14315 SW MCFARLAND BLVD-1 OAls ONdlbdADW MS 9 KV
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14315 SW MCFARLAMD BLVD
CITY OF TIGiARD 24-Hour
BUILrING 0 Inspection Line: (503)639-4175 MST
INSPECTIOI I DIVISION Business Lin - (503)639-4171
BUP _
Received Date Requesters AM —PM BUP _
Location _____ � X1,1 <- _ ' -Suite .-6--W Suite � -� �, MEC
Contact Peraon . _ Ph(_—) : V — 732- PLM
Contractor_ —_ Ph(--) SWR
BUILDING_ _ Tenant/Owner ELC
Footing FLC
Foundation Access:
Fig Drain ELR V.
Crawl Drain
Slab Inspection Notes: SIT
Post&Deam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation Qly� ��
Drywall Nailing -- `'�1 1 �1
Firewall 1� L, ^t �y•�
Fire Sprinkler4 _ _�
Fire Alarm
Suspd Ceiling -� ' ' '�+� —�'``�'�" � — •-111
Roof
Ocher: 4 — --
FinalPASS PART PART FAIL -
PLUMBING _
Post&Beam _ — -
Under Slab
Rough-In
Water Service _
SanitaryDr Sewer
R � (?L 1_� n� UJr'(��1�1
Rain Drains
Catch Basin/Manhole
Storm Drain -- — -
Shower Pan
Other: -
Final
PASS PART FAIL _ -
MECHANICAL
Post 8 Beam
Rough-In
Gas Line
a -Smoke Dampers --
Ir Final
U) PASS PART FAIL -- —
ELECTRICAL
J Service
mRu
yn
JLow Voltage
Fire Alarm
Finn[ Reirspection fee of$ , required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
FASS PART FAIL
SITE L Please call for reinspection RE: _ Unable to inspect-no access
Fire Supply Line
ADA _
Approach/Sidewalk date Inspectoo
rs EXt
Oliver: i
Final DO NOT REMOVE this Inspection (record frollllQ the fob site.
PASS PA! FAIL
CITY OF TIC�ARD MASTER PERMIT'
PERMIT M FAS12002.00304
DEVELOPMENT SERVICES DATE ISSUED: 7/16/02
2i, 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 14315 SW MCFARLAND BLVD PARCEL.: 2S110BA-04401
SUBDIVISION: SHADOW HILLS ZONINC-',: R-2
BLOCK: LOT:021 JURISDICTION: TIG
REMARKS: Interior alteration to k,tchen and dining room.
BUILDING _
REISSUE: STORIES: _ FLOOR AREAS _ REQUIRED SETBACKS _ REQUIRED
CLASS OF WORK: L'1`" HEIGHT: FIRST: of BASEMENT: of LEFT: SL,OKE DETECTORS:
TYPE OF USE: FLOOR LOAD: SECOND: of GARAGE: of FRONT: PARKING SPACES:
TYPE OF CONST: DWELLING UNITS: FINBSMENT: of RIGHT:
VALUE: $0,000 00
OCCUPANCY GRP: BDRM: RATH: TOTAL: 000 of REAR:
PLUMBING
SINKS. I WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS- RAIN ORARI: TRAPS:
LAVATORIES: DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS: GARBAGE.DISP: WATER HEATERS: WATER LINES: OCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES TYPES_ FURN<100K: BOIUCMP<3HP: VENT FANS: CLOTHES DRYER:
FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS.
ELECTRICAL
_RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVC_IFEEDERS RRAP.'CH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTION'
1000 SF OR LESS: 0 200■m: 0 - 100 amp: WISE C ON FOR: PUMpIIRRIGATK)N: PER INSPECTION:
EA ADD'L 300SF: 201 400 amp: 101 - 400 amp: 1%t WIO SVC/FDR: SIGNIOUT LIN LT: PFR HOUR:
L.;!ITED ENERGY: 101 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIONAUPANEL: IN PLANT:
MANU HMIS'I 'pDR: 60' - 1000 amp: 601.ampa-1000y: MINOR LABEL:
1000+amotvOK
PIAN REVIEW SECTION
Reconnect only: "—
>.4 RES UNITS: SVCIFDR>•227 A. >600 V NOMINAL: CLS AREAfSPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A. IF RESIDENTIAL _ B.COMMERCIAL
AUDIO 6 STEREC: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALAkM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALL1; TOTAL 0 SYSTEMS-
Owner: Contractor: TOTAL FEES: $ 379.37
This permit is subject to the regulations contained In the
GABLER,DAVIT M JEFF HIGDON CONSTR Tigard Municipal Code,State of OR. Specialty Codes and
KADIE-GABLER,MARY KATHLEEN PO BOX 309 all other applicable laws. All work will be done In
14315 MCFARLAND FOREST GROVE,OR 97118 accordance with approved plans. This permit will expire if
TIGARD,OR 97224 work is not started within 180 days of Issuance,or if the
IL work Is suspended for more than 180 days. ATTENTION:
(� Phone: Phone: Oregon law requires you to follow rules adopted by the
H Oregon Utility Notification Center. Those rules are set
N Reg 6: LIC 93-478 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
J OUNC by calling(50?)248-1987.
REQUIRED INSPECTIONS
Plumb Top Out Rain d•ain Insp
J Electrical Service Elr;ctrical Final
Electrical Rough In P umb Final
Framing Insp Final Inspection
Insul
Iss ed By . v C. — Permittee Signature
l
--
day
Call (503 639-4175 by 7:00 p.m.for an Inspection needed b s
' Building Permit Application
of TDate received• . -;W:0 Permit no.:/ 7,1_"
CityTigard g .p6
•
Address: 13125 SW Hall Blvd,Tiga.-_OR 97 Projecl/oppl.no.: — Expire date:
City of I'ignrrl L� Date issued: B Receipt no.:
Phone: (503) 639-4171 /( � _ Y���—p
Fax: (503) 598-1960 Case file no: Payment type:
Land use approval: _ I&2 family:Simple Complex:
I & 2 family dwelling or accessory U Commercial/industrial U Multi Gamily U New construction U Demolition
Addition/alteration/rcplaccntcnt LI Tenant improvement U Darr sprinkler/alarm U Other:
JOB SITE INFORMATION
_
.lob address: � /� .5 I✓ 2t Ar .t � ,p. el,e 4�•1 Bldg.no.: Suite no.: '
Lot: Block:---------]Subdivision: T'ax map/tax IoUaccount no.:
Project name:
Description and location of work on premise special co ditions: ( />1/�<"i>!is°:. c ��l�w i0101/1u 0410 + _
i
Name. •r+L'le all, enc.
Mailing address: a 'r'/� Ae' !14,, , 1 &2 family dwelling: (o
City: !t. Stale 71P: pr Valuation of'work........................................ $
Phone: Fax: L' mail: No.of hcdro(,me/!:aihs.................................
Owner's represcnUttive: Total number of floors.................................
Phonc: IFax. E-niail: New dwelling area(sq.ft.) ..........................APPLIC _
Garage/cartxm area(sq.ft.).........................
l/rr�i ,✓ Covered porch area(sq. ft.) .........................
Mailing address: Deck area(sq. ft.) ........................................
--- -
C1\ Other structure area(s ft.)
City: State: ZIP: .........................
Phone: Fax: E-mail: ('ommercial/industriallmulti-frmily:
_N1 ........................................Valuation of work $
l -
I� Existing bldg.area(sq.ft.) ..........................
_!3usinessname: —
I Address: 1 l ' ........................................
.
New bldg.arca(s �...................................
'C' '/" Number of stories
City: rYd -" State(:V I ZIP:
Phone:�.i.? ?� . ' Fax ; r�- 7 7,'� E-mail:/„- Type of construction.................................... `
��'�� 'P)ccupancy group(s): Existing:
CCB no.: ►�1 - Ne :
City/metro lic.no.: ' (� Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Name: J;,. provi-cions of ORS 701 and may be required to be licensed in the
Address: - ju isdiction where work is being performed.If the applicant is
d -- -- , exempt from licensing,the following reason applies: r
i
City: State: ZIP:
('onlact Ir_rson: Plan no.: _—� ----�-
-mail:
Name:
-
J
Name: S lai,✓ _ Contact person: _ Fees due upon application .............. ............ $_
(� Address: _ Date received:
J City: State: ZIP: Amount received ......................................... $
Phone: hax: I E-m":;: Please refer to fee schedule.
hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards.please call jurisdiction for more information
attached checklist. All provisions of laws and ordinances governing this U visa O MasterCard
work will he complied with,whe �aea'eIn or not. / Credit card number
�}� r
\Authorized signattrr'c: >/!� ` Date: < • Name of cardholder as shown on credit cud
– �Print name: y �� ft J Elk fV - - $
Cardholder aiartature Amount
Notice:This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. 4140a613(t;WICOM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
City nfTigard C>It of Ti Associated permits:
Y gAlld U Electrical U Plumbing U Mechanical
Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther:
Phone: (5U3) 639-4171 —
Fax: (503) 598-1960
THE
Ot FOR PLAN 'No NIA Yes
I Land use actions completed.See jurisdiction criteria for concurrent reviews.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc.
3 Verification of approved plat/lot.
4 Hire district approval required.
5 Septic system permit or authorization for remodel.Existing system capacity ^
6 Sewer permit. _
7 Water district approval. _
8 Soils report.Must carry original applicable stamp and signature on file or with application. _
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc.
10 _L Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state
huilding codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed
if copyright violations exist.
I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property corner elevations(if
dere is more than a 4-ft.elevation differential.plan must show contour liens at 2-11 intervals);location of easements and
driveway;footprint of structure(including decks):location of wells/septic systems;utility locations;direction indicator,lot
area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage.
12 foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
size and location,
13 floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace, ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More than one cross section may he required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,etc.
15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for
non-prescriptive path analysis provide specifications and calculations to engineering standards. _
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide cross sections and details showing placement of mbar.For engineered
systems,see item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
n ver 10 feet long and/or any beam/joist carrying a non-uniform load. _
X 20 IManufactured floor/roof truss design details.
21Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required
>_ for four or more appliances.
f'- 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be applicable to the project under review.
_m ��Ll 11 IN 1111011 IM U KA I
0
W 23 Five(5)site plans are required for Item I 1 above. Site plans must be 8-1/2"x I I"or 11"x 17".
24 Two(2)sets each are required for items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees docutne,it.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Strecc Tre=List
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may he in blue or black ink.
Red ink is reserved for department use only. 440-4614(6"'oM)
V V r
Electrical Permit Application
Due re xived: Permit no.:
City of Tigard Project/appl.no.: Expim date:
City0J•7180rd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateiasucd: ByReceipt no..
Phone: (503)639-4171
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval' _
x£kl &2 family dwelling or accessory U Commercial/industrial 0 Multi-fatnily U Tenant improvement
Cl New construction 0 Additiort/alteralion/replacement 0 Other: . U Partial
Job address 1 it 1 r, qMr Far Bldg.no.: Suite no.: IT&x map/tax lot/account no.:
Lot: Block; Subdivision:
Project name: Description and location of work on premises: K i t r h r�n r e mn d P 1
Estimated date of com lesion/inspection:
Job no: Gab Ler __ Fir Mas
Business name: 1 LLEY CONSTR. CO. MIKE'S CLEC Dewfl lon Qly. (a) Total .1 Ins
New rmidentla).single or mold-faadty per
Address: � � en vd. dweltinCnnit.rnclutksartaolydgarage.
City: Beaverton State: OR I IP:97005 Serviceiniuded:
503 Phone: 649.6991 Fax: 641.190 E-mail: 0 1m10 sq ft.or IUs 4
CCB no.: 0502094-1%'0-' Glec.bus.lic.no: 34-18C ( Fact additional Sml fa.or portion thereof
I.irrtited energy,residential 2
City/metrolic no.: 3623 IJmiledenergy,non-residential 2
-y __ 61 1 9 0 2Each mam� m
factured home or ndular dwelling
:true o rvhin ciao r uired Dale Service and/or feeder 2
Sup.elect new(print): -ou las J Miller li«nseno: 42305 Servimerfeeders-fsstalhalion,
alt—Hurt or relocatior:
200 amps or less 2
Name(print): Kath & Pave Gabler 201 amps to 400 amps i -i 2
Mailing address: 1,4315 S W Mc Va r 1 a n d 401 amps to 600 amps 2'01 amps to 1000 amps - 2
City: T 1 a n d I Stare: O RIM: 9 7 12 4-__ Ov r loml amp:or volts — 2
;OPhone: rE-mail: Foonnectonly I; x
Owner installation:The installafion is being made on property I own ''empor a y,wrvlcrn or feeder.-
which is not intended for sale,lease,mnt,ar exchange according to b"Ist0sthim akerafion,ofreloeulion:
ORS 447,455,479,670,701. 200 amps or less - 2
201 amps w 400 amps J`g 2
OwneJ'a ai te: Date: 101 to boo amps - —2
Innen chralh-new,alteration,
or extensfoe per panel:
Name: A Fa for bench circuits with purchase of
Address: service or feoticr fm each branch circuit 2
City: state: ZIP; B. Foe for branch circuits without purchase
of service or feeder fee,first branch circuit: 7
Mae: - Fax: E mail: Each additional branch circuit: -- -- 1 --
a
Misc.(,Service or feeder sol Included):
It N O 3ervioe mu 225 anpa cormoereid O Nedth4sraWlity Fach pump or irrigation circle _ 2
❑Service over 320 amps-ruing of 1&2 0 Hamrd6uslocation Each sign or outline lighting 2
familydwellings CI Budding over 10,000 square feel four or Signal circuit(s)or a limited energy panel,
U System over 600 volts nominal more residential units in one slructurr alteration,orextensions 2
J 0 Building over truce stories U Feeder,400 amps or mare •Descridon --to O Cvxupant load over 99 persons O Manufactured sirurturn or RV park Fjch addiNosal laupecilm over the allowable In any of the above!
F3 O F.gress/lightingplan U otter_ Perinspection
W %belt ___sets of plass with any rsf the above. Investigation fee 1
The above are not applicable to ler•porx"coostimclioe ser0ce. Other -- -
see;,earth,plus call jwlsdictioo for mere Wnru"naiion Nc tis:This permitapplication Permit fee.....................$ •
expires if a permit is not obtained Plan review(at %) S
within ISO days afler it has been State surcharge(8%)....$
ac epled as complete TOTAL .......................$
�roor� 41pJa1.1(&90"M)
�itar_na.��
-� A.+•-.. ..u..uu•�.rd� v1l.J UI IIKill it IOI IIUJ
86ciridai Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: __TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
_ Restricted Energy Fee...................................................... $75.00
Number of Inspections
- r permit allowed (FOR ALL SYSTEMS)
Service Included- Items Cost Total Check T
Residential-per unit Type of Work Involved
1000 sq.ft.or less _ $145 15 1 ❑ Audio and Stereo Systems
Each additional 600 sq 8 or
portion thereor $33,40 1
Limited Energy $75.00 ❑ Burglar Alarm
Each rtanurd Home or Modular
Dwoft4W Service or Feeder $9090 2 Garage Door Opener'
Services or Feeders
Installation,alteration.or rslocalbn ❑ Healing,Ventilatlon and Air Conditioning Syslem'
200 amps or less $8030 2
201 amps to 400 amps _ $106.85 _ 2 ❑ Vacuum Systems'
401 amps to 600 amps _ $16060 2
601 amps to 1000 amps $24060 _ 2 ❑ Other
Over 1000 amps or volts _ —� $454.65 2 ---
Reconnect only $68 65 _ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED-COMMERCIAL ONLY
installation,allocation,or relocation Fee for each system............................................... .......... $75.00
200 amps or less _ $66.85 2 (SEE OAR 918-260-260)
201 amps lo 400 amps _ $100.30 -- 2
401 amps to 600 amps $133 7.5
2 Check Type of Work Involved
Over 600 amps to 1000 vrlls,
see"b"above. L_� Audio and Stereo Systems
Branch Circuits _
New,afteration or extensknn per panel -� Boller Controls
s)The fee for Iomnch circuits
wfth purchase of service or ❑ Clock Systems
leaden/M.
Each branch branch
circuli$ $6.65_ 2
b)The foo for branch F-] Data Telecommunication Installation—
without purchase of servfce r--�
or feedor fee. L Fire Alarm Installation
First bunch circuit 46.85
Each addilfonal branch circus _, _ �l3( J HVAf:
Miscellaneous f�7 Instnrmenlatlon
(Service or feeder not included) L-..-i
Each pump at M►IgaMon circle $53.40
Each sign or oulli ns fighting _ $53.40— �� intercom and Paging Systems
Signal ckouft(s)or a limited energy
panel,aftfation or extension $76.00 C, Landscape Irrigation Control'
Minor Labels(10) $125.00
Each additional Inspection over ❑ Medical
the allowable In arty of the above
Per Inspection $62.50 [-] Nurse Calls;
Per hour $62.50
In Plant _ w $71.75 LJ Outdoor Landscape Lighting'
Fees: [�] Protective Signaling
Enter total of above"a $ r 1
— l_ Other
6%State Surcharge $
_Number of Systems
25%Porn Review Fee
See'Mari Review"section on $ " No licenses are requlmd. Licenses are required for all other Inslelletions
front of applkatlon. _
Fees: —rots/Balance Balance Due 5
Enter total of above feos $ -
❑ Treat Account N 8%State Surcharge $—
Total Balance Due =_
(, ':,4
tgl,nPP
7-7
[:ldsts\fbnnsklc-fccs.dnc 10/09/00
�• as.,�.,,1.ti;t..
Plumbing Permit Application
Date received: Permit no.:
City of Tigard g Sewerpermit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 - --
City of Tigard pitons: (503) 639-4171 i'rojecUappl.no.: Expire date: `
Fax: (503) 598-1960 Date issued: Hy: Receipt no.:
Land use approval: Case rile no.: Payment type:
U i &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Food service U Other:
Job address: 14/171,e A, _— De.wriPNon QtY. Fee ea. Total
Bldg.no.: Suite no.: New 1-and 2-family dwellings only:
Tax map/tax lot/account no.: (includes 100fl.foreachut8hyconnection)
SFR(1)bath
Int: Block: —(Subdivision: _ SFR(2)bath _ -
Project name: SFR(3)bath ii
City/county: —� ZIP: C Each additional
baU>/kitchcn
Descri tion and roc tion of w rk o premises: Slteutilhlea:
iy�r�,,, Catch hasin/arca drain _
Est.date of completion/inspection: Drynelts/leach line/trench drain
mmonoWl Footing drain(no lin.It.)
Manufactured home utilities
Business name: 0,-, " l0 N Manholes
Address: �� N ` _ e4 A-/ � � —��~ Rain drain connector
a City: State: ZIP: 7/ — Sanitary sewer(no.lin.ft.)
tip Phone: /( Fax: q3 14 E-mail: Storm sewer(no.lin.ft.)
CCB no.: �j (7 5 C1 Plumb.bus.reg. no: Water service(no.lin.ft.)
City/metro lic.no. Q ,�I pat Fixture or kern:
Contractor's representative signature: any,, Absorption valve
Back flow preventcr
Print name: t .r Ale __7 Date: Backwater valve
Basins/lavatory
Name: Clothes washer
Address: Dishwasher
Drinking fountain(s)
City: State: ZIP: Ejectors/sump
Phone: Fax: E-mail: 1 Expansion tank _
Fixture/sewer cap
Name(print): floor drains/floor sinks/hub
Mailing address: Garbage disposal`
Hose bibb
City: State: ZIP: Ice maker _
0. Phone: Fax: I E-mail: Interceptor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s)
Cl) will be made by me or the maintenance and repair made by my rc�,ular Roof drain(commercial)
>_ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)
H Owner's signature: Date: Sump
't Tubs/shower/shower pan
CD Urinal
W Name: _ Water closet
.1 Address: Water heater
City: State: ZIP: Other:
Phone: Fax: I E-mail: Total
Nut all jurisdictions am"credit cars,,plesm call jurirdiction fm mote inftxmminn. Notice:This permit application Minimum fee................$
U Visa ❑MasterCard expires if a permit is not obtained Flan review(at -- %) $
Credit rand number: within 1 BO days after it has been State surcharge(8%)....$
E
pi aTOTAL ..
-- — ccepted as complete. W
Name d etrdttolder b shows on credit cttd
_ S
Ctadholder dsntiure Amomn j 440-461616MBC M)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwellings only:
FIXTURES (individual) QTY (ea)_ AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory 16.60 -`— for each utility connuctio!Q__ _
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 SUBTOTAL
Urinal 16.60 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbage Disposal 16.60 L TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60 - PLEASE COMPLETE:
3" 1660
4" 1&60
Water Heater O conversion O like kind 16.60 uantity b I,Work Perform_ed—
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
permit. __ I Capped
MFG Home New Water Service 46.40 Sink _
to
MFG Home New San/Storm Sewer 4640 Tub crr�r
— Tub Tub/Shower
Hose Bibs 16.60 Combination
Roof Drains 16.60 1 Shower Only
Drinking Fountain 16.60 W:-ter Closet _
Other Fixtures(Specify) 16,60 Urinal
Dishwasher
Garba a Disposal
Laundry Room Tray
Washing Machine _Y
Floor Drain/Sink: 2"
Sewer-1 st 100' 5500 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
(Specify)
Storm&Rain Drain 1st 100' 55.00
Storm&Rain Drain-each additional 100' 46.40
Commercial Back Flow Prevention Device 46,40
Residential Backflow Prevention Device` 27.55 _
Catch Basin 16.60 — —
Inspection of Existing Plumbing or Specially 62.50
Requested Inspections er/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwelling 65.25
Grease Traps 16.60 -
QUANTIrf TOTAL
Isometric or riser diagram Is required if
Quantity Total Is >9 —
'SUBTOTAL
8%STATE SURCHARGE -- -
"PLAN REVIEW 25%OF SUBTOTAL
_
Required only it fixture qty total is>9
m� TOTAL
"Minimum permit fee is$72 50+8%state surcharge,except Residential Backflow
Prevention Device,which Is$39.25•8%state surcharge
**All New Commercial Buildings require 2 sets of plans with Isometric or riser
diagram for plan review.
1:ldstslforms\plm-fees.doc 12/26/01
CITY OFTIGARD 24-Hour G`'''� 'r �;r---2, «Gr
BUILDING e Inspection Line: (503)639-4175 � MST � �' p37n
INSPECTION DIVISION Business Linel. (50$)639-4171 =�
BUP
Received — Date Reques % � Z M PM _— BUP
Location z MEC
Contact Person _ Ph PLM _
Contractor __ _ Ph SWR
Of III mud _ Tenant/Owner —_ _— —_ ELC _ �—
Footing
Foundation Access: t_ ELC
Ftg Drain ELR --
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors --- —
Ext Sheath/Shear
Int Sheath/Shear
Framing _-
Insulation v� i
Drywall Nailing
Firewall
Fire Sprinkler - — —
Fire Alarm
Susp'd Ceiling - --— -
Roof
Other. --
Final
rIM11116- DA RT FAIL -
UMBIN _
st-&Beam —�-- —
Under Slab _—
Hough-In
Water Service ----
Sanitary Sewer
Rain Drains — - -- --
Catch Basin/Manhole
Storm Drain ---- — -- -
Shower Pan
Final
SS > PART FAIL
MECHANICAL —
Post R Ream
Rough-In --
Gas Line
a Smoke Dampers --
1K Final
W PA T FAIL — ---- —
J Service
m Rough-In
U UG/Slab
W Low Voltage
Fire Alar-.
Final Rainspecticn lee of$ required before next inspection. Pay at City Nall, 13125 SW Hall Blvd.
_,PART FAIL
SITE -- Please call for reinspection RF: ___ _ unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date—h �L ?_Z=--- Inspeeor
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 Is MST Z"GU 3d
INSPECTION DIVISION Business Line! (503)639-4171
BLIP
Received --- Date Requested_—�� Z _ AM____PM _ BUP —_
Location el 3 —s w .4 —_ —Suite- _ MEC —
Contact Person Ph( —) Al_57-5 L— PLM —_
Contractor _ __ Ph(--) _ SWIR —
MWOM Tenant/Owner _^____ ELC
Doting — �— wner ELC —
Foundation Access:
Ftg Drain ELR _--
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam ��—
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing _ 1L
iywa ailing —
Firewall
Fir- Sprinkler --- - — — --
Fire Alarm
Susp'd Ceiling --u -
Roof
Other: —
Final ---�- ---
PA PART FAIL
ING —
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 — -- V —
Post&Beam
Rough-In _---
Gas Line
Smoke Dampers — - -- - - --
Final
PASS PART FAIL - - — ---
ELECTRICAL
j Service ----f -- - —
Rough-In Y _
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of,', before next inspection. Pay at City Hail, 13125 SW Nall Blvd.
PASS PART FAIL
SITE A Please call for reinspection RE:- Unable to inspect-no access
Fire Supply Line '
ADA Daae 7 ter'` � Inspector_ -- -- --Ext
Approach/Sidewalk -
O'her: _
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING 0 Inspection Line: (503)631"175 • MST
INSPECTION DIVISION Business Line! (503)639-4171
BUP
Received Date Requested AM PM— _ BUN
Location �� (� `� ` Suite MEC
Contact Person cv d__� _ Ph( ) 191` 313,;Z PLM _—
Contractor_——_._— Ph(—) _. SWR _ _
BUILDING Tenant/Owner __v_ ..___ _ — _ ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors V -_-
Ext Sheath/Shear _
Int Sheath/Shear
ramin / ----- --- --
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler -- -- ---- -----
Fire Alarm
Susp'd Ceiling -- - -
Roof
Other: ---- -- - --
Fi � --
PART FAIL —
P . MBINC —
Post&Beam
Under Slab
ough'I `t
a.er Service ----- ---- -
Sanitary Sewer
Rain Drains -------- - ---
Catch Basin/Manhole
Storm Drain - --- —
ShowerPan
Other: --
Final _
PART FAIL
ANICA_L
Post& Beam _
Rough-In ------ - -
Gas Line
�- Smoke Dampers ---- --- - - -
Final
PASS PART FAIL - ---
ELECTRICAL
J Service
m Rough-In —
(3 UG/Slab
WLow Voltage
Fire Alarm
Final Reinspection fee of$__ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - Please call for reinspectio RF: E] Unable to inspect-no access
Fire Supply Line
ADA Ci
Approach/Sidewalk Dates--- _118p4rctor _ _ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested__ AM -5 PM _ _ BLD
Location 14 '3 i _5 w Zn c f4V&Vl.,/ L � Suite EC _ww—e Y)
Contact Person __ __ Ph 1P2 loc/r; y PLM
Contractor_ — Ph SWR
BUILDING TenanVOwnerELC
Retaining Wall ELR
Footing Access: ✓
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab — S SIT
Post& Beam CA
Ext Sheath/Shear
Int Sheath/Shear r
Framing
Insulation _ �
C.ywall Nailing .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: _ - — ----
Final
PASS PART FAIL - -- - ---
PLUMBING
Post& Beam - -'
Under Slab
Top Out - ----- -- - - -------
Water Service
Sanitary Sewer
Rain Drains
Final �-
PJ189 - FAIL
ECHA
Post&Beam -- - - — -
Rough In
Gas Line
Smoke Dampers
Fin �
S PART FAIL
p, Service —
a Rough In
0UG/Slab
Low Voltage --
Fire Alarm
J Final
W PASS PART FAIL —
a SITE
J Backfill/Grading -- - —`
Sanitary Sewer
Storm Drain ( )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( )Please call for reinspection RE A_ [ ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date1� U _ Inspector—� � C EXt�,�
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
MECHANICAL
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT#: MEC2000-00285
DATE ISSUED: 7/20/00
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S11OBA-04401
SITE ADDRESS: 14315 SW MCFARLAND BLVD
SUBDIVISION: SHADOW HILLS lONiNG: R-2
BLOCK: LOT:021 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
LPG 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 LNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace.
Owner: — _ FEES
GABLER, DAVID M Type By Date Ar cunt Receipt
KADIE-GABLER, MARY KATHLEEN PRMT DLH 7/20/00 $50.00 0003854
I
14315 MCFARLAND 5PCT DLH 7/20/00 $4.00 0003854
TIGARD, OR 97224 Total $54.00 _
Phc:ie:
Contractor
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223 Mechanical Insp
Phone:503-624-6895
Reg#:LIC 00002734
PLM 26-60p
C
Q
U 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 will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ^TT ENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rule: set forth in OAR
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246-9189.
Issue By: Permittee Signature:
Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day
I
JUL-05-2000
Plan Check•
CITY OF TIGARD Mechanical Permit ApplicatRKEiVED Reed By !L/d/4
13125 SW HALL BLVD. Commercial and Residential ate Recd_2 _--Z)__
TIGARn, OR 97223 JUL 1 0 ?Q00 Date to DST
(503) 639-4171, x304 COMMUNITY OEVEIOPMENI Permits /cc�O� D�kS
JD 5F&SS Print or Typ Called
Incomplete or illegible applications will not be accepted
Name or Owebpnkwgr mW.X ascxlption 1-_
l Gcxb/e r- Table 1A Mechanical Code Q Prlos Amt
A Permit Fee
/1 18.00
Jab street A°o~~ ,n.�J R 1) Furnace to 100,000 BTU �D
Address including p ✓�r� including ducts d vents see footnote 1,2 9.65
akW M ZIP 2) Furnace 100,000 BTU*
0j l012 including ducts b vents _ sN footnote 1,2 12.00
Nerm(or name of buelneu) 3) Floor Furnace
Owner sale" includingvent see footnote 1,2 9.65
4) Suspended heater.wan heater
a
or floor mounted heater see footrwte 1,2 9.65
5) Vent not Included In appliance erma 4,75
Cayr9tw Zip Pha» Check all that apply: 'Boiler Heat Au
For Items 6-10,see or Pump Cond Ory Price Amt
- Nem.(or woe of bu.rke•s) footnotes 1,2 Comp-
6)c3HP:absorb unit to
100K BTU 9.65
Occu,lent M8*4 Address 7)3-15 HP:absrn unit
I 00h to 500k BTI) 17.65
Cayrsre% Zip Phone 8)15-30 HP:absorb
unit.5-1 rh;BTU 24.15
9)30-50 HP,absorb
Contractor n"' unit 1-1.75 mil 9TU 38.00
P_O . M r(An Plumbing 10)>50HP:absorb unit
Prior to permit Addfe+tfc,-,
>1.75 mil BTU 60.15
s.uanae a copy t..71�J � _ 11 Air handlirg unit to 10,000 CFM
of AN licenses C • Pnons 7'00
em!�quirod it ( g 70�� 4.2q 12!Air handling unit 101n00 CFM`+
expired in COT Oreo n.Cask.Boyd L1c a Co.peke 11.85
datab2se13)Non-porlable evaporate cooler
7.00
Architect "•rr'•
14)Vent fan connected to a single duct
4.75
Mewnp Aadro»
Or !entilation system not included in
1iance permit 7.00
Fngineer ciy/Stele Zip Phon• 11 food served by mechanical exhaust
7.00
escribe xk to be done:r 17)Domestic Incinerators
q4s 12.00
New Repak O Replace with rice lure � Yes No O 16)Commer Tal or Intik trial type ineinenMr 48.25
Rol.
.'el� Commercial O
19)Repair units
®.40
iditbnol information or description of work:
tio
20)Wood stoveiwas Fr/other uniWclothe dryer/etc.
IL OTE: For Commercial profacts only;Units over 400 lbs.require 21)Gas Piping one it,four outlets
structural gas Wks. 96e footnote 1 _ 3.75
N rpe of fuel: oil O natural gas LPG O electric O 22 Moro than 4- er�uNet(each) 75
Minimum Permit Fee&50.00 SUBTOTAL
frC emby adknewledge at 1 ha-9 read this application,that the Information SURCHARGE O0
+en is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
m 11 owner,that plans submitted aro in compliance with Oregon State laws. Re ulrsd for ALL commercial errnlb Orel
TOTAL
J gnatu of OwneNAgent ate Of ;er_rrspections and Fees:
7- �D ,/vo 1 Inspections outside of normal business hours(minInum charge two
ci person Name Phone
hours)) $50.00 per hour
)Rii2. Inspections for which no fee Is specifically Indicated (minimum
DaViS 6-:2cl-6036charge-half hour) $50.00 per hour
,onotso fopcommerciall projects only: 3• Additional plan review required by changes,additions or revisions to
Provide hill t tmatk of existing and proposed gas line and pressure. plans(minimum charge-one-half hour)$50.00 per hour
Provide draimags to style showing existing and proposed mechanical 'State Contracts, Boller Ceruncatbn required
unxs. -Residential AIC requires she plan showing placement of unit
1:lnterfioerm rtnr. rry 7119100 TOTAL P.01