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13045 SW SECA COURT W t7 A C1t U) cn n W n O 13045 ISW Seca Court 'n CITY OF TIGARD Bill!-DING INSPECTION DIVISION° MST Zc it'Z �7d 24-Hour Inspection Line: 6, 4175 lousiness Linc: 639--. , 1 BUP _ _Date Requested 17 —_—AM_ PM — BLD Location / O � � i,,._ Siate MEC Contact Person Ph -3 5 y� PLM Contractor Ph SWR BUILDING ---� Tenant/Owner — ELC Retaining Wall _ ELR Footing Access Foundation ` 7 FPS Ftg Drain SIGN Crawl Drain Inspectior. Notes ---------- — Slab ---- ------ — -- --- --- SIT Post u Beam _—.----__—__-- Ext Sheath/Shear Int Sheath!Shear Framing Insulation Drywall Nailing Firewan -- - - ---�- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ----- PASS PART FAIL ---- PLUMBING Post& Beam — - -- -- - -- - - -- --- Under Slab TopOut — ------------ -------------- _ Water Service Sanitary Sewer -_-- Rain Drains .,AS PART_ FAIL ----- -------- — ------ —-- --— -- -- HANICAL Past a Boas„Rough !n GesLine - ----------- --- ---- --_..____._... Smoke Dampers Final ----- PASS PART FAIL ELECTRICAL .----.--- -------------_—________-------------------------.-.__-------_ Service --------- Rough 'n UriSlab --- Low Voltage Fire Alarm Final PASS PART _FAIL -- SITE 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 reinspec'ion RE s _ — ( J Uneble to inspect-no access ADA Approach/Sidewalk Other Date r /(l� - -- InspectoP�S _�f�� —�.—__El(i --- Final PASS PART FAIL 00 NOT REMOVE_ this inspersion record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6. 175 Business Line: 639 ! BUP —� Gate Requested — --AM-----PM —`�— BLD Location f G� � � .�-e-G� � "" — Suite MEC Contact Verson _ C `"e Ph 'G- D 77Z Contractor Ph SWR BUILDING -� Tenant/Owner ELC _,-- Retaining Wall ELR —_ Footing Access, �--� Foundation FPS r-tg Drain SIGN Crawl Drain Inspection Notes: -- Sian _ _ - --- --------- SIT Post 8 Beam ------- ---`---- — Ext Sheath/Shear Int Sheath/Shear Framing _ ----_- - — _ Insulation /— Drywall Nailing __-Firewall Fire Fire Sprinkler i Fire Alarm Susp'd Ceiling --- ICS.�"�r 044��'�n-.-i Roof Misc: _____ --• ----- Final PASS PART FAIT_ PLUMBING Post& Beam Under Slab 'Top out Water Service Sanitary sewer Rain Dra'ns Final --- - •-PASS PART PART FAIL. MECHANICAL — — Post& Beam - -- ---_- Rour h In Gas Line -------------- - _ -- ---.—._ Smoke Pampers Final ------- - — ---- _ _--__ ------ PASS PART FAIL ELECTRICAL -- -_---` ^------ Service _ I Rough In UG/Slab Low Voltage Fire Alarm —-- --- -_.- --- ------ ---- rii1- EL PART FAIL ------------- ---- ---- SI E �- Backfill/Grading Sanitary Sewer Storm Drain [ I Reinspectior fee of$ _required tifore next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basi ( I Please call for reinspection RE: ( J Unable to Inspect-no access Fire Supply line ADA Approach/Sidewalk / ; �.,� '� Other _ �_— Date �1=-L1, rr�! -_ Inspector C4 _Ext Final PASs PARI FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BILI" DING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 .75 Business Line: 639-41 BUp Requested --_--_-- AM —PM _-,-- BLU —_ Location 1 30-I5 _ h=zd �� Suite MEC Contact Person _— ___ --� Ph ^ PI-M �— Contractor _ — _— Ph —_—__ SWR -�-- _ BUILDING Tenant/Owner —^� —_ ELC Retaining Wall ELR Footing Access: Foundation I FPS Ftg Drain SGN Crawl Drain Inspection Notes: -- --------- Slab _----_---_.._ - �-_--_—._-_--__ SIT Post& Beam Ext Sheath/Shear ----- -------- -- Int Sheath/Shear Framing -- -- - _- __-- ------- -- -------- .._._.. ---- Insulation Drywall Nailing ------ - - ------ ---- - ------- Firewall FireSprinkler ------ -- - -- --_.-�-_ -------------- - - ._ .._ ----- - ._ Fire Alarm Susp'dCeilin9 -------- -- _--- -- ---------------- - - ---_....-. -- - - Roof Mise - ------ --- - ----------- ---- -.._--- -- -- Final -- -------�- PASS PART FAIL. - --- ---_ _ - ---------- -_...- ------ - PLUMBING Post& Beam - - ----------------------- ---- - ------- ---__- .-.._.-..-_--_-------- Under Slab Top out Water Service Sanitan,Sewer Rain Drains ------- Final - ----- ------------------ _ PASS PART FAIL CH Post& Beam ------_-------- --- ---.._..----- -----__ ------ __-----______ Rough In GasLine I --- ---- ---------_------------------_-.-__--. --------__ _-- re dampers SS ART FAIL #ITURlr.AL -_ _- ------ - --------- --------------------- Service __ ---.— ------------.- _-_ --__--------_ - -- - Rough In UG/Slab -- ------------ Low Voltage Fire Alarm Final _ -- --._--. - _-- --------------- ----- - -- Final PASS PAR- FAIL ---- - --- - --- -- --- __-- ----SITE -_ -----------— Backfill/Grading - - -- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ -__ required before naxt inspection Pay at City Hell, 13125 SW Nall Blvd Catch Basin [ ] Please call fur reinspection RE. --` [ ]Unable to inspect-no aess Fire Sut,ply Line ss-� ADA _ Approach/Sidewalk _Date Inspector Ext other _ _ L�Inal PATS PART FAIL DOi NOT R)EMOVE this inspqction record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP _Cate Requested �/-361 AM PM BLD _ Location—/36 c/ 7 ,5 c _ Suite _ MEC Contact Person :��_ Ph S -" PLM Contractor Ph SWR AUILDING — Tenant/Owner ELC Retaining Wall — - i— FL R Footing Access: ------- - --."- - Foundation FPS Fig Diain --- "----`---- Crawl Drain Inspection Notes. RGN Slab Post& Beam -- -- SIT Ext Sheath/Shear Int Sheath/Shear — "-- Framing Insulation _��------------- - _. _----------- Drywall Nailing Firewall - -_ - - Fire Sprinkler Fire Alarm -- Susp'd Ceiling ---- - ��__-- -------_.._._ Roof Mis: " "'FART FAIL PCO V8 KG Post& Beam --- -- Under Slab Top Out ------ - - Water Service Sanitary Sewer -- --- - - - -- - --- Rain Drains Final ----` -- PASS PART FAIL MECHANICAL --� Posi& Beam Rough In Gas Line Smoke Dampers Filial — - PASS PART FAIL ELECTRICAL -- — - Service _ Rough In --- - UG/Slab Lo-•j Voltage — Fire Alarm Final -- - PASS PART FAIL SITE Backfill/Grading --- Sanitary Sewer Storm Drain ( j Reivispection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_ ( ]Unable to inspect-no access ADA Approach/Sidewalk !43c) Other Date 11 i 3 c _ Inspector — + _ Ext Final � PASS PART FAIL 00 NOT REMOVE tlris inspection --ecord from the jeh site. �♦eeeeeeAee�,,e� � ♦eeeeese�,eeee�� eeees�eee�►ee.�, ► 4 d ► 4 o � ► poll 44 4 G b S � ► 4 O CDtz 444 ► ► 4 r7 / ' ' p ro ► 4 O p ► 15. 4 � p ' P 4 a n c ► ► 4 eb a } ► 44 r ► "JI O U i ► 7 ► �� I No. n A N p P o � W � l � A IN � = Q ro o C' F ° I w (� o � G W 7 CL C C a N o � ro � ° S s r . i i CITY OF TIGARD 13125 'S.W. HALL BLVD. ! TIGARID, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2001-00178 Date Issued: 5/22101 Parcel: 2S104DA-12900 Site Addres.': 13045 SW SECA CT Subdivision: QUAIL HOLLOW - WEST Block: Lot, 115 Jurisdiction: IG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #12. Setbacks as per sheet A*10.10 Flan 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 form is, received OWNLR: PLUMBING CONTRACTOR- BROWNSTONE HOS eES WOLCOTT PLUMBING CONT. ING 12670 SW 68TH PKWY #200 PO BOX 22007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503-593-7565 Phone # 667-1781 Reg #: I Ir. 23847 PI AA 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x � �� _ Signator. uth( riled Plumber If you have any questions, please call (503) 639-4171, ext. # 310 f 1 t CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97 223 f^'R�1UNi►Y DFVLi u• ,, , IMPORTANT PERMIT NOTICE 101 STREAMLINE ELECTRICAL 6025 EAST 18TH STREET VANCOUVER, WA 98661 Electro:cal Signaiure Farm Permit #: MST2001-00178 Cate Issued: 5/22/01 Parcel: 2S104DA-12900 Site Address: 13045 SW SECA CT Subdivision: QUAIL HOLLOW - WEST Block: Lot: 115 Jurisdic!ior: TIG Zoning: R4.5 Remarks: New SF detached rowhouse in Building #12. Setbacks as per sheet A10.10 Plan B-S Your company has been 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 OWNER: ELE"TRICAL CONTRACTOR: BROWNSTC.,NE HOMES STREAMLINE ELECTRICAL 12670 SW 68TH PKWY # 00 6025 EAST18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #. 503-598-7565 Phone #: 360-993-5080 Req #: 1-11; 116514 EL.E 144320 SUP -?t9t AN INK SIGNATURE IS REQUIRED ON THIS FORIM Slgnatu;e of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 3110 r TA I� �� I�� —__-__MASTER PERMIT C�1 r`� PERMIT#: MST2001-00178 DEVELOPMENT SERVICES DATE ISSUED: 5122101 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 "'TE ADDRESS: 13045 SW SECA CT PARCEL: 2S104DA-12000 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: LOT: i1b JURISDICTION: TIG REMARKS: New SF detached rowhouse In Building#12. Setbacks as per sheet A10.10 Plan B-S BUII DING 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 GAI.r SE: 47H of FRONT: PARKINi SPACES: TYPE OF CONST: .5N DWELLING UNITS: 1 FINBSMENT: 580 of VALUE RIGHT- OCCUPANCY �n o0 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,48800 of REAR: PLUMBING SINKS: I WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 1t,0 TRAPS. LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN CRAINS: 2 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW FPEVMTR: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUEL TYPES FURN<100K: 1 BOILICMP<]HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES. VENTS: I WOODSTOVES. VAS OUTLETS: _ ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP ERVC/FEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 700 alnp: WISVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION: FA ADD'L 500SF: 3 201 -400 amp: 201 400 amp: IatW/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 800 amp FA ADDL BR CIR: i SIGNALIPANEL IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601+an1po-1000v: MINOR LABEL 1000+amplvolt _ PLAN REVIEW SECTION •__ Reconnect only: >-4 RES UNITS: SVC/FDR> 225 A.?� >600 V NOMINAL: CLS AREA/SPC OCC ELECTRICAL•RESTRICT'ED CNF.rfGY _�— _ A.sr RESIDENTIAL B.COMM.:nCL^1. AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STERE3: FIRE ALARM: W T6tCOM,7AGING. OUTDOOR LNDSC LT. BURGLAR ALARM: OTh. ALL ENCOMB 30ILF.R: HVAC, LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOr..K: INSTRUMENTATION MEDICAL- OTHP. HVAC DATAfTELE COMM; NURSE LA'1 R; TOTAL A S ISTFMS: Owner: Contractor: TOTAL FEES: :; 3,5L?.49 This permit 1s subject to the egulations coma.-.,,i in the BROWNSTONE HOMES QF<JWNSTONE HOMES, LLC Tigard Municipal Cade,Estate of OR. specialty Codes and 12670 SW 68TH PKWY#20C 2570 SW 6STH°KWY all other apnl!Lable laws. All work will be dune in PORTLAND,OR 97223 P(`RTLAND.OR 87223 accordance with approved plans. This permit will expire If work is not ^tarted within 180 days of is:,uanae,or if the work in suspended for more than 160 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules aaoptod by the Oregon Utility Notification Center Those riles are set Reg 0: LIC 124627 forth In OAR 952-001.0010 thrcugh 9 241'1-0080. You may obtain Lopies of these rules or dimet qu�vstions to OUNC by calling tGQ3)246-1997. REQUIRED INSPECTIONS Erosion Control Insp 81 Underfloor Insulation Electrit..,nl Service Gas Line Insp Rain drain Insp /,Einctrical Final Sewer Inspection Plm/undslab Insp Elec.rical Rough In Gas Fireplace Roof Naillli ! Mechanical Final Footing Insp PLM/Underfloor Framing Insp 11 .Ration Insp Water he Ing P nb Final Foundation Insp Mechanical Insp Shear Wall Insp f ,p Board Insp Wa r Service I sp 1n@i Inspection i Slab Insp Plumb Top Out Low Voltage — -Finiwall Insp A pr/Sdwik Ins Issued By : °�a t'`tt2trSC__ _ Permittee Si1lnatur,� ---- Call (503) 6394175 by 7:00 p.m.for an Inspection net-dud the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00120 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: ;;/22/01 PARCEL: 2S104DA-12900 SITE ADDRESS; 13045 SA SCCA C f SUBDIVISION: QUAIL Hc�LLOW - WEST ZONING: R-4.5 BLOCK: LOT: 115 _ 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: LFPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: FEES BROWNSTONE HOMES 12670 SW 68TH PKWY #200 Type By Date Amount Receipt —•— — t — PORTLAND, OR 97223 PRt1T CTR 5/22/01 $2,300.00 27200100000 INSP CTR 5/22/01 $35.00 27200100000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: ttyuired Inspections This Applicant agrees to :omply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issLed The total amount paid will be forfeited if the pen-nit expires. The Agency does not guarantee the accuracy of the side sevre+r laterals. If the sewer is not located at the measurement aioewl the installer shall prospect 3 feet in E,11 directions from the distance given. If not so located, the installer shall p cha a Tap and Side Sewer' Permit and the Agency w1l install 3 lateral. ATTENTION: nregon law requires you to oil rt les adopted by the Oregon Utility Notification Cenh:r. 7 hose rules are set forth in OHR 952-001-0 ror?g �aR n01 0080. You may obtain copies of these rules or direct questions to OUNC by calling (503y446-1987. f Issued by: r j� _ Permittee Signature: __I6_ `---- Call (503) 639-4175 by 7-00 P.M. for an inspection needed tho next business day /A\ Building Perini-__pplication Date roceived: . City of 'Tigard. Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: Ciryojfigard Phone: (503) 639-0171 Date issued: hy. .r. Receiptno.: —` Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ lace family:Simple Complex: ;LJAdditj &7 2 f�mily dwelling or accessary 0 Commercial/industrial U Multi-family New construction U Demolition ,n/alteration/replacement U Tenant improvement U Fire sprinkler/almm U Other:dress: y _5 t,� L' Bldg.no.: "Su;t, o.: Lot: lot.) Tax map/tax lot/account no: ` Project name: Q l_ "Of WC UJ -- Description and location of work on premises/special conditions:_ On ,�___LVVc.0 011 N I 1t INFORMATION, Name: jJL.0 M IP s Mailing address: IZ(o 70 Sw (06�` W"L� O 1 &2 family dwelling: City: -r A►JO Statc:bl' Z.IP: 79-L3 Valuation of work................... ............. $_ C7CY� Phone: Fax: $9o8 1 E-mail: No.of bedrooms/baths................................. _ Owner's representative: M 12�/ OAOm^S Totid number of floors...............r3.............. Phone: W ,779Fax:57cl 5191. E-mail: Nev dwelling area(sq.ft.) 1.1�.4P... Qarage/cq.ft.)arca(sq.ft.).. ... ........ — r Covered porch area(s ) ........-............. _.— __. Name: Ar �►�rt, Mailing address: Deck area(sq. ft.)...................................... -- City: State: ZIP: Oer thstructure area(sq.ft.)...................... -- Phone: Fax: E-mail 7 Commercial/industrial/multi-fantfly: Valuation of work.................... ................... $ Q,�,1 Business name: �OExisting bldg.area(sq.ft.) .......................... _ r. wG R- New bldg.area(sq.ft.) ............................... — Address: Number of stories City: State: ZIP: — ................... Type of construction.................................... Phone: Fax: E-mail: Occupancy group(s): Existing: —�— CCB no.: New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: �1 C"1 ,� d provisions of ORS 701 and may he required to be licensed.m the ,address: \\�\ "([�1D t =i (off jurisdiction where wotk is being perfomtee.If the applicant is rn State:t( EIP, i exempt from licensing,the following reason applies: Cit Contact person:Nj-_91 Plan no.: --- _ Phonc:766- 4(j7_% Fax:ak 4 7- E-mail: - `-'- -- — Narne:W% lc5lep. Contact person: FN Will, Fees due upon application ...........................$ Address LO Qi h t9 S _ Date received: — City: its _—_jState�P� ZIP 7 -- Amount received ......................................... x Phone•n.k-9 b 13 1 Fax: E-mail -- - Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the; Not alt j%it4&c ioru or."crodlt c",plena call jurisdiction fm rmwr inf enmiinn attached checklist.All provisions of lays and ordinances governing this ❑visa U MasterCard work will be complie�fttTfl,whe �ifiederein or not. crdiit card"rambr : --_-- —`- --L-1-- ^' r..plrcs Authorized sigrrattJre: Date: _ Nuns of cardholder u shown nn credit cmd — S Print name:_ A Ot�� _ Cardholder si"!Tu _—� Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has hccn accep!ed as complete. "1413(60.xV'COM) Mechanical]Permit Application _ — Datercceiv:d: _ Permit ao.:/t/�<r700/•00/7g' City of Tigard Project/,)pl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dat(i,sued: By: Receipt no.: Phone: (503) 639-4171 ------------ Fax: (503) 598-060 .a: file no,: Payment type: Land use approval: I%uilding 1,crmit no.: *J-&2 family dwelling or accessory U Commercii1hridustrial U Multi r-unily U Tenant improvement * Nrw 'argrlwhon U I\ddition/altcmtion/repiacement U Other: 11 1 1 ' ic Job address: i .r Indicate equi f, hent quantities in boxes below. Indicate.the dollm- , �1_L.:,. J1- � - Bldg.no.: SL --Suite no.: value of all mechanical matelials,equipment,labor,ovelbead, Tax map/tax to account no.: profit.Value$ `- Lot: / Block: I Subdivision:QVAI J &l *See checklist for intporta;,application infomrv';on and Project name: dtA �6 60 IN PosAe. jurisdiction's fee schedule for residential permit fec. City/county: 'N V)5Hj ZIP: Z L�– Description and location o wf ork on prentims: Fee(ea.) Tow Est.date of completion/inspection: Dcmwripilon . Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit FM _ Is existing s ace insulated?0 Yes U No Airco'�ton ng(siteTre�tuti — V tera n of existing HVAC.`system 1 Boiler/compressors Business name: `>�,�. P,� ('�t State boiler permit no.: NP Tons_ BTU/H Address: _ Fire/smoke dampeii7duct smoke getectors City: fA IIP: 171'7 L190 Heat pump(site plan required)- -- _- Phone: `7-5`f) j I , /5 1141 E-mail: — — nstaall replace furnacelbumer Including ductwork/vent liner O Yes U No CCB no.: 4 Qj Zt6nnstall/ place/relocate heaters-suspen , City/metro lic.no.: DD C)C) 1 0?-S — wall,or floor mounted Name(pi ease print): 'T r fo Vent-for a ranee o er than furnace e Absorption units IITt l/H Name: �ILAJ Chillers - r, l?P " Con�ressors HP Address: ��PPLI 4, � _ nta�eTust■ vent on:_ ---- City: _ -- TStste: ZIP: Appliance vent I Phone: Fax F,-mail: crex gust I - -- -- s, ype Fe_s 7it_c er7Frit mat - hood fire suppression syster.i P Name: IQ;� ! Exhaust fan with sing) duct(bath fans) _ - - — —_—'i _. failing address: xTst s stem a art rom—heatin or AC — --- _ State: _ ZIP: — F p��sti on up to outlets) t ity: Type: _—LPG NG K— Oil Phone: Fax: E-mail: ��el-rin eachadditional over out els _ Process MIMI 1k p p (schematic requi ) Name: �� (�►c a�� g�CJtr Number of outlets _ Other i[R w�nce or eqn pnwt: Address: Dmorative fireplace _ City: _ State: ZIP: __— nsert - — Phone: Fax: Email: Other:stov pc etstove Other: Applicant's signature: Date: Name (print): – -- — Na all juris&1jan nxvo cw&arils,presse all jlaisdkdrn for mom inform-tion. Permit fee..................... �_... Notice: UYtsa U MasterCard This permit application Minimum fee................S --._ Credit clad number. ,� —_ _/ expires if a p"it is not obtained Plan review(at ___ %) $ r, within 190 days after it has ix-tai State surcharge(896) —_ Name d eardK+lde n n on t cid -- accepted as complete. _ S - - TOTAL .......................$ C dputare - Amant—" "o-4I I(&OWOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & ?, FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION:FEE: - pescriptlon: Price Total -----� Table 1A Mechanical Code_ qty (Ea) Amt $1.00 to$5,000.00_ _ V Minimum fee$72.50 -- - - - $5,00;,00 to$10,000 Ou $72.50 for the first$5,000.00 and 1) Fumuce to 100,000 BTU $1.52 for each additional$100.00 or includiLj duds&vents :1.00 fraction thereof,to and including %.) Fuma 100,000 BTU+ ___ 310,000.00. Includingducts R vents 17.40 310,001_.06 to$25,000.00 $148.50 for the first 310,000.00 and 3) Floor Fumace 3.1.54 for each additional$100.00 or including vent_ - 14.00 fraction thereof,to and Including 4) Suspended heater,wall healer $25 000.00. _or floor mounted heater_ J,00 325,001.00 to$50,000.00 $379.50 for the first$25,000.00 end _ 5) Vent not Included in appliance permit $1.45 for each additional$100.00 or 680 fraction thereof,to and including 6) R3pair units 350,000i a.1..00. __ __ _ _ -_ $50,001.00 and up Y- $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Alr I $1.20 for each additional 3100.30 or For Items 7-11,see I or Pump Cond fraction thercof. _ footnotes below. Guru ' 7)<3HP;absorb unit 15 ASSUMED VALUATIONS_PER APPLIANCE: tc 3. BTU _ 14.00 -� Value Total 8);,•15 HF;absorb unit 100k to 500k Bll_1 _ 25.60 Description: _ _ _ Q _(Ea __Amount 9)X5-30 HP;absorb Fumace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 ducts&ve„ts _ 10)30-50 HP;absorb - Furnace> 100,000 BTU including J 1,170 unit 1.1.75 mil BTU 52.20 ducts&vents 11)>501-1r':absorb --- -- Floor furnace indud!n2_vent - 955 unit>1.75 mil BTU 87.20 Suspended heater,wall healer or _ 955 floor mounted heater 12)Air handling unit to 10,000 CFM I- _ _ _ _ -__ _ 10.00 Vent not Included in applicance' 445 13)Air handling unit 10,000 CFM+ _ �m!il ---------- - - ------- 17.20 Repair units -- _805 <3 hp;absorb.unit, 955 14)Non-portable evaporate G..{Cr to 100k BTU -------- 15)Vent fan connected to-Ta single duct - A 3-15 hp;absorb unit, 1,700 t 6.80 101k to 500i<BIU -- 16)Ventilation system not included in 15.30 hp;absorb.unit,501k to 1 - 2,310 _ appliance permit 10.00 m!1.BTU 17)Hood served by mechanical exhaust- - - 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mll.BTU -Fi -- -- - >50 hp;absorb.um!, 5,725 -� 18)Domestic incinerators 17.40 >1.75 mil.BTU ;nmmerdai or Industrial type incin+rr.tor Air handtina unit to 10,f100 dm- 656 - 69.95 Air handling unit>10,00,1 cfin _ _ 1,170 - - -- _Non-portable evaporate a�oler 656 %��Other units,including wood stoves - - -.--- 10.00 Vent fan connected to a sinctle duct _ W 446 21)Gas piping one to four outleL Vent system not Included In 656 5.40 appliance permit - - -- - 22)More than 4-per outlet(each) Hood served bid_ nval exhaust C56 1.00 Domestic incinerator �4 70 5� Minimum Permit Fe' 72.50 SUBTOTAL: $ Commercial or Industrial Incinerator _ Other unit,including wood stoves, -1656 -- - 811.Stater Surcharge $, Inserts,etc.,.__ 138!piping 1-4 outlets _ _360 - 25y.Plan Review Fee(of subtotal) $ 1 Each additional a1Uet --�_ 83 _- Required for ALL commercial permits only 1 �� f 'TOTAL COMMERCIAL S W� TOTAL RESIDENTIAL PERMIT FEE: b EVALUATION: __ Other Insoectlnnpnd Few 1 Inspecliona outside of nornnei business hours(minimum charge-hv hours) $72 50 per hour 2 Inspections for wt ich no fee Is 3pedficaliy indk:ated (minimum charge-hax hour) $72.50 per hc,r Additional r is,i revk±w requireo by changat,aciditinns nr nwisinns Ir puns(minimum chargi 4, a-tW hour)M 50 per hour '1"Ati Contractor Boller Cotrtificatian required for units:,200k BTU. "Residential A/C requires site plan showing placement of unit. I:WstsVomuYnr;ch-R±es.doc 10/11100 Electrical Permit Application — Aeu�►�«+: r►.,,ac na.:� �1;0(?/ off,;� , City of Tigzrd P-)whppl.no. eapareda►e: (-4rfgf7ll,r4 Addfres: 1312$SW HAN Blvd Tigard,OR 97223 Datehtauad: _ � ally• RaoalDlao Phone (_A1)6'19-4171 �_ _ - Pas: M1)398.1960 Cat fiw no.: Pamnt I"W Land use approval: 2 famil•dwelUag Of faceeeary 0 Corn r+erciaUlncMutrial O Mold family U Tenam;mp"Irnmc Naw cru ction O Add illorl/alteratitxt/ftpll►;enscfit 0 Other. _. I.1 Partial lnb addm S { alft no. isilits no.. T'an to 'tnr IcwaceMm►n0. RtIL- Suhdi'llinl "kj�I L Ho 11a%,.� we%r Project►lanes: l.wo^'l hle 110►. i e!Jcq►1on and lorahon of work oN pnMiles 't.CW COa]'slfl WT W �- 1~etimi►cd Mfa d c. etienlltu stTn; JN a'as M I`1rw �7p► T 1 E t r i c+ __ dwa�t�.la�alMa�u�/(acct! a 11ncouy 2 _ _ State W 9H661 R*+ a F'lnvns: 993-5 U ass i M 11 los2r2 a nr 14" - I S wai�o,w, CCA no.: 1 6 5' 4 1 P.lec Isx.'k,an! -' --4�..�. IiaMw+>Na iaudenu — S� �I M1etf�1llC,no. --- L.�winrear� Plan-r�aWtMw; - ?Ach MMwf w or modular d"lllq ServilaSMVMfee0er 2 fleet wets 1: Lqums no M►�ir tf n rIMIM. aMenafoa K nlaeallar: 90 G ` MID ae,Ln Ire O Name(yNt u ►2t`? , Idi 10-7nu-le r — - _ i�'i 6a:.M. to Min, "? �•�� .41ab6' LFt w ri 1000 M N avol- 0 A10hf: Putb F.rt►ail. .._..,�...- f)tvoer kwallwd", snecallatitMl a inp made w pr,� n wh h Is got Itster3e+d fm%ale,I (x eacluoW wcordin8 to OrvIRllaefose aM�aala*wr.l�e�tloa� ► ()RS441.451.179. 1 J 10rn�en► ne 7 e 21 7fe oil u 10 Onvnn e 0 c 1 191 as .. •reale Ake pe paeb A. Fes for h wh eirmila W6 yaror.a*M Addfs� wy rice or$OWN-ha,owh brwmh dMift f Clh. --»•— -- SIAM: UP ftx txw"eh drev vnlm.d pyre nt wrrim or follow fee nm erwch cin wit; 2- QT nrtYlt - _ .► e► M Q aYNw ervA IO! M+i O IUnkhan AwYlqbr*t F,�0r M-1-111M one 1 2 0 Pomo@ 0 rR SOD ompe-VIMI of 141 O KnwAwe Iae I w o _ 2 frnut,d"Div O 11MIM er oval 10100 eq,we he*AV a alrtneuU^r 1 If+wra rnn�y o!y aUea 0-+ew rats"artier! Flues nudranal onto to off m.wrf junta W..'Of ae to howl, U tom.AM MM"w mora "risom 00a U ortrgw mad new 00 peeer..rr t)Murhrenad wwotwY a av park ILdi��AMwMa•.,v e711) D Q Cater _ — - A tr._rartloa f %oft_ _aave of PIN V*b M"of dk *81 ►nwaey� no 16"era OM Ne w viry is t/a0ew tr« r a+e;r i+w everts'na(ft-101 M finers AN....r+.�..r. K:boa Th;e pemli*,I+e a;aa Prttnic fa.. .............._.S _ ; ovlr O1Aa,leCard estpifea Ifo pe+,a>,is no r;raa»e Plan tesv m(a anlh wr...w. -•-- — _._ . -"-T�:.— H•MAIa I Ill dere aM.a tin bow, -Stara sumhaW(3%) S . ea+n+ledeeecreplMa. TOTA,2, S A~- 11►d twescdln to/t0 3Jbsd JI211D3�3 34-MV3JI.-'= ;,EOGUE09E 6F.:L T 10OZ/90'EO Mar-06-01 03:05s' Wolcott Plusnb -orsg 503 667 9891 P.01 rrs 06,•u I A7 14 41 FAX 801 999 1960 Cl t'y rrF' 'ri CARD Vj002 Plumbing Permit Application Dre etecefved: Pttnutno.; city of Iligalyd - Nddrerw 11123 SW Hall Blvd.'f igar 1,0i; 9-12!. Sewerparraltno.: Building permitno.: I Coy ofTiraro 61194111 Projec✓appl.no.: BAplialete: t Fust:(5(1.1)5YR-1960 1I Dau 1►.ue4- By: ,Rece;puK, Ilan Lww use approved: _A cele flit no.: Payment type U l &'_family dwelling ur accergory v Conum=reitayind aslr„d 3 Multi•family Q Tenant improvement Q New cuc.strucuon (a AJdidc rdallerannq/irpiacerrenl LJ Food w-rviee U Other Job address:/�j t(� ,�i.i ' /} ( L �ip�on Qty. )fee(a•. Tohl Bldg.no.: L_2_ _ 9uib no., Via'+ 110 112. dreBinga a y: --- Tax mapJtaK lo✓accouut no =(isdudre100ILfor ewchutiUtyconvwdoe) _ SFR(1)bath 1,u1. B_'xk SuNivislon: ,� 5K__. Project tIRMC: - ---•- S (J)Ti -� Citylcoun : ZIP:' __.- -- -- _A Jtiona ath/knchen -Description and location of work on prctnlaes: _.,___ Jtte aW111eet Catch b•:sialarea dram Est,deet of ctxn Irdnrviuspecti,n -- - -- rywohs7leac tritne/ucnc _ -- Foolin drain no-En.W) _ anufactured horse ueituei Business carne: �O�C 4`j �wv.^ i snq ars u er -- r\ddtr.vc: PO. '2.007 ata drain connector _ Ctty. I ey1.G.ti. _1918 .1i' t<rutalwet(nIto - Pltone 40-9111( E•ma+l',6"JOR-Cw,q Storm sewer(no, - CCB no.: 2, ut1 Plumb,bus.MR.no:*7-4-LC d Pp Water service(no.Un' t. CCitymetres lic no.: — Future or Mems Cuolractor's represenladvc Si nature:•-' J Abs aoa valve �.�2f) � --.-. Back flow preveatcr _ Prot name G J_' ' eN# u waur vn vt — alum U2, Name' C o� s wvT1Cr ---- --- AddresR itnkin tc,untain(s) Cly State Phage: Fre &ptaiL -pansicm it _- 17RUrP!sewctCap _ Kamc(prwt l: Fla+trettna Boor sittics-fbab- - _ di—a'T'-.� Ma+lingHose br b Ctty. Stale rIP _ ce m er --- Pbutu. inn: E-maill ntcrcc for reams _ Owrc: +n•ulleUurihtlyd,ntial owntentirwe only: Thc aclwil installation I'r.mer(._ _ wtL'be made F y me or the maintenance and repair sirs do by my�egtstu oo rvr. eammetCtul _ _ _ _ :r plrryec nn the p opcny 1 uwa at Ixr URS Chapter 147 (a,baatn(s', ws 1 Ownes Si natuic: &U—MP_ --� Tu t✓s awe islurucr,pan --- vL+>c; Maier AJ_Jrcas. _ -ter ater -_ Slatc�IZIP•------- r. Phone Tn.. &mail; otic Mimmumfce... .........S id p�rljWwfeueM M w Cradi ��ilunrUcaas to men�n ornuiinn NwiX.This P"Mit appticat:ort U'All0 MAOwCard ezpimi if a rermil is out sed obts Plan review(al __9b) S : I � wlthln I Eo days after it has Men Cble:uichattr(846) .... ►Alar TOTAL S _ Wd ca pied w omple;e de.tN - . - -- —T'aeti r u�nrwrr Air am MI%•+O,O tMUO'C i�NI -- 6 r� I Mar-06-01 03:0EM Wolcott Plumbing 503 667 9891 P.02 03.•06/p1 111- 14:1: VA.A 501 SOA 19f0 Cin OF 'r'1CAkV 4 003 PLUmrING PERIMIT FEES: New T andZ+i. 1+'Y.dl�pl f On1Y T--•• - �FI%T RL es 001,01 Juil "' QTY ee I 11M T p!leludos•al!pfumbi tixt'u*a In Pl�lfr.r TOTAL t'rk te.61 lhs dwe0!nb tntl the Arpt00 h GTY (e71MQUNT LevNor7 Zr teal rorolse v nimellorl ub�' Or'u�/SIriMQ!(Z4M- 15.81 baa4e 20 w012 baths ]bO.Gu II Sh:wsr only 16.8) Trlrtu 131 bam — r- 539900 Wa"rClaN Iry 11i�j1 8. 3- _ '�UETOTAL w � ^ei.�! AT!SURCl1AROF. _� C'i•rlwoaner 1503 � PLAN RFVIRW 4L%OF SUBTOTAL 0arbage Gaposal I L:wr�fry fray� tE,tO Wotreng Moch;n� � 1 Floor Dralov aur Sl ik 2' Y - _ PLEASE COMPLEM. a- 16.t 0 h.teI neater O Anvsrs un 6 like wind —15(6— u►n Or '!a rtntd Gas 01pm0 requves a separms mM:h■nical I f//� future Type:' ''• javr "ov 8 Replaced ftmovedt Calmed MFG I-orae New ter Service 48.0 Sink Mh13 Home New SarVStorm ewsi aC•0 Laval Tuor ub/Shower +---- Nose B be — -- -i8 i 0 '� -- � ComDlntUon _ Root Dams noworNnl•--"� OMk'ng FOJn1.1n � t8�A � Wtla/Clefet Oher Flaturw jSDecly) 18110 na -_- _ Dlshwuher _ Lound Room_T21- -washlig malol me Sewer-13t 100' T^_ 57 10 7 lour Qrainl�nk Sewer-ue additK,vt 100' AS q• V'le1N?dryto•1 st —^ - lG �. Wet Heater waver 9(tViCa•each a6ten d t 200 _ 46 to Ow or ra'urss -� .�� qrm 6 at Orelr• III 100' � 55,1C "- 9k;m L,Raln fair•each aft!onel 100' J 4E.{0 _ Comrnerd Back Flowrevenlbn C)sv i --'-48'6-0 _ — — Residential tixcicw Pie entlon Cv,+ 9' 21 05 — ---�� l J1Ch Basin !—� 1r --- It:apecttun 01 ErOtii O Flumemg or Spn6iaey 17 Rs vestedIn�sctlons lfi' COMMEWTS REGARDING ABOVE,. Rein Crai-•,single larrrly dwelling Grc41e T,ape -- — 1650 QUANTITY TOTAL4110, It 4pnrn n'aq+'ttd It I -- 'SUBTOTAL �- -- -- - -- --- 8•/, -PLAN REVIEW 25%Ois RLSTOTAL --- _`_._.._._.__.-•-----. r Rrq„4M rr it�utu�,rrtr�h`S �_ TAL � aIf •MiMmam aan„t4 IM 14 6 l2!J•1%41.10 54rrharer,earAtm Reda troll✓11404. 4Vvan0on Doom-n cm 4114 LS•!Sw$tave wnnarge **AU Nov Carnmomial lit-llergr nMur4 M11 r,la 4ornrf•K W ry it d1wor,Mrd ran �•iM. I�ishtrormstplmkes doc 'C.tO1J^