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11460 SW ESAU PLACE l rn m d c '0 �i c� I I I �F '11460 SW Esau Place Electi-ical Pell 11 Reccrved DatetBy: Permit No.. City of'Tigard Planning Approval — Sign — Date/By: Permit No.: 13125 SW Hall Blvd. MAY 2 8 2003 Plan Review Other Datt/BTigard,Oregon 972':3 ,ITY OF T IGA • Post-Review ---- LandPermUse _ Phone: 503-639-4171 Fax y��,,�f�WQ t ppi�pp Date/ y: Land Use �7CJ'fT_'CJ►�t:-Tr:'IVI Date/By: Case No,: — Internet: www ci.tigard.or.us Contact furls.: N See Page 2 for 24 hour IttsN:ction Request: 503-639-4175 , Name/Mcthod: —_- __ Supplemental Information. _ _ TYPE OF WORK PLAN REVIEW Please check all that app's i�ew construction [ I Demolition Service over 225 amps- I Icalth-care facility commercial []Hazardous location [j'Addition/alteration/re lacemettt Other: ❑Service over 320 amps rating of ❑Building over 10,0(10 square feet. CATEGORY OF CONSTRUCTION i&2 family dwellings four or more residential units in 1 & 2-Famil dwelling CommerciaUlndustrial ❑System over 600 volts nominal one structure _ -_ �— ❑Building over three stories ❑Feeders,400 amps or more Accessory Buildi� _ Multi-Famil ❑Occupant load over 99 persons ❑Manufactured strictures or RV park Ma:'er Builder Other: [3 egressnignting plan O other:_-___._— Submit_ sets of plans with any 9f the above. JOB SITE INFORMATION and LOCATION The above are not applicable to temporary construction service. Job bite address: //yGU -9a,) 4�_yid L _ FEE°5CREVULE Suite_#: I Bldg./Apt.#: -- Number of Ins actiousper ermit allowed Description Qty Pre(ea.) Tool Project Name: New residential-single or multi-family per Cross strecvDire^tions to job site: dwelling unit.Includes attached gauge. Qv �(�� / ��/(i>�JU•'`�'' Service Included: •' 1000 sci.fl.or Icss 145.15 4 Each additional 500 sq.R.or porion thereof33.40 Limited energy,residential _ 75.00 2 subdivision: _ _�, I,Ot#• Limited energy,non residential 75.00 2 90.90 2 Tait map/parcel : _ Each manufactured home or modular dwelling — DESCRIPTION OF WORK v service and/or feeder r ---- -- Services or feeder-Installation,alteration or relocation: 200 am s or less 80.30 2 to 400 amps 106.85 2 401 amps to 600 amps 160.60 -- P --� TENANT _ _ 601 amps to 1(x10 amps240.60 2_ 454.65 PROPERTY OWNER Over 1000 amps or volts 2 Name: d p#t5 CO-"�/L�i _ Reconnect only 66.85 _ 2 Address: if-/061 Sof/ Itr�d�����N Temporary services or feeders-Installation, Q�// 7 alteration,or relocation: City/State/Zip: /! _ _ 200 amps or less 66.85 1 201 amps to 400 amps 1011.30 2 Phone: ---T—Fax: — 133.75 2 401 to 600 am n APPLIC_AN CONTACT PERSON Branch ctrcults-new,Alteration,or name: _ — extension per panel: —— — A.Fee for branch circuits with purchase of / 6.65 2 Address: service or feeder fee each branch circuit City/State/Zip:/State/Zip: fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Ea _ Fax v ____ ch additional branch circuit 6.65 2 Phone: Phonel: _ Misc.(Service or feeder not included) — Each pump or hriRtion circle 53.40 2 CIiNTRACTOR_ iach si or outline lighting_ 53.40 _— 2 Job NO: J Signal circuit(s)or a limited energy panel. 2 — 2Alteration,or extension Business Name: Dscription Address: e 1 '5 E 1��tr Each additional Inspection over the allowable In an of the above: _ City/State/Zip: V11 `iL Ll 7 Per inspection r hour(min.1 hours 62 5 Phone: Fax: — Investigation fee: 3 r Other: CCB Lic. #: �M '� Lic. #: Electrical Pandit Supervising,electrician _ Subtotal S signature:eguired: — Plan r.cview2( 5u10 of Permit Fee S ;t; +: 5 State Surcharge(8%of Pernut Fre $ =� Print Nanic: —.... _..- _ TOTAL PE►tA11T FEE S Authorize ' Notice: This permit application expires If a permit is not.obtained within Signature: ^� Date: �J 7-4r IRO days after It has been accepted as complete. "Fee methodolofp•set by'rri-Count),Building Industry Service Board. V —--�---- (Please print name) i:\Dsts\Permit!'orms\ElcPermitApp.doc 01103 Electrical Perin it ARi )lication - City of'l'igard Page 2 -Supplemental Information LIMITED ENERGY PERMIT TEES: RESIDENTIAL WORK ONLY: Feefor ail systems............................................................ $75.00 Cheek'Pypc(if Work Involved: Audio and Stereo Systems* Burglar Alarm C, Garage Door Opener* Heating,Ventilation and Air Conditioning System* L_.J Vacuum Systems* M Other COMMERCIAL W01K ONLY: Feefor each system......................................................... $75.00 (SI:P.t to It I)1 A•260-260) Check Type of York Involved: E) Audio and stereo Systems E] Boiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC a Instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* nProtective Signaling Other --- _ _ ___` Number of Systems * No licenses are required. Licenses are required for all other installations is\Dsts\Permit Forrr►s\ElcPcrmitAppPg2 doc Of/U3 FFIft Building PermitAi&l Received e , e liu lel nt,USE—ONLY., PermitNo.� _dol Off/ �" ^ Planning pro 1 Other City of Tigard MAY � S 2003 Date/© : Permit No.: 13125 SW Hall Blvd. Plan.Review Other CITY OF 7iGA Date/B : y G•�7,&3 Permit No.: Tigard,Oregon 97223 qL��� nI(� ,�IVI •�— Phone: 503-639-4171 Fax: �03'S9SIN Post-Review Land Use Date[By: Case No g Contac Internet: www.ci.tigard.or.us Contact See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: iLtcmental Information _ TYPE OF WORK REQUIRED DATA: 15;tdition/alteration/re w construction F-1Demolition1 &2 FAMILY DWELLING lacement I — CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate _ 1 &2-Famil dwellingCommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, tr y overhead and profit for the work indicated on this application. �] Accessory Building __ Multi-Family ❑_Master Builder Other: Valuation......................................................... S JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address: &eU E5;4,41 Total number of floors..................................... — New dwelling„rea(sq,fl.).............................. Suite#: Bld ./A t.#: Gara a/ce ort area(sq.fl. Protect Name: Covered porch area(sq.fl.)_........................... —— i Cross street/Directions to job site: heck area(sq.ft.) -- Other structure area(sq.fl.)............................ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Tax tnap/parcel #: — Note: Permit fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, -- -- overhead and profit for the work it licated on this application. Valuation.......................... .............................. S Existing building area(sq.fl.)......................... - --- ---�_---`— _ New building area(sq.fl.)............................... _ _ Number of stories............................................ !- — PROPERTY OWNER�—= TENANT Type of construction....................................... _ Occupancy group(s): Existing: Address: &lee $uNew: / ti Cit /y State/Zi T, Phon��►,5 —el Iy/ 39 Fax NOTICE: All contractors and subcontractors are required to be APPLICANT CONT licensed with the Oregon Construction Contractors Board under ICC PERSON + -- — — provisions of ORS 701 and may be required to be licensed in the f, Business Name: _ _ _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: — i from licensing,the following reason applies: I Address _ — --- -- --- Cit /State/Lip:,_ -- -- -- --- -- Phone: -- _ — Fax:" _----— — - — E-mail: BUILDING PERMIT FEES* I'leasc refer to fee schedule. CON TR A('^'OR — --— Business Name tiTCI(2 fv,tnF 0k',f4c 1_ Fees due upon application............. ............... Address: ,)It .x�`r . ►.t. l--., Cit /State/Zl 7 1/t 7 C�( `�79,7�— Amount received............................................. S—------— /Z - Phone:Fx Fax: Date received:-------- CCB eceived:_ _--__CCB Lic r — - -----— Authoriz d tet, Notice: This permit application expires if a pernilt is not ohtained within } Signature: — Date: 1Q r7 3 180 days after It has been accepted as complete. e 'Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i•\Dsts\Permit Forms\BldgPermitApp.doc 01103 One-and Two-Family Dwelling Building Permit Application Checklist Reference no.: n 1'i nrd �,lt Of Tigard Associated permits: City l 8 g U Electrical U Plumbing U Mechanical Address: 13125 SW Hall Blvd,Tigard,OR 97223 U Other: Phone: (503) 639-4171 Fax: (503) 598-1960 THE FOLLOWING ITEMS ARI� REQUIRED FOR PLAN REVIFW Ves No N/A i Land use actions completed.Sce jurisdiction criteria lot concurrent reviews. 2 Zoning.Flood plain,solar balance points,seismic soils designation,historic district,etc. 3 Verification of approved plat/lot. 4 Fire district approval required. 5 Septic system permit or authorization for remodel. Existing system capacity 6 Sewer permit. ^_ 7 Water district approval. _ r 8 Soils report.Must carry original applicable stamp and signature on file or with application. 9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of catch-basin protection,etc. 10 3 Complete sets of legible plans.Must be drawn to scale,showing conformance to applicable local and state building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if copyright violations exist. _ 11 Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(it' there is monis than a 4-11,elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems,utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. I Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. i t Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _ 14 Cross section(s)and detalls.Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-floor, wall construction,roof construction.More than one cross section may be required to clearly portray construction.Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs, fireplace construction, thermal insulation,etc. —IT Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for non-prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floortroof framing.Provide plans for all floors/roof assemblies,indicating member siring,spacing,and bearing locations.Show attic ventilation. 18 Rasement and retaining walls.Provide cross sections and details showing placement of rchar. For engineered systems,see item 22,"Engineer's calculations." 19 Ream calculations.Provide two sets of calculations using current code design values for all beams and multiple joists over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floorlroof 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,roof truss)shall he stamped by an engineer or architect licensed)n Oregon and shall he shown to he applicable to the project under review. 23 Five(5)site plans are required for item I 1 alxwve. Site plans must be 8-1/2"x I t"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 the Permit&System Development Fees docume_it_ 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type Se location per approved project street tree plan(if applicable),acid COT Street Tice List. Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink. Red ink is reserved for department use only. 44046)4(6MICOM) CITY OF TIGARD 24-Hour BUILDING Inspection Qu: (593)639-4175 MST 4).5U " �'U ✓' INSPECTION Dl:r!RION Business Line: (503)639-4171 BUP Received '2 2- 3 �6)9Date Re uested AM_ PM — BUP Location _ /q Lo rj J,4 a4.4- P_.Q-. Suito MEC Contact Person A '1 Ph( loL 9�1 ) l -- 7 2- ! Z PLM Contractor_ Ph( ) SWR BUILDING_ Tenant/Owner —_ ELC Footing - Foi•ndation ELC Ftg Drain ACC@SS: �✓.•�, Utit �� ��,.•� 7 Crawl Drain c" h.��,, CCc�U2, - ELR --_ Slab lnspbction Notes: SIT Post& Beam Shear Anchtrs - Ext Sheath' •ser Int Sheath/Sh.-ar -` Framing Insulation Drywall Nailing ------- ----- Firewall Fire Sprinkler ----- --- - - Fire Alarm Susp'd Ceiling - ---------- - Roof Other: - Final — PASS PART FAIL — — PLUMBING Post&Beam Under Slab _ Rough-in Water Servico - ----- — Sanitary Sewer Pain Drains ---- Catch Basin/Manhole Storm Drain - --- - ----- -- Shower Pan Other: — Final _PASS PART FAIL - ---- -'— ---� - MECHANICAL Post A. Beam — Roiigh-In Gas Line Smoke Dampers — Final PASS PART FAIL - --- - -- - — ELECTRICAL Serv'sce 4 -� Rough-In UG/Slab - — Low Voltage �� Li - Fire AI@rm FinSL. Relna tion fee of$ r _��ART FAIL. � � e4uired before next ins pectfon. Pay at City Hell, 13125 SW Hall Blvd. SITE Please call for reinsp ction RE: - Un0le to Inspect-no access Fire Supply Line , ADA Approach/Sidewalk fDat�� In �:i'_ r —Ext Other: Final --�� -- DO NOT REMOV!this Inspeetlon nwolrdi M the sib. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDINGS Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST Received _ _ Da//ttA Requested AM PM — BUo Location _ I ��t__—_.5� ,c_----Suite MEC Contact Person ___— N —C Ph 2Z— 7a I -^,, PLM Contractor _ Ph(� ) _ SWR _ BUILDING Tenant/Owner _�. _ ELC __- Fooling — Foundation �—•� ELC Fig Drain AGC?sS: , Crawl Drain ELR Slab Inspection Notes: SIT Post&Beam Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Fram:n9 - ---------- -- - - - Insulation Drywall Nailing - - ------- --------- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -----____--- -_� Roof Othei: - Final - - PASS.. PART FAIL ------- ----- - - _. ___ P- - Poet&Beam - _' ----_ -�-- --. Under Slab -.- Rough-In Water Service --------___ _..--.----__ _..-- -. -- Sanitary Sewer Rain Drains ---- -- - - -- Catch Basin/Manhole Storm Drain - - _ ------- _�- -__ Shower Pan Oth __ ----- ------- - - - --- � r A PART FAIL -----`--------- -— - - - - CHANICAL ..Poet&Beam-.� ------- --- --------- -- - --- - Rough-In - -- -- ------ - ---- ------- -- Gas Ling Smoke Uampers -- -- -- ---------- - ----- - - ---- - Final PASS PART FAIL - - -- - --- ELEC_TRICAL_ Service Rough-In UG/Slab `- Low Voltage _ _- Fire Alarm Final Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS_ PART FAIL ,MTE _ _�- Please call for reinspection RE:—.---. - Unable to inspect-no access Fire Supply Line ADA 1, Approach/Sidewalk Date - - ----- - Inspector-_._� - Ext Other: Final y DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5 -4175 MST Ll INSPECTION DIVISION Business Line: (5 39-4171 _ BUP Received LIJ1 3 -q21 Date Requested 1 I/ AM PM BUP ~ Location (V 6�() _ Suite -�/- MEC - Contact Person 6 � Ph(6 ) �1L_22 r!Z PLM ---- — Contractor. Ph( ) SWR _ - il — Tenant/Owner ELC Foundation ELC Access:Fig Drain ;.�, � � G ELR Crawl Drain Slab Inspection Notes: / SIT `. Post&Beam 477 C_,z1 U4 L Shear Anchors - Ext Sheath/Shear _ Int Sheath/Shear Framing — Insulation \ Drywall Nailing Firewall �!� S�-`P ✓ .Z/�' 1 Q�.?„'� Fire Sprinkler - - -- - Fire Alarm Susp'd Ceiling ---- Roof ri 'S PAR_T AIL i' PLUMBING _ '�_`�.�•i CSC ✓C� Post&Beam _ Under Slab Rough-In �� l Winer Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- Shower Pan Other: - - - Final PASS PART FAIL ^-- Post eam Rough-In Gas Line Smc*p Dropers incl PART FAIL ELECTRICAL Service - - Rough-In ^_ - UG/Slab - Low Voltage Fire Alarm Final C] Fleinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [] Please call for reinspection RE:_ UnaL'e to inspect-no access Fire Supply Line A AOA V(J,/_1 Approach/Sidewalk Date — Insp�atnr `j Q�""�'�""Diff Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL e CITY OF TIGA►RD 24-Dour SU'LDING Insp"zion Line: (503)639-4175 > , MST-,- INSPECTION DIVISION Business Line: (503) 639-4171 -- BLIP - ---- ---- _. Received L� �C� Date Requested-_ Z ZM-__ PM - LtUP _- Location _1 'C"'l `Suite MEC Contact Person - Ph( ) lajel- JC71- 7?/CPLM Contractor- - - - - - Ph( ) _ SWR - - -- -- - - BUILr)ING Tenant/Owner _ _. _ ELC Foclirig ELC Foundation Access: -_-- Fog Drain Lur, ELH Crawl Drain - - --- ---- - Slab Inspection Nates: // SIT Post&Beam ,t�►y �CC c 4z Shear Anchors - — - - - -- cxt Sheath/Shear Int Sheath/Shear Framing �j/1 Insulation All-L Drywall Nailing - --� Firewall Fire Sprinkler --- - - Fire Alarm Susp'd Ceiling - Roof Other: AS PART FAIL _LUMBINGi Post&Beam Under Slab Rough In Water Sonrice Sanitary Sewer Rain Drains — ---- - --- --- Catch Basin!Manhole Storm Drain --------- -- ---- ---- --- Shower Pan Other: -- -- Pinel -- --- PASS PART FAIL - -�- - -" — MECHANICAL Post 8 Beam - Rough.-In _ Gas Line Smoke Dampers Final PASS PART FAIL --- --- — ELECTRICAL Service --- —�-�-- - Rough-in i_- UG/Slab -- Low Voltage Fire Alarm Final Reinspection fee of$ required- PASS PART FAIL CJ - �1 before next ins pection. Pay at Cfty Hall, 1312E SW Hall Blvd. SITE [:] Please call for r-Anspection RE: —_ Unable to inspect-no access Fire Supply Line i ADA Dab Approach/Sidewalk - Inspector_. -__ Ext Other: Final DO NOT REMOVE th►is Inspection record from the Job site. PASS PART FAIL Building Fixtures , e e e Plumbing `'omit Application Received Plumbing Date/By: _ _--- Permit No.: O CX% I Planning Approval Sewer city of Figard Date/By: Permit No.; 13125 SW Flail Blvd. Plan Review other Tigard,Oregon 97223 AUG o 5 03 D Post -Re _ Permit Use Phone: 503-639-4171 Fax: 503-.598-1960 Date/ y: Cane Use Date/By:: Case No.: Internet: www.ci.tigard.or.us CITY OF Contact Juris.: INO See Page 2 for 24-hour Inspection Request: 503.63AU11_NW.- i Nemc/MethodSupplemental Information. _ TYPE OF WORK FEE*SCHEDULE fors ecial Information use checklist) New construction _ _ Demolition Description Qty. Fec(ca.) I Twat ddition/aiteration/re iacement Other: New 1-&or each dwellings .�_ Includ.a 100 ft.for each utlll connecttoo CATEGORY OF CONSTRUCI'lUN SFR I bath _ 249.20 ❑_ 1 &2-Family dwelling Commercial/Industrial SFR 2 bath 350.00 Accessory Building__ Multi-Family _ SFR 3 bath 399.00 Master Builder Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION And LOCATION Firesprinkler_ssq. ft.: Page 2 Job site address: //yG% ��C/✓ %- - 12 _ Site Utilities Suite#: I Bld ./A t.#: Catch basin/area drain16.60 Dwell/leach line/trench drain 16.60 Project Name: _ rootin drain no.linear ft. Page 2 Cross street/Directions to job site: / Manufactured(tome utilities 110.00 Manholes 16.60 Rain drain connector 16.60 -_ Sanitary sewer no.linear ft. _ Page 2 _ Subdivision: _ Lot#: Storm sewer no.linear ft. Pae 2 - -- Water service no.linear ft. Pae 2 Tax map/parcel#: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 T< Backflow preventer Pae 2 Backwater valve 1660 Clothes washer 16.60 - -- ----- Dishwasher _ 16.60 Drinking fountain - 16.60 rl PROPERTY OWNERTENANT E'ectors/sum 16.60 Name: fe.,inr5 Cd S/i F �_-_ Expansion tank 16.60 Address: P'lCo Su, //iWro 1�-� Fixture/sewer cap 16.60 Floor drain/floor sink/hub 16.60 Cit /State/Zi T a� e Garbage disposal 16.60 Phone: e 1 `7-q'1/ '7%i 1 Fax: Hose bib 16.60 APPLICANT1 LJ CONTACT PERSON Ice maker 16.60 Name: X ellk;r S U C Interceptor/grease trap 16.60 Address: /C D '(U e illi'l/n Medical gas-value: $ Pae 2 Primer 16.60 _ Ci t /_State/Zip: ,--_ Roof drain commercial 16.60 Phone: 0",-,3-G 3ry-i39S Fax: Sink/basintlavato 16.60 E-mail: Tub/shower/shower an 16.60 CONTRACTOR Urinal 16.60 Water closet 16.60 Business Name: j3 r i.�o t r 11;&'41�0 i tl -- - 16.60 Water heater Address: PO Ae0 'Iqf;rS -_ Other: City/State/Zip: a. Other: � ri 7�/-y69p Fax: - Plumbing Permit Fees* Phone: r Subtotal 5 CCB LCC Plumb. LICA Minimum Permit Fee$72.50 $ Autlh!H /Q r Residential Backflow Minimum Fee$36.25 Signature: Date: Plan Review 25%of Permit Fee $ State Surcharge(8%of Permit Fee) 5 !-` (Plrase print nanx) TOTAL PERMIT FEE 5 _ Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with Isometric or 180 days after It has been accepted as complete. riser dlagrim for Plan review. *Fee methr, wgy set by Tri-County Building Industry Service Board. i:\Dsts\pennitFonTu\PlmPermitApp.doe 01103 Plumbing Permit Application -City of Tigard Page 2 - Supplemental Information Fee Schedule- Residential Fire 5u ression Systems: Slte Utilities Qty. Fee ea) Tot at Square Footit e: Perms Fee: Footing drain- I' IM' 55.00 0 to 2,000 _ $115.00 - - Footing drain-each additional 100' 46.40 2,001 to 3,600 J160.00 3,601 to7,200 $220.00 Sewer-I st 100' 55.00 7,201 and greater $309.00 Sewer-each additional 100' 46.40 Water Service-Iat 100' 55.00 Medical Gas Sys( -.ms: _ Water Service-each additional 100' 46.40 Valuation: Permit Fee: Storm&Rain Drain-Ist 100' 55.00 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 46,40 $5,001.00 to slojilo0.00 $72.50 for the first$5,000.00 and$1.52 for each Fixture or Item Qty. Fee(ea) Total additional$100.00 or fraction thereof,to and including$10000.00. Commercial Bnck Flow Prevention D,.„ce 46.40 510,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for Residential Backflow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee 536.25 27.55 and including$25,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for each additional$100.00 or fraction thereof,to Inspection of existing plumbing or and including$50,000.00. s2ccially requested inspections-per hour 72.50 $50,00i.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fres*. Quantity b Fixture Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved E:xltlln - Ba list /Funl Bath -l'ub/Shower -Jacuzzi/Whirlpool ('at Wash -Bach Stall -Drive 111ru Cuspidor/Water Aspirator --- - Dishwasher -Commercial -- -Domestic Drinking Fountain -` Eye Wash -- - Floor Drain/sink •2" 3" -- --- - 4" _ Car Wash Drain *Note: If the fixture work under this permit resulls in an Garbage -Domestic _ Disposal -Commercial increase of sewer F,DUs,a sewer permit will be issued and Industrial fees assessed for the sewer increase must be paid before the Ice Mach./Reffig Drains plumbing permit can be issued. Oil Separator Gas Station _ Rec.Vehicle Dump Station Shower -Gang -Stall Sink -Bar/Lavatory -Bradley -Commercial -Service Swinrming Pool Filter _ Washer-Clothes Watcr Extractor Water Closet-'Toilet Urinal Other Fixtures: 00sts\Permit Form\PlmPermitAppPg2,doc 01/03 o C� ii i A 3 ,976 Cli s A C T A U S \N E 54 43r . N u► Z. x -► c 0 (.0 Ul� - ,► Cn r7 U- / M o 80 . 11 , ::1 1 , N 00" 06 ' 28 " E S \N ESAU= 54. 43 ' � i- � N o o / ,7-u,, 0<- 0 F7 0 -1 - 00 ( o co CA / � V r7 / X tz SN o Url Qo 80 . 11 ' y '� N 00006 28 E RE, EIVED tTj MAY 2 8 2003 (� 7TH (j) GITY OF TIGARD ) W ill_DING DIVISIC�' C) -- CITY OF TIGARD -SITE PLAN REVIEW BUILDING PERMIT Nt l.: .2 PLANNING DIVISION: BUILDING SethRCNS: (] N494Appwwiod Side. S' tilreel silt' �O From. -,LL— t iarape: 2dl— hear: � %lismil Clearance: OD Appn►ked Cl Not Approved Maximum Ritildhig li ight 9 fret Ok"; SOVIce NOVA"' {alter Itayuircd: (] Yw No Cl)�p e eivrQ Date: b F;N(ANl'.F.IZIN(i UrPAR7 MEN'f: Actual Slope: L% ZApproved ❑ Not Approved Site Plan: C;'Appruv,.-d 0 Nut Approved ax: [tette: 13 Now,- I HPI-11 ILt,I PLI 111H I r a, FAX N0. 6242173 Rug. 12 2003 02:02rM P2 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, ON 97223 IMPORTANT PERMIT NOTICE BRUNER PLUM011NG PO BOX 23985 TIGARD, OR 97281 Plumbing Signature Form Permit #. MST2003-002.1 h mate issued. 7J21/03 Parcel: 1 S135CA-08500 Sile Address: 11460 SW ESAU PL Subdivision. ESAU ESTATES Block: Lot: 001 Jurisdiction: TIG Zoning- R-12 Remarks: New attacheri gay age to existing SF dwelling. Your company has been indicated as thy, plumbing contractor for the permit indicated above. In order for the Plumbing permit to be valid, please have the appropriate individual from your company sign below and return this rlumbing Signature Form prior to the start of the work to the address above, ATTN F3uilding Division. No plumbing inspections will be authorized until this completed farm Is received OWNFR PLUMBING CONTRACTOR: JAMES CASTILE BRUNER PLUMBING 8100 SW DURHAM RD. PO BOX 23985 TIGARD, OR 97224 TIGARD, OR 97281 Phone #: 503.639-1395 Phone # Reg #: LIC 81837 PLMA 26.445PS AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have :any questions, please call 503.718.2.433. M 1 ®AAAAI.p + ♦AAAAAAAAAAA,AAAAAAAAAAA�AAAAAAAAAAAI, r Poo 44 i � ► t tz) 1 ) N r 10. , rD ► d I N I rD ► , i ► ► 114, pop. a " f r cm 00. \� a hs �. r ! ► �rvvvv w /vvvevvvvvvvvvvvvvvvvvvvvvvvvvvvvlvivv! LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA, A d ► i ! ► tp i N a 0 y ► � ► ink j°z pop. , ► CD 44 cm OP, 44 !� 3 o ;. �.. �}, rn 1�3 y ► ! IN, =0 �. �► i o' ► 4444 Poo. N M..� ► � i ! � i 44J ! 40 44 d', ► Arvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvrvvvvvvvvvv'I� I Eamon Him Mechanical Permit Application Received Mr-chaniral CityCit Of Tigard Planning Approval Building Dat%_____ Permit No. 13125 SW Hall lilvd. ['Ion Revtt:,v Other igard, Oregon 97223 Data/Dy: Permit No. Phone. 503-639-4171 Fax: 503-598-1960 Post-Review tand Use Uele/B Case No.: Internet: www.ci.tigard,or.us -- ----- B Contact 1yp See Page 2 for 24 hour inspection Request: 503-639-41'5AO / p q Name/Method' _- - Su�lementalInformation. TYPE OF WORK _ COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction _ _ Demolition Mechanic.I permit fees'are based on the total value of the work Addition/alteraliori/replacement- H Other. performed. Indicate the value(rounded to the nearest dollar)of all _ CIATF.GORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 & 2-Family dwellingCommercial/Industrial Value: S See Page 2 for Fee Schedule Accessory Building` Multi-Family _RESIDEN'TIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE Master Builder Other: Deacri tion ' Fee(ea.) rental HeatinalConlin ion 317E INFORMN jON And LOCATION Furnace-add-on air conditionin •• 14.00 Job siteaddres_s: l �„ ! - � Gas heat um 14.00 Suite#:Bldg./Apt.#: Duct work _ 14.00 Project Name: - H dronic hot water system 14.00 Ob site: Residential boiler Cross street/Directions to J for radiator or hydropic system 14.00 Unit heaters(fuel,not electric) in wall,in-duct,suspended,etc. 14.00 Flue/vent(for any of above) 10.00 Subdivision: Repair units_ Lot#: --- _ _Other12.15_Fuel Appllancea ^- Tax ma / arcel #: water heater _ 10.00 DESCRIPTION OF WORK Gas fireplace T 10.00 L'E'I c c,-/ T (� tl>l�T� /J �i/L Flue vent(water heater/gas fireplace) 10.00 — Log lighter(gas) 10.00 V -- --- -- - - Wood/Pellet stove 10.0_0 _ Wood fireplace/insert— 10.00 _ _ Chimney/liner/flue/vent _ 10.00 ROP OWN9k TENANT _ Other: 10.00 Name: Amf.,�, LH U t Environmental Exhaust&Ventllisdon L`� Range hood/other kitchen equipment 10.00 Address: �lLe r'-t7/r , Clothes dryer exhaust — 10.00 Cit /State/Zip:--i 1 'ae r2 9�J�� ---- — —— � _ Single duct exhaust Phone: ,i • (• / Fax: (bathrooms,toilet compartments, APPLICANT__ .__� CONTACT PERSON utility rooms 6.80 Name: Attic/crawl space fans _ 10.00 --.. _- -- --- --- - ---- - Other: 10.00 Address: _ _ Fuel Piping _y City/State/Zip: ••05.40 for first 4,V. each additional Furnace,etc. Phone: Fax: - --- -- - Gas heat pump E-mail: Wall/suspended/unit heater •• _ C( _ cTbk Water heater •• Business Name: , r Fire lace - t,' ,�ru�t�, Address: glee' �cu`�u�/�t9/`r Range _ •• _ BR Cit /State/Zi /a flz Tj '» Clothes dryer(gas) _ •• Phone. ,3 3 s-i3�7s Fax: _ Other: -- •. CCB Lic. #: 1.5�c /�- _ Total: _ Mechanical Permit Fees* Authorized Subtotal: S Signature: _ _ Date•. _ - Minimum_Permit Fee$72.50 S _ Plan Review Fee 25°ro of Permit Fee (Please print name) State Surcharge(8%of Permit Fee S _ TOTAL PERMIT FEE S Notice: This permit applicallon expires If a permit is not obtained c.ithin "Fee methodology set by Tri-County Building Industry Service Board. 180 days after It has been accepted as complete. "Site plan required for ever•ior A/C units. i'\Dsts\Permit Forms\htecPcrmitApp,doc 01/01 P.Iechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fec Schedule: z . Total Valuation: Permit Feet I lxl to S5,(xx100 Minimum fee$72.50 $5,(N,I.00 to$10,000.(x) $72.50 for the first$5,000.00 and$1.52 for each additional 5100.00 or fraction thereof,to and including$1000 00. 510,001.00 to$25,000.01 5148.50 for the first 510,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25,000.00 $25,001.00 to$50,000.00 $379.50 for the Prst$25,000.00 and $1.45 for each additional$100 00 or fraction thereof,to and including _ $50'q00-WL--- $50.001 50,000.00. _$50,001(x)and up 5742.00 for the first$50,000,()and $1.20 for each additional$100.00 or fraction thereof. Assumed Valuations Per Appliances Value Total Description: Qty Amount Furnace to 100,000 6TU,including 955 ducts&vents Furnace>100,000 BTU including ducts 1,170 &vents Floor furnace including vent _955 Suspended heater,wall heater or floor 955 rrvurited heater Vent not included..r appliance permit 445 _ Repair units 805 _ <3 hp;absorb.unit, 955 to 100k BTU 3-15 hp;absorb unit, 1,700 101 k to 500k BTU _ 15-30 hp;absorb.unit,501k to 1 mil, 2,310 BTU 30-50 hp;absorb.unit, 3,40 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU _ Air handling unit to 10 000 cfm _656 Air hLndling unit>10,000 cfm 1,170 Non-portable evaporate ccwler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 unit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit,including wood strives, 656 inserts,etc. Cas piping 1-4outlets 360 _ F.ach additional outlet 63 TOTAL COMMERCIAL $ VALUATION: i\Dsts\Permit Fom3s\MecPenndAppPg2,doc 01103 CITY OF TIGARD 24-Hour BUILDING Inspo-lion Line: (503)639-4175 INSPECTION !DIVISION Business Line; (503)639-4171 MST �� BUP _ Received _ VDeg7ested - r AM�____- PM _ BUP Location _ "/� _ i Suite __ - __---_ MEC Conta.,t Person -- Ph( ) �– -__-- -_-- PLM Contractor. -_ Ph( ) _ SWR BUILDING Tenant/Owner _ ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain -- - -` - Slab Inspection Notes: SIT Post N Beam Shear Anchors Ext Sheath/Shear Int Sheath/Sheai _ --- Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- ------ -- Fire Aiarm ,i Susp'd Ceiling -- -- - - - --- --- Root Other. - ----- - - -- - -- - - �_.. Final ART FAIL G - - - - -- - –—- st&Beam Under^fab - t?o-at . In ani ewe Rain Drains - 771, Catch Basin!Manhole Storm Drain __— Shower Pan Other: -- - ---- Fin� — PAS ?PART FAIL - HANICAL Post&Beam Hough-In Gas Line Smoke Dampers - Final PASS PART FAIL --- --- — - ELECTRICAL Service - --- Rough-In UG/S'ah - -- - - --- Low Voltage Fire Alarm -- --- Final Reinspectlon 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 LineADA C Approach/Sidewalk Date 2- J j_ Inspector Other: Final --- — -�- DO NOT (REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00379 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE tSSUED: 9/23/02 SITE ADDRESS: 11460 SW ESAU PL PARCEL: 1 S 135CA-EE001 SUBDIVISION: ESAU ESTATES ZONING: R-12 BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R3 FLOOR DRAINS:, TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _._ FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 35 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Approximately 30' line work for hook Up to lateral. Original sewer hookup was on Greenburg. Owner:Ow — FEES _ Ow "-- _-- Type By Date Amount Receipt JAMES CASTILE ---- 8100 SW DURHAM RD. PRMT CTR 9/23/02 $72 50 27200200000 TIGARD, OR 97224 5PCT CTR 9/23/02 $5 80 27200200000 Total $78.30 Phone 1: 503-639-1395 Contractor: BERRYHILL BROTHERS EXCAVATION 2.0897 SW SCHOL LS-SHERWOOD RD SHERWOOD, OR 97140 REQUIRED INSPECTIONS Phone 1: 503-625-1611 Sewer Inspection Reg#: LIC 62191 Final Inspeulion 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 he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: J ,t t (_c C4 cL�, r,L �� ( .�_u _ Permittee Sig iature: ,j /t*—.� _ 1 Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Fixtures Plumbing Permit Application / Date received: V Permit no.: ) 1) 17 City of Tigard � • ' j� Li Sewer permit no.: building permit no.: ('ins r,/Tigard Address: 13125 SW Hall 4�3 1Fily ►i r , Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 5E P Data issued: B Receipt no.: Land use approval:° ��d I r °.: - •v t Case file no.: Payment type: TVPE 1 &2 family dwelling or accessory U( nnln?cIclaUnldtlhItlaI JAlullt-Iarrtily J ichantirnhr<°�entrnt Neve cimstructi ,n J Ndditi m slteralltm-replacement J I°sal u160,' J Ulher 1111111111LUA6111 Mr,611NIATIONSCHEDULE Job address: (1 t-((p O S L,,lL Sr, ✓ t- to C-CDTotal Bldg. no.. _ Suite no.: Neh' !-and 24anuly dwellings only: (includes 100 ft.for each wilih eonnectinn) I Tax map/tax lot/account no.: � C Sl R(1)bath Lot: Block: Subdivision: b,c f. SFR(2)bath _ Project name: ESa t, !e e>k-e t SFR(3)bath City/county: (,U�.sGrw , ZIP: r( 12. i cl Each additional bath/kitchen Description and location of work n premises: _ _ Site utilities: �__ Catch basin/area drain I'.st.date ttf cumrlctintt'inshcctiun -- - Drywells/leach line/trench drain PLUMIUNG CONTRACTOR Footing drain(no. lin.fl.) Manufactured home utilities Business name: ��� �t i(( r�tti 5 . E'�c��,<<>x Manholes Address: Z�y�( cti S��o (S k'. R�,. Rain drain connector City:5 h&t-w",Oj _ State:p) Z.IP: Sanitary sewer(no.lin.ft.) Phone: z - Fax: F.-mail: w^elo t Storm sewer(no.lin, ft.) CCB no.: 42 1Plumb.bus.reg,no: e3TO,roe Fater service(no. lin. fl. City/metro tic.no.: — PAbso or item: Contractor's representative signature: ,�,,c a ion valvew preventerFrintname: r ,. (( Date: o tacwater valve Basins/lavatory Name: Clothes washer ` d - -- - Dia washer — City: s: Drinking fountain(s) City: State: Z1P_ - _ Ejectors/sump Phone: faxE-mail: Expansion tank Fixture/sewer ca Name(print): 7-a K,-e c, f Cc- S 4 te Floor drains/floor sinks/hub Mailing address: r _ Garbage disposal -- isc a c'c „, L4.1- a• - I Luse bibb City: 5a;_Jk _ State: p ZIP: cf 2- _ Ice maker !� Phone: -r ''a,` E-mail: _ Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof driin ccommercial employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's si nature:—_ Date: Sump Tubs/shower/shower pan Name: v t - JL4 cMA'0Urinal- ° Water closet Address: Water heater City: _ State: ZIP: Other: Phone: S Fax: F. mail: �^ Tota Not NI Jurisdictions anept credit cards,pleas call jurivdiction for more information. Minimum fee U Visa U Mastercard No.ice: This permit application Plan review(at %) $ Credit card number expires if a permit is not obtained ----- -- — Ex ire within 180 days after it has been State surcharge(8%).... $ p TOTAL........................ $ Name of cardholder ai rhown nn credi-i ur3�” accepted as complete. -- S _ Cardholder signature Amount II04616(6ro0/COM) I PLUMBING PERMIT FEES: —` PRICE TOTAL New'I and 2-family dwellings only: `- FIXI URES (Individual) ,- QTYea _AMOUNT (includes all plumbing fixtures In PRICE TOTAL Sink 1660 - the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory - 16 60 - for each utility connections -- - - - One 1 bath _ $248.20 _ Tub of Tub/Shower Comb 16.60 _ Two 2 bath $350.00 _ ----- �- Shower Only 16.60 "- Three(4bath -i-36n,0-0 n, Water Closet _ 16.60 - --.-----SUBTOTAL _— - Urinal 16.60 0%STATE SURCHARGE Dishwasher 1660 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 ----- . ._ -----TOTAL--- �--- -------� Laundry Tray 16.60 Washing Machine -� 16.60 Floor Drain/Floor Sink -_ 1660 3" 1660 - PLEASE COMPLETE: 4„„- --- -- 16.60 —� Water Heater O conversion O like kind 1660 Quantic b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit _ ^- _ _ __ -aped MFG Home Now Water Service 46.40 Sink MFG Horne Now San/Storm Sewer 4646 Hose Bibs -- 16 60 Tub or Tub/Shower Combination Roof Drains — 1660 ShowerOng— Drinking Fountain - 16.60 Water Closet Other Fixtures(Specify) - 166Urinal - _ Dishwasher Garbage Disposal Laundry Room Tray _- -- Washing Machine --- Floor Drain/Sink: 2_ Sewer-1 st 100' f 55.00 - 3„ -- - Sewer-each additional 100 T 46.40 - --q^ - -- Water Service-1st i00' --�---- 5500 Water Heater _ _ -- Water Service-each additional 200' 46.40 Other Fixtures — Storm 8 Ram S ecM Drain- 1st 100 - � 55.00 -- - - -"- Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 4E 40 Residential Backflow Prevention Device' 27.55 ----- - - -- Catch Basin - 16.6(1 --- —t 4 - -- -- -�- Inspection r,f Existing Plumbing or Specially ~62.50 l— Ve tgiested Inspections per/hr COMMENT'S REGARDING ABOVE. Rain grain,single family dweiiing 65,25 Grease 1 raps 1660 �- QUANTITY TOTAL - - --- - Isometric or riser diagram Is required it -- -- —_—��— _— —_,--._— Quantity Total is?,a ---- 'SUBTOTAL - - - --- -- -----.._.--- ------ -- 8%STATE SURCHARGE "'PLAN REVIEW 25%.OF SUBTOTAL 7equired only If fixture stl total Is>9 1 TOTAL E " `Minimum permit fee is$72 50•8%stale surcharge,except Residential Backflow Prevention Device,which is 06 25+8%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i•\dsts\forms\plm-fees.doc 12/26/01 r MASTER�PERMIT il TY OF T I G A R D PERMIT#: MST2003-OG214 OPMENT SERVICES DATE ISSUED: 7/21/03 Hall Blvd., Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 11460 SW ESAU PL PARCEL: 1S135CA-08500 SUBDIV;SION: ESAU ESTATES ZONING: R-1' BLOCK: LOT: 001 JURISDICTION: I IG REMARKS: New attached garage to existing SF dwelling. 8/8/03 adds. Clothes washer, sink, and water heater. 9/10/03 Add (6) branch circuits to permit-? total. BUILDING REISSUE: CUSTOM STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: OTR HEIGHT. I FIRST. at BASEMENT of LEFT' , SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD. SECOND: at GARAGE. :75 at FRONT: ., PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: TaRt) at RIGHT. . 0 ono up OCCUPANCY GRP: R3 BURM. BATH TOTAL n 41 VALUEREARi5 PLUMBING SINKS: WATER CLOSETS: I WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES I DISHWASHERS: FLOOR DRAINS: SEWER LINES SF RAIN DRAINS: I CATCH BASINS. TUB/SHOWERS, GARBAGE DISP. WATER HEATERS: I WATER LINES: BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES'. MECHANICAL FUEL TYPES FURN<WOW BOILICMP<3HP: VENT FANS: I � CLOTHES DRYER: I FURN—100K: UNIT HEATERS'. HOODS: OTHER UNITS. MAX INP: btu FLOOR FURNANCE& VENTS: WOODSTOVES: GAS OUTLET 5 _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS 0 - 200 amp I 0 - 200 AInp. n W/SVC OR FDRPUMPIIRRIGATION. PER INSPECTION. EA ADD'L 500SF: 201 - 400 amp 201 - 400 at1p: 1st W/O SVCIFDR- I SIGNIOUT LIN LT: PER HOUR. LIMITED ENERGY- 401 - 600 anID 401 - 600 arnp: EAADDI.13R CIR: h SIGNAL/PANEL IN PLANT. MANU HMISVr tFOR. 001 1000 am0'. 601.anpa-100ov: MINOR LABEL. 1000-amprvolt PI AN RFV IEW SECTION Racotrtoct only —4 RES UNITS, SVCIFDR-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC ELECTRICAL-PESTRICTED ENERGY A SF RESIDENTIAL B.COMMERCIAL. AUDIO 6 STEREO: VACUUM SYSTEM. AUDIO&STEREO: FIRE At INTERCOM/PAGING OUTDOOR LNDSC LT. BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPERRRIG: PROTECTIVjO SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Contractor: TOTAL FEES: $ 583.98 JAMES CASTILE A J VENTURES OF OREGON LLC This permit is subject to the regulations contained In the 8100 SW DURHAM RD. A J SW DURHAM O Tigard MUTT icipal Code,State r,OR. Specialty Codes and 8100 S , DU HAM 8100 S , DU HAM all other applicable laws. D,:i work will be done In accordance with apprc•yed plans. This permit will expire if work is not sid1 tdu within 180 days of issuance,or if the work Is suspended for more than 180 rays. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: ';03-63)-1395 P"'"' 503-691-1395 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Rag". LIC 156242 may obtain copies of these rules or direct questions to UUNC by calling(503)246-1987. REQUIRED INSPECTIONS Footing Insp Plm/undslab Insp Shear Wall Insp Rain drain Insp Footing Insp PLM/Underfloor Exterior Sheathing Ins( Storm drain Insp Foundation Insp Electrical Service Exterior Sheathing Ins( Roof Nailing Foundation Insp Electrical Rough In Firewall Insp Misc.Inspection Slab Insp Framing Insp Firewall Insp Final inspection Issued By : � _ Permittee Signatur /1. I Call (503) 639-4175 by 7:00 p.m. for an inspection needed;the ext business day r Jul 23 03 10: 45a GENIE ELECTRIC 503-762 9188 P, 1 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GENIE ELECTRIC CONSTRUCTION 8701 SE 156TH AVENUE PORTLAND, OR 97236 Electrical Signature Form Permit #: MST2003-00214 Date Issued: 7/21/03 Parcel: 1 S135CA-08500 Site Address: 11460 SW ESAU PL. Subdivision: ESAU ESTATES Block: Lot: 001 Jurisdictiun: TIG Zoning: R-12 Remarks: New attached garage to existing SF dwelling. 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 Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR JAMES CASTILE GENIE ELECTRIC CONSTRUCTION 8100 SW DURHAM RD. 8701 SE 156TF-I AVENUE TIGARD, OR 97224 PORTLAND, OR 97236 Phone #: 503-639-1395 Phone #: 503-762-9296 Req #: MET 011004434 1.1C 56639 Slip 45365 F.LP. 34-4880 AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature otjpervising Electrician it you have any questions, please call 503.718.2433.