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8001 SW CAROL ANN COURT SITE LAN . LOT: 17 BLOCK; N/A SU13DIVISION: DURHAM SCHOOL PARK CITY: TIGARD SECTION: s SW 1 4 12 T-2S R- 1 VII W.M. -� COUNTY: WASHINGTON STATE: OREGON SCALE: 1 8 TAX MAP AND TAX LOT No.: TAX MAP 2S 1 -12CD _ SITE ADDRESS: 8089 SW CAROL ANN CT. ZONING: R — 12 OWNER: HERB HOFFART & Co. � 4632 S.W. VERMONT PORTLAND, OREGON 97219 T`LEPHONE: 244--08"17F 88042 ' 32 " E w 6g 34. 00 ' 00 00 8 . N w E SETBACK LINE .. r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- 0 - - - - - -0 1 1 624600 --�- 5 ' ---- o � cn LOT 17 F. F. 166 LOT AREA : 2890 S. F. 0 In `rte/ w o N 0 0 0 N I 0 \J / 4. 00 1 5 ' _ 1 1 1 J 00 ' 1 N 0 0 l 1 1 0 LC•) Q Nt ! cf) 20. 00 cn ! 00 QD 0 - �--- --- ---- �- - R . U.- E. -� o -� 0 N QO 00 LnCOINiol 41 CC 788 "42 .1,32 E S W CAR ' L ANN CTIO pp! _: ` I:; 'i" , ' F� r .'y` � - � �. k b r is � ;,:, A M a.��I ,I !;SIL '•a�4. � �.,�e�t�' ti��,yw 5�, �l w :.v,., 4. i� ;i v,,, ,.�.:,.ru'!.� �t,w4i'4�SiXl�r.Yu „t 'nrY?�•A{�� ..v.y��y4' { '� `�0% , .,. ��.rJ �; ...,iT1 t... - kl,�.�l�Y �n' s...,.,�ry . _ NOTICE: IF THE PRINT OR TYPE ON ANY �..�..�. � � � f `1 1 1CI I �1 � I �. .I � � �� t � 11Ijl 1 � I � � II t � 1 I �1I�� C� � ..� � �_� �.. C 1 f� 1 fj� t � I � 1 �i Ill Irl I � 1-� � II ISI ► II � � ► I � I � . . _.� .�� 1 2 3 12 � �. � IMAGE IS NOT AS CLEAR AS THIS NOTICE. 4 � � � 1O 1 �� O G� IT IS DUE TO THE QUALITY OF THE _ _ - ORIGINAL .nOCUMENT 0 E 6 Z 111; L 7, 9 III 8 T !I9 9 --- -- E� Z-- -- T lllo�t�]l”( i l.I (III II IIf I VIII !III Iti . TZ076 tG '11 11�11 i { I 00 0 0 C1 0 D C7 0 c l� 8001 SW Cara! ",nn Court CITY OF T I CCA R D MASTER PERMIT PERMIT#: MST2001-00045 DEVELOPMENT SERVICES DATE ISSUED: 2/21/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 08001 SW CAROL ANN CT PARCEL: 2S112CC-15500 SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 017 JURISDICTION: TIG REMARKS: Construction of new single family detached residence, Path 1. BUILDING REISSUE STORIES: _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: „ FIRST: 63e, of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 4G SECOND: 9.5 or GARAGE: 400 or FRONT: 70 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: of RIGHT: 5 VALUE: S 144.140 00 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 1.ti6500 or RFAR: 19 _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN a 10OK: I BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1 (,AS FURN—100K. UNIT HEATERS: HOODS, I OTHER UNITS: 1 MAX INP btu FLOOR FURNANCES. VENTS: I WOOOSTOVES: GAS OUTLETS. 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPARRIGATION: PER INSPECTION: EA AOD'L 5003F: 201 400 amp: 201 400 amp: lel WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY 401 - 600 amp 401 600 amp: EA ADDL BA CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVCIFDR'. 601 - 1000 amp: 601-amps-1000v: MINOR LABEL: 1000♦amplvr It PLAN REVIEW SECTION Reconnect only, —4 RES UNITS: SVCIFDR-225 A. 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO VACUUM SYSTEM: AUDIO R STEREO. FIRE ALARM- INTERCOM/PACING: OUTDOOR LNDSC LT BURGLAR ALARM. OTH: BOILER. HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNI- GARAGE OPENER. CLOCK- INSTRUMENTATION: MEDICAL: OTHR, HVAC: DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,178.75 HERB HOFFART& CO HERB HOFFART This permit Is subject to the regulations contained in the 4632 SW VERMONT ST 4632 SW VERMONT Tigard Municipal Code. State of OR Specialty Codes and PORTLAND OR 97219 PORTLAND.OR 97219 all other applicable laws All work will be done 1n 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 Phono. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those pules are set Reg 0: LIC 34247 forth in OAR 952-001-0010 through 952-001-0080 YOU may obtain copies of these rules or direct questwns to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final Post/Beam StWr-t-Yral PLM/Underfloor Framing Insp Gas Fireplace Electrical Final Issued By : � ,�( ,� Permittee Signature __- Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next busin4s day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00031 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/21/01 SITE ADDRESS; 08001 SW CAP.nI ANN CT PARCEL: 2S112CC-15500 SUBDIVISION: DURHAM SCHOOL PARK ZONING: R-12 BLOCK: LOT: 017 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 permit for new single family residence. Owner: - - FEES _ HERB HOFFART & CO 4632 SW VERMONT ST Type By Date Arrrount Receipt _ PORTLAND, OR 97219 PRMT CTR 2/21/01 $2,300.00 27200100000 INSP CTR 2/21/01 $35.00 27200100000 Phone: 503-244-0876 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measuremen! 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: (��( 'CL.11 t 61�� Permittee Signature: Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next busines play Building Permit Application City of Tigard Datereceived: it-P• r'/ Permit no.: P! r,4ee e_ e0lf Address: 13125 SW Nall Blvd,Tigard,OR 97223 Project/appl,no.: Expire date: City of Tigard -- Phone: (503) 639-4.'71 Date issued: By; Receipt no.: Fax: (503) 598-1960 (ase filen.: Payment type: Land use approval: _ 1&2 family:Simple Complex: U 1&2 family dwelling or accessory ❑Commercial/industrial U Multi-fa nily New construction U Demolition ilAddidan/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: !o')address: C"tre ggtq (7r Bldg.no.: /" Suite no.: Block: Subdivision: [) ( Tax map/tax lot/account n��' Projectname: 1t `Y het t E.7R� Description and location of work on premises/special conditions: ;t t a� /�cr716 1 Name: C_�E, W !W j c (D. =Raw Mailing addtnsa: 1 &t f:.mily dwelling: City: jStatwk' ZIP: i7Ziy \,aluation of work................ f G Phone: D't Fax: /vu C J'' E-mail: No.of bedrooms/baths................................ Owner's representative: 'a -1 is Total number of floors............... ............... . - 77f Phone: 4 E-mail: New dwelling area(sq. ft.) ..........................on _ S Garage/carport area(sq.ft. '41' 0 Name: `=,��/�'C /; �� .�L�'i Covered porch area(sq. ft.) ......................... Mailing address: heck area(sq.ft.)........................................ —`--`— City: Other structure arras , ft.)......................... _ S1ate: ZIP: Phone: Fax: I E'-mail: f'ontmercial/Industrial/multi-family: align 111111111,10 Uj�� Valuation of work........................................ $ Business name: �.q�/�r �z• �,(� r Existing bldg.area(sq.ft /............ New bldg.area(sq. ft.) .......... rrss: --- -� Number of stories.............. .....�.\......... City: State: 7.IP: --_ Type of construction.......:...................s.....,.. Phone: Fax: L'-mail: CCP no.: 7 ---- Occupancy group(s): Existing: 6""M Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: �t{�� e. provisions of ORS 701 and may be required to be licensed in the Address: ' 0 jurisdiction where work is being performed.If the applicant is City: ;c State~, ZIP: exempt from licensing,the following reason applies: Contact person: _ y� plan no.: - L` _. Phone: Fax: E-mail: --- Name: Contact person Fees due upon applicai ion ........................... S Address: ,��, - -"� % Date received: . _ City: date: 7_IP: Amount received ......................................... $— Phone: Fax: ^ - E-mail Please refer to fee schedule. _ 1 hereby 7ertify I have read and examined this application and the Not all jurirdictionr"'crit cmdil cants,ptew caul jurisdiction for more inh—,%;-. . attached checklist. All provisions of laws and ordinances govrming this a visa U SlastrrCard work will be complied withi w ethers cifie rein or not. Credit card number: ''' Expires Authorized signatu t� / Date: — ' — Name of cardholder u shown on credit card Print name:_ f5.(& 4 f r'r` S — _ Cardholder signature _ -� Amount has b Notice:This permit application expires if a permit is not obtained within I8i days atter it een accepted as complete. 440-4611(bMCOM) One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: AssoCity of Tigard City of Tit►ard UElctricalted ermits: y �, O Electrical ❑plumbing U Mechanical Address: 13125 SW Hall Blvd,'Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 I IIF' 11-011.11,01VING UI FNIS ARF, 1111'QUIR11-:1) FOR PLAN IUIA'1111% Yes No N/A I Land use actions completed.See jurisdiction criteria for concurrent reviews. 2 'Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 _Verification of approved plat/lot. 4 Fire district___approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. 7 Water district approval. 8 Soils report.Must carry original applicable stamp and signature on file or with applic•:Lion. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 _ Complete sets of legible plans.Must be 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 be completed if copyright violations exist. I I Site/plot plan drawn to scale.The plan must show lot mid building setback dimensions;r,uperty comer elevations(if there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.in(ervals);location c f easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;directiun indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location._ _ I A Floor pians.Show all dimensions,room identification,window size,location of smoke detectors,water heater, turnace,ventilatifm fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. ' i_(ross section(@)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall constriction,roof construction.More than one cross section may be required to t 1";1 ly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction. thenal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations tut additions and remodels. Exteror elevations mint reflect the actual grade if the change in grade is greater than -our foot at building envelope. fulksirc sheet addendums showing foundation elevations with cross references are acCeptable. 1'. Wall bracing(prescriptive path)andior lateral analysis plans.Must indicate details m,.d locations;for non-prescriptive path analysis provide specifications and calculations to engineering simidards. 17 I'loorlroof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing locations.Show auic ventilation. 1,11, Its-wement and refntning walls. Provide cross sections and details showing placement of rebar.For engineere.I _systems,see item 22,"Friginver'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. '0 Manufactured floor/roof truss design details. 21 Encrgy Code compliance. Identify die prescriptive path or provide calculations.A gas-piping schematic is required for four or more V11111 ,inces. Uigineer's calculalinns.When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in 0,rgon and shall be shown to be applicable to the project under review. 23 Five(5)site plans are required for Iran 11 above. 24 25 26 27 28 _ Checklist must be completed before plan review start date. Mirror changes or notes on submitted plans may be in blue or black ink. Red ink is reserved f'or department use only. 4404614 t15MOCOW Plumbing Permit Application Cit Date received: ;i 01 Permit no.: City of Tigard Sewer permit r: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 972.23 – — Cit yofTigard Phone: (503) 639-4171 Project/appl.no.: Expire date: – Fax: (503) 598-1960 Date issued: By: I Receipt no.: Ladd use approval: Casc file no.: - Payment type: U 1�c 2 family dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement ew construction U Addition/alteration/replacement U Food service U Other: JORSITEINFOHNIIATION Joh address: y C&i L! (' !n r! / ICI (7' Description Fee ea. Total Bldg. no.: /Z _ Suite no.: NO New 1-and 2-family dwellings only: Tax map/tax IoUnecount no,: /a (includes 100 f.for each utilityconnedlon) SFR(1)bath Lot:_/' __ BIock_ ,,d Subdivision: 0S. SFR(2)bath -- ----�– -- – -- Projcct name: S ( 49 SFR(3)bath City/county: , ,l i ZIP: e 5` Each additional bath/kitchen Description and Ilication of work on premises: Siteutilltles: dreG/ rInc-- Catch basirdarea drain _ Est,date of completion/inspection: Drywells/leach line/trench drain _ – Footing drain no.'in. ft.) PLUMBING CON�LIIAC*Uollt Manufactured hom,�utilities Business name: C�k'/I�I w'c'y�( f l(t��), 'tt _ Manholes Address: �7736, 6 a' ;016,1-4 5 � _ Rain drain connector City: State: ZIP: ti-,&V 7 Sanitary sewer(no. lin. R.) Phone: 4- Fax: I E-mail: Storm sewer(no. lin.ft.) CCB no.: Plumb.bus.reg.no: 70iy Water service(no. lin. fl.) City/metro lie.no.: 3O Fixture or Item: Absorption valve Contractor's representative sf nature: Vie! – –– -- –�- Back flow prevcntcr Print name: Date: " C/ Backwater valve — Basins/lavatory _ Name: r/rJq't /.�� A�Y'c'C Clothes washer Address: Dishwasher City: State: "LIP: Drinking fountain(s) i:jeclors/sump Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ 7 t0 Floor drains/floor sinks/10i(print): 4A?,6 4'AAWf Mailing address: < 11 Garbage disposal -- Hosc bibb City: State: ? ZIP: .7/y Ice maker _— Phone: " Fax:.,1W-,,46 ,,' E-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the.property 1 own as per ORS Chapter 447. Sink(s),basin(s), lays(s) Owner's signature: Date: Sump — _ _ Tuhs/shower/shower span _ Name: Urinal _ Water closet _ Address: /%LAL`. 'li-i.-,, -- WIatcr heater City: State: ZIP: (hher. -- Phone: Fax: I E-mail: 7 oral Not all jurisdictions accept credit cards,please call jurisdiction rot snore Notice:This permit application information. Minimum fee.................$ — - Uvisa U Mastercard expires if a permit is not obtained Plan review(at ___ %) $ _ Credit cad numbs: -- / / within ISO days after it has been State surcharge(8%) ....$ Expiresecce ted as complete. TOTAL .......................$ Name of cardholder u Chown on credit cad Ea � p P S Cardholder sijrWure Amount 440.-A!I G(tilxK'(tM i PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual_ QTY ea AM01INT (includes all plumbing flxtures9n PRICE TOTAL s nk 16,60 the dwelling and the flrst100 ft. "ITY (ea) AMOUNT 1,wator 16.60 for each t:tll�connection ' _ One 1 bath 17,7 1 ub/Shower Comb. 16.60 Two(2)bath _— S350.Oti r,v1,r Only 16.60 Three(3)bath v- $39F.00 __- Itar Closet - - 16.60 -_ - -- SUBTOTAL _ t. ,iI- 16.60 8%STATE SURCHARGE J wo-for 16.60 PLAN REVIEW 25%OF SUBTOTAL _ __ -- TOTAL rt: � 16 60 tge Dis,-osal --- --- Laundry Tray - 1650 Washing Mnrhlne -'----- 16 GO I loor DralrrF'loor Sink �" 16.60 3" 16.60 PLEASE COMPLETE: 4 _ 1660 alar Neater O conversion O like kind 1660 Quanli b Work Performed G.,s piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/ ernit. _.___ Capped MFG Home New Water Service 4640 Sink - MFG t-Inme New SarVStorm Sewer 46.40 1 avat�— — _--.—- --� 1 ub or TLib/Sh, nr Pose Bibs 16.60 Combination _ 12uuf Drains — 1660 Shower Only_— - nrinking Fountain 16.60 — _Water Closet ther Firlures(SpecHy) 16 B0 Urinal --_ Dishwasher_ _ -• ---- --�- - Garbage Disposal,-- -- - _-- ----- -- - — - -- Laundry Room 1 y — -- - --- Washing h,.Jchine f T - Ist 100' _ 55Floor Drain/Sh,k 2" .00 _ 3" e,er-each additional 100' 46.40 _ 4" IWater Heater _ r. r,i,o-1st 100' 55.00 — onr Service-each additional 2.00' 46,40 - Other Fixtures ••I 8 Rain Drain-tsl 100' 55.00 • -I d Rain Drain-each. .Idiu,.•nal 100' 46.40 '-rlunlmerclal Rack Flow Pre ention Devine 4640 ----- --- - nsidential Sackflow Prevention Device' 27.55 — ---`—' Catch Basin — 16.6U ---- -' IrIve^.11- Existing Plum' ng or Specially 72.50 --- -� — --- f7nr ,.IJ.' .Insep rmr _ COMMENTS REr4RDING ABOVE: F..hn Dr nn,single family dw-Aing 65 75 _—,- Grenlcr� 16.60 -- - QUANT17•r TOTAL `------` --- -- 1-trimetric or riser d6yam Is required If - Quantj Total IssB— *SUBTOTAL -- ----- - '- -- 8% STAT: 'HARGE --- 14 REVIEW 2S OF SUtJTO1AL _--.-- Re aired only it fidrun rlt�total is�B _- _ OTAL - S .Mlnlmum permit fee Is$72 50-8%state surcharge,except Residential BackBow r'revontion Devine,which Is$36 25•8%state surcharge ..All New Commercial Buildings require plans with Isometric or riser diagram and plan,evlew . i\dsts\forms\plm-fees.doc 10/10/00 Electrical Permit Application Dalc received: A-a.of Permit no.:Mgrb,/ City of Tigard Project/appl.no.: Expire date: C'ityn(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ 01r&2 family dwelling or accessory O Commercial/industrial U Multi-family U'tenant improvement New construction U Addition/alteration/replacement U Other: U Penial JOB SI-I I-,'INFORMATION Job address: WX) S.w, (,q7 / a/7-7 Bldg.no.: Suite no.Xl Tax map/tax Int/account no.: /.' Lot: Block: i Subdivision; �— Project name: Desch tion and location of work on remises p —_p Itn m 5ctcr R�— Estimated date of completion/inspection: CONTRAC11-011 APPLICA]ION 'I-'I-'E SCHEDULE Job no: _ Pee —M-77 1 Business name: _ ,C. Description Qty. (ea) Total no.insp New residential-singre or multi-family per Address: </ UL C- n ��s dweliingmill.Includes attaciadgarage. City: !, ilate�l,tQ ZIP: QO Serviceincluded: _('hone: - / Fax: E-mail: I WO sq.ft.or less 4 CCB no.: FICC.bus.tic.no: _ (y C� Fath additional 500 sq.ft.or portion lhe.:of Limited energy,residential 2 City/metro lic. no.: Limited energy,non-residential 2 1. 1 Each manufactured home or moeular dwelling Signature ol'supervising electrician wired) Date Service and/or feeder 2 Sup.elect.name(print): -fie-lye License no: 612 5 Services or feeders-Installation, alteration or relocation: 200 amps or less 2 Name(Print): eWe 6 1V—/? t1 201 amps to 400 amps 2 Mailing address: �! �, 401 amps to 600 amps 2 l 601 amps to IOfxl amps 7 City: 7,;t .0 Stale' ZIP: 9) / Over I WO amps or volts - Phone: -jlf7k I Fax i E-mail: Reconnectonl 1 Owner installation:The installation is being made on property 1 own Temporary services orfeeders- which is not intended for sale,lease,rent,or exchange according to installation.alteration,or relocation! ORS 447,455,479,670,701. 2tx1 amps or less 2 201 amps to 4(x1 amps - -- i� Owner's si nature: Date: 401 to 600 ams - 2 Branch circuits-new,alteration, Name: or exter.-Ion per panel: A Fee for branch circuits with purchase tit Address: ? t t C service or feeder fee,each branch circuit City: _ State; ZIP; n. Fee for branch circuits without purchase Phone: r. E-mail: of service or feeder fee,first branch circuit: lu Each additional hrsnch circuit: Mlsc.(Service or feedernot Included): U Service over 225 amps-conunetciad U Health-care facility Each pump or irrigation circle 2 i U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 1 family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal mote residential units in one structure alteration,or extension* 2 O Building over three stories U Feeders,400 amps or more •rkscri tion: _ U fkcupant load over 99 persons U Manufactured structures or R V park Fitch additional Inspection over the allowable in any of the above: U t:gress/Iightingplan U nther: _ pection Submit_sell,of plant with any of the abovr• Investigation fee The above are not applicable to temporary cottstruclion service. Other Not all jurisdictions accept credit cants,please can jurisdiction for move intnmution. Notice'This pemlil application Permit fee....................$ _ U Visa U MasterCard expires if a permit is not obtained Plan review(at _, %) $ Credit cud number within 190 days after it has hecn State surcharge(8%) ....$ _ spire' - accepted as complete. TOTAL $ Name o cudho r as shown on credit card - ' """""""••'•••^ $ —! C rdA+lder sl`rrattae Amount 4u1.It;IS ftiRXUCOAl1 t Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY pRestricted Energy Fee...................................................... $75.0C, Number of Inspections par permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residentlgl-per unit 1000 sq ft.or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq.ft or porior,thereof $33.40 1 ❑ Burglar Alarm I imlled Energy $75.00 Hach Manufd Home or Modular F-] Garage Door Opener' CINolling Service or Feeder $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 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 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2. Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 916-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems fender fee, Each branch circuit a $6.65_ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder lee. First branch circuit $46.85_ Each additional bran, d _ __ $6.65 ❑ HVAC Miscellaneous L 1 Instrumentation (Service or feeder not Included) Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 _ E] Intercom and Paging Systems Signal circuit(s)or a limited energy pnooi all„ration or extension $75.00 ❑ Landscape Irrigation Contril' Minor Labels(10) $125.00 _ Enrh-idifional Inspection over ❑ Medical the +: r••n,any of the above I'cr ut,I ocluut $62.50 ❑ Nurse Cells hro,r $62.50 11,,111 $7375 Outdoor Landscape Lighting' jr-4, [� Protective Signaling rr!nr total of above fees $ ❑ Other 8%State Surcharge $ _ ___Number of Systems 25`A.Plan Review Fee See"Plan Review"section on $ No licenses are required. Licenses are required for all ocher Installations front of application. _ Fees: Total Balance Due $ -� Enter total of above fees U Trust Account M 8%State Surcharge $ Total Balance Due $ i:\dsts1forms\cic4ees.doc 10/09/00 Mechanical Permit Application Date received:/t-,? d/ Permit nor.:hA,7;;.-n1 City of Tigard I'roject/appl.no: Expire date Citynf"rigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ _ — Building permit no.: A&2 family dwelling or accessory ❑Commercial/industrial CI Muld-family ❑Tenant improvement ew construction U Addition/alteration/replacement U Other: Job address: )o la: t'rt i,'G ;Il'I r jJ, Indicate equipment quanudes in boxes below.Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: /L',4 profit. Value$ Lot: Block: ILO I Subdivision: / `� j 'Scc checklist for Important application information and Project name: 1 U r� ,�� / ,/ - jurisdiction's fee scheduic for residenti l permit fee. City/county: a`�f� h'�r✓h ZIP: i7 ; Description and location of work on premises: _ Fee(ea.) ToW Est.date of coripletion/impection: G ,)j ,� De" lon Reis .anl Res.onl Tenant impio-:vent or change of use: Is existing space heated or conditioned'?U Yes U No Air handling unit _ -CFM Is existingspice insulated?Ll YU No it conditioning(site plan required) 'p`ce nsuAlteration of existing HVAC system oiler/compressors State boiler permit no.: Business name: ,f ' - l o^ m lip Tons BTU/H Address: <� - .,.1 (�O�,Gn r L'(-0 cHic/smokedampers/ductsmoa electors City: ( —k u, /t S!aire ? ZIP; G/'J� ��) tical pump(site plan require Phone: - Fax;r mill: Install/replace urnac wear � �� i. �J CCB no. -including duclwork/vcntliner UYcsUNo limall/rep acOrelocate heaters-suspen , Cit /metro lic.no.: City/metro „� � will,or floor mounted Name(please print): ani for a�}t lance other than furnace1101 - c girl errlfon: i Absorption units.-- BTU/II Name: ;!I'l < J/k , { Chillers _ lip Address: Compressors HP nv.ronmenta eemust ao�Teot City: State: ZIP: -�-- Appliance vent Phone: Fax: I E-mail: )ryerexhaust Hoods,Type I/IVr_c7.T1tcTJn7Fazmat hood foe suppression system Name: / - t ilC EXhaust fan with single duct(bath fans) Mailing address: �/t 34 1{ ; lyi h1 aunt system a hartrem h�eatin or- City: ,";:/ 1"-:,A State:/,K ZIP: `/J�,i -uc piping an distribution ,up to outlets) Type: —_U1(3 NG Oil 14" 7 E-mThune: � v Fax: !F, ail: Fuc piping each additional over outlets Process piping(schematic required) Narne: Number of outlets O 1 er steii appliance er equipment: Address: Decointivefireplace City: Slate: ZIP: nsert-type Phone: I Fax: E mail: Woods tove/pellet strive Ott cr: Applicant's signature. �� _` �..' Uale: .-,Z3 �/ N6me(print): OL ,4 Wit all jurisdictions accept credit tardy,please eW jurisdiction for mere information Permit fee...... .............. U visa U MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained -- Credit card numMi: _� Plan review(at _ 96) $ Expires within 180 days after it has been State surcharge(8%)....$ Name cardholder as shown on credit card accepted as complete. —---" _ $ TOTAL ................ ......$ Cardholder signature 'Amount -! '— --- 440-4617(~)W, MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 3 2 FAMILY DWELLING FEE SCHEDULE: _TOTAL VALUATION'.- FEES _ Description: Price Tot:. $1.00 to$5,000.00 - m �imum fee$72.50 Table 1A Mechanical Code ob (Ea) Am, $5,001.00 to$ 0,000.00 $72.50 for the first$5,000.00 and 1) Fu to 100,000 BTU $1 52 for each additional$100.00 cr Incluudindin g ducts&vents 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ _ _$10.000.00. _Including ducts&vents 17.40 $10.001-CO to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 1400 fraction thereof,to and Including 4) Suspended heater,wall heater _ $25.000.00. or floor mounted heater 14.00 -- $25,(j01.00 t $$50,000.(:J $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and Including 6) Repair units _ $50;000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000,00 and Check all that apply: k1r`:.011e eat Air $1.20 for each additional$100.00 or For Items 7.11,_.d +x,'t o[i: Ump' Cc,nd fraction thereof. -footnotes below.•'r':: 'COm kr ' 1)<31-11P;� sorb unit ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00 - Value Total 8)3-15 HP;absorb 2�60 Unit IOCK to 500k BTU Description:- __.qty Ea Amount g)15-30 HP;absorb Furnace to 100,000 BTU,Including 955 unit.5.1 mil BTU 35.00 ducts✓i vents 10)30-50 HP;absorb - Furnace> 100,000 BTU Including 1,170 _unit 1-1.75 mil BTU 5220 ducts&vents 11)>50HP:absorb Floor furnace including vent 955 unit>1.75 mil BTU Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM T n hunted heater „ut Included In applicance 445 13)Air handling unit 10,000 CFM+ trent _ 17.20 Rr 'ir units _ _ 805 _ -- 14)Ncn-portable evaporate cooler 3 tip;absorb.unit, _ - 955 - 10.00 to 100k BTU 15)Vent tan conno:lad to a single duct 3-15-15 hp,absorb.unit, �- 1,700 _ 6.80 1C tk to 500k BTU - - 16)Ventilation system not Included In 1!, .x,hp,absorb.unit, 0115 1 _ 2,310 _PTU _ appliance permit _- 10.00 30-rif.,hp;at surb.t reit, -� 3,400 17)I food served by mechanical exhaust 10.00 1•'.7;, mil.dTU _ _ _ -- -- -- 5U hp;absorb.unit, 5,725 1E)Uornestic Incinerators 17.4.1 1.7' trill.BTU - �Air ha1dlutg unit to 10,000 On658 19)Commercial at Industrial type Inr,neralor I Air handlinQunit>10,000cim� 1,170 - -- 69.95 - r ible evaporate cooler 20)_658 _ 20)Other units,including wood sto es _ 10.00 ,:It tan connected M m,Ingle duct 446 21)Gas piping one to four outlets - vent system not inciuucrl In 656 p p g _ 540 appliance permit - - - 22)More than 4-ner outlet(each) H�• :x!"IUSt ;,56 1.00 l)ol"' ", _ 1.170 Mlnimt.m Pormlt Fee$72.50 SUBTOTAL: $ tn Comerciat of Industrial int neldlor 4,591) Othr,r unit,Including wird stoves, 056 8°/.State Surcharge $ IIlSHrtJ,elG. _ Gas piping 1-4 oullets 360 - 25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL----r $� TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other In>lpectlons and Fee.: I Inspections outside of normal business hour(minimum charge-two hours) $72 50 per hour. 2 Inspections for which no fee is specifically indicated (minimum charge-half how 1 R72 50 per hour 3 Additional plan review required by changes,additions or�revislons to plans(minor charge ec^-hall hour)$72 50 per hour "State Contractor Boller Certification required for unite>200k BTU. **Residential A/C requires site plan showing placement of unit. I:\dsts\forms\moch-fees.doc 10/11/00 SEE 35MM ROLL# 22 FOS LARGE DOCUMENT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 I IMPORTANT PERMIT NOTICE EASTGATE ELECTRICAL INC 1410 NE 106TH SUITE 206 PORTLAND, OR 97220 Electrical Signature Form Permit #: MST2001-00045 Date Issued: 0212112001 Parcel. 2S112CC-15500 Site Address: 08001 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 017 Jurisdiction: TIG Zoning: R-12 Remarks: Construction of new single family detached residence, 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 OWNER: ELECTRICAL CONTRACTOR: HERB HOFFART & CO EASTGATE ELECTRICAL INC 4632 SW VERMONT ST 1410 NE 106TH PORTLAND, OR 97219 SUITE 206 PORIkAND, OR 97220 Phone #: 503-244-0876 Phone Req #: LIC 43701 ELE 26-340C SUP 1512S AN INK SIGNATURE IS REQUIRED ON THIS FORM X S' nater of Supe ising�Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00045 Date Issued: 02121/2001 Parcel: 2S1 12CC-1 5500 Site Address: 08001 SW CAROL ANN CT Subdivision: DURHAM SCHOOL PARK Block: Lot: 017 Jurisdiction: TIG Zoning: R-12 Remarks: Construction of new single {amity detached residence, 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: HERB HOFFART & CO CRAFTWORK PLUMBING INC 4632 SW VERMONT ST 7736 SW NIMBUS AVE PORTLAND. OP 97219 BEAVERTON, OR 97008 Phone #: 503-244-0876 Phone #: 644-8698 Reg #: I Ir: 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber It you have any questions, please call (503) 639-4171, ext. # 310 T (�� .ryD r+ rD C ro 5' I � � G w� � A N• w � a Y I o CL it Q 0 C �J C S rD � \ OA ^ c' 3 5 �a CITY , t= 7GARD BUILDING INSPECTION DIVISION MSTel G y� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- - q � BUP — —_J-- Date Rdquasted /-' 1 AM PM BLD Location C'q �12 -I coe Suite _ MEC Contact Person _ Ph 2Ze., - 77 V FLM _ Contractor Ph SWR RUILD ---- — Tenant/Owner ELC retaining Wall ELR Footing Access: Foundation FPS - Fig Drain SGN Crawl Drain Inspection Notes: --- Slab _ — — --- SIT Post& Beam -^ -- Ext Sheath/Shear - Int Sheath/Shear Framing -------_-.--- - -- Insu'ation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Mise - -------- - ---- --- Fi _ ASS PART FAIL --- ----- --- - MBING Post 8 Beam - _------------ ---------- Under Slab 1 op Out ---- ---_ -- Water Service Sanitary Sewer Rain Drains F inal PASS PART FAIL MECHANICAL Post& Bearn ----- -------- -- -- - Pjugh In Gas Line --- - - Smoke Dampers Final ------ -------- - - PASS PART FAIL ELECTRICAL - - - - — — Service -- -- ---- - --- --- - - Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL _ ----_ __----- --___-. ---- _ -- SITE Bacl,fill/Grading `_----- - Sanitary Sewer Storm Drain [ J Reinspection fee of$_ -_required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( 1 Please call for reinspection RE: ( ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date %- �j- C/ _Inspector Ext - --- -------- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST - 24-Hour Inspection Line: 639-4175 Business Linc: 639-4171 c/ BUP Date Requested �� C�-- � -AM PM _ BLD Location_ �� ( Cr.-1,64� Anaai LL4,- Suite / / MEC Contact Person �.{� Ph 72 L 7 r' q y PLM IF Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR F oozing Access Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab — SIT Post A ream Ext Sheaih/Shear Int Sheath/Shear �- Framing Insulation _ Drywall Nailing /"; � � �'� /�f/�,<.' -^GYjia: a/ id�/s`�� G'` 'C''�i" L- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — rna ^-� .PASS PART rFAIL --- -- — PLUMBING Bost& Beam —___— Under Slab Top Out ---- ------------- --- - — Water Service Sanitary Sewer ----- --- ----------------- — --- — Pain Drains aminal PASS PART FAIL ' MECHANICA ' ------- -- --- — — — .^ Post& Bearn ----- _-- _----- __—_-- — — Rough In Gas Line -- -- ----- - -- SmQke Dampers SS PART FAIL Service Rough In ------��._------------- ---- UG/Slab LOW Volta_ae Fire Alarm Final PASS PART FAIL_ --_SITE Backfill/Grading ---- -- - - -- Sanitary Sewer Storm Drain ( J Reinspection fee of$ —required before next inspection. Pay sat City Hall. 13125 SW Hall Blvd Catch Basin F";•e Supply Li ie [ J Please call for reinspection RE:--_ [ ]Unable to inspect nc access ALIQ Approach/Sidewalk Other Date C' _Inspector 1 , ,_— Ext Final PASS PART FAIL DO NOT REMOTE this inspection record from th:� job site. CITY OF TIGARD Bl"I-DING INSPECTION DIVISION 24-Hour Inspection Line: 6..- 4176 Business Line: 639, 1 MST f4 7'j BUP —_— Date Requested f.�-tel' AM PM BLD Location �?��1 � �[tee�' 4""L, Suite MEC Contact Person �,C. G�i Ph _2Z e -7 7 — PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall ELR _ Footing Access: Foundation FPS _ Fig Drain 5GN Crawl Drain Inspection Notes -- -- Slab --. SIT Post& Beam — Ext Sheath/Shear In!Sheath/Shear Frarning ---- Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof — L?�' _ � 14 y0f ----- Final PASS PART FAIL PLUMBING Post& Ream Under Slab Top Out ----- — �—_---- --_._ .-- Water Service `sanitary Sewer —� --- --' `--- ----- Rain Drains Final '— ---- — — - -- — ---- PASS PART FAIL MECHANICAL �� \ Post& Beam — Rough In \ Gas Line ------ — --- — -- — — Smoke Dampers Final —.,_-- -PART� FAIL Sf'rVrC Rough In UG/Slab _ Low Voltage bSS PART FAIL STrr— Backfill/Grading -- - - -- — Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before ne nspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:�� — ( ]Unable to inspect no access ADA Approach/Sidewalk Other Date _ - Inspector Ext Final PASS PART_FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTIC?,. DIVISIONoYs- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —_Date Requested_ ��']-/ ��__AM PM BLD Location ROc� l C-C /1t �'—� w/�� Suite MEC Contact PersonPh -7'y PLM �✓�`� LfQ Contractor _ _ Ph _ Y SWR BUILDING'- Tenant/Owner _ ELC Retaining Wall IELR Footing Access-. FPS Foundation Fig Drain SIGN Crawl Drai i Inspection Notes: Slab SIT Post& Beam Ext Sheath,!Ghear Int Sheath/Shear 1J �� _ Framing \\ --- -- Insulation �/C C ��S L-` �� ' f- L. R CJZ- Drywall Nailing - - -- Firewall C Fire Sprinkler G Fire Alarm _ Susp'd Ceiling ` Root � � �'� �L� lV ��z-�--V Misc: _ -- Final PASS PART FAIL -- ---- LUMB ___ ___---_----_—_--- - Post& Beam Under Slab - -_- _--- -- Top Out Water Service ------- Sanitary Sewer IRain Drains ----,_ _-__- - -- -- 9 PART FAIL -� -----_----- _ _- -__ _--- - ANICAL Post 8 Beam -- _- -----_--------- ---- ------ Rough In --- Gas Line _ --- Sr!oke Dampers - -_ Final - -- ----- ---� PASS PART FAIL ELECTRICAL Service _- ----- - -- --- -- ---------- Rough In UC!';lah - _- --- ---- - --- -- 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 BasinUnable to inspect-no access Fire Supply Line I 1 Please call for reinspection RE --_--_ -_ [ 1 p ADA CI Approach/SidewalkDate Inspector I C� �_� Ext Other - Final PASS PART FAIL. DO NOT REMOVE this Inspection record from the job site.