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13702 SW HALL BLVD
BLDG. 3
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13710 SW HALL
FOR
ADDITIONAL
INFORMATION
Correspondence
Plans
Reports
CITYOF T I GA R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2003-00135
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/16/2003
PARCEL: 2S102DD FP3-1
ZONING: R-12
JURISDICTION: TIG
SITE ADnRESS: 13701 SW HALL BLVD B 7G 3
SUBDIVISION: FANNO POINTE GOND( ;
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#3 - 6 unit condominium
c xner:
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,IC 154893
This Certificate issued 12/09/200? grants occupancy of the above referenced
building or portion thereof and confirms that the building has been inspected for
compliahce with the State of Cregon Specialty Codes for the group, occupancy,
and upO under which the referenced permit wasj r /�1� ,✓
60—fflNia I SPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
I
�
CITY O F T'!O A,R D _____ BUILDING PERMIT
PERMIT#: BUF2003-00135
DEVELOPMENT SERVICES DATL ISSUED: 5/16/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP3-1
SITE ADDRESS: 13702 5W HALL BLVD BLDG 3
SUBDIVISION: FANNO POINTE CONIIOS ZONING: R-12
BLOCK: LOT: UU1 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_
CLASS OF WORK: NEW yY FIRST: 2,210 sf N: 1 HR �S: 1 HR E: 1 HR VV: 1 HF:
1YPE OF USE: MF SECOND: 3,864 st PROJECT OPENINGS? _
TYPE OF CONST: 5-1HR sf N: N �S: N E: N _ W: N�
OC-C',.-,, NCY GRP: R1 TOTAL.AREA: 6,074 sf ROOF CONST•: FIRE RET?
OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEP. RATED:
S TOR: ? HT: 25 ft GARAGE: 1,544 sf OCCU SEP. RATED: 1 HR
BSMT'?: MEZ..Z?: _ REQD SETB'.CKS __ _REQUIRED
____
FLOOR LOAD: psf LEFT: ft RGI;T: ft FIR SPKL: Y 3MOK DCT:Y
DWELLING UNITS: 6 FRNT. ft P,FAR: ft FIR AL.RM : HNDICP ACC:Y
BEDRMS: 11 BATHS: 10 IhIP SURFACE: PRO CORP.: PARKING:
VALUE: $ 53.,587.00
Remarks: Building#3-6 unit condominium -TIF DEFERRED
Owner: Contractor:
FANNO POINTE LLC FANNO PO;NTE LLC
109 EAST 13TH STREET 109 EAST 'I 3TH ST
VANCOUVER, WA 98660 VANCOUVER, WA 98660
Phone: 360.695-7700
Phone: 360-695-7700
Reg#: LIC 154893
FEES REQUIRED INSPECTIONS
Description Date Amount Erosion Control Insp 846-8 Drywall nail/screw
[BUPPLN]Pin Rv 3/21/03 $1,579.76 Footing Insp Gyp Board Insp
[FLS]FLS Pin V%, 3/21/03 $972.16 Slab Insp Smoke Detector
Framing Insp Final Inspection
[BUILD] Permit Fce 5/16/03 $2.,430.40 Insulation Insp
[TAX] 8%State Tax 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
—`—�—�— -- L Drywall nail/screw
This permit is issued subject to the regulations contained in the Tigard Municipal Cade, 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 ;s suspended for more than 180 clays. 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 OUNG by
calling (503)246-6699 or 1-800-332-2344.
Issued By:
Permittee
Signaturo: G
Call 639-4175 by 7 p.m. for an inspection the next business diy
Building Permit A/1illication n '
-------,-- !� � Received ter{ /� Nodding
Date/fid Ov 04 Permit No.
Cit ' (111 Tigard i�)41 CIDIN* jik- 3 Planning Approval Other '�gJRe?003
Date/ft : _ Permit'C'
13125 SW Hall blvd. --- - -- Plan".eview Other
Tigard,Oregon 97223 _Dste/13y: Permit No.
Photfe: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Internet: www.ei.tigard.or.us Date/By: Case No.
Contact loris: See Page 2for
24-hour Inspection Request: 503-6394175 Nume/Method: Su iementrl Informrtlon
TYPE OF WORK REQUIRED DATA:
YdKd:1!fion/a1teration/rcp
wconstruction . 1 —� Demolition i &2 FAMILY DWELLING
lacemetit 1 F1 Other: —
CATEGORY OF CONS'T'RUCTION Note. Permit fees*are based on the total value of the work performed. Indicate
i &2-Family dwelling Comrnercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
-- —
Accessory Building Multi-Family
overhead and profit for the work indicated on this application.
_ _� _
Master Builder _ Other:_ Valuation.. ......................................................
JOB SITE INFORMATION and LOCATION No.of bedrooms- No.of baths:`.-
Job site address:/.770 L Sw P4 L &vl). — Total number of floors......
- -- . ..- --
SuNew dwelling area(sq.R.)...... .......................
iie#: 3-/ �Jirot- a, 7.G Bld ./A t.#:—.—� Garage/carport area(sq.R.)............................
Pro'ec� t Name:
FA N No PO i NT C Covered porch area(sq.R.)............................
Cross street/Directions to job site: Other structure area(s .R.).............. .
Deck area(sq.R.)................................
q ..
REQUIRED DATA:
COMMERCIAL •USE CHECKLIST
Subdivision: _ _ Lot#:
Tax map/parcel #: ___ — Note: Permit fees*arc based on the total value of the work perl'ormed. Indicate
DESCRIPTION OF WORK (tic value(rounded to the neatest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
rb OLEx __f•LA7 — ---- `35, 587
Valuation................................. .................. S �7
6ltistitag.building area(sq.R.)............V..",..... �_-
- New building area(sq.R.)..................A7.1...•. 6074
Number of stories...... .. ,................................
PROPERiTY.OWNER __7EJfENANT _ Type of construction...._................................. V
Natne: _FAN o Po I N 7 C L.L, C , Occupancy group(s): Existing: _
-- - New: �_--------
Address: -r 5.t`' 5-t1ZUT
City/State/Zip: A14 CCpUVE2 ASµ q%4 bo -
Phone: 760-05-- 360 - 6 9 3-L-/yH Z NOTICE: All contractors and subcontractors are required to be
ONTA 1'E _ _ licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be rr ed to be licensed in the
Business Name: fA N Id 0 /V I N7'! L,,(,,C, jurisdiction where work is being performed. if the applicant is exempt
Contact Name: from licensing,the following reason applies.
Address: 101 EAST 114l'- S-TREE? _ -- -- ---------
Cit /State/Zi ANCDUVF,Q_ ,LJASN , 1 %6160 --- - -----------____
Phone: 360-6gT• 'r700Fax: 360 -693 -4442
E-mail: BUILDING PERMIT'FEES*
CUNTRACT Please refer to fee schedule.
Business Name: FAW40 pa I NTL I_L.0 Fees due upon application. _ .__ -_ S ,S 1.q Z
Address: 109 EAsT 134L- ��IveE4
Cit /State/Zt AN 01JV E 12 , (MASH . q$6 6 U Amount received.............. .............. .... . _ $
Phone: 3617-655 - '77100 Fax: 360- 6 If 3 X142- Date received:
CCB Lic. #: L �-- __-----�- —
Authorized Notice: This permit application expires if a permit is not obtained Nlthin
Signature: �l� — -Date. l -03 180 days after It has been accepte„as complete.
161+4te- — *Fee methodology set by Tri-t'ounly Building Industry Service Board.
(Please print name)
t:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
I
Man Submittal Requirement Matrix
r
('ommcrcial & N11llti4*a111iIN
0(j,of Tigard New, Additions oi- 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*
Fire Protection System 3'A
Mechanical 2
Plumbing - Building Fixtures 2
I
Electrical 2
Pian review is dependent upon submittal of a completed application grid plans. After
plan review approval, the Plans Examirer 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, submi'. 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" techni;ians.
iAdstslfoims\PlanSubMatrix.doc 2/27/03
CITYOF T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00140
13125 SW Hall Blvd., Tigard, OR 97223 (503) 839-4171 DATE ISSUED: 5/16/03
PARCEL: 2S102DO-FP3-1
S11 E ADDRESS: '13702 SW HALL BLVD BLDG 3
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
Or:CUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: :'_ BOILERS/COMPRESSORS HOODS: F
FUEL TYPES 0 3 HP: DOMES. INCIN:
I-P � � 3 15 HP: COMMt_. INCIN:
MAX INPUT: B71) 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS. 30 - 50 HP- WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDL.ING_UOTHER UNITh
_NITS CLO DRYERS: h
FURN >=100K BTU: <= 10000 cfln:
UNITS:
GAS OUTLETS:
10000 cfm:
Remarks: Building 43 - Mechanical work liar 6 unit conulonunnnn
Owner: -----_� ___�— FEES _�_ --_-----
FANNO POINTE LLC Description Date AmoUnt
109 EAST 13TH STREET M ECI I]Permit Fee 5/16/03 $193.16
VANCOUVER, WA 98660
�MECPLN]Plan Rev 5/16/03 $48.29
TAXA 8%State'rax 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
Phone: 503-598-4798 Gas Line Insp
Mechanical Insp
Reg #: LIC 152736 Duct Inspection
Final Inspection
This permit is issued subject to the regt.riations 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 no, `arted within '180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: C on law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rule ' 3t forth in OAR 952-001-0010 through OAR
952-001-0100. You may obtain co, „ .. ese rules or direct questions to OUNC by calling
(503)246
issued 8 Z}zc_ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
arm
Mechanical Permit ApplicationReceived4t 0'�°` ' Mechanical
PermitNo.: Qp uj r M�,It of Tigard - Planning Approval Building
City 1 g DatemG : Perron No.:
13125 SW Hall Blvd ILb/N� Plan Review `— Other --
Tigard,Oregon 97223------__....___.--..__..._..__ Dslo/By: Pennit No.:
Phone: 503-639-4171 lax: 503-598-1960
Post-Review IJurd Use -_ _- - --�--
Date/By, Cue No.: _
Interngf: www.ci,tigard.or.us Contact e.: See Page 2 for
24-hour Inspection Request: 503-639-4175 Name-Method: — r(% Supplemental Information._
_ TYPE OF WORK — COMMERCIAL FEE*SCHEDULE-USE•CHECKLIST
New construction __ Demolition Mechanical permit fees'are based on the total value of the work
Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit.
1 &2-Family dwClling. 0 Commercial/Industrial value: S See Page 2 for Fee Schedule
Accessory Building Multi Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE"SCII DULE
Master Builder _ Other: — Deacrl q on`_ Qty Fee(ea.) Total
_ Heatln Coolin
dOB SITE INFORMATION and LOCATION Furnace-add-on air conditionin •' 14.00
_Job site address: /37OZ _51,- NN 1.1. (3wip, _ Gas heat pump 14.00
Shite#: 5-) 1h rut.,I. 3-(oBId /A t.#: Duct work 14,00 _
� --
Project Name: f=AMAIV POI NT Nydrontc hot water system 14.00
Cross street/Directions to job site: Residential boiler
for radiator or h dronic system) 14.00
Unit heaters(fuel,not electric) _—
n wall,in-duct,suspended,etc.) 14.00
Flue/vent for any of above _ 10.00
Repair units 12.15
Subdivision: _— Lot#: Other Fuel Apt illances
Tax map/parcel #: Water hear^.r 10.00 _
`ESCRIFTION OF WORK Gus fireplace � 10.00
P[ey- CC>N DO 5 Flee vent(water heater/gas fireplace) 10.00
Lo Ig fighteras�� 10.00
- - - ---- Wood/Pellet stove 10.00
Wood fireplace/insert _ 10.00
Chi mney/liner/fltie/vent _ 10.00
Other: _ _ 10.00
Name: FAIViyo 0001,W-if 4.4-X, Environmental Exhaust&c Ventltatlob
Address: 104 45T /3+t, S TQEET Range hood/other kitchen equipment 10.00
Clothes dryer exhaust — 10.00
Cit /ltateZp / N(OUUEIZ N�A5H. y66O
Single duct exhaust
Ph-on e: .3&0 - 69s-770V Fax: 360- 6113 A4q Z (bathrooms,toilet compartments,
utility rooms)
Name: VAH140 PD 1NT 1 L,L,C, Attic/crawl space fans ,_ 10.00
Address: /01f CAsT 3f1- <7)ece7- Other: _ _10.00
___iii►el
City/State/Zi�1 (01.1 Vt12- WASH . 79166 o ••(15.40 for first.4St.00 each additional
Phone: �6C-(9S"-77b� Fax: 3(�0- 69�yZ l,urnace,etc. ••
-- Gas heat pump _ •• _
E-mail: Wall/suspended/unit heater •'
Water heater --- .•
Business - C Z W C< IIAN t C A L- Fireplace —^ ••
Address: J 13 O0 W 69 t` AVE,-- - - Range — •"
Cit /State/Zi 16A I21� 0 q`72_23
BBQ _ .•
_�' P —,—_ Clothes dryer(gas) ••
Phone: 503-5yg-�7gff Fax o3-639 o9yY Other: —_ - •• — — _
CCB Lia #: 15- Total:
Authorized — Mechanical Permit Fees'
Signature: �� Date:3y Subtotal: S
Minimum Permit Fee$72.50 $
Q L I 41 Nt I Pian Review Fee 25°( /.of Pemilt Fa S ts
n-- - State Surcharge(8%of Permi Fee
(Please print name) - - TOTAL rERmn'FEE S
Notice: This permit application expires if a permit Is not obtained whin 'Fee methodology set by Tri-County Building Industry Service Board. _
180 days after It has been accepted as complete. "Site pian required for exterior AK'units.
`.IrstsU'rnnitI;orms\MecPertnitAppdoe 01103
Mechanical Permit Application - City of Tigard
Page 2 - Supplementa: Information
Conitnercial Fee Schedule:
'Ibtal Valuation: _ Permit Fee: �
51.00 to 55,000.00 Minimum fee$72.50 _ 1
$5,001.00 to$10,000.00 $72.50 for the first 55,000.00 and$1.52
for each additional$1170.00 or fraction
thereof,to and including$10,000.00.
$10,001.00 to$25,000.00 $148.50 for the ural$10,000.00 end
$1.54 for each additional$100.00 or
fraction thereof,to and including
$25,000.00.
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and
$1.45 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 and up $742.00 for the.first$50,000.00 and
$1.20 for each additional$100.00 or
fraction thereof
Assumed Valuations Per APO nce:
Value Total
Description: ( (Ra) Amount
Furnace to 100,000 BTIJ,including 955
ducts&vents
Furnace>100,000 BTU including ducts 1,170
&vents
Floor furnace including vent 955
F-spended heater,wall heater or floor 955
mounted heater
Vent not included in appliance permit 445
Repair units 805
<3 tip;absorb.unit, 955
to 100k BTU
3.15 hp;absorb.unit, 1,700
IOIk to 500k BTIJ
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
Air handhug unit>10 000 cfm 1,170
Non porVible evaporate cooler 656 _
Vent fan connected to a single duct 446 Ll O
Vent system not included in appliance 656
permit__
Hood served by mechani:al exhaust _b 656 b
Domestic incinerator 11170-
Commercial
170Commercial or industrial incinerator 4.59D
Other unit,including wood stoves, / 656 16
inserts,etc. v 1
Gas piping 14 outlets 360
Each additional outlet 63
TOTAL COMMERCIAL $
VALUATION:
I\I)sts\Pemrit Fomu\Mecl'ermitAppPg2.doc 01/03
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00105
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/16/03
SITE ADDRESS: 13702 SW HALL BLVD BLDG 3
PARCEL: 2S102DD-FP3-1
SUBDIVISION: FANNO POINT= 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: WATER HEATERS: 6 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 2.0 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 6
TUB/SHOWERS: 10 SEWER LINE: 100 ft
WATER CLOSETS: 10 WATER LINE: 100 ft
DISHWASHERS: (i RAIN DRAIN: 100 ft
Remarks: Building #3 - Plumhinq work f0;i 6 unit condominium. _
-- —
Owner: FEES
--�--- — Description Date Amount
FANNO POINTE LLC -
109 EAST 13TH STREET IPLUMB] Permit Fee 5116/03 $1,308.00
VANCOUVER,WA 98660 11'LMPLN] flan Review 5/16/03 $327.00
[TAX] 8%State.Tax 5/16/03 $104.64
Phone : 360-695-7700 Total $1,739.64
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 69TH AVE.
TIGARD, OR 97223
REQUIRED INSPECTIONS
Phone : 503-598-4798 Sewer Inspection
Water Service Insp
Reg#: k IC 152736 PLM/Underfloor
PLM 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 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: Ge--- -- _—
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application '
------- Received �/G•if 1'lu•nbing 1�'��'�/O�j
Ds"Y: Permit No.
Cit Of Irl and 1 %� Planning Approval Sewer
y' g �! l(� "N(C" � Date/By: _ Permit No.
13125 SW Hall Blvd, - Plan Review Other
Tigard,Oregon 97223"'ter Date/By: Permit No.: _
11hoAe: 503-639-4171 Fax. 503-598-196C Post-Review land Use
DaWBy: _ Case W.:
Internet' www.ci.tigard.or.us Contact Juris. See Page 2(or
'_a-hour Inspection Request: 503-639-4175 Name/Method Su-le pose Information.
TYPE OF WORK 'FEE«SCHEDULE(for special Information use cb-Mist)
Ncw construction Demolition Descrlpuon (p>. Fee(to-) Total
Addition/alteration/replacement Uther: New t-&2-fatglly dwellings
CATEGORY OF CONSTRUCTION (Includes 100 h.for eiA utillt conncctl"a
SFR I bath 249.20
1 & 2-Family dwelling Commercial/Industrial SFR 2)bath __. 350.00 -
Accesso Buildin Multi-Famil - ---
_ ._��__-- _IM _ -___ SFR 3 bath 399.00 _
__Master Bvilder Uthet: _ Each additional bath,kitchen itchcn 45.00
JOB SITE INFORMATION and LOCATION Firesprinkler-sq. ft. Pae 2
Job site address: /3'702- 5A P,4i t- 13L.V0, Site11rNlltl_
Stsfft#: 3-/ 1G1 Bldg,/Apt.#: 3 Catch basin/area drain 16.60
Project Name: ;:q NNo _ PI)I"'T ti D eN/leach line/trench draw 16.60 -
Cross street/Directions to job site: Footing drain(no. linear R. Pae 2Manufactured home utilities _ 110.00
Manholes 16.60 _
Rain drain connector 16.60 _
Sanitary sewer no, linear ft. Pa e 2
Subdivision: Lot#: Storm sewer no. linear ft. Pae 2
Tax map/parcel #: Water service no.linear A. Pae 2
DESCRIPTION OF WORK
Absorption valve 16.60
(ALX- f`� S..___ --___._.-- __. Backflow preventer I Pa e2
Backwater valve 16.60
Clothes washer 16.60 q,bfV)
Dishwasher 16.60 17q,b0
P't TffOWIVEit r_
Drinking fountain - 16.60
• = ---1JJ-TENAN -- -- Ejectors/sump 16.60
Name: f/.1 NN v PO I N T F L.L,C, _ Expansion tank _ 16.60
Address: 109 EAST W'' STQt E�T Fixture/sewer ca 16.60 _
City/State/Zip: (0 a V 6V_ , I'2-JASN_ q�66 U Floor drain/floor sink/hub-__ _ 16.60
Hose
Hb
Phone: X60-05- 1'' DC' Fax: 36a- 643- 1'til Garbage disposal 16.60 g,bo
- osc bib (o ___16.60 ,bn
MqM"r_- 511
Name: J�'A N No P0 I NTC L,L, Interce>I for/grease trap 16.60
Address: JiDq L/15T 134 5T9 E t Medical gas-value: $ 1 Pae 2
_
City/State/Zip: VANCOLAUeg, LyA- 4 , 11660 Primer 16.60
mRoof drain comercial _ 16.60
Phone:360-695- -1-700 1 Fax: 360-61) -1444 Sink/basin/lavatory 16.60 0�
E-mail: Tub/Omwer/shower pan p 16.60 d 0
-_R'Ni.. , ,:_-7 - Urinal 16.60
Water closet 0 16.60 l b ,00
Busin_essName: (�SI, yiE[NitN1[AL - ---
Water heater 16.60 v
Address: 12-300 5k,7 _6 �(" VE _ - other: _
City/State/Zip: T ISA RO DR. q_7 z z 3Othet -
Phone: 507- 5g8-q` 9Y _Fax: Sot-�L- 04gK - Plutnb
CCB Lic. #: T"73(-� Pl �b. Lic.#: }-2CLP6 - Subtotal 's --
Minimum Permit Fee$72.50 S
Authorized Residential Backflow Minimum Fee$36.25
Signature: Deter:/ 'L^ Plan Review(25%of Permit Feu S
'0 N f'.16 C 1z_ State Surchar a 8%of Permit Fee) $
(Please print name) TOTAL PERMIT FEE $
Notice. Thlq permlt application ciplres If a permit Is not obtained within All new commercial buildings require 2 sets of plans with isometric or
190 days after It has been accepted as complete. riser diagram for pian review.
*Fee methodology set by Trl-County Building Industry Service board.
WstsTemtit Form-OPimPernutApp.doc 01103
Plumbing Permit Apnlication -City of'Tigard
Page 2 - Suppleimew.., Information
Fee Schedule: _ Residential Fire Supp ession Stems:
_ Site ui dues Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain• I" 1(v 55.00 0 to 2,000 —�" $11100 "
Footing drain•each addilio- al I M. 4- 46.40 -2'001 to 3600 _ $
3.601 to 7,200 _ 20.00 _
Sewer- I$I 100' 55.00 7,201 and greater
Sewer-each additional 100' 46.40 - ------
Water service• tat 100' 5500 — Medical Gas S sterns:
Water Service-each additional 100' 46.40 Valuation: _ Permit Fee:
Storm&Hain Drain- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72 50
Storm&Rain Drain-each additional 100' 4o 40 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1,52 for each
additional SIM.00 or fraction thereof,to and
Fixture or Item Qty. Fee(es) Total including$10,000.00. _
Commercial(lack Flow Prevention Device 4640 $10,001.00 to$25,000.00 $148.50 for the first$10,000,00 and$1.54 for
Residential Ilackllow Prevention Device each additional S 100.00 or fraction thereof,to
minimum pertnit fee$36.25 27.55 __ _ and including$25,000.00.
Rain Drain,single family dwelling 65.2.5 $25.00) 00 to 5.50,000 M ,'379.50 for the lii:st$25,000.00 and$1.45 for
each additional$100.00 or ftaction thereof,to
Inspection of existing plumbing or _Ind including$SU,000.00, _
s cielly requested inspections•per hour 72.50 $50,001 00 and up $742.00 for th, first$50,000.00 and$1.20 for -
Subtntrl; each additional 5100.00 or fraction thereof
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work perforated by fixture. Failure to
accurate) report fixtures could result in increased sewer fees*.
_ r ' y Quaullty b•(Fixture Work i'erforutcd� Comments regarding fixture %pork:
� New Muvcd Fatstln Capped
-
Both -Tub/Shower _
Aocuzzifwhirl I ---
Car Wash -Each Stall
-(hive Thru _
Cu idor/WaterAspirator _ --------
Dishwasher -Commercial
-Domestic _
Drinking Fountain "-
_lye Wash _ - ---�- -- —
Floor Droin/sink -2"
-3"
-- -- --- -
4"
Car Wash Drain _ *Note: If the fixture work under this permit results in an
Garbage -Domestic
Disposal -Commeicial increase of sewer F.DUs,a surer permit will be issued and
-industrial fees assessed for the sewer increase must be paid before the
Ice MachAeftig.Drains — plumbing permit can he issued.
Oil 9e rator Gas Station
Rec.Vehicle Durnp Station
Shower -(fang
-Stall
Sink -Bar/lAvatory
-Bradley
-Commercial
-Service
Swimming Pool Filter _
Washer-Clothes
Water Extractor
Water Closet•Toilet
Urinal
Other Fixtures:
i\i)sts\Pennit Forms\PlmPemitAppPg2 d(x 01103
CITY
IT OF TIGARD
R D ELECTRICAL PERMIT
4 /'iR PERMIT#: ELC2003-00174
DEVELOPMENT SERVICES DATF ISSUED: 5/16/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP3-1
SITE ADDRESS: 3702 SW HALL BLVD BLD(, 3
"UBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT : 001 JURISDICTION: TIG
Project Description: Building#3-Electrical work fur 6 unit condomin.i-im.
RESIDENTIAL UNIT_ TEMP SRVC/FEED_ERS ___MISCEL_L_A_NEOI"JS
1000 SF OR LESS 1.U0 0 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 14 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 12 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICEIFEEDER BRANCH CIR T5 ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: list W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: 1 FA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION
1 >=
000+ amplvolt: 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 8TH WAY
VANCOUVER,WA 98660 CAMAS,WA 98607
Phone: 360-695-7700 Phone: 360-833-2088
Reg#: LIC 118073
FEES SUP 45425
FL.F. 17-742C
Duscrlption Date Amount
I I1PRM1'J EL('Permit Required Inspections 5/1G/03 $1,673.35 �" — --
[ELPLCK] ELC Pin Rev 5116103 $418.34 Rough-in Elect'I Final
[TAX]8%State Tax 5'I Wn3 $133.87 Rough-in Elect'I Final
Rough-In
Total $2,225.56 Low Voltage Inspection
Low Voltage Inspection
Elect'I Service
Ffect*f Service
Elect'I Final
Th"s 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 acconianoe with approved plans. This permit will expii a 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£699 or
1-800-332-2344. /
Issued By: - l -,�� Permit Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intanded for sale, lease, or rent.
OWNER*S SIGNATURE: DATE:
CONTRACTOR. INSTALLATION ONLY
SIGNATURE. OF SUPR. EL.EC'N: DATE:
—
LICENSE NO:
Call 639-4175 by 7:00p►r, for an inspection the next business clay
Electricai PermitA ryligation
_-- -_ �Y. ------_ Received /I;r -; ElectricalI.
Dalem : f�� Permit No.:
Planning Approval Sign
City of Tigard "�'�,,r ���i,,� � # Date/Dy: _ Permit No.:
13125 SW Hall Blvd. __-_ Plan Review Other
Tigard,Oregon 9223 Date/By: Permit No:
Pholfe. 503-639-4171 Fax: 503-598-1960 Post-Review land Use
Date/By; ----i - - Case No.:
Intenlet: www.ci.tigard.or.us Contac; Juris See Page 2 for
24-hour inspection Request: 503-639-4175 Name/Method: _ Supplemental Information.
_
~� TYPE OF WORK PLAN REVIEW(Please check all that apply)
New construction _ __ Demolition Service over 225 ntnps- health-care facility
commercial C3 hazardous location
-.Addition/alteration/replacement I _Other: ❑Service over 320 amps-rating of ❑Building over 10,000 squcre feet,
_
CATEGORY OF CONSTRUCTION I&2 family dwellings four or nwre residential units to
[� 1 & 2-Family dwelling Commercial/Industrial System river 600 volts nominal one structure
Building over three stories Feeders,400 amps or more
ACCCSSO Building Multi-Family Occupant load over 99 persons []Manufactured structures or RV park
_Master BuilderOther: Egress/lighting plan []Other:
_ JOB SITE INFORMATION and LOCATION Submit^sets of plana with any of the above.
The above are not applicable to temporary construction service,
Job_site address: 3 71,12- 5J-1 NAJ 1_131-v0� FEE*SCHEDULE _
Siutle#:3-1 0--r 1- 3-4, 1 Bldg./Apt.#: _ _ _Number of I s_pectlons per permit allowed
l'rtl act Name: __,qYO(N t E Description ( 's Fee(ea.) Told ti_
Cross street/Directions to job site: New residential-single uni.In udor attacmultihed
.
� dwelling unit.Includes atlrched grrage.
Servic^Included:
1000 s'R.or less 1 145.15 r H5,r ti 4
Each additional 500 sq.11.or portion thereof_ 11 7K.133.40 if W1 AI 1
SUbd1V151Un: Lot#: �- limited energy,residential 75.00 2
Limited eneM non residential L 75.(x1 9v�'.e)-` 2
+'rax ma arcel #: _ _ Each manufactured home or modular dwelling
j sei vice and/or feeder 90.90 2
r; _DESCR : a7N OF WORK
-- -- Services or feeders-Installation,
6 10LEJI_�ONDa _ _ alteration or relocation:
202 amps or less _ _ 30.30 2
- - - 201 amps to 400 ams 106.85 2
4'31 amps to 600 ami_ _ 160.6060- V -2
(3 R I �NER TENANT 601 am s to 1000 amps — -_. _ _ 240.60 _ 2
e
Over 1000 amps or volts 454.65 2
Name: FAV/VO Abiw7E C.,L,C R -__
� connectonl 66.85 2
Address: 109 EAST -31N 5TRFir T Temporary services or feeders-installation,
Cit /State�Zl AN CUL V IZ- I,'ASN . 'f'966V
alteration, le relocation:
-S �__ y� _ 20U amps or less 66.85 I
a 201 ams to 400 ams - 100.30 2
Phone: .3�%-695--770° Fax: 760 - F�y3 -y_N_/Z --
P C -! CONTACT. . RSON. 401 to 600 ams 133.75 2
Branch circuits-new,alteration.or
Name: tfl/YNO 000//Y7E L,L,(, extension per panel:
Address: _/0p Orr 57 3 2!� A Fee fnr branch circ,Ats with purchase of
/ 57U-tT service or feeder fee,each branch cir:uit_ _ 6.65 2
City/State/Zip: VH M r PI,I.1 C-_12 ,WASH . 9'9 6 o B Fee for branch circuits without mn,chsse of
service or feeder fee,first branch circuit 46.85 2
Phone: 6.O-6 5;7`7 d o Fax: '� a 3�' 'yy Z Each additional branch circuit 6.65 2
-n7a11: Misc.(Service or feeder not included):
CONTRACTOR Each pump or irri anon circle 53.40 2
-- ----- - - ----------- Each sign or outline lighting 53.40 2
Job No: Signal circuit(s)or a limited energy panel,
Business Name 1�/1'!5 E4EC 7,e/eA L � alteration,or extension Pae 2 2
�- Description 50 Z 5 5'-f,4 2 K__
Cit /State/Zi ORT"N a , O Q• 9 7 Z/6 Each additional Inspection over the allowable In any of the above:
Per inspection r hour min, 1 hour 62.50
Phone: 50 3 ZS Z'34 6'I Fax: 15-01 -Z9-2-rbc 1 I Investigation -
CCB Lic. #: i 1 'D`7 Lic. #: '31- q C Other: — -
�-------- .fectrlCAtt
erioltFed
Supervising Oectricial] ;a t subtotal .$ -
signature requiiredd: ` 'f r ! i`lan Review(25%of Permit Fee S
Print Name: 1 ,- ! Lic, #: `' State Surcharge 8%of Permit Fee $
TOTAL PE_RMiT FEE $ Z 5
Authorized /7 Notice: This permit application expires If a permit Is not ob hined within
Signature: l� _ Dater"/ 180 days after It has been accepted at tomplete.
*Fee methodology set by Tri-County Building Industry Service Board.
-WON --
(Please print natrin)
i\Dsu\Petmit Forms\ElcPertnitApp.doc 01103
Electrical Permit Application - City of'Tigard
Page 2 - Supplemental Information
LIMITED ENERGY 1)1?RMIT FEES:
RESIDENTIAL WORK ONLY: _
Fee for all systems........................._....._.... .. ...... $75.00
Check'I'ype of Work Involved:
❑ Audio and Stereo Systems*
Ej Burglar Alar
L-1 tiaragc flour Opencr*
ElIleating,Ventilation and Air Conditioning System*
Vacuum Systems*
Other
COMMERCIAL WORK ONLY: _
Fee for each system.......................................................... $7S.00
(SFF.OAR 9111-260.260)
Check'rype of Work Involved:
❑ Audio and Stereo Systems
Boiler Controls
Clock Systems
Deta Telecommunication Installation
fire Alarm Installation
IIVA!
Instrumentation
I111MOM and Paging Systems
L� I andscape Irrigation Control*
Medical
Nurse Calls
Outdoor Landscape Lighting*
Protective Signaling
Other
Numhei(if ti tilcnu
" No lieenses are required. Licenses Pre required for all
other installations
is\Dsts\permit Forms\FlcPermitAppPg2.doc 01/03
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00107
13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: 5/16/03
SITE ADDRESS; 13702 SW HALL BLVD BLDG 3
PARCEL: 2S102DD-FP3-1
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: 'II(;
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 #3 - Sewer connection for 6 unit condominium.
Owner: - ---- -
_ FEES
FANNO POINTE LI-C Description Date Amount
109 EAST 13TH STREET
VANCOUVER,WA 98660 ISWUSAI Swr Connect 5/16/03 $1,),ts00.00
ISWUSAJ Swr Connect 5/16/03 $0.00
Phone: 360-695-7700 ISWINSPI Swr Inspect 5/16/03 $45.00
ISWINSPI Swr Inspect 5/16/03 $0.00
Contractor: -
COMPLETE COMFORT SYSTEMS INC Total $13,845.00-- --
12300 SW 69TH AVE.
TIGARD, OR 97223
Phone: 503-598-47911
Reg#: LIC 152716
PLM 34-35011
_ _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 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 distances given If not so located, the installer shall purchase a "Tap and Side Sewer" Perm
Issued by: v j � Permittee Signature:
Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business day
CITYOF TIGARDBUILDING PERMIT
DEVELOPMENT SERVICES DATE ISSUIED: B 17/03 00336
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP3-1
SITE ADDRESS: 13702 SW HALL B1.VD BLDG 3
SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12
_ BLOCK: LOT: 001 JURISDICTION: TIG_ _
REISSUE: _ FLOOR AREAS _ EXTERIORWALL CONSTRUCTION _
CLASS OF WORK: FPS FIRST: sf N: S_ E: W:
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: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS_ REQUIRED____ _
FLOOR LOAD: psf LEFT: �ft RGHT: ft FIR SPKL: 'r SMOK DET:Y
DWELLING UNITS: FRNT: ft ,ZEAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 9,680.00
Remarks: Building#3 - FPS
Owner: Contractor:
FANNO POINTE LLC .IND 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
T FEES REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough-In
IBUILD] Pcrnut Fcc 6/9103 $139.30 Sprinkler Final
I'AX] 8%Swic f iix 6/9/03 $11.14
I'I til FLS Pin 16 6/9/03 $55.72
Total $206.16
I his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Snecialty Codes
and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. 1 hose rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By:
Pe rm it tee —
Signature: -
Call 639-4115 by 7 p.m. for an inspection the next business day
Fire Protection System
Building Permit AP�lica>tion FOR ' '
Received /,.p fluiWing L� L
Uatc/Ct �( '4 Permit No.: Gu`Aq 3 ao35)6
City of Tigard Planning Appro al Other
Date/By: Permit No.:
13125 SW Mall Blvd. PlanRevie 6 Other
Tigard,Oregon 97223 Date.B . -�" Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By: Case No.
Internet: www.ci.tigard.or.us An,LI Contact Juris. See Page 2 for
24•hour Inspection Request: 503-639-4175 Name/Method: I Supplemental Information—
AV
nformation;V
TYPE OF WORK REQUIRED DATA:
Eew construction I LJ Demolition I &2 FAMILY DWELLING
Addition/alteration/replacement Other:
CATEGORY OF CONSTRUCTION _ Note: Permit fees$are based on the total value of the work performed. Indicate
I &2-Family dwellipCommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
— overhead and profit for the work indicated on this application.
Accessory Building MAUIti-Family
_Master Builder Other: valuation... ...................... S
JOB SITE INFORMATION and LOCATION_ No,of bedrooms: No.of baths:
---
Job site address Total number of floors..................................... —`
�QZ. 5 �-� New dwelling area(sq. R.)..... ........................ -- —
Suite#: I Bld ./A t.#: Garage/carport area(sq. ft.)............................ _
Project Name: Covered porch area(sq.R.)...........................
Cross street/Directions to job site: Deck area(sq.fl.)............................................
Other structure area(sq.fl.) .. . ..... .............
- REQUIRED DATA:
_ COMMERCIAL-USE CHECKLIST
Subdivision: �— — Lot# _ �- -----�- -- -
Tax neap/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)or all equipment,materials,labor,
— overhead and profit for the work indicated on this application.
Valuation.........................................................
~-- — — - Existing building area(sq.fl.).........................
- — -- - ---- -- - -- New building area(sq. fl.)...............................
Number of stories......................................... -
® PROPERTY;;OWNERS 1-TENANT -- Type of construction....................................... --------- --
Occupancy group(s): Existing: -__-
Name: A1J1tJ �Q1A� L- L, C New:
Address: !I_C-
Cit /State/Zi : %4 �(o __
Phone:3(00 f-7�0 FSX: NOTICE: All contractors and subcontractors ere required to be
, licensed with the Oregon Construction Contractors Board under
ACPLICANT CONTACT PERSON _ provisions of QRS 701 and may be 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: Fax` - _.------- —-- ----- -----
- — BUILDIN(,.:PER:1fIT FEES*
E-mail: Please't•efer to fee schedule.
CONTRACTOR
Business Name_J-RQ-EA9—,6fT-AA ;!:9 19L. Fees due upon application........ ..... ............ R
Address: Z155' $AN COMA/7- VF 50MMED -
Cit /State/Zip:-n[2R ?Z- —_ -
Amount received....... ....... ...... ............._ _ 5 _ _
Phone:5a3-gf?P-S2 FaXS-) _- T6ft-s92a Date received:____
CCB Lic. #: G0315 -_ --- ------ - -- -- ---
Authorized Notice: This permit application explres if a permit is not owalned Nithin
Signature: Date: 190 days after It has been accepted as complete.
*Fee methodology set by Tri-County Ifuilding Industry Service Board.
(Please print name)
is\Dsu\Pcrmit Forms\BIdgPerrni1App.doc 01103
Fire Protection Permit Check List
A) ew ❑ Addition ❑ Alteration_ ❑ Rep-.iir_ _
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: Nf�� �3R
Type of System Complete A, B or C as applicable):
A.) Sprinkler _ _Wet ❑ -- ---
Standp1pes
Additional Hazard Group___
Information
Design Area _ 41— 54
---
K. Factor
_prinkler Pro ect Valuation: $ 9, eo
B.) Type I - Hood Fire Suppression System
Hood project Valuation $�__�
C. Fire Alarm _
Submittal shall Batt�Calculations Yes ❑ _ �_
include: Individual Component Yes ❑
__ Cut Sheets _
Fire Alarm Project Valuation:
Project Valuation Subtotal A 13 & C : $ !_
Permit fee based on vaivatlRqAseechart . $ _
State 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. D` an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
iAdsts\forrnsTPScheckiist.doc 11121/01
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2003-00412
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/8/03
SITE ADDRESS: 13702 SW HALL BLVD BLDG 3
PARCEL: 2S 102DD-FP3-1
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 _
—.__. FEES - --
Owner: _ '—- ----- -----
- Description Date Amount
FANNO POINTE LLC --
109 EAST 13TH STREET 1111 1 AIIII IY111111 I-Cu 8/8/03 $9960
VANCOUVER, WA 98660 11ANIx Slaw Ias 8/8/03 $7.97
--� Total $107.57
Phone : 360-695-7700
Contractor:
COMPLETE COMFORT SYSTEMS INC
12300 SW 691-H AVE.
TIGARD, OR 97223
REQUIRED INSPECTIONS
Phone : 503-598-4798 Final Inspection
Reg #: I W 152.736
14 \1 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 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) 246-6699.
Issued By: __ �— Permittee Signature: _` T
Call (5 3) 639-4175 by 7:00 P.M. for an inspection needed the next business day
rFutuLu ♦1\�\ res O '•�Vuu4VlVV . ! 1 l .11 1 1l\I\1/ �e��.i„—
Building
PlumbingPermit ,A►.pOcation '
-� �. ....�._ Roccived Plumhin,
Da�-�1 P�a 3 r � - Pamit
City of Ttgard Planning Approval scwa —�
vaway� Powiil No..
1:1125 SW Hall Blvd. Plan Review _ 0thea -
Tigard,Oregon 97223 nate/B . - - - - Permit No..
Phone: 503-639-4171 Fax: 503-598-1960 Peat-Review f.andUse '—
DaTe/8y
Internet: www.ci.tigard.or.us Cage No
Contact see sec I i rot
24-hour Inspection Request: 503-639-4175 Narne/Mothod: _ _ S1, lemental lulormatio.
4'.i FEE 'SGHIED ” 'fol s
U - c1W-:W:0rlma�lau ittb'�1i"
New construction _ H Dt:molition Description FQty. I Fee( -) Total
Addition/alteration/r lacement I H Other: _ i� 4;' d 'k �ui2-farrylyrlw' t�iRsT
- .�+: ,', ,�(: 'I�GC1Yt, ,()E' UC'I'Io'N-'.� -+a '.'��.intldddc1100t!'t'!"fdr,�liEhnt{ili ' dnectidn •.,' ,1•
�I _
[ 1 &2-Faintly dwellingru
Cotnercial/Industrial SFR(1)bath bath 249.20
— SFR 2 hath 350.00 _
�Accessur�+Huildin Multi-Fatru SFR 3 bath 399,00
Master Builder Other --�-- -
C� Each additional bath/'kitt:hen 45
0(l
fST 113!1 ' IOI�T Ilii i DfO_ Firc winkler ft - Pae 2
Job site-address:
Suite Bldg./Apt.#: _ Catch hasin/ares drain - - 16.60
Project Name: DtywclVleach line/trench drain 16.60
-- 'rooh'ng drain nolinear ft. Pae 2
(:I oss street/Directions to job site: Manufectured_home utilities 110.00
Manholes 16.60
Rain drain connector
Sanitar sewer no.linear ft.) Page 2 �-
Subdivision: -�G[N Y.ot#: Storm sewer no.linear R Pa e2
Tax map/parcel#: Water service no.linear ft. Page 2
0 FI'Al'IK1RK.In " Urr7!i�',:: lda A�:. l�lidat!�( i
--V ME 7"- W CON BackAbsorption valve _— - 16.60
flow reventet Pae 2
Backwater valve 16.60
Clothes wash-r 16.60
�_ -- ---- - Dishwasher 16.60 _
Drinking founta��n _ 16,60
° ,ry.
Al as WN l'N__ 4 �• "y1 _:;e" D inkin fo _ 16.60
.Atm
ame: TN�l/0 �QINTE LLG £xpensiontank _
_ 16 GU
Address: /Oil /5 nV 5t Fixtute/orwer cap 16.60
_Cit i/State/Zl : ✓ C6UV e- IV/4 v o Floor drain/floor sink/hub 16.60
Phone: - -7700 Fax: 60-6,f3 -vyyZ Garbs a disposal 16.60
•,��. Ij �'.'""i(;� %d � fir,, ,y; Hose bib -------- 16.60
- Icc maker 16.60
Name: Intcrcc tor/ easetra 16.60
Address: Medical gas-value: 5 - Pae 2 -
Ci /State/Zi ' Primer 16.60
-�'- - - Roof dtain commercial 16.60 T
Phone: Fax: — -- siuknba.,;Mavatorry 16.60
L mail: 1 _CA14 N-7- y�SjF�� Tub/shower/shower pan -- - -- 16.60
_��r d, t__-O '} ' "' Urinal 16_60
4kl, NdBusiness Name: water closet 16.60
Address: /z360 y W j.7 rN � -__- Water heater 16.60 _
Other: S Iv 5 L?,
00-
9!YOStltte/Z-i _�/G~0 Zo 7Z� - other-
Phone:03-518 -917'18 Fax: 503-63`Y-1 9 �11W= — -
CCB Lic. #: /3 i Plumb. Lic.#: _______stibturgI b
-- Minimum Pctrrut Fee$72.50 5
Audlarited
Residential Backflow Minimum Fce536.25
i
Signature: Uatc: �17 Plan Review 25°/s of Ptttnit Fee $ _
StateSmrharge(8%of Permit Fet S -1
(Please print name) TOTAL PERMIT
Notice: -thin permit application empires if a permit is not nhtuined within All new commercial bulldiegs nclalre 2 sets or plats with kotnai, c or
It10 days atter It has been accepted as complete. risn diagram for plan review.
"Fee methodology sm by IrWounty Building Industry Service Board,
I',I)sts\rcrrntt Fa1msJ11mPamhApp.dx 01/03
CITY OF TIGARD ELECTRICAL T-
RESTRICTEDTRICTED ENF.ENFR.RGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00216
13125 SW Hall Blvd., Tigard, OR 9722.3 1503) 639-4171 DATE ISSUED: 8/5/03
SITE ADDRESS: 13702 SW HALL BLVD BLDG 3
PARCEL: 2S102DD-FP3-1
SUBDIVISION: FA14NO POINTE CONDOS ZONING: R-12
BLOCK: LOT: 001 JURISDICTION: TIG
Proinct Description: Building #3 - 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: HV:.C: 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, VVA 98660 VANCOUVER, WA 98687-7387
Phone: 360-695-7700 Phone: 360-737-9725
Reg #: LIC 67787
ELE 37-428CLE
FEES Required Inspections
__Description Data Amount Low Voltage Inspection
[EI_.PRNfr) ELR Pennit 7/24/03 $75.00 Elect'I Firial
['TAX1 8%State fax 7/24/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699.
Issued by _ �c:c c Lc.el I ._ --)ec t. Permittee Signature_;'J'1-1 L)j I
OWNER INSTALLATION ONLY
The installation Is befog made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N BATE:
LICENSE NO:
Call 639-417:5 by 7:00 r.M. for an inspecJon needed the next brisiness day
I-OR OFfICF.USE ONLIV
Electrical Permit Alication R �;,td Elatricd
n■aJAy: ,r. Permit No.: CV/d
City of Tigard P1$Mmg AF-rovsi Sir
Date/sy_ ---- Pmrrul No
13125 SW HaU Blvd. Plan Review Other Q `�
Tigard,OreyoD 97223 ErrmitNo.: �ctr�3-CXl y.�j
Phuuc. 503.639.4171 Fail 503-598-1960 Post•Revlcrr Land We
ontac
Interred: www.Ci tigaid or,tla contac ---_--.- ---_-- a No.,
Ct ltrti.� Set Pap 2 for
24-hour InsIX--hon Request: 503-639-4175 Narnr/Malhod' �' !Tu lemcnta)latarmatten.
r•i Vt-,•11 f 1 _: �1 �� u, ca. Ott i- ). n rr- lak.'i:.'�yy;;�1' ��,y� P.1�� � RI171tifir�rl
Now eonstnlction _ bemol>itlon Servl:e over 225 emus- Heshh-car<faclity
_
. commercial Hasardousloranao
AdditionialteratiWiVre laCOlIleLt [J�Other: Q Scrvicc over 320 arnps•raung of Building over MOW sq-,arr feet
El
f �+•_ )t,t'a 1&2fAmilydvx1lingh four or mare rtsidenualunitoin
l & 2 Farnil�+dwellin Cornmercia'JCndustrial' n System neer 600 volts rominal one suu.twc
�-1 ❑Building otr f cure stories ❑Feeders.400 amps er more
Accessor� �—._.Duildin Multi-r unx il Q
__. _ Ooettptnc load over 99 persens H Manufactured structures n•RV pa-k
iviastet Builder LA Other. ❑8(tressTghttn8 plan now,
Su bmi( sats of plans with any of the Above.
The above are not a Ileable to lam fe tunaraUlon alrvlca
Job site address: ) y:
�iul! l�1 yr � �_-_ 1A1��II.r
Suite#:� DidgJApt.#: i", Number of Usketalons per pertniI allowed
r ' Dascri tion �— Qtr Kec(aa.) Total
Project Nave: �,�Xt-- !,i_,i,'I �:rYb�Ill �zi'� --P --
Cross stleetll7irecnorls to job trite' New resldaot■!-,iaek or etteltl-farnnv per
J dwelling unit.Includes attached aarare.
Service included'
1000 ay.n or lieu— 145 15 4
Eachititionns]S00 sc it or poRl�j-,-ereo _ 3340 1
'T- r.ftent d energy-Sre ntiai --- 75.W 3 ubdlvislUn'. -- Lot* Conned e non real�rntwl 76,05 — 2
J ax tnap/parcel#: Pxh manufactwex'bona or m.och:lu r1woll1m,
-r+-- xrviac and/or fterier1
_ 90.90
1 �! 1<; ter' r' d w
Servicta or tenders-lastaa4non,
dferafion or relocation.
100 am"or leas _----_ 10.30 2
_.__ ---- -------_--_-- Ea to 400 ntrtpe l . S 2
2
240.36 - 2
+Name: ova!qqq-!M>3�� {l -_ 454.65 2
66.85 2
Address: Temporary services or toodera-insiallatioo,
- ■iteration,or relocation:
City State/&D: _ 101 amp -1au 6615 1
Phone: V 1l ax: 401�0 600 tun�"P� - r 377 2
- Branch circuits-new,siterstim or
Name: extension per panel:
A fee forbroni0 circ rin wit} prfc!mse,•
_[�
service or kkeed-s—fa..each brace circuit
Cit�/_7tatt./G �—_ --_ 8 Fla for bran CircuitsWiU
Phr[IUIpWthan!1} -- M
—lTrcrvlat or feeder rete,"t trench circuit 46.15 �, z
Mone; FaX.- —__ ch O Monal branch circWr — 6.es 2
E-mail: — blisc-tSavice or rewderr tat tnciuded).
,; s yr ch pwnp or irfi Ad elrele _ 33.10 2
- �I ,�,�t1�7 �.`it. II 'MLS a; --�_._
- ch e� r otaltro in 3.40 Z
Job No-,.j _ Signal ctrcwt(s)or a bmitnd energy ponel,
-- -- // ----- ahtmcry_extension __ _.-- --- 2 / uBusiness Name:!d,: h
- _( �)/'ciif Yom_ 111__.— ikacrepgon:
Address:
Ci /State/Zip: / 1 r� - Each additloosl,usyeceron over tut allowaM_e Inarrtt f_ the abovC
Pctjp�WonQQ-
Phan S 1,-Z r% .i ` tqt ) (�{ laves-Trtatbc ee —
CCg Lic.0.u' I I f_'� I _ ic-#:') —"�"r
Supervisutgeleatrician �
_ 1:,;r� 1 ^_. Su6tntalS
�tgnature ra uq imil:� 4� pian Review(25%of permit Fee) S
Stmt Surcharge Lt%oQc-u ti:Fee) S
— -- - T_O_TAL PER1y11T FEE S
Authonacd Notice: 'rhes permit applinatles expires if a permit 4 not obtained wetbla
Signature _ � Date:7'�Z 188 days after It bar Isteo accepted as complete.
'Fee methodology set by TrI-Coenh Haildias Industry Service Heard.
J
_ (Please peer.;dente)
{'rfrotrl►ernscFcanu�lePerrrotAtro,doc 01/W
,�R D BUILDING PERMIT
CITY O F T I G
PERMIT#: BUP2003-00450
DEVELOPMENT SERVICES DATE ISSUED: 8/5/03
13125 SW Hall Blvd., Tiqard, OR 972.23 (503) 639-4171 PARCEL: 2S102DD-FP3-1
SITE ADDRESS: 13702 SW HALL BLVD BLDG 3
SUBDIVISION: FANNO POINTE CONI S 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 SEF'. RATED:
BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _
FLOOR LOAD: psf LEFT: — ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,200.00
Remarks: Building #3 - 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 677137
—! FEES REQUIRED INSPECTIONS —�
Description Date Amount Fire Alarm
I IiUILUJ ['omit Fee 724/03 $62.50
Final Inspection
j TAX] 8%State Tax 7/24/03 $5.00
1 FLS1 FLS Pin Rv 7/24/03 $25.00
Total $92.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Starr 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 theEe rules or direct questions to OUNC by
calling (503)246-6699 or '1-800-332-2344
Issued By: ---
Pe rrn Ittee
Signature: -----------
Call 639-4175 by 7 p.m. for an inspection the next business day
07,-22,,03 Utlf 19 FAY 0002/004
Fire Protection System
Buildin ► Permit .Apk1icat on
_ iisrceiVaa n
PlumtnE Apytovfl Other ,J
City of Tigard�] �i JatVEtyNetrrrtit tdo: /cw
13125 SW);call Blvd. Plan Rsvie �Other
P` '� S� Permit No.:
7'iylarrl,O.•Cgoa 9727.3 n,m��Y.._ _--
Pbu.:�--' S'%1 '139A171 Fax 303.598-1960 Pest Review Lend Use
luterncr. t vv .t i.ti imAiAres Coac No _
g Conuct RBec►age 2 for
24-haur Inspection Request: 501-639-4175 Nymc/Method: �Supplemental Information
TM
^' a� NW,eLWG�.,:
7
New conatmetionI LJ Uernolitian
PAddifiorWaItcratiorViei)jaccr.,et)t Elather,
gr •. a`;-; Note: Permit etas*are hued an the peat value of the work pcttbrrned. InI
1 &2-Fanil} dweller Conun_erciaUZndustrial `aloe(rounded w the rearut dollar)of zll equipment,materiels,labor,
- overhead and profit for the work lndiuttid on this eppitaation-
.�cceBs Building _ Multi-Family �
Master Builder _ Other: Valuation. ....,..,,,
l l ,` 'G1M,%'D;p Na-of bcdrorsirw — No.ofb;tths:�.__
Job site address:i" „ i Total number of ft (84....,,........ .. _--
Suite# J/'/~ bldg./Apt.#: / J New dwelling area(sq.R.)-............................
4arage/carport area(sq.tL).
Proicnt Name:( �:. L!)f i)�� L�y/ 1� Covered porch area(sq.ft}..................
Ct085 streeMircCtions to job Site' Deck area(sq.ft.). _ ...,•...............................
Other structure area(sq ft),,.... _—
Subdivision: _ _ -- Lot#: - -
Tax Ala / me',#: Neth Pet nutes"feare based on the total value of the woth perfattned Indicate
�' I 1` ; :,I:i ,l.`'' ( the'.I..(t nunded to Oc neared dolls)of all equiptY.eni,ttlat01a.6,labor.
— Over)rad and profit fpr rhe work ind,meed on UW application.
ValutrNon.,....... ..... ........... ...............,........ 5 t' 0 _.
- Exining building area(sq,ft.)--_.................... --
-- -- - - -- New bul Hinz area(sq.ft,).......................... —n
_ Number of stories............. . ......
Type of construction.................... _............... _
Name: Occupaicygtoup(s)� Ex{sNnj; -
Address: ---- ---- --- New _._---- ---
ty"S__`— p_ - —'--` NOTICE, All contractors znd st.bconuactors are raquurd to be
Pht)nC: Fs-,-- licenced with the Oregon Corstruction Centrac'ors Board utder
t (Jk?3Yr Ili'#> ' provisions of Oft5`01 and may bt.required to he licrxtscd to the
Business Name: 4 ^� jurisdiction where wort;is being performed. If the applicant is exempt
Contact l`carrle: 11-in,licensing,the fuflowuig reason applies:
Address:
City! e/hp:
Phone: _ -- Fax: -----—E-mail: y,
lr.,, opm
p�
B11S1I1eS9 Nart18; fit 1 t!il ti it//,/�(L(1,{ _�:.._-` - Fccs dt:e upon atrpluatloc,,. _. l e
Address ---�I ( ,'.�,1 )/c7 all 'L j LLQ...
/ Amounrreceived......,..
Cit /StateiZi
[Arte received:
CCB Lic,
Authot zi
';1 Z-e>� Voucc 'This pertait appllcatinn expires It a pertnil'u not obtained wltbin
Signstilte' I)ite' las dayr atter it has bap arrepted as u,mplrte.
—_—A /��'/ �:i�1.i- 'Fee motbodclot3 rr•r by Tri-Conary Buildleg lndurtry Crrvlce Ward.
/ (Pleme print ttttue)
I;'Ssn�lpettldtFnrols�dldgPemdlApp.tlOC
0143
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
COMPLETE COMFORT SYSTEMS ENC
12300 SW 69TH AVE.
TIGARD, OR 97221':1
PiUmbing Signature Form
Permit #: PLM2003-00412
Date Issued:
Parcel: 2S102DD-FP3-1
Site Address: 13702 SW HALL BLVD BLDG 3
Subdivision: FANNO POINTE C0I4DOS
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 t-ie 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 farm is received
OWNERS PLUMBING CONTRACTOR:
FANNO POINTE LLC COMPLETE COMFORT SYSTEMS INC
109 EAST 13TH STREET' 12300 SW 69TH AVE.
VANCOUVER, WA 99660 TIGARD, OR 97223
Phone #:360-Gy5-7700 Phone #: 501-598-4798
Req #: I Ic 152736
34-356PB
AN INK SIGNATURE IS REQUIRIfd O \THIS FORM
X
Signature of Authorized Plumber
If you have anv questions. please call 503.718.2.133.
CITY OF TIGARD 24-Hour
. BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 _.—
BUP
Received ___._______.__.____ Date Requested__.._/_�!�L_� _e AM ___.—_._ PM BLIP
Location 3 -71) -Suite MEC
Contact Person /a - yS _ PLM —_-- —_
Contractor __�____-_.._^____T___.__ Ph(—) _ SWR
BUILDING Tenant/Owner ____ ____________-____._.___ __ _ ELC _ _ D� l 7
FuoCing ELC
Foundation Access:
Ftg Drain ELR -.—
Crawl Drain
Slab Inspection Notes: SIT ---_ --
Post&Beam _�-_- --_--- -- -__-._
Shear Anchors '—
Ext Sheth/Shear
Int Sheath/Shear
Framing
Insulation /� r ` j ^ T
Drywall Nailing
Firewall
Fire Sprinkler - -- -- -- -------- -- -
Fire Alorm
Susp'd-ailing -- -- - -_.. _ ------ --
Roof
Other. -- - -- -- ---
Final
PASS PART FAIL. - -- - --- ----
Post& Beam
Under Slab --------- -_-_--- -- ----
Hough-In
Water Service -------`...--- - ---- - - ----
Sanitary Sew.
Raw Drains .--.-
Catch Basin/Manhole
Storm Drain ----- - -- -- -----— -
Shower Pan
Other' --- - --
Final
_PASS PART FAIL_ -
MECHANICAL -----.--.-- - ____ -_ __ _ _-.------
Post& Beam
Rough-In - --------
Gas Line
Smoke Dampers - -
Final
ROSS PART FAIL -- - - - -- -- -- -- - _
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
F. aim -- ---- - --- ---
PASART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
- Please call for reinspection RE:_ _—.__ --__._ U Unable to inspect--no access
Fire Supply Line
ADA ,� ]),', �
Approach/Sidewalk Date /�/L� * , _LL Itnspector _,,,���C Ext
O her. - - � �t
Final DO NOT REMOVE this Inspection recti rom the J b situ
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: 1"503) 639-4171 MST
BUP
Received Date Requested--_ C� -_31 AM__ �__ PM -_- _--_-___ BLIP
-------------
Location - -- 3-7 D 2 MEC
Contact Person _ - -_ Ph _-_) _3�_..��� � 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 - -
Firewall
Fire Sprinkler - - ---- -- -----
Fire Alarm
Susp'd Ceiling - /,A _r
Root
Other. ,
Finai
ASS PART FAIL
- --- - -- -
PLUMBING __�_
Pust 8 Beam �-' ------
Under Slab -_-- _-
Rough-In
Water Service - -- ---
Sanitary Sewer
Rain Drains - -- — ----
Catch Basin/Manhole
Storm D,iin ---- ----- ---- - --
Shower P to
Ott
tr S PART FAIL — ---- - --
" CHA_NICAL
Pos;.t<Beam ------- — -- --- - -- - - ----
Rough.In
Gas Line
Smoke Dampers - - - --A�—_-- ---- - --
Final
PASS _PART FAIL
ELECTRICAL
Service - -- �- —'
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$_ required belorp nexl inspectirn. Fay at City Hall f 3125 SW I-lall HIM
PASS PART FAIL
SITE__ _- 0 Please call for reinspection RE:-._ ----__- ( 1 Unable to Inspect-no access
Fire Supply Line
ADA 'J
Approach/Sidewalk ®ats J. Inspector � - -_ Ext
Other:
Final 60 NOT REMOVE this Inspectlon record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP - —----
Received __ __ Date Requested AM -_—.e PM _-_.__.-. __ _ BUP
Location __,..i 67 �-- -` - —- - --� ----- MEC --- ---
Contact Person __ Ph(. _) PLM
Contractor --- -- -- - --------_.._.—_ Ph(--) ---- ----- SWR 3
BUILDING _ Tenant/Owner _ -__ —_ ELC
Footing �'
FoundationELC
Access:Fig Drain ELR
Crawl Drain -�"� �•�
Slab Inspection Notes: SIT
Poct& Beam
Shear Anchors --- ��- -- '
Ext Sheath/Shear
Int Sheath/Shear - A
Framing - -
Insulation ----_-. - - -- - ------
Drywall Nailing -- - - -
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling - ----- ---
Roof
Other-
Final
ther Finai ---
PASS PART FAIL
PLUMBING
Post& Beam S`
Under Slab -
Rough-In
Water Se,rice 77
,.-
rnfary SaW9t
—
Catch Basin/Manhole
Storm Drain - -- ------- -- -
Shower Pan
Other - - - - - --
PA PART_ FAIL - - — �- —
CHANICAL
[lost& Beam
Rough-In -- -
Gas Line
Smoke Dampers -- --
Final
ASS PART FAIL
--- -- - - -
ELECTRICAL
-
---------- -------
Service - - ---- -- --
Rough-In
UG/Slab
Low Voltage -
Fire Alarm
Final L j Reinspection fee of$�_-.- - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
------------SITE j Please call for reinspection RE. -_ p Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date L Y� llnspecto _ �. - Ext
Other:
Final DO OT REMOVE this Inspection 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
1 / BUP -- _
Received __ —�___ —_Date Requested_—�,t k 4/0'-). AM_— _ PM _ BLIP -^
Location -_\—� f l0 Z \ _- c ---Suite_. 3 MEC
Contact Person - -- � --- - �- L- _ - y 2,CP
Contractor __. Ph < SW 3- 001
BUILDING - Tenant/Owner ELC
Footing
Foundation ELC
ccess:
Ftg Drain AELR
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 CeilingRoot
----- /
Other: —
! .
Other: -- - ---- ---
Finer
PASS PART PART FAIL -� -- ----
Post& Beam
Under Slab ----
Rough-In
Water Service I --------------- _ __- _
�anita Se��
Hain Drains ------- --
Catch Basin/Manhole
Storm Drain ---- ------ - ---
Shower Pan rn
th
Fin
"PA_ _PART F=AIL -- —_- ------ —__ —. __-- —
CHANiCAL—
Post&Beam ---- - ^— -- ^—
Rough-In ----- - - — -- ---
Ras Line
Smoke Dampers --- `—.-------- - ---- ---------
Final
PASS PART FAIL -- ------ --- — ----- -- -
ELECTRICAL
Service _,..-------
Rough-In -- ----_— -- -- �— --- - ------ --
UG/Slab
Low Voltage
Fire Alarm --------------- ---------_________�--....
Final [� Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_ PART FAIL
SITE Please call for reinspection RE:-. [_� Unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalk Date- Inspwctor __ Ext
Other: _
Final -- DO NOT REMOVE this Inspection record from the joli site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 —�--
�[. BUP ��013.5�_.._
Fieceived —_ Date Requesled ___11- AM__._ _ PM BUP --
I_ocation ___.13 7 O a`—� � __. Suite MEC L3 -
Contact
-Contact Person Ph(--) L2-P- PLM
Contrac,tx. _ __—_-- __-- -____-- Ph(- ) --- -- _ SWRBUILDING ELC
ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Drain _
Slab Inspection Notes: SIT
Post& Beam - - ---- -- -- - ---
Shear Anchors --- --------.... __
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - ----L--',��J- - --- ---
Insulation
Drywall Nailing -^-------
Firewall
Fire Sprinkler — - -` -- -
Fire Alarm
Susp'd Ceiling - - -
i
Roof —
Other: -
Ft _ --� --
AS PART FAIL �-
BIN_G ' .4.
.4.,411 'd /Ii
Post& Beam- ---- .--_ -T
Unde;Slab - - -- -- —
Rough-In
Water Service -\
Sanitary Sewer 1. r
Rain Drains - -- ---
Catch Basin/Manhole
Storm Drain ----- ---- --
Shower Pan
Other:
Final _- -
PASS PART -FAIL
MECHANICAL
Post&Beam
Rough-In _- - ._- ----- --- ------ - - - — --
Gas Line
Smoke Dampers
i
S PART FAIL ----- ---- - -------
EC ICAL
Sery ce
Rough-In
UG/Slab _
Low Voltage
Fire Alarm
Final Reinspection tee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL
SITE _ -� Please call for rein sp ction RE: Unable to inspect no access
Fire Supply Line '
ADA /'�
Approach/Sidewalk Date lJ— nopeeter- _ _ - Ext
Other:
Final — DO NOT REMOVE this Inspection reco d from tho job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4.175
INSPECTION DIVISION Business Line: (503)639-4171 MST _
//// BUP �' 00336
Received Date Requested 2_/;;- AM PM
SUP
Location _.— Q _� __- —_ ---suite. > MEC
- S3�Contact Person .--- ��---- Nh(—_—) �--�.-____.� PLM ----`-_-_-
Contractor SWR -
BUILDING Tenant/Owner -- _ - __- _ ELC
—
Footing ELC
Foundation Access: -
Ftq Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath'Shear
Int Sheath/Shear
Framing — -- —
Insulation
Drywall Nailing -
Firewall
pnnkler —
FFrB"AWT-m
Susp'd Ceiling -- _
Roof ,I � l /
Other:
���
r
SS PART FAIL
P �INIG _
Post& Beam '—
Under Slab
Rough-In i
Water Service
Sanitary Sewer
Rain Drains ---- ------------ - -- -- --- -
Catch Basin/Manhole
Storm Drain -- ------- -----
Shower Pan
Other:_ ---- --------- ---- - ------ - —
Final
PASS PART FAIL ------ - --- --_ -- ---_--------------
MECHANICAL
Post& Beam - ---
Rough-In
Gas Line --
Smoke Dampers -- --------- — --- ----- -- - - -
Final
PASS PART FAIL --- -- --- ---- -- — - -- ---
ELECTRICAL —
Service -- ------ - --- --- - --- --
Rough-In -- --__ - -- - ---- -- - -- -
UG/Slab
Low Voltage - --- ------- -- ------------ -— - ----- - ----
Fire Alarm
Final Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:__ ___ -_________- ] Unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalk Date 0 � Inspector _
_ _ _ _-- Ext
Other:
Final - DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF T,IGARD 24-Hour
BUILDING Inspection Line: (9031639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _.
BUP
Received _._. _ l Date Requested__ ?�' AM—_-_-___. PM-- BUP
Location —_� `Suite MEC
Contact Person _ _ _ Ph( ) �' 3, PLM _
Contractor }7"it _ Ph( ) ---�.-� s SWR
BUILDING Tenant/Owner _ _..� ELC
Footing -
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain ----`-
Slab Inspectior Notes. SIT _ .__-
Post& Beam
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear - - -
Framing
Insulation
Drywall Nailing ----- -- - -- ------__.__�_�
Firewall
Fire Sprinkler
Fire Alarm �T C
Susp'd Ceiling -----•
Roof TL
ether: -- - ---
Final -----____------
PASS PART FAIL - --
PLUMBING
Post& Beam - -'"- -
Under Slab _-
Hough-In
Water Service _ -
Sanitery Sewer ,
Rain Drains — -�-�- -� —=�'�`�t"` �►-t' '°' ---
Catch Basin!Manhole
Storm Drain -- - - ---
Shower Pan
Other: -
Final --
_
PASS FART FAIL -
MECHANICAL
Post& Bearn
Rough-In _
Gas Line
Smoke Dampers -- ---
Final -
PASS PART FAIL - - - ---- -- ----_
ELECTRICAL
efv ce --
ub�gTiT`n
ISlab - -
Low Voltage _
Fire Alarm/
Fin --.,� Reins $_ r
SS PART (� pection fee of -required before next ins pection. Pay at Co Hall. 13125 SW Hall Blvd,
$_ Please all for reinspection RE: -_- Unable to inspect-no access
Fire Supply Line
ADA Q�
Approach/Sidewalk Dafio 03 Inspector In;peictar � --��� 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)639-4175 MST ------
INSPECTION DIVISION Business Line: (503)639-4171
BUIP
Received .__--- ---.--. Date Requested _ BILIP
Suite MEC
Location
Contact Person Ph(---) PLM
Contractor Ph SWR
BUI LDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Snear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall T_
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
—PASS PART FAIL - V
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Prain-
Catch Bas,, /Manhole
Storm Drain
—
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL ------ _-Q_
Post& Beam
Rough-In
Gas Line
Smoke Damper,
Final
PASS Po,.RT FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Fire.Alarm
(firs ) ART FAIL Reinspection fee of required before next insper.tion Pay at City Hall, 13125 SW 14,111 PNd
LI Please call for reinspection RE:.... ...... 0 Unable to inspect--no access
Fire Supply Line
ADA Date '/Vj0Ajr_ InspectorExt
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
Palma OW"Eftft cm"M
MEMORANDUM
02/26/03
TO: CONTACT: Richard-Poly Gon NW
PHONE: j503j 615-6858 —
CUSTOMER NAMF Fanno Pointe Condo's
ADDRESS. 13700 SW Hall Blvd;Tigard. Bidg#5
FROM: FNGR/SDC: Jim Van_Kleek _
PHONE. [5031 57044071•
SUBJECT: SINGLE-PHASE SECONDARY LINE-LINE FAULT CURRENT(RMS)
TRANSFORMER DATA
XFMR Impedance(%): 1.50 %
TRANSFORMER SIZE: _ 167 KVA
Secondary VOLTAGEL to LT,� 240 v
b 16i*. EC
350 TX
VAULT ( or Pole) >APANEL SECONDARY (or Svc Plopl
Service Wine LENGTH: _ 64 Feet WIRE SIZE
Number of Service RUNS- _ 2 Run(s)of: 350 TX
Service WIRE Resistance R: 0.0600_Ohms/1000'
Service WIRE Reactance X: 0.0280 Ohrns/1000'
FAULT CURRENT: 17,684 Amps
i (or SHORT CIRCUIT CURRENT) RMS Symmetrical
(or INTERRUPTING CURRENT)
Based on a panel size of: 600 Amps
CITY OF 11 1 0
To Print This Page:"Ctrl M"and choose 'Print 1-P ............. ..........
°rIN to Excel [ Allan BEST Consuk
FIFRMIT NO..
See Letter to: Follow. ............ ........... .................. l
LI Attach............. ... y ... . ....
By:� �..�-� _ Date: / C,
04/16;2003 12: 50 3606934442 POLYGON PAGE 05/09
ADartRlant Unit load Calculpllon
' I I
I r
�rel��l Fanno Pointe Condominiums iu'el{toad Cale i VO-a0
I j
Apt Type. G _
I � I
{
Unll lew la rt c 750 X 3 w15F 1,240 Walla j
Appllarwe C'rauii 3.000 Watts l l
Laundry Circuit 1,500 Waltn
Ubhwc5her 1,700�Waltll
Disposal 880!Walla
iRange 10.200iWalls i
Mlw'oweve/Mood 1,250'WatI5
Gvt Furnace O,Welle
Dryer $,0001 Watle I I
Weser Healer 4.5 Watts
Total - 10,.1 Wells
NEAT TOTALS
19t 10 KVA at 100% 10,0Co•Walls A1L'j_ i 6.000IA1 100°A 6,000j
Thg kemairling 70760 81 40% 140 Walta Heal,__I 0 AI 65% _ 0
—--
Tolal 18,1a0;Walle 4 •stale! 4,50UTAt 4091 LL 1 800 Non-Colmaid eMel
j Heat.A1C Tota! `6,000 4illa t'....�••. I L "
. I 1
Tolai KW ..LAP.Welts a l.. �.... ...
Divide Voltage 24U Vella
r A .. •. .. :... .. _
Tates Unit Load _X01 Amps
I !Panel Size and BroakerQUantihn
I » panel Size 190)Amp Oua• 30�CIriil
--- z IP ISA IL..„ e'..Pfu s......
F if _ 0 -l-
C 1?y O I G A l r {. 1J 1 P t t)A A . .l4l1;h10 dna Plu�a edrooms s MI■c.
L I—"�3 2P t o Iowmlep:Elad.Heal(21
Approve . ...• ...r...... w... t ' , 88 1P 20�► apt.(2) I_adnq.;Botha,MlcrvModd
roved O;?P 20A
Condilior r111y App c sCGit3Cd in. ""' ;�_ 4�2P 90A (Water Htr.;Unger;Arc Reopi_2
For only Ile work 0' t9 2�_Y et �. _ I ��112P 50A Ran a
JJ�' o CJ »� L
H
MI 1 P4O
f'F _.
S,e Loll 41W_ l --
Atlach..•
L
Job Addie
Dale:
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