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13065 SW SECA COURT c� CD rn Ln U) U) cD a� C7 c l 13065 SW Seca Court CITY OF TIGARD BUIr 71NG INSPECTION DIVISION MST ��r' 1yc� / �= 24-Hour Inspection Line: 639- . 175 Business Line: 639-41, BLIP Date Requested �- AM PM BLD _ Location / �' � �� / Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab __ _.e_.-._ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ .��!l L - - t��•.,� �i --��k�e -- Insulation A7 LAt� QDrywall Nailing � Z4 "I=4-�.�.... ✓��yr'� Firewall / L Fire Sprinkler , -�Q l� V��'�/--•�(`C�C lea c' - - _T-m`Js Fire Alarm 5usp'd Ceiling � •'eT ----- -- Roof ?O S•a �ohOta / Mise ' Final 7�> .C/' i �!�" 4�w--- "� / l`.L A1 .0 ~ PASS PART _FAIL --�-r��--`i--------�---__ —.—_. PLUMBING Post& Beam �------� ------ -- - - -�--- ----- -�'✓ ------- -- e Under Slab OW�.� �7'�(-*--e�� Top Out Water Service . Sanitary Sewer Rain Drains � rnal PART FAIL FNEURANICAL Post& Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL. Ss�rvire Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIT - SiTE Backfill/Grading -----"-" -- --" Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Bash, I )Please call for reinspection RE ( ) Unable to inspect- no Pccess Fire Supply Line ADA Approach/Sidewalk Date Z Q ��_ Inspector Othee t- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DUI'-DING INSPECTION DIVISION MST 24•-Hour Inspection Line: 63� 75 BuLiness Line: 639-41 BUP _ Date Requested 2- AM PM BLD Location �� GL. (' Suite _ MEC Contact Person �-t '" Ph �'�� PLM Contractor Ph 7 -7 - �'.Z(F: swR -- ELC BUILDING Tenant/Owner Fetaining Wall ELR Fcoting Access: FPS Foundation _ Fty Drain — SGN Crawl Drain Inspection Notes: Slab ---- SIT Post&Beam Ext Sheath/Shear - �— I, Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof Mlsc: Final PASS PART FAIL -- PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains ----•-- Final PASS PART FAIL - --- MECHANICAL — Post&Beam --__.-----___._-- Rough In GasLine _-----_.—...__----------__—�__ Smoke Dampers Final --- PASS PART FAIL ELECTRICAL Service Rough In UC/Slab ----- d Low Voltage ` Fire Alarm — ------- - --- n S PART FAIL. S -- - _ — — Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blw Catch Basin ( ] Please call for reinspection RE:_ _.-____ _ ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalkdate _ Inspector_. -r �_ ' ' _Ext Other -s-f-- Final LPASS PART --.-FAIL. 00 NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION tiIsT �1- lec'� 24-Hour Inspection Line: F39-4175 Business Line: 639-4171 BUP Date Requested j2 AM PM BLD Location 122C) -,t:> �- e Suite MEC Contact Person Ph PLM Contractor Ph SWR _ UILDING Tenant/Owner ELC Retaining Wall -- ELR _ Footing Access: - — Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab -- -- -------— — SIT Post&Beam - — Ext Sheath/Shear Int Sheath/Shear -- Framing - - ---- ------- - ----- - Insulation DrywaC Nailing ------ -------- - --- - --- --- -- -- Firewall Fire Sprinkler — _-__---- -----_-_--- _ _-- Fire Alarm Susp'd Ceiling -- -------- -- -- --- - --- -_ Roof MP ii PART FAIL — ---- ------ -------- ---- -------- PLUMBING Post&Beam - •- ------ __ -_ _ _ _ _- _-_—_ Under Slab TopOut - -------- -- -- ---- -------...-...----.__— Water Service Sanitary Sewer -- -- -- -- — ^- - - Reir.Drains Final _PART FAIL — -_- -- — ECHANICAL Post&T3z -- - Rough In Gas Line ---- — S oke Dampers PASS ) PART FAIL E • TRICAL -- -'— Service _ Rough In Ur/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - --r— Sanitary Sewer Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Lino [ J Please call for reinspection RE: _--- [ J Unable to Inspect-no access ADA _ Approach/Sidewalk Other Date z Inspector �--, Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. LAAAAAAAAA♦AAAAAAAAAAAAAA♦♦AAAAAAAAAAAAAAAAAA PF tz - ► Clo rD r-L � y r a r4 PL (D ► ro i H O p R rri � o 0Z ► "It n n ► o o rD ` ► ► , w ] o 0 � G ^ w o W ti, � h U n o o Q 0 4 d CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 PFCF111ED CU�4iViL';.1;r urvtLLi ivic111 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6025 EAST 18TH STREET VANCOUVER, WA 518661 Electrical Signature Form Permit #: MST200-00180 Date Issued: 5122101 Parcel: 2S'i 04DA-13 100 Site Address: 13065 SW SECA CT Subdivision: QUAIL HOLLOW - WEST Block: Lot. 117 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #12. Setbacks as per sheet A10.10 Plan C-5 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 tc, the start of the work to the address above, ATTN. Building Dept. No electrical inspections will he authorized until this completed form is received OWNFR: ELECTRICAL CONTRACTOR?: BROWNSTONE HOMES STREAMLINE ELECTRICAL. 12670 SW 68TH PKWY #200 6025 EAST 181-H STREET PORTLAND, OR 97223 VANCOUVER, WA 9860 I Phone 11 503-598-7565 Phone #: 360-993-5080 Req #: LIC 11 M4 ELE 34-4,):C S U P --4494* 41(1G -5 AN INK SIGNATURE IS REQUIRED ON THIS FORM al Signature of Supervising Electrician If you have any questions. please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTA14T PERMIT VOTICE WOLCOTT PLUMBING CONT. INC PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2001-00180 Date Issued. 5/22/01 Parcel: 2S 1'1 i 3190 Ste, Address: 13065 SW SECA CT Subdivision: QUAIL HOLLOW - WEST Block: I-ot. 117 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #12. Setbacks as per sheet A10.10 Plan C-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 OWNFF< ('I_UI'VIRING CONTRACTOR: BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC 12670 SVV 68TH PKVVY #200 PO BOX 2007' PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503•-598-7565 Phone #: 667-1781 Reg #: I Ir. 23847 P1 V 26-2C8PB AN INK SIGNATURE IS REQII:r'EU ON THIS FORM _k Signature of A horized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 / CITY OF T I G A R D _ MASTER PERMIT PERMIT#: MST2001-00180 DEVELOPMENT SERVICES DATE ISSUED: 5/22/01 13125 SW Hall Blvd., Tigard, OR 972.23 (505) 639.4171 SITE ADDRESS: 13065 SW SECA CT PARCEL: 2S104DA-13100 SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 117 JURISDICTION: TIG REMARKS: New SF detached rowhouse In Building #12. Setbacks as per sheet A10.10 Plan C-S BUILDING REISSUE: TORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 324 of BASEMENT: sl LEFT: SMOKE DETECTORS. Y TYPE.OF USE: SF FLOOR LOAD: 50 SECOND: 747 sf GARAGE: 410 sf FRONT: PARKING SPACES: TYPE OF CONST: SPI DWELLING UNITS: 1 FINBSMENT: 567 01 RIGHT: OCCUPANCY GRP: R3 BDRM: l BATH: .. TOTAL: 1,63H1)0 aVALUE: S 151,100.00l REAR. PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: t FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 21 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS: MECHANICAL OTHER FIXTURES: I FUEL TYPES FURN<100K: 1 SOILICMP<AHP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•1OOK: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVC/FEED_ERS BRANCH CIRCUITS MISCELLANEOUS - ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 snip: 201 - 400 amp: 1st W/O SVCIFDR 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR* 1 SIGNAL/PANEL: IN PLANT. MANU HM/SVC/FDR: 601 • 1000 amp: 601+amps•1000v: MINOR LABEL: 1000+amplvolt: Reconnect only: PLAN REVIEW SECTION -- >-t RES UNI Ts: SVCIFDR>=225 A.: >600 V NOMINPC1.8 AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTA: ALL ENCOMB BOILER: HVA:,: LANDSCAPE/IrHIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTA"ION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURS,1 CALLS T01 AL 0 SYSTEMS: Owner: Contractor: TOTAL. FEES: $ 3,608.25 T s 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 PORTLAND,ON 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done accordance with approved plans. This permit will expir?H work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centel Those rules aro set Rep/: LIC 124627 forth io OAR 952-001-0010 througt1952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor Insulation Electrical Service Low Voltage Firewall Insp pprlSdwlk Insp Sewer Inspection Plmlundslab Insp Electrical Rough In Gas Line Insp RairtArain Insptochanical ectrical Final Footing Insp PLM/l lnderfloor Framing Insp Gas Fireplace �of Naih Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line s f'lurnb Final Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp ! Water Servi p i al Inspection Issued By _ Permittee Signature P11— Call (503) 639-4175 by 7:00 p.m. for an inspection needed the n6xt business day A CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00122 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/22101 SITE ADDRESS; 13065 SW SECA CT PARCEL: 2S104DA-13100 SUBDIVISION: QU^.IL HOLLOW-WEST ZONING: R-.+ 3 BLOCK: LOT: 117 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS- 1 TYPE OF USE: S� NO. OF BUILDINGS: 1 INS,rALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: FEES ----------- ------ BROWNSTONE HOMES 12670 SW 681-H PKWY#200 Type By Date Amount Receipt — PORTLAND, OR 97223 PRMT CTR 5/22/01 $2,300.00 27200100000 INSP CTR 5/22/01 $35.00 27200100000 Ph-)ne: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the I_ nified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The AgeNy does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the mea 3urement Vven,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall p rcha$e a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requ �es you to,foll rubs adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-bolo ft AR 52- 01-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 24F-198 . I !ssued by: , Permittee Signature: U Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day Building Permit Application City of TigardDatereceived: 't Permitno,•/1(-j7M1.A?1Q) City of Tigard B Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: Phone: (503) 6394171 Date issued: BY </ Receipt no.: Fax: (503) 598-1960 Case file Iro.: Payment type: Land use approval: 1&2 family:Simple Complex: t'rl &2 family dwelling or accessory U CommcrciaVindustrial U Multi-family New construction U Demol:ion U Addition/alterationi'replacement U Tenant improvement U Fire sprinkler/alarm U Other: 1 Job address: 1 < < N - Bldg.no.: '�. Suite no.: Lot: Block: Subdivision: MIL I oto T, Tax map/tax lot/account no.: Project name: Q L_ IACN I AL LU -- Description and location of work on premises/special conditions:.__QZQ �1tc�yC- - I�DDItt Arw� 67 Name: �wbttjt = KL3 M kb M I a , Mailing address: j0b610 Sw 1'8t-' RK"le p 1 & 2 family dwelling: City: fU-tlA State:bf• ZIP: 7Q23 Valuation of work, ........ $ Phone: y-�5 Fax: 0 900 1 E-mail: — No.of bedrooms/baths.... � (. „ 'v reprei+entadve: M ll/abtAt0e=S Total number of floors .. ......... -"3','r•► ej I�ax:57g3'191- f�. nuril: ..3 New dwelling area(sq,ft.) ..... .Q V...... Camge/carport area(sq, ft.) - E Covered porch area(sq.ft.) ........-:............. - - -- - 'q0 saa — Deck area(sy.ft.)........................................ Other structure areas ft. — Statc: ZIP: _ ( ).........7............ Fax: Lp E-mail: Commet•cirtUindustrlalhnulti-famFly: CONTRACTOR Valuation of work........................................ $ Business name: Existing bldg,area(sq, ft.) .......................... AA�lG New bldg. s Address: B area( q ft.) ................................ City: State: ZIP: Number of stories....................................... Phone: Fax: - F,-mail: Type of construction....................... ............ CCB no.: — -- -- _ Occupancy group(s): Existing: City/metro lic,no. New: Notice:All contractors and subcontractors are required to be I licensed with the Oregon Construction Contractors Board under Name: C-, I d provisions of ORS 701 and may he required to be licensed in the Address: 1�q I t 01�tD �� - jurisdiction where work is being performed.If the applicant is t�ily: 'c State:W ZIP: (�,I exempt from licensing,the following reason applies: Contact person: Jyl I Plan no.: Phone:76f,- Q(, -% Fax:`, QE 7- E-mail: - - Name:IA1Qt°g 'QE61CaIJ. Contact person:t W i AIh Fees due tiro"application ........................... $ Address: .5LO Date received: _ _ City: ) Statefl�` ZIP: 7 — Amount received $-- .. ..................................... Phone AN -q b 33 1 Fax: E-mail: Plcage refor to fee schedule. I hereby certify I have read and examined this application and the Nar all larrsdichaos.seep cnd l earls,prase call iurt,diction for more lrrtrxaratloo attached checklist.All provisions of las and ordinances governing this U Visa CI MasterCard work will be complie¢wI ,whe kified herein or not. Cmdir card nomtrer _ �t t:Arl L_ Authorized signature: ,�Date: C i _ii of C2"M0lder as shown on credir card Print name: I P M Q (. A Ut� _ s Cardholder N6rrarare Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. +4f�ah1i(60UGC oM) Mechanical Permit Application --- Date received: Permit City of Tigard Project/appl.no.: Expiredate: L City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Receipt Phone: (503) 639-4171 Y: pt no.: Fnx: (503) 598.1960 Case file no.: Payment type: Land use approval: -_ building permit no.: t &2 family dwelling or accessory U Commt rcial/industrial U Multi-family U Tenant improvement 10 New construction 0 Additic a/alteration/replacement U Other: Y 1 1 'COMMERCIAL Job address: 1,3 C; :S S S _ it ?- Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ 34= Lnt: Block: Subdivision:Q At( Poilotp toem *See checklist for important applicatiun infurutaliuu and Project name: ('1AJ EIb(Jt)o 1t4x'NVkwA1F, jurisdiction's fee schedule for residential permit fee. City/county: I ICaA A-5 ZIP: 22 -- 141 1 e Description and location o work on premises: Irk=W N. I t 1 1 a I FCC(ea.) total Est.date of completion/inspecdon: tkuription C?ly. Rm.unly Rcs.only Tenant improvement or change of use: : Is existing space heated or conditioned?U Yes U No Air handling unit CFM iLcl6 rices iuoning Is existing space insulated?U Yes U No sue enregtn ) Alteration of existing HVAC system 0 I K.11111 Moll INAI W11111101 114" of er compressors - State boiler hermit no.: Business name: ipU L ` E7a{SCf"J.`>, h�A�1?•7h ��rapj 11th- HP Tons BTU/H Address: �,Q —to to�i 0, Fir smo eam rs/duct amo a detectors -- City: c)fL'T Stntff&i22:1 ZIP:97 2�(� sat pump(site plan reyw Phone: -?It -S�j Fax:-17, 1141 InatalVreplacc tumacelbumer B no.: a.L3 Including ductwork/vent Ener U Yes U No CCnsta rep ac-relocate eaters-suspen e City/metro lic.no.: DO w 1 p� _ wall,or floor mounted Name(please print): W1 MA}InA, -Vent or appliance other than furnace 1 e Brat on: Absorption units BTUtH Name: --Z l kA �kp Chillers —__ Hp Address: ti - �_ v� Compressors Hp — I ronmenta exhaust an trent t ons City: Stale: ZIP: Appliancevent I Phone: Fax: E-mail: Dryer exhaust -Hoods, - whim Type res. itc a azmat hood fire suppression system Name: 9- Okv (� `, Exhaust fan with single duct(bath fans) Mailing address: x aust system span from heating orAC City: ___ State: ZIP: piping a on(up to outlets) �TUe �e _LPG NO X_Oil Phone: Fax: E-mail: l pi in each additional over 4 outlets ocess piping(sc ematic required) Name: ��}Cl<AA� a,� r, �,� Number of outlets 1 er 9app ante or equ pntea1, Address: Decorative fireplace City: State: ZIP: Insert-ty Phone: Fax: E-mai L• tov `c et stove - Applicant's signature: Date: er. Name(pont): — Not all iurisdicum,"w cf"i card%,Mere tilt Judukdoo for naNe InformiNnn Permit fee....................$ U visa U MasterCard Notice: chis permit application expires if Minimum fee................$ Cmd1i cod numbs: // // p' permit is not obtained plan review(at __ %) $ �; within 180 days after it has been d on credit cod — accepted as complete. State surcharge(8%)....$ -'Cardholder riarrature Arrtrwot_ TOTAL 110-4617(6MCOM) __ E MECHANICAI PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price 7otol� $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Qty (Fa) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,uuO.00 and 1) Furnace to & �4 00 vents 0 BTU $1.52 for each additional$100.00 or Including ducts uccts _ _ frar:tion thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 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 1400 $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 rind 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: Boiler Heat AI. $1.20 for eac'i additional$100.00 or For Items 7-11,see of Pump Cond fraction therf of. footnotes below. Comp" M 7)<3HP;absorb unit ASSUMED VALU ►TIONS PER A►IPLIANCE: - to 11JOK BTU M 14.00 Value Total 8)3-15 HP;absoio .60 Description: I J Ea Amount unit 100k to;abs00k BTU _ 25 Furnace to 100,000 BTU,Inciudin, 955 9) t.5.1 HP;absorb unit.5.1 mil BTU 35•00 ducts&vents 10)30.50 HP;absorb Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)yoWHP:absorb Floor furnace Including vent 955 unit>1.75 mll BTU _ 87.20 Suspended healer,wall healer or 355 12)Air handling unit to 10,000 CFM floor mounted heater _ 10.00_ Van'not Included In applicance' 445 13)Air handling unit 10,000 CFM+ permit _ 17.20 _ Repair units 80514)Non-portable ev,.aorate 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 6.80 101k to 500k BTU 16)Ventilation system not Included In 15.30 hp;abso'b.unit,501k to 1 2,310 appliance permit 10.00 fall.BTU 17)Hood served by mechanical a haust 30-50 hp;absorb.unit, 3,400 1000 1-1.75 mil.BTU >50 hp;absorb.unit. -',725 18)Domestic incinerators 17.40 Air 75 handling unit l0 10 mil.BTU 19)Commercial or industrial type Incinere4nf ._ Air ha000 cirri _858 r 69.95 Air handling unit>10,000 cim 1,170 20)Other units,Including wood stoves Non rtable qva to cooler 656 1000 Vent fan conne(led to a single duct 446 21)Gas piping one to four outlets Vent system not Included In 658 5.40 appliance permit 22)More than 4-per outlet(each) Hood served b the^hanical exhaust 656 _ 1.00 _ Domestic Incinerator1,170 Minimum Permit Fee$72.50 SUBTOTAL: Commercial or Industrial incinerator 4 590 $IZ Other unit,Including wood stoves, _656 8%State Surcharge $ Inserts.etc. Gas Iping 1�1 outlets 360 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL ESIDENTIAL PERMIT FEE: $ lVALUATION %her Inspoctlons and Fee>k: 1. Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2. Inspections for which no fee is specifically indicated (minimum charge-half tour) $72.50 per hour & Addit;onal plan review required by changes,additions or revisions to plans(minimum charge-o, calf hour)$72 50 par hour 'State Contractor Boller Certification required for units�-2001,i BTU. "Residential A/C requires site plan showing placement of unit. 1:ldstsVonns4nech-fee:-Aoc 10/11/00 e� lE:iectricW Permit Application au naadwd: - Penult no.:/r' City of Tigard PfflimVtwl.fto.. e,ryaadatec Ctryq/7y.nf AtIodrea: 11123 8W Hall BW,TYnfd,OR 97221 - PHow: (301)6394171 Dole tetuad: By: - X&MAW me.: Pjtju ORM 5981960 c.et rrl.no.: ry�r Lrtnd use&MMVal: RAI 2 family rlwrJUNks ut 0":fSe wy t]comtnerrial"r duttrlai U Multi-family ]Trnarm IMP-OvWntm Q New(poftrtructiat U(hhcr U Patini Job adbw: �I(1 fMl ytlll!fKl.` T�JIK Il l/Ill`LA11nl NO.: loot: Block; Y Suhdivttldo. f�lur4t Hn Uvw V).-,r Project mama: A+1 fl.I loft Dr ri xim end la-,&t,on of work on rmemrtcrl �r`tA�.t �cn r,T rla.1 Irani• ed dote of aail lOoPA t on: - - '-�•- Jt�OIl1f fw rtrr Owlnalea roma: S r ea ' _ • Tiw frh 112_ AwaftigtaU.bdNr+serr-+tM yw+a -0ty V ncouvPr �— sax: WA W, 98661 iWVW$bo" Phorul 49 3-5 -8 Q. Pr*: Tn 1: IMsg a e im -- haadldelW Mo f..rx a!7 rhrrro( c7cp no.:1 1 6 5 l q Ike,bw.Ik.no: 34-432 ��. ua.�M -M 011 clMpti.lie.no.: LI/IlltCeasry IIatI-re*Identui . _ BaM W.frvu .,dtt tale dwellh—MB , s(eypwvyrn s uw i.�rlr.rJ.-r ore s vio MWUM No tr 2 (. �_ �ailwiin��iR 11NMr, td.wt aame l—A IID. tlMron"orrsloctedw. WIN G; l0O"rw Isr. ►� b t On - n 2 PhotM -_�Pti�►p 6 F.nnil: N•. r Owner kttanrllaticrn " Irrtfttlatioh imp rnrda onD"t'P+ Y own '�«. wvirAden. which is feet I w"ded rof sa c 1 nr 6 ct"wcordink to "�"+ '�* wnbalelowc CHIS` 417,139.170�(J'�01 1 too!"I�!°'"" - f► '20! b 2 till w R twM ra, i t/ttfetl�w!r'^r r••.Illi I 1Va� __.__-._-..___.-_-<<_.- ..--..� »�_._ A Fo►fur tlrNt��rR.rwl t-.u,/arohtt er Aj�fRte. _ .Mvkv or ftr/da1 rtM owb hrwh rfAln 1 ci. �TSitas '— TdP ••- — _ iaArwKnan.�o.:whaepwc uw fNw tsech ttittRlC 2 Ptrotea: ltat f-nxail ti+*MkjodTFr.edr+rculc MINN.( b e► 1 9«to O tlalHa e.M I31 w.rf+►t wwrnePol� H.II Aan ttsYkr 4rh p.rte. «rr At►an(r L i O Mnh+*,,m l2 w4*,rww4 of r t 2 Ci Knz come barflat a tnrtlrrw (snll.dwtllk�' 7Acltdie�row 10,000.rrm bnAmt. elrc+ru.)x'-1Ij�M--wc nm 0{yrawwo'w 600.du W44- l Vtwo re tM<W or4b rn tww ww wr. al"rwo"..,,.r urian• _ U/lttol Iesed ww"rw. w U Mpuu+Arbrrdrew tww a RV vwr* tledr �irrtJI'Yw ....n.Mows wIr s0 U PSIswr i jXwgrtw Q qen ttRtlsM ..-wxr e(rtatl wMa wT M tYe ab..s, In•-.dLumTie-�__.- -- lu fte ar,e tsiat a}ptitaile 400OMPNO,68w vvGM v=Ott hw'a tl+ravorr a+etw rw+r wnw rte..cd 1.w rbc n..dd.,wrw� Ntxi+s Thu pcttnM a-,trial OMs U MewecoH I r�pi p If a pmmM .ro obtainw Phil nwltle(fit Ion day aAw a hu bean SON Surchfpt o Net or w scmW ZwT_-._ rut,'+dascraspWa 70TAL ..... _.... ; _......... -- o6a+Gt!IMA1C01f1 Mar-0G-01 03: 05P Wc:.rlcott Plumb rnc) 503 667 9891 P .Ul 0.3'0("/01 :U7 ld 41 MAX 50:1 SAH 1960 Cl'l'Y t1F"fICARD �j002 Plumbing Permit App[icat-ion Date r=ived: Tigard tra of 'Y igd 9ewv permit no.: Dutidtne pe:rriit no.: Addresa: 13123 sW Hall Divd,TiQor 1,OR 91223 Gtr,oJTirmd phone: (,,10'4)690.4171 ProJec✓eypl.no.: Prep—n-e—Et-tri: --- Fax: (103)M-1960 Datehqued• by: I Recrintmi LWW use approval: Casa:me no.: Paymen►type - '.family dwclltnp ter--c—Ory U Cu.n;n rualhnAwtr J blv.t••fam ly U Tenant irnprovemcnl Q New CUOUTULU011 l-) Udiu tL all CrThnrl lCpiJCPtYUrI :.d Foci er race U Jtlier Jr'oadd� Lh%crlptlou Qh• Fee(es. fatal =--�' --�— •w t .ted Z•iatrUy d WCftCe o y: _ -- -- (iodudee l00 n.for rearbul;Ut)tooseetloe) Tu n*tax lo✓accouut no.' SFR(I)both l A. } Black Subdivision: �_� ) — i't0 et.t t111Rtc;n — S�'ft(.fibsih _ CitylcuttZIP: � +aJditioe 1a bnttytcttchen _ Description and locate to of work nn prcmioes: _ SIt•nlWtiess _ Ceti.h bitsidarea Arun Sit.data otetxn ledottlins eehl,m rywcll leas hne ties i drain Mth1n d 1nu t(no linMMM - 7,qanolocture horse uhlltre- ^ Bwi:tcss name: tail O�Co�� •hYt v�_ti_.. an act -- --- Addrrcss: ,O 10 O_-) ain rain connector C11y-�Zey1�.�. Sietc(r, :Ji' ntt� sewer(00.lio ft) --- Pltortr 50;•4st7-171 Far 6G7.9tl11y��pll•Datw Stnmtee-'�r(no Tin.fl�. �� -- Plumb.bus.reg.00:24•Zo 14 FU Water service no.l rCTLi '-- CC'B no. 2�1)I y3 - Future or Newt rCityrrneteo lis no.: Ab• tion valve Cuotnctoi s rc�presenledvc s.v�oottur . _ ask ow pI6VQDlet — Yriainwnr UF' 1 ', '°� n water valve _ r aalnUi;yilory — FlothCs wager ---- __— Nur1n� —__ - — ---� Addrem rxinF3n tountain(:i_ _ City. V State .IP: -'ac comp — phone; Far E-mail. apen%ion tank - ixtu sewer a — _ _Flair loot ti ub _ Nune(print): ------•_--- —.— tet a tits Maidnll address: -� Hose bibb — _ r.ty $talc' S1P' ice tri of - WunE, 1(u. E-mail_ :duce tar/grrau tmp —__ (lwnct m�ullrtNurUrestdtn0al mo.nunarxc onl;. Th( actual inrlallatlun 1'rma(,T will be triode Fy toeor the mainten ve and repairtlialic ny my rebid" I rT;u commercial—'- — employee on the p rperly I ewo 3,1 per ORS Chapter 147 Sink(s),btutn(yywn(t _ Ownc:'s signature. _—_- _ Date. _ sump -1'u�,�N_er ower pane- - lnna _ Nutri: _�--_..�..-___.__—._—_----•• --._ arer c aril AJJrcas. -__ star ou:r,^_ UP. - r Pitons 1 snail., oral Minimum rce... MA oil j ltoscurwt wo;za111"•ndoz cati uNuGcase(er man n crrtuiian Not(pe:nis permit applicat:an Plan mvtew(at U`!tea O Mslurcod expires 11 s pernii i3 nut obuined .�— within 190 days ager it hai bun ••Vie :un:hatpc fRS6, . .S CRL c aid ea,ese+ ,---• ►aero l OT.11 ...--• ncrxPied os.ompk•e Yrts or cal dtit M tM�+nn c,rJM ewd l b`� {Nu4iG E.WC(N) —-- / Mar--06-01 03:05P Wolc_att. Plumb incl 503 667 9891 P.02 91/06/,01 I'LL 14 J: I AX Sol 59A 19(;) CITl OF 'CIC.1kU IQ 110a PLUMBING PERMIT FEES: _ -� RI07TOTAL hlMwt8qd244rrtffydWoNlrlpo0t11Y FIXTI4RES bnSlvldQTY pa t� AMOLONT (hchufes allplumbiny''itturee In PIT TOTAL rSlrk 1651 '�� the dweOlnp and the flr11t10o its, QTY. (�) AMOUNT Lrratory IY 16.6) 'Ail VloreXehull=1(lyponn4ctlgn Tub nr'ubrStxmer .O nh. 16.6) One 1 ua t 4..?0 its wo 2 oath 9 0.00 _ S�F wer Ony 16.8) Tnrte c3)bt7r _ T399 00 %h wo,r Clea et DTOTAL �•,i�A�t�URC1IARGF. �T �� eunwa.ner 1e e� PLAN RdVIXW 41%OF SUBTOTAL r _—____CarTOTAL boys f.�iapo//I � ___..�.�_ �-- Ltiundr�fray IOU- 171 6U1 . Hour ON ry -0 f 9Ink 2' 16 f 0 ,• PLEASE COMPLETE: 4' 16.(0 _ WateI HeAter w O conrs un like end —15(6— '�' Guant� orli Performed Cee piping regvues a sepatals mM:himcal I I� Fixture.Type. _ New AOov d RepleceC ' Removed, 1 MFG Horio Now Waver Service 46•0 Sink _ Mho l-wrne New SantStOrm ewer 46 r 0 Uwal �- Hose dto 1 1610 u or %,W hgwer I Combinotlon Raul 0 gills 10.1.0 ova, nth_--1-.- Onnklnq Faunlain 16.ir0 Wolof Closet 16110 o-�i,��viee•IlnUnralecly) Dishwa/her _� ^T Gaiba e Cls osal �eundry Room Tr '-- •�--- — Washi� Mach,ne w� loo,pain/ Ink' Sewer•to 100' — 156.r0 -- Sower•aact•addilloist 100' 46 10 4' Welr 3arveo•Ist 5,FC r �, Watt1Hivro ws:m drrce eacn.odtnh�1.00 +6 to Qtherrxwras S form 6 Riln Dralr• ''�t 100'� OS. $form 6 Rehr•each adatl Oriel 100' 10 Commlil Back Flout PreVonflom Oov a 415 40 — Hasldonbar 4tpckilcw Pleventlon wits' 27 55 GalCh Bie1n 18 60 InspeCllon of Erinitlnp f'Ivmbinq or pecitly 7_2 Ro u4sled Ins ectl01, 41 l COMMENTS REGARDING ABOVE. Rain Drah,singb lxlq-- 66 2S �Z� - -_---- ,----- Grerae-- ahs — 1660 _- - - - - — - --- QUANTITY TOTAL — lAOnNtrK a Asr matyarn l\•pudad It .r— Oben h r l3.!!!"�`L._ '�T• ----- - — *SUBTOTAL — --_ 6-/r STATE SURCHARGE ----- —^� — j 'PLAN REVIEW 25%OF SLBTOTAL Rrq�Y�•;;-'�1 G.W rf rc1A�it>5 T �MinlMam pnrnit w is 41;su•/S slatt,surcharge,algw nu.d v llal tae.row Prev ,Orr�m Den wh,L I a$30 M•0%3410 urn"19&NAw Cernavreial euiidlrys w1vat Iratl w"is —hc rY M v slave➢,u 0 14,n•r,isw. 1UstsHomuilplm•keedor. �On0/00