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Case File 00 Q �A N W CCrV C 1 7 r m CD 8701 SW BraebUrn Lane CITY OF TIGARD BUILDING INSPECTION DIVISION MCT 0)2U/��� 24-Hour Inspection Line: 639-4175 Busi"ess Line: 639-4171 ---- �� t3 U P --- Requested_` _ AM PM ----Date - BLD _ Locacion_ �G 1_s(,� -lq ��+ L_r__— Suite --_ MEC — Contact Person _ _ Ph .S��J'G 9 3 PLM Contractor __ Ph SWR BUILDING V Tenant/Owner ELC _ Retaining Wall — - ELR _ Footing P,ccess: - ----- Foundation FPS Fig Drain ��<< ✓ �K, _"_-.-__-_ Crawl Drain lnsl34cticn Notes SGN Slab Post&Beam - -- -- -- - - SIT - Ext Sheath/Shear Int Sheath/Shear ) — Framing - - - L"L �a x- ffim Nµ ,I Insulation f FV Drywall Nailing 4 /.#A( �►� ��,r,� Firewall ----`- - Fire Sprinkler _- Fire Alarm - - Susp'd Ceiling Roof Misc Final - PASS PART FAIL. ------ Post&Beam - - -- --- Under Slab Top Out / - ---- - --- Water Service(',) tt Sanitary Sewer Rain Drains PART FAIL - _�--- HANICAL -- Post& Beam - Rough In Gas Line ----- - - _--_- ____ Smoke Dampprs Final ------ -- -- PASS PAF:T FAIL -v_---_- ----- ELECTRICAL --- - - -- - Service Rough In ------_. - -_-- UG/Slab Low Voltage Fire Alarm Final - PASS PART FAIL SITE - --- - _- Backfill/Grading - — - -- - Sanitary Sewer Storm Drain ( ]Reinspection fee of$- - required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: ]Unable to inspect-no access ADA Approach/Sidewalk ' Other Date ��� D- Inspectors' �� ��'��_. Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175Business Line: 639-4171 MSTG Gd 3 G -- Date Requested � Z AM PM ---- —__- BUP BLD Location_ �(lLsc✓ Qr` c.,� Suite MEC - Contact Person _— Ph - O FLM ----_---� Contractor Ph _ SWR -- --`----------- BUILDING Tenant/Owner ELC - -`-- Retaining Wad - --- --T..�- Footing Accass: ELR - -- - --- -- Foundation FPS Ftg Drain - - -- --- Crawl Drain Inspection Notes: — SGN Slab ----- -- Post&Beam - -- - ------ SIT _ Ext Sheath/Shear - Int Sheath/Shear Framing _ Insulation - -- --- --- --.-..--- --- -- - ---- Drywall Nailing Firewall - Fire Sprinkler __- Fire Alarm --- Susp'd Ceiling Roof / ---- - Final — - -- PASS PART F. - PLUMBING - ---� - Post& Beam - ------- Under Slab Top Out - - --- Watei Service Sanitary Sewer -- - Rain Drains Final -- - PASS PART FAIL MECHANICAL -�- - - - Pvst& Beam - -- - _ Rough In - Gas Line Smoke Dampers Final PASS PART FAIL - - - Service Rough In - - - -- - — UG/Slab Low Voltage - - -------- - -- - - - -- F' term P SS ART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: J Unable to inspect-no P;;cess ADA Approach/Sidewalk _ Date Other - --( . - Inspector� 04"j . xt Final - PAS�' PART FAIL - DO NOT REMOVE this inspection record from the job site. CITY OF'TIGARD BUILDING INSPECTION DIVISION MST `Zell!- CIQ�QCT ,24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUR ---.Date Requested - - cr AM _PM — BLD Location L i >;-,�_� _ Suite MEC _~v Contact Person -r azes _ Ph 3Z7e PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ^- ELR Footing Access ---- Foundation FPS Fig Drain - ------- -- Crawl Drain Inspection Notes. _.. SGN Slab Post&Beam - ---- SIT Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firewall �.--- Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof - - - Misc: _ ink- - - — ASS PART FAIL PLUMBING w - Post&Beam Under Slab I op Out - -- Water Service Sanitary Sewer Rain Drains Final -- PASS PART FAIL _ MECHA GAC - - - ['ast & Hearn _- ---- - - Rough In ------------ Gas Line - - - - - Sq]0ke Dampers —_ PASS PART FAIL ELECTRICAL - - - 3ervice Rough In -- -- -- -- - -- -- -- UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL_ 817E Backfill/Grading -- --- - - - ---- -- — Sanitary Sewer Storm Drain ( ( Reinspection feF nt$ N_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I 1 Please can for remspaction RE: _ j Unable to Inspect-no access ADA Approach/Sidewalk Date Ext Other _�-'� _ / Inspector Final PASS PART FAILA DO NOT REMOVE this inspection record from the job site. o � c n f 71 T � � o o• � � i a j 1 r0 o lot O o � a h s a 3 O 3 ie �\ CITY Y Q F T I GA R V _ ELECTRICAL PERMIT PERMIT#: ELC2002-00393 DEVELOPMENT SERVICES DATE ISSUED: 8/15/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111DA-00700 SITE ADDRESS: 08701 SW BRAEBURN LN SUBDIVISION: APPLEWOOD PARK ZONING: R-7 BLOCK: LOT : 00' .JURISDICTION: TIG Project Description: One branch circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: S16NAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): ,^ SERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L. INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: -- 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp. PLAN REVIEW_ SECTION_ 1000+ amplvolt: >=4 RES UNITS: — > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CHARLES AL.FARO TODDS LIGHTING & ELECTRICAL 8701 SW BRAEBURN 938 HALEY CT. TIGARD, OR 97224 OREGON CITY, OR 97045 Phone: Phone: 503-742-1899 Reg!#: ELE 3-510C LIC 146666 SUP 4434S _ FEES _ Required Inspections Type By -- Date Amount Receipt Rough-in PRMT CTR 8/15/02 $46.85 2720020000( Elect'I Final 5PCT CTR 8/15/02 $3.75 2720020000( Total $50.60 L� This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire N work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted 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 Permit Signature: Issued By: _. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: A �_— DATE: LICENSE NO: _._ —.------- — — -- Call 639-4175 by 7:00prn for an inspection the next business day Electrical Permit Application rved Electrical z B : Permit No.: Cit of Tigard Planning Approval Sign Y g Test 1'orm Date/BX: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-6394171 Fax: 503-598-1960 Post-Peview Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contactauris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Su Iemcnlal Information, TYPE OF WORK PLAN REVIEW Please check all that a Iv New construction Uemolltion Scrvfce over 225 amps- I lealth-care facility commercial ❑Hazardous location L�rAddition/alteration/replacement Other: ❑Service over 320 amps-rating of ❑Budding over 10,000 square feet, CATEGORY OF CONSTRUCTION I &2 family dwellings four or more residential units in 1 & 2-family dwelling 0 Commercial/Industrial ❑System over 600 voles nominal *One structure AeeeSso Buildin 4 Multi-Family ❑Building over three stories ❑Fecders,400 amps or more —_ 6' __ y ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighling plan ❑Other: _ JOB SITE INFORMATION anti LOCATION Submit_sets of plans vvilh any of the above. --T---- The above are not applicable to temporary construction service. .lob site address: 4 e/ lW.� „tt FEE*SCHEDULE Suite#: I Bld r./ _ Number of Its pectio_ns per ermit allowed Project Name: /ala tc�r.•ft� Lic rf, Dcscrl lion Qty Fee(ca.) Total Cross StrCCl/U1reCt10nS t0 Ob site: New residential-single or nmld-fandly per l pp j / dwelling unit.Includes attached garage. � � UUI n Gs.h�C �P`lewdr�� �• dr�lJrSrell Service Included: 1000 sq.fl.or less 145.15 4 Each additional 500 sq.n.or Portion thereof 33.40 1 Limited energy,residential 75.00 2 Subdivision: Ale w,eco 1 I Lot#: Limited energy,non residential 75.00 2 Tax ma / arcel Each manufactured home or modular dwelling DESCRIPTION OF WORK service andhrr feeder 90.90 2 —' Services or feeders-Installation, ����1 L�J 1 l� 5 �� alteration or relocation: 200 amps or less _ 80.30 2 — --— ---— - 201 amps to 400 amps 106.85 2 401 amps to G00 amps V 160.60 2 ROI'ERTY OWNER 'TENANT 601 ams to 10(x)amJls 240.60 - 2 Name: ell tN r over 1000 ams m „di, _ 454.65 2 Reconnect onk 66.85 2 Address: `lf Ze / $'L 91b 4-,&.C— Temporary ser%ices or feeders-Installation, �- T' alteration,or relocation: City/State/Zip: / I' wr l �� 200 amps or less 66.85 1 Phone: Fax: 201 amps to 4(N)amps 100.30 2 APPLICANT CONTACT PERSON 401 to 600 am ps 133.75 2 -- Branch circuits-new,al(cralhrn,or Name: extension per panel: Address: A.Fec lbr branch circuits with purchase of service or feeder fee each branch circuit 6.65 2 city/state/zip: _ n.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.R5 2 Phone: t flX Each additional branch circu” 6.65 2 E-mail: Misc.(Service or feeder not included): VON I it\(`f(M Each um or irri ation_circle 53.40 2 Job NO: Each sign or outline lighting _53_40 2 Signal circuit(s)or a limited energy panel, Business Name: 1,bit_ J/,T/, J� alteration, 75.00 _ 2 Address: Description: _/ z : ('r /� F.ach additional Inspection over the allowable In any the above: City/State/zip: y Per inspection r hour-min. 1 hour 62.50 _ Phone: e,r 3 Z/y Pax: Z �` Invcstation fee: CCB Lic. #: I y t ,(a c• Lic. #: s o c;, Other Supervising electrician , Electrical Permit Fees" Subtotal S dyl signature required: '1'� + Oft _ Plan Review(25%of Permit Fee) S Print Name: Lie. #: --S — State Surcharge(8%of Permit Fee) S --4--Zi-- TOTAL _ 4-1TOTAL PERMIT FEE S Ao Authorized �- Notice: This permit application expires If a permit Is not obtained within Signature: 4[�- Date: I �` 180 days after It has been accepted as complete. �% (r jCyu1� _ *Fee methodaiaRs set by Tri-County Building Industry Service Board. (P ease print name) CITY OF :-IGARD 24-Hour BUILDING Inspectiun Lire: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP -- - - ---- Received pate Recluestec; � _AM Z�PM_ BUP Location _ ( _�`'i'1, Suite MEC _ Contact Person __ Ph( ) 3 PLM Contractor ._ _ Ph( ) SWR BUILDING _ Tenant/Owner — ELC ;2 c) Footing ELC Foundation Access. - Ftg Drain Crawl Drain _ _ �� _ `� �C C�. q YL_, ELR — Slab Inspection Notes: SIT Post& Beam Shear Anchors -- -- Ext Sheath/Shear Int Sheath/Shear Framing ---- - _._ -- - ---- - --- - Insulation Drywall Nailing 1cl _ 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 v Other Final PASS PART FAIL - - -- - - - -- ---— — MECHANICAL Post& Beam - - ---- -- -------- — 9ough-In Gas Line Smoke Dampers Final PASS PART FAIL --- -- --- _ ELECTRICAL _ Service — -- - — Rough-In �( lSlab ---__ —_-- -------- -- Low Voltage _ F' Alarm --- --- --� on fee of$�_ required before next PART FAIL Reins� p� � � Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE:_ _. EI Unable to inspect-no access Fire Supply Line ADA D� / Inspector - - _4APProach/Sidewalk --- - Other: Final DO NOT REMOVE this Inspection record from t job site. PASS PART FAIL j CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VLY HWY #C ALOHA, OR 97006-1249 Electrical Signature Form Permit #: MST2001-00079 Date Issued: 319101 Parcel: 25111 DA-00700 Site Address: 08701 SW BRAEBURN LN Subdivision: APPLEWOOD PARI( Block: Lot 003 Jurisdiction: TIG Zoning: R-7 Remarks: New SF detached. path 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the elech icaI perm it 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 LEGEND HOMES GARNER ELECTRIC 12755 SW 69TH AVE #100 21785 SW TUALATIN VLY HWY #C TIGARD, OR 97224 ALOHA, OR 97006-1249 f'honn 11 Phone #: 503-•648-4552 Req #: uc 121159 SUP 3707S FLF 34-305C AN INK SIGNATURE IS REQUIREDr THIS FORM Signature of Supervising Electrician If you have any questions, please call (50) 639-4171, ext. # 310 CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SE11VICES PERMIT #: ELC97-0814 UAW L DATE ISSUED: 12/15/97 1311.5 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 2S11. 1DA-APW03 SITE. ADDRESS. . . :08701 SW DRAEBURN LN SUBDIVISION. . . . :APPLEWOOD PARK ZONING: R--7 PD BI_..00K. . . . . . . . . . : LOT. . . . . . . . . . . . . .003 JURISDICTION: T I G r)i-o..ject Description : Installation of temporary service. RESIDENTIAL UNIT---- ---TEMP SRVC/FE.EDF-RS------ ------MISCELLANEOUS--------- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 atop. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL... . . . . . . : 0 MANE. HM/ SVC/FDR.. . - 0 601+amps-1000 vol. h;s;. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDE:R - -- --- -----BRANCH CIRCUITS---- ---- -----ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 E'ER HOUR. . . . . . . . . . . 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 E,01 1.000 amp. . . . . : 0 -~-------_._____.__...... __.....PLAN REVIEW SECTION-- ------__. 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ------------------------------------------------------- FEES ---------------- LEGEND HOMES type amount by date recpt PLAZA 2, SUITE 200 PRMT f 60. 00 DRA 12/1.5/97 97-301730 6900 SW HAINES SPCT $ 3. 00 DRA 12/15/97 97--301730 T I GARD OR 97223 :ContPhone #.- Contractor: ractor: _____--------- -•---___._-------------------_-_-____..._.--..-__--_--------._.______.._._....... GARNER ELECTRIC $ 63. 00 TOTAL 21787 SW TUALATIN VALLEY HWY SUITE L ----- -- REOUIRED INSPECTIONS - - ALOHA OR 97006-1248 Rough-in Elect' l Final Phone #: 591--1.320 E1ect' 1 Service Reg #. . : 001211 ___.---.-_-- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if pork is not started within 188 days of issuance, or if work is suspended for more than 188 days, ATTENTION; Oregon law requires you to follow the rules adopted by the Oregon Ift ility Notification Center. Those rules are set forth in OAR 95r-A81-9A1a thro h OAR O52--ANI-1987. You eay obtain a copy of these rules or direct questions to by c ling (593))22446-1198 Permittee Signatut-e : 1f a.Isi_ied By : . i� -------------------------------OWNER INSTALLATION The installation is being made on property I own which is not intended for, sale, lease, or rent. OWNER' S SIGNATURE: DATE: ----------------- -- - ----CONTRACTOR INSTALLATION ONLY---------------------__-_.-_ SIGNATURE OF SUM ELEC' N: — DATE: LICENSE NO: ++!++++++++++++++++++++++•++++++++++++++++++i.+++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day 4 +++++4•++++++++++++++++++++++++++++++.f++++++++++++++++++++4.++++++++++++++++++++ CITY OF TIGARD Electrical Permit Application Plan Check# - 1312.5 SW HALL_ BLVD. Recd ByC _ TIGARD OR 97223 Date Recd /J Phone(503)639-4171, x304 Date to P.E Type inor e Inspection (503) 639-4175 PrYp Date to DSTPermil Fax(503) 684-7297 Incomplete or illegible will not be accepted Caned 1. Job A:;uress: 4. Complete Fee Schedule Below:- Name of Development l Number of Inspections per permit allowed Name(or name of business) L P -� �3;7) y/ Service included: Items Cost Sum Address ci'e✓� 4a. Residential-per unit City/State/Zip l 7�1 ;2 loco sq.ft.or less $110.00 __�__ n Each additional 500 sq,ft.or - Commercial ❑ Residential ❑ portion thereof $25.00 Limited Energy - $25.00 _ Each Manuf d Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $68.00 (Attach copy of all urrent licenses) 4b.Services or Feeders Electrical Conti t0 iInstallation,alteration,or relocation Address ' -3 „ - l-,, 200 amps or less $80.00 (l0 _ 201 amps to 400 amps $80.00 City State ip _ _ 401 amps to 600 amps 8120.00 ----- 2 Phone No. 601 amps to 1000 amps $180.00 _ 2 Job No. .3 1 1 Over 1000 amps or volts _ _ $140.00 , 2 Elec.Cont. Lice .No. l' Exp.Date -� Reconnect only $50.00 OR State CCB Reg, No.C / j Exp.Date _ 4c.Temporary Servlces or Feeders COT Business Tax or Metro No. < < Exp.Date_ _ Installation,alteration,or relocation 1 200 amps or less $50.00 _ Signature of Supr. Elec'n Z.i - 201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, i License No. 4 C' �-� Exp.Date *so^b"above. Phone No.__LLjjy 4d.Branch Circuits r1(!w.alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 City _ State_ Zip b)The lee for branch circuits - without purchase of Phone No. _ service or feeder fee. First branch circuit $35.00 The Installation is being made on property I own which is riot I Each additional branch circuit $5.00 _ intended for sale,lease or rent. 49.Miscellaneous Owner's Signature (Service or feeder not included) -- Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 3. Plan Review section (if required):* Signal circu8(s)or a limited energy---- panel,alteration or extension $40.00 Please check appropriate Item and enter fee in section 58. Minor Labels(10) $100.00- ----- _ _4 or more residential units in one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $35.00 Classified area or structure containing special occupancy Por hour $55.00 as described In N.E.C.Chapter 5 In Plant - $5500 #Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. So.Enter total of above fees $ � 5%Surcharge(.05 X total fees) $ fV_OTICE. Subtotal $ 5b.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if T uirgd(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY rr--J�� - TIME AFTER WORK IS COMMENCED. LTrust Account a Total balance Due S IIDSMELCBd AIT Rev W06 Am- CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection bine: 6394175 Business Phone: 6394171 Date Requested: I " C( J A.M. P.M. MST: Location: ( i�, — Bl IP: Tenant:_ , Suite: Bldg: — MEC: _ Contractor: -- - L� _ Phone: �1 to -3 PLM: -- Phone: ELC: ELR: SIT: _ BUILDING BLDG(con't) PLUMBING MECHANICAL ECTRICA " 5IT,? Site Post/Beam Post/Bean Post/Beam Sewer/Storm Footing Roof UndITSIab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace C-- m � MISC. Masonry Ceiling Rain Ihain A/C G Slab Shear/Sheath Fire Spktr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approvcd Approved Appr/Sdwlk Not Approved Not Approved Not Apprcved proved Not Approved FINAL FINAL FINAL FINAL FINAL ..........-�� C.1 Call for reinspection inspection fee of S required before next inspection 0 l)nable to inspect Inspector:_ Ihrte: � Page of — 00 0 761 CITYO� T I G A R D — _MASTER PERMIT DEVELOPMEN SERVICES DATE EISSUIED: 4/5/0'1001-00130 /5/0'1001 0013(1 3'1,,5 SW Hall Blvd., Tigard, QR 97223 (503) 639-41-11 S-1 FE ADDRESS: 08/'01 SW BRAEBURN '.N PARCEL: 2SI11DA-00700 SUBDIVISION: APPL17WOOD PARK ZONING: R-7 3t SCK: _ _ __ LOT: 003 JURISDICTION: TIG i% :1.1ARK �De ubmitted - of iginal MST permit: house too big for lot BUILDING EIL°1'•' S'ORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED t "i.ASS t+/,ORK: HEIGHT: 4 FIRST: 802 at BASEMENT: of LEFT: 4 SMOKE DETECTORS: Y ,YPi:4FUBE: SF FLOOR LOAD: 40 SECONo 840 at GARAGE: 454 at FRONT: 20 PARKING SPACES: 2 TYPL nF CUF:T: 5N 0-,w.LLING UNITS: 1 FINBSMENT: of R:3HT: 26 VALUE: $152,010.00 OCCUPAN,71 „ 03 BDR!t 3 BATH: 3 TOTAL: I,64200 of REAR: 15 PLUMBING SINKS: I WATER CLU iETS: .1 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES _ FURN<1100K: 1 BOIL/CMP<]HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS. 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRf;UITS MISCELLANEOUS ADO'L INSPECTIONS 110004F On LESS: 1 0 200 amp: 0 - 200 amp: W/SVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 2 201 400 amp: 201 400 snip: lot WIO SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVC/FDR: 601 • 1000 amp: 601+amps•1000v: MINOR LABEL: 10004 amplvoll: 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 B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,614.10 LEGEND HOMES This permit is subject to the regulations contained in the 12755 SW 69TH AVE#100 S Tigard Municipal Code,State of OR Specialty Codes and TIGARD,OR 97224 all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone, Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg N: forth in CAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by tailing(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Seam Mechanica Mechanical Inap Shear Wall Insp Rain drain Insp Plumb Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Insl Water Line Insp Final inspection Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage ApprlSdwlk Insp Building Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Gas Line Insp Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp Gas Fireplace Mechanical Final Issued By :.� � L-7-�_ Permittee Signator Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day Mechanical Permit Application Date received: Permit no.: Cit y of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (50)639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: Building permit no.: 1 .!� &2 family dwelling or accessory U CommerciallindttstrW U Multi-fancily U Tenant improvement New construction U Add ition/alteratjon/replacement. ❑other. — 1 Job address: L' / Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.:_ Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ ,---�_ I.ot: G� Block: - Subdivision: _ *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/coun�,00, ZIP: 1.d Description and lavation of work on premises: litiAlglimillalq 11111101 IN _. _ Fee(en.) Total Fist.date of completion/inspection: Description Rr .oely Res.only Tenant imp�' ng eme r change of use: Is espace heated or conditioned?O Yes U No Airhandling unit —.—CFM P u con iuond' on (site Zan rcyutre ) Is space insulated?Q Yes ❑No A terauon o existing Z°sysiem of er cnmpreasors Business name.: � — State boiler permit no.: HP Tons B"1'U/H .]dress: luristrio kc ampe—ri7_du_�t smo a detectora City [ Statw ZIP: �J7o?f eat pump site plan req to re-dj F,-mail' tall/replace urnaca urner Phone: -7 7 Fa.:�:3-'7/, —___-- Including ductwork/vent liner U Yes O No _ CCB no.: 1 _ ___ nsin rep ac re ovate eaters-suspended, — C'sty/meat,lic.no.: /a f wall,or floor mounted Name(please print)- J ply CX' crit for io-mancother nurnace 1 e( era on: Absorption units___ ._ BTU/H — — Name: / ��C( _ Chillers_—,___—v____ HP Compressors_ _ HP Address: BaTr—onmental exhaust andBeet to e Stt :OCity: poll,ta Appliance vent Phone" 77Fax;AjJ 7 � snail ryeicAiu—it ---! — 1s,f ype171vres�utchen/tazmat hood fire suppression system ---. Name: _ , Exhaust fan with single duct(bath fans) Mailing address: !'� Mhaustsystema art _ t-i-om hcaun or C. City:" �d Stated, ZIP 9 — FoeT�7ne an ut nn NO to outlets) ��- Ty LPG ___ N Oil Phone: - © Fax' ,V E-mail' ve I in vac a mons over outlets - cesa piping(schematic required) Name: Number of outlets —_ _ —_ C� �1��_ _- _— ter I- appliance or equ pmeat: Address: _ _ Decotadve fireplace _ City_ I f -- State: ZIP: ---- Insert-type- _777— nsen-ry — - -_- Phone:W k-- Lb Fax: E-mail: aovpc etsteve e�Ti r: Applicant's signature:� ' _atp: Other: — Name(printer Not all judActiorn arcep cmdll cards, call juridicdm ra mac inrmw adoa ----� Permit fee.....................$ U Visa U MasterCard Notice:This permit application Minimum fee................$ _— expires if a permit is not obtained Plan review(at __ %) $ - (:nxlir card number: __. - — &pirts within 18o days after it has been State surcharge(8%)....$ _ _--_-. accepted as complete,None or cardholder u ahowa on credit card s P p TOTAL .......................$ — Cmd1wider signature _ A;1 440-617(60arCOM) Commercial Schedule 182 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE Furnace to 100,000 BTU DefO1p11Dn Table to Msrierlirl Code Oty Price Total Including duds b vents 955 1) Furnace to 100,000 BTU Yldlldi ducts a vents 1400 Furnace> 100,000 BTU 2) F 1 100,000 BTU, including ducts d vents kw*W a vents _ 17 40 g 1,170 ]) pour= - - floor furnace end `�^1 _ 1400 4) uusperMed heater.waN healer Including vent 955 or Boor mounted healer�. - 14.00 suspended heater,wall heater s Vent notM+duded io a�114_2 "fink 650 or floor mounted heater 955 e) Fk a unft - _ 12 1s Vent not included In appliance penult 4451 Clerk all that apptr B Heat Air For Nems 7-10,sae or Pump Cond Oty Price Total Repair units 805 10olnotss 1,2 _ - 7)dHP;sb,orb unY b <3 hp;absorb.unit 12 eru 1400 to 100k BTU 955 e)"1 HP;sbsolb U -- - - look to 500k BTU 25.60 3-15 hp;absorb.unit 9)15-30 HP;absore - 101k to 500k BTU un!.5 1 ma BTU 35.00 1700 1a)s05g HP;abaolb - 15-30 hp;absorb.unit un_t-t.7S mN BTU _ 52.20 11) SMP;absorb unN>1.75 mN BTU 501k to 1 mil.BTU 2310 er.20 30-50 tip;absorb.unit 12)Air handlIng unN to 10,000 CFM 10� 1 J)Air tw.Mr-9 un t 10,000 GFFM. - 1-1.75 mil.BTU 3400 17.20 >50 hp;absorb.unit 14►Non oonabN arAaPorala 000br > 1.75 mil.BTU _ 5725 10.00 I.S)Venl tsn rwnneded b��kgls dud - Air handling unl(to 10,000 dm 656 ie)venlLtbn,yalem not Y,tluded In 6.110 - - Air handling unit> 10,000 cfm 11700-"Oahe°N 10=-00 17)Hood Wired by mechanical exhaust Non-portable evaporate roller 656Y� 1000 vent fan connected to a single dud 446 ta)Domestic bcblenlors_ 17.40 19)Caml a Induiir a type Inckwullor-- - Vent syst.not Included In appliance permit 656 ,n 69.e5 flood served by mechanical exhaust 656 201 dV uTnNf,Induding wood stovea� 10.00 Domestic Incinerator 1170 2+)ea,a+Wrq«+:b rou ower, -- - 5.40 Commercial Or Industral incinerator 4590 u)Mae a,an 4 per owlel(each) - '- Other unit,Inducting wood stoves,Inserts,etc. 656 100 -- �_-.- mum PsrmN Fee 117230 9UBTO'AI_ Gas piping 1-4 outlets 360 R%SURCHAPOE Each additional outlet 63 PLAN REVIEW 25%OF suerorn� --- --- Requked for ALL commstctsl pemllts,mly TOLIk: pY,or�ePeolbna anA Feat: -. - 1. ewpeclleru*Ladd,ar-al IWw,hour(ek*-m d,oMe-Iwo ho-sl fTS.fd Par hdr 2. haFealnu br wt.a,na raa 4 W ak*ay k.*.Wf(nr*-A.,"?h&#Mut T,,t I V lust" C 172-96ow'47 1 Adddnrl Ola^MWw 0 PA by OWW ".aUMNmt or mMbn.to Ol tmyinun -'-�-- &w"-W"t72.50Par1,- ---- 'Else Cenaac4a ebur aa Caroed,npi,d 31.00 to 55,000.00 Minimum 571.50 /letldanllY A l Nanxet taa,V drowl p plaungnl d x 4 i 55,001.00 to$10,000.00 --- -- 572.50 for the first S% 0ot .00 and SL52 for each additional 5100.00 or fraction thereof, to and including S10.000.90 S 10,001.00 to S25,000.00 _ S 148.50 for the first S 10,000.00 and S 1.54 for each additional S 100.00 or fraction th(xeof,to and including 525,000.00 525,001.00 to 550,000.00 S379.50 for the first$25,000.00 and S1.45 for each additional S 100.00 or fraction thereof,to and including S50,000.00 $50,000 00 and up 5742.00 for the first$50,000.00 and 51.20 for each additional S100 00 or fraction thereof Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: ------- CiryOjTtgard Address: 13125 SW Miall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no... —. Fax: (503) 595-1960 Case file no.: Payment type: Land use approval: -- 7addtr-.ss: dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement tion U Addition/alteration/replaceincnt Oi Other — U pial p/ J, ul eA 71d8�.,,.: Suite no.: Tax maprrtax lottaccount no.: Lot: )p Block: Subdivision: Project name: Description and location of work on premises: Estimated date of completiorJnspection: -- K111101111111 Alit SlUALUM Job n_o: Q C9 Fee max Business name: a� Desert ton (ea.) Total no.Ins Address: �1 7 ` ( � y- — - New rcddentlrd dog{ear muMi-hmlly per 5--_.,1 1 dneIDryf utk.Includes amched gtvage. City:,4 IIIStateQ Z1P: Service Included: Phone--, Fax:G -7&j -mail: 1000 sq.ft.or less 4 Each ulditional 5 s f or !tion thereof C o.: �5�7 Elec.bus.lie,no: 3_Z�3 00 C — `'� p° _ Limited ted energy,residential _ 2 Y �'ity s 707.5 _! Limited energy,non-residential_ 2 Each manufactured home or modular dwelling n lure supervis g el trician(required)_ Date Service mid/or feeder 2 Sup.elect.nam(print): C V — ,L [jcennuena; Q Services or feeders-Installation, alteration or relocation: 200 amps or leas 2 Name(print): , 5 201 amps to 400 amps — — 2 401 amps w 600 amps 2 Mailing address: 7,}-- ' �W G ft,-4 .¢_ 601 amps to 1000 amps 2 City: , StateY3� ZIP: Over 1000 amps or volt 2 Phone: 6„10- 4d'6 Fax:,sq - E-mail Reconnect only — - --._�__ I Owner installation:The installation is being made on property[-Own Temporary set-Ores or reeds,- which is not intended for sale,lease,tent,or exchange according to InrtaUatlon,alfcratlon,ormlocatlon: ORS 447,455,479,670,701. 200 amps or less i — 2 101 amps to 400 amps 2 Owner's signature: �o A Date: 3 °/ 401 i 600 amps 2 Branch circuits-nen,alteration, or extetslon per panel• Name: o _ �/1 aye_— A, Fee fur branch circniu with purchase of Address: Z --�`-`7�1�O/L service or feeder fee,each branch circuit 2 City:4Vr ,.JeCYA S LateZIpg7 V— B. Fee for branch circuit without purchase Phone: Fax: E-mail: _ of service at feeder fee first branch circuit: _ 2 Each additional brunch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-cornrnercial U Health are facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1 dd2 U Ha:ardnus location Foch sign or outline lighting 2 family dwellings U Building nvm 10,000 square feet fouror Signal circuit(s)or a limited energy panel, U System over6OO volt nominal mon`residential unit in am structure alteration,ar extension• _ 2 U Building over three stories ❑Feeders,400 amps at more 'Description: ❑Occupant toad over 99 persons ❑Manufactured structures or RV park Foch additional Inspection over the allowable In any of the above. U Egrimallighting plan U Other. _ Per inspection Submit—sells of plans with any of the above. Investigation fee The above are out applicable to temporisry conAr udion service Otho -- - — ---- —V(*all all jurisdicdans Permit fee.....................S l carp�t casts,please all jurisdiction to nrinf!Infartrratlrn Notice:This Irennil application U visa U MasterCard expires if a permit is not obtained Plan review(at „_ %) $ Cm<r,t card numier. _ ___ .__.._---__-_ —_L._I within 120 days after it has been State surcharge(S%) ....$ Fspim accepted as complete. TOTAI, S None of cadholda u shawm on credit caul - _ 1 _ - --C'amlholder si`rralurc Amount - ---- --_— --_ _..--- 440 46I5(NDr1KY)M) 4. Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Number of Inspections per permit allowed Restricted Energy Fee....... =76.00 Service Included: Items Cost Total (FOR ALL SYSTEMS) 4a. Residential-per unit Check Type of Work Involved: 1000 sq.R.or less $147.15 4 E ach additional 500 sq.ft.or - ❑ Audio and Stereo Systems portion tflereof $33.40 1 Limited Energy _ $75.00 Earh Manufd Home or Modular --- ❑ Burglar Alarm Dwelling Service or Feeder $90.90 2 --- ❑ Garage Door Opener' 4b.Services or Feeders Installation,alteration,or relocation Heating,Ventilation and Air Conditioning System* 200 amps or less _ $80.30 2 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 El Vacuum Systems' 601 amps to 1000 amps $240.60 2 ❑ Over 1000 amps or volts ;454.65 2 Other, _ Reconnect only -- $66.85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders -- InslaUat on,a leration,or re oca(ion 200 amps a less _ $88.85 2 Fee for each system............................ .... $76.00 (SEE OAR 918-260-260) 201 amps to 400 limps _ ;100.30 2 401 amps to 600 amps $133.75^ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"shove. ❑ Audio and Stereo Systems 4d.Branch Circuits t few.alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits wf(h purchase of service or ❑ Clock Systems feeder fee. (acts brands circuarch $6.65 2 f-I Data Telecommunication Installation b)the fee for branch circuitsLJ without purchase of service r--�U or feeder fee. Fire Alarm installation VMs(branch circuit $46.85 f ach additional branch cite ult ;6.65 ❑ HVAC 4c.Miscellaneous (._w fry or feeder not Included) ❑ Instrumentation I arii pump or Irrigation circle _ $53.40 1 acn sign or oidline lighting -� $53.40 y ❑ Intercom and Paging Systems SIgival ch-cult(s)or a limited energy parwrl,alteration or exlension _V $75.00 ❑ Landscape(rrigamn control- Minor t abels(10) $125.00 4f.tach additional Inspection over ❑ Medical Use allowable In any cf the above Per Inspedion $6250 ❑ Nurse Calls Per hour - -r- $62.50 In Plant ----- $73.75 _ r� Outdoor I.Andscape Lighting" 5. Fees: ❑ Protective Signaling 6a.Enter total of above fees $ 8%Surcharge(.08 X total fees) 3 ^�� 1 Other Subfofal ; 6b.Enter 25%of fore 6a for Number of Systems Plan Reviewl(rec�i!_ced(Sec.3) $ Subfofal $ No kcenses are required, Licenses are required for all other Installations"- Trust Account 0 FEES: ! Total balance Due $ ENTER FEES 8%SURCHARGE(.08 X TOTAL ABOVE) TOTAL $ -- Plumbing Permit Application Datereceived: Permit no.: City of Tigard - Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 972„3 City of Tigard phone: (503) 639-4171 Projecdappl.no.: Expire date: Fax: (.503) 598-1960 Date issued: _ By: Receipt no.: i- Land use approval: ��- Case file no.: Payment type: :UNew &.2 family dwelling or accessory ❑CommerciaUndustrial I]Multi-family Q Tenant improvement construction ❑Add ition/aIteration/replacement Q Food service O Other: 11 Job address: ��; �� Description Qt . Fee(ea. Total Bldg.no.: Suite no.: New I-and 2-family dwellings only (include!100 IL for each tdlllty connection) Tax map/tax lot/account no.: _- SIR(1)bath Lot: Block: I Subdivision: - SFR(2) Project name: � _ U_)C r �'> (=- SFR(3)bath -- City/county� r Z(p;�2 Finch additional bath/kitchen Description and I ation of work on premises: Siteutllltles: Catch basin/area drain Fst.date of completion/inspection: DrywellsAeach linc/trenchPLUMBING drain CONTRACTOR Footing drain(no.lin.ft.) Nusiness name:LManufactured home utilities tro/�rJ d Manholes Address: 2 G X30 A- apo _ Raindrain connector— --- City �{��ynyl _ State:p Sanitary sewer(no.lin.ft.) Phone: (,7-1kFaz:(,G 7_9 E-mail: Storm sewer(no.lin.ft.) �- CC3 no.: dumb.bus.reg.no: p Water service(no.lin.fl.) City/metro lic.no.: -" — ,� - Fixture or Item: Contractor's representative signatum: o Absorption valve Back flow revcnter Print ttarrte: P s e ? i Date: Backwateryalve --� - t _ asins/lavatory Name: ('0/oma cz Clothes washer Address: /)o Bd f Zpn 7 '�---� Dishwasher — Drinkin fountain(sj . -City�yX,a�-- State 7dP: 31J E'ecto _ -- su Phonc: Fax: 1E-mail: Expansion tank ixhtrelsewer cap Name(print): L , o /1 5 Floor drainstfloor sinks/hub Mailing address: _ G M� -- Garbage disposal`-- - - - City: o�� State:o11�, ,ZIP: 97 z; Hose bibb Phone: c, ) Faz: E rr.ail: Ice maker — Interrx for grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) will be made by rrm or the maintenance and repair made by my regular Roof drain(commercial) -- employee on du;property I own p per ORS Chapter 437. Sink(,$),basin(s),lays(s) Owner's signature: / ; ,3 /(v-O/ Sump - Tubs/shower/showcr pan -- Name: , Urinal - Address: _r��� �� Water closet _—�--�----` W City: _ Stated ZIP: 7,UJ, ater heaterOther. ------ -— - - Phone: 4;1�_1�0�_5'' Fax: E-mail: Total Na all lurled+cdoru accgm cmcij cards.pkae call Iwiadkdon for name Inrmnadan Notice:This permit epplication Minimum fee................$ U Visa O MasterCard ex tees if a Plan review(at __ %) $ Credli rayl number: L -_1 P permit is not obtained Slate surcharge 8% ra�cR, within ISO days after it has been g ( ) $ ---- accepted as complete. TOTAL .......................$ Name of crdhol u dawn as credit card - — I P ------ Gftolderslnaturc —_ — Amounn — 44G-4616(boWoM) PLEA$E COMPLETE: FIXTURES (individual). '*;; Qty P}Cce', Total Fixture Type Qntl b Work Pe Sink 16.60 uarformedNew Moved Replaced RfmovedrCeppw Lavatory 18.60 Sink - - Tub or Tub/Shower Comb. 16.60 t•avalor�_^ - - Tub or Tub/Shower Combination - Shower Only 16.60 Shower Only - --- Water Closet 16.60 Water Closet _T - ---- Urinal _ Urinal 16.60 Uishwasher ----- Dishwasher 16.60 Garbs o Disposal - - - Garbage Disposal 16.60 Laund Room Tracer - ---- --- _ Watching Machine --_ Laundry Tray 18.60 Floor Drairi/Floor Sink 2' 3' - `-- Washing Machine _ 16.60 _- Floor Drain/Floor Sink 2" 16.60 Water Heater --'- - --_ Other Fixtures(Specif _ - ----- 3' 16.60 16.6U� - -- - - Water Heater O-conversion---5 like kind 16.60 - - - -- Gas piping requires a separate mechanical permit. MFG Home New Water Service 46.40 MFG Home New San/Slonn Sewer ----- -- - COMMENTS REGARDING ABOVE: Hose Bibs 18.60 Roof Drains - 16.60 - --- -- - lhinking Fountain 18.80 - ----- - -- - - Other Fixtures(Specify) _ - 21.75 ��-------' - Sewer-1 st 100' 55.00 Sewer-each additional 100' 46.40 Water Service-tsl 100' 55.00 Water Service-each additional 200' 46.40 Storm R Rain[rain-1st 100' 55.00 Storm 6 Rain train-each additional 100' 46.40 Commercial Back Flow Prevention Devine 46.40 - Residential Backflow Prevention Device' � 27.55 Catch Basin ~---- 18.60 - -- Insp.of Existing Plumbing or Specially Requested 72.50 Inspections - rRlr - Rain Drain,single family dwelling 65.25 Grosse Traps 16.60 QUANTITY TOTAL Isometric or riser dlagram Is required It OuantRy Total Is >9 'SUBTOTAL 8%SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Re red an 11bAure qty.tool is>9 TOTAL 'MInlmum permit tae Is$72.50♦ax surcturge,exmpt Residential Baddbw Prevention Device,which b$36.25♦8%surcharge. "All New Commercial Buildings require plans with Isorrtetrtc tv cher diagram and plan review. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VLY HWY #C ALOHA, OR 97006-1249 Co�M�h``Y pf Electrical Signature Form Permit #: MST2001-00130 Date Issued: 4/5/01 Parcel: 28111 DA-00700 Site Address: 08701 SW BRAEBURN LN Subdivision: APPLEWOOD PARK Block: Lot: 003 Jurisdiction: TIG Zoning: R-7 Remarks: resubmitted - original MST permit: house too big for lot 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 viill be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 12755 SW 69TH AVE #100 21785 SW TUALATIN VI-Y HWY#C TIGARD. OR 97224 ALOHA. OR 97006-1249 Phone #: Phone #: 503-648••4552 Req # LIC 121159 SUP 3707S ELE 34-305C AN INK SIGNATURE IS REQUIRED ON TtPS F RM X aw j�'- Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310