1 pernit No,. L L Q 9t h Nary
City of Tigard P Ming Approval Si fn
13125 SW Hall Al�d �an3y' Pcm,it No _
Plan Review Other
Tigat'tl,Oregon 97223 eta- LW-By_ it No. }''ir(
Phu ac 503-6139.4171 Fax! 503.5911-1960 Posr-Revicut Land Uw
Dita/H : __ _____ _ fare No —
Irrtctuel, www Ci.tigart!or.u9 Contact 1 Ste Page Z for
24-bout Lspe..rut,Request: 50)-6394175 Name/Method'._ _ 15upplcmcntal[afarmatlan.
'Vew I All tpittti 1 ..
I Servrx aver 22_ amx,- �Nealrhtcre Grcili
nstruction _ Demolition � h
Addition/itlterationlre lacerneut n tither: wrtvntrctal Q Hn:ardous loranon
dditio._ C]Servicc over 320 erne»•rogng o'' H- Dwlding ovtr KIM Square fee;,
+ $ HIMAk iii'-i'ltl�r.'. I&2 family dwallings four or mote residential units in
1 &2-F unily dwellin CorarnerciaAndustrial ❑system a ter 600 volts rom,nil one etruriurc
Aoeeseory- u—ii dins-_ Mult:TUrIil � Building ott'r tire,storirs ❑Ferdefa,400 arnps or root,.
_-__-__�. Ucc,rpanr load over 99 perscns H Manu,arturcd structures o•RV pa-k
Master Builder Ulller. Ll E"Is'Itghnng PLtn r-nher
Submit-- sats of plans with any of the about.
Job site address: /' 7 he above are not a liable to tom n cunstrvction cervica
Suite#:— Blit JA t.#:#LQNumber of to ` ctioea er creat allowadk
Pro ect N7 , � �- -T-- -_ anRa_
f•i) - testi
:Newt resl.fecical rivak or nrults-faralty per
Cross street/Directions to job site: dwelling unit locluda sMaehrd raraga.
Servier included'
-1000 tri R or le _ 45 15 4
Exh Wiry 10 5 Sri Aor porrigo ou"O
Subdivision -_-- ; Lot#:�—�
Et,"jet: " "`
Limiled t tion ren sial
T8X flirt / creel#: - —�!• W -Fach aunututwec!bon-t or modulardwa t nl
feeder 90.90 2
—�� Servkct or fee4trt•lotutlladoo,
—_ — aMcratioa or rtlocstion.
200 amps Of Itaa g010
401ocr ¢00 stops _ 1 2
.; A I Na M tl 601 t to ! 210
Name: v 00o ami ai isa as
A1Qf;reSB: Ttmporsiry services or feedert-instalik6ou,
-_--_ alteration,or relotation:
LaLLz 1�: _ _ _� 10J am t or Tera 66 85 1
Phone: Fax: as an ar4�-amps __-- — - - 30
401 to 600 Snaps --- -- IT 73 2
$ranch eircaits-gew,alteration,or
Name: 4_ estenslon per psnri:
Address A.fee ror b=0 cue iit,wits:ptaclwt or
-- --- ----_----_-- aervioe or ke&2 rec each braac prcuU 6.69 2
Cit /State/TI(l: B Pu frx bnncF circuiu withow rwc Sane of --
ecrvlae or feeder fee,fleet branc't caculr 46 2
Phone: — --��FflX eh anal btutctt ebsuit -- — -
E-[nail: ---- Mia:j�a or Nader rat hrcladexdl --- a I 2
-wT TF- r xun or en on ctrc!e 11.40 2
r cae oroWutelgtin 3.40 2
Job No: ----- .--�------- —
j_t _ i L.�.� Sivaul cacuitlsl or a bmnnd eaergy panty, �7
Business Narne' ahcwr or cxtcraioa __--- _ — 2 2
Adilress:
�� "�l� Bach additional to action over the allowable In o ,f the above:
CI �StfltC/Z _ - L� r ,./(_ l� Pcr non r huts to n.1 M 1 _
Phune r,t �.. Fax
CCH Lic.
Supervising,electrician —� =" � 1'' -
_ Submt
-signature ret1UJled:_ CL a J Plan Revie _
w(25%otPeripjt Fee } S
I'ruit.Namr.:-„ - Lic.�i: ___-__ Statc Surottar�e(d°1e ofPottni:Fee) S �_
4 _ TOTAL PERAUT FEE S
AuthonxodQ Notice: This permit appGaatlen otplres If a permit 6 not obtalaed within
Signature' 4_4 -&WJ4V --� Date, �Z�J 190 tLYa ager It has bees accepted as cotapieta
•Fee,methodology Set by Tri-Coentir Building Industry Sorvicte 6aard.
-- iasa ism:genic) -
i't11su�TertNttcrmSLelcpmnitArro.doc
0103
CITYOF TIGARD BUILDING PERMIT
PERMIT #: BUP2003-00454
DEVELOPMENT SERVICES DATE ISSUED: 8/5/03
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP6-1
SITE ADDRE GS: 13676 SW HALL BLVD BLDG 6
SUBDIVISION: FANN'J POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf _ N: S: E` W:v
TYPE OF USE: MF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5-1HR sf N: S: E: W:
OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: NT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: RECID SETBACKS REQUIRED
FLOOR LOAD: psf LEFT. ft RGHT: ft FIR SPKL:y^ SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,200.00
Remarks: Building #6 - Fire alarm for 6-unit condominium.
Owner: Contractor:
F ANNO POINTE LLC T & L COMMUNICATIONS INC
109 EAST 13TH STREET 4817 COLUMBIA VIEW DRIVE
VANCOUVER, WA 98660 VANCOUVER, WA 98661
Phone: 360-695-7700
Phone: 360-737-x,725
Reg #: LIC 67787
FEES A REQUIRED INSPECTIONS
Description Date Amount Fire Alarm
�RIJILDJ Permit Fee 7/24/03 $62.50 Final Inspection
I'AX] 8%State Tax 7/24/03 $5.00
f-LS] FLS Phi RN, 7/24/03 $25.00
T-tal $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if wcrk is suspended for more than 180 days ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those piles are set forth in OAR
952-001-0010 through OAR 952-001-0100 You may obtain a copy of these rales or direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
Issued By: L 4i"
Permittee ^
Signature: _ ^�? i L L
Call 639-4175 by 7 p m. for an inspection the next business day
07/22,09 u9:10 FAX
_ (9002/008
Fire Prcirection System
Burlilin i'ennit Application It,"
MvIrd / riullJing '/ u
, % �'� D j 1 P rmit VoP C -(J )'/57
City of Tigard PlWifi$Approval Other
13125 S Lr Hal!W-0 Ju�Or Nrm+t No,;
Plat ReviewC_ O Othcr
Tige,ri,Otcgon 9727.3 D,mi�Y G �-
Pbone: 503.6194171 Fttx, 503-598-1960 Post-Aevlew LAnd Use -`—
_
Interna: www.ct.tignrd.or•tts na"Y: caste h rnuct
24-hour Ins 1tffc_q.e,
c r.�a s—for --
Inspection Re est: 503-6J91117ti L
P NamdMethod: cmentaUnfonnstion
:e�'•
New construction_ Detmolition
Adrlitjan/altefation/re lace[nent Other: ' --
JP41 vow; Pam*heft*art Wed on the oul value of the work per,'arrn-d, In&c-ife
1 &2 Family dwellin Commercial/bidumia1 itic v.;,r-(,oundO to the rearcsi dollen)of ill cqukitnert inownsis,labor,
r - - -
-Multi-Family uvcnccad and profit fur the work indicated on;hls rpriimhon.
Access�Buildin�� '
Master Builder Other' � viluot;cn...........................................
_...... s_ ---
ri Il„i S _ 18i•; 'n. No.ofbcdreorns No.ofbaths: L __
Job Site address: I-otyl number of floors................................... -- -
Rl
uite#: 1}1[j !A t.#:' Now dwelling area(sq.ft)_...........
Garage/carport area(sq.JL).................. .........
NamQ: / > ) Covered orch area oes strret)D4cctions to job Bite: Dok area(sq.U.) ....•.........• -
Othcr structure UVA(eq.ft).... ............
Subdivision: -- Lot#: -- — t t
_Tax n / amei 0: Noir Peintit feel'are basad on the total.alue of the wurtr ottned Indicate
lip":_ i the value(rounded 10 the neaed dollar)of sit equipment,ntataiaa,labor.
ovcrheatl and profit fbr the work Indicated on this aprlicaticn,
- - --- -- Valuation......................••.•...
ExWng building area(sq,ft)---. .......•......
------_ - ---- -- -- New b,llding area,(sq.ft.)..............................
_ Number of stonos............. . .... ................
u'bi I df, ,illi Typc of construction.. .... •...........-... ..
Name: Occutwey gtouT*): Bx(itthtt:
Address: _ Naw: ---- --
Cit;�!StatNZip: -_-- ----------1 - --------- - - ------
Pi70[iC: Fax. - NOTICEt All contractors ar.d st.bcanuactors are requicd ro be
t " lGAy1lT t.• 1Grr m �� a * ,; licensed with the.Oregon Construction Ccntrac�ors Hoard.aider
provisions of`)R5^,01 ani may be rcgaired to he licm5cd in rhr
Iiusutess Name: _ jurisdiction where work is being petfmmed. If the applicant i-exempt
Cowsict Narne: from licensing,the following reason epphcs.
Address: _ _ ---_ — --- -- --- --
Phone:
E-mail:
_Mid.L, . £t
Business Name:
Few;dt a upon application.
S /,'�
Amount received.......... S
C(..B Lit,#: rte,', �� - --------------- ------_��-------_ ----______
Authorized �,�� /���
SIPMUre' �Li_ _�_ Dote:l-w ��� Notice: Td's permit application expiral It a permit is cot obtaiaed within
IN days eRr•it has hien accepted a cumpirre.
'F'ee methodology int by TrrCoeery Puikliog)ndurtry grr/lce Ward.
(Please print nam)
is Ir,tatPcrmit FarN�Elld&PtrrtilApp.duc 01/07
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE.
TIGARD, OR 97223
Plumbing Signature Form
Permit #: PLM2003-00415
Date Issued-
Parcel: 2S102DD-FP6-1
Site Address: 13676 SW HALL BLVD BLDG 6
Subdivision: FANNO POINTE CONDOS
Block: Lot- 001
Jurisdiction: R-12
Zoning: TIG
Remarks. Submeters
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be /alid, 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 Division.
No plumbing inspections will be authorized until this completed form is received
OWNER PLUMBING CONTRACTOR:
FAIVNO POINTE LLC COMPLETE COMFORT SYSTEMS INC
109 EAST 13TH STREET 12300 SW 69TH AVE.
VANCOUVER, WA 98660 TIGARD, OR 97223
Phone #:360-695-77ui Phone #: 5W-598-4798
Req #: LIC 152736
PLM 34-3561':1
AN INK SIGNATURE IS REQUIR�D THIS FORM
X V^1
Signature of Authorized Plumber
If you have anv questions, please call 503.718.2433.
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#: ELC2003-00639
DEVELOPMENT SERVICES DATE !SSUEr): 10/17103
13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP6-1
SITE ADDRESS: 13676 SW HALL BLVD BLDG ZONING: R-12
SUBDIVISION: FANNO POINTE CONDOS
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: HL111 lin(J #6 - Metered pedestal for house lighting.
' RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY 401 • 600 amp: SIGNAL/PANEL
MANF HM/SVr l PrR: 601+amps - 1000 volts: MINOR LABEL (10)'.
SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION
L 1000+ amp/volt: 4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only:__ SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
FANNO POINTE.LLC DMS ELECTRIC INC
109 EAST 13TH STREET 2820 NW STH WAY
VANCOUVER,WA 98660 CAMAS,WA 98607
P h c n e: 360-695-7700 Phone: 360-833-2088
Reg #: LIC 118073
—__ SUP 4542S
FEES ELE 37-742(
Description Date Amount
_ —^_ Required Inspections
V ~talc I'm In 1 ,10 $6.42
�i l I'kMl� I.Lt'I'crmir In I u� $80.30 Rough-in
_ Elect'I Final
Total $86.72
This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or If work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregor Uti' otification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-001-0100. You i .y obtain copies of these rules or direct es ns to OUNC;at(503)246-6699 or
1-800-332-2344.
Issued By: ,�` ' Permit Signature: rL
OWNER INSTALLATION ONLYThe installation is being made on property I own which is not intended for sale, lease, or rent
OWNER'S SIGNATURE: _ _._._ DATE:----
CONTRACTOR
ATE: -_CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ___ __�- DATE - _.___.
LICENSE NO: _ - _—.------- - _--_- -- -
Call 639-4175 by 7:00pm for an inspection the next business day
RE
Electrical Peermi f Peation
— — ReceivedI l cu .al
1 i' I I /'V Ui Date/By:: /C) 7 0�' I'errrut No 6X700.3 "L�O 63 1City of Tigard Planning Approval Sign
Date/By: Permit No.:
13125 SW hall Blvd.CITY OF TIGARD Plan Review Other
Tigard,Oregon 9722YILI?ING DIVISION Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960Post-Review Land Use
' Date'B : Case
Internet: www,ci.tigard.or,us contact 7u see gage z for —
24-hour Inspection Request: 503-639-4175 Name/Method j u pie[ Information.
TYPE OF WORK_ PLAN REVIEW Please check all that apply) _
New construction Demolition Service over 225 amps- health-care facility -
--- commercial ❑hazardous location
Addition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Budding over 10,000 square feet,
CATEGORY OF CONSTRUCTION I &2 family dwellings four or more residential units in
1 & 2-Family dwelling Commercial/Industrial ❑System over 600 volts nominal one structure
❑Building over three stories ❑Feeders,400 amps or more
Aceessor Building Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or R\'park
Master Builder Other: —' ❑Fgress/lighting plan ❑Other
JOB SITE INFORMATION anj LOCATION Submlt sets of plans with any of file above.
1Le abuse are not applicable to temporan construction service.
Job site address: '�)w Hpt 1 LA -10L— FEE*SCHEDULE
Suite #: BI ./A t.#: Number of Ins iections per permit allowed
Project Name: n f�C� C`t fl �' Uescrl tion Q11 Per(ea.) Total
New residential-single or nwltl-fandly per
Cross street/D'rect'ons,ip job site: dwellr
F��SC.Cvn� 1�-►Lbi1�(' `� Service
Included:Includes attached garage.
JJ Service Included:
1000 sq 11,or less 145 15 4
Each additional 500 sq.11.or portion thereof 31 40 I
Subdivision: Lot#: Limited ener ,residential 75.00 2
Limited energy,non residential 75.00 2
Tax map/parcel #: Z e�-I c,'2-D D Each manufactured home or modular dwelling
DESCRIPTION OF WORK — service and or feeder 90,90 2
�l v1 services orfeedeus-Installation,
>,
diaration orrrellocation:
(+ 2()()amps or less _ 80.30 2
vy-1r1— — —— — 201 amps to 400 amps 106.85 2
_ 401 amps to 6110 ams 160.611 2
ROPERTY OWNER, TENANT 601 amps to IW)amps 240.60 2
-- Over 1(X81 amps ar volts 454.65 2
Name: F Gnn� �� �_ _ Reconnect only 66.85 2
Address: SGL} - _� i3 S�IsQ — 'temporary services or feeders-Installation.
./1 alteration,or relocation:
City/State/Zip:
l• 'r "."19 2(X)amps or less 66.85 1
Phone: Fax: 201 amps to 400 atn_ps _— _ l(A)30 — 2
APPLICANT CONTACT PERSON Or to 61i0
— --_,� — � Or circuits
is 133.75 2
-new,alteration,or
ihJl"sf,f 4 er.tensfon per panel:
Address: ( of !t'/� A.Fee tier branch co.utts with purchase of
service or feeder fee,each branch circuit 6.65 2
City/State/Zip: "Cky.0w Pt 4,16o C! B.Fee for branch circuits without purchase of
service or feeder fee,first branch circuit 46.85 2
Phone: Fax: Each additional branch circuit 6.65 2
E-mail: L i c— 15 Misc.(Service or feeder not included)
CONTRACTOR Each pump or irrigation circle _ t 3.40 2
Each sign or outline lighting 53 40 2
Job No: Dwc, L _ Signal circuit(s)or a limited energy panel,
Business Name: •5 e E? t alteration,or extension Parc 2 s
Description: -- -- _— _-- — —
Address: E; ) N u, �4�Lt.,Ay _
--) I Each additional inspection oyer the allowable In airs o_rthe abosc:
Cit /State.ZI . LK rV�r~,5 (,I�IQ S • Per inspection per hour(mm 1 hour)_
Phone: C Fax: Investigation fee.
CCB Lic. #: ' ' ' Lie. #: G— y other --
Electrical Permit Fees"
Supervising electriciat1.7,,,. / 7 _-- subtotal S D
signature required- Plan Review(25%ofPermit Fee) S _
Print Name: /, X,, I LIC. S __ State Surcharge IS"6 of Permit Fce) S
` _TOTAL PERNIIT FEE S
Authorized —`- Notice: This permit application expires If a permit Is not obtained within
Signature:`--- Date: b =1—_ 180 days after It has been accepted as complete.
'Fee methodology set by Ti-11'Ouoth Building Industry Service Board.
— (Please print name)
t`Dsts\Perrtit Forms'ElcPemutApp.doc 01.03?l 3 -C)c)'3`
Electrical Permit Application - Cite of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESHWNTIAL WORK ONLY:
Feefor all systems............................................................ $75.00
heck'I ype of Nbrk Insolsed:
Audio and Stereo S•-stems*
Ilurglar Alarm
C-irage Door Opener*
L7Heating,Ventilation and Air Conditioning System*
IJ Vacuum Systettui*
El Other
COMMERCIAL WORK ONLY:
Fee for each system......................................................... $75.00
(SEI:OAR QI8-260-26(1)
Cheek'rype orµbrk Iosohcd:
Audio and Stereo Systems
Holler Controls
LJ Clock Systems
Data Telecommunication Installation
E] Fire Alarm Installation
�] HVAC
Instrumentation
Intercom and Paging Systems
u Landscape Irrigation Control*
L1 Medical
u ';urse
FIOutdim I.andscape Lighting*
Protective Signaling
Other_-- — _--
— __Number of Systems
" No Iicenses are required. Licences are required fur all
other installations
Inis'Permit Forms\ElcPemiitAppPg2 doc 01'0
CITY OF TIGARD _\ ' 24-Hour
BUILDING I Inspection Line: (503)639-4175
MST _
INSPECTION DIVISION Business One: (503) 639-4171 --�-- ,---
BUP
Received - _ —Date Requested_ , l 3 AM—_ - PM _— BUP
Location - 36P 7 4e �t� — Suite _ MEC ------__.- - -------- -
Contact Person ------ ---- l _—_ Ph (—�) / - � � _ PLM - - - ---- --- -- -
Contractor - _ Ph(— ) SWR — --- ---
BUILDING Tena nt/Owner - r' r?'"'�'r�t r��/`i fE� �L` ELC
Footing -----— ELC ,3
Foundation !access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Pos',K 6.4am -
Shear Anchors -- -------
Ext Shea'YSheiar
Int Sheath/Shear - -
Framing - - -- - - — - -- -- -- . - --- --
Insulation
Drywall Nailing -- - - -- - -- - -- - ----- ------ -- --
Firewall
Fire Sprinkler -- - ---- -- - --- - ----- - ------
Fire Alarm
Susp'd Ceiling -
ROOF
Other: -- - -- ----- ---
Final
PASS PART FAIL
PLUMBING
_a_,____-__
(Under Slab
Bough-In
Water Service -- -- ----- - -
Sanitary Sewer
Rain Drains -_- - --- - -- --- ------- -- --
Catch Basin/Manhole
Storm Drain ----- -- -- -
Shower Pan —
Other: --- -- - -- - -_ --- ------ —
Final
PASS PART FAIL
MECHANICAL --
Post&Beam
Hough-In -- - ---- - ---- ------ -
Ghs Line
Smoke Dampers - - -- -- ------
Final
PASS PART FAIL ----- ------ -- ---..._. ._- — -
�LE�RIC--
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.
PART FAIL
Please call for reinspection RE:_.- U Unable to inspect-no access
Fire Supply LineADA
Approach/Sidewalk Date ..Peefor ��AL Ext -----
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)R39-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP — ._----_ —._
Received _ . -_-Date Requested. ___ /�'o� _. AM_____- PM__ __ BUP
Location __-__ ___I-_,��-1_�-_-_ �SL�-:=----------Suite_ _ MEC
Contact Person _.-- r— ------ Ph( ) _3 // 3 ? 1� PLM
Contractor Ph(�' �z_) � �_l _. SWR -- ----
BUILDING Tenant/Owner ELC ---3---! q-L -
Footing ELC -
Foundation
Ftg Drain Access: ELR , d�
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.-- - --- - - - -f --—--- -- _—_._.
Final
PASS PART FAIL -- - ----- --- ---- --_------
PLUMBING - --- - --- QQQ _ _. ---- -- -
Post&Eaam
Under Slab - - - - --- `.- - ----
Rough-In
Water Service ---- -- - -,_.--`-
Sanitary Sewer
Rain Drains - -- - - - ---
Catch Basin i Manhole
Storm Drain __ `- ----------- --
Shower Pail
Other: -------
-- -
Final
PASS PART FAIL
M_E_CH_ANICAL -----
Post& Beam _ -
Hough-InGas Line
Line
Smoke Dampers -- - -------_.^-- -_"---
Final
PASS PART FAIL -- -- - ------_ -_.._-_----
ELECTRICAL
Service
Rough-In
UG/Slab - -- - --_.-_
Low Voltage - ----- J�-_ - --- ------ -
Fire Alarm
i r PART FAIL Reinspection tee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
--
SITE Please call for reinspection RE:-_ -�...__ ---_.-.-_ [-] Unable
_] Unable to inspect- no access
Fire Supply Llne
ADA Dated r� Inspector - Ext -
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 �_
� Z 4A '3
Received _ ____ Date Requested 1
_ _ __ M —_. P
Location Suite_ MEC
Contact Person Ph PLM
Contractor —_ Ph SWR
Tenant/Owner . '� — s2!�. ti .��_L.0 —
Footing
Foundation ELC
Access:
Fig Drain ELR
Crawl Drain ----��---i---
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors
F.xt Sheath/Sheer
Int Sheath/Shear
Framing - - --
Insulation
Drywall Nailing - - -- —--- ---—- --- - —
Firewall
Alarrn
------------
Roof
Other,
fin
SS PART FAIL
L BING
Post&Beam
Under Slab - -- - -- - - ----- —
Roagh•in
Water Service -
Sanitary Sewer
Hain Drains -----
Catch
--Catch Basin i Manhole
Storm Drain - - - - - - -- --- - - - - ---- --- ----
Shower Pan
Other: --
Final
PASS PART FAIL -- - -- _------ ---- ------
MECHANICAL _
Post&Beam
Rough-In --
ras Line -
Smoke Dampers - --- - - --
Final
PASS PART FAIL -- - --- — --------
ELECTRICAL
Service _- --- _-------._� __.---- - _ -
Rough-In
UG/Slab - - - ------- -------------- ------- -
Low Voltage
Fire Alarm
Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE F-] Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk pats �' �—o-5 Inspector _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the job situ.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST _
INSPECTION DIVISION B,.lsiness Line: (503)639.4171
BUP ._
Received __.Date Requested__ __ j _ _ -__ AM Q�PM BUP
Location _- _ l Suite'�p __ MEC _- —
Contact Person __ �'- -- P'h PLM -
Contractor - _ _ - Ph (-------- ) -------. _ — _ SWR
BUILDING Tenant/Owner --_- -_..----_----- -------,.- ------- ELC _�--
Footing
Foundation Access: ELC --�
Ftg Drain ELR
Crawl Drain --
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - - - - -- ---- --- ---- - - - -- - -- - -----
insulation
Drywall Nailing - - _ -- --- -- -.---- -- ------ - _ ---------
vire-wall
-----Firewall
Fire Sprinkler -- ---- - -- - ---- - - --- - -- - -
Fire Alarm
Susp'd Ceiling - - ----- -- - -- ---- -- ---- -- -- -
Roof
Other. - -- - - - -._ - - - -- _ --- -- - - -- --
Final
ASS PART FAIL
-----------
PLU,MBINJ - - - -- -- - -
ost_& Be -.
n eSlab -
Rough-In
Water Service -----
(Sanitary Se"r
ain-Ui9Q -- - ---- - -- -- --
Catch Basin/Manhole
Storm Drain - - ---- - — -- -
Shower Pan
Other: - -- - - ----- ---- - - --- -
ptrvlk
PAS PART FAIL - __ ------ -- - - _ --__ _..-- -- - -_ ------ - --
-- HANICAL ----- -- _ . ----
Post& Beam
Rough-In ------ - --- -- — ---- --
Gas Line
Smoke Dampers -----_ - - ------ - _.--.__-- _ _---
Final
_PASS PART FAIL — -- ----- --
ELECTRICAL
Service - -- ---
Rough-In
UG/Slab - ----- - - --- --- --
Low Voltage --__- —
Fire Alarm
Final ] Reirspection fee of$-- __- before next insuired re
PASS PART FAIL_. q pection. Pay at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE: Unablo b inspect-no access
Fire Supply Line
ADA ti /
Approach/Sidewalk Date _. _ -_ Inspector
Other:
Final DO NOT REMOVE this Inspection record from the Joh site.
PASS PART FAIL
CITY OF TIGARD ;.4-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
_ BUP
Received ' ' ____ Date Requested ? �V __AM _____ PM BUP73
- —�
Location _ �..� L_ 2�11__—_—__ ____Suite _ MEG
Contact Person _ ��.�e� ,__�� Ph 2-�—3
Contractor -- ----__—_ Ph
BUILDINGTenant/OwnerSZ �_ d E L C
Footing
FoundationELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post R Beam
Shear Anchors -�
Fxt Sheath/Shear
Int Sheath/Shear
Framing ---- - - - - _ ---
Insulation
Drywall Nailing -_--
Firewall
Fire Sprinkler -- - - — =
Fire Alarm
S.rsp'd Ceiling
Root
Other: - - - -- - ----
Final
P RT FAIL ---_ . _ - ---- --- - -- - -- --- I
Post& Beam
Under Slab
Rough-In —
�Water4;y4esY`\e, Z ---- -_- - --- - --- - ----
Sanitary,ewer""
Rain Drains --- - -- - - --
Catch Basin/Manhole
Storm Drain
-----
Shower Pan
Other.. - --
m_
j� ?ASS';_.,' PART FAIL - - - - - - - - -
ANIC_A_L --
Post d Beam - -- -
Rough-In -
Gas Line
Smoke Dampers
Final
PASS PART FAIL - - - -- -- - ---- -- - - - - - -
ELECTRICAL
Service _------- --- -- �.—_.
Rough-In
UG/Slab
L.ow Voltage - __ _---- ---
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pey at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE l- Please call for reinspection RF-- _- _-_.___-_- _ Unable to inspect- no access
Fire Supply Line
ADA h
Appror,l.h/Sidewalk Dab - -_ Inspector _-_�__ . _ __ _ _.. Ext _ - -
Other 11
Final DO NOT Fi MOVE this Inspection record from the Joh site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received 2 ''nfDate Requested— ? =AM___-______._ PM —_..______ BLIP _-
Location - �4 - -- ---.Suite_ MEC -- - ----- -
Contact Person __- -____-_ Ph (_�) PLS -"" 1 _Q-.
Contractor - - Ph ( -- - ) — - - -- SWR --- - - --------
1 •
BUILDING Tenant/Owner �'�u�J __�___ ELC
Footing _v ELC
Foundation Access: - ------__-_-_- - ----
Ftg Drain ELR ---.------------___.._
Crawl Drain
Slab Inspection Nates: SIT ----_---
Post&Beam _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -
Insulation
Drywall Nailing - - - -- --
Firp%y--ll
Fire Sprinkler - - - - --- - - - -
Fire Alarm
Susp'd Ceding -
Roof
Other: �
Final - -
PASS PART FAIL—
Post
AIL - - r f� /f ./ ✓ - --
I�
PLUMBING �
Post&Beam �
Under Slab - -
Rough-in
Water Service - - -
Sanitary Sewer
Rain Drains --- --- - - _
Catch Basin/Manhole
- - - - - -
Storm Drain
Shower Pan
Z ,
PART FAIL - - --- -- - - --
MECHANICAL
Post A Beam
Rough-In
Gas Line
Smoke Dampers - - -- -- - - _ -_
Final
PASS PART FAIL - - - - - - - - -
ELECTRICAL
Service
Rough-In
UG/Slab - -
Low Voltage
Fire Alarm
Final I Reinspection tee of s_ requirec.before next inspection. Pay at City Hell, 13125 SW I fall Blvd
PASS PART FAIL
SITE_, Please call for reinspection RE:--- -_ - _ unable to inspect no accass
Fire Supply Line A' '
ADA pate V _ Inspector Ext
Approach/Sidewalk * ��=" , � -
Other: _
Final DQ NOT REMOVE this inspection record from the Job sato.
PASS PART FAIL
Pat*W oww al""t camp" —
MEMORANDUM
0226/03
TO: CONTACT: Rij.,ird-Poly Gon NW
PHONE: 15031615-668
CUSTOMER NAME: Fanno Pointe Condo's _
ADDRESS: f 3700,13W Hall Bfvd,•Ti arq`d. f31s!g#
FROM: ENGR/SDC: Jim Van Kle_ek
PHONE J5070 4407''
SUBJECT. SINGLE-PHASE SECONDARY LINE-LINE-FAULT CURRENT (RMS)
TRANSFORMER DATA
XFMR Impedance (%). 1.50_%"
TRANSFORMER SIZE: 167 KVA
I__ Secondary VOLTAGEL-to Q: 240 v
350 TX.
VAULT or Pole) --> PANEL SECONDARY (or Svc Drop)
Service Wire LENGTH: _ _ 26 Feet WIRE SIZE
Number of Service RUNS. 2 Run(s)of: 1350 TX
Service WIRE Resistance R: 0.0600 Ohins/1000'
Service WINE Reactance X: 0.0280 Ohms/1000'
FAULT CURRENT: 27,853 Amps
(or SHORT CIRCUIT CURRENT) R_MS Symmetrical
(or INTFRRUPT!NG CURRFNT)
Based on a panel size of: 600 Amps
To Prin'This Po;e- "Ctrl M"and choose"Print I-PhSee DoW
Tsrrl late by Wa Aniondson cmvcital In F xcel by Allor Cam,dwil HESTGmauftm WOW CITY OF T I G A H D
App .............................
r �rh :r cribed in'
L ,` �V... .. ...... ........
A ,....... _...
Job Address: ?1 _ _1_
0
ate:
04/16/2003 12;59 3606934442 POLYGON PA13F_ 118/09
ADarimen►Unit Load Calculation
Prologs Fanno Pointe Condominiums I Unil Load Ca1C 720.30
Alit Type oT
Unil tolal 4o 11' 1016 X 3 WIUF- 3,0411 Watts
appliance Circuli 3,000'Walle
Laundry Circuit 1,500 Witt$
pigrnvagher 1.200 wotla
011palei 050 Watts
Range 10,Zou Watto
Microwave/Hood 1,2501Walts
Cao Furnace O.Wetts
Dryer 5,1500 Walls
I Water Healtr 4,500 Wa(lq
Taal 31,140 Walla
HEAT TOTALS
131 10 KVA at 1OU°/b 10,000 Wa11S AC I 0,000 At 10007: 9.000
The Remalning _ _21148 0140% kwon& Heni 1 0 At 65% 0
Togas 1tf,459 Waits 4 • Mels 1 4,700 At a0% 1,900 Non-Colncdenlal
1-real•NC Total 6 00006t15
Total KW 24,459 Walls
Divide Voltage 24U Volto
roial Unit Load 1 Amps
Panel Giza and 6redker Ouantitlas
I
ponei 51te L----j> Ami)Buis 30 Clrcult
j 10 16A Llghlspnd_ _Piupe�
1„1Pi15,e •AF Lights and Plugs(0edroprna S Mlsc.
L_
31aa166 Main;Vedric 44t1i M--
5
L_ IP 20A Appl_lZ);Laun1.;:lathe:Micro/Hood
9 2P 20A _
4 20 30A• Water Hit.;Drwe we kri"t_L21 -
i 2P SOA Range
c;tTv or- 'TIGARD
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Job Addro a:-O t., -- �
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