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11401 SW LAUREL GLEN COURT V/ S r' C �D t9 O n O C .f D 4 1 i i i t 'i 1£ } i A r Z if I 9 q1 � 11401 SW Laurel Glen Court CITY OF TIGARD MASTER PERMIT HERMIT#: MST2001-00462 DEVELOPMENT SERVICES DATE ISSUED: 8/30/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11401 SW LAUREL GLEN CT PARCEL: 2S 110AC-02500 ZWERDIVISION: LAUREL GLEN ZONING: R-4.5 BLOCK: LOT:008 JURISDICTION: TIG REMARKS: New SF residence. Path 1 BUILDING _ RE153UC. STORIE:: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRLJ CLASS OF WOI A'=W HEIGHT: 2fi FIRST: 1.341 of BASEMENT: of LEFT: 5 SMOKE DETECTORS Y TYPE OF' .r: SF FLOOR LOAD: 4c SECOND: 1.3-6 s1 GARAGE: 944 of FRONT, 20 PARKING SPACES! 2 TYPE OF C. ST: 514 DWELLING UNITS. I FINBSMENT: of RIGHT: B VALUE: $258.777 00 OCCUPAV GRP: R7 BDRM: 4 BATH: 7 TOTAL: 2.6P3 00 of t:FAR: 3s PLUMBING _ SINKS I WATER CLOSETS: J WASHING MACH: I LAUNDRY TRAYS 1 RAIN DRAIN: Ino TRAPS. LAVATORIES: DISHWASHERS. I FLOOR DRAINS: SEWER LINES* 100 SF RAIN DRAINS: I CATCH BASINS: TUBISHOWERS: 1 GARBAGE DISP: I WATEP HEATERS I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: 0 MECIIANICAL_ FUEL TYPES _ FURN :10OK: BOIL/CMP<JHP: VENT FANG: s CLOTHES DRYER: I GAS FURA>-'(10K: I UNIT HEATERS HOODS: i OTHER UNITS: 1 MAX INP btu rL^OR FURNANCES, VENTS: I WOODSTOV'FS: GAS OUTLETS: I ELEC_TRICAt. _ _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDEF$ BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPEC11ONS 1000 SF OR LESS: 1 0 200 amp: 0 - 200 amu: WISVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp. 201 400 amp: tot WIO SVCIFDR: 00 SIGNIOUT LIN LT, PER HOUP.: LIMITED ENERGY: 401 - 600 amu'. 401 600 amp'. EA ADDL BP,CIR, 0 SIGNALIPANFIL IN PLANT. MANU HMISVCIFDR: 601 1000 amp 601.ampo•1000V MINOR LABEL 1000.amp!Volt PLAN REV'2W SECTION Re onneot onM >r4 RES UNITS: SVL"OR>=225 A.. >BOLI V NOMINal.: CLS AREAISPC OCC. _ ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL _ _ _ _, B.COMMERCIAL AUDIO&3TEREO: VACUUM SYSTEM. AUDIO 8 STEREO: IRF ALARM INTERCOM/PAGING: OUTDOOR LNDSC LT BURGLAR ALARM OTH BOILER- HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL. OTHR: HVAC: DATA/TELE COMM. NURSE CALLS TOTAL 0 SYSTEMS: Own%r: Contractor: TOTAL FEES: $ 7,628.32 ALf'ENGt.OW HOMES T:iis permit is subject to the regulations contained in the DON BUSS Tigard Municipal Code,State of OR. Specialty Codes and 440 NW HILLTOP 5620 SW KELLY AVE. all other applicable laws. All wor:-.will be done in PORTLANDM. OR 97210 accordance'vith approved plans. This permit will expired work Is not Aarte 1 within 180 days of r-suance,or if the work is suspended for more than 180 d,,-,s, ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Canter. Those rules are set nag P III 1)191; forth In OAR 952-001-0010 through 962-001-0080. You r,Iay obtain copies of these rules or direct questions to �J OUNC by calling(5021 24f-1987. C14IFL77 � REQUIRED INSPECTIONS Erosion CDnlrol Insp 8, Post/Beam`AeLhanica Mechanical Insp Shear Wall Insp insulation Insp Merhanical Final Sewer Inspection Und 3rfloor insulation plumb Top Out Exteri)r Sheathing Incl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Eiertrical Service Low�oltagf Water Line Insp Final Inspection Foundation Insp FootingfFoundation Dr Electrical Rouoh It, Gas i ine I'1s0 Appr/Sdwlk Insp Post/Beam Structural PLM/Underfloor Framing Insp Gas f=ireplace Electrical Final '3sued Bye/ r �1`�4cp-EY 1`✓fit_ Permi'tee Signature Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day CITYOF TI GARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00240 13125 SiiA Hall Blvd., Tigard, OR 97223 (503) 639-417' DATE ISSUED: 8/30/01 SITE ADDRESS; 1',01 SW LAUREL GLEN CT PARCEL: 2S1 10AC-02500 SUBDIVISION: LAUREL GLEN ZONING: R-4.5 BLOCK: LOT: 008 JURISDICTION: TIG — TENANT NAME. USA NO- FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwel ing. Owner: -- FEES DON BUSS Type By Date Amount Receipt 440 NW HILLTOP — — — PORTLANDM, OF; 972.10 PRMT CTR 8/30/01 $2,300.00 27200100000 INSP CTR 8/30/01 $35.00 27200100000 Phone: 503-248-9876 Total , $2,335.60 Contractor: Phone: + Reg #: Required Insper,lons 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 )air;will be forfe4od if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not Iocat-d at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so Iocatee, the instE Iler shall purchase a "Tap and Side Sewer' Perm Issued by: � v L y 11_� Permittee Signature:. Call (503) 639-4175 by 7:00 P.M.for an inspection needed ti,a next business day 4, cif' ? J Building Permit Application / Datereceived: Permitno.:/t lde0/ �!Y)►/ City of x1gard -7/ Address: 13125 SW Ball 131vd,t4aarMfR 97223 I'rojecdappl.no.: Expire date: t rn t,/7'i�acct Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (.503) 598-1960 Case file no.: Payment type: Land use approval: _. _— _ 1&2 family:Simple Comp:•Y: U I & 2 fi.mily dwelling or accessory U Commercial/inuustrlal U Multi-family U New construction U Demolit l� U Additioualteration/replacement LI Tenant improvement U Fire sprinkler/alarm U Other: Job address: 'i l;'r'/ vr fit 'r C'�[. .tiJ C Bldg.no.: Luite no.: Lot: Block: _ Subdivision: Lw,-el�/ G/ fax map/tax lot/account no.: Project name: rL Description and location of work on premises/special conditions: Nance: Oon QV AJ _ Mailing address: g W _ I & 2 fandly duelling: City: ' ° State: 7.1 P: ua 'valuation ui work.................. ................. $ 1Y G 7 3G Phone: 2.y - 7 Fax: E-mail: No.of bt,drooms/haths..... ` Owner's representative: = ) Total number of floors Phone: qtr Ir IFax: G-maxi, New dwelling area(sq. ft.) ...3!4. ............ 2 40,Dl " I-0,mg, Garage/carport area(sy.ft.).....1.11............ 2 Nam tii�' �s�Hlr� - '-fk /ew. /� 1 Covered porch area(sq.ft.) .......0............... _ Mailing address: // ,.�, Deck area(sq.ft.) ...................0...... .......... City: Stater 7_IP. 10/ Other structure area(sq.ft.)...... ................. _ Phone: $- 3 rb Fax: ?_ ' -Gp 21 F,-mai 1: Cornme,cloUindustrlallmullI-family: — Valuation of work.............................. ........ $_ Business none: / Existing bldg.arca(sq.R.) .....,....... ........... Address: New bldg.area(sq.ft.) ........... .............. _ — Number of stories State:_ 71P: LD ................... .............. - - - � -1 Type of construction.................... Phone: ,iVJ- ZVY-7?Iol Fax: 2YS-7 — — - Occupancy group(s): Exic.tng: CCB no.: -- _-L3-;t -- - - - --- New: City/metro lic.no.: Notice:All contractors and subcontralors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: _ State: LIP: -� - exempt from licensing,the following reason applies: Contact pet son: _ Plan no.. -- — Phone: Fax- E-mail: ---- Name: Contact person: Fees due upon application ........................... $_ Address: — Date received: -- City: State: IZIP: Amount received .. ...................................... $— --- Phone: Fax: I E-mail: Please refer to fee schedule. j herchy certify I ha-a read and examined this application and the Na all junsdictions accept credit rands,please call jurisdiction fox:nae infcmnatiun. attached checklist. All provisions of laws and ordinances governing this U visa a Mastercard work will be complied with,whether specified herein or not. Credit card nuinbet i ripites Authorized Ag,iawre: �J 12!530 ____ _. _ Date: VIV D� --- Norm of cat older u,hown oncredit card--- Print name:_Erik ns;"o r_ Carahsipsiature S Amount - Notice This permit application expires if a permit is not obtained within 180 days atler it has been accepted as complete. 4410-161-1(fv[xVCoM) One-and Two-Family Dwelling Building Permit Apnlieation Checkli t Relewnceno.: --- Associated permits: city of Tigard U Electrical U Plumbing U Mechanical Addre,.,, 1 1125 SW Hall Bivd, Ilgard,Oil 9722 UOther: __ J I'h m ()z) 639-4171 F;t 598.1964 � l t ► l � I banal Ilse action%a onapICIull. `, lu:l.I1, li',n til, 11.1 I''1 , incurrent Ire wws. - - Zoning.Flood plain,solus I,11ance point seismic soy!•designation,historic district,etc. 3 Yerlfkatlon of approved plat/lot. 4Fire district.______approval required. _ 5 Septic system permit or authorization for remodel. Existing system cupurity=__^ 6 Sewer permit. — 7 %$aler district approval. 8 Soils report. Must carry original applicable stamp and sin future on lilt,or with application. 9 Erosion control U plan U permit required.Include dranage-wayprotection,sill fence design and location of catch-hasin protection,etc. _ I(N �_Complete sets of legible plans.Must he draw.;11i scale,showing-:onfornance to applicable foal and state buildine codes. Lateral design details and connections must ire Incorporated into the plans or on a separate full-size sheet attached to the plans with cross references•between plan Iti,,anon and details.I'lan review cannot be Lonopleted if copyright violations exist. t Silelplot plan drown to scale.The plan must show Int and building setback dimensions:proloerty corner elevations t if there is more than a 4-I1.clevaw)n differential,plan must show contour lines at 2-ft.in(cn.als I:I(x,,mi al 41f casemen(s and driveway;footprint of structure(mncludin°df-cks);location of wells/septic systems;utility lKations:direction indicator:lot area;building cover►tze area;Percentage o1'coverage-.impervious area-,existing structures on site,and surface drainage. 12 Foundation pian.Show dimensions,anchor bolts,tiny hold-downs and reinforcing pads,connection details,vent size and location. _ I Floor plans.Show all dim rasions,room identification,window size,location of smoke detectors,water he.ter, furnace,ventilation I'ans,p umbing fixtures,balconies and decks 34 inches above grade.etc. _ I-I (Toss section(s)and details.Show all riming-member sizes and spacing such as floor beams,headers,joists,sub-floor. wall construction,mol-construction.Mc re than one crass section may be required to clearly portray construction.Show details of all wall and roof sheathing,ro)fang,roof slope,ceiling height,siding material,footings and foundation,stairs. fireplace construction, thermal insulation,etc. _ I s1,lavation vlcws.Provide elevations for new construction;rntnitr im of tU o elevations for additions and remodels. I.,Conor elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Dull site sheet addendums showing utundation elevations with cross references are acceptable. t. Wall Mracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analyst.,provide specifications and calculations to engineering standards. I I Flonr/root framing.Provide plans for all floors/roof assemblies,indicating m,mmher sizing,sracing,and bearing locations.Show attic ventilation. is Basement and retaining walls.Provide cross sections and details showing placement el'reba.-. For engineered Systems,see item 22,"Engineer's calculations." lea Beam calculations.Provide two sits of calculations using current code design values for all beams and multiple joists Met IU lee(limp and/or any beam/joist carrying a non-uniform loud. 24 Manufactured floor/roof truss design details. 21 Fnergy('ode compliance. Identify the prescriptive path or provide calculations. Agar-piping schematic i,required for four or more appliances. _ 22 Friglneer's calculations.When required or provided,0x.,shear wall,roof truss)shall he stamped by an engineer of architect licensed in()mon and shall hr shown to hr av•lilicahlr to IIIc proje,l nndt i ire iew. 1 7_1 Five(S)sue plans are required for Item I I allose tiro plans must he 8 1/�" s 1 V nt I I" x I _ , Two(2)sets eachare required for Items I o, 11), 20& 2'aha,t?uilding plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will t,-accepted. 27 28 Checklist must he completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. aau-4614(nMIN) 1 Electrical Permit Application j Dale received: lv Q Permit no.: City of Tigard Project/appl.no.: Expire date: nJ7'i�;nrrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Recei t no.: (irY _— p _ Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi family U Tenant improvement U New constriction U A,Idition/alteration/replacement U Other: _-_ U Partial Job address: 'D(..) 1 O iA P5, l, (-i�._) fild .no.: suite no.: •fax snap/lax lol/arcount no.: —_ Lot: r I.Mlock; Subdivision: tayrtj t11'1kj2__ Project name: I Description and F)cation of work on Premises: Estimated date of com letiott/ins action: 11.7 scin-mi-Til Job no: f nee Utas ---- -- llescriplion __— (.NY.. (e&) 7oial no.inslt_ Busine:%name: -We, fL Newrrsldrntial--Inkkormulli-famihiter — Address: / dwelling unit.Inelm"att nched garage. City: y Stoic: Zip: 0 s ` Seniceincluded: Phone: _ _ Fax: C mail: tart sq.tr or less --- -_ a i Each additional 500 sq,ft.or portion the CCB no. r Llec.bus.Plc.no: t. Limited energy,residential _ 2 City/metrolic.no.: Limited energy,non-residential Each manufactured home or modular dwelling Signature of supervising electrician(required) Dale Service and/or feeder 2 I,icenseno: /;' Services or feeders-Installation, Sup elect oame(prino tdlerptionorrelocation: 911 200 amps or less _ 2 201 amps to 400 amps Name(print): DO,) 13,)5 . _ 2 ` 401 amps to 600amps Mailing address: yyi NW I 601 amps to 1000 amps 2 Stak: I1 P: lL O Over 1(I00 amps or volts 2 Phone: :_LV j Fax: . y E troll: Reconnect only _ Owner installation:'Il,e insl<iIlation is Pring mudC on property 1 own Tentportr+services orfeeders InsullaNa,dtentlon,nrrehteaunm which is not intended for sale,lease,rent,or exchange according to , 2amps o ORS 447,455,479,670,701. _20011 less amps I 400 nntps _ -- _ 2 Owner's signature: Date: 401 to(-W ams - - 2 Branch circuits-new,alteration. or extension per panel: Nance: A. Fee forbranch cir,uits with purchase tit Address: service or feeler;ee.each branch circuit 2 - --- City: I S t Ir i J l l+ B. Fee for branch c rcuits without purchase --- 1 --- of service or feeder fes,first branch:ircuit 2 Phone: Fax I mail Each cdditionalbranchcircuit: Misc (Se-rice or feeder not Included): U Service over 225 amps-commercial U Hcalth care facilm Each pump or urjgatttw circle 2 U Service over 320 amps-inting of 1 d•.2 U Hazardous location Each sign or outline lighting 2 familydwellings U Building over I0,(Kx)square feet four or Signal circuit(s)or a limited energy panel, U System over 6volts nominal more rcsidential units in one structure alteration,or extension* _ 2 01) U Building over three stories U Feeders.400 amps or more *Description:_ U Occupant lowi over W persons U Manufactured structures or RV park Each additional Inspection over the mile moble In any of the above: U F-ttrem/lightingplan U Other -- Per inspection Submit__sets of plans rilh any of the above. I7vestigalion fee The above are not applicable to temporal y construction service. Other Not all jurisdictions accept cretth cnrd%,pteaw call jurixliclinn fa rare infivo ficin Nolic•!:Th?s permit application Permit fee.....................$ Plan'"view(al _— 9h) $ U Visa U MasterCard expires 6 a permit is not obtained _— credit card number: . within 180 clays alter it has been St tie sur0arge(8%)....$ — [cpiret accepted as complete. TOTAL .......................$ Name of o shtwrn on c It card S C sipature - Arn,wnt 44046IS(61OUIM` atw �i - ELECTRICAL PERMIT' FEES: LIMITED ENERGY PERMIT FEES: _.---- -- _TYPE OF WORK INVOLVED -RE;,!GENTIAL ONLY Comvlete Fee Schedule 6 aow: Restricted—� - Energy Fee............................................ ......... S75.00 Number or inspections per hermit allow:,d (FOR ALL SYSTEMS) Service included: Items Cost Tote l Check Type of Work Involved: Residential-per unit —� 1000 sq ft or less $145.15 El Audio and Stereo Systems" Each addilienal 500 sqit or portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 _^ Each Manufd Horne or Modular Garage Door Opener' Dwelling Servic:a or Feeder _ $9090 `- 7 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,ar relocation 200 amps or less __ $8030 2 Vacuum Systems' 201 amps to 400 amps — $106.85—�� 2 401 amps to 600 amps $16060 _ 2 r-, 601 amps to 1000 amps $240.60 — _ 2 u Other Over 1000 amps or volts J $45465 _ _ 2 Recrnnecl only $66.85 _ 2 TAm censeorary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................................................ ........ $75.00 200 amps or less $611.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 — 2 401 amps li 600 amps $133.75 2 Check Type of Work Involver' river 600 amps to 1000 volts, ❑ see'b"above. Audio and Stereo Systems Branch Circuits n Boiler Controls New,alteralion or extension per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit -_ $6 65 2 l� Data Telecommunication Installation b)The fee for branch orculls without pur:haso of service Fire Alain installation or feeder fee. First branch circuit $48.85 --- _-- HVAC Each additional branch circuit _ $665 � Miscellaneous ❑ instrumentation (Service or feeder not included) Each pump or tnigaFon cir:le _ $5340 Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)ora limit-d energy panel,alteration or extension $75.00 _ _ Lan&,�ape Irrigation Control' Minor Labels(10) __ $12500 .__ Medical Each additional Inspection over C] the allowable in any of the above L� Nurse Calls Per inspection $62.50 Per hour $6250 In Plant $73 75 ❑ Outdoor,andscape Lighting' Fees: [_j Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee No licenses are regalred Licenses are required for all other installations See"Plan Revle.v"section on $ _ front of applica"on Fees: Total Balance Due $ _ Enter total of above fees ❑ Trust Account# 8%State Surcharge t. ~---�' Total Balance Due $ - i:tdsts4ormsklc-fees doc 06/07/01 Mechanical Permit Appl ication Datereceived: Permilno.:51,70i - City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,Olt 97223 Date issued: By Recciptno.: Phone: (503) 639-4171 _ Fax: (503) 598-1960 Case file no.: Wq mcnt type: .,and use 1pproval; - —-- - Building permit no.: =New family dwelling or accessory U Commercial/utdustrial U Multi-fami:y U'I'rnant nnprovrmenl nictiot. U Addiiiott/alleratior:/replaceiticnl U '0 NIM ERVIII A 1, VALUATION SCIIIIF'11)111114� Job address: ft i i.'t Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Sufic na; value of all mechanical materials,equipment, labor,overhead, � Tax maph<tx lot/account no.: profit. Value$ Lot: Block: Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. Citylcounty: T '-W 7.1 P: Description and to tion of work on premises: Feel".) '11'01:41 Est.date of completion/inspection: Lkaflpdon Qty. Rrc.only Res.on'v Tenant improvement or change of use: Is existing space heated or crindnioned?U Yes U No Air handling un,t CFM 6nIs existing g space insulated?rJ Yes U No Alt canon cuing(site plan required) !- P' A tcration o existing VAC system Boi er compressors Business name. ,/ State boiler permit no.: 1�L�[cflt/> -- lip __ Tons. B'fU/H _ P ddress: r //// •rr•smo a amper duct sino a etcctors _ City: f 'o State-� 7.IP: 700 91 Heat pump(site plait require ) -- Phone: 70 . 79 Fax: . 700 E-mail: nsta rep ace urnac urner T CCB no.: _ Including ductwork/vent liner U Yes U No _ nsta rep ice/re ocateheaters-suspended— City/metro uspen e City/metro lie.fie: _^ wall,or floor mounted lianeother thati furnaceNe(pleas,print): hr Ventforap e gen::on:mc - Absorption units-____--- BTU/H Name: Chillers __ HP -- -- — Address: Com ressors _ HP ronmeots ex ust slid ventilation: City: ' State:prQ ZIP: ZO l Appliance vent Phone: y -3jtsa I Fax: zyt,- Ole E mail.' Dryerexhaust nods,Type /If/res.kite en/haamat hood fire supprL..,., system -- Name: _ � Exhaust fan with single duct(bath Cans) Maillltg ad ---�-f -- ihaustsyslcarr AC City: r on Sty to(q/1 ZIP: zip rre p p ng an a1 ut ou tip to 4 out et ) --- Iylx _L.P(3 NG Oil Phone: Z Fax: :yy-9,.FslrlE-mail: Fucl iin eachadditional itiona over outlets oesrspiping(�c ernaticrequired Number of outlet Name' t er _ Hoed apN atace off—'r egnTpment: Address: Decorativefireplace City: _--- State: ZIP: Insert-ty Phone: —� Fax: E-mail: oo stov pe et stove er. Applicant's signature: _ Dale: t Name (prig ,): Not all jurisdictions accept ctrda rude,please call jurisdiction for nuxe information Permit fee.....................$ U Visa U MasterCard Notice:This permit nppfication Minimum fee................$ ('rrdil card number: expires if a permit is not obtained plan review(at — %) $ _ .__.�.—.l_— Expires within 180 days oiler it has been State surch-age(8%) ....$ Nuns d o r as shown on ctMfr c�3`— accepted as complet q TOTAL .......................$ Catdholdet signature ^_ -_Amount 110-4617(MYCOM) MECHANICAL PERMIT FEES :OMMERCIAL FEE SCHEDULE: 1 $ 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FETE: Uescaiption: -- - Price Total Table 1A Mechanical Code _ Qty (Fa) Amt $1.00 to$5,000.00 Miilmum.3e$72.50 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and _ 1) Furnace to including ducctts&0._ vents $1.62 for each additional$100.00 or 8 BTU _ _ 14.00 fraction thereof,to and including ( 2) Furnace 100,000 BTU+ $10 000.00. including ducts&vents -_ 17.40 _ $10,001.00 to$25,000.00 $14U,50 for the first$10,000.00 and 3) Floor ing vent$1.54 for each additional$100.00 or _including vent __� 14 00 -_ fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or Floor mounted heater 14 00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 aril 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 - $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply. Boiler I leaf Air $1.20 for each additional$100.00 ur For Items 7-11,see or Pump Cond fraction thereof, footnotes below. Comp* - T 7)<3HP;absorb unit - - to 100K BTU 1400 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25.6U Description_ _ ON Ea Amount 9) 15-30 HP;absorb - Fumace to 100,000 BTU,inckldinr 955unit.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 ducLy&vents 11)>50HP:absorb Floor furnace Including vent 955 - unit>1.75 mil BTU 8720 Suspended heater,wall heater or 955 1'-)Air handling unit to 10,000 CFM floor mounted heater Vent not Included In applicance 445 13)Air handling unit 10,000 CFM* ermit _ 17.20 _ Re ale r unit� _ 805 _ 14)Non-portable evaporate cooler <3 hp;ab-sorb.unit, 955 _ 10.00 _ to look BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 1C1k to 500k BTU 16)Ventilation system not included in 15-30 hp;absorb.unit,501k to 1 2,310 a per fiance mit 10 00 mil.B-"U 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 1000 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 ruin.BTU - 19)Commercial or Industrial type incinera•or Air han 111ng unit to 10,000 cfm 656 69.95 Air handling unit>10,000 cfm 1,170 20)Other units,including wood stoves Non-portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not Included In 656 5.4( a pllance permit 2:)More than 4-per outlet(each)Hood served bar mechanical exhaust 956 I.ou Domestic Incinerator 1.170 Minimum Permit Fee 672.50 SUBTOTAL: $ Commercial or industrial Incinerator 4,590 _ Other unit,including wood stoves, 656 - `T --TJ 8%State Surcharge $ Inserts,etc. Gas plpina 1.4 outlets 360 T� 25•G P In Rwisw Fee(of subtotal) E Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: VALUATION: Other lnsaeta-Ions and Fees: 1 !nspections outside of normal business hours(minimum charge-two hours) $72 50 pet hour 2 Inspections for why-h no fee is specifically indicated (minimum c arge-haft hoer) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour `State Contractor Boiler Certification required for units>200k BTU. "Residential A/C t&quits&site plrn showing placement of unit. i'\dsts\forms\meth-fees.doc 101111/0 01 Aug 15 18:10:8- RARILLTSLG dwg MTS o'• eo'-off _ 18.91 900 1 89'41'00" E — — 13 79' I I 1 In I I � I I cn I 1 1 I I o UJ in MAIN FLOOR I (i N, -- - - EL :1000' i `7 I 1 i cT 1 ) n I I I 1 1 GARAGI sl I j 1 EL :99 EPRIWWAY Il4 30 PUBLIC/ o + 19�uLJ �.51.I I EASEMENT , W �IMAILBOXES) �6,b r W t6 33 �z F'j CONFLICT WITH DRIVE AND MAILBOXES S.W. LAUREL GLEN COURT 8/t5/2001 MTS _ _ S C A L E 1 2 00 " ALAN FIASCONE AOILSKINCCs*ASSOCIATES SSO(:TK OP U IA)ff, I IGARD• OR 2247YE uAALt FON TNt Acaaec.OF rrF IC 13 SUBDIVISION, _AUREL GLEN wIIRYAfIDN N Si INF SOLE IK SPONSIBILITY OF tNE .AR[KN TO VERITY ALL Sift CONC TIONS,INCIUDING LOT 8 / ANY FILL PLACED ON IN[SITE AND "OTFY THE OWFRS OF ANY POTENfv,L FIELD YDOFLCA TONS ULAN WgC0110 MOM Mf00MEts FITC PY ALPENG'.OW CONSTRUCTION M .•,» ( 770? S0. FLJ .w.u..N .o.nl.au Plumbing Permit Application "Datterec"eived: i / / Permit no.:r,5,A'i-eo y , Cit of Tigard y g Sewer permit no.: Building permit no.: Address: 13125 3W Hall Blvd,'1014 Z )7221 -- Chy(!fTigard phone: (503) 639-4171 Project/appl.no.: fixpiredate: Fax: (503) 598-1960 C Date issued: By: Reccip:do.: a Land use approval: I Case rile no.: Payment type: U I &2 family dwelling o, accessory U Commercialhndustrial ❑Multi-family ❑Tcnant improvement Iris New construction U Addition/alteration/replacemcnt U Rx,.l service. 'J Other: 308.SITE INFORM AlION I*, S(.,YED ULE(for 4pecialli iforn at ioti ilsf cliccklist) Nen 1-and 2-family dwellings only: Job address: !I`lel Sty LrIJr(I (",/"1(",/"1C t _ Description Qt Fee(ea.) 'local Bldg.n...: -- - tittitr❑tr,; _- -- (includes 100 fl.For each utility connection) Tax map/tax lot/accaunt no.: _ — SNR i I)bath Lot: Block: Subdivision: 4vrcG/<rSFR(2)bath Project name: Lorre -G—/r—n--�_ _ _ _ SFR(3)bath City/county: 1-, d I zlP: Eacli additional bath/kitchen Descrip ion and Kation of work or )iemises: __ — Siteutilltles: Catch basin/area drain _ Fst,date of curnpletiIL vrdin,nccti m: --- Drywells/leach line/trench drain Footing drain(no.lin.ft.) _ Manufactured home utilities Lname: fin M b t�41 ,r 01 G /j1 __ Manholes, $� Raln drain connectorbtSaN State:d ZIP: /p r z Sanitary sewer(no.lin.ft.) Phone: "2v1 Fax: E-mail: Storni sewn;(no.lin. ft.) CCB no.: s,g Plumb.bus. reg. no: Water service(no.lin.ft.) City/metro lic.no.: t�Ot90G'7 2 Fixture ar y Absorption valve _ Con!;dctor's repref�ntative signature: _ Back flow preventer Print name Sgtpo ovrlc Date: Backwater valve Basins/lavatory Name: __ Clothes washer — — - -- Dishwasher Address: Drinking fountain(:,) City: State: ZIP: Ejectors/sump — Phone: o' p sz? Fax: E-mail: Expansion tank Fixture/sewer cap v� _ Name(print): Floor drains/floor siE.ics/hub _ --- Carbage disposal Mailing address: _ Hose bibb City: State Ice maker Phone: Fax: i7-mail: Interceptor/grease trap Owner installation/residential maintenance only: Th-, actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per Of?S Chapter 447. Sink(s),basin(s), lays(s', — Owner's si nature: Date: S "gyp _ — Tuhs/shower/shower pan Vrinal Name: Watcrcloset Address: _ Water heater _ City: _ State: ZIP: _ Other_ Phone: Fax: I E-mail: — Total Not all Jurisdictions accept credit cards,please call jurisdiction for mare infomatian Minimum fee................$ Notice:llris permit applieatf'. Plan review(at _ Vii,) $ _— ---- U Visa U MasterCard expires if a pci.nit is not ob sines ��T Credit card number: --L—L--- within 180 days after it has been State surcharge(89F) ....$ Expires TOTAL $ ___ Name of rardlwldrr u shown on:resit cud accepted as complete. — S —ciiaotdet signature Amount 440-4616(6AWYCON11 Plumbing Permit Apkilication P ite received. 'i / 7 A/ Perr.:it no.: City of Tigard c — AULNUM Address: 13125 SW Hall Blvd,�,`f��/E It 9�23 Sewer permit no. Building permit no. City of Tigard Phone: (503) 639-4171 I'roject/appl.no.: Ex1)iredate: Fax: (503) 598-1960 r�� r,1 Date i..sued: By: Receipt na: Land use approval: FLUi'MI�1 .T Case file no.: Payment type: U 1 Q 2 family dwelling or accessory U Commercial/industrial U Muiti-Iamily U Tenant improvement lb New construction U Addition/alteration/repl,cement U Food service U Other: Job address: /)Y()/ S+J Lpvee I 61cri C-f DescriFtton "y. Fee(en.) Total Bldg.no. `— Suite no.: - New 1• and 2-famlly dwellings only: (Includes 100 I1.foreach twilit;copncction) Tax map/tax lot,bccount no.: SFR(1)bath Lot ir Block: Subdivision: 6vrcl rlen SFR(2)hath_-�- ------ - ---- - Project name: lov,c/ (;t'rn SFR(3)bath — -- - --- -_—� City/coul"T 7-, ar d I ZIP: Each additional batlAitchen Description and Kation n til'work on premises:_. _—_ Siteutilitles: Catch basin/area drain I:st.(late of completion/inspection: -- -- - Drywells/leach Iingtrench drain — - Footing drain(no.lin. ft.) 1 /-, Manufo--tured home utilities Business name: N� 6 1'1 s r�j 1 �d/xS ~-- — _ �_�-,��o/ �, Manholes _— Address: s� Rain drain connector _ City: a65aF State: d ZIP: 70 j i Sanitary sewer(no.lin. ft.) Phone:5c)7? Fax: _ E-mail: Storm sewer(no.lin. ft.) - CCB no_1)2 Slg -, - Plumb.bus,reg.no: -� b�� Water service(no. lin. ft.) _ City/metro lic.no.: 0000 W 2, Fixture or Item: Contractor's representative signature: / Absorption valve Y -_ P 'nt name: — Back flow preventer -- n 1e- Sfwe oKk Date: Backwater valve _ Basins/lavatory Name}� - —,^ Clothes washer Address: Dishwasher —-- — ---- — -------------- - Drinking fountain(s) City: _---etalr: LIP: _-- Ejectors/sump Phone: o) o Sze' Fax: E-mail: Expansion tank - Fixture/sewer cap Name(print): Floor drainrJfloor sinks/hnb _ — -- Garbage Vis oral Mailing address: - — - -- Hose bibb City — �- State: 7_IP: Ice maker Ph one: i'.tx: E-mail Interceptor/grease trap Owner installation/residential maintenvutcc only: The actual installation Primer(s) "Owner�'s me or the maintenance and r pair made by my regular Rcxof drain(commercial) e property I own as per ORS(!-pter 447. Sinks s),basin(s),lays(s) _ are: Date: Sump — -� _— Tubs/shower/shower pan' Urinal Name: -+- _-- Water closet _ -- Address: Water heater _ -- Ci.y:- _ State: ZIP:_ � Other: Phone: i Fax: _ I E-mail Total Not all Jurisdldiaa accept credit cards•please call Jurisdiction fro mase inrontuttin Minimum fee... ............$ Notice:This permit application O Visa U MasterCard expires if a permit is not obtained Plan review(a( — %) $ Credit card number. .....— __--__ __ within I R(1 days after it has bee'. Slate surcharge(8%) ....$ Expires TOTAL .......................$ -- Name of cardholder as shown on credit card — accepted as complete. cardholder signatureAmount 440-4616I6'W".'OM1 PLUMBING PERMIT FEES: - PRICE TOTAL New 1 and 2-family 6wellings only: 11 ---�---- FIXTURES (individual) QTY Be AMOIJNT (includes all plumbing fixtures In PRICE TOTAL Sink 6.60 the dweGing and the first100 ft. Q.i Y (ea) AMOUNT 16 60 for each titliity cannoctlon _ __ Lavatory One 1 bath _ $249.20 Tub or Tub/Shower Comb. - 16.60 Two 2 bath- $350.00 Shower Only — --' 16.60 Three 3Lbath ----- _ F$399.00 _ Water Cioset --- 16.60 --� SUBTOTAL T Urinal 16.60 _ __ 8'/.STATE SURCHARGE Dishwasher 16,60 PLAN REVIEW 25"/e OF SUBTOTAL Garbage Disposal 15.60 1OTAL Laundry Tray -- 16,60 Washing Machine 16.60 Floor Drain/Floor Sink 3 -T 16b -_- PLEASE COMPLETE: 3" 16.60 4„ 16.60Water Hoater O conversion O li16.60uenti b Wol k Performed Gas piping requires a sr:parsie mechFixture Type: New Moved Replaced Removed/ Capped ermit. — I MFG Home New Water Service 46.40 Sink _ - MFG Home New San/Storm Sewer 46.40 Lavator - ---- Tub or Tub/Shower Hose Bibs_ 16.60 _ Combination —_ Roof Drains 16.60 Shower OnI_ Drinking Fountain -- 16.60 Water Closet - ---- 16.60 -- Urinal --- i Other Fixtures(Specify) Dishwasher — Garbage Disposal -- Laundry Room Tray _ _- -- --_--- --- Washing Machine Floor Drain/Sink: 2" Sewer- 1 st 100' 1500 3„ Sewer-each additional 100' 46.40 4" — - Water Service-'I 100' - 55.00 Water Heater ----- Other Fixtures Water Service-each additional 200' -- 46.40 Storm 8 Rain Drain-1st 100' 55.00 — Storm&Rain Drain-each additional100' 46.40 - -- Commercial Back Flow Prevention Device 46.40 --- -- — — Residential Backflow Prevention Device' 21.55 `— Catch Ba,Ir 16.60 Inspecticn of Existing Plumbing or Specially 72 FO — - Re uested Inspectinns Qer/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 - Grease Traps 16.60 -- ---- --- QUANTITY TOTAL Ismsmetric or riser diaqram is required If Quantity Total is >9 - _-- 'SUBTOTAL - ---- 8%STATE SURCHARGE --- - "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total Is>9 TOTAL *Minimum permit fee is$12 50-8%state surcharge,MIDI Residential Backflow Prevention[Device,which is$36 25+096 slate surcharge "All New Commercial Buildings require plans with isometric or riser dwgram and plan review !:Wsts\forms\plm-fees.doc 10110/00 CITY OF T I G A ice.D MASTER PERMIT PERMIT#: MST2002-00185 DEVELOPMENT SERVICES DATE ICiSUED: 4/2/02 13125 SW Hall Blvd.,Tigard, OR 97':23 (503) 639-4171 SITE ADDRESS: 11401 SW LAUREL GLEN CT PARCEL: 2S110AC-02500 SUBDIVISION: LAUREL GLEN ZONING: R-4.5 BLOCK: LOT: 008 JURISDICTION: TIG REMARKS: Construr,covered porch and wood shelter BUILDING REISSUE: STORIES. FLOOR AREAS REQUIRED SFT BALKS REQUIRED CLASS OF WORK: O rR HEIGHT: FIRST: of BASEMENT: of LEFT: F SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: SECOND: at GARAGE: at FRONT: PAkKINr.SPACES: TYPE OF CONST: SN DWELLING UNITS: FINBSMENT of RIGHT: VALUE: $5.000 OU OCCUPANCY GRP' '27 BDRM: BATH: TOTAL. 000 at REAR: 15 PLUMBING :•IKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRA'V: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS GARBAGE DISP: WATER HEAThRS: WATER LINES: BCKFLW PREV14TR: CREASE 1.1APS: OTHER FwT .RES , MECHANICAL FUEL TYPES FURN<100K: BOILICMP<JHP: VENT FANS: CLOTHES DRYER: ^- 1',-RN-100X: UNIT HEATERSHOODS: OTHER UNITS: MAX INP: LAU FLOOR FURNANCES: VENTS: WOODSTOVES GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEFDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 200 amp: 0 200 amp: W/SVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADO'L 500SF: 101 400 amp: 201 400 amu: tet W/O SVCIFOR: SIGNIOUT LIN LT' PER HOUR: LIMITED FNERGY 401 600 amp: 401 600 anip. EA ADDL SR CIR: SIGNALIPANEL: '..4 PLANT: MANU HMIPVCIFDR: 601 • '—V amp: 60148mpa•100ov: MINOR LABEL: 1000+amolvolt PLAN REVIEW SECTION Reconnect only: —4 RES UNITS: SVCIFDRI.225 A.: >600 V NOMINAL: Cl S ARF.AISPC OCC ELECTRICAL•RESTRIC,.-'1 ENERGY A.SF RESIDENTIAL B COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: 1147ERCOMIPAGING: OUTDOOR L.NDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC LANDSCHPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/r ELF COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 228.55 PHILThis permit is subject to the regulations contain,:d in the 1140 EDEN 5620ALPSW U. HOMES Tigard Municipal Code,Stale of OR. Specialty Codes and 11401 SW LAUREL GLF�J 5620 SW KELLY AVE all other applicable laws. All work will be done in TIGARD,OR 97224 accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance,or if the A Drk is suspended for more than 180 days. ATTENTION: Phone: Phone.: Oregon law requ res you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Req N: LIC 13193? forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPEC(IONS Erosion Control Insp 8, Final inspection Electrical Service Electrical Rough In Framing Insp Electrical Final .- --; �� Issued By : _�� Permittee Signature . ; Call (503) 6394175 by 7:00 p.m. for an inspection needed the next business day /16V Building Permit Application City Ot Tigard Date received: Permit no�j 702 Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Phone: (503) 639-4171 Date issued: B : Receipt no.: Fax: (503) 598-1960r Case file no.: Payment type: Land ust arn"�,Val: _ f&2 family:Simple C-)mplex: Lf I &2 family dwelling or accessory U Cummerci.tl/industry -.0 Multi-family U New construction U Demolition C]Addition/alteration/replacement LYNhatit improvement 1:1 Fire sprinkler/alarm !1 OTher: Jc►h address: I 'jc v .t,(.• e( L..I{�� ( Bidg. no.. tiuitr no.: lot _-_ Block: - Subdivision: —flax map/tax lot/account no. Project name: - - Description and location of work on premises/special conditions: Name: 4% , --,e,�_ IUMRT_ Mailing address: Ld ,el C, C" I &2 family dwelling: City: 7 r Stater ,7 ZIP: Valuation of work........................................ $ J�ODD.U(�_ - -- - Phone: I_;ax: I E-mail: No.of bedrooms/baths................................. Owner's representative: in C(W 11 _ Total number of floors................................. Phone: E{j 6 JFax: E-mail: New dwelling area(sq. ft.) Garage/carport area(sq. ft.)......................... Covered porch area(sq. rt.) ......................... --�- ^- -- --- Deck area(sq. ft,) Mailing address: ........................................ ------ City: tate: ZIP: ()cher structure arer (sq. 11.)......................... lG<i Phone: _ I ax: I? mail ('ommercial/industriallmulti-family: wife Valuation of work........................................ $ llrbl W li, Business name: z ♦ Existing bldg.arca(sq. ft.) ...... ..... ............ ► t i, - --- - - New bldg.area(sq. ft.) ......... ........ ............ ---- - Address: -, e �e --- -- City: + r � State• ZIP: <j--> >�. / Number of stories ................ ....................... ---_- -- I'ype of construction.................................... I'Ir r, ,4 �(,,6 Fax-Y,4 77 " E-mail: - ., S - -_ - Occupancy group(s): Existing: CCR no.: I it `i 3 Z - City/metro lir.no.: Notice: All contracters and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to be licensed in the Address_: - :-� - jurisdiction where work is being nerformed. If the applicant is Cit - titate - 1.11': exempt it-im licensing.the following reason applies: Contact person: _ Plan no.. ---- -- —___ Phone: Fax: E-mail: - -- - - Name: Contact person: Fees due'.tptm application ........................... Address: �— - Date received: City: Slate: Z,IP: Amount received ..........._.... .... .......... ...... . Phone: �ax: E-snail: _ _ Please -efer tc fee schedule. herei`y certify I have read and examined this application and the Not all juduticlions accept credit antis,pit PK- ;all Iurisriction for more intonnalion Attached checklist.All provisions of laws and ordinances governing this U Visa U Mastet('anl work will be complied with,whether specified herein or not. credit rad number e,p+ter Authorized signature: — Date: Nerve of cardholder tri shown on credit crud Print name: $ cardholder alRrcaure-----` Amount Notice:This permit application expires if n pennit is noc^' .wined within 190 days after it hes been accepted as complete. ""61A(tM wom) \ 40ne- and "t wo-Family Dwelling Building Permit Application Checklist 'tc'cl. -- --- __- �l - — — Associatedpermitr: Giyofl'igard Cit of Tigard and �' � U Electrical U Plumhing U Mechanical Address: 13125 SW Ifall Blvd,Tigard,OR 97223 UOther: Phone: (503) 639-4171 -- Fax: (503) 598-1960 ! 411REP FOR PLAN REVIEW Yes No N/A_ I Land use actions completed. See jurisdiction criteria for concurrent reviews. 2 'Zoning.Flood plain,solar balance points,seismic soils designation,historic disirtci.•v, 3 verification of approved plat/lot. 4 Fire district _approval required. 5 Septic system permit or authorization for remodel. Lxi.,ting system capacity . --- _6 Sewer permit. 7 Water district approval. 8 Soils report. Must carry original applicable stamp and signature on file or with applicatio. — _9 Erosion control U plan U permit required.Include drainage-way protection,sill fence deli)n and location of catch hasin protection,etc. 10 3 Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and slate building codes.Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the flans with cross references between plan location and details. Plan review cannot he completed if copyright violation exist. I I Site/plot plan drawn to scale.The plan must show Int and building setback dimensions;pmperty,,•omer elevations(if' there is more than it 4-11.An adon difi'mritial,plan must show contour lines at 24 intervals);locad,in of easements and driveway;footprint ol'structure!includine decks);location ol'wells/septic systems;utility locations;direction indicator;lot area;huildrn,coverage area;percentage of coverage;impervious arca;existing structures on site;and surface drainage. _ 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent _ size and location. 11 Floor plans,Show all dimensions,room identification,window size,location of smoke de eclors,water heater. f ntlace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(%)and details,Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-Iloor, wall constructinn,mr;construction.More than one cross section may be required to clearly porlray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual£rade if the change in grade is greater than four foot at building envelope. Full-size sheet addervhl:ns showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and caiculations to engineering standards. 17 Iloorlroof framing.Provide plans for all tloors/rool'assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placemo nt of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations, Provide two sets of calculations using current code design values for all be:nns and multiple joists over 10 Icet long and/or any he -arrying a non uniform load. _ 20 Manufactured floor/roof truss design details. _ 21 Energy Code compliance. Identify the prescriptive path or provide calculations.A gas-piping schematic is required for four or more appliances. 22 Engineer's calculations.When required or provided,(i.e.,shear wall,roof truss)shall he stamped by an engineer or architect licensed in Oregon and shall be shown to he apph,nh1, ii,ihr pioiecl under review. 23 Five(5)site plans are required for Item I I above. Site plans must he 8-1/2' x I I"or 11" x 17". 24 Two(2)sets each sire required for Items 16, 'Q,29&22 above. 25 Building plans shall not contain red lines or tale-ons. "Mirrored"building plans will be not accepted. 26 "Reversed"building plans must meet criteria outlined in the Permit& System Development Fees document. 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type&location per approved project street free plait(if applicable),and COT Street Tree List. Checklist rr.,st he completed b-fore plan review start date. Minor changes or noes on submitted plans may be in blue or black ink. Red ink is reserved for dep.^.r icnt use only. 400-4614 reatacoNrf Electri-al Per>init Application _ D:uc received. Permit no.: City Of Tigard Project/appl.no.. Expiiedate: r((ligarrl Address: 13125 SW Nall Blvd,'Tigard,OR 97223 Date issued: _ Hy: Receipt no. �_- Phone: (503) 639-4171 - - 1— _-- Fax: (503) 598-1960 Case file no.: Pnytnenl type: Land use approval: 1 &2 family dwelling or accessory 'j Commercial/industrial U Multi-family U'Tenant improvement U New construction U.�(Iditiort/alterrttion/replacemcnt U Other: -_� U Partial J(,b addres' Q/ r_,J i_q,r,O,,4 g, Bldg. no.: I Suite no.: ITa.i map/tax 10t/aCC011nl no.: Lot: __j— B !Llock: _ Subdivision: tj li;; k" __ Project name: Description and location of work on premises: _ ,-W- Estimated d-tc of cnmplct t.m/insprcUun: Job no: nee Max Business name: WeLbe, Description Q(y. (ea.) Total no.Ins New residential-single or multi-family ler Address: 0 6o< L 3/ S1 dwelling unit.Includes snached garage. i_'ity: „� Slalc:e)A ZIP: 9 7tz P/ Servl(•r included: Phone oto-/9 C Fi1X: E-mail: l(HX)sq it.rn less - _i 4 4V o h)'7 3 y_ ,SIL/Z Each additional SO cq.ft.or portion thereof CCB no.: Elec,bus,tic.no: Limited energy,residential '_ City/nlerro lic.no.: Limited energy,non-residential -1 Bach manufactured horse or modular dwelling ",9_nature of su .rvi.tng electrician(required) Dar, — Service and/or feeder - 2 Suis elect name(prinl) I License no: QZrf s Services or feeders-Installation, allerstlon or relocation: I TV OIL= 2011 mps or Icss 2 l 201 amps to 4(x1 amps 2 p Name(print): 1/,/ r it 401 amps to 600 amps 2 Mailing address: / < 64 y re/ (101 amps to 10(0 amps City: t Ct✓ Stale: ZIP: ()ver 1(itic amps or volts 2 Phone: Fax: I E-mail: itccnnnectonly _ I� Owner installa ion:'rhe installation is being made on property 1 own Temponryservicesorferden - which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 201 amps or less—_. 2 - 201 amps to 400 amps 2 Owners si nature: Dale: to i to 600 ams �- 2 Branch clrculls-new,■lteralion, or ex"nsfon per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: —_ _y^Stale: — ZIP: H. Fee for branch circuits without purchase of service or feeder fee,first branch circuit. 2 Phone: I;LFax E,-mail: --- —Each additional branch circuit: Misc.(Service or feeder not Included): ❑Service over 225 amps-commercial U Health-care facility 1a1,.i pump or irrigation circle 2 — t i Service over 320 amps rating of I&2 U Hazardous lowation l.ach sign or outline lighting 2 famiiydwellu e., 7 Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure nherpt on,or extension* _ -' U Building over three stories U Fct tiers.400 amps or more +!2 se nption: U(kcuptu t load over 99 persons U Manufactured structures or RV park Fach additional Inspection over The allowable In any of the above: U Egress/ligtiling plan U Other — i'crri,specuon _ S lbntlt.---set-of plans with any of the above. InvestiKation fee `-----�- — ne above are not applicable to temporary construction service. lith�r -- Permit fee..................... Noi all)urisdiclinns screpr credit earls,pleme call jutiuhction fo,mar•infrnnuvitm Nmnt:e: 11119 pCllull application -� 7visa U MasterCard expires if a penllit is not obtained Plan review(at _ %) $ _. Ctrdir card number:—_��------_ .-..-L_-� within 190 days atter it has been State surcharge(8%) ....$ of cardltnldrr lot shown on credit card Ftpins &qm, - • _ accepted complete TOTAL .......................$ _ Nrlme S Cardholder signature Amount 4404615(NO(1tCOM) ELE;:TRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ttA Fee Schedule Below:Complete TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less $145 15 4 ❑ Audio and Stereo Systems' Each additional 500 sqft or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manuf'd Home or Modular Dwelling Service or Feeder _ $9090 _ 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air GL Iditioning System' Installation,alteration,or relocati i 200 amps or less $8030 _ 2 ❑ 201 amps')400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 _ 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $45465 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK IN. )LVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ _ $6665 _ 2 IKE OAR 918-260-260) 201 amps to 400 amps $100.30_ 2 401 amps to 600 amps $13375 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Cl u•;k Systems feeder fee. Each branch circuit $6 65 2 ❑ Data Telecommunication Installation b)the fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $4685 Each additional branch circui! $665 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 ❑ Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circutt(s)or a limited energy panel,alteration,:r extension $75.00 0 Landscape Irrigation Control' Minor Labels(10) $125.00 _ Each additional inspection over ' F] Medical the allowable In any of the above ❑ Per inspection $62.50 Nurse Calls Per hour _ $62 50 In Dtant $73.75 ❑ Outdoor Landscape Lighting' FP c4, ❑ protective Signaling Finer total of above fees $ _ _ ❑ Other 8%State Surcharge $ -- Number of Systems 25`/e PlanFee See"Plann Review"sectio-i on $ � No licenses are required Licenses are required for all other installations front of application -- Fees: Total Balance Due $ –" Enter total of above fees $_ ❑ Trust Accounts Nl.:State Surcharge s —_ Total Balance Due 9 ----- All New Commercial Buildings require 2 sets of plans. 0dsts\fomuklc-feas.doc 08/30/1A 07/28/2001 10:28 FAX 503225111133 AI,AA VIA1t•UKII Ur.hlt,n wuuI, uur �t rr za ,tr.taso A:wwn.c.ewoµ-s I I ( 1 1 1 r I i 1 Ill > 1 , I J I I ( (n PUKIC EASEM'ENI W IMAILBOXESI'16 /fib — to I S W LAUREL GLEN COURT i i i 11/16/2001 MIS S C A L L - 2 0 ' 0 '� uA.r.ao�ocsa.uowtta,te tret rrcARD. aq �� ,SRI FOR w ACVAA"p to to.00kow 2247F an.tott o a Im vat taor,satnv os as Sl1BD1�11SKN I AIIREL GLEN l�1 oaaa ro a[Isr�u un ooawoa oo�Rra L 0T !y w,w�etn a*K tnf.to torn n o.�a.w rorrmtt NtD raer.r�ttor •uwrweoruEtp��ftlle,attt\�! BY ALPFNGLOW CONSTRUCTION �,_. ... .s .. »o so. V) ---�--�----- ..�_�� ( � \ ) � 2 � 2 ! � % o \ � @ � i k � r # § � � R � _ b § ƒ � � 5 § $ ; � ( � \ � \ ] � § � � 5 � 0 2 , g \ @ � CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WEBER ELECTRIC INC 14524 SW CHARDONNAY AVE TIGARD, OR 97224 Electrical Signature Form Permit #: MST2001-00462 vdie iasueu. 813G10i Parcel: 2S110AC-02500 Site Address: 11401 SW LAUREL GLEN CT Subdivision: LAUREL GLEN Block: Lot: 008 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF residence. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In ordei iu� the electrical permit to be valid, the signature of the supervising electrician is required. Please h; appropriate individual from your company sign below and return this Electrical Signaturf, `o the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be auti.ariaed until this completed form is rect t. OWNER: ELECTRICAL CONTRAS OR: DON BUSS WEBER ELECTRIC .4C --P•O 440 NW HILLTOP 14524OWSHMMININAYAY PORTLANDM, OR 972% 4 v - pQ Phone #: 503-248-9876 Phone #: 579-5168 C1�1'a-� \S Req #: LIC 44087 SUP 4028S ELE 34-442c AN INK SIGNATURE IS, REQUIRED ON THIS FORM X Signature of Supervising Electrici n If you have ony questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 972?3 IMPORTANT PERMIT NOTICE WEBER ELECTRIC INC PO BOX 231154 14524 SW CHARDONNAY AVE TIGARD, OR 97281 Electrical Signature Form Permit#: MST2002-00185 Date Issued: 4/2102 Parcel: 2S110AC-02500 Site Address: 11401 SW LAUREL GLEN CT Subdivision: LAUREL GLEN Block: Lot: 008 Jurisdiction: TIG Zoning: R4.5 Remarks: Construct covered porch and wood shelter 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 ha,u the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the adc.ress above, ATTN: Building nppt. No electrical inspections will be authorized until this completed form is received OWNER. ELECTRICAL CONTRACTOR: PHIL EDEN WEBER ELECTRIC INC 11401 SW LAUREL GLEN PO BOX 231154 TIGARD, OR 97224 14524 SW CHARDONNAN' AVE IGA13D, OR 97281 Phone #: 503-793-3866 P one : Reg #: uc 4408 SLIP 40265 ESE 34-4[c AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you nave any questions, please call (503) 639-4171, ext # 310 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received -_-__.- ___.___ Date Requested 2�._ AM _ PM_— BUP 1 Location __ �y.L_L_-.__ .L - L 15uite MEC -- —.----- — Contact Person —_.__ Ph (_—___) PLM Contractor _ __ _ ___ Ph (__ ) _ SWR — -- BUILDING Tenant/Owner -_ ELC Footing ELC Foundation Access: — Ftg Drain ELR Crawl Drain Slab Inspection Notes. SIT Post 8 Beam Shear.Anchors -- - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Drywall Nailing - --- --- — Firewall Fire Sprinkler —- ---— —---- — Fire Alarm Susp'd Ceiling ------- - -- -- Roof Oth<<. --- ---- ------ ---- - Fina; --- -- -- PASS PART FAIL - —� PLUMPING Post i: 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 Lire Smoke Dampers - - Final PASS PART FAIL — - --- ------- ----- ------- -------- ELECTRICAL -- ---_-------------- Service ---- Rough-In -- —_ -- — - -- ------------- UG/Slab Low Voltage SS PART FAIL Reinspection fee of$ required bofore next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ - � Please call for reinspection REUnable to inspect no access Fire Supply Line ADA Approach/Siriewalk hats ----_"z -''cam d '2 Inspector s • /, - - - .4 --`, Ext - Other Final DO NOT REMOVE this Inspection record from the Jab site. PASS PAPT FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175CM! —= INSPECTION DIVISION Business Line: (503)639-4171 CST �v PUP Received Date Requested _Z AM �._ PM / BUP _ v l.oration --- `7/ ( Suite` ----- MEC Contact Person Ph 3PLM �/v Contractor -- --- --- ------ - ------ Ph ( -) - -- SWR BUILDING Tenant/Owner Footing — y� T� Foundation Access: ---� Fig Drain ELR Crawl Drain sl,t, Inspection Notes: SIT Post& Beam — Shear Anchors — F xi Sheath/Shear .^^ � Int Sheath/Shear i Framing v <' C' rC ) v V 1 — - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - Other: 7 Final PASS_ PART _FAIL / Post& Beam •� Under Slab Rough-In Wafer Service — -- — — Sanitary Sewer Rain Drains ------ __-_ - Catch Basin/Manhole Storm Drain --..__.---------------- -_. Shower Pa i Other: --- —. - -- -— -- PART FAIL •R -----__._ _ - ---_ -------- HANICAL -Post& Beam ---- Roug'On _ -- -- --- -- - Gas Line Smoke Dampers - ---- — Final PASS_ PART FAIL ELE�TIIIC—AL Service Rough-In _- UG/Slab LowVoltage - ---_- - ---------- - ------- --- ---- - --- — Fire Alarm Final 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 Fire Supply Line ADA Date - } ' Approach/Sidewalk Inspector _ - Elft _ - Other Final DO NOT REMOVE Zhls I.4_q;ectlon record from the Job site. PASS PART FAIL CITY OF TIGAR iU 24-Hour BUILDING Inspection Line: (503)639.4175 MST �� ' `� 2-- INSPECTION DIVISION Business Line: (503)639-4171, — �Ga BUP _ Receive J -_- T_—___Date Rqquested 2 J __ AM_ — ' BUP Location �`7 t �-��' .—��, l1 -Suite _ MEC Contact Person __--- � L'" — Ph(—_— ) —__ 3 3 Z�e PLM Contractor ---- .__ —_—_ Ph( -_) -- --_-- SWR BUILDING Tenant/Owner _ ELC Footing ELC Foundation Access: Ftg Drain I �'LR Crawl Drain ---- Slab Inspection Notes: SIT Post&Beam Shear Anchors _-.--__ - --- --- ------ -_-- --------- ------ Ext Sheath/Shear Int She•ith/Shear 1 1 Q L Framing 1—`+-- - -`- -r/v� ---- -�C✓ Illy -tet.-�/� Insulation 1> Drywall Nailing S- - - '\ r"✓� `1`a'!v� C __.�w.� — -.c.l��-� Firewall �, �C.. 1 � Fire Sprinkler �'�}---— � W --- -�w•.•-�' —.- Fina AlarmlJ\a Susp'd Coiling - — -- -- 1 Roo - - - , -1L V_i U S lt�✓� s-- ? GiT G� �-e-x Other: _ASS MART FAI !'14 C. �j, l•J�4�J�'L __ - c, �� Post& Beam , Ui pier Slab 4A ater Service Sanitary Sewer Rain Drains -- — - --------_ — — Catch Basin/Manhole - -- Storm Drain '��-- -- ----------- -_'z-��'�—.,j�G-='►r�� A-V _— Shower Pan Other: -- 1 -- - Final PASS PA T FAi AN C,u Posl& Beam Rough-In ' � 1 T R11 U T —,/-G. - Cas Line L,{ Sul Dampers _ PAS PART FAIL ---- ./ ___---- _--___- ------- Service Rough-In UG/Slab --- ----- ----- Low Voltage Fire Alarm Final Reinspection fee of$___-_-- __-__required before next inspection. Pa at Ci Hall, 13125 SW Hall Blvd. PASS PART FAIL _ _ ] p q p y City SITE _ [] Please call for reinspection RE:_.,. -_ _ - --_-_- _ n Unable to inspect- no access Fire Supply Line — ADA Approach/Sidewalk Date inspector _v1,.��./ 'Y - Ext Other. Final DO NOT REMOVE this Inspection record from the job site. PA£S PART FAIL ♦♦sAAAAAA♦♦AAAAAAAAAAAA♦AAAA AAAAAAAAAAAAAAAF 4 ► t \� ► J ► _ CL M -• pop. • �, Poo.4 �„ Q, 0 o ` 4C a � ► d o. '`� ► i i r ., ► t p CD 0t Poo. e fT v cn I ^^ ► CL ' � ► ► 414 1CL ► r Poo.cn •44 p ► 44 tTl H '. ► ► lool 44 Old pool • n \ �• � i .� ,� � oil.► t �• � e t �. o c ► 44 ►` 44 � ti ► A ► � ► CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST 10c'I INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _—_.-. Date Requested _ AM_ PM —_—. BUP Location _. 1 ! `� 01 I �L'' —Suite ___ MEC _ Contact Person -___, �..��'�, - _—_ Ph (_____ ) '?�Z PLM —_ Contractor ---------- ----�__._.-------....__ - Ph SWR r-• BUILDING__ __ Tenant/Owner —__. — — — ELC _ Footing — — Foundation ELC ACCASS: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext S'ieath/Shear _ Int Sheath/Shear Framing Insulatic-i Drywall Nailing - --z- �l-� Z^ -- ------------ -- — Firewall � Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Of r. rn AS _ PART FAIL ------------- ----.-___._ —.� P BIN_G -_-- Post& Beam Under Slab ---.-_------__ -��_-_--- _ Rough-In - —� Water Service _-------- ---- Sanitary Sewer Rain Drains - -- - - -- - --- - Catch Basin/Manhole Storm Drain Shower _---__�_-_- -------_-_--- _ — Shower Pan Other: - Final ____------- -- PASS PART FAIL MECHANICAL Post& Beam Rough-In - - - _-- -- - --- - Gas Line Smoke Dampers - ----- ------ _--_ _�_- - -- _-- Final PASS PART FAIL -- ---- ---- — ELECTRICAL Service Rough-In ---- �..-- - — - ---_.:- UG/Slab Low Voltage Fire Alarm _-------._..._.__--- ---_-- _ Final Reinspection fee,..)f$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS- PART FAIL SITE — - -- Please call b reinspection RE: Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Date 3=/— 4 'Z---- ---- Inspector --- --" __ _ -- --- - --_ Ext Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL J