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12292 SW MORNING HILL DRIVE-1 3AING 11IH ONINNOW MS Z6Z7,6 w 0 J C7 Z Z G_ 4 � N Of N N r 12292 SW MORNING HILL DR i CITY OF TIGARD 24-Hour BUILDING- Inspection Line: (503)6394175 INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _Date Requested��� _AM PM_ BUP Location6t'4eE �J / Contact Person _ (_ ) — �. -PLM r Contractor-------- ---- - --- Ph( —) Q SWR BUILDING Tenant/Owner _ _— ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain � _-- Slab Inspection Notes: SIT Post& Beam _ Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear --- Framing Insolation Drywall Nailing - _---_ Firewaq Fire Sprinkler __- Fire Alarm Su,3p'drCeiling _— Roof Other: -- -- Final PASS PART FAIL -- PLUMBING _ Post R Beam — - Under Slab ;lough-In - Water Service _ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- ShowerPan Other: --- - - _ Final ^- ---- --�-- PASS PART- FAR, MECHANICAL Post& Beam Ro Q. Gas tine amp s — —� N F PA PART FAIL — — — — ------ CTRICAL "1 Service ----- --- _-__ F0 1 Rough In _.1 Low Voltage Fire Alarm - - `---- --�-- Final Reinspection fee of$_ required before next Insp�"Ion. Pay at City Hall, 13125 SW Hall Blvd. PAsR FAR i -SIl E Please call for reinspection RE:___ -- Unable to Inspect-no access Fire Supply Line ADA / Apprcach/Sidewalk _-- Other: _ Final DO NOT REMOVE this Inspection record from the fob site. PASS PART FAIL CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-001551 13125 SW Hall Blvd.,Tigard, OR 97223 (503)63941.71 DATE ISSUED: 9/10/03 PARCEL: 2S104AB-11100 SITE ADDRSESS: 12292 SW MORNING HILL DR SUBDIVISION: MORNING HILL, NO. 6 ZONING: R-4.5 BLOCK: LOT: 140 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FUZN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERSrCOMPPE_SSORS _ HOODS: _ FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU; 1 AIR HANDLING UNITS OTHER UNITS: i"URN >=100K BTU: <0 10000 cfni: > GAS OUTLETS: 10000 cfm: Remarks: Replace existing furnace and A/C unit. A/C unit cannot be placed within the required setbacks. Owner: FEES OHANESIAN, KEVIN LEE + JOANNE T Description Date _ Amount 12292 SW MORNING HILL DR TIGARD, OR 97123 [MECN] Permit Fee 9/10/03 $72.50 [TAX]8%StateTax 9/10/03 $5.80 Phone: Total 788.30 Contractor: SKY HEATING +AIR CONDITIONING 1 C37 SE NEHALEM PORTLAND, OR 91202 REQUIRED INSPECTIONS Phone: 235-9093 Mechanical Insp Final Inspection Reg#: LIC 50244 CL ot; m WThis permit is issued si!bjed to the regulations contained in the Tigard Municipal Code, State of Ore.Specialty Codes —i and all other applicable laws. All worts 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: Permittee Signature: YIOP4.1 C �? /� 0/y Call (503)639-4175 by 7:00 P.M.for Inspections needed the next r;,,ainess day Rue 15 03 08: 10a P. 1 r Mechanical Permit A - ® Mochfintra .="i"11 Permit No!12020 Cc"g00 -XSS City of Tigard AUG I ft- Platti nntApt ..at Bu,tam` 13125 SW H•U Blvd. clan Review CRI,o T1Kard,Oregon 97223 CITY Dete/B : tztrtit No. Phone. 503-6394171 Fax: 503-59th OF IGA Past•Ilevitw tattd`utc-- Internet: wwa,ci.dgartLor.us INS INC.. Conwt se.hat 1 for M-hour inspection Request 503-639-4175 LNu„dMou„a: T SuPpf■rtrntal Infvrraeds". I Ic�,1 f I x OIt' U �i .I �t 1 I 1'1-1- Alt w cont uetion Demolition Mtchanics0 permit feo•are based on the total velue of the work Addition/altcrahonhe lacement Other. performed Indicate the value(rounded to tM neurm dollar)of all I.. T 041t -I r., mechanical mataists,crtuiptmnt,labor,oveshead and profit. 1 &2-Farruly dwelling Corn mereial/Industrial Value. s Sear P 2 for Pee Scbedute Acres Building_ ffMulli*Fa_ lb _ ' Ma!terBuilder Other: - -- -- �sO°, Sts1 [�(ea) Ttrtal Heatai' •a Furnwe-add-on air conditionipr* 14.00 Job site�aare55: ID I% U d weal pump ^ Suite 1111: 1A Duet work 14.00 Project Name: - - N- onie hat water Sylocin 14.00 Residential boiler Cross Stt-eet/Directions to job site: (for radiator or hydronie syteeml 14.00 unit heaters(rue',not electric) -- ip wall,in-duct,suspended,etc) _ 14.00 rlue/vent fat an of above 10.00 Repair,%nits 12.15 Suhdiml n: _ ++����: .'Oiler FLelA anent __. Tax rn / a►cel fl: Wata 6uta ^- I0.00 1SE X OF WE Glu fire bce _ _ 1000 n V I J_ -4- Flue vent(.rata iteaurien fireplace) — 10.00 --- -- - --- [o r� 10.00 Wood/Pellet stove 10.00 Wood& lace/insert 10.00 _ - Chtmncy/liner/tlue/vent 10.00 r TY OV a F 1 ;f�tpp) 'Ln'Y1 " Other. t_ 10.00 1ri1C_ I IC3 VJ t i&MIRStntotalfcebarft/JV@xWlaINn ---- - - --- —- - Range hood/odter kitchen equiprnrrtI T— moo -- - — --- Allt�fCSS: 1 tit h, rn i --- Clothes dryer etluust 10.00 — - CI /State/Zip: j Q Single duct exhatut Phone- 50 '' 3. J �� G Fax: (bathrooms,toilet comparartents, K1 ' _T', - utility rooms) __ — 6.80 Name: Attidcrawl space fans _ 10.00 Address:—^ -- -� other: ,_ 10.00 _ _ City/State/Zi ••(15 44 rre Greta St.a etre\a4dieiaaal— Phone: rix Furnace etc. - L__ -- -- --- -- Gas heat putnP _ E-mail: WalVcu nded/un,theata •'^ Fn _ Water heater a* Business Name: Fire lave '° _ Address: c �- Range - —`------ ..--. BB .. m Cid/State/Zip: Q I' t` q2 Clothes dryer(ate •'— WPhone: _ 7,y _ Fax Other. Tart „J CCA Lic ft: 50MA _ - MtieJi�rin l�eeiit Feear' Authenzed -- Subtotal: S � Signarwe a�� _G�7 _ —. Date a L5 Minimum Permit Fee 572.50 S_.Jx.:[SL__ Clan Review Fce 25%of Pem it Fee S _ (pleme print narmc) Sate Surcharge(11%orPcrnut FeeS _ TOTAL PtILMIT FEa S Neta: This p"-nit application expires if a permit 6 nut obtatoed within -F-e methodel p tet by Tri-County BrildirR Indattty Smite Bend. 190 days after It hat been•rcepted u complete. '•Sttt plan regvired fur txttri,v A/C unlit. tDru�°omit FotmS\blecP"mitApp doe 01103 Aug 15 03 08: 10a p. 2 NOME LAYOUT/SITE PLAN 4, y1(16— yX to 1 �a PhD 7 --- Avg I .Zoe oG /V1aPq X229"1 v�ti� I��C��'11 i Yl H� I 1 C� C)C) a STR MET m 5 W ..J CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003•.00487 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 9/18/03 SITE ADDRESS: 12292 SW MORNING HILL DR PARCEL: 2S10013-11100 SUBDIVISION: MORNING HILL NO. 6 ZONING- R-4.5 BLOCK: LOT: 140 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: PATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of irrigation backflow device FEES Owner: --' Description Date Amount OHANESIAN, KEVIN LEIS 4- JOANNE T 12292 SW MORNING HILL DR [PLUMB] Permit Fee 9/18/03 $36.25 TIGARD, OR 97223 (TAX]80,4.State Tax 9/18/03 $2.90 Total $39.15 Phone Contractor: DENNIS' 7 DEES LANDSCAPING 7355 SW JOHNSON CREEK BLVD PORTLAND,OR 97208-9328 REQUIRED INSPECTIONS Phone : FAX-777-2399 RP/Backflow Preventer ����LL3 777 7777 Final Inspect;on Reg#: IVT[.T 1101►0147R LIC 5009 PL,M 00011094 a N This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. op Pe 1 - 9 9 p 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 Issue sy: « , Permittee Signature: Aje Call (50 639-4175 by 7:00 P.M.for an Inspection needed the next business day Building Fixtures G, 3i3 V Plumbing Peon Date received:el-l;6'j Permit no.: t M? •UO -� City of Tigard g pe ����� � t1``�� Sewer permit no.: Building permit no.: Address: 13125 SW Hall Bli§ igi;4 9223 City of Tigard Phone: (503) 639-4171 Pro;ecdeppl. no.: Expire;date: Fax: (503) 598-1960 CITY OF 1 IUARD Date issued: By: Receipt no.: BUI!_QIPJf, DIVISION Land use approval: case file no.: Payment hype: TVPF OF PERN111T IV I &2 family dwelling or accessory O Cnmmercial/industrial U Multi-family O Tenant improvement U New constniction U Ada tion/alteration/replacement U Food service O Other: DIM1 ' 1 Job address: 'ai�1f.;1 Description Qt . Fee ..L Total Suite New I-and 2-family dwetlings only: na: Bldg. no.: y _� __ (Includes 100 R.for each utility connection) Tax map/tax Iouaccount no.: SFR(1)bath _ Loth Block: Subdivision: _ SFR(2)bath l __ Project name: SFR(3)bath _ City/county: ZIP: Each additional bath kitchen Description and location of work on premises: Site utilities: INSTALL BACKFLOW DEVICE _ Catch basin/area drain Drywnch drain Est.date ofcompletion/inspection: ells/leach line/tre Footing drain(no.lin. ft.) PLUMBING 1 Manufactured home utilities Business name,DENNIS' SEVEN DEES LANDSCAPINGINQ- Manholes Address: 7 355 SE JOHNSON CREEK BOULEVARD Rain drain connector _ City: PORTLAND State:_ ZIP: 7206 Sanitary sewer(no.lin. ft.) Phone: 777-7777 Fax: 777-2399 E-mail: StotTnsewer(no lin. ft.) PmbFater service no.lin.It. CCB no.: 5009 Ilu .bus.reg'no: 05LIBDI Fixture or Item: City/metro tic.no.: 00001478 Absorption valve Contractor's representative signatttre: to Back flow preventerPrint name: Dean Snofi rass le: ds Backwater valve _ 1 Basins.ylavatory — Clothes washer Name: — - Dishwasher _ _ — Address: _ _ --- Drinking fountstin(s) Cit State I11': _ —_.� Ejectors/sump Phone: Fax: Fi-mail: Expansion tank 1 y Fixture/sewer cap Name(print): �_�///h Fleor drains/floor sinks!hub Garbage disposal Mailing address: /a_�y� SG% /:�'G ALL-�l�'/�2 Hose bibb _ State: ZIP: _7T 4. City: T�/n� _ Ice maker Phone:$a -fr Fax: E-mail: Interceptor/grease trap _ t- Owner installation/residential maintenance only: The actual installation Primer(s) will be made by ate or the maintenance and repair made by my regular Roof drain(commercial employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ J Owner's signature: Date: Sump mI Tubs/shower/shower pan _ j Urinal _ W Name: Waterclos.:t _ J Address: Water heater City: v State: 'p: Other: Phone: - Fax: oyr?r am _ E-rr. Total / S Minimum fee....... ........$ rNol all jurisdictions accept credit cards,please aA jurisdiction for m�rte 1nfortnari1n Notict: This permit application $ Plan review(at__ %) U Visa U MasterCard expires if a permit is not obtained State surcharge(S%) 9� Credit card number -- Expires within 180 days after it has been /J p accepted as complete. TOTAL........................ S Name of cardholder as shown on credit and Cardholder signaturo S Amount "04616(61MCOM) PLUMBING PERMIT FEES: PRICE TOTAL Now 1 and 2-family dwellings duly: FIXTURES (individual) QTY_ ea AMOUNT (includes all plumbing flxtv�es In PRICE TOTAL Sink 16.60 the dwelling and the first o00 ft. TY (ea) AMOUNT 16.60 for each utlll conn,,z;on Lavatory One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two(2)bath $350.00 Shower Only 16.60 Three 3 bath _ _ $399.00 Water Closet 16.60 SURTO AL _ Urinal 16.60 _ 8%STATE SURCH49ROE Dishwasher 16.60 PLAN REVIEW 25%OF SUSIDTAL Garbage Disposal 16.60 OTAL Laundry Tray --- 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE CO PLETE: q" 18.80 Water Heater O conversion O like kind ?6.60 Quantity b�Work Performed _ Gas piping regjirrss a sepatate moc`'arical Fixture Type: Now Moved 1 Replaced Remove!'! ennit Capped �1FG Home New Water Service 4640 Sink MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tu hoover Hose Bibs 16.60 Combin n Roof Drains 16.60 Shower rii Drinking Fountain J 16.60 Wate 'loset _ Other Fixtures(Specify) 16.60 Url _ Di washer _ rba a Dis osal aundry Room Tray Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 3" Sewer-each additional 100' 46.40 4" _ Water Service-1st 100' 55.00 Water Heater Water Service each additional 200' 46.40 Other Fixtures S eci Storm u Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 _ Comrercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16. Inspection of Existing Plumbing or Specially .50 P.egucs!ed Inspec!ions _ er/hr COMMFN rS REGARDING ABOVE: Rain Drzin,sinqle family dwelling 65.25 Grease Traps 16.60 - - L QUANTITY TOTAL rIsometric or riser diagram Is required If _ Quanlit 1 Total is >9 1) "SUBTOT 8%STATE SURCH GE - - '"PLAN REVIEW 25%OF S TOTAL u __ Required only If flxtur total is>9 TOTAL $ Minimum permit Is$72 50+8%state surcharge,exc^p!Residential Backflow Prevention De which is$36 25+8%state surcharge ~All New mercial Buildings require 2 sets of plans with isometric or riser dlagra or plan rovlew. iadsts\forms\plm-fees,doc 12/26/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 INSPECTION DIVISION Business Line: (503)639-4171 MST OUP Received Date Requestedn;1�� AM _PM _ 6UP Location M din i el c3 Suite— MEC Contact Person SO-0 —_ J — Ph(—) 777-- 7 7_Z77_ Contractor Ph( _) ___ _ � �"SWR BUILDING _ Tenant/Owner _ ELS: Footing FoundationELC ----- Ftg Drain Acxes8: ELF, Crawl Drain Slab Inspection Notes: S;T Post&Beam Shear Anchors I -- ------- Ext Sheath/Shear f{fir"�� S �' c_j4r',,7 Int Sheath/Shear Framing Insulation Drywall Nailing — _— Firewall Fire Sprinkler — — Fire Alarm Susp'd Ceiling - - Pool Other: — Final PASS PART FAIL — — PLUMBING_ Post&Beam Under Slab Rough-In Water Service — Sanitary Sewer �— Rain Drains -- — Catch Basin/Manhole Sturm Drain --- -- Shower Pan A PART FAIL HANICAL Post&Beam Rough-In a Gas Line Smoke Dampers — F- Final I y PASS PART FAIL --- -— - ELECTRICAL_- -•� Service - ---- -- — — —_- -` Rough-In UG/Slab W Low Voltage Fire Alarm Final rrII Reinspection fee of� _ required before next ins PASS PART FAIL L_I Inspection. Pay at City Hall, 13125 SW Hell Blvd. SITE _ Please call for reinspection RE:-------, Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk �atir _ Inepeator Other: Final DO NOT EM VVE!filo InnpoWon tr*mrd ftr m We job oft& PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CAMERON THOMAS LLC RECEIVED P.O. BOX 5324 ALOHA, OR 97006 SEP 16 2003 CITY OF Electrical Signature Form BUILDING;DIVISION Permit #: MST2003-00210 Date Issued: 6117103 Parcel: 2S104AB-111 U0 Site Address: 12292 SW MORNING HILL DR Subdivision: MORNING HILL NO. 6 Block: Lot: 140 Jurisdiction: TIG Zoning: R-4.5 Remarks: Addition of 516sf. Your company has been indicated as the electrical contractor for the permit indicated above. In order fur the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above,ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTR;CAL CONTRACTOR: OHANESIAN, KEVIN LEE + JOANNE T CAMERON THOMAS LLC 12292 SW MORNING HILL DR P.O. BOX 5324 TIGARD, OR 97223 ALOHA, OR 97006 Phone #: Phone #: 503-629-8938 Rea_ #: LIC 138773 ELF. 34-516(' SUP 4633S r AN INK SIGNATURE IS REQUIRED ON I.HIS FORM x -_---� Sig t e upervising Electrician If you have any questions, please call 503.718.2433. MASTER PERMIT CITY OF T I C A R D PERMIT#: MST2003-00210 DEVELOPMENT SERVICES DATE ISSUED: 6/17/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 12292 SW MORNING HILL DR PARCEL: 2S104AB-11100 SUBDIVISION: MORNING, HILL NO. 6 ZONING: R-4.5 BLOCK: LOT: 140 JURISDICTION: TIG REMARKS: Addition of 516sf. Bull DING REISSUE: CUSTOM STORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT, 15 FIRST: 513 of BASEMENT: `af LEFT: 5 r SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: of GARAGE: at FRONT: o PARKING SPACES: TYPE Or CONST: 5N DWELLING UNITS: 1 THIa/ of RIGHT: 5 401?0 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 513 of VALUE: 47, REAR: 15 PLUMBING SINKS 1 WATER CLOSETS: 1 WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: ? DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: i CATCH BASINS: TURISHOWERS- I GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN<100K: SOfL/CMP<2HP: —_ VENT FANS•. 1 CLOTHES DRYER: GAS FURN>000K: UNIT HEATERS- HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCFS- VENTS: 1 WOOUSTOVES: GAS OUTLETS: 1 ELECTRICAL _RESIDENTIAL UNIT _ SERVIL FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 i.mp- WISVC M•t FDR: PUMPnP1IGATION: PER INSPECTION: EA ADD'L 500Sr: 201 - 400 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 40t - 800 amp: 41" 000 amp: EAADDL BR CPR: I m SIGNALIPANEL: IN PLANT: MANU HWSVCIFUR: 601 1000 amp: Ilot+anpa•t00ov: MINOR LABEL: 1000-amplvolt: PLAN REVIEW SF-CMN Reconnect only: >a4 RES UNITS SVCeFDR»225 A.: >800 V NOMINAL• CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL AUDIO PI,STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NUR4F CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 1,087.45 This permit is subject to the regulations contained in the OHANESIAN,KEVIN LEE+JOANNE T OWNER Tigard Municipal Codg,State of OR. Specialty Codes and 12292 SVI!MORNING HILL DR all other applicable laws. All work will be done in TIGARD,OR 97223 acoordance with approved plans. This permit will expire If work is not started within 180 days of issuance,or if the 4. work Is suspended for more than 180 days. ATTENTION: IILOregon law requires you to followrules adopted by the Phone: Phone. Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Reg X: may obtain copies of these rules or dirRct questions to OUNC by calling(503)246-7987. m o3- /!l REQUIRED INSPECTIONS WErosion Control Insp 8, Underfloor Insulatil n Electrical Rough In Gas Fireplace Mechanical Final ".1 Footing Insp Crawl Drain/Backwater Framing Insp Insulation Insp Plumb Final Foundation Insp PLM/Underfloor Shear Wall Insp Rain drain Insp Final inspection Post/Beam Structural Mechanical Insp Exlsrtor Sheathing Insf Roof Nailing rost/BP.am Mecharlica PIUmb Top Out Gas Line Insp Electrical Final Issued B : Permittee Signature : ^ , Y f Call (503)639-4175 by 7:00 p.m.for an Inspection needed the next business day EC _NE� �.i G-I1-D3 Building Permit AN3n City of Tigard (,gt y Or TIGARD Date received: j-, U3 Permit C111�fIcIGN Project/appl. no.: Expire date: ( ire of Tigard Address: 13125 SW Hall Blvd,Tq}i� 5*19F� Phone: (503) 639-4171 Date issued: _ By:L312, Receipt no.: Fax: (503) 598-1960 /D Case file no.: Payment type: Land use approval r�.J S PPr C�I1 rr I&2 family: Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: —_—_ �. Job address: /17 e?z SulMo- ► _ ;il I _ yZS I Bldg.no.: Suite no.: _ ^ Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name. Q Description and location of work on premises/special conditions: l0op✓J iD��:ty l•YoY'k. �r GQ p/eMt OJF '�� ref sI4,�� .�' l�ovre ' Name: Kevin 1 ,01tones'me? Mailing address: 121-9 L�V Me_M Dr- 1 &2 family dwelling: City: q v d State: so,* ZIP: q72 2-3 Valuation of work ......................................... $ �_-__-- Phone: . Seo- sJ2 FaxSb3-544,0E-mail: k c Lr pe«•.c"No.of bedrooms/baths................... .............. oe / Owner's representative: S41,e Total number of floors ................................. Phone: gP4e Fax: E-mail: New dwelling area(sq. ft.)............................ SI Garage/carport area(sq.ft.) .......................... _ -- Name: Kethn L, 044442f 10-n Covered porch area(sq. ft.) .......................... — Mailing address: (7,7,4+Z- Sw Mo✓N %f S7 Deck area(sq. ft.).......................................... City /'� a rd _tri( 7-L,Z3 I State: Olt I ZIP: 9 7 X%- Other structure area(sq.ft.).......................... _ Phonegi✓V0 3F 2 Fax:01,5-t/yp(i E-mail:K/e 4 w/ret.fs Commercial/industriallmultl-family: Valuationof work ......................................... S —. Business name: i Existing bldg.area(sq.ft.)............................ Address: ,u -- New blJg.area(sq.ft.).................................. `-- Number of stories.......................................... City: T.IP: — Type of construction ............................ State: ......... Phone: Fax: E-mail: CCB no.: Occl.pancy group(s): Existing: New: City/metro lic.no.: Notice:All contractots and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address- — jurisdiction where work is being performed.If the applicant is IL City: State: 7_IP: — exempt from licensing,the following reason applies: 1Ft. Contact person: Plan no.: --�- U) Phone: —�_ Fax: I E-mail: ---- ---------- — -- — — 'J Name: Contact person: Fees due upon application.............................S BI Address: _ Date received: City: State: ZIP: Amount received...........................................S Phone: �ax: E-mail -- Please refer to fee schedule. I hereby certify I have read and examined this application and the qol all iutiActiow accept Credit earls,please Bill Jurisdiction for mom infomtanor, attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard work will be complied with,whether specified herein or not `// Credit card number __� Bate: rc — _7�� 03 Expire% Authorized signature: 0.^ Nanof cardholder as shown on credit card Print name: Q Vf vl L- Dh a rl r$/q vt _ s _ — Cardholder ai8natum Am. it Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613(M)0/COM) uunaing r fixtures Plumbing.Permit Application Received Plumbing Date/By: Permit No't"-" --FX?aJJL �.1 of Tigard Planning Approval Sewer �J g Date/Dy: __ Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date�y: _� Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Internet: www.ci.tigard.or.us Date/By: Can No.: Inspection Request: 503-639-4175 contact Juris.: See Page for 24-hour Ins P q Name/MeGtod: -1 Supplementall In formation. _ TYPE OF W K FEE• HEDU 'E fb New co Demolition iDescrl tion Ftla(a. Tot Addi on/alter lacement I Other: I O u TI n9 oa 1 &2-Family dwelling Commercial/Industrial SFR I bath 247.20 SFR 2 bath 350.00 Accessory Building Multi-Family SFR 3 bath 349.00 Master Builder Other: Each additional badvkitchen 45.00 J , Fire twinkler-sq.ft.: Paze 2 Job site address: 'ZZ'rz sw nAerN�� 1/ Suite#: Bld ./A t.#: Catcl,basintam drain 16.60 Pro ect Name: D ell/leach lineltrench drain 16.60 Footing drain no.linear 0. Page 2 Cross strnt/'Dfirections to job site: Manufactured home utilities 110.00 /tferM,hq tf,11 lir. /35 "-It Manholes 16160 1 Rain drain connector 16.60 _ Sanitary sewer no.linear ft. Pae 2 Subdivision: Lot#: Storm sewer no.linear ft. Pae 2 Tax map/parcel#: Water service no.linear ft. Page 2 Absorption valve 16.60 et' 6ocIre,"s, / � � Backflow ptevcater _ Pase 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 ROP Drinking fountain _ 16.60 Ejectors/sump 16.60 Name: Kot,,#1 L. OL14 r/e S/U P7 Expansion tank 16.60 Address: 12,21/Z Sw Mary,rat 14, /l /-. Fixture/sewer cap 16.60 City/State/Zip: Tr ,"►V Cat y z23 Floor drain/floor sink/hub 16.60 Garbs a disposal 16.60 Phone: v3 0o 'AS-s -x Fax: Svs-a 2/-`i 64 Hose bib _ 16.60 _ a PLIC _ Ice maker_ , 16.60 ane: Interceptor/grease"k_ 16.60 Address: Medical gas-value: S rege 2 City/State/zipCity/State/zip Primer 16.60 ------- - Roof drain' ercial 16.60 Phone: _ _ Fax: Sink/basin avato 16.60 E-mail Tub/shower/shower pan 16.60 -_ F' CONTRACTOR Urinal 16.60 tl� Water closet 16.60 Business Name: �w�;e r -- ` - Water heater 16.60 Address: other: ap City/State/Zip: _ other: Phone: Fax: S CCB Lic. #: Plumb. Lie.#: Minimum Permit Fee$72.50 S Authorized ]` Residential Backflow Minimum Fee$36.25 Signature: A' _Date: _ Z °3 "- _ Plan Review(25%of Permit Fee) $ _ Kea,,, L_06 4 r1-7 SIO (;t State Surcharge 8%of Permit Fee S (Please print name) TOTAL PERMIT FEE $ Notice: This permit application expires Ira permit Is not obtained within All new commercial buildings require 2 seta of plans with Isometric or 190 days after It has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Bulking Industry Service Board. 0DOsTermit FormsTimPermitApp.doc 01/03 Plumbing Permit Applicatiou-City of Tigard , Page 2-Supplemental Information Fee Schedule: Residential Fire Suppcession S Stems: 8 u rye Foo" e: opting drain-1'100' 55.00 O to 2,000 _ $115.00 ting drain-each additional 100' 46.40 2,001 to 3 600 _ S160A0 3,601 to 7,200 $220.00 Scher-I st 100' 55.00 7,201 and greater I 5309.00 Sew -each additional 100' 46.40 Water rviceIst 100' 55.00 Medical Gas S 'stems• wat,SA-Vice-each additional ICO' 46.40 Valuation: Peradt Fee: Storm& n Drain-Ist 100' 55.00 $1.00 io i5,56-0.00 Minimum fee$72.50 Storm&Rai in-each additional 100' '5.40 $5,001.00 to$10,000.00 $72.50 for the first$5.t X00 and$1.52 for each : i� ,,i',. additional$100.00 or fraction thereof,to and ttr'e Or Itttu including 510,000.00._ _ Commercial Bacow Prevention Device 46.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backtlo Prevention Device each additional$100.00 or fraction thereof,to minimum .emit fie 6.25 27.55 and including$25,000.00. Rain Drain.,mgle famil welling 65.25 $25,001.00 to$50,000.00 $379.50 for the first 525,000.00 and$1.45 for Inspection of existing plum ' g or each additional SI00.00 or fraction thereof,to and including$50,000.00. specially requested ins coon r f 72.50 $50,001.00 and up 5742.00 for the first$50,(100.00 and 31.20 for ublobtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or repl\11'n tures? If "yes",please indicate work perfoFailure to accurately report fixtures could d sewer fees*. ed Comments regarding fixture work: Iltitfum Typist ` ,. ME- Baptish 'Font _ Bath -Tub/Shower -Jacuzzi/Whirl pool - - --- Car Wash -Each Still -Dri'e Thru Cuspidor'Water Aspirator - Dishwasher -Commercial _ -Domestic Drinking Fountain Eye Wash - - --- _ Floor Drain/sink 2" Y. 4" _- Car Wash Drain *Note: If the fixture work u r this permit results in an Garbage -Domestic Q. Disposal !'ornmercial increase of sewer EDtJs,a sewer it will be Issued and -Industrial fees assessed for the sewer increase be paid before the CO) Ice Mach./Refrig.Drains - plumbing permit can be Issued. Oil Separator Gas Station Rec,Vehicle Dump Station J Shower -Clang -Stall (; Sink -Bar/Isvalory J Bradley Commercial -Service Swimming Pool Filter -- _ Washer-Clothes Coate-Frtractor Water Closet-Toilet Urinal _ Other Fixtures: is\Dsts\Permit Forms\PlmPermitAppPg2.doe 01103 Mechanical-Permit Application Date received: Permit Cite of Tigard ProjecUappl.no.: Expire date: CitynjTignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: —_ _ Pay,-tent type: Land use approval: _ Building permit no.: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Add it ion/altemlion/replacement U Other: lob address: (2192 So Oa'sllr l :// Py. 1114 m?97 2 Indicate equipment quantities in boxes below.Indicate 1he dollar Bldg.no.: Suite no.: 4 value of all m hanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot--�Bla k: Subdivision: "See checklist for important application information and Project name jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 113 Uinta[all MINIMUM all&,IN Re De°,(riptiyt{t and of work oy prcmis s: AT ) ' Fee( Total Est.date of completion spection: DeKfipdM Qt • Res.onl Res.onl IIIVAC: FT Tenant improvement or change of use: Air h:mdling unit CFM Is existing space heated or conditioned?U Yes U No - tr a.in itloning(site plan require Is existing space insulated?U Yes U No A tei-ation o existing HA—system I go 1100 URI 1111110��� of er compressors State boiler permit no.: Business name: (,( � P /1 _ _ HP Toner—BTU/I­1 Address: Fir smo aamper duct smoke detectors City: State: 'LIP: eat ppump(sue an required) Phone: Fax: E-mail: Inmaillreplace urnac urner_—_ Including ductwotk/vent liner U Yes U No CCB no. Instal Ureplacclirelocate heaters-suspen e , City/metro lic.no.: wall,or floor mounted Name(please print): Vent for apEliance other than furnace +!- Refrigeration: Absorption units BTU/H Name: Chillers HP Com ressors HP Address: nv ronn enter exhaust aventilation: City.. State: ZIP: Appliancevent Phone: Fax: E-mail: Dryerex gust Iloods,Type res. itc en/hazmat hood fire suppression system Name: K001" L 11q r,a t r°t rj Exhaust fan with single duct(bath fans) Mailing address: 122 ri t- A4ev a7•,0t+ f+/2 !fir Exhaust system apart from FiHt KE C IL Stat- e:A� ZIP:t;l !Fuelpiping a° up to outlets) City: i r Type: LPr3 NO Oil F' Phone: sfv-.3 J 8 2 Fax 3.52,-5�6 E-mail: k to (4)Ix Cz,co". tiei in each atTdilo aTover outlets eT— N Piping(s,,ematic required) _ Number of outlet, J Name: ed appliance or equipmene a Address: Decorative fi lace W City: State: ZIP: nsert-type Phone: Fax: E-mail: stovelpellet stove J Applicant's signature: er: Name(print): k�+y�.� L• Ultaz�{Sion _ Miniit feeee................ Not all jurisdictions accept cmtii cards,please call jurisdiction fa 1 -ttice:This permit application Minimore information. MIt fee ................$ _ � U Visa U MasterCard expires if a permit is not obtained Credit card nomher' -- Ex s within 190 days after it has been Plan review(at � 96) $ � State surcharge(896) $ accepted as eom let^,. Name,of carAtolder n shown on credit cod f P comp let,!. .......................$ Crdlaldrr sip attre —Amonol 41DA17(6t0atrIMO MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: _ Description: Prim Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (Es) Amt $5,001.00 to$ ,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Includingducts&vents 14.00 fraction thereof,to and including 2) Fumace 100,000 BTU+ $10,000-00. Including duds&vents 17.40 $10,001.00 to$25, 00.00 $148.5'for the first;10,000.00 and 3) Floor Fumacd $1.54')reach additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater 525010.00. or floor mounted heater 44.00 $25,001.00 to$50,000. 0 $37f,50 for the first$25,000.00 and 5) Vent not included In appliance permit $1.,13 for each additional$100.00 or 6.80 frac Jun thereof,to and including 6) Repair units $59,000.00. 12.15 $50,001.00 and up $ 42.00 for the first$50,000.00 and Check all that apply: Boller Heat Air ' 1.20 for each addil onal$100.00 or For Items 7.11,see CompPump Cond taction thereof. footnotes below. Minimum Permit Fee$72.50 SUBTOTAL: to 100K 7)100K absorb unit BTU 14.00 8•/. ate Surcharge $ 8)3-15 HP;absorb 25.60 unit 100k to 500k BTU 25•/.Plat,Review Fee f subtotal) $ 9)15-30 HP;absorb Re uired for A_L_I commercl" Its only unit.5-f mil BTU _ 35.00 10)30-50 HP;absorb TOTAL COMMF•'RCIAL PERM FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb - - unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIAN 12)Air handling unit to 10,000 CFM 10.00 Value Total 13)Air handling unit 10,000 CFM+_ Desai tion: __ Qt (Ea mount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 BTl1 including 1,170 15)Vent fan connected to a single dud ducts&vents _ 6.80 Floor furnace Including vent 955 16)Ventilation system not Induded In Suspended healer,wall heater or 955 appliance permit 10.00 _ floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in appliance 445 10.00 permit 18 mesbc incinerators Repair units <3 hp;absorb.unit_ 805 17.40 955 to 100k BTU (_� 19)Com ictal o.Industrial type Incinerator _ 89.95 3-15 hp;absorb.unit, 1,70020)Other units, ducting wood stoves 101k to 500k BTU _ 10,00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one t ur outlets mit.BTU ___ 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet( ) 1-1.75 mil.BTU 1.00 d >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 BTOTAL: $ p: >1.75 mll.BTU _ Afr handling unit l0 10,000 dm 656 CO) Air handlingunit>10,000 cfm 1,170 8X State Surc s Non-portable eva orate cooler - 658 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not included in 656 ID appliance permit Other Inspections ani f!g!: Hood served by mechanical exhaust 856 1 Inspectlons outside.rf normal businasu hcurs(minimum charge-two hours) J Domestic incinerator 1,170 $62.50 per hour. Commercial or industrial Incinerator 4,590 7 Inspections for which no fee Is soedficelly Indicated (minimum charge-half hour) Other unit,including wood stoves, 656 $62.50 per lour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum Gas piping 1.4 outlets 360 charge-one-half hour)$67.50 per hour Each additional outlet ,4 63 "state Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL ; "Residential AIC requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 nets of plans. I:ldstsVorms4nech-fees.doc 02111/02 01111 Electrical Permit Application Date received: Pennit no.:/)6 O 0 City of 'Tigard Project/appl.no.: Expire date: City(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no. Phone: (503) 639-4171 — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ❑ I &2 family dwelling or accessory ❑CominerciaUindustrial ❑Multi-family ❑Tenant improvement ❑New construction ❑Addition/itlteration/replarement ❑Other. _ ❑Partial P , Job address: 0191 Scv Of er"% t/ i t a rd co no.: Suite no.: Tax mepJtax lot/account no.: Lot: I Block: Subdivision: Project name: Description and Iocrtion of work on premises: Estimated date of core letion/ins tion: Job no: Fee 11La Business name: (,7(r 'J es Total me.insp Address: f�ewresides�tlal-.Ytg{e°r pr dm IIYrg ttdf.Iru•Mriaa albclasd garage. City: State: I ZIP: Service, .*stint. Phone: __=Fax: I E-mail: I COO sq.ft.or less 4 Fach additional 500 sq.ft.or portion thereof CCB no.: Elec.bus.tic.no: _ Limited energy,residential 2 City/metro lic.no.: I.imitedenergy,non-residential 2 Bach manufactured home or modular dwelling Signature of supervising electrician(required) Dpte Service and/or feeder 2 Sup.elect.name(print): License no: Services or feeden—installation, alteration or relocation, 200 am or less 2 Name(print): k CV ryi ( Olt a n er J to i'I 201 amps to 400 2 401 amps to 600 2 Mailing address: I nr,z 5a moo-m i� // r . 601 am s to 1000 2 City: / 4 rd tate: --]YF �2.2�j Over loco amps or volts 2 Phone: 3 I(b Aj0, /� t. Reconnect only I Owner installation:The installation is being made on property I own Tempinsryservle orfeeden- which is not intended for sale,lease,rent,or exchange according to hntallatlon,alteration,orrelocatloo: ORS 447,455,479,670,701. t 200 amps or less _ 2 201 amps to 400 amps 2 Owner's signature: -��., L— Date 73 °� 401 to 600 amps 2 Branch circuits-or v,alteration, or extension per panel: Name: A. Fa,k or branch circuits with pumhaxe of Address: service or feeder fee,each branch circuit 2 City: Slate: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 i1L Phone: Fax: E-mail: Each additional branch circuit: 1— Mise.(Service or feeder not Included): ❑Service over 225 amps-commercial ❑Health-care facility Each pump or irrigation circle 2 ❑Service over 320 amps-rating of 1&2 ❑Hazardous location Each sign or outline lighting 2 familydwellings ❑Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. ❑System over600 volts nominal more residential units in one structure alteration,or extension' 2 m Ll Building over three stories ❑Feeders,400 amps or more "Description: ❑Occupant load over 99 persons O Manufactured structures or RV perk Each additional Itss(tectlan over tine tsllewaMe In ray d the show. CJ Egress/lightingplan Other: —�_ — Perins on Submit_sets of plana with any of the above. Investigation rex The above are not appikable to temporary comr1ruc.11m tttertk other Nor all Jurisdictions accept credit cards,pleae call Jurisdiction for more information. Notice:This permit application Permit fee.....................$ ❑Visa ❑MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit cad number: _— / L_ within 180 days after it has been State surcharge(8%)....$ F?xpires accepted as complete. TOTAL .......... Name of carAroldrr u storm an credit cad .............$ _ _S Cardholdet signature Amount 41aI°I5(11MC'OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Be/OW: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Rest-Icted EnrFee...................................................... $75.00 Number of InspoctioneEMpormlit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.R.or less $145.15 4 ❑ Audio and Stereo Systems' Each additional 500 sq.ft.or porton $33.40 1 ❑ Burglar Alarm Linked Energy $75.00 _ Each Marwrd or Modular ❑ Garage Door Opener' Dwallinp Se or Feeder _ $90.90 2 Services or F ❑ Heating,Ventilation and Air Conditioning System' Installation,alas ,or relocation 200 amps orbs $80.30_ 2 El amps to 400 ps $106.85 _ 2 Vacuum Systema' 401 amps to 600a ps $160.60 2 ❑ 601 amps to 1000 ps - $240.60 2 Other Over 1000 amps or Its 5454.65 2 Reconnect only $66.65 2 Temporary Services or era TYPE OF WORK INVOLVED-COMMERCIAL ONLY Installation,afteration,or re tion Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amp"to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,sheratkm or extension per panel Biller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit 85 Each additional branch circuit $8. ❑ HVAC Miscellaneous ❑ instrumentation (Service or feeder not Included) Each pump or hrigation circle $53.40 Each sign or outline Iightirng — $53.40 ❑ intercom and Paging Systems Signal circuti(s)or a limited energy psnel,atieretion or extension $75.00 ❑ Landscape Irrigation Control' Minor labels(10) _ $125.00 Medical Each additional Inspection over ❑ the allowable In any of the above Per inspection _ $62.50_ ❑ Nurse Calls Per hour $82.50 In Plant $73.75 ❑ Outdoor Landscape Lighting' p, Fees: Protective Signaling Enter total of above feet $ ❑ leer CO) } 8%Sate surcharge $ Number of Systems 5 25%Plan Review Fee m See'Plan RwAW section on $ No Ik*nsea aro req Licenses are required for all other Installations front of eppllCafion. -- � Fees: Total Balance Due $ Enter total of above fess 5 ❑ Trust Account N -- 8%State Surcharge 5_All New Commercial Buildings require 2 sets of plans. Total Balance Due f i:Wsts\forrns\elc-rees.doc 08/30101 RI CEWEp Permit#: HOZ I� cl MAY 2 3 1003 Ad gU1tQING rtGARD QI�ISION I sued by: Date: 7 Q _ Statement: Information Notice to Property Owners About Construction Responsibilities , Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt.from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 313: --(� 1. 1 own, reside in, or will reside in the completed structure. 2. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. (� 3A. My general contractor is U (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR © 3B. 1 will be my own general contractor. a If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors oc �- Board. If I change my mind and hire a general contractor, I will contract with a contractor who is U) } registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. oa W 1 hereby certify that.the above information is correct and that I have read and do understand the Information J Notice to Property Owners abolAConstruction Responsibilities on the reverse side of this form. 0 -7 (Signature of permit applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) Information Notice to Property Owners About Construction Responsibilities ���►�: Thi,e hrfi»•mutiurl h'o►ic e�to/'ru�erty(h+nery shout Co�►.clr►cctiou Respvnsibllitie�.c tea developecl by the Construction Cantrnrlorr Board in accordance with 0&,y 701.055(?). If you are acting as. otir own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent man problems by being aware of the following responsibilities,and,arcas ofconcern. EMPLOYER RESPONSIBILITIES: rf If you hire persons nut re awed V.nth the Construction Contractors Board to do labor in constructing or assisting in the construction or improvemen fa residential structure,you will.inmost instances,be ruled to be an employer and the people you hire will be employees, A he employer,you must comply with the following: Oregon's withholding tax law: A an employer.you ntustwithhold income taxes from employee wages at thetimc employees are paid. You will be liable for the payments even if you don't actually withhold the tax from your employees. For more information,call the Orego,a Dept.o evenue at 945-8091. Unemployment insurance tax: As ane lover,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more informs it.call the Oregon Employment Department at 378-3524. Workers'compensation insurance: As an em. oyer,you.are subject to the Oregon Workers'Compensation haw,and must obtain workers'compensation insurance for your loyees. Ifyou fail to obtain workers'compensation insurance,you may be subject to penalties and will be liable t(,lrall claim(; is tfuueof;•our employees is injured on the job. For snore information, call the Workers'Compensation Pivision at the Depart ent of Com;umer and Business Services at 945-7998. 1 I.S.Internal Revenue Service: As an employer,you must 1 thhold federal income tax from employees'wages. You will be liable for the tax payment even if you didn't actually withhold Ih ax. For more information,call the Internal Reventit Service at 1-800-82()-1040. OTHER RESPONSIBILITIES AND A AS OF CONCERN: Codecompliance: Asthe permit holder for this project.you are responsible fo solving any failuretomeetcode requirements that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if have:adequate insurance coverage for I- accidents and omissions such as falling tools,paint overspray,water damage.from pip xmctures,fire,or work that must be OC re-done, Time to supervise employees: Make sure you have sufficient time to supet-%•ise youremploy s. _J m Expertise: Make sure you ha%c the expert i sc to act as your own general contractor.to coord inate the kofrough-inandfinish Jtrades,and to notify building officials at the appropriate times so they tan perform the required inspd n§. If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem, 7309-5052. 503/378-4621). The Board is located at 700 Summer St.NE Suite 300, in Saleft prop-o%k n.pm4 1/94 PROJECT INFORMATION: 70.00' APPLICANT'S NAME: KEVIN AND JOANNE OHANESIAN BUILDING HEIGHT: 18' GAR. FLR. TO TOP OF ROOF *- - - - ` I PHONE NUMBER: (503) 251-9456 OCCUPANCY: R5 CONSTRUCTION TYPE: VN I I LEGAL DESCRIPTION: EXISTING BUILDING ARCA: 1585 SF Ip II 1 I PARCEL NO. ?Stoat" -11100 NEW BUILDING AREA: 513 SF cQ I 1 I 1 PROPERTY GENERAL NOTES: BOUNDARY 1. VERU'Y ALL DIMENSIONS PRIOR TO START OF CON°TRUCI'ION. NOTIFY ENGINEER W EXISTING CONDTIONS DO NOT MATCH THESE DRAWINGS. I 2. CODES AND STANDARDS: I 1 I 2003 OREGON DWELLING SPECIALTY CODE FOR ONE AND TWO FAMILY DWELLINGS STATI = 1 I ACI 318 95 STRU'I'URAL OF OREGON 1998 CTONCRETE CODE UMRAL SPECIALTY CODE ,.EXISTING I NEW 97 NDS FOR WOOD CONSTRUCTION HOUSE I ADDITION 3. LOADS: WIND: 80 MPH EXP. B SEISMIC: ZONE 3 SNOW: Pt - 25PSF FLOOR LIVE LOADS: 40 PSF I 1 I 4 SlISETRUSED FOR SO A FOOTINGS SHAM BEAR ONUNDISTURBED MATERIAL OR COMPACTED STRUCTURAL FILL. Y — PRIVATE 15' \ I 1 II RIDE STORM 5. CONCRETE: 28 DAY COMPRESSIVE STRENGTH 1'c - 2500 PSI. / REINFORCEMENT: AND LARGER. ND A815 GRADE 40 FOR /4 BARS ASMALLER, GRADE 80 FOR N 5 EASEMENT AA ENT SLUMP: 4 INCHES. IR ENTRAIN 4 TO 6% BY VOLUME. UNLESS OTHERWISE SHOWN, LAP ALL REINFORCING BARS 24 DIAMETERS, OR A MD"UM OF 16 INCHES. I I 6. LUMBER SPECIES: (UNLESS SPECIFIED OTHERWISE) I I I 1 I POSTS, BEAMS, HEADERS. JOISTS: NO. 2 OR BETTER D.F. I SILLS, PLATES, BLOCKING: NO. 3 OR BETTER D.F. I 29X DECKING: DGRADE D.F.UTILiTY GRADE D.F. OR CEDAR RECEIVED GLULAM BEAMS: GRADE AS NOTED ON PLANS 7. INSULATION: TRUSSED ROOF: R-36 MAY 23 200 ~ I I I VAULTED ROOF: R-30 CITY OF TIGARD I i EXTERIOR WALLS: R-21 4,ts FORCED AIR DUCTS R-8 p I ~-` ` I I I FLOOR: R-19 9UII-DING DIVISION Kxm.I I I DRIVEWAY 0) 1 I 8. WINDOWS.WITHIN 18" OF FLOOR, AND OR WITHIN 24" OF ANY DOOR TO BE TEMPERED �1 I GLAZING. I 9. ALL EXTERIOR WALL OPENINGS AND BEARING WA OPENINGS TO HAVE. MINIMUM 4X8 I, 10.00 HEADERS, UNLESS NOTED OTHERWISE r 5.00 �r 93.78 gtgUCTI1�t 10. REFER TO UBC TABLE 23—I—B-1 FOR NAILING SCHEDULE. i I Eo 8 s o °tN&�� � OHANESIAN RESIDENCE ADDITION - - 12292 SW MORNING HILL DRIVE OFie04N TIGARD, OREGON 97223 SW MORNING HILL DRIVE 4. 0 2031 �`�' SITE PLAN AND GENERAL NOTES ovE�� _ -- ALE:1 16 1'— 0" DRA"`'' ": J. 0UELLETTE jR$" sc �•ri '�i '� \` Ems: 12—�I— -- Joe No. 0 3_0 3A DATE. 5 2`�'. 0 3 oRAWINa Nn C 1 �, ' lar Ci 77, 4n --N > > Ws ry " _.. ` L C3 T ;�t� '-3 Z 7, > CITY OF TIGARD 24-Hour BUILDIN¢ • Inspection Line: (603)'639-41'16 • MST INSPECTION DIVISION Business Line: (603639.4171 U.3•—���/C5 BUP Received .: Date Requested r— AM PM OUP Location a a Suite MEC Contact Person ilrcir` Ph(—) 91-7 -34e-3 PLM — Contractor_ Ph( ) SWR _ BUILDING Tenant/Owner _ ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall �� Q Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: - PA ART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service -- — Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain — - — Shower Pan Other: _ Final PASS PART FAIL - MECHANICAL Post&Beam Rough-In — Gas Line a Smoke Dampers — OC Final ~ PASS PART FAIL ELECTRICAL J Service Rough-In i3 UG/Slab W Low Voltage -j Fire Alarm Final rr-,1 Reins tion fee of$_ required before next ins PASS PART FAIL u P� Inspection. Pay et City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE: _ _— Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab — Inspector Iixt Other: Final DO NOT REMOVE this Inspoatlon rsaord from tho job sib. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING 0 Inspection Line: (503)631"176 I� MST INSPECTION DIVISION Business Line: (503)639.4171 SUP _ Received _.Date Requested_ ��"�� _AM PM SUP Location /,,j 2:6 rnAA,"_,e_ .A,�J ��7�p _ MEC Contact Person law±.. . Ph( ) aa_� —'3 PLM Contractor__ Ph( ) SWR BUILDING Tenant/Owner ELC _. Footing ELC Foundation Access: Ftg Drain 2 N �� � ELN Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ` Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Other: Final PASS . PART FAIL — —' 1144MONG Post&Beam Under Slab — Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain :shower Pan Other: PART FAIL INIMANICAL Post&Beam Rough-in a. Gas Line OC Smoke Dampers F- Final U) &-c RT FAIL • L J Service La Rough-In 0 UG/Slab J Low Voltage Fire Alarm A PART FAIL Reinspection fee of$ required before next inspection. Pay at CNy Hell, 13125 SW Hail Blvd. SITE i Please call for reinspection RE:------- � Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk —• � a - _—tbtt Other: Final DO NOT REMOVE thle loopsodon f roM OW job lilt. PASS PART ":AIL CITY OF TIGARD 24-Hour BUILDING • Inspection )638-4175 MST -3 INSPECTION DIVISION Business L 3)638.4171 BUP Received Date Requested = 3'd —AMPM OUP Location l a aq ( ..ADD4A Suite MSEC Contact Person Ph(—) -7 RGPLM Contractor_ Ph( ) SWR . BUILDING Tenant/Owner ELC Footing Foundation ELC Fig Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation ' ^7 ., c"7► Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof F Other: PASS T __FAIL ` P _ `'C —. 1A Post Beam �� C3 j Underr Slab Water Service -- Sanitary Sewer Rain Drains LY I Catch Basin/Manhole Storm Drain - Shower Pan ina�r- l .. — PASS PAT AIL —' Post&Beam Rough-In Gas Line � • � � `� �, Smoke Dampers H MAS PART FAIL TRICAL Service Rough-In _ W UG/Slab J Low Voltage Fire Alarm Final F] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE Please call for reinspe^!Ion RF:_ Unable to Ir pert--no access Fire Supply Line ADA _3'6 aVZ� te. Approach/Sidewalk QaW Other:_ _ Final DO NOT REMOVE this InspoWen rseord from dw I"•Its. PASS PART FAIL