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14340 SW HAZELHILL DRIVE mop— A.PPROVED - L,%S MUST BE ON JOP 0 Srre M \ \ ,T 10 40, 1 ; ,n-0 v 3L �_ ' ,► I _ice �� (' c:. a �� kA �w�.. . Z, r _...._r.,._ � '9i � I�7y/�q/n� IM.,�r�....s.�..�..s.wru-•s:�i::r,:...�.o.i.+F�awar.w...Yrmw..swmw.......+....�.�•.w�.� l.o�.�.w. I sI1� 4�•(�i�h�•I+Y , ti:. ;, APPROVED ED FOS' CO�!STRUC., O�� CITY OF TIGA RD PERMIT N0�.�0 SITE ADDRESS—] d �Ui1 s? ,r I' �y �..►�>... ,� �. PLAN DETAIL i Q r2 /2.xe -,,e /2_ u� X /1L `. t t• S QOL F , 1 >� Gam-. I -� • ., I I � ��, lAo SEE to I a N aJ f . + ! , l 0 —r-� ,�► ._.., 1. I DATE: ORN BY: 95S PAR , 1AL COLUMN EL E CHK'D 8Y: J�,�►T11� 1,1 ,I PLAN �..,.�..._.._. V08 4: I DWG .... �a mow.. NOTICE: IF THE PRINTG�RTYPEONANY TI �I � Ir � ! � ' � ! � il � I , li � � l � ' � ! ` � I � I � , � � l � � � Ir T (�� I � '� 1_I]-t i-1-Fl7j" - � it 111 111 111 III IIl 11111 ,11 X11 11 ► � � 1 ► IIS II � 1 ► Ic I ! f il � ill Ill � l � lllt t� tll �l art Il ► illllll � l � III 1Jill 11 IMAGE IS NOT AS CL.EAF AS THIS N I I I I I I I I I NOTICE, --- --- 1 ---- ----�_ 3 4 __ 5 _ _� _--- . __—_ � , �. 12 _�____ _ j�-eG Boa y IT IS DUE: 'f0 THE QUALITY OF THE _ _ --- -- - ---_--- -•- -- -No.3� � - 1 ORIGINAL DOCUMENT �II.IUiI II1IIsIIZi11,11 L z11 99 9z I I ? 11IOZ IIIIft 11118, IIIIILIl --I-I1I-I91. ilII5T iIII-I-1�,_III_III�� IIIIIII--IIIII-I-II—IIII—U_l-.�-l.llll--1 $1111IIlI 11IIII 11111111111[diIil1 [1111,_11Jill 1111 ,111IrI 11 11 1111 IIiI11111 IIIlI , II llllLllILIILI.I.I.I �. llll�lll .li 11JIiIII1�tiI r WIL �IA1�oc .�> 1 -r c f 3 1 L e) 2-4 I 024" 1; I �' 2�'rL ( P� LYF 1 .__ J R. v.�� X I ST I-Q C L L 1 r)I t-1G Doc,9,Vi ItA= ID IL K) 1 1 -- -- d) LA Lxr. UJ r• • Sr c� vjG-- r 10 0 �-- k gwmqpw TO ZE IAA I t. i T �� SZ: ' weW V\ 00n, FIR.AkAE Tut 7_%+ +�01 24 ' s ' ;� 00 _ F L OO?, P LAt� ALL DIMENSIONS AND SIZE DESIGNED FOR BY DATE BY DESIGN PLANS ARE PROVIDED FOR THE FAIR SCALE DY/G. DESIGNATIONS GIVEN ARE USE BY THF.. CLIENT OR HIS AGENT IN ��, � * CI•�� yL '�Jtl:.!-� ,b,�,�; L l,� PA��Ck I c �� DWN ck - 2 -y3 .`� P NO. SUBJECT TO VERIFICATION ON COMPLETING THE PROJECT AS LISTED WITHIN _ REV - L _ ► ' ' J08 SITE AND ADJUSTMENT TO THIS CONTRACT. DESIGN PLANS REMAIN THE 7 - ! / c. A^ ( '~ 1. OF 2 FIT JOB CONDITIONS. PROPERTY OF THIS FIRM AND CANNOT BE USED 1�3�-U �A` L��( � C �� t� I�t � - 1 C N � � 1 �� OR REUSED WITHOUT PERMISSION. --r k G�,R, C)R, NOTICE: IF THE PRINT OR TYPE ON ANY -� I-� I I � � � I I ► I I I l I I I � � I I I I I I I ► I I I I I I 1 I I IIjT'TjTjq-1-j-'IjIjljljI11 ( 111 II I I 111 1 I 1 I 1 I i 1 11 1111111111111 11111 1 1 11 1111 IPTI11._ 111 I 1 11- 1 1 1-I F r 1� F�1 j� 111 I �� I �-r r r � I-� 11 � I ; I I 1 ' 1111111 1 1 1 1 1 1 1 IMAGE IS NOT AS CLEAR AS THIS NOTICE, 2 3 4 _ 51__� _ $ _- 9 _ 1 __ 12 IT IS DUE TO THE QUALITY OF THEVIII Ilii_IIII __ YT _ �No•3g I _ GT 5I - 8 " 9 fi _ E I II ilORIGINAL DOCUMENT E 6 li lL111liZ 1111111 llll IIII IIII II,I IIII 11ll «I illi. IIUlIOlls 1111 11 11 11 II ,111IIIIIIIII� Ilk 11 1d 11�1� axi1�w1 1 i I I ?0 Lip r K i `14 LN 'f i o I ij 1 I DESIGNED FOR BY DATE BY SCALE DV / DESIGN PL4I`JS ARE PROVIDED FOF THE FAIR U N N( USE BY THE CLIENT OR HIS AGENT IN REV COMPLETING THF PROJECT AS LISTED WITV4IN THIS CONTRACT DESIGN PLANS REMAIN THF wi PRr)PFRTY nr 7+415, FIRM ANF) CANNOT BF USED 1 2 � 1� 111 i ! I Jill � l lilIli fiii � iiiri __r[ � i 1pil11 ' � � i i 11 i i � i1i1il IMAGE IS NOT AS CLFAR AS THIS NOTICE, 4 1Ci 12INOTICE: IF THE PRINT CRTYPE ONANY 3 Cj 4/ IT IS DUE TO *FH►. QUALITY OF THE No-36 ORIGiNAL DOCUMENT E 6Z 8Z LZ ! 8Z �Z� Z EZ Z TZ ~ OZ 6I gi LI �I 5T � T ET ZT I � i - 6 S L 8 9 Z T ��tll�w fillllliTilIIIIILIIirilliiilillll��ill �llli�� ! i1�11ii�ii«il��.11�l I�Li !!!llliilIII !!!! !!It !!!lilli !!!! i!!i !!ititii !!!! !!liilii !!!i !!li �lll,!!!lll�! ��Llllllllll►l lIIIILIIIII u.0 i 3AIUCI '17I11 79ZVH NS OVE K � REVISED r" OT PLAN CITY OF TIGARD 4-2-01 BP 2001- 00007 PROPERTY LINE 200' PLOT PLAN FOR NEW SWIMMING POOL OWNER: JIM & CHERYL WELCH 14340 SW HAZELHILL DR. TIGARD. OR SCALE: I INCH - 30 FEET N v NOTE: SWlht 1NG POOL HAS 0 A SAFETY COVER. WH(:H COMPLIES WITH ASTM EXIST. DRIVEWAY STANDARD PERFORMANCE m SPECIFICATIONS & REOREMENTS < a z TO EXEMPT A BARRU. EXIS PING ____ C F III HOUSE ni CA NOTE: SPA HAS A EXIST. S.AFLTY COVER. WHICH PATIO ,OMPLIES WITH ASTM STANDARD PERFORMANCE SPECIFICATIONS & REOREMENTS TO EXEMPT A BARRIER. OL NEW SPAS NEW -NEW EQUIPMENT' - —102.25'--- -- POOL \=�B T _ eggs PROPERTY LINE 200' fi x�STING ARBA VDA j ' CI T Y OF TIGARD Approved _. . ...... .. ............................ ... Conditionaily Apin ov&l..................... For only the w rk+'s desc ' PERMIT NO. �i•�,� nbed In; See Letter to:Follow................. Attach....... ............ Job Address: By:__ ----�_Date.-- j_� CITY OF TIGARD ___ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00145 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ;SSUED: 4/9/01 SITE ADDRESS: 1,,j40 SW HAZELHILL DR PARCEL: 2S110613-02200 SUBDIVISION: AMES ORCHARD ZONING: R-1 BLOCK: LOT: 02.2 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWFR LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN- ft Remarks: Heater for inground pool Owner: --- -—FEES ---- - Type Fav Date Amount Receipt 14340 SW HAZELHILI DR WELCH, ,LAMES P + CHERYL B �pRMT CTR 4/9/01 _ $72.50 27200100000 TIGARD, OR 97224 5PCT CTP. 11/9/01 $5.80 27200100000 Total $78.30 Phone 1: Contractor: NEPTUNE SWIMMING POOL CO 13785 SE AMBLER ROAD CLACKAMAS, OR 97015 REQUIRED INSPECTIONS ' Phone 1: 503-659-1335 Misc. Inspection Reg #: PLM B99 ?340 This permit is issued subject to tf;-c! regulations contained in the Tigard Municipal Code, State of OR. Soecialty Codes and all other applic,ible laws. All work will be done in accordance with approved plans. This permit will expire if work is not s`arted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Orego�i 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 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: � ��yj-1 � Permittee Signature:__-..._,_ az L �_ Call (5(5 3)0 639-4175 by 7:00 P.M. for an inspection needed the naxt business day Plumbing Permit App'lication -- I)atereceived: �l L1/ Permitno.: � Opt-,t � City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of ligard phone: (503) 639-4171 Project/appl.no.: Expire date Fax: (503) 598-1960 Date issued By: Receipt no.: f and use approval: - Case file no.: Payment type: U 1 &2 family dwcl:ing or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U hood service U(ether: Joh address: ( Description Qty. Fee(ea.) Total Bldg.no.: ._ uite no.: - Nen I and 2-family dwellings only: Tax map/lax lot/account no.: (includes 1000.for each utility connection) —_ SFR(1)bath L ____TB TBIa:k: Subdivision: SFR(2)bath - J ------- — ---^ -- Project name: _ _ SFR(3)bath J City/county: rzip: Each additional bath/kitchen - - Description and location of work on premises:_ Siteutiilties: _ lar _ Catch basin/area drain Est.date of completiori/it,s n:-` Drywells/leach line/trench drain Footing drain(no. lin.fl.) 11 Manufactured home utilities _ Business name: '�Lf GC iL.1� r� w Manholes Address: Rain drain connector City: Siatn: ZIP: Senitary sewer(no,lin.ft.) ___ Phone: Fax: I E-mail: Storm sewer(no.lin.ft.) Water service(no.lin.ft.) CCB no.: _. - - Plumb.bus,reg.no: I,' -- ,Z j�., - City/metro lic.no.: Fixture or item: Contators ntu ' Absorption valve r ' Back flowreventer Print none: LEr2 Date: r-f < — --Backwater valve Bas ns/lavatory � _ Name: Clothes was ---- - Di:.hwasher Address: _ — Drinking fountain(s) State 7_IP: v— Ejectors/sump _ -- Phone: Fax: Email: Expao;on tank Fix(t re/sewer cap _ Floor drains/drains/floor sinks Name(print): /hub — Mailing address: -- --� Garbage disposal - I luse hibb City:_ - _A State_ 7.IP: Ice maker Phone: Fax: i E-mail: Intcrceptor/grease Irap (honer installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the pro}mrly 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) (boner's signature: — Dale: Sunip — — Tubs/shower/shower pan Urinal Name: — `- - - -- --_ Water closet Address. _ Water heifer City: - ---- �Slate 71P_-- Other: -- -- Phone: _— Fax: — I?-mail: _ _ Total Minimr.m fee................$ Nd all iudsdicth.ms accept credit cards.olease call iurisdictirm ftn molar infrornatitm Notice:This permit application U Visa G MasterCard expires ita permit is not obtained Plan revc,w(at — %) $ _ Credit card mmbm - �- _-- -- Slate surc,iarge(R ) ....$ $ within 180 days after v has been ' --_— Expires accepted as complete. TOTAa .......................$ —Name of cardholder as shown on credit clad Cadhot!•r sipature — T Amount 140-4616(&VW'OM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwe',lings only: FIXTURES individual QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16 60 for each utility connection) One 1 bath $249.20 Tub or Tub/Shower Comb 16.60 Twol?)bath _ $350.00 shower Only -- 16.60 --Three(3)bath $399.00 _ Water Closet -- — 16.60 ----- SUBTOTAL — Urtna - 16.60 gy.STATE SURCHARGE Dishwash.r 16.60 — PLAN REVIEW 25%OF SUBTOTAL Garbage Dit,gosal 16.60 _ TOTAL _— Laundry Tray 1660 Washing Machine 16.60 floor Drain/Floor sink - 2" 16 60 PLEASE COMPLETE: 3'• 16.60 q^ 16.60 _ Nater Healer O converslon O like kind 16.60 Quante b Work Performed — Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. MFG Home New Water Service 46.40 Sink — MFG Home New San.rStorm Sewer 46.40 Lavatory _— Tub or Tub/Shower Hose Bibs 16.60 Combination hoof Drains 16.60 Shower Only —_ Drinking Fountain — — 16.60 Water Closet _ -- - — Urinal _ _ Other Fixtures(Specify) 16 60 _ Dishwasher _ Garbage Disposal _- -- — Laundry Room Tray _ - ---- Washing Machine _— Floor Drain/Sink: 2" Sewer- t st 100' 55.00 3^ Sewer-earth additional 100' 46.40 4- _ Water Service-1st 100' 55.00 — 'Nater Heater Other Fixtures Water Servics-each additional 200' _- 46.40 (!' ecify) Storm RRain,rain-1st 100' —5.5.00 Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 4.,40 �— Residential Backflow Pievention Device' -27.55 — -- Catch Basin 16.60 Inspection of Existing Plumbing or SpeciallyT — 72.50 Requested Inspections_ per/hr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 1660 — --- -- QUANTITY TOTAL Isometric or riser diagram is required if Quantity Total Is>9 ---'� —� "SUBTOTAL —--- 8%STATE SURCHA.^.GE ---- ------- --- "'PLAN REVIEW 25%OF SUBTOTAL __Regulred only If fixture qty total i;�9 TOTAL $ 'Minimum permit fee is$72 50 r 8%slate s,rcharge,except Re,'dentlal BarkBow Preve;dion nevics,which is$:16 25-8%alate surcharge "All Now Commercial Buildings require ptaos with Isometric or nser diagram and plan review LklstsVormsliplrn-fees.doc 10/10/00 CITYOF TI GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00091 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/9/01 PARCEL: 2S 11 OBB-02200 SITE ADDRESS: 14340 SW HAZELHILL DR SUBDIVISION: AMES ORCHARD ZONING: R-1 BLOCK: LOT: 022 JURISDICTION: - IG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT IIEATERS: VENT FANS: OCCUPANCY GRP: R3 'DENTS W/O APPL: VENT SYSTEMS: STORIES- BOILERS/COMPRESSORS HOODS: _ FUEL TYPES !0 - 3 HP: DOMES. INCIN: LPG _ 3 - 15 HP: COMML. INCIN: MAX INPUT: RTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: REPAIR NITS: GAS PRESSURE: 50 + HP: WOODSCLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm:^ GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas heater and gas pipirg !or new swimming pool. Owner: _ FEES WELCH, JAMES P + CHERYL r3 Type By Date Amount Receipt 14340 SW HAZELHILL DR PRM1 CTR 4/9/01 $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 4/9/01 $5.80 2720010000 Phony: Total $78.30 � —_ Contr, :tor: NEPTUNE SWIMMING POOL. 13745 SE AMBER RD CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Gas Line Insp Phone:503-659-1335 Misc. Inspection Reg #:LIC 00011810 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit wall expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952--001-0080. Your may obtain conies of these rules or direct questions to OUNC by cailling (503)246.-9189. Issue By: ; _ Permittee Signature: l Call (5W3) 639-4175 by 7:00 P.M. for inspections needed then xt business day �v �MORE!. Mechanical Permit Application -� Dart 1 11/ Permit no.. City of Tigard Project/appl.no.: Expire date: City fTigarA Address: 13125 SW Hall Hlvd,Tigard,OR 97223 -- Phone: (503) 639-0171 Date issued: By. Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: Building permit no.: — U I &2 family dwelling or accessory U Conunercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement 4-Other: jVla)PI t4-7,,1'NG Joh addreSS: /y p . It-AiIndicate equipment quantities in boxes below. Indicate thedollar Bldg.no.: _— Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: Block: _ Subdivision_ 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP; Description and lo4tion of work on premis s:Jy t 1 r0l Total Ial Est,date of completion/inspection: Description — — Res.only Tenant improvement or change of use: C: Is existing space heated or conditioned?U Yes U No Air handling unit CFM Is existing space insulated'?U Ye; U No Aircon itioning(site plan required) teration of existing HVAC system of er compressors -- -_ -- Business name: t >c0/ State holler permit no.: HP Tuns BTU/H Address: /-3 5e/smo c clampers/duct smoa detectors City: + tate: ZIP: eat pump(site plan-required) -- Phone: (�S -/ Fax: E-mail: Install/replace rcpince urnac urner WTI — CCB no.: — Including ductwork/vent liner U Yes U No 4 Insta I Urep I ac relocate eaters-suspended, City/metro lic.no.: —— wall,of floor mounted Name(please print): Q ! � ent forappliance other tan furnace e era Absorption units RTU/H Name: ;D Yt C,�/Y/C Chillers HP — —_ Address: — Com lessors __ _ HP City: Sle: ZIP: — n oamenta ex amst an vent at on: at Phone: "-1,53, ApFtiance vent Fax: E-snail: prlianry gust —� Mm Hoods,Type res. itc en/haznhat — � �� ,/ hood fire suppression system Name: �t �1�C� Exhaust fan with single duct(bath fans) — -- - Mailing address: :r housha t system apart from heating or AC v - City. State: ZIP: 'uel p ng and distribution(up-to 4 out ets) Type: LPG NG Oil Phone: Fax: E-mail: 1.1jel pipin eactrF-01onal over outer — rocese piping(schematic required) Name: Nunhbcr of outlets t er UI appliance or equ pment: Address: _ Decorative frreplace City: — State: IZIP: nsert--type Phone: mail: Woodstovelpellet stove Applicant's signatur . Usher: -- i 5 LIQ S f.0 Name (print): Na all jurladb:tiorn accept credit cards,pleau call jurisdiction far marc inrmnation Permit tee..................... UVisa UMaaterCtrd Notice:This perish application Minimum fee................$ -- Credit card nuinber: / expires if a permit is not obtained — Plan review(at _ 94) $ Expires within 1130 days aver it has been Nerrte of cardhatdtt as drawn on credir cr -- I eCCrplCd as complete. Siete surcharge(89G)....$ $ TOTAL .......................$ ` — -- —CardAdder d6rruure Anmrn-- 4404617(601000M, � s-r`weo sew aw��raaoaar. ��allNl�1� MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: _ J D3scripbon: - Price Total $1.00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Code Ory (Ee) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Fumace to 100,000 BTU $1.52 for each additional$100.00 or _ including ducts&vents _ 14.00 fraction thereof,to and Including 2) Furnace 100,000 PTII+ $10,000.00. including ducts&vents 1740 $10,001.00 to$25,000.00 $14b.50 for the first$10,000.00 and 3! Floot Furnace $1.54 for each additional$100.00 orIncluding vent �- _ 1400 fraction thereof,to and in(.luding 4) Suspended heater,wall heater �- _ $25,000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the Ilrst$25,000.00 and 5) 4.mt not included in appliance permit $1.45 for each additional$100.00 or _- 6.80 fraction thereof,to and including 5) Repair units - __ $50,000.00._ __ _ 12.15 _ 55U,Of 1.00 and up $742.00 for the firs-t$5-0,000.00 and Check a7 that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. _ footnotes below. _ Comp* 7)�3HP;absorb unit - ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU _ _ 14 oo - 8)3-15 HP;absorb Value Total unit 100k to 500k BTU _ 25.60 Description: Ot (Ea) Amount 9) 15-30 HP-absorb Furnace to 100,000 BTU,including 955 - unit.5-1 mil BTU 3500 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU including, 1,170 unit 1-1.75 mil BIU _ 52.20 ducts&vents -�-_ 11)>50HP:absorb _Floor furnace 1nciudin9 vent__ - _ 955 _ _ unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 floor mounted heater 12)Air handling unit to 10,000 CFM _ Vent not Included In applicance 't"" -� 10.00 - permit 13)Air handling unit 10,000 C M+ _ 17.20 R!!pir units -615 14)Non-portable evaporate cooler <3 hp;absorb.unit, 1355 10.00 to 100k BTU -- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation systerri n,)t included in� 15-30 hp;absorb.unit,501k to 1 1,310 appllance permit_ 1000 will.BTU _ --- -- 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 1-1.75 mil.BTU _ 10.00 >50 hp;absorb.unit, 5,725 18)Domestic incinerators _ 17.4v1 >1,75 mil.BTU _ -- Air handling unit to 10,000 cfm 656 T_ 19)Commercial or Industrial type Incinerator _Air handling unit>10,000 cfm 1,170 _ ,__ 69.95 Non-portable evaporate cooler 656 20)Other units.including wood stoves Vent fan connected to_a single duct _ 446 - _ 1 UT00 Vent system not Included in 656 21)'3as piping one to four outlets 5.10 ap�nce permit _ _J Hood served b_mechanical exhaust 656 22)More than 4-per outlet(each) Y-- --- �-._- _ 1.00 Domestic incinerator_ 1 If 10 Minimum Permit Fee 51'[.50 SUBTOTAL: E Commercial or In_dusMal.,rd_n,rator 4,990 _ Other unit,including wotrj sr,ves, 956 - 8%State Surcharge b Inserts,etc. Gas piping 1-4 outlets _ 360 _ 25%Plan Review Fee(of subtotal) E Each additional outlet _ - _ 63 Required for ALL commercial permil_s on[,, TOTAL COMMERCIAL 1 --TOTAL_ RESIDENTIAL PERMIT FEE: $ VALUATION: J Other tnseectlons and Fees: I inspections outside of normal business hours(minimum charge-two hours) $72 6,0 per hour 2 Inspections for h ich no fee is specArally indicated (minimum charge-half hour) $72 50 per hour a Additional plan review quired by changes,additions or revisions to plans(minimum charge-one-half hour)$72 31 per hour State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires alta plan showing placement of unit. iAdsts\forrn6m h-fees.doc 10/11100 �� BUILDING PERMITCITY OF T1�►�FtD - PERMIT#: BUP2001-00097 DEVELOPMENT SERVICES DATE ISSUED: 4/9/01 BUM 13125 SW Hall Blvd., Tigard, OFt 97223 (503) 639-4171 PARCEL: 2S1 10136-0:200 SITU ADDRESS: 14340 SW HAZELHILL DR SUBDIVISION: AMES ORCHARD ZONING: R-1 BLOCK: LOT: 022 JJRISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTION CLASS OF WORK: OTR FIRST: sf W N S: E:v W: TYPE OF USE: SF SECOND: st _ PROJECT OPENINGS? _ TYPE OF CONST: 3N sf h: S: �— E: W: — OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 0 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCLI SEP. BATED: BSMT?: MEZZ?: REQ_ D SETEACKS W--QUIRED FLOOR LOAD: psf LEFT: ft FIGHT: ft FIR SPKL: _-MOK DET: DWELLING UNITS. FRNT: ft REAR: ft FIR ALRM : HNDICP.'SCC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Pr PKING: VALUE: $ 25,000.00 Remarks: Installation of new in-ground swimming pool and equipment shed. Owner: Contractor: WELCH IAMFS P + CHERYL B NEPTUNE SN/IMMING POOL. CO 14340 SW HAZELHILL DR 13785 SE AMBLER RD FIGARD, OR 97224 CLACKAMAS, OR 97015-0000 Phone: Phone: 503-65J-1335 Reg #: uc 0011810 FEES _ -� REQUIRED INSPECTIONS _ Type By Date Amount Receipt TI r FOUlidation Insp — PLCK CTR 3/15/01 $184.15 27200100000 Final Inspection FIRE CTR 3/15/01 $113.32 27200100000 PRMT CTI; 4/9/01 $283.20 27200100000 ')PCT CTR 4/9/01 $22.66 27200100000 I� Tatol $603.33 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 nc,t started within 180 days of issuance, or if work is suspended for more than 180 da,,s. ATTENTION: 'iregon law requires you to follow the rules adopted by the Oregon Utility Notification Canter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee Signature: ✓\ -( / `_� — issued By: _�=e -- – ---- — Call 639-4175 by 7 p.m. for an inspection the next business day a�aaaaa�aar•�aaaar 7/a�aa� Building Permit Application --- Date tooeivod: �;� / Permit no.: City of Tigard Projecdappl.no.: _ Expiredate City ofrigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Phone: (503) 639-0171 Date issued: -- By: 1 t?eceip;no__ _ - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2famlly:Simple Compkxi-_^ TYPE OF NUT lA��l� ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial U Mull-family 'Ul�ew construction U Iknxilitiom U Addition/alteralion/icplaccntciit U Tenant irnpmvenicnt U Dire sprinkler/alarm U Other: tt S171TINFORMATION Job address: ` �_ r� t rProject Block: Tax map/tax IaUaccow,t no.: name:scriptio and Incatjon of work on premise special conditions: Gl 1'�-L+ s K l 0 ,� raLU 11111 ril 0 11N ID) t WA Mailing address: I St�Q / � r 1 &21'amily duelling: City: /1/.l�^ Strtc _ ZIP: Valuation of work........................................ $ 12 D 4 Phone: �` Pax: E-mail: No.of bedrooms/baths................................ T— __-- Owner's representative: Total number of floors................................. _ -- Phone: 1'a., F,-mail: New dwelling arca(sq.ft.) .......................... _ Gamge/carport arra(sq.ft.)......................... _ Name: `�! tit ✓ t_ Covered porch area(sq. .......................... --� Mallin add. ss. i' �jj ,r ( Deck arra(sq.ft). g / 3� Other structure arca(sq.ft.) City: .A Fail: rC Sraie: ZIP: 70 Phone: - 3 Fax: m ('omnierciaWndustrial/multi-family: ' — t Valuation of work........................................ $ _ -rl Existing bldg.arra(sq. ft.) .......................... _ Business name: `Jt�rWl�i!/ New bldg.area(sq.ft)................................ _ Address: / j'�7- 5'"F ;, r Number of stories... City: t_.( `ry/� _ State;Q ZIP:t17 Dl Type of construction.................................... Phone-. I(�� -ax ---— E-mail: -- Occupancy group(s): Existing: CCB_no.: / _-- New: -- City/metro lic.no.: Notice:All contractors and subcontractor,art,required to be 1 r licensed with die Oregon Construction Contractors Board under Name: previsions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.if the applicant is - --- exempt from licensing,the following reason applies: C; State.: ZIP: Convict person: _ Plan no.: — --- --- — ---- I'Ixnc E-mail: -- — I Name: Contact person: Fees due upon application ........................... $__— Address: Date received: - --- State: ZIP: — Amount received ve ............ City: ............................. $_--- --- Phone: _—�hax: E-mall: — Please refer to fee schedule. 1 herrhy certify I have read and examined this application and the Not tit lusisdic tarn swe"cmdif cards,nesse an kmifdicUa,tor more taf—ion attached cb.xkhst. All p `�tons of laws and ordinances governing this O Visa O MasterCard work will be complied w 1,whethe specif lereip or not Credit card number1-�- �v/ ff�� / t xptra Authorized sig re: �//fiC L Date—. Name of cardtwi&r a::nown on aedir cud S Print name:- 1�_-1d'�l�/ G — Czdh d f atmatasc Notice:This permit application expires if a permit is not obtained within 190 days alter it leas been scoepted as comPlete 1141613( OYCOW Date Rec'd: Recd By. %.,'%T ,V OF TIGARD coMMERMPROVEMENT CIAL TENKNIT I APPLICATION/PLANS SUBIVIIIJAL REQUIREIVIEW'S Applicants: PIe,.,'JS0comP1,ete APPLICANT iA—V1 PHONE 1 , APPLICANT NAME:�,.�L�IV—L -- -AX 4 1. S -E ADDRESS: SITE PLAN (Fully &-nonsional, drawn to scale, showing existing p6-king, accessible route to building) labeled with: [I map & tax lot 11, 0 project w3me, El site address, 0 site number, D zoning, 0 applicant name, Ll phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROL! ED) ALL INCORPORATED INTO THE PLANS *ED BELOW SHALL. BE = AILS LISTED A. Floor plan(s) B Wall details C. Reflective, ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations I- . ADA barrier removal -worksheet G. Deposit - based on valuation of project !.,,asL-Vorms\C0n'VaPP.doc 10/4100 CITY C1 F rl`I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00239 DEVELOP'MEN"r SERVICES DATE ISSUED: 5/8/01 -- 13125 SW Hall Blvd., 'ripard, OR 97223 (503) G39-4171 PARCEL: 2S110BB-02200 SITE ADDRESS: 14340 `-,W HAZEL HILL DR SUBDIVISION: AMES ORCHARD ZONING: R-1 BLOCK: LOT : 022 JURISDICTION: TIG Proiect Description: Installation of('1)200 amp or less service and (6) branch circuits for new swimming pool. _RESIDENTIAL U_NI:Y—� _ TEMP_SRVC iFEEr)ERS , _ MISCELLANEOUS —'1000 5F OR LESS: 0 - 200 amp: PUMP/IRRIGATION: Eh,CH ADD'I. 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: !-IMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MA,NF HMI SVC/ FDR- 601+amps - 1000 volts: MINOR LABEL 00): --SERVICE,FEEDER _-_ BRANCH CIRCUITS — _ _ ADD'l. INSPECTIONS 0 - 201 amp: 1 VIRSERVICE OR FEEDER. 6 PER INlSPECTION: 201 - 40U anin: 1st WIO SRVC OR FDR: PER HOUR: 401 • 600 arnp: EA ADD'L. BRNCH CIRC: 114 PLANT: 601 1000 amp: _PLAN REVIEW SECTION 1011,0++amp volt: >=4 RES UNITS: > 600 VOLT NOMINAL: — Reconnect only__ —_, SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WELCH, JAMES P + CHERYL 13 WILSONVILLE ELECTRIC INC 14340 SrAI HA.'_FLHILL DR PO BOX 845 TIGARD, OR 97224 WIL-SONVILLE, OR 97070 Phone: Phone: 503-638-5353 Reg #: SUP 38545 LIC 00075752 EI_E 3-307C _ FEES — —� Required Inspections Type By Date Amount Receipt Rough-in PRh1I CTR 5/8/01 $120.20 2720010000( Wall Cover F_lect'I Servirr•. 5PCT CTR 5/8/01 $9.62 27?0010000( Elecl'I Final -Total $129,82 — This Permit is issued subject to the regu1,3tiens contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws. All w)rk will be done in accordance with approved plans This permit will expire if work is_riot started within 180 days of issuance,or if work is susoended for more than 180 days ATTENTION Oregon law requires you to follo'wfules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through AR 952-001-0080 You may obtain copies of these rules 6roirect questions to OUNC at(503) 246-6699 or 1 900-',32-2344. Permit Signature: ssued By: OWNFP INSTALLATION ONLY TTie installation is oe'mg made on property I own which is riot intended foi sale, lease, or rent. OWNER'S SIGNATURE: _-^ _-__-.-- —.__—_—.--_ DATE:--- CONTRACTOR INSTALLATION ONLY SIGNA TURF OF SCPR. ELI--(,'N: LICENSE NO: ----- — -- -- - — ----- -- — --- Call 639-4176 by 7:00pni for an inspection the nexi business day Eiectrical Permit Application -- --- - I'alereceived: r permit no.. City of Tigard l'roje't/appl.no.: Expin:date: Address: 13125 SW!Hall Blvd,Tigard,OR 97223 City r,J Tigard Date issued: By: Receipt no.: _ Phone: (503) 639-4111 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I &2 family dwelling or access(,ry U Commercial/industrial U Multi-family O Tenant improvement J New constntction U Addition/alteration/repiacemrnt U Other: U Partial Joh address: , a, s/�l Jam' —, .�(�. lh �13ldg.no.: Suite no,: T:'+ rnap/tax lot/ac atLott: Blrn_k: Subdivision: Li_��J/� - no.: — un _,___- Project name: Description and location cf work on premises: Estimated date of arnhleliowinsp�ction: Job no: _ I 1 Or Max Business name: L•3 L ' .z, Description (Joy. (ea.) rntal no insp 11� New resiJetuial-single or multi-(omit,p•r Address: �� -- di-millngunit.lnclink-sottachedgarage. City: l�T _r Sl tc: ZIP: 2,0 'a— SeWceinchlded: Phone < Fax: ,' E-mail: loWSL' 11 011:.x_ - — _•� r• Foe' DUs I c.no. Each additional S00 sq.ft.or portion thereof _ CCB no.: —f y Q'Z 1...— Limited energy,residential _ 2 Gly/Illel no.: / Limited energy,non-residential 2 _ Goch manufactured home or modular dwelling —� 44fature rvisi elec ichin-{ l_-quired ,Date Service and/or feeder — Sup.elect.name print): L' r cense Services or feeders-Installation, 1 alteration or relocatlon: m 2(1(1 aps or less 2 Name(print):S M .�. ( 201 amps to 400 amps_— -- _ 2 -!(rt�� 401 amps to 600 amps 2 Mailing address: /c./�y — -- — — — .t.t•.i...�Z?' 601 amps to IOIx)amps 2 City: 'r- '( Slate:e;`/+ ZIP: _ Over 1000 amps or volts --_ 2 Phone: V&X: E-mail Reconnect only --_ I Owner it;tallation:The installation is being made n properly I own Temporary services orfeeders- which is not intended for sale,lease,rent,or ex range according to Installation,alterstion,orrelocation: 210anips or less 2 ORS 447,455,479,670,701. 201 amps to 400 amps --- — 2 Owner's si nature: _ Date: _ to to(ioo emus -- - 2 Branch circuits-new,alteration, or extension per panel: Name' A. Fee fol hranch circuits with purchase of Addri ss: service or feeder fee,each branch circuit - 2 City. Stale: ZIP: B. Fee for branch circuits without purchase -- — -- of service or feeder fee,first hranch circuit: 2 F:-mad: _ .._ —_—_ ![ach a(ldnionnl hrnuh circuit• WUMisc.(Service or feeder nut Included): J Scn;u r:ct 2t' .vui`.. miru•nial J Health calcfacilit) Each pump or irrigation encF: 2 U Service over 310 amps-rating of I&2 U Hazardous locatio i Each sign or outline lighting family dwellings U Building over 10.000)square feet fouror Signal circuit(s)or a limited energy panr!, U System over 600 volts nominal more residential units in Due structure alteration,or extension" -- _— 2 UBuilding over three storiar. UFeedcrs,400ampsormore •Descri.tion: _ J Occupant load over 99 persons U Ma ufacturLd structures or RV park Each additional Inspection over the allowable In any of the above: U Egressgightingplan U Other — Per inspection - Snbmll _-s!`ts of plans with any of the above. Investigation fee The above are not applicable to temporary coa dndlon tlervice. other --- -- -- - - -- c —•---.— —_ Permit fee.....................$ /sic• Not all Jurimficiions accept cr.tlii cud,please call iv.iadicoon Ge narr intormation Notice:This permit application U Visa U MasterC'anl expires if a permit is not ohtamed Plan review(at _ %) $ Credit card nombec _ within 190 days alter it has been State surcharge(8%)....$ u Fxpiml accepted as complete. TOTAL .......................$ ILL, � Nam vti Naof csrdhoar r shown on credit card _ S Cardholder sip inure Amount 440-4615(faVt"M) Electrical Permit Fees: Limited Energy Fees: _T_YPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee................ .......... $75.00 ........................... _ Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Typo of Work Involved: Residential per unit 1000 sq.1l or less $145 15 — _ Audio and Stereo Systems Each additional 500 sq it or portion thereof _—� $3340 Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular Garage'0oor Opecer' Dwelling Service or Feeder $9090 2 Services or Feeders Heating,Ventilation ar;d Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 _ 2 El Vacuum Systems' 201 amps to 400 amps $106 81.,_—: 2 401 amps to 600 amps $160.60 2 ------ --'—` Other 601 a$, to 1000 amps _ $240.E0 2 - - -- -- --over 1000 amps or volts _ — $45d o5 —__ 2 Reconnect only $66.85 :' Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY Fee for each system......................................................... $75.00 installation,alteration,or relocation 200 amps or less $66.85 _ 2 (SEE OAR 913-260-260) 201 amps to 400 amps $100.30 — 2 401 amps to 600 amps $133 75__ 2 Check Type �f Work Involved: Over 600 amps to 10100 volts, see"U'abs ie Audio and Stereo Systoms Branch Circuits F Boiler Controls New,alter^Iicn or extension per panel at i he fep,nr branch circuits � with purchase of service or L 1 Clock Sy;terns leader fee. Each branch circuit _ $6.65 _ Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch cin.--,it _ _ $4685 C HVAC Each additional branch cirruit — $6.65 Miscellaneous instnin-entation (Service or feeder not included) Each pump or irrigation circle _ $534C i F] Intercom and Paging Cy stems Each sign or outline lighting _ $5340 g Signal circuit(s)or a limited energy panel,alteration or extension $7500 _— L�nds�ape Irrigation Control' Minor Labels(10) _ $12500 _ Medical Each additional inspection over the allowable In any of the above Per inspection $62 EO Nurse Calls Per hour $62 50 _ In Plant — $73 75 17 Outdoor landscape Lighting' Fees; I L1 Protective S,gnaling Enter total of above Yses $ 811e State Surcharge $ Number of Sy stems 25%Plan Review Fee No licenses are required L,censes are required for all other installations See"Plan Review"section on $ front of applicr6011 — Feo Total Balance Due c Enter total of above fees $ T:ust A;count X I 8%State Surchxpe $ —_ Total Balanr p Due $� i:AswVorrlu1lcM-fees.doc !0/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —_ `Date Requested �� / —AM —PM _ _. BLD Location- 1 L C�T ,�lhc a /�.'L Suif'� — MEC -- Contact !,erson Ph _ PL.M Contractor Ph _ �o :'fit -5-3-5 .3 SWR -- ---- BUILDING Tenant/Cwrl r, - ?',� ej 4/�� ELC Netaining Wall - ELR Footing Access: - Foundation FPS Ftg Drain -- SGN Crawl Drain irispaction Notes: , -- Slab -- -- L E�� 1 �---- SIT Post& Beam �- Fxt Sheath/Shear �� In!Sheath/Shear Framing — — __-_-- insulation Drywall Nailing F irewall Fire Sprinkler ��/ _ L ---- -- - - --- - ---- - ---,-- Fire Alarm Susp'd Ceiling �_ - ------ - Roof � � ] Mise - -------- (, �Y_L_ Final PASS PART FAIL 7- �J�l�ls=tea--- ! r� �--{�-LG•� -- PLUMBING Post RBeam - -- -- -- --------- -------------- ----- - Under Slab TopOut ----- ---------- ----- -- --------_-___ Water Service -- Sanitary Sewer Rain Drains Final -- _ ----------- PASS FART FAIL �MECHANiCAL f- ------ .. -- "!!Inst R Ream --- _ --- ------- - - ---- --- ---- Bough In (,as Line --- ----- ---- - Smoke Darnpets t ill-- PASS P AIL ELECTRICAL - -- ---- -- - -- -- ----- - ----- ------------- - --------- Rough In UG!Slab ----_---_- ____-- - --_--__ - -_. I_ow Voltage Fire Alarm PASS )PART FAIL --- ----- --- - - --- --- - --------- CWT Backfill/Grading - --- -------- --- -- — ---- Sanitary Sewer Storm Drain ( j Reinspection fee of g --__required before next inspection. ? y at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection R :- —� _- [ ]Unable to inspect no access ADA Approach/Sidewalk Other _ Date — _�—Inspector__ `� Final PASS PART FAIL j 00 NOT REMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MsT 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �w Will? Date Requested — �AMPM _ gLp Location --- �'1 �� 1� Suite --_ L.. — — ME:C Co-tt;ct Person — Ph PLM Cantractor— —__— -- _ Ph SWR ---_ (BUILDING — Tenant/Owner _ — _ -- ELC Retaining Wall _ Et_R _ Footing Access: Foundation Fps -tg Drain _ _ - crawl Drain Inspection Notes: SGN — lab P est 8 Beam --- --------_._-.___._._ -`.-_-. ---_—_.-- SIT -- _--- Ext Sheath/Shear Int Sheith!Shear -------�-- - Framing _--- -------------- ------- - Insulation - - --- ---- ---____ '7rywall Nailing Firewall --_----- ------------- .._._--_-------__- Fire Sprinl:ler Fire Alarm �-------- - - Susp'd Ceiling _._-__ -- - --- - ��. -- ----- --- ----- - Roof Misc: Final PASS PARTFAIL - - ----- --....---- -- PLUMBI�___ ------- -- - Post& :team Under Slab Top Out -- ---- -- Water Service Sanitary Sewer -- - --- -- Rain Drains In, al PASSPART FAIL M ECHANICAL - Posf& Bearn ----_-__-- Rcugh In GasLi,9 ------- _.-.-----__ -�_ Smc e Dampers Filiali _._ —. — ----- --— --- —---- ------- — PASS PART FAIL ELECTRICAL __. �� - ------- — — --------- — Service Rough In _�---------- UG/Slab -- Low Vintage __��_.--__.---------___— F ire Alarm Final - ------ --.--_-- --- -- ---- ------ PASS PART FAIL SITE Fackfill/Grading ----- ----- - --- --- — -__—� - ---------__..- Sanitary Sewer Sturm Drain [ j Reinspection tee of$ _-_- __required before next inspection. Pay at City Hall, 13125 SW Flail Blvd Citch Basin Fire Supply Line [ )Please c.il for reinsper,tion RF -_ _— [ J Unable to inspect-no access ADA ((( Approach/Sidewalk 9/Z� 1 ` `7 Other _ Date _ --�.__ Inspector_ _Ext J Final - PASS r'ART _FAIL DO NOT (REMOVE this inspersion record from the job site. VITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- _ BUP7 Date Requested �' AM_— PM _ BLD Location -J_--L_=— t _ _ T' � Staite _ MEC Contact Person ��L t��- Ph _ PLMc ► Contractor Ph SWR _ BUILDING Tenant/Owner ELC — — Retaining Wali ELR Footing A ccess: Foundation FPS -- Ftg Drain SGN Crawl Drain Inspection Nmes: ------- - Slab - - --------- - --- --- - SIT Post 8 Beam ---- -_'--'- Ext Sheath/Shear Int Sheath/Shear 'Framing -- - - - __ __- ------ -------- ------ ----- Insulation Drywall Nailing Firewall -_---------- ------- Fire Sprinkler Fire Alarm Susp'd Ceiling --- --- - -- ------. _ -- --- Roof Misc: 1-_ .•fir ----------- ------- - - --- -- - nPAOPART FAIL - --- ------ - -- ---- - - --- -. ----- ---- ---- -_ - -- ----- PLUMBING Post R Beam _--.------- - - ------- ------- - - Under Slab Top Out ----- -- -- ------- - ---- ------ Water:service Sanitary Sewer - ------ -------- - -- - Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam ---- - -- - ----- Rough In Gas Line ------- -... - - -- -- Smoke Dampers )PART FAIL ELECTRICAL. -- - -- _- -- Service Rough In UG/Slab I ow Voltage Fre Alarm I ---- ----- - - ------ -- -- Finral PASS PART FAIL - - -- -_- -- --_-_- _-- _,_ SITE _ Backfill/GradinLl - — --- --- Sanitary Sewer Storm Drain ( RPin.cpF-tion fF,e of$ required before next Inspection. Pay at City'fall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Plea•e call for reinsnectinn RF _ [ ]Unable to Inspect-no access ADA I ` �-hh• Approach/Sidewalk Other Date _ Inspector f ,� Ext - - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. SEE 35MM ROL.L # 23 FOR LARGE DOCUMENT msf�i3 - pSy� GZ W ' J Q N m , � I U �1 •� AJC Z> e` n.1 ffii O, 3¢ I II I — m M �i � i Woo r I a I. U � L U LU Z 1 gzz=LL a i wz�zLL R I ?moo LL r a Qa�'w ■ N i O Na ; T w J V olLnZ� w d Q OQra`- > U Z c Qti DC7 0. 0�c ww0.LL " ` << aZ`¢.. -z. a �_, z; m Z w C cn LLJ I w0C1 . 1 I � I , p ,n 7u•, 9 dLU t] * ! yn L W C1 I cr I I � I I I I 0 I LL I p I. z 7 0 V) 7l U: ¢zzUzi c { LLH F V mw o'Q W LL z LL J 0 Q o=maw• ox�ac `>OLZz 0�-milli az0v,Q 1 wWaw Q J Q <UUI z= Q J~?Q CL r-z: zm�Uc f7 0.U; Lu wool O 7 U • I I i CITY OF T I CARD COMMUNIrt DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223@6199 (503)639-4171 PLUMBING PERMIT Pr;',Rlv1IT #. . . . . . . : r-'11-1195-0060 .,39- 4171 D1TF' ISSUED: 04/04/95 PARCEL - ITE ADDRESS. . . : 141,40 SW HAZELIAILL DR -jBDIVISTr1fA.- . . . 1 AMES ORCHARD ZONING: R- 1 i-OCK. . . . . . . . LOT. . . . . . . . . . . . . :22 CLASS Or WORK. . :ADD GAFBnGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE- OF USE. . . . a8F WA'iHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DROING. . . . .. . . : TRAPS. . . . . . . . . . . . . . : STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . UPTCH BASINS. . . . . . . : LAUNDRY TRAYS. . . . . .. : SF RAIN DRAINS. . . . . : SINK;. . . . . . . . . . . URINALS. . . . . . . . . . . . : GREASE TRAP'S. . . . . . . : i-.A ,,TORIES. . . . . : OTHER FIXTURES. . . . . : TUU/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. . : WATER LINE (ft) . . . . - DISHWASHE-RS. . . . I RAIN DRAIN (ft ) . . . . : kemar^k� -. INSTALL RESIDENTIAL BACKFLOW DEVICE Owner-: FEES WELCH type amount by date t-er.,pt 14340 PRmT s 15. 00 SW 04/04/95 561 HAZEL HILL DR 5 P C T t 0. 75 SW 04/04/95 TIGARD (.'Jr.' f"7,--.-,4 o n e Contr-actor-- : ---------------------------- PRUETTI INC. 5550 SW ROSEWOOD LAKE. OSWEGO OR 97035 r-'1ione #-. 635-3916 $ 75 TO'TAL Rey #. . .- 63502 REOUI RED INSPECTIONS Thi; pervit is is,,.:Pd subject to flip -egulations contunpo in 1che RP/Barkflaw Pr-ev Tigard Muricipak Code, State of Ore. Specialty Codes and all ether Final Inspec-tion applicable laws. All work will be done in accardanLO with approved plans, Tnii permit will empire if work it not started within 180 days of issuance, or if v:rk is suspended for errs than 180 nays. I ss%.iPcJ By , Call fat- insper.-tion 639--4175 City cif Tigard PLUMBING PERMIT APPLICATION Planck/Re;:. # 13125 SW Hail Blvd. Pernit # P016i5 Tigard, OR 97223 (502) 639-4171 MINIMUM $25.00 PEi!011T FEE + ST. SUf1CHAR,aF —T' --New 9mi Family Re��l.rlerncer p I —_— ----- C] 1 BATH HOUSE $140.00 CJ 2 BATH HOUSE:$196 00 lob q�L.v S.(A_�. �•'yq Z4 M I,.L- kb LJ 3 EVTH HOU`',E$225.00 Address G60111104 rlpI, Fee includes ali plumbing fixtures in the dwelling and .;9 first 100 6aet •r —� - 29 I of water se vice, sanitary sewer and ntortr, sewer. Fca fees beloN,. r.m•�a n.m.w d.-,...1 -- �� FIXTURES QTY Pt'ICE AAIIT it Sink —g 0 M•Iln°"°°..' vn•n. Lavatory 9.L1 Owner ( '� Tub or Tub/Shower Comb. —- 9.00 r10 Shower Only 9.00 L?Y Water Closet 9.00 Dishwasher 9.00 Va x Geyi Disposal — 9,00 Occupantrbafim. Washing Machine 9,00 Floor Drain _ — 9.00 Water Heater __ 9.00 Laundry Room Tray 9.00 � ) Urinal g_QQ 4�) T-� // C. Other Fixtures (Specify)Contractor ST1 d _ 9.00 � r J lci «Clt�'GA 3S3,I� 9.00 -- �QL ��JG_ �� 7b 3J Se 9.00 -A � � Sewer 1st 100' 30.00 m«.n.�nrnwn Nn .i R,.e..iu Na 25.00 // 2 .�j � Sewer-ea. Addit. 100' C 3.�C� Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, the the _Water Service ea. Addit. 200' 25.00 nformation given is correct, that I am the owner or author -ad agent of the owner, that plans submitted are in cor iplianze with Stat.: laws, that Storm &Rain Brain 1st 100' 30.00 1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00 number given is correct (If exempt from State registration, please give reason below) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device I 900 Any Trap or Waste Not - L'( c t� `_'4 �-� -yam Connected to a Fixture - 900 Descnoe work new ,�) additicn U alteration O repair C) Catch Basin g.pp to be done res!dential Q non-res.dential Q Insp. of Exist. Plumbing 40.00/hr Specialh, Requested Inspections 40.00/hr Existing use of ---- building or property Rain Drain, single family dwelling 30.00 �— Residentiai backflow prevention c:eviceF 15 on Proposed use of building or property _ '!Except residential backflow prevention devicc:r' NOTICE eMlnlmum Fee $25.07 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED PLAN REVIEW 25'x° OF SUBTOTAL L-- ---- TOTAL Specie! Conditions _ _ — - -- - - ---- Date issue, 1 by