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9532 SW ELROSE STREET f I,�t nrrl .l l:rc I�1 �Ir r �IIt, r►�►� :. r�� ► r,� ;�; r .c� ► r �;�, I Ic ��`Itl ► c sir 0► � 1,E t - � . 06 Lol Address Al D Scale 1113" = 1 ' Nolos: I ownsix:1il;; 1110 ,`�,�wlr.Ir�u c� cli,1l11 Icy shool. k;Iclowall , 1110 011vuwiiy tripixc,nch 1O c;lly curio. G' f fl l �r= par Oil I VP VA is • CJ I I LQf I (o q Cn f 70.96 El -7- tJ �f�... ..........j, TOY- VA OY-VA'I+\ �pIfg0 aSP �e4T f I ?3 R mom- R06 S J X cy-avl� \• e Qy-o's d o <.)To cTi o r� C.J 0 1 19-73 /06 tip, — FL, e� v L r vv UV-1 1 I I • NOTICE: IF THE PRINT OR TYPE ON ANY I-1Ir III ( ( IIlclllll i � � � lil IIII � c ► I � IIIII �� .111 I � I III III III III � I � ii ' ' ! ! � ! ! ill ► lll 111 III III 111 III III 111 III III I I t I I 1 I I I I I I l I I I ISI I ' � ! ! I II I I I I Ir I I I I I I < < 1 1 III I I III. IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 `L I r 4 --5 - -- __- l 9 1 p I -� r-- �j IT IS DUE TO T H E ---1-- — --- - -- - 1 l 1 2 �d`7i cx QUALITY OF THE __ Na - _ _.__� ORIGINAL DOCUMENT F 6 Z S Z L�Z I�Z-..___5 -- S Z _---- T- T ti - - _�� 6 I 8 '� Lrilill 9TT v.., � � � I T T 6 8 L 8 15 fi E I Z loll II11 .I►IIIIII II II IIII IIII �,���IIII IIII,II►I I,►I all-1111 III 1111-11 IIII 1IIl 11�1111I 11111111 IIII Ills I�I1 1cc� IIIIIII IIII Ills I1I1 lcu IIIc Ills IIIc IIIc Ills 1111 111 l_Ill IIII LI-ll 111 llli � U <«� � l.l.l. II IIf�1c co N w N cn m a U) If m P' m CD i I t 1 i i 9532 SW Elrose Street CITY OF TIGARD BUILDING INSPECTION DIVISION �sr oG 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 (L-- BUP _ Date Requested ' Z AWPM _ BLD Location 7 S �✓�� Suite MEC -- Contact Person _ _ Ph � Z PLM Contracto. Ph SWR ILDI s - Tenant/Owner ELC etaining Wall ELIR _ Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes - SlabSIT Post 8 Beam -------------------_ ._�_._------- --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Mise Fina \ y SS PART FAIL" 1► os & Beam Under Slab jy- Top Out J� Water Service Sanitary Sewer ains _ Fina k.A S PAR-i FAIL Post& Beam Rough In Gas Line S ke Dampers Fin _ - — - AS PART FAAL ELECTRICAL --------- �� - -- Service ----------- Rough In - UG/Slab Low Voltage l-�I Fire Alarm — Final PASS PART FAIL SITE Backfill/(;,ading U� - Sanitary Sewer Storm Drain �lyr [ ]Reinspection fee of$ _-�required before next inspection. Pay at City Hall, 13125 SJV Hall Blvd Catch Basin V,V [ ]Please call for reinspection RE _ [ ]Unable to inspect-no access Fire Supply Line ADA C %Fin � ch/Sidewalk Date v �___-_.._ Inspector - - Ext t I i,�q �tx�- - PARTFAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD' BUILDING INSPECTION DIVISION MST `Zoo .0 oa l G 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — -- BUP _ _Date Requested___' _� AMPM BU Location 2- Stir_rIk' S- — LD Suite MEC Contact Person _ Ph 7$ �/ < </ PL.M Contractor Ph SWR �! BUILDING Tenant/Owner ELC Retaining Wall — ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ Slab Post& Beam —----- SIT -- Ext Sheath/Shear Int Sheath/Shear -- — — Frarnino _ Insulation Drywall Nailing _ Firewall _ -- -- - Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc Final _ — PASS PART FAIL ---- PLUMBING _ Post&Beam Under Slab /�� '_ 5 Top Out Water Service Sanitary Sewer r— Rain Drains Final - -- PASS PART FAIL MECHANICAL Post& Beane -- - ----- -- Rough In _ Gas Line -- --------------- Smoke Dampers Final ---- ---- ----- PASS PART FAIL Servwe _ Rough In - UG/Slab Low Voltage '— Fire AlaffN ASS RT FAIT_ 81 Backfill/Grading - — --- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. t City Hall, 13125 SW Halt Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: [ Unable to inspect no access ADA _ Approach/Sidewalk Other Date Inspector_ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST • i BLIP _ Date Requested s- AM PM _ BLD _ Location J`3 Z- Suite _ MEC Contact Person —� _ Phi 6(- C7/ �U z PLM Contractor Ph SWR t1fCDT Tenant/OwnerELC _ Retaining Wall — N^ � � ELR Footing Access: Foundation FPS _ Fig Drain SGN Crawl Drain Inspection Notes. Slab - -_ -. SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Fin SS PART FAIL --- -- PLUWING Post&Beam - - ---.-�--- — - Under Slab Top Out --------- --- -- Water Service Sanitary Sewer Rain Drains Final PASS PART_ FAIL _ MECHANICAL Post&Beam ------ -- ..-.. - -- - - ---- ---- --- Rough In Gas Line Smoke Dampers Final - --- -- --- --- _ PASS PART FAIL ELECTRICAL_ -- --- �' Service Rough In UG/Slab - -- ------_-__ __ Low Voltage Fire Alarm - -- -- - - ---- Final PASS PART FAIL SITE Backfill/Grading - ----- - -�- - -- Sanitary Sewer Storm Drain I Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 ISW Hall Blvd Catch Basin Fire Supply Line I Please call for reinspection RE: _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Date _ 5- c' ��/_ _Inspectors Ext _ Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. fi T r m OO o C) m m ` m co � p Grri m rn cn Z C > m 03 cn IN z - <_ m y O m �, � — � �-I fTl rm 7,7 = D rn r m � � O O R' o T i ---I o � m m rl y O m /n b m m cn C/) e -- 1 0 ,� +�a a. r A r �1r 0 -n c . v a U' � � s o H a 0 o R n �0 z A ,1 V x �e 3� 70 CITY OF TIGAR.D BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — ---- --- -- �_ BUP Date Requested `' - 3 — AM— PM -- BLD I-oca+ion CSL�1\3-ZL �D�S'•e Suite MEC Contact Ptrson Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retainir�Wall ELR ;.ZfJU 0006!t Fcoting Foundation Access: FPS _ Ftg Drain SIGN — Crawl Drain Inspection Notes: Slab _._ _— -------- .. ------- SIT ^ost& Beam Ext Sheath/Shear Int Sheath/Shear - Framing - insulation - L ywall Nailing --- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof - - -- Misc: --._ ----- - Final --� PASS PART FAIL _ PLUMBING Post&Beam — Under Slab T-op Out -- —' Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam --- -- Rough In Gas Line --- Smoke Dampers Final - — — PASS -PART FAIL CTRICAL -- —� - - 1 Se'rice UG/SI :V -- PASS ART FAIL 646-1-1 Backfill/Grading ---- Sanitary Sewer Storm Drain [ ]Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin i ll f Please call reinspection RE: Fire Supply Line [ P — [ ]Unable to inspect no access ADA Approach/Sidewalk � Other Date -012 3"- D / —__Inspector _ . ` �it-�j i _Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-flour Inspection Line: 639-4175 Business Line: 639-4171 MST Il� SUP _Date Requested �' L3 _AM PM SLD Location 3 Suite _— MEC _ Contact Person _ -- Pti _ _ Contractor _ _ — —_� Ph — SWR BUILDING Tenant/Owner ELC _ — — Retaining V6"•:.i --�— �^ � EL.R _ Foatina Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: - — Slab SIT Post& Beam ------- Ext Sheath/Shear Int Sheath/Shear - - Framing insulation Drywall Nailing __ - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - — -- -- - - - -- - ---- _. Roof Misc: Final PASS PART FAIL Rost& Bea --- -- -- Under Slab 4.4 C& TopOut ---------------------- --- ---- 4 Water Sei, Sanitary Sew(r -- Rain Drains ASS PART FAIL HANICAL Post&Beam —-- Rough In Gas Line -- Smoke Dampers Final - PASS PART FAIT. ELECTRICAL Service Rough In UG/Slab -------------------- I_ow Voltage -- ----_--- -- -- Fire Alarm Fina! -_ -- - — PASS PART FAIL SITE Backfill/Grading - —' Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE:- _ ( ]Unable to inspect-no access ADA Approach/Sidewalk Date 1 Inspector C..�. �- Ext 1 Other _ -- p —. Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL PERMIT- CITY OF TIGARD — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00064 13125 SW Hall Blvd., ,rigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/16/01 PARCEL: 25111 BA-11200 SITE ADDRESS: 09532 SW ELROSE ST SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG Proiect Description: A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL.: HVAC: DATArTELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: 4UTOMATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 3 _ Owner: Contractor: NEWCASTLE HOMES INC GREENLIP'E INC PO BOX 230459 PO BOX 230755 TIGARD, OR 97281 TIGARD, OR 97223 Phone: 503-684-7543 Phone: 968-1978 Reg #: LIC 103033 ELE 34-397CL _ FEES _ Required Inspections _Type By Di to Amount Receipt�_ Low Voltage Inspection PRMT CTR 3r 16/01 $75.00 2720010000 Elect'I Final 5PCT CTR 3/16/01 $6.00 2720010000 Total $81.00 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 by 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 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by �����/ _ Permittee Signature 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 _ _ DATE:_ LICENSE NO: --- --.. --------_--- ---- --- -- --- Call 639-4175 by 7 00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: �/r, Permitno -4V (� City of Tigard Project/appl.nc.: Expire date: Ciryu/'I'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Recciptno.: Phone: (503) 639-4171 - - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — : 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement W New construction U Addition/alteration/replacenren( U Other: U Partial Job address: 95-3 2 J W E1,/Lo 3 ti SBldg. no.: Suite no.: ITax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: jckjjrfoil r CS Description and location of work on premises: A vD/ AC-(_vrvl /{0.+�lF�1tr2i. rneN Estimated date of com letion/ins ction: slalom Job no: Fee Max Business name' �"6,4 l/n/it /n/C. Ikscriplion Qt . (ea► Tota! no.insp New residential-single or multi-family per Address: U G X Z" C - ) dwelling unit.Inc hd-s attached prage. City: T State:0✓L ZIP: q-7 1j) Serviceincluded: Phone: 116 , 1 q7Fax: `76 2vSb E-mail: sq rl.or less — 4 Each additional 500 sq,ft.or rtion thereof CCB no.: , ; ; Elec.bus.lic.no: 34 -511(t E Limited energy,residential 7,5, 75"Lt 2 City/metro lic.no.: `f 1 y O Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature��soP`so -rvising electrician( ulred) Date Service and/or feeder 2 Sup,elect name(prim) D_I( t/ ! 9 Lt License nn: / J(.- S 200 amhalt es ion r-edets-InstallallrM, a00 strips or rchrcatlon: pss or less 2 Name(print): 201 amps to 400 amps _ I ------ --- 401 amps to 600 amps 2 Mailing address: _ 601 amps it,toot►amps 2 City: Slate: ZIP: Over 1000 amps or volts 2 Phone: FAX: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,aiterstIon,orreloration: 2 ORS 447,455,479,670,701. 201 01 amps or Ices - _amps to 4(p amps _- _-e - -' Owner's signature: Date_---- _401 ro 600 am s - - - - Branch circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit City: - state T Zil _ B. Fee for branch circuits without purchase - - of service or feeder fee,first branch circuit. Phone: Fax: E-mail Each additional branch circuit: — - ut Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Foch pump or irrigation circle 2 U Service over 320 amps-rating of 1 del U Hazardous location Each signor outline lighting M 2 familydwellings U Building over 10,000 square feel four or Signal circuit(s)or a limited energy panel. U System over 600volts nominal more residential units inone structure alteration,orexlension• 2 U Building over three stories U Feeders,400 amps or more *Description: U lkcupam load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U b?gress/iightingplan U Other: Perinspection Submit sets or plans with ani of the above. Investigation fee 'l'he above are not applicable to temporary construction service, Other Not all jurisdictions wcept credit cards,please.all Jurisdiction for mrxe int Notice:This permit applied:on Permit fee.....................$ MasterCard Vis / expires if a permit is not obtained Plan review(at _ %) $ -- Uredo cud number _ ...__� within ISO days alter it has been State surcharge(&96)....$ t, 0 c Expires accepted as comple(e. TOTAL .......................$ _ T I c e home-of djrarlhown on credit cud $ C udholdet signature Amount 4404615 t6iDaK'Of 11 Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: ^— () Restricted Energy Fee...................................................... $75.00_ _Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Type of Work Involved Residential-per unit 1000 sq ft or less $145 15 4 Audio and Stereo Systems Each additional 500 sq It or portion thereof _ $33 40 _.- 1 I burglar Alarm Limited Energy `�^ $75.00 Each Manufd Home or Modular ❑ Garage Dear Opener' Dwelling Service or Feeder _ _ $90.90 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning Sysle ;' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ Vacuum Srtems' 201 amps to 400 amps _ $106.85 2 401 amps to 600 amps _ $160.60 2Other No,HE q L/1 c•'^A r r r ry 601 amps to 1000 amps _ $240.60 2 - -- - - Over 1000 amps or volts $454.65 _ 2 Reconnect only $66 85 � 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 _ 2 401 amps to 600 amps __ $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Haller Controls New,alteration or extension per panel a)The fee for branch circuits with purchase of service or Clock Systems feeder Ne. Each branch circuit $6.65 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 — C� HVAC Each additional branch circuit _ $6.65 - Miscellaneous instrumentation (Service or feeder not Included) Fach pump or irrigation circle $53 40 ❑ Intercom and Paging Systems Each sign"r outline lighting $53.40 _ Signal circuit(s)or a limited energy ❑ panel,alteration or extension $75.00 Landscape Irrigation Control' Minor Labels(10) _ $12.5.00 � _ ❑ Medical Each additional Inspection over the allowable In any of the above Nurse Calls Per inspection __ _ $62.50 _ e 62.50_ In Plant $73 75 J ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ��' t n Other 8%State Surcharge $ ---� o v-. _ Numbcr of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"flan Review-section on $ front of application -'-- --� Fees: Total Balance Due $ -- - Enter total of above fees �❑ Trust Account p________._-__ 8%State Surcharge — - Total Balance Due $_ _---- i Wsts\formstcic-fces.doc 10/09/00 I�� �� TIGARD '���D _ MASTER PERMIT PERMIT #: MST2000-00516 DEVELOPMENT SERVICES DATE ISSUED: 12/26/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09532 SW ELROSE ST PARCEL: 2S111BA-11200 SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LOT:006 JURISDICTION: TIG REMARKS: S/F PATH 1 adding 312 sq ft to existing permit 3-23-01 bt BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUWEL' CLASS OF WORK: NEW HEIGHT: 27 FIRST: 1,520 at BASEMENT: sf LEFT: 6 SMOKE DETECTORS: Y TYPE'IF USE: SF FLOOR LOAD: 40 SECOND: 940 at GARAGE: 562 a/ FRONT: 22 PARKING SPACES: 2 1YPF.OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 312 at RIGHT: 8 VALUE: f 258,552.00 OCCUPANCY GRP: R3 BDRM: 5 BATH: 3 TOTAL: 2,772 00 of REAR: 24 PLUMBING _ SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS. 1 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: 2 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN c 10OK: BOIUCMP<7HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN>0013K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES VENTS: 3 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL. RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEVU3 ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGAI'ION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amp: 6011•amns-1000v: MINOR LABEL: 1000+amplvoll I _AN REVIEW SECTION Reconnect only: »RES UNITS: SVCIFDR>-228 A.: >800 V NOMINAL: CLS AREAISPC OCC: _ ELECTRICAL•RESTRICTED ENERGY __- A.SF RESIDENTIAL B.COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEnRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURSE CALLS TOTAL N SYSTEMS Owner: Contractor: TOTAL FEES: b 7,485.98 This permit Is subject to the regulations contained in the NEVVC:ASTLE HOMES INC NEWCASTLE HOMES Tigard Municipal Code,State of OR Specialty Codes and PO BOX 230459 PO BOX 230459 all other applicable laws. All work will be done in TIGARD,OR 97281 TIGARD,OR 97281 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: LIC 59667 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Electri. it Rough In Exterior Sheathing Incl Rain drain Insp Sewer Inspection Underfloor insulation Mechanical Insp Framing Insp Low Voltage Water Line Insp Fooling Insp Crawl Drain/Backwater Plumb Top Out Shear Wall Insp Gas Line Insp Appr/Sdwlk Insp Foundation Insp Footing/Foundation Ur: Electrical Service Shear Wall Insp Gas Fireplace Electrical Final Post/Beam Structural PLM/Underfloor Electrical Service Exterior Sheathing Insl Insulation Insp Mechanical Final L te'd'- By : �.c y 9 Permittee Signature :)E?rj��-C�4' C Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business day CITYOF TIGARD __ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00212 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 5/22/01 PARCEL: 2SI 11 BA-11200 SITE ADDRESS: 09532 SW ELROSE ST SUBDIVISION: LAUTT'S TERRACE ZONING. R-4.5 BLOCK: LOT: 006 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES. TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS. CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES. OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft D►SHWASHERS: RAIN DRAIN: ft Remarks: Installation of sprinkler system backflow prevention devise _ FEES Owner: Type, By Date Amount Receipt NEWCASTLE HOMES INC PRMT CTR 5/22/01 $36.25 27200100000 FSO BOX 230459 5PCT CTR 5/22/01 $2.90 27200100000 TIGARD, OR 97281 Total $39.15 `f Phone 1: 503-684-7543 Contractor: TRYON CREEK LANDSCAPE INC 11400 SW NORTH DAKOTA ST TIGARD, OR 97223 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 624-2174 Final Inspection Reg#: LIG 11525 PLM 6296 Thi- I on-nit 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 if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oreyon 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 912-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. �' Permittee Signature: Issued By: -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nm business day A& Plumbing Pelrinit Application Datereceived: Permit no.: FLA _ 0 City Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CttyujTlgaud phone: (503) 639-4171 ProjecUappl.no.: Expire date: — Fax: (503)598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Pr,.,menttype: or accessory U Commercial/industrial U Multi-family U Tenant improvement Ncw construction U Addition/alteration/replacement ❑I-ood service U Other: .1011 SITL INFORNIA]ION V�E S('IIEDULE(for special information rise checklist) Jab address: L c��v ( Z. ` - I)escri�tion Ql Fcc(ca.) Total Bldg, no.: --TSuitc no.: -_ New 1-and'2-familydwellings only: (includes 100 It.for each utility connection) ,-Tax map/tax lot/accountSF account no.: _ R(1)balls Lot: Block: Subdivision: SFR(2)bath ----- - - — Project name: _ SFR(3)bath _ Y� City/county: —T7.IP: Each additional bath/kitchen _ Description and Iation of work on pmrmses., _ ShautWdes: Catch basin/area drain — Est.date of completi- on/i pcction: D wells/Icach line/trench drain Footing drain(no.lin.ft.) Manufactured home utilities _ Business name: 1-fcv� GI ee rC vti).5rcManholes Address: 1' 5� Al-I �o S i Rain drain connector City: State: I ZIP ,ZZ Sanitary sewer(no.lin.ft.) Phone: a -Z.I4 1 Fax: I E-mail: Storm sewer(no.lin.ft.) CCB no.: k 152 Plumb.bus.reg.no: Water service(no.lin.ft.) City/metro lic.no.: Fixture or item: Absorption valve Contractor's representative signature: _ Back flow preventer Print name: 1 h Date: ZL Backwater valve Basins/lavatory _ Name: Clothes washer _ -- Dishwasher Address: Drinking fountain(s) — City: State: "LIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank _ — Fixtu_relsewercap _ Name(print): Floor drains/floor sinks/hub� --- Garbage disposal Mailing address: Hose hibb _ City: State: ZIP: Ice maker Phone: Fax: I E-mail: Interce for/greasy,trap __ Owner installation/residential maintenance only: The actual installatioi, Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) 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 Urinal _ Name: - -- ---- - -- —. Water closet Address: Water heater _ City_ _ State: ZIP: - Other: Ph me: Fax: E-mail: Total Not all judWictlau accept aedli cads,pteaae call Judadiction for more information. NotiCC:This permit application Minimum fee............ $ O Vise 0 MasterCard expires if a permit is not obtained Plan review(at _�) $ credit cad numtxr:v_ L—L- within 180 days atter it has been State surcharge(8%)....$ e��res .�9. /`� — --- acceplet'as complete. TOTAL .......................$ Name of cadholdrr as shown on credit cad S _ CardholderslVWUe -- — _ Amount _, 4404616(6i0M.'OM) PLUMBING PERMIT FEES: - PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual _— QTY ea AMOUNT_ (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 — the dwelling and the tirst100 ft. QTY (ea) AMOUNT 16.60 for each utility_connectio_n _ Lavatory One 1 bath _____$249.20 Tub or Tub/Shower Comb 16.60 Two 2)bath $350.00 Shower Only 16.60 Three(3)bath $399.00 Water Closet �— 16.60 - — SUBTOTAL Urinal 16.60 8%STATE SURCHARGE _ Dishwasher 16.60 PIAN REVIEW 25%OF SUBTOTAL _ TOTAL Garbage Disposal 16.60 -- -- �— LaundryTray 16.60 Washing Macnine 16.60 Floor Drain/Floor Sink 2" 16.60 16.60 PLEASE COMPLETE: 4 16.60 ---- --- Quantity b Work Performed Water Healrr O conversion O like kind 16.60 Gas piping requires a separate mechaniral Fixture Type: New Moved Replaced Removed/ permit Caed MFG Horne New Water Service 4640 Sink MFG Home New San/Storm Sewer 46.40 Lavatn Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shower Only _ Drinking Fountain 16.60 Water Closet 16.60 _ Urinal Other Fixtures(Sperify) DishwasherGarbage Disposal Laundry Room Tra _- -- — — — - Washing Machine_ —_ _ Floor Drain/Sink: 2" Sewer-1st 100' — 55,00 3^ — Sewer-each additional 100' 4640 4" Water service-1 st 100' 55.00 Water Heater _— — . -- Water Service- -46-40— Other Fixtures each additional 200' — SpeNry _ Sloan 8 Rain Drain-1st 100' 55.00 _ Storm 6 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Devine 46.40 -- Residential Backflow Prevention Device' 27.55 — Catch Basin 16.60 — Inspection of Existing Plumbing or Specially 72.50 Requested 12 perthr _ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 6525 — Grease Traps 1660 — -- �— QUANTITY TOTAL _--_ Isometric,or riser diagrarn Is reauired It Onantity Total is >9 _ 'SUBTOTAL -- _- 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only it fixture gtl-total is>6 TOTAL $ 'Minimum permit fee is$72 56+8%state surcharge,except Residential Backflow Prevention Device,which is$36 25 F 8%slate surcharge "All New Commerclal Buildings require plans with Isometric of riser diagram and plan review i:\dsts\foms\plm-f(,es.doc 10/10/00 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE INTERSTATE ELECTRIC INC PO BOX 7342 SALEM, OR 97303-006R Electrical Signature Form Permit #: MST2000-00516 Date Issued: 12/26IUU Parcel: 2S111 BA-11200 Site Address: 09532 SW ELROSE ST Subdivision: LAUTT"S TERRACE Block: I_ot: 006 Jurisdiction: TIG Zoning: R-4.5 Remarks: SIF PATH 1 Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have t�, 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: NEWCASTLE HOMES INC INTERSTATE ELECTRIC INC PO BOX 230459 PO BOX 7342 TIGAR^v, O: 9720'1 SALEM, OR 97703 nngg Phone #: 503-684-7543 Phone #: MBL 393-2223 Req #: LIC 117121 SUP 1479S ELE 24-354C AN INK SIGNATURE IS REQUIRED IS FOR XSignature of of Supervising Electrician If you have any questions, please call (503) 639-41 r 1, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE NORTHWEST PREMIER PLUMBING P.O. BOX 23338 TIGARD, OR 97281 Plumbing Signature Form Permit #: MST2000-00516 Date Issued: 12/26100 Parcel: 2S111 BA-11200 Site Address: 09532 SW ELROSE ST Subdivision: LAUTT'S TERRACE Block: Lot: 006 ,Jurisdiction: TIG Zoning: R-4.5 Remarks: S/F PATH 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTIJ: Building Dept. No plumbing inspections viill hie authorized until this completed form is received OWNER: Pt..UMBING CONTRACTOR: NEWCASTLE HOMES INC NORTHWEST PREMIER PLUMBING PO BOX 230459 P.O. BOX 23338 TIGARD, OR 9723'1 TIGARD, OR 9728-1 Phone #: 503-684-7543 Phone #: 503-624-0582 Reg #: I Ir' 135022 PI sin 34-348PB AN INC SIGNATURE IS REQUIRED ON THIS FORM xlF Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD MASTER PERMIT PERMIT#: MST2000-00516 DEVELOPMENT SERVICES DATE ISSUED: 12/26/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 09532 SW ELROSE ST PARCEL: 2S111BA-11200 SUBDIVISION: LAUTT'S TERRACE ZONING: R-4.5 BLOCK: LOT:C'16 JUPISDICTION: TIG REMARKS: S/F PATH 1 BUILDING _ REISSUE: STORIES: 2 FLOOR AREAS f°QUIRED SETBACKS REQUIRED CLASS OF WORK- .JEW HEIGHT: 27 FIRST: 1,520 of BASEMENT: of LEFT: 6 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 940 of GARAGE: 562 of FRONT: 22 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of VALUE: 5 231,627 00 RIGHT: a OCCUPANCY GRP: R3 13DRM: 5 BATH: 3 TOTAL: 2,460.00 of REAR: 24 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: b DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 2 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<]HP: VENT FANS: 5 CLOTHES DRYER: 1 (;AS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 •200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: tat WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 6014ampa•1000V: MINOR LABEL: 10004 amplvolt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR»225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELE;;TRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS. Contractor: TOTAL FEES: $ 6,919.92 Owner: This permit is subject to the regulations contained in the NEWCASTLE HOMES INC NEWCASTLE HOMES Tigard Municipal Code,State of OR. Specialty Codes and PO BOX 230459 PO BOX 230459 all other applicable laws. All work will be done in TIGARD,OR 97281 TIGARD,OR 97281 accordance with approved plans. This permit will expired 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 0: LIC 59667 forth in OAR 952-001-0010 through 952-001-0080, You may obtain copies of these rules or direct questions to OUNC by calling(503)2.46-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dr Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM/Underfloor Electrical Rough in Gas Line Insp Appr/Sdwlk Insp Building Final Issued By : Permittee Signature Call (50 1) 639-4175 by 7:00 p.m.for an Inspection needed the next business day SEWER CONNECTION PERMIT CITY OF TIGe4RD DEVELOPMENT SERVICES PERMIT#: S 00356 2e�o, 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12//26/0026/00 PARCEL: 2511113A-11200 SITE ADDRESS; 09532 SW ELROSE ST SUBDIVISION: LAUTT'S TERRACE ZONING: P-4.5 BLOCK: LOT: 006 JURISDICTION_ TIG__ TENANT NAME: USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Owner: _ — -- - -�- - FEES_ _ Type By Date Amount Receipt PRMT CTR 12/26/00 $2,300.00 27200000000 INSP CTR 12126/00 $35.00 27200000000 Phone: Total $2,335.00 Contractor: Phone: Reg f1: Required Inspections Sewer Inspection This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all airections from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 22446-1987. Issued by: ~�� _ Pei mittPc� Signature�-! � Call 03) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application City Of Tigard /�/�Z Dateroceived: -Permitngt'�'�„�gxj 1�3 Project/appl.no.: Expire date: City ofTigard Address; 13125 SW Ball Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Z(P 2G 9 3 SA 3 Dete issued: By: Receipt no.: Fax: (503)598-1960 b 2 _ Y3/ 14 3 A Case file no.: Payment type: Land use approval: `1 J o OD S 1&2 family:simple Complex: all W t 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family )d New construction U Demolition U Add ition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: 9111 ILI I In 101101 tild KIN 110 lob address: _i , i�_ Bldg.no.: Suite no.: Lot: T .0 r . C-(--) Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: .5l'/1gb Name: t•)C Ct r>l U t1LE Mailing address: P 0 x 2 30 q 5 r 1 &2 family dwelling: City: ( r I Statcr . ZIP: rl-7 2. 8/ Valuation of work........................................ $ Phone:6j, " e- Fax: SVA mail: No.of bedrooms/paths................................. 2 Owner's representative: Total number of floors.............I................... 1- Phone: r It_ f F-mail: New dwelling area(sq.ft.) .......................... y 0 7Garage/carport area(sq. ft.)......................... J L _ Name: �, ;_ !(t + r Covered porch area(sq.ft.) ......................... �� Deck area(sq. ft.) ........................................ Mailing address: ��Gtrnt City: State: ZIP: Other structure area(sq.ft.)............. . .. ...... Phone: Fax: E-mail: Commercial/industrial/multi-innil Iv: Valuation of work........................................ $_ Existing bldg.area(sq. ft.) .......................... T Business name: A k U-)C(.t�5j" L' [,�.)1G-S Address: 5A-M..t New bldg.area(sq.ft.) ............................... City: _ State: ZIP: Number of stories...... .................................. Phone: Fax: Type of construction.................................... — E-mail: —— - -- Occupancy group(s): Existing: CCB no.: ! q le�� L_ New: Uity/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under F�anlc: ,' �I CC i provisions of ORS 701 and may be required to be licensed in the lddtr� _ jurisdiction where work is being performed. If the applicant is City. State: Tip: from licensing,the following reason applies: Contact person: i I Ls,►' Plan no.: a Fax t emlec) ,�rsem: , .Q v I") Fees due upon application ........................... $ ZSR Address: (j_5_16 5"' ?Y,,4L r bt r1 Date received: City: ''r + I<,v)d °,atk?R ZIP: 1-7 Z 1 r Amount received ........................................ $ 7,511 7V Phone: ' V 5C Fax: (,,, TE-mai 1: Please refer to fee schedule. 1 hereby certify I have read and ex mined this application and the Net all jurisdictions accept credit cards,please call Jurisdiction far"lure information. attached checklist. All provision,of laws and ordinances governing this U vita U MasterCard work will be complied wit vt•'.r Cher specified herein or not. Credit card number ___ --___ / / 7 . Expires Authorized signature Y _ e ��``_ Date: /' Name of cardholder as shown on credit card Print name: ! 1 d L ham. r Cardholder iEnature S Amount Notice:This permit applirrtion expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-461.1(6MWOM) One-and 7'wo-Family Dwelling Building Permit Application Checklist Reference no.: Associated permits: t'it of Tigard y g O Electrical U Plumbing U Mechanical Address: 13125 SW I]all Blvd,Tigard,OR 97223 UOthcr. Phone: (503) 639-4171 - 1�ax: (503) 59X-1960 7Fireusea�!ions completed.Sec jurisdiction criteria for concurrent reviews. lood plain solar balance points,seismic soils designation,historic district,etc. on of approved plat/lot. ct _ approval required. 5 Septic system hermit 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 O plan U permit required.Include drainage-way protection,silt fence design and location of catch-hasin protection,sac. 10 %a 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 he incorporated into the plans or on a separate full-size sheel attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if there is more than a Oft.elevation differential,plan must show contour lines at 2-11.intervals);location of casements and driveway;footprint of structure(including decks);location of wells/septic systems;utility Iocafions;direction indicator;lot area;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 Ian aeon. 13 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 details.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. firrplace construction, thermal insulation,etc. 15 Elevation views.Provide elevations for new construction;minimum of two elevations for additions and remadels. Exterior elevations must reflect:he actual grade if the change in grade is greater than four foot at building envelope. Dull-size sheet addendunus showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans.Must indicate details and locations;for nonprescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing.Vrovide 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." 19 Beam 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-unifornt load. 20 Manufacture!floor/roof truss design details. 21 Enery r-!t eompllanee. Identify the prescriptive path or provide calculations. A gas-piping schematic is required for I, .r or more appliances. _ 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Oregon and shall be shown to he applicable to the project under reg ieu. 23 Five(5)site plans are required for Item I 1 above. 24 25 26 -- 27 28 Checklist must be completed before plan revie-v start date. Minor changes or notes on submitted pluis maN be in blue or black ink. Red ink is reserved for department use only. 440 4614 OAW'OA•i Electrical 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 Date issued: By: Receipt no.: Phone: (503) 639-4171 - Fax: (503) 598-1960 Case file no,: Payment type: Land use approval: _ ,4 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alterati(in/replacement U Other:- U Partial JOBSITF INFORMATION Job address: I J $ �- Bldg.no.: site.no.: Tax map/tax lot/account no.: Lot; Block: Subdivision: Laxf5 TZ,rYacv ) Project name: I Description and location of work on premises:4 ij)Q mi'Ly lIWY/JrRer Estimated date of conipletion/inspection: Job no: Fee Mat Business nwne: Z-j l�/5 to ft eZy r-fr i'U tirriplion _— qty. (ea) Total no.lnsp ------ Nen r-vidnrlWl singk o or multi-family per Addrei.s: 3 4 Z dwelliugunit.Incladesattached garage. City: State:D ZIP:q7,3/1 Serviceincluded: Phone:5,o- 3 Fax: E-mail: 1000 sq.ft.or less CCB no.: Z Elec.bus.tic.n0: Each additional SW s .ft.or onion thereof Limited energy,residential _ 2 City/metro lic.no.: Limited energy,non-residential 2- Each manufactured home or modular dwelling Signature of supervising electrician(required) Date Service and/or faeder Sup.elect.name(print): License no: Services or feeders–Installation, alteration or relocation: RU III 1111 SIEIIW� 200 amps or less 2 Name(print): LL tf b Y-n-a-S 201 amps to 400 amps _ — 2 401 amps to 6W amps 2 Mailing address; aS el 601 amps to 1000 amps _ 2 City: ' State p? I ZIP:q-7 ZZ Over 1000 amps or volts 2 _ Phone: Fax: I E-mail: Reconnectonl I Owner installation:The installation is being made on property I own Tempora"serrlces or fcedere- which is not intended for sale,lease,rent,or exchange according to Installation,alt�cration,orrelocation: ORS 447,455,479,670,701. 200 amps or less _ _ 2 201 amps to 400 amps 2 owners Si nature: Date: 401 10 600 mn s 2 Branch circuits-new,alterhlion, or extension per panel: Name: j f�P , �s/7 C /L.QQ I i I1C A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP; It. Fee for branch circuits without purchase Phone: E-mail: of service or feeder fee,first branch circ wt 2 I a� — -- Each additional branch circuit. PLAN RFVII11 (Pleniie check all flint Rppl.i 11 Mlsc.(Bernice or feeder not Included): C Service over 225 amps-commercial U Healthcare facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting 2 family dwellings O Building over 10,010 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* U — 2 — Building over three stories U Feeders,41X1 amps or more •Descritions U Occupant load over 99 persons O Manufactured structures or RV park Foch additional Inspection over the allowable In any of thr above.! U Epres-Aightingplan U Other: -- Per ills pecpon - F--T--T--T---- Submitsets of plans with Pray of the above. I Investigation fee 7'he above are not applicable to temporary eonatruetioe aelrvice. F Other - -------- -- - Not ail jurisdictions accept credit cards,please call Jurisdiction for more information Notice:'This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Credit card number: — / / within 180 days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL $ ....................... Name of cardholder as shown on credit card S Cardholder signature— – Amount 4404615(&W-OM) Electrical Permit Fees: Limited Energy Fees: -- _ TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: ----�— Resirlcted Energy Fee.............. ....................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential•per unit 1000 sq it or less $145.15 4 Audio and Stereo Systems I ach additional 500 sq it or portion thereof _ $33.40 _ 1 Burglar Alarm Limited Energy $75.00 ^ F.ach Manufd Home or Modular Garage Door Opener Dwelling Service or Feeder $9090 2 Services or Feeders Healing,Ventilation and Air Conditioning System' installation,alteration,or relocation 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps io 400 amps $106.85 _ 2 401 amps to 600 amps $16060 2 Other 601 amps to 1000 amps $240.60 _ _ 2 Over 1000 amps or volts $454.65 2 Reconnect only $60.85 Feeders TYPE OF WORK INVOLVED -COMMERCIAL. ONLY Temporary Services or FeeFee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less _ $66.85_ _ 2 (SEE OAR 918 260-260) 201 amps to 400 amps _ $100.30 _ _ __ 2 401 amps to 600 amps $133,75_J 2 Check Type of Work Involved: Over 600 amps to 1000 volts. ❑ see"b"above. Audio and Stereo Systems Brunrh Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch cirr;uits ❑ with purchase of service or Clock Systems feeder lee. Fach branch circuit $6 65 2 Data Telecommunication Installation b) The fee for branch circuits without purchase of snry/ce Fire Alarm Installation or feeder lee. First branch circuit $46 85_ _ HVAC Each additional branch circuit $665 Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 n Intercom and Paging Systems Each sign or outline lighting $53,10 Signal circuit(s)or a limlte(1 energy panel,alteration or extension $7500 EJ Landscape Irrigation Control' Minor Labels(10) _ _ $125.00 ❑ Medical Each additional Inspection over the allowable In any of the above Plurse Calls Per inspection $62.50 Per hour -_- $62 50 _ ❑ In Plant _ $73.75 Outdoor Landscape Lighting' Fees: CI Protective Signaling E,,t,!;total of above fees g r] Other 0%State Surcharge $ —.---Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other installations See"Plan Review'section on $ front of application — Fees: Total Balance Due _ Enter total of above tees Trust Account# 1%State Surcharge s - Total Balance Due = — 0dsts\formsklc-fees.doc 10/09/00 Plumbing Permit Application City of Ti al'd Date received: Permit no.: `.► g Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 ProjecUappl.no.: Expire dale: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case rue no.: Payment type: iiiiiiimm t I &2 family dwelling car accessory 0 Commercial/industrial U Multi-family U'Vonant impiovoine it ,YJ New ctmstruction ❑Add ition/alteration/replacement U I"Amd service U()Ther: J011 Sift"INFOICNIA I ION 11-41-" 1.411711 EDULE(for special Information ti%e checklist) Job Description Bldg. QI . Fce(ea.) Total :532.. s itJ 6111161st- 15-t- Bldg.no.: Suite no.: New I-and 2-family dwellings only: Tax ma /taxlot/accounlno.: (Includes 100 ft.foreachutility connection) p SFR(l)bath Lot: Block: SubdivisioTL/IQ SFR(2)bath - Project name: SFR(3)bath City/county:--i t W46 • ZIP: q 71 2'1 Each additional bath/kitchen Description and locatiofi of work on premises: Siteutilitles: _ Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain _ _— CONTRACTOR Footing drain(no. lin.ft.)PLUMBING _ Manufactured home utilities Business name: p -iwest if M;er tr'J m bl'A Manholes Address: EX 2 $ Rain drain connector City: t' Statef)/IZ- I ZIP: cl-77_.8'/ Sanitary sewer(no.lin.0.) _ Phone: 2. Fax: Email: Storm sewer(no.lin.ft.) Water service(Ixture or Item:: CCB no.: 1. 51) 2- Plumb.bus.reg.no: F City/metro lie.no.: ixlin.ft.) Contractor's representative signature: Absorption valve _ Back flow prevcnter _ Print name: I Date: Backwater valve Basins/lavatory _ Name: Clothes washer — ----- Dishwasher Address' Drinking fountain(s) City• --- State.: ZIP: Ejectors/sump _ Phone: Fax: E-mail: Expansion tank Fixture/sewer cap _ Name(print): oor drains/noor sinksthub - Fl— Garbage dis sal Mailing address: Hose bibb City: _ State: ZIP: _ ?ce mak r Phone: Fax: E mail: Intrrce for/grease tra? _ Owner installatimi/residential maintenance only: The actual installation Pri_met(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s)_ _ Owner's signature: Date: Sump Tubs/shower/shower pan _ Urinal —_ Name: _ Water closet Address: _ Watenc�ater --- --�'— --- City: State: ZIP: Other: -- Phone: Fax: E-mail: Total Not all jurisdictions accept credit cards,,pleme can Jurisdiction for more intorrnation. Notice:This permit application Minimum fee................$ _ ❑visn C.t MasterCard expires if a permit is not obtained Plan review(at _ %) S Credi,rnrd numnn:__- — —/—/ / - within 180 days after it has been State surcharge(8%) ....$ _ c spires Nnmc of cardholder u drown on credit card accepted as complete. TOTAL. .......................$ S —- Cardholder signature _ Amount 440-4616((uCWOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual QTY (ea)_ AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT 16.60 for each utili connectlon _ Lavatory _tY_ l�__� - ry —_- - One bath �..--- - --- $249.20 —- Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three(3)bath - $399.00 -d Water Closet 16.60 - - SUBTOTAL _ Urinal 16.60_ 8%STATE SURCHARGE _ u_ Dishwasher, - 16.60 PLAN REVIEW 25%or SUBTOTAL - Garbage Disposal 16.60 TOTAL Laundry Tray _ 16.60 Washing Machine 16.60 Floor DrainlFloorSW— 2" 1660 PLEASE COMPLETE: 3" 16,60 4- 16.60 Water Heater O conversion O like kind 16.60 Quantity b f Won,Performed Gas piping requires a separate mechanical Fixture Type: New Moved Repla.ed Remjved/ permit. ---- - lapped MFG Home New Water Service 46.40 Sink MFG Home New San/Stonn Sewer 46.40 Lavatory_ _ - - Tub or Tuh/Shower Hose—Bibs — 16.(50 Combination Roof Drains — 1660 Shower Only _ _ — Drinking Fountain 16.60 Water Closet -- 16.60 Urinal Other Fixtures tSpecify) Dishwasher _ - Garbage Disposal LaundryRoom Tray -. Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 - 3" Sewer-each additional 100' 45.40 4" Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' J 46.40 (Specify) Storm&Rain Drain-1st 100 55.00 Storm 8 Rain Drain-each additional 100' 46.40 _ C,'ommercial Back Flow Prevention Device 46.40 — - Residential Backflow Prevention Device' 27.55 -_ Catch Basin 16.60 Inspection of Existing Plumbing or SpeLially 72.50 Requested Inspections perthr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 --- Grease Traps 16.60 ---------- ---- -- QUANTITY TOTAL _-- Isometric or riser diagram Is required If 'SUBTOTAL - -�� -"-- 8%STATE SURCHARGE —---- - - -- "PLAN REVIEW 25%OF SUBTOTAL Required only it Bxture qty total Is>9 TOTAL $ *Minimum permit fee is$72 50.8%state•,urcharge,except Residential BackBow prevontion Device.which Is$36 25.8"%mate surcharge. —All New Commercial Buildings reo,rre plans with Isometric or riser diagram and plan review i°%dstslfonns\plm-fcps.doc 10/10/00 Mechanical Permit Application D.iie received Permit no.: City of Tigard Project/appl.no. Expire date: Ciryoj%'igard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Buildingpermitno.: 1 YJ I &2 family dwelling or accessory U Conimercial/industrial U Multi-family U Tenant improvement W New construction U Addition/alteration/replacement U Other: Job address: 3 Sly root. St Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechat7ical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: S 7,p- Q *Sec checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: j' ar, WQSZIP: J2 Description and location of work on premises: Pee(".) 'Total Est.date of completion/inspection: Descri ion (Ay. Res.only Res.only Tenant improvement or change of use: C: is existing space heated or conditioned?U Yes U No Air handling unit ___CFM it con it3 .Doing(site plan requireay 60Is existing space insulated?U Yes ©No tcration o extsung system _ Boil er compressors Business name: o _Seaz 06 H 1 2 Y'l State boiler permit no.: ( 11� -� LriP Tons F3TU/H Address: 70 60A Fire/smoke ampers duct smoke detectors City 'I'D),-'I CJY)<_ State-6/Q- ZIP Z c Heat pump(site plan require ) — ^ Phone: 775-56 /' Fax: E-mail: c- iIFrcp accfurnac urner___ Including ductwork/vent liner U Yes U No CCB no.: y 2 2-Z' _ _ _ Instal rep ace re ovate heaters-suspended, City/metro lic.no.: _—_ wall,or floor mounted — Name(please print) Vert)for ap fiance other than furnace W. e gest on: Absorption units__ ___ BTU/14 _ Name: .-1 M /1 L0_ Chillers ___ HP Address: Compressors— HP — - Environmental ex ust an vent at on: City: Slate: ZIP: _ Appliance vent Phone: Fax: E-mail: Dryerexhaust tHoods,Type res.kitchentha7mat hood fire suppression system _ Name: Exhaust fan with single duct(bath fans) hlailint;address: Exhaust systema.ar lrom tcatin or AC -m- _ Stale: Z1P: Fuelpiping an str ut on(up to outlets) —. e — — Type: LPG NG Oil Phone: Fax: E-mail' ue i to cachadditional overt ets kxn 1&0 10 1 roresspiping(schematicrequire ) Numhcr nl'orrllcD: �— _Name: _- 01ver-jicieappliance or equipment: J Address: Decorative fireplace City: _ State: ZIP: Insert-type Phone; Fax: E-mail: oc7 stov pe letstovc (h er. Applicant's signature:___- Dale: Nhnic(print): _ Na all jurisdictions accept credit cards,pleas call jurisdiction fix mm information Permit fee.....................$ U Visa ❑MasterCard Notice:this permit applicrtion Minimum fee................ expires if a permit is not obtained Plan review(at _ %) $ _ Credit card somber ---- — Expires within 180 days alter it has been —_ -- p State surcharge(8%)....$ ---- accepted as complete. Norm oY cardholder u drown on credit card s ! TO'V'A)(. .......................$ --`— Cardholder dprature Anount f 4404617 ifvl)WOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total-- $1.00 to$5,000.00 Minimum fee$72.50 - Table na Mechanical Code _ ah (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to cls& 0 BTU $1.52 fur each additional$100.00 or including ducts 0 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 th3 first$10,000.00 and 3) Floor Furnace gvent $1.54 for each additional 1100.00 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 included In appliance permit $1.45 for each additional$100.00 or fraction thereof,to and including 6) Repair units $50,000.00. 12.15 7700_�'_ .00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Pump Condfraction thereof. - footnotes below. Com _ _- 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: _� to look Pru 14.00 8)3-15 HP;absorb Value Total unit 100k to 500k BTU 2560 _ Deticri tl�n: Q!y_ Ea _Arno-int 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU _ 3500 _ ducts&vents -unit. 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 dur,ts&vents 11)>50HP:absorb Floor furnace includinvent 955 _ unit>1.75 mil BTU _ 87 i' Suspended heater,waft heater or 955 12)Air handling unit to 10,000 CFM ficar mounted heater 10.00 Vent not Includes in applicance 445 13)Air handling unit 10,000 CFM+ 4mtit 17.20 _ Repair units805 - 14)Non-portable evaporate cooler <3 hp;absorb.unit, _ 955 10.00 _ to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 680 101k to 500k BTU 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust ^ 30-50 hp;absorb.unit, 3,400 _ 10.00 1-1.75 mil.BTU 18)Domestic Incinerators >50 hp;absorb.unit, 5 725 17.40 >1.75 mil.BTU 19)Commercial or Industrial type Incinerator Air ha;lilingunit to 10,000 cfm _ _ 656 Air nan�linjLunit>10,000 cfm 1,170 20)Other units,including wood cloves rta _ Non- oble evaporate cooler 656 10.00 Vent fan connected to a 9inrtle luct 446 21)Gas piping one to four outlets _ Vent system not Included In 656 5.A0 aplia nn permit --- 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 _ Domestic Incinerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL: _ Commercial or Industrial Incinerator 4,590 _ Other unit,including wood stoves, 656 �+ 8%State Surcharge � $ Inserts,etr.. _ Gas iViingl-4 outlets _ 360 - 25%Plrn Review Fee(of subtotal) $ Each adificnal outlet 63 Required for ALL nommercial permits only TOTAL COMMERCIAL, S TOTAL RESI')ENTIAL PERMIT FEE: $ VALU!\TIUN: _ _ Other tns0ecllons and Fees: 1 Inspections outside of.formal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee Is specifically Indicated (minimum charge-t alf hour) $72,50 per hour 3 Additional plan review required by changes,ad fitions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'Stste Contractor Boller Certification required for units 3,200k BTU. "Reeidcntlal A.0 squires site plan showing placement of unit. I i:ldsLetlorrnsmech-fees.doc 10/11/00 SEE 35MM ROLL# 22 FUDR LARGE DOCUMENT