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11460 SW LAUREL GLEN COURT 06 rn Q N r n� c n 0 c 11460 SW Laurel Glen Court CITY OF TIGARD 24-Hour BUILDING Inspection '_:ne: (503)639-4175 7_ GD ' GO INSPECTION DIVISION Business Line: (503) 639-4171 MST t _ � BUP —�------- Received _..-_ Date Requested Z Z AM—_ PM BUP Location -- 1 I y("Pd �,GC�Z Suite--- -- -- MEr. Cuntact Person Ph(__ ) _ c 3 34 PLM --'---'--- Contractor _ __ - - Ph SWR ---- BUILDINGTenant/_ wvner _. - _ ELC Footing -__ Foundation ELC Ftg Drain Access: ---- - Crawl Drain ELR Slab Post&Beam Inspection Notes: SIT Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing �'"C bf t 41 c� T� �.� r•L L,,� Insulation D >rI✓�� �i`� Vz f1Y1 Drywall Nailing _L�� Firewall -- / n _-- 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 SS PART FALL - _ _ANICAL Post& Beam -- ----- Rough-In Gas Line - Smnke Dampers Final - PASS PART FAIL ELECTRICAL Service - Rough-In UG/Slab -- Low Voltage Q_S 4,52"A',,, of Fire Alarm Final r F] Reiwipec-bon fee of$`_- —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PFAIL _APT SITE ❑ Please call for reinspection RE _ C_J Unable to inspect-no access Fire Supply Line ADA 2 /4c;.2- �� ,�,� Approac`�iSidewalk Dab Z Inspector �� �if'�. - Ext Other: Final DO NOT REMOVE this Inspection record fron: .he job site. PASS PART FAIL tarry OF TIGARD 24-Hour Inspection Line: (503)639-4175X/ BUILDING MST INSPECTION DIVISION Busin e ss Line: (503)639-4171 BUP Received -___/ I —_Date Req ested __-1_�L - 1M—� -PM-- - BUP Location o Suite MEC Contact Person _— L Ph( -) _ -7? b PLM Contractor __..__--- _.__-- Ph ( .-__J_-) -- - SWR BUILDING Tenant/Owner _ ELC --- - Footing FLt: - - - - Foundation access: Ftg Drain ELR _-_ --- - -- Crawl Drain Slab Inspection Notes! SIT - Post& Beam - - - - -_ Shear Anchors F �b ��U- Ext Sheath/Shear IN Sheath/Shear Framing Insulation �� Drywall Nailing 1�" Firewall Fir--Spr okler Fire Alarm Susp'd Ceiling - Root .} Other: _.._._ _ 1�� )© K Final tr v�-F---u�t u,N .. \ Sii �_� �-IL PASS PART FAIL PLUMBING_- — - -- -- o-st-&Bear Under Slab ----' Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final _ PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final ----- _PASS _PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage ------ F rm ( F Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART FAIL SI l] Please call for reinspection RE:_ - — F] Unable to in Nect-no access Fire Supply Line ADA ,,� _ _� - IExt �� nape Approach/Sidewalk (— Other: Final - DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGA RU 24-Hour BUILDING Inspection Line: (503)639-4175 MSTn-� INSPECTION DIVISION Business Line: (505) 639-4171 BU? --- Received Date Requested LL-�7 _ AM PM BUP _ - �` Location Suite MEC _ - 7 _' -- _..__---.— Contact Person - --_ - -- Ph PLM (--- - ) - Contractor __ Ph( ) SWR BUILDING ELC lenant/Owner -_ - — — Footing - _._, ELC - Foundation Access: ELR F1g Drain - Crawl Drain _- - Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation �2, S tic_ r42�tx2ry L. ed 61- — Drywall Nailing - Firewall Fire Sprinkler Fire Alarm - Susp'd Ceiling Root Other: 'PASS PART FAIL 0(.4t&Beam Under Slab Roug 1-In Wate,Service Sani ary Sewer Rair,Drains Ce ch Basin/Manhole Storm Drain Shower Pan Other: Final --PASS PART FAIL_ _MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In Uta/Slab Low Voltage - Fire Alarm Final Reinspection fee of$_.._—__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Unable to inspect-no access SITE [ Please call for reinspection -- Fire Supply Line ADA DIfta 4 n `Z` Inspector _ % ' Ext - Approach/Sidewalk Other: Finai DO NOT (REMOVE this ";rwspe%:tlon record fro-- the)ob slte. PASS PART FAIL ai _ 1► 44 40 -I CL d y 1 r-1- �r°, n, 1► d 4 1� ® belf ro pr d 1 ti ::- o � � � S, �t � G p p► rD •q z-- n pip. � ~ ► p ► � � v p► ► ► �/♦PPPPPP7PPPPPPPPPPPPPPPPPPPPPP�IPPPPPPPPPPP1� 0 S � � a " o � POP g� co n � ' OQ V 0 A � n 0 3 b r CITY OF TIGARD MASTER PERMIT PERMfT#. MT200'1-00548 DEVELOPMENT SERVICES DATE ISSUED: 11/19/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 11460 SW LAUREL GLEN CT PARCEL: 2S110AC-02000 SUBDIVISION: LAUREL GLEN ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: New SF detached dwelling. Fath 1 BUILDING _ REISSUE: STORIES: 2 FLOOR AREAS _REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,395 of BASEMENT of LEFT: 5 SMOKEDETEcroRS: Y TYPE OF USE: SF FLOOR LOAD, 40 SECOND: 1,103 al GARAGE 718 of FRONT: 19 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUL: $250.85520 OCCUPANCY GRP: R3 BDRM: 4 BATH: TOTAL: 2.57800 of REAR: 35 PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TR;PS: LAVATORIES, 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATC4 BASINS: TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS. 1 WATER LINES: 100 BCKFLW PRFVNrR: 1 GREASE TRAPS. OTHER FIXTURES MECHANICAL FUEL TYPES FURN r 1100K: BOILICMP c 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K. I UNIT HEATERS: HOODS: I OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS 1 WOODSTOVES: GAS OUTLETS: 1 CLECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 700 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 50OBF: 5 201 400 amp: 201 400 amp: let W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 800 amp: 401 800 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: $01 • 1000 amp: 001+3mua•1000V: MINOR LABEL: 1000.amp/Volt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR>•725 A.: >1100 V NOMINAL: CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC. LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAi: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,496,48 DONALD BUSS ALPENGLOW HOMES This permit is subject to the regulations contained in the DO AL HILLTOP ALP NG KELLY AVE. Tigard Municipal Code,State of OR. Specialty Codes and PORTLAND,OR 97210 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 the work is suspended for more than 180 days. ATTENTION: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Roy N: LIC 131932 forth in OAR 952-001-0010 through 952-901-0080. You may obtain copies of these rules or direct questions to yq 0 UNC by calling(503)246-1987. REQUIRFOINSPECTIO S Erosion Control Insp 8, Post/Bean1 Mechanical Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final Sewer Inspection Underfloor Insulation Plumb Top Out Exterior Sheathing Inst Rain drain Insp Fina spection Footing Insp Crawl brain/Backwater Electrical Service Low Voltage Appr/Sdwlk Insp Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final A Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final Issued B `. / , y r„r Permittee Signature Y .: —� Cali (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT PERMIDEVELOPMENT SERVICES EISSUT#: 11/19/01 00294 13125 SW Hall Blvd., Tigard, OR 97223 (C,03) 639-4171 DATE ISSUED: 11/19/01 PARCEL: 2 S 110AC-02000 SITE ADDRESS; 11460 SW LAUREL GLEN CT SUBDIVISION: LAUREL GLEN ZONING: R-4.5 BLOCK: LOT: 003 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. Owner: -- FEES DONALD BUSS Type By Date Amount Receipt~ O W N 440 HILLTOP — - 440 NW ND, TO 977.10 PRMT CTR 11/19/01 $2,300.00 27200100000 INSP CTR 11/19/01 $35.00 272001000110 Phone: 503-248-9876 Total $2,335.00 Contractor: Phone: Reg tr: --___ Required Inspections _ 'rhis Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 clays 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: <r -+: -Lerm _ Permittee Signature: � � C t• _ ,_ c. 1. < - — Call (503) 639-4175 by 7 00 P.M. for an Inspection needed the next business day Building Permit Applic - City of Tigard ' jj Dale received: // (� Permit no.• _ CC�� /t'Lr-7vel-�0� Project/appl.no.: Expire date: CSrvn/Tigurd Address: 13125 SW Nall Blvd,Tigard,OR 97121- — — Phone: (503) 639-4171 Date issued: By. f Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval. 1&2 family:Simple Complex: __— -•- U 1 &2 family dwelling or accessory J('otninercialhndw lujal J Multi-tanuly U New construction U Demolition U Addition/alteration/replaccment U Tenant improvement U Fire sprinklerhtlarm U Other: _. JOB SITE INFORMATION Joh address: VU0 ck: W (u✓rC/ 7(<, Bldg.no.: Suite no.: Lot: �V— Subdivision: tzeyrel 6'4e4_1fax map/tax IoUaccount no.; :S%/DF<' Project name: Description and location of work on premises/special conditions: Name: /�bn<.�/ /�. B<.s�`. (Floo.dpialh,sleptic capacity,solar,etc.) Mailing address: Aygo Alkv _ I & l family driclling: �•+� City: State: ZIP:y7 7/U Valuation of work..................... .......... $— Phone: 2y - Fax: Yj fy,Y E-mail: No.of bedrooms/baths...... ..'.��.�.s.�....... Owner's representative: E,-, 051,wo Total number of floors............. . .... . ......... Phone: 193- 38(o Fax: / �)ri E-mail: New dwelling area(sq. ft.) ....x.S..7..tr......... 23 CJarage/carpolt area(sq. f►.).....10!5-.7!.X. t 2 T- Name: Covered porch area(sq.ft.) ............0.......... - �_�� Mailing addFcs.. 67020 Deck area(sq.ft.) ........................0........... Other structure area(sq.ft.)....._�. .......... City: State: ZIP: td f Commercial/industrbUmulti-famille: Phone: i.y/ -7710 Fax: 2 y 5 770- E-mail: . Valuationof work........................................ Business name: `� � Existing bldg.area(sq.ft.) .......................... �*" �'�'" ,Address: New bldg.area(sq.ft.) ............................... .. -- — Number of stories �' State: ZIP: ........................................ City: Type of construction Phone: I itx: E-mail: ---- — CCB no.: Occupancy group(s): Existing: /3 3 New: Cit /metro lie.no.: Notice:All contractors and subcontraLtors are required to be 1111111111111111=17 Mk licensed with the Oregon Construction Contractors Board under Name:_ provisions of ORS 701 and may be required to be licensed in the Address: �/ _ - jurisdiction when.,work is being performed. If the applicant is City: State: LSP:— exempt from licensing,the following reason applies: Contact person: Plan no.: -------"— Phone: Fax: E-mail: — �-- — --� Name: Contact person: _ Fees due upon application .......... .. ............ $ —_ Address: Date recciv:d: City: State: ZIP: Amount received Phone: Far: I E-mail: _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all}urisdicvAut avM credit card,.please call Jurisdiction for more Infommion, attached checklist.All provisions of laws and ordinances governing this a Visa o Mastercard work will he complied with,whether uxcirwd herein or not. Cieaa cm1 numtwi --- -- / p Authorized signature: ` ' _ __. Date: ?same rel cardholder as shown on rredit card S Print name: __Cardholder tiputuie --- — — Amowrt Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 14aJGl a(600A ON!I One-and Two-Family Dwelling Building Permit Application Cheek list Reference no-: _---- ---� ��-�—� AssocrueJpermitti City of Tigard J Electrical U 111umhuag J Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 J Other Phone: (503) 639-4171 - - — Fax: (501) 599-19(10 T11111" FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Ves No N/A 1 Land use actions completed.lice.jurisdiction crux_rw fur concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,ct( 3 Verification of approved pla(/lot. 4 hire district approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. 7 Water district approval, _ 8 Soils report. \1tv i (,arV original applicable stamp and signature on file or with application. 9 Erosion control J plan Ll pennit required. Include drainage-way protection,silt fence design and location of a rut-hasin prutccuon,etc. I 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must he incorporated into the plans or on a separate IulI-st/c vsln et attached to the plans with cross references between plan location,Incl details. flan review cannot he complctal if O)MM&violations exist. I I Site/plot platy drawn to scale.The plan mw,l.how lot and building setback dimensions-,property comcr elevations(if there is more than a 4-It.elevation difletentirl,plan must show contour lines at 241.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems:utility locations;direction indicator;lot urea;building coverage tura;percentage ol'coverage;impervious area;existing structures on site-,and surface dminage. 12 Foundation plan.Show dimensions,anchor h olts,any hold-downs and reinforcing pads,connection details,vent sine and location. I 1 Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _ 14 Cross seeliou(s)and details.Show all framing-mcnib r sizes and spacing such a.;+lrxor beams,hearters,joists,soh-110017. wall consiraction,roof constriction. More than one cross section may he required to clearly purtr•.;y construction.Show details of all wall and roof sheathing,roofing,rc01'stupe,ceiling height,siding material,footings and foundation,stairs, Fireplace construction, thermal insulation,etc. _ I Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. I Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non—prescriptive path analysis provide specifications and calculations to engineering standards. I 1 Door/roof framing.Provide plrns for all flours/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 118 Basement and retaining walls. Provide cross sections and details showing placement of rehar. For engineered _ stems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet lung and/or any Nam/ioist carrying it non-uniform load. 20 Manufactured floor/root tot.+s design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gats-piping sehernaltc is required for four or more appliances. 22 Engineer's calculations.When requir-d or provided,n.c ,shear wall,rDI'truss)shall he stamped by an engineer or archittct licensed in Oregon and shall be shown to Ix applicable to the project under review. 1111111111111UN 110 1111 MW 23 Five(5)site plans are required for Item I I above. Site plans must he 8-1/2" I I"or 1 I"x 17". 24 Two(2)sets each are required for Items I6, 19,20& 22 above --- --y _�s Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will he accepted 27 28 i Checklist must be 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. 440-4614 rrravc una Plumbing Permit Application Datereceived: Permitno,: �� 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/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: I Receipt no.: Land use approval: case file no.: Payment type: i U 18c 2 family dwelling or accessory j U Multi-family U Tenant improvement ❑New construction U A(Idition/alteration/replacement l3 Food service U Other: 0, t Job address: I ti'L _SW Laws C*= u _ Description Uty. Pee(ea.) "total Bldg.no.:^— — Suite no.: Ne" I-and 2-family dvrellings only: (includes 100 A.for each utility connedlon t Tax map/tax lot/account no.: _ SFR(1)bath Lot: 3 Block: Subdivision: [avrel G�s.. SFR(2)bath Project name: - SFR(3)bath City/county: ZIP: Each a Jditional bath/kitchen Description and location of work on premises: _ Site utilities: Catch basin/arca drain fat.date of complc►ion/inspection: Drywells/leach line/trench drain --- Footing drain(no.lin.ft.) J t Manufactured home utilities _ _ _Business mm�e: P/u,�,b� uSL rn� ��« Manholes -- Address: 7 c Rain drain connector City: State:_09 ZIP: 1703.P Sanitary sewer(no. lin.ft.) Phone: I E-mail: Storm sewer(no.lin.ft.) — CCB no.: Plumb.bus.reg.no: Watc;service(no.lin.ft.) Fixturor item: City/metro lie.no.: e Absorption valve :3— Contractor's representative signature: —__ l ck IloventerPrint name: Oalo': ckwater valve Basins/lavatory f k Q�.�I�Iy C other washer Name: rt Dishwasher — Address: t jw_ K,,/ e, _ ___ Drink;ng fountain(s) -- City: Statewp_ ZIP: I71p Ejectors/sum I'hone: 71.5 1 F;lX: 79('- &t) i I.-nail: Expansion tank Fixture/sewer cap Name(print): Qb^erVr �3 Floor drains/floor sinks/hub ' Garbage aisposal Mailing address: y AV v Hose hibb State: er ZIP: ZID Ice maker Phone: 7 - Fax: 1 -4dw E-mail: Interceptor/grease trap _ Owner installation/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 I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) _ Owner's signature: Dale: Sump _ Tubs/shower/shower pan Urinal Name: _ Water closet Address: Water heater _ City: '— — -- �Ttate: ZIP: Other. Phone: Fax: Email: Total — Not all urisdiction%acct credit cards,please call jurisdiction kx more information. Minimum fee............ ) 1 M Notice:'iltis permit application Plan review(al � 96) $ U visa U MasterCard expires if a permit is not obtained Credit cad number_ -- --L—� - within 190 days after it has been Slate surcharge(896)....$ Itspircs __ --- accepted as complete. TOTAL ...................... — Name of cardholder u shown r a credit erd S -- Csa*'lu>Ider slanattae Amount 44114616(610'WOM) i - - PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: —1 FIXTURES%Individual) QTY__ ea AMOUNT (includes all plumbing fixtures In PRICE TOTAL. Sink 1660 the dwelling and the firsl100 ft. OTY (ea) AMOUNT Lavatory 16,60 for each utility_connection 2nej1 bath $249.20 _ Tub or Tub/Shower Comb 16.60 _Two'2 bath $350.00 Shower Oily 1660 Three 3 bath _ $399.00 Water Closet 16.60 - SUBTOTAL Urinal 16,60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 — TOTAL IET Laundry Tray 16.60 Woshing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.60 PLEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 Ouantiy b�Worlc Performed Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/ permit. _ ___ Ca ed MFG Home New Water Service 46.40 Sink _ MFG Home New San/Stonn Sewer 46.40 I.avatory Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Showr,r Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher _ Garbage Disposal _ Laundry Room Tray Washing Machine _ Floor Drain/Sink: 2" Sewer• 1st 100' 55.00 3" Sewer-each additional 100' 4640 4" _ Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures S eci _ Storm&Rain Drain-tat 100' 55.no _ Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 45.40 -- -- Residential Backflow Prevention Device' 27.55 — -- -�— Catch Basin 16.60 Inspection of Existing Plumbing or Specially 72.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 Grease Traps 1660 QUANTITY TOTAL Isometric or riser diagram is required If --�- _ Quantity Total iss>9 'SUBTOTAL - --- -- 8%STATE SURCHARGE T --- — -- "'PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total Is>9 TOTAL S 4Mlnimum permit fee is S72 50+8%state surcharge,except Residential Backflow Prevention Device,which Is$36 25.8%state surcharge **All New Commercial Buildings require plans with Isometric or riser diagram and plan review is\dsts',forms\plm-fees.dor, 10/10/00 Electrical Permit Application Datereceived: Permit no.: City of Tigard Project/appl.no.: Expire date: City q(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: 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 Ncw:onstruction U Add ition/aIleration/re place ment U Odor: _ U Partial JOB Sl UE INFORMATION Job address: 1 EEO W 7677/ V-07 G•j Bldg.no.: Suite tto.: Tax map/tax lot/account no.: _ Lot: Bleck: Subdivision: re( 6&M Project name: Dc% ription and location of work on remises: Estimated date of completion/inspeclion: Job no: Fee I►taY Business name: r{/C�jW E fr, fii _ __ Description _ 11)". (ea.) total uo.insh Address: New residential-single or multi-family per _ s � 6w L(r ✓ dwellingunit In(lurle%attached garage. City' T' �,�I Slat t: pK 'I_IP: 72Z Serviceinchnkd: Phone: Fax _ Email: I(xN)sq.ft.or less 4 CCB no.: �,%-. _ Each additional 500�q.ft.or portion'hereof Elec,hos.lie.no: �. Limited energy,residential 2 City/metra tic.no.: i A Limited energy,non-residential '- Each manufactured home or nodular it+velling Si nature of supervising etectricinn(Lequlred_) _ Doe Service and/or feeder 2 Services orfeeders-Installation, Sup.elect.nnnn(pruu) I.icenseno: — alteration or relocation: OWNER 200 amps or I .s 2 Name(print): � ���s 201 amps to 400 snips-� 2 ' ' - Mailing address: 401 amps to 600 amps 2 -- -- _ 601 amps to 1000 amps 2 City: _ Stae: ZIP: Over 1000 amps or volts -- _-- _ 2_ Phone: 8 Fax: 2 Is.-ma : Reconnect only Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Irwidlatlon,alleratien,orrelot tion: ORS 447,455,479,670,701. 2(xl amps or leas 2 201 amps to 400 amps Owner's signature: _ Date: aril to Gnu ams --- 2- Branch circalts-new,alteration, or erten+Ion per panel: Name; - A. fee for branch circuits with purchase of Address. service or feeder fee,each branch circuit 2 Cily: _ Stale: ZIP:�_ _ B. Fee fnrbranch circuits without purchase — - - --- of service or feeder fee,first branch circuit: 2 Pholte: I a : nriil Each additional branch circuit: Misc.(Service or feeder not Included)- U Service Liver 225 amps-comnu•nrral LI He ahh carr lacility Each um or irrigation circle 2 U Service over 320 amps-ruling of 1 dd2 U Hazardous location Each sign or outline lighting 2 family dwellinfs U Building over 10,000 square feet four or Signal circuil(s)or a limited energy panel. LI System over OIX)volt%nominal more residential units in one structure alteration,or extension* -_ _ 2 U Building over three stories U Feeders.40()amps or moire "'Description: U Occupant load over 99 persons U Manufactured structures or RV park Foch additional Inspection over the allowable in any of the above: U Egr Aighlinliplwt U Other -- per Inspection Submit__.—sets of plans wllh any of the above. Investigation fee __ The above are not applicable Io temporary constrocilon serttee. Other Not ail Jurisdictions accept credit cardr.please call Jurisdiction fm nage Infomonar) Notice:This permit application Permit fee.....................$ _ U Visa U MaffW.and expires if a permit is not obtained Plan review(at _- %) $ _ c•redu card number ------ within ISO days after it has been Stale surcharge(8%)....$ 1.xpirc. accepted as complete. Name of car oft u rhown on credit card S Cadhotder sip alure Anannl •40-4615(60WOM' ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: ---- ------ ------ -- Complete Fee Schedule Below: 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 sq ft or portion thereof $3340 _ 1 1 Limited Energy _ $75.00 CJ Burglar Alarm Fach Manufd Horne or Modular Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener' Services or Feeders Insta!lallon,alteration,or relocation ❑ Heating,Ventilation and Air Conditioning System' 200 amps or less $80,70 2 201 amps to 400 amps _ $10685 2 ❑ Vacuum Systems' 4n1 amps to 600 amps $16060 __ 2 601 amps to 1000 amps $24060 2 Other_ Over 1000 amps or volts $45465 _ 2 Reznnect only _ $6685 2 Tempo•ary Servicos or Fenders, - TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installalicn,alteration,or relrcation Fee for each system.......................................................... $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 2(11 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved. Over 600 arrlps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑� Boiler Controls a)7 he fee for branch circuits with purchase of service or L� Clock Systems leader foe. Fach branch circuit -- $6.65 _ _. 2 ❑ Data Telecommunication Installat',)n h)7 he foe for branch rarallts without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit __ $46.85 Fach additional branch circuit $665 ❑ lit' Miscellaneous (Service or feeder not included) ❑ Instn-n,antalion Each pump or Inigatloo circle _ $5340 Each sign or outline lighting $53.40 ❑ Intercom and Paging Systems Signal dreult(s)or a limited energy i — panel,alteration or extension $7500 E landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over ❑ Medical the allowable In any of the above Per inspection $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73 75 ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Othr r 8%State Surcharge $ __Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all nlher installations front of application _ Fees: Total Balance Due $ �- Enter total of above fees $_ 0 Trust Account# 8%State Surcharge $ Total Balance Due i klstslCnrtm\elc-fces.doe 06/07/01 Mechanical Permit Application Date received: Permit no.• 12613 � YF City of Tigard Date no.: E,pire date: CiryofTigard Address- 13125 SW Hall Itivd,Tipard,OR 97223 Phone: (503) 639-4171 bate issued: flReceipt no.: Fax: (503) 598-1960 Case file no.: Payinenttype• Land use approval: _ - Buildmgpermitno.: U I & 2 family dwelling or accessory U Commercial/industrial UMulti-family U'fcnanl Improvement U New construction U Addition/all-rat ion/replacemen1 U Other: _ " _ Job address: , w' Tyr� Ge�,2_Gf Indi::ate rquipntenl quantities in boxes below. Indictor the dollar Bldg. _ no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/lax IoUaccounl no.: -- profil. Valuc$ Lot: 3 Bloxk: Subdivision: G�er1- *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: 'LIP: 91,181 --- Description and location of work on premises: -- - F111111M 111,11 loft 1W 91101 111KI111i 1161111111M 0 ee(ea.) Total Est.date of completion/inspection: DeKdplion Ql . Res.only Res,only Tenant improvement or ' -nge of use: Is existing space,. .,led or conditioned?U Yes U No 7h.ndligvunit ___CFM.� Is existing space insAir conditioning(site plan required) �— ulated?U Yes U Noismij Alteration o existing AC sys'em -- Bollertcompressors - -- Business nano_: 411 /lt- State hoiler permit no.: __T'orts HTU/II Address: - HI'/// ✓ --- - •ir smu campers duct smoke r.etectors - City: R Slate: ZIP: ---- pq 11 pump(site plan required) -- - Phone: I Fax: E-mail: Tnsta rep ace furnace urner CCB no.: Including ductwork/vent liner U Yes J No 2 `1)S7 nsta I I/rep acTfihcate heaters-suspen e - - City/metro lie.no.: _- --- _ wall,nr floor mounted Name(please print,). �', u ti/ Vent fol afighance other t an furnace —— e r gerat on: Absorption onus _ BTU/14 Name: 6r,/C Us ymp - A w Chillers H!' --- -- Address: ply / r C:om ressors — Ifo' ,nv ronmenta ex ust an ventilation: City: ��y�,r,H�/ State: TLIP: 2U �1� / Applianccvcm _ Phone: 3 f Fax: ?9r, (�Ot/ E-mail: — - )ryerexhaust no sdelype /fl/res. itche azmat hood fire suppression system Name: _ Exhaust fan with single duct(hath fans) Mailing address: p/ �, '� ?x haust s stem apart from heating of AU-- Fuel piping an sr ulton(up to 4 outlets)Cily: State: 7 Z/o ---- Type: LI'f; NO _ Oil Phone: 71 Fax: 7qj Vjgj E-mail: vc pip in cac ac i itional over 4 outlets roc•etspiping(sc hcmati(requiredt ) Nunhher of outlels ---- Name: - - _—. ter y�appjance or equ-mend: — Address: Decorative fireplace City: _ _ _ Stale: 7.IP: Insert- _type Phone: Fax: E-mail: -�- oo stove/Ix ets-il stove ---� - - — —" -^ Applicant's signature: - Date: �� 2 p� Other:t Name (Print): e,-,,k OsLk,o -- Nd all)urisdirtlons accelA credit cards,pleaw call pvisdicti m for more inRxmniion Permit fee.............. ......$ U Visa ❑MasterCard Notice: flus permit application Minimum fee......... ......$ cwdil card number: expires if a permit is not obtained - -- - pites within 180 days after it has been Plan review(at _ %) $ State surcharge(8%)....$ Name of car orTi iffier u�i shown oo c lr�-t cirri--- accepted as complete. TOTAL $ .......................$ Cardholder sisnamre Amount - � 41046I7(6tOQR.'OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: - Price Total $1.00 to$5,000.00 _Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,0170.00 and 1) Furnace t100,000 BTU $1.52 for each additional$100.00 or _ Including ducts 0 vents_ _ 14 00 fraction thereof,to and including 2) Furnace 100,000 BTU+ ___ _ _$10,000.0_0. includin ducts 8 vents _ _ 17 40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including_vent _ 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or flour mounted heater 14 00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit $1.45 for each additi-)nal$100.00 or — _ 680 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 Heat Air $1 20 for each additional$100.00 or For Items 7-11,see or Pump Cond _ fraction thereof. footnotes below. Comp* 7)<3HP,absorb unit ASSUMED VALUATIONS PER APPLIANCE: l100K BTU _ _ 14 00 8))3-15 HP;absorb Value Total unit 100k to 500k BTU 2560 _ Desert Uon: City Ea Amount g)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents 10)30-50 HP absorb Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU 5220 _ ducts&vents11)>50HP:absorb Floor furnace Includin[Lv_ent 955 1 _ unit>1.75 mil BTU 1 87.20 Suspended healer,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater10.00 Vent not Included In applicance 445 13)Air handling unit 10,000 CFM+ permit 17.20 Re eIr units _ u a 805 _ 14)Non-portable evaporate cooler <3 hp;absorb.unit,' 955 1000 to 100k BTU 15)Vent fan connected to a single dud 3-15 hp;absorb.unit, 1,700 _ _6.80 101k w 500_k BTU 16)Ventilation system not Included in 15-30:tp;absorb.unit,501k to 1 2,310 _appliance permit ____ 1000 mil.BTU 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 1740 _ >1.75 mil.BTU 19)Commercial or industrial type Incinerator Air handlin unit to 10,000 cfm 856 _ 69.95 Air handling unit>10,000 cfm 1,170 _ 20)Other units,including wood stoves p Nonortable evitporate cooler 1358 _ 10.00 Vent fan connecled to a single duct 446 21)Gas piping one to four outlets Vent system not ncluded In 656 540 appliance permit 22)More than 4-per outlet(each) Hcx.)d served by riechanical exhaust 658 1.00 _ Domestic incinerltor 1,170- Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial Incinerator 4,590 _ Other unit,incl idi ig wood stoves, 656 -— _ 8%State Surcharge inserts,etc. Gas piping 14 outlets 360 ----- 25%Plan Review Fee(of subtotal) $ Each additional outlet 83 Required for ALL commercial permits only TOTAL COMMERCIAL NOTAL RESIDENTIAL PERMIT FEE: $ _ VALUATION: -- other Inspections and Fees: 1 Inspections outside of normal business nours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum cherge-one-half hour)$72 50 per hrur "State Contractor Boller Crrtificavon requires for units>20ok BTU "'Resldentlal AIC requ! as site plan showing placement of unit OdsbsXfurmsVoech-fees doc 10/11/00 r—— fros�vrl AftwmWe soonm 7z GA Iry �� ` Iny � 7Z.10 CITY OF T'IGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING SYSTEMS CONTRACTORS 5067 S SCONCE RD HUBBARD, OR 97032 Plumbing Signature Form Permit #: MST2001-00548 Date Issued. 111/19/01 Parcel: 2S110AC-02000 Site Address: 11460 SW LAUREL GLEN CT Subdivision: LAUREL GLEN Block: Lot: 003 Jurisdiction: TIG Zuning: R4.5 Remarks: New SF detached dwelling. Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: DONALD BUSS PLUMBING SYSTEMS CONTRACTORS 440 NW HILLTOP 5067 S SCONCE RD 00RIrk-AND. OR Q7210 HURBARD. OR 970: 2 Phone #: 503-248-9876 Phone #: 503-804.5281 Reg #: I Ir 112518 PI M 3-466PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x ����� Signature of A ed_Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WEBER ELEC (SEE 44087) 14524 SW CHARDONNAY AVE TIGARD, OR 97224 Electrical Signature Form Peri-nit #: R4ST2001-00548 Date Issued: i 111910 i Parcel 2S110AC-02000 Site Address: 11460 SW LAUREL GLEN CT Subdivision: LAUREL GLEN Block: Lot: 003 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF datached dwelling. Path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return tl�,is Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELE==CTRICAL CONTRACTOR: DONALD BUSS WEBER ELEC (SEE 44087) 440 NW HILLTOP 14524 SW CHARDONNAY AVE PORTLAND, OR P7?10 Tl(;ARn, OR W294 Phone #: 503-243-9876 Phone #: 6Z9-6+&& Req #: LIC 0044087 SUP 40285 ELE 34-4420 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of §upervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310