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13694 SW HALL BLVD BLDG 7 L '9018 QA 113 TlVH MS V69£� 1 1 w rn to P. c � r v = � � X, -4 r U A 13694 SW HALL BLVD BLDG. 7 SEE 13710 SW HALL FOR ADDITIONAL INFORMATION Correspondence Plans Reports CITY ®F T I G A R D CERTIFICATE OF OCCUPANCY_ DEVELOPMENT SERVICES PERMIT#: BUP2003-00139 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/16/2003 PARCEL: 2S102DD-FP7-1 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 SUBDIVISION: FANNO POINTE CONDOS BLOCK: LOT:001 CLASS OF WORK: NEW TYPE OF USE: MF TYPE OF CONSTR: 5-1 HR OCCUPANCY GRP: R1 OCCUPANC I LOAD: 22 TENANT NAME: REMARKS: Building#7 -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: 00-695-7700 360-693-4442 Reg #: I.IC 154893 This Certificate issued 12/17/2001 grants occupancy of the above referenced building orportiori thereof and confirms that the building has been inspected for complia.hce with the State of Oregon Specialty odes for the group, occupancy, ar.d used under which the referenced permit w i�sAu�ed. BUILDING INSPECTOR BtIlAlq OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #: BUP2003-00295 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/27/03 SITE ADDRESS: 13694 SW HALE. BLVD BLDG 7 PARCEL: 2S102DD-FP7-1 SUBDIVISION: FAN140 POINTE CONDOS ZONING: R-12 BLOCK: 4 LOI: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL.CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W. —` TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-11-113 sf N: S: E: — OCCUPANCY vF.P: 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?: MEZ.Z?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT A RGHT: ft '-IR SPKL: SMOK DET: DWELLING UNITS: FRNT: f; REAR: ft FI? ALRM : HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: 3 VALUE: $ 3,000.00 Remarks: Construction of ramp for temporary sales trailer. 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 Description '-- r-- -- p Date Amount Framing Insp IWILD) Permit I;ee 5/27/03 $71.19 Final Inspection I'AX)80%Stale Tax 5/27/03 $5.77 �RUPPLN f Pin Rv 5/27/03 $46.87 �[A S1 1 1 5 Plu Its 5/27/03 $28.84 Total $152,67 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 tfie 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 rales or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: �, -.. Permittee Signature: �--- Call 639-4175 by 7 p.m, for an inspection the next business day Building Permit 1' r Received Building ��'•',Q,, ,r -1( i 1, Date/By: Permit No, City of Ti gArd Planning Approval Other Date/By: Permit No.: 13125 SW Ifall Blvd. MAY 2 1 t? 3 Plan Review Other Tigard,Oregon 97223 ate y: _ Permit No.: Phone: 503-639-4171 Fax: 503-.41F�Y9W TI Post-Review t and Use Internet: www.ci.ti ard.onus BUILDING Date/By: _ Case No. $ Contact J 10 See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: �i // Supplemental Information — TYPE OF WORK REQUIRED DATA: New construction Demolition I&21aAMILY DWELLING Addition/alteration/re lacement Other: CATEGORY OF CONSTRUCTION Note. Permit fres'are based on the total value orthe work performed. Indicate _ 1 &2-Famil dwellln l Lbmmercial/Industrial the value(rount.0 to the nearest dollar)of all equipment,materials,labor, -Y---- '--- overhead and profit for the work indicated on this application. Accessory 13uildirl& _ Multi-Family - -- — Valuation......•.•..•........... S Master Builder Other: ••••••••••••�••••••••••••••�•••• JOB SITE INFORMATION and LOCATION No.of bedrooms: ^ No.of baths:-- Job aths: _Job site address:1A+ j�lyU Total number of floors.............•....... Suite#: $ld ./A " New dwelling area(sq.ft.)....••..,.'................. Garage/carport area(sq.ft.)...... •...........••.....• Project Name: iFANNt) IM t 1V7 1.- Covered porch area(sq.ft.)............................. _— Cross street/Directions to job site: Deck area(sq.ft.)........................................... - Other structure area(sq.ft.)............................ REQUIRED DAT 1-: COMMERCIAL-USE CHECKLIST Subdivision: _ _ 1..ot# - Tax map/parcel At:- 7 /t1.2 4.G .7 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. Valuation......................................................... $ -- �_-" Existing building area(sq.R. New building area(sq.ft.)............................... Number of stories....................•...................... PROPS '1'Y OWNER _ TENANT Type of construction..............I........................ Name: wN D//Y TC L,L •C —_—- Occupancy group(s): Existing: _ Address: 10ci 1:AA�a 13",- 51UET New: - - City/State/Zip: VAN(OU VL I2- ,INTI q (oy Phone; t�(-�•2-t-t _ lq2 C) I Fax: 360-(q 3 J441q Z NOTICE: All contractors and subcontractors are required to be APPLICANT• CONTACT PERSON licensed with the Oregon Construction Contractors Board under --- provisions of ORS 701 and may he required to be licensed in the Business Name: _ 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: - BUILDING PERMIT FEES* Please refer to fee schedule. CONTRACTOR -- ---- - Business Name_ F&YNR-) 00 //1C7-r �.L. C'. _ _._ Fees due upon application.............................. �t 5 Address: Idy fAS,7 /3 ^ , � (� 9V . , f� � Amount received............................................. City./State/Zip: W1W Phote:,r { F *yLrLDate received: S ---__.-- - ----— __ CCB Lic. #: - Authorized �o _�_ 1 2.3.•e..) •`� Notice: This permit applicetlon expires If a permit Is not obtained within Signature: L'' Date: iso days after It has been accepted as comrlete. •See ntethodolor set by Tri-County Building Industry Service Board. (Please print name) r is\I)sts\Permit Fortns\nldgPcrmitApp.doc 01/03 Plan Submittal Requirement Matrix Commercial & Multi-Family Cit.),q/'Tigard 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) Plumbing - Site Utilities 2 Building Fire Protection System 3** Mechanical 2 Plumbing - Building Fixture, 2 Electrical 2 Flan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plats Examiner will contact the applicant to regl.te.3t additional sets of plans for distribution. purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire $ Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1AdstMformskP1anSubMatrlx,doc 2/27/03 WN • 1 1 �__ • 1 i • �,^ (7� rv� i G i 74 i �-r rY, CI �,..- _ O —1 11 N C) I` •�`'`. y_ ro 1 U CITY 4F TIGARD iApproved:1...,..:....•...--- •-- ......... . ' '•3ridiflowilly ApptOve+d..................... l Itl'r only the work as descflbv.0.in. ff PENMIT NO i See Letter to: Follow........ ---.........:�•..,..,i � Job A dress' • • t t • • • • • 1 t f • • ••• 1 f •• t 1 • • 1 f „• , ,I t 1 t,1 „ � , , , 1 • • 1 1 1 1 D • . t , 1 1 , 1 N fit 6t t • / •1. t 1 . • G f E 1 / �. TI' 4 I 71-jj Ifl 1,�,l -- -- _. '(41.► I lk,11.J;r r � . lTUI �"� �4 /IPA i I I i tf• ! f71 • ♦If f • I l! ( 4 • • Y tT Wti CIS V �. C"7 1a In ter t� t� 41 i �t x � ... . . .. . . . . X < t r t (Z) 2xt r r to n V VSi vas Nj z X, k4 x �i .0 N = I iw p qbj IP ry o� 10 v "- tJ� x• v ,r � v. � �_ .r IT, i I � A Vi d o OL IJ' N _ v 4. 1 • f• !. •1 . i f • •i ! 1 t 7 Z m a a a p U) o° o° Q) o� ` I 3c0 p z ZL 119C X.Z9 D o 3p� 3 ----- (b -T Z C� 3 D D C) (j UT T N N -p T p x !' (D Un lQ G� C C N n a a 1 ` v 0 cb CS' m - 00 ---- --- $ a O n � CIT% OF TIGARD _ __ PLUMBING PERMIT _ DEVELOPMENT SERVICFS PERMIT#: PI-M2003-00216 13125 SW Hall Blvd., Tigard, OR 97223 ;.,03) 639-4171 DATE ISSUED: 5/27/03 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 PARCEL: 2S102DD-FP7-1 SUBDIVISION: FANNO POINT E CONDOS "ZONING: R-12 BLOCK: LOT: 001 JURI,;DICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE 7F USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS_ URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 20 ft WATER CLOSETS: WATER LINE: 20 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of sewer and water service; for ternporary sales trailer. _ FEES --~—� Owner: — -- -- -' Description Date Amount FANNU POINTE LLC — _ 109 EAST 13TH STREET il'I.1!MHJ Permit Fee 5/27/03 $110.00 VANCOUVER, WA 98660 11 AN 3 SUrlc Tiix 5/27/03 $8.80 Total $118.80 `l Phone : 360-695-7700 Contractor: COMFORT SYSTEMS USA 12300 SW 69TH AVE TIGARD, OR 97223 REQUIRED INSPECTIONS Phone : 503-598-4798 Sewer InspectionWater Line Insp Reg#: LIC 137663 Final Inspection PLM 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 suspended for more than 180 days. ATTENTION: Oregon law requires you to follow riles adopted by the Oregon Issued B Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i Hunaing r>ixtures Plumbing r>t �n Received f lumhing nate/N : �r %' D 3 Permit No. �QQ? City of Tigard Planning Approval Sewcr 13125 SW Hall Blvd. MAY 2 7 2003 Dan R : _--_-_ Permit No.: Plan Keview Other Tigard,Oregon 97223 17 o f'T I(W--i i Daffy: Permit No. Phone: 503-639-4171 Fax- I .4? Ipw1c;�, Post-Review Land Use IBDate/By: _ Case No.: Internet: www.ci.tigatd.or.us Contact Juris.; See Page 2 for __ 24-hour Inspection Request: 503-639-4175 Name/Method: omental information. (- �^TYPE OF WORK v FEE*SCHEDULE(for special Information use cbeckll I New construction -� Demolition Description - -Q 1'ce(ca.) _focal Addition/alteration/re lacement Other: New 1-&2-family dwellings - Includes 100 ft.for each utlll connection CATEGORY OF CONSTRUCTION - ( ommercial/Industrial SFR(! bath - 240.20 LJ 1 &2-Familydwcliin 7 "-- _-�__ _.__,.. - SFR 2)bath 350.00 Accessory.Building L--1 Multi-Family _ SFR(3)bath l� _ 399.(x) �- Master Plunder Other: _ Bach additional bati.' ct en � 45.00 -- JOB SITE INFORMATION and LOCATION Firesprinkler-sq. ft.. _. Pax 2 Job site address: H,14 t Site Utllldes� Suite#: Bld /A t.#: - Catch basin/area drain 16.60 Pr eet Namh: {/y IYN0 A1,1VTt Dr ell/leach line/trench drain 16.60 Cross street/Directions to job site: Footing drain(no.linear ft.) Pae 2Manufactured home utilities 110.00 Manholes - 16.60 Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pe e 2 Subdivision: Lot Storm sewer(no. linear R.) Page 2 Tax map/parcel #: -- ,ater service no. linear ft.) Parc 2 DESCRIPTION OF WORK fixture or Item _ _ Absorption valve age2 ----._-- _._ _.--- Backflow p;eventer Pae 2 Backwater valve 16.60 Clothes washer 16.60 --- _----._-__-_- -- -__-_� Dishwasher _ 16.60 PROPERTY OWNER TENANT Drinkingfountain 16.60 - - - -----_ E'cctors/sum p 16.60 Name: Expansion tank 16.60 Address: /0 , E/►57' /)I h 5 t,2 CC-7- Fixture/scwer ca 16.60 _ City/State/Zip: VAt4(ovVev- pA g966 Q Floor drain/floor sink/hub 16.60 3Y! _ Garbo a disposal 16.60Phone:� I6T2 Fax: ) 1. jyc/ Hose bib _ 16.60 APPLICANT - "_ I El CONTACT PERSON Ice maker 16.60 - Name: Interceptor/grease truce 16.60 Address: Medical gas-value: S Pae 2 City/State/Zip:/State/Lim i -- rir,^r 16.60 _ - Roof drain commercial)_ , 16.60 Phone: - (-Fax: Sink/basin/lavatory 16.60 E-mail: _ Tub/shower/shower pan 16.60 CONTRACTOR Urinal 16.60 -v Business Name: *'�*r� CpM�11/27 6'�L��1 S Water closet 16.60 i- Water heater 16.60 Address: 12 t�' `� - V- A L c , Other: - City/&ate/Zip: 7/G/J +,C ,()& - q %z 2-`> Other: - Phone: rt-3 5y�-479 Fax: Plumbing Permit Fees* CCB Lic. #_ J6x�3� PI»mb. Lic.#: }-556 13 - Suttotal $ - - Authorized Minimum Permit Fee 572.50 $ - Z 3 0 Residential Backflow Minimum Fee 536.25 Signature: -- _ Date: �� _ Plan Review(25%of permit Fee S /s_!!H J ✓��/jL, �/IWil/ State Surcharge 8%of Permit Fee) S X. F(11 (Ple•,se print name) -- -------- " TOTAL PERMIT FEE I - Notice: This permit application expires If a permit Is not obtained within All new commercial buildings require 2 sets of plans with Isometric or_ 180 days after It has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. Dsts\Permit Forms\PlmPcrmitApp.doc 01103 I PlutnhiAg_Permit Apl Heath;[ - City of Tigard Page 2 - Supplemental Information Fee Schedule: _ Residential FireS_i ession Systems: site utillil s __ Qty. Fee(e■) Total Square Footage Permit Fee: Fooling drain- I" I(y), __ 55(x) 0 to 7,000 $115.00 -- Footing drain-each additional 1(X) --- 46.40 2 001 to 31600 i r $160.00 3,601 to 7,200 $220.00 Scwet- I st 100' 55.00 - -— 7,201 and�trealcr-- $309.00 Sewer-cacti additi not IM' 46.40 Water Service- Ist 100' 55.00 _Medical Gas S stems' Water Service-eaLh additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain- IM 100' 55.00 $1.00 to$5,000M Minimum fee$72.50 _ Storm&Rain Drain-each additional 100' 46.40 55,001.00 to S10,000.00 $'/2.50 for the first$5.000.00 and$1.52 for each additional S 100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total includin $10 000.00. Commeicial[lack Flow Prevention Device 46.40 _ __ 510,001.00 to 525,000.W 5148.50 for the first$111,000.00 and$1.54 for Residential Backflow Prevention Device - each additional$100.00 or fraction thereof,to minimum permit fee$36.25) _ 27.55 and including$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 51.45 for Inspection of existing plumping or each additional$100.00 or fracti-..n thereof,to and includin $5:1000.00. specially requested inspections-per hour 72.50 $50,1x11.00 and up 5741.00 for the first$50,1x10.00 and$1.20 for Subtotal: each additional$IGO M or fraction thereof. Fixture Work: Are,you capping, moving or replacing existing fixtures? 11' "yes",please indicule work perfcrn)ed by fixture. Failure to accurately report fixtures could result in increased sesser fei�%*. uantit•b Fixtire Work Performed Comments regarding fixture work: Fixture Type- Replace _ New -Moved Existing Capneu ----- ------- Baptistry/Font - - Bath -1-ub/Shower -Jacuzzi/Whirlpool —_ _— -- _ _- - -------- Car Wash -Each Stall -Drive T hru Cuspidor/Water As irator --- --- -- -- Dishwasher -Commercial -Domestic — Drinking Fountain _ --- -- -- ---- F c Wash —� Fh>,rr Drain/sink -2" _ --- — -- 3„ 4" Car -- Car Wash Drain Garbage -Domestic *Note: If the fixture work under this permit results in an Disposal Commercial _ — increase of sewerF M ts,a sescer permit will be issued and -Industrial �� fees assessed for tate seiner increase must ue paid before the Ice Mach./Refrig.Drains _ _ _� plumbing permil can be issued. Oil Separator tliae Station -- - Rec,Vehicie Dump Station _ Shower -Gang _ -Stall Sink -Bat/1 svatory _ V -Bradley -Commercial -service _ _swimming Pool Filter _ Washer-Clothes _ Water Extractor Water Closet-Toilet Urinal Other Fixtures: i\Dsts\Permil Forms\PlmPcrmitAppPg2,doc 01103 CITY OF T I GA,R D ELECTRICAL PERMIT PERMIT#: ELC2003-002.98 ' DEVELOPMENT SERVICES DATE ISSUED: 5/27/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-rP7-1 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 ZONING: R 12 SUBDIVISION: FANNO POINTE CONDOS BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Installation.of(2)branch circuits for temporary sales trailer. _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY- 401 - 600 amp: SIGNALWAf•3E1.: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 arnp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS:A� ~� > 600 VOLT NOMINAL: v� Reconnect only: SVC/FDR—225 AMPS: CLASS AREA/SPEC OCC:: _^_ Owner: Contractor: FANNO POINTE LLC DMS ELECTRIC INC 109 EAST 13TH STREET 2820 NW 8TH WAY VANCOUVER,WP. 98660 CAMAS,WA 98607 Phone: 360-695-7700 Phone: 360-833-2088 Reg #: LIC 118073 �- -- SUP 4542S FEES ELF _17-742C Descriation v� Date Amount Required Inspections 11 I.PRM1'( f Lc'I'.rmit $53.50 � I A`i Statc"fav ; 27 u, $4.28 Ro F Elect'l Final Total $57.78 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 rens. This permit will expire if work is not start3d 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: _ � Pcrmit Signature: d� — t _ OWNER INSTALLATION ONLY The installation is being trade cm Droperty I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: '�� _^y _�_.�_ _ DATE: �7 3 CONTRACTOR INSTAL[ATION ONLY SIGNATORE OF SUPR ELEC'N: _.- _� --_^_ �__�.� DATE: LICENSE NO: _�._- - ---- --- — -- - ---- -- Call 639-4175 by 7:00pni for an inspect on the next business d?y Electrical PermIgAP114C inn Received 6 1`Ir neat Date lv : :A Permit No.F/C'•�CD'>/-DQv7�� CC� U Planning Approval --- Sign City of Tigard MAY 4 i 20 �j Dnte/D�_— Permit No. 13125 SW Fall Blvd. Pian Review Other t Permit No.: 1'it;ard,Oregon )7223 ,ITY OF C'GAR' )ate -- __-- -- Phone: 503-639-4171 Fax: JW*8l-h9601V1`1 Post-R:view Land Use i)ate/D� Case No. internet: www,ci.tigard.or.us Contact 1uHi Sce Page 2 for 24•hour Inspection iteyuest: 503-639-4175 Name/Method: — 77 Su elemental Information. TVPE OF WORKPLAN PLAN REVIEW Please check all that a I New construction _ UUernolltlon Scrvicc over 225 amps- Ilealth-care facility commercial ElI lazarduus location Addition/alteration/replacementOther: ❑Service ovet 320 amps-rating of ❑Building over 10,(NH)sq-arc feet, _CATEGORV OF CONSTRUCTION 1 &2 family dwellings four or more residential units in 1 &2-Family dwelling LJ_Commercial/Industrial ❑System over 600 volts nominal one structure Accessory Building Multi-Family El Building over three stories C1 Feeders,400 amps or more ❑ ❑Occupant load over 99 persons l]Manufactured structures or RV park _ Master Builder Ji Other: _ Eltigress/lighting plan ❑(other:_ �- _JOB SITE INFORMATION and LOCATIUN Submit^sets of plans any of the above. The above are not applicable to temporary construction service. Job site address: /3t-r l/ l�- ��/� /��' �'--T-- FEE_*S_CIIFDULE_ Suite#: Bld J,\ri.#: __ —� Number of Ins►actions per ermit allowed Project Name: fINNEr ��1L- Descri tion qty Fee(ea.) Tnul New residenllal-single or mu111 famih per Cross street/Directions to job site: dwelling unit.Includes attached garage. Service Included: 1000 sq It.or less _ 145.15 4 Each additional 500 s .ft,or portion thereof 33.40 I Limited ener yresidential _ 75.00 2 Subdivision: —i�_— _Lot#: Limitcd enemy,non residential_ 75.00 2 Tax ma / arcel #: — Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 _ Services or feeders-Installation, 4x 5,41 i /) CX-- alteration or relocation: —^ 20)amps or less 80.30 _ 2 _ ----- 201 amps to 400 ams106.85 — 2 o -- 401 amps t 600 amps _—�-- 160.60 2 PROPERTY OWNER TENANT 601 em s to fOtlo amps 240.60 — 2 •— Ovcr I(Nri)am s or volts 451.65 2 _Name: fAN,4o OCIN7L A-L.0 ' Reconnect only _---- — 66.85 2 Address: 189 >! / /��CT Temporary services or feeders-inctallatlon, _ alteration,or n clocalion: City/State/Zip: yi4N Chi UMC �/t��. `�`'� 200 am s or less _ — 66.85 1 �, 2 /> '� N Z- 201 amps 10 400 amps ---__—_-- 100.30 2 Ph011e: �i-j «-1" /42 c. )tiaX: _ � �'y5 y y 401 to600amps 133.75 2 APPLICANT CONTACT PERSON Branch circuits-new,alter ation,or Name: extension per panel: --- - ---'` —--- --' A.Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 6.65 2 B.Fee for branch circuits without purchase o Clt /State/ZI f �e y � — -- service or feeder fee,first branch circuit 46.85 y�''(1� 2 Phone: Fax: Each additional branch circuit 6.65 .6'' 2 E-mail: Misc.(Service or feeder not incicded): _ CONTRACTOR — Each um or irrigation circle_ 53.40 2 _�— Each sign or outline lighting53.40 2 Job No: Signal circuit(s)or a limited energy panel, -- alteration,or extension Pee 2 2 C/ /t! N� , Description- Address: -- - - Business Name: UM 5 G>� � f)cscription Address: 1-52- )/t, �f Each additional In oil over the allimable in am of the above: City/State/Zip�(A 5�WA �c� C / Per inspection per hour(min. I hour) Phone: 4(1 "?j '�''-' � 1~aX: investigation fee --- �- — - - CCB Lic, #: 11 �V r 3 Lic. #: 3 1-741 Other:c Elretricttl Ptirtutt Fees" _ Supervising electricia Z- _ Subtotal S — signature required: Plan Review(25%of Permit Fee) $ Print Name-Cat Lic.#: V 17Z 3; --_ State Surcharge 8%of Pcrntit Fee S TOTAL PERMIT FEE S 13 7. 7 Authorized / Notice. This permit application expires If a permit is not obtained within Signature: bate: -23 J 71, 180 days atter It has been accepted as complete. *Fee methodologv set by Tri-County Building Industry Service Board. (Please print name) i:\Dsts\PertnitFamis\FICPermitApp.doc 01/03 Electrical I'crinit .Aimlication - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIQN N'1•IAL WORK ONLY: _- ------- --------------- ice for all systems............................................................ $75.00 heck Type of Win k Li volved: C� Audio and Stereo Systems* r� Burglar Alarm L J t iarage Door Opener* Heating,Ventilation and Air Conditioning System* CJ Vacuum Systems* [� OIhcr _ COMMERCIAL WORK ONLY: Feefor each system.......................................................... $75.00 (SIT OAR°18.260-2601 Check Type of Work Involved: 0 Audio Prid Stereo Systems [V� Boiler Controls j Clock Systems Data Telecommunication Installation [-�] I:irc Alarm Installation HVAC Instrumentation Intercom and Paging Systems [] Landscape Irrigation.'ontrol* Medical Nurse Calls 0 Outdoor Landscape Lighting* Protective Signaling Other Numher of Systems do licenses arc rcyuired. I.icenses are required for all other Er:stallations i\Ihts\Perrnit Pomu\ElcPermitAppPg2.doc 01!03 BUILDING PERMIT ' CITY OF TIGARD PERMIT#: BUP2003-00139 r. DEVELOPMENT SERVICES DATE ISSUED: 5/16/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP7-1 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT- 001 JURISDICTION: TIG -_ REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ v CLASS OF WORK: NEW FIRST: 2,210 sf N: 1 HR S: 1 HR E: 1 HR W: IHR TYPE OF USE: MF SECOND: 3,864 sf _ PROjEC_T_OPENINGS? TYPE OF CONST: 5-1 HR sf N: N— S: N E: N W: N OCCUPANCY GRP: R1 TOTAL AREA: 6,074 st ROOF CONST: FIRE RET? OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED: STOR. 2 HT: 25 ft GARAGE: 1,544 sf OCCU SEP. RATED: 1HR BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: 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#7 - 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 Description Date Amount — r Erosion Control Insp 846-8 Firewall Insp Footing Insp Drywall nail/screw lilil'I'l,NI-I'In ttv 3121/03 $1,579.76 Foundation Insp E)tywal! nail/screw FLS)FLS, Pin Itv 3/21/03 $972.16 Post/Beam Insp Drywall nail/screw JBUll..11j 1'enim Fee 5/16/03 $2,430.40 Slab Insp Gyp Board Insp I rAXj 8%,staie'rax 5/16/03 $194.43 Underfloor insulation Smoke Detector (additional fees not listed here) Framing Insp Appr/Sdwlk hasp Insulation Insp Final Inspection total $11,081.15 Shear Wall Insp - -----� -- Exterior Sheathirlln� 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 lav requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forPi in OAR 952-001-00'0 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 B 1: — Fe rm ittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day CITYOF TIGAR.D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00150 1.3125 SW Fall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/16/03 PARCEL: 2S102DD-FP7-1 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT:001 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10 OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 _BOILERS/COMPRESSORS HOODS: E; FUEL TYPES — ~� 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 ••30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + lip: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 6 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 0 > 10000 cfm: Rcmarks: !4uil lnt�t ri7 - Mrchanical wcirk for 6 WWII c�uul nunuunt. Owner: – - -- �— _.� FEES__ FANNO POINTE LLC Description Date Amount 109 EAST 13TH STREET �11.( II� VANCOUVER, WA 98660 I'crnut frr 5/16/03 $193.16 [MECIILNJ Plan Re\ 5/16/03 $48.29 ITA X1 `t State l a" 5/16/03 $15.45 Phone: 360-695-7700 Total $256.90 Contractor: COMPLETE COMFORT SYSTEMS INC 12300 SW 69TH AVE. TIGARD, OR 97223 �_ REQUIRED INSPECTIONS — Gas Line Insp Phone: 503-598-4798 Post/Beam Insp Reg#: LIC 15:736 Mechanical Insp 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 {dans. 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 in the Oregon Utility Notification Center. Those rules are set forth in OA's 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: �,�':7t�, Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day CITE( OF TIOARD _- ELECTRICAL PERMIT PERMIT#: ELC2003-00181 DEVELOPMENT SERVICES DATE ISSUED: 5/16/03 13125 SW Hall Blvd.,Tigard, OR 97223 (5031639-4111 PARCEL: 2S102DCt FP7-1 SII E ADDRESS: 131594 SW HALL iii D BI._DC 7 ZONING: R 12 SUBDIVISION: FANNO POINTE CONDOS BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Building#7 - Electrical work for f) 'init cond')rniniunr. RESIDENTIAL UNIT _ TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 1.00 _ 0 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 14 201 - 400 amp: 5IUN/OUT LINE LTG: LIMITED ENERGY: "12 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC'FDR: 601•f-amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS -_ ADD'L INSPECTIONS 0 200 amp: W/SFRVICE OR FEEDER: PER INSPECTdON: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 EA ADD'L BRNCH Cl?C: !N PLANT: 601 - 1000 amp: — _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect on_y: — SVCIFDR>=225 AMPS: --(.'.LASS AREA/SPEC OCC: Owner: Contractor: FANNO POINTE LI-C DMS ELECTRIC INC Iwi EAST 13TI1 STREET 2820 NW R1 H WAY VANCOUVER,WA 98660 CAMAS,WA 98607 Phone: 360-695-7700 Phone: 350-833-2088 Reg#: LIC 118073 --- -- -- SUP 45425 FEES _ _ ELE 37.7420 Description Date Amount _ Required Inspections �I.I 14Z MT]ELC'Permit 5/16/03 $1,613.35 IELPLCK] ELC Pln Rev 5/16/03 $418.34 Rough-in Elect'! Final ["TAXI 8111,State"Ilex 5'16/03 $133.87 Rough-in Elect'; Final Rough-in Total $2,225.56 Low Voltage Inspection Low Voltage Inspection Elect'I Service Elect'I Final 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 n>nre 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)2461;699 or 1-800-332-2344. Issued By: — �(// Permit Signature: _ 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 ATE:CONTRACTOR. INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —_ ____— _ DATE:_LICENSE N O: - ----- _ — — --— ----------—_-- —_ — _ Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003 00111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/16,03 PARCEL: 2S102DD-FP7-1 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 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 WASHING MACH: 6 BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: 2 WATER HEATERS: 6 CATCH BASINS: _ FIXTURES LAUNURY TRAYS: SF RAIN DRAINS: SINKS: 20 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 6 TUB/SHOWERS: 10 SEWER LIME: 100 ft WATER CLOSETS: 10 WATER LINE: 100 ft DISHWASHERS: 6 RAIN DRAIN: 100 ft Remarks- Building #7 - Plumbing work for 6 uni!condominium. FEES Owner: - - — Description Date Amount FANNO POINTE LLC II'L.1.1mill I'cinw Fee 5/16/03 $1,308.00 _ 109 EAST 13TH STREET VANCOUVER, WA 98660 I I'LMI'LN I Ilan Review 5/16/03 $327.00 1TAXI 8", titan Iax 5/16/03 $104.64 Phone : 3r,tt-e'�5 7-!(111 ^_ Total $1,73964 — Contractor: COMPLETE COMFORT SYSTEMS ING 12300 SW 69TH AVE. TIGARD, OR 97223 REQUIRED INSPECTIONS Phone : 501-598-4798 Sewer Inspection Water Service Insp Reg#: LIC 152736 PLM/Underfloor PLM 34-3501113 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 apolicable laws. All wo.K 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 Issued By. Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S'WR2003-00111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/16/03 SITE ADDRESS; 13694 SW HALL BLVD BLDG 7 PARCEL: 2S102DD-FP7-1 SUBDIVISION: I ANNUP()INTECONDOS ZONING: It-I2 BLOCK: LOT: 001 JURISDICTION: Ile TENANT NAME: FANNO POINTE CONDOMINIUMS USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 6 TYPE OF USE: MF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Building #7 - Sewer connection for 6 unit condominium. Owner: — -- - FEES FANNO POINTE LLC — 109 EAST 13TH STREET Description Date Amount VANCOUVER, WA 98660 1SWUSAI Swr Connect 5/16/03 $13,800.00 1SWUSAI Swr Connect 5/16/03 $0.00 Phone: INI 099-7700 (SWINSI11 SN%r Inspect 5/16/03 $45.00 ISWINSI'1 S,.vr Inspect 5/16/03 $0.00 Contractor: ----- -- - -- Total $13,845.00 COMPLETE COMFORT SYSTEMS INC 12300 SW 69TH AVE. TIGARD, OR 97223 Phone: 501-599-4798 Reg#: LIC 15273t, PLM 34-356PB Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will he 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 � (_.. , '--t__._- -- Issued by « Permittee Signature: Call (503) 639-4175 bN 7:00 P.M. for an ;nspection needed the next business day I3Vir ling Permit Application 1z1CC1VL1, ,,,,;,d;,,K Date/By /r Permit No • LklL�D l^`d "� Cit of'rI and 7Planning Appro%al Other g Permit 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/Bv�_ —_ Permit No.: Pholfe: 503-639-4171 Fax: 503-598-1960 Post-Revie•.v land Use Date/By. Case No Internet: www.ci.tigard.or.us �-Y--- - — " - -- k Contact Juris.- Sec Page 2 for 24-hour Inspection Request 503-639-4175 Name/Method — Sum mlemenlal Information -- TYPE OF WORK RFQIJIRED DATA: Ncw construction _—___ .�fDcmolit.ion I & 2 FAMILY DWELLING; Addition/filteration/re thz--ment Other: - CATEGORY OF CONSTRUCTION Note: Permit fees"are bused on the total value of the work performed. Indicate I &2-Family dwelling I Coinmercial/Industrial the value(rounded to the nearest dollar)of ull equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building Multi-Family_ _ Master Builder_ Other: valuation.......................... :................... .., _ JON SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address- rioY'� Sw H.+4� f3Lvr, Total number ors.............. .... .......... .... ___.. -- - _- New dwelling area (sy.ft.)...... . . .. S*Oe#: 7-1 .AAF % 7-b Bldg./Apt.#: Garage/carport area(sq.ft.).. ...... Project Name: N AID PC)1 WT C Covered porch area(sq.R.)........... ... ........... Cross street/Directions to job site: Deck area(sq. ft.)..................................... .... Other structure area(sq. ft.)... REQUIRED DATAt COMMERCIAL-USE CHECKLIST Subdivision: -- -_ --_ _--_ Lot#: _ --' Tax map/parcel #: 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 Ibr the work indicated on this application. CEx r-LA-1 5 ___ _ - h 3 Valuation...... ...................... ...... .... ...... ... ... s 5, 58 7 -- - - .ExMins building area(sq.ft.).... .......V..'...... - - -_ - - New building area(sq. fl.)........ .......... -.1..... 60 79t -- - Number of stories...... .. ................................. PROPERTY OWNER _jJENANT — Type of construction...._..................I.............. V I-EItwR. _ Name: -Fg-NN-v Po I N I E-- �'L. C , Occupancy group(s): Existing: _ --- - -- - — -------- _ Address: py i s S`1(ZEE T New: - - -- —- City/State)Zi : VANCCUJER ASND �`Kb6o Pht)ne: 3bo-W--770 Fax: .?�0 - 6 q 3 '-/4,1-17 NOTICE: All.ontractors and subcontractors are required to be APPI.,'ICANT CONTACT PERSON licensed with the Oregon Construction Contractors Board under _ --- provisions of ORS 701 and may be required to be licensed in the Business Name: FA N AW_ 19 c I NT I-_ ,C, jurisdiction where work is being performed. If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: 101 EAS 7 (3 .4,LL -TR L E_T City/State/Zip: AN COUV E\'Z ,WAS" , I %L b 0 -- — Phone: 360 646--"7700Fax: 360 -693 -/144Z - - ---- -- ---- — Bl1ILDING PERMIT FEES* E-mail: _ Please refer to fee schedule. : CONTRACTOR -- --- - --- ---- Business FAN AO AO . N U I T �,`,C . ___ • �— — C- _ Fees due upon application ............................ $ Address: loq EAs% 134-'- SIvee-4- Amountreceived............................................. Cit /State/Zi • A NouV C Z ASN Phone: 360-695 - 7700 Fax: 360- 6 9 3-"47- Date received: CCB Lic. #: __ Authorized — I — Notice. this permit application expires If a permit Is not obtained within Signature: _ Date:- _ 'dJ' IRO days after it has been accepted as complete. (6_�8 *I-cc mrrliodoloRy set by TH4 oun(v Bulldtng Indoor) Service Board. (Please print name) i\Dsts\Permit Forms\BldgPermitApp.doc 01/03 i . Plan Submittal Requirement Matrix ('omruercial & Multi-Family Orr of'Tig(lyd 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) Plumbing - Site Utilities 2 Building 1 i Fire Protection System 3** j Mechanical 2 I P!umbing - 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 Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New' fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. dstsVurmsVI IanSubMa!rdoi; 7l'17J03 M Mechanical Permit Application Received Malutnical Datc/Hy: / �— Permit No, Cit Or Tigard _ Planning Approval Building } g 1 Ul) 10 6 Date/By Permit No.: _---- _ — 13125 SW Hall Blvd, Plan Review --- — other Tigard,Oregon 97223 Date/By — Permit No.: Phone: 503-639-4171 fax: 503-598-1960 Post-Review Land We Date/By: Case No.: IntemGf: www.ci•tigard.or•us Contact —� Juris.: 1 0 See Fig—e2—for 24-hour Inspection Request: 503-639-4175 Name/Method: "'7 Supplemental emental Information. TYPE OF WORK _ COMMERCIAL FEE*SCHEDULE-USF.CHECKLIST New construction Demolition Mechanical pen-nit fees•are based on the total value of the work Addition/alteration/re)l� acement Other. performed. Indicate the value(rounded to the nearest dollar)of all _ CATEGORY OF CONST'tUCTION mechanical materials,equipment, labor,overhead and profit. 1 & 2-Family dwellirtf:ommercial/industrial value: S _ See Page 2 for Fee Schedule Accessory Building - Multi-Family __ _ RESIDENTIAL EQUIPMENT/SYSTEMS FEE"SCHEDULE Builder 4 Other: —' Description Qty Feeea. 'Total Masi.- __ _ Heatin Coolin _ JOB SITE INFORMA'T'ION and LOCATION Furnace-add-on air condition in *• 14.00 Job site address: ! b y Sir ham- fjLVp, Gas heat um — 14.00 — Sa4w#: p oro, Jl. 7-k, Bldg./Apt,#: 7 _ Duct work 14.00 Project Named NNcPO I NTE Hydronic hot water system 14.00 -- - --- Residential boiler Cross street/Directions to job site: for radiator or h dronic syaiem 14.00 — Unit heaters(fuel,not electric) (in wall,induct,suspended,etc) _ 14.00 Flue/vent(for any of above) 10.00 :— ,— � I_ot#: - Repair units 12.15 Subdivision Other Fuel A illances Tax ma /parcel #: Water heater 10.00 ESI:3MPUON OF WORK Gas fireplace —� 10.00 — : PLEy- CON D0 ` — _- �- Flue vent(water heater/gas fireplace) 10.00 Log lighter as 10.00 -- - --- Wood/Pellet_stovc _ 10.00 Wood fireplace/insert 10.00 Chimne /liner/flue/vent_ _ 10.00 -- _1 EI TT) p T-- Other: __ — 10.00 Name: /=A/VNa o6b lW7 r:= 4.4-X, _ Environmental Exhaust&Ventilation Range hood/other kitchen equipment 10.00 Address: 104 15A5T +`- STACEr - - Clothes dryer exhaust 10.00 Ci State/Zip: AN(0LAVEV_ ASH. yq66 0 Single duct exhaust Phone: 360 - 69S-77p0 Fax: 3bO`6113 Al4q Z (bathrooms,toilet compartments, Mimi MAUS M � _6 10.01 .80r '` ��__01 Name: FAH40 PoiNt0 Auic/crawl s ace fans Other: 0 Address: /09 FAST /3 Fellp119g City/State/Zip: Ir6 LA VIM WASH_► '7V66 0 n55.40 for flrst 4 31.00 each additional Phone: :?bo-645"--77Do 1 Fax: 360- 6113 ,q Furnace,etc. --- ____V_ _ •• _ Gas heat pump _ '• E-mail: _ Wuspend all/sed/unit heater •' *w : 4:' ?1RA ,• , Water heater �-- •. Business Name::T�. `Lt C C H A N i CA Lr Fire lace --_ -- _ •• — Address: /Z 3 o0 5W 69�` AVE, Range BB--- - — •• Ci±y/State/ZipGA 1217 - - e� 7 2_73 Clothes dryer as •• Phone: 503-595- '7911 I FIS 3-639.0elfly Other: •• CCB Lic. #: 11 5�.�b __�� -- T°tai: -- Mech_nalcal Permit Feta•_ Authorized -- — �_ Subtotal: $ Signature: r- —_ Date: /� v3 Minimum Pernut Fee$72.50 S goN L I is F _�- Plan Review Fee(25%of P_ Fee $ (Please print name) State Surcharge B%of Permit Fee S I— — TOTAL PERMIT FEE S Notice: This permit application expires if a pct nil;is not obtained within *Fee methodology set by Tri-County Building Industry Service Board. IRO days after It ha:.been accepted as complete. "Site plan requlred for exterior A/C units. 1Dsts\pcnnit i�orms\MecPermitApp doc 01103 Niechankeal Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: SI 00 to 55,000.00 Minimum fee$72,50_ 55,1101.00 to$10,000(N) $72.50 for the first$5,000,0)and$1.52 for each additional S100 00 or flaction thereof,to and mrludniK$IO,000.U0 S10,001.00 to$25,000.00 $148 50 for the first 510,000,00 and SI 54 for each additional$100 00 or fraction thereof,to and incl-ding _ 525 000.00 _ $25,001.00 to S50,0/)D 00 $379.50 for the first S25,000.00 and $1.45 for each additional$100,00 or fraction thereof,to and including $50 000 00 _ 550,001.00 and up $742 00 for the first 550,000 00 and l� $1 20 for each additional 5100.00 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 _ Floor furnace including vent _ 955 Suspended heater,well heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units_ 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,501 k 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 handy unit to 10,000 cfm 656 Air handling unit>10,000 cfm 1,170_ _ Non-portable eva parole cooler656 _ Ig a Vent fan connected toa sin duct 446 14 H f-0— Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 f. _ Domestic incinerator _ 1,170 Commercial or industrial incinerator 4,590 Ofher unit,including wood stoves, 656 I6 — inserts,etc. _ Qu ping 1-4 outlets 360 Each additional outlet 63 r TOTAL COMMERCIAL $ VALUATION: i.\DAsn\Perrnit Fonm\MecPermitAppPg2.doc 01103 Plumlbing_Fermit Application Received s Plumbing — Date/By Permit No, L// // 1_ 4t-•, Planning Approval Sewer City 011"Iigard `, v.1 l Date/By: PermitNo.. 13125 SW hall Blvd. -- Plan Review Other Tigard,Oregon 97223 DatrlB __�—_ Permit No.: Photic: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/13y, Case No: _ Internet' www.eL(igard.or.us r Contact Jutis.: Sec Page 1 for 24-hour Inspection Request: 503.639-4175 Name/Method _ supplernental Inforrrtalion. _ TYPE OF WORK _ FEE"SCHEDULE fors ectal Information use checklist) New construction_- _ I LJ_ DemolitionDescription Q0% Fee(ea.) •total Addition/alteration/replacement Other: _ Now 1-& 2-family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft.for.titc l u Ility connection i &2-Famil dwelling Commercial/Industrial SPR(1)bath 249.20 SFR 2 bath _ _ 350.00 _ Accessory Building_ Multi-Family SFR )bath 399.00 Master Builder Other: Each additional bath/kitchen 45.00 _ JOb SITE INFORMATION and LOCATIONFire sprinkler-sq. R.. Pae 2 Joh site address: l✓ rt`µ- 0,4W, _ Site Utilities Stott#:)-/ '/hr'e, 7-(i Bldg./Apt#: '�----- Catch basin/area drain 16,60 ro _ DrryweN/leach line/trench drain 16.60 Pofect Name: — - _ �� O 1. N T to- Footing drain(no. linear R. _ Pae 2 _ Cross street/Directions to job site: Manufactured home utilities 110,00 _ Manholes 16.60 Rain drain connector 16.60 Sanitary sewer no. linear ft. Pae 2 _ Subdivision: [ of#; Storm sewer(no.linear nJ _ page 2 - — - - Water sePage 2 -- Tax ma / arcel#: _ – DESCRIPTION OF WORK Flxtulk'orlletit K° --- -- Absorption valve - 1000 �X LA' -S — --------- —---- --6_-_nL—_--F- I - - __- -----.--_ ._— Backflow preventer --- I Pae 2 !4A,gOO Backwater valve 16.60 Clothes washer r, 16.60 q9,btu --- - --- - Dishwasher 16.60 q,bO Drinking fountain 16.50 iiij�III ,b -M -M TENANN17, Ejectors/sump 16.60 IF Name: F,4NNy_ PCIWrU L•L,C., Expansion tank —_-- 16.60 Address: ;- ` EAVT 134' STW El- - Fixture/sewer cap _ 16.60 _ City/State/Zip: VA H CO'A V t:R-t WAs H • ��P6 U Floor drain/floor sinkntub 16.60 Garbage disposal _ 16.60 0 Phone: A119-4q5- 1 00 J Fax: 36a- 6`l3- 4,91?_ hose bib 6 160n qq,60 i DNA �RbC-1Y _- r -- _ IG,6U 60 Name: F A N N0_ Q0 I /AT tr L-L,d Interco tor/grcase trate—_ _16.60 Address: 10q _ E/1ST,13 4, 5T 9 E E T _- - Medical gas-value: $ - Pae 2 Cit /State/ZCO�IVEIL. LoA514 , ICL660 Primer 16.60 __� � Roof drain(commercial) 16.60 Phone: Fax. Sink/basin/lavatoty 20 16.60 W .o0 E-mail: Tub/shower/showet pan — C 16.60 IkI6.p 0 �_. Business NT`.lC'TUR Urinal 1660 Watert _—_.- ----.-�_—_ closeD I G 6(I s Name: C S 1 . �Ec Np N►�A t�-- - - - - -- - - -- Address: IZ 3t�o W 1L- �, water heater — 10601 I_��n Other: City/Stat R: 'T Ian?0 0(2'. Cf-112 *! Other: — ------ �� — ------ Phone: 5U- 5"11g- I19f' Fax: So?- 1,)q- 041 CCB Lic. #: 52730 Plumb. ic.# 3'}- bPl3 Subtotal $ _ �— Minimum Permit Fee$72.50 $ Authorized /7 Residential Backflow Minimum Fee$36.25 Signature; '*z•�,Z� _,._.__ Date:_ _1' ^ria Plan Review 25%of Permit Fee $ _ N L 1 44 7 �/t. I Z State Surcharge 8%of Permit Fee S (I'lease prim names TOTAL PERMIT FEE $ _ Notice: This permit application expires Ira permit Is not obtained within All new commercial buildings require 2 sets of plans with Iscmetrlc or IN days after It has been accepted as complete. riser diagram for plan review. "Fee methodolow set by Trld'ounty Building Industry Seroce Board. r\Data\Permit Forms\plmPerrtritApp.doc 0 t/n 1 Plumoft.Permit ApPtication - City of Tigard Page 2 - Supplemental Informativii Fee Schedule: Residential Fire Suppression Systems: _ Site Utilities Qty. Fee(ea) Totl►I Square Footage: Permit Fee:_ Footing drain- 1°100' 55.00 O to 2,000 SI 15.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 —_ 3,601 to 7,200 S 20.00 _ -- Sewer• Isl 100' 5.500 7,201 and wester � p Sewer-each add4640 — itional 100' 46 40 Water Service- Is(100' 55(9) Medical Gas Systems' Water Service-each additional I OO' 46.40 Valuation_ Permit Fee: Storm&Main Drain- 1st 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain.cacti additional 100' 4640 $5,001.00 to 510,000.00 $72.50 for the first 55,000.00 and$1.52 fm ou_ch additiocal$100 00 or fraction thereof,to and Fixture or Item s _ Qty. Fee(ea) Total _ including$I O,p ),(0. Commercial Back Flow Prevention Oevice 46,40 $10,001.00 to$25,000.00 $148 50 for the first 510,00000 and$1,54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee$36 25 27.55 and.including$25,000:00. Rain Drain,single family dwelling 65 25 $25,001,00 to$50,000.00 $379.50 for the first$'25,000,00 and SI A5 for Inspection of existing plumbing or each additional$100.00 or fraction thereof,to _ __ specially requested inspections-per hour 72 50 and including$SO 000.00.—_ $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for Suhtntal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping, moving or replacing existing fixltn•es? If "yes",please indicate work perforated by fixture. failure lis accurately report tix(tn•es could result in increased sewer fees*. Quantity G Fixture Work Ycrfo_rmed Comments regarding fixture%vork: Fitt ; Replact New Mored Eslstln Capped — — 13 ptistry/Font -- Bath -'rub/Shower _ -Jacuv,UWhirl ool — Car Wash -Each Stall _ -Drive Cuspidor/Watcr Aspirator W — ------ Dishwasher Commercial _ -Domestic Drinking Fountain - - — ly.!Wash — -- --- — __ Floor I)rein/sink -2" q,. Car wash Drain *Note: if fII(r fixture work under this permit results in an DirAssa - omme c Increase of sewer FDUs,a sewer permit will be issued and DiapoSAl ('nrnmerciAl P -industrial fees assessed for the sewer Increase trust be paid before the Ice Mac_h.iRefrig Drains — plumbing permit can he issued. Oil Separator Cias Station Rec.Vehicle Dump Station Shower -Gang -Stall _ Sink -Bar/Lavatory _ -Bradley --ornrnerciul _ -Service Swimming Pool Filter Wisher-Clothes _ Water Extractor water Closet•-roilel Urinal Other Fixtures: �! i\NtsTermit Forrrm\Plmf'ermitAppPg2.doc 01/03 11"Wctrical Permit ApWieation Received Electrical Date/B : cam"I jl l D�� Permit No. CLQ r•gard Planning Approval Sign DatPermit No.. City of 1 I _ 13125 SW Ball Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Photte: 503-639-4171 Fax: 503-598-1960 Post-Review land Use ate/By: Case No.. Internet: www.ci.tigard,onus Contact Juris U Sec Page-2 for 24-hour lnspect;on Request: 503-639-4175 Namc/Method: Su Ictnental Information. TYPE OF WORK PLAN REVIE�►�lease check all that st_ _ New construction -� =Demolition Service over 2'S amps- I lealth-care facility —' - —— commerci I ❑I luzardous location m Additiolt/alterationh( )itlt Colt hl tither: _ ❑Service over 320 amps-rating ul ❑Building over 10,000 square feet, _ CATEGORY OF CONSTRUCTION 1 &2 family dwellings Thur nr more residential units in �] I &2-Family dwellingCommercial/Industrial 11 System over 600 volts nominal one structure -- -- - — - (]Building over three stories Feeders,400 amps or more Accessory Buildin Multi-Famil p p ❑Manufactured structures or RV parti _ ,�_ __-_ (]Occupant load over 99 persons Master Builder _ Other: _ ❑Egress/lightingplan ❑either:-- JOB SITE INFORMATION and LOCATION i submit--sets of plans with any of the above. �•�1.L f)L(/O The above are nota Iicable to temporary construction service. f Job site address: 17&Jq 5l-, _ FEE'SCIIED_U_LE *e to#: -7-/ •//troy t- -7-41 1 Bld /A to J Number of fins ections per permit allowed Y/�lyN� �0I N t t: Description Qty Fee(ea.) Total Project Name: New resldenllal-single or mull/-lane//.per Cross Street/Directions to job site: dwelling unit.Includes attached garage. Service Included: I OUO sq.ft or less 145.15 y✓r 1 S 4 Each additional 500 sq.ft.or portion thereof ,Z 33.40 441,DI r Limited energy,residential 75.00 2 _Subdivision: __ Lot#: — - - _— _Limited energy,non residential L 75.00 gOr'.c�-' 2 Tax map/parcel# Each manufactured home or modular dwelling --DESCRIPTION OF WORK service and/or feeder _ 90.90 2 - r Services or feeders-Installation, �LeX L'ONPQ 5 alteration or relocation: 200 amps or less F0.30 2 _._��— ------------ ---------------- 20 i anis to 400 atn�s 106.85 2 401 am s to 600 amps 160.60 1 60,6C, 2 R0 UNANT w 601 amps to 1000 amps s — 240.60 2 - Over 1000 am;� ..volts _ 454.65 2 Name: FAN/VO fb//Y ZE 4-,L-,C _ Reconnect only 66.85 2 Address: 109 EAST /3 f t" 5;T rE EL-T 1'emporary services or feeders-installation, C /State/Zl f�In Le,V .rte As N - 966a alteration,or relocation: —� p - — ,1iV — 2U0 amps or Icss - 66,85 I Phone: :3bo-695-`T 7DO Fax: 76v - &?3 -yNyz 201 amps t�400 amps -- - 190.30 _ 2 "PP ' C' � NTAC� O " 4UI to 6U0 ems 133.75 2 _ .___�n Branch circuits-new,alteraifon,or Name: fJ/YN/% rp0�/Y?E L,L ,C, _ extension per panel: Address: / A Fee for branch circuits with purchase of .ST 13 -A" J r/�C�-r service or feeder fee,each branch circuit 6.65 2 Cit /State/Zip: VHr(ouu L-:IZ t W,4s t4 . q9660 B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: 617 9 S -T V o Fax: ;60-6,?3_ 17vilz Each additional branch circuit ---- - 6.65 2 E-mail: Misc.(Service or feeder not included) r CACT Each pump or irrigation circle 53.40 2 i ------ Each sign or outline lighting __ _ _ _ X3.40 .lob NO: _ Signal circuits)or a limited energy panel Business Name: PM 5 414c 1,9/e L^ alteration,or extension Pae 2 2 Description Address: OZ, S E' S-f,IleK.. i o pT i.-A N a , o Q• q`77- �i Pet i additional Inspection over the allowable in of the above: Cit /State/Z �,_� Per inspection per hour(min. Ihour) — _ 62.50 _ Phone: 503-2-57 '3yb1 Fax: 5763 -2.52-661 1 Investigation fee CCB Lic, Other: _ Supervising electrician .S signature required: __---- — Plan Review(25%of Permit FS�) S Print Name: ic. #: State Surcha ge(8%of Permit Fee) S - — — TOTAL PERMIT FEE S Authorized Notice: This permit application expires If a permit Is not obtained within Signature: _ _ _ _ Datr.: ,/ 180 days after It has been accepted as complete, *Fee methodology set by Tri-County Building Industry Service Board. - (Please print name) 1:lDstsTermit Forms\EIcPermitApp.doc 01/03 Electrical Permit_Application - (aty of Tigard Page 2 - Supplemental Information I,IMI'1'1('.I) 1?Ni RGY PERMIT FEI1:ti: 111ESl! EN7'IAL WON.K ONLY: _—_ — — Iee for @II system ............................................................ $75.00 ('heck Type of Work Involved: F1Audio and Stcreo Systems* L] Durglar Alarm LJ Garage Door Opener* LI leating,Ventilation and Air Condttioninit System* ICJ Vacuum Systems* other- -- — -- COMMERCIAL WOW{ONLY: Fee for erwh system........ ......... $73.00 (SIT OAR 918.260.260) Check Type of Work Involved: 0 Audio and Stercu Systems Boiler Controls Clock Systems Data Telecommunication Installation AI ire Alarm Installation 1j4J Il%'A( Insuumeotation Intercom and Paging Systems IJ Landscape Irrigation('onttol* ICj Medical Nurse Calls El Outdoor landscape Lighting* 0 Protective Signaling [-1 (Miler ----- —Number of of Systems * No licences are required. Licenses are required for all other installations i:\Dsta\Permit Forms\I'IcPermitAppPg2.doc 01/03 CITY OF T I G A R D - BUILDING PERMIT PERMIT #: BUP2003-00340 DEVELOPMENT SERVICES DATE ISSUED: 6/17/03 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP7-1 SITE ADDRESS: 13694 SW HAIL BLVD BLDG 7 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: F 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?: RE_Q_D_ SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: _ ft RGHT: ft — FIR SPKL: Y SMOK_UET:__Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,680.00 Remarks: Building #7 - FPS Owner: Contractor: FANNO POINTE LLC JND FIRE SPRINKLER INC 109 EAST 13TH STREET 12155 SW GRANT VANCOUVER, WA 98660 STE D TIGARD, OR 97223 Phone: 360- 95-7700 Phone: 968-5200 Reg #: LIC 64395 FEES REQUIRED-INSPECTIONS _ - Description Date Amount Sp.-inkier Rough.In 113111LD] Permit Fee 6/9/03 $139.30 — Sprinkler Final TAX) State Tax 6/9/03 $11.14 �I I SI FI.S Phi Rv 6/9/03 $53.72 Total 4,206.16 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 Nill 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 riles 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 639-4175 by 7 p.m. for an inspection the next business day Fire Protection System Building Permit Application ,�41e1�ed 1 Itndd�n, Date/A : r/ (� -� Permit N�. (JW ✓�� City Of Tigard Planning Appr Val Other Datc/By: Permit No.: 13125 SW [fall Blvd. Plan 11 Other Tigard,Oregon 97223 Date/B : - '�3 Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 i Post-Review t.and Use '— /B Internet: www.ci.tigard.or.us Detc y: C'asc No. Contact - Juris.: cogScc PoW2['or - 24-hoar Inspection Lequest: 503-639-4175 Name/Method: Supplemental_ information 4� 77 TYPE OF WORK REQUIRED DATA: Fcw constru;tion Demolition t &2 FAMILY DWELLING Addition/alti.-ratio eplacernent Other: -- - __ CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate I_&2-Family dwelling ('onimercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, — — - overhead and profit for the work indicated on this application. Accesso guilding Multi-family _ Master Builder _ 'Other: valuation...... ... .............................................. $ JOB SITE INFORMATION and LOCATION No.of bedrooms:___ No.of baths: Job site address' Total number of floors..................................... -- '-�-��-�--.- 5t1��L1` ��.-v v' dllin s Suite#: Bld ,/A t.#• ' _ New weg arca( q. R.).............................. -- _- Garage/carport area(sq. fl.)............................ Project Name; UNO_ �Pj'S Covered porch area(sq. fl.).......................... Cross street/Directions to job site: Deck area(sq. fl.)............................................ Other structure area(sq.ft.)............................ REQUIRED DATA: i COMMERCIAL-USE CHECKLIST Subdivision: Lot#: — - _.__..-_-_____ Tax map/parcel #: 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......................................................... `. 9 &SIO _ _ --__-- ---- ----- Existing building area(sq.fl.)......................... / New building area(sq.R.)............................... Number of stories............................................ PROPERTY OWNERTENANT' Type of construction..,..... Name: Occupancy group(s): Existing: —__ 1. � t_� c: -- Address: loci _ S'T New: ' City/State/Zip; RN - yam_ _ -- - —_--^— Phone:3t,G - 5--77D FSX: NOTICE: All contractors and subcontractors arc required to be APPLICANT CON'TAC'T PERSON licensed with the Oregon Construction Contractors Board under - provisions of ORS 701 and may be required to be licensed in the 113iisiness Name: _ jurisdiction where work is being performed. If the applicant is exempt Coliiaet Name: From licensing,the following reason applies: Address: - —---- -- City/State/Zig_ _ -- Phone: E-mail: -- �- _- v- BUILDING PrItNItT FEES* ONTRACTbR Please refer to fee schedule. Business Name: �ttO f 1a "'VKbQtLCK Fees due upon application $ Address: LLI 5 s L5L,0,__ . - ;�' IJ(13E --- t City/Statc/Zip:-rl7 Amount received............................................. 11 Phone:,'Tl- V 2U FaX„SZ�J-9S hK-S_qZv Date received: CCB Lig. #' (6431S Authorized Notice: This permit application expires II's permit Is not obtained within Signature: /� i_ Date:�l r n 180 da)r after It has been accepted,s complete. -_blM d _— "Fer mcthodolr gv set by Tri-rout h Building Industry Sen ice Board. (Please print name) i\Dsts\permit Forms\BldgPennitApp.doc 01/03 Fire Protection Permit Check List A. _ ew- ❑ Addition _❑_Alteration ❑ Repair B.) odification 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: S�STF►'n 5 y 0 of System Com lete A, B or C as applicable : — A. Sprinkler _We� --- -- ❑--_--- Standpipes Additional Hazard Group____ Information Density Desi _n_Area K. Factor —__ tel. _ Sprinkler Pro ect Valuation: $ v R.) Type I - Hood Fire :'oppression System Hood Project Valuation $ C� Fire Alarm __la __— Submittal shall Batte Calcutions ___ Yes ❑ — Include: Individual Component Yes ❑ Cut Sheets - Fire Alarm Protect Valuation_ $ Project Valuation Subtotal L , B & C : $ Permit fee based on valuation see chart): $ _ 8% State Surcharge: $ FLS Plan Revlew 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. is\dsts\fomes\FPSchecklist.doc 1 U21101 CITYOF T I G A R D PLUMBING, PERMIT DEVELOPMENT SERVICES PERMIT#: F-LM2003-00416 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/8/03 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 PARCEL: 2S102DD-FP7-1 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- 6 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: SUbmeters Owner: -� _ .FEESS__—, - --�— �- — - -- Description Data Amount FANNO POINTE LLC --� ---�--- ----- - 109 EAST 13TH STREET 11'1 1'%lltl I'rmirt I CV 8/8i`)3 $99.60 VANCOU,:FR, WA 98660 I I A`18" :;Talc I,i 8/8/0.3 $7.97 e Total $107.57 Phone : 360-695-7700 _--- ------�-.--.— ___ Contractor: COMPLETE COMFORT SYSTEMS INC 12300 SW 69TH AVE. I IGARD, OR 972 i REQUIRED INSPECTIONS Phone : 503-598-4799 Final Inspection Reg#: LIC 152716 I'I.M 34-3561111 I his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. `,pecialty Codes and all other applicable laws. All work will be done in accordance with approved plans. I his permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 2.46-6599 Issued By: _ i,-_� �_ _ Permittee Signature: p / �5'!�(ry� �.5 k/ Call (563) by 7:00 P.M. for an inspection needed the next business day •J a/Vl uv . \.111 -I 1.1\ AA0 yi Building Fixtures Plumbin Permit Ap plication ' .- � Received �P�rlumhingC.1 of Tl STd Planning Approval gDittc/BY_ ainit No, 131.25 SW Hall Blvd. -NionKeview IithCT -- Tigard,Oregon 97223 Permit Na: Phone: 50.,-63911171 Fax. 503-59$-1960 Past-pxview Land Use Dale/By: _ Cost No. Internet: www ci tigard.t)r.us Contact Iuris.: see Page 2 for 24 hoar Inspection Request: 503 639-4175 Name/Method: Supplemental Information. - ----- ' °'�pFr1��1k�C','',:'�:� �"'„ •'��.,;,,' -, TEE!'SC)[3EDf1x:'�"�foY liPec�lilaA�drlmll�iod�aise!rh��klist New construction Demolition Descri tion Qty- Fee(ea.) I Total - AdditioNalteration/r lacement �t�ther �� iKd Ig-faiuilyrlvi" iµgs:;' ,'4 uTlilde 100:St'�1tit,�8ith!fllili ';tv'r7'ncetAl rA' i,Td r'(3!11'' UC7C1<Qhl - a 1 &2-Faniil dwcllirrSFR(1)bath 249.20 Conunercial/Industrial Y -� -- --------- SFbath 350.00 Accessory Building Multi-Fano y R 2SFR 3 bath —__ 399.00 J Master Builder Other: Ea^h additional bath/kitchen V 45.00 C` iSTB!ThUIUTiI ir1 ]IODT__ - --- _ Fitc sprinkler"- --. ft � -- Pope 2 Job site address. 146' 1W /�AlZ -- - , � r, "r:, ra;,�.�i� fFJfJifll�el�l��"" , "� `r�.r '•i;�' Suite#: �F31d�•/Apt•#: Catch basin/area dram 16.60 Project Name: /1//I �O/NTE _Vrywellfleach lin_e/trench drier _ 16.60 Footing drain(no linear fl) l'a,c 2 Crass street/Directions to Job site: Manufactured home utilities 110.00 Mwholes -- __ 16.60 -- Rain drain connector 16 60 Sanitary sewer(no.linear ft. -,--- --— -Page Subdivision: Storm sewer_(no-linear ftl- Page 2 Tax ma / arcel#: _ Water service(10, linear fl. Pae 2 77-77 ,absorption valve 1660 --LS'ME 44,4 AC 14 wo 5_ __Rackflow preventer ---- - - - Pale 2 Backwater valve - -- - 16.60 ------ Clothes washer --- 16-60 -- - - Dishwasher - 1660 Druildnit fountain _ 16.60 W I _r-Nt' ]?'ectors/su 16.60 me: f�N�_D NSE— LG --_---_- Expansion tank 16 60 Address: o9 5J,O —� FixtutrAtwer cap_ 1660 City/SivlIlf y Flans dlain/floor sink/hub 16.60 -- -- Garbage disposal osal - 16.60 'lune: iO-6YJ 7 OD Fax: 6�G'-�9 -'1y/f —._[t -- ,t•,.r„ --- - licnc bib _ , _ 15.60 --_- [cc maker 16.60 Intciccptor/futiase trap. - 16.60 i Address: mer Medical_jas-value: S [a e.-2 _ _----- _ CittEState/Zt� Pr16.6U - --- - Roof drain cortunercia� 16.60 Phutte: Fax: Sink/basinnavato 16.60 E-Mvil. Tub/shower/showerpan _�_ 16.60 , �, t. ,,'I;r ' f,.•a• � Urinal ----- 1660 Busii ess Name: (l,OMR�l _Go -1�o�_T 6Y51F 5 Water closet 16 60 Add1 zss: /2 30 b 5 W (, water heater 16.60 C)ther: �dE3T � CitviState/Zip: 7-164" e5A. /977,?-,4> _ other: Phone. I-%;f -f7fe Fax: 03-639 -0411 CCB Lic. #: Plumb. Lic.#: _ Subtotal =S Minimum Permit Fee 572.50 Authorized Residential Barkflow Minimum Fce$36.25 Signature: - nate' 8 7 03 Plan Review 25%of Permit Fee $ b/41"K�— State Sitrahatge(M of Permit Fc--2S— TOTAL - - (Plisse print name) PERMIT k k k _ Notice- This permit application capires if a permit Is out obtained within All new commercial buildings require 2 sets of plana with Isorlietric or 180 days after It his been accepted as eompleu. Ham diagrmtn for plan review. ,,Iktq\f,C"nit Fonns,PlmPn,,,itApp.doc 01/03 3 q 'Fee methodology eet by TH-County Holldlnp Indira•Ser.,rr nnsrd - ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00220 gn 131'3.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/5/03 SITE ADDRESS: 13694 SW HALL BLVD BLDG 7 PARCEL: 2S102DD-FP7-1 SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG Prosect Description: Buidling #7 - 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: DATA/TELE 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: 360-737-9725 Reg #: LIC 67787 ELE 37-428CLE FEES ^` ^� Required Inspections -� Description Date Amount Low Voltage Inspeciiu i IFi.l-Iml-I j F.LIZ Permit 7/24/03 $75.00 Elect'I Final ITAXI 8°S,State Tax 7/24/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Munidpa! Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those riles are set forth in OAR 952.001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by , , .i . 4A,� , . Permittee Signature'` OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:--.-- LICENSE ATE:- _LICENSE NO. -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 'C'J VVV vV V LLUAWN Electrical fermitAppLipation Received __64/93 eaeotnctd � Nt&% !_ �� ,..�i PennirNo.Fleming City of Tigard DataB :Approval Ptrmnil No 11125 SW H,lll Blvd. Plan knview - - Other Tigtird,Oregon 97223 Datd13Y' iINo.: Phanc. 503.539.4171 I,"- SD3.59$•1960 pull-Revicw Land Use _ _-- Internet: www.ci.hgud onus Case No Contact 1 — See Page`for 24-hour ltlspec+.iun Kequest: 503-639-4175 Nurse/Malhod_ 7 / Supplement I latnrmation. � i�,��:�li�l��11{r',A •`��tdv� .. •" 1a.;,'i �`% i(f1 �RIIY .._. New construction Den7rJ11tI011 T�Servt:e over 223 tmas- Health-carefacility acirmnerclsl Haurdous location Addition/ultoratlon/re lacemeut Ostial: ❑Service ovcr 320 arn;e•rating of Building over 10.000 square feet. 1 dt 2 family dwollinp four or mora residential units in Family dwelling Cotnmercia'/lnduaf Q Systetn over 1x90 Volta nominal one struawrc Building oven three stories ❑Fccdea,400 amps or more AOcessory Budding Multi_l•arlltly 8Occupant load over 99 persons u Manufactured structures cr RV pa-k Master Builder Utley: LJEgre,1411ghring plan H othrr- _ Submit`-sou of plain with any of the above. -� �'im '& �_ � '�' � � � The above are wt a liable to tom n eunatrncd n wrvlca Job site address: r t Suite#/ Bldg JAptA 1f Z _ —Number of In tions per 0ermlt allowed l'ro act Nave:J 7 f v Deacri tion Qty rise(sal foul `— NaM reeldeetial-rhvp or multl-fsmily per �- Cross street/Dircerims to job site: dweHina unit.Isteludes attaehtd garage. Ser-rkc tacludM: 1000 sq.a or leu- 143 15 4 Each��rrddinoeal 5 sr 1L or coition thrroo — 3, Limited rrotpy,reild4nda_I73.00 1 SUbdlVlfilOn: _._--�— Lot t#: LiminC e r uon rear nriai OD 2 I ax map/parcel#: Each rnan- y-sid hone or modular dwellisit service andlor feeder 9090 2 4.�..:.;4,IIrl�'..•,,..i� :r:• C —�] 4:�ii • i;h 11, -- Sarvkcs or( 41411•Ieuulladon, alteration or reloeufoat 100 ore --------_--- _ 80,10 2 1U1 b amps __ l i 2 2 • �, l tot s t0 amps _ 240. 1 2 Name: ---_--_.__ . _. oyer IO amps or> V - 4sa.a3 2 _ omtea en Y _ 66.85 2 Address: Temporary services or feeders-inafaflatlon, --�_----- '-'----_-"--' ---�' ."-'----- 2110uati0tl,or relocation; � ClPlltlte/Zip: :00 or lap ._._�.__.__ 6685 1 Pho.1e: _ Fax: zo sn m "-- ---- ' '° _ 401 to 600 amp 1 3 7S 2 �1,A Bench circake•new,alteration,or - \ g1C; extension per panel: -Adr31CSS --- --- -_� A.fa Nrbrancl,eircAn wid:ptochass or _. __.----__—__-- _service or fvrdn rte.cath br4ne 'rcuh 6.63 lilt /State/ZIH Q —_ .Pace fa•bnnt�circuits without rwc tax of - aorvioe or feeder fee,tint branch circtdt 46.83 2 Phone: Fsx: ch o4mow branch c alt 6.63 1 2 mall: Mtac.(Scryice or Lader not Included): ��-1. 11ti.•,,W,r h of irYi On circ:e _ _ 53.40 2 ch or outlute I n — 3.40 2 Jc1b N_o_ Signal tet(s)or a hmPood energy paMl �r Business N.3me: 1 e L aherttti oo�6atcrtfina ----. _ 2 Z _ r Address:.)t l /Stata/Zi *ch additional lu onion over the allowable Its any T f the above: Per itw;acion per hour(min.1 _ Phone ) eiZ.F FaX' i ) 13J - r CCB Lic.#:(y 7 ).u;.#: -2,7 •4 r: Su e2visln electrician r., �- _— 1+_.__-_._____._ 76 1 P � a Submtal S St tune re Wred: Q eKet.F-� Plan Review 25%of PerrW*.Fee S _ F'rin N&M: 1Lic.#: f State Surobar a e%of _ TOTAL.PERK IT FEE�S� Authorised Q r ) 2-Z Notice: This permit application eipNo U a parealt Is not obtalmodwitkin Si>tle[ure hit � Lh � 160 days after It bro been arcepted a complNe• Q *Fes methodology set by TrWosnri SuMog Industry Service Heard. (Plea,pen:nsttttp l irhtr\PerMc Fpvm\ElePrmtitAnn.doc OV03 CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SIERVi%ES PERMIT#: 5/03 3 OU455 DATE ISSUED: 8//5/03 13125 SW Hall Blvd.,Tiqard, OR 97223 (:-",03) 639-4171 SITE ADDRESS: 13694 SW HALL BLVD BLD ) 7 PARCEL: 2S102DD-FP7-1 SUBDIVISION: FANNO POINTE CONDOS ZONING- R-12 _4 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_i S: ET W: OCCUPANCY GRP: R 1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: B SMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL:� SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO r.ORR: PARKING: VALUE: $ 1,200.00 Remarks: Building 07 - Fire alarm for 6-unit condominium Owner: Contractor: FANNO 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: 360-737-9725 Reg #: LIC 67787 FEES - REQUIRED INSPECTIONS Description Date Amount Fire Alarm 1131 111.10] Permit Fee 7/24/03 $62.50 Final Inspection ITAXJ 8",'o State Tax 7/24!03 $5.00 1FLS] FLS Pin Rv 7/24/03 $25.00 Total $92,50 1 his permit is issued subjr,ct to the regulations contained in the Tiga,d Municipal Code. State of OR. Specialty Codes and all other applicable law All work will be done in accordanw 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 1'ou 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: Gall 639-4175 by 7 p.m. for an inspection the next business day 07,22/03 UP:13 FAI — — - — —-- ----- Q002/000 Fire Protection System Building Permit plication No: Ci of Tigard Planning Approve) other �' anDataE : Perm- tNo.: l4 3-cv/ 13125 SW Hall Blvd. Pion N#view 3 Other Iigs,rt,Ocegon 97223 -ALWPZ `�"� t PermitNo•: Plrone: 503.639 4171 Fax. 503-598-1960 Poat•ltrvlew tend Uet lurernr..r- a•ww.ei.tigard.ormsiDalelft Cate No — 24-hoar ine ection Request: 503-639-4175 Conuct --�` 7 'e.y3ee►aac]for P � NamdMethrd: _�,--� Su elementallnfvrmatbn LAO _New construction_ _ _ _ Detttolition Addition/altcmtion/re 1tcement Otber: a"M,_� _ j:•' ,;: ','C I t� J ' Note. Pum r fEa'err used on the;pial value of the want pert'ortned, Indicate r 1 &2-Fanuly dwelling ColnMercittl/tndastrial the value(rounded w the reamt doilu)of xp equipment materiels,labor, _— overhead and profit for the work indicated on this slVitostion. Accessory Buildv% Multi-Family Mester Builder Other: Valuation..... S — j No.of bedroom* No.of bathe: _ Job site address:] _ Total number of floors......... ....................... Suite#: Bld AA t.#: -f -- Now dwelling area(aq.ft) ........... gam' _ Garage/carport area(sq.ft).......................... Projxt 11ame:L]�L2i1U ��ir[)jt1 1i!)(d1'I 1//) Covered porch area(sq.&L --._ CIoss strCet/17irectlons to job Site: Deck area(sq.ft.). . ........... .. ............ Other sa'ucttue arae(sq ft.).......... ......_. �—_— Subdivision:_ x&XA.-A / eimei k Note Pei mit fits*arc based on the total value of the work performed Indicate tht Yalu(rounded to the nested dollar)of all equ.pwaril,Material.,labor, ovctheso and profit for the work Indioak.d on Us applioalton. Valuation-.............................................•...... Exining building•race(sq,ft.)..._.............. ..,... New building arta(sq.ft.).........................•... - Number of#briers............... _ 01 RIM MEZ74LIN 13I � i ;�yi a:..i Type Of cot>,huctiou.. ......................_......... Name: OcCW*'+cy grouF(s): Existing: -- Ad&ess: - - i�ew. Cit�State/Zip: ---------,--------_-- Phone: , Fey(: - FNOTICEi All contracton and scbconttactors are required to be licensed with the Oregon Corstruction Contrac:ars Berard under provisions of ORS'01 and may be required to be liruntmcd in the Business Name: - jurisdiction where work is being performed. if the applicant is exempt Contact Name: $orn licensaig,the following reason applies. Address: — Ci Phone: _ Fax: - E-mail: v Business Name: , a --- rets dt:e upon application..................•..,...,. S Address: C'iystaterZip /� ' ,L- / Amount _ received...................,,.,•,.......... .... S Phone.; )731 _'�1,_`' Fr`' > "lair rmeived CCB Lie.#:(,, Atnhorited Ant ouze _-�jCvyt.t _�,,�p,�) Date:•?"?z-O-� Notice; This permit application upiru It a permit is act obtaloed wltWa / 1110 days after it hu hrto -eepted as dImplrte. -- / /—Gw ��t - *Ft*methodology yet by Tri-Conary 6uikgrg Industry gerAce(bard. (Please print name) i11I11i1�efltdtptl#11ti�IdOParrnitApp.lnC 01M i CITY OF TIGARD 13125 S.W HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE COMPLETE COMFORT SYSTEMS INC 12300 SW 63TH AVE. TIGARD, OR 97223 Plumbing Signature Form Permit #: PLM2003-00416 Date Issued: Parcel: 2S102DD-FP7-1 Site Address: 13694 SW 14ALL BLVD BLDG 7 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 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, ATTW Building Division. No plumbing inspections will be authorized until this completed form is received OWNER. PLUMBING CONTRACTOR: FANNO POINTE LLC COMPLETE COMFORT SYSTEMS INC 109 EAST 13TH STREET 12300 SW 69TH AVE. VANCOUVER, WA 98660 TIGARD, OR 97223 Phone #:30rr-695-7700 Phone #: 503-598-4798 Req #: LIC 152736 I'I M 34-3501'k AN INK SIGNATURE IS REQUIRtD THIS FORM Signature of Authorized Plumber If you have anv questions, please call 503.718.2433. CITY GF TIGARD 24-Hour BUILDING Inspection Line: (503) 6 -4175 MST INSPECTION DIVISION Business Line: (503 6 9 171 _ BUPA _',v��.1 Received 2 Z _Dale Request,d /?– / 5 U �--'- AM PM.__-__—. BUP _. Location Suite Contact Person Ph ( _) 23 Contractor ____..Z /L�tJ P'rt( ) --- __- SWR BUILDING enanVCtwner _- --__.__. ELC —_ Footing ELC: Foundation Access: Fig Drain 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 Ceilirtg --- ------ _ - -- ... -- - Hoot - final . �_ S ART FAIL ------ - - - --- -- - - _ - ---- -- -- _ - -- --_ _----- - / PLY- NG st&Beim Under Slat ------ Rough-In �^ Water Se vice - ---- -------- - -- -- - __ ----------.. Sanitary Sewer Rain Drains -- - - - - - -- --_-------- ------- Catch Basin/Manhole Storm Drain —�_—. ---- - -- ----___ shower Pan Other: Fit tal PASS _PART IL ECH --- ----___- ------ -- - --- ---_--- - MANICAL Post& Beam /C Hough-In �'7j oI --��. -_--- ---------- -- -- ----- -- Gas Line SfYw4.Damp r \v __-- - -- ---- ��_� ----- -- - .. ---- Final -VASS-PART_ FAIL - ---- -- - — ELECTRICAL Service Rough-In UG/Slab t-ow Voltage Fire Alarm Final Reinso-:.aon fee of$-- _ required before next inspection. Fay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ - --__ _ Unable to inspect-no access Fire Supply LineADA i -7 Approach/Sidewalk Date I_L/t a.-� Inspector ---�____.__-_ _---- __ _ Ext- Oth6r: Final -� DO NOT REMOVE this Inlspectlon record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 y • MST INSPECTION DIVISION Business Line: (503)639`4171, -2 _UC�/� BU -- Received 12 Date Requ sted Z AM P Z� BUP 'Location /..� �1� / �.'�.�—_-_—_Suite MEq ' Contact Person __ c ! cr �11� Ph ( 1? -r PLM --- -- Contractor —,- 4 _L' I Ph( ) ------ ---- _ SWR —_ BUILDING Tenant/Owner ELC _ _- Footing _ ELC Foundation ----- ,(� Ftg Drain r (1i 7" 1 't/�`� -� ELR -_----- Crawl Drain slab I Inspection Nates: SIT Post& Beam -- Shear Anchors ---- -- - - - - -_ _ Ext Sheath/Shear Int Sheath/Shear Framing ---- _1�W ----- _X..,. - ---- - - - Insulation l , _ �• �,� l Drywall Nailing Firewall Fire Sprinkler Fire Alarm 1 Susp'd Ceiliny Roof Fine- � ��3 U \Q _PASS PART PAIL ^ PLUMBING Nj U Post& Beam. _._... . �i✓' T�� L-Ct C.�?..,.�-1 � -__ Under �/"�--- Slab {�- iRough-In 1��`-✓ �_-• .S i Water Service 13a0tary Sewer q ►�,.Jl . Hain Drains - r;atch Basin/Manhole �.✓� r Storm Drain -�—" ----. ---- -----�.._- --- - -- Shower Panmac- Other: Final L) PASS PART FAIL i MECHANICAf1. ------ - -------------- Post& Beam Rough-In - - - - - -- - -- Gas Line I $mt2kB_l�ampers —La ` —� /��j,—(�-��. ♦ --- Flhal ) �/ Ar --� --+ ) S �� c-e (PART FAIL --- ------__, - ---- i CTRICAL - �;`,r..� s Service J Rough-In ------ ^__- _ W "`" ( C^r_ _ — UG/Slab a Low Voltage __ ' V 1ti1 Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SATEI Please call fur reinspection RE: Unable to inspect -no access Fire Supply_Line ADA Approach/Sidewalk Date. � Inspector Z� ________------- J --- Other: Final DO NOT REMOVE this Inspection record from the job s te. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Buziness Line: (503)639-4171 t--- 1 FPS _3 - o 0-3 4- Received --. Date Requestedl��_..�© M)_.._ PM up v� Location � b 061 -� � Suiitte� MEC Contact Person -_-- --__mac—Sly---��-r Ph(-----) —_�� PLM - -_-- ---- - Contractor_ -------- - - Ph( ---) ---- - SWR _---. — --- -- lLDIN� Tenant/Owner _ `� __ �'� _— `st-�_S_ ELC o g Foundation — ELC Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam ------_---- Shear Anchors -_ Ext Sheath/Shear Int Sheath/shear -�----� ---- - - ��_- Framing Insulation Drywall Nailing -- - ------- -- - Firew��ll _ Susp'd Ceiling - - Roof r_PA S 'PART FAIL MBING Post&Beam Under Slab Rough-In Water Service -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - - ----- - - Shower Pan Other: - - - - --- - - - -- ---- ---- Final PASS PART FAIL - _ - MECHANICA_L _ Post& Beam T Rough-In - - Gas Line Smoke Dampers - - ----- -- ---- - -- - --- -- Final PASS PART FAIL - -- --- ---- ._.�_-. ELECTRICAL Service Hough-In UG/Slab -- - --- -----_. Low Voltage Fire Alarm Final _ Reinspection fee of g___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE:s___-. -7�--_ - Unable to inspect--no access ADirASupply Line --- J f Approach/Sidewalk date ! _---- Inspector 1 -___Ext Other: Final ®O NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Lino: (503)639-4175 MST INSPECTI:)N DIVISION Business Line: (503)639-4171 Bur __-- Received _ //__._ Date Requested___. c�- __ AM-_._ _.___-_ PM _ BUP Location __ ___1 Via' pG • -Suite Suite-__ __ MEC Contact Person -----��d �%L— Ph(------) 1 �� ' 7�Z �_ PLM Contractor --_-__ Ph( ) --- _.- _-- SWR BUILDING Tenant/Owner __ ELC 3 D •� `� Footing ELC Foundation Access: Ftg Crain ELR Crawl Drain - Slab Inspection Notes: SIT _ Post& Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing --- -- Insulation Drywall Nailing - I r -- - - - - -- - -- Firewall S Fire Sprinkler - -- -----+ Fire Alarm Susp'dCeilinq --- -- --- ---- - ------ Roof Other: - Final PASS PART FAIL PLUMBING _ Post& Beam Under Slab - - 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 Smoke Dampers --- - _ -- Final PASS PART FAIL_ -- -- - ELECTRICAL ogRough-In � UG/Slab Low Voltage Fire Alarm _ - �FIhi3C� l__1 Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART _FAIL SIT F_� Please call for reinspectiog RE: - — Cj Unable to nspect-no access Fire Supply Line ADA Approach/Sidewalk Date __ _� _._. Inspocof —� ~�- Ext Other: Final DO NOT REMOVE this Inspection recoreffrom the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Lige: .(503)639-4171 MST euP Received . _ Date Requested_ cz, G AM---- PM BLIP Location �z 14A_4�y Suite___—_T__ __ MEC Contact Person dqd,[JL&LZ Ph 3 2a k. PLM Contractor -__--_ __ _ Ph SWR BUILDING Tenant/Owner __— ELC Footing ELC Foundation Access: FtgDrain /� o �Y1 i<� ELF!Crawl `..- Drain Slab Inspection Notes: SIT Post&Hearn Shear Anchors Ext Sheath/Shear Int Sheath/Shear w Framing Insulation Drywall Nailing -_ -- ---... Firewall Fire Sprinkler - - _—e Fire Alarm Susp'd Ceiling Roof Other: - F, - ASS ',PART FAIL --_ - Post&Beam Under Slab Rough-Ir, Water Service - - - - - -- -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan r Other: i Final,'_ SS-)PART FAIL_ MEMI(NICAL _ Post& Beam - Rough-in Gas Line Smoke Dampers - - _ —------ - Final PASS PART FAIL ELECTRICAL Service - ----- Rough-In UG/Slab ----- � ----- Low Voltage Fire Alarm Finns 1 Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL $ITE Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Line ADA Ante L'( � Inspector _ `r Ext - Approach/Sidewalk ----- 9 - Other: Find DO NOT REMOVE this Inppectlon record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP lieceived 12 _ Date Requested- Z AM PM _ __ BLIP Location —_L C �_ _Suite MEC Contact Person ,- .6-a'c CIL _ _ Ph( ) _1 �� '72 2) PLM - Contractor._4-�c r �� _f ' — Ph( ) SWR D BUILDING Tenant/Owner -_ (E L3 I-noting Foundation ELC Access: � ;� —G c)� Fty Drain ELR � Crawl Drain _- Slab Inspection Notes: SIT Post& Beam _ Shear Anchors ExtSheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling -- Roof Other: ----- - - Final PASS PART FAIL PLUMEINQ Post& Beam Under Slab Dough-In Water Service --- Sanitary Sewer Hain Drains - - Catch Basin/Manhole Storm Drain -- Shower Pan Other: - Finel PASS_PART FAIL -- MECHANICAL Post& Bearn Nough-In Gas Line Smoke Darripers - - Final PASS PART FAIL - - - --- --- - r LECTR_1tAL Service --- __ - ----------- ---- Rough-In 1- �- rUG/ ltaarm FtReinspection tee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd I�PART FALL SITE ^_ T~ ❑ Please call for reinspection RE: Unable to inspec'- no access Fire Supply Line Approach/SidewalkDate Inspect Ext. Other: ./ Final DO NOT REMOVE this Inspection record from the jel eitM. PASS PART FAIL PWJNW Gwww ENcrrb MEMORANDUM 02/28/03 TO: CONTACT: Richard-Poly Gon NW PHONE: f5031615-685 CUSTOMER NAME Fanno Pointe Condo's _ ADURESS: 13700 SW Hall Blvd:Tigard, 12111dg#3 FROM: ENGR/SDC: Jim Vat Kleek PHONE: 503 570i4407"�T SUBJECT: SINGLE-PHASE SECONDARY LINE-LINE FAULT CURRENT (RMS) TRANSFORMER DATA XFMR Impedance(%): _ 1,50 % TRANSFORMER SIZE: 167 KVA Seco!jdjq VOLTAGE L.ko L : 240 v 350 TX VAULT ( or Pole) --> PANEL SECONIDARY or Svc Projpj Service Wfro LENGTH: _79 Feet WIRE SIZE_ Number of Service RUNS: i2 Run(s)of: 350 TX_ Service WIRE Resistance R. _ 0.0600 Ohms/1000' I Service WIRE Reactance X: 0.0280 Ohms/1000' FAULT CURRENT: , 15,350 A s (or SHORT CIRCUIT CURRENT) RMS Symmetrical t le , (or INTERRUPTING CURRENT) .- I Based on a panel size of: 600 Amps To Print This Page:"Ctrl M"and choose"Print 1-Ptiase$a�a Amondson Co waded to LMcel by Allen Campbell,BEST Colmul! 1/2sam f r tl,l tl11;word, aS deschhed i ' PLf0.iII r10 w r� HBe i _!Irrr lu I allow.... . Ata h.....'..j.... I, -� Job Address: � � 2� r1� ab/16/201;3 12:50 3606934441 POLYGON PAGE 09/89 I I Apallment Und L08d COlculnllon I. Project, Fanno Pointe Condominiums iUnll Load Cele.!220-30 Apt 1 ype- 02 Unit/oral aq 0, 1139 x 3 W/sr.p 3,417�Waltb I- Appnance Clrcuil 3.0001 Wolin i I !Laundry Clrrull 1,S601Wells i Jishwasher 1,200'Watls �OlaDasal 8601Walls Flange 10'200:Welts Mlcrowwa�-lood 1,280 Wnlls , ( � � � Gas Furnace 0-wells ) Dryer 5,900;Watts Wafer NealarL. 1. A,(iO4%Wntls •I 'Total 31.51-1,Watts i . HEAT TOTALS dal 10 INA at 10051, 10I... l aI a A';C 9,04n Al 100--lf,— 9 000 1 he Remelnlng i $!6'17 0140% v:w,ts Heat _ _ 0 .959S �� _ Total 1 ,!l071Wella 4 F stats I _ '5,)50 At 40% 2,300 Non.Colneldenlei Hent -A/C,Total i s.oaa 1Nalte _ Total KW 27.807 Walts w• I: �. r Divide Voltage.----240'Volts Total Unit Load I � ., ,Pane(91:e and®reoNer,puSntlNet: I _ •_ i anel Size L 1501 !.. + Amp Buss 3C C1 CI Iroull 311P 15A Lights and Plu 1 1P IBA-AFrLlQhta and Plugs t edroonla_B Miae_L. �.. 2P 1 SA OW/01e Flaatria Heat - ___.... _ 511E 20^ AAppL(2),Laund.'981h" MlaolHoad 1�P 20A I I rlc Heal l 512P 30A„ Water Hit;0 cr•AH:Relpc�(3�— 50A I Range T CITY OF TIGARD Appro ed . .... . ... Condi iontl!I pprovrd... .... _ .. ,r4L Ihi; r"s deScr+bed in. PER 11 5e I -iter to. Follow,. ...... .............. ....... [ . ..... ...... Job de ta:_.`. .-_ _.rlr1-•- 8U0 'd I1 � 11 Ii�H�1�00Z-1,1-�d�'