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9526 Elrose Street 9526 ELROSE STREET 1 OF 1 FILMED 2004 PJ401' PLAN � C�3,�o .1 11. FIII .I .I:IU III 111 .1 )IN, INC. II ) U( )X noI;') I it ;Aid ) ( )U 4) ;18 • J114% (ri---10V ..-,k. . I'll• hit I ils x_ (, j 1 1111/ / () i 1. 11) t____ ___ Subdivision L A urt--T - 1 L K r,C - ' "7 . i//.9 GTU I t. ,itp 7 /6 dross q5cRco (5 W E 1 r05-0-. St Scale 1/8" •- 1 ' Notes: t►ownslx)uls cm(f c►awls4►aco (I' aft) to shoo! SklewaIks aIHI (Illvowi1y f(>f)t)R( 110 CIty cute. \ i / 1 (. ____-. -lc-- \ . . - . • ------- -,,---Av Te, A 4 .t) ( " • ( '\ C 0 �\ \ I ► l / I 51 S a VI (r ii sew ev- -/- • ........•• - • T 17 / —_ -`_'.,. 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W/Y.P.C. f '/-e 1('i ( I c•\ `) VILI ADEHA.A„ �c ASSOCIATES IN UC. , 00fL • 5/8' IRON RO "no •—. W/YPC MARKED 'n ' "DT, BURTON LS 2248" 00 SN 26165 o LOT 5 Lt a t 9,588 sq. ft. () m si 0 1 • rvl LL 4 W p N 4( W 62.28' IIn • rl ri l l r I 111 ) 1 II ( IIII I I I III l l l l l I I I I I I I t I l t t l t III 111 I I I I I I I I I I I I i I I I II I I I I i IIII � lit I I I I r I t I I I I I rI III 11 _I t III 1 1 111 I I I I IIiI III IIIII NOTICE: IF THE PRINT OR TYPE ON ANY IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 41 6 • 8I wi - 0 11 1 -' /O' i " 02c� cX 106 - / _ IT IS DUE TO THE QUALITY OF THE No.341 ORIGINAL DOCUMENT Z Z III T 91 41 T► T 1 EI 7T TT T 187- L 9 14 ^I E L T �illi IIII IIII IIII IIIIIlii IIIIIIII II9IIZIIII Illi IIII IIItIZ111111EU ZIIII IIIIlli III1I IIII IIIIZIIII,II6II TIIII IIRtII,I III (ill llll,llll IIII IIII IIII (IIIIIIII IIII IIII IIII illli IllIII111111111.1.1[111111[1111.1,11111— .1 11 1 1. L1<<l-IIIIll1411 cc► cn N fD cD 9526 SW Elrose Street CITY OF TIGARD BUILDING INSPECTION DIVISION MST a,�e 24-Hour Inspection Line: 639-4175 Business Line: 633-4171 BUP Date Requested S- (23( t AM PM BLD - -- Location Z G Sw Elv�y- Suite MEC Contact Person Ph / e '- u Y y L PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes — Slab — --- - - - SIT Post& Beam -�� —___---- -- -_-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - _ - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ---- Misc Final -�- --- PASS PART FAI Post& Beam Under Slab lop Out Water Service Sanitary Sewer Rain Drains i'A39 PART FAIL ANICAL Post& Beam - -- Rough In Gas Line - ---- Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm FinalPASS PART FAIL SITE ---- --- - Backfill/Grading - --- Sanitary Sewer Storm Drain I I Reinspection fee of S_- required before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RE - [ I Unable to inspect- no access ADA A roach/Sidewalk VOmer Date �}/b Inspector ':7-n JZ--- _ - Ext3 Final PASS PART FAIL DO NOT REMOVE this inspection record from the ;ob site. I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested 5 - 1--- AM _PM BLD Location_ `J 5%2 (r sw E ,,..s_e Suite MEC Contact Person Ph 7 kV-_ Y V yZ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN Slab SIT Post& Beam -- -T-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation, Drywall Nailing Firewall - - — Fire Sprinkler Fire Alarm Susp'd Ceiling / Roof Misr. -- —.-- Final PASS PART FAIL -- ---- PLUMBING L- 01.49 L7c l - r' Post&Beam Under Slab Top Out — -'— Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough In Gas Line - ----- — Smoke Dampers Final — -- PASS PART FAIL Service Rough In _ -- -- -- - ---- I UG/Slab Low Voltage Fire Alarm (-41SSbPART FAIL SITE Backfill/Grading ---- -- -__ - —"—�� —` Sanitary Sewer Storm Drain I 1 Reinspection fee of$ - required before next inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line I I Please call for reinspection RE _ [ )Unable to inspect- no access ADA Approach/Sidewalk ^ (� -� - r ,, aX Other Dat Inspector � ]Q� _ E t Final �— PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS'. ,261616 _�, Y 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BUP 472'22 —Date Requested �(%�(q AM PM n r/, elBLD Location 9s,�� X .¢C' Suite MEC Contact Person Ph 7k ' - cetitiS PLM Contractor Ph SWR UIL G Tenant/OwnerELC _._. staining Wall ELR _ Footing Access: Foundation FPS ------- Ftg Drain SGN Crawl Drain Inspection Notes: Slab - .--. SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing k( 11 ST i 14.J L.r..n a ni C ..tt' Insulation Drywall Nailing il......- � WtGf.' --1C SP''‘.-C,r dA,l4.;.-4 _j...,,,A t l i, Firewall Fire Sprinkler ---7c-'-:1�a,r,. C ----Tc--....1.A. YAC i.2. Fire Alarm Susp'd Ceiling Root 2SrFML — - PLUMBM Post& Bearn y -- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final ,PA8& T FAIL tMECI L P-iii Beam - - Rough In 62----Gas Line L --- tS oke Dampers i . ASS PART FAIL EL CTRICAL Service Rough In UG/Slab — Low Voltage Fire Alarm Final PASS PART FAIL — —_ SITE Backfill/Grading ---- Sanitary --Sanitary Sewn' Storm Drain ( 1 Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE ( J Unable to inspect- no access Fire Supply Line , ADA Approach/Sidewalk - Date / / 4./ Inspector - Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 4' ' /Cdd//C 1710,17e.5- Th/1 c,n .ST`?/1 /s 7,9 /2(/// 117 yoti of. oc, /,7 fe,i/i ori �uf `Lof fe4,)/".; cf Geo)// �'7 710 ..r710 f`1 G em bei4 knit-t ,60)ck`dre/ - kii,1-lr i.%7 60 PAKS' - SGt/�C 01. 1- 6. /3. o/ Ci 4fg • / 3 0/ 4 I 4 4 4 41 4 CITY OF TIGARD BUILDING INSPECTION DIVISION MST seriTir 24-Hour Inspection Lina: 639-4175 Business Line: 639-4171 BUP 11 A Date Requested 6/7 AM_ _ PM __ BLD _Location Suite MEC Contact Person Ph l r � PLM Contractor Ph SWR BUIL Tenant/Owner — —_ ELCRetaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes - Slab SIT Post& Beam —_ -- -- - -Ext Sheath/Shear ' Int Sheath/Shear -� / Framing ,' ,YC L i , CLI - h 211'' _AZc4T5 ctirr•/� Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof SS PART FAIL PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In -_-- UG/Slab Low Voltage ----------� --- Fire Alarm - — - - - -- — - ----- -- Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$_ —required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I J Please call for reinspection RE [ J Unable to inspect- no access Fire Supply Line ADA 4 Approach/Sidewalk Date / Other l f_ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. 7 { nom) Ofnom)III Residential Certificate of Occupancy s/ G Permit No.: I - 6644-- Address: 9f 2& ,Z ELS — Owner/Contractor: /‘/cc..: CV,r-i.t li-.--- 1 Date of Final Inspection: i! -/s---,:/ Inspector: ' 'r. �I+ This structure has been found to be in substantial compliance with!he provisions of the State of Oregon(Me& Two Farrah Dwelling Specialty Code and is hereby approved for occupancy CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE INTERSTATE ELECTRIC INC PO BOX 7342 SALEM, OR 97303-0068 Electrical Signature Form Permit # MST2000-00494 Date Issued: 12/26/00 Parcel: 25111 BA-11100 Site Address: 09526 SW ELROSE ST Subdivision: LAUTT'S TERRACE Block: Lot 005 Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F 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 this Electrical Signature Form prior to the start of the work to the address above, ATTN• Building Dept. No electrical inspections will be authorized until this completed form is received OWNELECTRICAL CONTRACT-OR NEWCASTLE HOMES, INC. INTERSTATE ELECTRIC INC P.O. BOX 230459 PO BOX 7342 1IGARU, OR 97281 SALEM, OR 97303-0068 Phone tt 503-684-7543 Phone #. MBL 393-2223 Req #: uc 11479S+71;1 SUP ELE 24-354C AN INK SIGNATURE IS REQUIRED O HIS F UI1 x S •nature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 I CITY OF .i IGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTHWEST PREMIER PLUMBING P.O. BOX 23338 TIGARD, OR 97281 Plumbing Signature Form Permit #: MST2000-00494 Date Issued: 12/26/00 Parcel. 2S111 BA-11100 Site Address: 09526 SW ELROSE ST Subdivision. LAUTT'S TERRACE Block: Lot. 005 Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F 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: NEWCASTLE HOMES, INC. NORTHWEST PREMIER PLUMBING P.O. BOX 230459 P.O. BOX 23338 TIGARD, OR 97281 TIGARD, OR 97281 Phone #: 503-684-7543 Phone #: 503-624-0582 Reg #: I Ir. 135022 PI M 34-348PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 I CITY OF T I G A R D __ MASTER PERMIT PERMIT#: MST2000-00494 1, DEVELOPMENT SERVICES DATE ISSUED: 12/26/00 mai. 4 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09526 SW ELROSE ST PARCEL: 2S111BA-11100 SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG REMARKS: S/1= PATH 1 BUIL DING •—REISSUE STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK. NEW HEIGHT 22 FIRST 1.170 if BASEMENT sf LEFT, 1 SMOKE DETECTORS. TYPE OF UCE: SF FLOOR LOAD-. 40 SECOND: 1,230 if GARAGE 594 if FRONT. .4 PARKING SPACES . TYPE OF CONST: 5N DWELLING UNITS. 1 FINBSMENT'. if RIGHT VALUE E 224.154 00 OCCUPANCY GRP- 143 BURM 4 BATH 3 TOTAL: 2 400 00 if REAR PLUMBING SINKS WATER CLOSETS 1 WASHING MACH • LAJNDRY TRAYS: 1 RAIN DRAIN ,,y, TRAPS LAVATORIES .4 DISHWASHERS I FLOOR DRAINS SEWER LINES: 100 SF RAIN DRAINS I CATCH BASINS TUB/SHOWERS 1 GARBAGE DISP WATER HEATERS • WATER LINES. 100 BCKFLW PREVNTR GREASE TRAPS OTHEr FIXTURES MECHANICAL FUEL TYPES FURN•100K. BOIL/CMP•311P VENT FANS CLOTHES DRYER I GAS FURN>•100K: , UNIT HEATERS HOODS OTHER UNITS MAX INP blu FLOOR FURNANCES. VENTS I WOODSTOVES• GAS OUTLETS. 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS I 0 • 200 amp 0 - 200 amp W/SVC OR FOR I PUMP/iRRIGATION PER INSPECTION FA ADD'L SOOSF 4 261 • 400 amp 201 - 400 amp 1st W10 SVC/FDR n, SIGN/OUT LIN LT PER HOUR LIMITED ENERGY 401 - 600 amp 401 . 600 amp EA ADDL BR CIR SIGNAL/PANEL IN PLANT MANU HM/SVC/FDR 601 • 1000 amp 601•amps-1000. MINOR LABEL 1000•amp/colt PIAN REVIEW SECTION Reconnect only .•4 RFS UNITS SVCIFOR>•225 A •600 V NOMINAL. CLS AREAISPC OCC ELECTRICAL•RE3TRICTED ENERGY A SF RESIDENTIAL B COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM AUDIO&STEREO. FIRE ALARM- INTERCOM/PAGING OUTDOOR INDSC LT BURGLAR ALARM: OTH BOILER. HVSC: LANDSCAPEI1RRIO PROTECTIVE SIGN( GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL O'HR- HVAC: DATA/TELE COMM NURSE CALLS TOTAL 6 SYSTEMS TOTAL FEES: ' 6,829.27 Owner Contractor: This permit Is subject to the regulations contained in the NEWCASTLE HOMES. INC NEWCASTLE HOMES 1Lgard Municipal Code. State of OR Specialty Codes and P 0 BOX 230459 PO BOX 230459 all other applicable laws All work will be done in TIGARD.OR 97281 TIGARD.OR 97281 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 Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg/I IIT 5945E 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 INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing lnsp Crawl Drain/Backwater r'lumb Top Out Exterior Sheathing Ins; Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr. Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk lnsp Building Final Issued By : .- Permittee Signature : C�-1.--eCL-1---#---- Call ( 03) 639-4175 by 7:00 p.m. for an Inspection needed the next business day I ACITY OF TIGARD SEWER CONNECTION PERMIT iritik DEVELOPMENT SERVICES PERMIT#: SWR2000-00342 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/26/00 SITE ADDRESS; 09526 SW ELROSE ST PARCEL: 2S111BA 11100 SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LOT: 005 - 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 NEWCASTLE HOMES, INC , -- -- P O BOX 230459 Type By Date Amount Receipt TIGARD, OR 97281 PRMT CTR 12/26/00 $2,300.00 27200000000 !NSP CTR 12/26/00 $35.00 27200000000 Phone: 503-684-7543 — -- Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given the installer shall prospect 3 feet in all directions from the distance given If not so located. the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: TLC-" p Permittee Signatur4 i .�.7..�CC�-�---" Call (5 ) 839-4175 by 7:00 P.M for an inspection needed the next business day (4_1_, c -o . - 3'/ - Building Permit Application Date received: /d�-2-Ver) Permit no.:/ff oZ•p y X (1i City of Tigard � .41 . 1. / , 4- ProjecUappl.no.: Expire date: Address: 13125 SW Ball Blvd,Tigard,OR 97223 / , Phone: (503) 639-4171 /� ('itynjTignrd Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&/family:Simple __..i o', •nplex: 111'1 01 1'1 10111 a I & 2 family dwelling or accessory U Commercial/industrial U Multi-family U New c instruction U Demolition U Addition/alteration/replacement U'Tenant improvement U Firs•sprinkler/alarm J Other: JOB SITE INPORMA'I'IOS Joh address: ( 'T-?. ', l.ti. r i I Bldg. no.: Suite no.: Lot: 111111 Block: Subdivision: Lit)ff 5 rt,/( l 4._j Tax map/tax lot/account no.: Z////3,9-1. 7-605 Project name: — /3" //, /-:-• / -V. 5 Description and location of work on premises/special conditions: -�i' . . 11 c 4 A , f _ On SFR 1014 sl'1.( LU, 111 UK11.%1l0N, USE (1II(1LIS1 Name: C.yyC a.5 t i , 1,x,,5 ( - (Floodplain.septic rapacity.snlar,etc.) Mallin• address: I & 2 fant)I) dwelling: City: ' ' State:6e a : Valuation of work $ =-`r /5` Plxrne: J i',() :'ax:61.._-F O ? E-mail: No.of bedmoms/haths _- Owner's representative: Total number of floors __ _ Phone: Fax: E-mail: New dwelling area(sq.ft.) r I't If \\I Garage/carport area(sq.ft.) J ' Name: k (AI k , , f f 1 ( h e r Covered porch area(sq.R.) _ ,i Mailing address: -�;n Deck area(sq.ft.) SC City:__ �State: ZIP: Other structure area(sq.ft.) Phone: T E-mail: Com.erclaUlndustrlalh ehl-fatally, CONTRACTOR Valuation of work $ Existing bldg.area(sq.R.) Busing ss name. _ 'r r.e..s L r1 U New bldg. area(sq. R.) Addrt.:s• 57, City:— State: ZIP: Number of stones Phone: - rFax: E-mail: Type of construction (i. e' no: Occupancy group(s): Existing: _ ____ I ,- 4- 1 _ New: __ City/mein w 1k no • Notice:All contractors and subcontractors are required to he 4R('Illl-F'(-t/Ill `I(:Nt'R licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: - -- jurisdiction where work is being performed. If the applicant is exempt from licensing,the following reason applies: City: State: 1ZlP: Contact person: Plan no.: - Mom. (:w s E-mail: - — - ENGINE'E'R Natot Contact person: Fees due upon application $__ 25o ,... I Address: i : - q ,-.',c , , r 1 Date received: -- City: _ / ; , ' , _ 1Statet•, VIP`; - Amount received $ - Phone. ' i IL._ Fau4, , ,,. ;_A E-mail: Please refer to fee schedule — I hereby certify I have read and examined this application and the 'No all►wtdkltonr'Crept credit crrd..plow. II,r,nut,non r,ot nowt intonation' attached checklist. All provisions of laws and ordinances governing this UViu U MutetCard work will he complied with,whether specified herein or not. Croat cad nweher --- .twit. Authorized signature, G't' e` bate: _ Nance of cwdirolarr as dw,*n m cretin card Print name: i c ti, (ILL flit __ ` �_ c.r�aTei dttrurwr._ f -frsr. M o. _, Notice:This permit application expires if s permit is not obtained within ISO days after it has been accepted as complete 41n4s1 t tMns'0fr1 1 One-and Two-Family Dwelling P rmit A Reference no.: Buildinga pplication Checklist c uermits: City of Tigard Cityof Tigard U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 UOther: Phone: (503) 639-4171 Fix (col) S911 1960 THE 1•01.1.01N I\(. 111 \IS URI ItI 1)1 IR! 1) I lilt 1'1 N\ RI N II Nt lc. \u Ni• Land use actions completed.See jurisdiction criteria for concurrent reviews. ✓ 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. L 3 Verification of approved plat/lot. 4 Fire district__ _.approval required. 5 Septic system permit or authorization for remodel Existing system capacity Sewer permit. ' )Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with application. —� 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-hasin protection.etc. 10 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 be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed _if copyright violations exist. l I Site/plot plan drawn to teak.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks):location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;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. 13 Floor plana.Show all dimensions,room identification,window size,location of smoke detectors.water heater, furnace,ventilation fans,plumhing fixtures,balconies and decks.10 inches above grade,etc. 14 Cross section(s)and details.Show al!framing-member sizes and spacing such as floor beams,headers,joists.sub-floor, wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs. fireeylace 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 grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendum showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for nonprescriptive path analysis proside specifications and calculations to engineering standards. ^_ 17 l'loorlroof framing.Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing locations.Show attic ventilation. _ 18 Basement and retaining walls.Provide cross sections and details showing placement of rehar. For engineered systems,see item 22,"Engineer's calculations." 19 Beam calculations.Provide two sets of calculations using current code design valuts for all beams and multiple ,.;,sts y over Ill feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. —21 Energy('ode compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required tor four or more appliances. - 22 Engineer's calculations.When required or provided.(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to be applicable to the project under review. .11 RiSI)I('7 I(^N 1 SPE(li 11 21 Five(5)site plans are required for Item I I above. 24 25_26 27 28 f'hecklist 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 44016141MSWOM) I I Mechanical Permit Application Date received: Permit no.: �l' 'IL City of Tigard Project/appl.no. Expire date: CityrrjTignrtl Address: 13125 SW Hall Blvd,Tigard,OR 97223 ~ Date issued: Hy: Receipt no.: Phone: (503) 639-4171 _ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit no.: 5'PE OF PERMIT • li1 1 &2 family dwelling or accessory U Commercial/industrial J Multi-family !Tenant improvement 0 New construction U Addition/alteration/replacement U Other: JORSITE INFORMATION COMMERCIAL VALUATION SCHEDULE Joh address: (/50?(p 5 W C)r U 2. -�t- Indicate equipment quantities in boxes below. Indicate the dollar _Bldg.no.: 1 Suite no.: value of all mechanical materials,equipment.labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: rj Block: Subdivision: L -re_41'Q ra ' *See checklist for important application information and Project name: jurisdiction's fee schedule for r..sidential permit fee. (7ity/county: ']'i CLI• . ZIP: - .� I & 2 FAMIl.1 1)51 LEEN . PERMIT FEE SCHEDULE Description and I alion of work on premises: lel)('(M1111 H It \1/l'VI)l'STRIAL EQIIIPMENTSCHFDI'1.I -- _ lee(ea.) luta) Est.date of completion/inspection: Dcccp riIon Qty. Res.only Res.only" Tenant improvement or change of use: IIIVA(': Is existing space heated or conditioned?LI Yes U No Air handling unit CFM '—� Air conditioning(site pen required) Is esistine space insulated?U Ye. 'J No `ATtcration of existing HVAC-system ME('HArl( Al. CONTRACTOR Toiler/compressors Business name: State toiler permit no.: ._ _ _ HP Tons _HTU/H Address: l'G " -,'-r✓6. 1 Fire>smuke dampers/duct smoke cTetectors -t--- City: rp r t 1c rIciState:C I ZIP:(1-7a(1(j Heat pump(site plan required) _ Phone: -7 75• 5/1 / I Fax.`) (' )i t/) I E-mail: 'Tstall/replace furnacelhurner BTU/11 Including ductwork/vent liner LI Yes U No CCB no.: [/ f, (A.? ' ,'TstalVreplacei locateheaters-suspended, _ _ City/metro lie.no.: wall,or float mounted - Name( lease rill! Vent for appliance other than furnace CONTACT PERSON Re(tri1eratb pito Absorption units HTU/11 y Name: Chillers HP -- — ' ('repressors HP Adds:s ___, Fev(ronmenlal exhaust and ventilation: City: I'iate j 711` Appliance vent _ Phone: Fac Dryer exhaust _^ -__ ON7Y t O Moods,Type l/il/res kitchen/hamlet `— hood fire suppression system —__._ Name: Exhaust fan with single duct thath fans) Mailing address: Ex aWsy apart from hcauog City —_ — Slate: ZIP: piping and distribution(up to 4 outlets) — Typ i NG I hl LP Phone: Fax: E-mail: Fuel piping each additional over 4 outlets Process plplag I st hematic required) — Name Number of outlet. -- e �ancc or�poem: Address: Decorative fireplace City: State: ZIP: `lrsert - type Phone: ' Ea —TE-mail: wood�tove/peue(sa,ve — Other: Applicant's signature: I Date: Other Name (print): -- 'Nor all juridkUom'crept credit cards,please call iuridktlm to mare hdoattraattn. Permit fee $ J visa 7 MasterCard Notice:This permit application Minimum fee S expires if a permit is not obtained Plan review(at _ 9F) S Credit era numhn __ _—_.. l within IRO days after it has been FRpiRrState surcharge(R9L)....S - - -Fia iT oae-Arol rr sale(r�hili carte` — accepted as complete TOTAf, S �— $ Cardholder sown Amount__ 4404617IM[K'UMI 1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total Table 1A Mechanical Code . Oty _ (Ea) Amt $1.00 to 15,000.00 Minimum fee$72.50 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including including ducts 8 vents 17.40 $101000.00 $10,001.00 to 3) Floor Furnace $25,000.00 $148.50 for the first$10,000.00 and includingnact 14.00 $1.54 for each additional$100.00 or `4) Suspended heater,wall heater ven fraction thereof,to and including 14 00 $25000.00. or floor mounted heater $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and �5) Vent not included in appliance permit $1.45 for each additional$100.00 or 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 Gond fraction thereof. footnotes below. Comp' , " 7)<3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 25 60 Description: Oty _ (Es) Amount _, 9)15-30 11P;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00 ducts&vents __ 10)30-50 HP;absort• Furnace> 100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents -� 11)>50HP.absorb icor furnace Including vent 955 _____ _ unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ _ - _ 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ t - 17.20 Re. Ir units 805 - 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 680 101k to 500k BTU ' -+ 18)Ventilation system not included in 15-3(Thp;absorb.unit,501k to I 2,310 appliance permit 10.00 mil.BTU ' --i 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 _- Air h mil.BTU 000 chit 656 - 19)Commercial or industrial type Incinerator 69 95 Air handling unit l0 10, _Air handling unit>10000 cfin 1`70 _ _ ___ 20)Other units,Including wood stoves Non... :ble evaporate cooler 656 1000 , Vent fan connected to a single duct_ 448 - 21)Gas piping one to four outlets Vent system not included In 656 5 40 ,r lance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 _ 1 00 (kxr►estic Indrler for 1,170 _ Minimum Permit Fee 372.50 SUBTOTAL: : Commercial or Industrial Incinerator 4,590 _ Other unit,including wood stoves, 8588%State Surcharge $ Muerte etc. _- Gas yr ng1 1 outlets - - __ 25%Plan Review Fee(of subtotal) _ Each additional txrdel _ -83 , Required fix ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: _ ------ - Q�ir lmasctlons and Feer: 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 1 Inspections for which no fee is specifically indicated (minimum charge half hours $72 50 per hour 7 Additional plan review required by changes.additions or revisions to plans!minimum charge-one-half hour)$72 50 per hour 'state Contractor Boller Certification required for units 200k BTU "Residential A/C requires site plan showing placement of unit I ldsts\fornls mech-fees doc 10/11/00 I Electrical Permit Application • Date received. Permit no.: ..u.". l., City of Tigard Project/appl.no.. Expire date: — ('iryufligur,/ Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 ('ase file no.: Payment type: Land use approval: TYPE OF PEIIIMII' IQ I &2 family dwelling or accessory U Commercial/industnal U Multi-family U Tenant improvement jld New construction U Addition/alteration/rcpla,,•mint U Other: __ U Partial i lob address: 95 2.6, 5 vs( &--)/6 3.-12_ .5t- Bld no.: Suite no.: Tax map/tax lot/account no.: Lot: 5 'Block: Subdivision: La,...)ft j Te era c-¢..' Project name: [Description and location of work on premises: - Estimated date of coin letion/ins ction. ( ()\I It 1( 1011 11'1'1 !CATION I-FE SCHEDULE Job no: .S�' Fee Max Business name: iyi-e/51 i22C, E ty,C._ 1)escr(Ction - try. (ea.) total no.imp New residential single or multi family pct Address: _ f 0 f,3p X 13'42- dwelling unit.Includes attached garage. City: .5 ail m I State:p 4.1 ZIP:()7 30 3 Service include& Phone:50 3 343 aid Fax: E-mail: l axl sq.0 or less _ 4 _ t' 7 1 2 I Each additional 300 scLft or portion thereof CCU no.: 'Eke.bus. lic.no: Limited energy,residential 2 City/metro lic.no.: _ __ Limited energy.non-residential 2 Each manufactured home nr modular dwelling Signature of supervising electrician(required) tate .ervice and/or feed2er Sup elect name(pont). I.itrnsrrn, __ J Services orfeeden-Installation, alteration or relocation: 200 amp.or less 2 Name(pent): /1, - .'.)C,1157 L i 201 amps to 4010 amps 2 401 amps to Gal amps 2 Mailing address: lap &0 2.30 611 amps to taxi amps-� i 2 -- City: r-1' C State K_ !LIP:g728 / Over 1000 amps or volts 1 2 Phoner563 in g4-75131 Fax: IE-mall: Reconnect only ---- --111.1.1-7-- Owner installation:The installation is being made on property I own Ttrotparary services or feeders- which is not intended for sale,lease,rent,or exchange according to hltuanallon,alteration,or relocation: ORS 447,455,479,670,701. 2a)amps or less 2 201 amps to 411)noir, 2 Owner's signature Date: 401 to 600 ani . 2 Branch circuits-new,alteration, or extension per panel: Name: , A tee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: _ State: IZIP: - Ere for branch circuits without purchase — of service or feeder fee,first branch circuit. 2 Phone: Fax. E-mail. — Each additional branch circuit. I'1 1\ Ill 3 II 11 (I'Ica.c thou, :ill that applcl ' ,(-ppm arm1e Dm "^w): U Service ova 225 amps commercial U Healthcare Iacilty Each pump or irrigation circle _— 2 U Service over 320 amps-rating of I&2 U Hatadons location Each sign or outline lighting - —7-- family dwelling fam lydwellings J Building over 10,00)square fret four or Signal circuit(%)ora limited energy panel. U System over 600 volts nominal more residential units in one structur• alteration,or extension* i_— 2 U Building over three armies J feeders.100 amps of niorr *Description LI Occupant load over 99 persons U Manufat word strut turns It,RV part lad,additional hnpedlan over the allowable M any of the above: U Egreasilightingplan J Other - Per inspection I I I L Submit sets of plans with am of the above. ..Investigation fee lite above are not applicable to temporary construction servke. Other `Na ail jurisdictions accept credit rants,please call ruridiction for more tnfamat-ro Notice This permit application Permit fee $ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ (16) $ r iedu card number _ I within 180 days after it has been State surcharge(8%)....$ -et_ CUM- accepted as complete. TOTAL $ ---Ratie�Cai a a�Mwn nn credit caO ' S Cardholder signature Amoaal s MOMIf(IWC'Oh1) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Ins. ctions .•r .=omit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved Residential-per unit F� 1000 sq ft or less $146 15 4 l l Audio and Stereo Systems Each additional 500 sq ft or portion thereof — 333 40 1 ❑ Burglar Alarm limited Energy __ __ $7500 Each Maned Home or Modular n Garage Door Opener' Dwelling Service or feeder $90 90 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 n Vacuum Systems' 201 amps to 400 amps ____ $106 85 _ 2 401 amps to 600 amps $160 60 2 601 amps to 1000 amps $240 60 2 ri Other___ -_ Over 1000 amps or volts $454 65 2 Reconnect only $66 85 2 or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Temporary Services $75 00 Installation,alteration,or relocation Fee for each system 200 amps or less $66 85 2 (SEE OAR 918-280.260) 201 amps to 400 amps $100 30 _ 2 401 amps to 600 amps $133 75 _ 2 Check Type of Work Involve • Over 600 amps to 1000 volts see"b"above Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a) !he fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. f� Each branch circuit $6 65 I 1 Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or fowler he. First branch circuit $46 85HVAC Each additional branch circuit $8 85 _____- Misceitaneous C] Instrumentation (Service or feeder riot included) Each pump or irrigation circle $53 40 ---- _ n Paging g Intercom and Pa Systems Each sign mx outline lighting $53 40 _ Signal circuit(s)or a limited energy panel,alteration or extension $7500 I I Landscape Irrigation Control' Minor I abels(101 $12500 n Medical Each additional Inspection over the allowable In any of the above n Nurse Calls Per inspection $62 50 Per hour _ _ In Plant $62 50 � v $13 75 l Outdoor Landscape Lighting' Fees: [1 Protective Signaling Enter total of above fees $ EJ Other 8 State Surcharge $ -_ Number of Systems 25%Plan Review Fee See"Plan Review ' Na licenses are required on $ Licenses are required for all other installations front of application -- — --- Fees: Total Balance Due $ Enter total of above fees $_ ❑ Trust Account 0 8%State Surcharge $_____ -- - — �— Total Balance Due :__— i:'dsb\fbrrts\elc-fees doc 10'09!00 a I Plumbing Permit Application r Date received: Permit no.. � y g Cit of Tigard ,pa. •I.. Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd.Tigard.OR 97223 City of Tigard Phone: (503) 639-4171 Pro)ect/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: ,Payment type: fI rF:OrPERM U 1 &2 family dwelling or accessory LI Commercial/industi ial LI Multi-family LI Tenant improvement LI New construction U Addition/alteration/replacement U Food service U Other: .108 SITE INFORMATION FEE SCIIEI)t'Ii (for special'whoa illation'1st.t het Llist) Job address: q 5a(p ..5 W ( I✓OS Q- St" I)escrlption y. I''ec(ea.)_Total Bldg.no.: Suite no.: New I-and 2-family dwellings only: lot/account no.: (includes 100 ft.for each utility connection) Tax map/tax SFR(I)bath Lot: Block: (Subdivision: L.401t.t Te.►'/Q c-v SFR(2)hath T. Project name: SFR(3)bath City/county:Tl' Ci,.rcl__, ZIP: 9 ld-1 4 Each additional bath/kitchen Description and Rication of work on premises: Siteuttlitiea: _ Catch basin/area drain r Est.date of cold letion/inspection —" Drywells/leach line/trench drain Ftxxing drain(no. lin.ft.) Manufactured home utilities _ Business name'.4Attif on it.r PI u nn b ir15Manholes - Address: pp A33'38 -Rain drain connector City: T cQ l • r I Statepg__ ZIP:(j 7,..S ( Sanitary sewer(no. lin.ft.) - Phone:51g3.-04 'ax: !E-mail: Storm sewer(no. lin.ft.) CCB no.: ( 35c,a . , ]Plumb.bus.reg.no: Nater service(no. lin.ft.) City/metro lic.no.: Fixture or Item: Contractor's representative signature: Absorption valve Back flow preventer Print name: Date: Backwater valve asins/lavatory Clothes washer -- Dishwasher ,'I'I" Drinking fountain(s) t �1. Stab ZIP: ' --Ejectors/sump I') I,' 1; , "1 an. tank .. .ixture/sewer -- ' cad Name(printf Floor dralns/f1r sinks/hub Oarbaje Mailing address: - isposal L Dose bihb City: State: I ZIP: ___ Ice maker Phone: Fax: _ 1 �E-mail: Interceptor/grease trap Owner installation/residential maintenance cnly: The actual installation "Primer(s) _ will he made by me or the maintenance and repair made by my regular -roof drain(commerrt:ial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's si nature: _ _ Date: - Sum _ ubs/shower/s wer Qan urinal _ _Name: ------- -. Water closet - Address. _ Water heater _ . City: State: ZIP: Other: Phone: I Fax: 1 f. maul Total , 'Ni.. all jwldact eta accept credal code.please call Jrrldetlon twee ee inr�•matoon Notice:This permit application Minimum fee S U Visa U MuterCard expires if a permit is not obtained Plan review(at _ %) S Credit card aanrber — taplreltwithin 110 days after it has been State surcharge(896) ....$ _. TOTAL $ --F(ame e r as'laewn an ceedil cry accepted a4 complete. f CrIeulder airman Amount 4404616 164101C'OM1 PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual) QTY (ea) AMOUNT (Includes all plumbing fixtures In PRICE TOTAL ~Sink 16 60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16 60 —` for each utility connection) One(1)bath $249.20 Tub or Tub/Shower Comb i 16 60 Two(2)bath $350.00 Shower Only 16.60 `Three(3)bath $399.00_ Water Closet 16 60 _ SUBTOTAL Urinal 16 60 5%STATE SURCHARGE Dishwasher 16 60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16 60 TOTAL Laundry Tray 16 60 Washing Machine 16 60 Floor Drain/Floor Sink 3" 1660 PLEASE COMPLETE: 3^ 16 60 4" 16 60 Water Healer O conversion 0 like kind 16 60 Quantity b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved ReplacedRemoved% permit Capped__ MFG Nome New Water Service Y 46 40 Sink MFG Home New San/Storm Sewer 46 40 Lavatory , _ Tub or Tub/Shower Hose Bibs 16 60 _ Combination Roof Drains 16 60 Shower Only Drinking Fountain — --- 16.60 Water Closet ._____ Urinal Other Fixtures(Specify) 16 60 _____ Dishwasher _ �� Garbage Disposal Laundry Room Tray • -- Washing Machine _ __ __ Floor Drain/:;ink: 2" � Sewer-1st 100' 5500 — 3" Sewer-each additional 100' 46 40 4" - — Water Service• 1st 100' 55 00 Water Heater Water Service-each additional 200' 46 40 Other Fixtures (Specify) Storm 8 Rain Drain-1st 100' 55 00 Storm&Rain Drain-each additional 100' 46 40 Commercial Back Flow Prevention Device 46 40 — — — Residential Backflow Prevention Device' 27 55 --__-- — Catch Basin 16 60 v— ___ �_�. Inspection of Existing Plumbing or Specially 72 50 Requested Inspections per/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65 25 _ _ -- Grease Traps 18 60 QUANTITY TOTAL — _ Isometric or riser diagram is required if Quantity Total is >9 _ *SUBTOTAL -- d'/.STATE SURCHARGE **PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>9 -- _— TOTAL $ Minimum permit tel la$72 50•a%state surcharge,except Residential Backflow Prevention Device which is$3e 25•a%state surcharge ~AN New Commercial Sultdings require dans with Isometric or riser diagram and plan review I ldstslformstplrn-fees doc 10/10/00 1 ■ SEE 35MM ROLL# 22 FOR LARGE DOCUMENT CITYOF TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT#: MEC2004-00444 " 4 " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/7/2004 PARCEL: 2S111BA-11100 SITE ADDRESS: 09526 SW ELROSE ST SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: B OILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT. BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Install exterior A/C.do not install within the required setbacks Owner: FEES KEVIN MARTINELLI Description Date Amount 9526 SW ELROSE ST �ME('II) Permit Fee 7/7/2004 $72.50 TIGARD, OR 97224 )TAx) 8",,State Surehari 7/7/2004 $5.80 Phone: 503-598-9456 Total $78.30 Contractor: TRI COUNTY TEMP CONTROL 13150 S CLACKAMAS RIVER DR OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone: 503-557-222() Final Inspection Reg #: LIC 72623 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted in the C Egon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699 • Issued By: . J�-l}� f � Permittee Signature: j . Call(0030839-4175 by 7'00 P.M for inspections needed the next bu9iness day Jul 05 04 05: 25p TriCounty Temp Cntrol 5035570919 p. 1 Mechanical Permit Application FOR OFFICE USE u,vf.1 City of Tigard Received 13125 SW Hall Bivd.,Tigard,OR 97223 -.V L Y V ' • DeWBy: Permit No ja�1C i j r `>/y� e 507 639 41 71 Fax 503 598.146(1 Plea Review Phon lnspecoon I-uta 507.679.4175 ,,++moi /I�f' Data Hy Other Perms: Internet: www n.hgvd.or us f e.!t► '-• a Date Retdyroy' 1"" ® See Pap for NopEetlMfelnW. Sum:dames Information F1.ig.-,:.�:'�1 ic.' L't: '.t;- 9,''4IiAW*1\t•;"'•M@l,:.a; • ').- CU11otritCCA�G.En.*-SC RED.UCE' Tl' a RECKLIST • are aaseu on the van,-of the work 0 New Construction X Addtfhon'alteranon/repiacement Mechanical permit fees• performed. Indicate the value(rounded to the n crest dollar)of all ❑Demolition ❑Other _ — mechanical materials,equipment,labor averhe d,and profit Ja� *m, fpr, >,..�.., -- — —_ .. : f4, �-,GTEGORY OF CONSTRUCTION ' .. • Value.S 1 and 2-family dwelling ❑Commercial/industrial 0 Accessory building I SIDEI'III?_•EQUIPMENT/SYS :MS PEES• ❑Multi-family 0 Muster builder For special information use chec•at. _ (]Other: Description t V.:::,.. ;JOB SITIF EO,RMAIT01Y'AND LUCAtION 7 ) Qty Ea i Total QRry' '+ Heuting/eoofing f lob sue address `YW 6 (fit. Air conditional or heat pump r �[ r �� !�Y x`z' V t (requires me Pian shaweekaac nt) _ I '4 00 [�'� City/State/ZIP! S/fMMTIW. 1 Furnace 100,000 BTU jduu1»nal400 Suite/bldg./apt.no.: Project name: Furnace 100,000+BTU(4u5Ialvenul ` 790 GIS heat•u •• 4 U0 Cross street/directions to fob site. 1 Duct work ,j 00 H dronic hot waters .tem 4.00 _._� —__ — Residennal bailer(radiator or hydranic) 400 Unit heaters(fuel type,not clectnc), in-wall,;n-duct,suspended,etc. 0 00 Subdivision: 1 Lot no. Flue vent for any of above i 0.00 Other 000 . Tax map/parcel no _ Other fuel appliances _ • -• • .DESCRIPTION-p1r. wok c ".s .'"''' ' '' _Water heater r 00 Tq6.ts s l v/'• ' r Ott fI Inca '—� 11.00 w`e't !�V sus vent for water heater or aces 1 —11 fl lace 1,00 r — L Lo lighter(gas) 16,00 Wood/ Ilet stove 11.01) 1,-- , Wood fireplace/insert I r 00 , X[i-C;ii "?Y,4641 ,-1,1;'". ':�_,v.•'Q •TICK V 7 , . • l himneyihner/Oue/v ��i • At 7: ens 1100 �• __L .�... Other. i 1100 Om � y�{y��]3 LName: --_ !YF!e• I&W 1 1 I I�.L`I Environmental exhaust and ventilation Address: CA/' , Range huodlother kitchen T— ��rww --- `eou_p_ntent ! 1 00 . Citv'State'ZYP Clothes dryer exhaust I 00 Q Single-duct exhaust(bathrooms, -"�— r Phone:(%) sqs-• � Fax:( ) t` Dile!corn _ r., partmetlu,uhlity rooms) . gp '�0 Jim CANT, ? ;"hk""`•71 j�v,1 •e !,0..t..1 t\f tt l I,ERSON Atticfcrawlspaee fans 1 .00 Huswesa none: 1"I U tiv Terry COj , Other t 1'.0Q . ��'��}}•, ) faN i la _ _ Contact name: ems! — — 33.40 for first four;51.00 for each add tonal Address: 1 L—_ (� � - t Ip -- Furnace,etc _ `� V`J Gat heat pump _ Ciry/State/ZWA C <I 1'? O . g7 - Wall/suspended/unit heater 1_Phone•(•-tri) GJfJ"j - Fax::( ) 55.7_0---1 _ Water pester ` E-mail: Flteplace _y I _,.._--- W477"/►�' i t �. • g 1 ., �! y.1r7-1-„ • �'"ge r ./y. b.:•r. 'r.TTL..- •i • rbecu Business Warne Chi ►. 4 Clo.hes drYer.l13a Address ' F` ;r• at 1 rl Other_ `� z�. Q iI�i1 �”' �r�` ._�-_ Ts '.--��M �►rflcict.'rt• 1' `Isf _ itytStata :IablofaJ ' Phone:(5)3) C v Fax ( _— Minimum permit fee(572.30) I air 7 Flan review(23%of pemet fee) CCB he.: 7 - Sttte swat,"($%of permit fie) I 0.:14 -----t-— TOTAL PEMUT PEE I -t � vtc Authorized signature. `� �- —'—" . Thu peetrtfe aPONeiMea eglrlt Iti prltet a tet ebu ad' sin Ito dire if.r it hen beeneeglsd M eerrioia Print name �W I_e moon l 0.0.114194 , • Fee methodology res by Trt•Ceunty ldlNaa(tdtmty "'ice Borns W,t•7mpremwJ•QC•rensetAS9 dee Ln] 1 441.4411, i ueLCOWWU) IL 4 :NTRa^"req j c 1 NC-HAAT PUMP--UNIT SITE PLAN '114-; ► .. o 1e,eci Dir�.t,o nOD C73.) ____.../ I Vs 7".'" .. ....''.". ""m'.7 in c 0 Ln4,b I 1064.4-koi 1 1 L .Q 0 U r� Q E r H n v C i TC STRE4 q _ C ��C,('w•'S. 5T' ide42 e)4 CUSTOMER iNFORMAT;CN NAME zetto �- �'a. - /1(,4+77 ,/ N ADDRESS -.174( #4.401,b/_' �'�' PLEASEREFAX,�PPt7cA�tc,`WITH SITE PLANS In O o L o m CITY OF TIGARD 24-Hour BUILDING Inspection Lira: (503) 63• 75 INSPECTION DIVISION Business Line (5'. . 94171 MST BUP ---'7_ Received Date Requested / / • AM L PM BUP Location 7.5 c.4--(p I • • - A .` Suite-- 441V2,,'(71:;00 'j CQ'f y q. Contact Person ___ Ph ( ) 3-5- 7- (?-d10 PLM Contractor �_. Ph( ) SWR BUILDING TenaritiOwner ELC N Footing Foundation ELC Access' � � *L Ftg Drain ELR Crawl Drain Slab Inspection Notes. SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear I V \l V //J ji,Framing ` ( 7_(..� Insulation Drywall Nailing --_ Firewall Fire Sprinkler Fire Alarm ,'usp'd Ceiling - Roof Other. Final PASS PART FAIL - _ PLUMBING Post& Beam r ►� / 1) 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 vvc, Gas line r�1/ Smoke Dampers PAS PART FAIL _ TRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ -_ _ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL _I_TE �� Please call for reinspection RE'— �_.� Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Deft1 ' " j Inspector Ext Other Final DO NOT REMOVE this Inspection record from the Job sRs. PASS PART FAIL - 1