13533 SW BRIM PLACE-2 I
I
13533 5W BRIM !PL
CITY OF
T I GA,R D MASTER PERMIT
DEVELOPMENT SERVICES PERMIT#: MST2002 00375
DATE ISSUED: 8/22/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6.39-4171
SITE ADDRESS: 13533 SW BRIM PL PARCEL: 2S104CD-072C0
SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7
BLOCK: LOT:072 JURISDICTION: TIG
REMARKS: Add 120 squtare f3et of space to existing dining room.
BUILDING
REISSUE: STORIES: FLOOR AREAS _
REQUIRED SETBACKS REQUIRED
CLASS OF WORK: ADD HEIGHT FIRST: a BASEMENT: of LEFT: SMOKE DETECTORS:
TYPE OF USC. SF FLOOR LOAD: SECOND: of GARAGE: rf FRONT: PARKING SPACES:
TYPE OF CONST: SN DWELLING UNnt`: FINSSMENT: of RIGHT:
OCCUPANCYGRP: R3 BDRM: BATH: TOTAL: 000 of VALUE:
REAR:
PLUMBING
SINKS: WATER CLOSETS: WASHING MACH: LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RWN DRAINS: CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: WATER HEATERS: WATER LINES: SCKFLW PREVNTR: GREASE TRAPS:
_ MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER:
PORN>•100K: UNIT HEATERS: HOODS: OTHER UNITS.
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT 8ERVIr,E FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 •200 amp: 0 - 200 amp: WISVr.OR FDR: PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 6008F: 201 400 amp: 201 -400 amp: at W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL'PANEL: IN PLANT:
MANU HMISVC/FDR: 601 • 1000 amp: 6a 1+amos-1000v: MINOR LABEL:
1000+amp/volt:
Reconnect only: —+ — PLAN REVIEW SECTION
>•4 RES UNITS: SVC/FDR"225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL e.COMMERCIAL
AUDIO&STERE(I: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LIIDSC LT:
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATIOY: MEDI:'AL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 403.11
ALLERS,MARK+JENNIFER OWNER This permit is subject to the regulations contained In the
13533 SW BRIM PL Tigard Municipal Code,State of OR. Spacialty Codes and
TIGARD,OR 97223 all other applicable laws. All work will'ie done In
accordance with approved plans. Th s permit will expire If
work Is not started w'thin 180 days of Issuance,or if the
work Is suspended fo. more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires wi to rollowrules adopted by the
Oregor Utility Notification Center Those rules are set
Rego: forth it,OAR q52-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNG by calling(503)246-1987.
REQUIRED INSPECTIONS
Footing Insp Electrical Rough Ir. Insulation Insp
Foundation Insp Electrical Rough In Electrical Final
Post/Beam Structural Framing Insp Mechanical Final
Post/Beam Mechanics; Shear Wall Insp Final Inspection
Crawl Draln/Badmater Exterior Sheathing Inst Building Final
r � ,
Is ed By: � k' t72 - Permittee Signature : �\
-- - Call(503r'839-4175 by 7:00 p.m.for an inspection needed the next business day
Building Permit Application
Ak City Of Tigard Date received: Permit no.:
City of Tigard K'
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no,: Expire date:
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 160 Case file no.: Payment type:
Land us C ap V81'" &2 family:Simple Complex:
TVPF*'OF PERM
U 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U New construction U Demoh itm
U Addition/alteration/replaccment U Tenant improvement U Fire sprinkler/alarm ❑Other:
Job address: Bldg.no.: Suite no.:
Lot: Block: Subdivision: _ Tax map/tax lot/account no.:
Project name: -
Description and location of work on premises/special conditions:
Name: ,
Mailing address: 1&2 family duelling:
City: StatC(') 7.IP: Valuation of work........................................ $!a,LtDU
Phone: %cpQ>-SI-1 Fax: E-mail: No.of bedrooms/baths................................
Owner's representative: Total number o!'floors
Phone: Fax: � f.-mail:� ........................... _
New dwelling area(sq.ft.) ..........................
Garage/carport area(sq.ft.).........................
Name: Covered porch area(sq,ft.) .........................
Mailing address: i Deck area(sq.ft.).................. ............. -
City: State: ZIP: Other structure area(sq.
Phone: I E-mail: CommereiaUindustrial/rnulti-family:
Valuation of work........................................ $-- ---
7___
ame: �(,,� c /� Existing bldg.area(sq,ft.) ..........................
New bldg.area(sq.ft.)................................
Number of stories State: ZIP: ........................................i'ax: E-mail: TYPe of construction....................................— Occu ane rou- Occupancy g p(# Existing:
New:
City/mcUo lie.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 be licensed in the
Address: _ - — jurisdiction where work is being performed. If the applicant is
ate
; Zip; exempt from licensing,the following reason applies:
City: S.1
Contact person: Nall nu.: —
Pbone: Fax: E-mail:
Name: Contact person: Fees due upon application ........................... $
Address: Date received:
City: State: ZIP: Amount received .................................... $_
Phone: Fax: Email: Please refer to fee schedule.
'.hereby certify 1 have read and examined this application and the Not all juriWictionr w.crM credit cards,please toll Jurisdiction for more inGvm num
attached checklist. All provisions of la s and ordinances governing this o visa U Mast-rCard
work will he complie{l h�[her ted herein or not. [ rrnt+t card number:
_ — — 6spher
Atl�lorired signature: Date: Name of cardholder u shown on credit card
Print name: — S
Cardholder sipstore Amount
Notice:This permit application expires if s permit is not obtained within 190 days after it has been accepted as complete. 440.4613 ttU0 WOMI
One-analNvo-h'amily Dwelling
Building Permit Application Checklist Refe.renceno.:
—�—�—' --� AssL_ rted permits:
0ty(If'17gurd City of Tigard
tl Electrical ❑Plumbing ❑Mechanical
Address: 13125 SW 1-lall Blvd,Tigard,OR 97223 U Other:
Phone: (503) 639-4171
Fax: (503) 598-1960
I III, 101101%ING ITEMS ARE, r
1 Land use actions completed.See jurisdiction criteria for concurrent revi.:ws.
2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. _
3 Verification of approved plotllot. _
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 application.
9 Erosion control Ll plan ❑permit required.includ.-dminuge-way protection,silt fence design,, + cation of
catch-basin protection,etc. _
10 -_ Complete sets of legible plans.Must be drawn to scalc,showing conformance to applicable local and state
building codes.Lateral design details rnd connections must he incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references betwren plan location and details.Plan review cannot he completed
if copyright violations exist.
1 i She/plot plan drawn to scale.The plan must show lot and building setback dimensions;property confer elevations(if'
there is more than a 44 elevation differential,plan must show contour lines at 24 intervals);location of easements and
driveway;footprint of structure(includinz decks);location of wells/septic systems;utility locations;direction indicator;lot
arca;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 plans.Show all dimensions,room identification,window sire,location of smoke detectors,water heater,
furnace,ventilation fans,plumbing fixtures.balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor,
wall construction,roof construction.More Mian one cross section may be required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ce.:mg height,siding material,footings and foundation,stairs,
fireplace construction, thermal insulation,eta _
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-sire sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or tat:-al analysis plans.Must indicate details and locations;fur
non-prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof 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 rebar.For engineered
systems,see item 22,"Engineer's calculations."
I 19 Beam calculations.Provide two sets of calculations using current code design values for all hcams 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,(i e.,shear wall,root'truss)shall be stamped by an engineer or
architect licensed in Oregon and shall be shown to be appiicahle to the pro eel under review.
23 Fivc(5)site Ions are required for Item 11 above. Site plans muss he F-1/2"x 11"or 1 I" x 17".
24 Two(2)sets each are required for Items 16, 19,20&22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will be not accepted.
26 "Reversed"building plans must meet criteria outlined in thr Permit&System Development Fees document.
27 "Drawn to scale"indicates standard architect or engineer scale. _
28 Site plan to include tree size,type&location per approved project street tree plan(if applicable),and COT Street Tree List.
Checklist n•trst be compinted before plan review start date. Minor changes or note,, - submitted plans maybe in blue or black ink.
Red ink is reserved for department ust Y. 44n-4614(~'OM)
i
Electrical 11'erwit Application
--" Date received: Permit no.:
City of Tigard Projecl/appl.no.: Expiredate:
City ofTigard Address: 13125 SW Hal: Blvd,Tigard,OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
7Newy dwelling or ac.-c.sory U Commercial/industrial U Multi-family U Tenant intrroventent
uction U Addition/alteration/replacement U Other: U Partial
\ Bldg.no.: Suite no.: Tax ma /tax lot/account no.:
Lot: Block: Subdivision: _
Project name: Description and location of work on premises:
Estimated date of completion/inspection:
CON I R.,410111 APPLICATION 11 U S( 11(l.11111 11,
—10Tno: IF ree M"�
Business name:
Description _ Qty. (ea.) Total it insp
New residential-single or multi-family per
Address: _ dwelling mdt.Includes attached garage.
City: State: ZIP: Service included:
Phone: Fax: E-mail: 1000 sq.fl.or less
Each additional additional 500 s ,ft.or portion thereof
CCB no.: Elec.bus.lic.no: Limiledenergy,residential 2 _
City/metro lic.no.: Limited energy,non-residential 2 _
Each manufactured home or modular dwelling
Signature of supervising electrician(raµiircd) Dale Service and/or feeder _2
g -- -------J—�— - Services orfeeders-installation,
Sup.elect.name(print): License no: ■Iterallon or relocation:
Moo 2W amps or less '-
Name(print): ( ` 201 amps to 400 amps 2
401 amps to 600 amps
Mailing address: /t f:' .7 601 amps to 1000 amps 2
city: State: ZIP: — Over IOW amps or volts 2
Phone: Fax: E-mail: Reconnect only I
Owner installa!ion:The installation is being made on property 1 own Temporary services orfeeders-
which is not intended for sale,lease,renor exchange according to Installation,allerst[on,or relocation:2W amps or less
ORS 447,455,479,679 c 201 amps to 4W amps
Owner's signature: )` Date: _ 401 to 600 amps
Branch circuits-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeler fee,each branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
of service or Ceeder fee,first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit:
Misc.(Service or feeder not Included):
U Service over 211,amps-commercial U Her.lth-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 O Hazardous location Each sign or outline lighting 2
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 more residential units in one structure alteration,or extension* 2
O Building over three atones U Feeders,400 amps or more 4-Descrit;,on: __-
U occupant[nod over 99 persons U Manufactured structures or RV park rich adrlillonnl Inspection over the allowable In any of the above:
•Fitrer dlightingplan U Other: —�__� Perinspectioo
Submlt_seta of plans with any of the above. Investigrtion fee
71te aM►ve are not applicable to temporary construction service. Other
Nra All judadicrlom sccep+credi+cards,please call)udrdlc+ion formac InfarmNlon. Notice:This permit application
Permit fee.....................$
U visa U Master0wd expires if n pemtit is not obtained Plan review(at _ %) $
+-+edlr card number within 180 days after it has been State surcharge(8%)....$
F'
res accepted as complete.
TOTAL ...................... .�
Name of cnrdholc4,r si hhmvn on credh card
S
CuJhclder darrature - — N�ounl 410.4615 OMCOM1
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERN11T FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee...................................................... $75.00
— _ Number of Inspections per permit apawoa (FOR ALL SYSTEMS)
Sorvice included: Items Cost Total 4' Check Type of Work Involved:
Residential-per unit
1000 so ft.or less $145.15 4 ❑ Audio and Stereo Systems"
Each additional 500 sq.ft or
portion thereof _ $33.40 1
Limited Energy $75.00 ❑ Burglar Alarm
Each Manufd Home or Modular
Dwelling Service or Feeder — $go-go z ❑ Garage Door Opener'
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 2.
201 amps to 400 amps _ $106.85 2 ❑ Vacuum Sysloms'
401 amps to 600 amps $160.60 2
601 amps to 1000 ar-ps $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 ONI.Y
Installation,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less $66.85 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 7
401 amps to 600 amps $133.75 _ 7 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 _jBoller Controls
a)The fee for branch cimults
with purchase of service or ❑ Clock Systems
feeder fw.
Each branch circuit $6.9 ❑ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑
or fcader fee. Fire Alarm Installation
First branch circuit $46.85
Each additional branch circuit $6.65_ ❑ HVAC
Misc911aneous
(SenInstrume�tatlon,i';e or feeder not Included} ❑
Each pump or Irrigation circle _ $53.40 Paging Each sign or outline lighting $53.40 Intercom and_ ❑ 9 9 S ystems
Signal circuits)or a limited energy
panel,alteration or extension $7500_ ❑ Landscape Irrigation Control'
Mlnoi Labels(10) $125.0n _
Each additional inspection ever ❑ Medical
the allowable In any of the above
Per Inspection $62.50 ❑ Nurse Calls
Per hour $62.50
In Plant _ $73.75_ ❑ Outdoor Landscape Lighting"
Fees:
❑ Protective Signaling
Enter total of above fees $ ❑ Other
8%State Surcharges S _ _ _Number of Systems
25%Plan Review Fee
See"Flan Review"section on t No licenses are required Licenses are required for all other Installations
front of application
Fees:
Total Balance Due $
�— Enter total of above fees $
❑ Trust Account M _- _ _ 8%State Surcharge $
All Now Commercial Buildings require 2 sets of plans. Tota!Balance Due $
i:Wstr'.farms\eIc-fcesAoc 0ri/30/01
Mechanical Permit Application
Date received: Permit no.:
City of Tigard Project/appl,no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dale issued: By: Receipt no,:
Phone: (503) 539-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land Ilse approval: Building permit no.:
a
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacen;ent U Other: .
Job address: \ j $ \ Indicate equipment quantities in boxes below.Indicate the dolly
Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overiu
Tax map/tax lot/account no.: r profit.Value$
Lot: Block: Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City/county: ZIP: _ allt
Description and location of work on premises: jj jj I oij jIg g lei t r
hcc(rt.) IiHal
Est.date of completion/ins -tion: tksc7i Kion r1l . Res.only Res.o7►lj
Tenant improvement or change of use: 7Airh,,dllng
Is existing space heated or conditioned?U Yes U No unit CFM
r con tion ng tette p an require ) _
Is existing space insulated?U Yes ❑No teration of existing HVAU system _
Boiler/compressors
Business name: /'? State boiler permit no.:
—1'� His Tons BTU/14
Address: yr smodedamper uct smoke detectors
Cit :_ _ State:—� ZIP: eat pump(etre plan uu rbc)
Phone: Fttx: E-mail: rete rep ace urnac umer U/1
Including ductwork/vent liner U Yes O No _
CCB no.: Install/replace/relocate heaters-suspend
e ,
City/metro lic,no.: wall,or floor mounted
Name(please print): -- tAbsorption
nt for a lance other than furnace
gest on:
units_ BTU/11
Name: illers HP
Address: mpressors— _ fill
v ronmental ex aust an vent at on:
City: State: ZIP: pliancevent
Phone: Far: E-mail Dryerexhaust
Hoods,Type 11 Iltres. itc a hazinat -- -
hood fire suppression system
_Name- L Exhaust fan with single duct(bath fans) -
Mailing address: z _cam Exhaust system apart romeatin or
City: State:( ZIP: Zuel
piping andistribution(up to outlets) --
LPO __ NO Oil
Phone: i'ax' E-mail: piping each additiona over 4
outlets-
rocess piping(sc emat c require )
Name: Number of outlets
_ _ __-_ _— ter listed appliance or equipment,
Address: Decorative fireplace
City: -- _ — State: _ ZIP: nsert-t ---� - -
Phone. F x: Woodstovelpelet stove
er:
_Applicant's signature. Date: t
Name(print) _ _
Not ill jurisdictions accept credit carols.please call judedicilon&x morr information Permit fee..................... _.—
U visa U MasterCard expNotire:This permit application Minimum fee................$
expires if a permit is not obtained plan review(at _ 9h) $
Credit card number 1 ----
Expite7 within 180 days eller it has been Slate surcharge(896)....$
— ane ni-:ream-Her at,rTaim on c t c $
accepted as complete. -'
TOTAL .......................$ ---
--i— Cardholder elp7awre Aa7otmt 4.7(1.460 MOR-OM)
i
MECHANICAL PERMrr PEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMIT FEE: Description: �- Price Total
$1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,00.00 and 1) Furnace to 100,000 BTU
$1.52 for each additional$100.00 or Including ducts 8 vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000,00. Including ducts 8 vents _ 17.40
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Including vent _ 14.00
fraction thereof,to and Including 4) Suspended heater,wall heater _ -
$25,000.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not i„cluded In appliance permit
.11.45 for each additional$100.00 or _ 6.80
fraction thereof,to and Including 6) Repair units
$50,000.00. 12,15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7-11 see or Pump Cond
fraction thereof. footnotes below. Comp ••
Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit
to 100K BTU 14.00
-- 8%State Surcharge $ d)3-15 HP;absorb
unit 100k to 500k BTU _ 25.60
25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb
Required for ALL commercial permits only unit.5-1 frill BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ 10)30-50 HP;absorb
unit 1-1.75 mil BTU _ 52.20
-.--_.-_--- -_�_-- _ 11)>50HP;absorb
unit>1.75 mll BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM
----------- -- - 10.00
Value Total
Description: Q Amount 133)Air handling unit 10,000 CFM+
�
Furnace to 100,000 BTU,Including 95 17.20
ducts vents 14)Non-portable evaporate cooler
10.00
Furnaca>100,000 -
0 00 BTU Including
ducts&vents 15)Vent fan connected to a single duct
' _
Floor furr:are Including vent_ 955 16)Ventilation system not Included in 6.80
Suspended heater,wall heater or 955 appliance ermif _ 10.00
floor mounted heater
Vent not Included in appliance 445 17)Hood served by mechanical exhaust
permit 10.00 _
Repair units 805 - 18)Domestic Incinerators
<3 hp;absorb.unit, 955 17.40
to 100k BTU 19)Commercial or Industrial type Incinerator
3-15 hp;absorb.unit, 1,700 69.9520)Other units,Including 101k to 500k BTU 9 wood stoves
15-30 hp;absorb.unit,501k to 1 2,310 10.00
mil.BTU 21)Gas piping one to four outlets
30-50 hp;absorb.unit, 3,400 !- 5.40
1.1.75 mil.BTU 22)More than 4-per outlet(each)
_ 1.00
>50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL:
>1.75 mil.BTU $
Air handling unit to 10,000 dm 656 -----
Air handling unit>10,000 cfm 1,170 8%r,'ate Surcharge $
Non-portable evaporate cooler - 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 446
Vent system not Included In 656
a oliance permit -
Hood served by mechanical exhaust 656 Qher Inspections and Fees:
Domestic Incinerator _ :360
1 Inspections outside of normal business hours(minimum cherge•two hours)
Commercial or industrial Incinerator $s2 ec per hour.
2 Inspections for which no fee is specifically Indicated (minimum charge-half hour)
Other unit,including wood stoves, $62 50 per hour
Insertsietc. _ 3. Additional plan review required by changes,additions or revisions to plans(minimum
Gas 1-4 outlets charge-one-half hour)$62.50 per hour
Each additional outlet
-- - State Contractor holler Certification required for units>200k B ru.
TOTAL COMMERCIAL $ ""Residential A/C requires site plan showing placement of unit.
VALUATION, All New Commercial Buildings require 2 sets of plans.
1:ld9tsVormslmech-fees.doc 02/11/02
I
Permit#: a`'dD J
�,�, bit ti
Address: � /} -
Issued C.� _ Date:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants who are not registered with the Construction Contractors Boar; to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants,
ThisXstatet statemestration under ORS nt filed with the perm�1.010('7),
need not submit this statement.
Fill in the appropriate blanks and initial boxes i and 2,and either box 3A or 313:
1. I own,reside in,or will reside in the completed structure.
ll( 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale
before or upon completion.
3A. My general contractor is_ (Name) Contractor regis. #
I will instruct my general contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Board.
OR
3B. I will be my own general contractor.
if I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby ccrtif} that the above information is correct and that 1 have read and do understand the lnfornu►tion
Notice to Pro e n s ab ut o struetion Responsibilities on the reverse side of this form.
— - -- — Date
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pink copy to applicant)
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4. Significance and Use
400-95 4,1 This practice recognizes that effecUveness
and durability of installed units depend not only on site
Standard Practice for choice and qualry of materials, cies/ n,.aJequacy of
assembly,and support system,but also on their proper
Installation of Windows With and workmanlike installation.
Integral Mounting Flange in 4.2 Improper installation of units may reduce
Wood Frame Construction their effectiveness, lead to excessive air,water and sot.;rd
leakaqe,condensation and may promote the deternr,&
This piattice AM Dec"appnrMd as an Irdurtry sundmd by ere Calrorrt4 tion of wall construction, windows,doors,and their
A:Uxibbon or Window Manufacturers ICAWVJ Ttcrtnicaf Cerrvni¢ee,-4 by general respective firjshe5 Addrtionaly improper installatiuri of
rrten,ecit,ip WcK as°r Auqutt 18,1195. metal units may result in accelerated corrosion of metal
frames,trim,anchors,fasteners and finishes
1. Scope 4.3 The application of this practice also requires
a working knowledge of applicable Federal,State, and
1.1 This practice covers the installation of local codes and regulations,specifically,but not limited to
winds ws in residential buildings of no more than four(4) required means of egress and requirements for safety
stores in herons glazing Consult with local building codes prior to
installation.
1.i This practice applies to metal and nongretal 4.4 The application of this practice also requim
framed windows when 2n rnegral mounting flank Is a v+rorkiny knowledge of the tools,equipment.and
ernplvyed for Insrallation. methods necessary for the installation of windows. It
1.3 This practice covers the installation process further assumes familiarity with caulking and sealing and
from preinsiallation procedure through post-installatkm with glass handling procedures, painting where appli-
proced lures It does not cover the fabrication or assemNy cable,and an understanding of the fundamenrals of
of units whether such fabrication takes place in a factory residential construction that affect the installation of these
or at the intended installation site. units
1.4 This practice covers aspects of installation
relating to the effectiveness and dur2bl1iry in sevice. It 5. Procedure
does not cover aspects relating to the safety of the person
installing the units. S.1 Fuming Ri°qu w end.The,rough framed
1.5 This practice provides minimum require- opening to receive the window shall be sufficiently larger
ments that will help to ensure the installation of vwrdom in vvldm and height man the actual frame dirrensions of
in an effective manner Actual conditions in buildings vary tI1R vvindaw. To assure adequate deararce, the framer
greasy and in some cases substantial additional care and snail co nit the manufacturers literature for the recom-
precaution will have to be taken mended rough opening dimensions The framing stail
1,6 This practice does not purport to address ad be plumb,square and level (See Fin 1
of the safety problems associated with its use k is the 5.2 Plvtection frgm CYsVnm t r Materials
responsibility a ,M-cmever uses this standard to consult 5.2.1 Aluminum products shall be isolated from
and establish appropriate safety and health practices and dissimilar or corrosive materials with a rot,conductive
determine the applicability of regulatory limitations pnor to coating or sealant material,
use 5.2.2 All fasteners shall be corrosive resistant in
accordance with ASTM B 633, B 766 or B 456.
2. Referenced Documents 5.3 Rasrung Requen7x-n4y-Proper flashing
arra/or sealing is necessary as a seconciary tamer to
2.1 ASTM Standards prtwnt water from entering the wall between the
B 633 Standard Specification for Electra window frame and the adjacent wall materials, Flashina
denositea Coatinc•5 of Zinc on iron and Steel' and/or an appropriate method of sealing shall be de-
B 166 Stsndaro�pi-,s
for Elect/ signed as a part of an overall weather-resistive barrier
deprssrted Coatings of Cadmium on!,teer system. It is rt=the respot isibility of the window manu•
B 456 'Specficaxr,for Electrodepesited facturer to design or recommend a flashirg system
Ccatinos of Copper plus Nickel plus Qua appropriate to each Job condition.
mum and Nickel plus Chromium'
C 755 'Practice for SelecTion of Vapor — --
Retarder for Tlxermal Inmulatkm' hbte ! The resoansONykXpotearVany
2.2 AAMA SOO.1bluntary Specifications /ld-V*g rrumnoh from darnage caged by ttieradvr, other
and Tcst Methods for Sealants- trams,Cr vRXIdgtism, and pinperlyrnte7amg the&uhr_q
system int thr weatherreSIZ&V b3Wfcr tie entire
B. Definitions building, will be die resµwns city of
3.1 GaAw CrX%serr-A form of deterioration to general conram-ir crtis eL-sgwtrd agent
of metal resulting from the elecuochemical reaction that
occurs when certain dissimilar metals are in sonnet in t1he 5.3.1 P&- matbn FlVrrg9 Material-Flashing
presence of moisture. r.'taterial shall be barrier coated reirfirced and shall
3.2 Ries4 n4W 9c navies-Any building used or provide four(4)hour minirrum protection from water
intended p:marlly nor z singie or multiple family dwdlinc1. per trc.ion when tested in acmraarce with ASTM D-
3.3 Mounang Flour-A fin pri jectirq from tfie 779 car Flashir, material shall cer -�ro
tirus idertfica-
window frame parailel to the pane of the w2!1 For the tion: g carry
purpose of securr 5 rhP frame to ire structure. S.4 icaamn
S.4.1 Ore of t•e;wc fc!bwirg meg ocs shali
be se!eetee as 11`e 2pe►C2-cr tc ce`alcwec ;rce a
I
JUN-12-2002 15:28 P.05i06
method i;selected.all procedures of that method crust be extend beyond each jamb flashing. Fasten in place. (See
p-formed in the described sequence Substitution of a Fig, 5)
Procedure from roe method to the outer is not permitted 5.5 /nstallaUan
5.4.1.1 Me#%V A 5.5.1 Depending on the site and weight of the
5.4.1.1,1 A strip of approved flashing material window, shim blocks may be required under the Sill to
should ix at least nine Inches wide. Flashing shall be maintain straight and level condition and to prevent
applied In a wezIhert card fashion around tf,&full rotation Consult manufacturers recommendations."
perimeter of the opening S.5,2 Shim and adjust the window as necessary
'.;.4.1.1.2 :Apply the first strip horizontally to achieve a plumb, square and level condition,as well as
immediati4y below the sill,cut it suMciently long to extend an even reveal around the frame opening, securing it the
past each side of the window,so that it projects beyond full perimeter with the equivalent oT 6d fasteners on a
the verticil flashing to be applied later (See Fig. 2.) maximum I&inch centers. Hinged and pivoted windows
5.4.1.1.3 Fasten the top edge of the%IN may require additional fasteners located near the hinge or
dashing to tine framing, but do not fasten the lower edge, pivot points. For certain windows it may be appropriate
so the weather resistant building paper applied later may to fasten the head in a manner to allow for possible
be slipper up and underneali the flashing in weather- deflection.
board fast iion. S.S.i In each direction from all Corners there
5.4.1.1.4 Apply a continuous seal to the back must be a fastener within 10 indies.but no closer than 3
side)interior)of die sill mounting flange, (See Fig. 3a). inct)m to
prevent frame distortion or fracture of joint
The Wnd)w shall ther1 be installed in accordance with seals.
Section 5.5 Installation procedures, 5.5.4 In all cases consult manufacturers
!.4.1.1.5 Next,apply a continuous seal to the instructions for any special procedure or application.
exposed rlouriting P,ange at the top(head)and sides
ambs)of the installed window For mechanically joined -- -
fUramc�s, apply seal at corners to full lencth of the seam AW 3-Ifany darw_ge to mncbw name
where rnciuntng flanges meet. (See Fig. 4a) ,n&seals d obmyved of nng InsollaGa-!
!;.4.1.i.6 Starting at eafi jamb,embed the It must be sued by UV#-Walter
Jamb flashing into the seal and fasten in place. Run this
stashingg b!ytond the sill flashing and above where itie T
head flashtn will intersect (See Fig 4 a 5.5.5 Where"ather-resistant buddingg paper,
5.4.1.1,7 Finally,embed Int f�ashirg into the insulating board,or other materials byottW,racer may
sealant on the mounting flange at the window head constitute the primary weather barrier behind tie exterior
Cut this flashing sufficiently long so that it will extend wall finish(i.e. stucco,rrasonry siding, etc; Owner/
beyond qdl' b Ms,hing. Fasten in place. !See Fig 51 General Contr2ctor is responsible to'ensure that the
5.4.1.2 44Cd70dB weather barrier is continuous by effectively sealing the
5.4.1.2,1 A strip of approved hashing material rnaceial to the window frame. (See Fig. 6)
should beat least nine inches wide Flashing shall be 5.6 Sealant RL°qu#wnents
applied in a weatherboard fashion around the full 5.6.1 Sealino/raulking required between the
perimeter cif the opening window and the fiashfng can be accomplished with
5.4.1.2.2 Apply the first strip horizontally caulking conforming to HAMA SCO,or use sealant
Immediately tx!iow the sill, cut it sufficiently long to extend MCammended and approved by the sealant manufac-
past each We of the window, so that it projem beyond turer
the vertical flashing to be applied later (See Fig. 21 5.6.2 Some exterior wall finishes require
5.4'•.1.2.3 Fasten the top edge of the sill additional sealing between the perimeter of the window
Rasnmg to tPe framing but do not fasten the lower edge, frame and adjacent finish wall material Owner/General
so the weatt,er resistant building paper applied later may Contractor is responsible for identifying the need for any
be slipped up and underneath ft,,e flashing in weather- additional sealant which will be applied byoAafs Such
board fashior. (See Fig 2) sealant shall be elastomeric material.compatible with
5.4.1.2.4 Next. fasten strips of flashing at each window framing and adjacent wall materials (See Fig. 6)
vertrcal edge Facto)of the opening Run this flashing 5.7 Finish and Sealant Material
beyond the sill flashing and above where the head 5.7.1 Caution shall be used to avid damace to
flashing will intersect (See Fig 3b( whdows during and after installation. Rior to installation,
5.4.1.2.5 Appy a continuous seal to tine sore windows In a near vertical position in a clear area,
backside(interlcfI of the mcnmting flange near the outer free of circulating dirt or debris and protected from
edge or a continuous seal to the perimeter of the operfrc exposure to weather elements
at a point to assure contact witl i the backside(interior)of 5.7,2 Fie'd-applied protective coatings can
the mounting flange. (See Fig. 4b) damage window sealants and gaskets and are not
reecommendeo. Contact cite window manufacturer
-----`" --� before applying any such coatings.
Able 2-i'aution must be rgken to atoid S.77 3r Masking tape sh6if not be used on
dW4717ng the axrtlntxM seal window surfaces as they may cause damage when they
— — ---— are removed.
5.7.4 Stucco or concrete left to cure on frames
5.4.1.2.6 The window shall then be installed in and glass wtN damage these surfac_s Remove and dear
accordance with Section 5 5 installation procedures all such materials from surface before any cvring action
5.4.1.2.7 For mecl',onicallY joined frames, takes place.
apply seal at corners the hill length of the seam where 5.7.5 Glass and frame surfaces exposed to
mounnncl flanges,nee' leas Nina water from new concrete or stucco rrust be
*5.4.1,7.8 Next, apply a continuous seal at the rinsed imrnediatey with clear water to prevert perrrianert
top(heed]rnourtrg flange ano embed the bottom of ram,�re
the head flawing over d'�e sealant and the mountin reouired_ -
fl?nGe Cut this 2ShirC 5.ffrctert►y Ci`g So the?(!t'nn.l corarvous v,i,, Pong p,e hm lergm of me fl'LESS one mo,w+each Pict
6-13-02 14: 05 HOME DEPOT 4002 ID-503 639 3506 P- 06
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503)639-4171
BLIP _
Received Date Requested AM .PM BUP
Location ���'� Suite-- MEC
Contact Person Ph l- ) PLM
Contractor Ph(_—r) cy ISWR - --
B WING Tenant/Owner LC
ootif�""� ELC _---_---
Found Access: ELR _
Ftg Drain ---- --
aw Dra
Inspection Notes: I _f/ SIT —
dearAnchom
eJ,L'Fieath/ ear _ -
nt Sheath/Slioar I G _ 9
Drywall Nailing ,
Firewall •fes .S
Fire Sprinkler c2`
Fire Alarm _� C
Susp'd Coiling
Roof
Other: , -a Final QC _
A
FAIL
BI _
Post Beam -_( �_ -
Under lab -- � —
Rough n '1 7 Il, - ��r. <�� -
Water ry .e l,�
Sanita or 1cc"t '�- T 0 _/Q
Rain Dr s -- ---�
Catch a in/Manhole 471 L49
for r Al
Sho r Pan
Oth r:
Final — Piz r '�
PASS PART FAIL
MECHANICAL
St& • w • n I 'w^
Gas Line '�
ke Dampers - —�
Fin CA
PART FAIL
ELECTRICAL _ —
Service •
Rough-In
Low Voltage w✓! lam/�_ 8 -� -�1-- -
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall RA
PASS PART FAIL
SITE __ [� Please call for reinspection RE: _._- ___--___ __ E] Unable to inspect-no access
Fire Supply Line V6\
ADA
Approach/Sidewalk Dto IospoCtor
Other:
Final Do NOT RIMONI this ImpoWen r000rd frown the job site.
PASS PART FAIL
CITY OF TIGARD BUII.DING INSPECTION DIVISION MST
24-Hour inspection Line: 63. .1716 Business Line: 639-4
BUP '
Hate Requested �I Z� _AM PM 3C�_ BLD _
Location— z 3 _ Suite ME-C
Contact Person J 00j Ph S ? 7— 3 o j�— PLM
Ccntractor 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 s
Framing ,��
Insulation
Drywall Nailing
Firewall s�
Fire Sprinkler
Fire Alarm
Susp'd Ceilin
Rog V0
Final ►'+N' 1 '�,_.� _ _f G� ll�i�.��
PASS PART FAIL
PLUMBING Sy. — —
Post Beam I
Under Slab _ � .lam• �'� �'` ,U��
Top Out —�� ��c_� n,lJ _� �S.C _ �•
Water Service -✓ �—X �(, S
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam — -
Rough In C
Gas Line —
Smoke Dampers
Final —
PASS PART FAIL
FLEiCTRICAL + +—
Service
Rough ,p
UG/Slab � �✓� Ci/ C..-ci^J� - �_
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
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 [ ] Unable to inspect no access
ADA 1�
Other
Approach/Sidewalk Date Inspector �' �Ji Ext
_ — ---
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIG AFeD 24-Hour
BUILDING In-pection Line: (503)639-4175 MST '4
INSPECTION DIVISION Business Line: (503)639-4171
Received __. __ Date Rpquested3 bSUP
AM_ __ PM_.__ __. __ BUP
Location -----------_..__--I ,S 3 5 X11 ��, _Suite MEC
Contact PPrsen Ph(fit) - PLM
A
Contractor — (- ) ----- --- -
-- ---_ -__--------- h - SWR �
BUILDING Tenant/Owner - -__ ELC
Footing.-�------- I
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post R Beam
------- -- _.------•-----------
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywa!I Nailing -- - --
Firewall
Fire Sprinkler 4- ��r_=-�- -------------------- ------
Fire Alarm
Susp'd Ceiling --- -- - -- —
Roof
Other:
Final
PASS PART FAIT.
PLUMBING
Post&Beam
Under Slab -
Rough-In
Water Service --- --
Sanitary Sewer
Rain Draii is --- - - ----
Catch Basin/Manhole
Storm Drain -- - — -
Shower Pan
Other: -- —_ ----- ---- --
Final
PASS PART FAIL
MECHANICAL
Post&Beam - -
Rough-In ---------- -
Gas Line
Smoke Dampers --- - --- - _.- --- --- - --
Final
RT FAIL ---- - - - -- -- ---- ---------
CA
_._
ALECTRI _
Rough-In - --- -- -- - -- -- ---
UG/Slab
Low VoltageFir larm
Reinspection fee of$_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
31TE u Please call for reins Ion RE: - F] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date v_ Inspeato ! Z �"'_' Ext
Other:
Final _ DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGAND 24-Hour
BUILDING Inspection Line: (503)639-417F '
INSPECTION nIVISION Business Line: (503)639-4171 MST t)OZ-Gv J
SUP
Received _—._, —Date Requested �-3 u _ AM PM BUP
Location --L;4,�3 3 :54i 13 YI A r' Suite _ MEC
Contact Person _ Ph( } N �
70� - PLM
Contractor - -- Ph�- } SWR
BUILDING Tenant/Owner _ ELC -
Footing -
Foundation ELC
Ftg Drain Access: ---
Crawl Dra!'I ELR --
slab Inspection Notes: SIT
Post 8 Beam
Shsar Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation --
Diywall Nailing
Fire Sprinkler
Fire Alarm
Susp'('Ceiling ,
Roof .5 \ri
Other.
Final - � �---�-- ---
PASS PART FAIL - - - - -
PLUMBING
Post& BeRm - - -
Under Slab --
Hough-In -- ---_-- ----
Water Service
Sanitary Sewer - -
Rain Drains
Catch Basin/Manhoie --
Storm Drain
Shower Pan
Other: ---- -
Final -----
_PASS_PART FAIL - `-- - ----- _.-
MECHANICAL _
Post& Beam --- - - -
Rough-In _
Gas Line
Smoke Dampers
Final - - -
PAS" T FAIL --- -- ----- -_-- --
ECT
Service --- Y- __----
Rough-In
UG/Slab -` - -- -- -
Low Voltage
-Alarm - - - - -- --------
Fi�lA Reins
ASS PART �` pection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE-_ Please call,for rein pection RE:_- -- Unable to inspect-no access
Fire Supply Line l�
ADA , r/ /
Approach/Sidewalk Dah U �--= Inslwctor y°
Other:
Final DO NOT REMOVE this Inspection record from the fobIte.
PlA88 PART FAIL 91, 36-
CITY OF TIGAPD 24-Flour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISIONMST
Business Line: (503)639-4171 • �
BLIP
;ecoved ._.__ Date Requested a _ - AM-_PM BLIP
Location —_- `_� 6�V vv 1 P __Suite. —_ MEC ---
- - ---
Contact Person _..__ —_ Ph( ) S 71 '.SSI - PLM
Contractor Ph(_ __--._-- --. Ph( Ud) 47'7L' SWR
BU_ILDING__-------- Tenant/Owner _ ELC
Footing � -- -
Foundation ELC
Ftg Drain C@SS:
Crawl Drain --'�f _ r ELR
Slab Inspection Notes: SIT
----
Shear Anchors ___-_---
Ext Sheath/Shear
Int Sheath/Shear - - -
Framing _
Insulation —�- --- -
Drywall Nailing
Firewall --
Fire Sprinkler
Fire Alarm —�- O '� C ` I C r�
Susp'd CeilingRoof
`• 1 (� � 1 rl(� 'V J `)
Other:---- V V rC� J�,►�r C. ��� —
Final t ` �N�� i_�, I('� l< r r� /fir I.
PASS PART FAIL
PLUMBING—--- — V51,
Post&Beam
Under Slab
Rough-in r
Water Service
Sanitary Sewer
Rain Drains
Catch Barin 1 Manhole
Storm Drain
Shower Pan --
Other: --- -
Final
PASS PAR* FAIL
MECHANICAL
Post& Beam -- - - -
Rough in - --
Gas Line
Smoke Dampers
Final --
PASS PART F_AiL -- -- --
ECTRI
So Vice
Rough-in
UG/Slab -- —
Low Voltage
praQlarm
i F PAASSSPART FAIL u Reinspection fee of$ - - _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspecyon RE: _ Unable to inspect- J access
Fire Supply LineADA
/
Apr oach/Sidewalk 0O% �� .., Inspector
Other: _ — - ----
Final _ DO NOT REMOVE this Inspection record from the job41't170----
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 �_ 7
INSPECTION DIVISION Business Line: (503)639-4171 MST f1 ____ ______._
Peceived Date Requested PC
-
BUP
_
BLIP
Location -/ 7-C-33 sw rl_.�" jze - Suite--�� MEC
Contact Person Ph(----) Z U S 7 7AY r'-m
Contractor ....... _ ._- -_---------- -- Ph(----) SWR - - - --
BUILD Tenant/Owner .-__--_-- --_._-_- -�_ _._A ELC
Footing
Foundation ELC -- - -_ -
Access:
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT _—
Post& Bearn
---- ----------------
Shear Anchors - -- - - —
Ext Sheath/Shear
Int Sheath/Shear
Frarr,ng -
Insul ation
Dryv all Nail ng -- -- -
F;n wall
Fifa Sprinkler --- ---- --
F re Alarm
3usp'd Ceiling - --- - - - -- ---
Roof
--
•rj,nail
PART FAIL
IiENMBING
Post A.Beam ---�-
Under Slab
Rough-In
Water Service ---- -------------- - -- -
Sanitary Sewer
Rain Drains - -- - -- ---- — - -
Catch Basin/Manhole
Storm Drain - - ---- - -.___- -_
Ptiower Pan
Other: --_ --- ---- -
Final ----
PASS PART FAIL -- ---- _------___..._-__---
_MECNI
_HAC_A_L_-
Post& Beam
Hough-In - - --- --.-
Gas Line
Smoke Darn rs -- - -- -__ _.._._...._----.__.,. -
Final
PASS PART FAIL -- - -- - - -- - ---
ELECTRICAL
Service
Rough-In -
UG/Slab
'ow Voltage
Fire Alarm
Final r-1 Reinspection fee of$__ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_PART FAIL
SITE_ Please call for reinspection RE: Unable to inspect no access
Fire Supply Line
ADA G;L`7-4 1L` -Z�z
Approach/Sidewalk Dates hawpwr#or _ Ext _
Other:
Final DO NOT REMOVE this Inspection record from the)oh site.
PASS PART FAIL
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CITY OF TIGARD BUILDING INSPECTION D:%,"SION MST
24-Hour inspection Line: 639-4175 Busines,.A Line: 639-4171
q BLIP _
_ Date Requested ��� f AM_ PM BLD
Location_ �� i �� Suite MEC
Contact Person ry� ,(� Ph 7� ' �'J� C PLM
Contractor_ _ _ Ph SWR _
UILD Ny
7- Tenant/Owneri ELC
AYN
Wall ELR
noting _ -----�-
woundation Access:
�Ftg Drain FPS c/ (�✓ -------- --
Crawl Drain Inspection Notes: 1 ? SGN
Slab `,l k SIT
Post&Beam ------------
Ext Sheath/Shear
Int Sheath/tShear i — -----------
Framing -------___ -- --- --_,--
Insulation -- ----'
Drywall Nailing
Firewall ,y
Fire Sprinkler -- �'e�S. / �C _1 CD✓/C�� 1-7Qow -L e) eLCj-D�
Fire Alarm q�
Susp'd Ceiling
R oof
Misc
flna
S PART—FAIL - ---_ ---_— --- _-_ —�
PLUMBING
Post& Bearn
Under Slab
Top Out
Water Service
Sanitary Svw--r - - - ----- - ------
Rain Drains
Final -
PASS PART FAIL.
MECHANICAL
Post&Beam - ------_.._ __-_- _____
Rough In
Gas Lina -...- ---- - ---- — --- -
Smoke Dampers _
Final ----
RT FAIL
Service
Rough In
UG/Slab _
Low Voltage -- - ---
Fire Alarm
Fin
A PART FAIL
Backfill/Grading _--- --------
Sanitary Sewer
Storm Drain I J Reinspection fee of$_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: [ J Unable to inspect-no access
ADA
Approach/Sidewalk
er pate Inspector ��''� _Ext
,Q;
PAs PART FAIL DO NOT REMOVE this Inspection rect#rd from the job site.
Alm, CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-0081
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 03/31/98
PARCEL: 22S104CD-07200
SITE ADDRESS. . . : 13533 SW BRIM PL
SUBDIVISION. . . . :HILLSHIRE ESTATES ZONIN3: R--7 PD
BLOCK. . . . YLOT. . . . . . . . . . . . . :072 .JURISDICTION: TIG
Rea,rks: Addition of a350 sq. ft. paraye.
--------- - - -- ------- BUILDING
REISSUE: STORIES.......: 1 7LOOR AREAS-- - BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------
CIASS OF WORK.:ADD HEIGHT......... 13 FIRST....: 0 sf GARAGE.....: 350 sf LEFT..........: 0 SMOKE DETECTRS:
TYPE OF L%...:SF FLOOR LOAD....: 50 SECOND...: 0 sf FRONT.........: 0 PARKING BRACES: �
F(PE OF CONST.:5H DWELLING UNITS: 0 FINBSMENT: 0 Sf RIGHT.........: 11
OCCUPANCY GRP,:R3 BDRM: 0 BATH; 0 TOTAL- ---: 0 sf VALUE.,f: 6188 REAR..........s 0
----..----_-------- - ----- -- --- ------ _---- -- --- PLUMBING -...----- -------------------------
SINKS.........: 0 WATER CLOSEYS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TR,,NS........... 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: b
_---------------------------------------------------------------- MECHANICAL
FUEL TYPES----------- FURN ( 100H ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES L'RYERS: 0
FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 ;AS OUTLETS...: 0
---- --— ----------------------------------------------------- ELECTRICAL_ --------------- -----
-RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -- -MISCELLANEOUS---- --'.JD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - W_ asp..: 0 0 - 200 alp..: 0 H/SVC OR FDR..: 0 p1.RIP.'1RRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5009F.: 0 201 - 4@A asp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 1 SIGN/0.'T LIN LT: 0 PER 40LIR......: 0
LIMITED ENERGY.: 0 401 600 asp..: 0 401 - FA asp..: 0 EA ADDL BR C1R: 1 SIGNAL/N''*EL...: 0 IN PLANT......: 0
MANF HIM/SVC/FDR: 0 601 - 1000 amp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0
1000+ alp/volt.: 0 ----------------------------- PIAN REVIEW SECTIIIN --- -------------------_—_
Reconnect only.: 0 1=4 RES UNITS..: SVC/FDR►=225 A.: ► 600 V NOMINAL: CLS AREA/SPC OCC:
-----------------------------------.------ ELECTRICAL - RESTRICTED ENERGY -----—-------------—----------- --- -------------
A. SF RESIDENTIAL-------------- ------------ B. COMERCIAL -- ---------—-------------------------_._—__— __----
AUDIO A STEREO.: VACUUM SYSTEM..: AUDIO L STEREO.: FIRE ALARM...... INTERCOM/PAGING: OUTDOOR LNDSC LT;
NIIRGLAR ALARM..: DTH: :; BOILER.........: HV.T............ LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
CARAGE OPENER..: CLOCK..........: INSTRUMENTAIIrA: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: MJRSE CALLS....: TOTAL 1 SYSTEMS. 0
Owner: -------------------- -- -- -- --Contractor: TOTAL FEES0 174.51
MARK ALLERS OWNER This permit is subject to the regulations contained in the
13533 SW BRIM PLACE Tigard Municipal Code, State of Ore. Specialty Codes and all
TISARD OR 97223 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone !: 579-:x015 Phone (H: not started within 180 days of issuance, or if At work is
Rog C.: 000000 suspended for more tan 180 days. 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 P1 these rules or
direct questions to OUNC by calling (503)246-1987.
--- ---- -- --- REQU I RED I NSPECT I ONS —------------------
Erosion 844-8444 Framing Insp Electrical Final
Grading Inspecti Shear Wall Insp Building Final
Footing Insp Low Vnitage
Electrical Servi Gas Line Insp _
Electrical Rough �Vin draiZ "In _
Issued Py: Permittee Si gnat
4-++++++-++ .#--#--4.4++++ 4 F++1-+i•+1'+'4'+/....++#•F'4.1L..4 4"4'Y
Call 639-4175 by :00 p. m. for an inspec• ion needed the next bLisines;s day
Plan Check M `f�
ca Y OF TIGARD Residential Building Permit Application Recd By
Date Recd
?5 SW HALL BLVD. New Construction Additions or Alterations Date tr P E.
OR 97223 Single Family Detached or Attached (D:Iplex) D,x to DST, -ia 91'
4171 Permit 0_/1
42^7 Caned—
Print or Type
Incomplete or illegible applications will not be ccepted
r-- Namc of Project No ne
\.r Mailing Address--
Job �- 1 Architect
Address Site Address —
�- �^Z r_ �� CitylState Zip Phone
'—
No Name —
Owner Mailing Address --
7 ` i Engineer Mailing Address
ity/state Zip Phone _
Citv!State Zip Phone _
General Name
M - W. Alteration O Repair O
Describe work New O Adddiun
Contractor to he done:
Mailing Addre s Additional Description of Work:
Prior to permit 6?_
issuance,a ropy CitylState Zip Phone
cf all licenses — PROJECT
are required if Oregon Const.Cont.Board Exp.Date VALUATION $ _ 1
expired in COT L,c.ff ---
database — - NEW CONSTRUCTION ONLY:
Mechanical NaTe - Sq. Ft. Garage
Sq. Ft. House: g
Sub- --�—__ ------- _ _
Contractor Mailing Address Corner Lot YES NO Flag Lot YES NO
Prior to permit -- — (check one) (check one
issuance,a copy CitylState Zip Phone --
of an licenses _—. Restricted � AudiolStereo Burglar
Energy Alarm
are required if Oregon Const.Cont.Board Exp. Date System �—
expired in COT Lic.tl
Installation _ Garage Door HVAC
database , --- Opener — 1__— SysternS
Plumbing Name (check all that — Other
Sub- - app) --- _ -- -
Contractor Mailing Address Will the electrical subcontractor wire for 211 ^� YES NO
_ restricted energy installations?
Phone
Prior to permit Citylstate Zip [Hahe Subdivision Flat recorded? /A YES NO
issuance, a copy _ —of all licenses are OregonConstContBoard Exp. Date sue of MST#�::L
Solar Compliance
required if L ic.# (Calculation Attached)
expired in COT _—_ application,that the
database Plumbing Lic.N E.xp. Date rby acknowledge that I have read this app
mation given is correct,that I am the owner or authorised
___ _ t of the owner and that plans submitted are in compliance
- --` Name �o �,` 0 e on St to a c.f9rlAge t Da eElectrical . , \ � �cSub- Mailing Adc ress --�- — Phone
a Pel on N me,
t.ontractor _ _
Phone '�""��—
City/State ZIP FOR OFFICE USE ONLY:__ _
Prior to permit ---
Plat# Map�1 L#.
'ssuance,a co PY ;lJ ar
Iof ail licenses are Oreoon Cons.Cont Board Exp Uale — FZone: S
required if t.ic Setbacks: —expired inCOTExp Datedatahase Electrical Lir.# Engineering Approval ng Appro•dal TIF:
—
I:SFREM.DOC (DST) 4/97
Permit#: -
Address:
issued by: -_ -- Date:
Statement: Information Notice to Property rwners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli-
cants Ao are not registered with the Construction Contractors Board to sign the
following statement before a building permit can be issued. This statement is required
for residential building, electrical, mechanical, and plumbing permits. Licensed
architect and engineer applicants, exempt from registration lundcr ORS 701.010(7),
need not submit this statement. This statement will be filed with the permit.
Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 3B:
I. I own, reside in,or will reside in the completed structure.
2. I understand that I must rep;ster as a construction contractor if the structure is sold or offered for sale
l� before or upon completion.
3A. My general contractor is ————--
(Name) Contractor regis. #
I will instruct my genual contractor that all subcontractors who work on the structure must be
registered with the Construction Contractors Burd.
OR
�3B. I will be my own general contractor.
If I hire subcontractors, I will hite only subcontractors registered with the Construction Contractors
Board. if I change my mind and hire a general contractor, I will contract with a contractor who is
registered with the CCB and will immediately notify the office issuing this building permit of the
name of the contractor.
I hereby certify that the above information is ccr r ect and that I have read and do understand the Information
Milk( to Proper!y ( w ers ab tit Consu on R onsihilities on the r•e%crse side of this ' rm.
`l
(Sign ure of permit applicant) (Date)
(White copy to issuing agency permit,Fle,
pink copy to applicant)
u S 1 C i O D 7a 4 D
Ccs �o.ua�e �FL
l�8
CoCS�
� S�a
�..cxtiL
i
I
i
"C" ITY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-001-',3
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 63/02
PARCEL: zS104CD-07200
SITE ADDRESS: 13533 SW BRIM PL
SUBDIVISION: HILLSHIRE ESTATES ZONING: R-7
BLOCK: LOT: 072 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN — EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: —BOILERS/COMPRESSORS _ HOODS:
_
FUELTYPES _— 0 3 HP: _ DOMES. iN-iN:
L.PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: REPAIR NITS:
GAS PRESSURE: 50 + HP: WOODSCLO DRYERS:
FURN < 100K BTU: _AIR HANDLING UNITS_ _ OTHER UNITS:
FURN >=100K BTU: _ <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install gas piping with 1 outlet to fireplace gas logs
Owner: _ _ FEES
ALLERS, MARK + JENNIFER Type By A Date Amount Receipt
13533 SW BRIM PL PRMT CTR _ 6/7;02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 6/7/02 $5.80 2720020000
Phone:
Total $78.30
_ ----.—
Contractor:
GP + W SYFTEMS, INC
732 MARBLE RD
WASHOUGAL, WA 93671 REQUIRED INSPECTIONS
Gas Line Insp
Phone:360.835-3516 Mechanical Insp
Reg #:LIC 108176 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 18C dayE of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you lo follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-00, 0 through OAR
952-001-0080. You may obtain copies of these rules or direct questio s to OUN by calling
(,nq1^ar;_Q1RQ
Issue By: ,, Permittee Signature`
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application ONOMENOMMEN"
- - Uatereceived: -LJ Permitno.: � . Q
�City of I'>I�ard Project/appl.no.: Expire date:
citya(Tigard Address: 131 !S SW Hall Blvd,Tigard,���223 Date issued: B Receiptno.:
Phone; (503) 639-4171 Paymenttype:
Fax: (503) _598-1960 Case file no.: Y
Building permit no.:
Land use approval: _
0 Multi-family U'1'enant improvement
rtdJ 2 family dwellifig or accessory U Commercial/industrial yw cott'j. itut U Addition/itlterdion/replacement O nlher --
fJIM
Job address: ( _lam Indicate equipment quantities in boxes below.Indicate the dollar
:�t�Suitc value of all mechanical materials,equipment,labor,overhead,
Bldg.no.: --� profit.Value$ —
Tax map/tax lot/account no.:
*See checklist for important application information and
Lut• Block: Subdivision:
jurisdiction's fee schedule for residential permit fec.
Project name: WJN, - t
City/county: q II=r f
t
Description and -a ion of work on premises:_ - I ee(Ca.) Total
Description Qty. Rcs.only Hes.rrnly
Est.date of completion' spection: �__
Tenant improvement or change of use: Air handling unit _CFM
Is existing space heated or conditioned?U Yes U No Air con fuoning(site--pTan required)
Is existing space insulated?it Yes U N-i terationofexisting C system
oiler compressors
State boiler permit no.:
Business name: tt[r"+S+- _.—.-_— HP __Tons BTU/11
Address;�� Z ` tr smoke ampers/ductsmo a erectors
State ZIPS 7/ cat pump(site plan require )
City: Lt3"h �- Install/rep ace umac umer
Phone. Q �i E-mail: Inc rtt,ong ductwork/vent liner U Yes U No
o.: (.• __ Tnsi `.:'rep ac re orate eaters-suspended,
CCB n $'(-�'---"--- wall,or floor mounted
City/metro lie.no,: &215 - --- entfora fence other t 5575rn,Te
Name(please print): a gent :
�Mlkll Filmf Absorption units, _ BTU/N _--
Chillers - HP
Name: - -- compressors. III'
Address: �j_�_C�l) o ronmenia ex react and ventija on:
City: t��E-mPp Appliance vent
Phone: I'ctx: ryercx aust
oods,'�ype res. itc en/hazmat
f hood fire suppression system
,n` " n, f_ J�J il,rs(� Exhaust fan with single duce(bath fans)
Name: _J J[isael SU�C� - s+►� xhaust s stem a :ut from eatin or C
Mailing address: '3 ,$L r�1M P�-- u�e7 p ng an sir ut o to out ets)
City: Stale: LIP: r�, ._ lype: - LM _ NG Oil _
Pltone: Fax: E-mail: •uc n in cac ad iuona c out ets
roctwsp ping(schematic required)
Number ut outiets
Name: — _ Cher st app ance or eq---u tent:
Address_ U—sen- ve fireplace _ -
St te: LIP: nsert-type
City: o stov pe et-strive
. -
{'hone: E-mail _WCf_:
Applicant',! signawrm , Date: 1-D
Name(print): -- -- — — Permit fee .... ....$
Not all jurisdictions accept credit cards,please 0111 juri.diction for rmwr information notice.1-his permit application Minimum fee................$ — -
❑Visa U Masterrard expires if a permit is not obtained plan review(at — %) $
Credit 0rrd number _ --- -- E.xpirrc within d a days after it has been State surcharge(8%)....$
— ---- accepted as complete. TOTAL
— Nrtme of ccs older n shown on credit c,ud .......................$
$ 4404617(&M COM)
C �lputttre � Attroaat
Commercial Schedule
1&2 Family 'swelling Schedule
ASSUMED VALUATIONS PER APPLIANCE rxry$lwn
Furnace to 100,000 BTU Table to Mechanical Code-_ Oly Price Total
1)Furnace t0 100.000 BTU
Including ducts&vents 955 a,dudmg duds s veins 14.00
Furnace>100,000 B l ll 2) Furnace 100,000 BTU+
including duds 6 vents 17.40
including ducts&vents 1,170 al FwaFumsce ---- -- --
-- induding vent 14.00
floor furnace 4) suspended healer,wail healer
inciu(trigvent 955 _orfloor mounted healer 14.00 _
suspended heater,wall heater 5 vein not included in appliance permit 6.80
or floor mounted heater 955 6 Repair units 12 15
,Check all But apply *BeliefHcat Air
Vent riot Included in appliance permit 445 For lards Y-10,rise r or Pump ',olfd .City Price Total
Repair units 805 footnotes 1,2 Com _ _••
P 7)0HP,absorb unA to
<3 hp;absorb.imit 100K BTU 14.00 _
8)3.16 HP,absorb unit
to 100k BTU 955 look to 500k BTU 26.60
3-15 hp;absorb unit unit m-30 il HP,
36.00
101k to 500k BTU 1700 10)30.50 HP,absorb -- -
--
unit 1.1.75 mit BTU a 52.20
15-30 hp;absorb.unit Ili-WHP,absorb unit 11.75 mll BTU
97?0
E01 k to 1 mll.BTU _ _ 2310 12)Air ho ling un to 10,000 CFM 1
30-50 hp;absorb.unit10'00
13) frhandling un810,000CFM+
1-1.75 mil.BTU 3400 17.20
>50 hp;absorb.unit -14)Non•purteble evaporate cooler
10.00 _
> 1.75 mil.BTU 5725 15)Vent fan cminecled to a single dud
6.80
Ah handling unit to 10,000 cfm 656 16)Ventilation system not Included In
sprint rm1 10.00
1i)Ho
Air handling unit>10,000 cfm 1170 Hood carved byn�chankal exhaust --
-- 10.00
Non-portable evaporate colter 656 1e)-oonesu mu„amwn• ,
Lent fan connected to a single duct 446 . 17 40 _
-- - 19)CommerdN or frdwlrinl lyra Incineratot
Vent cyst.not included In appliance permit 65.6 as. 5
Hood served by mechanical exhaust _ 656 20)other units,Including wooTrloiel 10.00 _
Domestic Incinerator 1170 21)Gas piping one to four mullets SAO
Commercial oa Industral Incinerator 4590 22)More man 4-per outlet(each)
- - 1.00
Other unit,including wood stoves,inse-ts,e- 656 MinimumPermit Fee$72.50 SUBTOTAL
Gas piping 1-4 outlets 360 - 8%SURCHARGE
Each additional outlet 63 PLAN R(tfQW,aS% UBTOTAL
Required for ALL commercilll plmtla only
TOTAL
Other Inspacn-m and Fen:
1 Inspectxms out%We of nonmar business hmn(-nimnxn rho,ge W.hodllt
172fie per ho,x
2 bnpecbons Ica wh,rh m 1,•e h enedf ally xw!rA*d(nNnimum chary-hall hour)
172 Se per h-,
Total Valuation __ _ _ - FCC ) Aadd",pan rev ew ren,A M by changes,addmms rxrevisions b plans(--imam
chsrgemnelua hoW)17a.SeparlaAt,
_ 'Stale(`M*sc x Bmer Cediricalbn mguaM
$1.0010 55,000.00 -- Minimum$72.50 -brink ,al Art:n,jdkw to.Man shewhp pla(Ah"n1 ane
_ n
55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
each additional 5100.00 or fraction thereof,
to and including 510,000.00
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54
for each additional$100.00 or fraction
thereof,to and including$25,000.00
$25,001,00 to$50,000.00 $379.59 fariie first$25,000.00 and$1.45
for each additional 5100.00 or fraction \
thereof,to and including$50,000.00
$50,000.0(,and tip _ S742.00 for the first$50,000.00 and$1.20
for each additional$100.00 or fraction
thereof
7
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 , MST
INSPECTION DIVISION Business LUie: (503)639-4171
BUP
Received . _Date Requested _ AM PM BUR --_
Location _-.__ 1 s -3 Suite _ ME ,;� e
Contact Person ___ _ Ph(-) PLM
Contractor_---- _ Ph( 3(oG� T3 5- 35 1 SWR ----- -
BUILDING Tenant/ n -- _ ELC --
J - ---
Footing C ` _ ELt
Foundation Access:
Ftg Drain E i..R —
Crawl Drain --- J / SIT
;lab Inspection Notes: ---
Post&Beam - - _ —
Shear Anchors / (f t
Ext Sheath/Shear G
Int Sheath/Shear
Framing - - -
Insulation S L
Drywall Nailing — =��-- ----- - ' — —
Firewall
--- _
Fire Sprinkler -- ---
Fire Alarm
Susp'd Ceiling — —`--- — —
Roof
Other: ---- ----
Final —
_PASS PART FAIL -- -
_PLUMBING — _----- --_ -
Post& Beam
Under Slab _—
Rough•In
Water Service — -- -
Sanitary Sewer
Rain Drains ----- - ---- - -
Catch Basin/Manhole
Storm Drain --
Shower Pan —
Other: - ------- --------
Final
PASS PART---FAIL
MECHA_NICAL_ -
Post& Beam
Rough-In -
Svrj_ Dampers - ---- - -- - --
�i _
AS PART FAIL
RICAL ---
Service
Rough-In ___------------_---- _—__-_ _ -
UGiSlab
Low Voltage - ----- _ ------- - ---
Fire Alarm
Final ❑ Reinspection tee of$ - - required before next inspection. Pay at City I fall, 13125 SW Hall Blvd.
_PASS_ PART FAIL
SITE — ❑ Please cell for reinspection RE: _ -_-_— [] Unable to inspect-no access
Fire Supply line V--q
��j ��
ADA Dats—�` v -- Insp�tor. " `-'" -- ExtZApproach/Sidewelk -- --- ---
I Other
Final DO NOT REMOVE this Inspection record from tho Job site.
PASS_PART FAIL
I