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8855 SW GREENING LANE 00 Go •n v. N co ca r n� c� 8855 SW Greening Lane CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Ho.,r Inspection Lige: 639-4175 Business Line: 639.4171 % ,� - — - -_ --- — -- �- BLIP (Gate Requested _7 AM PM BL j Location Li�5 Sc: r r9 Su;tP - _ 4_ MEC _ Contact Person Ph •S �� �c:� 2_-5 PLM 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 SF,eath/Shear Int Sheath//Shea J --- Framing /r Insulation � ., Drywall Nailing 1%a.e r irewall ----- Fire Spnr,k!or17 �Jt�r2 Fire Alarm Susp'd Ceiling _ k S c-r ...e le-,�,r r.r /' P 4 Roof Misc: Final - PASS PART FA!r os{& Beam — ---- Under Slab Top Out - -- --�--- - Water Service - -- —�.— Sanitary Sewer Rain Drains Fin - PART FAIL MMANICAL Post 6 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 [ j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RF; _ _ _ [ j Unable to inspect-no access ADA Approach/Sidewalk Other Date �_- _�� ! —_Inspector ' .pf' .. Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. GOTY OF TIGARD BUILDING 114SPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP Date Requested AM_ PM BLD Location S `� G� f�1r. , Suite — MEC — Contact Person _— _ Ph h l�i L'G� PLM Contractor — _ Ph SWR BUILDING Tenant/OwnerELC Retaining Wall _ ELR Footing Access: Fourdatlon FPS Fig Drain - SGN Crawl Drain Inspection Notes -- -----—--- Slab -- — -----------------_----------- SIT Post& Beam - - --�-L Ext Sheath/Sh:ar Int Sheair;Snear Framing insulation ------ — ---- _____.-_ Drywall Nailing Firewall ---- ------Fire Sprinkler Sprinkler Fire Alarm Susp'd Ceiling `� --- Roof l isc - -- -- --- -- PASS PART FAIL -- - --- --- ----- PLUMBING Post& Benm --- — -- -- — -- Under Slat; fop Out Water Service _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post& Beam Rough In Gas tine Smoke Dampers Fina! - --- --- --- -- PASS PART FAIL EIEUTR Service -- -- -------- ------- Rough In } UG/Slab I ow Voltage - — IlreAlarm PASS O.RT FAIL. Backfill/Grading -- -------__ - -_Sanitary Sewer Sewer Stone Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I J Please call for reinspection RE ( J Unable to inspect- no access ADA �- Approach/Sidewalk Ot,er Date _`-y ""�_� Inspector_�'_ y2./ _ _Ext _ Final F'ASS PART FAIL DO NOT REMOVE th!s inspection record from the job site. CITY OF TIGAR.D BUILDING INSPECTION DIVISION MST A9,e v/•-G�, " 1(� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Ua',is Requested —_�AM -PM _ BLD Location_��5 � ��^' / r /��— Suite MEC Contact Person Ph -5 1�O '� � Z PLM Contractor _ _ Ph SWR — BUILDING ^ ^ Tenant/Owner ELC Retaining Wail —� ELR Footing Access — -- ---- - Foundation FPS Pig 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 -Roof Mises Final PASS PART FAIL -- -- - _,—_ ---- ------ - -- ING Post&Beam - ---------_ - ---....---- --. _--. .-- -. .___—.-------...--- - Under Slab Top Out Water Service Sanitary Sewer - --- -- --- Rain Drains Fir -- -- ---.. ASS PARI FAIL - -Vlt�K-14 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 [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RF [ ] Unable to inspect- no access Fire Supply Line ADA _ Approach/Sidewalk Other Date _ - — Inspectors _� �_�i Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 // BLIP Date Requested_ ^ f l AMPM BLD Location 1'�(.k� 'k _ ) Suite MEC Contact Person Ph ' ,U' �`�i� PLM — ~ Contractor_ _ .` Ph _i SWR BJIL ING � Tenant/Owner ELC ReMining Well ,_R Footing E --- ------- Access: Foundation FP;i Fig Drain Crawl Drain Inspection Notes SGIN Slab ----------- --—_ -------- -_ - SIT Post&Beam ------------ Ext Sheath/Shear Int Sheath/Shear Framing -------------- -.__-!_ Insulation -`-- -- -_" - -- --- Drywall Nailing _ Firewall Fina Sprinkler Fire Alarm Susp'd Ceiling - Root in PART FAIL - - ---- --- - __..__-- - ---- - - - PLUMBING Post&Beam --------- -—- -- - -- ---�..- - - -- - Under Slab TopOut -------- -- " - - - -- -- ----- ---- -- _m Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL C!IAN CAL+ Post & Beam - - ------ RoughIn — ----- -------------•----------- --- Gas Line - --- - Smoke Dampers ASS PART FAIL ELECTRICAL - - --- - ---- - -- ----- -- Service Rough In - UG/Slab _ Low Voltage - - - - Fire Alarm Final ---------_-_- _ PASS PARI FAIL SITE Backfill/Grading �- Sanitary Sewer Storm Drain I ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ] Please call for reinspection RE _-_^ ( ]Unable to Inspect-no access ADA Approach/Sidewalk Other Date Inspector Ext Final I _ PASS PART---FAIL ) DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GARNER ELECTRIC 21785 SW TUALATIN VLY HWY t%C ALOHA, OR 97006-1249 Electrical Signature Form Permit #: MST2001-00016 Da.s Issued: 2113101 Parcel: 2S111 DA-17900 Site Address: 08855 SW GREENING LN Subdivision: APPLEWOOD PARK NO. 3 Block: Lot: 172 Jurisdiction: TIG Zoning: R-7 Remarks: SIF Path 1 Your company has been indicated as the electrical contractor for the pe!-mit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER- EI_c.0 TRICAL CONTRACTOR: LEGEND HOMES GARNER ELECTRIC 12765 SW 69TH AVE #100 21785 SW TUALATIN VLY HWY #C PORTLAND, OR 97224 ALOHA, OR 97006-1249 Phone #: 503-620-8080 Phone #: 503-648-4552 Req #: LIC 121159 SUP 3707S ELE 34-3050 AN INK SIGNATURE IS REQUIRED T I FORM X ` -- SinMu'redrSupervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIOARD Residential Certificate of Occupancy Permit No.: dL- eD0/ Address: Owner/Contractor: Date of Final Inspection: / Cr/ P (��/?--��� Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling S ecialry Code and is hereby approved for occupancy. CITY OF T I GA R D MASTER PERMIT PERMIT#: MST2001-00016 DEVELOPMENT SERVICES DATE ISSUED: 2/13/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 08855 SW GREENING LN PARCEL: 213111DA-17900 SUBDIVISION- APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 172 JURISDICTION: TIG REMARKS: S/F Path 1 BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NTW HEIGHT: z3 FIRST: i i.'% sr BASEMENT. `51 LEFT 4 SMOKE DETECTORS: Y TYPE OF USE: ST FLOOR LOAD: 4'' SECOND: 1.".1 sr GARAGE: IRR st FRONT. PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: sr RIGHT. ,t VALUE: OCCUPANCY GRP: R3 BDRM: 3 BATH: -I TOTAL 1 no sl REAR 11 PLUIVIBING SINKS: I WATER CLOSETS: i WASHING MACH 1 LAUNDRY TRAYS1 RAIN DRAIN: 101 TRAPS: LAVATORIES 4 DISHWASHERS: I FLOOR DRAINS- SEWER LINES: 1u4 SF RAIN DRAINF. I CATCH BASINS: TUBISHOWERS. 1 GARBAGE DISP: I WATER HEATERS t WATER LINES: Ii i' BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES BURN,100K: BOIL/CMP<3HP. VENT FANS n CLOTHES DRYER 1 r;A; FURN—100K: UNIT HEATERS. HOODS. 1 OTFFR UNITS: MAXINP. btu FLOORFURNANGES: VENTS: 1 WOODSTOVES GAS OUTLETS: ELECTRICAL_ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS— ADD'L INSPECTIONS _ 1000 SF OR LESS: 1 0 - 200 amp: 0 - 270 amp: WISVC OR FDR: I PUMPIIRRIGATIOW PER INSPECTION: FA AUD'L 50CSF: 4 201 - 400 amp'. 201 400 amp. 1st WIO SVC/FDR. o, SIGNIOUT LIN Ll PER HOUR. LIMITED ENERGY: 401 600 amp: 401 600 amp'. EA ADDL OR CIN SIGNAI_IPANEL- IN PLANT. MANU HM/SVCIFDR: 601 1000 amp. 601samps•1000v: MINOR LABEL. 1000.angUvolt PLAN REVIEW SECTION Reconnect only'. —4 RES UNITS: SVC/FDR-225 A.: >600 V NOMINAL. CLS AREA/SPC OCC' ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL. AUDIO B STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM, INTERCOMPAGING. OUTDOOR LNDSC LT BURGLAR ALARM: OI H' BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER. x CLOCK: INSTRUMENTATION: MEDICAL. OTHR: HVAC: x DATAITELE COMM: NURSE CALLS TOTAL 0 SYSTEMS: TOTAL FEES: $ 4,245.94 Owner: Contractor: This permit Is subject to the regulations contained in the LEGEND HOMES LEGEND HOMES CORP Tigard Municipal Code, Stale of OR Specialty Codes and 12755 SW 69TH AVE#100 12755 SW 69TH AVE#100 all other applicable laws All work will be done in PORTLAND. OR 97224 TIGARD.OR 97223 accordance with approved plans This permit will expire 0 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 Re0#. LIC 60SCA forth in OAR 952-001-0010 through 952-001-0080 You may obtain copses of these rules or direct questions to OONC by calling(503)246-1987 REQUIRED INSPECTIONS r Erosion Control Insp 8 Post/Beam Mechanica Mechanical Insp Fia.ling Insp Gas Fireplace Electric.;Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final Foundation Insp Footing/Foundation On Electrical Service Low Voltage Water Line Insp Final inspection PosUBeam Structural PLM/Underfloor Electrical Rough In Gas Line Insp ApprlSdwlk Insp Building Final r /4� / Issued By : - __...._ Permittee Signature : L_ C L Z ,L 1-,e' Z •- Call 503 6 -4175 7:00 p.m. for an inspection needed the next business da ( ) Y F p Y SEWER CONNECTION PERMIT CITY OF TICaARD DEVELOPMENT SERVICES PERMIT#: S 00014 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/113/013/01 SITE ADDRESS; 08855 SW GREENING LN PARCEL: 2S111DA-17900 SUBDIVISION: APPLEWOOD PARK NO. 3 ZONING: R-7 BLOCK: LOT: 172 _ _ JURISDICTION: TIG TENANT NAE'F: USA NO: FIXTURE UNITS: CLASS OF WORA: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family detached. Owner: _ FEES LEGEND HOMES 12755 SW 69TH AVENUETyl.a 8y Date Amount Receipt - — -- PORTLAND, OR 97224 PRMT C"i R 2113/01 $2,300.00 27201100000 INSP CTR 2/13/01 $35.00 27200100000 Phone: Total $2,335.00 Contractor: Phone: Reg #: Required Inspections _ This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If riot so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Ager,-y will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952.-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987 Issued by: Permittee Signature:��,i L Call ( 39-4175 by 7:00 P.M. for an inspection needed the next busiAss day Building Permit Application C to received: ! '� C' Permit no.J ; City of Tigard ' Ciryof'Pigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUapp[.no.: Expire date: Phone: (503) 639A1'71 Date issued: 13y: Receiptno.; Fax: (503)598-1960 Case file no.: Payment type: Land use approval: _ 1&2 family:Simple Complex: 1. Ulf&2 family dwelling or accessory ❑Corr merc i alli ndustri al U Multi-family New construction U Demolition U Addition/alteration/mplacement O Tenant improvement U Fire sprinkler/alarm U Other. 1 1 1 Job addrose: � j"�� � ;;i Bldg.no.: Suite no.: Lot:I Y J, Block: Subdivisi • S t."o uL(J PA ( Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conattions: r 1 Name: O t111 ra Mailing add ss: /,g 2_4�-S- 6 q4 1&2 family dwelling: , y�� _City:�� State:c ZiP: f 7 - Valuation of work........................................ S A'Oo t/q -Ile* Phone: 4.Z0- v Fax: i�� E-mail: / No.of bedrooms/baths................................. _ Owner's representative: 6--yP1-U)i-t_ Total number of floors............................ Phone: iibia"a� New dwelling arca(sq.ft.) .......................... 1 Garage/carport arra(sq.ft.)......................... i t _Name: IAG/ ,S Covered Porch area(sq.ft.) ......................... -- Mailing add ss: _.&.I-- . � Deck area(sq.ft.)........................................ _ City: Statep ZIP:Q]�� L Other structure ar;ta(sq,ft)......................... Phone: 0 Fax i, -P E-mail: Commercial/industriallmultl-family: 1 Valuation of work............................... ... Z _Business name: Z �,� Existing bldg.area(sq.ft.) .... ......... ......... Address:/ 7 f's c New bldg.arra(sq.ft.).............. .............. City: p• / Stated&ZIP: Number of stories............... .....`........ Type of construction......... Phone: O o Fax�y E.mail: -- Occupancy group(s): Existing: _ CCB no.: (o O�`(�, New: City/metro lic.no.: L -a ] Notice:All contractors aad sub cotaractors are required to be licensed with the Oregon Construction Contractors Board under Name: L P L� ,,,/ �,�G _ ---- provisions of ORS 701 and may lx required to be licensed in the Address: - r. jurisdiction where work is being performed. If the applicant is .� 3'j ' �--- - exempt from licensing,the following reason applies: City f c9a /a%tx� _ StateW ZIP: 9� Contact person: - 1$dot' Plan no.: ,� -- ----- --- ---- Phone: O - O d Faxs; -44�E-mail: Phone: - ------------ - f'. IWO11 Name: �,,e/ -` Contact person: _ Fees due upon application ................... ....... $ Address: G�� f�G�� J'a p -� Date received: __- City: a� state ZIP: y 2.9-)3 Amount received ......................................... $____,------.,_-- Phone: �Zp� 'ax: _ E-mail: Please refer to fee sche iule_ - I hereby certify I have road and examined this application and the Na dl;ddicdam rcw.tr rradit cordo,pleat call jurisdiction Im mbre in.Ml lba attached checklist All pmvisions of laws and ordinances governing this Uvta U MalcW&rd work will he complied with,whether s ifled he .In or not. Gadit clad menba:__—__ �____-______- ____�.L_ r xpi rr/ Authorized nature: at r Ntuttr ercordhblder a It10Wp on CRdli[ud� Print name? /, -s 1� Cardfwldu Ilputura^ Amount Notice:This permit applical.m expires if a permit is not obtained within 190 days afler it has been accepted as complete. 440 4611(MM Y)M) r 1 Electrical PexaWtApplicatlon Dare received: Permit no.: City of Tigard Project/appl.no.: Expire date: Ciryoffigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rec�iptno.: Phone: (503) 639-4171 — Fax: (503)598-1960 Case file aro.: Payment type: Land use approval: I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Aduition/a!teratiordreplacement ❑Other._ U Papal Job address: ( Bldg,no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivisions ProjAct name: I Description and location of work on premises: -- Estimated date of compledo�nspectiott: Job no: J �t.�.- — ? Fee MAX Description Q ea. Total oo.lns Business name; e^_. ) Nen red4entW-single or nwhi-family per Address: b dwrtungtine.Includes attached garage. Cityale Istate;OR jim, Servs«Included: Phone ; — Fax:G mail: _1 �a ft.or lean 4 —7gdi __�____�___ C O.: S Elec.bus.lic.no: .3 J Each additional 500 sq.ft.or portion thereof Limited energy,trsidendal 2 sty 3 70 75 Umited energy,non-residential 2 s Each marnnfaclwal hmtx or modular dwelling n ture ser ms g elle_elan(required')_ _ Date I ! - Service and/or feeder 2 Services or ferdern-Installation, Sup.elect.name(print): T„t t icenae no Q Se-jititserN4 ii lloti or rolontlon: 200 amps or leas 2 Narne(print) Bre 5 — 201 unps to 400 amps - -- 2- - 401 amps to 600 amps 2 MaiLng address: -v t'l 601 amps to 1000 amps 2 Cit — y:-- -- $tate�3 7.1P: 1 Over 1000 amps or volts 2 Phone: G„1L'- Did Fax s{j - E-mail: Reconnectonly A--- I Owner installation:The installation is being made on property I own 'Temporary services or feeders- which is nut intended for sale,)ease,rent,or exchange according to btatallatlon,alteration,orrelocaUon: ORS 447, 155,479,670,701. 200 amen or less —^` �— 2 /, ./ 201 amps to 400 amps 2 Owner's signature: ( a 401 to 600 am a ---- 2 Branch circuits-nen,alteration, or exlenston per panel: Name' '' �n eyh _ �.�— A. Fee I)r branch circuits with purchase of Address:.�jrG?_1- -#C>-.,�,.,",,,/p _servio,or feeder fee,each branch circuit 2 City:, � � StateQ ZIPY7 B. Fee for'.-apch ca cults without purchase T of gervice o:,:,e r fee,first branch circuit.• 2 Phone: - pp Fax: F.-mail: Each additio sal branch circuit. Misc.(Service or",ceder not included): U Service over 225 amps-cotnnxrcial U Health-care facility Each pump or irrigation circle -- 2 U Service over 320 amps-rating of 1&2 U Hararckwa location Each sign or outline lighting _ _2 family dwellings U Building over 10,000 square fed four or Si fnsl citcuit(s)or a limited energy panel, _ U System over 600 volts nominal more residential units in one strucntre altetation,or extension* 2 U Building over three stories O Feeders,400 amps or more •Desrn Hon: so U Occupant load over 99 persons U Manufactured structures or RV put Each additional Inspection over the allowable In any of the above: U F$ress/lightingplan LI OHur. _ — —__-_-- Perinspection submit_--_ seta or plans with nay or the above. Investigation fee l The above tore not applicable to temporary coadnw-tion service. Otheu —` — -- --- Not all iurisdkdona accept cndlt cards,please call jurisdiction for more hmnadon. Notice:This permit application P012111t fCe""""""""""'$ U Visa U Mutracard expires if a permit is not obtained PIM mview(ant -- %) $ -- _ Credit card numbrr. _ —�—L— within 180 days atlrr it has been stud SUt7Ciltt P(8%)....$ —_—__— Expires accepted as complete. TOTAL.......................$ _ --� erne o u sun on t card Cudhcidrr sl�narrua Amount 440-1615(WWOM) TYPE OF WORK INVOLVED -RESIDENTIAL ONLY 4. Complete Fee Schedule Below: Number of Inspections per permit alto-d Restricted Energy Fee........................................ -T-" -- 676.00 Service Included: Items Cost Total (FOR ALL.SYSTEMS) 4a. Reside-tion-Per unit ^� Check Type of Work Involved: 1000 W.t or ss _ $147.15 _ _ 4 Each ad, do at 500 sq ft or - ❑ Audio and Stereo Systems portlon,..sreef $33.40_ _ t Limited Energy $75,10 - E] Burglar Alarm Each Manufd Nome or Modular LJ Dwelling Service or Feeder $90.90 2 - ❑ Garage door Opener' 4b.Services or Feeders Installation,alteration,or relocation ❑ Heating,Ventilation and Air Conditioning System' 2.00 amps or less _ $80.30 2 201 amps to 400 amps $106.85 - 2 ❑ Vacuum ay5icros' 401 amps to 600 amps _ _ $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 W 2 ---- Reconnecd only _ _�- $66.85 y __-_ 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY 4c.Temporary Services or Feeders -�--- - Inslanation,al(eration,or relocation Fee for each system.............................................. $76,00 200 amps or less $66,85 2 701 amps to 400 amps - $100.30 2 (SEE OAR 91&260-260) 401 amps to 600 amps ;133,75 V _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems 4d.Branch Circuits New,alteration or extension per panel ❑ Boiler Controls a)The fee for branch c4cuils Wilt purchase of ser rice or ❑ Clock Sys!erns feeder fee. Each branch drarll T-, $6.65 L 2 ❑ b)The fee for branch cirrxuits Data Telecommunication Installation wf(hout purchase a1 service or feedsr fee. r] Fire Alarm Installation First branch circuit $46.85 Each additional branch circuli -'i $6.65 ❑ HVAC 4e.Miscellaneous ❑ (Sr!rvice or keeder not Yhduded) Instrumentation Each pump or Irrigation circle $53.40 Paging Cach sign or oulline righting $53.40 Intercom and` ❑ 9 g S Ystems Signal drcult(s)or it limited energy parwl,aderatlon or extension $75.00 _ ❑ Landscape Irrigation Control' Minor Labels(10) $125.00 4f,tach additional Inspection over ❑ Medical the allowable In any of the above Per inspection _ $62.50 ❑ Nurse Calls Per hour ^^ $62.50 _ In Plan( i $73.75 _ ❑ Outdoor Landscape Lighting' ... Fees: ❑ Protective Signaling :a.Enter total of abnve lees $_ 8%Surdharge(un X total fees) $ _-__ n Other Sub(ofaf $ �-_ ---------- 6b.Enter 25%of line 6.2 for Number of Systems Plan Review if required(Sec.3) $ Subtotal $ - No kenses are regkdr!d. Licenses are required for all other installations 1 ❑ Trust Account 0 FEES: Total balance Oue $ ENTER FEES 8%SURCHARGE(.08 X TOTAL ABOVE) TOTAL $ Mechanical Permit Application _..__ 7Dateeceived: Permit no.: City of Tigard t/apl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.• Phone: (503) 639-4171 — Fax' (503) 598-196& Case rile no.: Payment type: Land use approval: -- I BuilJing permit nt .P� &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement VNew construction U Addition/alteration/replacement U Other. _ Job address: Indicate equipment quantities in boxes below. Indicate tht d,,,'•r Bldg,no.: S to no.: value of all mechanical materials,equipment,labor,overi,:::t, Tax map/tax lot/amount no.: profit.Value$ B1ocl: SubdlviSion: � � y *See checklist for important application information and Project name: C�"L��I/ _ jurisdiction's fee schedule for residential pt,mit fec. City/county: --�'t�a 7.IP: �.21�. -- a Description and to lion of work on premises:___�� _ Fee(m.) Total Est,date of completion/inspection: _- _ Desai on Qty. Res.caly Res.only Tenant improveme r change of use. Is ex.'sti space heated or conditioned?U Yes 0 No i handling unit CFM _ Air conditioning(site p an reyutre _ is e • ng space insulated?U Yes U Noteratan olexisting _ system_ ~_ _ ooilerRompressors State boiler permit no.: Bu:,jness name: HP -­Tons BTU/H_ Address:— s , p�- V _ -r tr smo c dampersT smoke detectors City: ?-ef 0"-_ Staty�f 11 zip: 701 Airat pump Tsite pI nragwre T Phone: -7 7 rax: -7t:� Email r sta rep ace umac urner____ CCB no.: _Including ductwork/vent line; O Yes U No ___; —�� fnsta rep ac re oi:at�aters suspended,— I City/metro lic,no.: � _ wall,or floor mountett I _ Name(please print): �,�� � enl ora dance of er an urnace e era ow Absorption units BTUM _ Name: �� CI»liers ___ HP Address: ���` __ Com resson HP AV otamtenla, rxTiausi anTent at.on: City: j7� G State: ZIP: 9?Jtil� Applianeevent — Phone 7) Faxdty' 7L E-mail erex gust Hoods,Type U Illres.kitchenfliazzmat— hood fire suppression system Name: f ,c j�d' p, Q _ _Exhaust fan with single duct(bath fans) - Mailing address. i„? 7,3 J Ole- Ex laust system as art M eaun of AC City:��r U i ate�'y ZIP:j 1V—R Type: LPG oNG p to outlets) Phone: - D Fax• -IQ� E mail: �Fuel piping eacadditional over outlets Process piping(;c erratic rugair ) ' Number of outlets Name: b C A tert ipplL'nce oreq' u m n1: Address: �4 J fa Decorativeftrnlace City: tr! , State: ZIP: nsert-tom-- --- — —, Phone: U Gb Fax: Email: ^� �7oo�stov pellet stove _ Other: Applicant's signature: _ Jats _ er _- Name (print): P Z�jp, a, Na all Jurl�dlctlam scup credit canis,p call joriadinim for more;nrormatina —-- -- Permit fee.....................$ —�- --_-- Notice:This permit application Minimus)fee................S U Visa U MasterCard expires if a permit is not obtained plan review(at �_. %) $ Credit card number. ___ ---. ---pi-es within 180 days aflet it has been t seer ted as complete. State surcharge(8%) ....$ Name of cardholder ss shown on credit rand P P — - Cardholder siptature -- y Amount 4101617(6MCOM) Commercial Schedule 1&2 Family Dwelling Schedule ASSUMED VALUATIONS PER APPLIANCE - -_ - Oe+alpUon Furnace to 100,000 BTU Tat4e 1A Mechanical Cade ^_ 01y Price Tow Includingducts&vents 955 1) l'�enaa to 100,000 eTu - k�duekg duds a yenta 14.00 Furnace>100,000 BTU 2) Fors°°10P.Wo BTU+ - klcwd q duds a vents Including ducts 6 vents 1,170 a)FbSrFumaa floor furnace imckw Vent H �) Bwpended Meter,wait Mater Including vent 955 a poor mounted Meter suspended h3oter,Lyall heater s vent na ln<w,ded in appance perm or floor mounted heater 955 a aha unkt Chad d U.d appfy. 'Bober Heat Ak Vent not included in applianceperrnit 445 For Mama 7.10,•at of Pump Caw try Total Repair unite 805 f 2 1 a P'e�xt WA b <3 hp;absort7.unit loon BTU - 14.00 e)3 1E ftP;.Daoro tank to 100k BTU 955 Joon to WM BTU 25.60 3-15 hp;ai oxb.unll 9)15-30 HP;.bsorb- - Tunk.5-1 mit BTU 35.00 101k to 500k BTU 1700 Jo)30-60 HP;•a Oft) tank 1-1.76 rM BTU 52.20 15-30 hp;absorb.unil 11j��OMN*bb+ab unit�-t 75 mU BTU 501k to 1 mll.BTU 67'20 -1-2)Ak fundiknq unit 10 10,00G CFM 30-50 hp;absolb.unit 10.00 131���W uvk 10,000 CFM 1-1.75 mill.BTU .340ul 17.20 t4)Non-po(tabM""male cooler �50 hp;absorb.unit 10.00 > 1.75 mil.BTU 5725 15)V•M ran connected to•s4VW dud _ e.e0 Alr handling unit to 10,000 don 656 is)veMkatlon totem era inducted in appGance 10,00 Air handling unit> 10,000 c`m_ 1170 17)Hood berose by mednankyi eanau+t Non-portable evaporate Moller 656 - - 1000 Pia 16►OortnssUc bndnnsniton vent fan ounnected to a single duct 446 17.40 t9►Cormnerd.r a Inlintrl•l typre�dnenlx Vent syst not Included In appliance penult 656 __ efi.95 Hood served by meciianical exhaust 656 20)O°1°`�'a''�" woo.+(am w.00 l3orrlestic incinerator 1170 21)Gas plpknq one M lora•"lets -- - Commercial or Industral Incinerator 4590 22)More wee 4-AAW(each) Other unit,Includingwood stoves,Inserts,etc. 656 1.ao Minimum Punk Fee 72.E0 al1BTOTAI. Gas piping 1-4 outlets _ 360 �_ 6%SURCHARGE Each etlditloral outlet 83 PLAN REMEw M of suetorAL Requlnd W ALL commerdal rwmlte ono TOTAL. o•ar kapec•eea are feet: 1. bapadua subtle of romrr bahM Mut(nerinen OWW Ie*fern) {72.50 per roar 2. baperfua ON rAJdr ne fee it WC01440l braraad(mbYreen dWW hd rota) i57250 am,Mur t Aembnd plan n Aea+•d M rlanOe+,.edNo n or nevNbne b w a(mY Ir.+n daroeor»+a5 row)t 12.50 Per rota •Slab Cortee•r gofer CwMYabon P.Wked 51.00 to$5,000.00 Minimum 572.50 55,001.00 to S 10,000.00 $72.50 for the first$5,000.00 and 51.52 for each additional S 100.00 or fraction thereof, to and including S10,000.00 S10,001.00 to$25,000.00 _ S148.50 for the first$10,000.00 and$1.54 for each additional S'.00.00 or fracCon thereof,to and including S25,000.00 525,001.00 to 550,000.00 $379.50 for the first 525,000.00 and$1.35 for each additional S 100.00 or fraction thereof,to and including$50,000.00 550,%0.00 and up $742.00 for the fiat 550,000.00 and S 1.20 for each additional S100.00 or fraet;on thereof Plumbing Permit Application Datereceivcd: Permit no.: City of Tigard Sewer rm;t no.: � Building g permit no.: Address: 13125 SW Hall blvd,Tigard,OR 97223 - Cily of'Rgard Phonc: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued`_ By: Re.cciptno_:— Land use approval: Case file no.: Payment type: 1 &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-familv U Tenant improvement U'New construction 0 Addidon/aRerationutreplacement ❑Food service 0 Other. Deacri tion Job addrosa:, .-1_01-:,j-,,,,,,, L r - --� p,_ t2l . Fee ea. Total Bldg.no.: Suite no.: New 1-and 2-family dwellings only: ---- (includes 100 fl.for each utility connection) Tax map/tax lotlaccount no.: _ SFR(I)bath Lot: / , Block: Subdivision: SER(2)bath — Project name: �C fya 1= SFR(3)bath City/county:IF C1a/% — ZIP: `j7 a��! Each additional badVicitchen Description and 14ation of wotk on promises: Slteudildes: _ Catch basin/area drain Est.date of completion/inspection: Drywetls/leach line/tronch drain Footing drain(no.lin.ft.) Business name4_ /C ! M nth��sursd home utilities d i Address: 3�- p0 Rain drain connector city:JLLA60,/rml Staw:0,4 I, IP: -/p,.. Sanitary sewer(no.lin.ft.) Phone:fG 7- '/ Fax:61,7- E-mail: Storni sewer(no.lin.ft.) CCB no.: Plumb.bus.reg.no: Water service(no.lin.ft.) - "" — `- Fixtttu e or Item: City/mere lie.no.: Absorption valve Contractor's representative signature:� e-;q _ Back flow preventer Print name: P /j d o� date: 7 � Bacirwater valve — Basins/lavatory Name: —�/pClodus washer - )ishwasher __ Ad i_ressN� y po ]' Drin'kin fountain(s) -' City: �9r r, �yy State ZIP: Ejectoraraump Phone: Fax: E-mail: Expansion tank Fixtu sewer cap 7Na (print): L p Q / S Floor drains/floor sinks/h.ub Garbage diposal g address: 7�3' amu. G Hose bibb d State: Z[P: 97 :t�__ Ice maker —~--- Phone; ' 0_ Fax:d Email [pierce tor/ tease tea Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employe;on the property I own per ORS Chaflw 447. Sink(e),basin(s),lays(s) Owner's signature: Sum Tubs/sho%,-Ush,wee pan _ Nrival ame: --_ Water closet Address: z&7 LIP7—g4q!fl_- Water heater City- •� �� States UP:-72 Other. `— Phone: � �E-mail: Total Na all juridktions accept cmdit cards.p1me calf juriakdon for rnnre idurvVloa. Notice:This permit application Minimum fee................$ _ U visa U MasterCard expires if a permit is not obtained Plan review(at __ %) Credit ca t numbu: _ _^_ _L I_._ within I80 days after it has been State surcharge(8%) .... r�plrea Name of cmdbot as shown on credit cad accepted as complete TOTAh ....... ...............S Cardhuldu sip ature __ Amount 110-4616(& ICOM) PLEeSE O PLET-E; FIXTURES (Individual). .4y P idb'�. Total _ va�..,a. • Fixture Type uentity by Work Performed Sink 16.60 New I Movefl Rep Rerrmoveal apper Lavatory 16.60 Sink Lavatory _ Tub or Tub/Shower Comb. 16.60 Tub or Tub/Shower Combination Shnwer Only 16.60 Shower Only 18.60 Water Closet Water-Closet Urinal Urinal 16.60 Dishwasher _ Dishwasher 16.60 Garbage Disposal _ Laundry Room Tray Garbage Disposal 16.60 Washing Machine Laundry Tray 18.60 Floor Drain/Floor Sink 2' 3' Washing Machine 16.60 4• --- Floor OralNFloor Sink 2' 16.60Water Heater ^-ixt -- 16 60 Other Fures 5 c --- Water tiealer O converslon O like kind Gas piping requires a separate mechanical permit. MFG Home New Water Service 40.40 -' MFG Home New San/Sionn Sewer 46.40 _ COMMENTS REGARDING ABOVE: Hose Bibs 16.60 Root Drains 16.60 _ Drinking Fountain 18.60 Other Fixtures(Specify) 21.75 Sewer-1 st 100' 55.00 Sewer•each additional 100' 48.40 +.�-...,,�..... Water Service-1st 100' 55.00 Water Service-each additional 200' 4E.40 Storm&Rain Drain-1st 100' - 66.00 Stvr m 6 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device* 27.55 Cetch Basin 16.80 Insp.of Existing Plumbing or SpecI01 Requested i 72.50 Inspections perthr Rain Drain,single family dwelling 85.25 Grease Traps 16.60 QUANTITY TOTAL _ Isametrk or riser diagram Is regu_Med I�Tow k >9 "SUBTOTAL B'�G SURCHARGE "'PLAN REVIEW 25%OF SUBTOTAL Required OnN I fixture 4ty.kAal h�9 TOTAL •Minimum permit its Is$72.50 I%a rdwge,except Residential Baddlow Prevention Devioa,whkh h VM 25•a%ardwpe. -AN New Commercial Buildings requl a plana with Isometric of rber diagram and plan review. i FL OT FLAN LOQ' #112 , AFfi- LEWOOD FARK Rlf=D 251 11 DA TAX LOT 011900 8855 SW GREENING LANE 5.E. 1/4 OF SECTION 11, T.2, R.IW, W.M. CITE' OF TIGARD W,45�41NGiTON COUNTY, OREGON RiLEGEND m HOMES 12766 311 60th AVENUE SHITE 100 OFFICE (603) 620-Ci6n PORTLAND, OR. 97223 FAX (603) 696-6900 CCD/ 60663 �©4 -log\ LOT 159 LOT 158 LOT 16o, N89'54'15"E lk N62.00, I � - � 204.1' 104.0' - - 4E-, L 1*71z 3 /4,371 50. FT. in 0 /FIN. FLP- ■ 205.3' —! WATER METER O 0 r GARAGE FLR 204.0' / z W----- --- WATER LINE 4 95' SS———— SANITARY SEWER Z / �/+ STORM DRAIN 1@b 2E3.1' --- t OF !"REE T 4.5' _ -- MANHOLE ® CATCH BASIN ' 1 PROPOSED 8' UTILITY 203_5_ STREET TREES EASEMENT 20�-I 1 [1 STREET LIGHT FIRE HYDRANT 51DEWALK S all 54'2 7uj ro 7 din, i CURB --,T _ N _ PROVIDE EROSION — +—35 — - CONTROL FENCE - PER GOMMUNITT — FROSION PLAN = 5W GREENIN