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s 1 3 �I i r 1 ~ N r W N a N t4 rn r z I •• 12317 SM AMES 6N ,.. �►RD __ MASTER PERMIT CITY OF TIG PERMIT#: MST2001-00005 DEVELOPMENT SERVICES DATE ISSUED: 1122101 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12317 SW AMES LN PARCEL: 2S1 0BB-03'00 SUBDIVISION: ARLINGTON RIDGE ZONING: R-3.5 BLOCK: LOT: 014 JURISDICI'!JN: TIG R'EMARKS: Add new floor above existing game room to provide 2nd floor bonus room. All work is within the bxisting building. Approx 384 sq ft BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS R^-QUIRED CLASS OF WORK: AL I HEIGHT: FIRST: sl BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: sf FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: s: RIGHT: VALUE: S 10.000.00 OCCUPANCY GRP: R3 BORM: BATH: TOTAL: 000 51 REAR: PLUMBING SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEV/Eq LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL. FUEL TYPES FURN<t00K: BOIL/CMP r 3HP: VENT FANS: CLOTHES DRYER: GAS FURN>000K: UNIT HEATERS: HOOCS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 0 200 amp: WISVC OR FOR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 201 400 amp: 201 400 amp: 1st W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • $00 amp: 401 800 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: $01•amps-1000V: MINOR LABEL: 1000+amp/volt PLAN REVIEW SECTION Reconnbcl only: >.4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RESTRICTED ENERGY A.SF RESIDEN PIAL _ B.COMMERCIAL AUDIO S STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM INTERCOMIPAB"!G: OUTDOOR LNDSC LT: P,;PcGLAR%LARM: OTH: BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE SIGNL: GARAGE OPS NER: CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 377.07 OC.a.RICKY +JUL!H C WOODINARD BUILDERS.INC This permit Is subject to the regulations contained in the T OD SW AMES UL 2743 SE 61ST Tigard Municipal Code,State of OR Specialty Codes and 11GARD,OR 97224 PORTLAND,OR 97206 all other applicable laws, All work will be done it accordance with 3pprgved plans. This permitwill expire if work is not started within 160 days of issuance,or if the work is suspended for more than 160 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg 0. LIC 105044 forth in OAR 952-001-0010 through 952-001-0060. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1967 REQUIRED INSPECTIONS Mechanical Insp Insulation Insp Electrical Service Elect.ical Final Electrics,Rough In Mechanical Final Framing Insp Final Inspection Low Voltage Building Final Issued By :14 Permittee Signature'. Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next inesa da Building Permit Application �� Date received: City of Tigard - —_. - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolect/appl.no.: Expire date: (''m,(/l�arra Phone: (503) 63)-4171 Date issued: By: Receipt no.: — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial v Multi-family ❑New construction 0 Demolition .� A(Idition'alteration/replacenrent (]'Tenant improvement U Fire ,prinkler/alarm `_1 Other: 1 Job address: 2317 L5 W, Bldg.no.: _ Suite no.: Lot: ll I Block: Subdivision: L t1dr 7-A /Z 1 C;6 q I Tax map/tax lot/account no.: Z5)10 g$cli 7 Project name: Description and location of work on premisestspecial conditions: �ctt- !)(!SUNG _��''� ►1°°^1 �'Ra/IAP L� FLa�t �GjN($ CoO•�t— kw -IC wlTh4^ Eyc[sT6UILON4 tNvE(I.(,OdpIsilii,.%eoliccap;cltil, etc.) 1eP�. Name: li. _ 4 J VL IG 1 b Mailing address: I&2 family dwelling: City: State. 7_IP: Valuation of work........................................ $ / 1000__ Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: _ 'Total number of floors...I............................. � Phone: - E-mail: New dwelling area(sq.ft.) ...................... f'v 29 ' Gamge/carpori area(sq.ft.)......................... Name: S Covered porch area(sq.ft.) ......................... Mailing address: SGL geLo Deck area(aq.R.)........................................ City: -ft 4q0 /L_ State: I ZIP: Other structure area(sq.ft.)......................... Phone: 77 JiW Fax: Email CommerciallindustrinUmulti-family: Valuation of work........................................ $ ---- - Existing bldg.area(aq„f�.) ... ...................... Business name: U1 �f New bldg.area(ttc� Address: �g SIE 01 t-1- ....)................................. Number of stories. City: /C(WNt State:a� ZIP: 7?f> Phot . _ I Type of construction.................................... Fax: E-mail: CCB no.. vs - - �/- -- -- Occupancy group(s): Existing:w: City/metro lic.no.: Notice-All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to oe licensed in the Address: jurisdiction where work is t 'ng performed.If the applicant is Cit . Sruc i exempt from licensing,the following reason applies: Contact person: Plan no.: – Phone: C — E-mail —_ Name: Contact person: _ Fees due upon application ........................... $ ` Address: Date received: r State: ZIP: Amount received Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Na di imitdictimm accept creat cards,pleau call iuriaaction for mote informatinn attached checklist. All provisions of la s and ordinances governing this ❑visa U MasterCard work will he complied wi ,whe to or no Credit,a.d number C _ r Authorized signal Date: J �/ Name of cardholder of thorn on cmdii ctrd ireq — s Print name: l &AF L1 qpp —'— Cardholder signal Amount Notice:This permit application exp cif a '� t is not obtained within 180 days after it hag been accepted as complete. 440.1613(frn(YCOM) J One-and Two-Family Dwelling Building Permit Application Checklist Referenceno.: (:iryu/l'igurd Cit of Tigard Associatedpermils: Y U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 UUther: Phone: (503) 639-4171 Fax: (501) 598-1960 THE 1 1 1 ' PLWIREVIEW I [And use actions completed.See jurisdiction criteria aur concurtcnl reviews. _ 2 Zoning.flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plotilot. _ 4 Fire district__ approval required. 5 Septic system permit or authorization for remodel.Existing system capacity 6 Sewer permit. _ 7 Water district approval. _ 8 Solis 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-basin protection,etc. lo 3 Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state 1 huilding 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 betwean plan location and details. Plan review cannot he completed if copyright violations exist. _ � 1 I+sitelpiot plan drawn to seale.'llte plan must show lot and building setback dimensions;property corner elevations(it there is more than a 441.elevation differential,plan must show contour lines at 2-0.intervals);location of easements and driveway;faxttprint of structure(including decks);Ideation of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existir.•;structures on sits;and surface drainage. 12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection dc,ails, vent size and fixation. i _._ __ 13, oor plans.Show all dimensions,room identification,window size,location ol'smoke detectors,water bcal,,r furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _ 4 'toss section(s)and details.Show all framing-member sizes and spacing such ars floor beams,headers,joists,sub-floor. wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,rooting,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 grade if the change in grade is greater than four foot at buiieing envelope. Full-size sheet addendums showing foundation elevations with cross refereno.s are acceptable. _ 6 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations-,for non- rescriptive path analysis provide specifications and calculations to engineering standards. I Floorlroof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing locations.Show attic ventilation. 18 Basement and retaining walls.Provide cross sections and details showing placement of rebar. For engineered systems,see item 22,"Engineer's calculations." 19 'Ream calculations. Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying 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,0 r .hear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall he 0hown to he apj,� file to the prnii -1 miler rvvicw. 23 Five(5)site plans are required for Item I 1 aba,c , plans must he 8-1/2"x 11"or 11"x 17 24 Two(2)sets each are r' uired for Items 16, 19,20&22 above. r — 25 Building plans shall not contain red lines or tape-ons. 26 No rolled,reversed or mirrored building plans will he accepted. 27 28 —� Checklist must be completed before plan review stain date. Minor changes or notes on submitted plans may he in blue or black ink. Red ink is reserved for department use only. 410-4614(~'OM) Mechanical Permit App'ication �- --- - Datereceived: / CJI Permit no.:95hgX1_ p�1-1 City of Tigard Project/appl.no,: Expire date: ('if),u/Tigard Address: 13125 SW Hall 131vd,'j"ward,OR 97223 Phone: (503) 639-417 i Datc issued: By: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ Building permit no,: OF ;1j" &2 family dwelling or accessory U Commercial/industrial U NIUIfi-tastily U Tenant improvemun! ew c•oiNniclion I4 Addition/alteration/replaceinent U Other:11Joaddir5,,: Z `,Wv M CN, Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax mapftax lot/account no.: Z 110g pi0'•i7D(5 profit.Value$ - DC7 Lot: Block: Subdivision: !v6i? lzltaiEr *See checklist for important application information and Project name: jurisdiction's tee schedule for residential permit fee. City/county: ZIP: t Desc tion and location of work on premises: h}VArL 1 r owliW1 711111 I= 5--/rtY OW K ree(ea.) Total es.on Est.date of completion/inspection: T{ Description Qt . Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned?U Yes U No Air handling unit CFM_ Air conditioning(site plan a ri etc j-- Is existing space insulated?U Yes U No teratfon o existing HVAC system -Boiler/compressors - Business name: — R v fECA.P114, fL- State boiler permit no.: HP Tons BTU/H Address: _ it smo a amper uct smoke detectors City: Stale; 7.IP: eat pump(— st e7pnn required) Phone: Fax: E-mail: nsta rep aceumac umer / -- --- --- Including ductwork/vent liner U Yes U No CCB no.: nsta rep ac re ocate heaters-suspen e , -City/metre lic.no.: wall,or floor mounted Name( 'ease rint): est_or app lance o er than furnace Refrigeration: — Ahsorptiptionanunits BTU/H Name: Chillers HP Address: - Compressors _ HP City: `.i,tic-- LIP: _ Environmental exhaust an vent at on: Appliancevent Phone: Fax F-mail Uryerex oust _ s, ype 1 res. nc ie azmat hood fire suppression system Name: Exhaust fan with single duct(bath fans) _ Mailing address: Exhaust system a Cart fi a!l or AC Stale: zip: IF-uel piping an st ut on(up to 4 outlets) Phone: I,t� Email: NG _ Oil Fuel piping each additional overer c Process piping(schematic require ) _ Natne: Number of outlets — ter sl appliance or equipment: — - Address: g Decorative fireplace City: State: ZIP: Insert-type Phone: Fax: E-mail: stove pellletstove Applicant's signature: Date: er. t Name(print): Not all Jurisdictions accept credit cards,pte m call Jurivfictinn for more Information. Permit fee..................... D Visa U MasterCard Notice:This permit application Minimum fee................$ Credit card number expires if a permit is not obtained Plan review(at _ %) $ _ xp within 180 days after it has been State surcharge(8%)....$ me _ Naof catcass mider shown on credit card accepted as complete. — — s TOTAL .......................$ Cardholder signuure -- Amount 4"17(tiA)Ivcom) L PERMIT FEES MECHANICAL � COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: - _ - Description: Price Total TOTAL VALUATION: FEE: Table 1A Mechanical Code Qty (Ea) Amt 11.00 to 55,000.00 Minimum fee$72.5t1 1) Furnace to 100,000 BTU --f5,00'x.00 to 510,000.00 372.50 for the first 55,000.00 and Includingducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100.000 BT U. fraction thereof,to and Including includin ducts&vents 17.40 $10 000.00. 3) Floor Furnace 310,001.00 to 325,000.00 5148.50 for the first 310,000.00 and includin vent 14.00 $1.54 for each additional$100.00 or Suspended heater,wall heater fraction thereof,to and Including 4) S000.00. or floor mounted heater 14.00 $25 5) Vent not Included in appliance permit $25,001.00 l0$50,000.00 $379.50 for the first 325,000.00 and 6.80 51.45 for each additional$100.00 or 6) Repair units fraction thereof,to and including 12.15 $50,000.00. $50,001.00 and up $742.00 for the first$50,000.00 and Check all(hat apply Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11Pump Cond ,see or fraction thereof. footnotes below. Com ' 7)<3HP;absorb unit 14.00 to 100K BTU ASSUMED VALUATIONS PER APPL(ANCE: 8)3-15 HP;absorb 25.60 Value Total unit 100k to 500k BTU -- DBscri tion: O Ea Amount g)15-30 HP;absorb 35.00 Furnace to 100,000 BTU,Including 955 unit.5-1 mil BTU ducts&vents - 10)30-50 HP;absorb 52.20 Fumacc>100,000 BTU Including 1,170 unit 1-1.75 mil BTU _ ducts&:cnts ---. -,1)>50HP:absorb 87.20 Floor furnace includin vent 955 - ___ unit>1.75 mil BTU Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM 1000 floor mounted heater ---- - Vent not Included in applicance 445 13)Air(candling unit 10,000 f:FM+ emit 17.20 Re air units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU _ -- 15)Vent fan r nected to a single duct 6.80 3-15 hp;absorb.unit,- 1,700 on 101k to 500k BTU 18)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 a Iiance unit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU _ -- 18)Domestic Incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU _ 19)Commercial or Industrial type incinerator Air handlin4 unit to 10,000 cfm 656 69.95 A r handling unit>10,000 Cfm 1 170 20)Other units,Including wood stoves Non-portable evaporate cooler 856 _ 10.00 Vent fan connected to a single duct 446 _ 21)Gas piping one to four outlets 5.40 Vent system not Included In 656 appliance permit 22)More than 4-per outlet(each) 11.00 Hood served b mechanical exhaust 656--- $ Domestic Incinerator 170 - Mlnimufn Permit Fee$72.50 SUBTOTAL: Commercial or jqgqstrial inunerator 4,590 Other unit,Including worxi stoves, 656 8%State Surcharge � Inserts,etc. -- 380 5 Gas I In 1-4 outlets 25%Plan Review Fee(of subtotal) P- l Ir _L- 63 Required for ALL commercial permits only Each additional outlet ---- TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FEE: E VALUATION: - Other Inspections ang Fee I Inspections outside of norma-business hours(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 charge-one-half hour)$72 50 per hour State Contractor Boller Certification required for units>200k BTU. "Residential AIC requires site plan showing placement of unit I:tdstsUorms\mer:h-fees,doc 10/11/00 i Electrical Permit Application Date received: / Permit no.:if. NSf t5h(b City of Tigard Project/appl.no.: Expiredate: ('rh of 111 ,n( AddrESs: 13125 SW 11aII 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: — 7Johaddress: amily dwelling or accessory U Commen ial/industi ial U Multi-family 'U Tenant improvement onstruction I(Addilion/alteration/replacement U Other:_. U Partial M LA4i Bldg.no.: I Suite no.: ITax map/tax lot/account no.:ZS lio 8 �' Lot: Block: Subdivision: RL4A-461TVIV -- Project name: Description and location of work on premises:At)G gpvK Q00A kl('14V GOVA Estimated date of com Cletion/ins 9 ction: / —O Job d0: Fee Max Ikccriptina Qt>'. (ea.) Total nn.htsp BUSIne9a name: New tial-single or multi-family per Address: dwelling unit.Includes altachedpm9e. City: D State ZIP: L L Senirelncluded: ' Fax: ^> [ Email: I(1W sq.ti.or less 4 Phone:L t Each additional SW eq. t.or portion thereof CCB no.: '> �`f Q Elec.bus.11C.no: Up -/S� �i Limited energy,residential 2 Cit /nwvoIIC.no.: Limftedenergy,non-residential 2 Q Each manufactured home or modular dwelling Service and/or feeder nature of supervising electrician r red) ►e Servleaorfeeders-Inatallatlon, Su elect.name(print): �►+c/� �' U61" License no: / 3 Sup. Paltentlon or relocallon: 2W amps or less 2 201 am s to 4W amps 2 Name(print): 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps _ _ 2 City: Stale: ZIP: Over 1000 amps or volts 2 Phone: Fax: I E-mail: Reuttmectonly - I Owner installation: temporary senices or feeders The installation is being made on property I own installation,alterotiort,urrelocatlnrt: which is not intended for sale,lease,rent or exchange according to 2.W:tori s t I,5 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's sl nature: Date: 401 to 6W ams ' Branch circuits-new,alteration, or extension per panel: Nance: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 : Stale: LIP: B. Fee for branch circuits without purchase City. --��---- of service or feeder fee,first branch circuit: -' Phone: l a ti E-mail: Each additional branch circuit: Misc.(Service or feeder not included): Each pump or irrigation circle 2 _ O Serviaover225amps-commercial U Health-care facility 2 U Service over 320 amps-rating of I&2 O Hazardous location Each sign or outline lighting family dwellings U Building over 10,000 square feet four or Signal circuits)of a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* U Building over three stories U Feeders.400 amps or more *Description _ _ - U Occupant load over 99 persons U Manufacturer:structures or RV park FAch additional inspection oxer the allowable in any of the above: U Egress/Iightingplan U 011her _ -- Per inspection Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee..................... Not all ptrisdictitm accept credit card,please colt jurisdiction for"rote information. Notice:This permit application Plan review(at __-. %) $ —— U Visa U MasterCard expires if a permit is not obtained Chit card number _ 1. /— within ISO days after it has been State surcharge(896)....$ - Expires accepted as complete. 1 OTAL .......................S None of-- emits shown on credit card _ S Cttnlholder dgaoure �— 44046 15 16MICOMI Electrical Permit Fees: Limited Energy Fees: ---- -- "--- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY LService Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) luded: Items Cost Total Check Type of Work Involved: Residenaper unit 1000 sqft or less $145 t 4 Audio and Stereo^ystems , ----— Each additional 500 sq.ft.or portion thereof _ $33.40 1 Burglar Alarm I.imited Energy $75.00 Each Manufd Home ar Modular Garage Door Opener" Dwelling Service or Feeder $90.90 - Heating, Ventilation and Air Conditioning System' Services or Feeders Installation,alteration,or relocation $80.30 2 200 amps or less _ — Vacuum Systems" 201 amps to 400 amps _ $106.85 2 I 401 amps to 600 amps $160.60 2 I F_� Other 601 amps to 1000 amps $240.60 2 - - Over 1000 amps or volts $454.65 2 1 Reconnect only $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL. ONLY Temporary Services or Feeders5 Fee for each system ................................................... ... 7.,.0(, Installation,aueration,or relocation $88.85 2 (SEE OAR 916-260-260) 200 amps or less 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133.7.5 Z Over 600 amps to 1000 volts, F-1 Audio and Stereo Systems see"b"above. Branch Circuits Boller Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or feeder fee. $6.65 2 Data Telecommunication Installation Each branch circuit b)l he fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch dreuit $46.85 HVAC Each additional branch circuit $6.65 Miscellaneous Instrumentation (Service or feeder not included) r� Each pump or Irrigation circle $53.40 _ L J Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit($)or a limited energy M Landscape Irrigation Control' panel,alteration or extension $75.00 _ Minor labels(10) $125.00 rl Medical Each additional Inspection over the allowable In any of the above $62.50 �f Nurse Calls Per inspection Per hour $62.50 Outdoor Landscape Lighting' in Plant v $73.75 ___- Fees: Protective Signaling Enter total of above fees $ _—.__- Other 8%State Surcharge $ _..__ Number of Systems 25%Plan Review Fee $ ' No Lenses are required. Licenses are required for all other Installations See"Plan Review"section on __ -- front of application. Fees: Total Balance Due $ ..-_�_-- Enter total of shove roes $ Trust Account p- _ _ 8%State Surcharge $ L�.—.--- -- ---- -- --—..—�_�._— Total Balance Due 0dsts\fom1sklc-fees doc 10/09'00 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 9722? IMPORTANT PERMIT NOTICE BLESSING ELECTRIC, INC. atl:ssti�►� EttYcsa�c,tN� 829 N. RUSSELL ST PORTLAND), OR 97227 Electrical Signature Form Permit101-00005 0,JE\t,v Da. Issued1222100Ny Parcol: 2S110BB-03700 Site Address: 12317 SW AMES LN Subdivision: ARLINGTON RIDGE Block: L.ot. 014 Jurisdiction, TIG Zoning: R-3.5 new floor above existing game room to provide 2nd floor bonus room. All Remarks: Add t 9 work is within the existing building. Approx 384 sq ft 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 f1`0113 your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, A TTN: Building Dept. No electrical Inspections will be authorized until this completed form is received OVVNFR Et FCTRICAL CONTRACTOR TODA, RICKY + JULIA C BLESSING.:, ELECTRIC, INC. 12317 SW AMES LN 829 N. RUSSELL ST TIGARD, OR 91224 PORTLAND, OR 97227 Phone # Phone # 503-284-1189 Req : LIC 57994 ELF. 26.151C SUP 31835 AN INK SIGNATURE IS REQUIRED ON THIS FORPn XignatCure of Supervising I . trician If you have any questions, please call (503) 639-4171 , ext. # 310 i -d 131311 b13a Cos 1 01JI3613 Jutss16[11111 dri :vo in ga Uer --- CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST, UI' 24-Hour Inspection Line: 639-4176 Business Line: 639.4171 BUP Date Requested 2, Z AM PM _ BLD Location ! 'Z / ? Suite MEC Contact Person Ph % �� PLM Contractor Ph SWR ELC UILD„[Jy.G- Tenant/Owner �—�`►— Retaining Wall ELR Footing Access: If FoundationW' 10 C/p C./c FPS Ftg Drain W SGN Cr:-iwl Drain Inspection Notes: -- Slab SIT Post&Beam Ext Sheath/Shear T Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler — — Fire Alarm Susp'd Ceiling — ---�--— Roof Misc. S PART FAIL ------ — P ING Post& Beam — Under Slab ' Top Out v — Water Service _ Sanitary Sewer Rain Drains Final FAIL Post& Beam — — — Rough In Gas Line L$wAke Dampers AS PART FAIL R — Service -- —_ Rough In UG/Slab _— Low Voltage Fi larm i PART FAIL — --- ME— Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ ( J Unable to inspect-no access ADA �q /,,,, Approach/Sidewalk Date ;WPI Inspector �LJ ' / Ext Other _ — Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Flour Inspection Linc: 639-4175 Business Phone: 6394171 Date Requested: 5 /� _ A.M. P M. MST: --Location: :z lr� CC.� ��� —--- _.— BUP:_ Tenant: Suite: Bldg: — NEC: r< Contractor: Phone: PLM: Owner: - Phone: _ �D�L7.ly iQ 7 ELC; C� _G Z ELR: CJU41k SIT: BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Iieam Post/lioun Post/Beam Cover/Service Sewer/Storm Footing Roof 1 11u11-1/slab Rough-In Ceiling Water Line Slab Framing I op Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm I Ice Temp Service NMC. Masonry Ceiling Rain Drain A/C I1G Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr t Pump Low Volt Approved Approved Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not A paved NQLAwmved Not Approved FINAL FINAL (,-FINAL INAL FINAL tU, -'`Y'1__� 0 Call for reinspection f7 Reinspection fee of Srequired before next inspection C]t enable to inspect Inspector:—�_ _ �, „-_ _ late A Page_--of — — CITY OF T MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., i-lgard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-01 1 7 DATE ISSUED: 05/06/97 PARCEL: 2SIlOBB-03700 r-;I TE ADDRESS. . . : 12317 SW AMES LN ';UBDIVISION. . . . : ARLINGTON RIDGE ZONING: R-3. 5 BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .014 JURISDICTION: TIG ---------------------.------------------------------------------------------... CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EMAP COOLERS: 0 TYPE: OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------._-.__-._.-- 0-3 HP. . . . : 1 DOMES. I NC I N: 0 :ELC 3-15 HP. . . . : 0 COMML. 1 NC I N: 0 MAX INPUT: 0 PTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =1O0K BTU: 0 > 10000 cfm: 0 Remarks : nwner: -------------- ------ --------------------------------- FEES -------------- RICK TODA type amount by date recpt 12317 SW AMES LN PRMT $ 25. 00 JSD 05/06/97 97-294 .01 TIGARD OR 97224 SPCT f 1. 25 .JSD 05/06/97 97-294201 Phone #: Contractor: ----------------------------- AIR PRO HEATING & A/C 7405 SE POWELL. PORTLAND OR 97206 Phone #: 771-7871 26. 25 TOTAL Reg #. . : OOO72O ------- REOU I RED INSPECTIONS - ---- - This persit is issued subject to the regulations contained in the Mechanical Insp _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work wiii be done in accordance with aoprnaed plans. This persit will expire if work is not started within 188 days of issuance, or if work is suspended for sore then 180 days, -- Permittee Signat�.are : �_. �_ _ — -- Issued B ' all for inspection — 639-4175 i_�.ity of Tigaro MECHANICAL PERMIT Planck/Rec. # 13125 SW Hal Blvd. APPLICATION Permit # 0& PO Box 23397 Tigard, OR 97223 (:)-03) 639-4171 .M of Descripuon Table 3A Mechanical Code` QTY PRICE AMT Job 1.2? v/ L-,; 1) Permit Fee 0 -0• 10.00 Address =w r ��f ��J� .� 2) Supplemental Permit 3.00 Furnace to 100,000 BTU �� 1) incl, ducts d vents 6.00 .p7 OU Furnace M000 r, rnar7 Sw j 2) incl ducts 6 vents .7.50 oor urnance 3) incl. vent 6.00 Suspended eater,wall heater 4) or floor mounted heater 6.00 M.&V — ent not WO.in Occupant 5) appliance permit 3.00 CAPS aw ZP Repair of heating, re ng. 6) cooling,absorption unit 6.00 .�• Boiler or comp,heat pump,air con . 7) to 3 HP absorp unit to 100K BTU + 6.00 M.N.V Aftw , Boiler or comp,heat pump,air con . c� r �J- / „� 8) 3.15 HP absorp unit to 500K BTU 11.00 Contractor ,. Boiler or comp,neat pump,air oon . � - 61 ( 9) 1530 HP absorp iinit.5.1 mil BTU 15.00 .M » . /✓ r T.N. Boiler or comp,beat pump.. air oon . 10) 3050 HP absorp unit 1.1.75 mil BTU 22.50 ere y acknowledge that I have reacl this applicatmnVtat me Boiler or comp, at pump,- ,air con . information given is conect,that i am the owner or authorized agent 1 l) i 50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State Air hanclliFg unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State registration, Air handling unit please give reason below.) 13) 10,000 CTM t 7.50 Non portable 14) evaporate cooler 4.50 ant fan connect 15) to a single duct 3.00 Ventilation system not S 16) included in appliance permh 4.50 v,w.p Hood sery y 17) mechanical exhaust 4.50 Describe work new a n„irt a teretion repay Q Commercialor industrial to be done residential Q non-residential 0 t 8) type Incinerator 30.00 Existing use of i.e.,woodstove,water building or property _ 19) heater, solar,clothes dryers,etc. 4.50 Proposed use of 120) Gas piping one to four outlets 2.00 building or property 21) More than 4-per outlet Type of fuel •oil Q natural gas 0 LPG O etectiic NOTICE Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 Di4t'S,OR 5%SURCHARGE / IF CONSTRUCTION OR WORK IS SUSPENDED OR AtlANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL Special Concitions Date issued by _ �.�.iEaivMt .aemo0w CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #: ELC97-0272 DATE ISSUED: 05/08/97 PARCEL: 2SIlOBB-03700 SITE 0D1)RE5S. . . : 1P317 SW AMES LN SUBDIVISION. . . . a ARLINGTON R I DOE Z ON I NB:R-3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .01 /4 JURISDICTION: TIG Pro J Prt Deser i pt i on: INBTL 1 BRANCH CIRCUIT // JOB N 505--816 ---RESIDENTIAL. UNIT—— ---TEMP SRVC/FEEDERS--•-- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5009F. - . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L.TG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 STGNAI_/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . - 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---SERVIrr_/FEEDER------ ----BRANCH CIRCUITS------ ----ADD' L INSPECTIONS--- 0 – POO amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 17, 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . .. •. . .• . . : 0 401 – 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 – 1000 amp. 0 ------------------PLAN REVIEW SECTION---------_---___. 1000+ amp/volt. . . ., . 0 > -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS— : CLASS AREA/SPEC OCC. : Owner: ---- --_....- -.._.__...... _ __------- ---- -- -- – FEES RICK TODA type amount by date recpt 12317 SW AMES LN PRMT $ 35. 00 TAT 05/08/97 97-294317 TIGARD OR 97224 SPCT $ 1. 75 TAT 05/08/97 97-294317 Phone #: Contractor: -- ------------•--------------------______________________ WESTS I DE ELECTRIC $ 36. 75 TOTAL. '7518 SW MACADAM AVF ------ - REQUIRED INSPECTIONS ---- PORTLAND OR 97219 Ceiling Cover Underground Cove r)hone #e 245-3385 Wall Cover El-ct' 1 Service Reg #. . : 000133 This oerait is issued subje_•t to the regulations contained in the ��A-b L __.._. Tigard Municipal Code, Stag of Ore. Specialty Cndes and ail other Perm i,t t Si gnat�_ir ) applicable laws. All Mork wA l be done in accordance with / approved plans. This per.it will expire if work is not started within 181 days of issuance, or if work ,.s suspended for sore _ L than 181 days. Issued By � INSTALLATION ONLY----- ______------------ The installation is being made on property I own which is not intended for Gale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION ONLY- --- ---•------------------- SIGNATURE OF SUPR. ELEC' N: -141 DATE: 24' 7, LICENSE Noe V Call for inspe-tion – 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13115 SW Hall Blvd. Tlaard, OR 97223 Permit # 4! Date Issued Phone (5031 6311-4171 `- CITY 4F TIGAR i7 FAX (.503) 68,-7297 TDD No (503) 684-2772 Inspection (503 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name Oi Development _ Number of Inspections per permit allowed Address .123.17 Slil /.7�7 --- Service included Items Cost(ea) Sum City/State/Zip_ C 4a. Residential -per unit / r ')00 sq. ft of less $11000 Name (or name of business) Gf / Gi All �C� Each additional Soo sq ft or portion thereof 12500 Commercial ❑ Residential Limited Energy _ szs nu Each Manurd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation Only: 4b. Services or Feeders Electrical Contractor ✓> /C "( L installationp'Alteration,less or relocation __ 200 amps or lase $6000 Address t n( I( ! y, Y 201 amps to 400 amp► $8000 2 City r State zip 7 401 amps io 600 amps __ $12C 00 z Phone No. – 601 amps to 1000 amps $180 00 2 Over 1000 amps or voltr $34000 2 Job NO. U - ' / 6 Reconnect only __ $GO 00 2 contractor's license NO 4c. Temporary Services or Foedero Contractor's Board Reg. No. Inslallaticn,alter tion,or relocation Signatum of Supr. Ele/c'n 200 amps or lees t-icenc9 No. ,� [, 1 On@ NO.� - 201 amps to 400 amps 350 00401 401 amps to 000 amps $7500 Over 600 amps to 1000 v-Rs $100 00 2b. For owner installations: see"b"Above 4d. Branch Circuits Pin-it Owner's Name __. New,alteration or extension pnr pane Address a)The fee for branch ci,cu,ts with City State. Zip purchase of service or feeder lee. Each branch circuit __ $500 Phone No. _ _ b)The fee for branch circuits wlthourY The installhtiorf is being made on property I own which is purchase of service or feeder fee IFirst branch circuit $3500 not intended for sale, lease or I Each additional branch r,rcuil —� $500 Owner's Signature _ _ 4e. Miscellaneous -Service or feeder not Included) 3. Plan Review sectiC n (if required): Each pump or irrigation circle $40 DO ` Each sign or outline lighting $40 00 Signal circWVs)or a limited energy Please check appropriate Item ano enter fee in ser,ion 5B panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(tot $100 00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as desrrit-ed in N E.C. Chapter 5 per inspection $3500 per how $5500 r,dant $5500 Submit 2 se's of plans with application where any of the abo,e — apply. Not required for temporary corstruction services. I 5. Fees: 5a. Enter total of above fees —)_� / NOTICE 5%Surcharge (05 X total fees) $ PERMITS BECOME VOID IF WORK OF?CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for Plan Review if required (Sec 3) S �► CONSTRUCTION OR WORK IS SUSPENDED OR ARANDONED FOR -- --- �`\ Subtotal A PERIOD OF 180 DAYS!,T ANY TIME AFTER WORK IS g COMMENCED. w dcemexWa.< ❑ Trust Account # n Balance Due $ CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171 Inspection:. _ — Footing Susp, Ceiling Sprink. Rough in AppNSdwlk Foundat,Dn Plbg. Underslab Mach. Rough-in Fireplace Postiaeam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. -Plumb. Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation Mech. �\ E�� Underflr. Insul. Shear Wall GYP• Bd. (- 6 Time: AM PM Date Requested: �. -- Address.— Builder+ { a n `Cr'-J-(_)g Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: -- �� Date:- Inspector�l c �c� APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. 5 CERTIFIC"TL OF OCCU�ANY CITY OF TIG,ARD PERMIT #. . . . . . . c CMST950;`��." COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/12/96 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL: P_S110SB---03700 E kDDRE'SS. . . 1 1231 / taW AMES LH 'yUbf)l V I S I ON. . . . s APL I NGTON R I DGE 7 ON I NG't R 3. 5 13L.00H. . . . . . . . . . I._(:)1.. . . . . . . . . . .. . . :0 1 ,41 Cl-ASS OF WORK. iNEW TYPE OF USE... . . iSr' OCCUPANCY GRP. :5N OCCUPANCY LOPO;2 flem4k-ks : �EJAL_ 1-40ME BUILDERS INC sw couaw? ur ,��W)ERTON OR 97008 Phone #: 764-19'70 ('..ontractoir- o ()UALITY H(.)M[.-' BUILDERS INC 1.13435 13W COUGAR CT fAEOVFRTON OR 97008 Phone #- 784-1970 Re to #. . % '77850 !his Certificate qt-ants oc-cupATIC'y of -the abovp r,efev,pnved building rw por-tic,j) thereof and confirms that the building hAs been j.rjspej:tec.j for compli..41clt - e with the State or Oregon Sjpec.qa,,jty Cods.ps for- the qt-OLIP, ot.1cAlpancy, alld Ll.8p ul''Iel whir-h the v-efet-enr-cid permit was jqj3ited. 131, NG POST IN CONSPICUOUS PLACE LWL--� CONNL-t, i I kii, CI1Y OF T I CARD P,ERM"I-1, #PIE Rm 11 : SWR95--0055 COMMUNITY DEVELOPMENT DEPARTMENT GATT. IS`;UEP: 0L2/09/9') 131125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 kIARCEL: 2S11000-0R014 ,IIL ADDRLS . . . . t]iW kIMLb LN ,Ubb I V I b I ON. . . . ARLING"TON RIDUE Z ON I Nb: R--.3. ki-0- F5. . . . . . . . . . [..0 I.. . . . . . . . . . . . . :014 --------------- ---- 1-Ni il',-IT NAME. . . . . .1(:,)A NO. . . . . . . . . . F=IXTURE UNITS. . . : WORK. . . 1\1 L W DWL-LLING UNI N . . : I 4'1— 01UE-)E. . . . . :SF NO. OF BUILDINGS.- 1 1\1IZ I i.11—L- i—y v,E. LAU"�L-j li I Mr:'ERV SURF i-4k:L. . f ------ F'EES HOME BUILDERS 11,4t— type amo,-mt by date e C-f)1, C:)W COUGAR C-F P'R M T $ J-21210. 00 KS 02/09/95 ING P, $ `.i. 00 1-1,51 OJI/09/915 UN OR 970L&3 lorip Ft: 184-1970 oritt'aLtOt'll --10R N01 ON FlLE REQUIRED INSP'ECJ-1Oj4S his Applicant agrees to cosply witm all the rules and regulations bev)el- 1r1-,PeL:ti()1) of the Unified Sewage Agency, The peroit expires 180 days froo the date issued. The total ascint paid will ce forfeited if the oersit expires. The Ayency aoes not guarantee the accuracy of the side tower laterals. If the sewer is not located at the lileasireoent ,even, the installer shall prospect 3 feet in all directicn s from tho distance given. If not sr,, to%ot the insta.,ei —ectase c", 'Tap and Slat Sewer' Pervit ri e IN t L e Lm b L I),-I t I..t e Call for, inspection 639-4175 Residential Building Permit Application City o'f Tigard ° . J/ � � 13125 SW Hall Blvd. -- Tigard, OR 97223 (503) 639-4171 �l J � _1 Jobslte Address:./ L �� AMP, Subdivision: Lot # Office Use Only Valuation: Plan�;k/Rec # �� Permit # S ' <� 0 Corner Lot? Y LN: ) Flag Lot? Yom./ Reissue of Map & TL # �,5 1 Owner, L 1--� � � `�r911�Y Q• yl Approvals Required Address: ( � �— S'ltJ C'604 Q-r Planning g �q -7 Engineering�! Phone: Y c� 7 ca) q ) C� ?(�I Other Contractor. l ''? l' �' -rltems Re uq fired Address: _ —r Subcontractors )cc,,�� Truss Details _ Phone: 1 U 7 7 r7� Other Contractor's license # , (attach copy of current Oregon llicens Contact Name & Phone: Y` �lV � Subcontractma Architect/Engineer: Vt'IC°N ViN�. Plumbing: US �n Address: S ' /�''�L� 'vQ 1)/A Mechanic _ (attach copy of current OR tractor cense Phone: AO �� v _ J IPTIO - - ! e Applicant Signature & Phone num r Received by: Date Received: NiWOR0C0ML'f MESAPP Permit# Account Description Amount Amt. Pd. Bal. Due • , S•OUSE Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. F armit (MIECH) _ �0 `<S'�^' State Tax (TAX) - Bldg: c Plumb: H, Z) Mech: 2, Plan Check (PLANCK) Bldg: _ 0 Plumb: Mech: .Su-895-0 5 Sewer connection (SWUSA) a 2v Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Soo ,�Gd Residential TIF (TIF-R) U _/amu Mass Transit TIF (TIF-Ml') _ ) 2e _ "V_. Commercial TIF (TIF-C) _ Indu,trial TIF (TIF-1) Institutional TIF (TIF-iS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cnti i Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) _ . _ 1;2v ky F >> c ) 7 TOTALS: 11 I 1 I I ! • _dram in g P lay► 85 51r pro Qrt I ine elev, 384 0 �/r �� \� `` 37E . 5 dpi 3941.0-- (< fl L'6 00 01 1 / ��� II r OCT, K Coup y rd j� to brick- yrs/% screen drly ay • ; _Q ` sanitary & I ec iCal storm sewer - hoe t elew. ' water meter t.uc le elev. 394.'S� ....�..... ,� . 85. 5 3a6 ' S- W, A M ES LANE loq'� FEB 01 '95 14 : 16 No .01' P ,02 CHICAGO TITLE INSURANCE COMPANY OF OREGON 94(X1 S.W, GREkNHUKG KOAD. PORTLAND, 0 itl.cinN 97223 (503) 694-89S,t � b I rate: ditftu r 1995 I To; City of Tigard From: Linda VanDyke- Chicago Title Insurance Company Ref Ariington Ridge Subdivision - 'nigard, Oregon Cost contribution for Axtension of S.W. Qaarde Lot Number. Lots 14 , ARLINGTON RIDGE �� �3 � � Pyz } 1 rt-yl This Is to verity that for the above referenced lot, Bull Mountain Land and Development Company J has paid the required $1,424.25 cost contribution for the ektension of S.W. Gaarde. At the time our offloe closed the above refrrenoed lot sale, 31,424,25 was withheb from the sale the 0 s and in being held in excrow. The escrow account is being maintained by First American Title Insurance, Tanasbourne office, Jody N hn Town Centra Drive, Beaverton, Oregon 97006. For further Information, please contact Jody Johnson at 645.0320. —L (,D Li Van 11 e Escrow Omoer Chicago Tide Insurance Company 4900 S W. Greenburp hoed Portland, Oregon 97223 Turas P.02 � C11Y OF TIGARD PLUmblNG PERMl7 COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : o1oom*Hall Blvd.Tigard,oronono72u °o11oo (503)639-4171DAT[ ISSUED: 02/09/9' � PARCEL: | - . PDDRE6�. . . � ^. -l7 SW AME� ` ~ �U8UIVlSION. . . . 'o A�i IN6TON RIDGE ZONING: R-3, 5 � . . . . . . , . :01,61 OF WORK. . :NEW GARDAGE DISPO5AL5. . � l � . , U' USL° . . ° :SF" WA6HIN6 MACH. . . . . . . : 1 1.4- -i-lu-LDW PREVNFHS. . : l f-4NLf GRP. . :R� FLOOR DRAlN5. . . . . . . :W TRAPS. . . . . . . . . . . . . . :W � | �*l��. . . . . . . . :2 WAlEH HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 � lxldREy----------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : | � �I.v��1. . . . . . . . . . .. 1 6HEA6E TRAOS. . . . . . . /N /'=ORiES. . . . . :4 OTHLk FIXl / . . . . :N n/�nuw�IRS. . . . : LINE (ft ) . . . . %0 � C L'�13ET6. . ;�3 W(AlLfi LINE � ft ) ' . . . ; 1ww � '°Ht)HLR6. . . . : 1 F44-11NbRAlN � ft > . . . . :0 � � � � lena`'k�h ' PATH l � � /WNLH: -------------------- -- ------- -----------------FEES----------- � � HOME BUILDERS INC TIF $ 1550. 00 KS 01:-/09/95 - S� COUGAR �T SWM $ 180. N0 KS 02/W9/95 - ' SWM 119 1@N. 00 KS OL/0 /95 - OR 97008 BPRT $ 6E5. 50 K5 02/09/95 � BPLC 0| +06. 58 KAR 01/27/95 9b-2VM" 135PC * 31. 28 K6 02/09/95 - | MPRT $ 45. 00 KS 02/09/95 REQUIRE 1) INSPEIT IONb inis permit is in ;ued subject to the reg itations contained in the Tigard Municipal Footing InMp InSUIEttion � � � � � � � Inst oude, atate of &-e. Upecialty Ludes and all Foundation Insp byp Board nsp sither applicable laws. All work will be done Posirlbeam Stt-(ALt Rain drain ii a"( ondance with approved plans. Vnis Postibeam Mecharr Water ..int� | permit will expire if work is nut started Lrawl Urain water Service in witkin 180 days of issuance, or if work is Plm/undslab Insp Pppr/Gdwlk 1' n"�oended for move than 180 days. PLM/Underf I 001r' MeLl"1611110al F ' Mechanical Insp Plumb 110-.41 Plumb Top Out building Final t Fireplace Insp bas Line Irsp ' m N QUALITY HOME BUILDERS TEL NO .503-524-0993 Feb 26 ,95 4 :40 P .01 10 QUALITY �� �✓ /�L Nomebuiiders Inc. A .� J 31 l� vt I 1;1!HLITY HOME BUILDER', TEL NO .503-524-0993 Feb 26 ,95 4 : 41 ConsmrdbM InMpwwft A J WWW 71esb Carlson Nesting, Inc. °iobsh 1w consul"u° P.O.box 13614 719ard.Of*W 97921 Phone(/09)e%-UW FAX(603)IM-064 095--2938 FIFLD INSPECTION REPORT DATES COVERED: February 23 , 1995 PROJECT: Arlington Ridge ADDRESS : Arlington Ridge. Lot 14 - Tigard INSPECTOR: Sean L. Caraway. E. I . 2-23-95: CTI engineering associate, Baan Caraway arrived on site at 1 : 1.5 PM to observe the tooting observed fill soils c*VatLOnB and slope are gendrrally classifiedack s editions . The obser observed to co were obs brown SILT with a trace of Clay (MG) . These soils be generally firm and adequate with regard to allowable bearing. The slope setback was evaluated as acceptable according to Rection 2907 of the Uniform Building Code (U9c) , which requires that the slope setback be at least one-third of the height of the slope. The slop* setback was measured along the footing line in several locrt.ions and the average setback distance was found 9to be approximately 3% feet for a slope height of app Any deck or pad footings on the slope should have a similar setback. Our reports pertain to the material tested/inspected only. information contained therein is o iz tionnot iromobe this office. except in full, without p If there are any further questions regarding' this r tter Blease 00 not hesitate to contact this office, Respectfully submitted, CARLSON TESTING, INC James D Imbrie, P. E. 09 otechnical Engineer cc: (duel-ity Nran© Wilder", Inc. QUALITY HOME BUILDERS TEL h40 .50:,-524-0993 hiar 1 F, PERMIT N0.3 .��5 t EROSION CONTROL INSPECTION REPORT DATE 3/17,19 4 1NSPECTOR,I.V_►, OWNERIPERMTE6_t* .aa►Lt T_`� O_H E g�.li�e_�— 4SUHD1v1S�oN.-- -��_�..�N�TQt� a I P.6_� l.o*r Ufbower• a Agency of WaNrinpt"county SITE ADDRESS 11 3 ) °'1E"_ ,APPROVED FINAL INSP C ION' THIS SITE MEETS THE I'OST-CONSTRUCTION EROSION CONTROL STANDARDS SET FORTH IN U.S.A. RESOLUTION TION AND ORDER. NOTEt IF MST-CONSTRUCTION EROSION 0>rMOL MEASURES ARE STILL BEING EWtP OYED ON THUS SrM. TO MFFT CRITERIA FOR AN APPROVED FINAL INSPECTION, THE Mk'.ASURFN MUST RFMAIN IN PLACE UN'I-Q. LANDSCAPING.} IS COMPLETE OR PERMANENT OROt ND COWD IS ESTABLISHED. A COPY OF THF MAL EROSION CONTROL ITIPPECTION w17°~`p T MUST BE FORWARDED TO THE NEW OW'NTIL AT WMCH TINM KEW OWNER A&SUMES THE RESPONSIBILM FOR M, PMNANCK, AKPAIIt AND RRMOVAI. OTHER __ — —---- - --- ---- THANK YOU FOR YOUR COOPERATION! DATE 2/ZZ4LQt, TIME Ize- INSPECTORPHONE 31 g $�+