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13010 SW ST JAMES LANE 13010 SW St James Lane CITY OF TIGARD 24-Hour BUILDING Inspection Line- (503) 635 4175 MST iNSPECI iON DIVISION Business Line: (503) 639-4171 B LI P - -- - Received __-- Date Requested — I _ AM _ PM------- BLIP Location - --�L / C� �' - Suite--- MEC - Contact Person _ Ph( ) _ .J 3G 37/2— PLM — Contractor _ __ Ph(— ) SWR _--- — BUILDING - Tenant'Owrigr _ -- -___ ELC - -- Footing ELC - - - Foundation Acces—S: Ftg Drain I ELR i b 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 FART FAIL PLUMBING - -- -- ------- --_ -- - Post P Beam Undar Slab ----- ------- -� -�� - - -------- Rough-In —� Water Service - Sanitary Sewer Flair Drains -- Catch Basin i Manhole Storm Drain ----- Shower Pan _ _ _-- Other- -- - _-- - - WS's _PART FAIL MECHANICAL - Post&Beam Rough-In - - ----- — --- -- Gas Line Smoke Dampers - -- - - -- Final POl9S PART 'FAIL - -------- - --- —_—._ _._ Hough-In -------- -- ----- -_ -__ UG/Slab Low Voltage --- - ---- ---- --- - - - ------ Fire Aiprm 1 P S PART FAIL �•� Reinspeaon tee of$._ required beinre next inspection. Pzey at City Hall, 13125 SW Hall Blvd. F] Please call for reinspeion RE:, -_ __ [� I Inable to inspect-nr eccess Fire Supply Line - C) / / 1 ADA Date -- (- �_ !rd.��a�ct r `�,,�'' -- - _BXt -- -- Approach/Sidewalk --- - Other Final 00 N01 REMOVE thlsr Inspection record frz-v tV i lab 3Ite. PASS PART FAIL CITY '1�[� (''�' /� - ELECTRICAL PERMIT / \ 6 r i /I� `�^ PERMIT#: ELC2003-00391 DEVELOPMENT SERVICES DATE ISSUED: 6'26/03 --� 13125 SW Hall Blvd..Tivard, OR 97223 (503) 639-4171 rARCEL: 2S109AB-10800 SITE ADDRESS: 13010 5W 51.JAMES LN ZONING: R-7 suaDIVISION: RAVEN RIDGE LOT : 037 JURISDICTION: TIG BLOCK: PrL.ject Description: Wiring for AC unit. �- RESIDENTIAL UNIT TEMP SRV^./!EE0E:,%- — MISCELI ANEOUS 1000 SF OR LESS: — 0 - 2U0 amp PUMPIIRriC A"i ION: EACH ADD'L 500SF. ?01 - 400 amp: SIGN/OUT LINE I.TG: LIMITED EN2-RGY: 401 - 600 amp: o:rNALIF'ANEL: MANF HMI SVC!FDR. 601+amps-1000 volts' MINOR LABEL (10): SERVICE/FEEDER -_ 8RANCH t'IRCUITS _ APD'L iNSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PFR INSPECTION: 201 - 400 amp: 13t W'O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA AL.D'L BRNCH CIRC: IN PLANT. _ 601 - 1000 amp: PLAN REVIEW SEC TIG7: 1000+atnp/volt >=4 R.:,UNITS: 500 VOLT NOMIf IL, Reconnect o_hly: SVC/FL)R>= 2 5 AMPS: _ _ CLASS AREAISPEC OCC: Owner. Contractor: JANESSA GLADSTONE Gf,F ELECTRIC 13010 SW ST.JAMES LN. ULL SE PARADISE LN M TIGARD,OR 97224 A4ULINU OR 97042 Phone: 503.579-3939 Phone: 50o-829-4146 Reg#: LIC 7r,"`,I Still FSE$ F:LG 3-484C Description Bate AmountInspe„tions— ____ P ~tate Tax r, fir,n�RMT) r-FC Permit $3$3.I I",\ .85 '5 I Rouhh-In ,X ti Eluct'l Final ro��l �50.81J All This Permit is issued subj �t to d►e regulations oo�itainod in the Tigard Municipal Code,Statp of OR Specialty CnJes and all other applicable laws. work will be done it accordanoe w th approved plans. This permitto ill nA rules adoptedin t start Orrted egon Utility8daysifi ation of issuance, or Those if wo,k isules pee set nd d for more than 180 days. ATTEN1 ION: Oregor,law require.:yoY e9 forth in ORR 952-001-0010 through OAR 952-001-0106 You may obtain copies of these ru:es or direct questions to OUNC at(503)24"699 or 1-dn0-332.2344. $ (:;;rued By: (, .I: t t_/� ►_-- permit Signature:_tom, y t�1 4-J i.c !'Ly. ___ OWNER rNSTALLNTICiV ONLY Th installation is be!ng made or, property I own which is nit in'o ►ded for sale, lease, or rent. 1 OWNER'S SIGNATURE: _ __ _ r -- _ DA i'E: Cr`NTRACTUR INSTALLATION ONLY <Or;NA1I.JR1 OI IPR f 1 r '.'fa __ _ _ DATE: --- . 1 lt:r rase N, , ---- --_.—.— _ __.r._ ------�.._ —. -• Call 639-417: by 7:t►Cpm for an irspection the next t u,iness day Electrical Permit Application bate received: t ennit no.: A, City of Tigard Project/appl.no.: Expire date: C'eryoj7iggrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: 6 k, I Receipt no.: Phone: (503) 6194171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval. TVOL 01: PERMIT >Q I &2 family dwelling or accessory U Commercial/industrial LU Multi.ramily U Tenant improvement U New construction U Addition/alterauon/rrplace rnent C3 Other: O Partial e9711,11MI to) Job address: / O St,Jr j Bldg.no.� Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: L _ Project name: - Q. Description and location of work on premises: _ C- Estimated date of corn letion/ins tion: CONIRUIOR A111111,11CATION FEE SCHEDULE _ thhrrpuuu _ Vry. tesc) I lama I no.IMP I Business name: CG Ncwrmldrntial-sirrrkaronilti-Irrrdlyper Address: r 5 L dvarllim!wri I.Iwaude+arise Ind geerage. City: ' State:Q ZIP: Lt7 04+Z Servieruuludrel: Phone:% - Zq- q I-,ax: 1:-mail: 1000: ,ft.or lest; _ 4 C Fach additional 500 sq.ft.or portion thereof CCB no.: 2187 91 Hlec.bus. "C.no: Urniled encrox,residential 2 City/metro fie.no.: Z.• Lltnitedenergy,non-residential 2 � Each manufactwed home or modular dwelling Si nx Wisu ms n etv:aici (required) pia-le-' Servi«wuUorfeeder 2 Sup elect.name(pnnt): r r;r 5 License no // .t Servicer orfeeders-Installation. alteration or relocation: 200 amps or less 2 Name(print): V r Na L 5-5 �; �'� 201 am s to 400 ams �- 401 amps ro 600 amps 2 Mailing address: i ,i- 601 anips to 1000 amps 2 City: -r State: ZIP: oj-L;LZ Over 1000 un s or volts 2 Phone: Fax: E-mail: Reconnect only I rvices Owner installatiun:The installation is being made on property I own Temporary perces or feeders- which is not intended for sale,lease,rent,or exchange according to h►ctallatlun,attentlorr,urrclocation: 2am s ur less 2 ORS 447,455,479,670,70). 00201 snaps to 400 amps 2 Owner's signature: Date: 401 to 600 runs 2 p Branch circuits.pew,alteration, or extension per panel: Name: A. Foe for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 Lily: --- ^— Slate:: i IP:, 9, Fee fer branch rreuitr vathottt purche<e G F;: service or feeder fee,first brarnch circuit: l O �' 2 Phone: Fnx E-mail: Foch additional branch citcuw Mlle.(Service or feeder not included): U Service over 215 amps•vorruncrcial U licithh-cwe facility FJch pump or irrigation circle 2 U Service over 320amps-rating of 1&2 O Humclouslocation Each signor outline lt hung _ 2 family dwellings U Building over IWOO square feet four or Signal circuit(s)or a)united energy panel, U System over 600 volts nominal inure residential units in one structure alteration,or extension' 2 UBuilding over threeatorim UFeeders,400amps ormore 'Description: — U Occupant load over 99 persons U Manufactured stnrctures or RV park FAch additional Ilnpeecilon over the allowable in any of the above: _ O Fgress/inghMgplan U Otho _--- Per inspection r_ Submit__._._sets of plata xvith any of the above. Investigation fee 7be above are not applicable to temporary construction aerAce. Other Permit fee................ ....S n Neat�sawi is M-ssterCard i auth,plain call)urudicti�m xe inrorrrteeaon Notice: it era permit er it ix not obtained --y T p Pe Plan review(at r 96) $ Cradle,:card oumba _ _. __ within 1 CO days after it has been State surcharge(896) "piles accepted as complete. TOTAL ....................... Name e>< err esu wa oa c t,r wd - r — CudledAe•aeteseere Amoanl 10 410•4615(6910000M) ( -cl o t JI:sii 13 :489 eL 0 s 1 1 EO 92 UnC CITYOF TI GA R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00309 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/10/03 PARCEL: 2 S 109AB-10800 SITE ADDRESS: 13010 SW ST. .JAMES LN SUBDIVISION: RAVEN RIDGE ZONING: R-7 BLOCK: LOT: U:37 JURISDICTION- TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES _ 0 3 HP 1 DOMES. INCIN: EI F 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP- FIRE DAMPERS?: 30 • 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: (,;stall;tion of*exterior AC unit. AC cannot hr placed in the required setbacks Owner; _ FEES _ JANESSA GLADSTONE Description Date Amount 13010 SW ST. JAMES LN. — TIGARD, OR 97224 ��1Fe ll� Permit Fre 6/10/03 $72.50 I �.\ State]ax 6/10/03 $5.80 Phone. s03-.,79-,19.19 Total $71:.30 Contractor: SKY HEATING + AIR CONDITIONING 1637 SE NEHALEM PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: 2.15-9083 Cooling Unt Insp Final Inspection Reg #: LIC 50244 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. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rifles or direct questions to OUNC by calling (503)2.46-6699. Issued By: '% / `, Permittee Signature t Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day J 09 03 09: 50a P• 1 Mechanical Permit Application ,�r�,��, Mechanical Pormit No.i Ci Of Tigard I I and Planning MProval Building --- -- 13125 SW ball Blvd. Plan Review Mer Tigard,Oregon 97223 Dat#/- Pcrnut No.'Land Phone. 503-639-4171 Fax: 503 598 1960 Pte• CdoNca DauBy _ Qac N_ o., Internet: vvww.ci.tigard or.us Cont 7.4-hour Inspection Request. 17 NattrJM�ihod 5., unsaid I_-,I..t,on. L;'<+ +I i x"Jdiftl :' i►Q -- - ..l:•.,,. °3(1 I. '! i. — ,PEEeISC>;Sb>D New construction Demolition Mechanical permit fen•sur based on the total value of the work Additioa/altcration/re laceawnt Other: performed lod+ute the value(rounded to the netreit dollar)of Ali �L, y1 h00N9'SR1J114^C[t i., ., „ ' mechanical marmals,equipment,labor,overhead and profit. 1 fit 1.-Falnlly dweller []ContmerciaMdusuial value: S— See Page 2 for Fee SctsedWe A .ccs iMulti•Fani l �' - say Buildn--g_ - y _ I-'ter«e,.�Tuta� Master Builder Hother. Hearin eoud Pomace add-on air wndiaonmg•• 14.00 Job site address: 1.010 `' c 1'" a oie hcu _--- 14.00 Suite}f; Bld ./A t.H: Duet work 14.00 hr0 CCt Name: — -- N onic hot waist-�etun 14.00 Residential boiler Cross suftvDirectionsto job site: (forradiatororbydronio_sysum) 14,00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,ere 14.00 Flue/vent for any-of above _ 10.00 --------•--- Repair unib 12.15 Loc a — Sulxlivislon: Otter FLetA ta.e« Tax trap/parcel#_-- Wattx butar -- - ---- _ 10.00 .TI D N aF W4itK I, csa Art race _ - 1000 I. - - !-- Flue vent(yaocT Intron/ s Cr la 10.00 Log lighter(nos) 10.00 _ ---- --__ — Wood/Pellet stove 10.00 -- -— ---- Wood fireplace/ills-en C2turmU er/tlue/vent _ 10. 00 Other: Name: lli!1L✓yCL t!�LG - 11m;aaatmul Erbdt a Vac Mian Ran(te hood/othct kitchen txluipmenr 10.00 Address: 3 o b -, �Irl-'� COQ ---------- . t 000 ----- I .-�� /�� Clothes dryer eahauR _ CI /$taldZ.l� f `t f�- — single duct exhaust -� --- Phone:5d . Fax: (bathrooms,toilet compartments, 'i iU4D2`t � _ Otw, uftty rooters) Name: Atticicrowl space fan& Chhcr 10,00 —... City/State/7_i Y7r—(ff. _ •axsii t..r�.a. sr.00..ee eed;u,,..t -- Ftutstce,etc. -- •• Phone:TLJ _ _ ha E-mail: _ WitlVtvspended/umthater __ Water heater •• — Business Name: �" )1,Q _ ire Ise Address: -- - Range BB _ �• --- Cit /State/Zip: _ closes drrL(Ins),- •• Phone:�''ax: other: •• CCB Lic.!NZ_4�1Total __ �--- Mcchnlodtrmi F dAuthonzed I'Date Minimum permit Fee$72.50 S �eC �UQc _ eevleuFee(2l5%of Perini/Fee T_ (please pant nnmc) State sutchar 5- o Pcmut Fee S �_..—. _. _ TOTAL PERMIT FEE S _ _- N#tia: Thil pe++Mt application expires If a permit i►not obuleed witbin •pee mdbodrlep wt by Tri-County doudiag tndutt ,cyclic anti. in days after It hot been accepted As rnmpiere. •'Sit#pion required rut ..tenor A/C unlit. +b&u\Perml Form&W erPcnniupp doe 01/03 Jun as 03 09: 5Oa F ,.m.r. . HOME LAYOUT/SITE PLAN 0 , 4Vi .a J I STREET M i i 1341 O i b � 41 ► c . ' ► G CA a Ul Cbl Q- CD rb ► lool o `�' ► O � CD oma , ► q 7 p ► rA va O ► .q ' Poo. 41 , a et rb � ► 4 , loo. ,4 d d � -o-, �': o �� ► 4 H H 0 p ► cry ► , -4 m rri0 o �b loo.4 Poo. p iJ ► iw t � � ► 4 4 p � 3 ► 4o — poolN �! ► � I 7 � ► M J n l71 c o a o 5 W � N o ry G ° z � n .d r CITY v, O F T I G A R® ^_ ___, MASTER PERMIT PERMIT#: MST2001-00504 DEVELOPMENT SERVICES DATE ISSUED: 10/19/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) i>39-4171 SITE ADDRESS: 13010 SW ST .IAMFS LPJ PARCEL: 2S109AB-10800 SUBDIVISION: RAVEN RIDGF ZONING: R-7 BLOCK: LOT:037 JURISDICTION: TIG REMARKS: Construction of new single family detached residence. Path 1 FIRE SPRINKLER ARE REQUIRE BUILDING REISSUE. _ STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1..183 at BASEMENT: of LEFT: 11 SMOKE DETECTORS Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,437 If GARAGE: 547 of FRONT: 24 PARKING SPACES: 3 TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: of RIGHT: VALUE: E 268.510 60 OCCUPANCY GRP: R3 BDRW 4 BATH: 4 TOTAL: 2.82000 of REAR: 15 _ PLUMBING SINKS: WATER CLOSEI S: 4 WASHING MACH LAUNDRY TRAYS. 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS' 1 FLOOR DRAINS: SEWER LINES: lnin SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS, OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIUCMP c EHP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>000K: I UNIT HEATERS: HOODS: ' OTHER UNITS: 2 MAN INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 •400 amp: 201 400 amp: Iat W/O SVCIFOR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601.em09•t000V: MINOR LABEL: 1000•emplv011 PLAN REVIEW SECTION Reconnect only: 3•4 1tE3 UNITS: SVC/IDR>•226 A.: >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING OUTUOOR LNDSC LT: BURGLAR ALARM: OTH: 1301LER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: O'rHR: HVAC: DATMELE COMM: NURSE CALLS, TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,604.77 ROAKE'S CUSTOM HOMES INC DOUG ROAKE CUSTOM HOMES INCThis permit is subject t0 the regulationscontained In the 7388 PO BOX 7388 Tigard Municipal Code,State of OR.. specialty Codas and PO BOX ALOHA, 73 97007 ALOHA, 3 97007 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 the work Is suspended for more than 180 days. ATTENTION: Phone: Phony Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thosrs'rules are set Reg 0: LIC 00094953 forth In OAR 952-001-0010 through 952.001-0080. You may obtain copies of these rules of direct questions to OUNC by calling(503)246-1997. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insufatlon Insp Appr/Sdwik Insp Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Electrical Final Footing Insp Crawl DrainlBackwater Electrical Service Low Voltage Water Line Insp Mechanical Final Foundation,Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Sprinkler Rough,In Plumb Final Post/Beam St!uctural PLM/Underfloor Framing Insp Gas Fireplace `sprinkler Final Final Inspection � I � Issued By Permittee Siclnature : 1 / — Call (503) 6304175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD — SEWE R CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S /19/01 002 0 DATE ISSUED: 10119/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S109AB-10£300 SITE ADDRESS; 13010 SW ST JAMES LN SUBDIVISION: RAVEN RIDGE ZONING: R 7 BLOCK: LOT: 037 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF: USE: SF NO. OF BUILDINGS: 1 INSTALL. TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new single family residence. Owner: — FEES _ ROAKE'S CUSTOM HOMES INC Type By Date k\mount Receipt PO BOX 7388 PRMT CTR 10/19/01 $2,300.00 27200100000 ALOHA,OR 97007 INSP CTR 10/19/01 $35.00 27200100000 Phone: 503-330-3712 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections--__ Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet In all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm Issued bJ ; Permittee Signature: Y. _ y Cell (503)639-4175 by 7:00 P.M. for an Inspection needed the next business day TT; Building Permit Applicatio s [Leceived: 9�dU/n Permit no.: „p _ii 56� City of 'Tigard / Address: 13125 SW Hall Blvd,Tigard,OR 223/ t/appl.no.: Expire date: Cm u�Ii�;arJ Mone:hone: (503) 639-4171 ( Date issued: Fay: Receipt no.: Fax: (503) 599-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex. OF U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition c' U Addition/allernion/rrplacement U Tenant improvenw?), U Fir-sprinkler/alarm U Other: jog SITE INFORMA110N.' .lob address: (AM Bldg.no.: Suite no.: Lot: Block: Subdivision: Tax map/tax loUacsount no.: Project name: P — De-scription and location of work on premises/special conditions:_FSA r n (k Cp n U( Name: t , (Flou(l plain,se' c capacity,010,etc.) Mailing address: I &2 family dHelliog: G� City: State: 'l.IP: Valuation(it work...- $165/fir _ Phone: Fax: (:-rnaiL No.ofhrdra�ms/ha►h�. ............................... _q — Owner's represent:d \, Total number of Moors................................. 2— phone: Phone: I ! iii i l New dwelling area(sq.ft.) .......................... v -- Garage/carport ......................... area(sy, ft.) s�7 "Name: C Cowered porch area(sq. ft.) ......................... Mailing address: $- Deck area(sq.1(.) ........................................ — City: �, State: ZIP: Cjp'7 Other structure area(so. ft.)......................... - Phone; 31 \'a- Fax:4j -c Iq0 I-mail; ('omtrtercltUindostriallnurlti-faneilF: Valuation of work,... .......... $ L V�`� r� \ (Vit? V1C Existing bldg. area(sq. it.) ..................... Business name: a LP .... __ Address: �,; _ 3� New bldg. area(sq.ft.)................ ...... _-- -- CCity: A Rtatr:Off. 7.IP: �p Number of stories.......................... .. ......... ty:Phone: ' Type of construction.................. .......... ....- S� ,\a Fax:�j_ �l ( t:-mail: Occupancygroup(s): Cxisti �— CCB no,:___qLfi53 �(_�hri --. -— -- - No '-- C'ity/nirtro lie.no.: Notice:All contractors and subcontractors are required to he f:,ensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may fK required to be-licensed in the Address: I, L jurisdiction where work is being performed. If the applicant is City: State: Ca 7.IP: a0 exempt from licensing.the following reason applies: Contact person: Plan no Phone: - _ c l Fax: Name: jo—ritact person: I-ecs due upon application ........................... $_ -- Address; L}3 S r — Date received: City: p ,nC State: ?_IP: Amount received ......................................... $---- Phone: aSc Fnx: E-mail: _ _ Please refer to fee schedule. 1 hereby certify I have read and examined this application and(tic Nd all junadictirxu accept coast tarda,please call jurisdiction fm ncxe infdmarion. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied a heEsfvcified herein or not. Credit card number Expires Authorized st nature: Dater Narne of contholder a�shown on credit card Print name: — - s Cardhrrlder signature �_-- Amours, Notice:this permit application expires if n permit is not obtained within 180 days after it has been accepted as complete. 4104613 twtttu'ontl One-and Two-family Dwelling Building Permit Application Checklist -- -�— — Associated permitsi d ur„�fiArrrd city of T igarttlg U Elco a i,al ❑Plumhin U Mcchunrcal Address: I 11 21, .SW Hall Blvd,Tigard,OR 97223 U ot„ Phone: (503) 639-4111 Fax' (501) 598-1960 T� , REQUIREDRFVIIEW Ves No N/A I Land use action~completed.Sre,lurrcdlcnon torn❑ I'a ,unmoral tri 11"w 2 7loning. I Iurnl phin.solar balance points,seismic soils dc•signanun. Instoric dials t.ri 3 Verification of approt ed phrl/lot. - 4 hire district approval required. 5 Septic system permit or authorization for remodel. Existing •�sten►capacity 6 Sewer permit. 7 Water district approval. 9 Soil9 report. Must carry original applicable stamp and signature on file or with application. 9 Erasion control U plan U permt required. Include drainage-way protection,silt fence design and location of catch-basin protection,etc. _ I0 3- Complete sets of legible plans.Must he drawn to scale,showing conformance to applicahjr k kcal and state huilding codes. Lateral design details and connections roust he incorporated into the pians or on it separate full-st/e sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed it opyright vi(ilaliuns exist. _ I I tine/plot plan drawn to scale.'I'he plan must show lot and building setback dinu-nsions;pmpenv corner elevations(it there is mom than a 4 Il.elrtalion dlil'fercntal,plan must show contour lines at 2 It intervals):I(K•ation of easements and driveway:fo(►tprint of structure(including de-, ;.it, motmi weliVsepti, unlm 1„cauons:,hivction indicator-,lot _ areae,building coverage arca:percentage of coverage;wiltervious aura;existing siniclures Uri site,and surface drainage. 12 houpdation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent site and location. I i Floor plans.Slum ,all dinlrnsu,ns,room identification,windrns ve,location of smoke detectors,water heater, _ furnace,ventilation laps, plumhtng fixtures.halconieS and decks to inches above grade,etc. 14 (Toss seetion(s)and details.~how all framing-number urs;uul spacing such as Iloor beams,headers,joists,sub-floor. wall construction,roof construction, More than one cross section may be required to clearly portray constuction.Show details of all wall and roof sheathing,rool'ing,rot'slope,ceiling height,siding material,footings and foundation,stairs, fireplace cn_nstmction, tlurntal insulation,etc. I s Flevation views. Provide elevations for new construction:minimum of two elevalions torr additions and remodels. 1;,xterior elevations must reflect the actual grade if the change in grade is greater than flour foot at building envelope. _ hill-size sheet addendums showing foundation clrvatiow;with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for nonprescriptive path analysis_provide specifications and calculations to engineering sla,rdialds. 17 hloorlroof framing.Provide plans forall Iloors/roof assemblies.indicating member sr ing,,racing,and hearing locations.Show attic vent ililt ion. I13 Basement and rMalning walls. Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets ol'ralculations using current code design values for all beams and multiple joists over 10 fect long and/or tiny hean/juist carrying it non-uniform load. - 20 Manufactured floortroof truss design details. 21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required for four or marc appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roup truss)shall he stumped by am engineer or archtect beet ,ed it,Oor)-n and shall hr r,hodcn au hr apphuthlr to Ile project under rrvrrw. 21 Five(5)site plans are required for Item 11 above. Site plans must he 8-1/2" x I I"or I I" 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 talk-ons. _ 26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document. 27 No"mirrored"nuilding plans will he accepted. 28 "Drawn to sd ale"indicates standard architect or engineer scale. Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved fior department use only. Mutsola(roa)nto%lo Electrical Permit Application _ FIDAntereccived: !r i= FPermitno.:iA City Of Tigard Project/appl.no.: Expire date: Cirvn('/•igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Casc file no.: Payment type: Land use approval: IM M;11 M U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement XNew collstniclion U Addition/alter;ition/replat-rntent U Other U Partial IN Job address: CJ\Qj qrn Bldg.no.: Suite no,: fax map/tax Iollaccount no,: f l,t; BI(x k: Subdivision: P — Projccl name.: (� , Description and location of work on premises Ne Ili (PS IdPntu 1-TIo►� Estimated dote of completion/inspection: SCHEDULE Job no: 1,t in /curiptiun VI%. (ra.) I luta) no..imp Business name: ar 1�er Ne"residential %inakormultFfamilt per Address: dhellh+ktin if.lnclude•,atfac1"lgarage State:GlZ ZIP: 9-1r)D(o ServierInt hnkd: City: � 4 Phone: fax:(V,-i?---19 ZS I E-mail: I01xI�q It u+less _ -- liarh additional Soo sq.it.or Comfort thereof CCBno.: ( 1 Elec,bus.lic.no: 1-( 3050, t.imitedenergy,residenlinl 2 Ci -trolic n .: N � Limited energy,non-residential 2 Each manufactured home or modular dwelling t t ectrician(rc uired) [)m - Service and/or feeder 2 c Services orfeeders-Installation, Sup.elect.name(print) C Ll UC k. L a(o eV^ I Lfc•ense no3-7(T-'I-.-�- aIteration or relocation: 2(x)amps or less 2 201 amps to 41(x1amps 2 Nunlr.(print): -— ---.—_-- _-- 401 amps u.boa,amps _ 2 Mailing address: 601 amps h,I( t0 amps 2 City: State: ZIP: Over 10(10 amps or voles 2 Phone: I'ax: Email: Reconnectonly i 1 'fempotwryserrlces or feeders- owner installation:The installation it being made on property I own last.Ilallon,auterautm.orrelncaunn: which isnot intended for sale,least t,or exchange according to 21x1 amps or les+ — 2 ORS 447,455,479,670,701. 201 amps to 4M,amps _ 2 Owner's sit mature Date: Branchch-culh nee,alters,ion. or estenslon per panel: Name: 1�'\ -�,_c A Fee for branch anuli%with purchase of Address: y(� S- _ service or feeder fee,each branch circuit 2 City: (=\ State:v� ZIP: a\b Ir. Fee for brooch circuits without purchase -- of service or feeder fee,first branch circuit: _ 2 {'hone: 11(1• 6, '�� Pax: f'. nail: Each additional branch circuit: Misc.(Service or feeder not Included): trach pump or irrigation circle 2 USen+ss over 225 naps-commercial UHealth-cawfaciltty Each sign oroutline lighting. _ 2 U Service over 320 amps-rating of I&2 U liararclonslocation signal evergYl`a mel, family dwellings UBuildingover io,(xx)BlumSiefeetfouror g U System over 6011 volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or more •l Vscn ern it _ -- U(kovercupain loud over 99 persons U Manufactured structures or RV park Each additional Inspection the dlowable In any of the above: CI hgressJhghringplun U Othee ---- Per inspection —_—��—r-- Submit sets of plan%"1111 an}of the above. Investigation fee _ The above are not applicable to ternimirary construction service. Other ------ Not oft IurixlicUcxu accept cmfit cant+,pleas call Itnirdictiun ha mute inkxmutlutt Nolicc:This permit application Plan IL'Vi W(al ) U visa U Mastert,'aru expires if a pennil is not obtained State surcharge(8%) ....$ within 180 days ager it bac b.en ('redit card number _- ---------- spires TOTAL .......................S accepted as complete. —— _ -`- Nome of cardholder ass own on credit cater $ -- Cardhnli eft signature — Amount ")4615 1(ti00/('oMl Electrical Permit Fees: Limited Energy Fees: — l TYPE OF WORK INVOLVED -RESIDENTIAL ONLY ------ $7$75.00Complete Fee Schedule Below: Restricte——d Energy Fee................................................ Number of Inspections per ermit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Resldenttal-per rrnit $145.75 4 Audio and Stereo Systems 1000 sq ft ur loss --- Each additional 500 sq ft or burglar Alarm portion thereof _ $33.40 Limited Energy $75.00 — Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $90.90_ Services or Feeders E] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relr"lion 200 amps or less ____ $80.30 Vacuum Systems` 201 amps to 400 amps $10685 2 401 amps to 600 amps $160,60 2 n Other 601 amps to 1000 amps $240.60 over 1000 amps or volts $454.65 2 Reconnect only $66.85 --�— TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system............................... .. .. ...._.. .......... $7500 Installation,alleration,or relocation $66.85 7 (SEE OAR 916-260-260) 200 amps or less — 201 amps to 400 amps $100 30 2 $733.75 _ Check Type of Work Involved: 401 amps to 600 amps Over 600 amps to 1000 Volts, E] Audio and Stereo Systems see"b"above. Branch Circuits Boller Controls New,alteration or extension per panel a)The fee for branch circuits n Clock Systems with purchase of service or feeder fee Each branch circuit $665` -_ n Data Telecommunication Installation b)The fee for branch circuits O withor out purchase of sv(ce Fire Alarm Installation or feeder fee. $46 85 First branch circuit — HVAC Each additional branch circuit — $6.65 -- Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340^ Intercom and Paging Systems Each sign or outline lighting _ $53.40 Signal circult(s)or a limited energy 75.00 Landscape Irrigation Control' panel,alteration or extension — $ Minor Labors(10) $125.00 F-1 Medical Each additional Inspection over the allowable In any of the above $6250 ❑ l+urse Calls I'er inspection _--Per hour — $6250 _ r—t $73.75 Outdoor Landscape Lignting' In Plant ---- Fees: Protective Signaling Enter total of above fees $ —.�_.._-_ Other ---— -- —-- —' 6%State Surcharge Number of Systems 25%Plan Review Fee g No licenses nre requ,red Licenses are required for all ather installations Sne"Plan Review section on front of application ---__. Fees: Total Balance Due $ --— - Enter tutal of above fees $—. -- El Trust Account# __ e%State Surcharge $ - — --- --- Total Balance Due ----- 0dsts\fomu\elo-fees.doc 10/09/00 Plumbing Permit Application P. at— received: � aU � � i'ermitno.: j,'-;;`Ct% �� -'�• ' City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: --- C'rrvri/lif;urd Phone: (503) 639-4171 Prgject/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval — cast file no.: Payment type: OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Multifamily U'I'enant improvement �4,New construction U Addition/slier ition/repl,irrnicnt U rood service U Other: .. SCHEDULE.1011M]F INFORMA]ION FEE Information LS5G� Gas L N Description Fee ea. 7 oral Job address: 1 , Fee(ea.) Ne" I-and 2-fanril}dnellin}s only: Bldg.no.: Suite no.: -_- unclad(X1011ff.foreachatIIiIi,connection) Tax map/tax lot/account no.: SI-R(1)hath Lot: Block: Subdivision: r SFR(2)bath Project name: i4AIC SFR(3)hath -- - City/county: ( ZIP: Each additional bath/kitchen - l)escri tioq and I�,ation of work on premises: Siteutilitles: ecT -,(krr\17 N Q WCo•�1�((Vc C�i�n - Catch basin/area drain Est.date of completion/inspection: brywclls/leach line/(tench drain 1 Footing drain(no.lin.ft.) - Manufactured home utilitic,, Business name: 13 ,-dA _lZ ,, Manholes Address: 49 s Rain drain connector City: �y\��,t� _ State:b 7tP: C t Sanitary sewer(no.lin.ft.) —T Phone: hux Gmail: Storm sewer(no.lin.ft.) CCB no.:c' �lr c- Plumb.bus,reg. no..-34 Water ,er7ice(no.lin. it.) City/metro tic.no.: �— Fixture n item: Absorption valve _ Contractor's representative signature: �! Back flow prrventer Print name: bate: Backwater valve - -- Basins/lavatury - Name: Clot tcs washer — Dishwasher _ Address: ' F 13 � Drinking fountnin(s) City: oSlate:oA ZIP: foo -----Phone: Ejectors/sump 33 \a. Fax: '33.c E-mail: Expansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hubGarb �. Mailing address: t' A Hose bi disposal Hose bh _ City: - State: 211': Ice maker Phone: I E-mail: Interceptor/grease trap Ohsner installation/residential maintenance only: The aclual installation Pritner(s) will he made by me or the maintenance and repair made by my regular Roof drain(cornmercinl) employee on the property I own as per ORS Chapter 447. Sin (s),basin(s),lays(s) - Ol\ner's signature: Date: Sump Tubs/shower/shower pan _ IName: 1,,,'� Urinal - ---��__ U)t 1 __ Wlhter closet Address: SY"�0�"'_ --------- -_ Water heater — City: p ,"� G Stated ZIP C `),\ Other: Phone: arj l�- (�" Fax: E-mail: Total Not all Jurisdictions r•coil credit cards,pleatic call Jurisdiction fat more.information'/ Notice:'Phis permit application Minimum fee................$ _ � _ - U visa U Mastercard i Ian review(at %) $ expires if a permit is not obtained ---- Credit cml number _ � within ISO days after it has been Slate surcharge(8%)....$ —_ r.sptres TOTAL Nome of cattlltolde ex shown on credh card accepted as complete. •••••••••••••••••••••••$ ------ Cardholder signature Amount 410-4hI6 lnaxvt'OMI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) - CITY er.r 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 connection1 _ _ -..__. 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 ----- - _- SUBTOTAL Urinal 16.60 8%STATE SURCHARGE - Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal - 16.60 TOTAL_ Laundry Tray 16.60 Washing Machine 1660 Floor Drain/Floor Sink 2" 16.60 3" -- 16.60 -� PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 Quantity b e Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replayed Removed/ permit. Capped MFG Home Now Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory ---- Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ _ Dishwasher _ Garbage Disposal LaundrYRoom Tra - -- 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&Rain Drain-tat 100' 55.00 _ Storm&Rain Drain-each additional 100' 46.40 W _ Commercial Back Flow Prevention Device 46.40 -- - -- Residential Backflow Prevention Device' 27.55 - ---- -- Catch Basin 16.60 - ---- _ Inspection of Existing Plumbing or Specially 7i-50- Requested 250Re uested inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 1660 -.- QUANTITY TOTAL --- - -- Isometrk or riser diagram is reguund if _-! -- -Quantity Total Is >u _ '- `--- -'- - --- 'SUBTOTAL - ----- - - - o%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only II fixture qty total Is,>0 TOTAL $ "Minimum permit fee Is$72 50+B"6 state surcharge,except Residential Backflow Prevention Device,which Is$36 25+8%state surcharge "AIL New Commercial Buildings require plans with Isometric nr riser diagram and plan review is\dsts\forms\plm-fees.doc 10/10/00 Mechanical Permit Application Date rcccrvcd. City of Tigard Project/appl,no.: Expire date: ('iryu/l}gurd Address: 13125 SW ILMI Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: t U 1 & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New constru(nim 'J Addilion/allerntionHeplaccow"I J Other: -- JOB SITEINFORMUION Ct Job address: 5 >> 1Q L Indicate cclurpnu•nt quantities in boxes below. Indit ate the dollar Bldg no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tux InUnccount no.: ' profit.Value$ —__.-_— L.ot- r Block: Subdivision: t'n ��\U � 'Sec checklist lie important upe,idctiti information unci Project name: Lu I VM e _ jurisdiction's fel• schedule lot. resicntial prrniit fie. rr City/county: �� ( LIP: " as r r Description and location of.}work on premises: _ Cw oz S-t;� %4r\ jeyke`�- r�- Ftt`IeiL) 111181 Tr !1(•.criptiun ---- V11. R(..onl} K(ti.unh Est.date of completion/inspection: \ � � - Tenant improvenwill or change of use: Air hm:,ttntg unit Is existinY pace heated or conditioned'?U Ye. U No Airconditiontng(site p an required) Is existiu, pace insulated'1 U Yes U No A terati HVACsystem MIECHANICAL CONTRA(I'OR oilencumpressors r State boiler permit no.: Business name: ` HP Tons BTUAI Address Q t •ir smo a dampers/duct smoke defectors City: Slate ZIP: Heat pump(site plan require— !' E-mail: nsta repacc urnace ,urner____BT Phone: T' Fax: 7 -r�/ Including ductwork/vent liner U Yes U No CCB no.: 11 all/replace/re ocateheaters--suspended, City/metro lic.act.: Q wall,or floor mounted Name(please print)' ?r J.. Vent L(ir apV ianceot ern an furnace e Reran on: Absorption units �1 Name: ``rr Chillers HP ��VVf� KCvQ``t - ('um nessor ----- f ill Address: �G -�_r�1 ;nv ronmens I I ex h a us An vent at on: Slate: Appliancevent Phone: ;JG 1, I-ax: ti E-mail: hycrcx ausl uo s, 'ype res. ilc cn/harnrtl hood fire suppression system Exhaust fan with single duct(bath fans) Name: _ Mailing address: ixhaust s stem a art from leadingor AC Fuelpiping an st ut on(up to outlets) City: State:-- — 'LIP: Type ----LPO NO --_. Oil _ Phone: TI ;t --- — I "'•nl �cT�i,in cachadditionuluvcr outets Liu lot N M rocesspiping(sc ernaticrequirec) Number of outlets Nantr: q w ___ ter sr appliance or equ pmenit Address: 'A 5�'• - Insert ttvefireplacc city: G A State: v ZIP: �1 nscrt-ty c moo stove pe el stove I'hanc: - ?`^ 3' E-mail: — Applicant's si - Date:-' ter: — Name (print): y Permit fee.....................$ _ Not pli)ori.%djclirxu oxelx credil cords,please call Jurisdiction fix num infrxmatum Notice:1hhi5rmit H iteation Pe pP Minimum fee................ U vino U Mastercard expires if a permit is not obtained plan review(at ..__ ` ) $ —_ Credit card atttnhrr . - _L_Lwithin ISO days after it has been _ — _ I`ar1fef � State surcharge(89F) .... _- accepted_--_— ted as complete — Nutrr of rardbnitkr a (flown on�h card $ p p TOTAL .......................$ Cudholrkr d nature - — - Amount 440-4617(6r0 MM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: _ _ -- -- - TOTAL VALUATION: T _ _ PERMIT FEE: Table 1A Mxi1A M Price Total $1.00 to$5,000,00 Minimum fee$72.50 Tabechanical Code City (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or includi•ig ducts&vents 14.00 e 100,00 u Frnac0 BTU+ ` fraction thereof,to and Including 2) Furnace ducts 0 vents 17.40 _ $10,000.00. _ _-�--� --- $10,001.00 to$25,000.00 $ 50 for the first$10,000.00 and 3) Floor Furnace 148. Including vent 14.00 $1.54 for each additional d0 or 4) Suspended heater,wall heater fraction thereof,to and Including 14.00 _ $25,000.00. or floor mounted heater _ _ $25,001,0(5to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units 12.15 _ $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 andCheck all that apply. Boiler Heat Air $1.20 for each addllional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp* 7)<3HP;absorb unit Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU 14 00 8)3-15 HP;absorb 8%State Surcharge $ unit 100k to 500k BTU 25.60 9)15.30 HP;absorb 25%Plan Review Fee(of subtotal) $ unit.5-1 mil BTU 35.00 Required for ALL commercialeermits only 10)30.50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP:absorb 87.20 - -- -"- unit>1.75 mil BTU 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM+ 1720 DescrVtlon: Q'. Ea Amount Furnace to 100,000 BTU,Including 955 _ 14)Non-portable evaporate cooler 10.00 ducts&vents Furnace>100,000 BTU including 1,170 15lVent an connected to a single duct6.80 ducts&vents _ -- Floor furnace Includin vg ent 955 -. 16tion system not included in 10.00 Suspended heater,wall heater or 955 nce ermit floor mounted heater _ __ 17)Hood served by mechanical exhaust Vent not included in applicance 445 10.00 _ 18)Domestic Incinerators 1T40 Repair units 805..-- <3 hp;absorb.unit, 955 19)Commercial or industrial type incinerator 69.95 to 100k BTU 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 10.00 101k to 500k BTU 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to tour outlets 5.40 mil.BTU - 30-50 hp;absorb.unlit, 3,400 22)More than 4-per outlet(each) 1.00 1-1.75 mll.BTU _ OT $ -- >50 hp;absorb.unit, 5,725 v Minimum Permit Fee$72.50 SUBTAL: >1.75 mil.BTU _ __- -- Air handiin unit to 10 000 cfm 656 8%State Surcharge $ Alr handling unit>10,000 cfm Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a eln_gle duct 446 Vent system not Included In 656 _ Appliance ep mtlt lather Inspections and Fees: Hood served h mechanical exhaust 656 1. Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator__ _ 1,170 E72 5o per hour. Commercial or Industrial incinerator _ 4,590 _^ 2 Inspections for which no fee is specifically indicated (minimum charge-half hour, $72.50 per hour Other unit,including wood stoves, 656 3 Additional plan review required by changes,additions or revisions to plans(minimun Inserts etc. charge-one half hour)$72 50 per hour Gas Ing 14 outlets 380 Each additional outlet _ 63 'State Contractor Boiler Certification required for units 2-200k BTU. "Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL $ VALUATION__ _._. I:\dsts\forms\mech-fees.doc 08/06/01 H .LNC. - � ROVA KES CUSTOM HOMES ff fINTEGRITY is OUR fv\w,(\ FOUNDATION Itrc S7. L.,o (Alt \6) 10 1 \C j I-It vvil 6(a ve P- o, -vxeA CITY OF rIGARD BUII-DING INSPECTION DIVISIOV MST/lu� 24-Hour Inspection Line: 63 A 75 Business Line: 639-4,, 1 BUP _ Date Requested AM _PM BLD Location �%�-� J � � ,a[��i�-- ------- - MEC - -- Contact Person Ph PLM Co ,� - ------ Ph SWR -------- UiLDING _ Tenant/OwnerELC __— all �— � ELR I ooGng Access. Foundation FPS Ftg Drain SGN - -- -------_----- Crawl Drain Inspection Notes -- — Slab SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation 7��l �, —[ - Drywall Nailing 7,. -- ----_ �+_!��/yT V� � Firewall .,— Fire Sprinkler S ---- ----- -- Fire Alarm Susp'dCeiling Roof Mi -- ---��- � --- - - - - --- - S PART FAIL - -- ----- ---__QLAMING Post&Beam -- - --- --- - -- Under Slab Top Out --- -- - --- ---- Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam - ------ Rough In Gas Line Smoke Dampen: Final -- - PASS PART FAIL ELECTRICAL Service Rough In - IJG/Slab -___- I_aw Voltage I ire Alarm - - --_-- ---_ -- ----- r inal -_..Final PASS PART FAIL SITE Backfill/Grading -- -- - --- -- -- ----� Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next ins .ction Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for r spe on RE. _ . nail to I pect-no ccess Fire Supply Line ADA Approach/Sidewalk O3 �c- Other i Date _ _�—-Inspector _ ext Final PASS PART FAIL 1 0 N?FTREMOVE this Inspection record from the job site. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _ Date Requested ._._.. _ - __ AM __ PM BLIP Location D 1 Suite_ G MEC _3=-U 30 2 Contact Person — Ph(r -_) 3 S ( � _ PIN Contractor_ . -- -- __-- --- Ph(— ) _-- SWR BUILDING Tenant/Owner . _ ___ - - - ULC 3 Footing I- ELC Foundation Access: Ftg Drain ELR Crawl Dr-in _. Slab Inspection N s: 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 PLUMBING -- Post R Beam-- Under Slab Rough-In Water Service --- - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other:_ Final � -_- PASS PART FAIL ECH A� _ Post b-ffeam Rough-In --- Gas Line Smoke Dampers in _ - �P FAIL -- LEC RICA_L _ Service Rough-In - UG/Slab Low Voltage Fir%6,larm rial U Rainspection fee of$_— _required before next inspection. Pay at City Hall, 13125 SV'! I i. III _ PART FAIL _ SITE _ [� Please call for reinspection RE:_ Unable to inspect-no access Fire Supply Lina ADA Date_.L--✓,�-�� '�1 Ins r ` `'`� G ��`�_4� xt Approach/Sidewalk _ — Other: Final DO NOT REMOVE this Inspection record froin the 16 site. PASS PART FAIL CITY OF TIGARD F11 �q co� ',WASHINGTON COUNTY OREGON VOLUNTARY COMPLIANCE AGREEMENT AND TEMPORARY CONDITIONAL CERTIFICATE OF OCCUPANCY RE: Tax Map 2S109AB Tax Lot 10800 Doug Roake 13010 St. James Ln. Roake's Custom Homes Tiaard, OR 97224 POBox 7388 Aloha, OR 97007 1, Doug Roake, responsible person for permit MST2001-00504 regarding the above property, agree to the conditions set forth below and promise to fu'ly comply with them. This is a Temporary and Conditional Certificate of Occupancy issued today for a period not to exceed thirty days, by which time the following conditions must have been met and approved by the City of Tigard: Permit MST2001-00504 must be completed anti approved, including all outstanding conditions, corrections, ancillary permits and fees, and specifically including the correction listed on the inspection report dated 4/25/03 concerning the handrail at the front entry stairs. I understand that with this agreement the City will withhold further legal or enforcement action regarding these conditions until 5:00 pm on Friday, June 27, 2.003. Upon compliance with all the above conditions, this case will be closed and a permanent Certificate of Occupancy will be issued. I further understand that if these conditions are not complied with fully this Temporary and Conditional Certificate of Occupancy will become void at 5:00 pm on Friday, June 27, 2003, after which time I and any occupants of the premises may be served with a Summons and Complaint without further notice for violation of requirements set forth in the Oregon One and Two Family Dwelling Specialty Code (Final inspection approval required prior to occupancy). Signed: Date: Thursday June 12, 2003 owney Date, �r Ojitle: 06� Signed: ---- - �-- --- City T aid. ,C �? -"1 Wednesday, June I I, 20U' CITY OF TIGARD / OREGON V-'Doug Roake Roake's Custom Homes POBox 7388 Aloha, OR 97007 RE 13010 SW St. Jamas Ln., MST2001-00504. Doug - Thanks for your call back this morning. I've left this note for you in case neither Hap Watkins nor F are in the office when you come by. Please sign one copy of the attached Temporary CofO/Voluntary Compliance Agreement and leave it and the check for $90.00 to my attention. We'll mail you a copy of the agreement when we sign it. The previous agreement expired on May 28 so we've set this one up to extend that by another 30 days until 5:00 pm on Friday, June 27. June 27 is only two weeks away, of course, so your homeowners should understand that it will he to their advantage to expedite ordering and installing the handrail. By copy of this note i'll call their attention to the fact that, if the handrail is not installed, inspected, and approved by the July 12 deadline, they as well as you may he cited for Occupancy Without Final Inspection Approval. The penalties for that violation are up to $250.00 per day and an awareness of that might help encourage them to get the issue resolved as soon as possible. As you know, having an approved handrail installed on the front entry stairs is a safety issue and a "must do" requirement of the building code. it is, therefore, not an optional item and not Something that we can ignore. At the same time and from their perspective, failing to bring their house into compliance might leave them vulnerable to lawsuits if a visitor were to injure themselves on those stairs. If /havey question please call me at 503-718-2426. AI Building Codes l;nforcement Officer cc: Vanessa & Donovan Gladstone, 13010 SW St. James Ln.; Property File. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639 4171 TDD(503)684-2772 - City of Tigard Washington County Oregon Voluntary Compliance Agreement and Temporary Certificate of Occupancy For: Doug Ruake FILE � Roake's Custom Homes PO Box 7388 Aloha, OR 97007 Re: Temporary Certificate of Occupancy You, Doug Roake, as the responsible person for 13010 St James Ln, Tax Map 2S109AB, Tax Lot 10800, agree to the following conditions: A temporary Certificate of Occupancy is hereby issued on a conditional basis for a period not to exceed 30 days from this date, by which time the following conditions must have been met and approved by inspection by the City of Tigard Building Department: Permit MST2001-00504 must be completed and approved, including ail outstanding corrections, ancillary permits and fees. Specifically, the corrections listed on the inspection report dated 4-25-03. It is understood that the City will withhold action until May 28, 2003. Upon compliance with all above conditions, this case will be closed and the Certificate of Occupancy will become permanent. I further understand that if these conditions are not complied with fully, I may be served with a Summons and Complaint without further notice for violation of requirements set forth in the Oregon One and Two Family Dwelling Specialty Code (Final approval required prior to occupancy). / i� ---------�� Date Signed: Responsible Party) Signed: -- Date (In6pAction supervisor) CITY OF TIGARD 24-1-lour BUILDING inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 c� 00 1 -aoSo 1''P-^ BUP -- Received n 'S /n Date Requested__ 3 AM PM - - BUP Location 3 0 dy __Suite_ MEC Contact Person _ Ph( ) .330-3 -7/ a- PLM Contractor �_- Ph(_ ) - -- __._... SWR -- -- --------- - --- BUILDING TP,nanl/Owner _- ELC Footing Foundation ELC Access: Q Fig Drain ELR - Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing — 1 ------ Firowall e" � e 'f ` Fire Sprinkler �--y- -- -- Fire Alarm Susp'd Ceiling - Roof Other: Final PAS RT FAIL UM LING) Post& eam - --__ --- Under Slab Rough-In Water Service Sanitary Sewer r Rain Drains latch Basin/Manhole Sloan Drain Shower Pan Other: ZiA PART FAIL. ANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service - - - - Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection too of$_. ____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE: ❑ Unable to inspect--no access Fire Supply Line / ADA ^ , Approach/Sidewalk Date. Inspector Other ' V/ Final O NOT REMOVE this Inspection record from the Joie site. PASS PART FAIL