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13740 SW SANDRIDGE DRIVE 13740 SW Sandridge Drive CITY OF TIGARD 24-Hour BUILDING Inspection Line: (603)639-4176 INSPECTION DIVISION Business Line: (5(n)539-4171 MST - BUP Received _-.._ / Date Requested___�_ AM .— PM BUP _ Location Suite _ MEC C _ C 7 Contact Person _ p ) 1 1 ���d PLM Contractor Ph( ) SWR BUILDING Tenant/Owner ELC Footing ELC: Foundation Access: Ftg Drain ELR Crawl Drain �- Slab Inspection Notes: SIT Pos!&Beam Shear Anchors -- Ext Sneath/Shear Int Sheath/Shear Framing _ InsulationG/� -- Drywall Nailing - - -- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling - -- — Roof Other: -- --- - - --- Final t/ _PASS PART FAIL_ -- PLUMBING Post&Beam Under Slab Rough-In Water Service ---- --- :_—_ Sanitary Sewer Rain Drains — --- -------- -. -- Catch Basin/Manhole Storm Drain ----- ---- - --— Shower Pan ' Other: ._ IPASS\ PART FAIL _ ICA_L Pos am Rough-In ---- --- --- --- Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service �--- -- .-_---- —. _— Rough-In UG/Slab Low Voltage - _- ---- --- _-- -- Fire Alarm Final Relnspectlon fee of$__ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL_ Please call for reinspection RE:_ _--_ -- Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab - Inspector _ ---- —_- Extv- Other: Final —� NOT REMOVE this Inspection record ;rom the job site. PASS PART FAIL CITY OF TIG/ARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ ,_/Date Requested �a AM_ PM __ BUP Location ____1 22 :2 Suite / MEC _ Contact Person _ _ Ph ) ���1'"7-3�� _ PLM — Contractor__ camPh(__—) SWR BUILDING_ Tenant/Owner _ _ ELC Footing ELC Foundation Access: �d r Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT __- Post&Beam Shear Anchors -- Ext Sheath/Shear X�C/ Int Sheath/Shear Framing --- - - - -- ------- -- Insulation Drywall Nailing Firewall Fire Sprinkler - ------ - -- Fire Alarm Susp'dCoiling - --- - ------------- - - --- - -._... -_ - - Roof Other: ----- -- - Final PASS PART FAIL ---------..._ - - - - - - ----- - _ --------- PLUMBING _ Post&Beam Under Slab ------- Rough-In Water Service ---------_____- - --- Sanitary Sewer Rain Drains ------___. - Catch Basin/Manhole Storm Drain Shower Pan Other: -- -- -- -- Final ___-------_-__-- PASS PART FAIL -------- _ -- --�--_.�_------ - ------ --- ---- MECHANICAL Post&Beam Rough-In --- - - Gas L ine Smok 3 Dampers ------- -- -------— Final PASS, PART FAILA,:E:C f_R_1EA_L TRICAL - Service RoughIn ---------- - - -- - -----__ -__ ._ ------ UG/Slab 7it arm a PART FAIL_ Reinspection fee of$ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. F] Please call for reinspection RE: _ _--__ - Unable to inspect-no access Fire Supply Line f_ ADA Approach/Sidewalk Datta _F r) � - inspector _ Other: j Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)635-4175 MST —oc)3 D� INSPECTION DIVISION Business Line: (503) 639-4171 Blip Received - __ --11 D''at//e Requested— '"a AM_--___- PM Blip Location L��Q _Suite MEC Contact Person Ph( ) Sl —'�J- y� PLM Contractor __ _ _ Ph( ) —_. SWR BUILDING Tenant/Owner _ ____ ELC Footing ELC - Foundation Access: Ftg D•yin ELF! - Crawl Drain Slab Inspection Notes: SIT Post R.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&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains — --- ----— --- -- -- ---- -- — -- _ _—� Catch Basin/Manhole Storm Drain --------- - ---- __- ---- — ---- _ _- -- -— ----- Shower Pan Otter -- S 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 0 Reinspection fee of a�. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Fj Please call for reinspection RE: --_ Unable to Inspect--no access Fire Supply Line f ADA I / -'-)/'�-:��- Approach/Sldewalk Daft- Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY 0 a'IGARD 24-Hour • L-DING Inspection Line: (503)639-4175 MST —cc) 3c INSPrCTION DIVISION Business Line: (503)639-4171 BLIP Received nate Requested 31 _ AM/ PM— BLIP Location 74 LJ Suite i _. MEC Contact Person ___ �� -- h(— -) - L�Z--- '-� 1--- PLM Contractor Ph(-- —) —. _ SWR _ BUILDING Tenant/Owner _____— ELC _— Footing EI_C _-- Foundation Access: Fig Drain ELR _--.- Crawl Drain SIT Slab Inspection Notes: Post&Beam - _ _------------ Shear Anchors Ext Sheath/Shear - - Int Sheath/Shear Framing ,,y Insulation �` � 7"i„�� �,��' I ' �,,f C.G?�! — 3 I Q .�- _ Drywall Nailing Firewall / d U Fir©Sprinkler ��h` �� r � -L�-- Fire Alarm Susp'd Ceiling �����f /1 / / Roof •`Find ��A --0 � �� L'r PASS PART PLUMBING Post&Beam � �`� �/ Q'pl Q Under Slab �`� - -- ? - - Rough-In Water Service l Vs'1��_-_. Sanitary Sewer S 'Lo_. _ Rain Drains Catch Basin/Manhole p _ Storm Drain '-- `- -�' ----`-- Shower Pan Other: Final PASS _PART FAIL MECHANICAL —_� - - -- ---- - Post&Beam Rough-In ------- - -- - ------ Gas Line Smoke Dampers -- --- :fin -- S -PART FAIL ------- —.p_.- -_- _ --NRCTRICAL Service Rough-In UG/Slab --- ---._._ .-�--- -------____- Low Voltage - --.-_�- _- -------- -- -- -- ---- --- - - - -- Fire Alarm Final F1 Reinspection fee 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 AISupply Lina DA Approach/Sidewalk Date- Inspector _ Ext ._..-p Other. Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL d tTj d ► ► rD oil ► rb z , ►� 94 oh. p rL y ► S ' v' LA '-', UC ► + �T- O ro y y O A O ► � � cro ► t1,4 rrl r. , . ► Gl 44 t 4444 z I s .� ► 0 o J � °� co o o � x �1 0 0 3 0 a �0 CITY OF TIGA►RD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received __ _ Date Requested AM-- - —__ PM BLIP Location _— _7...y-� Suite MEC Contact F ,rson . -_ "� ,� _ p (-- ) -`1 �(e PLM Contractor - ---- ---- _ -- Ph( ) _- SWR BUILDING Tenant/Owner _ __-_- -_ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear T U �G -Z Framing 't' �� �1 Insulation � -' c-e Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling - Roof - Other: SS PART FAIL PLUMBING �/� o_�J �� �--� C-�✓ _ Post& Beam Under Slab Rough-In 1 ' ✓`�'L r ,� - Water Service Sanitary Sewer �S Rain Drains Catch Basin/Manhole ----k C e.57 Storm DrainI ,Q_ Shower Pante Other: -- Pinel PASS PART IL - MECHANICAL `✓✓\ S C2 _ S Post&Beam '411. p 1 Rough-In I Gas Line Smoke Da pers Y" —�- -- - —---- — --- ---------- -- n S RT AIL - -- - -- - -- LE ICAL Service Rough-In - UG/Slab Low Voltage _— _— - -------_._-_ Fire Alarm Final n Reinspection fee of$_ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _-_ Please call for reinspection RE: - Ej Unable to inspect-no access Fire Supply Line ADA I \ Jz Approach/Sidewalk Date 1/ inspector V. '_-_---_ u_ Other: Final DO NOT REMOVE this inspection record from the job site. PASS P9RT FAIL CITY ®F 1 I G r1 R® _- _ MASTER PERMIT PERMIT#: MST2002-0036, DEVELOPMENT SER"11 CES DATE ISSUED: 7/19/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13740 SW SANDRIDGE DR PARCEL: 2S105DD-05100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT:027 JURISDICTION: 1 IG REMARKS: New SF detached, Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.236 of BASEMENT: a1 LEFT: 5 SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.330 of GARAGE: 663 at FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENT: of RIGHT: 22 VALUE: S 250,834.00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2.56600 of REAR: 33 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 RCKrLW PREVNTR: 1 GREASE TRAPS. OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K BOILICMP<3HP: VENT FANS: 5 CLOTHES DRYER: I GAS FURN>•100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: 1 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 PUMP/IRRIGATION, PER INSPECTION: EA ADD'L 500SF: 5 201 •400 amp: 201 •400 amp: lot WIO SVCIFDR: 00 SIGWOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 -600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 5014ampa•1000V: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: 9VCIFDR>•226 A.: >•600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM•. AUDIO 6 STEREO: FIRE ALARM: INTERCOWPAGING OUTDOOR LNDSC LT: BURGLAR ALARM OTH: BOILER: HVAC: LANDSCAPElIRRIG PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR: HVAC: DATA/TELE COMM: NURSE CALLS TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,574.68 This permit is subject to the regulations contained In the D R HORTON HOMES DR HORTON INC PORI LAND Tigard Municipal Code,State of OR. Specialty Codes and 5125 SW MACADAM AVE STE 145 5125 SW MACADAM AVE all other applicable laws. All work will be done in PORTLAND,OR 97201 SUITE 145 accordance with approved plans, This permit will expired PORTLAND,OR 97201 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 Center. Those rules are set Reg e: LIC 130859 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questluns to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8• Post'Ream Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : `` '_ _'^ �� u_.___`rtePermittee Signature k . _ Call (503) 639-4175 by 7.00 p.m. for an inspection needed the next business (lay CITY OF TIGARD SL-wERCONNECTION PERMIT _ DEVELOPMENT SERVICES PERMIT#: SWR2002-00213 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7!10)102 SITE ADDRESS; 13740 SW SANDRIDGE DR PARCEL: 2S105DD-05100 SUBDIVISION: PACIFIC CREST ,ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: 71G TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF. Owner: -- --- -- — � ---- __ FEES___ D R HORTUN HOMES Type By Date Amount Receipt 5125 SW MACADAM AVE STE 145 —_____ PORTLAND, OR 972.01 PkM T CTR 7/19/02 $2,300.00 27200200000 INSP CTR 7/19102 $35.00 27200200000 Phone: 503-222-4151 Total $2,335.00 Contractor: Pyrone: Reg#: Required Inspections 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 by. G-ti r- �-+►�- ;'�___ � L L. Permittee Signature: . � Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Bi>lilding Pn Permit Application rProject/appl.no.;_ i (�> Permitnu ;. ry. City of Tigard g - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ex ue dote RCiryn(Tigard phone: (503) 639-4171 Date issued: By eceiP t no.: Fax: (503) 598-1960f Itanuly: fileno.. Payment type: Land use approval: fSimple Complex: TYPE dr PERMur U I &2 family dwelling or accessory U Commercial/industrial U Multi-family >(New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: JOB SITE INFORMATION Job address: Bldg.no,: Sure llo: Lot: Block: I S u btrivision: q Tax map/tax lot/account no.:,A( ( Project name: rhifiv Description and location of work on premises/special conditions: 1I V JN F1 0 IM I 1 1 Name: j7. HIY" 07 Mailing address: 1Z6 I & 2 f:nnilr dNellin : 9 �b City: State:0 7_IP: Valuation of work. a �.3 ,.-..... $ • �.. Phone: - 451 Fax: - marl: No.of bedrooms/batlis................................. Owner's representative: Total nu- .ger of floors................I................ �• Phone: Fax: E-mail: New dwelling area(sq. ft.) .......................... APPLICANT Garage/carport area(sq, ft.)......................... _ Name: p• Q Covered porch area(sq ft.) ......................... Mailing address: t_ &I S A lel 0 V L Deck area(sq. ft.) ...................... ................. City: State: I ZIP: Other structure area(sq. ft.).............. .......... _ Phone: Fax: E-mail: Commercial/industrigl/multi-family: Valuation of work...... ................................. $ Business name: y fip Existing bldg.area(sq. ft.) .......................... f s New bldg.area(sq.ft.) ........ Address: Number of stories....... Cit State:p ZIP: City: Type of constru ' Phone: e�1 Fax: E-mail: Occu group(s): Existing: CCB no.: O New: City/metro lic,no.: Notice:All contractors ani subcontractors are required to he ARCHITECTMESIGNER licensed with the Oregon Construction Contractors Board under Name: ki provisions of ORS 701 and may he required to be licensed in the Address: 14S �� jurisdiction where work is being performed. If the applicant is Cit State: "LIP exempt from licensing,the following reason applies: Contact person: (� Plan no.: – Phone: / 1 Fax. E-mail: state)lot H Name: ;ontact person: Fues due upon application ........................... $ Address: – f!7 Cate received: City: State:() ZIP: Amount received ......................................... $ Phone: Fax:600 ,4 E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all lunsdtcuons accept credit cards,please call jurisdiction for more mfetmauon. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied wi ,whether specified herein or not. Credit cod number —L L_ ���/� Expires Authorized signature: �—^ Date: ( wI' — Name of cardholder n shown on credit card Print name: 10h7 7 I Cardholder uRnalure s Amount Notice:This permit application expires f a permit is not obtained within ISO days after it has been accepted as complete. 4+0-4613 moorc:oM) Electrical Permit Application Date received: (* �j y Permit no.: City of Tigard Project/appl.no.: _ iredate: City q(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: / Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case rile no.: Payment type: Land use approval: ❑ 1 &2 family dwelling or accessory U Cummercial/industria! ❑Multi-family ❑Tenant improvement New construction ❑Addition/alterntion/rcplaccntcnt ❑Other: ❑Partial 1 ' SITE INFORMATION Job address: 131rJg. nu. Suite no.: Tax map/tax lot/account no.: _ Lot: Block: Subdivision: / Proiect ria Description and location of work on premises: Estimated date of completion/inspecti m CONTRACTOR APPLICAT14ON IFEE SqiEDkft Job no. I�� Max Description 04. (ea.) Total no.Im Business name: New residr•mfal-single ormulti-family per A IUCc'5. dwelling unit.Inclutiesattached garage. City: i State:Op I ZIP:41 27Serviceinclurled: Phone: Fax: E-mail: 1010 sq.It.or leas 4 Each additional 500 sq ft.or portion thereof CCB no_ Glee.bus. lie,tto: Limited energy,residerr.w 2 City/Metro Iic.no.: Z Limited energy,non csid%:ntiol 2 F.ach manufactured home or o sidular dwrlljng Signa, �o sa e�tr� equired) pate Service and/or feeder 2 R f P — — Services orfeeders—ins:41atlun. Sup.elect.mmic(print) License no alteration or relocation: PROPERTY OWNER 2(H)amps or less 2 Name(print): 201 amps to 400 amps 2 4U1 amps to 61)U amps Mailing address: Q 601 amps to 1000 amps 2 Cjty; Slate: ZIP: Over 10110 Drupa or volts 2 Phone: - Fax: - Email: Reconnect only I Owner installation:The installation is being made on property I own Temporaryservicesorfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: 200 amps less 2 ORS 447,455,479,670,701. to — 201 amps o 4(H)amps 2 Owner's signature: _ Date: 401 to 600 amps '- Branch circuits-new,alteration, or extension per panel: Name: Or15 V A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: State: ZIP: n B. Fce for branch circuits without purchase ofservice or feeder fee,first branch circuit: 2 Phone!, f;tx/j� E mall: Each additional branch urcurt. Mise.(Service or feeder not Included): •Service over 225 amps i ununcncial U Healthcare facility Each innp or irn cation circle 2 •Service over 320 amps•rating of 1&2 O Hazardous location Each sign or ou,line lighting 2_ family dwellings ❑Building over 10.000 square feet four or Signal circuit l on a limited energy panel, 0 System over 600 volts nominal mote residential units in one structure alteration,or emensiun• 2 ❑Building over three stories 0 Feeders,400 amps or more 'Description O Occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: ❑Egressilightingplan ❑Other _ Per inspection Submit,sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Nni all jurisdictions accept credit card%,please call junsdiction for more informntiun Notice:This permit application Permit fee.....................$ O visa 0 MasterCard expires if a permit is not obtained Plan review(at _ %) S Credit cud number _ __L_1 within 180 days after it has been State surcharge(8%) ....S Name of cardholder ria shown on crcdti cv�- r%p1fts accepted as complete. TOTAL .......................$ - S Cardholder signature Amonni 410-4615(NONCOM) Mechanical Permit Application Date received: Permit no. e City of Tigard Project/appl.no.: Ez ire date: CalyofTigard Address; 3125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: B Receipt no.: Fax: (503) 598-1960 Case file no.: PSymenttype: Land use approval: —_ _ Budding permit no.: TYPE OF IPERMIT ❑ 1 &2 family dwelling or accessory O Commercial/industrial ❑Multi-family O Tenant improvement ❑New construction U Addition/alteration/replacement U Other: JOB SITE INIFORMATION � LE -_ Job address 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$ Lot; 14 JBlock: I Subdivision: //6/ *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: 20 rjmmm= ZIP: Description and oration of work on premises: 1 r I jol x IN t flY(ea.) IMal Est.date of completion/inspection: Description Qty. Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned?❑Yes ❑No !Air hondling unit _--•-CFht Air condi ioning(site plan required) Is existing space insulated?O Yes O No ieration of existing f IVAC system — --- ot er compressors Business name: State boiler permit no.: HP Tons-__BTU/H Address: Ir smo edampers/ uctsm; c detectors City: A IDL& �- State:( ZIP:01700 1 Heat pump(site p an require ) — - ---" Phone: Fax: E-mail nstall/replacc urnac umer 1 —� CCB no.: -- Including ductwork/vent liner O Yes O No Install/replace/relocate eaters-suspended, City/metro lie.no.: _ wall,or floor mounted Name(please print I — e— ora iance other than furnace _ 1 e gerat on: Absorption units HTll/}i Name: Nt 6 0 t G _� s p Chillers Hf' �r,ressors it Address: Gj — 7 �y iitvi oninentst exhaust a-nrent at on: City: rf y State: ZIP: D� Appliance vent Phone2 2 / Fax: Syr E-mail: ryerex aust Hoods,Type res.kitchen7Kazmat hood fire suppression system _ Name: 1W _ Exhaust fan with single duct(hath fans) Mailing address: y r% — x aunt systema art from heapn or C City: al'-t1akad Istalr.:Qf( 71 F': tie piping on st ut on(up to 4 outlets) Type: t•1'(i NG Oil Phone: /}" Fax: / E-mail: Fuel tin car r ad Itlona ;ver out cts Process piping(schematic require ) Name: Number of outlets -- t ter list app lance or equipment: Address: J---5 Z Decorative fireplace City: State: 7_IP: ''1oi nsen—type _ Phone: 4gjf Fax: f Email: oocstove/pe et stove Other: er: — — Applicant's signature: �- Date: ter — Name (print): --- Nor UI Jurisdictions accept credit cords,please call jurisdiction for mom infortnuim Permit fee.....................$ ❑Visa ❑Mastercard Notice:This permit application Minimum fee................$ expires if a permit is not obtained -- crcdu cord number —_—� -- -- Lam_ Plan review(at — 96) $ __ Expires within 180 days after it has been State surcharge(8%)....$ Name of cardholder a shown on credit card $ accepted as complete. TOTAL Cardholder signature Amount .......................$ 4144617(rsWCOM) Plumbing Permit Application Date received: /- Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Project/app.no.: Fq ire date: Fax: (503) 598.1960 Date issued: B Receipt no.: Land use approval: _ _ rase file no: Payment type: TYPE OF PERMIT U I &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-fancily 0 Tenant improvement New construction 0 Addition/alteration/replacernent J F'tunl service J Other, O; t rInfonation use checklist) Job address: ) �� - - Description l . Fee(ea.) Total Bldg. no.: Suite no.: _ _ New I-and 2-family dwellings only: (includes 100 ft.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath _ Lot: 0 Block: Subdivision: 6 lS-f' SFR(2)bath Project na e: �— _ SFR(3)bath City/county: V ZIP: Each additional bath/kitchen Description and ItIcation of work on premises: Siteutllities: Catch basin/area drain Drywells/leach line/trench drain Est.date of completion/inspection: t t Footing drain(no. lin. ft.) PLUMBING Manufactured home utilities Business name: YlwmbiVl j_ Manholes Address $�. - Rain drain connector City: State: ZIP: 1 pSanitary sewer(no. lin. ft.) Phone: 0- C Fax: E-mail: Storm sewer(no. lin. ft.) CCB no.: — Plumb.bus.reg.no:-.7j -(8 Water service lin. ft.) City/metro lie.no.: Fixture or itemm:: Absorption valve _ Contractor's representative signature� Back Ilow preventer Print name: Date: Backwater valve _ CONTACT Basins/lavatory Name: Ole- tt Clothes washer er Address: /2 " J 5� Drinking fountain(s) fountains) 1 StatcV4 I ZIP: Ejectors/sump Phunc: Ill_ / ins: rl I E mail: Expansion tank 1%lei Fixture/sewer cap Name(print): J,'. 1- prfvh /7�1ylrS _ Floor drains/floor sinks/hub -- Garbage disposal Mailing address: ,,,,, / Hose bibb _ City: &ng Ad I State: ZIP: Ice maker Phone: =- Fax: Z j/'l I E-mail: Interce for/greasc trap Owner instal lation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Mrier's signature: _ Date: Sump Tubs/shower/showerpaart _ 4�1Kfll� / Urinal Name: ��-1.f2� iter closet Address: Water heater City l State: ZIP: 1d/s Other: ��-- Phoi- _3 p.z+yJ Fax: .7 E-mail: Total Not all juntracuora accept credit cards,pieese cail jurisdiction for more information Notice:This permit application Minimum fee................$ 0 visa 0 Mu terCard expires if a permit is not obtained Plan review(at — %) $ Credit cud numtuc within 180 days after it has been State surcharge(8%)....$ __ Nameof cardholder at shown on credit cud Expiresaccepted as complete. TOTAL .............I......... S Cudholder signature Amount 440-4616(6A0/COM) PACIFIC CREST SUBDIVISION LOT - 27 CITY OF TIGARE) 4 E`. 88' 0054' 0 " E 9 9 . 9 -) ' EL•SO.' A - - PROPER V 1. --- - ---- ------ -SETBACK UNE- O n I I I I I I / I / PLAN : 5rob i SO FT. 2566 / FIN EL 591' / GARAGE SOFT. 153 cc FIN EL 590' THE AP#ROACN SHA A MINNNF�tUM OF 8"xIV M OF C4.�EAN PIT GRA L LANDSCAPING FOR THE ENTIRE LOT / SHALL BE FINISHED OR THE LOT �� SURROUNDED BY EROSION CONTROL ❑ ,' , PRIOR TO BREAK OUT OF COMMUNITY EROSION CONTROL. FINISHED SLOPES e` SHALL BE LESS THAN 2 TO I I I V 0 I 0 EL-see I 27 I MAPLE 1 0o 95085 T. NOTE: SETBACK REQUIREMENIS�j I ROOF DRAINS TO STORM LAT. IN STREET, FRONT YARD 1!'1' 2 FOUNDATION DRAINS TO FRONT YARD t0 GARAGE 20' BACKYARD SOAKAGE TRENCH SIDE YARD 5' SEE ATTACHED DETAIL. REAR YARD 15' L-584' ADDRCee�17140 BILI SANDRIDGC DFS D.R. �O1-ton Homes PLAN 25.6.6c 11 5125 S.W. Macadam Aveneue DATC��RO/GJ Portland Oregon CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00282 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 7/16/02 PARCEL: 2S105DD-05100 SITE ADDRESS: 13740 SW SANDRIDGE DR SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 027 _ — JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: It WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential backflow preventer. FEES Owner: Type By _ Date Amount Receipt ALLEN JONES PRMT CTR 7/16/02 $36.25 27200200000 13107 SW MORNINGSTAR 5PCT CTR 7/16/02 $2.90 27200200000 TIGARD, OR 97223 Total $39.15 Phone 1: ria Contractor. JOHN DARBY LANDSCAPE INC 13867 SVV BENCHVIEW TERRACE TIGARD, OR 97223 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 579-5298 Final Inspection Reg #: LIC 7110 PLM 12319LCL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OLINC by calling (503) 246-1987. Issued By: Permittee Signature Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Plumbing Permit Application ' NLV Date received: I r L 0 Permit no.. City Or Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Ilall Blvd, Tigard,OR 97223 pro ect/a I no.: Expire date: 01Y ,f"'gar' Phone: (503) 639-4171 pP' - Fax: (503) 598-1960 Date issued: - By:tReceipt no.. Case file no.: Payment type: Land use approval: — --. TYPE OF PERMIT U I R.2 family dwelling or accessory UComillefclal/Industrial UMulti-family 0 Tenant improvement U New construction U Addition/alteration/replacement U Fnod service U Other: �— t t Description Qtr'. Fee(ea.) Total Job address: lY 4---- Petr I-and 2-family dwellings only: Bldg. no.: Suite __ (includes loo ft,for each u(illty connection) Tax map/tax lot/account no.: SFR(I)bath _ Lot: Block: Subdivision: _ SFR(2)bath Project name: SFR(3)bath Cit /county: ZIP. Each additional bath/kitchen Description and lntiatt6ri of work on premises: ___ Siteutilities: _ Catch basin/area drain Drywells/leach line/trenc drain rst.date of completion/inspection: Footing drain(no. lin.ft.) PLUMBING Manufactured home utilities BusineF,z nante: __ Manholes Address Rain drain connector City: State: P: Sanitary sewer(no.lin. ft.) Phone: Fax: E-mail: Storm sewer(no.lin. ft.) Plumb.bus.re no: Water service no.lin. ft. CCB no.: ) : t` t_ g' Fixture or item: I City/metro lic.no.: Absorption valve Contractor's representative signature: ac k flow preventer Prins nano ' Backwater valve Basins/lavatory Clothes washer Name: Dishwasher Address: Drinking fountains) City: –7State:_.. Ejectors/sump Phone. Expansion tank _ Fixturc/sewer ca Floor drains/floor sinks/hub Name(print): 1 — Garbage dis oral Mailing address: — _ _ Ilose bibb City:_ State: ZIP: Y Ice maker Phone: hax: E-mail: Interceptor/grease trap Owner installation/residentinl maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercia) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s), ays(s) Owner's si matutr _Date. I Sump Tubs/shower/s ower pan ENGINEER Uric— Name: Water closet Address: Water heater City: State: ZIP: —_ Other: Phone: Fax: E-mail: ora Minimum fee................ $ Not all jurisdlctbns accept credit cards,piesm call jurisdiction for more information. Notice: This pennit application Plan review(at _ %) $ O Visa []MasterCard expires if a permit is not obtained State surcharge(8%).... $ Credit card number.__ spires within 180 days after it has been TOTAI......................... S _ accepted as complete. --' Name of cardholder n shown on credit ca S Canlho der alpnature AmnuN 440-4616 t6 MCOMt PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) _ QTY ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 1t. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) __ ___ One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three_L31bath $399.00 Water Closet 16.60 SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL - -- Garbage Disposal 16.80 ---- - --- TOTAL -- Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60- _ PLEASE COMPLETE: 4" 16.60 Water Healer O conversion O like kind 16.60 Quantic b Work Performed Gas piping requires a separate mechanical I ixtute Tyle: New Moved Replaced Removed/ ermit. _ Capped MFG Home New 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 Urinal _ Other Fixtures(Specify) 16.60 Dishwasher Garbage Disposal _ Laundry Room Tray Washing Machina Floor Drain/Sink: 2" Sewer-1st 100' 55.00 31. Sewer-each additional 100' 4640 4" Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures S eG Storm 8 Rain Drain-1st 100' 5500 Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially 6250 Requested Inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 - - --- QUANTITY TOTAL Isometric or riser diagram is required it _ - Quantity Total Is >9 -- --- - *SUBTOTAL ---- 8%STATE SURCHARGE --- - -- "PLAN REVIEW 25%OF SUBTOTAL Required only If fixture qty total Is>9 _- TOTAL a Minimum permit fee Is$72 50•a%state surcharge,except Residential Backflow Prevention Device,which is$fig 25+8%slate surcharge "*Ali Now Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. 1:ldsts\forms\plm-fees.doc 12/26/01 CITY OF TIGARD ELECTRICAL ENER - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00193 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/24/02 SITE ADDRESS: 13740 SW SANDRIDGE DR PARCEL: 2S 105DD-05100 SUBDIVISION: PACIFIC CREST ZONING: R-7 BLOCK: LOT: 027 JURISDICTION: TIG Proiect Description: All-encompassing low voltage. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:�� BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM. FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL. INSTRUMENTATION: OTHER: _-TOTAL# OF SYSTEMS: Owner: Contractor: D R NORTON HOMES AZIMUTH COMMUNICATIONS INC 5125 SW MACADAM AVE STE 145 P O. BOX 508 PORTLAND, OR 97201 WILSONVILLE, OR 97070 Phone: 503-222-4151 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312JLE LIC 145828 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 9/24/02 $75.00 2720020000 Elect'I Final 5PCT CTR 9124/02 $6.00 2720020000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR 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 by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by _L+_ Ji� Permittee Signature If OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day , Electrical Permiy i lication PP �Datc re.A;ci.ved. /p Permit no.:t(/V4j0*,gC' City of Tigard Projecyappl.no.: Expire date: City of'I'iA«rel Address: 13125 SW Hall Blvd,Tigard,OR 97221 Date issued: By.jReceipt no.: l'1)one: (503) 639-4171 ' Fax: (503) 598.1960 Case file no.: Payment type: Land use approval: 1-1�r zwaa� .- TYPE 1 TINew2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement construction U Addition/alt+:+atiun/rt•pl:+crm+�nt U(Rhee La partial 1 : SITE I NVORMAI1 Job address: (1 '�_ — ,�j��t•l ___D ►J1dF. no.: Suite no.: _ "i ax map/tax lot/account no.: Lot: Block: Subdivision: Project name: -- Description and location of work on premises Estimated date of completion/inslxc,tion: CONTRACI OR APPLICATION FEEtICHCOULE Job no: Fee Max T' �� Driplion Qty. (ea-) hotel ccrno.insp Business name: ZIMU 4 COMMa y� �_ New r ntw_ain�r-oro.r;__a►�tilyirer Address: rY 0. � 1 n fa dnrllinRwrir.lncfadesattachedgarage. City: �1Ji�lE state[') ZIP: 7� v servicekrrhrdod 1000 sq n.or less Plione:9'_"639 011 UFAX: D 3L"f�lr' -mail: Erich additional 500 sq.n.or punion thereof CCB no.: Elec.bus.lic.n(Y___T_j- 'CE I 1mited energy.residential 2 City/m ro tic.no.: ur� S c' � Limited energy,non-residential 2 -- Exh manufactured home or modular dwelling _ Service and/or feeder 2 Signa ure of supervising elect' - (required) - Date Senieeaorfeeders-Inslallatlon, _- ;ui, clrrt nnnrc(pnnrl /_ C �� License no:2.71231L alteration or relocation: 1 200 amps or less 2 201 amps to 400 amps 2 Name(print): _ _ - 401%mps to 600 amps _ _ 2 Mailing addretss: A� (�I ampsroit)fx)amps 2 City: State: LIP: Iaa/� over IM)amps(it volts 2 PhOI1C:1.,LL Fax: Email: Itcronnertonly l Temporary services or Rede+, Owner installation:'llic installation is being made on property I own Instalbroon,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 211)amps or less 2 ORS 447'455' 455,479,6 ��"+ O 201 amps to 400 amps _ 2 Owner's si nulurc Data: 401 to600amps 2 -- Be sac6 clr•colts-new,afteration, or extension per panel: Flame: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 -- -- Siete.: ZIP. - B. Fee for branch circnils without purchase City: --- ----- of service or feeder fee,first branch circuit. _ �- Phone: 1:+r.: l nrstil: Each additional branch circuit: Mbe.(Service or feeder aot laeladed): FJch pump or irrigation circle 2 ILU' $erviecover 225 mnpscomrk•rrial U Heahh carr facility - -- 2 Serviceover:t20amps-mtingof Ile? U Ilasanimrslocal ion Fachsignoroutline lighting _ fanilydwelliugs U Building over 10.(11()square feet four or Signal circuit(&)or a limited erergy panel, System over 6(10 w,lts nturtinui more residential units in one structure alteration,or extension* — U Building over three stories U Feeders,40.1 amps or nmre *Description:. — U(kcupant load over 99 persons U Manufactured structures or RV park FAeh addhional hater etlon over the allowable In any of the above: U F.gnss/lightingplan U�� ---- --- Per inspection (—�--�Z Submit sets of plans with airy of the above. Investigation fet The above are not applicable to lernporary construction service. Other --- Permit fee.....................$ No,all buisdicri"art"antler ram,..pkat call iarisdirtim For mrae infarnWirn. Notice:•fibs permit application Plan review(at _.96) $ U Visa U Mast OU'd expires if a permit is not obtained Credit cmd number within 180 days alter it has been State surcharge(8%)....$ — G ltspiros accepted as complete. TOTAL .......................$ /. C -- Nsme ar der n drown on credr't cam- S _ - Gdhol dpwrre _ nmrwm _ 4404615(6AalCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ------ -- - —- — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...*................* ............. ee..................... ............. $�ti.oa Number of inspections r ennit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Wok Involved: Residential-per unit 1000 sq ft.rx loss $14S 15 — — 4 Audio and Stereo Systems' Each additional 500 sr1 ft.or $33,40 1 portion Iherool — _.-- Burglar Alarm Llrnitod Energy $75 00Each Marwfd Home cx Modular 2 Garage Door Opener' Dwelling Service or Feeder $90.90 — Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 2 200 amps or loss $80.30 Vacuum Systems' 201 amps to 400 amps $10685 _ 2 El 401 amps to 600 amps $16060 2 riyr - Other 601 arnps!o 1000 amps _� $24060 2 I Y J ✓j-�(� I —____ Over 1000 amps or volts _ $454.65 _ 2 1� Reconnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders . Fee for each system........................... $75.00 Installation,alteration,or relocation 7 (.'ILE OAR 918-260-260) 200 amps or less _ $66.85 _ 201 amps l0 4W amps $100 30 —�— 2 401 amps to 600 amps _ $133.7!, 2 Check I ype of Worn Involved. Over 600 amps to 1000 volts, � Audio and Stereo Systems see"b"above. Branch Circuit:. Boiler Controls New,alteration or extension per panel a)The fee for branch dn:uils Clock Systems with purchase of service or /seder res. —� Cacti branch circuit $6 85 —____---_ � Data Telecommunication Installation b)The fee for branch circults without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ _ $46.85 HVAC F ach ndditional branch circuit $111 65 Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53 40 � _- -__ � Intercom and Paging Systems Each sign or outline lighting __T $53.40 Signal circuit(s)or a limited energy panel,alteration or extension --,__ $75.00 Landscape Irrigation Control' Minor Labels 00) $125 00 r� Medical Each additional inspection over L_I the allowable in any of the above F] Nurse Calls Per inspection $62.50 _ Per hour --_—. $62.50-- ❑ In Plant —___ $73 75 _ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above foes $_ n Other_ —----- 8%Soto Surcharge $ Number of Systems 25%Plan Review Fee $ No licenses are mgerlred Licenses are required for all otter installations See"Plan Review"section on —_ front of application — — -.�__ - -- Fees: Total Balance Due $ Enter total of above tees $_ 15. ❑ Trust Account If_ ____._ 13%State Surcharge $ ��•��y�)) -- Total Balance Due All Now Commercial Buildings require 2 sets of flans. 0dst3\fomv\elc-fees.doc 09/30/01