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13172 SW RAPTOR PLACE 13172 SW Raptor Place CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP _ Received — Date Re�,ue ed1) -1fZ_ AM -__ PM OUP Location _ _ f -7)i mss — Suite MEC Contact Person _ Ph( ) �> PLM Contractor _ -. _ —_. Ph( ) SWR BUILDING Tenant/Owner .-. ----___--_._—_ __ _ - ELC Footing Foundation ELC Ftg Drain Access: ELF!Crawl Drain _ _ Slab Inspection Notes: r SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing InsulationF _ - �— /G r-e —J-tZ5&j /tom Drywall Nailing - __-- Firewall /�-f'a k /-.� T75r'�r-/� 647 Y =C Fire Sprinkler - - - O�- Fire Alarm Susp'd Ceiling ---- - - --- -- —� Roof /'�/l// �,- O v r Other:_. sem _�_� /4 �_ _ Final ` �� ASS PART FAIL taL MB Post&Beam — v Under Slab Rough-In _ Water Service Sanitary Sewer �— Rain drains -- Catch Basin/Manhole Storm Drain -- - ---� Shower Pan Other:_ — ------ PA PART FAILNOLeam — -----__ ---- ----------- Rough-In ---__-- Gas Line Smoke Dampers —i_—_---- -F PART FAIL Rough-In UG/Binh Low Voltage Fire Alarm - _— ial 1-1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL, SITE [ Please call for ref spection RE:____ _ Unable to Inspect-no access Fire Supply Line /, Approach/Sidewalk Date -lK- ��.J— Inspector � - _- — -- -_ P ut I � Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour - BUILDING Inspection Line: (503) 639-4175 MST G� + - INSPECTION DIVISION Business Line: (503) 639-4171 / BLIP Received __ _- Date Requested— -- - �M PM _- Bl1P - I ication -----� .a. Suite— -- MEC -- - Suite Contact Person -_ __...- ! Ph(�_�_) /l - PLiv, Contractor__ -._ -__ Ph( ) __—._ - -_ SWR UILDI Tenant/Owner .__ ELC Footing Foundation A`cess: ELC -- Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------- Firewall Fire Sprinkler - --- - Fire Alarm Susp'd Ceiling - -- — -- -- Roof Other4 -- ,Other; t ,P/',SS PART FAIL — PL --- 4- Post&Beam - T_-- --��- ---- v - -- Inder Slab Hough-In Water Service - -- - ---- �� - -- --- — Sanitary Sewer Rain Drains ---- ._- Catch Basin/Manhole Storm Drain ---- Shower Pan Other. Final PASS PART FAIL —�--- --— MECHANICAL Post,9.Beam Rough-!n ---- - Gas Line Smoke Dampers Final PASS PART FAIL — - ELECTRICAL Service --- -- --__-------.__._--------- ----.�------- Rough-In UG/Slab -- Low Voltage Fire Alarm ---_-__ ❑ Reinspection fee of$— _—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. � , ASS ARTFAIL ❑ Please call for reinspection RE: ( Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dans _ Inspector -__ _ ._ Ext Other: 1"intal — -� __. DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL Main Office Salem Office Bend Office P.O.Box 23814 4060 Hudson Ave.,NE P.O.Box 7918 c Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Carlson Testing Inco Phone(503)684-3460 Phone(533)589.129 Phone(541)30.91 553 Testing, FAX(503)f,84.0954 FAX(503)589.130) FAX(541)330.9163 Special Inspection FINAL SUMMARY LETTER October 31, 2002 T0009300 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department R Quail Hollow- Lot#47 13,172 SW Raptor Place - Tigard, OR Permit No.: MST2001-00166 Dear Sir or Madam. This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Installation of Epoxy Anchors All inspections and tests were performed and reported according to the requirements of Project Documents arid, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions OUr reports pertain to the material tested/inspected only. Information contained herein Is not to be reproduced, except in full, without prior authorization frorn this office If there are any further questions regarding this matter, please do not hesitate to contact this office. RespeCtfU0 submitted, CARLSOO TESTING, INC Ja s F. Hietpas J; Assurance Manager J�H/Is cc: Kerry Becker Concrete Co. Froelich Consulting Engineering GGLO Architecture & Interior Design P woRDIRCPon I SAF INI.TRIT02 RAJfR1 O ti n , o � O fry il tyIV o• n. � C Tj n ^ � n I_ a ) c p a n y � CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97 223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6025 EAST 18TH STREET VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2001-00166 Date Issued: Parcel: 2S104DA-06100 Sife Address: 13172 SW RAPTOR PL Subdivision: OUA1L HOLLOW -WEST Block: Lot: 047 Jurisdiction: TIG Zoning: R-4.5 Remarks New SF detached rowhouse in Building #2. Setbacks as per sheet A10.10 Plan C-SB 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 I.;ie 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 for•rn is received OWNIP. ELECTRICAL CONTRACTOR: BROWNSTONE HOMES STREAMLINE ELECTRICAL 12610 SW 68TH PKWY #200 6025 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: n60.993-5080 Ren #: LIC 116514 ELE 34432C SUP 40815 AN INK SIGNATURE IS REQUIRED ON THIS FORM j Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 ,A CITY O►F T I G A R D _ MASTER PERMIT PERMIT #: MST2001-00166 DEVELOPMENT SERVICES DATE. ISSUED: 10/30/01 13125 SW Hall Blvd.,'Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13172 SW RAPTOR PL PAPCEL: 2S104DA-06100 SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT:047 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#2. Setbacks as per sheet Al x.10 Plan C-SB BUILDING REISSUE. STORIES: 3 FLOOR AREAS REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 324 sf BASFMENT of LEFT: SMOKE DETECTORS: Y TYPE OF UBE: SF FLOOR LOAD: 50 SECOND: 727 sf GARAGE 410 sf FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 567 sf RIGHT: VALUE: 5 140.209.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,61800 s1 REAR: PLUMBING SINKS: 1 WATER CLOSETi: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR. GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS- 3 CLOTHES DRYER: 1 GAS FURN>-I 00K: UNIT HEATERS: HOODS: OTHER UNITS. 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETt': I E ECTRICAL — 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 FOR: 2 PUMPIIRRIGATION: PER INSPECTION: EA AUD'L 500SF: 3 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 000 amp: 401 •500 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR: 501 - 1000 amp: 601•amps•loanv: MINOR LABEL: 1000+nmplvolt: PLAN REVIEW SECTION _. Recomiact only: >.4 RES UNITS: SVCIFDR>=225 A.: >500 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL a.COMMERCIAL AUDIO&StEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: ALL ENCOMB BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTVIR. HVAC: DATAfrELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: TOTAL FEES: $ 5,691.92 Owner: Contractor: This permit Is subject to the regulations contained in the BROWNSTONE HOMES BROWNSTONE HOMES,LLC Tigard Municipal Code,Slate of OR Specialty Codes and 12670 SW 68TH PKWY#200 12670 SW 68TH PKVI/Y all other applicable laws. All work will be done in PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This permit will expired work is not started within 180 days of issuance,or it 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 Rey 0: uc 12462r forth In OAR 952-001-0010 through 952.001-0080 You may obtain copies of these rules or dimct questions to OUNC by calling(503)246-1987. REQUIRED INSPEC TIONS Erosion Control Insp 8, Underfloor Insulation Electrical Service Low Voltage Firewall Insp App dwlk Insp Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Elec.irical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Final inspection Issued By • c� Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT 3"ERVICES PERMIT #: SWR2001-00108 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/01 SITE ADDRESS; 13172 SW RAPTOR PL. PARCEL: 2S 104DA-06100 SUBDIVISION: OUAII HOI_LOV� - WEST ZONING: R-4,5 BLOCK: LOT: 047 JURISDICTION: TIG `TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO, OF BUILDINGS: 1 INSTAL-L TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: FEES BROWNSTONE HOMES __. �– ---- - 12670 SW 68TH PKWY #200 Type By Date — Amount Receipt PORTLAND, OR 97223 PRMT CTR 10/30/01 $2,300.00 27200100000 INSP CTR 10/30/01 $35.00 27200100000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply w,th 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 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) 246-1987 Issued by: `�pct�– ! -.. ' Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application �w Date received: Pemut no.;//e' "!, .n 11 City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Nall Blvd,Tigard,OR 97223 — Phone: (503) 639-4171 Date issued: By:Leccipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: WITM 7ad y dwe!ling or accessory U Commerciallindustrial U Ault, t:lmkl�+tn ❑Demolition teration/replacement ❑Tenant improvement U Firc ,In inklcr/alartn iJ()Ilia/ L Bldg.no.: � Suite no.: Lot: Block: Subdivision: p.r L 1 ow �T . I Tax map/tax lot/account no.: Project name_Ci1 A L uJ I�carIc� Description and location of work on premises/special conditions: P1sLa-� 1 b11 _�_– ------ Name: rJOT C3Mk'S Mailing address: JOW'70 Sw (o6th akw-A U0 1 &2 family dwelling: ..................•. > cr ?C ^ Cit State:�' 7122Valuation of work.................... $ Phone: Fax: 8 900 1 E-mail: No.of bcdrooms/baths............�............. Owner's representative: M CA17c� Total number of floors...............3.............. _— Fax:5_M 3'19'L E-mail: New dwelling area(sy.ft.) .....1.15.4w....... Phone: 'S� 5 Gamge/carport area(sq.ft.)......kP!t........ Y----- A Covered porch area(sq.ft.) . Name: �E — _ -- Arm Deck area(sq.ft.) v s� F� Mailing address: _ ) ........................�............. °— State: : Other structure area(s .ft.). ........... ZIP: CommercirrUlnduvtriaUmulti-family' Phone: Fax: E-mail: Valuation of work.....................................•.. $ 1 Existing bldg.arca(sq.ft.) .......................... Business name: 4-, E, • New bldg.area(sq.ft.)................................ Address: _ — Number of stories........................................ — City: _=tate: ZIP: Type of construction.................................... Phone: Fax: _ E-mail: Occupancy group(s): Existing: CCB no.: New: City/metro lie.no.: Notice-All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: a cl d provisions of ORS 701 and may be requited to be licensed in the jurisdiction where work is being performed.If the applicant is Address: 11c�1 tAr(Mm exempt from licensing,the following reason applies: Cit State:W ZIP: fowl Contact person: Plan no.: Phone:166- 4(07- Fax:'},(4I- E-mail:: Name:WQ E6►C-P Contact person: FN Willi Fees due upon application ........................... $ - Address: LL' IIJi i►+�(1S Date received: City: State ZIP. Amount received ......................................... Phone. -9 b 33 Fax: r E-mail: _ Please refer to fee schedule. — I hereby certify I have read and examined this application and the Not all juridkNau wet""Mi eat,tkm call jurisdiction for mtxe information attached checklist.All provisions of las and ordinances governing this U Visa ❑MasterCard credit erd nurnba._ �— work will he complie tt ,whe if •temin or not, Expires AuthoriZCd signature: Date: �_ Nuns of cardioldtt m shown on 6;1-1crd s Print name: Q_) ( A Ot` Crdhoider lisnoure – Amouet Notice:This perm t application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-460(6MICOM) Mechanical Permit Application Date received: Permit no. (}x/'44�G City of Tigard igard Projxdappl.no.: Expire date: CiryojTigard 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: _ Building permit no.: KMI in &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement ®New construction U Additiondalteration/replacenlent U o ther: t address: / 7L _ Indicdtc equipment quantities in boxes below. Indicate the dollar Job JobSw a no.: value of all mechanical materials,equipment,labor,overhead, Bldg.address: profit.Value$ Tax map/tax Io(/account no.: LAA: Block: �`''' Subdivision:C� Atl p(,u uCM 'See checklist for important application information and Project name: QtAI EIb row 1�'tf' — juris'diction's fee schedule tier residential permit fee. ZIP: tr0i t Citylcounty: 1C') 'CJD �riS4-Description and location o Ilk t.,work on premises: 0 p� s.only Res.only Est.date of completion/inspection: , Tenant improvement or change of use: Air handling unit Is existing space heated or conditioned?U Yes U No Ah con itionin ((site plan required) Is existing space insulated?U Yes ❑No teration u exi�ung A system rn er compressors State boit.r permit no.: Business name: TUU 1N11 tip Tons BTU/H Address: o (o(o r — •ir smo.e ampers/ uct smoke detectors City: _Arm 7atebr _ 7.IP.97 2�C�_ t cat pump(sue p an requir ) Fax:7'�S I/41 E-mail: — nsta rep ace urnac urne� H'1` Phone: Gj-51 Including ductwork/vent liner U Yes O No CCB no.: S 2M3 _ nstarep ac. re ocate eaters-suspenac-T City/metro tic.no.: l.''D OCA 1 O'L — wall,or floor mounted _ Vent fore lance other than rumace Name(pleasetint), '� V1 M 11} '� a en : Absorption units___� BTU/H — Chillers _ HP Name: -TI rCo2gresqors ` lip Address: i ` �'' l�>r, virommentaTexhaust and ventilation: City: State: ZIP: A pliance vent 1 Phone: Fax: E-mail: ryerexhaust onds, yRTWres. itc emit hood fire suppression system - Name: �V Exhaust fan with single duct(bath fans) x taust s stem a in from heating or AC Mailing address: Ue p p d en up to outlets) State: ZIP: Type: L.PG NG X— Oil City: -m -- Phone: Fax: Email: ue I each'—ch aona over out ets rocesi piping(schematic requ ) Number of outlets _ of er st 'ap-plUnce or equ pment: Address: — Decorativefireplace _ City State: ZIP_ In - - -- - stov pe et stove Fax phone: : E-mail: Other — Applicant's signature: — Date.- Name. ate:Name sprint): _ -- Permit fee.....................$ Not all jiuisdicaau accept rndir cards,plew call jmiadkdan fm eve inronnatlm. Notice:This permit application Minimum fee................$ — U Visa U MasterCard expires if a permit is not obtained plan review(at ____ %) $ Or&card number: _ --- — — - within IRO days after it has been h Expftsy' State surcharge(8%)....$ None n<c lrk,a sloMn oe c ii card '—` accepted as complete. TOTAL $ --% Cardhddrr tlquture -� - - Amouot 44(41617(60WOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: ?OTAL VALUATION: FEE: Description; `rPrice Total $1.00 10_35,000.00 __ N;-nimurn fee$72.50 Table 1A Mechanical Code _ ory (Fa) Amt 1) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72 56 for the first$5,000.00 and including ducts&vents _ 14.00 $1.52 for each additional$100.00 or 2)Furnace 100,000 BTU+ traction thereof,to and including _includ)nqucts&vents 17.40 $10,000.00. _ ace $10,001.00 to$25,000.00 $146.50 for the first$10,000.00 and 3) Floor F g vent ;1.54 for each additional$100.00 or including vent 14 00 fraction thereof,to and Including 4) Suspended heater,wall heater _ $25,000.00. or floor mounted heater 14.n0 $25,0(1.00 to$50,000.00 $379.50 for the first$25,000.00 and I 5) Vent not Included in appliance permit $1.45 for each additior at$100.00 or _�-__T___� 6.80 fraction thereof,to and including 6) Repair units r _ $_50,000.00. 12.1_ 550,001.00 and up $742 00 for the first$50,000.00 and Check all that apply: Bailer Heat Nr $1.20 for each additional$100.00 or For Items 7-11,sae or Pump Cond fraction thereof. footnotes below. Comp' 7)<3HP;absorb unit to 100K BTU _ 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb - Value Total unit 100k to 500k BTU 25.60 DesoriEgon: O Ea Amount 9)15-30 HP;absorb _ Fumace to 100,000 BTU,Including 955 unit.5-1 mil BTU 35.00 ducts&vents -- 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents ---- 11)>50HP:absorb Floor fumace Including vent 955 unit>1.75 mil BTU 97.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included In applicance' 445 13)Air handling unit 10,000 CFM+ permit _ 17.20 Repair units _ 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU _ 15)Vent fan conneuled to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k 9TU - 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.BTU18)Domestic Incinerators >50 hp;absorb.unit, 5,725 v 17.40----- >1.75 7.40 -- >1.75 mil.BTU - 19)Commercial or Industrial t/pe Incinerator Air handlin unit to 10,000_cfm 656 - 69.95 Air handlingI>10,000 chit 1,170 20)Other units,Including wood stoves _ Non- rtabl©evaporate cooler 656 _ _ _ 10.00 Vent fan connected t 3 a single duct r 646 21)Gas piping one to four outlets Vent system not Included In -_ _5L41-_ _ a Nanco permit - 22)More than 4-per outlet(each) Hood served bYmechanical exhaust 656 1.00 _- Domestic Incinerator 1 170 Minimum Permit Fee$72.50 SUBTOTAL Commercial or Industrial incinerdt, 4 590 _ _ E�2 Other unit,Including wood stoves, 856 - -~ s 8%State Surcharge a Inserts,etc. Gas plpina 1 4 outlets 380 __ 'u 25%Plan Review Fee(of subtotal) a Each additional outlet 63 Required for ALL commercial permits only j( TOTAL COMMERCIAL s - TOTAL RESIDENTIAL PERMIT FEE: S VALUATION: -- Othst In Ln tc ion an Fees 1 Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fee is specifically indicatad (minimum charge-half hour) $72 5o per hour 3 Additional plan review required by changes,additions or reviaions to plans(minimum ctmW-one-half hour)$72 50 per hour *State Contractor Boller Certification required for units>200k HTU. "Residential A/C requires etts plan showing placement of unli. i:\dsts\forms\mech-fees.doc 10/11/00 Electrical Permit Application aateeelv.d: i4,nwtllo.;fls�' , 0 iG City of TigmA va.rp.: P�rptcdatec Clrygl7yswf Address: 1312$SW Hell Blvd.Tip tt,OR 9n" DatelaaraA: PIMM.: (303)639.4171 Pax: (9)3)3981960 Ease rite rob.: Pey,,,r„I IyPe Land use approval: :'}Litt 2 fammilly 11we11iej a aoccs—y U Corn"rclalArAtithod U Multi-funily U Tenant inlpmvwllalt New construction U AdditkWsJtcrau(wVmpI6cenxn; 0 Otho. U Partial Job sd&w: /" 1� [fld .nn. Suia rro,. Tarr 0 w lWacenust � t--, -- Hhck Sub41vi1im: uAt lr Flo Ita>� w�T 1. -.. ProjMt name. k"- 401101 15eacciplion aild location of wah,�mbai: N t ly t'd•1`j1lNli rltwl L'etitrtncd 4tx of ccxn etioNlne l�ot1; TOW M. Bwinaestleete: Streamlirie Ellge- ri WOUw r a: el,.wrrit"N.t.Naealts nrwet♦en�. City! Va n c o u v 5rate: W A 9136 61 Swvk*b 1b&& fRsorle: 9 9 3-,` aa: _ rtwil: I(IUr)r� n M CCA�no,;1 6 1 ec,bw.lic.nol 34-432C omws1e ,. CI /therm lic.no.: n�,l.-r.P+aeena,t -y lteoh mrruluwred M1ee or modules dwel has in s«o1n 1.�u Mss) Bee SelVldl drihn(soft --2, !II ..Iter.aYatA ): r.laenK no: fl eM r f.�.den s'�-hella�, .fares"w mowstl".. 9_ 100 war ow few G 3 None(pNe _ L.ScC ii v eoaanvtpa ��—�• tidi, i io Mal IlddUua: � Ws►� 4,� , rnRe- tr T ? Ix.err-""_.' 3 Ap ftM: pUl h b Frtriaii. Nrra,M�wf�,__ Chartres stsdlstinn ' meadlaowl a Inp Meds txt 1xr�t�y 11Iwn ss*.rnTwrvkrsrAMw+. Which is pat irri mim for sale.I (W a tchonre ammlint to I'Wstr.uaMaarsrrstssAte�l ORS 447,439 eTD, t m 2 0wTmw's i Dow. - OrV0bAi1? 1n w s 9 r.W sr saMrisa t*seaeL Now _ A- Fw to bnAe%trmtiht widr yavoR.rt Of AAdt!><a: - wy.iae�»Isada sorb bmfth dra►n 2 Gt $lataePr A es►artxsr,cfidn:e wehoatvsrc ,d wMa or Iesder tag tkr bm/ h nrVAU 2 E-aruiL p,�.ed -MY V,MIMI _ 0 fanbe.w►r1a.r�,►*e,Mw+a+ 0 �,;,Irdi„�wrtcrcle_. i use, o.er l2o«qurt«r of I a! O Nanrdooe toetaen (Ynclr drsNlNrs 0 soldMr ova 10A00.v.wo A.r tow a a tarns)of s IRi%d r n'"r p , d Sye"aw 6w tslh W,m* 1 RIM rt.lsostlsl IND MOM 6"WA.r. 2 o on owa rsw orr e0 p+er"+o n M8A0W tnd WWO M Of Nv Wk /Sods ! a. . far O�I.,nleRrweNM ra Oar. hrkap Uow _ r - ­ tete of pba Whim M"et:. *bewe. I.-M almee__ iAe OMte are Ileo bile to"0 ewwwo6•wrrfire. -� ^^-_ ----- Pt.neit fee.... .............. s _ �� MM sll Mr►fair eat>r 1���sII Js.rltl►r.Rt ssw(�nssaaR Normo ' t pemll awlitstioe r ONa. OMmesrC'srd rarrires Ira Oarrnll to rept ebuinW Plea rrviety(at 41 S 0180 w+.welt• .,— _ .khla ten cloys after 4 has been Stele surchwile ' .otaPMd■oc.eplau. TOTAL _��_� �411e fMOar'Oe4 ILL, TO 34I1WV38�S Zl1Q;/$ /E0 Mor-06-01 03: 05p Wolcott plumb incl 503 667 9891 41 W41 50't SAH 1960 cr ry rif •r1c:wj Plumbing Permit Application City of Tigard 1'r fccciv.n.--_ Permul no.:/ < .; Addresb: 13125 SW Mall Blvd.Tiger 1,OR 9721:1 5twu perrpit 10. Buddingpentit no.: City oJTieard Phone: 001)630-4171 PraiecVrtppl.no.: Expustime: hax: (503) 59R-19b0 -- lseued' - ' By, Recti tlKi Ltusd use approves): Dutr Lc Eli;rile no.. Paytnenttype U 1 A 1 rattily dwrlling ur acce,,gM U COM m.,tctaUmdwtnrl Q New cuastrucuouO Multidamily O Tenant impruvtrinent AddiUc N dtennnnlrcplacerren( U Food wrvice Q Other Job Adtltess; 1 7 tl Dwri ots _�— Bld . nu, - ne.r 1•aadZ taellydr,eWngeo -- --i .. � Suite no.. -Tart rnW13Y lot/accouutno - (lscludr.100ft.far garb utiutycons tloe) • ' Block Subdivision: -'— SFR(1)bath Pitr�oct nlu►e'.�, -- `----- SM(2j bath t(.)belt i----- 1 ityicounty: ZIP: �Jalttonn K kTtchcri thscuption and locadon of wutk on prcrnius: elite is �; __-__, Catch basiolarea dram Bst,date of ctttn letlonlruspecuan �• ywc leach tree wench�`--` pen ram no. n, Bushels Dame: <,Jolr:a �r snufoctu omeuhhtses Addts!vR: .O, aox ZOO? City; I e n yL,lw a connector — i'110ne So3-447-11 ( Cait r.61-91111 E•ilia 11;Cyt isOst o+ry roan sewer(eo. in.!'t - CCB no. 23�y3 PtItmb.bas.reg.oo!'Lf.-to e4 pp water service(no.Vin. t -- rCityimetro lic.no.: Flxtseee or Newt Cuotractor's representsdvc s hare: Ab tion valve Prtat U a<k ow prtveater MMMs $BKr_kWnlxr va veio ovalNanit r s wal I ---` Address: w wns er City. 9tsa: :Ip; 11 ng founn(s) Pltont: Fat ec rump E•Otail t ensirm ltur ir[tu sewer ca — - — et(ptint)� Fiwn 001 31 u M_ ,ka middress: — City. 9tsec :IP ose bi b --- Pbune• Fret: E- c _I—. I nttctptor gtea+e trap Owner instalie wWreledential maintenlitu:e only: The actual inslallation llnmer y will be made by the or the maintenance and repair nu de by my regular oo r tori tcommercial employee an the pmpeny I uwa as per URS Chapter 147 -O.-T), I-I Icos��Y�(s - Owric's si nature; Datc, um -- 1'u ala r+wet war pan " l'n arer c t+Sel arer a et City ----------- _ Slale�ZW; T� r• — Phone: __._wa _—� E•ttuul`� otoWwacuasr tear erdl1 cu`. d�rrirr.'1 iurirue6"to mar�n anwiM h1in'mum fear,,.. .. ,S — �0 U Visa O Materestj Notix:This permit applicat m MA oil l - t:pirta if a permh is out obtslned flan review(at cRai 40d sops" _ . within 180 days aller it has been Slate wrn•harV(896) E — + -- idia3erdearrw:;enaeAireer uctx'piedasoomplera TOTAL .. ............,.......E ""-rWd r tnriYn -�Aaari 1 ` 0 a. . ,�• a!� Mar-06-01 03:05P Wolcott Plumbinca 503 667 9891 R .. +72 03:'06!111 TCG J4!42 IeAX 503 S98 19G0 CITY OF '1•JCARU W u,re PLUMBING PERMIT FEES: New,and2-fhmllydwaMlnp•an1y: -T— -'� FI%TgP14 aTY •a 1 • AMOUNT (1,10twos all pfumbing'VNtures In P1tICfr 10TAL Sick _� 6.tSI the dwefllny•ntl th•8r11J100 h QTY. (el) AMOUNT Lwetor/ �� � � ie:e) [or•fchullif! QQflnectlonl One1,)b� ". 4e 20 Tub dr'uWSMMtr ,omb. te.a) we J2)-b _ 390.00 8�h^werQnh _ 6.6) �-• Tn-ee 3 path _ !139900 _ - Vr'atirClaN tlihal _�j���,UIDTOTAL 6' �— @%$ A II$URCHARI3F. Duhwosher 16.67F PLAN REVIRW 45%OF SU9'OTAL .� Oabuya Giepolal , -. -_ �T01TL Laurdn� 0.1 lay 10 j �Wasr nq Maq+lne --In 6— Floor DN-0 our Sl' 2'� 1610 a, —- -- PLEASE COMPLETE: ,6:Is weir Hester O u,nwrs on a. or`H nnld. Cts piping regvves a separate mechanical Fixtm Type: New bleu66, Repl•ded Removed/ erhx _ 1� Cam ed MFG 1+amp N•W W11tM Sarvh» M•0 Sink _ Wo Home rrsw SaN510(m ewer {�r 0 larval Hose d be - 161A u or ub/Shower _ Cembinallorl Roel 0,41115 10d 0 Sho+vor Oml —�, DnnWng Fountain +;1 n water Closet 0-1hhar Fla!urie(Specify) i 41 it nra -�- - Dlehw•aher L arnRoom 41 Tr t•unddg Room Tr Washing Ma ,n• sewer-111 1— 0—Jam+ 56 1Q p leer QratiN Ink Sower-each sddilbnel 100' A6 10 a• wIto ry ce•+n I wet Meats7 _ - --- Wa'm Service•each of d gnJ1200 466 $0 011ier F:IUrN wrm d Riln Oraln• 'at 100' 95• - -- Slorm s Raln f•ir earh ad- r- 111 o at 1(41' 16.10 Cocanafd Bach`Flow Pro Wnlbn oev • 46 RasldarlGdl ltacllflcwPlevent�v,[e' 27 65 ---y Catch Basin 680 - lnspeLtlun of E�rSNnp Plvmtlnq or peclsdy - yp "�-y -_�•' - ` - 1 Hiluenled Inspet; J.h COMMENTS REOARDINO ASOVl: Rah Dial,.SingM"�mxy dwelinq —� 76 ZS 2 c)reaeer-'Taal — — 1650 QUANTITY TOTAL -- IOWNtnc IN tu•d1191in 11•aqua•dif ..---OL:wn t tot 1+� > -_.. Y__ --- -• "!SUSTOTAL 8% GTATl! 9URC;4A JE Lpl�AN REVIEW 25•/.OF SLBTOTAL _ _ Re9.lYaQ.rvh,r rl.l�re ah_let"ie>s _ _ __—_— r T&TAL : •Mintmefn po"d IN 11 V.'so•8%Stott 11rrhargo,8101/+Rr 1,d rnllal 3IC410. Ppeveny0n Ocvrr,wrr LPI 1 714.L7•1%11110 14'Kherge "'Alli No.celnmarclal■ullerna•rrMuul owil whh leonxt•rc or AI v lUefs-.J.0 Plan•edew. I�dah!lorrnatplm•kea.doc X01,0/00