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13712 SW HALL BLVD BLDG w V _a N to W r o = —� r- r m r e M 13712 SW HALL BLVD ;� a BLDG. 1 SEE 13710 SW HALL FOR ADDITIONAL INFORMATION Correspondence Plans Reports CITYOF TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT .SERVICES �PERMIT #: BLJP2003-00133` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/16i2003 PARCEL: 2S102DD-F P 1-1 ZONING: R-12 ,JURISDICTION: TIG SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 SUBDIVISION: FANNO POINTE CONDOS BLOCK: LOT:001 CLASS OF WORK: NEW `— TYPE OF USE: MF TYPE OF CONSTR: 5-1HR OCCUPANCY GRP: R1 OCCUPANCY LVAD: 11 TENANT NAME: REMARKS: Building#1 -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 99660 Phone: 360-695-7700 360-693-4442 Reg#: LIC 15.1893 This Certificate issued 12/119/2001 grants occupancy of the above referenced building or porti n thereof and confirms that the building has been inspected for compliance wit the State of Oregon Specialty Codes for the group, occupanc•r, and u under hic.h the referenced permit wa i d. BUILD MSPECTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE CITY ITY ®F T'G A R D BUILDING PERMIT PERMIT#: BUP2003-00133 DEVELOPMENT SERVICES LATE ISSUED: 5116/03 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP1-1 SIT E ADDRESS: 13712 SW HALL BLVD BLDG 1 SUBDIVISIO14: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE- FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: NEW FIRST: 2,210 sf N: 1 HR S• 1 HR E: flAR W: 1 HF: TYPE OF USE: MF SECOND: 3,864 sf _PROJECT OPENINGS? TYPE OF CONST: .5-1 HR sf N: N S: N E: N W: N OCCUPANCY GRP: R1 TOTAL AREA: 6,074 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 11 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: 25 ft GARAGE: 1,5114 sf OCCU SEP. RATED: 1HR BSMT?. MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RIGHT: it FIR SPKL: Y ^SMOK DET:Y DWELLING UNITS: 6 t-RNT: ft REAR: 10 ft FIR ALRM : HNDICP ACC: BEDRMS: 11 BA7H3: 10 IMP SURFACE: PRO COR.R: PARKING: VALUE: $ 535,587.00 Rema;ks: Building#1 -6 unit condominium. TIF DEFERRED Owner: Contractor: FANNO POINTE LLC FAN1 J POINTE LLC 109 EAST 13TH STREET 109 P.:AST 13TH ST VANCOUVER, WA 98660 VANCOUVER, WA 98660 Phnne: 360-695.7T00 Phone: 360-695-7700 Reg #: LIC 154893 FEES REQUIRED INSPECTIONS Description Date Amount Erosion Control Insp 846-8 Drywall nail/screw J[3UPPLNJ Pin Rv 3/21/03 $1,579.76 Fcoting Insp Gyp Board Insp IT�LSJ FLS Pln R%, 3121/03 $972.16 Slab Insp Smoke Detector BUILD Permit Fee 5/16/03 Framing Insp Appr/Sdwlk Insp ] $2,430.40 Insulation Insp Final Inspection TAX]8%,State Tax 5/16/03 $194.43 Shear Wall Insp (additional fees not listed here) Exterior Sheathing Insp nrewali Insp Total $11,08!.15 Drywall nail/screw Dr all nail/screw This permit is issued subject to the regulations contained in the Tigard Municipal Code, Staff 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 niles 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 CITYOF TIC'ARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00100 13125 SW Ball Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/16/03 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 PARCEL: 2S102DD-FP1-1 SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: NEW GARBAGE DISPOSALS: 6 MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: 6 BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R1 FLOOR DRAINS; TRAPS: STORIES: 2 WATER HEATERS: 6 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2.0 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 6 TUB/SHOWERS: 10 SEWER LINE: 100 ft WATER CLOSETS: 10 WATER LINE: 100 ft DISHWASHERS: 6 RAIN DRAIN: 100 ft Remarks: Building #1 - Plumbing work for 6 unit condominium . Owner: FEES ---�� -_ - -- — _ �- FANNO POINTE LLC Description Date L Amount - 109 EAST 13TH STREET 111LUM13I I'crmit Fee 5/16/03 $1,308.00 VANCOUVER, WA 98660 ll'LMI'LNI I'lan Review 5/16/03 $327,00 1 I A\ 5/16/03 $104.64 Phone : 160-095-7700 Total $1,739.64 Contractor: COMPLETE COMFORT SYSTEMS INC 12.300 SW 69TH AVE. TIGARD, OR 97223 REQUIRED INSPECTIONS Phone : 50.3-59H-4798 Sewer Inspection Water Service Insp Reg#: LIC 1527;(1 PLM/Underfloor PLM 34-150113 Top-out Insp Storm D-31n Insp Rain Drain Ins- Final Inspects,o This permit is issued subject to the regulations contained in the Tigard Municipal Cede, 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 1 1' Issued By: Permittee Signature:_ �- Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day CITY OF TIOARD ELECTRICAL PERMIT PERMIT#: F-.LC2003-00164 nEVELOPMENT SERVICES DATE ISSUED: /16/03 13125 SW Hall Blvd., Tigard, OR 97223 (5C3) 639-4171 PARCEL: 2S102DD-FP1-1 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 SUBDIVISION: FANNO POIN I E CONDOS ZONING: R-12 BLOCK: LOT : 001 JURISDICTION: TIG Project Description: Building#1 -Electrical work for 6 unit condominium. RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 1.00 0 - 200 amp: PUMP/IRRIGATION:�— EACH AOD'L 500SF: 14 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 12 401 - 600 amp: SIGNAL/PANEL: MANF hMl SVC/FDR: 0 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOER: 401 - 600 amp: 1 EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amplvolt: �v -4 RES UNITS: X > 600 VOLT NOMINAL.: Reconnect ons 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 --- —_ ---- --- SUP 4541S FEES El.1; 37-742 ' Description Date Amount Required Inspections IFILIPIAXI I.t'Pln Rcv 5 10 03 $418.34 _ [TAX]89%State'rax 5/16/03 $133.87 Rough-in (ELPRMT) El.('Pcrmit $1,673.35 Rough-in Low Voltage Inspection Total $2,225.56 Elect'I Service Elect'I Service Elect'I Final 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 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: rJ � Permit Signature: /N--- OWNER INSTALLATION ONLY 1 he 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 SUP12. ELEC'N: DATE: t LICENSE NO: i Call 639.4175 by 7:00pm for an Inspection th4 next business day CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00138 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/16/03 PARCEL: 2S102DD-FP1-1 SITE ADDRESS: 13712 SW HAIL BLVD BLDG 1 SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: NEVV FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: 10 OCCUPANCY GRP: R1 VENTS WIO APPL: VENT SYSTEMS: STORIES: 2 BOILERS/COMPRESSORS _ HOODS: G _ FUEL_-TYPES____ 0 - 3 HP: DLIMES. INCIN: I PC 3 - 15 HP: COMML. INCIN. MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HN: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS: 6 FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: F, > 10000 cfm: GAS OUTLETS: 6 Remarks: +tuilding#1 -Mechanical work for 6 unit cundommium Owner: FEES FANNO POINTE LLC Description Date Aniount 109 EAST 13TH STREET -- --- — VANCOUVER, WA 98660 MI:(]II Permit Fee 5/16103 $193.16 �MECPLN) Plan Re% 5/16/03 $48.29 TAX] 8 Statel'ax 5/16/03 $15.45 Pl ione: 160-695-7700 — — Total $256.80 Coi,fractor: -- — 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 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municioal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accorc:ance 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 nu may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. Issued By: i•_ C�'7• _-- Permittoe Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT w: SWR2003-0011.,,) 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/16/03 SITE ADDRESS; 13712 SW HALL BLVD BLDG 1 PARCEL: 2S102C)U-FP1-1 SUBDIVISION: FANNO POINTE CONDOS ZONING: It-I2 BLOCK: LOT: 001 JURISDICTION. Ilr TENANT NAME: FANNO POINTE CONDOMINIUMS USA NO: FIXTURE UNIYS, CLASS OF WORK: NEW DWELLING UNITS: 6 TYPE OF USE: MF NO. OF BUILDIIl03: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Building#1 - Sewer connection for 6 unit condominium. Owner: — ---- ---- -- -' _ _ _FEES FANNO POINTE LLC Description ____ Date Amount 109 EAST 13TH STREET _ VANCOUVER,WA 98660 [SWUSA]Swr connect 5/16/03 $13,800.00 [SWUSA]Swr Connect 5/16/03 $0.00 Phone: 360-695-7700 [SWINSP)Swr Inspect 5/16/03 $45.00 [SWINS111 S\�i Inspect 5/16/03 $0.00 Contractor: COMPLETE COMFORT SYSTEMS INC Total $13,8.15.00 12300 SW 69TH AVE. TIGARD, OR 97223 Phone: 503-598-4798 Reg#: LIC 152736 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 be forfeited if the permit expires. The Agency does riot 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 f `—_ Issued by: �� >7{_ v Permittee Signature: --- --__ Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day l3uiWillg Pernin Application_ FOR OFFICE USE ONJLY — — - Received Buil.li.� Permit ho f, -ao 133 C=' �U k LD106 ` Planning Approval Other !sy of"I'I�;aI d Date/By: __ Pemii 00R-2003-dello 13125 SW Hall Blvd. - - Plan Review Other Tigard,Oregon 97223 Jate/By, — Permit No.: Phope: 503-6394171 Fax: 503-598-1960 Post-Review Land Use -- Internet. www.ci.tigard.or.us Date/By: _ Case No. Contact _ Juris. S.e e Pale 2 fa_r24-hour Inspection Request: 503-639-4175 Nanx/Method �Silem_cntallnf ormation TYPE OF WORK REQUIRED'DATA:' New construction Demolition 1 &2 FAMILY DWELLING Addition/alteration/replacement I LJ Other: — CATEGORY OF CONSTRUCTION Note. Permit fees'are based on the total value of the work performed Indicate 1 &2-Family dwelling I El Commercial/Industrial the value(rounded to the nearest dollar)ofall equipment,materials,iabor, -- overhead and profit for the work indicated on this application. Accessory Building Multi-Family Master BuilderOther: valuation........................ $ JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths —� Job site address: 11'5112- S W HALL Q 11,11J, _ Total number of floors..................................... — New dwelling area(sq. R.).............................. Swite#: !-1 iHro 1-(m Bld ./Apt.#: --- _ Garage/carport area(sq. ft Pro'ect Name: `---"-- � FA N fuo pU 1 N"1-E Covered porch arca(sq. ft.).......................... . Cross street/Directions to job site: .�. ,. Other structure area ft a is . .). .... ...,.� ...... . .._ - - REQUIRED DATA; COMMERCIAL-USE CHECKLIST Subdivision: —_ Lot#: Tax map/parcel #_ Note: Permit fees*are hosed on the total value of the work performed Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all ec uipment,materials,labor, overhead and profit for the work indicated on th,s application. Valuation..............................__........... ..... .. uildin area(s ft. U ' - - -- ----- - - - New building area(sq. ft.)..................R-.1..... bo P11 Number of stories...... . . ............................... PR0'ERTTY.OWNER r-®-TENANT Type of construction...._....................... ......... V r-FknvtL Name: FANNy POINTE C , Occupancy group(s): Existing: AddressLA95- 1 3 1 5-tR4:E'T - New: City/State/Zi : VAN COOVE R ASN 59 l6b0 �- ---- �- Phone: 360-05,_7*oo I Fax: 36_0 - 03 3 -Ll q I NOTICE: All contractors and subcontractors are required to be APPL'ICA T, - CONTACT PERSON licensed with the Oregun Construction Contractors Board under - provisions of ORS 701 and may be required to be licensed in the Business Name: iANNGt (IV Ii47L LLC, _ �unsdietion where work is being performed. Ifthe annlicant is exempt Contact Natrtefrom licensing,the following reason applies Address: 101 EAS-t 3 -T R E ICT ---- - — --- --- Ciy/State/Zi A N C O D U EA ,W A T ki . ti X 6 6 0 _-- Phone: 360-09--7700Fax: 36o -0 3 -1`4442 WILDING PERMITFOVS* E-mail:, --- ''Please refer to fee schedifid. _i CONTRACTOR Bu_sinessamNN Ne: FAO P01 N TC- 6.L,[, �— —. Fees due :par application._ Address: f 09 EAST 134- Ivee4 Cit /State/Zi : VANS VC t2. ASH. 98660 Amount received........._..... ... ................. ... . Phone: 360-067 - 7'100 Fax: Up- 6 13-1�7— Date received:__ CCB L.ic. #: /` ,�-—— L-- -—" Authorized Notice: Thl.,permit application expire-If a permit Is not obtai-ed within Signature: `,�!'�F" Uate: � Q/y� � • `� IRO days ager It has been accepted as complete. 161 � ._f i1 'Fee methodology set by Tri-County Badding Industry Service Board. (Please print name) OWU\Permit Forms\IildgPermitApp.doc 01/03 ;0 1 Plan Submittal Requirement Matrix ('ommercial & Multi-Family Cit.►,of Tigat-4 Nc%%, Additions or Alterations TYPE OF SUBMITTAL # of Plans (Includes New, Additicns or Alterations) ' Required at Submittal Site Work 4 (must in lude location of all accessible parking) i Plumbin,, Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical: 2 s 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 t!,;a ,original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i ldsts\fonns\PIanSubMatrix.dnc 2/27/07 Mechanical Permit Application ' - Received � Mechanical r,� uatc/Hy. Permit No. tr[L*fV3�t�I �.1� O1) 1 �:il'i� , * PlanitingApprovii Building City � oale/B Permit No.: 13125'SW Ball Blvd. fr�t,l ` f~ I�� Plan Review--- -_- other --- - Tigard,Oregon 97223 Dste/BY__ - Permit No. Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use -` Date/B : _ _ Case No.. Interni,(: www.ci.tigard.or.us I Contact - Juns see Page 2 for 24-hour Inspection Request: 503-639-4175 1 Name/Method: ` , ____ Supplemental Information. TYPE OF WORK COMMERCIAL FEE*SCHEDI1LE-USE C$EdL.,,r New eonstructiun_ )emolitionMechanical permit fees*are based on the total value of the work Addition/alteration/rc lacelncnt _ Other: — performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,oveniead and profit. 1 & 2-Family dwelllqUllyCommercial/Industrial value: S See fake 2 for Fec Schedule AccessoryBuilding Multi-Family— RESIDENTIAL E( U PMtW/S_YSTEMS FEE*SCHEDULE Description t hce�a.) Total Master Builder JOther: --_ He.tin Co 111111 — JOB SITE INFORMATION and LOCATION Furnace-add-on air conditionin ** 14.00 Job site address: 137/2- S_w PA"_ 9411), Gas heat pump _ 14.00 y- -- Su"#: /-/ Avjw rh f- Bldg/Apt.#: - Duct work 14.00 project Name: Fpi NNy PO 1 NTEN dronic hot waters stem 14.00 Cross street/Directions to job site: _ Residential boiler for radiator or hydronic system _ 14.00 Unit heaters(fuel,not electric) in wall in-duct,suspended,etc.) _ 14.00 Flue/vent for any of above 10.00 --- - --— — Re dir units 12.15 _Subdivision: _ Other Fuel.A Itaacd_ Lot#: — -- -- ---- --- ----- '-- Tax map/parcel # Water heater IDESCRIMON OF WORK _i _Gas fireplace 10.00 •- pLEx -CoNDos Flue vent(water heater/g -fire lace - 10.00 Log lighter(gas) 10.00 -�_.---__-- — - Wood,Pellet stove 10.00 Wood fireplace/insert 10.00 _ c'hinme /liner/flue/vent 10.00 T MA i ^ _ other: 10.00 Name: r=ANiyo AlNn.:7 Environmental Exhaust&Ventilation Address: 1C>9 tA5T i f" STA ET Range hood/other kitchen equipment 10.00 City/State/z, COUVE12 Clothesdryerexhaust 10.00 ASH. 966 o Single duct exhaust Phone: 3&o - 69s-77o Fax: 360 113-q-9u Z (bathrooms,toilet compartments, t N . utili rooms) ._ 6.80 Name: FA HNO PD 1t47 t: Attic/crawl space fans 10.00 Address: /09 EAST 3 Sr,��E T - Other: 10.00 _ City/State/Zi : -ACOA me- k ',45H - '7fe66 O "(115.40 for first 4,$1.00 each additional Phone: X60--64s--7700 1 Fax: 360 b13 yZ Furnace,etc. —_ *• —_ Gas heat pump •+ _ E-mail: COM Z E Calfa " R7- -CS7E"S /A/ _Wall/sus ep nded/unit heater Water heater •* _Business Name:_ Fireplace -~ +• Address: /Z 3 00 5l� Cit /State/Zi 16A 12D y7 �� -1382 ** - Y p — Clothes dryer(gas) *• ^Plione: 503-599-THY I Fax: 903-631-01,9`11Yocher: •• CCB Lic. #: 1573 b — Total: -^ Mechaaleal Permit Fees' Authorized �, Subtotal: S _ Signature: -Datc: �__/ -c3 Minimum Permit Fee$72.50 $ Plan Review Fee 25%of Permit Fee S oN L 1 T 41k - ------- — (Please print name) r State Surcharge(8%of Permit Fee) S TOTAL PERMIT FEE S _ Notice: This permit application expires If a permit Is not obtained wllhin *Fee methodology set by Tri-County Building Industry service Board, Igo days after It has been accepted as complete. -Site pion required for exterior A/( units. i gNts\Permit Forms\MecPcmiitApp doc 01103 Mechanical Permit Application - City of Tigard Pr ,, 2 - Supplemental Information y Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to$5,000,00 Minimum fee$72.50 $5,001.00 to 510,000.00 $72.50 for the first$5,000.00 and 51.52 for each additional 5100.00 or fraction thereof,to and including110,000.00. 510,001 00 to S25,000.00� $148.50 for the first S10,0W.00 and 51.54 for each additional$100.00 or fraction thereof,to and including $25,000.0. S25,001 00 to 550,000.CO 5379 50 for the first$25,000.00 and $1 45 for each additional$100.00 or fraction thereof,to and including $50.000 W. S50,00I M and up 5742.00 for the first$50,000.00 and— $1 20 nd$1.20 for cacti additional$100.00 or fraction thereof. Assumed Valuations Per Appliance: Value Total Description. t Ea Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>I00,00013TU including ducts 1,170 &vents Floor Furnace including vent _ _ _ 955 Suspended heater,wall 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 handling unit to 10,000 cfm 656 _Air handling unit>10,000 cfm ),170 _ Non-portable evaporate cooler 656 _ Vent fan connected to a single duct 446 L14PO Vent system not included in appliance 656 permit_ _ _Mood ser-ed by mechanical exhaust 656 Sq3(. Dort%.='i�incinerator_ _ 1 170 _ Cotrvmtci^- •industrial incinerator 4,590 Other unit,including wood stoves, / 656 PAM �� Inserts,etc. _ D / On piping 1-4 outlets _ 360 Each additional outlet 63 I TOTAL COMMERCIAL, I VALUATION: i:\Dats\Permit FormsVNecPermitAppPg2.doc 01/03 plull,I)lnn Permit Application Received TV , Plumbing ( _ Date/B - Permit No PIs•ming Approval Sewer `City of'1•t>_;ard ZiX4 I C_t7w Dae/By: Permit No. 13125 SW I[all Blvd. Plan Review Other i igard,Oregon 97223 Date/By: -_---- Permit No.. --�C — Photic: 503-639-4171 Fax: 503-598-1960 Post-Review and Use uawB�_ ac No.: Interner. www.ci.tigard.or,us Contact 1 see I'ake 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: /�/ tiupirlemental Information. --� — TYPE OF WORK FEE"SCIIEDME fors eclat Information use checklist) New construction _ Demolition Description Qly, Fec(er.) Total A_d_dlt�on/aIteration/replacement Other: New 1-& or ca lily dwellings CATEGORY OF CONSTRUCTION (Includes 100 it.for eecli utllit connection SR I Fbath �--- 249.20 it d I t -1 Jf!! we rlt SFR — R 2 bath 350.00 E]nccessory Building Multi-Fa> 11 _-_ SFR 3 bath 399.00 U Master Builder Other: _ I Each additional bath/kitchcn _ 45.00 JOB SITE INFORMATION and LOCATION Fire sprinkler-sq, ft.: Page 2 Job site address: 137/2 s w PAU- MVP _ Site Utilittes — Suiiie �{h%� 1-� Bldg./Apt,#: Catch li/lea h li drain 16.60 Project Name: EA NNO PID i N'T I _ Footing line/trench drain +110,0()age 2 Footin drain no.linear ft, Pae 2Cross street/Directions to job site: Manufactured home utilities _ Manholes_ 16.60 _ Rain drain connector 16.60 V Sanitary sewer no.linear[l.) Pa c2 - ---�— Storm sewer no.linear ft. Pa c4 Subdivision: Lot#: -- - - --- Tax ma / areal #: Water service(no.linear ft.) Page 2 ��_-_ " �' F_ixthlre or-Mih — DESCRIPTION OF WORK Absorption valve 16.60 -- — _ _Ott:x f L/17 ---___- — Backflow preventer Backwater valve 16.60 --- - - - Clothes washer It'i.GU 6,0 --- - - - --- --- - Dishwasher 16.60 J.bO _ _ �_ Drinkin fountain 16.60 DPI)lih'?Y'() . W1YFR TENANT E ectors/sum 16.60 Name: f/4 N A/o PO I M7 E_ l..L L, Expansion lank 16.60 (�q 4� Fixture/sewer ca 16.60 Address: SZ 13 S`t�.t cap drain/floor sink/hub 16.60 Clly/State/Zig ATI(0 u E�1 /�5 N ��E'-U Garbs a dis sal _ 16.G0 ,o Phone: AD- 4S- 77�v Fax: 36a 6q3 Phone: Hose bib 6 16.60 qq,60 NTA IY-�- er - — I Cn60 ,b o Name: FA H NO p 01 NT C J,L, Interceptor/grease trap 16.60 Address: 10 E/A5T _131`` S`fT Medical gas-value: $ Page 2 Primer 16.60 City/State/Zip: VAW N VIiV WA' 14 , I Zb b O Roof drain commercial 16.60 Phone: 0-tigS -170c' 1 Fax: 360-613 -10V- Sink/hasin/lavat�ry 16.60 ov E-mail: Ca E iURT / Tub/shower/shower_ 10 16,60 jib 0 60 0 Urinal - - Water closet _ 0 16.60 Business Name" _ t Water heater 16.60 gU Address: IZ 30U_�lti? i� VE _ Other: — Cit /State/Zip: T IGA 90 0 K. X1 -1 Z 7 3 other: Phone: SUS 519-,11g 4� Fax: S02- b D49 F1 "'~ - �.. -` subtotal 5 _ CCB L1C. #: 15z73/v1e/ ttmb. LiC.#:3''t'-W6P(i Minimum Permitfce572.50 $ Authorized ,�� Residential Backflow Minimin-a Fee$36.25 Signature: G Date: t;' Plan Review 25%of Permit Fee Qw,i L 1 -�y t 1Z _ State Surcharge(B%of Permit Fee $ D ti _J (Please print nanx) �—TOTAL PERMIT FLE $ Sy Notice: This permit application expires If a permit Is rot obtained within All new commerclat buildings require 2 sets of plans wt Isometric or 180 days alter It has been accepted at complete. riser diagram for plan review. *Fee methodolokv set by Tri-Counly Ilullding Industry Service Board. I\Dsts\Permit forms\Plml'ermitApp.doc 01/03 Plum-bi ft Permit Application - (lily of Tigard Pale 2 - Sul)'plemenlal Information , Fee Schedule: Residential Fire Suppression S' stems: Site Utilities Qty. Fee(es) Total Square Footage: Permit Fee: Footing drain- I"100' 55.0q U to 2,000 $115,00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $ - 3,601 'o 7,200 $ 20.00 Sewer- I sl 100' 5500 7,201 s d cater $ Sewer-each additional I(8)' -- 46.40 --- V - - -- WaterService- Ist 100' 55.00 _ Medical Lias S stems' Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain- Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50_ Storm&Rain Drain-each additional IOD' 4640 $5,001.00 to$10,000.00 $72.50 for the first S5,1100.00 and$1.52 for each additional$100.00 or fraction thereof,to and Fixture or Item Qty. Fee(ea) Total meluding$10,000.00. Commercial flack Flow Prevention Device 46AU $10,001.00 to$25,000.00 $148 50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Devi m - each additional$100.00 or fraction thereof,to minimum ennit fee$36.25) 27.55 and includinit$25,000.00 Rain brain,single family dwelling 6525 $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 Inspection of existing plumbing or __ ___ and including$50,000,00. a email requested inspections-per hour 72.50 _ $50,001 00 and up __ $742.00 for the first$50,000.00 and$1.20 far Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yea",please indicate work performed by fixture. Failure to _accuraielreport fixtures could r•estilt in increased sewer fees*. uantll V Fixture Work Performed—' Ointments regarding fixture work: tQt Existing ----------------- -- New �to_vcd Existln qa taped Bogthitry/Fonl -- --- -- --- - -- --------- - Bath -Tub/Shower _ -Jacuzzi/Whirlpool -- Car W•+sh -each Stall -- -- `--, -- -�_ -Drive Thru Cuspidor/Water Aspirator -- Dishwasher -Commercial -Domestic Drinking Fountain - Eyt Wash _ --- Floor Drain/sink 2" 3" 4" _ r wash IPain GarhaRc *Note: If the fixture work under this permit results in an Done;tic Disposal -Coma ercial increase of sewer F.DiIs,a sewer permit will be issued and -Industrial — fees assessed for the sewer increase must be paid beG+re the Ice tvlach./Rerng 1lains — plumbing permit can be issued. _Ti Scparator((las Station _ - Rec Vehicle Dump Station __ _- Shower -Gang _- -Stall -- Sink -Bar/Lavaton __- -Bradley - -commercial -Service A Swimming Pool Filter _ Washer-Clothes _ Water Extractor _Water(lowt-Toilet (_Innal Other Fixtures' i\Dsts;Term it Fomms\PlmPermitAppPg2.doc 01103 Electrical Permit A lieation Received Electrical --- ^-- - -- — -- Detc/B c J Permit No.: �� Planning Appro,al sign City of Tigard bate/By: Permit No.: I-4125 SW liall Blvd. ';�_L(._%L_'D/00 Plan Review Other Tigard,Oregon 97223 - Date/By: Permit No.: Pholte: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact tuns: See Page 2 for 24-hour luspection R-equest: 503-639-4175 L Name/Method _ Supplemental Information._ TYPE OF WORK _ PLAN REVIEW(Please check all that apply) New construction WI Demolition ovct 225 amps- Health-care facility — -- commercial ❑Hazardous location Addition/alteration/re lacem nnt�WWI _ ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION_ I &2 family dwellings four or more residential units in 1 &2-Family dwelling Commercial/Industrial ❑System over 600 volts nottunal one structure [j Building over three stories Feeders,400 amps or more ACCesSO $uilding Multi-Family ❑occupant load over 99 rersons Manufactured structures or RV park Mastcr Builder Other: ❑F:gressAighting plan ❑Other JOB SITE INFORMATION and LOCATION Submit sets of plans Will Any of Ute above. The above are not applicable to lcm orary construction service. Job site address: `-1 HALI-- t31-VD1 — _FEE'SCHEDULE saiw#: j—/ -1/rrjelk Bldg./APIA: I -_ Number of Ins ecdons per permit allowed ProLct Name: FALL O O I IIT E Description Qty Fee(ea.) Total Nrsv residential single or multi-famliv per Dross street/Directions to,lob site: dwelling unit.Includes attached Kar age. Service Included: 10009 .It on less 1 145.15 I HS',15 4 Each additional 500 sy.ft.or portion thereof 33,40 %1Y 2 1 Limited energy,residential 75.00 1 ft T 2 Subdivision: __ I Lot#: Limited energy,non residential _ 75.00 400-t, 2 Tax map/parcel #: Fach manufactured home or modular dwelling ESCRiPT1UN OF WORK service and/or feeder 90.90 2 n �' Services or feeders-Installation, - 6-• /'L G X (OH D 0 5� _ alteration or relocation: 200 amps or less _ 80.30 2 201 amps to 400 Tl23__ 106.85 2 -- 401 am s to 600 amps �..---�- 160.60 ,6[t 2 - PROPERTX OWNE� T1E`NANT 601 amps to 1000 amps 240.60 2 N �_-..----_ over 1000 am or volts-_ __ 454.65 2 ante' FAwnU Po/NTE L,L,C • _ Reconnectonl --- 66.85 2 Address: 105 EAST 13 41^ 5T REET 'Temporary services or feeders-Installation• alteration,or relocation:Cit /State/Zi A N CdLt VIZ-,�,t�/1S N _ 1966CzW amp,or te55 _ 66.es I Phone: -69s-77oo Fax: 76v - t6y3 _,Vy"/z• 201 am to400a z 401 to 600 ams 03.75 1 2 PLICAI!;II.,; CTIMI Branch circuits-new,alteration,or Name: 174/ /NOt #00!"?E L-,L,e, extenatou per panel: 1J75T l3 A Fee for branch circuits with purchase of Address: /0y. V_ s7ACY' _ service or feeder fee,each branch circuit 6.F5 2 City/Stale/Zip: VH N(OL,CU(;12 / WAS 14 . 9S B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: 60-69s" •-710 o Fax: �1 _yy Z Each additional branch circuit 6.65 2 F-mail: Misc(Service or feeder not included) CONTRACTOR E:ac�um n or irrigation circle 53.40 _ 2 Each sign or outline lighting 53.40 2 Job No: signal circuit(s)or a limited energy panel, —- - _s--- 41 alteration,or extension Pae 2 2 Business Name: �_ 7/p /NC Description Address:_S50Z, _ Each additional Inspection over the allowable In an of the above: City/State!Zip_ O RT�N D , 0Z e7-72,, flet inspection r hour min. I hour 62.50 Phone: 5r�3 2.5 Z--31461 Fax: T&I 7-52-b�1 I Investigation fee: Other: CCB Lic_* 11 01 ic. #: '31-7`f 2 e %//0-? pct r - Supervising electrician , 1 , i_ — Subtotal S suture required: /- t. "�- Plan Review(25%of Permit Fec $ Print Name: T- 1.ic•#: `/% '1 _ State Surcharge(8%of Permit Fee S 4 /0 lei,, p`f __ ____TOTAI.PERMIT FEE S Authorized Notice: This permit application expires If a permit Is n obtained within Signature, __ _ Date: TV'?_C.Y 180 dass afl.r It has been accepted as complete- FCC ntcibodrlogy set Its Tri- ounly Building Industry Service Board. -- (Please print name) i\IMts\Pemdt Fonm\plcpernsitApp doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information L'IMI'TED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for pi!systems............................................................ $75.00 Check Type of Work Involved: UAudio and Slerco Systems* Burglar Alarm Garage Door Opener* Beating,Ventilation and Air(onditioning System* C� Vacuum Systems* Other------ — - COMMERCIAL WORK ONLY: Feefor earth system.......................................................... $75.00 (SEE OAR 918-260 260) l'heck'Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Syst:ms Data Telecommunication Installation Fire Alarm Installation IiVAC Instrumentation Intercom and Paging Systems 0 Landscape Irrigation Control* [—] Medical LlNurse Calls Outdoor Landscape Lighting* Protective Signaling Other Number of Systems No licenses are required. Licenses are required for all other installations i\beta\Permit Forms\FlcPermitAppPg2.doc 01/03 .v BUILDING PERMIT CITY OF TIGAR® PERMIT#: BUP2003-00334 DEVELOPMENT SERVICES DATE ISSUED: 6/17/03 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP1-1 SITE ADDRESS: 13712 SW HALL. BLVD BLDG 1 SUBDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: _ _ LOT: 0_01 JURISDICTION: TIG _ REISSUE: i FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST sf N: S: E: W: TYPE OF USE: MF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5-1 HR sf N: S: E: W: OCCUPANCY GRP: R1 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BE:DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,680.00 Remarks: Buidling#1 - FPS Owner: Contractor: FANNO P(-)!NTE LLC JND FIRE SPRINKLER INC 109 EAST 13TH STREET 12155 SW GRANT VANCOUVER, WA 98660 STE D TIGARD, OR 97223 Phone: 360-695.7700 "hone: 968-5200 Reg #: LIC 64395 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough-In B1,11 LD] Pcrnut I cc 6/9/03 $139.30 Sprinkler Final ITAX18`%,Slaw Iax 6/9/03 $11.14 1 FLS) FLS PIn 16 6/9/03 $55.72 Total $206.16 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be dune in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling(503)246-6699 or 1-800-332-2344. J � Issued By: �1I- � � _ � j — Pennittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day F NOoIo ire ��tect>to-, System USE ONLY FFICE j_ Builldin Perinit A li�cation Received ' ' _—�_� — _�� / Date/By: ('lly (1f rrlalrll Planning Approval Other - - Date/By: Permit No.: 13125 SW liall UJvd. Plan Review Other Tigard,Oregon 97223 Date/By:46-11,0-7,44M'4 permit No.: -- Phone: 503-639-4171 Fax: 503-598.1460 Post-Revicw land Use Date/By: Case No. Internet: www.ci.tigard.or.us contact lyris see Pa1w 2 for - 24-hour Inspection RLquest: 503-639-417" LNamc/Method: I su denier lal Information TYPE OF WORK --__ REQUIRED DATA:—?-. --- -------- ew construction Demolition 1 &2 FAMILYDWELLING Addition/alteration/replacement Other: — _ - -�-- CATEGORY OF CONSTRUCTION Note Permit fees'are based on the total value of the work performed. Indicate 1 &2-Family dwelling I Lj Commercial/Industrial the,aluc(rounded to the nearest dollar)of all equipment,materials,labor, ove head and profit for the work indicated on this application. A-cesso Buildin ulti-Family o-^ baMaster Builder Other: Valuation.......... - ...... .... $ ths:, - --- — No.of bedrooms: No.of JOB SITE INFORMATION and LOCATION Job site address: ,S -eu D a Total number floors..................................... New dwelling area(sq.n.).............................. Suite#: I Bld ./A t.#: — Garage/carport area(sq.fl.)........................... Project Name: — Covered porch area(sq R.)............................. Cross street/Directions to fob site: Deck area(sq.ft.)............................................ Other structure area(sq.n.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: — Lot M _ Tax map/parcel #: Note: Permit fees*arc based on the total value of the work performed Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, R -R -- overhead and profit for the work indicated on this application. Valuation......................................................... ---- �..._-----_ __ ._- --- Existing building area(sq.n.)......................... _ New building area(sq.n.). ............................ - - Number of stories...... .................................. . — Y_- ------- ---------- PROPERTY'OWNER TENANT— Type of construction........................ ........... .. Nattte_ _� _ - Occupancy group(s): Existing: _ ------ New: Addres�_9 C.� T`11+ ST. _ City,State/Z,i�: 1� N �t co(26__— Pho/S-- 0 1-?7D Fax: NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under A IPL'ICANT CONTACT PERSON' t provisions of ORS 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: — - - — -- Cit /State/Zip: - -_ - ----. --- Phone: Z Fax: -— BUILDING PERMIT FEES*,---� _---- -- E-Mail' Please refer to fee schedule. CONTRA—CTO—ft--- - - --- ' — ----...^—,------ Business Nanie;;jgo_f IRE 5Qtees due upon application........... .. ... .. .... 5 Address: Z�S —,SW_�AWT- J3 ScJt City/State/ZiO:'Tj 937Z-3Amount received........................................ .. Q Phone:5D3-Q( J?-57()0 Fax.S7)3-9r r-f9Zd Date received: CCB Li . #: (4395 -- _ --- — _ Authorizeo d Nulicr: l hh permit application aspires!f■permit is not btainet d ssihin Signature _�' .I► I)aIc �P� INo dar's oflrr It has been at cepled as complete. 'Fee methodoloKv set ''.rl-County Building Industn Scrsice Board. (Please print name) I\Dsrs\Pcrrnit Fomts\BIdgPermitApp.doc 01103 Fire Protection Permit Check List A. New ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: N0013 R Sr� � ST-C=-MS Type of System Complete A, B or C as applicable): A.) Sprinkler- We – -- -Dr d --- - Standpi�es Additional Hazard GroupAMA]C_ Information Denser --- - -------�� — ------- Desiqn Area N S -- ---------- K. Factor _ __Sprinkler Protect Valuation: $ 1, &YO— B. Type I - Hood Fire Suppression System — Hood JProLct ValuationT$ Submittal shall Bane Calculations_ — Yes _❑ include: Individual Component Yes CI Cut Sheets Fire Alarm Pro ect Valuation: $ Pro qct Valuation Subtotal A B & C : $ Permit fee based on valuation see chart : $ - - -------------1------ 1: -- _ _ 8% 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 of an Oregon licensed fire suppre.sion engineer, or NICET leve► "3" technicians. I:dsts\forms\FPScheckIIst.doc 11/21/01 CITYOr nTIGARD PLUMBING PERMIT /8/03 DEVELOPMENT SERVICE'S PERMIT#: 3-00410 13125 SW Hall Blvd., Tigard, OR 97223 .,03) 639-4171 DATE ISSUED: 8/8/03 8/8/03 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 PARCEL: 2S102DD-FP1-1 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: Submeteis Owner: — FEES Description Date Amount FANNO POINTE_ LLC - 109 EAST 13TH STREET [111,11MBl 1'crnut Pee 8/8/03 $99.60 VANCOUVER, WA 98660 [TAX] 9",„~talc rax 8/8/03 $7.97 Total $107.57 Phone 100-095.7700 — - -- Contractor: COMPLETE COMFORT SYSTEMS INC 12300 SW 69TH AVE TIGARD, OR 97223 REQUIRED INSPECTIONS Phone : 503-5(i8-4798 Final Inspection Reg #: I IC 152736 I'I.M 34-356PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. I his 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 arP set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: Permittee Signature: Call (5A) 639-4175 by 7:00 P.M. for an inspection needed the next business day 08 'tt4/2UO3 12: 19 FAX 5035981960 CITY OF TIGARD Vill(I Building fixtures Plumbing Permit Application Received Plumbing Date/B�, r'crmit No-PL/V M3 l 6 Planning App al Sewsi - - Ciof Tigard Plan ----- Permit N_o.. - 13125 SW Hall Blvd. rr Tigard,Oregon 97223 Date/AX Pernut No.: Phone: 503-639-0171 Fax. 503.598-1960 Pont-Review LA_0 1Ne Internet: www.ri.tigard.or.us _nate/DY._--, CaSC NQ _ Contact luris.: gee Page-2 for 24-how Inspection Request: 503-639-4175 Name/Mc(hod: I Supplemental Information. F��,� '� �f'..^. %�:t�.,.., - j��. C KI, for: -T t,V 4"w�M`�C . New construction (=J Demolition D crymia n clry. Feeii-) Total - - ddition/altcmtion/re lacernent []Other- VC ther 11C �- _._�nrl d' d0•lt:'for.klii�hnlhh 6ha�tlllli 1 &2•Falnk dwellingCotrunercial/Ir►dustnal SPK(i)bath 244.20 -- - SFR(2)bath 350.00 AccessoBuildin ultiFantil --- --.Z- -�--- - �-?'----_ SIR(3)bath 399.00 []Master i3uilder ,ther: Each additional bath/kitchen _ 45,00 - I+� tST mnpV y--- xIODI lilt 1>`1 1� --- Firc s ruikler _ 8 nom� pae 2 Job attcaddresl;:/�7(Z a(�f11 _ _ �� it _. nll;.li .�nl }I I�J1fi7/TCi"fy��UlFlallr1111. ,•-r .+ « ry..iy,;{ - Suite#; _ l klld ./A t.fl: Catch__ -_ basin/area drain__. _-- -_- ►6.60 AV Project Name: IV �o/N� D ell/leach line/trench dram 16.60 - - u Footin � fl. Cross street/Directions to,lob site: -drain n! in Pae 2 -- -- --- prfanufactured home utilities 110.00 Manholce --�- 16.60 ' Rain drain connector 16.60 1 Sanitary ewer(no. linear ft. P e 2 -- -- _ Subdivision: _ Lot*. Storm sewer no.linear ft I-2A!2 Tax.map/pace 100:'�'��fyLWn W(waftel service no.linear ft. Page 2 YFW& r ' AJF'�Jfir't_�..IP .rR�n v.. F : .VRyla' r.%i.':: ~•ry e �1) 14,6 r 5 A4 re /�L�x CI�ti�I Absor�N°n valvc�. -- 16.60 Backfl(iw preventet _ __ P e 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher _ 16-60 '- i 11t u3 4' "' Druilur. fountain 16.60 7�---p ► EjeWimctors/sump 16.60 e:__L4N 10 TDIA);r li e, Expansion tank 16.60 Address: /-pq I-AV - y Fixturrlsewer cam _ - 16.60 OtY/Stat 16R. r11/, (�~ Floor dt_aitt/floor sink/hub 16.60 disposal-----�- 16.60 ~IIP: (r0'fi 7700 Fax: ZttrO- ' 4 1losc bib _ 16.60 Name: A VNO ___.. - r DINT .. �"_ --'� Ice maker 16.60 -- Gitcrccptor/�t:a6e trap 16,60 Address: �Uq 6 /3 1# _5�-_ T I Medical ps-value: S PMS 2 Ci /$tate/z : VAN(CL)O V U, Nl/9- - -- Primer _- - 16.60 PhoRoof drain(commercial) 16.60 ne: -� 7 Fax: -- - L 6� y� Sink/basut/lavatory__-- 16.60 L Iriall: Tub/shower/shower pan 16.60 Urinal - --- - 16.60 - Business Name: f Water heater 16.60 water closet 16.60 ,D �' Addles_s-�it1,,,�,1�r _`=� � - Ci /State/Zi U ether_�M. T other �- Phone: -- Subtotal f . CCB LIC. #`: Phunb. LIC.#: Mininiurn Permit Fee 572.50 S SipanAutbotn e t d Date'_-_ Residential Backflow Mitrirnum Fee 536.25 Signatur � Plan Review 25%of Peitnit Fee $ State Stu>harS8°ie of Permit Fee S (Please print name) _ _TOTAL PERMIT FEE S _Akffi&MW Notice: This permit appltcarlon expires if a permit It not obtained t.ithm All new commercial bulldings require 2 setsof plain with laometric ar 180 days after It his been accepted as campletc clad diagram for plan review. •Fel methodnlogy eN by Irl-('aunty Building Industry Service board. I Dsv\l'ctmit Form:tPlmPcrmitApp.doc 01/03 l �) -7 7 r CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2003-00447 DEVELOPMENT SERVICES DATE ISSUED: 8/5/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP1-1 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 3LIUDIVISION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREASEXTERIOR 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 OCCI1 SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,200.00 Remarks: Building #1 - Fire alarm for 6 unit condominium. Owner: Contractor: FANNO POINTE LLC T & '. 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 REQL'QED INSPECTIONS Description Date Amount Fire Alarm I AX] 8%State Tax 7/24/03 $5.00 Final Inspection 1 BUILD Permit Cee 7/24/03 $62.50 FLS] 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, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: Ai-L.e-C _ - Pe nn ittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day V. 22 03 o9:19 FAX _ It 002/006 ;/j- :�Hyl LZ - Fire Protection System NMI Building Permit Application ttecetvedPte";°°la: /,j ' eo Dom._ Oth:r Fl.antng Agptoval 7, City of Tigard Nail:_ Prm,it*roto' ~Ulher - 13175 SVt'Hall Blvd. Plan Rtview r f r Uatnikl ✓_ '101. Farmit No.: -----, Tigard,O.ogou 972_.��3 Post-Review Land(At Pbone: Sol.& 9AM Fax, SW-598-1960 �Nam:/Method: CasedIuterncr- %,ww.ci tigvd.or,us ntsct ' Ser tape 2 for l4ttotu Inspection Request _ r�lementai linformatIon --- — r i'�R lyt t '+l WA t Xv J In� .� n �. Dtrnoiihan `�� Ir� �► >� �� I ,�. New construction y'y' Additiunhtltcrnuorl/:e lacement Ober: 3Zi( d2TI q vote: Fernrit fecal are Lased on the Jorat value or the work performed. Indicate 2-Penal dwr illu Conlmercial/Industrial the va ue(rounded ti the reorest dollar)of fll cquipmerl,matarialt,labor, _-,�_ - - -- - ovCrhCad Lid profit fur the work indicated on INS afff Acation- Accests Building Multi-Family Master Builder Other: - Valuaticn•............... .............. .. .. $_ ''r 5 q'' (ywt _ Na.ofbcdronm/:-r, No v at s: _ —=- Tow number of floors.....,.. . . . Job 9aC eddrCsa:/�5 J ) el - New dwelllnB Lica(Sq.ft)............. r ob - Suite )did ./apt.#: = Garage,'o"fir area(+y.ft-)................. Pro'ect Namta: /t !,/, 1 Covered poroh area(sq.ft.). . ........., •. _.(_ _- _ arca Doak r Closs strMtoirections to job$lte (.sq.Il.) """" ii 4� Subdivision: AIL .__.._._ Lot#: __— ', .____ . .', ?Rx nA / 9CCe #: , Note: Perinit tees-art:ba>,ed on the+otal%ulLe of the ':ork perfatmed lndicste A Vit,! ";,fi (� r�: 'r 'In �•' the value trot:nded lo tie-ieamst J01101 of all tTaip,Y•ent,nlittcrta S la5ar. overhera rrfd praflt fcr h-work�nd•atted on this aprlioetlen. Valuation_..................................... ....... Exiedng Suildut4 aro&(sq.ft.).- New bullMns area(sq.tt,).,,. _.. ;�,, Number of stories. ... ....,••. - �'�TrlfAp "�- Occupocyglouy(s): New• -Cii+ atGZi r__ - �/3t------Lt --"""-- F:40TIM All contractors and a6cantiactors are required to be Phone: Fax: T-� licented with the Oregon Construction Contrac:rrs Board under i G M' ''I ij provisions of ORS 701 and may be rcq tired to he licensed in the Business Name' jurisdiction where work is being perfortned, lrtha applicant ie exempt Contact:Maine_ —: �f _�- from licetuin&the following reason applies: - - - Address: Phone: E-mail: �pyr ,tai D _r7'.ill. USiTICS4 NamO; �llY recs due`upon application..................,:,, --, -- AddrC:S' !_1�i (_ l�liuL)��i t L.r-•-- Duntr cease+ . .. 5 I C'ity/State/ziP r. +..... Phone: 'ax: .1...2L/ Detr received CCB Lic. # r_ _1010 — Authorized ?tours; This permit application tiplro It a permit is cot obtalood within SigttetUtY' -_ D�tO:� �T 1911 dava after it has been teeepted as compute. •fee rfteehodalep-iRf by Tri-l'uerry Bulhllog tndu►tr v Cer*ttR Ward. i•'St wr\permlt ranls,jjid$PermilApp.doc 01103 ELECTRICAL PERMIT- CIY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00214 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/5/03 PARCEL: 2S'02DD-FP'I-1 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 SUBE I j+SION: FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Building #'I Limited energy for fire alarm permit. 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 SYSTEPA: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF F SYSTEMS: 1 Owner: J 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 3 7-428CLE FEES Required Inspections -_- Description Daie Amourt Low Vo!tage Inspection ELPRMT ELIC i'ermit 7/24/03 $75.00 - Elect'I Final ITAXJ 8%State Tax 7/24/03 $6.00 Total $81.00 This Pen-nit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if worts is not s'arted within 180 days of issuance, or if worts is suspended for more than 180 days. ATTENTIONOregon 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 nhtain copies of these rules or direct questions to OUNC at (503) 246-6699 _ Issued by Permittee Signature J L > __ OWNER INSTALLATION ONLY 1 lie installation is being made on property I own which is not intended for sale, lease, or rent. ()WNER'S SIGNATURE: ----- ---- - --,_— — DATE:---- CONTRACTOR INSTALLATION ONLY - SIGNATURE OF SUPZ. ELEC'N - - — ------ -- - -- --- DATE:---------- LICENSE ATE:----------LICENSE N O - --- --�_� j.-��-- --- --- --- -------------- - --- _._. Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Mul Flectrieal Permit_ _ plieation ftecdved a;MUT11 U 51 If' Pet nit ho. G L Od 3-C+p1 V - City of Tivard t Planning Apprcval Sign - v 1 EC 1• Dete/B_y: ---- Pn�l No 13125 Sw HAD Blvd Pian Review Other Tigard,010900 97223 Date/Ry _ itNo.: (!Pah ,�,.G >d4t7 Phuue. 503-639-4171 I ax' S0 i-598-1960 Pmt•Revicw Land Use lttteluet. www ct.hgardor.us Contact __- i}r Ste Page 2 for 24-hour hlspe-,irin Rr quest: 503 639-4175 Narnr/Mcftd'_ I r� 5u otcmentd tatormadon. itiii—' ? f. 1 `i►(Y):�-- h w construction bemoli aon I�Servix over 225 imps• Health-care fac ity oomr»tr c,al ❑Haurdouc lorauon WditiordultCrationlre 18CELn0111 Other: _ ❑Service Jure 320 ornpe-rating of (]Owlding over 10,M cquXrc fee: :." ,"* r i,'' 1& ?!gnu ly dwcllinga four or more residential ur.s in 2-FgMlly dwellln• Commercia'JlndusInal - ❑systrni oret 00 volts rornmal One etru:tu'c Builrliug oen the.stories ❑Feeders,4'00 entps cr rMhe ACC^J5t5Ui r 1lUlidrng 1VYll111-FtlIr111y ^_- H occu�an(load over)y perscns Marufacturtd snouren o,RV pa•k Maslen Wilder � OdICT, � LJ Egrev Tghnn8 plan H nthcr -_`_-- _Jn SSEIFU T� �, Id{1 .a_ 1,Cllr Submit sou of plans with any of the above. 'i he above are tot a Ramble to lom rseunctruttf n Xarvtc. Job site address: - �` :�' r 'Ul ' Ste _ Suite#: B1dzJAptA _ (Number of in ctlone per ptrait LHOwed -- Deseri Uoa +�------�- Qtr Fee(.0.) TORI PpiectNane�Li�") PZj)/ �.yv>i�.7�r L�. p -- Cross street/Directions 10 Ob site: New rnideotial-siagk or Otutti-famnv per • dwelling mit.Includes artaehrd garage. Servicr iachided' 1000 Sri 11 or len _:43 15 - 4 £ash sCdinonal sdtl s4 ft or poRi LOwroof_ - 3343 "- - LI ted etrtgy.K ntlal 75.00 2 SUbd1V1S1011: ! L0t#: Limited overgy,tion-rest tt6l 75,00 2 I8X ma i grail#: - Fath man fudged honkor n,ornlu dwelling 6!1 !d'.tu•, 4 d11;rJ;'•t d;"'ii'' , t; ' wrdoe and/or fatew - 90,90 2 Serricu or f404ett•lext ladon, alteration or retorarinat 100�_orr Bas _ 80.30 2 1 rw-- -------- — - - l -m i00 emcee------ l . S 2 AOl an.B3.gt6w- 4---- - 1 2 a p• 1 _ r r{, q ii:, h 60l arms to !mom--- - 140. - 2 Name: acro- 5r 'ot lar_ esa.ds 3 -- -- - -- ----- l�oa only 66.85 2 Address;: Temporary services or feeders-instrllalloa, diaration,or relocation: � Cid/StBte,/Z1p: -----�----- 100 or *a -- - 6685 I 7-1 Phone: FIX: _0 In m 400 an pa - - _ !00 30 >;l.iY�C l lw, ,fe,., --- I 1 y�t•'I!t�P.�:; !2_110 6w --- - - 1�75 - 2 Name: I Bronch cirralts-new,alteration,or lame: _ I extension per panel. — - ---- ---- A.Fee for branch citedih Wilh purchase of Addross - service or NAdrx ree each brans Grcuil 6.65 2 city/state/zip: B PN frr bnn�svtull5 WIU OW f W C lift Of -- ------ t --- aervioe or r fee,Mt tranch.e cult_ 46,85 2 I Phone: I Fax: ----- - -- - 1- • -- ----.--- ch eddltl«tal hunch eiretnt a.0s , 2 E-mail: Mico(Service art raou4r na b,cluded): �T *- --:,�.•, n spun oroYi tfonelre!e_, silm or outltM!khhhn¢ $3.40 1 2 Job No: Sizaal cvcultfsl or a hmierd energy pWt ty -- sit:ni�rt-Sx!t nsicn 2 2 Busuiess Name: Deacr -'-- -- -.�. iycon Address:- bl I L.t�r�il7h)Q_\�r -QP�� CI /Stale/ZI t Each additional fu3pettfon over the allowable In a f the above: -110 L - Par�e A�ron o Phune 0 2f Faxj_f'A(') 7zz1-lem li,w�a tb''11''e—- -- CCR Lie.IN. , /LF 7 LI(:.#: astral: rsubtntil S as`e U OSu ervisin electician mi turd IeqW2Cd:____ C �.,l .y-� 1 Plan Review(2596 „Ststo Surcharge(8Ya of Pcmri:Fee i S v _ _T_OTAL PERMIT FEE S tT 00 Authonzod Notice: Tho porn.it appUestleo expires If a pormlt 4 not obtala wlehla Sigrttrure' 1/� J Dalt: / Z z .0-3 IN days after h hi a boo aeeeptcd.a compieta. - 'Fee modiodology get by Tri-Coenty Building IndYury Service Board. (Plea.',IM Able) --V� i•'tfkulPerMt FtrmsL�lcPrrrniNno.doc OIN3 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE COMPLETE COMFORT SYSTEMS INC 12300 SW 69TH AVE. TIGARD, OR 97223 Plumbing Signature Form Permit #: PLM2003-00410 Date Issued: Parcel. 2S102DD-FP1-1 Site Address: 13712 SW HALL BLVD BLDG 1 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, ATTN: Building Division. No plumbing inspections w'111 be authorizod until this completed torn, is receivers 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 #:3611-695 7-1 ij) Phone #: 503-598-4798 Req #: LIC 152736 PI.M 34..356PB AN INS: SIGNATURE IS REQUIRED CIN THIS FORM t X Signature of Authorized Phimber 11 vo u have anv questions. please call 503.718.2433. CITY O F 11r A R D _. ELECTRICAL PERMIT PERMIT#: ELC2003-100638 DEVELOPMENT SERVICES DATE ISSUED: 10'17/03 13125 SW Hall Blvd.,Ticlard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-FP1-1 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 ZONING: R-12 SUBDIVISION: FANNO POINTE CONDOS BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Building #1 - Metered pedestal for hauSr: lighting. _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH AJD'L 500SF: 201 • 400 amp: SIGNIOUT LINE ATG: L!MITED ENERGY: 601 - 600 1..np: SIGNAL/PANEL: MANF NMI SVC/FUR: 601+arnps - 10UU volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 1 WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - '1000 amp: �!—, i PLAN_REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL r Reconnect only:__—_ SVCIFDR>= 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 -- SUP 4542S FEES _ F L F 37-7420 Description Data Amount Required Inspections 11LI'I2MT)f:LC'I'crnnr I11/I" u; $80.30 —`--�-�---^ ----- ITA\J 8"'.State Tai 10/17�i i $6.42 Rough in _ Elect'I F int�l Total + $86.72 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Star: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 adop id by the Oregon Utility Trh'�tion 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 qu tions to OUNC at(593}-246-6699 or 1-800-332-2344. Issued By:, !- y Z"Zt-• Lam, Permit Signature_ — OWNER INSTALLATION_ONLY _ The installation is being made on property I own which is nal intended for sale, lease, or rent. r"INER'S SIGNATURE: _ __—.—_ — DATE:___ 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 Electrical Ph ' -lit, ation Received 10 lectrical I-- 1 Date/B Pernut No L_l( 10•'3 - �6 sGi Cit of Tigard Vt�I i i LU�3 Planning Approval Sign Y g Date/By: _ _ Permit No. 13125 SW Hall Blvd. CITY OF TIGA13D Plan Review Other — Tigard,Oregon 97223RI11LDINr, nIVISION Date,'B Permit No. Phone: 503-639-4171 Fax: 503-598-1960 ,.,� Post-Review Land Use Date/By: Ca Internet: www•ci.tigard•or.us Contact s.: tie.Page"-for 24-hour Inspection Request: 503-639-4175 Name/Method: Su r rte rental Information. TYPE OF WORK PLAN REVIEW(Please check ail that apply) — New construction Demolition Service over 225 amps- Health-care facility commercial ❑Hazardous location Addition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet. CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in 1 &2-Family dwelling ❑Commercial Industrial ❑System over 600 volts nommal one structure [I Building over three stories ❑Feeders,400 amps or more EftAccessory Building_ Multi-Family ❑Occupant load over 99 persons El Manufactured structures or RVpark Master Builder Other:— ❑I:gr•essnighting plan ❑other:_ _ JOB SITE INFORMATION and LOCATION Submit—sets of plans with any of the above. --- The above are not a mlicable in lee orary construction service. Job site address: �.� I Ly;.� FEE*SCHEDULE Suite #: — Bld ./A t.#: _ _ _ Number of Inspect ons erp- mit allowed Project Name:i Description Qty Fee(ca.) Total Cross street/Directions t0 Ob site: New residential-single or mulls-family per dwelling unit.Includes attached garage. MSAt F n aL 4-v 31—Wo I r �O C��D Service Included: 1 I0(N)sq.ft.or less 145.15 4 f-no r +-. 2 v t9 f Each additional 5(N)sq.t).or inion thereof 33.40 1 Subdivision: 11 �' _ Lot Limited energy,residential 75.00 2 _ ' oiled energy,non residential 75.00 2 Tax map/parcel #: Z S I&I.TI-St) r�I —I _ ach manufactured home or modular dwelling DESCRIPTION OF WORK service and or seeder 90.90 2 r—7- — Services or feeders-Installation, alteration or relocation: ,t 200 amps or less y 80.30 9 r�� 2 201 amps to 400 amps _ 106.85 2 401 amps to 600 ams 160.60 2 PR01'ERTY OWNS TENANT — 601 ams to 1000 ams 240.60 2 -� Over I(KK)amps or volts 454.65 2 Name: F�nf)e t)4 --L_C_ Recunnectonly � 66.85 2 Address`/Q9 E S•j' 13 H' S I ree rf 'Temporary services or feeders-inaallation, alteration,or relocation: Cit /State/Zi Pri': ti)tkv-- IPA 2W amps or less _ _ 66.85 I Phone: Fax: 201 amps to 400 am s 100.30 2 Branch amps 133.75 401 to APPLICANT CONTACT PERSON i 2 -- circuits-new,alteration,or Name1:�- extension per panel: A Fee for branch circuits with purchase of Address: we� LR S' T_' service or feeder fee,each branch circuit (165 2 Cit /State/ZiSIC) B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone;>> '13-- ` Fax: �S(I) 6 - Each additional brain.. cuit 0.65 2 a to 1 Misc(Service or feeder not m,. '-coded) CONTRACTOR 1-2,11um0 or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: Signal circuitts)or a limited energy panel. BUSlneS3 Naltle: T --- alteration,or extension — _ Pae 2 —A 2 LAS �/ 1 r C. i�C_ Description Address: IVIA_, k1Ax4 Each additional inspection over the allowable In any of the abose: -City/State/Zip:_010,L �T1�1 _ ) Per inspection per hour(min. I hour) _62.50 Phone: ax: _AtiditInvestigation CCB Lic. #: i ' Lie. #: ?,?_ Z other: —_ ElaKrlcal Permit Fees* Supervising electrician.,--_7 `ty S _ Subtotal S C , 30 signature required: Plan Review 1259,of Permit Feel S — Print Nam—e:��7—L LIC. #: S State Surcharge(81 o of Permit Fee) S TOTAL PERMIT Authorized Notice: This permit application expires if a permit Is not obtained within Signature: ��- Date:�0 _ 180 days after It has been accepted as complete. *Fel melhodolop set by Trl-fount% Building Industry Servlce Board. (Please print name) p Usts\Pemiit FormsVePermitApp.doc 01 03 Electrical Permit Aanlication - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for jU systems............................................................ $75.00 Check Type of Work Involved: RAudio and Stereo Systems* El Burglar Alarm Garage Door Opener* Heating,Ventilation and Air Conditioning Sys(em* Vacuum Systems* Other_ COMMERCIAL WORK ONLY: Fee for each system_ ..................................................... $75.00 (SEI:OAR 918-260-:0)) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems L Data Telecommunication Installation n Fire Alarm Installation [] HVAC [-1 Instrumentation Intercom and Paging Systems Landscape Irrigation Control* E] Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling n Other _Number of Systems * No licenses are required. Licenses are required for all other Installations i:`,Dsts\Permit Fornu`ElcPcrmtAppPg2 doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MSl INSPECTION DIVISION Business Line: (503)639-0171 BUP __— Received _-____ ______ Date Requested__—__lJ AM_._._—_____ PM __ BUP Location S��___—._—_ MEC Contact Person _ ____ -C Ph( ) PLM Contractor — ___ Ph _ —_— SWR BUILDING Tenant/Owner _ __—_— ____ ELC Footing-- ---- ELC Foundation Access: _ Fig Drain ELR Crawl Drain - Slab Inspection Notes: SIT ----.-- Post&Beam _ -- Shear Anchors -- - — Ext Sheath/Shear Int Sheath/Shear Framing Insulation A �c_ Drywall Nailing Firewall Fire Sprinkler Fire Alarm sp'd Ceiling Roof Roof Other •' (, ( ` Final -- ------ ( ( ' �S L i�l'� tl 1� �N�� OP/�- PASS PART FAIL PLUMBING--_— ' Post& Beam --- N�j_ ISS 1"1 v` � Under Slab — Rough-In .e, a In Irl Water Service L`s • \ 1 _-_ Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole Storm Drain -------- -- --- Shower Pan Other: _—.— - --- — -- Final PASS PART FAIL — MECHANICAL Post& Beam Rough-In — --- -- - -- - Gas Line Smoke Dampers —------ - -- - — -- ---- Final PASS PART FAIL — — - -- — -� ELECTRICAL Service — - Rough-In UG/Slab Low Voltage - — —------ — ----- ----- ----- -- Fire Alarm Ff_h1> El Reinspection fee of$— —_ reouirnd before next inspection Pay at City Hall, 13125 SW Hall Blvd. _PART FAIL SITE n Please call for reinspection RE: ___ _ Unable to inspect-no access Fire Supply Line ADA t Das y"ice,+ `/ Inspector �[t [ r Approach/Sidewalk Ext-- Other: Final DO NOT REMOVE this fte5pectlon recond Mom the jolt: site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — "'SPECTION DIVISION Business Line: (503)639-4171 BUP --- --_, Received ______ Date Requested __/� _z-?' AM______..__^ PMBUP Location —7 -�—Q MEC -------- --- ---- _ Contact Person Ph PLM Contractor Ph (`____.) __.—__-- SWR _--------_ BUILDINGTenant/Owner . u ___--.__— _ ELC Footing ---._ - ELC -- Foundation Access: Ftg Drain -, ELR —. Crawl Drain — Slab Inspection Notes _ — SIT -- Post&Beam --- --- - Shear Anchors ------ -----__—__-__� Ext Sheath/Shear Int Sheath/Shear Framing ('� - - — Insulation Drywall Nailing Firewall_ N VA- Fire Sprinkler ( � ,ter ,•I Fire Alarm `Y�— -_ Q Ls�� ►`1 W Q \� ( _ - -- Susp'd Ceiling Roof Other: Final PASS PART FAIL I T ��u L ll} , ` D V) O,, K — UMBING �I" C� I 1 ly — Poder labra Rough-In 4 f7 � Water Service --- --_—— Sanitary Sewer O C; 1, —� )h[A Rain Drains Catch Basin/Manhole �� Storm Drain N Shower Pan Other. -------,_.__----- -- — -_ _--- _ Final PASS PART FO.iL - — — -� --- -- -- MEI.HANICAL — Post& Beam Rough-in Gas Line Smoke Dampers -- ---- — Final PASS PART FAIL - - - - - - ELECTRICAL Gervice Rough-In UG/Slah cz ow Vol -- FireAarm Av5 l—] Reinspection fee of$—__ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A_SS_PAR_T_FAIL_ SITE [� Please call f reinspectio RE: ___ [� Unable to Inspect-no access Fire Supply Line ADA Data b Inspect Ext.-__.--- Approach/Sidewalk - Other: - - - _ Final DQ'NOT REMOVE this, Inspection record from the Job te. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)631#t5 MST INSPECTION DIVISION Business Line: (50 9-4171 q BUP Received —w____--Date Requ sed o AM_—___, PM ________ BUP Location _. 3 Suite__--__ ..___ _ MEC Contact Person _ _ f/,-'�/� Ph(_��) ___ __ ___ PLM ` Contractor — DIM- —L�&C fts' SWR BUILDINGTenant/Owner -_-__— _ —_-_--_---- _- -__-- ELC a Footing _ - - ELC _ Foundation Access: Fig Drain ELR _ Crawl Drain Slab Inspection Notes: SIT — — Post& Beam _-_ Shear Anchors ---- -- - Ext Sheath/Sheer _ Int Sheath/Shear Framing 1_pr4 _i_ Insulation Drywall ailing ------ -.. - - - -- - Firewall / --r� .t- - - -- Fire Sprinkler --- ---- ----- Fire Alarm .usp Ceiling _ .-------------------- - - - - -- - Roof Other --`---- Final PASS PART FAIL PLUMBING Post& Beam Under Slab --- -- -- -- Rough-In — Water Service --- ---- --- - ------ — Sanitary Sewer Rain Drains --- - ---- - - - Catch Basin/Manhole Storm Drain --- ------- - -- Shower Pan Other: - --- _—��--- Final - PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Line - -- Smoke Dampers —-- -- - ---- Final PASS PART FAIL - - - - - - - - ------- -- ---- ELECTRICAL - �Rou,9ILlrr� UN Slab / Low Voltage ! - Fire Alarm *FinalPART FAIL F-1Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd F] Please call for reinspection RE:- _ ___--_ -1 Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector —� Ext Other, Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: a)639-4175 INSPECTION DIVISION Business Line: ( 639.4171 MST Received I)ate Requested PM� '� BLIP _ _�ls — �..Suite '�,�-__ MEC, Location __.� .--.__- �., Q Contact Person _____�__ ___- Ph(________) 31-2-_L_S�q!�__ PLM Contractor_�_— ___ e , r___ Ph SWR BUILDINGTenant/Owner �!NN _ °v_`� -� ELC Footing EL Foundation Access: — Ftg Drain El p Crawl Drain Slab Inspection Notes: SIT Post 8 Beam _. Shear Anchors -- - Ext Sheath/Ghear _ Int Sheath/Shear Framing �1 - `��'� ----�6 Insulation 1 V - V_Q 0 J Drywall Nailing -- f — Firewall '� Z-c.<-) "3 y Cl 1 \ Fire Sprinkler Fire Alarm r U v Susp'd Ceiling U — Roof .Ir, vV� �•--,n.�C/`�CJ�� l�►et Other. _in S PART FAIL MBING ____ — — Post& Beam Under Slab -- -- Water Service — Sanitary Sewer , Rain Drains - -- - Catch Basin/Manhole Storm Drain — -- Shower Pan Other: -------- — - Final PASS PART FAIL MECHANICAL Post&Beam /•� /' Rough-In . 00 Gas Line � m Dampers -- ---__-__ -- — - r QAS_S PART FAIL -. RICAL Service _.. .-------- --- --__ ROUgh-In - ----- — - - UGI/Slab 1.ow Voltage `ire Alarm -------- -^�------ Final Reinspection fee of$ —_ requi ed before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE T—` �� Please cell for reinspection RE: ___—,___ (� Unable to inspect- no access Fire Supply LineADA Approach/Sidewalk Date 1 ` _�_ ___�___ Inspector ___ Other: Final - DO NOT REMOVE this Inspection record from the,fob site. PASS PART FAIL 4 ► a � s a f-. ► N K 71 R " ► N `� ► 7 o � oil14 ► ° o H H 142 I A ! ► 1 Qj �' aq ► ..j �°°� � i Q ► '�i��ii►�ro��is��s��ii�i�s�s��sf�i��s� Contractor's Material and Test Certificate fur Aboveground Piping Upon completion d work,inspect On and teras shall be mode by the contractor s repree.entattve and wlirresaed ---- (here1nWter dearty ah,,, fined as Wop �. All defects Ahall be Cmaded and system len in by an owr>er s represent rtiwi seTw before erxdrador a Personnel finally less rhe)ob. A certificate shall be filled out and signed by bath represantattws CopWa shall be Prepared for approving ArdhorNfae,ovvnds,and axrtrador. It Ip urxlerstaad that the property owrx is Ruth or17ad roPreeerNative Is a legal signatory and fully represenWhm d the prq�t!rly owrxx rind Ural by the Property owner s or property oK,rer's authonzed roPresertfsttve's signature,the property owner accepts full responsibility tar tine system as installed and�eer1 Ihst N Is in canpllanoe�Mth the Property Kama -- - ! __pp �:rPquulranents and 10 2i ordlnanoes. PrnpertyAddnesa----110I U►,?T �1kXV�O,,,74Ud� 13'1 I S -- ___ z _tr - Tt HA2 Accepted by ApproNng Ar><ho ,Oi (varies)---J ,�_ �, Plans Inol ailatlon conforms to wA epted Plana •ot Yt s [] Na E4-riPmeM used is approved Ar If sw,explain deviations X Yets ❑ No Has Lha Property owner or propertY owner's authorized - enn instructed as to the rotation of eontrr,l valvas and cans and nuilritenance of thin new equipment? If no,explain Yrs ❑ No Instruction Hada capias oI the fdlowing tieert given to the properly ovmer or property ___ awWa aulhvb3nd representative? 1 SYslarn Canponents Instructic,ns Yes ❑ No 2. Care wvi Maintenance Instructions Yes n Na 3. NrPA 25 Fw( Yes L7 No Location Of System Supplies Buildings _ Make Yew_-- ------- - ---------_--- ---Ter►>pereAure Model d Manufacture Orrice Size Sprtnklera ___ --�- C. _ - _=Quer1tt11+- _ Ra11ng-- (Ake — -— --- -- - -- P aid Type Ipe --� ___Q - �-:.--- --- l-- _ IIAr�xlmum none to berate _-- _ Alan n Alarm Device ur through taut aonrWIon Flawlow T� _--- Make _ Indicates - ----- MlrnAes�— Serial fVo,—' — 0 -- r---- QWD. i No. N Time to trip T — Trip Point Time -- — through test W Air Water ' Air Reached 1'asl Alarm OPerded Property Dry Pipe connectlor• Pressure Pressure Pressure outlet, C pernllr�9 ---- ___`_- rnk,ise� Teat --- _.. - - .. ------ - Yes �--40- W/o o -- - - - � MInISec w/oU_OD Mh O.O.D. _-- If No,explain - - -- - -- - -- --.- _ -__�_, '�T_Iaesured frau►tkrle Inspectors te91 ol.."wd JNrPA 13�req_ukes lite gp aeCorld YrilkBlian in g sect 0__.__ 0PIIaratron --- Pneumalic � pevlse0 �_� Yes Ii I\V�I 'i�+Vie' erals hove IfM+ri>ar►usl bl�rsn� ar bath �� eMsed YM o- �"t ec�eaeibls tucillty in each GtCult/or tesHng7 stattaq� ` ----- _-._._ o tr no, NO Deluge i3 e�isin -�--- - - Preectlon --- __ Yee No _ Valves Daee each clrcuo open-do _ion loss alarm? Doe each clrcuil aparals wahns`-1 Malmum t►me to q erste _Yes —,Ysi_ release? NO _release Locdlorr Make and ---- - -----_-_�_ -. _- Pressure and Floor MOM Realdud Prvasure-- - Reducing - �-—-_ _.-Stalk P►lssurre__ -_- fq Flow Rete Vat"1 est --•---- -- _ Inlet i �Outbt(pal) Inod Oullat 1 F ----- ------------------ HI3S?� .. ;-Mydraetetic tests shall be meds at nal lees then Zap psi(13.8 bar)for two hours cx 50 pal(3s�- pressure in��ocees of 160 Pel(10.21W)frx two hours. Dlflsrenllel dry-plpe vett dWper �i ho lss Or Test artu� aboveground alp!,q leakage shall be stoppad left open during the test to prevent Description P_essure tank Establish 40 psi(2..bar)air pressure aril tr"MOm drip which shall not excaed 1 '/.P-0(0.1 bar)In 24 hours. Test Pressure tanks of normal water*Wet and air pres>;u, Aid mune air pressure drop,which shall not eceed 1'h psi(0.1 bar)in 24 hours. ---------- All piping hydrostatically tested at j�sl( bar)far�_ hour'sno,elate reason Dry Piping p mmocatly tested --_- ❑ Yes ❑ No -aqui- - �°°Pf Dom- 'X Yes ❑ No Do cert ee the _._.__�_ Y� Ifs sprinkler contrer 1pr that addf►;ws end corrosjv�ohbCnicah,sod um S4Icate or derivethM of solium r{ or other Corrnahe chw kala were not used for testing system or stopping lesks7 r1�ne. ---- Yee ❑ No Tests Drain R�c or near wdor supply test connection .. Residual reseure with valve Ir,lest cannriclkxi epee wide _ Test ( _— osl p bar nderpround r 81"and lead-in crnrtedloils to sy'stam►biers flue-tied before connection made of sp nini kler Piping - ----Verified by by copy or the it Form No.05B [] Yes [�] No Other Flushed by installer of underground sprinkler piping � Yes [] No F�laln If P(wder-drivrrrt fasts M are used in concrete,has [-] Yea NA A. reprsser tache sample testing been setlsractorily FJ NO If no,mq)laln - - -- Blank Number Used- —- - - Tenting — Locatlons ---.`-- - --- -- - jlumber-"-RTerrrored - Gaskets Welded P I ---__._iP_^Ja__._ __�,IfYee... --- po You oertfnr as the sprinkler raiitr icr that welding Procedures comply with the Requirerrw is of d Isset AWS 82.17 N,g 0 Yes ❑ No Welding Doy th cWWy thel th*aakiir�was Perfarned by w"Iders qualified In compliance Witrequirenxrits of at 181st AWS 82.17 CI Yes 0 No Do you Carey that welding was r Lined out In axtrpllance with a docurnertted quality Control procedure to insure that all discs ma retrieved,that openings In plping are Smooth,that 11189 and other%%4&V residue aro rwr"W,and that the internal Dlarnebrs or piping ere not_pNWrsted? Cutouts Uo you comfy that you have a Control fe�ahire to ensure that ail cutouts(discs)ars -- �-Y�— No` - - Discxl Retrieved? -- - Hydreutic IVrrtrlepiete provided Data N"late Renarlcs _ ll- Dy - o3 - "-- Marne cf Sprinkler CorrMa lcx FIRE EPRINKI,.ER, INC - Tests Witnessed by: ----- Slgnrttures F it __. _•—� P_ D te Property auvner(printed name) I title -- net .-- M%TCN r__ prY- _ _ For aprinkfer crxttrector nates - ------- -.— -- Additional lenation and Notes: -- - -- -- -1XB-- - ---..--_ Ma ___---•-------_ -- pale- — CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)638-4175 MST INSPECTION DIVISION Business '_Ine: (5 9-4171 Received _Date Requested, AM_ PM BUP --- Location —.Location Suited__ _.. MEC 2-13 Contact Person Ph (.—) 3 PLM Contractor —_---___--_ — __.--___. Ph SWR BUILDING Tenant/Owner _ _ __— _.___^_ ___ _ —_ ELC Footing Foundation ELC Access: Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post& Beam —. - --- - — --- -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ,—_ ( ,. `--- --- --_— _� -- �� Insulation Drywall Nailing - _ Firewall �YF v K P U w T Fire Sprinkler - Fire Alarm 1--7 7 Susp'd Ceiling -- / — Root C/ Other: --_- (f iAay- (ASS PART FAIL PLUMBING Post& Beam Under Slab -- - --- Rough-In Water Service Sanitary Sewer Rain Drains - Cat;h Basin/Manhole Storm Drain --_— --- Shower Pan Other: _ -- - Final 4 PASS PART FAIL MECHANICAL Post&Beam _ Rough-In — Gas Line Smoke Dampers irtaF PAS:i PART FAIL - - --------- -- ELECTRICAL Service _-- -- - - — Rough-In UG/Slab - -- - - -- Low Voltage Fire Alarm Final [ i Reinspection fee of$__ _required before next inspection. Pay at City Hall, 13125 SW Iiail Blvd. PASS PART FAIL SITE_ _ Please call for reinspection RE:--- _. _ LJ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk ivte InspectorCr"�`�=_—._—_--.—___ -__ Ext Other. Final DO NOT REMOVEtrhis inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Ling: (563)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST G BUP Received _�111, 3 ,3 gate Requested------�� AM_ -- PM__---- -- BUP - I-ovation ----_ �-L-.1_�_--- ,...—_.. Suite MEC _—. MEC - --- -- Contact Person (PLM� Contractor __. —_-_-- - ---------____-- Ph(___ _ -? — �_. SWR _-- -- BUILDING _ -_ Tenant/Owner1�G1 Vl lel t�_ ! ► j' r��s_— ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Inspection Notes: SIT Post&Beam Shear Anchors - ..._... ------- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- - --- --- Firewall - _-- _----- Fire Sprinkler - - --- —_ _ Fire Alarm , Susp'd Ceiling - _ - - -- -- ��— Hoof r Other. _ ----— -- - -- - - - ---- -- Final PASS PART FAIL _— _-- - ------�--- - -- - --- — - - - PLUM_BIN0 t'ost 8 Beam--- ---�--- ----------- - - --- _ ----- - ------ -- ----- Under Slab -----�__—�-- Rough-In Water Service --------- -- _--_- ---- ---. Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ---- - - - - -- _- Shower Pan Other: AS IL PART FA _ ----`— ---- --- ---------- L HANICAL , Post&Beam Rough-In Gas L ine - - ----------------------- Smoke Dampers ------ ---- --------------- Final PASS PART FAIL ---- ---- - - - - ---- ---- ELECTRICAL Service - — -- ----— --- Rough-In UG/Stab -- Low Voltage Fire Alarm -- ---- - -----_ --__- -- ---------- .— Final Reinspec!ion fee of$ __ -�..required before next inspection. Pay at City Hall, 11311,15 SW Hall Blvd. PASS PART FAIL _ SITE Please call for reinspect) n RE:�._ -_ F] Unable to inspect-no access "'ire Supply Line ADA y Approach/Sidewalk Date �- ` � i Inspector _r - Ext -_—_ Other: final _ DO NOT REMOVE this Inspection record from the Jeb site, PASS PART FAIL f \ CITY OF T I G A R D PLUMBING PERMIT T DEVELOPMENT SERVICES PERMIT #: PLM2003-00567 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/13/03 SITE ADDRESS: 13712 SW HALL BLVD BLDG 1 PARCEL: 2S102DD-FP1-1 SUBDIVISION- FANNO POINTE CONDOS ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SFA WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAIN: SINKS: �T URINALS- GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Location: left side main entrance. Install irrigation backflow. Owner: FEES —_-- -- -- -- — - -� Description Dat,: Amour t FANNO POINTE LI-C -'- — 109 EAST 13TH STREET ll'Ll,IMBI 11cr11111 1 r 11/13/03 $46.40 VANCOUVER, WA 98660 I1AX18 st,lic 11/13/01 $371 Total_ $50.11_ Phone : 300-695-7700 Contractor: ANCTIL PLUMBING INC 16900 SW MERLO RD BEAVERTON• OR 97009 REQUIRED INSPECTIONS Phone : S03-642-7323 RP/Backflow Preventer Final Inspection Reg#: Liu 2-11 s-1 I'LM 20-1021'14 This permit is issued subject to the regulations contained in the Tigard Municipal Code, :Mate 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 ';rect questions to OUNC by call erg (503) 246-6699. Issued By: 4�_LQ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day t ln1 1-0 2003 1-,:0[J FP011:0111-T I LFL MB I V IG 50364127755 T0:50759131960 P. 1S'111U1111�; l' IXllll'l'ti phun "rlllp Permit A.udkapp; Received 1 Plutnhhtg 1 .� _Delc/B I t 1'crmil Noir r 41 Planning App vat Sewer City of•Figard lisle/13 : Pcm,n No.: 13125 SW Nall Blvd. Plan Review Other nA _Pennit No.: I'igerd,Oregon 97223 Post-Review [—it d Use Phone: 503-639-4171 Fax: 503-.59$1-YM uate�Ii Cc,e I'lo.. Intemet: www Ci tipard.oi.us Contact 1uris.• See Page 2 for 21 hour Inspection Reyucst: 503-639A175 Nente/M-thou: Supplemental Information. 15C1IEU for s tee al itldtir' p -T ew cr�ristIUction _ Demdlition Descrl tion 113 Mee(en. Totrl Addition/alteration/r lacement Other; '�+ t-1tii- .t�1 � '- W li• b�f�rt.rnriti►t!h Gi 1 SFW beth 9.emil dwellin ConuncrcielllndustrialSPR 2 both _ 000Accessor Builds,ng ulti-FamilySFR beth 9.00 Mester DUilder t)thef Each additional bath/kitchen ,5.� Fires rinklet - (►•: — Page 2 r + " 191' 51tc CJII Itl '' JUL7 site—address: O. �Z SW Au- -y Catch r - � Coir-h b.rsin/area drain _ _ 16.60 Suite?l: _ 131d r./Aht•ii' Dr _elUleach lindtrcnch drain - 16.60_ Pro ect Nemc: NO N --_ - Foattn drain no.linenr 11. Pa e 2 �.-_a-- - Cross,trecWirec.tions to jolt site: Manufactured home u'rliiies 1In.t70 _ Msvrholes - 16.60 Rain drain connector 16.60 SaLi I ary sewer Lnn, lincsn n Pa e 2 _ --- ----- -' ' Lota-_ Storm sewer On linenr il) PA E 2 _ Subdivision: Water service no, linear fl. Page 2 Tax Ina ! arccl 01: r]•t'et►Ih _ _Flxttlrc Or lletn Absorplir,n valve _ 16.60 l/ et 181E A I3nckfhw revcnlcr _ -� _ Pdkgd2 _ 16.60 �q hackwater valve — AN - '— --- Clolhcs washer _ 16.60 UishH•ashcr 16.60 eF J- MOj epafwl: Drinkiafoun(uin -.-- 16.60 +.� a Dectors/sunrp _ 16.60 Name:_ - �(�,��{O�,J_��___WIW--•_- Gx ansiontnnk — 16.60 l,� hixturc/aewcr c� 16'6t� Address: 16.60 -- -- -� Fluor dreirt/0oor sink/hub City/Stat%. _Gnri�oRc disposal--- ~� 16.60 �'�-- 16.60 Phone: Fax: Ilose bib - III WRIN Ice maker 16.60 Inlerce to rensc tro _ _ 16.60 Name: - �'- --_-1 AddCeSs:-_-- �- _ �__ Medical as-value: S _ -T - - --• --- - Pr'nter _ 16.60 Clt /Slatc/ZI _�__. Root-drain(comrncrciul - - 16.60 16.60 Phone: FdX: - -_- Sink/basin/lavator,_ _ - --- _ � 16.60 E-mail: —�-- rublshower/shower tan t Urinul 16.60 r , • ON s ', -- ----- 16.60 -r►'" Water closet _ --- DU51neSS Namea C/ �� Water healer I6.6O Address: _A011 -- _Cit�/State/Zi : P� qoo other: r' �j 1L 1 l..f r'PhnnbluR Pei of tncc "�r Phonc: M S?- _ Fax 2-��SS '' - subtotal s CCD Lic. 0: Plulnh iC.#:L�o"�`2 Minin,urn Permh Fce f72 25 50 oriS --- Aulhzed e'a3 Residential Backflow Minimm ulice SJG. "L Signature: _ _ _ Date: 'I Plan Rcvicw 25%of Permit Fce $ -- 1, /i/�e'�1-�• _- _ State swchargc ty of Permit I C!L S 'I'MALPERM IT FEE S (Please print nrnre) � Notice: 'Dill permlt oppllcallon eepiret Ira per milt Is not ohtalned within All r rw eonnuerelrl bulldln�s regnlre 2 tett or plans with metric or Rcov180 dryee s one,It list hn Accepted At cotnptele. roe nretholrod for plan realrw. Hier dir " ulop-y set by 1 rl-lbunty puRJInR Industry Service ftorrd. i.U)slsV'ennil l otms\Plnil'etmitApr der 0"(11 CITY OF TIGAM 24-Hour BUILDING Inspection Line. (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _-_._-___._--_ — Date Requested ___.._%d �d AM__.._--PM--.—_ BLIP Location __ �3 71oZ �"�-�-�---- --------__SuiteMEC Contact PersonP'.i(--__-) ---- ---------- PLM —_—_ Contractor .. __-- __. — Ph(—) _—_— _—_ SWR _ _— BUILDING Tenant/Owner __--_.— _-__--_.__.—__.-__.__ ELC Footing---- -- ELC _- Foundation Accoss: Ftg Drain ELR Crawl Drain — Slab inspection Notes: SIT Post& Beam - Shear Anchors --._.--------- Ext Sheath/:>ear Int Sheath/Shear Framing -- --- --- --. -- ^--- -- _ ---- - --._... . Insulation Drywall Nailing --- — --- ------------- -____-._._.___ _ Firewall Fire Sprinkler - -- - - - -- - ----- Fire Alarm Susp'd Ceiling - _ - — ___------- ----- --- ---- - ------ ---- Roof 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 d Beam Rough-In - - - - -----... - -- - --. -- Gas Line Smoke Dampyrs --- -- -- ------ -� — ------ — -_----- ---- Final _PASS PART FAIL - ---- _-— - -- ---— EL TRICAL -- Rough-In -_ —_ - -- ---- --- ------- -�..---- UG/Slab Low Voltage Fire Alarm - ----- ---- ----- ---- EtlllalL [. I Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PAS PART FAIL _ S _ Please call for reinspection RE:__--_.__-__—_- __.___�_ ___ Una)le to inspect- no access Fire Supply Line ADA ApproachiSidewalkDste �� ___a Inspector Ext Other: Final DO 40T REMOVE this Inspection record front thejel�slte. PASS PART FAIL J Portland General Uwrk Campony MEMORANDUM 02/26/03 TO: CONTACT: Ric`lard-Poly Gon NW _ PHONE: _[§k31615-6858 �~ CUs-TOMER NAME: Fanno pointe Condo's ADDRESS: 13700 SW Hal!Blvd;Tigard. FROM: ENGR/SDC: Jim Van Kleek PHONE: L03L570-4407'' SUBJECT: SINGLE-PHASE SECONDARY LINE-LANE FAULT CURRENT(RMS) TRANSFORMER DATA XFMR Impedance(%): 1.50 % TRANSFORMER SIZE: _ 167 KVA Secondary VOLTAGE L to L: 240 v �VAUI �ULT u' W�Ir�I'L `ljJ .ryyr A '�II • ..�� ( �d�lbrlkle�y Wire L�Nt3' r E OND .r VAULT ( or Pole) - > PANEL SECONDARY (or Svc Uro Service Wire LENITH: 181 Feet WIRE SIZE Number of Servica RUNS: �r 2 Run(s)oi. 350 TX� Service WIRE Resistar,-e R: _ 0.0600_Ohms/1000' Service WIRE Reactance X: _ 0.0280 Ohms/1000' I FAULT CURRENT: _ 8,235 Amps (or SNORT CIRCUIT CUPRENT) ^RMS Svmmetrlcal (or INTERRUPTING CURRENT) Based in a panel size of: 600 Amps To Pri1�t%�{ Pa[r1!e:"Ctrl�Si'lMAkslI'Mil1t'llWhase Data T Me .Wa Am ond o�i�e'1 toe. Aw.cm, AkaTConwAkv 1 tj, t �c` �----`�- 410b Address: 04i]G/2003 12,50 3606934442 POLvGONI PAGE 03/09 Apartment Building Loed Calculation P►nlecc: Fanno Pointe Condominiums Opf Load Calc 1220.12 Unit T;pe A Sq. FL 818 X#of units 1 X 3: 2,748 Watts Unit i ype p Sq Ft — 75p X#of unile 1 �X 3 s 2 2 OtWatl9 Unit Type C1 Sq. F1 _ 895 X 0 of units 1IX 3 � iWatls Unit Type C2 Sq. Fl, _ 1,153 X of amts 7 IX 3 a 3,489_Walls Unit Tyke _D1 -- qFt 1016 X it of units 1 jX 3� 3 046 Watts Unit Type 02 SSq.. Ft ^_ 1,139 X 0 of units 1 X 3 X417 Watts i 171907 Total Watts' I Appliance 3.0O0,X#o'uni19 ! 1 0,Will Ila l_eundry 1,500 X 0 of unlin = _ 9,000 Will Dlshwa9her 1.2`30.X#of unite 0 7 2Q0!V11ztt4 Oisposal 650'X#of units g� Sy100;Walts Micro/Hood 1.250.X#of units EI, s 7,300 walls C3a3 Furnace 1,500'K'#of units I ■ OlWnlls Range 10.200X#of units a 81.2UD Waifs Dryer 5.600 X it of units • 33,gp0(Wattm Wain( Htr 4.500 X#of units - y 271000_Watfs • 158,000(Yotal Wefta� Heat or AC (largest land): Unit Type A Wats 610-00 X#of units 1 6,000jWatts Ii Unit Type 13 Watts — 00o•X#of units _1 B�OOOiWelts Unit Type C1 Watts ©tl00,X>f of units 1 _ Unit T _-_ g,000'WetIS YP9 C2 Wafts 6,000 X#of units 1 8 000iWatls Unit Type may' Wats B QOp X#of units 1 1= �— 11nH Typp 02Watts 9,000 X ft of units 8—��IWetIO - - I 39,n00iTotal Wasttal CITY OF TIGARD Aroved............... - P ....I ............ L.oad Subtotal 225,507; C ridilionally•Approved . . ... .. . ... ........ . -- F r only the WQ'k as descrihod in. I]emana at 44 +� FVAIT Ivt"� __ Demand load 9@ 22 ' p Letter to.' Ft;llow _z _ t, At ach J b Addreas:_t• . 1 j-� „ _ �i-_ �� MisC Loads- , � _ n ��-. �. �ti• � ........... Date- Total � Total Watts 11,243 Divide Vol 000"' 240 Total Load, 413'Arnps ' r 1 I i