13015 SW SECA COURT 130.15 SW So-.a court
CITY OF TIGARD BUII DING INSPECTION DIVISION MST �,� -75-
24-!Sour Inspection Line: 63; 175 Business Line: 639-4. —
BLIP
_ Date Requested � AM PM — BLD
Location_-_ 1 G t CL_ C';itzSuite MEC
Contact Person - Ph ?L S� ,� PLM
Contractor Ph SWR -
BUILDING Tenant/Owner — ELC
Retaining Wall ELR
Footing Access: FPS
Foundation
Ftg Drain I SGN
Crawl Drain inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall 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 Drainsd'P —
ASS PART _FAIL -
ANICAL
Post& Beam
Rough In
Gas Line ----- - - - - -- - -
Smoke Dampers A _
Final — ---
PASS FART FAIL
ELECTRICA L
Service --
Rough In —
UG/Slab _ - — — -- -- ----- _
Low Voltage
Fire Alarm --__ -- ---—
Final
PASS PART FAIL -- -- -----
SITE
--SITE
BackfiillGrading -----•- - ---- ____ _.__ —.
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Cntch Basin
Fire Supply Line [ J Please call inr reinspection RE:_— — [ J Unable to inspect-no access
ADA r7�
Approach/Sidewalk Date I , -�-{— Inspector�`1/ s-'��c7
Other V* _ Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection ecord from the job site.
CITY OF TIGARD BUII DING INSPECTION DIVISION
24-Hour Inspection Line: 63, 175 Business Line: 639-4. , MST r^_
BLIP_ Date Requested__ AM __PM BLD
Location 150 N� 'S�� Suite MLC
Contact Person Ph _- _- PLM
Contractor Ph SWR
BUILDING T-nant/Owner ELC
Retaining Wall ELR
Footing Access -
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes SGN _ _ -
Slab
Post 6 Beam - - SIT
Ext Sheath/Shear
Int heath/Shear
Framing
Insulation - -- - —
Drywall Nailing
Firewall - -------- -
Fire Sprinkler _--
Fire Alarm - --- - -- -
Susp'd Ceiling
Roof - --
Misc: --
Final --
PASS PART FAIT_
PLUMBING ---� - - �-
Post&Beam - _--
Under Slab
Top Out
Water Service
Sanitary Sewer - --- -
Rain Drains
Final -----PA- PAPT FAIL
2alN I CJLX --- —
Post&Beam - --- --------- ... --- - --- - ---
Rough In
Gas Line --
Smoke Dampers
iii - _ - - - -- --- --- -- __ _ _ —.--------------- - ----
PAS PART FAIL
ELECTRICAL - -- --
Service
Rough In - -- --------- ---- --._..
UG/Slap
Low Voltage - - - - - - - --
Fire Alarm
Final __-
PASS PART FAIL
------------
SITE
(Backfill/Grading
Sanitary Sewer � ----- -- ----
Storm Drain ( J Reinupection fee of$ required before next inspection. Pay at City Hall, 13.125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: __ ( )Unable to inspect no access
ADA
Approach/Sidewalk '-
DeExtother
Final
PASS PART FAIL DO NOT REMOVE this Inspectio,r record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST CGG __71
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
-- _Date Requested �o AM ----PM _ BLD _
Location Suite MEC
Contact Person — _7 --- Ph _-7 S3 14 S PLM
Contractor Ph SWR
BUILDING Tenant/Owner EL.0
Retaining Wall — -- ELR
Footing Access —- -- _- —_-
Foundation FPS
Ftg Drain - -- -- -
Crawl Drain Inspectior Notes: SGN
Slab SIT
Post& Beam ---------_..-------
Ext Sheath/Shear
Int Sheath/Shear - - —
Framing
Insulation
Drywall Nailing _
Firewall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ---- —
Misc:
ffi
ASS PART FAIT_
P GING
Post& Bearn -
Under Slab
Top Out -- - -- ----—
Water Service
Sanitary Sewer ----- - - -- ----
Rain Drains
Final - -
PASS PART FAIL
MECHANICAL
Post& 8eani
Rough In - -
Gas Linc - - - -
Smoke Dampers
Final ----
PASS PART FAIL
ELECTRICAL
Service
Rough In -
iJG/Slab
Low Voltage
Fire Alarm
Final _! --
PASS PART FAILSITE
Backfill/Grading - -- —
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: ( J Unable to Inspect-no access
ADA
ApprOtheoarh/Sidewalk Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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CITY OF TIGARD
13125 S.W. HALL BLVD. RFCFIVFr
TIGARD, OR 97223 ��;;
to^ �lJo,
IMPORTANT PERMIT NOTICE COMMUNITY 944.,yMENI
STREAMLINE ELECTRICAL
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit #: MST2001-00175
Date Issued: 5/22/01
Parcel: 2S104DA-12600
Site Address: 13015 SW SECA CT
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 112
Jurisdiction: TIG
Zoning- R-4.5
Remarks: New SF detached rowhouse in Building #12. Setbacks as ;ger sheet A10.10
Plan B-S
Your company has "een indicated as the electrical contractor for the permit indicated above. In order for 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 Dept.
No electrical inspections will be authorized until this completed form is received
OWNLR: ELECTRICAL CONTRACTOR.-
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6025 FAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98661
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELF 344320
SUP ; -
AN INK SIGNATURE I� REQUIRED ON THIS FORM
Signature of Supervising Electrician
r If you have any questions, please call (503) 639-4171, ext. # 310
r
.� WA
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IPlIPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Piumbing Signature Form
Permit #: MST2001-00175
Date Issued: 5122101
Parcel: 2 S1"4CA-12G00
Site Address: 13015 SW SECA CT
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 112
Jurisdiction: l iC
Zoning: R-4 :5
Remarks: New SF detached rowheuse in Building #12. Setbacks as per sheet A10.10
Plan B-S
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed farm is received
OWN - R: PLUMBING CONTRACTOR.-
BROWF STONE HOMES WOLCOTT PLUMBING CONT. IN::
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: 1 Ir 23847
PI M 26-208PS
AN INK SIGNATURE IS REQUIREC OWN THIS FORM
X
Signatu?P- f 4Mrforized Plumber
If you have any questions, please call (503) 639-4171. ext. # 310
CITY
�� ������ _ MASTER PERMIT
PERMIT #: MST2001-00175
DEVELOPMENT SERVICES DATE ISSUED: 5/22r01
13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171
SITE ADDRESS: 13015 SW SECA CT PARCEL: 2S104DA-12600
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 112 JURISDICTION: TIG
REMARKS. New SF detached ro vhouse in Building#12. Setbacks as per sheet A10.10
Pian B-S
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT. 31 FIRST: 173 of BASEMENT, of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 428 of FRONT: PARKING SPACES:
TYPE OF CONST: 514 DWELLING UNITS: 1 FINBSMENT: 580 of RIGHT:
VALUE: S 138.830 OU
OCCUPANCY GRP: R3 BDRM: 3 BATH 2 TOTAL: 1.488 00 of REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN ',,,u TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS 2 CATCH BASINS:
TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PRFVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN<100K 1 BOIL/CMP<7HP: VENT FANS 1 CLOTHES DRYER: 1
GAS FURN>-100K: UNIT HEATERS: HOODS. OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOOOSTOVES, GAS OUTLETS: I
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 • 200 amp 0 200 amp: W/SVC OR FDR: 2 PUMP/IRRIGATION: PER INSPECTION.
EA ADD'L 900CF: 3 201 400 amp 201 -400 amp: tot WIO SVC/FDR: 00 SIGNIOUT LIN LT PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 800 amp: EA ADDL BR CIR: 1 SIGNALIPANEL: IN PLANT:
MANU HMISVC/FDR: 801 1000 amp: t101+ampo-1000v: MINOR LABEL.
10004 amplvoll
PLAN REVIEW SEC rIGN
Reconnect only: >000 V NOMINAL: CLS AREAJSPC OCC
:,-4 RES UNITS: 9VC/FDR>=229 A.:
_ ELECTRICA_L•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL _
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STFREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR:
HVAC: DAII AITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL_ FEES: $ 3,553.49
This permit Is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC Tigard Municipal Code,State of OR Specialty Codes and
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in
PORTLAND,^!' 91223 PORTLAND,OR 97223 accordance with approved plans This permit will expire if
work IS not started within IFO days of issuance,or if the
work is suspended for more than 180 days ATTENTION.
Phone: Phone: Oregon law requi es you t0 follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg#: LIC 1246.7 forth In OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246.1987
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor Insulat!on Electrical Service Low 1 oltage Firewall Insp ppr Sdwlk Insp
Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp lett cal Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace RDof Nailing ech nical Final
Foundation Insp Mechanical Insp Shear Wall Insp ')sulatlon Insp "4081 r Line Insp lum Final
Slab Insp Plumb lop Out Exterior Sheathing Insl Gyp Board Insp Wate Servi 1 p incl spection
Issued B ' Z �'-- Permittee Signature —
uall (503) 639-4175 by 7:UO p.m. for an inspection needed the ext business day
SEWER CONNECTION PERMIT
CITY Y OF TIGf�R®
DEVELOPMENT SERVICES
PERMIT#: 5 -00117
� DATE ISSUED: 5(222(012/01
13125 SW Hall Blvd . Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DA-12600
SITE ADDRESS; 13015 SW SECA CT ZONING: R-4.5
SUBDIVISION: QUAIL HOLLOW - WEST JURISDICTION: TIG
—.—BLOCK: _LOT: 112 -- ---
TENANT NAME:
FIXTURE UNITS:
USA NO:
CLASS OF WORK: NEW DWELLING UNITS: 1
NO. OF B
TYPE OF USE: SFBUILDINGS. 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection;or new SF detached rowhouse.
Owner: FEES
BROWNSTONE HOMES Type By Date Amount Receipt
12670 SW 68TH PKWY#200 PRMT CTR 5/22/01 $2,300.00 272.00100000
PORTLAND, OR 97223 INSP CTR 5/22/01 $35,00 27200100000
Phone: 503-598-7565 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections —
1
This Applicant agrees to comply with ail the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the rate issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the acciarac,• 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 purse a"Tap and
cy will install a lateral. A
Side Sewer" Penrit and the AgenTTENTION: Oregon IjM�equ`h� s yoG to follow rules adopted
by the Oregon Utiuty Notification Center. Those rules are set forth in OAR 95 001-0010 tTtr u h A 52-001-0080
-19 .
You may obtain copies of these rules or direct questions to OUNC by calling(p03) 2 68
Issued b y: Permitte., Signature:
Call (503) 639.4175 by 7.00 P.M. for an inspection needed the nest business day
Building Permit Application
-- — Date received: -
City of Tigard Project/appl.no.: Expire date:
CiryoJTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503)639-4171 Date issued: By:t N Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
Ok Of PERMIT
C'h &2 family dwelling or accessory U Commercial/industnal U Multi-family b New construction U Demolition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: —
O
t �I C t �_— Bldg.no.:
Job address: L Suite no.:
Lot: Bock: Subdivision: T . Tax map/tax lot/account no.:
Project name: Q A L 1 UV --
Description and location(if work on premises/special conditions: &u�
t
Name: 'j-ICO*KJ3
Mailing address: M,610 Sw u6t-' ►ikWA✓ 1:1O 1&2 family dwellidg:
t
City: 7 A K10 State:Cr ZValuation of work....................1................... $ � _No.of bedrooms/haths........... '
Phone: Fax: 8 gob I E-mail: � .. .............. —_--- --- ._
Owner's representative: I✓1 1?_ bAp� � Total number of floors...............3.............. _
Phone: q3 S1 `1 I a1 57q X19'1 1:-mail: New dwelli,.tg area(sq.ft.) .....L.��?....... -
APPILIVANT C,arage/catpwt area(sq.ft.)......................... _--
Covered porch area(sq.ft.) ........`...............
Name: a A5 __ 6 ' ' 4Ca so Fi
Deck area(sq.ft.)........................................
Mailing address: Other structure area(sq.ft.).........7 .............
City: - State: ZIP:
— ---- Commercial/induslriaUmultl-family:
Phrne: �I',+k !. mail
Valuation of work........................................ $
Existing bldg.area(sq.ft.) ..........................
Business name: � �5 A�t511e� New bldg.area(sq.ft.) ................................
Address: Number of stories .................... ...................
City: — State: ZAP: Type of construction.................................... _--
Phone: - Fax: — E-mail: _ _ Occupancy group(s): Existing: _-
CCD no. New: _--
City/metro lic.no. Native:All contactors and subcontractors are required to be
ARVII11TV"IDINIGNI It licensed with the Oregon Constru.tion Contractors Board under
C1 1 d provisions of ORS 701 and may be required to he licensed in the
m
Nae: _ jurisdiction where work is being performed.If the applicant is
exempt from licensing,the following reason applies:
CitState:WA I ZIP: /o 101
- _
Contact person: Plan no.:
I'hone:'�b- 457-921Fix: :4 7- E-mail: -
11M ILI 11
Contact person: EN) 6 I I I� Fees due upon application ........................... $ —
Namc:WQ E61(_ —.—
Address: 4�fa �jt�-� �1i H t� Dere rea,ived:
StateO ZIP: 1� Amount received ......................................... _
City' - Please refer to fee schedule.
Phone;ft --1 b 3 Fax: E-mail: -- -
1 hereby certify 1 have read and examined this application and the Nnt all iuriwicN"ro accw credit cera.,pleim call iuriwiction for atom infOrnwdon.
attached checklist. All provisions of la s and ordinances governing this U visa o MasterCard
Credit card number — —�
work will be cumpliehWit�1.whet cified herein or n'o�t/.' _ rxr++na
Authorized n�Q��
_ Date: ��C( N�°r c�ml W ahow"an"fit card
S
Print name: y, — - Cardholder it un _ Amamt
Notice:'11th permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 416161]ttLOUCOMI
Mechanical Permit Application
Date received: Permitno.: s
City of Tigard Projectlappl.no.: Expire date: _ ^_
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 57223 Date issued: By: I Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: F'aymcnt type:
LBuilaingpennitno,:
Land use approval:
611 W 5U11 413d�
&2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
®New construction U Addition/alteration/replacement U Other:
t VA I t
Job address: L 7~_ Indicate equipment quantities in boxes below.Indicate the dollar
Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/taax lot/account no.: profit.Value$ 5LID000 .
Tax
Block: Z02
Subdivision:Q p„I �, "See checklist for important application information and
Project name: (;�)�� TUi�1vN0►u�• jurisdiction's fee schedule for residential permit fee.
City/courty: lit iAue H Z[P: 22 1 1
Description and location o work on premises: =� rdn V1 lot t t 1
f.ee(ea.) i'otal
lyl
Est.date of completion/inspection: Desai Rea.od Rea.od
Tenant improvement or change of use: Air handling unit Cl'M � _
Is existing space heated or conditioned7 U Yes U No it conditioning(e'tc p an
Is existing space insulated7 U Yes U No -.;:'In`g}Ht`systcm _
of er
Business name: oU ,S A 11 Cool nr State bc.I BTU/H
address: O toAIL I i-F 09mola 3Fc-etectors
City: _v(L'I A Statetx 210 eat pump(s
Fax: taTlTp-F r r..,rner!-.
Phone: BTUIH
7-S`J 775 1141 E-mail:E"mail:= Including ductwork/vent liner U Yes(]No
CCB no.: 2 ns�allTreTcre ocate eaters-suspended,
City/metro lic.no.: C)D w 1 0?-S wall,or floor mounted _
Name(please print): gni Tor a,Lanao er an urnece
CONTACII PERSON t en
Absorption units BTU/H
Chillers.____-.. HP
Name: I IVB Com pressors _ HP
Address: -Favilronmental ex cast and ventilation:
City: State: I ZIP: Appliance vent
Phone: Fax: E-mail: Dryerexhaust
Hoods,Type res.Mir a a7.mat
hood r*e suppression system
Name: e ��_ Exhaust fan with single duct(bath fans)
AMA Mailing address: x oust systema art from hcaun or
AC
State: ZIP: ue p P ag and si but on(up to outlets)
Type: LPG Na �_ Oil -
Phone: Fax: E-mail: ve piping eacfi a c ionaiover 4 outlets
piping(schematic requi )
Number of outlets
Name: _ S A a 1- A L k± Otera�a or equipment:
AddWss: Decorative fireplace
CitState: ZIP: Insert-ty
Fax: E-mail. Woodstov et stove
Phone: tier
Applicant's signature:
Name (print): _7-1
-•
--- Permit fee.....................$
Na all(U0diciiau WcW credit crab,please call iurU,6et1cn fa mac inra+nriar. Notice:Thisnnit application Pt PP Minimum fee................$
❑Visa U MasterCurl expires if a permit is not obtained Plan review(at 13b) $
C edit cud number: - - - Expires - within Igo days after it has been State surcharge(8'16)....$
--— - accepted as complete.
--- cu�idn o sMwn a,credit cad s p TOTAL .......................$ —_.
C'rdbolder riputure Ataoaal 410/617(t1 COM)
s
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VA_LUA'r ION: FEE: D ascription:-� Price Total
$1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Oty (Es) Amt
$5,001.00 to$10,000.00 $72.50 for tite first$5,000.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or includin ducts 8 vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. _including ducts 8 vents _ 17.40
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 am 3) Floor Furnace
$1.54 for each additional$100.00 or including vent_ 14.00
fraction thereof,to and Including 4) Suspended heater,wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000 00 and 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or 6.80
fraction thereof,to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Alr
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Com •
7)<3HP;absorb unit
ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00
8)3.15 HP;absorb
Q Vale Total unit 100k to 500k BTU _ _ 25.60
Description: Amount
9)15
Furnace to 100,000 BTU,Including 955 HP;absorb
unit.5--11 mil BTU 35.00
ducts 8 vents ---_ 10)30-50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil DTU _ 52..20
ducts&dents 11)>50HP:absorb
Floor furnace Indudin j vent 955 unit>1.75 mil BTU 8720
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater ( 10.00
Vent not Included In appllcance' 445 13)Air handling unit 10,000 CFM4
permit 17.20
Repair units 805 14)Non-portable evaporpte cooler
<3 hp;absorb.unit, 955 1000
to 100k BTU 15)Vent fan connected to a single duct
3-15 hp;absorb,unit, 1,700 A- 6.80
101k to 500k BTU _
15.30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not Included In
-mII.BTU a Iiancepermlt 10.00
30-50 50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust
10.00
1-1.75 mil.BTU V-
>50 hp;absorb.unit, 5,725 18)Dornestic Incinerators
_ 17.40
>1.75 mil.BTU 19)Commercial or Industrial type Incinerator
Air hardling unit to 10,000 cfm 656 69.95 _
Air handling unit>10,000 cfrrl 1,170 ! 20)Other units,Including wood stoves
Non-moble eve rate cooler e5e 1000 _
Vent fan connected to a sin I#a duct _446 21)Gas piping one to four outlets
Vent system not Included In 856 5.40
appliance permit --- 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 1.00
Domestic Incinerator 1 170 -- Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or Industrial Incinerator 4,590 _ $�2
Other unit,Incloding wood stoves, 656 - 8%Stats Surcharge
Inserts,etc. _
Gas piping 1-4 outlets _ 360 25K Plan Review Fee(of subtotal) $
Each additional outlet_ _ 63 1 Required for ALL commercial permits only G
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE:
VALUATION:
Other Inspections and fsti:
1 Inspections outside of normal business hours(minimum charge two hours)
872 59 per hair
2 Inspections for whk:h no fee is specifically Indicated (minimum cherye-hell hour)
$72.50 par hour
3 Additional plan review required by changes,additions or revisions to plans(minim�am
diarge-one-half hour)872 50 per hour
*Stale Contractor Boher Certfflcstion required for unlb>200k BTU.
"Resldoutial A/C requires site plan showing placement of unit.
IAdstMforrns\mech-fees doc 10/11/00
CITY OF 'rIWAD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Date Requested f A1\A ✓ PM BLIP
— BLD
Location. Suite MEC
Contact Person Ph -3�,,c 772- PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access.
Foundation FPS
Ftg Drain SGN
Crawl Drain inspection Notes:
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Fost& Bearr,
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAII
MECHANICAL
Post& Beam
Rough In
4A
Gas Line
Smoke Dampers
Final FAIL
V
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
'r= --
PART FAIL—
SITE
Backfill/ di
Gradin5—
Sanitary Sewer
Storm Drain r4mispectfoi,fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for rel-ispection RE Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date I'/- / 2 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record froni the job site
Electrical Permit Application
City of Tigard I'rnlltel/tppl no - eapred�se: _
ItYtainRard Ad4maa: ',312:1 5W Hall Blvd Tiprd,OR 97223 NteIssued• P
Plwwtr: (501)639.1171 -
Past. (V)3)39&IW (.-m bld no per wAl type
land use approval: _.
'A2 fstlily dwelling w ameaK ry D CommrelslArAutthall O Multi•funily �1 Trnam imptvvonvw
New Construction U AdditkWalterw(Wrepismmit O Oth:r. LI Penal
soh atldnse: _ 81d�,no. 5ulue n,:�. �'an m ae In�ecoeunt no.: M--.._
lcx: - Ellock: Sulxliviel0o: t�ta.1L Fkllltt.-N wte%r
Project nan,s: kll Ne I lot. +�kn Ion sed Iaatxm of wak t* +fie Iseaf e0Xft1611tnW
'I,rtimrtuod date d NIMPlefiCIVINPOMOn:
nsa
r.y
Eltarltawts rums' I a rIl]•l C1K_1:IP.G ' 1�_ et►/.ar
walmi.6ond4 r•►
V a n r o u v o 1- Suste W A ?dP 9 A 6 61 sar.bttt+:sa
PEaorls: 9 3- 5 0 U -
y Pa+�:t c rrs11 - IaooM�n
,...�. —— w -- " n
G"—Lk"sou n.orRd
CCE!no.:l 1 6 5' 4 HMIs.but.lic.nn- 34-432C
Llaa,rn ear ""dal -_ _ �s d ��•
Clty tetm Ile.1W.; — Un�tr emnz nne retWenunl
!- '�muwfxw�Ate ur raRtulat danllhtq
%Inoue a of 91=16l•�
t.laense IID � M faarua'lrit i~Mlw.
.alan aMIM 1): a1MrNlae K NtM•MIM: '1d
100 ami leas 1
is, 4on
Nerve(ptl—L� ,� �I , 1 � �c5r w6 —
WW -------
CYt��•f�,•�X� _ ��4t►'�•C►' ?JY ��2. Ti;:�iu»•�t von _ 2 _
pllOtlf pt11�7 V b I.ntu l� .� R atwNlerl a��t
Owner!nlnritttririn' 1tsaJlst fi a inp MW% ;n;Wq"tty t ttrn eer.�i r Aare.
ret lllsdewasrtrroln►arraaacwslest
which is not irllan4-11 los sale.1 rx each"UVWdlns to 200 trtr�a�ltat 1
OkS IA7,1».114 01101 101� b� anpa 1
OWTIWa I Dw;
t� Rww�i �ilnwM rrw,
M aaatttabe y+p4mb
Nrttrte _ _�!-.�_ A. Fw ra brNM s+'•riu wMlt/oroheer M
AA�aa.� .--- wr�ire o►1eMlar earn brauUPll a1H*►h � .-
I std: 173P N let 4xaneh drte .ehOUl pWtnNe
-'-' --F 4 NMoa or feade rr AM ttrm h ic
cimmil;
a,d,adelu2
Fltottc, E,mail: ind ,u —_- .
( 4 a _not
4 M'Hl+neu113 awgtoatwlaw D kaliA.lara4ttYMt P_"�R o:.'n c(+cle _ - 1
O Irb+I S70 a spa-q*W4 of 142 C'KUNPIAMA I(GOAAt
fatalr d"tlryt 1;'Rolm"oM 10,ow•tr W"Ow*W IN elmrt(tl x a IrM-wd rntr�y
p y+tw o�lW0•alta IMI"Mw Rn.a MAdit N erwa.n MW tlt to attaMUun.a ea leaden' - _ �_I
(1 Frd�rwwdaaa tbtiN 0 pandas 400 r n"w-.eta •typt�on �e�
D own"*bM toe"'Mm U Maawft sad fia(4tltae a RV wW LV7a, WrA= _
C)p4aa4Rip11t Psora Q CJI!a*. .-.. -- Pam,Iftrwo a
nln�sdt.--sass d/Istat wM�ety Pf rM tItllM. tn..+dLuo■Tie .__ .�.��,..
71rt aMn srla.a e��st.k�w I«.rN.,�e...4+a�..t�r..k.•
r�rlTnil
tva ... ..........
r�,...� . s
Ma dl, aaalt ww.tit•eyi}na�ss ra�...r+•�r«►�
ior�h�t prrnerp'latiaw Pia rWAew(at — %) S —
CI Wg
a U mmwaN eapirr +lt,If•prrtnm n no,btsis
CAO tma NMW -. a 1_- WMhla 180 days aAw it aN bow Stag Iurchttr*e(t!�)..
—TAW M—PWA TOTAL .... ....S
_ 1 _
?('. 'I' "N'd JI211�13�3 3JI7Wh3�_� L7EOStE,E09E SZ:Li 100i,190.T0
Mar-06-01 03:05P Wolcott Plumb incl 503 667 9891 P .01
01?00/01 'rVr% 14:41 VAX 50a SOS 196() cl l•Y of -riam,
I�ou?
Plumbing Permit Application
A4. City Of Tigard Dateructve4 Pernutno.:�><. fir ^n/7
Addrenk 13123 SW Hell Blvd,Tim 1,OR Y7221 Sewn permit io. _ Budding pentit no.
CifyoJTisard Phone: ('011)4539.4171 hoject/appino: e!cpusdate:
Fax:: (50.1) IY&1960 Dateia.ued - By
Fa : ReceipuK,
--
1'WW use approval: — -- - Ccsc file mo _ paytnentlype:
U I &2 family dwelling ur occc%mory Q Cummiacial/rndustnd C3 Mu:(!-family :,Tenant improvtmcnt
O New covittuetloo O Add{tic n/Alteratnrm/tcpix:ement U Food bcrvice. U Other
fill aim rM 4
Job address, c if 1` _Descrl tion Qfy. From To 11
Bld .nu.: ? 34AID n5 no. --- --J Ne^ I.and x4vallrwe Inco y�
- (lncanfretWft.forarcbutilityrono"llioc)
Tru map/tax loveccouut no � SFR I I)bath
l,ul. Alock ---�S—ul+-di„sfon: -� - -
------�• ---------_ _ W�i�h(2)bath
Project tiarnc:
Cityicoun : - LIP: _ hach od{done uc en "
Description and location of wca(k un ptrtttlses: SlleutWliee:
_ Cakh bssia/area dmvi
Est.date of completionnuspectuin — c11 lace ripe/uertc _
e+elin dr'�'arn lin. --
gnu ro-C-tu-TC4 home uhhues
Addtrae:��. 4p 20 O") R am drain connector -
Crty. I'tyLw.nr. 9leted :1P• �_- sewe�(na• o �'i�_— ---
Phone'So3-i�7-lilt rex aj—_4fI11 I E•rnail, yLoOk—eWrY toftnsewer no.T -
CCB no 2,g�]_ plumb.bw.reg.o0 24-to d Pp Later veMce CyW lin I,
Cir tymetro lic no.: Irtnture or Newt
Ab- tion valve;
Coo actor's reprweetedvc suture: .. �_
-- MacTk ow preventcr
Pr C" 1..', e1 4
of Water verve—
Name,
a veName• C odws wuhct _.
~60n tountain(s)
City. sure S1P; 4 ec comp —
Phoue: Fast E-mail. x anslon tun
illurusewgr ca _ —
Fltiria r- oor s{ %au6
Name(print): _ _ _
Maw.rddress — dis -_---
City. Hose bobb �_--
Y cern et
Pbune. rn,e: F snail nitrcc for reeve trap
Qwne, m.talluttun/restdentral muntensrxe ail;•: Thc actu.•il installation I'rmer(:
will be made by rise or the m:untenance and tepasrnude by my regularoo r:un(commercial
employcr on the p-operty I own as per OILS Chapter 147 Sink(s),baetn(s%,
Owner's sl newrr E)Kc, _ _ump ---'- "`
u�cr o�n
Nanta; l'nn
----- -- ares a oset
r
AJJre t. auaxr _—
Ctty
State
r
Phone: —__ Fit
,wall)W...eCjWM as W credit urdr.PIraaa tali u irYraee to nwc,n pnMiien Minimum fee... .
Wotfx This permit appliubm
U'Aim o Ma,urc'arl expires if s ret-,rh is out obtained Plan
(`t%utuharot(896) ,.S S+
wirhln 180 days alter it has been
� rM
v.n, �i r.y�otoei+�rrti-;'r.n cre.W ea► "`" naupted N_1�
w::ompkte 1'O�'r11L ,.......,•.....•,......S
_.— — aM Jn.t°mwn �. ArrZ-0 bC 1Mu°tar6QG�Clwl
IPlar-06-01 03:05P Wolcott Plumbing 503 667 3891 P.02
11i06/01 TUE 14:42 leA.1 509 59A 19(;9 CIn OF 11CARI)
PLUMBING PERMIT FEES:
1 ---- -•.—�- -. RIQ�'t; TarAAL Now i and 24Onilty dWe�(I�pf Only: __�_,. ._,�
i FIXTI�L3 ILndIVWua11_ ATN (eall . AMOL64T (Glphulas all ptumb np'lixtutN In PRICK TOTAL
rS1r,K 16.61 4Wthe dwe0fny land the AnillDO fl- GTv. (eq),' AMOUNT
Hatt
Lavttor
Tu-b or-WS—nuwei;o�u — +es i JLa 1 5240 so
` _ wo hl ba _ 5:50 co _
Sh;war Ony - 10.8) Tftr�e(3]b+M _ FJ99 00 —
raur CIcuN 1 (JpTOTAL
11nna1 � 6 ��_a%r�A AT'!SURCIIAROf. „ .- I
L - `i
Qia O,ner 16 tl0 �P4AN fVIRW�3`/�Of SUBTOTAL
Oarbaga Gkpottl � 1 „-„_�• _ TOTAL
Laundry toy
nsMnp Madilna r�—i 1 r
Floor Drs11N our 91gk !` —� 16!0
---- PLEASE COMPLETE:
�• _ 1ei�
haitr naatlr O ConWr1 do
like kind 15(6 .I. Quanti J� k Per�onnItd
Cas piping requwN a 60021814 owfix-Al I �� FI><M Ty041. New A1ov4d Raplaeed RemoveCl
r.
MFG Immo New iXW SeNiCa 40.0 Sink
Mh13 llcrrie Iraw SaN9tOrm ewer 4e to lavgl
U ul udl$hower
Nose d tr 10"0 CnmhlnaUon
_G _
Roof 0 ame 10J 0 -S7t,
Drin811t0 Fountain 16.1 A wafer Clout
16110 1 nra
0-6w FM!urr(apacly) � hhwather .
Gaibe oo Cla oe�l __.__
Lmundry Roam Tr
-- -
Washing Madrno
lour rain! 'nk'
91wer-1111 10� JL- ea.to -'�'- J'
Sower-ase addiWIN,100' 46 10 4- _
YValrr 3mlrco-I It 100 Wei eatef
Wa-ar Service•each ao20
dl.�ln�r 0 4a 10 OO+ar F,al�fN
.,lam 6 Rain Orslr•'fl�Oti' �- 35,
Slorm 6 ROIs rav•a.cn adnll
1181100, 46.10
CtMtinelcill. Back Flow PIwe;fw"Owe 46 W
Hesldentlal Naafi-.PleventU wKa- 21 55 _
Gatch Basin 16 60
Inspectlun of East-1n Plumtlln9 of gPeCtillir T7 9Q
R046 tied Ins actions 41• COMMENTS REGARDING ABOVE:
Rain Oral^,sirgle forrity,dwelinq "25
Orlese raps - -
1650 ---
QUANTITY TOTAL
4ort111nc ra 4sa�raaparn n•puad it I �" -- __... �'_---------- -
_
'6Ut6TGTAL. -
- A'h STATE SUFiGNARGE —— - ---------- --- -�
••PLAN REVIEW 25%OF SL.ATOTAL
Rr Vr�d,r^r Ilutu is felt'III G
T3TAl:
_. _.�
I Mihlrn+ln palvrn41141s$12.50•1%stare ii echoer,o1r,4 l Rc1,11". 1N eaulraw
P11voer.!,,Deva c,wh.th,a 1114.J!•1%0010 W K rlarel
"All Now Cerhrharolal au111lr1es rpquul Pla'11%itt 4omr1•,r Q"%v"(Sm n d
e1311-rdow.
I�stsUorrnalplm•kes.doc 'Clio/J0